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Formulir 2a PU

BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan


15060575 SURANGGA PUTRA UTAMA SURANGGA PUTRA UTAMA 02 2020

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP


Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
1 15041595669 3671012303550001 AGUS SULAEMAN 23-03-1955 01-08-2015 8,200,000.00 0.00 19,680.00 24,600.00 303,400.00 164,000.00 0.00 0.00 511,680.00
2 15041595750 3603282709880004 ALIF PURNAMA PUTRA 27-09-1988 01-08-2015 2,700,000.00 0.00 6,480.00 8,100.00 99,900.00 54,000.00 54,000.00 27,000.00 249,480.00
3 15049284332 3306141207730001 BUDI MUSTOFA 12-07-1973 01-09-2015 3,200,000.00 0.00 7,680.00 9,600.00 118,400.00 64,000.00 64,000.00 32,000.00 295,680.00
4 12002928740 3671070812850003 DUDI MULYADI 08-12-1985 01-01-2012 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 277,200.00
5 18057906911 1407021301900002 FAHMED PRAWIHARJO 13-01-1990 01-08-2018 5,000,000.00 0.00 12,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 462,000.00
6 18057906929 3314102801660005 HARSONO 28-01-1966 01-08-2018 1,500,000.00 0.00 3,600.00 4,500.00 55,500.00 30,000.00 30,000.00 15,000.00 138,600.00
7 15041595693 3674061207800002 HERI SUDARMANTO 12-07-1980 01-08-2015 5,700,000.00 0.00 13,680.00 17,100.00 210,900.00 114,000.00 114,000.00 57,000.00 526,680.00
8 15041595677 3173080604560004 KARMADI 06-04-1956 01-08-2015 8,200,000.00 0.00 19,680.00 24,600.00 303,400.00 164,000.00 0.00 0.00 511,680.00
9 15041595701 3671091210770007 MAMAN ROHMANI 12-10-1977 01-08-2015 4,800,000.00 0.00 11,520.00 14,400.00 177,600.00 96,000.00 96,000.00 48,000.00 443,520.00
10 15041595727 3275022507780010 MOHAMMAD MUFTI 25-07-1978 01-08-2015 4,750,000.00 0.00 11,400.00 14,250.00 175,750.00 95,000.00 95,000.00 47,500.00 438,900.00
11 18057906960 3175101212550003 NYOTO 12-12-1955 01-08-2018 3,700,000.00 0.00 8,880.00 11,100.00 136,900.00 74,000.00 0.00 0.00 230,880.00
12 15041595784 3175022311770010 OPENDI 23-11-1977 01-08-2015 2,700,000.00 0.00 6,480.00 8,100.00 99,900.00 54,000.00 54,000.00 27,000.00 249,480.00
13 15041595743 3209082008690001 PULUNG 20-08-1968 01-08-2015 3,700,000.00 0.00 8,880.00 11,100.00 136,900.00 74,000.00 74,000.00 37,000.00 341,880.00
14 18057906903 3201021407920003 RIDWAN SALIM HAKIM S 14-07-1992 01-08-2018 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 277,200.00
15 15041595792 3209071612800009 RUSMANAP 16-12-1980 01-08-2015 2,700,000.00 0.00 6,480.00 8,100.00 99,900.00 54,000.00 54,000.00 27,000.00 249,480.00
16 15041595685 3275012903540004 SUHARJO IR 29-03-1954 01-08-2015 5,700,000.00 0.00 13,680.00 17,100.00 210,900.00 114,000.00 0.00 0.00 355,680.00
17 15041595768 3173086612800003 SURYANINGSIH 26-12-1980 01-08-2015 2,700,000.00 0.00 6,480.00 8,100.00 99,900.00 54,000.00 54,000.00 27,000.00 249,480.00
18 15041595719 3603011904810001 SUWONDO 19-04-1981 01-08-2015 4,800,000.00 0.00 11,520.00 14,400.00 177,600.00 96,000.00 96,000.00 48,000.00 443,520.00
19 18057906945 3671015910860006 WINDA ANNISANINGTIAS 19-10-1986 01-08-2018 7,000,000.00 0.00 16,800.00 21,000.00 259,000.00 140,000.00 140,000.00 70,000.00 646,800.00
20 15041595776 3671012407660002 YULIANTO 24-07-1966 01-08-2015 2,700,000.00 0.00 6,480.00 8,100.00 99,900.00 54,000.00 54,000.00 27,000.00 249,480.00
21 18057906937 3276022011900007 ZAKKY PATRIA YUDHA 20-11-1990 01-08-2018 2,500,000.00 0.00 6,000.00 7,500.00 92,500.00 50,000.00 50,000.00 25,000.00 231,000.00
22 14039128989 3271010608840005 ZULFIKAR DWITRA ARIFAN 06-08-1984 01-10-2014 4,800,000.00 0.00 11,520.00 14,400.00 177,600.00 96,000.00 96,000.00 48,000.00 443,520.00

Jumlah Seluruhnya 93,050,000.00 0.00 223,320.00 279,150.00 3,442,850.00 1,861,000.00 1,345,000.00 672,500.00 7,823,820.00

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

, 15 Mei 2020
Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan


15060575 SURANGGA PUTRA UTAMA SURANGGA PUTRA UTAMA 02 2020

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP


Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)

(Nama dan Tanda Tangan Pimpinan Perusahaan)


Jabatan :

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