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20240716_ASDM_Laporan Informasi dan Fakta Material_31684408_lamp2.pdf

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Page 1 OCR 0.905
Jakarta, 16 Juli 2024
No.: B.073/CS/VII/2024

Kepada Yth. / To

Bursa Efek Indonesia

Gedung Bursa Efek Indonesia, Tower I Lantai 6
Jl. Jend. Sudirman Kav. 52- 53

Jakarta 12190
Up. Direksi Attn. Directors
Perihal : Keterbukaan Informasi atau Fakta Re. : Disclosure of Material Information or Fact
Material
Dengan hormat, Wiith due respect,

Dengan ini kami untuk dan atas nama PT Asuransi For and on behalf of PT Asuransi Dayin Mitra Tbk
Dayin Mitra Tbk (“Perseroan”), menyampaikan (“the Company"), we hereby convey the following
Keterbukaan Informasi atau Fakta Material sebagai Disolosure of Material Information or Fact as
berikut: follows:

Nama Emiten / Name ofIssuer — : PT Asuransi Dayin Mitra Tbk (ASDM)

Bidang Usaha / Scope of Business : Asuransi Umum Konvensional / Conventional General Insurance
Telepon / Telephone 1 021-80868888

Alamat surat elektronik / e-mai! — : csecretary@dayinmitra.com

1. | Tanggal Kejadian | 12 Juli 2024
Date of Event July 12, 2024

2. | Jenis Informasi Hasil Penilaian Kemampuan dan Kepatutan Calon Komisaris Independen
atau Fakta Perseroan.

Material The fit and proper test result of Independent Commissioner Candidates Of
Type of Material | the Company.

Information or Fact

3. Turaian Informasi | Berdasarkan surat dari Otoritas Jasa Keuangan Nomor S-1975/PD.021/2024
atau Fakta Material | tertanggal 12 Juli 2024 dan Keputusan Dewan Komisioner Otoritas Jasa
Description Of| Keuangan Nomor KEP-352/PD.02/2024 tentang Hasil Penilaian Kemampuan
Material dan Kepatutan Sdri. Imelda Siahaja selaku Calon Komisaris Independen PT
Information orFact | Asuransi Dayin Mitra Tbk, memutuskan bahwa Sdri. Imelda Siahaja
dinyatakan memenuhi persyaratan dan disetujui untuk menjadi Komisaris
Independen pada PT Asuransi Dayin Mitra Tbk yang mana keputusan

rb

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
Page 2 OCR 0.930
tersebut mulai berlaku sejak tanggal ditetapkannya yaitu pada tanggal 11
Juli 2024.

Based on letter from the Financial Services Authority Number S-
1975/PD.021/2024 dated July 12, 2024 and Decree of the Board of
Commissioners of the Financial Services Authority Number KEP-
352/PD.02/2024 concerning the Fit and Proper result of Ms. Imelda Siahaja
as Candidate of the Independent Commissioner of PT Asuransi Dayin Mitra
Tbk, decided that Ms. Imelda Siahaja was dedared to have met the
reguirements and was approved to become Independent Commissioner of
PT Asuransi Dayin Mitra Tbk, where the decision came into effect from the
date of enactment, July 11, 2024.

Bahwa berdasarkan hasil Rapat Umum Pemegang Saham Tahunan (RUPST)
pada tanggal 25 Juni 2024 yang menyebutkan bahwa pengangkatan Sdri.
Imelda Siahaja sebagai Komisaris Independen Perseroan efektif setelah
mendapatkan persetujuan dari Otoritas Jasa Keuangan atas Penilaian
Kemampuan dan Kepatutan, maka dengan adanya Hasil Penilaian
Kemampuan dan Kepatutan Otoritas Jasa Keuangan tersebut Sdri. Imelda
Siahaja telah efektif menjabat sebagai Komisaris Independen Perseroan.
Based on the results of the Annual General Meeting of Shareholders (AGMS),
which was held on June 25, 2024 which stated that the appointment of Ms.
Imelda Siahaja as Independent Commissioner of the Company became
effective after obtaining approval from the Financial Services Authority for
the Fit and Proper Test, with the results of the Fit and Proper Test from the
Financial Services Authority, Ms. Imelda Siahaja has effectively served as
Independent Commissioner of the Company.

Dampak kejadian,
informasi atau
fakta material
tersebut terhadap
kegiatan
operasional,
hukum, kondisi
keuangan, — atau
kelangsungan
usaha Emiten atau
Perusahaan Publik
Impact of the
event or material
Information or fact
on the operationg,
legal matters,
financial condition

Tidak ada
None

PT ASURANSI DAYIN MITRA Tbk

General Insurance
Page 3 OCR 0.910
or business
continuity of the
Issuer or Public

Company

5. | Keterangan lain- | Tidak ada
lain None
Other information

Demikian pemberitahuan ini kami sampaikan, atas 7hus we convey this information. Thank you for
perhatiannya kami ucapkan terima kasih. Your kind attention.

AHormat kami, / Best Regards,
"PT Asuransi Dayin Mitra Tbk

N

Purnama Hadiwidjaja
Corporate Secretary

PT ASURANSI DAYIN MITRA Tbk

General Insurance

File

File Open PDF
Source IDX
Size0.15 MB
Published16 Jul 2024
Pages3
Characters4,418
Text sourceOCR
OCR confidence0.915

Names mentioned 6 people and organisations named in the text · linked when the evidence is strong

linked org Asuransi Dayin Mitra Tbk p.1 ×28
linked person Imelda Siahaja · Komisaris Independen p.1 ×16
linked person Purnama Hadiwidjaja p.3
possible org Bursa Efek Indonesia p.1 ×2
possible org Otoritas Jasa Keuangan p.1 ×3
unresolved org Financial Services Authority p.2 ×4

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