RUM CREEK INVESTMENTS, LLC.

KENNETH R. POLO, Ph.D., CEO

7302 Thrush Garden Lane
San Antonio, TX 78209
TEL: (210) 821-6953 FAX: (425) 962-0399
Email: polokeno @ sbcglobal.net

Date: August 19, 2008

Subject: JOB ORDER

Indonesian Labor for USA
Program H2B and Nurses

Dear Mr. Pangemanan,

Thank you for a very nice and professional letter. I have been in touch
with my Agent and Partner concerning exporting of Indonesian Labor
to the USA.

We are at this time ready to receive one-hundred Laborers and we will

be looking for another one to two hundred Laborers within the next few
months. This JOB ORDER should also accommodate three hundred
Nurses to fit in our new programs. Of course, we would need from your
company all personal data with names.

We are looking forward to working with you and your organization.

Sincerely,

Kenneth R. Polo, CEO

Panel N. Simbolon, VP/Partner
 RUM CREEK INVESTMENTS, LLC.
KENNETH R. POLO, Ph.D., CEO
7302 Thrush Garden Lane
San Antonio, TX 78209

January 17, 2008

PANAL N. SIMBOLON

DR. KENNETH R. POLO

INTERNATIONAL LABOR

Panal Simbolon,

Your position with our Company is an agent and partner in fulfilling Labor
throughout the world. We are working together on a myriad of
Project for Labor Procurement from Indonesia and other countries. We are
supplying labor of all types from several countries, including
Laboratory Technicians, skilled laborers etc. We are presently
for one thousand nurses and support personnel to fulfill jobs in the
States , We are looking to you to fulfill this need. From time to tin
_ 1 receive other orders for needed laborers and professionals to be
:0 other areas of the world.

. :-:sreciate Your hard work and efforts in this endeavor.

=This Word Cannot Load

R. Polo. Ph.D.
SECOND PARTY : Mr. Panal Nanti Simbolon
Occupation : Holding Power of Attorney of Dr. Polo Kenneth &
Partners
Address : 342 West 4 th . SanDimas California 91773 USA
Phone/Fax : 1-909-5994896
Passport No. : 038239246

With terms and conditions in which have been agreed upon

1. The first party is duly a licensed employment recruitment agency in Jakarta-

Indonesia and desirous to appoint the second party as his employment and
placement agent in The United States of America to secure job for nurses program,
male or female nurses fromindonesia.
2. The first and second party hereby agree that this Memorandum of the Recruitment
Agreement will serve as a board outline of their attentions to co-operate and doing
bussiness together and that if it is necessary, this Memorandum of the Recruitment
Agreement may be supplemented and amended by a formal written contract
(consent) at a subsequent date.
3. The first party hereby agrees that this responsibilities and duties include the
following.
a) To send personal particular (Resume) and including photographs of the
prospective nurses. Medical checkup (health record) from recognize Medical
checkup Laboratory or Hospital appointed and approved by the Second Party to
the Second Party may offer the nurses to the prospective ernployers.(placement)
opportunity on a period of 3 years for nurses program and is extendable for the
next coming year for a maximum of two years.

b) The First Party will ensure that all formalities and documentations and resume of
the nurses are true and correct will be attended to by him in compliance with the
 rules regulations and laws regarding to the exporting of Indonesian nurses services
to the overseas.

c) The First Party having been assured that all formalities and documentations which
have been complied with the upon request of the Second Party are made according
to the standard of the End Users (Employers) in the USA. When the Second Party
or the End Users (Employers) discover the time resume or other documentation or
Medical Checkup report do not match the exact data of the nurses after their arrival
in the USA. In case of that, the nurse (s) should be repatriate to their own country,
all expenses must be borne to the First Party or to the nurse (s) himself (selves)
herself (selves).

d) All cost and expenses incurred in Indonesia while processing the documents, local
training, etc. shall be borne by the First Party.

4. DUTIES AND RESPONSIBILITIES OF THE SECOND PARTY

The Second Party have to responsible for the welfare of the nurses while that they
are in the United States America until their employment contract terminated,
henceforth the employer shall be responsible for the nurses welfare. In the event
where there is dispute arise between the nurses and his/her employer, the
Second Party shall further undertakes to accommodate the rejected nurses
with adequate food, lodging and medical assistance as and when needed. The
Second Party further undertakes to seek alternate employment for the rejected
nurses in the event where the ex. employer decided to cancel, his/her visa
without justified reasons and humane cause, the Second Party shall do his/her
utmost to prevent such cancellation.if this fails, the Second Party shall seek
the assistance of the Irrionesian Consular Section and the labour Standard of the
Departement of Labour, USA.

5. The First Paty undertakes to guarantee that the nurses are :

a) Obedient and polite to the employer and his/her staff
b) Hard working and have a strong sense of responsibility on their task (job).
c) Know how to do the job assigned to them.
d) The nurses must be certified that they are healty and fit to work and for the
females must have a pregnancy test prior to the arrival in the USA. Both
males and females must habe a urine test that they are free from drugs
(drugs abuse).
e) The terms of contract is good for a period 3 years for the nurses program
6. MONTHLY SALARIES/WAGES
The nurses shall be paid a remuneration for his/her services a fixed salary of US$
10 labour regular salary each hour. Payable in twelve (12) equal monthly.
Each payment shall be done on the last day of calendar in each consecutive month,

7. WORKING HOURS
The 'employers shall ensure that the total working hours of the nurses shall not
exceed for thirty seven and half (37,50) hours each week. These working hours
must be distributed evenly in five days. The sixth and seventh day of the week is
off/holiday. Howeer if the employers allows them to work on sixth or seventh day
of the week, then they will be paid as an overtime job. However, if the nurses shall
also be entitled to the following 11 or 13 official holidays on a full pay by the
employer as providid by the Law in fore at any time of employment.

USA Official Holiday in a year.

1. New Year ( 1 January ), 2. Matin L. King Jr (Third Monday in January), 3. US.
President Day (Third Monday In February), 4. Memorial day (Last Monday in May),
5. Independence day (July 4 th ), 6. Labour Day (First Monday in September), 7.
Columbus Day (Second Monday in October), 8. Veteran day ((November 11"), 9.
Thanksgiving day (Fourth Thursday in November), 10. (Christmas day (25 Deember),
11. Good Friday, 12. Easter, 13. Spring Break.

8. DAY OFF
Frequency of the nurses day of shall be twice in every one week and shall be
treated with flexibility.

9. DUTIES AND RESPONSIBILITY OF THE EMPLOYERS

The employer/ shall at all time treat the nurses in fair and humane manner. Under
no circumstances shall physical violence be used on the nurses. The employers
shall physical undertake to create harmonious relations and working conditions
which are conductive to good empliyess-employers relationship.

The employers shall not recover from the employees directly or idirectly by
reduction of their salary, any Part of the fees paid or to be paid to the Government
body of the USA (including the security deposit) in respect of the possible
repatriation of the employees.

10. SPESIAL PROVISIONS

 The nurses shall not, in any circumstances (except as far as may be proper in the
ordinary course of their duties). Divulge or make known any information relating
to their employer or their bossiness or any of his customers or any other
information which may come to their knowledge in the course of her employment.

A current bank account will be established in the name of the nurses ehwnv the
employer shall deposit upon commencement of work, the monthly salary payroll,
subject that salary will be installed into the Nurses account in each last day of the
month.
11. Fee and term of payment attached
Both parties after reading this agreement and in witness whereof affix their
signatures on the bottom of this third page on the date as early mentioned in
Jakarta.

FIRST ARTY OND PARTY

'411

t;

Dicky Morgan Pangemanan \ I Nanti Simbolon) •

FIRST WITNESS SECOND WITNESS

Rizal Ghazali Syafei ) ( Herry Karyaning Cipto )

KTP. 32.02.32.2004. ' Passport No. 700757
000720.02537105
SECOND PARTY : VELIE & VELIE ATTORNEY
SPECIAL LABOR and INS (Immigration Naturalization
Service) PETATION
Known as full name : Mr, Panal Nauti Simbolon
Occupation : Holding Power of Attorney from Velic & Velic Attorney
Address : 342 West 4 th . SanDimas California 91773 USA
Phone/Fax : 1-909-5994896
Passport No. : 038239246

With terms and conditions in which have been agreed upon

1. The First Party is duly a licensed employment recruitment agency in Jakarta-Indonesia and
desirous to appoint the Second Party as his employment and placement agent in The United
Slates of America to secure job for I-12B program and JL program, male or female workers
from Indonesia.

2. The First and Second Party hereby agree that this Memorandum of the Recruitment
Agreement will serve as a board outline of their attentions to co-operate and doing business
together and that if it is necessary, this Memorandum of the Recruitment Agreement may be
supplemented and amended by a formal written contract (consent) at a subsequent date,

3. The First Party hereby agrees that this responsibilities and duties include the following
a) To send personal particulars (Resume) and including photographs of the prospective H2B
workers and J1 Optional Practical Training (OP) program Medical Checkup (health
record) from recognized Medical checkup Laboratory or Hospital appointed and
approved by the Second Party to the Second to the Second Party may offer the workers to
 the prospective employers for employment.(placement) opportunity on a period of 9
month for H2B program and is extendable for the next coming year for a maximum of
three and a half year. And for four months for J I program (OP) and cannot be extended.

b) The. First Party will ensure that all formalities and documentations and the resume of the
workers are true and correct will be attended to by him in compliance with the rules,
regulations and laws regarding to the exporting of Indonesian worker services to the
•
overseas.
c) The First Party having been assured that all formalities and documentations which have
been complied with the upon request of the Second Party are made according to the
standard of the End Users (Employers) in the USA. When the Second Party or the End
Users (Employers) discover the time resume or other documentations or Medical Check
Up report do not match the exact data of the workers after their arrival in the USA. incase
of that. The worker (s) should be repatriate to their own country, all expenses must be
borne to the First Party or to the worker (s) himself (selves) or herself (selves).
d) All cost and expenses incurred in Indonesia while processing the documents. local
training etc. shall be borne by the First Party.

4. DUTIES AND RESPONSIBILITIES OF THE SECOND PARTY

The Second Party have to responsible for the welfare of the workers or the OP trainers whilst
that they are in the United States America until their employment contract terminated,
henceforth the employer shall be responsible for the workers' welfare. In the event where
there is dispute arise between the workers or OP trainers and his/her employer, the Second
party shall further undertakes to accommodate the rejected workers or OP trainers with
adequate food, lodging and medical assistance as and when needed. The Second Party further
undertakes to seek alternate employment for the rejected workers or OP trainers in the event
where the ex. employer decided to cancel; his/her visa without justified reasons and humane
cause, the Second Party shall do his./her utmost to prevent such cancellation. if this fails, the
Second Party shall seek the assistance of the Indonesian Consular Section and the Labor
Standard of the Department of Labor, USA..

5 The First Party undertakes to guarantee that the workers or OP trainers are:
a) Obedient and polite to the employer and hiiiher staff
b) Hard working and have a strong sense of responsibility on their task (job).
c) Know how to do the job assigned to theth.
d) The workers or OP trainers must be certified that they arc healthy and fit to work and for
the females must have a pregnancy test prior to the arrival in the USA. Both males and 1 ,
females must have a urine test that they are free from drugs ( drugs abuse).
e) The terms of contract is good for a period of 9 month for the program H2B and Nurse
 extendable. provided that it is agreed by both side (the Employer and the Employees).
While the .11 program is good for a period of four months and is not extendable.

6. MONTHLY SALARIES/WAGES
The workers shall be paid a remuneration for his/her services a fixed monthly salary of
US$ 1.593,75 each month ( US$ 7,75 labour regular salary each hour). Payable In twelve
(12) equal monthly.
Each payment shall be done on the last day of calendar in each consecutive month.

7. WORKING HOURS:
The employer shall ensure that the total working hours of the workers shall not exceed for
thirty seven and half (37,50) hours each week. These working hours must be distributed
evenly in five days. The sixth and seventh day of the week is an off/holiday. However If the
employer allows them to work on the sixth and seventh day of the week, then they will be
paid as an overtime job. However, if the workers shill also be entitled to the following 11 or
13:offical holidays on a full pay by the employer as provided by the Law in force at any time
of employment.

USA Official Holidays in a year.

I. New Year (1 January,), 2. Martin L. King Jr (Third Monday in January,), 3. US. President
Day (Third Monday In February), 4. Memorial day (Last Monday in May), 5.
th
independence day (July 4 .) “.i,abor Day (b'irst Monday in September), 7. Columbus day
(Second Monday in October), 8. veteran Day (November 11"), 9. Thanksgiving day
,

(Fourth. Thursday in November,), 10. (Christmas day (25 December). 11. Good Friday.
12. Easter. 13. Spring Break.

8. DAY OFF
Frequency of the workers or OP trainers day off shall be twice in every one week and shall
be treated with flexibility.

9. DUTIES AND RESPONSIBILITY OF THE EMPLOYERS

The employers Shall at all time treat the workers or OP trainers in fair and humane manner.
Under no circumstances shall physical violence be used on the workers or OP Trainers. The
employers shall physical undertake to create harmonious relations and working conditions
which are conductive to good employees-employers relationship.

The employers shall not recover from the employees directly or indirectly by reduction of
their salary, any part of the fees paid or to be paid to the Government body of the USA
 (including the security deposit) In respect of the possible repatriation of the employees.

10. SPECIAL PROVISIONS

In the event where the H2B workers have diligently completed their 9 month contract period
and Wish to continue for another 9 mount period etc.

The workers shall not, in any circumstances (except as far as may be proper in the ordinary
Course of their duties). Divulge or make known any information relating to their employer or
their business or any of his customers or any other information which may come to their
knowledge in the course of her employment.

A current bank account will be established in the name of the workers where the employer
shall depo6it upon commencement of work, the monthly salary payroll, subject that salary
will be installed into the workers' account in each last day of the month.

11. Fee and term of payment attached

Both parties aver reading this agreement and in witness whereof affix their signatures on the
bottom of this third page on the date as early mentioned in Jakarta„

FIRST PARTY SECOND PARTY

( Dicky Morgen Pangemanan ) ( Panal Nauli Simbolon )

FIRST WITNESS SECOND WITNESS

( Rizal Ghazali Sayfei ) ( Herry Karyaning cipto )

KTP. 32.02.32.2004. Passport No.70075
000720.02537105
 DEPARTEMEN HUKUM DAN HAK ASASI MANUSIA
REPUBLIK INDONESIA
KEPUTUSAN MENTERI HUKUM DAN HAK A.SAS1 MANUSIA.
REPUBLIK INDONESIA
Nomor : C-12614 HT.01.01.TH.2005
TENTANG
PENGESAHAN AKTA PENDIRIAN PERSEROAN TERBATAS
MENTERI HUKUM DAN HAK ASASI MANUSIA
REPUBLIK INDONESIA

Menimbang : Bahwrt setelah dilakukan penelitian terhadap Format Isian Akta Notaris Model 1
dan dokumen .pelengkapnya serta Salinan Akta Nomor 15, Tanggal 18 Februari
2005 yang dibuat dan disarnpaikan olch Notaris Gunawan, SF1 dun diterima pada
tangga! 9 Mei 2005, telah memenuhi syarat-syarat dan ketentuan perundang-
undangan yang berlaku.

Mengingat : I. Undang - Undang Republik Indonesia Nomor 1 Tabun 1995 tentang Perseroan
Terbatas (Lembaran Negara Republik Indonesia Nomor 13 Tatum 1995, Tambahan
Lembaran Negara Nomor 3587 Tahun 1995).
2. Undang - Undang Republik Indonesia Nomor 8 Tabun 1997 tentang Dokumen
Perusahaan (Lembaran Negara Republik Indonesia Nomor 18 Tahun 1997,
Tambahan Lembaran Negara Republik Indonesia Nomor 3674).
3. Peraturan Pemerintah Nomor 26 Tabun 1998 Tentang Pemakaian Nama Perseroan
Terbatas (Lembaran Negara Republik Indonesia Nomor 39 Tabun 1998, Tambahan
Lembaran Negara Nomor 3740 Tahun 1998).
4. Keputusan Menteri Kehakiman dan Halt Asasi Manusia Republik Indonesia
Nomor : M-01 HT.01.01 Tahun 2000 Tentang Pemberlakuan Sistem
Administrasi Badan Hukum di Direktorat Jcnderal Administrasi Hukum Umum
Departemen Hukum dan Hak Asasi Manusia Republik Indonesia.

MEMUTUSKAN ;
Menetapkan
PERTAMA : Mengesahkan Akta Pendirian Perseroan Terbatas :
PT. PANGRANGO GEMA ABADI
NPWP : 02.301.036.6-405.000

Berkedudukan di : SUKABUMI - KABUPATEN SUKABUMI sesuai dengan Format

Isian Akta Notaris Model I yang tersimpan dalam Database, Salinan Akta Nomor :
15, Tanggal 18 Februari 2005 yang dibuat oleh Notaris Gunawan, SH berkedudukan
di SUKABUMI .

KEDUA : Keputusan Menteri Ilukum dan Hak Asasi Wanusia Republik Indonesia ini
mulai berlaku sejak tanggal ditotankan.

Ditetapkan di Jakarta
Pada tanggal : 10 Mci 2005
A.n. MENTERI HUKUM DAN HAK ASASI MANUS1A
REPUBLIK INDONESIA
DIREKTUR iliNDERAL
ADMINISTRASI HUKUM UMUM

ZULKARNAIN YUNUS, SH.. MH

NI1'. ; 040034478
MEDIKALOKA
You Healthy, Keeping You Healthy

PT. PANGRANGO GEMA ABADI

PT. BINA BHAKTI HUSADA

(MEDIKALOKA HEALTH CARE)
MARCH, 2008

CASHLESS AGREEMENT

No : 007/AGR-FBI/III/08
 PT. PANGRANGO GEMA ABADI & PT.BINA BHAKTI HUSADA
(MEDIKALOKA HEALTH CARE)
Service Agreement

Meclikatoka Heolth Care Service: US Visa Medical Check Up

AGREEMENT

1. PURPOSE
2. DEFINITIONS
3. OBLIGATIONS OF PARTIES

3.1 SERVICES
3.2 COMPENSATION AND BILLING
3.3 GRIEVANCES
3.4 GUARANTEE LETTERS
3.5 RECORDS

4. GENERAL CONDITIONS

4.1 TERMS OF AGREEMENT

4.2 TERMINATION
4.3 AMENDMENTS
4.4 ATTACHMENTS
4.5 CONFIDENTIALITY
4.6 NOTICES
4.7 ASSIGNMENT
4.8 INDEMNITY
4.9 PUBLICITY
4.10 SEVERABILITY
4.11 FORCE mAJEURE
4.12 GOVERNING LAW; DISPUTE RESOLUTION
4.13 ANTI-BRIBERY
4.14 ENTIRE AGREEMENT

ANNEX 1- PROCEDURES

1. APPOINTMENT AND CANCELLATION

2. VERIFICATION OF GUARANTEE LETTER

ANNEX 2. MEDIKALOKA COVERED SERVICES AND AGREED PRICES

 Medikaloka
You Healthy, Keeping You Healthy

The undersigned:

I. Name : Soetikno Soedarjo

Position : President Director
Address : PT.BINA BHAKTI HUSADA
Medikaloka Health Care
Gedung Graha Irama, 5 th •-•
Fl oor
it. H.R. Rasuna Said Block X-1, Kay. 1-2
Kuningan, Jakarta 12950, INDONESIA

Acting for and on behalf of PT.BINA BHAKTI HUSADA (MEDIKALOKA HEALTH CARE),
further called:

------ ---------------------MEDIKALOKA ................

1. PURPOSE
MEDIKALOKA is a provider of medical services, such being the services provided by full and
duly qualified medical practitioners, holding current practice certificates, valid in the
country of practice and relevant to the services/treatment provided.

PANGRANGO GEMA ABADI desires to use the medical services of MEDIKALOKA in the
area of Medical Check-ups for students or workers who would like to apply for Temporary or
Permanent American Visa.

MEDIKALOKA and PANGRANGO GEMA ABADI have hereunto agreed to cooperate in the
area of medical check ups to be conducted on the students or workers of PANGRANGO
GEMA ABADI, with the following terms and conditions:

2. DEFINITIONS
In this Agreement and in the Annexes and any attachments hereto, the following
expressions shall have the following meaning:

2.1. Medikaloka. Covered Services means :medical services provided to PANGRANGO

GEMA ABADI as set out in Annex 2.
2.2. Agreed Prices means. special rates for Medikaloka Covered Services provided for
PANGRANGO GEMA ABADI as set out in Annex 2 and is only valid with this Agreement.
2.3. PANGRANGO GEMA ABADI students or workers mean the students or workers of
PANGRANGO GEMA ABADI who are eligible for Medikaloka Covered Services
pursuant to this Agreement.
 2.4. Medikaloka Standard Prices means current pricing standard for Medikaloka services.
The standard prices are subject to change without notice.
2.5. Medikaloka Voucher means a corporate letter issued by Medikaloka and to be used by
PANGRANGO GEMA ABADI regarding the eligibility of its students or workers for
using Medikaloka Covered Services, as set out in Annex 1.

3. OBLIGATIONS OF THE PARTIES

3.1 Services
3.1.1 MEDIKALOKA shall provide Medikaloka Covered Services to PANGRANGO
GEMA ABADI in accordance with the terms of this Agreement and Annexes
attached hereto and all applicable laws and regulations.
3.1.2 For medical services not included in Medikaloka Covered Services,
PANGRANGO GEMA ABADI students or workers are obligated to pay full
amount of current Medikatoka Standard Prices and MEDIKALOKA hereby
releases PANGRANGO GEMA ABADI from any claims or losses due to the
provision of services not included in Medikaloka Covered Services to
PANGRANGO GEMA ABADI students or workers.
3.1.3 MEDIKALOKA shall provide Medikaloka Covered Services to PANGRANGO
GEMA ABADI in accordance. with the highest ethical and professional
standards of care, skill and diligence. MEDIKALOKA agrees to control the
quality of its Medikaloka Covered Services to PANG RANGO GEMA
ABADI at its highest standard. When the quality of the Medikaloka
Covered Services is deemed to be insufficient by PANGRANGO GEMA
ABADI then MEDIKALOKA agrees to adjust its Medikaloka Covered
Services where a further periodic evaluation will be applied based on the
agreement of the parties.
3.1.4 PANGRANGO GEMA ABADI shall make appointments for its students or
workers as set out in Annex 1. and provide Guarantee Letter for the
students or workers to MEDIKALOKA send by fax to 021 - 5289 2420 latest
one day before MEDIKALOKA is requested to provide Medikaloka Covered
Services.
3.1.5 MEDIKALOKA shall refusz any of the following if so requested by a
PANGRANGO GEMA ABADI students or workers in conjunction with
providing the Medikaloka Covered Services:
3.1.5.1 request to change the date of examination or to change the result
of diagnosis;
3.1.5.2 request for services from MEDIKALOKA not included under the
Medikaloka Covered Services or as specified in the Guarantee
Letter provided for that PANGRANGO GEMA ABADI students or
workers;
3.1.5.3 request for provision of services by MEDIKALOKA to any other
person other than the PANGRANGO GEMA ABADI students
covered by the Guarantee Letter; and
3.1.5.4 any other requests to MEDIKALOKA to perform any services which
.

are not in accordance with the provisions of this Agreement as well

as the prevailing laws and regulations.

3.2 Compensation and Billing

3.2.1. MEDIKALOKA shall bill PANGRANGO GEMA ABADI according to the following
procedure:
3.2.1.1 MEDIKALOKA will submit invoices for Medikaloka Covered Services to
PANGRANGO GEMA ABADI together with the supporting documentation
 for each PANGRANGO GEMA ABADI students or worker for whom
MEDIKALOKA has provided Medikaloka Covered Services within 10
calendar days after the said services is completely provided to a certain
students or workers. Supporting documents for each PANGRANGO GEMA
ABADI students or workers are: Medical Check Up Report, Guarantee
Letter issued by PANGRANGO GEMA ABADI and copy of the ID card of
the students or workers.
3.2.2. PANGRANGO GEMA ABADI will pay amounts owing to MEDIKALOKA under this
Agreement within 14 calendar days from its receipt of a complete invoice
issued in accordance with Clause 3.2.1.1.
3.2.1.2 If there is a disagreement regarding any invoice statements,
PANGRANGO GEMA ABADI must inform MEDIKALOKA no later than
4 working days after its receipt of the disputed MEDIKALOKA
invoice.
3.2.1.3 MEDIKALOKA will apply 5% per month penalty every late payment.

