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Formulir 2a PU BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
NPP 16001297 No. Nomor Referensi (Nomor Peserta)
Nama Perusahaan RSU KARSA HUSADA KOTA BATU
Periode Laporan 02 2018
Nama Unit Kerja RSU KARSA HUSADA KOTA BATU
1
16002725444
Nomor Induk Kependudukan Nama Tenaga Kerja (NIK) 3579012704840001 HAMSAH SUKRONI
27-04-1984
Jumlah Upah (Rp.) 2.384.200,00
Iuran JHT TK
88.215,40
47.684,00
47.684,00
23.842,00
Total Iuran (Rp.) 220.300,08
2
16002725469
3578090604760001 FREDDY
06-04-1976
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
3
16023537927
3518136206920001 ARLIZA YUNWARDANY
22-06-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
4
17028334872
01-05-1984
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
5
17028334922
3578014105840002 MEY CANDRA KARTIKA SARIE,AMD,KEB. 3506055602900002 YUNITA FREDI LUTNA WATI
16-02-1990
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
6
17041028394
3507230209950001 RIO SADEWO
02-09-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
7
17041028584
3573045106990009 DIAN PUJI LESTARI
11-06-1999
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
8
17041028600
3524217004940002 ICHA LINTANG RESTIKA
30-04-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
Tanggal Lahir
Iuran Jkk (Rp.) 5.722,08
Iuran JKM (Rp.) 7.152,60
Iuran JP
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
9
17041028626
3506176707980001 VEGA DINDA FERDILA PUTRI
23-07-1998
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
10
17041028634
3505154608920002 ALFI PUJI ASTUTIK
06-08-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
11
17041028667
3173061012940004 ALFA MUBDI AMANDO
10-12-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
12
17041028709
5171030404940001 I WAYAN SUNARCAYA
04-04-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
13
17041028790
3503064406920001 METI VERDIAN YUNISA
04-06-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
14
17041028881
3522155311850002 WINDRI ASTUTI
13-11-1985
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
15
17041028899
3507184806940002 KHANNA DWI FIKRI
08-06-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
16
17041028980
3505174204940002 AJENG RUVITA DEWI
02-04-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
17
17041028998
3528025706930005 GLAVERIA GALUH GIRIANANDA
17-06-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
18
17041029004
3507054304950002 PRILLA ADITIA SAPUTRI
03-04-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
19
17041029053
6211052310920001 MUHAMMAD LUTHFI FUADI
23-10-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
20
17041029079
3515062302880003 RIYAN BUDI PRATAMA
23-02-1988
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
21
17041029152
3573015709930004 LISTIANINGRUM
17-09-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
22
17041029160
3579015507880001 SINTA YULINDA WARDHANY
15-07-1988
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
23
17041029194
3510234703930002 YEPY HESTI RIANI
07-03-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
24
12042193453
3579011910930002 YOEL SANTOSO
19-10-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
25
14003923241
3507124609920002 ENGGAR ARINANI
06-09-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
26
15029343868
3575027010880002 MARTA HELLEN SAILATUA
30-10-1988
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
27
16002998157
3579014907940005 ILAWATI ANGGRAENI
09-07-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
28
16002724926
3579022701880001 FIBRI ANDI HERMAWAN
27-01-1988
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
29
16002724983
3573051904790011 BAMBANG RISHARDANA
19-04-1979
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
30
16002725006
3573032505810003 INDRA ASMARA
25-05-1981
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
31
16002725055
3504036306910004 YOLANDA DE ARIO
23-06-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
32
16002725063
3579014412880001 INTAN NURANI
04-12-1988
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
Formulir 2a PU BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
NPP 16001297 No. Nomor Referensi (Nomor Peserta)
Nama Perusahaan RSU KARSA HUSADA KOTA BATU
Periode Laporan 02 2018
Nama Unit Kerja RSU KARSA HUSADA KOTA BATU
33
16002725105
Nomor Induk Kependudukan Nama Tenaga Kerja (NIK) 3509204812790005 IMMACULATA EKA SUBAGJO
08-12-1979
Jumlah Upah (Rp.) 2.384.200,00
Iuran JHT TK
88.215,40
47.684,00
47.684,00
23.842,00
Total Iuran (Rp.) 220.300,08
34
16002725139
3579011604860001 PURWANTO
16-04-1986
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
35
16002725493
3579016505840004 WIWIT KRISIYAWANTI
25-05-1984
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
36
16002725568
3579026511890002 NURINDA DIANI
25-11-1989
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
37
