Lampiran

Pengalihan
Pemeliharaan Polis
KCU BANDUNG (Update
Mapping)

Agen
Partne
Agent Agent t
r Agent
Partner Gener Code Name Code Agent Name
N Produ Polic Policy Holder Policy Code
Production ate Agent Referral Servicing Servicing Servi Servicing
o. ction y No. Name Status Referr
Name(KCP) Date (previous (previous cing (New)
Code al
) ) (New
(KCP)
)
2015 PETER EVAN YONA UTAMA
BNCPB PANIN BANK 0237 AUGUSTINE ACTIV 11/17 00024 MOHAMMAD DEMTRIU 0005 PUTERA
1 00209 DAGO 76 TANZIL E /2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
0143 HENDRA ACTIV 7/13/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
2     14 SUWARDI E 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
0277 MARCIA SURRE 12/30 00024 MOHAMMAD DEMTRIU 0005 PUTERA
3     61 [Link] NDER /2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2017 YANTHIE EVAN YONA UTAMA
0278 CHRISTIANTY, ACTIV 12/7/ 00029 RENDY EKA DEMTRIU 0005 PUTERA
4     77 SE. E 2017 973 SAPUTRA 00048637 S 1982 RACHMAT
2020 EVAN YONA UTAMA
0245 9/24/ 00047 DEMTRIU 0005 PUTERA
5     42 IRWAN LAPSE 2020 310 ARIA RAHMAN 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
0050 CECILIA ACTIV 3/27/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
6     22 CHANDRA E 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
 2015 EVAN YONA UTAMA
0110 ACTIV 5/29/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
7     65 YUKI IRIANTI E 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
0110 SELY DEWI ACTIV 5/29/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
8     66 MARISKA E 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2016 IVONNE CYNTIA EVAN YONA UTAMA
0023 AMELIA ACTIV 2/17/ 00026 SYAHRIANI DEMTRIU 0005 PUTERA
9     57 LINGGA E 2016 172 KADRI 00048637 S 1982 RACHMAT
2016 CYNTIA EVAN YONA UTAMA
1 0142 ADHI 8/25/ 00026 SYAHRIANI DEMTRIU 0005 PUTERA
0     13 WIRATAMA LAPSE 2016 172 KADRI 00048637 S 1982 RACHMAT
2016 IVONNE CYNTIA EVAN YONA UTAMA
1 0023 AMELIA ACTIV 2/17/ 00026 SYAHRIANI DEMTRIU 0005 PUTERA
1     59 LINGGA E 2016 172 KADRI 00048637 S 1982 RACHMAT
2020 EVAN YONA UTAMA
1 0216 ANGGA 8/31/ 00047 DEMTRIU 0005 PUTERA
2     75 RAHMANSYAH LAPSE 2020 310 ARIA RAHMAN 00048637 S 1982 RACHMAT
2016 IVONNE CYNTIA EVAN YONA UTAMA
1 0023 AMELIA ACTIV 2/17/ 00026 SYAHRIANI DEMTRIU 0005 PUTERA
3     58 LINGGA E 2016 172 KADRI 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
1 0245 HENI TRI 11/26 00024 MOHAMMAD DEMTRIU 0005 PUTERA
4     41 HASTUTI LAPSE /2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
1 0063 NIDIA ACTIV 4/13/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
5     47 APRIANTI M. E 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
1 0270 EDDY ACTIV 12/23 00024 MOHAMMAD DEMTRIU 0005 PUTERA
6     17 SUKANDAR E /2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
1 0274 JONG NYOEK ACTIV 12/29 00024 MOHAMMAD DEMTRIU 0005 PUTERA
7     28 ING E /2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
 2015 EVAN YONA UTAMA
1 0253 ACTIV 12/4/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
