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    Client Information Sheet: Date: Sept 25TH, 2020

    Uploaded by

    Riki Simpen
    Mr. Rudy Jundani Jojo Tarjono is an Indonesian citizen and managing director of PT. Starnegy, a medical equipment distribution company that has expanded into financial investments and mergers and acquisitions. PT. Starnegy is registered in Jakarta, Indonesia and Mr. Tarjono provides his passport, personal identification, and banking information as well as a description of the company's activities. He confirms that he is the authorized signatory for the company's bank account.

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    © All Rights Reserved
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    Client Information Sheet: Date: Sept 25TH, 2020

    Uploaded by

    Riki Simpen
    142 views4 pages
    Mr. Rudy Jundani Jojo Tarjono is an Indonesian citizen and managing director of PT. Starnegy, a medical equipment distribution company that has expanded into financial investments and mergers and acquisitions. PT. Starnegy is registered in Jakarta, Indonesia and Mr. Tarjono provides his passport, personal identification, and banking information as well as a description of the company's activities. He confirms that he is the authorized signatory for the company's bank account.

    Original Title

    Starnegy CIS

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    Mr. Rudy Jundani Jojo Tarjono is an Indonesian citizen and managing director of PT. Starnegy, a medical equipment distribution company that has expanded into financial investments and mergers and acquisitions. PT. Starnegy is registered in Jakarta, Indonesia and Mr. Tarjono provides his passport, personal identification, and banking information as well as a description of the company's activities. He confirms that he is the authorized signatory for the company's bank account.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    142 views4 pages

    Client Information Sheet: Date: Sept 25TH, 2020

    Uploaded by

    Riki Simpen
    Mr. Rudy Jundani Jojo Tarjono is an Indonesian citizen and managing director of PT. Starnegy, a medical equipment distribution company that has expanded into financial investments and mergers and acquisitions. PT. Starnegy is registered in Jakarta, Indonesia and Mr. Tarjono provides his passport, personal identification, and banking information as well as a description of the company's activities. He confirms that he is the authorized signatory for the company's bank account.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4
    At a glance
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    The document provides client and company information as well as bank account details.

    The client's personal details like name, nationality, passport info and company position are given. The company name, address and contact details are also provided.

    The bank name, address, SWIFT code, account name, number and signatory are listed.

    CLIENT INFORMATION SHEET

    Date: Sept 25TH, 2020

    Client Information
    Client/Signatory Name : Mr. Rudy Jundani Jojo Tarjono
    Nationality : Indonesia
    Passport Number : B7235575
    Date of Issue : June 02ND, 2017
    Expiration Date : June 02ND, 2022
    Issued by : Indonesia
    Social Security Number : n/a
    Date of Birth : August 29TH, 1971
    Place of Birth : Bogor
    Telephone : +62-812-8044-6820
    Facsmilie : n/a

    Business Information
    Business Name : PT. Starnegy
    Street address : Lobby Floor, Tower C, Oasis Mitra Apartment 135 – 137,
    Senen Raya Boulevard, Jakarta, 10410 Indonesia
    Registered Office : Lobby Floor, Tower C, Oasis Mitra Apartment 135 – 137,
    Senen Raya Boulevard, Jakarta, 10410 Indonesia
    Registered Number : 8120103871032
    Telephone : +62-21-350 1590
    Facsmilie : n/a
    Legal Advisor Name : Dodi Prawira Amtar
    Legal Advisor address : Jatibening Estate G6, No. 11-12, Jatibening, Pondok Gede

    Mailing Address Information


    Street address : Lobby Floor, Tower C, Oasis Mitra Apartment 135 – 137,
    Senen Raya Boulevard, Jakarta, 10410 Indonesia
    City/State/ZIP : Central Jakarta/ DKI Jakarta/ 10410, Indonesia
    E-mail address : [email protected]

    Bank Information
    Name of Bank : PT. BRI
    Branch : Segitiga Senen
    Street address : Cowell Tower Ground Floor, Suite G.05, Senen Raya
    Boulevard No. 135, Jakarta, 10410 Indonesia
    City/State/ZIP : Central Jakarta Jakarta/ DKI Jakarta/ 10410
    Telephone : +6221 350 7966
    Facsmilie : n/a
    S.W.I.F.T. Code : BRINIDJA
    Bank Officer #1 : Mrs. Anis
    Bank Officer #2 : n/a
    Account Name : PT. Starnegy
    Account Number : 0361 01 000 669 301 (IDR Account)
    Account Signatory : Mr. Rudy Jundani Jojo Tarjono

    Brief description of Corporate activity:


    PT. Starnegy is mainly a medical equipment distributor company and now has expanded
    to financial investment, merger & acquisition.

    I hereby swear under penalty of perjury, that I AM THE SIGNATORY of the account. The
    information provided herein is accurate and true.

    On Behalf of PT. Starnegy

    Full Name: Mr. Rudy Jundani Jojo Tarjono


    Designated: Managing Director
    COPY OF PASSPORT(S)

    Private and Confidential


    COMPANY REGISTRATION

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