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20260407_LIFE_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_32068361.pdf
Shareholder register Parsed LIFESource file signed link, expires in 15 minutes
Extracted text 10
Page 1
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Nomor Surat 22/MSL-CSEC/IV/2026
Nama Perusahaan PT MSIG Life Insurance Indonesia Tbk.
Kode Emiten LIFE
Papan Pencatatan Pengembangan
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek
Bersama ini PT MSIG Life Insurance Indonesia Tbk. menyatakan:
1. Bertanggung jawab atas penyusunan dan penyajian Laporan Bulanan Registrasi Pemegang Efek (LBRE).
2. Semua informasi dalam LBRE telah dimuat secara lengkap dan benar, tidak mengandung informasi atau fakta
material yang tidak benar, dan tidak menghilangkan informasi atau fakta material.
3. Perhitungan Free Float telah disajikan sesuai dengan Peraturan Bursa Nomor I-A tentang Pencatatan Saham dan
Efek Bersifat Ekuitas Selain Saham yang Diterbitkan oleh Perusahaan Tercatat, termasuk telah mengeluarkan
kepemilikan saham oleh pihak Pengendali dan Afiliasi dari Pengendali, dan Afiliasi dari Pemilik Manfaat; dimiliki oleh
anggota Dewan Komisaris atau anggota Direksi; dan saham yang telah dibeli kembali oleh perusahaan.
Direksi atas nama PT MSIG Life Insurance Indonesia Tbk. bertanggung jawab penuh atas informasi yang tertera didalam
dokumen ini.
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Maret 2026
Sebagai Berikut :
Biro Administrasi Efek: PT. Sinartama Gunita
Pemegang
Saham
Direksi dan
Komisaris
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi Afiliasi Pemilik
Nama Alamat Saham Bulan Saham Bulan Pengendali
Sebelumnya Sebelumny Pengendali Manfaat
Ini Ini
a
UBS AG Menara Tekno 262.500.000 12,5% 262.500.000 12,5%
Pemegang Singapore S/A Lt. 7, Jl. H.
saham 5% Fachruddin No.
(lima persen) 19, Tanah
atau lebih Abang
Mitsui 9 Kanda 1.680.000.000 80% 1.680.000.00 80%
Sumitomo Surugadai, 3- 0
Chome X
Chiyoda-Ku,
Tokyo 101-8011
Pemegang Saham < 5%
0 0% 0 0%
Publik - Warkat
157.500.000 7,5% 157.500.00 7,5%
Publik - Non Warkat 0
0 0% 0 0%
Saham Treasuri
2.100.000.00 100% 2.100.000.00 100%
Total 0 0
Page 3
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham non-warkat dimiliki oleh seluruh pemegang
157.500.000 157.500.000
saham kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Direksi dan Dewan
0 0
Komisaris kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Pengendali kurang dari 5% 0 0
Jumlah saham non-warkat dimiliki oleh Afiliasi dari Pengendali 0 0
kurang dari 5%
Jumlah saham tresuri non-warkat kurang dari 5% 0 0
Jumlah saham non-warkat yang harus dibatasi pengalihan
kepemilikannya (lock up) baik berdasarkan Peraturan maupun 0 0
bagian tindakan korporasi Perusahaan Tercatat kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Perusahaan Modal 0
0
Ventura dan Private Equity kurang dari 5%
Jumlah saham non-warkat yang berada dalam status sita atau
blokir oleh Aparat Penegak Hukum atau Otoritas yang 0 0
berwenang kurang dari 5%
Jumlah saham dengan penerima manfaat investor publik yang telah
disetujui Bursa untuk diperhitungkan sebagai Free Float (Ketentuan 0 0
V.2 Peraturan I-A dan Ketentuan V.2 Peraturan I-V)
Jumlah saham Free Float 157.500.000 157.500.000
Jumlah saham tercatat di Bursa per akhir bulan 2.100.000.000 2.100.000.000
% Saham Free Float 7,5 7,5
Page 4
Persentase Bulan
Keterangan Bulan Sebelumnya Bulan Ini Persentase Bulan Ini
Sebelumnya
Jumlah saham tidak tercatat 0 0% 0 0%
Jumlah Pemegang Saham Nasabah Pemilik SID
Bulan Sebelumnya Bulan Sekarang Perubahan
953 969 16
Pemilik manfaat yang terdiri dari satu pihak atau kelompok yang terorganisasi dari PT MSIG Life Insurance
Indonesia Tbk.
