{"id":457,"date":"2024-05-10T14:11:06","date_gmt":"2024-05-10T14:11:06","guid":{"rendered":"https:\/\/indonesia-visa.kondoria.com\/?page_id=457"},"modified":"2024-10-10T10:05:24","modified_gmt":"2024-10-10T10:05:24","slug":"form","status":"publish","type":"page","link":"https:\/\/indonesia-visa.kondoria.com\/en\/form\/","title":{"rendered":"Application form - Indonesia visa"},"content":{"rendered":"<style>.elementor-457 .elementor-element.elementor-element-3558d6f{--display:flex;--flex-direction:row;--container-widget-width:initial;--container-widget-height:100%;--container-widget-flex-grow:1;--container-widget-align-self:stretch;--flex-wrap-mobile:wrap;--gap:0px 0px;--row-gap:0px;--column-gap:0px;--overlay-opacity:0.5;--margin-top:0px;--margin-bottom:0px;--margin-left:0px;--margin-right:0px;--padding-top:0px;--padding-bottom:0px;--padding-left:0px;--padding-right:0px;}.elementor-457 .elementor-element.elementor-element-3558d6f:not(.elementor-motion-effects-element-type-background), 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data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;profecient_background_motion_effects_toggle&quot;:0,&quot;profecient_custom_cursor_toggle&quot;:false,&quot;profecient_parallax_effects_toggle&quot;:0,&quot;profecient_mouse_effects_toggle&quot;:0}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-bad4eef e-con-full e-flex e-con e-child\" data-id=\"bad4eef\" data-element_type=\"container\" data-settings=\"{&quot;profecient_background_motion_effects_toggle&quot;:0,&quot;profecient_custom_cursor_toggle&quot;:false,&quot;profecient_parallax_effects_toggle&quot;:0,&quot;profecient_mouse_effects_toggle&quot;:0}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-daefba9 elementor-widget elementor-widget-heading\" data-id=\"daefba9\" data-element_type=\"widget\" data-settings=\"{&quot;profecient_custom_cursor_toggle&quot;:false,&quot;profecient_parallax_effects_toggle&quot;:0,&quot;profecient_mouse_effects_toggle&quot;:0}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">E-visa application form for Indonesia<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3a0cceb e-con-full elementor-hidden-mobile e-flex e-con e-child\" data-id=\"3a0cceb\" data-element_type=\"container\" data-settings=\"{&quot;profecient_background_motion_effects_toggle&quot;:0,&quot;profecient_custom_cursor_toggle&quot;:false,&quot;profecient_parallax_effects_toggle&quot;:0,&quot;profecient_mouse_effects_toggle&quot;:0}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-098e6ff elementor-widget elementor-widget-html\" data-id=\"098e6ff\" data-element_type=\"widget\" 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id=\"tz24-1728554528-c1108-eyJob3VydHlwZSI6MTIsInNob3dkYXRlIjoiMSIsInNob3dzZWNvbmRzIjoiMCIsImNvbnRhaW5lcl9pZCI6ImNsb2NrX2Jsb2NrX2NiNjcwN2E2MjBkMzBhZiIsInR5cGUiOiJkYiIsImxhbmciOiJlbiJ9\" title=\"what time Jakarta\" target=\"_blank\" rel=\"nofollow\">Jakarta<\/a><\/p><div id=\"clock_block_cb6707a620d30af\" style=\"text-align: center; color: #020101 !important; font-size: 12px !important;\"><\/div><\/div>\r\n<script type=\"text\/javascript\" src=\"\/\/w.24timezones.com\/l.js\" async><\/script>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5f6daf6 e-flex e-con-boxed e-con e-parent\" data-id=\"5f6daf6\" data-element_type=\"container\" data-settings=\"{&quot;profecient_background_motion_effects_toggle&quot;:0,&quot;profecient_custom_cursor_toggle&quot;:false,&quot;profecient_parallax_effects_toggle&quot;:0,&quot;profecient_mouse_effects_toggle&quot;:0}\">\n\t\t\t\t\t<div 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{};\r\n\t\t\t\tgform.extensions.styles = gform.extensions.styles || {};\r\n\t\t\t\tgform.extensions.styles.gravityformsstripe = gform.extensions.styles.gravityformsstripe || {};\r\n\t\t\t\tgform.extensions.styles.gravityformsstripe[2] = gform.extensions.styles.gravityformsstripe[2] || {};\r\n\t\t\t\tgform.extensions.styles.gravityformsstripe[2][0] = {\"labels\":\"floating\",\"theme\":\"stripe\",\"variables\":{\"borderRadius\":\"--gf-ctrl-radius\",\"colorBackground\":\"--gf-ctrl-bg-color\",\"colorBackgroundText\":\"--gf-ctrl-color\",\"colorIcon\":\"--gf-ctrl-color\",\"colorIconCardCvc\":\"--gf-ctrl-color\",\"colorIconCardCvcError\":\"--gf-color-danger\",\"colorIconCardError\":\"--gf-color-danger\",\"colorIconTab\":\"--gf-ctrl-btn-icon-color-secondary\",\"colorIconTabHover\":\"--gf-ctrl-btn-icon-color-hover-secondary\",\"colorIconTabSelected\":\"--gf-ctrl-btn-color-secondary\",\"colorIconTabMore\":\"--gf-ctrl-btn-icon-color-secondary\",\"colorIconTabMoreHover\":\"--gf-ctrl-btn-icon-color-hover-secondary\",\"colorIconMenu\":\"--gf-ctrl-color\",\"colorPrimary\":\"--gf-color-primary\",\"colorPrimaryText\":\"--gf-color-primary-contrast\",\"colorDanger\":\"--gf-color-danger\",\"colorDangerText\":\"--gf-color-danger-contrast\",\"colorSuccess\":\"--gf-color-success\",\"colorSuccessText\":\"--gf-color-success-contrast\",\"colorText\":\"--gf-ctrl-color\",\"colorTextPlaceholder\":\"--gf-ctrl-placeholder-color\",\"colorTextSecondary\":\"--gf-ctrl-color\",\"fontFamily\":\"--gf-font-family-base\",\"fontSizeBase\":\"16px\",\"fontSmooth\":\"--gf-ctrl-font-smoothing\",\"spacingGridRow\":\"--gf-field-gap-y\",\"spacingGridColumn\":\"--gf-field-gap-x\"},\"rules\":{\".Input\":{\"borderColor\":\"--gf-ctrl-border-color\",\"borderWidth\":\"--gf-ctrl-border-width\",\"borderStyle\":\"--gf-ctrl-border-style\",\"color\":\"--gf-ctrl-color\",\"fontWeight\":\"--gf-ctrl-font-weight\",\"fontSize\":\"--gf-ctrl-font-size\",\"letterSpacing\":\"--gf-ctrl-letter-spacing\",\"outlineWidth\":\"--gf-ctrl-outline-width\",\"outlineStyle\":\"--gf-ctrl-outline-style\",\"outlineColor\":\"--gf-ctrl-outline-color\",\"outlineOffset\":\"--gf-ctrl-outline-offset\",\"transition\":\"--gf-ctrl-transition\"},\".Input:hover\":{\"backgroundColor\":\"--gf-ctrl-bg-color-hover\",\"borderColor\":\"--gf-ctrl-border-color-hover\",\"color\":\"--gf-ctrl-color-hover\"},\".Input:hover:focus\":{\"backgroundColor\":\"--gf-ctrl-bg-color-focus\",\"borderColor\":\"--gf-ctrl-border-color-focus\",\"color\":\"--gf-ctrl-color-focus\",\"outlineWidth\":\"--gf-ctrl-outline-width-focus\",\"outlineStyle\":\"--gf-ctrl-outline-style\",\"outlineColor\":\"--gf-ctrl-outline-color-focus\"},\".Input:focus\":{\"backgroundColor\":\"--gf-ctrl-bg-color-focus\",\"borderColor\":\"--gf-ctrl-border-color-focus\",\"color\":\"--gf-ctrl-color-focus\",\"boxShadow\":\"none\",\"outlineWidth\":\"--gf-ctrl-outline-width-focus\",\"outlineStyle\":\"--gf-ctrl-outline-style\",\"outlineColor\":\"--gf-ctrl-outline-color-focus\"},\".Input:disabled\":{\"backgroundColor\":\"--gf-ctrl-bg-color-disabled\",\"borderColor\":\"--gf-ctrl-border-color-disabled\",\"color\":\"--gf-ctrl-color-disabled\"},\".Input:disabled:hover\":{\"backgroundColor\":\"--gf-ctrl-bg-color-disabled\",\"borderColor\":\"--gf-ctrl-border-color-disabled\",\"color\":\"--gf-ctrl-color-disabled\"},\".Input--invalid\":{\"backgroundColor\":\"--gf-ctrl-bg-color-error\",\"borderColor\":\"--gf-ctrl-border-color-error\",\"boxShadow\":\"none\",\"color\":\"--gf-ctrl-color-error\"},\".Input--invalid:hover\":{\"borderColor\":\"--gf-ctrl-border-color-error\"},\".Input::placeholder\":{\"fontFamily\":\"--gf-ctrl-placeholder-font-family\",\"fontSize\":\"--gf-ctrl-placeholder-font-size\",\"fontWeight\":\"--gf-ctrl-placeholder-font-weight\",\"letterSpacing\":\"--gf-ctrl-placeholder-letter-spacing\"},\".CodeInput\":{\"borderColor\":\"--gf-ctrl-border-color\",\"borderWidth\":\"--gf-ctrl-border-width\",\"borderStyle\":\"--gf-ctrl-border-style\",\"color\":\"--gf-ctrl-color\",\"fontWeight\":\"--gf-ctrl-font-weight\",\"fontSize\":\"--gf-ctrl-font-size\",\"letterSpacing\":\"--gf-ctrl-letter-spacing\",\"outlineWidth\":\"--gf-ctrl-outline-width\",\"outlineStyle\":\"--gf-ctrl-outline-style\",\"outlineColor\":\"--gf-ctrl-outline-color\",\"outlineOffset\":\"--gf-ctrl-outline-offset\",\"transition\":\"--gf-ctrl-transition\"},\".CodeInput:focus\":{\"backgroundColor\":\"--gf-ctrl-bg-color-focus\",\"borderColor\":\"--gf-ctrl-border-color-focus\",\"color\":\"--gf-ctrl-color-focus\",\"boxShadow\":\"none\",\"outlineWidth\":\"--gf-ctrl-outline-width-focus\",\"outlineStyle\":\"--gf-ctrl-outline-style\",\"outlineColor\":\"--gf-ctrl-outline-color-focus\"},\".CheckboxInput\":{\"backgroundColor\":\"--gf-ctrl-bg-color\",\"borderColor\":\"--gf-ctrl-border-color\",\"borderWidth\":\"--gf-ctrl-border-width\",\"borderStyle\":\"--gf-ctrl-border-style\",\"borderRadius\":\"--gf-ctrl-checkbox-check-radius\",\"outlineWidth\":\"--gf-ctrl-outline-width\",\"outlineStyle\":\"--gf-ctrl-outline-style\",\"outlineColor\":\"--gf-ctrl-outline-color\",\"outlineOffset\":\"--gf-ctrl-outline-offset\",\"transition\":\"--gf-ctrl-transition\"},\".CheckboxInput:hover\":{\"backgroundColor\":\"--gf-ctrl-bg-color-hover\",\"borderColor\":\"--gf-ctrl-border-color-hover\"},\".CheckboxInput:focus\":{\"backgroundColor\":\"--gf-ctrl-bg-color-focus\",\"borderColor\":\"--gf-ctrl-b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#204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 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0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/en\/wp-json\/wp\/v2\/pages\/457#gf_2' data-formid='2' novalidate data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/457#gf_2\">\n                        <div class='gform-body gform_body'><div id='gform_page_2_1' class='gform_page' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_above description_below validation_below'><fieldset id=\"field_2_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Reason for trip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_20'>\n\t\t\t<div class='gchoice gchoice_2_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Tourisme'  id='choice_2_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_20_0' id='label_2_20_0' class='gform-field-label gform-field-label--type-inline'>Tourism<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Ev\u00e9nement'  id='choice_2_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_20_1' id='label_2_20_1' class='gform-field-label gform-field-label--type-inline'>Event<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_20_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Conf\u00e9rence'  id='choice_2_20_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_20_2' id='label_2_20_2' class='gform-field-label gform-field-label--type-inline'>Conference<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_20_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Rendre visite \u00e0 une ou des connaissances'  id='choice_2_20_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_20_3' id='label_2_20_3' class='gform-field-label gform-field-label--type-inline'>Visiting an acquaintance<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_152\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_152'>Country of departure<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_152' id='input_2_152' class='large gfield_select'  aria-describedby=\"gfield_description_2_152\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Choisir un pays' >Select a country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >South Africa<\/option><option value='Albanie' >Albania<\/option><option value='Alg\u00e9rie' >Algeria<\/option><option value='Allemagne' >Germany<\/option><option value='Andorre' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctica<\/option><option value='Antigua-et-Barbuda' >Antigua and Barbuda<\/option><option value='Arabie Saoudite' >Saudi Arabia<\/option><option value='Argentine' >Argentina<\/option><option value='Arm\u00e9nie' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australia<\/option><option value='Autriche' >Austria<\/option><option value='Azerba\u00efdjan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermuda<\/option><option value='Bhoutan' >Bhutan<\/option><option value='Bolivie' >Bolivia<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, St Eustatius and Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnia-Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Brazil<\/option><option value='Bulgarie' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >Benin<\/option><option value='Cambodge' >Cambodia<\/option><option value='Cameroun' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cape Verde<\/option><option value='Chili' >Chile<\/option><option value='Chine' >China<\/option><option value='Chypre' >Cyprus<\/option><option value='Colombie' >Colombia<\/option><option value='Comores' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Korea (Republic of)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Korea (Democratic People's Republic of)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >Ivory Coast<\/option><option value='Danemark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Spain<\/option><option value='Estonie' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fiji<\/option><option value='Finlande' >Finland<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >Russian Federation<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambia<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenada<\/option><option value='Groenland' >Greenland<\/option><option value='Gr\u00e8ce' >Greece<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guinea<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Equatorial Guinea<\/option><option value='Guin\u00e9e-Bissau' >Guinea-Bissau<\/option><option value='Guyane' >French Guiana<\/option><option value='Guyane' >French Guiana<\/option><option value='G\u00e9orgie' >Georgia<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >South Georgia and the South Sandwich Islands<\/option><option value='Ha\u00efti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hungary<\/option><option value='Inde' >India<\/option><option value='Indon\u00e9sie' >Indonesia<\/option><option value='Irak' >Iraq<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Ireland<\/option><option value='Islande' >Iceland<\/option><option value='Isra\u00ebl' >Israel<\/option><option value='Italie' >Italy<\/option><option value='Jama\u00efque' >Jamaica<\/option><option value='Japon' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kyrgyzstan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kuwait<\/option><option value='La Barbade' >Barbados<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Latvia<\/option><option value='Liban' >Lebanon<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macau<\/option><option value='Mac\u00e9doine du Nord' >Northern Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaysia<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malta<\/option><option value='Maroc' >Morocco<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritania<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexico<\/option><option value='Micron\u00e9sie' >Micronesia<\/option><option value='Moldavie' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolia<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Montenegro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nigeria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norway<\/option><option value='Nouvelle-Cal\u00e9donie' >New Caledonia<\/option><option value='Nouvelle-Z\u00e9lande' >New Zealand<\/option><option value='N\u00e9pal' >Nepal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Uganda<\/option><option value='Ouzb\u00e9kistan' >Uzbekistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Netherlands<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Poland<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >French Polynesia<\/option><option value='Porto Rico' >Puerto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >Peru<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Romania<\/option><option value='Royaume-Uni' >United Kingdom<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >Dominican Republic<\/option><option value='R\u00e9publique Tch\u00e8que' >Czech Republic<\/option><option value='R\u00e9publique arabe syrienne' >Syrian Arab Republic<\/option><option value='R\u00e9publique centrafricaine' >Central African Republic<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >Democratic Republic of Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >Lao People's Democratic Republic<\/option><option value='Sahara occidental' >Western Sahara<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint Kitts and Nevis<\/option><option value='Saint-Marin' >San Marino<\/option><option value='Saint-Si\u00e8ge' >Holy See<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Sainte-Lucie' >Saint Lucia<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >American Samoa<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 and Principe<\/option><option value='Serbie' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovakia<\/option><option value='Slov\u00e9nie' >Slovenia<\/option><option value='Somalie' >Somalia<\/option><option value='Soudan' >Sudan<\/option><option value='Soudan du Sud' >South Sudan<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Switzerland<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Sweden<\/option><option value='S\u00e9n\u00e9gal' >Senegal<\/option><option value='Tadjikistan' >Tajikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzania (United Republic of)<\/option><option value='Ta\u00efwan' >Taiwan<\/option><option value='Tchad' >Chad<\/option><option value='Terres Australes Fran\u00e7aises' >French Southern Territories<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >British Indian Ocean Territory<\/option><option value='Tha\u00eflande' >Thailand<\/option><option value='Timor oriental' >East Timor<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinidad and Tobago<\/option><option value='Tunisie' >Tunisia<\/option><option value='Turkm\u00e9nistan' >Turkmenistan<\/option><option value='Turquie' >Turkey<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis and Futuna<\/option><option value='Y\u00e9men' >Yemen<\/option><option value='Zambie' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >Egypt<\/option><option value='\u00c9mirats arabes unis' >United Arab Emirates<\/option><option value='\u00c9quateur' >Ecuador<\/option><option value='\u00c9rythr\u00e9e' >Eritrea<\/option><option value='\u00c9tat palestinien' >Palestinian state<\/option><option value='\u00c9tats-Unis' >United States<\/option><option value='\u00c9thiopie' >Ethiopia<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >Christmas Island<\/option><option value='\u00cele Maurice' >Mauritius<\/option><option value='\u00cele Norfolk' >Norfolk Island<\/option><option value='\u00cele de Man' >Isle of Man<\/option><option value='\u00celes Cayman' >Cayman Islands<\/option><option value='\u00celes Cocos' >Cocos Islands<\/option><option value='\u00celes Cook' >Cook Islands<\/option><option value='\u00celes Falkland' >Falkland Islands<\/option><option value='\u00celes