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Direktorat Jenderal Imigrasi: Dear Mr. Oussama Bouchakour Moussa

This document is an e-Visa approval for Oussama Bouchakour Moussa from Algeria, allowing a 60-day visit to Indonesia. The visa is valid until June 14, 2025, and includes important disclaimers regarding entry, usage, and conditions of the e-Visa. It also provides instructions for using the Indonesia Autogate and emphasizes the necessity of matching passport information.

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62 views1 page

Direktorat Jenderal Imigrasi: Dear Mr. Oussama Bouchakour Moussa

This document is an e-Visa approval for Oussama Bouchakour Moussa from Algeria, allowing a 60-day visit to Indonesia. The visa is valid until June 14, 2025, and includes important disclaimers regarding entry, usage, and conditions of the e-Visa. It also provides instructions for using the Indonesia Autogate and emphasizes the necessity of matching passport information.

Uploaded by

dpyosephtito
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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KEMENTERIAN HUKUM DAN HAM RI

DIREKTORAT JENDERAL IMIGRASI

Dear Mr.
OUSSAMA BOUCHAKOUR MOUSSA
C1
EVISA

Name : OUSSAMA Reference No. : 2060325C1419942


Nama BOUCHAKOUR Nomor Referensi

MOUSSA

Sex : MALE Visa No. : 25C1698603


Jenis Kelamin Nomor Visa

Place of Birth : Algeria Visa Type : Visit Visa


Tempat Lahir Tipe Visa

Date of Birth : 29/06/1992 Date of issue : 17/03/2025


Tanggal Lahir Tanggal Penerbitan

Must be used before : 14/06/2025


Nationality : ALGERIA Harus digunakan paling lambat
Kebangsaan sebelum

Passport No. : 197449166 Duration of Stay : 60 DAY


No. Paspor Lama Tinggal

Passport Expiry Date : 01/10/2029 Sponsor : LUCIA EKA


Tgl. Habis Berlaku Paspor Penjamin TRISTIANA

Address in Indonesia :
Alamat di Indonesia

. 50
MEDAN PETISAH KOTA MEDAN PROVINSI
SUMATERA UTARA

You are eligible to use Indonesia Autogate at Arrival and Departure Immigration Checkpoint
(aged 14 and above with electronic passport)

DISCLAIMER:
1. Please note that, information on any processed e-visa cannot be changed and the fee paid for an e-VISA is not refundable.
2. The information on your e-VISA must match the information on your valid passport completely, otherwise, your e-VISA will
be invalid. In this regard, you must create and complete a new application. If the persons recorded to the accompanying
section of your passport are to travel with you, it is essential that they also get e-VISA.
3. Issuance of e-VISA does not guarantee entry to the Republic of Indonesia, the decision of entry remains the right of the
Immigration Officer at the port of entry.
4. Holders of e-VISA are not required to queue at the visa payment counter and can proceed directly to Immigration Counter
at the port of entry upon arrival. You must present passport that is valid for more than 6 (six) months and return ticket to
the Immigration Officer.
5. E-VISA shall not be valid for purposes other than tourism, government visit, business meeting, goods purchasing, or
transit. Visa applications such as work, study, etc. must be made via e-VISA application. It is your own responsibility to
check whether your residence permit has expired or not.
6. If your period of stay exceed 30 (thirty) days in Indonesia, overstay fine will be applied.
7. For more information, please visit http://www.imigrasi.go.id.

EVISA RECEIPT

17/03/2025 17:32:04

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