3.3 Grievances
MEDIKALOKA and PANGRANGO GEMA ABADI agree to cooperate with each other in
resolving any grievances.

3.4 Guarantee Letters

PANGRANGO GEMA ABADI students or workers are obligated to show a Guarantee
Letter to MEDIKALOKA before MEDIKALOKA renders Medikaloka Covered Services.
Failure to present a Guarantee Letter will require cash payment by the PANGRANGO
GEMA ABADI students or workers for services rendered at current Medikaloka
Standard Prices.

3.5 Records
MEDIKALOKA will provide students or worker Medical Check Up complete Reports to
the US Embassy, Jakarta within maximum 3 working days from the date the services
are rendered and submitted directly to US Embassy and send 1 set copy of Medical
Check Up Reports (Copy of Laboratory Report and X-Ray result) to PANGRANGO GEMA
ABADI. MEDIKALOKA shall keep the copy of Medical Check Up Reports within the
period maximum 1 (one) year.

4. GENERAL CONDITIONS

4.1 Terms of Agreement

4.1.1 This Agreement shall begin on 17 March 2008 and remain continuously in
force unless terminate by either party giving written notice pursuant to
Clause 4.2.1 hereof.

4.2 Termination
4.2.1 This Agreement may be terminated at any time for any reason without
cause or prejudice upoti 30 days prior written notice by either party.
4.2.2 The parties agree to waive the provisions, procedures and operation of
Article 1266 and Article 1267 Of the Indonesian Civil Code to the extent that
court approval or a court order is required to terminate this Agreement..

4.3 Amendments
4.3.1 Amendments to this Agreement and its Annexes may be made only in
writing and must be signed by MEDIKALOKA and PANGRANGO GEMA ABADI
and Will form an integrated and inseparable part to this Agreement.
4.4 Attachments
4.4.1 The Annexes and attachments hereto form an integral and inseparable part
of this Agreement.

4.5 Confidentiality
4.5.1 The terms and conditions of this Agreement and Annexes are confidential
and will not, whether during or after the terms of this Agreement, be
disclosed by either party without the consent and permission of the other.
4.5.2 MEDIKALOKA agrees that it shall keep the Confidential Information created
under the virtue of this Agreement confidential, and shall not, in any
manner use, copy, reproduce or disclose such Confidential Information (and
use all reasonable efforts to prevent any such disclosure), unless the
disclosure is required or requested by law or a court of competent
jurisdiction, provided that MEDIKALOKA gives PANGRANGO GEMA ABADI as
much notice as is practicable of any such requirement and shall not disclose
any more Confidential Information than is reasonably necessary in the
circumstances.

The above paragraph does not apply to Confidential Information which:

a) is in the public domain. and was publicly available prior to the

MEDIKALOKA's receipt thereof from PANGRANGO GEMA ABADI;

b) MEDIKALOKA can show was in its possession prior to disclosure by

MEDIKALOKA and which had not previously been obtained from
PANGRANGO GEMA ABADI or another person under an obligation of
confidentiality to PANGRANGO GEMA ABADI; or

d) MEDIKALOKA can demonstrate is independently developed by

MEDIKALOKA without the benefit of any Confidential Information of
PANGRANGO GEMA ABADI.

For the purposes of this Agreement, "Confidential information" means any

and all information disclosed to MEDIKALOKA (whether before, on or after
the date of this Agreement, whether verbally, in writing, electronically or
by any other means, whether directly or indirectly and whether or not
marked "Confidential") by PANGRANGO GEMA ABADI or any person on its
behalf. to PANGRANGO GEMA ABADI, or obtained by PANGRANGO GEMA
ABADI or any person on its behalf, including, but not limited to any
information relating to PANGRANGO GEMA ABADI business affairs,
operations, products, processes, methodologies, formulae, plans,
intentions, projections, know-how, intellectual property rights, trade
secrets, market opportunities, suppliers, customers, marketing activities,
sales, software, computer and telecommunications systems, costs and
prices, usage rates, records, finances and personnel.

4.6 Notices
4.6.1 Any notice required hereunder shall be in writing and shall be sent to the
parties at their addresses as follows:
Medikaloka
Healthy, Keeping You Healthy

To PT. BINA BHAKT1 HUSADA / MEDIKALOKA HEALTH CARE at:

Gedung Graha Irama, 5 th Floor
Jl. H.R. Rasuna Said Blok X-1, Kay. 1-2
Kuningan, Jakarta 12950
Attn : Myura Arsianty - Account Manager, Client Development Et Relations

To PT. PANGRANGO GEMA ABADI at:

4.7 Assignment
4.7.1 MEDIKALOKA may not assign, transfer or otherwise dispose of any of its
rights or sub-contract, transfer or otherwise dispose of any of its obligations
under the Agreement without the prior written consent of PANGRANGO
GEMA ABADI Nothing in this Agreement shall prevent or restrict
PANGRANGO GEMA ABADI from assigning, sub-licensing, transferring or
otherwise disposing of all or any of its rights or obligations hereunder to any
of its affiliates or to any legal entity which succeeds to all or part of
PANGRANGO GEMA . ABADI business or assets.

4.8 Indemnity
4.8.1 MEDIKALOKA shall be responsible for any liability, loss, expense, cost,
damage or claim (unless occasioned solely by the willful act or misconduct
of PANGRANGO GEMA ABADI, its servants or agents) in respect of injuries
(whether fatal or otherwise) to any person (whether employed by either
party or not) and for any loss liability, claim, expense, cost, injury or
damage in respect of any property, real or personal (whether belonging to
either party or to any other person) arising from the execution or
performance of the Agreement and MEDIKALOKA shall indemnify fully and
save PANGRANGO GEMA ABADI harmless against the same.

4.9 Publicity
4.9.1 MEDIKALOKA shall not, without the prior written consent of PANGRANGO
GEMA ABADI, advertise or publicly announce it is providing or has provided
any products or services to PANGRANGO GEMA ABADI or otherwise use any
name, logo, trade name, trademark, service mark or other information
which identifies PANGRANGO GEMA ABADI in MEDIKALOKA's marketing
and/or publicity activities or materials.
This Clause shall survive the expiry/termination of this Agreement.

4.10 Severability
4.10,1 The invalidity, illegality or unenforceability in whole or in part of any of the
provisions in these conditions or the Agreement shall not affect the validity,
legality and enforceability of the remaining part or provisions of these
Agreement.

4.11 Force Majeure

4.11.1 Neither party shall be liable to the other party by reason or account of any
delay or omission caused by epidemic, fire, power outages, action of the
elements, strikes, lockouts, sabotage (except as caused by a party's
 employees, agents or sub-contractors), labor disputes, governmental law,
regulations, ordinances, order of a court of competent jurisdiction,
executive decree or order, act of God or public enemy, war, riot, civil
commotion, earthquake, flood, explosion, casualty, embargo or any other
similar cause beyond the control of such party. The time of performance of
each party's obligations under this agreement shall be extended for so long
as such Force Majeure event continues, provided, however, that in the
event such period of extended delay exceeds seven (7) days, either party
• may terminate this agreement upon notice to the other party.

