Services Application Priority

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

Single Entry Visit e-Visa B211A

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 is a minimum amount of $1500 USD equivalent. Needs to show Name and Balance. (This is required from immigration to see you can support yourself whilst staying in Indonesia)
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) **Children under the age of 18 are not required to have the vaccine but required to provide a Health Certificate from a doctor stating they are fit and healthy to travel
Passport Photo in colour 4x6 digital

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

Have a voucher? Click here and insert your voucher code.

SERVICE AND TOTAL PASSENGER

Total Passenger *

Select Your Service *

Personal Information

PERSONAL INFORMATION

Applicant #1

Travel Document Details *

Full Name *

Travel Document *

Document No.*

Place of Issued *

Date of Issued *

Date of Expired *

Nationality *

Personal Details *

Place of Birth *

Date of Birth *

Gender *

Marital Status *

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

City

State/Province/Region

ZIP/Postal Code

Support Document*

Note:

Document upload max 8MB each file. Accepted format: jpg, jpeg, pdf. Before you upload the document please have look of the example.

Example of The Passport Details

Scan of Your Passport Details *

Example of The Passport Cover

Scan of Your Passport Cover *

Example of Bank Statement

Your Bank Statement *

Example of Covid-19 Vaccine Certificate/Card

Your Covid-19 Vaccine Certificate/Card *

Example of Passport Photo in Colour 4 x 6 Digital

Your Passport Photo in Colour 4 x 6 Digital *

Other Information*

Visit Purpose *

Description of Your Activities: *

Have you ever been deported from Indonesia? *

Have you ever overstayed in Indonesia? *

Emergency Contact Details

EMERGENCY CONTACT (FAMILY MEMBER, etc)

Emergency Contact for Applicant #1

Contact Details *

Full Name *

Relationship *

Mobile Phone *

Email *

Street Address *

Address Line 2 *

City *

State/Province/Region *

ZIP/Postal Code *

Country *

Statement & Confirmation

STATEMENT AND CONFIRMATION

Payment Options:

We receive PAYPAL (5% Tax). This payment confirmation is instant transaction. Paypal is third party payment method.
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 SOMEONE 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:

Immigration regulation state that you must be outside of Indonesia when your B211A offshore visa is approved. If you are not outside of Indonesia when your e-visa is approved, you may incur costs and inconvenience.
Terms and conditions apply. We follow the Immigration of Indonesian policy and regulations. After we receive the application and payment, we are not able to hold or cancel your visa process. Cancellation during the process there will be no refund.
Due to the number of people applying and for the safety and security of your personal information, we ask that all communication is 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.