Formulir 2a PU

BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

SS032276 MANNA JAYA MANNA JAYA 01 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 16004610966 3502171112840005 MJ-0473 ABD. GHOFUR 11-12-1984 01-01-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
2 19068842558 6474012803680001 ABDUL KADIR 28-03-1968 01-08-2019 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
3 15057259143 6474012803710001 MJ-0196 ABDUL KHAIR 28-03-1971 01-11-2015 4,500,000.00 0.00 78,300.00 13,500.00 166,500.00 90,000.00 90,000.00 45,000.00 483,300.00
4 19085997849 6474011509920005 MJ-0382 ABDUL RAHMAN NUR 15-09-1992 01-10-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
5 18114192653 6474021104810002 ABDUL SAMAD 11-04-1981 01-11-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
6 19032430852 1102011512040001 MJ-0683 ABDULLAH GANI 15-12-2004 01-02-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
7 16018707386 6201042903950001 MJ-0607 ADI PUTRA SIMANGUNSONG 29-03-1995 01-04-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
8 19018539148 6301040303790003 ADI YANOOR HIDAYATULLAH 03-03-1979 01-01-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
9 20003177779 6407091908730001 F1119104 AGUS KRISTIANTO 19-08-1973 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
10 18114192687 6402151408900002 AGUS SUHANDANA 14-08-1990 01-11-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
11 19043814664 1272020506820001 F0419046 AGUS TRIANUS 05-06-1982 01-05-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
12 17065822656 6474031708730003 MJ-0345 AGUSTINUS KALILI 17-08-1973 01-11-2017 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
13 20003177852 7318052508980003 F1119120 AGUSTINUS SONDA PAYUNG 25-08-1998 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
14 19035911650 6402020906730002 E01190183 AHMAD JONI 09-06-1973 01-03-2019 2,933,875.00 0.00 51,049.43 8,801.63 108,553.38 58,677.50 58,677.50 29,338.75 315,098.19
15 19018539213 7326141509840002 ALBERT TODING 15-09-1984 01-01-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
16 16026348918 6474030408830007 ALEXANDER 04-08-1983 01-06-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
17 19096031133 7316030601880002 mj-pkt009 ALFIAN 06-01-1988 01-11-2019 3,200,000.00 0.00 55,680.00 9,600.00 118,400.00 64,000.00 64,000.00 32,000.00 343,680.00
18 18030999355 6474030303720006 PKT-005 ALFIAN TAMPI 03-03-1972 01-03-2018 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
19 20003177662 6407060710940001 MJ-= ALFIN 07-10-1994 01-12-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
20 19068842715 6474031005580006 ALI SAID 10-05-1958 01-08-2019 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 0.00 0.00 270,900.00
21 19068842731 6474031201980009 ALLIF MURNIMAN RESXI 12-01-1998 01-08-2019 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
RAMADHAN
22 07S30007749 6474011310710002 0040207 ALWI 13-10-1971 01-03-2007 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
23 19068842681 7603101512940001 AMBRAM AMBAMA'DIKA 15-12-1994 01-08-2019 3,200,000.00 0.00 55,680.00 9,600.00 118,400.00 64,000.00 64,000.00 32,000.00 343,680.00
24 17001930365 6474032904640001 MJ-0103 AMIR SAHARA 29-04-1964 01-12-2016 3,600,000.00 0.00 62,640.00 10,800.00 133,200.00 72,000.00 72,000.00 36,000.00 386,640.00
25 16015594241 6402171608770002 MJ-0124 AMOS BANNE 16-08-1977 01-03-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
26 20003177670 6407092210820001 F1119106 AMPINIUS 22-10-1982 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
27 16022687061 6474011212740012 MJ-0294 AMRAN 12-12-1974 01-05-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
28 20003177696 6407092510000001 F1119118 AMRY 25-10-2000 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
29 17059758270 6402162707810006 ANDARIAS TOBAN 27-07-1981 01-07-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
30 16018707360 6474021207720007 MJ-0053 ANDI JAMALUDDIN 12-07-1972 01-04-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
31 15056214461 6408122203710001 ANDI NURFENDI 22-03-1971 01-10-2015 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
32 19059565416 6471032602900001 F0719063 ANDRI SETIAWAN 26-02-1990 01-07-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

SS032276 MANNA JAYA MANNA JAYA 01 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.)
