Appendix to Regulation of the Head of the Commodity Futures Trading Regulatory Agency Number 05/BAPPEBTI/PER-SRG/7/2007

APPENDIX TO THE REGULATION OF THE HEAD OF THE COMMODITY FUTURES TRADING REGULATORY AGENCY
NUMBER: 05/BAPPEBTI/PER-SRG/7/2007
DATE: 11 JULY 2007

I. APPLICATION DOCUMENTS FOR APPROVAL AS A REGISTRATION CENTER

1. FORM MODEL NUMBER SRG-PR01: Application for Approval as a Registration Center
2. FORM MODEL NUMBER SRG-PR02: Minutes of Examination of Physical Facilities and Infrastructure of the Registration Center
3. FORM MODEL NUMBER SRG-PR03: Approval as a Registration Center
4. FORM MODEL NUMBER SRG-PR04: Rejection of Application for Approval as a Registration Center

II. DOCUMENTS FOR REPORTING CHANGES IN NAME AND/OR ADDRESS, AND MANAGEMENT OF THE REGISTRATION CENTER

1. FORM MODEL NUMBER SRG-PR05: Report on Change of Name and/or Address of the Registration Center
2. FORM MODEL NUMBER SRG-PR06: Report on Plan for Change of Management of the Registration Center
3. FORM MODEL NUMBER SRG-PR07: Approval of Plan for Change of Management of the Registration Center
4. FORM MODEL NUMBER SRG-PR08: Rejection of Plan for Change of Management of the Registration Center
5. FORM MODEL NUMBER SRG-PR09: Report on Change of Management of the Registration Center

HEAD OF THE COMMODITY FUTURES TRADING REGULATORY AGENCY, TITI HENDRAWATI

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

FORM MODEL NUMBER: SRG-PR01
Number: ............... , ...........................20....
Attachment:
Subject: Application for Approval as a Registration Center

……………………………………
To:
The Head of the Commodity Futures Trading Regulatory Agency in - J A K A R T A

Hereby, we, the undersigned, as the Board of Directors of Registration Center ……….…………… acting on behalf of the Limited Liability Company ………………...................., submit an application to obtain Approval as a Registration Center.

As consideration materials, we attach the following supporting documents:

1. List of Completeness of Documents for the Application for Approval as a Registration Center (Appendix 1 from Form Model Number SRG-PR01);
2. Application Form for Approval as a Registration Center (Appendix 2 from Form Model Number SRG-PR01);
3. Integrity Questionnaire for Management of the Registration Center (Appendix 3 from Form Model Number SRG-PR01);
4. Statement Letter (Appendix 4 from Form Model Number SRG-PR01).

Thus, we submit this application, and we thank you for your attention.

Applicant,
(Clear Name)
.........................................
(Position)

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

Appendix 1 from Form Model Number: SRG-PR01
LIST OF DOCUMENT COMPLETENESS FOR THE APPLICATION FOR APPROVAL AS A REGISTRATION CENTER

No. Document Yes No

1. Photocopy of the company deed of establishment along with all amendments that have been ratified by the Minister of Law and Human Rights;
2. Photocopy of the Company Taxpayer Identification Number (NPWP);
3. Photocopy of the Business License (SIUP);
4. Photocopy of the Company Registration Certificate (TDP);
5. Company profile containing status, business description, legal basis, equity, address, board of directors, services provided, vision and mission, number of employees;
6. 3 (three) year business plan including organizational structure, work procedures, information and communication technology facilities, and internal supervision system;
7. Latest audited financial statements of the Limited Liability Company by a Public Accountant, along with information on authorized capital and proof of paid-up capital;
8. Draft Standard Operating Procedures for the Registration Center;
9. List of names and data of the Board of Commissioners and Board of Directors including:
   a. Curriculum vitae; b. Photocopy of the highest formal education diploma;
   c. Photocopy of ID Card/Passport; and
   d. 2 (two) sheets of latest color passport photos size 4 x 6 cm.
10. Statement of readiness of hardware and software for the Registration Center supported by results of examination or audit by a competent third party.

