Exemption Form

Please enter the applicant's detail.
For multiple applicants, click "Add More Applicant". (Max 9 applicants)
If you need to add more than 9 applicants, please click here
Applicant Detail
"Passport Number must be a maximum of 16 characters"
"Input the name in uppercase letters and maximum of characters is 55"
"Please ensure to provide an active email and must be a maximum of 55 characters"

Additional Information

Provide detailed information explaining the reasons for your exemption request.
When filling out the form, please note that fields marked with a red asterisk * are mandatory.
The file format must be in .pdf and maximum of file size is 2MB

Coming Soon

This exciting feature goes live on the sweetest day of the year – February 14th, 2024!

Love Bali Application as the Implementation of Bali Province Regional Regulation Number 6 of 2023 concerning Levy for Foreign Tourists for the Protection of Balinese Culture and Natural Environment.