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M A R S H E L A . A D R I A A N @ G M A I L . C O M
A U W J O N G M I N G L A N
I N D O N E S I A N
K O T A M O B A G U
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M A R S H E L A A D R I A A N
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FORM 7 Regulation 6(5) and (5A) Description of holder
UIN/NRIC No.: S9182318G Sex: FEMALE
Name: MARSHELA ADRIAAN
Immigration Act 1959
Immigration Regulations
RE-ENTRY PERMIT
Alias:
1.This permit Date of Birth: 18/03/1991
Country/Place of Birth: INDONESIA
(a) is not a travel document and will not be accepted
as such; Passport/Travel Document
(b) is valid for MULTIPLE re-entry / re-entries until
09/11/2028 , provided that the travel document is Type: INTERNATIONAL PASSPORT
valid; Country/Place of Issue: SINGAPORE
(c) shall, upon request, be produced to the Immigration Number: C5038839
Officer on arrival and departure; and Issue Date: 17/03/2020
Expiry Date: 17/03/2025
(d) may be cancelled if the holder
(i) is held by a court or other competent authority
Re-Entry Permit
to have contravened any law; or
(ii) in the opinion of the Controller of Immigration,
Number: REP/EN/152185/23
has behaved or is behaving in an undesirable
Issue Date: 09/11/2023
manner (including but not limited to behaviour
Valid Till: 09/11/2028
that is contrary to national or public interests,
Country/Place of Issue: SINGAPORE
threatens a breach of peace, or is prejudicial
to public order or public welfare).
2.The holder of this permit is authorised to re-enter
Singapore for permanent residence so long as this
permit is valid.
for Controller of Immigration,
Singapore.
This is a system-generated document. No signature
is required. (This document does not establish the
nationality or citizenship of the holder.)
Important Notes :
1. This Re-entry Permit (REP) is issued to you based on the information provided vide application
PRS-2023-REW-000123426 for which you have truthfully declared to be so or for which you had consented for a proxy to
submit on your behalf and are fully aware of the information so provided by your authorised proxy.
2. Please check it carefully and ensure that your name, UIN/NRIC number, Travel Document number and other
details printed on the REP are correct. Please keep this REP carefully. You are advised to carry a copy of your REP
with you when you travel overseas as some foreign authorities and agencies may need to sight your REP when you
travel. Do not glue or staple it to the Travel Document.
3. You are strongly advised to use the automated clearance lanes for fast and efficient immigration clearance at
the Checkpoints if you have a machine-readable travel document. In the event that you are unable to use the
automated clearance lanes, simply present your travel document to the Immigration Officer for immigration
clearance. No physical endorsement of the REP is required on your travel document.
4. Please note that a Singapore PR must have a valid REP if he wishes to travel out of Singapore. A PR who
leaves Singapore or remains abroad without a valid REP will lose his PR status. You may enquire the validity of your
REP anytime online by logging into ICA's website at http://www.ica.gov.sg using your SingPass. You may apply to
renew your REP online three months before the expiry of your current REP.
5. When you obtain a new travel document, you are required to login at the same website to do an electronic
transfer of the remaining validity of your REP from your old travel document to your new travel document.
SURAT PERNYATAAN menggunakan SmartPac
(DISCLAIMER using SmartPac )
Yang bertanda tangan dibawah ini:
(The undersigned declares):
Nama : Marshela Adriaan
(Name)
NRIC/ FIN No. S9182318G
SmartPac Tracking No. : …………………………………………….
(Please keep this no. for tracking purposes)
Alamat & No. Telp 96367650
(Address & Contact No) 331 Yishun Ring Road, #08-1390, Singapore 760331
Dengan ini menyatakan bahwa:
(Hereby declare that):
1. Data dan alamat yang tertera diatas adalah benar.
(The above-mentioned data and address are correct).
2. Kantor Atase Imigrasi KBRI Singapura tidak bertanggung jawab terhadap
kehilangan/kerusakan Paspor selama proses pengiriman oleh SingPost.
(The Immigration Attache's Office of the Indonesian Embassy of Singapore shall not be liable for any loss
or damage of the Passport during the delivery process by SingPost).
Demikian surat pernyataan ini saya buat dengan sebenarnya.
(Hence, I made this statement accordingly).
Singapore, ….../.…../2024
Yang Menyatakan,
(Declared by),
(………………………………………….)
Name & Signature
SURAT PERNYATAAN menggunakan SmartPac
(DISCLAIMER using SmartPac )
Yang bertanda tangan dibawah ini:
(The undersigned declares):
Nama : Santa Maria Hutabarat
(Name)
NRIC/ FIN No. M3421701N
SmartPac Tracking No. : …………………………………………….
(Please keep this no. for tracking purposes)
Alamat & No. Telp 96367650
(Address & Contact No) 331 Yishun Ring Road, #08-1390, Singapore 760331
Dengan ini menyatakan bahwa:
(Hereby declare that):
1. Data dan alamat yang tertera diatas adalah benar.
(The above-mentioned data and address are correct).
2. Kantor Atase Imigrasi KBRI Singapura tidak bertanggung jawab terhadap
kehilangan/kerusakan Paspor selama proses pengiriman oleh SingPost.
(The Immigration Attache's Office of the Indonesian Embassy of Singapore shall not be liable for any loss
or damage of the Passport during the delivery process by SingPost).
Demikian surat pernyataan ini saya buat dengan sebenarnya.
(Hence, I made this statement accordingly).
Singapore, ….../.…../2025
Yang Menyatakan,
(Declared by),
(………………………………………….)
Name & Signature
