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20250304_SRAJ_Laporan Kepemilikan atau Setiap Perubahan Kepemilikan Saham Perusahaan Terbuka_31866255_lamp3.pdf

Ownership change Needs review SRAJ

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Extracted text 4

Page 1 OCR 0.912
Mayapada Tower Lt.5

JI. Jend. Sudirman Kav. 28
Karet-Setia Budi, Jakarta 12920
Telp: 62-21-5212010

Nomor/Number 001/MHG//2025
Lampiran/Appendix

Regarding / Perihal

MayapaDa
HeatiHcARE
Group

3 March / Maret 2025

Report on the Shareholding of or Any Change to the Shareholding of a Public

Company / Laporan Kepemilikan atau Setiap Perubahan Kepemilikan Saham

Perusahaan Terbuka

To / Kepada Yth.:

Chief Executive of Capital Markets, Financial Derivatives and Carbon Exchange Supervisor of Financial
Services Authority / Kepala Eksekutif Pengawas Pasar Modal, Keuangan Derivatif, dan Bursa Karbon

Otoritas Jasa Keuangan

Gedung Soemitro Djojohadikusumo
Jl. Lapangan Banteng Timur 2-4
Jakarta Pusat 10710

Dear Sir,

We, the undersigned.

Name / Nama
Complete Address / Alamat Lengkap

Dengan hormat,

Kami yang bertanda tangan di bawah ini:

PT Mayapada Healthcare Group (“MHG”)
Mayapada Tower 1 Lt. 5, Jl. Jend. Sudirman Kav. 28,

Setiabudi, South Jakarta 12940, Indonesia

Telephone Number / Nomor Telepon
Nationality / Kewarganegaraan

021 - 5212010
A limited liability company established in Indonesia /

suatu perseroan terbatas yang didirikan di Indonesia

Email address / Alamat email

mhgrou

t@gmail.com

in accordance with Article 2 (2) of Regulation of the Financial Services Authority No. 4 of 2024 concemning Report on
the Shareholding of or Any Change to the Shareholding of a Public Company and Report on the Activity of Encumbering
Shares of a Public Company, hereby report that we own shares in the Public Company as detailed below:

sesuai dengan Pasal 2 (2) Peraturan Otoritas Jasa Keuangan No. 4 tahun 2024 tentang Laporan Kepemilikan atau
Setiap Perubahan Kepemilikan Saham Perusahaan Terbuka dan Laporan Aktivitas Menjaminkan Saham Perusahaan
Terbuka, melapor bahwa kami memiliki saham Perusahaan Terbuka dengan rincian sebagai berikut:

1. Name of shares of Public Company !/ Nama saham
Perusahaan Terbuka

2. Number of shares and shareholding percentage
with voting rights before and after transaction /
Jumlah saham dan persentase kepemilikan
saham dengan hak suara sebelum dan sesudah
transaksi

PT Sejahteraraya Anugrahjaya Tbk. (“SRAJ”)

Before / Sebelum
Number of Shares /
Jumlah Saham:

7,199,214,743 shares
indirectly through PT
Surya Cipta Inti
Cemerlang (“SCIC')/
7.199.214.743 saham
secara tidak langsung
melalui PT Surya Cipta
Inti Cemerlang (“SCIC”)

Percentage of Voting
Rights / Persentase Hak
Suara:

58,82Y"

After / Setelah
Number of Shares /
Jumlah Saham:

6,152,378,489 shares
indirectly through SCIC/

6.152.378.489 saham
secara tidak langsung
melalui SCIC.

Percentage of Voting

Rights / Persentase Hak
Suara:

50,27Yo”"
Page 2 OCR 0.885
Mayapada Tower Lt.5

JI. Jend. Sudirman Kav. 28
Karet-Setia Budi, Jakarta 12920
Telp: 62-21-5212010

Type of transaction conducted / Jenis transaksi
yang dilakukan

Number of shares purchased, sold, or transferred
/ Jumlah saham yang dibeli, dijual, atau dialihkan

Share Classification / Klasifikasi saham

Purchase or sale price per share / Harga
pembelian atau penjualan per saham

Transaction date / Tanggal transaksi
Purpose of transaction / Tujuan transaksi
Status of shareholding (direct or indirect) / Status

kepemilikan saham (langsung atau tidak
langsung)

Remarks of controller/ Keterangan pengendali

. Name of shareholder granting authority to report,

if the shareholding report is delegated / Nama
pemegang saham yang memberikan kuasa untuk
melaporkan, jika laporan kepemilikan saham
dikuasakan

MayapaDa
Heatricare
Group

“Percentage of Voting Rights held by SCIC prior to the
transaction.

