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REKAPITULASI DATA USULAN PENGGANTI

1. PROVINSI : SUMATERA SELATAN
2. KOTA
: PALEMBANG

3. KECAMATAN : SEB
4. KELURAHAN : 5 U

TEMPAT & TANGAL LAHIR
NO

1

ALAMAT LENGKAP TEMPAT TINGGAL

6

NO. KARTU KELUARGA

NO. NIK / KTP

NAMA LENGKAP

JENIS
KELAMIN

HUBUNGAN
KELUARGA

PARTISIPASI
SEKOLAH

KECACATAN

TEMPAT LAHIR

DD/MM/YY

USIA*

KODE

KODE

KODE

KODE

11

12

13

14

15

16

7

8

9

10

Ibtitsamah

Palembang

2

3

0

0

1.

Lr. Kedukan No. 909 Rt.25 Rw.06

1671020502070140

1671025210130002

2.

Lr. Siliwangi No. 233 Rt.09 Rw.02

1671020501070069

1671027112550033

Salna

Palembang

2

2

1

0

3.

Lr. Siliwangi No. 233 Rt.09 Rw.02

1671020501070069

1671021806750003

Helmi

Palembang

1

3

5

0

4

Lr. Siliwangi No. 233 Rt.09 Rw.02

1671020501070069

1671025810830009

Nelly

Palembang

2

3

5

0

5.

Lr. Siliwangi Rt. 09 Rw. 03

1671022702090034

1671022002560016

Amir Saripudin

Palembang

1

1

1

0

6.

Lr. Siliwangi Rt. 09 Rw. 03

1671022702090034

1671024301460016

Lena

Palembang

2

2

1

0

7.

Lr. Siliwangi Rt. 09 Rw. 03

1671020110070032

1671021007490007

Muhammad A

Palembang

1

1

5

0

8.

Lr. Siliwangi Rt. 09 Rw. 03

1671020110070032

1671024306490002

Salma

Palembang

2

2

5

0

9.