Pemegang Saham
Nomor Nama Langsung
Perseroan
1 Hideaki Nomura Tidak
Pemilik Manfaat dari Pemegang Saham lebih dari 10%
Demikian untuk diketahui.
Hormat Kami,
PT MSIG Life Insurance Indonesia Tbk.
Page 5
Leony Samosir
Corporate Secretary
PT MSIG Life Insurance Indonesia Tbk.
Sinarmas Land Plaza Sudirman, Lantai 6 Jalan Jend. Sudirman Kav. 21 Jakarta
Telepon : 021-50597777, Fax : 021-50608899, www.msiglife.co.id
Nama Pengirim Leony Samosir
Jabatan Corporate Secretary
Tanggal dan Waktu 08-04-2026 17:54
Lampiran 1. Laporan Registrasi Pemegang Saham LIFE31032026.pdf
Dokumen ini merupakan dokumen resmi PT MSIG Life Insurance Indonesia Tbk. yang tidak memerlukan tanda
tangan karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT MSIG Life Insurance Indonesia Tbk.
bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 6
Go To Indonesian Page
Letter / Announcement No. 22/MSL-CSEC/IV/2026
Issuer Name PT MSIG Life Insurance Indonesia Tbk.
Issuer Code LIFE
Listing Board Development
Attachment 1
Subject Monthly Report of Securities Holders Registration
Hereby, the Company declares that:
1. It is responsible for the preparation and presentation of the Monthly Securities Holder Registration Report.
2. All information contained in the LBRE has been fully and accurately disclosed, does not contain any incorrect material
information or facts, and does not omit any material information or facts.
3. The Free Float calculation has been presented in accordance with Exchange Regulation Number I-A concerning the
Listing of Shares and Equity Securities Other Than Shares Issued by Listed Companies, including the exclusion of share
ownership by the Controlling Shareholder and its Affiliates; affiliates of beneficial owner; members of the Board of
Commissioners or the Board of Directors; and treasury shares repurchased by the Company.
The Board of Directors of PT MSIG Life Insurance Indonesia Tbk., on behalf of the Company, bears full responsibility for
the information contained in this document.
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 March 2026
as follows:
Security Administration Bureau: PT. Sinartama Gunita
Board of
Directors and
Board of
Commission
ers
Page 7
Number of Percent of Number of Percent of Affiliate of
Affiliate of the
Name Address Shares in Shares in Shares in Shares in Controller the
Beneficial Owner
Previous Previous Current Current Controller
UBS AG Menara Tekno 262,500,000 12.5% 262,500,000 12.5%
Singapore S/A Lt. 7, Jl. H.
Shareholders
of 5% (five Fachruddin
percent) or No. 19, Tanah
more Abang
Mitsui 9 Kanda 1,680,000,000 80% 1,680,000,00 80%
Sumitomo Surugadai, 3- 0
Chome
X
Chiyoda-Ku,
Tokyo 101-
8011
0 0% 0 0%
Public - Scrip
157.500.000 7,5% 157.500.00 7,5%
Public - Scripless 0
0 0% 0 0%
Treasury Stock
2.100.000.00 100% 2.100.000.00 100%
Total 0 0
Page 8
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
157.500.000 157.500.000
than 5%
The number of scripless shares owned by the Board of Directors
0 0
and Board of Commissioners is less than 5%
The number of scripless shares owned by the Controller is less
0 0
than 5%
The number of scripless shares owned by Affiliates of the 0 0
Controller is less than 5%
The amount of scripless treasury stock is less than 5% 0 0
The number of scripless shares owned less than 5% and subject
to a lock-up restriction, either based on regulations or the 0 0
corporate actions of the listed company.
