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Application Information
Visa Information
Reference No.
: 3060923A942267
Payment Receipt No.
: XA3948115
Visa No.
: Z1A1002827
Valid From
: 06/09/2023
Valid Until
: 04/12/2023
Visa Code
: VOA

Personal Information
HIROSHI NISHIKAWA
MALE
HIRoshima
28/08/1959
09037407824
Document Information
Passport
TR4884111
JEPANG
16/10/2025
JAPAN
Residence Information
HOTEL
JI. KARTIKA PLAZA, GANG PUSPA AYU NO. 99, 80361, KUTA
BALI
KAB. BADUNG
KUTA
TUBAN
80361



Payment Information
Type of Visa B213
IDR
BD13555DF0DQV1HR
06/09/2023
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