ABN: 33380054835

Tax Invoice/Receipt

Receipt number 200020869553 Date 09.05.2019

SIALANA,Jan Reoven
ImmiAccount Name BP no: 1017659080 Email: jan.sialana@gmail.com

Total Due 572.46 AUD

Payment Received 572.46 AUD

Balance Due 0.00 AUD

Product and Description Qty Amount (AUD)

Details
Reference No: EGOM4UZX5L
Main Applicant: Jan Reoven Sialana ( 20.01.1992 )
4224 VF476 Skilled - Recognised Graduate VAC1 1 375.00
Secondary Applicant: Joellaine San Juan ( 10.11.1994 )
422410 Additional Applicant Charge 18+ 1 190.00
Sub total for FTRN 9013282396 565.00
Credit Card/PayPal Surcharge 7.46

Total Due (AUD) 572.46

Payment Details
Card Holder Name:Jan Reoven S Sialana
Card Payment MC - 536789*******007 ( 200020869553 ) 572.46
Response : 0 - Approved AuthCode : 912916387985
Order ID : 2091883720 Merch ID : DICCOM03

Payment total (AUD) 572.46

ORIGINAL RECEIPT
Comments

* GST applies to this item and is equal to 1/11th of the total charged for this item. If a credit card surcharge applies then the GST component of the
surcharge is also 1/11th.