As

DAFTAR PERUBAHAN PEMILIH HASIL PEMUTAKHIRAN
PEMILIHAN GUBERNUR DAN WAKIL GUBERNUR KALIMANTAN TIMUR

TAHUN 2018
PROVINSI : KALIMANTAN TIMUR KECAMATAN
KABUPATEN/KOTA : BALIKPAPAN DESA/KELURAHAN
TPS
Status
No No KK NIK Nama Tempat Lahir Tanggal Lahir Umur Perkawinan Jenis Kelamin L/P
B/S/P
1 2 3 4 5 6 7 8 9
1 6471011007090026 6471011001760001 NURDIN TAWAU 10|01|1976 42 B L
2 6471012406100018 6471014710410001 TIMANG BONE 07|10|1941 76 S P
3 6471010212090002 6471014507750004 MASANG SAKKALENG 05|07|1975 42 P P
4 6471010402140006 7271021205790001 RISMAN PALU 12|05|1979 39 S L
5 6471010605100011 6471013112830022 RUSDI WAJO 31|12|1983 34 S L
6 6471011206080011 6471013112470026 KANNA BONE 31|12|1947 70 S L
7 6471011811090012 6471012707820005 MISTORO BARUK 27|07|1982 35 S L
8 6471011811090012 6471017112820028 ARMANIAH BALIKPAPAN 31|12|1982 35 S P
9 6471012612060001 6471011507730004 MURHAYA MASKAR, Drs WAJO 15|07|1973 44 S L
10 6471012901090018 6471011003930007 MUHLIKINA BALIKPAPAN 10|03|1993 25 B L
11 6471013006060009 6471016411700001 PATIMAH BALIKPAPAN 24|11|1970 47 S P
12 6471010511090029 6471014101800005 MAWAR BALIKPAPAN 01|01|1980 38 B P
13 6471010511090029 6471011411870002 MUHAMMAD RIDUANSYAH BALIKPAPAN 14|11|1987 30 B L
14 6471011100252001 6471010708800004 SYAFRI SOPPENG 08|07|1980 37 B L
15 6471011811140002 6402011103940002 KINTAKA AJI RAMADAN YOGYAKARTA 11|03|1994 24 B L
16 6471012207090024 6471010301750003 MARDANI BALIKPAPAN 03|01|1975 43 B L
17 6471012207090024 6471012810920002 SUPARDI BALIKPAPAN 28|10|1992 25 B L
18 6471010607120001 6471052505610001 NURDIN MAROS 25|05|1961 57 S L
19 6471012612060001 6471011003010001 MUHAMMAD ABI WAGIS ARRIFABALIKPAPAN 10|03|2001 17 B L
20 6471010106150010 3522041807950001 SUGIANTO BOJONEGORO 18|07|1995 22 B L
21 6471010302160002 6402131808550004 SEMANGAT BALIKPAPAN 18|08|1955 62 P L
22 6471010308150010 6307021408930002 AGUS TAUPANI ALUAN SUMUR 14|08|1993 24 B L
23 6471010402150005 3523141903780001 SUMIDI TUBAN 19|03|1978 40 S L
24 6471010405150012 1702186412910001 AYU DESTRIANA PAGAR ALAM 24|12|1991 26 B P
25 6471010504160018 7308260107600150 DALLE COPPOBULU 01|07|1960 57 S L
26 6471010510150011 3276082508950002 ILHAM MUHAMMAD ABDULLAHNGANJUK 25|08|1995 22 B L
27 6471010601140002 3503146410960001 LUTFI HIDAYAH TRENGGALEK 24|10|1996 21 B P
28 6471010607150018 3524061009980002 MOCH TOHIR KASSARUNG LAMONGAN 10|09|1998 19 B L
29 6471010812150003 3507054706810003 VIVIN YUNI WULANDARI MALANG 07|06|1981 37 S P
30 6471010812150003 3507056302010002 FEBRI YANTI NUR FRANSISKA MALANG 23|02|2001 17 B P
31 6471010812150005 3507050403790003 MISENO MALANG 04|03|1979 39 S L
32 6471010812150008 7307022812980004 FITRAJAYADI SINJAI 28|12|1998 19 B L
33 6471010910130015 7401101105950004 ARYAN BATUBANGGA 11|05|1995 23 B L
34 6471010912140003 3301181306960003 ZAENUT TAMIM CILACAP 13|06|1996 22 B L
35 6471011002140013 6402136409990001 PENI MERI WINARIUN BALIKPAPAN 24|09|1999 18 B P
36 6471011008150016 6402136207750003 ROSMAWATI BALIKPAPAN 22|07|1975 42 S P
37 6471011310150017 3578026611960001 DEVI NATA SIDOARJO 26|11|1996 21 B P
38 6471011401160014 6402031005860002 WENDI ASPRIANSYAH PURWAJAYA 10|05|1986 32 S L
39 6471011401160014 6402036002900001 YUVIKA NUR FRANSISKA SAMARINDA 20|02|1990 28 S P
40 6471011403160003 7315064201860001 HERNAWATI LAMPA 02|01|1986 32 S P
41 6471011403160021 6402036106610002 FATMAH BIMA 21|06|1961 57 P P
42 6471011403160021 6402034909930003 DEWI INTAN BAIDURI BIMA 09|09|1993 24 B P
43 6471011502160010 5272051312940001 FIKRAMAN BIMA 13|12|1994 23 B L
44 6471011705160008 3523110207650006 SABAR TUBAN 02|07|1965 52 S L
45 6471011705160008 3523114808710004 SAINING TUBAN 08|08|1971 46 S P
46 6471011711150011 6310046505800001 UMIYATI KOTA BANGUN 25|05|1980 38 S P
47 6471011711150011 6310042604810001 LUKMAN API-API 26|04|1981 37 S L
48 6471011901160013 7302011108700001 RISWANDI BORONG CINRANAE 11|08|1970 47 S L
49 6471012004160024 5307152205960001 MIDUN DAMBILA 22|05|1996 22 B L
50 6471012201160006 6471046011680001 DINA MARLINA PALEMBANG 20|11|1968 49 S P
51 6471012201160006 6402131010710009 NASARUDDIN PANTAI AGUNG 10|10|1971 46 S L
52 6471012201160006 6402134204990005 ANTI GUNUNG SARI 02|04|1999 19 B P
53 6471012202160008 6402134107470002 SALSIAH BANJARMASIN 01|07|1947 70 S P
54 6471012206150001 6401061805960003 MUHAMMAD SYAFI'I LONG IKIS 18|05|1996 22 B L
55 6471012302160018 3302170505780010 DJAFAR PALU 05|05|1978 40 S L
56 6471012310130003 3324031502930005 ARIF ADI PRATAMA KENDAL 15|02|1993 25 B L
57 6471012501160004 3578277006650001 INDIYAH SUMINTO ASIH TULUNGAGUNG 30|06|1965 52 P P
58 6471012501160004 3578275306940002 TRI AISHA WIJAYANTI SURABAYA 13|06|1994 24 B P
59 6471012605140014 3519071002970001 PASA UNGGUL PREZATAMA MADIUN 10|02|1997 21 B L
60 6471012608150009 3323036303520003 ENDANG RAINOWATI BANJARNEGARA 23|03|1952 66 P P
61 6471012611150002 6401035608520001 ZULEHA PALU 16|08|1952 65 P P
62 6471012910140014 3502151312650001 SUJANGKUNG PONOROGO 13|12|1965 52 S L
63 6471012910140014 3502155506760002 UJAHDAH AMUNTAI 15|06|1976 42 S P
64 6471013112140015 3509122108900002 AGUS FELIK HABIBI JEMBER 21|08|1990 27 B L
65 6471010408030001 6471016408990002 ANGELICA RYDA AUSTIEN BLITAR 24|08|1999 18 B P
66 6471011007090026 6471016302450001 JUNAIDA BONE 23|02|1945 73 P P
67 6471012212030011 6471011806780002 AGUS BALIKPAPAN 18|06|1978 40 B L
68 6471013011090007 6471013108750003 Alfian Balikpapan 31/08/1975 43 S L
69 6471012904030004 6471015708760002 Sulastri Surabaya 17/08/1976 43 S P
70 6471012704030015 6471045101880006 sulhana Balle 01/11/1988 30 S p
71 6471010906140005 6402135106780005 efi sahara Balikpapan 06/11/1978 40 S P
72 6471010702170001 7322112501850002 Patta Sambua 25/01/1985 33 s L
73 6471012703170005 3305162401901088 Dwi Nurjantoro Kebumen 24/01/1990 28 S L
74 6471012703170015 3302085404900002 Unik Sarawati Banyumas 14/04/1990 28 S P
75 6471010505140010 7408062812850001 Jamaludin Balikpapan 02/10/1982 36 S L
76 6471051305030007 647056304740003 Suhartinigsih Magetan 23/04/1974 44 S P
77 6471051305030007 647053004000008 Rizky Wisnu Pratama Mageran 30/04/2000 18 B L
78 6471010209150032 7408022407940001 IRWAN ASIS Olo-Oholo 24/07/1994 24 S L
79 6471010209150032 7309094709890001 Mardiana Maros 09/07/1989 29 S P
80 6471010209150032 7408022606960002 Arif Kurniawan Olo-Oholo 16/06/1996 22 B L
81 6471012308170001 6471022308680001 Agus Salim Masamba 23/08/1968 50 S L
82 6471012308170001 6471027112660006 Dayanti Maros 31/01/1966 52 S P
83 6471012308170001 6471023004980001 Muh abam Muhrram Balikpapan 30/04/1998 20 B L
84 6471012703170014 7308022307960005 Suhardi Berru Teko 20/11/1996 22 B L
85 6471013110130006 7302035012880001 Lisnawati S.pd Bulu Kumba 12/10/1988 30 B P
86 6471011906130011 6471052112860009 Yusuf Palamba Palu 21/12/1986 32 S L
87 6471011906130011 6471014302900002 Beti Simon Makale 02/03/1990 28 S P
88 6471020809150015 6271022130380001 Hardillah Balikpapan 13/03/1988 30 S L
89 6471020809150015 7371066304920002 St Aisyah yusuf Ujung Pandang 23/04/1992 26 S P
90 6471051703080022 6471045205790003 verawaty Mutia Indah Balikpapan 02/01/1972 33 S P
91 6471052501100023 6471051201800005 Moch Sodik Banyuwangi 01/12/1980 38 S L
92 6471052501100023 6471054101850020 Mut Mainah Surabaya 01/01/1985 33 S P
93 6471012812090038 6471016312650001 Radiyatul Adawiyah Kutai 23/12/1965 53 S P
94 6471O12607170004 6471051804860003 Junaidi Samarinda 18/04/1996 32 S L
95 6471O12607170004 6471054611910003 Nurul Pratiwi Balikpapan 11/06/1991 27 S P
96 6402130112110006 6402135605760003 Maya Elfiya Surabaya 16/05/1976 42 S P
97 6471012912140012 6471012511450001 Moch Anwar Surabaya 25/12/1945 73 P L
98 647101161170012 6471050112830008 Refli Falian Balikpapan 12/01/1983 35 S L
99 647101161170012 6471054403810006 Eva Marlina Samarinda 03/04/1981 37 S P
100 6471050709170003 6471052601850004 Slamet Widodo Bandung 26/01/1985 33 S L
101 6471010709170003 6471035109910001 Siti Qomariah Kediri 09/11/1991 27 S P
102 6471011201180001 6403091111850003 Cucin Manchini Ujung Rambung 11/11/1985 33 B L
103 6471011810170001 6402025306000001 Karlina Nur Anisa Loa Kulu 13/06/2000 18 S P
104 6471012706120013 6402040804770001 Sukardi Kutai 01/02/1978 40 S L
105 6471010702170006 6408110107710002 Rusli .H Sul-Sel 07/01/1971 47 S L
106 6471012607120005 6471040709870001 Dedi Kurniawan Balikpapan 09/07/1978 31 S L
107 6471012209140006 6471053101860005 Ardiansah Sanrejo 30/01/1986 32 S L
108 6471012209140006 6471053101850001 Lili Suryani . B Keppe 09/10/1985 33 S L
109 6471010502160025 8171010902950003 Elgi Munster Ambon 02/09/1995 23 B L
110 6471010711170008 6471056607910005 Annur Ayu Hijriyahni Penajam 26/07/1991 27 P P
111 6471012301090013 6471010406010001 Ahmad Maulana Balikpapan 06/04/2001 17 B L
112 6471010907120006 6471010108930006 Topik Hidayat Malang 08/01/1993 25 S L
113 6471011701630018 6402141210800005 Dedi Balikpapan 02/04/1980 38 S L
114 6471011904120006 6471016002880001 Herawati Wajo 01/05/1987 31 S P
115 6471010512170007 6471024110650001 Dahlia Tana Toraja 01/01/1965 53 P P
116 6471011805160034 6402131509970001 Yudhi Purnomo Samboja 15/09/1997 21 S L
117 6471011501820018 6471015207670003 Hapisa Pattedong 07/12/1967 51 P P
118 6471011508120018 6471011708880006 Agussalim Tondok Tangnga 17/08/1988 30 B L
119 6471010410170003 6402144101000009 ARBIAH Balikpapan 01/01/2000 18 B P
120 6471012911170007 6471044510790003 SALMIAH Balikpapan 05/10/1979 39 B P
Keterangan disabilitas: Keterangan Status Perkawinan : *Keterangan di isi:

1. Tuna Daksa B : Belum Kawin B : Pemillih Baru 4 : Pindah Domisili 9 : Hak Pilih Dicabut
2. Tuna Netra S : Kawin U : Ubah Data 5 : Tidak dikenal 10 : Bukan Penduduk
3. Tuna Rungu/Wicara P : Pernah Kawin 1 : Meninggal 6 : TNI 11 : Belum KTP-el
4. Tuna Grahita 2 : Ganda 7 : Polri 12 : Belum Dipastikan KTP-el
5. Disabilitas lainnya 8 : Hilang Ingatan
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
DESA/KELURAHAN : TERITIP
: 03
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. MULAWARMAN NO. 4 001 000 1
JL. MULAWARMAN 001 000 1
JL. MULAWARMAN 001 00- 4
JL.MULWARMAN 001 00- 4
JL. MULAWARMAN NO.09 001 00- 4
JL.MULAWARMAN NO. 24 001 00- 4
JL. MULAWARMAN NO. 42 001 00- 4
JL. MULAWARMAN NO. 8 A 001 000 4
JL.MULAWARMAN 001 000 4
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 5
JL. MULAWARMAN NO. 14 001 00- 1 U
JL. MULAWARMAN 001 00- 1 U
JL.MULAWARMAN NO.53 01 B
JL.MULAWARMAN 01 B
PERUM GRAND MULIA RESIDENCE 01 B
PERUM GRAND MUILIA RESIDENCE BLOK A 21 TERITIP 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.PADAT KARYA NO.1 01 B
JL.MULAWARMAN 01 B
JL.SELILI KEL.MANGGAR 42 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.DAHOR I NO. 04 01 B
JL.DAHOR I NO. 04 01 B
JL.JEND SUDIRMAN NO. 42 10 B
JL.SEPINGGAN BARU KEL.S 32 B
JL.SEPINGGAN BARU KEL.S 32 B
JL.MULAWARMAN KEL.MA 18 B
PERUM GRAND MULIA RESI 01 B
JL.SUKARNO HATTA KM 32. 10 B
JL.MULAWRMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
PERUM.CIPTA MULIA GEMI 01 B
PERUM.CIPTA MULIA GEMI 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL.MULAWARMAN 01 B
JL MULAWARMAN 01 B
JL MULAWARMAN 01 B
Panitia Pemungutan Suara

Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010106100041 6471015212520004 ASMANIAH SURABAYA 12|12|1952 65 P P
2 6471010412030004 6471011201530001 H. ARDIANSYAH BALIKPAPAN 12|01|1953 65 S L
3 6471011506100112 6471010701680001 MISRANI BALIKPAPAN 07|01|1968 50 S L
4 6471011511070001 6471017112810008 SITTI NURKATIJAH BANGKALAN 31|12|1981 36 S P
5 6471010210070007 6471015005370001 HJ. MASMAR BALIKPAPAN 10|05|1937 81 P P
6 6471013010070010 6471017112460019 SUPIAH KENDARI 31|12|1946 71 P P
7 6471011402140007 3526114812830004 NUNUNG FUJI LAILIANA, SE BLITAR 08|12|1983 34 S P
8 6471011402140007 3526112603830001 ROISUL AHYAR, SE. BANGKALAN 26|03|1983 35 S L
9 6471010202150015 6307111209940002 AKHMAD BADALI KABANG 12|09|1994 23 B L
10 6471010308060007 6471011505970001 PANDIANSYAH BALIKPAPAN 15|05|1997 21 B L
11 6471010408150009 6471045110930002 NOR RENA MULIA PUTRI BALIKPAPAN 11|10|1993 24 S P
12 6471011310090024 6471017112540048 ROPEAH BALIKPAPAN 31|12|1954 63 S P
13 6471011310090024 6471017107850001 YULI YANTI BALIKPAPAN 31|07|1985 32 B P
14 6471011701030003 6471010204750004 ARBAIN BALIKPAPAN 02|04|1975 43 B L
15 6471011707120006 6471011501900001 SATYA SULISTIADI BALIKPAPAN 15|01|1990 28 S L
16 6471011707120006 6471044410910002 VIVIE NURWIDYAWATI BALIKPAPAN 04|10|1991 26 S P
17 6471012102170012 6471015101860005 RINI DWI SRI HASTUTIK GROBOGAN 11|01|1986 32 S P
18 6471012509070004 6471012803750001 DARDIANSYAH BALIKPAPAN 28|03|1975 43 S L
19 6471012509070004 6471014606800005 SARIMAS UJUNG PANDANG 06|06|1980 38 S P
20 6471012706080001 6471010707680001 BUDI UTOYO,SH RIAU 07|07|1968 49 S L
21 6471012706120011 6471011707790004 KARMIN MADIUN 17|07|1979 38 S L
22 6471012706120011 6471015903840002 SUMIATI MADIUN 19|03|1984 34 S P
23 6471012806100035 6471011602740003 I DEWA PUTU SUARDANA SINGARAJA 16|02|1974 44 B L
24 6471012910120010 6471012801710002 ZAENAL ABIDIN MAGELANG 28|01|1971 47 S L
25 6471012910120010 6471014404750004 LILIK MIATI WONOSOBO 04|04|1975 43 S P
26 6471013107070004 6471012810770001 RULLY IRAWAN BALIKPAPAN 28|10|1977 40 S L
27 6471013107070004 6471014108810001 SALMIAH BALIKPAPAN 01|08|1981 36 S P
28 6471010202150014 6303050101930016 MUHAMMAD JAIED KANDANGAN 01|01|1993 25 B L
29 6471010204070001 6471011905820003 IRWANSYAH BALIKPAPAN 19|05|1982 36 P L
30 6471010309040002 6471011805700002 MATHORI SAMPANG 18|05|1970 48 S L
31 6471010309040002 6471014504770002 RO'AH LAMONGAN 05|04|1977 41 S P
32 6471010402140006 3578066206810007 SITI MAIMUNAH BANGKALAN 22|06|1981 37 P P
33 6471010808120039 6471012706860005 TRIYONO GROBOGAN 27|06|1986 32 S L
34 6471011112120037 3510161509700001 RIBUT MARIYONO BANYUWANGI 15|09|1970 47 S L
35 6471011112120037 3510164111710001 JAM'IYAH BANYUWANGI 01|11|1971 46 S P
36 6471011712140006 3516171809760010 MANGGAR MOJOKERTO 18|09|1976 41 S L
37 6471011712140006 3516175009790003 LIKA ISWATI MOJOKERTO 10|09|1976 41 S P
38 6471012006030002 1751033112550040 SURADI JOMBANG 31|12|1955 62 S L
39 6471012408090022 6471012305750002 HASAN BALIKPAPAN 23|05|1975 43 B L
40 6471012702090010 6471017112450067 KAMSIAH BANGKALAN 31|12|1945 72 P P
41 6471012812120030 3208131112690005 PETE BALIKPAPAN 11|12|1969 48 S L
42 6471012812120030 3208136511740005 ENGSIH AWENCIH KUNINGAN 25|11|1974 43 S P
43 6471013010070010 6471015202750003 HERLINA BALIKPAPAN 12|02|1975 43 B P
44 6471040906090032 6471041609110002 DIMAS ARIF SUSANTO BALIKPAPAN 16|09|1991 26 S L
45 6471012907030002 6471010610670004 MOHAMMAD ICHSANI BALIKPAPAN 06|10|1967 50 S L
46 6471012907030002 6471015410720001 LILIS SURYANI BALIKPAPAN 14|10|1972 45 S P
47 6471012907030002 6471014211960001 NOVIA LISTIANI ICHSAN BALIKPAPAN 02|11|1996 21 B P
48 6471011903130010 6472026801010005 ATIKAH NUR INAYAH LOA JANAN 28|01|2001 17 B P
49 6471012509070004 6471014502990001 ANNISA FEBRIANA DARDI BALIKPAPAN 05|02|1999 19 B P
50 6471012509070004 6471015301010001 INDAH BULAN DARI BALIKPAPAN 13|01|2001 17 B P
51 6471013107070004 6471015003000001 RANI ANDANI BALIKPAPAN 10|03|2000 18 B P
52 6471011310090017 6471013110990003 AHMAD ANSOR SALAHUDDIN BONTANG 31|10|1999 18 B L
53 6471012402160004 640214020780005 MUH.BASRI SENGAE 20/07/1980 37 S L
54 64710112809160001 7372032402740002 SUWARNO GRESIK 20/02/0974 44 S L
55 6471012809160001 7372045010670007
SRI NINGSIH BOJONEGORO 16/10/1976 42 S P
56 6471012402160004 6402147112840005
RASMAWATI SEMPANG BARAT 31/12/1984 34 S P
57 6471011005170004 6271031407780002
AGUNG BUDI NUGROHO JEPERA 14/07/1976 42 S L
58 6471011005170004 6271035707770004
UMAIDA SURYADI BANYUWANGI 10/07/1977 41 S P
59 6471011408170003 64710120027600001
HERMAN BALIKPAPAN 20/02/1976 40 S L
60 6471010408170003 6471057004840002
SUMIATI BALIKPAPAN 30/04/1984 34 S P
61 6471011712090006 6471011706820001
AGUS PURWANTO JOMBANG 17/06/1987 31 S L
62 6471011712090006 647101541770002
ARDIYAH SAMARINDA 24/12/1977 41 S P
63 6471011906170014 3309111603760006
TRIYONO BOYOLALI 18/03/1976 40 S L
64 6471011906170014 3309116806790005
WAGINEM BOYOLALI 08/06/1970 39 S P
65 6471011906170014 3309113012000005
NANANG BAGUS ARIYANTO BOYOLALI 30/12/2000 18 B L
66 6471010505170001 6471010507000001
ARJUNA BALIKPAPAN 05/03/1998 20 S L
67 6471010505170001 6471014206000002
YENI PUTRI SARI BALIKPAPAN 02/06/1999 19 S P
68 6471010406100028 6471020504980001
HERMAWAN BALIKPAPAN 05/04/1998 20 B L
69 641013010170001 6471040101920003
EKO BAKDIYAN BALIKPAPAN 01/01/1992 26 S L
70 6471010308160008 6471016108980002
RISKIYANI AGUSTINA BANJARMASIN 20/08/1998 20 S P
71 6471010210150005 6402130107931004
LASTRI INDAH ANGRAENI BALIKPAPAN 01/04/1998 20 S P

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 02
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. MULAWARMAN NO. 002 00- 1
TERITIP 001 001 4
JL. MULAWARMAN NO.45 002 000 4
JL.MULAWARMAN GG AMANA003 00- 4
TERITIP 5
JL MULAWARMAN 02 B
JL MULAWARMAN 02 B
JL MULAWARMAN 02 B
JL MULAWARMAN 02 B
JL MULAWARMAN 02 B
JL MULAWARMAN 02 B
JL MULAWARMAN 02 B
JL MULAWARMAN 02 B
JL MULAWARMAN 02 B
JL MULAWARMAN 02 B
JL MUAWARMAN NO 08 02 B
JL MULAWARMAN NO 08 02 B
JL MULAWARMAN NO 08 02 B
JL MULAWARMAN 02 B
JL.MULAWARMAN 02 B
JL.MULAWARMAN 02 B
JL. MULAWARMAN NO 37 02 B
JL.MULAWARMAN NO 37 02 B
JL MULAWARMAN 02 B

Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471011010080006 6471017112400025 SAMO BONE 31|12|1940 77 S P
2 6471012106100035 6471010107540001 SANGKALA UJUNG PANDANG 01|07|1954 63 S L
3 6471010802070005 6471013009650003 SUGIANTO WIYONO MALANG 30|09|1965 52 S L
4 6471011506100059 6471052509640006 SYACHRUDDIN PALOPO 25|09|1964 53 S L
5 6471012012050004 6471017112460017 LABUNGKO BALIKPAPAN 31|12|1946 71 P P
6 6471012601030001 6471011208630005 AMIR BONE 12|08|1963 54 S L
7 6471012604050003 6471012611530001 MUH. SOEWOTO. S TUBAN 26|11|1953 64 S L
8 6471010308160008 6471016108980002 RISKIYANI AGUSTINA BANJARMASIN 21|08|1998 19 B P
9 6471011105100046 6471011505580001 SUPIANSYAH BALIKPAPAN 15|05|1958 60 S L
10 6471010307130012 6471016011880002 ANI PURWASIH SAMBOJA 20|11|1988 29 S P
11 6471010802070005 6471014810710002 NORMALINA KUTAI 08|10|1971 46 S P
12 6471010802070005 6471015907970003 SITI NUR FATIMAH SAMBOJA 19|07|1997 20 B P
13 6471011108120009 6471011802800003 MUHAMMAD FARUK JEPARA 18|02|1980 38 S L
14 6471011108120009 6471016703880003 YUYUN ANEKA SARI JEPARA 27|03|1988 30 S P
15 6471011111090010 6471010809690001 AHMAD MULIA BALIKPAPAN 08|09|1969 48 S L
16 6471011111090010 6471014808730005 NOOR HIDAYAH BANJARMASIN 08|08|1973 44 S P
17 6471011809130020 6471032012890013 DEDY WIJAYANTO JAMBI 20|12|1989 28 S L
18 6471012004070001 6471011609520001 USMAN SANI SURABAYA 16|09|1952 65 S L
19 6471012004070001 6471014204640003 SUPIAH BALIKPAPAN 02|04|1964 54 S P
20 6471012208130005 6471010202840002 HERMANSYAH BALIKPAPAN 02|02|1984 34 B L
21 6471012402090003 6471014802820003 NINING. S CIANJUR 08|02|1982 36 S P
22 6471012706080002 6471011610800001 EDY DUWAN MISTOYO BALIKPAPAN 16|10|1980 37 S L
23 6471012912140012 6471012512450001 MOCH. ANWAR SURABAYA 25|12|1945 72 P L
24 6471011003030002 6471015107640002 SRI ANDAYANI LAMONGAN 11|07|1964 53 S P
25 6471011003030002 6471016802710004 ISTI MUN FAATI LAMONGAN 28|02|1971 47 B P
26 6471011003090028 6471011208780002 OSVIA SUBHAN BALIKPAPAN 12|08|1978 39 B L
27 6471011803080004 6471051606670003 M. NOOR AINI BATI-BATI 16|06|1967 51 S L
28 6471011904120001 6471011503860001 SUMAEDI BONE 15|03|1986 32 B L
29 6471012001100014 6471030505620013 NGASIDI PASURUAN 05|05|1962 56 S L
30 6471012001100014 6471036106750003 MARTIASIH PASURUAN 21|06|1975 43 S P
31 6471012004070001 6471010706820007 FERY PERDIAN BALIKPAPAN 07|06|1982 36 B L
32 6471012004070001 6471012908930003 ADITYA RISKY INDRIANY BALIKPAPAN 29|08|1993 24 B L
33 6471012104090013 6471041010660004 M. YUSUF BALIKPAPAN 10|10|1966 51 B L
34 6471012104090013 6471041307780001 NURHAN BALIKPAPAN 13|07|1978 39 B L
35 6471012104090013 6471042911930002 SHAHRIAN HIDAYAT BALIKPAPAN 29|11|1993 24 B L
36 6471012212090034 6471010808800003 HARISWADI BALIKPAPAN 08|08|1980 37 B L
37 6471013103090002 6471015806930002 ADE RIYANI BANJARMASIN 18|06|1993 25 B P
38 6471013103090002 6471012601910002 ARY SETIA ROBY KAPUAS 26|01|1991 27 B L
39 6471011506100088 6471014807820002 BUSANI MALANG 08|07|1982 35 S P
40 6471011506100088 6471011312830002 RUDI HARTONO MALANG 13|12|1983 34 S L
41 6471010307130012 6471050705820006 SLAMET ANDI BALIKPAPAN 07|05|1982 36 B L
42 6471010706160005 6471025402920005 SALFINA UNSUME 14|02|1992 26 P P
43 6471011110160021 6471051203600001 MASHUDI, Drs JEPARA 12|03|1960 58 S L
44 6471011110160021 6471052903870002 ADITYA RIZKYANDI PATI 29|03|1987 31 B L
45 6471011110160021 6471052606930001 RICKY FERDIAN NUGROHO PATI 28|06|1993 24 B L
46 6471012801080011 6471015802010003 MARINA BALIKPAPAN 18|02|2001 17 B P
47 6471010302140008 3518190207930002 GAGUK TRIHANDOKO NGANJUK 02|07|1993 24 B L
48 6471011505090014 6471015603830002 ARIYANI BALIKPAPAN 16|03|1983 35 B P
49 6471011607020001 6471010204970002 ISWAHYUDI DARMAWAN BALIKPAPAN 02|04|1997 21 B L
50 6471012402090003 6471010101800004 DEDI NURHAYADI BALIKPAPAN 01|01|1980 38 S L
51 6471011012140009 6471045909690006 YUYUN WAHYUNI BALIKPAPAN 19|09|1969 48 S P
52 6471011505090013 6471011011970001 SUTONDO RAHARJO BALIKPAPAN 10|11|1997 20 B L
53 6471012605090018 6471011012930002 JAINAL BALIKPAPAN 10|12|1993 24 B L
54 6471012502040002 6471014606500001 RAWIDJAH BALIKPAPAN 06|06|1950 68 P P
55 6471010611140002 6372025603830010 ARIYANI SPT BALIKPAPAN 16|03|1983 35 S P
56 6471010211160006 3520013112530004 TARDI MAGETAN 31|12|1953 64 P L
57 6471010509070002 6471010101800004 DEDY NOERHADI BALIKPAPAN 02/01/1980 38 S L
58 6471010509070002 6471015603830001 SALASIAH BALIKPAPAN 16/03/1983 35 S P
59 6471011905090007 6471011502740003 MUHIDIN RUSMANA BALIKPAPAN 15/02/1974 46 S L
60 6471011905090007 6471012509930002 INDRA GUNAWAN BOGOR 25/09/1993 25 B L
61 6471011911080002 6471015404980002 PRIANKA NUR AINI LUMAJANG 14/04/1998 19 B P
62 6471011310090024 6471013112430026 SURIPTO TULUNGAGUNG 31/12/1943 75 S L
63 6471011310090024 6471017112540048 ROPEAH BALIKPAPAN 31/12/1954 52 S P
64 6471012810090002 647104901780003 WARISIH JEMBER 01/09/1978 40 P
65 641012708150017 7308210606770002 MUSTA'IN ROMLI JOMBANG 06/06/1977 41 S L
66 6471012708150017 7308216407770005 KOLISATUL UMMAH NGANJUK 24/07/1997 41 A P
67 6471012812090014 6571012802720003 ANCAH BALIKPAPAN 28/02/1972 46 S L
68 6471012812090014 6471015701820002 SITI ROEMI LUMAJANG 17/01/1982 36 S P
69 6471010305160003 6471054107800007 WAMURANA KABORI 07/01/1980 38 S P
70 6471012806100027 6471011208780080 AGUS WAHYUDI BALIKPAPAN 08/12/1978 40 S L
71 6471011910150021 7372022302800002 SAYYAID ANDI MUHAMMAD AL,BALIKPAPAN 23/02/1980 38 S L
72 6471011910150021 7372024307790015 SYARIFAH NURLELA ASSEGAF BALIKPAPAN 07/03/1979 37 S P
73 6471011910150021 7372025905980001 SYARIFAH FHATIMAH BAIDIRUL TANAH GROGOT 19/05/1998 19 B P
74 6471010710020002 6471014910900005 ANDI NURUL ANISAH BALIKPAPAN 10/09/1990 27 B P
75 6471010710020002 6471010507990001 ANDI FADILLAH PUTRA BALIKPAPAN 07/05/1999 18 B L
76 6471010411130013 3504073001690001 SUWARGU LUMAJANG 01/03/1968 50 S L
77 6471010411130013 3504074908690001 SRIYAH TULUNGAGUNG 08/09/1969 49 S P
78 6471010407170012 6471016401820001 ISTIANAH BANJARMASIN 15/08/1982 36 S P
79 6471012907030002 6471010610670004 MOHAMMAD ICHSANI BALIKPAPAN 10/06/1967 50 S L
80 6471012907030002 6471015410720001 LILIS SURYANI BALIKPAPAN 14/10/1972 46 S P
81 6471012907030002 6471014211960001 NOVIA LISTIANI ICHSAN BALIKPAPAN 11/02/1996 21 B P
82 6471012112170010 7471090107810007 EMIL SALIM MUHAMMAD KENDARI 25/05/1981 37 S L
83 6471011810170003 3201331306900006 ANDRI YANUS BOGOR 13/06/1990 27 S L
84 6471010411130011 6471011207720007 IBUT KARIADI MOJOKERTO 07/12/1972 46 S L
85 6471011506100028 6471011610990001 ARY OKTAVIA BALIKPAPAN 16/10/1999 18 B L
86 6471012911060002 6471014810000004 HERLINA BALIKPAPAN 10/08/2000 17 B P
87 6471011805170006 6471010804810004 ROY PRABU PROBOLINGGO 04/08/1981 36 B L
88 6471011806150007 6471010208600002 HAJI RAHMANI BARABAI 08/02/1963 55 S L
89 6471011806150007 6471056104750010 HAJJA RATNA BALIKPAPAN 21/04/1975 43 S P
90 6471011306030001 647101500560002 SUPINAH TULUNG AGUNG 05/10/1956 62 P P
91 6471012605200003 6471010405980001 SUNAR EKO PURWANTO BALIKPAPAN 05/04/1998 19 B L
92 6471012607160003 1203072104740002 RUDI SALAM PASAR LAMA 21/04/1974 43 S L
93 6471012607160003 1203075707740002 AJULNNA PANE SORIMADIGIN 17/07/1974 43 S P
94 6471012212710003 7309033112860017 ALLO MAROS 31/12/1986 32 B L
95 6471012601030001 6471015701640001 BUNGA BONE 17/01/1964 54 P P
96 6471011301140018 6471025308890002 AGUSTINA BALIKPAPAN 13/08/1989 29 S P
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 03
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. TAMBAK 003 00- 1
JL. MULAWARMAN NO. 003 000 1
JL.MULAWARMAN NO. 9 003 000 1
JL.MULAWARMAN 003 00- 4
JL.MULAWARMAN GG WAHYU003 000 4
JL.MULAWARMAN GG WAHYU003 000 4
JL. PASAR GN. TEMBAK 017 00- 4
JL. PASAR GN. TEMBAK 017 000 4
JL. MULAWARMAN GG. PINA 030 00- 4
JL. MULAWARMAN GG. PINA 030 00- 4
TERITIP 000 000 5
JL. MULAWARMAN NO. 28 003 00- U
JL. MULAWARMAN NO. 45 003 000 U
JL. SWADAYA 003 000 5 U
JL MULAWARMAN NO.13 03 B
JL.MULAWARMAN 03 B
JL.MULAWARMAN 03 B
JL.MLAARMAN 03 B
JL.MULAARMAN NO.17 03 B
JL.MULAWARMAN 03 B
JL.MULAWRMAN 03 B
JL.MULAWARMAN GG.TERIT 03 B
JL.MULAWARMAN GG.TERIT 03 B
JL.SWADAYA TERITIP 03 B
JL.MULAWARMAN GG.SWA 03 B
JL.MULAWARMAN GG.WAD 03 B
JL.MULAWARMAN GG. SWA 03 B
JL.MULAWARMAN 03 B
JL.MULAWARMAN 03 B
JL.MULAWARMAN 03 B
JL.MULAWARMAN 03 B
JL.MULAWARMAN 03 B
JL.MULAWARMAN GG.AM 03 B
JL.MULAWARMAN 03 B
JL.MULAARMAN 03 B
JL.MULAWARMAN 03 B
JL.MULAARMAN 03 B
JL.MULAWARMAN 03 B
JL.MULAWARMAN 03 B
JL.MULAWAMAN 03 B
JL.MULAARMAN 03 B
JL.MULAARMAN 03 B
JL.MULAWARMAN 03 B
JL.MULAWARMAN 03 B
JL.MULAARMAN 03 B
JL.MULAWARMAN 03 B
JL.MULAWARMAN 03 B
JL.MULAWARMAN 03 B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010701140024 6471010302610001 YUSUF TARAKAN 03|02|1961 57 S L
2 6471010801080010 6471012809940002 SAHRUDIN BALIKPAPAN 28|09|1994 23 B L
3 6471011109090017 6471014105350002 SAMSIAH SAMARINDA 01|05|1935 83 S P
4 6471011211070011 6471010705520001 SUKARDI BALIKPAPAN 07|05|1952 66 S L
5 6471011704060007 6471052505970001 RAHMAN FIRDAUS BALIKPAPAN 25|05|1997 21 B L
6 6471011912020618 6471012907960001 IBRAHIM KUPANG 29|07|1996 21 B L
7 6471012004050003 6471013112440019 SUKI JEMBER 31|12|1944 73 S L
8 6470010315000001 6471021006780003 ABDUL MALIK BONE 06|10|1978 39 S L
9 6471011712090006 6471016412770002 ARDIYAH SAMARINDA 24|12|1977 40 S P
10 6471013103160013 6471015311940002 SATRIANI BALIKPAPAN 13|11|1994 23 B P
11 6471010710080002 6471011702820002 GUNAWAN MADIUN 17|02|1982 36 S L
12 6471011108120006 6471016808770009 SUKENGTYAS DRIYATSIWI FERRY SANGKULIRANG 28|08|1977 40 S P
13 6471011108120006 6471010810790006 INDRA WIJAYA NABIRE 08|10|1979 38 S L
14 6471011206130010 6471012108800002 ALEX WALANDA PALOPO 21|08|1980 37 B L
15 6471011905030004 6471012302950001 M. ARDIYANSYAH.NS BALIKPAPAN 23|02|1995 23 B L
16 6471010202090018 6471012507860006 ANDIS TOLI-TOLI 25|07|1986 31 B L
17 6471010203150009 6471010703830002 SURYAN ATMAJA BALIKPAPAN 07|03|1983 35 B L
18 6471010210130001 1672021008940003 ENGGA FERIYANSYAH GUNUNG DEMPO 10|08|1994 23 B L
19 6471010712070002 6471016606960004 SITI ALIPAH MUBAROKAH BALIKPAPAN 26|06|1996 22 B P
20 6471010903050005 6471016206930002 VIKA COUSTANTIA SURABAYA 22|06|1993 25 B P
21 6471011106090023 6471013112640054 MANSYUR BELAWA 31|12|1964 53 S L
22 6471011508120006 6471025405770002 ERSIE ERAWATIE BALIKPAPAN 14|05|1977 41 B P
23 6471011807120009 6471010606390001 SABRIAN BANJARMASIN 06|06|1939 79 S L
24 6471011807120009 6471014707420001 NASROH PALEMBANG 07|07|1942 75 S P
25 6471011807120009 6471012904810002 HADI PUJIANTO MALANG 29|04|1981 37 S L
26 6471011807120009 6471015811860001 FITRIANTI PALEMBANG 18|11|1986 31 S P
27 6471011912020618 6471012604830007 USMAN KUPANG 26|04|1983 35 B L
28 6471012001090018 6471015208900004 SUMARNI MAROS 12|08|1990 27 B P
29 6471012001090018 6471016701950002 RISTI BALIKPAPAN 27|01|1995 23 B P
30 6471012103030003 6471011509960003 MANSYUR BALIKPAPAN 15|09|1996 21 B L
31 6471012208060004 6471015107950002 SANDRI RAHMAWATI BALIKPAPAN 11|07|1995 22 B P
32 6471012511050049 6471012503770002 M.FERRY ALKASRI BALIKPAPAN 25|03|1977 41 S L
33 6471011102140006 6471014909970006 YULI SARTIKA SAMBOJA 09|09|1997 20 B P
34 6471011209140001 6471014104960001 WANTI BALIKPAPAN 01|04|1996 22 S P
35 6471010803100024 6471016112680003 DEWI ROSARIA INDAH BLORA 21|12|1968 49 S P
36 6471010903040005 6471014910900003 ASNAWATI BALIKPAPAN 09|10|1990 27 S P
37 6471011604130017 6372060110680003 HUSAIDI BANJARMASIN 01|10|1968 49 S L
38 6471011604130017 6372064112970002 MAYDINAH BANJARMASIN 01|12|1997 20 B P
39 6471010104100005 6471012104820001 SAHABUDIN BALIKPAPAN 21|04|1982 36 S L
40 6471010104100005 6471045802830004 ALIATI BALIKPAPAN 18|02|1983 35 S P
41 6471010405110004 6471014510780001 REFIANA SAMARINDA 05|10|1978 39 S P
42 6471010405110004 6471011206790002 SUHARIADI BALIKPAPAN 12|06|1979 39 S L
43 6471010507100019 6471026304890002 ERNA FITRIYANI BALIKPAPAN 23|04|1989 29 S P
44 6471010507100019 6471011201910003 SELAMAT KARTAYANSAH BALIKPAPAN 12|01|1991 27 S L
45 6471010601100023 6471011903790002 MUHAMMAD YUNUS JENEPONTO 19|03|1979 39 S L
46 6471010601100023 6471016911820002 IDAWATI BAMBALIE 29|11|1982 35 S P
47 6471010903100021 6471014906830002 AGUSTINA SITI SALECHA, SS BALIKPAPAN 09|06|1983 35 B P
48 6471011608040003 6471013112790051 DARSANI BALIKPAPAN 31|12|1979 38 S L
49 6471012109100003 6471011204790002 AGUS SETIAWAN BALIKPAPAN 12|04|1979 39 S L
50 6471012109100003 6471015112790004 FITRI INAYAT MUMTAHANAH MADIUN 11|12|1979 38 S P
51 6471012305130003 6471030907700002 M. ALI MUSTAMAR BANYUWANGI 09|07|1970 47 S L
52 6471012305130003 6471035802770002 NANIK HARTINI BALIKPAPAN 18|02|1977 41 S P
53 6471013007150008 6471022412830004 BENNY BARIMA PRAYOGA BALIKPAPAN 24|12|1983 34 B L
54 6471010204080002 6471016709880002 SRI LESTARI SAMBOJA 27|09|1988 29 S P
55 6471010701040007 6402131305010001 M. MEY RIZKY BALIKPAPAN 13|05|2001 17 B L
56 6471011206130010 6402135002880005 ANI SALOK API DARAT 10|02|1988 30 S P
57 6471011711150012 6471011705630001 LATIF BALIKPAPAN 17|05|1963 55 S L
58 6471011711150012 6471015609710002 DAHLYA PANGKEP 16|09|1971 46 S P
59 6471011907160001 6471021410840003 FAIZAL BALIKPAPAN 14|10|1984 33 B L
60 6471012410070003 6471016503010002 CAECILIA DEVI DAMAYANTI BLITAR 25|03|2001 17 B P
61 6471012910080005 6471034706740002 HERLINA MANADO 07|06|1974 44 B P
62 6471012910080005 6471024111990003 SUCI INDAH RATNA SARI Balikpapan 01|11|1999 18 B P
63 6471010109160006 3523152007780003 ROSIT NGANJUK 20|07|1978 39 S L
64 6471010109160006 3523155203870001 YUMIATUN TUBAN 12|03|1987 31 S P
65 6471010109160006 3523155103010003 NILTA LAELATUL ZAHRO TUBAN 11|03|2001 17 B P
66 6471010410160002 3508025609860001 RATNA SULISTYOWATI LUMAJANG 16|09|1986 31 S P
67 6471010410160002 3508020804870002 HARIADI LUMAJANG 08|04|1987 31 B L
68 6471012609130001 1471086006750003 EKA DARMAWATI PARIAMAN 20|06|1975 43 S P
69 6471011012140009 6471041112710008 ACHMAD BASYARI BALIKPAPAN 11|12|1971 46 S L
70 6471010403030002 6471010401950002 SAPRIANSYAH Pasir 04|01|1995 23 B L
71 6471010501160015 6471017101890001 NOR ARIYANTI BALIKPAPAN 31|01|1989 29 B P
72 6471011003030003 6471011010830002 AHMAD NURHADI JEMBER 10|10|1983 34 B L
73 6471011412150017 6471025203730005 NURHAYATI MAROS 12|03|1973 45 S P
74 6471011905140002 1207330409950001 SELAMAT MARBUN HUTA GADANG 04|05|1995 23 B L
75 6471012206090005 6471010108780002 NOR NAJLI SAMARINDA 01|08|1978 39 S L
76 6471012206090005 6471016211820002 FIKA RUSNANI BALIKPAPAN 22|11|1982 35 S P
77 6471012904100012 6471057008940001 NI KADEK ENI SUCIALISTIA BALIKPAPAN 30|08|1994 23 B P
78 6471012907120002 6471015404780004 ULFAH MANOPPO. S.S UJUNG PANDANG 14|04|1978 40 S P
79 6471012907120002 6471012903820001 SOFIAN NOOR BALIKPAPAN 29|03|1982 36 S L
80 6471010702130007 6471011211860003 NURDIN LAMONGAN 12|11|1986 31 B L
81 6471010702130007 3524120102920002 MUKHAMAD MIRDOD LAMONGAN 01|02|1992 26 B L
82 6471010805080001 6471015306860001 WAGINA JEMBER 13|06|1986 32 S P
83 6471010901070001 6471015301830004 SITI NUR JANNAH JEPARA 13|01|1983 35 B P
84 6471010911120005 6471054708710008 SRI PUSPA SARI BALIKPAPAN 07|08|1971 46 S P
85 6471011404090014 6471011011970002 REZA DWI DARMAWAN BALIKPAPAN 10|11|1997 20 B L
86 6471011604080007 6471017112560069 MASIAH BALIKPAPAN 31|12|1956 61 S P
87 6471011604080007 6471010811580001 DIDI JUNAIDI CIREBON 08|11|1958 59 S L
88 6471011604080007 6471014111890003 SITI NURBAYAH BALIKPAPAN 01|11|1989 28 B P
89 6471011604130017 6372060110680005 HUSAINI BANJARMASIN 10|01|1968 50 S L
90 6471011604130017 6372016004740007 MAYA SARI BANJARMASIN 20|04|1974 44 S P
91 6471011709040001 6471011005670003 TRI DJOKO SUSILO, DRS DEMAK 10|05|1967 51 S L
92 6471011901060005 6471015512410001 RIA NAINGGOLAN TAPANULI 15|12|1941 76 P P
93 6471011907100012 6471032109820002 MARIDI BANGKALAN 21|09|1982 35 B L
94 6471011907100012 6471035307860001 SAPIAH BALIKPAPAN UTARA 13|07|1986 31 B P
95 6471011910090012 6471010512970001 PIRMAN BALIKPAPAN 05|12|1997 20 B L
96 6471011912020338 6471017112370016 DJUBAIDAH BANJARMASIN 31|12|1937 80 P P
97 6471011912020338 6471017112730066 ROSANAWATI BALIKPAPAN 31|12|1973 44 S P
98 6471011912020354 6471010804800005 SUPRIYANTO SAMARINDA 08|04|1980 38 B L
99 6471011912020354 6471010803810003 SUPRIYADI SAMARINDA 08|03|1981 37 B L
100 6471011912020437 6471011211620004 HASAN BASRI BONE 12|11|1962 55 S L
101 6471011912020450 6471017112730068 SAREHAT BALIKPAPAN 31|12|1973 44 S P
102 6471011912020450 6471010706770003 MISRAN KUTAI 07|06|1977 41 S L
103 6471011912020450 6471017112950014 TUTI BALIKPAPAN 31|12|1995 22 B P
104 6471011912020450 6471017112960017 MARSANDI BALIKPAPAN 31|12|1996 21 B P
105 6471011912020451 6471010511600001 ABDUL HAMID SAMARINDA 05|11|1960 57 S L
106 6471011912020451 6471015003730006 LISA ARNIDA TENGGARONG 10|03|1973 45 S P
107 6471011912020451 6471014510970003 TINAH NUR HAMIDAH BALIKPAPAN 05|10|1997 20 B P
108 6471011912020458 6471013112280008 ISKANDAR LUMAJANG 31|12|1928 89 S L
109 6471011912020458 6471017112400060 DANA PASURUAN 31|12|1940 77 S P
110 6471011912020458 6471016010960003 PINARTI BALIKPAPAN 20|10|1996 21 B P
111 6471011912020481 6471013112640099 H A S A N. GOWA 31|12|1964 53 S L
112 6471011912020481 6471015203750007 MASNIYATI BALIKPAPAN 12|03|1975 43 S P
113 6471012106100045 6471014401960002 INTAN ARISTYASARI SOLO 04|01|1996 22 B P
114 6471012207090021 6471016001960001 RAHMAWATI BALIKPAPAN 20|01|1996 22 B P
115 6471012208130004 6308051001890003 FANSYAH HARUS 10|01|1989 29 B L
116 6471012310020001 6471011010860001 ZAINAL ABIDIN BARABAI 10|10|1986 31 B L
117 6471012608100004 6471010109800002 HARIYANTO BALIKPAPAN 01|09|1980 37 S L
118 6471012806040001 6471010111620002 SYAMSUL BECAWA 01|11|1962 55 S L
119 6471012806040001 6471014210630001 HABIBAH WAJO 02|10|1963 54 S P
120 6471012806040001 6471012710940004 M.DARWIS LUWU 27|10|1994 23 B L
121 6471012806040001 6471012804970001 M. SABIR LUWU 28|04|1997 21 B L
122 6471012808080008 6471013006700001 ACHMAD MUSTAWA BALIKPAPAN 30|06|1970 47 B L
123 6471013108040007 6471016003630001 SITI RUKAYAH MALANG 20|03|1963 55 S P
124 6471013108040007 6471010305730005 SUPARMIN PURWODADI 03|05|1973 45 S L
125 6471050810170001 6471052209740011 JOHN FREDERIK F SURABAYA 22|09|1974 43 S L
126 6471050810700001 6471055505770011 HASANA MAKASSAR 15|05|1977 41 S P
127 6471051108120001 6471055109710002 SUBAINAH BALIKPAPAN 11|09|1971 46 S P
128 6471010310120023 6471012112900003 YUSI HARIANTO MADIUN 21|12|1990 27 S L
129 6471010511020001 6471016310830002 MARIANI PRASIKA BALIKPAPAN 23|10|1983 34 S P
130 6471010512160006 6402130510980003 RYAN AFRIA PUTRA MALANG 05|10|1998 19 B L
131 6471010710020002 6471010507990001 ANDI FADHIILAH PUTRA BALIKPAPAN 05|07|1999 18 B L
132 6471010801100015 6471016807000004 ZULIYA KUMALAFURI MALAYSIA 28|07|2000 17 B P
133 6471012503080001 6471015005000003 ANGELYN MAY ROTUA.LB BALIKPAPAN 10|05|2000 18 B P
134 6471012702170002 7315031207770004 SYAKUR ALITTA 12|07|1977 40 S L
135 6471010203150009 7316034303900004 HERNI LOKA 03|03|1990 28 B P
136 6471010310130004 3509080201930006 SUTRISNO JEMBER 02|01|1993 25 B L
137 6471012208130003 6308050308860002 ZAINAL ARIFIN AMUNTAI 03|08|1986 31 B L
138 6471012403160023 6405022010950005 JAMALUDDIN NUNUKAN 20|10|1995 22 B L
139 6471011010160003 6471056201920004 FUSFA FISYKA CAHYA TULUNGAGUNG 22|01|1992 26 B P
140 6471011905030004 6471017112580055 RUSNANI BALIKPAPAN 31|12|1958 59 P P
141 6471011212120016 6471014204920001 SITI AMINAH Pasir 02|04|1992 26 B P
142 6471011308090010 6471015110900001 ERMA ERFIANA WATAMPONE 11|10|1990 27 B P
143 6471010509060004 6471054208750003 SRI RAHMADANI BALIKPAPAN 02|08|1975 42 B P
144 6471010808120030 6471010610730003 NURHIDAYAT BUDIANSYAH MAGETAN 06|10|1973 44 S L
145 6471010808120030 6471017008750003 BERNA SAMAA UJUNG PANDANG 30|08|1975 42 S P
146 6471011901070002 6471013112560057 SUWARNO TUBAN 30|12|1956 61 S L
147 6471012107090007 6471014606740003 RUKAYAH MARTAPURA 06|06|1974 44 S P
148 6471012408090013 6471011402870001
HERMANSYAH SAMBOJA 14/02/1987 31 S L
149 6471011201100024 6471012610980002
SUGIANTO WINARDI BALIKPAPAN 26/10/1998 20 B L
150 647101104070002 6471011007980004
AHMAD SYAFRANI BALIKPAPAN 07/10/1998 20 B L
151 64710115122080026 6471011804980001
ARIANDI BALIKPAPAN 18/04/1998 20 B L
152 6471011611160001 6471014405970002
SITI HASANAH BALIKPAPAN 05/04/1997 21 S P
153 6471010512050014 6471010307490001
DJURI BONE 07/03/1949 69 S L
154 6471010512050014 647101510950001
BECCETANG BONE 09/11/1950 68 S L
155 6471010302160011 6471014209780001
WENDY JAKARIA BALIKPAPAN 21/09/1978 40 S L
156 6471010302160011 6471044308760006
RUMINI PONOROGO 08/03/1976 42 S L
157 6471010402140007 7271021205790001
RISMAN PALU 05/12/1979 39 S L
158 6471010402140007 3578066206810007
SITI MAIMUNAH BANGKALAN 22/06/1981 37 S P
159 6471013005170007 6471014505970003
MARIANI MAROS 05/05/1997 21 S P
160 6471051201083 6471055008660008
IDA ZURAIDAH BALIKPAPAN 08/10/1966 52 P P
161 6471012302150007 6402060903640002
RIFADIN NOOR LOA TEBU 03/09/1964 54 S L
162 6471012105100010 6402130507791003
SAMANUDIN TULUNG AGUNG 07/05/1979 39 S L
163 6471012105100010 6471014807840003
EKA PRIYASTUTIK BALIKPAPAN 07/08/1984 34 S P
164 6471012105100013 6471016001560001
ENDANG SETIYOWATI LUMAJANG 20/01/1956 62 P P
165 6471012105100013 6471016211890001
DWI LESTARI BALIKPAPAN 22/11/1989 29 B P
166 6471012105100013 6471011206960001
TRI NIKO KUSTIAWAN BALIKPAPAN 04/12/1996 22 B L
167 6471010601150015 6472031201630003
NOR'AIF PARINGIN 01/12/1963 55 S L
168 647101090420004 647010506800004
RISAL PARANGA 06/05/1980 38 S L
169 647101090420004 6471014506820009
MURNI BIRANGLOE 06/05/1982 36 S L
170 6471011210090003 6471011005780006
TRIANTO BLITAR 05/10/1978 32 S L
171 6471012912160009 3209176109950004
FITRI FAUZIA CIREBON 03/04/1994 24 S P
172 6471012006120005 6471025608790001
NUR ARIYANI BALIKPAPAN 16/08/1979 38 S P
173 6471010705090006 6471021008570003
ABDUL MAJID BALIKPAPAN 08/10/1957 60 S L
174 6471010705090006 6471024801540001
SANIAH BALIKPAPAN 01/08/1954 64 S P
175 6471011512080020 3175102508790011
LUCKY ADI WIJAYA JAKARTA 25/08/1979 38 S L
176 6471011309160003 6402142712830001
BUDI PURWANTO MUARA JAWA 27/12/1983 34 S L
177 6471011309160003 6402144907890001
AFRITA DWI NURHASANAH PASER 07/09/1989 28 S P
178 6471012080120012 7372020805810021
MISRIN BANGKALAN 05/08/1981 37 S L
179 6471012080120012 7372024607850005
SUTIKNAH BANGKALAN 07/06/1985 32 S P
180 6471022709160002 6471051107790002
SUPIANI DONDANG 07/11/1979 38 B L
181 6471022709160002 6471050903980005
HENDRA BALIKPAPAN 19/03/1998 20 B L
182 6471010212160001 6471051408850006
RUSDIANSYAH BALIKPAPAN 14/08/1985 33 S L
183 6471010212160001 647107010860003
WIWIN SUSANTI BALIKPAPAN 30/11/1986 32 S P
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 04
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL.SWADESA 004 000 1
JL. SWADESA NO. 25 004 000 1
JLN. MULAWARMAN 004 000 1
JL.SWADESA NO. 23 004 000 1
JL. GUNUNG BUBUKAN NO. 5 004 000 4
JL. GUNUNG BUBUKAN 004 000 4
JL. MULAWARMAN GG.SWADE004 000 4
JL. MULAWARMAN GG.SWADE004 000 4
JL.MULAWARMAN NO. 004 000 4
JL. TERITIP LAUT 008 000 4
JL. PASAR GN. TEMBAK NO.22022 00- 4
JL. GUNUNG BUBUKAN 028 00- 4
JL. GUNUNG BUBUKAN NO.18028 00- 4
JL. MULAWARMAN GG. WAHYU 032 00- 4
JL. MULAWARMAN GG. WAHYU 032 00- 4
JL.MULAWARMAN GG SWAD 004 00- 4
JL.SWADESA 004 00- 4
JL.SWADESA 004 00- 4
JL. MULAWARMAN GG. SW004 00- 4
JL. MULAWARMAN GG. SW004 00- 4
JL. MULAWARMAN GG. SW004 000 4
TERITIP 000 000 4
JL.GUNUNG BUBUKAN 004 00- 5
JL. MULAWARMAN GG. SWADE
004 00- 5
JL. MULAWARMAN GG.SWADES
004 00- 5
JLN. MULAWARMAN 004 00- 5
JL. WULAWARMAN GG BUBUK004 000 5
JL. WULAWARMAN GG BUBUK004 000 5
JL. MULAWARMAN TRANSAD 0
I 04 000 5
JL. MULAWARMAN TRANSAD 0
I 04 000 5
JLN. MULAWARMAN 004 000 5
JL.SWADESA 004 000 5
JL. SWADESA 004 00- 5
JL. MULAWARMAN GANG 004 00- 5
JL. MULAWARMAN NO.026004 00- 5
JL. MULAWARMANGG. SWA004 00- 5
JL. WULAWARMAN 004 000 5
JL. MULAWARMAN 032 00- U
JL. MULAWARMAN GG SWADE032 00- U
JL.MULAWARMAN GANG PELI004 000 4 U
JL.MULAWARMAN 032 000 U
JL.MULAWARMAN GG.SWADE032 000 U
JL. MULAWARMAN NO. 86 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN GG. PEL 04 B
JL. MULAWARMAN 04 B
JL. SWADESA 04 B
JL. SWADESA 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN GG. SW 04 B
JL. MULAWARMAN GG. SW 04 B
JL. PRAJA BHAKTI IX 04 B
JL. SWADESA 04 B
JL. TENGIRI NO. 38 04 B
JL. TENGIRI NO. 38 04 B
JL. SWADESA NO. 25 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
JL. MULAWARMAN 04 B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471012511050004 6471014101570002 ROHANI BALIKPAPAN 01|01|1957 61 P P
2 6471013108090006 6471011910690001 SELAMAT HARIADI BALIKPAPAN 19|10|1969 48 B L
3 6471011509030001 6471010409460001 BERTIN BALIKPAPAN 04|09|1946 71 S L
4 6471012110080017 6471011802600002 TOTO SUPRIYONO YOGYAKARTA 18|02|1960 58 S L
5 6471012910120008 6471051011650006 HADI MUHAMMAD KEDIRI 11|10|1965 52 S L
6 6471011509090012 6471012411580001 SAIPUL YAZAN BALIKPAPAN 24|11|1958 59 S L
7 6471010106100022 6471011506900003 MIDUN TARIGAN KABAN JAHE 15|06|1990 28 B L
8 6471010509070002 6471015603830001 SALASIAH BALIKPAPAN 16|03|1983 35 S P
6471011308100004 6471010202840003 ALI HUSNI PELAIHARI 02|02|1984 34 S L
6471011308100004 6471014610890001 INTAN HERLINA BALIKPAPAN 06|10|1989 28 S P
6471010104080004 6471011708790007 AHMAD AGUS SALOK API DARAT 17|08|1979 38 S L
6471010404030495 6471014504720001 NOR ASIAH KUTAI 05|04|1972 46 S P
6471010404030495 6471010512730003 RUSLIANSYAH BALIKPAPAN 05|12|1973 44 S L
6471010404030495 6471016506970002 RIKA RIZKIANA BALIKPAPAN 25|06|1997 21 B P
6471011200159001 6471011210070004 MUSTOFA BANGKALAN 07|01|1986 32 B L
6471011709070019 6471015205960003 TRI WULAN DARI BALIKPAPAN 12|05|1996 22 B P
6471012611080007 6471014505830009 MAI MEGAWATI SAMARINDA 05|05|1983 35 S P
6471011504140008 6471013006890002 JOHANSYAH BALIKPAPAN 20|01|1992 26 S L
6471010209030001 6471012511690003 DR. I. GUSTI NGURAH OKADARA KEDISAN 25|11|1969 48 S L
6471010209030001 6471016304750002 DR. DEWA AYU SASIARY PRAWANI DENPASAR 23|04|1975 43 S P
6471010309130008 6471056801830002 JUMIYATI BALIKPAPAN 28|01|1983 35 S P
6471010501090009 6471046404740004 MASTIYAH MARTAPURA 24|04|1974 44 S P
6471011410160004 6471015808830003 SALAMAH SAMBOJA 18|08|1983 34 S P
6471012001100030 6471012006610003 ABUZAR, DRS ENREKANG 20|06|1961 57 B L
6471012001100030 6471017112670072 SAHRIA, DRA ENREKANG 31|12|1967 50 S P
6471012101090002 6471015708710003 LILIS KUSNAWATI BANDUNG 17|08|1971 46 S P
6471012106100040 6471015205910002 RAYI RAHMAWATI BALIKPAPAN 12|05|1991 27 B P
6471012307090007 6471055303660002 MARIEKE SITI FATIMAH MANADO 13|03|1966 52 P P
6471011408120026 6471012706850001 H. MOHAMMAD ISMAEL URZAEZ BANGKALAN 27|06|1985 33 S L
6471012101090002 6471010708590002 DADANG SUDARJAT BANDUNG 07|08|1959 58 S L
6471012204150018 3302172510720003 MAKHRUS BANYUMAS 25|10|1972 45 S L
6471012204150018 3315196807920001 SETIANSIH GROBOGAN 25|07|1992 25 S P
6471011410160004 6471032804800002 ROMY IRAWAN BALIKPAPAN 28|04|1980 38 B L
6471011509090012 6409012405000007 MULIYADI PANGGUNG 24|05|2000 18 B L
6471011702160014 6471050903880004 RUDIANSYAH BALIKPAPAN 09|03|1988 30 S L
6471022206100019 6471052412850005 MIJINARKO BLORA 24|12|1985 32 S L
6471011804160017 6408040905900008
TISON KASIM SAMARINDA 09/05/1990 28 S L
6471011804160017 6408045108880009
SISKA MELITA KUTAI TIMUR 11/08/1988 30 S P
6471011804160017 6408046812950011
IRMA NOVA PUSPASARI SAMARINDA 28/14/1995 23 B P
6471011109170004 6471041310920003
ANSYAH BALIKPAPAN 13/10/1992 26 S L
6471011109170004 6471045602990002
KANTI CAHYAWATI BALIKPAPAN 16/02/1999 19 S P
6471041401040004 64710410109440001
TASIRAN TULUNGAGUNG 01/09/1944 74 P L
6471011707170015 3523992210990001
JEPRI DWI SAPURTO TUBAN 22/10/1999 22 B L
6471012908070003 6409016101980003
KURNIASIH SAMUNTAI 21/01/1998 20 S P
6471010409090005 6471045603000001
KURNIA IBRAHIM BALIKPAPAN 16/03/2000 18 B P
6471012401180001 6471016510930002
SARI OKTAVIANI BALIKPAPAN 25/10/1993 25 S P
6471052108140008 6471030707870001
DEDY SANJAYA BALIKPAPAN 07/07/1987 37 S P
6471052108140008 6471056310950001
OCTAVIA AISYAH BARABAI 23/10/1995 23 S P
6471050310130025 6471051403840008
WIDODO MARETNO BOJONEGORO 14/03/1984 34 S L
6471032604070011 6471032504770007
MUSLIANSYAH BALIKPAPAN 25/04/1977 41 S L
6471032604070011 6203035101930001
SALABIAH ANJIR SARAPAT TIMUR 01/01/1993 25 S P
6471012203170001 6471055101980001
NUR SINTHA DEWI BALIKPAPAN 11/01/1996 22 B P
6471011406160006 7313101807750002
SULTAN MAKASSAR 18/07/1975 43 S L
6471011406160006 7313103910870002
ERNI SIWA 29/10/1987 31 S P
6471012306140010 6471015105950001
MERNA WATI BALIKPAPAN 11/05/1995 23 P P
6471012811180002 6471044911720004
SUNARTI BALIKPAPAN 09/11/1972 45 S P
6471012811180002 6471040305980003
DIMAS PRAYOGA BALIKPAPAN 03/05/1998 20 B L
647101111016001 7317051810960001
JUMADI TAMPUMIA 18/10/1996 22 B L
6471010703130001 6371051707650003
IMAM SUBANDI PONOROGO 17/07/1965 53 S L
64710107031300001 6471017105720001
DARMAH PANGKEP 30/05/1972 46 S P
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 05
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL.MULAWARMAN GG GOTON005 000 1
TERITIP 005 000 1
TERITIP 005 000 4
JL.TERITIP LAUT NO.34 008 000 4
JL.MULAWARMAN NO. 005 00- 5
JL.MULAWARMAN NO.28 005 00- 5
JL.MULAWARMAN NO. 005 00- 5
TERITIP 000 000 5
JL.MULAWARMAN NO 59 05
JL.MULAWARMAN GANG K 05
JL. MULAWARMAN GANG K 05
JL.MULAWARMAN 05
JL. PROPINSI 05
JL MULAWARMAN 05
JL.DUA NO 34 KEL.GN SAM 02
JL.DUA NO 34 KEL.GN SAM 02
JL.SEPINGGAN BARU KEL. 02
JL.BATU RATNA NO 42 KEL 02
JL BATU RATNA NO 42 KEL 02
JL.MULAWARMAN 05
JL PROPINSI 05
JL.PROPINSI 05
JL.MULAWARMAN 05
JL.PJHI BATAKAN KEL.MAN 50
JL PJHI BATAKAN KEL MAN 50
JL PJHI BATAKAN KEL MAN 50
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010110120056 6471011801600001 SANTOSO BANYUWANGI 18|01|1960 58 S L
2 6471010201040005 6471017112410017 HAFSAH BALIKPAPAN 31|12|1941 76 S P
3 6471011107120029 6471045201510002 YAMSIKAH JOMBANG 12|01|1951 67 S P
4 6471011910090001 6471014710340001 SUKINAH MAGELANG 07|10|1934 83 P P
5 6471012104080001 6471010510350001 NGATMIN SEMARANG 05|10|1935 82 S L
6 6471012201030001 6471013112590041 AMBO TOLA BONE 31|12|1959 58 S L
7 6471051608120047 6471053112520019 SAINI MALUNDA 31|12|1952 65 S L
8 6471012611150017 6471054206390001 SUMEH BLITAR 02|06|1939 79 S P
9 6471010701100013 6471012307710001 HASAN UJUNG PANDANG 23|07|1971 46 S L
10 6471010316200400 6471011503750002 INDRAWAN SURABAYA 15|03|1975 43 S L
11 6471010807150002 6471016505600002 KASNAH BARABAI 25|05|1960 58 P P
12 6471011100101001 6471011112760004 SUWITO MAGELANG 12|11|1976 41 S L
13 6471011705130006 6472055005470001 MASJAM BALIKPAPAN 10|05|1947 71 P P
14 6471010105090004 6471051005730012 Ir. ALIMUDDIN UJUNG PANDANG 10|05|1973 45 S L
15 6471011312050002 6471011503740003 KARIYONO MALANG 15|03|1974 44 S L
16 6471012705080004 6471010410760003 WARI BOJONEGORO 04|10|1976 41 S L
17 6471012705080004 6471014704800002 MURTIAH LAMONGAN 07|04|1980 38 S P
18 6471012806050006 6471035001750002 RIRIN SURINI JEMBER 10|01|1975 43 S P
19 6471010102060002 6471051606700004 JUNAEDI BEKASI 16|06|1970 48 S L
20 6471010403130001 6471011412890001 DEDIK WAHYU CANDRA SEJATI SIDOARJO 14|12|1989 28 S L
21 6471010405090016 6471011512970005 MUH. AL QADRI PUTRA ARIFIN UJUNG PANDANG 15|12|1997 20 B L
22 6471010607120003 6471015303570002 SARIATI BANYUWANGI 13|03|1957 61 S P
23 6471011106090026 6471011111690004 ABD. RAHMAN GOWA 11|11|1969 48 S L
24 6471011106090026 6471015005760005 NURLIA JENEPONTO 10|05|1976 42 S P
25 6471011108120017 6471014506680001 ENDAH YASIKAWATI, SE PONOROGO 05|06|1968 50 S P
26 6471011109120041 6471016504800003 FARIDAH ILUNG 25|04|1980 38 S P
27 6471011112140009 6471014412900001 EKA DESI AMBARWATI SAMARINDA 04|12|1990 27 B P
28 6471011611060007 6471011506800003 MUH. ANSAR, ST BULUKUMBA 15|06|1980 38 B L
29 6471011612080002 6471013112820017 ABD. RAHMAN KAPUAS 31|12|1982 35 B L
30 6471011612080002 6471010703910001 TAUFIK ASBIANNUR SAMARINDA 07|03|1991 27 B L
31 6471011703100028 6471017112700019 HAJERAH BARRU 31|12|1970 47 S P
32 6471011703100028 6471012503930002 ISMAIL BALIKPAPAN 25|03|1993 25 B L
33 6471011703100028 6471015003960002 SARTINI BALIKPAPAN 10|03|1996 22 B P
34 6471011901030014 6471010701650002 WAGIMAN MALANG 07|01|1965 53 S L
35 6471011912020284 6471017107780005 ILFAH LAMONGAN 31|07|1978 39 S P
36 6471012201030001 6471010309830001 DARSYAH KUTAI 03|09|1983 34 B L
37 6471012201030001 6471017003860001 ARBANIYAH KUTAI 30|03|1986 32 B P
38 6471012707090021 6471011011640001 ARSYAD SINJAI 10|11|1964 53 S L
39 6471012707090021 6471010110690004 SUBARTO PASAU SINJAI 01|10|1969 48 B L
40 6471012707090021 6471012712750001 ANDI NASRUDDIN SINJAI 27|12|1975 42 B L
41 6471012806050006 6471030605650002 BASO TINGGI UJUNG PANDANG 06|05|1965 53 S L
42 6471012810090007 6471012705620002 MUSTARI TUNRU BALANG 27|05|1962 56 S L
43 6471012810090007 6471012002810004 SUTRISNO SEWANG JENEPONTO 20|02|1981 37 B L
44 6471012810090007 6471011312910001 ABD. MANAN SEGAF MUSTARI JENEPONTO 13|12|1991 26 B L
45 6471012810090007 6471012410960001 ABD. ASWAN MAHENDRA MUSTARIJENEPONTO 24|10|1996 21 B L
46 6471012810090019 6471014410880001 ROSITA MUSTARI JENEPONTO 04|10|1988 29 S P
47 6471012812090030 6471012806820003 ASMIYANSYAH BALIKPAPAN 28|06|1982 35 B L
48 6471012812090030 6471017112890012 ASIYAH BALIKPAPAN 31|12|1989 28 B P
49 6471012907120003 6471013003820001 ERRY TAMSON SEMOI 30|03|1982 36 S L
50 6471012907120003 6471016411840002 ERMILA SAMARINDA 24|11|1984 33 S P
51 6471012908080004 6471017112860006 AISYAH BALIKPAPAN 31|12|1986 31 B P
52 6471013004130003 6205055110820002 IDAH MUARA TEWEH 11|10|1982 35 S P
53 6471013006090014 6471011108850004 FATLY MAMBI 11|08|1985 32 B L
54 6471012312140023 3515070812790005 EDI SUYANTO TUBAN 08|12|1979 38 P L
55 6471010111160001 6471014712970001 RIVANI NURHASANAH BALIKPAPAN 07|12|1997 20 B P
56 6471012503030002 6471017112780034 JUMIATI BALIKPAPAN 31|12|1978 39 S P
57 6471012503030002 6471011508810002 AHMAD JUANDA SAMARINDA 15|08|1981 36 S L
58 6471012110130002 6471014412970006 NUR ZAKILLA GIO 04|12|1997 20 B P
59 6471011002100001 6471010109990003 GILANG SEPTIKA AJI NGANJUK 01|09|1999 18 B L
60 6471011112120003 7303052111000001 MUH. AL QUADRI BANTAENG 21|11|2000 17 B L
61 6471011202100001 6471011008990003 MUHAMMAD FAISAL HAQ BALIKPAPAN 10|08|1999 18 B L
62 6471011411130001 6471051708500005 AGUSTINUS RANTE PAO 17|08|1950 67 B L
63 6471012705080004 6471016301990001 INDAH FITRIANI BALIKPAPAN 23|01|1999 19 B P
64 6471012806050006 6471034901950004 AMINAH SISKA PUTRI BALIKPAPAN 09|01|1995 23 B P
65 6471012806050006 6471032204980001 MARIO ADI KRISTIANTO BALIKPAPAN 22|04|1998 20 B L
66 6471011901030014 6471014503600003 NUR AINAH BANJARMASIN 05|03|1960 58 S P
67 6471010310160008 6471011803860001 SALIM BALIKPAPAN 18|03|1986 32 S L
68 6471010907120006 6471015002890005 SILPINI MAYASARI BALIKPAPAN 10|02|1989 29 S P
69 6471010804100020 6471010905820003 ADE ALI WARDANA BOGOR 09|05|1982 36 B L
70 6471011604130008 6371022611830008 DIYAN SUWARTONO PURWODADI 26|11|1983 34 S L
71 6471011604130008 6371024203830009 WINARTI MALANG 02|03|1983 35 S P
72 6471011408120025 6471010107860004 MUSTOFA, SE BANGKALAN 01|07|1986 31 S L
73 6471010803040007 6471015501790002 MARPUAH BALIKPAPAN 15|01|1979 39 B P
74 6471010506140007 6471011105850002 ANGGI PEBRIANTO BALIKPAPAN 01|01|1984 34 S L
75 6471012001160003 6471011509890003 JUSMANTI BALIKPAPAN 15|09|1989 28 S L
76 6471012408090025 6471013112560046 SALEHE BONE 31|12|1956 61 S L
77 6471012408090025 6471013112790047 ARIS BALIKPAPAN 31|12|1979 38 B L
78 6471012408090025 6471012505840003 JUMANSAR BALIKPAPAN 25|05|1984 34 B L
79 6471012408090025 6471013112850016 IWAN BONE 31|12|1985 32 B L
80 6471013110140003 7308270707890001
SAFARUDIIN JENNEPONTO 07/07/1989 29 S L
81 6471013110140003 7308276412890001
JUMIATI MATAJANG 24/12/1989 29 S P
82 6471012611150017 6471041906620002
BAMBANG TRIJOKO PORNOMO WONOSOBO 19/06/1978 56 S L
83 6471013105160006 6402130111690002
M. ACHMAD ALI UJUNG PANDANG 11/01/1969 49 S L
84 6471013105160006 6402125007710001
SITI ASNIAH BANYUWANGI 07/10/1971 47 S P
85 6471012605160009 6471018812880008
JESICA KARAWANG 28/12/1988 30 S P
86 6471011702100004 6471011606570004
SUKIDI. S YOGYAKARTA 16/06/1957 61 S L
87 6471011206140010 6471011407970003
WAHYU PURNAMA BANJARMASIN 14/07/1997 21 B L
88 6471011206140010 6471011205980003
AHMAD RIYADI BANJARMASIN 05/12/1998 20 B L
89 6471011702100004
647101550258002 SITI UMAIYAH KEDIRI 15/02/1958 60 S P
90 6471010210120043 6471012103760001
SURIANSYAH BALIKPAPAN 21/03/1976 42 S L
91 6471010210120043 6471026206910003
FAHRINA BANDUNG 22/06/1991 27 S P
92 6471011912170004 3402130708720004
MUHAMMAD RAMLI BANJARMASIN 08/07/1972 46 S L
93 6471011912170004 3402134601820003
TUGINEM YOGYAKARTA 01/06/1982 36 S P
94 6471012506090010 6471011506740003
MAULANA YUSTIAN BALIKPAPAN 15/06/1974 44 S L
95 6471012506090010 6471014508760002
NURLAILA KUTAI 08/05/1976 42 S P
96 6471012909170005 6471052303870006
MUHAMMAD HAFIZ PERDANA BALIKPAPAN 23/03/1987 31 S L
97 6471012909170005 6471035901930001
DEVITA KRISANDY BALIKPAPAN 19/01/1993 25 S P
98 6471012604040003 6471012202990002
MUHAMMADE IRWANDI YUSRILBALIKPAPAN 22/02/1999 19 B L
99 6471012205170004 6471021303800003
MUSLIMIN CELERU 13/03/1980 38 S L
100 6471011602090019 6471010405590001
SUDIRMAN MAGELANG 05/04/1959 59 S L
101 6471011602090019 6471015111620002
SUDARYANTI BALIKPAPAN 11/11/1962 56 S P
102 6471011602090019 6471010107940001
ARI RISNAWADI BALIKPAPAN 07/01/1994 24 B L
103 6471011411170013 6471011402890001
EKO FEBRIYANTO BALIKPAPAN 14/02/1989 29 S L
104 6471011411170013 6471025311880002
HAZI ANNISA MUFIDA BANYUWANGI 13/11/1988 30 S P
105 6471012104090023 6471017112530027
NURHAYATI BALIKPAPAN 31/12/1953 65 S P
106 6471011603160028 7372032011790007
JAMALUDDIN LAWARENGE 20/11/1979 39 S L
107 6471011206170016 3471135106930002
RIZKI IKA PUSPITANINGRUM SLEMAN 11/06/1993 25 S P
108 6471012205170017 6402060106781003
ISBUDIMAN CISANGGAMAN 01/07/1978 40 S L
109 6471012205170017 6402064106810005
YUNITA ISTIQOMAH SURABAYA 06/01/1981 37 S P
110 6471010910120113 6471012611980003
NOFARIANTO BANJARMASIN 26/11/1998 20 B L
111 6471010910120113 6471012611980004
NOFIRIYADI BANJARMASIN 26/11/1998 20 B L
112 6471010309140015 6471051708850001
EKO AGUNG SUPROBO SAMARINDA 17/08/1985 33 S L
113 6471010309140015 3322176011890001
RISMAWATI SEMARANG 20/11/1989 29 S P
114 6471050810120122 6471050307990008
SOLICHUDDIN HERRY BALIKPAPAN 07/03/1999 19 B L
115 6471011010120054 6471020708620001
PALIL AHMADI SEMARANG 08/07/1962 56 S L
116 6471013103150013 640511500470001
HASMI NUNUKAN 04/10/1970 48 S P
117 6471013103150013 6405112811980001
SUHAGNA SEBATIK 28/11/1998 20 B P
118 6471011107120026 6471056704980001
NABILA NIRWANDHA SARI BALIKPAPAN 27/04/1998 20 B P
119 6471012011170001 6471013004980003
M. SAPRIL WATAM PONE 30/04/1998 20 S L
120 6471012410170002 6474024610640001
TUKINAH MAMUJU 10/06/1964 54 P P
121 6471010107100004 6471010506980001
DONI SETIYAWAN BALIKPAPAN 06/05/1998 20 B L
122 6471050610120052 6471051210800016
SYAHRUDDIN MUBARAK CIREBON 10/12/1980 27 S L
123 6471050610120052 6471024910820002
WIWIK SETIAWATI BALIKPAPAN 10/09/1982 29 S P
124 640202131310090013 6402132109730004
JOKO SUKWANTOYO SAMBOJA 21/09/1973 45 S L
125 640202131310090013 6402135206801002
KUSTANTI SURABAYA 05/12/1980 38 S P
126 6471011010120054 6471022802970003
DWI AJI PANGESTU BALIKPAPAN 20/02/1997 21 B L
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 06
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
PERUM PANTAI TERITIP MAS BLOK D NO.04 006 00- 1
JL.MULAWARMAN PERUM PUSKOPAD BLOK A2 NO.15 006 00- 1
TERITIP MAS 006 000 2
PUSKOPAD 006 000 2
PERUM PANTAI TERITIP MAS BLOK.E.IV NO.14 006 00- 4
JL.PANTAI TERITIP MAS BLOK. D NO. 10 006 00- 4
PERUM PANTAI TERITIP MAS BLOK E/3 006 00- 4
PERUM PANTAI TERITIP MAS 006 000 4
JL. PANTAI TERITIP MAS 006 000 4
Gg. BUNTU 006 000 4
PERUM.PANTAI TERITIP MAS BLOK A-2 NO.02 006 000 4
PERUM.TERITIP MAS BLOK E NO. 02 006 000 4
PERUM.PANTAI TERITIP MAS NO. 006 000 4
JL. MUFAKAT 006 000 4
PERUM. TERITIP MAS BLOK C NO. 03 006 000 4
PERUM PANTAI TERITIP MAS BLOK E/3 006 000 4
TERITIP MAS 006 000 4
PERUM TERITIP MAS NO.07 006 000 4
PERUM TERITIP MAS NO.07 006 000 4
Jl. MULAWARMAN NO. 0 006 000 4
JL. PANTAI TERITIP MAS NO. 0 006 000 4
PERUM PANTAI TERITIP MAS BLOK.E- NO. 006 000 4
JL.PENDIDIKAN 018 00- 4
JL.PENDIDIKAN 018 00- 4
JL. HANDIL TARUN 024 00- 4
JL. BENGKIRAI PERUM. PANTAI MAS TERITIP BLOK B2 006 00- 4
PERUM. PUSKOPAT BLOK A 2 NO. 9 006 00- 4
TERITIP 000 000 5
TERITIP 001 001 5
TERITIP 001 001 5
TERITIP 001 001 5
JL. MULAWARMAN NO.18 006 00- U
JL. MULAWARMAN NO.07 006 00- U
JL. MULAWARMAN NO.09 GANG DAMAI 006 00- U
JL. MULAWARMAN 06
JL. MULAWARMAN 06
JL. MULAWARMAN PERUM PUSKOPAD BLOK A2 NO. 15 06
JL. MULAWARMAN NO. 20 BLOK A2 06
JL. MULAWARMAN NO. 20 BLOK A2 06
JL. MULAWARMAN 06
JL. MULAWARMAN 06
PERUM POSKOPAD BLOK A NO. 19 06
PERUM POSKOPAD BLOK A NO. 19 06
JL. MULAWARMAN 06
PERUM PANTAI TERITIP MAS BLOK E4 NO. 02 06
PERUM PANTAI TERITIP MAS BLOK E4 NO. 02 06
JL. MULAWARMAN 06
JL. MULAWARMAN 06
PERUM PANTAI TERITIP MAS BLOK D NO. 10 06
PERUM PANTAI TERITIP MAS BLOK D NO. 10 27
PERUM PUSKOPAD BLOK A2 NO.06 06
PERUM PUSKOPAD BLOK A2 NO.06 06
PERUM PANTAI TERITIP MAS BLOK A1 NO. 08 06
JL. MULAWARMAN 06
JL. MULAWARMAN 06
JL. MULAWARMAN 06
JL. MULAWARMAN 06
PERUM PUSKOPAT BLOK A2 06
PERUM TERITIP MAS 06
JL. MULAWARMAN NO. 10 06
JL. MULAWARMAN 06
JL. MULAWARMAN 06
JL. MULAWARMAN 06
JL. MULAWARMAN 06
JL. MULAWARMAN 06
JL. PERUMAHAN POSKOPAD 06
JL. MULAWARMAN NO. 17 06
JL. MULAWARMAN 06
JL. MULAWARMAN 06
PERUM PUSKOPAD 06
BALIKPAPAN REGENCY BLOK 40
BALIKPAPAN REGENCY BLOK 40
GN. MALANG 04
GN. MALANG 04
JL MULAWARMAN NO 17.A 06
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010609040003 6471012808450001 SALI REMBA PINRANG 28|08|1945 72 S L
2 6471012105030004 6471010704450001 ACHMAD RIDWAN SAMBOJA 07|04|1945 73 S L
3 6471012304100030 6471012701760001 HERI YOGISARA BALIKPAPAN 27|01|1976 42 B L
4 6471012405040002 6471013112490016 USI KANDANGAN 31|12|1949 68 S L
5 6471010804080009 6471011006400001 SAKKA BONE 10|06|1940 78 S L
6 6471011103100027 6471010209490001 PARDI MADIUN 02|09|1949 68 S L
7 6471012206070011 6471013112440007 LANIPO MUNA 31|12|1944 73 S L
8 6471011001222001 6471016069950002 IHLUN MUHLISI LALIBO 09|06|1995 23 B L
9 6471012011720021 6471012011720021 RAHIM MAKASSAR 07|12|1978 39 S L
10 6471010110070002 6471010606660005 IMRANSYAH BELENGKONG 06|06|1966 52 S L
11 6471010110070002 6471016511760004 SURIYANI BALIKPAPAN 25|11|1976 41 S P
12 6471010309080010 6471010305860002 MUHAMMAD YUSUF BALIKPAPAN 03|05|1986 32 B L
13 6471010310120012 6471020107560001 NURJALI BALIKPAPAN 01|07|1956 61 S L
14 6471010310120012 6471024706570002 ASKIYAH BALIKPAPAN 07|06|1957 61 S P
15 6471010310120012 6471024902960005 YULIANNI NOR BALIKPAPAN 09|02|1996 22 B P
16 6471010401100019 6471011003470001 HUSIN. K MASAPPE 10|03|1947 71 S L
17 6471010401100019 6471014504510002 LAMINI BOJONEGORO 05|04|1951 67 S P
18 6471010403140005 1108072806930001 MARTUNIS RAYEK PAYA ITEK 28|06|1993 24 B L
19 6471010405100016 6471051708750027 INDRASUARA. L.S.SI'LANG UJUNG PANDANG 17|08|1975 42 S L
20 6471010405100016 6471054705780007 HELMY UJUNG PANDANG 07|05|1978 40 S P
21 6471010405100018 6471040508790002 DENNY RAMADANI SAMARINDA 05|08|1979 38 S L
22 6471010405100018 6471045203830004 NURUL AINI SEPAKU 12|03|1983 35 S P
23 6471010511140008 6471055812950003 SARLITA KEMILAU HUSNA BALIKPAPAN 18|12|1995 22 B P
24 6471010706100049 6471014306720003 NURHASANAH KUTAI 03|06|1972 46 P P
25 6471010706100049 6471016102950002 NURLELA KADARIYAH BALIKPAPAN 21|02|1995 23 B P
26 6471010907070004 6471011709820002 HANS MILLIAN DEGAMA SAMARINDA 17|09|1982 35 S L
27 6471010907070008 6471046906880001 LISTARI MARTHEN BALIKPAPAN 29|06|1988 29 S P
28 6471011108120013 6471016405940004 MEGA WATI TOLI-TOLI 24|05|1994 24 B P
29 6471011110120089 6471010504840006 MUH JABIR PINRANG 05|04|1984 34 S L
30 6471011402170009 6471011804600004 FARDHIANSYAH RAYMOND PAATH BALIKPAPAN 18|04|1960 58 S L
31 6471011607100006 6471031707770007 KAHAR BALIKPAPAN 17|07|1977 40 S L
32 6471011607100006 6471017012830002 RUSNAH BALIKPAPAN 30|12|1983 34 S P
33 6471011703090016 6471011612520001 SUYOTO JEPARA 16|12|1952 65 S L
34 6471011707080005 6471015611700002 NASRA IRMAWATI PINRANG 16|11|1970 47 S P
35 6471011707080005 6471011603970001 BUDIONO BALIKPAPAN 16|03|1997 21 B L
36 6471011802100010 6471012003710002 NURDIN DG RAPI JENEPONTO 20|03|1971 47 S L
37 6471011906140003 6308065008800002 MUSTIKA MURNI SUNGAI TURAK 10|08|1980 37 S P
38 6471011906140003 6471020604830003 SYARIFUDINNUR BALIKPAPAN 06|04|1983 35 S L
39 6471012206120016 6471012609820002 FAISAL FADILLAH BALIKPAPAN 26|09|1982 35 S L
40 6471012206120016 6471014808880005 NUR ISPUK BALIKPAPAN 08|08|1988 29 S P
41 6471012212080004 6471010501680002 MIFTAHUR ROCHMAN JOMBANG 05|01|1968 50 P L
42 6471012304100035 6471013112610043 TAMPA SINJAI 31|12|1961 56 S L
43 6471012411090023 6471012606730001 IMAM HAMBALI TULUNGAGUNG 26|06|1973 45 S L
44 6471012611040002 6471016607910001 HERPI DIANA YANTI SAMBOJA 26|07|1991 26 B P
45 6471012703140011 6402132202910002 RIDHO FEBRAM PRAYOGA LAMPUNG 22|02|1991 27 S L
46 6471012704090005 6471014406840001 MIRA SARI BALIKPAPAN 04|06|1984 34 S P
47 6471012802140007 6402135508840002 SURATI SEPAKU 15|08|1984 33 S P
48 6471012904150014 6471011306910001 RIYADI BUDI WIDODO TULUNGAGUNG 13|06|1991 27 B L
49 6471013003090017 6471010405890002 ANDRY SETIAWAN BALIKPAPAN 04|05|1989 29 B L
50 1751059804262001 1751052307780002 BUDI RAHIM BALIKPAPAN 23|07|1978 39 B L
51 3276051012070179 6471015105850007 NINA PURWANTI BALIKPAPAN 05|11|1985 32 S P
52 6471010404030380 6471010909670001 ANDI ARFAN BONE 09|09|1967 50 S L
53 6471010404030380 6471014509730003 MAYA BONE 05|09|1973 44 S P
54 6471010404030380 6471010706970002 ALDI ARJUN SAMARINDA 07|06|1997 21 B L
55 6471010801080003 6471010207820006 SARIPUDIN BALIKPAPAN 02|07|1982 35 S L
56 6471010801080003 6471016909830003 EMA SEPTA SARI SUSANTI SAMARINDA 29|09|1983 34 S P
57 6471011107120013 6471013112610039 SARIFUDDIN BONE 31|12|1961 56 S L
58 6471011107120013 6471015409820002 NURHAYATI BALIKPAPAN 14|09|1982 35 B P
59 6471011204130002 6402130704860002 NASIKH PASURUAN 07|04|1986 32 B L
60 6471011207120011 6471014104900004 ANISA KUALA SELAT 01|04|1990 28 S P
61 6471011703090016 6471016703960001 MUTIA PARERE BALIKPAPAN 27|03|1996 22 B P
62 6471011707080005 6471010707950001 MUH. ARIF NASIR PINRANG 07|07|1995 22 B L
63 6471011802080006 6471024507640007 AGUS SESA TANA TORAJA 05|07|1964 53 S P
64 6471012304100035 6471010710800003 SUHARDI SINJAI 07|10|1980 37 B L
65 6471012304100035 6471010509830003 ALEK SINJAI 05|09|1983 34 B L
66 6471012304100035 6471011011920003 TANHAR BALIKPAPAN 10|11|1992 25 B L
67 6471012309140005 7322034109950007 NIRMALASARI MASAMBA 01|09|1995 22 B P
68 6471012412130018 3318215110970003 ULIYATUN NAFIAH PATI 11|10|1997 20 B P
69 6471012503060001 6471015301830002 FRIDA OLIVIA PAATH, A. MD BALIKPAPAN 13|01|1983 35 B P
70 6471012601150001 6471053105760004 DARMANSYAH BALIKPAPAN 31|05|1976 42 S L
71 6471012601150001 6471057007870002 LINA YULIANTI JAKARTA 30|07|1987 30 S P
72 7304021111140002 7304025008920004 HUSNAWATI JENEPONTO 09|03|1997 21 B P
73 6471011908090022 6471013112690033 PATANG BONE 31|12|1969 48 S L
74 6471011908090022 6471017112740049 HERTATI BALIKPAPAN 31|12|1974 43 S P
75 6471011908090022 6471014411930001 HARIATI BALIKPAPAN 04|11|1993 24 B P
76 6471011908090022 6471011403950002 JUMADI SETIAWAN BALIKPAPAN 14|03|1995 23 B L
77 6471011207120011 6471011605860002 SEKI NABARA JEPARA 16|05|1986 32 S L
78 6471010211150009 6471014202930003 NURVIKASARI SAMBOJA 02|02|1993 25 S P
79 6471010412060003 6471015812000002 NUR ERLINA SARI BALIKPAPAN 18|12|2000 17 B P
80 6471011212070008 6471015204690006 WIJI UTAMI BLITAR 12|04|1969 49 S P
81 6471012601150001 6471052105000007 AQSAL MUHAMMAD RAFLY BALIKPAPAN 21|05|2000 18 B L
82 6471012904150014 6471015902920003 AGITIYA UTAMI BALIKPAPAN 19|02|1992 26 B P
83 6471012905170011 6405025304780003 JUMARNI BARRU 13|04|1978 40 S P
84 6471011504150012 7302010107700189 SAMPEANG PALIMASSANG 01|07|1970 47 S L
85 6471011504150013 7302010702890006 ASDIAR PARANG LUARA 07|02|1989 29 B L
86 6471011508120026 6471014707720007 HASNAWATI TOLI-TOLI 07|07|1972 45 S P
87 6471011001140001 6472010311910002 HERMANSYAH SAMARINDA 03|11|1991 26 B L
88 6471011007120004 6471012411740004 JAENURI NGANJUK 24|11|1974 43 P L
89 6471011310160002 7302011110910002 RISWAN PALIMASSANG 11|10|1991 26 B L
90 6471011504100013 6471012809900004 ROHMAN RIZQI BANJARAN BALIKPAPAN 28|09|1990 27 B L
91 6471012503060001 6471015601830005 RISNAWATI BALIKPAPAN 16|01|1983 35 S P
92 6471010407120008 6471010910740005 AJI KRISTIONO BLORA 09|10|1974 43 S L
93 6471010407120008 6471014510790002 SUCIYATI PEMALANG 05|10|1979 38 S P
94 6471010408080012 6471015010910001 RATNA YUNITA BALIKPAPAN 10|10|1991 26 B P
95 6471010510090017 6471012901890001 YUSNO BLORA 29|01|1989 29 B L
96 6471010606070004 6471040806740005 ASWAR, S. IK LUWU 08|06|1974 44 B L
97 6471010610090020 6471016001770002 NURIYANI BALIKPAPAN 20|01|1977 41 B P
98 6471011101513001 6471010105430003 ADI ARMAN BALIKPAPAN 05|01|1993 25 S L
99 6471011301030005 6471010606720003 ACHMAD RAFAIE BALIKPAPAN 06|06|1972 46 B L
100 6471011303140008 6471016705830001 ISNAWATI BALIKPAPAN 27|05|1983 35 P P
101 6471011908140014 6402135708750008 HADIATI AGUSTINA SAMARINDA 17|08|1975 42 S P
102 6471011912020101 6471015609810001 ROSMAWATI BULUKUMBA 16|09|1981 36 B P
103 6471011912020409 6471012101660001 IMANSYAH BALIKPAPAN 21|01|1966 52 S L
104 6471011912020456 6471013012610005 SURYO NGAWI 30|12|1961 56 B L
105 6471011912020456 6471010407690003 KASNANDAR NGAWI 04|07|1969 48 B L
106 6471012105120006 6471014111690004 NOERLAILA KOSASIH MANADO 01|11|1969 48 P P
107 6471012204130007 6402133112940002 ARDI DWIYAN PERMADI MADIUN 31|12|1994 23 B L
108 6471012405040002 6471010407770002 H. SAMSIAR SAMBOJA 31|12|1953 64 S P
109 6471012511140013 7304020903970001 MUHAMMAD RIZAL JENEPONTO 09|03|1997 21 B L
110 6471012704120005 6471015902820005 RAUDLATUL MAKKIAH BALIKPAPAN 19|02|1982 36 B P
111 6471012812090032 6471052005820005 ISA SUSIAWAN BANJARMASIN 20|05|1982 36 S L
112 6471013005130009 6471026407820004 JULIANA MACCOPE 24|07|1982 35 S L
113 6471013112030004 6471012302900002 JUMANSYAH BALIKPAPAN 23|02|1990 28 B L
114 6471010610090020 6471012710950002 MUHAMMAD JOEMADI BALIKPAPAN 27|10|1995 22 B L
115 6471010610090020 6471016707790002 YULIYANA BALIKPAPAN 27|07|1979 38 B P
116 6471012302030003 6471014201900003 NUR KASMIATI KUTAI 02|01|1990 28 S P
117 6471010210140007 6471050107840015 SAHARUDDIN BARAKA 01|07|1984 33 P L
118 6471010511140008 6471052208000003 GUSTIAN MOHAMAD BALIKPAPAN 22|08|2000 17 B L
119 6471011110120089 6471014704840007 HERIAH PINRANG 07|04|1984 34 S P
120 6471011306160011 6471050704780003 MOHAMMAD RASIDI BANGKALAN 07|04|1978 40 B L
121 6471011306160011 3526115012890006 NURUL HABIBAH BANGKALAN 10|12|1989 28 S P
122 6471011611160004 7302096811960001 WILDA PUSPITA SUNGGUMINASA 28|11|1996 21 B P
123 6471011707080005 6471025812000002 FITRIANI SRI RAHMADANI BALIKPAPAN 18|12|2000 17 B P
124 6471012402170006 7317035803900002 SIKMAWATI MALELA 18|03|1990 28 B P
125 6471012708080009 6471010903010003 ANDI FIKRI RAMADHANI BALIKPAPAN 09|03|2001 17 B L
