Formulir 2a PU

BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

20038902 DIKA BUANA CAKTI 3 PROGRAM DIKA BUANA CAKTI 3 PROGRAM 04 2024

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP Iuran JKP
Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Pemberi Kerja Tenaga Kerja Pemberi Kerja Tenaga Kerja Pemberi Kerja Pemerintah
Total Iuran
( NIK) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)

1 24011359015 3402091805950001 958.0101.2024 ABDUL CHOLIK 18-05-1995 01-01-2024 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
2 24011358942 3403034504950001 974.0201.2024 AGNES APRILIA SUSANTI 05-04-1995 01-01-2024 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
3 22009275698 3471032601920001 816.0101.2023 ALIN SETYAWAN 26-01-1992 01-02-2022 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
4 19005173323 3471082309840001 1056.0201.2024 ANDI SUSANTO 23-09-1984 01-01-2019 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
5 23007870852 3404011504910002 959.0101.2024 APRI RIYADHI 15-04-1991 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
6 23050692831 3402062406850001 896.0103.2023 ARIYANTO 24-06-1985 01-04-2023 2,216,463.00 0.00 5,319.51 6,649.39 82,009.13 44,329.26 0.00 0.00 0.00 0.00 138,307.29
7 22009275672 3471032506660003 809.0101.2023 ARTRI ANTORO 25-06-1966 01-02-2022 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
8 23007870860 3471131911920001 958.0101.2024 BROHAM FAUZI PRATAMA 19-11-1992 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
JATI
9 23011009059 3471021702860001 873.0101.2023 CATUR FEBRIYANTO 17-02-1986 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
10 23162221016 3402151705860001 1057.0201.2024 DANUR TRIYANTO 04-05-1985 01-11-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
11 23011009042 3471141105790001 874.0101.2023 DARYADI 11-05-1979 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
12 22009275680 3471032306990001 815.0101.2023 EKA MAULANA PRATAMA 23-06-1999 01-02-2022 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
13 23162220992 3471085602880001 1058.0201.2024 ERNAWATI 16-02-1988 01-11-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
14 20016261966 3471035804760002 193.0201.2020 ESTRININGSIH 19-04-1976 01-03-2020 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
15 24011359007 3471094803000002 975.0201.2024 FATHINA MIFTAHUL AJRIYA 08-03-2000 01-01-2024 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
16 18005298601 3310040904960001 818.0202.2023 GAGAS PRASETYA 09-04-1996 01-01-2018 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
17 23007870886 3471131403920001 962.0101.2024 GEBYAR WULAN ROMADHON 14-03-1992 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
18 23007870647 3402120312790001 963.0101.2024 GUNAWAN 03-12-1979 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
19 24011358918 3404072505820018 976.0201.2024 HARYANTO 25-05-1982 01-01-2024 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
20 24011358934 6302130206840001 971.0201.2024 HELA WAHYUDI 02-06-1984 01-01-2024 2,216,463.00 0.00 5,319.51 6,649.39 82,009.13 44,329.26 0.00 0.00 0.00 0.00 138,307.29
21 20020174403 3471031211560001 812.0101.2023 ISWALDJITO 12-11-1956 01-03-2020 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
22 22011881202 3303061005670005 731.0101.2022 ISWATANA 10-05-1967 01-01-2022 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
23 19057270993 3401071505950001 KHOLIS PRIHANTORO 15-05-1995 01-07-2019 2,216,463.00 0.00 5,319.51 6,649.39 82,009.13 44,329.26 0.00 0.00 0.00 0.00 138,307.29
24 22011881251 3404073108810013 730.0101.2022 LISTIYO 31-08-1981 01-01-2022 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
25 23159123506 3402152803950001 905.1603.2023 MUH SAIFUL AMRI 28-03-1995 01-10-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
26 21001804018 3471120311820002 803.0101.2023 MUHAMMAD HERU SURYO 03-11-1982 01-01-2021 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
KUNCORO
27 24011358959 3471142210970001 1052.0201.2024 MUKAYAT AL ROSYID 22-10-1997 01-01-2024 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
28 20022002891 3471020111760001 875.0101.2023 MURYONO 01-11-1976 01-02-2020 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
29 19033063744 3403020504740004 804.0101.2023 NASIYAR 04-05-1976 01-01-2019 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
30 19033063694 3471121611750002 801.0101.2023 NORGIYANTO 16-11-1975 01-01-2019 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
31 23007870951 3471130202990001 964.0201.2024 NUR HANAFI 02-02-1999 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
32 19033063736 3402032212760001 802.0101.2023 NURHADI WIYONO 22-12-1976 01-01-2019 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

