95 PMK.03 2013

MINISTER OF FINANCE
OF THE REPUBLIC OF INDONESIA
COPY
REGULATION OF THE MINISTER OF FINANCE OF THE REPUBLIC
OF INDONESIA NUMBER 95/PMK .03/2013
CONCERNING
SECOND AMENDMENT TO THE REGULATION OF THE MINISTER

OF FINANCE NUMBER 16/PMK.03/2013 CONCERNING DETAILS
OF THE TYPE OF DATA AND INFORMATION AND PROCEDURES
FOR SUBMISSION OF DATA AND INFORMATION RELATING TO
TAXATION
BY THE GRACE OF GOD ALMIGHTY
THE MINISTER OF FINANCE OF THE REPUBLIC OF INDONESIA,
Considering : a. whereas the provisions regarding the details of the

type of data and information the procedure for
Submission of data and information relating to the
taxation has been stipulated in the Minister of
Finance Number 16/PMK.03/2013 concerning the
details of the type of Data and Information and the
Procedures for Submission of Data and
Information Relating to Taxation as amended by
the Regulation of the Minister of Finance Number
79/PMK.03/2013;
b. whereas to the government agencies, institutions,
associations, and other parties who are required to
submit the data and information relating to
taxation as stipulated in the Regulation of the
Minister of Finance as stated in point a, there are
some additions;
c. whereas under the provisions of Article 5,
paragraph (2) of the Regulation of the Minister of
Finance as stated in point a, the additions to the
government agencies, institutions, associations,
and other parties, and the details of the types of
MINISTER OF FINANCE
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data and information are performed by amending

the regulation of the Minister of Finance as stated
in point a;
d. whereas under the consideration as referred to in
points a, b, and c it is necessary to stipulate the
Regulation of the Minister of Finance regarding the
Second Amendment for the Regulation the Minister
of Finance Number 16/PMK.03/2013 concerning
the Details of the Type of Data and Information
and the Procedures for Submission of Data and
Information Relating to Taxation;
In view of : 1. Act Number 6 Year 1983 concerning General

Provisions and Procedures of Taxation (State
Gazette of the Republic of Indonesia Year 1983
Number 49, Supplement to State Gazette of the
Republic of Indonesia Number 3262) as amended
by Act Number 16 Year 2009 (State Gazette of the
Republic Indonesia Year 2009 Number 62,
Supplement to State Gazette of the Republic of
Indonesia Number 4999);
2. Government Regulation Number 31 Year 2012
concerning the Provision and The collection of Data
and Information Relating to Taxation (State Gazette
of the Republic of Indonesia Year 2012 Number 56,
Supplement to State Gazette of the Republic of
Indonesia Number 5289);
3. Regulation of the Minister of Finance Number
16/PMK.03/2013 concerning the Details of the
Type of Data and Information and the Procedures
for Submission of Data and Information Relating to
Taxation as amended by the Regulation of the
Minister of Finance Number 79/PMK.03/2013;
BE IT HEREBY RESOLVED:
To stipulate : REGULATION OF THE MINISTER OF FINANCE

CONCERNING THE SECOND AMENDMENT TO THE
MINISTER OF FINANCE
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REGULATION OF THE MINISTER OF FINANCE

NUMBER 16/PMK.03/2013 CONCERNING THE
DETAILS OF THE TYPE OF DATA AND
INFORMATION AND THE PROCEDURES FOR
SUBMISSION OF DATA AND INFORMATION
RELATING TO TAXATION.
Article I
Adding 9 (nine) numbers on column 1 Appendix of
the Regulation of the Minister of Finance Number
16/PMK.03/2013 concerning the Details of the Type
of Data and Information and Procedures for
Submission of Data and Information Relating to
Taxation as amended by the Regulation of the
Minister of Finance Number 79/PMK.03/2013, so be
as detailed in appendix which is an integral part of
the Ministerial Regulation.
Article II
This Ministerial Regulation shall come into force on
the date of promulgation.
For public cognizance, the promulgation of this Ministerial
Regulation shall be stated in the State Gazette of the
Republic of Indonesia.
Stipulated in Jakarta
on June 28, 2013
THE MINISTER OF FINANCE OF THE REPUBLIC OF
INDONESIA,
signed.
MUHAMAD CHATIB BASRI

MINISTER OF FINANCE
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Promulgated in Jakarta
on June 28, 2013
THE MINISTER OF JUSTICE AND HUMAN RIGHTS
THE REPUBLIC OF INDONESIA,
Signed.
AMIR SYAMSUDIN
STATE GAZETTE OF THE REPUBLIC OF INDONESIA YEAR 2013

NUMBER 879
Issued as the official copy
HEAD OF GENERAL BUREAU
on behalf of
HEAD OF MINISTERIAL ADMINISTRATION
GIARTO
NIP 1959042011984021001
APPENDIX
REGULATION OF THE MINISTER OF FINANCE OF THE REPUBLIC OF INDONESIA
NUMBER 95/PMK.03/2013
CONCERNING
SECOND AMANDEMENT ON REGUALTION OF THE MINISTER OF FINANCE
NUMBER 16/PMK.03/2013 CONCERNING TYPES OF DATA AND INFORMATION
AND PROCEDURES OF DELIVERING THE DATA AND INFORMATION RELATED TO
TAXATION
MINISTER OF FINANCE
List of the Government Agencies, Institutions, Associations, and Other Parties,

Details of the Types of Data and Information, Forms of Data, Procedure and Schedule of Submission
Names of the
Government Agencies, Details of Type of Data and Forms of Procedures of First Schedule of
No. Institutions, Description
Information Data Submission Submission Submission
Associations, and Other
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
1 Directorate-General of I. FUNDING CEILINGS, FUNDING CEILINGS of budget Electronic Online May 1, 2013 Monthly
Budget, the Finance at least including:: for Letter of Confirmation of (no later than the
Ministry Central Government 10th of the
1. Unit Names Ministry/Agency Work Plans following month)
2. Budget section of and Budgets
Ministry/Agency,
3. Unit of echelon 1
4. Names of programs
5. Names of activities
6. Output of activities .
7. Location . .
8. Regency/city
9. The authority of budget
implementation
10. Account Names
11. State Treasury Office
MINISTER OF FINANCE
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Names of the
Government Agencies,
Details of Type of Data and
Institutions, Forms of Procedures of First Schedule of
No. Information Description
Associations, and Other Data Submission Submission Submission
Parties
(1) (2) (3) (4) (5) (6) (7) (8)

12. Reference of incidence on
the state budget
13.Types of assistance
14. Register of Foreign Grants
Givers
15. Source of funds
16. Function of budget
frameworks
17. Sub-function of budget
frameworks
18. Quantity of funding
ceilings in Rupiah -
II. Projection of medium-term Information of projection for Electronic Online May 1, 2013 Yearly
fiscal giving consideration to the (no later than the
Minister of Finance that will be second week of
used in the discussion of the May)
MINISTER OF FINANCE
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Draft of State Budget
MINISTER OF FINANCE
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Names of the
Details of Type of Data and Forms of Procedures of First Schedule of
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
III. Project of Medium-Term Information of projection that Electronic Online May 1, 2013 Yearly
Macro Economy will be used in the preparation (no later than the
of draft of State Budget second week of
May)
IV. Financial Note and Draft of Information of economic Electronic Online May 1, 2013 Yearly
State Budget development and points of fiscal . (no later than the
policy and the draft of State second week of
Budget and revenue of the May)
central government, fiscal
decentralization policy,
financing budget deficit,
management of debt and fiscal
risks
2 Directorate-General of I. Data of State Revenue Data of State Revenue Module Electronic Online May 1, 2013 Monthly
State Treasury, the Module, transaction (Module of State (no later than the
Ministry of Finance at least including: Revenue) which has been 10th of the
reconciled by State Treasury following month)
Office
MINISTER OF FINANCE
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Names of the Government

Agencies, Institutions, Details of Type of Data and Forms of Procedures of First Schedule of
No. Description
Associations, and Other Information Data Submission Submission Submission
Parties
(1) (2) (3) (4) (5) (6) (7) (8}
1. Names of State Treasury
Officeof booking
2. Date
3. Names of bank/post office
4. Bank Transaction Number
5. State Revenue Transaction

Number
6. Receipt account
7. The value of Rupiah
deposited
8. Serial number of
transactions
9. Flag reversal of budget
activities
10. Flag of result of upper
reconciliation
11. Flag of result of lower
reconciliation
12. ID database
13.ID line
MINISTER OF FINANCE
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14. Tax Payer Registration