126 6471012901140006 7302093112830053 MUH. JUFRI. T MANJALLING 31|12|1983 34 S L
127 6471013108120026 7307062511910001 LUKMAN SINJAI 25|11|1991 26 B L
128 6471011503170003 3212015005870010 AROFAH INDRAMAYU 10|05|1987 31 B P
129 6471010404030354 6471013112260009 SAPTUNI SAMBOJA 31|12|1926 91 S L
130 6471010405040002 6471010109750003 ANDRI YANTO SRAGEN 01|09|1975 42 S L
131 6471010903100006 6471010205700002 HAIDIR, Ir ENREKANG 02|05|1970 48 S L
132 6471011008170007 6471010706970001 ANDI ROCHIM HIDAYAT BALIKPAPAN 07|06|1997 21 B L
133 6471010309080010 6471014603840001 ARBAYAH BALIKPAPAN 06|03|1984 34 B P
134 6471010906150003 6472054607930008 IKA SETIANI MUARA TEWEH 06|07|1993 24 S P
135 6471011110120104 6471014405920003 NURLINA TANA CICCA 05|04|1992 26 S P
136 6471011410090012 6471014107690002 ASRIANI UJUNG PANDANG 01|07|1969 48 S P
137 64710104040030378 6471010504250002 H. TERRU BONE 05|04|1925 93 S L
138 64710104040030378 6471014706320002 HJ. SAKKA BONE 07|06|1932 86 S P
139 6471011411170010 6471016907770003 SYAMSIDAR SINJAI 29|07|1977 40 P P
140 6471042912060006 1751045308680001 NURHANISYAH BALIKPAPAN 13|08|1968 49 S P
141 6471012507170003 6471010101000012 M. IBRAHIM TOLI-TOLI 01|01|2000 18 B L
142 6471012611040002 6471015205000002 NURDIANA BALIKPAPAN 12|05|2000 18 B P
143 6471030806090016 6471036205010001 LISTIANA BALIKPAPAN 22|05|2001 17 B P
144 6471011410080008 6471013005810003
KUKUK DWI CAHYONO MALANG 30/05/1981 37 S L
145 6471011410080008 6471054505080004
MURNI UJUNG PANDANG 05/05/1988 30 S P
146 6471012801080004 6471010403680002
SUMPENO WONOGIRI 04/03/1968 50 S L
147 6471012801080004 6471016110720001
TUTI IRAWATI JAKARTA 21/10/1972 45 S P
148 6471012801080004 6471011206950003
CHANDRA BAGASKORO WICAKSJAKARTA 12/06/1995 23 B L
149 6471013010170015 7204032607740001
RIDWAN SALIHU MALALA 20/07/1974 43 S L
150 6471013010170015 7204032304010001
ANDI WAHYUDIN TOLI-TOLI 23/04/2001 17 B L
151 6471013010170015 7204034504750002
SUMIATI TAMRIN TOLI-TOLI 05/04/1975 43 S P
152 6471010612170005 6471053112900007
RONI BALIKPAPAN 31/12/1990 27 S L
153 6471010612170005 6471014501930004
HASNAH BALIKPAPAN 05/01/1993 25 S P
154 6402131001180009 3505192001850001
DODIK IRAWAN BITAR 20/11/1985 33 S L
155 6402131001180009 640213621250003
MARDIANA BALIKPAPAN 22/12/1995 22 S P
156 6471012802140007 6402131704750002
SARIYO STAGEN 07/04/1975 42 P L
157 64710111905150004 64710101015930003
ADI ARMADI BALIKPAPAN 01/05/1993 24 S L
158 6471011403050002 6471012304620001
SHOKIP MADIUN 23/04/1962 56 S L
159 6471011403050002 6471016507620002
ANI MARIANI BALIKPAPAN 25/07/1962 56 S P
160 64710114030500002 6471011909000003
RESTU AGUNG.W BALIKPAPAN 19/04/2000 18 B L
161 6471012307100002 6471052307680009
AKHMAD ZAIN S.SOS SAMARINDA 23/07/1968 50 S L
162 6471012307100002 6471054808700003
NUR AIDA,S Ag BALIKPAPAN 08/08/1970 48 S P
163 6471012307100002 6471052109980002
ASYRAF AIZAN BALIKPAPAN 21/09/1998 19 B L
164 6471012508090013 6471010611920005
SUTRISNO BALIKPAPAN 06/11/1992 26 B L
165 6471010801080013 6471015803980002
NORHAYATI BALIKPAPAN 18/03/1998 20 B P
166 6471012611040002 6471011201980002
RISKI YUIRAN PUTRA BALIKPAPAN 12/01/1998 20 B L
167 6471012611040002 647101311270041
HASNAN SAMBOJA 31/12/1970 48 S L
168 6471011808050007 6471015805980004
RISKI YANTI BALIKPAPAN 08/05/1998 20 B P
169 6471010910150009 6471015502740003
AGUSTINA BALIKPAPAN 15/02/1974 44 S P
170 6471010910150009 6471010901970002
DAMAN BALIKPAPAN 09/01/1997 21 B L
171 64710109100150009 64710111010004
RIYADI BALIKPAPAN 11/01/2000 18 B L
172 6471010907150012 6471011506790003
RAHMAD WAHYUDI BALIKPAPAN 15/06/1979 39 S L
173 6471010907150012 6471017112950007
DEWI SARTIKA BALIKPAPAN 31/12/1995 33 S P
174 6471011409150012 6471013112790038
ALIANSYAH BALIKPAPAN 31/12/1979 39 S L
175 6471011409150012 6471014607900003
ASNIAH BALIKPAPAN 06/09/1990 28 S P
176 64710110104090018 6471050308750009
RONI CHRISBIYANTO TIMIKA 03/08/1975 43 S L
177 6471010104090018 6471015608660002
ARBAINAH BALIKPAPAN 16/08/1966 52 S P
178 6471043003100046 6471041707600001
SUPLIYANSYAH BALIKPAPAN 17/07/1960 58 S L
179 6471043003100046 6471046609620002
MARDIYAH BALIKPAPAN 26/09/1962 56 S P
180 64710143003100046 6471045106840002
YUNI ERMITA BALIKPAPAN 11/06/1984 34 B P
181 6471043003100046 6471042911920001
IBRAHIM BALIKPAPAN 29/11/1992 26 B L
182 6471043003101146 6471040603010003
ADAM STIAWAN BALIKPAPAN 06/03/2001 17 B L
183 6471012307150001 731509550280001
LADARISE BAKI 15/02/1980 30 S L
184 6471012507120012 6471011910890001
RIZAL ALFAROSI MALANG 19/10/1989 29 S L
185 6471012507120012 6471054303890003
SUSWANTI BALIKPAPAN 03/03/1989 29 S P
186 6471011810170004 6471032806920002
BAGUS MAULANA PUTRA BALIKPAPAN 08/06/1992 26 S L
187 6471012901080001 6471012505730002
DARSANI BALIKPAPAN 25/05/1973 45 S L
188 6471012901080001 6471017101730001
AMI ANDARINI HASIBUAN MANOKWARI 31/12/1973 45 S P
189 6471012901080001 6471014708980005
SITI NURASY-SYIFA BALIKPAPAN 07/08/1998 20 B P
190 647101051150018 720507071280003
MOH.AMIN MANADO 07/12/1980 38 S L
191 6471010511150018 7205075105860001
LISNAWATI BOILAN 11/05/1986 32 S P
192 6471010112140011 6471050901830007
ANGGA RIZALDY PRASETYA BALIKPAPAN 09/01/1983 35 S L
193 6471010908100005 64710106650001
JUMIDAR KANDANGAN 04/06/1965 53 S L
194 6471010908100005 6471012308030002
MAHMUDI ARIADI KANDANGAN 23/08/1993 25 B L
195 6471010908100005 6471014307720003
MASJUITA KANDANGAN 03/07/1972 46 S P
196 64710101411030004 6471017105980003
NUR ISNAINI BALIKPAPAN 31/05/1998 20 B P
197 6471010503080003 6471010307690001
YADI.S.Pd BLORA 03/07/1969 49 S L
198 6471012206000020 6471051508770005
RAHMAT PALU 15/08/1977 41 S L
199 6471012904130014 6402134103630002
RAMLAH SALOK API LAUT 01/03/1963 55 P P
200 6471011611150008 6471052812480003
TAMAN RIANTO MADIUN 26/12/1948 70 S L
201 6471011611150008 6471057112570095
DJAMILAH JOGJA 26/12/1948 56 S P
202 6471011611150007 6471056808840003
AGUSTINA HANDAYANI BALIKPAPAN 08/08/1984 34 S P
203 6471013112130001 3316161704780001
WARSITO BLORA 17/04/1978 40 S L
204 6471012508090013 6471010507480002
SUMO WITONO MADIUN 06/07/1949 70 S L
205 6471012508090013 6471014705020005
MARIANA MADIUN 07/05/1962 56 S P
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 07
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
GG. EMPANG 007 000 2
PERUMAHAN TERITIP MAS 007 000 2
JL.MULAWARMAN GG.BAMBU007 00- 4
JLN. MULAWARMAN NO. 43 007 00- 4
PERUM.PANTAI TERITIP MAS B007 00- 4
PERUM.PANTAI TERITIP MAS B007 00- 4
PERUM. PANTAI TERITIP MAS 007 00- 4
PERUM. TERITIP MAS BLOK. H007 00- 4
JL. MULAWARMAN GG.EMPAN007 00- 4
JL. MULAWARMAN GG.EMPAN007 00- 4
JL. MULAWARMAN GG. BAMB007 00- 4
JL.MULAWARMAN GG.EMPAN007 00- 4
JL. MULAWARMAN GG.BAMBU 007 00- 4
JL. MULAWARMAN GG.BAMBU 007 00- 4
JL. BAMBU KUNING 007 000 4
JL. BAMBU KUNING 007 000 4
JL.MULAWARMAN GG.EMPAN007 000 4
JL. GUNUNG BINJAI 015 00- 4
JL.MULAWARMAN GG. BAM007 00- 4
JL. MULAWARMAN GG.BAM007 00- 4
PERUM PANTAI TERITIP MA007 000 4
PERUM PANTAI TERITIP MA007 000 4
TERITIP 000 000 5
PERUM PANTAI TERITIP MAS B007 000 5
JL. MULAWARMAN GG.EMPAN007 000 5
PERUMAHAN TERITIP MAS 007 000 5
JL.MULAWARMAN GANG E007 00- 5
JL, MULAWARMAN 007 00- 5
PERUM PANTAI TERITIP MA007 00- 5
JL. TERITIP 007 00- U
JL.MULAWARMAN NO. 007 00- U
JL.MULAWARMAN GG.BAMBU007 000 5 U
JL. BAMBU KUNING 007 000 U
JL. MULAWARMAN NO. 007 000 U
JL. MULAWARMAN NO. 007 000 U
JL. MULAWARMAN 007 000 U
JL. BAMBU KUNING 007 000 U
PERUM. TERITIP MAS BLOK.007 00- U
JL.MULAWARMAN GANG B007 00- 3 U
JL. MULAWARMAN 07 B
JL. MULAWARMAN 07 B
JL. MULAWARMAN 07 B
JL. MULAWARMAN 07 B
JL. MULAWARMAN 07 B
JL.MULAWARMAN GANG SE 07 B
JL MULAWARMAN GANG SE 07 B
JL SULAWESI KEL.AMBORA 07 B
JL.SULAWESI KEL.AMBORA 07 B
JL MULAWARMAN 07 B
JL MULAWARMAN GANG E 07 B
PERUMAHAN TERITIP MAS 07 B
PERUMAHAN PANTAI TERIT 07 B
JL.MULAWARMAN 07 B
JL.MULAWARMAN GANG E 07 B
JL MULAWARMAN 07 B
JL MULAWARMAN 07 B
JL MULAWARMAN 07 B
JL MULAWARMAN GANG W 07 B
JL MULAWARMAN GANG B 07 B
JL MULAWARMAN GANG B 07 B
JL MULAWARMAN GANG KA 07 B
JL.MULAWARMAN GANG KA07 B
JL.WAHAB SYAHRANI NO 54 58 B
JL WAHAB SYAHRANI NO 54 58 B
JL MULAWARMAN 07 B
JL TERITIP LAUT 07 B
JL TERITIP LAUT 07 B
JL MULAWARMAN GG BAM 07 B
JL.MULAWARMAN 07 B
JL.MULAWARMAN 07 B
JL.MULAWARMAN 07 B
JL.MULAWARMAN 02 B
JL .MULAWARMAN 02 B
JL.MULAWARMAN 02 B
JL.MULAWARMAN 07 B
JL.MULAWARMA NO 47 07 B
JL.MULAWARMAN 07 B
JL.MULAWARMAN 07 B
JL.MULAWARMAN 07 B
JL .MULAWARMAN 07 B
JL.MULAWARMAN 07 B
JL.MULAWARMAN NO 47 07 B
JL.MULAWARMAN 07 B
JL.MULAWARMAN 07 B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010105060004 6471013112310012 H. SALENG BONE 31|12|1931 86 P L
2 6471010508080005 6471013112250002 PUANG BEDDU BONE 31|12|1925 92 S L
3 6471010508080005 6471017112290009 SITTI BONE 31|12|1929 88 S P
4 6471010707030004 6471014805650003 MINAH BALIKPAPAN 08|05|1965 53 S P
5 6471011203080004 6471010705590001 IDE. BONE 07|05|1959 59 S L
6 6471011211070010 6471016404350001 HADRAH BONE 24|04|1935 83 P P
7 6471011512090016 6471015904690001 JOHARIAH CIREBON 19|04|1969 49 S P
8 6471012501100020 6471011705450001 NOHE BONE 17|05|1945 73 S L
9 6471010911060001 6471017006610002 JAMILAH.H.TAHIR BALIKPAPAN 30|06|1961 56 S P
10 6471011001224001 6471014957580004 KARYATI BLITAR 09|09|1957 60 S P
11 6471010603140018 6471014305860003 NORHANIAH BALIKPAPAN 03|05|1986 32 B P
12 6471012204030004 6471011111800001 SAPARUDIN R BALIKPAPAN 11|11|1980 37 S L
13 6471012204030004 6471015406860003 HARIYATI BALIKPAPAN 14|06|1986 32 S P
14 6471012002040004 6471015509540001 NENSI SINJAI 15|09|1954 63 S P
15 6471012507120012 6471054303890003 SUSWANTI BALIKPAPAN 03|03|1989 29 S P
16 6471012507120012 6471011910890001 RIZAL ALFAROSI MALANG 19|10|1989 28 S L
17 6471010404030293 6471011311750002 USMAN-Y BALIKPAPAN 13|11|1975 42 S L
18 6471010404030293 6471015308770001 JUMIAH BALIKPAPAN 13|08|1977 40 S P
19 6471010509050010 6471013112580063 HAMSAH BALIKPAPAN 31|12|1958 59 S L
20 6471010907120017 6471011812860004 RAHMAD HIDAYAT BALIKPAPAN 18|12|1986 31 S L
21 6471010907120018 6471010111850002 MUHAMMAD MUHDAR BALIKPAPAN 01|11|1985 32 S L
22 6471010907120018 6471016112910002 MISLAH BABULU 21|12|1991 26 S P
23 6471011101130012 6402130609900004 RAHMAN SUNARTO TINGGIRI 06|09|1990 27 S L
24 6471011101130012 6471015005920004 USFURIYA MALANG 10|05|1992 26 S P
25 6471011108050005 6471040411670001 SUPARMO BALIKPAPAN 04|11|1967 50 P L
26 6471011606040002 6471016005300001 SITI HAJAR BONE 20|05|1930 88 P P
27 6471011907120018 6471026508890002 KAMELIA BALIKPAPAN 25|08|1989 28 S P
28 6471012209120101 6471012304770003 GUSTI YUDI SHAPUTRA SAMARINDA 23|04|1977 41 S L
29 6471010402100028 6471015501950001 AYU ENDARWATI BALIKPAPAN 15|01|1995 23 B P
30 6471010404030293 6471011407960001 RIYAN ROESADY-U BALIKPAPAN 14|07|1996 21 B L
31 6471010404030352 6471014306320001 BAHRIAH BALIKPAPAN 03|06|1932 86 S P
32 6471010911060001 6471014602850001 NORLAILA BALIKPAPAN 06|02|1985 33 B P
33 6471011102140006 6408041406860009 IQBAL SAMARINDA 14|06|1986 32 B L
34 6471011212110001 6471014205760003 EMI MEISARI SUKABUMI 02|05|1976 42 B P
35 6471011401080010 6471015007530003 KAN YANG SWAT TULUNGAGUNG 10|07|1953 64 S P
36 6471011401080010 6471011504530001 HERMANUSLIM TARAKAN 15|04|1953 65 S L
37 6471012002040004 6471011907820002 AMBO SINJAI 19|07|1982 35 B L
38 6471012401050002 6471010703690002 MUHAMMAD AMIN PALOPO 07|03|1969 49 S L
39 6471012506030002 6471010805950002 TONY PANJAYANA PARE-PARE 08|05|1995 23 B L
40 6471012507120014 6471056104840003 KURNIATIN BALIKPAPAN 21|04|1984 34 B P
41 6471013006140002 6471013112880009 YUDI PRASTIYO GROBOGAN 31|12|1988 29 B L
42 6471022904090016 6471024807800002 A.EKA INDAH.DS BALIKPAPAN 08|07|1980 37 S P
43 6471040901911001 6471056431940002 SUCI MARIA ULFA BALIKPAPAN 24|03|1991 27 S P
44 6471011206150001 6471014512920001 SIXMA EKA MUSTIKA SURABAYA 05|12|1992 25 B P
45 6471011303120003 6471012006700002 MASDUKI ZAKARIA KEDIRI 20|06|1970 48 S L
46 6471011303120003 6471015703750004 SULAINI NGANJUK 17|03|1975 43 S P
47 6471012008130025 6471012201850001 RAHMAN BALIKPAPAN 19|01|1985 33 S L
48 6471010402100028 6471014702970001 PUTRI AISYAH BALIKPAPAN 07|02|1997 21 B P
49 6471012711130013 6471012711860002 NOPIYANTO BALIKPAPAN 27|11|1986 31 B L
50 6471012408090003 6471012403750002 FIRMANSYAH BALIKPAPAN 24|03|1975 43 S L
51 6471012408090003 6471015901810001 NUR HASANAH BALIKPAPAN 19|01|1981 37 S P
52 6471010907120013 6471014702810005 KUMALASARI BALIKPAPAN 02|07|1981 36 S P
53 6471011204100011 1603033011940001 ANGGA PRANATA PALEMBANG 30|11|1994 23 B L
54 6471012509120040 6402134302910001 EKA NURJANAH SAMBOJA 03|02|1991 27 B P
55 6471012610160001 3275011705920018 ARIA DANANJAYA PRADISTA BREBES 17|05|1992 26 B L
56 6471010301070004 6471010512790002 JUMANSYAH BALIKPAPAN 05|12|1979 38 B L
57 6471012402140006 6402135005720005 DEWI SURYANI MADIUN 10|05|1972 46 S P
58 6471013012080017 6471012007900002 AMIRUDDIN BALIKPAPAN 20|07|1990 27 B L
59 6471010506080003 6471017112520036 NASIRAH BONE 31|12|1952 65 S P
60 6471011612030002 6471021029900002 MARTIN ANWAR BALIKPAPAN 21/02/1999 18 B L
61 6471010410170001 7406014206930002 SARTIKA DEWI BOEPINANG 06/02/1993 25 S P
62 647101271217001 1273045611880001 EVA RIANA SEMBIRING SIBOLGA 16/11/1988 30 S P
63 6471011910170001 6471032116090004 MARKUS MADING RUNUT 21/10/1969 51 S L
64 6471011910170001 6471036104840003 MARIA KARTINI FLORES 21/04/1984 34 S P
65 6471011512090016 7310034609720001 PATING SAING PL SABUTUNG 09/06/1972 46 S P
66 6471022904090016 6471024807800002 ANTUNG EKA INDAH DIAN STEPBALIKPAPAN 07/08/1980 38 S P
67 6471010610090020 6471012710950002 M.JOEMADI BALIKPAPAN 27/10/1995 23 B L
68 6471012402140006 6402131201630001 DUDUNG SANTOSO BLORA 01/12/1963 55 S L
69 6471012402140006 6402135005720005 DEWI SURYANI MADIUN 05/10/1972 46 S P
70 6471012506030002 6471013010500001 ROBIN PANJAYANA BALIKPAPAN 30/10/1950 68 S L
71 6471011206170012 6474013004870004 SUHARTONO SOPPENG 30/04/1987 31 S L
72 6471010906090027 6471017112660063 NGANTENI TUBAN 31/12/1966 52 P P
73 6471010906090027 6471014101990001 DEWI LESTARI BALIKPAPAN 01/01/1999 19 B P
74 6471010907120015 6471020102710003 SYAHRUDDIN BALIKPAPAN 02/01/1971 47 S L
75 6471012509120040 6471012203880001 SUGI UTOMO BALIKPAPAN 22/03/1988 30 S L
76 6471011504140008 6471013006890002 JOHANSYAH BALIKPAPAN 20/01/1992 26 S L
77 6471013004110002 6471010702550001 SYAHRUDDIN BALIKPAPAN 02/07/1954 64 S L
78 6471013006150003 6471041102520001 SANUSI PACCIRO 02/11/1952 66 S L
79 6471012909160011 3404070903800007 NGADIONO SLEMAN 03/09/1980 38 S L
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 08
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. TERITIP LAUT 008 00- 1
JL. TERITIP LAUT NO. 39 008 00- 1
JL. TERITIP LAUT NO. 55 008 000 1
JL. TERITIP LAUT NO.38 008 000 1
TERITIP 000 000 4
JL.MULAWARMAN GANG EMP007 00- 4
JL.TERITIP LAUT 007 00- 4
JL. TERITIP LAUT NO.57 008 00- 4
JL. TERITIB LAUT NO. .... 008 00- 4
JL. TERITIP LAUT NO.04 008 000 4
JL.TERITIP LAUT NO.28 008 000 4
JL.MULAWARMAN NO.0 008 000 4
JL. TERITIP LAUT NO. 008 000 4
JL.TERITIP LAUT NO. 07 008 000 4
JL.HANDIL SULAWESI 020 00- 4
JL. HANDIL SULAWESI NO.26 022 00- 4
JL. MULAWARMAN GG.PANTU030 00- 4
JL. MULAWARMAN GG.PANTU030 00- 4
JL. MUFAKAT 031 00- 4
TERITIP 001 001 5
TERITIP 001 001 5
JL. TERITIP LAUT 008 00- 2 U
JL.TERITIP LAUT NO.47 08 B
JL TERITIP LAUT NO.63 08 B
JL TERITIP LAUT NO.63 08 B
JL.TERITIP LAUT 08 B
JL.MULAWARAN 08 B
JL.MULAWARMAN 08 B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010601050002 6471013112450021 TARJO NGANJUK 31|12|1945 72 P L
2 6471010705090021 6471013112480030 TUKACIL KOTA BARU 31|12|1948 69 S L
3 6471011308100009 6471011712410001 ARIFIN KANDANGAN 17|12|1941 76 P L
4 6471011911090016 6471017112540044 FAUDJIAH BANJARMASIN 31|12|1954 63 P P
5 6471013012090020 6471013112420025 PAIMIN SOLO 31|12|1942 75 S L
6 6471010611090006 6471017112340010 MASJAM KUTAI 31|12|1934 83 P P
7 6471012306090021 6471014307480001 SUWARTI TRENGGALEK 03|07|1948 69 P P
8 6471012901080001 6471017101730001 AMI ANDARINI HASIBUAN MANOKWARI 31|01|1973 45 S P
9 6471012901080001 6471012505730002 DARSANI BALIKPAPAN 25|05|1973 45 S L
10 6471010503120001 6471010602710003 KHAMIDIN PEKALONGAN 06|02|1971 47 S L
11 6471011503160001 6471010406920002 ANGGA PRATAMA BALIKPAPAN 04|06|1992 26 B L
12 6471012012120001 6471013112580051 KAMARUDDIN BALIKPAPAN 31|12|1958 59 S L
13 6471012804080007 6471045010950006 INGRA MARSELA SOPUTON BALIKPAPAN 10|10|1995 22 B P
14 6471012906120020 6471010102730001 IDRIS EDO UJUNG PANDANG 01|02|1973 45 S L
15 6471013005130001 6471050111900003 BAYU SETIAWAN BALIKPAPAN 01|11|1990 27 B L
16 6471050910090026 1751037010770002 INDAH PURNAMA SARI BALIKPAPAN 30|10|1977 40 B P
17 6471012409070001 6471010708000001 AGUS SUPRIYANTO KUTAI 07|08|2000 17 B L
18 6471030306140008 6471032809640002 Drs. H. HAMDANI BANYUWANGI 28|09|1964 53 S L
19 6471011805160039 3316011212970002 PENDI RUSWANTO BLORA 12|12|1997 20 B L
20 6471012304150013 6471014105910003 RIMADHOTUL CHOLIFAH BALIKPAPAN 01|05|1991 27 B P
21 6471012001040002 6471010204960002 NANDA FAJAR SAPUTRA BALIKPAPAN 02|04|1996 22 B L
22 6471012012120001 6471016504600002 ARBA'AH BALIKPAPAN 25|04|1960 58 S P
23 6471011410140006 3314086710740001 SUWARNI SRAGEN 27|10|1974 43 S P
24 6471011410140006 3314085312970001 KHOIRUN NISAK SRAGEN 13|12|1997 20 B P
25 6471010902090004 6471015005770003 NORHIDAYAH BANJARMASIN 05/10/1977 41 S P
26 6471012808060009 6471011509870002 RAHMAD RAFI'I BALIKPAPAN 15/09/1987 31 B L
27 647101045090015 6471014409840001 NURHIDAYAH BALIKPAPAN 09/04/1984 34 S P
28 6471010207120038 6471012011980004 ILHAM NOR ACHMAD BALIKPAPAN 20/11/1998 20 B L
29 6471011907170001 3518010803930001 DIDIK SETIONO NGANJUK 03/08/1993 S L
30 6471012607120004 6471011311860002 SUTRISNO BALIKPAPAN 13/11/1986 S L
31 6471012607120004 6471056611850002 SUCI DIAN SARI BALIKPAPAN 26/11/1985 S P
32 6471049704842 6471045804690002 SYARIAH BANJARMASIN 18/04/1969 S P
33 6471049704842 6471041412910002 ABDUL RAHMAN SIDIK BALIKPAPAN 14/12/1991 B L
34 6471040907100008 6471046208980001 NUR ARMILA BALIKPAPAN 22/08/1998 B P
35 6471010603170010 3514222606860004 CATUR JUNIARDI PASURUAN 26/06/1986 S L
36 6471012807170001 6471014304990005 AYU SINTA DEWI BALIKPAPAN 04/03/1999 S P
37 6471011503160001 6471015406970005 AFIF NURHIDAYAH TUBAN 14/06/1997 S P
38 6471010412170015 6471046310880001 LIYA ANDRIANI TANAH GROGOT 23/10/1988 S P
39 6471012209120096 6471016010940002 ADE ANASTASIA SARIYANI BALIKPAPAN 20/10/1994 S P
40 6471019803362 6471015406800001 NORHASNAH BALIKPAPAN 14/06/1980 S P
41 6471012901180003 6471022505670007 LAMPE SINJAI 25/05/1967 B L
42 6471014908000002 SALSA ANDANI BALIKPAPAN 08/09/2000 S P
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 09
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL.MULAWARAMAN NO.06 009 00- 1
JL. MULAWARMAN GG.BAMBU
007 00- 4
JL. MULAWARMAN GG.BAMBU
007 00- 4
JL.MUFAKAT NO.24 009 00- 4
JL.MUFAKAT 009 000 4
JL. MULAWARMAN GG SEP009 00- 5
JL. MUFAKAT NO. 3 009 000 7
TERITIP 009 000 U
TERITIP 009 001 U
TERITIP 009 001 U
JL.MUFAKAT 09 B
JL.MULAWARMAN 09 B
JL.MUFAKAT 09 B
JL.MULAWARMAN 09 B
JL.MULAWARMAN 09 B
JL.MULAWARMAN 09 B
JL.MULAWARMAN 09 B
JL.MULAWARMAN 09 B
JL.MULAWARMAN 09 B
JL.MULAWARMAN 09 B
JL.MUFAKAT 09 B
JL.MUFAKAT 09 B
JL.MUFAKAT 09 B
JL.MUFAKAT 09 B
JL.MULAWARMAN 09 B
JL.MULAWARMAN 09 B
JL.MULAWARMAN 09 B
JL.MUFAKAT 09 B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471012301140001 6471010303490001 SYAHFULADY SUNARYO BALIKPAPAN 03|03|1949 69 S L
2 6471011504140011 7208120907750001 SUBAGIO KOTA RAYA 09|07|1975 42 S L
3 6471011504140011 7208125304780001 MUSRIYATI GORONTALO 13|04|1978 40 S P
4 6471012301140001 6471016912480001 ERNIE HERAWATI BALIKPAPAN 29|12|1948 69 S P
5 6471011801160006 6471031211810003 CHAIRUL BALIKPAPAN 12|11|1981 36 S L
6 6471011812080016 6471014305840003 SITI SARAH BALIKPAPAN 03|05|1984 34 B P
7 6471012301140001 6471012110740002 ERLADY OCTAVIA BALIKPAPAN 21|10|1974 43 B L
8 6471012301140001 6471011607830001 ERIYADI RICOLA.S BALIKPAPAN 16|07|1983 34 B L
9 6471012701100013 64710523057700002
J.CHRISTIAWAN.R BALIKPAPAN 23/15/1977 41 S L
10 6471012701100013 6471055708770004
SUMARTININGSIH BULUTIGO 17/08/1977 41 S P
11 6471011106100004 6471014105980002
NURHAJIZAH BALIKPAPAN 01/05/1998 20 B P
12 6471051410090049 6471057112580039
WASINA BUTON 31/12/1958 60 S P
13 6471011801130004 6471053010980001
PERMADI EKA SAPUTRA MADIUN 30/10/1998 20 B L
14 647101302090019 6471010709640001
POJO SULAKSONO BLORA 07/09/1964 53 S L
15 64710102302090019 6471017002840020
SRI UTAMI BALIKPAPAN 31/12/1984 33 B P
16 6471012808120021 6471010808730007
MULYONO TULUNGAGUNG 08/08/1973 45 S L
17 6471052903170001 6471052111760002
H.SAIFUDIN ABDILLAH BALIKPAPAN 20/11/1976 42 S L
18 6471052903170001 6302104809990002
HALIMATUL SAKDIYAH SUNGAI HANYAR 08/09/1999 20 B P
19 6471011608160014 647101450390001
IIS RIYANA BALIKPAPAN 05/03/1990 28 S P
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 10
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL.GUNUNG BAHAGIA NO. 010 000 1
JL. GUNUNG BAHAGIA 010 000 4
JL. GUNUNG BAHAGIA 010 000 4
JL. GUNUNG BAHAGIA 010 00- 4
JL. GUNUNG BAHAGIA NO.53 010 000 5
JL.GUNUNG BAHAGIA 10
JL MUFAKAT 10
JL.TELAGA MAS KEL SEPIN 03
JL GUNUNG BAHAGIA 10
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471011602060002 6471010110640001 HARI SAMSUL MALANG 01|10|1964 53 S L
2 6471012302030001 6471015512870001 PARIDA SUSANTI BALIKPAPAN 15|12|1987 30 S P
3 6471012908080006 6471015510970003 JURAIDAH BALIKPAPAN 15|10|1997 20 B P
4 6471011912020336 6471016710540001 RUSDAH BARABAI 27|10|1954 63 S P
5 6471012206100003 6471016006760002 D. LISA UJUNG PANDANG 20|06|1976 42 S P
6 6471012901100008 6471012503790005 JOHNNY PUNUH AMD.KEP MANADO 25|03|1979 39 S L
7 6471010107100044 6471015804680003 MARI RANTAU 18|04|1968 50 S P
8 6471012109100019 6471011505860001 RIZAL SURATMAN BALIKPAPAN 15|05|1986 32 B L
9 6471012304100023 6471010807620004 SYAHRIANSYAH BALIKPAPAN 08|07|1962 55 S L
10 6471012805090001 6471013110000002 ARYA SETIAWAN BALIKPAPAN 31|10|2000 17 B L
11 6471012501160004 3570277006650001 INDIYAH SUMINTO ASIH TULUNG AGUNG 30/06/1965 53 S P
12 6471012501160004 3578275306340002 TRI AISHA WIJAYANTI SURABAYA 13/06/1994 24 B P
13 6471012301140015 6471057112540095 HJ.ARBAYAH SAMARINDA 31/12/1954 64 S P
14 6471010107100044 6471015205980006 SARAH AMELIA BALIKPAPAN 05/12/1998 20 B P
15 6471012812170014 6304134707940004 FAUZIAH MEKARSARI 07/07/1994 23 S P
16 6471012401080009 6471012008570001 MISRAN BALIKPAPAN 20/08/1957 61 S L
17 6471012401080009 6471014612620001 KARLAWATI TABALONG 12/06/1962 56 S P
18 6471012401080009 6471012711980003 M.ALDI BALIKPAPAN 27/12/1998 20 B L
19 6471012811170009 3275082112860022 FADILAH BREBES 21/11/1986 32 S L
20 6471012811170009 3276026112860014 DEVI INNAYAH SARI SURABAYA 21/12/1986 32 S P
21 647101069670002 FAISAL JAKARTA 09/06/1967 51 S L
22 6471012506090010 6471015203980002 SYARIFAH DILLA MAULIA BALIKPAPAN 03/01/1998 20 B P
23 6471012506090010 6471015010990004 NINA OCTAVIANI MAULANA BALIKPAPAN 10/10/1999 19 B P
24 6471010810130015 3526034810850004 NUR AINI BANGKALAN 10/08/1985 33 S P
25 6471012304100023 6401016004690002 MASNIAH BALIKPAPAN 20/04/1969 49 S P
26 6471012304100023 6471012312910003 TAUFIK HIDAYAT BALIKPAPAN 23/12/1991 27 B L
27 6471010806090017 6471012201980002 PANJI RAMADANU SAMARINDA 22/01/1998 20 B L
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 11
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. MULAWARMAN NO.30 011 000 U
JL.MULAWARMAN 11
JL.MULAWARMAN 11
JL.MULAWARMAN NO.30 11
JL.MULAWARMAN 11
JL.MULAWARMAN 11
PERUM. PANTAI TERITIP MA 06
PERUM. PANTAI TERITIP MA 06
JL.MULAWARMAN 11
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010404030445 6471011404400001 LAJA SOPPENG 14|04|1940 78 S L
2 6471010511080017 6471015505580003 SUWARI SOLO 15|05|1958 60 S P
3 6471010609120013 6471056207610001 WATI SIDRAP 22|07|1961 56 B P
4 6471012301090008 6471017112520073 SYARI BANUN BALIKPAPAN 31|12|1952 65 S P
5 6471012307090020 6471011605960001 MUHAMMAD IBRAHIM TULUNGAGUNG 16|05|1996 22 B L
6 6471012702040002 6471010503370001 ABDURAHMAN BALIKPAPAN 05|03|1937 81 P L
7 6471010609120013 6471021103640002 SUDIN BONE 11|03|1964 54 S L
8 6471011606090028 6471016502930001 RUFAIDAH ULFAH BALIKPAPAN 25|02|1993 25 B P
9 6471011607120028 6471015307910001 HAJAR FIJRIYAH BALIKPAPAN 13|07|1991 26 S P
10 6471012904100002 6471014512910001 MUSDALIFA.S BALIKPAPAN 05|12|1991 26 S P
11 6471013007040002 6471010208620003 BAMBANG ADHITYA SOLO 02|08|1962 55 S L
12 6471013110080002 6471016811950003 AJENG RORO RENGGANIS BALIKPAPAN 28|11|1995 22 B P
13 6471010411130022 6471011010780010 M. RIZAL WAJO 10|10|1978 39 S L
14 6471010801090008 6471012309740003 BAHRIANOR BALIKPAPAN 23|09|1974 43 B L
15 6471011002090002 6471010308820004 ASRIYADI KUTAI 03|08|1982 35 B L
16 6471011307100025 6471014703620002 ALIAH BARABAI 07|03|1962 56 P P
17 6471011602040008 6471015001890002 RINA BALIKPAPAN 10|01|1989 29 B P
18 6471011603040004 6471015205890003 ERNA MEILIAWATI BALIKPAPAN 12|05|1989 29 S P
19 6471011912020514 6471015005810006 SANTI BARABAI 10|05|1981 37 B P
20 6471012211120015 6471014501770002 SUSILOWATI BALIKPAPAN 05|01|1977 41 S P
21 6471012407130001 3278010505770026 SOMA RAHMAT H CIANJUR 05|05|1977 41 S L
22 6471012407130001 3278014707770036 ISSAY S CIANJUR 07|07|1977 40 S P
23 6471012407130001 3278012808970006 DAUD AZIS CIANJUR 28|08|1997 20 B L
24 6471012709100002 6471014208820001 ANA SURYANA BALIKPAPAN 02|08|1982 35 B P
25 6471012903100015 6471015104940003 ASMA ABRAR BALIKPAPAN 04|11|1994 23 B P
26 6471012906100025 6471015807890002 YULIANIK BOJONEGORO 18|07|1989 28 B P
27 6471012906100025 6471011008920001 AGUS MUHAMMAD ZUDI TUBAN 10|08|1992 25 B L
28 6471012703140009 6471011709820004 MIFTAHUL HUDA CHOIR BALIKPAPAN 17|09|1982 35 S L
29 6471012204090010 6471016301850001 YATEMI BALIKPAPAN 23|01|1985 33 S P
30 6471012204090010 6471051809870002 SHENA PRADIPTYA BALIKPAPAN 18|09|1987 30 S L
31 6471010107130019 6471014808550001 NURHANIYAH BALIKPAPAN 08|08|1955 62 S P
32 6471012703150003 6471015401910001 LIDYA NURDIANA BALIKPAPAN 14|01|1991 27 S P
33 6471010110090018 6471014204710003 SABAR SUPRIYANI KEBUMEN 02|04|1971 47 P P
34 6471010303080006 6472045709000006 MEGA WAHYUNI SAMARINDA 17|09|2000 17 B P
35 6471010402100027 6402132502980004 HELMI YAHYA BALIKPAPAN 25|02|1998 20 B L
36 6471010510090012 6471017103870001 ARIYANTI SAMBOJA 31|03|1987 31 S P
37 6471011205140010 3173065602940005 TIARA PADANG 16|02|1994 24 B P
38 6471011310160005 6402131904730003 BAHRIANUR TANJUNG 19|04|1973 45 P L
39 6471011808160016 6406022612770002 MUHAMMAD DONI BALIKPAPAN 26|12|1977 40 S L
40 6471011808160016 6406026208880001 RIRIN AGUSTINI TIDENG PALE 22|08|1988 29 S P
41 6471012908160005 6471053112490071 GERARDUS GEO PARING FLORES 31|12|1949 68 P L
42 6471010411130021 6471035405940003 RAHAYU BALIKPAPAN 14|05|1994 24 S P
43 6471010404030441 6471016010950003 ANAS TASIA SARIANI BALIKPAPAN 20|10|1995 22 B P
44 6471012303040008 6471016108730003 SAHRIYAH BALIKPAPAN 21|08|1973 44 P P
45 6471012309120020 6471018812830001 NURAINI BALIKPAPAN 20|12|1983 34 S P
46 6471012403100030 6471010705710003 SUEMDRO NGANJUK 07|05|1971 47 B L
47 6471010404030445 6471015101550001 PAIJEM BALIKPAPAN 11|01|1955 63 S P
48 6471012711170004 6402130301820008 ARDIYANSYAH BALIKPAPAN 01/03/1982 35 S L
49 6471012711170004 6402136512850006 ANI MAMARA 25/12/1985 32 S P
50 6471010502070006 6471015004980004 SRIE RAHAYU LESTARI BALIKPAPAN 04/10/1998 19 B P
51 6471010302160006 6303031011520002 MURSANI MUARA UTYA 11/10/1952 65 P L
52 6471011701080004 6471011501010003 ABDILLAH BALIKPAPAN 15/01/2001 17 B L
53 6471010310050004 6471014404560001 YOHANA TARAKAN 04/04/1956 61 S P
54 6471011002090002 6471012012990001 RAHMADANI BALIKPAPAN 20/12/1999 18 B L
55 6471011007170003 6471057128300005 LUKMAN NURHAKIM BALIKPAPAN 12/07/1983 34 S L
56 6471011007170003 6471025606880002 ANITA RACHMAN BALIKPAPAN 16/06/1988 29 S P
57 6471011903150015 631104504880002 IRUNA HADIJAH LOK BATU 14/04/1998 19 S P
58 6471010311080015 6471014212990004 KHOFIFAH LIMDATUL NISSA BALIKPAPAN 12/02/1999 18 B P
59 6471012307090020 6471014808650002 SUSTIYAH TULUNG AGUNG 08/08/1965 53 S P
60 6471011707170007 6371050706690005 MASRAWAN EDY DAPET TABUKAN RAYA 06/07/1969 49 S P
61 6471011707170007 6371054205000006 AMALLIANI BANJARMASIN 05/02/2000 18 B P
62 6471013107120006 6471011304700004 PAIMIN WONOGIRI 13/04/1970 48 S L
63 6471013107120006 6471015505740007 KASMI WONOGIRI 15/05/1974 44 S P
64 6471013107120006 6471012309950006 ARIF NURDIANTO WONOGIRI 23/09/1995 21 B L
65 6471013107120006 6471012303990001 ARIS MARDIANTO WONOGIRI 23/03/1999 18 B L
66 6471012906100037 6471014402610001 NURMIYATI SIDOARJO 02/04/1961 57 P P
67 6471012906100037 6471010305850005 AHMAD MUNIR PASIR 05/03/1985 33 B L
68 6471012301140004 3317051303740001 SALAMUN REMBANG 13/03/1974 44 S L
69 6471012301140004 3317055103800002 ALIYAH REMBANG 03/11/1980 38 S P
70 6471010812150003 3507054705810003 VIVIN YUNI WULANDARI MALANG 06/07/1981 37 S P
71 6471010812150003 3507056302010002 FEBRI YUNI NUR FRANSISKA MALANG 23/02/2001 17 B P
72 6471010812150005 3507050403790003 MESINO MALANG 03/04/1979 39 B L
73 6471011910170002 7315026508960002 SUTRIANI LAPPA LAPPAE 25/08/1996 22 S P
74 6471010303160001 6471014318600003 SITI NURAENI KEBUMEN 10/03/1986 32 S P
75 6471010303160001 6471015708970001 HUSNUL HOTIMAH BALIKPAPAN 17/08/1997 21 B P
76 6471012903100015 6471015807960003 ISTIKHOMAH BALIKPAPAN 18/07/1996 22 B P
77 6471013107050001 6471010910980003 DIKA WIRA PRATAMA BALIKPAPAN 10/09/1998 20 B L
78 6471011812080011 6471015710980003 SITTI KHUSNUL KHOTIMAH BALIKPAPAN 17/10/1998 20 B P
79 6471012105100007 6471010508830001 SAYID NUH BALIKPAPAN 08/05/1983 35 S L
80 6471010712090025 6471015105980002 NABILA SHABIKA AN'NY AL KHAIBALIKPAPAN 05/11/1998 20 B P
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 12
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. PASAR GN.TEMBAK 012 000 4
JL. GUNUNG BINJAI NO.39 012 000 4
JL. GUNUNG BINJAI 012 000 4
JL. PENDIDIKAN 018 00- 4
JL. PASAR GUNUNG TEMBA012 00- 4
JL.MULAWARMAN GN.TEMB 012 00- 4
JL. GUNUNG BINJAI NO.04 012 00- 5
JL.MULAWARMAN 12 B
JL.MULAWARMAN 12 B
PERUMAHAN SDN 009 N0 12 B
JL.MULAWARMAN 12 B
JL.MULAWARMAN 12 B
JL.MULAWARMAN 12 B
JL.MULAARMAN NO.48 12 B
JL.MULAWARMAN 12 B
JL.GUNUNG BINJAY 13 B
JL.MULAWARMAN 12 B
JL.MULAWARMAN 12 B
JL.MULAWARMAN 12 B
JL.GUNUNG BINJAY NO.04 12 B
JL.GUNUNG BINJAY 12 B
JL.PASAR GUNUNG TEMBAK 12 B
JL.PASAR GUNUNG TEMBAK 12 B
JL.GUNUNG BINJAI 12 B
JL.MULAWARMAN 12 B
JL.MULAWARMAN 12 B
JL.MULAWARMAN 12 B
JL.MULAWARMAN 12 B
JL.MULAWARMAN 12 B
JL.MULAWARMAN GG. GUN 12 B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471011607070005 6471010206460002 KASDI TUBAN 02|06|1946 72 S L
2 6471012502030004 6471017112490035 RUMINAH BLITAR 31|12|1949 68 S P
3 6471011304090003 6471014407690003 EMILIA MUDA SINA FLORES 04|07|1969 48 S P
4 6471011703080001 6471013112420024 DARUN TUBAN 31|12|1942 75 S L
5 6471010707030003 6471015211930006 NUR JANNAH BALIKPAPAN 12|11|1993 24 S P
6 6471012906100037 6471010305850005 AHMAD MUNIR PASIR 03|05|1985 33 B L
7 6471012906100037 6471014402610001 NURMIYATI SIDOARJO 04|02|1961 57 S P
8 6471012906100037 6471011203880002 NORKOLIS BALIKPAPAN 12|03|1988 30 B L
9 6471012906100037 6471016012920002 UMI HANI BALIKPAPAN 20|12|1992 25 B P
10 6471010302090019 6471010709640001 POJO SULAKSONO BLORA 07|09|1964 53 S L
11 6471010302090019 6471017112840020 SRI UTAMI BALIKPAPAN 31|12|1984 33 S P
12 6471010404030374 6471015802940001 EKA KURNIAWATI BALIKPAPAN 18|02|1994 24 B P
13 6471011007080006 6471010911520001 DJAMRI TABALONG 09|11|1952 65 S L
14 6471011007080006 6471017112560045 JUMAS TABALONG 31|12|1956 61 S P
15 6471011606030007 6471015608740004 SAMILAH KEDIRI 16|08|1974 43 S P
16 6471011703140006 3374130109950002 CHANDRA BUDHI SAPUTRA SEMARANG 01|09|1995 22 B L
17 6471012403170007 6372021111830006 ASEP SAPUTRA SUKABUMI 11|11|1983 34 B L
18 6471011406100060 6471010701860001 DODI LESMANA KOTA BARU 07|01|1986 32 B L
19 6471012306080006 6471012501880003 AGUNG TUBAN 25|01|1988 30 B L
20 6471012402140011 6372027101790002 AYU RINDYA MAWARNI SRAGEN 31|01|1979 39 S P
21 6471012507070002 6471010301830003 SURYADI AMBARAWANG LAUT 03|01|1983 35 B L
22 6471011010120070 6471013012730002 LASDI BOJONEGORO 30|12|1973 44 S L
23 6471011210160011 6471015201960003 SITI FATIMAH SEMOI 12|01|1996 22 B P
24 6471012703140009 3523116102880003 NIA MARLINA TUBAN 21|02|1988 30 S P
25 6471010311140004 3518153001010001 NANDA RAMA KAMAJAYA NGANJUK 30|01|2001 17 B L
26 6471011109060006 6471010702990002 MUSTAINUN NAIM BALIKPAPAN 07|02|1999 19 B L
27 6471011812070013 6471015604690001 SRIMAUT TUBAN 16|04|1969 49 S P
28 6471012211120001 6471016909710001 HARTATI SAMBOJA 24|06|1971 47 S P
29 6471010209090003 6471012806980002 TRIYAS JUNI ANGGORO TUBAN 28|06|1998 19 B L
30 6471010501194 6471014707860001
ERNI PUTRIWATI SAMARINDA 12/10/1974 32 S P
31 6471012809160015 3619122809980004
FAJAR LISTYANTO MADIUN 28/09/1998 19 B L
32 6471010103130009 6471010701880002
BARDIAN BASARANG 07/01/1988 30 S L
33 6471011308090024 6471012502990001
RINO GUNAWAN BALIKPAPAN 25/02/1999 19 B L
34 6471011902070007 6471012710980001
MOHAMAT ZAINURI BALIKPAPAN 27/10/1998 20 B L
35 6471012505090009 6471013004980002
ABDI SAPUTRA BALIKPAPAN 30/04/1998 20 B L
36 6471012304130001 6402136010930001
PARMIATUN SAMBOJA 20/10/1993 24 S P
37 6471012509170007 6471011510890001
MUHAMMAD SAMEDI GINANJAR
BALIKPAPAN 15/10/1989 29 S L
38 6471012509170007 6402131908960001
RINI NURHAYATI SAMARINDA 16/10/1996 22 S P
39 6471010108160001 6471012116930002
MIYANTO SAMBOJA 21/10/1993 25 S L
40 6471011006080005 6471014903700002
MURTINI TUBAN 09/03/1970 48 S P
41 6471012008080016 6471012112930002
EKOYUDI SAPUTRO BALIKPAPAN 21/12/1993 25 B L
42 6471010108120028 6471011501000002
PANJI OKA GUNA WESESA BATAM 15/01/2000 17 B L
43 6471012207120016 6472020604000003
MUHAMMAD MUHTAROM BALIKPAPAN 06/04/2000 17 B L
44 6471052008080096 6471051806510004
URBANUS PITO LAMBATA 18/06/1951 61 S L
45 64710152008080096 6471056707650008
YULIATI MAGDALENA SAMBOJA 27/07/1965 51 S P
46 6471052008080096 6471056303960002
MARSELINA SANTI BALIKPAPAN 23/03/1996 22 B P
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 13
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL.GUNUNG BINJAI NO. 0 013 000 1
JL.GUNUNG BINJAI 013 00- 4
JL GUNUNG BINJAI NO 34 013 00- 4
JL.GUNUNG BINJAI 013 000 4
JL GUNUNG BINJAI NO 34 013 000 4
JL. GUNUNG BINJAI NO. 27 013 000 4
JL. GUNUNG BINJAI NO. 19 014 00- 4
JL. ARTO MORO GN.BINJAI 014 00- 4
JL. GUNUNG BINJAI NO. 013 00- 4
JL.GN BINJAI NO 27 13 B
JL.GN BINJAI NO 27 13 B
JL.GN BINJAI 13 B
JL.GUNUNG BINJAI NO 37 13 B
JL GUNUNG BINJAI 13 B
JL. GUNUNG BINJAI 13 B
JL.KAMPUNG JAWA NO 22 13 B
JL GUNUNG BINJAI NO 06 13 B
PRAPATAN PAGAR IJO NO 3 31 B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471011611060002 6471010104750001 SUWITO TUBAN 01|04|1975 43 S L
2 6471011612080009 6471054704580003 SUTINI GROBOGAN 07|04|1958 60 S P
3 6471012704090007 6471017006590002 KASENAH GRESIK 30|06|1959 58 S P
4 6471010312070003 6471010902890002 JATMIKO HARYADI SLEMAN 09|02|1989 29 B L
5 6471010404120004 6471010203870001 MOHAMMAD ZAENAL ABIDIN BOJONEGORO 02|03|1987 31 S L
6 6471011105100043 6471010402870001 MARKABAN TUBAN 04|02|1987 31 B L
7 6471011801170011 6471012107630001 MATRAWI TUBAN 21|07|1963 54 S L
8 6471012006120025 6471012208740002 ARDIANSYAH KUTAI 22|08|1974 43 S L
9 6471012101100013 6471010406720005 RASPAN TUBAN 04|06|1972 46 S L
10 6471012101100013 6471017103780001 TIIN TUBAN 31|03|1978 40 S P
11 6471012206040007 6471010311850002 SUWOKO BALIKPAPAN 03|11|1985 32 B L
12 6471012707090004 6471015102980001 NURJANNAH BALIKPAPAN 11|02|1998 20 B P
13 6471012808120004 6471015812790003 SUMANI LAMONGAN 18|12|1979 38 S P
14 6471010112080004 6471052905940006 RAHMAT MAROS 29|05|1994 24 B L
15 6471010811110004 6471042010870001 SUPARMIN BALIKPAPAN 20|10|1987 30 S L
16 6471010811110004 6471015705880003 LILIK FITRIA NINGSIH BALIKPAPAN 17|05|1988 30 S P
17 6471011803130005 6471051107660002 KAMARUDIN BALIKPAPAN 11|07|1966 51 S L
18 6471012306050002 6471011902850001 MOHAMMAD FATHUL ARIF BOJONEGORO 19|02|1985 33 B L
19 6471012412130001 6472101801730001 RICHARDO BUTAR-BUTAR MEDAN 18|01|1973 45 B L
20 6471012706120012 6471011406840001 SUWANDI TUBAN 14|06|1984 34 B L
21 6471011050213009 7308215605920001 ANDI SATRIANY. B MAROS 16|05|1992 26 B P
22 6471011050213009 7308216502940001 ANDI JUMRIANA MAKASSAR 25|02|1994 24 B P
23 6471012101100013 6471014204010003 MUTAMINAH TUBAN 02|04|2001 17 B P
24 6471012212090009 3523110305960003 CATUR HERLAMBANG PUTRA TUBAN 03|05|1996 22 B L
25 6471012707090004 6471011306010002 MUHAMMAD REZKI BALIKPAPAN 13|06|2001 17 B L
26 6471012906160001 6472041802780002 MUHAMMAT KOYIN NGANJUK 18|02|1978 40 B L
27 6471012906160001 6472034102000005 NOVITA MAYA SARI NGANJUK 01|11|2000 17 B P
28 6471010305170004 3523112506930003 A HAFID MUBAROK TUBAN 25|06|1993 25 B L
29 6471010305170004 3521104512960005 ERMA AYU NOVIA DEWI NGAWI 05|12|1996 21 B P
30 6471010411160001 7501171101970003 ALFIN S. OLII PADENGO 11|01|1997 21 B L
31 6471010715090009 6471012809950003 SUPRIANTO BALIKPAPAN 28|09|1995 22 B L
32 6471011307100030 6471016712660001 PARTINI BLITAR 27|12|1966 51 S P
33 6471010707080013 6471015808880002 ENDANG SETYOWATI BALIKPAPAN 18|08|1988 29 B P
34 6471012801160019 3522145205790005 ROKAYAH TUBAN 12|05|1979 39 S P
35 6471012407170004 6471031803870007 TRISETYO BALIKPAPAN 18/03/1987 31 S L
36 6471012407170004 6471016101870002 JUMIATI BALIKPAPAN 21/01/1987 31 S P
37 6471011209170002 6471051909910001 HERU SETIAWAN BALIKPAPAN 19/09/1991 27 S L
38 6471012106100005 6471016506000003 SHERLI KUSUMA SARI BALIKPAPAN 25/06/2000 18 B P
39 6471012807090027 6471016301960002 NURUL ISTIQOMAH BALIKPAPAN 23/01/1996 22 B P
40 6471011010120072 6471011806610002 WARDI TUBAN 18/06/1961 57 S L
41 6471011010120072 3523112906970001 M.SAUJI ANDRIANTO TUBAN 29/06/1997 21 B L
42 6471011210160011 6471015201960003 SITI FATIMAH SEMOI 01/12/1996 22 S P
43 6471050405070001 6471050307650003 ALIAS MOH. NOOR SOPPENG 07/03/1965 53 S L
44 6471050405070001 6471055802000001 ANFI LUCKY FARIDA SENAKIN 18/02/2000 18 B P
45 6471012703140009 6471011709820004 MIFTAHUL HUDA CHOIR BALIKPAPAN 17/09/1982 36 S L
46 6471012703140009 3523116102880003 NIA MARLINA TUBAN 21/02/1988 30 S P
47 6471011009080001 6471011205000002 MIFTAKHUL FALAH BALIKPAPAN 05/12/2000 18 B L
48 6471011007080006 6471010911520001 DJAMRI TABALONG 11/09/1952 66 S L
49 6471011007080006 6471017112560045 JUMAS TABALONG 31/12/1956 62 S P
50 6471012801160019 6471010309680002 HARUM SUGITO BLORA 09/03/1968 50 S L
51 6471012501100006 6402132401780003 PRABAWA KLATEN 24/01/1978 40 S L
52 6471012501100006 6471055801860004 GEMI ASTUTI BALIKPAPAN 18/01/1986 32 S P
53 6471012410170003 640203106000004 NURUL AZIZAH MUKASANAH TUBAN 06/01/2000 18 S P
54 6471011705160008 3523110207650006 SABAR TUBAN 07/02/1965 53 S L
55 6471011705160008 3523114808710004 SAINING TUBAN 08/08/1971 47 S P
56 647010511140014 7602037101880003 NUR LINA CAMPALAGIAN 31/01/1988 30 S P
57 6471011100931 6471010605000004 MOHAMMAD AINUR ROZIQIN TUBAN 18/05/1989 29 S P
58 6471012904150005 6471054103970002 HASTINI BALIKPAPAN 03/01/1997 21 S P
59 6471011809170005 6471016712750005 ANDI BONE MANGKONA MAROS 27/12/1975 43 P P
60 6471011010120070 6471013012730002 LASDI BOJONEGORO 30/12/1973 45 S L
61 6471010703050004 6471015009990003 ITA'UL YASAROH BALIKPAPAN 09/10/1999 19 B P
62 6471010706130015 6471011205920007 HARISMAN TULADENGGI 06/12/1990 28 S L
63 6471010706130015 6471014811840003 NUR QOYIMAH TUBAN 11/09/1984 34 S P
64 6471011509150019 7605026307900001 WARNITA AKIB SIRINDU 29/07/1990 28 S P
65 6471012208130011 6471014604010003 FENNY FATIKA SARI TI DALAM 04/06/2001 17 B P
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 14
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. GUNUNG BINJAI NO. 014 00- 4
JL. GN. BINJAI 014 00- 4
JL.GN.BINJAI NO. 014 00- 4
JL. ARTO MORO GN.BINJAI 014 00- 4
JL.GN.BINJAI NO. 014 00- 4
JL. GUNUNG BINJAI 014 00- U
JL. GUNUNG BINJAI NO.35 014 00- 2 U
JL. GUNUNG BINJAI NO. 7 014 000 U
JL. GUNUNG BINJAI 014 000 U
JL.GUNUNG BINJAI GG. A 14
JL.GUNUNG BINJAI GG. A 14
JL.ARTOMORO GN.BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI NO. 49 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG INJAI NO. 28 14
JL.GUNNG BINJAI 14
JL.GUNUNG INJAI 14
JL.ARTOMORO GN. BINJAI 14
JL.ARTOMORO GN. BINJAI 14
JL.GUNUNG BINJAI KAMPU 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG B INJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
JL.GUNUNG BINJAI 14
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471011002050001 6471014102570002 SAFIAH BONE 01|02|1957 61 B P
2 6471011401080014 6471014208460001 INDAR SINJAI 02|08|1946 71 P P
3 6471011509080012 6471010601600001 KASRAN. S BALIKPAPAN 06|01|1960 58 S L
4 6471010806120001 6471015601730001 JURIATI. A TAJUR 16|01|1973 45 S P
5 6471012509060003 6471011506390001 AJA SUJANA SUMEDANG 15|06|1939 79 S L
6 6471010712200400 6402134809020001 TITIN YUNITA SARI SALOK API DARAT 08|12|1992 25 S P
7 6471012801160019 6471010309680002 HARUM SUGITO BLORA 03|09|1968 49 B L
8 6471010107130007 6471012102910001 FACHRUR ROZI BALIKPAPAN 21|02|1991 27 S L
9 6471010902100024 6471011805900001 MOH. AMIRULLAH BALIKPAPAN 18|05|1990 28 B L
10 6471011003150020 6471011308950002 SARIPUDDIN SINJAI 13|08|1995 22 B L
11 6471011109120031 6471033112820019 NICKSTON DEDI SUTISNA BALIKPAPAN 31|12|1982 35 S L
12 6471011109120031 6471015508870001 ANGGARIYANI ATMAYA BALIKPAPAN 15|08|1987 30 S P
13 6471011506090026 6471011505360001 SUHUR BLORA 15|05|1936 82 S L
14 6471011506090026 6471015307450001 SUYATMI MADIUN 13|07|1945 72 S P
15 6471011912030004 6471013112680041 SODJO. HR TUBAN 31|12|1968 49 P L
16 6471012306080013 6471011710890001 MOHAMAD FADLY BALIKPAPAN 17|10|1989 28 B L
17 6471012309100018 6471014604920002 NUR SAMSIAH FITRIANA BALIKPAPAN 06|04|1992 26 B P
18 6471012411080013 6471012302900001 MOHAMAD AKBAR EDI SURAHMANBALIKPAPAN 23|02|1990 28 B L
19 6471012501170005 6471010106850001 HERIYADI BALIKPAPAN 01|06|1985 33 B L
20 6471012509060003 6471017112500073 NY. ROHANAH SUMEDANG 31|12|1950 67 S P
21 6471012605100010 6471010104830002 SUPIANSYAH BALIKPAPAN 01|04|1983 35 S L
22 6471012605100010 6471014205860001 MURNI BALIKPAPAN 02|05|1986 32 S P
23 6471012709100006 6471011012860002 NUR AHMAD JAUHANSYAH TUBAN 10|12|1986 31 S L
24 6471012709100006 6471014906860001 SITTA ZAKIYAH FITHRI BALIKPAPAN 09|06|1986 32 S P
25 6471012709160016 6471010810940003 EKO RAHMAT SUGIHARTO BALIKPAPAN 08|10|1994 23 B L
26 6471012810090024 6471014308960001 NURUL HIKMAH BALIKPAPAN 03|08|1996 21 B P
27 6471013108120005 6471017009810002 RUTIN BALIKPAPAN 30|09|1981 36 S P
28 6471013108120005 6471040707820008 KASENG ARIFIN BALIKPAPAN 07|07|1982 35 S L
29 6471010311140008 6471016307960002 TAMSINAH BALIKPAPAN 23|07|1996 21 S P
30 6471010706100047 6471013112800049 JUSTANG BUTON 31|12|1980 37 B L
31 6471011106100002 6471012803890001 MOH ALI AKBAR BALIKPAPAN 28|03|1989 29 S L
32 6471011401080014 6471010902920001 IWAN DAHLAN BALIKPAPAN 09|02|1992 26 B L
33 6471011503040003 6471010505770009 SETYO SUDARSONO (KE KUTAI) BALIKPAPAN 05|05|1977 41 B L
34 6471011509080012 6471014909860002 SITI JAITUN (KE KALTENG) BALIKPAPAN 09|09|1986 31 B P
35 6471011704070003 6471015206960001 DESI SALU MAKOMUN 12|06|1996 22 B P
36 6471012307090027 6471010209630001 IDRI BALIKPAPAN 02|09|1963 54 S L
37 6471012611080026 6471010307820002 MASLIAN BALIKPAPAN 03|07|1982 35 B L
38 6471012809070002 6471017112620081 ISELO WAJO 31|12|1962 55 S P
39 6471012809070002 6471016212950002 ASNA WATI BALIKPAPAN 22|12|1995 22 B P
40 6471012809070002 6471011509980003 SAKRI ANSYA BALIKPAPAN 15|09|1998 19 B L
41 6471011111120001 6471016004920003 SRI WAHYUNI BILA UGI 20|04|1992 26 S P
42 6471011506090026 6471015002870001 TALITA KUMI BALIKPAPAN 10|02|1987 31 S P
43 6471011506100100 6471015405010006 DIAN MUSPIRA RISKI BALIKPAPAN 14|05|2001 17 B P
44 6471012111160006 6471014405860003 SALMIYATI BALIKPAPAN 04|05|1986 32 S P
45 6471012108130007 6471012707900004 GIANTO TUBAN 27|07|1990 27 B L
46 6471011111120001 6471011903860002 JEFRI TUBAN 19|03|1986 32 S L
47 6471010406090009 6471010510670007 HAMRAN. AS AMBORAWANG LAUT 10|05|1967 51 S L
48 6471010511030002 6471011010740006 ARDIANSYAH PASIR 10|10|1974 43 S L
49 6471010107130007 6402036310930002 NURUL WARDANI BONE 23|10|1993 24 B P
50 6471010908160016 6472052212940004 ANDI MUHAMMAD SAPUTRA SAMARINDA 22|12|1994 23 B L
51 6471011605170015 6473016107700002 JULEHA TANJUNG 21|07|1970 47 S P
52 6471011605170015 6473010412990003 MUHAMMAD ARIF TARAKAN 04|12|1999 18 B L
53 6471011605170015 6473011712000004 RAHMAD RAHMADANI TARAKAN 17|12|2000 17 B L
54 6471012501170005 6471055102890001 SULASTRI BALIKPAPAN 11|02|1989 29 B P
55 6471011903150010 6303054301780002 SRI HARTATI BANJAR 03|01|1978 40 S P
56 6471010312130019 6471011910500001 DJAFRI PENAJAM 19|10|1950 67 S L
57 6471012309120013 6471010912860001 MUHAMMAD ARBIUL ALI MURDANBALIKPAPAN 09|12|1986 31 S L
58 6471051210170024 6471011408850001
JAENAL ARIFIN BALIKPAPAN 14/08/1985 32 S L
59 6471051210170024 7371106002610001
HAWA MAKASSAR 20/02/1981 36 S P
60 6471011307090024 6471010503990001
DODIEK ANGGARA WIJAYA BALIKPAPAN 05/03/1999 19 B P
61 6471011505170002 6472024206940006
ASIRAH MANSYUR SAMARINDA 02/06/1994 24 S P
62 6471011407100012 6471012404850003
BURHAN BALIKPAPAN 24/04/1985 33 S L
63 6471011000810 6471010407850001
ANDI MAHMUDIN BALIKPAPAN 04/07/1985 32 P L
64 6471010201140008 7316037006860001
NURHAYATI MATAWA 30/06/1986 32 S P
65 6471011908090019 6471016001980002
ENDANG RAMADIAH ATMAJA BALIKPAPAN 20/01/1998 20 S P
66 6471012811160001 6402131205610002
ANWAR ANAS MAMUJU 12/05/1961 57 S P
67 6471011811160001 6402135507750003
HAYATI BANJARMASIN 15/07/1975 43 S P
68 6471012811160001 640213711970002
ROSIDAH BANJARMASIN 31/12/1997 21 B P
69 6471013103170007 7372032501900002 KIKI PURNAMA MAGETAN 25/01/1990 28 S L
70 6471012609170002 6471030312920001 RUSMIN POLMAS 12/03/1992 25 S L
71 6471012111060001 6471016703000003 ISNAENI YAHYA BALIKPAPAN 27/03/2000 18 B P
72 6471011011150017 6471011407960001 RIAN ROESADY BALIKPAPAN 04/07/1996 22 S L
73 6471011105150001 6471044005980001 TIKA JELVINA SARI BALIKPAPAN 05/06/1998 20 S P
74 647101230908001 7314110702890003 SYAMSIR LOKA-LOKAE 02/07/1989 29 B L
75 6471011911090001 7308100206000001 AL IMRAN BONE 06/02/2000 49 B L
76 6471012709160016 6471014607980001 VIVI HANDAYANI BALIKPAPAN 07/06/1998 20 S P
77 6471011908090022 6471013112690033 PATANG BONE 31/12/1969 49 S L
78 6471011908090022 6471017112740049 HERTATI BALIKPAPAN 13/01/1974 44 S P
79 6471011908090022 6471014411930001 HARIATI BALIKPAPAN 11/04/1993 25 B P
80 6471011908090022 6471011409950006 JUMADI BALIKPAPAN 14/09/1995 23 B L
81 6471011308040004 6471014705990004 NUR JANNAH BALIKPAPAN 05/07/1999 18 B P
82 6471012611080026 6471011012880003 ARBAIN BALIKPAPAN 12/10/1988 30 B L
83 6471012611080026 6471015407990003 ARBAYAH BALIKPAPAN 14/07/1999 18 B P
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 15
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL GUNUNG BINJAI 015 000 2
JL.GUNUNG BINJAI NO.59 015 000 4
JL.GUNUNG BINJAI NO.70 015 000 4
JL.GUNUNG BINJAI NO.7 015 00- 4
JL.GN.BINJAI 015 000 5
JL. GUNUNG BINJAI 015 00- 3 U
JL. GUNUNG BINJAI NO.70 015 00- U
JL.MARSMA R.ISWAHYUDI 18 B
JL.MARSMA R.ISWAHYUDI 18 B
JL.GUNUNG BINJAI NO.70 15 B
JL.GN. BINJAI NO. 83 15 B
JL.GUNUNG BINJAI NO. 21 15 B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471011601060003 6471013112410010 ARIPIN PARINGIN 31|12|1941 76 S L
2 6471011601060003 6471017112430014 RUHAYAH PARINGIN 31|12|1943 74 S P
3 6471012108080008 6471017012420002 SITI KAMSIAH KOTA BARU 30|12|1942 75 P P
4 6471012201030004 6471011708690002 PAULUS REZATANDIAMA UJUNG PANDANG 17|08|1969 48 S L
5 6471011510040001 6471013012380002 LAWANG SIDENRENG-RPG. 30|12|1938 79 S L
6 6471010511090003 6471011003620003 EFENDI SURABAYA 10|03|1962 56 S L
7 6471010511090003 6471016105680005 HATIJAH RACHMAN UJUNG PANDANG 21|05|1968 50 S P
8 6471010511090003 6471011905920001 ARIF WIJAYA SAMARINDA 19|05|1992 26 B L
9 6471010303100022 6471010401800006 MUHAMMAD ANDI TABALONG 04|01|1980 38 B L
10 6471010504100035 6471012104690002 TAMRIN TABALONG 21|04|1969 49 B L
11 6471010508090020 6471010808820005 MUHAMMAD YANTO BALIKPAPAN 08|08|1982 35 S L
12 6471010508090020 6471015306840003 KAMALIAH PADANGIN 13|06|1984 34 S P
13 6471010711070004 6471011808480001 ABU BAKAR SINJAI 18|08|1948 69 P L
14 6471011101100023 6471015510940001 FATMAH ARIYANTI BALIKPAPAN 15|10|1994 23 B P
15 6471011701140007 6471012202830002 NURDIN BALIKPAPAN 22|02|1983 35 S L
16 6471012211120045 6471015111750004 HJ. MAULINA WARINGIN 11|11|1975 42 S P
17 6471012309120034 6471010401710002 SAM UN AUNSANJAYA PARINGIN 04|01|1971 47 S L
18 6471012309120034 6471016909840002 AMALINA PALANGKARAYA 29|09|1984 33 S P
19 6471012403090008 6471041508900003 AL BAARI MARIDAN, PANAJAM 15|08|1990 27 B L
20 6471012808120015 6471015207750006 SITI AMINAH PATI 12|07|1975 42 S P
21 6471010303090019 6471017112440016 JAHURI ENREKANG 31|12|1944 73 P P
22 6471010504070004 6471012411740002 SARIPUDDING SIDRAP 24|11|1974 43 S L
23 6471010504070004 6471012308940002 ASRI TAWAU 23|08|1994 23 B L
24 6471010512120015 5206024504911002 BUNGA PUSPITA SARI TAMBE 04|05|1991 27 S P
25 6471010512120016 3505162702850001 ULIL ABSOR BLITAR 27|02|1985 33 S L
26 6471010512120016 6471016507860002 ASRI ARIYANTI DOMPU 25|07|1986 31 S P
27 6471010607090047 6471010310750002 SALAHUDIN BANJARMASIN 03|10|1975 42 B L
28 6471010902100006 6471011708800009 AMOR PINRANG 17|08|1980 37 S L
29 6471010902100006 6471011105850003 AGUSSALIM PINRANG 11|05|1985 33 B L
30 6471011510040001 6471014603820002 MARLINA BALIKPAPAN 06|03|1982 36 B P
31 6471011510040001 6471013112850018 ARIS BALIKPAPAN 31|12|1985 32 B L
32 6471011912020183 6471011404710002 JASDAR ENREKANG 14|04|1971 47 S L
33 6471011912020183 6471014308720002 NURWAHIDAH GOWA 03|08|1972 45 S P
34 6471011912020183 6471015711780001 ABD. KHALIQ ENREKANG 17|11|1978 39 B P
35 6471011912020183 6471017012960002 NURFATI ENREKANG 30|12|1996 21 B P
36 6471012004100011 6471012004900004 NURDIN TABALONG 20|04|1990 28 B L
37 6471012212030006 6471015802880001 SUHARTINI BALIKPAPAN 18|02|1988 30 B P
38 6471012806120008 6471010101930009 M. RIZAL RASABAO 01|01|1993 25 B L
39 6471010301170015 6402062505960005 TIUNG TENGGARONG 25|05|1996 22 B L
40 6471011202100012 6471016505910001 AYU VIKI YANTI BALIKPAPAN 25|05|1991 27 S P
41 6471010707090017 6471016803880001 SYAHIDAH BALIKPAPAN 28|03|1988 30 B P
42 6471010907130015 6471014909930002 RAHIMAH SUSANTI PONTIANAK 09|09|1993 24 S P
43 6471011611150005 5206024510911005 LULU ANDRIANI TAMBE 05|10|1991 26 B P
44 6471010607090047 6471010504940001 HAMDI BANJARMASIN 05|04|1994 24 B L
45 647101011904100017 6471015402980004 SITI LATIFAH BALIKPAPAN 14/02/1998 19 B P
46 6471011403160021 6402036106610002 FATIMAH BIMA 21/06/1961 56 P P
47 6471011403160021 6402034909930003 DEWI INTAN BAIDURI BIMA 09/09/1993 24 B P
48 6471012309120033 6471015503010001 NOR HASANAH TABALONG 15/03/2001 16 B P
49 6471012311170006 7309020910980002 JUMARDI NGAPA 09/10/1998 19 B L
50 6471012011170019 6472036608970007 RISCA WATI SAMARINDA 26/08/1997 20 S P
51 6471011011170001 6471013112640105 UDDIN MAKASSAR 31/12/1964 53 B L
52 6471011309130002 7310035005740001 MASNIA ISMAIL PL. SALEMO 10/05/1974 43 S P

