EmailMe Form - Bank Indonesia BID_FINAL

Reference ID

RESPONSES ARE REQUESTED BY 5PM, 25 July 2022 (JAKARTA TIME)

* Requested

PART 1 - CUSTODIAN BANK OR BROKERAGE FIRM DETAILS

Name of Custodian Bank or Brokerage Firm *

Custodian is defined as a specialized financial institution (typically, a regulated entity with granted authority like a bank) with an account at Euroclear, Clearstream, or DTC. Thus, Euroclear, Clearstream, and DTC are NOT Custodians for the purposes of the form.

We Hold the Securities through Accounts with the Following Clearing System

The Account Number with the Clearing System

Details of Custodian Contact Person

Name of Custodian Bank or Brokerage Firm Contact Person *

Phone number (with country code) *

Email address(es) *

Details of Second Custodian Contact Person - (Optional)

Do You Have a Second Custodian Bank or Brokerage Firm Contact Person? *

Name of Second Custodian Bank or Brokerage Firm Contact Person

Phone number (with country code)

Email address(es)

PART 2 - PORTFOLIO MANAGER DETAILS

Do You Have Any Asset/Portfolio Manager? *

Name of Asset/Portfolio Management Company *

Details of Authorized Employee

Authorized Employee of Asset/Portfolio Manager *

Phone number (with country code) *

Email address(es) *

Do You Have a Second Authorized Employee? *

Details of Second Authorized Employee - (Optional)

Second Authorized Employee of Asset/Portfolio Manager

Phone number (with country code)

Email address(es)

PART 3 - INVESTOR/ BENEFICIAL OWNER AND POSITION DETAILS

Do You Have Multiple Investors/ Beneficial Owners? *

FILE UPLOAD for Multiple Investors/ Beneficial Owners *

Please upload in file type limited to: xls, xlsx

Name of End Investor/ Beneficial Owner *

Type of Investor/ Beneficial Owner
*

Please specify the type of Investor/ Beneficial Owner *

Investor/ Beneficial Owner's Jurisdiction *

Phone Number (with country code)

Email address(es)

How Many Position(s) Do You Have? *

Position 1

Type of ISIN (CUSIP) *

US Dollar denominated ISIN (CUSIP) Reg S *

US Dollar denominated ISIN (CUSIP) 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 2

Type of ISIN (CUSIP) *

US Dollar denominated ISIN (CUSIP) Reg S *

US Dollar denominated ISIN (CUSIP) 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 3

Type of ISIN (CUSIP) *

US Dollar denominated ISIN (CUSIP) Reg S *

US Dollar denominated ISIN (CUSIP) 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 4

Type of ISIN (CUSIP) *

US Dollar denominated ISIN (CUSIP) Reg S *

US Dollar denominated ISIN (CUSIP) 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 5

Type of ISIN (CUSIP) *

US Dollar denominated ISIN (CUSIP) Reg S *

US Dollar denominated ISIN (CUSIP) 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 6

Type of ISIN (CUSIP) *

US Dollar denominated ISIN (CUSIP) Reg S *

US Dollar denominated ISIN (CUSIP) 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 7

Type of ISIN (CUSIP) *

US Dollar denominated ISIN (CUSIP) Reg S *

US Dollar denominated ISIN (CUSIP) 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 8

Type of ISIN (CUSIP) *

US Dollar denominated ISIN (CUSIP) Reg S *

US Dollar denominated ISIN (CUSIP) 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 9

Type of ISIN (CUSIP) *

US Dollar denominated ISIN (CUSIP) Reg S *

US Dollar denominated ISIN (CUSIP) 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 10

Type of ISIN (CUSIP) *

US Dollar denominated ISIN (CUSIP) Reg S *

US Dollar denominated ISIN (CUSIP) 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

FILE UPLOAD for More Than 10 positions *

Please upload in file type limited to: xls, xlsx

PART 4 - Acknowledgement of Submission

Name of Respondent Filling This Online Form *

Email Address *

Only one email address is allowed to receive a confirmation email, if necessary, we will contact this email address for online form clarification.