Jan 26, 2022 13:09:21 (GMT +7)

Transaction Status
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Document Number Detail

Transaction Id 202111261515909547

Document Number 202111261515909547

Nov 26, 2021 15:15:36 (GMT +7)

Creation Date

IDR 50,006,500.00
Total Debit Amount

Immediate
Instruction Mode

Transaction Status 
Executed Successfully

Transfer Summary

Single Transfer To Other Bank - Online Domestic Transfer

Service Type

1300017436877 IDR ARGO PESONA INDONESI

Source of Fund

6720490488 SUHERMANTO
Destination Account

BCA (Bank Central Asia) Online : 014

Beneficiary Bank Information
This beneficiary will be saved to Beneficiary List with alias "SUHERMANTO"

Online
Transfer Method

Amount IDR 50,000,000.00

Online Fee IDR 6,500.00

(IDR 6,500.00 / record)

Total Charges IDR 6,500.00

Total Debit Amount IDR 50,006,500.00

Reference Number -

Remark DP KEMENKES

Extended Details DP KEMENKES POLTEKKES SURABAYA

Immediate
Instruction Mode

Nov 26, 2021

Instruction Date

Additional Notification Email -

SMS -

Transaction History
Action Date Action Type Document No Action by Currency Amount Action Status Transaction
Name Status

Nov 26, 2021 15:25:56 Execute 2021112615159 System IDR 50,000,000.00 Succeed Executed
(GMT +7) 09547 Successfully

Nov 26, 2021 15:25:55 Approve 2021112615159 APPROVAL- IDR 50,000,000.00 Succeed Pending
(GMT +7) 09547 Januriadi Execute

Nov 26, 2021 15:15:38 Create 2021112615159 MAKER-Imas IDR 50,000,000.00 Succeed Pending
(GMT +7) 09547 Masitoh Approval
 Jan 26, 2022 13:09:54 (GMT +7)

Transaction Status
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Document Number Detail

Transaction Id 202111261516909812

Document Number 202111261516909812

Nov 26, 2021 15:16:53 (GMT +7)

Creation Date

IDR 50,006,500.00
Total Debit Amount

Immediate
Instruction Mode

Transaction Status 
Executed Successfully

Transfer Summary

Single Transfer To Other Bank - Online Domestic Transfer

Service Type

1300017436877 IDR ARGO PESONA INDONESI

Source of Fund

6720490488 SUHERMANTO
Destination Account

BCA (Bank Central Asia) Online : 014

Beneficiary Bank Information

Online
Transfer Method

Amount IDR 50,000,000.00

Online Fee IDR 6,500.00

(IDR 6,500.00 / record)

Total Charges IDR 6,500.00

Total Debit Amount IDR 50,006,500.00

Reference Number -

Remark DP KEMENKES POLTEKES

Extended Details DP KEMENKES POLTEKKES SURABAYA TF 2

Immediate
Instruction Mode

Nov 26, 2021

Instruction Date

Additional Notification Email -

SMS -

Transaction History
Action Date Action Type Document No Action by Currency Amount Action Status Transaction
Name Status

Nov 26, 2021 15:25:51 Execute 2021112615169 System IDR 50,000,000.00 Succeed Executed
(GMT +7) 09812 Successfully

Nov 26, 2021 15:25:50 Approve 2021112615169 APPROVAL- IDR 50,000,000.00 Succeed Pending
(GMT +7) 09812 Januriadi Execute

Nov 26, 2021 15:16:54 Create 2021112615169 MAKER-Imas IDR 50,000,000.00 Succeed Pending
(GMT +7) 09812 Masitoh Approval
 Jan 26, 2022 13:10:28 (GMT +7)

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Document Number Detail

Transaction Id 202111261517910422

Document Number 202111261517910422

Nov 26, 2021 15:17:51 (GMT +7)

Creation Date

IDR 25,006,500.00
Total Debit Amount

Immediate
Instruction Mode

Transaction Status 
Executed Successfully

Transfer Summary

Single Transfer To Other Bank - Online Domestic Transfer

Service Type

1300017436877 IDR ARGO PESONA INDONESI

Source of Fund

6720490488 SUHERMANTO
Destination Account

BCA (Bank Central Asia) Online : 014

Beneficiary Bank Information

Online
Transfer Method

Amount IDR 25,000,000.00

Online Fee IDR 6,500.00

(IDR 6,500.00 / record)