8     08 ADI KURNIA E 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
1 0207 NITA SURRE 10/9/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
9     77 RENGGANIS NDER 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
2 0050 CECILIA ACTIV 3/27/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
0     23 CHANDRA E 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2014 EVAN YONA UTAMA
2 0203 SIFA NUR AINI 12/23 00024 MOHAMMAD DEMTRIU 0005 PUTERA
1     05 SUPRIANTO LAPSE /2014 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 JEANET EVAN YONA UTAMA
2 0010 ANGELLA 1/26/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
2     85 GULTOM LAPSE 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
2 0028 IRA NOVIA SURRE 2/27/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
3     33 FEBRIANI NDER 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
2 0036 CECILIA ACTIV 3/11/ 00024 DEMTRIU 0005 PUTERA
4     18 CHANDRA E 2015 796 GADYS RADYA 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
2 0103 FELITA 5/26/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
5     48 FAUSTINA LAPSE 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
2 0100 MARCIA SURRE 5/22/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
6     35 [Link] NDER 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 ANGGI EVAN YONA UTAMA
2 0154 GINANJAR 7/30/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
7     01 SUJONO LAPSE 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
2 0187 ACTIV 9/14/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
8     52 MULYANTORO E 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
 2015 EVAN YONA UTAMA
2 0200 SURRE 9/29/ 00024 MOHAMMAD DEMTRIU 0005 PUTERA
9     36 FAJAR BUDI NDER 2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2015 EVAN YONA UTAMA
3 0266 JONG NYOEK ACTIV 12/22 00024 MOHAMMAD DEMTRIU 0005 PUTERA
0     48 ING E /2015 873 IRFAN MUBARAK 00048637 S 1982 RACHMAT
2017 HEERA SYAHIR EVAN YONA UTAMA
3 0020 KARIM ACTIV 2/2/2 00029 RENDY EKA DEMTRIU 0005 PUTERA
1     89 VASANDANI E 017 973 SAPUTRA 00048637 S 1982 RACHMAT
2017 ATIN EVAN YONA UTAMA
3 0130 DJUKARNIATI 6/16/ 00029 RENDY EKA DEMTRIU 0005 PUTERA
2     74 N,SE. LAPSE 2017 973 SAPUTRA 00048637 S 1982 RACHMAT
2017 EVAN YONA UTAMA
3 0157 MAUGINA SURRE 7/24/ 00029 RENDY EKA DEMTRIU 0005 PUTERA
3     78 RIZKI HAVIER NDER 2017 973 SAPUTRA 00048637 S 1982 RACHMAT
2017 SUMIJATI EVAN YONA UTAMA
3 0157 SOLEARNO ACTIV 7/24/ 00029 RENDY EKA DEMTRIU 0005 PUTERA
4     41 SIDJI E 2017 973 SAPUTRA 00048637 S 1982 RACHMAT
2017 EVAN YONA UTAMA
3 0180 LANDRY ACTIV 8/21/ 00029 RENDY EKA DEMTRIU 0005 PUTERA
5     42 HADIMULYA E 2017 973 SAPUTRA 00048637 S 1982 RACHMAT
2017 DHAMMA EVAN YONA UTAMA
3 0312 NANDA SURRE 12/30 00029 RENDY EKA DEMTRIU 0005 PUTERA
6     57 TJANDRA NDER /2017 973 SAPUTRA 00048637 S 1982 RACHMAT
2018 EVAN YONA UTAMA
3 0039 RICKY 2/26/ 00030 MUHAMMAD DEMTRIU 0005 PUTERA
7     73 HADRIAN LAPSE 2018 812 HAFIZ SAYUTI 00048637 S 1982 RACHMAT
2018 EVAN YONA UTAMA
3 0084 DANIEL ACTIV 4/17/ 00030 MUHAMMAD DEMTRIU 0005 PUTERA
