OJK Circular Letter No. 11/SEOJK.05/2013 on Monthly Reports of Credit Guarantee Companies

To:
Credit Guarantee Companies
At Location

COPY

CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY NUMBER 11/SEOJK.05/2013

REGARDING
MONTHLY REPORTS OF CREDIT GUARANTEE COMPANIES

In connection with Financial Services Authority Regulation Number 3/POJK.05/2013 dated 12 September 2013 regarding Monthly Reports of Non-Bank Financial Service Institutions (State Gazette of the Republic of Indonesia Year 2013 Number 150, Supplement to the State Gazette of the Republic of Indonesia Number 5443), it is necessary to regulate implementation provisions regarding monthly reports for Credit Guarantee Companies in this Financial Services Authority Circular Letter as follows:

I. GENERAL PROVISIONS

1. The Financial Services Authority, hereinafter abbreviated as OJK, is an independent institution free from the interference of other parties, which has the functions, duties, and authorities for regulation, supervision, examination, and investigation, as referred to in Law Number 21 of 2011 concerning the Financial Services Authority.

2. Monthly Report is a financial report prepared by non-bank financial service institutions for the benefit of OJK, which covers the period from the 1st to the end of the current month and is submitted according to the format and procedures determined by OJK.

II. FORM AND STRUCTURE OF MONTHLY REPORTS

1. The form, structure, and guidelines for preparing Monthly Reports for Credit Guarantee Companies are as stated in Appendix I, which is an integral part of this OJK Circular Letter.

2. For Credit Guarantee Companies conducting business activities using Sharia principles, in addition to submitting Monthly Reports according to the form and structure as stated in Appendix I, they are required to submit Monthly Reports with the form and structure as stated in Appendix II, which is an integral part of this OJK Circular Letter.

III. TIME OF SUBMISSION OF MONTHLY REPORTS

1. Credit Guarantee Companies are required to submit Monthly Reports to OJK no later than the 10th day of the following month.

2. In the event that the 10th day as referred to in item 1 falls on a holiday, the Monthly Report must be submitted on the next working day.

IV. PROCEDURES FOR SUBMISSION

1. Submission of Monthly Reports is conducted online through the OJK data communication network system.

2. In the event that the OJK data communication network system is not yet available, Monthly Reports are submitted online via the company's official electronic mail (email) by attaching a softcopy of the Monthly Report in spreadsheet format to:
   a. LB.LJKL@ojk.go.id; and b. LBPK.Syariah@ojk.go.id, for Credit Guarantee Companies conducting business activities using Sharia principles.

3. In the event that Monthly Reports are submitted offline, submission is conducted via a letter signed by the board of directors and addressed to:
   a. Financial Services Authority u.p. Director of Supervision of Other Financial Service Institutions Sumitro Djojohadikusumo Building, 14th Floor Jl. Lapangan Banteng Timur Number 2-4 Jakarta 10710; and b. Financial Services Authority u.p. Director of Sharia IKNB Sumitro Djojohadikusumo Building, 13th Floor Jl. Lapangan Banteng Timur Number 2-4 Jakarta 10710 for Credit Guarantee Companies conducting business activities using Sharia principles.

4. Submission of Monthly Reports offline as referred to in item 2 can be done in one of the following ways:
   a. handed in directly to the OJK office; b. sent via registered mail; or
   c. sent via a courier/courier service company.

5. Credit Guarantee Companies are deemed to have submitted Monthly Reports with the following provisions:
   a. for submission online via email, evidenced by an email receipt from OJK; or b. for offline submission, evidenced by:

   1. a receipt letter from OJK, if the report is handed in directly to the OJK office; or
   2. a shipping receipt from the post office or courier/courier service company, if the report is sent via the post office or courier/courier service company.

6. In the event of changes to the OJK electronic mail (email) address as referred to in item 2 and/or changes to the OJK office address as referred to in item 3, OJK will communicate the address changes via letter or announcement.

V. SANCTION PROVISIONS

1. OJK establishes administrative sanctions in the form of a first written warning as regulated in Article 6 paragraph (3) of OJK Regulation Number 3/POJK.05/2013 regarding Monthly Reports of Non-Bank Financial Service Institutions, with a deadline for fulfilling the obligation to submit Monthly Reports of no more than 30 (thirty) days from the establishment of the administrative sanction in the form of a first written warning.

2. If within the time period as referred to in item 1 the obligation to submit Monthly Reports has not been fulfilled, OJK establishes administrative sanctions in the form of a second written warning as regulated in Article 6 paragraph (4) of OJK Regulation Number 3/POJK.05/2013 regarding Monthly Reports of Non-Bank Financial Service Institutions, with a deadline for fulfilling the obligation to submit Monthly Reports of no more than 30 (thirty) days from the establishment of the administrative sanction in the form of a second written warning.

3. If within the time period as referred to in item 2 the obligation to submit Monthly Reports has not been fulfilled, OJK establishes administrative sanctions in the form of a third written warning as regulated in Article 6 paragraph (4) of OJK Regulation Number 3/POJK.05/2013 regarding Monthly Reports of Non-Bank Financial Service Institutions, with a deadline for fulfilling the obligation to submit Monthly Reports of no more than 30 (thirty) days from the establishment of the administrative sanction in the form of a third written warning.

VI. TRANSITIONAL PROVISIONS

1. Credit Guarantee Companies are required to submit Monthly Reports to OJK for the reporting period of September 2013 through the reporting period of August 2014 no later than the 15th day of the following month.

2. In the event that the 15th day as referred to in item 1 falls on a holiday, the Monthly Report must be submitted on the next working day.

VII. CLOSING

This OJK Circular Letter takes effect on the date of establishment.

To ensure that everyone knows it, it orders the publication of this OJK Circular Letter by placing it in the State Gazette of the Republic of Indonesia.