/
“Persentase Hak Suara milik SCIC sebelum transaksi.

"“Percentage of Voting Rights held by SCIC after the
transaction.

/
"Persentase Hak Suara milik SCIC setelah transaksi.

Sale / Penjualan:

Is the purchase or sale transaction a repurchase
agreement transaction? / Apakah transaksi pembelian
atau penjualan merupakan transaksi repurchase
agreement?

DO Yes/Ya

RI No /Tidak

1,046, 836,254 Shares / 1.046.836.254 Saham

KI ordinary shares / saham biasa
D-shares-with-multiple-veting-righk bamd

ag 9
hak suara multipel
IDR280 per Share / Rp280 per Saham

26 February 2025 / 26 Februari 2025.

Sale of shares to strategic investors ! Penjualan saham
kepada investor strategis

DI Direst/-angsung

Indirect, through its subsidiary, PT Surya Cipta Inti
Cemerlang / Tidak Langsung melalui entitas anak, PT
Surya Cipta Inti Cemerlang

R Yes/Ya
If Yes, will it maintain control? /Jika Ya, apakah akan
mempertahankan pengendalian?
R Yes/Ya
E-No- Tidak
D-Ne Tidak
Page 3 OCR 0.911
Mayapada TowerLt.5 Marapapa
Jl. Jend. Sudirman Kav. 28 HeatrHcare
Karet-Setia Budi, Jakarta 12920 (Group
Telp :62-21-5212010

12. Information on details of members of organized -
group, ifit is a shareholding report by an organized
group / Informasi mengenai rincian anggota
kelompok yang terorganisasi, jika merupakan
laporan kepemilikan saham oleh kelompok yang
terorganisasi

Please be advised accordingly and thank you for your Demikian disampaikan, atas perhatiannya kami
kind attention. ucapkan terima kasih

Isignature page to follow / halaman tanda tangan pada halaman selanjutnya)
Page 4 OCR 0.759
Mayapada Tower Lt.5

Jl. Jend. Sudirman Kav. 28
Karet-Setia Budi, Jakarta 12920
Telp : 62-21-5212010

Yours sincerely, / Hormat kami,

SB 2 7AYO.
4

Name Nama” —: Ronald Hi Kr

Title / Jabatan : Direktur

Copied to / Tembusan:
1. PT Bursa Efek Indonesia, and / dan
2. PT Sejahteraraya Anugrahjaya Tbk

Mayapapa
HeatiHcaRE

Group

File

File Open PDF
Source IDX
Size0.79 MB
Published4 Mar 2025
Pages4
Characters5,468
Text sourceOCR
OCR confidence0.867

Names mentioned 8 people and organisations named in the text · linked when the evidence is strong

linked org Sejahteraraya Anugrahjaya Tbk. p.1 ×5
linked org Surya Cipta Inti p.1 ×4
possible org Otoritas Jasa Keuangan p.1 ×2
possible org PT Bursa Efek Indonesia p.4
unresolved org Financial Services Authority p.1 ×2
unresolved org PT Mayapada Healthcare Group p.1
unresolved org PT Surya Cipta Inti Cemerlang p.1 ×3
unresolved org PT Surya Cipta Inti Cemerlang R Yes p.2

