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Lampiran II

Surat Edaran Nomor: SE-06/D.05/2013


Tanggal: 31 Desember 2013

-7-

TABEL II.A

TARIF PREMI ASURANSI HARTA BENDA BERDASARKAN KODE OKUPASI

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
Refining installations
200 (gold, silver, platinum, 0,490 0,613 0,735 0,919 0,980 1,225
etc.)
Aluminium Works (
201 0,800 1,000 1,200 1,500 1,600 2,000
Foundries )
Iron Mines, Blast
202 Furnace, Iron 0,700 0,875 1,050 1,313 1,400 1,750
Foundries, Iron Works
Steelworks and rolling
203 1,085 1,356 1,628 2,035 2,170 2,713
mills
Exploration and
Production of Mengacu kepada undewriter Perusahaan Asuransi
204
petroleum and natural Umum
20 gas, Terminals
Mines not otherwise
205 0,996 1,245 1,494 1,868 1,992 2,490
classified
Foundries, Reduction
Plants for Metals
206
(Excl. Iron 0,754 0,942 1,130 1,413 1,507 1,884
Aluminium)
Hard coal and lignite
207 extraction, Asphalts
0,981 1,226 1,472 1,840 1,962 2,453
mines
208 Salt mines 0,852 1,065 1,278 1,598 1,704 2,130
Peat extraction, Peat
209 0,500 0,625 0,750 0,938 1,000 1,250
processing
Stone, gravel and sand
210 0,550 0,688 0,743 0,928 0,935 1,169
extraction installations
Cement, chalk, lime
211 0,600 0,750 0,810 1,013 1,020 1,275
and gypsum works
Asbestos Board,
Asbestos Fibre, Stone
Slab, Concrete Slab
and Composition Slab
212 Factories, Granite (
1,188 1,485 1,604 2,005 2,020 2,525
Rock ) Crushing Plants
21 Products Made of
(Animal ) Bones and /
or Shell
213 Bricks and tile works 0,462 0,577 0,623 0,779 0,785 0,981
Porcelain,
Earthenware,
214 Stoneware, Pottery and
0,650 0,813 0,878 1,097 1,106 1,382
Clay Refractory,
Ceramic Factories
Glass works, Glass
215 1,595 1,993 2,153 2,691 2,711 3,388
blowing plants
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-8-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
Glass processing and
216 2,052 2,566 2,771 3,463 3,489 4,361
mirror factories
Precious stone
217 workshops and 0,375 0,469 0,506 0,633 0,637 0,797
processing plant
Emery and abrasive
218 2,717 3,396 3,667 4,584 4,618 5,773
materials factories
Tarcoated chippings
Mengacu kepada undewriter Perusahaan Asuransi
219 manufacture, asphalt
Umum
and roofing felt factories
Sheet rolling mills and
fell making plants,
forging works,
locksmiths,
constructional
metalworks
Sheet rolling mills and
foil making plants,
220
forging works,
2201 locksmiths,
0,584 0,731 0,877 1,096 1,169 1,461
constructional metal
works, insulating pipes
or metal
2202 Metal powder factories 1,801 2,251 2,701 3,377 3,602 4,502
2203 Mixed 1,241 1,551 1,861 2,326 2,481 3,102
Mechanical engineering
and apparatus
construction (exc.
Electrical) metal good
factories, galvanizing,
enameling, injection
22
molding and zincing
plants, ball bearing
works, carding
machinery and
equipments
manufacturing plants,
lantern factories
Mechanical engineering
221
and apparatus
construction (exc.
Electrical) metal good
factories, injection
molding, injection
2211 moulding machinery
0,410 0,513 0,615 0,769 0,820 1,025
manufacturing plants,
ball bearing works,
carding machinery and
equipments
manufacturing plants,
lantern factories
Enameling and zincing
2212 3,279 4,099 4,919 6,148 6,558 8,198
plants
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-9-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas

2213 Galvanizing anodizing 0,941 1,176 1,411 1,764 1,881 2,352


Metal/Steel Furniture
factories (where plastic
2214 and foam is utilized)
1,996 2,495 2,993 3,742 3,991 4,989
plastic cupboards and
foldable chair factories
Metal/steel spring
2215 mattresses
2,570 3,212 3,854 4,818 5,139 6,424
manufacturing

2218 Mixed 3,689 4,611 5,533 6,917 7,378 9,222

Manufacture of
electrical apparatus,
Acummulator & dry
batteries, Measuring
and Precision
apparatus photographic
apparatus, Scientific
laboratories
Manufacture assembly
2221 and repair of electrical 0,750 0,937 1,125 1,406 1,500 1,875
222 machines and apparatus
Accumulator and dry
2222 0,580 0,725 0,870 1,087 1,160 1,449
battery factories
Manufacture of
measuring equipment
photographic apparatus
2223
precision instrument, 0,823 1,029 1,235 1,543 1,646 2,058
and scientific
laboratories
2228 Mixed 1,375 1,718 2,062 2,578 2,749 3,437
Cable and wire
factories
2231 Wire factories 0,754 0,943 1,131 1,414 1,509 1,886
223 2232 Cable factories 0,787 0,983 1,180 1,475 1,574 1,967
Nails, screws, bolts and
2233 0,618 0,772 0,927 1,159 1,236 1,545
nuts factories
2238 Mixed 0,760 0,950 1,140 1,425 1,520 1,900
Vehicle, Railways
carriage and
locomotive, Aircraft,
Ships construction and
assembling plants

224
Vehicle construction
2241 plants including bicycle 0,429 0,536 0,644 0,805 0,858 1,073
and becak (three wheels)
Construction of railway
2242 carriages and
0,908 1,135 1,362 1,702 1,815 2,269
locomotives
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-10-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
Aircraft construction
2243 0,722 0,902 1,082 1,353 1,443 1,804
plants
Ship construction, naval
2244 0,676 0,845 1,014 1,268 1,353 1,691
shipyards
Vehicle assembling
2245 0,410 0,513 0,615 0,769 0,820 1,025
plants
2248 Mixed 0,861 1,076 1,291 1,614 1,721 2,152
Manufacture and or
assembly of
telecommunication or
computer apparatus
and Integrated circuits
(IC)
Manufacture and or
assembly of
225 2251
telecommunication 0,954 1,192 1,431 1,788 1,908 2,385
apparatus
Manufacture and or
2252 assembly of computer
1,169 1,462 1,754 2,192 2,338 2,923
apparatus
Manufacture of
2253 Integrated Circuit (IC)
1,354 1,692 2,031 2,538 2,708 3,385
from Chips
Radio and Television
Receiver factories, and
or assembling plant,
audio and audio-video
recorder and or player
factories and or
assembling plants,
manufacture of parts
for radio and television
receivers, audio and
audio-video recorders
and or players
226
Radio and television
receiver factories and or
assembling plants, audio
2261
video recorder and or 0,824 1,030 1,236 1,545 1,648 2,060
player factories and or
assembling plants
Factories of parts for
radio and television
receivers, audio and
2262
audio-video recorders 1,187 1,483 1,780 2,225 2,373 2,967
and players

Light bulb factories,


manufacture of
227 electronic tubes, and
0,778 0,973 1,167 1,459 1,556 1,945
fluorescent tubes, neon
sign
Watches and clocks
228
and their component 0,829 1,036 1,243 1,554 1,657 2,072
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-11-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
parts factories
Metal jewellery and
precious metal goods
229
factories/diamond
polishing factories
Other industries in main
2299 0,642 0,803 0,963 1,204 1,284 1,606
category 22
Chemical products,
pharmaceutical
products
Chemical products,
2300
pharmaceutical products
23001 General Chemical 1,646 2,058 2,469 3,086 3,292 4,115
Pharmacy & Medicated
23002 0,820 1,025 1,230 1,538 1,640 2,050
230 plaster
23003 Natural Drug (Jamu) 0,990 1,238 1,485 1,856 1,980 2,475
23004 Insecticides & herbicide 1,152 1,440 1,728 2,160 2,305 2,881
23005 Paint & Varnish 4,703 5,879 7,055 8,818 9,406 11,758
23012 Ink Factory 1,200 1,500 1,800 2,250 2,400 3,000
23010 Others 2,110 2,638 3,165 3,956 4,220 5,275
Oil Processing
Mengacu kepada undewriter Perusahaan Asuransi
2310 Oil Processing
Umum
231
Other Chemical and
physical treatments (e.g
23 2311
washing, desaliniating, 1,404 1,755 2,107 2,633 2,809 3,511
etc)
Petrochemical works
Petrochemical work with
2321 basic materials such as
1,616 2,020 2,425 3,031 3,233 4,041
ethylene etc
Petrochemical
intermediate product
2322
(Vinyl chloride monomer 1,914 2,393 2,871 3,589 3,828 4,785
& others)
Polymerization on a large
2323 scale : manufacture of
232 1,452 1,815 2,178 2,723 2,904 3,630
polyethylene
Fertilizer factories on
2324 0,835 1,044 1,252 1,565 1,670 2,087
petrochemical basis
2325 Synthetic rubber 3,092 3,865 4,638 5,798 6,185 7,731
Liquefaction of natural
2326 1,759 2,199 2,639 3,299 3,518 4,398
gas
Liquefaction of
2327 1,224 1,530 1,836 2,295 2,448 3,060
petroleum gases
Petrol coke, soot,
2328
graphite 6,846 8,558 10,269 12,837 13,692 17,115
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-12-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
Liquefaction and
2329
gasification of coal 8,215 10,269 12,323 15,404 16,431 20,538
Storage tanks
2331 Crude oil 1,189 1,487 1,784 2,230 2,379 2,974
Oil products in tanks
2332 1,400 1,750 2,100 2,625 2,800 3,500
located in harbour area
233 2333 Liquefied gases 2,127 2,659 3,190 3,988 4,254 5,317

Pipeline for chemical


2334 1,422 1,778 2,133 2,667 2,844 3,555
products
Other liquid chemicals
2335 1,589 1,987 2,384 2,980 3,179 3,973
(e.g ammonia)
Manufacturer of plastic
articles, Foam plastic,
Synthetics resin
Manufacture of plastic
2341 2,505 2,800 3,758 4,200 5,011 5,600
articles
Manufacture and
234
2342 processing of foam
14,623 18,279 21,935 27,418 29,246 36,558
plastics
Manufacturer of
synthetic adhesive also
2343
called synthetic resin 5,850 7,313 8,775 10,969 11,700 14,625
adhesive
Manufacture of
artificial fibers
235
(petrochemical 1,974 2,467 2,961 3,701 3,948 4,935
feedstock process)
Manufacture of film,
photographic paper,
236 magnetic tape and
0,700 0,875 1,050 1,313 1,400 1,750
celluloid batch
adhesive tape (selotip)

Manufacture of tooth
paste, soap, detergents,
polishes, etheric oils,
essences, parfumes,
and cosmetic products,
gelatine non-synthetic
adhesives, starches,
candles and wax goods,
237 natural resins

