Laporan Penerimaan Premi

Periode :JANUARI 2013

No

Tgl Pembayaran

Gross Premi

Refd Premi Komisi

Komisi

BANK MEGA MALAHAYATI QQ CV.CENDANA MAKMUR

11,653,050
BANK MEGA KCP PRINGSEWU QQ AMIR SYARIPUDIN
224,050
BANK MEGA KCP KARTINI QQ NURHAYATI
299,440
BANK MEGA KCP BANDAR JAYA QQ ROBIANSYAH
95,260
BANK MEGA KCP BANDAR JAYA QQ ZAINUDDIN
191,680
BANK MEGA KCP PRINGSEWU QQ BASIRAN
210,520
BANK MEGA KCP PRINGSEWU QQ BASIRAN
114,148
BANK MEGA MALAHAYATI QQ KHOLIL ABDUL HAK
2,111,800
BANK MEGA KCP PRINGSEWU QQ HI.ABDUL MUKSIN
345,220
BANK MEGA KCP PRINGSEWU QQ NURAINI
223,192
BANK MEGA KCP PRINGSEWU QQ
126,316
BANK MEGA KCP BANDAR JAYA QQ HORAS PARNINGOTAN SIAGIAN140,820
BANK MEGA KCP BANDAR JAYA QQ JUHARI
182,060
BANK MEGA KCP KARTINI QQ EDISON
839,140

2,323,210
38,610
53,088
12,852
32,136
35,904
16,630
414,960
62,244
38,438
19,063
21,964
30,212
161,028

PT.PLN (NIB )

No Polis

1
2
3
4
5
6
7
8
9
10
11
12
13
14

13/02/2013
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT

IP.16.01.13.000001
IP.16.01.13.000002
IP.16.01.13.000003
IP.16.01.13.000004
IP.16.01.13.000005
IP.16.01.13.000006
IP.16.01.13.000007
IP.16.01.13.000008
IP.16.01.13.000009
IP.16.01.13.000010
IP.16.01.13.000011
IP.16.01.13.000012
IP.16.01.13.000013
IP.16.01.13.000014

01

04/02/2013

IP.16.08.12.000001

Nama Tertanggung

7,080,241

708,024

23,836,937

3,968,363

PPN 10 %

PPH

KENDARAAN
1
2
3
4
5
-

NET

Dana Yang
Mk Ke BANK

9,329,840
185,440
246,352
82,408
159,544
174,616
97,518
1,696,840
282,976
184,754
107,253
118,856
151,848
678,112
6,372,217
19,868,574

9,329,840
185,440
246,352
82,408
159,544
174,616
97,518
1,696,840
282,976
184,754
107,253
118,856
151,848
678,112
6,372,217
19,868,574

Selisih

Laporan Penerimaan Premi

Periode :FEBRUARI 2013
No
1
2
3
4
5
6
7
8
9
10
11
12

Tgl Pembayaran
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT

KENDARAAN
1
2
3
4
5

No Polis
IP.16.01.13.000015
IP.16.01.13.000016
IP.16.01.13.000017
IP.16.01.13.000018
IP.16.01.13.000019
IP.16.01.13.000020
IP.16.01.13.000021
IP.16.01.13.000022
IP.16.01.13.000023
IP.16.01.13.000024
IP.16.01.13.000025
IP.16.01.13.000026

Nama Tertanggung
BANK MEGA KCP PRINGSEWU QQ SURAHMAN
BANK MEGA KCP BANDAR JAYA QQ HENI SETIYONO
BANK MEGA KCP PRINGSEWU QQ JAMHARI
BANK MEGA KCP METRO QQ PAIMAN
BANK MEGA KCP METRO QQ YANTI MULYANI
BANK MEGA KCP BANDAR JAYA QQ HORAS PARNINGOTAN SIAGIAN
BANK MEGA KC MALAHAYATI QQ AGUS APRILIYANTI
BANK MEGA KCP PRINGSEWU QQ TAHZANI AS
BANK MEGA KCP PRINGSEWU QQ TAHZANI AS
BANK MEGA KCP METRO QQ TARMINI
BANK MEGA KC MALAHAYATI QQ SAHIRUN
BANK MEGA KCP PRINGSEWU QQ PRIO SUNARSO

Gross Premi

Refd Premi Komisi

Komisi

81,000
314,800
2,145,400
282,768
148,600
182,200
1,987,750
279,700
183,880
143,320
422,800
168,088

10,000
56,160
421,680
49,754
23,520
30,240
390,150
49,140
30,576
22,464
77,760
27,418

71,000
258,640
1,723,720
233,014
125,080
151,960
1,597,600
230,560
153,304
120,856
345,040
140,670

71,000
258,640
1,723,720
233,014
125,080
151,960
1,597,600
230,560
153,304
120,856
345,040
140,670

1,188,862

5,151,444

5,151,444

6,340,306

PPN 10 %

PPH

NET

Dana Yang
Selisih
Mk Ke BANK

Laporan Penerimaan Premi

Periode :MARET 2013
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

Tgl Pembayaran
12/'04/2013
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
28/03/2013 Pak deny agen
PUSAT
PUSAT
PUSAT
06/04/2013 pak deny agen darma
28/03/2013 pak deny agen
PUSAT
28/03/2013 pak deny agen
endos13/09/2013 masuk 14/09/2013
PUSAT
PUSAT
PUSAT
05/04/2013 pak deny agen
PUSAT
PUSAT
15/04/2013

KENDARAAN
1 11/03/2013
2 20/03/2013
3 INSTALMENT 6 X (APRIL)
4 21/05/2013
5 25/04/2013 ( potong gaji )
6 25/04/2013 ( potong gaji )
7 17/04/2013

No Polis
IP.16.01.13.000027
IP.16.01.13.000028
IP.16.01.13.000029
IP.16.01.13.000030
IP.16.01.13.000031
IP.16.01.13.000032
IP.16.01.13.000033
IP.16.01.13.000035
IP.16.01.13.000036
IP.16.01.13.000037
IP.16.01.13.000038
IP.16.01.13.000039
IP.16.01.13.000040
IP.16.01.13.000041
IP.16.01.13.000042
IP.16.01.13.000042-2
IP.16.01.13.000043
IP.16.01.13.000044
IP.16.01.13.000045
IP.16.01.13.000046
IP.16.01.13.000047
IP.16.01.13.000048
IP.16.01.13.000049

IP.16.02.13.000002
IP.16.02.13.000003
IP.16.02.13.000004
IP.16.02.13.000005
IP.16.02.13.000006
IP.16.02.13.000007
IP.16.02.13.000008

