Partnership Program Form

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PT.

ASURANSI TUGU PRATAMA INDONESIA Tbk

SLA & PARTNERSHIP PROGRAM


FORM

1. Service Level Aggreement (SLA)


In order to reflect our commitment to policyholders, please kindly state your Service Level
Agreement standard, as following criteria for operations in Indonesia:

Services Time Services (day/hour)


a. Survey Arrangement & Preparation : .............................
 Assign and confirm by Risk ............................
Surveyor ............................
 Contact Broker/Policyholder ............................
 Issue acknowledgment
b. Visit : ............................
c. Initial advice/Reserve : ............................
d. Preliminary Report : ............................
e. Letter to broker / Policyholder : ............................
f. Telephone Calls : ............................
g. Reply to letters/faxes/e-mails : ............................
h. Review File : ............................
i. Update to Insurers : ............................
j. Interim Paymet Report : ............................
k. Final Reports : ............................
l. Availability : ..............................

Explanation/Comment (if any):


..............................................................................................................................................

2. Mutual Partnership
As part of our mutual partnership, we ask you to participate in our Tugu resources
development ( e.g . by providing training, sharing knowledge, etc.)

 ......... Yes
 ......... No
 Other answers : ....................................

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PORTFOLIO/REV00/LAEF&PP
PT. ASURANSI TUGU PRATAMA INDONESIA Tbk

If the answer Yes, please kindly explain your offering programs:

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PORTFOLIO/REV00/LAEF&PP

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