EmailMe Form - Bank Indonesia Bondholder ID_20201021

Reference ID

RESPONSES ARE REQUESTED BY 4PM, 10 NOVEMBER 2020 (JARKATA TIME)

* Requested

PART 1 - CUSTODIAN BANK OR BROKERAGE FIRM DETAILS

To be completed by the custodian with an account at Euroclear, Clearstream or DTC holding a position/s.

Name of Custodian Bank or Brokerage Firm *

We Hold the Securities through Accounts with the Following Clearing System

The Account Number with the Clearing System

Details of Custodian Contact Person

Name of Custodian Contact Person *

Phone number (with country code) *

Email address *

For confirmation of submission and contact

Do You Have a Second Custodian Contact Person? *

Details of Second Custodian Contact Person - (Optional)

Name of Second Custodian Contact Person

Phone number (with country code)

Email address

For contact only

PART 2 - PORTFOLIO MANAGER DETAILS

Do You Have Any Asset/Portfolio Manager? *

Name of Asset/Portfolio Management Company *

Details of Authorized Employee

Authorized Employee of Asset/Portfolio Manager *

Phone number (with country code) *

Email address *

For contact only

Do You Have a Second Authorized Employee? *

Details of Second Authorized Employee - (Optional)

Second Authorized Employee of Asset/Portfolio Manager

Phone number (with country code)

Email address

For contact only

PART 3 - INVESTOR/ BENEFICIAL OWNER AND POSITION DETAILS

Do You Have Multiple Investors/ Beneficial Owners? *

FILE UPLOAD for Multiple Investors/ Beneficial Owners *

Please upload in file type limited to: xls, xlsx

Name of End Investor/ Beneficial Owner *

Type of Investor/ Beneficial Owner
*

Please specify the type of Investor/ Beneficial Owner *

Investor/ Beneficial Owner's Jurisdiction *

Phone Number (with country code)

Email address(es)

For contact only

How Many Position(s) Do You Have? *

Position 1

Type of ISIN *

US Dollar denominated ISIN Reg S *

US Dollar denominated ISIN 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN Reg 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 2

Type of ISIN *

US Dollar denominated ISIN Reg S *

US Dollar denominated ISIN 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN Reg 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 3

Type of ISIN *

US Dollar denominated ISIN Reg S *

US Dollar denominated ISIN 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN Reg 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 4

Type of ISIN *

US Dollar denominated ISIN Reg S *

US Dollar denominated ISIN 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN Reg 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 5

Type of ISIN *

US Dollar denominated ISIN Reg S *

US Dollar denominated ISIN 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN Reg 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 6

Type of ISIN *

US Dollar denominated ISIN Reg S *

US Dollar denominated ISIN 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN Reg 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 7

Type of ISIN *

US Dollar denominated ISIN Reg S *

US Dollar denominated ISIN 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN Reg 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 8

Type of ISIN *

US Dollar denominated ISIN Reg S *

US Dollar denominated ISIN 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN Reg 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 9

Type of ISIN *

US Dollar denominated ISIN Reg S *

US Dollar denominated ISIN 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN Reg 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

Position 10

Type of ISIN *

US Dollar denominated ISIN Reg S *

US Dollar denominated ISIN 144A *

Euro Dollar denominated ISIN Reg S *

Euro Dollar denominated ISIN Reg 144A *

Ownership Nominal Amount Held at the Clearing System *

$ Dollars

FILE UPLOAD for More Than 10 positions *

Please upload in file type limited to: xls, xlsx