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


JJ092677 UNIVERSITAS DIRGANTARA MARSEKAL SURYADARMA UNIVERSITAS DIRGANTARA MARSEKAL SURYADARMA 08 2023

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 16004124182 3175081608660003 661694 A. WASPADA TEDJA BHIRAWA 16-08-1966 01-02-2016 5,840,000.00 0.00 14,016.00 17,520.00 216,080.00 116,800.00 116,800.00 58,400.00 0.00 0.00 539,616.00
2 23050656380 3502111201980001 98.21.172 ACHMAD RAMADHANY 12-01-1998 01-05-2023 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
3 13031055976 3174071504770007 ADE YUSY MAULANA 15-04-1977 01-10-2013 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
4 22008946851 3175070806970002 97.21.168 AGUNG SAMUEL 08-06-1997 01-02-2022 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
MARULITUA.G
5 22143483885 3175082908640001 6422188 AGUS PURWO WICAKSONO 29-08-1964 01-12-2022 7,700,000.00 0.00 18,480.00 23,100.00 284,900.00 154,000.00 0.00 0.00 0.00 0.00 480,480.00
6 13031056016 3175080309760008 ALCIANNO GHOBADI 03-09-1976 01-10-2013 5,300,000.00 0.00 12,720.00 15,900.00 196,100.00 106,000.00 106,000.00 53,000.00 0.00 0.00 489,720.00
GANI,ST
7 22078831249 3173041404750004 75.22.171 AMAT CHAERONI 14-04-1975 01-08-2022 5,050,000.00 0.00 12,120.00 15,150.00 186,850.00 101,000.00 101,000.00 50,500.00 0.00 0.00 466,620.00
8 17019102239 3175081208630003 6316100 ANDAY SUKANDAR 12-08-1963 01-05-2017 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 0.00 0.00 0.00 0.00 289,651.69
9 17061543538 3402120609900001 9017113 ANUGRAH SEPTIANTO 06-09-1990 01-12-2017 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
10 13031055646 3275084104730021 APRILIA SAKTI KUSUMA 01-04-1973 01-10-2013 5,900,000.00 0.00 14,160.00 17,700.00 218,300.00 118,000.00 118,000.00 59,000.00 0.00 0.00 545,160.00
LESTARI
11 21012314767 3175082305970004 9721154 ARDIAN SETIAJI 23-05-1997 01-03-2021 4,850,000.00 0.00 11,640.00 14,550.00 179,450.00 97,000.00 97,000.00 48,500.00 0.00 0.00 448,140.00
12 09003964633 3174101104850010 851566 ARDIANSYAH FAJAR 11-04-1985 01-01-2009 5,150,000.00 0.00 12,360.00 15,450.00 190,550.00 103,000.00 103,000.00 51,500.00 0.00 0.00 475,860.00
13 22078831256 3175085006960001 96.22.174 ARDINI LARASATI 10-06-1996 01-08-2022 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
14 16008621365 3175081805810006 811592 ARIA CAESAR KUSUMA 18-05-1981 01-03-2016 5,150,000.00 0.00 12,360.00 15,450.00 190,550.00 103,000.00 103,000.00 51,500.00 0.00 0.00 475,860.00
ATMAJA
15 20006898611 3175056805860005 86.19.145 ARINISA MEILA NURULFIRA 28-05-1986 01-02-2020 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
16 22008946869 3671120110890004 89.21.169 ARIO WENDRA 01-10-1989 01-02-2022 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
17 20039192941 7311022110840002 8420151 ASWAN TAJUDDIN 21-10-1984 01-07-2020 5,150,000.00 0.00 12,360.00 15,450.00 190,550.00 103,000.00 103,000.00 51,500.00 0.00 0.00 475,860.00
18 22043121429 3275126311780007 78.22.178 ATIK BUDI PARYANTI 23-11-1978 01-05-2022 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
19 3175080505610010 6123208 BAMBANG WIDARTO, SH. MH 05-05-1961 5,150,000.00 0.00 12,360.00 15,450.00 190,550.00 103,000.00 0.00 0.00 0.00 0.00 321,360.00
20 13031055737 3216072305750004 750233 BASUKI ARIANTO 23-05-1975 01-10-2013 5,150,000.00 0.00 12,360.00 15,450.00 190,550.00 103,000.00 103,000.00 51,500.00 0.00 0.00 475,860.00
21 13031055612 3175077007750009 751021 BEKTI YULIANTI 30-07-1975 01-10-2013 5,540,000.00 0.00 13,296.00 16,620.00 204,980.00 110,800.00 110,800.00 55,400.00 0.00 0.00 511,896.00
22 23050656398 3175076511970010 97.21.170 BELLA NOVALITA 25-11-1997 01-05-2023 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
23 11004028624 3175084206810002 8118137 BINTANG BERLIANA SIBARANI 02-06-1981 01-02-2011 5,150,000.00 0.00 12,360.00 15,450.00 190,550.00 103,000.00 103,000.00 51,500.00 0.00 0.00 475,860.00
24 13036523135 3175071305870003 BISMIL RABETA 13-05-1987 01-11-2013 5,480,000.00 0.00 13,152.00 16,440.00 202,760.00 109,600.00 109,600.00 54,800.00 0.00 0.00 506,352.00
25 21068711437 3275096408970018 9721156 CHINTIA AMIN LISTIA 24-08-1997 01-10-2021 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
26 23050656364 3175104405980004 98.22.187 CITRA BELLA PUSPITASARI 04-05-1998 01-05-2023 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
27 22043121452 3175094105900006 90.22.179 CYNTHIA RAHMAWATI 01-05-1990 01-05-2022 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
28 21019900121 3175072710760013 7621155 DEDI SETIADI 27-10-1976 01-04-2021 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
29 16046470403 3216061403910016 911696 DENDRA BRADIKTA 14-03-1991 01-11-2016 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
30 17029138538 3175084301840001 8416108 DIAN WIJAYANTI 03-01-1984 01-07-2017 4,900,000.00 0.00 11,760.00 14,700.00 181,300.00 98,000.00 98,000.00 49,000.00 0.00 0.00 452,760.00
31 18084036179 3275036710650017 6518132 DR. NIRU ANITA 27-10-1965 01-11-2018 6,600,000.00 0.00 15,840.00 19,800.00 244,200.00 132,000.00 132,000.00 66,000.00 0.00 0.00 609,840.00
SINAGA,SH,MH
32 22143483877 3175080910640006 64.22.187 DR.I DEWA KETUT KERTA 09-10-1964 01-12-2022 7,700,000.00 0.00 18,480.00 23,100.00 284,900.00 154,000.00 0.00 0.00 0.00 0.00 480,480.00
WIDANA, SKM., MKKK
Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan


JJ092677 UNIVERSITAS DIRGANTARA MARSEKAL SURYADARMA UNIVERSITAS DIRGANTARA MARSEKAL SURYADARMA 08 2023

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 18009868102 3175083108600002 6017124 DUDY ABDURACHMAN 31-08-1960 01-03-2018 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 0.00 0.00 0.00 0.00 289,651.69
34 19053832275 3175082312910003 91.19.143 DWI JATI PERMADI 23-12-1991 01-08-2019 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
35 13031055539 3204091406580002 580606 EDY KARYADI ALIMIN 14-06-1958 01-10-2013 6,250,000.00 0.00 15,000.00 18,750.00 231,250.00 125,000.00 0.00 0.00 0.00 0.00 390,000.00
36 14033515496 3301065206880005 ENDAH YUNIARTI 12-06-1988 01-11-2014 5,410,000.00 0.00 12,984.00 16,230.00 200,170.00 108,200.00 108,200.00 54,100.00 0.00 0.00 499,884.00
37 13031055844 3175082310840007 FAHRUL HIDAYAT 23-10-1984 01-10-2013 5,130,000.00 0.00 12,312.00 15,390.00 189,810.00 102,600.00 102,600.00 51,300.00 0.00 0.00 474,012.00
38 14033515488 3276041612600004 FREDDY. F 16-12-1960 01-11-2014 6,490,000.00 0.00 15,576.00 19,470.00 240,130.00 129,800.00 0.00 0.00 0.00 0.00 404,976.00
39 23023074562 3175042912640007 64.23.199 H.SUDARTO, SH MKN 29-12-1964 01-03-2023 5,600,000.00 0.00 13,440.00 16,800.00 207,200.00 112,000.00 0.00 0.00 0.00 0.00 349,440.00
40 23050656356 3275122806970004 97.21.173 HANDIKA TANUJAYA 28-06-1997 01-05-2023 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
41 13031056107 3275080202740024 HERI 02-02-1974 01-10-2013 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
42 13031055943 3175082412790008 790049 HERWIN 24-12-1979 01-10-2013 5,260,000.00 0.00 12,624.00 15,780.00 194,620.00 105,200.00 105,200.00 52,600.00 0.00 0.00 486,024.00
43 19054906201 3527131503920001 9219150 IMRON ROSADI 15-03-1992 01-07-2019 5,150,000.00 0.00 12,360.00 15,450.00 190,550.00 103,000.00 103,000.00 51,500.00 0.00 0.00 475,860.00
44 13031055711 3275080708630028 639030 IR. AGUS SUGIHARTO 07-08-1963 01-10-2013 5,800,000.00 0.00 13,920.00 17,400.00 214,600.00 116,000.00 0.00 0.00 0.00 0.00 361,920.00
45 23023074570 3175081306640003 64.23.198 IR. EDY HARTONO, MSI 13-06-1964 01-03-2023 5,700,000.00 0.00 13,680.00 17,100.00 210,900.00 114,000.00 0.00 0.00 0.00 0.00 355,680.00
46 13031055869 3275081105670011 679332 ISWANDIR ZA 11-05-1967 01-10-2013 5,420,000.00 0.00 13,008.00 16,260.00 200,540.00 108,400.00 108,400.00 54,200.00 0.00 0.00 500,808.00
47 22000515928 3175082909970004 9721163 JAMAL ADI SEPTIAN 29-09-1997 01-01-2022 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
48 13031056164 3175031802670003 JOHANNES DEWANTO 18-02-1967 01-10-2013 6,330,000.00 0.00 15,192.00 18,990.00 234,210.00 126,600.00 126,600.00 63,300.00 0.00 0.00 584,892.00
49 19053832283 3275090105920006 92.19.144 JOKO SUGIARTO 01-05-1992 01-08-2019 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
50 13031055919 3175070811730012 KETUT NAWAWI MUCHTAR 08-11-1973 01-10-2013 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
51 14000193509 3173075505940005 9417112 LANI FLORIAN TRI NUGRAHA 15-05-1994 01-01-2014 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
52 22031542776 3174044111670005 67.22.172 LASMAULI NOVERITA S 01-11-1967 01-04-2022 5,150,000.00 0.00 12,360.00 15,450.00 190,550.00 103,000.00 103,000.00 51,500.00 0.00 0.00 475,860.00
53 15037438569 3175024108730003 731567 LENY GUSTIANTI 01-08-1973 01-08-2015 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
54 13031055877 3175083010710004 LESTANTO MUKTI PRASODJO 30-10-1971 01-10-2013 5,170,000.00 0.00 12,408.00 15,510.00 191,290.00 103,400.00 103,400.00 51,700.00 0.00 0.00 477,708.00
55 17040179776 3175081704760002 7617109 LUTHFI ARIES PUTRANTO 17-04-1976 01-09-2017 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
56 19014405294 3175080211600002 6018139 MASDELAN 02-11-1960 01-03-2019 5,050,000.00 0.00 12,120.00 15,150.00 186,850.00 101,000.00 0.00 0.00 0.00 0.00 315,120.00
57 16052369705 3173016210930002 9316103 MAYA HIDAYANTI 22-10-1993 01-12-2016 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
58 22143483893 1271072502910003 9122182 MOHD. HENDRA RAZAK 25-02-1991 01-12-2022 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
59 21012314775 3374091208760003 7620153 MUFTI ARIFIN, ST 12-08-1976 01-03-2021 5,200,000.00 0.00 12,480.00 15,600.00 192,400.00 104,000.00 104,000.00 52,000.00 0.00 0.00 480,480.00
60 13031055950 3175091307710007 MUHAMAD HUSIN 13-07-1971 01-10-2013 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
61 18084036161 3275021407820010 8218134 MUHAMMAD SETIADI 14-07-1982 01-11-2018 5,450,000.00 0.00 13,080.00 16,350.00 201,650.00 109,000.00 109,000.00 54,500.00 0.00 0.00 503,580.00
HARTOKO
62 23050656406 3175082704630007 63.23.200 MUKIRAN 27-04-1963 01-05-2023 5,050,000.00 0.00 12,120.00 15,150.00 186,850.00 101,000.00 0.00 0.00 0.00 0.00 315,120.00
63 14015696082 3271047009810013 8118129 MUNNIK HARYANTI 30-09-1981 01-06-2014 5,150,000.00 0.00 12,360.00 15,450.00 190,550.00 103,000.00 103,000.00 51,500.00 0.00 0.00 475,860.00
64 13031055935 3175071708770008 MURTADI MUCHTAR, SE 17-08-1977 01-10-2013 5,110,000.00 0.00 12,264.00 15,330.00 189,070.00 102,200.00 102,200.00 51,100.00 0.00 0.00 472,164.00
Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan


JJ092677 UNIVERSITAS DIRGANTARA MARSEKAL SURYADARMA UNIVERSITAS DIRGANTARA MARSEKAL SURYADARMA 08 2023

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.)
65 07005370775 3327100112850001 8517117 MURYAN AWALUDIN 01-12-1985 01-09-2007 5,450,000.00 0.00 13,080.00 16,350.00 201,650.00 109,000.00 109,000.00 54,500.00 0.00 0.00 503,580.00
66 13031056032 3275116911830001 NOPI NUR SULISTYO P 29-11-1983 01-10-2013 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
67 16046470361 3175107004920008 6316102 NURNADININGSIH 30-04-1992 01-11-2016 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
68 13031055596 3174015901760002 760517 NURWIJAYANTI KUSUMA .N 19-01-1976 01-10-2013 5,600,000.00 0.00 13,440.00 16,800.00 207,200.00 112,000.00 112,000.00 56,000.00 0.00 0.00 517,440.00
,ST,MT
69 17019102254 3175081912550003 551722 PARULIAN SIMAMORA, M.SC 19-12-1955 01-05-2017 6,450,000.00 0.00 15,480.00 19,350.00 238,650.00 129,000.00 0.00 0.00 0.00 0.00 402,480.00
70 09002968353 3276075807670001 670923 PENIARSIH 18-07-1967 01-03-2009 5,900,000.00 0.00 14,160.00 17,700.00 218,300.00 118,000.00 118,000.00 59,000.00 0.00 0.00 545,160.00
71 23050656372 1807201011020009 20.21.166 PRAMUDYA SAPUTRA 10-11-2002 01-05-2023 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
72 17008126215 3175080507760011 7616104 PRASNA WIJAYAKUSUMA 05-07-1976 01-03-2017 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
73 13031055810 3175080109710004 719341 RAHMAT HIDAYAT 01-09-1971 01-10-2013 5,370,000.00 0.00 12,888.00 16,110.00 198,690.00 107,400.00 107,400.00 53,700.00 0.00 0.00 496,188.00
74 14030717186 3175080801850001 8517111 RENNADI DWI PUTRANTO 08-01-1985 01-09-2014 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
75 16008621373 3204354303960003 961593 RESYA MARINA ZUMAWANTY 03-03-1996 01-03-2016 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
76 16008621332 3303040306760003 RIANTO 03-06-1976 01-03-2016 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
77 22125553564 3175085301640001 64.22.185 RINI MUKAYANI 13-01-1964 01-11-2022 5,900,000.00 0.00 14,160.00 17,700.00 218,300.00 118,000.00 0.00 0.00 0.00 0.00 368,160.00
78 13031056008 3275095712790012 RITA INTAN PERMATASARI 17-12-1979 01-10-2013 5,400,000.00 0.00 12,960.00 16,200.00 199,800.00 108,000.00 108,000.00 54,000.00 0.00 0.00 498,960.00
79 23000576803 3275022406990013 99.22.183 RIZKY WIRATAMA KUNCORO 24-06-1999 01-01-2023 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
80 08014304409 3275011402820036 8117110 RULLY TRANSMIADI 14-02-1982 01-05-2008 5,100,000.00 0.00 12,240.00 15,300.00 188,700.00 102,000.00 102,000.00 51,000.00 0.00 0.00 471,240.00
