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20240221_ASDM_Laporan Informasi dan Fakta Material_31579536_lamp1.pdf

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Page 1 OCR 0.915
Jakarta, 21 Februari 2024

No. Ref.: B.010/CS/II/2024

Kepada Yth. / 70
Bursa Efek Indonesia

Gedung Bursa Efek Indonesia, Tower I Lantai 6
Jl. Jend. Sudirman Kav. 52- 53 kd

Jakarta 12190

Up. Direksi

Attn. Directors

Perihal : Keterbukaan Informasi atau Fakta Re. : Disclosure of Material Information or Fact

Material

Dengan hormat,

Wilth due respect,

Dengan ini kami untuk dan atas nama PT Asuransi For and on behalf of PT Asuransi Dayin Mitra Tbk
Dayin Mitra Tbk (“Perseroan”), menyampaikan ("the Company"), we hereby convey the following

Keterbukaan Informasi atau Fakta Material sebagai re of Material Information or Fact as
berikut: follows:

Nama Emiten / Name of Issuer : PT Asuransi Dayin Mitra Tbk (ASDM)

Bidang Usaha / Scope of Business : Asuransi Umum Konvensional / General Insurance

Telepon / Telephone 1 021-80868888

Alamat surat elektronik / e-mai/ B itra.com
1. | Tanggal Kejadian | 20 Februari 2024

Date of Event February 20, 2024

2. | Jenis Informasi

Hasil Penilaian Kemampuan dan Kepatutan Calon Direksi Perseroan.

atau Fakta The results of the fit and proper test of Director Candidates of the Company.
Material

Type of Material &

Information or Fact

Description
Material

3. | Uraian Informasi | Berdasarkan surat dari Otoritas Jasa Keuangan Nomor S-534/PD.021/2024
atau Fakta Material | tertanggal 20 Februari 2024 dan Keputusan Dewan Komisioner Otoritas Jasa
Of | Keuangan Nomor KEP-87/PD.02/2024 tentang Hasil Penilaian Kemampuan

dan Kepatutan Sdri. Rosa Djunaidi selaku Calon Direktur PT Asuransi Dayin

Information or Fact | Mitra Tbk, memutuskan bahwa Sdri. Rosa Djunaidi dinyatakan memenuhi

persyaratan dan disetujui untuk menjadi Direktur pada PT Asuransi Dayin

“

PT ASURANSI DAYIN MITRA Tbk

WISMA HAYAM WURUK, 7" floor » Jl. Hayam Wuruk No. 8 « Jakarta 10120 - Indonesia

T. (62-21) 8086 8888 (Hunting) - Website : www.asuransidayinmitra.com
General Insurance
Anggota AAUI No. 073.01041999.2.01

Page 2 OCR 0.933
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 declared to have met the
reguirements and was approved to become Direftor 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 Extraordinary 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,
legal matters,

Tidak ada
None

IN

PT ASURANSI DAYIN MITRA Tbk

General Insurance
Page 3 OCR 0.889
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.

t Hormat kami, / Best Regards,
“T Asuransi Dayin Mitra Tbk

SL

Purnama Hadiwidjaja
Corporate Secretary

PT ASURANSI DAYIN MITRA Tbk

General Insurance

File

File Open PDF
Source IDX
Size0.15 MB
Published21 Feb 2024
Pages3
Characters4,381
Text sourceOCR
OCR confidence0.912

Names mentioned 10 people and organisations named in the text · linked when the evidence is strong

linked org Asuransi Dayin Mitra Tbk p.1 ×21
linked person Rosa Djunaidi · Direktur p.1 ×16
linked person Purnama Hadiwidjaja p.3
possible org Bursa Efek Indonesia p.1 ×2
possible org Otoritas Jasa Keuangan p.1 ×3
possible org T Asuransi Dayin Mitra Tbk p.3
unresolved org PT Asuransi Dayin Information p.1
unresolved org Mitra Tbk p.1 ×2
unresolved org PT Asuransi Dayin p.1
unresolved org Financial Services Authority p.2 ×4

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