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Page 1
Jakarta, 3 Februari 2025

No.: 005/CS/CTI-OJK/II/2025

Kepada Yth/ To:
PT Bursa Efek Indonesia
Indonesia Stock Exchange Building
Jl. Jend. Sudirman Kav. 52-53
Jakarta Selatan 12190, Indonesia

U.P./ Attn : Bapak/Mr. Adi Pratomo Aryanto - Kepala Divisi Penilaian Perusahaan Grup 2

Perihal    : Formulir Laporan Perusahaan Tercatat dalam Satu Grup Perusahaan
Subject    : Report Form of Listed Company within a Group Company

Dengan hormat/ With Respect,

Sehubungan dengan Surat Keputusan Direksi PT Bursa Efek Indonesia Nomor Kep-00403/BEI/12-2012
tanggal 10 Desember 2012 perihal Kriteria dan Tata cara Penyampaian Informasi Pemenuhan Kriteria
“Dalam Satu Grup Perusahaan” oleh Perusahaan Tercatat, PT Centratama Telekomunikasi Indonesia Tbk
(“Perseroan”) bermaksud menyampaikan Laporan Perusahaan Tercatat dalam Satu Grup Perusahaan
sebagai berikut:

In connection with the Decree of the Board of Directors of PT Bursa Efek Indonesia Number Kep-
00403/BEI/12-2012 dated December 10, 2012, regarding Criteria and Procedures for Submitting Information
on Fulfillment of the Criteria “Within a Group Company” by Listed Companies, PT Centratama Telekomunikasi
Indonesia Tbk (the “Company”) hereby submits the Report of Listed Company within a Group Company as
follows:

Nama Perusahaan Tercatat yang Melaporkan            : PT Centratama Telekomunikasi Indonesia Tbk
The Name of the Reporting Listed Company
Jenis Efek yang Diterbitkan Perusahaan              : Efek Bersifat Ekuitas/ Equity Securities
Type of Securities Issued by the Company
Tanggal Laporan                                     : 3 Februari 2025/ February 3, 2025
Report Date

 Nama Perusahaan Tercatat            Jenis Efek yang           Jenis Kriteria             Keterangan/
  yang Memiliki Hubungan               Diterbitkan              Perusahaan                 Remarks
   Satu Grup Perusahaan/               Perusahaan           Tercatat dalam Satu
 Names of Listed Companies           Tercatat Lain/          Grup Perusahaan/
   in Relation with a Group         Type of Securities         Type of Listed
           Company                   Issued by Other         Company Criteria
                                    Listed Companies           within a Group
                                                                 Company

           Tidak ada                    Tidak ada                 Tidak ada                 Tidak ada
             None                         None                      None                      None
Page 2
Bersama dengan pelaporan ini, Perseroan menyatakan bahwa Laporan Perusahaan Tercatat dalam Satu
Grup Perusahaan yang disampaikan dalam formulir ini adalah lengkap dan benar. Perseroan bertanggung
jawab sepenuhnya atas informasi yang dinyatakan dalam laporan ini.

Along with this submission, the Company affirms that the Report of the Listed Company within a Group
Company, as provided in this form, is complete and accurate. The Company assumes full responsibility for the
information stated in this report.

Demikianlah kami sampaikan, atas perhatiannya kami mengucapkan terima kasih.
Thus, we convey, thank you for your attention.

Hormat Kami/ Sincerely,
PT Centratama Telekomunikasi Indonesia Tbk




A. Ardityo Budi Susetiatmo
Corporate Secretary


Tembusan:
 1. Yth. Kepala Ekskutif Pengawas Pasar Modal – Otoritas Jasa Keuangan

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Names mentioned 7 people and organisations named in the text · linked when the evidence is strong

possible org PT Bursa Efek Indonesia p.1 ×3
possible org Otoritas Jasa Keuangan p.2
unresolved org PT Bursa Efek Indonesia Indonesia Stock Exchange Building p.1
unresolved org Indonesia Stock Exchange p.1
unresolved person Adi Pratomo Aryanto p.1
unresolved person A. Ardityo Budi Susetiatmo · Corporate Secretary p.2

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