Letter of the Financial Services Authority Number 15/SEOJK.07/2021 Concerning Reports of Alternative Dispute Resolution Institutions in the Financial Services Sector

To:

1. Management of Alternative Dispute Resolution Institutions in the Financial Services Sector;
2. Board of Directors/Management of Associations in the financial services sector; and
3. Board of Directors/Management of Financial Services Business Entities, both those conducting conventional and Sharia business activities,
   wherever located.

COPY
LETTER OF THE FINANCIAL SERVICES AUTHORITY
REPUBLIC OF INDONESIA
NUMBER 15 /SEOJK.07/2021
CONCERNING
REPORTS OF ALTERNATIVE DISPUTE RESOLUTION INSTITUTIONS IN THE FINANCIAL SERVICES SECTOR

In order to implement the provisions of Article 36 and Article 37 of the Financial Services Authority Regulation Number 61/POJK.07/2020 concerning Alternative Dispute Resolution Institutions in the Financial Services Sector (State Gazette of the Republic of Indonesia Year 2020 Number 290 and Supplement to the State Gazette of the Republic of Indonesia Number 6599), it is necessary to regulate implementation provisions regarding the submission of reports from Alternative Dispute Resolution Institutions in the Financial Services Sector in this Letter of the Financial Services Authority, as follows:

I. GENERAL PROVISIONS

In this Letter of the Financial Services Authority, the following terms are defined:

1. Alternative Dispute Resolution Institution in the Financial Services Sector, hereinafter referred to as LAPS Sector Financial Services, is an institution that resolves disputes in the financial services sector outside of court.

2. Financial Services Business Entity, hereinafter abbreviated as PUJK, is a Universal Bank, People's Credit/Financing Bank, Securities Broker, Investment Manager, Pension Fund, Insurance Company, Reinsurance Company, Financing Institution, Pawnshop Company, Guarantee Company, Information Technology-Based Money Lending Service Provider, Crowdfunding Service Provider, Microfinance Institution, Indonesia Export Financing Agency, PT Permodalan Nasional Madani (Persero), and other financial services institutions that conduct intermediary activities, fund management, and fund storage in the financial services sector, both those conducting conventional and Sharia business activities, based on applicable laws and regulations in the financial services sector.

3. Consumer is a party that places their funds and/or utilizes services available at PUJK.

4. Management is the organ that performs the management functions of LAPS Sector Financial Services for the benefit of LAPS Sector Financial Services according to the purpose and objectives of LAPS Sector Financial Services, and represents LAPS Sector Financial Services both inside and outside of court according to the articles of association.

5. Dispute is a disagreement between a Consumer and PUJK that has gone through the complaint resolution process by PUJK and is caused by material, fair, and direct losses and/or potential losses to the Consumer because PUJK failed to fulfill the financial transaction agreement and/or transaction documents that were agreed upon.

II. FORM AND STRUCTURE OF LAPS SECTOR FINANCIAL SERVICES REPORTS

1. The LAPS Sector Financial Services report is prepared by the Management of LAPS Sector Financial Services and reported to the Financial Services Authority.

2. The report as referred to in item 1 consists of 2 (two) types of reports, namely:
   a. periodic reports; and b. reports on the names of PUJK and Consumers who do not implement decisions or agreements.

3. The periodic report as referred to in item 2 letter a contains:
   a. information from each provided service at minimum regarding:

1. the number of dispute resolution requests;
2. the demographics of Consumers who submitted dispute resolution requests;
3. the number of dispute resolution requests rejected due to not meeting requirements, including reasons for rejection;
4. the number of disputes still in the resolution process;
5. the average time required to resolve each dispute;
6. the type of service and/or product that is the subject of the dispute; and
7. the number of disputes that have been decided and the results of monitoring the implementation of the said agreements and decisions;
   b. a list of the top 5 (five) largest disputes received by LAPS Sector Financial Services;
   c. a list of PUJK that have not become members of LAPS Sector Financial Services; and
   d. a list of members who have not paid membership fees to LAPS Sector Financial Services.

4. The periodic report as referred to in item 2 letter a is prepared using the format contained in Appendix I, which is an integral part of this Letter of the Financial Services Authority.

