CLIENT INFORMATION SHEET

COMPANY NAME: PT. GPH INDONESIA KAPITAL

COMPANY ADDRESS: MENARA CAKRAWALA 12TH FLOOR, JL M.H.
THAMRIN NO.9 JAKARTA 10340, INDONESIA
REGISTRATION NUMBER: 4017080131100163
REPRESENTED BY: MR. MOHAMMAD AKRAM
COUNTRY: SINGAPORE
PASSPORT NUMBER: K2038280N
DATE OF ISSUANCE: 13.10.2020
DATE OF EXPIRATION: 13.10.2025
TITLE: CEO
RECEIVER EMAIL: N/A
BANK NAME: PT. BANK SINARMAS TBK
BANK ADDRESS: JL M.H. THAMRIN NO. 51 GONDANGIA MENTENG,
JAKARTA PUSAT 10350, INDONESIA
SWIFT CODE: SBJKIDJAXXX
ACCOUNT NAME: PT. GPH INDONESIA KAPITAL
ACCOUNT SIGNATORY:
IBAN CODE:
ACCOUNT NO.: EUR 0047596677
BANK OFFICER: MR. JEFFREY TANDO
BANK OFFICER EMAIL: jeffrey.tando@banksinasmas.com
BANK OFFICER TEL.: +62-21-31990101

NOSTRO BANK DETAILS

BENEFICIARY BANK’S DEUTSCHE BANK AG
CORRESPONDENCE Taunusanlage 12 60325 Frankfurt AM MAIN
(INTERMEDIARY BANK): Germany

SWIFT CODE: DEUTDEFFXXX

BANK SINARMAS A/C
NUMBER (NOSTRO ACCOUNT
NUMBER) with 6775039
CORRESPONDENCE BANK:

FOR FURTHER CREDITS TO: PT. GPH INDONESIA KAPITAL

ACCOUNT NUMBER: 0047596677
COMPANY REGISTRATION CERTIFICATE
COMPANY REPRESENTATIVE’s PASSPORT