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PISAT

1=
Peserta
NO NO KK NIK/KITAS/KITAP Nama Lengkap 2 = Suami
3 = Istri
4 = Anak
5=
Tambahan

1 2 3 4 5
1 7403051508090000 740,305010776024 laode hamia 2
2 740305610778024 Hasni 3
3 7403051403980203' Muhammad arwan 4
4 740305140990001 muhammad edwin 4
5 7403055105060202 ninang saputri 4
6 7403050403090002 ahmad fadel 4
7 7403055708140001 zakiya tunnisa 4
8 7403051408090004 7403053112730211 larosmini 2
9 74030541077110283 siti marliana 3
10 7403050209940001 sulkifli 4
11 7403051912960202 risna 4
12 7403052903990202 imal faimala 4
13 7403050811010203 abdul rajab 4
14 7403240306130001 7403240411080001 lahena 2
15 7403144206880201 dewi sayanti s.pd 3
16 7403055609120001 nurhelmina hena 4
17 74030508070822832 7403050107740240 laino 2
18 7403054107760236 watimu 3
19 7403057008000206 astuti ino 4
20 7403056507040001 yusnawati ino 4
21 7403055405090001 wulandari ino 4
22 7413100806160001 74131015107400011 laode jumadi 2
23 7413105011500001 waode hajiri 3
24 74131051119550001' dasmawati 4
25 7413105110980001 sisnorita 4
26 7413101405000001 laode munandar 4
27 7413106211090001 waode elfirawati 4
28 7413105505120001 waode nuraisyah 4
29 7403051508090001 7403052406820001 laode sudarlin 2
30 7403054303890001 sri minarni 3
31 7403051801080202 agil marapati 4
32 7413106206160001 atikah lut meysunfia 4
33 7403050602100002 7403050107570259 lasabani 2
34 7403054107620200 wasiba 3
35 7403057006960001 wanini 4
36 740305200999002 ahmad 4
37 7403054705030003 sri inawati 4
38 7403051508090009 3403050606730001 laode musahida 2
39 7403054107730269 riala 3
40 740302610960202 muhmad ino 4
41 7403050005020001 muhamad fiki juniah 4
42 740305190560001 muhamad alhidayat 4
43 7403051009090001 7403053112530212 ld haimu 2
44 740305711254204 wa fiana 3
45 740305660400002 asrianti 4
46 7403056801870001 laode hermin 4
47 7403053007920001 hasrun 4
48 7403051506000202 darfin 4
49 7403050807082822 7403053112650014 latausu 2
50 7403057112670215 wa uma 3
51 7403052609880001 lasamini 4
52 740305507960001 syarifudin 4
53 740305570900001 sumarni 4
54 7403051106090001 7403053112620203 2
55 7403054303630001 waode harni 3
56 7403052700920001 laode arden 4
57 740351204930202 laode abin 4
58 7403052206090003 7403052810590001 lakamedha 2
59 740305570061001 wd halifa 3
60 7401102006890002 munawir satzali 4
61 7403052309930001 muh basri 4
62 740305470990202 rina isra ayu 4
63 740308630791002 wd endang 4
64 7403052706090001 740305311258005 laode gambara 3
65 7403057112660019 wa ando 2
66 7403051009910001 lagalamudin 1
67 7403050110090004 7403050107630236 lamane 2
68 7403054107680270 wa ode rima 3
69 7403050909910202 arisman suprianto 4
70 7403050205920001 dirman m 4
71 7403052004940001 firman m 4
72 7404054205960001 sumarni m 4
73 7403059101980202 sukrin m 4
74 740305200400202 hidayat m 4
75 7403050106020001 zaibin 4
76 7403050802040202 syawaludin 4
77 7403052209100002 7403050811820001 muhamala 2
78 7403055010840001 serilinda 3
79 740305051107001 muhammad gazali 4
80 7403101501090010 7403103112630507 laode amin.se 2
81 7403054109850001 kalbia 3
82 7413104103160001 defitriani 4
83 7403057709070001 waode rahmawati 4
84 7403052510100001 7403050408830001 yasir asa .s.pt 2
85 7403056306870001 neni satria 3
86 740305170711001 razan muhammad 4
87 7413101701160001 muhammad faiz 4
88 7403050807082900 7403050107420235 la asa 2
89 7403054107490215 wa hartia 3
90 7403056107900001 mutmaina 1
91 743050807082901 7403050107510255 la ramli 3
92 7403054107930255 asma 4
93
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98 7403050807080541 7403054107680279 WA WIA 3
99 7403056509980201 WA ODEMARWIN 4
100 7403052712110005 740305808880002 SIRWAN 2
101 7403056003870001 WA ODE ABE 3
102 7403051701070001 FARID 4
103 7403054107110001 SRI FATUL JANA 4
104 7403052712110005 SELFIYANA 5
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Jenis Status
Tgl Lahir
Kelamin Kawin

