‫‪Visa No.

‬‬ ‫‪6118538752‬‬ ‫ﺭﻗﻢ ﺍﻟﺘﺄﺷﻴﺮﺓ‬

‫‪Date of Issue‬‬ ‫‪23/04/2024‬‬ ‫ﺻﺎﻟﺤﺔ ﺍﻋﺘﺒﺎﺭﺍ ﻣﻦ‬

‫‪Valid until‬‬ ‫‪ 9 0‬ﻳ ﻮ ﻡ ‪ ،‬ﺑ ﺤ ﺪ ﺃ ﻗ ﺼ ﻰ ‪ 15/11/1445‬ﻫ ـ‬ ‫ﺻﺎﻟﺤﺔ ﻟﻐﺎﻳﺔ‬

‫‪90 Days , until 23/05/2024‬‬

‫‪Duration of Stay‬‬ ‫‪ 9 0‬ﻳ ﻮ ﻡ ‪ ،‬ﺑ ﺤ ﺪ ﺃ ﻗ ﺼ ﻰ ‪ 29/11/1445‬ﻫ ـ‬ ‫ﻣﺪﺓ ﺍﻹﻗﺎﻣﺔ‬

‫‪90 Days , until 06/06/2024‬‬

‫‪Passport No.‬‬ ‫‪C9891035‬‬ ‫ﺭﻗﻢ ﺟﻮﺍﺯ ﺍﻟﺴﻔﺮ‬

‫‪Place of issue‬‬ ‫ﺍ ﻟ ﺴ ﻔ ﺎ ﺭ ﺓ ﺍ ﻟ ﺴ ﻌ ﻮ ﺩ ﻳ ﺔ ﺍ ﻟ ﺮ ﻗ ﻤ ﻴ ﺔ ‐ ‪Saudi Digital Embassy‬‬ ‫ﻣﺼﺪﺭ ﺍﻟﺘﺄﺷﻴﺮﺓ‬

‫‪Name‬‬ ‫‪ANTON LAWARE TAIBE‬‬ ‫ﺍﻻﺳﻢ‬

‫‪Birth Date‬‬ ‫‪08/07/1977‬‬ ‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ‬

‫‪Nationality‬‬ ‫ﺇ ﻧ ﺪ ﻭ ﻧ ﺴ ﻴ ﺎ ‐ ‪Indonesia‬‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬

‫‪Type Of Visa‬‬ ‫ﻋ ﻤ ﺮ ﺓ ‐ ‪Umrah‬‬ ‫ﻧﻮﻉ ﺍﻟﺘﺄﺷﻴﺮﺓ‬

‫‪Mahram Name‬‬ ‫ﺍﺳﻢ ﺍﻟﻤﺤﺮﻡ‬

‫‪Umrah Operator‬‬ ‫ﻣﺆ ﺳ ﺴ ﺔ ﺣ ﺴﻴ ﻦ ﻣﺤ ﻤ ﺪ ﺣﺠ ﺎﺯ ﻱ ﻟﺨ ﺪ ﻣ ﺎ ﺕ ﺍﻟ ﻤ ﻌﺘ ﻤ ﺮ ﻳ ﻦ‬ ‫ﻣﻜﺘﺐ ﺍﻟﻌﻤﺮﺓ‬

‫‪External Agent‬‬ ‫ﺣ ﺴﻴ ﻦ ﻣﺤ ﻤ ﺪ ﺣﺠ ﺎﺯ ﻱ ﺇﻧ ﺪﻭﻧﻴ ﺴﻴ ﺎ‬ ‫ﺍﻟﻮﻛﻴﻞ ﺍﻟﺨﺎﺭﺟﻲ‬

‫‪Border No.‬‬ ‫ﺭﻗﻢ ﺍﻟﺤﺪﻭﺩ‬

‫‪Visa No.‬‬ ‫ﺭﻗﻢ ﺍﻟﺘﺄﺷﻴﺮﺓ‬

‫‪6118538752‬‬
‫‪Application No.‬‬ ‫ﺭﻗﻢ ﺍﻟﻄﻠﺐ‬
‫‪E767675368‬‬

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