16010276307
3579014303930004 TRI HIMAWATI PURI WARDOYO
03-03-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
38
17028335036
3573026103940001 FITRI PUSPITA DEWI
21-03-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
39
17028335051
3573051805800012 ROBBY KRISTIAN WIRABUANA
18-05-1980
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
40
17041028543
3573055008940001 TAZKYA AZZAHRA
10-08-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
41
17041028592
3512075312920002 ANITA NURLAILY
13-12-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
42
17041028659
3508035808930003 SITI SULAICHA
18-08-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
43
17041028923
3506152708890001 KUNTO ADI WASKITO
27-08-1989
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
44
17041029129
3528023007930001 FAHMI ADITYA NUGRAHA
30-07-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
45
17041029202
3507230310940001 RIZKI AGUS SETYAWAN
03-10-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
46
13034552821
3522125912920005 AMIZATUL ROZALIA INDAH
19-12-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
47
15007097023
3507060904920002 MOH NAWA CANDRA NS
09-04-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
48
16002724793
3515086703830005 MELIANA DWI LIVIANTI
27-03-1983
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
49
16002724827
3579016701850001 RIRIN TRIWIDIASTI
27-01-1985
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
50
16002724876
3508010703900001 FAHRUR ROHADI
07-03-1990
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
51
16002724892
3579016004860001 EFRILIA DIAN PRASANTI
20-04-1986
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
52
16002725014
3525054505860002 NUR INDAH RISLIYAH
05-05-1986
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
53
16002725147
3514102002870005 WAHYU PRAYUGO DWI UTOMO
20-02-1987
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
54
16002725170
3579030705870001 ENDRI SUYITNO
07-05-1987
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
55
16002725188
3573037004710003 ANIK URIFATUROHMAH
30-04-1971
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
56
16002725303
01-04-1976
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
57
16002725477
3579010104760005 LINGGAWISNU KUSUMAWARDANA 3578106605710005 DRG. PRIYATI ESTI UTAMI
26-05-1971
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
58
16002725501
05-04-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
59
16002725592
3572034504930005 VIRGIEOVILIA AVERINZHA FEDYASHELLA ELLAMONICA 3579026704910001 AFRILIA NOVIYANTI
27-04-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
60
17028334856
3573013008820004 BERNANDUS ANGGARU
30-08-1982
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
61
17028335002
3579016802910003 SOFIA SETIYAWATI
28-02-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
62
17041028451
3579010709930001 WAHYU AGUNG SATRIA
07-09-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
63
17041028493
3507276906950001 ALIF MUFIDAH
29-06-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
64
17041028576
3515186702950004 STELLA HERLIANTINE FEBRIANI
27-02-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
Tanggal Lahir
Iuran Jkk (Rp.) 5.722,08
Iuran JKM (Rp.) 7.152,60
Iuran JP
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Formulir 2a PU BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
NPP 16001297 No. Nomor Referensi (Nomor Peserta)
Nama Perusahaan RSU KARSA HUSADA KOTA BATU
Periode Laporan 02 2018
Nama Unit Kerja RSU KARSA HUSADA KOTA BATU
65
17041028857
Nomor Induk Kependudukan Nama Tenaga Kerja (NIK) 3573034402930002 DWI HANDAYANI SUNDORO
04-02-1993
Jumlah Upah (Rp.) 2.384.200,00
Iuran JHT TK
88.215,40
47.684,00
47.684,00
23.842,00
Total Iuran (Rp.) 220.300,08
66
17041028865
3579012207920003 VICKY RIYAN PRASETYO
22-07-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
67
17041028907
3505044609940001 ANIS SUSANTI
06-09-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
68
17041028915
3507222706940002 ANGGA DWI PURWANTO
27-06-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
69
17041028956
3507236202940001 CHINDY SURYA KENCANA
22-02-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
70
17041029012
3579010212940004 DONY SURYAHADI SETIAWAN
02-12-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
71
13043745903
3579011110880003 EFENDI TRIO SUSANTO
11-10-1988
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
72
14003648921
3579025706910001 FINY ADINDA MAHARANI
17-06-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
73
14010161462
25-04-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
74
14010161520
3505212504920001 MOKHAMMAD PUNGKI DWI PANGESTU 3507182009920003 IRFAN LUTFI RIZAL
20-09-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
75
15000751337
3573050402810003 WAHYU PUJIANTO
04-02-1981
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
