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CLIENT INFORMATION SHEET (CIS)

Company:
A1. Name of Company SAMOYZ HOLDING B.V.
A2. Nature of Business Holding, Financier, Management
A3. Business Address Botterdiep 12, 3077 AW Rotterdam
A4. Registered Office Schubertdreef 37, 2992ET Barendrecht
+31102298481
A5. Telephone, Email, web info@samoyzholdingbv.nl
https://samoyzholdingbv.nl
Date, City, Country of
A6. 23/04/2015, Barendrecht, Netherland
Incorporation
A7. Corporation Number 63174669
A10. Principal Structure of Business Corporation

Authorized Signatory:
Full Name Adi Hamdani
Date and Place of Birth 20-12-1972. Jakarta
Nationality Indonesian
Passport/ID Number C5714226
City/Country of issue Central Jakarta, Indonesia
Date of Issue of the Passport/ID 11 DEC 2019
Expiry Date of the Passport 11 DEC 2024
Title within the Corporation Chairman & Algemeen (Managing) Director
Email address adi.hamdani@samoyzholdingbv.nl

Bank Coordinate:

Bank Name ABN AMRO Bank N.V.


Bank Address Gustav Mahlerlaan 10, 1082 PP Amsterdam
Bank Telephone number 0882262626
SWIFT CODE ABNANL2A
Account Holder Samoyz Holding B.V.
Account Number 100529615
Account Signatory Adi Hamdani & S.A.M Hassan

Declaration: I hereby swear under penalty of perjury, that the information provided is
both true and accurate.
Sign/Seal:

Date: 3 June, 2021


Name: Adi Hamdani
Passport No.: C5714226
City/Country of Issue: Central Jakarta, Indonesia
Date of Issue: 11 DEC 2019
Date of expiry: 11 DEC 2024

Samoyz Holding B.V.


Business Offices: BOTERDIEP 12, 3077 AW ROTTERDAM
info@samoyzholding.nl https://samoyzholding.nl
COLOUR COPY OF AUTHORIZED SIGNATORY’S PASSPORT

Seal/sign:

Date: 3 June, 2021


Name: Adi Hamdani
Passport No.: C5714226
City/Country of Issue: Central Jakarta
Date of Issue: 11 DEC 2019
Date of expiry: 11 DEC 2024

Samoyz Holding B.V.


Business Offices: BOTERDIEP 12, 3077 AW ROTTERDAM
info@samoyzholding.nl https://samoyzholding.nl
BOARD RESOLUTION
THIS IS TO CERTIFY THAT THE BOARD OF DIRECTORS OF SAMOYZ HOLDING B.V. HAVING
ITS ADDRESS AT BOTERDIEP 12, 3077 AW ROTTERDAM, NETHERLAND, ATTENDED A
BOARD OF DIRECTORS MEETING, NOTICED AND HELD ON 3rd June, 2021, AT THE
COMPANY’S ABOVE REFERENCED ADDRESS AT WHICH THERE WAS PRESENT A QUORUM
THERE OF, WHERE IN THE FOLLOWING RESOLUTIONS WERE UNANIMOUSLY ADOPTED,
TO WITH:
RESOLVED: THAT MR. ADI HAMDANI PASSPORT/ID NUMBER C5714226 ISSUED IN
INDONESIA SHALL BE AND HEREBY IS APPOINTED TO SERVICE AS CHAIRMAN OF THE
BOARD AND AlGEMEEN (MANAGING) DIRECTOR OF THE COMPANY AND FULLY
AUTHORIZED TO ACT AS REPRESENTATIVE OF THE COMPANY IN NEGOTIATIONS ON
BEHALF OF THE COMPANY IN CONNECTION WITH COMPANY’S TRADING AND
INVESTMENT ACTIVITIES IN THE BEST INTEREST OF THE COMPANY, SUBJECT TO BOARD
RESOLUTION AND THE EXECUTION OF AGREEMENTS SHALL BE SUBJECT TO BOARD
RESOLUTION.
FURTHER RESOLVED: THAT MR. ADI HAMDANI, MANAGING DIRECTOR OF THE
COMPANY, BE AND HEREBY IS AUTHORIZED AND DIRECTED TO CERTIFY THAT THE
FOREGOING RESOLUTIONS AND THE PROVISIONS THERE OF ARE IN CONFORMITY WITH
THE CHARTER, BY LAWS AND ARTICLES OF INCORPORATION OF THE COMPANY, AND
THAT THEREFORE GOING RESOLUTION AND THE AUTHORITY THERE BY CONVEYED
SHALL REMAIN IN FULL FORCE AND EFFECT UNTIL THE PURPOSE SET FORTH HERE IN
ARE ACCOMPLISHED.
IT IS FURTHER CERTIFIED THAT THE FOREGOING RESOLUTIONS HAVE NEVER BEEN
CANCELLED OR REVOKED AND THAT THE ABOVE NAMED CEO OF THE COMPANY HAS
BEEN DULY ELECTED AND APPOINTED TO HOLD OFFICE AND IS PRESENTLY HOLDING
OFFICE AND IS EMPOWERED TO ACT FOR AND ON BEHALF OF THE COMPANY, AND THAT
THIS CORPORATE RESOLUTION’S FAX OR PHOTO COPIES SHALL BE OF EQUAL VALUE TO
THEIR ORIGINAL AND SHALL BE ACCEPTED AS SUCH BY EVERYONE, FOR ALL PURPOSES,
EVERYWHERE.
IN WITNESS WHEREOF, I HAVE HERE INTO SET MY SIGN AND SEAL OF THE COMPANY
INCERTIFICATION OF THE ABOVE RESOLUTIONS & PROVISIONS ON THIS DAY OF 3rd
June, 2021.
For and on behalf of SAMOYZ HOLDING B.V.
Chairman & Algemeen Director
Director

