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CLIENT INFORMATION SHEET

IN ACCORDANCE WITH ARTICLES TWO (2) THROUGH FIVE (5) OF THE DUE DILIGENCE CONVENTION
AND THE FEDERAL BAKING COMMISSION CIRCULAR OF DECEMBER 1998, CONCERNING THE
PRVENTION OF MONEYLAUNDERING, AND ARTICLE 350 OF THE SWISS CRIMINAL CODE, THE
FOLLOWING INFORMATION MAY BE SUPPLIED TO BANK AND / OR OTHER FINANCIAL INSTITUTIONS
FOR THE PURPOSE OF VERIFICATION OF IDENTITY AND ACTIVITIES OF THE INVESTING MEMBER, AND
THE NATURE AND ORIGIN OF THE FUNDS THAT ARE TO BE UTILIZED. ALL PARTIES HEVE AN OBLIGATION
TO RESPECT PROFESSIONAL SECRECY AND TO TAKE ALL APPROPRIATE PRECAUTIONS TO PROTECT
THE CONFIDENTIALITY OF THE INFORMATION EACH HOLDS IN RESPECT OF THE OTHER’S ACTIVITIES.
THIS LEGAL OBLIGATION SHALL REMAIN IN FULL FORCE AND EFFECT AT ALL TIMES.

COMPANY NAME: PT. TEMASEK GLOBAL ALIANSI


COMPANY ADDRESS: Citra Towers Building, 16th Floor, blok A6, Jl. Benyamin Suaeb Jl. Casa No.170,
RT.13/RW.6, Kb. Kosong, Kec. Kemayoran, Kota Jakarta Pusat, DKI Jakarta
10630
COMPANY REG. NUMBER: AHU-00673661.AH.01.01.TAHUN 2021
REPRESENT BY: Mr. Mohamad Mahyuddin
OCCUPATION: Managing Director
PASSPORT NUMBER: C5431723
ISSUED DATE: 14 November 2019
EXPIRED DATE: 14 November 2024
NATIONALITY: Indonesia
BANK NAME: PT. Bank Mandiri (Persero) Tbk
BANK ADDRESS: C.O Jakarta Jl. Garuda No. 26C Kemayoran Jakarta pusat, Indonesia 10620
SWIFT CODE: BMRIIDJA
ACCOUNT NAME: PT. TEMASEK GLOBAL ALIANSI
ACCOUNT NUMBER: 1190009831056
BANK OFFICER NAME: Ms. Iqlima Huraida
BANK OFFICER PHONE: +622142804266 / +6242804267
BANK OFFICER EMAIL: 11929@bankmandiri.co.id
I, M r . M o h a m a d M a h y u d d i n , HEREBY SWEAR, UNDER PENALTY OF PERJURY, THE
INFORMATION GIVEN ABOVE IS ACCURATE AND TRUE. THIS CLIENT INFORMATION SHEET CREATED
AND SIGNED ON 12 Mai 2022
I, M r . M o h a m a d M a h y u d d i n , HEREBY SWEAR UNDER PENALTY OF PERJURY, THAT THE
INFORMATION PROVIDED IS BOTH TRUE AND ACCURATE. I AM THE SIGNATORY ON THE
AFOREMENTIONED BANK ACCOUNT. ALL MONIES ENGAGED IN THIS TRANSACTION ARE DERIVED FROM
NON-CRIMINAL ORIGIN; AND, ARE GOOD, CLEAN AND CLEARED. THE ORIGIN OF FUNDS ARE IN
COMPLIANCE WITH ANTI-MONEY-LAUNDERING POLICIES AS SET FORTH BY THE FINANCIAL ACTION TASK
FORCE (FATF) 6/01
Signed and sealed this ,Thursday, 12 Mai 2022

_____________________________
For and on behalf of:
NAME: Mr. Mohamad Mahyuddin
TITLE: Managing Director
PASSPORT NO: C5431723

Citra Towers Building, 16th Floor, blok A6, Jl. Benyamin Suaeb Jl. Casa No.170, RT.13/RW.6, Kb. Kosong,
Kec. Kemayoran, Kota Jakarta Pusat,
DKI Jakarta 10630
SCAN PASSPORT MANAGING DIRECTOR
PT. TEMASEK GLOBAL ALIANSI

Citra Towers Building, 16th Floor, blok A6, Jl. Benyamin Suaeb Jl. Casa No.170, RT.13/RW.6, Kb. Kosong,
Kec. Kemayoran, Kota Jakarta Pusat,
DKI Jakarta 10630
CERTIFICATE INCORPORATION
PT. TEMASEK GLOBAL ALIANSI

Citra Towers Building, 16th Floor, blok A6, Jl. Benyamin Suaeb Jl. Casa No.170, RT.13/RW.6, Kb. Kosong,
Kec. Kemayoran, Kota Jakarta Pusat,
DKI Jakarta 10630

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