Lr. Siliwangi Rt. 09 Rw. 03

1671020110070037

1671020307650013

Subani

Palembang

1

1

5

0

10. Lr. Siliwangi Rt. 09 Rw. 03

1671020110070037

1671025309670006

Soleha

Palembang

2

2

5

0

11. Lr. Siliwangi No. 342 Rt. 09 Rw. 03

1671020110070038

1671021207590003

Net

Palembang

1

1

1

0

12. Lr. Siliwangi No. 342 Rt. 09 Rw. 03

1671020110070038

1671026405610002

Cikyah

Palembang

2

2

1

0

13. Jl. KH Azhari Lr. Siliwangi Rt.09Rw.03

1671021607080036

1671021110650021

Rusli

Palembang

1

1

5

0

14. Jl. KH Azhari Lr. Siliwangi Rt.09Rw.03

1671021607080036

1671024101710001

Rosdiana

Palembang

2

2

5

0

15. Jl. KH Azhari Lr. Siliwangi Rt.09Rw.03

1671021607080036

1671023008900005

Chandra Darusman

Palembang

1

3

5

0

16. Jl. KH Azhari Lr. Siliwangi Rt.09Rw.03

1671021607080036

1671020504030010

M. Robihabli

Palembang

1

3

1

0

17. Lr. Perbatasan No. 1122 Rt.31 Rw.06

1671021504140002

1671025003540004

Yuhana

Meranjat-OI

2

6

1

0

18. Lr. Perbatasan Rt.31 Rw.06

1671020210060050

1671025002620008

Imamah

Meranjat-OI

2

1

1

0

19. Lr. Perbatasan No. 1122 Rt.31 Rw.06

1671021301070101

1671022908720002

Zulkzrnain

Palembang

1

1

5

0

20. Lr. Perbatasan No. 1122 Rt.31 Rw.06

1671021301070101

1671025807780005

Eka Fitriyanti

Muara Dua Kisam

2

2

5

0

21. Lr. Tajur No. 785 Rt. 22 Rw. 05

1671022307090001

1671022212740009

Rian Fadillah

MURA Ma. Megang

1

1

5

0

22. Lr. Tajur No. 792 Rt. 22 Rw. 05

1671020509080020

1671027010540001

Asni Maryati

Banyu Lincir

2

1

3

0

23. Lr. Tajur No. 792 Rt. 22 Rw. 05

1671020509080020

1671022705780001

Jack Andry

Palembang

1

3

3

0

24. Lr. Tajur Rt. 22 Rw. 05

1671022307100013

1671021504690009

Setyo Harsoyo

Jepara Jawa Tengah

1

1

7

0

12 1671021301070093 1671026606130002 Reisya Asmarida Palembang 2 3 1 0 56. 53 Rw. 11 Rw. 912 Rt. Nahya Palembang 2 3 5 0 40. Lr. Rizky Doeng Bogor 1 3 1 0 43. Arya Rabani Palembang 1 3 1 0 55. 25 Rw. Lr. 53 Rw. Lr. Tajur No. 12 1671021301070093 1671025201760004 Suraidah Palembang 2 2 5 0 53. 12 1671021301070093 1671022210970006 Octa Ryan Syahputra Palembang 1 3 3 0 54. Tajur Rt. 38 Rw. Lr. Lr. Alex Saputra Belitang 1 3 3 0 36. 25 Rw. 1514 Rt. Lr. 12 1671021301070093 1671021512030002 M. Kedukan No. 25 Rw. 22 Rw. Lr. 53 Rw. 05 1671020601110016 1671024407090008 Msy. Lr. Swadaya No. Kedukan No. 05 1671020601110016 1671021109960019 Msg. 05 1671020310060022 1671025404650007 Msy. 53 Rw. 05 1671020310060022 1671025012360004 Msy. Tajur Rt. Lr. 25 Rw. 05 1671020502070126 1671020204760019 KMS Adhim Helmi Palembang 1 7 5 0 47. 912 Rt. Aman II No. Kedukan No. Aman II No. 12 1671021802150016 1671020905720007 Ahmad Marwani Palembang 1 1 3 0 49. Panca Usaha Rt. 10 1671021109070047 1671020310950010 Salahudin Al Amin Palembang 1 3 2 0 33. 05 1671022307100013 1671021907970008 Rizki Dinanda Bogor 1 3 0 0 28. Swadaya No. 2497 Rt. Lr. Lr. 2497 Rt. Ibrahim Palembang 1 1 2 0 45. Kedukan No. Lr. 53 Rw. Tajur Rt. 05 1671022307100013 1671026310950004 Mona Alfianita Palembang 2 3 1 0 27. Kedukan No. Aman II No.25. 38 Rw. Swadaya No. 38 Rw. 05 1671022704070029 1671022202650007 Firmansyah Palembang 1 1 5 0 41. 05 1671022704070029 1671025206790012 Yatni Palembang 2 2 2 0 42. 912 Rt. Panca Usaha Rt. Jl. 05 1671020601110016 1671020405033000 Mgs Medi Kurniawan Palembang 1 3 2 0 37. Lr. 53 Rw. 53 Rw. Jl. Aman II No. Lr. 1514 Rt. Lr. Swadaya No. Lago OKI 2 2 7 0 26. Tajur Rt. 912 Rt. 05 1671020502070126 1671025404720004 Nys Maimunah Palembang 2 7 5 0 46. Lr. 916 Rt. Kedukan No. 22 Rw. 395 Rt. Panca Usaha Rt. Jl. Lr. Jl. 912 Rt. Kedukan Rt. 2497 Rt. Lr. 05 1671022704070029 1671026901030006 Desti Amelia Putri Palembang 2 3 1 0 44. 38 Rw. Lr. Kedukan Rt. 2497 Rt. 25 Rw. 25 Rw. 25 Rw. Lr. Kedukan No. Lr. Zubaidah Palembang 2 1 2 0 39. Lr. 10 1671021109070047 1671020905610008 Mustamir Suka Pindah 1 1 2 0 31. 1514 Rt. 22 Rw. 53 Rw. 12 1671021802150016 1671024411110003 Viona Rahmawani Kayu Agung OKI 2 3 1 0 51. Lr. Jl. Kedukan No. 29 Rw. 25 Rw. Swadaya No. 844 Rt. 2497 Rt. 25 Rw. Siliwangi No. Kedukan No. 916 Rt. Panca Usaha Rt. 10 1671021109070047 1671022612990008 Muhammad Arif Palembang 1 3 1 0 34. Lr. 06 1671021510090003 1671025808120001 Sania Agustina Nur Savitri Palembang 2 3 0 0 30. Lr. HalimahKurniah Palembang 2 3 1 0 38. 53 Rw. 12 1671022612060003 1671026405820009 Anita Palembang 2 2 5 0 . 25 Rw. Syukri Palembang 1 1 5 0 57. 05 1671022307100013 1671026109690003 Isnaini Tj. 53 Rw. 12 1671022612060003 1671021103760007 M. 912 Rt. Panca Usaha Rt. Lr. 912 Rt. 12 1671021802150016 1671020512800023 Lisnani Ketiau OI 2 2 3 0 50. 10 1671021109070047 1671025702560005 Masuro Suka Pindah 2 2 2 0 32. Lr. 25 Rw. 003 1671023101080020 1671027012350008 Hindun Palembang 2 7 2 0 48. 25 Rw. Kedukan Rt. Lr. 25 Rw. 12 1671021301070093 1671022306750004 Ali Aswar Jakarta 1 1 5 0 52. 05 1671020601110016 1671026002790015 Supriyanti Belitang 2 1 3 0 35. 22 Rw. 1514 Rt. 05 1671020502070126 1671023012560015 KMs. 05 1671022307100013 1671024101020015 Syahira Wulandari Kayu Agung 2 3 0 0 29. 05 1671022704070029 1671021109980009 Kms. Kedukan Rt.