Established in Jakarta on 25 November 2013

EXECUTIVE HEAD OF IKNB SUPERVISOR
FINANCIAL SERVICES AUTHORITY,

Signed,
FIRDAUS DJAELANI

Copy matches the original
Head of Legal Assistance Division
Legal Directorate

Signed,
Mufli Asmawidjaja

APPENDIX
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY NUMBER 11/SEOJK.05/2013

REGARDING
MONTHLY REPORTS OF CREDIT GUARANTEE COMPANIES

GUIDELINES FOR PREPARING
MONTHLY REPORTS OF CREDIT GUARANTEE COMPANIES
FINANCIAL SERVICES AUTHORITY

GUIDELINES FOR PREPARING
MONTHLY REPORTS OF CREDIT GUARANTEE COMPANIES

COMPANY PROFILE

A. Company Data

1. Company Name
   Filled with the full name of the reporting Credit Guarantee Company, including its legal entity form.

2. Taxpayer Identification Number (NPWP)
   Filled with the Taxpayer Identification Number of the reporting Credit Guarantee Company.

3. Year of Establishment
   Filled with the year of establishment of the reporting Credit Guarantee Company.

4. Business License
   a. Number
   Filled with the business license number as a Credit Guarantee Company. b. Date Filled with the date, month, and year the business license as a Credit Guarantee Company was established.

5. Operational Scope
   Filled with the operational scope of the reporting Credit Guarantee Company, i.e., national or provincial.

6. Head Office Address
   Filled with the complete address of the head office of the reporting Credit Guarantee Company.

7. Number of Branch Offices
   Filled with the number of branch offices owned by the reporting Credit Guarantee Company.

8. Number of Sub-branch Offices
   Filled with the number of sub-branch offices owned by the reporting Credit Guarantee Company.

9. Number of Employees
   a. Head Office
   Filled with the number of employees at the head office of the reporting Credit Guarantee Company. b. Branch Offices Filled with the number of employees at all branch offices of the reporting Credit Guarantee Company.
   c. Sub-branch Offices
   Filled with the number of employees at all sub-branch offices of the reporting Credit Guarantee Company.

B. Contact Person

1. Name
   Filled with the name of the official/employee who serves as the contact person for preparing the monthly report.

2. Position
   Filled with the job title of the official/employee who serves as the contact person for preparing the monthly report.

3. Phone
   Filled with the phone number of the official/employee who serves as the contact person for preparing the monthly report.

4. E-mail
   Filled with the e-mail address of the official/employee who serves as the contact person for preparing the monthly report.

I. MONTHLY REPORT SUMMARY

This Monthly Report Summary Form presents a summary of the financial position and performance of the Credit Guarantee Company on the reporting date.

1. Assets
   Filled with the asset value contained in the Balance Sheet.

2. Equity
   Filled with the equity value contained in the Balance Sheet.

3. Net Profit/(Loss)
   Filled with the net profit/(loss) amount contained in the Comprehensive Income Statement.

4. Value of Productive Business Guarantees
   Filled with the value of productive business guarantees contained in the Gearing Ratio Report.

5. Gearing Ratio for Productive Business Guarantees
   Filled with the gearing ratio value for productive business guarantees contained in the Gearing Ratio Report.

6. Value of Non-Productive Business Guarantees
   Filled with the value of non-productive business guarantees contained in the Gearing Ratio Report.

7. Gearing Ratio for Non-Productive Business Guarantees
   Filled with the gearing ratio value for non-productive business guarantees contained in the Gearing Ratio Report.

8. Guarantee Fees
   Filled with the guarantee fee amount contained in the Credit Guarantee Report.

9. Total Guaranteed Amount
   Filled with the total guaranteed amount contained in the Credit Guarantee Report.

10. Claims Paid
    Filled with the claims paid amount contained in the Credit Guarantee Claims Report.

11. Subrogation Receivables
    Filled with the subrogation receivables value contained in the Subrogation Receivables Report.

II. BALANCE SHEET

Assets contained in the Credit Guarantee Company's Balance Sheet are classified into current and non-current categories. Assets are classified as current assets if the Credit Guarantee Company expects to realize the assets, intends to sell or use them, in the normal operating cycle, holds assets for trading purposes, or expects to realize the assets within a period of 12 months after the reporting date. Assets that do not meet these categories are classified as non-current assets.

Meanwhile, liabilities contained in the Credit Guarantee Company's Balance Sheet are also classified into current and non-current categories. Liabilities are classified as current liabilities if the Credit Guarantee Company expects to settle the liabilities in its normal operating cycle, holds the liabilities for trading purposes, or the liabilities are due to be settled within a period of 12 months after the reporting period. Liabilities that do not meet these categories are classified as non-current liabilities.

A. ASSETS

I. Current Assets

1. Cash and Bank Giro
   Is cash in the form of paper money and coins that are legal tender in Indonesia, as well as giro funds in banks. Foreign paper money and coins that are still valid as legal tender are also included in the definition of cash.

2. Current Investments
   Is the placement of funds by the Credit Guarantee Company in the form of bank deposits, securities, and/or other instruments permitted according to applicable regulations, which are classified in the current category. This item is detailed in Form 1: List of Investment Details.

3. IJP Receivables
   Is IJP receivables from the Indonesian Government in connection with the guarantee of the People's Business Credit (KUR) program and/or from the guaranteed party in connection with guarantee business activities.

4. Co-guarantee/Reinsurance/Rerouting Receivables
   Is receivables from co-guarantee partners/insurance companies/reinsurance companies in connection with claim payments that are the responsibility of the co-guarantee partner/insurance company/reinsurance company, which are classified in the current category. This item is detailed in Form 2: List of Co-Guarantee/Reinsurance/Rerouting Receivables Details.

5. Accrued Income
   Is income of the Credit Guarantee Company that has been recognized in the reporting period but payment has not yet been received, such as income from bank deposit interest where payment has not yet been received.

6. Prepaid Expenses
   Prepaid expenses are payments for goods and/or services that will be used or provide benefits in the future. Several items included in the prepaid expense category include prepaid rent and prepaid insurance, which are classified in the current category.

7. Receivables in the Framework of Guarantee Restructuring
   Is loans provided by the Credit Guarantee Company in the framework of guarantee restructuring, which are classified in the current category.

