Formulir 2a PU BPJS Ketenagakerjaan RINCIAN IURAN TENAGA KERJA NPP JJ102689 No. Nomor Referensi Nama Perusahaan BINTANG RIAU SEJAHTERA Nomor Induk Kependudukan (NIK) Nomor Pegawai Nama Tenaga Kerja Periode Laporan 06 2019 Nama Unit Kerja BINTANG RIAU SEJAHTERA 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.) Tenaga Kerja (Rp.) Total Iuran (Rp.) 1 17062207430 3302232611890001 26-11-1989 01-11-2017 3,940,973.00 0.00 35,074.66 11,822.92 145,816.00 78,819.46 78,819.46 39,409.73 389,762.23 2 17037084161 3173075304930003 317307530493000 APRIANNI 13-04-1993 01-07-2017 3,940,973.00 0.00 35,074.66 11,822.92 145,816.00 78,819.46 78,819.46 39,409.73 389,762.23 3 13003861971 1409051209820002 EDI SAPUTRA 12-09-1982 01-02-2013 3,416,243.00 0.00 30,404.56 10,248.73 126,400.99 68,324.86 68,324.86 34,162.43 337,866.43 4 12018475306 3173045505830007 IRMAYANTI 15-05-1983 01-06-2012 4,816,000.00 0.00 42,862.40 14,448.00 178,192.00 96,320.00 96,320.00 48,160.00 476,302.40 5 12020721382 3308081409640002 Ir. ANDRI JATI ATMANA 14-09-1964 01-07-2012 9,075,000.00 0.00 80,767.50 27,225.00 335,775.00 181,500.00 170,248.00 85,124.00 880,639.50 6 10017445213 0953100111910241 JAMALULLAEL 01-11-1991 01-06-2010 3,940,973.00 0.00 35,074.66 11,822.92 145,816.00 78,819.46 78,819.46 39,409.73 389,762.23 7 05J50363299 6171053010680007 JONI WIBOWO 30-10-1968 01-11-2005 7,030,800.00 0.00 62,574.12 21,092.40 260,139.60 140,616.00 140,616.00 70,308.00 695,346.12 8 13033454201 3173081404680008 MALIAN 14-04-1968 01-10-2013 5,775,000.00 0.00 51,397.50 17,325.00 213,675.00 115,500.00 115,500.00 57,750.00 571,147.50 ACHMAD YUSUF 9 17041711627 3173080403670006 MISWAN 04-03-1967 01-08-2017 3,940,973.00 0.00 35,074.66 11,822.92 145,816.00 78,819.46 78,819.46 39,409.73 389,762.23 10 16002514442 3201061808790010 MUHAMAD SUBHAN ZAKARIA 18-08-1979 01-12-2015 9,000,000.00 0.00 80,100.00 27,000.00 333,000.00 180,000.00 170,248.00 85,124.00 875,472.00 11 13033454219 3301141703870003 MUHTORIF 17-03-1987 01-10-2013 3,940,973.00 0.00 35,074.66 11,822.92 145,816.00 78,819.46 78,819.46 39,409.73 389,762.23 12 17041711619 3173011903740014 RASTO KUSWOYO 19-03-1974 01-08-2017 3,940,973.00 0.00 35,074.66 11,822.92 145,816.00 78,819.46 78,819.46 39,409.73 389,762.23 13 15052746466 3171080502850002 RUSLI FERDIANSYAH 05-02-1985 01-10-2015 5,250,000.00 0.00 46,725.00 15,750.00 194,250.00 105,000.00 105,000.00 52,500.00 519,225.00 14 11030185984 3404093112730006 SARYANTO 31-12-1973 01-10-2011 3,542,500.00 0.00 31,528.25 10,627.50 131,072.50 70,850.00 70,850.00 35,425.00 350,353.25 15 17041711593 3173081212940002 SELAMAT RIYADI 12-12-1994 01-08-2017 3,940,973.00 0.00 35,074.66 11,822.92 145,816.00 78,819.46 78,819.46 39,409.73 389,762.23 16 12018475223 3509300405640005 SUPARDI 04-05-1964 01-06-2012 6,841,313.00 0.00 60,887.69 20,523.94 253,128.58 136,826.26 136,826.26 68,413.13 676,605.86 17 13033454185 3207171408680001 SUROTO 14-08-1968 01-10-2013 3,940,973.00 0.00 35,074.66 11,822.92 145,816.00 78,819.46 78,819.46 39,409.73 389,762.23 18 13033454169 1171025606830003 YUNIWATI 16-06-1983 01-10-2013 8,662,500.00 0.00 77,096.25 25,987.50 320,512.50 173,250.00 170,248.00 85,124.00 852,218.25 19 12018475272 1402051308770001 YUSEM HEP 13-08-1977 01-06-2012 4,423,380.00 0.00 39,368.08 13,270.14 163,665.06 88,467.60 88,467.60 44,233.80 437,472.28 99,360,520.00 0.00 884,308.00 298,081.00 3,676,339.00 1,987,210.00 1,963,204.00 981,602.00 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 , 28 Juni 2019 (Nama dan Tanda Tangan Pimpinan Perusahaan) Jabatan : 9,790,744.00