Extraction attempts how the parser did, and what it refused

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

Rule parser Needs review confidence 0.235 185 ms 13 Sep 2026 15:37
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           {'direct_owner_name': '',
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            'transaction_type_raw': 'Share Classification / Klasifikasi saham '
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           {'direct_owner_name': '',
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           {'direct_owner_name': '',
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            'shares': None,
            'transaction_date': None,
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            'transaction_type_raw': 'hak suara multipel Purchase or sale price '
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           {'direct_owner_name': '',
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            'shares': None,
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            'transaction_type': 'OTHER',
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           {'direct_owner_name': '',
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            'repurchase_agreement': None,
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            'share_class': '',
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            'transaction_type': 'OTHER',
            'transaction_type_raw': 'hak suara multipel Purchase or sale price '
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           {'direct_owner_name': '',
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            'repurchase_agreement': None,
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            'share_class': '',
            'shares': None,
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            'transaction_type_raw': 'hak suara multipel Purchase or sale price '
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           {'direct_owner_name': '',
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            'shares': None,
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            'transaction_type_raw': 'hak suara multipel Purchase or sale price '
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           {'direct_owner_name': '',
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            'transaction_type_raw': 'hak suara multipel Purchase or sale price '
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           {'direct_owner_name': '',
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            'shares': None,
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            'transaction_type_raw': 'hak suara multipel Purchase or sale price '
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           {'direct_owner_name': '',
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            'repurchase_agreement': None,
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            'share_class': '',
            'shares': None,
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            'transaction_type': 'OTHER',
            'transaction_type_raw': 'hak suara multipel Purchase or sale price '
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           {'direct_owner_name': '',
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            'share_class': '',
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            'transaction_type': 'OTHER',
            'transaction_type_raw': 'hak suara multipel Purchase or sale price '
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           {'direct_owner_name': '',
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            'repurchase_agreement': None,
            'seq': 41,
            'share_class': '',
            'shares': None,
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            'transaction_type': 'OTHER',
            'transaction_type_raw': 'hak suara multipel Purchase or sale price '
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           {'direct_owner_name': '',
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            'seq': 42,
            'share_class': '',
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            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'Purchase or sale price per share / Harga '
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           {'direct_owner_name': '',
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            'repurchase_agreement': None,
            'seq': 43,
            'share_class': '',
            'shares': None,
            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'Purchase or sale price per share / Harga '
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           {'direct_owner_name': '',
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            'share_class': '',
            'shares': None,
            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'Purchase or sale price per share / Harga '
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           {'direct_owner_name': '',
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            'seq': 45,
            'share_class': '',
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            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'Purchase or sale price per share / Harga '
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           {'direct_owner_name': '',
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            'repurchase_agreement': None,
            'seq': 46,
            'share_class': '',
            'shares': None,
            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'Purchase or sale price per share / Harga '
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           {'direct_owner_name': '',
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            'transaction_type': 'OTHER',
            'transaction_type_raw': 'pembelian atau penjualan per saham '
                                    'Transaction date / Tanggal transaksi 26 '
                                    'February Purpose of transaction / Tujuan '
                                    'transaksi Sale of shares'},
           {'direct_owner_name': '',
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            'transaction_type_raw': 'pembelian atau penjualan per saham '
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                                    'February Purpose of transaction / Tujuan '
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           {'direct_owner_name': '',
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                                    'February Purpose of transaction / Tujuan '
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           {'direct_owner_name': '',
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            'transaction_type_raw': 'pembelian atau penjualan per saham '
                                    'Transaction date / Tanggal transaksi 26 '
                                    'February Purpose of transaction / Tujuan '
                                    'transaksi Sale of shares'},
           {'direct_owner_name': '',
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            'transaction_type_raw': 'pembelian atau penjualan per saham '
                                    'Transaction date / Tanggal transaksi 26 '
