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20250605_HITS_Pemanggilan RUPS_31892781_lamp1.pdf
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Mangkuluhur City Tower One, 27th Floor Jl Jend. Gatot Subroto Kav. 1-3Jakarta 12930, Phone : (62-21) 509 33155 (Hunting), Fax : (62-21) 509 66344
LEMBAR REGISTRASI RUPST PT HITS Tbk.
REGISTRATION FORM AGMS PT HITS Tbk.
Nama Pemegang Saham | Shareholder Name :
Nomor Identitas (KTP/Paspor) dari Pemegang Saham :
ID Number (IDC/Passport) of Shareholders :
Nama Penerima Kuasa | Proxy Name :
(kosongkan jika Pemegang Saham hadir secara langsung | Leave blank if Shareholders are present in Person)
Nomor Identitas (KTP/Paspor) dari Penerima Kuasa :
ID Number (IDC/Passport) of Proxy :
E-mail :
Nomor Hp | Phone Number :
Nomor SID/Warkat | SID Script/Script Number :
Nama Pemegang Rekening (Sekuritas/Bank Kustodian/ Biro Administrasi Efek)
Name of Account Holder (Securities/Custodian Bank/Share Registrar)
Jumlah Kepemilikan Saham “HITS” | Ammount of “HITS” Share Ownership
Konfirmasi Kehadiran | Attendance Confirmation :
[ ] Hadir untuk agenda Rapat Umum Pemegang Saham Tahunan | Attendance Confirmation
for Annual General Meeting of Shareholders
*beri tanda X pada kolom
Jakarta, Juni 2025
Materai 10.000
( )
The Reliable Partner
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