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Rincian Iuran Tenaga Kerja: Formulir 2a PU BPJS Ketenagakerjaan

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Formulir 2a PU

BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan


19302355 PRIMADAYA PLASTISINDO PRIMADAYA PLASTISINDO 06 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 16040087195 3603202111940001 ABDUL MUGNI 21-11-1994 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
2 14011638385 3301220404940003 ADE APRISAL 04-04-1994 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
3 14011638310 3403041110930001 11-0027 AGUS ROHMADI 11-10-1993 01-02-2020 4,168,269.00 0.00 37,097.59 12,504.81 154,225.95 83,365.38 83,365.38 41,682.69 412,241.80
4 13030234820 3671050704900010 11-0028 AHMAD KHOIRUDIN 07-04-1990 01-02-2020 4,168,269.00 0.00 37,097.59 12,504.81 154,225.95 83,365.38 83,365.38 41,682.69 412,241.80
5 13030234812 3603170607890006 AHMAD SYARIFUDDIN 06-06-1989 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
6 14011638427 3301150705910005 AHMAD TOYIB 07-05-1991 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
7 16040087187 3328071207950001 AKHMAD KHAERUL ANAM 12-07-1995 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
8 18075047466 3603172211990003 ALDI ALFIANSAH 22-11-1999 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
9 13030234689 3173080505690011 11-0002 ALI ROCHADI 05-05-1969 01-02-2020 6,600,000.00 0.00 58,740.00 19,800.00 244,200.00 132,000.00 132,000.00 66,000.00 652,740.00
10 13030234879 3203212208930001 AMI SUHAEMI MA'RUP 22-08-1993 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
11 19033153719 3306082906970001 ARIF SETYAWAN 29-06-1997 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
12 13030234671 3674062807840001 11-0020 ATIK SUSILO 28-07-1984 01-02-2020 4,168,269.00 0.00 37,097.59 12,504.81 154,225.95 83,365.38 83,365.38 41,682.69 412,241.80
13 19055195549 3603172407000012 CHRISY YONI 24-07-2000 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
14 13030234739 3601281102840001 11-0005 DAYAT 09-12-1984 01-02-2020 4,168,269.00 0.00 37,097.59 12,504.81 154,225.95 83,365.38 83,365.38 41,682.69 412,241.80
15 18076853672 1671075602930005 DEASY RAMUDIYATI FIRDAUS 16-02-1993 01-02-2020 3,841,368.00 0.00 34,188.18 11,524.10 142,130.62 76,827.36 76,827.36 38,413.68 379,911.30
16 19033153727 3209390103950003 DENNIS CHRIS YOGA 01-03-1995 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
17 13030234432 3603172508850005 11-0006 DENY TRIYONO 25-08-1985 01-02-2020 4,168,269.00 0.00 37,097.59 12,504.81 154,225.95 83,365.38 83,365.38 41,682.69 412,241.80
18 20010625174 3603285306730010 11-0021 ELISHA 13-06-1973 01-02-2020 12,750,000.00 0.00 113,475.00 38,250.00 471,750.00 255,000.00 178,794.00 89,397.00 1,146,666.00
19 20010625158 3171020806980006 11-0134 FELIX LIENARDI 08-06-1998 01-02-2020 4,500,000.00 0.00 40,050.00 13,500.00 166,500.00 90,000.00 90,000.00 45,000.00 445,050.00
20 13030234440 3520180311760001 11-0007 HARSANA 03-11-1976 01-02-2020 4,580,000.00 0.00 40,762.00 13,740.00 169,460.00 91,600.00 91,600.00 45,800.00 452,962.00
21 19047151345 3171031801760006 11-0008 HEDI SUHERMAN 18-01-1976 01-02-2020 8,000,000.00 0.00 71,200.00 24,000.00 296,000.00 160,000.00 160,000.00 80,000.00 791,200.00
22 18065766588 1807131912980001 IFANDI 19-12-1998 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
23 13030234861 1807220404880002 IMAM TAUFIK 04-04-1988 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
24 18065766695 3211072511980002 IRVAN FATHONI 25-11-1999 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
25 09027580118 3604240702880006 JAENUDIN ARIPIN 07-02-1988 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
26 13030234465 3673060106900003 JUS PRIANDI ZENDRATO 01-06-1990 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
27 13030234473 3604250602730003 11-0010 KASIRAN 06-02-1973 01-02-2020 4,580,000.00 0.00 40,762.00 13,740.00 169,460.00 91,600.00 91,600.00 45,800.00 452,962.00
28 08009184089 3271030908840007 11-0011 KHATNO 09-08-1984 01-02-2020 9,080,000.00 0.00 80,812.00 27,240.00 335,960.00 181,600.00 178,794.00 89,397.00 893,803.00
29 14011638344 3329050101910005 KHOPIP MUHASIPI 01-01-1991 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
30 19007156961 3603222703860001 MAD SURA 27-03-1986 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
31 13030234499 3603050404630003 MAHYUDIN 04-04-1963 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
32 13030234507 3671070306790018 MARTIKNO 03-06-1979 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan


19302355 PRIMADAYA PLASTISINDO PRIMADAYA PLASTISINDO 06 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 20010625166 3671104305990004 11-0077 MEILANTY 03-05-1999 01-02-2020 3,841,000.00 0.00 34,184.90 11,523.00 142,117.00 76,820.00 76,820.00 38,410.00 379,874.90
34 19055195564 3604020411980192 MUHAMAD AMSORI 11-03-1997 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
35 13030234481 3603170610880013 11-0012 MUHAMMAD BADRU MUNIR 06-10-1988 01-02-2020 4,280,000.00 0.00 38,092.00 12,840.00 158,360.00 85,600.00 85,600.00 42,800.00 423,292.00
36 19033153743 3603170812980004 NANDA PURNAMA 08-12-1998 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
37 14007391403 3601222607880001 NURROHIM 10-07-1988 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
38 13030234515 3604222509820003 11-0013 OMAN ROHMAN 25-09-1982 01-02-2020 4,168,269.00 0.00 37,097.59 12,504.81 154,225.95 83,365.38 83,365.38 41,682.69 412,241.80
39 13030234523 3603171407780017 11-0014 PARIMIN 14-07-1978 01-02-2020 6,600,000.00 0.00 58,740.00 19,800.00 244,200.00 132,000.00 132,000.00 66,000.00 652,740.00
40 13030234721 3271041011760009 11-0009 R. INDRA GUNAWAN 10-11-1976 01-02-2020 17,700,000.00 0.00 157,530.00 53,100.00 654,900.00 354,000.00 178,794.00 89,397.00 1,487,721.00
41 12004065228 3603222103920004 RIKI RIANDI 21-03-1992 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
42 18030285680 3603171608890001 SANUSI 16-08-1989 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
43 13030234556 3603170506790025 11-0015 SUARMAN 05-06-1979 01-02-2020 4,168,269.00 0.00 37,097.59 12,504.81 154,225.95 83,365.38 83,365.38 41,682.69 412,241.80
44 14026100744 3203301106950003 TAUFIK YUSUP 11-06-1995 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
45 15003824420 3305241806930001 TRISWANTO 18-06-1993 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
46 13030234762 3603172012840004 WAHYU 20-12-1984 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
47 19095743431 3671021005880001 WAHYUDIN 10-05-1988 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
48 19095743449 3603230302830005 WAWAN HARWIYANTO 03-02-1983 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
49 19055195531 3209250310950001 YOGI PRATAMA 03-10-1995 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
50 13030234606 3671021411850004 YOPI PATMONO 14-11-1985 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
51 16040087211 3318031202930001 YUNET SYAMSUDIN 12-02-1993 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09
52 14033679839 3603310306900010 YUSUP ADU 03-06-1990 01-12-2019 3,555,835.00 0.00 31,646.93 10,667.51 131,565.90 71,116.70 71,116.70 35,558.35 351,672.09

Jumlah Seluruhnya 232,872,806.00 0.00 2,072,567.00 698,618.00 8,616,293.00 4,657,456.00 4,403,238.00 2,201,619.00 22,649,791.00

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

, 24 Juni 2020

(Nama dan Tanda Tangan Pimpinan Perusahaan)


Jabatan :

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