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Formulir 2a PU BPJS Ketenagakerjaan



RINCIAN IURAN TENAGA KERJA



NPP



No.



Nomor Referensi



Nomor Induk Kependudukan (NIK)



Nomor Pegawai



Nama Tenaga Kerja



Periode Laporan 03 2021



Nama Unit Kerja DUTA OKTAN SEMESTA



Nama Perusahaan DUTA OKTAN SEMESTA



GG003450



Tgl Tanggal Lahir Kepesertaan



Iuran JHT TK Jumlah Upah (Rp.)



Jumlah Rapel (Rp.)



Iuran Jkk (Rp.)



Iuran JP



Iuran JKM (Rp.)



Total Iuran (Rp.) Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



1



19101048494 1605140710000002



A'AN AMAL KUSUMA



07-10-2000



01-02-2021



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



2



19053377289 1671142011740006



A. BAIHAKI



20-11-1974



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



3



19061888582 1603022010650002



ABDULLAH IRSAN



20-10-1965



01-08-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



4



19053377362 1674010202720010



ACHMAD SAZILI



02-02-1972



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



5



18005996808 1603040808780003



ADI IRAWAN



08-08-1978



01-01-2018



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



6



10030822174 1671142708770008



ADI MARDIANSYAH



27-08-1977



01-11-2010



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



7



18033316961 1603052905940002



ADI SUTRISNO



29-05-1994



01-04-2018



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



8



17024548467 1603072108900001



AGUN PURNOMO



21-08-1990



01-09-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



9



19061888657 1571021807740101



AGUS IRAWAN



18-07-1974



01-08-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



10



21006170423 1607101812840001



AHMAD APANDI



18-12-1984



01-01-2021



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



11



21011199029 1671060410990002



AJI PANGESTU



04-10-1999



01-02-2021



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



12



17042470058 1671031306770006



AL AMIN SANUSI



13-06-1977



01-08-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



13



18005996774 1603050611740001



ALAM HARDIONO KUSNADI



06-11-1974



01-01-2018



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



14



19053377222 1671071412810003



ALEN PERNANDES



14-12-1981



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



15



16060245830 1606012605700002



ALEN RIADI



26-05-1970



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



16



13009422877 1901030804690003



ALI



08-04-1969



01-03-2013



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



17



16060245780 1603051606770006



ALI BAIDI



16-06-1977



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



18



12001557094 1671051005470007



10-05-1947



01-01-2012



4,200,000.00



0.00



73,080.00



12,600.00



155,400.00



84,000.00



0.00



0.00



325,080.00



19



19061888640 1603070801660001



ALI HARIANTO WANGSADIRDJA ALUMI JIRIS



08-01-1966



01-08-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



20



19053377057 1603072105920002



ANDERI ANDIKA



21-05-1992



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



21



16026994810 1603050708670002



ANDI SUMARYADI



07-08-1967



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



22



18033316938 1605140304880005



ANDRI PRANATA



03-04-1988



01-04-2018



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



23



16060245590 1603052704820004



ANDRIAN



27-04-1982



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



24



16060245764 1603052405780001



ANDRIANTO



24-05-1978



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



25



13015584678 1603051302800001



ANDRIYAN



13-02-1980



01-04-2013



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



26



19090084104 1603051404880001



APRI DEVI



14-04-1988



01-02-2021



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



27



19053377123 1610072401830001



ARDI WINATA



24-01-1983



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



28



19053377040 1603021009920004



ARI ARJUNA



10-09-1992



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



29



13009422760 1603053001860001



ARI GUNAWAN



30-01-1986



01-03-2013



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



30



20022430357 1603121809940001



ARI SANDI



18-09-1994



01-03-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



31



18033316953 1605142907930002



ARIE VRATAMA



29-07-1993



01-04-2018



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



32



19079631131 3279021602900001



ARIFI EDYAN



16-02-1990



01-10-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



NPP



No.



Nomor Referensi



Nomor Induk Kependudukan (NIK)



Nomor Pegawai



Nama Tenaga Kerja



Periode Laporan 03 2021



Nama Unit Kerja DUTA OKTAN SEMESTA



Nama Perusahaan DUTA OKTAN SEMESTA



GG003450



Tgl Tanggal Lahir Kepesertaan



Iuran JHT TK Jumlah Upah (Rp.)



