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1. Form Title and Reference Number: Clear identification of the document as a Consent Form for Minor Visa Applicant with unique reference number
2. Minor's Information: Complete details of the minor including full name, date of birth, passport number, nationality, and current address
3. Parents/Legal Guardians Information: Full details of both parents or legal guardians including names, passport numbers, contact information, and current addresses
4. Travel Details: Information about the planned travel including purpose of visit, duration of stay, and intended address in Indonesia
5. Consent Declaration: Explicit statement of consent from parents/legal guardians authorizing the minor's visa application and travel to Indonesia
6. Responsibility Statement: Declaration of responsibility for the minor's welfare, financial support, and compliance with Indonesian laws during the stay
7. Authentication: Space for notarization or official authentication of the document as required by Indonesian authorities
8. Signatures: Dedicated space for dated signatures of all parents/legal guardians providing consent
1. Accompanying Adult Details: Information about adults accompanying the minor during travel, used when the minor will travel with someone other than parents/legal guardians
2. Emergency Contact Information: Additional emergency contacts in both home country and Indonesia, recommended for longer stays
3. Medical Authorization: Authorization for medical treatment in case of emergencies, particularly important for longer stays
4. School/Program Information: Details of educational institution or program if the visa is for study purposes
5. Custody Information: Required when parents are divorced or separated, documenting custody arrangements and rights to provide consent
1. Required Document Checklist: List of all required supporting documents that must be attached to the consent form
2. Identity Document Copies: Copies of passport biographical pages of minor and parents/legal guardians
3. Proof of Relationship: Birth certificate or legal guardianship documents proving relationship between minor and consenting adults
4. Translation Certificate: Official translation certificate if the original documents are not in Indonesian or English
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