Registration, Business Licensing, and Institutional Organization of Pawnshop Companies

To:
The Board of Directors of Pawnshop Companies At your office.

COPY

CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY NUMBER 51 /SEOJK.05/2017

REGARDING

REGISTRATION, BUSINESS LICENSING, AND INSTITUTIONAL ORGANIZATION OF PAWNSHOP COMPANIES

In connection with the implementation of the registration of pawnshop business actors and the procedures for submitting applications for approval and other reports, as well as to implement the provisions of Article 9 paragraph (9) and Article 12 paragraph (2) of Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business (State Gazette of the Republic of Indonesia Year 2016 Number 152, Supplement to the State Gazette of the Republic of Indonesia Number 5913), it is necessary to regulate the registration, business licensing, and institutional organization of pawnshop companies in a Circular Letter of the Financial Services Authority as follows:

I. GENERAL PROVISIONS

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

Pawnshop Business is any business concerning the provision of loans secured by movable goods, custody services, appraisal services, and/or other services, including those conducted based on Sharia principles.
Pawnshop Company is a private pawnshop company and a government pawnshop company that is regulated and supervised by the Financial Services Authority.
Private Pawnshop Company is a legal entity conducting Pawnshop Business.
Sharia Principles are Islamic legal provisions based on fatwas and/or statements of Sharia compliance from the National Sharia Board of the Indonesian Ulema Council.
Board of Directors:
a. for Pawnshop Companies in the form of a limited liability company, is the Board of Directors as referred to in Law Number 40 of 2007 concerning Limited Liability Companies; or b. for Pawnshop Companies in the form of a cooperative legal entity, is the management as referred to in Law Number 25 of 1992 concerning Cooperatives.
Board of Commissioners:
a. for Pawnshop Companies in the form of a limited liability company, is the Board of Commissioners as referred to in Law Number 40 of 2007 concerning Limited Liability Companies; or b. for Pawnshop Companies in the form of a cooperative legal entity, is the supervisors as referred to in Law Number 25 of 1992 concerning Cooperatives.
Sharia Supervisory Board, hereinafter abbreviated as DPS, is a part of the Pawnshop Company's organ that has the task and function of supervising the implementation of business activities to ensure compliance with Sharia Principles.
Paid-up Capital:
a. for Pawnshop Companies in the form of a limited liability company, is paid-up capital as referred to in Law Number 40 of 2007 concerning Limited Liability Companies; or b. for Pawnshop Companies in the form of a cooperative legal entity, is basic savings and mandatory savings as referred to in Law Number 25 of 1992 concerning Cooperatives.
Collateral Goods are any movable goods pledged by customers to the Pawnshop Company.
Appraiser is a person who has a professional certificate to appraise the value of Collateral Goods in pawn transactions.
Customer is an individual or business entity that receives a loan secured by Collateral Goods and/or utilizes other available services at the Pawnshop Company.
Day means working day.

II. REGISTRATION OF PAWNSHOP BUSINESS ACTORS, BUSINESS LICENSE OF PRIVATE PAWNSHOP COMPANIES, APPROVAL, AND REPORTING OF PAWNSHOP COMPANIES

A. REQUIREMENTS FOR REGISTRATION OF PAWNSHOP BUSINESS ACTORS, BUSINESS LICENSE OF PRIVATE PAWNSHOP COMPANIES, OPENING OF SERVICE UNITS (OUTLETS), AND TRANSFER OF SERVICE UNIT (OUTLET) ADDRESSES

Applications for registration of Pawnshop Business actors and business licenses for Private Pawnshop Companies are submitted to the Financial Services Authority using the format and accompanied by documents as referred to in Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business.
The curriculum vitae as referred to in Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business uses the format as stated in the Appendix which is an inseparable part of this Circular Letter of the Financial Services Authority.
Private Pawnshop Companies intending to open service units (outlets) must meet requirements consisting of:
a. having at least 1 (one) Appraiser at each service unit (outlet); b. having a storage place for Collateral Goods; and
c. not being subject to sanctions by the Financial Services Authority.
The storage place for Collateral Goods as referred to in item 3 letter b can be conducted at a storage place owned by the Private Pawnshop Company and does not have to be located in the same place as the service unit (outlet).
Private Pawnshop Companies may only open service units (outlets) within the scope of the provincial business area or the scope of the regency/city business area according to the business license approval held.
As an example:
a. The head office of a Private Pawnshop Company with a provincial business area located in Central Java province can open service units (outlets) in regencies/cities within Central Java province. b. The head office of a Private Pawnshop Company with a regency/city business area located in Surakarta city can open service units (outlets) in Surakarta city.
In the event of territorial expansion causing a service unit (outlet) to be in a provincial business area or regency/city business area different from the head office, the service unit (outlet) can still operate and/or transfer its address to the expanded territory.
As an example, a Private Pawnshop Company having a business license in the North Sumatra province scope has a service unit (outlet) in Balige regency. However, after territorial expansion causes Balige regency to become Tapanuli province, the service unit (outlet) in Balige regency can still operate and/or transfer its address to Tapanuli province.
Private Pawnshop Companies intending to transfer the address of a service unit (outlet) must first provide information to Customers regarding the relocation and address of the service unit (outlet).
Providing information to Customers regarding the relocation and address of the service unit (outlet) as referred to in item 7 is done by posting it on the announcement board at the Private Pawnshop Company's office.

B. PROCEDURES FOR REGISTRATION OF PAWNSHOP BUSINESS ACTORS, BUSINESS LICENSE OF PRIVATE PAWNSHOP COMPANIES, APPROVAL, AND REPORTING OF PAWNSHOP COMPANIES

