Professional Documents
Culture Documents
Form Bpjs
Form Bpjs
%'#)"'
($!' $
$0$(0%(4,(4-$156$15,525,$5,#$'$+,64$
!!#"" !
$0$"1,6(4-$(5$67$1 2'("1,6(4-$
2024(1'$)6$4$1(0%(4,(4-$#$'$+,64$#
20241'7.(*$8$,$49$8$1 2.$5,(4-$$%73$6(126$
%#%'$)!&$))!$
2024$5324 $5$(4/$.7$5324
#!#! !
(8$4*$1(*$4$$1
$0$(1*.$3(.(4-$
!$1**$/$+,4
/$0$6(1*.$3(.(4-$
!#!
2!(/3+21(
/$0$60$,/
20242.2.#$-,%$-$.#
7%71*$1(4-$
! !"# #! !$1**$/07/$, 5'
"# ""#
#!! !$1**$/07/$,
"# ""#
"3$+5(%7/$1 3
(1,5(.(4-$$1$6$7.(*,$6$175$+$ $0,1$1(&(/$.$$1(4-$ $0,1$1(&(/$.$$1(4-$
"!!!"#"! %# $0,1$1$4,!7$ $0,1$1(0$6,$1
"! #"# %" $0,1$1(0$6,$1
(1,5(.(4-$$1 (1,5(.(4-$$1
2.$5,(.(4-$$1 2.$5,(.(4-$$1
(1*+$5,/$14$6$4$6$5(%7/$1 3
!"##" !"!"!% $
7%71*$1 $0$1**26$(/7$4*$ !*/$+,4 (1,5(/$0,1 (6(4$1*$1
2"476
(/7$4*$ # ##
"%" "# "# # ""#
!%% #"
7$0,564,
1$.
1$.
4$1*!7$$3$.
4$1*!7$%7
(4.(1$$13(19$03$,$1)2407/,43(1'$)6$4$1,1,5$9$0(19$6$.$1'(1*$15(571**7+19$%$+8$5$9$6(/$+0(1*,5,'$6$3$'$)2407/,4,1,%(4,.765(07$/$03,4$1'$1'2.70(13(1'7.71*/$,119$'(1*$1%(1$4'$1/(1*.$35(46$0(19$'$4,5(3(17+19$$.$1+$..(8$-,%$1
'$15(*$/$$.,%$63(19$03$,$1)2407/,4,1,6(40$57.5$1.5,5$1.5,5(57$,'(1*$1.(6(167$13(4$674$13(471'$1*71'$1*$19$1*%(4/$.7
!$1**$/
$0$
(.(4-$$/21(5(46$(5(46$