Nama Tertanggung
BANK MEGA KCP KARTINI QQ CV. MEGA JAYA
BANK MEGA KCP MALAHAYATI QQ ZELVIA ANITA
BANK MEGA KCP BANDAR JAYA QQ ROSE MILYAR
BANK MEGA KCP KARTINI QQ MUHAMAD ZAINUDDIN
BANK MEGA KCP KARTINI QQ PT. AGRA JAYA BINA KENCANA
BANK MEGA KCP METRO QQ BETTY ZUANA
BANK MEGA KCP PRINGSEWU QQ YUSLIH
JENTI QQ YOKE WIJAYA
BANK MEGA KCP MALAHAYATI QQ RIZAL SOLAHUDIN
BANK MEGA KCP MALAHAYATI QQ SRI SUHARYANTI
BANK MEGA KCP METRO QQ ANTONIUS SETYAWAN
MUHAMMAD FAUZI KARIM
SRI NURWATI
BANK MEGA KCP MALAHAYATI QQ ANASTASIA WARSINA
JOHAN KALYANA QQ SRI NURWATI
JOHAN KALYANA QQ SRI NURWATI
BANK MEGA KCP KARTINI QQ JHONY PUTRA
BANK MEGA KCP METRO QQ MIA ARINI RULIYANTI
BANK MEGA KCP METRO QQ MIA ARINI RULIYANTI
USMAN PAKPAHAN QQ DIANA INNEKE P
BANK MEGA KCP PRINGSEWU QQ SURIPTO
BANK MEGA KCP PRINGSEWU QQ MUHROJI
BANK MEGA KCP BANDAR JAYA QQ YUSRO

YAHMINATUN
PURNA IRAWAN IR MT QQ LUSI KOMALA SANTI
HARUN ARROSIT
DOLAN ANTONI
RYANDI KAPITAN QQ ROPIKO
FAJRUL PALAH QQ ROPIKO HAIR
HERY JAUHARI QQ HJ.MASNING ARYA

Gross Premi

Refd Premi Komisi

Komisi

128,200
906,100
275,500
269,200
219,955
268,780
792,520
694,000
1,035,750
487,600
136,840
1,577,000
1,537,000
513,360
2,162,000
1,289,123
662,320
1,060,750
281,650
784,000
183,880
424,150
203,032

19,440
174,420
48,300
47,040
37,791
46,956
151,704
165,000
199,750
90,720
21,168
385,000
375,000
81,672
531,250
316,781
125,664
204,750
49,530
187,500
30,576
78,030
34,406

5,320,225
4,510,000
1,860,250
1,860,250
161,200
313,100
2,473,187
32,390,922

1,320,806

70,525
4,793,779

PPN 10 %

PPH

NET

4,125

19,250
9,375
13,281
7,920

4,688

33,020

91,658

108,760
731,680
227,200
222,160
182,164
221,824
640,816
533,125
836,000
396,880
115,672
1,211,250
1,171,375
431,688
1,644,031
972,342
536,656
856,000
596,500
601,188
3,966,399
4,510,000
1,860,250
1,860,250
161,200
242,575
2,473,187
27,311,172

Dana Yang
Mk Ke BANK
108,760
731,680
227,200
222,160
182,164
221,824
640,816
533,125
836,000
396,880
115,672
1,211,250
1,171,375
431,688
1,644,031
972,342
536,656
856,000
596,500
601,188
3,966,399
4,510,000
1,860,250
1,860,250
161,200
242,575
2,473,187
27,311,172

Selisih

Laporan Penerimaan Premi

Periode :APRIL 2013
No

Tgl Pembayaran

1
2
3
4
5
6
7
8
9
10
11
12

16/06/2013
PUSAT
PUSAT
26/04/2013 pak deny agen
16/04/2013 pak deny agen
16/04/2013 pak deny agen
25/04/2013
17/05/2013
25/04/2013 pak deny agen

13
14
15

PUSAT
PUSAT
PUSAT

16
17
18
19

15/05/2013 pak deny agen

10/06/2013 pak deny agen
PUSAT
PUSAT

PUSAT
PUSAT

KENDARAAN
1
INSTALMENT POTONG GAJI 6 X(JUNI)

No Polis
IP.16.01.13.000050
IP.16.01.13.000051
IP.16.01.13.000052
IP.16.01.13.000053
IP.16.01.13.000054
IP.16.01.13.000055
IP.16.01.13.000056
IP.16.01.13.000057
IP.16.01.13.000058
IP.16.01.13.000059
IP.16.01.13.000060
IP.16.01.13.000061
E.IP.16.01.13.000061
IP.16.01.13.000062
IP.16.01.13.000063
IP.16.01.13.000064
E.IP.16.01.13.000064
E.IP.16.01.13.000064
IP.16.01.13.000065
IP.16.01.13.000066
IP.16.01.13.000067
IP.16.01.13.000068

IP.16.02.13.000009

Nama Tertanggung

Gross Premi

BRIGHT ENGLISH SCHOOL QQ YUNITA VIRIYA ( NIB )

BANK MEGA KCP METRO QQ SITI NURAINI
BANK MEGA KCP MALAHAYATI QQ HENDRO NUGROHO
HARAPAN NUSA MANDIRI PT QQ RUDI HARTONO QQ LIN SIN ON
HENDRA
HENDRA QQ OPTIK KARTINI
SUPARJO QQ RUDY HANSYAH
BANK MEGA KARTINI QQ HARTANTO ( KUM )
DEDDY WIJAYA CHANDRA QQ MIE INTI ENGGAL
SYAFRIZAL ( NIB )
BANK MEGA KCP BANDAR JAYA QQ MARHABI
BANK MEGA MALAHAYATI QQ CV.STARCOM
BANK MEGA MALAHAYATI QQ CV.STARCOM
BANK MEGA KCP PRINGSEWU QQ YUDI
BANK MEGA MALAHAYATI QQ ZULFAIDI
BANK MEGA KCP METRO QQ ASEP IRVAN WIJAYAGUNA
BANK MEGA KCP METRO QQ ASEP IRVAN WIJAYAGUNA
BANK MEGA KCP METRO QQ ASEP IRVAN WIJAYAGUNA
LIE RATNO HUSIN QQ IFON
TONY DHARMAWAN
BANK MEGA KC MALAHAYATI QQ SRI SUYATI
BANK MEGA KCP METRO QQ TEJO SASONGKO

634,000
160,360
580,000
4,093,250
2,537,000
1,537,000
143,500
766,780
2,287,000
2,537,000
570,112
72,610
347,490
231,340
349,173
876,463
676,463
200,000
1,037,000
284,000
188,170
210,140