8. Other Current Assets
   Is other current assets that cannot be classified into any of items 1 to 7 above.

II. Non-Current Assets

9. Non-Current Investments
   Is the placement of funds by the Credit Guarantee Company in the form of bank deposits, securities, direct investments, and/or other instruments permitted according to applicable regulations, which are classified in the non-current category. This item is detailed in Form 1: List of Investment Details.

10. Co-guarantee/Reinsurance/Rerouting Receivables
    Is receivables from co-guarantee partners/insurance companies/reinsurance companies in connection with claim payments that are the responsibility of the co-guarantee partner/insurance company/reinsurance company, which are classified in the non-current category. This item is detailed in Form 2: List of Co-Guarantee/Reinsurance/Rerouting Receivables Details.

11. Prepaid Expenses
    Prepaid expenses are payments for goods and/or services that will be used or provide benefits in the future. Several items included in the prepaid expense category include prepaid rent and prepaid insurance, which are classified in the non-current category.

12. Fixed Assets - Net
    Is tangible assets owned by the Credit Guarantee Company and used in operational activities for use for more than one year. This item is presented net after considering the accumulated depreciation of fixed assets.

13. Intangible Assets - Net
    Is identifiable assets that do not have a physical form and are owned by the Credit Guarantee Company for use in operational activities for more than one year. This item is presented net after considering the accumulated amortization of intangible assets.

14. Receivables in the Framework of Guarantee Restructuring
    Is loans provided by the Credit Guarantee Company in the framework of guarantee restructuring, which are classified in the non-current category.

15. Deferred Tax Assets
    Is the amount of recoverable income tax in future periods as a result of deductible temporary differences and remaining loss carry-forwards.

16. Other Non-Current Assets
    Is other non-current assets that cannot be classified into any of items 9 to 15 above.

B. LIABILITIES

I. Current Liabilities

1. Claim Payables
   Is debt arising from the agreement on claims submitted by the guarantee recipient but not yet paid by the Credit Guarantee Company. Claim payables are recognized and recorded when the claim is settled (claim settled).

2. Deferred IJP
   Is the portion of IJP received by the Credit Guarantee Company that has not yet been recognized as income on the reporting date, calculated individually from each guarantee and the amount is set proportionally for each corresponding guarantee period. The deferred IJP included in this item is classified in the current category.

3. Tax Payables
   Is the amount of taxes payable by the Credit Guarantee Company.

4. Reinsurance Premium Payables
   Is reinsurance premium payable by the Credit Guarantee Company to insurance companies.

5. Commission Payables
   Is commission payable to other parties in connection with the closing of guarantees.

6. Co-guarantee/Rerouting IJP Payables
   Is co-guarantee/rerouting IJP payable by the Credit Guarantee Company to co-guarantee partners/reinsurance companies.

7. Accrued Expenses
   Is expenses that have occurred but payment has not yet been fulfilled, such as salary expenses and rent expenses.

8. Claim Reserves
   Is the estimate of claims that will become the responsibility of the Credit Guarantee Company, the amount of which is recognized and recorded on the reporting date according to applicable regulations. The claim reserves included in this item are classified in the current category.

9. Deferred Tax Liabilities
   Is the amount of payable income tax for future periods as a result of taxable temporary differences.

10. Other Current Liabilities
    Is other current liabilities that cannot be included or classified into any of items 1 to 9 above.

II. Non-Current Liabilities

11. Deferred IJP
    Is the portion of IJP received by the Credit Guarantee Company that has not yet been recognized as income on the reporting date, calculated individually from each guarantee and the amount is set proportionally for each corresponding guarantee period. The deferred IJP included in this item is classified in the non-current category.

12. Claim Reserves
    Is the estimate of claims that will become the responsibility of the Credit Guarantee Company, the amount of which is recognized and recorded on the reporting date according to applicable regulations. The claim reserves included in this item are classified in the non-current category.

13. Post-Employment Benefits Payables
    Is work benefits other than severance pay and equity-based benefits that are payable after the worker completes their working period.

14. Mandatory Convertible Bonds
    Is bonds issued by the Credit Guarantee Company that must be converted into shares based on an agreement between the company and bondholders.

15. Other Non-Current Liabilities
    Is other non-current liabilities that cannot be included or classified into any of items 11 to 14 above.

C. EQUITY

16. Capital
    a. Paid-up Capital
    Is the paid-up capital of the Credit Guarantee Company according to applicable regulations. b. Share Premium Is the excess of capital contributions received by the Credit Guarantee Company as a result of the share price exceeding its nominal value.
    c. Discount on Share
    Is the shortfall of capital contributions as a result of the share price being lower than its nominal value.

17. Reserves
    a. General Reserve
    Is a reserve formed from the provision of net profit after tax used to cover losses arising from the implementation of the Credit Guarantee Company's business activities. b. Specific Reserve Is a portion of profit after tax set aside for specific purposes.
    c. Other Reserves
    Is reserves that are not included in general reserves and specific reserves in items a and b, including reserves formed from the difference in the revaluation of fixed assets.

18. Grants
    Is grants received by the reporting Credit Guarantee Company from other parties.

19. Retained Earnings/(Accumulated Losses)
    Is the retained earnings/(accumulated losses) balance of the Credit Guarantee Company at the beginning of the year.

20. Current Year Profit/(Loss)
    Is the profit/(loss) of the Credit Guarantee Company during the accounting period up to the reporting date.

21. Other Comprehensive Income
    Items included in this position include, among others, unrealized gains/losses arising from increases/decreases in the fair value of financial assets in the available-for-sale group.

Form 1: List of Investment Details

A. Deposits
In this detail list, the position of the Credit Guarantee Company's fund placement in the form of bank deposits is reported. In this reporting system, each bank deposit placement account must be reported individually.

I. No.
Filled with the serial number.

II. Bank Name
Filled with the full name of the bank where the Credit Guarantee Company places funds in the form of deposits.

III. Tenor

1. Start
   Filled with the date, month, and year the start of fund placement in the form of bank deposits.
2. Maturity
   Filled with the date, month, and year of maturity of bank deposits.