5. The report on the names of PUJK and Consumers who do not implement decisions or agreements as referred to in item 2 letter b contains at minimum:
   a. the number and date of the decision or agreement; b. the name of the PUJK and/or Consumer who did not implement the decision or agreement;
   c. the decision or agreement;
   d. the implementation deadline for the decision or agreement; e. the reasons for non-implementation of the decision or agreement; and f. the follow-up actions by LAPS Sector Financial Services.

6. The report as referred to in item 2 letter b is prepared using the format contained in Appendix II, which is an integral part of this Letter of the Financial Services Authority.

III. PROCEDURE FOR SUBMISSION OF LAPS SECTOR FINANCIAL SERVICES REPORTS

1. The periodic report as referred to in Section II item 2 letter a is submitted every 3 (three) months at the end of March, June, September, and December, no later than the 10th of the following month.

2. The report on the names of PUJK and Consumers who do not implement decisions or agreements as referred to in Section II item 2 letter b is submitted no later than 10 (ten) working days from the implementation deadline of the decision or agreement.

3. In the event that the final submission deadline for reporting as referred to in items 1 and 2 falls on a Saturday, Sunday, or holiday, the reporting obligation must be submitted no later than 1 (one) working day thereafter.

4. The submission of LAPS Sector Financial Services reports as referred to in items 1 and 2 is conducted through an electronic reporting system provided by the Financial Services Authority.

5. In the event that the electronic reporting system as referred to in item 4 experiences a disturbance, the submission of reports is conducted manually (offline) via a letter addressed to the Financial Services Authority, specifically the unit carrying out Consumer Protection functions.

6. In the event that the electronic reporting system experiences a disturbance as referred to in item 5, the Financial Services Authority notifies LAPS Sector Financial Services of the technical disturbance in writing, submitted:
   a. directly to LAPS Sector Financial Services; b. through the electronic reporting system provided by the Financial Services Authority; or
   c. through the Financial Services Authority's email address.

7. LAPS Sector Financial Services is responsible for the truthfulness and completeness of the report content, including but not limited to completeness, accuracy, timeliness, and the data and information requirements submitted to the Financial Services Authority.

IV. CLOSING PROVISIONS

1. Upon the effective date of this Letter of the Financial Services Authority, the Letter of the Financial Services Authority Number 54/SEOJK.07/2016 concerning Monitoring of Alternative Dispute Resolution Institutions in the Financial Services Sector is revoked and declared invalid.

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

2. The provisions in this Letter of the Financial Services Authority take effect from the date of establishment.
   Established in Jakarta on May 24, 2021
   MEMBER OF THE COMMISSIONER BOARD
   FOR EDUCATION AND
   CONSUMER PROTECTION
   FINANCIAL SERVICES AUTHORITY
   REPUBLIC OF INDONESIA, signed
   TIRTA SEGARA

APPENDIX I
LETTER OF THE FINANCIAL SERVICES AUTHORITY
REPUBLIC OF INDONESIA
NUMBER 15 /SEOJK.07/2021
CONCERNING
REPORTS OF ALTERNATIVE DISPUTE RESOLUTION INSTITUTIONS IN THE FINANCIAL SERVICES SECTOR

1. Report on Receipt of Requests and Progress of Dispute Resolution per Each Service
   Mediation Service
   REPORT ON RECEIPT OF REQUESTS AND PROGRESS OF DISPUTE RESOLUTION FOR MEDIATION SERVICES ALTERNATIVE DISPUTE RESOLUTION INSTITUTION IN THE FINANCIAL SERVICES SECTOR QUARTER … YEAR … No. Request Number Date Received Request Name PUJK Province of PUJK Domicile Province of Consumer Domicile Sector SubSector Type of Product/Service Type of Problem Dispute Value Request Acceptance Status Date Service Started Number of Resolution Agreement Date of Resolution Agreement Resolution Time Period Rejection Reason Status/Follow-up Resolution (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) I Disputes Received in Previous Reporting Quarter II Disputes Received in Current Reporting Quarter Total Dispute Resolution Requests Received (19) Total Dispute Resolution Requests Rejected (20) Total Disputes Still in Resolution Process (21) Average Resolution Time (22) Total Disputes Decided (23) Mark “-” if not filled.

