The Residency Declaration Form is a mandatory document required by Indonesian authorities to maintain accurate records of foreign nationals residing in the country. This document is essential for various purposes, including visa processing, tax administration, and population management. The form must be completed by foreign nationals staying in Indonesia for extended periods and requires detailed personal information, purpose of stay, and supporting documentation. It serves as a legal declaration under Indonesian law and may be requested by various authorities, including immigration officials, tax offices, and local government administrators. The document plays a crucial role in ensuring compliance with Indonesian immigration regulations and helps authorities maintain accurate records of foreign residents in the country.
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1. Personal Information: Declarant's full legal name, date and place of birth, nationality, passport details, and current address in Indonesia
2. Contact Details: Current phone number, email address, and emergency contact information
3. Residence Status Declaration: Statement of current residence status, including type of permit held (if any) and duration of stay in Indonesia
4. Purpose of Stay: Declaration of the primary reason for residing in Indonesia (work, study, retirement, family, etc.)
5. Address History: List of all Indonesian addresses where the declarant has resided in the past 12 months
6. Employment Information: Current employment status, employer details if applicable, or business interests in Indonesia
7. Declaration of Truth: Formal statement confirming all provided information is true and accurate
8. Signature Block: Space for declarant's signature, date, and place of signing
1. Family Members Information: Details of accompanying family members, required if the declaration includes dependent family members
2. Sponsor Information: Details of Indonesian sponsor or guarantor, required for certain visa types
3. Previous Visa History: Information about previous Indonesian visas held, required for those with prior stays in Indonesia
4. Tax Residency Statement: Additional declarations regarding tax residency status, required for those staying more than 183 days
5. Property Ownership: Declaration of any owned or leased property in Indonesia, required for property owners or long-term tenants
6. Educational Institution Details: Information about the educational institution, required for student residence declarations
1. Appendix A - Identity Documents: Copies of passport biographical page, current visa, and residence permit
2. Appendix B - Proof of Address: Documentation proving current Indonesian residence address (rental agreement, utility bills, etc.)
3. Appendix C - Supporting Documents: Additional documents supporting the purpose of stay (employment contract, university enrollment, marriage certificate, etc.)
4. Appendix D - Photograph Requirements: Recent color photographs meeting Indonesian immigration specifications
5. Appendix E - Previous Permits: Copies of previous Indonesian visas and permits if applicable
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