IV. Interest Rate
Filled with the interest rate of bank deposits.

V. Amount

1. Last Month
   Filled with the amount in the previous reporting period.
2. Reporting Month
   Filled with the amount in the reporting period.

B. Securities
This detail list reports the position of securities owned by the Credit Guarantee Company, which are grouped into current and non-current categories. Each securities account must be reported individually.

I. No.
Filled with the serial number.

II. Type of Securities
Filled with one of the types of securities owned by the Credit Guarantee Company, such as government bonds, bonds, shares, and mutual funds.

III. Issuer Name
Filled with the name of the party that is the issuer of the securities.

IV. Tenor
Filled with the tenor of securities that have an issuance date and maturity date.

1. Issuance Date
   Filled with the date, month, and year of issuance of the securities.
2. Maturity
   Filled with the date, month, and year of maturity of the securities.

V. Interest Rate

1. Interest Rate Level
   Filled with the interest rate level of the securities.
2. Type of Interest Rate
   Filled with one type of interest rate, namely fixed or variable.

VI. Amount

1. Last Month
   Filled with the amount in the previous reporting period.
2. Reporting Month
   Filled with the amount in the reporting period.

C. Direct Investments

I. No.
Filled with the serial number.

II. Investee Name
Filled with the name of the investee company where the Credit Guarantee Company makes direct investments.

III. Investment Method
Filled with one of the following investment methods:

1. Cost Method
   An accounting method that records investments at acquisition cost. Income is only recognized by the investor when the investee distributes net profit (except stock dividends) originating from profit after the acquisition date.
2. Method...

---

2. Equity Method
   An accounting method that initially records investments at acquisition cost and subsequently adjusts for changes in the investor's share of the investee's net assets occurring after acquisition. The investor's income statement reflects the investor's share of the investee's operating results.

IV. Date of Investment Commencement
Filled with the date, month, and year the investment in the investee company becomes effective.

V. Ownership Percentage
Filled with the percentage of investment in the investee company.

VI. Acquisition Value
Filled with the acquisition value at the time of investment.

VII. Amount

1. Previous Month
   Filled with the amount in the previous reporting period.
2. Reporting Month
   Filled with the amount in the reporting period.

Form 2: List of Details of Co-Guarantee/Reinsurance/Re-guarantee Receivables This list reports the position of co-guarantee/reinsurance/re-guarantee receivables held by the Credit Guarantee Company to co-guarantee partners/insurance companies/reinsurance companies, categorized into current and non-current categories.

I. No.
Filled with the serial number.

II. Company Name
Filled with the name of the co-guarantee partner/insurance company/reinsurance company.

III. Date of Cooperation Commencement
Filled with the date of cooperation between the Credit Guarantee Company and the co-guarantee partner/insurance company/reinsurance company, based on the still-valid cooperation agreement.

IV. Scheme
Filled with the type of transaction scheme, namely co-guarantee, reinsurance, or re-guarantee.

V. Amount

1. Previous Month
   Filled with the amount in the previous reporting period.
2. Reporting Month
   Filled with the amount in the reporting period.

III. COMPREHENSIVE INCOME STATEMENT
The Credit Guarantee Company's Income Statement is prepared in such a manner as to provide an overview of the company's operating results for a specific period. Included in the Comprehensive Income Statement are cumulative figures of the reporting Credit Guarantee Company's income and expenses from the beginning of the fiscal year until the reporting date.

I. Guarantee Fee Income

1. Gross Guarantee Fee Income
   This is the guarantee fee income (GFI) obtained by the Credit Guarantee Company from guarantee business activities, including GFI that is the share of co-guarantee partners/reinsurance companies/insurance companies. GFI obtained is recognized as revenue on an accrual basis allocated proportionally over the guarantee period.

2. Co-guarantee GFI/Re-guarantee Premium/Reinsurance Premium
   This is the portion of gross GFI paid out or representing the share of co-guarantee partners/reinsurance companies/insurance companies. Co-guarantee GFI/Re-guarantee Premium/Reinsurance Premium is recognized and recorded in the same period as the recognition of revenue for the relevant GFI.

3. Net Guarantee Commission Income/Expense
   This is the difference between commissions paid and commission income received by the Credit Guarantee Company in connection with guarantee activities.

4. Other Guarantee Income
   This is other guarantee income not included in any of the groups 1 through 3 above.

II. Claim Expenses

1. Gross Claim Expenses
   This is guarantee claim expenses approved for payment (settled claims), including claims that are the share of co-guarantee partners/reinsurance companies/insurance companies. Claims are recognized as expenses when the obligation to fulfill the claim arises.

2. Co-guarantee/Re-guarantee/Reinsurance Claims
   This is the portion of claims obtained from co-guarantee partners/reinsurance companies/insurance companies, recognized and recorded as a reduction of claim expenses in the same period as the recognition of claim expenses.

3. Decrease/(Increase) in Claim Provisions
   This is the difference between current period claim provisions and previous period provisions. In the event of a decrease in claim provisions, it is recorded as a factor reducing claim expenses. Conversely, if there is an increase in claim provisions, it is recorded as a factor increasing claim expenses.

4. Other Claim Expenses
   This is other claim expenses not included in any of the groups 1 through 3 above.

III. Net Guarantee Income
This is the positive/(negative) difference between guarantee fee income minus claim expenses.

IV. Other Operating Income

1. Interest Income
   This is interest income obtained by the Credit Guarantee Company from fund placements, including in the form of deposits, bonds, Government Securities, and other securities.

2. Investment Income Other Than Interest
   This is investment income obtained by the Credit Guarantee Company other than interest income.

3. Increase in Fair Value of Financial Assets
   This is unrealized potential profit from financial assets measured at fair value through profit or loss, which is the positive difference between the fair value of financial assets on the reporting date and the fair value of financial assets in the previous period.

4. Decrease in Fair Value of Financial Liabilities
   This is unrealized potential profit from financial liabilities measured at fair value through profit or loss, which is the negative difference between the fair value of financial liabilities on the reporting date and the fair value of financial liabilities in the previous period.

5. Profit on Sale of Financial Assets
   This is realized profit from the sale of financial assets.

6. Other Operating Income
   This is operating income obtained by the Credit Guarantee Company other than operating income in groups 1 through 5 above.

