FORMULIR REKAPITULASI TINGKAT KOMPONEN DALAM NEGERI (TKDN)

NILAI GABUNGAN BARANG/JASA (Rp) TKDN

URAIAN PEKERJAAN TOTAL

BARANG/
DN LN GABUNGAN
JASA
RIBU (RP) % KDN

(1) (2) (3) (4) (5) (6) (7)

BARANG

I Material Langsung (Barang Baku) 95,715,000.00 - - - 11.25

II Peralatan (Barang Jadi) 509,566,800.00 245,546,480.00 755,113,280.00 67.48 59.89

A. Sub Total Barang 605,281,800.00 245,546,480.00 850,828,280.00 67.48 71.14

JASA

III Jasa Umum 212,671,720.00 - 212,671,720.00 - -

B. Sub Total Jasa 212,671,720.00 - 212,671,720.00 - -

C. Total Biaya (A+B) 817,953,520.00 245,546,480.00 1,063,500,000.00 76.91

Formulasi Perhitungan :

Nilai Barang Total (3C)-Nilai Barang Luar Negeri (3B)

% TKDN Barang =
Nilai Gabungan Barang dan Jasa (6C)

850,828,280.00 - 245,546,480.00
= x 100
1,063,500,000.00

1,063,500,000 = 56.91

Nilai Jasa Total (5C)-Nilai Jasa Luar Negeri (5B)

% TKDN Jasa =
Nilai Gabungan Barang dan Jasa (6C)

212,671,720.00 - -
= x 100
1,063,500,000.00

= 20.00 266,638,000

= 76.91 %
% TKDN (Gabungan Barang dan Jasa)

Jakarta, 2022

CV. SEMANGGI JAYA

Formulir 4.1. : TKDN Gabungan Barang dan Jasa untuk Material Langsung (Bahan Baku)

NAMA PENYEDIA BARANG/JASA : #REF!

ALAMAT : #REF!
NAMA PEKERJAAN : #REF!
PEMILIK PEKERJAAN : #REF!
NO. DOKUMEN : #REF!

TKDN HARGA SATUAN BIAYA (RP.)

NO URAIAN SPESIFIKASI PEMASOK/NEGARA ASAL JUMLAH SATUAN
(%) (RIBU RP.) KDN KLN
1 2 3 4 5 6 7 8 9

1 - - ls - - -
2 - - ls - - -
3 - - ls - - -

MATERIAL LANGSUNG (BAHAN BAKU) SUB TOTAL - -

BIAYA (RP.) TKDN BARANG
TOTAL (%)
9 10

- #DIV/0! 26,500,000.00 2,650,000 29,150,000

- #DIV/0! 6,352,000.00 635,200 6,987,200
- #DIV/0! 4,365,000.00 436,500 4,801,500

-
90,000.00

- #DIV/0!
Formulir 4.2. : TKDN Gabungan Barang dan Jasa untuk Peralatan (Barang Jadi)

NAMA PENYEDIA BARANG/JASA : #REF!

ALAMAT : #REF!
NAMA PEKERJAAN : #REF!
PEMILIK PEKERJAAN : #REF!
NO. DOKUMEN : #REF!

TKDN HARGA SATUAN BIAYA (RP.) TKDN BARANG

NO URAIAN SPESIFIKASI PEMASOK/NEGARA ASAL JUMLAH SATUAN
(%) (RIBU RP.) KDN KLN TOTAL (%)
1 2 3 4 5 6 7 8 9 10

1 Sound System dan conferent system Merk BOSCH 75 1 Set 329,600,000.00 329,600,000.00 82,400,000.00 412,000,000.00 43.65
4 Bh Speaker 10" Merk Soundance Type : SD-480G3
1 Bh Power Amplifier Soundance SD-3000
1 Bh Mixer Yamaha 16 ch MG16xu
2 Roll Kabel Speaker Type Nymhy 2 x 1,5mm
1 Roll Kabel Mic Kanare Asli Type 12T2S
4 Bh Breaket Speaker Type Kastem
2 set Mic Wireless Soundance 2 chanel Type : SD-5811
1 Bh Rak besi 16 H+ Roda Type SRK 16

