DATA PESETA JAMKESDA .

No No KK NIK/KITAS/KITAP Nama Lengkap

dd/mm/yyyy
1 2 3 4 7
1 1403027109140183 6205054409700003 LAGIEM 4/9/1970
2 1403027109140184 6205054212790001 SUMILAWATI 12/2/1979
3 6205051901080386 6205055509800001 ARMAWATI 9/15/1980
4 1403027109140358 6205055410800002 SUARDIAH 10/14/1980
5 1403027109140645 6205041206970001 BAYU JUMIKUM 6/12/1997
6 1403027109140646 6205042011960001 MISTADIN 11/20/1996
7 1403027109140648 6205061112990001 MAHADI 12/11/1999
8 1403027109140405 6205055905800001 EKA EMY MARYANA 5/19/1980

9 6271032102120002 6271033101770004 YANMIKO 1/31/1977

10 6205051301110001 6205050612770002 KARYA BUDIMAN 12/6/1977
12 1403027109140322 6205054710790006 YATE 10/7/1979
11 1403027109140172 6205052608830002 SAIFUL ANWAR,SE 8/26/1983

13 6205051503100044 6205051010650010 KUSMAN EFFENDI 10/10/1965

14 1403027109140042 6205052707920004 M.RIJALI FAHMI 7/27/1992
15 1403027109140077 6205055212800003 LILI ERPIATI,S.PD.I 12/12/1980
16 1403027109140309 6205055511750003 PLUSPA ANERTI 11/15/1975

17 6212011509110007 6212010109910001 RIAN PRASETIA 9/1/1991

19 1403027109140076 6205052007620001 SAMSINAR,SH 7/20/1962
20 1403027109142446 6205056208780005 ERNAWATI 8/22/1978
18 1403027109140046 6205055003840002 RILLA KUSUMA DEWI,S.MN 3/10/1984

21 1403027109140105 6205055406830006 JUMARIAH 6/14/1983

22 1403027109142452 6205056707780001 YULIATY,S.PD 7/27/1978
23 1403027109140223 6205055206810002 RIA ANJANI,S.PD.AUD 6/12/1981

No No KK NIK/KITAS/KITAP Nama Lengkap

dd/mm/yyyy
24 6205052001080176 6205051404800001 BADRIANSYAH BUDIN 4/14/1980
25 1403027109140251 6205054211850007 LELI MARIANA 11/2/1985
26 1403027109140325 6205056406810001 NUR KAMELIA NUVITA 6/24/1981
27 1403027109140398 6212014908870001 RATIANA 8/9/1987
28 6205052001100019 6205056601940003 LUSIANA 1/26/1994
29 1403027109140388 6205054206850004 NINA MAYASARI S.S 6/2/1985
30 62050509111100276205052005820004 HAIRAT ZAT 5/20/1982
31 1403027109140068 6205055809790002 RAHMAWATI,SE 9/18/1979
32 1403027109140156 6205056507820003 YUSRINA HIDAYATI 7/25/1982
33 1403027109140229 6205054909750006 RETSI HERLINA 9/9/1975
34 1403027109142451 6205056606890003 WAHIDAH 6/26/1989
35 6205052112110039 6205050208880006 ABDUL HAKIM 8/2/1988
36 6205050611120004 6205051012790005 RIZAL FIKRI 12/10/1979

37 6205051301100010 6205051604880003 APRIADY SYAHBANA 4/16/1988

38 6205051711090011 6205052906840004 ADE FITRIADI 6/29/1984
39 1403027109140030 6205061206450004 SURPANUS LENJANG 6/12/1945
40 1403027109140203 6205056109810004 NORHASANA,S.PD 9/21/1981
41 1403027109140279 6205050509840003 JAMIL RIFANI,A.MA 9/5/1984
42 1403027109140376 6205050105810004 RAMADAN 5/1/1987

43 1403027109140177 6205055411890002 HENI HARIYATI,S.TH.I 11/14/1989

44 1403027109140202 6205055208850002 RISTA ANDRIANI DEWI,SE 8/12/1985
45 1403027109140285 6205054606870005 FATMI RAHMIATI,S.PD 6/6/1987
46 6205051202080157 6205052807770003 RUMY 7/28/1977

47 1403027109140250 6205054104670001 ROHANA 4/1/1967

48 6205051801080337 6205055101800001 DENA TRIGANDA 1/11/1980
49 1403027109140034 6205056910940003 RAHMIYATI 10/29/1994

No No KK NIK/KITAS/KITAP Nama Lengkap

dd/mm/yyyy
50 6205051312100013 6205051608470001 SUTRISNO 8/16/1947
51 1403027109140368 6205050303830004 SELAMAT,A.MA 3/3/1983
52 1403027109140387 6205057101900003 RISHKA DIANA,S.PD 1/31/1990
53 1403027109140394 6205055102900007 YESSI ALWINATA 2/11/1990
54 1403027109142461 6205055505760003 SRI HARTINI 5/15/1976
55 1403027109140242 6205056707910001 EKA ZURAIDA 7/27/1991
56 1403027109140284 6205050709850001 SIGIT KARIYONO 9/7/1985

57 1403027109140644 6205064808790008 IMAS ROBI'AH 8/8/1979

58 1403027109140270 6205056306750003 SALEHAH 6/23/1975
59 1403027109140411 3504140311840004 HERRY SUHARSONO 11/3/1984
60 1403027109140643 6205050502620003 UBADILLAH 2/5/1962
61 1403027109140639 6205051011840002 YORDAN SYAM 11/10/1984
62 1403027109140640 6205055006830003 LULUK MASRUFAH 6/10/1983
63 1403027109140095 6205056901890002 ALISA HORYANTI,S.AG 1/29/1989
64 1403027109142477 6205054208800003 KANGKI ARISANI,S.PD 8/2/1980
65 1404027109140002 6205050307830001 ARIF WIJANARKO 7/3/1983
66 6205053010090029 6205055305780002 YETTI HERAWATY 5/13/1978

67 1403027109140016 6205054306740005 SRI HARTATI 6/3/1974

68 1403027109140153 6205055005850012 MARIANA,S.PD.I 5/10/1985
69 1403027109140155 6205051708560004 M.YAHYA 8/17/1956
70 1403027109140161 6205052202880001 KALBIDIN NOR,S.PD 2/27/1988

71 1403027109140010 6205055910840002 SUSAN PUSPITA L 10/19/1984

72 1403027109140189 6205056103840003 YANITA EKA SANTI 3/21/1984

No No KK NIK/KITAS/KITAP Nama Lengkap

dd/mm/yyyy
73 6205052301080256 6205055912820002 MAWARNI DEPITA 12/19/1982
74 1403027109140025 6205051804830001 IBRAHIM 4/18/1983
75 1403027109140031 6205050606630004 SARMAN 6/6/1963
76 1403027109140154 6205050304900004 FARHANUDDIN AHADI,S.PD 4/3/1990
77 1403027109140209 6205055008690002 ELLYIEN 8/10/1969
78 1403027109140254 6205051902820003 ABRAHAM DAYA SINTANO 2/19/1982
79 1403027109140343 6205051803860002 NURFAJERI IRAWANDI,ST 3/18/1986
80 1403027109140389 6205056104790002 RUSLINA WATI,A.MA 4/21/1979
81 1403027109142474 6205054305770007 RATNA DEWI 5/3/1977
82 1403027109140636 6205054304840004 ITA ROSITA 4/3/1984
83 1403027109140637 3207180703900002 YUDA NUGRAHA M 7/4/1990
84 1403027109140638 3207204608890002 YENI MARYENI 8/6/1989
85 1403027109140641 3279041207780002 BENI BADRUDIN 7/12/1978
86 1403027109140642 6205056912850006 LINA ROFIAH 12/29/1985
87 6205051505120021 6205051905760005 HAIRI VERRYATMA 5/19/1976
88 6205052801080305 6205050807890003 ARIEF KURNIAWAN 7/8/1989
89 1403027109140017 6205052702820001 HARRY LESMANA U 2/27/1982
90 1403027109140635 6205051411720005 SOLIHUDIN MALIK 11/14/1972
91 1403027109140277 6205054107810086 ARDAYATI,S.PD 7/1/1981
92 1404027109140001 6505050711860003 EPENDI 11/7/1986
93 6205050402100059 6205051006780008 DARUS INDRAYOTO 6/10/1978
94 6205050801100028 6205050206780005 KURNADI 6/2/1978

95 1403027109140243 6205055202870003 RAHIMAH 2/12/1987

96 1403027109140244 6205055012880001 IIN SAFA'AH 12/10/1988
97 1403027109140304 6205056111830003 KAMELIA,S.PD 11/21/1983

98 6205052910100006 6205051407830002 BENI 7/14/1983

 99 1403027109140026 6205054603750002 SRI ERNAWATI 3/6/1975
100 1403027109140210 6205056005800002 AIDA NURHIDAYAH,S.PD.I 5/20/1980
101 1403027109140292 6205056103870005 ANDI MEGAWATI 3/21/1987
102 1403027109140397 6205054808820001 RAMAIANA,S.PD 8/8/1982
103 1403027109140225 6205055801880001 VICKY 1/18/1988

No No KK NIK/KITAS/KITAP Nama Lengkap

dd/mm/yyyy
104 1403027109140219 6205055306920007 ZUNITA WULANDARI 6/13/1992

105 1403027109140228 6205056709700004 SRI MEGAWATI 9/27/1970

106 6205050609890005 6205050609890005 SYAHRAWARDI 9/6/1989

107 1403027109140020 6205052511710002 DATA SANTOSO 11/25/1971

108 6205052812100018 6205055408690001 SUSANTI 8/14/1969

109 1403027109140006 6205051402480003 USMAN GUMANTY 2/14/1948
110 1403027109140073 6205056406770003 MILA ROSMALINA 6/24/1977
111 1403027109140087 6205054018100021 RIKA YURNA,S.PD.I 1/1/1981
112 1403027109140283 6205056808920001 AYU DIA ANGGRAINI 8/28/1992
113 1403027109140024 6205056009860003 NOOR ANISA 9/20/1986
114 6205051405080003 6205051011910002 ADE FARMANA PUTRA 11/10/1991
115 1403027109140023 6205052502680001 JAYADI RAMLIADI KH 2/25/1968

116 6205052712110005 6205050308740006 RUDI HARTONO 8/3/1974

117 1403027109140044 6205056406830001 ARMIATI,SE 6/24/1983
118 1403027109140151 6205055104820005 MIRAH REJEKI,SP 4/11/1982

119 6205051102080010 6205055907740002 TITIN 7/19/1974

120 6205053001100012 6205051306770001 JONIE 6/13/1977
121 1403027109140339 6205056209870004 RISNATA,S.PD 9/22/1976
122 6205052403140007 6205051606870004 ZAINAL MUSTAQIM 6/16/1987

123 6205052001080839 6205052406880005 MUHLIS 6/24/1988

124 6205052812100030 6205051508740006 MOH. ANAM 8/15/1974
125 1403027109140112 6205055607840002 NUAHSI,S.PD 7/16/1984
126 1403027109140152 6205055906830001 MARIYA ULFAH,S.PD.I 6/19/1983
127 1403027109140407 6205057007870002 WARNINGSIH,S.PD 7/30/1987

