20241128_MASA_Penyampaian Bukti Iklan_31792230_lamp7.pdf

                            STATEMENT LETTER OF INDEPENDENT SHAREHOLDERS


The Undersigned:

Name (1)                                           :   _____________________
Identity Card No.                                  :   _____________________
Address                                            :   _____________________

Acting as the owner / in his/her capacity as (2) _____________ (3) _________________ (4) domiciled in
_________________ (5) as the owner of ________________________ (6) Shares in PT Multistrada Arah Sarana
Tbk (“Company”); hereby declare that I / we (7) are Independent Shareholders (8) of the Company.

If in the future this statement is proven to be untrue, I / we (9) may be subject to any sanction in accordance
with the applicable laws.


Date __________________



[stamp duty Rp10.000]



______________________
Shareholder’s Name


Guidelines:

(1)     Fill in the name, identity card number and address of the party who signed the Power of Attorney,
        acting on its own behalf or on behalf of an institution or company.

(2)     For individual Shareholders, delete the phrase "acting in his / her capacity as" and ignore instructions
        No. (3), No. (4) and No. (5).

(3)     Specify the position of the signatory.

(4)     Specify the name of the company or institution that owns the Shares.

(5)     Indicate the domicile of the company or institution.

(6)     Indicate the total number of Shares owned.

(7)     Delete the unnecessary.

(8)     Based on Financial Services Authority Regulation Number 15/POJK.04/2020 on the Plan and
        Implementation of the General Meeting of Shareholders of Public Companies, Independent
        Shareholders are shareholders who have no personal economic interest in connection with a particular
        transaction and: (a) is not a member of the board of directors, member of the board of commissioners,
        principal shareholder and controlling shareholder; or (b) is not an Affiliate of the members of the board
        of directors, members of the board of commissioners, principal shareholder and controlling
        shareholder.

(9)     Delete the unnecessary.