Number
MINISTER OF FINANCE
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Agencies, Institutions, Details of Type of Data and Procedures of First Schedule of
No. Description Forms of Data
Associations, and Other Information Submission Submission Submission
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
15. Codes of Tax Office
II. Data of warrant for funds Data of warrant for funds Electronic Online May 1, 2013 Daily
disbursement, at least disbursement from State (Submission on the
including: Treasury Office following day)
1. Fiscal Year
2. Names of working unit
3. Minimum Standards of
Service number
4. Account codes
5. Funds Disbursement Order
Document number
6. Date of Funds
Disbursement Order
Document
7. Date of Minimum Standards
of Service
8. Value of spending
9. Year of spending
10.Month of spending
MINISTER OF FINANCE
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Parties
(1) (2) (3) (4) (5) (6) (7) (8)
III. Data of cut of warrant for Electronic Online May 1, 2013 Daily
funds disbursement from (Submission on the
State Treasury Office, at least following day)
including:
1. Fiscal Year
Service number
4. Account codes
Document number
6. Date of Funds
Disbursement Order
Document
of Service
8. Budget section
9. Echelon I
10 Province
11.Region of Level II (Regency)
12.Value of revenue
13.Tax Payer Registration
Number
14. Year of tax
MINISTER OF FINANCE
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15. Types of deposit

MINISTER OF FINANCE
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Associations, and Other Information submission Submission Submission
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
16. Account number of
transaction
17. Serial number
18. Transaction of State
Revenue Number
IV. Data of spending of warrant for Electronic Online May 1, 2013 Daily
funds disbursement from State (submission on the
Treasury Office, at least following day)
including:
1. Fiscal year
Service number
4. Account code
Document number
6. Date of Funds
Disbursement Order
Document
of Service
8. Value of spending
9. Month of spending
MINISTER OF FINANCE
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10. Year of spending

MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
3 Directorate-General of I. Data of Import Declaration to Information of names and Electronic Online May 1, 2013 Monthly
Customs and Excise, the the Customs and the changes addresses of the sender and (no later than the
Ministry of Finance receiver of goods, Tax ID 10th of the
Number, types of quantity of following month)
goods and the forwarders,
import value and the number of
taxes incurred
II. Data of Excise Imposition to Information of names and Electronic Online May 1, 2013 Monthly
Taxable Goods addresses of the senders and (no later than the
the receivers of goods, types, 10th of the
quantity and grade of goods and following month)
the forwarders
III. Data of Companies in Bonded Information of the owner, Electronic Online May 1, 2013 Semesterly
Warehouse location , acreage, and the (no later than the
users/tenants of bonded second week of
warehouse January and
June)
MINISTER OF FINANCE
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Procedures
Agencies, Institutions, Details of Type of Data and Forms of First Schedule of
No. Description of
Associations, and Other Information Data Submission Submission
Submission
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
IV. Data Of Shipment Of Goods Information of the senders and Electronic Online May 1, 2013 Monthly
Through Courier Service the receivers of goods and the (no later than the
Companies Checked By addresses, types, quantity of 10th of the
Customs goods, courier service companies following month)
V. Data of Achievement of Tax Information of Revenue Electronic' Online May 1, 2013 Monthly
Revenues Compiled by achievement of import duties, I (no later than the
Directorate-General of excise, VAT of import, VAT 22 of 10th of the
Customs and Excise Import, and VAT of Tobacco following month)
Products
VI. Data of Export Declaration to Information of names and Electronic Online May 1, 2013 Monthly
the Customs and the changes addresses of the senders and (no later than the
receivers of goods, Tax ID 10th of the
Number, types of goods following month)
quantity, and export value
VII. Data of Customs Declaration Data of Customs Declaration for Electronic Online May 1, 2013 Monthly
for Bonded Stockpiles Bonded Stockpiles (no later than the
10th of the
following month)
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
. VIII. Data of Import Tax Data of Import Tax Receivable Electronic Online May 1, 2013 Monthly
Receivable Declaration Declaration (no later than the
10th of the
following month
IX. Data of Tax Billing for Data of Tax Billing for Electronic Online May 1, 2013 Monthly
Settlement of Excise Settlement of Excise Payment (no later than the
Payment 10th of the
following month)
X. Data of Customs ID number Data of Customs ID number Electronic Online May 1, 2013 Monthly
(no later than the
10th of the
following month)
XI. Data of Taxable Goods Data of Taxable Goods Electronic Online May 1, 2013 Monthly
Companies ID Number Companies ID Number (no later than the
10th of the
following month)
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
XII. Companies Registration Companies Registration Number Electronic Online May 1, 2013 Monthly
Number for Obtaining for Obtaining Customs Services (no later than the
Customs Services 10th of the
following month)
XIII. Identification Number of Identification Number of Electronic Online May 1 Monthly

Customs and Other Excises Customs and Other Excises (no later than the
10th of the
following month)
XIV. Data of Tax Payer Data of Tax Payer Registration Electronic Online May 1 Monthly
Registration Number of Number of Companies Receiving (no later than the
Companies Receiving Customs Facilities 10th of the
Customs Facilities following month)
XV. Elements of Particular Data Elements of Particular Data of Electronic Online May 1 Monthly
of Outward Manifest and Outward Manifest and Inward (no later than the
Inward Manifest Manifest 10th of the
following month)
MINISTER OF FINANCE
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No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
XVI. Proof of damaging Proof of damaging Banderole Electronic Online May 1, 2013 Monthly
Banderole (no later than the
10th of the
following month)
XVII. Proof of Receiving and Proof of damaging Banderole Electronic Online May 1, 2013 Monthly
Returning Banderole (no later than the
10th of the
following month)
XVIII. Elements of Particular Elements of Particular Data of Electronic Online May 1, 2013 Monthly
Data of Application System Application System for (no later than the
for temporary Online temporary Online stockpiles 10th of the
stockpiles following month)
MINISTER OF FINANCE
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Names of the
Government Agencies, Procedures
Details of Type of Data and Forms of First Schedule of
No. Institutions, Description of
Information Data Submission Submission
Associations, and Other Submission
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
4 Directorate-General of I. Local Government Budget in The budget which will be used Electronic Online May 1, 2013 Yearly
Regional Fiscal Balance, the current year by each region in the current (no later than the
The Ministry of Finance year per organization of working second week of
unit per types of budgeting July).
II. Realization of Local Realization of budgeting which Electronic Online May 1, 2013 Yearly
Government Budget in the will be realized by each region (no later than the
previous year per types of budgeting (not of fourth week of
working unit) October)
5 Fiscal Policy Agency, the I. Projection of indicators of 1. Information of deviation value Electronic Online May 1, 2013 Quarterly
Ministry of Finance macro economy and State of indicators projection of (the submission is
Budget (Deviation between the macro economy (economy no later than the
realization of indicators of development, inflation, end of March,
macro economy and the exchange rates, and interest June, September,
projection), at least including: rates of State Treasury Bills). and December)
2. Information of projection
deviation value of State
Budget (deficit of State
Budget, tax revenue,
expenditure of
Ministry/Agency).
MINISTER OF FINANCE
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No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
. II. Information Database of Fiscal 1. Information of current macro Electronic Online May 1, Weekly
Policy Agency (Observation of economy, 2013 (the submission
the current economy and 2. State revenue, on the following
financial sector), at least 3. State Budget, week).
including: 4. fiscal risks and .
5. International cooperation
(quantity of Indonesian
policies adopted in
international cooperation)
III. Study related to taxation Information of study Report of Electronic Online May 1, Yearly
projection model of tax revenue, 2013 (no later than the
taxation regulation, application second week of
of taxation regulation May)
MINISTER OF FINANCE
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No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
6 PT. Pelabuhan Indonesia I I. Data of goods export-import Data of activities done by PT. Electronic Online May 1, 2013 Monthly
(State Share Company) services realization by Pelindo I (State Share (no later than the
containers, at least including: Company) 15th of the
following month)
1. Container Number
2. Ship Codes Master of Ships
3. Ship Name
4. Voyage Number Primary Key
5. Activities Export/Import
6. Container Status Full/Empty
7. Number of Export More known by PT. Pelindo as
Declaration/ Import Export Service
Declaration Statement/Goods Import
Approval
8. Date of Export Declaration/
Import Declaration
9. Date of loading/unloading
10.Loading Port of the
Containers
11. Destination Port of the
Containers
MINISTER OF FINANCE
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No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
12.Clients codes Master of Clients for goods services
by containers
13.Date of Ship Arrival
14.Date of Ship Departure
15. Tax Invoice Number Tax Invoice Number issued by

Pelindo to the clients
16.Date of Tax Invoice Date of Tax Invoice issued by

17.Currency
18. Bill Value
MINISTER OF FINANCE
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No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
II. Data of goods export-import Data of activities done by Electronic Online May 1, 2013 Monthly
services realization by non- PT. Pelindo I (no later than the
containers, at least including: 15th of the
following month)
1. Loading-Unloading Primary Key
Services/Orders number
2. Ship Codes Master of Ship

