Form 1

Form Pengajuan Usulan Akrualisasi

Bulan : Maret 2023
Unit Bisnis : DIVISI WHOLESALE SERVICE

SATUAN /
NO NAMA VENDOR Dasar JENIS BARANG / JASA CURR JUMLAH DITERIMA SATUAN HARGA PER CURR JML USULAN AKRUAL ANGGARAN YANG NO & DESKRIPSI AKUN NO./DESKRIPSI AKUN COST CENTER /
BULAN INI (ESTIMASI) SATUAN ESTIMASI TERSEDIA BEBAN BYMHD ACTIVITY CODE
ESTIMASI

Surat Bali Tower Nomor

1 Bali Towerindo Sentra 001/BTS-MKT/I/2023 Estimasi SL Satelit Maret 2023 Bali Tower IDR 7,500,000,000 IDR 7,500,000,000 51364026 Manage Capacity 20603002 BYMHD Ophar T701Y21
tanggal 11 Januari 2023 Service

AMD IV -
2 Indonesia Comnet Plus 111/HK.820/DWS- Estimasi SL Satelit Maret 2023 ICON+ IDR 183,417,336 IDR 183,417,336 51364026 Manage Capacity 20603002 BYMHD Ophar T701Y21
A1000000/2021 tanggal Service
1 September 2021

3 Estimasi SL Satelit Maret 2023 Moratel IDR 1,229,429,727 IDR 1,229,429,727 51364026 Manage Capacity 20603002 BYMHD Ophar T701Y21
Service

AMD III -
4 Moratel 92/HK.820/DWS- Estimasi Link Surabaya-Bawean Maret 2023 IDR 360,586,205 IDR 360,586,205 51364026 Manage Capacity 20603002 BYMHD Ophar T701Y21
A1000000/2021 tanggal Moratel Service
19 Agustus 2021

51364026 Manage Capacity

5 Estimasi Link Tarempa-Jemaja Maret 2023 Moratel IDR 837,000,000 IDR 837,000,000 Service 20603002 BYMHD Ophar T701Y21

AMD II -
6 Tower Bersama 109/HK.820/DWS- 51364026 Manage Capacity 20603002 BYMHD Ophar
A1000000/2021 tanggal Estimasi Access Site Maret 2023 Tower Bersama IDR 590,378,667 IDR 590,378,667 Service T701Y21
1 September 2021

PKS - 93/HK.810/DWS-
7 Bali Telekom A0000000/2022 tanggal Estimasi Access Site Maret 2023 Bali Telekom IDR 7,250,000 IDR 7,250,000 51364026 Manage Capacity 20603002 BYMHD Ophar T701Y21
30 September 2022 Service

PKS - 94/HK.810/DWS- 51364026 Manage Capacity

8 Batavia Towerindo A0000000/2022 tanggal Estimasi Access Site Maret 2023 Batavia Towerindo IDR 1,750,000 IDR 1,750,000 Service 20603002 BYMHD Ophar T701Y21
30 September 2022

PKS - 92/HK.810/DWS- Estimasi Access Site Maret 2023 Mitrayasa Sarana 51364026 Manage Capacity 20603002 BYMHD Ophar
9 Mitrayasa Sarana Informasi A0000000/2022 tanggal IDR 16,833,334 IDR 16,833,334 T701Y21
30 September 2022 Informasi Service

PKS - 87/HK.810/DWS- Estimasi Access Site Maret 2023 Prima Media 51364026 Manage Capacity 20603002 BYMHD Ophar
10 Prima Media Selaras A0000000/2022 tanggal IDR 13,250,000 IDR 13,250,000 T701Y21
30 September 2022 Selaras Service

PKS - 95/HK.810/DWS-
11 Solu Sindo Kreasi Pratama A0000000/2022 tanggal Estimasi
Pratama
Access Site Maret 2023 Solu Sindo Kreasi IDR 343,683,334 IDR 343,683,334 51364026 Manage Capacity 20603002 BYMHD Ophar
Service T701Y21
30 September 2022

PKS - 88/HK.810/DWS- Estimasi Access Site Maret 2023 Solusi Menara 51364026 Manage Capacity
12 Solusi Menara Indonesia A0000000/2022 tanggal Indonesia IDR 72,675,000 IDR 72,675,000 Service 20603002 BYMHD Ophar T701Y21
30 September 2022

PKS - 89/HK.810/DWS- 51364026 Manage Capacity

13 Telenet Internusa A0000000/2022 tanggal Estimasi Access Site Maret 2023 Telenet Internusa IDR 11,666,667 IDR 11,666,667 Service 20603002 BYMHD Ophar T701Y21
30 September 2022

