Formulir 2a PU

BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
1 3515151210750001 AMA 12-10-1975 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
2 18056078795 3206201201950003 0111 A REDI FAUZI 12-01-1995 01-06-2018 2,397,000.00 0.00 5,752.80 7,191.00 88,689.00 47,940.00 47,940.00 23,970.00 221,482.80
3 18022114666 1801171110940003 AAN DIANSAH 11-10-1994 01-03-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
4 18042218943 3174100809700004 0100 ABU HASAN 08-09-1970 01-05-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
5 16043423769 3527050304730003 ACH. JUPRIADI 03-04-1974 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
6 16033429594 3602132210650002 ACHMAD CHAERUDIN 22-10-1965 01-08-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
7 16049683424 3276022401800015 ACHMADI 24-01-1980 01-11-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
8 18042219024 3271041607930022 0109 ADAM BUDI SANTOSO 16-07-1993 01-05-2018 3,837,939.00 0.00 9,211.05 11,513.82 142,003.74 76,758.78 76,758.78 38,379.39 354,625.56
9 16049683507 3215192005940003 ADHARI LUTFI 20-05-1994 01-11-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
10 17020254359 3204160912820001 ADHI ERIYADI 09-12-1982 01-05-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
11 18010907246 3216072612780008 ADI RATNO TIMUR 26-12-1978 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
12 17040443222 3671102112600002 ADI SUWITA 21-12-1960 01-08-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 0.00 0.00 124,800.00
13 18103279420 3671081107730003 AGUNG WIDODO 11-07-1973 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
14 16057447258 1809042208910002 AGUS IRAWAN 22-08-1991 01-12-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
15 3510071008780016 AGUS RIYANTO 10-08-1978 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
16 18035399155 3314141003900001 AGUS RUWIYANTO 10-03-1990 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
17 18016787899 3276011708900011 AGUS SETIAWAN 17-08-1990 01-02-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
18 18010907477 3215271702810001 AGUS TRI NUGROHO 17-02-1981 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
19 18035399049 3329120512970001 AHMAD DAHLAN 05-12-1997 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
20 18069076562 1807130710950002 AHMAD FAUZI 07-10-1995 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
21 16043423918 3216011605730004 AHMAD LUTFI 16-05-1973 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
22 18035399304 3326081405710001 AHMAD MULYADI 14-05-1971 01-04-2018 2,200,000.00 0.00 5,280.00 6,600.00 81,400.00 44,000.00 44,000.00 22,000.00 203,280.00
23 18042219016 3603132207880003 0108 AHMAD NURJABAR 22-07-1988 01-05-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
24 18010907253 3216020504840016 AHMAD SAYADIH 05-04-1984 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
25 18103279651 3201010102770009 AHMAD SONI 01-02-1977 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
26 18010907220 3603130508860002 0000 AHMAD SUJAI 05-08-1986 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
27 17061754341 3175072005760017 AJAT SUDRAJAT 20-05-1976 01-11-2017 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 277,200.00
28 17020254367 3215192505810001 AKHMAD SAEPI 25-05-1981 01-05-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
29 18103279669 3329091509980003 AKHMAD SUPRIYADI 15-09-1998 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
30 3578082507950001 ALI ANANG MUSTOFA 25-07-1995 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
31 15010858486 3215291005730002 ALI MUDIN 10-05-1976 01-01-2015 2,379,000.00 0.00 5,709.60 7,137.00 88,023.00 47,580.00 47,580.00 23,790.00 219,819.60
32 18010907188 3215150112770002 AMIR SING 01-12-1977 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
33 18022114690 3173051202630021 ANAN DJAANI 12-02-1963 01-03-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
34 18035398884 3215241908720003 ANANG TOSIN 19-08-1972 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
35 18035399072 3216050603820008 ANDI HERMANSYAH 06-03-1982 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
36 18056078860 3604012011661016 ANDI SAFWANUDIN 20-11-1966 01-06-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
37 16043424023 3578102604830009 ANDIK WIBOWO 26-04-1983 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
38 18056078845 3604052605950003 ANDIKA 26-05-1995 01-06-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
39 18035399031 1812030105960002 ANDIKA 01-05-1996 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
40 18103279784 3674041406860002 ANDRI 14-06-1986 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
41 16043424114 3277012912890020 ANDRIANSYAH 29-12-1989 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
42 18103279537 3201132102960010 ANDRIYAN 21-02-1996 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
43 17020254391 3603121609780005 ANDY PRASONGKO 16-09-1978 01-05-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
44 18010907287 3216110604790006 ANIN SETIAWAN 06-04-1979 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
45 18109829186 3201260405820010 ANJAS TAJUDIN SINAGA 04-05-1982 01-11-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
46 3326080909890001 ANTONI SUSILO 09-09-1989 01-03-2019 1,900,000.00 0.00 4,560.00 5,700.00 70,300.00 38,000.00 38,000.00 19,000.00 175,560.00
47 18085709030 1807010307960005 APRI SAPUTRA 14-04-1996 01-09-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
48 18035399056 3173071001961001 ARDI NURMANSYAH 10-01-1996 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
49 15036583563 3216080502720023 ARI TUGIMAN 05-02-1972 01-04-2015 3,837,939.00 0.00 9,211.05 11,513.82 142,003.74 76,758.78 76,758.78 38,379.39 354,625.56
50 17069523383 3201130603660005 ARIEF SUBIYANTO 06-03-1966 01-12-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
51 18103279792 1102132601990002 ARIF BOWO MULIA SANDI 26-01-1999 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
ALGA
52 18085709048 3276021604910008 ARIF SARIPUDIN 16-04-1991 01-09-2018 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 277,200.00
53 16033429628 3175020603660002 ARIF SUBIYANTO 06-03-1966 01-08-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
54 15036583613 3171032707650014 ARIFUDDIN 27-07-1965 01-04-2015 3,837,939.00 0.00 9,211.05 11,513.82 142,003.74 76,758.78 76,758.78 38,379.39 354,625.56
55 18010907493 3215022509920001 ARIP LUKMAN 25-09-1992 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
56 18010907345 3201131502830005 0000 ARIYANTO 15-02-1983 01-01-2018 3,204,551.00 0.00 7,690.92 9,613.65 118,568.39 64,091.02 64,091.02 32,045.51 296,100.51
57 15043908233 3216063107830008 ASEP HANDAYANI 31-07-1983 01-06-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
58 18103279743 3671110508750012 ASEP IRWAN 05-08-1975 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
59 18010907147 3201080507870006 ASEP SAPUTRA 05-07-1987 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
60 18056078837 3208221006850005 ASEP SOBARUDIN 10-06-1985 01-06-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
61 12011335150 3209022006890001 ASEP SUBAGJA 20-06-1989 01-01-2012 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 277,200.00
62 16028339782 3275081509830028 ASIM ADNAN 15-09-1983 01-07-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
63 17029324823 3216011304770006 ASSE 13-04-1977 01-06-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
64 18035398900 3215072308850001 ATMA 23-08-1985 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
65 18010907428 3216101607810010 AZIS ARYANTO 16-07-1981 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
66 16033429537 3172041210770009 AZIZ 12-10-1977 01-08-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
67 17029324815 3601101111790001 BAI MIHARJA 11-11-1979 01-06-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
68 06J60026793 MIG1255702 BAMBANG SUPRAYETNO 08-11-1967 01-02-2006 3,200,000.00 0.00 7,680.00 9,600.00 118,400.00 64,000.00 64,000.00 32,000.00 295,680.00
69 3325032507980001 BAYU KHAIRULLOH 25-07-1998 01-03-2019 1,900,000.00 0.00 4,560.00 5,700.00 70,300.00 38,000.00 38,000.00 19,000.00 175,560.00
70 18010907410 3216062804750010 0000 BEJO 28-04-1975 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
71 18103279511 1604062211970002 BISI MERIANSYAH 22-11-1997 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
72 12011335036 3206381012790002 BUDI RAHMANSYAH 10-12-1979 01-01-2012 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
73 14033326514 3603010401760001 BUDI SANTOSO 04-01-1976 01-11-2014 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
74 18035399080 3215141304830004 CAHYA 13-04-1983 01-04-2018 2,397,000.00 0.00 5,752.80 7,191.00 88,689.00 47,940.00 47,940.00 23,970.00 221,482.80
75 3325030308820001 CARYONO 03-08-1982 01-03-2019 1,900,000.00 0.00 4,560.00 5,700.00 70,300.00 38,000.00 38,000.00 19,000.00 175,560.00
76 18035399098 3601351602890002 CASMANTO 16-02-1989 01-04-2018 2,397,000.00 0.00 5,752.80 7,191.00 88,689.00 47,940.00 47,940.00 23,970.00 221,482.80
77 16036845747 3327082905790102 CAYOKO 29-05-1979 01-09-2016 3,321,000.00 0.00 7,970.40 9,963.00 122,877.00 66,420.00 66,420.00 33,210.00 306,860.40
78 18010907121 3275031110720035 CECEP RAHMAT 11-10-1972 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
79 16016192235 3216180803850003 CECEP SOLIHIN BIN 08-03-1985 01-02-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
SUPARTA
80 18103279529 3276021507740013 CEK NUNG 15-07-1974 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
81 3517191012870002 CHOIRUL ANAM 10-12-1987 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
82 16049683325 3272011111700901 CHOLIS ET WANTORO 11-11-1970 01-11-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
83 12011335168 MIG110610385 CHRISNA 09-11-1975 01-01-2012 8,743,048.00 0.00 20,983.32 26,229.14 323,492.78 174,860.96 170,248.00 85,124.00 800,938.20
NURCAHYANINGSIH
84 18016787907 3175102006840016 CHUDONI 20-06-1984 01-02-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
85 15010858494 3215251409840004 DADANG SOPIAN 14-09-1984 01-01-2015 2,379,000.00 0.00 5,709.60 7,137.00 88,023.00 47,580.00 47,580.00 23,790.00 219,819.60
86 18103279719 3175070702960008 DANIEL ANDI REJEKI 07-02-1996 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
87 16033429552 3173041211800012 DARSONO 12-11-1980 01-08-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
88 18035398918 3215051504740010 DARSONO 15-04-1974 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
89 18010907238 3216071504760001 DARSONO 15-04-1976 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
90 18103279552 3212151208790003 DARWONO 12-08-1979 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
91 17040443180 3172030510780018 DARYANTO 05-10-1978 01-08-2017 3,837,939.00 0.00 9,211.05 11,513.82 142,003.74 76,758.78 76,758.78 38,379.39 354,625.56
92 17029324757 3214131203670002 DASIM SUPARJO 12-03-1967 01-06-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
93 18056078852 3673061912930003 DEDE HERYANA 19-12-1993 01-06-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
94 16049683523 3174091611800004 DEDE LESMANA 16-11-1980 01-11-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
