20230704_ASDM_Keterbukaan Informasi terkait Aksi Korporasi_31336735_lamp1.pdf

Informasi Lain:

1. Dividen Tunai akan dibagikan kepada
pemegang saham Perseroan yang namanya
tercatat dalam Daftar Pemegang Saham
(“DPS”) atau recording date pada tanggal 12
Juli 2023 dan/atau Pemilik saham perseroan
pada rekening efek di PT Kustodian Sentral Efek
Indonesia (“KSEI”) pada — penutupan
perdagangan Bursa Efek Indonesia tanggal 12
Juli 2023.

2. Bagi pemegang saham yang sahamnya
dimasukan dalam penitipan kolektif KSEI,
pembayaran dividen sesuai dengan jadwal
tersebut di atas akan dilakukan dengan cara
pemindahbukuan melalui KSEI, dan selanjutnya
KSEI akan mendistribusikannya ke Rekening
Dana Nasabah (RDN) pada Perusahaan Efek
atau Bank Kustodian tempat dimana para
pemegang saham membuka rekening efek.
Sedangkan bagi pemegang saham Perseroan
yang sahamnya masih dalam bentuk
warkat/belum dikonversi dan dimasukkan
dalam penitipan kolektif KSEI maka
pembayaran dividen tunai akan ditransfer ke
rekening pemegang saham. Untuk itu para
pemegang saham wajib memberitahukan
nomor Rekening Banknya kepada PT Datindo
Entrycom, (BAE) Jl. Hayam Wuruk No. 28,
Jakarta 10120 Telp. 021 3508077, email,
corporatesecretary@datindo.com — selambat-
lambatnya pada tanggal Recording Date, pukul
15.00 WIB. Bilamana sampai dengan tanggal
Recording Date, pemegang saham belum
memberitahukan nomor Rekening Banknya
kepada BAE maka dividen akan ditransfer
setelah BAE menerima nomor Rekening Bank
Pemegang Saham yang bersangkutan.

3. Dividen Tunai tersebut akan dikenakan pajak
sesuai dengan peraturan perundang-undangan
perpajakan yang berlaku.

4. Berdasarkan peraturan perundang-undangan
perpajakan yang berlaku, dividen tunai
tersebut akan dikecualikan dari objek pajak jika
diterima oleh pemegang saham wajib pajak

PT ASURANSI

General

Other Information:

1.

3.

Cash Dividends will be distributed to the
shareholders of the Company whose names are
registered in the Register of Shareholders
(“DPS”) or the recording date on July 12, 2023
and/or Owners of the company's shares in the
securities accounts at PT Kustodian Sentral
Efek Indonesia (“KSEI”) at the closing of
Indonesia Stock Exchange trading on July 12,
2023.

. For shareholders whose shares are kept in the

collective custody of KSEI, payment of
dividends according to the above schedule will
be made by way of book-entry through KSEI,
and then KSEI will distribute them to the
Customer Fund Aceount (RDN)-at-the Securities
Company or Custodian Bank in which the
shareholders opened their securities accounts.
Meanwhile, for shareholders of the Company
whose shares are still in the form of
serip/unconverted and kept in the collective
custody of KSEI, the cash dividends will be
transferred to the shareholders' accounts. For
this reason, shareholders are reguired to
provide their Bank Account number to PT
Datindo Entrycom (BAE) Jl. Hayam Wuruk No.
28, Jakarta 10120, Phone: 021 3508077, email:
Corporatesecretary@datindo.com no later than
on the Recording Date at 3.00 PM. If up to the
Recording Date a shareholder has not provided
his/her Bank Account number to BAE, the
dividends will be transferred onos BAE receives
the Bank Account number of the relevant
Shareholder.

The Cash Dividends will be subject to tax in
accordance with the applicable laws and
regulations on taxation.

. Based on the applicable tax laws and

regulations, the cash dividends will be excluded
from the tax object when received by
shareholders of domestic corporate teapayer 4.