128 6205051903100026 6205052502880002 YAUMIL FAHRIN WAILLHAM 2/25/1988

129 6205051903100026 6205051007870002 RAHMAT ISTIKAMAH 7/10/1987
130 6205051403110001 6205052102890001 TOMI IRAWAN 2/21/1989
131 6205051408080004 6205054111820003 LAILATUL MAULIDAH 11/1/1982
132 1403027109140004 6205055307890004 MILASARI 7/13/1989
133 1403027109140011 6205050703820006 LATIF FATUL ILMI 3/7/1982
134 1403027109140035 6205052603880003 MASDIAN SAPUTRA 3/26/1988
135 1403027109140060 6205051911880002 TOMMY SUGARA,S.PD 11/15/1988
136 1403027109140119 6205052607840002 ABDUL MANAP 7/26/1984
137 1403027109140208 6205055708790009 ACEN ANITA 8/17/1979
138 1403027109140289 6205054602870002 RUSINAH,S.PD 2/6/1986
139 1403027109140316 6205054705840002 DELIANA,S.PD 5/7/1984
140 1403027109140403 6205054303660001 MARIANI 3/3/1966
141 1403027109140623 6308045511500001 HJ ARBAIYAH 11/15/1950
142 1403027109140624 6308040405000001 RAHMADI 5/1/2000
143 1403027109140625 6205041308930002 JAIR NUSANTARA 8/13/1993
144 1403027109140626 6205051105000005 M.PIKRIANOR 5/11/2000
145 1403027109140627 6205051508900006 HERMAN HERIYADI 8/15/1990
146 1403027109140628 6205041609970002 ABDUL GHOFUR 9/14/1997
147 1403027109140629 5205042790940001 DWI HAYUNANTO 9/27/1996
148 1403027109140630 6205040308970001 M.AYYUB 8/3/1997
149 1403027109140631 6205042810970002 A. IBRAHIM 10/28/1997
150 1403027109140632 6205054208980001 RABIATUL ADAWIYAH 8/2/1995
151 1403027109140633 6205050704970010 AMELIA 4/7/1997
152 1403027109140634 6205044607990001 HELMA TIANA 7/6/1998
153 1403027109143111 6205054104910001 RITANIAH 4/1/1991
154 1403027109143112 6205065012890001 SANAWIYAH 12/10/1989
155 1403027109143113 6205054101950001 HASANAH 1/1/1995
156 1403027109140619 6205050909670004 SYAHRUNI 9/9/1967
157 1403027109140620 6205055708740010 PURNAWATI 8/17/1974
158 1403027109140621 6205050109930001 AHMAD RUDIANTO 9/1/1993
159 1403027109140622 6205056109040003 SITI ROHMAH WATI 9/21/2004
160 6205052611090005 6205056804830001 NORA RELASI 4/28/1983
161 1403027109140390 6205051410880003 M.FARID ANSYORI 10/14/1988
162 6205052201080790 6205050806800001 DEDY RAYI KUSUMA 6/8/1980
163 6205051009090014 6205055109830003 TRIANA GUNAWATI 9/11/1983
164 1403027109140012 6205050503740007 ABDUL MALIK 3/5/1974
165 6205051612090057 6205052204840002 BARGUS 4/22/1984

No No KK NIK/KITAS/KITAP Nama Lengkap

dd/mm/yyyy
166 6205052004110007 6205051010810018 RUDI HARTONO 10/10/1981
167 6205051501100014 6205051409830002 RAKHMATULLAH 9/14/1983
168 1403027109140222 6205055412880002 DESITA ANGELA,S.PD 12/14/1988
169 1403027109140404 6205056702880002 FARIANA SILVIA LINGU 2/27/1988
170 6205052609090022 6205050207830004 HERMAN RASIDI 7/2/1983
171 6205051701080505 6205051606840001 ARBAIN 6/16/1984
172 6205050104100012 6205051703690003 MARDUAN 3/17/1969

173 6205051811100035 6205054503810003 ELLI SUBEKTI 3/5/1981

174 6205052610090024 6205053004780002 ARISANDI 4/30/1978
175 1403027109140027 6205052007570002 MARMO 7/20/1957
176 1403027109140226 6205056803550005 MARSIANA 3/28/1955
177 1403027109140291 6205054102890007 SUDARYATI,S.PD.I 2/1/1989
178 6205050809090026 6205050702810002 RAKHMAN NOOR 2/7/1981
179 6205051810110001 6205054805850001 EKA FATRIA N 5/8/1985
180 1403027109140200 6205055807780002 YULIA FARIZA 7/18/1978
181 6205052210090028 6205051703800002 KOMARRUDIN FAUZI 3/17/1980
182 1403027109140324 6205056702810002 MUSLIMAH,S.PD 2/27/1981
183 1403027109140241 6205055507880003 ADE PUTRIE ARACHMAN 7/15/1988
184 1403027109140287 6205054902800003 YUSITA,S.PD 2/9/1980

185 6205052309100005 6205051303800004 IMRON 3/13/1980

186 6205051801080938 6205051910880001 AHMAD SETIAWAN M 10/19/1988

187 1403027109140232 6205055601650001 SITI SALBIAH 1/16/1965
188 1403027109140408 6205056711840002 SRI WIDAYANI 11/27/1984
189 1403027109142460 6205054511640002 NOORMIATI 11/5/1964
190 1403027109140221 6205054302780002 YULITA SUMANTI 2/3/1978

No No KK NIK/KITAS/KITAP Nama Lengkap

dd/mm/yyyy
191 6205051801080838 6205050308770005 MISRAN 8/3/1977
192 6205051705100039 6205051005760005 REMAN 5/10/1976
193 1403027109142443 6205055908760001 SULISTYA RINI 8/19/1976
194 1403027109142470 6205054902880002 SUSILAWATI 2/9/1988
195 1403027109142471 6205053009860001 TAUFIQ RIA DONY 9/30/1986

196 6205053009100017 6205054212760003 NOROLIMAN 12/2/1976

197 6205052801140007 6205051010920012 SUPRAPTO 10/10/1992
198 1403027109140163 6205055004870009 KASMAWATI,S.PD 4/10/1987
199 1403027109142476 6205052408880003 MUHAMMAD DISON,S.PD 8/24/1988
 DAFTAR PESERTA YANG TIDAK ADA KARTU BPJS & RANGK

No No KK NIK/KITAS/KITAP Nama Lengkap

dd/mm/yyyy

1 1403027109140172 6205052608830002 SAIFUL ANWAR,SE 8/26/1983

2 1403027109140046 6205055003840002 RILLA KUSUMA DEWI,S.MN 3/10/1984
3 1403027109140388 6205054206850004 NINA MAYASARI S.S 6/2/1985
4 6205052112110039 6205050208880006 ABDUL HAKIM 8/2/1988
5 6205050611120004 6205051012790005 RIZAL FIKRI 12/10/1979
6 6205051711090011 6205052906840004 ADE FITRIADI 6/29/1984
7 1403027109140643 6205050502620003 UBADILLAH 2/5/1962
8 1404027109140002 6205050307830001 ARIF WIJANARKO 7/3/1983
9 6205053010090029 6205055305780002 YETTI HERAWATY 5/13/1978
10 1403027109142474 6205054305770007 RATNA DEWI 5/3/1977
11 1404027109140001 6505050711860003 EPENDI 11/7/1986
12 6205050402100059 6205051006780008 DARUS INDRAYOTO 6/10/1978
13 6205050801100028 6205050206780005 KURNADI 6/2/1978
14 6205051405080003 6205051011910002 ADE FARMANA PUTRA 11/10/1991
15 1403027109140023 6205052502680001 JAYADI RAMLIADI KH 2/25/1968
16 6205052403140007 6205051606870004 ZAINAL MUSTAQIM 6/16/1987
17 1403027109140012 6205050503740007 ABDUL MALIK 3/5/1974

18 6205051612090057 6205052204840002 BARGUS 4/22/1984

19 6205050104100012 6205051703690003 MARDUAN 3/17/1969
20 1403027109142470 6205054902880002 SUSILAWATI 2/9/1988
21 1403027109142471 6205053009860001 TAUFIQ RIA DONY 9/30/1986
22 6205052210090028 6205051703800002 KOMARRUDIN FAUZI 3/17/1980
23 1403027109140324 6205056702810002 MUSLIMAH,S.PD 2/27/1981
24 1403027109140241 6205055507880003 ADE PUTRIE ARACHMAN 7/15/1988
25 1403027109140287 6205054902800003 YUSITA,S.PD 2/9/1980
A PESETA JAMKESDA .

Alamat Tempat Tinggal RT RW

Nama Nama ket.
Kecamatan Desa
10 11 12 15 17 18
WONOREJO 00 00 T. TENGAH MELAYU
WONOREJO KEL.MELAYU 00 00 " " 6
JL.PENDREH GG,NUSANTARA III 00 00 " "
JL.BANGAU NO.05 GG.PERINTIS KEL.MELAYU 00 00 " "
JL.BANGAU KEL.MELAYU 00 00 " "
JL.BANGAU KEL.MELAYU 00 00 " "
JL.BANGAU KEL.MELAYU 00 00 " " sdh
JL.PENDREH KOMP PERUM NUR ASRI PERDANA 00 00 " " -

JL.BUKIT RAYA GG.I P.RAYA 01 16 " " 2

JL. PANGERAN ANTASARI 01 00 " "
DESA PENDREH 01 00 " " sdh
JL.PANGERAN ANTASARI KEL.MELAYU 01 00 " " -

JL. MESJID 02 00 " " 3

JL.MANGGIS NO.18 KEL.MELAYU 02 00 " "
JL.MANGKUSARI NO.03 KEL.MELAYU 02 00 " "
JL.SWADAYA GG.BERSAMA 02 00 " " sdh

JL. KOL UNTUNG SURAPATI NO.35 03 03 " " 1

PENDREH 03 00 " " sdh
JL.MANGKUSARI NO.70 KEL.MELAYU 03 00 " " sdh
JL.MANGKUSARI KEL.MELAYU 03 00 " " -

JL.PEMUDA 04 01 " " 1

JL.DAHLIA NO.04 KEL.MELAYU 04 00 " "
JL.PANGERAN ANTASARI NO.66 04 00 " " sdh

Alamat Tempat Tinggal RT RW

Nama Nama ket.
Kecamatan Desa
JL. MANGKUSARI GG.AMAL 05 00 " " 4
JL.MANGKUSARI KEL.MELAYU 05 03 " "
BUNTOK BARU 05 00 " "
JL.JENDRAL SUDIRMAN 05 03 " "
JL. MANGGALA NO.23 05 00 " " sdh
JL.MANGKUSARI NO.63 KEL.MELAYU 05 00 " " -
JL. SIMPANG PERWIRA 06 02 " " 4
JL.PERWIRA NO.14 KEL.MELAYU 06 00 " "
JL.PANGLIMA BATUR KEL.MELAYU 06 02 " "
JL.AKASIA NO.107 KEL.MELAYU 06 00 " "
JL.PERWIRA NO.51 06 00 " " sdh
JL. PERWIRA 06 00 " " -
JL. SIMAPANG PERWIRA 06 02 " " -

JL. SENGAJI HILIR NO.10 07 00 " " 6

JL. SENGAJI HILIR 07 02 " "
JL. PEMBANGUNAN 07 00 " "
JL.SENGAJI HILIR GG.KUALA LUMPUR 07 00 " "
JL.BHAYANGKARA KEL.MELAYU 07 00 " "
JL.SENGAJI HILIR NO.11 KEL.MELAYU 07 00 " "

JL.PANGLIMA BATUR KEL.MELAYU 09 00 " " 1

JL.MERANTI GG.PERINTIS II NO.194 09 00 " " sdh
JL.PANGLIMA BATUR KEL.MELAYU 09 00 " " sdh
JL. YETRO SINGSENG 09 00 " " sdh

JL.SENGAJI HILIR NO.132 KEL.MELAYU 10 00 " " 1

JL. SENGAJI HULU KEL.MELAYU 10 00 " " sdh
JL.PANGLIMA BATUR GG.PRAMUKA KEL.MELAYU 10 03 " " sdh

Alamat Tempat Tinggal RT RW

Nama Nama ket.
Kecamatan Desa

JL.TEMANGGUNG SURAPATI NO.44 12 00 " " 4

JL.T.SURAPATI KEL.MELAYU 12 04 " "
JL.T.SURAPATI NO.53 KEL.MELAYU 12 00 " "
JL.T.SURAPATI KEL.MELAYU 12 00 " "
JL.DURIAN MUARA TEWEH 12 00 " " sdh
JL.TUMENGGUNG SURAPATI KEL.MELAYU 12 00 " " sdh
JL.T.SURAPATI KEL.MELAYU 12 00 " " sdh