8     08 THENOARDY E 2018 812 HAFIZ SAYUTI 00048637 S 1982 RACHMAT
2018 EVAN YONA UTAMA
3 0109 SURJAMAN ACTIV 5/18/ 00030 MUHAMMAD DEMTRIU 0005 PUTERA
9     81 JAHJA E 2018 812 HAFIZ SAYUTI 00048637 S 1982 RACHMAT
 2018 EVAN YONA UTAMA
4 0197 EDWIN ACTIV 8/31/ 00037 RISKA AULIA DEMTRIU 0005 PUTERA
0     45 ISKANDAR E 2018 482 PUTRI 00048637 S 1982 RACHMAT
2018 EVAN YONA UTAMA
4 0289 12/7/ 00030 MUHAMMAD DEMTRIU 0005 PUTERA
1     85 UTARI LAPSE 2018 812 HAFIZ SAYUTI 00048637 S 1982 RACHMAT
2019 EVAN YONA UTAMA
4 0076 ACTIV 3/27/ 00030 MUHAMMAD DEMTRIU 0005 PUTERA
2     44 KEVIN E 2019 812 HAFIZ SAYUTI 00048637 S 1982 RACHMAT
2019 EVAN YONA UTAMA
4 0039 GINA CANCE 2/19/ 00030 MUHAMMAD DEMTRIU 0005 PUTERA
3     55 NURHIKMAH L 2019 812 HAFIZ SAYUTI 00048637 S 1982 RACHMAT
2019 EVAN YONA UTAMA
4 0073 NIA PRIYANTI ACTIV 3/26/ 00030 MUHAMMAD DEMTRIU 0005 PUTERA
4     75 SUTEDJO E 2019 812 HAFIZ SAYUTI 00048637 S 1982 RACHMAT
2019 EVAN YONA UTAMA
4 0091 WAN IE ACTIV 4/11/ 00030 MUHAMMAD DEMTRIU 0005 PUTERA
5     18 GUNAWAN E 2019 812 HAFIZ SAYUTI 00048637 S 1982 RACHMAT
2019 EVAN YONA UTAMA
4 0141 HENI TRI 6/17/ 00030 MUHAMMAD DEMTRIU 0005 PUTERA
6     90 HASTUTI LAPSE 2019 812 HAFIZ SAYUTI 00048637 S 1982 RACHMAT
2019 EVAN YONA UTAMA
4 0177 7/23/ 00030 MUHAMMAD DEMTRIU 0005 PUTERA
7     75 CO FE LAPSE 2019 812 HAFIZ SAYUTI 00048637 S 1982 RACHMAT
2020 FELYX EVAN YONA UTAMA
4 0187 RINNI ACTIV 7/30/ 00047 NATHANIEL DEMTRIU 0005 PUTERA
8     01 ANDRIANI E 2020 566 YULIANTO 00048637 S 1982 RACHMAT
2021 EVAN YONA UTAMA
4 0085 ACTIV 3/29/ 00048 DEMTRIU 0005 PUTERA
9     37 YODI E 2021 637 EVAN DEMTRIUS 00048637 S 1982 RACHMAT
5 BNCPB PANIN BANK 2019 ADI LAPSE 6/14/ 00037 JAKA SATRIA 00049005 DIMAS 0005 EKA RAHMA
0 00213 TAMAN KOPO 0139 SATIAWIDI 2019 481 PUTRA TRI 1579 MEGAWATI
INDAH 52 ADHIGU
 NA
DIMAS
2019 TRI 0005 EKA RAHMA
5 0232 8/30/ 00037 FITRI ROSIDAH ADHIGU 1579 MEGAWATI
1     80 RAMADHIAN LAPSE 2019 484 DESI 00049005 NA
DIMAS
2020 TRI 0005 EKA RAHMA
5 0106 4/28/ 00047 ADHIGU 1579 MEGAWATI
2     32 ARIA RAHMAN LAPSE 2020 310 ARIA RAHMAN 00049005 NA
DIMAS
2015 AMELIA TRI 0005 EKA RAHMA
5 0146 FRANSISCAWI 7/15/ 00024 MOHAMMAD ADHIGU 1579 MEGAWATI
3     13 N LAPSE 2015 873 IRFAN MUBARAK 00049005 NA
DIMAS
2016 VIVI TRI 0005 EKA RAHMA
5 0089 HERMAWAN ACTIV 6/3/2 00025 OKTAVIA DIAH ADHIGU 1579 MEGAWATI
4     84 LUKMAN E 016 382 WIJAYANTI 00049005 NA
DIMAS
2015 TRI 0005 EKA RAHMA
5 0212 ERIK ACTIV 10/19 00027 LUFTI ADITYA ADHIGU 1579 MEGAWATI
5     86 SETIAWAN E /2015 497 SUMARNA 00049005 NA
DIMAS
2015 TRI 0005 EKA RAHMA
5 0187 NEVI SURRE 9/14/ 00027 LUFTI ADITYA ADHIGU 1579 MEGAWATI
6     25 CANTIKASARI NDER 2015 497 SUMARNA 00049005 NA
DIMAS
2016 TRI 0005 EKA RAHMA
5 0014 ACTIV 1/29/ 00027 LUFTI ADITYA ADHIGU 1579 MEGAWATI
7     63 BENNI E 2016 497 SUMARNA 00049005 NA
DIMAS
2017 TRI 0005 EKA RAHMA
5 0041 ACTIV 2/28/ 00032 ADHIGU 1579 MEGAWATI
8     74 BENDY E 2017 787 DICKO IRDAM 00049005 NA
 DIMAS
2019 EKAPUTRI TRI 0005 EKA RAHMA
5 0195 SILVIA CANCE 8/2/2 00037 JAKA SATRIA ADHIGU 1579 MEGAWATI
9     74 SUHARTINI L 019 481 PUTRA 00049005 NA