0=TD Alamat Tempat Tinggal RT RW Kode Pos


1=L
Tempat Lahir dd/mm/yyyy 1=B, 2=K,
2=P
3=C

6 7 8 9 10 11 12 13
kondongia 7/1/1976 1 2 bhakeramba 002 001
raha 7/1/1976 2 2 bhakeramba 002 001
lakawoghe 3/16/1998 1 1 bhakeramba 002 001
bhakeramba 1/14/1999 1 1 bhakeramba 002 001
bhakeramba 5/11/2006 2 1 bhakeramba 002 001
bhakeramba 3/4/2009 1 1 bhakeramba 002 001
muna 8/17/2014 2 1 bhakeramba 002 001
mabodo 12/31/1973 1 2 bhakeramba 001 002
mabodo 7/1/1971 2 2 bhakeramba 001 002
bhakeramba 9/2/1994 1 1 bhakeramba 001 002
guali 12/19/1996 1 1 bhakeramba 001 002
bhakeramba 3/29/1999 1 1 bhakeramba 001 002
bhakeramba 11/8/2001 1 1 bhakeramba 001 002
lapokainse 4/22/1988 1 2 bhakeramba 002 002
watuputi 6/2/1989 2 2 bhakeramba 002 002
bangkali 9/16/2013 2 2 bhakeramba 002 002
kondongia 7/1/1974 1 2 bhakeramba
kondongia 7/1/1976 2 2 bhakeramba
bhakeramba 8/31/2000 2 1 bhakeramba
bhakeramba 7/25/2004 1 1 bhakeramba
bhakeramba 5/14/2009 1 1 bhakeramba 002 002
mabodo 10/15/1974 1 2 bhakeramba 002 002
laukisi 11/10/1950 2 2 bhakeramba 002 002
dana 11/11/1995 2 1 bhakeramba 002 002
bhakeramba 10/11/1998 2 1 bhakeramba 002 002
bhakeramba 5/14/2000 1 1 bhakeramba 002 002
bhakeramba 11/22/2009 2 1 bhakeramba 002 002
bhakeramba 5/15/2015 2 1 bhakeramba 002 002
kondongia 6/24/1982 1 2 bhakeramba 002 002
lapokainse 3/3/1989 2 2 bhakeramba 002 ;002
bhakeramba 1/18/2008 1 1 bhakeramba 002 ;002
bhakeramba 6/22/2016 2 1 bhakeramba 002 ;002
labongkuru 17-19-1957 1 2 bhakeramba 001 001
labongkuru 7/1/1962 2 2 bhakeramba 001 001
bhakeramba 6/30/1996 2 1 bhakeramba 001 001
bhakeramba 9/20/1999 1 1 bhakeramba 001 001
bhakeramba 5/7/2013 2 1 bhakeramba 001 001
kondongia 6/6/1973 1 2 bhakeramba 001 001
bhakeramba 7/1/1973 2 2 bhakeramba 001 001
bhakeramba 10/26/1996 1 1 bhakeramba 001 001
bhakeramba 6/8/2002 1 1 bhakeramba 001 001
bhakeramba 5/19/2006 1 1 bhakeramba 001 001
kondongia 12/31/1983 2 2 bhakeramba 002 002
bhakeramba 11/20/1984 1 2 bhakeramba 002 002
bhakeramba 6/26/1990 1 1 bhakeramba 002 002
