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Visa Information
Reference No.
: 2210326B1960183
Payment Receipt No.
:
Visa No.
:
Valid From
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Valid Until
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Visa Code
: VOA

Personal Information
LORI ANN JOHNSON
FEMALE
VANCOUVER CAN
16/08/1959
7807791516
Passport (or other travel document) Information
Passport
HP237109
KANADA
31/01/2027
CANADA
Residence Information
HOTEL
JL. DANAU TAMBLINGAN NO.128, SANUR, DENPASAR SELATAN, KOTA DENPASAR, BALI 80228, INDONESIA
BALI
KOTA DENPASAR
DENPASAR SELATAN
SANUR
80228


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Type of Visa B1
IDR
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