The number of scripless shares owned less than 5% by venture
0 0
capital and private equity companies
The number of scripless shares owned less than 5% and subject
to confiscation or blocking by law enforcement officials or 0 0
authorized authorities.
Number of shares with public investor beneficiaries that have
been approved by IDX as Free Float (Provision V.2 of Regulation 0 0
I-A and Provision V.2 )
The amount of Free Float Share 157.500.000 157.500.000
The number of shares listed on the Exchange at the end of the
2.100.000.000 2.100.000.000
month
% Free Float Share 7,5 7,5
Page 9
Remarks Previous Month Previous Month Percentage Current Month Current Month Percentage
Number of Unlisted Shares 0 0% 0 0%
Number of Shareholders Holding SID Accounts
Previous Month Current Month Change
953 969 16
Beneficial owner consisting of one party or an organized group from PT MSIG Life Insurance Indonesia Tbk.
Company’s Direct
Number Name
Shareholders
1 Hideaki Nomura Tidak
Beneficial Owner of Shareholders more than 10%
Thus to be informed accordingly.
Respectfully,
PT MSIG Life Insurance Indonesia Tbk.
Page 10
Leony Samosir
Corporate Secretary
PT MSIG Life Insurance Indonesia Tbk.
Sinarmas Land Plaza Sudirman, Lantai 6 Jalan Jend. Sudirman Kav. 21 Jakarta
Phone : 021-50597777, Fax : 021-50608899, www.msiglife.co.id
Sender Name Leony Samosir
Function Corporate Secretary
Date and Time 08-04-2026 17:54
Attachment 1. Laporan Registrasi Pemegang Saham LIFE31032026.pdf
This is an official document of PT MSIG Life Insurance Indonesia Tbk. that does not require a signature as it was
generated electronically by the electronic reporting system. PT MSIG Life Insurance Indonesia Tbk. is fully
responsible for the information contained within this document.
Names mentioned 7 people and organisations named in the text · linked when the evidence is strong
unresolved
org
Life Insurance Indonesia Tbk.
p.1 ×15
unresolved
—
Sebelumnya Sebelumny
p.2
unresolved
—
Sumitomo
p.2
unresolved
—
Leony Samosir
· Corporate Secretary
p.5 ×2
Extraction attempts how the parser did, and what it refused
Nothing structured was extracted from this document — the attempts below say why.
Rule parser
OK
confidence 0.900
375 ms
12 Sep 2026 22:29
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '2100000000'},
'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '7.5', 'shares': '157500000'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2026-03-31',
'checksum_ok': True,
'checksum_parts': '2100000000',
'holders': [{'address': 'Menara Tekno Lt. 7, Jl. H. Fachruddin No.',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'UBS AG Singapore S/A',
'page_no': 2,
'pct': '12.5',
'pct_prev': '12.5',
'position': '',
'seq': 0,
'shares': '262500000',
'shares_prev': '262500000'},
{'address': '19, Tanah Abang 9 Kanda Surugadai, 3- Chome '
'Chiyoda-Ku, Tokyo 101-8011',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Mitsui Sumitomo',
'page_no': 2,
'pct': '80',
'pct_prev': '80',
'position': '',
'seq': 1,
'shares': '1680000000',
'shares_prev': '1680000000'}],
'issuer_name': 'PT MSIG Life Insurance Indonesia Tbk.',
'issuer_ticker': 'LIFE',
'layout': 'EREP_COVER',
'letter_number': '22/MSL-CSEC/IV/2026',
'listing_board': 'Pengembangan',
'period_label': 'Maret 2026',
'registrar': 'PT. Sinartama Gunita',
'total_shares': '2100000000'}