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Application form

We use this information to personally match you with the best Bali Base Living location

You’ll receive a personal response within 24–48 hours.

  1. Basic information

Date of birth
Day
Month
Year
Gender

  1. Your stay in Bali

Practical information about the stay

Is your departure date fixed?
Yes
No, flexible

  1. Location & preference

Which location are you interested in?
What is important to you in your stay? (multiple choice)

  1. Work / study situation

What will you be doing in Bali?
Do you already have a company / internship?
Yes
No

If yes:

Are you a student?
Yes
No

If yes:

Do you work remotely?
Yes
No
Sometimes

  1. Room & accommodation type

Preferred room type:
Ground floor (terrace)
First floor (balcony)
No preference
Number of people in the room
1
2

  1. Extra support

Do you already know which visa you will use?
Visa on Arrival
Digital Nomad Visa
Not sure yet
Would you like help with: (multiple choice)

  1. Personal questions

Have you been to Bali before?
Yes
No
How did you find Bali Base?
Google
Instagram
Friends
School
Internship agency
Other

Additional comments

Do you have any medical conditions we should take into account?

Agree & submit

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