Financial Services Authority Circular No. 22/SEOJK.05/2022 on Monthly Reports of PT Bahana Pembinaan Usaha Indonesia (Persero) — OJK — ID

To:
The Board of Directors of PT Bahana Pembinaan Usaha Indonesia (Persero), At your office.

COPY
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY REPUBLIC OF INDONESIA NUMBER 22/SEOJK.05/2022 CONCERNING MONTHLY REPORTS OF PT BAHANA PEMBINAAN USAHA INDONESIA (PERUSAHAAN PERSEROAN (PERSERO))

In accordance with the mandate of Article 34 paragraph (2) of Financial Services Authority Regulation Number 13/POJK.05/2022 concerning the Supervision of PT Bahana Pembinaan Usaha Indonesia (Persero) (State Gazette of the Republic of Indonesia Year 2022 Number 7/OJK, Supplement to the State Gazette of the Republic of Indonesia Number 7/OJK), it is necessary to regulate the form, structure, and procedures for submitting monthly reports in this Financial Services Authority Circular Letter as follows:

I. GENERAL PROVISIONS
In this Financial Services Authority Circular Letter, the following terms are defined:

PT Bahana Pembinaan Usaha Indonesia (Persero) (hereinafter referred to as the Company) is a legal entity with the status of a state-owned enterprise, established based on Government Regulations regarding State Capital Participation for the Establishment of PT Bahana Pembinaan Usaha Indonesia in the Field of National Private Business Development and Government Regulation Number 20 of 2020 concerning the Addition of State Capital Participation into the Share Capital of PT Bahana Pembinaan Usaha Indonesia (Persero).
Monthly Report of the Company (hereinafter referred to as the Monthly Report) is a report prepared by the Company for the needs of the Financial Services Authority, for the period from the 1st to the end of the relevant month.
Board of Directors is the company organ authorized and fully responsible for the management of the company for the benefit of the company, in accordance with the purpose and objectives of the company, and represents the company, both in and out of court, in accordance with the provisions of the articles of association.
Board of Commissioners is the company organ tasked with conducting general and/or specific supervision in accordance with the articles of association and providing advice to the Board of Directors.

II. FORM AND STRUCTURE OF THE MONTHLY REPORT

The Monthly Report consists of:
a. the Company profile report; and b. the Company financial report.
In preparing the Monthly Report, the Company refers to the general explanation of the preparation of the Monthly Report as contained in Appendix I, which is an integral part of this Financial Services Authority Circular Letter.
The form and structure of the Monthly Report as referred to in item 1 refers to Appendix II, which is an integral part of this Financial Services Authority Circular Letter.

III. TIME SUBMISSION OF MONTHLY REPORTS

The Company is required to submit the Monthly Report to the Financial Services Authority no later than the 10th day of the following month.
If the final deadline for submission as referred to in item 1 falls on a holiday, the final submission deadline is on the first working day after the aforementioned deadline.
The Financial Services Authority has the authority to set different submission deadlines from the provisions as referred to in item 1 for certain conditions, such as force majeure.

IV. BOARD OF DIRECTORS MEMBERS RESPONSIBLE AND REPORT PREPARATION OFFICERS

The Company appoints a Board of Directors member responsible for the preparation and presentation of the Monthly Report.
The Board of Directors member as referred to in item 1 appoints a preparation officer to prepare, verify, and submit the Monthly Report.
For the first time, the Company must submit data on the Board of Directors members as referred to in item 1 and the preparation officers as referred to in item 2 to the Financial Services Authority according to Format 1 as contained in Appendix III, which is an integral part of this Financial Services Authority Circular Letter, no later than when this Financial Services Authority Circular Letter takes effect.
In the event of changes to the Board of Directors members as referred to in item 1 and/or the preparation officers as referred to in item 2, the Company must report changes in Board of Directors members and/or preparation officers to the Financial Services Authority according to Format 2 as contained in Appendix III, which is an integral part of this Financial Services Authority Circular Letter, no later than 10 (ten) working days from the occurrence of the change.

V. PROCEDURES FOR SUBMITTING MONTHLY REPORTS

The Company is required to submit the Monthly Report online through the Financial Services Authority's data communication network system.
The Financial Services Authority's data communication network system as referred to in item 1 consists of:
a. reporting information system; or b. electronic mail.
In submitting the Monthly Report online as referred to in item 1, the preparation officer as referred to in Roman IV item 2 must have a user ID and password.
The use of user ID and password as referred to in item 3 is conducted for online submission using the reporting information system.
To obtain the user ID and password as referred to in item 3, the Company's Board of Directors must submit a request according to Format 3 as contained in Appendix III, which is an integral part of this Financial Services Authority Circular Letter.
In the event of changes to the user ID and password as referred to in item 3, the Company's Board of Directors must submit a request according to Format 4 as contained in Appendix III, which is an integral part of this Financial Services Authority Circular Letter.
In the event that the reporting information system as referred to in item 4 is not yet available, the online submission of the Monthly Report through the Financial Services Authority's data communication network system as referred to in item 1 is conducted via electronic mail.
The online submission of the Monthly Report via electronic mail as referred to in item 7 is submitted to the address lbpp.bpui@ojk.go.id.
In the event of technical difficulties during the submission deadline for the Monthly Report such that:
a. The Company cannot submit the Monthly Report online; and/or b. The Financial Services Authority cannot receive the Monthly Report online, The Company must submit the Monthly Report offline no later than the next working day in the form of an electronic copy (soft file) accompanied by validation proof and submitted to the Financial Services Authority via a letter signed by the Board of Directors member as referred to in Roman IV item 1 and addressed to:
Financial Services Authority u.p. Director of Statistics and IKNB Information Gedung Wisma Mulia 2, 18th Floor Jalan Jenderal Gatot Subroto Kav. 40, Jakarta, 12710.
In the event that the Company experiences technical difficulties causing the Company to be unable to submit the Monthly Report online as referred to in item 9 letter a, the Company must submit written notification to the Financial Services Authority on the same day after the technical difficulty occurs.
In the event that the Financial Services Authority experiences technical difficulties causing the Financial Services Authority to be unable to receive the Monthly Report online as referred to in item 9 letter b, the Financial Services Authority announces in writing to the Company on the same day after the technical difficulty occurs.
The offline submission of the Monthly Report in the form of an electronic copy (soft file) as referred to in item 8 is submitted in the form of data recordings stored on a compact disc or other electronic data recording media.
In the event of changes to the Financial Services Authority's office address as referred to in item 9, the Financial Services Authority will communicate such address changes via letter or announcement.
The offline submission of the Monthly Report as referred to in item 9 is conducted by:
a. being handed directly to the Financial Services Authority office; or b. being sent via a courier service company.
The offline submission of the Monthly Report as referred to in item 9 is submitted to the Financial Services Authority on working days and during the Financial Services Authority's working hours.
The Company is deemed to have submitted the Monthly Report with the following provisions:
a. for online submission through the Financial Services Authority's data communication network system in the form of a reporting information system as referred to in item 4 or using electronic mail as referred to in item 7, evidenced by a receipt from the reporting information system or electronic mail from the Financial Services Authority; or b. for offline submission as referred to in item 9, evidenced by a receipt from the Financial Services Authority.
Questions related to the submission of the Monthly Report may be submitted to:
Financial Services Authority u.p. Director of Statistics and IKNB Information Gedung Wisma Mulia 2, 18th Floor Jalan Jenderal Gatot Subroto Kav. 40, Jakarta, 12710 Telephone: 021-29600000 Electronic mail: statistics@ojk.go.id.

This copy is consistent with the original
Director of Law 1
Legal Department signed
Mufli Asmawidjaja

VI. CLOSING

The Company's obligation to submit the Monthly Report according to the form, structure, and submission procedures regulated in this Financial Services Authority Circular Letter begins for the reporting period of April 2023, submitted in accordance with the submission time as referred to in Roman III.
The Company must conduct testing of the submission of the Monthly Report according to the form, structure, and submission procedures of the Monthly Report as regulated in this Financial Services Authority Circular Letter for the reporting period of January through March 2023.
This Financial Services Authority Circular Letter takes effect on April 1, 2023.

