CTBC

,
BANK Documents Checklist
On! iBlEtRil
Employee No
Name — ( as shown on ID)

q Recent photograph (softcopy) with red background

q Copy of Family Card/ Kartu Keluarga

q Marriage / Divorce Certificate

q Copy of ID Card (KTP/ Paspor)

q Copy of NPWP Card

q Copy of BPJS Ketenagakerjaan Card (if any)

q Copy of BPJS Pension Card (if any)

q Copy of BPJS Kesehatan Card (if any)

q Copy of Account Statement (BCA and Bank CTBC)

I=1 Academic Certificate and Transcript

q Reference Letter(s).

1=1 WAPERD, AAJI Licence (only for Financial Advisor)

q Risk Management Certification (if any)

Level I Date of certificate :

Level II Date of certificate :

Level HI Date of certificate
Level IV Date of certificate :

q Police Certificate (SKCK/Surat Keterangan Catatan Kriminal) - for fresh graduate

Check & by HRBP

Employee, Accepted

Name
Date

Signature
Dale:
 CTBC BANK
1
:13 E '5 IMMO
.
CONFIDENTIALITY AGREEMENT

Name
Employee ID:
:

with PT Bank CTBC Indonesia.

I. Maintain Confidentiality

The nature of your work at PT Bank CTBC Indonesia ("CTBCI") and its branches (collectively the "Company") involves your
access to trade secrets, confidential information, files, records, bank secrecy, and forms of the Company directly or
indirectly, orally, in written, electronically or with others media (collectively "Confidential Information"). Confidential
Information includes, but is not limited to, any information relating to the CTBCI's organization structure, marketing
philosophy, strategy, and objectives, competitive advantages and disadvantages, financial results, product features,
systems and operations, customer lists, customer data, product development, advertising or sales programs, any
information relating to depositors and their deposits, and any other information which would give the Company an
opportunity to obtain an advantage over its competitors or which the Company, pursuant to prevailing law and regulation
and ethically, is, obligated to protect from unauthorized parties.

The Company desires to protect its investment and Confidential Information and therefore requires that you agree, as a
condition of your future or continued employment, to safeguard all Confidential Information of the Company and not to
disclose such Confidential Information to any third party, within or outside the Company, except to the extent required by
your normal job duties.

You agree not to discuss Confidential Information of the Company in public places or with former contractors or team
members of the Company.

You also agree to help safeguard our customers' and your fellow team members' expectations of privacy by exercising
diligence and care in the handling of Confidential Information relating to them, as more fully explained in the Company's
Code of Conduct.

II. O wne r shi p of Wor k

While assigned to the Company, you may create documents, data bases, memoranda, software modifications,
photographs, charts, drawings, recordings, materials, and other work arising out of your duties and obligations with the
Company (collectively referred to as "Work").

Any and all the Work resulting form efforts made by you pursuant to your assignment is considered "work made for hire"
and is the sole property of the Company. To the extent that such Work is not deemed the property of the Company, you
hereby agree that all rights in said Work are irrevocably transferred by you to the Company.

III. Security of Data

You acknowledge the importance of maintaining the security and confidentiality of Confidential Information and you agree
to take whatever steps are necessary to prevent to the transfer or disclosure to, or use of the Confidential Information by
any person or entity, except other team members or agents of the Company.

You agree the Company may monitor the Confidential Information in any manner to prevent the improper or unauthorized
use of the confidential information, and such monitoring may include, but is not limited to, any form of computer control.

Please indicate your understanding and acceptance of the obligations described herein by signing, dating and returning this
Confidentiality Agreement to HR & Administration Group as soon as possible, but no later than seven (7) days after the date
you receive it.

This Confidentiality Agreement shall be governed by the laws of the Republic of Indonesia.