JL. BANGAU NO.41 13 04 " " 3

JL.NANGKA KEL.MELAYU 13 00 " "
JL.BANGAU KEL.MELAYU 13 03 " "
JL. BANGAU NO.41 13 04 " " 2 krt ?
JL. BANGAU NO.41 13 00 " " sdh
JL. BANGAU NO.41 13 00 " " sdh
JL.MERPATI KEL.MELAYU 13 00 " " sdh
JL.BANGAU NO.35 KEL.MELAYU 13 00 " " -
JL. BANGAU NO.39 13 00 " " -
JL. MERPATI NO.43 13 00 " " -

JL. A.YANI 14 00 " " 4

JL.T.SURAPATI KEL.MELAYU 14 00 " "
JL.A.YANI NO.03 KEL.MELAYU 14 00 " "
JL.RAJAWALI GG.BINJAI NO.99 KEL.MELAYU 14 05 " "

JL. PRAMUKA NO.150 15 00 " " 1

JL.RAJAWALI KEL.MELAYU 15 00 " " sdh

Alamat Tempat Tinggal RT RW

Nama Nama ket.
Kecamatan Desa
JL. PANTI AJAR NO.58 16 00 " " 8
JL.A.YANI GG.MELATI 16 00 " "
JL.T.SURAPATI NO.43 KEL.MELAYU 16 05 " "
JL.A.YANI GG.SRIKANDI KEL.MELAYU 16 05 " "
JL.A.YANI GG.MELATI KEL.MELAYU 16 00 " "
JL.A.YANI KEL.MELAYU 16 00 " "
JL.IMAM BONJOL KEL.MELAYU 16 00 " "
JL.SIMPANG PRAMUKA KEL.MELAYU 16 00 " "
JL.BANGAU NO.84 KEL.MELAYU 16 00 " " 2 krt
JL. BANGAU NO.75 16 00 " " sdh
JL. BANGAU NO.75 16 00 " " sdh
JL. BANGAU NO.75 16 00 " " sdh
JL. BANGAU 16 00 " " sdh
JL. BANGAU 16 00 " " sdh
JL. A.YANI NO.137 16 00 " " sdh
JL. IMAM BONJOL 16 00 " " sdh
JL. A.YANI NO.137 16 00 " " sdh
JL. BANGAU NO.75 16 00 " " sdh
JL.BHAYANGKARA KEL.MELAYU 16 00 " " sdh
JL. PANTI AJAR NO.53 16 05 " " -
JL. BHAYANGKARA KEL. MELAYU 16 00 " " -
JL. SPNG AJAR 3 NO. 1 16 00 " " -

JL.TAMAN REKREASI REMAJA 17 00 " " 2

JL.PESONA TAMAN REKREASI REMAJA 17 00 " " sdh
JL.BANGAU GG.KOLAM PIPIT KEL.MELAYU 17 00 " "

JL.MERAK GG.GELATIK NO.71 18 00 " " 4

JL. MERAK GG.GELATIK NO.71 18 00 " "
JL.MERAK NO.44 KEL.MELAYU 18 00 " "
JL.FLORES NO.18 KEL.MELAYU 18 00 " "
JL.MERAK KEL.MELAYU 18 06 " " sdh
JL.MERAK NO.67 KEL.MELAYU 18 00 " " sdh

Alamat Tempat Tinggal RT RW

Nama Nama ket.
Kecamatan Desa
JL.PADAT KARYA 19 00 " " 1

JL.ANGGREK NO.62 KEL.MELAYU 20 00 " " 1

JL. KARANGSO NO.26 20 11 " " sdh

JL. AIS NASUTION 22 00 " " sdh

JL. KELAPA SAWIT 23 00 " " 4

JL. PELAJAR GG.MALUKU II NO.10 23 00 " "
JL.KELAPA SAWIT NO.41 KEL.MELAYU 23 00 " "
JL.KELAPA SAWIT NO.81 KEL.MELAYU 23 00 " "
JL.KENANGA KEL.MELAYU 23 07 " " sdh
JL.PARARAWEN NO.142 KEL.MELAYU 23 00 " " sdh
JL. KENANGA 23 00 " " -
JL. KELAPA SAWIT NO.84 23 00 " " -

JL. CEMPAKA PUTIH NO.36 24 00 " " 3

JL.CEMPAKA PUTIH NO.30 KEL.MELAYU 24 08 " "
JL.CEMPAKA PUTIH KEL.MELAYU 24 00 " "

JL. CEMPAKA PUTIH 25 00 " " 3

JL. CEMPAKA PUTIH 25 00 " "
JL.CEMPAKA PUTIH KEL.MELAYU 25 00 " "
JL. CEMPAKA PUTIH NO.26 25 00 " " -

JL. SIMP. PRAMUKA II 27 00 " " 4

JL.A.YANI ( BELAKANG BAPPEDA) 27 00 " "
JL.A.YANI NO.593 BELAKANG BAPPEDA 27 00 " "
JL.A.YANI BELAKANG BAPPEDA KEL.MELAYU 27 00 " "
JL.A.YANI KOMP SDLB KEL.MELAYU 27 00 " " sdh

JL.IMAM BONJOL 26 00 " " 28

JL. IMAM BONJOL 26 00 " "
JL. BHAYANGKARA 26 00 " "
JL.IMAM BONJOL 26 06 " "
JL. SIMPANG PRAMUKA GG.SIAGA 26 00 " "
JL. TERATAI NO.24 26 00 " "
JL.BHAYANGKARA GG.KINI BALO KEL.MELAYU 26 00 " "
JL.BHAYANGKARA KEL.MELAYU 26 00 " "
JL.TERATAI KEL.MELAYU 26 00 " "
JL.BHAYANGKARA MUARA TEWEH 26 00 " "
JL.IMAM BONJOL KEL.MELAYU 26 00 " "
JL.IMAM BONJOL NO.28 KEL.MELAYU 26 00 " "
JL.IMAM BONJOL KEL.MELAYU 26 06 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " " sdh
IMAM BONJOL NO.34 26 00 " " sdh
IMAM BONJOL NO.34 26 00 " " sdh
IMAM BONJOL NO.34 26 00 " " sdh
JL. BHAYANGKARA KEL. MELAYU 26 00 " " sdh
JL.IMAM BONJOL KEL.MELAYU 26 06 " " sdh
JL. PRAMUKA 26 00 " " sdh
JL. PENGGUNUNGAN MULLER GG.SUKA 26 00 " " sdh
JL. TERATAI NO.15 26 00 " " -
JL. DAHLIA NO.1 26 16 " " -

Alamat Tempat Tinggal RT RW

Nama Nama ket.
Kecamatan Desa
JL. PERTIWI 28 00 " " 3
JL. JEND.SUDIRMAN NO.2 28 00 " "
JL.JENDRAL SUDIRMAN GG.PANDU NO.117 28 00 " " sdh
JL.BRIGJEN KATAMSO NO.44 KEL.MELAYU 28 00 " " sdh
JL. PERTIWI 28 00 " " sdh
JL. J. SUDIRMAN GG.PANDU NO.174 28 00 " " sdh
JL. BRIGJEN KATAMSO 28 00 " " -

JL. PENDREH 33 00 " " 5

JL. WIRA PRAJA NO.01 33 00 " "
JL. PENDREH 33 00 " "
JL.PENDREH PERUMNAS NO.3A B 33 00 " "
JL.PENDREH GG.SWADAYA II KEL.MELAYU 33 00 " "
JL. PENDREH KOMP PERUMNAS 33 00 " " sdh
JL. PENDREH NO.65 33 09 " " sdh
JL.PENDREH KOMP PERUMNAS 33 00 " " sdh
JL. WIRA PRAJA KOMP.PEMDA NO.3 33 00 " " -
JL.PENDREH NO.02 KEL.MELAYU 33 00 " " -
JL.JENRAL SUDIRMAN KEL.MELAYU 33 00 " " -
JL.WIRA PRAJA II KEL.MELAYU 33 00 " " -

JL. PURUK CAHU KM.7 34 00 " " 1

JL. PARARAWEN NO.143 35 10 " " 3

JL.ANGAH NO.46 KEL.MELAYU 35 00 " "
JL.BUKIT HIJAU NO.21 KEL.MELAYU 35 00 " "
JL.WIRA PRAJA KOMP MEKAR INDAH 35 00 " " sdh
JL.BUKIT HIJAU KOMP MEKAR INDAH 35 00 " " sdh

Alamat Tempat Tinggal RT RW

Nama Nama ket.
Kecamatan Desa
WONOREJO 29 00 " " 3
JL.WONOREJO 29 00 " "
WONOREJO MELAYU 29 00 " "
JL.WONOREJO KEL.MELAYU 29 00 " " -
JL.WONOREJO KEL.MELAYU 29 00 " " -

JL. BRIGJEN KATAMSO 30 00 " " 4

JL.BRIGJEN KATAMSO NO.17 30 00 " "
WONOREJO KEL.MELAYU 30 00 " "
JL.WONOREJO KEL.MELAYU 30 00 " "
YANG TIDAK ADA KARTU BPJS & RANGKAP

Alamat Tempat Tinggal RT RW

Nama Nama ket.
Kecamatan Desa

JL.PANGERAN ANTASARI KEL.MELAYU 01 00 " "

JL.MANGKUSARI KEL.MELAYU 03 00 " "
JL.MANGKUSARI NO.63 KEL.MELAYU 05 00 " "
JL. PERWIRA 06 00 " "
JL. SIMAPANG PERWIRA 06 02 " "
JL. SENGAJI HILIR 07 02 " "
JL. BANGAU NO.41 13 04 " " 2 krt ?
JL. BANGAU NO.39 13 00 " "
JL. MERPATI NO.43 13 00 " "
JL.BANGAU NO.84 KEL.MELAYU 16 00 " " 2 krt
JL. PANTI AJAR NO.53 16 05 " "
JL. BHAYANGKARA KEL. MELAYU 16 00 " "
JL. SPNG AJAR 3 NO. 1 16 00 " "
JL. KENANGA 23 00 " "
JL. KELAPA SAWIT NO.84 23 00 " "
JL. CEMPAKA PUTIH NO.26 25 00 " "
JL. TERATAI NO.15 26 00 " "
JL. DAHLIA NO.1 26 16 " "
JL. BRIGJEN KATAMSO 28 00 " "
JL.WONOREJO KEL.MELAYU 29 00 " "
JL.WONOREJO KEL.MELAYU 29 00 " "
JL. WIRA PRAJA KOMP.PEMDA NO.3 33 00 " "
JL.PENDREH NO.02 KEL.MELAYU 33 00 " "
JL.JENRAL SUDIRMAN KEL.MELAYU 33 00 " "
JL.WIRA PRAJA II KEL.MELAYU 33 00 " "
rt 1-4 ; maret
rt 5,6,7,9 : maret
rt 10,12,13,13 ; maret
rt 15-18 ; maret

4x75= 300
300x4 = 1200000

rt 19,20,22,23 ; apr / 300

rt 24-27 ; apr / 300
rt 28,33,35 ; apr / 275
rt 29,30, 34 ; apr / 300
Rp 1,175,000.00
 DATA PESETA JAMKESDA .

No No KK NIK/KITAS/KITAP Nama Lengkap

dd/mm/yyyy
1 2 3 4 7
1 1403027109140183 6205054409700003 LAGIEM 4/9/1970
2 1403027109140184 6205054212790001 SUMILAWATI 12/2/1979
3 6205051901080386 6205055509800001 ARMAWATI 9/15/1980
4 1403027109140358 6205055410800002 SUARDIAH 10/14/1980
5 1403027109140405 6205055905800001 EKA EMY MARYANA 5/19/1980
6 1403027109140645 6205041206970001 BAYU JUMIKUM 6/12/1997
7 1403027109140646 6205042011960001 MISTADIN 11/20/1996
8 1403027109140648 6205061112990001 MAHADI 12/11/1999
9 6271032102120002 6271033101770004 YANMIKO 1/31/1977
10 6205051301110001 6205050612770002 KARYA BUDIMAN 12/6/1977
11 1403027109140172 6205052608830002 SAIFUL ANWAR,SE 8/26/1983
12 1403027109140322 6205054710790006 YATE 10/7/1979
13 6205051503100044 6205051010650010 KUSMAN EFFENDI 10/10/1965
14 1403027109140042 6205052707920004 M.RIJALI FAHMI 7/27/1992
15 1403027109140077 6205055212800003 LILI ERPIATI,S.PD.I 12/12/1980
16 1403027109140309 6205055511750003 PLUSPA ANERTI 11/15/1975
17 6212011509110007 6212010109910001 RIAN PRASETIA 9/1/1991
18 1403027109140046 6205055003840002 RILLA KUSUMA DEWI,S.MN 3/10/1984
19 1403027109140076 6205052007620001 SAMSINAR,SH 7/20/1962
20 1403027109142446 6205056208780005 ERNAWATI 8/22/1978
21 1403027109140105 6205055406830006 JUMARIAH 6/14/1983
22 1403027109140223 6205055206810002 RIA ANJANI,S.PD.AUD 6/12/1981
23 1403027109142452 6205056707780001 YULIATY,S.PD 7/27/1978
24 6205052001080176 6205051404800001 BADRIANSYAH BUDIN 4/14/1980
25 6205052001100019 6205056601940003 LUSIANA 1/26/1994
26 1403027109140251 6205054211850007 LELI MARIANA 11/2/1985
27 1403027109140325 6205056406810001 NUR KAMELIA NUVITA 6/24/1981
28 1403027109140388 6205054206850004 NINA MAYASARI S.S 6/2/1985
29 1403027109140398 6212014908870001 RATIANA 8/9/1987
30 6205050911110027 6205052005820004 HAIRAT ZAT 5/20/1982
1 2 3 4 7
31 6205052112110039 6205050208880006 ABDUL HAKIM 8/2/1988
32 6205050611120004 6205051012790005 RIZAL FIKRI 12/10/1979
33 1403027109140068 6205055809790002 RAHMAWATI,SE 9/18/1979
34 1403027109140156 6205056507820003 YUSRINA HIDAYATI 7/25/1982
35 1403027109140229 6205054909750006 RETSI HERLINA 9/9/1975
36 1403027109142451 6205056606890003 WAHIDAH 6/26/1989
37 6205051301100010 6205051604880003 APRIADY SYAHBANA 4/16/1988
38 6205051711090011 6205052906840004 ADE FITRIADI 6/29/1984
39 1403027109140030 6205061206450004 SURPANUS LENJANG 6/12/1945
40 1403027109140203 6205056109810004 NORHASANA,S.PD 9/21/1981
41 1403027109140279 6205050509840003 JAMIL RIFANI,A.MA 9/5/1984
42 1403027109140376 6205050105810004 RAMADAN 5/1/1987
43 6205051202080157 6205052807770003 RUMY 7/28/1977
44 1403027109140177 6205055411890002 HENI HARIYATI,S.TH.I 11/14/1989
45 1403027109140202 6205055208850002 RISTA ANDRIANI DEWI,SE 8/12/1985
46 1403027109140285 6205054606870005 FATMI RAHMIATI,S.PD 6/6/1987
47 6205051801080337 6205055101800001 DENA TRIGANDA 1/11/1980
48 1403027109140034 6205056910940003 RAHMIYATI 10/29/1994
49 1403027109140250 6205054104670001 ROHANA 4/1/1967
50 6205051312100013 6205051608470001 SUTRISNO 8/16/1947
51 1403027109140242 6205056707910001 EKA ZURAIDA 7/27/1991
52 1403027109140284 6205050709850001 SIGIT KARIYONO 9/7/1985
53 1403027109140368 6205050303830004 SELAMAT,A.MA 3/3/1983
54 1403027109140387 6205057101900003 RISHKA DIANA,S.PD 1/31/1990
55 1403027109140394 6205055102900007 YESSI ALWINATA 2/11/1990
56 1403027109142461 6205055505760003 SRI HARTINI 5/15/1976
57 1404027109140002 6205050307830001 ARIF WIJANARKO 7/3/1983
58 6205053010090029 6205055305780002 YETTI HERAWATY 5/13/1978
59 1403027109140095 6205056901890002 ALISA HORYANTI,S.AG 1/29/1989
60 1403027109140270 6205056306750003 SALEHAH 6/23/1975
61 1403027109140411 3504140311840004 HERRY SUHARSONO 11/3/1984
62 1403027109140639 6205051011840002 YORDAN SYAM 11/10/1984
63 1403027109140640 6205055006830003 LULUK MASRUFAH 6/10/1983
64 1403027109140643 6205050502620003 UBADILLAH 2/5/1962
65 1403027109140644 6205064808790008 IMAS ROBI'AH 8/8/1979
1 2 3 4 7
66 1403027109142477 6205054208800003 KANGKI ARISANI,S.PD 8/2/1980
67 1403027109140016 6205054306740005 SRI HARTATI 6/3/1974
68 1403027109140153 6205055005850012 MARIANA,S.PD.I 5/10/1985
69 1403027109140155 6205051708560004 M.YAHYA 8/17/1956
70 1403027109140161 6205052202880001 KALBIDIN NOR,S.PD 2/27/1988
71 1403027109140010 6205055910840002 SUSAN PUSPITA L 10/19/1984
72 1403027109140189 6205056103840003 YANITA EKA SANTI 3/21/1984
73 6205051505120021 6205051905760005 HAIRI VERRYATMA 5/19/1976
74 6205052801080305 6205050807890003 ARIEF KURNIAWAN 7/8/1989
75 1404027109140001 6505050711860003 EPENDI 11/7/1986
76 6205050402100059 6205051006780008 DARUS INDRAYOTO 6/10/1978
77 6205050801100028 6205050206780005 KURNADI 6/2/1978
78 6205052301080256 6205055912820002 MAWARNI DEPITA 12/19/1982
79 1403027109140017 6205052702820001 HARRY LESMANA U 2/27/1982
80 1403027109140025 6205051804830001 IBRAHIM 4/18/1983
81 1403027109140031 6205050606630004 SARMAN 6/6/1963
82 1403027109140154 6205050304900004 FARHANUDDIN AHADI,S.PD 4/3/1990
83 1403027109140209 6205055008690002 ELLYIEN 8/10/1969
84 1403027109140254 6205051902820003 ABRAHAM DAYA SINTANO 2/19/1982
 85 1403027109140277 6205054107810086 ARDAYATI,S.PD 7/1/1981
86 1403027109140343 6205051803860002 NURFAJERI IRAWANDI,ST 3/18/1986
87 1403027109140389 6205056104790002 RUSLINA WATI,A.MA 4/21/1979
88 1403027109140635 6205051411720005 SOLIHUDIN MALIK 11/14/1972
89 1403027109140636 6205054304840004 ITA ROSITA 4/3/1984
90 1403027109140637 3207180703900002 YUDA NUGRAHA M 7/4/1990
91 1403027109140638 3207204608890002 YENI MARYENI 8/6/1989
92 1403027109140641 3279041207780002 BENI BADRUDIN 7/12/1978
93 1403027109140642 6205056912850006 LINA ROFIAH 12/29/1985
94 1403027109142474 6205054305770007 RATNA DEWI 5/3/1977
95 1403027109140243 6205055202870003 RAHIMAH 2/12/1987
96 1403027109140244 6205055012880001 IIN SAFA'AH 12/10/1988
97 1403027109140304 6205056111830003 KAMELIA,S.PD 11/21/1983
98 6205052910100006 6205051407830002 BENI 7/14/1983
99 1403027109140026 6205054603750002 SRI ERNAWATI 3/6/1975
100 1403027109140210 6205056005800002 AIDA NURHIDAYAH,S.PD.I 5/20/1980