53 6471010402130001 7408010311890001 SURIADI NGAPA 03/11/1989 28 S L
54 6471010711160010 7309025202590001 HJ RENNU SAWARU 12/02/1959 59 P P
55 6471010109140010 7408015807900002 PUTRIANA NGAPA 18/07/1990 27 S P
56 6471012412040002 6471011710980002 RAHMAT HIDAYAT BALIKPAPAN 17/10/1998 19 B L
57 6471012809070002 6471017112620081 ISELO WAJO 31/12/1962 55 S L
58 6471012809070002 6471016212950002 ASNA WATI BALIKPAPAN 22/12/1995 22 B P
59 6471012809070002 6471011509980003 SAKRI ANSYA BALIKPAPAN 15/09/1998 19 B L
60 6402131411075509 6402130502780001 RUSLAN ENREKANG 05/02/1978 40 S L
61 6402131411075509 6402136401850001 ROHANY SAMBOJA KUALA 24/04/1985 22 S P
62 6471012312160010 6402137012960003 SITI AISYAH SAMBOJA 30/12/1996 21 S P
63 6471012808120015 6471011404000001 IQVANNY ZUBAIDI BLORA 14/04/2000 17 B L

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 16
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL.GUNUNG BINJAI 016 000 4
JL.GUNUNG BINJAI GG.JAB 016 00- 4
TERITIP 016 000 U
JL. GUNUNG BINJAI NO.19 016 B
JL. GUNUNG BINJAI 016
B
B
B
B
B
B
JL. GUNUNG BINJAI N0.56 016 B
B
JL. GUNUNG BINJAI NO.56 016 B
B
B
B
JL. BPPN-HANDIL II 009
B
JL. BPPN-HANDIL II 009 B
B
JL. GUNUNG BINJAI NO.57 016
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471013001030005 6471017112490037 ROSIDAH BANJARMASIN 31|12|1949 68 P P
2 6471012303040006 6471016012470002 MASIAH BALIKPAPAN 20|12|1947 70 S P
3 6471012707050001 6471014611750001 SAMSYAH BALIKPAPAN 06|11|1975 42 S P
4 6471013001090004 6471012309890002 AHMAD RAFI'I BALIKPAPAN 23|09|1989 28 B L
5 6471011405030003 6471011708720005 RUDIYANTO UJUNG PANDANG 17|08|1972 45 B L
6 6471012412080012 6471017112720091 SYARIFAH HAMIDAH TANJUNG SELOR 31|12|1972 45 S P
7 6471012907090027 6471017112320034 ARBAYAH SAMBOJA 31|12|1932 85 P P
8 6471011003090005 6471014210850003 SYAHRIAH BALIKPAPAN 02|10|1985 32 S P
9 6471010501150004 6171022106900006 DINUL HABIB AKBARI SINGKAWANG 21|06|1990 28 B L
10 6471010401100009 6471011905660002 UMAR DANI BALIKPAPAN 19|05|1966 52 B L
11 6471011207040005 6471016605820001 SALASIAH BALIKPAPAN 26|05|1982 36 B P
12 6471011404100020 6471014907830008 YULIANA BALIKPAPAN 09|07|1983 34 S P
13 6471011607090010 6471015310680003 MINANTI SAMARINDA 13|10|1968 49 S P
14 6471011701070004 6471011003540001 BURHAN BANJARMASIN 10|03|1954 64 P L
15 6471011810130004 6471010607760005 MUHAMMAD IRFAN DONGGALA 06|07|1976 41 B L
16 6471012301030003 6471010204810002 ACEP WIRSA SURYAWINATA BALIKPAPAN 02|04|1981 37 B L
17 6471012304100024 6471010710620001 SUHARNO SRAGEN 07|10|1962 55 S L
18 6471012411090017 6471015204840006 MAHMUDAH BARABAI 12|04|1984 34 S P
19 6471012506100009 6471046205900002 VINA AMALIA BALIKPAPAN 22|05|1990 28 S P
20 6471012506100009 6471011103910001 MUH. HELMI SYUHADA BANJARMASIN 11|03|1991 27 S L
21 6471012703090004 6471014509810002 NAPSIAH SANGA-SANGA 05|09|1981 36 S P
22 6471013001090004 6471015807860003 LISDAWATI BALIKPAPAN 18|07|1986 31 B P
23 6471013001090004 6471012104940004 M. RINALDI BALIKPAPAN 21|04|1994 24 B L
24 6471013008070003 6471010807790002 DEDI YANDI SAMARINDA 08|07|1979 38 S L
25 6471013008070003 6471014912810002 SITI ZUBAIDAH BALIKPAPAN 09|12|1981 36 S P
26 6471010404030333 6471011112590003 MUJI UTOMO SURABAYA 11|12|1959 58 S L
27 6471010501090010 6471012909850001 SAPARUDIN MUHTAR BALIKPAPAN 29|09|1985 32 S L
28 6471010501090010 6471016512860004 WIYA RAHMAWATI A. DARAT 25|12|1986 31 S P
29 6471011207040005 6471012005800002 PADLIANSARI BALIKPAPAN 20|05|1980 38 B L
30 6471011207040005 6471010104840003 JAINOR.F BALIKPAPAN 01|04|1984 34 B L
31 6471011207040005 6471011006880001 M. RAMLI BALIKPAPAN 10|06|1988 30 B L
32 6471011301100003 6471011007490001 ASRA NASRI SAMARINDA 10|07|1949 68 P L
33 6471011503100032 6471011404790002 PUJI ANTO BALIKPAPAN 14|04|1979 39 B L
34 6471011809140007 6402130909970001 SULAIMAN SAMBOJA 09|09|1997 20 B L
35 6471011912020109 6471010901500001 M.SIDE BARRU 09|01|1950 68 S L
36 6471011912020109 6471015001560003 SIKIN KUTAI 10|01|1956 62 S P
37 6471012506140005 6472024404870009 NOR ENDAH PURNAMA SARI SAMARINDA 04|04|1989 29 P P
38 6471012506140005 6372041108920002 RIZA PAHLIPI BANJARMASIN 11|08|1992 25 S L
39 6471012703090004 6471010805790001 SALEH SEMUNTAI 08|05|1979 39 S L
40 6471012801100005 6471012007810005 GUSTI M. YUSUF. S.H.I BATU KEMBAR 20|07|1981 36 S L
41 6471012802060002 6471010502750003 HAJI SALAPUDIN BAHAUR HILIR 05|02|1975 43 S L
42 6471012802060002 6471016411770002 HAJJAH YULIANA BANJARMASIN 24|11|1977 40 S P
43 6471012802060002 6471010402970003 MUHAMMAD HAPI BANJARMASIN 04|02|1997 21 B L
44 6471012808090018 6471011512780003 ALIANSYAH BALIKPAPAN 15|12|1978 39 B L
45 6471013006080003 6471015007750003 JULIATI NIPO KENDARI 10|07|1975 42 B P
46 6471013007120005 6471015008960004 SUNITA BALIKPAPAN 10|08|1996 21 B P
47 6471019703128001 6471015410790002 TITIN LESTARI BALIKPAPAN 14|10|1991 26 B P
48 6471013004130010 6471012007810003 AYATULLAH KHOMEINI BALIKPAPAN 20|07|1981 36 B L
49 6471011205080009 6471016410990008 SRI MULYANI SALOK API LAUT 24|10|1999 18 B P
50 6471011805170007 6471051507510004 EDDY HARYANTO TARAKAN 15|07|1951 66 S L
51 6471011805170007 6471055405580003 SRIANA BALIKPAPAN 14|05|1958 60 S P
52 6471011805170007 6471055406940006 ADE ELITA NUR MENTARI BALIKPAPAN 14|06|1994 24 B P
53 6471010203160002 3506241801820002 CATUR GIFANTO KEDIRI 18|01|1982 36 B L
54 6471011401160005 6309066712850001 LIYANA KAPAR HULU 27|12|1985 32 P P
55 6471012812090005 6471015208850002 KURNIAWATI AGUSTIN SAMBOJA 12|08|1985 32 B P
56 6471012907150003 6402130202880007 M. SURIANSYAH BONTANG 02|02|1988 30 B L
57 6471010712170004 7208082012880001 ADLAN KASIMBAR 20/12/1988 29 S L
58 6471010203150001 6471011704830001 AHMAD FAISAL BALIKPAPAN 17/04/1983 24 B L
59 6471010901180004 6471016609950001 SAHIDAH BALIKPAPAN 26/09/1995 22 S P
60 6471010309090027 6471014208980001 NADATHUL ARDALIA BALIKPAPAN 02/08/1998 19 B P
61 647101080410003 6471014601980005 RABIATUN ASLAMIAH BALIKPAPAN 06/01/1998 19 B P
62 6471010902090036 6471015007530001 MASIYAH BARABAI 10/07/1953 54 P P
63 6471011409170009 6471034510780001 WIWIK NOVITA SARI BALIKPAPAN 05/10/1978 39 S P
64 6471010500753 6471016901860002 HAMSIAH BALIKPAPAN 29/01/1986 32 S P
65 6471012302150022 6471012711720002 HASAN ASARI BALIKPAPAN 27/11/1972 45 S L
66 6471011303170007 6471014605930001 DESI RUSNIAH BALIKPAPAN 06/05/1993 24 B P
67 6471010305050003 6471010606830004 ROBIANSYAH BALIKPAPAN 06/06/1983 34 S L
68 6471012101160007 6472046802940008 SRI FATMAWATI NINGSIH BANJARMASIN 28/02/1994 24 S P
69 6471012510160006 3518030806790004 ALI HARTONO NGANJUK 08/06/1979 38 S L
70 6471011506170005 6471052907810004 ARI PANGESTU BANYUWANGI 29/07/1981 36 S L
71 6471011506170005 6471057011760004 SARINGATIN BANYUWANGI 30/11/1976 41 S P
72 6409012302080018 6409014803850007 EKA SULISTIAWATI BALIKPAPAN 08/03/1985 33 S P
73 6409012302080018 6409010111720006 ACHMAD TAUFIQ BALIKPAPAN 01/11/1972 45 S L
74 6471012301180005 6471016107000002 RIZKY WIDIYA SARI BALIKPAPAN 21/07/2000 17 B P