95 15010858502 3215141603840001 DEDE SODIKIN 16-03-1984 01-01-2015 2,397,000.00 0.00 5,752.80 7,191.00 88,689.00 47,940.00 47,940.00 23,970.00 221,482.80
96 18010907089 3216190307770006 DEDE SULAEMAN 01-01-2000 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
97 18035399015 3271042212830004 DEDI DARMANSYAH 22-12-1983 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
98 17020254375 3604241303760001 DEDI HARYADI 13-03-1976 01-05-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
99 17069523342 3171070804800003 DEDI SUMANTORO 08-04-1980 01-12-2017 3,837,939.00 0.00 9,211.05 11,513.82 142,003.74 76,758.78 76,758.78 38,379.39 354,625.56
100 18016787832 3174080810870003 DENY HERDIAN ALAMANDA 08-10-1987 01-02-2018 2,345,000.00 0.00 5,628.00 7,035.00 86,765.00 46,900.00 46,900.00 23,450.00 216,678.00
101 18010907139 3275012412810013 DESTYA MAULANA 24-12-1981 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
102 18010907154 3216191612780005 DIAN TRI PURNOMO 16-12-1978 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
103 18010907519 3216091509660004 DIBYO SANTOSO 15-09-1966 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
104 18069076687 3271032706840003 DIDI LESMONO 27-06-1984 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
105 17040443230 3173072011670010 DIDIK SUPRASOJO 20-11-1967 01-08-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
106 3578211007960003 DIO ADI SAPUTRA 10-07-1996 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
107 16049683556 3276020502530006 DJASDIE 05-02-1953 01-11-2016 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 0.00 0.00 187,200.00
108 16033429503 3175032607680009 DJUNAEDI 26-07-1968 01-08-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
109 17020254383 3215051807730002 DODIK SUBAGYO 18-07-1973 01-05-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
110 18035399163 3209052506970006 DUL HAMBARI 25-06-1997 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
111 15043908258 3275010604890025 DWI SANTOSO 06-04-1989 01-06-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
112 14033326522 1803051501870004 EDI PRIYANTO 15-01-1987 01-11-2014 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
113 16033429545 3173061603830022 EDY SUPRIADI 16-03-1983 01-08-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
114 18016787881 3307041205850003 EFENDI YUSUF 12-05-1985 01-02-2018 2,345,000.00 0.00 5,628.00 7,035.00 86,765.00 46,900.00 46,900.00 23,450.00 216,678.00
115 18069076588 1802152404930005 EKO APRIANTO 24-04-1993 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
116 18085709006 1802140510830002 0 ENDRI YULIANTO 05-10-1983 01-09-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
117 15043908266 3216071206840014 ENGKAR 12-06-1984 01-06-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
118 18035399171 1017222908850001 ENJANG SUHERMAN BIN 29-08-1985 01-04-2018 2,397,000.00 0.00 5,752.80 7,191.00 88,689.00 47,940.00 47,940.00 23,970.00 221,482.80
CARIM
119 18010907402 3216101401720003 0000 ENTIS SUTISNA 14-01-1972 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
120 16027504659 3276020910810012 ERWIN DERMAWAN 09-10-1981 01-06-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
121 19009420399 3326102403000001 FAISAL TRI SULISTIYANTO 24-03-2000 01-01-2019 2,500,000.00 0.00 6,000.00 7,500.00 92,500.00 50,000.00 50,000.00 25,000.00 231,000.00
122 18010907501 3216213006760004 FAJAR ISMAIL 30-06-1976 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
123 18103279701 3276021304840010 FANDI HAUMAHU 13-04-1984 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
124 18042218927 3174101105700005 0101 FANSRUDDIN 11-05-1970 01-05-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
125 19016400376 3325020107740055 FATCHUROCHMAN 23-03-1975 01-02-2019 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 277,200.00
126 17054830207 3216071102870008 FEBRI SETIAWAN 11-02-1987 01-09-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
127 16043423751 3175070602850018 FEBRY TIMOTIUS 06-02-1985 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
128 18103279685 3173060505810002 FERI DARMAWANSYAH 05-05-1982 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
129 18103279503 3276022911960007 FIKRI DWI BUANA 29-11-1996 01-10-2018 3,204,551.00 0.00 7,690.92 9,613.65 118,568.39 64,091.02 64,091.02 32,045.51 296,100.51
130 3201250808980003 FIKRI RIZQULLOH RABBANI 08-08-1998 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
131 17054830298 3671100609800002 FRANCANITRA 08-09-1987 01-09-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
132 12032868049 3314130911910001 FRENGGI ARDIYANTO 09-11-1991 01-09-2012 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
133 14015132781 3201131506860008 FUJI FAUZI 15-06-1986 01-03-2014 3,321,000.00 0.00 7,970.40 9,963.00 122,877.00 66,420.00 66,420.00 33,210.00 306,860.40
134 14033326555 3671021808900005 GATOT DWI PRAGORO 18-08-1990 01-11-2014 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
135 15043908274 3172032301750003 GUNAWAN HARI SUSANTO 23-01-1975 01-06-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
136 18109829244 3604151006910007 HABIBI 10-06-1991 01-11-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
137 16027504717 3604202012860001 HADI 20-12-1986 01-06-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
138 18103279560 3275081007720053 HANAPI 10-07-1972 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
139 16027504642 3175061106690021 HARIYANTO 11-06-1969 01-06-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
140 18103279495 3671112105790003 HARUN RIYANTO 21-05-1979 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
