MINISTRY OF LAW AND HUMAN RIGHTS OF THE REPUBLIC OF INDONESIA
DIRECTORATE GENERAL OF IMMIGRATION
C312
Jakarta, 26/01/2023
Dear,
ASHUTOSH GUPTA
BELLAGIO RESIDENCE UNIT - 11 AF 18, TOWER A JL.
MEGA KUNINGAN BARAT NO.3, RT.5/RW.1, KUNINGAN
We would like to inform you that your visa application has been approved, with the following data:
(This document contains the approval of your visa application, with the following data)
A. VISA DATA
ID/ Application Number : 160436019230532
Visa Type : LIMITED STAY
Purpose of Visit : AS EXPERT
Visa Registration Number : 2A13IM25013-X
eVisa Number : EVX0022071LN
Visa must be used by : 26/04/2023
Length of Stay in Indonesia : 12 MONTH
B. APPLICANT DATA
Gender : MALE
Place of Birth : MUZAFFARNAGAR, UTTAR PRADESH
Date of Birth : 19/09/1977
Nationality : INDIA
Passport Type : PASPOR
Passport Number : Z7102961
Place of Issue : DELHI
Passport Expiry Date : 23/12/2032
Address in Indonesia : BELLAGIO RESIDENCE UNIT - 11 AF 18, TOWER A JL.
MEGA KUNINGAN BARAT NO.3, RT.5/RW.1, KUNINGAN
INFORMATION:
1. Foreign Nationals are required to present the same Travel Document used for the E-Visa application
Immigration Inspectors at Immigration Check Points / Inspections;
2. Foreign Nationals are subject to all Indonesian Laws and health protocols which is being enforced;
3. Stay Permit Extension may be done at a local Immigration Office, nearest to place of residence, when
applicable;
4. Holders of an electronic temporary stay visa (eVisa) with a visa number ending in 'LN' are required to report
to the nearest immigration office within 30 (thirty) days from the date of entry to Indonesia to obtain a
Temporary Stay Permit (ITAS);
5. Holders of an electronic temporary stay visa (eVisa) with a visa number ending in 'DN' are required to
report to the nearest immigration office within 7 (seven) days from the date of visa issuance to obtain a
Temporary Stay Permit (ITAS);
6. For more information, please visit www.imigrasi.go.id.
H.R. Rasuna Said Blok X 6 Kav. 8, Kuningan, South Jakarta . Call Centre 021-1500116