F\u00e9ro\u00e9' >Faroe Islands<\/option><option value='\u00celes Heard et McDonald' >Heard and McDonald Islands<\/option><option value='\u00celes Mariannes du Nord' >Northern Mariana Islands<\/option><option value='\u00celes Marshall' >Marshall Islands<\/option><option value='\u00celes Pitcairn' >Pitcairn Islands<\/option><option value='\u00celes Salomon' >Solomon Islands<\/option><option value='\u00celes Turques et Ca\u00efques' >Turks and Caicos Islands<\/option><option value='\u00celes Vierges am\u00e9ricaines' >US Virgin Islands<\/option><option value='\u00celes Vierges britanniques' >British Virgin Islands<\/option><option value='\u00celes de Svalbard et Jan Mayen' >Svalbard and Jan Mayen Islands<\/option><option value='\u00celes mineures am\u00e9ricaines' >US Minor Islands<\/option><option value='\u00celes \u00c5land' >\u00c5land Islands<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_2_152'>Please indicate the country of departure for your trip to Indonesia<\/div><\/div><fieldset id=\"field_2_21\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Date of arrival in Indonesia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_2_21' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_2_21_2_container'><label for='input_2_21_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_21[]' id='input_2_21_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_2_21_1_container'><label for='input_2_21_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_21[]' id='input_2_21_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_2_21_3_container'><label for='input_2_21_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_21[]' id='input_2_21_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_2_22\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Departure date from Indonesia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_2_22' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_2_22_2_container'><label for='input_2_22_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_22[]' id='input_2_22_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_2_22_1_container'><label for='input_2_22_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_22[]' id='input_2_22_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_2_22_3_container'><label for='input_2_22_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_22[]' id='input_2_22_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_2_23\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >When do travellers leave their country of origin to go to Indonesia?<\/legend><div id='input_2_23' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_2_23_2_container'><label for='input_2_23_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_23[]' id='input_2_23_2'   aria-required='false'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_2_23_1_container'><label for='input_2_23_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_23[]' id='input_2_23_1'   aria-required='false'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_2_23_3_container'><label for='input_2_23_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_23[]' id='input_2_23_3'   aria-required='false'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><div class='gfield_description' id='gfield_description_2_23'>Optional answer: Please provide a date that precedes or is the same as the date of arrival in the country of destination.<\/div><\/fieldset><fieldset id=\"field_2_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >E-mail reception of travel documents<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_2_2_container'>\n                                <span id='input_2_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_2_2' class='gform-field-label gform-field-label--type-sub'>Enter Email<\/label>\n                                    <input class='' type='email' name='input_2' id='input_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_2_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_2_2_2' class='gform-field-label gform-field-label--type-sub'>Confirm Email<\/label>\n                                    <input class='' type='email' name='input_2_2' id='input_2_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_2_74\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_74'>Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_74' id='input_2_74' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_2_74\"  \/><\/div><div class='gfield_description' id='gfield_description_2_74'>Please provide a mobile phone number, ideally to receive text messages about the delivery of your documents.<\/div><\/div><fieldset id=\"field_2_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Choosing the type of E-visa for Indonesia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_25'>\n\t\t\t<div class='gchoice gchoice_2_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Visa de Tourisme en Indon\u00e9sie - 60 jours - 116\u20ac (Inclut des frais consulaires de 1 500 000 IDR)'  id='choice_2_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_25_0' id='label_2_25_0' class='gform-field-label gform-field-label--type-inline'>Indonesia Tourist Visa - 60 days - \u20ac116 (Includes consular fees of IDR 1,500,000)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Visa \u00e0 l\u2019arriv\u00e9e (ex e-VOA) en Indon\u00e9sie - 30 jours - 76\u20ac (Inclut des frais consulaires de 500 000 IDR)'  id='choice_2_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_25_1' id='label_2_25_1' class='gform-field-label gform-field-label--type-inline'>Visa on arrival (ex e-VOA) in Indonesia - 30 days - 76\u20ac (Includes consular fees of 500 000 IDR)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_37\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Traveller information<\/h3><div class='gsection_description' id='gfield_description_2_37'>Enter the information exactly as it appears on the traveller's passport.<\/div><\/div><fieldset id=\"field_2_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Civility<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_29'>\n\t\t\t<div class='gchoice gchoice_2_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Monsieur'  id='choice_2_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_29_0' id='label_2_29_0' class='gform-field-label gform-field-label--type-inline'>Mr.