SEOJK on Reporting Insurance Risk Data

To:

1. The Board of Directors of General Insurance Companies; and
2. The Board of Directors of Sharia General Insurance Companies,
   At your place.

COPY
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY ON

In relation to the mandate of Article 3 paragraph (9) of Financial Services Authority Regulation Number 2/POJK.05/2015 concerning the Maintenance and Reporting of Insurance Risk Data and the Application of Premium Rates and Contributions for the Property Insurance and Motor Vehicle Insurance Business Lines (State Gazette of the Republic of Indonesia Year 2015 Number 71, Supplement to the State Gazette of the Republic of Indonesia Number 5684), it is necessary to regulate further regarding the form, structure, and procedures for submitting insurance risk data reports in this Financial Services Authority Circular Letter as follows:

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

1. Company means a company that conducts general insurance business and/or Sharia general insurance business as referred to in the insurance law.

2. Insurance Risk Data means insurance transaction data, including risk profile data, insurance losses, administrative costs, and other general costs.

3. Data Responsible Person means a Company official who serves as the Person in-charge (PIC) in the process of submitting Insurance Risk Data to the Financial Services Authority.

4. Financial Services Authority, hereinafter abbreviated as OJK, is an independent agency that has the functions, duties, and authority for regulation, supervision, examination, and investigation as referred to in the law concerning the Financial Services Authority.

II. FORM AND STRUCTURE OF INSURANCE RISK DATA REPORTS

1. Insurance Risk Data Reports for the property insurance business line consist of:
   a. a declaration by the Board of Directors or equivalent and the actuary or Company expert stating that the Company has presented data correctly; b. a report on property insurance risk profile data; and
   c. a report on property insurance claim data.

2. Insurance Risk Data Reports for the motor vehicle insurance business line consist of:
   a. a declaration by the Board of Directors or equivalent and the actuary or Company expert stating that the Company has presented data correctly; b. a coverage data report;
   c. a claim data report;
   d. a coverage data summary report; e. a claim data summary report; f. a premium/contribution analysis report; g. a claim analysis report; and h. an underwriting surplus analysis report.

3. The form and structure of Insurance Risk Data Reports for Companies are as follows:
   a. for Companies marketing products in the property insurance business line as referred to in Appendix I; and b. for Companies marketing products in the motor vehicle insurance business line as referred to in Appendix III, which are an inseparable part of this OJK Circular Letter.

4. Guidelines for filling out Insurance Risk Data Reports for the business lines:
   a. property insurance as referred to in Appendix II; and b. motor vehicle insurance as referred to in Appendix IV, which are an inseparable part of this OJK Circular Letter.

III. PROCEDURES FOR SUBMITTING INSURANCE RISK DATA REPORTS

1. Companies marketing products in the property insurance business line and/or the motor vehicle insurance business line submit Insurance Risk Data Reports according to the form and structure as referred to in Appendix I and/or Appendix III, which are an inseparable part of this OJK Circular Letter.

2. Insurance Risk Data Reports as referred to in item 1 are presented based on the underwriting year and submitted no later than April 30.

3. Insurance Risk Data Reports as referred to in item 1 are accompanied by a cover letter signed by the Company's Board of Directors or equivalent, which includes among others:
   a. the submission of Insurance Risk Data Reports for the property insurance business line and/or the motor vehicle insurance business line; and b. the name of the Data Responsible Person concerning the Insurance Risk Data Reports for the property insurance business line and/or the motor vehicle insurance business line, along with the relevant telephone number and email address.

4. Insurance Risk Data Reports as referred to in item 1 are submitted to the OJK online through the OJK data communication network system.

5. In the event that the OJK data communication network system as referred to in item 4 is not yet available or technical difficulties occur at the time of the submission deadline for Insurance Risk Data Reports, Companies are required to submit Insurance Risk Data Reports offline via a letter signed by the Board of Directors or equivalent and the actuary or Company expert, with the following provisions:
   a. in electronic data format via compact disc (CD) or other electronic data storage media; and b. in spreadsheet format.

6. In the event of technical difficulties at the time of the submission deadline for Insurance Risk Data Reports as referred to in item 5, Companies are required to submit Insurance Risk Data Reports no later than the next business day after the technical difficulty occurs.

7. In the event that the OJK experiences technical difficulties as referred to in item 5, the OJK announces in writing to the Companies on the same day after the technical difficulty occurs.

8. Offline submission of Insurance Risk Data Reports as referred to in item 5 is addressed to:
   Financial Services Authority u.p. Directorate of Statistics and IKNB Information Merdeka Tower Building Mailing Room 12th Floor Jl. Budi Kemuliaan I No. 2 Central Jakarta

9. Offline submission of Insurance Risk Data Reports as referred to in item 5 can be done in one of the following ways:
   a. handed in directly to the OJK office as referred to in item 8; b. sent via registered postal office; or
   c. sent via a courier/delivery service company.

10. Companies are deemed to have submitted Insurance Risk Data Reports with the following provisions:
    a. for online submission via the OJK data communication network system, evidenced by an acknowledgment receipt from the OJK; b. for offline submission, evidenced by:

1. an acknowledgment receipt letter from the OJK, if the report is handed in directly to the OJK office as referred to in item 8; or
2. a delivery receipt from the postal office or courier/delivery service company, if the report is sent via the postal office or courier/delivery service company.

11. In the event of a change in the OJK office address for submission as referred to in item 8, the OJK will provide notification regarding the address change via letter or announcement.

IV. CLOSING
Provisions in this OJK Circular Letter shall take effect on the date of establishment.

Established in Jakarta,
On the date 28 September 2015 EXECUTIVE HEAD OF INSURANCE, PENSION FUND, LENDING INSTITUTION, AND OTHER FINANCIAL SERVICE INSTITUTIONS SUPERVISOR FINANCIAL SERVICES AUTHORITY, sd FIRDAUS DJAELANI

Copy matches the original
Legal Director 1
Legal Department sd
Sudarmaji

APPENDIX I
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY ON

PROPERTY INSURANCE RISK DATA REPORTS

PROPERTY INSURANCE RISK DATA REPORTS Underwriting Year for Reporting :
Company Name :
Address :
Telephone/Fax Number :
E-mail :

DECLARATION BY THE BOARD OF DIRECTORS OR EQUIVALENT *) AND ACTUARY OR COMPANY EXPERT *)

The undersigned hereby declare that the data submitted in the Property Insurance Risk Data Report of PT XXX for Underwriting Year 20XX is correct. If it is later found that the data submitted in the Property Insurance Risk Data Report of PT XXX for Underwriting Year 20XX is incorrect, we are willing to be held accountable.