4.12 Governing Law; Dispute Resolution

4.12.1 This Agreement is governed by and shall be construed in accordance with
the laws of the Republic of Indonesia.
4.12.2 Any dispute between the parties that cannot be settled amicably shall be
submitted to a Board of Arbitration under the applicable rules of the
Indonesian National Board of Arbitration (the "BANI Rules"). The
arbitration will be conducted in English in Jakarta. The Board of Arbitration
will consist of three (3) arbitrators appointed in accordance with the BANI
Rules.
4.12.3 The Board of Arbitration appointed must conduct the arbitration in
accordance with this Agreement, the BANI Rules and the prevailing laws
and regulations relating to arbitration ("Arbitration Laws and
Regulations"). Where this Agreement, the BANI Rules, or the Arbitration
Laws and Regulations are silent as to the conduct of the arbitration
proceedings, the Board of Arbitration must decide as to how the
proceedings will be conducted.
4.12.4 No Party will be entitled to commence or file any action in a court of law
relating to any dispute until the matter will have been determined by the
Board of Arbitration as provided in this Agreement and then only for the
enforcement of the arbitration award.
4.12.5 Except as otherwise permitted in the Arbitration Laws and Regulations, any
decision of the Board of Arbitration in any matter within this Agreement
will be final, binding and incontestable and may be used as a basis for
enforcement thereon in Indonesia or elsewhere. The Board of Arbitration
will be entitled to include In its decision a determination as to the payment
of the cost and expenses of the arbitrators, the administrative costs of the
arbitration, the legal fees incurred by the Parties, the cost and expenses of
witnesses and all other costs and expenses necessarily incurred in the
opinion of the Board of Arbitration in order to properly settle the dispute.
4.12.6 The Parties expressly agree: (i) that the decisions must be made based on
majority votes of the arbitrators, (ii) that the Board of Arbitration must
state the reasons for its decisions in writing and must make the decisions
entirely on the basis of applicable laws and not on the basis of the principle
of ex aequo et bono, and (i11) that the mandate of the Board of Arbitration
duly constituted in this Agreement will remain in effect until a final
arbitration award has been issued by the Board of Arbitration.

4.13 Anti-Bribery
4.13.1 MEDIKALOKA agrees that neither it nor any of its officers, employees,
servants or 'agents will mare, in respect of the conduct of the services or
any other matter provided for in this Agreement, any offer, promise, gift or
payment of anything of value or give any undue pecuniary or other
advantage (a "Transfer") whether directly or indirectly to or for the
benefit of any Public Official for that Public Official or for a third party, if
Healthy, Keeping You Healthy

to do so would result in such Public Official or third party acting or

refraining to act in relation to the performance of his official duties or
.

might violate any law of any relevant jurisdiction (whether or not these
laws apply to PANGRANGO GEMA ABADI or any of its officers, employees,
servants or agents). In this regard:

"Public Official" shall mean:

any officer or employee of, or other person acting in an official

capacity for, a Government, any entity controlled or owned by a
Government or any public international organization;
any legislative, administrative or judicial official, whether
appointed or elected;
any candidate for public office; or
any official of a political party.

"Government" shalt mean:

the national government of a country;

any government of any political level or subdivision in a country;
any entity controlled or owned by any of the foregoing;
any political party; or
any public international organization.

4.14 Entire Agreement

4.14.1 This Agreement constitutes the entire agreement between the parties on
the subject matter hereof and supersedes all previous agreements,
arrangements and undertakings with respect thereto.
lung You Healthy, Keeping You Healthy

In Witness Whereof, the parties hereto have executed and delivered this Agreement.

For and on behalf of PT. BINA BHAKTI HUSADA / Medikaloka Health Care
Date:
Name: Soetikno Soedarjo
Position: President Director
Signature:

For and behalf of PT. PANGRANGO GEMA ABADI

Date:
Name: Rizal Gazali Syafel
Position: Director
Signature:

■I■
 LAW FIRM
CITRA SEJATI
Perkantoran Apartemen Permata Eksekutlf Lt. 2 No. J
JI. Raya Pos Pengumben Jakarta Barat
Telp. 021 - 5309439, Fax. 021 - 5309435
c-mail add : tawfirm_citrasejatieyahoo.com

SURAT KESEPAKATAN KERJASAMA

BIDANG JASA HUKUM
No : 08.1/ SKK-BJH/ LFCS/ JKT/ V/ 08

Pada hari ini Kamis, tanggal delapan, bulan Mei, tahun dua ribu delapan
,

( OS — 5 — 2008) kami yang bertanda tangan di bawah ini :

1. N a Ill a : Rizal Ghazali Syafei, dalam hal ini mewakili PT.

Pangrango Gema Abadi berkedudukan di Jakarta.
Jabatan : Direktur Utama PT. Pangrango Gema Abadi.

Dal = Kesepakatan kerjasama bidang jasa hukum ini, selanjutnya

dis::1;ut scbagai : Pihak. Pcrtama ( I ).

I I. Nama Adrie Rumampuk, SH

Jabatan Managing Partner/ Advokat, pada Law Firm Citra
Scjati
Alamat
Perkantoran Apartemen Permata Eksekutif Lt. 2
Room J, J1. Raya Pos Pengumben, Jakarta Barat.
No.KTP 10.5505.130557.1002.

Dalam Kesepakatan Kerjasama Bidang Jasa Hukum ini, selanjutnya

-

disebut sebagai : Pihak Kedua ( II ).

Pihak-pihak sebagaimana diSebutkan di atas dengan ini menyatakan telah

sepakat untuk menjalin kerjasama pemanfaatan bidang jasa hukum
sekagai Legal Aspect pada PT. Pangrango Gema Abadi, dengan syt:
dan ketentuan sebagai berikut : . -

Pasal

Bahwa Pihak Pertama (I) adalah badan hukum/ perusahaan Nasional,

dalam konteks pembentukan Tenaga Kerja Indonesia yang profesional,

 LAW FIRM. CETRA SEJATI

melalui program penempatau kerja di luar negeri (Amerika) yaitu nurse

dan H2B.

Pihak Kedua ( II ) adalah Profesional yang membidangi Jasa Hukum

sebagai Advekat & Legal Consultant yang bergabung pada LaW Firm
Citra Sejati , yang berkedudukan di Perkantoran Apartemen Permata
Eksekutif Lt.2 Room Jl. Raya Pos Pengumben, Jakarta Barat,

Pasal 2

Bahwa Pihak Pertama ( 1. ) guna menunjang profesionalisme kerja dan

memperhatikan aspek hukum bagi penempatan tenaga kerja dalain rangka
program nurse dan H2B ke Amerika ini, sepakat untltk kerpasaina bidang
jasa hukum dengan menunjuk Law Firm Citra Sejati sebagai legal
aspect untuk swum kepentingan hukum yang diperlukan oleh PT.
Pangrango Gema Abadi, dan demikian pula untuk maksud tersebut Pihak
Kedua ( ) menyatakan setuju kesediaan ditunjuk sebagai legal aspek
pada badan hukum PT. Pangoogo Gema Abadi.

Pasal 3

Personil Law Firm Citra Sejati adalah sebagai berikut :

I. Adrie Rumampuk, 5. Petrus Prihastono, SH

2. Arthur N. Rumimpunu, 6. Andi. M Latief, SH
3. Jimkarter Terok, SH 7. Jeni Limbong Allo, SH
4. Herry Chaerudin, SH 8, Vanty E. Pratasik,

Pasal 4

Bahwa guna kepentingan pemberian bantuan jasa hukum oleh Pihak

K.edua ( II ) kepada Piha k Pertama ( 1 ) khusus program nurse chin H2B ke
Amerika, telah sepakat dan setuju pemberian fee Law Firm Citra Sejati,
-

operasional fee adalah sebagai berikut : Fee Law Firm Citra Sejati sebesar
25% ( dua pultili lima persen ) dari biaya operasional program
Rp.3.000.000,- yakni R.p. 750.000 ( Tujuh Ratus Lima Puluh Ribu
Rupiah ) setiap calon tenaga kerja yang sudah mendaftar di PT.
Pangrango Gema Abadi.
 LAW FIRM CITRA SEJATI

Pasal 5

Surat Kesepakatan Kerjasama ini berlaku selama 1 (satu ) tahun terhitung

sejak tanggal ditanda tangani. Namun demikian kesepakatan ini dapat
diperpanjang Iagi berdasarkan persetujuan atau kesepakatan kedua belah
pihak.