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Madame'  id='choice_2_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_29_1' id='label_2_29_1' class='gform-field-label gform-field-label--type-inline'>Mrs.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-three-quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_2_1'>\n                            \n                            <span id='input_2_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_2_1_3' class='gform-field-label gform-field-label--type-sub'>Forenames<\/label>\n                                                    <input type='text' name='input_1.3' id='input_2_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_2_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_2_1_6' class='gform-field-label gform-field-label--type-sub'>Family name<\/label>\n                                                            <input type='text' name='input_1.6' id='input_2_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_2_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_33'>If on passport, maiden name :<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_2_33' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_34\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Traveller's date of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_2_34' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_2_34_2_container'><label for='input_2_34_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_34[]' id='input_2_34_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_2_34_1_container'><label for='input_2_34_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_34[]' id='input_2_34_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_2_34_3_container'><label for='input_2_34_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_34[]' id='input_2_34_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_2_36\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_36'>Country of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_2_36' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_35'>Town of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_2_35' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_38'>Passport number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_2_38' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_40\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_40'>Nationality of passport<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_40' id='input_2_40' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Afrique du Sud' >South Africa<\/option><option value='Albanie' >Albania<\/option><option value='Allemagne' >Germany<\/option><option value='Andorre' >Andorra<\/option><option value='Arabie Saoudite' >Saudi Arabia<\/option><option value='Argentine' >Argentina<\/option><option value='Australie' >Australia<\/option><option value='Autriche' >Austria<\/option><option value='Bahre\u00efn' >Bahrain<\/option><option value='Belgique' >Belgium<\/option><option value='Bi\u00e9lorussie' >Belarus<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnia-Herzegovina<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Brazil<\/option><option value='Bulgarie' >Bulgaria<\/option><option value='Cambodge' >Cambodia<\/option><option value='Canada' >Canada<\/option><option value='Chili' >Chile<\/option><option value='Chine' >China<\/option><option value='Chypre' >Cyprus<\/option><option value='Colombie' >Colombia<\/option><option value='Cor\u00e9e du Sud' >South Korea<\/option><option value='Croatie' >Croatia<\/option><option value='Danemark' >Denmark<\/option><option value='Espagne' >Spain<\/option><option value='Estonie' >Estonia<\/option><option value='\u00c9gypte' >Egypt<\/option><option value='\u00c9mirats Arabes Unis' >United Arab Emirates<\/option><option value='\u00c9quateur' >Ecuador<\/option><option value='\u00c9tat de la cit\u00e9 du Vatican' >State of Vatican City<\/option><option value='\u00c9tats-Unis' >United States<\/option><option value='Finlande' >Finland<\/option><option value='France' >France<\/option><option value='Gr\u00e8ce' >Greece<\/option><option value='Guatemala' >Guatemala<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hungary<\/option><option value='Inde' >India<\/option><option value='Irlande' >Ireland<\/option><option value='Italie' >Italy<\/option><option value='Japon' >Japan<\/option><option value='Jordanie' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kowe\u00eft' >Kuwait<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Latvia<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macau<\/option><option value='Malaisie' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Malte' >Malta<\/option><option value='Maroc' >Morocco<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolia<\/option><option value='Myanmar' >Myanmar<\/option><option value='Norv\u00e8ge' >Norway<\/option><option value='Nouvelle-Z\u00e9lande' >New Zealand<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Uganda<\/option><option value='Ouzb\u00e9kistan' >Uzbekistan<\/option><option value='Pays-Bas' >Netherlands<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >Peru<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Romania<\/option><option value='Royaume-Uni' >United Kingdom<\/option><option value='Russie' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Marin' >San Marino<\/option><option value='Serbie' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Singapour' >Singapore<\/option><option value='Slovaquie' >Slovakia<\/option><option value='Slov\u00e9nie' >Slovenia<\/option><option value='Suisse' >Switzerland<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Sweden<\/option><option value='Ta\u00efwan' >Taiwan<\/option><option value='Tch\u00e9quie' >Czech Republic<\/option><option value='Tha\u00eflande' >Thailand<\/option><option value='Timor oriental' >East Timor<\/option><option value='Tunisie' >Tunisia<\/option><option value='Turquie' >Turkey<\/option><option value='Ukraine' >Ukraine<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><\/select><\/div><\/div><fieldset id=\"field_2_42\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Passport expiry date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_2_42' class='ginput_container ginput_complex