Circular Letter of the Financial Services Authority Number 25/SEOJK.05/2019 Concerning Monthly Reports of Venture Capital Companies and Sharia Venture Capital Companies

To:

The Board of Directors of Venture Capital Companies; and
The Board of Directors of Sharia Venture Capital Companies,
At their respective locations.

COPY

CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY NUMBER 25 /SEOJK.05/2019

CONCERNING
MONTHLY REPORTS OF VENTURE CAPITAL COMPANIES AND SHARIA VENTURE CAPITAL COMPANIES

In relation to the mandate of Article 2 paragraph (6), Article 4 paragraph (6), and Article 10 of the Financial Services Authority Regulation Number 3/POJK.05/2013 concerning Monthly Reports of Non-Bank Financial Service Institutions (State Gazette of the Republic of Indonesia Year 2013 Number 150, Additional State Gazette of the Republic of Indonesia Number 5443), it is necessary to regulate provisions regarding monthly reports for venture capital companies and Sharia venture capital companies in this Financial Services Authority Circular Letter as follows:

I. GENERAL PROVISIONS

Company means a venture capital company and a Sharia venture capital company.
Venture Capital Company means a business entity that conducts venture capital business activities, venture fund management, fee-based service activities, and other business activities with the approval of the Financial Services Authority.
Sharia Venture Capital Company means a business entity that conducts Sharia venture capital business activities, venture fund management, and other business activities with the approval of the Financial Services Authority, which are all implemented based on Sharia principles.
Monthly Report of the Company, hereinafter referred to as Monthly Report, is a financial report prepared by the Company for the needs of the Financial Services Authority, covering the period from the 1st date to the end of the relevant month, and presented and submitted to the Financial Services Authority according to the format and procedures determined by the Financial Services Authority.
Sharia Business Unit, hereinafter abbreviated as UUS, is a work unit of the head office of the Venture Capital Company that functions as the parent office of offices conducting Sharia venture capital business activities.
Board of Directors means the board of directors as referred to in Law Number 40 of 2007 concerning Limited Liability Companies for Venture Capital Companies or Sharia Venture Capital Companies in the form of a limited liability company or equivalent to the Board of Directors for Venture Capital Companies or Sharia Venture Capital Companies in the form of a cooperative legal entity or in the form of a limited partnership business entity.
Board of Commissioners means the board of commissioners as referred to in Law Number 40 of 2007 concerning Limited Liability Companies for Venture Capital Companies or Sharia Venture Capital Companies in the form of a limited liability company or equivalent to the Board of Commissioners for Venture Capital Companies or Sharia Venture Capital Companies in the form of a cooperative legal entity or in the form of a limited partnership business entity.

II. FORM, STRUCTURE, AND GUIDELINES FOR PREPARING MONTHLY REPORTS

Monthly Reports consist of:
a. balance sheet; b. comprehensive income statement;
c. cash flow statement;
d. asset and liability matching analysis report; and e. other reports.
In preparing Monthly Reports, the Company refers to the general explanation of Monthly Report preparation as contained in Appendix I, which is an integral part of this Financial Services Authority Circular Letter.
The form and structure of Monthly Reports:
a. for Venture Capital Companies are as contained in Appendix II, which is an integral part of this Financial Services Authority Circular Letter; and b. for Sharia Venture Capital Companies and UUS of Venture Capital Companies are as contained in Appendix III, which is an integral part of this Financial Services Authority Circular Letter.

III. TIME FOR SUBMISSION OF MONTHLY REPORTS

The Company is required to submit Monthly Reports to the Financial Services Authority no later than the 10th of the following month.
In the event that the 10th date as referred to in item 1 falls on a holiday, the Monthly Report must be submitted on the next working day.
In the event that the submission date of the Monthly Report as referred to in item 1 or item 2 falls on a national holiday or shared holiday, the Financial Services Authority has the authority to determine the due date for the submission of Monthly Reports.

IV. RESPONSIBLE BOARD OF DIRECTORS MEMBERS AND REPORT PREPARERS

The Company appoints a member of the Board of Directors responsible for the preparation and presentation of Monthly Reports.
The Board of Directors member as referred to in item 1 appoints report preparers to prepare, verify, and submit Monthly Reports.
The Company must report changes in the Board of Directors member as referred to in item 1 and/or report preparers as referred to in item 2 to the Financial Services Authority according to Format 1 as contained in Appendix IV, which is an integral part of this Financial Services Authority Circular Letter.

V. SUBMISSION PROCEDURES

In submitting Monthly Reports, the report preparer as referred to in item II.4.2 must have a user ID and password.
To obtain the user ID and password as referred to in item 1, the Board of Directors member must submit an application according to Format 2 as contained in Appendix IV, which is an integral part of this Financial Services Authority Circular Letter.
In the event that the Company makes changes to the report preparer as referred to in item II.4.3, the Company must submit an application to obtain and/or change the user ID and password as referred to in item 2 according to Format 3 as contained in Appendix IV, which is an integral part of this Financial Services Authority Circular Letter.
Submission of Monthly Reports is conducted online through the Financial Services Authority's data communication network system.
In the event of technical disturbances at the time of the Monthly Report submission deadline so that:
a. The Company cannot submit Monthly Reports online; and/or b. The Financial Services Authority cannot receive Monthly Reports online, then the Company is required to submit Monthly Reports offline no later than the next working day in the form of an electronic copy (soft file) accompanied by validation proof and sent to the Financial Services Authority via a letter signed by the Board of Directors and addressed to:
Financial Services Authority u.p. Director of Statistics and Information IKNB Wisma Mulia 2 Building, 11th Floor Jalan Jenderal Gatot Subroto Kav. 40, Jakarta, 12710
In the event of a change in the address of the Financial Services Authority as referred to in item 5, the Financial Services Authority will communicate the address change via letter or announcement.
Submission of Monthly Reports offline as referred to in item 5 can be done in one of the following ways:
a. handed in directly to the Financial Services Authority office; or b. sent via a courier service company, according to the address as referred to in item 5.
Submission of Monthly Reports offline is submitted to the Financial Services Authority on working days and during Financial Services Authority working hours.
The Company is deemed to have submitted Monthly Reports with the following provisions:
a. for online submission through the Financial Services Authority's data communication network system as referred to in item 4, evidenced by a receipt from the Financial Services Authority's data communication network system; or b. for offline submission as referred to in item 5, evidenced by a receipt from the Financial Services Authority.
Questions related to the submission of Monthly Reports can be directed to:
Financial Services Authority Helpdesk
Wisma Mulia 2 Building, 19th Floor
Jalan Jenderal Gatot Subroto Kav. 40, Jakarta, 12710 Telephone: 021-29600000 extension 7000 Email: helpdesk@ojk.go.id

VI. SANCTION PROVISIONS

Administrative sanctions in the form of a first written warning as regulated in Article 6 paragraph (3) of the Financial Services Authority Regulation Number 3/POJK.05/2013 concerning Monthly Reports of Non-Bank Financial Service Institutions are established with a compliance period for the submission of Monthly Reports of no more than 30 (thirty) calendar days from the establishment of the administrative sanction in the form of a first written warning.
If within the period as referred to in item 1 the obligation to submit Monthly Reports has not been fulfilled, the Financial Services Authority establishes administrative sanctions in the form of a second written warning as regulated in Article 6 paragraph (4) of the Financial Services Authority Regulation Number 3/POJK.05/2013 concerning Monthly Reports of Non-Bank Financial Service Institutions, with a compliance period for the submission of Monthly Reports of no more than 30 (thirty) calendar days from the establishment of the administrative sanction in the form of a second written warning.
If within the period as referred to in item 2 the obligation to submit Monthly Reports has not been fulfilled, the Financial Services Authority establishes administrative sanctions in the form of a third written warning as regulated in Article 6 paragraph (4) of the Financial Services Authority Regulation Number 3/POJK.05/2013 concerning Monthly Reports of Non-Bank Financial Service Institutions, with a compliance period for the submission of Monthly Reports of no more than 30 (thirty) calendar days from the establishment of the administrative sanction in the form of a third written warning.

VII. CLOSING

The Company's obligation to submit Monthly Reports according to the form, structure, and submission procedures regulated in this Financial Services Authority Circular Letter begins for the June 2020 reporting period, which is submitted with the submission time as referred to in Section III.
The Company must conduct a trial submission of Monthly Reports according to the form, structure, and submission procedures of Monthly Reports as regulated in this Financial Services Authority Circular Letter for the reporting period of March 2020 through the reporting period of May 2020.
With the implementation of this Financial Services Authority Circular Letter, the Financial Services Authority Circular Letter Number 8/SEOJK.05/2013 concerning Monthly Reports of Venture Capital Companies (State Gazette of the Republic of Indonesia Number 8 dated January 28, 2014) is revoked and declared invalid.

This copy is in accordance with the original
Director of Legal Affairs 1
Legal Department signed
Yuliana

This Financial Services Authority Circular Letter takes effect on June 1, 2020.

Established in Jakarta on December 4, 2019

EXECUTIVE HEAD OF INSURANCE, PENSION FUND,
LENDING INSTITUTION, AND
OTHER FINANCIAL SERVICE INSTITUTIONS SUPERVISOR FINANCIAL SERVICES AUTHORITY,

signed

RISWINANDI

APPENDIX I
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY NUMBER 25 /SEOJK.05/2019 CONCERNING MONTHLY REPORTS OF VENTURE CAPITAL COMPANIES AND SHARIA VENTURE CAPITAL COMPANIES

GENERAL EXPLANATION OF MONTHLY REPORT PREPARATION

A. General Explanation

Reporting Objectives
Monthly Reports prepared according to the system established in this Appendix are intended to collect and compile statistical data of the Company individually or collectively in order to:
a. regulate and supervise the Company; b. create statistics for the purpose of industry analysis of the Company; and
c. fulfill the Company's internal needs.
To achieve these objectives, the Company is required to submit reports correctly, completely, and within the established time limits.
Reporting Principles
The following principles are adopted in this reporting system:
a. Basis of preparation
The preparation of Monthly Reports is based on regulations established by the Financial Services Authority and Financial Accounting Standards (PSAK) as well as Interpretations of Financial Accounting Standards (ISAK). The Company's transaction accounting is carried out in accordance with the accounting standards applicable in Indonesia. b. Separation between balance sheet and administrative accounts All items that are assets, liabilities, and equity of the Company are reported in the balance sheet. Items that are still commitments and contingencies and other notes are reported in administrative accounts.
c. Separation of residents and non-residents
This reporting system adopts the principle of separating transactions conducted between the Company and residents and with non-residents.

Residents
Residents are individuals, bodies, institutions, and companies domiciled in Indonesia for more than one year and whose main activity (center of interest) involves consumption, production, and other economic transactions in Indonesia, including representations of the Republic of Indonesia abroad and their staff members with diplomatic status.
Non-residents
Non-residents are individuals, bodies, institutions, and companies not domiciled in Indonesia or domiciled in Indonesia for at most one year and whose main activity (center of interest) is not in Indonesia, including foreign representations in Indonesia and their staff members with diplomatic status.

Presentation of Foreign Currency Transactions
Financial reports must be presented in Rupiah. Assets, liabilities, equity, and administrative accounts in foreign currency, hereinafter referred to as foreign exchange, owned by the Company must be converted into Rupiah using the Bank Indonesia middle exchange rate applicable at the end of the reporting period. The middle exchange rate is the selling rate plus the buying rate divided by two.
Filling out Report Forms
Filling out report forms is done by automatically entering data in alphanumeric form using a data entry program, and all financial reports are presented in full Rupiah units unless otherwise stated in full foreign currency units, for example 123000000000.

B. GENERAL EXPLANATION OF DETAIL LIST COLUMNS

Currency Type
Currency type is the type of currency used in conducting transactions between the reporting Company and other parties. In the event that an agreed transaction uses foreign currency (as contained in the agreement deed) but its realization is in Rupiah, that transaction is treated as a foreign currency transaction.
Interest Rate/Margin/Profit Sharing/Return/Service Fee
Interest rate is the price level of a financing provided by the reporting Venture Capital Company. If multiple interest rates are given in one account, the column for interest rate is filled with the highest interest rate. For interest rate, two decimal places are used, for example, an interest rate of 12.5% is written as 12.50. For transaction types that do not involve interest, the interest rate column is left blank. Financing based on Sharia principles implemented by the reporting Sharia Venture Capital Company or the reporting Venture Capital Company that has a UUS uses the phrases margin, profit sharing, return, or service fee. Margin, profit sharing, return, or service fee is the value or percentage of income from financing conducted based on Sharia principles, with the following provisions:
a. if the activity is the purchase of sukuk or Sharia bonds converted and/or sukuk or Sharia bonds issued by business partners in the early start-up stage and/or business development, the reporting Sharia Venture Capital Company or the reporting Venture Capital Company that has a UUS uses the return option; b. if the financing activity is based on profit sharing principles, the reporting Sharia Venture Capital Company or the reporting Venture Capital Company that has a UUS uses the profit sharing option;
c. if the financing activity is a sale and purchase, the reporting Sharia Venture Capital Company or the reporting Venture Capital Company that has a UUS uses the margin option; or
d. if the activity is a service, the reporting Sharia Venture Capital Company or the reporting Venture Capital Company that has a UUS uses the service fee option. If multiple margins, profit sharing, returns, or service fees are given in one account, the value column is filled with the highest value. For margin, profit sharing, return, or service fee, two decimal places are used, for example, a margin, profit sharing, return, or service fee of 12.50% is written as 12.50. For transaction types that do not involve margin, profit sharing, return, or service fee, the value column is left blank. The value column is filled as follows:
a. if the profit sharing option is chosen, the value column is filled with the profit sharing percentage; b. if the return option is chosen, the value column is filled with the return percentage;
c. if the margin option is chosen, the value column is filled with the margin nominal; or
d. if the service fee option is chosen, the value column is filled with the service fee nominal.
Quality
Quality is the quality of the Company's participation or financing evaluated with criteria according to Financial Services Authority Regulations concerning the conduct of Venture Capital Company business, with quality classification as follows:
a. Quality 1 Smooth b. Quality 2 Special Attention
c. Quality 3 Less Smooth
d. Quality 4 Doubtful e. Quality 5 Non-Performing
Issuer/Interested Party Category
The issuer or interested party category is the category of third parties who issue and/or are responsible for the repayment of securities owned by the reporting Company.
Buyer Category
The buyer category is the category of third parties who purchase securities issued by the reporting Company. In the event that securities issued by the reporting Company are bearer securities, the buyer category is the party that first purchases the securities upon issuance.
Debtor Category
The debtor category is the category of parties receiving venture capital business facilities from the reporting Company or parties who have obligations to the reporting Company.
Creditor Category
The creditor category is the category of parties providing loan funds for venture capital business to the reporting Company.
Relationship with the Company
Relationship with the Company is the status of connection between the reporting Company and parties conducting transactions with the reporting Company. a. Related to the Company Parties related to the Company are:

individuals or business entities that are controllers of the Company;
business entities where the Company acts as a controller;
individuals or business entities that act as controllers of the business entity referred to in item 2);
business entities whose control is exercised by:
a) individuals and/or business entities as referred to in item 1); or b) individuals and/or business entities as referred to in item 3);
Board of Commissioners or Board of Directors of the Company;
parties having family relationships up to the second degree, both horizontally and vertically:
a) from individuals who are controllers of the Company as referred to in item 1); and/or b) from Board of Commissioners or Board of Directors at the Company as referred to in item 5);
board of commissioners or board of directors at business entities as referred to in items 1) through 4);
business entities whose board of commissioners or board of directors are:
a) Board of Commissioners or Board of Directors at the Company; or b) board of commissioners or board of directors at business entities as referred to in items 1) through 4);

This copy is in accordance with the original
Director of Legal Affairs 1
Legal Department signed
Yuliana

business entities where:
a) Board of Commissioners or Board of Directors of the Company as referred to in item 5) act as controllers; or b) board of commissioners or board of directors of parties as referred to in items 1) through 4) act as controllers; and
business entities that have financial interdependence with the Company and/or parties as referred to in items 1) through 9).
b. Not Related to the Company
Not related to the Company are parties that do not have connections with the reporting Company as referred to in letter a.

Time Period
Time period is the period agreed upon as contained in the agreement or contract. a. start date, namely the date, month, and year the agreement or contract begins. b. due date, namely the date, month, and year the agreement or contract ends.

Established in Jakarta on December 4, 2019

EXECUTIVE HEAD OF INSURANCE, PENSION FUND,
LENDING INSTITUTION, AND
OTHER FINANCIAL SERVICE INSTITUTIONS SUPERVISOR FINANCIAL SERVICES AUTHORITY, signed RISWINANDI

APPENDIX II
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY NUMBER 25 /SEOJK.05/2019 CONCERNING MONTHLY REPORTS OF VENTURE CAPITAL COMPANIES AND SHARIA VENTURE CAPITAL COMPANIES

TABLE OF CONTENTS

I. Venture Capital Company Profile Report, consisting of:
A. Form 0000 : Venture Capital Company Profile Information 3 B. Form 0010 : Business License Details 10
C. Form 0020 : Branch Office Details 11
D. Form 0030 : Shareholder and Second-Degree Shareholder Details E. Form 0035 : Management Details 18 F. Form 0036 : Related Party Details 21 G. Form 0041 : Workforce Details by Education Level H. Form 0043 : Workforce Details by Function 26
I. Form 0046 : Foreign Workforce Details 30
II. Venture Capital Company Financial Report, consisting of:
A. Form 1100 : Balance Sheet 32
B. Form 1110 : Administrative Account 53
C. Form 1200 : Income Statement and Other Comprehensive Income
D. Form 1300 : Cash Flow Statement 73
E. Form 2110 : Details of Share Participation in Business Partners F. Form 2120 : Details of Participation Through Conversion Bond Purchases G. Form 2130 : Details of Financing Through Purchase of Debt Securities Issued by Business Partners in the Early Start-up Stage and/or Business Development H. Form 2140 : Details of Productive Business Financing 101
I. Form 2200 : Details of Securities Owned 108
J. Form 2490 : Details of Other Assets 112
K. Form 2550 : Details of Received Loans/Funding 113
L. Form 2600 : Details of Securities Issued 119
M. Form 2790 : Details of Other Liabilities 124 N. Form 3010 : Details of Derivative Instruments for Hedging 126 Value O. Form 3020 : Details of Third-Party Financing Cooperation Disbursement P. Form 3030 : Venture Fund Assets and Liabilities Report 134 Q. Form 3031 : Venture Fund Income Statement 141 R. Form 3032 : Venture Fund Cash Flow Statement 146 S. Form 3033 : Venture Fund Portfolio - Summary 151 T. Form 3034 : Details of Venture Fund Unit Holders U. Form 5310 : Asset and Liability Matching Analysis Report

I. VENTURE CAPITAL COMPANY PROFILE REPORT
A. FORM 0000: VENTURE CAPITAL COMPANY PROFILE

FORM 0000 (VENTURE CAPITAL COMPANY PROFILE) FORMAT
Form 0000 (Venture Capital Company Profile) is prepared according to the following format:

COMPANY INFORMATION

Venture Capital Company Name/Alias/Acronym
Taxpayer Identification Number (NPWP)
Single Investor Identification (SID)
Venture Capital Company Ownership Status
Legal Entity/Business Form
Type of Sharia Business Activities Conducted
Venture Capital Company Status
Date of Establishment
Type of Business Activities Conducted

COMPANY ADDRESS
10) Full Address
11) District/City Location
12) Postal Code
13) Telephone Number
14) Office Building Ownership Status
15) Website Address
16) Electronic Mail Address (Email)

NUMBER OF SERVICE OFFICES
17) Number of Branch Offices

NUMBER OF WORKFORCE
18) Number of Workforce at Headquarters
19) Number of Workforce at Branch Offices

REPORT PREPARER AND RESPONSIBLE DIRECTORS
20) Report Preparer
a) Full Name b) Position c) Telephone Number d) Electronic Mail Address (Email)

Responsible Director Members
a) Full Name b) Position c) Telephone Number d) Electronic Mail Address (Email)

EXPLANATION OF FORM 0000 (VENTURE CAPITAL COMPANY PROFILE)
Form 0000 (Venture Capital Company Profile) contains all information regarding the profile of the reporting Venture Capital Company.

a. Company Information

Venture Capital Company Name/Alias/Acronym
This field is filled with the alias or acronym of the reporting Venture Capital Company, for example, Dina Ventura for Dina Persada Ventura, PT.
Taxpayer Identification Number (NPWP)
This field is filled with the NPWP of the reporting Venture Capital Company.
Single Investor Identification (SID)
This field is filled with the single investor identification number for the Indonesian capital market issued by the Indonesia Central Securities Depository.
Venture Capital Company Ownership Status
This field is filled with the ownership status of the reporting Venture Capital Company, namely:
a) State-Owned Company
This field is filled if the reporting Venture Capital Company is owned by the state, either through capital participation by the central government or capital participation by the regional government. b) National Private Company This field is filled if the reporting Venture Capital Company is not owned by the state and there is no participation, either directly or indirectly, by foreign parties. c) Joint Private Company This field is filled if there is participation, either directly or indirectly, by foreign parties in the reporting Venture Capital Company.
Legal Entity/Business Form
This field is filled with the legal entity/business form, namely:
a) Limited Liability Company (Perseroan Terbatas) b) Cooperative c) Limited Partnership (Perseroan Komanditer)
Type of Sharia Business Activities Conducted
This field is filled with the status of the type of Sharia business activities conducted, namely:
a) UUS (Sharia Business Unit)
UUS is a reporting Venture Capital Company that has a UUS. b) No Sharia Business Activities Conducted No Sharia business activities conducted means the reporting Venture Capital Company fully conducts venture capital business not based on Sharia principles.
Venture Capital Company Status
a) Closed/Limited
This field is filled with the limited company status, hereinafter referred to as a company, which is a legal entity that is a capital partnership, established based on an agreement, conducts business activities with basic capital entirely divided into shares, and meets the requirements set forth in Law Number 40 of 2007 concerning Limited Liability Companies and its implementing regulations. b) Open/Public This field is filled with the public company status, which is a public company or a company that conducts a public offering of shares, in accordance with capital market regulations.
Date of Establishment
This field is filled with the date, month, and year of establishment of the reporting Venture Capital Company.
Type of Business Activities Conducted
This field is filled with the type of business activities in accordance with the business license granted, namely:
a) Equity participation; b) Quasi-equity participation through the purchase of convertible bonds; c) Financing through the purchase of debt securities issued by business partners in the early start-up stage and/or business development; d) Productive business financing; e) Business activities based on Sharia principles; and/or f) Other business activities based on approval from the Financial Services Authority; and/or g) Fee-based service activities.

b. Company Address
9) Full Address
This field is filled with the full address in accordance with the domicile of the reporting Venture Capital Company's headquarters.

District/City Location
This field is filled with the district/city of the domicile of the reporting Venture Capital Company's headquarters.
Postal Code
This field is filled with the postal code number of the domicile of the reporting Venture Capital Company's headquarters.
Telephone Number
This field is filled with the telephone number of the reporting Venture Capital Company, preceded by the area code.
Office Building Ownership Status
This field is filled with the ownership status of the reporting Venture Capital Company's headquarters office building, namely:
a) Owned; b) Rented; or c) Other ownership status.
Website Address
This field is filled with the website address of the reporting Venture Capital Company.
Electronic Mail Address (Email)
This field is filled with the electronic mail (email) address of the reporting Venture Capital Company.

c. Number of Service Offices
16) Number of Branch Offices
This field is filled with the number of branch offices of the reporting Venture Capital Company.

The number of branch offices must be detailed in Form 0020 (Branch Office Details).

d. Number of Workforce
17) Number of Workforce at Headquarters
This field is filled with the number of workforce, including permanent, contract, and outsourcing staff, at the headquarters according to the gender column, and must be detailed in Form 0041 (Workforce Details by Education Level).

Number of Workforce at Branch Offices
This field is filled with the number of workforce, including permanent, contract, and outsourcing staff, at the branch offices according to the gender column, and must be detailed in Form 0041 (Workforce Details by Education Level).

e. Report Preparer and Responsible Directors
19) Report Preparer
This field is filled with the complete data of the reporting Venture Capital Company's personnel acting as the report preparer. a) Full Name This field is filled with the full name of the report preparer. b) Position This field is filled with the position of the report preparer. c) Telephone Number This field is filled with the telephone number of the report preparer. d) Electronic Mail Address (Email) This field is filled with the electronic mail (email) address of the report preparer.

Responsible Director Members
This field is filled with the complete data of the Directors acting as the responsible persons for the report. a) Full Name This field is filled with the full name of the responsible Director members. b) Position This field is filled with the position of the responsible Director members. c) Telephone Number This field is filled with the telephone number of the responsible Director members. d) Electronic Mail Address (Email) This field is filled with the electronic mail (email) address of the responsible Director members.

B. FORM 0010: BUSINESS LICENSE DETAILS

FORM 0010 (BUSINESS LICENSE DETAILS) FORMAT
Form 0010 (Business License Details) is prepared according to the following format:

(1) Business License Number
(2) Business License Date
(3) Licensing Type
(4) Notes

EXPLANATION OF FORM 0010 (BUSINESS LICENSE DETAILS)
Form 0010 (Business License Details) contains all information regarding the details of the business licenses held by the reporting Venture Capital Company.

(1) Business License Number
This field is filled with the number of the Minister of Finance Decision or Financial Services Authority Commissioners' Decision regarding the business licensing of the reporting Venture Capital Company and its amendments.

(2) Business License Date
This field is filled with the date, month, and year of the Minister of Finance Decision or Financial Services Authority Commissioners' Decision regarding the business licensing of the reporting Venture Capital Company and its amendments.

(3) Licensing Type
This field is filled with the licensing type established by the Financial Services Authority and/or the Minister of Finance, namely:

First business license
Business activity enhancement
Name change
Sharia business unit business license
Other business licenses

(4) Notes
This field is filled with an explanation of the business licensing type of the reporting Venture Capital Company.
Example:
In the case of a name change, fill in the change of name from PT Dina Persada Ventura to PT Karya Persada Ventura.

C. FORM 0020: BRANCH OFFICE DETAILS

FORM 0020 (BRANCH OFFICE DETAILS) FORMAT
Form 0020 (Branch Office Details) is prepared according to the following format:

(1) Branch Office Reporting Registration Number (2) Branch Office Reporting Registration Date (3) Branch Office Name (4) Location: Address, District, District/City, Postal Code (5) Telephone Number (6) Number of Workforce (7) Branch Head Name

EXPLANATION OF FORM 0020 (BRANCH OFFICE DETAILS)
Form 0020 (Branch Office Details) contains information on the branch offices of the reporting Venture Capital Company, including the Sharia unit branch offices of the reporting Venture Capital Company that have obtained reporting registration from the Minister of Finance or the Financial Services Authority.

(1) Branch Office Reporting Registration Number This field is filled with the number of the Minister of Finance Decision or Financial Services Authority Commissioners' Decision regarding the reporting registration of the branch offices of the reporting Venture Capital Company and/or the Sharia unit branch offices of the reporting Venture Capital Company.

(2) Branch Office Reporting Registration Date
This field is filled with the date, month, and year of the issuance of the Minister of Finance Decision or Financial Services Authority Commissioners' Decision regarding the reporting registration of the branch offices of the reporting Venture Capital Company and/or the Sharia unit branch offices of the reporting Venture Capital Company.

(3) Branch Office Name
This field is filled with the name of the branch office of the reporting Venture Capital Company and/or the Sharia unit branch office of the reporting Venture Capital Company.

(4) Location

Address
This field is filled with the full address of the branch office of the reporting Venture Capital Company and/or the Sharia unit branch office of the reporting Venture Capital Company in accordance with the full address of the branch office of the reporting Venture Capital Company and/or the Sharia unit branch office of the reporting Venture Capital Company that has been reported to the Minister of Finance or the Financial Services Authority.
District
This field is filled with the district of the domicile of the branch office of the reporting Venture Capital Company and/or the Sharia unit branch office of the reporting Venture Capital Company.
District/City
This field is filled with the district/city of the domicile of the branch office of the reporting Venture Capital Company and/or the Sharia unit branch office of the reporting Venture Capital Company.
Postal Code
This field is filled with the postal code number of the domicile of the branch office of the reporting Venture Capital Company and/or the Sharia unit branch office of the reporting Venture Capital Company.

(5) Telephone Number
This field is filled with the area code and telephone number of each branch office of the reporting Venture Capital Company and/or the Sharia unit branch office of the reporting Venture Capital Company.

(6) Number of Workforce
This field is filled with the number of workforce located at the branch office of the reporting Venture Capital Company and/or the Sharia unit branch office of the reporting Venture Capital Company, including the branch head of the reporting Venture Capital Company and/or the Sharia unit branch office of the reporting Venture Capital Company, permanent workforce, contract workforce, and outsourcing workforce.

(7) Branch Head Name
This field is filled with the name of the branch head of the reporting Venture Capital Company and/or the Sharia unit branch office of the reporting Venture Capital Company for each respective branch office of the reporting Venture Capital Company and/or Sharia unit branch office of the reporting Venture Capital Company.

D. FORM 0030: SHAREHOLDERS AND SECOND-DEGREE SHAREHOLDERS DETAILS

FORM 0030 (SHAREHOLDERS AND SECOND-DEGREE SHAREHOLDERS DETAILS) FORMAT
Form 0030 (Shareholders and Second-Degree Shareholders Details) is prepared according to the following format:

(1) Shareholder Name
(2) Shareholder Group
(3) Country of Origin
(4) Legal Entity Form of Shareholder
(5) Shareholder Status
(6) Shareholder Equity
(7) Direct/Indirect Foreign Ownership Percentage (8) Share Ownership: Value (in Rp) and Percentage (%) (9) Shareholder Management Information: Manager Name, Manager Position, Country of Origin (10) Second-Degree Shareholder Information: Second-Degree Shareholder Name, Second-Degree Shareholder Group, Country of Origin of Second-Degree Shareholder, Second-Degree Shareholder Share Ownership Value

EXPLANATION OF FORM 0030 (SHAREHOLDERS AND SECOND-DEGREE SHAREHOLDERS DETAILS)
Form 0030 (Shareholders and Second-Degree Shareholders Details) contains details of shareholders, whether individuals or legal entities, in the reporting Venture Capital Company, information on the management of the reporting Venture Capital Company's shareholders, and information on second-degree shareholders.

(1) Shareholder Name
This field is filled with the full name of the shareholder.

(2) Shareholder Group
This field is filled with the owner group.

(3) Country of Origin
This field is filled with the country of origin of the shareholder.

(4) Legal Entity Form of Shareholder
This field is filled with the legal entity form or individual form of the shareholder of the reporting Venture Capital Company, namely:

Limited Liability Company
Cooperative
Foundation
Pension Fund
Other Indonesian Legal Entities
Central Government
Regional Government
Individual
Foreign Legal Entity

(5) Shareholder Status
This field is filled with the shareholder status, namely:

Controlling shareholder
Non-controlling shareholder

(6) Shareholder Equity
This field is filled with the equity value of shareholders in the form of limited liability companies, cooperatives, foundations, pension funds, other Indonesian legal entities, central government, regional government, and foreign legal entities based on the audit report.

(7) Direct/Indirect Foreign Ownership Percentage This field is filled with information regarding the foreign ownership percentage for shareholders in the form of legal entities in the reporting Venture Capital Company. For individual shareholders who are Indonesian citizens, this field is filled with zero percent. For shareholders in the form of Indonesian legal entities, this field is filled with the percentage of foreign ownership in the said legal entity, either directly or indirectly.

(8) Share Ownership

Value
This field is filled with the nominal value of the paid-up capital of the reporting Venture Capital Company owned by the shareholder. The total value must be equal to the nominal paid-up capital value in Form 1100 (Financial Position Report).
Percentage
This field is filled with the ownership percentage value in a decimal format with 2 (two) digits after the comma.

(9) Shareholder Management Information

Manager Name
This field is filled with the full name of the managers and supervisors of the reporting Venture Capital Company's shareholders in the form of legal entities.
Manager Position
This field is filled with the position of the managers and supervisors of the reporting Venture Capital Company's shareholders in the form of limited liability companies, namely:
Principal Commissioner
Commissioner
Independent Commissioner
Sharia Supervisory Board
President Director
Director
For shareholders other than limited liability companies, supervisors are equated with commissioners and managers are equated with board of director members.
Country of Origin
This field is filled with the country of origin based on the citizenship status of the managers and supervisors of the shareholders.

(10) Second-Degree Shareholder Information

Second-Degree Shareholder Name
This field is filled with the full name of the second-degree shareholder (shareholder of the reporting Venture Capital Company's shareholder).
Second-Degree Shareholder Group
This field is filled with the second-degree shareholder group code.
Country of Origin of Second-Degree Shareholder
This field is filled with the country of origin based on the citizenship status of the second-degree shareholder.
Second-Degree Shareholder Share Ownership Value
This field is filled with the nominal value of the paid-up capital of the reporting Venture Capital Company owned by the second-degree shareholder.

E. FORM 0035: MANAGEMENT DETAILS

FORM 0035 (MANAGEMENT DETAILS) FORMAT
Form 0035 (Management Details) is prepared according to the following format:

(1) Name
(2) Identity Number
(3) Citizenship
(4) Position
(5) Domicile
(6) Appointment Deed Number
(7) Deed Date
(8) Date of Assumption of Office
(9) Fit and Proper Test Approval Information: Decision Letter Number, Decision Letter Date

EXPLANATION OF FORM 0035 (MANAGEMENT DETAILS)
Form 0035 (Management Details) contains information on the management of the reporting Venture Capital Company, consisting of Board of Commissioners members and Board of Directors members for the reporting Venture Capital Company, including Sharia Supervisory Board members for reporting Venture Capital Companies conducting Sharia venture capital business activities.

(1) Name
This field is filled with the names of the Board of Commissioners members, Board of Directors members, and/or Sharia Supervisory Board members of the reporting Venture Capital Company.

(2) Identity Number
This field is filled with the identity number, such as population identification number, KITAS, and/or passport of the Board of Commissioners members, Board of Directors members, and/or Sharia Supervisory Board members of the reporting Venture Capital Company.

(3) Citizenship
This field is filled with the citizenship of the Board of Commissioners members, Board of Directors members, and/or Sharia Supervisory Board members of the reporting Venture Capital Company.

(4) Position
This field is filled with the position of the Board of Commissioners members, Board of Directors members, and/or Sharia Supervisory Board members of the reporting Venture Capital Company in the form of limited liability companies, namely:

Principal Commissioner
Commissioner
Independent Commissioner
Sharia Supervisory Board
President Director
Director

(5) Domicile
This field is filled with the district/city location where the Board of Commissioners members, Board of Directors members, and/or Sharia Supervisory Board members of the reporting Venture Capital Company reside.

(6) Appointment Deed Number
This field is filled with the number of the appointment deed of the Board of Commissioners members, Board of Directors members, and/or Sharia Supervisory Board members.

(7) Deed Date
This field is filled with the date of the appointment deed of the Board of Commissioners members, Board of Directors members, and/or Sharia Supervisory Board members.

(8) Date of Assumption of Office
This field is filled with the date, month, and year of assumption of office for each Board of Commissioners member, Board of Directors member, and/or Sharia Supervisory Board member of the reporting Venture Capital Company in accordance with the General Meeting of Shareholders deed or equivalent deed that approves the appointment of the Board of Commissioners members, Board of Directors members, and Sharia Supervisory Board members.

(9) Fit and Proper Test Approval Information

Decision Letter Number
This field is filled with the Decision Letter Number of the Fit and Proper Test Result Determination, for example, KEP-123/D.05/2015.
Decision Letter Date
This field is filled with the date, month, and year of the issuance of the Decision Letter.

Information regarding the fit and proper test assessment must not be left blank. For Principal Parties who held office before the implementation of Financial Services Authority Regulation Number 27/POJK.03/2016, this column is filled with a note that the Board of Commissioners members, Board of Directors members, and/or Sharia Supervisory Board members of the reporting Venture Capital Company were not required to undergo the fit and proper test assessment as they had not been re-appointed.

F. FORM 0036: RELATED PARTIES DETAILS

FORM 0036 (RELATED PARTIES DETAILS) FORMAT
Form 0036 (Related Parties Details) is prepared according to the following format:

(1) Related Party Name
(2) Group
(3) Country Location
(4) Related Party Relationship: Code A-J

EXPLANATION OF FORM 0036 (RELATED PARTIES DETAILS)
Form 0036 (Related Parties Details) contains details of parties related to the reporting Venture Capital Company, information on groups, country locations, and relationships of parties related to the reporting Venture Capital Company.

(1) Related Party Name
This field is filled with the full name of the related party.

(2) Group
This field is filled with the group of the related party.

(3) Country Location
This field is filled with the country location of the domicile of the related party.

(4) Related Party Relationship
This field is filled using letter codes A through J indicating the relationship of the related party with the reporting Venture Capital Company as follows:
A. An individual or business entity that is the controller of the reporting Venture Capital Company; B. A business entity where the reporting Venture Capital Company acts as the controller;
C. An individual or business entity that acts as the controller of the business entity as referred to in letter B;
D. A business entity whose control is carried out by an individual and/or business entity as referred to in letter A or an individual and/or business entity as referred to in letter C; E. The Board of Commissioners or Board of Directors of the reporting Venture Capital Company. F. Parties having family relationships up to the second degree, both horizontal and vertical, from the individual who is the controller of the reporting Venture Capital Company as referred to in letter A and/or the Board of Commissioners or Board of Directors of the reporting Venture Capital Company as referred to in letter E; G. Board of Commissioners or Board of Directors of the business entity as referred to in letter A through letter D; H. A business entity whose Board of Commissioners or Board of Directors are the Board of Commissioners or Board of Directors of the reporting Venture Capital Company or the Board of Commissioners or Board of Directors of the business entity as referred to in letter A through letter D;
I. A business entity where the Board of Commissioners or Board of Directors of the reporting Venture Capital Company as referred to in letter E act as controllers or the Board of Commissioners or Board of Directors as referred to in letter A through letter D act as controllers; and/or
J. A business entity that has financial interdependence with the reporting Venture Capital Company and/or parties as referred to in letter A through letter I.

G. FORM 0041: WORKFORCE DETAILS BY EDUCATION LEVEL

FORM 0041 (WORKFORCE DETAILS BY EDUCATION LEVEL) FORMAT
Form 0041 (Workforce Details by Education Level) is prepared according to the following format:

Education Level | Permanent Workforce | Contract Workforce | Outsourcing Workforce | Total Workforce
| M | F | Total | M | F | Total | M | F | Total | M | F | Total

Headquarters
a. Education Level Other than Below SMA b. SMA
c. Diploma
d. Bachelor e. Postgraduate
Branch Offices
a. Education Level Other than Below SMA b. SMA
c. Diploma
d. Bachelor e. Postgraduate
Total
EXPLANATION OF FORM 0041 (DETAILS OF WORKFORCE BY EDUCATION LEVEL)
Form 0041 (Details of Workforce by Education Level) contains details of the number of workforce in each education level category at the headquarters and branches of the reporting Venture Capital Company, including workforce at the Sharia Business Unit (UUS) of the reporting Venture Capital Company.

Education Level

Headquarters
a. Other education levels below High School b. High School
c. Diploma
d. Bachelor's e. Postgraduate
In the event there is workforce from the reporting Venture Capital Company with a Master's degree (Strata 2) or Doctorate (Strata 3), it is filled in the Postgraduate column.
Branch Office
a. Other education levels below High School b. High School
c. Diploma
d. Bachelor's e. Postgraduate
In the event there is workforce from the reporting Venture Capital Company with a Master's degree (Strata 2) or Doctorate (Strata 3), it is filled in the Postgraduate column.

Permanent Workforce
This item is filled with the number of permanent workforce at the headquarters and branches based on education level. a. Male b. Female
c. Total
Contract Workforce
This item is filled with the number of contract workforce at the headquarters and branches based on education level. a. Male b. Female
c. Total
Outsourcing Workforce
This item is filled with the number of outsourcing workforce at the headquarters and branches based on education level. a. Male b. Female
c. Total
Total Workforce
This item is filled with the total number of workforce at the headquarters and branches based on education level. a. Male b. Female
c. Total

H. FORM 0043: DETAILS OF WORKFORCE BY FUNCTION

FORM 0043 (DETAILS OF WORKFORCE BY FUNCTION) FORMAT
Form 0043 (Details of Workforce by Function) is prepared in the following format:

(1) Function	(2) Permanent Workforce		(3) Contract Workforce
	Managerial Workforce up to One Level Below Board of Directors	Staff and Other Workforce Levels	Managerial Workforce up to One Level Below Board of Directors	Staff and Other Workforce Levels
1. Marketing
2. Feasibility Analysis of Participation/Financing
3. Collection
4. Human Resource (HR) and General Affair (GA)
5. Administration and Bookkeeping
6. Financial Management, including Investment Portfolio Management
7. Risk Management
8. Internal Audit
9. Legal
10. Information Technology
11. Anti-Money Laundering and Counter Financing of Terrorism
12. Other Functions
Total Workforce

(4) Outsourcing Workforce			(5) Total Workforce			(6) Notes on Dual Roles
	Managerial Workforce up to One Level Below Board of Directors	Staff and Other Workforce Levels		Managerial Workforce up to One Level Below Board of Directors	Staff and Other Workforce Levels

EXPLANATION OF FORM 0043 (DETAILS OF WORKFORCE BY FUNCTION)
Form 0043 (Details of Workforce by Function) contains the number of workforce owned by the reporting Venture Capital Company based on work units at both headquarters and branches, according to each workforce status, including workforce at the Sharia Business Unit (UUS) of the reporting Venture Capital Company.

(1) Function

Marketing
Feasibility Analysis of Participation/Financing
Collection
Human Resource (HR) and General Affair (GA)
Administration and Bookkeeping
Financial Management, including Investment Portfolio Management
Risk Management
Internal Audit
Legal
Information Technology
Anti-Money Laundering and Counter Financing of Terrorism
Other Functions

(2) Permanent Workforce
This item is filled with the number of permanent workforce who are managerial levels up to one level below the Board of Directors based on function.