Established in Jakarta on December 5, 2022

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

signed
OGI PRASTOMIYONO

APPENDIX I
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY REPUBLIC OF INDONESIA NUMBER 22/SEOJK.05/2022 CONCERNING MONTHLY REPORTS OF PT BAHANA PEMBINAAN USAHA INDONESIA (PERUSAHAAN PERSEROAN (PERSERO))

TABLE OF CONTENTS
A. GENERAL EXPLANATION
1. Reporting Objectives 2
2. Reporting Principles 2
3. Presentation of Foreign Currency Transactions 2
4. Filling Out Monthly Report Forms 3
B. GENERAL EXPLANATION OF DETAIL LIST COLUMNS 3
1. Currency Type 3
2. Interest Rate/Margin/Profit Sharing/Return/Service Fee 3
3. Issuer/Debtor Category 3
4. Buyer Category 4
5. Creditor Category 4
6. Relationship with the Company 4

GENERAL EXPLANATION OF MONTHLY REPORT PREPARATION OF THE COMPANY A. General Explanation

Reporting Objectives
The Monthly Report prepared according to the systematics established in this Appendix is intended to collect and compile statistical data of the Company individually or combined in order to:
a. regulate and supervise the Company; b. create statistics for the needs of Company analysis; and
c. fulfill the Company's internal needs.
To achieve these objectives, the Company submits reports accurately, completely, and within the established deadlines.
Reporting Principles
This reporting system adheres to the following principles:
a. Basis of preparation
The preparation of the Monthly Report is based on regulations established by the Financial Services Authority and Financial Accounting Standards (PSAK) as well as Financial Accounting Standards Interpretations (ISAK). The Company's transaction accounting is carried out in accordance with applicable accounting standards. b. Separation between financial position reports and administrative accounts All items that are the Company's assets, liabilities, and equity are reported in the financial position report. Items that are still commitments and contingencies, as well as other notes, are reported in administrative accounts.
Presentation of Foreign Currency Transactions
Financial reports must be presented in Rupiah. Foreign currency (hereinafter referred to as valas) assets, liabilities, equity, and administrative accounts 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. Income and expenses for each income statement and other comprehensive income statement (including comparative) are detailed using the exchange rate on the transaction date.
Filling Out Monthly Report Forms
Form filling 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) but its realization is in Rupiah, such transaction is treated as a foreign currency transaction.
Interest Rate/Margin/Profit Sharing/Return/Service Fee
Interest rate is the price level of securities owned by the reporting Company. For interest rates, fill in two decimal places, for example, an interest rate of 12.5% is written as 12.50. For transaction types that do not bear interest, the interest rate column is left blank. In the event that the reporting Company holds Sharia securities, the terms margin, profit sharing, return, or service fee are used. Profit sharing or return is the value or percentage of income from the ownership of Sharia securities by the reporting Company. For profit sharing or return, fill in two decimal places, for example, profit sharing or return of 12.50% is written as 12.50. For securities that do not provide profit sharing or return, the value column is left blank.
Issuer/Debtor Category
Issuer or debtor 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
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 such securities upon issuance.
Creditor Category
Creditor category is the category of parties providing loans/funding 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 Related to the Company refers to parties related to the Company, namely:
1) individuals or business entities that are controllers of the reporting Company;
2) business entities where the reporting Company acts as a controller;
3) individuals or business entities acting as controllers of business entities where the business as referred to in item 2);
4) business entities whose control is conducted 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);
5) Board of Commissioners or Board of Directors of the reporting Company;
6) parties having family relationships up to the second degree, both horizontal and vertical:
a) from individuals who are controllers of the reporting Company as referred to in item 1); and/or b) from Board of Commissioners or Board of Directors of the reporting Company as referred to in item 5);
7) Board of Commissioners or Board of Directors of business entities as referred to in items 1) through 4);
8) business entities whose Board of Commissioners or Board of Directors are:
a) Board of Commissioners or Board of Directors of the reporting Company; or b) Board of Commissioners or Board of Directors of business entities as referred to in items 1) through 4);
9) business entities where:
a) Board of Commissioners or Board of Directors of the reporting 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
10) business entities having financial dependence with the reporting Company and/or parties as referred to in items 1) through 9).
b. Not Related to the Company
Not Related to the Company refers to parties that do not have connections with the reporting Company as referred to in letter a.

This copy is consistent with the original
Director of Law 1
Legal Department signed
Mufli Asmawidjaja

Established in Jakarta on December 5, 2022

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

signed
OGI PRASTOMIYONO

APPENDIX II
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY REPUBLIC OF INDONESIA NUMBER 22/SEOJK.05/2022 CONCERNING MONTHLY REPORTS OF PT BAHANA PEMBINAAN USAHA INDONESIA (PERUSAHAAN PERSEROAN (PERSERO))

TABLE OF CONTENTS
I. Company Profile Report, consisting of:
A. Form 0000: Company Profile 2
B. Form 0035: Management Details 6
C. Form 0041: Workforce Details Based on Education Level
D. Form 0043: Workforce Details Based on Function 12 E. Form 0046: Foreign Workforce Details 16
II. Company Financial Report, consisting of:
A. Form 1100: Financial Position Report 18
B. Form 1200: Income Statement and Other Comprehensive Income
C. Form 1300: Cash Flow Report 37
D. Form 2200: Details of Securities Owned 44
E. Form 2300: Details of Equity Participation 48 F. Form 2490: Details of Other Assets 51 G. Form 2550: Details of Loans/Funding Received 53 H. Form 2600: Details of Securities Issued 59
I. Form 2790: Details of Other Liabilities 64
J. Form 3010: Details of Derivative Instruments for Hedging K. Form 5310: Report on Asset and Liability Matching Analysis

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

FORM 0000 (COMPANY PROFILE) FORMAT
Form 0000 (Company Profile) is prepared according to the following format:
REPORTING PERIOD
1) Month and Year of Reporting
COMPANY INFORMATION
2) Company Name/Acronym
3) Taxpayer Identification Number (NPWP)
4) Legal Entity Form
5) Establishment Date
6) Type of Business Activity Conducted
COMPANY ADDRESS
7) Full Address
8) District/City Location
9) Postal Code
10) Telephone Number
11) Office Building Ownership Status
12) Website Address
13) Electronic Mail Address (Email)
WORKFORCE COUNT
14) Workforce Count
RESPONSIBLE BOARD OF DIRECTORS MEMBERS AND PREPARATION OFFICERS
15) Responsible Board of Directors Member for Report
a) Full Name b) Position c) Telephone Number d) Electronic Mail Address (Email)
16) Report Preparation Officer
a) Full Name b) Position c) Telephone Number d) Electronic Mail Address (Email)
EXPLANATION OF FORM 0000 (COMPANY PROFILE)
Form 0000 (Company Profile) contains all information regarding the profile of the reporting Company.

Reporting Period
1) Month and Year of Reporting
This item is filled with the reporting period in the form of the month and year the Monthly Report is submitted.
Reporting Company Information
2) Company Name/Acronym
This item is filled with the name or acronym of the reporting Company.
3) Taxpayer Identification Number (NPWP)
This item is filled with the NPWP of the reporting Company.
4) Legal Entity Form
This item is filled with the legal entity form of the reporting Company.
5) Establishment Date
This item is filled with the date, month, and year of establishment of the reporting Company.
6) Type of Business Activity Conducted
This item is filled with the type of business activity according to the Company's articles of association.
Reporting Company Address
7) Full Address
This item is filled with the full address according to the domicile of the reporting Company's head office.
8) District/City Location
This item is filled with the district/city of the reporting Company's head office domicile.
9) Postal Code
This item is filled with the postal code number of the reporting Company's head office domicile.
10) Telephone Number
This item is filled with the telephone number of the reporting Company, preceded by the area code.
11) Office Building Ownership Status
This item is filled with the ownership status of the reporting Company's head office building, namely:
a) owned by self; b) rented; or c) other ownership status.
12) Website Address
This item is filled with the website address of the reporting Company.
13) Electronic Mail Address (Email)
This item is filled with the electronic mail (email) address of the reporting Company.
Workforce Count
This item is filled with the number of workforce, including permanent, contract, and outsourcing workers according to the gender column, and must be detailed in Form 0041 (Workforce Details Based on Education Level).
Responsible Board of Directors Members and Preparation Officers
14) Responsible Board of Directors Member for Report
This item is filled with complete data of the Board of Directors member acting as the report responsible party. a) Full Name This item is filled with the full name of the responsible Board of Directors member. b) Position This item is filled with the position of the responsible Board of Directors member. c) Telephone Number This item is filled with the telephone number of the responsible Board of Directors member. d) Electronic Mail Address (Email) This item is filled with the electronic mail (email) address of the responsible Board of Directors member.
15) Report Preparation Officer
This item is filled with complete data of the reporting Company personnel acting as the report preparation officer. a) Full Name This item is filled with the full name of the report preparation officer. b) Position This item is filled with the position of the report preparation officer. c) Telephone Number This item is filled with the telephone number of the report preparation officer. d) Electronic Mail Address (Email) This item is filled with the electronic mail (email) address of the report preparation officer.

B. FORM 0035: MANAGEMENT DETAILS

FORM 0035 (MANAGEMENT DETAILS) FORMAT
Form 0035 (Management Details) is prepared according to the following format:
(1) (2) (3) (4) (5)
Name
Identity Number
Citizenship Position Domicile
(6) (7) (8) (9)
Deed Number
Deed Date Date of Assumption of Office
Information on Competency and Fitness Assessment Decision Letter Number Decision Letter Date
EXPLANATION OF FORM 0035 (MANAGEMENT DETAILS)
Form 0035 (Management Details) contains information regarding the management of the reporting company, consisting of members of the Board of Commissioners and members of the Board of Directors for the reporting company.

(1) Name
This position is filled with the names of members of the Board of Commissioners and members of the Board of Directors.

(2) Identity Number
This position is filled with identity numbers, such as the population index number (NIK), KITAS (Temporary Stay Permit), and/or passport of members of the Board of Commissioners and members of the Board of Directors of the reporting company.

(3) Nationality
This position is filled with the nationality of the reporting company's members of the Board of Commissioners and members of the Board of Directors.

(4) Position/Title
This position is filled with the position/title of members of the Board of Commissioners and members of the Board of Directors of the reporting company.

(5) Domicile
This position is filled with the district/city location where members of the Board of Commissioners and members of the Board of Directors of the reporting company reside.