gform-grid-row'>\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_2_42_2_container'>\n                                            <label for='input_2_42_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                            <input type='number' maxlength='2' name='input_42[]' id='input_2_42_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_2_42_1_container'>\n                                        <label for='input_2_42_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <input type='number' maxlength='2' name='input_42[]' id='input_2_42_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_2_42_3_container'>\n                                            <label for='input_2_42_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                            <input type='number' maxlength='4' name='input_42[]' id='input_2_42_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                       <\/div>\n                                    <\/div><div class='gfield_description' id='gfield_description_2_42'>This destination requires a passport valid for at least six months from the date of arrival in the country.<\/div><\/fieldset><div id=\"field_2_46\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_46'>Other nationalities of the traveller<\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_2_46' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_46\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_2_46'>Answer only if the traveller has a second nationality<\/div><\/div><div id=\"field_2_142\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Choose a departure country at the top of the page to continue with the application form.<\/strong><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_2_118' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> <button type='button'  id='gform_save_2_2_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and continue later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' data-js='page-field-id-118' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_2' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_2_47\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Location and type of accommodation in Indonesia<\/h3><div class='gsection_description' id='gfield_description_2_47'>Enter the information exactly as it appears on the traveller's passport.<\/div><\/div><div id=\"field_2_49\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_49'>Type of accommodation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_49' id='input_2_49' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Appartement' >Flat<\/option><option value='Famille' >Family<\/option><option value='H\u00f4tel' >Hotel<\/option><option value='Particulier loueur' >Private renter<\/option><option value='Transit' >Transit<\/option><option value='Villa' >Villa<\/option><\/select><\/div><\/div><div id=\"field_2_48\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_48'>Name of the person or name of the accommodation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_2_48' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_52\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-seven-twelfths gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_52'>Postal address for accommodation in Indonesia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_2_52' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_53\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-five-twelfths gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_53'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_2_53' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_138' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_2_138' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> <button type='button'  id='gform_save_2_3_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and continue later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' data-js='page-field-id-138' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_3' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_2_153\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>To validate your application, you must now submit the missing documents. Here are the documents required to obtain a travel visa:<\/strong><\/div><div id=\"field_2_137\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Traveller's passport<\/h3><\/div><div id=\"field_2_132\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_2_132'>Insert the capture of the traveller's passport<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_2_132' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_2_132&quot;,&quot;container&quot;:&quot;gform_multifile_upload_2_132&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_2_132&quot;,&quot;filelist&quot;:&quot;gform_preview_2_132&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/indonesia-visa.kondoria.com\\\/?gf_page=3a0d97f666aecbd&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/indonesia-visa.kondoria.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/indonesia-visa.kondoria.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;pdf,jpg,png,jpeg&quot;}],&quot;max_file_size&quot;:&quot;2097152b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:2,&quot;field_id&quot;:132,&quot;_gform_file_upload_nonce_2_132&quot;:&quot;c08b58cfbf&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;1&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_2_132&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_2_132' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_2_132' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_2_132\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_132'>Accepted file types: pdf, jpg, png, jpeg, Max. file size: 2 MB, Max. files: 1.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_2_132'><\/ul> <div id='gform_preview_2_132' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_2_131\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Make sure your photos are sharp, in focus and free from reflections.  \nMake sure that the photo is not covered, cropped or folded and that it is not blurred.\n Make sure that the passport photo is in landscape format.