DIMAS
2020 TRI 0005 EKA RAHMA
6 0255 DENNY 9/30/ 00049 DIMAS TRI ADHIGU 1579 MEGAWATI
0     81 RAMDANI LAPSE 2020 005 ADHIGUNA 00049005 NA
DIMAS
2016 TRI 0005 EKA RAHMA
6 0094 ONG SIU ACTIV 6/10/ 00025 OKTAVIA DIAH ADHIGU 1579 MEGAWATI
1     19 MING E 2016 382 WIJAYANTI 00049005 NA
DIMAS
2016 TRI 0005 EKA RAHMA
6 0137 ACTIV 8/18/ 00030 ADHIGU 1579 MEGAWATI
2     90 ARLINE E 2016 811 FALDINY 00049005 NA
DIMAS
2015 TRI 0005 EKA RAHMA
6 0146 VIVIN 7/15/ 00024 MOHAMMAD ADHIGU 1579 MEGAWATI
3     27 FEBRIANI LAPSE 2015 873 IRFAN MUBARAK 00049005 NA
DIMAS
2015 TRI 0005 EKA RAHMA
6 0198 MUHAMAD 9/28/ 00027 LUFTI ADITYA ADHIGU 1579 MEGAWATI
4     87 FAUZI LAPSE 2015 497 SUMARNA 00049005 NA
DIMAS
2017 TRI 0005 EKA RAHMA
6 0068 SURRE 3/31/ 00032 ADHIGU 1579 MEGAWATI
5     67 MUI JIUNG NDER 2017 787 DICKO IRDAM 00049005 NA
DIMAS
2015 TRI 0005 EKA RAHMA
6 0153 7/29/ 00024 MOHAMMAD ADHIGU 1579 MEGAWATI
6     26 VERANICA LAPSE 2015 873 IRFAN MUBARAK 00049005 NA
6     2016 BENNI ACTIV 1/29/ 00027 LUFTI ADITYA 00049005 DIMAS 0005 EKA RAHMA
 TRI
0014 ADHIGU 1579 MEGAWATI
7 64 E 2016 497 SUMARNA NA
DIMAS
2017 TRI 0005 EKA RAHMA
6 0090 NANCY ACTIV 4/29/ 00032 ADHIGU 1579 MEGAWATI
8     93 SIDHARTA E 2017 787 DICKO IRDAM 00049005 NA
DIMAS
2015 TRI 0005 EKA RAHMA
6 0141 SYLVIA SURRE 7/10/ 00027 LUFTI ADITYA ADHIGU 1579 MEGAWATI
9     98 NOVIANTI NDER 2015 497 SUMARNA 00049005 NA
DIMAS
2016 TRI 0005 EKA RAHMA
7 0034 SURRE 3/4/2 00027 LUFTI ADITYA ADHIGU 1579 MEGAWATI
0     63 MEN KIUN NDER 016 497 SUMARNA 00049005 NA
DIMAS
2016 TRI 0005 EKA RAHMA
7 0136 LIVIANA ACTIV 8/16/ 00030 ADHIGU 1579 MEGAWATI
1     93 CHRISTANTI E 2016 811 FALDINY 00049005 NA
DIMAS
2016 TRI 0005 EKA RAHMA
7 0176 DAMIAN ACTIV 10/19 00030 ADHIGU 1579 MEGAWATI
2     03 SANJAYA E /2016 811 FALDINY 00049005 NA
DIMAS
2015 TRI 0005 EKA RAHMA
7 0146 PINCE ACTIV 7/15/ 00024 MOHAMMAD ADHIGU 1579 MEGAWATI
3     12 YUHANA E 2015 873 IRFAN MUBARAK 00049005 NA
DIMAS
2015 NOVIANTI TRI 0005 EKA RAHMA
7 0146 WAHYUNI,S.S 7/15/ 00024 MOHAMMAD ADHIGU 1579 MEGAWATI
4     22 OS. LAPSE 2015 873 IRFAN MUBARAK 00049005 NA
7     2015 FERA ACTIV 9/9/2 00027 LUFTI ADITYA 00049005 DIMAS 0005 EKA RAHMA
5 0184 MARDIANI E 015 497 SUMARNA TRI 1579 MEGAWATI
 ADHIGU
83 NA
DIMAS
2015 TRI 0005 EKA RAHMA
7 0236 DIANA 11/13 00027 LUFTI ADITYA ADHIGU 1579 MEGAWATI
6     01 NURAINI LAPSE /2015 497 SUMARNA 00049005 NA
DIMAS
2017 TRI 0005 EKA RAHMA
7 0078 TRISTINA ACTIV 4/17/ 00032 ADHIGU 1579 MEGAWATI
7     64 TJITRA E 2017 787 DICKO IRDAM 00049005 NA
DIMAS
2014 CHRIS TRI 0005 EKA RAHMA
7 0137 BUWANY ACTIV 10/6/ 00024 MOHAMMAD ADHIGU 1579 MEGAWATI
8     48 TJAKRA E 2014 873 IRFAN MUBARAK 00049005 NA
DIMAS
2015 TRI 0005 EKA RAHMA
7 0007 JANNIWATI ACTIV 1/16/ 00024 MOHAMMAD ADHIGU 1579 MEGAWATI
9     54 PANDI E 2015 873 IRFAN MUBARAK 00049005 NA
DIMAS
2015 TRI 0005 EKA RAHMA
8 0007 JANNIWATI ACTIV 1/16/ 00024 MOHAMMAD ADHIGU 1579 MEGAWATI
0     55 PANDI E 2015 873 IRFAN MUBARAK 00049005 NA
DIMAS
2015 TRI 0005 EKA RAHMA
8 0085 STEFANI ACTIV 5/8/2 00024 MOHAMMAD ADHIGU 1579 MEGAWATI
