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20251209_ZBRA_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_32011689.pdf
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Extracted text 8
Page 1
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Nomor Surat 30/DNR/Let/CorSec/XII/2025
Nama Perusahaan PT Dosni Roha Indonesia Tbk
Kode Emiten ZBRA
Papan Pencatatan Pemantauan Khusus
Lampiran 1
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 30 November 2025
Sebagai Berikut :
Biro Administrasi Efek: PT BSR Indonesia
Perseroan menyampaikan informasi rasio SDHSM [ 0 : 0 ]X dengan voting power [ 0 ]%
Jumlah Jumlah Nilai Persen Persen Hak Jumlah Jumlah Nilai Persen Persen Hak
Kategori
Nama Alamat Jabatan Seri Saham Nilai Nominal Saham Nominal Saham Suara Bulan Saham Bulan Nominal Saham Bulan Suara Bulan Pengendali A
SDHSM
Sebelumnya Sebelumnya Sebelumnya Sebelumnya Ini Bulan Ini Ini Ini
MKES-Client Sentral Senayan 387.223.800 15,42% 0% 387.223.800 15,42% 0%
Pemegang
Repo III Building, Lt.
Saham > 5% 15,20, 22 Jl. Asia
Afrika No.8 Gelora
Tanah Abang
PT Trinity Dos Ni Roha Lt.3 1.556.871.1 62,01% 0% 1.556.871.1 62,01% 0%
Healthcare Jl. Budi Raya No.9 92 92 X
Kebon Jeruk
0 0 0% 0% 0 0 0% 0%
Masyarakat - Warkat - Scrip
566.611.2 0 22,57% 0% 566.611.27 22,57 0% 0%
Masyarakat - Non Warkat - Scripless 71 1
0 0 0% 0% 0 0 0% 0%
Saham Treasury
2.510.706. 0 100% 0% 2.510.706. 100 0% 0%
Total 263 263
Page 2
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
1,556,871,192 62.01% 1,556,871,192 62.01%
Total Pengendali
953,835,071 37.99% 953,835,071 37.99%
Total Non Pengendali
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
566.611.271 566.611.271
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
64.522.300 64.522.300
Komisaris kurang dari 5%
Jumlah saham scripless dimiliki oleh Pengendali kurang dari 5% 0 0
Jumlah saham scripless dimiliki oleh Afiliasi dari Pengendali 0 0
kurang dari 5%
Jumlah treasury stock scripless kurang dari 5% 0 0
Jumlah saham portofolio investasi dengan penerima manfaat
0 0
investor publik yang telah disetujui Bursa untuk diperhitungkan
sebagai Free Float
Jumlah saham Free Float 502.088.971 502.088.971
Jumlah saham tercatat di Bursa per akhir bulan 2.510.706.263 2.510.706.263
% Saham Free Float 20 20
Page 3
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
3.041 3.041 0
Penerima Manfaat Akhir dari Kepemilikan Saham
Nomor Nama
1 B. Rudijanto Tanoesoedibjo
Informasi Lain
Bersama hal ini Perseroan menyampaikan bahwa B. Rudijanto Tanoesoedibjo adalah penerima manfaat akhir,
sebagai pelaksanaan dari Peraturan Presiden Nomor 13 Tahun 2018 tentang Penerapan Prinsip Mengenali Pemilik
Manfaat dari Korporasi Dalam Rangka Pencegahan dan Pemberantasan Tindak Pidana Pencucian Uang dan
Tindak Pidana Pendanaan Terorisme.
Demikian untuk diketahui.
Hormat Kami,
PT Dosni Roha Indonesia Tbk
jepri siahaan
Corporate Secretary
PT Dosni Roha Indonesia Tbk
Page 4
Graha Dosni Roha, Jl Budi Raya No. 9B, Kemanggisan, Palmerah RT 01 RW 05,
Telepon : 021-530 5600, Fax : -, www.dnr.id
Nama Pengirim jepri siahaan
Jabatan Corporate Secretary
Tanggal dan Waktu 09-12-2025 14:41
Lampiran 1. 11 ZBRA - LAPBUL NOVEMBER 2025.pdf
Dokumen ini merupakan dokumen resmi PT Dosni Roha Indonesia Tbk yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Dosni Roha Indonesia Tbk bertanggung jawab
penuh atas informasi yang tertera didalam dokumen ini.
Page 5
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Letter / Announcement No. 30/DNR/Let/CorSec/XII/2025
Issuer Name PT Dosni Roha Indonesia Tbk
Issuer Code ZBRA
Listing Board Watchlist
Attachment 1
Subject Monthly Report of Securities Holders Registration
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 30 November
2025 as follows:
Security Administration Bureau: PT BSR Indonesia
The Company submits information on the ratio of MVS [0 : 0] with voting power [0]%.
