Ok - Laporan Bpjs Bayah Chi Mei 2015

7/25/2019 Ok - Laporan Bpjs Bayah Chi Mei 2015

1/11

REKAPITULASI RINCIAN PEMBAYARAN IURAN

BAGIAN I - Perusahaan

1. Perusahaan : PT Mutiara Indah Anugrah (Baah ! C"I# No.Pendaftaran (NPP) : KK

&. Iuran untu )u*an+tahun : Mei &$1%

,. Iuran diset-r e*a*ui : Trans/er

0 Bank Mandiri

Kantor Jamsostek

BAGIAN II - Rekapitulasi tenaga kerja dan upah (JKK,JHT,JKM

Uraianu*ah

Tenaga Ker2a U3ah (R3#

A. Bulan lalu

B. Penambahan tenaga kerja (!a) "! "#$%&'$

*. Pengurangan tenaga kerja (!b) !+ !%$$,. Perubahan u-ah /01 /01

E. u*ah (A 4 B ! C 4 5# &6& ,718%9&8%$1

BAGIAN I! - Rin"ian iuran #ulan ini

Pr-gra Tari/ u*ah U3ah (R3# u*ah Iuran (R3#

(1# ( (,# (7# (( 0 (,#

A. Jaminan Ke2elakaan Kerja (JKK) $.';< !$+"$! &$&%$%+

B. Jaminan 3ari 4ua (J34) %.6$< !$+"$! !%$#+%$+&

*. Jaminan Kematian (JK) $.,$< !$+"$! !$"#$+55E. u*ah (A 4 B 4 C 4 5# &,8%,,89%9

BAGIAN ! - Kekurangan $ Kele#ihan%% iuran untuk #ulan & -

Uraian u*ah Iuran (R3#

A. Jaminan Ke2elakaan Kerja (JKK) !

B. Jaminan 3ari 4ua (J34) !

*. Jaminan Kematian (JK) !

,. Jaminan Pemeliharaan Kesehatan (JPK) !

E. u*ah (A4B4C45#BAGIAN !I - 'enda Iuran

Jumlah ,enda 6uran !

BAGIAN !II - Julah seluruhn)a

Jumlah 7eluruhn8a ( 69 9 96 )

=ELLY "ARTANT> ,6/0K4;/ !% A-ril "!#

Naa dan tanda tangan 3i3inan 3erusahaan Jabatan 4anggal

A


2/11

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=-ru*irS>STEK

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3/11

RINCIAN IURAN TENAGA KERJA

PT MUTIARA INDAH ANUGRAH

KK052588

PERIODE Mei 2014

PERINCIAN PREMI

NO KPJ NAMA TGL- LAHIR SEX UPAH JKK JHT - PT JHT - TK JKM TOTAL ETERANGA

0.89 !."0 2.00 0.!0 PREMI

1 SYAH PARIDUDIN SUPERVISOR 1,187,500 10,569 43,938 23,750 3,563 81,819

2 YAYAN SUYANA DRIVER 1,187,500 10,569 43,938 23,750 3,563 81,819

3 TAUFIK RIO DRIVER 1,187,500 10,569 43,938 23,750 3,563 81,819

4 YAYA SAHYA DRIVER 1,187,500 10,569 43,938 23,750 3,563 81,819

5 SUDIATMAN DRIVER 1,187,500 10,569 43,938 23,750 3,563 81,819

6 INDRA HERYANA DRIVER 1,187,500 10,569 43,938 23,750 3,563 81,819

7 AA IMAN SUDENDI DRIVER 1,187,500 10,569 43,938 23,750 3,563 81,8198 IRWAN PAUL SUSANTO DRIVER 1,187,500 10,569 43,938 23,750 3,563 81,819

