PT.

BANK RAKYAT INDONESIA Persero, TBK

Jl. Jenderal Sudirman Kav. 44-46, Jakarta 10210
Ph. 021-5758965,45,64,46 Fax. 021-5700914

BPJS KETENAGAKERJAAN - Slip

Sender Information
Account Number : 0121-01-003537-30-1 (IDR)
Account Name : PAGUNTAKA CAHAYA NUS (PT PAGUNTAKA CAHAYA NUSANTARA)

Beneficiary Information
Billing Code : 220606358578
Dues Code : 220606358578
Corporate Name : PAGUNTAKA CAHAYA NUSANTARA - ULD KAPUAS
NPP : 20196244
Division Code : 000
Month : 07/2022
Fee BPJS : 0.00 IDR
Total Dues BPJS - TK : 33,092,460.00 IDR

Transaction Information
Transaction IDReference : 10060461346
Number : 03745177200002
Amount : 33,092,460.00 IDR
Billing Month : 07/2022
Transaction Date : 19-07-2022 - 07:43:18 WIB
Status Transaction Succeed

Page 32 of 124 ( Cetakan Cash Management System BRI tanggal - 19/07/2022 )

 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

20196244 PAGUNTAKA CAHAYA NUSANTARA - ULD KAPUAS PAGUNTAKA CAHAYA NUSANTARA - ULD KAPUAS 07 2022

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 18015679337 6203010702820005 82201067BJM ABDUL HAMID 07-02-1982 01-02-2018 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
2 18015679279 6204062201940004 93201096BJM ABDUL KADIR 22-01-1993 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
3 18015679428 6211010908900001 90201090BJM ABDUL TALIF 09-08-1990 01-02-2018 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
4 15057484493 6205012208840001 72201128BJM AGUS SALIM 22-08-1984 01-11-2015 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
5 18015679360 6271021303980001 98201113BJM AHMAD ZAKI 13-03-1998 01-02-2018 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
6 18015679295 6204062202930002 93201034BJM AHMADAN 22-02-1993 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
7 21008336345 6204031005970001 97201121BJM AHMAT RIDA 10-05-1997 01-02-2021 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
8 11001170502 6204060903820005 82201056BJM ALFIANOR 09-03-1982 01-01-2011 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
9 16001666938 6204061504810002 81200523PKR APRIANOOR 15-04-1981 01-01-2016 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
10 02R30009531 6204010905700001 67201072BJM ARIATNO 09-05-1970 01-01-2002 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
11 11027163879 6204060503930006 93201093BJM ARIEF SUMARNO 05-03-1993 01-09-2011 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
12 13001463184 6204012006820002 90201073BJM ARIYANTO 20-04-1990 01-01-2013 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
13 18015679584 6212040107990003 99201122BJM AZHAR 20-10-1999 01-02-2018 3,227,956.00 0.00 40,995.04 9,683.87 119,434.37 64,559.12 64,559.12 32,279.56 0.00 0.00 331,511.08
14 05R30077663 6204021307790001 78201048BJM BATARUNG 13-07-1978 01-02-2005 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
15 16001666953 6204060906740002 74200524PKR BIJUHAIDI 09-06-1974 01-01-2016 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
16 16045353576 6205061811790002 93201035BJM BUDI HERMONIKA SOSILO 18-11-1979 01-10-2016 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
17 18015679097 6204041103910001 91201052BJM CANDRA 11-03-1991 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
18 12040093416 6203041805920005 92201108BJM DENI SAPUTRA 18-05-1992 01-11-2012 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
19 17022842854 6204032605930003 93201053BJM DENIANSYAH 26-05-1993 01-05-2017 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
20 15057484469 6204032505820003 82201020BJM DOLARMAN 25-05-1982 01-11-2015 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
21 14039378345 6204040104930001 93201031BJM EKAT HARTAKU KAMANDANU 01-04-1993 01-11-2014 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
22 21054211889 6211023004000001 00211170BJM EKO SETIAWAN 30-04-2000 01-08-2021 3,307,767.00 0.00 42,008.64 9,923.30 122,387.38 66,155.34 66,155.34 33,077.67 0.00 0.00 339,707.67
23 02R30009515 6204031309700003 70201016BJM EKO SETIAWAN 13-09-1970 01-01-2002 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
24 06R30016982 6203022603830002 83201082BJM EKOE PURWANTO 26-03-1983 01-05-2006 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
25 20085595088 6203030101860009 86201152BJM EPENDI 01-01-1986 01-12-2020 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
26 18015679220 6204032711950001 95201103BJM ERDO FRIANUS 27-11-1995 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
27 06R30003105 6212042105660002 66201114BJM ERFENDI 21-05-1966 01-01-2006 3,227,956.00 0.00 40,995.04 9,683.87 119,434.37 64,559.12 64,559.12 32,279.56 0.00 0.00 331,511.08
28 16001666888 6213050509890002 89200519PKR FAHMI 05-09-1989 01-01-2016 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
29 18015679238 6204031012940001 94201104BJM FITER WILLIS 10-12-1994 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
30 18061332369 6203031206980004 98201087BJM FITRAH HADI 12-06-1998 01-07-2018 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
31 06R30024739 6205040804760002 76201023BJM GUNAWAN 08-04-1976 01-01-2006 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
32 14016969793 6204023007890002 89201074BJM GUSTI MUHAMMAD ABIDIN 30-07-1989 01-05-2014 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

