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The Third Party Credit Card Authorization Form is essential in situations where a credit card holder needs to delegate payment authority to another individual or entity while maintaining control and security over their financial resources. This document, governed by Indonesian law and banking regulations, is commonly used in various scenarios such as business expenses, family care arrangements, or recurring payment authorizations. The form includes crucial elements such as cardholder and authorized party details, transaction limits, validity period, and specific usage parameters. It ensures compliance with Indonesian financial regulations, particularly Bank Indonesia's payment card operations rules and data protection requirements, while providing a clear audit trail for all parties involved. The document serves as both a security measure and a legal record of the authorization granted.

1. Form Title and Date: Clear identification of the document as a Third Party Credit Card Authorization Form with date of completion

2. Card Holder Information: Full legal name, contact details, and address of the credit card owner

3. Authorized Party Information: Full legal name, contact details, and address of the person/entity being authorized to use the card

4. Credit Card Information: Partial credit card details (last 4 digits only), card type, expiration date, and issuing bank

5. Authorization Scope: Clear description of the authorized usage, including any transaction limits and permitted types of transactions

6. Authorization Period: Specific duration or validity period of the authorization

7. Security and Privacy Statement: Statement regarding the protection and handling of card information in compliance with Indonesian data protection laws

8. Declaration and Consent: Explicit statement of authorization and acknowledgment of terms by the card holder

9. Signature Block: Space for signatures of card holder, authorized party, and witness if required