FIRNANDO QQ TIA PRIMALIA

2,639,327

22,958,178

Refd Premi Komisi

Komisi
135,000
25,872
109,200
1,014,062
625,000
375,000
146,556
562,500
625,000
107,222
7,722
69,498
40,068
63,035
169,093
135,293
33,800
250,000
62,500
31,434
35,828

4,623,683

PPN 10 %

PPH
3,375

25,352
9,375

14,063

6,250
1,563

59,977

NET

Dana Yang
Mk Ke BANK

502,375
134,488
470,800
3,104,540
1,912,000
1,171,375
143,500
620,224
1,738,563
1,912,000
462,890
64,888
277,992
191,272
286,138
707,370
541,170
166,200
793,250
223,063
156,736
174,312

502,375
134,488
470,800
3,104,540
1,912,000
1,171,375
143,500
620,224
1,738,563
1,912,000
462,890
64,888
277,992
191,272
286,138
707,370
541,170
166,200
793,250
223,063
156,736
174,312

2,639,327

2,639,327

18,394,472

18,394,472

Selisih

Laporan Penerimaan Premi

Periode :MEI 2013
No
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

Tgl Pembayaran
PUSAT
23/05/2013
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
12/06/2013 agen pak denny
PUSAT
PUSAT
10/06/2013
10/06/2013
PUSAT
01/07/2013
PUSAT

KENDARAAN
1
26/06/2013
2
27/06/2013
3
4
5

No Polis
IP.16.01.13.000069
IP.16.01.13.000070
IP.16.01.13.000071
IP.16.01.13.000072
IP.16.01.13.000073
IP.16.01.13.000074
IP.16.01.13.000075
IP.16.01.13.000076
IP.16.01.13.000077
IP.16.01.13.000078
IP.16.01.13.000079
IP.16.01.13.000080
IP.16.01.13.000081
IP.16.01.13.000082
IP.16.01.13.000083
IP.16.01.13.000084
IP.16.01.13.000085

IP.16.02.13.000010
IP.16.02.13.000011

Nama Tertanggung
BANK MEGA KCP METRO QQ ANGGARA YUNIARTI
BANK MEGA KC MALAHAYATI QQ M.JUNAIDI ( KONSUMER )
BANK MEGA KCP METRO QQ MULYADI
BANK MEGA KC MALAHAYATI QQ EPI SAPUTRA
BANK MEGA KC MALAHAYATI QQ FIRMAN ALAMSYAH
BANK MEGA KCP PRINGSEWU QQ AHMAT MASKURI
BANK MEGA KCP METRO QQ F.ENDANG DWI ASTUTI
BANK MEGA KCP METRO QQ F.ENDANG DWI ASTUTI
BANK MEGA KCP KARINI QQ SUDARNA
LIE RATNO HUSIN QQ IFON
BANK MEGA KCP PRINGSEWU QQ LESWANDA PUTRA
BANK MEGA KC MALAHAYATI QQ A.ZAIRI
BANK MEGA KCP BANDAR JAYA QQ S. CHRISTIAN
BANK MEGA KCP METRO QQ TEDDY
BANK MEGA KCP METRO QQ ZAMAH SARI
HERRY ALI BUDI DARMONO ( BANK MANDIRI )
BANK MEGA KC MALAHAYATI QQ MAIMUNAH

HERY JAUHARI
TN.HENDRA IRWAN SITORUS

Refd Premi Komisi

Gross Premi
PPN 10 %
Komisi
585,250
400,912
716,763
391,000
454,750
230,920
311,200
260,800
410,992
619,000
623,680
121,720
3,918,700
1,090,000
268,000
299,520
327,760

110,250
73,382
136,552
71,400
84,150
39,984
55,440
45,360
75,398
117,000
117,936
18,144
776,340
210,600
46,800
59,904
58,752

356,245
151,435

11,538,647

2,097,392

PPH

2,925

2,925

NET
475,000
327,530
580,211
319,600
370,600
190,936
255,760
215,440
335,594
504,925
505,744
103,576
3,142,360
879,400
221,200
239,616
269,008
356,245
151,435
9,444,180

Dana Yang
Mk Ke BANK
475,000
327,530
580,211
319,600
370,600
190,936
255,760
215,440
335,594
504,925
505,744
103,576
3,142,360
879,400
221,200
239,616
269,008
356,245
151,435
9,444,180

Selisih

Laporan Penerimaan Premi

Periode : JUNI 2013
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

Tgl Pembayaran
PUSAT
PUSAT
PUSAT
BATAL
BATAL
BATAL
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
03/07/2013
PUSAT

No Polis
IP.16.01.13.000086
IP.16.01.13.000087
IP.16.01.13.000088
IP.16.01.13.000089
IP.16.01.13.000090
IP.16.01.13.000091
IP.16.01.13.000092
IP.16.01.13.000093
IP.16.01.13.000094
IP.16.01.13.000095
IP.16.01.13.000096
IP.16.01.13.000097
IP.16.01.13.000098
IP.16.01.13.000099
IP.16.01.13.000100
IP.16.01.13.000101
IP.16.01.13.000102
IP.16.01.13.000103
IP.16.01.13.000104
IP.16.01.13.000105
IP.16.01.13.000106
IP.16.01.13.000107

IP.16.08.13.000001

KENDARAAN
1
26/07/2013
2
22/07/2013
3
4
5
6

IP.16.02.13.000013
IP.16.02.13.000014

Nama Tertanggung
BANK MEGA KC MALAHAYATI QQ AHMAD YANI
BANK MEGA KCP METRO QQ TUMIYEM
BANK MEGA KCP METRO QQ TUMIYEM
EDISON,SE
ENDANG AIP
HJ.IRMAWATI HENDY
BANK MEGA KC MALAHAYATI QQ DONA FRIYANTI
BANK MEGA KCPPRINGSEWU QQ ZULAIDI
BANK MEGA KCP PRINGSEWU QQ ZULAIDI
BANK MEGA KCP PRINGSEWU QQ ZULAIDI
BANK MEGA KC MALAHAYATI QQ SAMADI B SAIMIN
BANK MEGA KCP METRO QQ YUNITA SARI
BANK MEGA KCP METRO QQ YUNITA SARI
BANK MEGA KCP METRO QQ DEWI MUSTIKA SARI
BANK MEGA KCP METRO QQ DEWI MUSTIKA SARI
BANK MEGA KCP METRO QQ DEWI MUSTIKA SARI
BANK MEGA KCP KARTINI QQ SALFIAH INDRIANI
BANK MEGA KCP KARTINI QQ CV.MITRA MUDA PERKASA
BANK MEGA KCP KARTINI QQ CV.MITRA MUDA PERKASA
BANK MEGA KCP KARTINI QQ MARTONO
BANK MEGA KC MALAHAYATI QQ ANDRE HERLIAN (KUM)
BANK MEGA KCP PRINGSEWU QQ TAUFIK NURAHMAN