Managerial Workforce up to One Level Below Board of Directors
Staff and Other Workforce Levels

(3) Contract Workforce
This item is filled with the number of contract workforce who are managerial levels up to one level below the Board of Directors based on function.

Managerial Workforce up to One Level Below Board of Directors
Staff and Other Workforce Levels

(4) Outsourcing Workforce
This item is filled with the number of outsourcing workforce who are managerial levels up to one level below the Board of Directors based on function.

Managerial Workforce up to One Level Below Board of Directors
Staff and Other Workforce Levels

(5) Total Workforce
This item is filled with the total number of workforce who are managerial levels up to one level below the Board of Directors based on function.

Managerial Workforce up to One Level Below Board of Directors
Staff and Other Workforce Levels

(6) Notes on Dual Roles
This item is filled with the dual roles performed by the workforce of the reporting Venture Capital Company. For reporting purposes, one person can only be entered into one function even though in practice they handle multiple functions.

II. FORM 0046: DETAILS OF FOREIGN WORKFORCE

FORM 0046 (DETAILS OF FOREIGN WORKFORCE) FORMAT
Form 0046 (Details of Foreign Workforce) is prepared in the following format:

EXPLANATION OF FORM 0046 (DETAILS OF FOREIGN WORKFORCE)
Form 0046 (Details of Foreign Workforce) contains details of the foreign workforce of the reporting Venture Capital Company.

(1) Name
This item is filled with the name of the foreign workforce of the reporting Venture Capital Company.

(2) Identity Number
This item is filled with the identity number in the form of population index number, KITAS, and/or passport of the foreign workforce of the reporting Venture Capital Company.

(3) Nationality
This item is filled with the nationality of the foreign workforce.

(4) Position
This item is filled with the category of position of the foreign workforce in the Venture Capital Company. Positions of foreign workforce include experts with a position level one level below the Board of Directors, advisors, and consultants.

(5) Specialization Field
This item is filled with the specialization field of the foreign workforce in the Venture Capital Company. Specialization fields include investment portfolio management, risk management, information technology, and others.

(6) Domicile
This item is filled with the regency/city where the foreign workforce resides.

(7) Work Permit Number
This item is filled with the number of the work permit decision letter for the foreign workforce issued by the competent authority.

(8) Work Permit Date
This item is filled with the date of the work permit decision letter for the foreign workforce issued by the competent authority.

(9) Work Permit Start Date
This item is filled with information regarding the start of the validity period of the foreign workforce's work permit.

(10) Work Permit End Date
This item is filled with information regarding the end of the validity period of the foreign workforce's work permit.

II. FINANCIAL REPORTS OF VENTURE CAPITAL COMPANIES

A. FORM 1100: FINANCIAL POSITION REPORT

FORM 1100 (FINANCIAL POSITION REPORT) FORMAT
Form 1100 (Financial Position Report) is prepared in the following format:

ASSETS

Items	IDR	Foreign Currency	Total
1. Cash and Cash Equivalents
a. Cash
b. Deposits in Domestic Banks
1) Current Account
2) Other Deposits
c. Deposits in Foreign Banks
1) Current Account
2) Other Deposits
2. Derivative Receivable Assets
3. Venture Capital Financing/Participation
a. Equity Participation
b. Participation Through Conversion Bond Purchase Net
1) Participation Through Conversion Bond Purchase
2) Provision for Write-off of Productive Assets
c. Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development Stage Net
1) Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development Stage
2) Provision for Write-off of Productive Assets
d. Productive Business Financing Net
1) Productive Business Financing Principal
2) Provision for Write-off of Productive Assets
4. Venture Capital Investment Based on Sharia Principles
a. Equity Participation
b. Purchase of Sukuk or Sharia Conversion Bonds Net
1) Purchase of Sukuk or Sharia Conversion Bonds
2) Provision for Write-off of Productive Assets
c. Purchase of Sukuk or Sharia Bonds Issued by Business Partners in Early Start-up and/or Business Development Stage Net
1) Purchase of Sukuk or Sharia Bonds Issued by Business Partners in Early Start-up and/or Business Development Stage
2) Provision for Write-off of Productive Assets
d. Financing Based on Profit-Sharing Principle Net
1) Financing Based on Profit-Sharing Principle Principal
2) Provision for Write-off of Productive Assets
5. Participation in Venture Funds
6. Venture Fund Management Receivables
7. Receivables Related to Other Business Activities:
a. Receivables Related to Murabahah Financing Net
b. Receivables Related to Fee-Based Service Activities
c. Receivables Related to Other Business Activities with Financial Services Authority Approval
8. Investment in Securities
9. Fixed Assets and Inventories Net
a. Gross Fixed Assets and Inventories
b. Accumulated Depreciation of Fixed Assets and Inventories
10. Deferred Tax Assets
11. Other Assets
Total Assets

LIABILITIES AND EQUITY

Items	IDR	Foreign Currency	Total
LIABILITIES
1. Current Liabilities
a. Liabilities to Banks
b. Liabilities to Other Financial Service Companies
c. Liabilities to Non-Financial Service Companies
d. Other Current Liabilities
2. Derivative Liabilities
3. Tax Payables
4. Loans/Funding Received
a. Loans/Funding Received from Domestic
1) Loans/Funding Received from Banks
2) Loans/Funding Received from Non-Bank Financial Service Institutions
3) Other Loans/Funding Received
b. Loans/Funding Received from Foreign
1) Loans/Funding Received from Banks
2) Loans/Funding Received from Non-Bank Financial Service Institutions
3) Other Loans/Funding Received
5. Securities Issued
6. Deferred Tax Liabilities
7. Subordinated Loans/Funding
a. Domestic Subordinated Loans/Funding
b. Foreign Subordinated Loans/Funding
8. Other Liabilities
EQUITY
9. Capital
a. Paid-in Capital
1) Authorized Capital
2) Unpaid Capital
b. Basic Deposits and Mandatory Deposits
1) Basic Deposits
2) Mandatory Deposits
c. Additional Paid-in Capital
1) Agio
2) Equity Security Issuance Costs
3) Donated Capital
4) Other Additional Paid-in Capital
d. Disagio
e. Repurchased Share Capital
f. Difference in Transaction Value of Restructuring Entities Under Common Control
10. Reserves
a. General Reserve
b. Specific Reserve
11. Retained Earnings (Losses)
12. Net Profit (Loss) After Tax
13. Other Equity Components
a. Balance of Other Equity Components
1) Balance of Gains (Losses) Due to Changes in Surplus from Revaluation of Fixed Assets
2) Balance of Gains (Losses) Due to Exchange Rate Differences from Translation of Financial Reports in Foreign Currency
3) Balance of Gains (Losses) Due to Remeasurement of Available-for-Sale Financial Assets
4) Balance of Gains (Losses) Due to Effective Portion of Financial Instrument Hedge in Cash Flow Hedge
5) Balance of Gains (Losses) on Other Equity Components According to Financial Accounting Standards Principles
b. Other Comprehensive Gains (Losses) for Current Period
Total Liabilities and Equity

EXPLANATION OF FORM 1100 (FINANCIAL POSITION REPORT)
Form 1100 (Financial Position Report) contains the financial position report of the reporting Venture Capital Company, providing detailed explanations of asset positions and liability and equity positions.

ASSETS

Cash and Cash Equivalents
a. Cash
This item is filled with the amount of cash in the form of banknotes and coins issued by Bank Indonesia that are legal tender in Indonesia. Foreign banknotes and coins still in circulation owned by the reporting Venture Capital Company are also included in the definition of cash. Commemorative coins and commemorative notes issued by Bank Indonesia are reported in the other assets item.

b. Deposits in Domestic Banks
This item is filled with all types of deposits of the reporting Venture Capital Company in banks in Indonesia, both in IDR and foreign currency. This item must not be offset with bank items in liability items.

Current Account
This item is filled with the amount of deposits of the reporting Venture Capital Company in the form of current accounts at commercial banks and/or Sharia commercial banks in Indonesia.
Other Deposits
This item is filled with the amount of deposits of the reporting Venture Capital Company other than current accounts, such as savings, time deposits, certificates of deposit, deposit on call, and other similar deposits at commercial banks, Sharia commercial banks, rural credit banks, and/or Sharia rural credit banks in Indonesia.

c. Deposits in Foreign Banks
This item is filled with all types of deposits of the reporting Venture Capital Company in banks outside Indonesia.

Current Account
This item is filled with deposits of the reporting Venture Capital Company in the form of current accounts at banks and/or Sharia banks outside Indonesia.
Other Deposits
This item is filled with deposits of the reporting Venture Capital Company in the form of savings, time deposits, certificates of deposit, deposit on call, and other similar deposits at banks and/or Sharia banks outside Indonesia.

Derivative Receivable Assets
This item is filled with all receivables that are potential profits arising from the positive difference between the contract value and the fair value of a derivative transaction on the reporting date. This derivative transaction is only for hedging activities. This item must be detailed in Form 3010 (Details of Derivative Instruments for Hedging).
Venture Capital Financing/Participation
a. Equity Participation
This item is filled with the value of equity participation arising from the business activities of the reporting Venture Capital Company to business partners, recorded at fair value at the time of the reporting period.

b. Participation Through Conversion Bond Purchase Net This item is filled with the value of conversion bond purchases arising from the business activities of the reporting Venture Capital Company to business partners, recorded at net value after deducting the provision for write-off of productive assets for participation through conversion bond purchase.

Participation Through Conversion Bond Purchase
This item is filled with the value of conversion bond purchases arising from the business activities of the reporting Venture Capital Company to business partners, recorded at gross value.
Provision for Write-off of Productive Assets for Participation Through Conversion Bond Purchase
This item is filled with the provision for write-off of productive assets for participation through conversion bond purchase as regulated in the Financial Services Authority Circular Letter regulating the financial health level of Venture Capital Companies.

c. Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development Stage Net
This item is filled with the value of financing through purchase of debt securities issued by business partners in the early start-up and/or business development stage net after deducting the provision for write-off of productive assets for financing through purchase of debt securities issued by business partners in the early start-up and/or business development stage.

Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development Stage
This item is filled with the value of debt securities issued by business partners in the early start-up and/or business development stage arising from the business activities of the reporting Venture Capital Company to business partners, recorded at gross value.
Provision for Write-off of Productive Assets for Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development Stage
This item is filled with the provision for write-off of productive assets for financing through purchase of debt securities issued by business partners in the early start-up and/or business development stage as regulated in the Financial Services Authority Circular Letter regulating the financial health level of Venture Capital Companies.

d. Productive Business Financing Net
This item is filled with the value of productive business financing net after deducting unaccrued interest income and other income and expenses related to financing transactions that are amortized, and deducting the provision for write-off of productive assets for productive business financing.

Productive Business Financing Principal
This item is filled with the value of productive business financing recorded at gross value after deducting unaccrued interest income and other income and expenses related to financing transactions that are amortized.
Provision for Write-off of Productive Assets for Productive Business Financing
This item is filled with the provision for write-off of productive assets for productive business financing as regulated in the Financial Services Authority Circular Letter regulating the financial health level of Venture Capital Companies.

Venture Capital Investment Based on Sharia Principles
a. Equity Participation
This item is filled with the value of equity participation arising from the business activities of the Sharia Business Unit (UUS) of the reporting Venture Capital Company to business partners, recorded at fair value at the time of the reporting period.

b. Purchase of Sukuk or Sharia Conversion Bonds Net This item is filled with the value of purchases of Sukuk or Sharia conversion bonds arising from the business activities of the Sharia Business Unit (UUS) of the reporting Venture Capital Company to business partners, recorded at net value after deducting the provision for write-off of productive assets for purchase of Sukuk or Sharia conversion bonds.

Purchase of Sukuk or Sharia Conversion Bonds
This item is filled with the value of purchases of Sukuk or Sharia conversion bonds arising from the business activities of the Sharia Business Unit (UUS) of the reporting Venture Capital Company to business partners, recorded at gross value.
Provision for Write-off of Productive Assets for Purchase of Sukuk or Sharia Conversion Bonds
This item is filled with the provision for write-off of productive assets for purchase of Sukuk or Sharia conversion bonds as regulated in the Financial Services Authority Circular Letter regulating the financial health level of Venture Capital Companies.

c. Purchase of Sukuk or Sharia Bonds Issued by Business Partners in Early Start-up and/or Business Development Stage Net
This item is filled with the value of purchases of Sukuk or Sharia bonds issued by business partners in the early start-up and/or business development stage arising from the business activities of the Sharia Business Unit (UUS) of the reporting Venture Capital Company, recorded at net value after deducting the provision for write-off of productive assets for purchase of Sukuk or Sharia bonds issued by business partners in the early start-up and/or business development stage.

Purchase of Sukuk or Sharia Bonds Issued by Business Partners in Early Start-up and/or Business Development Stage
This item is filled with the value of purchases of Sukuk or Sharia bonds issued by business partners in the early start-up and/or business development stage arising from the business activities of the Sharia Business Unit (UUS) of the reporting Venture Capital Company to business partners, recorded at gross value.
Provision for Write-off of Productive Assets for Purchase of Sukuk or Sharia Bonds Issued by Business Partners in Early Start-up and/or Business Development Stage
This item is filled with the provision for write-off of productive assets for purchase of Sukuk or Sharia bonds issued by business partners in the early start-up and/or business development stage as regulated in the Financial Services Authority Circular Letter regulating the financial health level of Venture Capital Companies.

d. Financing Based on Profit-Sharing Principle Net This item is filled with the value of financing based on the profit-sharing principle net after deducting unaccrued profit-sharing income and other income and expenses related to financing transactions based on the profit-sharing principle that are amortized, and deducting the provision for write-off of productive assets for financing based on the profit-sharing principle.

Financing Based on Profit-Sharing Principle Principal
This item is filled with the value of financing based on the profit-sharing principle recorded at gross value after deducting unaccrued profit-sharing income and other income and expenses related to financing transactions based on the profit-sharing principle that are amortized.
Provision for Write-off of Productive Assets for Financing Based on Profit-Sharing Principle
This item is filled with the provision for write-off of productive assets for financing based on the profit-sharing principle as regulated in the Financial Services Authority Circular Letter regulating the financial health level of Venture Capital Companies.

Participation in Venture Funds
This item is filled with the value of participation made by the reporting Venture Capital Company in joint investment contracts with venture funds, recorded at fair value at the time of the reporting period.
Venture Fund Management Receivables
This item is filled with the value of venture fund management receivables of the reporting Venture Capital Company to joint investment contracts with venture funds.
Receivables Related to Other Business Activities:
a. Receivables Related to Murabahah Financing Net This item is filled with the value of the difference between gross Murabahah financing receivables minus deferred Murabahah margin and the provision for write-off of Murabahah receivables. This transaction can only be carried out by the Sharia Business Unit (UUS) of the reporting Venture Capital Company if it has made equity participation in the respective business partner.

b. Receivables Related to Fee-Based Service Activities This item is filled with the value of receivables for fee-based service activities of the reporting Venture Capital Company that have not been paid by other parties.

c. Receivables Related to Other Business Activities with Financial Services Authority Approval
This item is filled with the value of receivables for Other Business Activities with Financial Services Authority Approval of the reporting Venture Capital Company that have not been paid by other parties.

Investments in Securities
This item covers all investments by the reporting Venture Capital Company in securities, excluding securities in the form of equity participation in affiliated entities, securities in the form of convertible bonds, sukuk, or convertible Sharia bonds, debt securities issued by affiliated entities in the early start-up (start-up) and/or business development stage, or sukuk or Sharia bonds issued by affiliated entities in the early start-up (start-up) and/or business development stage. The value of such securities is presented in accordance with the applicable Financial Accounting Standards (PSAK). This item must be detailed in Form 2200 (Detail of Securities Held).
Net Fixed Assets and Inventories
a. Gross Fixed Assets and Inventories
This item covers fixed assets and inventories owned by the reporting Venture Capital Company. b. Accumulated Depreciation of Fixed Assets and Inventories This item covers the accumulated depreciation of fixed assets and inventories up to the reporting date.
Deferred Tax Assets
This item covers the amount of deferred tax assets recognized by the reporting Venture Capital Company at the end of the reporting period, measured using the applicable tax rate against all deductible temporary differences and/or fiscal loss balances, to the extent that it is probable that they can be utilized to reduce fiscal profit in the future. This item is presented in the statement of financial position based on offsetting with the deferred tax liability item.
Other Assets
This item covers asset balances that cannot be included or classified into items 1 through 10 above, including prepaid expenses.
This item must be detailed in Form 2490 (Detail of Other Assets).

LIABILITIES

Current Liabilities
This item covers the short-term liabilities of the reporting Venture Capital Company to third parties with a maturity of not more than 30 (thirty) days. Included in this item are, among others, liabilities related to employee pension programs and insurance premiums of the reporting Venture Capital Company. a. Liabilities to Banks This item covers the current liabilities of the reporting Venture Capital Company to banks, such as interest expenses on loans or returns on bank financing. The term "bank" refers to the definition in banking legislation. This sub-item must not be offset against the bank item in asset items. b. Liabilities to Other Financial Service Companies This item covers the current liabilities of the reporting Venture Capital Company to companies in the financial services sector other than banks. Included in this sub-item are liabilities to financing companies, Venture Capital Companies, guarantee companies, insurance companies, pension funds, securities companies, and other financial service companies.
c. Liabilities to Non-Financial Service Companies
This item covers the current liabilities of the reporting Venture Capital Company to companies outside the financial services sector. d. Other Current Liabilities This item covers current liabilities of the reporting Venture Capital Company other than those in letters a, b, and c.
Derivative Liabilities
This item covers all liabilities that represent potential losses arising from the difference between the contract value and the fair value of a derivative transaction on the reporting date. Derivative liabilities are only for hedging activities. This item must be detailed in Form 3010 (Detail of Derivative Instruments for Hedging).
Tax Payables
This item covers all tax liabilities of the reporting Venture Capital Company that have not been paid in accordance with applicable Indonesian tax regulations.
Loans/Funding Received
This item covers funding received by the reporting Venture Capital Company in Rupiah or foreign currency from domestic or foreign sources. a. Loans/Funding Received from Domestic Sources This item covers loans/funding received by the reporting Venture Capital Company in Rupiah or foreign currency from domestic sources or residents.

Loans/Funding Received from Banks
This item covers loans/funding received by the reporting Venture Capital Company in Rupiah or foreign currency from banks conducting operational activities in Indonesia. This sub-item must not be offset against the bank item in asset items.
Loans/Funding from Non-Bank Financial Service Institutions
This item covers loans/funding received by the reporting Venture Capital Company in Rupiah or foreign currency from non-bank financial service institutions conducting operational activities in Indonesia.
Other Loans/Funding Received
This item covers other domestic loans/funding received by the reporting Venture Capital Company other than in items 1) and 2). This item covers loans received by the reporting Venture Capital Company in Rupiah or foreign currency from third-party non-financial service entities operating in Indonesia. b. Loans/Funding Received from Foreign Sources This item covers loans/funding received by the reporting Venture Capital Company in Rupiah or foreign currency from foreign sources or non-residents.
Loans/Funding Received from Banks
This item covers loans/funding received by the reporting Venture Capital Company in Rupiah or foreign currency from banks conducting operational activities outside Indonesia.
Loans/Funding Received from Foreign Non-Bank Financial Service Institutions
This item covers loans/funding received by the reporting Venture Capital Company in Rupiah or foreign currency from non-bank financial service institutions conducting operational activities outside Indonesia.
Other Loans/Funding Received from Foreign Sources
This item covers loans/funding received by the reporting Venture Capital Company in Rupiah or foreign currency from third-party non-financial service entities outside Indonesia or non-residents. These items must be detailed in Form 2550 (Detail of Loans/Funding Received).

Securities Issued
This item covers the value of all securities other than shares issued by the reporting Venture Capital Company domestically or internationally to obtain additional funds from the public, including through the issuance of bonds and medium-term notes (MTN). This item must be detailed in Form 2600 (Detail of Securities Issued).
Deferred Tax Liabilities
This item covers the amount of deferred tax liabilities recognized by the reporting Venture Capital Company at the end of the reporting period, calculated using the applicable tax rate for all taxable temporary differences. This item is presented in the statement of financial position based on offsetting with the deferred tax asset item.
Subordinated Loans/Funding
This item covers loans/funding received by the reporting Venture Capital Company with the following conditions:

with a minimum maturity of 5 (five) years
in the event of liquidation, the claim right applies last among all existing loans/funding
documented in a notarial deed agreement between the reporting Venture Capital Company and the lender/funder.
a. Domestic Subordinated Loans/Funding
This item covers subordinated loans/funding received by the reporting Venture Capital Company in Rupiah or foreign currency from domestic sources or residents. b. Foreign Subordinated Loans/Funding This item covers subordinated loans/funding received by the reporting Venture Capital Company in Rupiah or foreign currency from foreign sources or non-residents. This item must be detailed in Form 2550 (Detail of Loans/Funding Received).

Other Liabilities
This item covers other liability balances that cannot be included or classified into items 1 through 7.
This item must be detailed in Form 2790 (Detail of Other Liabilities).

EQUITY

Capital
a. Paid-up Capital
This item covers the capital value of the reporting Venture Capital Company that has been fully paid by the shareholders of the reporting Venture Capital Company.

Authorized Capital
This item covers the authorized capital amount of the reporting Venture Capital Company.
Unpaid Capital
This item covers the unpaid capital amount of the reporting Venture Capital Company. b. Basic Deposits and Mandatory Deposits
Basic Deposits
This item covers the value of basic deposits paid by members to the reporting Venture Capital Company that has a cooperative legal entity status.
Mandatory Deposits
This item covers the value of mandatory deposits paid by members to the reporting Venture Capital Company that has a cooperative legal entity status.
c. Additional Paid-up Capital
Agio
This item covers the excess of capital deposits received by the reporting Venture Capital Company as a result of share prices exceeding their nominal value.
Equity Securities Issuance Costs
This item covers costs incurred by the reporting Venture Capital Company when issuing shares.
Donated Capital
This item covers the value of donated capital received by the reporting Venture Capital Company.
Other Additional Paid-up Capital
This item covers additional paid-up capital other than items 1) through 5) in accordance with applicable accounting standards. d. Disagio This item covers the shortfall of capital deposits as a result of share prices being lower than their nominal value. e. Treasury Stock This item covers the amount of share capital reacquired by the reporting Venture Capital Company. f. Difference in Value from Restructuring Transactions with Entities under Common Control This item covers the difference between the transfer price and the book value of each restructuring transaction between entities under common control in accordance with applicable accounting standards.

Reserves
This item covers reserves formed in accordance with the articles of association and/or decisions of owners or shareholders' meetings. a. General Reserve This item covers reserves formed from the allocation of retained earnings or net profit after tax. b. Specific Purpose Reserve This item covers the portion of profit after tax allocated for specific purposes.
Retained Earnings (Accumulated Deficit)
This item covers the retained earnings (accumulated deficit) balance of the reporting Venture Capital Company at the beginning of the reporting year.
Net Profit (Loss) After Tax
This item covers the profit (loss) of the reporting Venture Capital Company during the accounting period, from the beginning of the year to the reporting date.
Other Components of Equity
This item covers equity components of the reporting Venture Capital Company arising from comprehensive transactions. a. Balance of Other Equity Components

Balance of Gains (Losses) Due to Changes in Fixed Asset Revaluation Surplus
This item covers the balance of gains (losses) due to changes in fixed asset revaluation surplus by the reporting Venture Capital Company at the beginning of the reporting year.
Balance of Gains (Losses) Due to Exchange Differences from Translating Financial Statements into Foreign Currency
This item covers the balance of gains (losses) due to exchange differences from translating financial statements into foreign currency by the reporting Venture Capital Company at the beginning of the reporting year.
Balance of Gains (Losses) Due to Remeasurement of Financial Assets Available for Sale
This item covers the balance of gains (losses) due to remeasurement of financial assets available for sale by the reporting Venture Capital Company at the beginning of the reporting year.
Balance of Gains (Losses) Due to Effective Portion of Financial Hedging Instruments in Cash Flow Hedging
This item covers the balance of gains (losses) due to the effective portion of financial hedging instruments in cash flow hedging by the reporting Venture Capital Company at the beginning of the reporting year.
Balance of Gains (Losses) on Other Equity Components in Accordance with Financial Accounting Standards
This item covers the balance of gains (losses) on other equity components in accordance with applicable accounting standards by the reporting Venture Capital Company at the beginning of the reporting year. b. Other Comprehensive Income (Loss) for the Current Period This item covers other comprehensive income/loss (OCI) by the reporting Venture Capital Company during the accounting period, from the beginning of the year to the reporting date. The value of this item must be equal to the Other Comprehensive Income (Loss) item in Form 1200 (Statement of Profit or Loss and Other Comprehensive Income).

B. FORM 1110: ADMINISTRATIVE ACCOUNTS

FORM 1110 (ADMINISTRATIVE ACCOUNTS) FORMAT
Form 1110 (Administrative Accounts) is prepared in the following format:

Items	Rupiah	Foreign Currency	Total
1 Undrawn Loan/Funding Facilities
a. Domestic
1) Banks
2) Non-Bank Financial Service Institutions
3) Others
b. Foreign
1) Banks
2) Non-Bank Financial Service Institutions
3) Others
2 Undrawn Financing/Participation Facilities to Debtors/Consumers
3 Value of Managed Venture Capital Funds
4 Issuance of Letters of Guarantee
a. Issuance of Letters of Guarantee in Domestic
b. Issuance of Letters of Guarantee in Foreign
5 Disbursement of Joint Financing Third-Party Portion
a. Channeling Financing Activities
b. Joint Financing Activities
6 Derivative Instruments for Hedging
a. Interest Rate Swap
b. Currency Swap
c. Cross Currency Swap
d. Forward
e. Option
f. Future
g. Others
7 Other Administrative Accounts
a. Written-Off Financing Receivables
b. Written-Off Financing Receivables Successfully Collected
c. Written-Off Financing Receivables
d. Transferred Financing with Collection Management
Total

EXPLANATION OF FORM 1110 (ADMINISTRATIVE ACCOUNTS)
Form 1110 (Administrative Accounts) is a report on transactions that have not yet effectively caused changes in assets and liabilities and other important notes. Foreign currency administrative accounts are converted into Rupiah using the mid-rate foreign exchange rate issued by Bank Indonesia at the end of the reporting period. Administrative accounts consist of:
Undrawn Loan/Funding Facilities
This item is filled with loan/funding facilities obtained from domestic or foreign sources that are committed but have not yet been drawn by the reporting Venture Capital Company. This account is detailed as:
a. Domestic

Banks
Non-Bank Financial Service Institutions
Others
b. Foreign
Banks
Non-Bank Financial Service Institutions
Others

Undrawn Financing/Participation Facilities to Debtors/Consumers
This item is filled with financing/participation facilities provided by the reporting Venture Capital Company to debtors/consumers that are committed but have not yet been drawn.
Value of Managed Venture Capital Funds
This item is filled with the value of venture capital funds managed by the reporting Venture Capital Company after deducting the participation value of the reporting Venture Capital Company. This item will be validated with Form 3030 (Venture Capital Assets and Liabilities Report).
Issuance of Letters of Guarantee
This item is filled with the nominal value of letters of guarantee issued by the reporting Venture Capital Company as a guarantee for debts to banks that are its creditors. This account is detailed as:
a. Issuance of Letters of Guarantee in Domestic b. Issuance of Letters of Guarantee in Foreign
Disbursement of Joint Financing Third-Party Portion
This financing disbursement is carried out in the form of:
a. Channeling Financing Activities
This account covers the total size of channeling financing receivables.
Channeling in this item is when the funds for the intended financing all come from creditors such as banks, other Venture Capital Companies, financing companies, Indonesia Export Financing Institutions, other financial institutions, and/or individuals, and the risks arising from this activity are borne by the creditor. The reporting Venture Capital Company in this case only acts as a manager and receives a return or fee from the management of these funds. b. Joint Financing Activities This account covers the total size of financing receivables that constitute the creditor's portion, such as banks, other Venture Capital Companies, financing companies, Indonesia Export Financing Institutions, other financial institutions, and/or individuals. Joint financing in this item is when the source of funds for the intended financing comes from the reporting Venture Capital Company or from creditors. This item is detailed in Form 3020 (Detail of Joint Financing Disbursement Third-Party Portion).
Derivative Instruments for Hedging
This account covers derivative assets owned by the Venture Capital Company in connection with hedging conducted for loan principal, loan interest rates, and/or payment terms. This account is detailed as:
a. Interest Rate Swap b. Currency Swap
c. Cross Currency Swap
d. Forward e. Option f. Future g. Others
This item is detailed in Form 3010 (Detail of Derivative Instruments for Hedging).
Other Administrative Accounts
This account covers other administrative account information other than items 1 through 6.
This account is detailed as:
a. Written-Off Financing Receivables
This account covers the value of financing receivables that have been written off by the reporting Venture Capital Company but have not yet been written off as uncollectible. b. Written-Off Financing Receivables Successfully Collected This account covers the value of financing receivables that have been written off but have been successfully collected again by the reporting Venture Capital Company.
c. Written-Off Financing Receivables
This account covers the value of financing receivables that have been written off as uncollectible by the reporting Venture Capital Company. d. Transferred Financing with Collection Management This account covers the value of financing receivables that have been transferred through a sales mechanism followed by collection management by the reporting Sharia Venture Capital Company.

C. FORM 1200: STATEMENT OF PROFIT OR LOSS AND OTHER COMPREHENSIVE INCOME

FORM 1200 (STATEMENT OF PROFIT OR LOSS AND OTHER COMPREHENSIVE INCOME) FORMAT
Form 1200 (Statement of Profit or Loss and Other Comprehensive Income) is prepared in the following format:

Items	Rp	Foreign Currency	Total
(1) REVENUE
1. Operating Revenue
a. Revenue from Operating Activities
1) Dividend Revenue from Equity Participation Activities
2) Revenue from Profit on Sale of Participation Assets or Securities
3) Interest Revenue from Participation Activities through Purchase of Convertible Bonds
4) Interest Revenue from Financing Activities through Purchase of Debt Securities Issued by Affiliated Entities in Early Start-up (Start-up) and/or Business Development Stage
5) Interest Revenue from Productive Business Financing Activities
b. Revenue from Operating Activities Based on Sharia Principles
1) Dividend Revenue from Equity Participation Activities
2) Revenue from Profit on Sale of Participation Assets or Securities
3) Return Revenue from Purchase of Convertible Sukuk or Sharia Bonds Activities
4) Return Revenue from Purchase of Sukuk or Sharia Bonds Issued by Affiliated Entities in Early Start-up (Start-up) and/or Business Development Stage Activities
5) Profit-Sharing Revenue from Financing Activities Based on Profit-Sharing Principles
c. Revenue from Participation in Venture Capital Funds
d. Revenue from Venture Capital Fund Management Activities
e. Revenue from Other Business Activities
1) Revenue from Fee-Based Service Activities
2) Revenue from Other Business Activities with OJK Approval
f. Fee/Service Revenue from Channeling Financing Activities
2. Other Operating Revenue Related to Financing
a. Administrative Revenue
b. Provision Revenue
c. Penalty Revenue
d. Other Operating Revenue Related to Other Venture Capital Company Business Activities
3. Other Operating Revenue
4. Non-Operating Revenue
a. Interest/Current Account Service Revenue
b. Other Non-Operating Revenue
(2) EXPENSES
1. Operating Expenses
a. Interest and/or Return Expenses
1) Interest Expenses from Received Loans
2) Interest Expenses from Issued Securities
3) Return Expenses on Received Funding Based on Sharia Principles
b. Swap Transaction Premium Expenses
c. Insurance Premium Expenses
d. Labor Expenses
1) Salary, Wage, and Allowance Expenses
2) Labor Development and Training Expenses
3) Other Labor Expenses
e. Marketing Expenses
f. Provision/Depreciation Expenses
1) Provision Expenses for Write-Off of Productive Assets
Financing/Participation
i) Provision Expenses for Write-Off of Productive Assets from Participation through Purchase of Convertible Bonds
ii) Provision Expenses for Write-Off of Productive Assets from Financing through Purchase of Debt Securities Issued by Affiliated Entities in Early Start-up (Start-up) and/or Business Development Stage
iii) Provision Expenses for Write-Off of Productive Assets from Productive Business Financing
2) Provision Expenses for Write-Off of Productive Assets from Investments Based on Sharia Principles
i) Provision Expenses for Write-Off of Productive Assets from Purchase of Convertible Sukuk or Sharia Bonds
ii) Provision Expenses for Write-Off of Productive Assets from Purchase of Sukuk or Sharia Bonds Issued by Affiliated Entities in Early Start-up (Start-up) and/or Business Development Stage
iii) Provision Expenses for Write-Off of Productive Assets from Financing Based on Profit-Sharing Principles
3) Depreciation Expenses of Fixed Assets and Inventories
g. Rental Expenses
h. Maintenance and Repair Expenses
i. Administrative and General Expenses
j. Other Operating Expenses
2. Non-Operating Expenses
(3) PROFIT (LOSS) BEFORE TAX
(4) ESTIMATED INCOME TAX
1. Current Year Tax
2. Deferred Tax (Expense) Income
(5) NET PROFIT (LOSS) AFTER TAX
(6) OTHER COMPREHENSIVE INCOME (LOSS) FOR THE CURRENT PERIOD
1. Gains (Losses) Due to Changes in Fixed Asset Revaluation Surplus
2. Exchange Differences from Translating Financial Statements into Foreign Currency
3. Gains (Losses) Due to Remeasurement of Financial Assets Available for Sale
4. Gains (Losses) Due to Effective Portion of Financial Hedging Instruments in Cash Flow Hedging
5. Gains (Losses) on Other Equity Components in Accordance with Financial Accounting Standards
(7) COMPREHENSIVE PROFIT (LOSS) FOR THE CURRENT YEAR

EXPLANATION OF FORM 1200 (STATEMENT OF PROFIT OR LOSS AND OTHER COMPREHENSIVE INCOME)

Form 1200 (Statement of Profit or Loss and Other Comprehensive Income) includes a report that lists cumulative figures from the beginning of the reporting Venture Capital Company's fiscal year through to the report date.

The method for filling out the comprehensive profit or loss report is detailed as follows:

(1) INCOME

Operational Income
This item covers all income from the main activities of the Venture Capital Company.

a. Income from Operational Activities
This item covers all dividend and/or interest income earned by the Venture Capital Company from equity participation activities, participation through the purchase of convertible bonds, financing activities through the purchase of debt securities issued by business partners in the early startup stage and/or business development stage, and productive business financing activities.

Dividend Income from Equity Participation Activities
This item is filled with dividend income received by the reporting Venture Capital Company from operational activities related to equity participation.
Income from Gains on Sale of Participation Assets or Securities
This item is filled with income in the form of gains obtained by the Venture Capital Company from the sale of assets in the form of participation or securities.
Interest Income from Participation Activities through the Purchase of Convertible Bonds
This item is filled with interest income from operational activities related to participation through the purchase of convertible bonds.
Interest Income from Financing Activities through the Purchase of Debt Securities Issued by Business Partners in the Early Startup Stage and/or Business Development Stage
This item is filled with interest income from operational activities related to financing activities through the purchase of debt securities issued by business partners in the early startup stage and/or business development stage.
Interest Income from Productive Business Financing Activities
This item is filled with interest income from operational activities related to productive business financing activities.

b. Income from Operational Activities Based on Sharia Principles This item covers all dividend and/or profit-sharing (nisbah) income obtained by the Sharia-compliant Venture Capital Company (UUS) from the Venture Capital Company from equity participation activities, the purchase of sukuk or Sharia-compliant convertible bonds, the purchase of sukuk or Sharia-compliant bonds issued by business partners in the early startup stage and/or business development stage, and profit-sharing income from financing activities based on the profit-sharing principle.

Dividend Income from Equity Participation Activities
This item is filled with dividend income received by the UUS from the reporting Venture Capital Company from operational activities related to equity participation.
Income from Gains on Sale of Participation Assets or Securities
This item is filled with income in the form of gains obtained by the UUS from the Venture Capital Company from the sale of assets in the form of participation or securities.
Return Income from the Purchase of Sukuk or Sharia-Compliant Convertible Bonds Activities
This item is filled with return income from operational activities conducted by the UUS from the Venture Capital Company from the purchase of sukuk or Sharia-compliant convertible bonds.
Return Income from the Purchase of Sukuk or Sharia-Compliant Bonds Issued by Business Partners in the Early Startup Stage and/or Business Development Stage Activities
This item is filled with return income from operational activities conducted by the UUS from the Venture Capital Company from financing activities through the purchase of sukuk or Sharia-compliant bonds issued by business partners in the early startup stage and/or business development stage.
Profit-Sharing Income from Financing Activities Based on the Profit-Sharing Principle
This item is filled with Profit-Sharing income from operational activities conducted by the UUS from the Venture Capital Company from Financing Activities based on the Profit-Sharing Principle.

c. Income from Participation in Venture Funds
This item is filled with income obtained by the reporting Venture Capital Company from its share of participation in venture funds formed with a joint investment contract scheme with a custodian bank.

d. Income from Venture Fund Management Activities This item is filled with Fee income from venture fund management activities.

e. Income from Other Business Activities
This item covers all income obtained by the reporting Venture Capital Company from other business activities with the approval of the Financial Services Authority (OJK).

Income from Fee-Based Service Activities
This item is filled with all income obtained by the reporting Venture Capital Company from fee-based service activities with the approval of the Financial Services Authority (OJK). Included in this are:
a. consultation service activities in the fields of administration, accounting, management, and/or marketing; and/or b. marketing of financial service products such as insurance and/or mutual funds.
Income from Other Business Activities with the Approval of the Financial Services Authority (OJK)
This item is filled with all income obtained by the reporting Venture Capital Company from Other Business Activities with the approval of the Financial Services Authority (OJK).

f. Fee/Service Fee Income from Financing Channeling Activities This item covers Service Fee income from financing channeling activities over activities obtained from the management of funds originating from partners (counterparties) where the risks arising from these activities are borne by the fund owners.

Other Operational Income Related to Financing
This item covers Other Operational Income related to the business activities of the reporting Venture Capital Company, including administrative income, commission income, penalty income, and other operational income related to the business activities of the reporting Venture Capital Company.

a. Administrative Income
This item covers costs charged to debtors or business partners for the use of funding facilities from the reporting Venture Capital Company.

b. Commission Income
This item covers commission costs charged to debtors or business partners.

c. Penalty Income
This item covers penalty costs charged to debtors.

d. Other Operational Income Related to Other Business Activities of the Venture Capital Company This item is filled with income received from other operational activities related to other business activities received by the reporting Venture Capital Company.

Other Operational Income
This item covers other operational income received by the reporting Venture Capital Company other than in items 1 and 2 above.
Non-Operational Income
This item covers income from activities other than the main activities of the reporting Venture Capital Company.

a. Interest/Current Account Service Income
This item covers interest/current account service income in Rupiah and foreign currency from placements made by the reporting Venture Capital Company in the form of current assets, such as current accounts, savings, and deposits at banks.

b. Other Non-Operational Income
This item covers non-operational income other than interest and current account service income.

(2) EXPENSES

Operational Expenses
This item covers costs arising from the operational activities of the reporting Venture Capital Company.

a. Interest and/or Return Expenses

Interest Expenses from Received Loans
This item covers interest costs from received loans.
Interest Expenses from Issued Securities
This item covers interest costs from issued securities.
Return Expenses on Received Financing Based on Sharia Principles
This item covers return costs from financing received based on Sharia principles.

b. Swap Transaction Premium Expenses
This item covers expenses paid in the context of swap transactions.

c. Insurance Premium Expenses
This item covers expenses paid for insurance coverage purposes, such as payments for property loss insurance premiums.

d. Labor Expenses

Salary, Wages, and Allowance Expenses
This item covers basic salary, wages, and various allowances paid to members of the Board of Commissioners, members of the Board of Directors, employees, and/or members of the Sharia Supervisory Board of the reporting Venture Capital Company who are permanent or non-permanent employees, before deduction for income tax and other withholdings. Included in this sub-item are honoraria, overtime pay, and welfare care.
Labor Development and Training Expenses
This item covers expenses incurred by the reporting Venture Capital Company for labor development and training.
Other Labor Expenses
This item covers expenses incurred by the reporting Venture Capital Company related to labor other than those included in the sub-items of salary, wages, allowances, and labor development/training.

e. Marketing Expenses
This item covers expenses incurred by the reporting Venture Capital Company related to marketing activities conducted.

f. Provision/Depreciation Expenses

Provision Expenses for Write-Off of Productive Assets for Financing/Participation
This item covers write-off provision costs for productive assets for financing or participation conducted by the reporting Venture Capital Company.

i) Provision Expenses for Write-Off of Productive Assets for Participation through the Purchase of Convertible Bonds This item covers write-off costs for productive assets for participation through the purchase of convertible bonds.

ii) Provision Expenses for Write-Off of Productive Assets for Financing through the Purchase of Debt Securities Issued by Business Partners in the Early Startup Stage and/or Business Development Stage This item covers write-off costs for productive assets for financing through the purchase of debt securities issued by business partners in the early startup stage and/or business development stage.

iii) Provision Expenses for Write-Off of Productive Assets for Productive Business Financing This item covers write-off costs for productive assets for productive business financing.

Provision Expenses for Write-Off of Productive Assets for Sharia-Compliant Investments
This item covers write-off costs for productive assets for Sharia-compliant investments conducted by the UUS from the reporting Venture Capital Company.

i) Provision Expenses for Write-Off of Productive Assets for the Purchase of Sukuk or Sharia-Compliant Convertible Bonds This item covers write-off costs for productive assets for the purchase of sukuk or Sharia-compliant convertible bonds.

ii) Provision Expenses for Write-Off of Productive Assets for the Purchase of Sukuk or Sharia-Compliant Bonds Issued by Business Partners in the Early Startup Stage and/or Business Development Stage This item covers write-off costs for productive assets for the purchase of sukuk or Sharia-compliant bonds issued by business partners in the early startup stage and/or business development stage.

iii) Provision Expenses for Write-Off of Productive Assets for Financing Based on the Profit-Sharing Principle This item covers write-off costs for productive assets for financing based on the profit-sharing principle.