20038902 DIKA BUANA CAKTI 3 PROGRAM DIKA BUANA CAKTI 3 PROGRAM 04 2024

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP Iuran JKP
Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Pemberi Kerja Tenaga Kerja Pemberi Kerja Tenaga Kerja Pemberi Kerja Pemerintah
Total Iuran
( NIK) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)

33 24011359023 3471081402670001 965.0101.2024 PAIDI 14-02-1967 01-01-2024 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
34 16009992369 3402092507640003 960.0101.2024 PARYONO 25-07-1964 01-03-2016 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
35 24011358926 3402152806750003 973.0201.2024 PONGKI KUMALA 28-06-1975 01-01-2024 2,216,463.00 0.00 5,319.51 6,649.39 82,009.13 44,329.26 0.00 0.00 0.00 0.00 138,307.29
36 20022002842 3404062712810007 876.0101.2023 PURWIYANTO 27-12-1981 01-02-2020 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
37 23162221057 3401015501710001 1059.0201.2024 RATNA DEWI PUJI HARTATI 15-01-1971 01-11-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
38 23159123498 3402151604780008 906.1603.2023 RETNO WINTOKO 16-04-1978 01-10-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
39 23007870811 3471061801770001 966.0101.2024 RISNANTO 18-01-1977 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
40 20020174429 3471032510690001 814.0101.2023 SABAR PRIYONO 25-10-1969 01-03-2020 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
41 23011009026 3471032903890001 808.0101.2023 SANDY SUGIYANTORO 29-03-1989 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
42 20016261990 3471122605710001 194.0201.2020 SETIA MUHARDI 26-05-1971 01-03-2020 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
43 20020174387 3471032106700001 811.0101.2023 SUGENG TRIYONO 21-06-1970 01-03-2020 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
44 20049344243 3471011909830002 805.0101.2023 SUGENG WIGUNA,S.KOM. 19-09-1983 01-01-2020 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
45 24011358975 3471131801680003 967.0201.2024 SUMARDIYONO 18-01-1966 01-01-2024 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
46 20024179929 3402122404820005 350.0201.2021 SUPRIYANTO 23-04-1982 01-03-2020 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
47 24011358967 3402151602760002 972.0201.2024 SUPRIYANTO 16-02-1976 01-01-2024 2,216,463.00 0.00 5,319.51 6,649.39 82,009.13 44,329.26 0.00 0.00 0.00 0.00 138,307.29
48 23011009349 3471130707630001 817.0202.2023 SUSENO 07-12-1966 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
49 20020174361 3404017112720015 813.0101.2023 TANTI DARYANI 31-12-1972 01-03-2020 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
50 23162221032 3471081204000001 1060.0201.2024 THOMAS PURWANDARU 12-04-2000 01-11-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
51 23011009364 3402161303810001 820.0202.2023 TRI MARWANTO 13-03-1981 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
52 22011881228 3402100406900002 539.0101.2022 TRI MURYANTO 04-06-1990 01-01-2022 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
53 20016261982 3471033103700002 195.0201.2020 TRI WAWAN 31-03-1970 01-03-2020 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
54 20047184179 3310200607820002 968.0101.2024 TRIYONO 06-07-1982 01-03-2020 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
55 23007870696 3471066101870002 96901012024 WARSIYATI 21-01-1987 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01
56 23011009034 3471024207940001 877.0101.2023 YULIANI WAHYU KUMALASARI 02-07-1994 01-01-2023 2,492,997.00 0.00 5,983.19 7,478.99 92,240.89 49,859.94 0.00 0.00 0.00 0.00 155,563.01

Jumlah Seluruhnya 138,225,162.00 0.00 331,740.24 414,675.44 5,114,331.04 2,764,503.24 0.00 0.00 0.00 0.00 8,625,249.00

Keterangan
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, 15 April 2024
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

20038902 DIKA BUANA CAKTI 3 PROGRAM DIKA BUANA CAKTI 3 PROGRAM 04 2024

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP Iuran JKP
Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Pemberi Kerja Tenaga Kerja Pemberi Kerja Tenaga Kerja Pemberi Kerja Pemerintah
Total Iuran
( NIK) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.) (Rp.)

(Nama dan Tanda Tangan Pimpinan Perusahaan)

Jabatan :