Total Charges IDR 6,500.00

Total Debit Amount IDR 25,006,500.00

Reference Number -

Remark DP KEMENKES POLTEKES

Extended Details DP KEMENKES POLTEKKES SURABAYA TF 3

TOTAL TF 125.000.000

Immediate
Instruction Mode

Nov 26, 2021

Instruction Date

Additional Notification Email -

SMS -

Transaction History
Action Date Action Type Document No Action by Currency Amount Action Status Transaction
Name Status

Nov 26, 2021 15:25:47 Execute 2021112615179 System IDR 25,000,000.00 Succeed Executed
(GMT +7) 10422 Successfully

Nov 26, 2021 15:25:46 Approve 2021112615179 APPROVAL- IDR 25,000,000.00 Succeed Pending
(GMT +7) 10422 Januriadi Execute

Nov 26, 2021 15:17:53 Create 2021112615179 MAKER-Imas IDR 25,000,000.00 Succeed Pending
(GMT +7) 10422 Masitoh Approval
 Jan 26, 2022 13:12:45 (GMT +7)

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Document Number Detail

Transaction Id 202111301452715815

Document Number 202111301452715815

Nov 30, 2021 14:52:17 (GMT +7)

Creation Date

IDR 40,006,500.00
Total Debit Amount

Immediate
Instruction Mode

Transaction Status 
Executed Successfully

Transfer Summary

Single Transfer To Other Bank - Online Domestic Transfer

Service Type

1300017436877 IDR ARGO PESONA INDONESI

Source of Fund

6720490488 SUHERMANTO
Destination Account

BCA (Bank Central Asia) Online : 014

Beneficiary Bank Information

Online
Transfer Method

Amount IDR 40,000,000.00

Online Fee IDR 6,500.00

(IDR 6,500.00 / record)

Total Charges IDR 6,500.00

Total Debit Amount IDR 40,006,500.00

Reference Number -

Remark DP KEMENKES

Extended Details DP TERMIN 1 KEMENKES POLTEKKES TF KEDUA

Immediate
Instruction Mode

Nov 30, 2021

Instruction Date

Additional Notification Email -

SMS -

Transaction History
Action Date Action Type Document No Action by Currency Amount Action Status Transaction
Name Status

Nov 30, 2021 14:53:24 Execute 2021113014527 System IDR 40,000,000.00 Succeed Executed
(GMT +7) 15815 Successfully

Nov 30, 2021 14:53:23 Approve 2021113014527 APPROVAL- IDR 40,000,000.00 Succeed Pending
(GMT +7) 15815 Januriadi Execute

Nov 30, 2021 14:52:19 Create 2021113014527 MAKER-Imas IDR 40,000,000.00 Succeed Pending
(GMT +7) 15815 Masitoh Approval
 Jan 26, 2022 13:15:30 (GMT +7)

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Document Number Detail

Transaction Id 202112012052544919

Document Number 202112012052544919

Dec 01, 2021 20:52:10 (GMT +7)

Creation Date

IDR 50,006,500.00
Total Debit Amount

Immediate
Instruction Mode

Transaction Status 
Executed Successfully

Transfer Summary

Single Transfer To Other Bank - Online Domestic Transfer

Service Type

1300017436877 IDR ARGO PESONA INDONESI

Source of Fund

6720490488 SUHERMANTO
Destination Account

BCA (Bank Central Asia) Online : 014

Beneficiary Bank Information

Online
Transfer Method

Amount IDR 50,000,000.00

Online Fee IDR 6,500.00

(IDR 6,500.00 / record)

Total Charges IDR 6,500.00

Total Debit Amount IDR 50,006,500.00

Reference Number -

Remark DP KEMENKES

Extended Details DP TERMIN I KEMENKES POLTEKKES SURABAYA

Immediate
Instruction Mode

Dec 01, 2021

Instruction Date

Additional Notification Email -

SMS -

Transaction History
Action Date Action Type Document No Action by Currency Amount Action Status Transaction
Name Status

Dec 01, 2021 20:54:40 Execute 2021120120525 System IDR 50,000,000.00 Succeed Executed
(GMT +7) 44919 Successfully

