OMAR ALI AHMED QADHI
PERMIT NUMBER : E28A2C1300JC240687482
STAY PERMIT EXPIRY : 02/04/2026
STAY PERMIT INDEX
E28A2C13
Place / Date of Birth : HODAIDAH YEM / 01-01-1984
Tempat / Tanggal Lahir
Passport Number : 09957473
Nomor Paspor
Passport Expiry : 25-09-2027
Tanggal Habis Berlaku Paspor
Nationality : YAMAN
Kebangsaan
Gender : MALE
Jenis Kelamin
Address : APARTEMENT BASSURA CITY
Address
Guarantor : VIVA SIBA TRAVEL
Penjamin
DISCLAIMER:
1. According to Article 71 Act Number 6 Year 2011 Concerning Immigration, every changes of
immigration status and citizenship (related death, marriage, divorce, recognition of the child, child
attestation, adoption of a child, change in self-identity, change of citizenship status, Passport
replacement ) must be reported to Local Immigration Office in an immediate period of time.
2.This stay permit can be extended or converted it into permanent stay permit.
3.The extention of this stay permit for up to 2 years per extention until maximum stay up to 5 years
4.For further information please contact Local Immigration Office or do visit our website
www.imigrasi.go.id
5.Staying in Indonesia over the period of your stay permit, engaging in prohibited activities, not
complying with stay permt conditions, and/or not complying with Indonesian laws may result in you
paying fines, being deported, and/or other legal charges
Jakarta, 02 April 2024
KANTOR IMIGRASI KELAS I JAKARTA TIMUR
KANTOR IMIGRASI KELAS I JAKARTA TIMUR
JL. BEKASI TIMUR RAYA NO. 169 JAKARTA TIMUR