Please submit
ONE
form per each individual traveler.
If changes are required, please submit a NEW
form and
check the Revision
or Cancellation
block below
Trip:
Form Status:
Original Revision
Cancel My Reservation
Traveler Information
Name:
As Shown On Passport
Travel Identification:
Passport is
required.
Please
enter your passport information below:
Number:
Expiration Date:
You are responsible for providing the proper travel identification
documents to board the airline and/or to enter the country and reenter
the US.
Information from US Department of
State Website as of 11/25/2007
ENTRY/EXIT REQUIREMENTS:
A passport valid for at least six months from the
date of arrival in Indonesia and an onward/return ticket are required to
enter Indonesia. Indonesian authorities regularly deny entry to
Americans who arrive with less than six months validity on their
passports. The U.S. Embassy cannot obtain entry permission for
Americans in this situation. Travelers will be required to depart
for Singapore or a nearby country to obtain a new U.S. passport.
American
citizens are required to have a visa to enter Indonesia. U.S.
citizens may apply for a visa on arrival at the airports in Jakarta,
Bali, Surabaya, Medan, and a few other major cities. Visas on
arrival are available at a limited number of seaports but are not
available at any land border crossing. Travelers should check
carefully when planning travel between Indonesia and other countries in
the region to be sure their return to Indonesia is through a designated
visa on arrival port or airport. Travelers will not be allowed to
enter or return to Indonesia at an entry that does not have visa on
arrival facilities. Indonesian visas require an entire passport
page. Travelers without a blank visa page may be denied entry.
Additional visa pages may be added at most U.S. Embassies and
Consulates, or domestically through a Passport Agency. .All airline
passengers, including children, are subject to a Rupiah-denominated
departure tax, which must be paid in cash. The international
departure tax as of August 2007 is 100,000 Rupiah; domestic departure
taxes are lower and vary by airport. Visitors may be granted a
3-day visa on arrival for a fee of $10 or a 30-day visa on arrival for a
fee of $25. Recent experience has shown that some visitors are
granted a 7-day visa on arrival for $10. All visas on arrival are
non-extendable. Travelers must exit the country to be able to purchase
another visa on arrival. Travelers are strongly advised to purchase the
30-day visa on arrival to avoid problems if travel plans change
unexpectedly. Travelers who overstay visas on arrival are subject to a
fine of US $20 per day, as of early 2007. Indonesia strictly enforces
its immigration/visa requirements. Several Westerners, including
Americans, have been jailed for visa violations and overstays. Violators
may also be subject to substantial fines and deportation from Indonesia
for immigration and visa violations. Immigration officials have
also detained people for conducting business, academic, or other
non-tourist activities while in tourist visa status. Volunteer work with
local or international NGOs is not permitted on tourist visa status. Penalties
for such immigration/visa violations incur a prison sentence of up to 5
years and a fine of Rupiah 25 million. Travelers are encouraged to
contact an Indonesian consular office to determine the appropriate visa
category before traveling to Indonesia. Please consult the Criminal
Penalties section below for further information.
U.S. citizens may also apply for a visa
at the Indonesian Embassy in Washington, DC or at an Indonesian
Consulate in the U.S. A visitor's visa for business purposes and
social/cultural stays of longer duration require a letter of
intent/sponsorship from the Indonesian employer and/or sponsor. For
up-to-date information, travelers may contact the Embassy of the
Republic of Indonesia: 2020 Massachusetts Ave. NW, Washington, DC 20036,
phone: (202) 775-5200 or via Internet: http://www.embassyofindonesia.org.
Indonesian Consulates are located in Los Angeles (213) 383-5126, San
Francisco (415) 474-9571, Chicago (312) 920-1880, New York (212)
879-0600, and Houston (713) 785-1691. Visit the Embassy of
Indonesia web site at http://www.embassyofindonesia.org
for the most current visa information.
Home Phone:
Include Area Code
Home Address:
City:
State: Zip:
E-Mail Address:
Room Information
For any
"Side Trip" and/or "Rest-Day" locations please select "Room Type" for first
person in each room. If you are the second or subsequent person in
the room, indicate that in the "Room Type" blocks and fill in "Rooming
With" block. If
you are a single, the club will try to match you with a roommate unless you
indicate you will pay the "single rate".
Room Type:
Smoking
NOYES
Rooming With:
Travel Information
Please select whether you want the club to include you
on our group fare or if you are going to make your own travel
arrangements.
Transportation:
FF Number:
Airline:
Optional Side Trip:
A side trip to be
determined later. Please check one
block below. No Side Trip
Side Trip
Dive Information
Are You a Diver:
YES NO
Do You Want Nitrox:
YES
NO
Do You Need Rental Gear
YES
NO
Additional Information
Optional
Shirts Available:
Please pick Style and Size below. You are welcome
to order as many shirts as you want which will be added to your trip fees.
$10.00 for a T-Shirt, $28.00 for a Polo
Shirt.
Polo Shirts
"T" Shirt
Comments:
or Additional Information:
Submit Form:
Please be patient - Form may take a short time to process - You will
see a confirmation page when complete. You may want to print this
page for your records.
Important: After submitting your
reservation, please return to the Indonesia-2009 trip information page to select the
"Dive Trip Waiver" form button. Please print out or copy one
form per person, fill out and return to the club.