76
16002724736
3579016011870002 LILAH ADILAH
20-11-1987
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
77
16002724843
3573054403800009 LINDA. IKA RINI
04-03-1980
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
78
16002724900
3507232310800003 HAMDAN BASTONI
23-10-1980
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
79
16002724967
3507226409950001 RITSA EPIPHANIA TODING
24-09-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
80
16002725071
3579014503840004 SRI DEWI
05-03-1984
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
81
16002725246
3579034711790002 LAILATUL HIDAYAH
07-11-1979
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
82
16002725535
3507156708860002 TRI DIAN LIAN SARI
27-08-1986
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
83
16002725543
3507230210710001 FITROH MU'ALIMIN
02-10-1971
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
84
16034967840
3518110109920008 HERI SUWARNO
01-09-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
85
17016145124
3510036911900003 UNUN SAFITRI
29-11-1990
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
86
17028334880
5271031806850002 RACHMAD ALVI LUTFI
18-06-1985
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
87
17028334948
3579017005890006 ALFIN RUFAIDAH
30-05-1989
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
88
17028334989
3579016708920001 AYU KURNIASARI
27-08-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
89
17028335028
3515091305930003 ROBBI RODHIYA
13-05-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
90
17041028386
3573017112950001 YESSI RAHMAWATI
31-12-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
91
17041028402
3502015803910002 NANIK SRI WULANDARI
18-03-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
92
17041028477
3507134201950004 HENTY EKA RIZKIE
02-01-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
93
17041028691
3302196103950001 MELATI FAJRI
21-03-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
94
17041028832
3573026504910002 DINNIA IMROATUL KHARIMAH
25-04-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
95
17041028873
3507266708950002 LILY ANDRIANI
27-08-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
96
17041029095
3578066904970011 AFRILIANAH NURUL QOMARIYAH
29-04-1997
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
Tanggal Lahir
Iuran Jkk (Rp.) 5.722,08
Iuran JKM (Rp.) 7.152,60
Iuran JP
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Formulir 2a PU BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
NPP 16001297 No. Nomor Referensi (Nomor Peserta)
Nama Perusahaan RSU KARSA HUSADA KOTA BATU
Periode Laporan 02 2018
Nama Unit Kerja RSU KARSA HUSADA KOTA BATU
97
17041029111
Nomor Induk Kependudukan Nama Tenaga Kerja (NIK) 3507326810930001 LITA OKTAVIA
28-10-1993
Jumlah Upah (Rp.) 2.384.200,00
Iuran JHT TK
88.215,40
47.684,00
47.684,00
23.842,00
Total Iuran (Rp.) 220.300,08
98
14036681758
3506250901920001 FAJAR DWI TRISTANTO
09-01-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
Tanggal Lahir
Iuran Jkk (Rp.) 5.722,08
Iuran JKM (Rp.) 7.152,60
Iuran JP
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
99
16002724934
3507130811880001 ANDRY CANDRA NUGRAHA
08-11-1988
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
100
16002725196
3507292005800003 ADI SUCIPTO
20-05-1980
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
101
16002725279
3525094711920002 TIYO EKA NOVITA SUTRISNA
07-11-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
102
16002725311
3507235708900001 LIA DANTY AGUSTIN AMD.KEB
17-08-1990
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
103
16002725519
7271036804900003 ANGRENI TABUTU
28-04-1990
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
104
16002725527
3507264704860001 ROSALINA WASLA
07-04-1986
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
105
16002725550
3579035608870003 ANITA ARIMBI
16-08-1987
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
106
16002725576
3507284602850001 FERAWATI
06-02-1985
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
107
17028335010
3573012410900010 PANDU OKTAVIAN
26-10-1990
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
108
17028335069
3579010406910002 MUHAMMAD IKHSAN HABIBI
04-06-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
109
17041028501
3507174901950001 DEWI KUROTA A'YUNIN
09-01-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
110
17041028550
3509195802920001 ESTANIA AYU PURNAMASARI
18-02-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
111
17041028618
3523146202950001 ERIKE VERNIA
22-02-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
112
17041028683
3522105110930001 OKTAVIANA RETNA NINGSIH
11-10-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
113
17041028733
3507224902940001 RAHAYU WAHYU NINGSIH
09-02-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
114
17041028816