Manufacture of soaps,
2371 1,022 1,277 1,532 1,916 2,043 2,554
detergents and polishes
Manufacture of etheric
2372 oils, essences, perfumes
1,062 1,327 1,592 1,991 2,123 2,654
and cosmetic products
Manufacture of gelatine,
2373 non-synthetic adhesives, 2,839 3,549 4,258 5,323 5,678 7,097
starches, candles and
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-13-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
wax goods, natural
resins
Manufacture of natural
adhesives (glue) of
2374 organic origin coming
3,800 4,750 5,700 7,125 7,600 9,500
from animal, vegetable or
mineral source
2378 Mixed 2,200 2,750 3,300 4,125 4,400 5,500
Chemical fertilizer
238 1,427 1,783 2,140 2,675 2,853 3,566
factories (conventional)
Powders, explosives,
matches and firework
239 factories
Other industries in main
2399 8,700 10,875 13,050 16,313 17,400 21,750
category 23
Spinning Mills, pre-
spinning process
Spinning mills, Pre-
2401
spinning : Animal Fibres 1,794 2,243 2,691 3,364 3,588 4,485
Spinning mills, Pre-
2402 spinning : Vegetable and
1,670 2,088 2,505 3,132 3,340 4,175
240 cellulose fibres
Spinning mills, Pre-
spinning : Synthetic
2403
fibres (mechanical 1,550 1,938 2,325 2,906 3,100 3,875
process)
Spinning mills,Pre-
2408
spinning : Mixed 2,159 2,699 3,239 4,049 4,319 5,398
Weaving, pre-weaving
process
Weaving, Pre-Weaving
2411
Processes: Animal fibres 1,334 1,668 2,002 2,502 2,669 3,336
Weaving, Pre-Weaving
24 2412 Processes: Vegetable and
241 1,453 1,817 2,180 2,725 2,907 3,634
cellulose fibres
Weaving, Pre-Weaving
2413 Processes: Synthetic
1,428 1,785 2,142 2,677 2,856 3,569
fibres
Weaving, Pre-Weaving
2418
Processes: Mixed 2,080 2,601 3,121 3,901 4,161 5,201
Dressing (including but
not limited to printing)
and finishing
2421 Animal fibres 1,738 2,173 2,608 3,260 3,477 4,346
242 Vegetable and cellulose
2422 1,210 1,513 1,816 2,269 2,421 3,026
fibres
2423 Synthetic fibres 1,386 1,732 2,079 2,598 2,772 3,465
2428 Mixed 2,065 2,582 3,098 3,872 4,131 5,163
Mixed processes
243 (Spinning, Weaving,
Dressing and Finishing)
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-14-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
Mixed
2431 processes(spinning,
1,790 2,238 2,685 3,356 3,580 4,475
weaving) :Animal fibres
Mixed
processes(spinning,
2432
weaving) : Vegetable and 1,445 1,806 2,167 2,709 2,889 3,612
cellulose
Mixed
processes(spinning,
2433
weaving) :Synthetic 1,455 1,818 2,182 2,727 2,909 3,636
fibres
Mixed
2438 processes(spinning,
2,102 2,627 3,153 3,941 4,203 5,254
weaving) : Mixed
Processing of textile
waste and non woven
process
Processing of textile
2441
waste : Animal fibres 4,890 6,113 7,335 9,169 9,780 12,225
Processing of textile
244
2442 waste : Vegetable and
4,877 6,096 7,315 9,144 9,754 12,192
cellulose fibres
Processing of textile
2443
waste : Synthetic fibres 2,599 3,249 3,898 4,873 5,198 6,497
Processing of textile
2448
waste : Mixed 3,658 4,572 5,486 6,858 7,315 9,144
Ropemakers,
stringmakers,
sackmakers, blankets
weaving mills, carpet
manufacturer
Ropemakers,
245
2451 stringmakers and
1,605 2,006 2,407 3,009 3,209 4,012
sackmakers
Blanket waving mills and
2452
carpet manufacture 1,410 1,763 2,115 2,644 2,820 3,525
2458 Mixed
1,550 1,938 2,325 2,906 3,100 3,875
Knitting mills,
knitwear factories,
stocking factories,
glove factories hosiery
mills, lamp wick
factories, clothing and
underwear
manufacturers, sewing
246
works, furrires, skin
processing works,
custom tailors,
umbrella factories, felt
goods factories, lace
Knitting mills, knitwear
2461 factories, stocking
3,180 3,975 4,771 5,963 6,361 7,951
factories, hosiery mills,
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-15-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
glove factories and lamp
wick factories

Clothing and underwear


manufactures, sewing
2462 works, furriers, skin
1,285 1,606 1,928 2,409 2,570 3,213
processing works,
custom tailors
Umbrella factories, felt
goods factories, lace
2463
factories, embroidery 1,742 2,178 2,614 3,267 3,485 4,356
factories
2464 Batik Establishments 1,171 1,463 1,756 2,195 2,341 2,927
Garment factories
2465 1,906 2,130 2,859 3,195 3,812 4,260
(konpeksi)
2466 Zipper Factories 2,095 2,619 3,143 3,928 4,190 5,238
2468 Mixed 1,499 1,873 2,248 2,810 2,997 3,747
Upholstery, cushion
247 maker’s and saddler's
3,350 4,188 5,025 6,281 6,700 8,375
workshops
Cotton wool and capoc
248
factories 3,223 4,029 4,834 6,043 6,446 8,057
Laundries, pressers,
dry-(chemical)
cleaning, cleaning of
feathers and down
2491 Laundries and pressers 2,800 3,500 4,200 5,250 5,600 7,000
249
2492 Dry-(chemical) cleaning 2,354 2,942 3,531 4,413 4,708 5,885
Cleaning of feathers and
2493 3,100 3,875 4,650 5,813 6,200 7,750
down
2498 Mixed 2,600 3,250 3,900 4,875 5,200 6,500
Wood pulp, cellulose
based on wood pulp and
lino factories
Wood pulp and cellulose
250 2501 2,852 3,566 4,279 5,348 5,705 7,131
based on wood pulp
2502 Lino factories 4,423 5,529 6,635 8,293 8,846 11,058
2508 Mixed 4,469 5,587 6,704 8,380 8,938 11,173
Paper, cardboard and
25 hardboard factories
2511 Paper manufacture 1,906 2,130 2,859 3,195 3,812 4,260
251
Manufacture of
2512 2,556 3,195 3,834 4,793 5,112 6,390
cardboard andhardboard
2518 Mixed 3,282 4,102 4,922 6,153 6,563 8,204

Cartoon and paper


252 goods factories,
bookbinders
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-16-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas

2521 Carton manufacture 3,636 4,545 5,454 6,818 7,272 9,090


Paper goods and or
2522 2,690 3,363 4,035 5,044 5,381 6,726
carton goods factories
2523 Bookbinders 2,552 3,190 3,828 4,786 5,105 6,381
2528 Mixed 3,869 4,837 5,804 7,255 7,738 9,673
Newspaper printers,
other printers, art
printing works,
lithographers, screen
printing on paper
(sablon), typeplate
workshops, block
workshops,
photogravure
253 workshops
2531 Newspaper printers 0,713 0,891 1,070 1,337 1,426 1,783
Other printers, art
2532 printing works,
1,148 1,435 1,722 2,152 2,296 2,870
lithographers, sablon
Typeplate workshops,
2533 1,892 2,365 2,838 3,548 3,785 4,731
block workshops
2534 Photogravure workshop 1,762 2,202 2,642 3,303 3,523 4,404
2538 Mixed 2,134 2,667 3,201 4,001 4,268 5,335
Coloured paper and/or
254 wallpaper printing
2,315 2,894 3,473 4,341 4,631 5,788
works
Straw and rush goods
255
factories 1,631 2,038 2,446 3,058 3,262 4,077
Leather production and
256
tanneries 1,323 1,654 1,985 2,481 2,646 3,308
Shoe factories
2571 Leather 4,922 6,153 7,384 9,230 9,845 12,306
2572 Rubber and/or Canvas 4,870 6,088 7,305 9,131 9,740 12,175
257
Other materials or
mixture of above
2578
mentioned materials and 6,462 8,077 9,692 12,115 12,923 16,154
other materials
Leather goods factories
2581 Leather goods factories 0,931 1,163 1,396 1,745 1,861 2,327
Imitation leather goods
258 2582 2,985 3,731 4,477 5,596 5,969 7,462
factories
2588 Mixed 2,854 3,567 4,281 5,351 5,708 7,135

Rubber goods factories,


foamed rubber
259
factories, tyre
factories, vulcanizing
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-17-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
works, rubber factories
(non estate risk), tyre
cord manufacturers
Rubber goods factories
2591 (excluding foamed
2,603 3,254 3,905 4,881 5,206 6,508
rubber)
2592 Foamed rubber factories 8,692 10,865 13,038 16,298 17,385 21,731
Tyre factories,
vulcanizing works rubber
2593
factories (non estate 0,750 0,938 1,125 1,406 1,500 1,875
risks)
2594 Remilling factories 2,837 3,547 4,256 5,320 5,674 7,093
2595 Smoke houses 20,246 25,308 30,369 37,962 40,492 50,615
2596 Crumb rubber factories 2,608 3,260 3,912 4,890 5,216 6,520
2598 Mixed 6,007 7,509 9,011 11,263 12,014 15,018

Sawmills, carpenter's
shops, parquet
factories, sawing and
cutting of firewood
Sawmills, panglong
2601 (sawmills with manual
7,031 8,788 10,546 13,183 14,062 17,577
manufacture only)
Carpenter's shops,
2602 parquet factories sawing
3,015 3,769 4,523 5,654 6,031 7,538
and cutting of firewood
260
Badminton, table tennis
2603 and tennis racket
3,920 4,900 5,880 7,350 7,840 9,800
factories
2604 Obat nyamuk factories 3,320 4,150 4,980 6,225 6,640 8,301
Toothpick, chopsticks
2605 7,803 9,753 11,704 14,630 15,605 19,506
factories
Rattan drying & peeling
26 2606 3,394 4,243 5,091 6,364 6,788 8,485
mills
2608 Mixed 15,138 18,923 22,708 28,385 30,277 37,846

Furniture manufacture,
cabinet makers, wooden
261
boat builders, bamboo, 4,000 5,000 6,000 7,500 8,000 10,000
rattan and wooden
carvings and handicrafts

Manufacture of wood
fibre board, hardboard
masonite, wood
262
chipboard, particle
board, pressed wood
and plywood, veneers
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-18-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
Manufacture of
2621 fibreboard, hardboard,
1,523 1,904 2,285 2,856 3,046 3,808
masonite
manufacture of wood
2622 chipboard, particle
2,957 3,696 4,436 5,544 5,914 7,393
board, pressed wood
Manufacture of plywood
(triplex, multiplex) and
veneer and blackboard,
laminboard, fancy
flooring and other related
2623 products provided
3,969 4,962 5,954 7,442 7,938 9,923
carried out in the same
(plywood) manufacture
building using
formaldehyde synthetic
resin adhesives
2624 Sirap factories 8,892 11,115 13,338 16,673 17,785 22,231
2628 Mixed 4,370 5,463 6,555 8,194 8,740 10,925
Turner's shop,
coachbuilder's shop,
pipes, walking-sticks
263
and picture frame 1,883 2,354 2,824 3,530 3,766 4,707
factories, pencil
factories

264 Wicker-work factories 6,841 8,552 10,262 12,828 13,683 17,103

Cork goods factories


265 such as shuttle cock
5,415 6,769 8,123 10,154 10,831 13,538
factories
Broom, brush and
266
paintbrush factories 1,428 1,785 2,142 2,678 2,856 3,570
Timber impregnation
267 installations, plywood
3,836 4,794 5,753 7,192 7,671 9,589
coating installation

Wooden musical
268 2,400 3,000 3,600 4,500 4,800 6,000
instruments factories

Charcoal producers
269 Other industries in main
2699 3,418 4,272 5,126 6,408 6,835 8,544
category 26
Corn mills, paddy
(rice), gambir
2701 Corn mills 0,853 1,067 1,280 1,600 1,707 2,134
2702 Fodder mills 1,141 1,427 1,712 2,140 2,283 2,854
27 270 2703 Gaplek mills 0,508 0,635 0,762 0,953 1,016 1,270
2704 Gambir factories 2,742 3,427 4,113 5,141 5,483 6,854
2705 Flour Mills 0,612 0,765 0,918 1,147 1,224 1,529
2708 Mixed 1,825 2,281 2,737 3,422 3,650 4,562
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-19-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas

2709 Paddy & Hulling Mills 1,008 1,259 1,511 1,889 2,015 2,519
Sugar mills, chocolate
factories, sweets
factories
271
Sugar mills, chocolate
2711 factories, sweets
0,685 0,857 1,028 1,285 1,371 1,713
factories
Food paste producers,
bakeries, processed
food factories
Alimentary paste
2721 1,115 1,394 1,673 2,091 2,230 2,788
producers
272 Bakeries and biscuit
2722 0,713 0,892 1,070 1,337 1,426 1,783
works
Processed food factories
2723 (bihun, mie, lomie, 1,345 1,682 2,018 2,522 2,691 3,363
kerupuk) and the like
2728 Mixed 1,270 1,588 1,905 2,381 2,540 3,175
Preserves factories
(jams etc), pabrik sari
gula, monosodium
glutamate (MSG)
producers, meat, meat
products and fish
product factories
Preserve factories (jam
etc), pabrik sari gula,
2731
273 (monosodium glutamate) 0,972 1,215 1,458 1,822 1,944 2,430
MSG producers
Meat, meat products and
2732 0,769 0,961 1,153 1,442 1,538 1,922
fish products factories
Soya bean, tomato and
2733 0,465 0,582 0,698 0,873 0,931 1,163
hot pepper sauce
2734 Poultry Farms 1,480 1,850 2,221 2,776 2,961 3,701
2735 Other farms 0,937 1,172 1,406 1,758 1,875 2,343
2736 Hatcheries 0,968 1,210 1,451 1,814 1,935 2,419

Edible fats, edible oil


and desiccated coconut
producers

2741 Edible fats producers 1,553 1,941 2,329 2,911 3,105 3,881
274 Edible oil plants and
other plants producing
2742 edible palm oil or other 0,676 0,844 1,013 1,267 1,351 1,689
edible oils or desiccated
coconut
Storage of crude palm oil
2743 1,506 1,883 2,260 2,825 3,013 3,766
(CPO) outside estates
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-20-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
including storage of
edible oils in tanks
2748 Mixed 1,761 2,201 2,641 3,301 3,521 4,402

Dairy Product
Dairies and dairy
2751 0,584 0,730 0,876 1,095 1,168 1,460
275 products
Dairies and dairy
2752 products including 0,934 1,167 1,400 1,750 1,867 2,334
desiccated milk
Coffee roasting plants
and coffee extract
factories, malting
Coffee roasting plants
and other roasting
plants, coffee extract
factories, coffee sorting
2761
and peeling 0,802 1,003 1,203 1,504 1,605 2,006
276 establishments, cashew
nut roasting and peeling
plants
2762 Malting 0,900 1,125 1,350 1,688 1,800 2,250
Tea sheds and tea
2763 1,277 1,596 1,915 2,394 2,554 3,192
factories
2768 Mixed 1,250 1,563 1,875 2,344 2,500 3,125
Cold stores, ice
factories, abattoirs,
butchers drying
installation
Cold stores and ice
277 2771 0,923 1,154 1,384 1,730 1,846 2,307
factories
2772 Abattoirs and butchers 1,163 1,454 1,745 2,181 2,326 2,908
2773 Drying installations 2,593 3,241 3,890 4,862 5,186 6,483
2778 Mixed 2,106 2,632 3,159 3,948 4,212 5,265
Breweries, beverage
producers, spirits,
liquors producers,
distilleries and vinegar
Factories.
2781 Breweries 0,520 0,650 0,780 0,975 1,040 1,300
278 Producers of wines, fruit
2782 0,880 1,099 1,319 1,649 1,759 2,199
juices and mineral water
Producers of Spirits and
2783 0,936 1,170 1,404 1,754 1,871 2,339
Liquors and Distilleries
Vinegar factories (Acid
2784 1,169 1,462 1,754 2,192 2,338 2,923
liquor) factories
2788 Mixed 1,286 1,608 1,929 2,412 2,572 3,215
Tobacco, cigars and
279
cigarettes manufacture
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-21-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
Tobacco, cigars and
2790 0,719 0,899 1,079 1,348 1,438 1,798
cigarettes manufacture
Drying sheds/smoke Mengacu kepada undewriter Perusahaan Asuransi
2791
houses Umum
Mengacu kepada undewriter Perusahaan Asuransi
2792 Oven
Umum
Mengacu kepada undewriter Perusahaan Asuransi
2793 Tobacco Establishment
Umum
Hydro-electric power
280 0,900 1,125 1,349 1,687 1,799 2,249
stations
Conventional power
station, buildings with
281 1,882 2,352 2,823 3,529 3,764 4,705
boiler houses and
steam houses
Mengacu kepada undewriter Perusahaan Asuransi
282 Nuclear power stations
Umum
Overhead power
Mengacu kepada undewriter Perusahaan Asuransi
283 transmission lines and
Umum
networks
Voltage and current
28
transformer stations, Mengacu kepada undewriter Perusahaan Asuransi
284
junction installation in Umum
the open
Rubbish incineration
Mengacu kepada undewriter Perusahaan Asuransi
285 installations for power
Umum
generation and heating
Mengacu kepada undewriter Perusahaan Asuransi
286 Gasworks
Umum
Waterworks, pumping
stations, sewage works,
287
ice rinks (including 0,554 0,692 0,831 1,038 1,108 1,385
underground pipes)
Transport and traffic
2901 Railways, tramways 0,250 0,313 0,338 0,422 0,425 0,531
Highways, bridges,
2902 0,473 0,592 0,639 0,799 0,805 1,006
airport runways
2903 Jetties (dermaga) 0,310 0,388 0,419 0,523 0,527 0,659
Aerial
railways/ropeways,
2904
funicular railways, 2,354 2,942 3,178 3,972 4,002 5,002
290 chairlifts
29 2905 Airport : Hangars 0,869 1,087 1,174 1,467 1,478 1,848
Airport : Workshops,
2906
spare parts depots 1,021 1,276 1,378 1,722 1,735 2,169
2907 Airport : Aircrafts 0,940 1,175 1,269 1,586 1,598 1,998
Airport : General airport
2908 0,623 0,779 0,841 1,051 1,059 1,324
services
2909 Airport : Others 0,685 0,857 0,925 1,156 1,165 1,456
Construction firms
291
2911 Construction firm, road 1,120 1,400 1,680 2,100 2,240 2,800
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-22-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
construction and
construction sites
Cranes, excavators,
elevators, road building
2912 1,142 1,427 1,712 2,140 2,283 2,854
machines (excluding tar
sprayers)
Tar sprayers and road
2913
surfacing plants 1,376 1,720 2,064 2,580 2,752 3,440
2914 Others 1,494 1,867 2,241 2,801 2,987 3,734
2915 Welding Plants 2,263 2,828 3,394 4,243 4,526 5,657
Mass communication
Film television and
2921 recording on magnetic
0,982 1,227 1,473 1,841 1,963 2,454
tape studios
Film reproduction
2922 (prints) and photo
0,516 0,645 0,774 0,968 1,032 1,290
treatment
Cinemas, assembly
2923
rooms and concert halls 0,602 0,752 0,903 1,128 1,204 1,505
Theatres, variety
theatres and circuses
2924
housed in permanent 0,862 1,077 1,292 1,615 1,723 2,154
292 buildings
Circuses with a big top,
2925 show and exhibition
9,600 12,000 14,400 18,000 19,200 24,000
tents
2926 Others 1,893 2,366 2,839 3,549 3,786 4,732
Radio broadcasting,
2927 television broadcasting & 0,590 0,738 0,885 1,106 1,180 1,475
relay stations
Kantor telpon sentral
2928 otomat dan warung
pos/telekomunikasi 0,537 0,672 0,806 1,007 1,075 1,343
(wartel)

Trading and storage


2930 Dispensaries (apotik) 0,936 1,170 1,405 1,756 1,873 2,341
Department Stores,
2931 Supermarket and
Shopping Centre
Grade A 0,893 1,117 1,340 1,675 1,787 2,234

293 Grade B 2,234 2,792 3,350 4,188 4,467 5,584


Grade C 4,467 5,584 6,701 8,376 8,934 11,168
2932 Mail order houses 1,673 2,091 2,510 3,137 3,346 4,183
Chain stores, Grocer
2933 2,474 3,093 3,711 4,639 4,948 6,186
stores
2934 Shops 1,520 1,900 2,280 2,850 3,040 3,800
2935 Pasar risk 18,000 22,500 27,000 33,750 36,000 45,000
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-23-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas

2936 Others 7,222 9,028 10,833 13,542 14,444 18,056


Private Warehouses and
2937
Storehouses
29371-
Private warehouse 1,002 1,120 1,503 1,680 2,004 2,240
7
29378 Public warehouse 2,004 2,240 3,006 3,360 4,008 4,480
2938 Storage tanks 1,230 1,538 1,845 2,307 2,461 3,076

Miscellaneous (storage in
2939 1,048 1,309 1,571 1,964 2,095 2,619
open)
Hotels, Entertainment,
Sport, Services
Hotels, motels, inns and
2941
the like
certified below 3 star
29411 0,886 0,990 1,329 1,485 1,772 1,980
classification
certified as 3 star and
29412 0,483 0,540 0,725 0,810 0,966 1,080
above
Night clubs, dance halls,
ball rooms,
2942
discotheques, bars, 10,574 13,218 15,861 19,826 21,148 26,435
billiards karaoke
Swimming pools or
294 complex of swimming
pools, sports stadium,
sport centre, fitness
2943
centre, gyms and the 0,563 0,704 0,845 1,056 1,127 1,408
like, private (member
only) club houses and
golf club houses
2944 Others 0,571 0,714 0,856 1,071 1,142 1,427
2945 Restaurants 1,479 1,849 2,218 2,773 2,958 3,697
Stalls, kedai, warung
2946 2,398 2,998 3,598 4,497 4,797 5,996
makan and the like
Beauty salon/ Hair
2947
dresser/ Barber shops 0,781 0,976 1,171 1,464 1,562 1,952
2949 Recreation areas and
2,646 3,307 3,969 4,961 5,292 6,615
cultural centre
The caring services
Sanatorium, hospitals,
doctor's consulting
2951
rooms, old people's and 0,378 0,472 0,510 0,637 0,642 0,802
children's homes
Religious facilities such
295
as mosques, temples,
2952
churches, convents and 0,370 0,463 0,500 0,625 0,629 0,787
the like
Schools, universities and
2953
training colleges 0,406 0,508 0,548 0,685 0,691 0,863
2954 Museums 0,260 0,324 0,350 0,438 0,441 0,552
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-24-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas

2955 Psychiatric clinics 0,898 1,123 1,213 1,516 1,527 1,909


Motor vehicle repair
shops, services station
and pools
Motor vehicle repair
shops with facilities for
body repair work
(including welding/
soldering and spray
painting) and service
2961 station (parts
1,145 1,431 1,717 2,146 2,289 2,862
replacement, replacing/
topping up engine oil/
brake fluid, lubrication
and engine/ body/
chassis scrubbing/
washing)
As above and also
operating a petrol/diesel
2962
fuel station within the 2,091 2,614 3,137 3,921 4,182 5,228
premises
Motor vehicle service
2963 stations (refer to code
1,000 1,250 1,500 1,875 2,000 2,500
2961) only
Motor vehicle pools
without any body repair
2964
296 work/service station 1,033 1,291 1,549 1,937 2,066 2,582
facilities
Motor vehicle pools with
service station facilities
2965
as described under code 1,050 1,313 1,575 1,969 2,100 2,625
2961
Motor vehicle pools with
body repair work and
2966 service station facilities
1,259 1,574 1,889 2,361 2,518 3,148
as described under code
2961
Motor vehicle pools with
a petrol/diesel fuel
2967
station within the 2,153 2,691 3,229 4,036 4,305 5,381
premises
Motor vehicle pools with
body repair work &
service station facilities
as described under code
2968
2961 and also operating 2,276 2,844 3,413 4,267 4,551 5,689
a petrol/diesel fuel
station within the
premises

2969 Rust protection / paint


0,785 0,981 1,178 1,472 1,570 1,963
protection workshops
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-25-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas

Private Building

Apartments/condominiu
ms, offices, multi-
2971 storeyed car parks not
0,350 0,438 0,473 0,591 0,595 0,744
exceeding 6 storeys
above ground level
Apartments/condominiu
ms, offices, multi-
storeyed car parks
2972
exceeding 6 storeys up to 0,385 0,481 0,520 0,650 0,655 0,818
18 storeys above ground
level
Apartments/condominiu
ms, offices, multi-
2973 storeyed car parks
0,376 0,420 0,507 0,567 0,639 0,714
exceeding 18 storeys
above ground level
297 Convention halls and
other multi purpose
2974
buildings (but excluding 0,478 0,597 0,645 0,806 0,812 1,015
exhibition)
Apartments/condominiu
ms, offices, multi-
2975 storeyed car parks -
0,455 0,569 0,614 0,768 0,774 0,967
exceeding 24 storeys
above ground
Dwelling houses not
classified as shop houses
2976
(ruko) not exceeding 3 0,294 0,328 0,397 0,443 0,499 0,558
storeys
Dwelling houses
buildings floating on the
2977 river/sea shore
1,448 1,810 1,955 2,444 2,462 3,077
(regardless of
constructional class)
Independent analytical
2978 1,138 1,422 1,536 1,920 1,935 2,418
laboratories
Property of public
bodies
2981 Public buildings
0,624 0,780 0,842 1,053 1,061 1,326
Police barracks and
298 2982
police stations 0,551 0,689 0,744 0,930 0,937 1,171
2983 Military Barracks
2,154 2,692 2,908 3,635 3,662 4,577
2984 Others
2,253 2,816 3,041 3,802 3,830 4,787
Special covers for
building
299 Buildings in course of
2991 construction (rate to be
0,616 0,770 0,925 1,156 1,233 1,541
applied againts FULL
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-26-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
VALUE of completed
building)
2992 Rents Mengikuti Okupasi

300 Kina 4,300 5,375

301 Coklat 13,190 16,488

302 Coca 4,210 5,263


303 Kopi
Kopi tanpa rumah
3031 2,540 3,175
pengeringan
Dengan rumah
3032 27,440 34,300
pengeringan
304 Teh 0,740 0,925
305 Minyak sereh 4,650 5,813
306 Kapok 6,670 8,338
30
307 Kelapa dan kopra
Tanpa ekstraksi
3071 2,910 3,638
Minyak
Dengan ekstraksi
3072 8,140 10,175
Minyak
Gedung pengeringan
3073 dengan pengering 35,660 44,575
buatan
308 Karet (Gutta percha)
Gedung tidak termasuk
3081 3,390 4,238
rumah asap
3082 Rumah Asap 7,690 9,613
309 Gula bibit 3,000 3,750
Perkebunan serat,serat
310 6,200 7,750
campuran dan kapok
Pabrik tapioka di
311 5,000 6,250
perkebunan
312 Damar dan terpentin 7,550 9,438
Perkeneirs dan rempah-
313 6,215 7,769
rempah
Padi, tanpa pengerjaan
314 termasuk padi di 6,200 7,750
31 tempat terbuka
Hortikultura,sayur-
315 sayuran,kentang dan 4,040 5,050
tidak ada pengeringan
316 Minyak kelapa sawit 0,990 1,238
317 Tembakau 13,240 16,550

Gambir, barang-barang
318 5,830 7,288
ditempat terbuka
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-27-

TARIF PREMI (%o)


Kode Kode Kode Kelas Kelas Kelas Kontruksi
Okupa Okupa Okupa Kontruksi 1 Kontruksi 2 3
Keterangan
si (2 si (3 si (4-5
digit) digit) digit) Tarif Tarif Tarif Tarif Tarif Tarif
Bawah Atas Bawah Atas Bawah Atas
Special for plantation Mengacu kepada undewriter Perusahaan Asuransi
40
(Fire Risk/Flex A) Umum
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-28-

TABEL II.B
TARIF PREMI UNTUK POLIS LOSS LIMIT
Penetapan tarif premi untuk polis yang tidak menerapkan pertanggungan secara
full value maka berlaku skala sebagai berikut :

% of % of % of % of % of % of % of % of
Total Total Total Total
Values Premium Values Premium Values Premium Values Premium

100,00 100,00 66,00 88,20 32,00 79,37 4,40 47,00


99,00 99,60 65,00 88,00 31,00 78,75 4,30 46,50
98,00 99,20 64,00 87,80 30,00 78,12 4,20 46,00
97,00 98,80 63,00 87,60 29,00 77,50 4,10 45,50
96,00 98,40 62,00 87,40 28,00 76,87 4,00 45,00
95,00 98,00 61,00 87,20 27,00 76,25 3,90 44,50
94,00 97,60 60,00 87,00 26,00 75,62 3,80 44,00
93,00 97,20 59,00 86,80 25,00 75,00 3,70 43,50
92,00 96,80 58,00 86,60 24,00 74,00 3,60 43,00
91,00 96,40 57,00 86,40 23,00 73,00 3,50 42,50
90,00 96,00 56,00 86,20 22,00 72,00 3,40 42,00
89,00 95,60 55,00 86,00 21,00 71,00 3,30 41,50
88,00 95,20 54,00 85,80 20,00 70,00 3,20 41,00
87,00 94,80 53,00 85,60 19,00 69,00 3,10 40,50
86,00 94,40 52,00 85,40 18,00 68,00 3,00 40,00
85,00 94,00 51,00 85,20 17,00 67,00 2,90 39,75
84,00 93,60 50,00 85,00 16,00 66,00 2,80 39,50
83,00 93,20 49,00 84,70 15,00 65,00 2,70 39,25
82,00 92,80 48,00 84,46 14,00 64,00 2,60 39,00
81,00 92,40 47,00 84,21 13,00 63,00 2,50 38,75
80,00 92,00 46,00 83,90 12,00 62,00 2,40 38,50
79,00 91,60 45,00 83,60 11,00 61,00 2,30 38,25
78,00 91,20 44,00 83,30 10,00 60,00 2,20 38,00
77,00 90,80 43,00 83,00 9,00 58,00 2,10 37,75
76,00 90,40 42,00 82,80 8,00 56,00 2,00 37,50
75,00 90,00 41,00 82,53 7,50 55,00 1,90 37,00
74,00 89,80 40,00 82,20 7,00 54,00 1,80 36,50
73,00 89,60 39,00 81,87 6,00 52,00 1,70 36,00
72,00 89,40 38,00 81,54 5,00 50,00 1,60 35,50
71,00 89,20 37,00 81,21 4,90 49,50 1,50 35,00
70,00 89,00 36,00 80,88 4,80 49,00 1,40 34,50
69,00 88,80 35,00 80,55 4,70 48,50 1,30 34,00
68,00 88,60 34,00 80,22 4,60 48,00 1,20 33,50
67,00 88,40 33,00 80,00 4,50 47,50 1,10 33,00
1,00 32,50
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-29-

TABEL II.C
SKALA TARIF PREMI GANGGUAN USAHA (BUSINESS INTERRUPTION)

Penetapan tarif premi untuk jaminan gangguan usaha (Business Interruption)


berlaku skala sebagai berikut:

Indemnity Persentase (%) dari Tarif


Period Premi
1 bulan 20% x 100% tarif premi
2 bulan 30% x 100% tarif premi
3 bulan 40% x 100% tarif premi
4 bulan 50% x 100% tarif premi
6 bulan 60% x 100% tarif premi
9 bulan 80% x 100% tarif premi
12 bulan 100% x 100% tarif premi
15 bulan 96% x 100% tarif premi
18 bulan 93% x 100% tarif premi
21 bulan 91.5% x 100% tarif premi
24 bulan 90% x 100% tarif premi
30 bulan 87% x 100% tarif premi
36 bulan 85% x 100% tarif premi
48 bulan 83% x 100% tarif premi
Untuk Indemnity Period lebih dari 48 bulan
penetapan persentase dari tarif premi
diserahkan kepada underwriter Perusahaan
Asuransi Umum
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-30-

TABEL II.D
KODE OKUPASI BERLAKU RISIKO SENDIRI MINIMUM

Kode Okupasi Time Excess

20 : Mining, drilling installation, salt mines, peat extraction,


metallurgical plant
200 : Refining installations (gold, silver, platinum, etc.) 30 days
201 : Alumunium works (foundries) 30 days
202 : Iron Mines, Blast Furnace, Iron Foundries, Iron Works 30 days
204 : Exploration and Production of petroleum and natural 30 days
gas,terminals
205 : Mines not otherwise classified 30 days
206 : Foundries reduction plant for metals (excl.iron aluminium) 30 days
207 : Hard coal and lignite extraction, Asphalts mines 30 days

22 : Metal
224 : Vehicle, Railways Carriages and Locomotives, Aircraft, Ships 14 days
Construction and Assembling Plants
2243 : Aircraft construction plants 14 days
2244 : Ship construction, naval shipyards 14 days
225 : Manufacture and or assembly ot telecomunication or computer 14 days
apparatus and Integrated circuits (IC)
2253 : Manufacture of Integrated Circuit (IC) from Chips 14 days

23 : Chemical / Oil / Gas


230 : Chemical products, pharmaceutical products 30 days
23001 : General Chemical 30 days
23004 : Insectiside & herbiside 30 days
23005 : Paint & Varnish 30 days
23012 : Ink Factory 30 days

231 : Oil Processing 30 days

232 : Petrochemical works 30 days


2321 : Petrochemical work with basic materials such as ethylene etc 30 days
2322 : Petrochemical intermediate product (Vinyl chloride monomer & 30 days
others)
2323 : Polymerization on a large scale : manufacture of polyethylene 30 days
2324 : Fertilizer factories on petrochemical basis 30 days
2325 : Synthetic rubber 30 days
2326 : Liquefaction of natural gas 30 days
2327 : Liquefaction of petroleum gases 30 days
2328 : Petrol coke, soot, graphite 30 days
2329 : Liquefaction and gasification of coal 30 days

233 : Storage tanks 30 days


2331 : Crude oil 30 days
2332 : Oil products in tanks located in harbour area 30 days
2333 : Liquefied gases 30 days
2334 : Pipeline for chemical products 30 days
2335 : Other liquid chemicals (e.g ammonia) 30 days

234 : Manufaturer of plastic articles, foam plastic, synthetic resin 30 days


Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-31-

Kode Okupasi Time Excess

2341 : Manufacture of plastic articles 30 days


2342 : Manufacture and processing of foam plastics 30 days
2343 : Manufaturer of synthetic adhesive also called synthetic resin 30 days
adhesive
235 : Manufacture of artificial fibres (petrochemical feedstock process) 30 days
237 : Manufacture of tooth paste, soap, detergents, polishes, etheric 30 days
oils, essences, parfumes, and cosmetic products, gelatine non-
syntetic adhesives, starches, candles and wax goods, natural
resins
238 : Chemical fertilizer factories (conventional) 30 days
239 : Powders, explosives, matches and firework factories 30 days