I understand that the above terms are part of the conditions of my employment and agree to adhere to them in accordance
with the applicable Company Regulation and Company's Code of Conduct which are integral and inseparable part.

signature date
PLEASE FORWARD THIS DOCUMENT TO HR & ADMINISTRATION GROUP
 LAMPIRAN CTBC BANK
olessfoic

PERNYATAAN KOMITMEN ATAS KODE ETIK PER1LAKU KARYAWAN

Saya yang bertanda tangan dibawah ini:

Nama

NIK

Departemen

Group

dengan Ini menyatakan bahwa

1. Telah menerima Kode Etik Perilaku Karyawan PT. Bank CTBC Indonesia;
2. Telah memahami isi dad Kode Etik Perilaku Karyawan;
3. Bersedia mematuhi semua yang telah diatur dalam Kode Etik Perilaku Karyawan
Perusahaan, Peraturan Perusahaan, Ketentuan / Prosedur Operaslonal, serta ketentuan
hukum yang berlaku lainnya dan akan menerapkannya dalam pelaksanaan tugas
sehari-hari;
4. Slap menerima konsekuensi apabila melakukan petanggaran atas komitmen
perilaku yang telah ditetapkan dalam Buku Kode Etik Perilaku Karyawan;
5. Akan segera mengkonsuitasikan dan/atau melaporkan pada pihak-pihak
berwenang yang telah ditunjuk sesuai dengan ketentuan yang berlaku apabila
menemui permasalahan dan/atau potensi/indikasi pelanggaran dalam pelaksanaan Kode
Etik Perilaku Karyawan.

Demikian surat pernyataan ini saya buat dengan sungguh sungguh tanpa adanya
paksaan/tekanan dari siapapun serta bersedia dan menerima setiap tindakan disiplin
daniatau pemutusan hubungan kerja apabila saya melanggar kode etik perilaku karyawan
ini dan/atau Peraturan/Ketentuan lain yang berlaku.

Yang membuat pernyataan,

Tanda tangan Nama Karyawan / Tanggal ditandatangani

Vol_ Oct 2015

C T B C B A. N K EMPLOYEE'S DATA - (cornben)
EP 55 MAU:Rd Employee No,

FULL NAME
(as shown on ID)

Place & Date of Birth

ID Card (KTP) No.
Address

BPJS No.
(JAMSOSTEK) IF ANY, If you haven't had it, please write down " NEW

NPWP No.

Tax Status 53 I-7SO MO M1 M2 M3

1-151
F152
1. A married Female employee is ONLY allowed a PTKP (non taxable Income) deduction for herself.
2, in the case of a female employee whose spouse is not working, e.g., due to unemployment, additio
dependents include family member related by blood and by marriage in a straight line, and adopt
persons 3. A proof letter from the local residence government (minimum Kecamatan) and a copy
every year.

Commencement Date
BCA Account No. Branc

CTBC Account No.

FAMILY INSURANCE COVERAG

RELATIONSHIP NAME DATE O

EMPLOYEE

SPOUSE

CHILD - 1

CHILD - 2

CHILD - 3

- VAUD FOR : One legal Spouse AND Maximum 3 (three) children

(EXCEPT: Turn 21 years old; Under 21 years old but already
married or they are working - This is to certify that the above
INTERNAL USE ONLY

information is true and genuine. If it is false, after the insurance

coverage, the premium will be horned by the employee. - Please

Employee,
Check by HRBP

Check list:
 Letter & Contract
Received by FIR Payroll
Original q Co
(payroll record purpose) C
q opy py Bank Acc.
Copy ■ Copy NPWP
Return from HR Payroll ■ others:
Received by HRBP
Dote: (filling purpose)
submit your family card and marriage certificate (for married
employees).

- Please complete the supporting documents as stated in the check list

-Once you have completed the form, please return to HRBP (recruitment
-Employee who join before the 15th, first salary is paid in that month, and
salary payment will be made in the following month.
 SPECIMEN SIGNATURE AND INITIAL

Name

No. KTP

Place & Date of Birth :

Address

Position/Title

Signature Initial