Reset Password and Account Activation Statement Letter

The undersigned below :

Full name : …………………………….

Passport Number : …………………………….
Hereinafter referred to as "I",

That I have previously been registered as Member / Verified Member of Indodax with the
following information :

Username : …………………………….
Registered account email : …………………………….
Registered Phone number : …………………………….
I hereby declare knowingly with the details mentioned above, that as the owner of Indodax
account mention above, have successfully reset the password on my Indodax account. Before
Indodax re-activating the withdrawal feature in the form of Rupiah fund and/or crypto assets
on my Indodax account, I am willing to wait for 72 (seventy-two) hours. My reasons for
resetting password on my Indodax account are ................................................................................
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………

I declare that I will follow all kinds of directions that have been instructed by Indodax so that
the withdrawal feature can be activated on my Indodax registered account, assisted by
Indodax. Hereby I release Indodax from all forms of disputes, claims, or lawsuits if in the
future something unexpected happens regarding reset password action and withdrawal
feature activation on my Indodax account.

Thus, this Statement Letter is made truthfully, based on good faith, without coercion / force
from anyone and any party.

……………..,.........………………….
*Place, date of filling the form

With Respect,

Indonesian Stamp Please put your Passport together with this Statement
Rp.10.000 Letter in this box that we have provided.

(…………………………..............)
*Account’s owner full name

(Remark: Please complete with either handwriting or typing on the dots that we have provided)