• Visa Application

  • (Estimated) arrival in Indonesia*
     - -
    2 digit day, 2 digit month, 4 digit year
    • Personal Information 
    • Date of Birth*
       - -
      2 digit day, 2 digit month, 4 digit year
    • Gender
    • Do you have your flight tickets ?*
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    • Hotel / Accommodation address in Indonesia (must be filled) 
    • END 

    • Profile picture

      Please follow these specifications:
    • Image field 38
    • Profile Picture
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    • Make sure you have some plain (preferably white) background:
    • Address in Bali (optional) 
    • Passport Information 
    • Date of Issue
       - -
      2 digit day, 2 digit month, 4 digit year
    • Date of Expiry
       - -
      2 digit day, 2 digit month, 4 digit year

    • Biography Passport Page

      Please follow these specifications:
    • Image field 40
    • Biography Passport Page
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    • Take Photo
    • Flight Information 
    • Did you book your flight?
    • Submission date
       - -
      2 digit day, 2 digit month, 4 digit year
    • Arrival Card 
    • Need Arrival Card?*
    • Departure Date
       - -
      2 digit day, 2 digit month, 4 digit year
    • Mode of Transportation*
    • Did you book your flight?*
    • Do you have any of the following symptoms: fever, cough, runny nose, shortness of breath, sore throat, or skin lesions/rash?*
    • Select your symptoms (You can select more than one)*
    • Do you carry animals, fish, plants and/or their processed products?*
    • Are the commodities accompanied by a quarantine certificate (Phytosanitary Certificate/Animal Health Certificate)?
    • Do you bring Mobile Phones, Handheld Computers, and Tablet Computers purchased/obtained abroad and to be used in Indonesia using the Indonesian cellular network?*
      1. Narcotics, psychotropics, precursors, drugs, firearms, air guns, sharp weapons, ammunition, explosives, pornographic objects/publications.
      2. Cash and/or other payment instruments in rupiah or foreign currency worth IDR 100,000,000.00 (one hundred million rupiah) or more.
      3. Excisable goods, in the form of alcoholic beverages, cigarettes, sliced ​​tobacco, other processed tobacco, or electronic cigarettes, in quantities exceeding the exemption limit.
      4. Goods for personal use purchased/obtained abroad with a value/quantity exceeding the exemption limit.
      5. Goods not for personal use purchased/obtained abroad (including trade goods).
      6. Goods from within the country that are brought back to Indonesia (re-imported), which at the time of being brought/sent abroad have been reported to Customs and Excise officers.
      7. Goods from abroad that will be used temporarily in Indonesia and will be brought back abroad (temporary imports).
    • Select Yes when carrying one or more of the above items*
    • Declare your goods (Please enter the value of your goods based on the selected currency)*
      Rows
    • Electronic Customs Declaration (e-CD) 
    • Did you purchase e-CD?*
    • Arrival Date*
       - -
      2 digit day, 2 digit month, 4 digit year
    • Do you bring Mobile Phones, Handheld Computers, and Tablet Computers purchased/obtained abroad and to be used in Indonesia using the Indonesian cellular network?*
      1. Animals, fish, and plants, including products derived from animals, fish, and plants.
      2. Narcotics, psychotropics, precursors, drugs, firearms, airsoft guns/air guns, sharp weapons, ammunition, explosives, and/or pornographic items/publications.
      3. Cash and/or other payment instruments, in Rupiah or foreign currency, valued at IDR 100,000,000.00 (one hundred million Rupiah) or more.
      4. Exciseable goods, such as alcoholic beverages, cigarettes, cut tobacco, other tobacco products, or e-cigarettes, in quantities exceeding the exemption limits.
      5. Goods for personal use purchased/obtained abroad, with a value/quantity exceeding the exemption limits.
      6. Goods not for personal use purchased/obtained abroad (including commercial goods).
      7. Goods from within the country brought back into Indonesia (re-imported), which were reported to Customs Officers upon their initial export.
      8. Goods from abroad intended for temporary use in Indonesia and to be subsequently taken back out of the country (temporary import).
    • Select Yes when carrying one or more of the above items*
    • Declare your goods (Please enter the value of your goods based on the selected currency)*
      Rows
    • End Of Additional Information 
    • Should be Empty: