<span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\"><b>eFACiLiTY IN - Partnership Request</b><br><br></span><table border=0 cellspacing=2 cellpadding=1 width=700>

<tr><td width=30%><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Name:</span></td>
<td width=70%><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\"><b>MUHAMMAD FAUZI</b></span></td></tr><tr><td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Phone/Mobile:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">+628118118096</span></td></tr><tr><td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Email:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">mfauzi@sigma-solusi.com</span></td></tr><tr><td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Website:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">www.sigma-solusi.com</span></td></tr><tr><td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Company Name:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\"><b>PT SIGMA CIPTA SOLUSI</b></span></td></tr><tr><td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Address:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">INFINITI OFFICE, MTH SQUARE GROUND FLOOR  A4/A, JL. LETJEND MT HARYONO KAV.10</span></td></tr><tr><td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">City:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">JAKARTA</span></td></tr><tr><td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Country:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Indonesia</span></td></tr><tr><td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Know about eFACiLiTY through:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Search Engine</span></td></tr><tr><td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Nature of Business:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">21-ITES &amp BPO</span></td></tr><tr><td valign=\'top\'><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Modules Interested:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Facility Booking System, Visitor Management System, Patrol Management System</span></td></tr><tr><td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Geographies interested:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\"></span></td></tr><tr><td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Verticals Focussed on:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\"></span></td></tr><tr><td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Remarks:</span></td>
<td ><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\"></span></td></tr><tr><td colspan=\"2\" height=\"3\"></td></tr>
<tr><td colspan=\"2\"><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\"><b>Location identified based on IP address</b></span></td></tr><tr><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Country code:</span></td><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">ID</span></td></tr><tr><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Country name:</span></td><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Indonesia</span></td></tr><tr><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Region name:</span></td><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Jawa Barat</span></td></tr><tr><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">City:</span></td><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Bekasi</span></td></tr><tr><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Zip code:</span></td><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">17148</span></td></tr><tr><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Time zone :</span></td><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">+07:00</span></td></tr><tr><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">Ip:</span></td><td><span style=\"font-family:Arial,Helvetica,sans-serif;font-size:12px;\">180.245.84.166</span></td></tr></table>