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20231025_AHAP_Informasi Transaksi Afiliasi_31471892_lamp1.pdf

Asset transaction Needs review AHAP

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Page 1 OCR 0.914 
HARTA —

GENERAL INSURANCE

Jakarta, 25 Oktober 2023 /
25 October 2023

No : 0129/EXT-DRM/SRT/10/2023
Lampiran / 1 4 (empat) berkas Keterbukaan Informasi Sehubungan Dengan Transaksi Afiliasi /
Attachment 4 (four) bundles Disclosure of Information Related to Affliated Transaction

Perihal / : Laporan Informasi atau Fakta Material /
Subject Report of Information or Material Fact
Kepada / To:

Otoritas Jasa Keuangan (“OJK”)

Gedung Soemitro Djojohadikusumo

Jl. Lapangan Banteng Timur No.2-4

Jakarta 10710

Yth. Kepala Eksekutif Pengawas Pasar Modal

PT Bursa Efek Indonesia (“Bursa”)

Gedung Bursa Efek Indonesia

1. Jend. Sudirman Kav.52-53 Jakarta - 12190
Yth. Kepala Divisi Penilaian Perusahaan I

Dengan Hormat, /
With Respect,

Guna memenuhi ketentuan POJK No. 42/POJK.04/2020 tentang Transaksi Afiliasi dan Transaksi
Benturan Kepentingan, bersama ini kami menyampaikan bahwa PT Asuransi Harta Aman Pratama Tbk
("Perseroan") telah melakukan transaksi Pinjaman Dana (Pinjaman Subordinasi) dari PT Asuransi Central
Asia ( selanjutnya disebut “Transaksi”) pada tanggal 24 Oktober 2023.

In order to compiy with POJK No. 42/POJK.04/2020 concerning Affiliate Transactions and Confiict of
Interest Transactions, we hereby convey that PT Asuransi Harta Aman Pratama Tbk (the "Company”) has
conducted a Loan Transaction (Subordinated Loan) from PT. Asuransi Central Asia (hereinafter referred
toas "Transaction") on October 24, 2023.

Nama Emiten / Issuers Name : PT Asuransi Harta Aman Pratama Tbk (“Perseroan”) /
PT Asuransi Harta Aman Pratama Tbk ("the Company”)

Bidang Usaha /Business Fields : Asuransi Umum Konvensional /

Conventional General Insurance
Telepon / Telephone 1-62 21 570 2060
Faksimili/ Facsimile 1462 21 572 7589
E-mail : harta@asuransi-harta.co.id

PT ASURANSI HARTA AMAN PRATAMA Tbk

WISMA 46 Lantai 33, Kota BNI, Jl. Jend. Sudirman Kav. 1, Jakarta 10220 Telp. : (021) 570 2060 (Hunting), 574 6789 (Hunting) Fax. : (021) 572 7589
Homepage : www.asuransi-harta.co.id E-mail : harta@asuransi-harta.co.id
. PT Asuransi Harta Aman Pratama Tbk berizin dan diawasi oleh Otoritas Jasa Keuangan (OJK)
Page 2 OCR 0.920 
HART,

HARTA

GENERAL INSURANCE

Tanggal Kejadian /
Date of Event

24 Oktober 2023 /
24 October 2023

Jenis Informasi atau Fakta Material /
Types of Information or Material Facts

Transaksi Afiliasi /
Affiliated Transaction

Uraian Informasi atau Fakta Material /
Description of Information or Material Facts

Sebagaimana tercantum dalam Lampiran
Keterbukaan — Informasi — Sehubungan
Dengan Transaksi Afiliasi. /

As stated in the Attachment on Disclosure
of Information  Regarding Affiliate
Transactions.

Dampak kejadian, informasi atau fakta material
tersebut terhadap kegiatan operasional, hukum,
kondisi keuangan, atau kelangsungan usaha Emiten
atau Perusahaan Publik. /

The impact of the event, information or material
facts on the operational activities, law, financial
condition or business continuity of the Issuer or

Public Company.

Tidak ada dampak dari kejadian dan
informasi tersebut terhadap kegiatan
operasional, hukum, kondisi keuangan,
atau kelangsungan usaha Perseroan. /
There is no impact from these events and
Information on the Company's operational
business continuity.