141 3375041312640002 HARYANTO 13-12-1964 01-03-2019 1,900,000.00 0.00 4,560.00 5,700.00 70,300.00 38,000.00 38,000.00 19,000.00 175,560.00
142 16057447233 3275022005710018 HASRUL ISMAIL 20-05-1971 01-12-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
143 18103279453 3315162301000002 HELMI ARIYANTO 23-01-2000 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
144 18010907352 3201131001850016 0000 HENDI HIDAYAT 10-01-1985 01-01-2018 3,204,551.00 0.00 7,690.92 9,613.65 118,568.39 64,091.02 64,091.02 32,045.51 296,100.51
145 16049683481 1808062606870002 HENDRIYADI 26-06-1987 01-11-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
146 18010907329 3216060202740006 0000 HERDIK HIMAWAN 02-02-1974 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
147 18010907204 3216051905850005 HERI HERYANTO 19-05-1985 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
148 18069076794 3216101708920012 HERI IRAWAN 17-08-1992 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
149 18109829202 3215011808790004 HERI JUHAERI 18-08-1979 01-11-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
150 15010858551 3674061909740003 HERMANSYAH 19-09-1974 01-01-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
151 17054830280 3603132002790002 HERMAWAN 20-02-1979 01-09-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
152 3518201303890002 HERMAWAN 13-03-1989 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
153 10026281120 3517192908590001 HERRY SUYONO 29-08-1959 01-03-2019 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 0.00 0.00 187,200.00
154 18103279438 3671120704840003 HERUDIN SYAHRONI 07-04-1984 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
155 18010907485 3275011701740019 HOTUA RANTHONIUS 17-01-1974 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
SIPANGKAR
156 17061754283 3175053011690004 IGONATIUS 30-11-1969 01-11-2017 3,350,000.00 0.00 8,040.00 10,050.00 123,950.00 67,000.00 67,000.00 33,500.00 309,540.00
157 18035399148 3323080309990001 IMAM SYAIFUL 03-09-1999 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
158 3374101102780008 IMAMUDDIN MURAT 11-02-1978 01-03-2019 1,900,000.00 0.00 4,560.00 5,700.00 70,300.00 38,000.00 38,000.00 19,000.00 175,560.00
159 18069076620 3215212706700001 IMAN SUDARSO 27-06-1970 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
160 18016787782 3671030212740001 INDRA JAYA 02-12-1974 01-02-2018 2,345,000.00 0.00 5,628.00 7,035.00 86,765.00 46,900.00 46,900.00 23,450.00 216,678.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
161 18069076752 3201380504900003 INDRA LESMANA 05-04-1990 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
162 07002467640 3276022108740011 0013 INDRA UTAMA 21-08-1974 01-04-2018 3,584,700.00 0.00 8,603.28 10,754.10 132,633.90 71,694.00 71,694.00 35,847.00 331,226.28
163 16043424031 3273040912770005 IPAN RIVANA 09-12-1977 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
164 16028339717 3275020701910007 IRVAN ZIDNI ROHMAN 07-01-1991 01-07-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
165 16043423603 3275033008760020 ISKANDAR 30-08-1976 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
166 18103279818 3175051208680003 IVAN AGUS SETIAWAN 12-08-1968 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
167 15010858569 3214040305760002 IWAN SETIAWAN 03-05-1976 01-01-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
168 18085709014 3521101706770003 JAELANI 17-06-1977 01-09-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
169 17069523391 3216080209860005 JAYADI 02-09-1986 01-12-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
170 18035399023 3215291405830001 JEJE FAUZI 14-05-1983 01-04-2018 2,397,000.00 0.00 5,752.80 7,191.00 88,689.00 47,940.00 47,940.00 23,970.00 221,482.80
171 18056078803 1110020906940001 JEKKI SIMATUPANG 09-06-1994 01-06-2018 3,837,939.00 0.00 9,211.05 11,513.82 142,003.74 76,758.78 76,758.78 38,379.39 354,625.56
172 18016787964 3172022805760003 JEPRI SETIAWAN 28-05-1976 01-02-2018 2,345,000.00 0.00 5,628.00 7,035.00 86,765.00 46,900.00 46,900.00 23,450.00 216,678.00
173 18016787766 3671020311800002 JOKO PRANOTO 03-11-1980 01-02-2018 2,345,000.00 0.00 5,628.00 7,035.00 86,765.00 46,900.00 46,900.00 23,450.00 216,678.00
174 18042219008 3603100110750003 0105 JONO MARGONO 01-10-1975 01-05-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
175 18035399254 3175061406780013 JUNIARDI 14-06-1978 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
176 17020254250 3671022908750001 JUWARI 29-08-1975 01-05-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
177 3515150104780006 KAMTO 01-04-1978 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
178 15043908308 3216082303790015 KARYA ABADI 23-03-1979 01-06-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
179 16033429586 3173062911910006 KARYOTO 29-11-1991 01-08-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
180 18035399288 3275090908900013 KHOIRUDDIN 08-07-1990 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
181 3515170711890004 KOMAR RUDIN 07-11-1989 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
182 3516110205720010 KOMARI 02-05-1972 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
183 15043908316 3174012411740009 KOMARUDIN 24-11-1974 01-06-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
184 18035399262 3175090201890011 KOMARUDIN 02-01-1989 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
185 17069523367 3216110710780012 KOSIM 07-10-1978 01-12-2017 3,837,939.00 0.00 9,211.05 11,513.82 142,003.74 76,758.78 76,758.78 38,379.39 354,625.56
186 18035398934 3201023112650009 KOSIMAN SINAGA 31-12-1965 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
187 3325030908700004 KUSDIYANTO 09-08-1970 01-03-2019 1,900,000.00 0.00 4,560.00 5,700.00 70,300.00 38,000.00 38,000.00 19,000.00 175,560.00