1 2 3 4 7
101 1403027109140225 6205055801880001 VICKY 1/18/1988
102 1403027109140292 6205056103870005 ANDI MEGAWATI 3/21/1987
103 1403027109140397 6205054808820001 RAMAIANA,S.PD 8/8/1982
104 1403027109140219 6205055306920007 ZUNITA WULANDARI 6/13/1992
105 6205050609890005 6205050609890005 SYAHRAWARDI 9/6/1989
106 1403027109140228 6205056709700004 SRI MEGAWATI 9/27/1970
107 1403027109140020 6205052511710002 DATA SANTOSO 11/25/1971
108 6205052812100018 6205055408690001 SUSANTI 8/14/1969
109 6205051405080003 6205051011910002 ADE FARMANA PUTRA 11/10/1991
110 1403027109140006 6205051402480003 USMAN GUMANTY 2/14/1948
111 1403027109140023 6205052502680001 JAYADI RAMLIADI KH 2/25/1968
112 1403027109140024 6205056009860003 NOOR ANISA 9/20/1986
113 1403027109140073 6205056406770003 MILA ROSMALINA 6/24/1977
114 1403027109140087 6205054018100021 RIKA YURNA,S.PD.I 1/1/1981
115 1403027109140283 6205056808920001 AYU DIA ANGGRAINI 8/28/1992
116 6205052712110005 6205050308740006 RUDI HARTONO 8/3/1974
117 1403027109140044 6205056406830001 ARMIATI,SE 6/24/1983
118 1403027109140151 6205055104820005 MIRAH REJEKI,SP 4/11/1982
119 6205051102080010 6205055907740002 TITIN 7/19/1974
120 6205053001100012 6205051306770001 JONIE 6/13/1977
121 6205052403140007 6205051606870004 ZAINAL MUSTAQIM 6/16/1987
122 1403027109140339 6205056209870004 RISNATA,S.PD 9/22/1976
123 6205052611090005 6205056804830001 NORA RELASI 4/28/1983
124 1403027109140012 6205050503740007 ABDUL MALIK 3/5/1974
125 6205051009090014 6205055109830003 TRIANA GUNAWATI 9/11/1983
126 6205051903100026 6205052502880002 YAUMIL FAHRIN WAILLHAM 2/25/1988
127 6205051612090057 6205052204840002 BARGUS 4/22/1984
128 6205051903100026 6205051007870002 RAHMAT ISTIKAMAH 7/10/1987
129 6205051403110001 6205052102890001 TOMI IRAWAN 2/21/1989
130 6205052201080790 6205050806800001 DEDY RAYI KUSUMA 6/8/1980
131 6205051408080004 6205054111820003 LAILATUL MAULIDAH 11/1/1982
132 1403027109140004 6205055307890004 MILASARI 7/13/1989
133 1403027109140011 6205050703820006 LATIF FATUL ILMI 3/7/1982
134 1403027109140035 6205052603880003 MASDIAN SAPUTRA 3/26/1988
135 1403027109140060 6205051911880002 TOMMY SUGARA,S.PD 11/15/1988
1 2 3 4 7
136 1403027109140119 6205052607840002 ABDUL MANAP 7/26/1984
137 1403027109140208 6205055708790009 ACEN ANITA 8/17/1979
138 1403027109140289 6205054602870002 RUSINAH,S.PD 2/6/1986
139 1403027109140316 6205054705840002 DELIANA,S.PD 5/7/1984
140 1403027109140390 6205051410880003 M.FARID ANSYORI 10/14/1988
141 1403027109140403 6205054303660001 MARIANI 3/3/1966
142 1403027109140619 6205050909670004 SYAHRUNI 9/9/1967
143 1403027109140620 6205055708740010 PURNAWATI 8/17/1974
144 1403027109140621 6205050109930001 AHMAD RUDIANTO 9/1/1993
145 1403027109140622 6205056109040003 SITI ROHMAH WATI 9/21/2004
146 1403027109140623 6308045511500001 HJ ARBAIYAH 11/15/1950
147 1403027109140624 6308040405000001 RAHMADI 5/1/2000
148 1403027109140625 6205041308930002 JAIR NUSANTARA 8/13/1993
149 1403027109140626 6205051105000005 M.PIKRIANOR 5/11/2000
150 1403027109140627 6205051508900006 HERMAN HERIYADI 8/15/1990
151 1403027109140628 6205041609970002 ABDUL GHOFUR 9/14/1997
152 1403027109140629 5205042790940001 DWI HAYUNANTO 9/27/1996
153 1403027109140630 6205040308970001 M.AYYUB 8/3/1997
154 1403027109140631 6205042810970002 A. IBRAHIM 10/28/1997
155 1403027109140632 6205054208980001 RABIATUL ADAWIYAH 8/2/1995
156 1403027109140633 6205050704970010 AMELIA 4/7/1997
157 1403027109140634 6205044607990001 HELMA TIANA 7/6/1998
158 1403027109143111 6205054104910001 RITANIAH 4/1/1991
159 1403027109143112 6205065012890001 SANAWIYAH 12/10/1989
160 1403027109143113 6205054101950001 HASANAH 1/1/1995
161 6205052001080839 6205052406880005 MUHLIS 6/24/1988
162 6205052812100030 6205051508740006 MOH. ANAM 8/15/1974
163 1403027109140112 6205055607840002 NUAHSI,S.PD 7/16/1984
164 1403027109140152 6205055906830001 MARIYA ULFAH,S.PD.I 6/19/1983
165 1403027109140407 6205057007870002 WARNINGSIH,S.PD 7/30/1987
166 6205052609090022 6205050207830004 HERMAN RASIDI 7/2/1983
167 6205052004110007 6205051010810018 RUDI HARTONO 10/10/1981
168 6205051701080505 6205051606840001 ARBAIN 6/16/1984
169 6205050104100012 6205051703690003 MARDUAN 3/17/1969
170 6205051501100014 6205051409830002 RAKHMATULLAH 9/14/1983
1 2 3 4 7
171 1403027109140222 6205055412880002 DESITA ANGELA,S.PD 12/14/1988
172 1403027109140404 6205056702880002 FARIANA SILVIA LINGU 2/27/1988
173 6205051801080838 6205050308770005 MISRAN 8/3/1977
174 6205051705100039 6205051005760005 REMAN 5/10/1976
175 1403027109142443 6205055908760001 SULISTYA RINI 8/19/1976
176 1403027109142470 6205054902880002 SUSILAWATI 2/9/1988
177 1403027109142471 6205053009860001 TAUFIQ RIA DONY 9/30/1986
178 6205053009100017 6205054212760003 NOROLIMAN 12/2/1976
179 6205052801140007 6205051010920012 SUPRAPTO 10/10/1992
180 1403027109140163 6205055004870009 KASMAWATI,S.PD 4/10/1987
181 1403027109142476 6205052408880003 MUHAMMAD DISON,S.PD 8/24/1988
182 6205050809090026 6205050702810002 RAKHMAN NOOR 2/7/1981
183 6205052210090028 6205051703800002 KOMARRUDIN FAUZI 3/17/1980
184 6205051810110001 6205054805850001 EKA FATRIA N 5/8/1985
185 6205051811100035 6205054503810003 ELLI SUBEKTI 3/5/1981
186 6205052610090024 6205053004780002 ARISANDI 4/30/1978
187 1403027109140027 6205052007570002 MARMO 7/20/1957
188 1403027109140200 6205055807780002 YULIA FARIZA 7/18/1978
189 1403027109140226 6205056803550005 MARSIANA 3/28/1955
190 1403027109140241 6205055507880003 ADE PUTRIE ARACHMAN 7/15/1988
191 1403027109140287 6205054902800003 YUSITA,S.PD 2/9/1980
192 1403027109140291 6205054102890007 SUDARYATI,S.PD.I 2/1/1989
193 1403027109140324 6205056702810002 MUSLIMAH,S.PD 2/27/1981
194 6205052309100005 6205051303800004 IMRON 3/13/1980
195 6205051801080938 6205051910880001 AHMAD SETIAWAN M 10/19/1988
196 1403027109140221 6205054302780002 YULITA SUMANTI 2/3/1978
197 1403027109140232 6205055601650001 SITI SALBIAH 1/16/1965
198 1403027109140408 6205056711840002 SRI WIDAYANI 11/27/1984
199 1403027109142460 6205054511640002 NOORMIATI 11/5/1964
PESETA JAMKESDA .