DAYIN MITRA Tbk

Insurance

@
badan dalam negeri “WP Badan DN”) dan
Perseroan tidak melakukan pemotongan Pajak
Penghasilan atas dividen tunai yang dibayarkan
kepada WP Badan DN tersebut. Dividen tunai
yang diterima oleh pemegang saham wajib
pajak orang pribadi dalam negeri (“WPOP DN")
akan dikecualikan dari objek pajak sepanjang
dividen tersebut diinvestasikan di wilayah
Negara Kesatuan Republik Indonesia. Bagi
WPOP DN yang tidak memenuhi ketentuan
investasi sebagaimana disebutkan di atas,
maka dividen yang diterima oleh yang
bersangkutan akan dikenakan pajak
penghasilan (“PPh”) sesuai dengan ketentuan
perundang-undangan yang berlaku, dan PPh
tersebut wajib disetor sendiri oleh WPOP DN
yang bersangkutan sesuai dengan ketentuan
Peraturan Pemerintah No. 9 Tahun 2021
tentang — Perlakuan Perpajakan — Untuk
Mendukung Kemudahan Berusaha.

. Pemegang saham dapat memperoleh
konfirmasi pembayaran dividen melalui
perusahaan efek dan/atau bank kustodian
dimana Pemegang saham Perseroan membuka
rekening efek, selanjutnya pemegang saham
Perseroan wajib bertanggung jawab melakukan
pelaporan penerimaan dividen termaksud
dalam pelaporan pajak pada tahun pajak yang
bersangkutan sesuai peraturan perundang-
undangan perpajakan yang berlaku.

. Bagi Pemegang Saham yang merupakan Wajib
Pajak Luar Negeri yang pemotongan pajaknya
akan menggunakan tarif — berdasarkan
Persetujuan Penghindaran Pajak Berganda
(“P3B”) wajib memenuhi persyaratan Peraturan
Direktur Jenderal Pajak No. PER-25/PJ/2018
tentang Tata Cara Penerapan Persetujuan
Penghindaran Pajak Berganda serta
menyampaikan dokumen bukti rekam atau
tanda terima DGT/SKD yang telah diunggah ke
laman Direktorat Jenderal Pajak kepada KSEI
atau BAE PT Datindo Entrycom dengan batas
waktu penyampaian sesuai peraturan dan
ketentuan KSEI, tanpa adanya dokumen

(“Domestic Corporate Taxpayer”), where the
Company will not deduct Income Tax on the
cash dividends paid to the DN Entity WP. Cash
dividends received by shareholders of domestic
individual taxpayer (“Domestic Individual
Taxpayer"”) will be excluded from the tax object
as long as the dividends are invested in the
territory of the Unitary State of the Republic of
Indonesia. If a Domestic Individual Taxpayer
fails to meet the aforesaid provision on
investment, the dividends received by the
person concerned wili be subject to income tax
PPh") in accordance with provisions of the
applicable laws and regulations, and the PPh
must be deposited by the Domestic Individual
Taxpayer concerned in accordance with
provisions of Government Regulation No. 9 of
2021 concerning Tax Treatments to Support
the Ease of Doing Business.

. Shareholders can obtain the confirmation of

cash dividends payment through the securities
company and/or custodian bank in which the
shareholders opened their securities accounts.
Afterwards, shareholders of the Company
should report the receipt of such dividends in
the tax reporting for the relevant tax year in
accordance with the applicable laws and
regulations on taxation.

. Shareholders being Foreign Taxpayers whose

tax withholding uses the rate pursuant to the
Double Taxation Avoidance Agreement (“P3B”)
must comply with reguirements of the Director
General of Taxes Regulation No. PER-
25/PJ/2018 on Procedures for Application of
Double Taxation Avoidance Agreement and
submit the evidence document or DGT/SKD
receipt that has been uploaded to the website
of the Directorate General of Taxes to KSEI or
the BAE, PT Datindo Entrycom, with the
submission deadline as per the rules and
regulations of KSEI. Without the said
document, the cash dividends payment will be
subject to Article 26 Income Tax of 20Y4.