1     75 SENJAYA E 015 873 IRFAN MUBARAK 00049005 NA
DIMAS
2015 ABDUL KARIM TRI 0005 EKA RAHMA
8 0224 ARBY 10/30 00027 LUFTI ADITYA ADHIGU 1579 MEGAWATI
2     67 PRIYANDITYA LAPSE /2015 497 SUMARNA 00049005 NA
8     2015 ANDY ACTIV 10/12 00027 LUFTI ADITYA 00049005 DIMAS 0005 EKA RAHMA
3 0208 HIDAYAT E /2015 497 SUMARNA TRI 1579 MEGAWATI
76 ADHIGU
 NA
DIMAS
2015 TRI 0005 EKA RAHMA
8 0209 LUFTI ADITYA ACTIV 10/12 00027 LUFTI ADITYA ADHIGU 1579 MEGAWATI
4     26 SUMARNA E /2015 497 SUMARNA 00049005 NA
DIMAS
2015 TRI 0005 EKA RAHMA
8 0254 YULIVIANA SURRE 12/7/ 00027 LUFTI ADITYA ADHIGU 1579 MEGAWATI
5     12 CASTELANI NDER 2015 497 SUMARNA 00049005 NA
DIMAS
2016 TRI 0005 EKA RAHMA
8 0041 WENDI 3/18/ 00029 RENDY EKA ADHIGU 1579 MEGAWATI
6     75 CHANDRA LAPSE 2016 973 SAPUTRA 00049005 NA
DIMAS
2016 ERICK TRI 0005 EKA RAHMA
8 0210 VICTORIAN SURRE 11/30 00030 ADHIGU 1579 MEGAWATI
7     97 SAPUTRA NDER /2016 811 FALDINY 00049005 NA
DIMAS
2017 TRI 0005 EKA RAHMA
8 0078 SUNDARI ACTIV 4/17/ 00032 ADHIGU 1579 MEGAWATI
8     28 SUNARJA E 2017 787 DICKO IRDAM 00049005 NA
DIMAS
2017 TRI 0005 EKA RAHMA
8 0087 SURRE 4/27/ 00032 ADHIGU 1579 MEGAWATI
9     33 ARLINE NDER 2017 787 DICKO IRDAM 00049005 NA
DIMAS
2017 TRI 0005 EKA RAHMA
9 0082 NANCY ACTIV 4/21/ 00032 ADHIGU 1579 MEGAWATI
0     83 SIDHARTA E 2017 787 DICKO IRDAM 00049005 NA
DIMAS
2018 TRI 0005 EKA RAHMA
9 0017 JULIUS RIFAY ACTIV 1/29/ 00036 YOSAK ADHIGU 1579 MEGAWATI
1     34 TANZA E 2018 276 [Link] 00049005 NA
 DIMAS
2018 TRI 0005 EKA RAHMA
9 0037 SHINDY ACTIV 2/23/ 00036 YOSAK ADHIGU 1579 MEGAWATI
2     68 SENJAYA E 2018 276 [Link] 00049005 NA
DIMAS
2018 TRI 0005 EKA RAHMA
9 0115 SILVIA 5/25/ 00037 JAKA SATRIA ADHIGU 1579 MEGAWATI
3     72 INDRIYANI LAPSE 2018 481 PUTRA 00049005 NA
DIMAS
2018 TRI 0005 EKA RAHMA
9 0215 LIM HERRY ACTIV 9/25/ 00037 JAKA SATRIA ADHIGU 1579 MEGAWATI
4     68 LIMANJAYA E 2018 481 PUTRA 00049005 NA
DIMAS
2018 TRI 0005 EKA RAHMA
9 0330 LINGGA 12/30 00037 JAKA SATRIA ADHIGU 1579 MEGAWATI
5     41 PURWASAKTI LAPSE /2018 481 PUTRA 00049005 NA
DIMAS
2018 TRI 0005 EKA RAHMA
9 0330 JAKA SATRIA 12/30 00037 JAKA SATRIA ADHIGU 1579 MEGAWATI
6     40 PUTRA LAPSE /2018 481 PUTRA 00049005 NA
DIMAS
2019 TRI 0005 EKA RAHMA
9 0108 ACTIV 5/3/2 00037 JAKA SATRIA ADHIGU 1579 MEGAWATI
7     80 YOSITA KANIA E 019 481 PUTRA 00049005 NA
DIMAS
2019 TRI 0005 EKA RAHMA
9 0225 ACTIV 8/27/ 00037 FITRI ROSIDAH ADHIGU 1579 MEGAWATI
8     52 MELIANA E 2019 484 DESI 00049005 NA
DIMAS
2019 TRI 0005 EKA RAHMA
9 0232 8/30/ 00038 ADHIGU 1579 MEGAWATI
9     81 JIMMY HIZKIA LAPSE 2019 876 GUSTINA 00049005 NA
1     2021 LIM HERRY ACTIV 3/29/ 00049 DIMAS TRI 00049005 DIMAS 0005 EKA RAHMA
 TRI
0 0084 ADHIGU 1579 MEGAWATI
0 70 LIMANJAYA E 2021 005 ADHIGUNA NA
DIMAS
1 2021 CECILIA TRI 0005 EKA RAHMA
0 0099 FEBRIANY ACTIV 4/15/ 00049 DIMAS TRI ADHIGU 1579 MEGAWATI
1     80 SURYADI E 2021 005 ADHIGUNA 00049005 NA
1 PANIN BANK 2016 WANDI
0 BNCPB ABDURAHMAN 0104 IIN SURRE 6/24/ 00025 OKTAVIA DIAH RISWAND 0005 LUKITA
2 00214 SALEH 44 WINANGSIH NDER 2016 382 WIJAYANTI 00049437 I 2278 BASTARI