188 16016192276 3174090106980002 M NABIL AL MAHDHY 01-06-1998 01-02-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
189 3515170710880002 M. ABIDIN ARIF 07-10-1988 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
190 15036583514 3276010102930002 M. ARDYANSYAH 01-02-1993 01-04-2015 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 277,200.00
191 17054830231 3603130802700002 M. HARUN 08-02-1970 01-09-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
192 17054830249 3603132601850002 M. JALALUDIN 26-01-1985 01-09-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
193 3375040511840003 M. ROMI NOVIYANTO 05-11-1984 01-03-2019 1,900,000.00 0.00 4,560.00 5,700.00 70,300.00 38,000.00 38,000.00 19,000.00 175,560.00
194 16022771964 3216192108780004 M. SAHRONI 21-08-1978 01-04-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
195 18010907360 3175092709710004 0000 M.SAREH 27-09-1971 01-01-2018 3,204,551.00 0.00 7,690.92 9,613.65 118,568.39 64,091.02 64,091.02 32,045.51 296,100.51
196 17020254268 3674032611880002 MAHRONI 26-11-1988 01-05-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
197 18103279586 3215261501890005 MAMAN LASMANA 15-01-1989 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
198 18103279487 3603141005900003 MARDANI 10-05-1990 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
199 18085708990 3216082105750014 MARYANTO 21-05-1975 01-09-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
200 18016787774 3212080106950002 MARZUQI 01-06-1995 01-02-2018 2,345,000.00 0.00 5,628.00 7,035.00 86,765.00 46,900.00 46,900.00 23,450.00 216,678.00
201 17020254300 3328042005790006 MEINARDO 20-05-1979 01-05-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
202 18069076695 1704060106950001 MELZON JONNEPAN 01-06-1995 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
203 16043423967 3302061905950002 MISBAHUL MURSYID 19-05-1995 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
204 12018440011 3174082808700005 MOCH AGUS ECHWAN 28-08-1970 01-05-2012 8,743,048.00 0.00 20,983.32 26,229.14 323,492.78 174,860.96 170,248.00 85,124.00 800,938.20
205 18022114658 3201150104770002 MOCH. SANDI SUNARDI 01-03-1977 01-03-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
206 17040443198 3201290708870016 MOCHAMAD AGUS TRIANA 07-08-1987 01-08-2017 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 277,200.00
207 18109829236 3671081003770010 MOCHAMAD SYAPEI 10-03-1977 01-11-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
208 18010907063 3175061909770002 MOH BAHRUDIN 19-09-1977 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
209 16028339832 3275040211810026 MOH MISNARI 02-11-1981 01-07-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 0.00 0.00 124,800.00
210 17030573798 3175052807820002 MOHAMAD ARIF HIDAYAT 28-07-1982 01-07-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
211 18035398942 3174082402860001 MOHAMAD EFFENDI 24-02-1986 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
212 17040443206 3201290807790003 MOHAMAD HIDAYAT 08-07-1979 01-08-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
213 18035398892 3329152501950005 MOHAMAD SODIKIN 25-01-1995 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
214 3517190502830002 MOHAMD ALI FIKRI 05-02-1983 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
215 16016192284 2171060510800002 MOHAMMAD AKBAR SUBANG 05-10-1980 01-02-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
216 18010907337 3216152705860002 MOHAMMAD SOLEH 27-05-1986 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
217 15036583647 3325021901740003 MUAWIT 19-01-1974 01-04-2015 3,837,939.00 0.00 9,211.05 11,513.82 142,003.74 76,758.78 0.00 0.00 239,487.39
218 15010858577 3375040911850007 MUCHAMMAD ADI PURNOMO 09-11-1985 01-01-2015 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 277,200.00
219 10033175760 3276052210770005 MUGIARTO 22-10-1977 01-09-2010 3,204,551.00 0.00 7,690.92 9,613.65 118,568.39 64,091.02 64,091.02 32,045.51 296,100.51
220 18103279610 3212311407990001 MUHAMAD AKHSIN 14-07-1999 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
221 18035399213 3327081009930001 MUHAMAD KOMARUDIN 10-09-1993 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
222 18010907386 3301100705950002 MUHAMAD MUKHROBIN 07-05-1995 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
223 17020254334 3674031810840010 MUHAMAD NURJAYA 18-10-1984 01-05-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
224 18103279602 3671101802860006 MUHAMAD ROSIDI 18-02-1986 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
225 17030573830 3276062106700007 MUHAMAD SHOLEH 21-06-1970 01-07-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
226 18109829251 3671071701920002 MUHAMAD TARMIDI 17-01-1992 01-11-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
227 15010858585 3215133005900005 MUHAMAD YAHYA 30-05-1990 01-01-2015 2,397,000.00 0.00 5,752.80 7,191.00 88,689.00 47,940.00 47,940.00 23,970.00 221,482.80
228 18010907543 3216150910750003 MUHAMMAD AMIN 10-09-1975 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
229 16005642158 3175042611870006 0107 MUHAMMAD SOLEH 26-11-1987 01-09-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
230 18010907170 3216042108820001 MUHIDIN 21-08-1982 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
231 18010907048 3216091710730003 MUJILAN 17-10-1973 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
232 18103279628 3212242007850001 MULYANTO SODIK 20-07-1985 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
233 14033326621 3171012103790002 MULYONO 21-03-1979 01-11-2014 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