Applications for registration of Pawnshop Business actors, applications for business licenses of Private Pawnshop Companies, applications for approval, and reporting of Pawnshop Companies are submitted to the Financial Services Authority online via the Financial Services Authority's data communication network system.
Types of approval applications as referred to in item 1 include:
a. applications for approval of Pawnshop Companies to conduct part of their business activities based on Sharia Principles; and b. applications for approval of dissolution or changes in business activities, as referred to in Article 31 paragraph (1) and Article 52 paragraph (2) of Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business.
Types of reporting as referred to in item 1 include:
a. reporting on the implementation of business activities of Private Pawnshop Companies; b. reporting on the opening of service units (outlets);
c. reporting on the transfer of service unit (outlet) addresses;
d. reporting on changes in Paid-up Capital; e. reporting on changes in head office address; f. reporting on changes in the name of the Pawnshop Company; g. reporting on the implementation of mergers or consolidations; h. reporting on the implementation of takeovers;
i. reporting on separation;
j. reporting on the bankruptcy of Pawnshop Companies; or k. reporting on the implementation of dissolution or changes in business activities, as referred to in Article 11 paragraph (2), Article 12 paragraph (2), Article 32 paragraph (1), Article 33 paragraph (1), Article 34 paragraph (1), Article 36 paragraph (1), Article 37 paragraph (1), Article 38 paragraph (1), Article 51 paragraph (1), and Article 52 paragraph (3) of Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business.
Reporting on the opening of service units (outlets) as referred to in item 3 letter b must be submitted no later than 10 (ten) Days from the date of opening the service unit (outlet) by attaching proof of ownership or control of the building.
Reporting on the transfer of service unit (outlet) addresses as referred to in item 3 letter c must be submitted no later than 10 (ten) Days from the date of the address transfer by attaching:
a. proof of ownership or control of the building; and b. proof of submission of address change information to Customers.
Submission of applications and reports as referred to in item 1 must be submitted using the format and accompanied by documents as referred to in Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business, except for the submission of reports as referred to in item 3 letters b and c.
Submission of reports as referred to in item 3 letters b and c must be submitted using the format as stated in the Appendix which is an inseparable part of this Circular Letter of the Financial Services Authority.
Submission of applications and reports as referred to in item 1 is completed with forms using the format as stated in the Appendix which is an inseparable part of this Circular Letter of the Financial Services Authority.
In the event that the Financial Services Authority's data communication network system as referred to in item 1 is not available or technical disturbances occur during the submission of applications, applications for registration of Pawnshop Business actors, applications for business licenses of Private Pawnshop Companies, applications for approval, and reporting of Pawnshop Companies are submitted to the Financial Services Authority offline by one of the following methods:
a. handed directly to the Financial Services Authority; or b. sent through a courier service company.
In the event of technical disturbances as referred to in item 9, the Financial Services Authority announces the occurrence of such technical disturbances through the Financial Services Authority website.
Applications and reports as referred to in item 9 must be submitted in hardcopy or in electronic data form using media such as compact disc (CD) or other electronic data storage media.
In the event that technical disturbances have been resolved and the Financial Services Authority's data communication network system has returned to normal, applications for registration of Pawnshop Business actors, applications for business licenses of Private Pawnshop Companies, applications for approval, and reporting of Pawnshop Companies are submitted again online.
Submission of applications and reports as referred to in item 9 is accompanied by a cover letter in hardcopy signed by the Board of Directors of the Pawnshop Company.
Applications and reports as referred to in item 9 are submitted in writing to:
a. Executive Head of Insurance, Pension Funds, Financing Institutions, and Other Financial Services Institutions u.p. Director of Institutions and IKNB Products through Regional Financial Services Authority Offices or Financial Services Authority Offices according to the location of the head office, for Pawnshop Companies conducting conventional business activities whose head offices are located outside the DKI Jakarta and Banten regions; b. Executive Head of Insurance, Pension Funds, Financing Institutions, and Other Financial Services Institutions u.p. Director of Institutions and IKNB Products, for Pawnshop Companies conducting conventional business activities whose head offices are located in the DKI Jakarta and Banten regions;
c. Executive Head of Insurance, Pension Funds, Financing Institutions, and Other Financial Services Institutions u.p. Director of Sharia IKNB through Regional Financial Services Authority Offices or Financial Services Authority Offices according to the location of the head office, for Pawnshop Companies conducting all business activities based on Sharia Principles whose head offices are located outside the DKI Jakarta and Banten regions; or
d. Executive Head of Insurance, Pension Funds, Financing Institutions, and Other Financial Services Institutions u.p. Director of Sharia IKNB, for Pawnshop Companies conducting all business activities based on Sharia Principles whose head offices are located in the DKI Jakarta and Banten regions.
Pawnshop Companies are deemed to have submitted applications for registration of Pawnshop Business actors, applications for business licenses of Private Pawnshop Companies, applications for approval, and reporting of Pawnshop Companies with the following provisions:
a. for online submission via the Financial Services Authority's data communication network system, evidenced by a receipt from the Financial Services Authority; or b. for offline submission, evidenced by:
1. a receipt letter from the Financial Services Authority, if the report is handed directly as referred to in item 9 letter a; or
2. a shipping receipt from the courier service company, if the report is sent through a courier service company as referred to in item 9 letter b.

C. GRANTING APPROVAL FOR REGISTRATION OF PAWNSHOP BUSINESS ACTORS

The Financial Services Authority grants approval for registration applications no later than 10 (ten) Days since the receipt of complete application documents in accordance with the requirements in Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business.
The maximum period of 10 (ten) Days as referred to in item 1 does not include time given to the applicant to complete, add, or correct the required documents.
The Financial Services Authority grants approval for registration applications by business actors based on an examination of the completeness and suitability of documents.
The examination of document completeness as referred to in item 3 covers the completeness of content and format of documents in accordance with the application form requirements for registration applications.
The examination conducted by the Financial Services Authority as referred to in item 4 is not limited to the examination of document completeness but may also involve summoning the parties or conducting direct interviews with the persons who signed/approved the documents received by the Financial Services Authority.
The Financial Services Authority establishes the registration of Pawnshop Business actors in the form of a certificate of registration.
The certificate of registration as referred to in item 6 is a letter stating that the Pawnshop Business actor has been registered with the Financial Services Authority, as:
a. a Pawnshop Business actor, for those conducting business activities conventionally; or b. a Sharia Pawnshop Business actor, for those conducting all business activities based on Sharia Principles.

D. GRANTING APPROVAL FOR BUSINESS LICENSES OF PRIVATE PAWNSHOP COMPANIES

The Financial Services Authority grants approval or rejection for business license applications no later than 10 (ten) Days since the business license application and documents are received completely and in accordance with the requirements in Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business.
The maximum period of 10 (ten) Days as referred to in item 1 does not include time given to the applicant to complete, add, or correct the required documents.
The Financial Services Authority grants approval or rejection for business license applications as referred to in item 1 based on:
a. examination of the completeness and suitability of documents; b. feasibility analysis of the work plan for the first 1 (one) year;
c. analysis of compliance with applicable laws and regulations concerning Pawnshop Business;
d. examination of capital deposits; and e. fulfillment of suitability and propriety assessment obligations for controlling shareholders, Board of Directors, Board of Commissioners, and DPS in accordance with applicable laws and regulations.
If necessary, to ensure the suitability of documents as referred to in item 3 letter a, the Financial Services Authority may conduct field verification of the Private Pawnshop Company.
The examination of document completeness as referred to in item 3 letter a covers the completeness of content and format of documents in accordance with the application form requirements for business license applications of Private Pawnshop Companies.
The Financial Services Authority sends a letter of completeness or a request for document completeness to the applicant no later than 10 (ten) Days after the application is received.
In the event that the submitted business license application documents of the Private Pawnshop Company are deemed complete in accordance with the form, the Financial Services Authority sends a letter as referred to in item 6 to the applicant stating that the business license application documents of the Private Pawnshop Company are complete.
In the event that the business license application letter and documents submitted by the Private Pawnshop Company are deemed incomplete, the Financial Services Authority sends a letter requesting document completeness as referred to in item 6 to the Private Pawnshop Company.
Private Pawnshop Companies must submit the missing documents as referred to in item 8 no later than 10 (ten) Days from the date of the document completeness request letter from the Financial Services Authority.
In the event that the Private Pawnshop Company cannot complete the missing documents within the time limit as referred to in item 9, the business license application of the Private Pawnshop Company is declared void by the Financial Services Authority accompanied by a notification letter from the Financial Services Authority.
In the event that the Private Pawnshop Company has fulfilled the missing documents within the time limit as referred to in item 9 and based on the Financial Services Authority's assessment, the documents submitted by the applicant are complete, the business license approval process for the Private Pawnshop Company begins to run from the date of the Financial Services Authority's letter stating that the documents are complete.
The Financial Services Authority establishes the decision to grant business licenses according to the scope of the business area as:
a. Private Pawnshop Company, for Private Pawnshop Companies conducting business activities conventionally; or b. Sharia Private Pawnshop Company, for Private Pawnshop Companies conducting all business activities based on Sharia Principles.

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

III. CLOSING

The provisions in this Circular Letter of the Financial Services Authority shall take effect on the date of establishment.