bhakeramba 1/20/1991 2 1 bhakeramba 002 002
bhakeramba 7/30/1992 2 1 bhakeramba 002 002
bhakeramba 6/15/2000 2 1 bhakeramba 002 002
bhakeramba 12/31/1967 1 2 bhakeramba 002 002
bhakeramba 12/31/1965 2 2 bhakeramba 002 002
bhakeramba 9/26/1988 1 1 bhakeramba 002 002
bhakeramba 5/20/1991 1 1 bhakeramba 002 002
bhakeramba 7/15/1996 2 1 bhakeramba 002 002
mabolu 3/5/1963 1 2 bhakeramba 001 001
bhakeramba 3/5/1963 2 2 bhakeramba 001 001
bhakeramba 8/27/1992 1 1 bhakeramba 001 001
bhakeramba 4/12/1993 1 1 bhakeramba 001 001
kondongia 28-10-19859 1 1 bhakeramba 001 001
bhakeramba 8/17/1961 2 1 bhakeramba 001 001
bhakeramba 4/24/1991 1 2 bhakeramba 001 001
bhakeramba 9/23/1993 1 2 bhakeramba 001 001
bhakeramba 9/7/1999 2 2 bhakeramba 001 001
bhakeramba 7/23/1991 2 2 bhakeramba 001 001
bhakeramba 31-12-19958 1 2 bhakeramba 001 001
bhakeramba 10/23/1989 2 2 bhakeramba 001 001
bhakeramba 1/21/1990 1 2 bhakeramba 001 001
kapeo peo 7/1/1963 1 1 bhakeramba 002 002
mabolu 7/1/1968 2 2 bhakeramba 002 002
kendari 9/9/1991 1 1 bhakeramba 002 002
lapokainse 5/2/1992 1 1 bhakeramba 002 002
lapokainse 4/20/1994 1 1 bhakeramba 002 002
lapokainse 5/2/1996 2 1 bhakeramba 002 002
lapokainse 1/1/1998 1 1 bhakeramba 002 002
lapokainse 4/20/2000 1 1 bhakeramba 002 002
bhakeramba 6/1/2002 1 1 bhakeramba 002 002
bhakeramba 2/8/2004 1 1 bhakeramba 002 002
wamelai 11/8/1982 1 2 bhakeramba 002 002
sereale 10/10/1984 2 2 bhakeramba 002 002
malaysia 11/6/2007 1 1 bhakeramba 002 002
lemoambo 12/31/1963 2 1 bhakeramba 001 001
raha 5/29/1985 3 2 bhakeramba 001 001
bhakeramba 10/27/2007 4 1 bhakeramba 001 001
bhakeramba 3/1/2006 4 1 bhakeramba 001 001
wamelai 8/4/1983 1 1 bhakeramba 001 001
guali 6/23/1987 2 2 bhakeramba 001 001
bhakeramba 6/17/2011 4 1 bhakeramba 001 001
bhakeramba 1/17/2016 4 1 bhakeramba 001 001
wamelai 01-07-1942 2 2 bhakeramba 001 001
wamelai 7/1/1949 3 1 bhakeramba 001 001
lakanagha 7/21/1990 4 1 bhakeramba 001 001
lasosodo 7/1/1954 2 2 bhakeramba 002 002
lakawoghe 7/1/1996 4 1 bhakeramba 002 002