Depreciation Expenses for Fixed Assets and Inventory
This item covers depreciation costs for fixed assets and inventory.

g. Rental Expenses
This item contains all rental costs paid by the reporting Venture Capital Company, such as office rent, house or building rent, and equipment rent.

h. Maintenance and Repair Expenses
This item covers costs incurred by the reporting Venture Capital Company for the maintenance and/or repair of fixed assets, office inventory, and others.

i. Administrative and General Expenses
This item covers costs for the use of goods or services, such as lighting, water, telephone, telegram, and office equipment costs.

j. Other Operational Expenses
This item covers costs other than items letter a through letter i.

Non-Operational Expenses
This item covers expenses incurred by the reporting Venture Capital Company other than for the main activities of the reporting Venture Capital Company.

(3) PROFIT (LOSS) BEFORE TAX
This item covers the amount of income minus the amount of expenses of the reporting Venture Capital Company before being reduced by tax.

(4) ESTIMATED INCOME TAX

Current Year Tax
This item covers the estimated income tax expense calculated progressively from the profit of the current period up to the report date.
Deferred Tax (Income) Expense
This item covers the amount of deferred tax (income) expense related to the amount of deferred tax assets (liabilities) recognized for the current period up to the report date.

(5) NET PROFIT (LOSS) AFTER TAX
This item covers profit (loss) after being reduced by the estimated income tax, which includes current year tax and deferred tax (income) expense recognized for the current period up to the report date.

(6) GAIN (LOSS) FROM OTHER COMPREHENSIVE INCOME FOR THE CURRENT PERIOD This item covers other comprehensive income (OCI) gains (losses) by the reporting Venture Capital Company during the accounting period, from the beginning of the year through to the report date.

Gain (Loss) Due to Changes in the Revaluation Surplus of Fixed Assets
This item covers the net gain or loss related to the revaluation of fixed assets recognized for the current period up to the report date. This item is presented in the profit or loss statement based on compensation (offset) with the loss item.
Exchange Rate Differences Due to Translation of Financial Statements in Foreign Currency
This item covers the net gain or loss related to exchange rate differences from the translation of financial statements in foreign currency recognized for the current period up to the report date. This item is presented in the profit or loss statement based on compensation (offset) with the loss item.
Gain (Loss) Due to Remeasurement of Financial Assets Available for Sale
This item covers the net gain or loss related to financial assets available for sale recognized for the current period up to the report date. This item is presented in the profit or loss statement based on compensation (offset) with the loss item.
Gain (Loss) Due to the Effective Portion of Financial Instruments in Cash Flow Hedge
This item covers the net gain or loss related to cash flow hedges recognized for the current period up to the report date. This item is presented in the profit or loss statement based on compensation (offset) with the loss item.
Gain (Loss) on Other Equity Components in Accordance with Financial Accounting Standards
This item covers the net gain or loss other than items 1 through 4. This item is presented in the profit (loss) statement based on compensation (offset) with the loss item.

(7) COMPREHENSIVE NET PROFIT (LOSS) FOR THE CURRENT YEAR This item covers the value of net profit (loss) after tax plus other comprehensive income gains (losses).

D. FORM 1300: STATEMENT OF CASH FLOWS

FORMAT OF FORM 1300 (STATEMENT OF CASH FLOWS)

Form 1300 (Statement of Cash Flows) is prepared in the following format:

Items	Rp	Foreign Currency	Total
I. Net Cash Flows from Operating Activities
1. Cash Inflows from Operating Activities
a. Cash Inflows from Equity Participation Activities
b. Cash Inflows from Participation through the Purchase of Convertible Bonds
c. Cash Inflows from Financing Activities through the Purchase of Debt Securities Issued by Business Partners in the Early Startup Stage (Start-up) and/or Business Development Stage
d. Cash Inflows from Productive Business Financing Activities
e. Cash Inflows from Sharia-Compliant Investment Activities
f. Cash Inflows from Venture Fund Management Activities
g. Cash Inflows from Other Business Activities
1) Cash Inflows from Fee-Based Service Activities
2) Cash Inflows from Other Business Activities with the Approval of the Financial Services Authority (OJK)
h. Cash Inflows from Financing Channeling Activities
i. Cash Inflows from Other Operational Income
2. Cash Outflows for Operating Activities
a. Cash Outflows for Equity Participation Activities
b. Cash Outflows for Participation through the Purchase of Convertible Bonds
c. Cash Outflows for Financing Activities through the Purchase of Debt Securities Issued by Business Partners in the Early Startup Stage (Start-up) and/or Business Development Stage
d. Cash Outflows for Productive Business Financing Activities
e. Cash Outflows for Sharia-Compliant Investment Activities
f. Cash Outflows for Venture Fund Management Activities
g. Cash Outflows for Other Business Activities
1) Cash Outflows for Fee-Based Service Activities
2) Cash Outflows for Other Business Activities with the Approval of the Financial Services Authority (OJK)
h. Cash Outflows for Operational Interest Payments
i. Cash Outflows for General and Administrative Expense Payments
j. Cash Outflows for Income Tax Payments
k. Cash Outflows from Financing Channeling Activities
l. Cash Outflows for Other Operational Activity Payments
II. Net Cash Flows from Investing Activities
1. Cash Inflows from Investing Activities
a. Cash Inflows from the Release of Venture Funds
b. Cash Inflows from the Sale of Land, Buildings, and Equipment
c. Cash Inflows from the Sale of Securities
d. Cash Inflows from Dividends
e. Cash Inflows from the Receipt of Investment Interest
f. Cash Inflows from Other Investing Activities
2. Cash Outflows for Investing Activities
a. Cash Outflows for Investment in Venture Funds
b. Cash Outflows for the Purchase of Land, Buildings, and Equipment
c. Cash Outflows for the Acquisition of Securities
d. Cash Outflows for Other Investing Activities
III. Net Cash Flows from Financing Activities
1. Cash Inflows from Financing Activities
a. Cash Inflows from Loans and the Issuance of Securities
b. Cash Inflows from the Issuance of Share Capital
c. Cash Inflows from Sharia-Compliant Financing
d. Cash Inflows from Other Financing
2. Cash Outflows for Financing Activities
a. Cash Outflows for the Payment of Loan Principal and Issued Securities
b. Cash Outflows for the Withdrawal of Company Capital (Treasury Stock)
c. Cash Outflows for Dividend Payments
d. Cash Outflows for Sharia-Compliant Financing
e. Cash Outflows for Other Financing
IV. Surplus (Deficit) in Cash and Cash Equivalents Due to Exchange Rate Changes
V. Net Increase (Decrease) in Cash and Cash Equivalents
VI. Cash and Cash Equivalents at the Beginning of the Period
VII. Cash and Cash Equivalents at the End of the Period

EXPLANATION OF FORM 1300 (STATEMENT OF CASH FLOWS)

Form 1300 (Statement of Cash Flows) is a financial report prepared using the cash basis. All items in the cash flow statement are created and calculated based on the involvement of cash and cash equivalents from the beginning of the report year through to the report date. This applies to both receipt and payment items.

In the foreign currency column, cash flows and cash equivalents are separated based on transaction groups that affect the reporting Venture Capital Company's current accounts at foreign banks and transactions with parties other than foreign banks.

I. Net Cash Flows from Operating Activities

Cash Inflows from Operating Activities

a. Cash Inflows from Equity Participation Activities This item contains all receipts originating from equity participation activities.

b. Cash Inflows from Participation Activities through the Purchase of Convertible Bonds This item contains all receipts originating from participation activities through the purchase of convertible bonds.

c. Cash Inflows from Financing Activities through the Purchase of Debt Securities Issued by Business Partners in the Early Startup Stage (Start-up) and/or Business Development Stage
This item contains all receipts originating from financing activities through the purchase of debt securities issued by business partners in the early startup stage (start-up) and/or business development.

d. Cash Inflows from Productive Business Financing Activities This item contains all receipts originating from productive business financing activities.

e. Cash Inflows from Sharia-Compliant Investment Activities This item contains all receipts originating from Sharia-compliant investment activities, which consist of:

equity participation;
the purchase of sukuk or Sharia-compliant convertible bonds;
the purchase of sukuk or Sharia-compliant bonds issued by business partners in the early startup stage (start-up) and/or business development stage; and/or
financing based on the profit-sharing principle.

f. Cash Inflows from Venture Fund Management Activities This item contains all receipts originating from venture fund management activities.

g. Cash Inflows from Other Business Activities

Cash Inflows from Fee-Based Service Activities
This item contains all receipts originating from fee-based service activities.
Cash Inflows from Other Business Activities with the Approval of the Financial Services Authority (OJK)
This item contains all receipts from other business activities with the approval of the Financial Services Authority (OJK).

h. Cash Inflows from Financing Channeling Activities This item contains all net receipts originating from financing channeling activities, including channeling fees/returns and administrative costs.

i. Cash Inflows from Other Operational Income
This item contains all receipts not originating from the main activities above. This item can be sourced from the receipt of written-off receivables, administrative income, and interest not originating from business partners, debtors, corporate clients, claim receipts, or other insurance benefits in cash form, and other income not originating from main activities.

Cash Outflows for Operating Activities

a. Cash Outflows for Equity Participation Activities This item contains all payments made related to equity participation activities.

b. Cash Outflows for Participation Activities through the Purchase of Convertible Bonds This item contains all payments made related to participation activities through the purchase of convertible bonds.

c. Cash Outflows for Financing Activities through the Purchase of Debt Securities Issued by Business Partners in the Early Startup Stage (Start-up) and/or Business Development Stage
This item contains all payments made related to financing activities through the purchase of debt securities issued by business partners in the early startup stage (start-up) and/or business development stage.

d. Cash Outflows for Productive Business Financing Activities This item contains all expenditures from productive business financing activities.

e. Cash Outflows for Sharia-Compliant Investment Activities This item contains all expenditures made in connection with Sharia-compliant investment activities, which consist of:

equity participation;
the purchase of sukuk or Sharia-compliant convertible bonds;
the purchase of sukuk or Sharia-compliant bonds issued by business partners in the early startup stage (start-up) and/or business development stage; and/or
financing based on the profit-sharing principle.

f. Cash Outflow for Fund Management Activities This item contains all expenditures from fund management activities.

g. Cash Outflow for Other Business Activities

Cash Outflow for Fee-Based Service Activities
This item contains all payments made related to fee-based service activities.
Cash Outflow for Other Business Activities with the Approval of the Financial Services Authority
This item contains all payments made related to other business activities based on the approval of the Financial Services Authority.

h. Cash Outflow for Operational Interest Payments This item contains all expenditures resulting from interest payments on loans used.

i. Cash Outflow for General and Administrative Expense Payments
This item contains all employee salary expenses, company building rental expenses, electricity and telephone expenses, insurance premiums, and other annuity payments, as well as other administrative expenses not originating from the company's main activities.

j. Cash Outflow for Income Tax Payments
This item is specifically used to record the company's income tax payments during the reporting period.

k. Cash Outflow from Channeling Financing Activities This item contains all expenditures used for channeling financing activities.

l. Cash Outflow for Other Operational Activities
This item contains all expenditures arising from other operational activities not covered in the previous items.

II. Net Cash Flow from Investing Activities

Cash Inflow from Investing Activities
a. Cash Inflow from Venture Capital Divestment This item contains the proceeds from venture capital divestment involving cash and other related income.

b. Cash Inflow from the Sale of Land, Buildings, and Equipment This item contains cash receipts from the sale of land, buildings, and equipment. If the sale involves expenditures for administrative expenses and other expenses to be borne by the reporting Venture Capital Company, this item contains the net income from the land sale after deducting the expenses to be paid by the reporting Venture Capital Company.

c. Cash Inflow from the Sale of Securities
In the event that the reporting Venture Capital Company sells back long-term securities, except for securities in the form of equity participation in affiliates, securities in the form of convertible bonds, sukuk, or convertible sharia bonds, debt securities issued by affiliates in the early start-up stage and/or business development stage, or sukuk or sharia bonds issued by affiliates in the early start-up stage and/or business development stage, the proceeds from such sales must be reported in this cash receipt item net of all costs payable in connection with the transaction.

d. Cash Inflow from Dividends
This item contains cash receipts from dividend income resulting from the reporting Venture Capital Company's investments in the shares of other companies.

e. Cash Inflow from Investment Interest Income This item contains cash receipts from interest income resulting from the reporting Venture Capital Company's investment activities in securities.

f. Cash Inflow from Other Investing Activities This item contains cash receipts from other investment activities not included in the items above.

Cash Outflow for Investing Activities
a. Cash Outflow for Investment in Venture Capital Funds This item contains cash expenditures for the reporting Venture Capital Company's investment in managed venture capital funds.

b. Cash Outflow for the Purchase of Land, Buildings, and Equipment This item contains cash expenditures for transactions involving the purchase of land, buildings, and equipment.

c. Cash Outflow for the Acquisition of Securities
This item contains cash expenditures for investment activities conducted as part of the acquisition of securities, except for securities in the form of equity participation in affiliates, securities in the form of convertible bonds, sukuk, or convertible sharia bonds, debt securities issued by affiliates in the early start-up stage and/or business development stage, or sukuk or sharia bonds issued by affiliates in the early start-up stage and/or business development stage. If the reporting Venture Capital Company incurs cash payments for other expenses in this transaction, this item must be recorded net by deducting other costs incurred to acquire the asset.

d. Cash Outflow for Other Investing Activities This item contains cash expenditures for other investment activities not included in the items above.

III. Net Cash Flow from Financing Activities

Cash Inflow from Financing Activities
a. Cash Inflow from Loans and Issuance of Securities This item contains cash receipts from loan proceeds and the results of the reporting Venture Capital Company's issuance of securities.

b. Cash Inflow from the Issuance of Share Capital This item contains cash receipts from the results of the reporting Venture Capital Company's issuance of share capital.

c. Cash Inflow from Financing Based on Sharia Principles
This item contains cash receipts from financing based on sharia principles.

d. Cash Inflow from Other Financing
This item contains cash receipts from other financing results not included in the items above.

Cash Outflow for Financing Activities
a. Cash Outflow for Principal Repayment of Loans and Issued Securities This item contains cash expenditures to repay the principal of loans and issued securities to creditors and/or investors.

b. Cash Outflow for the Withdrawal of Company Capital (Treasury Stock) This item contains cash expenditures for transactions involving the withdrawal of the reporting Venture Capital Company's share capital.

c. Cash Outflow for Dividend Payments
This item contains cash expenditures for dividend payments to the shareholders of the reporting Venture Capital Company.

d. Cash Outflow for Financing Based on Sharia Principles This item contains cash expenditures for financing based on sharia principles.

e. Cash Outflow for Other Financing
This item contains all cash expenditures for financing activities not included in the items above.

IV. Surplus (Deficit) in Cash and Cash Equivalents Due to Exchange Rate Changes
This item contains the amount of change in cash and cash equivalents due to foreign exchange rates during the reporting year period up to the reporting date.

V. Net Increase (Decrease) in Cash and Cash Equivalents
This item contains the net increase or decrease in cash and cash equivalents during the reporting year period up to the reporting date.

VI. Cash and Cash Equivalents at the Beginning of the Period
This item contains the amount of the cash and cash equivalents position at the beginning of the reporting year period of the reporting Venture Capital Company.

VII. Cash and Cash Equivalents at the End of the Period
This item contains the amount of the cash and cash equivalents position at the end of the reporting date period of the reporting Venture Capital Company.

E. FORM 2110: DETAILS OF EQUITY PARTICIPATION IN AFFILIATES

FORM 2110 FORMAT (DETAILS OF EQUITY PARTICIPATION IN AFFILIATES)
Form 2110 (Details of Equity Participation in Affiliates) is prepared according to the following format:
(1) (2) (3) (4) (5) (6)
Company Name
Business Type
Company Group
Business Sector
Sustainable Finance
Business Category
Affiliate Business
Category
(7) (8) (9) (10) (11)
Country Location
Date of Start of Participation
Planned
Duration of Participation
Participation
Percentage
Quality
(12) (13) (14) (15)
Currency Type
Recording
Method
Initial Participation
Value
Participation Value
Reporting Period
In
Original
Currency
In
Rupiah
Equivalent
In
Original
Currency
In
Rupiah
Equivalent
EXPLANATION OF FORM 2110 (DETAILS OF EQUITY PARTICIPATION IN AFFILIATES)
Form 2110 (Details of Equity Participation in Affiliates) contains details of equity participation conducted by the reporting Venture Capital Company in affiliates.

(1) Company Name
This item is filled with the name of the affiliate company receiving equity participation from the reporting Venture Capital Company.

(2) Business Type
This item is filled with the type of equity participation conducted, including:
a. equity participation; or b. sharia equity participation.

(3) Company Group
This item is filled with the classification or group of the company receiving equity participation from the reporting Venture Capital Company.

(4) Business Sector
This item is filled with the standard classification of economic activities in Indonesia. The economic sector details are based on the applicable Indonesian standard business field classification. In the event that equity participation is used to finance more than one type of economic activity that cannot be separated, the classification method focuses on the priority economic sector (the sector receiving the largest share of the participation facility).

(5) Sustainable Finance Business Category
This item is filled with the affiliate business category that meets the sustainable finance criteria as regulated in the Financial Services Authority Regulation regarding the implementation of sustainable finance for financial service institutions.

(6) Affiliate Business Category
This item is filled with the affiliate business category based on the affiliate's business scale, divided into the following categories:

large business
medium business
small business
micro business
Regulations regarding the affiliate's business scale refer to the law on micro, small, and medium enterprises.

(7) Country Location
This item is filled with the country of origin of the affiliate company receiving equity participation from the reporting Venture Capital Company.

(8) Date of Start of Participation
This item is filled with the date of the agreement or contract based on a notarial deed.

(9) Planned Duration of Participation
This item is filled with the planned duration of the reporting Venture Capital Company's equity participation in the affiliate, which will be divested at the end of the participation period. This item is filled in units of years.

(10) Participation Percentage
This item is filled with the percentage of equity participation conducted by the reporting Venture Capital Company in the affiliate receiving the participation, calculated by comparing the value of the reporting Venture Capital Company's equity participation with the affiliate's equity.

(11) Quality
This item is filled with the quality of the equity participation assessed using criteria in accordance with the rules for classifying the quality of productive assets of the reporting Venture Capital Company based on the Financial Services Authority Circular regarding the financial health level of Venture Capital Companies, namely:

current
special attention
doubtful
in doubt
non-performing

(12) Currency Type
This item is filled with the type of currency used in the equity participation.

(13) Recording Method
This item is filled with the investment recording method used, namely the cost method or the equity method.

(14) Initial Participation Value
This item is filled with the initial participation value:

In Original Currency
This item is filled with the amount of the initial participation value in a currency other than rupiah. If the currency type is rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the amount of the initial participation value in rupiah, and in currencies other than rupiah after being converted to rupiah using the Bank Indonesia reference exchange rate.

(15) Participation Value in the Reporting Period This item is filled with the amount of the equity participation value:

In Original Currency
This item is filled with the amount of the equity participation value at the time of the reporting period in a currency other than rupiah. If the currency type is rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the amount of the equity participation value at the time of the reporting period in rupiah, and in currencies other than rupiah after being converted to rupiah using the Bank Indonesia reference exchange rate.

F. FORM 2120: DETAILS OF PARTICIPATION THROUGH THE PURCHASE OF CONVERTIBLE BONDS

FORM 2120 FORMAT (DETAILS OF PARTICIPATION THROUGH THE PURCHASE OF CONVERTIBLE BONDS)
Form 2120 (Details of Participation through the Purchase of Convertible Bonds) is prepared according to the following format:
(1) (2) (3) (4)
Series Number of
Convertible Bond/Sukuk/
Convertible Sharia Bond
Business Type
Duration
Currency
Type
Date of
Issuance
Date of
Maturity
(5) (6) (7) (8) (9) (10)
Interest Rate/
Yield
Issuer
Name
Affiliate
Business
Category
Sustainable Finance
Business
Category
Issuer
Country
Issuer
Group
Type
(11) (12) (13) (14) (15)
Related Party
Status
Business
Sector
Quality
Principal
Value
Ending Balance
Reporting Period
In
Original
Currency
In
Rupiah
Equivalent
In
Original
Currency
In
Rupiah
Equivalent
(16)
Impairment Loss
Reserve
Method
Good
Asset
Less
Good
Asset
Bad
Asset
EXPLANATION OF FORM 2120 (DETAILS OF PARTICIPATION THROUGH THE PURCHASE OF CONVERTIBLE BONDS)
Form 2120 (Details of Participation through the Purchase of Convertible Bonds) contains details of participation through the purchase of convertible bonds conducted by the reporting Venture Capital Company.

(1) Series Number of Convertible Bond/Sukuk/Convertible Sharia Bond This item is filled with the series number of the convertible bond, sukuk, or convertible sharia bond purchased.

(2) Business Type
This item is filled with the type of convertible bond purchase conducted, including:
a. purchase of convertible bonds; or b. purchase of sukuk or convertible sharia bonds.

(3) Duration

Date of Issuance
This item is filled with the date, month, and year of issuance of the convertible bond, sukuk, or convertible sharia bond.
Date of Maturity
This item is filled with the date, month, and year of maturity of the convertible bond, sukuk, or convertible sharia bond.

(4) Currency Type
This item is filled with the type of currency on the convertible bond, sukuk, or convertible sharia bond purchased.

(5) Interest Rate/Yield

Type
This item is filled with the type of interest or yield set on the convertible bond, sukuk, or convertible sharia bond established by the reporting Venture Capital Company, namely floating or fixed.
Rate
This item is filled with the percentage of the interest rate or yield of the convertible bond, sukuk, or convertible sharia bond agreed upon for one year (per annum). Convertible bonds, sukuk, or convertible sharia bonds that do not have an interest rate, profit share, or yield do not need to be filled or can be left blank.

(6) Issuer Name
This item is filled with the name of the company issuing the convertible bond, sukuk, or convertible sharia bond.

(7) Affiliate Business Category
This item is filled with the affiliate business category based on the affiliate's business scale, divided into the following categories:

large business
medium business
small business
micro business
Regulations regarding the affiliate's business scale refer to the law on micro, small, and medium enterprises.

(8) Sustainable Finance Business Category
This item is filled with the affiliate business category that meets the sustainable finance criteria as regulated in the Financial Services Authority Regulation regarding the implementation of sustainable finance for financial service institutions.

(9) Issuer Country
This item is filled with the country issuing the convertible bond, sukuk, or convertible sharia bond.

(10) Issuer Group
This item is filled with the parties issuing the convertible bond, sukuk, or convertible sharia bond.

(11) Related Party Status
This item is filled with the related party status of the affiliate with the reporting Venture Capital Company, namely:

Related to the Venture Capital Company
Related to the Venture Capital Company refers to the party issuing the convertible bond, sukuk, or convertible sharia bond that is related to the reporting Venture Capital Company.
Not Related to the Venture Capital Company
Not related to the Venture Capital Company refers to the party issuing the convertible bond, sukuk, or convertible sharia bond that is not related to the reporting Venture Capital Company. Explanation regarding the relationship with the reporting Venture Capital Company refers to the General Explanation of the Column in the Detail List as referred to in Appendix I, which is an integral part of this Financial Services Authority Circular.

(12) Business Sector
This item is filled with the standard classification of economic activities in Indonesia. The economic sector details are based on the applicable Indonesian standard business field classification. In the event that convertible bonds, sukuk, or convertible sharia bonds are used to finance more than one type of economic activity that cannot be separated, the classification method focuses on the priority economic sector (the sector receiving the largest share of the convertible bond, sukuk, or convertible sharia bond facility).

(13) Quality
This item is filled with the quality of the convertible bond, sukuk, or convertible sharia bond purchased and assessed using criteria in accordance with the rules for classifying the quality of productive assets of the reporting Venture Capital Company following the Financial Services Authority Circular regarding the financial health level of Venture Capital Companies, namely:

current
special attention
doubtful
in doubt
non-performing

(14) Principal Value
This item is filled with the principal value of the convertible bond, sukuk, or convertible sharia bond purchased:

In Original Currency
This item is filled with the principal value of the convertible bond, sukuk, or convertible sharia bond in a currency other than rupiah. If the currency type is rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the principal value of the convertible bond, sukuk, or convertible sharia bond in rupiah and in currencies other than rupiah after being converted to rupiah using the Bank Indonesia reference exchange rate.

(15) Ending Balance of the Reporting Period
This item is filled with the value of the convertible bond, sukuk, or convertible sharia bond at the end of the reporting period.

In Original Currency
This item is filled with the value of the convertible bond, sukuk, or convertible sharia bond at the end of the reporting period in a currency other than rupiah. If the currency type is rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the value of the convertible bond, sukuk, or convertible sharia bond at the end of the reporting period in rupiah and in currencies other than rupiah after being converted to rupiah using the Bank Indonesia reference exchange rate.

(16) Impairment Loss Reserve

Method
This item is filled with the method of forming the impairment loss reserve, namely:
individually; or
collectively.
Good Asset
This item is filled with the provision amount formed for the decline in assets that have low credit risk and have not experienced an increase in credit risk.
Less Good Asset
This item is filled with the provision amount formed for the decline in assets that have experienced a significant increase in credit risk compared to since the date the asset was initially acquired.
Bad Asset
This item is filled with the provision amount formed for the decline in assets that have experienced a deterioration in credit risk compared to since the date the asset was initially acquired.

G. FORM 2130: DETAILS OF FINANCING THROUGH THE PURCHASE OF DEBT SECURITIES ISSUED BY AFFILIATES IN THE EARLY START-UP (START-UP) AND/OR BUSINESS DEVELOPMENT STAGE

FORM 2130 FORMAT (DETAILS OF FINANCING THROUGH THE PURCHASE OF DEBT SECURITIES ISSUED BY AFFILIATES IN THE EARLY START-UP (START-UP) AND/OR BUSINESS DEVELOPMENT STAGE)
Form 2130 (Details of Financing through the Purchase of Debt Securities Issued by Affiliates in the Early Start-up (Start-up) and/or Business Development Stage) is prepared according to the following format:
(1) (2) (3) (4) (5) (6)
Number of
Debt Security/Sukuk/
Sharia Bond
Business
Type
Duration
Currency
Type
Interest Rate/
Yield
Name
Date of
Issuer
Issuance
Date of
Maturity
Type
(7) (8) (9) (10) (11) (12) (13)
Affiliate
Business
Category
Sustainable Finance
Business
Category
Issuer
Country
Issuer
Group
Related Party
Status
Business
Sector
Quality
(14) (15) (16)
Principal
Value
Ending Balance
Reporting Period
Impairment Loss
Reserve
In
Original
Currency
In
Rupiah
Equivalent
In
Original
Currency
In
Rupiah
Equivalent
Method
Good
Asset
Less
Good
Asset
Bad
Asset
EXPLANATION OF FORM 2130 (DETAILS OF FINANCING THROUGH THE PURCHASE OF DEBT SECURITIES ISSUED BY AFFILIATES IN THE EARLY START-UP (START-UP) AND/OR BUSINESS DEVELOPMENT STAGE)
Form 2130 (Details of Financing through the Purchase of Debt Securities Issued by Affiliates in the Early Start-up (Start-up) and/or Business Development Stage) contains details of financing through the purchase of debt securities issued by affiliates in the early start-up (start-up) and/or business development stage conducted by the reporting Venture Capital Company, or sukuk or sharia bonds issued by affiliates in the early start-up (start-up) and/or business development stage conducted by the Sharia Business Unit of the reporting Venture Capital Company.

(1) Number of Debt Security/Sukuk/Sharia Bond
This item is filled with the number of the debt security issued by the affiliate in the early start-up (start-up) and/or business development stage, or sukuk or sharia bond issued by the affiliate in the early start-up (start-up) and/or business development stage that was purchased.

(2) Business Type
This item is filled with the type of debt security purchase conducted, including:
a. purchase of debt securities issued by affiliates in the early start-up (start-up) and/or business development stage; or b. purchase of sukuk or sharia bonds issued by affiliates in the early start-up (start-up) and/or business development stage.

(3) Duration

Date of Issuance
This item is filled with the date, month, and year of issuance of the debt security issued by the affiliate in the early start-up (start-up) and/or business development stage, or sukuk or sharia bond issued by the affiliate in the early start-up (start-up) and/or business development stage.
Maturity Date
This item is filled with the date, month, and year of maturity of the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development. (4) Currency Type This item is filled with the type of currency on the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development that are purchased. (5) Interest Rate/Yield
Type
This item is filled with the type of interest or yield established on the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development, as established by the reporting Venture Capital Company, namely floating or fixed.
Rate
This item is filled with the percentage interest rate or yield of the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development, agreed upon for one year (per annum). Debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development that do not have an interest rate or yield do not need to be filled or can be left blank.

(6) Issuer Name
This item is filled with the name of the company issuing the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development. (7) Business Partner Business Category This item is filled with the business partner's business category based on the business partner's business scale, divided into categories as follows:

large business
medium business
small business
micro business
Provisions regarding the business partner's business scale refer to the law on micro, small, and medium enterprises.
(8) Sustainable Finance Business Category
This item is filled with the business partner's business category that meets the sustainable finance criteria as regulated in the Financial Services Authority Regulation regarding the implementation of sustainable finance for financial service institutions. (9) Issuer Country This item is filled with the country issuing the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development. (10) Issuer Group This item is filled with the parties issuing the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development. (11) Related Status This item is filled with the related status of the business partner with the reporting Venture Capital Company, namely:
Related to the Venture Capital Company
Related to the Venture Capital Company is the party issuing the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development, which is related to the reporting Venture Capital Company.
Not Related to the Venture Capital Company
Not related to the Venture Capital Company is the party issuing the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development, which is not related to the reporting Venture Capital Company. Explanation regarding the relationship with the reporting Venture Capital Company refers to the General Explanation of the Detail List Column as referred to in Appendix I which is an integral part of this Financial Services Authority Circular. (12) Business Sector This item is filled with the standard classification of economic activities existing in Indonesia. The details of the economic sector are based on the applicable standard Indonesian business field classification. In the event that the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development are used to finance more than one type of economic activity that cannot be separated, the classification method focuses on the priority economic sector (the sector that receives the largest facility of the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development).

in the early stage (start-up) and/or business development).
(13) Quality
This item is filled with the quality of the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development that are purchased and assessed with criteria in accordance with the asset quality classification rules of the reporting Venture Capital Company following the Financial Services Authority Circular regarding the financial health level of Venture Capital Companies, namely:

productive
special attention
less productive
doubtful
non-performing
(14) Principal Value
This item is filled with the principal value of the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development that are purchased:
In Original Currency
This item is filled with the principal value of the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development in original currency other than rupiah. If the currency type is rupiah, then the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the principal value of the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development in rupiah and other currencies after being converted into rupiah using the Bank Indonesia mid-rate. (15) End of Reporting Period Balance This item is filled with the value of the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development at the end of the reporting period.
In Original Currency
This item is filled with the value of the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development at the end of the reporting period in original currency other than rupiah. If the currency type is rupiah, then the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the value of the debt instruments issued by the business partner in the early stage (start-up) and/or business development, or sharia sukuk or sharia bonds issued by the business partner in the early stage (start-up) and/or business development at the end of the reporting period in rupiah and other currencies after being converted into rupiah using the Bank Indonesia mid-rate. (16) Impairment Loss Provisions
Method
This item is filled with the method of forming impairment loss provisions, namely:
individually; or
collectively.
Good Assets
This item is filled with the provision value formed for the decline in assets that have low credit risk and have not experienced an increase in credit risk.
Less Good Assets
This item is filled with the provision value formed for the decline in assets that have experienced a significant increase in credit risk compared to since the date the asset was initially acquired.
Bad Assets
This item is filled with the provision value formed for the decline in assets that have experienced a deterioration in credit risk compared to since the date the asset was initially acquired.

H. FORM 2140: DETAILS OF PRODUCTIVE BUSINESS FINANCING

FORM 2140 FORMAT (DETAILS OF PRODUCTIVE BUSINESS FINANCING)
Form 2140 (Details of Productive Business Financing) is prepared in the following format:
(1) (2) (3) (4)
Contract
Number
Business
Type
Duration
Interest Rate/
Profit Sharing
Financing
Start Date
Maturity
Date
Currency Type
Rate
(5) (6) (7) (8)
Initial
Financing
Value
Quality
Type of
Currency
Gross Financing
Receivables
In Original
Currency
In Rupiah
Equivalent
(9) (10) (11)
Deferred
Interest/Profit
Sharing
Financing
Principal
Receivables
Impairment Loss
Provisions
In
Original
Currency
In
Rupiah
Equivalent
In
Original
Currency
In
Rupiah
Equivalent
Method
Good
Assets
Less
Good
Assets
Bad
Assets
(12) (13) (14) (15) (16) (17)
Credit
Guarantee/
Credit
Insurance
Proportion
Business
Partner
Name/
Debtor
Business
Form
Business
Partner/
Debtor
Category
Business
Partner/
Debtor
Category
Sustainable
Finance
Business
Partner/
Debtor
Group
(18) (19) (20) (21) (22) (23)
Related
Status
District/
City
Location
Economic
Sector
Collateral
Number
Collateral
Type
Collateral
Value
FORM 2140 EXPLANATION (DETAILS OF PRODUCTIVE BUSINESS FINANCING)
Form 2140 (Details of Productive Business Financing) contains details of productive business financing carried out by the reporting Venture Capital Company, including details of financing based on profit-sharing principles carried out by the Sharia Business Unit (UUS) of the reporting Venture Capital Company. (1) Contract Number This item is filled with the serial number of the financing agreement used in the contract agreement by the reporting Venture Capital Company or the UUS of the reporting Venture Capital Company. (2) Business Type This item is filled with the type of financing carried out, including:
a. productive business financing; and/or b. financing based on profit-sharing principles.
(3) Duration

Financing Start Date
This item is filled with the start date of the contract as stated in the financing agreement.
Maturity Date
This item is filled with the end date of the contract as stated in the financing agreement.
(4) Interest Rate/Profit Sharing
Type
This item is filled with the type of interest established in accordance with the agreement of the parties stated in the contract agreement, namely floating or fixed. In the event that the reporting Venture Capital Company has a UUS that carries out financing activities based on profit-sharing principles, this item is filled with the type of profit sharing established.
Rate
This item is filled with the percentage interest rate for one year (per annum) as stated in the financing agreement. In the event that the reporting Venture Capital Company has a UUS that carries out financing activities based on profit-sharing principles, this item is filled with the profit sharing percentage value. (5) Initial Financing Value This item is filled with the financing value that is actually disbursed by the reporting Venture Capital Company, including for financing based on profit-sharing principles carried out by the UUS of the reporting Venture Capital Company at the beginning of the contract. This value is filled in rupiah and remains the same throughout the contract period. (6) Quality This item is filled with the quality of financing receivables assessed based on criteria in accordance with the productive asset quality classification rules of the reporting Venture Capital Company or the UUS of the reporting Venture Capital Company following the Financial Services Authority Circular regarding the financial health level of Venture Capital Companies, namely:
productive
special attention
less productive
doubtful
non-performing
(7) Currency Type
This item is filled with the type of currency used in the financing agreement.
(8) Gross Financing Receivables
In Original Currency
This item is filled with the total gross financing receivables including deferred interest or profit sharing, in original currency other than rupiah. If the currency type is rupiah, then the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the total gross financing receivables including deferred interest or profit sharing, in rupiah and other currencies after being converted into rupiah using the Bank Indonesia mid-rate.

(9) Deferred Interest/Profit Sharing

In Original Currency
This item is filled with the value of deferred interest or profit sharing in original currency other than rupiah. If the currency type is rupiah, then the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the value of deferred interest or profit sharing in rupiah and other currencies after being converted into rupiah using the Bank Indonesia mid-rate. Included in deferred interest or profit sharing are other income and expenses amortized in connection with financing transactions. (10) Financing Principal Receivables
In Original Currency
This item is filled with the value of financing principal receivables in original currency other than rupiah. If the currency type is rupiah, then the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the value of financing principal receivables in rupiah and other currencies after being converted into rupiah using the Bank Indonesia mid-rate. (11) Impairment Loss Provisions
Method
This item is filled with the method of forming impairment loss provisions, namely:
individually; or
collectively.
Good Assets
This item is filled with the provision value formed for the decline in assets that have low credit risk and have not experienced an increase in credit risk.
Less Good Assets
This item is filled with the provision value formed for the decline in assets that have experienced a significant increase in credit risk compared to since the date the asset was initially acquired.
Bad Assets
This item is filled with the provision value formed for the decline in assets that have experienced a deterioration in credit risk compared to since the date the asset was initially acquired. (12) Credit Guarantee/Credit Insurance Proportion This item is filled with the proportion of financing receivables that receive risk mitigation in the form of credit guarantee or credit insurance, with a value between 0%-100%. In the event that financing receivables do not receive credit guarantee or credit insurance, this item is filled with 0%. (13) Business Partner/Debtor Name This item is filled with the name of the business partner or debtor receiving financing facilities from the reporting Venture Capital Company, including financing based on profit-sharing principles distributed by the UUS of the reporting Venture Capital Company. (14) Business Partner/Debtor Business Form This item is filled with the Business Form of the business partner or debtor receiving financing from the reporting Venture Capital Company or the UUS of the reporting Venture Capital Company, including:
limited liability company
cooperative
partnership, CV, or UD
individual
(15) Business Partner/Debtor Business Category This item is filled with the business partner or debtor's business category based on the business partner or debtor's business scale, divided into categories as follows:
large business
medium business
small business
micro business

Provisions regarding the business partner's business scale refer to the law on micro, small, and medium enterprises.
(16) Sustainable Finance Business Category
This item is filled with the business partner or debtor's business category that meets the sustainable finance criteria as regulated in the Financial Services Authority Regulation regarding the implementation of sustainable finance for financial service institutions. (17) Business Partner/Debtor Group This item is filled with the business partner or debtor category. (18) Related Status This item is filled with the related status of the business partner or debtor with the reporting Venture Capital Company, namely:

Related to the Venture Capital Company
Related to the Venture Capital Company is the party receiving financing facilities from the reporting Venture Capital Company that is related to the reporting Venture Capital Company.
Not Related to the Venture Capital Company
Not related to the Venture Capital Company is the party receiving financing facilities from the reporting Venture Capital Company that is not related to the reporting Venture Capital Company. Explanation regarding the relationship with the reporting Venture Capital Company refers to the General Explanation of the Detail List Column as referred to in Appendix I which is an integral part of this Financial Services Authority Circular. (19) District/City Location This item is filled with the district/city location where the financed project or goods are located or used. (20) Economic Sector This item is filled with the standard classification of economic activities existing in Indonesia. The details of the economic sector are based on the applicable standard Indonesian business field classification. In the event that financing is used to finance more than one type of economic activity that cannot be separated,

the classification method focuses on the priority economic sector (the sector that receives the largest financing facility).
(21) Collateral Number
This item is filled with the number or code of the goods used as collateral.
(22) Collateral Type
This item is filled with the type of goods used as financing collateral, as grouped as follows:

productive goods
consumer goods
time deposits
precious metals
securities
guarantees
(23) Collateral Value
This item is filled with the value in rupiah for each pledged good. It is filled with a value that can be calculated as a reduction for the provision for impairment of productive assets, in accordance with the provisions in the Financial Services Authority Circular regarding the financial health level of Venture Capital Companies.

I. FORM 2200: DETAILS OF OWNED SECURITIES

FORM 2200 FORMAT (DETAILS OF OWNED SECURITIES)
Form 2200 (Details of Owned Securities) is prepared in the following format:
(1) (2) (3) (4) (5)
Security
Number
Type of
Security
Duration
Currency
Type
Type of
Interest
Rate/
Yield
Start
Date
Maturity
Date
(6) (7) (8) (9) (10) (11)
Interest
Rate/Yield
Issuer
Name
Issuer
Country
Location
Issuer
Group
Related
Status
Ownership
Purpose
(12) (13) (14) (15)
End of
Period
Balance
Rating
Agency
Rating
Security
Number
Rating
Date
In Original
Currency
In
Rupiah
Equivalent
FORM 2200 EXPLANATION (DETAILS OF OWNED SECURITIES)
Form 2200 (Details of Owned Securities) contains details reporting the short-term investment position and long-term investment position in the form of securities owned by the reporting Venture Capital Company, including those owned by the UUS of the reporting Venture Capital Company, in rupiah and foreign currencies issued by other parties. This item does not include equity participation in the form of shares, convertible bonds, convertible sharia sukuk or sharia bonds, debt instruments issued by business partners in the early stage (start-up) and/or business development, and sharia sukuk or sharia bonds issued by business partners in the early stage (start-up) and/or business development. (1) Security Number This item is filled with the number of the owned security or the code of the owned security in accordance with registration at the Indonesia Central Securities Depository (KSEI). (2) Type of Security This item is filled with the type of security owned by the reporting Venture Capital Company, including those owned by the UUS of the reporting Venture Capital Company, in rupiah and foreign currencies, namely:

Deposit Certificates
Bank Indonesia Certificates (SBI)
Commercial Paper (CP)
Medium Term Notes (MTN)
Mutual Funds
Treasury Bills (SPN)
Export Bills
Government Bonds (ON)
Indonesian Retail Bonds (ORI)
Other Securities
(3) Duration
Start Date
This item is filled with the date, month, and year of issuance of the security.
Maturity Date
This item is filled with the date, month, and year of maturity of the security.
For securities that do not have a duration such as mutual funds or securities that have already matured, this item does not need to be filled or can be left blank. (4) Currency Type This item is filled with the type of currency on the owned security. (5) Type of Interest Rate/Yield This item is filled with the type of interest rate or yield established on the security as established by the reporting Venture Capital Company or the UUS of the reporting Venture Capital Company, namely floating or fixed. (6) Interest Rate/Yield This item is filled with the percentage interest rate or yield agreed upon for one year (per annum). Securities that do not have an interest rate or yield do not need to be filled or can be left blank. (7) Issuer Name This item is filled with the name of the company issuing the security. (8) Issuer Country Location This item is filled with the country issuing the security. (9) Issuer Group This item is filled with the group of security issuers. (10) Related Status This item is filled with the relationship with the reporting Venture Capital Company.
Related to the Venture Capital Company
Related to the Venture Capital Company is the parties that have a related relationship with the reporting Venture Capital Company.
Not Related to the Venture Capital Company
Not related to the Venture Capital Company is the parties that do not have a related relationship with the reporting Venture Capital Company.