INDUK PEMBANGKIT DAN JARINGAN JAWA PT.PLN

TN.DOLAN ANTONI
LIM TJING WIE QQ DJAJAPUTRA DHARMA

Refd Premi Komisi

Gross Premi
PPN 10 %
Komisi

PPH

NET

Dana Yang
Mk Ke BANK

242,680
231,704
243,352
346,500
377,750
1,537,000
569,500
143,320
710,800
172,960
274,000
326,500
1,832,500
183,100
336,120
535,900
317,500
108,700
115,480
302,710
81,000
136,600

42,336
40,141
42,470
78,125
85,938
375,000
107,100
22,464
135,360
28,392
48,000
58,500
359,100
30,420
66,424
100,380
56,700
15,540
16,896
53,742
10,000
21,120

200,344
191,563
200,882
268,375
291,812
1,162,000
462,400
120,856
575,440
144,568
226,000
268,000
1,473,400
152,680
269,696
435,520
260,800
93,160
98,584
248,968
71,000
115,480

200,344
191,563
200,882
268,375
291,812
1,162,000
462,400
120,856
575,440
144,568
226,000
268,000
1,473,400
152,680
269,696
435,520
260,800
93,160
98,584
248,968
71,000
115,480

8,337,136

1,250,570

7,086,566
144,925
1,951,413
14,792,245

7,086,566
144,925
1,951,413
14,792,245

144,925
1,951,413

17,297,900

2,505,655

#VALUE!

Selisih

Laporan Penerimaan Premi

Periode : JULI 2013
No

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Tgl Pembayaran

AGEN pak budi

PUSAT
PUSAT
AGEN pak budi
AGEN pak budi
AGEN pak budi
22/07/2013 KONSUMER
AGEN pak budi CANCEL
KUM
KUM
KUM
AGEN pak budi
PUSAT
KUM 30/09/2013
KUM
KUM
KUM
KONSUMER 31/07/2013
KUM 01/08/2013
KUM 01/08/2013
PUSAT
KOMERSIL 01/08/2013
KOMERSIL 01/08/2013
PUSAT
PUSAT
PUSAT
PUSAT
PUSAT
AGEN pak budi
AGEN pak budi
AGEN pak budi
AGEN pak budi
31/08/2013

KENDARAAN
1
02/8/2013

No Polis

IP.16.01.13.000108
IP.16.01.13.000109
IP.16.01.13.000110
IP.16.01.13.000111
IP.16.01.13.000112
IP.16.01.13.000113
IP.16.01.13.000114
IP.16.01.13.000115
IP.16.01.13.000116
IP.16.01.13.000117
IP.16.01.13.000118
IP.16.01.13.000119
IP.16.01.13.000120
IP.16.01.13.000121
IP.16.01.13.000122
IP.16.01.13.000123
IP.16.01.13.000124
IP.16.01.13.000125
IP.16.01.13.000126
IP.16.01.13.000127
IP.16.01.13.000128
IP.16.01.13.000129
IP.16.01.13.000130
IP.16.01.13.000131
IP.16.01.13.000132
IP.16.01.13.000133
IP.16.01.13.000134
IP.16.01.13.000135
IP.16.01.13.000136
IP.16.01.13.000137
IP.16.01.13.000138
IP.16.01.13.000139
IP.16.01.13.000140

IP.16.02.13.000015

Nama Tertanggung

Gross Premi

Refd Premi Komisi

Komisi

NY.NURHAYATI
BANK MEGA KC MALAHAYATI QQ TISNAEDY
BANK MEGA KC MALAHAYATI QQ RIKA MIRANA SARI
TN.APRIL ALDI CHAN
TN.JI THE FA
TN.PRIYANTO TJEN
BANK MEGA KC MALAHAYATI QQ MUSYOFA
HJ.SITI AZRAH QQ SILVIA RAHMI /BATIK
BANK MEGA KCP PRINGSEWU QQ ROHMAWATI
BANK MEGA KCP PRINGSEWU QQ ROHMAWATI
BANK MEGA KCP PRINGSEWU QQ ROHMAWATI
NY.ELIWETI
BANK MEGA KC MALAHAYATI QQ ARMI PRIMAHARTINI
BANK MEGA KCP METRO QQ SUMANTRI
BANK MEGA KCP LAMPUNG METRO QQ ZAINAL ARIFIN
BANK MEGA KCP LAMPUNG METRO QQ ZAINAL ARIFIN
BANK MEGA KCP LAMPUNG METRO QQ ZAINAL ARIFIN
BANK MEGA KC LAMPUNG MALAHAYATI QQ ZUL HARIS
BANK MEGA KCP BANDAR JAYA QQ AGUS SUCIPTO
BANK MEGA KC LAMPUNG MALAHAYATI QQ MUHAMMAD ALMI
BANK MEGA KCP LAMPUNG METRO QQ BAMBANG PURNOMO
BANK MEGA KC LAMPUNG MALAHAYATI QQ KARTOLO HUSIN
BANK MEGA KC LAMPUNG MALAHAYATI QQ KARTOLO HUSIN
BANK MEGA KCP PRINGSEWU QQ HARTINI
BANK MEGA KCP LAMPUNG - KARTINI QQ SYAHMIN
BANK MEGA KCP LAMPUNG PRINGSEWU QQ SYAMSURI
BANK MEGA KCP BANDAR JAYA QQ TAMAN MANSUR
BANK MEGA KCP BANDAR JAYA QQ SITI ROMLAH
NY.LIFYAN
NY. THE SIOW ING / TOKO RIANTEK
NY. THE SIOW ING / TOKO RIANTEK
NY. JANIATY DEWI
LAKSMI

2,137,000
123,340
780,240
4,237,000
6,337,000
6,337,000
299,608
6,037,000
542,640
182,200
394,000
4,237,000
782,000
4,762,000
1,057,000
1,068,625
757,450
858,939
665,800
166,660
309,100
239,354
1,045,000
189,592
664,000
310,640
187,832
306,160
1,837,000
4,637,000
2,337,000
1,837,000
4,177,000

157,500
18,468
149,248
315,000
472,500
472,500
53,122
1,200,000
101,728
30,240
72,000
315,000
149,600
945,000
204,000
20,325
144,690
164,988
126,360
27,132
55,020
41,671
201,600
31,718
126,000
55,328
31,366
54,432
360,000
920,000
460,000
360,000
1,035,000