This declaration is made truthfully.
Board of Directors or equivalent *) (job title) Actuary or Company Expert *) signature signature (Name) (Name and Registration Number) *) choose one

PROPERTY INSURANCE RISK PROFILE DATA REPORT FORMAT Underwriting Year ……. Company Name :
In Original Amount etc.
DESCRIPTION
CURRENCY CODE
OTHERS
PREMIUM/
CONTRIBUTION
ACQUISITION COSTS
SHARE of TSI
(%)
STATUS
(L/M)
CURRENCY MATERIAL
DAMAGE
BUSINESS
INTERUPTION
INSURANCE PRICE / TSI (100%)
COVERAGE WEIGHT CODE
NO POLICY NUMBER
INSURED NAME
RISK OBJECT ADDRESS
CITY POST CODE
DISTRIBUTION CHANNEL CODE
OCCUPATION POLICY PERIOD
CODE DESCRIPTION*)
INCEPTION
DATE
(dd/mm/yyyy)
EXPIRED DATE
(dd/mm/yyyy)

PROPERTY INSURANCE CLAIM DATA REPORT FORMAT Underwriting Year ……. Company Name :
In Original Amount etc.
DESCRIPTION
CURRENCY CODE
OTHERS
CLAIM
DATE APPROVED
CURRENCY
CLAIM SETTLED
CLAIM OUTSTANDING
CLAIM TOTAL
MATERIAL DAMAGE
BUSINESS
INTERUPTION
MATERIAL
DAMAGE
BUSINESS
INTERUPTION
MATERIAL
DAMAGE
BUSINESS
INTERUPTION
POST CODE
OCCUPATION POLICY PERIOD
CODE DESCRIPTION*)
INCEPTION
DATE
(dd/mm/yyyy)
EXPIRED DATE
(dd/mm/yyyy)
NO POLICY NUMBER
INSURED NAME
RISK ADDRESS
CITY CLAIM NUMBER
CLAIM
DATE OCCURRED
(dd/mm/yyyy)
CODE
CLAIM CAUSE /
CAUSE OF
LOSS
CLAIM (according to Company Share value/gross claim)

Established in Jakarta,
On the date 28 September 2015 EXECUTIVE HEAD OF INSURANCE, PENSION FUND, LENDING INSTITUTION, AND OTHER FINANCIAL SERVICE INSTITUTIONS SUPERVISOR FINANCIAL SERVICES AUTHORITY, sd FIRDAUS DJAELANI

Copy matches the original
Legal Director 1
Legal Department sd
Sudarmaji

APPENDIX II
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY ON

GUIDELINES FOR FILLING OUT PROPERTY INSURANCE RISK DATA REPORTS

Property Insurance Risk Data Report Codes

1. Underwriting Year
2. Company Name
3. Policy Number
4. Insured Name
5. Risk Object Address
6. City
7. Post Code
8. Distribution Channel Code
9. Occupation
   a. Code b. Description
10. Policy Period
    a. Inception Date b. Expired Date
11. Insurance Price/TSI (100%)
    a. Currency b. Material Damage
    c. Business Interruption
12. Coverage Weight Code
13. Premium / Contribution
14. Acquisition Costs
15. Share of TSI (%)
16. Status -> Leader or Member (co-insurance)
17. Other Currency Code Description

Property Insurance Claim Data Report Codes

1. Underwriting Year
2. Company Name
3. Claim Number
4. Policy Number
5. Insured Name
6. Risk Address
7. City
8. Post Code
9. Occupation
   a. Code b. Description
10. Policy Period
    a. Inception Date b. Expired Date
11. Claim Occurrence Date
12. Claim Cause Code/Cause of Loss
13. Claim (according to Company Share value/gross claim)
    a. Currency b. Claim Settled
    i. Material Damage
    ii. Business Interruption
    c. Claim Outstanding
    i. Material Damage
    ii. Business Interruption
    d. Claim Total
    i. Material Damage
    ii. Business Interruption
14. Claim Approval Date
15. Other Currency Code Description

Provisions:

1. Numbers are presented in original currency and original amount (without rounding).
2. Insurance Price is 100%, not the self-share value (if co-insurance, still fill with 100% value); Premium/Contribution is according to the self-share value before commission.
3. Claim values after deductible are according to the Company's share.
4. The Status column is "L" for Leader and "M" for Member; in the case of coverage that is "not" co-insurance, fill with the Leader code (L).
5. The data submitted is direct underwriting (does not include inward business).
6. Share on TSI is the percentage value underwritten by the Company.
7. The format must be returned in softcopy Excel form, matching the format above.
8. Currency -> value of the currency used on the insured object (filled according to the currency code).
9. City names are written in full (e.g., Jakarta, Bogor, etc.).
10. When filling in the "others" code, a description/explanation of that code must be provided.
11. Data is based on the underwriting year, where the last underwriting year from a 5 (five) year period or less than 5 (five) years is 2 (two) years before the reporting year.

Codification
A. Currency Code / Currency
Currency codes are codes for the currency used in the insurance value. DESCRIPTION CODE

1. Rupiah 01
2. US Dollar 02
3. Singapore Dollar 03
4. Malaysian Ringgit 04
5. Japanese Yen 05
6. Euro 06
7. Others 99

B. Distribution Channel Code
Distribution channel codes are codes used to provide detailed information on the source of risk underwriting. DESCRIPTION CODE

1. Direct (direct marketing) D1
2. Insurance Agent D2
3. Bancassurance D3
4. Non-bank business entities D4
5. Others D0

C. Coverage Weight Code
Coverage codes are codes used to identify coverage. Coverage codes are the sum of the coverage weight codes underwritten in the policy. The coverage weight codes for each type of coverage are as follows:
COVERAGE WEIGHT CODE DESCRIPTION Fire, Lightning, Explosion, Aircraft Impact and Smoke (FLEXAS) 10.000 Flood, Storm, Typhoon, Water Damage (FSTWD) 1 Earthquake, Volcanic Eruption & Tsunami (EQVET) 2 Riot, Strike, & Malicious Damage (RSMD) 4 Civil Commotion (CC) 8 Terrorism Sabotage (TS) 16 Business Interruption (BI) 32 Vehicle Impact 64 Electrical Short Circuit 128 Landslide, Subsidence, Collapse 256 Burglary & Theft 512 ALL RISK 1024

Examples:

1. FLEXAS + FSTWD -> 10.000 + 1 = 10.001
2. FLEXAS + FSTWD + EQVET -> 10.000 + 1 + 2 = 10.003
3. FLEXAS + FSTWD + EQVET + RSMD -> 10.000 + 1 + 2 + 4 = 10.007
4. All risk excl. FSTWD = 1024 - 1 = 1023
5. All risk excl. EQVET = 1024 - 2 = 1022

D. Claim Cause Code (Cause of Loss) Claim cause codes are codes used to identify the cause of claims, as follows:
LOSS CODE DESCRIPTION
Fire, Lightning, Explosion, Aircraft Impact and Smoke (FLEXAS) A Flood, Storm, Typhoon, Water Damage (FSTWD) B Earthquake, Volcanic Eruption & Tsunami (EQVET) C Riot, Strike, & Malicious Damage (RSMD) D Civil Commotion (CC) E Terrorism Sabotage (TS) F Vehicle Impact G Electrical Short Circuit H Landslide, Subsidence, Collapse I Burglary & Theft J OTHERS Z

Established in Jakarta,
On the date 28 September 2015 EXECUTIVE HEAD OF INSURANCE, PENSION FUND, LENDING INSTITUTION, AND OTHER FINANCIAL SERVICE INSTITUTIONS SUPERVISOR FINANCIAL SERVICES AUTHORITY, sd FIRDAUS DJAELANI

Copy matches the original
Legal Director 1
Legal Department sd
Sudarmaji

APPENDIX III
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY ON

MOTOR VEHICLE INSURANCE RISK DATA REPORTS

MOTOR VEHICLE INSURANCE RISK DATA REPORTS Underwriting Year for Reporting :
Company Name :
Address :
Telephone/Fax Number :
E-mail :

DECLARATION BY THE BOARD OF DIRECTORS OR EQUIVALENT *) AND ACTUARY OR COMPANY EXPERT *)

The undersigned hereby declare that the data submitted in the Motor Vehicle Insurance Risk Data Report of PT XXX for Underwriting Year 20XX is correct. If it is later found that the data submitted in the Motor Vehicle Insurance Risk Data Report of PT XXX for Underwriting Year 20XX is incorrect, we are willing to be held accountable.

