Welcome to Bali Visas a immigration company

Business Phone
Contact time

Mon - Fri : 9.00-18.00

Mail Us

balivisas@gmail.com

RETIREMENT KITAS FORM

Fill in the form below to apply TELEX (visa approval) for your RETIMENT KITAS.
Also, we will be happy to meet you in our offices located in Bali.

Page 1 of 3

Year

Emergency Contact (family member, etc)

Statement Latter 

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 take full responsibility for my personal Financial needs and any criminal
activities I perform within Indonesia.
Where Do you wish to apply and collect the visa
When do you wish to travel to Bali / Indonesia
Applicants Document Required

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PT. Putra Nadi Wibawa
Service : Bali Visas

Head Office (Bali)
Jln. Raya Kerobokan, No.70
Kuta Utara, Badung, Bali.
Badung, Bali, Indonesia 80361

Phone : +62-361-934-8198
Mobile : +62-81-999-081-069