33 19068842608 6474020912890006 ANDRIANSYAH 09-12-1989 01-08-2019 3,100,000.00 0.00 53,940.00 9,300.00 114,700.00 62,000.00 62,000.00 31,000.00 332,940.00
34 20003177753 7326171305950001 F1119112 ANGGI ARUNG MARRIN 13-05-1995 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
35 15057259176 6474027010900005 MJ-0584 ANGGI OCTAVIA IRAWAN 30-10-1990 01-11-2015 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
36 18030999306 6474026006900006 MJ-0645 ANNISA 20-06-1990 01-03-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
37 16004610982 6474030404670012 MJ-0030 ANTHON TANDI LOLOK 04-04-1967 01-01-2016 4,637,500.00 0.00 80,692.50 13,912.50 171,587.50 92,750.00 92,750.00 46,375.00 498,067.50
38 19068842517 6474011807740002 ANTON SUHEIRI 18-07-1974 01-08-2019 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
39 16043575840 7326080107760016 MJ-0225 ANTONIUS AMBALINGGI 01-07-1976 01-09-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
40 19035911544 7318380808930001 C02190195 ANTONIUS RESA 08-08-1993 01-03-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
41 17038342139 6474030309740001 MJ-0019 ANWAR 03-09-1974 01-12-2019 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
42 19068842707 6474010404730006 ARDIANSYAH 04-04-1973 01-08-2019 3,650,000.00 0.00 63,510.00 10,950.00 135,050.00 73,000.00 73,000.00 36,500.00 392,010.00
43 11002524491 6474010203650004 ARDIN AMIRUDDIN 02-03-1965 01-02-2011 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
44 19043814581 6407090610890001 F0419055 ARDIUS DUK 20-10-1989 01-05-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
45 17025089685 6474011206910003 PKT-0652 ARIFIN DWI PRAKOSO 12-06-1991 01-04-2019 4,000,000.00 0.00 69,600.00 12,000.00 148,000.00 80,000.00 80,000.00 40,000.00 429,600.00
46 11002524483 6474011106610004 ARIFUDDIN IBRAHIM 11-06-1961 01-02-2011 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 0.00 0.00 233,546.76
47 20003177811 6471051212760025 F1119117 ARKAS KENEDY 12-12-1976 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
48 19010548436 6402151012750001 B.1803.0147 ARMIN 10-12-1975 01-12-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
49 19068842657 6407051612980001 AWANG ADE SETIAWAN 16-12-1998 01-08-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
50 15056214388 6474010106730008 MJ-0224 BASRI 01-06-1973 01-10-2015 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
51 19035911734 7318312410930002 MHU-043 BUDI 24-10-1993 01-03-2019 2,933,875.00 0.00 51,049.43 8,801.63 108,553.38 58,677.50 58,677.50 29,338.75 315,098.19
52 16038760803 1102110210880001 F0419048 BUDI 02-10-1988 01-05-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
53 19085997864 3314170311930001 F1019100 BUDI SETIYO 03-11-1993 01-10-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
54 19035911668 6474020703810003 C05180120 BUDI SETYONO 07-03-1981 01-03-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
55 19068842699 6407091407840001 BUDI YANTO 14-07-1984 01-08-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
56 19077183333 6407092711840001 AF0419048 BUDI YANTO 16-06-1983 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
57 19032430837 1202090903840006 MJ-0681 CHARLY M. SILABAN 09-03-1984 01-02-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
58 19032430969 6474026310940002 MJ-0688 CLARISSA PRISCILA OMPI 23-10-1994 01-02-2019 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
59 19077183275 6474020401970007 CLEYSIA GILBERT B SUATAN 04-01-1997 01-09-2019 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
60 16015594316 6474033112570013 MJ-0054 DANGLA MASSA 31-12-1957 01-03-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 0.00 0.00 233,546.76
61 16004611055 6474030301790003 MJ-0221 DANIEL MARAMPA 03-01-1979 01-01-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
62 16004611006 6474030505730010 MJ-0106 DANIEL PASANG 05-05-1973 01-01-2016 3,200,000.00 0.00 55,680.00 9,600.00 118,400.00 64,000.00 64,000.00 32,000.00 343,680.00
63 19077183168 6407170406900001 F0919095 DARLANSYAH 04-06-1990 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
64 19039032248 6474034406680003 0004 DEBORA 04-06-1968 01-04-2019 2,933,099.00 0.00 51,035.92 8,799.30 108,524.66 58,661.98 58,661.98 29,330.99 315,014.83
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

SS032276 MANNA JAYA MANNA JAYA 01 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.)