Lr. 55 Rw. Siliwangi No. Panca Usaha Rt. 09 1671022802110027 1671025511130004 Naira Asroni Putri Palembang 2 3 1 0 90. Lr. 12 Rw. Lr. Lr. 12 Rw. Jl. 04 1671020702070115 1671025801960007 Rosydah Azima Palembang 2 3 5 0 66. Porlopa No. 09 1671022907110004 1671025708000025 Soliha Palembang 2 1 3 0 . 12 1671020509130002 1671021805630002 Abdullah Gunung Batu 1 1 5 0 79. Porlopa No. Panca Usaha Rt. Siliwangi Rt. 61 Rw. 61 Rw. 2615 Rt. Rian Marta Dinata Palembang 1 3 1 0 59. Porlopa No. 442 Rt. 2005 Rt. Porlopa Rt. 12 1671021507070025 1671022002590005 Fauzi Palembang 1 1 3 0 78. 12 Rw. Fathir Rahman Palembang 1 3 1 0 63. Panca Usaha Rt. Siliwangi Rt. 442 Rt. 12 Rw. Rodiah Palembang 2 2 5 0 65. 09 1671022802110027 1671021111860006 Mukhlisin Lubuk Linggau 1 1 5 0 87. Siliwangi No. 12 Rw. 55 Rw. 429 Rt. Lr. 04 1671022612060031 1671024804460002 Nona Bin Muhammad Palembang 2 1 2 0 69. 61 Rw. 09 1671021304090057 1671024406610006 Mashuri Palembang 2 1 2 0 86. 429 Rt. 55 Rw. Lr. 04 1671020208070027 1671022004070003 Muhammad Taufik Palembang 1 7 1 0 77. 12 1671022612060003 1671020107110006 M. Lr. 12 1671020312080001 1671021402660001 Abdul Kadir P. Siliwangi No. 04 1671020208070027 1671021208780017 Raden Muhammad Ali Palembang 1 1 5 0 74. 53 Rw. 429 Rt. 09 1671022802110027 1671024507920011 Dina Astuti Palembang 2 2 3 0 88. Siliwangi No. 61 Rw. Gemantung OKU 1 1 2 0 82. 12 Rw. 09 1671022802110027 1671026606090005 Naurah Syafaira Palembang 2 3 1 0 89. Lr. Terusan 1 Rt. Lr. Siliwangi Rt. Lr. 09 1671021107140006 1671025606880010 Eva Juniarti Hartika Palembang 2 2 5 0 84. 12 Rw. 53 Rw. 12 Rw. 61 Rw. Siliwangi Rt. 61 Rw. Terusan 1 Rt. 04 1671020208070027 1671025109860007 RA Tjek Putri Palembang 2 7 5 0 75. 04 1671022706080003 1671025104650011 Nurul Ain Palembang 2 1 5 0 72. Terusan 1 Rt. 04 1671022706080003 1671020110930012 M. 53 Rw. Terusan 1 Rt. 12 Rw. Panca Usaha Rt. 04 1671020702070115 1671025911060002 Wulan Novrianti Palembang 2 3 1 0 68. 61 Rw. Hasan Palembang 1 3 2 0 73. Lr. 12 Rw. 61 Rw.58. Panca Usaha Rt. Terusan 1 Rt. 12 1671020401100007 1671041905870006 Riki Palembang 1 1 5 0 81. Lr. Lr. Lr. Siliwangi Rt. Terusan 1 Rt. 09 1671021107140006 1671025012140003 Safiyah Amelia Putri Palembang 2 3 1 0 85. 04 1671020702070115 1671022504750005 Fauzan Karang Anyar 1 1 7 0 64. 12 Rw. Siliwangi Rt. Lr. Jl. 09 1671021107140006 1671022905860004 Zulkarnain Palembang 1 1 5 0 83. Jl. Lr. 55 Rw. 12 1671022612060003 1671020503020004 M. Porlopa Rt. 12 1671022612060003 1671025408090002 Kirana Agustini Palembang 2 3 1 0 61. 12 1671022612060003 1671026207080001 Riana Julia Mutiara Palembang 2 3 1 0 60. 55 Rw. Siliwangi No. 12 Rw. 04 1671020305080114 1671025812540001 Ratna Palembang 2 1 3 0 70. 12 1671022612060003 1671025408090003 Kirani Agustina Palembang 2 3 1 0 62. Lr. Terusan 1 Rt. Siliwangi No. Lr. Lr. Lr. 12 1671021202070115 1671020101550031 A. Lr. Lr. 12 Rw. 61 Rw. Siliwangi No. 04 1671020208070027 1671020905880008 RA Romlah Palembang 2 7 5 0 76. 12 Rw. 2612 Rt. Jl. Bakar Tanjung Enim 1 6 5 0 80. Lr. Lr. 429 Rt. Lr. Jl. Lr. 04 1671020702070115 1671027012740006 RA. Terusan 1 Rt. Siliwangi Rt. 53 Rw. 04 1671020305080114 1671024204930016 RA Robiah Palembang 2 3 3 0 71. Lr. 04 1671020702070115 1671024811990005 Indriasari Palembang 2 3 1 0 67. Terusan 1 Rt. Lr. 433 Rt. 53 Rw.