3. Ship Name
4, Voyage Number
5. Activities Export-Import
6. Date of Loading Completed
7. Date of Unloading
8. Completed
Number of Bill of
Lading/Delivery Order
9. Goods name Master of Good
10. Volume of Loading
11.Volume of Unloading
MINISTER OF FINANCE
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Procedures
Agencies, Institutions, Details of Type of Data and Forms of First Schedule of
No. Description of
Associations, and Other Information Data Submission Submission
Submission
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
12.Loading Port of Goods
13. Destination Port of Goods
14. Clients Codes Master of Clients for goods
services by containers

16. Date Ship Departure
17.Tax Invoice Number Tax Invoice Number issued by

19.Currency
MINISTER OF FINANCE
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No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
II. Data and Information of Electronic Online May 1, 2013 Monthly
Shipping Services Realization, (no later than the
at least including: 15th of the
1. Shipping Services/Orders Primary Key following month)
number
2. Ship Code
3. Ship Name
4. Shipping Agency Codes
5. Voyage Number
6. Type of Shipping International
7, Loading Port
8. Destination Port
9. Date of First Anchoring
10. End Date of Anchoring Date of leaving the Port
11.Actual Date of Navigator in Date of Navigator in for first
time
MINISTER OF FINANCE
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No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
12.Actual Date of Navigator out Date of Navigator out
13. Dock Codes Master of Mooring Location

14.Date of Unloading Only at ports managed by
Pelindo
15.Date of Loading Only at ports managed by

Pelindo .

17.Date of Tax Invoice Tax Invoice Number issued by

18. Currency
19. Bill Value
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
IV. Reference Table of Client Electronic Online May 1, 2013 Monthly
Master, at least including: (no later than the
15th of the
1. Client Code
following month)
2. Client Name
3. Client Phone Number
4. Client Facsimile number
5. Client Address
6. Clients Tax Payer
Registration Number
7. Clients Contact Person
8. Client Status Shipping, Loading-Unloading
Company, Lading Expedition,
Goods owner
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
V. Reference Table of Ship Electronic Online May 1, 2013 Monthly
1. Ship Code 15th of the
2. Ship Name following month)
3. Client Code Shipping Agency Code
4. Shipping International
5. Ship Flag
6. Status of Ship Ownership Owner, Charter, Agency
7. GT (Gross Tonnage)
8. DWG (Dead Weight Ton)
9. LOA (Length of All)
VI. Reference Table of Mooring Electronic Online May 1, 2013 Monthly
1. Dock Code 15th of the
2. Dock Name following month)
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
3. Dock Status Public Dock, Non-Public Dock
7 PT. Pelabuhan Indonesia I. Data of goods export-import Data of activities by PT. Pelindo Electronic Online May 1, 2013 Monthly
II (State Share Company) services realization by II (State Share Company) (no later than the
containers, at least including: 15th of the
following month)
1. Container Number
2. Ship Code Master of Ship
3. Ship Name
6. Container Status Full/ Empty
7. Number of Export More known by PT. Pelindo as
Declaration/ Import Export Service
Declaration Statement/Goods Import
Approval
8. Date of Export Declaration/
Import Declaration
9. Date of Loading/Unloading
10.Loading Port of .
Container
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
11 Destination Port of
Container
12. Client Code Master of Client for goods
services by container
13. Date of Ship Arrival
14. Date of Ship Departure

16. Date of Tax Invoice Date of Tax Invoice issued by

17. Currency
18.Bill Value
19. Container Number
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
II. Data of goods export- Data of activities by PT. Pelindo Electronic 1 Mei 2013 Monthly
import services realization II (no later than the
by non-container, at least 15th of the
including: following month)
Primary Key
1. Loading-Unloading
Service/Order Number

3. Ship Name
4. Voyage Number
5. Activities Export-Import .
6. Date of Loading Completed
7. Date of Unloading .
Completed
8. Bill of Lading/Delivery Order
Number
9. Goods Name Master of Goods
10.Loading Volume
11. Unloading Volume -
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
12.Loading Port of Goods .
13.Destination Port of Goods
14.Client Code Master of Clients for goods


MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
19. Currency
20.Bill Value
III. Data and Information of Electronic Online May 1, 2013 Monthly

Shipping Services (no later than the
Realization, at least 15th of the
including:
1. Shipping Service/Order Primary Key following month)
Number
2. Ship Code
. 3. Ship Name
4. Shipping Agency Code
5. Voyage Number
6. Type of Service International
7. Loading Port
8. Destination Port
9. Start Date of Anchoring
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
10.End Date of Anchoring Date of leaving the port
11.Actual Date of Navigator In Date of navigator in for first

time
12.Actual Date of Navigator Date of navigator out
Out
13.Dock Code Master of Mooring Location
14 Date of Unloading Only at ports managed by
Pelindo
15.Date of Loading Only at ports managed by

Pelindo

MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
18.Currency
19.Bill Value
IV. Reference Table of Client Electronic Online May 1, 2013 Monthly

Master, at least (no later than the
including: 15th of the
1. Client Code following month)
2. Client Name
4. Client Facsimile Number
5. Client Address
Registration Number
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
Goods Owner

V. Reference Table of Ship Master, Electronic Online May 1, 2013 Monthly
at least including (no later than
the 15th of the
1. Ship Code following
2. Ship Name month)
3. Client Code Shipping Agent Code
5. Ship Flag
6. Status of Ship Ownership Owner, Charter, Agency
8. DWT (Dead Weight Ton)
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
VI. Reference Table of Electronic Online May 1, 2013 Monthly
Mooring Master, at (no later than
least including: the 15th of the
1. Dock Code following
2. Dock Name month)
3. Status of Dock Public Dock, Non-Public Dock
8 PT. Pelabuhan Indonesia I. Data of realization of Data of activities by PT.Pelindo Electronic Online May 1, 2013 Monthly
III (State Share goods export-import III (State Share Company) (no later than
Company) services by container, at the 15th of the
least including: following
month)
1. Container Number
3. Ship Name
6. Status of Container Full/Empty
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
7. Export Declaration/Import More known by PT. Pelindo as
Declaration Number Export Declaration
8. Date of Export
Declaration/Import
Declaration
10.Loading Port of Container
11 Destination Port of
Container
12.Client Code Master of Client for goods

MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
17. Currency
18. Bill Value
II. Data of goods export- Data of Activities by PT.Pelindo Electronic Online May 1, 2013
import realization by III
non-container, at least
including:
1. Loading/Unloading Primary Key Monthly
Services/Order Number (no later than
the 15th of the
2. Ship Code Master of Ship following
month)
3. Ship Name
4. Voyage Number
6. End Date of Loading
MINISTER OF FINANCE
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Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
7. End Date of Unloading
8 Bill of Lading/Delivery
Order Number
10.Volume of Loading
11. Volume of Unloading
. 12. Loading Port of Goods
13. Destination Port of Goods
14. Client Code Master of Clients for goods

. 16. Date of Ship Departure

MINISTER OF FINANCE
- 39 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)

19. Currency
20, Bill Value
III. Data and Information of Electronic Online May 1, 2013 Monthly

Shipping Services (no later than
Realization, at least the 15th of the
including:
1. Shipping Services/Order Primary Key following
Number month)
2. Ship Code
3. Ship Name
MINISTER OF FINANCE
- 40 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
4. Shipping Agent Code
5. Voyage Number
6. Type of Shipping International
7. Loading Port
8. Destination Port
10.End Date of Anchoring Date of leaving the port
11. Actual Date of Navigator In Date of the navigator in for the

first time
12.Actual Date of Navigator Date of the navigator out
Out
13 Dock Code Master of Mooring Location
14.Date of Unloading Only at ports managed by
Pelindo
MINISTER OF FINANCE
- 41 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
15.Date of Loading Only at ports managed by Pelindo


18. Currency
19. Bill Values
IV. Reference Table of Electronic Online May 1, 2013 Monthly

Clients Master, at least (no later than
including: the 15th of the
1. Client Code following month)
2. Client Name
MINISTER OF FINANCE
- 42 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
5. Client Address
Registration Number
Goods owner
V. Reference Table of Ship Electronic Online May 1, 2013 Monthly

Master, at least including: (no later than
1. Ship Code the 15th of the
2. Ship Name following month)
5. Ship Flag
6. Ship Ownership Status Owner, Charter, Agency
MINISTER OF FINANCE
- 43 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)

Master, at least including: (no later than
the 15th of the
1. Dock Code following
2. Dock Name month)
9 PT. Pelabuhan Indonesia I. Data of goods export-import Data of activities by PT. Pelindo Electronic Online May 1, 2013 Monthly
IV (State Share Company) services realization by IV (State Share Company) (no later than
container, at least including: the 15th of the
following
1. Container Name month)
3. Ship Name
MINISTER OF FINANCE
- 44 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
4. Voyage umber Primary Key
6. Container Status Full/Empty
7. Export Declaration/Import More known by PT. Pelindo as
Declaration Number Export Service Statement/Goods
Import Approval
8. Date of Export
Declaration/Import
Declaration
10.Loading Port of Container
11.Destination Port of
Container
12.Client Code Master of Clients for goods