65 18000705774 6474030604870003 MJ-0211 DEDI TANDIDATU 06-04-1987 01-12-2017 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
66 20003177829 6407093010850001 F1119119 DEDI. L 30-10-1985 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
67 15057259192 6474030510760001 MJ-0007 DEDY 05-10-1976 01-11-2015 3,700,000.00 0.00 64,380.00 11,100.00 136,900.00 74,000.00 74,000.00 37,000.00 397,380.00
68 14021583589 6474011512560005 MJ-0542 DELMAY MANULANG 15-12-1956 01-05-2014 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 0.00 0.00 232,200.00
69 18114192778 6474031504770007 C.1108.0029 DEMIANUS PUPPUN 15-04-1977 01-11-2018 4,200,000.00 0.00 73,080.00 12,600.00 155,400.00 84,000.00 84,000.00 42,000.00 451,080.00
70 19043814557 7318021404870003 F0419052 DENISON PANGGALO 14-04-1987 01-05-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
71 19035911684 6474032307720002 B03180114 DINER LIMBONG 23-07-1972 01-03-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
72 19068842673 6407092007920001 DODI GUNAWAN 20-06-1992 01-08-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
73 19053411278 6407171908810001 F0519060 EBIT GIADE 10-08-1981 01-06-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
74 19068842640 6472051412760004 EDI RACHMAN 14-12-1976 01-08-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
75 19032430944 6407071511690001 F0219032 EDMUNDUS 15-11-1969 01-02-2019 3,200,000.00 0.00 55,680.00 9,600.00 118,400.00 64,000.00 64,000.00 32,000.00 343,680.00
76 19018539247 6402060710730005 EDY WAHYUDI 07-10-1973 01-01-2019 2,933,875.00 0.00 51,049.43 8,801.63 108,553.38 58,677.50 58,677.50 29,338.75 315,098.19
77 19018539106 6407092609650001 EEF SYAIFUL 26-09-1965 01-01-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
78 18057566145 6408041411900006 MJ-0653 EGRIS EGON EBOIS 14-11-1990 01-05-2018 3,100,000.00 0.00 53,940.00 9,300.00 114,700.00 62,000.00 62,000.00 31,000.00 332,940.00
79 19077183242 7317092110980002 F0919085 EKA NUGRAH 21-10-1998 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
80 19077183143 7373060105940001 F0919097 EKO 01-05-1994 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
81 19043814656 6402021611850005 MHU-049 EKO ADAM SUNDORO 16-11-1985 01-05-2019 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
82 11010821103 3304122404850005 F0219020 EKO PURNOMO SIDYO 24-04-1985 01-03-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
83 19018539270 6474032602990003 ELIYESER BIRA 26-02-1999 01-01-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
84 16027866215 6474020201710005 MJ-0235 ELVIES JANES TANGEL 02-01-1971 01-07-2016 4,000,000.00 0.00 69,600.00 12,000.00 148,000.00 80,000.00 80,000.00 40,000.00 429,600.00
85 19032430829 1671016312700004 F0219025 ELVINA RUSYANTI 23-12-1970 01-02-2019 3,100,000.00 0.00 53,940.00 9,300.00 114,700.00 62,000.00 62,000.00 31,000.00 332,940.00
86 19068842475 7326151804980001 ELVIS PAREANG 18-04-1998 01-08-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
87 18030999397 6402022805970001 MHU-001 ERIK HERMAWAN 28-05-1997 01-03-2018 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
88 18084049594 6474030806870002 MJ-0666 ERWINSYAH EKA RUSZENDY 08-06-1987 01-10-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
89 14044660034 1209090608030007 MJ-0563 FENDY FERNANDA 06-08-2003 01-11-2014 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
90 09020051489 6474032911840003 FERNANDES TANDI PAYUNG 29-11-1984 01-10-2009 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
91 18114192638 5310120605840002 FILIPUS LESTIN NERI 06-05-1984 01-11-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
92 19032430928 6402171111940004 MJ-0680 FREDY PALAU 11-11-1994 01-02-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
93 19077183135 6407080405940002 F0919096 GUSTI RANDA 04-05-1994 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
94 19039032255 6474031907780002 C07140059 HAMBREY KOHLER 19-07-1978 01-04-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
MONINGKA
95 16026348967 6474030501900005 MJ-0457 HANDY MURSITO 05-01-1990 01-06-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
MASKISTIANTO
96 13003725994 6408131008860007 MJ-0405 HARNOTO 10-08-1986 01-01-2013 3,100,000.00 0.00 53,940.00 9,300.00 114,700.00 62,000.00 62,000.00 31,000.00 332,940.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

SS032276 MANNA JAYA MANNA JAYA 01 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.)
