Kejari Form

Name

Sex

Male Female

Current Address

Phone Number

E-Mail

Passport Number

Circumstances

Legal Matter(s) / Issue(s)

Supporting or Related Document(s)

Scanned ID Card

Scanned Passport

Instruction:

Fill the “Circumstances” box with the background of your problem to help us understand the whole context for best possible solution.
Write down the “Legal Matter(s)” in details for each respective matter/issue in a separate box, click “more” if there’s more than 1 legal matter that you encounter.
Don't hesitate to attach some document(s) that related to your current issues in the “Supporting or Related Document” Box, to help us find the best possible solution.