MASARA 7/1/1963 3 2 SIDAMANGURA 01 02


MASARA 9/25/1998 4 1 SIDAMANGURA 01 02
LATAWE 8/8/1988 2 2 LATAWE 01 02
MASARA 3/20/1987 3 2 MASARA 01 02
SIDAMANGURA 1/17/2007 4 1 SIDAMANGURA 01 02
LATAWE 7/1/2011 4 1 LATAWE 01 02
SIDAMANGURA 12/18/2015 5 1 SIDAMANGURA 01 02
Kode Nama Nomor
Kode Nama Kode Nama
Kode Desa Nama Desa Faskes Faskes Telepon
Kecamatan Kecamatan Faskes Tk.I Faskes Tk.I
Dokter Gigi Dokter Gigi Peserta

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kusambi bhakeramba
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kusambi bhakeramba
kusambi bhakeramba
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kusambi bhakeramba
kusambi bhakeramba
kusambi bhakeramba
kusambi bhakeramba
Kelas Kewarga
Status Asuransi Lainnya
Rawat Negaraan

1=Tetap, Gaji Pokok


2=Kontrak, TMT Kerja + Tunj.
Email NPP Jabatan 1=Kelas I, (Kary. Aktif) Tetap (Kary.
3=Paruh 1=WNI, Nama
2=Kelas II, Aktif) No. Kartu Asuransi
waktu 2=WNA Asuransi
3=Kelas III
4=Penerima
Pensiun

23 24 25 26 27 28 29 30 31 32
No. NPWP No Passport

33 34
Jenis Status
PISAT Tgl Lahir
Kelamin Kawin

1 = Peserta Alamat Tempat Kode


Nama Lengkap RT RW
2 = Suami 0=TD Tinggal Pos
3 = Istri 1=B,
Tempat Lahir dd/mm/yyyy 1=L 2=P
4 = Anak 2=K,
5= 3=C
Tambahan

