Professional Documents
Culture Documents
Date:
I. GENERAL
Country of Destination :
Place of Departure :
Flight/Vessel Name :
Country of Destination :
Place of Departure :
Flight/Vessel Name :
Country of Destination :
Place of Departure :
Flight/Vessel Name :
II. PERSONAL DATE
First Name :
Middle Name :
Family/Surname :
Sex : Male Female
Marital Status : Single Married
Place of Birth :
Nationality :
Home Address in Pakistan :
City :
Province/State :
Phone Number :
Email: :
Occupation/Position : Professional Government Sales Student Housewife Other
Name of Company/Institution :
Type of Business :
Company Address :
Phone Number/ Email :
III. PASSPORT INFORMATION
Please mention if your husband/wife/children are accompanying you and have been entered in your travel document.
1.
2.
3.
Name of Person/Institution :
Address :
City :
Province/State :
Contact Person :
Phone Number :
V. MISCELLANEOUS
Have you ever been to Indonesia before? : Yes No
Are you in possession of any other countries travel documents? : Yes No
Do you have previous visa to enter Indonesia? : Yes No
Has your visa application been denied before? : Yes No
Have you ever been forced to leave Indonesia? : Yes No
Have you ever been committed a crime or any offence? : Yes No
I hereby declare that the statements given by me are true and correct and I realize that even though I possess a valid visa to Indonesia,
permission for entry remains at the discretion of the immigration authorities in Indonesia.
Applicant Signature:
……………………………/………/20…………..
To be completed in duplicated with two photographs attached (3x4 cm, white background)
Passport must be valid for at least 18 months
Check List:
(Before submitting application, please tick (√) in the list below to ensure the requirements are complete.
Incomplete application shall not be entertained).
Original national passport with validity not less than 18 months from the date of travel & previous passport must be
attached.
Two visa application forms must be filled and signed completely along with two latest color photographs.
Copy of page 1-3 national passport, along with the copy of previous Indonesia visa (if any).
Copy of valid/latest national identify card (NIC).
Copy of return ticket and hotel reservation.
Covering letter from the hotel/travel tour from Indonesia.
Bank statements for the last 6 months with the minimum balance equal to US $ 10, 000 for business and US $ 1.500 for
other purposes.
Copy of business registration certificate & recommendation letter from the Chamber of Commerce and industry or
business Association (for business visa only).
Invitation letter from Indonesian sponsor (business partner, individual, institution/department) mentioning the purpose
of visit clearly.
Authorization letter with NIC copy of the authorized person or agent (if visa will be collected by other).
Request letter from company, institution/department of the applicant, detail with the purpose of visit in Indonesia.
Police character certificate.
Note:
#. The Embassy of the Republic of Indonesia reserves the right to request additional documents if needed.
#. The Multiple, Limited stay & Social Visa Applicant are asked to submit the document in 2 (two) duly set.
ACKNOWLEDGE RECEIPT
Received from :
A passport No. :
Application for :
Application No. :
Date of Submission : / /20
Date of Delivery : / /20
Fee should be paid :
Islamabad,…………./……./20………….
Consular Section
………………………………………………………………
*. For checking your visa status please call: +92 (51) 2832017 at 9:30 am to 11:30 am *. Submission time: 09:30 am to 11:30 am, Mon-Fri (Office Hours)
Collecting time: 02:30 pm to 3:30 pm, Mon-Fri (Office Hours)
Application No. :
Passport No. :
Date of Submission : / /20
Date of Delivery :
Islamabad,…………./……./20………….
Consular Section
…………………………………………………….