Adi Hamdani S.A.M Hassan

Samoyz Holding B.V.


Business Offices: BOTERDIEP 12, 3077 AW ROTTERDAM
info@samoyzholding.nl https://samoyzholding.nl
Business Register extract
Netherlands Chamber of Commerce

CCI number 63174669

Page 1 (of 2)

The company / organisation does not want its address details to be used for
unsolicited postal advertising or visits from sales representatives.

Legal entity
RSIN 855124349
Legal form Besloten Vennootschap (comparable with Private Limited Liability Company)
Statutory name SaMoYz Holding B.V.
Corporate seat Barendrecht
First entry in Business 23-04-2015
Register
Date of deed of incorporation 23-04-2015
Issued capital EUR 500,00
Paid-up capital EUR 500,00
Filing of the annual accounts The annual accounts for the financial year 2018 were filed on 04-03-2020.

Company
Trade name SaMoYz Holding B.V.
Company start date 23-04-2015 (registration date: 23-04-2015)
Activities SBI-code: 6420 - Financial holdings
Employees 1

Establishment
Establishment number 000032116586
Trade name SaMoYz Holding B.V.
Visiting address Schubertdreef 37, 2992ET Barendrecht
Telephone number +31102298481
Email address imoprt-export@samoyzholdingbv.com
Date of incorporation 23-04-2015 (registration date: 23-04-2015)
Activities SBI-code: 6420 - Financial holdings
For further information on activities, see Dutch extract.
Employees 1

Board members
Name Hassan, Sammy Ahmed Mohamed
Date of birth 17-05-1958
Date of entry into office 23-04-2015 (registration date: 23-04-2015)
Powers Jointly authorised (with other board member(s), see articles)
Date of (present) authority 03-06-2021
2021-07-02 00:02:54

This extract has been certified with a digital signature and is an official proof of registration in the Business
Register. You can check the integrity of this document and validate the signature in Adobe at the top of your
screen. The Chamber of Commerce recommends that this document be viewed in digital form so that its
integrity is safeguarded and the signature remains verifiable.
Business Register extract
Netherlands Chamber of Commerce

CCI number 63174669

Page 2 (of 2)

Name Hamdani, Adi


Date of birth 20-12-1972
Date of entry into office 03-06-2021 (registration date: 03-06-2021)
Title Managing Director
Powers Solely/independently authorised

Extract was made on 02-07-2021 at 00.02 hours.

2021-07-02 00:02:54

This extract has been certified with a digital signature and is an official proof of registration in the Business
Register. You can check the integrity of this document and validate the signature in Adobe at the top of your
screen. The Chamber of Commerce recommends that this document be viewed in digital form so that its
integrity is safeguarded and the signature remains verifiable.

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