Nama
Kecamatan Nama Desa
Alamat Tempat Tinggal RT RW

10 11 12 15 17
WONOREJO 00 00 T. TENGAH MELAYU
WONOREJO KEL.MELAYU 00 00 " "
JL.PENDREH GG,NUSANTARA III 00 00 " "
JL.BANGAU NO.05 GG.PERINTIS KEL.MELAYU 00 00 " "
JL.PENDREH KOMP PERUM NUR ASRI PERDANA 00 00 " "
JL.BANGAU KEL.MELAYU 00 00 " "
JL.BANGAU KEL.MELAYU 00 00 " "
JL.BANGAU KEL.MELAYU 00 00 " "
JL.BUKIT RAYA GG.I P.RAYA 01 16 " "
JL. PANGERAN ANTASARI 01 00 " "
JL.PANGERAN ANTASARI KEL.MELAYU 01 00 " "
DESA PENDREH 01 00 " "
JL. MESJID 02 00 " "
JL.MANGGIS NO.18 KEL.MELAYU 02 00 " "
JL.MANGKUSARI NO.03 KEL.MELAYU 02 00 " "
JL.SWADAYA GG.BERSAMA 02 00 " "
JL. KOL UNTUNG SURAPATI NO.35 03 03 " "
JL.MANGKUSARI KEL.MELAYU 03 00 " "
PENDREH 03 00 " "
JL.MANGKUSARI NO.70 KEL.MELAYU 03 00 " "
JL.PEMUDA 04 01 " "
JL.PANGERAN ANTASARI NO.66 04 00 " "
JL.DAHLIA NO.04 KEL.MELAYU 04 00 " "
JL. MANGKUSARI GG.AMAL 05 00 " "
JL. MANGGALA NO.23 05 00 " "
JL.MANGKUSARI KEL.MELAYU 05 03 " "
BUNTOK BARU 05 00 " "
JL.MANGKUSARI NO.63 KEL.MELAYU 05 00 " "
JL.JENDRAL SUDIRMAN 05 03 " "
JL. SIMPANG PERWIRA 06 02 " "
10 11 12 15 17
JL. PERWIRA 06 00 " "
JL. SIMAPANG PERWIRA 06 02 " "
JL.PERWIRA NO.14 KEL.MELAYU 06 00 " "
JL.PANGLIMA BATUR KEL.MELAYU 06 02 " "
JL.AKASIA NO.107 KEL.MELAYU 06 00 " "
JL.PERWIRA NO.51 06 00 " "
JL. SENGAJI HILIR NO.10 07 00 " "
JL. SENGAJI HILIR 07 02 " "
JL. PEMBANGUNAN 07 00 " "
JL.SENGAJI HILIR GG.KUALA LUMPUR 07 00 " "
JL.BHAYANGKARA KEL.MELAYU 07 00 " "
JL.SENGAJI HILIR NO.11 KEL.MELAYU 07 00 " "
JL. YETRO SINGSENG 09 00 " "
JL.PANGLIMA BATUR KEL.MELAYU 09 00 " "
JL.MERANTI GG.PERINTIS II NO.194 09 00 " "
JL.PANGLIMA BATUR KEL.MELAYU 09 00 " "
JL. SENGAJI HULU KEL.MELAYU 10 00 " "
JL.PANGLIMA BATUR GG.PRAMUKA KEL.MELAYU 10 03 " "
JL.SENGAJI HILIR NO.132 KEL.MELAYU 10 00 " "
JL.TEMANGGUNG SURAPATI NO.44 12 00 " "
JL.TUMENGGUNG SURAPATI KEL.MELAYU 12 00 " "
JL.T.SURAPATI KEL.MELAYU 12 00 " "
JL.T.SURAPATI KEL.MELAYU 12 04 " "
JL.T.SURAPATI NO.53 KEL.MELAYU 12 00 " "
JL.T.SURAPATI KEL.MELAYU 12 00 " "
JL.DURIAN MUARA TEWEH 12 00 " "
JL. BANGAU NO.39 13 00 " "
JL. MERPATI NO.43 13 00 " "
JL.MERPATI KEL.MELAYU 13 00 " "
JL.NANGKA KEL.MELAYU 13 00 " "
JL.BANGAU KEL.MELAYU 13 03 " "
JL. BANGAU NO.41 13 00 " "
JL. BANGAU NO.41 13 00 " "
JL. BANGAU NO.41 13 04 " "
JL. BANGAU NO.41 13 04 " "
10 11 12 15 17
JL.BANGAU NO.35 KEL.MELAYU 13 00 " "
JL. A.YANI 14 00 " "
JL.T.SURAPATI KEL.MELAYU 14 00 " "
JL.A.YANI NO.03 KEL.MELAYU 14 00 " "
JL.RAJAWALI GG.BINJAI NO.99 KEL.MELAYU 14 05 " "
JL. PRAMUKA NO.150 15 00 " "
JL.RAJAWALI KEL.MELAYU 15 00 " "
JL. A.YANI NO.137 16 00 " "
JL. IMAM BONJOL 16 00 " "
JL. PANTI AJAR NO.53 16 05 " "
JL. BHAYANGKARA KEL. MELAYU 16 00 " "
JL. SPNG AJAR 3 NO. 1 16 00 " "
JL. PANTI AJAR NO.58 16 00 " "
JL. A.YANI NO.137 16 00 " "
JL.A.YANI GG.MELATI 16 00 " "
JL.T.SURAPATI NO.43 KEL.MELAYU 16 05 " "
JL.A.YANI GG.SRIKANDI KEL.MELAYU 16 05 " "
JL.A.YANI GG.MELATI KEL.MELAYU 16 00 " "
JL.A.YANI KEL.MELAYU 16 00 " "
JL.BHAYANGKARA KEL.MELAYU 16 00 " "
JL.IMAM BONJOL KEL.MELAYU 16 00 " "
JL.SIMPANG PRAMUKA KEL.MELAYU 16 00 " "
JL. BANGAU NO.75 16 00 " "
JL. BANGAU NO.75 16 00 " "
JL. BANGAU NO.75 16 00 " "
JL. BANGAU NO.75 16 00 " "
JL. BANGAU 16 00 " "
JL. BANGAU 16 00 " "
JL.BANGAU NO.84 KEL.MELAYU 16 00 " "
JL.TAMAN REKREASI REMAJA 17 00 " "
JL.PESONA TAMAN REKREASI REMAJA 17 00 " "
JL.BANGAU GG.KOLAM PIPIT KEL.MELAYU 17 00 " "
JL.MERAK GG.GELATIK NO.71 18 00 " "
JL. MERAK GG.GELATIK NO.71 18 00 " "
JL.MERAK NO.44 KEL.MELAYU 18 00 " "
10 11 12 15 17
JL.MERAK NO.67 KEL.MELAYU 18 00 " "
JL.FLORES NO.18 KEL.MELAYU 18 00 " "
JL.MERAK KEL.MELAYU 18 06 " "
JL.PADAT KARYA 19 00 " "
JL. KARANGSO NO.26 20 11 " "
JL.ANGGREK NO.62 KEL.MELAYU 20 00 " "
JL. AIS NASUTION 22 00 " "
JL. KELAPA SAWIT 23 00 " "
JL. KENANGA 23 00 " "
JL. PELAJAR GG.MALUKU II NO.10 23 00 " "
JL. KELAPA SAWIT NO.84 23 00 " "
JL.PARARAWEN NO.142 KEL.MELAYU 23 00 " "
JL.KELAPA SAWIT NO.41 KEL.MELAYU 23 00 " "
JL.KELAPA SAWIT NO.81 KEL.MELAYU 23 00 " "
JL.KENANGA KEL.MELAYU 23 07 " "
JL. CEMPAKA PUTIH NO.36 24 00 " "
JL.CEMPAKA PUTIH NO.30 KEL.MELAYU 24 08 " "
JL.CEMPAKA PUTIH KEL.MELAYU 24 00 " "
JL. CEMPAKA PUTIH 25 00 " "
JL. CEMPAKA PUTIH 25 00 " "
JL. CEMPAKA PUTIH NO.26 25 00 " "
JL.CEMPAKA PUTIH KEL.MELAYU 25 00 " "
JL. BHAYANGKARA KEL. MELAYU 26 00 " "
JL. TERATAI NO.15 26 00 " "
JL. PENGGUNUNGAN MULLER GG.SUKA 26 00 " "
JL.IMAM BONJOL 26 00 " "
JL. DAHLIA NO.1 26 16 " "
JL. IMAM BONJOL 26 00 " "
JL. BHAYANGKARA 26 00 " "
JL. PRAMUKA 26 00 " "
JL.IMAM BONJOL 26 06 " "
JL. SIMPANG PRAMUKA GG.SIAGA 26 00 " "
JL. TERATAI NO.24 26 00 " "
JL.BHAYANGKARA GG.KINI BALO KEL.MELAYU 26 00 " "
JL.BHAYANGKARA KEL.MELAYU 26 00 " "
10 11 12 15 17
JL.TERATAI KEL.MELAYU 26 00 " "
JL.BHAYANGKARA MUARA TEWEH 26 00 " "
JL.IMAM BONJOL KEL.MELAYU 26 00 " "
JL.IMAM BONJOL NO.28 KEL.MELAYU 26 00 " "
JL.IMAM BONJOL KEL.MELAYU 26 06 " "
JL.IMAM BONJOL KEL.MELAYU 26 06 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
IMAM BONJOL NO.34 26 00 " "
JL. SIMP. PRAMUKA II 27 00 " "
JL.A.YANI ( BELAKANG BAPPEDA) 27 00 " "
JL.A.YANI NO.593 BELAKANG BAPPEDA KEL.MELAYU 27 00 " "
JL.A.YANI BELAKANG BAPPEDA KEL.MELAYU 27 00 " "
JL.A.YANI KOMP SDLB KEL.MELAYU 27 00 " "
JL. PERTIWI 28 00 " "
JL. PERTIWI 28 00 " "
JL. J. SUDIRMAN GG.PANDU NO.174 28 00 " "
JL. BRIGJEN KATAMSO 28 00 " "
JL. JEND.SUDIRMAN NO.2 28 00 " "
10 11 12 15 17
JL.JENDRAL SUDIRMAN GG.PANDU NO.117 28 00 " "
JL.BRIGJEN KATAMSO NO.44 KEL.MELAYU 28 00 " "
WONOREJO 29 00 " "
JL.WONOREJO 29 00 " "
WONOREJO MELAYU 29 00 " "
JL.WONOREJO KEL.MELAYU 29 00 " "
JL.WONOREJO KEL.MELAYU 29 00 " "
JL. BRIGJEN KATAMSO 30 00 " "
JL.BRIGJEN KATAMSO NO.17 30 00 " "
WONOREJO KEL.MELAYU 30 00 " "
JL.WONOREJO KEL.MELAYU 30 00 " "
JL. PENDREH KOMP PERUMNAS 33 00 " "
JL. WIRA PRAJA KOMP.PEMDA NO.3 33 00 " "
JL. PENDREH NO.65 33 09 " "
JL. PENDREH 33 00 " "
JL. WIRA PRAJA NO.01 33 00 " "
JL. PENDREH 33 00 " "
JL.PENDREH KOMP PERUMNAS 33 00 " "
JL.PENDREH PERUMNAS NO.3A B 33 00 " "
JL.JENRAL SUDIRMAN KEL.MELAYU 33 00 " "
JL.WIRA PRAJA II KEL.MELAYU 33 00 " "
JL.PENDREH GG.SWADAYA II KEL.MELAYU 33 00 " "
JL.PENDREH NO.02 KEL.MELAYU 33 00 " "
JL. PURUK CAHU KM.7 34 00 " "
JL. PARARAWEN NO.143 35 10 " "
JL.BUKIT HIJAU KOMP MEKAR INDAH 35 00 " "
JL.ANGAH NO.46 KEL.MELAYU 35 00 " "
JL.BUKIT HIJAU NO.21 KEL.MELAYU 35 00 " "
JL.WIRA PRAJA KOMP MEKAR INDAH 35 00 " "
DATA PESETA JAMKESDA .