ADE SRI REJEKI

3,854,280

954,320

57,656,460

8,625,856

PPN 10 %

PPH

4,725

Dana Yang
Mk Ke BANK

1,984,225
104,872
630,992
3,931,450
5,878,675
5,878,675
246,486
4,873,000
440,912
151,960
322,000
3,931,450
632,400
3,817,000
853,000
1,048,300
612,760
693,951
539,440
139,528
254,080
197,683
843,400
157,874
538,000
255,312
156,466
251,728
1,487,800
3,744,600
1,890,800
1,487,800
3,167,875
-

1,984,225
104,872
630,992
3,931,450
5,878,675
5,878,675
246,486
4,873,000
440,912
151,960
322,000
3,931,450
632,400
3,817,000
853,000
1,048,300
612,760
693,951
539,440
139,528
254,080
197,683
843,400
157,874
538,000
255,312
156,466
251,728
1,487,800
3,744,600
1,890,800
1,487,800
3,167,875
-

23,858

2,923,818

164,708

49,195,312

2,923,818
49,195,312

9,450
14,175
14,175
36,000

9,450

10,800
27,600
13,800
10,800
25,875

NET

Selisih

Laporan Penerimaan Premi

Periode : Agustus 2013
No

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Tgl Pembayaran

Pusat 28/08/2013
KUM 28/08/2013
KUM 28/08/2013
PUSAT 28/08/2013
abaikan
AGEN PAK BUDI cancel
KUM
PUSAT
KONSUMER 28/08/2013
KUM
KUM
KUM
KOMERSIL 05/09/2013
KOMERSIL05/09/2013
KOMERSIL
KOMERSIL
KOMERSIL
KOMERSIL05/09/2013
KUK
polis baturaja
MANDIRI
KUK
KUK
KUK
KUK

KENDARAAN
1

No Polis

IP.16.01.13.000141
IP.16.01.13.000142
IP.16.01.13.000143
IP.16.01.13.000144
IP.16.01.13.000145
IP.16.01.13.000146
IP.16.01.13.000147
IP.16.01.13.000148
IP.16.01.13.000149
IP.16.01.13.000150
IP.16.01.13.000151
IP.16.01.13.000152
IP.16.01.13.000153
IP.16.01.13.000154
IP.16.01.13.000155
IP.16.01.13.000156
IP.16.01.13.000157
IP.16.01.13.000158
IP.16.01.13.000159
IP.16.01.13.000160
IP.16.01.13.000161
IP.16.01.13.000162
IP.16.01.13.000163
IP.16.01.13.000164
IP.16.01.13.000165

IP.16.02.13.000016

Nama Tertanggung

BANK MEGA KC MALAHAYATI QQ HERDIYANTO ISMAIL

BANK MEGA KCP KARTINI QQ HENDRI YANTO
BANK MEGA KC MALAHAYATI QQ MUHAMAD USTADI
BANK MEGA KCP PRINGSEWU QQ MUJAHIDIN
HJ.YENNI
BANK MEGA KC MALAHAYATI QQ KARYONO
BANK MEGA KC MALAHAYATI QQ SURYADI DHARMAWAN
BANK MEGA KCP LAMPUNG - KARTINI QQ HUSIN LIE
BANK MEGA KC MALAHAYATI QQ MASTURI
BANK MEGA KCP PRINGSEWU QQ MIKE HASTUTI
BANK MEGA KCP PRINGSEWU QQ MIKE HASTUTI
BANK MEGA KC MALAHAYATI QQ B.MOFAJE S. CAROPEBOKA
BANK MEGA KC MALAHAYATI QQ B.MOFAJE S. CAROPEBOKA
BANK MEGA KC MALAHAYATI QQ CV. MANDIRI PRATAMA TEHNIK
BANK MEGA KC MALAHAYATI QQ CV. MANDIRI PRATAMA TEHNIK
BANK MEGA KC MALAHAYATI QQ CV. MANDIRI PRATAMA TEHNIK
BANK MEGA KC MALAHAYATI QQ KOPEGTEL LAMPUNG
BANK MEGA KCP BANDAR JAYA QQ M. ARIF
BANK MEGA KCP MMU KEMILING QQ SUTINI
BANK MEGA KC MALAHAYATI QQ BUDI PURNOMO
BANK MEGA KCP PRINGSEWU QQ BUDI ATMONO
BANK MEGA KCP PRINGSEWU QQ BUDI ATMONO
BANK MEGA KCP PRINGSEWU QQ BUDI ATMONO

HARJATI ANGKAWIDJAJA QQ KOMALA UTAMI DEWI

Gross Premi

Refd Premi Komisi

Komisi

293,200
1,181,000
7,382,800
213,700

51,840
228,800
1,469,160
36,540

20,037,000
598,000
245,272
994,000
1,204,825
230,920
6,816,200
199,540
124,000
145,912
81,000
176,800
444,720
194,800

1,500,000
112,800
42,854
192,000
233,565
39,984
1,355,840
36,708
21,600
22,982
10,000
29,160
82,144
32,760

217,000
596,224
235,750
433,750
328,000

46,500
112,445
40,950
79,950
58,800

2,026,000
24,363,413

4,337,382

PPN 10 %

PPH

45,000

NET

241,360
952,200
5,913,640
177,160
18,582,000
485,200
202,418
802,000
971,260
190,936
5,460,360
162,832
102,400
122,930
71,000
147,640
362,576
162,040
170,500
483,779
194,800
353,800
269,200
2,026,000
20,026,031

Dana Yang
Mk Ke BANK

241,360
952,200
5,913,640
177,160
18,582,000
485,200
202,418
802,000
971,260
190,936
5,460,360
162,832
102,400
122,930
71,000
147,640
362,576
162,040
170,500
483,779
194,800
353,800
269,200
2,026,000
20,026,031

Selisih

Laporan Penerimaan Premi

Periode : September 2013
No

Tgl Pembayaran

No Polis

1
2
3
4
5
6
7
8
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

KONSUMER
KUK
KUK
KUM
KUM
KUK
tidak ada polis
17/10/2013
17/10/2013
02/10/2013
KUK
KUK
KUK
KUK
KUK
KUK
KUM
KUM
KUM
KUK
KUK
MANDIRI 12/09/2013

IP.16.01.13.000166
IP.16.01.13.000167
IP.16.01.13.000168
IP.16.01.13.000169
IP.16.01.13.000170
IP.16.01.13.000171
IP.16.01.13.000172
IP.16.01.13.000173
IP.16.01.13.000174
IP.16.01.13.000175
IP.16.01.13.000176
IP.16.01.13.000177
IP.16.01.13.000178
IP.16.01.13.000179
IP.16.01.13.000180
IP.16.01.13.000181
IP.16.01.13.000182
IP.16.01.13.000183
IP.16.01.13.000184
IP.16.01.13.000185
IP.16.01.13.000186
IP.16.01.13.000187
IP.16.01.13.000188
IP.16.01.13.000189
IP.16.01.13.000190