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

Appendix 2 from Form Model Number: SRG-PR01
APPLICATION FORM FOR APPROVAL AS A REGISTRATION CENTER

1. Name of Applicant: .................................................................
2. Identity Number: .................................................................
   (ID Card/Passport)*)
3. Position of Applicant: .................................................................
4. Address of Applicant: .................................................................
   ................................................................
   (Street Name & Number)
   ..................................... - 
   (City & Postal Code)
5. Company Name: .................................................................
6. Taxpayer Identification Number: .................................................................
7. Capital:
   a. Authorized Capital: .................................................................
   b. Paid-up Capital: .................................................................
8. Company Address: .................................................................
   .................................................................
   (Street Name & Number)
   ..................................... - 
   (City & Postal Code)
9. Telephone Number, e-mail, and Fax: .................................................................
   ............................., 20...........
   Applicant,
   (Clear Name)
   .............................................
   (Position)
   *) Choose one

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

Appendix 3 from Form Model Number: SRG-PR01
INTEGRITY QUESTIONNAIRE FOR MANAGEMENT OF THE REGISTRATION CENTER

I. INSTRUCTIONS FOR ANSWERING QUESTIONS

1. All questions must be answered by the Applicant.
2. Signed by the Board of Directors of the Registration Center on stamped paper.
3. Place an X in the answer box provided according to your choice.
   (For every "Yes" answer, the Applicant is required to provide detailed and clear explanations)

II. INTEGRITY OF MANAGEMENT OF THE REGISTRATION CENTER
Answer the following questions:
Is the company controlled, directly or indirectly, by an individual who:

1. Has been warned or had their license revoked by the competent authority?
   Yes No
2. Has ever been sentenced for proven criminal acts in the economic field, including trade, industry, agriculture, banking, insurance, capital market, futures trading, or taxation?
   Yes No
3. Has been declared bankrupt or served as a Director or Commissioner of a Limited Liability Company that was declared bankrupt due to their fault?
   Yes No
4. Is currently under examination or trial for suspected criminal acts in the economic field, including trade, industry, or agriculture, or in the financial field, including banking, insurance, capital market, futures trading, or taxation?
   Yes No

............................., 20...........
Board of Directors of the Registration Center, Stamp
.............................................
(Clear Name)

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

Appendix 4 from Form Model Number: SRG-PR01
STATEMENT LETTER

We, the undersigned:

1. Name: ........................................................................
   Identity Number:……………………………………………
   (ID Card/Passport)*)
   NPWP: …………………………………………….
   Position: Chief Executive Director
   Full Address: .....................................................................
   (Street Name & Number)
   ................................... -
   (City & Postal Code)
2. Name: ........................................................................
   Identity Number:……………………………………………
   (ID Card/Passport)*)
   NPWP:……………………………………………..
   Position: Director ..........................................................
   Full Address: .....................................................................
   (Street Name & Number)
   ................................... -
   (City & Postal Code)

Based on the Company's Articles of Association, acting on behalf of PT ..... located in .... with headquarters address at ...., hereby state truthfully that the Company will take full financial responsibility for all actions taken by permanent and/or non-permanent employees working at the relevant company, provided that such actions are in accordance with their duties and functions in the implementation of activities as a Registration Center.

This statement is made truthfully to be used as appropriate.

......................, .............................20..
Board of Directors of PT. ........................, 1.
Stamp
(Clear Name)
.............................................
Chief Executive Director of PT. .............
2.
Stamp
(Clear Name)
.............................................
Director of PT. .....................
*) Choose one

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

FORM MODEL NUMBER: SRG-PR02
MINUTES OF EXAMINATION OF PHYSICAL FACILITIES AND INFRASTRUCTURE OF THE REGISTRATION CENTER

The undersigned:

1. Name: ..…………………………………………………………………….….
   NIP: ..…………………………………………………………………….….
   Position: ..…………………………………………………………………….….
2. Name: …………………………………………………………………….…….
   NIP: .……………………………….………………………………………….
   Position: ……………………………….………………………………………….
3. Name: …………………….…………………………………………………….
   NIP: ……………………………….………………………………………….
   Position: ………………………………………….……………………………….

In accordance with the duty letter from the Head of the Commodity Futures Trading Regulatory Agency Number ……………. dated ….……..., we have conducted an examination of the facilities and infrastructure owned by PT. …………………………… to conduct activities as a Registration Center, with details of company completeness as attached.

Thus, this Minutes of Examination is made truthfully to be used as appropriate.

...............……., ………….…20 …...
Physical Facilities and Infrastructure Examination Team The Examined Party:
…………………………… 1. ……………………………….
Company Stamp
( ………………………….) 2. ……………………………….
Position
3. ……………………………….

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

Appendix from Form Model Number: SRG-PR02
LIST OF REGISTRATION CENTER COMPLETENESS

I. Name of Registration Center: .....................................................................
Full Address: .....................................................................
.....................................................................
(Street Name & Number)
................................... -
(City & Postal Code)

II. List of Shareholders

1. List of names of individual shareholders
   No. Full Name Address NPWP Amount (%)

2. List of corporate shareholders
   No. Company Name Address NPWP Amount (%)

III. List of Directors
No. Full Name Position Address NPWP

IV. List of Commissioners
No. Full Name Position Address NPWP

V. List of Company Facilities and Infrastructure
No. Type of Infrastructure and Facilities Description Remarks

1. Organizational structure and list of employees related to Warehouse Receipt System bookkeeping
2. Internal Supervision System
3. Complaint Service
4. Office rooms and equipment
5. Operational rooms
6. Work rooms and equipment
7. Organizational Structure and Human Resources
8. Information System (hardware,