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 17
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. PASAR GUNUNG TEMBAK N017 00- 1
JL. PASAR GN.TEMBAK NO.18 017 00- 1
JL.PASAR GN.TEMBAK 017 000 1
JL. PASAR GN.TEMBAK NO. 24 017 000 1
JL. PASAR GN. TEMBAK NO. 0 017 000 1
JL. PASAR GUNUNG TEMBAK 017 00- 4
JL.PASAR GUNUNG TEMBAK 017 00- 4
JL. PASAR GN. TEMBAK NO. 20017 00- 4
JL. PASAR GUNUNG TEMBAK 017 000 4
JL. PASAR GN TEMBAK 017 000 4
JLN.PASAR GUNUNG TEMBAK017 000 4
JLN.PASAR GUNUNG TEMBAK017 000 4
JL. MULAWRMAN NO. 017 000 4
JL. MULAWRMAN NO. 017 000 4
JL. PASAR GN. TEMBAK NO. 8 017 000 4
JL. PASAR GN TEMBAK NO.34 017 000 4
JL PASAR GUNUNG TEMBAK 017 000 4
JL. PASAR GN.TEMBAK NO. 017 00- 4
JL. MULAWARMAN PERUM.017 00- 5
TERITIP 017 000 U
TERITIP 017 001 U
JL. PASAR GUNUNG TEMBAK 017 B
JL. PASAR GUNUNG TEMBAK 017
B
JL. PASAR GUNUNG TEMBAK NO. 51 017
B
JL. PASAR GN. TEMBAK NO.01 017
B
B
JL. MULAWARMAN NO.10 017
B
JL. PASAR GN. TEMBAK NO.24 017 B
B
JL. MULAWARMAN 017
B
JL. MULAWARMAN NO.29 027 B
B
B
JL. PASAR GN. TEMBAK 017 B
JL. MULAWARMAN NO.04 GN. TEMBAK 017
B
JL. MULAWARMAN NO.04 GN. TEMBAK 017 B
NIPAH-NIPAH PENAJAM, PENAJAM PASER UTARA 006 B
NIPAH-NIPAH PENAJAM, PENAJAM PASER UTARA 017
B
JL. REKREASI MANGGAR BARU BALIKPAPAN TIMUR013 B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471011503100036 6471015310680002 SARI FATMINI BALIKPAPAN 13|10|1968 49 S P
2 6471010809040004 6471017112240003 SAUDAH AMUNTAI 31|12|1924 93 P P
3 6471011011090018 6471010810670001 RIDUAN BALIKPAPAN 08|10|1967 50 S L
4 6471012302090024 6471017112160004 FATMAH BANJARMASIN 31|12|1916 101 P P
5 6471012302090024 6471011101450001 H. SAID IDRIS BANJARMASIN 11|01|1945 73 S L
6 6471060812002601 6471015706650004 NURAINI BALIKPAPAN 17|06|1965 53 S P
7 6471010601060001 6471017112610044 RAMLAH KUTAI 31|12|1961 56 S P
8 1751059804236001 1751037112630099 SITI RABIAH PANGKEP 31|12|1963 54 P P
9 6471010404030053 6471014206920001 ZAKIAH BALIKPAPAN 02|06|1992 26 B P
10 6471010910120092 6471014807780003 SERI YANI BALIKPAPAN 08|07|1978 39 S P
11 6471011301145016 6471010708885001 SARMIAH HADULANG 07|08|1988 29 S P
12 6471012302090024 6471012107680001 SAID FADLI BANJARMASIN 21|07|1968 49 B L
13 6471012501080002 6471014607920001 JAKIAH BALIKPAPAN 06|07|1992 25 S P
14 6471012411090028 6471011608860002 SARIPUDDIN BALIKPAPAN 16|08|1986 31 S L
15 6471012702070001 6471014808830002 AGUSTINA BONE 08|08|1983 34 S P
16 6471012702070001 6471011207810002 M. SODIK BALIKPAPAN 12|07|1981 36 S L
17 6471010203090027 6471010905830001 MANSYAH BALIKPAPAN 09|05|1983 35 B L
18 6471010404060001 6471012604740002 SYAIFUDIN KOTA BARU 26|04|1974 44 P L
19 6471010711080002 6471010307860001 PADELI HIDAYAT BALIKPAPAN 03|07|1986 31 B L
20 6471010802100055 6471011012900001 HENDRIK GUNAWAN BALIKPAPAN 10|12|1990 27 B L
21 6471011405100011 6471022506890003 MURJANI BALIKPAPAN 25|06|1989 29 B L
22 6471011405100011 6471025008960006 SANITA RAHAYU BALIKPAPAN 10|08|1996 21 B P
23 6471011503100036 6471014402970001 HALIMAH JAHRAH BALIKPAPAN 04|02|1997 21 B P
24 6471012711080002 6471014209810004 AINUN JARIYAH BALIKPAPAN 02|09|1981 36 S P
25 6471012804080007 6471044110710004 OLGA PELEALU AMURANG 01|10|1971 46 P P
26 6471012804080007 6471045010950005 INGRA MARSELA SOPUTAN BALIKPAPAN 10|10|1995 22 B P
27 6471010103130011 6471012202680002 HERYANTO WIBOWO BALIKPAPAN 22|02|1968 50 S L
28 6471010103130011 6471014912780002 MARCELA ADELIA BALIKPAPAN 09|12|1978 39 S P
29 6471010103130011 6471014912760002 MARBELA ADELIA BALIKPAPAN 12|09|1978 39 S P
30 6471010104150005 6473010303010004 DANI ASMONO BALIKPAPAN 03|03|1981 37 S L
31 6471010404030053 6471014706590001 JURMIAH BALIKPAPAN 07|06|1959 59 P P
32 6471010404030298 6471011004970003 RAQIB RIKA SAPUTRA BALIKPAPAN 10|04|1997 21 B L
33 6471011007120005 6471011307730005 SENEN SIMPANG AGUNG 13|07|1973 44 S L
34 6471011007120005 6471015909790002 MAYLISTA SULUSUBAN 19|09|1979 38 S P
35 6471011109060004 6471015108900005 NOVITA DEWI UTAMI BALIKPAPAN 11|08|1990 27 B P
36 6471011109060004 6471010810960009 AGUS PAMI BALIKPAPAN 08|10|1996 21 B L
37 6471011111080016 6471010803800001 AFANDI BALIKPAPAN 08|03|1980 38 B L
38 6471011202100021 6471012901940001 AHMAT NUR SALIM NGAWI 29|01|1994 24 B L
39 6471011301145015 6471010707905001 MARIANA MAKASSAR 07|07|1990 27 S P
40 6471011602160031 6471010705880001 MUHAMMAD HADRY BANJARMASIN 07|05|1988 30 B L
41 6471012011070018 6471012004780002 BUSTANG BONE 20|04|1978 40 B L
42 6471012405070064 6471015601870004 HERNING WIJAYANTI BALIKPAPAN 12|01|1987 31 S P
43 6471012411090004 6471017112820021 SANIAH BARABAI 31|12|1982 35 S P
44 6471012708090019 6471011101880001 YUDI ASMANTO MUARA BADAK 11|01|1988 30 B L
45 6471012804080007 6471040703980006 LION IMANUEL SAPUTON AMURANG 07|03|1998 20 B L
46 6471012812090029 6471010504820001 DEDY SUTOMO BALIKPAPAN 05|04|1982 36 B L
47 6471012901100013 6471013112790045 SYAHRANI BALIKPAPAN 31|12|1979 38 B L
48 6471012901100013 6471013112820021 SAPRIUDIN BALIKPAPAN 31|12|1982 35 B L
49 6471012901100013 6471013112850015 AGUS SALIM BALIKPAPAN 31|12|1985 32 B L
50 6471013101080018 6471011404720002 NIRWANSYAH BALIKPAPAN 14|04|1972 46 B L
51 6471021705050010 1751011002450004 4 BALIKPAPAN 02|10|1945 72 S L
52 6471059703313001 6471050907980002 ACHMAD ZAINI BALIKPAPAN 15|11|1985 32 S L
53 6471010601060001 6471013112550031 SAMI'UN MAJENE 31|12|1955 62 S L
54 6471011705130003 7315052101760002 SUYIPTO BALIKPAPAN 21|01|1976 42 S L
55 6471012702170011 6471010403910002 ARIF. D BALIKPAPAN 04|03|1991 27 B L
56 6471011612020010 6471015007740001 GIANAH KEDIRI 10|07|1974 43 S P
57 6471011612020010 6471013112660051 MUNAWAR KEDIRI 31|12|1966 51 S L
58 6471010808160024 3523171501910006 JARWANTO TUBAN 15|01|1991 27 S L
59 6471010808160024 3523176002920006 SITI MAMLU'ATIN TUBAN 20|02|1992 26 S P
60 6471011602160031 6307015409900002 YULIANA HULU SUNGAI TENGAH 14|09|1990 27 B P
61 6471010108120014 6301017001800001 RATNA HERLINA BANJARMASIN 30|01|1980 38 S P
62 6471010108120014 6471012110800001 KAMALUDIN BALIKPAPAN 21|10|1980 37 S L
63 6471010910120091 6471011505960003 ROI HARI LAMONGAN 15|05|1996 22 B L
64 6471012607120008 6471010308870001 AHMAD RIFA`I BATOLA 03|08|1987 30 S L
65 6471012607120008 6471016303880004 ISTIANA RAHAYU LAMONGAN 23|03|1988 30 S P
66 6471010908120013 6471016202970005 SYANTY PUJI. H BALIKPAPAN 22|02|1997 21 B P
67 6471011009140003 1371020611880002 ALDEVAN NURAHMAT PADANG 06|11|1988 29 B L
68 6471011704060004 6471014506820008 WAWANG SRI IRIYANTI CIANJUR 05|06|1982 36 B P
69 6471011707030001 6471014911770004 NURWAHIDAH BARABAI 09|11|1977 40 B P
70 6471012402170005 6473016001840005 WARI NJUK GONG SOLOK 20|01|1984 34 S P
71 6471012708090019 6471034408850001 EKA YUNIARSIH TULUNGAGUNG 04|08|1985 32 B P
72 6471012908160011 6471054703920002 SALFIA BALIKPAPAN 07|03|1992 26 B P
73 6471012901100013 6471015204970002 AMIWATI BALIKPAPAN 12|04|1997 21 B P
74 64710125030030002 6471011508810002 AHMAD JUANDA SAMARINDA 15/08/19981 36 S L
75 64710125030030002 6471017112780034 JUMIATI BALIKPAPAN 31/12/1978 39 S P
76 6471011208040006 6471015005770004 SITI AISYAH KUTAI 10/05/1977 40 S P
77 6471011208040006 6471012511700002 PADLI BANJARMASIN 25/11/1970 47 S L
78 6471011208040006 6471014411980002 SAIDATUN NAFI'AH BALIKPAPAN 04/11/1998 19 B P
79 6471012607120031 6471012608770007 MUHAMMAD NAJIB SEBULU 26/08/1977 40 S L
80 6471012607120031 6471017007790003 MASTIKA BALIKPAPAN 30/07/1979 38 S P
81 6471010107130019 6471014808550001 NURHAMIAH BALIKPAPAN 08/08/1955 62 S P
82 6471052505100054 6471054112840003 SALMIAH BALIKPAPAN 01/12/1984 33 S P
83 6471011610170015 6402130708800005 KAMUA BALIKPAPAN 07/08/1980 37 S L
84 6471011610170015 6402137112820006 SAMSIAH BALIKPAPAN 31/12/1982 35 S P

