✦ M.Y.T.H. Done-For-You ✦

VOA + Arrival Card
Intake Form.

You've already taken care of payment — now let's get your Visa on Arrival and Arrival Card handled. Fill out the form below and upload your passport photo page. No call needed.

Full Legal Name *

Email *

Phone / WhatsApp *

Passport Number *

Passport Expiry Date *

Nationality / Country of Issue *

Arrival Date in Bali *

Departure Date *

Flight Number If known — helps us coordinate your arrival card timing

Hotel / Accommodation Name & Address Required if you're booking your own stay — this determines which immigration office handles your application. Leave blank if Luxy is booking your accommodation for you.

Passport Photo Page * Clear photo or scan of the main passport page with your photo

📎 Click to upload or drag a file here

Anything Else We Should Know? Optional

I confirm the information provided is accurate and matches my official travel documents.

🔒 Your information is kept private and used only to process your VOA & Arrival Card service.

✦ What Happens Next

You'll receive a confirmation email within 24 hours.
Luxy personally processes your Visa on Arrival application.
Your Arrival Card is prepared and ready before you land — skip the lines.
You'll receive your documents via email before your departure date.

VOA + Arrival CardIntake Form.

✦ What Happens Next

VOA + Arrival Card
Intake Form.