KEMENTERIAN HUKUM DAN HAM RI
DIREKTORAT JENDERAL IMIGRASI
                                                                        B213
 Dear Mr.
 MATTHIEU JACQUES ALBERT
 BRIAND
                                                            EVOA
 Name                           : MATTHIEU
 Nama                             JACQUES ALBERT                Reference No.                        : 3171023A204868
                                  BRIAND                        Nomor Referensi
 Sex                            : MALE                          Visa No.                             : Z1A1197441
 Jenis Kelamin                                                  Nomor Visa
 Place of Birth                 : Nantes                        Payment Receipt No.                  : XA4146622
 Tempat Lahir                                                   Nomor Resi Pembayaran
 Date of Birth                  : 17/05/1988                    Visa Type                            : SINGLE
 Tanggal Lahir
 Nationality                    : PRANCIS                       Date of issue                        : 17/10/2023
 Kebangsaan                                                     Tanggal Penerbitan
 Passport No.                   : 17DH64542                     Must be use by                       : 14/01/2024
 No. Paspor                                                     Harus digunakan paling lambat pada
 Passport Issue Date            : 31/07/2017                    Duration of Stay                     : 30 DAY
 Tgl. Penerbitan Paspor                                         Lama Tinggal
 Passport Expiry Date           : 30/07/2027
 Tgl. Habis Berlaku Paspor
 Address in Indonesia           :
 Alamat di Indonesia
 KOTA MAKASSAR - SULAWESI SELATAN
 DISCLAIMER:
 1. Please note that, information on any processed e-voa cannot be changed and the fee paid for an e-VOA is not refundable.
 2. The information on your e-VOA must match the information on your valid passport completely, otherwise, your e-VOA 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-VOA.
 3. Issuance of e-VOA 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-VOA 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-VOA 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.
  EVOA                                                                                                                RECEIPT
                                                                                                                17/10/2023 18:59:01
If you want to extend this visa, please come to Indonesia and scan the QR code above.