This declaration is made truthfully.
Board of Directors or equivalent *) (job title) Actuary or Company Expert *) signature signature (Name) (Name and Registration Number) *) choose one

A. COVERAGE DATA REPORT DATABASE FORMAT B. CLAIM DATA REPORT DATABASE FORMAT No Field Name Field Type 1 Company_Code 2 Claim_Register_Code 3 Policy_Code 4 Chassis_Number 5 Engine_Number 6 Coverage_Code 7 Incident_Date 8 Incident_Area_Code 9 Claim_Code 10 Cause_Code 11 Claim_Submitted 12 Deductible 13 Claim_Cost 14 Claim_Approved 15 Currency 16 Approval_Date 17 Validity

C. COVERAGE DATA SUMMARY REPORT FORMAT
No Coverage Summary
Rupiah Currency
Insurance
Foreign Currency
1 Number of Records
2 Insurance Price
3 Premium/Contribution
Gross
4 Acquisition Costs
5 Operational Costs
No Field Name Field Type
1 Company_Code
2 Policy_Code
3 Chassis_Number
4 Engine_Number
5 Policy_Number
6 Coverage_Code
7 Vehicle_Code
8 Usage_Code
9 Area_Code
10 Vehicle_Year
11 Insurance_Price
12 Coverage_Start
13 Coverage_End
14 Premium/Contribution_Gross 15 Acquisition_Costs 16 Deductible 17 Currency 18 Validity

D. CLAIM DATA SUMMARY REPORT FORMAT No Coverage Summary Rupiah Currency Insurance Foreign Currency 1 Number of Records 2 Claim Submitted 3 Deductible 4 Claim Cost 5 Claim Approved

E. PREMIUM/CONTRIBUTION ANALYSIS REPORT FORMAT No Description Amount in Rupiah Percentage 1 Gross Premium/Contribution 100% 2 Acquisition Costs % 3 Operational Costs %

F. CLAIM ANALYSIS REPORT FORMAT No Description Amount in Rupiah Percentage 1 Claims Submitted 100% 2 Claims Approved % 3 Claims Unapproved % 4 Claim Costs %

G. UNDERWRITING SURPLUS ANALYSIS REPORT FORMAT No Description Amount in Rupiah 1 Gross Premium or Contribution - (Acquisition Costs + Operational Costs) 2 Approved Claims + Claim Costs 3 Underwriting Surplus ((1) - (2) - (3)) 4 Underwriting Surplus Ratio ((4)/Gross Premium or Contribution) %

Established in Jakarta,
On the date 28 September 2015 EXECUTIVE HEAD OF INSURANCE, PENSION FUND, LENDING INSTITUTION, AND OTHER FINANCIAL SERVICE INSTITUTIONS SUPERVISOR FINANCIAL SERVICES AUTHORITY, sd FIRDAUS DJAELANI

Copy matches the original
Legal Director 1
Legal Department sd
Sudarmaji

APPENDIX IV
CIRCULAR LETTER OF THE FINANCIAL SERVICES AUTHORITY ON

GUIDELINES FOR FILLING OUT
MOTOR VEHICLE INSURANCE RISK DATA REPORTS

TABLE OF CONTENTS
No.
Title Page
A. Coverage Data Report Database Format 3 B. Claim Data Report Database Format 7
C. Coverage Data Summary Report Format 11
D. Claim Data Summary Report Format 11 E. Premium/Contribution Analysis Report Format 12 F. Claim Analysis Report Format 12 G. Underwriting Surplus Analysis Report Format 12 H. List of Motor Vehicle Brand and Type Codes 13

A. COVERAGE DATA REPORT DATABASE FORMAT The coverage data reported is a database of motor vehicles with coverage periods starting in the observation period. The detailed data format is as follows:
Please note, field names must not be changed for data processing purposes. Explanation of Coverage Data Report Database Format The explanation of the coverage data report database format is as follows:

1. Company Code
   Company Code is a single code established and submitted by the Directorate of Statistics and IKNB Information to each Company.

2. Policy Code
   Policy Code is the Company's internal code that identifies policies issued by the Company. This Policy Code does not distinguish between individual coverage and group coverage.

3. Chassis Number
   Chassis Number is the standard vehicle code that identifies the vehicle chassis issued by the vehicle manufacturer. This Chassis Number is unique, so its identification is individual.

4. Engine Number
   Engine Number is the standard vehicle code that identifies the engine issued by the vehicle manufacturer. This Engine Number is unique, so its identification is individual. No Field Name Field Type Field Size 1 Company_Code Text 5 2 Policy_Code Text 20 3 Chassis_Number Text 60 4 Engine_Number Text 60 5 Policy_Number Text 10 6 Coverage_Code Number (Integer) 20 7 Vehicle_Code Text 10 8 Usage_Code Text 2 9 Area_Code Text 5 10 Vehicle_Year Number (Integer) 4 11 Insurance_Price Currency 12 Coverage_Start Date (dd/mm/yyyy) 13 Coverage_End Date (dd/mm/yyyy) 14 Premium/Contribution_Gross Currency 15 Acquisition_Costs Currency 16 Deductible Currency, Text 17 Currency Text 2 18 Validity Text 2

5. License Plate Number
   License Plate Number is the standard code that is the identity of the vehicle issued by the police.

6. Coverage Code
   Coverage Code is the code used to identify the type of coverage. Coverage Code is defined as the sum of the Coverage Weight Codes underwritten in the policy. The Coverage Weight Codes for each type of coverage are as follows:
   No Coverage Coverage Weight Code 1 Conventional: Total Loss Only (Standard) 10000 2 Conventional: Total Loss Only (Non-Standard) 20000 3 Conventional: Comprehensive (Standard) 40000 4 Sharia: Total Loss Only (Standard) 60000 5 Sharia: Total Loss Only (Non-Standard) 70000 6 Sharia: Comprehensive (Standard) 90000 7 Extension: Third Party Liability (TPL) 1 8 Extension: Personal Accident (Passenger/Rider) 9 Extension: Earthquake 4 10 Extension: Flood 8 11 Extension: Riot and Unrest 16 12 Extension: Storm 32 13 Extension: Terrorism and Sabotage 64 14 Extension: Others 128

For motor vehicle coverage that covers the remaining credit balance, the code used is Total Loss Only (Non-Standard) coverage, which replaces a maximum amount equal to the vehicle owner's credit balance, not the initial insurance price. For this type, the insurance price is filled with the initial insurance price.
7. Vehicle Code
Vehicle Code is a list of codes for motor vehicle brands and types as referred to in letter H of this appendix.
8. Usage Code
Usage Code is the standard code used to identify vehicles used for personal, office, or general purposes. The codes for each type of usage are as follows:
No Usage Code
1 Passenger Transport - Private Car P0 2 Passenger Transport - Official or Office Car D0 3 Passenger Transport - Rental S0 4 Public Passenger Transport – Regular (fixed route) U0 5 Public Passenger Transport – Non-Regular (non-fixed route) U1 6 Cargo Transport T0