14 Rw. KHA Azhari No. Lr. Lr. 03 1671021401150004 1671021906890010 Dicky Andrian Palembang 1 1 5 0 102. 13 Rw 04 1671022710140004 1671025202150001 Citra Nabila Palembang 2 3 1 0 . Kenduruan Rt. 14 Rw. Kenduruan Rt. Lr. 09 1671022907110004 1671025812810014 Zalpi Palembang 2 3 2 0 92. Lr. 03 1671021902090044 1671025703290001 Hj. 03 1671020209080027 1671020505680015 Lilik Gozali Tasik Malaya 1 1 3 0 104. 03 1671020209080027 1671024705770007 Suaibah Palembang 2 2 5 0 105. Jl. Kenduruan Rt.13 Rw.04 1671020210120014 1671025112110004 Nyayu Syaza Khalisah Alifah Palembang 2 3 1 0 114. 03 1671021706080072 1671021808550004 Antar Ibnu Sahdat Palembang 1 1 5 0 98. Kenduruan Rt.04 1671021912060004 1671027011340001 Nys Maimunah Palembang 2 1 2 0 115. Kenduruan Rt. Kenduruan Rt. 14 Rw.13 Rw. 14 Rw. 469 Rt. Kenduruan Rt. 03 1671020807080077 1671025010630015 Prihatin Ningsih Mojokerto 2 2 3 0 107. 466 Rt. 03 1671021902090046 1671025209880015 Daramita Palembang 2 2 2 0 101. 467 Rt. Terusan 1 Rt. 13 Rw 04 1671020103070121 1671022006120002 Rizki Sajang Palembang 1 3 1 0 118. Jl. Kenduruan No. Kenduruan Rt. 03 1671021008110013 1671065601950006 Perawati Palembang 2 2 5 0 108. Kenduruan Rt. Arfani Palembang 1 1 5 0 202. Lr.13 Rw. 03 1671025104500004 1671025104500004 Yusma OKI-Serapek 2 2 3 0 110. 475 Rt. Lr. Lr. 09 1671022907110004 1671021810850007 Irlan Palembang 1 3 2 0 93. Saripah Palembang 1 2 3 0 111.04 1671020210120014 1671020911790004 Kgs Zen Kipli Palembang 1 1 5 0 112.13 Rw. 03 1671021902090046 1671020208820016 Fikri Palembang 1 1 2 0 100. 14 Rw. 03 1671021112080006 1671025508500005 Siti Mariyam Palembang 2 2 2 0 95. Jl. 09 1671022907110004 1671025007040008 Rindu Andriyani Palembang 2 3 1 0 94. Lr. 13 Rw 04 1671022710140004 1671025408810015 Nyimas Siti Aisyah Palembang 2 2 5 0 203. 469 Rt. 14 Rw. Lr. 14 Rw. 13 Rw 04 1671022011130004 1671026409130004 Nyimas Makkian Hafizhoh Palembang 2 3 1 0 201. 14 Rw. Kenduruan No. Kenduruan Rt.04 1671022709070004 1671025609120010 Putri Indah Sari Palembang 2 3 1 0 119. Lr. Lr. 14 Rw. Kenduruan Rt. Kenduruan Rt. KHA Azhari No. Lr. 14 Rw. Kenduruan No. Lr. 03 1671020708080019 1671024707720013 Yuliana Sulimah Palembang 2 2 7 0 96. Yamin OKI-Serapek 1 1 3 0 109. 03 1671021401150004 1671026704930007 Lastri Palembang 2 2 3 0 103. Usman Palembang 1 1 5 0 97. 14 Rw. 61 Rw. 14 Rw. KHA Azhari No. 03 1671020807080077 1671022005580007 Mas'ud Palembang 1 1 3 0 106. Kenduruan Rt. Kenduruan Rt.04 1671021912060004 1671024807590007 Nys Yuliani Dahniar Palembang 2 3 5 0 116. Kenduruan Rt. Kenduruan No. Lr. Terusan 1 Rt. Lr. Lr. 03 1671020708080019 1671021112600004 M. Kenduruan Rt. Lr. 13 Rw 04 1671020407080019 1671025012120006 Puja Sekar Rohani Palembang 2 3 1 0 117. Terusan 1 Rt. 14 Rw. Kenduruan Rt. Lr. Lr. 03 1671021902090026 1671021202440006 M. 61 Rw. Lr. 14 Rw. 14 Rw. Lr. Lr. 13 Rw 04 1671022710140004 1671023010860007 M. Kenduruan Rt. Lr. KHA Azhari No. Kenduruan Rt. KHA Azhari No. 61 Rw. Lr. 13 Rw 04 1671022011130004 1671025460910001 Nurlela Ngulak-MUBA 2 2 3 0 200. 14 Rw.13 Rw. Lr.04 1671020210120014 1671025610888008 Sarah Palembang 2 2 5 0 113.13 Rw. 486 Rt. 03 1671021706080072 1671026912600009 Siti Aisyah Palembang 2 2 2 0 99. Kenduruan Rt. Lr. 475 Rt. Lr. 466 Rt. Jl. Jl. 14 Rw.91. 469 Rt. 472 Rt. KHA Azhari No. Jl.