Jumlah Rapel (Rp.)



Iuran Jkk (Rp.)



Iuran JP



Iuran JKM (Rp.)



Total Iuran (Rp.) Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



33



16026994877 1604150708650002



ARMADA



07-08-1965



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



34



16026995064 1603052601740001



AZIZUL



26-01-1974



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



35



21011199011 1671073003750009



BAMBANG SUNGKONO



30-03-1975



01-02-2021



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



36



18005996790 1603050106810006



BAMBANG TRISNO



01-06-1980



01-01-2018



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



37



14009245789 1603051503730001



BASUKI



15-03-1973



01-03-2014



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



38



17061496992 1606022907920002



BEVI SAPUTRA



29-07-1992



01-11-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



39



19053377370 1671070406900007



BUDI ZULPAKA



04-06-1990



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



40



16026994943 1603050103800006



BUDIANTO



01-03-1980



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



41



19053377321 1610161001820003



BUDIMAN SOBAH



10-01-1982



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



42



20014682668 1603073112700003



CHANDRA



31-12-1970



01-02-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



43



19021211388 1606012704990004



DANDI SYAPUTRA



27-04-1999



01-08-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



44



08010929167 1603053012820004



DANU ERLANGGA



30-12-1982



01-06-2008



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



45



16060245632 1671071712790003



DEDE HERLANGGA



17-12-1979



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



46



11025418515 1674022701820004



DEDI ARIANSYAH



27-01-1982



01-09-2011



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



47



16060245871 1604102812790006



DEDI IRAWAN



28-12-1979



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



48



19061888681 1671086911910002



DESTIRA NOVITA SARI



29-11-1991



01-08-2019



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



49



19053377156 1603072002900006



DIMAS ANDRE AGASSI. A



20-02-1990



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



50



17042470074 1605141105920002



DODI HARYANTO



11-05-1992



01-08-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



51



17061497016 1673011303870001



DODI SUDARMADI



13-03-1987



01-11-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



52



20072787144 1674022106820002



DODY IRAWAN



21-06-1982



01-10-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



53



08010929183 1605140510860003



DWI AJAR SISWANDOKO



05-10-1986



01-06-2008



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



54



17042470082 1603050711970008



DWI ARIP PRANOTO



07-11-1997



01-08-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



55



18005996725 1603051105740003



DWI SUPRIYONO



11-05-1974



01-01-2018



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



56



16060245921 1603051412790001



EDI PRIANTO



14-12-1979



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



57



13023572541 1603050909730002



EDI SUSANTO



09-09-1973



01-06-2013



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



58



16032049252 1603052712790002



EDI USMAN



27-12-1979



01-07-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



59



20052264973 1604091506790004



EDY SURYANTO



15-06-1979



01-08-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



60



16026994976 1603052909820002



EFRIANSYAH



29-09-1982



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



61



19053377073 1603070408900002



EKO AGUS WINARNO



04-08-1990



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



62



19053377081 1603022512900003



EKO PRIHANDOKO



25-12-1990



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



63



14037643450 1671042707750009



ELVIN DHARMA PUTRA



27-07-1975



01-11-2014



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



64



19053377016 1603070904740004



ENDANG WISTONO



09-04-1974



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



NPP



No.



Nomor Referensi



Nomor Induk Kependudukan (NIK)



Nomor Pegawai



Nama Tenaga Kerja



Periode Laporan 03 2021



Nama Unit Kerja DUTA OKTAN SEMESTA



Nama Perusahaan DUTA OKTAN SEMESTA



GG003450



Tgl Tanggal Lahir Kepesertaan



Iuran JHT TK Jumlah Upah (Rp.)



Jumlah Rapel (Rp.)



Iuran Jkk (Rp.)



Iuran JP



Iuran JKM (Rp.)