V. Other Operating Expenses

1. Salary and Employee Expenses
   This is basic salary, wages, allowances, honoraria, and other human resource expenses excluding salary, wages, allowances, and honoraria.

2. Depreciation and Amortization Expenses
   This is depreciation expenses for fixed assets and amortization expenses for intangible assets.

3. Other General and Administrative Expenses
   This is operating expenses that can be grouped into general and administrative expenses, including rental expenses and office operating expenses.

4. Decrease in Fair Value of Financial Assets
   This is unrealized potential loss from financial assets measured at fair value through profit or loss, which is the negative difference between the fair value of financial assets on the reporting date and the fair value of financial assets in the previous period.

5. Increase in Fair Value of Financial Liabilities
   This is unrealized potential loss from financial liabilities measured at fair value through profit or loss, which is the positive difference between the fair value of financial liabilities on the reporting date and the fair value of financial liabilities in the previous period.

6. Loss on Sale of Financial Assets
   This is realized loss from the sale of financial assets.

7. Financial Asset Impairment Expenses
   This is the expense for establishing financial asset impairment loss provisions.

8. Other Operating Expenses
   This is other operating expenses not included in any of the groups 1 through 7 above.

VI. Operating Profit/(Loss)
This is the positive/negative difference between net guarantee income plus other operating income minus other operating expenses.

VII. Non-Operating Income and Expenses

1. Non-Operating Income
   This is all income/profits obtained other than the main activities of the Credit Guarantee Company, including profits from the sale of fixed assets.

2. Non-Operating Expenses
   This is all expenses/losses borne by the Credit Guarantee Company for non-operating activities.

VIII. Profit/(Loss) Before Income Tax
This is the positive/negative difference between operating profit/(loss) plus/minus non-operating income/expenses.

IX. Income Tax

1. Estimated Income Tax
   This is the estimated income tax calculated on the profit of the current fiscal year until the reporting date.

2. Deferred Tax
   a. Deferred Tax Expense
   This is the amount of deferred tax expense related to the amount of deferred tax liabilities recognized for the current fiscal year until the reporting date. This item is presented in the income statement on a compensation (offset) basis with the Deferred Tax Income item.

b. Deferred Tax Income
This is the amount of deferred tax income related to the amount of deferred tax assets recognized for the current fiscal year until the reporting date. This item is presented in the income statement on a compensation (offset) basis with the Deferred Tax Expense item.

X. Net Profit/(Loss)
This is the profit/(loss) after income tax for the current period.

XI. Other Comprehensive Income
Included in this item are unrealized profits/losses arising from increases/decreases in the fair value of financial assets in the available-for-sale category.

XII. Comprehensive Profit/(Loss)
This is the profit/(loss) after considering other comprehensive income.

IV. CASH FLOW STATEMENT
Cash flow is a financial statement prepared using the cash movement basis. 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 until the reporting date. This applies to both receipts and expenditures.

CASH FLOWS FROM OPERATING ACTIVITIES

1. Guarantee Fee Income (GFI) Receipts
   This item contains all receipts from guarantee fee income (GFI) received by the Credit Guarantee Company.

2. Claim Receipts from Co-guarantee/Reinsurance/Insurance Partners
   This item contains claim receipts from co-guarantee partners or reinsurance companies, representing the share of the Credit Guarantee Company.

3. Receipts from Other Operating Activities
   This item contains all cash receipts from operating activities other than the main operating activities above.

4. Payment of Co-guarantee GFI/Re-guarantee Premium/Reinsurance Premium
   This item contains cash expenditures for paying co-guarantee GFI/Re-guarantee Premium/Reinsurance Premium to co-guarantee partners/reinsurance companies/insurance companies.

5. Claim Payments to Guarantors
   This item contains all cash expenditures for claim payments to guarantors.

6. Payment of Expenses
   This item contains all cash expenditures directly related to the operating activities of the Credit Guarantee Company not included in items 4 and 5 above.

7. Payments for Other Operating Activities
   This item accumulates all cash expenditures for operating activities not included in the items above.

8. Net Cash from/(for) Operating Activities
   This item contains net cash obtained from or used for operating activities.

CASH FLOWS FROM INVESTING ACTIVITIES
9. Investment Income Receipts
This item contains receipts of all investment results conducted by the Credit Guarantee Company, including interest and other investment results.

10. Receipts from Other Investing Activities
    This item contains other cash receipts from the Credit Guarantee Company's investing activities.

11. Permitted Investment Placements
    This item contains all cash expenditures used for investments, including fund placements in the form of bank deposits and the purchase of securities.

12. Acquisition of Fixed Assets
    This item contains cash expenditures for fixed asset purchase transactions, including land and buildings.

13. Payments for Other Investing Activities
    This item accumulates the recording of all cash expenditures for investing activities not included in the items above.

14. Net Cash from/(for) Investing Activities
    This item contains net cash obtained from or used for investing activities.

CASH FLOWS FROM FINANCING ACTIVITIES
15. Receipts from Capital Deposits
This item contains receipts of capital deposits/additional capital from shareholders of the Credit Guarantee Company.

16. Receipts from Mandatory Convertible Bond Issuance
    This item contains funds obtained from the issuance of mandatory convertible bonds.

17. Receipts from Other Financing Activities
    This item accumulates all cash receipts from financing activities not included in the items above.

18. Dividend Payments
    This item covers any dividend payments made by the Credit Guarantee Company to shareholders.

19. Payments for Other Financing Activities
    This item accumulates the recording of all cash expenditures for other financing activities.

20. Net Cash from/(for) Financing Activities
    This item contains net cash obtained from or used for financing activities.

21. INCREASE/(DECREASE) IN CASH AND CASH EQUIVALENTS BALANCE
    This item contains the net increase or decrease in cash and cash equivalents until the reporting date.

22. CASH AND CASH EQUIVALENTS BEGINNING BALANCE
    The position of cash and cash equivalents at the beginning of the reporting fiscal year of the Credit Guarantee Company.