85 6401082403140012 6401085004850004 JUMARNI JAMBI 10/04/1985 33 S P
86 6401082403140012 6401086505000002 RATNA NINGSIH MENDIK BHAKTI 25/05/2000 17 B P
87 6471010312090001 6471010406740002 DIDI ROSADI BOGOR 04/06/1974 43 S L
88 6471010312090001 6471014101970001 ALTITA IRLIANTI BARABAI 01/01/1997 21 B P
89 6471041703100030 6471042402780001 ANDRAWIJAYA BALIKPAPAN 24/02/1978 40 S L
90 6471041703100030 6471015307860002 NURMILASARI BALIKPAPAN 13/07/1986 31 S P
91 6471011706130013 6471041010740010 MUKSIN BONE 10/10/1974 43 S L
92 6471011706130013 6471044708810004 MILA WATI MUARA LANGON 07/08/1981 36 S P
93 6402131711160010 6402031607730006 ROMELI MALANG 16/07/1973 44 S L
94 6402131711160010 6402034508900003 IRAWATI MALANG 05/08/1990 27 S P
95 6471012506140006 6403054507870003 NELI YANTI BALIKPAPAN 05/07/1987 30 S P
96 6471011808160011 7373080409810001 EDI SUSANTO KUDUS 04/09/1981 37 S L
97 6471011808160011 7373084307760001 CAYA PALOPO 03/07/1976 42 S P

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 18
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. PENDIDIKAN NO.3 018 000 1
JL. PASAR GN. TEMBAK NO.02018 000 1
JL. PENDIDIKAN 018 000 1
JL. PENDIDIKAN GG.ABAH NO.018 000 2
JL.PENDIDIKAN NO.07 018 000 2
JL. PASAR GUNUNG TEMBAKN018 00- 4
JL. PASAR GN.TEMBAK 018 00- 4
JL. PASAR GN TEMBAK NO.24 018 00- 4
JL. PASAR GN TEMBAK NO.24 018 00- 4
TERITIP, Jl. PASAR GUNUNG 018 000 4
TERITIP, Jl. PASAR GUNUNG 018 000 4
JL. PASAR GN.TEMBAK NO.25 018 000 4
JL. PUSKESMAS NO. 37 018 000 4
JL. PENDIDIKAN NO.028 018 000 4
JL. PENDIDIKAN NO. 6 018 000 4
JL.PASAR GN. TEMBAK NO. 3 018 000 4
JL. PSAR GUNUNG TEMBAK 018 000 4
JL. PSAR GUNUNG TEMBAK 018 000 4
JL. HANDIL TARUN 033 000 4
JL. PENDIDIKAN NO. 10 018 00- 4
JL. PUSKESMAS NO. 37 018 000 4
JL. PUSKESMAS GN.TEMBAK 018 00- 5
JL. PUSKESMAS GN.TEMBAK 018 00- 5
JL. PENDIDIKAN NO. 02 018 000 5
JL. PENDIDIKAN SD 0 4 018 000 5
JL. PENDIDIKAN NO.16 018 00- 5
JL. PENDIDIKAN 018
B
JL. PENDIDIKAN 018
B
JL. PENDIDIKAN 018
B
JL. PENDIDIKAN 018
B
JL. PENDIDIKAN 018
B
JL. PENDIDIKAN 018
B
JL. PENDIDIKAN 018
B
JL. PENDIDIKAN 018
B
JL. MARSMA R.ISWAHYUDI NO.315A SEPINGGAN RAYA
006
B
B
B
MENDIK BHAKTI LONG KALI PASER 001
B
MENDIK BHAKTI LONG KALI PASER 001
B
JL. PENDIDIKAN NO.59 018
B
B
JL. BONTO BOLAENG NO.28 SUMBERREJO BPN TENGAH
003
B
JL. BONTO BOLAENG NO.28 SUMBERREJO BPN TENGAH
003
B
B
B
SALOK API DARAT SAMBOJA KUTAI KARTANEGARA001
B
SALOK API DARAT SAMBOJA KUTAI KARTANEGARA001
B
JL. PENDIDIKAN GUNUNG TEMBAK NO.11 018
B
JL PASAR GN TEMBAK 18
B
JL PASAR GN TEMBAK 18
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010605090016 6471011002480001 HUSNI BALIKPAPAN 10|02|1948 70 B L
2 6471011309020002 6471010808370001 ABD. HAMID BANGKALAN 08|08|1937 80 S L
3 6471012105100001 6471010510750002 SOPAN SOPIYAN BALIKPAPAN 05|10|1975 42 S L
4 6471010707030005 6471011704320001 ABDUL KARIM KOTA BARU 17|04|1932 86 S L
5 6471011407080010 6471014504520002 MASRIAH KUTAI 05|04|1952 66 P P
6 6471012904090010 6471046508620002 NURYANI TABALONG 25|08|1962 55 S P
7 6471011606090027 6471010103370001 ISMAIL KUTAI 01|03|1937 81 P L
8 6471010707100043 6471011211800003 DWI SUSILOWARDOYO KUTAI 12|11|1980 37 B L
9 6471011005120005 6471016404750001 DELI SURIANI BALIKPAPAN 24|04|1975 43 P P
10 6471011109150011 6471010907870002 DWI CAHYO JULYANTO.SP BERAU 09|07|1987 30 B L
11 6471011209080015 6471011103720002 EKO PURNOMO BALIKPAPAN 11|03|1972 46 B L
12 6471011209080015 6471016612790001 WINDARTI BALIKPAPAN 26|12|1979 38 B P
13 6471011410080002 6471015110950002 RENI OKTAVIA NITA BALIKPAPAN 11|10|1995 22 B P
14 6471011509080013 6471014402870003 NUR BAYAH BARABAI 04|02|1987 31 B P
15 6471011509080013 6471010109880004 YADY BARABAI 01|09|1988 29 B L
16 6471012304100021 6471014507790007 NORDAYAH AMUNTAI 05|07|1979 38 P P
17 6471012010140004 6471014302870001 MARDIANA BALIKPAPAN 03|02|1987 31 B P
18 6471012910140014 3502151312650001 SUJANGKUNG PONOROGO 13/12/1965 56 S L
19 6471012910140014 3502155506760002 UJAHDAH AMUNTAI 15/06/1976 41 S P

20 6471012807160010 6409024412910001 KRISTIKA YULIANTI SESULU 04/12/1991 26 S P
21 6471011103130006 7310076107960001 SURIYANI BONTOA 21/07/1994 23 S P
22 6471012201160006 6402131010710009 NASARUDDIN PANTAI AGUNG 10/10/1971 46 S L
23 6471012201160006 6471046011680001 DINA MARLINA PALEMBANG 20/11/1968 49 S P
24 6471012201160006 6402134204990005 ANTI GUNUNG SARI 02/04/1999 18 B P

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 19
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. PASAR GN.TEMBAK NO. 35 019 00- 1
JL. PASAR GN. TEMBAK NO.15019 00- 1
JL.PASAR GN.TEMBAK NO. 7 019 000 1
JL. GUNUNG TEMBAK 019 000 1
JL. PASAR GUNUNG TEMBAK NO.76 019
B
B
B
B
JL. MULAWARMAN 019
B
JL. MULAWARMAN 019
B
JL. MULAWARMAN 019
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471012212080003 6471017112440009 SITI MARIYAM BALIKPAPAN 31|12|1944 73 P P
2 6471010404030509 6471014702350001 HJ. ARKISAH KUTAI 07|02|1935 83 P P
3 6471010910090015 6471013112490027 SADIKE BALIKPAPAN 31|12|1949 68 S L
4 6471011404090015 6471017112460025 KAMARIA BONE 31|12|1946 71 P P
5 6471012903100008 6471010312410001 HAJI M. AMIN LAMONGAN 03|12|1941 76 S L
6 6471012903100008 6471017112510027 MUDERIAH LAMONGAN 31|12|1951 66 S P
7 6471010809150006 6471057112630090 ZAINAB SAMBOJA 31|12|1963 54 S P
8 6471011301100008 6471010701820002 MISRANI BALIKPAPAN 07|01|1982 36 S L
9 6471010404030489 6471013112770054 ALE BALIKPAPAN 31|12|1977 40 B L
10 6471010404030489 6471012507920002 YASIR ARIPAT BALIKPAPAN 25|07|1992 25 B L
11 6471011803100023 6471012803630003 BURHAN KUTAI 28|03|1963 55 B L
12 6471010808050005 6471015103770001 RUSDIANA BALIKPAPAN 11|03|1977 41 S P
13 6471011006090015 6471015011580003 MUNJIAH BLITAR 10|11|1958 59 S P
14 6471011211140012 6401052907840002 HERMAN TANAH GROGOT 29|07|1984 33 S L
15 6471011211140012 6471017112930013 ANA PARE-PARE 31|12|1993 24 S P
16 6471011903100026 6471015206680003 SITI MAISARO LAMONGAN 12|06|1968 50 S P
17 6471012101090001 6471015304960003 IRA MERLINDA BALIKPAPAN 13|03|1997 21 B P
18 6471012105100012 6471013010850001 M. RADIS WAJO 30|10|1985 32 S L
19 6471012307130017 6471010407880002 WAHYU ARDANI MUARA BADAK 04|07|1988 29 B L
20 6471012903100008 6471010702890003 KHARIL ANAM BALIKPAPAN 07|02|1989 29 B L
21 6471010607090029 6471011308660001 MUH. JUFRI BARRU 19|08|1966 51 S L
22 6471010607090029 6471014510680002 SITI SALMIYAH BARRU 05|10|1968 49 S P
23 6471010607090029 6471016706950001 FITRIA HANDAYANI BALIKPAPAN 27|06|1995 23 B P
24 6471011705130003 7315052101750002 SUYIPRO BALIKPAPAN 21|01|1975 43 S L
25 6471011705130003 7315055805790001 ROSDIANA BALIKPAPAN 18|05|1979 39 S P
26 6471012011120013 3305132108640002 RUCHYADI KEBUMEN 21|08|1964 53 S L
27 6471012011120013 3305135302660001 SADELINA MARGOWINARTI KEBUMEN 13|02|1966 52 S P
28 6471012011120013 3305135001940001 SALIADRI TRISELLA ACHIRNA KABUMEN 10|01|1994 24 P P
29 6471012205130002 6471012512800002 ABDUL MUTALIB BALIKPAPAN 24|12|1980 37 S L
30 6471011307090010 6471012510890002 ASHIDIK SAMBOJA 25|10|1989 28 B L
31 6471010601170003 6402132210990001 KHAIRULLA SAMBOJA 22|10|1999 18 B L
32 6471012403140002 6471013112980020 MISWAN AMBORAWANG LAUT 31|12|1998 19 B L
33 6471012706160010 6202024304980004 JANNATUR RAHMAH MUARA TEWEH 03|04|1998 20 B P
34 6471011308150027 3308065508950001 TRI WULANDARI MAGELANG 15|08|1995 22 B P
35 6471012205130002 6472065311820001 NORVINA HIKMAYANTY SAMARINDA 13|11|1982 35 B P
36 6471012312160010 6402137012960003 SITI AISYAH SAMBOJA 30|12|1996 21 B P
37 6471011008090002 6471011608900001 AGUS SUSANTO BALIKPAPAN 16|08|1990 27 B L
38 6471010512050022 6471016303660003 JIYEM SEMARANG 23|03|1966 52 S P
39 6471011212112003 6402051212120033 HERIYANSAH BALIKPAPAN 17|11|1982 35 S L
40 6471013012080007 6471012803850004 MUHAMMAD SAPII BALIKPAPAN 20|04|1985 33 S L
41 6471011602040007 6471010601580001 ARDIANSYAH SAMARINDA 06|01|1958 60 S L
42 6471011703030001 6471011703500001 DAMSI TABALONG 17|03|1950 68 S L
43 6471012801130006 6471011910530001 LAMBRI AMUNTAI 19|10|1953 64 P L
44 6471012011140007 6471010904860001 HARIANTO BALIKPAPAN 09/04/1986 32 S L
45 6471012806100042 6471015405980001 ASTI SETIANI BALIKPAPAN 14/05/1998 19 B P
46 6471012211170007 6402135708740006 PATIMAH BANJARMASIN 17/08/1974 43 S P
47 6471012211170007 6402131502010002 AMAT HUSAENI SAMARINDA 15/02/2001 17 B L
48 6471012511050052 6471010906000002 M. VIKRI FADILLAH RAPANG BALIKPAPAN 09/06/2000 16 B L
49 6472021610150002 6471041006790011 YUDHA GHUCCY PADANG 10/06/1976 41 S L
50 6472021610150002 6471014801850003 SALAMAH BALIKPAPAN 08/01/1985 33 S P
51 6471012310170022 6472040812970005 KIKI NOVITASARI SAMARINDA 12/08/1997 20 S P
52 6471011008170010 6307114905910001 RUSITA HAWANG 19/10/1990 27 S P