Total Iuran (Rp.) Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



65



17042470033 1605141204910001



ERIC RUDYANTO



17-05-1992



01-08-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



66



16026994885 1671072208680007



ERWIN AGUSIMA



22-08-1968



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



67



16060245962 1671061503680010



FAHRUL ROZI



15-03-1968



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



68



16026994984 1603050308760004



FERDI AFRIANTO



03-08-1976



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



69



17061496968 1671041004810005



FERI APRIANSYAH



10-04-1981



01-11-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



70



16060245657 1671040711750006



FERIZAL



07-11-1975



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



71



20005852056 1605202312980001



FERJI ANGGARIWAN



23-12-1998



01-03-2021



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



72



19053377248 1671083007730002



FIKRI SUSANTO



30-07-1973



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



73



16026994919 3273072510750004



FIRMANSYAH



25-10-1975



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



74



16026994893 1674022806760003



FISANDI ALI HANAFIAH



08-06-1976



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



75



20077781233 1671033110910005



FOMIDUTA OKTARIAN



31-10-1991



01-11-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



76



19053377263 1671070907860014



GENDI JULIAN SURENRA



09-07-1986



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



77



18096148020 1604171006980001



GIOVANNI SAPUTRA



10-06-1998



01-11-2018



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



78



19061888632 1603071305700001



GUNTUR DHANI



13-05-1970



01-08-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



79



11002348248 1603050611820001



HABIBURACHMAN



06-11-1982



01-02-2011



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



80



16060245756 1674011710740002



HARIYANTO



17-10-1974



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



81



18033316946 1605140202930003



HARNOKI



02-02-1993



01-04-2018



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



82



19053377008 1603071905920001



HARRY KURNIAWAN



19-05-1992



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



83



20072787151 1671072609820005



HARRY ZULKARNAIN



26-09-1982



01-10-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



84



19053377131 1603021605850001



HENDRA JAYA



16-05-1985



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



85



14025741936 1605141507770005



HENDRI YANTO



15-07-1977



01-08-2014



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



86



20052264981 3276030207740004



HENING BUDI ISMULYO



02-07-1974



01-08-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



87



16026995049 1603051808770003



HERIYANTO



18-08-1977



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



88



13009422950 1606020603810002



HERIYANTO



06-03-1981



01-03-2013



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



89



13009422786 1603050512850010



HERU DARMAWAN



05-12-1985



01-03-2013



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



90



19053377487 1674011604660005



IFWANI



16-04-1966



01-07-2019



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



91



19101048411 3201131902870003



ILHAM PRASETYO



19-02-1987



01-12-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



92



19053377024 1603072710670002



INDIAN



27-10-1967



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



93



16060245665 1603052104700001



ISKANDAR BASRI



21-04-1970



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



94



16026994828 1603052706730001



IWAN SETIAWAN



27-06-1973



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



95



18005996758 1603042306740003



JAKA SANTOSA



23-06-1974



01-01-2018



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



96



18005996741 1603041207760003



JASRIL



12-07-1976



01-01-2018



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



NPP



No.



Nomor Referensi



Nomor Induk Kependudukan (NIK)



Nomor Pegawai



Nama Tenaga Kerja



Periode Laporan 03 2021



Nama Unit Kerja DUTA OKTAN SEMESTA



Nama Perusahaan DUTA OKTAN SEMESTA



GG003450



Tgl Tanggal Lahir Kepesertaan



Iuran JHT TK Jumlah Upah (Rp.)



Jumlah Rapel (Rp.)



Iuran Jkk (Rp.)



Iuran JP



Iuran JKM (Rp.)