MINISTER OF FINANCE
- 45 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)

17. Currency
18. Bill Value
II. Data of goods export- Data of activities by PT. Pelindo Electronic Online May 1, 2013 Monthly
import services IV (no later than the
realization by non- 15th of the
container, at least following month)
including:
I. Loading-Unloading Primary Key
Services/Order Number

3. Ship Name
MINISTER OF FINANCE
- 46 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
4. Voyage Number
6. Start Date of Loading
7. End Date of Unloading
8. Bill of Lading/ Delivery
Order Number
10.Loading Volume
11.Unloading Volume
12. Loading Port of Goods
13. Destination Port of Goods ..
. .
14.Client Code Master of Goods of goods services
by container
MINISTER OF FINANCE
- 47 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)


19. Currency
20. Bill Value

MINISTER OF FINANCE
- 48 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
III. Data and Information of Elektronic Online May 1, 2013 Monthly
Shipping Services (no later than
Realization, at least the 15th of the
including:
1. Shipping Services/Order Primary Key following
Number month)
2. Ship Code
3. Ship Name
4. Shipping Agency Code
5. Voyage Number
6. Types of Services International
7. Loading Port
8. Destination Port
10. End Date of Anchoring Date of leaving the port
11.Actual Date of Navigator In Date of the navigator in for the

first time
MINISTER OF FINANCE
- 49 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
12. Actual Date of Navigator Date of the navigator out
Out
13.Dock Code Master of Mooring Location
14.Date of Unloading Only at ports managed by Pelindo
15.Date of Loading Only at ports managed by Pelindo

Pelindot to the clients
17 .Date of Tax Invoice Date of Tax Invoice issued by

18 Currency
19. Bill Value
MINISTER OF FINANCE
- 50 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
IV. Reference Table of Electronic Online May 1, 2013 Monthly
Clients Master, at least (no later than the
including: 15th of the following
month)
1. Client Code
2. Client Name
. 3. Client Phone Number
5. .Client Address . .
Registration Number
Goods Owner
MINISTER OF FINANCE
- 51 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
V. Reference Table of Ships Electronic Online May 1, 2013 Monthly
15th of the
1. Ship Code
following month)
2. Ship Name
5.Ship Flag
5. Ship Ownership Status Owner, Charter, Agency
15th of the
1. Dock Code following month)
2. Dock Name
MINISTER OF FINANCE
- 52 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
10 Capital I. Principle License for License issued by Capital Electronic Online May 1, 2013 Monthly
Investment Coordinating Capital Investment Investment Coordinating Body to (no later than
Body start capital investment activities the 10th of
in fields of work having the the following
opportunity to obtain fiscal month)
facilities and needing fiscal
facilities in the realization
II. Principle License for License issued by Capital Electronic Online May 1, 2013 Monthly
Capital Development Investment Coordinating Body to . (no later than
start capital investment activities the 10th of
in fields of work having the the following
opportunity to obtain fiscal month)
facilities and needing fiscal
facilities in the realization
MINISTER OF FINANCE
- 53 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
III. Principle License for Capital License issued by Capital Electronic Online May 1, 2013 Monthly
Investment Changes Investment Coordinating Body to (no later than the
make changes to the agreement 10th of the
stated in the Development following month)
Principle License before
IV. Business License License issued by Capital Electronic Online May 1, 2013 Monthly
Investment Coordinating Body (no later than the
Companies must have to perform 10th of the
activities of following month)
production/commercial
operation either goods
production or services as an .
implementation of the
Registration/Principle
License/Agreement for the
capital investment, unless there
are other provisions in sectoral
regulations of law
MINISTER OF FINANCE
- 54 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
V. Business Development License issued by Capital Electronic Online May 1, 2013 Monthly
License Investment Coordinating Body (no later than
Companies must have to perform the 10th of the
activities of following month)
production/commercial
operation in increasing
production capacity allowed, as
an implementation of the
Registration/Principle
License/Agreement for the
capital investment, unless there
are other provisions in sectoral
regulations of law
MINISTER OF FINANCE
- 55 -
VI. Merger License License issued by Capital Electronic Online May 1, 2013 Monthly
Investment Coordinating Body (no later than
that surviving company must the 10th of the
have after merger to perform following month)
production activities/commercial
operation of merger companies
MINISTER OF FINANCE
- 56 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
VII. Business Changes License License issued by Capital Electronic Online May 1, 2013 Monthly
Investment Coordinating Body (no later than the
Companies must have to make 10th of the
changes in the agreement stated following month)
in the business license/business
development license as a result
of the changes in the
performance of capital
investment activities
VIII. Customs Approval Electronic Online May 1, 2013 Monthly

(no later than the
10th of the
following month)
MINISTER OF FINANCE
- 57 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
11 The Ministry of Home Data of Population specified in Electronic Online May 1, 2013 Yearly
Affairs Data of Population as Potential
Tax Payer, at least including:
1. Resident Registration
Number
2. Family Identity Card
Number
3. Name
4. Place of Birth
5. Date of Birth
6. Gender
7. Marital Status
8. Family Relationship Status
9. Work
10. Address
MINISTER OF FINANCE
- 58 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
12 National Defense Agency I. Data of Proprietorship Information of name, address, Electronic Online May 1, 2013 Monthly
Registration including First owner, land location, land (no later than the
Land Registration and Data identification number, Right 15th of the
Management of Land Number, year of Proprietorship following month
Registration Register and Type of Rights
II. Data of Granting Referential Information of name, land Electronic Online May 1, 2013 Monthly
Settlement and Agreement of location, address of granter and (no later than the
extension of Referential assignee, address, land size, 15th of the
Settlement year of Proprietorship Register following month)
and land use
III. Data of Granting Rights to Information of name, land Electronic Online May 1, 2013 Monthly
Build and Agreement of location, address of granter and (no later than the
extension of Rights to Build assignee, year of Proprietorship 15th of the
Registration, address and following month)
building size
MINISTER OF FINANCE
- 59 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
13 Directorate-General of Sea I. Report of Realization of Ship Monthly report showing Electronic Online September 1,
Monthly
Communication, the Arrival and Departure, at least realization of ship arrival and 2013
(no later than the
Ministry of Communication including: departure reported by Main (Data of
10th of the
Port Authority/Harbormaster January to
following month)
office and Port Authority/Port July 2013)
Services Unit to Directorate
1. Company Name General of Sea Communication,
2. Ship Name the Ministry of Communication
3. Ship Dimension
4. Ship Flag
5. Loading Port
6. Date of Arrival
7. Destination Port
8. Date of Departure
9. Loading/Unloading
10 Export/Import .
11. Type of Lading
12.Tonnage
13. Loading-Unloading
Company Name
MINISTER OF FINANCE
- 60 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
II. Data of all Ports in Indonesia Data of all ports in Indonesia Electronic Online September 1, Yearly
under Directorate General of 2013
Sea Communication, the
Ministry of Communication
14 Bank Indonesia I. Information of Debtor, at least Electronic Online May 1,2013 Yearly
including: (no later than
January 31 of
1.Debtor Identity
the following
2. Identity of administrators year)
and owners, for Debtor in
form of business entity
3. collateral/guarantee
4. Financial Report of Debtor
MINISTER OF FINANCE
- 61 -

Parties
(1) (2) (3) (4) (5) (6) (7) (8)
5. Providing Funds Facilities It is a process of Debtor Report
fulfillment for every facility
provided by Reporting Bank to
Debtor. The Facilities include:
Placement in other banks,
Eligible Papers, Credit, Other
Bills, credit inclusion and
forwarding
MINISTER OF FINANCE
- 62 -

Parties
(1) (2) (3) (4) (5) (6) (7) (8)
II. Information of Foreign Electronic Online May 1, 2013 Monthly
Exchange from Export (no later than
the 10th of the
following month)
15 Gabungan Industri I. Information of motor Data of production by motor Electronic Directly (By e- July 31, 2013 Monthly
Kendaraan bermotor vehicle production, at vehicle manufactures merged in mail in form of (Period of (no later than
Indonesia (GAIKINDO)/ least including: GAIKINDO Microsoft Reporting in the end of the
Indonesian Motor Vehicle Excel) January to following
Industries Association June 2013 month).
1. Month of Production
2. Category Sedan, 4x2, 4x4, Bus, Pick
Up/Truck and Double Cabin
4x2/4x4
3. Sub-Category Based on the cylinder capacity
of the machine (Non
Bus)/Tonnage (Bus)
4. Brand
5. Model Only to naming the main
models; not to the variants
MINISTER OF FINANCE
- 63 -

