Malaysia
Indonesia
Philippines
en
English
Bahasa
About
FAQ
Malaysia
Indonesia
Philippines
About
FAQ
English
Bahasa
AirAsia Debit Card & AirAsia Platinum Credit Card Application Form
*AirAsia will be collecting data for the purposes as stated in the Privacy Policy.
Step 1
1
Step 2
2
Step 3
3
Step 4
4
Tell us about yourself
Full name as per national ID *
ID Number (NIK) as per national ID *
NPWP
Full name without any abbreviation
Date of Birth as per national ID *
City of Birth as personal ID *
Nationality
Indonesian
Other nationality
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
Email (BIG Member ID email if you have)
Confirm email
Mobile Number
For existing PermataBank customer, please use the number registered with PermataBank.
(+62)
Current Residence Address
Current Residence Address (Addit.)
Village
Subdistrict
Postcode
Employment Details
Employment type
Professional
Police/Army
Private Employee
Business owner
Government Employee
Others
Position
Director
President Director/CEO
Staff/Officer
Board of Commissionaire
Manager
President Commissionaire
Shareholder >25%
Department
Employment status
Permanent
Contractual
Part-time
Length Of Service Year
Length Of Service Month
Economy sector
Accounting Firm / Tax
Aircraft Dealers
Leasure Service (include amusement, billiard, Slot Machine)
Art Galleries / Antiques Sellers
Auction House
Alcohol distributors & suppliers
BPR
Boat / Yacht or Helicopter Dealers
Charitable Organization(Politics Organization, Religious Organization, Non-governmental organization, Association, Non-profit Organization)
Club
Debt collector agent
Credit Rating Agency
Leasing
Sale or manufacture of precious metals, precious stones & jewelry
Electronics, Computers, peripheral units software and telecommunication tools
Embassy / Consulate
Wood Logging industry
Fund / Investment Management
Fur & Leather Industry
Non branded Garment & Textiles
Gas station
Insurance, Commodities andSecurities
Saving and loan cooperative
Online Pharmacy
Internet Cafe
Coin Laundry
Legal Consultant Service
Other Luxury Items
Management Consultant
Staffing Agency Suppliers
Money Services Business (Money Service Bureau)
CBU / Authorized car dealer
Non-Bank Financial Institution (Insurance Company, Multi Finance, Securities, Investment)
Notary
Parking Company
Pawn Broker
Property
Restaurant
International Freight Forwarding Company
Surveyor Company
Taxi Company
Trading Company
Travel Agent
Trustee
Junk Yards / Junk Dealers
Luxury Watches
Weapon / nuclear and military equipment manufacture
Financial Planner
Public services in licensing, procurement, distribution and revenue
Export/Import of natural resources
Minimarket
Gold or Precious Stone Investment
Land Transportation Company
Air Transportation Company
Financial Planner
Police, Military and Government Officer
Public Figure
Others
Description
Name of the company
(+62)
Office Address
Names of building, unit & floor
Village
Subdistrict
Postcode
Financial Details
Monthly Income
"IDR" or in Rupiah
Estimate amount of deposit/month
<= 40 Million
40 Million - 80 Million
> 80 Million
Estimate amount of withdrawal/month
<= 40 Million
40 Million - 80 Million
> 80 Million
Frequency amount of deposit/month
0-10x
> 10-50x
> 50x
Frequency amount of withdrawal/month
0-10x
> 10-50x
> 50x
Preferences
Promo code
Address of card delivery
Home address
Office Address
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
Upload KTP
Upload NPWP (optional)
Upload Income Document
I confirm that the information provided by me is true and correct. I further confirm that I consent to the processing of my information and personal data for the purposes as stated in
AirAsia’s Privacy Policy.
I confirm that I would like to apply for the PermataTabungan AirAsia / AirAsia Debit Card and AirAsia Platinum Credit Card and hereby accept and agree to the
Customer Declaration Letter
,
Product Information Summary, Terms & Conditions
and the PermataTabungan AirAsia / AirAsia Debit Card and AirAsia Platinum Credit Card’s
Fees and Charges
of PermataBank.
I hereby
"declare"
that I am not a citizen and/or resident of the United States or a member of state of group 20 (G20) for the tax purposes.
I hereby agree to receive marketing materials, communications and information, promotional offers, newsletters, and any other communications on related products and services from AirAsia Berhad and its related corporations, affiliates, subsidiaries and associates.
Before clicking "Next" button, please check the information you have entered is correct before moving to the next page.
OTP will be sent to this number:
Please ensure that the number you entered is correct. If not, please enter the correct number.