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Formulir 2a PU BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
NPP 19190086 No.
Nomor Referensi
Nama Perusahaan ROYAL SAMITRA ADINATA Nomor Induk Kependudukan (NIK)
Nomor Pegawai
Nama Tenaga Kerja
Periode Laporan 09 2021
Nama Unit Kerja ROYAL SAMITRA ADINATA
Tanggal Lahir
Tgl Kepesertaan
Iuran JHT TK Jumlah Upah (Rp.)
Jumlah Rapel (Rp.)
Iuran Jkk (Rp.)
Iuran JKM (Rp.)
Pemberi Kerja (Rp.)
Iuran JP
Tenaga Kerja (Rp.)
Pemberi Kerja (Rp.)
Iuran JKP Tenaga Kerja (Rp.)
Pemberi Kerja (Rp.)
Pemerintah (Rp.)
Total Iuran (Rp.)
1
20008228247 1271042804780003
007
ANTONY
28-04-1978
01-02-2020
5,000,000.00
0.00
27,000.00
15,000.00
185,000.00
100,000.00
100,000.00
50,000.00
0.00
0.00
477,000.00
2
20000489276 3372032510920004
022
ARIS SATYA NUGRAHA
25-10-1992
01-01-2020
3,500,000.00
0.00
18,900.00
10,500.00
129,500.00
70,000.00
70,000.00
35,000.00
0.00
0.00
333,900.00
3
20008228239 3175026212750007
010
CUT YASMIN OMAR
22-12-1975
01-02-2020
5,500,000.00
0.00
29,700.00
16,500.00
203,500.00
110,000.00
110,000.00
55,000.00
0.00
0.00
524,700.00
4
19047368394 1271216504910002
031
FARADINA WARDANI SUSILO
25-04-1991
01-10-2019
4,500,000.00
0.00
24,300.00
13,500.00
166,500.00
90,000.00
90,000.00
45,000.00
0.00
0.00
429,300.00
5
19080003460 5103052912890010
025
FARHAN AMARULLAH KARIM
29-12-1989
01-10-2019
5,500,000.00
0.00
29,700.00
16,500.00
203,500.00
110,000.00
110,000.00
55,000.00
0.00
0.00
524,700.00
6
19094098191 3175051006760009
020
01-12-2019
4,300,000.00
0.00
23,220.00
12,900.00
159,100.00
86,000.00
86,000.00
43,000.00
0.00
0.00
410,220.00
14014044904 2171021203899001
FX. PRAWITO ADHI KANIGORO.ST GERRY PUTRA SANJAYA
10-06-1976
7
12-03-1989
01-09-2019
8,000,000.00
0.00
43,200.00
24,000.00
296,000.00
160,000.00
160,000.00
80,000.00
0.00
0.00
763,200.00
8
19080003478 5103032108960003
014
21-08-1996
01-10-2019
4,300,000.00
0.00
23,220.00
12,900.00
159,100.00
86,000.00
86,000.00
43,000.00
0.00
0.00
410,220.00
9
19094098159 5107082406000002
035
I GUSTI NGURAH ARYA DWIPAYANA I KADEK JUNIAWAN
24-06-2000
01-12-2019
2,000,000.00
0.00
10,800.00
6,000.00
74,000.00
40,000.00
40,000.00
20,000.00
0.00
0.00
190,800.00
10
10009172106 5103051012870003
033
I MADE BUDIARTA
10-12-1987
01-10-2019
4,000,000.00
0.00
21,600.00
12,000.00
148,000.00
80,000.00
80,000.00
40,000.00
0.00
0.00
381,600.00
11
17014707537 5103030105940004
013
I PUTU ANDI PRAMANA
01-05-1994
01-12-2019
4,300,000.00
0.00
23,220.00
12,900.00
159,100.00
86,000.00
86,000.00
43,000.00
0.00
0.00
410,220.00
12
19094098175 5103026101950014
015
IDA AYU TRI ISTRI UTAMI
21-01-1995
01-12-2019
4,300,000.00
0.00
23,220.00
12,900.00
159,100.00
86,000.00
86,000.00
43,000.00
0.00
0.00
410,220.00
13
11012431661 5103061409890006
027
KADEK DWI SAPUTRA
14-09-1989
01-10-2019
4,300,000.00
0.00
23,220.00
12,900.00
159,100.00
86,000.00
86,000.00
43,000.00
0.00
0.00
410,220.00
14
20000489292 5171045105940001
017
LITA EMILIA HENDRIATI
11-05-1994
01-01-2020
3,650,000.00
0.00
19,710.00
10,950.00
135,050.00
73,000.00
73,000.00
36,500.00
0.00
0.00
348,210.00
15
18036003152 5102050711830002
028
MARDI UTOMO
07-11-1983
01-10-2019
5,000,000.00
0.00
27,000.00
15,000.00
185,000.00
100,000.00
100,000.00
50,000.00
0.00
0.00
477,000.00
16
19057710949
19-11-1974
01-08-2019
8,000,000.00
0.00
43,200.00
24,000.00
296,000.00
160,000.00
0.00
0.00
0.00
0.00
523,200.00
17
21051765788 5311011503870012
040