Explanation regarding the relationship with the reporting Venture Capital Company refers to the General Explanation of the Detailed List Columns as referred to in Appendix I which is an integral part of this Financial Services Authority Circular.

(11) Ownership Purpose
This item is filled with the ownership purpose code in accordance with applicable accounting standards.

(12) Ending Balance
This item is filled with the value of securities at the end of the reporting period, based on the assessment of productive asset quality with classifications of current, special attention, substandard, doubtful, or loss.

Ending Balance must be the same as the Investment in Securities item on Form 1100 (Balance Sheet Report).

In Original Currency
This item is filled with the value of securities in a currency other than Rupiah. If the currency type is Rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the value of securities in Rupiah, or other currencies converted to Rupiah using the Bank Indonesia mid-rate.

(13) Rating Agency
This item is filled with the name of the rating agency registered with the Financial Services Authority, which has rated the securities owned by the reporting Venture Capital Company.

(14) Security Rating
This item is filled with the rating of the securities owned by the reporting Venture Capital Company.

(15) Rating Date
This item is filled with the date the securities were rated by the rating agency.

J. FORM 2490: DETAILS OF MISCELLANEOUS ASSETS

FORM 2490 (DETAILS OF MISCELLANEOUS ASSETS) FORMAT
Form 2490 (Details of Miscellaneous Assets) is prepared in the following format:

(1) (2) (3)
Type Currency Type Nominal

EXPLANATION OF FORM 2490 (DETAILS OF MISCELLANEOUS ASSETS)
Form 2490 (Details of Miscellaneous Assets) contains details of assets that cannot be classified into any of the asset items above.

(1) Type
This item is filled with the type of miscellaneous assets owned by the reporting Venture Capital Company, which can include among others:

Prepaid Expenses
This item is filled with costs used as advance payments for certain expenses.
Deferred Costs
This item is filled with costs that have occurred or are deferred because their benefits can be felt in future periods.
Tax Advances
This item is filled with the amount of income tax that has been paid by the reporting Venture Capital Company but has not yet become an expense for the relevant accounting period.
Employee Loans
This item is filled with the value of loans provided by the reporting Venture Capital Company to employees.
Other Miscellaneous Assets
This item covers other assets besides the points above.

(2) Currency Type
This item is filled with the type of currency used.

(3) Nominal
This item is filled with the value of the miscellaneous assets owned by the reporting Venture Capital Company.

K. FORM 2550: DETAILS OF RECEIVED LOANS/FUNDING

FORM 2550 (DETAILS OF RECEIVED LOANS/FUNDING) FORMAT
Form 2550 (Details of Received Loans/Funding) is prepared in the following format:

(1) (2) (3) (4) (5) (6)
Contract Number Loan/Funding Type Purpose of Recipient Loan/Funding Currency Type Start Date Maturity Date

(7) (8) (9) (10) (11) (12)
Interest Rate/Profit Share/Yield Type Interest Rate/Profit Share/Yield Percentage Creditor Name Creditor Group Creditor Country Related Party Status

(13) (14) (15)
Loan/Funding Ceiling
Loan/Funding Initial
Balance in Original Currency
Balance in Rupiah Equivalent
Loan/Funding Ending
Balance in Original Currency
Balance in Rupiah Equivalent

EXPLANATION OF FORM 2550 (DETAILS OF RECEIVED LOANS/FUNDING)
Form 2550 (Details of Received Loans/Funding) contains details of loans or funding received by the reporting Venture Capital Company.

(1) Contract Number
This item is filled with the loan or funding agreement number.

(2) Loan/Funding Type
This item is filled with the type of loan or funding received, namely:

Syndicated
Syndicated loans are loans received by the reporting Venture Capital Company from 2 (two) or more lenders or funders (creditors or investors), either directly or through intermediaries. Filling for the Creditor Name column and the Country of Origin column follows the dominance principle based on the name of the creditor or investor who has the largest share in providing the loan or funding.
Bilateral
Bilateral loans are loans or funding received by the reporting Venture Capital Company from 1 (one) creditor or investor.
Multilateral
Multilateral loans are loans or funding received by the reporting Venture Capital Company from international financial institutions, such as IFC and ADB.
Subordinated
Subordinated loans or funding are loans or funding received by the reporting Venture Capital Company under conditions as contained in the Explanation of Balance Sheet Liability and Equity Items at the Subordinated Loan/Funding Item.

(3) Purpose of Recipient Loan/Funding
This item is filled with the purpose of use of the loan or funding received by the reporting Venture Capital Company, namely used for working capital for the activities of the reporting Venture Capital Company or Sharia Business Unit (UUS) of the reporting Sharia Venture Capital Company.

(4) Currency Type
This item is filled with the type of currency used in the agreement.

(5) Start Date
This item is filled with the date the loan or funding received by the reporting Venture Capital Company from the creditor or investor began, as stated in the agreement.

(6) Maturity Date
This item is filled with the date the loan or funding received by the reporting Venture Capital Company from the creditor or investor ends, as stated in the agreement.

(7) Interest Rate/Profit Share/Yield Type
This item is filled with the type of interest rate of the loan obtained.

Floating
Fixed

For funding obtained based on Sharia principles, this item is filled in accordance with the type of profit share or yield established by the fund owner agreed upon in the agreement.

(8) Interest Rate/Profit Share/Yield Percentage This item is filled with the effective annual interest rate (per annum) charged by the creditor to the reporting Venture Capital Company.

For funding obtained based on Sharia principles, this item is filled with the profit share or yield rate agreed upon based on the funding agreement with the funder (investor).

(9) Creditor Name
This item is filled with the names of the parties providing loans or funding to the reporting Venture Capital Company. In the event that the reporting Venture Capital Company has more than 1 (one) loan account with the same creditor or investor, the creditor or investor name column for each transaction is still filled with the name of the respective creditor or investor according to the number of agreement contracts.

(10) Creditor Group
This item is filled with the group of parties providing loans or funding for venture capital business activities to the reporting Venture Capital Company.

(11) Creditor Country
This item is filled with the domicile country of the creditor or investor.

(12) Related Party Status
This item is filled with the related party status of the creditor or investor with the reporting Venture Capital Company, namely:

Related to Venture Capital Company
Related to Venture Capital Company is a party that provides loan or funding facilities to the reporting Venture Capital Company that is related to the reporting Venture Capital Company.
Not Related to Venture Capital Company
Not Related to Venture Capital Company is a party that provides loan or funding facilities to the reporting Venture Capital Company that is not related to the reporting Venture Capital Company.

(13) Loan/Funding Ceiling
This item is filled with the maximum amount of loan or funding received by the reporting Venture Capital Company as stated in the agreement.

In Original Currency
In original currency is the value of the loan or funding ceiling owned in foreign currency according to the country of the lender or funder and recorded according to the nominal on the balance sheet report based on applicable accounting standards.
In Rupiah Equivalent
In Rupiah equivalent is the value of the loan or funding ceiling owned in Rupiah and the result of converting the loan ceiling in foreign currency owned into Rupiah based on the Bank Indonesia mid-rate at the time of recording and recorded according to the nominal on the balance sheet report based on applicable accounting standards.

(14) Initial Loan/Funding
This item is filled with the amount of loan or funding received by the reporting Venture Capital Company at initial receipt after the agreement approval occurs.

In Original Currency
In original currency is the value of the initial loan or funding owned in foreign currency according to the country of the lender or funder and recorded according to the nominal on the balance sheet report based on applicable accounting standards.
In Rupiah Equivalent
In Rupiah equivalent is the value of the initial loan or funding owned in Rupiah and the result of converting the loan or funding ceiling in foreign currency owned into Rupiah based on the Bank Indonesia mid-rate at the time of recording and recorded according to the nominal on the balance sheet report based on applicable accounting standards.

(15) Loan/Funding Balance
This item is filled with the remaining loan or funding of the reporting Venture Capital Company at the end of the reporting period.

In Original Currency
In original currency is the value of the loan or funding balance owned in foreign currency according to the country of the lender or funder and recorded according to the nominal on the balance sheet report based on applicable accounting standards.
In Rupiah Equivalent
In Rupiah equivalent is the value of the loan or funding balance owned in Rupiah and the result of converting the loan or funding ceiling in foreign currency owned into Rupiah based on the Bank Indonesia mid-rate at the time of recording and recorded according to the nominal on the balance sheet report based on applicable accounting standards.

L. FORM 2600: DETAILS OF ISSUED SECURITIES

FORM 2600 (DETAILS OF ISSUED SECURITIES) FORMAT
Form 2600 (Details of Issued Securities) is prepared in the following format:

(1) (2) (3) (4) (5) (6)
Security Number Security Type Tenor Interest Rate/Yield Type Interest Rate/Yield Percentage Nominal Value of Securities Start Date Maturity Date In Original Currency In Rupiah Equivalent

(7) (8) (9) (10) (11) (12)
Currency Type Balance of Issued Securities
Creditor Name Related Party Status Creditor Group Country of Origin Creditor In Original Currency In Rupiah Equivalent

(13) (14) (15) (16) (17) (18)
KSEI Registration Date KSEI Registration Number Trustee Name Rating Agency Security Rating Rating Date

EXPLANATION OF FORM 2600 (DETAILS OF ISSUED SECURITIES)
Form 2600 (Details of Issued Securities) reports the position of securities, both named and bearer, issued by the reporting Venture Capital Company, both in Rupiah and foreign currency, purchased by third parties. For bearer securities issued, the Creditor Group column is filled with the first buyer (investor) at the time the security is issued.

Securities that have been issued and then repurchased by the reporting Venture Capital Company in the secondary market must not be reported on the List of Owned Securities Details, but must reduce the outstanding issued securities.

(1) Security Number
This item is filled with the International Securities Identifying Number/ISIN code. The ISIN code consists of 12 digits of mixed letters and numbers with a standardized arrangement.

(2) Security Type
This item is filled with the type of security issued by the reporting Venture Capital Company, namely:

Medium Term Notes (MTN)
MTN is a medium-term security with a tenor of 1 to 3 years issued by the reporting Venture Capital Company to MTN holders with the obligation to pay coupons (interest rates) gradually according to the MTN interest payment schedule to MTN holders and repay all principal debt at maturity.
Bonds
Bonds are debt acknowledgments with a term of more than 1 (one) year issued by the reporting Venture Capital Company with the obligation to pay coupons (interest rates) periodically to bond holders and repay all principal debt at maturity.
Sharia Bonds/Sukuk
Sharia bonds or Sukuk are long-term securities based on Sharia principles issued by the reporting Venture Capital Company to Sharia bond or Sukuk holders, requiring the reporting Venture Capital Company to pay income to Sharia bond or Sukuk holders in the form of yield and repay the Sharia bond or Sukuk funds at maturity.

(3) Tenor
This item is filled with the start and maturity tenor of the securities issued by the reporting Venture Capital Company, namely:

Start Date
Start date is the date the issuance of securities begins as stated in the security.
Maturity Date
Maturity date is the maturity date of the issued securities as stated in the security.

(4) Interest Rate/Yield Type
This item is filled with the type of interest rate or yield established for the securities established by the reporting Venture Capital Company, namely floating or fixed.

(5) Interest Rate/Yield Percentage
This item is filled with the interest rate percentage in 1 year (per annum) stated on the issued securities.

For securities issued based on Sharia principles, this item is filled with the yield rate on the securities.

(6) Nominal Value of Securities
This item is filled with the nominal value of the securities issued by the reporting Venture Capital Company owned by creditors or investors in thousands of Rupiah.

In Original Currency
This item is filled with the nominal balance of securities owned by creditors and recorded in foreign currency values if the creditor is not an Indonesian Citizen or Indonesian Legal Entity. If the currency type is Rupiah, the value in foreign currency is filled with zero.
In Rupiah Equivalent
This item is filled with the nominal value of the issued securities owned by creditors and recorded in Rupiah units at the end of the reporting period in foreign currency equivalent to Rupiah.

(7) Currency Type
This item is filled with the type of currency used in the issuance of securities.

(8) Balance of Issued Securities
This item is filled with the balance of issued securities, namely:

In Original Currency
The balance of issued securities in original currency is the remaining loan of the reporting Venture Capital Company at the end of the reporting period in foreign currency. If the currency type is Rupiah, the value in foreign currency is filled with zero.
In Rupiah Equivalent
The balance of issued securities in Rupiah equivalent is the remaining loan of the reporting Venture Capital Company at the end of the reporting period in Rupiah or in foreign currency equivalent to Rupiah.

(9) Creditor Name
This item is filled with the name of the party purchasing or owning the securities issued by the reporting Venture Capital Company.

(10) Related Party Status
This item is filled with the relationship with the reporting Venture Capital Company.

Related to Venture Capital Company
Related to Venture Capital Company is a party that has a related relationship with the reporting Venture Capital Company.
Not Related to Venture Capital Company
Not Related to Venture Capital Company is a party that does not have a related relationship with the reporting Venture Capital Company.

(11) Creditor Group
This item is filled with the group of fund providers purchasing or owning the securities issued by the reporting Venture Capital Company.

(12) Country of Origin of Creditor
This item is filled with the country of origin of the purchaser or holder of the securities issued by the reporting Venture Capital Company.

(13) KSEI Registration Date
This item is filled with the date the reporting Venture Capital Company registered with the Indonesia Central Securities Depository (KSEI).

(14) KSEI Registration Number
This item is filled with the registration number of the reporting Venture Capital Company registered with the Indonesia Central Securities Depository (KSEI).

(15) Trustee Name
This item is filled with the name of the trustee of the reporting Venture Capital Company.

(16) Rating Agency
This item is filled with the name of the rating agency registered with the Financial Services Authority, which has rated the securities issued by the reporting Venture Capital Company.

(17) Security Rating
This item is filled with the rating of the securities issued by the reporting Venture Capital Company.

(18) Rating Date
This item is filled with the date the securities were rated by the rating agency.

M. FORM 2790: DETAILS OF MISCELLANEOUS LIABILITIES

FORM 2790 (DETAILS OF MISCELLANEOUS LIABILITIES) FORMAT
Form 2790 (Details of Miscellaneous Liabilities) is prepared in the following format:

(1) (2) (3)
Type Currency Type Nominal

EXPLANATION OF FORM 2790 (DETAILS OF MISCELLANEOUS LIABILITIES)
Form 2790 (Details of Miscellaneous Liabilities) contains details of liabilities that cannot be classified into any of the liability items above.

(1) Type
This item is filled with the type of miscellaneous liability details, which can include among others:

Accrued Interest/Profit Share/Yield/Service Fee Expenses
This item covers total interest, profit share, yield, or service fee expenses of loans or funding that must be paid by the reporting Venture Capital Company.
Salaries Payable
This item covers salaries payable by the reporting Venture Capital Company.
Unpaid Dividends
This item covers dividend payables by the reporting Venture Capital Company.
Deferred Revenue
This item covers total deferred revenue by the reporting Venture Capital Company.
Income Tax Liabilities
This item covers income tax that must be paid by the reporting Venture Capital Company.
Employee Benefit Liabilities
This item covers employee benefit liabilities of the reporting Venture Capital Company to employees.
Other Miscellaneous Liabilities
This item covers other liabilities besides the points above.

(2) Currency Type
This item is filled with the type of currency used.

(3) Nominal
This item is filled with the value of the miscellaneous liabilities owned by the reporting Venture Capital Company.

N. FORM 3010: DETAILS OF HEDGING DERIVATIVE INSTRUMENTS

FORM 3010 (DETAILS OF HEDGING DERIVATIVE INSTRUMENTS) FORMAT
Form 3010 (Details of Hedging Derivative Instruments) is prepared in the following format:

(1) (2) (3) (4) (5) (6)
Contract Number Underlying Loan/Funding Transaction Nominal Underlying Loan/Funding Transaction Creditor Name Creditor Group Creditor Country Location Contract Number Derivative Instrument

(7) (8) (9) (10) (11)
Derivative Instrument Type Counterparty Name Counterparty Group Counterparty Country Location Currency Type

(12) (13) (14) (15)
Start Date Maturity Date Nominal of Hedging Derivative Instrument (In Original Currency) Nominal of Hedging Derivative Instrument (In Rupiah Equivalent)

EXPLANATION OF FORM 3010 (DETAILS OF HEDGING DERIVATIVE INSTRUMENTS)
On Form 3010 (Details of Hedging Derivative Instruments), this reports a list of details of derivative instruments owned by the reporting Venture Capital Company in Rupiah and foreign currency as hedging instruments. Each derivative instrument owned by the reporting Venture Capital Company becomes a hedging instrument in every loan transaction conducted by the reporting Venture Capital Company.

(1) Contract Number of Underlying Loan/Funding Transaction This item is filled with the loan or funding contract number in foreign currency received by the reporting Venture Capital Company that serves as the basis for ownership of the derivative instrument owned by the reporting Venture Capital Company for hedging purposes.

(2) Nominal of Underlying Loan/Funding Transaction This item is filled with the amount of loan or funding in foreign currency received by the reporting Venture Capital Company that serves as the basis for ownership of the derivative instrument owned by the reporting Venture Capital Company for hedging purposes.

(3) Creditor/Investor Name
This item is filled with the name of the institution or counterparty company providing the derivative instrument used by the reporting Venture Capital Company for hedging purposes.

(4) Creditor Group
This item is filled with the group of parties providing loans or funding in foreign currency to the reporting Venture Capital Company.

(5) Creditor Country Location
This item is filled with the country of origin of the parties providing loans or funding in foreign currency to the reporting Venture Capital Company.

(6) Contract Number of Derivative Instrument
This item is filled with the contract number of the derivative instrument owned by the reporting Venture Capital Company for hedging purposes.

Hedging of loan transactions conducted by the reporting Venture Capital Company.
(7) Type of Derivative Instrument
This item is filled with the type of derivative instrument selected by the reporting Venture Capital Company for hedging foreign currency loan transactions received.

Interest rate swap
Currency swap
Cross currency swap
Forward
Option
Future
Other types of derivative instruments
(8) Counterparty Name
This item is filled with the name of the institution or company providing the derivative instrument used by the reporting Venture Capital Company for hedging. (9) Counterparty Group This item is filled with the business sector of the institution or company providing the derivative instrument used by the reporting Venture Capital Company for hedging. (10) Counterparty Country Location This item is filled with the country of the counterparty providing the derivative instrument used by the reporting Venture Capital Company for hedging. (11) Currency Type This item is filled with the currency type of the derivative instrument selected by the reporting Venture Capital Company for hedging loan or funding transactions received. (12) Start Date This item is filled with the effective date of the derivative instrument transaction between the reporting Venture Capital Company and the counterparty. (13) Maturity Date This item is filled with the end date of the derivative instrument transaction between the reporting Venture Capital Company and the counterparty.

(14) Nominal Value of Derivative Instrument for Hedging (In Original Currency) This item is filled with the nominal value of the derivative instrument in the original currency other than Rupiah between the reporting Venture Capital Company and the counterparty. If the currency type is Rupiah, the value in this column can be filled with zero. (15) Nominal Value of Derivative Instrument for Hedging (In Rupiah Equivalent) This item is filled with the nominal value of the derivative instrument between the reporting Venture Capital Company and the counterparty in Rupiah or in foreign currency converted to Rupiah using the Bank Indonesia mid-rate.

O. FORM 3020: DETAILS OF THIRD-PARTY PORTION FINANCING COOPERATION DISBURSEMENT

FORM 3020 FORMAT (DETAILS OF THIRD-PARTY PORTION FINANCING COOPERATION DISBURSEMENT)
Form 3020 (Details of Third-Party Portion Financing Cooperation Disbursement) is arranged in the following format:
(1) (2) (3) (4) (5) (6)
Contract Number
Type of Financing Cooperation
Committed/
Uncommitted
Start Date
Maturity Date
Currency Type
(7) (8) (9) (10) (11)
Venture Capital Company Portion (%)
Ceiling (In
Original
Currency)
Ceiling (In
Rupiah
Equivalent)
Disbursement Value of Third-Party Portion Financing (In Original Currency) Disbursement Value of Third-Party Portion Financing (In Rupiah Equivalent) (12) (13) (14) (15) Counterparty Name Counterparty Group Counterparty Country Location Related Status
FORM 3020 EXPLANATION (DETAILS OF THIRD-PARTY PORTION FINANCING COOPERATION DISBURSEMENT)
Form 3020 (Details of Third-Party Portion Financing Cooperation Disbursement) contains details of financing cooperation disbursement in the form of channeling financing or joint financing, including Sharia-based agreements conducted by UUS of the reporting Venture Capital Company. (1) Contract Number This item is filled with the contract number used in the channeling or joint financing agreement between the reporting Venture Capital Company and the third party. (2) Type of Financing Cooperation This item is filled with the type of financing cooperation conducted with creditors or fund owners, either channeling or joint financing.

Channeling
Channeling in this item refers to when the funds for the financing are entirely from creditors or fund owners (Banks, other Venture Capital Companies, or Financing Companies) and the risks arising from this activity lie with the fund owners. The reporting Venture Capital Company in this case only acts as a manager and receives remuneration or fees for managing the funds.
Joint Financing
Joint Financing in this item refers to when the source of funds for the financing comes from the reporting Venture Capital Company as well as from creditors (Banks, other Venture Capital Companies, or Financing Companies). (3) Committed/Uncommitted This item is filled with committed/uncommitted in the channeling or joint financing agreement between the reporting Venture Capital Company and the third party.

(4) Start Date
This item is filled with the date, month, and year when the disbursement of channeling or joint financing from the creditor (Bank, other Venture Capital Company, or Financing Company) to the reporting Venture Capital Company begins, as stated in the channeling or joint financing cooperation agreement. (5) Maturity Date This item is filled with the date, month, and year when the channeling or joint financing disbursement agreement from the creditor (Bank, other Venture Capital Company, or Financing Company) to the reporting Venture Capital Company ends, as stated in the channeling or joint financing disbursement agreement. (6) Currency Type This item is filled with the type of currency used in the channeling or joint financing disbursement agreement. (7) Venture Capital Company Portion This item is filled with the size of the financing portion/percentage of the Venture Capital Company as stated in the joint financing disbursement agreement. (8) Ceiling (in Original Currency) This item is filled with the maximum amount of channeling or joint financing disbursement by the Venture Capital Company as stated in the joint financing disbursement agreement in the original currency. (9) Ceiling (in Rupiah Equivalent) This item is filled with the maximum amount of channeling or joint financing disbursement by the Venture Capital Company as stated in the joint financing disbursement agreement in Rupiah equivalent. (10) Disbursement Value of Third-Party Portion Financing (in Original Currency) This item is filled with the outstanding principal amount of financing receivables disbursement that is the creditor's portion in the original currency.

(11) Disbursement Value of Third-Party Portion Financing (in Rupiah Equivalent) This item is filled with the outstanding principal amount of financing receivables disbursement that is the creditor's portion in Rupiah equivalent. (12) Counterparty Name This item is filled with the name of each counterparty of the reporting Venture Capital Company at the end of the reporting period. If the reporting Venture Capital Company has more than one channeling or joint financing account with the same counterparty, the counterparty name column for each transaction is still filled with the name of the respective counterparty according to the number of agreement contracts. (13) Counterparty Group This item is filled with the business sector of the institution/company conducting channeling or joint financing cooperation with the reporting Venture Capital Company. (14) Counterparty Country Location This item is filled with the country of domicile location of the counterparty. (15) Related Status This item is filled with the relationship with the Venture Capital Company.

Related to Venture Capital Company
Related to the Venture Capital Company refers to parties providing channeling or joint financing to companies related to the reporting Venture Capital Company.
Not Related to Venture Capital Company
Not related to the Venture Capital Company refers to parties providing channeling or joint financing to companies not related to the reporting Venture Capital Company. Explanation regarding Relationship with Venture Capital Company refers to the General Explanation of the Detail List Columns as referred to in Appendix I which is an integral part of this Financial Services Authority Circular.

P. Form 3030: VENTURE FUND ASSET AND LIABILITY REPORT

FORM 3030 FORMAT (VENTURE FUND ASSET AND LIABILITY REPORT)
Form 3030 (Venture Fund Asset and Liability Report) is arranged in the following format:
Venture Fund Name :
Management Company Name :
Custodian Bank Name :
Report at End of Period :
ASSETS
Items Rp FC Amount
Cash and Cash Equivalents
Financing/Venture Capital Participation
a. Equity Participation b. Participation Through Purchase of Net Convertible Bonds

Participation Through Purchase of Convertible Bonds
Provision for Write-off of Productive Assets
Participation Through Purchase of Convertible Bonds
c. Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development Net
Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development
Provision for Write-off of Productive Assets
Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development

Items Rp FC Amount d. Net Productive Business Financing

Principal Productive Business Financing
Provision for Write-off of Productive Assets
Productive Business Financing

Dividend Receivables
Interest Receivables
Deferred Tax Assets
Other Assets
Total Assets
LIABILITIES
Items Rp FC Amount
Advances Received for Ordering Venture Fund Participation
Payables for Buyback of Venture Fund Participation
Payables for Purchase of Venture Fund Participation
Tax Payables
Deferred Tax Liabilities
Other Liabilities
Total Liabilities
Total Net Assets
FORM 3030 EXPLANATION (VENTURE FUND ASSET AND LIABILITY REPORT)
Form 3030 (Venture Fund Asset and Liability Report) contains the financial position report of the venture fund, providing detailed explanation of asset positions, liability positions, and total net assets.

ASSETS

Cash and Cash Equivalents
This item is filled with the amount of cash in the form of banknotes and coins issued by Bank Indonesia which are legal tender in Indonesia. Also included in the definition of cash are foreign banknotes and coins that are still valid and owned by the venture fund.
Financing/Venture Capital Participation
a. Equity Participation
This item is filled with the value of equity participation by the venture fund in business partners listed at the value at the time of participation. b. Participation Through Purchase of Net Convertible Bonds This item is filled with the value of convertible bond purchases by the venture fund over convertible bonds issued by business partners, recorded at net value after deducting the provision for write-off of productive assets for participation through purchase of convertible bonds.

Participation Through Purchase of Convertible Bonds
This item is filled with the value of convertible bond purchases by the reporting venture fund over convertible bonds issued by business partners, recorded at gross value.
Provision for Write-off of Productive Assets for Participation Through Purchase of Convertible Bonds
This item is filled with the provision for write-off of productive assets for participation through purchase of convertible bonds as regulated in the Financial Services Authority Circular regulating the financial health level of Venture Capital Companies.
c. Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development Net
This item is filled with the value of financing through purchase of debt securities issued by business partners in early start-up and/or business development net after deducting the provision for write-off of productive assets for financing through purchase of debt securities issued by business partners in early start-up and/or business development.
Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development
This item is filled with the value of debt securities issued by business partners in early start-up and/or business development placed by the venture fund in business partners, recorded at gross value.
Provision for Write-off of Productive Assets for Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development
This item is filled with the provision for write-off of productive assets for financing through purchase of debt securities issued by business partners in early start-up and/or business development as regulated in the Financial Services Authority Circular regulating the financial health level of Venture Capital Companies. d. Net Productive Business Financing This item is filled with the value of net productive business financing after deducting unaccrued interest income and other income and expenses related to financing transactions that are amortized, and deducting the provision for write-off of productive assets for productive business financing.
Principal Productive Business Financing
This item is filled with the value of productive business financing recorded at gross value after deducting unaccrued interest income and other income and expenses related to financing transactions that are amortized.
Provision for Write-off of Productive Assets for Productive Business Financing
This item is filled with the provision for write-off of productive assets for productive business financing as regulated in the Financial Services Authority Circular regulating the financial health level of Venture Capital Companies.

Dividend Receivables
This item is filled with the value of receivables for dividends that are the rights of the venture fund from equity participation conducted in business partners.
Interest Receivables
This item is filled with the value of receivables for interest that are the rights of the venture fund from the purchase of convertible bonds and/or purchase of debt securities issued by business partners in early start-up and/or business development, as well as from the disbursement of productive business financing to business partners.
Deferred Tax Assets
This includes the amount of deferred tax assets recognized by the venture fund at the end of the reporting period measured at the applicable tax rate against all deductible temporary differences and/or fiscal loss balances, to the extent that it is probable that they can be utilized to reduce fiscal profit in the future. This item is presented in the venture fund asset and liability report based on offset with the deferred tax liability item.
Other Assets
This includes other asset balances that cannot be included or classified into items 1 to 5, including prepaid expenses.

LIABILITIES

Advances Received for Ordering Venture Fund Participation
This includes the value of advances received by the venture fund for ordering venture fund participation that has not yet been placed in participation assets and/or financing.
Payables for Buyback of Venture Fund Participation
This includes payables for buyback of venture fund participation that have not yet been paid to investors who have sold.
Payables for Purchase of Venture Fund Participation
This includes the value of purchase payables received by the venture fund for venture fund participation that has not yet been placed in participation assets and/or financing.
Tax Payables
This includes all tax liabilities of the reporting venture fund that have not been paid related to applicable tax regulations in Indonesia.
Deferred Tax Liabilities
This includes the amount of deferred tax liabilities recognized by the venture fund at the end of the reporting period calculated at the applicable tax rate for all taxable temporary differences. This item is presented in the venture fund asset and liability report based on offset with the Deferred Tax Assets item.
Other Liabilities
This includes other liability balances that cannot be included or classified into items 1 to 5.

TOTAL NET ASSETS
This item is filled with the excess (deficit) value between total assets minus total liabilities.

Q. FORM 3031: VENTURE FUND PROFIT AND LOSS REPORT

FORM 3031 FORMAT (VENTURE FUND PROFIT AND LOSS REPORT)
Form 3031 (Venture Fund Profit and Loss Report) is arranged in the following format:
Venture Fund Name :
Management Company Name :
Custodian Bank Name :
Report at End of Period :
Items Rp FC Amount
I. INCOME
Income from Operational Activities
a. Dividend Income from Equity Participation Activities b. Interest Income from Participation Through Purchase of Convertible Bond Activities
c. Interest Income from Financing Activities Through Purchase of Debt Securities Issued by Business Partners in Early Start-up (Start-up) and/or Business Development
d. Interest Income from Productive Business Financing Activities
Other Income Related to Financing
a. Administrative Income b. Provision Income
c. Penalty Income
d. Other Income Related to Financing
II. EXPENSES
Venture Fund Management Expenses
Custodian Expenses

Items Rp FC Amount
3. Insurance Premium Expenses
4. Provision for Write-off of Productive Assets Expenses
a. Provision for Write-off of Productive Assets Expenses for Participation Through Purchase of Convertible Bonds b. Provision for Write-off of Productive Assets Expenses for Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up (Start-up) and/or Business Development
c. Provision for Write-off of Productive Assets Expenses for Productive Business Financing
5. Other Expenses
III. PROFIT (LOSS) BEFORE TAX
IV. ESTIMATED INCOME TAX

Current Year Tax
Deferred Tax Income (Expense)
V. NET PROFIT (LOSS) AFTER TAX
FORM 3031 EXPLANATION (VENTURE FUND PROFIT AND LOSS REPORT)
Form 3031 (Venture Fund Profit and Loss Report) includes cumulative figures from the beginning of the reporting venture fund's fiscal year until the report date. The method for filling out the venture fund profit and loss report is detailed as follows:
I. INCOME
Income from Operational Activities
This item includes all dividend and/or interest income obtained from the joint investment contract of the venture fund from equity participation activities, participation through purchase of convertible bonds, financing activities through purchase of debt securities issued by business partners in early start-up and/or business development, and productive business financing activities. a. Dividend Income from Equity Participation Activities This item is filled with dividend income received by the venture fund from operational activities of equity participation. b. Interest Income from Participation Through Purchase of Convertible Bond Activities This item is filled with interest income from operational activities of participation through purchase of convertible bonds.
c. Interest Income from Financing Activities Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development
This item is filled with interest income from operational activities of financing through purchase of debt securities issued by business partners in early start-up and/or business development. d. Interest Income from Productive Business Financing Activities This item is filled with interest income from operational activities of productive business financing.
Other Income Related to Financing
This item includes other income related to financing disbursed by the venture fund, including administrative income, provision income, penalty income, commission or insurance fee income, and other income related to other venture fund activities. a. Administrative Income This item includes costs charged to debtors for the use of funding facilities from the venture fund. b. Provision Income This item includes provision costs charged to debtors.
c. Penalty Income
This item includes penalty costs charged to debtors. d. Other Income Related to Financing This item is filled with income received from other operational activities related to other business activities received by the venture fund.
II. EXPENSES
Venture Fund Management Expenses
This item includes costs arising from venture fund management activities conducted by the reporting Venture Capital Company.
Custodian Expenses
This item includes costs charged by the custodian bank for the collective deposit of venture funds.
Insurance Premium Expenses
This item includes expenses paid for insurance coverage, such as credit or financing insurance premium payments.
Provision for Write-off of Productive Assets Expenses
a. Provision for Write-off of Productive Assets Expenses for Participation Through Purchase of Convertible Bonds This item includes write-off costs for productive assets for participation through purchase of convertible bonds. b. Provision for Write-off of Productive Assets Expenses for Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up and/or Business Development This item includes write-off costs for productive assets for financing through purchase of debt securities issued by business partners in early start-up and/or business development.
c. Provision for Write-off of Productive Assets Expenses for Productive Business Financing
This item includes write-off costs for productive assets for productive business financing.
Other Expenses
This item includes costs other than items 1 to 4.
III. PROFIT (LOSS) BEFORE TAX
This item includes the amount of income minus the amount of venture fund expenses before deducting tax.
IV. ESTIMATED INCOME TAX
Current Year Tax
This item includes the estimated income tax expense calculated progressively from the current year's profit until the report date.
Deferred Tax Income (Expense)
This item includes the amount of deferred tax income (expense) related to the recognized deferred tax asset (liability) for the current year period until the report date.
V. NET PROFIT (LOSS) AFTER TAX
This item includes profit (loss) after deducting estimated income tax which includes current year tax and deferred tax income (expense) recognized for the current year period until the report date.

R. FORM 3032: VENTURE FUND CASH FLOW REPORT

FORM 3032 FORMAT (VENTURE FUND CASH FLOW REPORT)
Form 3032 (Venture Fund Cash Flow Report) is arranged in the following format:
Venture Fund Name :
Management Company Name :
Custodian Bank Name :
Report at End of Period :
Items Rp FC Amount
A. Cash Flows from Operating Activities
Receipts of Income from Financing/Participation
Payments of Expenses from Financing/Participation
Payments of Income Tax Expenses
Receipts from Other Operating Activities
Payments from Other Operating Activities
Net Cash Flows from (for) Operating Activities B. Cash Flows from Investing Activities
Purchase of Underlying Assets
Sale of Underlying Assets
Receipts from Other Investing Activities
Payments from Other Investing Activities
Net Cash Flows from (for) Investing Activities
C. Cash Flows from Financing Activities
Sale of Participation Units
Purchase of Participation Units
Distribution to Participation Unit Holders
Receipts from Other Financing Activities

Pos-Pos Rp Valas Jumlah
5. Expenditure for Financing Activities
Other
Net Cash Flow from (for) Financing Activities
D. Net Increase (Decrease) in Cash
E. Cash at the Beginning of the Period
F. Cash at the End of the Period

EXPLANATION OF FORM 3032 (VENTURE CAPITAL FUND CASH FLOW REPORT)
Form 3032 (Venture Capital Fund Cash Flow Report) is a financial report prepared using the venture capital fund cash flow basis. All items in the cash flow report are prepared and calculated based on the involvement of cash and cash equivalents within it from the beginning of the reporting year to the reporting date. This applies to both receipt and expenditure items.

A. Cash Flows from Operating Activities

Receipt of Revenue from Financing/Investment
This item contains revenue receipts from financing and/or investment distribution activities, whether in the form of dividend income or interest income.
Payment of Expenses for Financing/Investment
This item contains expense expenditures for financing and/or investment distribution activities, such as custodian service expenses.
Payment of Income Tax Expenses
This item contains income tax expenses imposed on the venture capital fund on income derived from financing and/or investment distribution activities.
Receipts from Other Operating Activities
This item is filled with receipts from other operating activities not covered in the previous items.
Expenditures for Other Operating Activities
This item is filled with all expenditures occurring from other operating activities not covered in the previous items.

B. Cash Flows from Investing Activities

Purchase of Underlying Assets
This item contains cash outflows from the venture capital fund for investment and/or financing distribution activities to business partners or debtors.
Sale of Underlying Assets
This item contains cash inflows received by the reporting venture capital fund from the sale of investment assets or repayment of financing from business partners or debtors.
Receipts from Other Investing Activities
This item is filled with receipts from other investing activities not covered in the previous items.
Expenditures for Other Investing Activities
This item is filled with all expenditures occurring from other investing activities not covered in the previous items.

C. Cash Flows from Financing Activities

Sale of Investment Units
This item contains cash inflows received by the reporting venture capital fund from the sale of investment units to venture capital fund investors.
Purchase of Investment Units
This item contains cash outflows from the venture capital fund for the repurchase of investment units sold by venture capital fund investors.
Distribution to Investment Unit Holders
This item contains cash outflows from the venture capital fund in the form of benefit distributions to investment unit holder investors for the purchase of investment units in the venture capital fund.
Receipts from Other Financing Activities
This item is filled with receipts from other financing activities not covered in the previous items.
Expenditures for Other Financing Activities
This item is filled with all expenditures occurring from other financing activities not covered in the previous items.

D. Net Increase (Decrease) in Cash
This item contains the net increase or decrease in cash and cash equivalents during the reporting year period up to the reporting date.

E. Cash at the Beginning of the Period
This item contains the cash and cash equivalent position amount at the beginning of the venture capital fund's reporting year period.

F. Cash at the End of the Period
This item contains the cash and cash equivalent position amount at the end of the venture capital fund's reporting date period.

S. FORM 3033: VENTURE CAPITAL FUND PORTFOLIO - SUMMARY

FORMAT OF FORM 3033 (VENTURE CAPITAL FUND PORTFOLIO - SUMMARY)
Form 3033 (Venture Capital Fund Portfolio - Summary) is prepared in the following format:
(1) (2) (3) (4)
Venture Capital Fund Name
Custodian Bank Name
Joint Investment Contract Number
Venture Capital Fund Joint Investment Contract Date (5) (6) (7) (8) (9) Venture Capital Fund Placement Type Issuer Name Nominal Value Start Date Maturity Date (10) (11) (12) (13) Total Value against NAV in % Percentage Based on Investment Policy Quality Provision for Write-off of Productive Assets
EXPLANATION OF FORM 3033 (VENTURE CAPITAL FUND PORTFOLIO - SUMMARY)
Form 3033 (Venture Capital Fund Portfolio - Summary) contains details of portfolio placements conducted by the venture capital fund.
(1) Venture Capital Fund Name
This item is filled with the name of the venture capital fund managed by the reporting Venture Capital Company through a joint investment contract. (2) Custodian Bank Name This item is filled with the name of the custodian bank conducting collective custody in the context of the venture capital fund joint investment contract. (3) Venture Capital Fund Joint Investment Contract Number This item is filled with the venture capital fund joint investment contract number. (4) Venture Capital Fund Joint Investment Contract Date This item is filled with the venture capital fund joint investment contract date. (5) Venture Capital Fund Placement Type This item is filled with the type of venture capital fund placement, namely:
a) equity investment; b) investment through the purchase of convertible bonds; c) financing through the purchase of debt securities issued by business partners in the early start-up stage and/or business development; and/or d) productive business financing. (6) Issuer Name This item is filled with the name of the business partner where the venture capital fund conducts financing and/or investment. (7) Nominal Value This item is filled with the nominal value of financing and/or investment conducted by the venture capital fund on the business partner. (8) Start Date This item is filled with the start date of financing and/or investment by the venture capital fund on the business partner based on the agreement. (9) Maturity Date This item is filled with the maturity date or end of the financing and/or investment period by the venture capital fund on the business partner based on the agreement. In the event there are no provisions regarding maturity for investment activities, this item may be left blank. (10) Total Value against NAV in % This item is filled with the comparison of the value of financing and/or investment by the venture capital fund on each business partner to the Net Asset Value (NAV) of the venture capital fund. This item is filled in percentage units (%). (11) Percentage Based on Investment Policy This item is filled with the comparison of the value of financing and/or investment by the venture capital fund on each business partner to the investment limits based on investment policy. This item is filled in percentage units (%). (12) Quality This item is filled with the quality of financing and/or investment assets by the venture capital fund on each business partner, assessed with criteria in accordance with asset quality classification rules of the reporting Venture Capital Company based on the Financial Services Authority Circular regarding the financial health level of Venture Capital Companies. (13) Provision for Write-off of Productive Assets This item is filled with the provision for write-off of productive assets for financing and/or investment assets by the venture capital fund on each business partner as regulated in the Financial Services Authority Circular regulating the financial health level of Venture Capital Companies.

