Indonesia ECD Application

All fields must be completed in English

Personal Information

Full Name (In Passport)

Passport Number

Nationality/Citizenship

Date of Birth

Address in Indonesia - hotel name / residence address

Place of Arrival

Flight / Voyage / Other Carrier Number :

Date of Arrival

Contact Information

If you are eligible for entry into Indonesia, you will receive an Electronic Customs Declaration (in lieu of inked endorsement stamps on the passport) sent to you via this email address. Please therefore ensure that you provide a valid email address.

E-mail

Confirm E-mail

Area Code

Mobile Number

Additional Data

Number of Accompanied baggage (example: 3 Baggages)

Importing Goods / Items brought

1 . Animals, Fish and plants including their products ^*

Yes

Value

Currency

Description of Goods

Quantity of Goods

Unit Type

Category

Unaccompanied baggage

Value	Currency	Description of Goods	Quantity of Goods	Unit Type	Category	Unaccompanied baggage	Action

2. Narcotics, psychotropic substances, precursors, drugs, firearms, air guns, sharp objects, ammunitions, explosives, pornography objects^*

Yes

Value

Currency

Description of Goods

Quantity of Goods

Unit Type

Unaccompanied baggage

Value	Currency	Description of Goods	Quantity of Goods	Unit Type	Unaccompanied baggage	Action

3. Currency and/or bearer negotiable instrument in Rupiah or other currencies equal to the amount of 100 million Rupiah or more^*

Yes

Amount of Money

Currency

Description of Goods

Unaccompanied baggage

Value	Currency	Description of Goods	Unaccompanied baggage	Action

4. Foreign banknotes are equivalent to at least Rp. 1,000,000,000.00 (one billion rupiah)^*

Yes

Amount of Money

Currency

Description of Goods

Unaccompanied baggage

Amount of Money	Currency	Description of Goods	Unaccompanied baggage	Action

5. More than 200 cigarettes or 25 cigars or 100 grams of sliced tobacco, and 1 liter of alcoholic beverages (for Passenger); or more than 40 cigarettes or 10 cigars or 40 grams of slices tobacco, and 350 mililiter of alcoholic beverages (for Crew)^*

Yes

Value

Currency

Description of Goods

Quantity of Goods

Unit Type

Unaccompanied baggage

Value	Currency	Description of Goods	Quantity of Goods	Unit Type	Unaccompanied baggage	Action

6. Goods purchase/obtained from abroad and will remain in Indonesia with total value more than USD 500.00 per person (for Passenger) or USD 50.00 per person (for Crew)^*

Yes

Value

Currency

Description of Goods

Quantity of Goods

Unit Type

Unaccompanied baggage

Value	Currency	Description of Goods	Quantity of Goods	Unit Type	Unaccompanied baggage	Action

7. Imported goods that are not considered as personal effect (unreasonable amount for personal use or goods used for companies/shops/institutions/industrial purposes)^*

Yes

Value

Currency

Description of Goods

Quantity of Goods

Unit Type

Unaccompanied baggage

Value	Currency	Description of Goods	Quantity of Goods	Unit Type	Unaccompanied baggage	Action

8. Goods originating from Indonesia, issued from Indonesia using BC 3.4^*

Yes

Number

Value

Currency

Description of Goods

Quantity of Goods

Unit Type

Date

Unaccompanied baggage

Number	Date	Value	Currency	Description of Goods	Quantity of Goods	Unit Type	Unaccompanied baggage	Action

Terms Of Service

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