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20240814_LIFE_Perubahan Corsec Komite Audit Alamat NPWP Internal Audit_31705531.pdf
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Page 1
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Nomor Surat 31/MSL-CSEC/VIII/2024
Nama Perusahaan PT MSIG Life Insurance Indonesia Tbk.
Kode Emiten LIFE
Lampiran 2
Perihal Perubahan Komite Audit
Perubahan Komite Audit
Bersama ini kami sampaikan pemberitahuanPerubahanKomite Audit Perseroan yang efektif pada 01 Juni
2024Sebagai Berikut :
Jenis Baru Lama Periode
KETUA Ardhayadi Mitroatmodjo Nazly Parlindungan Periode Ke-1
Siregar
ANGGOTA Karel Tjahjadi Karel Tjahjadi Periode Ke-1
ANGGOTA Bambang Santoso Bambang Santoso Periode Ke-1
Marsoem Marsoem
Dasar Hukum Penunjukan SK Dewan Komisaris Nomor: 024/MSL-SK/VIII/2024 , tanggal SK Dewan Komisaris:
20 Agustus 2024
Informasi sebagaimana dimaksud diatas telah dimuat pada Situs Web Perseroan di alamat
https://www.msiglife.co.id/berita/corporate-action/5614351/pengumuman-perubahan-susunan-komite-audit-pt-
Demikian untuk diketahui.
Hormat Kami,
PT MSIG Life Insurance Indonesia Tbk.
Leony Samosir
Corporate Secretary
PT MSIG Life Insurance Indonesia Tbk.
Sinarmas MSIG Tower Lt. 6, Jalan Jend. Sudirman Kav.21, Jakarta Selatan 12920
Telepon : 021-50597777, Fax : 021-50608899, www.msiglife.co.id
Nama Pengirim Leony Samosir
Jabatan Corporate Secretary
Tanggal dan Waktu 21-08-2024 16:53
Page 2
Lampiran 1. LIFE - Pengumuman Perubahan Susunan Komite Audit.pdf
2. LIFE - BOC Resolution for Changes of AC Member.pdf
Dokumen ini merupakan dokumen resmi PT MSIG Life Insurance Indonesia Tbk. yang tidak memerlukan tanda
tangan karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT MSIG Life Insurance Indonesia Tbk.
bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 3
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Letter / Announcement No. 31/MSL-CSEC/VIII/2024
Issuer Name PT MSIG Life Insurance Indonesia Tbk.
Issuer Code LIFE
Attachment 2
Subject Change Audit Committee
Change of Audit Committee
Herewith we announce a Change of Audit Committee effective on 01 June 2024 as follows :
Information New Old Service Period
Head Ardhayadi Mitroatmodjo Nazly Parlindungan Siregar Periode Ke-1
Member Karel Tjahjadi Karel Tjahjadi Periode Ke-1
Member Bambang Santoso Marsoem Bambang Santoso Periode Ke-1
Marsoem
Legal Basis for Appointment Based on the decision of the Board of Commissioners Meeting dated 024/MSL-
SK/VIII/2024, Decree of the Board of Commissioners Number: 20 Agustus 2024
The information referred to above has been published on the Company's Website at nature
https://www.msiglife.co.id/berita/corporate-action/5614351/pengumuman-perubahan-susunan-komite-audit-pt-
Thus to be informed accordingly.
Respectfully,
PT MSIG Life Insurance Indonesia Tbk.
Leony Samosir
Corporate Secretary
PT MSIG Life Insurance Indonesia Tbk.
Sinarmas MSIG Tower Lt. 6, Jalan Jend. Sudirman Kav.21, Jakarta Selatan 12920
Phone : 021-50597777, Fax : 021-50608899, www.msiglife.co.id
Sender Name Leony Samosir
Function Corporate Secretary
Date and Time 21-08-2024 16:53
Attachment 1. LIFE - Pengumuman Perubahan Susunan Komite Audit.pdf
2. LIFE - BOC Resolution for Changes of AC Member.pdf
Page 4
This is an official document of PT MSIG Life Insurance Indonesia Tbk. that does not require a signature as it was
generated electronically by the electronic reporting system. PT MSIG Life Insurance Indonesia Tbk. is fully
responsible for the information contained within this document.
Names mentioned 8 people and organisations named in the text · linked when the evidence is strong
unresolved
org
Life Insurance Indonesia Tbk.
p.1 ×10
unresolved
person
Dasar Hukum Penunjukan SK
· Komisaris
p.1
unresolved
person
Leony Samosir
· Corporate Secretary
p.1 ×2
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Raw output
{'announced_date': '2024-08-21',
'changes': [{'change_type': 'OUT',
'effective_date': '2024-06-01',
'name': 'Nazly Parlindungan Siregar',
'position_after': '',
'position_before': 'AUDIT_COMMITTEE',
'position_raw': 'Komite Audit - KETUA',
'reason_text': ''},
{'change_type': 'IN',
'effective_date': '2024-06-01',
'name': 'Ardhayadi Mitroatmodjo',
'position_after': 'AUDIT_COMMITTEE',
'position_before': '',
'position_raw': 'Komite Audit - KETUA',
'reason_text': ''}],
'event_date': None,
'issuer_name': 'PT MSIG Life Insurance Indonesia Tbk.',
'issuer_ticker': 'LIFE',
'letter_number': '31/MSL-CSEC/VIII/2024',
'positions': [{'is_independent': False,
'name': 'Ardhayadi Mitroatmodjo',
'role': 'AUDIT_COMMITTEE',
'role_raw': 'Komite Audit - KETUA',
'started_at': '2024-06-01'},
{'is_independent': False,
'name': 'Karel Tjahjadi',
'role': 'AUDIT_COMMITTEE',
'role_raw': 'Komite Audit - ANGGOTA',
'started_at': '2024-06-01'},
{'is_independent': False,
'name': 'Bambang Santoso Marsoem',
'role': 'AUDIT_COMMITTEE',
'role_raw': 'Komite Audit - ANGGOTA',
'started_at': '2024-06-01'}],
'source_shape': 'OFFICER_TABLE',
'subject': 'Perubahan Komite Audit'}