4 5 6 7 8 9 10 11 12 13

LA BARU 2 MASARA 01/071977 1 2 SIDAMANGURA 1 2 93655

WA MULIADI 3 MASARA 01/07/1976 2 2 SIDAMANGURA 1 2 93656

ASTRI 4 MASARA 22/04/1998 2 1 SIDAMANGURA 1 2 93657

ARDIN 4 MASARA 15/05/2000 1 1 SIDAMANGURA 1 2 93658

ALFIN 4 MASARA 21/05/2007 1 1 SIDAMANGURA 1 2 93659


LA LUWI 2 MASARA 31/12/1971 1 2 SIDAMANGURA 1 2 93655

WA ODE MULIANA 3 MASARA 31/12/1971 2 2 SIDAMANGURA 1 2 93655

ASRA WATI 4 MASARA 18/01/1995 2 1 SIDAMANGURA 1 2 93655

ARWIN 4 MASARA 06/12/1998 1 1 SIDAMANGURA 1 2 93655

HERAWATI 4 MASARA 09/12/2004 2 1 SIDAMANGURA 1 2 93655

LA HALIDO 2 MASARA 07/05/1983 1 2 SIDAMANGURA 1 2 93655

WA IDA 3 MASARA 07/07/1987 2 2 SIDAMANGURA 1 2 93655

ALFAHRLIN AKBAR 4 MASARA 01/01/2006 1 1 SIDAMANGURA 1 2 93655

SUCI AGUSTIN RAMADHANI 4 MASARA 15/08/011 2 1 SIDAMANGURA 1 2 93655

LA ODE TIRI 2 MASARA 01/06/1976 1 2 SIDAMANGURA 1 2 93655

WA LIANE 3 MASARA 03/04/1985 2 2 SIDAMANGURA 1 2 93655

MUH. IKBAL 4 MASARA 09/11/007 1 1 SIDAMANGURA 1 2 93655

MUHAMMAD IZAL 4 MASARA 25/05/2011 1 1 SIDAMANGURA 1 2 93655

SABDAN 2 MASARA 15/06/1983 1 2 SIDAMANGURA

SITTI SARWIN 3 MASARA 16/04/1985 SIDAMANGURA

ULFA AMALIA 4 MASARA 28/07/2014 SIDAMANGURA


LA ODE KAHARUDIN 2 MASARA 31/12/1983 SIDAMANGURA

WA HALUMI 3 MASARA 02/09/1986 SIDAMANGURA

MUHAMAD ADLIAN 4 MASARA 03/09/2008 SIDAMANGURA

MUHAMAD AZRIAL 4 MASARA 27/05/2014 SIDAMANGURA

LISMAN 2 MASARA SIDAMANGURA

SYAHRANI 3 MASARA SIDAMANGURA

WA DIAMU 2 MASARA SIDAMANGURA

NURUL ISTIDAYA 4 MASARA SIDAMANGURA

LA SAIDINA 2 MASARA SIDAMANGURA

WA LISAANA 3 MASARA SIDAMANGURA

LA RULI 2 MASARA SIDAMANGURA

WA HARUMA 3 MASARA SIDAMANGURA

RIRIN 4 MASARA SIDAMANGURA

ARDIN 4 MASARA SIDAMANGURA

RAHMIN 4 MASARA SIDAMANGURA

WA LUFIA 3 MASARA SIDAMANGURA


WA ODE NURMIATI 4 MASARA SIDAMANGURA

LD. NDOLOMA 4 MASARA SIDAMANGURA

WA ODE FAISAL 4 MASARA SIDAMANGURA

OLE SAFITRI 4 MASARA SIDAMANGURA

WA ODE SUMIRA 3 MASARA SIDAMANGURA

TYAS PRATAMA 4 MASARA SIDAMANGURA

BAGAS PRATAMA 4 MASARA SIDAMANGURA

LA FIDI 2 MASARA SIDAMANGURA

SUARNIATI 3 MASARA SIDAMANGURA

MUHAMAD RAMADAN 4 MASARA SIDAMANGURA

IQMALUDIN 4 MASARA SIDAMANGURA

LA ODE SARIDI 2 MASARA SIDAMANGURA

FATNIATI 3 MASARA SIDAMANGURA

LA ODE FARDIN SIDAMANGURA

MUHAMAD FIRNO SIDAMANGURA

RIAN SAPUTRA SIDAMANGURA


RAFAEL FERNANDO SIDAMANGURA

LA ODE TALIBI SIDAMANGURA

WA ODE UMI SIDAMANGURA

WA ODE SARTINI SIDAMANGURA

JUMADIL. T SIDAMANGURA

ADI THALIB SIDAMANGURA

WA ODE ASFARIA SIDAMANGURA

LA AGA. L SIDAMANGURA

WA NARIATI SIDAMANGURA

ANDI SEPTIAWAN SIDAMANGURA

MUH. AKBAR ALFANDI SIDAMANGURA

SUHARDIN SIDAMANGURA
Kelas
Status
Rawat

TMT
Gaji
Kerj
Kode Nama Pokok +
Kode Kode Nomor a
Nama Kode Nama Faskes Faskes Faskes Jabata 1=Tetap, 1=Kelas (Kar Tunj.
Kecamata Nama Desa Faskes Telepon Email NPP
Kecamatan Desa Tk.I Dokter Dokter n 2=Kontrak, I, Tetap
n Tk.I Peserta y.
Gigi Gigi 3=Paruh 2=Kelas Aktif (Kary.
waktu II, Aktif)
)
4=Penerima 3=Kelas
Pensiun III

14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA
KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA
KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA
KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA

KUSAMBI SIDAMANGURA
Kewarga
Asuransi Lainnya
Negaraan

No
No. NPWP Passpor
t
1=WNI, Nama
No. Kartu Asuransi
2=WNA Asuransi

30 31 32 33 34