Established in Jakarta on 28 September 2017

EXECUTIVE HEAD OF INSURANCE,
PENSION FUNDS,
FINANCING INSTITUTIONS, AND
OTHER FINANCIAL SERVICES INSTITUTIONS FINANCIAL SERVICES AUTHORITY, signed RISWINANDI

APPENDIX

CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY NUMBER 51 /SEOJK.05/2017

REGARDING

REGISTRATION, BUSINESS LICENSING, AND INSTITUTIONAL ORGANIZATION OF PAWNSHOP COMPANIES

I. APPLICATION FORM FOR REGISTRATION OF PAWNSHOP BUSINESS ACTORS

Form
Application for Registration of Pawnshop Business Actor

Name of Pawnshop Business Actor :
Number of Application Letter :
Date of Application Letter :
Brief Description of
Pawn Business Activities Conducted :
Contact Person (Name,
Phone/email)
:

NO.
DESCRIPTION
INFORMATION

Description Yes No Legal Basis Notes

Is the application letter
signed by the Board of Directors of the Limited Liability Company/Management of the Cooperative/ CV/Partnership/UD/Other Form?
Is the application letter
in accordance with the established format?
Article 5 POJK
Number
31/POJK.05/2016
Format 1 Appendix
POJK
Has the application attached
the deed of establishment of the business entity that has been approved/approved by the competent authority or reported to the competent authority and/or business proof letter from the competent authority? Deed Number:
Date of Deed:
Approval Number from Ministry of Law and Human Rights:
Date of Approval from Ministry of Law and Human Rights:
Business proof letter from the competent authority is submitted if the pawnshop business actor is not in the form of Limited Liability Company or Cooperative.

Has the application attached
the amendment to the articles of association (if any) that has been approved/approved by the competent authority or reported to the competent authority? Number of the last Amendment to Articles of Association (If any):
Date of the last
Amendment to Articles of Association (If any):
Approval Number from Ministry of Law and Human Rights:
Date of Approval from Ministry of Law and Human Rights:
For Pawnshop Companies that will conduct business activities based on Sharia Principles, the articles of association must include:
One of the
purposes of the company is to conduct business activities based on Sharia principles; and
Authority and
responsibility of
DPS
Has the application attached
proof of identity in the form of photocopy of ID card and photocopy of Taxpayer Identification Number (NPWP) from:
a. owner (except cooperatives) b. members of the Board of Directors*
c. members of the Board of Commissioners*
*The data of the Board of Directors and Board of Commissioners submitted is the data of the Board of Directors and Board of Commissioners listed in the last amendment to the articles of association regarding the composition of the Board of Directors and Board of Commissioners. The owner in this case is the shareholder of the pawnshop business actor in the form of a legal entity. In the event that the shareholder is in the form of a legal entity, the data attached is the photocopy of the ID card and photocopy of the NPWP of the Board of Directors of the legal entity in question.

Has the application attached
the curriculum vitae completed with the latest 4 x 6 cm color passport photo from:
a. owner (except cooperatives) b. members of the Board of Directors*
c. members of the Board of Commissioners*
*The data of the Board of Directors and Board of Commissioners submitted is the data of the Board of Directors and Board of Commissioners listed in the last amendment to the articles of association regarding the composition of the Board of Directors and Board of Commissioners. The curriculum vitae submitted is the latest curriculum vitae and must be signed by the person concerned. The owner in this case is the shareholder of the pawnshop business actor in the form of a legal entity. In the event that the shareholder is in the form of a legal entity, the curriculum vitae attached is the curriculum vitae of the Board of Directors of the legal entity in question.
Has the application attached
a letter of company domicile from the competent authority? The address listed in the letter of domicile must be the same as the address listed in the letterhead or the address for correspondence.
Has the application attached
proof of having conducted business activities?

proof of having conducted
business activities includes among others letters of proof of business transactions that have been conducted. Letter of proof of pawn must at least contain the provisions -

regarding

mechanism for the sale of pledged goods and mechanism for customer complaints

proof of having
conducted pawning business activities based on Sharia Principles, for Pawning Companies that conduct business activities based on Sharia Principles.

Has the application included a photo of the service unit (outlet) sized 4R/5R?
Service photo
(outlet) includes photos of the front view, photos of the customer service room, photos of the appraisal tool, photos of the storage place for Pledged Goods.
Other documents (if any, specify)
We, the undersigned, hereby declare that:
the above form has corresponded to the actual situation and has been completed with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawning Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Pawning Business Actor signature (Full Name)

For the Needs of the Financial Services Authority Note:
Date Initial
Received by Analyst
Completed by Analyst
Reviewed by Head of Sub-division Reviewed by Head of Division

II. PRIVATE PAWNING COMPANY BUSINESS LICENSE APPLICATION FORM
Form
Private Pawning Company
Business License Application
Company Name :
Application Letter Number :
Date of Application Letter :
Brief Description of
Type of Pawning Business
Conducted
:
Contact Person (Name, Phone/ e-mail) :
NO.
DESCRIPTION INFORMATION
Description Yes No Legal Basis Notes

Is the application letter
signed by the Board of Directors/managers?
Is the application letter
consistent with the format established?
Article 9 POJK
Number
31/POJK.05/2016
Format 2 Annex
POJK
Has the application included
the deed of establishment of the limited liability company or cooperative that has been approved by the competent authority? Deed Number:
Date of Deed:
Approval Number from Ministry of Law and Human Rights:
Date of
Approval from Ministry of Law and Human Rights:
Does the deed of establishment
contain the name, place of headquarters, and scope of business area?
Article:
Name:
Place of headquarters:
Scope of business area:
Has the Pawning Company
met the requirements regarding company name?
Article 10 POJK No.
31/POJK.05/2016
Company name starts with the form of legal entity and contains the word:

Pawning or
a word that characterizes pawning activity
Pawning or
a word that characterizes pawning activity followed by the word Sharia, for Pawning Companies that conduct all business activities based on Sharia Principles.

Has the scope of business
area been consistent with regulations regarding the limit of business scope and the amount of Paid-up Capital?
Article 4 POJK No. 31/POJK.05/2016
Paid-up Capital Rp
500 million for scope of city/regency Paid-up Capital Rp
2.5 billion for
scope of province.
Does the deed of establishment
contain business activities as a Pawning Company?
Article:
Business activities:
Have the business activities been
consistent with the provisions of
Article 13 POJK No.
31/POJK.05/2016?
Does the deed of establishment
contain a description of capitalization?
Article:
Authorized Capital:
Paid-up Capital:
Is the minimum Paid-up Capital
amount consistent with the provisions of
Article 4 POJK No.
31/POJK.05/2016?
Does the deed of establishment
contain a description of share ownership?
Article:
Shareholders:
Is there foreign ownership, either directly
or indirectly?
In the event of
foreign ownership, whether direct or indirect foreign ownership is conducted through the stock exchange?
Does the deed of establishment
contain the authority, responsibility, term of office of the Board of Directors, Board of Commissioners , and/or DPS
Article:
Do the Directors hold concurrent positions in
other financial service institutions?
If yes, please provide an explanation.
Has the application included
the latest amendment to the articles of association (if any) accompanied by proof of approval, consent and/or notification letter from the competent authority? Number of the latest Articles of Association (If any):
Date of the latest
Articles of Association
(If any)
Approval Number from Ministry of Law and Human Rights:
Date of
Approval from Ministry of Law and Human Rights:
For Pawning Companies that will conduct business activities based on Sharia Principles, the articles of association must state:
One of the
purposes and objectives of the company is to conduct business activities based on Sharia Principles; and
Authority and
responsibility of
DPS
Has the application included
data of the members of the Board of Directors, Board of Commissioners, and/or DPS in the form of:
For Pawning Companies that will conduct business activities based on Sharia Principles it is mandatory to include a recommendation letter from DPS from the National Sharia Council of the Indonesian Ulema Council or proof of DPS training certification from the National Sharia Council of the Indonesian Ulema Council a. Photocopy of valid ID card b. Photocopy of valid Taxpayer Identification Number (NPWP)
c. Curriculum vitae completed with the latest
4 x 6 cm color passport photo d. Notarized statement letter from each member of the Board of Directors, Board of Commissioners, and/or DPS as per
Article 9 paragraph (2) letter b number 4 POJK No.
31/POJK.05/2016
Has the application included
data of shareholders or founding members in the form of:
(1) In the event that the shareholder or founding member is an Indonesian citizen, in the form of:
a. Photocopy of tax return notification (SPT) for the last 1 (one) year b. Photocopy of valid ID card
c. Photocopy of valid NPWP
d. Curriculum vitae completed with 4 x 6 cm color passport photo e. Notarized statement letter as per
Article 9 paragraph (2) letter c number 1 c)
POJK