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

software, and network)
9. Operational support facilities (telecommunications, backup power supply, UPS/stabilizer, etc.)
10. Document recording and storage system
11. Standard Operating Procedures

......................, ......................20....
Board of Directors of the Registration Center,

.............................................
(Clear Name)

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

FORM MODEL NUMBER: SRG-PR03
DECISION
OF THE HEAD OF THE COMMODITY FUTURES TRADING REGULATORY AGENCY NUMBER ……………………………………….. REGARDING APPROVAL AS A REGISTRATION CENTER TO …………………………….

HEAD OF THE COMMODITY FUTURES TRADING REGULATORY AGENCY, Reading: Letter Number ………… dated ………………. regarding .................. submitted by PT. ..................;

Considering: That your application has met the requirements and based on that, it can be considered to be granted Approval as a Registration Center;

Recalling: 1. Law Number 32 of 1997 concerning Commodity Futures Trading (State Gazette of the Republic of Indonesia Year 1997 Number 93, Supplement to the State Gazette of the Republic of Indonesia Number 3720);
2. Law Number 9 of 2006 concerning the Warehouse Receipt System (State Gazette of the Republic of Indonesia Year 2006 Number 59, Supplement to the State Gazette of the Republic of Indonesia Number 4630);
3. Government Regulation Number 36 of 2007 concerning the Implementation of Law Number 9 of 2006 concerning the Warehouse Receipt System (State Gazette of the Republic of Indonesia Year 2007 Number 79, Supplement to the State Gazette of the Republic of Indonesia Number 4735);
4. Presidential Decree of the Republic of Indonesia Number 34/M of 2005 concerning the Appointment of Level I Officials in the Trade Department Environment;
5. Regulation of the Head of the Commodity Futures Trading Regulatory Agency Number 05/BAPPEBTI/PER-SRG/07/2007 concerning Requirements and Procedures for Obtaining Approval as a Registration Center;

DECIDES:
Establishing: DECISION OF THE HEAD OF THE COMMODITY FUTURES TRADING REGULATORY AGENCY REGARDING THE GRANTING OF APPROVAL AS A REGISTRATION CENTER TO …………………………….

Article 1
Granting Approval as a Registration Center to ................... with headquarters address at .........……

Article 2
This approval is valid as long as the concerned party is still actively carrying out activities in accordance with its functions as referred to in Article 1.

Article 3
This Decision of the Head of the Commodity Futures Trading Regulatory Agency takes effect from the date of establishment.

Established in Jakarta
On the date

HEAD OF THE COMMODITY FUTURES TRADING REGULATORY AGENCY, …………………………….

Copy to:

1. Minister of Trade of the Republic of Indonesia;
2. Secretary General of the Trade Department;
3. Inspector General of the Trade Department;
4. Director General of Domestic Trade;
5. Director General of Foreign Trade;
6. Level II Officials in the Bappebti environment;
7. Board of Directors of the Futures Exchange;
8. Head of the Local Trade Office;
9. For record.

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

FORM MODEL NUMBER: SRG-PR04
Number: Jakarta, ...........................20....
Attachment: ---
Subject: Rejection of Application for Approval as a Registration Center

To:
……………………. in -
...............................

Referring to your Letter Number: ...................... dated ........................... regarding ..................................., after conducting research and assessment of the submitted requirement documents, Bappebti conveys rejection of your application because it does not meet the following requirements:

1. .............................................................................................................
2. .............................................................................................................
3. .............................................................................................................

Thus, please be informed.

HEAD OF THE COMMODITY FUTURES TRADING REGULATORY AGENCY,
.........................................

Copy to:

1. Minister of Trade of the Republic of Indonesia;
2. Secretary General of the Trade Department;
3. Inspector General of the Trade Department;
4. Director General of Domestic Trade;
5. Director General of Foreign Trade;
6. Level II Officials in the Bappebti environment;
7. Head of the Local Trade Office;
8. For record.

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

FORM MODEL NUMBER: SRG-PR05
Number: Jakarta, ...........................20.....
Attachment:
Subject: Report on Change of Name and/or Address *) of Registration Center
..............................................................

To:
The Head of the Commodity Futures Trading Regulatory Agency in - Jakarta

Hereby, we, the undersigned, acting on behalf of the Limited Liability Company ....................., submit a report on the change of Name and/or Address *) of the Registration Center.