9 SUPRIADI PENAWAS 1,187,500 10,569 43,938 23,750 3,563 81,819

10 U!AN LUKMAN PENAWAS 1,187,500 10,569 43,938 23,750 3,563 81,819

11 M TA"RONI PENAWAS 1,187,501 10,569 43,938 23,750 3,563 81,819

12 DEDE AUS SUHERMAWAN ELE#TRI#AL 1,187,500 10,569 43,938 23,750 3,563 81,819

13 KARSO ELE#TRI#AL 1,187,500 10,569 43,938 23,750 3,563 81,819

14 KHAERUL FAHMI ELE#TRI#AL 1,187,500 10,569 43,938 23,750 3,563 81,819

15 NASRUDIN ELE#TRI#AL 1,187,500 10,569 43,938 23,750 3,563 81,819

16 INDRA SASMITA WI!AYA ELE#TRI#AL 1,187,500 10,569 43,938 23,750 3,563 81,819

17 ADE TAUPIK R WELDER 1,187,500 10,569 43,938 23,750 3,563 81,81918 AHMAD MUNIR WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

19 ALE$ SUTAR!O WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

20 EDI !UNAEDI WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

21 EKO SUSENO WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

22 HAM"ALI WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

23 HENDI WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

24 IIP SUHERMAN WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

25 !UHENDI WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

26 !UHERI WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

27 !ULI PURNOMO WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

28 !UNAEDI WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

29 M% ADI SUSANTO WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

30 NANAN KUSUMA SARIYANTO WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

31 OMAN NUROHMAN WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

32 RAHMAN AMIN WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

33 SUANDA WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

34 SUHERMAN WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

35 TATAN ANDI RUSTANDI WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819


4/11

PERINCIAN PREMI


0.89 !."0 2.00 0.!0 PREMI

36 WIDANTA WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

37 ARI PRIYATNO WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

38 ;NA?AN WELDER 1,187,500 10,569 43,938 23,750 3,563 81,81939 ,0N,6 WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

40 N=P/6AN7A3 WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

41 /;7@AN6 WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

42 A3MA, /A,6MAN WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

43 /AN; 3 WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

44 ?A/4AM WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

45 7;30/MAN * WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

46 /A3MA4 B. KAM76N WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

47 AN,/6 >;NA?AN WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

48 M. APPAN,6 N;/A3A 7AP;4/A WELDER 1,187,500 10,569 43,938 23,750 3,563 81,81949 7;P/6A4NA WELDER 1,187,500 10,569 43,938 23,750 3,563 81,819

