Sanlitun, Embassy of the Republic of Indonesia
British Foreign Office
Building b
Beijing 100600
Same as telephone number 65325486-88
Fax numbers 65325368, 65326279
Application Form for One/Multiple Travel Visa
Short-term visa application form (one or more times)
1. Full name (in words) Applicant's name (please fill in capital pinyin letters) Chinese characters and code.
Last name, first name (Chinese) and password.
Place and time. Date and place of birth and date and sex of birth
Place and time. Country, country, day, month and year
Male male
Female female
Passport must be valid for at least 6 months after the visa is issued.
Passport must be valid for at least six months after entry visa.
2. Nationality passport/travel document Passport or travel document
Type TypeNo.No. Issue Date Valid to Expiration Date
3. Major/occupation, name and name. Company address or temporary address
Occupation/position, company name and address, domicile or temporary address
Telephone with telephone. telephone
4. Scheduled stay in Indonesia, port of entry, date of entry, itinerary
Where are the planned days of stay? The entry date is in Indonesia.
5. Family members included in the applicant's family passport.
A number completely related to the gender, location and name of the applicant. date of birth
Number, name, sex, place and date of birth
6. Indonesian guarantor, the purpose of the trip to Indonesia.
Name and name. The address in Indonesia refers to the specific name and address of the Indonesian guarantor or company and the purpose of going to Indonesia.
On the phone
I hereby declare:
I hereby declare: Beijing,
1. The above statement is true and correct.
All the above are true.
I realized that even with a valid visa.
To Indonesia, the entry permit is still there.
Discretion of Indonesian Immigration Bureau
Although I have obtained an entry visa for Indonesia, the permission to land or enter Indonesia is decided by the Indonesian Immigration Bureau.
Signature:
Signature:
I also realized that:
I also know:
1. During my visit to Indonesia, I had to avoid:
During my stay in Indonesia, I must prevent the following situations:
A. engage in any paid or unpaid occupation or institution
Don't work in any company or organization, whether paid or not.
B. overstaying is not allowed.
If I fail to comply with the above requirements, I may be prosecuted and deported.
If I violate the above guarantee, I will be prosecuted and deported from Indonesia. 38800.6886888666 1