234 18103279446 3671120705860001 MUNADIH 17-01-1985 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
235 12032867942 3329062712830001 MUNIR 27-12-1983 01-09-2012 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
236 08013944502 3276100601810003 MURIDAN 06-01-1981 01-07-2008 3,321,000.00 0.00 7,970.40 9,963.00 122,877.00 66,420.00 66,420.00 33,210.00 306,860.40
237 17040443248 3671050707810002 MURSALIN 07-07-1981 01-08-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
238 18035399247 3325060706810002 MUTTAQIN 07-06-1981 01-04-2018 3,584,000.00 0.00 8,601.60 10,752.00 132,608.00 71,680.00 71,680.00 35,840.00 331,161.60
239 16033429560 3173050703710009 MUWARDI 07-03-1971 01-08-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
240 18069076737 3216191005820017 NANA 10-05-1982 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
241 14033326563 3603191505830011 NANANG FAUZI RAHMAT 15-05-1983 01-11-2014 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
242 18042218950 3603132709930002 0106 NIKO SYAHPUTRA 27-09-1993 01-05-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
243 16043423975 3175070508740011 NUR AZJIS 05-08-1974 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
244 18103279768 3671120411960001 NURDIAN SYAHRI 04-11-1996 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
245 18103279644 3216081506730025 NURDIN 15-06-1973 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
246 18069076729 3216210509820005 NURHAMID 05-09-1982 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
247 18022114674 3603130201680005 NURHASAN 02-01-1968 01-03-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
248 18069076760 3206360510810001 NURRI 05-10-1981 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
249 15043908365 3216071407730017 NYAMIN 14-07-1973 01-06-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
250 16013529660 3201051507820026 OJI WIJAYA 15-07-1982 01-01-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
251 18103279750 3671111210820003 OKAR DARA 12-10-1982 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
252 18069076570 1604220110950001 OKTA RIANSAH 01-10-1995 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
253 16028339774 3275041306690013 ONTAN ESJONATHAN 13-06-1969 01-07-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
254 16033429529 3174071804620003 PARI PURNO 16-04-1962 01-08-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
255 19016400392 3308200411740001 PARWANTO 04-11-1974 01-02-2019 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 277,200.00
256 18069076711 3201012305690006 PELIUS MAHULAE 23-05-1969 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
257 18042218935 3603101004800007 0107 PENDI 10-04-1980 01-05-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
258 18016787857 3213111407880003 PUAD HASAN 14-07-1988 01-02-2018 2,345,000.00 0.00 5,628.00 7,035.00 86,765.00 46,900.00 46,900.00 23,450.00 216,678.00
259 12032868130 3212223003820004 PURWANTO 30-03-1982 01-09-2012 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
260 17069523417 3275030704700031 PUTUT KUSWANTO 07-04-1970 01-12-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
261 17040443214 1901071308900001 RAHMAT 13-08-1990 01-08-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
262 17030573681 3209310801900004 RAHMAT 08-01-1990 01-07-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
263 16049683366 3209021212780010 RAHMAT HIDAYAT 12-12-1978 01-11-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
264 18103279800 3201010911890010 RAMLI 09-11-1989 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
265 18069076638 3175081312950001 REHANSYAH DENIANTO 13-12-1995 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
266 16016192250 3276106104780001 RHOUDOTUL JANNAH 21-04-1978 01-02-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
267 18010907436 3212062109900001 RIAN AJITIA 21-09-1990 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
268 18103279776 1803181811950001 RIAN HIDAYAT 18-11-1995 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
269 18069076547 1608040112950001 RIDO ANGGA SAPUTRA 01-12-1995 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
270 14033326498 3603031504730006 RIDWAN 15-04-1973 01-11-2014 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
271 18042218968 3209050608950007 0102 RIKI SUNANDAR 12-07-1996 01-05-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
272 16028339758 3275082407840033 RINALDI YUSUF 24-07-1984 01-07-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
273 14033326589 3674021012940002 RINTO NUGROHO 10-12-1994 01-11-2014 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
274 16057447217 3211181906770003 RIPAI 19-06-1977 01-12-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
275 16022771840 3275082606940010 RIZKY BAEHAQY 26-06-1994 01-04-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
276 3515152706870008 ROBY ISKANDARDINATA 27-06-1987 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
277 18069076604 1608101304930003 ROMI WIJAYA 14-04-1993 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
278 17030573558 3216071103710009 ROSIDI JAYADI 11-03-1971 01-07-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
279 18010907071 3275051206810024 RUDI HARTONO 12-06-1981 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
280 16049683390 3204130503800013 RUDI KUSTIONO 05-03-1980 01-11-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
281 17030573715 3603172203770001 RUDI MULYANTO 22-03-1977 01-07-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
282 16022771881 3602241107790002 RUDI SUBARNA 11-07-1979 01-04-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