23. CASH AND CASH EQUIVALENTS ENDING BALANCE
    The position of cash and cash equivalents on the reporting date of the Credit Guarantee Company.

V. GEARING RATIO REPORT
The Credit Guarantee Company's Gearing Ratio Report is detailed based on productive business, non-productive business, and the total overall.

1. Value of Guarantees Assumed Independently
   Filled with the outstanding value of guarantees assumed by the Credit Guarantee Company.

2. Net Equity
   Filled with the net equity value of the Credit Guarantee Company according to applicable regulations.

3. Gearing Ratio
   This is the ratio between the value of guarantees assumed independently and net equity.

VI. CREDIT GUARANTEE REPORT
The Credit Guarantee Report is detailed based on the type of guarantee recipient institution, namely banks, non-bank financial institutions, and outside financial institutions, both for productive business guarantees and non-productive business guarantees. This report is presented per position on the reporting date and for one period from the beginning of the fiscal year until the reporting date.

1. Guarantee Value
   Position: Filled with the outstanding value of guarantees assumed by the Credit Guarantee Company on the reporting date. Period: Filled with the value of guarantee realization assumed by the Credit Guarantee Company from the beginning of the fiscal year until the reporting date.

2. Guarantee Fee Income Value
   Position: Not filled.
   Period: Filled with the value of guarantee fee income obtained from the beginning of the fiscal year until the reporting date, which has been recognized as revenue (according to the income statement).

3. Total Guaranteed Amount
   Position: Filled with the total guaranteed amount for guarantees that are still valid.
   Period: Filled with the total guaranteed amount for guarantee closures from the beginning of the fiscal year until the reporting date.

4. Number of Guarantee Certificates
   Position: Filled with the number of guarantee certificates issued by the Credit Guarantee Company for guarantees that are still valid. Period: Filled with the number of guarantee certificates issued by the Credit Guarantee Company from the beginning of the fiscal year until the reporting date.

VII. CREDIT GUARANTEE QUALITY REPORT
The Credit Guarantee Quality Report is detailed based on the collectibility of guaranteed credit/financing by the Credit Guarantee Company, namely Collectible, Special Attention, Substandard, Doubtful, and Loss. This report is presented for both productive business guarantees and non-productive business guarantees.

1. Collectibility: Collectible
   Filled with the amount of guaranteed credit/financing that has Collectible collectibility.

2. Collectibility: Special Attention
   Filled with the amount of guaranteed credit/financing that has Special Attention collectibility.

3. Collectibility: Substandard
   Filled with the amount of guaranteed credit/financing that has Substandard collectibility.

4. Collectibility: Doubtful
   Filled with the amount of guaranteed credit/financing that has Doubtful collectibility.

5. Collectibility: Loss
   Filled with the amount of guaranteed credit/financing that has Loss collectibility.

6. Total
   Filled with the total amount of guaranteed credit/financing.

7. Non Performing Guarantee (NPG)
   Filled with the amount of guaranteed credit/financing that has Substandard, Doubtful, and Loss collectibility.

8. NPG Ratio
   This is the ratio between the amount of guaranteed credit/financing that has Substandard, Doubtful, and Loss collectibility and the total amount of guaranteed credit/financing.

VIII. 10 LARGEST NON PERFORMING GUARANTEE REPORT
The 10 Largest Non Performing Guarantee Report presents information regarding the 10 customers/guarantors of the Credit Guarantee Company with the largest NPG values. This report is detailed by customer name, collectibility, guarantee recipient name, and guarantee value.

IX. CREDIT GUARANTEE CLAIM REPORT
The Credit Guarantee Claim Report is detailed based on the type of guarantee recipient institution, namely banks, non-bank financial institutions, and outside financial institutions, both for productive business guarantees and non-productive business guarantees. This report is presented for both claim values and total guaranteed amounts.

1. Claim Submission
   Filled with the claim value submitted to the Credit Guarantee Company.

2. Claims Processed
   Filled with the claim value currently being processed by the Credit Guarantee Company.

3. Claims Approved
   Filled with the claim value approved for payment by the Credit Guarantee Company.

4. Claims Paid
   Filled with the claim value that has been approved and paid by the Credit Guarantee Company.

5. Claims Rejected
   Filled with the claim value rejected by the Credit Guarantee Company.

6. Claims Approved but Not Yet Paid
   Filled with the claim value that has been approved but not yet paid by the Credit Guarantee Company.

X. SUBROGATION RECEIVABLES REPORT
The Subrogation Receivables Report presents information regarding the development of the Credit Guarantee Company's subrogation receivables.

1. Beginning Balance
   Filled with the beginning balance of subrogation receivables at the beginning of the year.

2. Added/(Subtracted)
   a. Claim Payments
   Filled with the amount of claim payments from the beginning of the year until the reporting date. b. Subrogation Installments Filled with the amount of subrogation installments received by the Credit Guarantee Company from the beginning of the year until the reporting date.

3. Ending Balance
   Filled with the ending balance of subrogation receivables on the reporting date.

XI. ASSET AND LIABILITY MATURITY MATCHING ANALYSIS REPORT
This report presents information regarding the recapitulation of assets and liabilities detailed by currency and maturity age, as well as related asset and liability ratios.