PKS - 86/HK.810/DWS-
14 Towerindo Konvergensi A0000000/2022 tanggal Estimasi Access Site Maret 2023 Towerindo IDR 22,850,000 IDR 22,850,000 51364026 Manage Capacity 20603002 BYMHD Ophar T701Y21
30 September 2022 Konvergensi Service

PKS - 90/HK.810/DWS- 51364026 Manage Capacity 20603002 BYMHD Ophar

15 Triaka Bersama A0000000/2022 tanggal Estimasi Access Site Maret 2023 Triaka Bersama IDR 4,500,000 IDR 4,500,000 T701Y21
30 September 2022 Service
 PKS - 91/HK.810/DWS-
16 United Towerindo A0000000/2022 tanggal Estimasi Access Site Maret 2023 United Towerindo IDR 6,750,000 IDR 6,750,000 51364026 Manage Capacity 20603002 BYMHD Ophar T701Y21
30 September 2022 Service

AMD I -
14/HK.820/DWS- 51364026 Manage Capacity
17 Solusi Tunas Pratama A1000000/2022 tanggal Estimasi Access Site Maret 2023 STP IDR 391,583,334 IDR 391,583,334 Service 20603002 BYMHD Ophar T701Y21
15 Maret 2022

PKS - 72/HK.810/DWS-
18 Profesional Telekomunikasi Indonesia A1000000/2021 tanggal Estimasi Access Site Maret 2023 Protelindo IDR 651,666,667 IDR 651,666,667 51364026 Manage Capacity 20603002 BYMHD Ophar T701Y21
22 Juni 2021 Service

PKS - 122/HK.810/DWS- 51364026 Manage Capacity

19 Centratama Group A1000000/2021 tanggal Estimasi Access Site Maret 2023 Centratama IDR 26,725,927 IDR 26,725,927 Service 20603002 BYMHD Ophar T701Y21
6 Oktober 2021

PKS - 30/HK.810/DWS- 51364026 Manage Capacity

20 Jaringan Mega Sedayu A0000000/2022 tanggal Estimasi Access Site Maret 2023 JMS IDR 10,475,436 IDR 10,475,436 Service 20603002 BYMHD Ophar T701Y21
15 Juni 2022

AMD VII -
21 Indosat 41/HK.820/DWS- Estimasi Penggunaan Indosat Sungai Pinyuh- IDR 540,559,260 IDR 540,559,260 51364026 Manage Capacity 20603002 BYMHD Ophar T701Y21
A1000000/2022 tanggal Sintang Maret 2023 Service
6 Juni 2022

-
Total IDR 12,823,030,894 IDR 12,823,030,894

Jakarta, 28 Maret 2023

Direview oleh Disetujui oleh: Diajukan oleh:
Mgr Finance Service Business 03 & Budget SSOF OSM Wholesale & Digital Solution DWS Off 1 Traffic Partnership

Tati Novianti Mieta Yudiandari Rakhmawati Fitri Putranti

NIK. 840171 NIK. 720418 NIK. 880064
Estimasi Akru Mitra Transmisi
Periode Maret 2023

No Mitra Pekerjaan Desember 2022 No Dok Januari 2023 No Dok Februari 2023
1 Bali Towerindo Sentra Estimasi SL Satelit Maret 2023 Bali Tower 7,500,000,000 001/BA/WDS/TRM/D 7,500,000,000 028/BA/WDS/TRM/D 7,500,000,000
2 ICON+ (Indonesia Comnet Plus) Estimasi SL Satelit Maret 2023 ICON+ 181,353,891 Akrue Desember 202 184,449,058 Akrue Januari 2023 184,449,058
3 Moratel Estimasi SL Satelit Maret 2023 Moratel 1,229,429,727 Akrue Desember 202 1,229,429,727 Akrue Januari 2023 1,229,429,727
4 Estimasi Link Surabaya-Bawean Maret 2023 Moratel 357,055,167 Akrue Desember 202 362,351,723 Akrue Januari 2023 362,351,723
5 Estimasi Link Tarempa-Jemaja Maret 2023 Moratel 837,000,000 Akrue Desember 202 837,000,000 Akrue Januari 2023 837,000,000
6 Tower Bersama Estimasi Access Site Maret 2023 Tower Bersama 595,212,000 012/BA/WDS/TRM/D 584,462,000 021/BA/WDS/TRM/D 591,462,000
7 Bali Telekom Estimasi Access Site Maret 2023 Bali Telekom 7,250,000 005/BA/WDS/TRM/D 7,250,000 015/BA/WDS/TRM/D 7,250,000
8 Batavia Towerindo Estimasi Access Site Maret 2023 Batavia Towerindo 1,750,000 004/BA/WDS/TRM/D 1,750,000 016/BA/WDS/TRM/D 1,750,000
9 Mitrayasa Sarana Informasi Estimasi Access Site Maret 2023 Mitrayasa Sarana Informasi 16,750,000 009/BA/WDS/TRM/D 17,000,000 017/BA/WDS/TRM/D 16,750,000
10 Prima Media Selaras Estimasi Access Site Maret 2023 Prima Media Selaras 13,250,000 007/BA/WDS/TRM/D 13,250,000 018/BA/WDS/TRM/D 13,250,000
11 Solu Sindo Kreasi Pratama Estimasi Access Site Maret 2023 Solu Sindo Kreasi Pratama 344,850,000 008/BA/WDS/TRM/D 343,600,000 019/BA/WDS/TRM/D 342,600,000