Pasal 6 --

Pihak Pertama ( I ) bersedia memberikan kepada Pihak Kedua ( ) space

untuk office/
Guna
kepentingan personal Law Firm Citra Sejati, termasuk fasilitas I ( satu )
unit telpon, fax, AC, Fasilitas Listrik dan kebutuhan inventaris kantor
lainnya yang dibutuhkan, yang menjadi tanggungan Pihak Pertama ( 1 ).

•••rw vow Pasal 7

Bahwa bilantana ada hal-hal yang belum diatur dalam Surat Kcscpakatan
Bersama Bidang Jasa Hawn ini, sedangkan menurut balk Pihak Petunia
( I ) maupun Pihak Kedua ( 11 ) masih diperltikaan untuk ditambahkan
sebagai kesempurnaan clausple yang sudah ada ilisini, maka kepada
Pihak Pertama ( i ) rihak Kedua ( 11 ) bersepakat untuk
inencantum.kan hal-hal tertentu ittt ke dalam Surat Kesepakatan
setelah melalui musyawarah rnufakat teriebih dahulu.

Setiap penambahan/ addendum yang disepakati bersama hanya boleh

diajukan dalam tempo selama 3 ( tiga ) bulan terhitung sejak tanggal surat
kesepakatan bersama ini ditanda tangani oleh kedua beleh pihak.

Pasal 8

Bahwa jika antara Pihak Pertama ( 1 ) dan Pihak Kedua ( 11 ) timbul

perselisihan tentang isi. maksud dan pelaksanaan dari clausule/ ketentuan
yang tertuang dalam Surat Kespakatan Bersama Bidang jasa Hukum ini,
prioritas penyelesaiannya adalah bersifat musyawarah dengan tidak .

mengurangi arti penyelesaian secara hukum yang berlaku.

.
 LAW FIRM CITRA SEJATI

111.101011.11• M
Pasal 9 --

Surat Kesepakatan Bersama Bidang Jasa Hukum ini dibuat dalam

rangkap 2 ( dua) bermaterai cukup, yang diberikan kepada Pihak Pertama
( I ) dan Pihak Kedua ), masing-masing mempunyai kekuatan hukum
yang sama untuk dipergunakan,

Demikian Surat Kesepakatan bersama dibidang Jasa Hukum ini telah

dibuat dengan pikiran sehat tanpa ada paksaan dari pihak lain manapun.

Jakarta, 08 Mei 2008

Piltak Ke(luit C11,1 Pihak Pertama ( 1 )
AN IP

Adrie Rumampuk, SH. Rizal Ghazali Syafei

Managing Partner Direktur Utama

N. Arthur Rumimpunu, SH. Dicky M. Pangemanan

Senior Partner Direktur
 NOTA KESEPAKATAN BERSAMA
Nomor : / PGA / NKB / / ..../ 2008

Pada hari ini.........,tanggal ..............,bulan ........................................

kami yang bertanda tangan di bawah ini

I. Nama
dalam hal ini mewakili karenanya sah
Bertindak untuk dan atas nama
PT. Pangrango gema Abadi.
Pekerjaan/ jabatan : Legal Departement

Untuk selanjutnya disebut sebagai Pihak Pertama ( I ).

II. Nama • • • • • • • • • • • • • ••

Pekerjaan/ jabatan • ••••••••••••••

Alamat • ••••••••••••••

Telp/ Fax

Untuk selanjutnya disebut sebagai Pihak Kedua ( ).

Diterangkan dalam Nota Kesepakatan Bersama ini sebagai berikut :

Pihak Pertama ( I ) adalah perusahaan/ badan hukum yang memberikan jasa

kdnsultan tenaga kerja ( Labour Consultant ), Recruiting dan termasuk pula Pusat
Pelatihan ( Training Center ).

Pihak Kedua (II) adalah calonl kandidat yang memerlukan pelayanan,

informasi, dan konsultasi untuk mendapatkan akses di dalam program penempatan
tenaga kerja ke Negara Amerika Serikat sebagai Nurse dan progran H2B.

Untuk itu kedua belali pihak sebagaimana kedudukan masing-masing tersebut di atas,
telah setuju dan sepakat membuat dan menanda tangani- Surat/ Nota Kesepakatan
Bersama ini dengan mengikuti syarat dan ketentuan sebagai berikut :
 Umum
Pasal 1 —

Bahwa Pihak Pertama ( I ) adalah jasa konsultan ( Labour Consultant ), recruiting dan
training center yang mempersiapkan program penempatan tenaga kerja ke Negara
Amerika, khusus nurse dan program H2B, akan membantu mengurus kelengkapan
dokumen, administrasi, jasa pelatihan dan pelayanan pembuatan kontrak/ perjanjian
dengan user/ pengguna jasa dalam kaftan program kerja ke Amerika, Nurse dan H2B
tersebut.

Sedangkan pihak Kedua ( II ) adalah Pencari kerja, calon/ kandidat yang

membutuhkan pelayanan informasi, konsultan dan training dalam rangka program
tenaga kerja ke Negara Amerika, Nurse dan H2B melalui dan menunjuk Pihak
Pertama ( I ) sebagai perusahaan/ badan hukum penyedia jasa konsultan, recruiting
dan training center.

Persyaratan mengikuti program

Pasal 2

Pihak Kedua ( II ) berkewajiban untuk mempersiapkan dolcumen/ surat-surat sesuai

persyaratan yang ditentukan oleh Pihak Pertama ( I ) tanpa dikecualikan, sebagai
kelengkapan proses program Nurse dan H2B ke Amerika.

Pasal 3

Pihak Kedua ( II ) sebelum mengikuti program konsultasi, training dan program nurse
serta H2B ke Amerika yang diadakan oleh Pihak Pertama ( I ), terlebih dahulu harus
sudah melakukan pemeriksaan medis/ medical check up yang ditunjuk oleh pihak
Kedutaan Amerika secara lengkap sesuai peraturan yang berlaku dan kemudian
dinyatakan sehat oleh dokter yang bertugas pada medical center/ rumah sakit yang
ditunjuk atau disahkan dalam program nurse dan program H213.

Administrasi
Pasal 4 -----
-

Bahwa Pihak Kedua ( II ) bersedia dan sanggup untuk membiayai seluruh program
konsultasi; training dalam rangka program nurse dan H2B ke Amerika, yang jumlah/
besarnya secara terperinci ditentukan dalam persyaratan/ administrasi/ biaya yang
dibuat dan telah ditentukan oleh Pihak Pertama ( I ), antara lain medical check up,
apply visa, pengiriman dokumen, akomodasi program selama proses di dalam negeri
dan jasa konsultan/ training untuk mendapatkan izin ke Amerika, dibayar secara tunai
atau melalui transfer kepada Pihak Pertama ( I )/ PT. PANGRANGO GEMA ABADI
: A/C : 112 669 656 BNI Cab Sukabumi pada saat Nota Kesepakatan ini ditanda
tangani kedua belah pihak.
 Pasal 5 110111••••■■•••

Bahwa segala pembiayaan/ pengurusan yang terjadi internal di Indonesia sepenuhnya

menjadi tanggung jawab Pihak Kedua ( ), sedangkan pembiayaan dan kebutuhan
program di Amerika seperti izin tinggal, akomodasi, transportasi, asuransi, lawyer
serta kebutuhan lainnya yang masih terkait program nurse dan H2B ini, pendanaanya
terlebih dahulu akan ditanggung oleh Pihak Pertama (!)dengan mempergunakan
dana/ fmansial pemerintah dan ataupun fmansial swasta dengan mempergunakan
asset collateral Pihak Pertama ( I ) sebagai penjamin pendanaan, yang mana Maya/
dana yang dikeluarkan/ ditanggung Pihak Pertama ( I ) ini, nantinya wajib
dikembalikan oleh Pihak Kedua ( II ) dengan cara pendebetan/ pemotongan dari
salary/ gaji serta tunjangan-tunjangan yang diterima oleh Pihak Kedua ( II ) selama
bekerja di Amerika, setiap bulannya sampai jumlah/ nilai yang riil telah dikeluarkan
terlebih dahulu oleh Pihak Pertama ( I ) sebagaimana penjelasan di atas.
•IIKIMEMM
Pasal 6 —

Pihak Kedua ( II ) selama dalam masa program berjalan, tidak dibenarkan untuk
membatalkan atau mengundurkan diri atau mencabut proses program yang sudah
berjalan dengan alasan apapun, kecuali bilamana alasan pengunduran diri/
pembatalan/ pencabutan proses program ini disertai dengan alasan yang kuat, benar
dan .dapat dipertanggung jawabkan, yang disetujui oleh keluarga/ orang tua/ wali dan
diketahui oleh sponsor atau mitra recruitment Pihak Pertama ( I ) yang memfasilitasi
Pihak Kedua (II) mengikuti program ini.