\n<\/p><\/div><div id=\"field_2_136\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Passenger's identity photo<\/h3><\/div><div id=\"field_2_134\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_2_134'>Insert a colour passport photo of the traveller<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_2_134' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_2_134&quot;,&quot;container&quot;:&quot;gform_multifile_upload_2_134&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_2_134&quot;,&quot;filelist&quot;:&quot;gform_preview_2_134&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/indonesia-visa.kondoria.com\\\/?gf_page=3a0d97f666aecbd&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/indonesia-visa.kondoria.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/indonesia-visa.kondoria.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;jpg,png,jpeg&quot;}],&quot;max_file_size&quot;:&quot;2097152b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:2,&quot;field_id&quot;:134,&quot;_gform_file_upload_nonce_2_134&quot;:&quot;95b8f79a1e&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;1&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_2_134&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_2_134' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_2_134' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_2_134\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_134'>Accepted file types: jpg, png, jpeg, Max. file size: 2 MB, Max. files: 1.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_2_134'><\/ul> <div id='gform_preview_2_134' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_2_133\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>The top of the head, including the hair, to the base of the chin must be between 50 % and 60 % of the total height of the image. The height of the eyes (measured from the bottom of the image to eye level) must be between 50 % and 60 % of the height of the image.<\/p>\n\n<p>Not accepted :<\/p>\n<p>Blurred photo.\nBlack and white photo.\nPhoto with a grimace or smile.<\/p><\/div><div id=\"field_2_145\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">A copy of a return flight ticket or proof of exit from Indonesian territory<\/h3><\/div><div id=\"field_2_146\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_2_146'>Insert PDF of return ticket<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_2_146' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_2_146&quot;,&quot;container&quot;:&quot;gform_multifile_upload_2_146&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_2_146&quot;,&quot;filelist&quot;:&quot;gform_preview_2_146&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/indonesia-visa.kondoria.com\\\/?gf_page=3a0d97f666aecbd&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/indonesia-visa.kondoria.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/indonesia-visa.kondoria.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;pdf&quot;}],&quot;max_file_size&quot;:&quot;2097152b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:2,&quot;field_id&quot;:146,&quot;_gform_file_upload_nonce_2_146&quot;:&quot;7aa8de1b64&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;1&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_2_146&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_2_146' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_2_146' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_2_146\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_146'>Accepted file types: pdf, Max. file size: 2 MB, Max. files: 1.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_2_146'><\/ul> <div id='gform_preview_2_146' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_2_147\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Please include a copy of your return flight ticket or proof of your departure from Indonesia.<\/p><\/div><div id=\"field_2_148\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Personal bank statement for a minimum amount of 2 000$ or equivalent<\/h3><\/div><div id=\"field_2_149\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_2_149'>Insert bank statement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_2_149' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_2_149&quot;,&quot;container&quot;:&quot;gform_multifile_upload_2_149&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_2_149&quot;,&quot;filelist&quot;:&quot;gform_preview_2_149&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/indonesia-visa.kondoria.com\\\/?gf_page=3a0d97f666aecbd&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/indonesia-visa.kondoria.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/indonesia-visa.kondoria.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;pdf&quot;}],&quot;max_file_size&quot;:&quot;2097152b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:2,&quot;field_id&quot;:149,&quot;_gform_file_upload_nonce_2_149&quot;:&quot;c2923f7e2f&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;1&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_2_149&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_2_149' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_2_149' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_2_149\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_149'>Accepted file types: pdf, Max. file size: 2 MB, Max. files: 1.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_2_149'><\/ul> <div id='gform_preview_2_149' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_2_150\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Please insert a copy of a personal bank statement showing a minimum amount of 2000$ or equivalent dated less than 3 months ago (the following information must appear: name, date of period and account balance).<\/p><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_9' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_2_9' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> <button type='button'  id='gform_save_2_4_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and continue later<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_4' class='gform_page' data-js='page-field-id-9' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_4' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_2_64\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Confirmation<\/h3><\/div><fieldset id=\"field_2_66\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I confirm that the information provided is true and that no valid application or visa exists for the traveller concerned.