Parties
(1) (2) (3) (4) (5) (6) (7) (8)
6. Quantity of production In Unit
II. Data of motor vehicle local Data of production by motor Electronic Directly July 31, 2013 Monthly
sales, at least including: vehicle manufacturers joining (By e-mail in (Period of (no later than
with GAIKINDO form of reporting in the end of the
Microsoft January to following month)
Excel) June 2013)
1. Month of sales
2. Category Sedan, 4x2, 4x4, Bus,
Pick
4x2/4x4
3. Subcategory Based on the cylinder capacity
of the machine (Non
Bus)/Tonnage (Bus)
4. Brand
5. Models Only to naming the main
models, not to the variants
6. The amount of sales In Unit
MINISTER OF FINANCE
- 64 -

Parties
(1) (2) (3) (4) (5) (6) (7) (8)
III. Data of motor vehicles Data of production by motor Electronic Directly July 31, 2013 Monthly
export in completely build- vehicles manufacturers joining (By e-mail in (Period of (no later than
up (CBU), at least including: with GAIKINDO form of reporting in the end of the
Excel) June 2013)
1. Month of sales
4x2, 4x4
3. Subcategory Based on the cylinder capacity
of the machine
4. Brand
. models, not to the variants
6 The amount of sales In Unit
IV. Data of motor vehicle export Data of production by motor Electronic Directly July 31, 2013 Monthly
in completely knocked- vehicles manufacturers joining (By (Period of (no later than
down (CKD), at least with reporting the end of
including:
MINISTER OF FINANCE
- 65 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
GAIKINDO e-mail in form January to the following
1. Month of sales of Microsoft June 2013) month)
2. Category Excel)
Sedan, 4x2, 4x4, Bus, Pick
4x2 /4x4
3. Subcategory Based on the cylinder capacity of
the machine
4. Brand
models, not to the variants
6.The amount of sales In Set
V. Data of components Electronic Directly July 31, 2013 Monthly
export, at least Data of production by motor (By e-mail (Period of (no later than
including: vehicles manufacturers joining in form or reporting in the end of the
with GAIKINDO Microsoft January to following
Excel) June 2013) month)
1. Month of sales
2. Brand
3. The amount of sales In pieces
MINISTER OF FINANCE
- 66 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
VI. Data of motor vehicles Data of production by motor Electronic Directly July 31, 2013 Monthly
import in completely build- vehicle manufacturers joining (By e-mail in (Period of (no later than
up (CBU), at least with GAIKINDO form of reporting in the end of the
including: Microsoft January to following month)
Excel) June 2013)
1. Month of import
4x2/4x4
3. Category Based on the cylinder capacity of
the machine (Non Bus)/Tonnage
4. Brand (Bus)
5. Models Only to naming the main models,
not to the variants
6.The amount of sales In Unit
16 Asosiasi Industri Sepeda VI. Data of motorcycle Data of production by motorcycle Electronic Directly July 31, 2013 Monthly
Motor Indonesia production, at least manufacturers joining with AISI (By e-mail in (Period of (no later than
(AISI)/Indonesian including: reporting in the end of
Motorcycle Industries January to
Association
MINISTER OF FINANCE
- 67 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
1. Month of production in form of June 2013 the following
2. Models Underbone/Sport/Scooter Microsoft month)
Excel)
3. Brand
II. Data of domestic motorcycle Data of production by motorcycle Electronic Directly July 31, 2013 Monthly
distribution, at least including: manufacturers joining with AISI (By e-mail in (Period of (no later than
form of reporting in the end of the
1 Month of distribution
Excel) June 2013)
2. Models Underbone/Sport/Scooter
3. Brand
III. Data of motorcycle export Data of production by motorcycle Electronic Directly July 31, 2013 Monthly
distribution, at least including: manufacturers joining with AISI (By e-mail in (Period of (no later than
form of reporting in the end of the
1. Month of distribution
Excel) June 2013)
2. Models Underbone/Sport/Scooter
3. Brand
4. Quantity of distribution In Unit
MINISTER OF FINANCE
- 68 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
17 Directorate General of I. Data of Importer Identification An identification card each Electronic Online August 1, 2013 Monthly
Foreign Commerce, the Number, at least including: importer or company performing (no later than
Ministry of Commerce import-trading must has, issued the 10th of the
by Directorate General of Foreign following month)
Commerce/Capital Investment
Coordinating Body/Local
Government. Importer
Identification Number consists of
Importer Identification Number
for General and Importer
Identification Number for
Producers
1. Registration Number
2. Date of Registration
3. Company Name
4. Companys Tax Payer

Registration Number
MINISTER OF FINANCE
- 69 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
5. Company Address
6. Number of the Deed of

Establishment/Notary
7. Number of the Importer
Identification Number
8. Number of the Company
Registry Insignia
9. Bank Reference of Currency
Exchange
10.Type of Goods/Services
11. Industry Business

License/other similar business
license
II. Data of Import, at least Electronic Online August 1, 2013 Monthly
1. Registration Number 10th of the
following month)
MINISTER OF FINANCE
- 70 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
3. Company Name

Registration Number
5. Company Address
6. Importer Identification
Number
Registry Insignia
Registry Insignia .
License/other similar
business license
10.Sender Country
11.Detils of the Goods

MINISTER OF FINANCE
- 71 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
12.Quantity of Goods
III. Data Export, at least Electronic Online August 1, 2013 Monthly

1. Registration Number the 10th of the
following
2. Date of Registration month)
3. Company Name

Registration Number
5. Company Address
6. Number of Company Registry

Insignia
License/other similar
business license
8. Destination Country of
Export
MINISTER OF FINANCE
- 72 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
9. Details of Goods
10. Quantity of Goods
IV. Data of Letter of Transmittal, Electronic Online August 1, 2013 Monthly

at least including:: (no later than
the 10th of the
1. Sender Name following
month)
2. Senders Tax Payer
Registration Number
3. Sender Address
4. Sender Country
5. Type of Goods
6. Details of Goods
MINISTER OF FINANCE
- 73 -

No. Description
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
7. Goods Value
18 PT. Kustodian Sentral Data of Kustodian Sentral Efek Data of Kustodian Sentral Electronic Directly May 1, 2013 Daily
Efek Indonesia (KSEI) Indonesia, at least including: Efek Indonesia (By e-mail) (no later than
the following
1. Excise Officers Tax Payer work day)
Registration Number
2. Year of Tax
3. Month of Tax
4. Type of Transaction
5. Tax Payer Registration Number
6. Name of Tax Payer
7. Address of Tax Payer
8. Date of Transaction
MINISTER OF FINANCE
- 74 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
9. Quantity of Owners
10.Quantity of Taxes
11.Resident Registration Number
12.Passport Number
19 Procurement Agency of Data procurement of Data of procurement of Electronic Online May 1, 2013 Monthly
Goods/Services goods/services, at least including: goods/services, either (no later than the
electronically in the 10th of the
Electronically Procurement following month)
System application, including e-
purchasing data, or procurement
data not in Electronically
Procurement System application
collected by Central Government
Financial Report Agency
MINISTER OF FINANCE
- 75 -
Names of the
Government Agencies, Procedures
Details of Type of Data and Forms of First Schedule of
No. Institutions, Description of
Information Data Submission Submission
Associations, and Other Submission
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
1. name of package and method
selection of procurement
2. schedule of performance and
selection of procurement
3. type of contract (lump sum)
4. Procurement Service Unit,

Procurement Committee or
Procurement Officer
5. procurement participant name
6. procurement participant
address
7. procurement participants Tax
Payer Registration Number
8. procurement winner (appointed
goods/services provider)
-
9. self-estimated price
MINISTER OF FINANCE
- 76 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
10.contract value/purchase value
20 PT. Jakarta International Data of Container Electronic Online September 1, Daily

Container Terminal (JICT) Discharge/Loading Report 2013
(COARRI) and Data of Container
Gate in Gate Out Report
(CODECO), at least including:
1. Document Code
2. Transaction Processing System

(TPS) Code
3. Conveyance Name
4. Voyage Flight Number
5. Call Sign
6. Estimated Date of Arrival

MINISTER OF FINANCE
- 77 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
export
7. Warehouse Code
8. Container Number
9. Container Dimension
10.Shipping Seal Number
11. Type of Container Load
12. Bill of Lading/Airway Bill

Number
13. Date of Bill of Lading/Airway
Bill
14. Master Bill of Lading/Airway
Bill Number
15. Date of Master Bill of
Lading/Airway Bill
16. Goods Owners Identity/Tax
MINISTER OF FINANCE
- 78 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
17. Goods Owners Name . .
18. Gross Weight of Goods
19.Number of BC 1.1 (Manifest)
20. Date of BC 1.1. (Manifest)
21. Number of post and Sub-post

of BC 1.1.
22. Container Sender Country
23. Serial Number of Package
24. Package Code
25. Quantity of Package
26. Container Position Code
27. Document code for goods

exportation/importation
MINISTER OF FINANCE
- 79 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
28. Document number for goods
29. Time of Document for goods

