Monthly Report of PT Permodalan Nasional Madani

To:
The Board of Directors of PT Permodalan Nasional Madani, Attn.

COPY
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY REPUBLIC OF INDONESIA NUMBER 13 /SEOJK.05/2022 CONCERNING MONTHLY REPORT OF PT PERMODALAN NASIONAL MADANI

In accordance with the mandate of Article 2 paragraph (6), Article 4 paragraph (6), and Article 10 of Financial Services Authority Regulation Number 3/POJK.05/2013 concerning Monthly Reports of Non-Bank Financial Service Institutions (State Gazette of the Republic of Indonesia Year 2013 Number 150, Additional State Gazette of the Republic of Indonesia Number 5443) and the provisions of Article 24 of Financial Services Authority Regulation Number 16/POJK.05/2019 concerning the Supervision of PT Permodalan Nasional Madani (Persero) (State Gazette of the Republic of Indonesia Year 2019 Number 107, Additional State Gazette of the Republic of Indonesia Number 6357), it is necessary to regulate provisions regarding monthly reports for PT Permodalan Nasional Madani in this Financial Services Authority Circular Letter as follows:

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

1. PT Permodalan Nasional Madani, hereinafter referred to as the Company, is a company established based on Government Regulation of the Republic of Indonesia Number 38 of 1999 concerning State Capital Participation for the Establishment of State-Owned Limited Liability Companies (Persero) in the context of Developing Cooperatives, Small and Medium Enterprises.
2. The Company's Monthly Report, hereinafter referred to as the Monthly Report, is a financial report prepared by the Company for the benefit of the Financial Services Authority, covering the period from the 1st to the end of the relevant month, and presented and submitted to the Financial Services Authority according to the format and procedures determined by the Financial Services Authority.
3. Sharia Business Unit, hereinafter abbreviated as UUS, is a work unit of the Company's headquarters that carries out business activities based on Sharia principles and/or functions as the head office of offices carrying out the Company's business activities based on Sharia principles.

II. FORM AND STRUCTURE OF MONTHLY REPORTS

1. The Monthly Report consists of:
   a. financial position report; b. comprehensive income statement, currently known as the income statement and other comprehensive income report;
   c. cash flow statement;
   d. asset and liability matching analysis report; and e. other reports.
2. In preparing the Monthly Report, the Company refers to the general explanation of Monthly Report preparation as contained in Appendix I, which is an integral part of this Financial Services Authority Circular Letter.
3. The form and structure of the Monthly Report:
   a. for the Company is as contained in Appendix II, which is an integral part of this Financial Services Authority Circular Letter; and b. for the UUS is as contained in Appendix III, which is an integral part of this Financial Services Authority Circular Letter.

III. TIME OF SUBMISSION OF MONTHLY REPORTS

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

IV. BOARD MEMBERS RESPONSIBLE AND REPORT PREPARATION OFFICERS

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

V. PROCEDURES FOR SUBMISSION OF MONTHLY REPORTS

1. In submitting the Monthly Report, the reporting preparation officer as referred to in Item IV item 2 must have a user ID and password.
2. To obtain the user ID and password as referred to in item 1, the Company's Board member must submit a request according to Format B as contained in Appendix IV, which is an integral part of this Financial Services Authority Circular Letter.
3. In the event that the Company changes the reporting preparation officer as referred to in Item IV item 3, the Board member must submit a request to obtain and/or change the user ID and password as referred to in item 2 according to Format C as contained in Appendix IV, which is an integral part of this Financial Services Authority Circular Letter.
4. Submission of the Monthly Report is done online through the Financial Services Authority's data communication network system.
5. In the event that the Financial Services Authority's data communication network system as referred to in item 4 is not yet available, experiences technical problems, or the Company experiences disruptions so that it cannot submit the Monthly Report online, the Monthly Report is submitted offline in the form of an electronic copy (soft file) accompanied by validation proof and sent to the Financial Services Authority via a letter signed by the Board of Directors and addressed to:
   Financial Services Authority
   Attn:
   a. Directorate of Supervision of Special Financial Service Institutions b. Directorate of Islamic Non-Bank Financial Institutions Wisma Mulia 2 Building, 15th Floor Jalan Jenderal Gatot Subroto Kav. 40, South Jakarta 12710
6. In the event of a change in the address of the Financial Services Authority as referred to in item 5, the Financial Services Authority will communicate the address change via letter or announcement.
7. Submission of the Monthly Report offline as referred to in item 5 can be done by:
   a. handing it directly to the Financial Services Authority office; or b. sending it through a courier service company.
8. Submission of the Monthly Report offline is submitted to the Financial Services Authority on working days and during the Financial Services Authority's working hours.
9. 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 as referred to in item 4, it is proven by a receipt from the Financial Services Authority's data communication network system; or

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

b. for offline submission as referred to in item 7, it is proven by a receipt from the Financial Services Authority.

VI. CLOSING

1. 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 July 2023, submitted according to the submission time as regulated in Item III.
2. The Company must conduct testing of the submission of the Monthly Report according to the form, structure, and submission procedures regulated in this Financial Services Authority Circular Letter for the reporting period of July 2022 through the reporting period of June 2023.
3. This Financial Services Authority Circular Letter takes effect on July 1, 2023.

Established in Jakarta on July 19, 2022
EXECUTIVE HEAD OF SUPERVISOR
OF INSURANCE, PENSION FUNDS,
FINANCING INSTITUTIONS, AND
OTHER FINANCIAL SERVICE INSTITUTIONS
FINANCIAL SERVICES AUTHORITY
REPUBLIC OF INDONESIA, signed
RISWINANDI

APPENDIX I
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY REPUBLIC OF INDONESIA NUMBER 13 /SEOJK.05/2022 CONCERNING MONTHLY REPORT OF PT PERMODALAN NASIONAL MADANI

TABLE OF CONTENTS
A. GENERAL EXPLANATION

1. Reporting Purpose 2
2. Reporting Principles 2
3. Filling out Report Forms 2
   B. GENERAL EXPLANATION OF DETAIL LIST COLUMNS 2
4. Interest Rate/Margin/Profit Sharing/Yield/Service Fee 2
5. Quality 3
6. Time Period 3

A. GENERAL EXPLANATION OF MONTHLY REPORT PREPARATION

1. Reporting Purpose
   The Monthly Report prepared according to the system established in this Appendix is intended to collect and compile the Company's statistical data as a single entity/non-consolidated entity for:
   a. regulation and supervision of the Company; b. formation of statistics for the purpose of non-bank financial industry analysis; and
   c. fulfillment of the Company's internal needs.
   To achieve these objectives, the Company submits reports correctly, completely, and within the established time limits.
2. Reporting Principles
   The preparation of this reporting is based on regulations established by the Financial Services Authority and Financial Accounting Standards (PSAK) as well as Interpretations of Financial Accounting Standards (ISAK). The Company's transaction accounting is carried out in accordance with accounting standards applicable in Indonesia.
3. Filling out Report Forms
   Filling out report forms is done by automatically entering data in alphanumeric form using data entry programs, and all financial reports are presented in full rupiah units.

B. GENERAL EXPLANATION OF DETAIL LIST COLUMNS

1. Interest Rate/Margin/Profit Sharing/Yield/Service Fee
   Interest rate is the price level of a financing activity conducted by the reporting Company. If multiple interest rates are given in one account, the interest rate column is filled with the highest interest rate. For interest rates, two decimal places are used; for example, an interest rate of 12.5% is written as 12.50. For transaction types that do not carry interest, the interest rate column is left blank.

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

Companies with a UUS use the phrases margin, profit sharing, yield, or service fee. Profit sharing or yield is the value or percentage of income from financing conducted based on Sharia principles. For profit sharing or yield, two decimal places are used; for example, a profit sharing or yield of 12.50% is written as 12.50. For transaction types that do not provide profit sharing or yield, the value column is left blank.
2. Quality
Quality is the quality of the Company's financing receivables assessed with criteria in accordance with Financial Services Authority Regulations concerning the Supervision of PT Permodalan Nasional Madani (Persero), with quality classification as follows:
a. current; b. special attention;
c. doubtful;
d. questionable; or e. non-performing.
3. Time Period
Time period is the period agreed upon as contained in the agreement. a. start date, namely the date, month, and year the agreement begins. b. due date, namely the date, month, and year the agreement ends.

Established in Jakarta on July 19, 2022
EXECUTIVE HEAD OF SUPERVISOR
OF INSURANCE, PENSION FUNDS,
FINANCING INSTITUTIONS, AND
OTHER FINANCIAL SERVICE INSTITUTIONS
FINANCIAL SERVICES AUTHORITY
REPUBLIC OF INDONESIA, signed
RISWINANDI

APPENDIX II
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY REPUBLIC OF INDONESIA NUMBER 13 /SEOJK.05/2022 CONCERNING MONTHLY REPORT OF PT PERMODALAN NASIONAL MADANI

TABLE OF CONTENTS
I. Company Profile Report, consisting of:
A. Form 0000: Company Profile 2
B. Form 0020: Details of Offices Other Than Headquarters 6
C. Form 0030: Details of Employee Numbers 9
II. Company Financial Report, consisting of:
A. Form 1100: Financial Position Report 10
B. Form 1200: Income Statement and Other Comprehensive Income
C. Form 1300: Cash Flow Statement 27
D. Form 1400: Asset and Liability Matching Analysis Report E. Form 2100: Details of Cash and Cash Equivalents 40 F. Form 2200: Details of Placements in Banks 41 G. Form 2300: Details of Securities Held 43 H. Form 2400: Details of Financing and Receivables/Loans Given to ULaMM/ULaMM Syariah
I. Form 2500: Details of Financing and Receivables/Loans Given to Mekaar/Mekaar Syariah
J. Form 2600: Details of Securities Issued 54
K. Form 2700: Details of Loans Received 56
L. Form 2800: Details of Financial Asset Impairment Loss Reserves (CKPN)

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

1. FORM 0000 (COMPANY PROFILE) FORMAT
   Form 0000 (Company Profile) is prepared according to the following format:
   COMPANY PROFILE a. Company Name :
   b. Taxpayer Identification Number (NPWP) :
   c. Office Address :
   d. Reporting Period :
   e. Company Organ

1. Number of Commissioners :
2. Number of Board Members :
3. Number of Sharia Supervisory Board :
   f. Name of UUS Leader :
   g. Office Network Data
4. Headquarters :
5. UUS Office :
6. Offices Other Than Headquarters :
   a) ULaMM Branch Office
   : b) ULaMM Unit Office :
   c) Mekaar Branch Office
   : h. Number of Employees
7. Headquarters :
8. UUS Office :
9. Offices Other Than Headquarters

COMPANY PROFILE a) ULaMM Branch Office :
b) ULaMM Unit Office :
c) Mekaar Branch Office :
i. Report Preparer and Person in Charge

1. Report Preparer
   a) Name :
   b) Position :
   c) Telephone Number :
   d) Mobile Number :
   e) E-mail :
2. Person in Charge of Report
   a) Name :
   b) Position :
   c) Telephone Number :
   d) Mobile Number :
   e) E-mail :

2. EXPLANATION OF FORM 0000 (COMPANY PROFILE)
   Form 0000 (Company Profile) contains all information regarding the Company's profile. a. Company Name This item is filled with the Company's name including its legal entity form. b. Taxpayer Identification Number (NPWP) This item is filled with the Company's NPWP.
   c. Office Address
   This item is filled with the complete address of the Company's headquarters. d. Reporting Period This item is filled with the period from the 1st to the end of the relevant month. Example: 1-31 March 2022. e. Company Organ This item is filled with the number of Commissioners, the number of Company Board members, and the number of Sharia Supervisory Board members. f. Name of UUS Leader This item is filled with the name of the UUS leader. g. Office Network Data This item is filled with the number of office networks covering the headquarters, UUS office, and offices other than headquarters consisting of ULaMM branch offices, ULaMM unit offices, and Mekaar Branch Offices. This item is detailed in Form 0020: Details of Offices Other Than Headquarters. h. Number of Employees This item is filled with the number of employees owned by the Company, covering all employees at the headquarters, UUS office, and offices other than headquarters consisting of ULaMM branch offices, ULaMM unit offices, and Mekaar Branch Offices. This item is detailed in Form 0030: Details of Employee Numbers.
   i. Report Preparer and Person in Charge

1. Report Preparer
   This item is filled with complete data of Company personnel acting as report preparation officers. a) 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 department/division/unit of work of the report preparation officer. d) Mobile Number This item is filled with the mobile number of the report preparation officer. e. Electronic Mail Address (E-mail) This item is filled with the e-mail address of the report preparation officer.
2. Person in Charge of Report
   This item is filled with complete data of Board members acting as the person in charge of the report. a) Name This item is filled with the full name of the Board member person in charge of the report. b) Position This item is filled with the position of the Board member person in charge of the report. c) Telephone Number This item is filled with the telephone number of the department/division/unit of work of the Board member person in charge of the report. d) Mobile Number This item is filled with the mobile number of the Board member person in charge of the report. e. Electronic Mail Address (E-mail) This item is filled with the e-mail address of the Board member person in charge of the report.

B. FORM 0020: DETAILS OF OFFICES OTHER THAN HEADQUARTERS

1. FORM 0020 (DETAILS OF OFFICES OTHER THAN HEADQUARTERS) FORMAT
   Form 0020 (Details of Offices Other Than Headquarters) is prepared according to the following format:
   (1) (2) (3)
   Office Type
   Record Letter
   Number
   Date of Record
   Letter
   (4)
   Location
   Address District Regency/City Postal Code
   (5) (6) (7) (8) (9)
   Telephone
   Number
   Number of
   Workforce
   Name of Person in Charge
   Office
   Date
   Start
   Operation
   Building
   Ownership
2. EXPLANATION OF FORM 0020 (DETAILS OF OFFICES OTHER THAN HEADQUARTERS)
   Form 0020 (Details of Offices Other Than Headquarters) contains information on offices other than the Company's headquarters, consisting of ULaMM branch offices, ULaMM unit offices, and Mekaar branch offices, including the Company's UUS office. (1) Office Type This item is filled with the name of the office, i.e., offices other than headquarters, such as ULaMM branch offices, ULaMM Syariah branch offices, ULaMM unit offices, ULaMM Syariah unit offices, and Mekaar branch offices, and Mekaar Syariah branch offices. (2) Record Letter Number This item is filled with the letter number from the Financial Services Authority regarding the recording of offices other than headquarters. (3) Date of Record Letter This item is filled with the date of the letter from the Financial Services Authority regarding the recording of the opening of offices other than headquarters. (4) Location

• Address
  This item is filled with the complete address of offices other than headquarters.
• District
  This item is filled with the name of the district where the office other than headquarters is located.
• Regency/City
  This item is filled with the regency/city location.
• Postal Code
  This item is filled with the postal code number of the office other than headquarters' domicile.
  (5) Telephone Number
  This item is filled with the area code and telephone number of each office other than headquarters.
  (6) Number of Workforce
  This item is filled with the number of workforce located at offices other than headquarters, including the person in charge of the office other than headquarters, permanent workforce, contract workforce, and outsourced workforce. (7) Name of Person in Charge of Office This item is filled with the name of the person in charge of each office other than headquarters. (8) Date Start Operation This item is filled with the date the office other than headquarters started operating. (9) Building Ownership This item is filled with the status of office building ownership, for example, owned by the Company or rented.

C. FORM 0030: DETAILS OF EMPLOYEE NUMBERS

1. FORM 0030 (DETAILS OF EMPLOYEE NUMBERS) FORMAT
   Form 0030 (Details of Employee Numbers) is prepared according to the following format:
   Employment Status Conventional Sharia
   Permanent Employees
   Contract Employees
   Outsourced Workforce
   Total
2. EXPLANATION OF FORM 0030 (DETAILS OF EMPLOYEE NUMBERS)
   Form 0030 (Details of Employee Numbers) contains information on the number of employees based on employment status, namely permanent employees, contract employees, or outsourced workforce, detailed by employees conducting activities conventionally or Sharia at the Company. (1) Permanent Employees This item is filled with the number of permanent employees owned by the Company. (2) Contract Employees This item is filled with the number of contract employees owned by the Company. (3) Outsourced Workforce This item is filled with the number of outsourced workforce used by the Company.