20196244 PAGUNTAKA CAHAYA NUSANTARA - ULD KAPUAS PAGUNTAKA CAHAYA NUSANTARA - ULD KAPUAS 07 2022

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 20035195609 6204032505970002 97201105BJM HAIRIL ANWAR 25-05-1997 01-05-2020 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
34 05R30041602 6203100110730003 73201106BJM HANAFI GOBID 01-10-1973 01-09-2005 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
35 18015679113 6204033101960001 96201021BJM HASIM 31-01-1996 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
36 15029211925 6204052304770002 77201057BJM HELIANSAI 23-04-1977 01-05-2015 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
37 14028067214 6204011903940002 94201076BJM HENDRA PRIANTO 19-03-1994 01-09-2014 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
38 07R30027003 6204032404840001 84201098BJM HENDRI APRIYUS 24-04-1984 01-04-2007 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
39 18015679246 6204062504830002 83201059BJM HEPING 25-04-1983 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
40 20042982791 6205051302850003 85201123BJM HERIANOR 13-02-1985 01-06-2020 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
41 21054211905 6205032604720002 72211173KPS HUSLIANSYAH 26-04-1972 01-08-2021 3,307,767.00 0.00 42,008.64 9,923.30 122,387.38 66,155.34 66,155.34 33,077.67 0.00 0.00 339,707.67
42 14039378329 6204062212910004 91201137BJM IFNU AL FIRDAUS 22-12-1991 01-11-2014 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
43 06R30003113 6212040506660003 66201115BJM IMANSYAH 05-06-1966 01-01-2006 3,227,956.00 0.00 40,995.04 9,683.87 119,434.37 64,559.12 64,559.12 32,279.56 0.00 0.00 331,511.08
44 10013218390 6204040504790001 82201061BJM INDRA JAYA 23-08-1982 01-04-2010 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
45 18015679196 6204032411880001 88201102BJM INDRO 24-11-1988 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
46 05R30034219 6203013110730004 73201062BJM JEFF HARUSAN. 31-10-1973 01-02-2005 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
47 18015679089 6206111106970002 95201051BJM JEPRIYADI 11-06-1997 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
48 15024497073 3322071412940001 94201024BJM JOHAN EVENDI 14-12-1994 01-04-2015 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
49 18015679287 6204060811910007 91201097BJM JUMADI. M 08-11-1991 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
50 13035840654 6204030207860003 86201100BJM KANSERTO 02-07-1986 01-10-2013 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
51 17046939827 6205010609910001 91201129BJM LAMBRI 06-09-1991 01-10-2017 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
52 20030599037 6203030502920004 92201084BJM M. ILHAM 05-02-1992 01-04-2020 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
53 02R30009549 6204021203730002 73201038BJM M. KAMAWIJAYA 12-03-1973 01-01-2002 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
54 12002822679 6204010307930001 92201071BJM M.ILMAN 15-02-1992 01-01-2012 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
55 15044978557 6204011305960001 96201077BJM MAHDI 13-05-1996 01-10-2015 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
56 14001074492 6304061609760017 76201126BJM MASRAWAN 16-09-1976 01-01-2014 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
57 16001666862 6204061507900004 90200522PKR MINGHUANDY 15-07-1990 01-01-2016 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
58 18015679352 6203012407960002 96201112BJM MUHAMMAD ELFAN HIDAYAT 24-07-1996 01-02-2018 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
59 08026289879 6204023001890002 89201040BJM MUHAMMAD SUTOPO 30-01-1989 01-05-2008 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
60 05R30041354 6211063008840004 84201085BJM MUHAMMAD YUDA 30-08-1984 01-09-2005 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
61 18015679402 6203122710880002 88201089BJM MUHDI 27-10-1988 01-02-2018 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
62 14039378337 6212040505770002 77201118BJM MULYADI 05-05-1977 01-11-2014 3,227,956.00 0.00 40,995.04 9,683.87 119,434.37 64,559.12 64,559.12 32,279.56 0.00 0.00 331,511.08
63 11030966821 6205010602780001 78201125BJM MURJANI 06-02-1978 01-10-2011 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
64 05R30041537 6203100407700002 70201065BJM MUROKIM 04-07-1970 01-09-2005 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