283 15010858643 3214011104820001 RUDI SUKARDI 11-04-1982 01-01-2015 2,397,000.00 0.00 5,752.80 7,191.00 88,689.00 47,940.00 47,940.00 23,970.00 221,482.80
284 17069523409 3216080605820006 SADI SUNARDI 06-05-1982 01-12-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
285 16043423850 3175061202690020 SADIYONO 12-02-1969 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
286 18010907261 3603140911800006 SAEFUL BAHRI 09-11-1980 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
287 17030573590 3173062707860018 SAFRUDIN 27-07-1986 01-07-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
288 11016056134 3172030905810018 SAFRUDIN 09-05-1981 01-07-2011 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
289 3325032304720001 SAHRONI 23-04-1972 01-03-2019 1,900,000.00 0.00 4,560.00 5,700.00 70,300.00 38,000.00 38,000.00 19,000.00 175,560.00
290 18016787972 3172032307851001 SAHRUDIN SAMOSIR 23-07-1985 01-02-2018 2,345,000.00 0.00 5,628.00 7,035.00 86,765.00 46,900.00 46,900.00 23,450.00 216,678.00
291 16049683374 3276081010720001 SALIM 10-10-1972 01-11-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
292 18085709022 3604240709830002 SAMANAN 07-09-1983 01-09-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
293 18035399296 3275091801840007 SAMID 18-01-1984 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
294 18103279479 1803141712990005 SAMSUL MA'ARIF 17-12-1999 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
295 17054830256 3603130711790004 SAMUR 07-11-1979 01-09-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
296 18056078829 3276011108700006 SARIMAN 11-08-1970 01-06-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
297 17054830264 3603130307720001 SARIPUDIN 03-07-1972 01-09-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
298 18069076703 3603130101750016 SARIPUDIN 01-01-1975 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
299 16043423629 3313052901940001 SARJITO 29-01-1994 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
300 18022114682 3603130204680009 SARMAYA 02-04-1968 01-03-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
301 15036583597 3216180512710008 SARWO EDI 05-12-1971 01-04-2015 3,837,939.00 0.00 9,211.05 11,513.82 142,003.74 76,758.78 76,758.78 38,379.39 354,625.56
302 18035399239 3275022701690002 SATRIADI 27-01-1969 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
303 18035398967 3175062010700001 SELAMET SOLIHIN 20-10-1970 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
304 18069076646 3276060910890004 SENDRA MAULANA 09-10-1989 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
PRASETYA
305 18103279461 3276012106900006 SERA ALFIN 21-06-1990 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
306 16043423587 3215050705790003 SHANDY FRASHANDY 07-05-1979 01-10-2016 2,379,000.00 0.00 5,709.60 7,137.00 88,023.00 47,580.00 47,580.00 23,790.00 219,819.60
307 18010907444 3323121702920001 SIGIT PURNOMO 17-02-1992 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
308 16028339873 3201012102740008 SISWANDI 21-02-1974 01-07-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
309 3578140207870001 SLAMET SUTRISNO 02-07-1987 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
310 15043908399 3671021712750002 SLAMET WAHYUDI 17-12-1975 01-06-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
311 16043423710 3604052008870001 SOBRI 22-01-1988 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
312 17054830223 3603131102910004 SODIKIN 11-02-1991 01-09-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
313 15036583639 3216181009700006 SOLICHIN 06-10-1970 01-04-2015 3,837,939.00 0.00 9,211.05 11,513.82 142,003.74 76,758.78 76,758.78 38,379.39 354,625.56
314 3319042007920002 SONHAJI 20-07-1992 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
315 18010907212 3216220102760001 SUBROTO 01-02-1976 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
316 17040443271 3173060101650004 SUBUR 01-01-1965 01-08-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
317 12032867934 3603110709660001 SUDARMANTO 07-09-1966 01-09-2012 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
318 15043908407 3671021001660015 SUHADI 10-01-1966 01-06-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
319 16049683317 3603100505870001 SUHADIN 05-05-1987 01-11-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
320 18103279693 3212311712930001 SUHENDAR 17-12-1993 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
321 13009178461 3604202505900003 SUHENDRI ZIKRI DESTIANA 25-05-1990 01-03-2013 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 277,200.00
322 18069076612 3671020605590001 SUKARTA 05-02-1967 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
323 16022771972 3671090908750001 SUMARI 09-08-1979 01-04-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
324 16049683457 3174082403810007 SUMARYANTO 24-03-1981 01-11-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
325 16043423884 3201381204770005 SUPRIADI 12-04-1977 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
326 17020254243 3175062812640008 SUPRIATNA 28-12-1964 01-05-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
327 17029324831 3174102011840001 SUPRIYADI 20-11-1984 01-06-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
328 18035399189 3209222007970014 SUPRIYADI 20-07-1997 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
329 18010907451 3216060102750022 SURONO 01-02-1975 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
330 18103279735 3206281703740007 SURYANA 17-03-1974 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
331 11034933355 3174094711780004 SUSI RATNAWATI 07-11-1978 01-11-2011 8,743,048.00 0.00 20,983.32 26,229.14 323,492.78 174,860.96 170,248.00 85,124.00 800,938.20
