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20260625_ASDM_Laporan Informasi dan Fakta Material_32104644_lamp2.pdf
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Jakarta, 25 Juni 2026
No. Ref.: B.062/CS/VI/2026
Kepada Yth. / 70
PT Bursa Efek Indonesia
Gedung Bursa Efek Indonesia
Tower I lantai 6
Jl. Jend. Sudirman Kav. 52-53
Jakarta 12190
Up. Direksi Attn. Board of Directors
Perihal: Keterbukaan Informasi atau Re. : Disclosure of Material Information
Fakta Material or Fact
Dengan hormat, Dear Sir/Madam,
Dengan ini kami untuk dan atas nama PT Forand on behalf of PT Asuransi Dayin Mitra
Asuransi Dayin Mitra Tbk (“Perseroan”) 7bk ("the Company") we hereby convey the
menyampaikan Keterbukaan Informasi atau following Disclosure of Material Information
Fakta Material sebagai berikut: or Fact:
Nama Emiten / Name of Issuer — : PT Asuransi Dayin Mitra Tbk (ASDM)
Bidang Usaha / Scope of Business : Asuransi Umum Konvensional / General Insurance
Telepon / Telephone : 021-80868888
Alamat surat elektronik / e-mmai/ — : csecretary@dayinmitra.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
Komisaris Perseroan. Commissioners Le.
the Company
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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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 rom 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 Companys — Annual General Meeting of Shareholders to be held on 26 June 2026, and b, Mr. Hendra Godjali having obtained @ passing result in the fit and proper test conducted by the Financial Services Authority — (Otoritas Jasa Keuangan -— OJK), PT ASURANSI DAYIN MITRA Tbk General Insurance
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Selanjutnya untuk In compliance with memenuhi ketentuan provisions of POJIK POJK Nomor: Number: 33/POJK.04/2014 33/POJK.04/2014 tentang Direksi dan concerning Board of Dewan Komisaris Directors and Board Emiten atau of Commissioners of Perusahaan — Publik, Issuer or Public maka Perseroan akan Company, the menyelenggarakan Company will hold Rapat Umum General Meeting of Pemegang Saham Shareholders to untuk memutuskan adopt a resolution on permohonan the reguest — for pengunduran diri resignation of @ anggota Dewan member Of the Komisaris Perseroan. Company's Board of! 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 Keterangan Tidak ada 5. | Other None lain-lain information PT ASURANSI DAYIN MITRA Tbk General Insurance
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Demikian pemberitahuan ini kami sampaikan, 7hus we convey this information. Thank you atas perhatiannya kami ucapkan terima for your kind attention. kasih. 4 Hormat kami, / Best Regards, Y “PT Asuransi Dayin Mitra Tbk nan Purnama Hadiwidjaja Corporate Secretary PT ASURANSI DAYIN MITRA Tbk General Insurance
Names mentioned 9 people and organisations named in the text · linked when the evidence is strong
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PT Forand
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Financial Services Authority
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