Formulir 2a PU

BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

21060480 KLINIK NAJMINA MAZAYA - 3 PROGRAM KLINIK NAJMINA MAZAYA - 3 PROGRAM 06 2021

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 21020210866 3309144810979001 AINI RODLOTUL 08-10-1997 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
MUSTAGHFIROH
2 21028309926 3522194903010002 0001051 AKMALIA SOFINA 09-03-2001 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
3 21028309850 3315116404000003 0001031 ALIFAH WAHYU HARTANTI 24-04-2000 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
4 21028309736 3522154906000006 0001039 ALRIZNA KURNIA CAHYANI 09-06-2000 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
5 21028309819 3316056701970002 0001050 CHUSNUL FAMI 27-01-1997 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
6 21020210940 3316105712980001 DEBI AMANDA KAFITRI 17-12-1998 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
RISKIYANTI
7 21028309918 3522196108940003 0001021 DEWI ERNAWATI 21-08-1994 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
8 21028309959 3315116808940001 0001027 DILA LASIANI 28-08-1994 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
9 21028309983 3315116002010001 0001055 ELVI SRI SETYOWATI 20-02-2001 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
10 21020210874 3316096005940003 ERLISA MEIYUTIYUNANING 20-05-1994 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
11 21020210858 3316095106960002 HERLINA WULAN JUNIARTI 11-06-1996 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
12 21028309967 3315135701930005 0001007 IKA PRANINGTYAS 17-01-1993 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
13 21020210817 3315044106970003 INDRIYANI 01-06-1997 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
14 21028309892 3316096601870002 0001009 JANUAR AN-NISA 26-01-1987 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
15 21028309843 3316024807920003 0001018 LIYAN PUSPITA DEWI 08-07-1992 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
16 21028309744 3522046608960001 0001047 LUTFIANA ALIMATUL 26-08-1996 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
HARLIYANTI
17 21020210932 3316144908960001 MAHARANI TRIPITAKA 09-08-1996 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
JAYAWARSA
18 21028309728 3522195003920001 0001019 MARIYATI 10-03-1992 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
19 21020210924 3316095207950002 MARSINI 12-07-1995 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
20 21028309991 3315077105960002 0001090 MELINDA DWI PRATIWI 31-05-1996 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
21 21028309884 3315194512940001 0001028 MIRA HARDHITASARI 05-12-1994 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
22 21028309868 3315076501970001 0001020 MITA DWIJAYANTI 25-01-1997 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
23 21028309934 3522196005990002 0001041 NAFIA EKFANTI DEWANTARI 20-05-1999 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
24 21028309975 3318014803960002 0001042 NOVIA ARUMNINGSIH 08-03-1996 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
25 21028309801 3316056511890001 0001010 NOVITA FATMA KUSUMA 25-11-1989 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
DEWI
26 21020210882 3402036012890001 NUR PARYATUN 20-12-1989 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
27 21028309900 3316056604940003 0001014 NURUL AINI 26-04-1994 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
28 21020210916 3521025108990002 PRIMA WAHYUNINGTIAS 11-08-1999 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
29 21028309751 3315075805970002 0001034 RAHAYU WIDYAWATI 18-05-1997 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
30 21020210908 3316106301960001 RISYA RIRIS EVILIA 23-01-1996 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
31 21020210841 3522194805930002 RIZ NIRMALA VEGATIMUR 08-05-1993 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
32 21028309942 3374065003860006 0001003 RIZKA CHAYRINNISA 10-03-1986 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
 Formulir 2a PU
BPJS Ketenagakerjaan
RINCIAN IURAN TENAGA KERJA

NPP Nama Perusahaan Nama Unit Kerja Periode Laporan

21060480 KLINIK NAJMINA MAZAYA - 3 PROGRAM KLINIK NAJMINA MAZAYA - 3 PROGRAM 06 2021

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 21020210890 3316096807990002 RIZQI ERVINA ARYANTI 28-07-1999 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
34 21028309835 3316056509900003 0001013 ROSIDA ALIFAH 25-09-1990 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
35 21028309876 3315066507930002 0001008 SIWI PURWANINGTYAS 20-07-1993 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
36 21020210825 3316094302950002 SURYANI WULANDARI 03-02-1995 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
37 21028309785 3315056101930003 0001033 SUSI ARIYANTI 21-01-1993 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
38 21028309777 3316025607980004 0001040 TIRTA YULIANTI 16-07-1998 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
39 21028309793 3522136805940001 0001022 TRI VITA NUR JANNAH 28-05-1994 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
40 21028309827 3315134508000004 0001056 VERA MELISA PERMATA SARI 05-08-2000 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
41 21020210833 3316094703920001 YESI ARDYANI 07-03-1992 01-04-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60
42 21028309769 3523115707940002 0001016 YULI WULANSARI 17-07-1994 01-05-2021 1,894,000.00 0.00 4,545.60 5,682.00 70,078.00 37,880.00 0.00 0.00 118,185.60

Jumlah Seluruhnya 79,548,000.00 0.00 190,915.00 238,644.00 2,943,276.00 1,590,960.00 0.00 0.00 4,963,795.00

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, 27 Mei 2021

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