97 19059565432 6474010305790006 HASBULLAH 03-05-1979 01-07-2019 3,300,000.00 0.00 57,420.00 9,900.00 122,100.00 66,000.00 66,000.00 33,000.00 354,420.00
98 16010988075 6474023005850002 MJ-0109 HAWI IBRAHIM 30-05-1985 01-02-2016 3,200,000.00 0.00 55,680.00 9,600.00 118,400.00 64,000.00 64,000.00 32,000.00 343,680.00
99 18069615971 6402061301780008 MHU-010 HENDRY FAY RITONGA 13-01-1978 01-08-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
100 20003177738 6407090401820001 F1119116 HERI SANTOSO 04-01-1982 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
101 19035911569 6407110708850001 F0319045 HERMAN 07-08-1985 01-03-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
102 19077183192 5206070107971157 F0919089 HERMAN 01-07-1997 01-09-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
103 19010548410 7326080204880001 F.1810.0192 HERMANTHO 02-04-1988 01-12-2018 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
104 20003177761 6407160510850001 F1119111 HERY 05-10-1985 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
105 20003177704 7318051401980003 F1119121 HERYANTO SIANG TANGKE 14-01-1998 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
106 18057566129 3504144503870003 MJ-0654 HIDAYATUL ANWAROTI 05-03-1987 01-05-2018 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
107 18114192760 6407090612750001 HILARIUS HILMAN 06-12-1975 01-11-2018 4,000,000.00 0.00 69,600.00 12,000.00 148,000.00 80,000.00 80,000.00 40,000.00 429,600.00
108 19035911676 6472041505890004 MHU-041 IBNU MUHAMMAD ARBAIN 15-05-1989 01-03-2019 2,933,875.00 0.00 51,049.43 8,801.63 108,553.38 58,677.50 58,677.50 29,338.75 315,098.19
109 19018539064 6474031508780009 IGNASIUS R AFRIANUS 15-08-1978 01-01-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
110 17023036324 6408040101920016 MJ-0145 IGNATU PAPA LANGI 01-01-1992 01-04-2017 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
111 19032430886 7317090303910001 F0219029 IRVAN BARA 20-10-1994 01-02-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
112 17004212019 6474021110850004 MJ-0549 IRWAN JUNED SINAGA 11-10-1985 01-01-2017 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
113 19043814532 6407090805720001 F0419054 ISWANTO 08-05-1972 01-05-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
114 19032430936 6402173004940003 MJ-0684 JAMAL 31-07-1994 01-02-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
115 18004682581 6474012103810004 MJ-0501 JAMALUDDIN 21-03-1981 01-01-2018 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
116 20003177845 6407090710750001 F1119115 JAMALUDI 07-10-1975 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
117 18000705782 6474010303740006 MJ-0333 JAMES SIMANJUNTAK 03-03-1974 01-12-2017 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
118 05JA0043957 6407092805700001 F0319039 JAMI 28-05-1970 01-03-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
119 19032430910 7318110401960003 MJ-0685 JANRIANTO 04-01-1996 01-02-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
120 19068842665 6407202901830001 JANUAR ARIE WARDHANA 29-01-1983 01-08-2019 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
121 16027866231 6474031501890007 MJ-0599 JEFRI PATULAK 15-01-1989 01-07-2016 2,933,099.00 0.00 51,035.92 8,799.30 108,524.66 58,661.98 58,661.98 29,330.99 315,014.83
122 08S30005683 6474030707710006 0070208 JEFRY PADANG 07-07-1971 01-01-2008 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
123 13034944622 3578262402730001 MJ-0420 JENRI TANUDJAJADI 24-02-1973 01-07-2013 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
124 17056307584 6402171310810002 MJ-0011 JHON BADDU 13-10-1981 01-10-2017 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
125 16010988042 6474031006840003 MJ-0069 JONI BALA LEMBANG 10-06-1984 01-02-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
126 19035911601 6407090505840001 F0319040 JUNAIDI 05-05-1984 01-03-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
127 19068842566 6474010412980007 JUSMAN 04-12-1998 01-08-2019 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
128 19018539155 6407092512800001 KASMO 25-12-1980 01-01-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

SS032276 MANNA JAYA MANNA JAYA 01 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.)
129 20003177712 6407110609950001 F1119113 KORNELIUS YOKO 06-09-1995 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
130 19035911502 6407092208840001 F0219016 KURNELIUS KUDUS 22-08-1984 01-03-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
131 19068842632 3506100208700005 LAMIRAN 02-08-1970 01-08-2019 3,650,000.00 0.00 63,510.00 10,950.00 135,050.00 73,000.00 73,000.00 36,500.00 392,010.00
132 16026348959 6408131109880004 MJ-0519 MAHMUD 11-09-1988 01-06-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
133 18030999389 6402022612960007 MHU-003 MARDINATA NURCAHYONO 26-12-1996 01-03-2018 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
PUTRA
134 12007513398 6474030203790002 MARIANO TANDI PAYUNG 02-03-1979 01-02-2012 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
135 16004610933 6474021702810004 MJ-0267 MARIANUS PIA 17-02-1981 01-01-2016 3,200,000.00 0.00 55,680.00 9,600.00 118,400.00 64,000.00 64,000.00 32,000.00 343,680.00
136 20003177688 6407090703810001 F1119103 MARKOS 28-03-1982 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
137 19059565440 6474033103670001 MARKUS LALLO 31-03-1967 01-07-2019 3,200,000.00 0.00 55,680.00 9,600.00 118,400.00 64,000.00 64,000.00 32,000.00 343,680.00
138 19068842483 6474031803950002 MARNEKS MAELISSA 18-03-1995 01-08-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
139 18063742144 6408131808830004 MJ-0658 MARTHEN LUTER 18-08-1983 01-07-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
