1-9022022 Akua

<table>
<tr>
<td>Program Asuransi</td>
<td>: AKUA</td>
</tr>
<tr>
<td>FID Program</td>
<td>: Asuransi Flexas BRINS || Asuransi Flexas BRINS + Gempa || Asuransi
Kendaraan BRINS Comprehensive || Asuransi Kendaraan BRINS TLO || Asuransi Kendaraan
BRINS Comprehensive + Perluasan || Asuransi Kendaraan BRINS TLO + Perluasan ||
Asuransi Property All Risk BRINS || Asuransi Property All Risk BRINS + Gempa ||
Asuransi Heavy Equipment BRINS TLO || Asuransi Heavy Equipment BRINS Comprehensive
|| Asuransi Machinery Breakdown BRINS</td>
</tr>
<tr>
<td>Tanggal Awal</td>
<td>: 2022-02-01</td>
</tr>
<tr>
<td>Tanggal Akhir</td>
<td>: 2022-02-09</td>
</tr>
<tr>
<td>Tanggal Export Data</td>
<td>: 10/02/2022</td>
</tr>
</table>
<br>
<table>
<thead>
<tr>

<th>NomorPeserta</th>
<th>Tanggal Transaksi</th>
<th>UnitCode</th>
<th>UnitDesc</th>
<th>BranchCode</th>
<th>BranchDesc</th>
<th>RegionCode</th>
<th>RegionDesc</th>
<th>FIDProgram</th>
<th>NamaProgram</th>
<th>JenisAsuransi</th>
<th>NominalPremi</th>
<th>NominalFeeCovering</th>
<th>NominalPajakCovering</th>
<th>TanggalMulaiCovering</th>
<th>TanggalAkhirCovering</th>
<th>JenisPengajuan</th>
<th>JenisCovering</th>
<th>CBrins</th>
<th>NomorRekeningGiroPremi</th>
<th>NamaRekeningGiroPremi</th>
<th>OriginalTellerPremiumDate</th>
<th>OriginalTellerFeeDate</th>
<th>RemarkPremi</th>
<th>RemarkFeePremi</th>
<th>FIDAgunan</th>
<th>No Polis Utama</th>
<th>Tanggal Polis Utama</th>
<th>No Polis Gempa</th>
<th>Tanggal Polis Gempa</th>
</tr>
</thead>
<tbody>
<tr>