24 : Textile
240 : Spinning Mills, pre-spinning process 14 days
241 : Weaving, pre-weaving process 14 days
242 : Dressing (including but not limited to printing) and finishing 14 days
243 : Mixed processes (Spining, Weaving, Dressing and Finishing) 14 days
244 : Processing of textile waste and non woven process 14 days
245 : Ropemakers, stringmakers, sackmakers, blankets weaving mills, 14 days
carpet manufacturer
246 : Knitting mills, knitwear factories, stocking factories, glove 14 days
factories hosiery mills, lamp wick factories, clothing and
underwear manufacturers, sewing works, furrires, skin
processing works, custom tailors, umbrella factories, felt goods
factories, lace factories, embroidery factories
247 : Upsholstery, cushionmaker's and saddler's workshops 14 days
248 : Cotton wool and capoc factories 14 days

25 : Paper, leather, rubber


250 : Wood pulp, cellulose based on wood pulp and lino factories 14 days
251 : Paper, cardboard and hardboard factories 14 days
252 : Cartoon and paper goods factories, bookbinders 14 days
253 : Newspaper printers, other printers, art printing works, 14 days
lithographers, screen printing on paper (sablon), typeplate
workshops, block workshops, photogravure workshops
254 : Coloured paper and/or wallpaper printing works 14 days
255 : Straw and rush goods factories 14 days
257 : Shoe Factory 14 days
258 : Leather Goods Factory 14 days
259 : Rubber goods factories, foamed rubber factories, tyre factories, 14 days
vulcanizing works, rubber factories (non estate risk), tyre cord
manufacturers

26 : Wood, bamboo and rattan


260 : Sawmills, carpenter's shops, parquet factories, sawing and 14 days
cutting of firewood
261 : Furniture manufacture, cabinet makers, woooden boat builders, 14 days
bamboo, rattan and wooden carvings and handicrafts
262 : Manufacture of wood fibre board, hardboard masonite, wood 14 days
chipboard, particle board, pressed wood and plywood, venners
263 : Turner's shop, coachbuilder's shop, pipes, walking-sticks and 14 days
picture frame factories, pencil factories
Lampiran II
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-32-

Kode Okupasi Time Excess

264 : Wicker-work factories 14 days


265 : Cork goods factories such as shuttle cock factories 14 days
266 : Broom, brush and paintbrush factories 14 days
267 : Timber impregnation installations, plywood coating installation 14 days
268 : Wooden musical instruments factories 14 days
269 : Charcoal producers 14 days

27 : Nutritional, drinks, and tobacco


270 : Corn mills, paddy (rice), gambir 14 days

28 : Power and heating


281 : Conventional power station, buildings with boiler houses and 30 days
steam houses.
282 : Nuclear power stations. 30 days
283 : Overhead power transmission lines and networks. 30 days
284 : Voltage and current transformer stations, junction installation in 30 days
the open.
285 : Rubbish incineration installations for power generation and 30 days
heating.
286 : Gasworks. 30 days

29 : Transport and traffic, construction firm, mass


communication, trading and storage, hotels, intertainment,
sport and services, the caring service, motor vehicle repair
shops, private buildings, property of public bodies
293 : Trading and storage 7 days
2937 : Private warehouse and storehouses 7 days
29371-7 : Private warehouse 7 days
29378 : Public warehouse 7 days
Lampiran III
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-5-

TABEL III.A
TARIF PREMI JAMINAN BANJIR
LINI USAHA ASURANSI HARTA BENDA

JAKARTA, BANTEN, JABAR LUAR JAKARTA, BANTEN, JABAR


ZONA
Kriteria Tarif Premi (%) Kriteria Tarif Premi (%)
Daerah dimana
Daerah yang property yang
tidak pernah akan
mengalami diasuransikan
banjir atau belum pernah
ZONA 1 pernah mengalami banjir
0,050% s/d 0,055 % 0,045% s/d 0,050%
(Low) mengalami sebelumnya atau
banjir, pernah
ketinggian mengalami banjir
genangan banjir dalam kurun
≤ 30 cm waktu lebih dari
6 tahun terakhir
Daerah dimana
Daerah pernah property yang
mengalami akan
ZONA 2 banjir, 30cm< Tarif Zona 1 + Faktor diasuransikan,
0,050% s/d 0,055%
(Moderate) ketinggian Loading pernah
genangan air ≤ mengalami banjir
60 cm dalam 6 tahun
terakhir
Daerah pernah
Daerah dimana
mengalami
property yang
banjir,
akan
ketinggian
ZONA 3 Tarif Zona 1 + Faktor diasuransikan, Tarif Zona 2 + Faktor
genangan air
(High) Loading pernah Loading
60cm<
mengalami banjir
ketinggian
dalam 3 tahun
genangan air ≤
terakhir
100 cm
Daerah dimana
Daerah yang
property yang
pernah
akan
mengalami
ZONA 4 Tarif Zona 1 + Faktor diasuransikan, Tarif Zona 2 + Faktor
banjir,
(Very High) Loading pernah Loading
ketinggian
mengalami banjir
genangan banjir
dalam 1 tahun
> 100 cm
terakhir

Ketentuan tambahan untuk tabel III.A

1. Perusahaan Asuransi Umum wajib menggunakan endorsemen kode 4.3A


(Endorsemen Banjir, Angin Topan, Badai dan Kerusakan Akibat Air)
termasuk penyempurnaannya yang diterbitkan oleh Asosiasi Asuransi
Umum Indonesia (AAUI) yang telah disetujui oleh Regulator.
Lampiran III
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-7-

TABEL III.C
TARIF PREMI UNTUK POLIS LOSS LIMIT
LINI USAHA ASURANSI HARTA BENDA
Penetapan tarif premi untuk polis yang tidak menerapkan pertanggungan secara
full value maka berlaku skala sebagai berikut :

% of % of % of % of % of % of % of % of
Total Total Total Total
Values Premium Values Premium Values Premium Values Premium

100,00 100,00 66,00 88,20 32,00 79,37 4,40 47,00


99,00 99,60 65,00 88,00 31,00 78,75 4,30 46,50
98,00 99,20 64,00 87,80 30,00 78,12 4,20 46,00
97,00 98,80 63,00 87,60 29,00 77,50 4,10 45,50
96,00 98,40 62,00 87,40 28,00 76,87 4,00 45,00
95,00 98,00 61,00 87,20 27,00 76,25 3,90 44,50
94,00 97,60 60,00 87,00 26,00 75,62 3,80 44,00
93,00 97,20 59,00 86,80 25,00 75,00 3,70 43,50
92,00 96,80 58,00 86,60 24,00 74,00 3,60 43,00
91,00 96,40 57,00 86,40 23,00 73,00 3,50 42,50
90,00 96,00 56,00 86,20 22,00 72,00 3,40 42,00
89,00 95,60 55,00 86,00 21,00 71,00 3,30 41,50
88,00 95,20 54,00 85,80 20,00 70,00 3,20 41,00
87,00 94,80 53,00 85,60 19,00 69,00 3,10 40,50
86,00 94,40 52,00 85,40 18,00 68,00 3,00 40,00
85,00 94,00 51,00 85,20 17,00 67,00 2,90 39,75
84,00 93,60 50,00 85,00 16,00 66,00 2,80 39,50
83,00 93,20 49,00 84,70 15,00 65,00 2,70 39,25
82,00 92,80 48,00 84,46 14,00 64,00 2,60 39,00
81,00 92,40 47,00 84,21 13,00 63,00 2,50 38,75
80,00 92,00 46,00 83,90 12,00 62,00 2,40 38,50
79,00 91,60 45,00 83,60 11,00 61,00 2,30 38,25
78,00 91,20 44,00 83,30 10,00 60,00 2,20 38,00
77,00 90,80 43,00 83,00 9,00 58,00 2,10 37,75
76,00 90,40 42,00 82,80 8,00 56,00 2,00 37,50
75,00 90,00 41,00 82,53 7,50 55,00 1,90 37,00
74,00 89,80 40,00 82,20 7,00 54,00 1,80 36,50
73,00 89,60 39,00 81,87 6,00 52,00 1,70 36,00
72,00 89,40 38,00 81,54 5,00 50,00 1,60 35,50
71,00 89,20 37,00 81,21 4,90 49,50 1,50 35,00
70,00 89,00 36,00 80,88 4,80 49,00 1,40 34,50
69,00 88,80 35,00 80,55 4,70 48,50 1,30 34,00
68,00 88,60 34,00 80,22 4,60 48,00 1,20 33,50
67,00 88,40 33,00 80,00 4,50 47,50 1,10 33,00
1,00 32,50
Lampiran III
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-8-

TABEL III.D
SKALA TARIF PREMI GANGGUAN USAHA (BUSINESS INTERRUPTION)
LINI USAHA ASURANSI HARTA BENDA

Penetapan tarif premi untuk jaminan gangguan usaha (business interruption)


berlaku skala sebagai berikut:

Indemnity Persentase (%) dari Tarif


Period Premi
1 bulan 20% x 100% tarif premi
2 bulan 30% x 100% tarif premi
3 bulan 40% x 100% tarif premi
4 bulan 50% x 100% tarif premi
6 bulan 60% x 100% tarif premi
9 bulan 80% x 100% tarif premi
12 bulan 100% x 100% tarif premi
15 bulan 96% x 100% tarif premi
18 bulan 93% x 100% tarif premi
21 bulan 91.5% x 100% tarif premi
24 bulan 90% x 100% tarif premi
30 bulan 87% x 100% tarif premi
36 bulan 85% x 100% tarif premi
48 bulan 83% x 100% tarif premi
Untuk indemnity period lebih dari 48 bulan
penetapan persentase dari tarif premi
diserahkan kepada underwriter Perusahaan
Asuransi Umum
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-5-

TABEL IV.A
TARIF PREMI ASURANSI GEMPA BUMI
PADA LINI USAHA ASURANSI HARTA BENDA

Tarif Premi untuk Kerusakan Fisik dan Gangguan Usaha dengan Harga
Pertanggungan Nilai Penuh (Full Value Basis) dengan Indemnity Period 12 bulan.

IV.A.1. Commercial and Industrial (Non Dwelling House)

Tarif Premi per mil (%o)


Kelas Konstruksi
Zona I Zona II Zona III Zona IV Zona V

Steel, Wood and RC < 9 Storeys 0,90 0,95 1,25 1,50 1,90
Frame > 9 Storeys 1,35 1,45 1,55 1,60 2,00
Others 1,00 1,10 1,55 3,00 4,70

IV.A.2. Dwelling House – occupation code 2976

Tarif Premi per mil (%o)


Kelas Konstruksi
Zona I Zona II Zona III Zona IV Zona V
Steel, Wood and RC Frame 0,85 0,95 1,15 1,35 1,60
Others 0,90 1,00 1,55 2,75 4,50

Zona mengacu pada tabel IV.D

Aturan Tambahan
1. Untuk gedung bertingkat yang mempunyai bangunan di bawah tanah yang
lazim disebut “basement” atau “semi basement” atau dengan nama apapun,
lantai bawah tanah tersebut juga diperhitungkan dalam menentukan jumlah
lantai.
Dengan demikian, semua lantai dihitung, baik lantai yang ada di atas tanah
maupun yang di bawah tanah.