No.31/POJK.05/2016
(2) In the event that the shareholder or founding member is an Indonesian legal entity, in the form of:
a. Deed of establishment including articles of association and latest amendments (if any) that have been approved/consented by the competent authority or notified to the competent authority Deed Number:
Date of Deed:
Approval Number from Ministry of Law and Human Rights:
Date of
Approval from Ministry of Law and Human Rights:
b. Annual financial report and latest monthly financial report
c. Director data in the form of:
i) Photocopy of valid ID card ii) Photocopy of valid NPWP iii) Curriculum vitae completed with 4 x 6 cm color passport photo iv) Statement letter as per Article 9 paragraph (2) letter c number 2 d) POJK No.31/POJK.05/2016 (3) In the event that the shareholder is the Republic of Indonesia government, in the form of Government Regulation regarding state capital participation for the establishment of the company (4) In the event that the shareholder is the local government, in the form of Regional Regulation regarding regional capital participation for the establishment of the company

Has the application included
photocopy of proof

of payment of Paid-up Capital in the form of:
a. Deposit slip from shareholder or founding member to the savings or checking account in the name of the company Sending Bank Name:
Date of
Deposit:
Sender Name:
Receiving Bank Name:
Recipient Name:
b. Company bank statement for the period from the date of capital deposit until the date of the business license application letter Bank Name:
Period:

Has the application included
an organizational structure that contains the personnel composition that must at least have the function:
For Pawning Companies that will conduct business activities based on Sharia Principles must submit the curriculum vitae of employees responsible for pawning business activities conducted based on Sharia Principles a. Loan approver b. Appraiser
c. Customer service
d. Administration
Has the application included
a work plan for the first 1 (one) year that must at least contain a. Description of business activities to be conducted b. Targets and steps taken to achieve the stated targets

c. Financial report projections for 1 (one)
year ahead

Has the application included
proof of operational readiness including a. Proof of ownership or control of the office building and rooms or service units (outlets) in the form of:

Photocopy of ownership certificate, building use right, or land use right in the name of
the company or
Deed Number:
Date of Deed:
Building/room lease agreement
Number:
Date:
Exterior building photo
Interior photo
and room layout (lay- out) b. List of office inventory and equipment
c. Sample pawn receipt letter and/or form to be used

Has the submitted pawn receipt letter
contained provisions regarding the option right for the sale of Pledged Goods as referred to in Article 24 paragraph (3) POJK No.31/POJK.05/2016?
Has the submitted pawn receipt letter
contained provisions regarding the mechanism for handling complaints and dispute resolution as referred to in Article 28 paragraph (1) POJK No.31/POJK.05/2016?
Has the application included
the NPWP in the name of the company?
Number:
Name:
Address:
Has the application included
proof of payment of licensing fees?
Number:
Date:
Has the application included
proof of appraiser certificate issued by a professional certification body or other party designated by the Financial Services Authority as the issuer of appraiser certification? Certificate Number:
Date:
Certificate Issuer:
In the Name of:
Has the application included
the guidelines for the implementation of anti-money laundering and prevention of terrorism financing
Other documents (if any, specify)
We, the undersigned, hereby declare that:
the above form has corresponded to the actual situation and has been completed with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawning Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Needs of the Financial Services Authority Note:
Date Initial
Received by Analyst
Completed by Analyst
Reviewed by Head of Sub-division Reviewed by Head of Division

III. CURRICULUM VITAE FORMAT
CURRICULUM VITAE
I. Personal Data

Name :
Gender :
Place/Date of Birth :
Nationality :
Home Address :
Office Address :
ID Card/Passport Number :
NPWP :
DSN MUI Recommendation,
for DPS :
No ........................................................
10 Office/Mobile Phone :
11 Email :
II. Formal Education History
No. Year Institution Major/Program
From...to...
etc.
III. Training and Seminars Attended (if any)
No. Year Organizer Topic and Brief Description
From...to...
etc.
IV. Work History*)
No. Work History Job Description
Year .....................
PT ............................
(Position) .................
etc.
4x6 cm Color Photo

This Curriculum Vitae is made truthfully.

(date/month/year)
(signature)
(full name)
*) attached with proof of work experience letter

IV. REPORT ON THE OPENING OF SERVICE UNITS (OUTLETS) OF PRIVATE
PAWNING COMPANIES WITH HEADQUARTERS IN THE DKI JAKARTA AND BANTEN REGION To The Executive Head of Insurance, Pension Fund, Financing Institutions and Other Financial Service Institutions Supervision u.p. Director of Institutions and IKNB Products/Director of IKNB Sharia*) Menara Merdeka Building Jl. Budi Kemuliaan 1 No. 2 Jakarta 10110

Hereby we:
Name : PT/Cooperative)...................
Address : .........................................
Scope of
Business Area
: Province/City or Regency) report the opening of service units (outlets) as follows:
No. Name of Service Unit (Outlet) Address of Service Unit (Outlet) (including the name of Regency/City and Province) 1. etc. As complete data, we attach proof of ownership or control of the service unit (outlet) building. We submit this report and thank you for your attention. Board of Directors
PT/Cooperative)......
.............................
*) For Private Pawning Companies conducting conventional business activities, this is addressed to the Director of Institutions and IKNB Products, and for those conducting business activities based on Sharia Principles, it is addressed to the Director of IKNB Sharia ) Strike out what is not needed

V. REPORT ON THE OPENING OF SERVICE UNITS (OUTLETS) OF PRIVATE
PAWNING COMPANIES WITH HEADQUARTERS OUTSIDE THE DKI JAKARTA AND BANTEN REGION To The Executive Head of Insurance, Pension Fund, Financing Institutions and Other Financial Service Institutions Supervision u.p. Director of Institutions and IKNB Products/Director of IKNB Sharia*) through the Head of Regional Financial Services Authority/Head of Financial Services Authority) ..........................*) ..........................)

Hereby we:
Name : PT/Cooperative*)...................
Address : .........................................
Scope of
Business Area
: Province/City or Regency*) report the opening of service units (outlets) as follows:
No. Name of Service Unit (Outlet) Address of Service Unit (Outlet) (including the name of Regency/City and Province) 1. etc. As complete data, we attach proof of ownership or control of the service unit (outlet) building. We submit this report and thank you for your attention. Board of Directors
PT/Cooperative*)......
.............................
*) For Private Pawning Companies conducting conventional business activities, this is addressed to the Director of Institutions and IKNB Products, and for those conducting business activities based on Sharia Principles, it is addressed to the Director of IKNB Sharia ) Strike out what is not needed *) Fill in the name of the Regional Office of the Financial Services Authority or the name of the Financial Services Authority Office according to the location of the headquarters ) Fill in the address of the Regional Office of the Financial Services Authority or the name of the Financial Services Authority Office according to the location of the headquarters

VI. REPORT ON THE RELOCATION OF SERVICE UNIT (OUTLET) ADDRESSES
OF PRIVATE PAWNING COMPANIES WITH HEADQUARTERS IN THE DKI JAKARTA AND BANTEN REGION To The Executive Head of Insurance, Pension Fund, Financing Institutions and Other Financial Service Institutions Supervision u.p. Director of Institutions and IKNB Products/Director of IKNB Sharia*) Menara Merdeka Building Jl. Budi Kemuliaan 1 No. 2 Jakarta 10110

VII. REPORT ON THE RELOCATION OF SERVICE UNIT (OUTLET) ADDRESSES
OF PRIVATE PAWNING COMPANIES WITH HEADQUARTERS OUTSIDE THE DKI JAKARTA AND BANTEN REGION To The Executive Head of Insurance, Pension Fund, Financing Institutions and Other Financial Service Institutions Supervision u.p. Director of Institutions and IKNB Products/Director of IKNB Sharia*) through the Head of Regional Financial Services Authority/Head of Financial Services Authority) ..........................*) ..........................)