Dec 01, 2021 20:54:40 Approve 2021120120525 APPROVAL- IDR 50,000,000.00 Succeed Pending
(GMT +7) 44919 Januriadi Execute

Dec 01, 2021 20:52:11 Create 2021120120525 MAKER-Imas IDR 50,000,000.00 Succeed Pending
(GMT +7) 44919 Masitoh Approval
 Jan 26, 2022 13:14:46 (GMT +7)

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Document Number Detail

Transaction Id 202112011744525468

Document Number 202112011744525468

Dec 01, 2021 17:44:47 (GMT +7)

Creation Date

IDR 50,006,500.00
Total Debit Amount

Immediate
Instruction Mode

Transaction Status 
Executed Successfully

Transfer Summary

Single Transfer To Other Bank - Online Domestic Transfer

Service Type

1300017436877 IDR ARGO PESONA INDONESI

Source of Fund

6720490488 SUHERMANTO
Destination Account

BCA (Bank Central Asia) Online : 014

Beneficiary Bank Information

Online
Transfer Method

Amount IDR 50,000,000.00

Online Fee IDR 6,500.00

(IDR 6,500.00 / record)

Total Charges IDR 6,500.00

Total Debit Amount IDR 50,006,500.00

Reference Number -

Remark DP KEMENKES

Extended Details DP TERMIN 1 KEMENKES POLTEKKES SURABAYA

Immediate
Instruction Mode

Dec 01, 2021

Instruction Date

Additional Notification Email -

SMS -

Transaction History
Action Date Action Type Document No Action by Currency Amount Action Status Transaction
Name Status

Dec 01, 2021 17:55:27 Execute 2021120117445 System IDR 50,000,000.00 Succeed Executed
(GMT +7) 25468 Successfully

Dec 01, 2021 17:55:26 Approve 2021120117445 APPROVAL- IDR 50,000,000.00 Succeed Pending
(GMT +7) 25468 Januriadi Execute

Dec 01, 2021 17:44:48 Create 2021120117445 MAKER-Imas IDR 50,000,000.00 Succeed Pending
(GMT +7) 25468 Masitoh Approval
 Jan 26, 2022 13:13:12 (GMT +7)

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Document Number Detail

Transaction Id 202112011746525881

Document Number 202112011746525881

Dec 01, 2021 17:46:39 (GMT +7)

Creation Date

IDR 18,860,000.00
Total Debit Amount

Immediate
Instruction Mode

Transaction Status 
Executed Successfully

Transfer Summary

Single Transfer To Other Bank - Online Domestic Transfer

Service Type

1300017436877 IDR ARGO PESONA INDONESI

Source of Fund

6720490488 SUHERMANTO
Destination Account

BCA (Bank Central Asia) Online : 014

Beneficiary Bank Information

Online
Transfer Method

Amount IDR 18,853,500.00

Online Fee IDR 6,500.00

(IDR 6,500.00 / record)

Total Charges IDR 6,500.00

Total Debit Amount IDR 18,860,000.00

Reference Number -

Remark DP KEMENKES

Extended Details DP TERMIN I KEMENKES POLTEKKES SURABAYA

Immediate
Instruction Mode

Dec 01, 2021

Instruction Date

Additional Notification Email -

SMS -

Transaction History
Action Date Action Type Document No Action by Currency Amount Action Status Transaction
Name Status

Dec 01, 2021 17:55:30 Execute 2021120117465 System IDR 18,853,500.00 Succeed Executed
(GMT +7) 25881 Successfully

Dec 01, 2021 17:55:30 Approve 2021120117465 APPROVAL- IDR 18,853,500.00 Succeed Pending
(GMT +7) 25881 Januriadi Execute

Dec 01, 2021 17:46:40 Create 2021120117465 MAKER-Imas IDR 18,853,500.00 Succeed Pending
(GMT +7) 25881 Masitoh Approval
 Jan 26, 2022 13:16:54 (GMT +7)

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Document Number Detail

Transaction Id 202112091035643278

Document Number 202112091035643278

Dec 09, 2021 10:35:55 (GMT +7)

