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BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
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 20027113784 3311011105000005 90058 ADITYA TRI ANGGARA 11-05-2000 01-03-2020 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
2 22042519573 3374131503010004 048 AHMAD MALIK SIDIQ 15-03-2001 01-04-2022 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
3 20014655748 3204091603850005 AHMAD SAYIDI 16-03-1986 01-02-2020 5,067,381.00 0.00 12,161.71 15,202.14 187,493.10 101,347.62 0.00 0.00 0.00 0.00 316,204.57
4 23008050926 3374130403020003 90055 ALDIYAN HERI SAPUTRO 04-03-2002 01-01-2023 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
5 22105725588 3374130309030002 90083 ALFA NU.AMA BAIHAQI 03-09-2003 01-08-2022 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
6 19046078663 3374134406930003 AMALIA ANIF 04-06-1993 01-06-2019 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
7 23060758838 3374120804970003 90112 AMIR FAISAL ZUHRIDIN 08-04-1997 01-04-2023 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
8 11014290792 3201332403920002 ANUGRAH PRIYATAMA 24-03-1992 01-05-2011 5,067,381.00 0.00 12,161.71 15,202.14 187,493.10 101,347.62 0.00 0.00 0.00 0.00 316,204.57
9 22047456995 3374110908970004 90084 ASTA DWIASA 09-08-1997 01-04-2022 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
10 23140546799 3374130509940002 90067 BAGUS PRABOWO 05-09-1994 01-09-2023 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
11 15052109996 3324092703850001 BAMBANG IRNAWAN 27-03-1985 01-11-2015 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
12 19040995938 3324190404930003 BUDI WARSITO 04-04-1993 01-03-2019 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
13 22047457225 3374131808980003 90069 DAVID BAGUS TRI SUNJAYA 18-08-1998 01-04-2022 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
14 22079078279 3175032012900003 051 DIDIK RIO PANDIKA 20-12-1990 01-07-2022 5,067,381.00 0.00 12,161.71 15,202.14 187,493.10 101,347.62 0.00 0.00 0.00 0.00 316,204.57
15 24075914259 3215061312850002 90123 DIDIN NURDIN 13-12-1985 01-05-2024 5,067,381.00 0.00 12,161.71 15,202.14 187,493.10 101,347.62 0.00 0.00 0.00 0.00 316,204.57
16 19039926225 3321021006930005 34 DWI ANGGA UNTUNG 10-06-1993 01-05-2019 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
SETYAWAN
17 19039926290 3374014401810002 DWI SARI AYU 04-01-1981 01-05-2019 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
18 23117461345 3275055206970013 90117 FANNY ANGGIANI ARISMAN 12-06-1997 01-08-2023 5,067,381.00 0.00 12,161.71 15,202.14 187,493.10 101,347.62 0.00 0.00 0.00 0.00 316,204.57
19 20014655847 3175051606770011 HAERUL 16-06-1977 01-02-2020 5,067,381.00 0.00 12,161.71 15,202.14 187,493.10 101,347.62 0.00 0.00 0.00 0.00 316,204.57
20 23140546807 3374151605970001 90073 HENDRA ADI NUGROHO 16-05-1997 01-09-2023 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
21 20089730574 3317102504860001 90024 IGNASIUS ARDIYAN 25-04-1986 01-08-2020 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
22 19039927868 3374096303780001 JUWANTINI DEWI 23-03-1978 01-05-2019 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
23 16024068757 3374090503770006 KADARISMAN 05-03-1977 01-05-2016 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
24 19046078648 1771035303940002 LUCY EVA CITRA BARUS 13-03-1994 01-06-2019 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
25 23060758697 3324142307940001 90110 LULUK MAHMUD SHAKIR 23-07-1994 01-04-2023 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
26 19039929054 3374061002940004 36 MAHMUD YUNUS 10-02-1994 01-05-2019 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
27 22047457092 3374132603970004 90101 MARDIYONO 26-03-1997 01-04-2022 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
28 17012919662 3313031311910002 MARYADI 13-11-1991 01-11-2016 5,080,000.00 0.00 12,192.00 15,240.00 187,960.00 101,600.00 0.00 0.00 0.00 0.00 316,992.00
29 23060758481 3374023011980003 90089 MOCH DANY ADI PAMUNGKAS 30-11-1998 01-04-2023 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