12 Solusi Menara Indonesia Estimasi Access Site Maret 2023 Solusi Menara Indonesia 72,675,000 011/BA/WDS/TRM/D 72,925,000 020/BA/WDS/TRM/D 72,425,000
13 Telenet Internusa Estimasi Access Site Maret 2023 Telenet Internusa 11,500,000 003/BA/WDS/TRM/D 11,500,000 022/BA/WDS/TRM/D 12,000,000
14 Towerindo Konvergensi Estimasi Access Site Maret 2023 Towerindo Konvergensi 22,850,000 002/BA/WDS/TRM/D 22,850,000 023/BA/WDS/TRM/D 22,850,000
15 Triaka Bersama Estimasi Access Site Maret 2023 Triaka Bersama 4,250,000 010/BA/WDS/TRM/D 4,500,000 024/BA/WDS/TRM/D 4,750,000
16 United Towerindo Estimasi Access Site Maret 2023 United Towerindo 6,750,000 006/BA/WDS/TRM/D 6,750,000 025/BA/WDS/TRM/D 6,750,000
17 STP Estimasi Access Site Maret 2023 STP 383,750,000 014/BA/WDS/TRM/D 395,500,000 029/BA/WDS/TRM/D 395,500,000
18 Protelindo Estimasi Access Site Maret 2023 Protelindo 639,750,000 013/BA/WDS/TRM/D 639,750,000 027/BA/WDS/TRM/D 675,500,000
19 Centratama Group Estimasi Access Site Maret 2023 Centratama 36,466,667 Akrue Desember 202 21,855,556 Akrue Januari 2023 21,855,556
20 JMS Estimasi Access Site Maret 2023 JMS 10,550,799 Akrue Desember 202 10,437,754 Akrue Januari 2023 10,437,754

21 Indosat Estimasi Penggunaan Indosat Sungai Pinyuh-Sintang Maret 545,000,000 011/BA/WDS/SARPEN 545,000,000 015/BA/WDS/SARPEN 531,677,778
2023
Total 12,817,443,251 12,811,610,818 12,840,038,596

Jakarta, 28 Maret 2023

OSM Wholesale & Digital Solution DWS Off 1 Traffic Partnership

Mieta Yudiandari Rakhmawati Fitri Putranti

NIK. 720418 NIK. 880064
 Estimasi Akru
No Dok Maret 2023
031/BA/WDS/TRM/DW 7,500,000,000
Akrue Februari 2023 183,417,336
Akrue Februari 2023 1,229,429,727
Akrue Februari 2023 360,586,205
Akrue Februari 2023 837,000,000
038/BA/WDS/TRM/DW 590,378,667
037/BA/WDS/TRM/DW 7,250,000
034/BA/WDS/TRM/DW 1,750,000
033/BA/WDS/TRM/DW 16,833,334
035/BA/WDS/TRM/DW 13,250,000
039/BA/WDS/TRM/DW 343,683,334

042/BA/WDS/TRM/DW 72,675,000
040/BA/WDS/TRM/DW 11,666,667
032/BA/WDS/TRM/DW 22,850,000
041/BA/WDS/TRM/DW 4,500,000
036/BA/WDS/TRM/DW 6,750,000
044/BA/WDS/TRM/DW 391,583,334
046/BA/WDS/TRM/DW 651,666,667
Akrue Februari 2023 26,725,927
Akrue Februari 2023 10,475,436

024/BA/WDS/SARPEN 540,559,260
12,823,030,894