II. COMPANY FINANCIAL REPORT
A. FORM 1100: FINANCIAL POSITION REPORT

1. FORM 1100 (FINANCIAL POSITION REPORT) FORMAT
   Form 1100 (Financial Position Report) is prepared according to the following format:
   Item Amount
   ASSETS
2. Cash and Cash Equivalents
3. Placements in Banks
4. Securities Held
5. Investment in Associated Entities
6. Receivables
   a. ULaMM Loan Disbursement b. Mekaar Loan Disbursement
   c. Management Services
   d. Others
7. Accrued Income
8. Advances and Prepaid Expenses
9. Impairment Loss Reserves
10. Fixed Assets and Inventory
11. Intangible Assets
12. Foreclosed Collateral
13. Deferred Tax Assets
14. Other Assets
    LIABILITIES AND EQUITY
    LIABILITIES
15. Loans Received
    Item Amount a. Government/Public Service Agency (BLU) Loans b. Foreign Loans
    c. Bank Loans
    d. Non-Bank Loans e. Sharia Financing f. Subordinated Loans g. Other Loans
16. Securities Issued
    a. Bonds b. Medium Term Notes (MTN)
    c. Sukuk
    d. Other Securities
17. Tax Payables
18. Installment Reserve Funds
    a. Customer Reserve Funds b. Accountability Funds
19. Entrusted Funds
20. Accrued Expenses
21. Employee Benefit Liabilities
22. Other Liabilities
    TOTAL LIABILITIES
    EQUITY
23. Capital
    a. Share Capital b. State Capital Participation
    c. Grants
    Item Amount
24. Reserves
    a. General b. Specific
25. Retained Earnings
    a. Retained Earnings (Loss) b. Current Period Earnings (Loss)
26. Other Equity Components
    a. Gains (Losses) from Revaluation of Fixed Assets b. Gains (Losses) from Remeasurement of Financial Assets Available for Sale
    c. Actuarial Gains (Losses) on Employee Benefit Programs
    d. Gains (Losses) on Other Equity Components in Accordance with Financial Accounting Standards Principles TOTAL EQUITY TOTAL LIABILITIES AND EQUITY
27. EXPLANATION OF FORM 1100 (FINANCIAL POSITION REPORT)
    Form 1100 (Financial Position Report) contains the Company's monthly report providing detailed explanations of asset positions and liability and equity positions.

• ASSETS

1. Cash and Cash Equivalents
   This item is filled with the amount of:
   a. Cash owned by the company, both cash on hand in the form of currency (banknotes, coins), and electronic money issued by Bank Indonesia that is a legal tender in Indonesia owned by the Company. This item must be detailed in the Details of Cash and Cash Equivalents (Form 2100). b. Cash equivalents in the form of investments owned by the Company that are highly liquid, short-term, and can quickly be converted to cash in determinable amounts with insignificant risk of changes in value, such as time deposits of 3 (three) months or less and deposit on call. This item must be detailed in the Details of Cash and Cash Equivalents (Form 2100).
2. Placements in Banks
   This item is filled with all types of placements/deposits of the company in banks in Indonesia, both in the form of time deposits and other similar deposits in banks in Indonesia, with a term of more than 3 (three) months. This item must be detailed in the Details of Placements in Banks (Form 2200).
3. Securities Held
   This item is filled with all securities owned by the Company. The value of securities is presented in accordance with applicable accounting standards. This item must be detailed in the Details of Placements in Banks (Form 2200).
4. Investment in Associated Entities
   This item is filled with the fair value of the Company's investment in subsidiaries and/or companies whose main share ownership is held by subsidiaries.
5. Receivables
   a. ULaMM Loan Disbursement
   This item is filled with the value of ULaMM loan financing disbursement after being reduced by unearned interest income,

---

income and other expenses related to ULaMM financing transactions that are amortized. b. Disbursement of Mekaar Loans This item is filled with the value of Mekaar loan financing disbursements after being reduced by unearned interest income, and other income and expenses related to Mekaar financing transactions that are amortized.
c. Management Services
This item is filled with receivables arising from Management Services activities. d. Others This item is filled with receivables arising from the Company's non-operational activities, which among others include receivables from clearing and guaranteeing financial institutions, or other receivables other than receivables in items a through c.

6. Accrued Income
   This item is filled with all income that has been earned and is the Company's right but has not yet been received and recorded by the end of the reporting period.

7. Advances and Prepaid Expenses
   This item is filled with working advances, i.e., funds taken for the Company's operational activities, and other prepaid expenses related to the Company's operations, such as office rent, official residence rent, vehicle rent in advance, and prepaid insurance consisting of vehicle and office insurance paid in advance.

8. Allowance for Impairment Losses (CKPN)
   This item is filled with the provision value formed by the Company for the impairment of financial instruments based on expected credit losses in accordance with financial accounting standards regarding financial instruments.

9. Fixed Assets and Inventories
   This item is filled with the acquisition value of fixed assets and inventories owned by the Company minus accumulated depreciation and impairment losses.

10. Intangible Assets
    This item is filled with the value of non-monetary assets that can be identified without physical form but are utilized to produce or deliver goods or services, leased to other parties, or for administrative purposes, after being reduced by amortization.

11. Assets Acquired Through Foreclosure
    This item is filled with the value of any pledged goods taken over by the Company through auction or based on voluntary surrender by the pledgor or based on power of attorney to sell outside of auction from the pledgor.

12. Deferred Tax Assets
    This item is filled with the amount of deferred tax assets recognized by the Company at the end of the reporting period, measured using the applicable tax rate against all deductible temporary differences and/or fiscal loss balances, to the extent that it is probable that they can be utilized to reduce fiscal profit in the future.

13. Other Assets
    This item is filled with the value of the Company's assets that are not fixed assets, current assets, investments, nor intangible assets. Other assets may include fixed assets that are no longer used, assets from business segments that management has decided to discontinue or sell, deferred expenses, or security deposits (for office rent, telephone, bank loans, etc.). Other assets are presented at carrying amount, i.e., acquisition cost after being reduced by amortization and impairment, if any.

• LIABILITIES

1. Loans Received
   a. Government Loans/Public Service Agencies (BLU) This item is filled with the value of loans received by the Company from the Government of the Republic of Indonesia, including those disbursed through Public Service Agencies (BLU). b. Foreign Loans This item covers loans received by the Company in rupiah from abroad or non-residents. Loans can be received from banks conducting operational activities outside Indonesia, non-bank financial service institutions conducting operational activities outside Indonesia, or third-party non-financial service parties abroad or non-residents.
   c. Bank Loans
   This item is filled with loans received by the Company from banks. The term bank refers to as defined in applicable banking legislation. This sub-item must not be offset with the bank item in the Assets item. d. Non-Bank Loans This item is filled with loans received by the Company from non-bank financial service institutions. Included in this sub-item are financing companies, venture capital companies, insurance companies, and other financial service companies. e. Sharia Financing This item is filled with financing obtained by the Company based on Sharia Principles. f. Subordinated Loans This item is filled with the Company's subordinated loans. g. Other Loans This item covers loans received by the Company other than those received from items a through f.

2. Issued Securities
   a. Bonds
   This item is filled with the value of debt instruments/bonds issued by the Company. b. Medium Term Notes (MTN) This item is filled with the value of medium-term debt instruments/medium term notes issued by the Company for a period of 5 (five) to 10 (ten) years.
   c. Sukuk
   This item is filled with the value of sukuk issued by the Company. Sukuk are Sharia securities in the form of certificates or proof of ownership with equal value representing an inseparable or undivided share (syuyu’/undivided share) over the underlying assets. d. Other Securities This item is filled with the value of all securities issued by the Company other than securities as referred to in items a through c.

3. Tax Payables
   This item is filled with the value of all tax liabilities of the Company that have not been paid in accordance with applicable tax regulations in Indonesia.

4. Installment Reserve Funds
   a. Customer Reserve Funds
   This item is filled with funds belonging to ULaMM customers entrusted to the Company without requiring customer consent in the event of a shortfall in customer obligation payments. b. Accountability Funds This item is filled with funds set aside from loans received by Mekaar customers, which will be returned to the customers after all loans are fully settled.

5. Trust Funds
   This item is filled with the amount of funds set aside by Mekaar customers that are voluntary and fully belong to the customers in accordance with the regulations of the Financial Services Authority regarding the Supervision of PT Permodalan Nasional Madani.

6. Accrued Expenses
   This item is filled with expenses that must be paid by the Company, including operational expenses, personnel expenses, bond interest expenses, bank loan interest expenses, medium term notes (MTN) interest expenses, and other expenses.

7. Employee Benefits Liabilities
   This item is filled with the value of employee benefit obligations, both post-employment benefits or other long-term benefits.

8. Other Liabilities
   This item is filled with the fair value estimate of other liabilities, i.e., the amount to be repaid on demand. Other liabilities include parties related to the Company or third parties.

• EQUITY

1. Capital
   This item is filled with equity showing the Company's ownership, consisting of:
   a. Share Capital
   This item is filled with the Company's capital originating from the sale of shares issued by the Company. This item includes authorized capital and paid-up capital. b. State Capital Participation This item is filled with the value of the State Capital Participation of the Republic of Indonesia. State capital participation is separated state wealth originating from the State Budget or company reserve designation or other sources to be used as capital for State-Owned Enterprises and/or other Limited Liability Companies, and managed corporately.
   c. Grants
   This item is filled with the value of grants received by the Company that do not need to be repaid. Grants can originate from within the country or abroad.

2. Reserves
   a. General
   This item is filled with the profit balance value established as a general reserve based on the General Meeting of Shareholders (GMS). b. Specific This item is filled with the profit balance value established as a specific reserve based on the General Meeting of Shareholders (GMS).

3. Profit Balance
   a. Retained Earnings (Losses)
   This item is filled with the value of retained earnings (losses) held by the Company at the beginning of the reporting year position that have not yet had their use determined. b. Current Period Earnings (Losses) This item is filled with the value of the Company's earnings (losses) during the current period up to the reporting date.

4. Other Equity Components
   This item covers equity components of the Company originating from comprehensive transactions. a. Gains (Losses) on Revaluation of Fixed Assets This item is filled with the fair value of the revaluation of the Company's fixed assets, caused by an increase in the market value of fixed assets or due to the low value of fixed assets in the company's financial statements caused by devaluation or other reasons. b. Gains (Losses) Due to Remeasurement of Financial Assets Available for Sale This item is filled with the value of gains (losses) due to the remeasurement of financial assets available for sale by the Company at the beginning of the reporting year position.
   c. Actuarial Gains (Losses) on Employee Benefit Programs
   This item is filled with the value of gains or losses arising from differences between actuarial assumptions used in calculations and actual values. d. Gains (Losses) on Other Equity Components in accordance with Financial Accounting Standards This item is filled with the value of gains (losses) on other equity components in accordance with applicable accounting standards by the Company at the beginning of the reporting year position.

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

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

Item Amount

1. Operating Income
   a. ULaMM Income b. Mekaar Income
   c. Management Services Income
   d. Other Income
2. Operating Expenses
   a. Interest Expenses b. Provisions and Commissions
3. Other Operating Income
   a. Investment Interest Income b. Non-Interest Investment Income
   c. Net Gain on Securities Transactions
   d. Others
4. Other Operating Expenses
   a. General and Administration b. Salaries and Allowances
   c. Education and Training
   d. Office Rent e. Credit Guarantee/Credit Insurance

Item Amount f. Amortization and Depreciation of Assets g. Provision for Bad Debts h. Others
5. Operating Profit (Loss)
6. Non-Operating Income/Expenses
a. Non-Operating Income b. Non-Operating Expenses
7. Profit (Loss) Before Income Tax
8. Income Tax
a. Current Tax b. Deferred Tax

1. Deferred Tax Income
2. Deferred Tax Expense

9. Current Period Profit (Loss)

10. Other Comprehensive Income (Expense) for Current Period

11. Comprehensive Profit (Loss)

12. EXPLANATION OF FORM 1200 (STATEMENT OF PROFIT OR LOSS AND OTHER COMPREHENSIVE INCOME)
    Form 1200 (Statement of Profit or Loss and Other Comprehensive Income) contains cumulative figures from the beginning of the Company's fiscal year up to the reporting date. The method for filling out the profit and loss statement and Other Comprehensive Income is detailed as follows:

13. Operating Income
    This item is filled with the value of all income from the Company's main activities, including main activities conducted using Sharia principles. a. ULaMM Income This item is filled with the value of income obtained by the Company from ULaMM financing disbursement activities. b. Mekaar Income This item is filled with the value of income obtained by the Company from Mekaar financing disbursement activities.
    c. Management Services Income
    This item is filled with the value of income obtained by the Company from management services activities. d. Other Income This item is filled with the value of income obtained by the Company from activities other than ULaMM financing, Mekaar financing, and management services activities.

14. Operating Expenses
    This item is filled with all expenses incurred for the Company's business activities, including those implemented with Sharia principles, consisting of:
    a. Interest Expenses
    This item is filled with costs arising from the Company's operational activities, including interest expenses on received loans, interest expenses on issued securities, or profit-sharing expenses on financing received based on Sharia principles. b. Provisions and Commissions This item is filled with costs arising as remuneration for the use of intermediary services for a transaction or remuneration paid by the Company in relation to the use of facilities.

15. Other Operating Income
    a. Investment Interest Income
    This item is filled with interest income from investment placements made by the Company. b. Non-Interest Investment Income This item is filled with non-interest income from investment placements made by the Company.
    c. Net Gain on Securities Transactions
    This item is filled with income from securities transactions conducted by the Company after considering securities transaction expenses. d. Others This item is filled with income obtained by the Company from other operational activities other than items a through c above.

16. Other Operating Expenses
    a. General and Administration
    This item is filled with costs for the consumption of goods/services, such as lighting, water, telephone, and office equipment costs. b. Salaries and Allowances This item is filled with costs covering basic salary burdens, wages, and allowances paid to members of the Board of Directors, members of the Board of Commissioners, and employees of the Company who are permanent or non-permanent employees, before being reduced by income tax and deductions. This sub-item also includes honoraria, overtime pay, and welfare care.
    c. Education and Training
    This item is filled with costs incurred by the Company for education and training of workforce. d. Office Rent This item is filled with costs incurred by the Company for office rent. e. Credit Guarantee/Credit Insurance This item is filled with costs paid for guarantee/insurance purposes through payment of guarantee service remuneration or credit insurance premiums. f. Amortization and Depreciation of Assets This item is filled with costs covering amortization and depreciation costs of fixed assets. g. Provision for Bad Debts This item is filled with the provision expense for bad debts. h. Others This item is filled with costs other than items a through g above.

17. Operating Profit (Loss)
    This item is filled with the positive/negative difference between operating income and operating expenses.

18. Non-Operating Income/Expenses
    a. Non-Operating Income
    This item is filled with all income obtained or originating from activities that are not the Company's main activities, including those implemented with Sharia principles. b. Non-Operating Expenses This item is filled with all expenses paid for activities that are not the Company's main activities, including those implemented with Sharia principles.

19. Profit (Loss) Before Income Tax
    This item is filled with the total income minus total Company expenses before being reduced by tax.

20. Income Tax
    a. Current Tax
    This item is filled with current tax assets and liabilities for the current period measured at the amount expected to be refunded from or paid to the tax authority. The tax rate and tax regulations used to calculate this amount are those that have been enacted or substantially enacted as of the reporting date. b. Deferred Tax

1. Deferred Tax Income
   This item is filled with the amount of deferred tax income related to the recognized deferred tax assets for the current year period up to the reporting date.
2. Deferred Tax Expense
   This item is filled with the amount of deferred tax expense related to the recognized deferred tax liabilities for the current year period up to the reporting date.