140 19068842723 7318292201970001 MARTINUS JONO 22-01-1997 01-08-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
141 19068842467 7317091407950001 MARTINUS PATASIK 14-07-1995 01-08-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
142 13034907348 6474031512710002 MARURA PONGMALU 15-12-1971 01-06-2013 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
143 16015594282 6474030102740001 MJ-0172 MATHIUS TANGGA 01-02-1974 01-03-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
144 17024339297 6409040504670002 MJ-0085 MATIUS MATO 05-04-1967 01-05-2017 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
145 16022687053 7318282107910001 MJ-0608 MATIUS TARUK BULAWAN 21-07-1991 01-05-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
146 19014367940 6471057101810010 MAULIDHA KESUMA 31-01-1981 01-08-2019 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
147 16004610925 6474030707810004 MJ-0282 MEDI BUNGA 07-07-1981 01-01-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
148 19010548451 6402171505830001 D.1109.0035 MEIKSI SANDA LEMBANG 15-05-1983 01-12-2018 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
149 17029321316 6402170805750002 MJ-0615 MESIAS DAMA 08-05-1975 01-06-2017 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
150 15057259325 6402171711780001 MJ-0594 MICHAEL PAKASI 17-11-1978 01-11-2015 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
151 19068842624 6407080212980002 MICKAEL ARI IRAWAN 02-12-1998 01-08-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
152 19068842459 6474031905980003 MIKA KRISTIAN 19-05-1998 01-08-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
153 12007513380 3311091504670004 MOCHAMAD ANDRIAN MUSA 15-04-1967 01-02-2012 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
154 19035911528 6407093009960002 F0219015 MOHAMMAD RASYID 30-09-1997 01-03-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
155 17016768313 6474031406790001 MJ-0631 MUHAMAD HARUN TRIAJI 14-06-1979 01-03-2017 4,000,000.00 0.00 69,600.00 12,000.00 148,000.00 80,000.00 80,000.00 40,000.00 429,600.00
156 19032430951 6474011403620001 MHU-039 MUHAMMAD BUCHORI 14-03-1962 01-02-2019 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 0.00 0.00 387,000.00
157 16027866256 6474022010790003 MJ-0342 MUHAMMAD IDRIS 20-10-1979 01-07-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
158 19068842582 6474022007700003 MUHAMMAD IDRUS 20-07-1970 01-08-2019 6,000,000.00 0.00 104,400.00 18,000.00 222,000.00 120,000.00 120,000.00 60,000.00 644,400.00
159 18078839125 6402062205950002 MHU-010 MUHAMMAD ISA ANSARI 22-05-1995 01-09-2018 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
160 19068842749 6474022512750006 MUHAMMAD RAPPE 25-12-1975 01-08-2019 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

SS032276 MANNA JAYA MANNA JAYA 01 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.)
161 13012783786 7308133112700012 MJ-0416 MURSALIN 31-12-1970 01-03-2013 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
162 16015594274 6474011605720004 MUSTAKIM 16-05-1972 01-03-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
163 19035911577 6474032111860001 A02190207 NABER ROMBE SAMPE 21-11-1986 01-03-2019 2,933,099.00 0.00 51,035.92 8,799.30 108,524.66 58,661.98 58,661.98 29,330.99 315,014.83
164 16015594258 6474011912830002 MJ-0603 NAJMUL FU'AD YASIN 19-12-1983 01-03-2016 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
165 12036151368 6474021004840006 MJ-0356 NALVY 10-04-1984 01-09-2012 3,600,000.00 0.00 62,640.00 10,800.00 133,200.00 72,000.00 72,000.00 36,000.00 386,640.00
166 15025911320 6474021705880002 B-0001 NASRUL ROSI 17-05-1988 01-02-2015 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
167 12016892353 6474012412750004 NATANAEL NILSON 24-12-1975 01-05-2012 4,000,000.00 0.00 69,600.00 12,000.00 148,000.00 80,000.00 80,000.00 40,000.00 429,600.00
168 18114192604 6474021309820003 NINDAR YUSUF 13-09-1982 01-11-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
169 19018539171 6105044711690001 NIUS SUSANTI 07-11-1969 01-01-2019 4,000,000.00 0.00 69,600.00 12,000.00 148,000.00 80,000.00 80,000.00 40,000.00 429,600.00
170 17065822672 6405020910880001 MJ-0486 NOBER 09-10-1988 01-11-2017 3,250,000.00 0.00 56,550.00 9,750.00 120,250.00 65,000.00 65,000.00 32,500.00 349,050.00
171 19068842574 6474030810740003 NOBERT ROMBE 08-10-1974 01-08-2019 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
172 19053411286 6407090407850001 F0619061 NOLDI AMSENIUS 04-07-1985 01-06-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
173 19068842491 6407065509920001 NOORYANI JOHAN 15-09-1992 01-08-2019 3,100,000.00 0.00 53,940.00 9,300.00 114,700.00 62,000.00 62,000.00 31,000.00 332,940.00
174 19018539197 6472011611880001 NOVI REZA ADITYA SAPUTRA 16-11-1988 01-01-2019 2,933,875.00 0.00 51,049.43 8,801.63 108,553.38 58,677.50 58,677.50 29,338.75 315,098.19
175 17056307626 6474022511870004 MJ-0371 NOVLY FERNANDO 25-11-1987 01-10-2017 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
TATENGKENG
176 18084049560 6474020608840008 mj-0665 NURDIN 06-08-1984 01-10-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
177 19032430845 6407091607760001 F0219028 NURHIDAYAT 16-07-1976 01-02-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
178 11030319534 6474031012780003 OBET NEGO LAMBE' 10-12-1978 01-09-2011 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
179 19043814516 7318050110990001 F0419050 OKTOPIANUS PALOSONG 01-10-1999 01-05-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
180 12009150520 7326082503650001 PADANG TANGKE LEMBANG 25-03-1965 01-03-2012 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
181 18063742169 7308160912930001 MJ-0655 PAISAL JABBAR 09-12-1993 01-07-2018 3,100,000.00 0.00 53,940.00 9,300.00 114,700.00 62,000.00 62,000.00 31,000.00 332,940.00