(6) Appointment Deed Number
This position is filled with the number of the appointment deed for members of the Board of Commissioners and members of the Board of Directors of the reporting company.

(7) Deed Date
This position is filled with the date of the appointment deed for members of the Board of Commissioners and members of the Board of Directors of the reporting company.

(8) Date of Assumption of Office
This position is filled with the date, month, and year when each member of the Board of Commissioners and members of the Board of Directors of the reporting company assumed office, in accordance with the deed of the General Meeting of Shareholders approving the appointment of members of the Board of Commissioners and members of the Board of Directors.

(9) Information on Fit and Proper Test Approval

Decision Letter Number
This position is filled with the Decision Letter Number for the Determination of the Results of the Fit and Proper Test, for example, KEP-(number)/D.05/(year).
Decision Letter Date
This position is filled with the date, month, and year the Decision Letter was issued.
Information regarding the Fit and Proper Test must not be left blank. For members of the Board of Commissioners and members of the Board of Directors who assumed office before the implementation of Financial Services Authority Regulation Number 13/POJK.05/2022 concerning Supervision of PT Bahana Pembinaan Usaha Indonesia (Persero), this column is filled with a statement that the reporting company's members of the Board of Commissioners and members of the Board of Directors are not yet required to undergo the Fit and Proper Test, considering that their term of office has not yet been extended or transferred at the reporting company.

C. FORM 0041: WORKFORCE DETAILS BASED ON EDUCATION LEVEL

FORM 0041 (WORKFORCE DETAILS BASED ON EDUCATION LEVEL) FORMAT
Form 0041 (Workforce Details Based on Education Level) is compiled 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
a. Other Education Below High School
b. High School (SMA)
c. Diploma
d. Bachelor's Degree (Sarjana)
e. Postgraduate (Pascasarjana)
Total

EXPLANATION OF FORM 0041 (WORKFORCE DETAILS BASED ON EDUCATION LEVEL)
Form 0041 (Workforce Details Based on Education Level) contains details of the number of workforce in each category of education level for the reporting company.

Education Level
a. Other Education Below High School b. High School (SMA)
c. Diploma
d. Bachelor's Degree (Sarjana) e. Postgraduate (Pascasarjana) In the event that there are workforce from the reporting company with Strata 2 or Strata 3 education levels, they are filled in the Postgraduate column.
Permanent Workforce
This position is filled with the number of permanent workforce based on education level. a. Male (Laki-laki) b. Female (Perempuan)
c. Total
Contract Workforce
This position is filled with the number of contract workforce based on education level. a. Male (Laki-laki) b. Female (Perempuan)
c. Total
Outsourcing Workforce
This position is filled with the number of outsourcing workforce based on education level. a. Male (Laki-laki) b. Female (Perempuan)
c. Total
Total Workforce
This position is filled with the total number of workforce based on education level. a. Male (Laki-laki) b. Female (Perempuan)
c. Total

D. FORM 0043: WORKFORCE DETAILS BASED ON FUNCTION

FORM 0043 (WORKFORCE DETAILS BASED ON FUNCTION) FORMAT
Form 0043 (Workforce Details Based on Function) is compiled according to the following format:

(1) Function	(2) Permanent Workforce	(3) Contract Workforce	(4) Outsourcing Workforce	(5) Total Workforce	(6) Notes: Concurrent Positions
	Managerial Level up to One Level Below Board of Directors	Staff and Other Workforce Levels	Managerial Level up to One Level Below Board of Directors	Staff and Other Workforce Levels	Managerial Level up to One Level Below Board of Directors	Staff and Other Workforce Levels	Managerial Level up to One Level Below Board of Directors	Staff and Other Workforce Levels	Managerial Level up to One Level Below Board of Directors	Staff and Other Workforce Levels
1. Human Resource and General Affair
2. Finance, Administration, and Accounting
3. Risk Management
4. Internal Control and Compliance
5. Legal
6. Information System Management
7. Fraud Control
8. Other Functions (Specify)
Total Workforce

EXPLANATION OF FORM 0043 (WORKFORCE DETAILS BASED ON FUNCTION)
Form 0043 (Workforce Details Based on Function) contains the number of workforce owned by the reporting company based on work units, both at the head office and at offices other than the head office of the reporting company, according to the status of each workforce.

(1) Function

Human resource and general affair
Finance, administration, and accounting
Risk management
Internal control and compliance
Legal
Information system management
Fraud control
Other functions (specify).

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

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

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

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

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

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

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

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

(6) Notes on Concurrent Positions
This position is filled with the concurrent functions performed by the reporting company's workforce. For reporting purposes, one workforce person can only be included in one function, even though in practice they handle several functions.

E. FORM 0046: FOREIGN WORKFORCE DETAILS

FORM 0046 (FOREIGN WORKFORCE DETAILS) FORMAT
Form 0046 (Foreign Workforce Details) is compiled according to the following format (if applicable):

(1) Name	(2) Identity Number	(3) Nationality	(4) Position	(5) Specialization Field

(6) Domicile	(7) Work Permit Number	(8) Work Permit Date	(9) Start of Work Permit Validity	(10) End of Work Permit Validity

EXPLANATION OF FORM 0046 (FOREIGN WORKFORCE DETAILS)
Form 0046 (Foreign Workforce Details) contains details of the reporting company's foreign workforce.

(1) Name
This position is filled with the name of the reporting company's foreign workforce.

(2) Identity Number
This position is filled with identity numbers, such as the population index number (NIK), KITAS (Temporary Stay Permit), and/or passport of the reporting company's foreign workforce.

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

(4) Position/Title
This position is filled with the category of position for foreign workforce at the reporting company. Positions for foreign workforce include experts at a level one level below the Board of Directors, advisors, and consultants.

(5) Specialization Field
This position is filled with the specialization field of foreign workforce at the reporting company. Specialization fields include, among others, risk management, information technology, and so on.

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

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

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

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

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

II. FINANCIAL REPORTS OF THE COMPANY
A. FORM 1100: STATEMENT OF FINANCIAL POSITION

FORM 1100 (STATEMENT OF FINANCIAL POSITION) FORMAT
Form 1100 (Statement of Financial Position) is compiled according to the following format:

ASSETS

Positions	Rp	Foreign Currency (Valas)	Total
1. Cash and Cash Equivalents
a. Cash
b. Deposits at Domestic Banks
1) Checking Accounts (Giro)
2) Other Deposits
c. Deposits at Foreign Banks
1) Checking Accounts (Giro)
2) Other Deposits
2. Investments in Securities/Islamic Securities
3. Derivative Receivable Assets
4. Equity Participations
5. Trade Receivables
6. Net Fixed Assets and Inventories
a. Gross Fixed Assets and Inventories
b. Accumulated Depreciation of Fixed Assets and Inventories
7. Net Intangible Assets
a. Gross Intangible Assets
b. Accumulated Amortization of Intangible Assets
8. Deferred Tax Assets
9. Other Assets
Total Assets

LIABILITIES AND EQUITY

Positions	Rp	Foreign Currency (Valas)	Total
LIABILITIES
1. Current Liabilities
2. Derivative Liabilities
3. Tax Payables
4. Securities/Islamic Securities Issued
5. Loans/Funds Received
a. Loans/Funds Received from Government
b. Loans/Funds Received from Banks
c. Loans/Funds Received from Non-bank Financial Institutions
d. Loans/Funds Received from Other Parties
6. Post-employment Benefit Liabilities
7. Deferred Tax Liabilities
8. Other Liabilities
EQUITY
1. Capital
a. Paid-in Capital
1) Authorized Capital
2) Unpaid Capital
b. Additional Paid-in Capital
1) Share Premium (Agio)
2) Grant Capital
3) Difference in Value of Transactions of Restructuring of Controlled Entities
4) Other Additional Paid-in Capital
c. Discount (Disagio)
d. Treasury Stock
e. Equity Instrument Issuance Costs
2. Reserves
a. General Reserves
b. Specific Reserves
3. Retained Earnings (Losses) Balance
4. Net Profit (Loss) After Tax
5. Other Equity Components
a. Balance of Other Equity Components
1) Balance of Gains (Losses) from Changes in Revaluation Surplus of Fixed Assets
2) Balance of Gains (Losses) from Exchange Rate Differences Due to Translation of Financial Statements in Foreign Currency
3) Balance of Gains (Losses) from Re-measurement of Financial Assets Available for Sale
4) Balance of Gains (Losses) from Effective Portion of Financial Hedging Instruments in Cash Flow Hedging
5) Balance of Gains (Losses) on Other Equity Components in accordance with Financial Accounting Standards Principles
b. Other Comprehensive Income (Loss) for the Current Period
Total Liabilities and Equity

EXPLANATION OF FORM 1100 (STATEMENT OF FINANCIAL POSITION)
Form 1100 (Statement of Financial Position) contains the reporting company's statement of financial position, providing detailed explanations of asset positions and liability and equity positions.

