Indonesia on Arrival e-VOA

Welcome, you are entitled to an Indonesia eVOA visa

If you apply, make sure:

You’re visiting for a maximum of 30 days.
You’re traveling exclusively for business, transit or pleasure

eVOA visa Renewal Notice: Use the same form below if you already have a valid Indonesia eVOA visa and are looking to renew.

Groups / Family: Currently there is no grouping on our forms, please submit your applications individually for each family or group member.

1. Personal and Travel Information 1

2. Confirm your details 2

3. Payment method 3

1. Personal and Travel Information

Please provide all responses in English

Applicant Information

Please provide your Given Name(s) (also known as "First Name") exactly as shown on your passport or identity document. First Name* ?

Enter your First Name as shown on your passport This field is required.

In the Family Name field, enter your family name as the family name appears on your passport under the Family Name or Surname field. The family name is required to complete the application. Family Name* ?

Enter your Family Name as shown on your passport This field is required.

Gender*

Female Male Select one of the options

In the Birth Date field, chose the day on which you were born. The day of birth is required to complete the application Birth Date* ?

Please select a valid passport date.

Enter the city, town, village, or hamlet in which you were born. The city, town, village, or hamlet where you were born is required to complete the application. If you do not know the city in which you were born, enter UNKNOWN. Place of Birth* ?

This field is required.

In the Country field, choose the country. The country is required to complete the application. Country of Birth* ?

This field is required.

Contact Information

Enter the e-mail address at which you can be contacted. The e-mail address is required to complete the application. If you do not have an e-mail address, you may provide an alternative third-party e-mail address belonging to a point of contact (e.g. a family member, friend or business associate). E-mail Address* ?

Please enter a valid email address.

The email addresses do not match.

The telephone number is required to complete the application. If you do not have a telephone number, you may provide an alternative third-party telephone number where you can be contacted (e.g. a family member, friend, or business associate). Telephone Number* ?

This field is required.

In the Address Line field, enter the number and street of the location of your home address. Do not include the city and state in this field. Address line is required to complete the application. Address Line* ?

This field is required.

In the Apartment Number field, enter apartment, suite, unit, or other, as appropriate. Do not include the city and state in this field. Apartment number is optional to complete the application. Apartment Number ?

In the City field, enter the city, town, village, or hamlet. The city, town, village, or hamlet is required to complete the application. City* ?

This field is required.

In the State/Province/Region field, enter the state, province, or region. The State/Province/Region is required to complete the application. State/Province/Region* ?

This field is required.

In the Country field, choose the country. The country is required to complete the application. Country* ?

Select one option

Travel Information

Is your travel to Indonesia occurring as part of transit to another country?*

Yes No Select one of the options

Please specify if, during your stay in Indonesia, you will be accommodated in a Hotel, Residence, Home, Villa, Apartment or you may enter 'OTHER' Residence type in Indonesia ?

This field is required.

Please specify the address and street number in Indonesia. Please provide the address of the home, hotel, or residence where you will be staying (e.g., hotel name). You may also enter UNKNOWN Address in Indonesia ?

This field is required.

In the City field, enter the city, town, village, or hamlet. The city, town, village, or hamlet is required to complete the application. City* ?

This field is required.

Passport Information*

Choose the country of citizenship, as it appears on your passport. The country of citizenship is required to complete the application. Country Passport* ?

Select one option

Choose the country of citizenship, as it appears on your passport. The passport issuing country is required to complete the application. Issuing Country* ?

Select one option

National Identification Number* This field is required.

Enter your passport number as it appears on your passport. The passport number may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O. The passport number is required to complete the application or to check the status of your application. Passport number* ?

This field is required.

Your passport numbers do not match

In the Day field, choose the day on which your passport was issued, as it appears on your passport under the Date of Issue field. The day on which the passport was issued is required to complete the application. In the Month field, choose the month in which your passport was issued, as it appears on your passport under the Date of Issue field. The month in which the passport was issued is required to complete the application. In the Year field, choose the year in which your passport was issued, as it appears on your passport under the Date of Issue field. The year in which the passport was issued is required to complete the application. Passport Date of Issue* ?

Please select a valid passport date.

In the Day field, choose the day on which your passport expires, as it appears on your passport under the Expiration Date field. The day on which the passport expires is required to complete the application. In the Month field, choose the month in which your passport expires, as it appears on your passport under the Expiration Date field. The month in which the passport expires is required to complete the application. In the Year field, choose the year in which your passport expires, as it appears on your passport under the Expiration Date field. The year in which the passport expires is required to complete the application. Expiration date* ?

Please select a valid passport date.

UPLOAD YOUR PASSPORT

You must upload a picture of your passport to continue with your eVOA visa application. Please upload your passport to continue with your e-VOA Application. ?

(File types for uploading are limited to pdf, gif, png, jpg and jpeg.)

Drag your file here or click

No file selected

Do any of the following apply to you? (Change to Yes if applicable)

Do you have a physical or mental disorder; or are you a drug abuser or addict; or do you currently have any of the following diseases (communicable diseases are specified pursuant to section 361(b) of the Public Health Service Act):

Cholera
Difteria
Infectious tuberculosis
Plague
Smallpox2
Yellow fever
Viral Hemorrhagic Fevers, including Ebola, Lassa, Marburg virus disease, Crimean-Congo
Severe acute respiratory illnesses capable of transmission to other persons and likely to cause mortality

You may only continue if your answer is 'No.'