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_66'>\n\t\t\t<div class='gchoice gchoice_2_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Oui'  id='choice_2_66_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_66_0' id='label_2_66_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_68\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I consent to the service being carried out before the end of the 14-day withdrawal period stipulated in article L.221-18 of the French Consumer Code.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_68'>\n\t\t\t<div class='gchoice gchoice_2_68_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Oui'  id='choice_2_68_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_68_0' id='label_2_68_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_69\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I&#039;have read and accept the privacy policy and the terms and conditions of sale and I give my authorisation.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_69'>\n\t\t\t<div class='gchoice gchoice_2_69_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='Oui'  id='choice_2_69_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_69_0' id='label_2_69_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_75\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Payment<\/h3><\/div><div id=\"field_2_155\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_2_155 gfield_product_2_155 field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_2_155_1'>Fees for obtaining an e-Visa for Indonesia (includes consular fees of IDR 500,000)<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_155.1' value='Frais d&#039;obtention du e-Visa pour l&#039;Indon\u00e9sie (Inclut des frais consulaires de 500 000 IDR)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_2_155' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_2_155' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_155.2' id='ginput_base_price_2_155' value='76,00 &#8364;' aria-label='Frais d&#039;obtention du e-Visa pour l&#039;Indon\u00e9sie (Inclut des frais consulaires de 500 000 IDR) Price'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_155.3' value='1' class='ginput_quantity_2_155 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_2_156\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_2_156 gfield_product_2_156 field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_2_156_1'>Fees for obtaining an e-Visa for Indonesia (includes consular fees of IDR 1,500,000)<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_156.1' value='Frais d&#039;obtention du e-Visa pour l&#039;Indon\u00e9sie (Inclut des frais consulaires de 1 500 000 IDR)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_2_156' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_2_156' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_156.2' id='ginput_base_price_2_156' value='116,00 &#8364;' aria-label='Frais d&#039;obtention du e-Visa pour l&#039;Indon\u00e9sie (Inclut des frais consulaires de 1 500 000 IDR) Price'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_156.3' value='1' class='ginput_quantity_2_156 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_2_143\" class=\"gfield gfield--type-stripe_creditcard gfield--input-type-stripe_creditcard gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--type-stripe_creditcard-payment-element\"  ><label class='gfield_label gfield_label_before_complex gform-field-label' for='input_2_143_1'>Credit card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard gform-grid-row' id='input_2_143'><div class='ginput_full gform-grid-col' id='input_2_143_1_container' data-payment-element='true'><div id='input_2_143_1' class='StripeElement--payment-element'><\/div><\/div><!-- .ginput_full --><\/div><!-- .ginput_container -->\r\n\t\t\t<style type=\"text\/css\">\r\n\t\t\t\t:root {\r\n  \t\t\t\t\t--link-login-string: \"Link login\"\r\n\t\t\t\t}\r\n\t\t\t<\/style><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_2' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_2' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Send'  \/> <button type='button'  id='gform_save_2_footer_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and continue later<\/button>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_2' id='gform_theme_2' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_2' 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Jour12345678910111213141516171819202122232425262728293031Mois123456789101112Ann\u00e9e2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Date de d\u00e9part d&#039;Indon\u00e9sie(N\u00e9cessaire) Jour12345678910111213141516171819202122232425262728293031Mois123456789101112Ann\u00e9e2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Quand le voyageur quitte le pays d&#039;origine pour se rendre en Indon\u00e9sie ? Jour12345678910111213141516171819202122232425262728293031Mois123456789101112Ann\u00e9e2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920R\u00e9ponse facultative : Veuillez fournir une date qui pr\u00e9c\u00e8de ou est identique [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-457","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Formulaire de demande - Visa Indon\u00e9sie - Indonesia Visa<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulaire de demande - Visa Indon\u00e9sie - Indonesia Visa\" \/>\n<meta property=\"og:description\" content=\"Formulaire d&rsquo;obtention du E-visa pour l&rsquo;Indon\u00e9sie Jakarta Raison du voyage(N\u00e9cessaire) Tourisme Ev\u00e9nement Conf\u00e9rence Rendre visite \u00e0 une ou des connaissances Date d&#039;arriv\u00e9e en Indon\u00e9sie(N\u00e9cessaire) Jour12345678910111213141516171819202122232425262728293031Mois123456789101112Ann\u00e9e2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Date de d\u00e9part d&#039;Indon\u00e9sie(N\u00e9cessaire) Jour12345678910111213141516171819202122232425262728293031Mois123456789101112Ann\u00e9e2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Quand le voyageur quitte le pays d&#039;origine pour se rendre en Indon\u00e9sie ? 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