30 16043727540 3374160104850001 MOKH ABIDIN 01-04-1985 01-10-2016 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
31 20045870605 3374075110010001 90074 MONIK SONIA 11-10-2001 01-07-2020 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
32 23140546815 3374062904040002 90072 MUHAMAD FERRY 29-04-2004 01-09-2023 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
ANDRADIANTA
Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
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 23060758796 3325050905960002 90096 MUHAMAD IQBAL 09-05-1996 01-04-2023 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
34 19039929526 3322182805980001 37 MUHAMMAD AFIF ALDIEN 28-05-1998 01-05-2019 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
35 22088234947 3374010806980002 90113 MUHAMMAD AZHAR FARIAN 08-06-1998 01-07-2022 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
36 24075914283 3175042801020008 90122 MUHAMMAD TAUFIK AKBAR 28-01-2002 01-05-2024 5,067,381.00 0.00 12,161.71 15,202.14 187,493.10 101,347.62 0.00 0.00 0.00 0.00 316,204.57
37 20027113792 3374156311010002 PRAKA NOVIA RAMADHANI 23-11-2001 01-03-2020 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
38 21042612909 3324073006920001 38 PURNOMO 30-06-1992 01-06-2021 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
39 23033596307 3374136302020002 90059 PUTRI BUDIYAN SARI 23-02-2002 01-03-2023 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
40 22047457449 3374094306980002 90080 RIA YUNIARTI 03-06-1998 01-04-2022 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
KUSUMAWARDANI
41 23060758689 3374063009960001 90092 RIFAN JOHANN PRANATA 30-09-1996 01-04-2023 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
42 16043727532 3374102112880001 ROCHMAN HANDRIANTO 21-12-1988 01-10-2016 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
43 22047457167 3374131010940009 90099 RUDY SETYA LANGGENG 10-10-1994 01-04-2022 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
44 23063253985 3674031906700003 90119 SARTO 19-06-1970 01-05-2023 5,067,381.00 0.00 12,161.71 15,202.14 187,493.10 101,347.62 0.00 0.00 0.00 0.00 316,204.57
45 21014366963 3326152108960002 SITI SAKINAH 21-08-1996 01-02-2021 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
46 20018919421 3374075912960002 90121 SITI ZULAEKHAH 19-12-1996 01-03-2020 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
47 22088235035 3309141205990001 90108 SONI DENI PRADANA 12-05-1999 01-07-2022 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
48 19039925714 3374126802780006 SRI SUSILOWATI 28-02-1978 01-05-2019 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
49 20009652874 3321032803910001 41 SUDARMONO 28-03-1991 01-01-2020 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
50 19039925771 3374156006800004 SUGIATY 20-06-1980 01-05-2019 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
51 23071336640 3374131802960002 90068 TAUFIK ROMADHON 18-02-1996 01-05-2023 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
PRASETIYO
52 22157652011 3174091710960005 90053 TITIS HARYO PRATOMO 17-10-1996 01-12-2022 5,067,381.00 0.00 12,161.71 15,202.14 187,493.10 101,347.62 0.00 0.00 0.00 0.00 316,204.57
53 23071336483 3321040403980003 90103 YEYEN ALFARIS 04-03-1998 01-05-2023 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
54 19039926639 3374021208910005 44 YUDHA PRATAMA 12-08-1991 01-05-2019 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
55 16026423323 3374133001860003 YUSUF BAHTIAR 30-01-1986 01-05-2016 3,243,969.00 0.00 7,785.53 9,731.91 120,026.85 64,879.38 0.00 0.00 0.00 0.00 202,423.67
Jumlah Seluruhnya 196,665,034.00 0.00 471,996.24 589,995.21 7,276,606.15 3,933,300.68 0.00 0.00 0.00 0.00 12,271,898.00
Keterangan
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dari sistem penggajian perusahaan peserta yang bersangkutan, dengan aturan / format yang sesuai dengan ketentuan BPJS
Ketenagakerjaan
, 04 Desember 2024
Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
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.)
(Nama dan Tanda Tangan Pimpinan Perusahaan)
Jabatan :