T. FORM 3034: DETAILS OF VENTURE CAPITAL FUND INVESTMENT UNIT HOLDERS

FORMAT OF FORM 3034 (DETAILS OF VENTURE CAPITAL FUND INVESTMENT UNIT HOLDERS)
Form 3034 (Details of Venture Capital Fund Investment Unit Holders) is prepared in the following format:
(1) (2) (3) (4) (5)
Venture Capital Fund Name
Investment Unit Holder Account Number
Investment Unit Holder Name
Investment Unit Holder Group
Investment Unit Holder Country of Origin
(6) (7) (8)
Duration
Currency Type
Nominal Value
Start Date
Maturity Date
In Original Currency
In Rupiah Equivalent
EXPLANATION OF FORM 3034 (DETAILS OF VENTURE CAPITAL FUND INVESTMENT UNIT HOLDERS)
Form 3034 (Details of Venture Capital Fund Investment Unit Holders) contains a detailed list of venture capital fund investment unit holders. (1) Venture Capital Fund Name This item is filled with the name of the venture capital fund managed by the reporting Venture Capital Company through a joint investment contract. (2) Investment Unit Holder Account Number This item is filled with the investment unit holder account number for investment purposes in the venture capital fund joint investment contract. (3) Investment Unit Holder Name This item is filled with the full name of the venture capital fund investment unit holder. (4) Investment Unit Holder Group This item is filled with the investment unit holder group. (5) Investment Unit Holder Country of Origin This item is filled with the country of origin of the investment unit holder. (6) Duration This item is filled with the start and maturity duration of investment in the venture capital fund joint investment contract, namely:

Start Date
The start date is the date the investment begins through the purchase of investment units in the venture capital fund joint investment contract.
Maturity Date
The maturity date is the maturity date of the investment in the venture capital fund. In the event there are no provisions regarding maturity at the time of purchasing investment units, this item may be left blank. (7) Currency Type This item is filled with the type of currency used in the purchase of investment units in the venture capital fund joint investment contract. (8) Nominal Value This item is filled with the nominal value of investment units held by the investment unit holder of the venture capital fund joint investment contract.
In Original Currency
This item is filled with the nominal balance value of investment units held by the investment unit holder of the venture capital fund joint investment contract and recorded in foreign exchange value if the holder is not an Indonesian citizen or Indonesian legal entity. If the currency type is Rupiah, the value in foreign exchange is filled with zero.
In Rupiah Equivalent
This item is filled with the nominal balance value of investment units held by the investment unit holder of the venture capital fund joint investment contract and recorded based on Rupiah units at the end of the reporting period or in foreign exchange equivalent to Rupiah based on the Bank Indonesia middle exchange rate.

U. Form 5310: ASSET AND LIABILITY MATCHING ANALYSIS REPORT

FORMAT OF FORM 5310 (ASSET AND LIABILITY MATCHING ANALYSIS REPORT)
Form 5310 (Asset and Liability Matching Analysis Report) is prepared in the following format:
Items Rupiah Foreign Exchange Total
Maturity Up To Maturity Up To
≤3 Months >3-≤6 Months >6 Months - ≤1 Year >1-≤5 Years >5-≤10 Years >10 Years Total ≤3 Months >3-≤6 Months >6 Months - ≤1 Year >1-≤5 Years >5-≤10 Years >10 Years Total
I. ASSETS
A. Venture Capital Financing/Equity Investment
Equity Investment
Investment Through Purchase of Convertible Bonds Net
a. Investment Through Purchase of Convertible Bonds b. Provision for Write-off of Productive Assets Investment Through Purchase of Convertible Bonds
Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up Stage and/or Business Development Net
a. Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up Stage and/or Business Development b. Provision for Write-off of Productive Assets Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up Stage and/or Business Development
Productive Business Financing Net
a. Core Productive Business Financing b. Provision for Write-off of Productive Assets Productive Business Financing B. Venture Capital Investment Based on Sharia Principles
Equity Investment
Purchase of Sukuk or Sharia Convertible Bonds Net
a. Purchase of Sukuk or Sharia Convertible Bonds b. Provision for Write-off of Productive Assets Purchase of Sukuk or Sharia Convertible Bonds
Purchase of Sukuk or Sharia Bonds Issued by Business Partners in Early Start-up Stage and/or Business Development Net
a. Purchase of Sukuk or Sharia Bonds Issued by Business Partners in Early Start-up Stage and/or Business Development b. Provision for Write-off of Productive Assets Purchase of Sukuk or Sharia Bonds Issued by Business Partners in Early Start-up Stage and/or Business Development
Financing Based on Profit-Sharing Principles Net
a. Core Financing Based on Profit-Sharing Principles b. Provision for Write-off of Productive Assets Financing Based on Profit-Sharing Principles
C. Non-Financing/Investment/Investment Assets
II. LIABILITIES
A. Loans/Financing Received
B. Securities Issued
C. Liabilities Other Than Loans/Financing and Securities Issued
EXPLANATION OF FORM 5310 (ASSET AND LIABILITY MATCHING ANALYSIS REPORT)
Form 5310 (Asset and Liability Matching Analysis Report) contains the value of assets and liabilities of the reporting Venture Capital Company based on maturity age divided into <3 months, 3 – 6 months, 6 months – 1 year, 1 – 5 years, 5 – 10 years, and above 10 years.

I. Assets
This item covers total assets based on each age category in currency, either in Rupiah and/or foreign exchange. This item consists of the sum of net venture capital financing or equity investment, net venture capital financing or equity investment based on Sharia principles, and non-financing, investment, and/or investment assets. The asset value must be equal to the total asset item in Form 1100 (Balance Sheet).

A. Venture Capital Financing/Equity Investment This item covers the total net venture capital financing or equity investment receivables based on each receivable age category in currency, either in Rupiah and/or foreign exchange. This item consists of the sum of equity investment, investment through the purchase of convertible bonds, financing through the purchase of debt securities issued by business partners in the early start-up stage and/or business development, and productive business financing. The net venture capital financing or equity investment receivable value must be equal to the venture capital financing/investment receivable item in Form 1100 (Balance Sheet).

Equity Investment
This item is filled with the total value of equity investment originating from the business activities of the reporting Venture Capital Company to business partners, recorded at fair value at the time of the reporting period based on each receivable age category in currency, either in Rupiah and/or foreign exchange.
Investment Through Purchase of Convertible Bonds Net
This item is filled with the total value of investment through the purchase of convertible bonds net based on each receivable age category in currency, either in Rupiah and/or foreign exchange. This item originates from investment through the purchase of convertible bonds net after being reduced by the provision for write-off of productive assets for investment through the purchase of convertible bonds.
Financing Through Purchase of Debt Securities Issued by Business Partners in Early Start-up Stage and/or Business Development Net
This item is filled with the total value of financing through the purchase of debt securities issued by business partners in the early start-up stage and/or business development based on each receivable age category in currency, either in Rupiah and/or foreign exchange. This item originates from financing through the purchase of debt securities issued by business partners in the early start-up stage and/or business development net after being reduced by the provision for write-off of productive assets for financing through the purchase of debt securities issued by business partners in the early start-up stage and/or business development.
Productive Business Financing Net
This item is filled with the total value of productive business financing based on each receivable age category in currency, either in Rupiah and/or foreign exchange. This item originates from productive business financing after being reduced by unrecognized interest income and other income and expenses related to financing transactions that are amortized, and reduced by the provision for write-off of productive assets for productive business financing.

B. Venture Capital Investment Based on Sharia Principles This item covers the total venture capital investment based on Sharia principles based on each investment age category in currency, either in Rupiah and/or foreign exchange. This item consists of equity investment, purchase of sukuk or Sharia convertible bonds, purchase of sukuk or Sharia bonds issued by business partners in the early start-up stage and/or business development, and financing based on profit-sharing principles. The venture capital investment based on Sharia principles value must be equal to the venture capital investment based on Sharia principles item in Form 1100 (Balance Sheet).

Equity Investment
This item is filled with the total value of equity investment originating from the business activities of the UUS of the reporting Venture Capital Company to business partners, recorded at fair value at the time of the reporting period based on each receivable age category in currency, either in Rupiah and/or foreign exchange.
Purchase of Sukuk or Sharia Convertible Bonds Net
This item is filled with the total value of purchase of sukuk or Sharia convertible bonds net based on each receivable age category in currency, either in Rupiah and/or foreign exchange. This item originates from the purchase of sukuk or Sharia convertible bonds net after being reduced by the provision for write-off of productive assets for the purchase of sukuk or Sharia convertible bonds.
Purchase of Sukuk or Sharia Bonds Issued by Business Partners in Early Start-up Stage and/or Business Development Net
This item is filled with the total value of purchase of sukuk or Sharia bonds issued by business partners in the early start-up stage and/or business development based on each receivable age category in currency, either in Rupiah and/or foreign exchange. This item originates from the purchase of debt securities issued by business partners in the early start-up stage and/or business development net after being reduced by the provision for write-off of productive assets for the purchase of sukuk or Sharia bonds issued by business partners in the early start-up stage and/or business development.
Financing Based on Profit-Sharing Principles Net
This item is filled with the total value of financing based on profit-sharing principles based on each receivable age category in currency, either in Rupiah and/or foreign exchange. This item originates from financing based on profit-sharing principles net after being reduced by the provision for write-off of productive assets for financing based on profit-sharing principles.

C. Non-Financing/Investment/Investment Assets
This item covers the total age of non-financing, investment, and/or investment assets according to currency, whether in Rupiah and/or foreign exchange.

II. Liabilities
This item covers total liabilities according to currency, in Rupiah and/or foreign exchange according to age classification. This item consists of the sum of loans or financing received, securities issued, and liabilities other than loans or financing and securities issued.

This copy is consistent with the original
Legal Director 1
Legal Department signed
Yuliana

Determined in Jakarta on 4 December 2019
EXECUTIVE HEAD OF SUPERVISOR
OF INSURANCE, PENSION FUNDS,
FINANCING INSTITUTIONS, AND
OTHER FINANCIAL SERVICE INSTITUTIONS
FINANCIAL SERVICES AUTHORITY, signed
RISWINANDI

APPENDIX III
FINANCIAL SERVICES AUTHORITY CIRCULAR LETTER
NUMBER 25 /SEOJK.05/2019
REGARDING
MONTHLY REPORT OF VENTURE CAPITAL COMPANIES AND SHARIA VENTURE CAPITAL COMPANIES

TABLE OF CONTENTS
I. Sharia Venture Capital Company Profile Report and Sharia Business Unit of Venture Capital Company, consisting of:
A. Form 0000: Sharia Venture Capital Company Profile Information B. Form 0010: Business License Details 9
C. Form 0020: Branch Office Details 11
D. Form 0030: Shareholder and Second-Degree Shareholder Details E. Form 0035: Management Details 18 F. Form 0036: Related Party Details 21 G. Form 0041: Workforce Details Based on Education Level H. Form 0043: Workforce Details Based on Function 26
I. Form 0046: Foreign Workforce Details 30
II. Sharia Venture Capital Company Financial Report and Sharia Business Unit of Venture Capital Company, consisting of:
A. Form 1100: Balance Sheet 32
B. Form 1110: Administrative Account 47
C. Form 1200: Income Statement and Other Comprehensive Income
D. Form 1300: Cash Flow Statement 63
E. Form 2110: Details of Equity Investment in Business Partners F. Form 2120: Details of Investment Through Purchase of Sukuk or Sharia Convertible Bonds G. Form 2130: Details of Financing Through Purchase of Sukuk or Sharia Bonds Issued by Business Partners in Early Start-up Stage and/or Business Development H. Form 2140: Details of Financing Based on Profit-Sharing Principles
I. Form 2200: Details of Securities Held 93
J. Form 2490: Details of Miscellaneous Assets 97

K. Form 2550: Details of Received Financing 99
L. Form 2600: Details of Issued Securities 104
M. Form 2790: Details of Various Liabilities 108 N. Form 3010: Details of Derivative Instruments for Hedging O. Form 3020: Details of Third-Party Financing Cooperation Disbursement P. Form 3030: Venture Fund Asset and Liability Report 116 Q. Form 3031: Venture Fund Income Statement 122 R. Form 3032: Venture Fund Cash Flow Statement 127 S. Form 3033: Venture Fund Portfolio - Summary 134 T. Form 3034: Details of Venture Fund Unit Holders U. Form 5310: Asset and Liability Suitability Analysis Report

I. SHARIA VENTURE CAPITAL COMPANY AND SHARIA BUSINESS UNIT PROFILE REPORT
A. FORM 0000: SHARIA VENTURE CAPITAL COMPANY PROFILE A.1. SHARIA VENTURE CAPITAL COMPANY

FORM 0000 FORMAT (SHARIA VENTURE CAPITAL COMPANY PROFILE)
Form 0000 (Sharia Venture Capital Company Profile) is structured according to the following format:

COMPANY INFORMATION

Sharia Venture Capital Company Name/Alias/Acronym
Taxpayer Identification Number (NPWP)
Single Investor Identification (SID)
Sharia Venture Capital Company Ownership Status
Legal Entity/Business Form
Sharia Venture Capital Company Status
Establishment Date
Type of Business Activities Conducted

COMPANY ADDRESS
9) Full Address
10) Regency/City Location
11) Postal Code
12) Telephone Number
13) Office Building Ownership Status
14) Website Address
15) Electronic Mail Address (Email)

NUMBER OF SERVICE OFFICES
16) Number of Branch Offices

NUMBER OF WORKFORCE
17) Number of Head Office Workforce
18) Number of Branch Office Workforce

REPORT COMPOSER AND DIRECTORATE MEMBERS RESPONSIBLE
19) Report Composer
a) Full Name b) Position c) Telephone Number d) Electronic Mail Address (Email)
20) Directorate Members Responsible for the Report
a) Full Name b) Position c) Telephone Number d) Electronic Mail Address (Email)

EXPLANATION OF FORM 0000 (SHARIA VENTURE CAPITAL COMPANY PROFILE INFORMATION)
Form 0000 (Sharia Venture Capital Company Profile Information) contains all information regarding the profile of the reporting Sharia Venture Capital Company.

a. Company Information

Sharia Venture Capital Company Name/Alias/Acronym
This item is filled with the name or acronym of the reporting Sharia Venture Capital Company, for example, Dina Ventura Syariah for Dina Persada Ventura Syariah, PT.
Taxpayer Identification Number (NPWP)
This item is filled with the NPWP of the reporting Sharia Venture Capital Company.
Single Investor Identification (SID)
This item is filled with the single investor identification number for the Indonesian capital market issued by the Indonesia Central Securities Depository.
Sharia Venture Capital Company Ownership Status
This item is filled with the ownership status of the reporting Sharia Venture Capital Company, namely:
a) State-Owned Company
This item is filled if the reporting Sharia Venture Capital Company is owned by the state, either through capital participation by the central government or capital participation by the regional government. b) National Private Company This item is filled if the reporting Sharia Venture Capital Company is not owned by the state and there is no participation, either directly or indirectly, by foreign parties. c) Joint Private Company This item is filled if there is participation, either directly or indirectly, by foreign parties in the reporting Sharia Venture Capital Company.
Legal Entity/Business Form
This item is filled with the legal entity/business form, namely:
a) Limited Liability Company (Perseroan Terbatas) b) Cooperative c) Limited Partnership (Perseroan Komanditer)
Sharia Venture Capital Company Status
a) Closed/Limited
This item is filled with the limited liability company status, which is hereinafter referred to as a company, is a legal entity that is a capital partnership, established based on an agreement, conducts business activities with basic capital entirely divided into shares, and meets the requirements set forth in Law Number 40 of 2007 concerning Limited Liability Companies and its implementing regulations. b) Open/Public This item is filled with the public company status, which is a public company or a company that conducts a public offering of shares, in accordance with capital market regulations.
Establishment Date
This item is filled with the day, month, and year of establishment of the reporting Sharia Venture Capital Company.
Type of Business Activities Conducted
This item is filled with the type of business activity in accordance with the business license granted, namely:
a) Investment consisting of:
i. Equity participation;
ii. Purchase of sukuk or convertible Shariah bonds;
iii. Financing of sukuk or Shariah bonds issued by business partners at the initial (start-up) and/or business development stage; and/or
iv. Financing based on profit-sharing principles;
b) Service provision; and/or c) Other business activities based on approval from the Financial Services Authority.

b. Company Address
9) Full Address
This item is filled with the full address in accordance with the domicile of the head office of the reporting Sharia Venture Capital Company.
10) Regency/City Location
This item is filled with the regency/city of the head office domicile of the reporting Sharia Venture Capital Company.
11) Postal Code
This item is filled with the postal code number of the head office domicile of the reporting Sharia Venture Capital Company.
12) Telephone Number
This item is filled with the telephone number of the reporting Sharia Venture Capital Company, preceded by the regional area code.
13) Office Building Ownership Status
This item is filled with the ownership status of the head office building of the reporting Sharia Venture Capital Company, namely:
a) Owned; b) Rented; or c) Other ownership status.
14) Website Address
This item is filled with the website address of the reporting Sharia Venture Capital Company.
15) Electronic Mail Address (Email)
This item is filled with the electronic mail (email) address of the reporting Sharia Venture Capital Company.

c. Number of Service Offices
16) Number of Branch Offices
This item is filled with the number of branch offices of the reporting Sharia Venture Capital Company.
This number of branch offices must be detailed in Form 0020 (Branch Office Details).

d. Number of Workforce
17) Number of Head Office Workforce
This item is filled with the number of workforce, including permanent, contract, and outsourcing workers, at the head office in accordance with the gender column and must be detailed in Form 0041 (Workforce Details by Education Level).
18) Number of Branch Office Workforce
This item is filled with the number of workforce, including permanent, contract, and outsourcing workers, at the branch office in accordance with the gender column and must be detailed in Form 0041 (Workforce Details by Education Level).

e. Report Composer and Directorate Members Responsible
19) Report Composer
This item is filled with the complete data of the personnel of the reporting Sharia Venture Capital Company acting as the report composer. a) Full Name This item is filled with the full name of the report composer. b) Position This item is filled with the position of the report composer. c) Telephone Number This item is filled with the telephone number of the report composer. d) Electronic Mail Address (Email) This item is filled with the electronic mail (email) address of the report composer.

Directorate Members Responsible for the Report
This item is filled with the complete data of the Directorate members acting as the responsible party for the report. a) Full Name This item is filled with the full name of the Directorate member responsible for the report. b) Position This item is filled with the position of the Directorate member responsible for the report. c) Telephone Number This item is filled with the telephone number of the Directorate member responsible for the report. d) Electronic Mail Address (Email) This item is filled with the electronic mail (email) address of the Directorate member responsible for the report.

A.2. SHARIA BUSINESS UNIT

FORM 0000 FORMAT (UUS PROFILE)
For UUS, Form 0000 (UUS Profile) is structured according to the following format:

UUS INFORMATION

Type of Sharia Business Activities Conducted
UUS Establishment Date

UUS ADDRESS
3) Full Address
4) Regency/City Location
5) Postal Code
6) Telephone Number
7) Office Building Ownership Status
8) Website Address
9) Electronic Mail Address (Email)

NUMBER OF SERVICE OFFICES
10) Number of Branch Offices

NUMBER OF WORKFORCE
11) Number of UUS Office Workforce
12) Number of Sharia Business Unit Branch Office Workforce

REPORT COMPOSER AND DIRECTORATE MEMBERS RESPONSIBLE FOR THE REPORT
13) Report Composer
a) Full Name b) Position c) Telephone Number d) Electronic Mail Address (Email)
14) Directorate Members Responsible for the Report
a) Full Name b) Position c) Telephone Number d) Electronic Mail Address (Email)

EXPLANATION OF FORM 0000 (UUS PROFILE)
Form 0000 (UUS Profile) contains all information regarding the profile of the reporting UUS.

a. UUS Information

Type of Business Activities Conducted
This item is filled with the status of the type of business activities conducted, namely:
a) Investment consisting of:
i. Equity participation;
ii. Purchase of sukuk or convertible Shariah bonds;
iii. Financing of sukuk or Shariah bonds issued by business partners at the initial (start-up) and/or business development stage; and/or
iv. Financing based on profit-sharing principles;
b) Service provision; and/or c) Other business activities based on approval from the Financial Services Authority.
UUS Establishment Date
This item is filled with the day, month, and year of establishment of the reporting UUS.

b. UUS Address Information
3) Full Address
This item is filled with the full address in accordance with the domicile of the reporting UUS office.
4) Regency/City Location
This item is filled with the regency/city location of the reporting UUS.
5) Postal Code
This item is filled with the postal code number of the reporting UUS office domicile.
6) Telephone Number
This item is filled with the telephone number of the reporting UUS, preceded by the regional area code.
7) Office Building Ownership Status
This item is filled with the ownership status of the reporting office building, namely:
a) Owned; b) Rented; or c) Other ownership status.
8) Website Address
This item is filled with the website address of the reporting UUS.
9) Electronic Mail Address (Email)
This item is filled with the electronic mail (email) address of the reporting UUS.

c. Number of Service Offices
10) Number of Branch Offices
This item is filled with the number of branch offices of the reporting Sharia business unit.
This number of branch offices must be detailed in Form 0020 (Branch Office Details).

d. Number of Workforce
11) Number of UUS Office Workforce
This item is filled with the number of workforce, including permanent, contract, and outsourcing workers, at the head office of the reporting UUS in accordance with the gender column and must be detailed in Form 0041 (Workforce Details by Education Level).
12) Number of Sharia Business Unit Branch Office Workforce
This item is filled with the number of workforce, including permanent, contract, and outsourcing workers, at the branch office of the reporting Sharia business unit in accordance with the gender column and must be detailed in Form 0041 (Workforce Details by Education Level).

e. Report Composer and Directorate Members Responsible for the Report
13) Report Composer
This item is filled with the complete data of personnel acting as the report composer. a) Full Name This item is filled with the full name of the report composer. b) Position This item is filled with the position of the report composer. c) Telephone Number This item is filled with the telephone number of the department/division/unit of the report composer. d) Electronic Mail Address (Email) This item is filled with the electronic mail (email) address of the report composer.
14) Directorate Members Responsible for the Report
a) Full Name
This item is filled with the full name of the Directorate member responsible for the report. b) Position This item is filled with the position of the Directorate member responsible for the report. c) Telephone Number This item is filled with the telephone number of the department/division/unit of the Directorate member responsible for the report. d) Electronic Mail Address (Email) This item is filled with the electronic mail (email) address of the Directorate member responsible for the report.

B. FORM 0010: BUSINESS LICENSE DETAILS

FORM 0010 FORMAT (BUSINESS LICENSE DETAILS)
Form 0010 (Business License Details) is structured according to the following format:
(1) (2) (3) (4)
Business License Number
Business License Date
Type of Licensing Description
EXPLANATION OF FORM 0010 (BUSINESS LICENSE DETAILS)
Form 0010 (Business License Details) contains all information regarding the details of business licenses held by the reporting Sharia Venture Capital Company or reporting UUS. (1) Business License Number This item is filled with the number of the Minister of Finance Decision or Financial Services Authority Commissioners' Decision regarding the business licensing of the reporting Sharia Venture Capital Company or reporting UUS and its amendments. (2) Business License Date This item is filled with the day, month, and year of the Minister of Finance Decision or Financial Services Authority Commissioners' Decision regarding the business licensing of the reporting Sharia Venture Capital Company or reporting UUS and its amendments. (3) Type of Licensing This item is filled with the type of licensing established by the Financial Services Authority and/or Minister of Finance, namely:

First business license
Business activity enhancement
Name change
Sharia business unit business license
Other business licenses
(4) Description
This item is filled with an explanation of the type of business license of the reporting Sharia Venture Capital Company or reporting UUS.
Example:
In the event of a name change, fill in the name change from PT Dina Persada Ventura Syariah to PT Karya Persada Ventura Syariah.

C. FORM 0020: BRANCH OFFICE DETAILS

FORM 0020 FORMAT (BRANCH OFFICE DETAILS)
Form 0020 (Branch Office Details) is structured according to the following format:
(1) (2) (3)
Branch Office Reporting Registration Number
Branch Office Reporting Registration Date
Branch Office Name
(4)
Location
Subdistrict Regency/City Postal Code
(5) (6) (7)
Telephone Number Number of Workforce Branch Manager Name
EXPLANATION OF FORM 0020 (BRANCH OFFICE DETAILS)
Form 0020 (Branch Office Details) contains information on the branch offices of the reporting Sharia Venture Capital Company, including branch offices of the reporting Sharia business unit, that have obtained reporting registration from the Minister of Finance or the Financial Services Authority. (1) Branch Office Reporting Registration Number This item is filled with the number of the Minister of Finance Decision or Financial Services Authority Commissioners' Decision regarding the reporting registration of the branch office of the reporting Sharia Venture Capital Company or branch office of the reporting Sharia business unit. (2) Branch Office Reporting Registration Date This item is filled with the day, month, and year of the issuance of the Minister of Finance Decision or Financial Services Authority Commissioners' Decision regarding the reporting registration of the branch office of the reporting Sharia Venture Capital Company or branch office of the reporting Sharia business unit. (3) Branch Office Name This item is filled with the name of the branch office of the reporting Sharia Venture Capital Company or branch office of the reporting Sharia business unit. (4) Location

Address
This item is filled with the full address of the branch office of the reporting Sharia Venture Capital Company or branch office of the reporting Sharia business unit in accordance with the full address of the branch office of the reporting Sharia Venture Capital Company or branch office of the reporting Sharia business unit that has been reported to the Minister of Finance or the Financial Services Authority.
Subdistrict
This item is filled with the subdistrict of the domicile of the branch office of the reporting Sharia Venture Capital Company or branch office of the reporting Sharia business unit.
Regency/City
This item is filled with the regency/city of the domicile of the branch office of the reporting Sharia Venture Capital Company or branch office of the reporting Sharia business unit.
Postal Code
This item is filled with the postal code number of the domicile of the branch office of the reporting Sharia Venture Capital Company or branch office of the reporting Sharia business unit. (5) Telephone Number This item is filled with the area code and telephone number of each branch office of the reporting Sharia Venture Capital Company or branch office of the reporting Sharia business unit. (6) Number of Workforce This item is filled with the number of workforce located at the branch office of the reporting Sharia Venture Capital Company or branch office of the reporting Sharia business unit, including the branch manager of the reporting Sharia Venture Capital Company or branch manager of the reporting Sharia business unit, permanent workers, contract workers, and outsourcing workers. (7) Branch Manager Name This item is filled with the name of the branch manager of the reporting Sharia Venture Capital Company or branch manager of the reporting Sharia business unit for each respective branch office of the reporting Sharia Venture Capital Company or branch office of the reporting Sharia business unit.

D. FORM 0030: SHAREHOLDER AND SECOND-DEGREE SHAREHOLDER DETAILS

FORM 0030 FORMAT (SHAREHOLDER AND SECOND-DEGREE SHAREHOLDER DETAILS)
Form 0030 (Shareholder and Second-Degree Shareholder Details) is structured according to the following format:
(1) (2) (3) (4) (5) (6) (7)
Shareholder Name
Shareholder Group
Country of Origin
Legal Entity Form of Shareholder
Shareholder Status
Shareholder Equity (in Rp)
Foreign Ownership Percentage Directly/Indirectly (8) (9) Share Ownership Shareholder Management Information Value (in Rp) Percentage (%) Manager Name Manager Position Country of Origin (10) Second-Degree Shareholder Information Second-Degree Shareholder Name Second-Degree Shareholder Group Country of Origin of Second-Degree Shareholder Second-Degree Shareholder Share Ownership Value
EXPLANATION OF FORM 0030 (SHAREHOLDER AND SECOND-DEGREE SHAREHOLDER DETAILS)
Form 0030 (Shareholder and Second-Degree Shareholder Details) contains details of shareholders, both individuals and legal entities, in the reporting Sharia Venture Capital Company, information on the management of shareholders of the reporting Sharia Venture Capital Company, and information on second-degree shareholders. (1) Shareholder Name This item is filled with the full name of the shareholder. (2) Shareholder Group This item is filled with the owner group. (3) Country of Origin This item is filled with the country of origin of the shareholder. (4) Legal Entity Form of Shareholder This item is filled with the legal entity form or individual form of the shareholder of the reporting Sharia Venture Capital Company, namely:

Limited Liability Company
Cooperative
Foundation
Pension Fund
Other Indonesian Legal Entities
Central Government
Regional Government
Individual
Foreign Legal Entity
(5) Shareholder Status
This item is filled with the shareholder status, namely:
Controlling shareholder
Non-controlling shareholder
(6) Shareholder Equity
This item is filled with the equity value of shareholders in the form of legal entities such as Limited Liability Companies, Cooperatives, Foundations, Pension Funds, Other Indonesian Legal Entities, Central Government, Regional Government, and Foreign Legal Entities based on audit reports. (7) Foreign Ownership Percentage Directly/Indirectly This item is filled with information regarding the foreign ownership percentage for shareholders in the form of legal entities in the reporting Sharia Venture Capital Company. For individual shareholders who are Indonesian citizens, this item is filled with zero percent. For shareholders in the form of Indonesian legal entities, this item is filled with the percentage of foreign ownership in the aforementioned legal entity, either directly or indirectly. (8) Share Ownership
Value
This item is filled with the nominal value of the paid-up capital of the reporting Sharia Venture Capital Company owned by the shareholder.
This total value must be equal to the nominal paid-up capital value in Form 1100 (Balance Sheet Report).
Percentage
This item is filled with the ownership percentage value in a decimal format with 2 (two) digits after the comma.
(9) Shareholder Management Information
Manager Name
This item is filled with the full name of the managers and supervisors of shareholders of the reporting Sharia Venture Capital Company in the form of legal entities.
Manager Position
This item is filled with the position of managers and supervisors of shareholders of the reporting Sharia Venture Capital Company in the form of Limited Liability Companies, namely:
Principal Commissioner
Commissioner
Independent Commissioner
Sharia Supervisory Board
President Director
Director
For shareholders other than Limited Liability Company legal entities, supervisors are equated with commissioners and managers are equated with board of director members.
Country of Origin
This item is filled with the country of origin based on the citizenship status of the managers and supervisors of shareholders.
(10) Second-Degree Shareholder Information
Second-Degree Shareholder Name
This item is filled with the full name of the second-degree shareholder (shareholder of the shareholder of the reporting Sharia Venture Capital Company).
Second-Degree Shareholder Group
This item is filled with the code for the second-degree shareholder group.
Country of Origin of Second-Degree Shareholder
This item is filled with the country of origin based on the citizenship status of the second-degree shareholder.
Second-Degree Shareholder Share Ownership Value
This item is filled with the nominal value of the paid-up capital of the reporting Sharia Venture Capital Company owned by the second-degree shareholder.

E. FORM 0035: MANAGEMENT DETAILS

FORM 0035 FORMAT (MANAGEMENT DETAILS)
Form 0035 (Management Details) is structured according to the following format:
(1) (2) (3) (4) (5)
Name
Identity Number
Citizenship
Position
Domicile
(6) (7) (8) (9)
Appointment Deed Number
Deed Date
Date of Assumption of Office
Fit and Proper Assessment Approval Information Decision Letter Number Decision Letter Date
EXPLANATION OF FORM 0035 (MANAGEMENT DETAILS)
Form 0035 (Management Details) contains management information of the reporting Sharia Venture Capital Company, consisting of members of the Board of Commissioners, members of the Board of Directors, and members of the Sharia Supervisory Board of the reporting Sharia Venture Capital Company, namely:
(1) Name
This item is filled with the names of members of the Board of Commissioners, members of the Board of Directors, and members of the Sharia Supervisory Board of the reporting Sharia Venture Capital Company. (2) Identity Number This item is filled with identity numbers such as population identification number, KITAS, and/or passport of members of the Board of Commissioners, members of the Board of Directors, and members of the Sharia Supervisory Board of the reporting Sharia Venture Capital Company. (3) Citizenship This item is filled with the citizenship of members of the Board of Commissioners, members of the Board of Directors, and members of the Sharia Supervisory Board of the reporting Sharia Venture Capital Company. (4) Position This item is filled with the position of members of the Board of Commissioners, members of the Board of Directors, and members of the Sharia Supervisory Board of the reporting Sharia Venture Capital Company in the form of Limited Liability Company legal entities, namely:

Principal Commissioner
Commissioner
Independent Commissioner
Sharia Supervisory Board
President Director
Director
(5) Domicile
This item is filled with the regency/city location where members of the Board of Commissioners, members of the Board of Directors, and members of the Sharia Supervisory Board of the reporting Sharia Venture Capital Company reside.

(6) Appointment Deed Number
This field is filled with the number of the appointment deed for members of the Board of Commissioners, members of the Board of Directors, and/or members of the Sharia Supervisory Board.

(7) Deed Date
This field is filled with the date of the appointment deed for members of the Board of Commissioners, members of the Board of Directors, and/or members of the Sharia Supervisory Board.

(8) Date of Assumption of Office
This field is filled with the date, month, and year each member of the Board of Commissioners, member of the Board of Directors, and member of the Sharia Supervisory Board of the reporting Sharia Venture Capital Company assumes office, in accordance with the deed of the General Meeting of Shareholders or its equivalent that approves the appointment of members of the Board of Commissioners, members of the Board of Directors, and members of the Sharia Supervisory Board.

(9) Fit and Proper Test Approval Information

Decision Letter Number
This field is filled with the Decision Letter Number for the Determination of the Fit and Proper Test Results, for example, KEP-123/D.05/2015.
Decision Letter Date
This field is filled with the date, month, and year the Decision Letter was issued.
Information related to the fit and proper test must not be left blank. For Principal Parties who held office before the implementation of Financial Services Authority Regulation Number 27/POJK.03/2016, this column is filled with a note that members of the Board of Commissioners, members of the Board of Directors, and members of the Sharia Supervisory Board of the Sharia Venture Capital Company are not yet required to undergo the fit and proper test because they have not been re-appointed.

F. FORM 0036: DETAILS OF RELATED PARTIES

FORMAT OF FORM 0036 (DETAILS OF RELATED PARTIES)
Form 0036 (Details of Related Parties) is prepared in the following format:
(1) (2) (3) (4)
Name of Related Party
Group
Country Location
Relationship of Related Party
Code A-J
EXPLANATION OF FORM 0036 (DETAILS OF RELATED PARTIES)
Form 0036 (Details of Related Parties) contains details of parties related to the reporting Sharia Venture Capital Company, including group information, country location, and the relationship of the related party with the reporting Sharia Venture Capital Company.

(1) Name of Related Party
This field is filled with the full name of the related party.

(2) Group
This field is filled with the group of the related party.

(3) Country Location
This field is filled with the country location where the related party is domiciled.

(4) Relationship of Related Party
This field is filled using letter codes A through J, indicating the relationship of the related party with the reporting Sharia Venture Capital Company as follows:
A. an individual or business entity that is the controller of the reporting Sharia Venture Capital Company; B. a business entity where the reporting Sharia Venture Capital Company acts as the controller;
C. an individual or business entity that acts as the controller of the business entity referred to in letter B;
D. a business entity whose control is exercised by an individual and/or business entity as referred to in letter A or an individual and/or business entity as referred to in letter C; E. the Board of Commissioners or Board of Directors of the reporting Sharia Venture Capital Company; F. a party having a family relationship up to the second degree, both horizontal and vertical, from an individual who is the controller of the reporting Sharia Venture Capital Company as referred to in letter A and/or the Board of Commissioners or Board of Directors of the reporting Sharia Venture Capital Company as referred to in letter E; G. the board of commissioners or board of directors of a business entity as referred to in letter A through letter D; H. a business entity whose board of commissioners or board of directors are the Board of Commissioners or Board of Directors of the reporting Sharia Venture Capital Company or the board of commissioners or board of directors of a business entity as referred to in letter A through letter D;
I. a business entity where the Board of Commissioners or Board of Directors of the reporting Sharia Venture Capital Company as referred to in letter E act as controllers or the Board of Commissioners or Board of Directors as referred to in letter A through letter D act as controllers; and/or
J. a business entity that has financial interdependence with the reporting Sharia Venture Capital Company and/or parties as referred to in letter A through letter I.

G. FORM 0041: WORKFORCE DETAILS BY EDUCATION LEVEL

FORMAT OF FORM 0041 (WORKFORCE DETAILS BY EDUCATION LEVEL)
Form 0041 (Workforce Details by Education Level) is prepared in the following format:
Education Level
Permanent Workforce
Contract Workforce
Outsourcing Workforce
Total Workforce
M F Total M F Total M F Total M F Total
Head Office
a. Other Education Levels Below High School b. High School
c. Diploma
d. Bachelor e. Postgraduate
Branch Office
a. Other Education Levels Below High School b. High School
c. Diploma
d. Bachelor e. Postgraduate
Total
EXPLANATION OF FORM 0041 (WORKFORCE DETAILS BY EDUCATION LEVEL)
Form 0041 (Workforce Details by Education Level) contains details of the number of workforce members in each education level category at the head office and branch offices of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company.

Education Level

Head Office
a. Other Education Levels Below High School b. High School
c. Diploma
d. Bachelor e. Postgraduate
In the event there are workforce members from the reporting Sharia Venture Capital Company with Level 2 or Level 3 education, they are filled in the Postgraduate column.
Branch Office
a. Other Education Levels Below High School b. High School
c. Diploma
d. Bachelor e. Postgraduate
In the event there are workforce members from the reporting Sharia Venture Capital Company with Level 2 or Level 3 education, they are filled in the Postgraduate column.

Permanent Workforce
This field is filled with the number of permanent workforce members located at the head office and branch offices based on education level. a. Male b. Female
c. Total
Contract Workforce
This field is filled with the number of contract workforce members located at the head office and branch offices based on education level. a. Male b. Female
c. Total
Outsourcing Workforce
This field is filled with the number of outsourcing workforce members located at the head office and branch offices based on education level. a. Male b. Female
c. Total
Total Workforce
This field is filled with the total number of workforce members located at the head office and branch offices based on education level. a. Male b. Female
c. Total

H. FORM 0043: WORKFORCE DETAILS BY FUNCTION

FORMAT OF FORM 0043 (WORKFORCE DETAILS BY FUNCTION)
Form 0043 (Workforce Details by Function) is prepared in the following format:
(1) (2) (3)
Function
Permanent Workforce
Contract Workforce
Managerial Workforce up to one level below Board of Directors Members Staff and Other Workforce Levels Managerial Workforce up to one level below Board of Directors Members Staff and Other Workforce Levels
Marketing
Feasibility Analysis of Participation/Financing
Collection
Human Resource (HR) and General Affair (GA)
Administration and Bookkeeping
Financial Management, including Investment Portfolio Management
Risk Management
Internal Audit
Legal
Information Technology
Anti-Money Laundering and Counter Financing of Terrorism
Other Functions
Total Workforce
(4) (5) (6)
Outsourcing Workforce
Total Workforce
Dual Position Description
Managerial Workforce Up to One Level Below Board of Directors Members Staff and Other Workforce Levels Managerial Workforce Up to One Level Below Board of Directors Members Staff and Other Workforce Levels
EXPLANATION OF FORM 0043 (WORKFORCE DETAILS BY FUNCTION)
Form 0043 (Workforce Details by Function) contains the number of workforce members owned by the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company based on work units at both the head office and branch offices, according to each workforce status.

(1) Function

Marketing
Feasibility Analysis of Participation/Financing
Collection
Human Resource (HR) and General Affair (GA)
Administration and Bookkeeping
Financial Management, including Investment Portfolio Management
Risk Management
Internal Audit
Legal
Information Technology
Anti-Money Laundering and Counter Financing of Terrorism
Other Functions

(2) Permanent Workforce
This field is filled with the number of permanent workforce members who are managerial levels up to one level below Board of Directors Members, based on function.

Managerial Workforce Up to One Level Below Board of Directors Members
Staff and Other Workforce Levels

(3) Contract Workforce
This field is filled with the number of contract workforce members who are managerial levels up to one level below Board of Directors Members, based on function.

Managerial Workforce Up to One Level Below Board of Directors Members
Staff and Other Workforce Levels

(4) Outsourcing Workforce
This field is filled with the number of outsourcing workforce members who are managerial levels up to one level below Board of Directors Members, based on function.

Managerial Workforce Up to One Level Below Board of Directors Members
Staff and Other Workforce Levels

(5) Total Workforce
This field is filled with the total number of workforce members who are managerial levels up to one level below Board of Directors Members, based on function.

Managerial Workforce Up to One Level Below Board of Directors Members
Staff and Other Workforce Levels

(6) Dual Position Description
This field is filled with the dual functions performed by workforce members of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company. For reporting purposes, one workforce member can only be entered into one function, even though in practice they handle multiple functions.

I. FORM 0046: FOREIGN WORKFORCE DETAILS

FORMAT OF FORM 0046 (FOREIGN WORKFORCE DETAILS)
Form 0046 (Foreign Workforce Details) is prepared in the following format:
(1) (2) (3) (4) (5)
Name
Identity Number
Nationality
Position
Specialization Field
(6) (7) (8) (9) (10)
Domicile
Work Permit Number
Work Permit Date
Work Permit Validity Start Date
Work Permit Validity End Date
EXPLANATION OF FORM 0046 (FOREIGN WORKFORCE DETAILS)
Form 0046 (Foreign Workforce Details) contains details of foreign workforce members of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company.

(1) Name
This field is filled with the name of the foreign workforce member of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company.

(2) Identity Number
This field is filled with the identity number, such as population registration number, KITAS, and/or passport of the foreign workforce member of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company.

(3) Nationality
This field is filled with the nationality of the foreign workforce member.

(4) Position
This field is filled with the position category of the foreign workforce member at the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company. Positions of foreign workforce members include experts with a position level one tier below the Board of Directors, advisors, and consultants.

(5) Specialization Field
This field is filled with the specialization field of the foreign workforce member at the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company. Specialization fields include investment portfolio management, risk management, information technology, and others.

(6) Domicile
This field is filled with the regency/city where the foreign workforce member is domiciled.

(7) Work Permit Number
This field is filled with the work permit decision letter number for the foreign workforce member issued by the competent authority.

(8) Work Permit Date
This field is filled with the date of the work permit decision letter for the foreign workforce member issued by the competent authority.

(9) Work Permit Validity Start Date
This field is filled with information regarding the start date of the validity period of the foreign workforce member's work permit.

(10) Work Permit Validity End Date
This field is filled with information regarding the end date of the validity period of the foreign workforce member's work permit.