9. Current Period Profit (Loss)
   This item is filled with profit/loss after being reduced by the estimate of income tax, including current year tax and recognized deferred tax income/expense for the current year period up to the reporting date.

10. Other Comprehensive Income (Expense) for Current Period
    This item is filled with other comprehensive income (OCI) by the Company during the accounting period, from the beginning of the year up to the reporting date.

11. Comprehensive Profit (Loss)
    This item is filled with the net profit (loss) after tax plus other comprehensive income gains (losses) for the current period.

C. FORM 1300: STATEMENT OF CASH FLOWS

1. FORMAT OF FORM 1300 (STATEMENT OF CASH FLOWS)
   Form 1300 (Statement of Cash Flows) is prepared in the following format:

Item Amount

1. Cash Flows from Operating Activities
   a. Cash Inflows

1. Receipts from ULaMM Interest Income
2. Receipts from Mekaar Interest Income
3. Return of ULaMM Loan Disbursements
4. Return of Mekaar Loan Disbursements
5. Receipts from Management Consulting Services
6. Receipts from Other Operational Activities
   b. Cash Outflows
7. ULaMM Loan Disbursements
8. Mekaar Loan Disbursements
9. Loan Interest Payments and Payments to Third Parties
10. Tax Payments
11. Employee Salaries and Allowances Payments
12. Payments for Other Operational Activities

Item Amount
c. Net Cash from and for Operating Activities
2. Cash Flows from Investing Activities
a. Cash Inflows

1. Deposit Interest Receipts
2. Bond and Other Securities Interest Receipts
3. Dividend Receipts
4. Sale of Securities and Other Securities
5. Sale of Fixed Assets
6. Divestment in Associate Entities
7. Receipts from Other Investing Activities
   b. Cash Outflows
8. Deposit Placements
9. Purchase of Securities
10. Purchase of Fixed Assets
11. Investments in Associate Entities
12. Expenditures for Other Investing Activities
    c. Net Cash from and for Investing Activities

3. Cash Flows from Financing Activities
   a. Cash Inflows

1. Capital Deposit Receipts
2. Receipts of Loans from the Government of the Republic of Indonesia

Item Amount
3) Receipts of Loans from Abroad
4) Receipts of Funds from Banks
5) Receipts of Funds from Non-Bank Financial Service Institutions
6) Receipts of Funds from Bonds
7) Receipts of Funds from Medium Term Notes (MTN)
8) Receipts of Funds from Community Empowerment Partnership Program (PKBL)
9) Grant Receipts
10) Receipts from Other Financing Activities
b. Cash Outflows

1. Payments for Return of Loans from the Government of the Republic of Indonesia
2. Payments for Return of Loans from Abroad
3. Payments for Return of Bank Loans
4. Payments for Return of Loans from Non-Bank Financial Service Institutions
5. Principal Bond Payments
6. Medium Term Notes (MTN) Payments

Item Amount
7) Bond Issuance Cost Payments
8) Dividend Payments
9) Expenditures for Other Financing Activities
c. Net Cash from and for Financing Activities
4. Net Increase (Decrease) in Cash and Cash Equivalents
5. Cash and Cash Equivalents at the Beginning of the Period
6. Cash and Cash Equivalents at the End of the Period

2. EXPLANATION OF FORM 1300 (STATEMENT OF CASH FLOWS)
   Form 1300 (Statement of Cash Flows) contains financial statements using the cash flow basis in its preparation. All items in the cash flow statement are made and calculated based on the involvement of cash and cash equivalents from the beginning of the reporting year up to the reporting date. This applies to both receipt and expenditure items. The cash flow statement classifies cash flows based on operating, investing, and financing activities during a period, including activities conducted based on Sharia Principles.

3. Cash Flows from Operating Activities
   a. Cash Inflows
   This item is filled with

1. Receipts from ULaMM Interest Income
   This item is filled with all cash receipts from interest income from the ULaMM financing program from customers.
2. Receipts from Mekaar Interest Income
   This item is filled with all cash receipts from interest income from the Mekaar financing program from customers.
3. Return of ULaMM Loan Disbursements
   This item is filled with all cash receipts from the return of principal loans from the ULaMM financing program from customers.
4. Return of Mekaar Loan Disbursements
   This item is filled with all cash receipts from the return of principal loans from the Mekaar financing program from customers.
5. Receipts from Management Consulting Services
   This item is filled with all cash receipts from the provision of management consulting services.
6. Receipts from Other Operational Activities
   This item is filled with cash receipts not originating from the Company's main business activities, which can include receipts of written-off receivables, administrative income, fines, and interest not from customers in cash form, and other income not originating from main activities. b. Cash Outflows This item is filled with
7. ULaMM Loan Disbursements
   This item is filled with all payments made related to the ULaMM financing program.
8. Mekaar Loan Disbursements
   This item is filled with all payments made related to the Mekaar financing program.
9. Loan Interest Payments and Payments to Third Parties
   This item is filled with loan interest payments to banks and/or non-bank loans and interest/remuneration payments to third parties related to bonds, medium term notes (MTN), state revenue and/or sukuk.
10. Tax Payments
    This item is filled with the Company's expenditures for income tax payments in the reporting period.
11. Employee Salaries and Allowances Payments
    This item is filled with the Company's expenditures for employee salary and allowance payments, both permanent and non-permanent employees.
12. Payments for Other Operational Activities
    This item is filled with expenditures occurring from other operational activities and not covered in previous items.
    c. Net Cash from and for Operating Activities
    This item is filled with the value of the difference between cash inflows and cash outflows from operational activities.

2. Cash Flows from and for Investing Activities
   a. Cash Inflows
   This item is filled with

1. Deposit Interest Receipts
   This item is filled with cash receipts from interest income or remuneration from placements in banks.

2. Bond and Other Securities Interest Receipts
   This item is filled with cash receipts from interest income from placements in bonds and other securities.

3. Dividend Receipts
   This item is filled with cash receipts from dividend income from the Company's investments in shares of other companies.

4. Sale of Securities and Other Securities
   This item is filled with cash receipts from the sale of securities and other securities owned by the Company.

5. Sale of Fixed Assets
   This item is filled with cash receipts from the sale of the Company's fixed assets. If there are expenditures for administrative expenses and other expenses to be borne by the Company in the sale, this item contains the net income from the sale of assets after being reduced by the expenses to be paid by the Company.

6. Divestment in Associate Entities
   This item is filled with the results of divestment in associate entities involving cash and other related income.

7. Receipts from Other Investment Activities
   This item is filled with cash receipts from other investment activities and not covered in the previous items, for example, cash receipts from the sale of assets other than the Company's fixed assets.

b. Cash Outflows
This item is filled with

1. Deposit Placements
   This item is filled with cash expenditures related to the Company's deposit placements.

2. Purchase of Securities
   This item is filled with the Company's cash expenditures for securities transactions, for example, the purchase of securities.

3. Purchase of Fixed Assets
   This item is filled with the Company's cash expenditures for fixed asset purchase transactions.

4. Investment in Associate Entities
   This item is filled with the Company's cash expenditures for acquiring ownership or investing in associate entities.

5. Expenditures for Other Investment Activities
   This item is filled with cash expenditures for other investment activities and not covered in the previous items.

c. Net Cash from and for Investment Activities
This item is filled with the difference between cash inflows and cash outflows from and for investment activities.

3. Cash Flows from Financing Activities
   a. Cash Inflows
   This item is filled with:

1. Receipts of Capital Deposits
   This item is filled with cash receipts from capital deposits from shareholders.

2. Receipts of Loans from the Government of the Republic of Indonesia
   This item is filled with cash receipts from loans obtained by the Company from the Government of the Republic of Indonesia.

3. Receipts of Loans from Abroad
   This item is filled with cash receipts from loans obtained by the Company from abroad.

4. Receipts of Funds from Banks
   This item is filled with cash receipts from loans obtained by the Company from Banks.

5. Receipts of Funds from Non-Bank Financial Service Institutions
   This item is filled with cash receipts from loans obtained by the Company from non-bank financial service institutions.

6. Receipts of Funds from Bonds
   This item is filled with cash receipts from the issuance of the Company's bonds.

7. Receipts of Funds from Medium Term Notes (MTN)
   This item is filled with cash receipts from the issuance of the Company's Medium Term Notes (MTN).

8. Receipts of Funds from the Environmental Partnership Program (PKBL)
   This item is filled with cash receipts from the Environmental Partnership Program (PKBL).

9. Grant Receipts
   This item is filled with cash receipts from grants obtained by the Company from within the country or abroad.

10. Receipts from Other Financing Activities
    This item is filled with the Company's cash receipts related to financing activities other than activities in items 1) to 9) above.

b. Cash Outflows
This item is filled with

1. Payment of Repayment of Loans from the Government of the Republic of Indonesia
   This item is filled with the Company's cash expenditures for the payment of principal loans from the Government of the Republic of Indonesia.

2. Payment of Repayment of Loans from Abroad
   This item is filled with the Company's cash expenditures for the payment of principal loans from abroad.

3. Payment of Repayment of Bank Loans
   This item is filled with the Company's cash expenditures for the payment of principal bank loans.

4. Payment of Repayment of Loans from Non-Bank Financial Service Institutions
   This item is filled with the Company's cash expenditures for the payment of principal loans from non-bank financial service institutions.

5. Payment of Bond Principal
   This item is filled with the Company's cash expenditures for the payment of bond principal.

6. Payment of Medium Term Notes (MTN)
   This item is filled with the Company's cash expenditures for the payment of Medium Term Notes (MTN).

7. Payment of Bond Issuance Costs
   This item is filled with the Company's cash expenditures for the payment of bond principal.

8. Dividend Payments
   This item is filled with the Company's cash expenditures for dividend payments to the Company's shareholders.

9. Expenditures for Other Financing Activities
   This item is filled with the Company's cash expenditures related to financing activities other than activities in items 1) to 8) above.

c. Net Cash from and for Financing Activities
This item is filled with the difference between cash inflows and cash outflows from and for financing activities.

4. Net Increase (Decrease) in Cash and Cash Equivalents
   This item is filled with the total net increase or decrease in cash and cash equivalents during the reporting year period up to the reporting date.

5. Cash and Cash Equivalents at the Beginning of the Period
   This item is filled with the total position of cash and cash equivalents at the beginning of the Company's reporting year period.

6. Cash and Cash Equivalents at the End of the Period
   This item is filled with the total position of cash and cash equivalents at the end of the Company's reporting date period.

D. FORM 1400: ASSET AND LIABILITY MATCHING ANALYSIS REPORT

1. FORM 1400 FORMAT (ASSET AND LIABILITY MATCHING ANALYSIS REPORT)
   Form 1400 (Asset and Liability Matching Analysis Report) is prepared in the following format:
   (1) (2) (3) (4)
   Asset Age Liability
   Asset to Liability Ratio
   (%)
   TOTAL
   (5)
   Asset and Liability Quality
   Current Asset to Non-Current Asset Ratio (%)
   Current Liability to Non-Current Liability Ratio (%) Current Asset to Current Liability Ratio (%)

2. FORM 1400 EXPLANATION (ASSET AND LIABILITY MATCHING ANALYSIS REPORT)
   Form 1400 (Asset and Liability Matching Analysis Report) is prepared in the following format:

3. Age
   This item is filled with the age of assets or liabilities categorized as follows:
   a. Asset or liability age less than 1 (one) year (<1 year); b. Asset or liability age 1 (one) to 3 (three) years (1-3 years);
   c. Asset or liability age 3 (three) to 5 (five) years (3-5 years); or
   d. Asset or liability age more than 5 (five) years (>5 years).

4. Assets
   This item is filled with the total assets owned by the Company.

5. Liabilities
   This item is filled with the total liabilities owned by the Company.

6. Asset to Liability Ratio
   This item is filled with the comparison of assets to liabilities.

7. Asset and Liability Quality
   a. Current Asset to Non-Current Asset Ratio
   This item is filled with the comparison of current assets (assets in age category in item 1 letter a) to non-current assets (assets in age category in item 1 letters b, c, and d). b. Current Liability to Non-Current Liability Ratio This item is filled with the comparison of current liabilities (liabilities in age category in item 1 letter a) to non-current liabilities (liabilities in age category in item 1 letters b, c, and d).
   c. Current Asset to Current Liability Ratio
   This item is filled with the comparison of current assets (assets in age category in item 1 letter a) to current liabilities (liabilities in age category in item 1 letter a).

E. FORM 2100: DETAILS OF CASH AND CASH EQUIVALENTS

1. FORM 2100 FORMAT (CASH AND CASH EQUIVALENTS COMPOSITION DETAILS)
   Form 2100 (Cash and Cash Equivalents Details) is prepared in the following format:
   Item Amount

2. Cash

3. Bank

4. Short-Term Deposits

5. Total Cash and Cash Equivalents

6. FORM 2100 EXPLANATION (CASH AND CASH EQUIVALENTS DETAILS)
   Form 2100 (Cash and Cash Equivalents Details) contains information regarding the composition of cash and cash equivalents owned by the reporting Company during a certain period in the form of cash, bank placements, or short-term deposit placements.

7. Cash
   This item is filled with the amount of cash, both cash on hand owned by the Company in the form of currency (banknotes and coins), and electronic money established by Bank Indonesia as a legal means of payment in Indonesia.

8. Bank
   This item is filled with the amount of the Company's cash placed in Banks, both in savings and checking accounts.

9. Short-Term Deposits
   This item is filled with the amount of the Company's cash placed in deposits that have a maturity period of 3 (three) months or less as stated in the deposit certificate, or in the form of deposit on call.

10. Total Cash and Cash Equivalents
    This item is filled with the total amount of cash and cash equivalents owned by the Company.

F. FORM 2200: DETAILS OF PLACEMENTS IN BANKS

1. FORM 2200 FORMAT (DETAILS OF PLACEMENTS IN BANKS)
   Form 2200 (Details of Placements in Banks) is prepared in the following format:
   No.
   Bank Name
   Type
   Time Period
   Interest Rate
   (%)
   Amount
   Start
   Maturity

2. FORM 2200 EXPLANATION (DETAILS OF PLACEMENTS IN BANKS)
   Form 2200 (Details of Placements in Banks) contains information regarding the Company's deposit positions in Banks in the form of deposits with a maturity period of more than 3 (three) months at banks in Indonesia or other equivalent deposits. The Company must submit each bank deposit account individually.

3. Bank Name
   This item is filled with the name of the bank where the Company places funds.

4. Type
   This item is filled with the type of time deposits of more than three months and similar types.

5. Time Period
   a. Start
   This item is filled with the date, month, and year of the start of the deposit opening at the bank as stated in the deposit document. b. Maturity This item is filled with the date, month, and year of the deposit maturity at the bank as stated in the deposit document.

6. Interest Rate
   This item is filled with the percentage of the agreed interest rate/yield per year (per annum) as stated on the placement proof.

G. FORM 2300: DETAILS OF OWNED SECURITIES

1. FORM 2300 FORMAT (DETAILS OF OWNED SECURITIES)
   Form 2300 (Details of Owned Securities) is prepared in the following format:

2. FORM 2300 EXPLANATION (DETAILS OF OWNED SECURITIES)
   Form 2300 (Details of Owned Securities) contains the Company's securities positions. The Company must submit each securities account individually.

3. Securities Number
   This item is filled with the number of the owned securities or the code of the owned securities according to registration at the Indonesia Central Securities Depository (KSEI).

