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Request for Exit-Re-entry Permit

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Application letter by your Sponsor:

Kepada Yth:

Dit. Jend. Imigrasi

di Jakarta (or other city where you work/reside)

Hal: Permohonan Izin Masuk Kembali Beberapa Kali

Dengan hormat,

Yang bertanda tangan di bawah ini : (this is the sponsor's info)

Name: Name
Tempat Lahir: Place of birth
Tanggal Lahir: Date of birth
Alamat: Address
Nomor KITAS/KITAP: KITAS/KITAP number

Kami mohon dapatlah kiranya diberikan Izin Masuk Kembali Beberapa Kali atas nama (pegawai/istri - put in the appropriate relationship) kami, yakni:

Nama : Name (of person you want to get the exit/re-entry permit for)

Kebangsaan : Nationality

No. Paspor : Passport Number

Untuk jangka waktu: period of time requested (can request 6, 12, 24 months)

Permohonan ini kami ajukan sehubungan dengan yang bersangkutan akan mengadakan perjalanan keluar negeri dalam rangka kunjungan keluarga.

Demikian permohonan kami, atas bantuan dan kesediaan Bapak, kami mengucapkan banyak terima kasih.

City, date

Hormat kami,

signature

Typed out name

(relationship)


for more information on the exit/ re-entry permit required by KITAS/KITAS holders, see Exit / Re-Entry Permits


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Practical Information for foreigners, expats and expatriates moving to Indonesia - find out about housing, schooling, transport, shopping and more to prepare you for your stay in Indonesia

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