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20231115_BTPN_Pemanggilan RUPS_31519779_lamp8.pdf
RUPS notice Text extracted BTPNSource file signed link, expires in 15 minutes
Extracted text 9
Page 1
POWER OF ATTORNEY TO ATTEND
THE EXTRAORDINARY GENERAL MEETING OF SHAREHOLDERS OF
PT BANK BTPN TBK
DATED DECEMBER 7th 2023
The undersigned:
1. Name :
Address :
Title :
ID Card/KITAS/Passport Number :
2. Name :
To be left blank if the company may be represented by 1 (one) authorized
signatory.
Address :
Title :
ID Card/KITAS/Passport Number :
In such respective capacity (ies) is/are legally acting pursuant to the Articles of Association, for and on
behalf of and representing [ name of entity ], as an authentic and lawful owner/holder of
[ to be completed ] shares in PT BANK BTPN TBK (the “Company”) whose name is registered
under Shareholders Registry and/or in the list of securities sub account at PT Kustodian Sentral Efek
Indonesia on November 14th 2023 at 16.00 WIB, hereinafter referred to as the “PRINCIPAL”;
Hereby fully authorize:
Name :
Address :
ID Card/KITAS/Passport Number :
or
Name :
Address :
ID Card/KITAS/Passport Number :
(hereinafter referred to as the “ATTORNEY”).
Page 1/3
Page 2
--------------------------------------------------------------SPECIFICALLY---------------------------------------------------------
To act for and on behalf of, to represent the PRINCIPAL in its capacity as the Shareholders of the
Company to perform as follows:
a. To attend the Extraordinary General Meeting of Shareholders of the Company which will be held
at Menara BTPN, 27th floor, CBD Mega Kuningan, Jl. DR. Ide Anak Agung Gde Agung Kav. 5.5- 5.6,
Jakarta 12950 on Thursday, 7th December 2023 or on other dates as determined by the Board of
Directors of the Company (hereinafter referred to as the “Meeting”);
b. To request or provide information/clarification, submit questions relating to the agenda of the
Meeting, and to discuss matters being conferred at the Meeting;
c. To cast votes as follows:
VOTING
NO. AGENDA
IN FAVOR ABSTAIN AGAINST
1. Approval for treasury stock
withdrawal
2. Approval for the plan of Capital
Increase by Granting Pre-emptive
Rights (“PMHMETD”) or Right
Issue
d. to make, to sign and submit all documents which related to the Meeting and provide explanation
and information; principally, to carry out and perform all and every action in connection with the
Meeting which will be properly performed by the Principal as the owner or shareholder of the
Company, without any exemption.
This Power of Attorney is granted under the following terms and conditions:
a. Whereas, upon signing of this Power of Attorney or thereafter of the PRINCIPAL declares to accept
and ratify all lawful actions taken by the ATTORNEY on behalf of the PRINCIPAL by virtue of this
Power of Attorney;
b. This Power of Attorney shall be effective from the date of this Power of Attorney is executed until
being revoked and/or canceled by the PRINCIPAL, provided that the notification regarding the
revocation and/or cancellation of the Power of Attorney must be received by the company and/or
the Securities Administration Bureau (SAB) of the Company at least 3 (three) days prior to the
Meeting date which is, 4th December 2023.
This Power of Attorney is valid as of the date when this Power of Attorney is signed. Any revocation or
withdrawal of this Power of Attorney will be conducted by sending a notification letter to the Attorney
(with a copy to the Board of Directors of the Company); if the Board of Directors of the Company does not
yet receive any notification letter regarding the revocation or withdrawal of this Power of Attorney, the
Company has the right to assume that this Power of Attorney has never been revoked or withdrawn by
the Principal. Revocation or withdrawal of this Power of Attorney will not reduce, influence or eliminate
the validity of all and any actions that have been carried out by the Attorney based on this Power of
Page 2/3
Page 3
Attorney at the time and as long as its granting has not been revoked or withdrawn, every and all actions
remain valid and is legally binding on the Principal, with all legal consequences.
Thus, this Power of Attorney was made and signed on the date as referred to below so that it can be used
properly.