Number of Number of Percentage ofPercentage of Number of Number of Percentage ofPercentage of
Shares MVS Nominal Shares in Nominal Shares in Voting Rights Shares in Nominal Shares in Voting Rights
Name Address Position Contro
Series Category Value Previous Value in Previous in Previous Current Value in Current in Current
Month Previous Month Month Month Current Month Month
Share MKES-Client Sentral Senayan 387,223,800 15.42% 0% 387,223,800 15.42% 0%
Ownership > Repo III Building, Lt.
5% 15,20, 22 Jl. Asia
Afrika No.8 Gelora
Tanah Abang
PT Trinity Dos Ni Roha Lt.3 1,556,871,1 62.01% 0% 1,556,871,1 62.01% 0%
Healthcare Jl. Budi Raya No.9 92 92 X
Kebon Jeruk
0 0 0% 0% 0 0 0% 0%
Masyarakat - Warkat - Scrip
566.611.2 0 22,57% 0% 566.611.27 22,57 0% 0%
Masyarakat - Non Warkat - Scripless 71 1
0 0 0% 0% 0 0 0% 0%
Saham Treasury
2.510.706. 0 100% 0% 2.510.706. 100 0% 0%
Total 263 263
Page 6
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
1,556,871,192 62.01% 1,556,871,192 62.01%
Total Controller
953,835,071 37.99% 953,835,071 37.99%
Total Non-Controllers
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
566.611.271 566.611.271
than 5%
The number of scripless shares owned by the Board of Directors
64.522.300 64.522.300
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
Number of investment portfolio shares with public investor
0 0
beneficiaries that have been approved by the Exchange to be
counted as Free Float
The amount of Free Float Share 502.088.971 502.088.971
The number of shares listed on the Exchange at the end of the
2.510.706.263 2.510.706.263
month
% Free Float Share 20 20
Page 7
Number of Shareholders
Previous Month This Month Change
3.041 3.041 0
Final Beneficiaries of Share Ownership
Number Name
1 B. Rudijanto Tanoesoedibjo
Other Information
The Company hereby states that B. Rudijanto Tanoesoedibjo is the ultimate beneficial owner, as the enforcement
of Presidential Regulation Number 13 of 2018 concerning Enactment of Beneficial Ownership Identification
Principle of Corporation in the event of Prevention and Eradication of Criminal Acts of Money Laundering and
Terrorism Funding.
Thus to be informed accordingly.
Respectfully,
PT Dosni Roha Indonesia Tbk
jepri siahaan
Corporate Secretary
Page 8
PT Dosni Roha Indonesia Tbk
Graha Dosni Roha, Jl Budi Raya No. 9B, Kemanggisan, Palmerah RT 01 RW 05,
Phone : 021-530 5600, Fax : -, www.dnr.id
Sender Name jepri siahaan
Function Corporate Secretary
Date and Time 09-12-2025 14:41
Attachment 1. 11 ZBRA - LAPBUL NOVEMBER 2025.pdf
This is an official document of PT Dosni Roha Indonesia Tbk that does not require a signature as it was generated
electronically by the electronic reporting system. PT Dosni Roha 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
PT BSR
· Biro Administrasi Efek
p.1
unresolved
org
PT BSR Indonesia
p.1 ×2
unresolved
org
PT Trinity Dos Ni Roha
p.1 ×2
unresolved
—
jepri siahaan
· Corporate Secretary
p.4 ×2
unresolved
—
Healthcare
· 92
p.5
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12 Sep 2026 22:33
checksum: parts=566611348.43 vs Total=2510706263; too few fields to persist
Raw output
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'treasury': {'pct': '0', 'shares': '0'},
'under5_non_warkat': {'pct': '0', 'shares': '566611271'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2025-11-30',
'checksum_ok': False,
'checksum_parts': '566611348.43',
'holders': [{'address': 'Sentral Senayan III Building, Lt. 15,20, 22 Jl. Asia',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'MKES-Client Repo',
'page_no': 1,
'pct': '0',
'pct_prev': None,
'position': '',
'seq': 0,
'shares': '15.42',
'shares_prev': '387223800'},
{'address': 'Afrika No.8 Gelora Tanah Abang Dos Ni Roha Lt.3 Jl. '
'Budi Raya No.9',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'PT Trinity Healthcare',
'page_no': 1,
'pct': '0',
'pct_prev': None,
'position': '',
'seq': 1,
'shares': '62.01',
'shares_prev': '1556871192'}],
'issuer_name': 'PT Dosni Roha Indonesia Tbk',
'issuer_ticker': 'ZBRA',
'layout': 'EREP_COVER',
'letter_number': '30/DNR/Let/CorSec/XII/2025',
'listing_board': 'Pemantauan Khusus',
'period_label': 'November 2025',
'registrar': 'PT BSR Indonesia',
'total_shares': '2510706263'}