To
Yth. Otoritas Jasa Keuangan u.p. Directorate of Supervision of Other Financial Service Institutions Sumitro Djojohadikusumo Building, 14th Floor Jl. Lapangan Banteng Timur 1 - 4 Jakarta - 10710

MONTHLY REPORT
Credit Guarantee Company
Month... Year...
PT XYZ

A. Company Data
1. Company Name :
2. Tax ID Number (NPWP) :
3. Year of Establishment :
4. Business License
a. Number :
b. Date :
5. Operational Scope :
6. Head Office Address :
7. Number of Branch Offices :
8. Number of Sub-branch Offices :
9. Number of Employees
a. Head Office :
b. Branch Office :
c. Sub-branch Office :
B. Contact Person
1. Name :
2. Position :
3. Phone :
4. E-mail :

COMPANY PROFILE

No. Description Code Amount
1 Assets 1300
2 Equity 1800
3 Net Profit/(Loss) 2940
4 Productive Business Guarantee Value 5100
5 Productive Business Gearing Ratio 5300
6 Non-Productive Business Guarantee Value 5400 7 Non-Productive Business Gearing Ratio 5600 8 Guarantee Fee Income 6986 9 Total Guaranteed Amount 6927 10 Claims Paid 9343 11 Subrogation Receivables 9995

CREDIT GUARANTEE COMPANY
I. SUMMARY OF MONTHLY REPORT
Per …
PT XYZ

No. Description Code Amount
A ASSETS
I Current Assets
1 Cash and Bank Giro 1005
2 Current Investments (Form 1) 1010
3 GFI Receivables 1020
5 Accrued Income 1050
6 Prepaid Expenses 1070
7 Receivables in the Context of Guarantee Restructuring 1080 8 Other Current Assets 1095 II Non-Current Assets 9 Non-Current Investments (Form 1) 1110 11 Prepaid Expenses 1150 12 Fixed Assets - Net 1170 13 Intangible Assets - Net 1200 14 Receivables in the Context of Guarantee Restructuring 1205 15 Deferred Tax Assets 1210 16 Other Non-Current Assets 1295 III 1300 B LIABILITIES I Current Liabilities 1 Claim Payables 1510 2 Deferred GFI 1520 3 Tax Payables 1530 4 Reinsurance Premium Payables 1540 5 Commission Payables 1550 6 Co-guarantee/Re-guarantee GFI Payables 1560 7 Accrued Expenses 1570 8 Claim Provisions 1580 9 Deferred Tax Liabilities 1590 10 Other Current Liabilities 1595 II Non-Current Liabilities 11 Deferred GFI 1610 12 Claim Provisions 1620 13 Post-Employment Benefit Payables 1630 14 Mandatory Convertible Bonds 1650 15 Other Non-Current Liabilities 1660 III 1700
C. EQUITY
16 Capital 1710 a. Paid-in capital 1711 b. Share premium 1712
c. Share discount -/-- 1713
17 Reserves 1720 a. General reserves 1721 b. Specific reserves 1722
c. Other reserves 1723
18 1730
19 Retained Earnings/(Accumulated Losses) 1740 20 Current Year Profit/(Loss) 1750 21 Other Comprehensive Income 1760

CREDIT GUARANTEE COMPANY
PT XYZ
II. FINANCIAL POSITION REPORT
Per …
Total Assets
Co-guarantee/Reinsurance/Re-guarantee Receivables (Form 2) Co-guarantee/Reinsurance/Re-guarantee Receivables (Form 2) Total Current Assets Total Non-Current Assets Total Current Liabilities Total Liabilities and Equity Total Non-Current Liabilities Total Equity Total Liabilities Grants

Form 1
A. DEPOSITS
I II IV
Rate
Start Maturity Interest Rate Previous Month Reporting Month V Amount CREDIT GUARANTEE COMPANY INVESTMENT DETAIL LIST Per … Duration Amount No. Bank Name PT XYZ III

Form 1
B. SECURITIES

1. Current Category
   I II III
   Date Maturity Rate Type Previous Month Reporting Month Issue Date Rate Interest Rate
2. Non-Current Category
   I II III
   Date Maturity Rate Type Previous Month Reporting Month Issue Date Rate Interest Rate CREDIT GUARANTEE COMPANY PT XYZ INVESTMENT DETAIL LIST Per … No. Type Security Interest Rate IV Amount V VI Duration Amount Name Issuer Duration Interest Rate Amount No. Amount V VI Type Security Name Issuer

Form 1
C. DIRECT PARTICIPATION
I II III IV V VI
Name Method Start Date Percentage Value
Investee Participation Participation Ownership Acquisition Previous Month Reporting Month Amount PT XYZ CREDIT GUARANTEE COMPANY INVESTMENT DETAIL LIST Per … VII Amount No.

Form 2
A. Current Category
I II III V
Start Date
Cooperation Previous Month Reporting Month
B. Non-Current Category
I II III IV
Start Date
Cooperation Previous Month Reporting Month
Amount
CREDIT GUARANTEE COMPANY
CO-GUARANTEE/ REINSURANCE/ RE-GUARANTEE RECEIVABLES DETAIL LIST No.
Amount
Per …
Amount
No.
PT XYZ
Company Name
Company Name
Scheme
Scheme
Amount
V
V

No. DESCRIPTION Code Amount
CASH FLOWS FROM OPERATING ACTIVITIES
1 Receipt of guarantee service fees (IJP) 4100 2 Receipts from co-guarantee partners/reinsurance guarantee companies/insurance companies 3 Receipts from other operating activities 4200 4 Payments of co-guarantee IJP/IJPU/reinsurance premiums 4250 5 Claim payments to the guaranteed 4300 6 Payment of expenses 4350 7 Payments for other operating activities 4390 8 Net cash from/(for) operating activities 4400 CASH FLOWS FROM INVESTMENT ACTIVITIES 9 Investment income receipts 4500 10 Receipts from other investment activities 4520 11 Permitted investment placements 4550 12 Acquisition of fixed assets 4570 13 Payments for other investment activities 4590 14 Net cash from/(for) investment activities 4600 CASH FLOWS FROM FINANCING ACTIVITIES 15 Receipts from capital deposits 4700 16 Receipts from the issuance of mandatory convertible bonds 4750 17 Receipts from other financing activities 4800 18 Dividend payments 4850 19 Payments for other financing activities 4890 20 Net cash from/(for) financing activities 4900 21 INCREASE/(DECREASE) IN CASH AND CASH EQUIVALENTS BALANCE 4950 22 BEGINNING BALANCE OF CASH AND CASH EQUIVALENTS 4970 23 ENDING BALANCE OF CASH AND CASH EQUIVALENTS 4990 CREDIT GUARANTEE COMPANY
IV. CASH FLOW STATEMENT
For the Period …
PT XYZ