II. FINANCIAL REPORTS OF SHARIA VENTURE CAPITAL COMPANIES AND SHARIA UNITS OF VENTURE CAPITAL COMPANIES
A. FORM 1100: FINANCIAL POSITION REPORT

FORMAT OF FORM 1100 (FINANCIAL POSITION REPORT)
Form 1100 (Financial Position Report) is prepared in the following format:
ASSETS
Items IDR Foreign Currency Total
Cash and Cash Equivalents
a. Cash b. Deposits at Domestic Sharia Banks

Current Accounts
Other Deposits
c. Deposits at Foreign Sharia Banks
Current Accounts
Other Deposits

Derivative Asset Receivables
Sharia-Based Venture Capital Investments
a. Equity Participation b. Net Conversion of Sukuk or Sharia Bonds Purchases (1) Purchase of Conversion Sukuk or Sharia Bonds (2) Provision for Write-Down of Productive Assets for Purchase of Conversion Sukuk or Sharia Bonds
c. Net Purchase of Sharia Bonds or Sukuk Issued by Related Parties in the Early Start-up Stage and/or Business Development
(1) Purchase of Sharia Bonds or Sukuk Issued by Related Parties in the Early Start-up Stage and/or Business Development (2) Provision for Write-Down of Productive Assets for Purchase of Sharia Bonds or Sukuk Issued by Related Parties in the Early Start-up Stage and/or Business Development d. Net Financing Based on Profit-Sharing Principles (1) Financing Based on Principal Profit-Sharing Principles (2) Provision for Write-Down of Productive Assets for Financing Based on Profit-Sharing Principles
Participation in Venture Funds
Receivables from Venture Fund Management
Receivables Related to Other Business Activities:
a. Receivables Related to Net Murabahah Financing b. Receivables Related to Fee-Based Service Activities
c. Receivables Related to Other Business Activities with Financial Services Authority Approval
Investments in Securities
Net Fixed Assets and Inventories
a. Gross Fixed Assets and Inventories b. Accumulated Depreciation of Fixed Assets and Inventories
Deferred Tax Assets
Other Assets
Total Assets
LIABILITIES AND EQUITY
No. Items IDR Foreign Currency Total
LIABILITIES
Current Liabilities
a. Liabilities to Sharia Banks b. Liabilities to Other Sharia Financial Service Companies
c. Liabilities to Non-Financial Service Companies
d. Other Current Liabilities
Derivative Liabilities
Tax Payables
Received Financing
a. Received Financing from Domestic Sources

Received Financing from Sharia Banks
Received Financing from Non-Bank Sharia Financial Institutions
Other Received Financing
b. Received Financing from Foreign Sources
Received Financing from Sharia Banks
Received Financing from Non-Bank Sharia Financial Institutions
Other Received Financing

Issued Securities
Deferred Tax Liabilities
Subordinated Financing
a. Domestic Subordinated Financing b. Foreign Subordinated Financing
Other Liabilities
EQUITY
Capital
a. Paid-up Capital

Authorized Capital
Unpaid Capital
b. Basic Deposits and Mandatory Deposits
Basic Deposits
Mandatory Deposits
c. Additional Paid-up Capital
Agio
Equity Securities Issuance Costs
Donated Capital
Other Additional Paid-up Capital
d. Disagio e. Treasury Stock f. Difference in Transaction Value of Restructuring Entities under Common Control

Reserves
a. General Reserve b. Specific Reserve
Retained Earnings (Losses)
Net Profit (Loss) After Tax
Other Equity Components
a. Balance of Other Equity Components

Balance of Gains (Losses) Due to Changes in Surplus from Revaluation of Fixed Assets
Balance of Gains (Losses) Due to Exchange Rate Differences from Translating Financial Statements in Foreign Currency
Balance of Gains (Losses) Due to Remeasurement of Available-for-Sale Financial Assets
Balance of Gains (Losses) Due to the Effective Portion of Financial Instruments Hedged in Cash Flow Hedges
Balance of Gains (Losses) on Other Equity Components in Accordance with Financial Accounting Standards Principles
b. Other Comprehensive Gains (Losses) of the Current Period Total Liabilities and Equity

EXPLANATION OF FORM 1100 (FINANCIAL POSITION REPORT)
Form 1100 (Financial Position Report) contains the financial position report of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company, providing detailed explanations of asset positions and liability and equity positions.

– ASSETS

Cash and Cash Equivalents
a. Cash
This field is filled with the amount of cash in the form of banknotes and coins issued by Bank Indonesia that are legal tender in Indonesia. Foreign banknotes and coins still in circulation owned by the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company are also included in the definition of cash. Commemorative coins and commemorative notes issued by Bank Indonesia are reported under the Other Assets item.

b. Deposits at Domestic Sharia Banks
This field is filled with all types of deposits of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company at Sharia banks in Indonesia, both in Rupiah and foreign currency. This field must not be offset with the bank items in the Liabilities items.

Current Accounts
This field is filled with the amount of deposits of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company in the form of current accounts at commercial Sharia banks in Indonesia.
Other Deposits
This field is filled with the amount of deposits of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company other than current accounts, such as savings, time deposits, certificates of deposit, deposit on call, and other similar deposits at commercial Sharia banks and/or Sharia people's financing banks in Indonesia.

c. Deposits at Foreign Sharia Banks
This field is filled with all types of deposits of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company at Sharia banks outside the country.

Current Accounts
This field is filled with deposits of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company in the form of current accounts at Sharia banks outside the country.
Other Deposits
This field is filled with deposits of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company in the form of savings, time deposits, certificates of deposit, deposit on call, and other similar deposits at Sharia banks outside the country.

Derivative Asset Receivables
This field is filled with all receivables that represent potential profits arising from the positive difference between the contract value and the fair value of a derivative transaction on the reporting date. These derivative transactions are only for hedging activities. This field must be detailed in Form 3010 (Details of Derivative Instruments for Hedging).
Sharia-Based Venture Capital Investments
a. Equity Participation
This field is filled with the value of equity participation resulting from the business activities of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company to related parties, recorded at fair value at the end of the reporting period.

b. Net Conversion of Sukuk or Sharia Bonds Purchases This field is filled with the value of conversion of sukuk or Sharia bonds purchases resulting from the business activities of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company to related parties, recorded at net value after deducting the provision for write-down of productive assets for the purchase of conversion sukuk or Sharia bonds.

Purchase of Conversion Sukuk or Sharia Bonds
This field is filled with the value of the purchase of conversion sukuk or Sharia bonds by the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company to related parties, recorded at gross value.
Provision for Write-Down of Productive Assets for Purchase of Conversion Sukuk or Sharia Bonds
This field is filled with the provision for write-down of productive assets for the purchase of conversion sukuk or Sharia bonds, as regulated in the Financial Services Authority Circular Letter regulating the financial health level of Venture Capital Companies.

c. Net Purchase of Sharia Bonds or Sukuk Issued by Related Parties in the Early Start-up Stage and/or Business Development
This field is filled with the value of the purchase of Sharia bonds or sukuk issued by related parties in the early start-up stage and/or business development, net after deducting the provision for write-down of productive assets for the purchase of Sharia bonds or sukuk issued by related parties in the early start-up stage and/or business development.

Purchase of Sharia Bonds or Sukuk Issued by Related Parties in the Early Start-up Stage and/or Business Development
This field is filled with the value of the purchase of Sharia bonds or sukuk issued by related parties in the early start-up stage and/or business development resulting from the business activities of the reporting Sharia Venture Capital Company or reporting Sharia Unit of Venture Capital Company to related parties, recorded at gross value.
Provision for Write-Down of Productive Assets for Purchase of Sharia Bonds or Sukuk Issued by Related Parties in the Early Start-up Stage and/or Business Development
This field is filled with the provision for write-down of productive assets for the purchase of Sharia bonds or sukuk issued by related parties in the early start-up stage and/or business development, as regulated in the Financial Services Authority Circular Letter regulating the financial health level of Venture Capital Companies.

d. Net Financing Based on Profit-Sharing Principles This field is filled with the value of financing based on profit-sharing principles, net after deducting unaccrued profit-sharing income and other income and expenses related to financing transactions that are amortized, and deducting the provision for write-down of productive assets for financing based on profit-sharing principles.

Financing Based on Principal Profit-Sharing Principles
This field is filled with the value of financing based on profit-sharing principles, recorded at gross value after deducting unaccrued profit-sharing income and other income and expenses related to financing transactions based on profit-sharing principles that are amortized.
Provision for Write-Down of Productive Assets for Financing Based on Profit-Sharing Principles
This field is filled with the provision for write-down of productive assets for financing based on profit-sharing principles, as regulated in the Financial Services Authority Circular Letter regulating the financial health level of Venture Capital Companies.

Participation in Venture Funds
This field is filled with the value of participation made by the reporting Sharia Venture Capital Company in contracts

joint investment in venture capital funds, recorded at fair value at the reporting period.

Venture Capital Fund Management Receivables
This item is filled with the value of venture capital fund management receivables of the reporting Sharia Venture Capital Company to the joint investment in venture capital funds contract.
Charges Related to Other Business Activities:
a. Charges Related to Net Murabahah Financing
This item is filled with the value of the difference between gross Murabahah financing charges minus deferred Murabahah margins and provisions for Murabahah charge write-offs. This transaction can only be conducted by the reporting Sharia Venture Capital Company or reporting UUS in the event that it has made equity participation in the associated business partner. b. Charges Related to Fee-Based Service Activities This item is filled with the value of charges for fee-based service activities of the reporting Sharia Venture Capital Company or reporting UUS that have not been paid by other parties.
c. Charges Related to Other Business Activities with OJK Approval
This item is filled with the value of charges for Other Business Activities with Otoritas Jasa Keuangan (Financial Services Authority) Approval of the reporting Sharia Venture Capital Company or reporting UUS that have not been paid by other parties.
Investments in Securities
This item covers all investments of the reporting Sharia Venture Capital Company or reporting UUS in securities that meet Sharia principles, other than securities in the form of equity participation in business partners, sukuk or convertible Sharia bonds, and/or sukuk or Sharia bonds issued by business partners in the initial start-up stage and/or business development stage.

The value of such securities is presented in accordance with the applicable Financial Accounting Standards (PSAK).
This item must be detailed in Form 2200 (Detail of Securities Held).

Net Fixed Assets and Inventories
a. Gross Fixed Assets and Inventories
This item covers fixed assets and inventories owned by the reporting Sharia Venture Capital Company or reporting UUS. b. Accumulated Depreciation of Fixed Assets and Inventories This item covers the accumulated depreciation of fixed assets and inventories up to the reporting date.
Deferred Tax Assets
This item covers the amount of deferred tax assets recognized by the reporting Sharia Venture Capital Company or reporting UUS at the end of the reporting period, measured at the applicable tax rate against all deductible temporary differences and/or fiscal loss balances, to the extent that it is probable that they can be utilized to reduce fiscal profit in the future. This item is presented in the statement of financial position based on offsetting with the deferred tax liability item.
Other Assets
This item covers asset balances that cannot be included or classified into items 1 to 9 above, including prepaid expenses.
This item must be detailed in Form 2490 (Detail of Other Assets).

LIABILITIES

Current Liabilities
This item covers short-term liabilities of the reporting Sharia Venture Capital Company or reporting UUS to third parties with a term of not more than 30 (thirty) days. Included in this item are, among others, liabilities related to employee pension programs and insurance premiums of the reporting Sharia Venture Capital Company or reporting UUS. a. Liabilities to Banks This item covers current liabilities of the reporting Sharia Venture Capital Company or reporting UUS to Sharia banks such as profit-sharing/financing returns of Sharia banks. The term Sharia bank is as defined in legislation regarding banking. This sub-item must not be offset with the Sharia bank item in asset items. b. Liabilities to Other Sharia Financial Service Companies This item covers current liabilities of the reporting Sharia Venture Capital Company or reporting UUS to companies in the financial services sector other than Sharia banks. Included in this sub-item are liabilities to Sharia financing companies, Sharia Venture Capital Companies, Sharia guarantee companies, Sharia insurance companies, Sharia pension funds, securities companies, and other Sharia financial service companies.
c. Liabilities to Non-Financial Service Companies
This item covers current liabilities of the reporting Sharia Venture Capital Company or reporting UUS to companies outside the financial services sector. d. Other Current Liabilities This item covers current liabilities of the reporting Sharia Venture Capital Company or reporting UUS other than in letters a, b, and c.
Derivative Liabilities
This item covers all liabilities that are potential losses arising from the difference between the contract value and the fair value of a derivative transaction on the reporting date. Derivative liabilities are only for hedging activities. This item must be detailed in Form 3010 (Detail of Derivative Instruments for Hedging).
Tax Payables
This item covers all tax liabilities of the reporting Sharia Venture Capital Company or reporting UUS that have not been paid in accordance with applicable Indonesian tax regulations.
Funding Received
This item covers funding received by the reporting Sharia Venture Capital Company or reporting UUS in Rupiah or foreign currency from domestic or foreign sources. a. Funding Received from Domestic Sources This item covers funding received by the reporting Sharia Venture Capital Company or reporting UUS in Rupiah or foreign currency from domestic sources or residents.

Funding Received from Sharia Banks
This item covers funding received by the reporting Sharia Venture Capital Company or reporting UUS in Rupiah or foreign currency from banks conducting operational activities in Indonesia. This sub-item must not be offset with the bank item in asset items.
Funding from Nonbank Sharia Financial Service Institutions
This item covers funding received by the reporting Sharia Venture Capital Company or reporting UUS in Rupiah or foreign currency from nonbank Sharia financial service institutions conducting operational activities in Indonesia.
Other Funding Received
This item covers other domestic funding received by the reporting Sharia Venture Capital Company or reporting UUS other than in items 1) and 2). This item covers loans received by the reporting Sharia Venture Capital Company or reporting UUS in Rupiah or foreign currency from third-party non-financial service entities operating in Indonesia. b. Funding Received from Foreign Sources This item covers funding received by the reporting Sharia Venture Capital Company or reporting UUS in Rupiah or foreign currency from foreign sources or non-residents.
Funding Received from Sharia Banks
This item covers funding received by the reporting Sharia Venture Capital Company or reporting UUS in Rupiah or foreign currency from banks conducting operational activities outside Indonesia.
Funding Received from Nonbank Sharia Financial Service Institutions
This item covers funding received by the reporting Sharia Venture Capital Company or reporting UUS in Rupiah or foreign currency from nonbank Sharia financial service institutions conducting operational activities outside Indonesia.
Other Funding Received
This item covers other funding received by the reporting Sharia Venture Capital Company or reporting UUS in Rupiah or foreign currency from non-financial service third parties outside the country or non-residents. These items must be detailed in Form 2550 (Detail of Funding Received).

Securities Issued
This item covers the value of all securities other than shares issued by the reporting Sharia Venture Capital Company or reporting UUS domestically or abroad in order to obtain additional funds from the public, including through the issuance of bonds and medium-term notes (MTN). This item must be detailed in Form 2600 (Detail of Securities Issued).
Deferred Tax Liabilities
This item covers the amount of deferred tax liabilities recognized by the reporting Sharia Venture Capital Company or reporting UUS at the end of the reporting period, calculated at the applicable tax rate for all taxable temporary differences. This item is presented in the statement of financial position based on offsetting with the deferred tax asset item.
Subordinated Funding
This item covers funding received by the reporting Sharia Venture Capital Company or reporting UUS with the following conditions:

with a minimum term of 5 (five) years
in the event of liquidation, the claim right applies last among all existing funding
documented in a notarial deed agreement between the reporting Sharia Venture Capital Company or reporting UUS and the funding provider.
a. Domestic Subordinated Funding
This item covers subordinated funding received by the reporting Sharia Venture Capital Company or reporting UUS in Rupiah or foreign currency from domestic sources or residents. b. Foreign Subordinated Funding This item covers subordinated funding received by the reporting Sharia Venture Capital Company or reporting UUS in Rupiah or foreign currency from foreign sources or non-residents. This item must be detailed in Form 2550 (Detail of Funding Received).

Other Liabilities
This item covers other liability balances that cannot be included or classified into items 1 to 7.
This item must be detailed in Form 2790 (Detail of Other Liabilities).

EQUITY

Capital
a. Paid-up Capital
This item covers the value of capital of the reporting Sharia Venture Capital Company or reporting UUS that has been fully paid by shareholders of the reporting Sharia Venture Capital Company or reporting UUS.

Authorized Capital
This item covers the amount of authorized capital at the reporting Sharia Venture Capital Company or reporting UUS.
Unpaid Capital
This item covers the amount of unpaid capital at the reporting Sharia Venture Capital Company or reporting UUS. b. Principal Deposits and Mandatory Deposits
Principal Deposits
This item covers the value of principal deposits that have been paid by members at the reporting Sharia Venture Capital Company or reporting UUS that has a cooperative legal entity status.
Mandatory Deposits
This item covers the value of mandatory deposits that have been paid by members at the reporting Sharia Venture Capital Company or reporting UUS that has a cooperative legal entity status.
c. Additional Paid-up Capital
Share Premium
This item covers the excess of capital deposits received by the reporting Sharia Venture Capital Company as a result of share prices exceeding their nominal value.
Equity Securities Issuance Costs
This item covers costs incurred by the reporting Sharia Venture Capital Company when issuing shares.
Donated Capital
This item covers the value of donated capital received by the reporting Sharia Venture Capital Company.
Other Additional Paid-up Capital
This item covers additional paid-up capital other than items 1) to 5) in accordance with applicable accounting standards. d. Discount on Share Issue This item covers the deficit of capital deposits as a result of share prices being lower than their nominal value. e. Treasury Stock This item covers the amount of share capital reacquired by the reporting Sharia Venture Capital Company. f. Difference in Value of Transactions with Entities under Common Control This item covers the difference between the transfer price and the book value of each restructuring transaction between entities under common control in accordance with applicable accounting standards.

Reserves
This item covers reserves formed in accordance with the articles of association and/or decisions of owners or shareholders' meetings. a. General Reserve This item covers reserves formed from the appropriation of retained earnings or net profit after tax. b. Specific Reserve This item covers the portion of profit after tax set aside for specific purposes.
Retained Earnings (Losses)
This item covers the balance of retained earnings (losses) (absorbed) by the reporting Sharia Venture Capital Company or reporting UUS at the beginning of the reporting year position.
Net Profit (Loss) After Tax
This item covers the profit (loss) of the reporting Sharia Venture Capital Company or reporting UUS during the accounting period, from the beginning of the year to the reporting date.
Other Components of Equity
This item covers equity components of the reporting Sharia Venture Capital Company arising from comprehensive transactions. a. Balance of Other Equity Components

Balance of Gains (Losses) Due to Changes in Fixed Asset Revaluation Surplus
This item covers the balance of gains (losses) due to changes in fixed asset revaluation surplus by the reporting Sharia Venture Capital Company at the beginning of the reporting year position.
Balance of Gains (Losses) Due to Exchange Differences from Translating Financial Statements in Foreign Currency
This item covers the balance of gains (losses) due to exchange differences from translating financial statements in foreign currency by the reporting Sharia Venture Capital Company at the beginning of the reporting year position.
Balance of Gains (Losses) Due to Remeasurement of Financial Assets Available for Sale
This item covers the balance of gains (losses) due to remeasurement of financial assets available for sale by the reporting Sharia Venture Capital Company at the beginning of the reporting year position.
Balance of Gains (Losses) Due to Effective Portion of Financial Hedging Instruments in Cash Flow Hedging
This item covers the balance of gains (losses) due to the effective portion of financial hedging instruments in cash flow hedging by the reporting Sharia Venture Capital Company at the beginning of the reporting year position.
Balance of Gains (Losses) on Other Equity Components in Accordance with Financial Accounting Standards Principles
This item covers the balance of gains (losses) on other equity components in accordance with applicable accounting standards by the reporting Sharia Venture Capital Company at the beginning of the reporting year position. b. Other Comprehensive Income (Loss) for the Current Period This item covers other comprehensive income/loss (OCI) by the reporting Sharia Venture Capital Company during the accounting period, from the beginning of the year to the reporting date. The value of this item must be the same as the Other Comprehensive Income (Loss) item in Form 1200 (Income Statement and Other Comprehensive Income).

B. FORM 1110: ADMINISTRATIVE ACCOUNTS

FORM 1110 (ADMINISTRATIVE ACCOUNTS) FORMAT
Form 1110 (Administrative Accounts) is prepared in the following format:
No. Items Rupiah Foreign Currency Total
1 Undrawn Funding Facilities a. Domestic

Sharia Banks
Nonbank Sharia Financial Service Institutions
Others
b. Foreign
Sharia Banks
Nonbank Sharia Financial Service Institutions
Others
2 Undrawn Financing/Participation Facilities to Business Partners 3 Value of Managed Venture Capital Funds 4 Issuance of Letters of Commitment a. Issuance of Letters of Commitment in Domestic b. Issuance of Letters of Commitment in Foreign 5 Disbursement of Financing with Channeling Financing Scheme 6 Sharia Derivative Instruments for Hedging a. Spot b. Forward 7 Other Administrative Accounts a. Written-off Investment Assets b. Successfully Collected Written-off Investment Assets
c. Written-off-for-Collection Investment Assets
d. Transferred Financing with Collection Management Total

EXPLANATION OF FORM 1110 (ADMINISTRATIVE ACCOUNTS)
Form 1110 (Administrative Accounts) is a report on transaction accounts that have not yet effectively caused changes in assets and liabilities and other important notes. Administrative accounts in foreign currency are converted into Rupiah using the mid-rate foreign exchange rate issued by Bank Indonesia at the end of the reporting period. Administrative accounts consist of:
Undrawn Funding Facilities
This item is filled with funding facilities obtained from domestic and foreign sources that are committed but have not yet been drawn by the reporting Sharia Venture Capital Company. This account is detailed as:
a. Domestic

Sharia Banks
Nonbank Sharia Financial Service Institutions
Others
b. Foreign
Sharia Banks
Nonbank Sharia Financial Service Institutions
Others

Undrawn Financing/Participation Facilities to Business Partners
This item is filled with financing/participation facilities provided by the reporting Sharia Venture Capital Company to business partners that are committed but have not yet been drawn.
Value of Managed Venture Capital Funds
This item is filled with the value of venture capital funds managed by the reporting Sharia Venture Capital Company after deducting the value of participation from the reporting Sharia Venture Capital Company. This item will be validated with Form 3030 (Venture Capital Fund Assets and Liabilities Report).
Issuance of Letters of Commitment
This item is filled with the nominal value of letters of commitment issued by the reporting Sharia Venture Capital Company in order to obtain funding from third parties. This account is detailed as:
a. Issuance of Letters of Commitment in Domestic b. Issuance of Letters of Commitment in Foreign
Disbursement of Financing with Channeling Financing Scheme
This account covers the total amount of channeling financing. Channeling in this item is when the funds for the financing are entirely derived from the fund owners such as banks, other Sharia Venture Capital Companies, financing companies, Indonesia Export Financing Institutions, other financial institutions, and/or individuals, and the risks arising from this activity lie with the fund owners. The reporting Sharia Venture Capital Company in this case only acts as a manager and receives remuneration or fees from the management of these funds. This item is detailed in Form 3020 (Detail of Third-Party Financing Cooperation Disbursement).
Derivative Instruments for Hedging
This account covers derivative assets owned by the reporting Sharia Venture Capital Company in connection with hedging conducted for principal funding, returns, and/or payment terms. This account is detailed as:
This item is detailed in Form 3010 (Detail of Derivative Instruments for Hedging).
Other Administrative Accounts
This account covers other administrative account information other than items 1 to 6.
This account is detailed as:
a. Written-off Investment Assets
This account covers the value of investment assets that have been written off by the reporting Sharia Venture Capital Company but have not yet been written off-for-collection by the reporting Sharia Venture Capital Company. b. Successfully Collected Written-off Investment Assets This account covers the value of investment assets that have been written off but have been successfully collected by the reporting Sharia Venture Capital Company.
c. Written-off-for-Collection Investment Assets
This account covers the value of investment assets that have been written off-for-collection by the reporting Sharia Venture Capital Company. d. Transferred Financing with Collection Management This account covers the value of financing receivables that have been transferred through a sales mechanism followed by collection management by the reporting Sharia Venture Capital Company.

C. FORM 1200: INCOME STATEMENT AND OTHER COMPREHENSIVE INCOME

FORM 1200 (INCOME STATEMENT AND OTHER COMPREHENSIVE INCOME) FORMAT
Form 1200 (Income Statement and Other Comprehensive Income) is prepared in the following format:
Items Rp Foreign Currency Total
(1) REVENUE
Operational Revenue
a. Revenue from Operational Activities

Dividend Revenue from Equity Participation Activities
Revenue from Gains on Sale of Participation Assets and Securities
Return Revenue from Participation Activities through Purchase of Convertible Sukuk or Sharia Bonds
Return Revenue from Financing Activities through Purchase of Sukuk or Sharia Bonds Issued by Business Partners in the Initial Start-up Stage and/or Business Development Stage
Profit-Sharing Revenue from Financing Activities Based on Profit-Sharing Principles.
b. Revenue from Participation in Venture Capital Funds
c. Revenue from Venture Capital Fund Management Activities
d. Revenue from Other Business Activities
Revenue from Service Activities
Revenue from Other Business Activities with OJK Approval
e. Service Fee Revenue from Channeling Financing Activities

Other Operational Revenue
Related to Financing a. Administrative Revenue b. Provision Revenue
c. Other Operational Revenue
Related to Other Sharia Venture Capital Company Business Activities
Other Operational Revenue
Non-Operational Revenue
a. Giro Service Revenue b. Other Non-Operational Revenue (2) EXPENSES
Operational Expenses
a. Return Expenses

Return Expenses from Funding Received
Return Expenses from Securities Issued
b. Swap Transaction Premium Expenses
c. Insurance Premium Expenses
d. Labor Expenses
Salary, Wages, and Allowance Expenses
Labor Development and Training Expenses
Other Labor Expenses
e. Marketing Expenses f. Provision/Depreciation Expenses
Provision Expenses for Write-off of Productive Assets of Sharia-Based Investments
i) Provision Expenses for Write-off of Productive Assets from Purchase of Convertible Sukuk or Sharia Bonds ii) Provision Expenses for Write-off of Productive Assets from Purchase of Sukuk or Sharia Bonds Issued by Business Partners in the Initial Start-up Stage and/or Business Development Stage iii) Provision Expenses for Write-off of Productive Assets from Financing Based on Profit-Sharing Principles
Depreciation Expenses of Fixed Assets and Inventories
g. Rental Expenses h. Maintenance and Repair Expenses
i. Administrative and General Expenses
j. Other Operational Expenses

Non-Operational Expenses
(3) PROFIT (LOSS) BEFORE TAX
(4) ESTIMATED INCOME TAX
Current Year Tax
Deferred Tax (Expense) Income
(5) NET PROFIT (LOSS) AFTER TAX
(6) OTHER COMPREHENSIVE INCOME (LOSS) FOR THE CURRENT PERIOD
Gains (Losses) Due to Changes in Fixed Asset Revaluation Surplus
Exchange Differences from Translating Financial Statements in Foreign Currency
Gains (Losses) Due to Remeasurement of Financial Assets Available for Sale
Gains (Losses) Due to Effective Portion of Financial Hedging Instruments in Cash Flow Hedging
Gains (Losses) on Other Equity Components in Accordance with Financial Accounting Standards Principles
(7) COMPREHENSIVE PROFIT (LOSS) FOR THE CURRENT YEAR
EXPLANATION OF FORM 1200 (COMPREHENSIVE INCOME STATEMENT)

Form 1200 (Comprehensive Income Statement) includes a report that lists cumulative figures from the beginning of the reporting Islamic Venture Capital Company's fiscal year up to the report date.

The method for filling out the comprehensive income statement is detailed as follows:

(1) INCOME

Operational Income
This item covers all income from the main activities of the reporting Islamic Venture Capital Company.

a. Income from Operational Activities
This item covers all dividend income, profit-sharing (mudharabah/musyarakah), or returns obtained by the reporting Islamic Venture Capital Company from equity participation activities, participation through the purchase of conversion sukuk or Shariah bonds, financing activities through the purchase of sukuk or Shariah bonds issued by business partners in the early start-up stage and/or business development stage, and profit-sharing income from financing activities based on the profit-sharing principle.

Dividend Income from Equity Participation Activities
This item is filled with dividend income received by the reporting Islamic Venture Capital Company from operational activities related to equity participation.
Income from Gains on Sale of Participation Assets or Securities
This item is filled with income in the form of gains obtained by the reporting Islamic Venture Capital Company from the sale of assets in the form of participation or securities.
Return Income from Participation Activities through the Purchase of Conversion Sukuk or Shariah Bonds
This item is filled with return income from operational activities related to participation through the purchase of conversion sukuk or Shariah bonds.
Return Income from Financing Activities through the Purchase of Sukuk or Shariah Bonds Issued by Business Partners in the Early Start-up Stage and/or Business Development Stage
This item is filled with return income from operational activities related to financing through the purchase of sukuk or Shariah bonds issued by business partners in the early start-up stage and/or business development stage.
Profit-Sharing Income from Financing Activities Based on the Profit-Sharing Principle
This item is filled with profit-sharing income from operational activities related to financing based on the profit-sharing principle.

b. Income from Participation in Venture Funds
This item is filled with income obtained by the reporting Islamic Venture Capital Company from its share of participation in venture funds formed with a joint investment contract scheme with a custodian bank.

c. Income from Venture Fund Management Activities
This item is filled with fee income from venture fund management activities.

d. Income from Other Business Activities
This item covers all income obtained by the reporting Islamic Venture Capital Company from fee-based service activities and other business activities with the approval of the Financial Services Authority (OJK).

Income from Service Activities
This item is filled with all income obtained by the reporting Islamic Venture Capital Company from service activities that generate additional income in the form of service fees. This includes the transfer of debt from business partners in the form of micro, small, and medium enterprises and/or businesses in the early start-up stage (start-up company).
Income from Other Business Activities with the Approval of the Financial Services Authority
This item is filled with all income obtained by the reporting Islamic Venture Capital Company from Other Business Activities with the approval of the Financial Services Authority.

e. Service Fee Income from Financing Channeling Activities This item covers Service Fee income from financing channeling activities over activities obtained from the management of funds originating from partners (counterparties) where the risks arising from these activities lie with the fund owners.

Other Operational Income Related to Financing
This item covers Other Operational Income related to the business activities of the reporting Islamic Venture Capital Company, including administrative income, commission income, and other operational income related to the business activities of the reporting Islamic Venture Capital Company.

a. Administrative Income
This item covers costs charged to business partners for the use of funding facilities from the reporting Islamic Venture Capital Company.

b. Commission Income
This item covers commission costs charged to business partners.

c. Other Operational Income Related to Other Business Activities of the Islamic Venture Capital Company
This item is filled with income received from other operational activities related to other business activities received by the reporting Islamic Venture Capital Company.

Other Operational Income
This item covers other operational income received by the reporting Islamic Venture Capital Company other than in items 1 and 2 above.
Non-Operational Income
This item covers income from activities other than the main activities of the reporting Islamic Venture Capital Company.

a. Current Account Service Income
This item covers Current Account Service income in Rupiah and foreign currency from placements made by the reporting Islamic Venture Capital Company in the form of current assets, such as current accounts, savings, and deposits at Shariah banks.

b. Other Non-Operational Income
This item covers non-operational income other than current account service income.

(2) EXPENSES

Operational Expenses
This item covers costs arising from the operational activities of the reporting Islamic Venture Capital Company.

a. Return Expenses

Return Expenses from Received Funding
This item covers return costs from received funding.
Return Expenses from Issued Securities
This item covers return costs from issued securities.

b. Swap Transaction Premium Expenses
This item covers costs paid in the context of swap transactions.

c. Insurance Premium Expenses
This item covers costs paid for insurance coverage purposes, such as payments for fixed asset loss insurance premiums.

d. Labor Expenses

Salary, Wages, and Allowance Expenses
This item covers basic salary, wages, and allowances paid to members of the Board of Commissioners, members of the Board of Directors, members of the Shariah Supervisory Board, and employees of the reporting Islamic Venture Capital Company who are permanent or non-permanent employees, before deduction for income tax and other deductions. This sub-item also includes honorariums, overtime pay, and welfare care.
Labor Development and Training Expenses
This item covers costs incurred by the reporting Islamic Venture Capital Company for labor development and training.
Other Labor Expenses
This item covers costs incurred by the reporting Islamic Venture Capital Company related to labor other than those included in the salary, wages, and allowances sub-item and labor development and training.

e. Marketing Expenses
This item covers costs incurred by the reporting Islamic Venture Capital Company related to marketing activities conducted.

f. Provision/Depreciation Expenses

Provision Expenses for Write-off of Investment Assets Based on Shariah Principles
This item covers write-off costs of investment assets based on Shariah principles conducted by the reporting Islamic Venture Capital Company or the reporting Shariah Unit (UUS).

i) Provision Expenses for Write-off of Productive Assets from the Purchase of Conversion Sukuk or Shariah Bonds This item covers write-off costs of productive assets from the purchase of conversion sukuk or Shariah bonds.

ii) Provision Expenses for Write-off of Productive Assets from the Purchase of Sukuk or Shariah Bonds Issued by Business Partners in the Early Start-up Stage and/or Business Development Stage This item covers write-off costs of productive assets from the purchase of sukuk or Shariah bonds issued by business partners in the early start-up stage and/or business development stage.

iii) Provision Expenses for Write-off of Productive Assets from Financing Based on the Profit-Sharing Principle This item covers write-off costs of productive assets from financing based on the profit-sharing principle.

Depreciation Expenses for Fixed Assets and Inventory
This item covers depreciation costs for fixed assets and inventory.

g. Rental Expenses
This item contains all rental costs paid by the reporting Islamic Venture Capital Company, such as office rent, house/building rent, and equipment rent.

h. Maintenance and Repair Expenses
This item covers costs incurred by the reporting Islamic Venture Capital Company for the maintenance and/or repair of fixed assets, office inventory, and others.

i. Administrative and General Expenses
This item covers costs for the use of goods or services, such as lighting, water, telephone, telegram, and office equipment costs.

j. Other Operational Expenses
This item covers costs other than items letter a through letter i.

Non-Operational Expenses
This item covers expenses incurred by the reporting Islamic Venture Capital Company other than for the main activities of the reporting Islamic Venture Capital Company.

(3) PROFIT (LOSS) BEFORE TAX
This item covers the total income minus the total expenses of the reporting Islamic Venture Capital Company before being reduced by tax.

(4) ESTIMATE OF INCOME TAX

Current Year Tax
This item covers the estimated income tax expense calculated progressively from the profit of the current year period up to the report date.
Deferred Tax (Income) Expense
This item covers the amount of deferred tax (income) expense related to the amount of deferred tax assets (liabilities) recognized for the current year period up to the report date.

(5) NET PROFIT (LOSS) AFTER TAX
This item covers profit (loss) after being reduced by the estimate of income tax, which includes current year tax and deferred tax (income) expense recognized for the current year period up to the report date.

(6) OTHER COMPREHENSIVE INCOME (LOSS) FOR THE CURRENT PERIOD This item covers other comprehensive income/loss (OCI) by the reporting Islamic Venture Capital Company during the accounting period, from the beginning of the year up to the report date.

Gains (Losses) Due to Changes in the Surplus of Revaluation of Fixed Assets
This item covers the net gain or loss related to the revaluation of fixed assets recognized for the current year period up to the report date. This item is presented in the income statement based on compensation (offset) with the loss item.
Exchange Differences Due to Translation of Financial Statements in Foreign Currency
This item covers the net gain or loss related to exchange differences from the translation of financial statements in foreign currency recognized for the current year period up to the report date. This item is presented in the income statement based on compensation (offset) with the loss item.
Gains (Losses) Due to Remeasurement of Available-for-Sale Financial Assets
This item covers the net gain or loss related to available-for-sale financial assets recognized for the current year period up to the report date. This item is presented in the income statement based on compensation (offset) with the loss item.
Gains (Losses) Due to the Effective Portion of Financial Instruments as Cash Flow Hedges
This item covers the net gain or loss related to cash flow hedges recognized for the current year period up to the report date. This item is presented in the income statement based on compensation (offset) with the loss item.
Gains (Losses) on Other Equity Components According to Financial Accounting Standards Principles
This item covers the net gain or loss other than items 1 through 4. This item is presented in the income statement based on compensation (offset) with the loss item.

(7) COMPREHENSIVE NET PROFIT (LOSS) FOR THE CURRENT YEAR This item covers the value of net profit (loss) after tax plus other comprehensive income (loss).

D. FORM 1300: CASH FLOW STATEMENT

FORMAT OF FORM 1300 (CASH FLOW STATEMENT)

Form 1300 (Cash Flow Statement) is prepared according to the following format:

Items	IDR	Foreign Currency	Total
I. Net Cash from Operating Activities
1. Cash Inflows from Operating Activities
a. Cash Inflows from Equity Participation Activities
b. Cash Inflows from Purchase of Conversion Sukuk or Shariah Bonds
c. Cash Inflows from Purchase of Sukuk or Shariah Bonds Issued by Business Partners in the Early Start-up Stage (Start-up) and/or Business Development Stage
d. Cash Inflows from Financing Activities Based on the Profit-Sharing Principle
e. Cash Inflows from Venture Fund Management Activities
f. Cash Inflows from Other Business Activities
1) Cash Inflows from Fee-Based Service Activities
2) Cash Inflows from Other Business Activities with the Approval of the Financial Services Authority
g. Cash Inflows from Financing Channeling Activities
h. Cash Inflows from Other Operational Income
2. Cash Outflows for Operating Activities
a. Cash Outflows for Equity Participation Activities
b. Cash Outflows for Purchase of Conversion Sukuk or Shariah Bonds
c. Cash Outflows for Purchase of Sukuk or Shariah Bonds Issued by Business Partners in the Early Start-up Stage (Start-up) and/or Business Development Stage
d. Cash Outflows for Financing Activities Based on the Profit-Sharing Principle
e. Cash Outflows for Venture Fund Management Activities
f. Cash Outflows for Other Business Activities
1) Cash Outflows from Fee-Based Service Activities
2) Cash Outflows for Other Business Activities with the Approval of the Financial Services Authority
g. Cash Outflows for Payment of Operational Returns
h. Cash Outflows for Payment of General and Administrative Expenses
i. Cash Outflows for Payment of Income Tax
j. Cash Outflows from Financing Channeling Activities
k. Cash Outflows for Payment of Other Operating Activities
II. Net Cash from Investing Activities
1. Cash Inflows from Investing Activities
a. Cash Inflows from Disposal of Venture Funds
b. Cash Inflows from Sale of Land, Buildings, and Equipment
c. Cash Inflows from Sale of Securities
d. Cash Inflows from Dividends
e. Cash Inflows from Receipt of Investment Return Income
f. Cash Inflows from Other Investing Activities
2. Cash Outflows for Investing Activities
a. Cash Outflows for Investment in Venture Funds
b. Cash Outflows for Purchase of Land, Buildings, and Equipment
c. Cash Outflows for Acquisition of Securities
d. Cash Outflows for Other Investing Activities
III. Net Cash from Financing Activities
1. Cash Inflows from Financing Activities
a. Cash Inflows from Funding and Issuance of Securities
b. Cash Inflows from Issuance of Share Capital
c. Cash Inflows from Other Funding
2. Cash Outflows for Financing Activities
a. Cash Outflows for Payment of Principal of Funding and Issued Securities
b. Cash Outflows for Withdrawal of Company Capital (Treasury Stock)
c. Cash Outflows for Payment of Dividends
d. Cash Outflows for Other Funding
IV. Surplus (Deficit) in Cash and Cash Equivalents Due to Exchange Rate Changes
V. Net Increase (Decrease) in Cash and Cash Equivalents
VI. Cash and Cash Equivalents at the Beginning of the Period
VII. Cash and Cash Equivalents at the End of the Period

EXPLANATION OF FORM 1300 (CASH FLOW STATEMENT)

Form 1300 (Cash Flow Statement) is a financial report using the cash basis in its preparation. All items in the cash flow statement are created and calculated based on the involvement of cash and cash equivalents within them from the beginning of the report year up to the report date. This applies to both receipt and expenditure items.

In the foreign currency column, cash flows and cash equivalents are separated based on transaction groups that affect the current accounts of the reporting Islamic Venture Capital Company and reporting Shariah Unit (UUS) at foreign Shariah banks and transactions with parties other than foreign Shariah banks.

I. Net Cash from Operating Activities

Cash Inflows from Operating Activities

a. Cash Inflows from Equity Participation Activities This item contains all receipts originating from equity participation activities.

b. Cash Inflows from Purchase of Conversion Sukuk or Shariah Bonds This item contains all receipts originating from the purchase of conversion sukuk or Shariah bonds.

c. Cash Inflows from Purchase of Sukuk or Shariah Bonds Issued by Business Partners in the Early Start-up Stage (Start-up) and/or Business Development Stage
This item contains all receipts originating from the purchase of sukuk or Shariah bonds issued by business partners in the early start-up stage (start-up) and/or development.

d. Cash Inflows from Financing Activities Based on the Profit-Sharing Principle This item contains all receipts originating from financing activities based on the profit-sharing principle.

e. Cash Inflows from Venture Fund Management Activities This item contains all receipts originating from venture fund management activities.

f. Cash Inflows from Other Business Activities

Cash Inflows from Fee-Based Service Activities
This item contains all receipts originating from fee-based service activities.
Cash Inflows from Other Business Activities with the Approval of the Financial Services Authority
This item contains all receipts from other business activities with the approval of the Financial Services Authority.

g. Cash Inflows from Financing Channeling Activities This item contains all net receipts originating from financing channeling disbursement activities, including channeling returns and administrative fees.

h. Cash Inflows from Other Operational Income
This item contains all receipts not originating from the main activities above. This item can originate from receipts from written-off investments, administrative income, and returns not originating from business partners, clients, claim receipts, or other insurance benefits in cash form, and other income not originating from main activities.

