PT Ateka Coin Jaya
PT ATEKA COIN JAYA
Blockchain · Cyber Security · Software Engineering
Customer Information Sheet — Receiver
PT ATEKA COIN JAYA
Blockchain · Cyber Security · Software Engineering

CIS — RECEIVER

Customer Information Sheet · Beneficiary Information
REF: CIS/ATEKA/2025-001 ISSUED: 2025
A
Receiver Profile
Individual
Company
Full Legal Name
(as per Bank Account)
PT ATEKA COIN JAYA
Nationality / Country of Incorporation INDONESIA / INDONESIA
Date of Birth / Date of Incorporation 28 Oktober 2025
ID / Registration Number AHU-0091345.AH.01.01.TAHUN 2025
B
Receiver Address
Registered Address Jl. Sultan Hasanuddin No 35, Sawerigading, Kec. Ujung Pandang, Kota Makassar 90115, Indonesia
Phone Number +62 878-4119-6768
Email Address admin@kongali1720.com
C
Receiver Bank Details
Mandatory
Bank Officer Email
15213.rcvmsgbg@bankmandiri.co.id
Bank Phone
0411-3615073
Bank Website
D
Authorized Contact Person
(Jika rekening perusahaan)
Full Name DJAYA WIJAYA OJONG
Passport / ID Number X1142805
Position DIRECTOR
Contact Number +62 821-9673-5238
Email Address admin@kongali1720.com
E
Source of Funds (From Sender)
Investment Funds
Business Payment
Loan / Financing
Donation / Grant
Trade Settlement
F
Purpose of Receiving Funds
TO RECEIVE LEGITIMATE FUNDS FOR BUSINESS DEVELOPMENT, INVESTMENT COOPERATION, OR CONTRACTUAL OBLIGATION IN COMPLIANCE WITH INTERNATIONAL BANKING REGULATIONS
G
AML & KYC Declaration
WE CONFIRM THAT THE FUNDS RECEIVED ARE FOR LAWFUL PURPOSES AND THAT ALL PROVIDED INFORMATION IS TRUE AND ACCURATE IN ACCORDANCE WITH AML, KYC AND INTERNATIONAL BANKING REGULATIONS
H
Receiver Signature
Receiver Signature
Djaya Wijaya Ojong
Full Name DJAYA WIJAYA OJONG
Date 10 June 2026
Place JAKARTA
Reserved for Official Use
I / We swear under Penalty of Perjury, the information provided above is both true and accurate. I am the signatory on the aforementioned Bank Account. All monies engaged in this transaction are derived from non-criminal origin and are good, clean and cleared. The Origin of Funds is in compliance with anti-money laundering policies as set forth by the Financial Action Task Force [FATF] 6/01.
Attachments / Lampiran Dokumen Pendukung
1
PDF
passport.pdf
Passport — Djaya Wijaya Ojong
2
PDF
SK_TERDAFTAR_WAJIB_PAJAK.pdf
Surat Keterangan Terdaftar Wajib Pajak
3
PDF
CORETAX_PT_ATEKA_COIN_JAYA.pdf
Coretax — PT Ateka Coin Jaya
4
PDF
SK_PT_ATEKA_COIN_JAYA.pdf
Surat Keputusan — PT Ateka Coin Jaya
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