[to be completed with Place and date] 2023
PRINCIPAL
[Company Signature and Stamp]
[ FULL NAME ] [ FULL NAME ]
Holder of [to be completed with the amount of shares] shares
ATTORNEY
_____________________________ _____________________________
[ FULL NAME ] [ FULL NAME ]
Notes:
1. The Power of Attorney which is signed in the territory of the Republic of Indonesia shall be signed above an IDR 10.000
Indonesian stamp duty.
2. In the event that a Power of Attorney is signed outside the territory of the Republic of Indonesia, the Power of Attorney
must be legalized by the local public notary and the Republic Indonesia’s Government Official Representative Office.
3. The Power of Attorney shall be submitted to the Securities Administration Bureau (SAB) of the Company at the latest 3
(three) days prior to the Meeting date which is, 4th December 2023.
4. The Power of Attorney that has been submitted to the SAB of the Company cannot be changes, cancelled and/or
withdrawn without written notice to and must be received by the SAB of the Company at the latest 3 (three) days prior
to the Meeting date which is, 4th December 2023. In the event that the SAB of Company does not receive written notice
regarding the amendment, cancellation and/or withdrawal of the Power of Attorney, the Power of Attorney that has
been previously submitted to the SAB of the Company is considered valid at the time the Meeting is held.
5. The Chairperson of the Meeting has the right to request the Power of Attorney to represent the Company’s shareholders
to be shown to him before the Meeting is held (Article 11 paragraph (3) of the Company’s Article of Association).
6. Shareholders with voting rights who attend the Meeting, but do not cast votes (abstain/blank votes) are considered to
cast the same votes as the majority votes of the shareholders who vote (Article 11 paragraph (9) of the Company’s
Article of Association).
Page 3/3
Page 4
POWER OF ATTORNEY TO ATTEND
THE EXTRAORDINARY GENERAL MEETING OF SHAREHOLDERS OF
PT BANK BTPN TBK
DATED DECEMBER 7th 2023
The undersigned:
Name of Shareholders :
Complete Address :
ID Card/KITAS/Passport Number :
As an authentic and lawful owner/holder of [to be completed with the amount of shares] shares in PT BANK
BTPN TBK (“Company”) whose name is registered under Shareholders Registry and/or in the list of
securities sub account PT Kustodian Sentral Efek Indonesia on November 14th 2023 at 16.00 WIB,
hereinafter referred to as the “PRINCIPAL”;
Hereby grant a power of attorney to:
Name :
Address :
ID Card :
(hereinafter referred to as “ATTORNEY”).
--------------------------------------------------------------SPECIFICALLY---------------------------------------------------------
To act for and on behalf of, to represent the PRINCIPAL in its capacity as the Shareholders of the
Company to perform as follows:
a. To attend the Extraordinary General Meeting of Shareholders of the Company which will be held
at Menara BTPN, 27th floor, CBD Mega Kuningan, Jl. DR. Ide Anak Agung Gde Agung Kav. 5.5- 5.6,
Jakarta 12950 on Thursday, 7th December 2023 or on other dates as determined by the Board of
Directors of the Company (hereinafter referred to as the “Meeting”);
b. To request or provide information/clarification, submit questions relating to the agenda of the
Meeting, and to discuss matters being conferred at the Meeting;
c. To cast votes as follows:
VOTING
NO. AGENDA
IN FAVOR ABSTAIN AGAINST
1. Approval for treasury stock
withdrawal
Page 5
VOTING
NO. AGENDA
IN FAVOR ABSTAIN AGAINST
2. Approval for the plan of Capital
Increase by Granting Pre-emptive
Rights (“PMHMETD”) or Right
Issue
d. to make, to sign and submit all documents which related to the Meeting and provide explanation
and information; principally, to carry out and perform all and every action in connection with the
Meeting which will be properly performed by the Principal as the owner or shareholder of the
Company, without any exemption.
This Power of Attorney is granted under the following terms and conditions:
a. Whereas, upon signing of this Power of Attorney or thereafter of the PRINCIPAL declares to accept
and ratify all lawful actions taken by the ATTORNEY on behalf of the PRINCIPAL by virtue of this
Power of Attorney;
b. This Power of Attorney shall be effective from the date of this Power of Attorney is executed until
being revoked and/or canceled by the PRINCIPAL, provided that the notification regarding the
revocation and/or cancellation of the Power of Attorney must be received by the company and/or
the Securities Administration Bureau (SAB) of the Company at least 3 (three) days prior to the
Meeting date which is, 4th December 2023.