4. Type of Securities
   This item is filled with the type of securities owned by the Company in rupiah, which can be:
   (1) (2) (3) (4) (5) (6)
   No.
   Securities
   Type
   Securities
   Issuer
   Name
   Securities
   Rating
   Rating
   Agency
   Time Period
   Start
   Maturity
   (7) (8) (9) (10) (11) (12)
   Interest Rate
   (%)
   Nominal
   Acquisition
   Price
   Premium
   /
   Discount
   CKPN
   Amount

• Government Securities (including government bonds or Indonesian retail bonds/ORI, Treasury Bills/SPN, Sharia Government Securities/SBSN)
• Commercial Paper (CP)
• Medium Term Notes (MTN) and Sharia MTN
• Shares
• Mutual Funds
• Bonds
• Sukuk
• Other Securities

3. Issuer Name
   This item is filled with the name of the company issuing the securities. If the type of security is Government Securities (SPN, Sharia Treasury Bills/SPNS, Government Bonds/ON, ORI, State Sukuk, or Retail Sukuk), it is filled with the Ministry of Finance.

4. Securities Rating
   This item is filled with the latest rating of the securities owned by the Company.

5. Rating Agency
   This item is filled with the name of the rating agency registered with the Financial Services Authority, which rates the securities owned by the Company.

6. Time Period
   a. Start
   This item is filled with the date, month, and year of the issuance of the securities. b. Maturity This item is filled with the date, month, and year of the maturity of the securities.

7. Interest Rate
   This item is filled with the percentage of the agreed interest rate per year (per annum). Securities without an interest rate do not need to be filled or can be left blank.

8. Nominal
   This item is filled with the value stated in the securities or the value to be received at maturity.

9. Acquisition Price
   This item is filled with the acquisition of the securities.

10. Premium/Discount
    This item is filled with the percentage of interest or discount in 1 year (per annum).

11. Provision for Impairment Losses (CKPN)
    This item is filled with the provision for impairment losses, which is a provision prepared by the Company to face the risk of impairment losses on securities.

12. Amount
    This item is filled with the total acquisition price after considering premium/discount and CKPN.

H. FORM 2400: DETAILS OF FINANCING AND RECEIVABLES/CREDITS GIVEN TO ULaMM/ULaMM SYARIAH

1. FORM 2400 FORMAT (DETAILS OF FINANCING AND RECEIVABLES/CREDITS GIVEN TO ULaMM/ULaMM SYARIAH)
   Form 2400 (Details of Financing and Receivables/Credits Given to ULaMM/ULaMM Syariah) is prepared in the following format:
   (1) (2) (3) (4) (5)
   No. Province Regency/
   City
   Branch
   Office
   Name
   Unit
   Office
   Economic
   Sector
   (6) (7) (8) (9) (10) (11)
   Debtor
   Name
   National
   Identity
   Number
   (NIK)
   Credit
   Agreement
   Number
   (PK)
   Product
   Name
   Time Period
   Loan/Financing
   Limit
   Start Maturity
   (12) (13) (14) (15) (16) (17)
   Interest
   Rate
   /
   Yield
   (%)
   Outstanding
   Loan/Financing
   Quality
   Balance
   Installment
   Reserve
   Deferred
   Margin
   Collateral
   Value
   Information

2. FORM 2400 EXPLANATION (DETAILS OF FINANCING AND RECEIVABLES/CREDITS GIVEN TO ULaMM/ULaMM SYARIAH)
   Form 2400 (Details of Financing and Receivables/Credits Given to ULaMM/ULaMM Syariah) contains the position of ULaMM/ULaMM Syariah financing that has been disbursed by the Company. The Company must submit each ULaMM/ULaMM Syariah financing individually.

3. Province
   This item is filled with the province of the ULaMM/ULaMM Syariah debtor.

4. Regency/City
   This item is filled with the regency/city of the ULaMM/ULaMM Syariah debtor.

5. Branch Office Name
   This item is filled with the name of the Company's branch office.

6. Unit Office Name
   This item is filled with the name of the Company's unit office.

7. Economic Sector
   This item is filled with the economic sector of the business field according to the standard classification of economic activities existing in Indonesia. The details of the economic sector are based on the applicable standard classification of Indonesian business fields. In the event that financing is used to finance more than one type of economic activity that cannot be separated, the classification method focuses on the priority economic sector (the sector receiving the largest financing facility). Filling this item is done periodically with a maximum interval of 2 (two) years since this Financial Services Authority Circular was established.

8. Debtor Name
   This item is filled with the name of the party receiving the ULaMM/ULaMM Syariah financing facility.

9. National Identity Number (NIK)
   This item is filled with the identity card number/national identity number of the debtor receiving the ULaMM/ULaMM Syariah financing facility. Filling this item is done periodically with a maximum interval of 2 (two) years since this Financial Services Authority Circular was established.

10. Credit Agreement Number (PK)
    This item is filled with the sequence of credit agreements/financing agreements used in the agreement by the Company.

11. Product Name
    This item is filled with the name of the ULaMM/ULaMM Syariah financing product received by the debtor, for example, MM15, MM100, and others.

12. Time Period
    a. Start
    This item is filled with the date of the start of the agreement as stated in the credit agreement/financing agreement. b. Maturity This item is filled with the date of the end of the agreement as stated in the credit agreement/financing agreement.

13. Loan/Financing Limit
    This item is filled with the maximum amount of ULaMM/ULaMM Syariah financing disbursement that can be received by the debtor.

14. Interest Rate/Yield
    This item is filled with the percentage of the interest rate or yield per year (per annum) as stated in the credit agreement/financing agreement.

15. Outstanding Loan/Financing
    This item is filled with the total gross outstanding value of ULaMM/ULaMM Syariah financing disbursement in the name of the Debtor.

16. Quality
    This item is filled with the quality of ULaMM/ULaMM Syariah financing receivables assessed with criteria according to financing quality classification rules:
    a. current; b. special attention;
    c. doubtful;
    d. questionable; or e. non-performing.

17. Installment Reserve Fund Balance
    This item is filled with the total balance of the debtor's installment reserve funds. Installment Reserve Funds are funds belonging to ULaMM/ULaMM Syariah customers entrusted to the Company without requiring customer approval in the event of a shortage of customer obligation payments.

18. Deferred Margin
    This item is filled with the value of margin income not yet received from the value of financing receivables disbursed based on Sharia principles.

19. Collateral Value Information
    This item is filled with the estimated value in rupiah for each item pledged during the reporting period.

I. FORM 2500: DETAILS OF FINANCING AND RECEIVABLES/CREDITS GIVEN TO MEKAAR/MEKAAR SYARIAH

1. FORM 2500 FORMAT (DETAILS OF FINANCING AND RECEIVABLES/CREDITS GIVEN TO MEKAAR/MEKAAR SYARIAH)
   Form 2500 (Details of Financing and Receivables/Credits Given to Mekaar/Mekaar Syariah) is prepared in the following format:
   (1) (2) (3) (4) (5) (6) (7)
   No. Provin ce
   Kab
   /
   City
   Name
   Branch
   Office
   Economic
   Sector
   Name
   Debt or
   National
   Identity
   Number
   (NIK)
   Credit
   Agreement
   Number
   (PK)
   (8) (9) (10) (11) (12) (13) (14)
   Name
   Produ ct
   Time
   Period
   Loan/Financing
   Limit
   Interest
   Rate
   /
   Yield
   (%)
   Outstand ing
   Loan/Financing
   Quality
   Margin
   Deferred
   S ta rt
   Ma tu ri ty

2. FORM 2500 EXPLANATION (DETAILS OF FINANCING AND RECEIVABLES/CREDITS GIVEN TO MEKAAR/MEKAAR SYARIAH)
   Form 2500 (Details of Financing and Receivables/Credits Given to Mekaar/Mekaar Syariah) contains a list of details which is a report on the position of Mekaar/Mekaar Syariah financing that has been disbursed by the Company. In this reporting, Mekaar/Mekaar Syariah financing is reported individually.

3. Province
   This item is filled with the province of the Mekaar/Mekaar Syariah debtor.

4. Regency/City
   This item is filled with the regency/city of the Mekaar/Mekaar Syariah debtor.

5. Branch Office Name
   This item is filled with the name of the Mekaar/Mekaar Syariah branch office.

6. Economic Sector
   This item is filled with the economic sector of the business field according to the standard classification of economic activities existing in Indonesia. The details of the economic sector are based on the applicable standard classification of Indonesian business fields. In the event that financing is used to finance more than one type of economic activity that cannot be separated, the classification method focuses on the priority economic sector (the sector receiving the largest financing facility). Filling this item is done periodically with a maximum interval of 2 (two) years since this Financial Services Authority Circular was established.

7. Debtor Name
   This item is filled with the name of the party receiving the Mekaar/Mekaar Syariah financing facility.

8. National Identity Number (NIK)
   This item is filled with the identity card number/national identity number of the debtor receiving the Mekaar/Mekaar Syariah financing facility. Filling this item is done periodically with a maximum interval of 2 (two) years since this Financial Services Authority Circular was established.

9. Credit Agreement Number (PK)
   This item is filled with the sequence of credit agreements/financing agreements used in the agreement by the Company.

10. Product Name
    This item is filled with the name of the Mekaar/Mekaar Syariah financing product received by the debtor, for example, Mekaar plus, Mekaar naik kelas, and others.

11. Time Period
    a. Start
    This item is filled with the date of the start of the agreement as stated in the credit agreement/financing agreement. b. Maturity This item is filled with the date of the end of the agreement as stated in the credit agreement/financing agreement.

12. Loan/Financing Limit
    This item is filled with the maximum amount of Mekaar/Mekaar Syariah financing disbursement that can be received by the debtor.

13. Interest Rate/Yield
    This item is filled with the percentage of the interest rate or yield agreed upon as stated in the credit agreement/financing agreement.

14. Outstanding Loan/Financing
    This item is filled with the total gross outstanding value of Mekaar/Mekaar Syariah financing disbursement in the name of the debtor.

15. Quality
    This item is filled with the quality of Mekaar/Mekaar Syariah financing receivables assessed with criteria according to financing quality classification rules. a. current; b. special attention;
    c. doubtful;
    d. questionable; or e. non-performing.

16. Deferred Margin
    This item is filled with the value of margin income not yet received from the value of financing receivables disbursed based on Sharia principles.

J. FORM 2600: LIST OF DETAILS OF ISSUED SECURITIES

1. FORM 2600 FORMAT (LIST OF DETAILS OF ISSUED SECURITIES)
   Form 2600 (List of Details of Issued Securities) is prepared in the following format:
   Securities
   Number
   Type
   Securities
   Time Period
   Interest Rate /
   Discount
   Nominal
   Start
   Maturity

2. FORM 2600 EXPLANATION (LIST OF DETAILS OF ISSUED SECURITIES)
   Form 2600 (List of Details of Issued Securities) contains a report on the position of securities issued by the Company, where each issued security is reported individually.

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

4. Type of Securities
   This item is filled with the type of securities issued by the reporter, including:
   a. Bonds
   Bonds are debt acknowledgment instruments with a term of more than 1 (one) year issued by the Company with the obligation to pay coupons (interest rates) periodically to bondholders and repay the entire principal debt at maturity.

b. Medium Term Notes (MTN)
Medium Term Notes (MTN) are medium-term debt instruments with a maturity of 1 (one) to 3 (three) years issued by the Company to holders of Medium Term Notes (MTN), with the obligation to pay coupons (interest rates) gradually according to the interest payment schedule of Medium Term Notes (MTN) to the holders of Medium Term Notes (MTN) and to repay the entire principal debt upon maturity.

c. Sukuk
Sharia financial instruments in the form of certificates or proof of ownership that are of equal value and represent indivisible or undivided shares (syuyu’/undivided share) of the underlying assets.

3. Maturity Period
   a. Start Date
   This position is filled with the date, month, and year of issuance of the financial instrument. b. Maturity Date This position is filled with the date, month, and year of maturity of the financial instrument.

4. Interest Rate/Discount
   This position is filled with the agreed interest/discount rate per annum as stated on the issued financial instrument.

5. Nominal
   This position is filled with the nominal value of the financial instrument issued by the Company.

K. FORM 2700: LIST OF DETAILED LOANS RECEIVED

1. FORM 2700 (LIST OF DETAILED LOANS RECEIVED) FORMAT
   Form 2700 (List of Detailed Loans Received) is prepared in the following format:

(1) Agreement No.	(2) Credit Type	(3) Creditor	(4) Nominal	(5) Outstanding Last Month	(6) Outstanding Report Month	(7) Interest Rate (%)	(8) Maturity Period (Start - End)	TOTAL

2. EXPLANATION OF FORM 2700 (LIST OF DETAILED LOANS RECEIVED)
   Form 2700 (List of Detailed Loans Received) contains details of the loan positions received by the Company, where each loan received is reported individually.

3. Credit Agreement Number
   This position is filled with the credit agreement number.

4. Creditor Type
   This position is filled with information regarding the type of creditor, including the Government of the Republic of Indonesia, banks, non-bank financial service institutions, and creditors from abroad.

5. Creditor
   This position is filled with the name of the party providing loans or financing to the Company. If the Company has more than 1 (one) loan or financing account with the same creditor, the creditor name column for each transaction is still filled with the respective creditor's name according to the number of agreements.

6. Nominal
   This position is filled with the amount of loans or financing received by the Company as stated in the agreement.

7. Outstanding Last Month
   This position is filled with the remaining loan/financing amount received by the company in the period prior to the report month.

8. Outstanding Report Month
   This position is filled with the remaining loans or financing of the Reporting Financing Company at the end of the reporting period.

9. Interest Rate
   This position is filled with the effective interest rate/profit-sharing ratio per annum charged by the creditor to the Company.

10. Maturity Period
    a. Start Date
    This position is filled with the start date of the agreement as stated in the credit agreement/financing deed. b. Maturity Date This position is filled with the end date of the agreement as stated in the credit agreement/financing deed.

L. FORM 2800: LIST OF DETAILED FINANCIAL ASSET IMPAIRMENT PROVISIONS (FAIP)

1. FORM 2800 (LIST OF DETAILED FINANCIAL ASSET IMPAIRMENT PROVISIONS (FAIP)) FORMAT
   Form 2800 (List of Detailed Financial Asset Impairment Provisions (FAIP)) is prepared in the following format:

Financial Asset Type	FAIP Nominal	Total
Financial assets measured at amortized cost:
a. Cash and Cash Equivalents
b. ULaMM Loans Given
c. Sharia ULaMM Financing Given
d. Mekaar Loans Given
e. Sharia Mekaar Financing Given
f. Capital Financing
g. Management Service Receivables
h. Receivables Still to be Received
i. Investment Manager Activity Receivables
j. Other Receivables

2. EXPLANATION OF FORM 2800 (LIST OF DETAILED FINANCIAL ASSET IMPAIRMENT PROVISIONS (FAIP))
   Form 2800 (List of Detailed Financial Asset Impairment Provisions (FAIP)) contains detailed calculations of FAIP for each type of financial asset owned by the Company.

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

1. Financial Asset Type
   This position is filled with the type of financial assets owned by the Company in accordance with applicable accounting standards.

2. Nominal
   This position is filled with the nominal value (gross) of the financial assets owned by the Company.

3. Financial Asset Impairment Provisions (FAIP)
   This position is filled with impairment loss provisions, which are provisions prepared by the Company to face the risk of impairment losses of financial assets.