No No KK NIK/KITAS/KITAP Nama Lengkap

dd/mm/yyyy

1 2 3 4 7
1 6205052609090022 6205050207830004 HERMAN RASIDI 7/2/1983
2 6205051301100010 6205051604880003 APRIADY SYAHBANA 4/16/1988
3 6205051505120021 6205051905760005 HAIRI VERRYATMA 5/19/1976
4 6205050809090026 6205050702810002 RAKHMAN NOOR 2/7/1981
5 6205052801080305 6205050807890003 ARIEF KURNIAWAN 7/8/1989
6 6205050609890005 6205050609890005 SYAHRAWARDI 9/6/1989
7 6205051202080157 6205052807770003 RUMY 7/28/1977
8 6205052611090005 6205056804830001 NORA RELASI 4/28/1983
9 6205051801080337 6205055101800001 DENA TRIGANDA 1/11/1980
10 6205051312100013 6205051608470001 SUTRISNO 8/16/1947
11 6271032102120002 6271033101770004 YANMIKO 1/31/1977
12 6205051503100044 6205051010650010 KUSMAN EFFENDI 10/10/1965
13 6205052004110007 6205051010810018 RUDI HARTONO 10/10/1981
14 6205050911110027 6205052005820004 HAIRAT ZAT 5/20/1982
15 6205051801080838 6205050308770005 MISRAN 8/3/1977
16 6205052812100018 6205055408690001 SUSANTI 8/14/1969
17 6205051102080010 6205055907740002 TITIN 7/19/1974
18 6205053009100017 6205054212760003 NOROLIMAN 12/2/1976
19 6205053001100012 6205051306770001 JONIE 6/13/1977
20 6205052801140007 6205051010920012 SUPRAPTO 10/10/1992
21 1404027109140001 6505050711860003 EPENDI 11/7/1986
22 1404027109140002 6205050307830001 ARIF WIJANARKO 7/3/1983
23 6205051701080505 6205051606840001 ARBAIN 6/16/1984
24 6205051405080003 6205051011910002 ADE FARMANA PUTRA 11/10/1991
25 6205052112110039 6205050208880006 ABDUL HAKIM 8/2/1988
26 6205051711090011 6205052906840004 ADE FITRIADI 6/29/1984
27 6205050402100059 6205051006780008 DARUS INDRAYOTO 6/10/1978
28 6205050801100028 6205050206780005 KURNADI 6/2/1978
29 6205052210090028 6205051703800002 KOMARRUDIN FAUZI 3/17/1980
30 6205050104100012 6205051703690003 MARDUAN 3/17/1969
31 6205050611120004 6205051012790005 RIZAL FIKRI 12/10/1979
32 6205052403140007 6205051606870004 ZAINAL MUSTAQIM 6/16/1987
33 6212011509110007 6212010109910001 RIAN PRASETIA 9/1/1991
34 6205051810110001 6205054805850001 EKA FATRIA N 5/8/1985
35 6205051009090014 6205055109830003 TRIANA GUNAWATI 9/11/1983
36 6205052001080176 6205051404800001 BADRIANSYAH BUDIN 4/14/1980
37 6205051811100035 6205054503810003 ELLI SUBEKTI 3/5/1981
38 6205051903100026 6205052502880002 YAUMIL FAHRIN WAILLHAM 2/25/1988
39 6205052309100005 6205051303800004 IMRON 3/13/1980
40 6205051705100039 6205051005760005 REMAN 5/10/1976
41 6205051301110001 6205050612770002 KARYA BUDIMAN 12/6/1977
42 6205051612090057 6205052204840002 BARGUS 4/22/1984
43 6205053010090029 6205055305780002 YETTI HERAWATY 5/13/1978
44 6205051903100026 6205051007870002 RAHMAT ISTIKAMAH 7/10/1987
45 6205052001080839 6205052406880005 MUHLIS 6/24/1988
46 6205052001100019 6205056601940003 LUSIANA 1/26/1994
47 6205052910100006 6205051407830002 BENI 7/14/1983
48 6205052610090024 6205053004780002 ARISANDI 4/30/1978
49 6205051403110001 6205052102890001 TOMI IRAWAN 2/21/1989
50 6205052812100030 6205051508740006 MOH. ANAM 8/15/1974
51 6205052301080256 6205055912820002 MAWARNI DEPITA 12/19/1982
52 6205052712110005 6205050308740006 RUDI HARTONO 8/3/1974
53 6205051501100014 6205051409830002 RAKHMATULLAH 9/14/1983
54 6205052201080790 6205050806800001 DEDY RAYI KUSUMA 6/8/1980
55 6205051408080004 6205054111820003 LAILATUL MAULIDAH 11/1/1982
56 6205051801080938 6205051910880001 AHMAD SETIAWAN M 10/19/1988
57 1403027109140004 6205055307890004 MILASARI 7/13/1989
58 1403027109140006 6205051402480003 USMAN GUMANTY 2/14/1948
59 1403027109140010 6205055910840002 SUSAN PUSPITA L 10/19/1984
60 1403027109140011 6205050703820006 LATIF FATUL ILMI 3/7/1982
61 1403027109140012 6205050503740007 ABDUL MALIK 3/5/1974
62 1403027109140016 6205054306740005 SRI HARTATI 6/3/1974
63 1403027109140017 6205052702820001 HARRY LESMANA U 2/27/1982
64 1403027109140020 6205052511710002 DATA SANTOSO 11/25/1971
65 1403027109140023 6205052502680001 JAYADI RAMLIADI KH 2/25/1968
66 1403027109140024 6205056009860003 NOOR ANISA 9/20/1986
67 1403027109140025 6205051804830001 IBRAHIM 4/18/1983
68 1403027109140026 6205054603750002 SRI ERNAWATI 3/6/1975
69 1403027109140027 6205052007570002 MARMO 7/20/1957
70 1403027109140030 6205061206450004 SURPANUS LENJANG 6/12/1945
71 1403027109140031 6205050606630004 SARMAN 6/6/1963
72 1403027109140034 6205056910940003 RAHMIYATI 10/29/1994
73 1403027109140035 6205052603880003 MASDIAN SAPUTRA 3/26/1988
74 1403027109140042 6205052707920004 M.RIJALI FAHMI 7/27/1992
75 1403027109140044 6205056406830001 ARMIATI,SE 6/24/1983
76 1403027109140046 6205055003840002 RILLA KUSUMA DEWI,S.MN 3/10/1984
77 1403027109140060 6205051911880002 TOMMY SUGARA,S.PD 11/15/1988
 78 1403027109140068 6205055809790002 RAHMAWATI,SE 9/18/1979
79 1403027109140073 6205056406770003 MILA ROSMALINA 6/24/1977
80 1403027109140076 6205052007620001 SAMSINAR,SH 7/20/1962
81 1403027109140077 6205055212800003 LILI ERPIATI,S.PD.I 12/12/1980
82 1403027109140087 6205054018100021 RIKA YURNA,S.PD.I 1/1/1981
83 1403027109140095 6205056901890002 ALISA HORYANTI,S.AG 1/29/1989
84 1403027109140105 6205055406830006 JUMARIAH 6/14/1983
85 1403027109140112 6205055607840002 NUAHSI,S.PD 7/16/1984
86 1403027109140119 6205052607840002 ABDUL MANAP 7/26/1984
87 1403027109140151 6205055104820005 MIRAH REJEKI,SP 4/11/1982
88 1403027109140152 6205055906830001 MARIYA ULFAH,S.PD.I 6/19/1983
89 1403027109140153 6205055005850012 MARIANA,S.PD.I 5/10/1985
90 1403027109140154 6205050304900004 FARHANUDDIN AHADI,S.PD 4/3/1990
91 1403027109140155 6205051708560004 M.YAHYA 8/17/1956
92 1403027109140156 6205056507820003 YUSRINA HIDAYATI 7/25/1982
93 1403027109140161 6205052202880001 KALBIDIN NOR,S.PD 2/27/1988
94 1403027109140163 6205055004870009 KASMAWATI,S.PD 4/10/1987
95 1403027109140172 6205052608830002 SAIFUL ANWAR,SE 8/26/1983
96 1403027109140177 6205055411890002 HENI HARIYATI,S.TH.I 11/14/1989
97 1403027109140183 6205054409700003 LAGIEM 4/9/1970
98 1403027109140184 6205054212790001 SUMILAWATI 12/2/1979
99 1403027109140189 6205056103840003 YANITA EKA SANTI 3/21/1984
100 1403027109140200 6205055807780002 YULIA FARIZA 7/18/1978
101 1403027109140202 6205055208850002 RISTA ANDRIANI DEWI,SE 8/12/1985
102 1403027109140203 6205056109810004 NORHASANA,S.PD 9/21/1981
103 1403027109140208 6205055708790009 ACEN ANITA 8/17/1979
104 1403027109140209 6205055008690002 ELLYIEN 8/10/1969
105 1403027109140210 6205056005800002 AIDA NURHIDAYAH,S.PD.I 5/20/1980
106 1403027109140219 6205055306920007 ZUNITA WULANDARI 6/13/1992
107 1403027109140221 6205054302780002 YULITA SUMANTI 2/3/1978
108 1403027109140222 6205055412880002 DESITA ANGELA,S.PD 12/14/1988
109 1403027109140223 6205055206810002 RIA ANJANI,S.PD.AUD 6/12/1981
110 1403027109140225 6205055801880001 VICKY 1/18/1988
111 1403027109140226 6205056803550005 MARSIANA 3/28/1955
112 1403027109140228 6205056709700004 SRI MEGAWATI 9/27/1970
113 1403027109140229 6205054909750006 RETSI HERLINA 9/9/1975
114 1403027109140232 6205055601650001 SITI SALBIAH 1/16/1965
115 1403027109140241 6205055507880003 ADE PUTRIE ARACHMAN 7/15/1988
116 1403027109140242 6205056707910001 EKA ZURAIDA 7/27/1991
117 1403027109140243 6205055202870003 RAHIMAH 2/12/1987
118 1403027109140244 6205055012880001 IIN SAFA'AH 12/10/1988
119 1403027109140250 6205054104670001 ROHANA 4/1/1967
120 1403027109140251 6205054211850007 LELI MARIANA 11/2/1985
121 6205051901080386 6205055509800001 ARMAWATI 9/15/1980
122 1403027109140254 6205051902820003 ABRAHAM DAYA SINTANO 2/19/1982
123 1403027109140270 6205056306750003 SALEHAH 6/23/1975
124 1403027109140277 6205054107810086 ARDAYATI,S.PD 7/1/1981
125 1403027109140279 6205050509840003 JAMIL RIFANI,A.MA 9/5/1984
126 1403027109140283 6205056808920001 AYU DIA ANGGRAINI 8/28/1992
127 1403027109140284 6205050709850001 SIGIT KARIYONO 9/7/1985
128 1403027109140285 6205054606870005 FATMI RAHMIATI,S.PD 6/6/1987
129 1403027109140287 6205054902800003 YUSITA,S.PD 2/9/1980
130 1403027109140289 6205054602870002 RUSINAH,S.PD 2/6/1986
131 1403027109140291 6205054102890007 SUDARYATI,S.PD.I 2/1/1989
132 1403027109140292 6205056103870005 ANDI MEGAWATI 3/21/1987
133 1403027109140304 6205056111830003 KAMELIA,S.PD 11/21/1983
134 1403027109140309 6205055511750003 PLUSPA ANERTI 11/15/1975
135 1403027109140316 6205054705840002 DELIANA,S.PD 5/7/1984
136 1403027109140322 6205054710790006 YATE 10/7/1979
137 1403027109140324 6205056702810002 MUSLIMAH,S.PD 2/27/1981
138 1403027109140325 6205056406810001 NUR KAMELIA NUVITA 6/24/1981
139 1403027109140339 6205056209870004 RISNATA,S.PD 9/22/1976
140 1403027109140343 6205051803860002 NURFAJERI IRAWANDI,ST 3/18/1986
141 1403027109140358 6205055410800002 SUARDIAH 10/14/1980
142 1403027109140368 6205050303830004 SELAMAT,A.MA 3/3/1983
143 1403027109140376 6205050105810004 RAMADAN 5/1/1987
144 1403027109140387 6205057101900003 RISHKA DIANA,S.PD 1/31/1990
145 1403027109140388 6205054206850004 NINA MAYASARI S.S 6/2/1985
146 1403027109140389 6205056104790002 RUSLINA WATI,A.MA 4/21/1979
147 1403027109140390 6205051410880003 M.FARID ANSYORI 10/14/1988
148 1403027109140394 6205055102900007 YESSI ALWINATA 2/11/1990
149 1403027109140397 6205054808820001 RAMAIANA,S.PD 8/8/1982
150 1403027109140398 6212014908870001 RATIANA 8/9/1987
151 1403027109140403 6205054303660001 MARIANI 3/3/1966
152 1403027109140404 6205056702880002 FARIANA SILVIA LINGU 2/27/1988
153 1403027109140405 6205055905800001 EKA EMY MARYANA 5/19/1980
154 1403027109140407 6205057007870002 WARNINGSIH,S.PD 7/30/1987
155 1403027109140408 6205056711840002 SRI WIDAYANI 11/27/1984
156 1403027109140411 3504140311840004 HERRY SUHARSONO 11/3/1984
157 1403027109140619 6205050909670004 SYAHRUNI 9/9/1967
158 1403027109140620 6205055708740010 PURNAWATI 8/17/1974
159 1403027109140621 6205050109930001 AHMAD RUDIANTO 9/1/1993
160 1403027109140622 6205056109040003 SITI ROHMAH WATI 9/21/2004
161 1403027109140623 6308045511500001 HJ ARBAIYAH 11/15/1950
162 1403027109140624 6308040405000001 RAHMADI 5/1/2000
163 1403027109140625 6205041308930002 JAIR NUSANTARA 8/13/1993
164 1403027109140626 6205051105000005 M.PIKRIANOR 5/11/2000
165 1403027109140627 6205051508900006 HERMAN HERIYADI 8/15/1990
166 1403027109140628 6205041609970002 ABDUL GHOFUR 9/14/1997
167 1403027109140629 5205042790940001 DWI HAYUNANTO 9/27/1996
168 1403027109140630 6205040308970001 M.AYYUB 8/3/1997
169 1403027109140631 6205042810970002 A. IBRAHIM 10/28/1997
170 1403027109140632 6205054208980001 RABIATUL ADAWIYAH 8/2/1995
171 1403027109140633 6205050704970010 AMELIA 4/7/1997
172 1403027109140634 6205044607990001 HELMA TIANA 7/6/1998
173 1403027109140635 6205051411720005 SOLIHUDIN MALIK 11/14/1972
174 1403027109140636 6205054304840004 ITA ROSITA 4/3/1984
175 1403027109140637 3207180703900002 YUDA NUGRAHA M 7/4/1990
176 1403027109140638 3207204608890002 YENI MARYENI 8/6/1989
177 1403027109140639 6205051011840002 YORDAN SYAM 11/10/1984
178 1403027109140640 6205055006830003 LULUK MASRUFAH 6/10/1983
179 1403027109140641 3279041207780002 BENI BADRUDIN 7/12/1978
180 1403027109140642 6205056912850006 LINA ROFIAH 12/29/1985
181 1403027109140643 6205050502620003 UBADILLAH 2/5/1962
182 1403027109140644 6205064808790008 IMAS ROBI'AH 8/8/1979
183 1403027109140645 6205041206970001 BAYU JUMIKUM 6/12/1997
184 1403027109140646 6205042011960001 MISTADIN 11/20/1996
185 1403027109140648 6205061112990001 MAHADI 12/11/1999
186 1403027109142443 6205055908760001 SULISTYA RINI 8/19/1976
187 1403027109142446 6205056208780005 ERNAWATI 8/22/1978
188 1403027109142451 6205056606890003 WAHIDAH 6/26/1989
189 1403027109142452 6205056707780001 YULIATY,S.PD 7/27/1978
190 1403027109142460 6205054511640002 NOORMIATI 11/5/1964
191 1403027109142461 6205055505760003 SRI HARTINI 5/15/1976
192 1403027109142470 6205054902880002 SUSILAWATI 2/9/1988
193 1403027109142471 6205053009860001 TAUFIQ RIA DONY 9/30/1986
194 1403027109142474 6205054305770007 RATNA DEWI 5/3/1977
195 1403027109142476 6205052408880003 MUHAMMAD DISON,S.PD 8/24/1988
196 1403027109142477 6205054208800003 KANGKI ARISANI,S.PD 8/2/1980
197 1403027109143111 6205054104910001 RITANIAH 4/1/1991
198 1403027109143112 6205065012890001 SANAWIYAH 12/10/1989
199 1403027109143113 6205054101950001 HASANAH 1/1/1995
 Alamat Tempat Tinggal RT RW Nama Kecamatan