Apabila pembatalan, maupun mengundurkan diri dari program nurse dan H2B dapat
diberikan/ disetujui oleh Pihak Pertama ( I ) sebagaimana alasan di atas yang
dinyatakan secara tertulis oleh Pihak Pertama ( I ), maka Pihak Pertama ( I ) akan
mengembalikan biaya-biaya pendukung program yang telah dibayarkan oleh Pihak
Kedua (II ) kepada Pihak Pertama ( I ), hanya sampai sebatas maksimal 30% ( tiga
puluh prosen ), yang meliputi : Fee Recruiting daerah, operasional program, kontrak
user, Rekomendasi apply, dan kebutuhan Pendukung lainnya.

Proses pengembalian biaya-biaya dalam hal Pihak Kedua ( II ) mengundurkan diri

yang telah disetujui oleh Pihak Pertama ( I) sebesar 30% ( tiga puluh prosen ) sesuai
penjelasan di atas, akan dikembalikan oleh Pihak Pertama ( I ) kepada Pihak Kedua (
II) setelah Pihak Kedua ( II ) menyelesaikan/ melengkapi administrasi surat-surat
yang diperlukan dalam hal pengunduran diri/ pembatalan mengikuti program nurse
dan H2B tersebut.

Dan proses pengurusan pengembalian biaya-biaya dimaksud di atas, hanya berlaku

selama 30 ( tiga puluh ) hari terhitung menurut tanggal surat persetujuan yang
diberikan oleh Pihak Pertama ( I ) kepada Pihak Kedua ( II ), sehingga apabila
melewati waktu yang diberikan itu Pihak Kedua ( II ) melalaikan pengurusannya
maka biaya sebesar 30% yang sepatutnya diterima oleh Pihak Kedua ( II ) akan
dinyatakan batal/ hangus dan tidak dapat dikembalikan lagi.
 Pasal 7

pihak Pertama ( I ) dan Pihak Kedua ( II ) setuju, apabila selama program nurse dan
H2B ini di proses oleh Pihak Pertama ( I ) ternyata secara factual terdapat kesalahan/
kelalaian atau terdapat informasi yang menyesatkan atau memberikan keterangan
yang tidak benar, pemalsuan identitas dan dokumen atau karena sesuatu hal selama
proses, dapat diketahui adanya pelanggaran-pelanggaran tersebut yang dilakukan oleh
Pihak Kedua ( ), maka kepada Pihak Kedua ( ) wajib dikenakan sanksi berupa
tidak akan diikutkan lagi atau dibatallcan seluruhnya keikutsertaan dalam progran
nurse dan H2B ini, sehingga segala konsekwensi hukumnya adalah Pihak Pertama
( I ) tidak mempunyai kewajiban untuk mengembalikan biaya-biaya apapun kepada
Pihak Kedua ( II ).

Bahwa demikian pula apabila Pihak Kedua ( II ) melakukan pelanggaran hukum dan
atau karena sesuatu hal yang mengakibatkan pembatalan adanya keberangkatan atau
karena dideportasi oleh pihak Imigrasi setempat, biaya program nurse dan H2B yang
sudah dibayarkan, tidak dapat dikembalikan lagi dan dianggap hangus.

Jangka Waktu Proses

Pasal 8 ---

Pihak Pertama ( I ) dan Pihak Kedua ( II ) setuju dan sepakat dalam hal proses
pengurusan untuk mendapatkan izin program penempatan tenaga kerja, program
nurse dan H2B ke Amerika, dibutuhican tenggang waktu selania 120 ( Seratus dua
puluh ) hari kerja terhitung sejak tanggal penyerahan data kelengkapan kesediaan
mengikuti program dan membayar lunas biaya program dari Pihak Kedua ( II )
kepada Pihak Pertama ( I ).

Dengan menyimpang dari kesepakatan jangka waktu proses yang disebutkan di atas
jika terjadi kelalaian Pihak Kedua ( II ) berupa keterlambatan memenuhi secara
keseluruhan, baik kelengkapan data/ dokumen maupun biaya program maka tenggang
waktu pengurusan sampai kepada training dan keluarnya izin program nurse dan
H2B, akan menyesuaikan dengan terpenuhinya persyaratan kelengkapan data/
dokumen serta biaya program yang diberikan oleh Pihak Kedua ( II ) kepada Pihak
Pertama ( I ). Sedangkan dalam kesepakatan ini, pihak pertama ( I ) akan
memberitahukan kepada pihak kedua ( II ), apabila dalam masa 120 ( seratus dua
puluh ) hari kerja berjalan pihak kedua ( II ) belum mendapatkan akses untuk masuk
ke USA, atau belum mendapatkan Apply Visa, maka pihak pertama ( I ) dalam hal ini
Consultan PT. PANGRANGO GEMA ABADI akan memberikan surat tertulis
kepada pihak kedua ( II ) bahwa program ke USA dianggap gagal, dan pihak kedua (
II) akan menerima pengembalian biaya program dari pihak pertama ( I ) sebesar 70
% ( Tujuh Puluh prosen ) dari total pembiayaan. Pengembalian sebesar 70 % ( Tujuh
Puluh Prosen )akan di lakukan melalui transfer ke nomor Rekening kandidat /
Keluarga yang ikut menandatangani Nota Kesepakatan Bersama ini serta membawa /
melampirkan bukti pembayaran / pembiayaan program ( Kwitansi ) , transfer invoice
Bank dan melampirkan Nota Kesepakatan Bersama. Batas pengembalian 30 ( tiga
puluh ) hari kerja kepada pihak kedua ( II ) dari Pemberitahuan pihak pertama ( I ).

Perselisihan
Pasal 9

Bilamana terdapat ketentuan/ clausule dalam Nota Kesepakatan Bersama ini yang
dianggap belum jelas tentang maksud dan pelaksanaannya maka kedua belah pihak
terlebih dahulu diberikan kesempatan untuk menyelesaikannya secara musyawarah
dan mufakat.

Namun demikian jika musyawarah dan mufakat ini tidak dapat terselesaikan oleh
kedua belah pihak maka akan ditempuh proses penyelesaiannya sesuai ketentuan
hukum yang berlaku, baik secara pidana dan atau perdata melalui kepaniteraan
Pengadilan Negeri Jakarta Pusat.

Penutup
Pasal 10

Nota Kesepakatan Bersama ini dibuat dalam rangkap 2 ( dua ), bermeterai cukup,
yang diberikan kepada Pihak Pertama ( I ) dan Pihak Kedua ( II ), masing-masing
mempunyai kekuatan hukum yang sama.

Dan Nota Kesepakatan Bersama ini secara effektif mulai berlaku pada hari ini
tanggal ........................ dan ditanda tangani oleh kedua belah pihak.

PIHAK PERTAMA ( I ) PIHAK KEDUA ( I )

PT. Pangrango Gema Abadi

Legal Deptartnement
 PERJANJIAN
PT. KOSINDO PRADIPTA
Dengan

PT. PANGRANGO GEMA ABADI

 PASAL I
MODAL PARA PIHAK

1) PIHAK PERTAMA adalah perusahaan pemilik / pemegang Surat lzin Usaha Pengerah jasa
tenaga kerja Indonesia ke luar negeri yang sah atas nama PT. KOSINDO PRADIPTA yang
dikeluarkan oleh Departemen Tenaga Kerja RI dengan nomor: KEP.37/MEN/1/2007,
dengan memiliki fasilitas satu buah asrama / transit bagi calon tenaga kerja Indonesia luar
negeri, kantor pusat operasional clan sejturtlah karyawan terletak di Jalan Duren Tiga Indah
Ill/8, Perdatam Jakarta Selatan.