KENDARAAN
1
27/09/2013
IP.16.01.13.000017
2
27/09/2013 Angsuran 1. Rp.500.000,IP.16.01.13.000018

BANK MEGA KC MALAHAYATI QQ MILAN DESTILIA PUTRI

BANK MEGA KCP METRO QQ DURILIA
BANK MEGA KCP PRINGSEWU QQ SYAEFUL ANWAR
BANK MEGA KCP BANDAR JAYA QQ ANDUNG PRATIKNO
BANK MEGA KCP BANDAR JAYA QQ ANDUNG PRATIKNO
BANK MEGA KCP KARTINI QQ IBNU ADI PRIAWAN

Refd Premi Komisi

Komisi
2,507,608
494,122
205,300
34,860
218,488
37,498
750,625
143,325
249,400
43,680
404,560
74,112

TN. NATIGOR OLOAN SIHALOHO

TN. NATIGOR OLOAN SIHALOHO
TN. DOLAN ANTONIN QQ NABILAH KHALISAH ATHAYA
BANK MEGA KC MALAHAYATI QQ SUDARMAN
BANK MEGA KCP PRINGSEWU QQ ARIF SUPRIYONO
BANK MEGA KC MALAHAYATI QQ RUDI ARDIANSYAH
BANK MEGA KCP PRINGSEWU QQ ARIF SUPRIYONO
BANK MEGA KCP LAMPUNG - KARTINI QQ DEVI NURINA SURYANINGSIH
BANK MEGA KCP BANDAR JAYA QQ PURWANTO
BANK MEGA KCP METRO QQ M.AKIP
BANK MEGA KCP METRO QQ M.AKIP
BANK MEGA KCP METRO QQ M.AKIP
BANK MEGA KCP METRO QQ SUCI BARATA
BANK MEGA KCP METRO QQ AMIN
BANK MANDIRI MMU KEMILING QQ UMINAH

303,250
286,375
87,000
1,036,600
81,000
190,120
164,536
118,840
341,508
325,900
5,754,250
328,000
213,700
420,208
105,400

199,920
10,000
31,824
26,707
17,568
61,516
58,380
1,143,450
58,800
34,540
77,242
18,600

DINI FIRMAN NURDIN QQ ROPIKO HAIR

DRS BAROZI ZUBIR QQ ROPIKO HAIR

543,950
2,468,000

127,488
607,750

17,104,618

3,301,382

Nama Tertanggung

Gross Premi

PPN 10 %

PPH

2,013,486
170,440
180,990
607,300
205,720
330,448
303,250
286,375
87,000
836,680
71,000
158,296
137,829
101,272
279,992
267,520
4,610,800
269,200
179,160
342,966
86,800
416,462
1,860,250

Dana Yang
Mk Ke BANK
2,013,486
170,440
180,990
607,300
205,720
330,448
303,250
286,375
87,000
836,680
71,000
158,296
137,829
101,272
279,992
267,520
4,610,800
269,200
179,160
342,966
86,800
416,462
1,860,250

13,803,236

13,803,236

NET

Selisih

Laporan Penerimaan Premi

Periode : OKTOBER 2013
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

Tgl Pembayaran
KONSUMER 08/10/2013
KUM
KUM
KUM
KUM
KUK
KUM
KUK
KONSUMER
KUM
KUM

KENDARAAN
1
2
17/09/2013
3
INSTALMENT 2X

No Polis

Nama Tertanggung

IP.16.01.13.0000190
IP.16.01.13.0000191
IP.16.01.13.0000192
IP.16.01.13.0000193
IP.16.01.13.0000194
IP.16.01.13.0000195
IP.16.01.13.0000196
IP.16.01.13.0000197
IP.16.01.13.0000198
IP.16.01.13.0000199
IP.16.01.13.0000200

BANK MEGA KC MALHAYATI QQ JUNAIDI

BANK MEGA KC MALAHAYTI QQ ZULKIFLI MARKONI
BANK MEGA KC MALAHAYTI QQ ZULKIFLI MARKONI
BANK MEGA KC MALAHAYTI QQ ZULKIFLI MARKONI
BANK MEGA KC MALAHAYTI QQ ZULKIFLI MARKONI
BANK MEGA KCP METRO QQ YAMTINI
BANK MEGA KCP METRO QQ SISWANTO
BANK MEGA KCP PRINGSEWU QQ JUMANUN
BANK MEGA KC MALAHAYATI QQ IWAN KURNIAWAN
BANK MEGA KCP PRINGSEWU QQ SUTOWO
BANK MEGA KCP PRINGSEWU QQ SUTOWO

IP.16.02.13.000019
IP.16.02.13.000020
IP.16.02.13.000021

M.BUDIYANSYAH QQ DRS PAIRUL SYAH QQ RATNA DEWI RIA

BANK MANDIRI MMU KEMILING QQ SUSI SAFTRI
HENDRI QQ IR ALBERTI JANTI

Gross Premi

Refd Premi Komisi

PPN 10 %
Komisi

14,451,400
374,000
281,520
538,000
826,000
523,600
6,510,600
380,500
1,169,362
357,820
81,000

2,882,880
68,000
49,504
100,800
158,400
97,920
1,294,720
69,300
226,472
64,764
10,000

226,300
384,000
1,280,125

87,500

PPH

NET
11,568,520
306,000
232,016
437,200
667,600
425,680
5,215,880
311,200
942,890
293,056
71,000
226,300
296,500
1,280,125

Dana Yang
Mk Ke BANK
11,568,520
306,000
232,016
437,200
667,600
425,680
5,215,880
311,200
942,890
293,056
71,000
226,300
296,500
1,280,125

Selisih

27,384,227

5,110,260

22,273,967

22,273,967

Laporan Penerimaan Premi

Periode : 2013
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

Tgl Pembayaran
05/02/2013
27/02/2013
27/02/2013
27/02/2013
PUSAT
10/04/2013
12/'06/2013
PUSAT
26/06/2013
26/06/2013
26/06/2013

12/07/2013
12/07/2013
12/07/2013
12/07/2013
12/07/2013
12/07/2013
12/07/2013
22/07/2013
31/07/2013
31/07/2013
20/08/2013
01/8/2013
30/08/2013
30/08/2013
28/08/2013
28/08/2013
28/08/2013
JAKARTA
JAKARTA
20/09/2013
28/08/2013