332 12032867926 3674021902690002 SUSIYANTO 19-02-1969 01-09-2012 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
333 16049683531 3276102508680006 SUTRISNO 25-08-1968 01-11-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
334 15043908456 3314171106810007 SUWARNO 11-06-1981 01-06-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
335 18010907162 3216182403700004 SUYAMTO 24-03-1970 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
336 3517081306840001 SUYANTO 13-06-1984 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
337 16033429511 3601060404880004 SYAEFUL MA'RUF 04-04-1988 01-08-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
338 18069076661 3276011207670002 SYAMSUDDIN 12-07-1967 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
339 16022771923 3674041408750001 SYAMSURI 14-08-1975 01-04-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
340 19016400384 3325023010980002 TANTO MAHFUD 30-10-1998 01-02-2019 3,000,000.00 0.00 7,200.00 9,000.00 111,000.00 60,000.00 60,000.00 30,000.00 277,200.00
341 18103279578 3215142307960004 TAOFIQ ANWAR 23-07-1996 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
342 18075218190 3216100310750002 0 TASIM DONIAL 03-10-1975 01-08-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
343 18103279594 3212102506900001 TAUFIQ 25-06-1990 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
344 18103279636 3212242707000008 TEDY SYAH 17-06-2000 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
345 18010907196 3521110909950002 TEGUH PURNOMO 09-09-1995 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
346 18042218984 3216200908780007 0110 TESMARIANTO 09-08-1978 01-05-2018 3,837,939.00 0.00 9,211.05 11,513.82 142,003.74 76,758.78 76,758.78 38,379.39 354,625.56
347 16043423876 3304010204910001 TOHID SANTOSO 02-04-1991 01-10-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
348 15010858684 3216061210780009 TONI BAMBANG S 12-10-1978 01-01-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
349 17020254276 3215260502940002 TONO 05-02-1994 01-05-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
350 18022114708 1604102909900010 TOTO ISWANTO 29-09-1990 01-03-2018 2,345,000.00 0.00 5,628.00 7,035.00 86,765.00 46,900.00 46,900.00 23,450.00 216,678.00
351 15036583555 3216070904800008 TRI KURNIAWANTO 09-04-1980 01-04-2015 3,837,939.00 0.00 9,211.05 11,513.82 142,003.74 76,758.78 76,758.78 38,379.39 354,625.56
352 18035399197 1808070805940001 TRIONO 08-05-1994 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)
353 18103279826 3671020603780001 TRISNADI 06-03-1978 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
354 17029324773 3215132009800001 UDIN KARSO 20-09-1980 01-06-2017 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
355 18042218976 3276051608700010 0103 USMAN 16-08-1970 01-05-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
356 18010907113 3175060609700005 WAGIMAN TETEN RUSTANDI 06-09-1970 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
357 18010907105 3212062009980002 WAHYUDI 04-04-1997 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
358 18010907527 3216061001800023 WAHYUDI 10-01-1980 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
359 18103279677 3212242104880001 WAHYUDIN 21-04-1988 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
360 18069076596 3328180812840001 WAHYUDIN 08-12-1984 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
361 3325031003810001 WARYUKI 10-03-1981 01-03-2019 1,900,000.00 0.00 4,560.00 5,700.00 70,300.00 38,000.00 38,000.00 19,000.00 175,560.00
362 18010907295 1806115807820007 WASILAH 18-07-1982 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
363 16033429495 3172031004810013 WAWAN JUNAEDI 10-04-1981 01-08-2016 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
364 18010907279 3175061412770003 WINDRI ATMOKO 14-12-1977 01-01-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
365 18103279727 1808010504900004 WIWIN 05-04-1990 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
366 18103279545 1608202404970001 YANDI YANTA 24-04-1997 01-10-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
367 16005642133 3276061601800002 0108 YAPTO SUNJAYA 16-01-1980 01-09-2015 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
368 18069076653 3175051005700003 YUDHI SUPRIADY 10-05-1970 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
369 18069076745 1809010105890002 YUDI IRAWAN 01-05-1989 01-07-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
370 18042219032 3326101412830003 YUDI KURNIAWAN 14-12-1983 01-05-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
371 18035398959 5302051805870001 YUFEN IMANUEL SETE 18-05-1987 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
372 3517082005970003 YUSUF MARDANI 20-05-1997 01-03-2019 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00
373 18035399205 3201290501820006 ZENAL MARSOFI 05-01-1982 01-04-2018 2,000,000.00 0.00 4,800.00 6,000.00 74,000.00 40,000.00 40,000.00 20,000.00 184,800.00

Jumlah Seluruhnya 823,206,867.00 0.00 1,975,696.00 2,469,620.00 30,458,654.00 16,464,137.00 16,173,539.00 8,086,769.00 75,628,415.00

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

, 23 April 2019
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

KK180527 CAKRA MANDIRI PERKASA CAKRA MANDIRI PERKASA 03 2019

No. Nomor Nomor Induk Nomor Tgl Iuran JHT TK Iuran JP

Referensi Kependudukan Pegawai Nama Tenaga Kerja Tanggal Lahir Kepesertaan Jumlah Upah Jumlah Rapel Iuran Jkk Iuran JKM Total Iuran
(NIK) (Rp.) (Rp.) (Rp.) (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) Pemberi Kerja (Rp.) Tenaga Kerja (Rp.) (Rp.)

(Nama dan Tanda Tangan Pimpinan Perusahaan)

Jabatan :