This Power of Attorney is valid as of the date when this Power of Attorney is signed. Any revocation or
withdrawal of this Power of Attorney will be conducted by sending a notification letter to the Attorney
(with a copy to the Board of Directors of the Company); if the Board of Directors of the Company does not
yet receive any notification letter regarding the revocation or withdrawal of this Power of Attorney, the
Company has the right to assume that this Power of Attorney has never been revoked or withdrawn by
the Principal. Revocation or withdrawal of this Power of Attorney will not reduce, influence or eliminate
the validity of all and any actions that have been carried out by the Attorney based on this Power of
Attorney at the time and as long as its granting has not been revoked or withdrawn, every and all actions
remain valid and is legally binding on the Principal, with all legal consequences.
Thus, this Power of Attorney was made and signed on the date as referred to below so that it can be used
properly.
_____________________ 2023
PRINCIPAL
stamp duty IDR10,000.00,
Company Signature and Stamp
_____________________________
[ FULL NAME ]
Holder of [to be completed with the amount of shares] shares
Page 6
ATTORNEY
_____________________________
[ FULL NAME ]
Notes:
1. The Power of Attorney which is signed in the territory of the Republic of Indonesia shall be signed above an IDR 10.000
Indonesian stamp duty.
2. In the event that a Power of Attorney is signed outside the territory of the Republic of Indonesia, the Power of Attorney
must be legalized by the local public notary and the Republic Indonesia’s Government Official Representative Office.
3. The Power of Attorney shall be submitted to the Securities Administration Bureau (SAB) of the Company at the latest 3
(three) days prior to the Meeting date which is, 4th December 2023.
4. The Power of Attorney that has been submitted to the SAB of the Company cannot be changes, cancelled and/or
withdrawn without written notice to and must be received by the SAB of the Company at the latest 3 (three) days prior
to the Meeting date which is, 4th December 2023. In the event that the SAB of Company does not receive written notice
regarding the amendment, cancellation and/or withdrawal of the Power of Attorney, the Power of Attorney that has
been previously submitted to the SAB of the Company is considered valid at the time the Meeting is held.
5. The Chairperson of the Meeting has the right to request the Power of Attorney to represent the Company’s shareholders
to be shown to him before the Meeting is held (Article 11 paragraph (3) of the Company’s Article of Association).
6. Shareholders with voting rights who attend the Meeting, but do not cast votes (abstain/blank votes) are considered to
cast the same votes as the majority votes of the shareholders who vote (Article 11 paragraph (9) of the Company’s
Article of Association).
Page 7
POWER OF ATTORNEY TO ATTEND
THE EXTRAORDINARY GENERAL MEETING OF SHAREHOLDERS OF
PT BANK BTPN TBK
DATED DECEMBER 7th 2023
The undersigned:
Name of Shareholders :
Complete Address :
ID Card/KITAS/Passport Number :
As an authentic and lawful owner/holder of [to be completed with the amount of shares] shares in PT BANK
BTPN TBK (“Company”) whose name is registered under Shareholders Registry and/or in the list of
securities sub account PT Kustodian Sentral Efek Indonesia on November 14th 2023 at 16.00 WIB,
hereinafter referred to as the “PRINCIPAL”;
Hereby grant a power of attorney to:
Name : Soma Muhammad Nur Huda
Address : Puri Kartika Blok F I/07 RT 004/RW 008, Kelurahan Tajur,
Kecamatan Ciledug, Kota Tangerang
ID Card : 3671060706960005
(hereinafter referred to as “ATTORNEY”).
