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Page 1 OCR 0.924
Jakarta, 27 November 2025
No. Ref.: B.112/CS/X1/2025

Kepada Yth. / 70

Otoritas Jasa Keuangan (OJK)
Gedung Sumitro Djojohadikusumo
Jl. Lapangan Banteng Timur No. 2-4
Jakarta 10710

Up. Kepala Eksekutif Pengawas Pasar
Modal, Keuangan Derivatif, dan Bursa
Karbon

Perihal : Keterbukaan Informasi atau Fakta
Material

Dengan hormat,

Dengan ini kami untuk dan atas nama PT Asuransi
Dayin Mitra Tbk (“Perseroan”), menyampaikan
Keterbukaan Informasi atau Fakta Material
berdasarkan Peraturan Otoritas Jasa Keuangan
Nomor 31/POJK.04/2015 tentang Keterbukaan
Informasi atau Fakta Material oleh Emiten atau
Perusahaan Publik, sebagai berikut:

Nama Emiten / Name of Issuer
Bidang Usaha / Scope of Business

Telepon / Telephone
Alamat surat elektronik / e-mail

Attn. Chief Executive functioning as Capital
Markets, Financial Derivatives, and

Carbon Exchange Supervisor

Re. : Disclosure of Material Information or
Fact

Dear Sir/Madam,

For and on behalf of PT Asuransi Dayin Mitra Tbk
("the Company”), we hereby convey the following
Disclosure of Material Information or Fact based on
Financial Services Authority Regulation Number
31/POJK.04/2015 concemning Disclosure of
Information or Material Facts by Issuers or Public
Companies, as follows:

: PT Asuransi Dayin Mitra Tbk (ASDM)

: Asuransi Umum Konvensional / General Insurance
1 021-80868888

: csecretary@dayinmitra.com

1, | Tanggal 26 November 2025 LI. | DateofEvent | November 26, 2025
Kejadian
2. | Jenis Informasi | Keterbukaan Informasi 2 | Typeof Information disclosure
atau Fakta terkait Komisaris Material regarding the
Material Perseroan meninggal Information or | Companys
dunia. Fact Independent
Commissioner has
passed away.

PT ASURANSI DAYIN-MITRA Tbk

WISMA HAYAM WURUK, 7" floor «

Jl. Hayam Wuruk No. 8 « Jakarta 10120 - Indonesia

T. (62-21) 8086 8888 (Hunting) - Website : www.asuransidayinmitra.com

General

Insurance

Anggota AAUI No. 073.01041999.2.01
Page 2 OCR 0.885
3. | Uraian Perseroan Description of| The Company herby
Informasi atau | memberitahukan bahwa Material notify that on
Fakta Material pada Rabu, 26 November Information or| Wednesday, November

2025, Bapak — Yugi Fact 26, 2025, Mr. Yugi

Prayanto selaku Prayanto as

Komisaris Perseroan Commissioner of the

& telah meninggal dunia. Company has passed
away.

4. | Dampak Tidak ada Impact of the| None
kejadian, event or
informasi atau material
fakta material information or
tersebut fact on the
terhadap Operations,
kegiatan legal matters,
operasional, financial
hukum, kondisi condition or
keuangan, atau business
kelangsungan continuity — Of
usaha Emiten the Issuer or
atau Public Company
Perusahaan
Publik

5. | Keterangan Tidak ada Other None
lain-lain information

Demikian pemberitahuan ini kami sampaikan, atas 7hus we convey this information. Thank you for

perhatiannya kami ucapkan terima kasih.

#.Hormat kami, / Best Regards,
Y PT Asuransi Dayin Mitra Tbk

Ne

Purnama Hadiwidjaja
Corporate Secretary

your kind attention.