5 | Keterangan lain-lain /
| Other information

Dalam hal ini, Direksi dan Dewan Komisaris Perseroan telah membuat pernyataan sehubungan dengan

Transaksi Afiliasi sebagaimana diuraikan diatas. /

In this regard, Board of Directors and the Board of Commissioners of the Company have made statement

In relation to the Affiliated Transaction as described above.

Demikian kami sampaikan, atas perhatian yang diberikan kami ucapkan terima kasih. /
Please be informed accordingly, Thank you for your kind attention.

Hormat kami, /

1 Sincerely yours,

PT. Asuransi Harta Amar Pratama Tbk.
1

HARTA

GELI) GENERAL INSURANCE

y to Piettoj
Direktur Utama / President Director

Direktur / Director

PT ASURANSI HARTA AMAN PRATAMA Tbk

WISMA 46 Lantai 33, Kota BNI, Jl. Jend. Sudirman Kav. 1, Jakarta 10220 Telp. : (021) 570 2060 (Hunting), 574 6789 (Hunting) Fax. : (021) 572 7589
Homepage : www.asuransi-harta.co.id E-mail : harta@asuransi-harta.co.id
n PT Asuransi Harta Aman Pratama Tbk berizin dan diawasi oleh Otoritas Jasa Keuangan (OJK)
Page 3 OCR 0.925 
HARTA aa

Lil GENERAL INSURANCE

Lampiran / Attachment :

a) Surat Pernyataan Dewan Komisaris dan Direksi No. 0005/INT-DRM/SRT/10/2023 /
Statement letter of the Board of Commissioners and Directors No. 0005/INT-DRM/SRT/10/2023

b) Akta Notaris Wiwik Condro, SH No. 42 Tanggal 24 Oktober 2023.
Notarial Deed of Wiwik Condro, SH No. 42 Date 24 October 2023.

C) Ringkasan Laporan Pendapat Kewajaran No. 01224/2.0072-00/BS/08/0022/1/X/2023 tanggal 23
Oktober 2023 dari KJPP Felix Sutandar dan Rekan.
Summary of Fairness Opinion Report No. 01224/2.0072-00/B5/08/0022/1/X/2023 dated October 23,
2023 from KIPP Felix Sutandar and Colleagues

d) Laporan Keuangan PT Asuransi Harta Aman Pratama Tbk posisi tanggal 31 Agustus 2023 yang telah
direviu oleh Akuntan Publik Kanaka Puradiredja, Suhartono ("NEXIA KPS”)
Financial Statements of PT Asuransi Harta Aman Pratama Tbk as of August 31, 2023 which has been
reviewed by Public Accountant Kanaka Puradiredja, Suhartono ("NEXIA KPS”)

PT ASURANSI HARTA AMAN PRATAMA Tbk

WISMA 46 Lantai 33, Kota BNI, Jl. Jend. Sudirman Kav. 1, Jakarta 10220 Telp. : (021) 570 2080 (Hunting), 574 6789 (Hunting) Fax. : (021) 572 7589
Homepage : www.asuransi-harta.co.id E-mail : harta@asuransi-harta.co.id
. PT Asuransi Harta Aman Pratama Tbk berizin dan diawasi oleh Otoritas Jasa Keuangan (OJK)

File

File Open PDF
Source IDX
Size0.69 MB
Published25 Oct 2023
Pages3
Characters5,577
Text sourceOCR
OCR confidence0.920

Names mentioned 0 people and organisations named in the text · linked when the evidence is strong

The name pass has not read this document yet.

Extraction attempts how the parser did, and what it refused

Nothing structured was extracted from this document — the attempts below say why.

Rule parser Partial confidence 0.455 182 ms 13 Sep 2026 17:24
Raw output 
{'appraiser_exempt': None,
 'appraiser_name': '',
 'assets': [{'area_sqm': None,
             'category': 'OTHER',
             'description': '/ Sebagaimana tercantum dalam Lampiran'}],
 'currency': None,
 'fact_type': '/ Transaksi Afiliasi /',
 'issuer_name': '',
 'kind': 'CONFLICT',
 'kjpp_name': '',
 'letter_number': '',
 'object_text': '/ Sebagaimana tercantum dalam Lampiran',
 'object_truncated': False,
 'parties': [],
 'pct_of_equity': None,
 'reference_period': '',
 'requires_rups': None,
 'rups_date': None,
 'ticker': '',
 'transaction_date': '2023-10-24',
 'valuation_date': None,
 'value': None}

Other files in this announcement 7

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