--------------------------------------------------------------SPECIFICALLY---------------------------------------------------------
To act for and on behalf of, to represent the PRINCIPAL in its capacity as the Shareholders of the
Company to perform as follows:
a. To attend the Extraordinary General Meeting of Shareholders of the Company which will be held
at Menara BTPN, 27th floor, CBD Mega Kuningan, Jl. DR. Ide Anak Agung Gde Agung Kav. 5.5- 5.6,
Jakarta 12950 on Thursday, 7th December 2023 or on other dates as determined by the Board of
Directors of the Company (hereinafter referred to as the “Meeting”);
b. To request or provide information/clarification, submit questions relating to the agenda of the
Meeting, and to discuss matters being conferred at the Meeting;
c. To cast votes as follows:
VOTING
NO. AGENDA
IN FAVOR ABSTAIN AGAINST
1. Approval for treasury stock
withdrawal
Page 8
VOTING
NO. AGENDA
IN FAVOR ABSTAIN AGAINST
2. Approval for the plan of Capital
Increase by Granting Pre-emptive
Rights (“PMHMETD”) or Right
Issue
d. to make, to sign and submit all documents which related to the Meeting and provide explanation
and information; principally, to carry out and perform all and every action in connection with the
Meeting which will be properly performed by the Principal as the owner or shareholder of the
Company, without any exemption.
This Power of Attorney is granted under the following terms and conditions:
a. Whereas, upon signing of this Power of Attorney or thereafter of the PRINCIPAL declares to accept
and ratify all lawful actions taken by the ATTORNEY on behalf of the PRINCIPAL by virtue of this
Power of Attorney;
b. This Power of Attorney shall be effective from the date of this Power of Attorney is executed until
being revoked and/or canceled by the PRINCIPAL, provided that the notification regarding the
revocation and/or cancellation of the Power of Attorney must be received by the company and/or
the Securities Administration Bureau (SAB) of the Company at least 3 (three) days prior to the
Meeting date which is, 4th December 2023.
This Power of Attorney is valid as of the date when this Power of Attorney is signed. Any revocation or
withdrawal of this Power of Attorney will be conducted by sending a notification letter to the Attorney
(with a copy to the Board of Directors of the Company); if the Board of Directors of the Company does not
yet receive any notification letter regarding the revocation or withdrawal of this Power of Attorney, the
Company has the right to assume that this Power of Attorney has never been revoked or withdrawn by
the Principal. Revocation or withdrawal of this Power of Attorney will not reduce, influence or eliminate
the validity of all and any actions that have been carried out by the Attorney based on this Power of
Attorney at the time and as long as its granting has not been revoked or withdrawn, every and all actions
remain valid and is legally binding on the Principal, with all legal consequences.
Thus, this Power of Attorney was made and signed on the date as referred to below so that it can be used
properly.
_____________________ 2023
PRINCIPAL
stamp duty IDR10,000.00,
Company Signature and Stamp
_____________________________
[ FULL NAME ]
Holder of [to be completed with the amount of shares] shares
Page 9
ATTORNEY
Soma Muhammad Nur Huda
Notes:
1. The Power of Attorney which is signed in the territory of the Republic of Indonesia shall be signed above an IDR 10.000
Indonesian stamp duty.
2. In the event that a Power of Attorney is signed outside the territory of the Republic of Indonesia, the Power of Attorney
must be legalized by the local public notary and the Republic Indonesia’s Government Official Representative Office.
3. The Power of Attorney shall be submitted to the Securities Administration Bureau (SAB) of the Company at the latest 3
(three) days prior to the Meeting date which is, 4th December 2023.
4. The Power of Attorney that has been submitted to the SAB of the Company cannot be changes, cancelled and/or
withdrawn without written notice to and must be received by the SAB of the Company at the latest 3 (three) days prior
to the Meeting date which is, 4th December 2023. In the event that the SAB of Company does not receive written notice
regarding the amendment, cancellation and/or withdrawal of the Power of Attorney, the Power of Attorney that has
been previously submitted to the SAB of the Company is considered valid at the time the Meeting is held.
5. The Chairperson of the Meeting has the right to request the Power of Attorney to represent the Company’s shareholders
to be shown to him before the Meeting is held (Article 11 paragraph (3) of the Company’s Article of Association).
6. Shareholders with voting rights who attend the Meeting, but do not cast votes (abstain/blank votes) are considered to
cast the same votes as the majority votes of the shareholders who vote (Article 11 paragraph (9) of the Company’s
Article of Association).
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