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COLLATERAL USAGE COOPERATION

AGREEMENT

Number : …/…-d’P/I/2021

Among

_______________
with

SIE KHAY KIOK

Jakarta, _____ 2021

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COLLATERAL USAGE COOPERATION AGREEMENT
Number : …/d’P/I/2021

Today… Date… Month… Year 2021 (… /… / 2021) located at…, Collateral Cash Collateral
Usage Cooperation Agreement (hereinafter referred to as "AGREEMENT"), by and between
the parties concerned below has been made and signed :

1. Nama. :

Passport :

Jabatan :

Alamat :

In this case acting on behalf of himself as the owner of the Cash Collateral which can issue
PROOF of FUNDS (PoF) assets hereinafter referred to as "FIRST PARTY" / APPLICANT.

2. Nama. : Sie Khay Kiok

NIK : 3374025111580001

Passport : B 5444447
Jabatan : Personal

Alamat : Jl. Kayu Mas Utara B-9 Kelurahan Kuningan Kecamatan Semarang
Utara.

In this case acting in his position as collateral user, hereinafter referred to as "SECOND
PARTY" / BENEFICIARY.

The FIRST PARTY and SECOND PARTY first explain / explain, among others, the
following:

FIRST PARTY as Cash Collateral Owner in… and is willing to block Cash Collateral in
the FIRST PARTY's account with a nominal value… as a guarantee for the issuance of
PROOF of FUNDS (PoF) for financing social economic programs and part of
cooperation in Indonesia.

SECOND PARTY is the Beneficiary of the First Party using Cash Collateral from the
Bank which has been mutually agreed upon and is valid for 12 months and 1 day and
can be extended according to mutual agreement.

ARTICLE 1

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BASICS OF AGREEMENT
THE PARTIES agree to collaborate in the context of using Cash Collateral by using the

PROOF OF FUNDS (PoF) Assets, Tear Sheet, and CIS with the following conditions:

1. PROOF OF FUNDS (PoF) on behalf of the Second Party Tear Sheet, and CIS on
behalf of the SECOND PARTY.

2. THE PARTIES agree that the Disbursement of Cash Funds in the amount of PROOF
OF FUNDS (PoF) is for a mutually agreed project.

3. Regarding services and others, a separate addendum is made which is binding on


this agreement.

SECTION 2
ABILITY

1. THE PARTIES agree and are willing to comply with the article above.
2. PROOF OF FUNDS (PoF), Tear Sheet, and CIS only on behalf of the SECOND
PARTY.
3. Funds enter the PT First Party account by signing with the Parties.
4. After the PROOF OF FUNDS (PoF), Tear Sheet, and CIS sent by the First Party to
the Second Party for verification in accordance with the Second Party's method. After it
is declared valid in banking, the Second Party by bringing a hard copy will condition it to
in banking, the guarantee is to be used only as collateral for the incoming funds of the
Second Party by the Second Party and not disbursed.
5. This agreement is notarized after the bank's PROOF OF FUNDS (PoF) is declared
valid in accordance with Article 2 number 4.
6. After the Hard Copy is brought by the Second Party to be given to the Fund Party,
within 14 working days of the Bank the liquid funds will enter a joint account on behalf
of the First Party's PT with a Joint Account with the Second Party and then the First
Party is invited to take its rights including for the mediator which is contained in a
separate addendum.
7. The First Party allows the Second Party to keep using the account for a maximum of
1 year with the remaining funds belonging to the Second Party without the intervention
of the First Party.
8. The First Party provides a standing instruction to the Bank in which the contents of
this joint account are only used by the Second Party / appointed for 1 year without
intervention from the First Party and the signing is carried out by the Second Party only.
9. The First Party grants a power of attorney to the Second Party / appointed for all that
has to do with funding.
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10. PROOF OF FUNDS (PoF) is the name designated by the Second Party, namely
Tjhan Yanuar Sugiarto NIK 3374021801840003, passport number C 2624085.

ARTICLE 3
COLLATERAL CASH USAGE TERM
1. THE PARTIES agree that the Term of Use of Cash Collateral as Work Guarantee
Capital is mutually agreed upon.

2. The SECOND PARTY will return Collaterall to the FIRST PARTY upon completion of
the agreement.
3. If there is an ARO (Automatic Roll Over), there will be a notification from the Second
Party to the First Party a month before the due date and with the conditions applicable
according to the first.

ARTICLE 4
IMPLEMENTATION STAGE
THE PARTIES agreed to choose a banking mechanism. Second Party / those
appointed as Beneficiary recipients listed in PROOF OF FUNDS (PoF)

ARTICLE 5
TYPES OF INSTRUMENTS AND CIS OF THE PARTIES

THE PARTIES agree that CASH COLLATERAL as a guarantee will be issued which is meant
as follows

1. Type of instrument : PROOF OF FUNDS (PoF), Tear Sheet, and CIS

2. PoF condition : Genuine, Clear and Clean, Non Crime Origin

3. Total Nominal :

4. Duration : 12 months 1 day - ARO

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5. Issuing Bank :

6. Instrument process : Begins in accordance with article 2 number 2.

7. Instrument position : - Applicant: FIRST PARTY

- Beneficiary: SECOND PARTY

8. PoF Format : In accordance with the Issuing Bank

ARTICLE 6 OBLIGATIONS OF THE PARTIES

THE PARTIES agree and agree that in this cooperation agreement, the obligations that
need to be issued are included in the ADDENDUM.

ARTICLE 7
CONFIDENTIALITY

THE PARTIES agree that the entire contents of this AGREEMENT must be treated
confidentially and therefore none of the information relating to this AGREEMENT will be notified
to the Third Party without first obtaining the PARTIES 'written consent, except for what is
mandatory for the implementation of this AGREEMENT.

ARTICLE 8
FORCE MAJEURE

Force Majeure applies if there is a forceful situation including: earthquakes, natural disasters,
landslides, floods, riots, wars and others all of which result in delays in the implementation of
work by the PARTIES. If that happens, you must immediately report the incident in writing to
the FIRST PARTY within 3 X 24 hours at the latest.

ARTICLE 9
DISPUTE RESOLUTION

If in the future there is a dispute between the FIRST PARTY and the SECOND PARTY then
both parties choose to settle by deliberation and consensus, if the settlement by deliberation

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and consensus cannot be reached then both parties shall designate legal domicile at the local
District Court which is mutually agreed upon.

ARTICLE 10
CLOSING

Thus, this AGREEMENT is made in duplicate with sufficient duty stamp, each having the same
legal power as truthfully and in fact and can be accounted for in accordance with the applicable
laws nationally and internationally, and can be used properly, and signed by the PARTIES and
WITNESSES.

Dibuat di : …
Tanggal : … … 2021

THE FIRST PARTY (1) SECOND PARTY (2)

__________________ _______________

WITNESSES :

1.

2.

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