Total Iuran (Rp.) Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



97



18033316979 1605141108880005



JOKO SUPRI YANTO



11-08-1988



01-04-2018



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



98



16026994927 1603051309730002



JUMIRAN



13-09-1973



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



99



16060245707 1603050910690002



KARDIANTO



09-10-1969



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



100 17035029630 1603050712810001



KARMADI



07-12-1981



01-07-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



101 17042470066 1603050412860001



KERINANTO



10-07-1985



01-08-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



102 19053377479 1671101304820006



KHAIDIR



13-04-1982



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



103 19101048445 1605141804870001



KHAIRUL MUSTOPA



18-04-1987



01-12-2019



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



104 08004319011 1607100305730003



KOMARUDIN YUSUF



03-05-1973



01-04-2008



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



105 16060245731 1603072406700002



KOSASIH



24-06-1970



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



106 21006170415 1671140810900006



KURNIAWAN SAPUTRA



08-10-1990



01-01-2021



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



107 19053377107 1603073003920003



LAMARTA ADYTIA WARMAN



30-03-1993



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



108 19053377412 3174092203780004



LESMONO TEJO SAPUTRA



22-03-1978



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



109 15028295911 1671073004880007



M MUCHLIS



30-04-1988



01-01-2021



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



110 13009422679 1603052911740002



M SUHAILI



29-11-1974



01-03-2013



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



111 19061888608 1603070911690002



M. IZHAR



09-11-1969



01-08-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



112 16060245749 1603071111770004



M. SLAMET RAHAYU



11-11-1977



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



113 19053377032 1673060711940001



M. WAHYUDI



07-11-1994



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



114 19053377172 1604102811700006



M.BASARUDIN



28-11-1970



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



115 19061888590 1603070109790002



MAHMUDIN AZIZ



01-09-1979



01-08-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



116 20022430340 1671100510740012



MAYUDHA SULISTYAWAN



05-10-1974



01-03-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



117 19053377438 1603071504790010



MEGA SUNAR PRASETYO



15-04-1979



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



118 19053377115 1603070712890003



MEKI ASTRONOBI



07-12-1989



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



119 18123515266 1671114109980003



MELIA SEPTIANA



01-09-1998



01-12-2018



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



120 12018040795 1671066102890012



MERRI



21-02-1989



01-06-2012



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



121 16032049237 1603052809680002



MUHAMAD DIAH



28-09-1968



01-07-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



122 19061888624 1603021504840002



MUHAMAD YAHYA



15-04-1984



01-08-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



123 16026994802 1603053009650002



MUHAMAD YANI



30-09-1965



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



124 15052511654 1605145103900001



11-03-1990



01-10-2015



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



125 16060245681 1605141310760002



MUHAMMAD ARIB KRISMANTIO MUHROMI



13-10-1976



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



126 18012151918 1671162104740001



MULA SIAGIAN



21-04-1974



01-02-2018



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



127 18005996766 1603050809690003



MULYADI



08-09-1969



01-01-2018



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



128 14037643484 1603051412730003



MUNAWIR



14-12-1973



01-11-2014



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



NPP



No.



Nomor Referensi



Nomor Induk Kependudukan (NIK)



Nomor Pegawai



Nama Tenaga Kerja



Periode Laporan 03 2021



Nama Unit Kerja DUTA OKTAN SEMESTA



Nama Perusahaan DUTA OKTAN SEMESTA



GG003450



Tgl Tanggal Lahir Kepesertaan



Iuran JHT TK Jumlah Upah (Rp.)



Jumlah Rapel (Rp.)



Iuran Jkk (Rp.)



Iuran JP



Iuran JKM (Rp.)



