EmailMe Form - AZION BAO SECURITY ACCOUNT NOTICE

Reference ID

1. I/We, being the holders of the Bonds specified below, hereby confirm that such Bonds will be mandatorily exchanged for fully-paid series B ordinary shares of PT Central Proteina Prima, Tbk. (the “Company”) held by the Issuer (the “MEB Shares”) with a par value of Rp. 50 each of the Company in accordance with the terms and conditions of the Bonds.

Full Name of Bondholder *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Country *

Is the Bondholder a company, partnership or other non-natural Person? Please select "Yes" or "No" below and provide responses once the selection has been made. *

Jurisdiction of Incorporation of Bondholder *

To be completed if the Bondholder is a company, partnership or other non-natural Person

Full Name of Authorised Employee *

Title of Authorised Employee
*

Business Registration Number (or Equivalent) of Bondholder *

Passport Number of Bondholder *

Phone Number of Bondholder/ Authorised Employee (with country code) *

Fax Number of Bondholder/ Authorised Employee (with country code)

Email Address(es) of Bondholder/ Authorised Employee *

Principal Amount of Bonds *

USD

Total Number of Bonds to be Exchanged *

Each bond is worth USD 2,000 face value.
(Please input the value of Principal amount of bonds/ USD 2,000)

ISIN *

Clearing System *

Clearing System Account Number *

Full Name of Clearing System Account Holder *

Blocking Reference Number *

Last 7 digits only

Blocking Reference Number *

Last 8 digits only

2. I/We attach a copy of a duly completed instruction to my/our broker or custodian to receive the MEB Shares from the Company in the form currently accepted by the Indonesian Central Securities Depository (“KSEI”) or such clearing system through which the MEB Shares are to be delivered (if applicable) (together with KSEI, the “Depositary”)

Upload Copy of Completed Instruction *

PDF format only

3. I/We have irrevocably instructed the Depositary to credit my/our Indonesian Securities Account below with the Depositary with the MEB Shares which are capable of being so deposited.

Full Name of Indonesian Custodian or Broker to be credited with the MEB Shares *

Indonesian Custodian or Broker KSEI Number *

SWIFT Address of Indonesian Custodian or Broker *

Customer Account Number at Indonesian Custodian or Broker *

Full Name of Authorised Employee of Indonesian Custodian *

Job Title of Authorised Employee of Indonesian Custodian *

Phone Number of Authorised Employee of Indonesian Custodian (with country code) *

Fax Number of Authorised Employee of Indonesian Custodian (with country code)

Principal Email Address *

For confirmation of submission and contact

Optional Email Address(es)

For contact only

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Country *

4. Delivery of this Security Account Notice will constitute confirmation by the beneficial owner of the Bonds to be exchanged and, if different, or, as the case may be, the person designated to be entered into the register of shareholders of the Company that the information and the representations in the Security Account Notice are true and accurate on the date of delivery. No Share will be delivered to a holder of a Bond or a person having a beneficial interest therein unless each such holder and beneficial owner completes this Security Account Notice, satisfies all conditions set out in the Trust Deed and executes such documents as the Issuer or the Company may reasonably require to ensure the availability of any exemption from registration under the U.S. Securities Act of 1933, as amended (the “US Securities Act of 1933”), applicable state laws and the laws of any other jurisdiction.

5. By submitting this Security Account Notice, I/We:

(i) confirm that I/we have complied with all applicable fiscal or other laws or regulations applicable in the jurisdiction of the Exchange Agent to whom this Exchange Notice is presented;

(ii) hereby declare that all approvals, consents and authorisations (if any) required by the laws of Indonesia to be obtained by me/us prior to the said exchange have been obtained and are in full force and effect and that any applicable condition thereto has been complied with by me/us;

(iii) hereby declare that I am/we are each not a Major Shareholder (as defined under Indonesian capital market regulations), director or commissioner of the Company or an Affiliate (as defined under Indonesian capital market regulations) of a Major Shareholder, director or commissioner of the Company and have no conflict of interest with the Company or any of its Affiliates (as defined under Indonesian capital market regulations);

(iv) hereby certify that I/we have paid or will pay all taxes and capital, stamp, issue and registration duties arising on exchange (other than any taxes or capital or stamp duties payable in Singapore or the Republic of Indonesia and, if relevant, in the place of the Alternative Stock Exchange (as defined in Condition 5.2.3), by PT Central Proteina Prima, Tbk. in respect of the transfer of MEB Shares on exchange).

(v) hereby represent and warrant that the exchanging holder is located outside the United States and is not, and is not acting as agent for, or on behalf of, a US person (within the meaning of Regulation S under the US Securities Act of 1933). The exchanging holder hereby undertakes to not offer, sell, pledge or otherwise transfer any MEB Shares received upon exchange of the Bonds into the United States or to, or for the account or benefit of, any US person (within the meaning of Regulation S under the US Securities Act of 1933) until the expiration of a period of 40 days (or such longer period of time as may be required by Regulation S) from the date of receipt of such MEB Shares upon exchange of the Bonds;

(vi) further acknowledge that the Issuer and the Trustee and their respective affiliates and others will rely upon the truth and accuracy of the foregoing acknowledgements, representations and agreements; and

(vii) further acknowledge that I/We have obtained the list of required KYC Documents from the Exchange Agent's website (https://www.lynchpinbm.com/project/5a262b96722dd) that I/We need to supply in order for the Issuer and/or its custodian bank to carry out and be satisfied that it has complied with all necessary “know your customer” or similar checks to enable it to distribute the MEB Shares to my Indonesian Securities Account. I/We attach the requested KYC Documentation and I/We hereby consent to the information provided in the KYC Documentation being disclosed to the Issuer and the Issuer's custodian bank solely for the purpose of enabling the distribution of the Residual MEB Shares to my Indonesian Securities Account.

Please read below before you submit this security account notice.

6. Madison Pacific Trust Limited is collecting the KYC Documents and Appendices on behalf of Azion Bao Pte. Ltd ("the Issuer"). After submitting this Security Account Notice, please visit here to access the KYC Appendices and the KYC documents checklist, then email to agent@madisonpac.com (Attn: Director of Azion Bao Pte Ltd). Please kindly copy hyuen@madisonpac.com; mshek@madisonpac.com; nfoo@madisonpac.com; jlye@madisonpac.com