3507275809970001 UUL RATNASARI
18-09-1997
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
115
17041028840
3514182407960002 YUSUF JULIANTO
24-07-1996
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
116
17041028964
3573016212910004 DESITA NURRAMADHANI
22-12-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
117
17041028972
04-09-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
118
17041029020
3579024409920001 MAULIDDINNA AUWALIA MUSTOFA 3503126911960003 NOVITA PERMATASARI
29-11-1996
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
119
17041029103
3519093008920001 WAHYU EKO PAMBUDI
30-08-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
120
12037329989
3579014208930001 RETNO ANGGRAENI
02-08-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
121
14038002698
3507122508900001 GIGIH AGUS PRASETYO
25-08-1990
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
122
15052457270
01-01-1970
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
123
16002724785
3573041508890001 ANGGA ISWARA WIDIGDA EFFENDI 3507225911820001 LINDA INAYATI
19-11-1982
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
124
16002724959
3504031704930002 FERNANDO DE ARIO
17-04-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
125
16002725022
3579014307910001 ROSSY AYU PRATIWI
03-07-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
126
16002725295
3579012606890008 ACHMAD FIRMANSYAH
26-06-1989
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
127
16002725402
3172021804930001 SYAFIK AZWALI
18-04-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
128
16002725451
3579017011890003 NIRMALA SAPUTRA
30-11-1989
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
Formulir 2a PU BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
NPP 16001297 No. Nomor Referensi (Nomor Peserta)
Nama Perusahaan RSU KARSA HUSADA KOTA BATU
Periode Laporan 02 2018
Nama Unit Kerja RSU KARSA HUSADA KOTA BATU
129
16002725485
Nomor Induk Kependudukan Nama Tenaga Kerja (NIK) 3579015102820002 LINDA VERONICA
11-02-1982
Jumlah Upah (Rp.) 2.384.200,00
Iuran JHT TK
88.215,40
47.684,00
47.684,00
23.842,00
Total Iuran (Rp.) 220.300,08
130
17028334864
3573010708890001 ANDY ISNAIN PRATOMO
07-08-1989
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
131
17028334898
3507222307800001 CUCUP YULIANTO
23-07-1980
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
132
17028334906
3507301705880001 ERIC ALYS SETYAWAN
17-05-1988
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
133
17028334914
3579016708880006 MAYASARI
27-08-1988
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
134
17028334955
3514136506940001 ELIANA PUTRI NURCHASANAH
25-06-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
135
17028334971
3579034812930002 IIM MARDHATILAH AFIFAH
08-12-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
136
17041028378
3506082705930003 BAMBANG SAPUTRA
27-05-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
137
17041028444
3527036411860001 AINI FAJRIN
24-11-1986
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
138
17041028527
3578204303950005 FITRIA WULAN SUCI
03-03-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
139
17041028774
3528020107890235 ILHAM WAHYUDI
01-07-1989
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
140
17041028931
3509065812900001 MADE BELLADONA FARFUMEPA
18-12-1990
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
141
17041029186
3579015708950002 ELDHA NUR FADHILA P.M
17-08-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
142
12037409872
22-03-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
143
13026648447
3525012203920002 DUDUT HIBBA SATRIYA ANDI JASA 3523066712870002 SANDI BUDI RAHAYU
27-12-1987
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
144
14001538231
3528034101910001 YENNI ELVIRA JANUAR
01-01-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
145
14023691182
3507132306880001 SONY KUSUMA WIJAYA
23-06-1988
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
146
15001578986
3579016612920002 RIA NATALIA SIMANULLANG
26-12-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
147
16002724769
3517045911820008 ENIS WAHYUNI
19-11-1982
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
148
16002724868
3579014211830001 REVITA WIDYA PRASANTI
02-11-1983
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
149
16002724918
6101042808890003 SUGENG WINOTO
28-08-1989
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
150
16002724975
3579011104680003 LAGUBOTI SIMANULLANG
11-04-1968
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
151
16002725048
3579016205840005 INDRIANA
22-05-1984
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
152
16002725113
3579014910900001 DEVYANA INDRIASWARI
09-10-1990
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
153
16002725121
3573015410890001 ZAKIAH HIDAYATI
14-10-1989
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
154
