Reseller Registration

Full name (as on ID card) *

ID card number (NIK) *

Place of birth *

Date of birth *

Gender

Male

Female

Full address *

City / Regency *

Province *

Postal code

Mobile / WhatsApp number *

Current occupation

NPWP tax ID (if any)

Applicant status *

Individual

Business entity (CV / PT / UD)

Business / company name

Line of business

IT / software consultant

Accounting / tax services

Computer / POS store

Business address

Years in business

Less than 1 year

1–3 years

More than 3 years

Number of employees

NIB / business license (if any)

Business website / social media

Have you ever sold or used accounting / POS software? *

Yes

Not yet

If yes, which software?

Have you used Acosys before?

Yes

Not yet

How did you hear about the Acosys reseller program?

Social media

Website

Friends / colleagues

Planned marketing area *

Target customers *

Retail

Café / restaurant (F&B)

Distribution

Estimated number of prospective clients per month

Planned marketing methods

Direct visits

Online / social media

Network / connections

Ability to provide training / installation for clients

Yes, already capable

Need training from Acosys

Why do you want to become an Acosys reseller? *

Bank name *

Account number *

Account holder name *

Bank branch

Upload Photo *

Max. 5 MB. JPG, PNG, WebP, GIF, PDF, DOCX, XLSX.

Upload a photo of yourself

Upload your ID card

Max. 5 MB. JPG, PNG, WebP, GIF, PDF, DOCX, XLSX.

Upload your ID card

Applicant declaration *

I declare that all the information I have provided is true and accountable.

I agree to follow the terms, conditions, and commission scheme of the PT Acosys Global Data reseller program.

I agree to protect the reputation of Acosys products and not give misleading information to prospective customers.

I understand that my registration may be rejected or cancelled if the information provided is not true.

Type your full name as a sign of agreement *