<td>'20220200511170083000001</td>
<td>2022-02-03 10:59:54.000</td>
<td>'0051</td>
<td>KC Malang Kawi</td>
<td>'0051</td>
<td>R</td>
<td>KANWIL MALANG </td>
<td>83</td>
<td>Asuransi Flexas BRINS</td>
<td>Asuransi Kebakaran</td>
<td>274782.00</td>
<td>24072.00</td>
<td>2407.00</td>
<td>2022-02-03</td>
<td>2026-02-03</td>
<td>New</td>
<td>Conditional Automatic Cover</td>
<td>117</td>
<td>'005101001519308</td>
<td>PT BRI ASURANSI INDONESIA</td>
<td>2022-02-03 10:59:54.000</td>
<td>2022-02-03 10:59:54.000</td>
<td>BRISURF_COV_000083_000000014636866_01</td>
<td>BRISURF_COV_000083_000000014636866_01</td>
<td>'14636866</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220200511170083000002</td>
<td>2022-02-03 11:00:37.000</td>
<td>'0051</td>
<td>'0051</td>
<td>R</td>
<td>83</td>
<td>363042.00</td>
<td>32095.00</td>
<td>3209.00</td>
<td>2022-02-02</td>
<td>2026-02-02</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-03 11:00:37.000</td>
<td>2022-02-03 11:00:37.000</td>
<td>BRISURF_COV_000083_000000014634896_01</td>
<td>BRISURF_COV_000083_000000014634896_01</td>
<td>'14634896</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220212471170083000001</td>
<td>2022-02-08 14:25:22.000</td>
<td>'1247</td>
<td>KCP TLOGO MAS</td>
<td>'0579</td>
<td>KC Malang Soekarno Hatta</td>
<td>R</td>
<td>83</td>
<td>598323.00</td>
<td>53484.00</td>
<td>5348.00</td>
<td>2022-02-08</td>
<td>2027-02-08</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-08 14:25:22.000</td>
<td>2022-02-08 14:25:22.000</td>
<td>BRISURF_COV_000083_000000014648198_01</td>
<td>BRISURF_COV_000083_000000014648198_01</td>
<td>'14648198</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220205161170083000003</td>
<td>2022-02-08 17:31:41.000</td>
<td>'0516</td>
<td>KC Kepanjen</td>
<td>'0516</td>
<td>R</td>
<td>83</td>
<td>198289.00</td>
<td>17118.00</td>
<td>1711.00</td>
<td>2022-02-04</td>
<td>2026-02-04</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-08 17:31:41.000</td>
<td>2022-02-08 17:31:41.000</td>
<td>BRISURF_COV_000083_000000014639178_01</td>
<td>BRISURF_COV_000083_000000014639178_01</td>
<td>'14639178</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220205161170083000004</td>
<td>2022-02-08 17:32:04.000</td>
<td>'0516</td>
<td>'0516</td>
<td>R</td>
<td>83</td>
<td>417046.00</td>
<td>37005.00</td>
<td>3700.00</td>
<td>2022-02-08</td>
<td>2027-02-08</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-08 17:32:04.000</td>
<td>2022-02-08 17:32:04.000</td>
<td>BRISURF_COV_000083_000000014613191_01</td>
<td>BRISURF_COV_000083_000000014613191_01</td>
<td>'14613191</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220203441170083000001</td>
<td>2022-02-04 15:02:58.000</td>
<td>'0344</td>
<td>KC Malang Martadinata</td>
<td>'0344</td>
<td>R</td>
<td>83</td>
<td>119443.00</td>
<td>9950.00</td>
<td>994.00</td>
<td>2022-01-27</td>
<td>2026-01-27</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-04 15:02:58.000</td>
<td>2022-02-04 15:02:58.000</td>
<td>BRISURF_COV_000083_000000014631921_01</td>
<td>BRISURF_COV_000083_000000014631921_01</td>
<td>'14631921</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220203441170083000002</td>
<td>2022-02-04 15:03:35.000</td>
<td>'0344</td>
<td>'0344</td>
<td>R</td>
<td>83</td>
<td>10000.00</td>
<td>.00</td>
<td>.00</td>
<td>2022-02-04</td>
<td>2026-02-04</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-04 15:03:35.000</td>
<td>2022-02-04 15:03:35.000</td>
<td>BRISURF_COV_000083_000000014601490_01</td>
<td>BRISURF_COV_000083_000000014601490_01</td>
<td>'14601490</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220200701170083000005</td>
<td>2022-02-08 15:50:07.000</td>
<td>'0070</td>
<td>KC Ponorogo</td>
<td>'0070</td>
<td>R</td>
<td>83</td>
<td>200643.00</td>
<td>17332.00</td>
<td>1733.00</td>
<td>2022-02-07</td>
<td>2026-02-07</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-08 15:50:07.000</td>
<td>2022-02-08 15:50:07.000</td>
<td>BRISURF_COV_000083_000000014642067_01</td>