Lr. 1312 Rt. Kenduruan Rt.04 1671023105080075 1671025511610010 Masna Palembang 2 2 2 0 206.09 1671021005070047 1671022409840008 Ipni Tamrin Palembang 1 3 5 0 236. 478 Rt. Kenduruan Rt. Lr. 1312 Rt. Lr. 04 1671022703080020 1671020210850013 Sukmawati Palembang 2 3 3 0 219. Lr. 04 1671021103150010 1671021001140004 Al Fattahan Hendrawan Palembang 1 3 1 0 215. 13 Rw. 14 Rw.13 Rw. 498 Rt. Mutiara II No. Lr.34 Rw. 1312 Rt.04 1671023105080075 1671025010870024 Kurniawati Palembang 2 3 5 0 207. 14 Rw 03 1671031110100007 1671020810010001 Muhammad Musleh Palembang 1 3 1 0 229. Kenduruan Rt. Lr. 04 1671022703080020 1671020308880004 Neliwati Palembang 2 3 3 0 220. KHA Azhari No. Kenduruan No. 03 1671022802070050 1671021507780005 Yunus Palembang 1 1 3 0 222. 505 Rt. Lr. Lr. Jl. Kenduruan No. 505 Rt. 04 1671022703080020 1671020611830012 Imroni Palembang 1 3 3 0 218. 505 Rt. 14 Rw 03 1671031110100007 1671022204790005 Helmi Lampung 1 1 5 0 225. Kenduruan Rt. Lr. Lr. 498 Rt. 04 1671021103150010 1671025608850021 Sutia Agustina Palembang 2 2 5 0 213. Kenduruan No. Kenduruan Rt. Kenduruan No. Lr. Mutiara II No. 03 1671022802070050 1671025511130008 Nova Riani Palembang 2 3 1 0 224. 04 1671022510100015 1671076708850010 Astri Aplesia Palembang 2 2 5 0 209. Lr. Lr.09 1671021005070047 1671023101890007 Febriansyah Palembang 1 3 5 0 237. KHA Azhari No. 498 Rt. 04 1671022703080020 1671024206930018 Cahaya Bintang Palembang 1 3 3 0 221. 14 Rw. 13 Rw.34 Rw. Lr. 04 1671022510100015 1671021712830003 KMS M. Lr.5 1671132009070010 1671135108610003 Patimah Palembang 2 1 2 0 . Lr.34 Rw. Ali Palembang 1 1 5 0 208. 14 Rw. Jl.09 1671021005070047 1671025402820009 Astuti Palembang 2 3 5 0 234. 14 Rw. 03 1671022802070050 1671024809810004 Rofea Palembang 2 2 3 0 223. 04 1671022510100015 1671021201140001 Kms Achamd Hafizh Mahardika Palembang 1 3 1 0 211. 14 Rw 03 1671031110100007 1671025908080003 Istianah Palembang 2 3 1 0 230.04 1671023105080075 1671022012530002 M Yunus Palembang 1 1 2 0 205. Lr. Lr. Kenduruan No.34 Rw. 14 Rw.09 1671021005070047 1671024405410003 Inton OKU Betung 2 2 2 0 232. Mutiara II No. Kenduruan Rt. Lr. 505 Rt. 498 Rt. Mutiara II No. Lr. Kenduruan No. Kenduruan Rt.13 Rw. 505 Rt. Kenduruan No. Kenduruan No. Lr. 13 Rw. Jl. 14 Rw.34 Rw. 478 Rt. KHA Azhari No. 14 Rw. 14 Rw 03 1671031110100007 1671025410990011 Humairoh Palembang 2 3 2 0 228. 505 Rt. Lr. Mutiara II No. 498 Rt.13 Rw. Lr.09 1671021005070047 1671023112400025 Burlian AR OKU Betung 1 1 2 0 231. Lr. 14 Rw. Tajur Rt. Kenduruan Rt. 498 Rt. 04 1671021103150010 1671022302860013 Hendra Gunawan Palembang 1 1 5 0 212. Kenduruan No. Kenduruan Rt. Kenduruan Rt. 04 1671022510100015 1671021410100003 Kms Maulana Malik Ibrahim Palembang 1 3 1 0 210. Lr. Lr.204. 04 1671022703080020 1671025211540003 Sakdiyah Palembang 2 2 1 0 217. Lr. Kenduruan No. 14 Rw.09 1671021005070047 1671020806810010 Anton Timur Jailani Palembang 1 3 5 0 235. 04 1671022703080020 1671021212500019 Ibnu Hajar OKI Lubuk Rukam 1 1 5 0 216.34 Rw. 478 Rt. 1312 Rt. 23 Rw. 14 Rw. Lr. 1312 Rt. Kenduruan Rt. Lr. 04 1671021103150010 1671021802080010 Ahmad Farel Zaleyta Palembang 1 3 1 0 214. 14 Rw. 14 Rw. Mutiara II No. 14 Rw 03 1671031110100007 167102040196005 Ahmad Zaim Palembang 1 3 2 0 227. 13 Rw. 14 Rw. Kenduruan No. 14 Rw 03 1671031110100007 167103405760011 Rohma Palembang 2 2 5 0 226. Lr. 1312 Rt. Kenduruan No.