PT ASURANSI DAYIN MITRA Tbk

General

Insurance

dimaksud, dividen tunai yang dibayarkan akan
dikenakan PPh Pasal 26 sebesar 2096.

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

Hormat kami, / Best Regards
PT Asuransi Dayin Mitra Tbk

g Se
Purnama Hadiwidjaja — Dhari ng Sumarta
Direktur Direktur

PT ASURANSI DAYIN MITRA Tbk

General Insurance

Jakarta, 4 Juli 2023
No. Surat : B.052/Dir-Keu/VII/2023

Kepada Yth./ 70
PT Bursa Efek Indonesia
Indonesia Stock Exchange Building, Lantai 4
Jl Jend. Sudirman Kav. 52-53
Jakarta 12190
Up. Direksi
Perihal: Pemberitahuan Pembagian Dividen
Tunai

Dengan hormat,

Bersama ini kami sampaikan pemberitahuan
mengenai pembagian dividen tunai (final) untuk
tahun buku 2022 yang diputuskan dalam Rapat
Umum Pemegang Saham Tahunan (“Rapat”) PT
Asuransi Dayin Mitra Tbk (“Perseroan”) yang
diselenggarakan pada tanggal 27 Juni 2023.
Jadwal pembagian dividen tunai Perseroan adalah

Attn. : Board of Directors

Re. : Notification

Distribution

of Cash Dividend

With due respect,

We hereby submit notification regarding the
distribution of cash dividends (final) for the 2022
financial year which was decided at the Annual
General Meeting of Shareholders (“Meeting”) of PT
Asuransi Dayin Mitra Tbk (“Company”) which was
held on June 27, 2023. Schedule of dividend
distribution the Company's cash is as follows:

sebagai berikut :

Jadwal Pembagian Dividen / Dividend distribution Schedule
Cum Dividen di Pasar Reguler dan Pasar Negosiasi /
Dividend cum date in Regular Market and Negotiation Market
Ex Dividen di Pasar Reguler dan Pasar Negosiasi /

Dividend ex date in Regular Market and Negotiation Market
Cum Dividen di Pasar Tunai /

Dividend cum date in Cash Market

Ex Dividen di Pasar Tunai /

Dividend ex date in Cash Market

Recording Date yang berhak atas Dividen Tunai (DPS) /

Date on which List of Shareholders (DPS) are entitled to cash
dividends

Pembayaran Dividen Tunai / Dividend payment date

Besarnya Dividen Tunai / Tota/ Value of Cash Dividend

Tanggal / Date
10 Juli 2023 / July 10, 2023

11 Juli 2023 / July 11, 2023

12 Juli 2023 / July 12, 2023

13 Juli 2023 / July 13, 2023

12 Juli 2023 / July 12, 2023

2 Agustus 2023 / August 2, 2023

Rp66 (enam puluh enam / sixty
six Rupiah)

Informasi Lain:
1. Dividen Tunai akan dibagikan
pemegang saham Perseroan yang namanya

Other Information:
kepada 1. Cash Dividends will be distributed to the
shareholders of the Company whose names are 1. t

PT ASURANSI DAYIN MITRA Tbk

WISMA HAYAM WURUK, 7" floor « Jl. Hayam Wuruk No. 8 « Jakarta 10120 - Indonesia
T. (62-21) 3086 8888 (Hunting) - Website : www.asuransidayinmilra.com
General Insurance
Anggota AAUI No. 073.01041999.2.01

@
tercatat dalam Daftar Pemegang Saham
(“DPS”) atau recording date pada tanggal 12
Juli 2023 dan/atau Pemilik saham perseroan
pada rekening efek di PT Kustodian Sentral
Efek Indonesia (“KSEI”) pada penutupan
perdagangan Bursa Efek Indonesia tanggal 12
Juli 2023.