No Description Code Productive Business Code Non-Productive Business Code Total

1. Value of guarantees assumed by self 5100 5400 5700
2. Net own capital 5200 5500 5800
3. Gearing Ratio (1 : 2) 5300 5600 5900
   CREDIT GUARANTEE COMPANY
   PT XYZ
   V. GEARING RATIO REPORT
   As of …

Code Position Code Period Code Position Code Period Code Position Code Period I Banks
1. Guarantee value 6110 6310 6510 6710 6911 6940
2. Guarantee service fee value 6320 6720 6950
3. Total Guaranteed (clients) 6130 6330 6530 6730 6913 6960
4. Number of guarantee certificates 6140 6340 6540 6740 6914 6970
II Non-Bank Financial Institutions
1. Guarantee value 6150 6350 6550 6750 6915 6971
2. Guarantee service fee value 6360 6760 6972
3. Total Guaranteed (clients) 6170 6370 6570 6770 6917 6973
4. Number of guarantee certificates 6180 6380 6580 6780 6918 6974
III Outside Financial Institutions
1. Guarantee value 6210 6410 6610 6810 6921 6981
2. Guarantee service fee value 6420 6820 6982
3. Total Guaranteed (clients) 6230 6430 6630 6830 6923 6983
4. Number of guarantee certificates 6240 6440 6640 6840 6924 6984
IV Total (I+II+III)
1. Guarantee value 6250 6450 6650 6850 6925 6985
2. Guarantee service fee value 6460 6860 6986
3. Total Guaranteed (clients) 6270 6470 6670 6870 6927 6987
4. Number of guarantee certificates 6280 6480 6680 6880 6928 6988
CREDIT GUARANTEE COMPANY
PT XYZ
VI. CREDIT GUARANTEE REPORT
As of ...
Total
No Guarantee Recipient
Productive Business Non-Productive Business

No Collectibility Code Productive Business Code Non-Productive Business Code Total 1 Current 7100 7500 7900 2 Special Attention 7110 7510 7910 3 Less Current 7120 7520 7920 4 Doubtful 7130 7530 7930 5 Bad 7140 7540 7940 6 Total (1+2+3+4+5) 7150 7550 7950 7 Non Performing Guarantee/ NPG (3+4+5) 7180 7580 7980 8 NPG Ratio (7 : 6) 7190 7590 7990 CREDIT GUARANTEE COMPANY PT XYZ
VII. CREDIT GUARANTEE QUALITY REPORT
As of ...

No Client Name Collectibility Guarantee Recipient Guarantee Value CREDIT GUARANTEE COMPANY PT XYZ
VIII. TOP 10 NON PERFORMING GUARANTEE REPORT
As of ...

Code Claim Value Code Total Guaranteed Code Claim Value Code Total Guaranteed Code Claim Value Code Total Guaranteed I Banks
1. Claim submission 9110 9150 9210 9250 9310 9350
2. Claims processed 9111 9151 9211 9251 9311 9351
3. Claims approved 9112 9152 9212 9252 9312 9352
4. Claims paid 9113 9153 9213 9253 9313 9353
5. Claims rejected 9114 9154 9214 9254 9314 9354
6. Claims approved but not yet paid 9115 9155 9215 9255 9315 9355
II Non-Bank Financial Institutions
1. Claim submission 9120 9160 9220 9260 9320 9360
2. Claims processed 9121 9161 9221 9261 9321 9361
3. Claims approved 9122 9162 9222 9262 9322 9362
4. Claims paid 9123 9163 9223 9263 9323 9363
5. Claims rejected 9124 9164 9224 9264 9324 9364
6. Claims approved but not yet paid 9125 9165 9225 9265 9325 9365
III Outside Financial Institutions
1. Claim submission 9130 9170 9230 9270 9330 9370
2. Claims processed 9131 9171 9231 9271 9331 9371
3. Claims approved 9132 9172 9232 9272 9332 9372
4. Claims paid 9133 9173 9233 9273 9333 9373
5. Claims rejected 9134 9174 9234 9274 9334 9374
6. Claims approved but not yet paid 9135 9175 9235 9275 9335 9375
IV Total (I+II+III)
1. Claim submission 9140 9180 9240 9280 9340 9380
2. Claims processed 9141 9181 9241 9281 9341 9381
3. Claims approved 9142 9182 9242 9282 9342 9382
4. Claims paid 9143 9183 9243 9283 9343 9383
5. Claims rejected 9144 9184 9244 9284 9344 9384
6. Claims approved but not yet paid 9145 9185 9245 9285 9345 9385
CREDIT GUARANTEE COMPANY
PT XYZ
IX. CREDIT GUARANTEE CLAIM REPORT
Period ….
No Guarantee Recipient
Productive Business Non-Productive Business Total

No Description Code Balance
1 Beginning balance 9991
2 Added/(subtracted):
a. Claim payments 9992 b. Subrogation installments 9993 3 Ending balance 9995 CREDIT GUARANTEE COMPANY PT XYZ
X. SUBROGATION RECEIVABLES REPORT
Period ….

Rupiah Foreign Currency 3) Total Rupiah Foreign Currency 3) Total Rupiah Foreign Currency 3) Total ≤ 1 year 1 year < age ≤ 5 years 5 years < age ≤ 10 years

10 years
Total
Rupiah 2) Foreign Currency 2) Total 2)
Note:
1) In millions of Rupiah
2) In percentage
3) Already converted to Rupiah currency
Current assets/liabilities are assets/liabilities with an age of less than 1 year up to 1 year Non-current assets/liabilities are assets/liabilities with an age of more than 1 year Signed. Mufli Asmawidjaja Head of Legal Assistance Division FINANCIAL SERVICES AUTHORITY Legal Directorate Signed. FIRDAUS DJAELANI Description Current Assets to Non-Current Assets Ratio Current Liabilities to Non-Current Liabilities Ratio Determined in Jakarta on November 25, 2013 Copy matches the original HEAD OF EXECUTIVE SUPERVISOR OF NON-BANK FINANCIAL INSTITUTIONS CREDIT GUARANTEE COMPANY PT XYZ
XI. ASSET AND LIABILITY MATCHING ANALYSIS REPORT
As of …
Asset Age 1) Liability 1) Asset to Liability Ratio 2)

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