Hereby we report that our service unit (outlet) in ...........
has been relocated with the following data:
Old Address : ......
Telephone : ......
New Address : ......
Telephone : ......
Date of relocation : ......
As complete data, we attach proof of ownership or control of the service unit (outlet) building and proof of submission of address change information to Customers. We submit this report and thank you for your attention. Board of Directors
PT/Cooperative*)......
.............................
*) For Private Pawning Companies conducting conventional business activities, this is addressed to the Director of Institutions and IKNB Products, and for those conducting business activities based on Sharia Principles, it is addressed to the Director of IKNB Sharia ) Strike out what is not needed *) Fill in the name of the Regional Office of the Financial Services Authority or the name of the Financial Services Authority Office according to the location of the headquarters ) Fill in the address of the Regional Office of the Financial Services Authority or the name of the Financial Services Authority Office according to the location of the headquarters

VIII. BUSINESS ACTIVITY IMPLEMENTATION REPORT FORM
Form
Business Activity Implementation Report Company Name :
Report Letter Number :
Date of Report Letter :
License Number & Date
:
Date Business Activities Started (Date of start of business activities is the date of signing the first pawn receipt letter after obtaining a business license from the Financial Services Authority) :
Contact Person (Name, phone/email) :
DESCRIPTION INFORMATION
Description Yes No Legal Basis Notes

Is the report letter
signed by the Board of Directors/managers?
Is the report letter consistent with the format
established?
Article 11 POJK
Number
31/POJK.05/2016
Format 3 Annex
POJK
Has the submission of the report
been within the established time limit?
Has the report included
a photocopy of the pawn receipt letter that has been conducted? Attach the pawn receipt letter that was conducted first after obtaining a business license from the Financial Services Authority.
Other documents (if any, specify)

We, the undersigned, hereby declare that:

the above form has corresponded to the actual situation and has been completed with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawning Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Needs of the Financial Services Authority Note:
Date Initial
Received by Analyst
Completed by Analyst
Reviewed by Head of Sub-division Reviewed by Head of Division

IX. FORM FOR APPROVAL TO CONDUCT OTHER BUSINESS ACTIVITIES
Form
Approval to Conduct Other Business Activities Company Name :
Report Letter Number :
Date of Report Letter :
License Number & Date :
Brief Description of
Other Business Activities to be Conducted :
Contact Person (Name,
Phone/email)
:
NO.
DESCRIPTION INFORMATION
Description Yes No Legal Basis Notes

Is the application letter
signed by the Board of Directors/managers?
Is the company currently not subject to
sanctions by the Financial Services Authority?
Has the application included
documents containing a description of the business activities to be conducted?
Article 14 POJK Number
31/POJK.05/2016
Has the application included
documents containing a description of the rights and obligations of the parties?
Other documents (if any,
specify)
We, the undersigned, hereby declare that:
the above form has corresponded to the actual situation and has been completed with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawning Business; and
the documents submitted online are the same as the original documents.

(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Needs of the Financial Services Authority Note:
Date Initial
Received by Analyst
Completed by Analyst
Reviewed by Head of Sub-division Reviewed by Head of Division

X. FORM FOR CHANGE OF PAID-UP CAPITAL
Form
Change of Paid-up Capital
Company Name :
Substance of Capital Addition
Placed and Paid :
Old New
Authorized Capital
Paid-up Capital
Old New
Shareholder Name Nominal (Rp) % Shareholder Name Nominal (Rp) % Total Total Report Letter Number :
Date of Report Letter :
Contact Person (Name, Phone/ e-mail) :
NO.
DESCRIPTION INFORMATION
Description Yes No Legal Basis Notes

Is the report letter
signed by the Board of Directors/managers?
Is the report letter consistent with the format
established?
Article 32 POJK
Number
31/POJK.05/2016
Format 5 Annex
POJK
Has the submission of the report
been within the established time limit?
Date from Ministry of Law and Human Rights:
Date of report letter:
Difference: ... working days
Has the report included
the amendment to the articles of association accompanied by proof of approval from the competent authority, for companies in the form of limited liability companies or minutes of the general meeting of shareholders and/or amendment to the articles of association, for companies in the form of cooperative legal entities? Deed Number:
Date:
Notary:
Ministry of Law and Human Rights Number:
Date:
Is the amendment to the articles of association
consistent with the substance of the change in Paid-up Capital?
Is the shareholder statement letter
stating that the capital deposit does not come from loans and/or money laundering criminal acts consistent with the established format and signed on stamp duty?
Has the report included
a photocopy of proof of capital deposit that has been legalized by the receiving bank or audited financial report before capital addition consistent with the substance of the change? Proof Name:
Date of proof:
Nominal:
or
Financial Report Period:
Auditor:
Other documents (if any,
specify)
We, the undersigned, hereby declare that:
the above form has corresponded to the actual situation and has been completed with documents as referred to in the Financial Services Authority Regulation Number
31/POJK.05/2016 concerning Pawning Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Needs of the Financial Services Authority Note:
Date Initial
Received by Analyst
Completed by Analyst
Reviewed by Head of Sub-division Reviewed by Head of Division

XI. FORM FOR REPORTING CHANGE OF HEAD OFFICE ADDRESS
Form
Reporting Change of Head Office Address Company Name :
Report Letter Number :
Date of Report Letter :
Brief Description of Background of Head Office Address Change :
Contact Person (Name,
Phone/email)
:
NO.
DESCRIPTION INFORMATION
Description Yes No Legal Basis Notes

Is the report letter
signed by the Board of Directors/managers?
Is the change of head office address done in a
different city/regency thereby changing the place of headquarters stated in the articles of association?
Is the report letter consistent with the format
established?
Article 33 POJK
Number
31/POJK.05/2016
Format 6
Annex POJK
Has the submission of the report
been within the established time limit?
Date of relocation:
Date of report letter:
Difference: ... working days
Has the report included proof
of control of the building?
Deed Number:
Date of Deed:
Is the lessee/borrower/owner
stated on the proof of control of the building in the name of the company? If the lessee/ borrower/owner is an individual, then attach a letter of explanation.
Is the head office address stated on the letter
If not, then write the address

reporting has been in accordance with the head office address listed on the proof of building ownership complete that will be used.
8. Is the lease/borrow start date
listed on the proof of building ownership consistent with the head office relocation date? If the difference between the start date of lease/borrow and the relocation date is more than 3 months, then include the reason.
9. Does the report
attach the company's Taxpayer Identification Number (NPWP)? NPWP Number:
10. Has the address on the new NPWP
been consistent with the new head office address?
11. Other documents (if any, specify)
We, the undersigned, hereby declare that:

the above form has been in accordance with the actual conditions and has been
completed with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Interests of the Financial Services Authority Note:
Date Initials
Received by Analyst
Completed by Analyst
Reviewed by Head
Sub-division
Reviewed by Head
Division