9. Area Code
   Area code is a code based on the address stated in the Vehicle Registration Certificate (STNK). The codes are divided by observation area as follows:
   No Area Code
   1 Jabodetabek (Jakarta, Bogor, Depok, Tangerang, and Bekasi) 2 West Java Province 02 3 Banten Province 03 4 Central Java Province 04 5 East Java Province 05 6 DI Yogyakarta Province 06 7 Bali Province 07 8 West Nusa Tenggara Province 08 9 East Nusa Tenggara Province 09 10 Maluku Province 10 11 North Maluku Province 11 12 West Papua Province 12 13 Papua Province 13 14 North Sulawesi Province 14 15 Gorontalo Province 15 16 Central Sulawesi Province 16 17 West Sulawesi Province 17 18 Southeast Sulawesi Province 18 19 South Sulawesi Province 19 20 East Kalimantan Province 20 21 South Kalimantan Province 21 22 West Kalimantan Province 22 23 Central Kalimantan Province 23 24 Nanggroe Aceh Darussalam Province 24 25 North Sumatra Province 25 26 West Sumatra Province 26 27 Riau Province 27 28 Batam Authority Area 28 29 Riau Islands Province (excluding code 28) 29 30 Bangka Belitung Province 30 31 Jambi Province 31 32 Bengkulu Province 32 33 South Sumatra Province 33 34 Lampung Province 34 35 North Kalimantan Province 35 36 Others 99

10. Vehicle Year
    Vehicle Year is the year of manufacture of the vehicle recorded in the Vehicle Registration Certificate (STNK), with a format of 4 (four) digits.

11. Insurance Price
    Insurance Price is the price of the vehicle when new or the estimated price of the vehicle if purchased at the time the coverage starts with the same condition. Specifically for motor vehicle insurance policies...

who bears the remaining credit balance, then the Insured Value is filled with the initial credit loan value and calculated including credit interest.

12. Coverage Start Date
    Coverage Start Date is the effective date of the coverage issued during the observation period with a date format (dd/mm/yyyy).

13. Coverage End Date
    Coverage End Date is the end date of the coverage, which depends on the recognition of Premium/Contribution revenue used in the Company's accounting system with a date format (dd/mm/yyyy).

14. Gross Premium/Contribution
    Gross Premium/Contribution is the Rupiah value of Premium/Contribution paid by the policyholder for 1 (one) registered vehicle in accordance with the Insured Value stated in the policy for each vehicle. Gross Premium/Contribution also includes the Rupiah value charged as additional Premium/Contribution for the risk covered. Gross Premium/Contribution value is before any discounts or third-party fee-based income deductions.

For Sharia coverage, Gross Premium/Contribution (Gross Contribution) is the Rupiah value of Contribution paid by the policyholder for 1 (one) registered vehicle in accordance with the insured value stated in the policy for each vehicle. Gross Contribution also includes additional Rupiah value charged as extended coverage coverage. Gross Contribution value is the Rupiah value before any ujrah/fee deductions.

For coverage periods exceeding one year, the reporting of Gross Premium/Contribution is recorded as one-year coverage, and the remaining Gross Premium/Contribution is recorded and submitted in subsequent reporting periods until the policy expires.

15. Acquisition Costs
    The Company may provide a portion of the Premium/Contribution rate as acquisition costs in the form of commissions, discounts, and/or other forms to insurance brokerage companies, insurance agents, and other third parties involved in obtaining insurance business, including to the insured or policyholder.

Cumulative Acquisition Costs for motor vehicle insurance are at most 25% (twenty-five percent) of the Premium/Contribution rate.

Acquisition Costs do not yet account for applicable taxes.

16. Deductible
    Deductible is the Rupiah amount borne by the vehicle owner based on policy terms for basic risk (excluding extended risk deductibles) or a percentage of the approved claim value.

17. Currency
    Currency is the currency code used in the coverage. The currency codes used are as follows:

No	Currency	Code
1	Rupiah	01
2	US Dollar	02
3	Singapore Dollar	03
4	Malaysian Ringgit	04
5	Japanese Yen	05
6	Euro	06
7	Others	99

18. Validity
    Validity is the status code for coverage data information. For co-insurance policies reporting Motor Insurance Risk Data, the status is Leader. If the Company records basic coverage changes through endorsement processes, such as changing Total Loss Only (TLO) coverage to comprehensive or vice versa, the reported data becomes 2 (two) records according to their risk periods.

The status codes for coverage data information are as follows:

No	Usage	Code
1	Self-issued policy (latest status)	A
2	Co-insurance policy	B
3	Others	X

B. DATABASE FORMAT FOR CLAIM DATA REPORTING Claim data reported is all claims occurring in the underwriting year for policies reported in the same underwriting year. The detailed data format is as follows:

No	Field Name	Field Type	Field Size
1	Company_Code	Text	5
2	Claim_Register_Number	Text	20
3	Policy_Code	Text	20
4	Chassis_Number	Text	60
5	Engine_Number	Text	60
6	Coverage_Code	Number (Integer)	20
7	Incident_Date	Date (dd/mm/yyyy)
8	Incident_Area_Code	Text	5
9	Claim_Code	Text	2
10	Cause_Code	Text	2
11	Claim_Submitted	Currency
12	Deductible	Currency, Text
13	Claim_Cost	Currency

No	Field Name	Field Type	Field Size
14	Claim_Approved	Currency
15	Currency	Text	2
16	Approval_Date	Date (dd/mm/yyyy)
17	Validity	Text	2

Note: Field names must not be changed for data processing purposes.

Explanation of Claim Data Report Database Format The explanation of the claim data report database format is as follows:

1. Company Code
   Company Code is a single code established and communicated by the Directorate of Statistics and Information of IKNB to each Company.

2. Claim Register Number
   Claim Register Number is the Company's internal code identifying a single claim event issued by the Company.

3. Policy Code
   Policy Code is the Company's internal code identifying the policy issued by the Company. This Policy Code does not distinguish between individual coverage and group coverage.

4. Chassis Number
   Chassis Number is the standard vehicle code identifying the vehicle chassis issued by the vehicle manufacturer. This Chassis Number is unique, so its identification is individual.

5. Engine Number
   Engine Number is the standard vehicle code identifying the engine issued by the vehicle manufacturer. This Engine Number is unique, so its identification is individual.