As consideration materials, we attach the following supporting documents:

1. List of Completeness of Documents for the Report on Change of Name and/or Address *) of the Registration Center (Appendix 1 from Form Model Number SRG-PR05);
2. Application Form for the Report on Change of Name and/or Address *) of the Registration Center (Appendix 2 from Form Model Number SRG-PR05);
3. Integrity Questionnaire for Management of the Registration Center for the Change of Name and/or Address of the Registration Center (Appendix 3 from Form Model Number SRG-PR05);
4. Statement Letter (Appendix 4 from Form Model Number SRG-PR05); and
5. List of Registration Center Completeness for the Report on Change of Name and/or Address of the Registration Center (Appendix 5 from Form Model Number SRG-PR05).

Thus, we submit this application, and we thank you for your attention.

Reporter,
(Clear Name)
.........................................
(Position)

*) Choose one

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

Appendix 1 from Form Model Number: SRG-PR05
LIST OF ATTACHMENTS FOR DOCUMENT COMPLETENESS FOR THE REPORT ON CHANGE OF NAME AND/OR ADDRESS *) OF THE REGISTRATION CENTER

No. Document Yes No

1. Photocopy of the company deed of establishment along with all amendments that have been ratified by the competent official;
2. Photocopy of the Company Taxpayer Identification Number (NPWP);
3. Photocopy of the Business License (SIUP);
4. Photocopy of the Company Registration Certificate (TDP);
5. Company profile containing status, business description, legal basis, equity, address, board of directors, services provided, vision and mission, number of employees;
6. 3 (three) year business plan including organizational structure, work procedures, information and communication technology facilities, and internal supervision system;
7. Latest audited financial statements of the Limited Liability Company by a Public Accountant, along with information on authorized capital and proof of paid-up capital;
8. Draft Standard Operating Procedures for the Registration Center;
9. List of names and data of the Board of Commissioners and Board of Directors including:
   a. Curriculum vitae; b. Photocopy of the highest formal education diploma;
   c. Photocopy of ID Card/Passport; and
   d. 2 (two) sheets of latest color passport photos size 4 x 6 cm.
10. Statement of readiness of hardware and software for the Registration Center supported by results of examination or audit by a competent third party.

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

Appendix 2 from Form Model Number: SRG-PR05
APPLICATION FORM FOR THE REPORT ON CHANGE OF NAME AND/OR ADDRESS *) OF THE REGISTRATION CENTER

1. Name of Reporter: .................................................................
2. Identity Number: ..............................................................
   (ID Card/Passport)*)
3. Position of Reporter: .................................................................
4. Address of Reporter: .................................................................
   .................................................................
   (Street Name & Number)
   ..................................... - 
   (City & Postal Code)
5. Company Name: .................................................................
6. Taxpayer Identification Number: .................................................................
7. Capital:
   a. Authorized Capital: .................................................................
   b. Paid-up Capital: .................................................................
8. Company Address: .................................................................
   .................................................................
   (Street Name & Number)
   ..................................... - 
   (City & Postal Code)
9. Telephone Number, e-mail, and Fax: .................................................................
   ......................, .......................20.....
   Reporter,
   (Clear Name)
   .................................................
   (Position)
   *) Choose one

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

Appendix 3 from Form Model Number: SRG-PR05
INTEGRITY QUESTIONNAIRE FOR MANAGEMENT OF THE REGISTRATION CENTER FOR THE CHANGE OF NAME AND/OR ADDRESS *) OF THE REGISTRATION CENTER

I. INSTRUCTIONS FOR ANSWERING QUESTIONS

1. All questions must be answered by the Applicant.
2. Signed by the Board of Directors of the Registration Center on stamped paper.
3. Place an X in the answer box provided according to your choice.
   (For every "Yes" answer, the Applicant is required to provide detailed and clear explanations)

II. INTEGRITY OF MANAGEMENT OF THE REGISTRATION CENTER
Answer the following questions:
Is the company controlled, directly or indirectly, by an individual who:

1. Has been warned or had their license revoked by the competent authority?
   Yes No
2. Has ever been sentenced for proven criminal acts in the economic field, including trade, industry, agriculture, banking, insurance, capital market, futures trading, or taxation?
   Yes No
3. Has been declared bankrupt or served as a Director or Commissioner of a Limited Liability Company that was declared bankrupt due to their fault?
   Yes No
4. Is currently under examination or trial for suspected criminal acts in the economic field, including trade, industry, or agriculture, or in the financial field, including banking, insurance, capital market, futures trading, or taxation?
   Yes No

............................., 20...........
Board of Directors of the Registration Center, Stamp
.............................................
(Clear Name)

APPENDIX to the Regulation of the Head of the Commodity Futures Trading Regulatory Agency
Number: 05/BAPPEBTI/PER-SRG/7/2007
Date: 11 July 2007

Appendix 4 from Form Model Number: SRG-PR05
STATEMENT LETTER

We, the undersigned: