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Page 1 OCR 0.923
No. 040/VICI-CORSEC/X/2023 Jakarta, 4 Oktober 2023/Jakarta, October 4, 2023
Lampiran : 1 set dokumen /1 (one) set of document

Kepada/To:

OTORITAS JASA KEUANGAN
Gedung Soemitro Djojohadikusumo
Jalan Lapangan Banteng Timur 2-4
Jakarta 10710

Up. Yth : Kepala Eksekutif Pengawas Pasar Modal/Chief of Capital Market Supervision

Perihal : Laporan Penunjukan Akuntan Publik dan/atau Kantor Akuntan Publik dalam rangka audit
atas informasi keuangan historis tahunan pada tahun buku 2023/Report on the
Appointment of a Registered Public Accountant and/or Public Accountant Firm for the
Audit of Annual Historical Financial Information for Fiscal Year 2023.

Dengan Hormat,
Dear Sir,

Dengan ini dilaporkan bahwa berdasarkan persetujuan Rapat Umum Pemegang Saham Tahunan pada
tanggal 25 Mei 2023, maka bersama dengan ini kami sampaikan penujukan Akuntan Publik (“AP”)
dan/atau Kantor Akuntan Publik (“KAP”) untuk melakukan audit atas Laporan Keuangan PT Victoria
Care Indonesia Tbk (“Perseroan”) untuk tahun buku 2023 sebagai berikut://t is hereby reported that
based on the approval of the Annual General Meeting of Shareholders on May 25, 2023, then we
hereby convey the appointment of a Public Accountant (“AP”) and/or Public Accounting Firm (“KAP”)
to audit the Financial Statements of PT Victoria Care Indonesia Tbk (“Company”) for the fiscal year
2023 as follows:

1. Akuntan Publik/Public Accountant

a. Nama/Name 1  BENEDIKTIO SALIM, CPA
b. Nomor Registrasi AP dari 1 AP.1561
Menteri Keuangan/Otoritas
Jasa Keuangan/Registration
Number from Minister of
Finance or Financial Service
Authority
c. NomorSurat 1 STTD.AP-619/PM.2/2018
Terdaftar/Registered Certificate
Number
d. Tahun Penugasan/Year of 1 4(2020—2023)
Assignment

2. Kantor Akuntan Publik/Public Accountant Firm

a. Nama/Name 1 PURWANTONO, SUNGKORO & SURJA
b. Nomor Surat Tanda 1 STTD.KAP-03/PM.22/2018
Terdaftar/Registered Certificate
Number

Halaman 1 dari 2

PT Victoria Care Indonesia Tbk

HO: Puri Indah Financial Tower Lt. 10-11, Puri Lingkar Dalam Blok T-8, Kel. Kembangan Selatan, Kec. Kembangan, Jakarta Barat 11610. Telp. -62 2154368111 (Hunting)
FACTORY : Kawasan Industri Candi Blok 5A No. 8, Kel. Ngaliyan, Kec. Ngaliyan, Semarang. Telp.: #62 24 7663 3311, Fax: -62 24 7663 3308

Page 2 OCR 0.917
Untuk melengkapi laporan ini, terlampir kami sampaikan/To complete this report, hereby we attached:

1. Akta Berita Acara Rapat Umum Pemegang Saham Tahunan No. 11 Tanggal 25 Mei 2023/
Deed of Minutes of Annual General Meeting of Shareholders No. 11 dated May 25, 2023.

2. Surat Rekomendasi Komite Audit beserta lampiran evaluasi terhadap pelaksanaan pemberian
jasa audit atas Informasi keuangan historis tahunan untuk periode tahun buku 2022/
Letter of Recommendation from the Audit Committee along with an attachment to the
evaluation of the implementation of the provision of audit services on annual historical
financial information for the 2022 financial year period.

3. Surat Persetujuan Dewan Komisaris perihal Persetujuan Penunjukan AP dan/atau KAP/
Letter of Approval from the Board of Commissioners regarding Approval of Appointment of AP
and/or KAP.

4. Surat Pernyataan Independen dari AP/KAP/
Statement Letter of Independent from AP/KAP

5. Hasil penilaian sendiri dari KAP terhadap pemenuhan pembatasan penggunaan jasa audit dan
masa jeda/
Results of self-assessment fro KAP regarding compliance with restrictions on the use of audit

services and cooling-off periods
6. Perjanjian Kerja Sama antara Perseroan dengan AP dan/atau KAP. (Penunjukan AP/KAP)/
Cooperation Agreement between the Company and AP and/or KAP. (Appointment of AP/KAP)

Demikian kami sampaikan, atas perhatiannya kami ucapkan terima kasih/Thus we convey, thank you
for your attention.

Hormat Kami/Yours Sincerely, Xx
PT VICTORIA CARE INDONESIA Tbk

ALFONSA SHEILA WIDYATNA
Corporate Secretary

Halaman 2 dari 2

PT Victoria Care Indonesia Tbk

HO : Puri Indah Financial Tower Lt 10-11, Puri Lingkar Dalam BlokT-8, Kel. Kembangan Selatan, Kec. Kembangan, Jakarta Barat 11610. Telp.: 4-62 21 5436 8111 (Hunting)
FACTORY : Kawasan Industri Candi Blok 5A No 8, Kel. Ngaliyan, Kec. Ngaliyan, Semarang. Telp.: 462 28 7663 3311, Fax: #62 24 7663 3308

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