AC Split 1 PK Panasonic 80 10 unit 8,000,000.00 8,000,000.00 16,000,000.00 24,000,000.00 1.06

Model : LN9WKJ
Type : AC Low Voltage

AC 2 PK Panasonic 80 6 unit 10,000,400.00 10,000,400.00 12,000,480.00 22,000,880.00 1.32

Model : FTC50NV14
Model : CS-YN18WKJ - - - -
- - - -
4 AC Standing polytron 5PK 75 3 unit 33,000,000.00 33,000,000.00 24,750,000.00 57,750,000.00 4.37
MODEL : FVA100AMVM
MODEL : PSF-5003

5 Kamera Nikon 100 1 unit 45,420,000.00 45,420,000.00 - 45,420,000.00 6.01

Type : Nikon Z6 KIT Z-24 70mm
6 Treadmill Total 100 1 unit 15,500,400.00 15,500,400.00 - 15,500,400.00 2.05
Type : TL 199

7 Keyboard YAMAHA 100 1 unit 25,500,000.00 25,500,000.00 - 25,500,000.00 3.38

Type : PSR SX900

8 Kamera Zoom Meeting - 2 Buah 8,500,000.00 8,500,000.00 17,000,000.00 25,500,000.00 1.13

Logitech Connect Conference Cam

11 Softwere Microsoft Office 2019 - 5 unit 1,668,000.00 1,668,000.00 8,340,000.00 10,008,000.00 0.22

12 Printer Epson - 4 unit 4,150,000.00 4,150,000.00 16,600,000.00 20,750,000.00 0.55

Type : L3210

13 Scanner Epson - 4 unit 6,000,000.00 6,000,000.00 24,000,000.00 30,000,000.00 0.79

Type : DS-410

14 Mesin Fotocopy tanpa fax - 2 unit 22,228,000.00 22,228,000.00 44,456,000.00 66,684,000.00 2.94
Merk : Sharp
Type : MX-B350 W

PERALATAN (BARANG JADI) SUB TOTAL 509,566,800.00 245,546,480.00 755,113,280.00 67.48

755,113,280.00
 55,000.00 5,500 60,500.00
175,000.00 17,500 192,500.00
275,000.00 27,500 302,500.00
20,000.00 2,000 22,000.00
674,000.00 67,400 741,400.00
50,000.00 5,000 55,000.00
- -
25,000.00 2,500 27,500.00
90,000.00 9,000 99,000.00
220,000.00 22,000 242,000.00
20,000.00 2,000 22,000.00
670,000.00 67,000 737,000.00
50,000.00 5,000 55,000.00
- -
- -
25,000.00 2,500 27,500.00
90,000.00 9,000 99,000.00
220,000.00 22,000 242,000.00
Formulir 4.6. : TKDN Gabungan Barang dan Jasa untuk Jasa Umum

NAMA PENYEDIA BARANG/JASA : #REF!

ALAMAT : #REF!
NAMA PEKERJAAN : #REF!
PEMILIK PEKERJAAN : #REF!
NO. DOKUMEN : #REF!

TKDN HARGA SATUAN BIAYA (RP.)

NO URAIAN KEWARGANEGARAAN JUMLAH SATUAN/DURASI
(%) (RIBU RP.) KDN KLN TOTAL
1 2 3 5 6 7 8 9

1 AC Floor Standing 5 PK Indonesia - - 0 - - - -

2 AC Split 2 PK Indonesia - - 0 - - - -
3 AC Split 1.5 PK Indonesia - - 0 - - - -
9 Upgrade Penangkal Petir Gedung Ir. H. Juan 100 1 lot 213,065,000.00 213,065,000.00 - 213,065,000.00
-
Bilik Disinfektan Uk. 2.4m x 2.4m x 1.8m 100 2 lot 44,000,000.00 44,000,000.00 - 44,000,000.00

JASA UMUM SUB TOTAL 257,065,000.00 - 257,065,000.00

TKDN JASA
(%)
10

- 500,000.00 50,000 550,000

- 350,000.00 35,000 385,000
- 350,000.00 35,000 385,000
82.88 -
- 3,000
17.12

100.00
40