Total Iuran (Rp.) Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



129 19053377297 1610080302720001



MUSAWIR



03-02-1972



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



130 17042470090 1607105605700001



MUSLI ERNI



16-05-1970



01-08-2017



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



131 12007972719 1603110107800003



NEDDIANSYAH



06-07-1980



01-03-2012



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



132 16060245699 1603050407820002



NGATONO



04-07-1982



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



133 19013002423 1671074709790012



NITA LENI



07-09-1979



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



134 16060245772 1603051811870004



NOPAN SARDIAN



18-11-1987



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



135 16060245905 1603052111770001



NORMAN HAKIM MS



21-11-1977



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



136 18072356316 1603201609950001



PAISAL TANJUNG



16-09-1995



01-08-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



137 19053377180 1603072604960001



PANJI AKBAR



26-04-1996



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



138 19061888616 1603071702900005



PEBRIAN PRATAMA



17-02-1990



01-08-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



139 19053377354 1671130902950001



PERDIAN MARHADAN



09-02-1995



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



140 16060245715 1603050710670001



PRISTONO M.S



07-10-1967



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



141 19005391297 1605142707790004



RABIUL AWAL



25-07-1978



01-01-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



142 10028787165 1671022003850010



RAEDY



20-03-1985



01-11-2010



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



143 10030821663 1603050911690001



RALINSON DAMANIK



09-11-1969



01-11-2010



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



144 17021736750 1603051102950002



RAMA FERDIANSYAH



11-02-1995



01-04-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



145 20063089757 1606093005000001



RANDI SAPRIANTO



30-05-2000



01-09-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



146 17004806158 1603052802910003



REDI ALAMSYAH



28-02-1991



01-01-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



147 18082687981 1603131204810002



RENO FAITA



12-04-1981



01-08-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



148 20052264965 1671032206910001



RIO WIRATAMA



22-06-1991



01-08-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



149 13003363069 1671111809850004



RIZKI NANDA



18-09-1985



01-02-2013



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



150 20072787128 1603053011870005



RUDI



30-11-1987



01-10-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



151 20046020200 1601131103880003



RUDI



11-03-1988



01-07-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



152 16026994786 1603050508680001



RUSTAM



05-08-1968



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



153 17004806166 1603050508680001



RUSTAM



05-08-1968



01-01-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



154 19061888566 1603072112710001



RUSWANDI



21-12-1971



01-08-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



155 19053377313 1671130212800001



RYAN DWIANTORO



02-12-1980



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



156 17061497008 1673072003850001



SAHIR



20-03-1985



01-11-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



157 13009422901 1610051005750002



SAIBANI



10-05-1975



01-03-2013



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



158 16026995031 1603050108710004



SAIPUL BAHTIAR



01-08-1971



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



159 20093834768 1606092411940001



SELAMAT RIYADI



24-11-1994



01-12-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



160 17004806141 1605140909860003



SEPRONI



09-09-1986



01-01-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



NPP



No.



Nomor Referensi



Nomor Induk Kependudukan (NIK)



Nomor Pegawai



Nama Tenaga Kerja



Periode Laporan 03 2021



Nama Unit Kerja DUTA OKTAN SEMESTA



Nama Perusahaan DUTA OKTAN SEMESTA



GG003450



Tgl Tanggal Lahir Kepesertaan



Iuran JHT TK Jumlah Upah (Rp.)



Jumlah Rapel (Rp.)



Iuran Jkk (Rp.)



Iuran JP



Iuran JKM (Rp.)



Total Iuran (Rp.) Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



161 16060245855 1603051509840002



SEPTIAN ANDRIANSYAH



15-09-1984



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



162 20052264999 1603072209930002



SHENDY SEVTRIANDY



22-09-1993



01-08-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



163 12001557102 3173011501540001



SIK MENG HUI



15-01-1954



01-01-2012



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



0.00



0.00



253,872.00



164 12001557086 1671060111550008



SIMON WANGDRA



01-11-1955



01-01-2012



5,500,000.00



0.00



95,700.00



16,500.00



203,500.00



110,000.00



0.00



0.00



425,700.00



165 10008424003 1603052812720002



SIRENDI



28-12-1972



01-03-2010



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



166 14030854419 1604101006930005



SUDARMONO



10-06-1993



01-09-2014



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



167 16060245954 1603051512660001



SUGENG



15-12-1966



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



168 17061496984 3328150808790013



SUHARNO



08-08-1980



01-11-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



169 16060245798 1605141202810001



SUHERLY



16-10-1983



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



170 13009422943 1605142110820001



SUJIONO



21-10-1982



01-03-2013



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



171 16060245814 1605140506750001



SUKARDI



05-06-1975



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



172 20052265012 1604100909720008



SUKARMAN



09-09-1972



01-08-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



173 16026994935 1603053112880033



SUKIMAN



31-12-1988



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



174 19053377065 1603070708820009



SULTAN SOPYAN



07-08-1982



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



175 16013612987 1571070811680021



SUMARSO



08-11-1968



01-01-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



176 16060245574 1605141012740001



SUPRIADI



10-12-1974



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



177 16026995007 1603050801700001



SUPRIANTO



08-01-1970



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



178 11012213663 1603051610690001



SUPRIYONO



16-10-1969



01-05-2011



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



179 16026994992 1604102901850004



SURIADI



29-01-1985



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



180 16026994851 1603050812800005



SURIYADI



08-12-1980



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



181 13015584686 1605140503740001



SURYANI



05-03-1974



01-04-2013



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



182 19061888673 1603051706870001



SUTEJO



17-06-1987



01-08-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



183 13009422729 1605141312760001



SUTRISNO



13-12-1976



01-03-2013



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



184 16060245723 1603050409770001



SUWITO



04-09-1977



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



185 16032049229 1603051208740004



SUYADI



12-08-1974



01-07-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



186 13015584694 1604170711820001



SUYITNO



07-11-1982



01-04-2013



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



187 10030821762 1605141010780004



SUYONO



10-10-1978



01-11-2010



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



188 13017532675 1605141610850001



TAUFIK SUSANTO



16-10-1985



01-05-2013



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



189 16032049260 1603053005780001



TEDDY SISWANTO



30-05-1978



01-07-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



190 19053377198 1603022509840004



TOMI SEPRIANSYAH



25-09-1984



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



191 19021211370 1671073112860036



TOMY SENJAYA



31-12-1986



01-03-2019



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



192 12001557128 1671032012820005



TONY GUNAWAN



20-12-1982



01-01-2012



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



NPP



No.



