CONFIRMATION OF COMPLIANCE WITH REGULATION

Based on Law Of The Republic Of Indonesia Number 5 of 1960

Concerning Basic Agrarian Regulation
Name :
Birth :
Position :
Residence :
Nasionality :

Compliance Status
Chapter In Article In
No. the Law 5 of the Law 5 of ELIGIBILITY REQUIREMENTS Not
1960 1960 Yes No
Evaluated
 Is the company aware of the fundamentals and main provisions contained in this
agrarian law?
Article 15  Does the company maintain the land and prevent damage to the land as stated in
Article 15?

Licenses that a company can hold over land, water and space located in
the territory of the Republic of Indonesia
 Does the company have a right of ownership over land, water and space located in
the territory of the republic of Indonesia?
 Does the company have a license for the right to cultivate over land, water, and
airspace located in the territory of the Republic of Indonesia?
 Does the company have a license for the right to build over land, water, and
airspace located in the territory of the Republic of Indonesia?
 Does the company have a right to use over land, water and space located in the
territory of the Republic of Indonesia?
 Does the company have a license to lease building rights over land located in the
territory of the Republic of Indonesia?
 Does the company have a license for the right to clearing land and collecting forest
products located in the territory of the Republic of Indonesia?
 Does the company have a license to use water located in the territory of the
Republic of Indonesia?
 Does the company aware that they have to pay fees incurred for land ownership in
the Republic of Indonesia as stipulated in the Law?

[Date]
Respondent

[Name]
[Position]