1 2015 SOFYA NANDA WANDI
0 0133 SORAYA DWI 6/29/ 00025 SAFTARINI RISWAND 0005 LUKITA
3     64 INSANI LAPSE 2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2016 WANDI
0 0088 CICEU ACTIV 6/3/2 00025 OKTAVIA DIAH RISWAND 0005 LUKITA
4     95 KUSNAWATI E 016 382 WIJAYANTI 00049437 I 2278 BASTARI
1 2015 SOFYA NANDA WANDI
0 0126 ACTIV 6/22/ 00025 SAFTARINI RISWAND 0005 LUKITA
5     83 FELICIA HALIM E 2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2016 WANDI
0 0097 SURRE 6/15/ 00025 OKTAVIA DIAH RISWAND 0005 LUKITA
6     53 BUDI TOSIN NDER 2016 382 WIJAYANTI 00049437 I 2278 BASTARI
1 2016 WANDI
0 0246 OWEN 12/30 00032 HENGGI RISWAND 0005 LUKITA
7     55 SANTOSO LAPSE /2016 306 JULIANTARA 00049437 I 2278 BASTARI
1 2014 WANDI
0 0137 10/6/ 00024 MOHAMMAD RISWAND 0005 LUKITA
8     50 SUPRAPTI LAPSE 2014 873 IRFAN MUBARAK 00049437 I 2278 BASTARI
1 2014 WANDI
0 0135 ACTIV 10/1/ 00024 MOHAMMAD RISWAND 0005 LUKITA
9     45 ROBBY JOHAN E 2014 873 IRFAN MUBARAK 00049437 I 2278 BASTARI
1     2015 DEWI SURRE 6/10/ 00025 SOFYA NANDA 00049437 WANDI 0005 LUKITA
1 0117 MAYANGSARI NDER 2015 358 SAFTARINI RISWAND 2278 BASTARI
0 87 MARULIANA I
1 2015 SOFYA NANDA WANDI
1 0117 AZZAHRA 6/10/ 00025 SAFTARINI RISWAND 0005 LUKITA
1     85 INTAN FAUZIA LAPSE 2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2015 SOFYA NANDA WANDI
1 0145 7/15/ 00025 SAFTARINI RISWAND 0005 LUKITA
2     49 IMASSITOH LAPSE 2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2015 SOFYA NANDA WANDI
1 0149 ACTIV 7/27/ 00025 SAFTARINI RISWAND 0005 LUKITA
3     17 INA PUJIANI E 2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2015 SOFYA NANDA WANDI
1 0146 POETIKA 7/15/ 00025 SAFTARINI RISWAND 0005 LUKITA
4     14 PUSPA SARI LAPSE 2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2015 SOFYA NANDA WANDI
1 0166 IIN SURRE 8/14/ 00025 SAFTARINI RISWAND 0005 LUKITA
5     82 WINANGSIH NDER 2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2015 SOFYA NANDA WANDI
1 0201 SURRE 9/30/ 00025 SAFTARINI RISWAND 0005 LUKITA
6     67 EKA WATI NDER 2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2015 SOFYA NANDA WANDI
1 0210 REZA SURRE 10/13 00025 SAFTARINI RISWAND 0005 LUKITA
7     39 HAMDANI NDER /2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2015 SOFYA NANDA WANDI
1 0210 SYENNI ACTIV 10/15 00025 SAFTARINI RISWAND 0005 LUKITA
8     81 SANTOSA E /2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2015 SAMANTHA SOFYA NANDA WANDI
1 0239 SENJAYANIE ACTIV 11/19 00025 SAFTARINI RISWAND 0005 LUKITA
9     89 N. E /2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2015 SOFYA NANDA WANDI
2 0235 MELIANTHA SURRE 11/13 00025 SAFTARINI RISWAND 0005 LUKITA
0     52 SUHARYADI NDER /2015 358 MARULIANA 00049437 I 2278 BASTARI
1     2015 MELIANTHA SURRE 11/13 00025 SOFYA NANDA 00049437 WANDI 0005 LUKITA
2 0235 SUHARYADI NDER /2015 358 SAFTARINI RISWAND 2278 BASTARI
1 51 MARULIANA I
1 2015 SOFYA NANDA WANDI
2 0240 BINTANG ACTIV 11/19 00025 SAFTARINI RISWAND 0005 LUKITA
2     31 SUDARMADJI E /2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2015 SOFYA NANDA WANDI