4. Total
   This position is filled with the difference between the nominal value and FAIP.

Established in Jakarta on 19 July 2022
EXECUTIVE HEAD OF INSURANCE, PENSION FUND, FINANCING INSTITUTION, AND OTHER FINANCIAL SERVICE INSTITUTIONS SUPERVISOR FINANCIAL SERVICES AUTHORITY REPUBLIC OF INDONESIA, signed RISWINANDI

APPENDIX III
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY REPUBLIC OF INDONESIA NUMBER 13 /SEOJK.05/2022 CONCERNING MONTHLY REPORT OF PT PERMODALAN NASIONAL MADANI

TABLE OF CONTENTS
I. Sharia Business Unit (SBU) Profile Report, consisting of:
A. Form 0000: SBU Profile 2
B. Form 0020: Details of Offices Other than Head Office 6
C. Form 0030: Details of Employee Count 8
II. SBU Financial Report, consisting of:
A. Form 1100: Financial Position Report 9
B. Form 1200: Profit and Loss and Other Comprehensive Income Report
C. Form 1300: Cash Flow Report 29
D. Form 1400: Asset and Liability Matching Analysis Report E. Form 2100: Details of Composition of Cash and Cash Equivalents 42 F. Form 2200: Details of Placements in Banks 43 G. Form 2300: Details of Sharia Securities Owned H. Form 2400: Details of Financing Given 48
I. Form 2500: Details of Ijarah Assets 52
J. Form 2600: Details of Sharia Securities Issued K. Form 2700: Details of Financing Received 57
L. Form 2800: Details of Financial Asset Impairment Provisions (FAIP)
M. Form 2900: Report on Sources and Use of Benevolence Funds

I. SHARIA BUSINESS UNIT (SBU) PROFILE REPORT
A. FORM 0000: SBU PROFILE

1. FORM 0000 (SBU PROFILE) FORMAT
   Form 0000 (SBU Profile) is prepared in the following format:

SHARIA BUSINESS UNIT PROFILE a. Company Name :
b. Taxpayer Identification Number (NPWP) :
c. Office Address
d. Reporting Period :
e. Company Organization

1. Number of Commissioners :
2. Number of Board of Directors Members :
3. Number of Sharia Supervisory Board
   f. Name of SBU Leader :
   g. Director in Charge of SBU :
   h. Office Network Data
4. SBU Head Office :
5. Offices Other than Head Office
   a) Micro Capital Service Unit (ULaMM) Branch Office (Sharia) :
   b) ULaMM Unit Office (Sharia) :
   c) Mekaar Family Prosperity Branch Office (Sharia) :
   i. Number of Employees
6. SBU Head Office :
7. Offices Other than Head Office

SHARIA BUSINESS UNIT PROFILE a) ULaMM Sharia Branch Office :
b) ULaMM Sharia Unit Office :
c) Mekaar Sharia Branch Office :
j. Report Compiler and Person in Charge

1. Report Compiler
   a) Name :
   b) Position :
   c) Telephone Number :
   d) Mobile Phone Number e) E-mail :
2. Report Person in Charge
   a) Name :
   b) Position :
   c) Telephone Number :
   d) Mobile Phone Number :
   e) E-mail :

2. EXPLANATION OF FORM 0000 (SBU PROFILE)
   Form 0000 (SBU Profile) contains all information regarding the SBU profile.

a. Company Name
This position is filled with the name of the SBU, including its legal entity form.

b. Taxpayer Identification Number (NPWP)
This position is filled with the SBU's NPWP.

c. Office Address
This position is filled with the complete address of the SBU office.

d. Reporting Period
This position is filled with the period from the 1st to the end of the relevant month. Example: 1-31 March 2022.

e. Company Organization
This position is filled with the number of Commissioners, the number of Board of Directors members, and the number of the Sharia Supervisory Board.

f. Name of SBU Leader
This position is filled with the name of the SBU leader.

g. Director in Charge of SBU
This position is filled with the Director in charge of the SBU.

h. Office Network Data
This position is filled with the number of office networks, including the SBU head office and offices other than the head office of the Sharia business unit, consisting of ULaMM Sharia branch offices, ULaMM Sharia unit offices, and Mekaar Sharia branch offices. This position is detailed in Form 0020: Details of Offices Other than Head Office.

i. Number of Employees
This position is filled with the number of employees owned by the Company, covering all employees at the SBU head office and offices other than the head office of the Sharia business unit, consisting of ULaMM Sharia branch offices, ULaMM Sharia unit offices, and Mekaar Sharia branch offices. This position is detailed in Form 0030: Details of Employee Count.

j. Report Compiler and Person in Charge

1. Report Compiler
   This position is filled with complete data of Company personnel acting as report compilers. a) Name This position is filled with the full name of the report compiler. b) Position This position is filled with the position of the report compiler. c) Telephone Number This position is filled with the telephone number of the report compiler's department/division/unit. d) Mobile Phone Number This position is filled with the mobile phone number of the report compiler. e. Electronic Mail Address (E-mail) This position is filled with the e-mail address of the report compiler.

2. Report Person in Charge
   This position is filled with complete data of Board of Directors members acting as the report person in charge. a) Name This position is filled with the full name of the Board of Directors member who is the report person in charge. b) Position This position is filled with the position of the Board of Directors member who is the report person in charge. c) Telephone Number This position is filled with the telephone number of the Board of Directors member who is the report person in charge's department/division/unit. d) Mobile Phone Number This position is filled with the mobile phone number of the Board of Directors member who is the report person in charge. e. Electronic Mail Address (E-mail) This position is filled with the e-mail address of the Board of Directors member who is the report person in charge.

B. FORM 0020: DETAILS OF OFFICES OTHER THAN HEAD OFFICE OF SBU

1. FORM 0020 (DETAILS OF OFFICES OTHER THAN HEAD OFFICE OF SBU) FORMAT
   Form 0020 (Details of Offices Other than Head Office of SBU) is prepared in the following format:

(1) Office Type	(2) Recording Letter No.	(3) Recording Letter Date	(4) Location (Address, District, Regency/City, Postal Code)	(5) Telephone No.	(6) Number of Workforce	(7) Office Person in Charge Name	(8) Operational Start Date	(9) Office Building Ownership

2. EXPLANATION OF FORM 0020 (DETAILS OF OFFICES OTHER THAN HEAD OFFICE OF SHARIA BUSINESS UNIT)
   Form 0020 (Details of Offices Other than Head Office of SBU) contains information on offices other than the head office, consisting of ULaMM Sharia branch offices, ULaMM Sharia unit offices, and Mekaar Sharia branch offices.

(1) Office Type
This position is filled with the name of the office, namely offices other than the head office, including ULaMM Sharia branch offices, ULaMM Sharia unit offices, and Mekaar Sharia branch offices.

(2) Recording Letter Number
This position is filled with the number of the letter from the Financial Services Authority regarding the recording of offices other than the head office.

(3) Recording Letter Date
This position is filled with the date of the letter from the Financial Services Authority regarding the recording of the opening of offices other than the head office.

(4) Location

• Address
  This position is filled with the complete address of offices other than the SBU head office.
• District
  This position is filled with the name of the district where the offices other than the SBU head office are located.
• Regency/City
  This position is filled with the location of the regency/city.
• Postal Code
  This position is filled with the postal code number of the location of offices other than the SBU head office.

(5) Telephone Number
This position is filled with the area code and telephone number of each office other than the SBU head office.

(6) Number of Workforce
This position is filled with the number of workforce located in offices other than the SBU head office, including the person in charge of offices other than the SBU head office, permanent workforce, contract workforce, and outsourced workforce.

(7) Office Person in Charge Name
This position is filled with the name of the person in charge of each office other than the SBU head office.

(8) Operational Start Date
This position is filled with the date when offices other than the SBU head office began operations.

(9) Office Building Ownership
This position is filled with the status of office building ownership, such as owned by the Company or leased.

C. FORM 0030: DETAILS OF EMPLOYEE COUNT

1. FORM 0030 (DETAILS OF EMPLOYEE COUNT) FORMAT
   Form 0030 (Details of Employee Count) is prepared in the following format:

Employment Status	Conventional	Sharia
Permanent Employees
Contract Employees
Outsourced Workforce
Total

2. EXPLANATION OF FORM 0030 (DETAILS OF EMPLOYEE COUNT)
   Form 0030 (Details of Employee Count) contains information on the number of employees based on employment status, namely permanent employees, contract employees, or outsourced workforce, in the Sharia business unit.

(1) Permanent Employees
This position is filled with the number of permanent employees of the Sharia business unit.

(2) Contract Employees
This position is filled with the number of contract employees of the Sharia business unit.

(3) Outsourced Workforce
This position is filled with the number of outsourced workforce of the Sharia business unit.

II. SHARIA BUSINESS UNIT (SBU) FINANCIAL REPORT
A. FORM 1100: SBU FINANCIAL POSITION REPORT

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

Position	Amount
ASSETS
1. Cash and Cash Equivalents
2. Placements in Banks
3. Investments in Sharia Securities
4. Investments in Associated Entities
5. Sharia Principle Financing Receivables
a. Murabahah Agreement Financing
b. Mudharabah Agreement Financing
c. Musyarakah Agreement Financing
d. Mudharabah Profit-Sharing Receivables
e. Musyarakah Profit-Sharing Receivables
f. Ijarah Agreement Receivables
g. Receivables from Other Agreement Business Activities
6. Ijarah Assets
a. Ijarah Assets – Gross
b. Accumulated Depreciation of Ijarah Assets
7. Other Receivables
8. Revenue Still to be Received
9. Advances and Prepaid Expenses
10. Financial Asset Impairment Provisions
11. Fixed Assets and Inventories
12. Intangible Assets
13. Acquired Collateral
14. Deferred Tax Assets
15. Other Assets.
LIABILITIES AND EQUITY
LIABILITIES
1. Financing Received
a. Government/General Service Agency (BLU) Financing
b. Foreign Financing
c. Financing from Sharia Banks
d. Financing from Sharia Non-Bank Financial Service Institutions
e. Subordinated Loans
f. Other Sharia Financing
2. Securities Issued
a. Sharia Medium Term Notes (MTN)
b. Sukuk
c. Other Sharia Securities
3. Tax Payables
4. Installment Reserve Funds
a. Customer Reserve Funds
b. Accountability Funds
5. Trust Funds (Wadi’ah)
6. Late Payment Penalties (ta'zir)
7. Expenses Still to be Paid
8. Employee Benefit Liabilities
9. Other Liabilities
TOTAL LIABILITIES
EQUITY
1. Capital
Working Capital
2. Reserves
a. General
b. Specific
3. Profit Balance
a. Retained Profit (Loss)
b. Current Period Profit (Loss)
4. Other Equity Components
a. Profit (Loss) from Revaluation of Fixed Assets
b. Profit (Loss) from Re-measurement of Financial Assets Available for Sale
c. Actuarial Profit (Loss) from Employee Benefit Programs
d. Profit (Loss) from Other Equity Components in Accordance with Financial Accounting Standards Principles
TOTAL EQUITY
TOTAL LIABILITIES AND EQUITY

2. EXPLANATION OF FORM 1100 (SBU FINANCIAL POSITION REPORT)
   Form 1100 (SBU Financial Position Report) contains the monthly SBU report providing detailed explanations of asset positions and liability and equity positions.

– ASSETS

1. Cash and Cash Equivalents
   This position is filled with the amount of:
   a. Cash owned by the company, both cash on hand at the SBU in the form of currency (banknotes and coins), and electronic money issued by Bank Indonesia that is a legal tender in Indonesia owned by the SBU Company. This position must be detailed in the Details of Cash and Cash Equivalents (Form 2100). b. Cash equivalents in the form of investments owned by the SBU that are highly liquid, short-term, and can quickly be converted to cash in determinable amounts with insignificant risk of value changes, including time deposits of 3 (three) months or less and deposit on call. This position must be detailed in the Details of Cash and Cash Equivalents (Form 2100).

2. Placements in Banks
   This position is filled with all types of company placements/deposits in Sharia banks in Indonesia, whether in the form of savings, checking accounts, time deposits, and other similar deposits in Sharia banks in Indonesia, with a maturity of more than 3 (three) months. This position must be detailed in the Details of Placements in Banks (Form 2200).

3. Investments in Sharia Securities
   This position is filled with all Sharia securities owned by the SBU. The value of securities is presented in accordance with applicable accounting standards. This position must be detailed in Form 2300 (Details of Securities Owned).

4. Investments in Associated Entities
   This position is filled with the fair value of the SBU's investments in subsidiary companies and/or companies whose main share ownership is owned by subsidiary companies.

5. Sharia Principle Financing Receivables
   a. Murabahah Agreement Financing
   This position is filled with receivables arising from the distribution of financing loans with the murabahah agreement. b. Mudharabah Agreement Financing This position is filled with receivables arising from the distribution of financing with the mudharabah agreement.
   c. Musyarakah Agreement Financing
   This position is filled with receivables arising from the distribution of financing with the musyarakah agreement. d. Mudharabah Profit-Sharing Receivables This position is filled with the value of profit-sharing receivables from mudharabah financing that has matured in the current period but has not yet been realized (paid). e. Musyarakah Profit-Sharing Receivables This position is filled with the value of profit-sharing receivables from musyarakah financing that has matured in the current period but has not yet been realized (paid). f. Ijarah Agreement Receivables This position is filled with the value of ijarah agreement financing that has matured in the current period but has not yet been paid by customers. g. Receivables from Other Agreement Business Activities This position is filled with the net value of receivables from business (operational) activities with other agreements other than financing, after deducting impairment loss provisions.

6. Ijarah Assets
   This position is filled with the value of the ijarah object recorded as net value after deducting other revenues and expenses related to financing transactions that are amortized and accumulated depreciation. a. Gross Ijarah Assets This position is filled with the ijarah object recognized when the ijarah object is obtained at acquisition cost. b. Accumulated Depreciation of Ijarah Assets. This position covers the accumulated depreciation of ijarah assets.

7. Other Receivables
   This position is filled with receivables arising from non-operational activities of the SBU, including receivables from clearing and guarantee financial institutions, or other receivables other than receivables from financing and other business activities.

8. Revenue Still to be Received
   This position is filled with all revenue that has been earned and is the SBU's right but has not yet been received and has not been recorded until the end of the reporting period.

9. Advances and Prepaid Expenses
   This position is filled with working advances, which are funds taken for operational activities and other prepaid expenses related to operations, such as office rent, official residence rent, vehicle rent in advance, prepaid insurance including vehicle insurance and office insurance.

10. Financial Asset Impairment Provisions (FAIP)
    This position is filled with the provision formed by the SBU based on estimated losses on Sharia-based financial assets in accordance with applicable financial accounting standards.

11. Fixed Assets and Inventories
    This position is filled with the acquisition value of fixed assets and inventories owned by the SBU, minus accumulated depreciation and impairment losses.

12. Intangible Assets
    This position is filled with the value of non-monetary assets that can be identified without physical form but are utilized to produce or deliver goods or services, leased to other parties, or for administrative purposes, after deducting amortization.

13. Acquired Collateral
    This position is filled with the value of each pledged item taken over by the SBU through auction or based on voluntary surrender by the collateral owner or based on the power to sell outside of auction from the collateral owner.

14. Deferred Tax Assets
    This position is filled with the amount of deferred tax assets recognized by the 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 profit in the future.

15. Other Assets
    This position is filled with the value of SBU assets that are not fixed assets, current assets, investments, or intangible assets. Other assets can include unused fixed assets, assets from business segments that management has decided to discontinue or sell, deferred expenses, or security deposits (for office rent, telephone, bank financing, and others). Other assets are presented at recorded value, i.e., acquisition cost after deducting amortization and impairment, if any.

– LIABILITIES

1. Financing Received
   a. Government/General Service Agency (BLU) Financing This position is filled with the value of financing received by the SBU from the Government of the Republic of Indonesia, including that distributed through General Service Agencies (BLU). b. Foreign Financing This position covers the value of financing received by the SBU in rupiah from abroad or non-residents. Financing can be received from banks operating outside Indonesia, non-bank financial service institutions operating outside Indonesia, or third-party non-financial service entities abroad or non-residents.
   c. Financing from Sharia Banks
   This position is filled with the principal value of financing received by the SBU from Sharia banks and Sharia business units. The term 'Sharia bank' refers to that defined in applicable banking regulations. This sub-position cannot be offset against the Bank position in the Asset position. d. Financing from Sharia Non-Bank Financial Service Institutions This position is filled with the principal value of financing received by the SBU from Sharia non-bank financial service institutions. Included in this sub-position are Sharia financing companies, Sharia venture capital companies, Sharia insurance companies, and other Sharia-based financial service companies.

e. Subordinated Loans
This item is filled with subordinated loans (qardh) received by the UUS with the following criteria:

• with a minimum term of 5 (five) years;
• in the event of liquidation, the claim right applies last among all existing funding; and
• stipulated in the form of a notarial deed agreement between the UUS and the funding provider.
  f. Other Sharia Funding
  This item covers loans received by the UUS other than those received from items a through e, for example, funding from business entities.