6. Coverage Code
   Coverage Code is the code used to identify the type of coverage. The Coverage Code is defined as the sum of the Coverage Weight Codes covered in the policy. The Coverage Code must match the Coverage Code defined in the coverage database. The Coverage Weight Code for each type of coverage is as follows:

No	Coverage	Coverage Weight Code
1	Conventional: Total Loss Only (Standard)	10000
2	Conventional: Total Loss Only (Non-Standard)	20000
3	Conventional: Comprehensive (Standard)	40000
4	Sharia: Total Loss Only (Standard)	60000
5	Sharia: Total Loss Only (Non-Standard)	70000
6	Sharia: Comprehensive (Standard)	90000
7	Extension: Third Party Liability (TPL)	1
8	Extension: Personal Accident (Passenger/Rider)	2
9	Extension: Earthquake	4
10	Extension: Flood	8
11	Extension: Riots and Civil Commotion	16
12	Extension: Storm	32
13	Extension: Terrorism and Sabotage	64
14	Extension: Others	128

For motor vehicle insurance coverage covering the remaining credit balance, the code used is Total Loss Only (Non-Standard) coverage, which replaces a maximum amount equal to the vehicle owner's credit balance, not the initial insured value. For this type, the insured value is filled with the initial insured value.

7. Incident Date
   Incident Date is the date of the accident, not the date the claim was approved or paid, with a date format (dd/mm/yyyy).

8. Incident Area Code
   Incident Area Code is the standard code indicating the location of the claim or the nearest police station address in the claim's incident area. The code is divided by observation region as follows:

No	Region	Code
1	Jabodetabek (Jakarta, Bogor, Depok, Tangerang, and Bekasi)	01
2	West Java Province	02
3	Banten Province	03
4	Central Java Province	04
5	East Java Province	05
6	DI Yogyakarta Province	06
7	Bali Province	07
8	West Nusa Tenggara Province	08
9	East Nusa Tenggara Province	09
10	Maluku Province	10
11	North Maluku Province	11
12	West Papua Province	12
13	Papua Province	13
14	North Sulawesi Province	14
15	Gorontalo Province	15
16	Central Sulawesi Province	16
17	West Sulawesi Province	17
18	Southeast Sulawesi Province	18
19	South Sulawesi Province	19
20	East Kalimantan Province	20
21	South Kalimantan Province	21
22	West Kalimantan Province	22
23	Central Kalimantan Province	23
24	Nanggroe Aceh Darussalam Province	24
25	North Sumatra Province	25
26	West Sumatra Province	26
27	Riau Province	27
28	Batam Authority Region	28
29	Riau Islands Province (excluding code 28)	29
30	Bangka Belitung Province	30
31	Jambi Province	31
32	Bengkulu Province	32
33	South Sumatra Province	33
34	Lampung Province	34
35	North Kalimantan Province	35
36	Others	99

9. Claim Code
   Claim Code is the standard code indicating the type of claim. The code for each type of claim is as follows:

No	Claim Type	Code
1	Partial Loss	P
2	Total Loss	T
3	Third Party Legal Liability	L
4	Personal Accident	A
5	Others	X

10. Cause Code
    Cause Code is the standard code indicating the type of claim cause (Nature of Loss). The code for each type of cause is as follows:

No	Cause	Code
1	Collision Due to Own Fault	A
2	Collision Due to Other's Fault	B
3	Partial Theft	C
4	Total Theft (Vehicle Loss)	D
5	Malicious Act	E
6	Fire	F
7	Earthquake	G
8	Flood	H
9	Riots and Civil Commotion	I
10	Storm	J
11	Terrorism or Sabotage	K
12	Others	X

11. Claim Submitted
    Claim Submitted is the Rupiah amount of the claim submitted by the workshop or policyholder, or the estimated claim amount to be paid.

12. Deductible
    Deductible is the Rupiah amount borne by the vehicle owner applied to the claim.

13. Claim Cost
    Claim Cost is the Rupiah amount incurred by the Company related to the claim, such as investigation costs, appraiser costs, mediation costs, lawyer costs, towing costs, and others.

14. Claim Approved
    Claim Approved is the Rupiah amount approved by the Company to pay the claim, with a maximum amount equal to Total Claim minus deductible. Claim Approved does not include Claim Cost.

15. Currency
    Currency is the currency code used in claim approval. The currency codes used are as follows:

No	Currency	Code
1	Rupiah	01
2	US Dollar	02
3	Singapore Dollar	03
4	Malaysian Ringgit	04
5	Japanese Yen	05
6	Euro	06
7	Others	99

16. Approval Date
    Approval Date is the settlement date.

17. Validity
    Validity is the status code for claim data information. The status codes for claim data information are as follows:

No	Usage	Code
1	Normal Claim (according to policy terms)	A
2	Ex Gratia Claim (outside policy terms/including exclusions)	B
3	Salvage	C
4	Subrogation	D
5	Others	X

C. FORMAT FOR COVERAGE DATA SUMMARY REPORT
The Coverage Data Summary Report is a control report on the detailed data submitted by the Company in database form.

Explanation of Coverage Data Summary Report Format Number of Records is the number of rows or records of coverage data information stored in the table according to the currency used in the policy. If foreign currency is used, the Company must create a coverage data summary in that foreign currency.

Insured Value, Gross Premium/Contribution, Acquisition Costs, and Operational Costs are the sum of all coverage data in Rupiah and foreign currency. For coverage in foreign currency, it is submitted in Rupiah units using the exchange rate as of December 31 used by the Company.

D. FORMAT FOR CLAIM DATA SUMMARY REPORT The Claim Data Summary Report is a control report on the detailed claim data submitted by the Company in database form.

Explanation of Claim Data Summary Report Format Number of Records is the number of records or rows of claim data information stored in the table according to the currency used in the policy. If foreign currency is used, the Company must create a claim data summary in that foreign currency.

Claim Submitted, Deductible, Claim Cost, and Claim Approved are the sum of all coverage data in Rupiah and foreign currency. For claims paid in foreign currency, they are submitted in Rupiah units using the exchange rate as of December 31 used by the Company.

E. FORMAT FOR PREMIUM/CONTRIBUTION ANALYSIS REPORT The Premium/Contribution Analysis Report is an initial analysis of the data submitted by the Company in database form.

Explanation of Premium/Contribution Analysis Report Format The Rupiah amount of Gross Premium/Contribution, Acquisition Costs, and Operational Costs is the sum of all data in Rupiah plus the amount of data in foreign currency converted to Rupiah. Conversion to Rupiah uses the exchange rate as of December 31. The percentage is the percentage size of each row based on the Rupiah amount of each row divided by the total Rupiah amount of Gross Premium/Contribution.

F. FORMAT FOR CLAIM ANALYSIS REPORT The Claim Analysis Report is an initial analysis of the data submitted by the Company in database form.

Explanation of Claim Analysis Report Format Claim Submitted, Claim Approved, Claim Not Approved, and Claim Cost are the sum of all data in Rupiah plus the amount of data in foreign currency converted to Rupiah. Conversion to Rupiah uses the exchange rate as of December 31. The percentage is the percentage size of each row based on the Rupiah amount of each row divided by the total Rupiah amount of Claim Submitted.

G. FORMAT FOR UNDERWRITING SURPLUS ANALYSIS REPORT The Underwriting Surplus Analysis Report is an initial analysis of the data submitted by the Company in database form and is not the actual Underwriting Surplus Analysis. This Underwriting Surplus Analysis is incomplete because reinsurance/co-insurance transaction values, investment results, and other costs are not included in the calculation.

Explanation of Underwriting Surplus Analysis Report Format Underwriting Surplus is Gross Premium/Contribution minus Acquisition Costs and Operational Costs minus Claim Approved, and Claim Cost. Underwriting Surplus Ratio is the ratio of the distribution of underwriting surplus value divided by the total Gross Premium/Contribution revenue.