XII. NAME CHANGE REPORTING FORM
Form
Name Change Reporting
Old Company Name :
Company Name After
Change
:
Report Letter Number :
Report Letter Date :
Brief Description of Background of Name Change :
Contact Person (Name, Phone/ e-mail) :
NO.
DESCRIPTION DETAILS
Description Yes No Legal Basis Notes

Is the report letter
signed by
Board of Directors/managers?
Is the report letter in accordance with the format
that has been established?
Article 34 POJK
Number
31/POJK.05/2016
Format 7
Annex POJK
Is the submission of the report
already in accordance with the established time limit? Date Ministry of Law and Human Rights:
Date of report letter:
Difference: ... working days
Has the report attached the amendment
of the articles of association accompanied by proof of approval from the competent authority, for companies in the form of limited liability companies or minutes of the general meeting of shareholders and/or amendment of the articles of association, for companies in the form of cooperative legal entities? Deed Number:
Date:
Notary:
Number
Ministry of Law and Human Rights:
Date:
Is the amendment of the articles of association
consistent with the substance of the change?
Has the report attached the NPWP
of the company?
NPWP No.:
Has the name on the new NPWP
been consistent with the name on the articles of association? New name:
Does the new company name
meet the provisions of Article 10 POJK 31/POJK.05/2016? For Pawnshop Companies that conduct all business activities based on Sharia Principles, the company name must be followed by the word Sharia.
Other documents (if any,
specify)
We, the undersigned, hereby declare that:
the above form has been in accordance with the actual conditions and has been
completed with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Interests of the Financial Services Authority Note:
Date Initials
Received by Analyst
Completed by Analyst
Reviewed by Head
Sub-division
Reviewed by Head
Division

XIII. MERGER IMPLEMENTATION REPORT FORM
Form
Merger Implementation Report
Company Name :
Report Letter Number :
Report Letter Date :
Effective Date of Merger i.e., Date of Approval or Ratification of the Amendment of Articles of Association from the Competent Authority :
Brief Description regarding
Pawnshop Companies that are Merging (business license, address, Board of Directors composition, Board of Commissioners, shareholders, etc.) :
Contact Person (Name, Phone/ e-mail) :
NO.
DESCRIPTION DETAILS
Description Yes No Legal Basis Notes

Is the report letter
signed by
Board of Directors/managers?
Is the report letter in accordance with the format
that has been established?
Article 36 POJK
Number
31/POJK.05/2016
Format 8
Annex POJK
Is the submission of the report
already in accordance with the established time limit? Date received Ministry of Law and Human Rights approval:
Date of report letter:
Difference: ... working days
Has the report attached the minutes of the
general meeting of shareholders or members' meeting? Deed Number:
Deed Date:
Has the report attached the deed of
merger result that has been approved or ratified by the competent authority? Deed Number:
Deed Date:
Number
Ratification
Ministry of Law and Human Rights:

Date
Ratification
Ministry of Law and Human Rights:
6. In the event of new shareholders
or new members, has the report attached shareholder or member data for new shareholders or members consisting of:
(1) In the event that shareholders or founding members are Indonesian citizens, consisting of:
a. Photocopy of tax notification letter (SPT) for 1 (one) last year b. Photocopy of valid ID card
c. Photocopy of valid NPWP
d. Curriculum vitae accompanied by the latest color passport photo measuring 4 x 6 cm e. Notarized statement letter in accordance with Article 9 paragraph (2) letter c number 1 c) POJK No. 31/POJK.05/2016 (2) In the event that shareholders or founding members are Indonesian legal entities, consisting of:
a. Deed of establishment including articles of association as well as the latest amendment (if any) that has been approved/ratified by the competent authority or notified to the competent authority Deed Number:
Deed Date:
Number
Ratification
Ministry of Law and Human Rights:
Date
Ratification
Ministry of Law and Human Rights:
b. Annual financial reports and the latest monthly financial reports
c. Board of Directors data consisting of:
i. Photocopy of valid ID card
ii. Photocopy of valid NPWP

iii. Curriculum vitae
accompanied by color passport photo measuring 4 x 6 cm
iv. Statement letter
in accordance with Article 9 paragraph (2) letter c number 2 d) POJK No. 31/POJK.05/2016 (3) In the event that shareholders are the Republic of Indonesia consisting of Government Regulation regarding state capital participation Republic of Indonesia for establishment of company (4) In the event that shareholders are local governments consisting of Regional Regulation regarding regional capital participation for establishment of company
7. Has the report attached photocopy of the
business license decision letter of the Pawnshop Company that is merging?
8. Other documents (if any,
specify)
We, the undersigned, hereby declare that:

the above form has been in accordance with the actual conditions and has been
completed with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Interests of the Financial Services Authority Note:
Date Initials
Received by Analyst

Completed by Analyst
Reviewed by Head Division

XIV. CONSOLIDATION IMPLEMENTATION REPORT FORM

Form
Consolidation Implementation Report Company Name :
Report Letter Number :
Report Letter Date :
Effective Date of Consolidation i.e.
Date of Approval or
Ratification of the Amendment of Articles of Association from the Competent Authority :
Brief Description regarding
Pawnshop Companies that are Consolidating (business license, address, Board of Directors composition, Board of Commissioners, shareholders, etc.) :
Contact Person (Name, Phone/ e-mail) :
NO.
DESCRIPTION DETAILS
Description Yes No Legal Basis Notes

Is the report letter
signed by
Board of Directors/managers?
Is the report letter in accordance with the format
that has been established?
Article 36 POJK
Number
31/POJK.05/2016
Format 8
Annex POJK
Is the submission of the report
already in accordance with the established time limit? Date received Ministry of Law and Human Rights approval:
Date of report letter:
Difference: ... working days
Has the report attached the minutes of the
general meeting of shareholders or members' meeting? Deed Number:
Deed Date:
Has the report attached the deed of
consolidation result that has been approved or ratified by the competent authority? Deed Number:
Deed Date:
Number
Ratification
Ministry of Law and Human Rights:

Date
Ratification
Ministry of Law and Human Rights:
6. Has the report attached the deed of
establishment of the Pawnshop Company resulting from the consolidation that has been ratified by the competent authority?
7. Has the report attached the
business license decision letter from the Financial Services Authority regarding the Pawnshop Company resulting from the consolidation?
8. In the event of new shareholders
or new members, has the report attached shareholder or member data for new shareholders or members consisting of:
(1) In the event that shareholders or founding members are Indonesian citizens, consisting of:
a. Photocopy of tax notification letter (SPT) for 1 (one) last year b. Photocopy of valid ID card
c. Photocopy of valid NPWP
d. Curriculum vitae accompanied by the latest color passport photo measuring 4 x 6 cm e. Notarized statement letter in accordance with Article 9 paragraph (2) letter c number 1 c) POJK No. 31/POJK.05/2016 (2) In the event that shareholders or founding members are Indonesian legal entities, consisting of:
a. Deed of establishment including articles of association as well as the latest amendment (if any) that has been approved/ratified by the competent authority or notified to the competent authority Deed Number:
Deed Date:
Number
Ratification
Ministry of Law and Human Rights:
Date
Ratification