Instructions for Filling the Report on Receipt of Requests and Progress of Dispute Resolution:
(1) Filled with the sequential number of dispute resolution.
(2) Filled with the request acceptance number for dispute resolution.
(3) Filled with the date of receiving the dispute resolution request in (dd/mm/yyyy) format.
(4) Filled with the name of PUJK as the respondent.
(5) Filled with the province of PUJK domicile.
(6) Filled with the province of Consumer domicile as the applicant.
(7) Filled with the sector:
(a) Banking
(b) Capital Market
(c) Insurance
(d) Pension Fund
(e) Financing, Pawnshops, Venture Capital, Fintech, and Other Financial Services Institutions (f) Guarantee (g) Others (8) Filled with Sub-sector:
(a) Banking

• Universal Bank
• Universal Sharia Bank
• People's Credit Bank
• People's Financing Sharia Bank
  (b) Capital Market
• Investment Manager
• Securities Broker Administering Customer Securities Accounts
• Securities crowdfunding
  (c) Insurance
• General Insurance
• General Sharia Insurance
• Life Insurance
• Life Sharia Insurance
• Reinsurance
• Reinsurance Sharia
  (d) Pension Fund
• Financial Institution Pension Fund
• Financial Institution Sharia Pension Fund
• Employer Pension Fund
• Employer Sharia Pension Fund
  (e) Financing, Pawnshops, Venture Capital, Fintech, and Other Financial Services Institutions
• Financing Company
• Financing Sharia Company
• Pawnshop
• Venture Capital
• Fintech
• Other Financial Services Institutions
  (f) Guarantee
• Guarantee Company
• Guarantee Sharia Company
• Reinsurance Company
• Reinsurance Sharia Company
  (g) Others
  (9) Filled with the type of product/service, both conventional and Sharia, including but not limited to:
  (a) Savings
  (b) Credit Card
  (c) Certificate of Deposit
  (d) Home Ownership Loan
  (e) Motor Vehicle Loan
  (f) Consumer Financing
  (g) Working Capital Loan
  (h) Unsecured Loan
  (i) Credit Life Insurance
  (j) Whole Life Insurance
  (k) Investment-Linked Life Insurance
  (l) Health Insurance
  (m) Motor Vehicle Insurance
  (n) Hull Insurance
  (o) Mutual Funds
  (p) Stocks
  (q) Guaranteed Benefits
  (r) Fixed Contributions
  (s) Repurchase agreement
  (t) ATM
  (u) Peer to peer lending (P2P)
  (v) Others
  (10) Filled with the type of problem.
  (11) Filled with the dispute value.
  (12) Filled with the request acceptance status, as follows:
  (a) Verification – if the dispute resolution request is in the document verification stage and is being studied by LAPS Sector Financial Services before being decided to be accepted or rejected. (b) Accepted – if the dispute resolution request meets the criteria and requirements for resolution by LAPS Sector Financial Services. (c) Rejected – if the dispute resolution request does not meet the criteria and requirements for resolution by LAPS Sector Financial Services. (13) Filled with the date the dispute resolution service started in (dd/mm/yyyy) format. (14) Filled with the dispute resolution agreement number by LAPS Sector Financial Services. (15) Filled with the date of the dispute resolution agreement letter in (dd/mm/yyyy) format. (16) Filled with the dispute resolution time period obtained from:
  (a) The number of working days difference between the request receipt date and the submission date of the quarterly report to OJK for requests still in the resolution process. (b) The number of working days difference between the request receipt date and the resolution decision date for requests that already have an agreement. (17) Filled with the reason for rejection for requests rejected for handling, including but not limited to:
  (a) Respondent is not a PUJK.
  (b) Internal Dispute Resolution (IDR) process with PUJK has not been conducted.
  (c) Consumer has not received a complaint response.
  (d) Request is not a dispute related to the financial services sector.
  (e) Request is not within the authority of LAPS Sector Financial Services.
  (18) Filled with the status/follow-up on the request, including but not limited to:
  (a) Completed for requests where the resolution process has been completed.
  (b) Dispute resolution process for requests that were accepted and are still in process.
  (c) IDR process conducted for requests where IDR process has not been conducted.
  (d) Requesting PUJK to provide a complaint response for requests that have not been given a response. (19) Filled with the total dispute resolution requests received in the reporting quarter, obtained from Section II Disputes Received in the Reporting Quarter. (20) Filled with the total dispute resolution requests rejected in the reporting quarter, obtained from Section I Disputes Received in the Previous Reporting Quarter and Section II Disputes Received in the Reporting Quarter. (21) Filled with the total disputes with status in the resolution process in column (18) in the reporting quarter, obtained from Section I Disputes Received in the Previous Reporting Quarter and Section II Disputes Received in the Reporting Quarter. (22) Filled with the average dispute resolution time obtained from the average resolution time of disputes with completed status in column (18), obtained from Section I Disputes Received in the Previous Reporting Quarter and Section II Disputes Received in the Reporting Quarter. (23) Filled with the total disputes decided in the reporting quarter, obtained from disputes with completed status in column (18) in the reporting quarter, obtained from Section I Disputes Received in the Previous Reporting Quarter and Section II Disputes Received in the Reporting Quarter.