2) PIHAK KEDUA adalah perusahaan pemilik / pemegang Surat Izin Usaha consultan dan
pelatihan tenaga kerja atas nama PT. PANGRANGO GEMA ABADI yang di keluarkan
oleh Departemen Kehakiman dengan nomor : C-12614 HT.01.01.TH.2005 yang mempunyai
hubungan kerjasama dengan agen Workers di Amerika Serikat dalam rangka penempatan
jasa tenaga kerja Indonesia di negara bagian Amerika Serikat program H2B clan Nurse
sesuai dengan peraturan perundang-undangan yang berlaku di negara tersebut.

PASAL 2
BIDANG USAHA

1) PIHAK PERTAMA menunjuk PIHAK KEDUA dan PIHAK KEDUA menerima

penunjukkan dari PIHAK PERTADAA untuk pelaksanaan recruiting asal daerah kandidat
program H2B dan Nurse, sosialisasi, penempatan jasa tenaga kerja Indonesia ke luar negeri
khusus negara bagian Amerika Serikat

2) PIHAK KEDUA atas penunjukkan dan PIHAK PERTAMA bersedia memberikan imbalan
jasa sebagai berikut :

a) PIHAK KEDUA memberikan jaminan berjumlah Rp. 50.000.000,- (lima puluh juta
rupiah), dan akan dikembalikan secara bertahap yang diperhitungkan dengan proses
Passport, dan apabila jumlah tersebut selesai dikembalikan, maka PIHAK KEDUA
akan segera mengisinya kembali.
b) PIHAK KEDUA bersedia memberikan fee jasa bagi setiap penempatan / pengiriman
tenaga kerja Indonesia ke Amerika Serikat person kepada PIHAK PERTAMA, yang
dibayarkan secara tunai sebelum data dikirim ke pihak pengguna tenaga kerja / user.

PASAL 3
HAK DAN KEWAJIBAN PIHAK PERTAMA

) PIHAK PERTAMA wajib menyelenggarakan pengelolaan perizinan PT. KOSINDO

PRADIPTA, sesuai dengan aturan aturan yang berlaku tenting penempatan tenaga kerja
—

Indonesia ke luar negeri. -

) PIHAK PERTAMA wajib memberikan pelayanan administrasi bagi PIHAK KEDUA,

termasuk proses administrasi serta surat menyurat, proses nerjanjian kerja Workers, Fiskal,
di BNP2TKI serta proses pembuatan passport bagi karidiclat jika diperluican di imigrasi yang
berkaitan dengan kepentingan serta keperluan penempatan dan 'pengiriman tenaga kerja
Indonesia luar negeri untuk wilayah negara bagian Amerika Serikat.
) PIHAK PERTAMA akan memberikan Surat Penunjukkan kepada PIHAK KEDUA sebagai
unit kegiatan recruiting kandidat program H2B dan Nurse, serta kegiatan yang berhubungan
pendukung program, memberikan pelatikirn bagi kandidat ditempat milik PIHAK KEDUA
dalam Diktat program H2B dan Nurse, serta usaha penempatan / pengiriman calon tenaga
kerja Indonesia divisi negara bagian Amerika Serikat.
 dalam Diktat program H2B dan Nurse, serta usaha penempatan / pengiriman calon tenaga
kerja Indonesia divisi negara bagian Amerika Serikat.
4) PIHAK PERTAMA berhak menolak melayani proses Workers dari PIHAK KEDUA apabila -

terdapat kekurangan dan / penyimpangan dalam pelaksanaan proses Workers.

PASAL 4
HAK DAN KEWAJIBAN PIHAK KEDUA

1) PIHAK KEDUA wajib untuk melaksanakan penempatan calon tenaga kerja Indonesia luar
negeri untuk wilayah negara bagian Amerika Serikat.
2) PIHAK KEDUA wajib mengurus penempatan / pengiriman serta melaporkan kedatangan
dan kepulangan tenaga kerja Indonesia ke Kedutaan Besar R.I setempat dengan syarat serta
kondisi kerja yang baik sekaligus melegalisasi.
PIHAK KEDUA wajib untuk melakukan penjemputan dan penempatan calon Tenaga Kerja
Indonesia luar negeri sesuai dengan peruntukkannya.
4) Seluruh proses administrasi calon tenaga kerja Indonesia luar negeri sepenuhnya dilakukan
di tempat kerja / kantor PIHAK KEDUA.
5) PIHAK KEDUA bertanggung jawab apabila terjadi pemulangan oleh pihak user, termasuk
biaya-biaya pemulangan tenaga kerja.
6) PIHAK KEDUA bertanggung jawab menyelesaikan segala permasalahan tenaga kerja
Indonesia PT. KOSINDO PRADIPTA yang dikirim oleh PIHAK KEDUA, selama
bekerja di negara bagian Amerika Serikat seperti gaji tidak dibayar, pelanggaran HAM
terhadap Workers dan lain sebapinya, sampai denpn kembalinya Workers ke Indonesia.
7) PIHAK KEDUA akan mematuhi segala peraturan dan atau kebijaksanaan pemerintah cc.
Depnaker RI untuk pelaksanaan pengiriman Workers ke negara bagian Amerika Serikat
sampai dengan kembalinya ke Indonesia dan tidak boleh melanggar peraturan dan atau
kebijaksanaan tersebut.
PASAL 5
Untuk kelancaran dan efektifitas pelaksanaan perjanjian ini, PARA PIHAK sepakat untuk saling
komunikasi secara rutin.
PASAL 6
Adapun hal-hal yang belum tercakup dalam perjanjian kerjasama ini akan dibuat lebih lanjut yang
merupakan bagian tak terpisahkan dari perjanjian kerjasama ini.

PASAL 7
SANKSI — SANKSI
pelanggaran atas perjanjian ini menimbulkan hak kepada masing-masing PIHAK untuk
membatalkan perjanjian secara sepihak. Adapun hal-hal yang timbul akan menjadi tanggung
masing — masing pihak.
PASAL 8
KERJASAMA DENGAN PIHAK KETIGA
PIHAK KEDUA tidak dapat memindahtangankan atau menjaminkan kerjasama ini sebagian atau
seluruhnya kepada PIHAK KETIGA tanpa persetujuan secara tertulis dari PIHAK PERTAMA.

PASAL 9
PERSELISIHAN
1) Perselisihan yang timbul sebagai akibat dari pelaksanaan perjanjian kerjasama ini akan
diselesaikan dengan cara musyawarah untuk mufakat.
2) Apabila upaya penyelesaian sebagaimana dimaksud ayat (1) pasal ini tidak dapat
diselesaikan oleh PARA PIHAK, makk PARA PIHAK sepakat untuk diselesaikan melalui
pengadilan Jakarta Selatan.
 PASAL 10
LAIN — LAIN
1) Perjanjian ini syah dan mengikat setelah di tandatangani oleh PARA PIHAK di atas materai
secukupnya.
2) Perjanjian kerjasama ini hanya memberikan wewenang kepada P1HAK KEDUA untuk
melaksanakan penempatan Workers H2B dan Nurse di negara bagian Amerika Serikat serta
merekrut kandidat, melakukan sosialisasi dan recruiting dari daerah asal kandidat.
3 ) Perjanjian ini di buat dan di tandatangani di Jakarta pada had dan tanggal sebagai mana di
awal perjanjian ini, di buat dalam rangkap 2 ( dua ) yang masimg — masing sama bunyinya
dan mempunyai kekuatan hukum yang sama diperuntukkan bagi :

I. PIHAK PERTAMA
2. PIHAK KEDUA
Perjanjian kerjasama ini dibuat dengan sebenarnya dan mengikat untuk masing — masing pihak
2 ( dua ) tahun sejak ditandatangani perjanjian ini dan dapat di perpanjang setelah diadakan
awarah.

PERTAMA PIHAK KEDUA

,Kos do Pradipta PT. Pangrango Gema Abadi

ZEID ARIFIN RIZAL GHAZALI SYAFEI

Direktur Utama Direktur Utama

Saksi

DICKY M PANGEMANAN
Direktur

Y MARDIYAH