Visa Application Form - Indonesia eVisa

Personal Details✔

Surname *Surname/Last Name/Family Name must be exactly the same as shown in your passport.

Given Name(s) *Given Name/First Name must be exactly the same as shown in your passport.

Gender *

Male Female

Date of Birth *

Place of Birth *Place of birth must be exactly the same as shown in your passport.

Country of Citizenship *If your country is not listed, you are not eligible to apply for an e-VOA.

ID Photo *

File format using *.JPEG/ .JPG/ .PNG
Type: Full color (black and white photos are not accepted).
Resolution: Minimum of 400x600 pixels.
Background: Plain white or off-white.
Expression: Neutral, with eyes open and mouth closed.
Head Coverings: Permitted only for documented religious reasons and must not obscure the face.

Passport Details✔

Please provide the details of the passport you intend to use for travel. Ensure that all entered information precisely matches the data displayed in your passport.

Country of Passport *

Passport Number *Be careful with letter "O" and number "0".

Issue Date *

Expiry Date * Passport must be valid for at least 6 months.

Contact Details✔

Kindly ensure that you remain contactable using the contact information you have provided.

Email Address *You will receive status updates and the final decision regarding your application via this email.

Confirm Email Address *

Contact Number *

Travel Details✔

Intended Date of Entry *

Intended Date of Exit *The duration of the stay must not exceed 60 days.

Declaration✔

I declare that the information I have given is truthful, complete and correct.

I have read and understood the Terms and Conditions.

Please Review Your Information

Please carefully check all the information below. If everything is correct, please proceed to the next step.

Application Summary

Below is a summary of all applicants you have added. You can add another applicant or proceed to payment for all.

SECURE CARD PAYMENT

Card Holder Name

Payment Details

Visa Application

Total Amount:

Indonesia & Bali e-Visa Online Application

Terms and Conditions