182 18004682615 6474022709570002 003MPM PANTOUW LANGUJU 27-09-1957 01-01-2018 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 0.00 0.00 232,200.00
183 16022687137 6474030603890006 MJ-0115 PARAWANSA 06-03-1989 01-05-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
184 19059565408 5319060101920002 MJ-0693 PATRISIUS JEGAUT 01-01-1992 01-07-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
185 12009150538 6474021707760004 MJ-0299 PAUBA SINAMBELA 17-07-1976 01-03-2012 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
186 20003177795 6402061003930006 F1119110 PAULUS YUDI 10-03-1993 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
187 19043814680 6407090803710001 F0219031 PENYAWER.ST 08-03-1971 01-05-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
188 19035911510 6407140502950001 F0219017 PERRI SETIAWAN 05-02-1995 01-03-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
189 12003819310 6474030107890015 PETRUS BALA LEMBANG 01-07-1989 01-01-2012 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
190 19077183259 6474021712800006 MJ-0696 PETRUS JEPRIANUS 17-12-1980 01-09-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
191 18114192596 6474030810720003 PETRUS TANDI BUTTU 08-10-1972 01-11-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
192 19077183226 6472010604800001 F0919091 PETRUS TURU' 06-04-1980 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

SS032276 MANNA JAYA MANNA JAYA 01 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.)
193 19043814508 6407092712840001 F0419049 PITHER LUMBA 27-12-1984 01-05-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
194 17048359602 6474024509940003 RENY SURYANI SITORUS 05-09-1994 01-01-2019 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
195 14013945291 6474022006730002 MJ-0532 REZEKI MANIK 20-06-1973 01-02-2014 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
196 19035911742 6408131708830004 C10180146 RICKY ENDANI T. 17-08-1983 01-03-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
197 20003177746 6407110502980002 F1119114 RIKADAUS TOBIT 05-02-1998 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
198 19068842616 6402030403910001 RINTO HUTAURUK 04-03-1991 01-08-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
199 19077183184 6407071805010003 F0919094 RINTO MATEO 18-05-2001 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
200 19077183176 6407090109950001 F0919093 RISEN 01-09-1995 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
201 11002524467 6474032606920005 RISKI ALPIANTO 26-06-1992 01-02-2011 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
202 19096031125 6471022706890004 MJ-0703 RISMAN, ST 27-06-1989 01-11-2019 4,000,000.00 0.00 69,600.00 12,000.00 148,000.00 80,000.00 80,000.00 40,000.00 429,600.00
203 18114192661 7312011109890003 RISWADIL 11-09-1989 01-11-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
204 19077183150 7308180112990002 MHU-037 RISWAN 05-10-1996 01-09-2019 2,933,875.00 0.00 51,049.43 8,801.63 108,553.38 58,677.50 58,677.50 29,338.75 315,098.19
205 19068842509 7317181903960002 RISWANTO 30-03-1996 01-08-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
206 19035911585 6409040912650002 C02190206 RIVAI SALIM 09-12-1965 01-03-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
207 15056214404 6474020412780004 MJ-0622 RIWALA 10-06-1978 01-10-2015 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
208 19043814474 6471053010710002 A05190219 RIZAL WIRANDI 30-10-1971 01-05-2019 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
209 09013614624 6472050807770011 ROBYN TIKUTADUNGAN 08-07-1977 01-07-2009 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
210 19035911718 6402030204900005 MHU-045 ROHADI TANOYO 02-04-1990 01-03-2019 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
211 17055747855 6474030303910005 MJ-0702 RONA FERDIAN 03-03-1991 01-11-2019 4,000,000.00 0.00 69,600.00 12,000.00 148,000.00 80,000.00 80,000.00 40,000.00 429,600.00
212 19077183291 6407080612800001 F0919083 RUDI 06-12-1980 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
213 20003177720 6407060909920001 F1119107 RUDI HENDRA 09-09-1992 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
214 18000705758 6408132006940001 MJ-0642 RUSDIANTO 20-06-1994 01-12-2017 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
215 17056307634 6474010106830004 MJ-0494 RUSLAN 01-06-1983 01-10-2017 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
216 18084049602 6474022812960005 MJ-0663 RUSMAN RAHMAN FAUZI 28-12-1996 01-10-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
217 18030999330 6474010906970008 PKT-004 SAFARUDDIN 09-06-1997 01-07-2019 3,200,000.00 0.00 55,680.00 9,600.00 118,400.00 64,000.00 64,000.00 32,000.00 343,680.00
218 18030999405 6402020709950005 MHU-002 SAFRUDIN 07-09-1995 01-03-2018 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
219 16022687079 6474011006770008 MJ-0248 SAHARUDDIN 10-06-1977 01-05-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
220 19077183283 6474020303790009 MJ-0694 SALESIUS RAHA 03-03-1979 01-09-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
221 18078839109 6474022404770004 SANDI TANDI PAYUNG 24-04-1977 01-09-2018 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
222 19077183200 6407091108870001 F0919098 SAPDINKAM RIZALI 11-08-1987 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
223 19043814540 6407080709790001 F0419056 SELANI 07-09-1979 01-05-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
224 16051654859 6474021005650016 MJ-0638 SEMUEL KOLOAY 10-05-1965 01-11-2016 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

SS032276 MANNA JAYA MANNA JAYA 01 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.)
