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  • Rekapan - September 2020

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    Rizky MJ
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    This document contains information about employee participants in the health insurance program of DAENG COFFEE across three locations: Jimbaran, Malboro, and Rizky. It lists the employee name, identification numbers, relationship status, and monthly premium amounts. The total premiums due for Jimbaran are Rp. 1,870,550, for Malboro are Rp. 439,515, and for Rizky are Rp. 441,100.

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    This document contains information about employee participants in the health insurance program of DAENG COFFEE across three locations: Jimbaran, Malboro, and Rizky. It lists the employee name, identification numbers, relationship status, and monthly premium amounts. The total premiums due for Jimbaran are Rp. 1,870,550, for Malboro are Rp. 439,515, and for Rizky are Rp. 441,100.

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    © All Rights Reserved
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    25 views3 pages

    Rekapan - September 2020

    Uploaded by

    Rizky MJ
    This document contains information about employee participants in the health insurance program of DAENG COFFEE across three locations: Jimbaran, Malboro, and Rizky. It lists the employee name, identification numbers, relationship status, and monthly premium amounts. The total premiums due for Jimbaran are Rp. 1,870,550, for Malboro are Rp. 439,515, and for Rizky are Rp. 441,100.

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    © All Rights Reserved
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    of 3

    IURAN PESERTA BADAN USAHA

    NO REGISTER 2020098004109800000001
    KODE BU 80041098
    NAMA BU DAENG COFFEE JIMBARAN

    No JKN Pekerja No JKN Peserta Nama NPP Hubungan Keluarga Premi


    0000207319972 0000207319972 AGLICIA ANGGARI PUTRI DC006 PESERTA 205000
    0000835895349 0000835895349 ANGGUN AULIA ASTUTI DC00076 PESERTA 146505
    0000853488099 0000853488099 DERMI A LIUNIMA DC00070 PESERTA 146505
    0000865505248 0000865505248 JEFRY SEMUEL KA DC003 PESERTA 146505
    0000867388904 0000867388904 SOTERIUS A ARHANESTA DC073 PESERTA 146505
    0001973332012 0001973332012 HAFILUDIN DC00078 PESERTA 146505
    0002059986892 0002059986892 ERNEST HENRY MASSIE DC008 PESERTA 146505
    0002079460337 0002079460337 SEBASTIANUS ARYANTO LUHI LAMAR 001 PESERTA 146505
    0002110017262 0002110017262 KADEK DESI YUNITA SARI DC009 PESERTA 146505
    0002110017262 0002909807875 NI KADEK GAURI OKTAVIANI ANAK 0
    0002110017262 0002110017273 I WAYAN GEDE SUGITA ANAK 0
    0002114315684 0002114315684 RICHO ARDIANSYAH 022 PESERTA 146505
    0002618744613 0002618744613 ORARINA KAFOLAMAU 001 PESERTA 146505
    0002662058518 0002662058518 ARMAN ZULFAHMI SUBE DC0001 PESERTA 200500
    TOTAL PREMI 1.870.550
    IURAN PESERTA BADAN USAHA
    NO REGISTER 2020098004109800000001
    KODE BU 80041098
    NAMA BU DAENG COFFEE MALBORO

    No JKN Pekerja No JKN Peserta Nama NPP Hubungan Keluarga Premi


    0000142494647 0000142494647 NI MADE DESY SWASTINI DC020 PESERTA 146505
    0001446839853 0001446839853 RAIHAN ADITYA PRADIPTA DC0105 PESERTA 146505
    0002109253184 0002109253184 STEFANUS DEDHO DC00097 PESERTA 146505
    TOTAL PREMI 439.515
    IURAN PESERTA BADAN USAHA
    NO REGISTER 2020098004109800000002
    KODE BU 80041098
    NAMA BU DAENG COFFEE RIZKY

    No JKN Pekerja No JKN Peserta Nama NPP Hubungan Keluarga Premi


    0001575613179 0001575613179 EDMUND HIDAYAT DC00069 PESERTA 200500
    0001575613179 0001582103935 SILVA LILIANA ISTRI 0
    0001575613179 0002760932248 ALZIO LAZMAN ZAVIER ANAK 0
    0001583187287 0001583187287 BAGUS PRISTIWANTO 0 PESERTA 200500
    0001583187287 0001576807975 TRISNA HARDI KUSUMANINGTYAS ISTRI 0
    0001583187287 0002616399516 SABIANASSYIFA MALAIKA QOLBI ANAK 0
    0001583187287 0001583187322 WIWIK PURWANTI 0 TAMBAHAN 40100
    TOTAL PREMI 441.100

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