30. Transportation vehicle license

number for goods
31. Container Status (blank)
32. Container ISO code
33. Loading Port
34. Transit Port
35. Unloading Port
36. Destination Warehouse

MINISTER OF FINANCE
- 80 -
Names of the
No. Description
Institutions, Information Data Submission Submission Submission
(1) Parties
(2) (3) (4) (5) (6) (7) (8)
37.Customs house code issuing
customs documents
38. Customs registration number
for customs documents
39.Date of customs document
registration
40.Customs seal number (if
available)
41. Date of Customs seal (if
available)
42. Exportation/importation
documents number issued by
Transaction Processing
System Department
43. Date of
documents issued by
Transaction Processing
System Department
21 PT. Mustika Alam Lestari Data of Container Electronic Online September 1, Daily
(MAL) Discharge/Loading Report 2013
(COARRI) and Data of Container
MINISTER OF FINANCE
- 81 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
(CODECO),at least including:
1. Document Code
2. Transaction Processing System

(TPS) Code
3. Conveyance Name
4. Voyage/Flight Number
5. Call Sign
6. Estimated Date of
Arrival/Estimated Date of
Export
7. Warehouse Code
8 Container Number
MINISTER OF FINANCE
- 82 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
10. Shipping Seal Number .
11 Type of Container Load
12. Number of Bill of

Lading/Airway
Bill
13. Date of Bill of Lading/ Airway
Bill
14. Number of Master of Bill of
Lading/Airway Bill
I.S. Date of Master of Bill of
.
Lading/ Airway Bill
16. Goods Owner Identity/Tax
17. Goods Owners Name
19.Number of BC 1.1 (Manifest)
20. Date of BC 1.1. (manifest)

MINISTER OF FINANCE
- 83 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
21.Number of post and Sub-post .
of BC
L1. Container Sender Container
22.
23. Serial Number Package
24. Package Code
27. Document Code for goods

28. Document Number for goods

29. Time of Document for goods

MINISTER OF FINANCE
- 84 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
30. Transportation Vehicle
License Number for goods
32. Container ISO Code
33. Loading Port
34. Transit Port
35. Unloading Port
37. Customs House Code issuing

Customs document number
38. Customs Registration Number

for customs documents
MINISTER OF FINANCE
- 85 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
39. Date of customs document
registration
40. Customs Seal Number (if
available)
41. Date of Customs Seal (if
available)
42. Exportation/Importation
Document number issued by
Transportation Processing
System (TPS) Department
43. Date of Exportation/
Importation document issued
by Transportation Processing
22 PT. Terminal Peti Kemas Data of Container Electronic Online September 1, Daily
Koja Discharge/Loading Report 2013
(COARRI) and Data Container
(CODECO), at least including:
MINISTER OF FINANCE
- 86 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
1. Document Code
2. Transportation Processing
System Code
3. Conveyance Name
5. Call Sign
6 Estimated Date of
Export
7. Warehouse Code
8. Container Number
10. Shipping Seal Number

MINISTER OF FINANCE
- 87 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
Lading/Airway
Bill
13. Date of Bill of Ladino/Airway
Bill
Lading/Airway Bill
15.Date of Master of Bill of
Lading/Airway Bill
17. Goods Owner Name .
19. Number of BC 1.1 (Manifest)

of BC
1.1.
MINISTER OF FINANCE
- 88 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
23. Package Serial Number
24. Package Code
27. Document Code for goods

28. Document Number for goods

29. Time of goods

document
MINISTER OF FINANCE
- 89 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
33. Loading Port
34. Transit Port
35. Unloading Port

customs document number
38. Customs Registration Number

for customs document
registration
available)
MINISTER OF FINANCE
- 90 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
41. Date of Customs Seal (if
available)
42. Exportation/Importation
Document Number issued
43. Date of
Exportation/Importation
Document issued by
23 PT. Terminal Peti Kemas Data of Container Discharge/ Electronic Online September 1, Daily
Surabaya Loading Report (COARRI) and 2013
Data of Container Gate in Gate
Out Report (CODECO), at least
including:
1. Document Code
2. Transportation Processing
System Code
3. Conveyance Name
MINISTER OF FINANCE
- 91 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
5. Call Sign
6. Estimated Date of
Export
7. Warehouse Code
8. Container Number
10.Shipping Seal Number

Lading/Airway Bill
13. Date of Bill of Lading/Airway
Bill
MINISTER OF FINANCE
- 92 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
Lading/Airway Bill
15. Date of Master of Bill of
Lading/ Airway Bill
17. Goods Owners Name
19. Number of BC 1.1 (Manifest)

BC 1.1.
23. Package Serial Number
24. Package Code

MINISTER OF FINANCE
- 93 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
26 Container Position Code
27. Document Number for Goods

28. Document Number for Goods

29. Time of Document for Goods



MINISTER OF FINANCE
- 94 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
33. Loading Port
34. Transit Port
35. Unloading Port

customs document number
38. Customs Registration

Number for customs
documents
registration
available)
41. Date of customs seal (if
available)
42. Exportation/importation
document number
MINISTER OF FINANCE
- 95 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
issued by Transportation
Processing System (TPS)
Department
43. Date of
document issued by
24 Electronically I. Data of provider identity, at Data of provider is a list of Electronic Online July 1, 2013 Daily
Procurement Service least including: goods/services providers
Centre, the Ministry of registered in Electronically
Finance Procurement System in the
Ministry of Finance.
1. Providers ID
2. Providers Name

Number
4. Address
5. Phone Number
MINISTER OF FINANCE
- 96 -
6. Facsimile
MINISTER OF FINANCE
- 97 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
7. E-mail
II. Data of owner, at least Electronic Online July 1, 2013 Daily

including:
1. Providers ID
2. Providers Name
3. Owners Name
4. Owners Resident
Identification Card
5. Owners Address
6. Quantity of Shares
III. Data of administrator, at least Electronic Online July 1, 2013 Daily

including:
MINISTER OF FINANCE
- 98 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
1. Providers ID
2. Providers Name
3. Administrators Name
4. Owners Resident
Identification Card
5. Administrators Address
6. Administrators Position
7. Start Date Start date of being administrator
8. End Date End date of being administrator
IV. Data of business license, Electronic Online July 1, 2013 Daily

at least including:
MINISTER OF FINANCE
- 99 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
1. Providers ID
2. Providers Name
3. Qualification of Provider, Criteria of Qualification

(Small, Not Small) according to Business Premise
Permit
4. Business License Number
5. Date of Validity
6. Type of Business License Example: Business Premise

Permit for Trading, Business
Premise Permit for Construction
Services, etc.
7. Issuing Agency
8. Classification Example: Construction, General

Trading, Consultation, etc.
MINISTER OF FINANCE
- 100 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
V. Data of Expert, at least Experts the provider must has Electronic Online July 1, 2013 Daily
including:
1. Providers ID
2. Providers Name
3. Experts Name
4. Date of Birth
5. Experts Address
6. Last Education
7. Experience of Work
VI. Data of current Electronic Online July 1, 2013 Daily

experience and work,
at least including:
MINISTER OF FINANCE
- 101 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
1. Providers ID
2. Providers Name
3. Work
4. Work Location
5. Employer
6 Employers Address
7. Contract Number
8. Date of Contract
9. End Date of Contract
10. Contract Value

MINISTER OF FINANCE
- 102 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
VII. Data of the Company Act, at Electronic Online July 1, 2013 Daily
least including:
1. Providers ID
2. Providers Name
3. Number of the Deed of

Establishment
4. Date of the Deed of
Establishment
5. Notarys Name for the
Deed of Establishment
6. Number of the Latest
Deed
7. Date of the Latest Deed
8. Notarys Name for the

Latest Deed
MINISTER OF FINANCE
- 103 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
VIII. Data of Offers, at least Data of offer for completed Electronic Online July 1, 2013 Daily
including: auction package
1. Providers ID
2. Providers Name
3. Packet Name
4. Package Owner (Work Unit)
5. Package Owners Address
6. Package Value (Self-

Estimated Price)
7. Type of package
(Goods/Consultation/
Construction/Other
Services)
8. Date of Offers In
MINISTER OF FINANCE
- 104 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
IX. Data of contract, at least Containing data of the winner of Electronic Online July 1, 2013 Daily
including: electronically provision
1. Providers ID
2. Winner Providers Name
3. Winner Providers Tax