H. LIST OF MOTOR VEHICLE BRAND AND MODEL CODES PASSENGER VEHICLES

No	Code	Brand/Model
1	10 001	AUDI A 3
2	10 002	AUDI A 4
3	10 003	AUDI A 6
4	10 004	AUDI A 8
5	10 005	AUDI ALLROAD
6	10 006	AUDI TT 1.8 TURBO
7	10 007	AUDI A 5
8	10 008	AUDI Q 3
9	10 009	AUDI Q 5
10	10 010	AUDI Q 7
11	10 011	AUDI R 8
12	10 012	AUDI TTS
13	10 099	AUDI Others
14	11 001	BIMANTARA ARYA 2.5
15	11 002	BIMANTARA CAKRA 1.5
16	11 003	BIMANTARA NENGGALA 1.6
17	11 099	BIMANTARA Others
18	12 001	BMW 120 I
19	12 002	BMW Series 3
20	12 003	BMW Series 5
21	12 004	BMW Series 6
22	12 005	BMW Series 7
23	12 006	BMW X3
24	12 007	BMW X5
25	12 008	BMW Series Z
26	12 099	BMW Others
27	13 001	CHEVROLET AVEO
28	13 002	CHEVROLET BLAZER
29	13 003	CHEVROLET EXPRESS
30	13 004	CHEVROLET OPTRA
31	13 005	CHEVROLET SPARK
32	13 006	CHEVROLET TAVERA
33	13 007	CHEVROLET TROOPER
34	13 008	CHEVROLET ZAFIRA
35	13 009	CHEVROLET CAPTIVA
36	13 010	CHEVROLET COLORADO
37	13 011	CHEVROLET CRUZE
38	13 012	CHEVROLET KALOS
39	13 013	CHEVROLET ORLANDO
40	13 014	CHEVROLET SPIN
41	13 099	CHEVROLET Others
42	14 001	CHRYSLER DODGE
43	14 002	CHRYSLER CHEROKEE
44	14 003	CHRYSLER WRANGLER
45	14 004	CHRYSLER PT CRUISER
46	14 005	CHRYSLER 300
47	14 099	CHRYSLER Others
48	15 001	DAEWOO ESPERO
49	15 002	DAEWOO LANOS
50	15 003	DAEWOO LEGANZA
51	15 004	DAEWOO MATIZ
52	15 005	DAEWOO NEXIA
53	15 006	DAEWOO NUBIRA
54	15 007	DAEWOO TACUMA
55	15 099	DAEWOO Others
56	16 001	DAIHATSU CERIA
57	16 002	DAIHATSU CLASSY
58	16 003	DAIHATSU COPEN
59	16 004	DAIHATSU ESPASS
60	16 005	DAIHATSU FEROZA
61	16 006	DAIHATSU ZEBRA
62	16 007	DAIHATSU TAFT
63	16 008	DAIHATSU TARUNA
64	16 009	DAIHATSU TERIOS
65	16 010	DAIHATSU XENIA
66	16 011	DAIHATSU YRV
67	16 012	DAIHATSU AYLA
68	16 013	DAIHATSU GRAN MAX
69	16 014	DAIHATSU LUXIO
70	16 015	DAIHATSU SIRION
71	16 099	DAIHATSU Others
72	17 001	FORD ESCAPE
73	17 002	FORD EVEREST
74	17 003	FORD LASER CHAMP
75	17 004	FORD LYNX
76	17 005	FORD RANGER
77	17 006	FORD TELSTAR
78	17 007	FORD ECOSPORT
79	17 008	FORD FIESTA
80	17 009	FORD FOCUS
81	17 099	FORD Others
82	18 001	HONDA ACCORD
83	18 002	HONDA CITY
84	18 003	HONDA CIVIC
85	18 004	HONDA CR-V
86	18 005	HONDA FIT / JAZZ
87	18 006	HONDA ODYSSEY
88	18 007	HONDA STREAM
89	18 008	HONDA BRIO
90	18 009	HONDA BRIO SATYA
91	18 010	HONDA CR-Z
92	18 011	HONDA FREED
93	18 012	HONDA MOBILIO
94	18 099	HONDA Others
95	19 001	HYUNDAI ACCENT
96	19 002	HYUNDAI ATOZ
97	19 003	HYUNDAI COUPE
98	19 004	HYUNDAI GETZ
99	19 005	HYUNDAI GRACE
100	19 006	HYUNDAI GRANDEUR
101	19 007	HYUNDAI GRACE
102	19 008	HYUNDAI MATRIX
103	19 009	HYUNDAI SANTA
104	19 010	HYUNDAI SONATA
105	19 011	HYUNDAI TRAJET
106	19 012	HYUNDAI ELANTRA
107	19 013	HYUNDAI AVEGA
108	19 014	HYUNDAI EXCEL
109	19 015	HYUNDAI GRAND AVEGA
110	19 016	HYUNDAI H 1
111	19 017	HYUNDAI I 10
112	19 018	HYUNDAI I 20
113	19 019	HYUNDAI STAREX
114	19 020	HYUNDAI TUCSON
115	19 099	HYUNDAI Others
116	20 001	ISUZU D-MAX
117	20 002	ISUZU PANTHER
118	20 099	ISUZU Others
119	21 001	JAGUAR DAIMLER
120	21 002	JAGUAR S-TYPE
121	21 003	JAGUAR XJ
122	21 004	JAGUAR XF
123	21 005	JAGUAR XK
124	21 099	JAGUAR Others
125	22 001	KIA BIG UP
126	22 002	KIA CARNIVAL
127	22 003	KIA CARRENS
128	22 004	KIA CERES
129	22 005	KIA MAGENTIS
130	22 006	KIA PREGIO
131	22 007	KIA RIO
132	22 008	KIA SHUMA
133	22 009	KIA SEDONA
134	22 010	KIA SPECTRA
135	22 011	KIA SPORTAGE
136	22 012	KIA SORENTO
137	22 013	KIA VISTO
138	22 014	KIA PICANTO
139	22 015	KIA TRAVELO
140	22 016	KIA CERATO
141	22 099	KIA Others
142	23 001	LANDROVER DEFENDER
143	23 002	LANDROVER DISCOVERY
144	23 003	LANDROVER FREELANDER
145	23 004	LANDROVER RANGE ROVER
146	23 099	LANDROVER Others
147	24 001	MAZDA 323
148	24 002	MAZDA 626
149	24 003	MAZDA E-2000
150	24 004	MAZDA MPV 2.5
151	24 005	MAZDA MR 90
152	24 006	MAZDA MX 6
153	24 007	MAZDA PREMACY
154	24 008	MAZDA MAZDA RX 8
155	24 009	MAZDA VANTREND ST. WAGON
156	24 010	MAZDA TRIBUTE
157	24 011	MAZDA B-SERIES 2.5
158	24 012	MAZDA 2
159	24 013	MAZDA 6
160	24 014	MAZDA 8
161	24 015	MAZDA BIANTE
162	24 016	MAZDA CX-5
163	24 017	MAZDA CX-7
164	24 018	MAZDA CX-9
165	24 019	MAZDA MX-5
166	24 020	MAZDA RX-8
167	24 021	MAZDA VX-1
168	24 099	MAZDA Others
169	25 001	MERCEDEZ BENZ A-CLASS
170	25 002	MERCEDEZ BENZ C-CLASS
171	25 003	MERCEDEZ BENZ E - CLASS
172	25 004	MERCEDEZ BENZ ML - CLASS
173	25 005	MERCEDEZ BENZ S - CLASS
174	25 006	MERCEDEZ BENZ V - CLASS
175	25 007	MERCEDEZ BENZ ACTROS