53 6471011204040001 6471013103800002 HARTO BALIKPAPAN 31/03/1980 28 S L
54 6471011204040001 6471016604010001 SRI WULANDARI BALIKPAPAN 26/04/2001 16 B P
55 6471011310140011 6471010101890003 HENDRA BALIKPAPAN 01/01/1989 29 S L
56 6471010809150006 6471055810980004 OKTAVIA BALIKPAPAN 18/10/1998 19 B P
57 6471012808150008 6472054201920004 NURUL NURLILLAH CIAMIS 02/01/1992 26 S P
58 6471012801080010 6471010309980002 ALDY PRATAMA BALIKPAPAN 03/09/1998 19 B L
59 6471010611170010 350575103780002 EKO DIYAH WINDRATI BLITAR 11/03/1978 40 S P
60 6471011811160004 6471030709890005 RONATA HAMLAN BALIKPAPAN 07/07/1989 29 S L
61 6471012610150008 6402141007800003 BURHANUDDIN PALU 10/07/1980 37 S L
62 6471012610150008 6402147112850004 ERNAWATI BALIKPAPAN 31/12/1985 32 S P
63 6471010709150003 6471055309990006 IRMA SARI ALVINA SAMBOJA 13/09/1999 18 B P
64 6471011206150001 6471014512920001 SIXMA EKA MUSTIKA SURABAYA 05/12/1992 25 S P
65 6471010311170005 6471010205960003 HARIS ARNAS BALIKPAPAN 02/05/1996 21 S L
66 6471011303120003 6471012006700002 MASDUKI ZAKARIA KEDIRI 20/06/1970 47 S L
67 6471011303120003 6471015703750004 SULAINI NGANJUK 17/03/1975 43 S P
68 6471011001170003 3172044812840003 FURQAN KASIM JAKARTA 08/12/1984 33 S P
69 6471011205160010 3318161306780007 MULYADI PATI 13/06/1978 39 S L
70 6471011205160010 3318166912880003 EVA YUDAWATI PATI 29/12/1988 29 S P

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 20
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. PASAR GN.TEMBAK NO. 01 020 00- 1
JL. HANDIL SULAWESI NO. 22 020 000 1
JL. HANDIL SULAWESI NO.43 020 000 1
TERITIP 000 000 2
TERITIP 000 000 4
JL. PASAR.GUNUNG TEMBAK 020 00- 4
JL. HANDIL SULAWESI NO. 42 020 00- 4
JL.HANDIL SULAWESI NO.20 020 000 4
JL.HANDIL SULAWESI 020 000 4
JL. GUNUNG SULAWESI 020 000 4
JL. GUNUNG SULAWESI 020 000 4
JL.HANDIL SULAWESI 020 000 4
JL. HANDIL SULAWESI 020 000 4
JL. HANDIL SULAWESI 020 00- 4
JL.PASAR GUNUNG TEMBAK 020 000 5
JL.HANDIL SULAWESI 020 000 U
JL. PASAR GN. TEMBAK 020 B
B
B
JL. PASAR GUNUNG TEMBAK NO.33 020 B
JL. PASAR GN. TEMBAK 020
B
JL. DATO IBA SUNGAI KELEDANG SAMARINDA SEBERANG
005 SAMARINDA
B
JL. DATO IBA SUNGAI KELEDANG SAMARINDA SEBERANG
005 SAMARINDA
B
JL. PASAR GUNUNG TEMBAK GG. AMAL NO.28 020
B
B
JL. MULAWARMAN GANG AMAL NO.67 020 B
JL. MULAWARMAN GANG AMAL NO.67 020
B
JL. MULAWARMAN 020 B
B
B
B
JL. PASAR GN. TEMBAK GANG IMAN NO.22 020 B
JL. HANDIL SULAWESI 020
B
JL. PASAR GN.TEMBAK NO.33 020 B
B
B
JL. HANDIL SULAWESI 020 B
JL. HANDIL SULAWESI NO.50 020
B
B
JL. HANDIL SULAWESI 020 B
B
B
JL. PASAR GUNUNG TEMBAK 020 B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010810090007 6471012610730003 FITRIALI PARE-PARE 26|10|1973 44 S L
2 6471011407100034 6471017112610048 KURSIAH BALIKPAPAN 31|12|1961 56 S P
3 6471011412090009 6471015212690005 SALMINI, S. Pd BONTOMACINNA 12|12|1969 48 S P
4 6471010508030010 6471017112480029 AINAH PARINGIN 31|12|1948 69 S P
5 6471010705110002 6471013112690002 ABIDIANSYAH BALIKPAPAN 31|12|1969 48 S L
6 6471011503100034 6471015501420001 SUPIATUN MADIUN 15|01|1942 76 P P
7 6471011509100035 6471011505530002 SAHRIN TABALONG 15|05|1953 65 S L
8 6471010405050003 6471012307970004 MUHAMMAD AMINUDIN SAMBOJA 23|07|1997 20 B L
9 6471010804130019 6471011205820001 YUDIANSYAH BALIKPAPAN 12|05|1982 36 S L
10 6471010804130019 6471016708870002 LULUK MUNIRROH ANNAFIK SRAGEN 27|08|1987 30 S P
11 6471011002100012 6471011406710002 DJUMARDI LOSMIN BALIKPAPAN 14|06|1971 47 S L
12 6471011010120052 6471010206940003 ABDUL GANI BALIKPAPAN 02|06|1994 24 B L
13 6471011404090011 6471012707620001 SURIANSYAH BALIKPAPAN 27|07|1962 55 S L
14 6471011404090011 6471015003910001 YULIA ULFA BALIKPAPAN 10|03|1991 27 B P
15 6471011408120022 6471015807810002 MARIANI BALIKPAPAN 18|07|1981 36 S P
16 6471011408120022 6471011605850003 DENI IRAWAN BLITAR 16|05|1985 33 S L
17 6471011408140010 6471012209800005 ACHMAD KARIM BALIKPAPAN 22|09|1980 37 B L
18 6471011501100013 6471011307850002 HERI SETIAWAN BALIKPAPAN 13|07|1985 32 S L
19 6471011501100013 6471016704860001 RINI APRIYANTI,AM.K SRAGEN 27|04|1986 32 S P
20 6471011607100036 6471010811700002 BAHTIAR BALIKPAPAN 08|11|1970 47 B L
21 6471011706100018 6471011305800003 ARDIANSYAH BALIKPAPAN 13|05|1980 38 S L
22 6471011706100018 6471014101860009 TITIN SUPRIATIN KUTAI 01|01|1986 32 S P
23 6471012507120024 6471011606830003 ASPUL ANWAR BALIKPAPAN 16|06|1983 35 S L
24 6471012507120024 6471016111900001 MASYITAH BALIKPAPAN 21|11|1990 27 S P
25 6471012406080005 6471015208960002 TIA HARDAYANTI SAMARINDA 12|08|1996 21 B P
26 6471012407120018 6471011205830002 ABDUL GAFUR BALIKPAPAN 12|05|1983 35 S L
27 6471012407120019 6471015910790001 HASMULINDA SIGLI 19|10|1979 38 S P
28 6471011010120052 6402132703990001 MUHAMMAD RUKANI SAMBOJA 27|03|1999 19 B L
29 6471011404090011 6471014411770002 SITI WAHYUNI BANJAR BARU 04|11|1977 40 S P
30 6471010710080005 6471012107720002 NURDIANTO BALIKPAPAN 21|07|1972 45 S L
31 6471010803130001 6471014701780002 RAHMANIAH HALIK BALIKPAPAN 07|01|1978 40 S P
32 6471010402100027 6471016503670001 TIYAH KOTA BARU 25|03|1967 51 P P
33 6471010810090007 6471016810770003 INDRA YANI BALIKPAPAN 28|10|1977 40 P P
34 6471011308090029 6471012610910002 MUHAMMAD LATIF BALIKPAPAN 26|10|1991 26 S L
35 6471011407100034 6471012011820002 SULAIMAN BALIKPAPAN 20|11|1982 35 P L
36 6471011412090009 6471013112660067 Drs. RUSTAN SEPPANG 31|12|1966 51 P L
37 6471011509100035 6471017108630001 ROSINAH TABALONG 31|08|1963 54 P P
38 6471012007100032 6471014203740001 IDA SANTI BALIKPAPAN 02|03|1974 44 P P
39 6471012407120015 6471015105890001 TRI INDRIYANI BALIKPAPAN 11|05|1989 29 S P
40 6471012409090027 6471011704840002 EDI SISWANTO LAMONGAN 17|04|1984 34 S L
41 6471012805070001 6471014105790003 MARLINA BALIKPAPAN 01|05|1979 39 P P
42 6471011003090019 6471012712830001 PURWONO BALIKPAPAN 27|12|1983 34 P L
43 6471011503100034 6471015105770004 ENDANG ATMIYATI BALIKPAPAN 11|05|1977 41 S P
44 6471010906160018 6471010601880001 RAHMAT SURYA BALIKPAPAN 06|01|1988 30 S L
45 1751030300012001 1751031010500008 HERMANSYAH BALIKPAPAN 10|10|1950 67 S L
46 1751030300012001 1751055607550001 BADARIAH BALIKPAPAN 16|07|1955 62 S P
47 6471012011090001 6471015809990006 AISYAH NURMADILA BALIKPAPAN 18|09|1999 18 S P
48 6471011101100008 64710124057600002 HASBULLAH SOLOK API LAUT 24/05/1976 41 S L
49 6471011101100008 6471015202850001 NORSINAH MUARA TEWEH 12/02/1985 33 S P
50 6471011308090029 6471014105880001 MISNAWATI BALIKPAPAN 01/05/1988 29 S P
51 6471012009170003 6471054308570001 SITI UMI HASANAHA TULUNGAGUNG 03/08/1957 60 P P
52 6402141411074815 6402146903800001 MASHAYATI GUNUNG TEMBAK 29/03/1980 38 S P

53 6471011408120021 6471017012760004 RUSMINI BANJARMASIN 30/12/1976 41 S P
54 6471011811140016 6471045210960005 SRI WAHYUNI SUMENEP 04/11/1997 21 B P

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 21
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL.PASAR GUNUNG TEMBAK 021 000 1
JL. HANDIL TARUN NO.57 021 000 1
JL. HANDIL TARUN NO.55 021 00- 4
JL. PASAR GN.TEMBAK NO. 021 000 4
JL. PASAR GN.TEMBAK 021 000 U
JL. PASAR GN.TEMBAK 021 00- U
JL. PASAR GN.TEMBAK NO.04 021 00- U
JL.PASAR GUNUNG TEMBAK N021 00- U
JL. HANDIL TARUN NO.57 021 00- U
JL.PASAR GUNUNG TEMBAK 021 00- U
JL. PASAR GN.TEMBAK NO. 39 021 00- U
JL. PASAR GN. TEMBAK 021 00- U
JL. PASAR GUNUNG TEMBAK N021 000 U
JL. PASAR GN.TEMBAK NO.22 021 000 U
JL. PASAR GN. TEMBAK NO. 33022 00- U
B
B
B
JL. PASAR GUNUNG TEMBAK LAMA NO.11 021
B
JL. M. HATTA MUARA JAWA ULU KUTAI KARTANEGARA
021
B
B
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471011201040010 6471015205460001 SARINAH TUBAN 12|05|1946 72 S P
2 6471010107100041 6471014202560002 SABARIAH SINJAI 02|02|1956 62 S P
3 6471010211090015 6471015111650004 ENDAH FAJARWATI KARAWANG 11|11|1965 52 S P
4 6471011111090003 6471015309730001 NURBAYAH BALIKPAPAN 13|09|1973 44 S P
5 6471012509030001 6471012008560002 ANDI RAJE PINRANG 20|08|1956 61 S L
6 6471011810120051 6471014801820001 HENI EKAWATI BALIKPAPAN 08|01|1982 36 B P
7 6471011902080008 6471012804870002 HENDRI DONAR MERPAS 28|04|1987 31 B L
8 6471010603140013 3314104703910006 MARLINA TRI ASTUTI SRAGEN 07|03|1991 27 B P
9 6471010301080003 6471014707780003 SYAMSIAH BALIKPAPAN 07|07|1978 39 P P
10 6471010511090023 6471013112630027 SYAHDAN SAMARINDA 31|12|1963 54 S L
11 6471010511090023 6471017112650047 MINAH M. BALIKPAPAN 31|12|1965 52 S P
12 6471010511090023 6471016505940001 FITRIANI BALIKPAPAN 25|05|1994 24 B P
13 6471010705110004 6471013112680003 ABD. RAHMAN WAJO 31|12|1968 49 S L
14 6471011010120061 6471014107910002 HASNAWATI BONE 01|07|1991 26 B P
15 6471011212050001 6471017112610047 Hj. SAHADA MAROS 31|12|1961 56 P P
16 6471011802100019 6471015408930005 ISDAR DG KEBO JENEPONTO 14|08|1993 24 S P
17 6471011812130004 6471010505740009 ALIANSYAH BALIKPAPAN 05|05|1974 44 B L
18 6471012309120004 6471011103530001 BAHRUDDIN Balikpapan 11|03|1953 65 P L
19 6471010105030005 6471016811850002 HASMI BALIKPAPAN 28|11|1985 32 B P
20 6471010511090023 6471012512810003 SAFARUDIN S. BALIKPAPAN 25|12|1981 36 B L
21 6471010511090023 6471012412820001 JUMADI S. BALIKPAPAN 24|12|1982 35 B L
22 6471010511090023 6471011410840001 ERIYANTO S. BALIKPAPAN 14|10|1984 33 B L
23 6471010512060006 6471014203790004 BASTIAH PASIR 02|03|1979 39 B P
24 6471010602040002 6471011708450002 MU'MIN (PTL) KOTA BARU 17|08|1945 72 S L
25 6471010602040002 6471016211760002 RUSIANI KOTA BARU 22|11|1976 41 B P
26 6471010602040002 6471010304820002 MUHAMMAD IQBAL ADYTYA BALIKPAPAN 03|04|1982 36 B L
27 6471010901040002 6471011506790003 RAHMAT WAHYUDI BALIKPAPAN 15|06|1979 39 B L
28 6471011103090008 6471010709780002 AHYUDI BALIKPAPAN 07|09|1978 39 S L
29 6471011706100034 6471016008670001 INDO TANG SINJAI 20|08|1967 50 B P
30 6471011706100034 6471011203730002 ABD. AZIS UJUNG PANDANG 12|03|1973 45 S L
31 6471012103060001 6471015112790006 SATRIANI. A.MA BULUKUMBA 11|12|1979 38 B P
32 6471012505120023 6471014310930003 MIRA NURSANTI TARAKAN 03|10|1993 24 B P
33 6471012511050001 6471010202710003 MISRAN TABALONG 02|02|1971 47 B L
34 6471012910130018 6471015812780001 FRENCY RIFITA LUMAJANG 18|12|1978 39 B P
35 6471010912090003 6471010212000002 INDRA SADAMTU BALIKPAPAN 02|12|2000 17 B L
36 6471012001090001 6471010506950004 AHMAD MARA BATUANG 05|06|1995 23 B L
37 6471012211130001 6471010512620002 RAMLI CAMPAGALOE 05|12|1962 55 S L
38 6471012211130001 7602050101900005 TRI MULIO MAMUJU 01|01|1990 28 S L
39 6471012309150009 6471012611900001 TAUFIK HIDAYAH BALIKPAPAN 26|11|1990 27 B L
40 6471013004090010 6471010203800003 ARDI BULUKUMBA 02|03|1980 38 B L
41 6471013010130001 6471010404710002 AHMAD GUNTUR KOTA BARU 04|04|1971 47 B L
42 6471010107100058 6471012611970001 NOPAN HIDAYAT BALIKPAPAN 26|11|1997 20 B L
43 6471010807030005 6471014609780003 NURFITRIANI BALIKPAPAN 06|09|1978 39 B P
44 6471011506100046 6471011005780008 MUHAMMAD TOHOHIR TUBAN 10|05|1978 40 B L
45 6471011902070005 6471016606750002 SANIAH MURUNG . A 26|06|1975 43 S P
46 6471011902070005 6471016106960004 SULISTIANINGSIH MURUNG . A 21|06|1996 22 B P
47 6471013012090014 6471017004890001 NORASIAH BALIKPAPAN 30|04|1989 29 S P
48 6471010207070009 6471016202010002 WANDA AZIZAH BALIKPAPAN 22|02|2001 17 B P
49 6471011406100011 6471013112870020 HASANUDDIN BATURORO 31/12/1987 30 S L
50 64710115040130006 6471010101830005 BAMBANG IRAWAN SAMARINDA 01/01/1983 35 S L
51 6471013012080012 6471012505840007 EDIMAN BIMA 25/05/1984 33 S L
52 6471013012080012 6471014710840004 HALIJAH BALIKPAPAN 07/10/1984 33 S P

53 6471010906160018 6471010601880001 RAHMAT SURYA BALIKPAPAN 06/01/1988 30 S L
54 6471011008150016 6402136207750003 ROSMAWATI BALIKPAPAN 22/07/1975 42 P P
55 6471010306150002 6309040406880007 SAINUR RAHMADI BALIKPAPAN 04/06/1988 30 S L
56 6471010306150002 6309044705880002 ROHANI MURUNG A 07/05/1988 30 S P
57 6471010611140004 6402105004930004 TITI JUMIARTI BANGUN REJO 10/04/1993 25 S P
58 6471010210170005 6471025512890001 KIKI RAHMAWATI BALIKPAPAN 15/12/1989 29 S P
59 6471011105120009 6471011209780002 MISRANSYAH BALIKPAPAN 12/09/1978 41 S L
60 647101105120009 6471014107920002 SARIYAH BARABAI 01/07/1992 26 S P
61 6471012409080013 6471010703580002 EDDY FAUDJI BALIKPAPAN 07/03/1958 60 S L
62 6471012409080013 6471015509740002 SUAIBATUL ASLAMIYAH BALIKPAPAN 15/09/1974 41 S P
63 6471012409080013 6471010708980001 M.FAISAL TANDJUNG BALIKPAPAN 07/08/1998 20 S P
64 6471010504070003 6471010404520001 DJUHRI JUNAID KOTA BARU 04/04/1952 66 S L
65 6471011607100033 6471017103980001 RUSMINAH BALIKPAPAN 31/03/1996 22 B P

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 22
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
TERITIP 000 000 4
TERITIP 000 000 4
TERITIP 001 001 4
JL.HANDIL SULAWESI GANG S 022 00- 4
JL. HANDIL SULAWESI NO. 02 022 00- 4
JL.HANDIL SULAWESI NO.21 022 00- 4
JL. HANDIL SULAWESI NO. 03 022 000 4
JL. TENGIRI NO. 40 022 000 4
JL.PASAR GUNUNG TEMBAK022 000 4
JL. PASIR GN. TEMBAK 022 00- 5
JL. PASIR GN. TEMBAK 022 00- 5
JL.HANDIL SULAWESI NO.07 022 00- 5
JL.HANDIL TARUN NO.54 022 000 5
JL. HANDIL TARUN 022
B
JL. HANDIL SULAWESI NO.21 022
B
JL. MULAWARMAN 033
B
JL. MULAWARMAN 033
B
B
B
JL HANDIL SULAWESI 022
B
B
JL HANDIL TARUN 022
B
JL HANDIL TARUN NO 57 022
B
JL.HANDIL SULAWESI 022
B
B
JL.HANDIL TARUN 023
B
JL HANDIL TARUN 023
B
JL.HANDIL TARUN 023
B
JL.HANDIL TARUN NO 81 022
B
JL HANDIL TARUN 022
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471011105050006 6471012507470002 TAUFIQ HAMLI SAMARINDA 25|07|1947 70 S L
2 6471011105050006 6471014204520001 HAJAR BALIKPAPAN 02|04|1952 66 S P
3 6471010209030004 6471017112240005 ATUN. LAMONGAN 31|12|1924 93 P P
4 6471010608040003 6471011506560002 DJAMHURI BANJAR 15|06|1956 62 S L
5 6471010608040003 6471015308560001 RAMLAH BANJAR 13|08|1956 61 S P
6 6471010906080008 6471013112420027 JAMBRI BARABAI 31|12|1942 75 S L
7 6471010912080022 6471010508550001 SAYUTI BARABAI 05|08|1955 62 S L
8 6471011201040006 6471011406510001 AMAT BALIKPAPAN 14|06|1951 67 S L
9 6471011003090029 6471017103880002 RATNA BALIKPAPAN 31|03|1988 30 B P
10 6471012011140007 6471010904860001 HARIANTO BALIKPAPAN 09|04|1986 32 S L
11 6471010403100013 6471011902860001 HERIANTO BALIKPAPAN 19|02|1986 32 B L
12 6471010711070005 6471013006660001 MUHAMMAD SHALEH BALIKPAPAN 30|06|1966 51 S L
13 6471010711070005 6471015707700003 HASNAH BALIKPAPAN 17|07|1970 47 S P
14 6471010711070005 6471014602940001 HERAWATI BALIKPAPAN 06|02|1994 24 B P
15 6471011003090029 6471011106940001 RUDIANTO SAMBOJA 11|06|1994 24 B L
16 6471011201060003 6471011703800002 AZIS BALIKPAPAN 17|03|1980 38 S L
17 6471011206060004 6471014103930001 SITI ARPAH BALIKPAPAN 01|03|1993 25 B P
18 6471011308080008 6471016707950001 MARYATUL SIPNIYAH BALIKPAPAN 27|07|1995 22 B P
19 6471012205130010 6471016708910002 MUS'IDAH BALIKPAPAN 27|08|1991 26 B P
20 6471012411060003 6471015708930003 RINA ANGLY AGUSTINA STYAWATI BALIKPAPAN 17|08|1993 24 B P
21 6471012608090005 6471010101660010 MUHAMMAD YUSUF BALIKPAPAN 01|01|1966 52 S L
22 6471012608090005 6471011503930003 MUHAMMAD BASTIADI TANAH GROGOT 15|03|1993 25 B L
23 6471012701170004 6471014707950003 GIANTARI SUSANTI SAMARINDA 07|07|1995 22 B P
24 6471010304060004 6471055006500003 RUSDIAH BALIKPAPAN 10|06|1950 68 S P
25 6471010304060004 6471050307790002 ERLAN. M BALIKPAPAN 03|07|1979 38 B L
26 6471010401100039 6471010806790003 GUZALI RAHMAN BALIKPAPAN 08|06|1979 39 B L
27 6471010401100039 6471015203850001 SALBIAH BALIKPAPAN 12|03|1985 33 B P
28 6471010804080002 6471017112580034 JURMIAH BARABAI 31|12|1958 59 S P
29 6471010804080002 6471017112950007 SARTIKA BALIKPAPAN 31|12|1995 22 B P
30 6471011409060003 6471017112860008 SARIANI BALIKPAPAN 31|12|1986 31 B P
32 6471011511050001 6471016703830001 JAYANTI BERAU 27|03|1983 35 S P
33 6471011905080007 6471015203840001 MARHANIA SARI BALIKPAPAN 12|03|1984 34 B P
34 6471011906080009 6471016702820002 NOR HUDA TANJUNG 27|02|1982 36 S P
35 6471012306030004 6471014606760003 HAIRIN BUNYU 06|06|1976 42 B P
36 6471012608090005 6471012004960003 MUHAMMAD BAHRIL RAMADHAN BALIKPAPAN 20|04|1996 22 B L
37 6471012608090005 6471011804980003 MUHAMMAD RESKI BALIKPAPAN 18|04|1998 20 B L
38 6471013010120003 6471010807950003 ALAN DWI KURNIAWAN BALIKPAPAN 08|07|1995 22 B L
39 6471013012080018 6471017012850001 NURHAYANI KOLAKA 25|12|1985 32 B P
40 6471012212090033 6471015708810004 RETNO RIWAYATI BARABAI 17|08|1981 36 B P
41 6471010908160009 6471013101850001 MUNAWAR HALAIL SAMBOJA 31|01|1985 33 B L
42 6471011112130012 6409040805850002 HERMANTO MARIDAN 08|05|1985 33 S L
43 6471011607120030 6471010406770006 SUROTO KEDIRI 04|06|1977 41 S L
44 6471011409070001 6471010608800001 RAFLIN A.RAHIM PARANGINA 06|08|1980 37 B L
45 6471011912020007 6471012407800001 TAUFIK UJUNG PANDANG 24|07|1980 37 S L
46 6471012805120008 6471014712820002 JUARIYAH HANDRIYANI NGANJUK 12|07|1982 35 S P
47 6471010908160009 7306024509920006 EKAMARASWATI BATANG KALUKU 05|09|1992 25 B P
48 6471011112130012 3518017004950001 ISTIQOMAH NGANJUK 30|04|1995 23 B P
49 6471011306160012 6471011305010001 BAYU IHSAN BALIKPAPAN 13|05|2001 17 B L
50 6471011505090003 6471012009770002 ABD. MUIS P MACERO 20|09|1977 40 S L
51 6471011505090003 6471016307810002 NURCAHAYA MALAKE 23|07|1981 36 S P
52 6471012707160006 7308032705910001 JULFANSYAH ANGKUE 27|05|1991 27 B L
53 6471012605100009 6471010607780001 ASNAN BALIKPAPAN 06|07|1978 39 S L
54 6471011912120015 6306080810550001 BURHAN NEGARA 08|10|1955 62 S L
55 6471010404030416 6471013112260010 MURHAN KOTA BARU 31|12|1926 91 S L
56 6471013110120014 6471016305830003 WINARSIH BALIKPAPAN 23|05|1983 35 S P
57 6471010412170010 6471011411930002 HENDRA IRAWAN BALIKPAPAN 14|11|1993 24 B L
58 6471012303100034 6471010711320001 BADRI BANJARMASIN 07|11|1932 85 P L
59 6471011107170003 6471010911900004 BUDI CANDRA BALIKPAPAN 09|11|1990 27 B L
60 6471011003090029 6471012102620003 NANANG BALIKPAPAN 21|02|1962 56 S L
61 6471011306160012 6471016107730003 NURHASANAH BALIKPAPAN 21|07|1973 44 S P
62 6471010811170009 6471010809920001 YUDHISTIRA MUARA BADAK 08|09|1992 25 B L
63 6471011912120015 6306082605960001 MUHAMMAD YUSUP KANDANGAN 26|05|1996 21 B L
64 6471011704170013 6471052504840004 RAHMAT ANJIR 25/04/1984 34 S L
65 6471011704170013 6311066010980001 RATIH MURUNG ILUNG 20/10/1998 19 S P
66 6471010309030003 6471013112630035 SYAIFUL ANWAR BALIKPAPAN 31/12/1963 54 S L
67 6471010309030003 6471010505980003 RIDWAN ADAM BALIKPAPAN 04/05/1998 20 B L
68 6471010508160005 6402034101880016 SUDARMAWATI BONE 01/01/1988 30 S P
69 6471011107170003 6471046505850007 ERNA KARUNIA SAMI BALIKPAPAN 25/05/1985 33 S P
70 6401061010110014 6401061111670001 BARANSYAH SAMARINDA 11/11/1967 50 P L
71 6471061606160009 6471056512690003 ROSITA ALABIO 25/12/1969 48 S P
72 6471010506140005 6402112312710002 DARUL ARQAM NURKARIM BALIKPAPAN 23/12/1971 46 S L
73 6471011702040001 6471011212670006 JUMAIN BALIKPAPAN 12/12/1967 50 S L

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 23
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. HANDIL TARUN NO. 19 023 00- 4
JL.GN. TEMBAK MULAWARMA023 000 4
JL.GN. TEMBAK MULAWARMA023 000 4
JL. HANDIL TARUN NO. 48 023 000 4
JL.HANDIL TARUN 023 000 4
JL. HANDIL NARUN NO.5 023 000 4
JL.HANDIL TARUN NO.38 023 00- 4
JL.HANDIL TARUN NO.68 023 000 5
JL.HANDIL TARUN NO.31 023 00- 5
JL. MULAWARMAN BLOK. B023 00- 5
JL. MULAWARMAN BLOK. B023 00- 5
TERITIP 023 000 U
JL. HANDIL TARUN 023 00- 1 U
JL. HANDIL TARUN 023 00- U
JL. HANDIL TARUN NO.03 023 00- 3 U
JL. HANDIL TARUN 023 000 U
JL HANDIL TARUN 023 000 U
B
B
B
B
JL. HANDIL TARUN 023 B
JL. HANDIL TARUN NO.45 023
B
B
B
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010307090006 6471010311500001 BURHANUDDIN SINJAI 03|11|1950 67 S L
2 6471011906090020 6471011304420001 ABAS MAROS 13|04|1942 76 S L
3 6471010201130001 6471012509770002 BASRI BALIKPAPAN 25|09|1977 40 B L
4 6471010307150011 6471014902940006 FITRIYANI BALIKPAPAN 09|02|1994 24 B P
5 6471012404070006 6471013112510033 MUH. AINI SAMARINDA 31|12|1951 66 S L
6 6471011112020002 6471014112550004 SARINAM MADIUN 01|12|1955 62 P P
7 6471012702090016 6471014601300001 MANTAN BANJARMASIN 06|01|1930 88 S P
8 6471012901100011 6471013112460012 LEGIMIN PONOROGO 31|12|1946 71 S L
9 6471011008150001 6471051307450001 BACHTIAR ISHAK TANAH GROGOT 13|07|1945 72 S L
10 6471010611130004 5272020906940003 RAHMANSYAH BIMA 09|06|1994 24 B L
11 6471010508090010 6471011005760003 ABDUL MANAP BALIKPAPAN 10|05|1976 42 S L
12 6471010508090010 6471014808780003 KASENI MOJOKERTO 08|08|1978 39 S P
13 6471010508100034 6471025404700003 JAMA BALIKPAPAN 14|04|1970 48 S P
14 6471011507100023 6471014303800001 SUKINAH BANJARNEGARA 03|03|1980 38 S P
15 6471011809120022 6471010511730002 ARDIANSYAH TANJUNG 05|11|1973 44 P L
16 6471012111130005 6471010601890002 AHMAD RATU ALAM BALIKPAPAN 06|01|1989 29 S L
17 6471012303100031 6471017112700051 SRIWIDATONI BLITAR 31|12|1970 47 S P
18 6471012509130005 6471010705720003 HAERUDDIN JENEPONTO 07|05|1972 46 S L
19 6471012509130005 6471015005750008 SAMSIAH JENEPONTO 10|05|1975 43 S P
20 6471010106100044 6471016201960002 RISDAYANTI SAFARUDDIN SALOK API LAUT 22|01|1996 22 B P
21 6471010303100004 6471010906760002 TOMMY RANTO ORLANDO MAXSA SURABAYA 09|06|1976 42 B L
22 6471010811070005 6471015004980006 ARI MARLINDA SARI KERSIK 16|04|1998 20 B P
23 6471010902090025 6471016207620003 SUMINARTI DANAU SALAK 22|07|1962 55 S P
24 6471010904120002 6471010604820003 AHMAD TAUFIQ BALIKPAPAN 06|04|1982 36 S L
25 6471010904120002 6471015204840007 MARDIANA PALOPO 12|04|1984 34 S P
26 6471011012120011 6471014704780004 NONI ASIH PONITA SALATIGA 07|04|1978 40 P P
27 6471011405090021 6471012807920001 WISNU HARYO SAPUTRO BALIKPAPAN 28|07|1992 25 B L
28 6471011410100001 6471014506700006 DIJAH GEROGOT 05|06|1970 48 S P
29 6471011507100023 6471010608740002 UDIN TAMAN MEDAN 06|08|1974 43 S L
30 6471012109120013 6471052103770003 HERRYANTO BANJARMASIN 21|03|1977 41 S L
31 6471013010090015 6471010505400002 ASNAN KOTA BARU 05|05|1940 78 S L
32 6471010503150017 6471015510950004 TITIS RATNASARI SAMBOJA 15|10|1995 22 B P
33 6471010811070005 6471011010720008 SUHARYONO A. BONGAN 10|10|1972 45 S L
34 6471010811070005 6471016908750001 SUMARSIH MAGETAN 29|08|1975 42 S P
35 6471010705150009 6471051410670001 JUNAIDI BALIKPAPAN 14|10|1967 50 S L
36 6471012111130005 6402134506860003 NURAINI SAMBOJA 05|06|1986 32 B P
37 6471010806150008 5272020608960003 M. HALIMURRAHMAN BIMA 06|08|1996 21 B L
38 6471010212160001 6471051408850006 RUSDIANSYAH BALIKPAPAN 14|08|1985 32 S L
39 6471010212160001 6471057010860003 WIWIN SUSANTI BALIKPAPAN 30|11|1986 31 S P
40 6471010408090028 6402131212750002 MISRAN BALIKPAPAN 12|12|1975 42 S L
41 6471011010120085 6471052308890004 SUROTO MOJOKERTO 23|08|1989 28 S L
42 6471012707120022 6471014400900003 MEGAWATI BALIKPAPAN 04|06|1990 28 S P
43 6471011905100016 6471014109000002 RIZQI NURHIDAYANTI TENGGARONG 01|09|2000 17 B P
44 6471010104160011 7313043112820019 ARMAN LACORI 31|12|1982 35 B L
45 6471012506090007 6471010304920003 AHMAD SALAHUDIN BALIKPAPAN 03|04|1992 26 B L
46 6471011102130020 3329031606850001 MU`MIN BREBES 16|06|1985 33 S L
47 6471011308130008 5272023105910004 ANNA MUFARIS BIMA 31|05|1991 27 B L
48 6471012203160026 6307080812910002 NURMANSYAH PARUM 08/12/1991 26 S L
49 6471012203160026 6471015501950001 WAHYU ENDARWATI BALIKPAPAN 15/01/1995 23 S P
50 6471010402100028 6471014702970001 PUTRI AISYAH BALIKPAPAN 07/02/1997 20 B P
51 6471012711130013 6471012711860002 NOPIYANTO BALIKPAPAN 21/11/1986 31 S L
52 6471010307150011 6402130812870003 SARFINI BAU-BAU 08/12/1987 30 S L