ASSETS

Cash and Cash Equivalents
a. Cash
This position is filled with the amount of currency in cash, consisting of banknotes and coins, issued by Bank Indonesia as legal tender in Indonesia. Foreign banknotes and coins still in circulation owned by the reporting company are also included in the definition of cash. Commemorative coins and commemorative notes issued by Bank Indonesia are reported under other assets. b. Deposits at Domestic Banks This position is filled with all types of deposits of the reporting company at banks in Indonesia, both in Rupiah and foreign currency. This position must not be offset with bank positions in liability positions.
1) Checking Accounts (Giro)
This position is filled with the amount of the reporting company's deposits in the form of checking accounts at commercial banks and/or Islamic commercial banks in Indonesia.
2) Other Deposits
This position is filled with the amount of the reporting company's deposits other than checking accounts, such as savings, time deposits, certificates of deposit, deposit on call, and other similar deposits at commercial banks, Islamic commercial banks, rural credit banks, and/or rural Islamic financing banks in Indonesia.
c. Deposits at Foreign Banks
This position is filled with all types of deposits of the reporting company at banks outside the country.
1) Checking Accounts (Giro)
This position is filled with the reporting company's deposits in the form of checking accounts at banks and/or Islamic banks outside the country.
2) Other Deposits
This position is filled with the reporting company's deposits in the form of savings, time deposits, certificates of deposit, deposit on call, and other similar deposits at banks and/or Islamic banks outside the country.
Investments in Securities/Islamic Securities
This position covers all investments of the reporting company in securities/Islamic securities, excluding equity participations in the form of shares. The value of securities is presented in accordance with the applicable Financial Accounting Standards (PSAK). This position must be detailed in Form 2200 (Details of Securities Held).
Derivative Receivable Assets
This position 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. These derivative transactions are only for hedging activities. This position must be detailed in Form 3010 (Details of Derivative Instruments for Hedging).
Equity Participations
This position is filled with the amount of equity participations in the form of shares by the reporting company in other companies, both in the financial services sector and/or companies not operating in the financial services sector, both in Rupiah and foreign currency. Shares held as part of equity participation are not for trading. This position must be detailed in Form 2300 (Details of Equity Participations).
Trade Receivables
This position is filled with the value of receivables related to the reporting company's activities that have not yet been paid by other parties.
Net Fixed Assets and Inventories
a. Gross Fixed Assets and Inventories
This position covers fixed assets and inventories owned by the reporting company. b. Accumulated Depreciation of Fixed Assets and Inventories This position covers the accumulated depreciation of fixed assets and inventories up to the reporting date.
Net Intangible Assets
a. Gross Intangible Assets
This position covers intangible assets owned by the reporting company. b. Accumulated Amortization of Intangible Assets This position covers the accumulated amortization of intangible assets up to the reporting date.
Deferred Tax Assets
This position covers the amount of deferred tax assets recognized by the reporting company at the end of the reporting period, measured using the applicable tax rate on all deductible temporary differences and/or fiscal loss balances, to the extent that it is probable that they can be utilized to reduce fiscal income in the future.
Other Assets
This position covers asset balances that cannot be included or classified into positions 1 through 8 above, including prepaid expenses. This position must be detailed in Form 2490 (Details of Other Assets).

LIABILITIES

Current Liabilities
This position covers short-term liabilities of the reporting company to third parties with a maturity of not more than 30 (thirty) days. This position includes, among others, liabilities related to employee pension programs and the reporting company's insurance premiums.
Derivative Liabilities
This position 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. These derivative liabilities are only for hedging activities. This position must be detailed in Form 3010 (Details of Derivative Instruments for Hedging).
Tax Payables
This position covers all tax liabilities of the reporting company that have not yet been paid in accordance with applicable Indonesian tax regulations.
Securities/Islamic Securities Issued
This position covers the value of all securities/Islamic securities other than shares issued by the reporting company domestically and abroad to obtain additional funds from the public through public offering mechanisms based on capital market laws and regulations, including securities issued not through public offering mechanisms such as medium-term notes (MTN). This position must be detailed in Form 2600 (Details of Securities Issued).
Loans/Funds Received
This position covers loans/funds received by the reporting company in Rupiah and foreign currency from domestic and foreign sources. a. Loans/Funds Received from Government This position covers loans/funds received by the reporting company in Rupiah and foreign currency from the government, both the Republic of Indonesia government and foreign governments. b. Loans/Funds Received from Banks This position covers loans/funds received by the reporting company in Rupiah and foreign currency from banks operating in Indonesia and abroad.
c. Loans/Funds Received from Non-bank Financial Institutions
This position covers loans/funds received by the reporting company in Rupiah and foreign currency from non-bank financial institutions operating in Indonesia and abroad. d. Loans/Funds Received from Other Parties This position covers loans/funds received by the reporting company in Rupiah and foreign currency from other parties, not included in positions a through c.
Post-employment Benefit Liabilities
This position covers all liabilities for all forms of consideration provided by the reporting company in exchange for services provided by workers or for termination of employment contracts. This position includes post-employment benefit liabilities and other long-term employee benefits (such as long-term paid leave, long-term service awards, or other long-term benefits).
Deferred Tax Liabilities
This position covers the amount of deferred tax liabilities recognized by the reporting company at the end of the reporting period, calculated using the applicable tax rate for all taxable temporary differences. This position is presented in the statement of financial position based on offsetting with deferred tax asset positions.
Other Liabilities
This position covers other liability balances that cannot be included or classified into positions 1 through 7. This position must be detailed in Form 2790 (Details of Other Liabilities).

EQUITY

Capital
a. Paid-in Capital
This position covers the value of the reporting company's capital that has been fully paid by the reporting company's shareholders.
1) Authorized Capital
This position covers the amount of authorized capital at the reporting company.
2) Unpaid Capital
This position covers the amount of capital that has not yet been paid at the reporting company. b. Additional Paid-in Capital
1) Share Premium (Agio)
This position covers the excess of paid-in capital received by the reporting company as a result of share prices exceeding their nominal value.
2) Grant Capital
This position covers the value of grant capital received by the reporting company.
3) Difference in Value of Transactions of Restructuring of Controlled Entities
This position covers the difference between the transfer price and the book value of each restructuring transaction between controlled entities in accordance with applicable accounting standards.
4) Other Additional Paid-in Capital
This position covers additional paid-in capital other than items 1) through 3) in accordance with applicable accounting standards.
c. Discount (Disagio)
This position covers the shortfall of paid-in capital as a result of share prices being lower than their nominal value. d. Treasury Stock This position covers the amount of share capital reacquired by the reporting company. e. Equity Instrument Issuance Costs This position covers the costs incurred by the reporting company when issuing shares.
Reserves
This position covers reserves formed in accordance with the articles of association and/or decisions of owners or the General Meeting of Shareholders. a. General Reserves This position covers reserves formed from the retention of retained earnings or net profit after tax. b. Specific Reserves This position covers the portion of profit after tax set aside for specific purposes.
Retained Earnings (Losses) Balance
This position covers the retained earnings (losses) balance (borne) by the reporting company at the beginning of the reporting year.
Net Profit (Loss) After Tax
This position covers the profit (loss) of the reporting company during the accounting period, from the beginning of the year to the reporting date.
Other Equity Components
This position covers equity components of the reporting company arising from comprehensive transactions. a. Balance of Other Equity Components
1) Balance of Gains (Losses) from Changes in Revaluation Surplus of Fixed Assets
This position covers the balance of gains (losses) from changes in the revaluation surplus of fixed assets by the reporting company at the beginning of the reporting year.
2) Balance of Gains (Losses) from Exchange Rate Differences Due to Translation of Financial Statements in Foreign Currency
This position covers the balance of gains (losses) from exchange rate differences due to the translation of financial statements in foreign currency by the reporting company at the beginning of the reporting year.
3) Balance of Gains (Losses) from Re-measurement of Financial Assets Available for Sale
This position covers the balance of gains (losses) from the re-measurement of financial assets available for sale by the reporting company at the beginning of the reporting year.
4) Balance of Gains (Losses) from Effective Portion of Financial Hedging Instruments in Cash Flow Hedging
This position covers the balance of gains (losses) from the effective portion of financial hedging instruments in cash flow hedging by the reporting company at the beginning of the reporting year.
5) Balance of Gains (Losses) on Other Equity Components in accordance with Financial Accounting Standards Principles
This position covers the balance of gains (losses) on other equity components in accordance with applicable accounting standards by the reporting company at the beginning of the reporting year. b. Other Comprehensive Income (Loss) for the Current Period This position covers other comprehensive income (OCI) by the reporting company during the accounting period, from the beginning of the year to the reporting date. The value of this position must be equal to the Other Comprehensive Income (Loss) position in Form 1200 (Statement of Profit or Loss and Other Comprehensive Income).

B. FORM 1200: OTHER COMPREHENSIVE INCOME STATEMENT

FORMAT OF FORM 1200 (OTHER COMPREHENSIVE INCOME STATEMENT)
Form 1200 (Other Comprehensive Income Statement) is prepared in the following format:

Items	IDR	Foreign Currency	Total
(1) REVENUE
1. Operating Revenue
a. Revenue from Operations
b. Other Operating Revenue
2. Non-Operating Revenue
a. Interest/Investment Return Revenue
b. Other Non-Operating Revenue
(2) EXPENSES
1. Operating Expenses
a. Interest, Return, Provision, and Fee Expenses
1) Interest/Return Expense on Received Loans/Funding
2) Interest/Return Expense on Issued Securities/Sharia Securities
3) Provision and Fee Expenses
b. Employee Expenses
c. Provision/Depreciation Expenses
1) Depreciation Expense on Fixed Assets and Inventory
2) Amortization Expense on Intangible Assets
d. Financial Asset Impairment Expenses
1) Placements with Banks
2) Held Securities
3) Loans Granted
4) Others
e. Rental Expenses
f. Maintenance and Repair Expenses
g. Administrative and General Expenses
h. Other Operating Expenses
2. Non-Operating Expenses
(3) PROFIT (LOSS) BEFORE TAX
(4) ESTIMATED INCOME TAX
1. Current Year Tax
2. Deferred Tax (Income) Expense
(5) NET PROFIT (LOSS) AFTER TAX
(6) OTHER COMPREHENSIVE INCOME (LOSS) FOR THE CURRENT PERIOD
1. Gain (Loss) Due to Changes in Revaluation Surplus of Fixed Assets
2. Exchange Differences from Translating Financial Statements in Foreign Currency
3. Gain (Loss) Due to Remeasurement of Available-for-Sale Financial Assets
4. Gain (Loss) Due to Effective Portion of Cash Flow Hedge Financial Instruments
5. Gain (Loss) on Other Equity Components in Accordance with Financial Accounting Standards Principles
(7) COMPREHENSIVE NET PROFIT (LOSS) FOR THE CURRENT YEAR

EXPLANATION OF FORM 1200 (OTHER COMPREHENSIVE INCOME STATEMENT)
Form 1200 (Other Comprehensive Income Statement) includes a report stating cumulative figures from the beginning of the reporting company's fiscal year up to the report date. The method for filling out the comprehensive income statement is detailed as follows:

(1) REVENUE

Operating Revenue
This item covers all revenue from the main activities of the reporting company. a. Revenue from Operations This item covers all revenue obtained from the main activities of the Company, such as providing consulting services and building management. b. Other Operating Revenue This item covers other operating revenue received by the reporting company other than in item letter a above.
Non-Operating Revenue
This item covers revenue from activities other than the main activities of the reporting company. a. Interest/Investment Return Revenue This item covers interest/return revenue in IDR and/or foreign currency from placements made by the reporting company in the form of securities/Sharia securities. b. Other Non-Operating Revenue This item covers non-operating revenue other than in item letter a above.

(2) EXPENSES

Operating Expenses
This item covers costs arising from the operational activities of the reporting company. a. Interest, Return, Provision, and Fee Expenses
1) Interest/Return Expense on Received Loans/Funding
This item covers interest/return costs from loans/funding received.
2) Interest/Return Expense on Issued Securities/Sharia Securities
This item covers interest/return costs from issued securities.
3) Provision and Fee Expenses
This item covers provision and fee costs from received loans/funding. b. Employee Expenses This item covers basic salary, wages, and allowances paid to members of the Board of Commissioners, members of the Board of Directors, and/or employees of the reporting company who are permanent or non-permanent staff, before deduction of income tax and other withholdings. This sub-item also includes honoraria, overtime pay, and welfare care.
c. Provision/Depreciation Expenses
1) Depreciation Expense on Fixed Assets and Inventory
This item covers depreciation costs for fixed assets and inventory.
2) Amortization Expense on Intangible Assets
This item covers amortization costs for intangible assets. d. Financial Asset Impairment Expenses This item covers expenses incurred by the reporting company related to the impairment of financial assets.
1) Placements with Banks
This item covers expenses incurred by the reporting company related to the impairment of financial assets on assets placed with banks.
2) Held Securities
This item covers expenses incurred by the reporting company related to the impairment of financial assets on assets in the form of held securities.
3) Loans Granted
This item covers expenses incurred by the reporting company related to the impairment of financial assets on assets in the form of loans granted.
4) Others
This item covers expenses incurred by the reporting company related to the impairment of financial assets on other assets other than in items 1), 2), and 3) above. e. Rental Expenses This item contains all rental costs paid by the reporting company, such as office rent, house or building rent, and equipment rent. f. Maintenance and Repair Expenses This item covers costs incurred by the reporting company for maintenance and/or repair of fixed assets, office inventory, and others. g. 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. h. Other Operating Expenses This item covers costs other than in items letter a through letter g.
Non-Operating Expenses
This item covers expenses incurred by the reporting company other than for the main activities of the reporting company.

(3) PROFIT (LOSS) BEFORE TAX
This item covers the amount of revenue minus the amount of expenses of the reporting company before deduction of 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 deduction of estimated income tax, which includes current year tax and deferred tax income (expense) recognized for the current period up to the report date.

(6) OTHER COMPREHENSIVE INCOME (LOSS) FOR THE CURRENT PERIOD

Gain (Loss) Due to Changes in 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 income statement based on compensation (offset) with loss items.
Exchange Differences from Translating Financial Statements in Foreign Currency
This item covers the net gain or loss related to exchange differences from translating financial statements in foreign currency recognized for the current period up to the report date. This item is presented in the income statement based on compensation (offset) with loss items.
Gain (Loss) 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 period up to the report date. This item is presented in the income statement based on compensation (offset) with loss items.
Gain (Loss) Due to Effective Portion of Cash Flow Hedge Financial Instruments
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 income statement based on compensation (offset) with loss items.
Gain (Loss) on Other Equity Components in Accordance with Financial Accounting Standards Principles
This item covers the net gain or loss other than in items 1 through 4. This item is presented in the income (loss) statement based on compensation (offset) with loss items.

(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).

C. FORM 1300: CASH FLOW STATEMENT

FORMAT OF FORM 1300 (CASH FLOW STATEMENT)
Form 1300 (Cash Flow Statement) is prepared in the following format:

Items	IDR	Foreign Currency	Total
I. Net Cash from Operating Activities
1. Cash Inflows from Operating Activities
a. Cash Inflows from Receipts of Consulting Services
b. Cash Inflows from Other Operating Revenue
2. Cash Outflows for Operating Activities
a. Cash Outflows for Payment of Interest/Ujrah/Return
b. Cash Outflows for Payment of Income Tax
c. Cash Outflows for Payment of General and Administrative Expenses
d. 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 Equity Investments
b. Cash Inflows from Sale of Land, Buildings, and Equipment
c. Cash Inflows from Sale of Intangible Assets
d. Cash Inflows from Sale of Securities/Sharia Securities
e. Cash Inflows from Dividends
f. Cash Inflows from Receipt of Interest/Ujrah/Return from Investing Activities
g. Cash Inflows from Other Investing Activities
2. Cash Outflows for Investing Activities
a. Cash Outflows for Equity Investments
b. Cash Outflows for Purchase of Land, Buildings, and Equipment
c. Cash Outflows for Purchase of Intangible Assets
d. Cash Outflows for Acquisition of Securities
e. Cash Outflows for Other Investing Activities
III. Net Cash from Financing Activities
1. Cash Inflows from Financing Activities
a. Cash Inflows from Loans and Issuance of Securities
b. Cash Inflows from Issuance of Share Capital
c. Cash Inflows from Sharia Principle-Based Funding
d. Cash Inflows from Other Funding
2. Cash Outflows for Financing Activities
a. Cash Outflows for Payment of Loan Principal and Issued Securities
b. Cash Outflows for Payment of Loan Interest and Issued Securities
c. Cash Outflows for Withdrawal of Company Capital (Treasury Stock)
d. Cash Outflows for Payment of Dividends
e. Cash Outflows for Sharia Principle-Based Funding
f. Cash Outflows for Other Funding
IV. Surplus (Deficit) on 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 statement that uses 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 and cash equivalents are separated based on transaction groups that affect the reporting company's giro at foreign banks and transactions with parties other than foreign banks.

I. Net Cash from Operating Activities

Cash Inflows from Operating Activities
a. Cash Inflows from Receipts of Consulting Services This item contains all receipts originating from consulting service activities. b. Cash Inflows from Other Operating Revenue This item contains all receipts not originating from consulting service activities. This item can originate from receipts of written-off receivables, administrative revenue, and interest not originating from debtors in cash form, as well as other revenue not originating from main activities.
Cash Outflows for Operating Activities
a. Cash Outflows for Payment of Interest/Ujrah/Return This item contains all expenditures resulting from the payment of interest/ujrah/return for loans/funding used. b. Cash Outflows for Payment of Income Tax This item contains all expenditures related to all income tax payments.
c. Cash Outflows for Payment of General and Administrative Expenses
This item contains all labor costs, rental costs, consultant costs, maintenance and repair costs, insurance premiums, other annuity payments, and other administrative expenses not originating from the main activities of the reporting company. d. Cash Outflows for Payment of Other Operating Activities This item contains all expenditures resulting 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 Equity Investments This item contains the proceeds from the disposal of equity investments involving cash and other related revenue. b. Cash Inflows from Sale of Land, Buildings, and Equipment This item contains cash receipts from the sale of land, buildings, and equipment. If in the sale there are expenditures for administrative costs and other costs to be borne by the reporting company, this item contains the net revenue from the sale of land after deduction of costs to be paid by the reporting company.
c. Cash Inflows from Sale of Intangible Assets
This item contains cash receipts from the sale of intangible assets. If in the sale there are expenditures for administrative costs and other costs to be borne by the reporting company, this item contains the net revenue from the sale of land after deduction of costs to be paid by the reporting company. d. Cash Inflows from Sale of Securities/Sharia Securities In the event the reporting company sells back long-term securities not intended for trading, the sale proceeds must be reported in this cash receipt item net after deduction of all costs payable in connection with the transaction. e. Cash Inflows from Dividends This item contains cash receipts from dividend revenue from the reporting company's investments in shares of other companies. f. Cash Inflows from Receipt of Interest/Ujrah/Return from Investing Activities This item contains cash receipts from interest/ujrah/return revenue from investing activities in securities conducted by the reporting company. g. 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 Equity Investments
This item contains all payments made related to equity investment activities. 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. If in this transaction the reporting company makes cash payments for other costs, this item must be recorded net by deducting other costs incurred to acquire it from the acquisition cost.
c. Cash Outflows for Purchase of Intangible Assets
This item contains cash expenditures for transactions involving the purchase of intangible assets. If in this transaction the reporting company makes cash payments for other costs, this item must be recorded net by deducting other costs incurred to acquire it from the acquisition cost. d. Cash Outflows for Acquisition of Securities This item contains cash expenditures for investing activities conducted in the context of securities acquisition transactions. If in this transaction the reporting company makes cash payments for other costs, this item must be recorded net by deducting other costs incurred to acquire it from the acquisition cost. e. Cash Outflows for Other Investing Activities This item contains cash expenditures for other investing activities not included in the items above.

