Draft of Power of Attorney (Bkpm)

3
POWER OF ATTORNEY The undersigned below: 1. [], Citizen of [], holder of Identity Card (KTP)/Passport No. [], valid until [], having his address at []; in this matter acting in his capacity as Prospective Shareholder of PT Kiara Temasek Indonesia (“Company”); 2. [], Citizen of [], holder of Identity Card (KTP)/Passport No. [],valid until [], having his address at []; in this matter acting in his capacity as Prospective Shareholder of the Company; and as such for and on behalf of the Company, a company duly established and existing under the laws of Indonesia, be domiciled in Indonesia, having its registered office at []. (hereinafter referred as the “Authorizer”); hereby gives full power and authority without the right of substitution to: 1. [], Citizen of Indonesia, holder of Identity Card (KTP) No. [], havjng his address at []; 2. [], Citizen of Indonesia, holder of Identity Card (KTP) No. [], having her address at []; 3. [], Citizen of Indonesia, holder of Identity Card (KTP) No. [], having her address at []; Employees of [], having its office at [], South Jakarta 12710, either individually or jointly (hereinafter referred to as the “Authorized”). ----------------------------------------------------------------- SPECIFICALLY ------------------------------------------------------ To act for and on behalf of the Authorizer to sign the application of Principle License for Foreign Capital Investment in the name of [], or any other name deemed best by the Authorizer and approved by the competent authorities. The Authorizer and the Authorized understand that in conducting its function as administrator of investment services, BKPM does not impose nor charge any fees in whatever form or stage to investor or company or its Authorizer. Therefore, BKPM shall not be responsible nor be held liable for any fees in whatever form which may occur as a result

description

Draft Surat Kuasa Penandatangan untuk mengurus izin prinsip pada BKPM

Transcript of Draft of Power of Attorney (Bkpm)

Page 1: Draft of Power of Attorney (Bkpm)

POWER OF ATTORNEY

The undersigned below:

1. [], Citizen of [], holder of Identity Card (KTP)/Passport No. [], valid until [], having his address at []; in this matter acting in his capacity as Prospective Shareholder of PT Kiara Temasek Indonesia (“Company”);

2. [], Citizen of [], holder of Identity Card (KTP)/Passport No. [],valid until [], having his address at []; in this matter acting in his capacity as Prospective Shareholder of the Company;

and as such for and on behalf of the Company, a company duly established and existing under the laws of Indonesia, be domiciled in Indonesia, having its registered office at [].

(hereinafter referred as the “Authorizer”);

hereby gives full power and authority without the right of substitution to:1. [], Citizen of Indonesia, holder of Identity Card (KTP) No. [], havjng his address at [];2. [], Citizen of Indonesia, holder of Identity Card (KTP) No. [], having her address at [];3. [], Citizen of Indonesia, holder of Identity Card (KTP) No. [], having her address at [];

Employees of [], having its office at [], South Jakarta 12710, either individually or jointly (hereinafter referred to as the “Authorized”).

----------------------------------------------------------------- SPECIFICALLY ------------------------------------------------------To act for and on behalf of the Authorizer to sign the application of Principle License for Foreign Capital Investment in the name of [], or any other name deemed best by the Authorizer and approved by the competent authorities.

The Authorizer and the Authorized understand that in conducting its function as administrator of investment services, BKPM does not impose nor charge any fees in whatever form or stage to investor or company or its Authorizer. Therefore, BKPM shall not be responsible nor be held liable for any fees in whatever form which may occur as a result of the powers and authority given by the Authorizer to the Authorized under this Power of Attorney.

All powers and authority given by the Authorizer to the Authorized in this Power of Attorney shall remain valid until this Power of Attorney is revoked by the Authorizer.

Karina, 01/15/14,
Please fill the [(] with the identity of all of the prospective shareholders pursuant to the KTP (for Indonesian)/Passport (for Foreign Citizen)
Karina, 01/15/14,
Please insert the desired address of the Company.
Page 2: Draft of Power of Attorney (Bkpm)

This Power of Attorney signed by both parties on this day, [] January 2014.

The Authorizer

[]Shareholder PT Kiara Temasek Indonesia

[]Shareholder PT Kiara Temasek Indonesia

[]

The Authorized

[]

[]

[]Shareholder PT Kiara Temasek Indonesia

Stamp Duty

Karina, 01/15/14,
Please insert the name of the shareholder of the company
Karina, 01/16/14,
Please insert the date