. Bagi pemegang saham yang sahamnya
dimasukan dalam penitipan kolektif KSEI,
pembayaran dividen sesuai dengan jadwal
tersebut di atas akan dilakukan dengan cara
pemindahbukuan melalui KSEI, dan selanjutnya
KSEI akan mendistribusikannya ke Rekening
Dana Nasabah (RDN) pada Perusahaan Efek
atau Bank Kustodian tempat dimana para
pemegang saham membuka rekening efek.
Sedangkan bagi pemegang saham Perseroan
yang sahamnya masih dalam bentuk
warkat/belum dikonversi dan dimasukkan
dalam penitipan kolektif KSEI maka
pembayaran dividen tunai akan ditransfer ke
rekening pemegang saham. Untuk itu para
pemegang saham wajib memberitahukan
nomor Rekening Banknya kepada PT Datindo
Entrycom, (BAE) Jl. Hayam Wuruk No. 28,
Jakarta 10120 Telp. 021 3508077, email,
corporatesecretaryAdatindo.com — selambat-
Tambatnya pada tanggal Recording Date, pukul
15.00 WIB. Bilamana sampai dengan tanggal
Recording Date, pemegang saham belum
memberitahukan nomor Rekening Banknya
kepada BAE maka dividen akan ditransfer
setelah BAE menerima nomor Rekening Bank
Pemegang Saham yang bersangkutan.

. Dividen Tunai tersebut akan dikenakan pajak
sesuai dengan peraturan perundang-undangan
perpajakan yang berlaku.

. Berdasarkan peraturan perundang-undangan
perpajakan yang berlaku, dividen tunai
tersebut akan dikecualikan dari objek pajak jika
diterima oleh pemegang saham wajib pajak
badan dalam negeri (“WP Badan DN”) dan
Perseroan tidak melakukan pemotongan Pajak
Penghasilan atas dividen tunai yang dibayarkan
kepada WP Badan DN tersebut. Dividen tunai

registered in the Register of Shareholders
(“DPS”) or the recording date on July 12, 2023
and/or Owners of the company's shares in the
securities accounts at PT Kustodian Sentral
Efek Indonesia (“KSEI”) at the closing of
Indonesia Stock Exchange trading on Juty 12,
2023.

. For shareholders whose shares are kept in the

collective custody of KSEI, payment of
dividends according to the above schedule will
be made by way of book-entry through KSEI,
and then KSEI will distribute them to the
Customer Fund Account (RDN) at the Securities
Company or Custodian Bank in which the
shareholders opened their securities accounts.
Meanwhile, for shareholders of the Company
whose shares are still in the form of
script/unconverted and kept in the collective
custody of KSEI, the cash dividends will be
transferred to the shareholders' accounts. For
this reason, shareholders are reguired to
provide their Bank Account number to PT
Datindo Entrycom (BAE) Jl. Hayam Wuruk No.
28, Jakarta 10120, Phone: 021 3508077, email:
corporatesecretary@datindo.com no later than
on the Recording Date at 3.00 PM. If up to the
Recording Date a shareholder has not provided
his/her Bank Account number to BAE, the
dividends will be transferred once BAE receives
the Bank Account number of the relevant
Shareholder.

. The Cash Dividends will be subject to tax in

accordance with the applicable laws and
regulations on taxation.

. Based on the applicable tax laws and

regulations, the cash dividends will be excluded
from the tax object when received by
shareholders of domestic corporate taxpayer
(“Domestic Corporate Taxpayer”), where the
Company will not deduct Income Tax on the
cash dividends paid to the DN Entity WP. Cash
dividends received by shareholders of domestic A.

