NO Business Source Name Policy No-End.

No Insured Effective CCY Gross Fee Duty Gross TAX Payment Outstanding
Premium Commission Tertanggung
1 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000823 BANK BJB KC SOREANG 21/09/2022 IDR 6,187,500.00 0.00 0.00 (928,125.00) 18,563.00 0.00 5,277,938.00 DWI NURAINI PUTRI
2 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101022001163 BANK BJB CABANG TANGERANG 11/10/2022 IDR 4,125,000.00 0.00 0.00 (618,750.00) 12,375.00 0.00 3,518,625.00 AGUNG WIDJAYANTO UTOMO
3 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000483 BANK BJB KCP CILIMUS 15/12/2022 IDR 550,000.00 0.00 0.00 (82,500.00) 1,650.00 0.00 469,150.00 WAWAN DARNAWAN
4 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000255 BANK BJB KCP PANUMBANGAN 16/12/2022 IDR 962,500.00 0.00 0.00 (144,375.00) 2,888.00 0.00 821,013.00 TEDDY CAHYADI & MUSTOPA
5 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000023 BANK BJB KCP CILILIN 26/12/2022 IDR 550,000.00 0.00 0.00 (82,500.00) 1,650.00 0.00 469,150.00 NENG HERLINA
6 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000140 BANK BJB KCP CISAGA 28/12/2022 IDR 605,000.00 0.00 0.00 (90,750.00) 1,815.00 0.00 516,065.00 SULTON AHMAD
7 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000376 BANK BJB KCP BATUJAJAR 28/12/2022 IDR 2,200,000.00 0.00 0.00 (330,000.00) 6,600.00 0.00 1,876,600.00 ACEP TEDI & KEMAL KENTAPO
9 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000192 BANK BJB KC TANGERANG 01/02/2023 IDR 825,000.00 0.00 0.00 (123,750.00) 2,475.00 0.00 703,725.00 DYANA ARTHA WARDHANI
10 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023002115 BANK BJB KCP FATMAWATI 2 19/10/2023 IDR 6,875,000.00 0.00 0.00 (1,031,250.00) 20,625.00 0.00 5,864,375.00 NENENG EVI NURAENI
11 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023002155 BANK BJB CABANG SOREANG 25/10/2023 IDR 412,500.00 0.00 0.00 (61,875.00) 1,238.00 0.00 351,863.00 YUDI SUHENDAR
12 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023002158 BANK BJB CABANG KHUSUS JAKARTA 25/10/2023 IDR 507,500.00 0.00 0.00 (76,125.00) 1,523.00 0.00 432,898.00 MULYATI, FATHAN KAUTSAR
13 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023002190 BANK BJB CABANG TANGERANG SELATAN 01/11/2023 IDR 412,500.00 0.00 0.00 (61,875.00) 1,238.00 0.00 351,863.00 MARDIAH
14 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023002203 BANK BJB CABANG PANDEGLANG 03/11/2023 IDR 3,850,000.00 0.00 0.00 (577,500.00) 11,550.00 0.00 3,284,050.00 HILMAN PIRMANSYAH
TOTAL 23,937,315.00
NO Business Source Name Policy No-End. No Insured Effective CCY Gross Fee Duty Gross TAX Payment Outstanding
Premium Commission Tertanggung
1 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000823 BANK BJB KC SOREANG 21/09/2022 IDR 6,187,500.00 0.00 0.00 (928,125.00) 18,563.00 0.00 5,277,938.00 DWI NURAINI PUTRI
2 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101022001163 BANK BJB CABANG TANGERANG 11/10/2022 IDR 4,125,000.00 0.00 0.00 (618,750.00) 12,375.00 0.00 3,518,625.00 AGUNG WIDJAYANTO UTOMO
3 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000483 BANK BJB KCP CILIMUS 15/12/2022 IDR 550,000.00 0.00 0.00 (82,500.00) 1,650.00 0.00 469,150.00 WAWAN DARNAWAN
4 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000255 BANK BJB KCP PANUMBANGAN 16/12/2022 IDR 962,500.00 0.00 0.00 (144,375.00) 2,888.00 0.00 821,013.00 TEDDY CAHYADI & MUSTOPA
5 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000023 BANK BJB KCP CILILIN 26/12/2022 IDR 550,000.00 0.00 0.00 (82,500.00) 1,650.00 0.00 469,150.00 NENG HERLINA
6 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000140 BANK BJB KCP CISAGA 28/12/2022 IDR 605,000.00 0.00 0.00 (90,750.00) 1,815.00 0.00 516,065.00 SULTON AHMAD
7 PT. NUSANTARA INSURANCE BROKER & CONSULTANT 01101023000376 BANK BJB KCP BATUJAJAR 28/12/2022 IDR 2,200,000.00 0.00 0.00 (330,000.00) 6,600.00 0.00 1,876,600.00 ACEP TEDI & KEMAL KENTAPO
TOTAL 12,948,541.00