SINGLE ENTRY VISA B211A OFFSHORE FORM TO APPLY Name Your Name * Mobile Number * Email Address * Your Subject * Please Select VISA C1 STANDARD SERVICE VISA C1 EXPRESS SERVICE Upload Passport * Passport valid for at least 12 months Upload your bank statment * Personal bank statement with minimum amount USD $2000 or equivalent the last 3 months period (including name, date of period, and balance account). Upload your picture * A recent color photograph (Formal Stlye) Address in Bali * Address in Bali where will be staying (Villa/Hotel) Message