2. Report on Receipt of Requests and Progress of Dispute Resolution per Each Service
   Arbitration Service
   REPORT ON RECEIPT OF REQUESTS AND PROGRESS OF DISPUTE RESOLUTION FOR ARBITRATION SERVICES ALTERNATIVE DISPUTE RESOLUTION INSTITUTION IN THE FINANCIAL SERVICES SECTOR QUARTER … YEAR … No. Request Number Date Received Request Name PUJK Province of PUJK Domicile Province of Consumer Domicile Sector SubSector Type of Product/Service Type of Problem Dispute Value Request Acceptance Status Date Service Started Number of Resolution Agreement Date of Resolution Agreement Resolution Time Period Rejection Reason Status/Follow-up Resolution (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) I Disputes Received in Previous Reporting Quarter II Disputes Received in Current Reporting Quarter Total Dispute Resolution Requests Received (19) Total Dispute Resolution Requests Rejected (20) Total Disputes Still in Resolution Process (21) Average Resolution Time (22) Total Disputes Decided (23) Mark “-” if not filled.

Instructions for Filling the Report on Receipt of Requests and Progress of Dispute Resolution:
(1) Filled with the sequential number of dispute resolution.
(2) Filled with the request acceptance number for dispute resolution.
(3) Filled with the date of receiving the dispute resolution request in (dd/mm/yyyy) format.
(4) Filled with the name of PUJK as the respondent.
(5) Filled with the province of PUJK domicile.
(6) Filled with the province of Consumer domicile as the applicant.
(7) Filled with the sector:
(a) Banking
(b) Capital Market
(c) Insurance
(d) Pension Fund
(e) Financing, Pawnshops, Venture Capital, Fintech, and Other Financial Services Institutions (f) Guarantee (g) Others (8) Filled with Sub-sector:
(a) Banking

