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1. Declarant Information: Essential details about the individual or entity making the declaration, including full name, position, company details, and registration numbers
2. Declaration Period: Specific time period covered by the declaration, typically the previous fiscal year
3. Compliance Declarations: Standard statements confirming compliance with key Indonesian regulations and corporate governance requirements
4. Financial Interests: Declaration of financial interests, shareholdings, and other material financial positions
5. Related Party Transactions: Disclosure of any business dealings with related parties during the declaration period
6. Tax Compliance Statement: Declaration regarding tax compliance and fulfillment of tax obligations
7. Anti-Corruption Declaration: Statements regarding compliance with anti-corruption laws and absence of corrupt practices
8. Conflict of Interest Disclosure: Declaration of any actual or potential conflicts of interest
9. Signature and Verification: Space for signature, date, and any required witness or notarization details
1. Environmental Compliance: Required for companies in industries with environmental impact regulations
2. Capital Market Compliance: Additional declarations required for publicly listed companies
3. Foreign Investment Declarations: Required for companies with foreign ownership or investment
4. Regulatory Licenses: Declaration of specific licenses for regulated industries
5. Employment Practices: Required for companies with significant workforce or specific labor requirements
6. Corporate Social Responsibility: Optional section for companies undertaking CSR activities
7. Data Protection Compliance: Required for companies handling personal data
8. Industry-Specific Declarations: Additional declarations based on specific industry requirements
1. Schedule A - Supporting Documents Checklist: List of required supporting documents to be attached to the declaration
2. Schedule B - Financial Summary: Summary of key financial positions and transactions requiring disclosure
3. Schedule C - Related Party List: Detailed list of related parties and nature of relationships
4. Schedule D - Compliance Certificates: Copies of relevant compliance certificates and licenses
5. Schedule E - Corporate Structure: Organization chart showing corporate structure and ownership
6. Appendix 1 - Declaration Guidelines: Detailed instructions for completing the declaration form
7. Appendix 2 - Regulatory References: List of relevant laws and regulations referenced in the declaration
8. Appendix 3 - Terms and Definitions: Glossary of key terms used in the declaration form
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