III. Net Cash from Financing Activities

Cash Inflows from Financing Activities
a. Cash Inflows from Loans and Issuance of Securities This item contains cash receipts from loan receipts and proceeds from the issuance of securities by the reporting company. b. Cash Inflows from Issuance of Share Capital This item contains cash receipts from the proceeds of the reporting company's share capital issuance.
c. Cash Inflows from Sharia Principle-Based Funding
This item contains cash receipts from funding based on Sharia principles. d. Cash Inflows from Other Funding This item contains cash receipts from other funding results not included in the items above.
Cash Outflows for Financing Activities
a. Cash Outflows for Payment of Loan Principal and Issued Securities This item contains cash expenditures to repay loan principal and issued securities to creditors and/or investors. b. Cash Outflows for Payment of Loan Interest and Issued Securities This item contains cash expenditures to pay interest on loans and issued securities to creditors and/or investors.
c. Cash Outflows for Withdrawal of Company Capital (Treasury Stock)
This item contains cash expenditures for transactions involving the withdrawal of the reporting company's share capital. d. Cash Outflows for Payment of Dividends This item contains cash expenditures for dividend payments to shareholders of the reporting company. e. Cash Outflows for Sharia Principle-Based Funding This item contains cash expenditures for funding based on Sharia principles. f. Cash Outflows for Other Funding This item contains all cash expenditures for funding activities not included in the items above.

IV. Surplus (Deficit) on 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 report year period up to the report date.

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 report year period up to the report date.

VI. Cash and Cash Equivalents at the Beginning of the Period
This item contains the amount of cash and cash equivalent positions at the beginning of the reporting company's report year period.

VII. Cash and Cash Equivalents at the End of the Period
This item contains the amount of cash and cash equivalent positions at the end of the reporting company's report date period.

D. FORM 2200: DETAILS OF SECURITIES HELD

FORMAT OF FORM 2200 (DETAILS OF SECURITIES HELD)
Form 2200 (Details of Securities Held) is prepared in the following format:

(1) Security Number	(2) Type of Security	(3) Tenor	(4) Currency Type	(5) Ownership Purpose	(6) Interest/Return	(7) Ending Balance	(8) Issuer	(9) Related Institution Status	(10) Rating Agency	(11) Security Rating	(12) Rating Date
		Start Date	Maturity Date		Type	Nominal Value	Interest/Return Rate	In Original Currency	In IDR Equivalent	Name	Country	Category

EXPLANATION OF FORM 2200 (DETAILS OF SECURITIES HELD)
Form 2200 (Details of Securities Held) contains details reporting the position of short-term investments and long-term investments in the form of securities held by the reporting company in IDR and/or foreign currency issued by other parties. This item does not include equity investments in the form of shares.

(1) Security Number
This item 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 item is filled with the type of security held by the reporting company in IDR and/or foreign currency, namely:

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

(3) Tenor

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 without a tenor 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 held security.

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

(6) Interest/Return

Type
This item is filled with the type of interest rate or return set on the security held by the reporting company, namely floating or fixed.
Value
This item is filled with the nominal value of interest or return income agreed upon by the parties stated in the contract.
Rate
This item is filled with the percentage of the agreed interest rate or return rate per annum.
Securities without an interest rate or return rate do not need to be filled or can be left blank.

(7) Ending Balance
This item is filled with the value of the security at the end of the report period. The Ending Balance must be the same as the Investment in Securities item in Form 1100 (Balance Sheet).

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

(8) Issuer

Name
This item is filled with the name of the company issuing the security.
Country
This item is filled with the country issuing the security.
Category
This item is filled with the category of the security issuer.

(9) Related Party Status
This item is filled with the relationship with the Reporting Company.

Related to the Company
Related to the Company refers to parties that have a related party relationship with the Reporting Company.
Not Related to the Company
Not related to the Company refers to parties that do not have a related party relationship with the Reporting Company.
Explanation regarding the relationship with the Reporting Company refers to the General Explanation of the Detailed List Column as referred to in Appendix I, which is an integral part of this Financial Services Authority Circular.

(10) 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 Company.

(11) Security Rating
This item is filled with the rating of the securities owned by the Reporting Company.

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

E. FORM 2300: DETAILS OF CAPITAL PARTICIPATION

FORM 2300 (DETAILS OF CAPITAL PARTICIPATION) FORMAT
Form 2300 (Details of Capital Participation) is structured in the following format:
(1) Company Name
(2) Company Group
(3) Related Party Status
(4) Country
(5) Start Date
(6) Percentage of Capital Participation
(7) Currency Type
(8) Initial Capital Participation Value

In Original Currency
In Rupiah Equivalent
(9) Final Capital Participation Value
In Original Currency
In Rupiah Equivalent

EXPLANATION OF FORM 2300 (DETAILS OF CAPITAL PARTICIPATION)
Form 2300 (Details of Capital Participation) contains details of capital participation activities conducted by the Reporting Company.

(1) Company Name
This item is filled with the name of the company receiving capital participation from the Reporting Company.

(2) Company Group
This item is filled with the classification/group of the company receiving capital participation from the Reporting Company.

(3) Related Party Status
This item is filled with the relationship with the Reporting Company.

Related to the Company
Related to the Company refers to the party receiving capital participation from the Reporting Company that is related to the Reporting Company.
Not Related to the Company
Not related to the Company refers to the party receiving capital participation from the Reporting Company that is not related to the Reporting Company.

(4) Country
This item is filled with the country of origin of the company receiving capital participation from the Reporting Company.

(5) Start Date
This item is filled with the time of execution of the capital participation.

(6) Percentage of Capital Participation
This item is filled with the percentage of capital participation conducted by the Reporting Company in the company receiving the capital participation (investee company).

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

(8) Initial Capital Participation Value

In Original Currency
This item is filled with the initial capital participation value in a currency other than Rupiah. If the currency type is Rupiah, the value in this column may be left blank.
In Rupiah Equivalent
This item is filled with the initial capital participation value in Rupiah, or in a currency other than Rupiah converted to Rupiah using the Bank Indonesia middle exchange rate.

(9) Final Capital Participation Value

In Original Currency
This item is filled with the final capital participation value in a currency other than Rupiah. If the currency type is Rupiah, the value in this column may be left blank.
In Rupiah Equivalent
This item is filled with the final capital participation value in Rupiah, or in a currency other than Rupiah converted to Rupiah using the Bank Indonesia middle exchange rate.

F. FORM 2490: DETAILS OF MISCELLANEOUS ASSETS

FORM 2490 (DETAILS OF MISCELLANEOUS ASSETS) FORMAT
Form 2490 (Details of Miscellaneous Assets) is structured in the following format:
(1) Type
(2) Currency Type
(3) 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 Company, which may include:

Prepaid Expenses
This item is filled with expenses used as upfront payment for certain costs.
Deferred Expenses
This item is filled with expenses that have occurred or are deferred because their benefits can be enjoyed in future periods.
Advance Taxes
This item is filled with the income tax amount already paid by the Reporting Company but not yet becoming an expense of the relevant accounting period.
Employee Loans
This item is filled with the value of loans provided by the Reporting 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 Company.

G. FORM 2550: DETAILS OF RECEIVED LOANS/FUNDING

FORM 2550 (DETAILS OF RECEIVED LOANS/FUNDING) FORMAT
Form 2550 (Details of Received Loans/Funding) is structured in the following format:
(1) Contract Number
(2) Loan/Funding Type
(3) Currency Type
(4) Duration

Start Date
Maturity Date
(5) Interest Rate/Profit Share/Return
Type
Value
Rate
(6) Loan/Funding Ceiling
In Original Currency
In Rupiah Equivalent
(7) Initial Loan/Funding
In Original Currency
In Rupiah Equivalent
(8) Loan/Funding Balance
In Original Currency
In Rupiah Equivalent
(9) Creditor
Name
Country
Group
(10) Related Party Status

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 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 Company from 2 (two) or more lenders or funders (creditors or investors), either directly or through intermediaries. The 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 having the largest share in providing the loan or funding.
Bilateral
Bilateral loans are loans or funding received by the Reporting Company from 1 (one) creditor or investor.
Multilateral
Multilateral loans are loans or funding received by the Reporting Company from international financial institutions, such as the International Finance Corporation and the Asian Development Bank.
Subordinated
Subordinated loans or funding are loans or funding received by the Reporting Company under conditions as contained in the Explanation of Financial Position Report Liabilities and Equity items regarding Subordinated Loans/Funding.

