AirAsia Debit Card & AirAsia Platinum Credit Card Application Form

*AirAsia will be collecting data for the purposes as stated in the Privacy Policy.

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Personal Details
If you do not fill in your NPWP number, then you are considered to not have a Taxpayer Identification Number ("NPWP") due to not meeting the requirement as a taxpayer based on tax regulation or has not arranged an NPWP. You are committed to immediately submit to the Bank, when you already own an NPWP.
Contact Details
For existing PermataBank customer, please use the number registered with PermataBank.
(+62)
Employment Details
(+62)
Financial Details
"IDR" or in Rupiah
Preferences
You will be contacted via Video Call for the account opening of PermataBank's new Customer.

In accordance to Bank Indonesia Circular Letter No.14/17/DASP, the maximum credit card ownership for income between Rp 3,000,000 (Three Million Rupiah) to Rp 10,000,000 (Ten Million Rupiah) is 2 (two) issuers, maximum credit limit given to 1 (one) credit cardholder from all credit card issuers is cumulatively 3 (three) times from monthly income.
Documents upload
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