Yogi Pratama Palembang 1 3 2 0 254.04 1671022410070017 1671025301940007 Nicha Musiawati Palembang 2 3 3 0 262. Kencana III Rt. Lr.15 Rw. 08 1671022311100015 1671021907050004 Ferdinan Afwan Romadhon Bogor 1 3 2 0 269. Lr. 03 1671022509070002 1671025103780009 Hikmah Palembang 2 3 5 0 244. Lr. 03 1671022509070002 1671024505470005 cik Ila Palembang 2 1 3 0 243.546 Rt. Siliwangi No. Lr. Lr. Lr. Terusan 1 No.15 Rw. Kencana III Rt.15 Rw. Siliwangi No. Kencana III Rt. Kencana III Rt. 41 Rw. Kencana III Rt. Siliwangi No. 08 1671022311100015 1671020801710006 Erjon Ferry Palembang 1 1 5 0 267. Lr. 08 1671020703070124 1671022311920003 Novandi Priatama Palembang 1 3 3 0 . Kencana III No. Kencana III Rt. 08 1671022311100015 1671024607010007 Ferliana Indah S Jakarta 2 3 2 0 268. Kencana III No.04 1671022908120010 1671020504830019 Aprillah Palembang 1 1 5 0 248.04 1671022906090004 1671022109030006 M.15 Rw. Lr.15 Rw. 03 1671020806100031 1671026809730006 Sri Yana Palembang 2 2 5 0 247. Kencana III Rt. Kencana III Rt. Tajudin Palembang 1 1 5 0 241.04 1671022705100052 1671020110950010 Intan Sari Palembang 1 3 2 0 260.04 1671022906090004 1671021001810013 M.04 1671022906090004 1671025205820014 Nuraini Palembang 2 2 2 0 253. 162 B Rt. Tajur Rt.238.04 1671020109100000 1671020112880011 Husnah OKI P.5 1671132009070010 1671025008050007 Siska Meylani Palembang 2 5 1 0 240 Lr. Siliwangi No. Lr. Lr. Lr. 41 Rw.15 Rw. 402 Rt. 11 Rw.15 Rw. Lr.546 Rt. Tajur Rt. Terusan 1 No.15 Rw.04 1671022705100052 1671024411880005 Dahlia Palembang 1 1 2 0 257. 1627 Rt. Lr.15 Rw. Lr. Terusan 1 No. Terusan 1 No. Lr.15 Rw. 23 Rw. Lr. Terusan 1 No.04 1671022705100052 1671020810890007 Ikbal Palembang 2 3 5 0 258. 11 Rw. Lr. 11 Rw. 23 Rw.15 Rw. Lr. Lr.04 1671022906090004 1671025207060004 Bella Shafira Palembang 2 3 2 0 255. Lr.04 1671023003070012 1671021710900012 Iwan Susanto Palembang 1 3 3 0 251. 41 Rw.15 Rw. Lr.15 Rw. Kencana III Rt.15 Rw.04 1671022705100052 1671021701920009 Ilham Palembang 1 3 5 0 259. Lr.S Palembang 1 1 3 0 261. 03 1671020806100031 1671020708700012 M. 162 B Rt.15 Rw. Lr. Kencana III Rt. 08 1671020703070124 1671020312600005 Eddy Junaidi Palembang 1 1 2 0 270. Kencana III Rt.15 Rw.15 Rw. Lr.04 1671020109100000 1671020807940009 Muhammad Soleh Palembang 1 3 1 0 266. Lr.539 Rt. Kencana III No.15 Rw. Kencana III No. Lr. Dedi Palembang 1 1 2 0 252. Kencana III Rt. Kencana III No.04 1671021205070138 1671022810520003 M.5 1671132009070010 1671022810940022 Sunardi Palembang 1 3 5 0 239.15 Rw. 11 Rw.04 1671022906090004 1671025404100004 Nasah Palembang 2 3 1 0 256. Siliwangi No.04 1671022908120010 1671021504120000 Muhammad Aiyon Restu Wijaya Palembang 1 3 1 0 250. Gemantung 2 2 2 0 265. Lr. Kencana III Rt. Lr. Lr. 41 Rw.546 Rt.04 1671022908120010 1671024505900026 Nurfadilah Suban Baru 2 2 5 0 249. Gemantung 1 1 2 0 264. 402 Rt.04 1671022410070017 1671021910650004 Zulkifli.04 1671022410070017 1671022706950003 M. Lr. 03 1671022509070002 1671025801820007 Radiah Palembang 2 3 5 0 245. Kencana III Rt. 402 Rt. Harun Palembang 1 1 5 0 246. 162 B Rt. 402 Rt. Lr. 1627 Rt.15 Rw. 11 Rw. Kencana III Rt.04 1671020109100000 1671023112850008 Zainuddin OKI P.15 Rw. 41 Rw.04 1671021205070138 1671021710730010 Toni Maryadi Palembang 1 3 5 0 242. Abdul Basath Palembang 1 3 3 0 263.539 Rt. Kencana III Rt. 402 Rt. Lr.

