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Formulir 2a PU BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
NPP NN120652 No.
Nomor Referensi
Nama Perusahaan KOPKAR USAHA SEJAHTERA BERSAMA Nomor Induk Kependudukan (NIK)
Nomor Pegawai
Periode Laporan 04 2024
Nama Unit Kerja KOPKAR USAHA SEJAHTERA BERSAMA
Tanggal Lahir
Tgl Kepesertaan
ACHMAD DANDY ARDIANSYAH AFFANDI
14-05-1999
01-01-2023
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
23-05-1973
01-02-2002
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
AMANU
30-04-1978
01-07-2002
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
Nama Tenaga Kerja
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
23016055339 3523161405990002
96037
2
02NC0002720 3525142305730007
94020
3
02NC0037767 3524173004780001
4
23044521591 3525144209990001
96032
AMIERA RASYITA SERINANDA
02-09-1999
01-03-2023
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
5
24008330458 3524261607000001
96035
ANGGARA BUDI SANTOSO
16-07-2000
01-01-2024
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
6
04NC0220872 3525140101830001
ARIF WIBOWO
01-01-1983
01-12-2004
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
7
23193530955 3522221609040002
96039
ARYA BINTORO
16-09-2004
01-11-2023
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
8
21006643767 7306070506020007
96015
BAGAS RAKA BAYU SAPUTRA
05-06-2002
01-01-2021
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
9
3578312911940002
96043
BAMBANG SUTIKNO
29-11-1994
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
10
05NC0038115 3523060103860002
95013
BOY SAPUTRO
01-03-1986
01-04-2005
3,515,956.00
0.00
31,292.01
10,547.87
130,090.37
70,319.12
70,319.12
35,159.56
0.00
0.00
347,728.05
11
04NC0012592 3525140610790010
BUDI SETIAWAN
06-10-1979
01-04-2004
6,274,094.00
0.00
55,839.44
18,822.28
232,141.48
125,481.88
125,481.88
62,740.94
0.00
0.00
620,507.90
12
06NC0096236 3525161904780122
94070
BUDI SUSATYO, S.KOM
19-04-1978
01-09-2006
5,822,033.00
0.00
51,816.09
17,466.10
215,415.22
116,440.66
116,440.66
58,220.33
0.00
0.00
575,799.06
13
18004884179 3523151902740003
93006
DARSONO
19-02-1974
01-01-2018
2,864,225.00
0.00
25,491.60
8,592.68
105,976.33
57,284.50
57,284.50
28,642.25
0.00
0.00
283,271.86
14
23044521666 3525106109990001
96033
DINDA SEPTI AYUNINGTYAS
21-09-1999
01-03-2023
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
15
15003993159 3509035608860003
94348
DINDRI LIVEN VIDAYANA
16-08-1986
01-01-2015
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
16
20078935887 3578141801890001
93002
DION ANDREANTO
18-01-1989
01-10-2020
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
17
18004884161 3523151012760007
93007
EDI WIBOWO
10-12-1976
01-01-2018
2,864,225.00
0.00
25,491.60
8,592.68
105,976.33
57,284.50
57,284.50
28,642.25
0.00
0.00
283,271.86
18
11033047512 3525142303900004
94126
EKA MAKSUM
23-03-1990
01-10-2011
6,640,871.00
0.00
59,103.75
19,922.61
245,712.23
132,817.42
132,817.42
66,408.71
0.00
0.00
656,782.14
19
12008062924 3525120605860002
94134
EKO BUDI PURNOMO
06-05-1986
01-03-2012
7,174,639.00
0.00
63,854.29
21,523.92
265,461.64
143,492.78
143,492.78
71,746.39
0.00
0.00
709,571.80
20
03NC0074537 3525165410820001
94045
ELLIA MARIYANTI
14-10-1982
01-12-2003
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
21
22013824978 3525147006000002
93009
ELVIRA MAULIDIAH PUTRI
30-06-2000
01-01-2022
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
22
93NC0029516 3525164703700122
94002
ENDANG MULYATI
07-03-1970
01-11-1993
7,982,265.00
0.00
71,042.16
23,946.80
295,343.81
159,645.30
159,645.30
79,822.65
0.00
0.00
789,446.02
23
11000354966 3525144802880001
ERVA DWI MULYATI
08-02-1988
01-01-2011
7,324,912.00
0.00
65,191.72
21,974.74
271,021.74
146,498.24
146,498.24
