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20240221_ASDM_Laporan Informasi dan Fakta Material_31579536_lamp2.pdf

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Page 1 OCR 0.917
Jakarta, 21 Februari 2024
No. Ref.: B.009/CS/II/2024

Kepada Yth. / 70

Otoritas Jasa Keuangan (OJK)
Gedung Sumitro Djojohadikusumo
Jl. Lapangan Banteng Timur No. 2-4
Jakarta 10710

Up. Kepala Eksekutif Pengawas Pasar Modal,
Keuangan Derivatif, dan Bursa Karbon

Perihal : Keterbukaan Informasi atau Fakta
Material
Dengan hormat,

Dengan ini kami untuk dan atas nama PT Asuransi
Dayin Mitra Tbk (“Perseroan”), menyampaikan
Keterbukaan Informasi atau Fakta Material sebagai
berikut:

Nama Emiten / Name of Issuer
Bidang Usaha / Scope of Business
Telepon / Telephone

Alamat surat elektronik / e-mai/

Attn. Chief Executive of Capital Markets, Financial

Derivatives, and Carbon — Exchange
Supervision
Re. : Disclosure of Material Information or Fact

Wiith due respect,

For and on behalf of PT Asuransi Dayin Mitra Tbk
(“the Company”), we hereby convey the following
Disclosure of Material Information or Fact as
follows:

: PT Asuransi Dayin Mitra Tbk (ASDM)
: Asuransi Umum Konvensional / General Insurance
: 021-80868888

inmitra.

1. | Tanggal Kejadian
Date of Event

20 Februari 2024
February 20, 2024

2. | Jenis Informasi
atau Fakta

Material

Type of Material
Information or Fact

Hasil Penilaian Kemampuan dan Kepatutan Calon Direksi Perseroan.
The results of the fit and proper test of Director Candidates of the Company.

3. | Uraian Informasi
atau Fakta Material
Description of
Material

Information or Fact

Berdasarkan surat dari Otoritas Jasa Keuangan Nomor S-534/PD.021/2024
tertanggal 20 Februari 2024 dan Keputusan Dewan Komisioner Otoritas Jasa
Keuangan Nomor KEP-87/PD.02/2024 tentang Hasil Penilaian Kemampuan
dan Kepatutan Sdri. Rosa Djunaidi selaku Calon Direktur PT Asuransi Dayin
Mitra Tbk, memutuskan bahwa Sdri. Rosa Djunaidi dinyatakan memenuhi

hg

PT ASURANSI DAYIN MITRA Tbk
WISMA HAYAM WURUK, 7" floor » Jl. Hayam Wuruk No. 8 » Jakarta 10120 - Indonesia
T. (62-21) 3086 8888 (Hunting) - Website : www.asuransidayinmitra.com

General

Insurance

Anggota AAUI No. 073.01041999.2.01

Page 2 OCR 0.940
persyaratan dan disetujui untuk menjadi Direktur pada PT Asuransi Dayin
Mitra Tbk yang mana keputusan tersebut mulai berlaku sejak tanggal
ditetapkannya yaitu pada tanggal 19 Februari 2024.

Based on letter from the Financial Services Authority Number S-
534/PD.021/2024 dated February 20, 2024 and Decree of the Board of
Commissioners Of the Financial Services Authority Number KEP-
87/PD.02/2024 concerning the Results of the Fit and Proper Assessment of
Ms. Rosa Djunaidi as Candidate of the Director of PT Asuransi Dayin Mitra
Tbk, decided that Ms. Rosa Djunaidi was dellared to have met the
reguirements and was approved to become Director of PT Asuransi Dayin
Mitra Tbk, where the decision came into effect from the date of enactment,
February 19, 2024.

Bahwa berdasarkan hasil Rapat Umum Pemegang Saham Luar Biasa
(RUPSLB) pada tanggal 21 November 2023 yang menyebutkan bahwa
pengangkatan Sdri. Rosa Djunaidi sebagai Direktur Perseroan efektif setelah
mendapatkan persetujuan dari Otoritas Jasa Keuangan atas Penilaian
Kemampuan dan Kepatutan, maka dengan adanya Hasil Penilaian
Kemampuan dan Kepatutan Otoritas Jasa Keuangan tersebut Sdri. Rosa
Djunaidi telah efektif menjabat sebagai Direktur Perseroan.

Based on the results of the decisions of the Extraordinany General Meeting
Of Shareholders (EGMS), which was held on November 21, 2023 which stated
that the appointment of Ms. Rosa Djunaidi as Director of the Company
became effective after obtaining approval from the Financial Services
Authority for the Capability and Proper Assessment, with the results of the
Capability and Proper Testing Assessment from the Financial Services
Authority, Ms. Rosa Djunaidi has effectively served as Director of the
Company.

Dampak kejadian,
informasi atau
fakta material
tersebut terhadap
kegiatan
operasional,
hukum, kondisi
keuangan, atau
kelangsungan
usaha Emiten atau
Perusahaan Publik
Impact of the
event or material
information or fact
on the operations,

Tidak ada
None

PT ASURANSI DAYIN MITRA Tbk

General Insurance
Page 3 OCR 0.893
legal matters,
financial condition
or business
continuity of the
Issuer or Public

Company

5. | Keterangan lain- | Tidak ada
lain None .
Other information

Demikian pemberitahuan ini kami sampaikan, atas Thus we convey this information. Thank you for
perhatiannya kami ucapkan terima kasih. Your kind attention.

$- Hormat kami, / Best Regards,
x PT Asuransi Dayin Mitra Tbk

tag Ti
Purnama Hadiwidjaja
Corporate Secretary

PT ASURANSI DAYIN MITRA Tbk

General Insurance

File

File Open PDF
Source IDX
Size0.15 MB
Published21 Feb 2024
Pages3
Characters4,518
Text sourceOCR
OCR confidence0.917

Names mentioned 5 people and organisations named in the text · linked when the evidence is strong

linked org Asuransi Dayin Mitra Tbk p.1 ×32
linked person Rosa Djunaidi · Direktur p.1 ×16
linked person Purnama Hadiwidjaja p.3
possible org Otoritas Jasa Keuangan p.1 ×5
unresolved org Financial Services Authority p.2 ×4

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