Ministry of Law and Human Rights:
b. Annual financial reports and the latest monthly financial reports
c. Board of Directors data consisting of:
i. Photocopy of valid ID card
ii. Photocopy of valid NPWP
iii. Curriculum vitae
accompanied by color passport photo measuring 4 x 6 cm
iv. Statement letter
in accordance with Article 9 paragraph (2) letter c number 2 d) POJK No. 31/POJK.05/2016 (3) In the event that shareholders are the Republic of Indonesia consisting of Government Regulation regarding state capital participation Republic of Indonesia for establishment of company (4) In the event that shareholders are local governments consisting of Regional Regulation regarding regional capital participation for establishment of company
9. Other documents (if any,
specify)
We, the undersigned, hereby declare that:

the above form has been in accordance with the actual conditions and has been
completed with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)

For the Interests of the Financial Services Authority Note:
Date Initials
Received by Analyst
Completed by Analyst
Reviewed by Head Division

XV. TAKEOVER IMPLEMENTATION REPORT FORM
Form
Takeover Implementation Report Company Name :
Report Letter Number :
Report Letter Date :
Effective Date of Takeover i.e., Date of Takeover Deed Made in Front of a Notary :
Contact Person (Name, Phone/ e-mail) :
NO.
DESCRIPTION DETAILS
Description Yes No Legal Basis Notes

Is the report letter
signed by
Board of Directors/Managers?
Article 37 POJK
Number
31/POJK.05/2016
Is the report letter in accordance with the format
that has been established?
Format 9
Annex POJK
Is the submission of the report
already in accordance with the established time limit? Date of takeover deed:
Date of report letter:
Difference: ... working days
Has the report attached the minutes of the general
meeting of shareholders or meeting of members? Deed Number:
Deed Date:
Has the report attached the takeover
deed?
Deed Number:
Deed Date:
Number
Ratification
Ministry of Law and Human Rights:
Date
Ratification
Ministry of Law and Human Rights:
In the event of new shareholders
or new members, has the report

attached shareholder or member data
for new shareholders or members consisting of:
(1) In the event that shareholders or founding members are Indonesian citizens, consisting of:
a. Photocopy of tax notification letter (SPT) for 1 (one) last year b. Photocopy of valid ID card
c. Photocopy of valid NPWP
d. Curriculum vitae accompanied by the latest color passport photo measuring 4 x 6 cm e. Notarized statement letter in accordance with Article 9 paragraph (2) letter c number 1 c) POJK No. 31/POJK.05/2016 (2) In the event that shareholders or founding members are Indonesian legal entities, consisting of:
a. Deed of establishment including articles of association as well as the latest amendment (if any) that has been approved/ratified by the competent authority or notified to the competent authority Deed Number:
Deed Date:
Number
Ratification
Ministry of Law and Human Rights:
Date
Ratification
Ministry of Law and Human Rights:
b. Annual financial reports and the latest monthly financial reports
c. Board of Directors data consisting of:
i. Photocopy of valid ID card
ii. Photocopy of valid NPWP
iii. Curriculum vitae
accompanied by color passport photo measuring 4 x 6 cm
iv. Statement letter in accordance
with Article 9 paragraph (2) letter c number 2 d) POJK No. 31/POJK.05/2016

(3) In the event that shareholders are the Republic of Indonesia consisting of Government Regulation regarding state capital participation Republic of Indonesia for establishment of company (4) In the event that shareholders are local governments consisting of Regional Regulation regarding regional capital participation for establishment of company
7. Other documents (if any,
specify)
We, the undersigned, hereby declare that:

the above form has been in accordance with the actual conditions and has been completed
with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Interests of the Financial Services Authority Note:
Date Initials
Received by Analyst
Completed by Analyst
Reviewed by Head Division

XVI. PURE SEPARATION REPORT FORM
FORM
PURE SEPARATION REPORT
Company Name
Conducting
Separation (Name of Pawnshop Company whose License will be Revoked) New Pawnshop Company Name Resulting from Separation Pawnshop Company ... Pawnshop Company ... Number and Date of Reporting Letter Number and Date of Business License of Pawnshop Company whose Business License will be Revoked Brief Description of Separation Background Contact Person (Phone/e-mail) Substance of Separation :
No.
Originally
No.
Becomes
Shareholder Name
Nominal (Rp) (%) Shareholder Name Nominal (Rp) (%)

PT/Cooperative.... (old) 1. PT/Cooperative ...(New)
Shareholders 00000 00 Shareholders 00000 00 Shareholders 00000 00 Shareholders 00000 00 Total 00000 00 Total 00000 00
PT/Cooperative...(new)
Shareholders
00000 00
Shareholders 00000 00
Total 00000 00
NO.
DESCRIPTION DETAILS
Description Yes No Legal Basis Notes
Is the report letter
signed by
Board of Directors/managers?
Article 38 POJK
Number
31/POJK.05/2016
Is the report letter
in accordance with the format that has been established? Format 10
Annex POJK
Is the submission of the
report already in accordance with the established time limit? Date of separation deed:
Date of report letter:
Difference: ... working days
Has the report attached the minutes of the
general meeting of shareholders or members' meeting? Deed Number:
Deed Date:
Has the report attached the separation
deed?
Deed Number:
Deed Date:
Number
Ratification
Ministry of Law and Human Rights:
Date
Ratification
Ministry of Law and Human Rights:
Has the report attached photocopy of the
business license decision letter of the Pawnshop Company whose business license will be revoked by the Financial Services Authority?
Has the report attached photocopy of the
business license decision letter of the new Pawnshop Company resulting from the separation? Business License Number:
Date of license:
Other documents (if any,
specify)
We, the undersigned, hereby declare that:
the above form has been in accordance with the actual conditions and has been
completed with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)

For the Interests of the Financial Services Authority Note:
Date Initials
Received by Analyst
Completed by Analyst
Reviewed by Head Division

XVII. NON-PURE SEPARATION REPORT FORM
FORM
NON-PURE SEPARATION REPORT
Company Name that
Conducts Separation
New Pawnshop Company Name
Resulting from
Separation
Number and Date of Letter
Reporting
Number and Date of Business
License of Pawnshop Company that Conducts Separation Brief Description of Background of Separation Contact Person (Phone/ e-mail) Substance of Separation :
No.
Originally
No.
Becomes
Shareholder Name
Nominal (Rp) (%) Shareholder Name Nominal (Rp) (%)

PT/Cooperative.... (old) 1. PT/Cooperative ...(old)
Shareholders 00000 00 Shareholders 00000 00 Shareholders 00000 00 Shareholders 00000 00 Total 00000 00 Total 00000 00
PT/Cooperative...(new)
Shareholders
00000 00
Shareholders 00000 00
Total 00000 00
NO.
DESCRIPTION DETAILS
Description Yes No Legal Basis Notes
Is the report letter
signed by
Board of Directors/managers?
Article 38 POJK
Number
31/POJK.05/2016
Is the report letter in accordance with the format
that has been established?
Format 10
Annex POJK
Is the submission of the report
already in accordance with the established time limit? Date of separation deed:
Date of report letter:

Difference: ... working days
4. Has the report attached the minutes of the
general meeting of shareholders or members' meeting? Deed Number:
Deed Date:
5. Has the report attached the separation deed?
Deed Number:
Deed Date:
Number
Ratification
Ministry of Law and Human Rights:
Date
Ratification
Ministry of Law and Human Rights:
6. Has the report attached photocopy of the
business license decision letter of the new Pawnshop Company resulting from the separation? Business License Number:
Date of license:
7. Other documents (if any,
specify)
We, the undersigned, hereby declare that:

the above form has been in accordance with the actual conditions and has been completed
with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Interests of the Financial Services Authority Note:
Date Initials
Received by Analyst
Completed by Analyst
Reviewed by Head Division

XVIII. BANKRUPTCY REPORT FORM
Form
Bankruptcy Report
Company Name :
Report Letter Number :
Report Letter Date :
Number and Date of Business License as Pawnshop Company :
Effective Date of Bankruptcy Ruling :
Contact Person (Name, Phone/ e-mail) :
NO.
DESCRIPTION DETAILS
Description Yes No Legal Basis Notes

