The Credit Card Payment Authorization Form serves as a crucial document for businesses operating in Indonesia that need to process credit card payments from their customers. This form is essential for establishing a legal payment arrangement between merchants and cardholders, particularly for recurring transactions or standing authorizations. It must comply with Bank Indonesia Regulation No. 23/6/PBI/2021 on Payment Service Providers, the Personal Data Protection Law of 2022, and other relevant financial regulations. The document ensures proper authorization for payment processing while protecting both the merchant's interests and the cardholder's rights under Indonesian law. It includes essential elements such as payment details, processing terms, data protection provisions, and authorization declarations.
Your data doesn't train Genie's AI
You keep IP ownership of your information
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
OR
Let Ƶ's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.
1. Authorization Details: Card holder's name, billing address, and explicit authorization statement for recurring/one-time charges
2. Payment Information: Credit card details including card type, number (last 4 digits only), expiration date, and security code requirements
3. Transaction Details: Specification of payment amount, frequency (if recurring), and purpose of the authorized charges
4. Terms and Conditions: Standard terms including cancellation policy, processing timeframes, and applicable fees in compliance with BI regulations
5. Data Privacy Statement: Declaration of how cardholder data will be stored and protected in accordance with Indonesian PDP Law
6. Authorization Declaration: Final statement confirming the cardholder's agreement to the charges and terms, with space for signature
1. International Transaction Notice: Required when the merchant processes transactions internationally, including applicable foreign exchange fees and processes
2. Multiple Card Authorization: Optional section for authorizing multiple cards as backup payment methods
3. Special Instructions: Section for any specific processing instructions or custom payment arrangements
4. Corporate Authorization: Additional section required when the card is corporate-issued, including company details and authorized signatory information
1. Schedule A - Payment Schedule: Detailed breakdown of payment dates and amounts for recurring payments
2. Schedule B - Fee Schedule: Comprehensive list of all applicable fees and charges
3. Appendix 1 - Cancellation Form: Standard form for cancelling the payment authorization
4. Appendix 2 - Change Request Form: Form for requesting changes to the authorization details or payment schedule
Relevant legal definitions
Clauses
Relevant Industries
Retail
E-commerce
Subscription Services
Financial Services
Healthcare
Education
Insurance
Telecommunications
Utilities
Professional Services
Travel and Hospitality
Software and Technology
Relevant Teams
Finance
Accounts Receivable
Legal
Compliance
Customer Service
Sales Operations
Payment Operations
Risk Management
Treasury
Business Development
Relevant Roles
Finance Manager
Accounts Receivable Specialist
Billing Coordinator
Compliance Officer
Payment Operations Manager
Customer Service Manager
Sales Operations Manager
E-commerce Manager
Business Development Manager
Legal Counsel
Risk Manager
Treasury Manager
Find the exact document you need
Client Authorisation
An Indonesian law-governed document that establishes and defines the scope of authority granted by a client to their appointed representative, requiring compliance with local legal requirements including language and notarization.
Download
Post Office Authorisation Form
An Indonesian legal document authorizing representatives to conduct postal transactions on behalf of individuals or organizations under Indonesian postal regulations.
Download
Authorization Note
An Indonesian law-compliant document that formally delegates specific powers from a principal to an agent, typically requiring notarization and Indonesian language usage.
Download
Authorization For Credit Card Use
An Indonesian law-compliant agreement authorizing designated individuals to use a credit card under specified terms and conditions.
Download
Authorisation Letter On Behalf
An Indonesian law-governed document that formally delegates specific powers from an authorizer to an authorized person, enabling them to act on the authorizer's behalf.
Download
Request For Authorization Letter
An Indonesian legal document that formally delegates specific powers from an authorizer to an authorized representative, compliant with Indonesian Civil Code requirements.
Download
Legal Authorization Letter
An Indonesian-law compliant document that formally delegates specific legal powers from a principal to an appointed representative, requiring proper notarization and stamp duty.
Download
Authorization Letter For Senior Citizen To Claim Money
An Indonesian legal document authorizing a representative to claim money on behalf of a senior citizen, compliant with Indonesian Civil Code and elderly protection laws.
Download
Authorization Letter To Collect Money
An Indonesian legal document authorizing a designated person to collect money on behalf of another party, compliant with Indonesian civil law and financial regulations.
Download
Authorization Letter To Withdraw Money
An Indonesian legal document authorizing a designated person to withdraw funds from another's bank account, compliant with Indonesian banking regulations and civil code requirements.
Download
Authorization Letter To Collect Cheque Book
An Indonesian law-compliant authorization letter enabling a designated person to collect a cheque book from a bank on behalf of the account holder.
Download
Authorization Letter In Claiming Money
An Indonesian legal document authorizing a designated person to claim or collect money on behalf of another party, compliant with Indonesian banking and civil law requirements.