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

(4) Duration

Start Date
This item is filled with the date the loan or funding received by the Reporting Company from the creditor or investor began, as stated in the agreement.
Maturity Date
This item is filled with the date the loan or funding received by the Reporting Company from the creditor or investor ends, as stated in the agreement.

(5) Interest Rate/Profit Share/Return

Type
This item is filled with the type of interest rate from the loan obtained.
Floating
Fixed
For funding obtained based on Sharia principles, this item is filled according to the type of profit share or return established by the fund owner as agreed upon in the agreement.
Value
This item is filled with the nominal value of interest, profit share rate, or return charged by the creditor to the Reporting Company as stated in the contract.
Rate
This item is filled with the effective annual interest rate (per annum) charged by the creditor to the Reporting Company.
For funding obtained based on Sharia principles, this item is filled with the profit share rate or return agreed upon based on the funding agreement with the funder (investor).

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

In Original Currency
In original currency is the loan or funding ceiling value held in foreign currency according to the country of the lender or funder and recorded according to the nominal value in the financial position report based on applicable accounting standards.
In Rupiah Equivalent
In Rupiah equivalent is the loan or funding ceiling value held in Rupiah and the result of converting the loan or funding ceiling in foreign currency to Rupiah based on the Bank Indonesia middle exchange rate at the time of recording, and recorded according to the nominal value in the financial position report based on applicable accounting standards.

(7) Initial Loan/Funding
This item is filled with the amount of loan or funding received by the Reporting Company upon initial receipt after the agreement approval.

In Original Currency
In original currency is the initial loan or funding value held in foreign currency according to the country of the lender or funder and recorded according to the nominal value in the financial position report based on applicable accounting standards.
In Rupiah Equivalent
In Rupiah equivalent is the initial loan or funding value held in Rupiah and the result of converting the loan or funding ceiling in foreign currency to Rupiah based on the Bank Indonesia middle exchange rate at the time of recording, and recorded according to the nominal value in the financial position report based on applicable accounting standards.

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

In Original Currency
In original currency is the loan or funding balance value held in foreign currency according to the country of the lender or funder and recorded according to the nominal value in the financial position report based on applicable accounting standards.
In Rupiah Equivalent
In Rupiah equivalent is the loan or funding balance value held in Rupiah and the result of converting the loan or funding ceiling in foreign currency to Rupiah based on the Bank Indonesia middle exchange rate at the time of recording, and recorded according to the nominal value in the financial position report based on applicable accounting standards.

(9) Creditor

Name
This item is filled with the names of parties providing loans or funding to the Reporting Company. If the Reporting 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 agreements.
Country
This item is filled with the domicile country of the creditor or investor.
Group
This item is filled with the group of parties providing loans or funding for the business activities of the Reporting Company.

(10) Related Party Status
This item is filled with the related party status of the creditor or investor with the Reporting Company, namely:

Related to the Company
Related to the Company refers to the party providing loan or funding facilities to the Reporting Company that is related to the Reporting Company.
Not Related to the Company
Not related to the Company refers to the party providing loan or funding facilities to the Reporting Company that is not related to the Reporting Company. Explanation regarding the relationship with the Company refers to the General Explanation of the Detailed List Column as referred to in Appendix I, which is an integral part of this Financial Services Authority Circular.

H. FORM 2600: DETAILS OF ISSUED SECURITIES

FORM 2600 (DETAILS OF ISSUED SECURITIES) FORMAT
Form 2600 (Details of Issued Securities) is structured in the following format:
(1) Security Number
(2) Security Type
(3) Currency Type
(4) Duration

Start Date
Maturity Date
(5) Interest Rate/Profit Share/Return
Type
Value
Rate
(6) Nominal Value of Securities
In Original Currency
In Rupiah Equivalent
(7) Balance of Issued Securities
In Original Currency
In Rupiah Equivalent
(8) Creditor
Name
Country
Group
(9) Related Party Status
(10) Registration Date at the Clearing and Accounting Institution (LPP) (11) Registration Number at LPP (12) Trustee Name (13) Rating Agency (14) Security Rating (15) Rating Date

EXPLANATION OF FORM 2600 (DETAILS OF ISSUED SECURITIES)
Form 2600 (Details of Issued Securities) reports the position of securities, whether registered or bearer, issued by the Reporting Company, whether in Rupiah or 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 securities are issued. Securities that have been issued and subsequently repurchased by the Reporting Company in the secondary market must not be reported in the Detailed List of Securities Owned, but must reduce the outstanding amount of the issued securities.

(1) Security Number
This item is filled with the contract number of the securities issued by the Reporting Company or the code of the securities issued according to registration at the Indonesia Central Securities Depository (KSEI).

(2) Security Type
This item is filled with the type of securities issued by the Reporting Company, including:

Medium Term Notes (MTN)
MTN are medium-term securities with a duration of 1 to 3 years issued by the Reporting Company to MTN holders, with the obligation to pay coupons (interest rates) gradually according to the MTN interest payment schedule and to repay the entire principal amount at maturity.
Bonds
Bonds are debt instruments with a duration of more than 1 (one) year issued by the Reporting Company, with the obligation to pay coupons (interest rates) periodically to bond holders and to repay the entire principal amount at maturity.
Sharia Bonds/Sukuk
Sharia bonds or Sukuk are long-term securities based on Sharia principles issued by the Reporting Company to Sharia bond or Sukuk holders, obligating the Reporting Company to pay income to the holders in the form of returns and to repay the Sharia bond or Sukuk funds at maturity.

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

(4) Duration
This item is filled with the start and maturity dates of the securities issued by the Reporting Company, namely:

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

(5) Interest Rate/Profit Share/Return

Type
This item is filled with the type of interest rate or profit share/return established for the securities by the Reporting Company, namely floating, fixed, or profit share/return.
Value
This item is filled with the nominal value of interest or profit share/return agreed upon by the parties as stated in the contract.
Rate
This item is filled with the interest rate percentage per year (per annum) stated in the issued securities.
For securities issued based on Sharia principles, this item is filled with the profit share/return rate for the securities.

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

In Original Currency
This item is filled with the nominal balance of securities held 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 foreign currency value is filled with zero.
In Rupiah Equivalent
This item is filled with the nominal value of the issued securities held by creditors and recorded in Rupiah units at the end of the reporting period, with foreign currency values converted to Rupiah.

(7) 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 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 loan of the Reporting Company at the end of the reporting period in Rupiah or in foreign currency converted to Rupiah.

(8) Creditor

Name
This item is filled with the name of the party purchasing or holding the securities issued by the Reporting Company.
Country
This item is filled with the country of origin of the purchaser or holder of the securities issued by the Reporting Company.
Group
This item is filled with the group of fund providers purchasing or holding the securities issued by the Reporting Company.

(9) Related Party Status
This item is filled with the relationship with the Reporting Company.

Related to the Company
Related to the Company refers to parties that have a related party relationship with the Reporting Company.
Not Related to the Company
Not related to the Company refers to parties that do not have a related party relationship with the Reporting Company.
Explanation regarding the relationship with the Reporting Company refers to the General Explanation of the Detailed List Column as referred to in Appendix I, which is an integral part of this Financial Services Authority Circular.

(10) Registration Date at the Clearing and Accounting Institution (LPP) This item is filled with the date the Reporting Company is registered at the LPP or a similar institution in the event that securities are issued or traded abroad.

(11) Registration Number at LPP
This item is filled with the Registration Number of the Reporting Company at the Clearing and Accounting Institution (LPP) or a similar institution in the event that securities are issued or traded abroad.

(12) Trustee Name
This item is filled with the name of the trustee of the Reporting Company.

(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 issued by the Reporting Company.

(14) Security Rating
This item is filled with the rating of the securities issued by the Reporting Company.

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

I. FORM 2790: DETAILS OF MISCELLANEOUS LIABILITIES

FORM 2790 (DETAILS OF MISCELLANEOUS LIABILITIES) FORMAT
Form 2790 (Details of Miscellaneous Liabilities) is structured in the following format:
(1) Type
(2) Currency Type
(3) Nominal
(4) Duration

Start Date
Maturity Date
(5) Related Party Status

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 liabilities, which may include:

Interest/Profit Share/Return Payable
This item covers the total interest, profit share, or return expense of loans or funding that must be paid by the Reporting Company.
Salaries Payable
This item covers salaries payable by the Reporting Company.
Unpaid Dividends
This item covers dividend payables by the Reporting Company.
Deferred Revenue
This item covers total deferred revenue by the Reporting Company.
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 Company.

(4) Duration

Start Date
This item is filled with the date the obligation began.
Maturity Date
This item is filled with the maturity date for settling the obligation.
In the event that there is no information regarding the duration, this item may be left blank.

(5) Related Party Status
This item is filled with the relationship with the Company.

