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Site Visit Investigation – ABC Sample Factory
The following target address is:
ABC Sample Factory, Jl. Raya 123, RT.001/RW.002, South Jakarta, 13910.
Target Address Verification

Building Appearance 1 of
the Target Address

None □ Reason:

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Building Appearance 2 of
the Target Address

None □ Reason:

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Building Appearance 3 of
the Target Address

None □ Reason:

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Parking Area of theTarget Address

None □ Reason:
Nameplate of the Parking
Area of the TargetAddress

None ☑ Reason: Target address’ parking area has no specific nameplate.

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Building Entrance ofTarget Address

None □ Reason:

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Lobby Environment 1of the Target Address
Building

ABC Sample
Factory

None □ Reason:

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Lobby Environment 3of the Target Address
Building

None □ Reason:

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Lobby Environment 4of the Target Address
Building

None □ Reason:

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The Operating Environment of Subject

Environment 1 of the
Building Left of theTarget Address

None □ Reason:

Environment 2 of the
Building Left of theTarget Address

None □ Reason:

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Environment 3 of the
Building Left of theTarget Address

None □ Reason:

Environment 1 on thefactory floor

None □ Reason:

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Environment 2 on thefactory floor

None □ Reason:

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Environment 3 on the 1stFloor of the Subject’s
Building Right Side

None □ Reason:

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GPS Location Map

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The Surrounding Environment of the Target Address

The Surrounding
Environment 1 of theTarget Address

None □ Reason:

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The Surrounding
Environment 2 of theTarget Address

None □ Reason:

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The Surrounding
Environment 3 of theTarget Address

None □ Reason:

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The Surrounding
Environment 4 of theTarget Address

None □ Reason:

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The Surrounding
Environment 5 of theTarget Address

None □ Reason:

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The Surrounding
Environment 6 of theTarget Address

None □ Reason:

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The Surrounding
Environment 7 of theTarget Address

None □ Reason:
Bus Stop Sign near theTarget Address

None ☑ Reason: There is no bus stop sign near the target address.

Street Sign near theTarget Address

None ☑ Reason: There is no street sign near the target address.

Subject’s Certificate

None □ Reason:

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Overview of the Location of the Target Address
Yes ☑
Does Subject work here?

No □ Reason:
Uncertain □ Reason:
1. On November 12, 2020 at 11:15 AM (local time), Confirmis’ site verifier arrived at
ABC Sample Factory, Jl. Raya 123, RT.001/RW.002, South Jakarta, 13910,
according to the address given by the client. It was revealed that the address islocated in an industrial district.

Other information

2. Confirmis’ site verifier visited the address. Ms. Lina, subject’s receptionist
confirmed that subject is active in operation and there were some employees andfactory workers working during the site visit. Subject shares office building with its
parent company and the building consists of four floors.
3. There were goods/stocks in front of subject’s building.
4. Confirmis’ site verifier received permission from subject’s receptionist to take few
photos on the factory floor
5. Based on the above situation, it can be confirmed that subject works at ABC Sample
Factory, Jl. Raya 123, RT.001/RW.002, South Jakarta, 13910.

End of Report

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