Visa Application

Apply

Payment

Download Visa

Information!
Several form are auto fill from uploaded
passport, please check again with real data
on your passport

" Upload your passport and newest

formal photo

" Fill out the form complete, attach the

applicable documents

Review & Submit, tick in each

checkboxes for review

Visa Type Information

Activity *
Tourism, Family Visit, and Transit

Visa Type *
Type of Visa B1

Length of Stay *
30 DAY

Payment Types *
CREDIT CARD / DEBIT CARD

Personal Information

Full name *

ALJOHANI,TAGHREED SULAIMAN S

Sex *
MALE FEMALE

Place of Birth *

SAUDI ARABIA

Date of Birth *

08/10/1987

Phone Number *

966544883636

Document Information

Document Type *

Passport

Document No. *

T391565

Nationality *

 Choose ---

Date of Expiry *

01/05/2026

Issuing Country *

SAUDI ARABIA

Address in Indonesia

Residence Type *

HOTEL

Address *

THE GROVE SUITES BY GRAND ASTON

Postal Code *

12960

Province

City

District

Village

Imigration Office

Main Document

Passport Valid for at Least 6 Months *

For holders of travel documents other than
passports such as emergency passports,
documents of identity, etc. must be valid for
12 months.

Upload

* Allowed pdf files only

Return Ticket *
Return ticket or onward ticket to continue the
journey to another country except for the crew of
the Conveyance who will stop by to join the ship
and continue the journey to another country.

ALJOHANI_TAGHREED SULAIMAN MS_T391565_KVYDO

Upload

* Allowed pdf files only

Applicant Contact Confirmation

Email *

CUTY2215HOTMAIL.COM

Email Confirmation *

CUTY2215HOTMAIL.COM

Back Next !

© Indonesian Immigration
HR. Rasuna Said Blok X6, Kav 8, Kuningan, South Jakarta.

Contact Us