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  • Emp Benefits Questionnaire - Template

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    Suryadi Protokolcyin
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    This document summarizes the employee benefits provided by the previous company of an applicant. Key benefits included 16 days of annual leave accrued each year, medical reimbursement of 2.4 million rupiah per year for the employee and coverage for spouse and children through Takaful insurance. Additional benefits were 600,000 rupiah in annual health benefits, participation in BPJS health and pensions, an annual travel/holiday subsidy of 1.5 million rupiah, and various other incentives like marriage leave, leave buyback, long service awards, and staff referrals.

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    This document summarizes the employee benefits provided by the previous company of an applicant. Key benefits included 16 days of annual leave accrued each year, medical reimbursement of 2.4 million rupiah per year for the employee and coverage for spouse and children through Takaful insurance. Additional benefits were 600,000 rupiah in annual health benefits, participation in BPJS health and pensions, an annual travel/holiday subsidy of 1.5 million rupiah, and various other incentives like marriage leave, leave buyback, long service awards, and staff referrals.

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    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
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    7 views1 page

    Emp Benefits Questionnaire - Template

    Uploaded by

    Suryadi Protokolcyin
    This document summarizes the employee benefits provided by the previous company of an applicant. Key benefits included 16 days of annual leave accrued each year, medical reimbursement of 2.4 million rupiah per year for the employee and coverage for spouse and children through Takaful insurance. Additional benefits were 600,000 rupiah in annual health benefits, participation in BPJS health and pensions, an annual travel/holiday subsidy of 1.5 million rupiah, and various other incentives like marriage leave, leave buyback, long service awards, and staff referrals.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    of 1

    EMPLOYEE BENEFITS QUESTIONNAIRE

    PREVIOUS COMPANY
    NO EMPLOYEE BENEFITS PACKAGE PACKAGE ( if the answer is
    "Yes", please give details )

    1 Annual Leave 16 days/year

    2 Leave increment every 3 years, will add 1 day leave

    3 Medical Benefits

    ~ Outpatient (employee) Reimburse, 2,4 mill /year

    ~ Medical Insurance (Covering Spouse and Child) Yes, Takaful insurance

    ~ Annual Health Benefit 600 ribu/year

    ~ Dental No

    ~ Eye Examination No

    4 ~ Outpatient covering spouse and child Reimburse, 2,4 mill /year

    5 Parking Subsidy / Allowance No

    6 BPJS Yes, BPJS Kes & BPJS TK

    7 Fitness & health Club Subsidy / Allowance No

    8 Phone Subsidy *( 24 x 7 support ) No, 3cx

    9 Internet Subsidy * (24x7 support) No

    10 Entertainment Claims Yes

    11 Ang pow money for staff (Wedding) Yes

    12 Travel/Holiday Subsidy Yes, 1,5 juta per year

    13 Marriage Leave Yes, 3 days

    14 Leave buy back Yes, max 5 day

    15 Long Service Award ( Cash Award ) Yes

    16 Staff Referral Yes. 1,5 mill - 3 mill

    Others :

    1) KPI Review twice a year

    2) THR

    3) Annual Dinner/Family Gathering

    Employee Name & Signature

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