4. Package Name
5. Package Owner
6. Package Owners Address
7. Contract Number
8. Start Date of Contract

MINISTER OF FINANCE
- 105 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
10. Contract Value
25 Directorate General of I. Data of Reserves Data information of Reserves Electronic Directly December 1, Yearly
Oil and Gas, Ministry of (estimated/arisen/proved) for (estimated/arisen/proved) for 2013 (every end of
Energy and Mineral oil, gas, coal, and geothermal oil, gas, coal and geothermal April of the
energy energy per region following
month)
II. Data of production, at least Electronic Directly December 1, Yearly

including: . 2013 (every end of
1. Company Name April of the
2. Company Address following
3. Company Owner month)
4. Production Capacity Quantity of oil, gas, products of
refinery (including Liquefied
Petroleum Gas (LPG) and
Liquefied Natural Gas (LNG))
III. Data of Sales (domestic and Data of final product sales: gas, Electronic Directly Yearly
export) and import products of refinery (Liquefied December 1, (every end of
Petroleum Gas (LPG) and Oil 2013 April of the
Fuel) following
month)
MINISTER OF FINANCE
- 106 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
V. Data of price list for Information of energy resources Electronic Directly December 1, Monthly
energy resources prices for types based 2013 (every end of the
(Indonesia Crude Price) following month)
26 Special Work Unit of I. Data of active contract for Annual Data of active contract Electronic Directly August 1, 2013 Yearly
Business Activities oil and gas (per work for oil and gas containing data (no later than the
Executive for Crude Oil region), at least including: of work region for oil and gas 1st of July of the
and Natural Gas 1. Contractors Name following year)
2.Operators Name
3. Percentage of Interest
4. Date of Signing the

.
Contract
6. Work Unit
7. Status of Work
Unit(Exploration/
Exploitation)
MINISTER OF FINANCE
- 107 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
II. Data of Plan of Development Electronic Directly August 1, Yearly
(PoD) (Scanning 2013 (no later than the
1. Approval Letter for the first The First of Plan of Development form) 1st of July of the
of PoD of a work region (PoD) from a work region following year)
(scanned documents)
began in 2009
2. Approval letter for PoD of a Plan of Development (PoD) from
work unit (scanned a working region approved by
document) began before Specific Working Unit of
2009 based on request Business Activities Executive for
from Directorate General of Crude Oil and Natural Gas
Taxation
III. Data of Work Program and Annual Data of Work Program Electronic Directly August 1, Yearly
Budget (WP & B) revision and Budget (WP & B) revision 2013 (no later than the
1. Name of Contractor for approved by Special Work Unit 1st of July of the
Governmental Cooperation Business Activities Executive for following year)
Contract Crude Oil and Natural Gas
2. Name of Work Regional
3. Types of costs incurred
(exploration,
MINISTER OF FINANCE
- 108 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
development, production,
General Administration)
4. The amount of costs
IV. Closed Out AFE Data of approval for Closed Out Electronic Directly August 1, Yearly
(Authorization For AFE issued by Special Work 2013 (no later than the
Expenditure), at least Unit of Business Activities 1st of July of the
including: Executive for Crude Oil and following year)
1. Name of Contractor for Natural Gas
Governmental Cooperation
Contract
2. Name of Work Regional
3. Project Name
4. Number of AFE
5. Number & Date of AFE
Approval
6. Agreement Value
(Nominal) Data of Final FQR Electronic Directly August 1, Yearly
V. Data of Financial Quarterly
2013 (no later than the
Report (FQR)- Oil & Gas not
1st of July of
included, at least including:
MINISTER OF FINANCE
- 109 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
MINISTER OF FINANCE
- 110 -
1. Name of Contractor for the following year)

Governmental Cooperation
Contract
2. Name of Work Region
3. Lifting (Volume)
4. Gross Revenue
5. First Tranche Petroleum
(FTP)
6. Cost Recovery
7. Investment Credit
8. Interest Cost Recovery
9. Government Share
10. Contractor share:
- FTP share
- Equity share
- Lifting Price Variance
-Domestic Market
Obligation (DMO)
- DMO Fee
11.Bonus
12.Tax tariff (percentage)
13. Company Taxes & Taxes
on Interest, Dividends,
and Royalties
MINISTER OF FINANCE
- 111 -

Parties
(1) (2) (3) (4) (5) (6) (7) (8)
VI. Data of Reimbursement for Quarterly data of Reimbursement Electronic August 1, 2013 Quarterly
Value Added Tax (VAT) (per Request of Value Added Tax Directly (every end of the
Tax Payer Registration (VAT)/Luxury Sales Tax (LST) following month)
Number & Name of Contractor submitted by Contractor for
for Government Cooperation Governmental Cooperation Contract
Contract), at least including: to Special Work Unit of Business
1. Vendors Name Activities Executive for Crude Oil
2. Vendors Tax Payer and Natural Gas
Registration Number
3. Invoice Number
4. Date of Invoice
5. Value of Value Added Tax
(VAT) (Nominal)
6. Details/Types of Transaction
VII. Data of Interest Diversion, at Information data of interest Electronic Directly August 1, 2013 Yearly
least including: diversion (no later than the 1st
1. Diverting Name of July of the
2. Interest receiver name following month)
3. Operators Name
4. Date of Diversion (Deed of
Assignment)
5. Approval Letter from
Directorate General of Oil and
Gas (Number & date of letter
6. Diverted percentage
MINISTER OF FINANCE
- 112 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
7. Diverted region
8. Diversion
value/equivalence
27 PT. Perusahaan Listrik Data of Clients using capacity Monthly Data of Clients with Electronic Online September 1, Monthly (no later
Negara (State Share over 2200 VA, at least including: Tariff Group of Household, 2013 for data than the end of the
Company) Social, Business, Industry for of July 2013 following month)
General Client Group and State
1. Clients ID Number Owned Enterprise (SOEs)/Local
2. Clients Name Government Owned Corporation
3. Clients Address either Postpaid or Prepaid
Alamat Pelanggan
4. Regency/Province Clients
5. Tariff Group
6. Types of Client
7. Capacity
8. Sales in Rupiah/Electricity
Power Utilization
9. Month and Year of Bills

MINISTER OF FINANCE
- 113 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
28 Development Center for I. Profile of Public Accountant, General information about Public Electronic Online September 1, Semesterly
Accountant and Assessor at least including: Accountant identity . 2013 (no later than the
Services, Secretariat end of June and
General of the Ministry of 1. Name December)
Finance 2. Residential Address
3. Place and Date of Birth

Number
5. Public Accountant Identity number issued by
Registration Number Development Center for
Accountant and Assessor
Services
6. Number and date of Public Number and Date of the Decree
Accountant License of the Minister of Finance
concerning Public Accountant
License
7. Number and validity Number and validity period of
period of profession membership in the
association membership of
MINISTER OF FINANCE
- 114 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
Indonesia Public Accountant
Agency
8. Status of Public Including:
Accountant a. Discontinuance of Public
Accountant services for the
time being(leave);
b. Retired voluntarily;
c. Passing away;
d. Sanctioned (license
suspension, limitation for
certain services, services
limitation to a certain entity,
license repeal;
e. Active;
f. Invalidation of license
MINISTER OF FINANCE
- 115 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
9. Number and date of
Approval Letter/Decree
and validity period of
Approval/Decree
II. Profile of Public Including Branch Offices Electronic Online September 1, Semesterly
Accountant Office, at 2013 (no later than end
least including: of June and
1. Number of Public December)
Accountant Office
2. Form of Business Individual/Alliance/Firm
3. Public Accountant
Registration Number of
Head of Public Accountant
Office
4. Number and date of Number and date of Decree of
license of Public the Minister of Finance
Accountant Office concerning Business License for
Public Accountant Office
MINISTER OF FINANCE
- 116 -

Number of Public
Accountant Office
MINISTER OF FINANCE
- 117 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
6. Address of Public
Accountant Office
7. Number and Date of Number and date of Decree of
License for Branch of the Minister of Finance
Public Accountant Office concerning Establishment Permit
for Branch of Public Accountant
Office
8. Public Accountant
Registration Number of
Head of Branch
Number for Branch of
10. Address of Branch of
11. Status of Public
Accountant Office Including:
a. Closing;
b. Active;
c. Sanctioned (License
suspension, limitation for
certain services/
MINISTER OF FINANCE
- 118 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
Services limitation for a
certain entity/license repeal)
d. Invalidation of license

Decree and validity period
of Decree
III. List and History of Containing data of work place of Electronic Online September 1, Quarterly
Colleagues of Public Public Accountant and non 2013 (no later than end
Accountant Office (Public Public Accountant in a Public of March, June,
Accountant and non Public Accountant Office September,
Accountant), at least December)
including:
1. Name of colleague of
Public Accountant
2. Registration Number of
Public Accountant
3. Name of colleague of non
Public Accountant
Number of colleague of
non Public Accountant
MINISTER OF FINANCE
- 119 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
5. Member registration letter
of Colleague of non Public
Accountant
6. Name of Public Accountant
Office
7. Start date
IV. List of Clients of Public Data about entity as clients of Electronic Online September 1, Yearly
Accountant Office, at Public Accountant Office for 2013 (no later than end
least including: general auditor services on of December)
financial report
1. Name of client of Public