16002725154
3579033005860002 ANGGA KHARISMA R PUTRA
30-05-1986
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
155
16002725337
3579014201750002 DEWI AYU LILIANA JANUATI
02-01-1975
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
156
16002725394
3507046501850001 TITIN DWI WIJAYANTI
25-01-1985
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
157
16002725428
3579033008930001 SATRIYA AGUS SUSILO
30-08-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
158
16002725436
3573053108850009 EKO WAHYU MURDIYANTO
31-08-1985
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
159
16002725600
3507043103910001 DANNY HARDHIANSYAH R
31-03-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
160
16043337324
3578081808940003 AGUS WINARKO
18-08-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
Tanggal Lahir
Iuran Jkk (Rp.) 5.722,08
Iuran JKM (Rp.) 7.152,60
Iuran JP
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Formulir 2a PU BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
NPP 16001297 No. Nomor Referensi (Nomor Peserta)
Nama Perusahaan RSU KARSA HUSADA KOTA BATU
Periode Laporan 02 2018
Nama Unit Kerja RSU KARSA HUSADA KOTA BATU
161
17028334930
Nomor Induk Kependudukan Nama Tenaga Kerja (NIK) 3506170512850001 JACQUES LUCKY ANDREA
05-12-1985
Jumlah Upah (Rp.) 2.384.200,00
Iuran JHT TK
88.215,40
47.684,00
47.684,00
23.842,00
Total Iuran (Rp.) 220.300,08
162
17028334997
3579015604920003 YURICKA PRISKILIA R.K
16-04-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
163
17028335044
3579015211970008 VRIZSKI NOVINA VERLANDA
12-11-1997
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
164
17041028410
3579026102920001 FERINA INDRAWATI
21-02-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
165
17041028436
3507276504950001 AFIA KRUSIAWATI
25-04-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
166
17041028485
3515184412940001 DESY NUR YASINTA SARI
04-12-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
167
17041028535
3510035401910001 YASHINTA DEVY
14-01-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
168
17041028717
3324101911950002 MUCH ISLAKHUDIN RIFKI
19-11-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
169
17041028782
3503076812920002 ARINI NUR HIDAYATI
28-12-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
170
17041028824
3573056504940001 MELCY AFRILIA AYU ISMOYO
25-04-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
171
17041029038
3579035007930002 STIFFILIA CHAREZA
10-07-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
172
17041029061
3516184609920001 UCIK NUR CAHYA TININGSIH
06-09-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
173
17041029137
3507180407940004 ANTON ILMIAR WINDRISWARA
04-07-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
174
10030508443
02-03-1989
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
175
12027459598
3579030203890001 FUAD ZULKARNAIN ROZAQ SUGEHA 3525156511880001 NOVITA ANGELINA
25-11-1988
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
176
14010161561
3573030407920002 SUHANDOYO
04-07-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
177
14016274913
3571015409930002 ULFI SEPTAWARTININGTIAS
14-09-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
178
15024704122
3579011107920005 PUNGKI ARGA SETIAWAN
11-07-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
179
15060414842
3507185109930002 SEPTYANTI DWI ANANTO
11-09-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
180
16002724751
3507231710830001 NASUKAN
17-10-1983
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
181
16002724801
3515156808920002 EKA ANGGRAINI
28-08-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
182
16002724884
3579024411780001 MUKHRIDDATUL ULIFAH
04-11-1978
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
183
16002724991
3579015108910001 YESSY PARAMITA
11-08-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
184
16002725030
3507325903910006 IZA ANI AYU PUSPITA
19-03-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
185
16002725162
3579011407830002 INDRA FAUJI
14-07-1983
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
186
16002725220
3579025005850003 IIN NURHAYATI
10-05-1985
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
187
16002725345
3505146708910003 DINA ARUM RAHAYU
27-08-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
188
16002725352
3579015501820005 MARINI ARIANTI
15-01-1982
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
189
16002725360
3579010307810005 KURNIAWAN DIAN MULYONO
03-07-1981
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
190
16002725378
3522050501880001 SHOPYAN ASHARI
05-01-1988
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
191
16002725410
3579017101900003 NIKENNINGTYAS DYAH K
31-01-1990
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
192
16006175828
3578056312940003 DEVI EKA PURNAMASARI
23-12-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