Creation Date

IDR 113,544,300.00
Total Debit Amount

Immediate
Instruction Mode

Transaction Status 
Executed Successfully

Transfer Summary

Single Transfer To Other Bank - Clearing (ID: SKN/LLG) Transfer

Service Type

1300017436877 IDR ARGO PESONA INDONESI

Source of Fund

6720490488 SUHERMANTO
Destination Account more details

BCA (Bank Central Asia) LLG : 0140397

Beneficiary Bank Information

LLG
Transfer Method

Amount IDR 113,541,400.00

SKN Fee IDR 2,900.00

(IDR 2,900.00 / record)

Total Charges IDR 2,900.00

Total Debit Amount IDR 113,544,300.00

Reference Number -

Remark PEMB. TERMIN 2 KEMEN

Extended Details PEMBYARAN TERMIN 2 KEMENKES POLTEKKES SURAB

AYA

Immediate
Instruction Mode

Dec 09, 2021

Instruction Date

Additional Notification Email -

SMS -

Transaction History
Action Date Action Type Document No Action by Currency Amount Action Status Transaction
Name Status

Dec 09, 2021 10:39:32 Execute 2021120910356 System IDR 113,541,400.00 Succeed Executed
(GMT +7) 43278 Successfully

Dec 09, 2021 10:39:32 Approve 2021120910356 APPROVAL- IDR 113,541,400.00 Succeed Pending
(GMT +7) 43278 Januriadi Execute

Dec 09, 2021 10:35:56 Create 2021120910356 MAKER-Imas IDR 113,541,400.00 Succeed Pending
(GMT +7) 43278 Masitoh Approval
 Jan 26, 2022 13:18:47 (GMT +7)

Transaction Status
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Document Number Detail

Transaction Id 202112182123548235

Document Number 202112182123548235

Dec 18, 2021 21:23:35 (GMT +7)

Creation Date

IDR 30,006,500.00
Total Debit Amount

Immediate
Instruction Mode

Transaction Status 
Executed Successfully

Transfer Summary

Single Transfer To Other Bank - Online Domestic Transfer

Service Type

1300017436877 IDR ARGO PESONA INDONESI

Source of Fund

6720490488 SUHERMANTO
Destination Account

BCA (Bank Central Asia) Online : 014

Beneficiary Bank Information

Online
Transfer Method

Amount IDR 30,000,000.00

Online Fee IDR 6,500.00

(IDR 6,500.00 / record)

Total Charges IDR 6,500.00

Total Debit Amount IDR 30,006,500.00

Reference Number -

Remark MODAL KEMENKES

Extended Details PEMBAYARAN MODAL KEMENKES POLTEKKES SURABA

YA

Immediate
Instruction Mode

Dec 18, 2021

Instruction Date

Additional Notification Email -

SMS -

Transaction History
Action Date Action Type Document No Action by Currency Amount Action Status Transaction
Name Status

Dec 18, 2021 21:25:58 Execute 2021121821235 System IDR 30,000,000.00 Succeed Executed
(GMT +7) 48235 Successfully

Dec 18, 2021 21:25:58 Approve 2021121821235 APPROVAL- IDR 30,000,000.00 Succeed Pending
(GMT +7) 48235 Januriadi Execute

Dec 18, 2021 21:23:36 Create 2021121821235 MAKER-Imas IDR 30,000,000.00 Succeed Pending
(GMT +7) 48235 Masitoh Approval
 Jan 26, 2022 13:20:48 (GMT +7)

Transaction Status
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Document Number Detail

Transaction Id 202112221449599784

Document Number 202112221449599784

Dec 22, 2021 14:49:50 (GMT +7)

Creation Date

IDR 50,006,500.00
Total Debit Amount

Immediate
Instruction Mode

Transaction Status 
Executed Successfully

Transfer Summary

Single Transfer To Other Bank - Online Domestic Transfer

Service Type

1300017436877 IDR ARGO PESONA INDONESI

Source of Fund

6720490488 SUHERMANTO
Destination Account

BCA (Bank Central Asia) Online : 014

Beneficiary Bank Information

Online
Transfer Method

Amount IDR 50,000,000.00

Online Fee IDR 6,500.00

(IDR 6,500.00 / record)

Total Charges IDR 6,500.00

Total Debit Amount IDR 50,006,500.00

Reference Number -

Remark PELUNASAN LDKM

Extended Details PELUNASAN POLTEKES KEMENKES SURABAYA

Immediate
Instruction Mode

Dec 22, 2021

Instruction Date

Additional Notification Email -

SMS -

Transaction History
Action Date Action Type Document No Action by Currency Amount Action Status Transaction
Name Status