20196244 PAGUNTAKA CAHAYA NUSANTARA - ULD KAPUAS PAGUNTAKA CAHAYA NUSANTARA - ULD KAPUAS 07 2022

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 16007229103 6203080108950001 97201110BJM MUSTAKIM 01-08-1997 01-01-2016 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
66 21054211897 6205042909850002 85211169BJM NUR MANAN 29-09-1985 01-08-2021 3,307,767.00 0.00 42,008.64 9,923.30 122,387.38 66,155.34 66,155.34 33,077.67 0.00 0.00 339,707.67
67 17011691072 6204041411970001 97201094BJM PAISAL AKBAR 14-11-1997 01-02-2017 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
68 18015679394 6203110901940002 96201070BJM PANJI ALBANJARI 26-08-1996 01-02-2018 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
69 11027163853 6204062212930002 93201055BJM PARISKHA 22-12-1993 01-09-2011 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
70 18015679212 6204062106900002 90201095BJM PETRUS KARLIANTO 21-06-1990 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
71 02R30009580 6204032103690001 69201017BJM PUDIN 21-03-1969 01-01-2002 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
72 12023388569 6203110708810001 81201063BJM PUTRA 07-08-1981 01-07-2012 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
73 14016969801 6204032909880001 88201101BJM RAHMAD 29-09-1988 01-05-2014 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
74 08013452068 1871130101860009 85201033BJM RAHMAD 01-01-1986 01-08-2008 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
75 07R30027029 6211080304690001 75201079BJM RAHMADI 03-04-1969 01-04-2007 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
76 18015679261 6204050306930001 93201060BJM RANGGA DEWI JUNI 03-06-1993 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
77 11003651020 6212040607860002 86201116BJM RATNO 06-07-1986 01-02-2011 3,227,956.00 0.00 40,995.04 9,683.87 119,434.37 64,559.12 64,559.12 32,279.56 0.00 0.00 331,511.08
78 14016969785 6203111308780002 78201066BJM RIDO A. 13-08-1978 01-05-2014 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
79 18015679162 6204021803990002 99201075BJM RIDUAN 17-03-1999 01-02-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
80 19018786772 6205040610000002 00201027BJM RISQI AGUNG KARUNIAWAN 06-10-2000 01-02-2019 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
81 15057484477 6204044902960001 96201032BJM RIZKY RACHMADANIE 09-02-1996 01-11-2015 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
82 16001666979 1971050909820001 69201154BJM SABIRIN 09-09-1982 01-01-2016 3,227,956.00 0.00 40,995.04 9,683.87 119,434.37 64,559.12 64,559.12 32,279.56 0.00 0.00 331,511.08
83 18015679386 6203111405910002 88201069BJM SAIPULLAH 11-10-1988 01-02-2018 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
84 12035434534 1971020709820002 80201109BJM SAMSUDIN 07-09-1982 01-10-2012 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
85 18040995914 6204032106930003 93201019BJM SAMSUL 21-06-1993 01-05-2018 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
