FinTech Association - Membership Registration Form
Welcome to the Indonesian FinTech Association Membership Registration Form. We welcome all fintech startups to join. Our annual membership fee is set at Rp.10 million per annum.

If you are a bank, a telco, an insurance company, a securities & asset management firm, a multifinance (perusahaan pembiayaan), or a consulting firm please contact adilla@fintech.id for further information regarding partnership scheme.

If you agree to register, we will submit your application to an an external third-party management consultant, whose task is to assess if the applicant falls into, and therefore can be considered as, a "financial technology" company. While anyone can be part of our community, we have been asked to consider the "fintech-ness" of our members. Feel free to send any question to info@fintech.id for further details.

Examples of how our assessment works:
1) Website designer for a bank/financial institution (NO)
2) Google (NO)
3) Google Pay (YES)
4) IT outsourcing service provider for banks (NO)
5) P2P lending company (YES)

What is the name of your company? (note: only a legally registered entity in Indonesia can apply for membership) *
Your answer
What is your website address? *
Your answer
Please provide a brief description (elevator pitch) of your business! *
Your answer
Please provide the name of your CEO! *
Your answer
Please provide the email address of your CEO! *
Your answer
Please provide the link to your CEO's Linkedin profile! *
Your answer
Please provide the mailing address of your company! *
Your answer
Please provide the name of your PIC to be assigned to the Association! *
Your answer
Please provide the email address of the PIC! *
Your answer
Please provide the telephone number of the PIC! *
Your answer
Please provide the name of your Marcomm team! *
Your answer
Please provide the email address of the Marcomm team! *
Your answer
Does your solution fit into one or more of the technology trends described below? *
Required
Does your solution play in any of the following customer segments? *
Required
Within the customer segments, what financial product category does your solution fall under? *
Required
What is your value-add to the financial ecosystem? *
Required
Are you holding any government license at this moment? *
If yes, what is the name of your license?
Your answer
If no, why?
Do you consider yourself comply with data center requirements pursuant to Kominfo regulations? *
Where do you process your payments-related activities? *
Does your solution provide sufficient and adequate data security? *
If yes, what data security standards do you currently follow?
Your answer
If you provide lending service, do you do balance-sheet origination?
Please state any international standards you currently follow!
Your answer
What are the area of regulations you wish to advocate by joining the Association?
If you have to choose one, which government institutions you wish to focus your advocacy on? *
Please provide us with a link to your company presentation, stored in any public cloud service (Google Drive, Dropbox, Slideshare, etc). Please make sure that your presentation contains at least your basic business and revenue model *
Your answer
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