225 15056214370 6474032606720001 MJ-0026 SEMUEL MUSA PULUNG 26-06-1972 01-10-2015 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
226 19085997856 1271110809780001 MJ-0700 SEPTARIO RAJAGUKGUK 08-09-1978 01-10-2019 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
227 19077183267 6407111804970001 F0919087 SETARIA KARDINATA 18-11-1997 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
228 17046708263 6408040101770027 MJ-0205 SETI PAEMBONAN 01-01-1977 01-09-2017 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
229 19068842533 6474032703970003 SIBARANI YOSUA LAMHOT 27-03-1997 01-08-2019 3,100,000.00 0.00 53,940.00 9,300.00 114,700.00 62,000.00 62,000.00 31,000.00 332,940.00
230 08015242327 6408132903780001 MJ-0027 SIDUPPA 29-03-1978 01-09-2008 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
231 20003177787 6407092001930001 F1119109 SIKWO WIJI SANTOSO 20-01-1993 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
232 12029956237 6474030309800004 D13010071 SINI BUNGA 03-09-1980 01-11-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
233 19032430902 6407070311810002 F0219027 SINYUL 03-11-1981 01-02-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
234 19077183317 6474012101910006 MJ-0699 SIPRIANUS SON 21-01-1991 01-09-2019 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
235 19043814490 6407090101830003 F0419047 SIRIN 01-01-1983 01-05-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
236 17016768321 6474012603720001 MJ-0625 SRI HARDONO 26-03-1972 01-03-2017 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
237 17056307618 2171040909680010 MJ-0175 STENA BEDA 09-09-1968 01-10-2017 2,933,875.00 0.00 51,049.43 8,801.63 108,553.38 58,677.50 58,677.50 29,338.75 315,098.19
238 19043814565 6407091409720001 F0419058 STEPI 14-09-1972 01-05-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
239 18114192646 7171091406770001 STEVI WAHYU JURICO 14-06-1977 01-11-2018 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
JACOBUS
240 16004610941 6474032002830005 MJ-0233 SUARLIN 20-02-1983 01-01-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
241 18069615997 7318282301940001 MJ-0659 SUDARMAN SAMBOLANGI 23-01-1994 01-08-2018 3,725,000.00 0.00 64,815.00 11,175.00 137,825.00 74,500.00 74,500.00 37,250.00 400,065.00
242 18057566137 6472030908780010 MJ-0655 SUDARWADI 09-08-1978 01-05-2018 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
243 16026349015 6408131501790001 MJ-0157 SUFYAN NUR N. 15-01-1979 01-06-2016 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
244 19035911494 6407091311940001 F0219018 SUJIANTO 13-11-1994 01-03-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
245 13034944580 3216052810880001 MJ-0453 SUKIRMAN 28-10-1988 01-07-2013 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
246 19018539130 6407090203840001 SUMARDI 02-03-1984 01-01-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
247 18084049586 6402060401830002 SUPARJO 04-01-1983 01-10-2018 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
248 13012783778 3520073101840001 MJ-0467 SUPARNO 31-01-1984 01-03-2013 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
249 20003177803 7318113011990001 F1119105 SURIANTO RUKKA 30-11-1999 01-12-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
250 18030999371 6402021308940004 MHU-004 SURYA 13-08-1994 01-03-2018 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
251 18004682599 6474034403790001 MJ-0046 SUSANA MARLINA 04-03-1979 01-01-2018 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
252 19077183309 6407090905850001 F0919088 SYAHLAN 09-05-1985 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
253 09017821530 6402171504780001 TAMMU 15-04-1978 01-09-2009 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
254 01100029261 6474031408660001 THOMAS 14-08-1966 01-07-2001 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
255 18030999348 6402172308760001 MJ-0005 THOMAS BARA LANGI 23-08-1976 01-03-2018 4,800,000.00 0.00 83,520.00 14,400.00 177,600.00 96,000.00 96,000.00 48,000.00 515,520.00
256 15057259341 6474030304740005 MJ-0548 TIMBUL SUTAJI 03-04-1974 01-11-2015 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

SS032276 MANNA JAYA MANNA JAYA 01 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.)