86 12040093424 6203122104730001 73201088BJM SUDARKO H. I. 21-04-1973 01-11-2012 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
87 02R30009473 6204021811730001 73201054BJM SUKARDIONO 18-11-1973 01-01-2002 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
88 16001667118 6205050612820001 82201148BJM SUPIANSYAH 06-12-1982 01-01-2016 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
89 13038980721 6203070303880014 94201064BJM SURYA PUTRA 03-03-1988 01-11-2013 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
90 14016969819 6308090506930003 93201058BJM SYAHIDIN 05-06-1993 01-05-2014 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
91 02R30009283 6204031507700002 70201018BJM SYAMSURI 15-07-1970 01-01-2002 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
92 98R00056866 6204040601780001 78201030BJM TARINO 06-01-1978 01-06-1998 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
93 15008159640 6212040208930001 93201117BJM TRI INDRA HOSEA 02-08-1993 01-02-2015 3,227,956.00 0.00 40,995.04 9,683.87 119,434.37 64,559.12 64,559.12 32,279.56 0.00 0.00 331,511.08
94 18015679378 6203030505830005 83201068BJM WAHYUDI 05-05-1983 01-02-2018 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
95 04S10125252 6472063006810005 81201111BJM WAHYUDILLAH 30-06-1981 01-09-2004 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09
96 11006716820 6205011307840001 84201124BJM YATNO EKA NUGRAHA 13-07-1984 01-03-2011 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

20196244 PAGUNTAKA CAHAYA NUSANTARA - ULD KAPUAS PAGUNTAKA CAHAYA NUSANTARA - ULD KAPUAS 07 2022

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 18015679568 6212040208000003 00201120BJM YOKI ANSAH 02-08-2000 01-02-2018 3,227,956.00 0.00 40,995.04 9,683.87 119,434.37 64,559.12 64,559.12 32,279.56 0.00 0.00 331,511.08
98 04R30042207 6204062603730003 73201092BJM YULIYANOR 26-03-1973 01-10-2004 3,268,269.00 0.00 41,507.02 9,804.81 120,925.95 65,365.38 65,365.38 32,682.69 0.00 0.00 335,651.23
99 15057484451 6205011806740002 76201127BJM YUSPIDA 18-06-1976 01-11-2015 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
100 15024497065 3322070705950001 95201025BJM ZAKKI MUBAROK 07-05-1995 01-04-2015 3,330,432.00 0.00 42,296.49 9,991.30 123,225.98 66,608.64 66,608.64 33,304.32 0.00 0.00 342,035.37
101 17068770670 3204121610760008 84201107BJM ZULKARNAIN 16-10-1976 01-12-2017 2,945,181.00 0.00 37,403.80 8,835.54 108,971.70 58,903.62 58,903.62 29,451.81 0.00 0.00 302,470.09

Jumlah Seluruhnya 322,224,554.00 0.00 4,092,252.00 966,673.00 11,922,308.00 6,444,491.00 6,444,491.00 3,222,245.00 0.00 0.00 33,092,460.00

Keterangan
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penggajian perusahaan peserta yang bersangkutan, dengan aturan / format yang sesuai dengan ketentuan BPJS Ketenagakerjaan

, 02 Juli 2022

(Nama dan Tanda Tangan Pimpinan Perusahaan)

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