Download
Authorization Letter For Claiming Financial Assistance
An Indonesian law-compliant authorization letter enabling a designated person to claim financial assistance on behalf of another individual.
Download
Authorization Letter To Claim Cash Assistance
An Indonesian legal document authorizing a designated person to collect cash assistance or social benefits on behalf of an entitled beneficiary, compliant with Indonesian civil law requirements.
Download
Authorization Letter For Claiming Salary
An Indonesian legal document authorizing a designated person to collect salary on behalf of an employee, compliant with Indonesian Civil Code and labor laws.
Download
Eft Agreement
An Indonesian law-governed Electronic Funds Transfer Agreement establishing terms for electronic payment services and compliance with local banking regulations.
Download
Authorization Letter To Claim Scholarship Allowance
An Indonesian legal document authorizing a designated person to collect scholarship allowances on behalf of the recipient, complying with local civil law and educational institution requirements.
Download
Release Authorization
An Indonesian law-compliant document that formally authorizes the release, access, or use of specific information or materials between designated parties.
Download
Passport Parent Consent Form
An Indonesian legal document providing parental authorization for a minor's passport application, complying with Indonesian immigration law and regulations.
Download
Authorization Letter To Pick Up Parcel
An Indonesian legal document authorizing a designated person to collect a parcel on behalf of the rightful recipient, governed by Indonesian postal regulations and civil law.
Download
Approval Permission Letter To Conduct Research
An official Indonesian government document granting authorization to conduct research activities within Indonesia, subject to specified conditions and timeframes.
Download
Authorization Agreement
An Indonesian law-governed agreement establishing an agency relationship between principal and agent, defining authorized powers and responsibilities.
Download
Authorization Letter To Claim Cheque
An Indonesian legal document authorizing a designated person to collect and cash a cheque on behalf of the principal, in compliance with Indonesian banking regulations.
Download
Consent To Treat Minor Without Parent
An Indonesian legal document authorizing healthcare providers to treat a minor patient without parental presence, in compliance with Indonesian Health Law and Child Protection regulations.
Download
To Whom It May Concern Authorization Letter
An Indonesian law-compliant authorization letter granting specific powers from one party to another, with proper authentication and stamp duty requirements.
Download
Consent To Disclosure Of Information
An Indonesian law-compliant document authorizing the disclosure of personal or confidential information under the 2022 PDP Law framework.
Download
Consent Authorization
An Indonesian law-compliant authorization document for personal data processing under PDP Law requirements.
Download
Authorization Letter For Embassy
An Indonesian-law governed authorization letter that enables a designated person to conduct embassy-related matters on behalf of the authorizer.
Download
Authorization Letter For Cheque
An Indonesian legal document authorizing a designated person to handle specific cheque transactions on behalf of an account holder, compliant with Indonesian banking regulations.
Download
Authorisation Letter For Passport Collection
An Indonesian legal document authorizing a designated person to collect a passport on behalf of the applicant, compliant with Indonesian immigration laws.
Download
Letter To Bank For Change In Authorised Person
An official letter used in Indonesia to inform banks about and request changes to authorized account signatories, complying with Indonesian banking regulations.
Download
Authorised Signatory Letter
An Indonesian law-compliant document authorizing specific individuals to sign documents and conduct transactions on behalf of a company.
Download
Authorisation Letter To Collect Certificate
An Indonesian legal document authorizing a designated person to collect certificates or important documents on behalf of another individual, compliant with Indonesian civil law requirements.
Download
Authorisation Letter For Collection
An Indonesian legal document authorizing a designated party to collect specific items, documents, or money on behalf of the authorizer.
Download
Authorization Letter To Represent On Behalf
An Indonesian legal document authorizing a representative to act on behalf of an individual or entity, compliant with Indonesian Civil Code requirements.
Download
ACH Form
An Indonesian ACH Form enabling regulated electronic fund transfers within Indonesia's banking system, compliant with Bank Indonesia regulations.
Download
Authorization Letter To Deposit Check To My Account
An Indonesian legal document authorizing a specific individual to deposit a check into the account holder's bank account, compliant with Indonesian banking regulations.
Download
Authorization Letter To Act On My Behalf
An Indonesian legal document that authorizes a designated person to act on behalf of another, governed by Indonesian Civil Code and local regulations.
Download
Authorization Letter For Claiming ATM Card
An Indonesian banking document authorizing a designated person to collect an ATM card on behalf of the card owner, in compliance with Indonesian banking regulations.
Download
Authorization Letter To Get Money
An Indonesian legal document authorizing a designated person to collect or withdraw money on behalf of another party, governed by Indonesian civil law.
Download
ұԾ’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; ұԾ’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it
.png)