Formulir 2a PU

BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

11011747 MARIAT UTAMA MARIAT UTAMA 01 2024

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP Iuran JKP
Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Pemberi Kerja Tenaga Kerja Pemberi Kerja Tenaga Kerja Pemberi Kerja Pemerintah Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
1 16064084383 9101012307620001 ABDUL SAHAR 23-07-1962 01-12-2016 4,024,270.00 0.00 9,658.25 12,072.81 148,897.99 80,485.40 0.00 0.00 0.00 0.00 251,114.45
2 20048124166 7105122809720001 1019 ADOLF CERUL LUNTUNGAN 28-09-1972 01-08-2020 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
3 14019764514 9101015408690001 ADOLFINA ROMBE 14-08-1969 01-07-2014 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
4 22032207668 7326181511010001 7326 ALBERTUS ALIK PAKOMBONG 15-11-2001 01-04-2022 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
5 22032207676 5307012909960001 5307 ALFONSIUS GON SAGA 29-09-1996 01-04-2022 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
NGAMA
6 21013743576 8171050902000001 ALYON BENNY PESIWARISSA 09-02-2000 01-03-2021 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
7 21013743592 9101010403790001 ARMEN LALAS 04-03-1979 01-03-2021 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
8 21013743618 7313080804920001 BAHARUDDIN 08-04-1992 01-03-2021 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
9 14019764373 9101012402640001 BRURY SANGER 24-02-1964 01-07-2014 7,500,000.00 0.00 18,000.00 22,500.00 277,500.00 150,000.00 0.00 0.00 0.00 0.00 468,000.00
10 14019764407 9101012610730005 DENI MALU 26-10-1973 01-07-2014 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
11 14019764597 9101011409670003 HARRY SAMUEL PESIK 14-09-1967 01-07-2014 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
12 23190227126 9101112705910001 IRAWANTO 27-05-1991 01-12-2023 4,024,270.00 0.00 9,658.25 12,072.81 148,897.99 80,485.40 0.00 0.00 0.00 0.00 251,114.45
13 23190227068 9101010505900004 JAMES MICHAEL 05-05-1990 01-12-2023 4,024,270.00 0.00 9,658.25 12,072.81 148,897.99 80,485.40 0.00 0.00 0.00 0.00 251,114.45
SULENDORONG
14 16064084466 6402053101570002 JOHNY SUALANG 31-01-1957 01-12-2016 4,024,270.00 0.00 9,658.25 12,072.81 148,897.99 80,485.40 0.00 0.00 0.00 0.00 251,114.45
15 21013743568 9101014806990003 KURNIASIH NINGSIH 08-06-1999 01-03-2021 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
16 22053585307 3305084310940003 KURNIAWATI ASTUTI 03-10-1994 01-06-2022 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
17 20048124158 9101010107700035 0320 LADINI 01-07-1963 01-08-2020 4,024,270.00 0.00 9,658.25 12,072.81 148,897.99 80,485.40 0.00 0.00 0.00 0.00 251,114.45
18 21013743584 9101010511950002 MARTINUS NOVENDI 05-11-1995 01-03-2021 4,024,270.00 0.00 9,658.25 12,072.81 148,897.99 80,485.40 0.00 0.00 0.00 0.00 251,114.45
19 23004247971 9101012303000001 191021 MUH. AFDALKURNIAWAN 22-03-2000 01-01-2023 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
20 18060566934 7102130910770003 PANAMBUNAN K. MANTIRI 09-10-1977 01-07-2018 7,500,000.00 0.00 11,000.00 17,500.00 277,500.00 150,000.00 0.00 0.00 12,000.00 0.00 468,000.00
21 21013743600 9101012004920002 PETRUS FREDY NGILAMELE 20-04-1992 01-03-2021 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
22 23004247930 9101015001910001 091221 RINA LIVIANA BAWELLE 10-01-1991 01-01-2023 4,024,270.00 0.00 9,658.25 12,072.81 148,897.99 80,485.40 0.00 0.00 0.00 0.00 251,114.45
23 22141994644 1271086707900005 000 RINI MANGISI HAYATI 27-07-1990 01-12-2022 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
TAMBUNAN
24 14019764464 9101011007810004 RINTO PIRI 10-07-1981 01-07-2014 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
25 21043779236 9101066903980001 RISSA DEVI KASMIDA SARI 29-03-1998 01-07-2021 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
26 14019764431 7105092209780002 STEVEN WOWILING 22-09-1978 01-07-2014 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
27 14019764399 9101071005840001 SUTRESNO 10-05-1984 01-07-2014 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
28 14019764456 9101052809670001 SUWITO 28-09-1967 01-07-2014 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
29 23004247955 7210112410830001 241083 TAUFAN TAHIR 24-10-1983 01-01-2023 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
30 21007997899 5307106409860003 THERESIA AYERNI 20-09-1986 01-02-2021 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
31 21013743667 7105191702950001 VIKARIO GIROTH 17-02-1995 01-03-2021 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
32 20048124133 9101050712980001 0220 WIDODO RAHMAT TRI UTAMA 07-12-1998 01-08-2020 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

11011747 MARIAT UTAMA MARIAT UTAMA 01 2024

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP Iuran JKP
Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Pemberi Kerja Tenaga Kerja Pemberi Kerja Tenaga Kerja Pemberi Kerja Pemerintah Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)
33 21013743683 9101056103990001 WIDYA MUSTIKA SARI 21-03-1999 01-03-2021 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45
34 22141994651 9101010507990001 000 YEHEZKIEL TINO PRAYUDA 05-07-1999 01-12-2022 4,024,270.00 0.00 9,658.25 12,072.81 148,897.99 80,485.40 0.00 0.00 0.00 0.00 251,114.45
DIMUYE
35 20048124141 8102131410940001 03201 YULIANUS YAMSAREW 14-10-1994 01-08-2020 4,024,270.00 0.00 4,024.27 8,048.54 148,897.99 80,485.40 0.00 0.00 9,658.25 0.00 251,114.45

Jumlah Seluruhnya 147,800,910.00 0.00 206,872.75 337,795.98 5,468,633.67 2,956,018.20 0.00 0.00 253,456.25 0.00 9,222,776.00

Keterangan
*) Isian formulir ini dapat disampaikan kepada BPJS Ketenagakerjaan dalam bentuk media elektronik (softcopy) ataupun hasil cetakan dari sistem
penggajian perusahaan peserta yang bersangkutan, dengan aturan / format yang sesuai dengan ketentuan BPJS Ketenagakerjaan

, 19 Februari 2024

(Nama dan Tanda Tangan Pimpinan Perusahaan)

Jabatan :