PT ASURANSI DAYIN MITRA Tbk

General Insurance
Page 3 OCR 0.914
Jakarta, 27 November 2025
No. Ref.: B.113/CS/XI/2025

Kepada Yth. / 70

PT Bursa Efek Indonesia

Gedung Bursa Efek Indonesia, Tower 1 Lantai 6
Jl. Jend. Sudirman Kav.52-53

Jakarta 12190

Up. Direksi

Perihal : Keterbukaan Informasi atau Fakta
Material

Dengan hormat,

Dengan ini kami untuk dan atas nama PT Asuransi
Dayin Mitra Tbk (“Perseroan”), menyampaikan
Keterbukaan Informasi atau Fakta Material
berdasarkan Peraturan Otoritas Jasa Keuangan
Nomor 31/POJK.04/2015 tentang Keterbukaan
Informasi atau Fakta Material oleh Emiten atau
Perusahaan Publik, sebagai berikut:

Nama Emiten / Name of Issuer

Attn. Board of Directors

Re. : Disclosure of Material Information or
Fact
Dear Sir/Madam,

For and on behalf of PT Asuransi Dayin Mitra Tbk
(“the Company"), we hereby convey the following
Disclosure of Material Information or Fact based on
Financial Services Authority Regulation Number
31/POIK.04/2015  concerning Disclosure of
Information or Material Facts by Issuers or Public
Companies, as follows:

: PT Asuransi Dayin Mitra Tbk (ASDM)

Bidang Usaha / Scope of Business — : Asuransi Umum Konvensional / General Insurance
Telepon / Telephone 1 021-80868888
Alamat surat elektronik / e-mail mitra.com
1, | Tanggal 26 November 2025 1. | DateofEvent | November 26, 2025
Kejadian
2. | Jenis Informasi | Keterbukaan Informasi 2 Type of Information disclosure
atau Fakta terkait Komisaris Material regarding the
Material Perseroan meninggal Information or | Companys
dunia. Fact Commissioner has
passed away.

PT ASURANSI DAYIN MITRA Tbk

WISMA HAYAM WURUK, 7" floor - Jl. Hayam Wuruk No. 8 - Jakarta 10120 - Indonesia
T. (62-21) 8086 8888 (Hunting) - Website : www.asuransidayinmitra.com

General

Insurance

Anggota AAUI No. 073.01041999.2.01
Page 4 OCR 0.882
3. | Uraian Perseroan 3. | Descriotion of| The Company herby
Informasi atau | memberitahukan bahwa Material notify that on
Fakta Material pada Rabu, 26 November Information or| Wednesday, November

2025, Bapak — Yugi Fact 26, 2025, Mr. Yugi

Prayanto selaku Prayanto as

Komisaris Perseroan Commissioner of the

. telah meninggal dunia. Company has passed
away.

4. | Dampak Tidak ada 4 | Impact of the| None
kejadian, event or
informasi atau material
fakta material information or
tersebut fact on the
terhadap Operations,
kegiatan legal matters,
operasional, Financial
hukum, kondisi condition or
keuangan, atau business
kelangsungan continuity — of
usaha Emiten the Issuer or
atau Public Company
Perusahaan
Publik

5. | Keterangan Tidak ada 5. | Otter None
lain-lain information

Demikian pemberitahuan ini kami sampaikan, atas 7hus we convey this information. Thank you for
perhatiannya kami ucapkan terima kasih. Your kind attention.

d Hormat kami, / Best Regards,
Y PT Asuransi Dayin Mitra Tbk

Ik

Purnama Hadiwidjaja
Corporate Secretary

PT ASURANSI DAYIN MITRA Tbk

General Insurance

File

File Open PDF
Source IDX
Size0.21 MB
Published27 Nov 2025
Pages4
Characters5,861
Text sourceOCR
OCR confidence0.901

Names mentioned 7 people and organisations named in the text · linked when the evidence is strong

linked org Asuransi Dayin Mitra Tbk p.1 ×34
linked person Yugi Prayanto p.2 ×3
linked person Purnama Hadiwidjaja p.2 ×2
possible org Otoritas Jasa Keuangan p.1 ×3
possible org PT Bursa Efek Indonesia p.3 ×2
unresolved org Financial Services Authority p.1 ×2
unresolved — Prayanto · Komisaris p.2 ×2

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