2 0251 CICEU ACTIV 12/2/ 00025 SAFTARINI RISWAND 0005 LUKITA
3     19 KUSNAWATI E 2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2015 SOFYA NANDA WANDI
2 0272 IIN SURRE 12/28 00025 SAFTARINI RISWAND 0005 LUKITA
4     11 WINANGSIH NDER /2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2015 ELYZABET SOFYA NANDA WANDI
2 0271 ANGELIA ACTIV 12/28 00025 SAFTARINI RISWAND 0005 LUKITA
5     77 PERTIWI,[Link]. E /2015 358 MARULIANA 00049437 I 2278 BASTARI
1 2016 SOFYA NANDA WANDI
2 0009 SYENNI ACTIV 1/22/ 00025 SAFTARINI RISWAND 0005 LUKITA
6     92 SANTOSA E 2016 358 MARULIANA 00049437 I 2278 BASTARI
1 2016 SOFYA NANDA WANDI
2 0036 LEVO ANGGA 3/10/ 00025 SAFTARINI RISWAND 0005 LUKITA
7     45 SURYA LAPSE 2016 358 MARULIANA 00049437 I 2278 BASTARI
1 2016 MATT WANDI
2 0173 LATANZI 10/17 00029 RENDY EKA RISWAND 0005 LUKITA
8     55 TILAAR LAPSE /2016 973 SAPUTRA 00049437 I 2278 BASTARI
1 2016 WANDI
2 0201 VIENA ACTIV 11/22 00029 RENDY EKA RISWAND 0005 LUKITA
9     98 CHRISTIANI E /2016 973 SAPUTRA 00049437 I 2278 BASTARI
1 2017 SENTOSA WANDI
3 0029 OERIP ACTIV 2/17/ 00032 HENGGI RISWAND 0005 LUKITA
0     54 WIDJAJA E 2017 306 JULIANTARA 00049437 I 2278 BASTARI
1 2017 WANDI
3 0035 DAVIN CANCE 2/24/ 00032 HENGGI RISWAND 0005 LUKITA
1     37 TANUDJAJA L 2017 306 JULIANTARA 00049437 I 2278 BASTARI
1     2017 ERIC ACTIV 3/29/ 00032 HENGGI 00049437 WANDI 0005 LUKITA
3 0061 E 2017 306 JULIANTARA RISWAND 2278 BASTARI
2 41 I
1 2017 WANDI
3 0085 LANOVIA SURRE 4/26/ 00032 HENGGI RISWAND 0005 LUKITA
3     66 HIMAWAN NDER 2017 306 JULIANTARA 00049437 I 2278 BASTARI
1 2017 WANDI
3 0107 BARKAH 5/24/ 00032 HENGGI RISWAND 0005 LUKITA
4     39 NUGRAHA LAPSE 2017 306 JULIANTARA 00049437 I 2278 BASTARI
1 2017 WANDI
3 0127 6/14/ 00032 HENGGI RISWAND 0005 LUKITA
5     88 TEDY WIDJAJA LAPSE 2017 306 JULIANTARA 00049437 I 2278 BASTARI
1 2017 WANDI
3 0139 SUNDY ACTIV 6/22/ 00032 HENGGI RISWAND 0005 LUKITA
6     23 YANATRA E 2017 306 JULIANTARA 00049437 I 2278 BASTARI
[Link]
1 2017 IMAN WANDI
3 0223 PRIYOSUNAN 10/10 00033 EGA SATRIA RISWAND 0005 LUKITA
7     85 DAR LAPSE /2017 993 NUGRAHA 00049437 I 2278 BASTARI
1 2017 WANDI
3 0243 DEDDY SURRE 10/31 00032 HENGGI RISWAND 0005 LUKITA
8     47 SETIADI NDER /2017 306 JULIANTARA 00049437 I 2278 BASTARI
1 2017 WANDI
3 0258 HO TEDY ACTIV 11/16 00032 HENGGI RISWAND 0005 LUKITA
9     23 SISWANTO E /2017 306 JULIANTARA 00049437 I 2278 BASTARI
1 2017 WANDI
4 0274 HERMAN CANCE 11/30 00032 HENGGI RISWAND 0005 LUKITA
0     73 WITJAHJA L /2017 306 JULIANTARA 00049437 I 2278 BASTARI
RENANTI
1 2018 ELLY URSULA WANDI
4 0065 KURNIA,SH.,M ACTIV 3/26/ 00033 NOVIYANI RISWAND 0005 LUKITA
1     21 H. E 2018 246 SARANGGI 00049437 I 2278 BASTARI
1     2018 TEDY WIDJAJA ACTIV 8/28/ 00033 RENANTI 00049437 WANDI 0005 LUKITA
4 0189 E 2018 246 URSULA RISWAND 2278 BASTARI
2 54 NOVIYANI I
 SARANGGI
RENANTI
1 2018 ALFRED URSULA WANDI
4 0244 BERNANDO,S SURRE 10/26 00033 NOVIYANI RISWAND 0005 LUKITA
3     09 H. NDER /2018 246 SARANGGI 00049437 I 2278 BASTARI
RENANTI
1 2018 URSULA WANDI