2. Securities Issued
   a. Sharia Medium Term Notes (MTN)
   This item is filled with the value of Sharia medium-term notes/medium term notes issued by the Company for a period of 5 (five) to 10 (ten) years. b. Sukuk This item is filled with the value of Sukuk issued by the Company's UUS. Sukuk is a Sharia security in the form of certificates or proof of ownership that has equal value and represents an indivisible or undivided share (syuyu’/undivided share) over the underlying assets.
   c. Other Sharia Securities
   This item is filled with the value of all securities issued by the Company's UUS other than securities as referred to in items a and b.

3. Tax Liabilities
   This item is filled with the value of all of the Company's unpaid tax liabilities in accordance with applicable Indonesian tax regulations.

4. Installment Reserve Funds
   a. Customer Reserve Funds
   This item is filled with funds belonging to ULaMM customers that are entrusted to the Company without requiring customer approval in the event of a shortfall in customer obligation payments. b. Accountability Money This item is filled with money set aside from loans received by Mekaar customers, which will be returned to customers after all loans are fully settled.

5. Entrusted Funds (Wadi’ah)
   This item is filled with the amount of money set aside by Mekaar customers that is voluntary and entirely belongs to the customers in accordance with the regulations of the Financial Services Authority regarding the Supervision of PT Permodalan Nasional Madani.

6. Late Payment Penalties (Ta'zir)
   This item is filled with the amount of late payment penalties (ta'zir) imposed on customers that have not yet been issued for use as charity funds and for which the report on the source and use of charity funds has not yet been compiled.

7. Expenses to be Paid
   This item is filled with expenses that must be paid by the Company, including operational expenses, personnel expenses, bond interest expenses, bank loan interest expenses, medium term note interest expenses, and other expenses.

8. Employee Benefit Liabilities
   This item is filled with the value of employee benefit obligations, both post-employment benefits or other long-term benefits.

9. Other Liabilities
   This item is filled with the fair value estimate of other liabilities, namely the amount to be repaid at any time. Other liabilities include parties related to the company or third parties.

 EQUITY

1. Capital
   Working Capital
   This item is filled with working capital placed in the form of cash or cash equivalents from the parent Company, evidenced by a Board of Directors decision regarding the placement of UUS working capital.

2. Reserves
   a. General
   This item is filled with the value of retained earnings established as general reserves by the Annual General Meeting of Shareholders (RUPS) and allocated as the UUS portion. b. Specific This item is filled with the value of retained earnings established as specific reserves by the RUPS and allocated as the UUS portion.

3. Retained Earnings
   a. Retained Earnings (Loss)
   This item is filled with the value of retained earnings/losses retained/borne by the UUS at the beginning of the reporting period that have not yet determined their use. b. Current Period Earnings (Loss) This item is filled with the value of UUS earnings/losses during the current period up to the reporting date.

4. Other Equity Components
   This item covers UUS equity components arising from comprehensive transactions. a. Gains (Losses) on Revaluation of Fixed Assets This item is filled with the fair value of the revaluation of the Company's fixed assets, caused by an increase in the market value of fixed assets or due to the low value of fixed assets in the company's financial statements caused by devaluation or other reasons. b. Gains (Losses) from Remeasurement of Financial Assets Available for Sale This item is filled with the value of gains (losses) from the remeasurement of financial assets available for sale by the UUS at the beginning of the reporting period.
   c. Actuarial Gains (Losses) on Employee Benefit Programs
   This item is filled with the value of gains/losses arising from the difference between the actuarial assumptions used in calculations and actual values. d. Gains (Losses) on Other Equity Components in accordance with Accounting Standards This item is filled with the value of gains/losses on other equity components in accordance with applicable accounting standards for the UUS at the beginning of the reporting period.

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

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

Item Amount

1. Operational Revenue
   a. Murabahah Margin Revenue b. Mudharabah Profit-Sharing Revenue
   c. Musyarakah Profit-Sharing Revenue
   d. Ujrah Revenue e. Revenue from Business Activities with Other Contracts
2. Operational Expenses
   a. Profit-Sharing Expenses for Government/Public Service Agency (BLU) Funding b. Profit-Sharing Expenses for Foreign Funding
   c. Profit-Sharing Expenses for Sharia Bank Funding
   d. Profit-Sharing Expenses for Sharia Non-Bank Financial Service Institution Funding e. Profit-Sharing Expenses for Other Sharia Funding f. Profit-Sharing Expenses for Sharia Securities g. Provision and Commission Expenses h. Marketing and Collection Expenses

Item Amount
3. Other Operational Revenue
a. Administrative and Provision Revenue b. Investment Return Revenue
c. Other Investment Revenue
d. Net Sharia Securities Transaction Revenue e. Compensation Revenue (Ta'widh) f. Other Revenue
4. Other Operational Expenses
a. General and Administration b. Salaries and Allowances
c. Education and Training
d. Office Rent e. Guarantee/Insurance f. Asset Amortization and Depreciation g. Provision for Bad Debts

1. Murabahah
2. Mudharabah
3. Musyarakah
4. Ijarah
5. Business Activities with Other Contracts
   h. Others

5. Operational Profit (Loss)

Non-Operational Revenue/Expense a. Non-Operational Revenue b. Non-Operational Expense

Item Amount
7. Profit (Loss) Before Income Tax
8.
Income Tax a. Current Tax b. Deferred Tax

1. Deferred Tax Income
2. Deferred Tax Expense

9. Current Period Profit (Loss)

10. Other Comprehensive Income (Expense) for the Current Period

11. Comprehensive Profit (Loss)

12. EXPLANATION OF FORM 1200 (STATEMENT OF PROFIT OR LOSS AND OTHER COMPREHENSIVE INCOME OF UUS)
    Form 1200 (Statement of Profit or Loss and Other Comprehensive Income of UUS) contains cumulative figures from the beginning of the UUS fiscal year to the reporting date. The method for filling out the UUS statement of profit or loss and other comprehensive income is detailed as follows:

13. Operational Revenue
    This item is filled with the value of all revenue from UUS operational activities. a. Murabahah Margin Revenue This item is filled with the value of revenue obtained by the UUS from financing activities using the murabahah contract. b. Mudharabah Profit-Sharing Revenue This item is filled with the value of revenue obtained by the Company from financing activities using the mudharabah contract.
    c. Musyarakah Profit-Sharing Revenue
    This item is filled with the value of revenue obtained by the Company from financing activities using the musyarakah contract. d. Ujrah Revenue This item is filled with the value of revenue obtained by the Company from financing activities using the ijarah contract. e. Revenue from Business Activities with Other Contracts This item is filled with the value of revenue obtained by the Company from other business activities besides financing activities.

14. Operational Expenses
    This item is filled with all expenses incurred for UUS business activities, consisting of:
    a. Profit-Sharing Expenses for Government/BLU Funding This item is filled with the value of expenses arising from profit-sharing funding received from the government/BLU. b. Profit-Sharing Expenses for Foreign Funding This item is filled with the value of expenses arising from profit-sharing funding received from abroad.
    c. Profit-Sharing Expenses for Sharia Bank Funding
    This item is filled with the value of expenses arising from profit-sharing funding received from Sharia banks. d. Profit-Sharing Expenses for Sharia Non-Bank Financial Service Institution Funding This item is filled with the value of expenses arising from profit-sharing funding received from Sharia non-bank financial service institutions. e. Profit-Sharing Expenses for Other Sharia Funding This item is filled with the value of expenses arising from profit-sharing funding received from other Sharia funding besides letters a) through d). f. Profit-Sharing Expenses for Sharia Securities This item is filled with the value of expenses arising from profit-sharing from Sharia securities issued. g. Provision and Commission Expenses This item is filled with costs arising as compensation for the use of intermediary services for a transaction or compensation paid by the Company in connection with the use of facilities. h. Marketing and Collection Expenses This item is filled with costs incurred by the UUS related to marketing and collection activities conducted.

15. Other Operational Revenue
    a. Administrative and Provision Revenue
    This item is filled with administrative fees and provisions charged to customers for the use of financing facilities. b. Investment Return Revenue This item is filled with return revenue from UUS investment placements.
    c. Other Investment Revenue
    This item is filled with revenue other than returns from investment placements. d. Net Sharia Securities Transaction Revenue This item is filled with revenue from Sharia securities transactions conducted by the Company after considering transaction costs. e. Compensation Revenue (Ta'widh) This item covers compensation costs (ta’widh) charged to customers. f. Other Revenue This item is filled with revenue obtained by the Company from other operational activities besides items a through e above, including revenue received from the sale of seized collateral taken over.

16. Other Operational Expenses
    a. General and Administration
    This item is filled with costs for the consumption of goods/services, such as lighting, water, telephone, telegram, and office equipment costs. b. Salaries and Allowances This item is filled with costs covering basic salary burdens, wages, and allowances paid to members of the Board of Directors, members of the Board of Commissioners, and Company employees who are permanent or non-permanent employees, before deduction of income tax and other withholdings. This sub-item also includes honorariums, overtime pay, and welfare care.
    c. Education and Training
    This item is filled with costs incurred by the Company for workforce education and training. d. Office Rent This item is filled with all costs incurred by the Company for office rent. e. Guarantee/Insurance This item is filled with costs paid for guarantee/insurance purposes through the payment of kafalah guarantee service fees or insurance contributions. f. Asset Amortization and Depreciation This item is filled with costs covering amortization and depreciation costs for fixed assets and intangible assets. g. Provision for Bad Debts

1. Murabahah
   This item is filled with the provision expense for bad debts of murabahah financing.
2. Mudharabah
   This item is filled with the provision expense for bad debts of mudharabah financing.
3. Musyarakah
   This item is filled with the provision expense for bad debts of musyarakah financing.
4. Ijarah
   This item is filled with the provision expense for ijarah receivables.
5. Business Activities with Other Contracts
   This item is filled with the provision expense for bad debts of financing for business activities with other contracts. h. Others This item is filled with costs other than items a through g above.

5. Operational Profit (Loss)
   This item is filled with the positive/negative difference between operational revenue and operational expenses.

6. Non-Operational Revenue/Expense
   a. Non-Operational Revenue
   This item is filled with all revenue obtained or originating from activities that are not the main activities of the UUS. b. Non-Operational Expense This item is filled with all expenses paid for activities that are not the main activities of the UUS.

7. Profit (Loss) Before Income Tax
   This item is filled with the total revenue minus total UUS expenses before deduction of tax.

8. Income Tax
   a. Current Tax
   This item is filled with current tax assets and liabilities for the current period measured at the amount expected to be recovered from or paid to the tax authority. The tax rates and tax regulations used to calculate this amount are those that have been effective or substantially effective as of the reporting date. b. Deferred Tax

1. Deferred Tax Income
   This item is filled with the amount of deferred tax income related to the recognized deferred tax assets for the current year period up to the reporting date.
2. Deferred Tax Expense
   This item is filled with the amount of deferred tax expense related to the recognized deferred tax liabilities for the current year period up to the reporting date.

9. Current Period Profit (Loss)
   This item is filled with profit/loss after deducting the estimate of income tax, which includes current year tax and recognized deferred tax income/expense for the current year period up to the reporting date.

10. Other Comprehensive Income (Expense) for the Current Period
    This item is filled with other comprehensive income/expense (OCI) by the Company during the accounting period, from the beginning of the year to the reporting date.

11. Comprehensive Profit (Loss)
    This item is filled with the net profit/loss after tax plus other comprehensive income/loss for the current period.

C. FORM 1300: STATEMENT OF CASH FLOWS OF UUS

1. FORM 1300 FORMAT (STATEMENT OF CASH FLOWS OF UUS)
   Form 1300 (Statement of Cash Flows) is prepared in the following format:

Item Amount

1. Cash Flows from Operating Activities
   a. Cash Inflows

1. Receipts from Murabahah Margin Revenue
2. Receipts from Mudharabah Profit-Sharing Revenue
3. Receipts from Musyarakah Profit-Sharing Revenue
4. Ujrah Receipts
5. Return of Murabahah Financing Disbursement
6. Return of Mudharabah Financing
7. Return of Musyarakah Financing
8. Ijarah Principal Payment
9. Other Receipts
   b. Cash Outflows
10. Murabahah Financing Disbursement
11. Mudharabah Financing Disbursement
12. Musyarakah Financing Disbursement
13. Ijarah Service Payment/Ijarah Asset Purchase
14. Disbursement for Business Activities with Other Contracts
15. Profit-Sharing Funding Payment and Payment to Third Parties
16. Tax Payment
17. Employee Salary and Allowance Payment
18. Other Payments
    c. Net Cash from and for Operating Activities

2. Cash Flows from Investing Activities
   a. Cash Inflows

1. Deposit Return Receipts
2. Sharia Securities Investment Return Receipts
3. Dividend Receipts
4. Sale of Sharia Securities and Other Sharia Securities
5. Sale of Fixed Assets
6. Divestment in Associate Entities
7. Sale of Other Assets
   b. Cash Outflows
8. Deposit Placement
9. Purchase of Sharia Securities
10. Purchase of Fixed Assets
11. Investment in Associate Entities
12. Purchase of Other Assets
    c. Net Cash from and for Investing Activities

3. Cash Flows from Financing Activities
   a. Cash Inflows

1. Receipts of Working Capital Deposits
2. Receipts of Funding from the Republic of Indonesia Government
3. Receipts of Funding from Abroad
4. Receipts of Funds from Sharia Banks
5. Receipts of Funds from Sharia Non-Bank Financial Service Institutions
6. Receipts of Funding from Sukuk Issuance
7. Receipts of Funds from Sharia Medium Term Notes (MTN)
8. Receipts of Funds from Environmental Partnership Program (PKBL)
9. Grant Receipts
10. Receipts from Other Sharia Financing Activities
    b. Cash Outflows
11. Payment of Return of Republic of Indonesia Government Funding
12. Return of Funding from Abroad
13. Payment of Return of Sharia Bank Funding
14. Payment of Return of Sharia Non-Bank Financial Service Institution Funding
15. Payment of Return of Principal of Sharia Securities
16. Payment of Sharia Medium Term Notes (MTN)
17. Payment of Sukuk Issuance Costs
18. Payment for Other Sharia Financing Activities
    c. Net Cash from and for Financing Activities

4. Net Increase (Decrease) in Cash and Cash Equivalents

5. Cash and Cash Equivalents at the Beginning of the Period

6. Cash and Cash Equivalents at the End of the Period

7. EXPLANATION OF FORM 1300 (STATEMENT OF CASH FLOWS OF UUS)
   Form 1300 (Statement of Cash Flows of UUS) contains financial statements prepared using the cash flow basis. All items in the cash flow statement are created and calculated based on cash and cash equivalent involvement from the beginning of the reporting year to the reporting date. This applies to both receipt and expenditure items. The cash flow statement classifies cash flows based on operating, investing, and financing activities during a period.

