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Cis - PJSP

This document provides identification and bank account details for PT Putra Jaya Solusi Perkasa. It includes the company name and address, representative name and passport details, bank name and address, account numbers, and signatory affirmation. The representative, Yowan Pratama, swears the information is true and accurate and that he has authority over the assets and bank account.

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Laert Ruttemberg
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201 views

Cis - PJSP

This document provides identification and bank account details for PT Putra Jaya Solusi Perkasa. It includes the company name and address, representative name and passport details, bank name and address, account numbers, and signatory affirmation. The representative, Yowan Pratama, swears the information is true and accurate and that he has authority over the assets and bank account.

Uploaded by

Laert Ruttemberg
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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IN ACCORDANCE WITH ARTICLES 2 (TWO) THROUGH TO 5 (FIVE) OF THE DUE DILIGENCE CONVENTION AND THE FEDERAL BANKING

COMMISSION CIRCULAR OF DECEMBER 1998, CONCERNING THE PREVENTION OF MONEY LAUNDERING, AND ARTICLE 305 OF THE SWISS
CRIMINAL CODE, THE FOLLOWING INFORMATION MAY BE SUPPLIED TO BANKS AND/OR OTHER FINANCIAL INSTITUTIONS FOR THE PURPOSE
OF VERIFICATION OF IDENTITY AND ACTIVITIES OF THE PRINCIPAL, AND THE NATURE AND ORIGIN OF THE FUNDS THAT ARE TO BE UTILIZED.
ALL PARTIES HAVE AN OBLIGATION FOR PROFESSIONAL DISCRETION AND TO TAKE ALL APPROPRIATE PRECAUTIONS TO PROTECT THE
CONFIDENTIALITY OF THE INFORMATION EACH HOLDS IN RESPECT OF THE OTHERS’ ACTIVITIES. THIS LEGAL OBLIGATION SHALL REMAIN IN
FULL FORCE AND EFFECT AT ALL TIMES.

COMPANY NAME: PT PUTRA JAYA SOLUSI PERKASA


COMPANY ADDRESS: GRAHA BUMI SURABAYA LANTAI 5 , JL. JEND. BASUKI RAKHMAT NO 106 – 128, SURABAYA
CO. REGISTER NO: AHU – 0024814.AH.01.02 TAHUN 2020
REPRESENTATIVE BY: YOWAN PRATAMA
TITLE: CEO
PASSPORT NO: C5460223 – Copy Attached
ISSUE DATE 12 NOV 2019
EXPIRE DATE: 12 NOV 2024
COUNTRY OF ISSUE: NDONESIA
BANK NAME: PT. BANK NEGARA INDONESIA, TBK
KANTOR KAS DIGITAL BRANCH STASIUN BNI CITY, STASIUN BNI CITY LANTAI 1, JALAN TANJUNG
BANK ADDRESS:
KARANG NO. 1, JAKARTA PUSAT _ 10230, INDONESIA
SWIFT CODE: BNIBIDJA
ACCOUNT NAME: PT. PUTRA JAYA SOLUSI PERKASA
ACCOUNT NO 5008207004
SERVER ID ID187254A1
SERVER IP 175.106.23.19
GLOBAL ID AS46024
GLOBAL IP 175.106.21.10/WWW.BNI.CO.ID
BANK NAME PT. BANK NEGARA INDONESIA, TBK
KANTOR KAS DIGITAL BRANCH STASIUN BNI CITY, STASIUN BNI CITY LANTAI 1, JALAN TANJUNG
BANK ADDRESS
KARANG NO. 1, JAKARTA PUSAT _ 10230, INDONESIA
SWIFT BNIBIDJA
COMMON ACCOUNT NUMBER 7787767788
ACCOUNT NUMBER 5008207004
BENEFICIARY ACCOUNT NAME PT. PUTRA JAYA SOLUSI PERKASA
BENEFICIARY BANK SWIFT BNIBIDJA
ACCOUNT SIGNATORY NAME YOWAN PRATAMA
ACCOUNT ID PASSPORT NUMBER C5460223
COMPANY NAME PT. PUTRA JAYA SOLUSI PERKASA
COMPANY ADDRESS GRAHA BUMI SURABAYA LANTAI 5, JL. JEND. BASUKI RAKHMAT NO 106 – 128, SURABAYA
REGISTRATION NUMBER AHU – 0024814.AH.01.02 TAHUN 2020
RECEIVER GLOBAL SERVER ID AS46024
RECEIVER GLOBAL SERVER IP 175.106.21.10/WWW.BNI.CO.ID
IDENTITY CODE TLRO7P1
SORT CODE NO TII 222 EA 55 TI 19
WTS SERVER BIIRM-1
AZIMUTH SATELLITE 235.595 °
ELEVATION 16.476 °
LON 179.5(SENSOR)°
LAT -0.0053°
PRIMARY SATELLITE NAME 179.5E INMARSAT
IMAD 18789375522255665BNI
NIC-IRT IRT-IDNIC-ID
NIC-HDL YH9-AP
CLIENT NUMBER 000000000SRT-RN-388-37862BEH17RLN000000
CLEARING INDOBNINIDJA85522255665
INTERBANKING BLOCKING 144A:S:G4639DVY8
UTR 15 17 23 INA 89
FARM NAME FARM 42
CURRENCY EURO

AFFIRMATION:
I, MR. YOWAN PRATAMA HEREBY SWEAR UNDER THE FULL PENALTY OF PERJURY, THAT THE INFORMATION PROVIDED HEREIN IS BOTH TRUE
AND ACCURATE. I AM IN CONTROL OF THE ASSETS STATED ABOVE AND HAVE SIGNATORY AUTHORITY ON THE AFOREMENTIONED BANK
ACCOUNT AND HAVE FULL AUTHORITY TO EXECUTE ALL CONTRACTS AND AGREEMENTS RELATING TO PLEADING THE ASSETS FOR A LOAN.
THE FUNDS ARE IN FULL COMPLIANCE WITH THE ANTIMONEY LAUNDERING POLICIES SET FORTH BY THE FINANCIAL ACTION TASK FORCE
(FATF) 6/01.


YOWAN PRATAMA
PT PUTRA JAYA SOLUSI PERKASA

PASSPORT COPY
CERTIFICATE

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