4 0277 JOHAN ACTIV 11/28 00033 NOVIYANI RISWAND 0005 LUKITA
4     18 WIJAYA E /2018 246 SARANGGI 00049437 I 2278 BASTARI
1 2019 HANDI WANDI
4 0090 SAPUTRA ACTIV 4/10/ 00033 EGA SATRIA RISWAND 0005 LUKITA
5     14 CENDRAWAN E 2019 993 NUGRAHA 00049437 I 2278 BASTARI
1 2020 WANDI
4 0100 MUHAMAD 4/16/ 00047 NUR SYAMSY RISWAND 0005 LUKITA
6     01 FEBIANTO LAPSE 2020 316 ARDHY SADELY 00049437 I 2278 BASTARI
1 2020 NUR SYAMSY WANDI
4 0110 ARDHY 5/4/2 00047 NUR SYAMSY RISWAND 0005 LUKITA
7     66 SADELY LAPSE 020 316 ARDHY SADELY 00049437 I 2278 BASTARI
1 2020 WANDI
4 0080 ANDRY ACTIV 3/23/ 00045 FEBRINA BILYA RISWAND 0005 LUKITA
8     70 CAHYADI E 2020 268 EFENDI 00049437 I 2278 BASTARI
1 2020 LITA WANDI
4 0214 SULISTIANING SURRE 8/29/ 00047 NUR SYAMSY RISWAND 0005 LUKITA
9     92 SIH NDER 2020 316 ARDHY SADELY 00049437 I 2278 BASTARI
1 2021 WANDI
5 0089 ACTIV 3/31/ 00049 WANDI RISWAND 0005 LUKITA
0     11 WIWIN E 2021 437 RISWANDI 00049437 I 2278 BASTARI
1 2021 WANDI
5 0091 ACTIV 4/6/2 00049 WANDI RISWAND 0005 LUKITA
1     61 WIWIN E 021 437 RISWANDI 00049437 I 2278 BASTARI

Note : * BO Servicing bertanggung jawab atas polis yang telah diservicing

Ditandatangani di (Kota
& Tanggal) :

ASM RSM HOS

     
Tanda Tangan & Nama Tanda Tangan Tanda Tangan &
Jelas & Nama Jelas Nama Jelas
 Main Branch
RSM Main Branch Name BRCCOD BRCNAM Kode Agent dan Nama BO  
Code
PANIN BANK
   
YANTO BNCPB00200 BANDUNG BNCPB00200 PANIN BANK BANDUNG  
PANIN BANK
   
YANTO BNCPB00200 BANDUNG BNCPB00200 PANIN BANK BANDUNG  
PANIN BANK
YANTO BNCPB00200 BANDUNG BNCPB00210 PANIN BANK ASIA AFRIKA      
PANIN BANK
   
YANTO BNCPB00200 BANDUNG BNCPB00211 PANIN BANK KOPO  
PANIN BANK
YANTO BNCPB00200 BANDUNG BNCPB00212 PANIN BANK BUAH BATU      
PANIN BANK PANIN BANK TAMAN KOPO EKA RAHMA
00051579
YANTO BNCPB00200 BANDUNG BNCPB00213 INDAH MEGAWATI 9-Jun-21
PANIN BANK PANIN BANK ABDURAHMAN
YANTO BNCPB00200 BANDUNG BNCPB00214 SALEH 00052278 LUKITA BASTARI 9-Jun-21
PANIN BANK PANIN BANK FESTIVAL
YANTO BNCPB00200 BANDUNG BNCPB00215 CITYLINK      
PANIN BANK
YANTO BNCPB00200 BANDUNG BNCPB00216 PANIN BANK SUBANG      
PANIN BANK PANIN BANK K. KAS
YANTO BNCPB00200 BANDUNG BNCPB00217 SURAPATI CORE      
PANIN BANK
YANTO BNCPB00200 BANDUNG BNCPB00218 PANIN BANK CIMINDI      
PANIN BANK PANIN BANK MTC
YANTO BNCPB00200 BANDUNG BNCPB00203 BANDUNG      
PANIN BANK PANIN BANK OTTO
 
YANTO BNCPB00200 BANDUNG BNCPB00202 ISKANDARDINATA    
PANIN BANK
YANTO BNCPB00200 BANDUNG BNCPB00205 PANIN BANK SETIABUDI      
PANIN BANK
YANTO BNCPB00200 BANDUNG BNCPB00208 PANIN BANK GARDUJATI      
 PANIN BANK YONA UTAMA
YANTO BNCPB00200 BANDUNG BNCPB00209 PANIN BANK DAGO 00051982 PUTERA RACHMAT 9-Jun-21
PANIN BANK
YANTO BNCPB00200 BANDUNG BNCPB00206 PANIN BANK IBCC A. YANI      
PANIN BANK PANIN BANK KIARA
   
YANTO BNCPB00200 BANDUNG BNCPB00204 CONDONG  
PANIN BANK
YANTO BNCPB00200 BANDUNG BNCPB00219 PANIN BANK KK GATEWAY      
PANIN BANK PANIN BANK SURYA
   
YANTO BNCPB00200 BANDUNG BNCPB00207 SUMANTRI  
PANIN BANK PANIN BANK JEND.
 
YANTO BNCPB00200 BANDUNG BNCPB00201 SUDIRMAN