MARK CHRISTIAN DAVID CHING MARTHEN TAMU AMA
15-03-1987
01-08-2021
2,500,000.00
0.00
13,500.00
7,500.00
92,500.00
50,000.00
50,000.00
25,000.00
0.00
0.00
238,500.00
18
21051765770 5103011410680004
039
MATSIR TAN
14-10-1968
01-08-2021
2,500,000.00
0.00
13,500.00
7,500.00
92,500.00
50,000.00
50,000.00
25,000.00
0.00
0.00
238,500.00
19
20000489268 3271062101740011
008
MUDA WIRMAR WIROTO
21-01-1974
01-01-2020
8,000,000.00
0.00
43,200.00
24,000.00
296,000.00
160,000.00
160,000.00
80,000.00
0.00
0.00
763,200.00
20
17037965278 5102066612930001
038
01-02-2021
5,000,000.00
0.00
27,000.00
15,000.00
185,000.00
100,000.00
100,000.00
50,000.00
0.00
0.00
477,000.00
5102065412910003
045
NI LUH WAYAN DEVI HANDAYANI NI NENGAH DUWIJAYANTI
26-12-1993
21
2,000,000.00
0.00
10,800.00
6,000.00
74,000.00
40,000.00
40,000.00
20,000.00
0.00
0.00
190,800.00
22
19094098209 5107086512930002
029
NI PUTU DESI ERAWATI
25-12-1993
01-12-2019
2,700,000.00
0.00
14,580.00
8,100.00
99,900.00
54,000.00
54,000.00
27,000.00
0.00
0.00
257,580.00
23
19094098167 5171034301950006
012
NI WAYAN MULIARTINI
03-01-1995
01-12-2019
4,300,000.00
0.00
23,220.00
12,900.00
159,100.00
86,000.00
86,000.00
43,000.00
0.00
0.00
410,220.00
24
19094098183 5103065505870005
011
NI WAYAN TRISNAYANTHI
15-05-1987
01-12-2019
4,300,000.00
0.00
23,220.00
12,900.00
159,100.00
86,000.00
86,000.00
43,000.00
0.00
0.00
410,220.00
25
20008228213 5304122712890001
030
01-02-2020
4,000,000.00
0.00
21,600.00
12,000.00
148,000.00
80,000.00
80,000.00
40,000.00
0.00
0.00
381,600.00
19054853163 5103026603960007
036
PRIMA GOYDOFORD MARIO SERU PUTU SIFRA AYU MARETA
27-12-1989
26
26-03-1996
01-11-2019
4,000,000.00
0.00
21,600.00
12,000.00
148,000.00
80,000.00
80,000.00
40,000.00
0.00
0.00
381,600.00
27
21005831603 3273125410930001
035
14-10-1993
01-02-2021
3,000,000.00
0.00
16,200.00
9,000.00
111,000.00
60,000.00
60,000.00
30,000.00
0.00
0.00
286,200.00
28
19057710956 5103066809760003
R.R MEGITTA IGNACIA LAKSMIWATI SANDHORA
28-09-1976
01-08-2019
4,300,000.00
0.00
23,220.00
12,900.00
159,100.00
86,000.00
86,000.00
43,000.00
0.00
0.00
410,220.00
29
20000489250 5103055402810001
021
SONYA GABRIEL LENGKONG
14-02-1981
01-01-2020
4,500,000.00
0.00
24,300.00
13,500.00
166,500.00
90,000.00
90,000.00
45,000.00
0.00
0.00
429,300.00
30
19057710964 1271022104810002
SUKIMIN
21-04-1981
01-08-2019
8,000,000.00
0.00
43,200.00
24,000.00
296,000.00
160,000.00
160,000.00
80,000.00
0.00
0.00
763,200.00
31
19057710923 5171046107850001
WIKA YULIARI
21-07-1985
01-08-2019
8,000,000.00
0.00
43,200.00
24,000.00
296,000.00
160,000.00
160,000.00
80,000.00
0.00
0.00
763,200.00
143,250,000.00
0.00
773,550.00
429,750.00
5,300,250.00
2,865,000.00
2,705,000.00
1,352,500.00
0.00
0.00
13,426,050.00
Jumlah Seluruhnya
P4746180A
14-12-1991
Formulir 2a PU BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
NPP 19190086 No.
Nomor Referensi
Nama Perusahaan ROYAL SAMITRA ADINATA Nomor Induk Kependudukan (NIK)
Nomor Pegawai
Nama Tenaga Kerja
Periode Laporan 09 2021
Nama Unit Kerja ROYAL SAMITRA ADINATA
Tanggal Lahir
Tgl Kepesertaan
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 JHT TK Jumlah Upah (Rp.)
Jumlah Rapel (Rp.)
Iuran Jkk (Rp.)
Iuran JKM (Rp.)
Pemberi Kerja (Rp.)
Tenaga Kerja (Rp.)
Iuran JP Pemberi Kerja (Rp.)
Iuran JKP Tenaga Kerja (Rp.)
Pemberi Kerja (Rp.)
Pemerintah (Rp.)
, 01 September 2021
(Nama dan Tanda Tangan Pimpinan Perusahaan) Jabatan :
Total Iuran (Rp.)