50 AN,A 7;3AN,A MANDOR 1,187,500 10,569 43,938 23,750 3,563 81,819

51 K=,6/ E$#AVATOR 1,187,500 10,569 43,938 23,750 3,563 81,819

52 ;;P E$#AVATOR 1,187,500 10,569 43,938 23,750 3,563 81,819

53 ;JAN> >;NA?AN E$#AVATOR 1,187,500 10,569 43,938 23,750 3,563 81,819

54 30/6 30/MAN7 E$#AVATOR 1,187,500 10,569 43,938 23,750 3,563 81,819

56 3A@6M E$#AVATOR 1,187,500 10,569 43,938 23,750 3,563 81,819

57 6AN4=N= WHEEL LOADER 1,187,500 10,569 43,938 23,750 3,563 81,819

61 A70P ?A/4A,6 MEKANIK 1,187,500 10,569 43,938 23,750 3,563 81,819

62 7A0P;,6N MEKANIK 1,187,500 10,569 43,938 23,750 3,563 81,819

63 /;B6


5/11

PERINCIAN PREMI


0.89 !."0 2.00 0.!0 PREMI

78 7A0P;,6N "RI#K LAYER 1,187,500 10,569 43,938 23,750 3,563 81,819

79 7AM3;,6 "RI#K LAYER 1,187,500 10,569 43,938 23,750 3,563 81,819

80 7A/6P "RI#K LAYER 1,187,500 10,569 43,938 23,750 3,563 81,81981 7;30N,6 A/


6/11

PERINCIAN PREMI


0.89 !."0 2.00 0.!0 PREMI

120 MAMA4 #ARPENTER 1,187,500 10,569 43,938 23,750 3,563 81,819

121 ADI "ASKORO NAHKODA 1,187,500 10,569 43,938 23,750 3,563 81,819

122 A>;7 NAHKODA 1,187,500 10,569 43,938 23,750 3,563 81,819123 A/67 NAHKODA 1,187,500 10,569 43,938 23,750 3,563 81,819

124 A4= NAHKODA 1,187,500 10,569 43,938 23,750 3,563 81,819

125 ,?6 A/,6 NAHKODA 1,187,500 10,569 43,938 23,750 3,563 81,819

126 M;3AMA, @6N>>A NAHKODA 1,187,500 10,569 43,938 23,750 3,563 81,819

127 /AN4A 7;/A RIER 1,187,500 10,569 43,938 23,750 3,563 81,819

131 ;N>>;@ P;/B= RE"AR 1,187,500 10,569 43,938 23,750 3,563 81,819

137 ,;K64 RE"AR 1,187,500 10,569 43,938 23,750 3,563 81,819

146 !AENAL RE"AR 1,187,500 10,569 43,938 23,750 3,563 81,819

147 7;M64/A RE"AR 1,187,500 10,569 43,938 23,750 3,563 81,819

148 M674A/;,6N RE"AR 1,187,500 10,569 43,938 23,750 3,563 81,819

149 =N6K M63A/JA RE"AR 1,187,500 10,569 43,938 23,750 3,563 81,819

150 /A3A


7/11

PERINCIAN PREMI


0.89 !."0 2.00 0.!0 PREMI

162 ABA7 HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

163 AB;,6N /;74AN,6 HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

164 A,0 7;P/6A,6 HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819165 A,6 6/?AN7= HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

169 A>;7 MA,/=6 HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

170 A>;7 7A0PAN6 HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

171 AUS SUPRIADI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

172 AUS SUPRIATNA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

173 AHMAD HAKIKI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

174 ANDA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819175 APENDI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

176 ARIPIN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

177 ASEP SUPARMAN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

178 ATIANSAH HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

179 AYAT HIDAYAT HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

180 "AHRU HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

181 DENI IRAWAN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

182 ERWANTO HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

183 HADNI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

184 HENDI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

185 HEPI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

186 HERDIN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

187 I!MAL FAU!I HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

188 ITOM "AETONI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

189 !OHAN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

190 !UHRI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

191 KANDAR HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

192 KUDIK PAHRUDIN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

193 KUSWENDI "% EMEN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

194 LADI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

195 LILI SURYANA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819196 MARTA DINATA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

197 MEMED HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

198 MUHAMAD SOLEH HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

199 MUNA!ILI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

200 NURHEDIN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

201 OMO HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

202 PADMA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

203 PAR!AN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819


8/11

PERINCIAN PREMI


0.89 !."0 2.00 0.!0 PREMI

204 PENDRI OKTAVIANSYAH HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

205 RI&WAN IRFANSYAH HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

206 SARMUN A HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819207 SARMUN " HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

208 SARNATA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

209 SARUDIN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

210 SUARDI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

211 SUDAR!AT HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

212 SUDITA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

213 SUHENDI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

214 SUHERMAN A HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

215 SUHERMAN " HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

216 SUMARNA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819217 SUMEDI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

218 SUPRIYADI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

219 SURYANA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

220 TRI WAHYONO HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

221 UMAR SIDIN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

222 WAWAN SUTISNA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

223 YADI SUPRIADI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

224 YONO HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

225 DEDE HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

226 DINA SUPRIATNA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

227 MASKURI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

228 YOI NURAHA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

229 "ONI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

230 ADIS HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

231 SADNA NUR"UDIANTO HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

232 NASRU SUPRAYOI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

233 SUDRA!AT HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

234 DADAN SURYA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

235 LUKMAN SAH HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

236 SOLAEMAN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

237 RANDY SURYA PRATAMA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819238 MUKTAR HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