ISBANTORO
81 13031056057 3175031112660010 RUSMAN 11-12-1966 01-10-2013 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
82 22091843072 1271181504990001 9922180 SAHAT MARULI SILAEN 15-04-1999 01-09-2022 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
83 16046470387 1201141207870002 871695 SAHRIL AFANDI SITOMPUL 12-07-1987 01-11-2016 5,450,000.00 0.00 13,080.00 16,350.00 201,650.00 109,000.00 109,000.00 54,500.00 0.00 0.00 503,580.00
84 21089685164 3216060709720032 72.21.167 SELAMAT LUMBAN GAOL, SH, 07-09-1972 01-12-2021 5,450,000.00 0.00 13,080.00 16,350.00 201,650.00 109,000.00 109,000.00 54,500.00 0.00 0.00 503,580.00
M.KN
85 22091843080 3308172912940001 9417123 SLAMET MURYANTO 29-12-1994 01-09-2022 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
86 18084036187 3175081408580004 5818133 SRI WIDODO 14-08-1958 01-11-2018 5,600,000.00 0.00 13,440.00 16,800.00 207,200.00 112,000.00 0.00 0.00 0.00 0.00 349,440.00
87 16008621340 3275084304700034 701588 SRI YANTHY YOSEPHA 03-04-1970 01-03-2016 5,630,000.00 0.00 13,512.00 16,890.00 208,310.00 112,600.00 112,600.00 56,300.00 0.00 0.00 520,212.00
88 92N02218818 3275081908700010 SUDARMONO 19-08-1970 01-07-1992 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
89 13031055992 3174082606780011 SUGENG 26-06-1978 01-10-2013 5,150,000.00 0.00 12,360.00 15,450.00 190,550.00 103,000.00 103,000.00 51,500.00 0.00 0.00 475,860.00
90 17019102247 3175080311630001 6316101 SUHERI 03-11-1963 01-05-2017 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 0.00 0.00 0.00 0.00 289,651.69
91 22125553598 3372052704630004 63.22.186 SUJONO 27-04-1963 01-11-2022 5,600,000.00 0.00 13,440.00 16,800.00 207,200.00 112,000.00 0.00 0.00 0.00 0.00 349,440.00
92 13031055794 3175105903670004 SULIS NINING HARTATI SE 19-03-1967 01-10-2013 5,170,000.00 0.00 12,408.00 15,510.00 191,290.00 103,400.00 103,400.00 51,700.00 0.00 0.00 477,708.00
93 22043121437 3175081305610001 61.22.177 SUMARDJO, SH, MH, MM. 13-05-1961 01-05-2022 5,600,000.00 0.00 13,440.00 16,800.00 207,200.00 112,000.00 0.00 0.00 0.00 0.00 349,440.00
94 22000515936 3175081508630007 63.21.170 SUNGKONO 15-08-1963 01-01-2022 9,500,000.00 0.00 22,800.00 28,500.00 351,500.00 190,000.00 0.00 0.00 0.00 0.00 592,800.00
95 13031055802 3271060307640009 SUPARMAN 03-07-1964 01-10-2013 5,170,000.00 0.00 12,408.00 15,510.00 191,290.00 103,400.00 0.00 0.00 0.00 0.00 322,608.00
96 13031055885 3175083003730005 SUPARSO 30-03-1973 01-10-2013 5,290,000.00 0.00 12,696.00 15,870.00 195,730.00 105,800.00 105,800.00 52,900.00 0.00 0.00 488,796.00
Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan


JJ092677 UNIVERSITAS DIRGANTARA MARSEKAL SURYADARMA UNIVERSITAS DIRGANTARA MARSEKAL SURYADARMA 08 2023

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.)
97 13031056115 3175080311730003 SUWITO WIDIRAHARJO 03-11-1973 01-10-2013 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
98 22105730265 3275092304640001 6422184 SYAMSUNASIR,S.SOS,MM 23-04-1964 01-10-2022 7,700,000.00 0.00 18,480.00 23,100.00 284,900.00 154,000.00 0.00 0.00 0.00 0.00 480,480.00
99 14023449177 3276021009780011 7817118 TATENG SUKENDAR 10-09-1978 01-07-2014 5,150,000.00 0.00 12,360.00 15,450.00 190,550.00 103,000.00 103,000.00 51,500.00 0.00 0.00 475,860.00
100 09006262985 3275026103840013 TRISNAWATI 21-03-1984 01-04-2009 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
101 13031055620 3275016709670012 671016 TUTIK SISWANTI, SE,M.Si 27-09-1967 01-10-2013 6,570,000.00 0.00 15,768.00 19,710.00 243,090.00 131,400.00 131,400.00 65,700.00 0.00 0.00 607,068.00
102 13031056065 3403031407680001 WAGISO 14-07-1968 01-10-2013 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31
103 13031055927 3175086804740010 WINDY PERMATA SARI 28-04-1974 01-10-2013 5,030,000.00 0.00 12,072.00 15,090.00 186,110.00 100,600.00 100,600.00 50,300.00 0.00 0.00 464,772.00
104 18005300746 3175086311590001 5917127 YUDHIANA DWI NOVIANTI 23-11-1959 01-02-2018 5,850,000.00 0.00 14,040.00 17,550.00 216,450.00 117,000.00 0.00 0.00 0.00 0.00 365,040.00
105 16046470395 3275125508950001 951468 YULTA VANNY FITRIA SARI 15-08-1995 01-11-2016 4,641,854.00 0.00 11,140.45 13,925.56 171,748.60 92,837.08 92,837.08 46,418.54 0.00 0.00 428,907.31

Jumlah Seluruhnya 547,593,430.00 0.00 1,314,223.00 1,642,780.00 20,260,957.00 10,951,868.00 8,316,156.33 4,158,077.67 0.00 0.00 46,644,062.00

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

, 20 Juli 2023

(Nama dan Tanda Tangan Pimpinan Perusahaan)


Jabatan :

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