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ZAI Director Statement 1223.pdf

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Page 1 OCR 0.903
SURAT PERNYATAAN DIREKSI
TENTANG TANGGUNG JAWAB ATAS
LAPORAN KEUANGAN KONSOLIDASIAN
TANGGAL 31 DECEMBER 2023

(9 ZURICH

BOARD OF DIRECTORS' STATEMENT LETTER
REGARDING THE RESPONSIBILITY FOR
THE CONSOLIDATED FINANCIAL STATEMENTS
AS OF DECEMBER 31, 2023

DAN UNTUK TAHUN YANG BERAKHIR AND FOR THE YEAR
PADA TANGGAL TERSEBUT THEN ENDED
PT ZURICH ASURANSI INDONESIA TBK PT ZURICH ASURANSI INDONESIA TBK
DAN ENTITAS ANAKNYA AND ITS SUBSIDIARY

Kami yang bertanda tangan di bawah ini:

1.

Nama : Edhi Tjahja Negara

Alamat Kantor — : Graha Zurich
Jl. MT Haryono Kav. 42
Jakarta Selatan 12780

Alamat Rumah — : Cluster Aguamarine Selatan
Tangerang, Banten

We, the undersigned:

15

Name : Edhi Tjahja Negara

Office Address: Graha Zurich
Jl. MT Haryono Kav. 42
Jakarta Selatan 12780

Home Address — : Cluster Aguamarine Selatan
Tangerang, Banten

No. Telp. 1021-2966 7373 Phone Number  :021-2966 7373

Jabatan : Presiden Direktur Title : President Director

2. Nama : Wayan Pariama 2. Name : Wayan Pariama
Alamat Kantor — : Graha Zurich Office Address — : Graha Zurich

Jl. MT Haryono Kav. 42 Jl. MT Haryono Kav. 42

Jakarta Selatan 12780 Jakarta Selatan 12780
Alamat Rumah: Jl. Kebon Kacang 37 No. 26 Home Address: JI. Kebon Kacang 37 No. 26

Tanah Abang, Jakarta Pusat Tanah Abang, Jakarta Pusat

No. Telp. 1021-2966 7373 Phone Number: 021-2966 7373

Jabatan : Direktur Title : Director

menyatakan bahwa: declare that:

1. Kami bertanggung jawab atas penyusunan dan penyajian 1. We are responsible for the preparation and fair presentation
laporan keuangan konsolidasian PT Zurich Asuransi of the consolidated financial statements of PT Zurich
Indonesia Tbk dan Entitas Anaknya, Asuransi Indonesia Tbk (the “Company”) and its subsidiary,

2. Laporan keuangan konsolidasian Perusahaan dan Entitas 2. The consolidated financial statements of the Company and
Anaknya telah disusun dan disajikan sesuai dengan its Subsidiary have been prepared and presented in
Standar Akuntansi Keuangan di Indonesia, accordance with Indonesian Financial Accounting Standards,

3. 'a. Semua informasi dalam laporan keuangan 3. @a. All information in the consolidated financial statements of

konsolidasian Perusahaan dan Entitas Anaknya telah the Company and its Subsidiary have been disclosed in a
dimuat secara lengkap dan benar, complete and truthful manner,

b. Laporan keuangan konsolidasian Perusahaan dan b. The consolidated financial statements of the Company
Entitas Anaknya tidak mengandung informasi atau and its Subsidiary do not contain any incorrect information
fakta material yang tidak benar, dan tidak or material facts, nor do they omit information or material
menghilangkan informasi atau fakta material, facts,

4. Kami bertanggung jawab atas sistem pengendalian 4. We are responsible for the intemal control system of
internal Perusahaan dan Entitas Anaknya. the Company and its Subsidiary.

Demikian pernyataan ini dibuat dengan sebenarnya. This statement has been made truthfully.

Jakarta,20 Februari 2024/February 20, 2024

Atas nama dan mewakili Direksi/For and on behalf of the Board of Directors

Wayan Pariama

96F65ALX027240901 Director

p zoni vania Medara
President Directon

PT Zurich Asuransi Indonesia Tbk
Graha Zurich - Jl. Letjen MT. Haryono Kav. 42, Jakarta Selatan 12780, Indonesia

PT Zurich Asuransi Indonesia Tbk berizin dan diawasi oleh OJK
INTERNAL USE ONLY .—

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