Cash Outflows for Operating Activities

a. Cash Outflows for Equity Participation Activities This item contains all payments made related to equity participation activities.

b. Cash Outflows for Purchase of Conversion Sukuk or Shariah Bonds This item contains all payments made related to the purchase of conversion sukuk or Shariah bonds.

c. Cash Outflows for Purchase of Sukuk or Shariah Bonds Issued by Business Partners in the Early Start-up Stage (Start-up) and/or Business Development Stage
This item contains all payments made related to the purchase of sukuk or Shariah bonds issued by business partners in the early start-up stage (start-up) and/or business development stage.

d. Cash Outflows for Financing Activities Based on the Profit-Sharing Principle This item contains all expenditures from financing activities based on the profit-sharing principle.

e. Cash Outflows for Venture Fund Management Activities This item contains all expenditures from venture fund management activities.

f. Cash Outflows for Other Business Activities

Cash Outflows from Fee-Based Service Activities
This item contains all payments made related to fee-based service activities.
Cash Outflows for Other Business Activities with the Approval of the Financial Services Authority
This item contains all payments made related to other business activities based on the approval of the Financial Services Authority.

g. Cash Outflows for Payment of Operational Returns This item contains all expenditures resulting from the payment of returns for funding received by the reporting Islamic Venture Capital Company and reporting Shariah Unit (UUS).

h. Cash Outflows for Payment of General and Administrative Expenses This item contains all employee salary expenses, company building rent expenses, electricity and telephone expenses, insurance premiums, and other annuity payments, as well as other administrative expenses not originating from the company's main activities.

i. Cash Outflows for Payment of Income Tax
This item is specifically used to record the payment of corporate income tax for the reporting period.

j. Cash Outflows from Financing Channeling Activities This item contains all expenditures used for financing channeling disbursement activities.

k. Cash Outflows for Payment of Other Operating Activities This item contains all expenditures arising from other operating activities not yet covered in the previous items.

II. Net Cash from Investing Activities

Cash Inflows from Investing Activities

a. Cash Inflows from Disposal of Venture Funds This item contains the results of venture fund disposals involving cash and other related income.

b. Cash Inflows from Sale of Land, Buildings, and Equipment This item contains cash receipts from the sale of land, buildings, and equipment. If the sale involves expenditures for administrative expenses and other expenses to be borne by the reporting Islamic Venture Capital Company, this item contains the net income from the sale of land after being reduced by the expenses to be paid by the reporting Islamic Venture Capital Company.

c. Cash Inflows from Sale of Securities
In the event that the reporting Islamic Venture Capital Company and reporting Shariah Unit (UUS) sell back long-term securities, except for securities in the form of equity participation in business partners, conversion sukuk or Shariah bonds, and/or sukuk or Shariah bonds issued by business partners in the early start-up stage (start-up) and/or business development stage, the sales proceeds must be reported in this cash receipt item net of all costs to be paid in connection with the transaction.

d. Cash Inflows from Dividends
This item contains cash receipts from dividend income resulting from the investment of the reporting Islamic Venture Capital Company or reporting Shariah Unit (UUS) in the shares of other companies.

e. Cash Inflows from Receipt of Investment Return Income This item contains cash receipts from return income from investment activities in securities conducted by the reporting Islamic Venture Capital Company or reporting Shariah Unit (UUS).

f. Cash Inflows from Other Investing Activities This item contains cash receipts from other investment activities not included in the items above.

Cash Outflows for Investing Activities

a. Cash Outflows for Investment in Venture Funds This item contains cash expenditures for the investment of the reporting Islamic Venture Capital Company in managed venture funds.

b. Cash Outflows for Purchase of Land, Buildings, and Equipment This item contains cash expenditures for transactions involving the purchase of land, buildings, and equipment.

c. Cash Outflows for Acquisition of Securities
This item contains cash expenditures for investment activities conducted in the context of acquiring securities, except for securities in the form of equity participation in business partners, conversion bonds, and/or debt instruments issued by business partners in the early start-up stage

(start-up) and/or business development. If in this transaction the reporting Sharia Venture Capital Company or the reporting UUS makes a cash payment for other expenses, this item must be recorded net by deducting other expenses incurred to acquire it from the acquisition cost.

d. Cash Outflows for Other Investment Activities This item contains cash outflows for other investment activities not included in the items above.

III. Net Cash Flows from Financing Activities

Cash Inflows from Financing Activities
a. Cash Inflows from Financing and Issuance of Securities This item contains cash receipts from financing proceeds and the results of the issuance of securities by the reporting Sharia Venture Capital Company or the reporting UUS.

b. Cash Inflows from Issuance of Share Capital This item contains cash receipts from the results of the issuance of share capital by the reporting Sharia Venture Capital Company.

c. Cash Inflows from Other Financing
This item contains cash receipts from other financing not included in the items above.

Cash Outflows for Financing Activities
a. Cash Outflows for Payment of Financing Principal and Issued Securities This item contains cash outflows to repay the principal of financing received and securities issued to investors.

b. Cash Outflows for Withdrawal of Company Capital (Treasury Stock) This item contains cash outflows for transactions involving the withdrawal of share capital by the reporting Sharia Venture Capital Company.

c. Cash Outflows for Dividend Payments
This item contains cash outflows for dividend payments to shareholders of the reporting Sharia Venture Capital Company.

d. Cash Outflows for Other Financing
This item contains all cash outflows for financing activities not included in the items above.

V. Net Increase (Decrease) in Cash and Cash Equivalents
This item contains the amount of net increase or decrease in cash and cash equivalents during the reporting year period up to the reporting date.

VI. Cash and Cash Equivalents at the Beginning of the Period
This item contains the amount of cash and cash equivalents position at the beginning of the reporting year period of the reporting Sharia Venture Capital Company or the reporting UUS.

VII. Cash and Cash Equivalents at the End of the Period
This item contains the amount of cash and cash equivalents position at the end of the reporting period of the reporting Sharia Venture Capital Company or the reporting UUS.

E. FORM 2110: DETAILS OF EQUITY PARTICIPATION IN BUSINESS PARTNERS

FORM 2110 FORMAT (DETAILS OF EQUITY PARTICIPATION IN BUSINESS PARTNERS)
Form 2110 (Details of Equity Participation in Business Partners) is prepared in the following format:

(1) (2) (3) (4) (5) (6)
Company Name
Company Group
Business Sector
Business Category
Business Partner
Sustainable Finance Business Category

(7) (8) (9) (10) (11) (12)
Date of Start of Participation
Planned Duration of Participation
Participation Percentage
Quality
Currency Type
Recording Method

(13) (14)
Initial Participation Value
Reporting Period Share Participation Value
In Original Currency
In Rupiah Equivalent
In Original Currency
In Rupiah Equivalent

EXPLANATION OF FORM 2110 (DETAILS OF EQUITY PARTICIPATION IN BUSINESS PARTNERS)
Form 2110 (Details of Equity Participation in Business Partners) contains details of equity participation conducted by the reporting Sharia Venture Capital Company in business partners.

(1) Company Name
This item is filled with the name of the business partner company receiving equity participation from the reporting Sharia Venture Capital Company.

(2) Company Group
This item is filled with the classification or group of the company receiving equity participation from the reporting Sharia Venture Capital Company.

(3) Business Sector
This item is filled with the standard classification regarding economic activities in Indonesia. Economic Sector details are based on the applicable standard Indonesian business field classification. In the event that equity participation is used to finance more than one type of economic activity that cannot be separated, the classification method focuses on the priority economic sector (the sector receiving the largest share of participation facilities).

(4) Business Partner Business Category
This item is filled with the business partner's business category based on business scale, divided into categories as follows:

large business
medium business
small business
micro business
Regulations regarding the business scale of business partners refer to laws regarding micro, small, and medium enterprises.

(5) Sustainable Finance Business Category
This item is filled with the business partner's business category that meets sustainable finance criteria as regulated in the Financial Services Authority Regulation regarding the implementation of sustainable finance for financial service institutions.

(6) Country Location
This item is filled with the country of origin of the business partner company receiving equity participation from the reporting Sharia Venture Capital Company.

(7) Date of Start of Participation
This item is filled with the date of the agreement or contract based on a notarial deed.

(8) Planned Duration of Participation
This item is filled with the planned duration of the reporting Sharia Venture Capital Company's equity participation in the business partner, which will be divested at the end of the participation period. This item is filled in units of years.

(9) Participation Percentage
This item is filled with the percentage of equity participation conducted by the reporting Sharia Venture Capital Company in the business partner receiving the participation, calculated by comparing the value of the reporting Sharia Venture Capital Company's share participation with the equity of the business partner.

(10) Quality
This item is filled with the quality of equity participation assessed using criteria in accordance with the rules for classifying the quality of productive assets of the reporting Sharia Venture Capital Company based on the Financial Services Authority Circular regarding the financial health level of Venture Capital Companies, namely:

current
special attention
doubtful
in doubt
non-performing

(11) Currency Type
This item is filled with the type of currency used in the equity participation.

(12) Recording Method
This item is filled with the investment recording method used, namely the cost method or the equity method.

(13) Initial Participation Value
This item is filled with the initial participation value:

In Original Currency
This item is filled with the amount of initial participation value in a currency other than rupiah. If the currency type is rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the amount of initial participation value in rupiah, and for currencies other than rupiah after being converted to rupiah using the Bank Indonesia middle exchange rate.

(14) Reporting Period Share Participation Value This item is filled with the amount of share participation value:

In Original Currency
This item is filled with the amount of share participation value at the time of the reporting period in a currency other than rupiah. If the currency type is rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the amount of share participation value at the time of the reporting period in rupiah, and for currencies other than rupiah after being converted to rupiah using the Bank Indonesia middle exchange rate.

F. FORM 2120: DETAILS OF PARTICIPATION THROUGH THE PURCHASE OF CONVERSION SUKUK OR SHARIA BONDS

FORM 2120 FORMAT (DETAILS OF PARTICIPATION THROUGH THE PURCHASE OF CONVERSION BONDS)
Form 2120 (Details of Participation Through the Purchase of Conversion Sukuk or Sharia Bonds) is prepared in the following format:

(1) (2) (3) (4) (5)
Conversion Sukuk/Sharia Bond
Serial Number
Duration
Currency Type
Yield
Issuer Name
Issuance Date
Maturity Date
Yield Type

(6) (7) (8) (9) (10) (11) (12)
Business Category
Business Partner
Sustainable Finance Business Category
Issuer Country
Issuer Group
Related Status
Business Sector
Quality

(13) (14) (15)
Principal Value
Reporting Period Ending Balance
Impairment Loss Reserve
In Original Currency
In Rupiah Equivalent
In Original Currency
In Rupiah Equivalent
Method
Good Assets
Less Good Assets
Bad Assets

EXPLANATION OF FORM 2120 (DETAILS OF PARTICIPATION THROUGH THE PURCHASE OF CONVERSION SUKUK OR SHARIA BONDS)
Form 2120 (Details of Participation Through the Purchase of Conversion Sukuk or Sharia Bonds) contains details of participation through the purchase of conversion sukuk or sharia bonds conducted by the reporting Sharia Venture Capital Company or the reporting UUS.

(1) Conversion Sukuk/Sharia Bond Serial Number This item is filled with the serial number of the conversion sukuk or sharia bond purchased.

(2) Duration

Issuance Date
This item is filled with the day, month, and year of issuance of the conversion sukuk or sharia bond.
Maturity Date
This item is filled with the day, month, and year of maturity of the conversion sukuk or sharia bond.

(3) Currency Type
This item is filled with the type of currency on the conversion sukuk or sharia bond purchased.

(4) Yield

Type
This item is filled with the type of yield established for the conversion sukuk or sharia bond set by the reporting Sharia Venture Capital Company or the reporting UUS.
Rate
This item is filled with the percentage of the yield of the conversion sukuk or sharia bond agreed upon for one year (per annum). Conversion sukuk or sharia bonds that do not have a yield do not need to be filled or can be left blank.

(5) Issuer Name
This item is filled with the name of the company issuing the conversion sukuk or sharia bond.

(6) Business Partner Business Category
This item is filled with the business partner's business category based on business scale, divided into categories as follows:

large business
medium business
small business
micro business
Regulations regarding the business scale of business partners refer to laws regarding micro, small, and medium enterprises.

(7) Sustainable Finance Business Category
This item is filled with the business partner's business category that meets sustainable finance criteria as regulated in the Financial Services Authority Regulation regarding the implementation of sustainable finance for financial service institutions.

(8) Issuer Country
This item is filled with the country issuing the conversion sukuk or sharia bond.

(9) Issuer Group
This item is filled with the parties issuing the conversion sukuk or sharia bond.

(10) Related Status
This item is filled with the related status of the business partner with the reporting Sharia Venture Capital Company, namely:

Related to the Sharia Venture Capital Company
Related to the Sharia Venture Capital Company refers to the party issuing the conversion sukuk or sharia bond that is related to the reporting Sharia Venture Capital Company.
Not Related to the Sharia Venture Capital Company
Not related to the Sharia Venture Capital Company refers to the party issuing the conversion sukuk or sharia bond that is not related to the reporting Sharia Venture Capital Company. Explanation regarding the relationship with the reporting Sharia Venture Capital Company refers to the General Explanation of the Column List of Details as referred to in Appendix I which is an inseparable part of this Financial Services Authority Circular.

(11) Business Sector
This item is filled with the standard classification regarding economic activities in Indonesia. Economic Sector details are based on the applicable standard Indonesian business field classification. In the event that conversion sukuk or sharia bonds are used to finance more than one type of economic activity that cannot be separated, the classification method focuses on the priority economic sector (the sector receiving the largest share of conversion sukuk or sharia bond facilities).

(12) Quality
This item is filled with the quality of the conversion sukuk or sharia bond purchased and assessed using criteria in accordance with the rules for classifying the quality of productive assets of the reporting Sharia Venture Capital Company following the Financial Services Authority Circular regarding the financial health level of Venture Capital Companies, namely:

current
special attention
doubtful
in doubt
non-performing

(13) Principal Value
This item is filled with the principal value of the conversion sukuk or sharia bond purchased:

In Original Currency
This item is filled with the principal value of the conversion sukuk or sharia bond in a currency other than rupiah. If the currency type is rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the principal value of the conversion sukuk or sharia bond in rupiah and for currencies other than rupiah after being converted to rupiah using the Bank Indonesia middle exchange rate.

(14) Reporting Period Ending Balance
This item is filled with the value of the conversion sukuk or sharia bond at the end of the reporting period.

In Original Currency
This item is filled with the value of the conversion sukuk or sharia bond at the end of the reporting period in a currency other than rupiah. If the currency type is rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the value of the conversion sukuk or sharia bond at the end of the reporting period in rupiah and for currencies other than rupiah after being converted to rupiah using the Bank Indonesia middle exchange rate.

(15) Impairment Loss Reserve

Method
This item is filled with the method of forming the impairment loss reserve, namely:
individually; or
collectively.
Good Assets
This item is filled with the provision value formed for the decline in assets that have low credit risk and have not experienced an increase in credit risk.
Less Good Assets
This item is filled with the provision value formed for the decline in assets that have experienced a significant increase in credit risk compared to since the date the asset was initially acquired.
Bad Assets
This item is filled with the provision value formed for the decline in assets that have experienced a deterioration in credit risk compared to since the date the asset was initially acquired.

G. FORM 2130: DETAILS OF FINANCING THROUGH THE PURCHASE OF SUKUK OR SHARIA BONDS ISSUED BY BUSINESS PARTNERS IN THE EARLY START-UP (START-UP) AND/OR BUSINESS DEVELOPMENT STAGE

FORM 2130 FORMAT (DETAILS OF FINANCING THROUGH THE PURCHASE OF DEBT INSTRUMENTS ISSUED BY BUSINESS PARTNERS IN THE EARLY START-UP (START-UP) AND/OR BUSINESS DEVELOPMENT STAGE)
Form 2130 (Details of Financing Through the Purchase of Sukuk or Sharia Bonds Issued by Business Partners in the Early Start-up (Start-up) and/or Business Development Stage) is prepared in the following format:

(1) (2) (3) (4) (5)
Sukuk/Sharia Bond
Number
Duration
Currency Type
Yield
Issuer Name
Issuance Date
Maturity Date
Yield Type

(6) (7) (8) (9) (10) (11) (12)
Business Category
Business Partner
Sustainable Finance Business Category
Issuer Country
Issuer Group
Related Status
Business Sector
Quality

EXPLANATION OF FORM 2130 (DETAILS OF FINANCING THROUGH THE PURCHASE OF SUKUK OR SHARIA BONDS ISSUED BY BUSINESS PARTNERS IN THE EARLY START-UP (START-UP) AND/OR BUSINESS DEVELOPMENT STAGE)
Form 2130 (Details of Financing Through the Purchase of Sukuk or Sharia Bonds Issued by Business Partners in the Early Start-up (Start-up) and/or Business Development Stage) contains details of financing through the purchase of sukuk or sharia bonds issued by business partners in the early start-up (start-up) and/or business development stage conducted by the reporting Sharia Venture Capital Company or the reporting UUS.

(1) Sukuk/Sharia Bond Number
This item is filled with the number of the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage that was purchased.

(2) Duration

Issuance Date
This item is filled with the day, month, and year of issuance of the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage.
Maturity Date
This item is filled with the day, month, and year of maturity of the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage.

(3) Currency Type
This item is filled with the type of currency on the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage that was purchased.

(4) Yield

Type
This item is filled with the type of yield established for the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage set by the reporting Sharia Venture Capital Company or the reporting UUS.
Rate
This item is filled with the percentage of the yield of the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage agreed upon for one year (per annum). Sukuk or sharia bonds issued by business partners in the early start-up (start-up) and/or business development stage that do not have a yield rate do not need to be filled or can be left blank.

(5) Issuer Name
This item is filled with the name of the company issuing the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage.

(6) Business Partner Business Category
This item is filled with the business partner's business category based on business scale, divided into categories as follows:

large business
medium business
small business
micro business
Regulations regarding the business scale of business partners refer to laws regarding micro, small, and medium enterprises.

(8) Issuer Country
This item is filled with the country issuing the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage.

(9) Issuer Group
This item is filled with the parties issuing the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage.

(10) Related Status
This item is filled with the related status of the business partner with the reporting Sharia Venture Capital Company, namely:

Related to the Sharia Venture Capital Company
Related to the Sharia Venture Capital Company refers to the party issuing the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage that is related to the reporting Sharia Venture Capital Company.
Not Related to the Sharia Venture Capital Company
Not related to the Sharia Venture Capital Company refers to the party issuing the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage that is not related to the reporting Sharia Venture Capital Company. Explanation regarding the relationship with the reporting Sharia Venture Capital Company refers to the General Explanation of the Column List of Details as referred to in Appendix I which is an inseparable part of this Financial Services Authority Circular.

(11) Business Sector
This item is filled with the standard classification regarding economic activities in Indonesia. Economic Sector details are based on the applicable standard Indonesian business field classification. In the event that sukuk or sharia bonds issued by business partners in the early start-up (start-up) and/or business development stage are used to finance more than one type of economic activity that cannot be separated, the classification method focuses on the priority economic sector (the sector receiving the largest share of facilities from the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage).

(12) Quality
This item is filled with the quality of the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage that was purchased and assessed using criteria in accordance with the rules for classifying the quality of productive assets of the reporting Sharia Venture Capital Company or the reporting UUS following the Financial Services Authority Circular regarding the financial health level of Venture Capital Companies, namely:

current
special attention
doubtful
in doubt
non-performing

(13) Principal Value
This item is filled with the principal value of the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage that was purchased:

In Original Currency
This item is filled with the principal value of the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage in a currency other than rupiah. If the currency type is rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the principal value of the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage in rupiah and for currencies other than rupiah after being converted to rupiah using the Bank Indonesia middle exchange rate.

(14) Reporting Period Ending Balance
This item is filled with the value of the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage at the end of the reporting period.

In Original Currency
This item is filled with the value of the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage at the end of the reporting period in a currency other than rupiah. If the currency type is rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This item is filled with the value of the sukuk or sharia bond issued by the business partner in the early start-up (start-up) and/or business development stage at the end of the reporting period in rupiah and for currencies other than rupiah after being converted to rupiah using the Bank Indonesia middle exchange rate.

(15) Impairment Loss Reserve

Method
This item is filled with the method of forming the impairment loss reserve, namely:
individually; or
collectively.
Good Assets
This item is filled with the provision value formed for the decline in assets that have low credit risk and have not experienced an increase in credit risk.
Less Good Assets
This item is filled with the provision value formed for the decline in assets that have experienced a significant increase in credit risk compared to since the date the asset was initially acquired.
Bad Assets
This item is filled with the provision value formed for the decline in assets that have experienced a deterioration in credit risk compared to since the date the asset was initially acquired.

H. FORM 2140: DETAILS OF PROFIT-SHARING FINANCING

FORM 2140 FORMAT (DETAILS OF PROFIT-SHARING FINANCING)
Form 2140 (Details of Profit-Sharing Financing) is prepared in the following format:
(1) (2) (3)
Contract Number
Profit-Sharing Period
Financing Start Date
Maturity Date
Type
Rate
(4) (5) (6) (7)
Initial Financing Value
Asset Quality
Type of Currency
Gross Financing Receivables
In Original Currency
In Rupiah Equivalent
(8) (9) (10)
Suspended Profit-Sharing
Financing Receivables - Principal
Provision for Impairment Losses
In Original Currency
In Rupiah Equivalent
In Original Currency
In Rupiah Equivalent
Method
Good Assets
Substandard Assets
Doubtful Assets
(11) (12) (13) (14) (15)
Financing Guarantee Proportion
Business Partner Name
Business Partner Type
Business Partner Category
Sustainable Finance Business Category
Business Partner Group
(16) (17) (18) (19) (20) (21)
Related Party Status
District/City Location
Economic Sector
Collateral Number
Collateral Type
Collateral Value
EXPLANATION OF FORM 2140 (DETAILS OF PROFIT-SHARING FINANCING)
Form 2140 (Details of Profit-Sharing Financing) contains details of profit-sharing financing conducted by the reporting Sharia Venture Capital Company or Reporting Islamic Bank (UUS).

(1) Contract Number
This field is filled with the serial number of the financing agreement used in the contract by the reporting Sharia Venture Capital Company or Reporting Islamic Bank.

(2) Period

Financing Start Date
This field is filled with the start date of the contract as stated in the financing agreement.
Maturity Date
This field is filled with the end date of the contract as stated in the financing agreement.

(3) Profit-Sharing

Type
This field is filled with the type of profit-sharing established as stated in the financing agreement.
Rate
This field is filled with the annual profit-sharing percentage (per annum) as stated in the financing agreement.

(4) Initial Financing Value
This field is filled with the actual financing value disbursed by the reporting Sharia Venture Capital Company or Reporting Islamic Bank at the start of the contract. This value is filled in Rupiah and remains constant throughout the contract period.

(5) Quality
This field is filled with the quality of financing receivables assessed based on criteria according to the asset quality classification rules of the reporting Sharia Venture Capital Company or Reporting Islamic Bank, following the Financial Services Authority Circular regarding the financial health level of Venture Capital Companies, namely:

Current
Special Mention
Substandard
Doubtful
Non-Performing

(6) Type of Currency
This field is filled with the type of currency used in the financing agreement.

(7) Gross Financing Receivables

In Original Currency
This field is filled with the total gross financing receivables including suspended profit-sharing, in original currency other than Rupiah. If the currency type is Rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This field is filled with the total gross financing receivables including suspended profit-sharing, in Rupiah and other currencies converted to Rupiah using the Bank Indonesia mid-rate.

(8) Suspended Profit-Sharing

In Original Currency
This field is filled with the value of suspended profit-sharing in original currency other than Rupiah. If the currency type is Rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This field is filled with the value of suspended profit-sharing in Rupiah and other currencies converted to Rupiah using the Bank Indonesia mid-rate. Included in suspended profit-sharing are other income and expenses amortized in connection with financing transactions.

(9) Financing Receivables - Principal

In Original Currency
This field is filled with the value of principal financing receivables in original currency other than Rupiah. If the currency type is Rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This field is filled with the value of principal financing receivables in Rupiah and other currencies converted to Rupiah using the Bank Indonesia mid-rate.

(10) Provision for Impairment Losses

Method
This field is filled with the method of forming the impairment loss provision, namely:
Individual; or
Collective.
Good Assets
This field is filled with the provision value formed for asset decline that has low credit risk and has not experienced an increase in credit risk.
Substandard Assets
This field is filled with the provision value formed for asset decline that has experienced a significant increase in credit risk compared to since the date the asset was acquired.
Doubtful Assets
This field is filled with the provision value formed for asset decline that has experienced a worsening of credit risk compared to since the date the asset was acquired.

(11) Financing Guarantee Proportion
This field is filled with the proportion of financing receivables receiving risk mitigation in the form of financing guarantees, with a value between 0%-100%. If financing receivables do not receive guarantees, this field is filled with 0%.

(12) Business Partner Name
This field is filled with the name of the business partner receiving financing facilities from the reporting Sharia Venture Capital Company or Reporting Islamic Bank.

(13) Business Partner Type
This field is filled with the Business Partner Type receiving financing from the reporting Sharia Venture Capital Company or Reporting Islamic Bank, including:

Limited Liability Company (Perseroan Terbatas)
Cooperative
Partnership, CV, or UD
Individual

(14) Business Partner Category
This field is filled with the business partner category based on the business scale of the business partner, divided into categories as follows:

Large Business
Medium Business
Small Business
Micro Business
Provisions regarding the business scale of business partners refer to laws regarding micro, small, and medium enterprises.

(15) Sustainable Finance Business Category
This field is filled with the business partner category that meets sustainable finance criteria as regulated in the Financial Services Authority Regulation regarding the application of sustainable finance for financial service institutions.

(16) Business Partner Group
This field is filled with the business partner category.

(17) Related Party Status
This field is filled with the related party status of the business partner with the reporting Sharia Venture Capital Company, namely:

Related to the Sharia Venture Capital Company
Related to the Sharia Venture Capital Company refers to parties receiving financing facilities from the reporting Sharia Venture Capital Company that are related to the reporting Sharia Venture Capital Company.
Not Related to the Sharia Venture Capital Company
Not related to the Sharia Venture Capital Company refers to parties receiving financing facilities from the reporting Sharia Venture Capital Company that are not related to the reporting Sharia Venture Capital Company. Explanation regarding the relationship with the reporting Sharia Venture Capital Company refers to the General Explanation of the Detail List Columns as referred to in Appendix I, which is an integral part of this Financial Services Authority Circular.

(18) District/City Location
This field is filled with the district/city location where the financed project or goods are located/used.

(19) Economic Sector
This field is filled with the standard classification of economic activities in Indonesia. Details of economic sectors are based on the applicable Indonesian Standard Business Classification. If financing is used to finance more than one type of economic activity that cannot be separated, the classification focuses on the priority economic sector (the sector receiving the largest financing facility).

(20) Collateral Number
This field is filled with the number or code of the goods used as collateral.

(21) Collateral Type
This field is filled with the type of goods used as financing guarantees, as grouped as follows:

Productive goods
Consumer goods
Time deposits
Precious metals
Securities
Guarantees

(22) Collateral Value
This field is filled with the Rupiah value of each pledged good. It is filled with a value that can be calculated as a reduction for the provision for write-off of productive assets, in accordance with provisions in the Financial Services Authority Circular regarding the financial health level of Venture Capital Companies.

I. FORM 2200: DETAILS OF SECURITIES HELD

FORM 2200 FORMAT (DETAILS OF SECURITIES HELD)
Form 2200 (Details of Securities Held) is prepared in the following format:
(1) (2) (3) (4) (5)
Security Number
Type of Security
Period
Type of Currency
Type of Return
Start Date
Maturity Date
(6) (7) (8) (9) (10) (11)
Return Rate
Issuer Name
Issuer Country Location
Issuer Group
Related Party Status
Ownership Purpose
(12) (13) (14) (15)
Ending Balance
Rating Agency
Security Rating
Rating Date
In Original Currency
In Rupiah Equivalent
EXPLANATION OF FORM 2200 (DETAILS OF SECURITIES HELD)
Form 2200 (Details of Securities Held) contains details reporting the short-term and long-term investment positions in the form of securities held by the reporting Sharia Venture Capital Company or Reporting Islamic Bank, in Rupiah and foreign currencies issued by other parties. This position does not include equity participation in the form of shares, convertible Sharia sukuk or bonds, and Sharia sukuk or bonds issued by business partners in the early start-up and/or business development stage.

(1) Security Number
This field is filled with the number of the held security or the code of the held security according to registration at the Indonesia Central Securities Depository (KSEI).

(2) Type of Security
This field is filled with the type of security held by the reporting Sharia Venture Capital Company or Reporting Islamic Bank in Rupiah and foreign currencies, namely:

Deposit Certificates
Bank Indonesia Certificates (SBI)
Commercial Paper (CP)
Medium Term Notes (MTN)
Mutual Funds
Treasury Bills (SPN)
Export Bills
Government Bonds (ON)
Indonesian Retail Bonds (ORI)
Other Securities

(3) Period

Start Date
This field is filled with the date, month, and year of issuance of the security.
Maturity Date
This field is filled with the date, month, and year of maturity of the security.
For securities without a period such as mutual funds or securities that have already matured, this field does not need to be filled or can be left blank.

(4) Type of Currency
This field is filled with the type of currency on the held security.

(5) Type of Return
This field is filled with the type of return established for the security held by the reporting Sharia Venture Capital Company or Reporting Islamic Bank.

(6) Return Rate
This field is filled with the annual return percentage (per annum) stated on the held security. Securities without a return rate do not need to be filled or can be left blank.

(7) Issuer Name
This field is filled with the name of the company issuing the security.

(8) Issuer Country Location
This field is filled with the country issuing the security.

(9) Issuer Group
This field is filled with the group of the security issuer.

(10) Related Party Status
This field is filled with the relationship with the reporting Sharia Venture Capital Company.

Related to the Sharia Venture Capital Company
Related to the Sharia Venture Capital Company refers to parties having a related relationship with the reporting Sharia Venture Capital Company.
Not Related to the Sharia Venture Capital Company
Not related to the Sharia Venture Capital Company refers to parties not having a related relationship with the reporting Sharia Venture Capital Company. Explanation regarding the relationship with the reporting Sharia Venture Capital Company refers to the General Explanation of the Detail List Columns as referred to in Appendix I, which is an integral part of this Financial Services Authority Circular.

(11) Ownership Purpose
This field is filled with the ownership purpose code according to applicable accounting standards.

(12) Ending Balance
This field is filled with the value of securities at the end of the reporting period, based on productive asset quality assessment with classifications of current, special mention, substandard, doubtful, or non-performing. Ending Balance must match the Investment in Securities position in Form 1100 (Balance Sheet).

In Original Currency
This field is filled with the value of securities in original currency other than Rupiah. If the currency type is Rupiah, the value in this column can be filled with zero.
In Rupiah Equivalent
This field is filled with the value of securities in Rupiah, or other currencies converted to Rupiah using the Bank Indonesia mid-rate.

(13) Rating Agency
This field is filled with the name of the rating agency registered with the Financial Services Authority that performed the rating on the securities held by the reporting Sharia Venture Capital Company or Reporting Islamic Bank.

(14) Security Rating
This field is filled with the rating of the securities held by the reporting Sharia Venture Capital Company or Reporting Islamic Bank.

(15) Rating Date
This field is filled with the date the security rating was performed by the rating agency.

J. FORM 2490: DETAILS OF OTHER ASSETS

FORM 2490 FORMAT (DETAILS OF OTHER ASSETS)
Form 2490 (Details of Other Assets) is prepared in the following format:
(1) (2) (3)
Type
Type of Currency
Nominal
EXPLANATION OF FORM 2490 (DETAILS OF OTHER ASSETS)
Form 2490 (Details of Other Assets) contains details of assets that cannot be classified into any of the asset positions above.

(1) Type
This field is filled with the type of other assets held by the reporting Sharia Venture Capital Company or Reporting Islamic Bank, which may include:

Prepaid Expenses
This field is filled with costs used as advance payments for certain expenses.
Deferred Expenses
This field is filled with costs that have occurred or are deferred because their benefits can be felt in future periods.
Tax Advances
This field is filled with the amount of income tax paid by the reporting Sharia Venture Capital Company or Reporting Islamic Bank but not yet become an expense of the relevant accounting period.
Employee Financing
This field is filled with the value of financing provided by the reporting Sharia Venture Capital Company or Reporting Islamic Bank to employees.
Other Other Assets
This covers other assets besides the points above.

(2) Type of Currency
This field is filled with the type of currency used.

(3) Nominal
This field is filled with the value of the type of other assets held by the reporting Sharia Venture Capital Company or Reporting Islamic Bank.

K. FORM 2550: DETAILS OF FUNDING RECEIVED

FORM 2550 FORMAT (DETAILS OF FUNDING RECEIVED)
Form 2550 (Details of Funding Received) is prepared in the following format:
(1) (2) (3) (4) (5) (6) (7)
Contract Number
Type of Funding
Funding Recipient Purpose
Type of Currency
Start Date
Maturity Date
Type of Profit-Sharing/Return
(8) (9) (10) (11) (12)
Rate of Profit-Sharing/Return
Name of Funding Provider
Group of Funding Provider
Country of Funding Provider
Related Party Status
(13) (14) (15)
Funding Ceiling
Initial Funding
Funding Balance
In Original Currency
In Rupiah Equivalent
In Original Currency
In Rupiah Equivalent
In Original Currency
In Rupiah Equivalent
EXPLANATION OF FORM 2550 (DETAILS OF FUNDING RECEIVED)
Form 2550 (Details of Funding Received) contains details of funding received by the reporting Sharia Venture Capital Company or Reporting Islamic Bank.

(1) Contract Number
This field is filled with the funding agreement number.

(2) Type of Funding
This field is filled with the type of funding received, namely:

Syndicated
Syndicated funding is funding received by the reporting Sharia Venture Capital Company or Reporting Islamic Bank from 2 (two) or more funding providers (investors), either directly or through intermediaries. The filling for the Funding Provider Name column and the Country of Origin column follows the dominance principle based on the name of the funding provider (investor) having the largest share in providing funding.
Bilateral
Bilateral funding is funding received by the reporting Sharia Venture Capital Company or Reporting Islamic Bank from 1 (one) funding provider (investor).
Multilateral
Multilateral funding is funding received by the reporting Sharia Venture Capital Company or Reporting Islamic Bank from international financial institutions, such as IFC and ADB.
Subordinated
Subordinated funding is funding received by the reporting Sharia Venture Capital Company or Reporting Islamic Bank under conditions as contained in the Explanation of Balance Sheet Liability and Equity Positions in the Subordinated Funding Position.

(3) Funding Recipient Purpose
This field is filled with the purpose of use of the funding received by the reporting Sharia Venture Capital Company, namely used for working capital for the activities of the reporting Sharia Venture Capital Company or Reporting Islamic Bank.

(4) Type of Currency
This field is filled with the type of currency used in the agreement.

(5) Start Date
This field is filled with the start date of the funding received by the reporting Sharia Venture Capital Company or Reporting Islamic Bank from the funding provider (investor) as stated in the agreement.

(6) Maturity Date
This field is filled with the end date of the funding received by the reporting Sharia Venture Capital Company or Reporting Islamic Bank from the funding provider (investor) as stated in the agreement.

(7) Type of Return
This field is filled according to the type of return established by the fund owner agreed upon in the agreement.

(8) Return Rate
This field is filled with the return rate agreed upon based on the funding agreement with the funding provider (investor).

(9) Name of Funding Provider
This field is filled with the names of parties providing funding to the reporting Sharia Venture Capital Company or Reporting Islamic Bank. If the reporting Sharia Venture Capital Company or Reporting Islamic Bank has more than 1 (one) funding account with the same funding provider (investor), the investor name column for each transaction is still filled with the name of the respective funding provider (investor) according to the number of funding contracts.

(10) Group of Funding Provider
This field is filled with the group of parties providing funding for Sharia venture capital business activities to the reporting Sharia Venture Capital Company or Reporting Islamic Bank.

(11) Country of Funding Provider
This field is filled with the domicile country of the funding provider (investor).

(12) Related Party Status
This field is filled with the related party status of the funding provider (investor) with the reporting Sharia Venture Capital Company or Reporting Islamic Bank, namely:

Related to the Sharia Venture Capital Company
Related to the Sharia Venture Capital Company refers to parties providing funding facilities to the reporting Sharia Venture Capital Company or Reporting Islamic Bank that are related to the reporting Sharia Venture Capital Company or Reporting Islamic Bank.
Not Related to the Sharia Venture Capital Company
Not related to the Sharia Venture Capital Company refers to parties providing funding facilities to the reporting Sharia Venture Capital Company or Reporting Islamic Bank that are not related to the reporting Sharia Venture Capital Company or Reporting Islamic Bank. Explanation regarding the relationship with the reporting Sharia Venture Capital Company or Reporting Islamic Bank refers to the General Explanation of the Detail List Columns as referred to in Appendix I, which is an integral part of this Financial Services Authority Circular.

(13) Funding Ceiling
This field is filled with the maximum amount of funding received by the reporting Sharia Venture Capital Company or Reporting Islamic Bank as stated in the agreement.

In Original Currency
In original currency is the value of the funding ceiling held in foreign currency according to the funding provider's country and recorded according to the nominal on the balance sheet based on applicable accounting standards.
In Rupiah Equivalent
In Rupiah equivalent is the value of the funding ceiling held in Rupiah and the result of converting the funding ceiling in foreign currency held into Rupiah based on the Bank Indonesia mid-rate at the time of recording and recorded according to the nominal on the balance sheet based on applicable accounting standards.

(14) Initial Funding
This field is filled with the amount of funding received by the reporting Sharia Venture Capital Company or Reporting Islamic Bank at initial receipt after the agreement approval occurs.

In Original Currency
In original currency is the value of the initial funding held in foreign currency according to the funding provider's country and recorded according to the nominal on the balance sheet based on applicable accounting standards.
In Rupiah Equivalent
In Rupiah equivalent is the value of the initial funding held in Rupiah and the result of converting the funding ceiling in foreign currency held into Rupiah based on the Bank Indonesia mid-rate at the time of recording and recorded according to the nominal on the balance sheet based on applicable accounting standards.

(15) Funding Balance
This field is filled with the remaining funding received by the reporting Sharia Venture Capital Company or Reporting Islamic Bank at the end of the reporting period.

In Original Currency
In original currency value is the value of the funding balance held in foreign currency according to the funding provider's country and recorded according to the nominal on the balance sheet based on applicable accounting standards.
In Rupiah Equivalent
In Rupiah equivalent is the value of the funding balance held in Rupiah and the result of converting the funding ceiling in foreign currency held into Rupiah based on the Bank Indonesia mid-rate at the time of recording and recorded according to the nominal on the balance sheet based on applicable accounting standards.

L. FORM 2600: DETAILS OF SECURITIES ISSUED

FORM 2600 FORMAT (DETAILS OF SECURITIES ISSUED)
Form 2600 (Details of Securities Issued) is prepared in the following format:
(1) (2) (3) (4) (5) (6)
Security Number
Type of Security
Period
Type of Return
Return Rate
Nominal Value of Securities
Start Date
Maturity Date
In Original Currency
In Rupiah Equivalent
(7) (8) (9) (10) (11) (12)
Type of Currency
Balance of Securities Issued
Investor Name
Related Party Status
Investor Group
Country of Origin of Investor
In Original Currency
In Rupiah Equivalent
(13) (14) (15) (16) (17) (18)
KSEI Registration Date
KSEI Registration Number
Trustee Name
Rating Agency
Security Rating
Rating Date
EXPLANATION OF FORM 2600 (DETAILS OF ISSUED SECURITIES)

Form 2600 (Details of Issued Securities) reports the position of securities, both bearer and registered, issued by the reporting Islamic Venture Capital Company, whether in Rupiah or foreign currency, that are purchased by third parties. For securities issued as bearer instruments, the Investor Category column is filled with the first buyer (investor) at the time the security is issued.

Securities that have been issued and subsequently repurchased by the reporting Islamic Venture Capital Company in the secondary market must not be reported on the List of Details of Owned Securities; rather, they must reduce the outstanding amount of the issued securities.

(1) Security Number
This field is filled with the International Securities Identifying Number/ISIN code. The ISIN code consists of 12 digits of mixed letters and numbers in a standardized arrangement.

(2) Type of Security
This field is filled with the type of security issued by the reporting Islamic Venture Capital Company, namely:

Medium Term Notes (MTN)
MTN is a medium-term security with a tenor of 1 to 3 years issued by the reporting Islamic Venture Capital Company to MTN holders, with the obligation to pay returns gradually according to the MTN return payment schedule and to repay the entire principal obligation at maturity.
Shariah Bonds/Sukuk
Shariah bonds or Sukuk are long-term securities based on Shariah principles issued by the reporting Islamic Venture Capital Company to holders of Shariah bonds or Sukuk, obligating the reporting Islamic Venture Capital Company to pay income to the holders in the form of returns and to repay the principal of the Shariah bonds or Sukuk at maturity.

(3) Tenor
This field is filled with the start date and maturity date of the securities issued by the reporting Islamic Venture Capital Company, namely:

Start Date
The start date is the date the issuance of the security begins as stated in the security document.
Maturity Date
The maturity date is the date the issued security matures as stated in the security document.

(4) Type of Return
This field is filled with the type of return set on the securities held by the reporting Islamic Venture Capital Company.

(5) Rate of Return
This field is filled with the percentage rate of return per annum as stated on the issued securities.

(6) Nominal Value of Securities
This field is filled with the nominal value of the securities issued by the reporting Islamic Venture Capital Company held by investors.

In Original Currency
This field is filled with the nominal balance of securities held by investors and recorded in foreign currency value if the investor is not an Indonesian Citizen or an Indonesian Legal Entity. If the currency type is Rupiah, the foreign currency value is filled with zero.
In Rupiah Equivalent
This field is filled with the nominal value of the issued securities held by investors and recorded based on the unit in Rupiah at the end of the reporting period in foreign currency converted to Rupiah.

(7) Currency Type
This field is filled with the type of currency used in the issuance of securities.

(8) Balance of Issued Securities
This field is filled with the funding balance, namely:

In Original Currency Value
The balance of issued securities in original currency value is the remaining obligation of the reporting Islamic Venture Capital Company at the end of the reporting period in foreign currency. If the currency type is Rupiah, the foreign currency value is filled with zero.
In Rupiah Equivalent
The balance of issued securities in Rupiah equivalent is the remaining obligation of the reporting Islamic Venture Capital Company at the end of the reporting period in Rupiah or in foreign currency converted to Rupiah.

(9) Investor Name
This field is filled with the name of the party that purchased or holds the securities issued by the reporting Islamic Venture Capital Company.