2. Untuk tower antena yang lazim digunakan sebagai pemancar radio, jaringan
listrik, jaringan telepon genggam dan sejenisnya, tingginya tower (dihitung
dari permukaan tanah) dianggap sebagai ukuran jumlah lantai, dengan
menggunakan dasar perhitungan tinggi 1 (satu) lantai adalah +/- 4 meter.
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-6-

TABEL IV.B
TARIF PREMI UNTUK POLIS LOSS LIMIT
Penetapan tarif premi untuk polis yang tidak menerapkan pertanggungan secara full value
maka berlaku skala sebagai berikut :

% of % of % of % of % of % of % of % of
Total Total Total Total
Values Premium Values Premium Values Premium Values Premium

100,00 100,00 66,00 88,20 32,00 79,37 4,40 47,00


99,00 99,60 65,00 88,00 31,00 78,75 4,30 46,50
98,00 99,20 64,00 87,80 30,00 78,12 4,20 46,00
97,00 98,80 63,00 87,60 29,00 77,50 4,10 45,50
96,00 98,40 62,00 87,40 28,00 76,87 4,00 45,00
95,00 98,00 61,00 87,20 27,00 76,25 3,90 44,50
94,00 97,60 60,00 87,00 26,00 75,62 3,80 44,00
93,00 97,20 59,00 86,80 25,00 75,00 3,70 43,50
92,00 96,80 58,00 86,60 24,00 74,00 3,60 43,00
91,00 96,40 57,00 86,40 23,00 73,00 3,50 42,50
90,00 96,00 56,00 86,20 22,00 72,00 3,40 42,00
89,00 95,60 55,00 86,00 21,00 71,00 3,30 41,50
88,00 95,20 54,00 85,80 20,00 70,00 3,20 41,00
87,00 94,80 53,00 85,60 19,00 69,00 3,10 40,50
86,00 94,40 52,00 85,40 18,00 68,00 3,00 40,00
85,00 94,00 51,00 85,20 17,00 67,00 2,90 39,75
84,00 93,60 50,00 85,00 16,00 66,00 2,80 39,50
83,00 93,20 49,00 84,70 15,00 65,00 2,70 39,25
82,00 92,80 48,00 84,46 14,00 64,00 2,60 39,00
81,00 92,40 47,00 84,21 13,00 63,00 2,50 38,75
80,00 92,00 46,00 83,90 12,00 62,00 2,40 38,50
79,00 91,60 45,00 83,60 11,00 61,00 2,30 38,25
78,00 91,20 44,00 83,30 10,00 60,00 2,20 38,00
77,00 90,80 43,00 83,00 9,00 58,00 2,10 37,75
76,00 90,40 42,00 82,80 8,00 56,00 2,00 37,50
75,00 90,00 41,00 82,53 7,50 55,00 1,90 37,00
74,00 89,80 40,00 82,20 7,00 54,00 1,80 36,50
73,00 89,60 39,00 81,87 6,00 52,00 1,70 36,00
72,00 89,40 38,00 81,54 5,00 50,00 1,60 35,50
71,00 89,20 37,00 81,21 4,90 49,50 1,50 35,00
70,00 89,00 36,00 80,88 4,80 49,00 1,40 34,50
69,00 88,80 35,00 80,55 4,70 48,50 1,30 34,00
68,00 88,60 34,00 80,22 4,60 48,00 1,20 33,50
67,00 88,40 33,00 80,00 4,50 47,50 1,10 33,00
1,00 32,50
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-7-

TABEL IV.C
SKALA TARIF PREMI GANGGUAN USAHA (BUSINESS INTERRUPTION)

Penetapan tarif premi untuk jaminan gangguan usaha (Business Interruption)


berlaku skala sebagai berikut:

Indemnity Prosentase (%) dari Tarif


Period Premi
1 bulan 20% x 100% tarif premi
2 bulan 30% x 100% tarif premi
3 bulan 40% x 100% tarif premi
4 bulan 50% x 100% tarif premi
6 bulan 60% x 100% tarif premi
9 bulan 80% x 100% tarif premi
12 bulan 100% x 100% tarif premi
15 bulan 96% x 100% tarif premi
18 bulan 93% x 100% tarif premi
21 bulan 91.5% x 100% tarif premi
24 bulan 90% x 100% tarif premi
30 bulan 87% x 100% tarif premi
36 bulan 85% x 100% tarif premi
48 bulan 83% x 100% tarif premi
Untuk Indemnity Period lebih dari 48 bulan
penetapan prosentase dari tarif premi diserahkan
kepada underwriter Perusahaan Asuransi Umum
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-8-

TABEL IV.D
ZONA ASURANSI GEMPA BUMI

NO PROVINSI DAERAH TINGKAT II ZONA

1 BALI KAB. BADUNG 4


2 BALI KAB. BANGLI 4
3 BALI KAB. BULELENG 4
4 BALI KAB. GIANYAR 4
5 BALI KAB. JEMBRANA 4
6 BALI KAB. KLUNGKUNG 4
7 BALI KAB. TABANAN 4
8 BALI KOTA DENPASAR 4
9 BALI KAB. KARANGASEM 5
10 BANTEN KAB. LEBAK 4
11 BANTEN KAB. SERANG 4
12 BANTEN KAB. TANGERANG 4
13 BANTEN KOTA CILEGON 4
14 BANTEN KOTA SERANG 4
15 BANTEN KOTA TANGERANG 4
16 BANTEN KAB. PANDEGLANG 5
17 BENGKULU KAB. BENGKULU SELATAN 5
18 BENGKULU KAB. BENGKULU UTARA 5
19 BENGKULU KAB. KAUR 5
20 BENGKULU KAB. KEPAHIANG 5
21 BENGKULU KAB. LEBONG 5
22 BENGKULU KAB. MUKOMUKO 5
23 BENGKULU KAB. REJANG LEBONG 5
24 BENGKULU KAB. SELUMA 5
25 BENGKULU KOTA BENGKULU 5
26 D.I. YOGYAKARTA KAB. BANTUL 4
27 D.I. YOGYAKARTA KAB. GUNUNG KIDUL 4
28 D.I. YOGYAKARTA KAB. KULON PROGO 4
29 D.I. YOGYAKARTA KAB. SLEMAN 4
30 D.I. YOGYAKARTA KOTA YOGYAKARTA 4
31 DKI JAKARTA KAB. KEPULAUAN SERIBU 3
32 DKI JAKARTA KOTA JAKARTA BARAT 4
33 DKI JAKARTA KOTA JAKARTA PUSAT 4
34 DKI JAKARTA KOTA JAKARTA SELATAN 4
35 DKI JAKARTA KOTA JAKARTA TIMUR 4
36 DKI JAKARTA KOTA JAKARTA UTARA 4
37 GORONTALO KAB. BOALEMO 5
38 GORONTALO KAB. BONE BOLANGO 5
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-9-

NO PROVINSI DAERAH TINGKAT II ZONA

39 GORONTALO KAB. GORONTALO 5


40 GORONTALO KAB. GORONTALO UTARA 5
41 GORONTALO KAB. POHUWATO 5
42 GORONTALO KOTA GORONTALO 5
43 JAMBI KAB. BATANGHARI 2
44 JAMBI KAB. MUARO JAMBI 2
45 JAMBI KAB. TANJUNG JABUNG BARAT 2
46 JAMBI KAB. TANJUNG JABUNG TIMUR 2
47 JAMBI KOTA JAMBI 2
48 JAMBI KAB. BUNGO 3
49 JAMBI KAB. SAROLANGUN 3
50 JAMBI KAB. TEBO 3
51 JAMBI KAB. MERANGIN 4
52 JAMBI KAB. KERINCI 5
53 JAWA BARAT KAB. CIREBON 3
54 JAWA BARAT KAB. INDRAMAYU 3
55 JAWA BARAT KAB. SUMEDANG 3
56 JAWA BARAT KOTA CIREBON 3
57 JAWA BARAT KAB. BANDUNG 4
58 JAWA BARAT KAB. BANDUNG BARAT 4
59 JAWA BARAT KAB. BEKASI 4
60 JAWA BARAT KAB. BOGOR 4
61 JAWA BARAT KAB. CIAMIS 4
62 JAWA BARAT KAB. CIANJUR 4
63 JAWA BARAT KAB. GARUT 4
64 JAWA BARAT KAB. KARAWANG 4
65 JAWA BARAT KAB. KUNINGAN 4
66 JAWA BARAT KAB. MAJALENGKA 4
67 JAWA BARAT KAB. PURWAKARTA 4
68 JAWA BARAT KAB. SUBANG 4
69 JAWA BARAT KAB. SUKABUMI 4
70 JAWA BARAT KAB. TASIKMALAYA 4
71 JAWA BARAT KOTA BANDUNG 4
72 JAWA BARAT KOTA BANJAR 4
73 JAWA BARAT KOTA BEKASI 4
74 JAWA BARAT KOTA BOGOR 4
75 JAWA BARAT KOTA CIMAHI 4
76 JAWA BARAT KOTA DEPOK 4
77 JAWA BARAT KOTA SUKABUMI 4
78 JAWA BARAT KOTA TASIKMALAYA 4
79 JAWA TENGAH KAB. BANYUMAS 3
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-10-

NO PROVINSI DAERAH TINGKAT II ZONA

80 JAWA TENGAH KAB. BATANG 3


81 JAWA TENGAH KAB. BLORA 3
82 JAWA TENGAH KAB. BOYOLALI 3
83 JAWA TENGAH KAB. BREBES 3
84 JAWA TENGAH KAB. DEMAK 3
85 JAWA TENGAH KAB. GROBOGAN 3
86 JAWA TENGAH KAB. JEPARA 3
87 JAWA TENGAH KAB. KARANGANYAR 3
88 JAWA TENGAH KAB. KENDAL 3
89 JAWA TENGAH KAB. KUDUS 3
90 JAWA TENGAH KAB. PATI 3
91 JAWA TENGAH KAB. PEKALONGAN 3
92 JAWA TENGAH KAB. PEMALANG 3
93 JAWA TENGAH KAB. PURBALINGGA 3
94 JAWA TENGAH KAB. REMBANG 3
95 JAWA TENGAH KAB. SEMARANG 3
96 JAWA TENGAH KAB. SRAGEN 3
97 JAWA TENGAH KAB. TEMANGGUNG 3
98 JAWA TENGAH KOTA MAGELANG 3
99 JAWA TENGAH KOTA PEKALONGAN 3
100 JAWA TENGAH KOTA SALATIGA 3
101 JAWA TENGAH KOTA SEMARANG 3
102 JAWA TENGAH KOTA SURAKARTA 3
103 JAWA TENGAH KOTA TEGAL 3
104 JAWA TENGAH KAB. BANJARNEGARA 4
105 JAWA TENGAH KAB. CILACAP 4
106 JAWA TENGAH KAB. KEBUMEN 4
107 JAWA TENGAH KAB. KLATEN 4
108 JAWA TENGAH KAB. MAGELANG 4
109 JAWA TENGAH KAB. PURWOREJO 4
110 JAWA TENGAH KAB. SUKOHARJO 4
111 JAWA TENGAH KAB. TEGAL 4
112 JAWA TENGAH KAB. WONOGIRI 4
113 JAWA TENGAH KAB. WONOSOBO 4
114 JAWA TIMUR KAB. BANGKALAN 3
115 JAWA TIMUR KAB. BOJONEGORO 3
116 JAWA TIMUR KAB. BONDOWOSO 3
117 JAWA TIMUR KAB. GRESIK 3
118 JAWA TIMUR KAB. JEMBER 3
119 JAWA TIMUR KAB. JOMBANG 3
120 JAWA TIMUR KAB. LAMONGAN 3
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-11-

