Single Entry Covid-19 Visa Application Priority

Business Phone
+62361-934-8198
Contact Time
Mon - Fri : 9.00-17.00
Mail Us
info@balivisas.com

Single Entry Business Visa B211A (OFFSHORE)

Submission

PLEASE READ ALL THE DETAILS INFORMATION BEFORE YOU FILLING UP THE APPLICATION FORM

Documents required:

Passports valid for at least 12 months at the date of entry
Scanning of the main page of the passport details
Scanning of the page of the passport cover
Bank statement
Address in original country
Address in Indonesia (hotel or villa)
Personal contact details (phone number, WhatsApp number, email)
Emergency contact details (family members)
Certificate/Card proof of have been received the full dose of covid-19 vaccine (in English)
Passport Photo in colour 4x6 digital
For tourist purpose, flights must be direct to Bali or Riau, have health insurance with the value of coverage minimum USD 100.000 and coverage for covid 19

Note:

We suggest you to book your flight after your visa is in hand
Please make sure the document are proper scan by computer not by phone camera
No Finger in the document scan
Flat, readable, not blur, no shadow, no flash
Full page scan/both page
SEE AND FOLLOW THE EXAMPLE

Select Your Service *

Payment Method *

Referrals *

Personal Information

PERSONAL INFORMATION

Full Name *

Gender *

Place of Birth *

Date *

Marital Status *

Nationality *

Personal Email *

Mobile Phone *

WhatsApp No. *

Address in Original Country/Present *

Street Address

Address Line 2

City

State/Province/Region

ZIP/Postal Code

Country

Address in Indonesia (Accommodation Address, Hotels, Villas etc.) *

Street Address

Address Line 2

City

State/Province/Region

ZIP/Postal Code

Emergency Contact Details

EMERGENCY CONTACT DETAILS (FAMILY MEMBER, etc)

Full Name *

Relationship *

Address *

Street Address

Address Line 2

City

State/Province/Region

ZIP/Postal Code

Country

Mobile Phone *

Email *

Travel Document Details

YOUR TRAVEL DOCUMENT DETAILS

Type of Travel Document *

Passport Other Travel Documents

Document No.*

Place of Issued *

Date of Issued *

Date of Expired *

Statement & Confirmation

STATEMENT AND CONFIRMATION

Payment Options:

We receive PAYPAL (5% Tax). This payment confirmation is instant transaction.
We receive Indonesian Bank Transfer (between Indonesian banks). This payment confirmation is instant transaction.
We receive direct payment at Bali Visas Office (IF YOU HAVE SOME ONE IN BALI OR INDONESIA TO ASSIST YOU FOR THIS PAYMENT). This payment confirmation is instant transaction.

We will process your application once the funds are cleared in our account.

Note:

Terms and conditions apply. We follow the Immigration of Indonesian policy and regulation. After we receive the application and payment we are not able to hold or cancel your visa proccess. Cancellation during the process there will be no refund Visa Refusal will be refund 100% (Due to the number of people applying and for the safety and security of your personal information, we ask that all communication be through emails unless urgent). Due to confidentiality and privacy, we cannot discuss any application process or progress with a third party, unless given written approval from the applicant themselves. Or if you are making an application on behalf of a minor under 18 years of age.

Statement Letter

To whom it may concern.

I hereby declare that all data and documents that I have provided are genuine and correct. I am following the law in Indonesia and will take full responsibility for any wrong information I provide.

I will not receive payment of any kind whilst visiting Indonesia.
I am visiting Indonesia for specific purposes only on the application.
I will take full responsibility for my personal financial needs and any criminal activities I perform within Indonesia.
I here by state that, I am willing to quarantine and/or get treatment by my own expense for the quarantine facility or health service facility designated by government, if the result of the PCR examination by Indonesian Healthy Center gives positive at the entrance of the country or there are clinical symptoms of COVID-19 based on the protocol and health statutory provisions.
I hereby state that I have a clear criminal record and will abide by the laws and regulations of the Indonesian Government whilst staying in Indonesia.

I believe that the facts stated in the witness statement are true.