176	25 008	MERCEDEZ BENZ AXOR
177	25 009	MERCEDEZ BENZ G - CLASS
178	25 010	MERCEDEZ BENZ GL - CLASS
179	25 011	MERCEDEZ BENZ R - CLASS
180	25 012	MERCEDEZ BENZ SL - CLASS
181	25 013	MERCEDEZ BENZ SPRINTER
182	25 014	MERCEDEZ BENZ VIANO
183	25 099	MERCEDEZ BENZ Others
184	26 001	MITSUBISHI COLT L 300
185	26 002	MITSUBISHI COLT T 120 SS
186	26 003	MITSUBISHI CHARIOT
187	26 004	MITSUBISHI ETERNA
188	26 005	MITSUBISHI GALANT
189	26 006	MITSUBISHI GRANDIS
190	26 007	MITSUBISHI KUDA
191	26 008	MITSUBISHI L 200
192	26 009	MITSUBISHI LANCER
193	26 010	MITSUBISHI PAJERO
194	26 011	MITSUBISHI MAVEN
195	26 012	MITSUBISHI MIRAGE
196	26 013	MITSUBISHI OUTLANDER
197	26 014	MITSUBISHI TRITON
198	26 099	MITSUBISHI Others
199	27 001	NISSAN CEFIRO
200	27 002	NISSAN GENESIS
201	27 003	NISSAN INFINITY
202	27 004	NISSAN PATROL
203	27 005	NISSAN SENTRA
204	27 006	NISSAN SERENA
205	27 007	NISSAN SILVIA
206	27 008	NISSAN TERRANO
207	27 009	NISSAN X-TRAIL
208	27 010	NISSAN TEANA
209	27 011	NISSAN SUNNY
210	27 012	NISSAN NISSAN MARCH
211	27 013	NISSAN ALMERA
212	27 014	NISSAN ELGRAND
213	27 015	NISSAN EVALIA
214	27 016	NISSAN FAIRLADY
215	27 017	NISSAN GRAND LIVINA
216	27 018	NISSAN GT-R
217	27 019	NISSAN JUKE
218	27 020	NISSAN LATIO
219	27 021	NISSAN LIVINA
220	27 022	NISSAN MURANO
221	27 023	NISSAN NAVARA
222	27 099	NISSAN Others
223	28 001	OPEL BLAZER
224	28 002	OPEL OPTIMA
225	28 003	OPEL VECTRA
226	28 099	OPEL Others
227	29 001	PEUGEOT Series 2
228	29 002	PEUGEOT Series 3
229	29 003	PEUGEOT Series 4
230	29 004	PEUGEOT Series 8
231	29 005	PEUGEOT PARTNER
232	29 006	PEUGEOT RCZ
233	29 007	PEUGEOT Series 5
234	29 099	PEUGEOT Others
235	30 001	RENAULT CLIO
236	30 002	RENAULT KANGOO
237	30 003	RENAULT LAGUNA
238	30 004	RENAULT SCENIC
239	30 005	RENAULT DUSTER
240	30 006	RENAULT KOLEOS
241	30 007	RENAULT MEGANE
242	30 099	RENAULT Others
243	31 001	SSYANGYONG BOXER
244	31 002	SSYANGYONG CHAIRMAN
245	31 003	SSYANGYONG KORANDO
246	31 004	SSYANGYONG MUSSO
247	31 005	SSYANGYONG REXTON
248	31 099	SSYANGYONG Others
249	32 001	SUBARU FORESTER
250	32 002	SUBARU IMPREZA
251	32 003	SUBARU LEGACY
252	32 004	SUBARU OUTBACK
253	32 005	SUBARU BRZ
254	32 006	SUBARU EXIGA
255	32 007	SUBARU TRIBECCA
256	32 008	SUBARU XV
257	32 099	SUBARU Others
258	33 001	SUZUKI APV
259	33 002	SUZUKI AERIO
260	33 003	SUZUKI BALENO
261	33 004	SUZUKI CARRY
262	33 005	SUZUKI ESCUDO
263	33 006	SUZUKI ESTEEM
264	33 007	SUZUKI EVERY
265	33 008	SUZUKI KARIMUN
266	33 009	SUZUKI KATANA
267	33 010	SUZUKI SIDEKICK
268	33 011	SUZUKI VITARA
269	33 012	SUZUKI SWIFT
270	33 013	SUZUKI A-STAR
271	33 014	SUZUKI ERTIGA
272	33 015	SUZUKI FUTURA
273	33 016	SUZUKI GRAND VITARA
274	33 017	SUZUKI SPLASH
275	33 018	SUZUKI SX4
276	33 019	SUZUKI WAGON-R
277	33 099	SUZUKI Others
278	34 001	TIMOR S 515
279	34 099	TIMOR Others
280	35 001	TOYOTA ALPHARD
281	35 002	TOYOTA AVANZA
282	35 003	TOYOTA CAMRY
283	35 004	TOYOTA COROLLA
284	35 005	TOYOTA CORONA
285	35 006	TOYOTA NEW CROWN
286	35 007	TOYOTA CYGNUS
287	35 008	TOYOTA TOYOTA FORTUNER
288	35 009	TOYOTA HARRIER
289	35 010	TOYOTA HILUX TIGER
290	35 011	TOYOTA IST
291	35 012	TOYOTA KIJANG
292	35 013	TOYOTA LAND CRUISER
293	35 014	TOYOTA PRADO
294	35 015	TOYOTA PREVIA
295	35 016	TOYOTA PROBOX
296	35 017	TOYOTA RAV
297	35 018	TOYOTA SOLUNA
298	35 019	TOYOTA STARLET
299	35 020	TOYOTA VIOS
300	35 021	TOYOTA WISH
301	35 022	TOYOTA NOAH / VOXY
302	35 023	TOYOTA 86
303	35 024	TOYOTA AGYA
304	35 025	TOYOTA COROLLA ALTIS
305	35 026	TOYOTA ETIOS
306	35 027	TOYOTA FT CRUISER
307	35 028	TOYOTA HI-ACE
308	35 029	TOYOTA INNOVA
309	35 030	TOYOTA LIMO
310	35 031	TOYOTA MARK X
311	35 032	TOYOTA NAV1
312	35 033	TOYOTA PRIUS
313	35 034	TOYOTA RUSH
314	35 035	TOYOTA YARIS
315	35 099	TOYOTA Others
316	36 001	VOLKSWAGEN CARAVELLE
317	36 002	VOLKSWAGEN GOLF
318	36 003	VOLKSWAGEN NEW BEETLE
319	36 004	VOLKSWAGEN PASSAT
320	36 005	VOLKSWAGEN NEW POLO
321	36 006	VOLKSWAGEN TOUAREG
322	36 007	VOLKSWAGEN PANEL VAN
323	36 008	VOLKSWAGEN SCIROCCO
324	36 009	VOLKSWAGEN TIGUAN
325	36 010	VOLKSWAGEN TOURAN
326	36 011	VOLKSWAGEN TRANSPORTER
327	36 099	VOLKSWAGEN Others
328	37 001	VOLVO 740
329	37 002	VOLVO 850
330	37 003	VOLVO 960
331	37 004	VOLVO S 90
332	37 005	VOLVO S 60
333	37 006	VOLVO S 70
334	37 007	VOLVO S 80
335	37 008	VOLVO S 40
336	37 009	VOLVO V 40
337	37 010	VOLVO V 70
338	37 011	VOLVO XC
339	37 012	VOLVO C 30
340	37 099	VOLVO Others