Accountant Office
2. Address of client of Public
Accountant Office
Number
4. Book year
5. Signature of Independent Public Accountant Registration

Auditor Report number
MINISTER OF FINANCE
- 120 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
signing Independent Auditor
Report
6. Opinion
7. Go Public/Non Go Public
8. Clients business line
9. Quantity of net profit/(lost)

of client
10. Quantity of asset of client
V. List of Auditor of Public List of workers working as Electronic Online September 1, Yearly
Accountant Office, at least auditor in Public Accountant 2013 (no later than end
including: Office of December)
1. Name of auditor of Public
Accountant Office
2. Gender (Male/Female)
3. Position in Public
Accountant Office
MINISTER OF FINANCE
- 121 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
4. Start date of positioning
in Public Accountant
Office
5. Position in performing
General Audit
6. Work hour of General
Audit
7. Work Start
8. Last education
VI. List of Foreign Workers in List of workers of foreign Electronic Online September 1, Yearly
Public Accountant Office, nationality in Public Accountant 2013 (no later than end
at least included: Office of December)

Office
Number of Public
Accountant Office
3. Name of foreign workers
MINISTER OF FINANCE
- 122 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
4. Last education
5. Professional capability
6. Nationality
7. Work start
8. Number and date of work

permit .
VII. Financial Report of Public Electronic Online September 1, Yearly
Accountant Office, at least 2013 (no later than end
including: of December)
Office
Number of Public
Accountant Office
3. Book year
4. Comparative Balance
MINISTER OF FINANCE
- 123 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
5. Comparative Profit-Lost
Report
6. Statement of Cash Flows
VIII. Profile of Public Assessor, General information about Electronic Online September 1, Semesterly
at least including: Public Assessor identity 2013 (no later than end
of June and
1. Name December)
2. Resident Address
3. Place and date of birth

Number
5. Public Assessor License Classification number of Public
Number Assessor License

Decree the Minister of Finance
concerning
MINISTER OF FINANCE
- 124 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
Public Assessor license
7. Number and validity Number and validity period of

period of Profession membership in Indonesia
Association membership Assessor Profession Society
8. Status of Public Including:

Assessor a. Discontinuance of Public
Assessor services for the
time being voluntarily (leave);
b. Retired voluntarily;
c. Passing away;
d. Sanctioned (license
suspension, license repeal;
e. Active;
MINISTER OF FINANCE
- 125 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
Approval Letter/Decree and
validity period of
Approval/Decree
IX. Profit of Public Assessor Profile including List of Electronic Online September Semesterly
Services Office, at least Branches, List of 1, 2013 (no later than end
including: Representations and List of of June and
Colleagues December)
1. Name of Public Assessor
Services Office
2. Business form of Public Individual/Alliance/Firm
Assessor Services Office
3. Public Assessor license

number for head/ head of
colleague of Public Assessor
Services Office
4. Number and date of Public Number and date of Decree of
Assessor Services Office the Minister of Finance
license concerning Business License for
Public Assessor Services Office
MINISTER OF FINANCE
- 126 -
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
Number for Public Assessor
Services Office
6. Address of Public Assessor
Services Office
7. Number and date of permit Number and date of Decree of the
for Branch Opening of Public Minister of Finance concerning
Assessor Services Office permit for Branch Opening of Public
8. Public Assessor license
number for head of branch of
Public Assessor Services
Office
Number for branch of Public
10. Address of branch of Public
11. List of colleagues of Public Including:
Assessor a. Name;
b. License
12. List of colleagues of non
Public Assessor
13.Status of Public Assessor Including:
Services Office
MINISTER OF FINANCE
- 127 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
a. Closing;
b. Active;
c. Sanctioned (license
suspension/license repeal)
d. Invalidation of license
14. Number and date of decree

and validity period of
Decree
approval letter for the Head of Development Center for
opening of representative Accountant and Assessor
office of Public Assessor Services
Services Office
16. Person in charge of Name of person in charge of .

representative office of representative office of Public
Public Assessor Services Assessor Services Office
17. Office
Address of representative
office of Public Assessor
-
Services Office
MINISTER OF FINANCE
- 128 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
X. List of clients of Public Data about entity as client of Electronic Online September 1, Yearly
Assessor Services Office, Public Assessor Services Office 2013 (no later than end
at least including: for providing assessor services of December)
and other services related to
assessing activities
1. Name of taskmaster/user of
Public Assessor Services
Office
2. Address of task
master/user of Public
3. Year of Reporting
4. Status of Go Public/Non Go
Public
5. Ownership
6. Types of services provided

MINISTER OF FINANCE
- 129 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
7. Line of Business
8. Name of object/assessed
company
9. Method of assessing
10. Number and date of report
11. Results of assessing In million rupiah

assessed object
12. Public Assessor signing
report of results of
assessing
XI. List of Foreign Workers in Electronic Online September Yearly

Public Assessor Services 1, 2013 (no later than end
Office, at least including: of December)
1. Name of Public Assessor
Services Office
MINISTER OF FINANCE
- 130 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
Services Office
3. Name of Foreign Workers
4. Number and date work

permit from agency
5. Nationality
6. Capabilities
7. Work plan
8. Time period of assignment
XII. Financial Report of Public Electronic Online September 1, Yearly

Assessor Services Office: 2013 (no later than
1. Name of Public Assessor end of
Services Office December)
Services Office
MINISTER OF FINANCE
- 131 -
Names of the
Parties
(1) (2) (3) (4) (5) (6) (7) (8)
3. Book year
4. Comparative Balance
5. Report of Comparative
Profit-Lost
6. Record for Financial
Report
This copy is the same as the original one THE MINISTER OF FINANCE OF THE
HEAD OF GENERAL BUREAU REPUBLIC OF INDONESIA,
on behalf of
HEAD OFMINISTERIAL ADMINISTRATION signed
MUHAMAD CHATIB BASRI
GIARTO
NIP 195904201984021001

95 PMK.03 2013

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MINISTER OF FINANCE

OF THE REPUBLIC OF INDONESIA

SECOND AMENDMENT TO THE REGULATION OF THE MINISTER

BY THE GRACE OF GOD ALMIGHTY

THE MINISTER OF FINANCE OF THE REPUBLIC OF INDONESIA,

Considering : a. whereas the provisions regarding the details of the

data and information are performed by amending

In view of : 1. Act Number 6 Year 1983 concerning General

To stipulate : REGULATION OF THE MINISTER OF FINANCE

REGULATION OF THE MINISTER OF FINANCE

MUHAMAD CHATIB BASRI

STATE GAZETTE OF THE REPUBLIC OF INDONESIA YEAR 2013

Issued as the official copy

HEAD OF GENERAL BUREAU

HEAD OF MINISTERIAL ADMINISTRATION

List of the Government Agencies, Institutions, Associations, and Other Parties,

(1) (2) (3) (4) (5) (6) (7) (8)

Names of the Government

4. Bank Transaction Number

5. State Revenue Transaction

14. Tax Payer Registration

Names of the Government

Names of the Government

15. Types of deposit

Names of the Government

10. Year of spending

Names of the Government

XIII. Identification Number of Identification Number of Electronic Online May 1 Monthly

Names of the Government

Names of the Government

Names of the Government

Names of the Government

13.Date of Ship Arrival

14.Date of Ship Departure

15. Tax Invoice Number Tax Invoice Number issued by

16.Date of Tax Invoice Date of Tax Invoice issued by

Names of the Government

2. Ship Codes Master of Ship

Names of the Government

15.Date of Ship Arrival

18.Date of Tax Invoice Date of Tax Invoice issued by

Names of the Government

Names of the Government

13. Dock Codes Master of Mooring Location

15.Date of Loading Only at ports managed by

16. Tax Invoice Number Tax Invoice Number issued by

17.Date of Tax Invoice Tax Invoice Number issued by

13. Date of Ship Arrival

14. Date of Ship Departure

15.Tax Invoice Number Tax Invoice Number issued by

16. Date of Tax Invoice Date of Tax Invoice issued by

2. Ship Code Master of Ship

15.Date of Ship Arrival

16.Date of Ship Departure

17.Tax Invoice Number Tax Invoice Number issued by

18.Date of Tax Invoice Date of Tax Invoice issued by

III. Data and Information of Electronic Online May 1, 2013 Monthly

11.Actual Date of Navigator In Date of navigator in for first

15.Date of Loading Only at ports managed by

16.Tax Invoice Number Tax Invoice Number issued by

IV. Reference Table of Client Electronic Online May 1, 2013 Monthly

13. Date of Ship Arrival

14.Date of Ship Departure