Mutiara IV No. 1174 Rt. Terusan 1 Rt. Terusan 1 No. 41 Rw.32 Rw. Terusan 1 No. Terusan 1 Rt. 1674 Rt. Mutiara IV No. 1652 Rt. Mutiara IV No. 1674 Rt. Lr. 41 Rw. Terusan 1 No. 41 Rw. 04 1671020405090046 1671022101720011 Astuti Palembang 2 1 2 0 Ma.271. Lr. Terusan 1 Rt. 08 1671020202090020 1671021202700013 Arifin OKI Sri Tanjung 1 1 3 0 273. Kenduruan Rt. Lr. Lr. 08 1671020202090020 1671021009040002 M. 1652 Rt.32 Rw. 41 Rw. Lr. 08 1671022605070036 1671020605050001 Aisyah Salsabila Palembang 2 3 2 0 281. Mutiara IV No. 41 Rw. 41 Rw. Lr. Terusan 1 No. 41 Rw. 1170 Rt. 1652 Rt.32 Rw. 08 1671021004070007 1671026710880006 Sri Oktarina Palembang 2 3 5 0 285.06 1671022605070001 1671025307110007 Nabila Adzra Naira Palembang 2 3 1 0 289.06 1671020602070097 1671025304390001 Ning Cik Meranjat-OI 2 1 2 0 290. Lr. 41 Rw. 1174 Rt. 08 1671021004070007 1671024712580002 Sania 2 2 2 0 284. 41 Rw. Terusan 1 No. 1674 Rt.32 Rw. 08 1671022605070036 1671020901810009 Mala Palembang 2 2 2 0 280. 41 Rw. Terusan 1 No. Iskanda Samudra Palembang 1 3 2 0 277. 08 1671022605070036 1671020211730005 Teguh Setiyarso Palembang 1 1 2 0 279. 08 1671021004070007 1671021404950005 Apriyansa Saputra Palembang 1 3 3 0 286. Mutiara IV No. Lr. 1674 Rt. Lr. Lr.Enim Petar Dalam .06 1671022605070001 1671025205780008 Yuniarti Palembang 2 2 5 0 288. 08 1671021004070007 1671022112530003 Suhadi 1 1 3 0 283. Lr. Lr. 41 Rw. 41 Rw. 1652 Rt. Lr. 14 Rw. 41 Rw.32 Rw. 41 Rw. Terusan 1 Rt. 08 1671020202090020 1671022909780011 Suswadi Palembang 1 7 7 0 278.06 1671022605070001 1671022010750006 Efriadi Pedamaran OKI 1 1 5 0 287. 08 1671020202090020 1671024203950013 Monalia Fitri Handayani Palembang 2 3 5 0 275. Lr. Lr. 08 1671022605070036 1671020606110002 Muhammad Alfian Palembang 1 3 1 0 282. Lr. Terusan 1 No. Terusan 1 No. 41 Rw.Enim Petar Dalam Ma. 1652 Rt.06 1671020602070097 1671024104800009 Nurmala Palembang 2 2 5 0 291. 1174 Rt. Lr. Lr. 1658 Rt. 1652 Rt. Terusan 1 No. 08 1671020202090020 1671025806990006 Monika Yuniarti Palembang 2 3 3 0 276. Lr. Terusan 1 No. 08 1671020202090020 1671025812700005 Yulia Ningsih MUBA Sindang Marga 2 2 5 0 274. Lr. Terusan 1 No. 1170 Rt. Lr. 08 1671021101080023 1671026611770008 Asnawati Palembang 2 1 3 0 272.