10 11 12 15
JL. PERTIWI 28 00 TEWEH TENGAH
JL. SENGAJI HILIR NO.10 07 00 TEWEH TENGAH
JL. A.YANI NO.137 16 00 TEWEH TENGAH
JL. PENDREH KOMP PERUMNAS 33 00 TEWEH TENGAH
JL. IMAM BONJOL 16 00 TEWEH TENGAH
JL. KARANGSO NO.26 20 11 TEWEH TENGAH
JL. YETRO SINGSENG 09 00 TEWEH TENGAH
JL. BHAYANGKARA KEL. MELAYU 26 00 TEWEH TENGAH
JL. SENGAJI HULU KEL.MELAYU 10 00 TEWEH TENGAH
JL.TEMANGGUNG SURAPATI NO.44 12 00 TEWEH TENGAH
JL.BUKIT RAYA GG.I P.RAYA 01 16 TEWEH TENGAH
JL. MESJID 02 00 TEWEH TENGAH
JL. PERTIWI 28 00 TEWEH TENGAH
JL. SIMPANG PERWIRA 06 02 TEWEH TENGAH
WONOREJO 29 00 TEWEH TENGAH
JL. KELAPA SAWIT 23 00 TEWEH TENGAH
JL. CEMPAKA PUTIH 25 00 TEWEH TENGAH
JL. BRIGJEN KATAMSO 30 00 TEWEH TENGAH
JL. CEMPAKA PUTIH 25 00 TEWEH TENGAH
JL.BRIGJEN KATAMSO NO.17 30 00 TEWEH TENGAH
JL. PANTI AJAR NO.53 16 05 TEWEH TENGAH
JL. BANGAU NO.39 13 00 TEWEH TENGAH
JL. J. SUDIRMAN GG.PANDU NO.174 28 00 TEWEH TENGAH
JL. KENANGA 23 00 TEWEH TENGAH
JL. PERWIRA 06 00 TEWEH TENGAH
JL. SENGAJI HILIR 07 02 TEWEH TENGAH
JL. BHAYANGKARA KEL. MELAYU 16 00 TEWEH TENGAH
JL. SPNG AJAR 3 NO. 1 16 00 TEWEH TENGAH
JL. WIRA PRAJA KOMP.PEMDA NO.3 33 00 TEWEH TENGAH
JL. BRIGJEN KATAMSO 28 00 TEWEH TENGAH
JL. SIMAPANG PERWIRA 06 02 TEWEH TENGAH
JL. CEMPAKA PUTIH NO.26 25 00 TEWEH TENGAH
JL. KOL UNTUNG SURAPATI NO.35 03 03 TEWEH TENGAH
JL. PENDREH NO.65 33 09 TEWEH TENGAH
JL. PENGGUNUNGAN MULLER GG.SUKA 26 00 TEWEH TENGAH
JL. MANGKUSARI GG.AMAL 05 00 TEWEH TENGAH
JL. PENDREH 33 00 TEWEH TENGAH
JL.IMAM BONJOL 26 00 TEWEH TENGAH
JL. PURUK CAHU KM.7 34 00 TEWEH TENGAH
JL.WONOREJO 29 00 TEWEH TENGAH
JL. PANGERAN ANTASARI 01 00 TEWEH TENGAH
JL. DAHLIA NO.1 26 16 TEWEH TENGAH
JL. MERPATI NO.43 13 00 TEWEH TENGAH
JL. IMAM BONJOL 26 00 TEWEH TENGAH
JL. SIMP. PRAMUKA II 27 00 TEWEH TENGAH
JL. MANGGALA NO.23 05 00 TEWEH TENGAH
JL.MERAK GG.GELATIK NO.71 18 00 TEWEH TENGAH
JL. WIRA PRAJA NO.01 33 00 TEWEH TENGAH
JL. BHAYANGKARA 26 00 TEWEH TENGAH
JL.A.YANI ( BELAKANG BAPPEDA) 27 00 TEWEH TENGAH
JL. PANTI AJAR NO.58 16 00 TEWEH TENGAH
JL. CEMPAKA PUTIH NO.36 24 00 TEWEH TENGAH
JL. JEND.SUDIRMAN NO.2 28 00 TEWEH TENGAH
JL. PRAMUKA 26 00 TEWEH TENGAH
JL.IMAM BONJOL 26 06 TEWEH TENGAH
JL. PARARAWEN NO.143 35 10 TEWEH TENGAH
JL. SIMPANG PRAMUKA GG.SIAGA 26 00 TEWEH TENGAH
JL. PELAJAR GG.MALUKU II NO.10 23 00 TEWEH TENGAH
JL. PRAMUKA NO.150 15 00 TEWEH TENGAH
JL. TERATAI NO.24 26 00 TEWEH TENGAH
JL. TERATAI NO.15 26 00 TEWEH TENGAH
JL. A.YANI 14 00 TEWEH TENGAH
JL. A.YANI NO.137 16 00 TEWEH TENGAH
JL. AIS NASUTION 22 00 TEWEH TENGAH
JL. KELAPA SAWIT NO.84 23 00 TEWEH TENGAH
JL.PARARAWEN NO.142 KEL.MELAYU 23 00 TEWEH TENGAH
JL.A.YANI GG.MELATI 16 00 TEWEH TENGAH
JL. MERAK GG.GELATIK NO.71 18 00 TEWEH TENGAH
JL. PENDREH 33 00 TEWEH TENGAH
JL. PEMBANGUNAN 07 00 TEWEH TENGAH
JL.T.SURAPATI NO.43 KEL.MELAYU 16 05 TEWEH TENGAH
JL.PANGLIMA BATUR GG.PRAMUKA KEL.MELAYU 10 03 TEWEH TENGAH
JL.BHAYANGKARA GG.KINI BALO KEL.MELAYU 26 00 TEWEH TENGAH
JL.MANGGIS NO.18 KEL.MELAYU 02 00 TEWEH TENGAH
JL.CEMPAKA PUTIH NO.30 KEL.MELAYU 24 08 TEWEH TENGAH
JL.MANGKUSARI KEL.MELAYU 03 00 TEWEH TENGAH
JL.BHAYANGKARA KEL.MELAYU 26 00 TEWEH TENGAH
JL.PERWIRA NO.14 KEL.MELAYU 06 00 TEWEH TENGAH
JL.KELAPA SAWIT NO.41 KEL.MELAYU 23 00 TEWEH TENGAH
PENDREH 03 00 TEWEH TENGAH
JL.MANGKUSARI NO.03 KEL.MELAYU 02 00 TEWEH TENGAH
JL.KELAPA SAWIT NO.81 KEL.MELAYU 23 00 TEWEH TENGAH
JL.MERPATI KEL.MELAYU 13 00 TEWEH TENGAH
JL.PEMUDA 04 01 TEWEH TENGAH
JL.A.YANI NO.593 BELAKANG BAPPEDA KEL.MELAYU 27 00 TEWEH TENGAH
JL.TERATAI KEL.MELAYU 26 00 TEWEH TENGAH
JL.CEMPAKA PUTIH KEL.MELAYU 24 00 TEWEH TENGAH
JL.A.YANI BELAKANG BAPPEDA KEL.MELAYU 27 00 TEWEH TENGAH
JL.T.SURAPATI KEL.MELAYU 14 00 TEWEH TENGAH
JL.A.YANI GG.SRIKANDI KEL.MELAYU 16 05 TEWEH TENGAH
JL.A.YANI NO.03 KEL.MELAYU 14 00 TEWEH TENGAH
JL.PANGLIMA BATUR KEL.MELAYU 06 02 TEWEH TENGAH
JL.RAJAWALI GG.BINJAI NO.99 KEL.MELAYU 14 05 TEWEH TENGAH
WONOREJO KEL.MELAYU 30 00 TEWEH TENGAH
JL.PANGERAN ANTASARI KEL.MELAYU 01 00 TEWEH TENGAH
JL.PANGLIMA BATUR KEL.MELAYU 09 00 TEWEH TENGAH
WONOREJO 00 00 TEWEH TENGAH
WONOREJO KEL.MELAYU 00 00 TEWEH TENGAH
JL.RAJAWALI KEL.MELAYU 15 00 TEWEH TENGAH
JL.PENDREH KOMP PERUMNAS 33 00 TEWEH TENGAH
JL.MERANTI GG.PERINTIS II NO.194 09 00 TEWEH TENGAH
JL.SENGAJI HILIR GG.KUALA LUMPUR 07 00 TEWEH TENGAH
JL.BHAYANGKARA MUARA TEWEH 26 00 TEWEH TENGAH
JL.A.YANI GG.MELATI KEL.MELAYU 16 00 TEWEH TENGAH
JL.MERAK NO.44 KEL.MELAYU 18 00 TEWEH TENGAH
JL.PADAT KARYA 19 00 TEWEH TENGAH
JL.BUKIT HIJAU KOMP MEKAR INDAH 35 00 TEWEH TENGAH
JL.JENDRAL SUDIRMAN GG.PANDU NO.117 28 00 TEWEH TENGAH
JL.PANGERAN ANTASARI NO.66 04 00 TEWEH TENGAH
JL.MERAK NO.67 KEL.MELAYU 18 00 TEWEH TENGAH
JL.PENDREH PERUMNAS NO.3A B 33 00 TEWEH TENGAH
JL.ANGGREK NO.62 KEL.MELAYU 20 00 TEWEH TENGAH
JL.AKASIA NO.107 KEL.MELAYU 06 00 TEWEH TENGAH
JL.ANGAH NO.46 KEL.MELAYU 35 00 TEWEH TENGAH
JL.JENRAL SUDIRMAN KEL.MELAYU 33 00 TEWEH TENGAH
JL.TUMENGGUNG SURAPATI KEL.MELAYU 12 00 TEWEH TENGAH
JL.TAMAN REKREASI REMAJA 17 00 TEWEH TENGAH
JL.PESONA TAMAN REKREASI REMAJA 17 00 TEWEH TENGAH
JL.SENGAJI HILIR NO.132 KEL.MELAYU 10 00 TEWEH TENGAH
JL.MANGKUSARI KEL.MELAYU 05 03 TEWEH TENGAH
JL.PENDREH GG,NUSANTARA III 00 00 TEWEH TENGAH
JL.A.YANI KEL.MELAYU 16 00 TEWEH TENGAH
JL.NANGKA KEL.MELAYU 13 00 TEWEH TENGAH
JL.BHAYANGKARA KEL.MELAYU 16 00 TEWEH TENGAH
JL.BHAYANGKARA KEL.MELAYU 07 00 TEWEH TENGAH
JL.KENANGA KEL.MELAYU 23 07 TEWEH TENGAH
JL.T.SURAPATI KEL.MELAYU 12 00 TEWEH TENGAH
JL.PANGLIMA BATUR KEL.MELAYU 09 00 TEWEH TENGAH
JL.WIRA PRAJA II KEL.MELAYU 33 00 TEWEH TENGAH
JL.IMAM BONJOL KEL.MELAYU 26 00 TEWEH TENGAH
JL.PENDREH GG.SWADAYA II KEL.MELAYU 33 00 TEWEH TENGAH
JL.FLORES NO.18 KEL.MELAYU 18 00 TEWEH TENGAH
JL.BANGAU GG.KOLAM PIPIT KEL.MELAYU 17 00 TEWEH TENGAH
JL.SWADAYA GG.BERSAMA 02 00 TEWEH TENGAH
JL.IMAM BONJOL NO.28 KEL.MELAYU 26 00 TEWEH TENGAH
DESA PENDREH 01 00 TEWEH TENGAH
JL.PENDREH NO.02 KEL.MELAYU 33 00 TEWEH TENGAH
BUNTOK BARU 05 00 TEWEH TENGAH
JL.CEMPAKA PUTIH KEL.MELAYU 25 00 TEWEH TENGAH
JL.IMAM BONJOL KEL.MELAYU 16 00 TEWEH TENGAH
JL.BANGAU NO.05 GG.PERINTIS KEL.MELAYU 00 00 TEWEH TENGAH
JL.T.SURAPATI KEL.MELAYU 12 04 TEWEH TENGAH
JL.SENGAJI HILIR NO.11 KEL.MELAYU 07 00 TEWEH TENGAH
JL.T.SURAPATI NO.53 KEL.MELAYU 12 00 TEWEH TENGAH
JL.MANGKUSARI NO.63 KEL.MELAYU 05 00 TEWEH TENGAH
JL.SIMPANG PRAMUKA KEL.MELAYU 16 00 TEWEH TENGAH
JL.IMAM BONJOL KEL.MELAYU 26 06 TEWEH TENGAH
JL.T.SURAPATI KEL.MELAYU 12 00 TEWEH TENGAH
JL.MERAK KEL.MELAYU 18 06 TEWEH TENGAH
JL.JENDRAL SUDIRMAN 05 03 TEWEH TENGAH
JL.IMAM BONJOL KEL.MELAYU 26 06 TEWEH TENGAH
JL.BRIGJEN KATAMSO NO.44 KEL.MELAYU 28 00 TEWEH TENGAH
JL.PENDREH KOMP PERUM NUR ASRI PERDANA KEL.MELAYU 00 00 TEWEH TENGAH
JL.A.YANI KOMP SDLB KEL.MELAYU 27 00 TEWEH TENGAH
JL.BUKIT HIJAU NO.21 KEL.MELAYU 35 00 TEWEH TENGAH
JL.BANGAU KEL.MELAYU 13 03 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
JL. BANGAU NO.75 16 00 TEWEH TENGAH
JL. BANGAU NO.75 16 00 TEWEH TENGAH
JL. BANGAU NO.75 16 00 TEWEH TENGAH
JL. BANGAU NO.75 16 00 TEWEH TENGAH
JL. BANGAU NO.41 13 00 TEWEH TENGAH
JL. BANGAU NO.41 13 00 TEWEH TENGAH
JL. BANGAU 16 00 TEWEH TENGAH
JL. BANGAU 16 00 TEWEH TENGAH
JL. BANGAU NO.41 13 04 TEWEH TENGAH
JL. BANGAU NO.41 13 04 TEWEH TENGAH
JL.BANGAU KEL.MELAYU 00 00 TEWEH TENGAH
JL.BANGAU KEL.MELAYU 00 00 TEWEH TENGAH
JL.BANGAU KEL.MELAYU 00 00 TEWEH TENGAH
WONOREJO MELAYU 29 00 TEWEH TENGAH
JL.MANGKUSARI NO.70 KEL.MELAYU 03 00 TEWEH TENGAH
JL.PERWIRA NO.51 06 00 TEWEH TENGAH
JL.DAHLIA NO.04 KEL.MELAYU 04 00 TEWEH TENGAH
JL.WIRA PRAJA KOMP MEKAR INDAH 35 00 TEWEH TENGAH
JL.DURIAN MUARA TEWEH 12 00 TEWEH TENGAH
JL.WONOREJO KEL.MELAYU 29 00 TEWEH TENGAH
JL.WONOREJO KEL.MELAYU 29 00 TEWEH TENGAH
JL.BANGAU NO.84 KEL.MELAYU 16 00 TEWEH TENGAH
JL.WONOREJO KEL.MELAYU 30 00 TEWEH TENGAH
JL.BANGAU NO.35 KEL.MELAYU 13 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
IMAM BONJOL NO.34 26 00 TEWEH TENGAH
Nama Desa

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