                                    'February Purpose of transaction / Tujuan '
                                    'transaksi Sale of shares'},
           {'direct_owner_name': '',
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            'transaction_type_raw': 'pembelian atau penjualan per saham '
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                                    'February Purpose of transaction / Tujuan '
                                    'transaksi Sale of shares'},
           {'direct_owner_name': '',
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            'transaction_type_raw': 'pembelian atau penjualan per saham '
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                                    'February Purpose of transaction / Tujuan '
                                    'transaksi Sale of shares'},
           {'direct_owner_name': '',
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                                    'February Purpose of transaction / Tujuan '
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           {'direct_owner_name': '',
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           {'direct_owner_name': '',
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           {'direct_owner_name': '',
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           {'direct_owner_name': '',
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                                    'February Purpose of transaction / Tujuan '
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           {'direct_owner_name': '',
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                                    'February Purpose of transaction / Tujuan '
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           {'direct_owner_name': '',
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            'share_class': '',
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            'transaction_type_raw': 'Transaction date / Tanggal transaksi 26 '
                                    'February Purpose of transaction / Tujuan '
                                    'transaksi Sale of shares kepada investor'},
           {'direct_owner_name': '',
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            'seq': 61,
            'share_class': '',
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                                    'February Purpose of transaction / Tujuan '
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           {'direct_owner_name': '',
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           {'direct_owner_name': '',
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            'transaction_type_raw': 'Purpose of transaction / Tujuan transaksi '
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            'transaction_type_raw': 'Purpose of transaction / Tujuan transaksi '
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           {'direct_owner_name': '',
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            'transaction_type_raw': 'kepada investor Status of shareholding '
                                    '(direct or indirect) / Status DI '
                                    'Direst/-angsung kepemilikan saham '
                                    '(langsung atau tidak Indirect, langsung) '
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           {'direct_owner_name': '',
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            'repurchase_agreement': None,
            'seq': 66,
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            'transaction_date': None,
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            'transaction_type_raw': 'kepada investor Status of shareholding '
                                    '(direct or indirect) / Status DI '
                                    'Direst/-angsung kepemilikan saham '
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           {'direct_owner_name': '',
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            'transaction_date': None,
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            'transaction_type_raw': 'kepada investor Status of shareholding '
                                    '(direct or indirect) / Status DI '
                                    'Direst/-angsung kepemilikan saham '
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           {'direct_owner_name': '',
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            'transaction_type_raw': 'kepada investor Status of shareholding '
                                    '(direct or indirect) / Status DI '
                                    'Direst/-angsung kepemilikan saham '
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           {'direct_owner_name': '',
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            'transaction_date': None,
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            'transaction_type_raw': 'kepada investor Status of shareholding '
                                    '(direct or indirect) / Status DI '
                                    'Direst/-angsung kepemilikan saham '
                                    '(langsung atau tidak Indirect, langsung) '
                                    'Cemerlang /'},
           {'direct_owner_name': '',
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            'seq': 70,
            'share_class': '',
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            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'kepada investor Status of shareholding '
                                    '(direct or indirect) / Status DI '
                                    'Direst/-angsung kepemilikan saham '
                                    '(langsung atau tidak Indirect, langsung) '
                                    'Cemerlang /'},
           {'direct_owner_name': '',
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            'share_class': '',
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            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'kepada investor Status of shareholding '
                                    '(direct or indirect) / Status DI '
                                    'Direst/-angsung kepemilikan saham '
                                    '(langsung atau tidak Indirect, langsung) '
                                    'Cemerlang /'},
           {'direct_owner_name': '',
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            'seq': 72,
            'share_class': '',
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            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'kepada investor Status of shareholding '
                                    '(direct or indirect) / Status DI '
                                    'Direst/-angsung kepemilikan saham '
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                                    'Cemerlang /'},
           {'direct_owner_name': '',
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            'seq': 73,
            'share_class': '',
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            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'kepada investor Status of shareholding '
                                    '(direct or indirect) / Status DI '
