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20260415_UNSP_Penambahan Modal Tanpa HMETD_32070739_lamp1.pdf
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Page 1 OCR 0.878
ANNEXURE II FORM OF NOTICE OF NOTEHOLDER INFORMATION PT BAKRIE SUMATERA PLANTATIONS TBK. (incorporated under the laws of the Republic of Indonesia) RELATING TO THE CONSENT SOLICITATION MEMORANDUM (THE "CONSENT SOLICITATION MEMORANDUM?) DATED 23 JANUARY 2026 FOR THE US$100 MILLION 8.0 PER CENT. SECURED EOVITY-LINKED REDEEMABLE NOTES DUE 2017 (ISIN: XS0474326260) YOU MUST SUBMIT AN ELECTRONIC INSTRUCTION IN THE CONSENT SOLICITATION (WHETHER YOU NOTE FOR OR AGAINST, OR VOTE TO ABSTAIN, IN RESPECT OF THE WRITTEN RESOLUTION) TO BE ELIGIBLE FOR THE SHARE SETTLEMENT IF THE WRITTEN RESOLUTION IS PASSED. IF THE WRITTEN RESOLUTION IS PASSED YOU MUST COMPLETE AND SUBMIT THIS FORM WITHIN 30 CALENDAR DAYS AFTER THE ISSUER NOTIFIES HOLDERS THAT THE WRITTEN RESOLUTION HAS BEEN EXECUTED TO ELECT TO RECEIVE THE SHARES SETTLEMENT. NOTEHOLDERS THAT DO NOT SUBMIT AN ELECTRONIC INSTRUCTION AND SUBMIT THIS FORM WILL NOT BE ENTITLED TO RECEIVE THE SHARE SETTLEMENT AND WILL RECEIVE THE CASH SETTLEMENT INSTEAD. Following the notice by the Issuer through the Ciearing Systems, that the Written Resolution has been executed, Notehoklers should complete this form and submit it by email to the Tabulation Agent (at: Gebtrestructuring@2bny.com) and the Issuer (at debt.restructuring@bakriesumatera.com) within 30 calendar days Of such notice if they wish to receive Shares in exchange for their Notes. Dotalis of tho Noton 1. | Name of Noteholder: 'ALEXANDER Kirk Bradford Z Principal Amount of Notes held by Noteholder: 3. | Ciearing System: ”——— Eurodear 4. | Euroclear/ Cloarstream Direct Participant Name: 5. | Euroclear / Clearstream Direct Participant Number: 6. / Electronic Acceptance Blocking Instruction Reference Number: LGT Bank AG ke) CamScanner
Page 2 OCR 0.835
Notoholder Dotalis (Ifa natural person) 4. | Ful Name: 'ALEXANDER Kirk Bradiord 2. | Address: 96 Sophia Rd No 05-01, Singapore 228164, Singapore 3. | Telephone Number: 185 96464966 Emali: ka@apeninvest.com Noteholdor Dotalis (if nota natural person) 1. | Full Name of tne Company: 2. | Registered Address of the Company: Name and Title of Authorised 4. | Telephone Number ot Authorised Employee: 5. | Email of Authorised Employee: C-BEST Account Details 1. | C-BEST Bank/Custodian Name: Citibank N.A., Jakarta (CITIDJXXXX) C-Best Account Number: CITI1-5681-001-31 2. | Account Name at C-BEST Bank/c, Man: LGT Bank AG (BLFLLI2XXXX) 3. | Account Numberat C-BEST Bankc e 8101090099 4. | Contact Person at C-BEST it Bank/Custodian above: 5. | Emalt of Contact Person: hanilakbarmaticom Tp Roti 6. | Telophone Number of Contact 4 162-21-5290-8536 7. | Fax Number of Contact Person Hare 162-21-5290-8600 Capitalised terms shall have the meanings ascribed to them in the Consent Solicitation Memorandum. BY SUBMITTING THIS FORM, THE NOTEHOLDER SHALL BE DEEMED TO HAVE MADE THE ACKNOWLEDGEMENTS, REPRESENTATIONS, WARRANTIES AND UNDERTAKINGS SET OUT IN "TERMS OF THE CONSENT SOLICTITATION - 8. ACKNOWLEDGEMENTS, REPRESENTATIONS, WARRANTIES AND UNDERTAKINGS" IN THE CONSENT SOLICITIATION MEMORANDUM. kes) CamScanner
Page 3 OCR 0.781
The Notehokdar agrees by submitting this form, that upon its roceipt of the Shares it Is entised to pursuani to tho terms of tho Consent Solkataton, It wil release and discharge the Issuer, the Guarantors, their subsidiaries and any other obhgors and thair respectvo affikatos, directors, olficars and omployees, from all daims relating to the Notes howsoever arising, including all amounts that may ba owing in respect of such Notes whether principal, interest, penality or othenmse, whether known or unknown, contingent or certain, in contract or in tort, and whether Vauidated or unhguidated Signature of Noteholder or Authorisod Kirk B Mbrondler” (oo Met Te kes) CamScanner
Page 4 OCR 0.861
THE ISSUER PT Bakrie Sumatera Plantations Tbk. Komplek Rasuna Epicentrum Bakrie Tower Lantai 18-19 Jl. HR, Rasuna Said Jakarta 12960 Attention: BSP Debt Restructuring Team Email: dabt.rastrusturing@Pbakriesumatera.com TABULATION AGENT The Bank of New York Mellon, London Branch 160 Aueen Victoria Street London EC4V 4LA United Kingdom Tel: 444 (0) 1202 689644 Attention: Debt Restructuring Services Email: gebtrostructuringfbny.com
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