(10) Related Party Status
This field is filled with the relationship with the reporting Islamic Venture Capital Company.

Related to the Islamic Venture Capital Company
Related to the Islamic Venture Capital Company refers to parties that have a related party relationship with the reporting Islamic Venture Capital Company.
Not Related to the Islamic Venture Capital Company
Not related to the Islamic Venture Capital Company refers to parties that do not have a related party relationship with the reporting Islamic Venture Capital Company. Explanation regarding the relationship with the reporting Islamic Venture Capital Company refers to the General Explanation of the Detail List Columns as referred to in Appendix I, which is an integral part of this Financial Services Authority Circular.

(11) Investor Category
This field is filled with the category of fund providers that purchased or hold the securities issued by the reporting Islamic Venture Capital Company.

(12) Investor Country of Origin
This field is filled with the country of origin of the purchasers or holders of the securities issued by the reporting Islamic Venture Capital Company.

(13) KSEI Registration Date
This field is filled with the date the reporting Islamic Venture Capital Company registered with the Indonesia Central Securities Depository (KSEI).

(14) KSEI Registration Number
This field is filled with the registration number of the reporting Islamic Venture Capital Company registered with the Indonesia Central Securities Depository (KSEI).

(15) Trustee Name
This field is filled with the name of the trustee of the reporting Islamic Venture Capital Company.

(16) Rating Agency
This field is filled with the name of the rating agency registered with the Financial Services Authority, which performs rating on the securities issued by the reporting Islamic Venture Capital Company.

(17) Security Rating
This field is filled with the rating of the securities issued by the reporting Islamic Venture Capital Company.

(18) Rating Date
This field is filled with the date the securities were rated by the rating agency.

M. FORM 2790: DETAILS OF VARIOUS LIABILITIES

FORMAT OF FORM 2790 (DETAILS OF VARIOUS LIABILITIES)

Form 2790 (Details of Various Liabilities) is compiled in the following format:
(1) Type
(2) Currency Type
(3) Nominal

EXPLANATION OF FORM 2790 (DETAILS OF VARIOUS LIABILITIES)

Form 2790 (Details of Various Liabilities) contains details of liabilities that cannot be classified into any of the liability items above.

(1) Type
This field is filled with the type of detail of various liabilities, which may include among others:

Profit Sharing/Return/Service Fee Payable
This field covers the total profit sharing, return, or service fee on funding received that must be paid by the reporting Islamic Venture Capital Company or reporting UUS (Islamic Business Unit).
Salaries Payable
This field covers salaries payable by the reporting Islamic Venture Capital Company.
Unpaid Dividends
This field covers dividend payables by the reporting Islamic Venture Capital Company.
Deferred Revenue
This field covers total deferred revenue by the reporting Islamic Venture Capital Company or reporting UUS.
Income Tax Liability
This field covers income tax payable by the reporting Islamic Venture Capital Company or reporting UUS.
Employee Benefit Liability
This field covers employee benefit liabilities of the reporting Islamic Venture Capital Company or reporting UUS to employees.
Other Various Liabilities
This field covers liabilities other than those listed above.

(2) Currency Type
This field is filled with the type of currency used.

(3) Nominal
This field is filled with the value of the various liabilities held by the reporting Islamic Venture Capital Company or reporting UUS.

N. FORM 3010: DETAILS OF HEDGING DERIVATIVE INSTRUMENTS

FORMAT OF FORM 3010 (DETAILS OF HEDGING DERIVATIVE INSTRUMENTS)

Form 3010 (Details of Hedging Derivative Instruments) is compiled in the following format:
(1) Underlying Financing Transaction Contract Number (2) Underlying Financing Transaction Nominal (3) Investor Name (4) Investor Category (5) Investor Country Location (6) Derivative Instrument Contract Number (7) Derivative Instrument Type (8) Counterparty Name (9) Counterparty Category (10) Counterparty Country Location (11) Currency Type (12) Start Date (13) Maturity Date (14) Hedging Derivative Instrument Nominal (In Original Currency) (15) Hedging Derivative Instrument Nominal (In Rupiah Equivalent)

EXPLANATION OF FORM 3010 (DETAILS OF HEDGING DERIVATIVE INSTRUMENTS)

Form 3010 (Details of Hedging Derivative Instruments) reports a list of details of derivative instruments held by the reporting Islamic Venture Capital Company or reporting UUS in Rupiah or foreign currency as hedging instruments. Each derivative instrument held by the reporting Islamic Venture Capital Company becomes a hedging instrument in each funding acquisition transaction conducted by the reporting Islamic Venture Capital Company or reporting UUS.

(1) Underlying Financing Transaction Contract Number This field is filled with the foreign currency funding contract number received by the reporting Islamic Venture Capital Company or reporting UUS, which serves as the basis for ownership of the derivative instrument held by the reporting Islamic Venture Capital Company or reporting UUS for hedging purposes.

(2) Underlying Financing Transaction Nominal
This field is filled with the amount of foreign currency funding received by the reporting Islamic Venture Capital Company or reporting UUS, which serves as the basis for ownership of the derivative instrument held by the reporting Islamic Venture Capital Company or reporting UUS for hedging purposes.

(3) Investor Name
This field is filled with the names of parties providing foreign currency funding to the reporting Islamic Venture Capital Company or reporting UUS. If the reporting Islamic Venture Capital Company or reporting UUS has more than 1 (one) funding account with the same Investor, the investor name column for each transaction is still filled with the name of the respective investor according to the number of funding agreements.

(4) Investor Category
This field is filled with the category of parties providing foreign currency funding to the reporting Islamic Venture Capital Company or reporting UUS.

(5) Investor Country Location
This field is filled with the country of origin of parties providing foreign currency funding to the reporting Islamic Venture Capital Company or reporting UUS.

(6) Derivative Instrument Contract Number
This field is filled with the derivative instrument contract number held by the reporting Islamic Venture Capital Company or reporting UUS for hedging purposes regarding funding transactions conducted by the reporting Islamic Venture Capital Company or reporting UUS.

(7) Derivative Instrument Type
This field is filled with the type of derivative instrument selected by the reporting Islamic Venture Capital Company or reporting UUS for hedging foreign currency funding transactions received. The types of derivative instruments are conducted in accordance with Shariah principles, such as spot and forward.

(8) Counterparty Name
This field is filled with the name of the institution or company providing the derivative instrument used by the reporting Islamic Venture Capital Company or reporting UUS for hedging purposes.

(9) Counterparty Category
This field is filled with the business sector of the institution or company providing the derivative instrument used by the reporting Islamic Venture Capital Company or reporting UUS for hedging purposes.

(10) Counterparty Country Location
This field is filled with the country of the counterparty providing the derivative instrument used by the reporting Islamic Venture Capital Company or reporting UUS for hedging purposes.

(11) Currency Type
This field is filled with the currency type of the derivative instrument selected by the reporting Islamic Venture Capital Company or reporting UUS for hedging received funding transactions.

(12) Start Date
This field is filled with the start date of the derivative instrument transaction between the reporting Islamic Venture Capital Company or reporting UUS and the counterparty.

(13) Maturity Date
This field is filled with the end date of the derivative instrument transaction between the reporting Islamic Venture Capital Company or reporting UUS and the counterparty.

(14) Hedging Derivative Instrument Nominal (In Original Currency) This field is filled with the nominal value of the derivative instrument in original currency other than Rupiah between the reporting Islamic Venture Capital Company or reporting UUS and the counterparty. If the currency type is Rupiah, the value in this column can be filled with zero.

(15) Hedging Derivative Instrument Nominal (In Rupiah Equivalent) This field is filled with the nominal value of the derivative instrument between the reporting Islamic Venture Capital Company or reporting UUS and the counterparty in Rupiah or in foreign currency converted to Rupiah using the Bank Indonesia middle exchange rate.

O. FORM 3020: DETAILS OF THIRD-PARTY FINANCING COOPERATION DISBURSEMENT

FORMAT OF FORM 3020 (DETAILS OF THIRD-PARTY FINANCING COOPERATION DISBURSEMENT)

Form 3020 (Details of Third-Party Financing Cooperation Disbursement) is compiled in the following format:
(1) Contract Number
(2) Committed/Uncommitted
(3) Start Date
(4) Maturity Date
(5) Currency Type
(6) Ceiling (In Original Currency)
(7) Ceiling (In Rupiah Equivalent)
(8) Disbursement Value of Joint Financing (In Original Currency) (9) Disbursement Value of Joint Financing (In Rupiah Equivalent) (10) Counterparty Name (11) Counterparty Category (12) Counterparty Country Location (13) Related Party Status

EXPLANATION OF FORM 3020 (DETAILS OF THIRD-PARTY FINANCING COOPERATION DISBURSEMENT)

Form 3020 (Details of Third-Party Financing Cooperation Disbursement) contains details of disbursement of financing cooperation with third parties in the form of channeling financing.

(1) Contract Number
This field is filled with the contract number used in the channeling agreement between the reporting Islamic Venture Capital Company or reporting UUS and the third party.

(2) Committed/Uncommitted
This field is filled with committed/uncommitted in the channeling agreement between the reporting Islamic Venture Capital Company or reporting UUS and the third party.

(3) Start Date
This field is filled with the day, month, and year the disbursement of channeling financing begins from the fund owner (Shariah bank, other Islamic Venture Capital Companies, or Shariah financing companies) to the reporting Islamic Venture Capital Company or reporting UUS as stated in the channeling financing cooperation agreement.

(4) Maturity Date
This field is filled with the day, month, and year the channeling financing disbursement agreement ends from the fund owner (Shariah bank, other Islamic Venture Capital Companies, or Shariah financing companies) to the reporting Islamic Venture Capital Company or reporting UUS as stated in the channeling financing cooperation agreement.

(5) Currency Type
This field is filled with the type of currency used in the channeling financing cooperation agreement.

(6) Ceiling (In Original Currency)
This field is filled with the maximum amount of channeling financing disbursement by the reporting Islamic Venture Capital Company or reporting UUS as stated in the joint financing cooperation agreement in the original currency.

(7) Ceiling (In Rupiah Equivalent)
This field is filled with the maximum amount of channeling financing disbursement by the reporting Islamic Venture Capital Company or reporting UUS as stated in the joint financing cooperation agreement in Rupiah equivalent.

(8) Disbursement Value of Joint Financing (In Original Currency) This field is filled with the outstanding principal amount of financing receivables disbursement which is the share of the fund owner in the original currency.

(9) Disbursement Value of Joint Financing (In Rupiah Equivalent) This field is filled with the outstanding principal amount of financing receivables disbursement which is the share of the fund owner in Rupiah equivalent.

(10) Counterparty Name
This field is filled with the name of each counterparty of the reporting Islamic Venture Capital Company or reporting UUS at the end of the reporting period. If the reporting Islamic Venture Capital Company or reporting UUS has more than one channeling financing account with the same counterparty, the counterparty name column for each transaction is still filled with the name of the respective counterparty according to the number of agreement contracts.

(11) Counterparty Category
This field is filled with the business sector of the institution/company conducting channeling financing cooperation with the reporting Islamic Venture Capital Company or reporting UUS.

(12) Counterparty Country Location
This field is filled with the country of domicile of the counterparty.

(13) Related Party Status
This field is filled with the relationship with the reporting Islamic Venture Capital Company or reporting UUS.

Related to the Islamic Venture Capital Company
Related to the Islamic Venture Capital Company refers to parties providing channeling financing to companies related to the reporting Islamic Venture Capital Company or reporting UUS.
Not Related to the Islamic Venture Capital Company
Not related to the Islamic Venture Capital Company refers to parties providing channeling financing to companies not related to the reporting Islamic Venture Capital Company or reporting UUS. Explanation regarding the relationship with the reporting Islamic Venture Capital Company or reporting UUS refers to the General Explanation of the Detail List Columns as referred to in Appendix I, which is an integral part of this Financial Services Authority Circular.

P. FORM 3030: VENTURE FUND ASSET AND LIABILITY REPORT

FORMAT OF FORM 3030 (VENTURE FUND ASSET AND LIABILITY REPORT)

Form 3030 (Venture Fund Asset and Liability Report) is compiled in the following format:
Venture Fund Name:
Management Company Name:
Custodian Bank Name:
Report at End of Period:

ASSETS
Items | Rp | Foreign Currency | Total

Cash and Cash Equivalents
Financing/Venture Capital Participation
a. Equity Participation b. Net Purchase of Conversion Shariah Bonds or Obligations

Purchase of Conversion Shariah Bonds or Obligations
Provision for Write-off of Productive Assets Purchase of Conversion Shariah Bonds or Obligations
c. Net Purchase of Shariah Bonds or Obligations Issued by Related Parties in Early Start-up (Start-up) and/or Business Development Stage
Purchase of Shariah Bonds or Obligations Issued by Related Parties in Early Start-up (Start-up) and/or Business Development Stage
Provision for Write-off of Productive Assets Purchase of Shariah Bonds or Obligations Issued by Related Parties in Early Start-up (Start-up) and/or Business Development Stage
d. Net Financing Based on Profit Sharing Principle
Financing Based on Profit Sharing Principal
Provision for Write-off of Productive Assets Financing Based on Profit Sharing Principle

Dividend Receivables
Profit Sharing/Return Receivables
Deferred Tax Assets
Other Assets
Total Assets

LIABILITIES
Items | Rp | Foreign Currency | Total

Advances Received for Venture Fund Participation Orders
Payables for Repurchase of Venture Fund Participation
Payables for Purchase of Venture Fund Participation
Tax Payables
Deferred Tax Liabilities
Other Liabilities
Total Liabilities
Total Net Assets
EXPLANATION OF FORM 3030 (VENTURE FUND ASSET AND LIABILITY REPORT)

Form 3030 (Venture Fund Asset and Liability Report) contains the financial position report of the venture fund, providing detailed explanation of the asset position, liability position, and total net assets.

– ASSETS

Cash and Cash Equivalents
This field is filled with the amount of cash in the form of banknotes and coins issued by Bank Indonesia that are legal tender in Indonesia. The definition of cash also includes foreign banknotes and coins that are still valid and owned by the venture fund.
Financing/Venture Capital Participation
a. Equity Participation
This field is filled with the value of equity participation by the venture fund in the business partner, recorded at the value at the time of participation.

b. Net Purchase of Conversion Shariah Bonds or Obligations This field is filled with the value of the purchase of conversion Shariah bonds or obligations by the venture fund over conversion Shariah bonds or obligations issued by the business partner, recorded at the net value after deducting the provision for write-off of productive assets from participation through the purchase of conversion Shariah bonds or obligations.

Purchase of Conversion Shariah Bonds or Obligations
This field is filled with the value of the purchase of conversion Shariah bonds or obligations by the venture fund over conversion Shariah bonds or obligations issued by the business partner, recorded at the gross value.
Provision for Write-off of Productive Assets Purchase of Conversion Shariah Bonds or Obligations
This field is filled with the provision for write-off of productive assets from the purchase of conversion Shariah bonds or obligations as regulated in the Financial Services Authority Circular regulating the financial health level of Venture Capital Companies.

c. Net Purchase of Shariah Bonds or Obligations Issued by Related Parties in Early Start-up (Start-up) and/or Business Development Stage
This field is filled with the value of the purchase of Shariah bonds or obligations issued by related parties in the early start-up (start-up) and/or business development stage net of the provision for write-off of productive assets from the purchase of Shariah bonds or obligations issued by related parties in the early start-up (start-up) and/or business development stage.

Purchase of Shariah Bonds or Obligations Issued by Related Parties in Early Start-up (Start-up) and/or Business Development Stage
This field is filled with the value of the purchase of Shariah bonds or obligations issued by related parties in the early start-up (start-up) and/or business development stage placed by the venture fund in the business partner, recorded at the gross value.
Provision for Write-off of Productive Assets Purchase of Shariah Bonds or Obligations Issued by Related Parties in Early Start-up (Start-up) and/or Business Development Stage
This field is filled with the provision for write-off of productive assets from the purchase of Shariah bonds or obligations issued by related parties in the early start-up (start-up) and/or business development stage as regulated in the Financial Services Authority Circular regulating the financial health level of Venture Capital Companies.

d. Financing Based on Net Profit-Sharing Principle This item is filled with the value of financing based on the net profit-sharing principle after being reduced by unrecognized profit-sharing income and other income and expenses related to amortized financing transactions, and reduced by the provision for write-off of productive assets for financing based on the profit-sharing principle.

a) Financing Based on Gross Profit-Sharing Principle This item is filled with the value of financing based on the profit-sharing principle recorded at gross value after being reduced by unrecognized profit-sharing income and other income and expenses related to amortized financing transactions based on the profit-sharing principle.

b) Provision for Write-off of Productive Assets for Financing Based on Profit-Sharing Principle This item is filled with the provision for write-off of productive assets for financing based on the profit-sharing principle as regulated in the Circular Letter of the Financial Services Authority regulating the financial health level of Venture Capital Companies.

Dividend Receivables
This item is filled with the value of receivables for dividends that are the rights of the venture fund over the equity participation made in business partners.
Profit-Sharing/Return Receivables
This item is filled with the value of receivables for profit-sharing or returns that are the rights of the venture fund over the purchase of conversion sukuk or sharia bonds and/or the purchase of sukuk or sharia bonds issued by business partners at the early start-up stage and/or business development stage, as well as over the disbursement of financing to business partners based on the profit-sharing principle.
Deferred Tax Assets
This item covers the amount of deferred tax assets recognized by the venture fund at the end of the reporting period, measured using the applicable tax rate against all deductible temporary differences and/or fiscal loss balances, to the extent that it is probable that they can be utilized to reduce fiscal profit in the future. This item is presented in the venture fund's asset and liability report based on offsetting with the deferred tax liability item.
Other Assets
This item covers asset balances that cannot be included or classified into items 1 through 5, including prepaid expenses.

LIABILITIES

Advance Payments Received for Venture Fund Participation Orders
This item covers the value of advance payments received by the venture fund for venture fund participation orders that have not yet been placed in participation assets and/or financing.
Repurchase Payables for Venture Fund Participation
This item covers repurchase payables for venture fund participation that have not yet been paid to investors who have sold their units.
Purchase Payables for Venture Fund Participation
This item covers the value of purchase payables received by the venture fund for venture fund participation that have not yet been placed in participation assets and/or financing.
Tax Payables
This item covers all venture fund tax liabilities that have not been paid in relation to applicable tax regulations in Indonesia.
Deferred Tax Liabilities
This item covers the amount of deferred tax liabilities recognized by the Venture Fund at the end of the reporting period, calculated using the applicable tax rate for all taxable temporary differences. This item is presented in the venture fund's asset and liability report based on offsetting with the Deferred Tax Assets item.
Other Liabilities
This item covers other liability balances that cannot be included or classified into items 1 through 5.

TOTAL NET ASSETS
This item is filled with the value of the excess (deficiency) between total assets minus total liabilities.

Q. FORM 3031: VENTURE FUND INCOME STATEMENT

FORM 3031 FORMAT (VENTURE FUND INCOME STATEMENT)
Form 3031 (Venture Fund Income Statement) is prepared according to the following format:
Venture Fund Name :
Management Company Name :
Custodian Bank Name :
Report as of End of Period :
Items Rp Foreign Currency Total
I. INCOME
Income from Operational Activities
a. Dividend Income from Equity Participation Activities b. Return Income from Purchase of Conversion Sukuk or Sharia Bonds
c. Return Income from Purchase of Sukuk or Sharia Bonds Issued by Business Partners at the Early Start-up Stage and/or Business Development Stage
d. Profit-Sharing Income from Financing Based on Profit-Sharing Principle
Other Income Related to Financing
a. Administrative Income b. Provision Income
c. Other Income Related to Financing
II. EXPENSES
Venture Fund Management Expenses
Custodian Expenses
Guarantee Service Fee Expenses
Provision for Write-off of Productive Asset Expenses

Provision for Write-off of Productive Asset Expenses for Purchase of Conversion Sukuk or Sharia Bonds
Provision for Write-off of Productive Asset Expenses for Purchase of Sukuk or Sharia Bonds Issued by Business Partners at the Early Start-up Stage and/or Business Development Stage
Provision for Write-off of Productive Asset Expenses for Financing Based on Profit-Sharing Principle

Other Expenses
III. PROFIT (LOSS) BEFORE TAX
IV. ESTIMATED INCOME TAX
Current Year Tax
Deferred Tax (Income) Expense
V. NET PROFIT (LOSS) AFTER TAX
FORM 3031 EXPLANATION (VENTURE FUND INCOME STATEMENT)
Form 3031 (Venture Fund Income Statement) includes cumulative figures from the beginning of the reporting venture fund's fiscal year up to the report date. The method for filling out the venture fund income statement is detailed as follows:
I. INCOME
Income from Operational Activities
This item covers all dividend, profit-sharing, or return income obtained by the venture fund's collective investment contract from equity participation activities, purchase of conversion sukuk or sharia bonds, purchase of sukuk or sharia bonds issued by business partners at the early start-up stage and/or business development stage, and financing activities based on the profit-sharing principle. a. Dividend Income from Equity Participation Activities This item is filled with dividend income received by the venture fund from operational activities related to equity participation. b. Return Income from Purchase of Conversion Sukuk or Sharia Bonds This item is filled with return income from operational activities related to the purchase of conversion sukuk or sharia bonds.
c. Return Income from Purchase of Sukuk or Sharia Bonds Issued by Business Partners at the Early Start-up Stage and/or Business Development Stage
This item is filled with return income from operational activities related to the purchase of sukuk or sharia bonds issued by business partners at the early start-up stage and/or business development stage. d. Profit-Sharing Income from Financing Based on Profit-Sharing Principle This item is filled with profit-sharing income from operational activities related to financing based on the profit-sharing principle.
Other Income Related to Financing
This item covers other income related to financing disbursed by the venture fund, including administrative income, provision income, commission or guarantee fee income, and other income related to other venture fund activities. a. Administrative Income This item covers costs charged to business partners for the use of funding facilities from the venture fund. b. Provision Income This item covers provision costs charged to business partners.
c. Other Income Related to Financing
This item is filled with income received from other operational activities related to other business activities received by the Venture Fund.
II. EXPENSES
Venture Fund Management Expenses
This item covers costs arising from the management activities of the Venture Fund conducted by the reporting Sharia Venture Capital Company.
Custodian Expenses
This item covers costs charged by the custodian bank for the collective custody of the venture fund.
Guarantee Service Fee Expenses
This item covers expenses paid for guarantee purposes, such as payment of guarantee service fees for financing.
Provision for Write-off of Productive Asset Expenses
a. Provision for Write-off of Productive Asset Expenses for Purchase of Conversion Sukuk or Sharia Bonds This item covers write-off costs for productive assets from the purchase of conversion sukuk or sharia bonds. b. Provision for Write-off of Productive Asset Expenses for Purchase of Sukuk or Sharia Bonds Issued by Business Partners at the Early Start-up Stage and/or Business Development Stage This item covers write-off costs for productive assets from the purchase of sukuk or sharia bonds issued by business partners at the early start-up stage and/or business development stage.
c. Provision for Write-off of Productive Asset Expenses for Financing Based on Profit-Sharing Principle
This item covers write-off costs for productive assets from financing based on the profit-sharing principle.
Other Expenses
This item covers costs other than items 1 through 4.
III. PROFIT (LOSS) BEFORE TAX
This item covers the total income minus the total venture fund expenses before being reduced by tax.
IV. ESTIMATED INCOME TAX
Current Year Tax
This item covers the estimated income tax expense calculated progressively from the current year's profit up to the report date.
Deferred Tax (Income) Expense
This item covers the amount of deferred tax (income) expense related to the recognized deferred tax assets (liabilities) for the current year period up to the report date.
V. NET PROFIT (LOSS) AFTER TAX
This item covers profit (loss) after being reduced by the estimated income tax, which includes current year tax and deferred tax (income) expense recognized for the current year period up to the report date.

R. FORM 3032: VENTURE FUND CASH FLOW STATEMENT

FORM 3032 FORMAT (VENTURE FUND CASH FLOW STATEMENT)
Form 3032 (Venture Fund Cash Flow Statement) is prepared according to the following format:
Venture Fund Name :
Management Company Name :
Custodian Bank Name :
Report as of End of Period :
Items Rp Foreign Currency Total
A. Cash Flows from Operating Activities
Receipt of Income from Financing/Participation
Payment of Expenses for Financing/Participation
Payment of Income Tax Expenses
Receipts from Other Operating Activities
Payments for Other Operating Activities
Net Cash from (for) Operating Activities
B. Cash Flows from Investing Activities
Purchase of Underlying Assets
Sale of Underlying Assets
Receipts from Other Investing Activities
Payments for Other Investing Activities
Net Cash from (for) Investing Activities
C. Cash Flows from Financing Activities
Sale of Participation Units
Purchase of Participation Units
Distribution to Unit Holders
Receipts from Other Financing Activities
Payments for Other Financing Activities
Net Cash from (for) Financing Activities
D. Net Increase (Decrease) in Cash
E. Cash at Beginning of Period
F. Cash at End of Period
FORM 3032 EXPLANATION (VENTURE FUND CASH FLOW STATEMENT)
Form 3032 (Venture Fund Cash Flow Statement) is a financial statement using the venture fund's cash movement basis in its preparation. All items in the cash flow statement are created and calculated based on the involvement of cash and cash equivalents within it from the beginning of the reporting year up to the report date. This applies to both receipt and payment items. A. Cash Flows from Operating Activities
Receipt of Income from Financing/Participation
This item contains receipts of income from financing disbursement and/or participation activities, whether in the form of dividend income or profit-sharing/return income.
Payment of Expenses for Financing/Participation
This item contains expense payments for financing disbursement and/or participation activities, such as custodian service expenses.
Payment of Income Tax Expenses
This item contains income tax expenses imposed on the venture fund on income derived from financing disbursement and/or participation activities.
Receipts from Other Operating Activities
This item is filled with receipts from other operating activities not covered in the previous items.
Payments for Other Operating Activities
This item is filled with all payments occurring from other operating activities not covered in the previous items.
B. Cash Flows from Investing Activities
Purchase of Underlying Assets
This item contains cash outflows from the venture fund for participation activities and/or financing disbursement to business partners.
Sale of Underlying Assets
This item contains cash inflows received by the venture fund from the sale of participation assets and/or repayment of financing from business partners.
Receipts from Other Investing Activities
This item is filled with receipts from other investing activities not covered in the previous items.
Payments for Other Investing Activities
This item is filled with all payments occurring from other investing activities not covered in the previous items.
C. Cash Flows from Financing Activities
Sale of Participation Units
This item contains cash inflows received by the reporting venture fund from the sale of participation units to venture fund investors.
Purchase of Participation Units
This item contains cash outflows from the venture fund for the repurchase of participation units sold by venture fund investors.
Distribution to Unit Holders
This item contains cash outflows from the venture fund in the form of benefit distributions to unit-holding investors for the purchase of participation units in the venture fund.
Receipts from Other Financing Activities
This item is filled with receipts from other financing activities not covered in the previous items.
Payments for Other Financing Activities
This item is filled with all payments occurring from other financing activities not covered in the previous items.
D. Net Increase (Decrease) in Cash
This item contains the net increase or decrease in cash and cash equivalents during the reporting year period up to the report date.
E. Cash at Beginning of Period
This item contains the cash and cash equivalent position amount at the beginning of the venture fund's reporting year period.
F. Cash at End of Period
This item contains the cash and cash equivalent position amount at the end of the venture fund's report date period.

S. FORM 3033: VENTURE FUND PORTFOLIO - SUMMARY

FORM 3033 FORMAT (VENTURE FUND PORTFOLIO - SUMMARY)
Form 3033 (Venture Fund Portfolio - Summary) is prepared according to the following format:
(1) Venture Fund Name
(2) Custodian Bank Name
(3) Collective Investment Contract Number
(4) Collective Investment Contract Date
(5) Venture Fund Placement Type
(6) Issuer Name
(7) Nominal Value
(8) Start Date
(9) Maturity Date
(10) Total Value against NAV in %
(11) Percentage Based on Investment Policy
(12) Quality
(13) Provision for Write-off of Productive Assets
FORM 3033 EXPLANATION (VENTURE FUND PORTFOLIO - SUMMARY)
Form 3033 (Venture Fund Portfolio - Summary) contains details of portfolio placements made by the venture fund.
(1) Venture Fund Name
This item is filled with the name of the venture fund managed by the reporting Sharia Venture Capital Company through a collective investment contract. (2) Custodian Bank Name This item is filled with the name of the custodian bank performing collective custody in the context of the venture fund's collective investment contract. (3) Collective Investment Contract Number This item is filled with the venture fund's collective investment contract number. (4) Collective Investment Contract Date This item is filled with the venture fund's collective investment contract date. (5) Venture Fund Placement Type This item is filled with the type of venture fund placement, namely:
a) equity participation; b) purchase of conversion sukuk or sharia bonds; c) purchase of sukuk or sharia bonds issued by business partners at the early start-up stage and/or business development stage; and/or d) financing based on the profit-sharing principle. (6) Issuer Name This item is filled with the name of the business partner where the venture fund conducts financing and/or participation. (7) Nominal Value This item is filled with the nominal value of financing and/or participation conducted by the venture fund in the business partner. (8) Start Date This item is filled with the date the financing and/or participation by the venture fund in the business partner begins based on the agreement. (9) Maturity Date This item is filled with the maturity date or end of the financing and/or participation period by the venture fund in the business partner based on the agreement. In the event there are no provisions regarding maturity for participation activities, this item may be left blank. (10) Total Value against NAV in % This item is filled with the ratio of the value of financing and/or participation by the venture fund in each business partner to the Net Asset Value (NAV) of the venture fund. This item is filled in percentage units (%). (11) Percentage Based on Investment Policy This item is filled with the ratio of the value of financing and/or participation by the venture fund in each business partner to the investment limits based on investment policy. This item is filled in percentage units (%). (12) Quality This item is filled with the quality of financing and/or participation assets by the venture fund in each business partner, assessed using criteria in accordance with the asset quality classification rules of the reporting Sharia Venture Capital Company based on the Financial Services Authority Circular Letter regarding the financial health level of Venture Capital Companies. (13) Provision for Write-off of Productive Assets This item is filled with the provision for write-off of productive assets for financing and/or participation assets by the venture fund in each business partner as regulated in the Financial Services Authority Circular Letter regulating the financial health level of Venture Capital Companies.

T. FORM 3034: DETAILS OF VENTURE FUND UNIT HOLDERS

FORM 3034 FORMAT (DETAILS OF VENTURE FUND UNIT HOLDERS)
Form 3034 (Details of Venture Fund Unit Holders) is prepared according to the following format:
(1) Venture Fund Name
(2) Unit Holder Account Number
(3) Unit Holder Name
(4) Unit Holder Category
(5) Unit Holder Country of Origin
(6) Time Period
(7) Currency Type
(8) Nominal Value
Start Date
Maturity Date
In Original Currency
In Rupiah Equivalent
FORM 3034 EXPLANATION (DETAILS OF VENTURE FUND UNIT HOLDERS)
Form 3034 (Details of Venture Fund Unit Holders) contains a detailed list of venture fund unit holders.
(1) Venture Fund Name
This item is filled with the name of the venture fund managed by the reporting Sharia Venture Capital Company through a collective investment contract. (2) Unit Holder Account Number This item is filled with the unit holder account number for participation in the venture fund's collective investment contract. (3) Unit Holder Name This item is filled with the full name of the venture fund unit holder. (4) Unit Holder Category This item is filled with the unit holder category. (5) Unit Holder Country of Origin This item is filled with the country of origin of the unit holder. (6) Time Period This item is filled with the start and maturity period of participation in the venture fund's collective investment contract, namely:

Start Date
The start date is the date participation begins through the purchase of participation units in the venture fund's collective investment contract.
Maturity Date
The maturity date is the maturity date of participation in the venture fund. In the event there are no provisions regarding maturity at the time of purchasing participation units, this item may be left blank. (7) Currency Type This item is filled with the type of currency used in the purchase of participation units in the venture fund's collective investment contract. (8) Nominal Value This item is filled with the nominal value of participation units owned by the unit holder of the venture fund's collective investment contract.
In Original Currency
This item is filled with the nominal balance of participation units owned by the unit holder of the venture fund's collective investment contract and recorded in foreign currency value if the unit holder is not an Indonesian citizen or Indonesian legal entity. If the currency type is Rupiah, the foreign currency value is filled with zero.
In Rupiah Equivalent
This item is filled with the nominal balance of participation units owned by the unit holder of the venture fund's collective investment contract and recorded in Rupiah units at the end of the reporting period or in foreign currency equivalent to Rupiah based on the Bank Indonesia mid-rate.

U. FORM 5310: ASSET AND LIABILITY MATURITY ANALYSIS REPORT

FORM 5310 FORMAT (ASSET AND LIABILITY MATURITY ANALYSIS REPORT)
Form 5310 (Asset and Liability Maturity Analysis Report) is prepared according to the following format:
Items
Rupiah
Foreign Currency
Total
Maturity Up To
≤3 Months

3-≤6 Months
6 Months - ≤1 Year
1-≤5 Years
5-≤10 Years
10 Years
Total
≤3 Months
3-≤6 Months
6 Months - ≤1 Year
1-≤5 Years
5-≤10 Years
10 Years
Total
I. ASSETS
A. Sharia Venture Capital Investments

Equity Participation
Net Purchase of Conversion Sukuk/Sharia Bonds
a. Purchase of Conversion Sukuk/Sharia Bonds b. Provision for Write-off of Productive Assets for Purchase of Conversion Sukuk/Sharia Bonds
Net Purchase of Sukuk/Sharia Bonds Issued by Business Partners at the Early Start-up Stage and/or Business Development Stage
a. Purchase of Sukuk/Sharia Bonds Issued by Business Partners at the Early Start-up Stage and/or Business Development Stage b. Provision for Write-off of Productive Assets for Purchase of Sukuk/Sharia Bonds Issued by Business Partners at the Early Start-up Stage and/or Business Development Stage
Net Financing Based on Profit-Sharing Principle
a. Financing Based on Gross Profit-Sharing Principle b. Provision for Write-off of Productive Assets for Financing Based on Profit-Sharing Principle B. Non-Investment Assets
II. LIABILITIES
A. Funding Received

Positions
Rupiah
Foreign Currency
Total
Due Within
≤3
Months

3-≤6
Months
6
Months
-≤1
Year
1-≤5
Years
5-≤10
Years
10
Years
Total
≤3
Months
3-≤6
Months
6
Months
-≤1
Year
1-≤5
Years
5-≤10
Years
10
Years
Total
B. Securities Issued
C. Liabilities Other Than
Financing and Issued
Securities

EXPLANATION OF FORM 5310 (ASSET AND LIABILITY MATCHING ANALYSIS REPORT)
Form 5310 (Asset and Liability Matching Analysis Report) contains the value of assets and liabilities of the reporting Sharia Venture Capital Company or the reporting UUS based on maturity age, divided into <3 months, 3 – 6 months, 6 months – 1 year, 1 – 5 years, 5 – 10 years, and over 10 years.

I. Assets
This position covers total assets based on each age category in currency, both in Rupiah and/or foreign currency. This position consists of the sum of net Sharia venture capital investments and non-investment assets. The asset value must equal the total assets position in Form 1100 (Balance Sheet).

A. Sharia Venture Capital Investments
This position covers total venture capital investments based on Sharia principles based on each investment age category in currency, both in Rupiah and/or foreign currency. This position consists of equity participation, purchase of conversion Sharia sukuk or bonds, purchase of Sharia sukuk or bonds issued by business partners in the early startup stage and/or business development, and Profit-Sharing Principle Financing. The value of Sharia venture capital investments must equal the Sharia Venture Capital Investments position in Form 1100 (Balance Sheet).

Equity Participation
This position is filled with the total value of equity participation originating from the business activities of the reporting Sharia Venture Capital Company or the reporting UUS to business partners, recorded at fair value at the time of the reporting period based on each age category of receivables in currency, both in Rupiah and/or foreign currency.
Net Purchase of Conversion Sharia Sukuk/Bonds
This position is filled with the total value of participation through the net purchase of conversion Sharia sukuk or bonds based on each age category of receivables in currency, both in Rupiah and/or foreign currency. This position originates from the net purchase of conversion Sharia sukuk or bonds after being reduced by the provision for impairment of productive assets for participation through the purchase of conversion Sharia sukuk or bonds.
Net Purchase of Sharia Sukuk or Bonds Issued by Business Partners in the Early Startup Stage and/or Business Development
This position is filled with the total value of financing through the purchase of Sharia sukuk or bonds issued by business partners in the early startup stage and/or business development based on each age category of receivables in currency, both in Rupiah and/or foreign currency. This position originates from financing through the purchase of debt instruments issued by business partners in the early startup stage and/or business development net after being reduced by the provision for impairment of productive assets for financing through the purchase of Sharia sukuk or bonds issued by business partners in the early startup stage and/or business development.
Net Profit-Sharing Principle Financing
This position is filled with the total value of financing based on the profit-sharing principle based on each age category of receivables in currency, both in Rupiah and/or foreign currency.

B. Non-Investment Assets
This position covers the total age of non-investment assets according to currency, whether in Rupiah and/or foreign currency.

II. Liabilities
This position covers the total age of liabilities according to currency, in Rupiah and/or foreign currency according to its age classification. This position consists of the sum of financing received, securities issued, and liabilities other than financing and securities issued.

Copied as per the original
Legal Director 1
Legal Department signed
Yuliana

Established in Jakarta on 4 December 2019
EXECUTIVE HEAD OF SUPERVISOR
OF INSURANCE, PENSION FUNDS,
LENDING INSTITUTIONS, AND
OTHER FINANCIAL SERVICE INSTITUTIONS
FINANCIAL SERVICES AUTHORITY,

signed

RISWINANDI

APPENDIX IV
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY NUMBER 25 /SEOJK.05/2019 REGARDING MONTHLY REPORTING FOR VENTURE CAPITAL COMPANIES AND SHARIA VENTURE CAPITAL COMPANIES

FORMAT 1 : LETTER OF APPLICATION FOR CHANGE OF DIRECTORS RESPONSIBLE FOR MONTHLY REPORTING AND OFFICERS COMPOSING MONTHLY REPORTS COMPANY LETTERHEAD Number :
Date :
Attachment :
Subject : Application for Change of Directors Responsible for Monthly Reporting and/or Officers Composing Monthly Reports To:
Financial Services Authority u.p. Directorate of Statistics and IKNB Information Wisma Mulia 2 Building, 11th Floor Jalan Jenderal Gatot Subroto Kav. 40 Jakarta, 12710
Referring to the Financial Services Authority Circular Letter Number ..... dated .....
regarding Monthly Reporting for Venture Capital Companies and Sharia Venture Capital Companies, we hereby for and on behalf of:
Company : ______________________________________ Company Code : ______________________________________ submit an application for:

change of Directors responsible for monthly reporting;
and/or
change of officers composing monthly reports,
with the following changes:
Position Description Before After
Director
Responsible
Name
Position in
Company
Email
Telephone
Reporting Officer
Name
Position in
Company
Email
Telephone

Thus this application is submitted, and for your attention we thank you.
Sincerely,
Directors/Equivalent Officials
PT/Cooperative/CV *)
Signature, name, and wet seal
( )
*) delete what is not needed

FORMAT 2 : LETTER OF APPLICATION FOR USER ID AND PASSWORD FOR THE MONTHLY REPORTING APPLICATION COMPANY LETTERHEAD Number :
Date :
Attachment :
Subject : Application for User ID and Password for Monthly Reporting Application To:
Financial Services Authority u.p. Directorate of Statistics and IKNB Information Wisma Mulia 2 Building, 11th Floor Jalan Jenderal Gatot Subroto Kav. 40 Jakarta, 12710
Referring to the Financial Services Authority Circular Letter Number ..... dated .....
regarding Monthly Reporting for Venture Capital Companies and Sharia Venture Capital Companies, we hereby for and on behalf of:
Company : ______________________________________ Company Code: ______________________________________ apply to obtain a user ID and password for the submission of Monthly Reports with the name of the officer composing the Monthly Report as follows:
Name : ______________________________________
Position : ______________________________________ Email : ______________________________________ Telephone : ______________________________________ Thus this application is submitted and for your attention we thank you. Sincerely, Directors/Equivalent Officials PT/Cooperative/CV *) Signature, name, and wet seal ( ) *) delete what is not needed

FORMAT 3 : LETTER OF APPLICATION FOR CHANGE OF USER ID AND PASSWORD FOR THE MONTHLY REPORTING APPLICATION COMPANY LETTERHEAD Number :
Date :
Attachment :
Subject : Application for Change of User ID and Password for Monthly Reporting Application To:
Financial Services Authority u.p. Directorate of Statistics and IKNB Information Wisma Mulia 2 Building, 11th Floor Jalan Jenderal Gatot Subroto Kav. 40 Jakarta, 12710
Referring to the Financial Services Authority Circular Letter Number ..... dated .....
regarding Monthly Reporting for Venture Capital Companies and Sharia Venture Capital Companies, we hereby for and on behalf of:
Company : ______________________________________ Company Code : ______________________________________ apply for a change of user ID and password for the submission of Monthly Reports with the name of the officer composing the Monthly Report as follows:
Name : ______________________________________
Position : ______________________________________ Email : ______________________________________ Telephone : ______________________________________ Thus this application is submitted, and for your attention we thank you. Sincerely, Directors/Equivalent Officials PT/Cooperative/CV *) Signature, name, and

Copied as per the original
Legal Director 1
Legal Department signed
Yuliana wet seal
( )
*) delete what is not needed

Established in Jakarta on 4 December 2019
EXECUTIVE HEAD OF SUPERVISOR
OF INSURANCE, PENSION FUNDS,
LENDING INSTITUTIONS, AND
OTHER FINANCIAL SERVICE INSTITUTIONS
FINANCIAL SERVICES AUTHORITY,

signed

RISWINANDI

Circular Letter of the Financial Services Authority Number 25/SEOJK.05/2019 Concerning Monthly Reports of Venture Capital Companies and Sharia Venture Capital Companies

Lineage: In force