• Universal Bank
• Universal Sharia Bank
• People's Credit Bank
• People's Financing Sharia Bank
  (b) Capital Market
• Investment Manager
• Securities Broker Administering Customer Securities Accounts
• Securities crowdfunding
  (c) Insurance
• General Insurance
• General Sharia Insurance
• Life Insurance
• Life Sharia Insurance
• Reinsurance
• Reinsurance Sharia
  (d) Pension Fund
• Financial Institution Pension Fund
• Financial Institution Sharia Pension Fund
• Employer Pension Fund
• Employer Sharia Pension Fund
  (e) Financing, Pawnshops, Venture Capital, Fintech, and Other Financial Services Institutions
• Financing Company
• Financing Sharia Company
• Pawnshop
• Venture Capital
• Fintech
• Other Financial Services Institutions
  (f) Guarantee
• Guarantee Company
• Guarantee Sharia Company
• Reinsurance Company
• Reinsurance Sharia Company
  (g) Others
  (9) Filled with the type of product/service, both conventional and Sharia, including but not limited to:
  (a) Savings
  (b) Credit Card
  (c) Certificate of Deposit
  (d) Home Ownership Loan
  (e) Motor Vehicle Loan
  (f) Consumer Financing
  (g) Working Capital Loan
  (h) Unsecured Loan
  (i) Credit Life Insurance
  (j) Whole Life Insurance
  (k) Investment-Linked Life Insurance
  (l) Health Insurance
  (m) Motor Vehicle Insurance
  (n) Hull Insurance
  (o) Mutual Funds
  (p) Stocks
  (q) Guaranteed Benefits
  (r) Fixed Contributions
  (s) Repurchase agreement
  (t) ATM
  (u) Peer to peer lending (P2P)
  (v) Others
  (10) Filled with the type of problem.
  (11) Filled with the dispute value.
  (12) Filled with the request acceptance status, as follows:
  (a) Verification – if the dispute resolution request is in the document verification stage and is being studied by LAPS Sector Financial Services before being decided to be accepted or rejected. (b) Accepted – if the dispute resolution request meets the criteria and requirements for resolution by LAPS Sector Financial Services. (c) Rejected – if the dispute resolution request does not meet the criteria and requirements for resolution by LAPS Sector Financial Services. (13) Filled with the date the dispute resolution service started in (dd/mm/yyyy) format. (14) Filled with the dispute resolution agreement number by LAPS Sector Financial Services. (15) Filled with the date of the dispute resolution agreement letter in (dd/mm/yyyy) format. (16) Filled with the dispute resolution time period obtained from:
  (a) The number of working days difference between the request receipt date and the submission date of the quarterly report to OJK for requests still in the resolution process. (b) The number of working days difference between the request receipt date and the resolution decision date for requests that already have an agreement. (17) Filled with the reason for rejection for requests rejected for handling, including but not limited to:
  (a) No LAPS Sector Financial Services Arbitration Agreement/Clause; (b) There is an LAPS Sector Financial Services Arbitration Agreement/Clause, but the type of dispute is not within the authority of LAPS Sector Financial Services; (c) There is an LAPS Sector Financial Services Arbitration Agreement/Clause, but the Arbitration Request registration is premature (not yet time, there are still formal stages of resolution to be taken); (d) The Parties do not pay the required Arbitration costs; or (e) The Arbitration Request does not meet the required document completeness. (18) Filled with the status/follow-up on the request, including but not limited to:
  (a) Completed for requests where the resolution process has been completed.
  (b) Dispute resolution process for requests that were accepted and are still in process.
  (c) IDR process conducted for requests where IDR process has not been conducted.
  (d) Requesting PUJK to provide a complaint response for requests that have not been given a response. (19) Filled with the total dispute resolution requests received in the reporting quarter, obtained from Section II Disputes Received in the Reporting Quarter. (20) Filled with the total dispute resolution requests rejected in the reporting quarter, obtained from Section I Disputes Received in the Previous Reporting Quarter and Section II Disputes Received in the Reporting Quarter. (21) Filled with the total disputes with status in the resolution process in column (18) in the reporting quarter, obtained from Section I Disputes Received in the Previous Reporting Quarter and Section II Disputes Received in the Reporting Quarter. (22) Filled with the average dispute resolution time obtained from the average resolution time of disputes with completed status in column (18), obtained from Section I Disputes Received in the Previous Reporting Quarter and Section II Disputes Received in the Reporting Quarter. (23) Filled with the total disputes decided in the reporting quarter, obtained from disputes with completed status in column (18) in the reporting quarter, obtained from Section I Disputes Received in the Previous Reporting Quarter and Section II Disputes Received in the Reporting Quarter.

3. Report on Monitoring Dispute Resolution per Each Service
   Mediation Service
   REPORT ON MONITORING DISPUTE RESOLUTION FOR MEDIATION SERVICES ALTERNATIVE DISPUTE RESOLUTION INSTITUTION IN THE FINANCIAL SERVICES SECTOR QUARTER … YEAR 20… No. Number of Resolution Agreement Date of Resolution Agreement Name PUJK Result of Agreement Monitoring Result (1) (2) (3) (4) (5) (6) … … … … … … Mark “-” if not filled.

Instructions for Filling the Dispute Resolution Monitoring Report:
(1) Filled with the sequential number of dispute resolution.
(2) Filled with the dispute resolution agreement number by LAPS Sector Financial Services.
(3) Filled with the date of the dispute resolution agreement letter in (dd/mm/yyyy) format.
(4) Filled with the name of PUJK.
(5) Filled with the dispute resolution agreement or PUJK obligation based on the agreement result.
(6) Filled with the monitoring result on the implementation of the dispute resolution agreement or fulfillment of PUJK obligation, including but not limited to:
(a) Fully Implemented – if the implementation of the agreement has been completed by PUJK.
(b) Partially Implemented – if PUJK has implemented part of the agreement.
(c) Not Implemented – if PUJK has not implemented the agreement.

4. Report on Monitoring Dispute Resolution per Each Service
   Arbitration Service
   REPORT ON MONITORING DISPUTE RESOLUTION FOR ARBITRATION SERVICES ALTERNATIVE DISPUTE RESOLUTION INSTITUTION IN THE FINANCIAL SERVICES SECTOR QUARTER … YEAR 20… No. Number of Dispute Resolution Decision Date of Dispute Resolution Decision Name PUJK Monitoring Result (1) (2) (3) (4) (5) … … … … … … Mark “-” if not filled.