Is the report letter
signed by
Board of Directors/managers?
Article 51 POJK
Number
31/POJK.05/2016
Is the report letter in accordance with the format
that has been established?
Format 11
Annex POJK
Is the submission of the report
already in accordance with the established time limit? Date bankruptcy ruling established:
Date of report letter:
Difference: ... working days
Has the report attached documents that
serve as the basis for the establishment of the bankruptcy ruling or the establishment of dissolution?
Has the report attached photocopy of the
business license as a pawnshop company?
Number:
Date:
Other documents (if any,
specify)
We, the undersigned, hereby declare that:
the above form has been in accordance with the actual conditions and has been
completed with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Interests of the Financial Services Authority Note:
Date Initials
Received by Analyst
Completed by Analyst
Reviewed by Head
Sub-division
Reviewed by Head Division

XIX. DISSOLUTION APPROVAL APPLICATION FORM
Form
Dissolution Approval Application Company Name :
Application Letter Number :
Application Letter Date :
Number & Date of Business License :
Brief Description regarding Reasons for Dissolution :
Contact Person (Name, Phone/ e-mail) :
NO.
DESCRIPTION DETAILS
Description Yes No Legal Basis Notes

Is the application letter
submitted by
Board of Directors/managers?
Article 52 paragraph (1) and
(2) POJK Number
31/POJK.05/2016
Is the application letter in accordance with the format
that has been established?
Format 12
Annex
POJK
Has the application attached the draft deed of
dissolution?
Has the application attached the plan
for settling rights and obligations related to Pawnshop Business activities? Provide explanation regarding settlement of rights and obligations of debtors including rights and obligations of employees.
Has the application attached photocopy of the
business license decision letter as Pawnshop Company that will be dissolved?
Other documents (if any,
specify)
We, the undersigned, hereby declare that:
the above form has been in accordance with the actual conditions and has been
completed with documents as referred to in the Financial Services Authority Regulation

Financial Services Authority Number 31/POJK.05/2016 concerning Pawnshop Business; and
2. the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Interests of the Financial Services Authority Note:
Date Initials
Received by Analyst
Completed by Analyst
Reviewed by Head Division

XX. APPLICATION FOR APPROVAL OF CHANGE OF BUSINESS
ACTIVITIES
Form
Application for Approval of Change of Business Activities Company Name :
Application Letter Number :
Application Letter Date :
Number & Date of Business License :
Brief Description regarding Reasons for Change of Business Activities :
Contact Person (Name, Phone/e-mail) :
NO.
DESCRIPTION DETAILS
Description Yes No Legal Basis Notes

Is the application letter
submitted by
Board of Directors/managers?
Article 52 paragraph (1) and
(2) POJK Number
31/POJK.05/2016
Is the application letter in accordance with the format
that has been established?
Format 12
Annex
POJK
Has the application attached the draft deed of
amendment of articles of association containing the plan for new business activities and a name that no longer characterizes the word pawn?
Has the application attached the plan for settling
rights and obligations related to Pawnshop Business activities? Provide explanation regarding settlement of rights and obligations of debtors including rights and obligations of employees.
Has the application attached photocopy of the
business license decision letter as Pawnshop Company that will be dissolved?
Other documents (if any,
specify)

We, the undersigned, hereby declare that:

the above form has been in accordance with the actual conditions and has been completed
with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Interests of the Financial Services Authority Note:
Date Initials
Received by Analyst
Completed by Analyst
Reviewed by Head Division

XXI. FORM FOR REPORT ON THE IMPLEMENTATION OF DEREGISTRATION

Form
Report on the Implementation of Deregistration Company Name :
Report Letter Number :
Date of Report Letter :
License Number & Date :
Effective Date of Deregistration Based on the Deed Date of Deregistration :
License Number & Date of
Financial Services Authority approval for the deregistration request :
Contact Person (Name, Phone/ e-mail) :
NO.
DESCRIPTION DETAILS
Description Yes No Legal Basis Notes

Is the report letter
signed by the
Board of Directors/managers?
Article 52 paragraph (3) POJK
Number
31/POJK.05/2016
Is the report letter/
request in accordance with the prescribed format? Format 13
Annex POJK
Is the submission of the
report in accordance with the prescribed time limit? Deed date or date of Ministry of Law and Human Rights approval:
Date of report letter:
Difference: ... working days
Does the report include
the minutes of the general meeting of shareholders or members' meeting? Deed Number:
Date of Deed:
Does the report include
the deregistration deed?
Deed Number:
Date of Deed:
Number of
Ministry of Law and Human Rights Approval:

Date of
Ministry of Law and Human Rights Approval:
6. Does the deregistration report
include proof of settlement of rights and obligations?
7. Other documents (if any, specify)
We, the undersigned, hereby declare that:

the above form is in accordance with the actual situation and has been completed
with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Needs of the Financial Services Authority Notes :
Date Initials
Received by Analyst
Completed by Analyst
Reviewed by Head of Section

XXII. FORM FOR REPORT ON THE IMPLEMENTATION OF BUSINESS ACTIVITY CHANGES

Form
Report on the Implementation of Business Activity Changes Company Name :
Report Letter Number :
Date of Report Letter :
License Number & Date :
Effective Date of Change of Business Activity, namely the Date of Approval of the Amendment to the Articles of Association by the Competent Authority :
License Number & Date of Letter of Approval from the Financial Services Authority regarding the Request for Change of Business Activity :
Contact Person (Name, Phone/e-mail) :
NO.
DESCRIPTION DETAILS
Description Yes No Legal Basis Notes

Is the report letter
signed by the
Board of Directors/managers?
Article 52 paragraph (3) POJK
Number
31/POJK.05/2016
Is the report letter/
request in accordance with the prescribed format? Format 13 Annex POJK
Is the submission of the
report in accordance with the prescribed time limit? Deed date or date of Ministry of Law and Human Rights approval:
Date of report letter:
Difference: ... working days
Does the report include
the minutes of the general meeting of shareholders or members' meeting? Deed Number:
Date of Deed:
Does the report include
the amended articles of association that have been approved by the competent authority? Deed Number:
Date of Deed:
Number of Approval
Ministry of Law and Human Rights:
Date of
Approval
Ministry of Law and Human Rights:

This copy is in accordance with the original Legal Director 1 Legal Department signed Yuliana
6. Does the report on changes
in business activity include proof of settlement of rights and obligations?
7. Does the company name
still contain the word "pawn" or words that characterize pawn activity after no longer being a Pawnshop Company? New name:
8. Other documents (if any, specify)
We, the undersigned, hereby declare that:

the above form is in accordance with the actual situation and has been completed
with documents as referred to in the Financial Services Authority Regulation Number 31/POJK.05/2016 concerning Pawnshop Business; and
the documents submitted online are the same as the original documents.
(fill in city name, date, month, and year) Board of Directors
PT/Cooperative*) ..........
signature
(Full Name)
For the Needs of the Financial Services Authority Notes :
Date Initials
Received by Analyst
Completed by Analyst
Reviewed by Head of Section

Established in Jakarta on 28 September 2017 EXECUTIVE HEAD OF SUPERVISOR OF INSURANCE, PENSION FUNDS, LENDING INSTITUTIONS, AND OTHER FINANCIAL SERVICE INSTITUTIONS FINANCIAL SERVICES AUTHORITY,

signed
RISWINANDI

Registration, Business Licensing, and Institutional Organization of Pawnshop Companies

Lineage: Superseded

Timeline