8. Cash Flows from Operating Activities
   a. Cash Inflows
   This item is filled with

1. Receipts from Murabahah Margin Revenue
   This item is filled with all cash receipts from margin revenue from murabahah financing from customers.
2. Receipts from Mudharabah Profit-Sharing Revenue
   This item is filled with all cash receipts from profit-sharing revenue from mudharabah financing from customers.
3. Receipts from Musyarakah Profit-Sharing Revenue
   This item is filled with all cash receipts from profit-sharing revenue from musyarakah financing from customers.
4. Ujrah Receipts
   This item is filled with all cash receipts from ujrah/fee revenue from ijarah contracts from customers.
5. Return of Murabahah Financing Disbursement
   This item is filled with all cash receipts from the return of murabahah financing principal from customers.
6. Return of Mudharabah Financing
   This item is filled with all cash receipts from the return of mudharabah financing principal from customers.
7. Return of Musyarakah Financing
   This item is filled with all cash receipts from the return of Musyarakah financing principal from customers.
8. Ijarah Principal Receipts
   This item is filled with all cash receipts from the return of ijarah principal from customers.
9. Other Receipts
   This item is filled with cash receipts originating from other business activities and cash receipts not originating from the Company's main business activities, which may include receipts of written-off receivables, administrative revenue, penalties, and interest not from customers in cash form, and other revenue not from main activities. b. Cash Outflows This item is filled with
10. Murabahah Financing Disbursement
    This item is filled with all payments made related to murabahah financing.
11. Mudharabah Financing Disbursement
    This item is filled with all payments made related to mudharabah financing.
12. Musyarakah Financing Disbursement
    This item is filled with all payments made related to musyarakah financing.
13. Ijarah Service Financing/Ijarah Asset Purchase
    This item is filled with payments made related to financing using the ijarah contract, whether in the form of asset ijarah or service ijarah.
14. Disbursement for Business Activities with Other Contracts
    This item is filled with all payments made related to other business activities.
15. Profit-Sharing Funding Payment and Payment to Third Parties
    This item is filled with profit-sharing funding payments to banks and/or non-bank funding and profit-sharing payments to third parties related to Sharia bonds/sukuk, medium term notes (MTN), and state revenue.
16. Tax Payment
    This item is filled with UUS expenditures for income tax payments in the reporting period.
17. Employee Salary and Allowance Payment
    This item is filled with UUS expenditures for employee salary and allowance payments, both for permanent and non-permanent employees.
18. Other Payments
    This item is filled with expenditures occurring from other operational activities and not covered in the previous items.
    c. Net Cash from and for Operating Activities
    This item is filled with the value of the difference between cash inflows and cash outflows from operating activities.

2. Cash Flows from and for Investing Activities
   a. Cash Inflows
   This item is filled with

1. Deposit Return Receipts
   This item is filled with cash receipts from interest revenue from deposit placements with a term of more than 3 (three) months.
2. Sharia Securities Investment Return Receipts
   This item is filled with cash receipts from return revenue from placements in Sharia securities.
3. Dividend Receipts
   This item is filled with cash receipts from dividend revenue from UUS investments in shares of other companies.
4. Sale of Sharia Securities and Other Sharia Securities
   This item is filled with cash receipts from return revenue from placements in Sharia securities and other Sharia securities.
5. Sale of Fixed Assets
   This item is filled with cash receipts from the sale of UUS fixed assets. If in the sale there are expenditures for administrative costs and other costs to be borne by the Company, this item contains the net revenue from the sale of assets after deducting costs to be paid by the Company.
6. Divestment in Associate Entities
   This item is filled with the results of divestment in associate entities involving cash and other related revenue.
7. Sale of Other Assets
   This item is filled with cash receipts from the sale of assets other than UUS fixed assets. If in the sale there are expenditures for administrative costs and other costs to be borne by the Company, this item contains the net revenue from the sale of other assets after deducting costs to be paid by the Company. b. Cash Outflows This item is filled with
8. Deposit Placement
   This item is filled with cash expenditures in connection with UUS deposit placements.
9. Purchase of Sharia Securities
   This item is filled with UUS cash expenditures for Sharia securities purchase transactions.
10. Purchase of Fixed Assets
    This item is filled with UUS cash expenditures for fixed asset purchase transactions.
11. Investment in Associate Entities
    This item is filled with UUS cash expenditures for obtaining ownership or investment in associate entities.
12. Purchase of Other Assets
    This item is filled with UUS cash expenditures for the purchase of assets other than fixed assets.
    c. Net Cash from and for Investing Activities

This position is filled with the difference between cash inflows and cash outflows from and for investment activities.

3. Cash Flows from Financing Activities
   a. Cash Inflows
   This position is filled with

1. Receipt of Working Capital Deposits
   This position is filled with cash receipts from capital deposits from the parent company to the UUS.
2. Receipt of Funding from the Government of the Republic of Indonesia
   This position is filled with cash receipts from funding from the Government of the Republic of Indonesia allocated to the UUS.
3. Receipt of Funding from Abroad
   This position is filled with cash receipts from funding from abroad obtained by the UUS.
4. Receipt of Funding from Shariah Banks
   This position is filled with cash receipts from funding from Shariah banks received by the UUS.
5. Receipt of Funds from Nonbank Shariah Financial Service Institutions
   This position is filled with cash receipts from funding from nonbank Shariah financial service institutions received by the UUS.
6. Receipt of Funds from Sukuk Issuance
   This position is filled with cash receipts from the issuance of sukuk.
7. Receipt of Funds from Shariah Medium Term Notes (MTN)
   This position is filled with cash receipts from the issuance of Shariah Medium Term Notes (MTN).
8. Receipt of Funds from the Environmental Partnership Program (PKBL)
   This position is filled with cash receipts from the Environmental Partnership Program (PKBL) allocated to the UUS.
9. Receipt of Grants
   This position is filled with cash receipts from grants from within the country or abroad obtained by the Company.
10. Receipts from Other Shariah Financing Activities
    This position is filled with cash receipts from the Company related to financing activities other than activities in items 1) through 9) above. b. Cash Outflows This position is filled with
11. Payment of Repayment of Government of the Republic of Indonesia Funding
    This position is filled with cash expenditures by the Company for the payment of the principal of Government of the Republic of Indonesia funding.
12. Repayment of Funding from Abroad
    This position is filled with cash expenditures by the Company for the payment of the principal of foreign funding.
13. Payment of Repayment of Funding from Shariah Banks
    This position is filled with cash expenditures by the Company for the payment of the principal of funding from Shariah banks.
14. Payment of Repayment of Funding from Nonbank Shariah Financial Service Institutions
    This position is filled with cash expenditures by the Company for the payment of the principal of funding from nonbank Shariah financial service institutions.
15. Payment of Repayment of Principal of Shariah Securities
    This position is filled with cash expenditures by the Company for the payment of the principal of Shariah securities.
16. Payment of Shariah Medium Term Notes (MTN)
    This position is filled with cash expenditures for the payment of Medium Term Notes (MTN).
17. Payment of Sukuk Issuance Costs
    This position is filled with cash expenditures by the Company for the payment of sukuk principal.
18. Payments for Other Shariah Financing Activities
    This position is filled with cash expenditures by the Company related to financing activities other than activities in items 1) through 7) above.
    c. Net Cash from and for Financing Activities
    This position is filled with the difference between cash inflows and cash outflows from and for financing activities.

4. Net Increase (Decrease) in Cash and Cash Equivalents
   This position is filled with the net increase/decrease in cash and cash equivalents during the reporting year period up to the report date.

5. Cash and Cash Equivalents at the Beginning of the Period
   This position is filled with the amount of cash and cash equivalents at the beginning of the UUS reporting year period.

6. Cash and Cash Equivalents at the End of the Period
   This position is filled with the amount of cash and cash equivalents at the end of the UUS reporting date.

D. FORM 1400: UUS ASSET AND LIABILITY MISMATCH ANALYSIS REPORT

1. FORM 1400 FORMAT (UUS ASSET AND LIABILITY MISMATCH ANALYSIS REPORT)
   Form 1400 (UUS Asset and Liability Mismatch Analysis Report) is compiled in the following format:
   (1) (2) (3) (4)
   Asset Age Liabilities
   Asset-to-Liability Ratio
   (%)
   TOTAL
   (5)
   Quality of Assets and Liabilities
   Current Asset-to-Non-Current Asset Ratio
   (%)
   Current Liability-to-Non-Current Liability Ratio (%) Current Asset-to-Current Liability Ratio (%)

2. EXPLANATION OF FORM 1400 (UUS ASSET AND LIABILITY MISMATCH ANALYSIS REPORT)
   Form 1400 (UUS Asset and Liability Mismatch Analysis Report) is compiled in the following format:

3. Age
   This position is filled with the age of assets or liabilities categorized as follows:
   a. Asset or liability age under 1 (one) year (<1 year); b. Asset or liability age 1 (one) to 3 (three) years (1-3 years);
   c. Asset or liability age 3 (three) to 5 (five) years (3-5 years); or
   d. Asset or liability age more than 5 (five) years (>5 years)

4. Assets
   This position is filled with the total assets owned by the UUS.

5. Liabilities
   This position is filled with the total liabilities owned by the UUS.

6. Asset-to-Liability Ratio
   This position is filled with the comparison of assets to liabilities.

7. Quality of Assets and Liabilities
   a. Current Asset-to-Non-Current Asset Ratio
   This position is filled with the comparison of current assets (asset age category in item 1 letter a) to non-current assets (asset category in item 1 letters b, c, and d). b. Current Liability-to-Non-Current Liability Ratio This position is filled with the comparison of current liabilities (liability age category in item 1 letter a) to non-current liabilities (liability age category in item 1 letters b, c, and d).
   c. Current Asset-to-Current Liability Ratio
   This position is filled with the comparison of current assets (asset age category in item 1 letter a) to current liabilities (liability age category in item 1 letter a).

E. FORM 2100 FORMAT (UUS CASH AND CASH EQUIVALENTS COMPOSITION DETAILS)

1. FORM 2100 FORMAT (UUS CASH AND CASH EQUIVALENTS COMPOSITION DETAILS)
   Form 2100 (UUS Cash and Cash Equivalents Details) is compiled in the following format:
   Position Amount

2. Cash

3. Bank

4. Short-Term Deposits

5. Total Cash and Cash Equivalents

6. EXPLANATION OF FORM 2100 (UUS CASH AND CASH EQUIVALENTS DETAILS)
   Form 2100 (UUS Cash and Cash Equivalents Details) contains information regarding the composition of cash and cash equivalents owned by the reporting UUS during a period in the form of cash, placements in banks, or short-term deposit placements.

7. Cash
   This position is filled with the amount of cash, both cash on hand in the form of currency (banknotes and coins), and electronic money issued by Bank Indonesia which is a legal means of payment in Indonesia, owned by the UUS.

8. Bank
   This position is filled with the amount of UUS cash placed in banks, both in savings and checking accounts.

9. Short-Term Deposits
   This position is filled with the amount of UUS cash placed in deposits that have a maturity period of 3 (three) months or less as stated in the deposit certificate, or in the form of deposit on call.

10. Total Cash and Cash Equivalents
    This position is filled with the amount of cash and cash equivalents owned by the UUS.

F. FORM 2200 FORMAT (DETAILS OF PLACEMENTS IN BANKS)

1. FORM 2200 FORMAT (DETAILS OF PLACEMENTS IN BANKS)
   Form 2200 (Details of Placements in Banks) is compiled in the following format:
   No
   Shariah Bank Name
   Type
   Time Frame
   Profit-Sharing Ratio
   (%)
   Amount
   Start
   Maturity

2. EXPLANATION OF FORM 2200 (DETAILS OF PLACEMENTS IN BANKS)
   Form 2200 (Details of Placements in Banks) contains the position of the Company's fund placements in the form of deposits that have a maturity period of more than 3 (three) months at Shariah banks in Indonesia. The Company must submit each deposit placement account individually.

3. Shariah Bank Name
   This position is filled with the name of the Shariah bank where the Company places funds.

4. Type
   This position is filled with the type of fixed-term deposits with a duration of more than three months and similar instruments.

5. Time Frame
   a. Start
   This position is filled with the date, month, and year of the opening of the deposit at the bank according to the deposit certificate. b. Maturity This position is filled with the date, month, and year of the deposit maturity at the bank according to the deposit certificate.

6. Profit-Sharing Ratio
   This position is filled with the profit-sharing ratio converted into an effective interest rate percentage per annum as stated in the deposit certificate.

7. Amount
   This position is filled with the nominal value of the deposit according to the deposit certificate and stated in full Rupiah.

G. FORM 2300: DETAILS OF OWNED SHARIAH SECURITIES

1. FORM 2300 FORMAT (DETAILS OF OWNED SHARIAH SECURITIES)
   Form 2300 (Details of Owned Shariah Securities) is compiled in the following format:
   (1) (2) (3) (4) (5) (6)
   Securities No.
   Type of Securities
   Issuer Name
   Securities Rating
   Government Agency
   Time Frame
   Start
   Maturity
   (7) (8) (9) (10) (11) (12)
   Yield Rate (%)
   Acquisition Price
   Premium/
   Discount
   CKPN Amount

2. EXPLANATION OF FORM 2300 (DETAILS OF OWNED SHARIAH SECURITIES)
   Form 2300 (Details of Owned Shariah Securities) contains the position of the UUS's securities. The UUS must submit each securities account individually.

3. Securities Number
   This position is filled with the number of the owned securities or the code of the owned securities according to the registration at the Indonesia Central Securities Depository (KSEI).

4. Type of Securities
   This position is filled with the type of securities owned by the Company in Rupiah, which may include:

• State Securities (including state bonds or Indonesian Retail Bonds/ORI, Treasury Bills/SPN, State Shariah Securities/SBSN)
• Shariah Commercial Paper (Commercial Paper/CP)
• Shariah Medium Term Notes (MTN)
• Shariah Stocks
• Shariah Mutual Funds
• Sukuk (Shariah Bonds)
• Other Shariah Securities

3. Issuer Name
   This position is filled with the name of the company issuing the securities. If the type of security is State Shariah Securities (State Treasury Bills Shariah/SPNS, Shariah Bonds/National Sukuk, or Retail Sukuk), it is filled with the Ministry of Finance.
4. Securities Rating
   This position is filled with the latest rating of the securities owned by the UUS.
5. Rating Agency
   This position is filled with the name of the rating agency registered with the Financial Services Authority (OJK) that rates the securities owned by the UUS.
6. Time Frame
   a. Start
   This position is filled with the date, month, and year of the issuance of the securities. b. Maturity This position is filled with the date, month, and year of the maturity of the securities.
7. Yield Rate
   This position is filled with the percentage of the agreed yield rate per annum. Securities without a yield rate do not need to be filled or left blank.
8. Nominal
   This position is filled with the value stated in the securities or the value to be received at maturity.
9. Acquisition Price
   This position is filled with the acquisition of the securities.
10. Premium/Discount
    This position is filled with the interest rate or discount percentage per annum.
11. Impairment Loss Provisions (CKPN)
    This position is filled with impairment loss provisions, which are provisions prepared by the Company to face impairment loss risks of securities.
12. Amount
    This position is filled with the acquisition price after considering premium/discount and CKPN.

H. FORM 2400: DETAILS OF FINANCING PROVIDED

1. FORM 2400 FORMAT (DETAILS OF FINANCING PROVIDED)
   Form 2400 (Details of Financing Provided) is compiled in the following format:
   (1) (2) (3) (4) (5) (6)
   No. Province District/City Branch Office Name Unit Office Name Economic Sector Consumer Name (7) (8) (9) (10) (11) (12) (13) Population Index Number (NIK) Credit Agreement Number (PK) Product Name Agreement to be Used Time Frame Loan/Financing Limit Outstanding Loan/Financing Start Maturity (14) (15) (16) (17) (18) (19) Yield Rate (%) Deferred Margin Profit Sharing/Payment of Ujrah Quality Information Collateral Value Installment Reserve Fund Balance

2. EXPLANATION OF FORM 2400 (DETAILS OF FINANCING PROVIDED)
   Form 2400 (Details of Financing Provided) contains the position of financing disbursed by the UUS. The UUS must submit each financing individually.

3. Province
   This position is filled with the debtor's province.

4. District/City
   This position is filled with the debtor's district/city.

5. Branch Office Name
   This position is filled with the name of the UUS branch office.

6. Unit Office Name
   This position is filled with the name of the UUS unit office.

7. Economic Sector
   This position is filled with the economic sector of the business activity according to the standard classification of economic activities in Indonesia. In the event that financing is used to finance more than one type of economic activity that cannot be separated, the classification focuses on the priority economic sector (the sector receiving the largest financing facility). This position is filled periodically with a maximum interval of 2 (two) years since this Financial Services Authority Circular was established.

8. Consumer Name
   This position is filled with the party receiving the financing facility.

9. Population Index Number (NIK)

10. This position is filled with the population identity card number/Population Index Number of the debtor receiving the financing facility.

