EN ID

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Media

Media ID*

Correspondent Profile

Full Name *

City of Birth *

Date of Birth *

Nationality *

Passport Number *

Passport Expiry Date *

Role *

Domicile Letter / Lease Agreement *

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Address in Indonesia *

Phone Number *

Email *

Marital Status *

Marriage

Single

Military Record

Personal Document

Previous Journalistic Visits to Indonesia

Assignment Letter *

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Duration of Assignment *

Curriculum Vitae *

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Journalism Portfolio. Include Indonesia-related work, if available *

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The file size limit is 5 MB

Scanned Passport *

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The file size limit is 5 MB

List of Equipment *

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The file size limit is 5 MB

Annual Salary Statement *

Bank Guarantee Name (Origin Country) *

Bank Address *

Embassy Location

Select the country and city of the embassy where your application will be processed. It is advised to choose the location closest to your current address or domicile for convenient access and communication.

Country *

City (Indonesia Representative) *

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Family Members Data