                                    'Direst/-angsung kepemilikan saham '
                                    '(langsung atau tidak Indirect, langsung) '
                                    'Cemerlang /'},
           {'direct_owner_name': '',
            'ebe_outstanding': None,
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            'price': None,
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            'repurchase_agreement': None,
            'seq': 74,
            'share_class': '',
            'shares': None,
            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'kepada investor Status of shareholding '
                                    '(direct or indirect) / Status DI '
                                    'Direst/-angsung kepemilikan saham '
                                    '(langsung atau tidak Indirect, langsung) '
                                    'Cemerlang /'},
           {'direct_owner_name': '',
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            'transaction_type_raw': 'Status of shareholding (direct or '
                                    'indirect) / Status DI Direst/-angsung '
                                    'kepemilikan saham (langsung atau tidak '
                                    'Indirect, langsung) Cemerlang / Surya '
                                    'Cipta Inti'},
           {'direct_owner_name': '',
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            'share_class': '',
            'shares': None,
            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'Status of shareholding (direct or '
                                    'indirect) / Status DI Direst/-angsung '
                                    'kepemilikan saham (langsung atau tidak '
                                    'Indirect, langsung) Cemerlang / Surya '
                                    'Cipta Inti'},
           {'direct_owner_name': '',
            'ebe_outstanding': None,
            'exercise_deadline': None,
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            'repurchase_agreement': None,
            'seq': 77,
            'share_class': '',
            'shares': None,
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            'transaction_type': 'OTHER',
            'transaction_type_raw': 'Status of shareholding (direct or '
                                    'indirect) / Status DI Direst/-angsung '
                                    'kepemilikan saham (langsung atau tidak '
                                    'Indirect, langsung) Cemerlang / Surya '
                                    'Cipta Inti'},
           {'direct_owner_name': '',
            'ebe_outstanding': None,
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            'shares': None,
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            'transaction_type': 'OTHER',
            'transaction_type_raw': 'Status of shareholding (direct or '
                                    'indirect) / Status DI Direst/-angsung '
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                                    'Indirect, langsung) Cemerlang / Surya '
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           {'direct_owner_name': '',
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            'transaction_type_raw': 'Status of shareholding (direct or '
                                    'indirect) / Status DI Direst/-angsung '
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                                    'Indirect, langsung) Cemerlang / Surya '
                                    'Cipta Inti'},
           {'direct_owner_name': '',
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            'share_class': '',
            'shares': None,
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            'transaction_type': 'OTHER',
            'transaction_type_raw': 'Status of shareholding (direct or '
                                    'indirect) / Status DI Direst/-angsung '
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                                    'Cipta Inti'},
           {'direct_owner_name': '',
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            'share_class': '',
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            'transaction_type_raw': 'Status of shareholding (direct or '
                                    'indirect) / Status DI Direst/-angsung '
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                                    'Cipta Inti'},
           {'direct_owner_name': '',
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            'seq': 82,
            'share_class': '',
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            'transaction_type': 'OTHER',
            'transaction_type_raw': 'Status of shareholding (direct or '
                                    'indirect) / Status DI Direst/-angsung '
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                                    'Cipta Inti'},
           {'direct_owner_name': '',
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            'shares': None,
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            'transaction_type': 'OTHER',
            'transaction_type_raw': 'Status of shareholding (direct or '
                                    'indirect) / Status DI Direst/-angsung '
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                                    'Indirect, langsung) Cemerlang / Surya '
                                    'Cipta Inti'},
           {'direct_owner_name': '',
            'ebe_outstanding': None,
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            'seq': 84,
            'share_class': '',
            'shares': None,
            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'kepemilikan saham (langsung atau tidak '
                                    'Indirect, langsung) Cemerlang / Surya '
                                    'Cipta Inti'},
           {'direct_owner_name': '',
            'ebe_outstanding': None,
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            'repurchase_agreement': None,
            'seq': 85,
            'share_class': '',
            'shares': None,
            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'kepemilikan saham (langsung atau tidak '
                                    'Indirect, langsung) Cemerlang / Surya '
                                    'Cipta Inti'},
           {'direct_owner_name': '',
            'ebe_outstanding': None,
            'exercise_deadline': None,
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            'repurchase_agreement': None,
            'seq': 86,
            'share_class': '',
            'shares': None,
            'transaction_date': None,
            'transaction_type': 'OTHER',
            'transaction_type_raw': 'kepemilikan saham (langsung atau tidak '
                                    'Indirect, langsung) Cemerlang / Surya '
                                    'Cipta Inti'}],
 'pct_after': None,
 'pct_before': None,
 'report_date': None,
 'report_number': 'Telepon',
 'reporter_is_board_member': None,
 'reporter_name': '',
 'reporter_nationality': 'A limited liability company established in Indonesia '
                         '/',
 'reporter_position': 'Direktur',
 'retains_control': None,
 'shares_after': None,
 'shares_before': None}
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