NO PROVINSI DAERAH TINGKAT II ZONA

121 JAWA TIMUR KAB. MADIUN 3


122 JAWA TIMUR KAB. MAGETAN 3
123 JAWA TIMUR KAB. MOJOKERTO 3
124 JAWA TIMUR KAB. NGANJUK 3
125 JAWA TIMUR KAB. NGAWI 3
126 JAWA TIMUR KAB. PAMEKASAN 3
127 JAWA TIMUR KAB. PASURUAN 3
128 JAWA TIMUR KAB. PROBOLINGGO 3
129 JAWA TIMUR KAB. SAMPANG 3
130 JAWA TIMUR KAB. SIDOARJO 3
131 JAWA TIMUR KAB. SITUBONDO 3
132 JAWA TIMUR KAB. SUMENEP 3
133 JAWA TIMUR KAB. TUBAN 3
134 JAWA TIMUR KOTA MADIUN 3
135 JAWA TIMUR KOTA MOJOKERTO 3
136 JAWA TIMUR KOTA PASURUAN 3
137 JAWA TIMUR KOTA PROBOLINGGO 3
138 JAWA TIMUR KOTA SURABAYA 3
139 JAWA TIMUR KAB. BANYUWANGI 4
140 JAWA TIMUR KAB. BLITAR 4
141 JAWA TIMUR KAB. KEDIRI 4
142 JAWA TIMUR KAB. LUMAJANG 4
143 JAWA TIMUR KAB. MALANG 4
144 JAWA TIMUR KAB. PACITAN 4
145 JAWA TIMUR KAB. PONOROGO 4
146 JAWA TIMUR KAB. TRENGGALEK 4
147 JAWA TIMUR KAB. TULUNGAGUNG 4
148 JAWA TIMUR KOTA BATU 4
149 JAWA TIMUR KOTA BLITAR 4
150 JAWA TIMUR KOTA KEDIRI 4
151 JAWA TIMUR KOTA MALANG 4
152 KALIMANTAN BARAT KAB. BENGKAYANG 1
153 KALIMANTAN BARAT KAB. KAPUAS HULU 1
154 KALIMANTAN BARAT KAB. KAYONG UTARA 1
155 KALIMANTAN BARAT KAB. KETAPANG 1
156 KALIMANTAN BARAT KAB. KUBU RAYA 1
157 KALIMANTAN BARAT KAB. LANDAK 1
158 KALIMANTAN BARAT KAB. MELAWI 1
159 KALIMANTAN BARAT KAB. PONTIANAK 1
160 KALIMANTAN BARAT KAB. SAMBAS 1
161 KALIMANTAN BARAT KAB. SANGGAU 1
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-12-

NO PROVINSI DAERAH TINGKAT II ZONA

162 KALIMANTAN BARAT KAB. SEKADAU 1


163 KALIMANTAN BARAT KAB. SINTANG 1
164 KALIMANTAN BARAT KOTA PONTIANAK 1
165 KALIMANTAN BARAT KOTA SINGKAWANG 1
166 KALIMANTAN SELATAN KAB. BALANGAN 1
167 KALIMANTAN SELATAN KAB. BANJAR 1
168 KALIMANTAN SELATAN KAB. BARITO KUALA 1
169 KALIMANTAN SELATAN KAB. HULU SUNGAI SELATAN 1
170 KALIMANTAN SELATAN KAB. HULU SUNGAI TENGAH 1
171 KALIMANTAN SELATAN KAB. HULU SUNGAI UTARA 1
172 KALIMANTAN SELATAN KAB. KOTABARU 1
173 KALIMANTAN SELATAN KAB. TABALONG 1
174 KALIMANTAN SELATAN KAB. TANAH BUMBU 1
175 KALIMANTAN SELATAN KAB. TANAH LAUT 1
176 KALIMANTAN SELATAN KAB. TAPIN 1
177 KALIMANTAN SELATAN KOTA BANJARBARU 1
178 KALIMANTAN SELATAN KOTA BANJARMASIN 1
179 KALIMANTAN TENGAH KAB. BARITO SELATAN 1
180 KALIMANTAN TENGAH KAB. BARITO TIMUR 1
181 KALIMANTAN TENGAH KAB. BARITO UTARA 1
182 KALIMANTAN TENGAH KAB. GUNUNG MAS 1
183 KALIMANTAN TENGAH KAB. KAPUAS 1
184 KALIMANTAN TENGAH KAB. KATINGAN 1
185 KALIMANTAN TENGAH KAB. KOTAWARINGIN BARAT 1
186 KALIMANTAN TENGAH KAB. KOTAWARINGIN TIMUR 1
187 KALIMANTAN TENGAH KAB. LAMANDAU 1
188 KALIMANTAN TENGAH KAB. MURUNG RAYA 1
189 KALIMANTAN TENGAH KAB. PULANG PISAU 1
190 KALIMANTAN TENGAH KAB. SERUYAN 1
191 KALIMANTAN TENGAH KAB. SUKAMARA 1
192 KALIMANTAN TENGAH KOTA PALANGKARAYA 1
193 KALIMANTAN TIMUR KAB. KUTAI BARAT 1
194 KALIMANTAN TIMUR KAB. KUTAI KARTANEGARA 1
195 KALIMANTAN TIMUR KAB. PASIR 1
196 KALIMANTAN TIMUR KAB. PENAJAM PASER UTARA 1
197 KALIMANTAN TIMUR KOTA BALIKPAPAN 1
198 KALIMANTAN TIMUR KOTA SAMARINDA 1
199 KALIMANTAN TIMUR KAB. KUTAI TIMUR 2
200 KALIMANTAN TIMUR KAB. MALINAU 2
201 KALIMANTAN TIMUR KAB. NUNUKAN 2
202 KALIMANTAN TIMUR KAB. TANA TIDUNG 2
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-13-

NO PROVINSI DAERAH TINGKAT II ZONA

203 KALIMANTAN TIMUR KOTA BONTANG 2


204 KALIMANTAN TIMUR KOTA TARAKAN 2
205 KALIMANTAN TIMUR KAB. BERAU 3
206 KALIMANTAN TIMUR KAB. BULUNGAN 3
207 KEPULAUAN BANGKA BELITUNG KAB. BANGKA 1
208 KEPULAUAN BANGKA BELITUNG KAB. BANGKA BARAT 1
209 KEPULAUAN BANGKA BELITUNG KAB. BANGKA TENGAH 1
210 KEPULAUAN BANGKA BELITUNG KAB. BELITUNG 1
211 KEPULAUAN BANGKA BELITUNG KAB. BELITUNG TIMUR 1
212 KEPULAUAN BANGKA BELITUNG KOTA PANGKAL PINANG 1
213 KEPULAUAN BANGKA BELITUNG KAB. BANGKA SELATAN 2
214 KEPULAUAN RIAU KAB. BINTAN 1
215 KEPULAUAN RIAU KAB. KARIMUN 1
216 KEPULAUAN RIAU KAB. LINGGA 1
217 KEPULAUAN RIAU KAB. NATUNA 1
218 KEPULAUAN RIAU KOTA BATAM 1
219 KEPULAUAN RIAU KOTA TANJUNG PINANG 1
220 LAMPUNG KAB. LAMPUNG TENGAH 3
221 LAMPUNG KAB. LAMPUNG TIMUR 3
222 LAMPUNG KAB. LAMPUNG UTARA 3
223 LAMPUNG KAB. TULANG BAWANG 3
224 LAMPUNG KAB. WAY KANAN 3
225 LAMPUNG KOTA METRO 3
226 LAMPUNG KAB. LAMPUNG SELATAN 4
227 LAMPUNG KAB. PESAWARAN 4
228 LAMPUNG KOTA BANDAR LAMPUNG 4
229 LAMPUNG KAB. LAMPUNG BARAT 5
230 LAMPUNG KAB. TANGGAMUS 5
231 MALUKU KAB. MALUKU TENGAH 4
232 MALUKU KAB. MALUKU TENGGARA 4
233 MALUKU KAB. SERAM BAGIAN BARAT 4
234 MALUKU KOTA TUAL 4
235 MALUKU KAB. BURU 5
236 MALUKU KAB. KEPULAUAN ARU 5
237 MALUKU KAB. MALUKU TENGGARA BARAT 5
238 MALUKU KAB. SERAM BAGIAN TIMUR 5
239 MALUKU KOTA AMBON 5
240 MALUKU UTARA KAB. HALMAHERA TENGAH 4
241 MALUKU UTARA KAB. HALMAHERA TIMUR 4
242 MALUKU UTARA KAB. HALMAHERA BARAT 5
243 MALUKU UTARA KAB. HALMAHERA SELATAN 5
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-14-

NO PROVINSI DAERAH TINGKAT II ZONA

244 MALUKU UTARA KAB. HALMAHERA UTARA 5


245 MALUKU UTARA KAB. KEPULAUAN SULA 5
246 MALUKU UTARA KOTA TERNATE 5
247 MALUKU UTARA KOTA TIDORE 5
248 NANGGROE ACEH DARUSSALAM KAB. ACEH UTARA 3
249 NANGGROE ACEH DARUSSALAM KOTA LHOKSEUMAWE 3
250 NANGGROE ACEH DARUSSALAM KAB. ACEH TAMIANG 4
251 NANGGROE ACEH DARUSSALAM KAB. ACEH TENGAH 4
252 NANGGROE ACEH DARUSSALAM KAB. ACEH TIMUR 4
253 NANGGROE ACEH DARUSSALAM KAB. BENER MERIAH 4
254 NANGGROE ACEH DARUSSALAM KAB. BIREUEN 4
255 NANGGROE ACEH DARUSSALAM KOTA LANGSA 4
256 NANGGROE ACEH DARUSSALAM KAB. ACEH BARAT 5
257 NANGGROE ACEH DARUSSALAM KAB. ACEH BARAT DAYA 5
258 NANGGROE ACEH DARUSSALAM KAB. ACEH BESAR 5
259 NANGGROE ACEH DARUSSALAM KAB. ACEH JAYA 5
260 NANGGROE ACEH DARUSSALAM KAB. ACEH SELATAN 5
261 NANGGROE ACEH DARUSSALAM KAB. ACEH SINGKIL 5
262 NANGGROE ACEH DARUSSALAM KAB. ACEH TENGGARA 5
263 NANGGROE ACEH DARUSSALAM KAB. GAYO LUES 5
264 NANGGROE ACEH DARUSSALAM KAB. NAGANRAYA 5
265 NANGGROE ACEH DARUSSALAM KAB. PIDIE 5
266 NANGGROE ACEH DARUSSALAM KAB. PIDIE JAYA 5
267 NANGGROE ACEH DARUSSALAM KAB. SIMEULUE 5
268 NANGGROE ACEH DARUSSALAM KOTA BANDA ACEH 5
269 NANGGROE ACEH DARUSSALAM KOTA SABANG 5
270 NANGGROE ACEH DARUSSALAM KOTA SUBULUSSALAM 5
271 NUSA TENGGARA BARAT KAB. BIMA 4
272 NUSA TENGGARA BARAT KAB. LOMBOK TENGAH 4
273 NUSA TENGGARA BARAT KAB. LOMBOK TIMUR 4
274 NUSA TENGGARA BARAT KAB. SUMBAWA 4
275 NUSA TENGGARA BARAT KAB. SUMBAWA BARAT 4
276 NUSA TENGGARA BARAT KOTA BIMA 4
277 NUSA TENGGARA BARAT KAB. DOMPU 5
278 NUSA TENGGARA BARAT KAB. LOMBOK BARAT 5
279 NUSA TENGGARA BARAT KOTA MATARAM 5
280 NUSA TENGGARA TIMUR KAB. ENDE 4
281 NUSA TENGGARA TIMUR KAB. FLORES TIMUR 4
282 NUSA TENGGARA TIMUR KAB. KUPANG 4
283 NUSA TENGGARA TIMUR KAB. MANGGARAI 4
284 NUSA TENGGARA TIMUR KAB. MANGGARAI BARAT 4
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-15-