<td>BRISURF_COV_000083_000000014642067_01</td>
<td>'14642067</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220205161170083000001</td>
<td>2022-02-02 16:30:53.000</td>
<td>'0516</td>
<td>'0516</td>
<td>R</td>
<td>83</td>
<td>92377.00</td>
<td>7489.00</td>
<td>748.00</td>
<td>2022-02-02</td>
<td>2026-02-02</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-02 16:30:52.000</td>
<td>2022-02-02 16:30:52.000</td>
<td>BRISURF_COV_000083_000000014623221_01</td>
<td>BRISURF_COV_000083_000000014623221_01</td>
<td>'14623221</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220205161170083000002</td>
<td>2022-02-02 16:33:36.000</td>
<td>'0516</td>
<td>'0516</td>
<td>R</td>
<td>83</td>
<td>304202.00</td>
<td>26746.00</td>
<td>2674.00</td>
<td>2022-02-02</td>
<td>2026-02-02</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-02 16:33:36.000</td>
<td>2022-02-02 16:33:36.000</td>
<td>BRISURF_COV_000083_000000014636880_01</td>
<td>BRISURF_COV_000083_000000014636880_01</td>
<td>'14636880</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220200511170083000003</td>
<td>2022-02-04 18:34:03.000</td>
<td>'0051</td>
<td>'0051</td>
<td>R</td>
<td>83</td>
<td>451303.00</td>
<td>40119.00</td>
<td>4011.00</td>
<td>2022-02-04</td>
<td>2026-02-04</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-04 18:34:03.000</td>
<td>2022-02-04 18:34:03.000</td>
<td>BRISURF_COV_000083_000000014640839_01</td>
<td>BRISURF_COV_000083_000000014640839_01</td>
<td>'14640839</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220200701170083000004</td>
<td>2022-02-08 08:15:07.000</td>
<td>'0070</td>
<td>'0070</td>
<td>R</td>
<td>83</td>
<td>440200.00</td>
<td>39110.00</td>
<td>3910.00</td>
<td>2022-02-07</td>
<td>2024-02-07</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-08 08:15:07.000</td>
<td>2022-02-08 08:15:07.000</td>
<td>BRISURF_COV_000083_000000014636537_01</td>
<td>BRISURF_COV_000083_000000014636537_01</td>
<td>'14636537</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220200511170083000004</td>
<td>2022-02-08 17:03:05.000</td>
<td>'0051</td>
<td>'0051</td>
<td>R</td>
<td>83</td>
<td>179460.00</td>
<td>15406.00</td>
<td>1540.00</td>
<td>2022-02-07</td>
<td>2026-02-07</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-08 17:03:05.000</td>
<td>2022-02-08 17:03:05.000</td>
<td>BRISURF_COV_000083_000000014638230_01</td>
<td>BRISURF_COV_000083_000000014638230_01</td>
<td>'14638230</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220200701170083000001</td>
<td>2022-02-02 10:37:35.000</td>
<td>'0070</td>
<td>'0070</td>
<td>R</td>
<td>83</td>
<td>186562.00</td>
<td>16052.00</td>
<td>1605.00</td>
<td>2022-01-26</td>
<td>2025-01-26</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-02 10:37:35.000</td>
<td>2022-02-02 10:37:35.000</td>
<td>BRISURF_COV_000083_000000014618093_01</td>
<td>BRISURF_COV_000083_000000014618093_01</td>
<td>'14618093</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220200701170083000002</td>
<td>2022-02-02 10:38:06.000</td>
<td>'0070</td>
<td>'0070</td>
<td>R</td>
<td>83</td>
<td>111724.00</td>
<td>9248.00</td>
<td>924.00</td>
<td>2022-01-21</td>
<td>2023-01-21</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-02 10:38:05.000</td>
<td>2022-02-02 10:38:05.000</td>
<td>BRISURF_COV_000083_000000014601706_01</td>
<td>BRISURF_COV_000083_000000014601706_01</td>
<td>'14601706</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
<tr>

<td>'20220200701170083000003</td>
<td>2022-02-02 13:56:02.000</td>
<td>'0070</td>
<td>'0070</td>
<td>R</td>
<td>83</td>
<td>573098.00</td>
<td>51191.00</td>
<td>5119.00</td>
<td>2022-01-26</td>
<td>2027-01-26</td>
<td>New</td>
<td>117</td>
<td>'005101001519308</td>
<td>2022-02-02 13:56:02.000</td>
<td>2022-02-02 13:56:02.000</td>
<td>BRISURF_COV_000083_000000014616876_01</td>
<td>BRISURF_COV_000083_000000014616876_01</td>
<td>'14616876</td>
<td>-</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr>
</tbody>
</table>

1-9022022 Akua

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