73,249.12
0.00
0.00
724,433.80
24
22034531255 3576022109810003
96016
20-09-1981
01-03-2022
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
25
24008330466 3525012507950001
96034
EUSTACHIUS ANDARU KRISTYANTO FAISOL AMIR
25-07-1995
01-01-2024
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
26
11035005559 3525100604890001
FARIS FASHIHUL LISAN
06-04-1989
01-11-2011
6,151,472.00
0.00
54,748.10
18,454.42
227,604.46
123,029.44
123,029.44
61,514.72
0.00
0.00
608,380.58
27
22040810644 3525145601000003
150011
FITRI DINA SAVIRA
16-01-2000
01-04-2022
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
28
03NC0050644 3311106309820002
94043
HARTANTI
23-09-1982
01-08-2003
6,123,822.00
0.00
54,502.02
18,371.47
226,581.41
122,476.44
122,476.44
61,238.22
0.00
0.00
605,646.00
29
10010978251 3525140808900001
M ARIF FACHRUDDIN
08-08-1990
01-04-2010
5,871,253.00
0.00
52,254.15
17,613.76
217,236.36
117,425.06
117,425.06
58,712.53
0.00
0.00
580,666.92
30
09007591036 3523121604910001
M. SOWAB IKSAN ANSORI
16-04-1991
01-03-2009
2,864,225.00
0.00
25,491.60
8,592.68
105,976.33
57,284.50
57,284.50
28,642.25
0.00
0.00
283,271.86
31
10010295979 3525101310910004
M. ZAINAL MILAKHI
13-10-1991
01-03-2010
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
32
18004884211 3523151207730007
MARWIN
12-07-1973
01-01-2018
2,864,225.00
0.00
25,491.60
8,592.68
105,976.33
57,284.50
57,284.50
28,642.25
0.00
0.00
283,271.86
93003
93005
Formulir 2a PU BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA
NPP NN120652 No.
Nomor Referensi
Nama Perusahaan KOPKAR USAHA SEJAHTERA BERSAMA Nomor Induk Kependudukan (NIK)
Nomor Pegawai
Nama Tenaga Kerja
Periode Laporan 04 2024
Nama Unit Kerja KOPKAR USAHA SEJAHTERA BERSAMA
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.)
33
18004884336 3523161712720002
93009
MOH ZAINI
17-12-1972
01-01-2018
2,864,225.00
0.00
25,491.60
8,592.68
105,976.33
57,284.50
57,284.50
28,642.25
0.00
0.00
283,271.86
34
23016055396 3317010506990002
96036
MOHAMMAD SAIFUL AZIZ
05-06-1999
01-01-2023
2,099,689.00
0.00
18,687.23
6,299.07
77,688.49
41,993.78
41,993.78
20,996.89
0.00
0.00
207,659.24
35
12008061314 3525143005810004
MUFID SANTOSO
30-05-1981
01-02-2012
6,723,822.00
0.00
59,842.02
20,171.47
248,781.41
134,476.44
134,476.44
67,238.22
0.00
0.00
664,986.00
36
01NC0064961 3523151107690004
94017
NOERKAMID
11-07-1969
01-07-2001
3,515,956.00
0.00
31,292.01
10,547.87
130,090.37
70,319.12
70,319.12
35,159.56
0.00
0.00
347,728.05
37
93NC0029508 3525164609690001
94001
NUR AINI NADHIFAH
06-09-1969
01-11-1993
7,982,265.00
0.00
71,042.16
23,946.80
295,343.81
159,645.30
159,645.30
79,822.65
0.00
0.00
789,446.02
38
22130962040 1671076601990007
96031
RAHAYU JOHANNA
26-01-1999
01-10-2022
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
39
22130962362 3525140904920001
96030
RUDY SEMIAWAN
09-04-1992
01-10-2022
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
40
17058804745 3525145806960001
SALMA NINDIRA MAHANANI
18-06-1996
01-10-2017
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
41
12013959726 3523201109870005
94135
SONY SUMARSONO
11-09-1987
01-04-2012
5,871,253.00
0.00
52,254.15
17,613.76
217,236.36
117,425.06
117,425.06
58,712.53
0.00
0.00
580,666.92
42
01NC0065737 3525160507740004
94011
SUBAGIO
05-07-1974
01-07-2001
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
43
96NC0004538 3525100606730005
94005
ZAINURI EKO SUCIPTO
06-06-1973
01-01-1996
4,642,031.00
0.00
41,314.08
13,926.09
171,755.15
92,840.62
92,840.62
46,420.31
0.00
0.00
459,096.87
210,162,140.00
0.00
1,870,443.14
630,486.41
7,775,999.26
4,203,242.80
4,203,242.80
2,101,621.40
0.00
0.00
20,785,035.00
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
, 24 April 2024
(Nama dan Tanda Tangan Pimpinan Perusahaan) Jabatan :