NO PROVINSI DAERAH TINGKAT II ZONA

285 NUSA TENGGARA TIMUR KAB. MANGGARAI TIMUR 4


286 NUSA TENGGARA TIMUR KAB. NGADA 4
287 NUSA TENGGARA TIMUR KAB. ROTE NDAO 4
288 NUSA TENGGARA TIMUR KAB. SIKKA 4
289 NUSA TENGGARA TIMUR KAB. SUMBA TIMUR 4
290 NUSA TENGGARA TIMUR KOTA KUPANG 4
291 NUSA TENGGARA TIMUR KAB. ALOR 5
292 NUSA TENGGARA TIMUR KAB. BELU 5
293 NUSA TENGGARA TIMUR KAB. LEMBATA 5
294 NUSA TENGGARA TIMUR KAB. NAGEKEO 5
295 NUSA TENGGARA TIMUR KAB. SUMBA BARAT 5
296 NUSA TENGGARA TIMUR KAB. SUMBA BARAT DAYA 5
297 NUSA TENGGARA TIMUR KAB. SUMBA TENGAH 5
298 NUSA TENGGARA TIMUR KAB. TIMOR TENGAH SELATAN 5
299 NUSA TENGGARA TIMUR KAB. TIMOR TENGAH UTARA 5
300 PAPUA KAB. MERAUKE 1
301 PAPUA KAB. ASMAT 2
302 PAPUA KAB. BOVEN DIGOEL 2
303 PAPUA KAB. MAPPI 2
304 PAPUA KAB. MIMIKA 3
305 PAPUA KAB. PUNCAK JAYA 3
306 PAPUA KAB. BIAK NUMFOR 4
307 PAPUA KAB. PANIAE 4
308 PAPUA KAB. PEGUNUNGAN BINTANG 4
309 PAPUA KAB. SUPIORI 4
310 PAPUA KAB. WAROPEN 4
311 PAPUA KAB. YAPEN WAROPEN 4
312 PAPUA KAB. JAYAPURA 5
313 PAPUA KAB. JAYAWIJAYA 5
314 PAPUA KAB. KEEROM 5
315 PAPUA KAB. NABIRE 5
316 PAPUA KAB. SARMI 5
317 PAPUA KAB. TOLIKARA 5
318 PAPUA KAB. YAHUKIMO 5
319 PAPUA KOTA JAYAPURA 5
320 PAPUA BARAT KAB. FAK-FAK 3
321 PAPUA BARAT KAB. KAIMANA 3
322 PAPUA BARAT KAB. SORONG SELATAN 3
323 PAPUA BARAT KOTA SORONG 3
324 PAPUA BARAT KAB. RAJA AMPAT 4
325 PAPUA BARAT KAB. SORONG 4
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-16-

NO PROVINSI DAERAH TINGKAT II ZONA

326 PAPUA BARAT KAB. TELUK BINTUNI 4


327 PAPUA BARAT KAB. TELUK WANDOMA 4
328 PAPUA BARAT KAB. MANOKWARI 5
329 RIAU KAB. BENGKALIS 2
330 RIAU KAB. INDRAGIRI HILIR 2
331 RIAU KAB. INDRAGIRI HULU 2
332 RIAU KAB. PELALAWAN 2
333 RIAU KAB. ROKAN HILIR 2
334 RIAU KAB. SIAK 2
335 RIAU KOTA DUMAI 2
336 RIAU KAB. KAMPAR 3
337 RIAU KAB. KUANTAN SINGINGI 3
338 RIAU KAB. ROKAN HULU 3
339 RIAU KOTA PEKANBARU 3
340 SELAWESI SELATAN KAB. BARRU 3
341 SELAWESI SELATAN KAB. ENREKANG 3
342 SELAWESI SELATAN KAB. LUWU 3
343 SELAWESI SELATAN KAB. LUWU TIMUR 3
344 SELAWESI SELATAN KAB. LUWU UTARA 3
345 SELAWESI SELATAN KAB. PINRANG 3
346 SELAWESI SELATAN KAB. SIDENRENG RAPPANG 3
347 SELAWESI SELATAN KAB. SOPPENG 3
348 SELAWESI SELATAN KAB. WAJO 3
349 SELAWESI SELATAN KOTA PALOPO 3
350 SELAWESI SELATAN KOTA PARE-PARE 3
351 SULAWESI BARAT KAB. MAMUJU UTARA 3
352 SULAWESI BARAT KAB. MAJENE 4
353 SULAWESI BARAT KAB. MAMASA 4
354 SULAWESI BARAT KAB. MAMUJU 4
355 SULAWESI BARAT KAB. POLEWALI MANDAR 4
356 SULAWESI SELATAN KAB. BANTAENG 2
357 SULAWESI SELATAN KAB. BONE 2
358 SULAWESI SELATAN KAB. BULUKUMBA 2
359 SULAWESI SELATAN KAB. GOWA 2
360 SULAWESI SELATAN KAB. JENEPONTO 2
361 SULAWESI SELATAN KAB. MAROS 2
362 SULAWESI SELATAN KAB. PANGKAJENE KEPULAUAN 2
363 SULAWESI SELATAN KAB. SELAYAR 2
364 SULAWESI SELATAN KAB. SINJAI 2
365 SULAWESI SELATAN KAB. TAKALAR 2
366 SULAWESI SELATAN KOTA MAKASSAR 2
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-17-

NO PROVINSI DAERAH TINGKAT II ZONA

367 SULAWESI SELATAN KAB. TANAH TORAJA 4


368 SULAWESI TENGAH KAB. MOROWALI 3
369 SULAWESI TENGAH KAB. BANGGAI KEPULAUAN 4
370 SULAWESI TENGAH KAB. DONGGALA 4
371 SULAWESI TENGAH KAB. POSO 4
372 SULAWESI TENGAH KAB. TOJO UNA-UNA 4
373 SULAWESI TENGAH KOTA PALU 4
374 SULAWESI TENGAH KAB. BANGGAI 5
375 SULAWESI TENGAH KAB. BUOL 5
376 SULAWESI TENGAH KAB. PARIGI MOUTONG 5
377 SULAWESI TENGAH KAB. TOLI-TOLI 5
378 SULAWESI TENGGARA KAB. BOMBANA 3
379 SULAWESI TENGGARA KAB. BUTON 3
380 SULAWESI TENGGARA KAB. KOLAKA 3
381 SULAWESI TENGGARA KAB. KOLAKA UTARA 3
382 SULAWESI TENGGARA KAB. KONAWE 3
383 SULAWESI TENGGARA KAB. KONAWE SELATAN 3
384 SULAWESI TENGGARA KAB. KONAWE UTARA 3
385 SULAWESI TENGGARA KAB. MUNA 3
386 SULAWESI TENGGARA KAB. WAKATOBI 3
387 SULAWESI TENGGARA KOTA BAU-BAU 3
388 SULAWESI TENGGARA KAB. BUTON UTARA 4
389 SULAWESI TENGGARA KOTA KENDARI 4
390 SULAWESI UTARA KAB. BOLAANG MONGONDOW 5
391 SULAWESI UTARA KAB. BOLAANG MONGONDOW UT 5
392 SULAWESI UTARA KAB. KEPULAUAN SANGIHE 5
393 SULAWESI UTARA KAB. KEPULAUAN SITARO 5
394 SULAWESI UTARA KAB. KEPULAUAN TALAUD 5
395 SULAWESI UTARA KAB. MINAHASA 5
396 SULAWESI UTARA KAB. MINAHASA SELATAN 5
397 SULAWESI UTARA KAB. MINAHASA TENGGARA 5
398 SULAWESI UTARA KAB. MINAHASA UTARA 5
399 SULAWESI UTARA KOTA BITUNG 5
400 SULAWESI UTARA KOTA KOTAMOBAGU 5
401 SULAWESI UTARA KOTA MANADO 5
402 SULAWESI UTARA KOTA TOMOHON 5
403 SUMATRA BARAT KAB. DHARMASRAYA 3
404 SUMATRA BARAT KAB. PASAMAN 3
405 SUMATRA BARAT KAB. LIMA PULUH KOTA 4
406 SUMATRA BARAT KAB. PASAMAN BARAT 4
407 SUMATRA BARAT KAB. SAWAHLUNTO SIJUNJUNG 4
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-18-

NO PROVINSI DAERAH TINGKAT II ZONA

408 SUMATRA BARAT KAB. TANAH DATAR 4


409 SUMATRA BARAT KOTA PAYAKUMBUH 4
410 SUMATRA BARAT KOTA SAWAHLUNTO 4
411 SUMATRA BARAT KAB. AGAM 5
412 SUMATRA BARAT KAB. KEPULAUAN MENTAWAI 5
413 SUMATRA BARAT KAB. PADANG PARIAMAN 5
414 SUMATRA BARAT KAB. PESISIR SELATAN 5
415 SUMATRA BARAT KAB. SOLOK 5
416 SUMATRA BARAT KAB. SOLOK SELATAN 5
417 SUMATRA BARAT KOTA BUKITTINGGI 5
418 SUMATRA BARAT KOTA PADANG 5
419 SUMATRA BARAT KOTA PADANGPANJANG 5
420 SUMATRA BARAT KOTA PARIAMAN 5
421 SUMATRA BARAT KOTA SOLOK 5
422 SUMATRA SELATAN KAB. OGAN ILIR 2
423 SUMATRA SELATAN KAB. OGAN KOMERING ILIR 2
424 SUMATRA SELATAN KOTA PALEMBANG 2
425 SUMATRA SELATAN KAB. BANYUASIN 3
426 SUMATRA SELATAN KAB. LAHAT 3
427 SUMATRA SELATAN KAB. MUARAENIM 3
428 SUMATRA SELATAN KAB. MUSI BANYUASIN 3
429 SUMATRA SELATAN KAB. OGAN KOMERING ULU 3
430 SUMATRA SELATAN KAB. OGAN KOMERING ULU TI 3
431 SUMATRA SELATAN KOTA PRABUMULIH 3
432 SUMATRA SELATAN KAB. EMPAT LAWANG 4
433 SUMATRA SELATAN KAB. MUSI RAWAS 4
434 SUMATRA SELATAN KAB. OGAN KOMERING ULU SE 4
435 SUMATRA SELATAN KOTA LUBUKLINGGAU 4
436 SUMATRA SELATAN KOTA PAGARALAM 4
437 SUMATRA UTARA KAB. ASAHAN 3
438 SUMATRA UTARA KAB. BATUBARA 3
439 SUMATRA UTARA KAB. DELI SERDANG 3
440 SUMATRA UTARA KAB. LABUHAN BATU 3
441 SUMATRA UTARA KAB. LANGKAT 3
442 SUMATRA UTARA KAB. SERDANG BEDAGAI 3
443 SUMATRA UTARA KOTA BINJAI 3
444 SUMATRA UTARA KOTA MEDAN 3
445 SUMATRA UTARA KOTA TANJUNG BALAI 3
446 SUMATRA UTARA KOTA TEBING TINGGI 3
447 SUMATRA UTARA KAB. ANGKOLA SIPIROK 4
448 SUMATRA UTARA KAB. DAIRI 4
Lampiran IV
Surat Edaran Nomor: SE-06/D.05/2013
Tanggal: 31 Desember 2013

-19-

NO PROVINSI DAERAH TINGKAT II ZONA

449 SUMATRA UTARA KAB. KARO 4


450 SUMATRA UTARA KAB. MANDAILING NATAL 4
451 SUMATRA UTARA KAB. PADANG LAWAS 4
452 SUMATRA UTARA KAB. PAKPAK BHARAT 4
453 SUMATRA UTARA KAB. SAMOSIR 4
454 SUMATRA UTARA KAB. SIMALUNGUN 4
455 SUMATRA UTARA KAB. TAPANULI SELATAN 4
456 SUMATRA UTARA KAB. TOBA SAMOSIR 4
457 SUMATRA UTARA KOTA PADANG SIDEMPUAN 4
458 SUMATRA UTARA KOTA PEMATANG SIANTAR 4
459 SUMATRA UTARA KAB. HUMBANG HASUNDUTAN 5
460 SUMATRA UTARA KAB. NIAS 5
461 SUMATRA UTARA KAB. NIAS SELATAN 5
462 SUMATRA UTARA KAB. TAPANULI TENGAH 5
463 SUMATRA UTARA KAB. TAPANULI UTARA 5
464 SUMATRA UTARA KOTA SIBOLGA 5

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