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20250904_LIFE_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31937771.pdf

Shareholder register Parsed LIFE

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Page 1
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 Nomor Surat                          60/MSL-CSEC/IX/2025

 Nama Perusahaan                      PT MSIG Life Insurance Indonesia Tbk.

 Kode Emiten                          LIFE

 Papan Pencatatan                     Pengembangan

 Lampiran                             1

 Perihal                              Laporan Bulanan Registrasi Pemegang Efek


Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Agustus 2025
Sebagai Berikut :

Biro Administrasi Efek: PT. Sinartama Gunita




                                                                            Persen
                                                                                       Jumlah      Persen
                                                               Jumlah Saham Saham
                     Nama       Alamat           Jabatan                             Saham Bulan Saham Bulan Pengendali   Afiliasi
                                                                Sebelumnya Sebelumny
                                                                                         Ini         Ini
                                                                               a
               UBS AG     Menara Tekno                          262.500.000     12,5% 262.500.000      12,5%
            Singapore S/A Lt. 7, Jl. H.
  Pemegang               Fachruddin No.
 Saham > 5%                 19, Tanah
                              Abang
                Mitsui       9 Kanda                           1.680.000.000      80% 1.680.000.00      80%
              Sumitomo    Surugadai, 3-                                                          0               X
                             Chome
                           Chiyoda-Ku,
                         Tokyo 101-8011
                                                           0       0%            0          0%
        Masyarakat - Warkat - Scrip

                                                157.500.000       7,5%   157.500.00       7,5%
    Masyarakat - Non Warkat - Scripless                                           0

                                                           0        0%            0         0%
              Saham Treasury

                                               2.100.000.00      100% 2.100.000.00        100%
                     Total                                0                      0
Page 2
                                                                        Persentase      Jumlah Saham (Bulan       Persentase(Bulan
             Nama                     Jumlah Saham (Sebelumnya)
                                                                       (Sebelumnya)             Ini)                    Ini)
                                                       1,680,000,000             80%              1,680,000,000               80%
        Total Pengendali

                                                         420,000,000              20%               420,000,000               20%
     Total Non Pengendali




Informasi Saham Free Float


                             Keterangan                                 Bulan Sebelumnya             Bulan Ini

Jumlah saham scripless dimiliki oleh pemegang saham kurang
                                                                                 157.500.000               157.500.000
dari 5%
 Jumlah saham scripless dimiliki oleh Direksi dan Dewan
                                                                                              0                       0
 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                                                        157.500.000                157.500.000


Jumlah saham tercatat di Bursa per akhir bulan                                 2.100.000.000             2.100.000.000


% Saham Free Float                                                                      7,5                         7,5
Page 3
Jumlah Pemegang Saham


          Bulan Sebelumnya                     Bulan Sekarang                 Perubahan


                                678                                782                    104



Penerima Manfaat Akhir dari Kepemilikan Saham


      Nomor                                                      Nama

          1                                                Hideaki Nomura




Demikian untuk diketahui.


Hormat Kami,
PT MSIG Life Insurance Indonesia Tbk.




Leony Samosir

Corporate Secretary




PT MSIG Life Insurance Indonesia Tbk.
Sinarmas Land Plaza Sudirman, Lantai 6 Jalan Jend. Sudirman Kav. 21 Jakarta
Telepon : 021-50597777, Fax : 021-50608899, www.msiglife.co.id



Nama Pengirim                     Leony Samosir

Jabatan                           Corporate Secretary
Tanggal dan Waktu                 08-09-2025 19:02
Page 4
Lampiran                          1. Laporan Registrasi Pemegang Saham LIFE31082025.pdf


   Dokumen ini merupakan dokumen resmi PT MSIG Life Insurance Indonesia Tbk. yang tidak memerlukan tanda
tangan karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT MSIG Life Insurance Indonesia Tbk.
                   bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 5
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 Letter / Announcement No.             60/MSL-CSEC/IX/2025

 Issuer Name                           PT MSIG Life Insurance Indonesia Tbk.

 Issuer Code                           LIFE

 Listing Board                         Development

 Attachment                            1

 Subject                               Monthly Report of Securities Holders Registration

 The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 August
 2025 as follows:

 Security Administration Bureau: PT. Sinartama Gunita


                                                               Number of Percent of Number of        Percent of
                   Name         Address         Position       Shares in Shares in Shares in         Shares in    Controller   Affiliation
                                                                Previous  Previous   Current          Current
                  UBS AG     Menara Tekno                       262,500,000     12.5% 262,500,000         12.5%
  Share     Singapore S/A Lt. 7, Jl. H.
Ownership >              Fachruddin No.
   5%                      19, Tanah
                                 Abang
                  Mitsui        9 Kanda                        1,680,000,000      80% 1,680,000,00          80%
                 Sumitomo     Surugadai, 3-                                                      0                    X
                                 Chome
                              Chiyoda-Ku,
                             Tokyo 101-8011
                                                           0        0%            0         0%
         Masyarakat - Warkat - Scrip