Instructions for Filling the Dispute Resolution Monitoring Report:
(1) Filled with the sequential number of dispute resolution.
(2) Filled with the dispute resolution decision number by LAPS Sector Financial Services.
(3) Filled with the date of the dispute resolution decision letter in (dd/mm/yyyy) format.
(4) Filled with the name of PUJK.
(5) Filled with the monitoring result on the implementation of the dispute resolution decision or fulfillment of PUJK obligation, including but not limited to:
(a) Fully Implemented – if the implementation of the decision has been completed by PUJK.
(b) Partially Implemented – if PUJK has implemented part of the decision.
(c) Not Implemented – if PUJK has not implemented the decision.

5. List of the Top 5 (Five) Disputes Received (Based on Frequency)

LIST OF THE TOP 5 DISPUTES RECEIVED
ALTERNATIVE DISPUTE RESOLUTION INSTITUTION FOR THE FINANCIAL SERVICES SECTOR QUARTER … YEAR 20…

Dispute Type | Number of Dispute Resolution Applications | Quarter … 20… % of Total Disputes Received in the Quarter (1) | (2) | (3) Dispute I | … | … Dispute II | … | … Dispute III | … | … Dispute IV | … | … Dispute V | … | …

Mark “-” if not filled.

Instructions for Filling out the List of the Top 5 (Five) Disputes Received:
(1) Filled in with the order of dispute types most frequently received based on the frequency of receiving dispute handling applications, for example, investment value cases in unit links that are not in accordance. (2) Filled in with the number of dispute resolution applications for the type of dispute in column (1) received during the reporting quarter. (3) Filled in with the percentage of the number of dispute resolution applications for the type of dispute in column (1) received compared to the total number of dispute resolution applications.

6. List of Financial Service Business Entities That Have Not Become Members of the Alternative Dispute Resolution Institution for the Financial Services Sector

LIST OF FINANCIAL SERVICE BUSINESS ENTITIES THAT HAVE NOT BECOME MEMBERS OF THE ALTERNATIVE DISPUTE RESOLUTION INSTITUTION FOR THE FINANCIAL SERVICES SECTOR QUARTER … YEAR 20…

No. | Name of Financial Service Business Entity | Sector | Sub-Sector (1) | (2) | (3) | (4) … | … | … | …

Mark “-” if not filled.

Instructions for Filling out the List of Financial Service Business Entities That Have Not Become Members:
(1) Filled in with the serial number.
(2) Filled in with the name of the Financial Service Business Entity.
(3) Filled in with the sector:
a. Banking b. Capital Market
c. Insurance
d. Pension Funds e. Financing, Pawning, Venture Capital, Fintech, and Other Financial Service Institutions f. Guarantee g. Others (4) Filled in with the sub-sector:
a. Banking

• Commercial Banks
• Sharia Commercial Banks
• Rural Banks
• Sharia People's Financing Banks
  b. Capital Market
• Investment Managers
• Securities Brokers Who Administer Client Securities Accounts
• Securities Crowdfunding
  c. Insurance
• General Insurance
• Sharia General Insurance
• Life Insurance
• Sharia Life Insurance
• Reinsurance
• Sharia Reinsurance
  d. Pension Funds
• Financial Institution Pension Funds
• Sharia Financial Institution Pension Funds
• Employer Pension Funds
• Sharia Employer Pension Funds
  e. Financing, Pawning, Venture Capital, Fintech, and Other Financial Service Institutions
• Financing Companies
• Sharia Financing Companies
• Pawning Companies
• Venture Capital
• Fintech
• Other Financial Service Institutions
  f. Guarantee
• Guarantee Companies
• Sharia Guarantee Companies
• Reinsurance Guarantee Companies
• Sharia Reinsurance Guarantee Companies
  g. Others

7. List of Members Who Have Not Paid Membership Dues

LIST OF MEMBERS WHO HAVE NOT PAID MEMBERSHIP DUES ALTERNATIVE DISPUTE RESOLUTION INSTITUTION FOR THE FINANCIAL SERVICES SECTOR QUARTER … YEAR 20…

No. | Name of Member | Sector | Sub-Sector | Outstanding Dues (1) | (2) | (3) | (4) | (5) … | … | … | … | …

Mark “-” if not filled.