Related to the Company
Related to the Company refers to parties that have a related party relationship with the Reporting Company.
Not Related to the Company
Not related to the Company refers to parties that do not have a related party relationship with the Reporting Company.
Explanation regarding the relationship with the Company refers to the General Explanation of the Detailed List Column as referred to in Appendix I, which is an integral part of this Financial Services Authority Circular.

J. FORM 3010: DETAILS OF HEDGING DERIVATIVE INSTRUMENTS

FORM 3010 (DETAILS OF HEDGING DERIVATIVE INSTRUMENTS) FORMAT
Form 3010 (Details of Hedging Derivative Instruments) is structured in the following format:
(1) Underlying Transaction
(2) Loan/Funding
(3) Contract Number
(4) Derivative Instrument

Type
Currency Type
(5) Duration
Start Date
Maturity Date
(6) Nominal Value of Hedging Derivative Instrument
In Original Currency
In Rupiah Equivalent
(7) Counterparty
Name
Country
Group

EXPLANATION OF FORM 3010 (DETAILS OF DERIVATIVE INSTRUMENTS FOR HEDGING)

This Form 3010 (Details of Derivative Instruments for Hedging) reports a detailed list of derivative instruments held by the reporting company in Rupiah and/or foreign currency as hedging instruments. Each derivative instrument held by the reporting company becomes a hedging instrument in every loan transaction conducted by the reporting Infrastructure Financing Company.

(1) Underlying Loan/Funding Transaction

Contract Number
This field is filled with the number of the foreign currency loan or funding contract received by the reporting company, which serves as the basis for the ownership of the derivative instruments held by the reporting company for hedging purposes.
Nominal Amount
This field is filled with the amount of the foreign currency loan or funding received by the reporting company, which serves as the basis for the ownership of the derivative instruments held by the reporting company for hedging purposes.

(2) Derivative Instrument Contract Number
This field is filled with the contract number of the derivative instrument held by the reporting company for hedging purposes regarding the loan/funding transactions conducted by the reporting company.

(3) Type of Derivative Instrument
This field is filled with the type of derivative instrument selected by the reporting company for hedging purposes regarding the foreign currency loan transactions received.

Interest rate swap
Currency swap
Cross currency swap
Spot
Forward
Forward Agreement
Option
Future
Other types of derivative instruments

(4) Currency Type
This field is filled with the type of currency of the derivative instrument selected by the reporting company for hedging purposes regarding the loan or funding transactions received.

(5) Tenor

Start Date
This field is filled with the start date of the derivative instrument transaction between the reporting Infrastructure Company and the counterparty.
Maturity Date
This field is filled with the end date of the derivative instrument transaction between the reporting company and the counterparty.

(6) Nominal Amount of Derivative Instrument for Hedging

In Original Currency
This field is filled with the nominal value of the derivative instrument in the original currency other than Rupiah between the reporting company and the counterparty. If the currency type is Rupiah, the value in this column may be filled with zero.
In Rupiah Equivalent
This field is filled with the nominal value of the derivative instrument between the reporting company and the counterparty in Rupiah or in foreign currency converted to Rupiah using the Bank Indonesia mid-rate.

(7) Counterparty

Name
This field is filled with the name of the institution or company providing the derivative instrument used by the reporting company for hedging purposes.
Country
This field is filled with the country of the institution or company providing the derivative instrument used by the reporting company for hedging purposes.
Group
This field is filled with the business sector of the institution or company providing the derivative instrument used by the reporting company for hedging purposes.

K. Form 5310: ASSET AND LIABILITY MISMATCH ANALYSIS REPORT

FORM 5310 (ASSET AND LIABILITY MISMATCH ANALYSIS REPORT) FORMAT

Form 5310 (Asset and Liability Mismatch Analysis Report) is prepared in the following format:

Items	Rupiah							Foreign Currency
Maturity Until	≤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. Assets in the Form of Securities
B. Non-Securities Assets
II. LIABILITIES
A. Loans/Funding Received
B. Securities Issued
C. Liabilities Other Than Loans/Funding and Securities Issued

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

EXPLANATION OF FORM 5310 (ASSET AND LIABILITY MISMATCH ANALYSIS REPORT)

Form 5310 (Asset and Liability Mismatch Analysis Report) contains the asset and liability values of the reporting Infrastructure Financing Company 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 item covers total assets based on each age category in currency, either in Rupiah and/or foreign currency. This item consists of assets in the form of securities and non-securities assets. The asset value must be equal to the total asset item in Form 1100 (Balance Sheet Report).

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

Determined in Jakarta on December 5, 2022
EXECUTIVE HEAD OF SUPERVISOR OF
INSURANCE, PENSION FUNDS,
FINANCING INSTITUTIONS, AND
OTHER FINANCIAL SERVICE INSTITUTIONS
FINANCIAL SERVICES AUTHORITY
REPUBLIC OF INDONESIA, signed
OGI PRASTOMIYONO

APPENDIX III
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY REPUBLIC OF INDONESIA NUMBER 22 /SEOJK.05/2022 CONCERNING MONTHLY REPORT OF PT BAHANA PEMBINAAN USAHA INDONESIA (PERSERO) (BPUI)

FORMAT 1: SUBMISSION OF DATA ON DIRECTORATE MEMBERS RESPONSIBLE FOR THE MONTHLY REPORT AND PERSONNEL COMPOSING THE MONTHLY REPORT

[Company Letterhead]
Number :
Date :
Attachment :
Subject : Submission of Data on Directorate Members Responsible for the Monthly Report and Personnel Composing the Monthly Report

To:
Financial Services Authority u.p. Directorate of Statistics and IKNB Information Gedung Wisma Mulia 2, 18th Floor Jalan Jenderal Gatot Subroto Kav. 40 Jakarta, 12710

Directorate members responsible for the monthly report; and
Personnel composing the monthly report,
as follows:

Position	Description	Input
Directorate Members	Responsible Person
Name	Position in Company	Email	Phone
Personnel Composing
Name	Position in Company	Email	Phone

This report is submitted, and we thank you for your attention.
Sincerely,
Directorate
Signature, name, and wet seal
( )
*) delete as necessary

FORMAT 2: REPORT ON CHANGES IN DIRECTORATE MEMBERS RESPONSIBLE FOR THE MONTHLY REPORT AND/OR PERSONNEL COMPOSING THE MONTHLY REPORT

[Company Letterhead]
Number :
Date :
Attachment :
Subject : Report on Changes in Directorate Members Responsible for the Monthly Report and/or Personnel Composing the Monthly Report

To:
Financial Services Authority u.p. Directorate of Statistics and IKNB Information Gedung Wisma Mulia 2, 18th Floor Jalan Jenderal Gatot Subroto Kav. 40 Jakarta, 12710

changes in Directorate members responsible for the monthly report; and/or
changes in personnel composing the monthly report,
with the following changes:

Position	Description	Before	After
Directorate Members	Responsible Person
Name	Position in Company	Email	Phone
Personnel Composing
Name	Position in Company	Email	Phone

This report is submitted, and we thank you for your attention.
Sincerely,
Directorate
Signature, name, and wet seal
( )
*) delete as necessary

FORMAT 3: LETTER OF APPLICATION FOR USER ID AND PASSWORD FOR THE MONTHLY REPORT APPLICATION

[Company Letterhead]
Number :
Date :
Attachment :
Subject : Application for User ID and Password for the Monthly Report Application

To:
Financial Services Authority u.p. Directorate of Statistics and IKNB Information Gedung Wisma Mulia 2, 18th Floor Jalan Jenderal Gatot Subroto Kav. 40 Jakarta, 12710

Referring to the Circular Letter of the Financial Services Authority Number ..... dated ..... concerning the Monthly Report of PT Bahana Pembinaan Usaha Indonesia (Persero), we hereby, on behalf of:
Company : ______________________________________ Company Code : ______________________________________ apply to obtain a user ID and password for submitting the Monthly Report with the name of the personnel composing the Monthly Report as follows:
Name : ______________________________________
Position : ______________________________________ Email : ______________________________________ Phone : ______________________________________

This application is submitted, and we thank you for your attention.
Sincerely,
Directorate
Signature, name, and wet seal
( )
*) delete as necessary

FORMAT 4: LETTER OF APPLICATION FOR CHANGE OF USER ID AND PASSWORD FOR THE MONTHLY REPORT APPLICATION

[Company Letterhead]
Number :
Date :
Attachment :
Subject : Application for Change of User ID and Password for the Monthly Report Application

To:
Financial Services Authority u.p. Directorate of Statistics and IKNB Information Gedung Wisma Mulia 2, 18th Floor Jalan Jenderal Gatot Subroto Kav. 40 Jakarta, 12710

Referring to the Circular Letter of the Financial Services Authority Number ..... dated ..... concerning the Monthly Report of PT Bahana Pembinaan Usaha Indonesia (Persero), we hereby, on behalf of:
Company : ______________________________________ Company Code : ______________________________________ apply for a change of user ID and password for submitting the Monthly Report with the name of the personnel composing the Monthly Report as follows:
Name : ______________________________________
Position : ______________________________________ Email : ______________________________________ Phone : ______________________________________ Old User ID : ______________________________________ Old Password : ______________________________________

This application is submitted, and we thank you for your attention.
Sincerely,
Directorate

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

Signature, name, and wet seal
( )
*) delete as necessary

signed

OGI PRASTOMIYONO

Lineage: No known changes