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20241029_DNAR_Pemanggilan RUPS_31750463_lamp3.pdf
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Extracted text 2
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(Badan Hukum)
SURAT KUASA POWER OF ATTORNEY
UNTUK MENGHADIRI RAPAT UMUM PEMEGANG TO ATTEND EXTRAORDINARY GENERAL MEETING
SAHAM LUAR BIASA (RUPSLB) OF SHAREHOLDERS (EGMS)
PT BANK OKE INDONESIA Tbk PT BANK OKE INDONESIA Tbk
Yang bertanda tangan dibawah ini : The undersigned below :
Nama : ________________________ Name : ________________________
________________________ ________________________
Nomor Kartu : ________________________ Identity Card Number : ________________________
Identitas(KTP/Paspor*) ________________________ (KTP/Passport*) ________________________
Dalam hal ini bertindak dalam kapasitasnya selaku herein acting in his/her capacity as
______________________________________________ ______________________________________________
oleh karena itu sah mewakili dan bertindak untuk dan therefore legally represents and acts for and on behalf of
atas nama PT ___________________________________ ______________________________________________
suatu badan hukum yang tunduk kepada ketentuan legal entity duly established and existing under the laws
hukum Negara Indonesia berkedudukan di of Indonesia, having a registered office at
______________________________________________ ______________________________________________
______________________________________________ ______________________________________________
Pemegang yang sah atas __________________________ Holder of ____________________________________
lembar saham pada PT Bank Oke Indonesia Tbk (shares of PT Bank Oke Indonesia Tbk (the
(“Perseroan”) “Company”)
(selanjutnya disebut “Pemberi Kuasa”) ---------------------- (Hereinafter referred to as the “Authorizer”) ---------------
Selanjutnya, dengan ini Pemberi Kuasa menunjuk dan Hereby the Authorizer appoints and gives full power and
memberikan kuasa dan kewenangan penuh kepada : authority to:
Nama : ________________________ Name : ________________________
________________________ ________________________
Nomor Kartu : ________________________ ID Card Number : ________________________
Identitas(KTP/Paspor*) ________________________ (KTP/Passport) ________________________
Alamat : ________________________ Address : ________________________
________________________ ________________________
________________________ ________________________
(Selanjutnya disebut “Penerima Kuasa”) (Hereinafter referred to as the “Proxy”)
--------------------- KHUSUS -------------------------- ------------------- ESPECIALLY ------------------
Untuk mewakili dan karenanya bertindak untuk dan atas To represent and therefore act for and on behalf of the
nama Pemberi Kuasa dalam kedudukannya selaku Authorizer as the Company's Shareholder to attend the
Pemegang Saham Perseroan untuk menghadiri Rapat Extraordinary General Meeting of Shareholders
Umum Pemegang Saham Luar Biasa (“Rapat”) Perseroan ("Meeting") of the Company to be held on Wednesday,
yang akan diselenggarakan pada hari Rabu, tanggal 20 November 20, 2024.
November 2024.
Adapun surat kuasa ini diberikan oleh Pemberi Kuasa The power of attorney is given by the Power of Attorney
kepada Penerima Kuasa untuk : to the Power of Attorney to:
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Page 2
(Badan Hukum)
1. RUPSLB 1. EGMS
Agenda Keputusan Agenda Decision
1. Perubahan susunan □Setuju 1. Changes of the management □Agree
pengurus PT Bank Oke □Tidak Setuju composition of PT Bank Oke □Disagree
Indonesia Tbk. □Abstain Indonesia Tbk □Abstain
Demikian surat kuasa ini diberikan secara cakap menurut Thus this power of attorney is given competently
hukum dan tanpa ada paksaan dari pihak manapun. according to law and without coercion from any party at
the date of
Jakarta,__________________
Penerima Kuasa | The Proxy Pemberi Kuasa | The Authorizer
Stamp Duty
Rp10.000
(____________________) (____________________)
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Names mentioned 4 people and organisations named in the text · linked when the evidence is strong
unresolved
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PT Bank Oke
p.1 ×3
unresolved
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Indonesia Tbk
p.1 ×2
unresolved
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Disagree Indonesia Tbk.
p.2
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