No Polis
IP.16.01.11.000219-1
IP.16.01.11.000247-1
IP.16.01.11.000129-1
IP.16.01.10.000058-1
IP.16.01.11.000037-1
IP.16.01.11.000176-1
IP.16.01.11.000292-1
IP.16.01.11.000295-1
IP.16.01.11.000010-1
IP.16.01.11.000325-1
IP.16.01.12.000021-1
IP.16.01.12.000273-1
IP.16.01.11.000065-1
IP.16.01.11.000312-1
IP.16.01.11.000255-2
IP.16.01.12.000252-1
IP.16.01.12.000235-1
IP.16.01.12.000236-1
IP.16.01.10.000092-2
IP.16.01.11.000058-1
IP.16.01.11.000283-1
IP.16.01.11.000089-1
IP.16.01.11.000145-1
IP.16.01.11.000136-1
IP.16.01.11.000285-1
IP.16.01.11.000203-1
IP.16.02.11.000032-1
IP.16.01.11.000100-1
IP.16.01.11.000185-1
IP.16.01.12.000012-1
IP.16.01.12.000125-1
IP.16.01.12.000132-1
IP.16.01.12.000133-1
IP.16.01.12.000192-1
IP.16.01.12.000193-1
IP.16.01.12.000207-1
IP.16.01.12.000052-1
IP.16.01.11.000140-2
IP.16.01.12.000190-1
IP.16.01.12.000191-1

41
42
43
44
45
46
47
48
49
50
51
52
53
54

KENDARAAN
1
2
3
4
5

IP.16.01.12.000173-1
IP.16.01.11.000293-1
IP.16.01.12.000097-1
IP.16.01.12.000058-1
IP.16.01.12.000080-1
IP.16.01.12.000119-1
IP.16.01.11.000260-1
IP.16.01.11.000211-1
IP.16.01.13.000042-2
IP.16.01.12.000187-1
IP.16.01.12.000188-1
IP.16.01.12.000189-1
IP.16.01.11.000037-2
IP.16.01.12.000045-1
IP.16.01.11.000103-2
IP.16.01.11.000095-2
IP.16.01.12.000197-1
IP.16.01.12.000205-1
IP.16.01.12.000221-1

Nama Tertanggung
BANK MEGA KC MALAHAYATI QQ MARSONO
BANK MEGA KCP BANDAR JAYA QQ FIRDAUS BOERLIAN
BANK MEGA KCP BANDAR JAYA QQ SUPRIYANTO
BANK MEGA KC LAMPUNG QQ SUGENG KRISTIYANTO SI
BANK MEGA KCP BANDAR JAYA QQ SUGIYONO
BANK MEGA KCP BANDAR JAYA QQ NANIK YULIWATI
BANK MEGA KCP BANDAR JAYA QQ RATNA EVITASARI
BANK MEGA KCP BANDAR JAYA QQ SUMARSIH
BANK MEGA KC MALAHAYATI QQ DAHLIZAR
BANK MEGA KC MALAHAYATI QQ HAZLI ALIAMAN
BANK MEGA KC MALAHAYATI QQ SUMASTADI
BANK MEGA KCP BANDAR JAYA QQ M.ZAINAL ABIDIN
BANK MEGA KC MALAHAYATI QQ ELFA BETTY
BANK MEGA KC MALAHAYATI QQ DIDIN SURYA PUTRA
BANK MEGA KC MALAHAYATI QQ GENI
BANK MEGA KCP BANDAR JAYA QQ WIBOWO PULUNG GONO
BANK MEGA KC MALAHAYATI QQ DALMI
BANK MEGA KC MALAHAYATI QQ DALMI
BANK MEGA KC MALAHAYATI QQ TETY MULYATI
BANK MEGA KC MALAHAYATI QQ ERMI
BANK MEGA KC MALAHAYATI QQ NURLEILA
BANK MEGA KC MALAHAYATI QQ BAHRUDIN
BANK MEGA KC MALAHAYATI QQ NASIR PERDIAN
BANK MEGA KC MALAHAYATI QQ ERI CATUR PRABOWO
BANK MEGA KC MALAHAYATI QQ DARLIN
BANK MEGA KC MALAHAYATI QQ HELNAWATI
BANK MEGA KC MALAHAYATI QQ DEDI SUSILO
BANK MEGA KC MALAHAYATI QQ DEDI SUSILO
BANK MEGA KCP BANDAR JAYA QQ NURIYAH
BANK MEGA KC MALAHAYATI QQ ENDANG SUPRIANI
BANK MEGA KC MALAHAYATI QQ HJ. RA. RUMAINI
BANK MEGA KC MALAHAYATI QQ SITI MUTMAINAH
BANK MEGA KC MALAHAYATI QQ SITI MUTMAINAH
BANK MEGA KC MALAHAYATI QQ SUPARMI
BANK MEGA KC MALAHAYATI QQ SUPARMI
BANK MEGA KC MALAHAYATI QQ SRI WAHYUNINGSI
BANK MEGA KC MALAHAYATI QQ HERI NAWAWI
BANK MEGA KCP BANDAR JAYA QQ SAMINO
BANK MEGA KC MALAHAYATI QQ AKMAL AKASA
BANK MEGA KC MALAHAYATI QQ AKMAL AKASA

Gross Premi
307,150
162,036
30,494
341,199
158,431
791,726
101,011
266,643
1,803,260
214,288
369,713
2,186,899
1,505,864
1,976,086
89,984
821,412
171,991
285,713
822,245
826,344
348,518
171,228
390,931
553,264
549,673
193,738
8,064,164
538,007
243,859
238,531
286,958
151,597
780,682
656,249
336,399
495,041
564,467
240,930
383,223
382,009

BANK MEGA KCP BANDAR JAYA QQ SUJA'I

BANK MEGA KCP BANDAR JAYA QQ ANDI HARTONO
BANK MEGA KC MALAHAYATI QQ SUSILAWATI
BANK MEGA KC MALAHAYATI QQ AGUS SUPTO WALUYO
BANK MEGA KC MALAHAYATI QQ MARZUKI
BANK MEGA KCP BANDAR JAYA QQ SUWARTI
BANK MEGA KC MALAHAYATI QQ DEWI SARI
BANK MEGA KC MALAHAYATI QQ MARINA SARI
JOHAN KALYANA QQ SRI NURWATI
BANK MEGA KCP BANDAR JAYA QQ PERISTI WARMAN
BANK MEGA KCP BANDAR JAYA QQ PERISTI WARMAN
BANK MEGA KCP BANDAR JAYA QQ PERISTI WARMAN
BANK MEGA KCP BANDAR JAYA QQ SUGIYONO
BANK MEGA KCP BANDAR JAYA QQ AMIATI
BANK MEGA KCP BANDAR JAYA QQ M.PARWOTO
BANK MEGA KCP BANDAR JAYA QQ TEDDY YUDISTIRA
BANK MEGA KC MALAHAYATI QQ JUANDA LAPU GAYA
BANK MEGA KCP BANDAR JAYA QQ MARDIAN N
BANK MEGA MALAHAYATI QQ ERWIN BASYRIE

