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Formulir 2a PU

BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan


LL090492 WIJAYA HOTEL WIJAYA HOTEL 01 2021

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 11025098408 3302252901800001 ANDRI 29-01-1980 01-08-2011 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
2 09021894176 3302191010760005 DODI HERYANTO 10-10-1976 01-10-2009 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
3 11026445616 3302242103820007 DWI SUSANTO 21-03-1982 01-09-2011 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
4 12001158786 3302271912720001 EVI SUSETYO PRIATMOKO 19-12-1972 01-01-2012 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
5 11025098416 3303072512790001 HADIRIN AJI NOVENDI 25-12-1979 01-08-2011 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
6 15003589379 3302240504790001 HENRY ANTONIUS 05-04-1979 01-01-2015 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
7 09021894192 3302211807830002 KUAT SUWAHYO 18-07-1983 01-10-2009 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
8 09021894168 3302190310790003 LUKMAN HIDAYAT 03-10-1979 01-10-2009 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
9 11025098440 3302251605750002 MUSAFAK 16-05-1975 01-08-2011 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
10 11025098424 3302242811800002 NOVAN SUSMANA 28-11-1980 01-08-2011 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
11 06L90038203 3302272003780003 NUR UTOMO 20-03-1978 01-08-2006 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
12 20048496879 3302242110790001 PURWANTO 21-10-1979 01-08-2020 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
13 20048496861 3302242901740002 SARKO 29-01-1974 01-08-2020 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
14 12034788310 3302272906760006 SULISMO 29-06-1976 01-10-2012 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
15 13026239551 3302242808760003 TASRIPIN 28-08-1976 01-08-2013 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60
16 14043832212 3302192505850003 TUJI HARYONO 25-05-1985 01-12-2014 1,900,000.00 0.00 102.60 57.00 70,300.00 38,000.00 38,000.00 19,000.00 165,459.60

Jumlah Seluruhnya 30,400,000.00 0.00 1,641.00 912.00 1,124,800.00 608,000.00 608,000.00 304,000.00 2,647,353.00

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

, 09 Januari 2021

(Nama dan Tanda Tangan Pimpinan Perusahaan)


Jabatan :

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