Tanggal Lahir
Iuran Jkk (Rp.) 5.722,08
Iuran JKM (Rp.) 7.152,60
Iuran JP
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Formulir 2a PU BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
NPP 16001297 No. Nomor Referensi (Nomor Peserta)
Nama Perusahaan RSU KARSA HUSADA KOTA BATU
Periode Laporan 02 2018
Nama Unit Kerja RSU KARSA HUSADA KOTA BATU
193
17009877782
Nomor Induk Kependudukan Nama Tenaga Kerja (NIK) 3514014709930002 LULUK AMINATUZ ZUHRIYAH
07-09-1995
Jumlah Upah (Rp.) 2.384.200,00
88.215,40
47.684,00
47.684,00
23.842,00
Total Iuran (Rp.) 220.300,08
194
17028334963
3511111006930004 ISMAIL HASAN
10-06-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
195
17041028519
3579016702950002 DWI FECELIA FITRIANDANI
27-02-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
196
17041028568
3374066507930001 NAAFIATI FIRMANI
25-07-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
197
17041028642
3507265707990001 ASRI WIDYAWATI
17-07-1999
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
198
17041028675
3302135512950001 DIANA SETYANINGTYAS
15-12-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
199
17041028725
3216064909940012 RIRIS TINDIA MISSANTI
09-09-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
200
17041028741
3514222905920003 SUBARKA HARYO TRISUTOKOH
29-05-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
201
17041028758
3507186305950003 CESSA ADINA PRISTYANTI
23-05-1995
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
202
17041028766
3505066005930004 MEIDA UNTARI
20-05-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
203
17041028808
09-09-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
204
17041028949
3573034909910002 SHINDY CAHYANING AYU SEPTILIA 3579014208940002 NOUR ANNISA LARASATI
02-08-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
205
17041029046
3520076710930001 DWI POERWITA SARI
27-10-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
206
17041029087
3523173107930002 EKO SUPRIYANTO
31-07-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
207
17041029178
3573026501860001 CHRISTI SINATRA
25-01-1986
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
208
14013493086
3579015407890001 NORMA YUNIANTI
14-07-1989
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
209
14017535445
3507121301920002 ALAN ADE KRISTANTO
13-01-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
210
15054913056
3510226005940003 RILLA WANITA UTAMI
20-05-1994
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
211
16002724744
3579016707840010 DINI YULIANTI
27-07-1984
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
212
16002724777
3507222010770002 LISTRI ANAMIYANTO
20-10-1977
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
213
16002724819
1802136204910002 NIDYA INGGIH PRATIWI
22-04-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
214
16002724942
3507220310810007 MUCHLIS ARDIANSAH
03-10-1981
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
215
16002725089
3579012405920003 BAKHTIYAR SUHARTANTO
24-05-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
216
16002725097
3579010409650005 TULUS WIYONO
04-09-1965
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
217
16002725204
3579016412930001 DESI MEGAWATI
24-12-1993
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
218
16002725238
3579015609840001 HABSARI MULIASIH
16-09-1984
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
219
16002725253
3579015501860010 RISALATUL MU'AWANAH
15-01-1986
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
220
16002725261
20-05-1991
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
221
16002725287
3507312005910002 FRISKI MILGANDHI ARIK PRASETYO 3579010611760001 SOLEH WIDI RUSELI
06-11-1976
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
222
16002725329
3579015801920001 DINI RAHMAWATI
18-01-1992
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
223
16002725386
3507195110840002 ANIK SUNTIARI
11-10-1984
Jumlah Seluruhnya
Iuran JHT TK Tanggal Lahir
Iuran Jkk (Rp.) 5.722,08
Iuran JKM (Rp.) 7.152,60
Iuran JP
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
2.384.200,00
5.722,08
7.152,60
88.215,40
47.684,00
47.684,00
23.842,00
220.300,08
531.676.600,00
1.276.023,00
1.595.029,00
19.672.034,00
10.633.532,00
10.633.532,00
5.316.766,00
49.126.916,00
Formulir 2a PU BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
NPP 16001297 No. Nomor Referensi (Nomor Peserta)
Nama Perusahaan RSU KARSA HUSADA KOTA BATU Nomor Induk Kependudukan (NIK)
Periode Laporan 02 2018
Nama Unit Kerja RSU KARSA HUSADA KOTA BATU Iuran JHT TK
Nama Tenaga Kerja
Tanggal Lahir
Jumlah Upah (Rp.)
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
Iuran Jkk (Rp.)
Iuran JKM (Rp.)
Pemberi Kerja (Rp.)
Iuran JP
Tenaga Kerja (Rp.)
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Total Iuran (Rp.)
, 13 Februari 2018
(Nama dan Tanda Tangan Pimpinan Perusahaan) Jabatan :