                                                157.500.000       7,5%    157.500.00       7,5%
     Masyarakat - Non Warkat - Scripless                                           0

                                                           0        0%             0         0%
               Saham Treasury

                                               2.100.000.00       100% 2.100.000.00        100%
                     Total                                0                       0
Page 6
                                                                          Percentage      Number of Shares (This      Percentage (This
              Name                   Number of Shares (Previously)
                                                                          (Previous)             Month)                   Month)
                                                          1,680,000,000            80%                1,680,000,000                80%
         Total Controller

                                                           420,000,000              20%                 420,000,000               20%
      Total Non-Controllers




Free Float Share Information


                              Information                                  Previous Month                This Month

 The number of scripless shares owned by shareholders is less
                                                                                   157.500.000                 157.500.000
 than 5%
 The number of scripless shares owned by the Board of Directors
                                                                                                  0                       0
 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                                                    157.500.000                 157.500.000

 The number of shares listed on the Exchange at the end of the
                                                                                 2.100.000.000               2.100.000.000
 month

 % Free Float Share                                                                         7,5                         7,5
Page 7
Number of Shareholders


           Previous Month                            This Month                Change


                                   678                                 782              104


Final Beneficiaries of Share Ownership


      Number                                                      Name

           1                                                  Hideaki Nomura




Thus to be informed accordingly.


Respectfully,
PT MSIG Life Insurance Indonesia Tbk.




Leony Samosir

Corporate Secretary




PT MSIG Life Insurance Indonesia Tbk.
Sinarmas Land Plaza Sudirman, Lantai 6 Jalan Jend. Sudirman Kav. 21 Jakarta
Phone : 021-50597777, Fax : 021-50608899, www.msiglife.co.id



Sender Name                          Leony Samosir

Function                             Corporate Secretary

Date and Time                        08-09-2025 19:02
Page 8
Attachment                        1. Laporan Registrasi Pemegang Saham LIFE31082025.pdf


 This is an official document of PT MSIG Life Insurance Indonesia Tbk. that does not require a signature as it was
    generated electronically by the electronic reporting system. PT MSIG Life Insurance Indonesia Tbk. is fully
                           responsible for the information contained within this document.

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Size0.02 MB
Published8 Sep 2025
Pages8
Characters11,754
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Names mentioned 7 people and organisations named in the text · linked when the evidence is strong

linked org PT MSIG Life Insurance Indonesia Tbk. · Nama Perusahaan p.1 ×20
linked person Hideaki Nomura p.3 ×3
linked org Sinarmas Land p.3 ×2
possible org UBS AG · 262.500.000 p.1
possible — Mitsui · 1.680.000.000 p.1
unresolved org Life Insurance Indonesia Tbk. p.1 ×10
unresolved person Leony Samosir · Corporate Secretary p.3 ×3

Extraction attempts how the parser did, and what it refused

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

Rule parser OK confidence 0.900 327 ms 12 Sep 2026 22:35
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '2100000000'},
                'treasury': {'pct': '0', 'shares': '0'},
                'under5_non_warkat': {'pct': '7.5', 'shares': '157500000'},
                'under5_warkat': {'pct': '0', 'shares': '0'}},
 'as_of_date': '2025-08-31',
 'checksum_ok': True,
 'checksum_parts': '2100000000',
 'holders': [{'address': 'Menara Tekno Lt. 7, Jl. H. Fachruddin No.',
              'category': 'FIVE_PCT',
              'is_controller': False,
              'is_controller_affiliate': False,
              'name': 'UBS AG Singapore S/A',
              'page_no': 1,
              'pct': '12.5',
              'pct_prev': '12.5',
              'position': '',
              'seq': 0,
              'shares': '262500000',
              'shares_prev': '262500000'},
             {'address': '19, Tanah Abang 9 Kanda Surugadai, 3-',
              'category': 'FIVE_PCT',
              'is_controller': True,
              'is_controller_affiliate': False,
              'name': 'Mitsui Sumitomo',
              'page_no': 1,
              'pct': '80',
              'pct_prev': '80',
              'position': '',
              'seq': 1,
              'shares': '1680000000',
              'shares_prev': '1680000000'}],
 'issuer_name': 'PT MSIG Life Insurance Indonesia Tbk.',
 'issuer_ticker': 'LIFE',
 'layout': 'EREP_COVER',
 'letter_number': '60/MSL-CSEC/IX/2025',
 'listing_board': 'Pengembangan',
 'period_label': 'Agustus 2025',
 'registrar': 'PT. Sinartama Gunita',
 'total_shares': '2100000000'}
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