Guest Intake Form

Pre-Arrival Concierge

To help us prepare your villa to perfection, please complete this intake prior to your departure to Bali.

1. Lead Guest Details

Full Name *

Email Address *

WhatsApp / Phone Number *

Total Guests (Adults + Children) *

2. Stay & Arrival Information

Check-in Date *

Check-out Date *

Flight Arrival Details (For Airport Pickup Coordination)

3. Add-on Services & Notes

Add-on Experiences & Services

Airport Pickup ($60 USD) In-Villa Balinese Massage Setup Private Chef Seafood BBQ Evening Premium Scooter Rental Delivery

Guest Notes

4. Guest Passport Identification (Required for Bali Tourism Registration)

Under Indonesian immigration and local Bali village (Banjar) regulations, all registered villa guests must provide a valid passport copy prior to arrival. Upload clear photos or scans of each guest’s passport biographical page.

Guest 1 • Lead Guest Required

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Click to Upload Passport Photo JPG, PNG, WEBP (Max 15MB)

No file selected

Guest 2 Required

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Click to Upload Passport Photo JPG, PNG, WEBP (Max 15MB)

No file selected

Guest 3 Required

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Click to Upload Passport Photo JPG, PNG, WEBP (Max 15MB)

No file selected

Guest 4 Required

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Click to Upload Passport Photo JPG, PNG, WEBP (Max 15MB)

No file selected