This copy is in accordance with the original.
Legal Director 1
Legal Department signed
Mufli Asmawidjaja

Instructions for Filling out the List of Members Who Have Not Paid Dues:
(1) Filled in with the serial number.
(2) Filled in with the name of the Financial Service Business Entity.
(3) Filled in with the sector:
a. Banking b. Capital Market
c. Insurance
d. Pension Funds e. Financing, Pawning, Venture Capital, Fintech, and Other Financial Service Institutions f. Guarantee g. Others (4) Filled in with the sub-sector:
a. Banking

• Commercial Banks
• Sharia Commercial Banks
• Rural Banks
• Sharia People's Financing Banks
  b. Capital Market
• Investment Managers
• Securities Brokers Who Administer Client Securities Accounts
• Securities Crowdfunding
  c. Insurance
• General Insurance
• Sharia General Insurance
• Life Insurance
• Sharia Life Insurance
• Reinsurance
• Sharia Reinsurance
  d. Pension Funds
• Financial Institution Pension Funds
• Sharia Financial Institution Pension Funds
• Employer Pension Funds
• Sharia Employer Pension Funds
  e. Financing, Pawning, Venture Capital, Fintech, and Other Financial Service Institutions
• Financing Companies
• Sharia Financing Companies
• Pawning Companies
• Venture Capital
• Fintech
• Other Financial Service Institutions
  f. Guarantee
• Guarantee Companies
• Sharia Guarantee Companies
• Reinsurance Guarantee Companies
• Sharia Reinsurance Guarantee Companies
  g. Others
  (5) Filled in with the amount of membership dues not yet paid by the Financial Service Business Entity and calculated cumulatively.

Established in Jakarta on 24 May 2021
MEMBER OF THE BOARD OF COMMISSIONERS
EDUCATION AND
CONSUMER PROTECTION FIELD
FINANCIAL SERVICES AUTHORITY
REPUBLIC OF INDONESIA, signed
TIRTA SEGARA

APPENDIX II
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY REPUBLIC OF INDONESIA NUMBER 15 /SEOJK.07/2021 CONCERNING REPORT OF THE ALTERNATIVE DISPUTE RESOLUTION INSTITUTION FOR THE FINANCIAL SERVICES SECTOR

This copy is in accordance with the original.
Legal Director 1
Legal Department signed
Mufli Asmawidjaja

Instructions for Filling out the Report of Parties Not Executing Decisions/Agreements:
(1) Filled in with the dispute resolution decision number by the Alternative Dispute Resolution Institution for the Financial Services Sector. (2) Filled in with the date of the dispute resolution application decision letter in (dd/mm/yyyy) format. (3) Filled in with the name of the party not executing the decision/agreement. (4) Filled in with information regarding the decision/agreement to be fulfilled by the parties. (5) Filled in with the time limit for executing the decision/agreement as per the result of the decision/agreement in (dd/mm/yyyy) format. (6) Filled in with information regarding the reasons why the parties did not fulfill the decision/agreement. (7) Filled in with the follow-up steps that have been and/or will be taken by the Alternative Dispute Resolution Institution for the Financial Services Sector.

Established in Jakarta on 24 May 2021
MEMBER OF THE BOARD OF COMMISSIONERS
EDUCATION AND
CONSUMER PROTECTION FIELD
FINANCIAL SERVICES AUTHORITY
REPUBLIC OF INDONESIA, signed
TIRTA SEGARA

REPORT OF NAMES OF FINANCIAL SERVICE BUSINESS ENTITIES AND CONSUMERS NOT EXECUTING DECISIONS/AGREEMENTS ALTERNATIVE DISPUTE RESOLUTION INSTITUTION FOR THE FINANCIAL SERVICES SECTOR Report Date: (dd/mm/yyyy)

Decision/Agreement Number | Date of Decision/Agreement | Name of Financial Service Business Entity and/or Consumer Not Executing Decision/Agreement | Decision/Agreement | Time Limit for Executing Decision/Agreement | Reasons for Non-Execution of Decision/Agreement | Follow-up by Alternative Dispute Resolution Institution for the Financial Services Sector (1) | (2) | (3) | (4) | (5) | (6) | (7) … | … | … | … | … | … | …