239 AUS WAHIDIN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

240 EA MARYANA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

241 YOA YANUAR HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

242 KOMARUDIN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

243 NA!MUDIN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

244 AO SURYANTO HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

245 EDI !A!AN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819


9/11

PERINCIAN PREMI


0.89 !."0 2.00 0.!0 PREMI

246 AUS NATA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

247 TERI ARYANI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

248 A"UN SURYANA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819249 APIP ALPIAN PURNAMA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

250 DIDIN "UDIAWAN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

251 SARDA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

252 HENDRA SUHENDRA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

253 SUHERLAN HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

254 MUIE RHAMDANI SALASA HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

255 YUSUP "AEHAKI HELPER 1,187,500 10,569 43,938 23,750 3,563 81,819

256 AUS SUDRA!AT PLAMAN 1,187,500 10,569 43,938 23,750 3,563 81,819

257 "AN"AN EKO HARDIANTO PLAMAN 1,187,500 10,569 43,938 23,750 3,563 81,819

258 EMAN PLAMAN 1,187,500 10,569 43,938 23,750 3,563 81,819

259 ANDA RAHMAT PLAMAN 1,187,500 10,569 43,938 23,750 3,563 81,819

260 MULYADI PLAMAN 1,187,500 10,569 43,938 23,750 3,563 81,819

261 NURDIN PLAMAN 1,187,500 10,569 43,938 23,750 3,563 81,819

262 PADNA PLAMAN 1,187,500 10,569 43,938 23,750 3,563 81,819

263 RUSLANDI PLAMAN 1,187,500 10,569 43,938 23,750 3,563 81,819

264 SARIF HIDAYAT PLAMAN 1,187,500 10,569 43,938 23,750 3,563 81,819

265 WAWAN KURNIAWAN PLAMAN 1,187,500 10,569 43,938 23,750 3,563 81,819

266 SAHRONI PLAMAN 1,187,500 10,569 43,938 23,750 3,563 81,819

267 YOKI PERMANA PLAMAN 1,187,500 10,569 43,938 23,750 3,563 81,819

268 !#5+'"& RADEN WENDRA PRASETYA SAFETY 5,000,000 44,500 185,000 100,000 15,000 344,500

269 !#5+'"'! WARTINI TRANSLATOR 5,000,000 44,500 185,000 100,000 15,000 344,500

270 !""!#!%" ENTA MAHARDHIKA UALITY #ONTROL 5,000,000 44,500 185,000 100,000 15,000 344,500

271 #,""'#5! DEVI RIYADI SURVEYOR 5,000,000 44,500 185,000 100,000 15,000 344,500

272 HANDOKO INDRA PRASETY SAFETY 4,500,000 40,050 166,500 90,000 13,500 310,050

### ### ### ### ### ###

19$4%9$0%!


10/11

5A=TAR TENA?A KERA KELUAR ! MIA BAYA" (C"I# =-ru*iras-ste

1 )

NPP 7ejak :

bulan tahun

Nama ;nit Kerja

3alaman : dari :

N>N--r Indu Kara@an

N--r KP Naa Tenaga Ker2a U3ah )u*an *a*u (RP# Keterangan( N I K #

! !#""%!&& MA,6 !$!5'$

" !#"'&%%& 40,6 A


11/11

PEN5A=TARAN TENA?A KERAJAM*+*TK

No. Pendaftaran Perusahaan (N 4erhitung mulai bulanCtahun :KK KM

"T

T>TAL IURAN KeteranganPT. MIA BAYA" (C"I# TK PT

N-. KTP Naa Lenga3 Tenaga Ker2a Tangga* Lahir A*aat sesuai KTP L+P $.';< $.,$< &.$$< ,.6$TAL + SUB T>TAL ### 221$944 "4$81! 498$"50 ### 1$"18$194

N=960N0/A@ MANA>0/ 19 January 2016

(Naa dan Tanda Tangan Pipinan Perusahaan Tanggal

Perusahaan :

N-.Urut

N-. InduKara@an

N-. KartuPeserta

U3ah Se)u*an

(R3#.

=-ru*iras-ste

1a

Ok - Laporan Bpjs Bayah Chi Mei 2015

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