11. Credit Agreement Number (PK)
    This position is filled with the sequence of financing agreements/agreements used in the agreement by the Company.

12. Product Name
    This position is filled with the name of the financing product received by the debtor (consumer) such as ULaMM, Mekaar, or other Shariah products.

13. Agreement Used
    This position is filled with the agreement used in financing, namely:
    a. Mudharabah Agreement b. Musyarakah Agreement
    c. Ijarah Agreement
    d. Other agreements

14. Time Frame
    a. Start
    This position is filled with the date the contract begins as stated in the financing agreement/agreement. b. Maturity This position is filled with the date the contract ends as stated in the financing agreement/agreement.

15. Loan/Financing Limit
    This position is filled with the maximum amount of financing disbursement that can be received by the consumer.

16. Outstanding Financing
    This position is filled with the outstanding principal amount of financing disbursement in the consumer's name.

17. Yield Rate
    This position is filled with the profit-sharing percentage per annum as stated in the financing agreement for mudharabah, mudharabah musytarakah, musyarakah, musyarakah muntanaqishah, and other investment agreements.

18. Deferred Margin
    This position is filled with the value of margin revenue not yet received from financing receivables for murabahah receivables.

19. Profit Sharing/Ujrah Payment
    This position is filled with the value of profit sharing/ujrah value paid by the consumer up to the reporting period for mudharabah, mudharabah musytarakah, musyarakah, musyarakah muntanaqishah, and ijarah agreements.

20. Quality
    This position is filled with the quality of financing receivables assessed according to financing quality classification rules:
    a. Good; b. Special attention;
    c. Substandard;
    d. Doubtful; or e. Non-performing.

21. Collateral Value Information
    This position is filled with the estimated value in Rupiah of each item pledged during the reporting period.

22. Installment Reserve Fund Balance
    This position is filled with the balance of debtor installment reserve funds. Installment reserve funds are funds belonging to ULaMM Syariah customers deposited with the Company without requiring customer approval in the event of insufficient payment of customer obligations.

I. FORM 2500: LIST OF IJARAH ASSET DETAILS

1. FORM 2500 FORMAT (LIST OF IJARAH ASSET DETAILS)
   Form 2500 (List of Ijarah Asset Details) is compiled in the following format:
   (1) (2) (3) (4) (5) (6)
   No. Province District/City Branch Office Name Unit Office Name Economic Sector Consumer Name (7) (8) (9) (10) (11) (12) Population Index Number (NIK) Credit Agreement Number (PK) Type of Ijarah Time Frame Asset/Service Value Accumulated Depreciation Start Maturity (13) (14) (15) (16) Net Ijarah Asset Deposit Value Guarantee Value Ujrah Value Asset Information Asset Type Asset Value

2. EXPLANATION OF FORM 2500 (LIST OF IJARAH ASSET DETAILS)
   Form 2500 (Ijarah Asset Details) contains detailed information on the value of ijarah objects individually.

3. Province
   This position is filled with the debtor's province.

4. District/City
   This position is filled with the debtor's district/city.

5. Branch Office Name
   This position is filled with the name of the UUS branch office.

6. Unit Office Name
   This position is filled with the name of the UUS unit office.

7. Economic Sector
   This position is filled with the economic sector of the business activity according to the standard classification of economic activities in Indonesia. In the event that financing is used to finance more than one type of economic activity that cannot be separated, the classification focuses on the priority economic sector (the sector receiving the largest financing facility). This position is filled periodically with a maximum interval of 2 (two) years since this Financial Services Authority Circular was established.

8. Consumer Name
   This position is filled with the party receiving the financing facility.

9. Population Index Number (NIK)
   This position is filled with the population identity card number/Population Index Number of the debtor receiving the financing facility. This position is filled periodically with a maximum interval of 2 (two) years since this Financial Services Authority Circular was established.

10. Credit Agreement Number (PK)
    This position is filled with the sequence of financing agreements/agreements used in the contract agreement by the UUS.

11. Type of Ijarah
    This position is filled with the type of ijarah disbursement, namely:
    a. Ijarah Asset b. Direct Service Ijarah
    c. Indirect Service Ijarah

12. Time Frame
    a. Start
    This position is filled with the date the contract begins as stated in the financing agreement/agreement. b. Maturity This position is filled with the date the contract ends as stated in the financing agreement/agreement.

13. Asset/Service Value
    This position is filled with the value of the ijarah object or the acquisition cost of the ijarah asset.

14. Accumulated Depreciation
    This position is filled with the accumulated depreciation value of the ijarah asset during the reporting period.

15. Net Ijarah Asset
    This position is filled with the value of the ijarah object or the acquisition cost of the ijarah asset after deducting accumulated depreciation.

16. Guarantee Deposit Value
    This position is filled with the value of profit sharing paid by the consumer up to the reporting period.

17. Ujrah Value
    This position is filled with the ujrah value or fee at the reporting period.

18. Asset Information
    This position is filled with the estimated market value in Rupiah of the assets during the reporting period, consisting of asset type and asset valuation.

J. FORM 2600: LIST OF ISSUED SHARIAH SECURITIES DETAILS

1. FORM 2600 FORMAT (LIST OF ISSUED SHARIAH SECURITIES DETAILS)
   Form 2600 (List of Issued Shariah Securities Details) is compiled in the following format:
   Securities Number
   Type of Securities
   Time Frame
   Ujrah/Yield
   Nominal
   Start
   Maturity

2. EXPLANATION OF FORM 2600 (LIST OF ISSUED SHARIAH SECURITIES DETAILS)
   Form 2600 (List of Issued Shariah Securities Details) contains a report on the position of Shariah securities issued by the UUS, where each issued security is reported individually.

3. Securities Number
   This position is filled with the contract number of the securities issued by the UUS or the code of the securities issued according to the registration at the Indonesia Central Securities Depository (KSEI).

4. Type of Securities
   This position is filled with the type of securities issued by the reporter, including:
   a. Sukuk
   Shariah Bonds or Sukuk are long-term securities based on Shariah principles issued by the UUS to bondholders or sukuk holders, obligating the UUS to pay income to bondholders or sukuk holders in the form of yield and to repay the bond or sukuk funds at maturity. b. Shariah Medium Term Notes (MTN) Medium Term Notes (MTN) are medium-term debt instruments with a duration of 1 to 3 years issued by the Company to Medium Term Notes (MTN) holders, with the obligation to pay coupons (interest rates) gradually according to the Medium Term Notes (MTN) interest payment schedule and to repay the entire principal debt at maturity.

5. Time Frame
   a. Start
   This position is filled with the date the issuance of the securities begins as stated in the securities. b. Maturity This position is filled with the maturity date of the issued securities as stated in the securities.

6. Ujrah/Yield
   This position is filled with the ujrah or yield rate on the issued securities.

7. Nominal
   This position is filled with the nominal value of the securities issued by the UUS.

K. FORM 2700: LIST OF RECEIVED FINANCING DETAILS

1. FORM 2700 FORMAT (LIST OF RECEIVED FINANCING DETAILS)
   Form 2700 (List of Received Financing Details) is compiled in the following format:
   (1) (2) (3) (4) (5) (6) (7) (8) (9)
   Agreement No.
   Financing Agreement
   Type of Financing
   Funder Name
   Nominal
   Outstanding Last Month
   Outstanding Report Month
   Profit-Sharing/Yield Rate
   (%)
   Time Frame
   Start
   Maturity
   TOTAL

2. EXPLANATION OF FORM 2700 (LIST OF RECEIVED FINANCING DETAILS)
   Form 2700 (List of Received Financing Details) contains details of the loan positions received by the UUS, where each financing received is reported individually.

3. Agreement Number
   This position is filled with the agreement number or financing agreement number.

4. Financing Agreement
   This position is filled with the financing agreement used, such as mudharabah, musyarakah, and financing with other agreements.

5. Type of Financing
   This position is filled with information regarding the type of creditor, including the Government of the Republic of Indonesia, Shariah banks, nonbank Shariah financial service institutions, Shariah business units, and creditors from abroad.

6. Funder Name
   This position is filled with the name of the party providing loans or financing to the Company. In the event that the UUS has more than 1 (one) loan or financing account with the same creditor, the creditor name column for each transaction is still filled with the name of the respective creditor according to the number of agreement contracts.

7. Nominal
   This position is filled with the amount of loans or financing received by the UUS as stated in the agreement.

8. Outstanding Last Month
   This position is filled with the remaining loan/financing amount received by the UUS in the period before the report month.

9. Outstanding Report Month
   This position is filled with the remaining loan or financing of the Reporting Financing UUS at the end of the reporting period.

10. Profit-Sharing/Yield Rate
    This position is filled with the profit-sharing or yield rate agreed upon based on the financing agreement with the funder (investor).

11. Time Frame
    a. Start
    This position is filled with the date the contract begins as stated in the financing agreement/agreement. b. Maturity This position is filled with the date the contract ends as stated in the financing agreement/agreement.

L. FORM 2800: DETAIL LIST OF FINANCIAL ASSET IMPAIRMENT LOSS PROVISIONS (CKPN)

1. FORMAT OF FORM 2800 (DETAIL LIST OF FINANCIAL ASSET IMPAIRMENT LOSS PROVISIONS (CKPN))
   Form 2800 (Detail List of Financial Asset Impairment Loss Provisions (CKPN)) is prepared in the following format:

Type of Financial Asset	Nominal	CKPN	Total
Financial assets measured at amortized cost:
a. Sharia Financing for ULaMM
b. Sharia Mekaar Financing granted
c. Mudharabah Financing
d. Musyarakah Financing
e. Receivables from Other Business Activities
f. Other Receivables
g. Income Still to be Received

2. EXPLANATION OF FORM 2800 (DETAIL LIST OF FINANCIAL ASSET IMPAIRMENT LOSS PROVISIONS (CKPN))
   Form 2800 (Detail List of Financial Asset Impairment Loss Provisions (CKPN)) contains a detailed report of the CKPN calculation for each type of financial asset owned by the Sharia Unit (UUS).

3. Type of Financial Asset
   This item is filled with the type of financial asset owned by the UUS in accordance with applicable accounting standards.

4. Nominal
   This item is filled with the nominal value (gross) of the financial assets owned by the UUS.

5. Impairment Loss Provisions (CKPN)
   This item is filled with the impairment loss provisions, which are provisions prepared by the UUS to face the risk of impairment losses on financial assets.

6. Total
   This item is filled with the difference between the nominal value and the CKPN.

M. FORM 2900: REPORT ON SOURCES AND USES OF BENEVOLENCE FUNDS

1. FORMAT OF FORM 2900 (REPORT ON SOURCES AND USES OF BENEVOLENCE FUNDS)
   Form 2900 (Report on Sources and Uses of Benevolence Funds) is prepared in the following format:

Item	Amount
Sources of benevolence funds
a. Fines (Ta’zir)
b. Non-Halal Income
c. Other Sources of Benevolence Funds
Uses of Benevolence Funds
a. Productive Benevolence Funds
b. Donations
c. Other Uses for Public Interest
Increase
Beginning Balance
Ending Balance

2. FORMAT OF FORM 2900 (REPORT ON SOURCES AND USES OF BENEVOLENCE FUNDS)
   Form 2900 (Report on Sources and Uses of Benevolence Funds) is prepared in the following format:

3. Sources of Benevolence Funds
   This item is filled with receipts from transactions that cannot be recognized as income based on Sharia principles, consisting of receipts from fines (ta'zir), non-halal income, and other sources of benevolence funds.

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

2. Uses of Benevolence Funds
   This item is filled with the amount of expenditures or distribution of benevolence funds, consisting of expenditures for productive benevolence funds, expenditures for donations, and other uses for public interest.

Established in Jakarta on July 19, 2022
EXECUTIVE HEAD OF SUPERVISOR OF
INSURANCE, PENSION FUNDS,
LENDING INSTITUTIONS, AND
OTHER FINANCIAL SERVICE INSTITUTIONS
FINANCIAL SERVICES AUTHORITY
REPUBLIC OF INDONESIA, signed
RISWINANDI

APPENDIX IV
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY REPUBLIC OF INDONESIA NUMBER 13 /SEOJK.05/2022 CONCERNING MONTHLY REPORT OF PT PERMODALAN NASIONAL MADANI

TABLE OF CONTENTS
A. Format of Letter for Reporting Changes in Board of Directors Members Responsible for Monthly Reports and/or Officers Preparing Monthly Reports B. Format of Letter for Requesting User ID and Password for the Monthly Reporting Application
C. Format of Letter for Requesting Changes to User ID and Password for Monthly Reporting

A. EXAMPLE FORMAT OF LETTER FOR REQUESTING CHANGES IN BOARD OF DIRECTORS MEMBERS RESPONSIBLE FOR MONTHLY REPORTS AND OFFICERS PREPARING MONTHLY REPORTS

COMPANY LETTERHEAD
Number :
Date :
Attachment :
Subject : Reporting Changes in Board of Directors Members Responsible for Monthly Reports and/or Officers Preparing Monthly Reports

To:
Financial Services Authority u.p. Directorate of Statistics and IKNB Information Jl ………………..
………………..

Referring to the Circular Letter of the Financial Services Authority Number XX/SEOJK.05/20.. concerning the Monthly Report of PT Permodalan Nasional Madani, we hereby, on behalf of:
Company : .....
Company Password : .....
submit a request for:

1. Changes in Board of Directors members responsible for monthly reports; and/or
2. Changes in officers preparing monthly reports,
   with the following changes:

Position	Description	Before	After
Board of Directors Member	Responsible Person
Name
Position
Telephone Number
Mobile Number
E-mail
Preparing Officer
Name
Position
Telephone Number
Mobile Number
E-mail

We submit this report and thank you for your attention, Sir/Madam*).

Board of Directors
PT …..
………………………………
*Choose one.

B. FORMAT OF LETTER FOR REQUESTING USER ID AND PASSWORD FOR THE MONTHLY REPORTING APPLICATION

COMPANY LETTERHEAD
Number :
Date :
Attachment :
Subject : Request for User ID and Password for the Monthly Reporting Application

To:
Financial Services Authority u.p. Directorate of Statistics and IKNB Information Jl ………………..
………………..

Referring to the Circular Letter of the Financial Services Authority Number XX/SEOJK.05/20.. concerning the Monthly Report of PT Permodalan Nasional Madani, we hereby, on behalf of:
Company : .....
Company Password : .....
submit a request to obtain a user ID (User ID) and password (Password) for sending Monthly Reports with the name of the officer preparing the Monthly Report as follows:

Name :
Position :
E-mail :
Telephone Number :

We submit this request and thank you for your attention, Sir/Madam*).

Board of Directors
PT …..
………………………………
*Choose one.

C. FORMAT OF LETTER FOR REQUESTING CHANGES TO USER ID AND PASSWORD FOR MONTHLY REPORTING

COMPANY LETTERHEAD
Number :
Date :
Attachment :
Subject : Request for Changes to User ID (User ID) and Password (Password) for the Monthly Reporting Application

To:
Financial Services Authority u.p. Directorate of Statistics and IKNB Information Jl ………………..
………………..

Referring to the Circular Letter of the Financial Services Authority Number XX/SEOJK.05/20.. concerning the Monthly Report of PT Permodalan Nasional Madani, we hereby, on behalf of:
Company : .....
Company Password : .....
submit a request for changes to the user ID (User ID) and password (Password) for sending Monthly Reports with the name of the officer preparing the Monthly Report as follows:

Name :
Position :
E-mail :
Telephone Number :

We submit this request and thank you for your attention, Sir/Madam*).

Board of Directors
PT …..
………………………………
*Choose one.

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

Established in Jakarta on July 19, 2022
EXECUTIVE HEAD OF SUPERVISOR OF
INSURANCE, PENSION FUNDS,
LENDING INSTITUTIONS, AND
OTHER FINANCIAL SERVICE INSTITUTIONS
FINANCIAL SERVICES AUTHORITY
REPUBLIC OF INDONESIA, signed
RISWINANDI