PT ASURANSI DAYIN MITRA Tbk

General

Insurance

@
yang diterima oleh pemegang saham wajib
pajak orang pribadi dalam negeri (“WPOP DN”)
akan dikecualikan dari objek pajak sepanjang
dividen tersebut diinvestasikan di wilayah
Negara Kesatuan Republik Indonesia. Bagi
WPOP DN yang tidak memenuhi ketentuan
investasi sebagaimana disebutkan di atas,
maka dividen yang diterima oleh yang
bersangkutan — akan dikenakan — pajak
penghasilan (“PPh”) sesuai dengan ketentuan
perundang-undangan yang berlaku, dan PPh
tersebut wajib disetor sendiri oleh WPOP DN
yang bersangkutan sesuai dengan ketentuan
Peraturan Pemerintah No. 9 Tahun 2021
tentang Perlakuan Perpajakan — Untuk
Mendukung Kemudahan Berusaha.

. Pemegang saham dapat memperoleh
konfirmasi pembayaran dividen — melalui
perusahaan efek dan/atau bank kustodian
dimana Pemegang saham Perseroan membuka
rekening efek, selanjutnya pemegang saham
Perseroan wajib bertanggung jawab melakukan
pelaporan penerimaan dividen termaksud
dalam pelaporan pajak pada tahun pajak yang
bersangkutan sesuai peraturan perundang-
undangan perpajakan yang berlaku.

. Bagi Pemegang Saham yang merupakan Wajib
Pajak Luar Negeri yang pemotongan pajaknya
akan menggunakan tarif berdasarkan
Persetujuan Penghindaran Pajak Berganda
(“P3B”) wajib memenuhi persyaratan Peraturan
Direktur Jenderal Pajak No. PER-25/PJ/2018
tentang Tata Cara Penerapan Persetujuan
Penghindaran Pajak Berganda serta
menyampaikan dokumen bukti rekam atau
tanda terima DGT/SKD yang telah diunggah ke
laman Direktorat Jenderal Pajak kepada KSEI
atau BAE PT Datindo Entrycom dengan batas
waktu penyampaian sesuai peraturan dan
ketentuan KSEI, tanpa adanya dokumen
dimaksud, dividen tunai yang dibayarkan akan
dikenakan PPh Pasal 26 sebesar 20Yo.

individual taxpayer (“Domestic Individual
Taxpayer”) wili be excluded from the tax object
as long as the dividends are invested in the
territory of the Unitary State of the Republic of
Indonesia. If a Domestic Individual Taxpayer
fails to meet the aforesaid provision on
investment, the dividends received by the
person concerned will be subject to income tax
("PPh") in accordance with provisions of the
applicable laws and regulations, and the PPh
must be deposited by the Domestic Individual
Taxpayer concerned in accordance with
provisions of Government Regulation No. 9 of
2021 concerning Tax Treatments to Support
the Ease of Doing Business.

. Shareholders can obtain the confirmation of

cash dividends payment through the securities
company and/or custodian bank in which the
shareholders opened their securities accounts.
Afterwards, shareholders of the Company
should report the receipt of such dividends in
the tax reporting for the relevant tax year in
accordance with the applicable laws and
regulations on taxation.

. Shareholders being Foreign Taxpayers whose

tax withholding uses the rate pursuant to the
Double Taxation Avoidance Agreement (“P3B”)
must comply with reguirements of the Director
General of Taxes Regulation No. PER-
25/PJ/2018 on Procedures for Application of
Double Taxation Avoidance Agreement and
submit the evidence document or DGT/SKD
receipt that has been uploaded to the website
Of the Directorate General of Taxes to KSEI or
the BAE, PT Datindo Entrycom, with the
submission deadline as per the rules and
regulations of KSEI. Without the said
document, the cash dividends payment will be
subject to Article 26 Income Tax of 20Y0.

PT ASURANSI DAYIN MITRA Tbk

General

Insurance

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

Hormat kami, / Best Regards
Asuransi Dayin Mitra Tbk

Se

Purnama Hadiwidjaja
Direktur

PT ASURANSI DAYIN MITRA Tbk

General Insurance