: SEBERANG ULU I : 5 ULU UNTUK WANITA 10-49 TAHUN APAKAH SEDNG HAMIL 1=YA 2=TIDAK PENGHASILAN RATA-RATA KEPALA KELUARGA PERBULAN 17 18 STATUS KAWIN KODE 19 1 2 1 1 2 2 2 2 2 2 2 2 2 2 1 1 4 1 2 2 2 4 1 2 .

2 1 1 1 2 2 2 1 1 1 2 2 2 4 1 1 1 2 2 1 1 1 4 2 2 1 2 2 1 1 2 2 1 .

1 1 1 1 1 2 2 1 1 1 4 4 2 4 2 1 1 4 1 2 2 4 2 2 2 2 1 4 2 2 1 1 1 .

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 1 4 1 1 1 1 2 1 2 2 1 .

2 2 1 2 2 1 1 2 2 1 1 2 2 2 2 2 2 2 2 1 2 2 1 1 1 1 2 2 1 2 2 2 2 .

2 1 2 1 2 1 1 2 2 2 2 1 1 2 2 1 1 1 4 1 1 1 2 1 1 2 2 1 4 1 1 2 1 .

1 2 2 1 1 1 1 2 2 1 1 2 2 1 1 2 2 1 4 1 4 .

REKAPITULASI PENERIMA BANTUAN IURAN JAMINAN KESEHATAN KELURAHAN 5 ULU KECAMATAN SEBERANG ULU I PALEMBANG KETERANGAN NO RUKUN TETANGGA JUMLAH PENERIMA IURAN JAMINAN KESEHATAN 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 3 46 161 93 206 526 94 243 222 123 163 142 140 99 248 324 108 40 204 104 357 177 151 70 112 130 0 61 100 41 184 103 15O 57 244 107 157 117 68 0 80 97 161 281 239 157 376 218 163 434 158 MENINGGAL DUNIA PINDAH ALAMAT 4 0 3 0 0 0 1 0 6 9 0 5 5 0 51 12 0 0 4 0 2 1 5 0 2 5 0 0 0 0 0 1 6 0 2 7 1 1 1 0 0 1 0 0 0 0 5 0 10 0 2 5 0 0 0 0 0 1 0 0 8 0 0 9 0 5 7 1 0 0 0 0 0 3 15 3 11 0 0 0 0 0 0 0 0 7 8 5 0 0 0 0 10 0 0 0 0 1 0 13 0 6 .

51 52 53 54 55 56 57 58 59 60 61 62 63 64 51 52 53 54 55 56 57 58 59 60 61 62 63 64 Jumlah 149 344 93 66 120 76 0 155 169 95 87 201 0 0 9441 0 0 0 1 3 2 0 1 3 0 0 0 0 0 158 0 0 29 0 0 0 0 0 0 0 0 0 0 0 142 MENGETAHUI LURAH 5 ULU .

JAMINAN KESEHATAN G ULU I PALEMBANG KETERANGAN LAYAK/TIDAK LAYAK LAYAK TIDAK LAYAK 6 46 158 93 206 526 92 243 215 106 163 137 126 99 192 305 107 40 200 104 355 176 140 55 107 114 0 61 100 41 184 102 144 57 235 92 151 116 66 0 80 86 161 281 239 157 370 218 140 434 150 7 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 .

149 344 64 65 117 74 0 154 166 95 87 201 0 0 MENGETAHUI LURAH 5 ULU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 .