Hi Hansen,

Below are the required documents to apply for USA B1/B2 Visitor Visas:
1. Old Passport (asli) – submitted later
2. Old Passport (photocopy all stamped pages)
3. New Passport (asli) – submitted later
4. New Passport (photocopy all stamped pages)
Kindly submit the passport within 10 years

5. Akte Lahir (asli) – submitted later

6. Akte Lahir(photocopy)
7. Surat Ganti Nama (asli, if any – photocopy)
8. Surat Ganti Nama (if any – photocopy)
9. Akte Nikah (asli, jika sudah berkeluarga) – submitted later
10. Akte Nikah (photocopy)
11. Kartu Keluarga (asli) – submitted later
12. Kartu Keluarga (photocopy)
13. KTP (photocopy)
14. KTP Pelajar (jika masih sekolah)
15. Sponsorship Letter (asli) – see attached
16. Bank Reference Letters (asli) – see sample attached
17. 3 months Bank Statement (photocopy/leges ALL pages)
18. Employment Letter (asli, jika sudah bekerja) – see sample attached
19. School Letter (asli, jika masih sekolah / kuliah)
20. SIUP (asli, jika punya usaha sendiri)
21. SIUP (photocopy)
22. Flight Ticket Booking Slip (photocopy)
Nb: Hanya booking
23. Australian, New Zealand Visa (if any – photocopy)
24. Previous US Visa & Travel Date (photocopy) – if not included into the 10 years passport
25. US Visa rejection Date (if still remember when)
26. Invitation Letter (photocopy)
27. Confirmation of Attending Letter (if any)
28. Photo 5cm x 5cm .jpeg format (if any)
29. Photo 5cm x 5cm = 2 pcs (background putih)
No eyeglasses. Your full face must be visible. JS Education have right to ask the applicant
to retake the photo if the picture isn’t qualified by the system

30. USA Contact Person Information:

Full Name:
Address:
Phone:
Email address:
Relationship:
31. Accommodation Detail:
Hotel Name / Accommodation Name:
Address:
Phone:
Email Address:

32. Visitor Visa + Admin/Processing Fees Rp. 2,620,000 / pax as of Feb 16

Kindly transfer to BCA a/c 82-8000-1890 a/n SIMUN
Family Information:
Applicant’s Father
Full Name:
Date of Birth:
Country / Region of Origin (Nationality): Indonesian

Applicant’s Mother
Full Name:
Date of Birth:
Country / Region of Origin (Nationality):Indonesian

Education History:
University Name: IT&B Campus
Degree: Master of Business Management
Attended Month & Year – Completion Month & Date: June 2017 – May 2019

University Name: IT&B Campus

Degree: Bachelor of Business Management
Attended Month & Year – Completion Month & Date: Sep 2006 – May 2010

SMA High School Name: SMA Methodist-2

Major: IPA
Attended Month & Year – Completion Month & Date: July 2003 – May 2006

SMP Junior School Name: SMP Methodist-2

Year: July 2000 – June 2003

Documents with “submitted later” have to be provided during the interview in Jakarta.

The name might be typed wrong, feel free to correct the name or any mistyped details.
Kop surat – Sponsorship Letter (sample)

USA EMBASSY
Visa Section
Jln. Medan Merdeka Selatan No. 5
Jakarta 10110

SPONSORSHIP LETTER

This is to inform you that, I, the undersigned :

Name : Livi Livi

Date of Birth : 16 February 2019
Address : JS Education Consultant
Jalan Putri Hijau No. 18 C
Medan 20114, North Sumatra, Indonesia

of

Full Name Date of Birth Passport No

1. AA AAA 16 February 2019 A1234567
2. BB BBBB BBB 16 February 2019 A1234568
3. CCC CCC CC 16 February 2019 A1234569

shall be deemed responsible for all the expenses incurred by the members during their visit to
USA as a whole team based on the invitation by Haggai Institute. I have also enclosed my latest
3-month bank statements for your utmost attention

This letter is issued for the sole purpose of expediting their USA B1/B2 Visitor Visa processing.

Yours Sincerely,

materai
6000

________________
LIVI LIVI
(Kop surat bank asli)

USA EMBASSY
Visa Section
Jakarta

Re : BANK REFERENCE LETTER

Dear Sir / Madam,

This is to certify and confirm to the best of knowledge that the below mentioned customer of particulars :

Name : Livi

Address : diisi dengan data Sponsor

Account No. :

is indeed our customer and has been maintaining this account with our bank since………..
(diisidengantahun).

We believe that she is capable of financing all the expenses incurred by their member whilst travelling to
USA as a whole team based on the invitation by Haggai Institute.

This letter is issued based on his request for the party concerned and without any liability for the bank and
its staff.

Medan, _______________ 2019

Yours sincerely,

(teken, stempel bank)

_____________________

(nama personalia bank)

Kop surat – Employment Letter (sample)
Medan, February 16th 2019

USA EMBASSY
Visa Section
Jln. Medan Merdeka Selatan No. 5
Jakarta 10110

Re : EMPLOYMENT LETTER

I, hereby the undersigned, certify that the following with particulars :

Name : LIVI LIVI

Date of Birth : 16 FEBRUARY 2019
Address : JS Education Consultant
Jalan Putri Hijau No. 18 C
Medan 20114, North Sumatra, Indonesia

is my full-time employee. She has been working at my company since October 2007 as a
Marketing Manager. During her employment, she has shown remarkable leadership and
managerial skills. Her excellent command of communication skills has also won her the trust and
confidence of many customers.

I am writing this letter upon the request of the employee in lieu to the fact that she intends to
travel to USA, together with her chamber choir group. I thereby grant her a 2 (two)-week paid
leave effective from 17th August 2017. She will resume her duties and responsibilities at my firm
upon returning from the trip.

I sincerely hope that this letter can be used to serve its purpose well in the facilitation of the
issuance of her USA visitor visa.

Yours truly,

Company stamp and Sign

____________________
NAME
Position
Phone Number (if available)