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20260625_ASDM_Laporan Informasi dan Fakta Material_32104644_lamp1.pdf
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Jakarta, 25 Juni 2026
No. Ref.: B.061/CS/VI/2026
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 sebagai berikut:
Nama Emiten / Name of Issuer
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:
: PT Asuransi Dayin Mitra Tbk (ASDM)
Bidang Usaha / Scope of Business : Asuransi Umum Konvensional / General Insurance
Telepon / Teleohone
Alamat surat elektronik / e-mail
:021-80868888
: csecretaryAdayinmitra.com
1. | Tanggal 24 Juni 2026 1. | Date of Event | June 24, 2026
Kejadian
2. | Jenis Keterbukaan Informasi 2 | Type of Information
Informasi atau | terkait ' pengunduran Material disclosure on
Fakta Material | diri anggota Dewan Information resignation of &
Komisaris Perseroan or Fact member of the
yaitu Presiden Company's Board of
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
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Komisaris Perseroan. Commissioners ie. the Company President Commissioner. 3. | Uraian Informasi atau Fakta Material Pada tanggal 24 Juni 2026 Perseroan telah menerima surat permohonan pengunduran diri dari Bapak Bustomi Usman selaku Presiden Komisaris Perseroan, efektif terhitung sejak: a. Pengunduran diri Bapak Bustomi Usman dan pengangkatan Bapak Hendra Godjali — sebagai Presiden Komisaris Perseroan disetujui oleh Rapat Umum Pemegang Saham Tahunan Perseroan — yang akan diselenggarakan pada tanggal 26 Juni 2026, dan b. Bapak Hendra Godjali memperoleh kelulusan uji kemampuan dan kepatutan (Fit and Proper) dari Otoritas Jasa Keuangan. Description of| Material Information or Fact On June 24, 2026, the Company received a resignation letter from Mr. Bustomi Usman as the Companys President Commissioner, effective upon the Fulfilment of the following conditions: a. the resignation of Mr. Bustomi Usman and the appointment Of Mr. Hendra Godjali as President Commissioner of the Company having been approved at the Company's — Annual General Meeting of Shareholders to be held on 26 June 2026, and b. Mr. Hendra Godjali having obtained a passing result in the fit and proper test conducted by the Financial Services Authority — (Otoritas Jasa Keuangan OJK), PT ASURANSI General Insurance DAYIN MITRA Tbk
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In compliance with Selanjutnya untuk provisions of POJIK memenuhi ketentuan Number: POJK Nomor: 33/POJK.04/2014 33/POJK.04/2014 concerning Board of' tentang Direksi dan Directors and Board Dewan Komisaris of Commissioners of Emiten atau Issuer or Public Perusahaan Publik, Company, the maka Perseroan akan Company will hold menyelenggarakan General Meeting of Rapat Umum Shareholders to Pemegang Saham adopt a resolution on untuk — memutuskan the reguest for permohonan resignation — of a pengunduran diri member of the anggota Dewan Company's Board of Komisaris Perseroan. Commissioner. 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, condition — or kondisi business keuangan, continuity of atau the Issuer or kelangsungan Public usaha Emiten Company atau Perusahaan Publik PT ASURANSI General Insurance DAYIN MITRA Tbk
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5. | Keterangan Tidak ada 5. | Other None lain-lain information Demikian pemberitahuan ini kami sampaikan, Thus we convey this information. Thank you atas perhatiannya kami ucapkan terima for your kind attention. kasih. 4 Hormat kami, / Best Regards, | PT Asuransi Dayin Mitra Tbk Nag Purnama Hadiwidjaja Corporate Secretary PT ASURANSI DAYIN MITRA Tbk General Insurance
Names mentioned 7 people and organisations named in the text · linked when the evidence is strong
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Financial Services Authority
p.2
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ASURANSI General Insurance DAYIN MITRA Tbk
p.2 ×4
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