257 19077183234 1205161506940004 F0919090 TONI HARAPAN TAMBA 15-06-1994 01-09-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
258 18084049651 6402021203880001 TOTO PRASETYO 12-03-1988 01-10-2018 2,933,875.00 0.00 51,049.43 8,801.63 108,553.38 58,677.50 58,677.50 29,338.75 315,098.19
259 19068842541 7317174301700001 TRI NUARI P. LEMONGAN 03-01-1993 01-08-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
260 19068842525 6474010709660001 TUKIRIN 07-09-1966 01-08-2019 3,650,000.00 0.00 63,510.00 10,950.00 135,050.00 73,000.00 73,000.00 36,500.00 392,010.00
261 19032430878 6407092212750001 F0319035 UNTUNG SUGIARTO 22-12-1975 01-02-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
262 19077183341 6407091012850001 F0919086 VICKY ARPANI 10-12-1985 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
263 19059565424 1202012009750002 F0719064 VIKTOR PARLINDUNGAN 20-09-1975 01-07-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
SIMARANGKIR
264 10027385391 6474012102740001 WARAS SUGITO 21-02-1974 01-11-2010 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
265 09007544167 6474035602800001 WILHELMINA ADIPOETRA 16-02-1980 01-03-2009 5,000,000.00 0.00 87,000.00 15,000.00 185,000.00 100,000.00 100,000.00 50,000.00 537,000.00
266 19035911619 6407092408830002 F0319036 WINDRA MADAR 24-08-1983 01-03-2019 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
267 19032430811 6474030504700005 F0219024 YAKOBUS 05-04-1970 01-02-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
268 19035911635 6407091212680001 F0319038 YEHESKIA 12-12-1968 01-03-2019 3,165,000.00 0.00 55,071.00 9,495.00 117,105.00 63,300.00 63,300.00 31,650.00 339,921.00
269 10014752918 6474032211720002 YEHIAL BIRA 22-11-1972 01-06-2010 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
270 19018539239 6402021006790004 YOHANES 10-06-1979 01-01-2019 2,933,875.00 0.00 51,049.43 8,801.63 108,553.38 58,677.50 58,677.50 29,338.75 315,098.19
271 19068842442 6407072804810001 YOHANES HENDRA VIRA 28-04-1981 01-08-2019 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
272 18069615989 6474032106800005 MJ-0656 YOHANIS ARIPIN 21-06-1980 01-08-2018 3,500,000.00 0.00 60,900.00 10,500.00 129,500.00 70,000.00 70,000.00 35,000.00 375,900.00
273 19018539114 6472060504700003 YOHANIS MONGAN 05-04-1970 01-01-2019 3,200,000.00 0.00 55,680.00 9,600.00 118,400.00 64,000.00 64,000.00 32,000.00 343,680.00
274 19043814524 6471011701860001 F0419051 YOHANIS SYLE PAMASI 17-01-1986 01-05-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
275 09010891621 6407070410700001 YOSEF ABRAHAM KAINAMA 04-10-1970 01-11-2018 4,000,000.00 0.00 69,600.00 12,000.00 148,000.00 80,000.00 80,000.00 40,000.00 429,600.00
276 19068842590 6474031305790005 YOSEPH EDISON 13-05-1979 01-08-2019 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
277 13044209610 3507121911840001 YUFRAN SURYANA 19-11-1984 01-10-2013 3,100,000.00 0.00 53,940.00 9,300.00 114,700.00 62,000.00 62,000.00 31,000.00 332,940.00
278 18114192752 6407051604780001 YULIANUS 16-04-1978 01-11-2018 4,000,000.00 0.00 69,600.00 12,000.00 148,000.00 80,000.00 80,000.00 40,000.00 429,600.00
279 19018539098 6407091505820002 YULIUS PONGO 15-05-1982 01-01-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
280 20003177837 7326016906870001 YUSRIANI LAA BAAN 29-06-1987 01-12-2019 3,000,000.00 0.00 52,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 322,200.00
281 13044785692 7318272410910001 YUSUF SARIRA 24-10-1991 01-12-2013 3,017,400.00 0.00 52,502.76 9,052.20 111,643.80 60,348.00 60,348.00 30,174.00 324,068.76
282 19077183325 6407090510740001 F0919084 ZAINUDIN 05-10-1974 01-09-2019 3,080,000.00 0.00 53,592.00 9,240.00 113,960.00 61,600.00 61,600.00 30,800.00 330,792.00
283 18030999413 6408131509870001 MJ-0648 asbudi 15-09-1987 01-03-2018 4,000,000.00 0.00 69,600.00 12,000.00 148,000.00 80,000.00 80,000.00 40,000.00 429,600.00

Jumlah Seluruhnya 925,992,472.00 0.00 16,112,269.00 2,777,977.00 34,261,721.00 18,519,849.00 18,109,153.00 9,054,576.00 98,835,545.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

SS032276 MANNA JAYA MANNA JAYA 01 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.)
Keterangan , 22 Januari 2020
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