Dec 22, 2021 14:57:14 Execute 2021122214495 System IDR 50,000,000.00 Succeed Executed
(GMT +7) 99784 Successfully

Dec 22, 2021 14:57:14 Approve 2021122214495 APPROVAL- IDR 50,000,000.00 Succeed Pending
(GMT +7) 99784 Januriadi Execute

Dec 22, 2021 14:49:52 Create 2021122214495 MAKER-Imas IDR 50,000,000.00 Succeed Pending
(GMT +7) 99784 Masitoh Approval
 Jan 26, 2022 13:19:23 (GMT +7)

Transaction Status
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Document Number Detail

Transaction Id 202112221450599939

Document Number 202112221450599939

Dec 22, 2021 14:50:50 (GMT +7)

Creation Date

IDR 50,006,500.00
Total Debit Amount

Immediate
Instruction Mode

Transaction Status 
Executed Successfully

Transfer Summary

Single Transfer To Other Bank - Online Domestic Transfer

Service Type

1300017436877 IDR ARGO PESONA INDONESI

Source of Fund

6720490488 SUHERMANTO
Destination Account

BCA (Bank Central Asia) Online : 014

Beneficiary Bank Information

Online
Transfer Method

Amount IDR 50,000,000.00

Online Fee IDR 6,500.00

(IDR 6,500.00 / record)

Total Charges IDR 6,500.00

Total Debit Amount IDR 50,006,500.00

Reference Number -

Remark PELUNASAN LDKM 2

Extended Details PELUNASAN POLTEKKES KEMENKES SURABAYA

Immediate
Instruction Mode

Dec 22, 2021

Instruction Date

Additional Notification Email -

SMS -

Transaction History
Action Date Action Type Document No Action by Currency Amount Action Status Transaction
Name Status

Dec 22, 2021 14:57:18 Execute 2021122214505 System IDR 50,000,000.00 Succeed Executed
(GMT +7) 99939 Successfully

Dec 22, 2021 14:57:18 Approve 2021122214505 APPROVAL- IDR 50,000,000.00 Succeed Pending
(GMT +7) 99939 Januriadi Execute

Dec 22, 2021 14:50:52 Create 2021122214505 MAKER-Imas IDR 50,000,000.00 Succeed Pending
(GMT +7) 99939 Masitoh Approval
 Jan 26, 2022 13:20:09 (GMT +7)

Transaction Status
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Document Number Detail

Transaction Id 202112221452601759

Document Number 202112221452601759

Dec 22, 2021 14:52:28 (GMT +7)

Creation Date

IDR 40,318,600.00
Total Debit Amount

Immediate
Instruction Mode

Transaction Status 
Executed Successfully

Transfer Summary

Single Transfer To Other Bank - Online Domestic Transfer

Service Type

1300017436877 IDR ARGO PESONA INDONESI

Source of Fund

6720490488 SUHERMANTO
Destination Account

BCA (Bank Central Asia) Online : 014

Beneficiary Bank Information

Online
Transfer Method

Amount IDR 40,312,100.00

Online Fee IDR 6,500.00

(IDR 6,500.00 / record)

Total Charges IDR 6,500.00

Total Debit Amount IDR 40,318,600.00

Reference Number -

Remark PELUNASAN LDKM 3

Extended Details PELUNASAN POLTEKKES KEMENKES SURABAYA

Immediate
Instruction Mode

Dec 22, 2021

Instruction Date

Additional Notification Email -

SMS -

Transaction History
Action Date Action Type Document No Action by Currency Amount Action Status Transaction
Name Status

Dec 22, 2021 14:57:23 Execute 2021122214526 System IDR 40,312,100.00 Succeed Executed
(GMT +7) 01759 Successfully

Dec 22, 2021 14:57:23 Approve 2021122214526 APPROVAL- IDR 40,312,100.00 Succeed Pending
(GMT +7) 01759 Januriadi Execute

Dec 22, 2021 14:52:30 Create 2021122214526 MAKER-Imas IDR 40,312,100.00 Succeed Pending
(GMT +7) 01759 Masitoh Approval