Nomor Referensi



Nomor Induk Kependudukan (NIK)



Nomor Pegawai



Nama Tenaga Kerja



Periode Laporan 03 2021



Nama Unit Kerja DUTA OKTAN SEMESTA



Nama Perusahaan DUTA OKTAN SEMESTA



GG003450



Tgl Tanggal Lahir Kepesertaan



Iuran JHT TK Jumlah Upah (Rp.)



Jumlah Rapel (Rp.)



Iuran Jkk (Rp.)



Iuran JP



Iuran JKM (Rp.)



Total Iuran (Rp.) Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



193 16060245566 1608102707740001



TRI PITOYO



27-07-1974



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



194 16026994844 1603052505700001



UJANG AMRAN



25-05-1970



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



195 19061888574 1603022307820002



UPIKO USRA



23-07-1982



01-08-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



196 16060245582 1604100210720006



USMAN IRAWAN



02-10-1972



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



197 16026994950 1603051408700001



WARJAN



14-08-1970



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



198 16060245848 1671090908760004



WENDY



09-08-1976



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



199 19053377305 1671131502710001



WIDODO SANTOSO



15-02-1971



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



200 16060245608 1674021801810002



YAN MAULANA



18-01-1981



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



201 19053377255 1671071206850012



YANTO



12-06-1985



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



202 16026994836 1603053112720009



YANTO



31-12-1972



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



203 17004806182 1605140701860002



YANUSEH WARDOYO



07-01-1986



01-01-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



204 19053377388 1603071307840002



YAYAN NUWARSYAH



13-07-1984



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



205 13006822830 1671044206880006



YENI YUNITA



02-06-1988



01-03-2013



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



206 18005996782 1671072307910010



YOGI INDRA PRADANA



23-07-1991



01-01-2018



3,280,000.00



0.00



57,072.00



9,840.00



121,360.00



65,600.00



65,600.00



32,800.00



352,272.00



207 17042470041 1603052908770002



YUDI ANTONI



29-08-1977



01-08-2017



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



208 16060245673 1603050712780001



YUDI IRAWAN



07-12-1978



01-12-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



209 14021066916 1603121206860001



YUDIONO



12-06-1986



01-06-2014



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



210 20072787136 1603052405810001



YULI ARIANTO



24-05-1981



01-10-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



211 19053377347 1671030808700006



ZAILANI



08-08-1970



01-07-2019



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



212 16032049245 1606020307750002



ZAPRULLAH



03-07-1975



01-07-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



213 20052264957 1603070101890004



ZULKARNAIN



01-01-1989



01-08-2020



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



214 16026995023 1671043112720064



ZULKIFLI HC



31-12-1972



01-06-2016



3,270,931.00



0.00



56,914.20



9,812.79



121,024.45



65,418.62



65,418.62



32,709.31



351,297.99



703,355,028.00



0.00



12,238,377.00



2,110,064.00



26,024,136.00



14,067,100.00



13,807,500.00



6,903,750.00



75,150,927.00



Jumlah Seluruhnya



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



, 01 Maret 2021



NPP



No.



Nomor Referensi



Nomor Induk Kependudukan (NIK)



Nomor Pegawai



Nama Tenaga Kerja



Periode Laporan 04 2021



Nama Unit Kerja DUTA OKTAN SEMESTA



Nama Perusahaan DUTA OKTAN SEMESTA



GG003450



Tgl Tanggal Lahir Kepesertaan



Iuran JHT TK Jumlah Upah (Rp.)



Jumlah Rapel (Rp.)



Iuran Jkk (Rp.)



Iuran JP



Iuran JKM (Rp.)



Total Iuran (Rp.) Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



Pemberi Kerja (Rp.)



Tenaga Kerja (Rp.)



(Nama dan Tanda Tangan Pimpinan Perusahaan) Jabatan :