456,481
353,950
1,128,797
219,829
195,633
141,131
439,060
386,514
1,289,123
242,087
143,174
166,136
168,687
109,727
223,700
79,962
88,189
75,961
125,330

34,835,428

Refd Premi Komisi

Komisi
57,630
29,207
2,899
64,440
28,486
154,545
17,002
49,529
356,252
39,658
70,143
432,980
296,773
390,817
14,797
160,482
31,198
53,343
160,049
161,469
65,904
31,046
74,386
106,853
106,135
35,548
2,010,541
103,801
45,572
44,506
53,592
27,119
152,336
127,450
63,480
95,208
109,093
44,986
72,845
72,602

PPN 10 %

PPH

NET
249,520
132,829
27,595
276,759
129,945
637,181
84,009
217,114
1,447,008
174,630
299,570
1,753,919
1,209,091
1,585,269
75,187
660,930
140,793
232,370
662,196
664,875
282,614
140,182
316,545
446,411
443,538
158,190
6,053,623
434,206
198,287
194,025
233,366
124,478
628,346
528,799
272,919
399,833
455,374
195,944
310,378
309,407

Dana Yang
Mk Ke BANK
249,520
132,829
27,595
276,759
129,945
637,181
84,009
217,114
1,447,008
174,630
299,570
1,753,919
1,209,091
1,585,269
75,187
660,930
140,793
232,370
662,196
664,875
282,614
140,182
316,545
446,411
443,538
158,190
6,053,623
434,206
198,287
194,025
233,366
124,478
628,346
528,799
272,919
399,833
455,374
195,944
310,378
309,407

Selisih

87,496
66,990
221,359
40,766
35,927
25,026
84,012
73,503
316,781
45,217
25,435
30,027
30,537
18,745
41,540
9,592
14,438
11,992
21,866

368,985
286,960
907,438
179,063
159,706
116,105
355,048
313,011
972,342
196,870
117,739
136,109
138,150
90,982
182,160
70,370
73,751
63,969
103,464

368,985
286,960
907,438
179,063
159,706
116,105
355,048
313,011
972,342
196,870
117,739
136,109
138,150
90,982
182,160
70,370
73,751
63,969
103,464

DAFTAR INVENTARIS KANTOR PERWAKILAN LAMPUNG

Perlengkapan Komputer
No
1 Personal Computer lenovo
2 Printer Epson L-200
3 Printer lQ-2190
4 Modem Speedy
5 TP-LINK TL-SF 1008D
6 HP 5610

Jenis

Jumlah
2
1
1
1
1
1

Kondisi
Baik
Baik
Baik
Baik
Baik
RUSAK

PERLENGKAPAN NON KOMPUTER

1 Pesawat telepon panasonic
2 Kalkulator
3 AC LG
4 Camera Kodak 4x
5 Mobil Avanza B 1893 SOQ

1
1
1
1
1

Baik
Baik
Baik
Baik
Baik

PARABOT KANTOR
1 MEJA KERJA MODERA
2 KURSI MANAGER
3 KURSI KERJA CHAIRMAN
4 LEMARI FILE MODERA
5 STEMPEL AUM
6 STEMPEL RIMENDER
7 STEMPEL UNDER

2
1
3
1
3
1
1

Baik
Baik
Baik
Baik
Baik
Baik
Baik

KERTAS DLL
1 KERTAS POLIS 4 Ply (367504 - 368000 )
2 KERTAS NOTA 4 Ply (0056450 - 0057000 )
3 KERTAS KWITANSI 4 Ply (0073354 - 0074000 )
4 Cover + Wording Kebakaran
5 Cover + wording Kendaran
6 SPPAK KEBAKARAN
7 SPPKB KENDARAAN
8 KERTAS KOP SURAT
9 VOUCHER MEGA PROTEKSI DIRI ( A100000005715 - 6050 )
10 X-BANNER AUM

Baik
Baik
Baik
Baik
Baik
Baik
Baik
Baik
Baik
Baik

Nama Tertanggung

Alamat Tertanggung

Alamat yang dipertanggungkan

Okupasi

Harga

Kategori

Nama Tertanggung

No Polis

Efektif

Perubahan

Nama Tertanggung

No Polis

Efektif

Perubahan

Nama tertanggung
:
Periode pertanggungan
:
okupasi
:
coverage
:
TSI
:
Rate
:
Fee base bank
:
Out go Mayapada
:
Bank Clause Bank Mayapada
t/c lain sesuai Binder Mayapada mega ins

BM QQ ZUL HARIS
JL.LAKSAMANA MALAHAYATI QQ NO 08 TELUK BETUNG BANDAR LAMPUNG
JL.SULTAN BADARUDIN GG.DAHLIAN NO.12 RT.015 KEL SEGALA MIDER KEC.TANJUNG KARANG BARAT BANDAR LAMPUNG
RUMAH TINGGAL
Rp.276.825.000,KONSUMER

BANK MEGA KC MALAHAYATI QQ HERI NAWAWI

IP.16.01.12.000052
13 AGUSTUS 2013
24/01/2012 s.d 31/07/2023

BANK MEGA KCP BANDAR JAYA QQ SAMINO

IP.16.01.11.000140
13 AGUSTUS 2013
06/07/2011 s.d 25/07/2020

PT.BANK MAYAPADA INTERNASIONAL Tbk. MMU Pringsewu QQ ALFAIRI AZHAR SH

22/10/2013 s.d 22/10/2016
Rumah tinggal Kelas 1
Flexas Only
Rp.96.000.000,0.104%
15%
10%

apada mega ins

TOTAL PREMI JAN -OKTOBER 2013

TOTAL
BANKMEGA
LEASING
LEASING KENDARAAN
JAN
23,836,937
16,756,696
FEB
6,340,306
6,340,306
MAR
32,390,922
7,849,587
APRIL
22,958,178
5,229,101
MEI
11,538,647
10,112,447
299,520
JUNI
17,297,903
6,864,429 8,337,136
JULI
57,656,460
15,692,180
AGUSTUS
24,363,413
22,120,143
217,000
SEPTEMBER
17,104,618
13,310,643
105,400
OKTOBER
27,384,227
25,493,802
384,000
ENDOS JAN-OKTOBER
34,835,428

KENDARAAN

16,498,212
2,639,327
507,680
2,096,338
3,854,280
2,026,000
3,011,950
1,506,425

AGEN
7,080,241
8,043,123
15,089,750
619,000
38,110,000
676,625