341 38 001 Chery QQ
342 38 002 Chery TRANSCAR
343 38 003 Chery EASTAR
344 38 004 Chery TIGGO
345 38 005 Chery TRANSCAB
346 38 099 Chery Other
347 39 001 Datsun GO LOW
348 39 002 Datsun GO HIGH
349 39 003 Datsun GO+
350 39 099 Datsun Other
351 40 001 FOTON VIEW
352 40 099 FOTON Other
353 41 001 GEELY LC
354 41 002 GEELY MK
355 41 099 GEELY Other
356 42 001 LEXUS IS
357 42 002 LEXUS GS
358 42 003 LEXUS RX
359 42 004 LEXUS LS
360 42 005 LEXUS LX
361 42 099 LEXUS Other
362 43 001 MINI COOPER
363 43 099 MINI Other
364 44 001 PROTON SAGA
365 44 002 PROTON SAWY
366 44 003 PROTON PERSONA
367 44 004 PROTON PREVE
368 44 005 PROTON GEN2
369 44 006 PROTON NEO
370 44 007 PROTON EXORA
371 44 008 PROTON ARENA
372 44 099 PROTON Other
373 45 001 SMART FORTWO
374 45 099 SMART Other
375 46 001 TATA Nano STD
376 46 002 TATA Nano CX
377 46 003 TATA Nano LX
378 46 099 TATA Other
379 59 001 OTHER Other

PASSENGER VEHICLES (BUSES)
380 60 001 DAIHATSU DELTA
381 60 099 DAIHATSU Other
382 61 001 HINO Series FF
383 61 002 HINO Series FL
384 61 003 HINO Series FM
385 61 004 HINO Series SG
386 61 005 HINO DUTRO
387 61 006 HINO A2
388 61 007 HINO R260

389 61 008 HINO Series FB
390 61 099 HINO Other
391 62 001 ISUZU BORNEO
392 62 002 ISUZU CXZ
393 62 003 ISUZU ELF
394 62 004 ISUZU BISON
395 62 005 ISUZU NKR
396 62 099 ISUZU Other
397 63 001 MITSUBISHI COLT DIESEL 398 63 002 MITSUBISHI FUSO 399 63 003 MITSUBISHI TRONTON 400 63 004 MITSUBISHI Series FE 401 63 099 MITSUBISHI Other 402 64 001 NISSAN CDA 403 64 002 NISSAN CKA 404 64 003 NISSAN CWA 405 64 004 NISSAN PKC 406 64 005 NISSAN PKD 407 64 099 NISSAN Other 408 65 001 TOYOTA DYNA RINO 409 65 002 TOYOTA DYNA 115 S 410 65 099 TOYOTA Other 411 66 001 SCANIA SCANIA BUS 412 66 099 SCANIA Other 413 67 001 MERCEDES BENZ OH 1518 414 67 002 MERCEDES BENZ OH 1521 415 67 003 MERCEDES BENZ OH 1525 416 67 004 MERCEDES BENZ OH 1526 417 67 005 MERCEDES BENZ OH 1626 418 67 006 MERCEDES BENZ OH 1836 419 67 099 MERCEDES BENZ Other 420 79 001 Other Other

FREIGHT VEHICLES (TRUCKS, PICK-UPS) 421 80 001 DAIHATSU DELTA 422 80 002 DAIHATSU Zebra Pick Up 423 80 003 DAIHATSU GRAN MAX PICK UP 424 80 099 DAIHATSU Other 425 81 001 HINO Series FF 426 81 002 HINO Series FL 427 81 003 HINO Series FM 428 81 004 HINO Series SG 429 81 005 HINO DUTRO 430 81 006 HINO 110 431 81 007 HINO 130 432 81 099 HINO Other 433 82 001 ISUZU BORNEO 434 82 002 ISUZU CXZ 435 82 003 ISUZU ELF 436 82 004 ISUZU BISON

437 82 005 ISUZU D-MAX PICK UP 438 82 006 ISUZU NHR 439 82 007 ISUZU NKR 440 82 008 ISUZU NQR 441 82 009 ISUZU PANTHER PICK UP 442 82 099 ISUZU Other 443 83 001 MITSUBISHI COLT DIESEL 444 83 002 MITSUBISHI FUSO 445 83 003 MITSUBISHI TRONTON 446 83 004 MITSUBISHI Kuda Pick Up 447 83 005 MITSUBISHI STRADA 448 83 006 MITSUBISHI L-300 449 83 007 MITSUBISHI Series FE 450 83 008 MITSUBISHI T-120 451 83 099 MITSUBISHI Other 452 84 001 NISSAN CDA 453 84 002 NISSAN CKA 454 84 003 NISSAN CWA 455 84 004 NISSAN PKC 456 84 005 NISSAN PKD 457 84 006 NISSAN NAVARA PICK UP 458 84 099 NISSAN Other 459 85 001 TOYOTA DYNA RINO 460 85 002 TOYOTA DYNA 115 S 461 85 003 TOYOTA Kijang Pick Up 462 85 004 TOYOTA HILUX PICK UP 463 85 099 TOYOTA Other 464 86 001 SCANIA TRONTON 465 86 099 SCANIA Other 466 87 001 CHERY TRANSCAB 467 87 099 CHERY Other 468 88 001 CHEVROLET COLORADO PICK UP 469 88 099 CHEVROLET Other 470 89 001 FORD RANGER PICK UP 471 89 099 FORD Other 472 90 001 FOTON BJ 473 90 099 FOTON Other 474 91 001 GREAT WALL WINGLE 475 91 099 GREAT WALL Other 476 92 001 HYUNDAI HD 477 92 099 HYUNDAI Other 478 93 001 KIA BIG UP PICK UP 479 93 099 KIA Other 480 94 001 MAZDA BT 481 94 099 MAZDA Other 482 96 001 SUZUKI FUTURA 483 96 002 SUZUKI APV PICK UP 484 96 099 SUZUKI Other 485 97 001 FAW CA

486 97 099 FAW Other
487 98 001 MAN CLA
488 98 002 MAN TGS (Cat. 5)
489 98 099 MAN Other
490 99 001 Other Other

MOTORCYCLES
491 95 001 Motorcycle Motorcycle

Established in Jakarta,
On September 28, 2015
EXECUTIVE SUPERVISOR OF INSURANCE, PENSION FUNDS, FINANCING INSTITUTIONS, AND OTHER FINANCIAL SERVICE INSTITUTIONS FINANCIAL SERVICES AUTHORITY, signed FIRDAUS DJAELANI

Copy consistent with the original Legal Director 1 Legal Department signed Sudarmaji