CROS – PERUBAHAN NAMA PERSEROAN TERBATAS

CIRCULAR RESOLUTION IN LIEU OF

EXTRAORDINARY GENERAL MEETING OF THE SHAREHOLDERS
OF PT [--]
We, the shareholders of PT [--], a limited liability company established and existing
under and by virtue of the laws of the Republic of Indonesia, and having its legal
domicile in [--] (the “Company”), comprising of:
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1. -[--], holder and registered owner of [--] of the issued shares of the Company;
and -------------------------------------------------------------------------
2. -[--], holder and registered owner of [--] of the issued shares of the Company.
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The Shareholders declare as follows: ---------------------------------------------------
WHEREAS, the Shareholders own and hold [--] issued shares of the Company, which are [--]
% of the total issued shares capital of the Company. ------------------
WHEREAS, the Shareholders hereby confirm that each of us has been notified in
writing of the proposal resolved below in the form of the draft of this Circular
Resolution, and do hereby agree and adopt the following resolutions and give our
unanimous written consent, which by virtue of Article 9.8 of the Company’s Articles of
Association (“AoA”) shall have the same force and effect as if such resolutions had been
adopted at a regularly convened meeting of the shareholders of the Company. -----
-NOW THEREFORE, all the shareholders hereby unanimously agree as follows:
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1. -RESOLVED, to approve to change the Company’s name from PT [--] to
become PT [--] and therefore to approve the amendment of Article 1 (1) of the
AoA, so that effective as of the date of the approval from the Ministry of Law
and Human Rights on name and domicile of the Company, such Article 1 (1) of
the AoA would read as follows:
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---------------------------------------NAME AND DOMICILE
------------------------
---------------------------------------------Article 1---------------------------------------
1. This limited liability Company is named: PT [--] (hereinafter referred to in
the Articles of Association as the "Company"), and is domiciled in
[--].---------------------------------------------------------
2. -RESOLVED, to authorize any member of the Company’s Board of Directors,
and/or [--], jointly or severally, as the proxy with the right of substitution to
memorialize any or all of the resolutions adopted in this Meeting in a notary deed (s),
and for such purpose to sign and submit any applications and other legal documents
required, and to appear before a Notary, to give any information deemed necessary,
to sign (a) Deed(s) of Statement of Minutes of Meeting in Indonesian language, and
to submit the Deed(s) to the Ministry of Law and Human Rights, and if required to
publish it in the State Gazette and register it in the Company Register at the Ministry
of Trade, to sign and submit any applications and other legal documents, and to
perform any other acts which may be required. --------------------------

Kumpulan Contoh Akta Notaris & Surat Kontrak – Buku I |1

The shareholders named below hereby confirm their approval to the matters set out
above and accordingly the above resolutions are validly adopted by the shareholders
of the Company by affixing their signatures by their authorized signatories or
company seals, as the case may be, to this Circular Resolution.
-----------------------------------------------------
Execution of this document by the shareholders stated below indicates that the
resolutions have been passed unanimously. ----------------------------
This Circular Resolution is effective as of the date that it is last signed by a
shareholder of the Company.

The Shareholders,

1._____________________ 2. _________________
Name : Name :
Title : Title :
Date : Date :

Kumpulan Contoh Akta Notaris & Surat Kontrak – Buku I |2