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17 April 2008

English to Indonesian Financial Translation - Foreign Investment Notification Form for the Acquisition of Newly Issued Stocks

English Source Text

Foreign Investment Notification Form for the Acquisition of Newly Issued Stocks

Term of Completion: Immediate
Foreign Investor
Name: PT XYZ
Nationality: Indonesia
Address: Address as stated in the SIUP
Domestic Investor
Name:
Foreign Invested Enterprise
Name
Korean:
English:
Capital
Before: 50,000,000 Won
After: 12,000,000 Won
Business Registration Number (Head Office): the NPWP of PT XYZ
Address
Head Office
Factory (or Business Place)
Business of Intent:
Korean Standard Industrial Classification Code Number: (Will be provided by the Delegated Agency)
Present Foreign Investment Amount and Percentage
Acquisition Price: Won (USD ), %
Type of Investment
Creating Corporation (Single, Joint)
Purchase of Newly Issued Stock (Domestic Company, Foreign Invested Company)
Others
Objective of Investment:
Establishment of New Factory
Establishment of Business Place
Merger & Acquisition
Others
Method of Investment:
Cash Amount: 50,000,000 Won (USD )
Intellectual Property Right: Won (USD )
Capital in Kind: Won (USD )
Stock: 12,000,000 Won (USD )
Real Estate: Won (USD )
Content of Stock (Shares to be Acquired)
Type: Obligation
Quantity: 2
Face Value per Stock: 2
Total Amount of Face Value of Stock: US$1,000,000
Acquisition Price per Stock: US$500,000
Total Acquisition Price: US$1,000,000
Foreign Investment Amount and Percentage after Acquisition
Acquisition Price: 12,000,000 Won (US$1,000,000), %

In accordance with Article 5 Paragraph 1 of the Foreign Investment Promotion Act, the above is notified,
Year Month Day

Applicant (or Power of Attorney) (Signature or Seal)
(Telephone Number: )
Delegated Authority
____________________________________________________________________________________

For Applicant
Notification Number:

The above notification is confirmed,
Year Month Day


Delegated Authority:

This notification does not confirm the arrival of investment. When any authorization, permission, or notification is required by another law, the applicant should meet the requirements prescribed in that law.

Terjemahan Bahasa Indonesia

Formulir Pemberitahuan Penanaman Modal Asing untuk Pembelian Saham yang Baru Diterbitkan

Syarat Penyelesaian: Segera
Investor Asing
Nama: PT XYZ
Kewarganegaraan: Indonesia
Alamat: Alamat seperti dinyatakan pada SIUP
Investor Dalam Negeri
Nama:
Perusahaan Penanaman Modal Asing
Nama
Bahasa Korea:
Bahasa Inggris:
Modal
Sebelum: 50.000.000 Won
Sesudah: 12.000.000 Won
Nomor Daftar Perusahaan (Kantor Pusat): nomor NPWP PT XYZ
Alamat:
Kantor Pusat:
Pabrik (atau Lokasi Usaha)
Bidang Usaha:
Nomor Kode Klasifikasi Industri Standar Korea: (Akan diberikan oleh Badan Perwakilan)
Jumlah dan Persentase Penanaman Modal Asing Sekarang
Harga Pembelian: Won (USD ), %
Jenis Penanaman Modal
Mendirikan Perusahaan (Tunggal, Gabungan)
Pembelian Saham yang Baru Diterbitkan (Perusahaan Dalam Negeri, Perusahaan Penanaman Modal Asing)
Lainnya
Tujuan Penanaman Modal:
Pembangunan Pabrik Baru
Pembangunan Lokasi Usaha Baru
Merger & Akuisisi
Lainnya
Metode Penanaman Modal:
Jumlah Tunai: 50.000.000 Won (USD )
Hak Kekayaan Intelektual: Won (USD )
Modal Barang: Won (USD )
Saham: 12.000.000 Won (USD )
Tanah dan Bangunan: Won (USD )
Isi Saham (Saham yang akan Dibeli)
Jenis: Obligasi
Jumlah: 2
Nilai Nominal per Saham: 2
Total Jumlah Nilai Nominal Saham: US$1.000.000
Harga Pembelian per Saham: US$500.000
Total Harga Pembelian: US$1.000.000
Jumlah dan Persentase Investasi Asing setelah Pembelian
Harga Pembelian: 12,000,000 Won (US$1.000.000), %

Informasi di atas diberitahukan sesuai dengan Pasal 5 Ayat 1 Undang-undang Promosi Penanaman Modal Asing.

Tahun Bulan Hari

Pemohon (atau Penerima Kuasa) (Tanda tangan atau stempel)
(Nomor telepon: )
Badan Perwakilan
____________________________________________________________________________________

Untuk Pemohon
Nomor Pemberitahuan:

Pemberitahuan di atas disahkan.

Tahun Bulan Hari


Badan Perwakilan

Pemberitahuan ini tidak mengesahkan kedatangan investasi. Bila suatu pengesahan, izin, atau pemberitahuan diwajibkan oleh undang-undang lain, pemohon harus memenuhi persyaratan yang dinyatakan dalam undang-undang tersebut.

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