INVESTOR REPLY DOCUMENT


This form can be completed by a custodian bank/brokerage firm,
or an end investor/beneficial owner.

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

    * Requested

  • PART 1 - CUSTODIAN BANK OR BROKERAGE FIRM DETAILS

  • 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.

  • Details of Custodian Contact Person

  • Details of Second Custodian Contact Person - (Optional)

  • PART 2 - PORTFOLIO MANAGER DETAILS

  • Details of Authorized Employee

  • Details of Second Authorized Employee - (Optional)

  • PART 3 - INVESTOR/ BENEFICIAL OWNER AND POSITION DETAILS

  • Multiple Investors
  • Please upload in file type limited to: xls, xlsx

  • Position 1

  • $

  • Position 2

  • $

  • Position 3

  • $

  • Position 4

  • $

  • Position 5

  • $

  • Position 6

  • $

  • Position 7

  • $

  • Position 8

  • $

  • Position 9

  • $

  • Position 10

  • $
  • More than 10 positions
  • Please upload in file type limited to: xls, xlsx

  • PART 4 - Acknowledgement of Submission

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