53 6471012305140002 7324070107820047 ANWAR BURAU 01/07/1982 35 B L
54 6471010509130016 6471030811790001 IMAM SYAFI'I BREBES 08/11/1979 38 S L
55 6471011010170007 6471052008850003 AGUS SALIM LAMONGAN 20/08/1985 32 S L
56 6471011010170007 3524035207910001 ROUDHATUL JANNAH LAMONGAN 12/07/1991 26 S P
57 6471011010170008 6471056409540001 RUKOIYAH BOJONEGORO 24/09/1954 63 S P
58 6471011010170003 6471050605980002 A MEY MIFTAHUDDIN BALIKPAPAN 06/05/1998 19 B L
59 6471011112120008 7314074605750001 RIYAWATI RAPPANG 06/05/1975 42 S P
60 6471011203090018 6471011503580002 MISRAN BANJARMASIN 15/03/1958 59 S L
61 6471011609130003 7304100501900001 IHYAWAHYUDIN RAPI PALANTIKAN 05/01/1990 27 S L
62 6471010508100034 6471022311990003 JAKARIA SUKARNO PUTRA BALIKPAPAN 23/11/1999 18 B L
63 6471011906090005 6471010203980003 MUHAMMAD RIDUAN BALIKPAPAN 02/03/1998 19 B L
64 6471012407170009 7371105907810002 NURHIKMA JENEPONTO 19/07/1981 36 S P
65 6471012407170009 7371100906990003 HENDRA SUSANTO JENEPONTO 09/06/1999 18 B L
66 6471012407170008 5307151605920001 AL MAUN SAMOTANG 16/05/1992 25 B L
67 6471010912140013 6471016008850002 SANIAH BALIKPAPAN 20/08/1985 32 S P
68 6471012301090005 6471012104000007 MUHAMMAD RIDHO MAULANA BALIKPAPAN 24/04/2000 17 B L
69 6471010102130009 6307044310730001 ASIAH TABAT 03/10/1973 44 S P
70 6471011106120009 6471014410650004 BATAWIYAH PARINGIN 04/10/1965 52 S P
71 6471011612020010 6471013112660051 MUNAWAR KEDIRI 31/12/1966 51 S L
72 6471011612020010 6471015007740001 GIANAH KEDIRI 10/07/1974 43 S P
73 6471011711170002 6471051005980003 ABDUL KHOLIQ BALIKPAPAN 10/05/1998 19 S L
74 6471011711170002 6471057009960006 NUR INTAN BALIKPAPAN 30/09/1996 21 S P
75 6471011608130002 3510240806880001 AHMAD ISROK BANYUWANGI 08/03/1988 29 S L

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 24
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. HANDIL MARGA NO.85 024 00- 1
JL. HANDIL MARGA 024 00- 1
JL. HANDIL MARGA NO.68 024 000 1
JL. HANDIL NARUN NO.50 033 00- 1
JL.HANDIL TARUN 033 00- 1
TERITIP 001 001 4
JL. HANDIL TARUN NO. 024 00- 4
JL. HANDIL MARGA NO. 5 024 00- 4
JL. HANDIL MARGA 024 000 4
JL. HANDIL MARGA RT.024 024 000 4
JL. MUFAKAT NO. 031 00- 4
JL. HANDIL TARUN GN. TE 024 00- 4
TERITIP 024 001 U
TERITIP 024 001 U
B
B
B
B
JL. HANDIL MARGA 024 B
JL. HANDIL MARGA 024
B
JL. HANDIL TARUN GG. KREATIF 024 B
JL. HANDIL TARUN GG. KREATIF 024
B
B
B
JL. HANDIL MARGA 77 024
B
B
B
B
B
B
B
B
B
B
B
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010303090009 6471014612400001 MUHANI URASO 06|12|1940 77 P P
2 6471012404090007 6471016509540001 ASMAH TANJUNG REDEB 25|09|1954 63 P P
3 6471011211090016 6471017112560047 HASNAH. SINJAI 31|12|1956 61 S P
4 6471010607090027 6471017112340009 SITI KHIDIJAH BLITAR 31|12|1934 83 P P
5 6471012012030002 6471017112560059 ST. HASNAH. T BONE 31|12|1956 61 S P
6 6471012903100017 6471015303640001 SHOFIAH. K SAMARINDA 13|03|1964 54 S P
7 6471010405090010 6471014508690006 NURMIYAH KADIR BONE 05|08|1969 48 S P
8 6471010406100027 6471017112600062 HAWASIAH ENREKANG 31|12|1960 57 S P
9 6471011111090022 6471016302510001 HJ. NURYANA TANJUNG WARU 23|02|1951 67 S P
10 6471011504030005 6471017112480028 RUNNE BONE 31|12|1948 69 S P
11 6471011509090011 6471014505600003 ST.ROHAYATI BANDUNG 05|05|1960 58 S P
12 6471011705100031 6471017112650052 RUSMINI GROGOT 31|12|1965 52 S P
13 6471011809130012 3319017106550002 MARFUAH PACITAN 31|08|1955 62 S P
14 6471012205090002 6471014502460001 HAMIDAH.T TOLI-TOLI 05|02|1946 72 P P
15 6471012803050001 6471017112790023 SITI MARIYAH PETUNG 31|12|1979 38 S P
16 6471010402050001 6471015407780001 MAIMUNAH NASRUN FLORES 14|07|1978 39 B P
17 6471010605130009 6402135707920005 NUR AMALIYAH BONTANG 17|07|1992 25 P P
18 6471011402140001 1607067112890005 DARMA SUCI BANYUASIN 31|12|1989 28 S P
19 6471010611120001 6471016705450001 ZAENAB BONE 27|05|1945 73 P P
20 6471011311060005 6471014704660001 SITI SYAMSIAH ABDULLAH, Dra SELAYAR 07|04|1966 52 S P
21 6471012110030008 6471016010730001 MUTMAINNAH QULUB SINJAI 20|10|1973 44 S P
22 6471012209120090 6471036805860004 ANA INDAH HAYATI BALIKPAPAN 28|05|1986 32 S P
23 6471011012070003 6471017112720042 NUR LAILA.DM BERAU 31|12|1972 45 S P
24 6471011012070003 6471014510940004 ARIFATUL MAHMUDAH BALIKPAPAN 05|10|1994 23 B P
25 6471011012070003 6471016808960001 ARINI ASSA'ADAH BALIKPAPAN 28|08|1996 21 B P
26 6471011203080005 6471014702730002 NURLAILA GAFFAR JENEPONTO 07|02|1973 45 S P
27 6471011405100018 6471014404680001 ST.NADJEMIYAH, DRA SINJAI 04|04|1968 50 S P
28 6471011405100018 6471014710960001 NUR ANISAH ARIFAH BALIKPAPAN 07|10|1996 21 B P
29 6471011912020009 6471014607800005 NURUL ARIFAH (PTL) KUTAI 06|07|1980 37 B P
30 6471011912020135 6471015311820001 INDARTI ABEPURA 13|11|1982 35 S P
31 6471011912020557 6471015508650006 LINDA WARNIS. DRA TANJUNG PINANG 15|08|1965 52 S P
32 6471012907090006 6471054502780004 LILIK HERNAWATI JOMBANG 05|02|1978 40 S P
33 6471011908130012 6471016808860002 FATIMAH. H BALIKPAPAN 28|08|1986 31 S P
34 6471010404030016 6471014508770002 AISYAH ENREKANG 05|08|1977 40 B P
35 6471010404030016 6471014303770002 NURUL MAGFIROH BULUKUMBA 03|03|1977 41 B P
36 6471010404030016 6471015509770001 ST.HAJAR HP BONTANG 15|09|1977 40 B P
37 6471010404030016 6471015202780003 HASNIATI MANSYUR JENEPONTO 12|02|1978 40 B P
38 6471010404030017 6471016611760001 JUMIATI KHABIRE BALIKPAPAN 26|11|1976 41 B P
39 6471010404030017 6471015006770002 MASNI PALOPO 10|06|1977 41 B P
40 6471010404030163 6471015705620002 SRI RIFIANA GRESIK 17|05|1962 56 S P
41 6471010704100027 6471016411820002 ANNISA, ST PONTIANAK 24|11|1982 35 S P
42 6471010711060004 6471014708850003 ASMAWATI SAMBOJA 07|08|1985 32 S P
43 6471010805030001 6471015501750002 MAHDIYYAH ROGBAH MAJENE 15|01|1975 43 B P
44 6471010805030001 6471015311770001 NURMIAH. T MAJENE 13|11|1977 40 B P
45 6471010805030001 6471014905790005 RUSMINI. AM SEMARANG 09|05|1979 39 B P
46 6471010805030001 6471015502800007 ST. MURNIATI SAMARINDA 15|02|1980 38 B P
47 6471011201100023 6471017112350010 AMINAH BALIKPAPAN 31|12|1935 82 S P
48 6471011305090010 6471015010700006 MARYANI MAYA, S.PT MAKASSAR 10|10|1970 47 S P
49 6471011305090010 6471016706960002 FARISAH GHAISANI MAKASSAR 27|06|1996 22 B P
50 6471011405130006 6471014504340001 KHATIJAH ENREKANG 05|04|1934 84 P P
51 6471011504030005 6471016301780001 HAJRAH BALIKPAPAN 23|01|1978 40 B P
52 6471011506100010 6471015005800003 MA'RIFAH BANYUWANGI 10|05|1980 38 B P
53 6471011702050002 6471016411820001 NUR JAMILAH JAWA BARAT 24|11|1982 35 B P
54 6471011702050002 6471015010840010 HAMSIAH PENAJAM 10|10|1984 33 B P
55 6471011702050002 6471015807850001 DEVI FATIMAH BANDUNG 18|07|1985 32 B P
56 6471011808140005 6471015507940001 AISYAH ROFI'AH BALIKPAPAN 15|07|1994 23 S P
57 6471011907050001 6471017112760023 NURARIFAH, AMD ACEH UTARA 31|12|1976 41 B P
58 6471011907050001 6471014304780002 SABRINA DEWI ACEH 03|04|1978 40 B P
59 6471011907050001 6471016903780001 KHAIRATI GAFFAR JENEPONTO 29|03|1978 40 B P
60 6471011907050001 6471014905790004 NUR ROHMINAH MAGELANG 09|05|1979 39 B P
61 6471011909120002 6471015104870005 ANITA TULUNG AGUNG 11|04|1987 31 S P
62 6471011911030001 6471016807740001 NURUL HIDAYANTI MEDAN 28|07|1974 43 B P
63 6471011911030001 6471014207770003 NAWIYAH MANADO 02|07|1977 40 B P
64 6471011911030001 6471014506790002 FITRIATUSSA'ADAH PALOPO 05|06|1979 39 B P
65 6471011911030001 6471015202810002 MUHAJIRAH. HM LOA JANAN 12|02|1981 37 B P
66 6471011911030002 6471015311770002 NURMIATI MAJENE 13|11|1977 40 B P
67 6471011911030002 6471016111780002 HUSNUL KHOTIMAH BALIKPAPAN 21|11|1978 39 B P
68 6471011911030002 6471014711790002 NURLIA MAJENE 07|11|1979 38 B P
69 6471011911030002 6471014106790002 NUR RAHMAH RAUF BALIKPAPAN 01|06|1979 39 B P
70 6471011911030002 6471014409790003 SAKINAH PASIR 04|09|1979 38 B P
71 6471011911030002 6471015011790003 MARWATI SIDRAP 10|11|1979 38 B P
72 6471011911030002 6471015010820003 NUR JANNAH TOLI-TOLI 10|10|1982 35 B P
73 6471011911030003 6471016403780002 SUNDARI MAGETAN 24|03|1978 40 B P
74 6471011911030003 6471014704780002 FADHILAH ACEH PIDIE 07|04|1978 40 B P
75 6471011911030003 6471016112790002 NUR PALESTINA BALIKPAPAN 21|12|1979 38 B P
76 6471011911030003 6471015205790002 MARIYAH AMIR PENAJAM PASIR 12|05|1979 39 B P
77 6471011911030003 6471015605790002 RAHMI IBRAHIM SULAWESI 16|05|1979 39 B P
78 6471011911030003 6471015008800002 HASNA FAUZIAH BULUKUMBA 10|08|1980 37 B P
79 6471011911030003 6471015405810002 NASRAH MUJAHIDAH SINJAI 14|05|1981 37 B P
80 6471011911030003 6471016803820002 ROMLAH. S UJUNG PANDANG 28|03|1982 36 B P
81 6471012008030001 6471015112770003 NORMA SUBARI BALIKPAPAN 11|12|1977 40 B P
82 6471012008030001 6471015907780002 AMINAH ALI PALU 19|07|1978 39 B P
83 6471012008030001 6471016707780003 HAMSINAH. MR LONGKALI PASIR 27|07|1978 39 B P
84 6471012307030002 6471016502810002 MAHFUDZON BALIKPAPAN 25|02|1981 37 S P
85 6471012604100001 6471014711770001 ST. HAJAR BALIKPAPAN 07|11|1977 40 B P
86 6471012911040002 6471016207570001 HJ. ELLYA NOOR PADANG 22|07|1957 60 S P
87 6471013007090026 6471016204800001 RAHMAWATI KUTAI 22|04|1980 38 B P
88 6471013007090026 6471015011860003 KURRATA'YUNIN BALIKPAPAN 10|11|1986 31 B P
89 6471010809060003 6471016411770001 NURSIAH.AM TOLI-TOLI 24|11|1977 40 S P
90 6471010910120059 6471014707880002 KHOLIDATURRAHMAH KUTAI 07|07|1988 29 S P
91 6471011401100030 6471015310790002 NURHIDAYAH BALIKPAPAN 13|10|1979 38 S P
92 6471011406100009 6471016206740002 NOOR RAHMAH. MA BALIKPAPAN 22|06|1974 44 S P
93 6471011907060006 6471017112570008 MULYANI.P KALOSI 30|12|1957 60 S P
94 6471012203170014 6471015304710001 NURKIA ISIMA BITUNG 13|04|1971 47 S P
95 6471011207160014 6471016011960001 HIJRIATUL AMALIAH MEDAN 20|11|1996 21 B P
96 6471011707080007 6471015802830002 SITI SOLEKHAH KENDARI 18|02|1983 35 S P
97 6471011506100065 6406025501870001 SURIYANTI ABD. HAMID MANSALEAN 15|01|1987 31 S P
98 6471012312080008 6471016701000001 HANDAYANI PUSPITA SARI BALIKPAPAN 27|01|2000 18 B P
99 6471012005140001 6471015212880002 MUSLIHAH BALIKPAPAN 12|12|1988 29 S P
100 6471012609130008 5306076203930003 HALIMAH TUSADIA BELENG BAHRIMAN MALASYSIA 22/03/1993 25 S P
101 6471010402090012 6471015812720003 MARIANI BULUKUMBA 18/12/1972 45 S P
102 6471010402090012 6471016007950001 MUKHLISA UJUNG PANDANG 20/07/1995 22 B P
103 6471011211090016 6471016004990003 FATIMAH AZ ZAHRAH BALIKPAPAN 20/04/1999 18 B P
104 6471011011120006 6474016302950007 FITRIANI SESULU 23/02/1995 23 S P
105 6471010301080001 6471017112520035 DARWIYAH BULUKUMBA 31/12/1952 61 S P
106 6471010301080001 6471016807940004 UMMUL WAFIQAH YUSUP BULUKUMBA 28/07/1994 23 B P
107 6471010501180005 3525135809910001 NUR SARI SADICHA SURABAYA 18/09/1991 26 S P
108 6471011809130019 5201025305890004 APRIANINGSIH GERSIK 07/06/1990 27 S P
109 6471012406100003 6471014909990004 HAFIZATUN MAHMUDAH BALIKPAPAN 09/09/1999 18 B P
110 6471010304140005 3578265902760002 MUTMAINNAH BALIKPAPAN 19/02/1976 42 S P
111 6471011408120015 6471015007810004 HALMA MAJENE 10/07/1981 36 S P
112 6471010141240012 3514136108900001 SITI NUR NILA YUNITA PASURUAN 21/08/1990 27 S P
113 6471010402100016 6402045906870004 YUNITA MUARA PANTUA 28/04/1987 30 S P
114 6471012801150016 6474014209910001 NUR FITRIANI PALU 02/09/1991 26 S P
115 6471013009100022 6471015512990002 RAHMATIAH NUR RAMADANI BALIKPAPAN 15/12/1999 18 B P
116 6471011809130012 3276052212650007 TUTI MULYANI JAKARTA 22/12/1965 53 S P

117 6471012105100016 6471012608980001 ULUL AZMI BALIKPAPAN 26/08/1998 19 B P
118 6471011611170015 6402136107650002 SYAMSIYAH JENEPONTO 21/07/1965 53 S P

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 25
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. MULAWARMAN PESANTRE026 000 1
JLN. MULAWARMAN NO.08 026 000 1
TERITIP 000 000 4
TERITIP 000 000 4
TERITIP 001 001 4
JL. PDAM 027 00- 4
JL. PDAM 027 00- 4
JL. PDAM 027 00- 4
JL. PDAM NO. 027 00- 4
B
JL. MULAWARMAN 025
B
JL. MULAWARMAN 025
B
JL. MULAWARMAN 025
B
JL. MULAWARMAN 025
B
JL. MULAWARMAN 026
B
JL. MULAWARMAN 026
B
JL. MULAWARMAN 026
B
JL. MULAWARMAN 026
B
JL. MULAWARMAN 026
B
JL. MULAWARMAN 026
B
JL. MULAWARMAN 026
B
JL. MULAWARMAN 026
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010404030288 6471011406340001 MUHAMMAD YUNUS PINRANG 14|06|1934 84 S L
2 6471011611090014 6471013112240003 KALLU BONE 31|12|1924 93 S L
3 6471010406100027 6471013112570048 MUH. ALIM ENREKANG 31|12|1957 60 P L
4 6471011907060006 6471013112500047 MUH.NURDIN.S BONE 31|12|1950 67 S L
5 6471012503100019 6471010504480001 ABD.KARIM BONGGO JENEPONTO 05|04|1948 70 S L
6 6471012604100001 6471010808520001 HASAN SOERADJI BALIKPAPAN 08|08|1952 65 S L
7 6471012606120003 6471013009810001 KISWAN ALI BUOL 30|09|1981 36 S L
8 6471011411110009 6471010307770002 MURSID MAROS 03|07|1977 40 B L
9 6471012707060005 6471012312980002 IKHSAN AS.HAR .HASAN SALUMAKARRA 23|02|1998 20 B L
10 6471012903100017 6471011111920001 SULTHON NASHIR. Y MANOKWARI 11|11|1992 25 B L
11 6471011506100065 6406020501840001 M. TAUFIQ SINJAI 05|01|1984 34 S L
12 6471013108150004 6471010312890003 MUZHIRUL HAQ BALIKPAPAN 02|04|1989 29 B L
13 6471012903100015 6471013009610001 SUNARDI BANTUL 30|09|1961 56 S L
14 6471011007070001 6471010809730002 AHMAD AWALUDDIN LUWU 08|09|1973 44 S L
15 6471011311060005 6471010912670001 NASRI BOHARI, Drs JENEPONTO 09|12|1967 50 S L
16 6471011311060005 6471012105950002 ABDUL WAHID MIFTAHUL FIRDAUS BALIKPAPAN 21|05|1995 23 B L
17 6471012110030008 6471012804710001 BACHTIAR ARAS PARE-PARE 28|04|1971 47 S L
18 6471012302090005 6471010310670002 MUHAMMAD SINUH ALIANSYAH BANJARMASIN 03|10|1967 50 S L
19 6471012609120053 6471012903880003 MISWANTO SALUALO 29|03|1988 30 S L
20 6471013107120030 6471012506940001 KASYFUL ANWARI HAQ MAKASSAR 25|06|1994 24 B L
21 6471010812030005 6471013112760066 NASRUDDIN.DM BERAU 31|12|1976 41 B L
22 6471011012070003 6471011809670001 NURDIN ABDULLAH ENREKANG 18|09|1967 50 S L
23 6471011012070003 6471011910920001 AHMAD KHAIRULLAH BALIKPAPAN 19|10|1992 25 B L
24 6471011012070003 6471010811930001 NASRULLAH BALIKPAPAN 08|11|1993 24 B L
25 6471011311060005 6471011103970001 AHMAD MUFLIH ROBBANI BALIKPAPAN 11|03|1997 21 B L
26 6471011903030001 6471012010740005 PIT ANUGRAH HARYADI, SS JAKARTA 20|10|1974 43 B L
27 6471011903030001 6471011111760007 BAMBANG SIREGAR PADANG SIDEMPUAN 11|11|1976 41 B L
28 6471011903030001 6471011212770007 KUPMIN RAMBE, SS PADANG SIDIMPUAN 12|12|1977 40 B L
29 6471012002060002 6471011610780001 MUHAMMAD NAJIBULLAH SERKANA
FAKFAK 16|10|1978 39 B L
30 6471012002060002 6471011611790003 MUHAMMAD DALY KANABARAF FAKFAK 16|11|1979 38 B L
31 6471012708100004 6471010710770002 ABDUL SAMAD, SE BULUKONYI 07|10|1977 40 S L
32 6471012909090003 6471010101850011 RANO SAFRAN GERSIK 01|01|1985 33 B L
33 6471010404030163 6471012908620001 CHOIRUL ANAM GRESIK 29|08|1962 55 S L
34 6471010404030163 6471011209910001 DAUD RASYID ALBAR BALIKPAPAN 12|09|1991 26 B L
35 6471010404030163 6471010805930002 ISA ABDUL BARRI BALIKPAPAN 08|05|1993 25 B L
36 6471010404030163 6471010807960002 MUHAMMAD ALHASYIR BALIKPAPAN 08|07|1996 21 B L
37 6471011103040002 6471010707810003 A. HERY WARALOHI 07|07|1981 36 B L
38 6471011305090010 6471011210690003 HAMKA LATIF, S.SOS PALU 12|10|1969 48 S L
39 6471011305090010 6471010207940002 MUHAMMAD KASYFURRAHMAN MAKASSAR 02|07|1994 23 B L
40 6471011306120008 6471012805850005 RAHMADANI. MPS PASIR 28|05|1985 33 B L
41 6471011307060004 6471013112770042 M. WAHIB SAMARINDA 31|12|1977 40 B L
42 6471011307060004 6471013112790042 M. ZAINURI SAMARINDA 31|12|1979 38 B L
43 6471011912020495 6471011606810003 ABDUL MUNIP PASIR 16|06|1981 37 B L
44 6471011912020495 6471011308890003 ABDUL MUIS PASIR 13|08|1989 28 B L
45 6471011912020495 6471010906890001 AMIRUDDIN AKBAR PASIR 09|06|1989 29 B L
46 6471012006060003 6471012812790002 M. YULA MALUKU UTARA 28|12|1979 38 B L
47 6471012505100024 6471010907870003 FATAHILLAH BALIKPAPAN 09|07|1987 30 B L
48 6471012604100001 6471011008870002 BADRUS ZAMAN BALIKPAPAN 10|08|1987 30 B L
49 6471012911040002 6471012001500001 H.A. HASAN IBRAHIM PEKALONGAN 20|01|1950 68 S L
50 6471012911040002 6471012002820001 SAIFULLAH BALIKPAPAN 20|02|1982 36 B L
51 6471012911040002 6471013011890001 FADHLUR RAHMAN BALIKPAPAN 30|11|1989 28 B L
52 6471013007090026 6471010812570001 BAHARUDDIN. A ENREKANG 08|12|1957 60 S L
53 6471013008020001 6471012004690002 ABD. HARIS BONE 20|04|1969 49 S L
54 6471010307060006 6471051008790002 ZEAUL HAQ BALIKPAPAN 10|08|1979 38 S L
55 6471011401100030 6471010709730003 MUHAMMAD SYAHIR BULUKUMBA 07|09|1973 44 S L
56 6471011406100009 6471021506690002 TAUFIK ABD MUIN, S. PD SIMATANG 15|06|1969 49 S L
57 6471011507090025 6471012207900003 MUHAMMAD AL-MUHARROMY TARAKAN 22|07|1990 27 B L
58 6471011707080007 6471012004820003 AINUL HAQ MAROS 20|04|1982 36 S L
59 6471012008090005 6471010309700002 MUHAMMAD IQBAL NURKARIM BALIKPAPAN 03|09|1970 47 S L
60 6471012209100003 6471013112730035 A.ISHAK. SS CEMPANIGA 31|12|1973 44 S L
61 6471012209120067 6471012701920002 IMAM FAISHOL PAMEKASAN 27|01|1992 26 B L
62 6471011402140001 3319010601800004 MUQIMUL HAQ BALIKPAPAN BARAT 06|01|1980 38 S L
63 6471012710140015 1401182705890003 ERWAN KAPUR 27|05|1989 29 B L
64 6471012005140001 6471010606880001 MUNAWAR KHOLIL BALIKPAPAN 06|06|1988 30 B L
65 64710130008100017 6471011503990001 ABDUROHIM BALIKPAPAN 15/03/1999 19 B L
66 6471011401100036 6471012801000002 MUHAMMAD AJERIL ARIF BALIKPAPAN 28/01/2000 18 B L
67 6471010607090031 6471011506980003 AULIA RAHMAN BALIKPAPAN 15/06/1998 19 B L
68 6471012209160007 6409011412900001 MUHAMMAD DINUL HAQ JAYAPURA 14/12/1990 27 S L
69 6471010402100016 6471011505810005 ABDULLAH SU'UD LAMPUNG 04/01/1980 38 S L
70 6471012801150016 6471011803920002 RAHMADANI ANSAL PARE-PARE 18/03/1992 25 S L
71 6471013005100004 6471010904980002 ABDULLAH SAID RIDHO BALIKPAPAN 09/04/1998 19 B L
72 6471010612130006 7322111411900001 SYARIFUDDIN LONGA 14/11/1989 29 S L
73 6471011809130012 3319011208520003 AMIN MAHMUD BALIKPAPAN 12/08/1952 66 S L
74 6471011611170015 6402131505630001 SYAFARUDIN JENEPONTO 15/05/1963 55 S L
75 6471010812140013 7371141707910006 IBRAHIM TOBENTENG 17/07/1991 27 S L
76 6471010812140013 6403056004940001 LUTHFIATURRAHMAH BULUNGAN 20/04/1994 24 S P
77 6471011909050001 6471012203950001 FAISAL ANNURDIN BALIKPAPAN 22/03/1995 22 B L
78 6471012404130006 6471010506820009 HASTONI BULUKUMBA 05/06/1982 35 S L
79 6471019803578 6471011011700003 KASPAN LUWU 10/11/1970 47 S L
80 6471010706100019 6471011002710002 LUKMAN AHMAD PARE-PARE 10/02/1971 47 S L
81 6471012609130008 9106124069400001 GUNTUR ANDI SAYANG PURBALINGGA 14/06/1994 23 S L
82 6471010402090012 6471011602650002 H. SYAMSUL MAARIF SINJAI 16/02/1965 53 S L
83 6471010402090012 6471012006970002 MUH. IKHSAN KAMIL UJUNG PANDANG 20/06/1997 21 B L

84 6471012001100003 6471012308750004 SUTRISNO KARANGAN 23/08/1975 42 S L
85 6471010301080001 6471013112360030 MUH. SALEH BAYANG HILA-HILA 31/12/1936 81 S L
86 6471010301080001 6471012311950003 IBRAHIM HAMAL HILA-HILA 23/11/1995 22 B L
87 6471010301080001 6471012311950003 IBRAHIM HAMAL HILA-HILA 23/11/1995 22 B L

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 26
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JLN. MULAWARMAN NO.08 026 00- 1
JL. MULAWARMAN NO. 70 A 025 00- 4
JL. PDAM 027 00- 4
JL. PDAM 027 00- 4
JL. PDAM 027 00- 4
JL. PDAM NO. 027 00- 4
JL. PDAM NO. 14 027 00- 4
B
B
B
B
JL. MULAWARMAN 026
B
B
JL. MULAWARMAN 026
B
JL. MULAWARMAN 026
B
JL. MULAWARMAN 026
B
JL. MULAWARMAN 025
B
JL. MULAWARMAN 025
B
JL. MULAWARMAN 025
B
B
JL. MULAWARMAN 025
B
JL. MULAWARMAN 025
B
JL. MULAWARMAN 025
B
JL. MULAWARMAN 025
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471012207040002 6471013112390015 IBRAHIM BALIKPAPAN 31|12|1939 78 P L
2 6471011012130009 6471017112500078 RUDE GROGOT 31|12|1950 67 B P
3 6471011112130013 6401045007570005 SITTI HASMI BONE 10|07|1957 60 S P
4 6471011312130011 6471010107740006 WAKIMAN TUBAN 01|07|1974 43 B L
5 6471011312130016 6471010103560004 AHMAD DIANSYAH SAMBOJA 01|03|1956 62 B L
6 6471012004100004 6471014202970002 EVITA FEBRYZA JAKARTA 02|02|1997 21 B P
7 6471012104090023 6471013112490025 M.YUSUP SABAN BALIKPAPAN 31|12|1949 68 S L
8 6471012212080007 6471015612960001 MARFUAH BALIKPAPAN 16|12|1996 21 B P
9 6471012904100004 6471015512330001 HAMISAH SALIKI 15|12|1933 84 P P
10 6471012906090028 6471016004620002 DAIMAH PASIR 20|04|1962 56 S P
11 6471019900270001 6471010201380001 SANUSI PASIR 01|02|1938 80 S P
12 6471011906120001 6471015508880004 LULUK AFIDA SORAYA LUMAJANG 15|08|1982 35 S P
13 6471011112130013 6401040204900002 AHMAD ZAKIR KUARO 02|04|1990 28 B L
14 6471010405090015 6471032807750006 KARJONO BANTUL 28|07|1975 42 S L
15 6471010405090015 6471014409840001 NURHIDAYAH BALIKPAPAN 04|09|1984 33 S P
16 6471012409080013 6471010703580002 EDDY FAUDJI BALIKPAPAN 07|03|1958 60 S L
17 6471012409080013 6471015509740002 SUAIBATUL ASLAMIYAH BALIKPAPAN 15|09|1974 43 S P
18 6471010801100014 6471011004810007 SARPANI, S.Psi KANDANGAN 10|04|1981 37 S L
19 6471010902070002 6471011003660002 KHAIRUL AMRI, S.Pd GRESIK 10|03|1966 52 S L
20 6471012609120053 6471016809880002 KHAIRUNNIDA BALIKPAPAN 28|09|1988 29 S P
21 6471012901130018 6471014906920002 YUNI MA'RIFAH BALIKPAPAN 09|06|1992 26 B P
23 6471010210120043 6471016206910003 FAHRINA BANDANG 22|06|1991 27 S P
24 6471010709160009 6471010107930002 INSAN KAMIL BALIKPAPAN 05|07|1993 24 B L
25 6471010812090010 6471010202710006 MAHADI KUNINGAN 02|02|1971 47 S L
26 6471010812090010 6471014406750002 MARIYANA BALIKPAPAN 04|06|1975 43 S P
27 6471010812090010 6471016811940003 WIWI WIDIANINGSIH BALIKPAPAN 28|11|1994 23 B P
28 6471010906160011 6471040202720005 AMBO UPE UJUNG PANDANG 02|02|1972 46 S L
29 6471010910120059 6471011206840007 HARIANTO MINAKARYA 12|06|1984 34 S L
30 6471011207060003 6471012805850004 RAHMADANI BALIKPAPAN 28|05|1985 33 B L
31 6471011510120073 6471012212640002 SYAMSUL BALIKPAPAN 22|12|1964 53 S L
32 6471011609140005 6471014202930006 HENI SUNDARI BALIKPAPAN 02|02|1993 25 S P
33 6471011804120008 6471010802870001 HADI PURWASETA SIAHAAN BALIKPAPAN 08|02|1987 31 B L
34 6471011806040003 6471010507660004 AHMAD DIDIK BALIKPAPAN 05|07|1966 51 S L
35 6471012003090030 6471012707840001 SAID ABDULLAH BALIKPAPAN 27|07|1984 33 B L
36 6471012104090009 6471011808880004 AGUS PRIYANTO NGANJUK 18|08|1988 29 B L
37 6471012104090023 6471017112530027 NURHAYATI BALIKPAPAN 31|12|1953 64 S P
38 6471012807100016 6471011807680002 RUSMAN MAHMUD MAJENE 18|07|1968 49 S L
39 6471012807100016 6471017003750002 MULIYANA BALIKPAPAN 30|03|1975 43 S P
40 6471012906090028 6471015507800002 SUSANTI.K BALIKPAPAN 15|07|1980 37 B P
41 6471013010080010 6471015806920001 HILMIAH BALIKPAPAN 18|06|1992 26 B P
42 6471013010080010 6471012608960001 KHAIRUL GUNAWAN. S SAMBAKUNGAN 26|08|1996 21 B L
43 6471010510070005 6471013112840029 HERU PURNAMA BALIKPAPAN 31|12|1984 33 B L
44 6471010510070005 6471015309900001 DWI PURNAWATI BALIKPAPAN 13|09|1990 27 B P
45 6471010705140001 6471010509940002 FA TCHUL MUNIR BALIKPAPAN 05|09|1994 23 B L
46 6471010908050005 6471012409920001 ARDI WIRAWAN BALIKPAPAN 24|09|1992 25 B L
47 6471011012130006 6471011707790005 ALDI MIMBALA 17|07|1979 38 S L
48 6471011012130008 6471011701840003 SUKIS TUBAN 17|01|1984 34 B L
49 6471011208030004 6471016812580001 SYAHRIAYAH PARINGIN 28|12|1958 59 S P
50 6471011208030004 6471011208800008 FURWANSYAH BALIKPAPAN 12|08|1980 37 B L
51 6471011208030004 6471015005830004 SITI HELMAH BALIKPAPAN 10|05|1983 35 B P
52 6471011405100023 6471011109820002 SAHRANSAH BALIKPAPAN 11|09|1982 35 B L
53 6471011507090025 6471014505780007 RATNA BULKIS BALIKPAPAN 05|05|1978 40 B P
54 6471011507090025 6471014707800004 DEWI ADENINAWATY BALIKPAPAN 07|07|1980 37 B P
55 6471011507090025 6471010506820001 MUHAMMAD ABROR BALIKPAPAN 05|06|1982 36 B L
56 6471011509080007 6471011203900003 AZHAR SINJAI 12|03|1990 28 B L
57 6471011705100041 6471014202850001 MARHAMAH TOLI-TOLI 02|02|1985 33 B P
58 6471012003090030 6471012006900001 SATRIYA NUGRAHA MANADO 20|06|1990 28 B L
59 6471012210030004 6471010404860004 ZA'IM AZHAR BALIKPAPAN 04|04|1986 32 B L
60 6471012609120058 6471013004830001 IBNU HAJAR BALIKPAPAN 30|04|1983 35 B L
61 6471012906090028 6471012308590002 MANSUR BALIKPAPAN 23|08|1959 58 S L
62 6471012906090028 6471011905950001 MUHAMMAD JUMRIANSYAH BALIKPAPAN 19|05|1995 23 B L
63 6471010210120045 6471011505990001 ABDUL BASITH FADHEL TOLI-TOLI 15|05|1999 19 B L
64 6471010210120045 6471014303010002 ROFIFAH KHAIRUNNISA FADHEL TIMIKA 03|03|2001 17 B P
65 6471010812090010 6471016104990002 NURUL FATUL JANNAH KUNINGAN 21|04|1999 19 B P
66 6471012003090015 7403242603950001 LA NAWAWI SIHARIS MATAINDO 26|03|1995 23 B L
67 6471011012130013 6471010510940007 M. YUSUP TUBAN 05|10|1994 23 B L
68 6471011706030005 6471016202790007 SAMIAH BALIKPAPAN 22|02|1979 39 B P
69 6471011912020513 6471014903970001 SARINAH BALIKPAPAN 09|03|1997 21 B P
70 6471012706120028 6471015107910002 ARMIDA AINI BERINGIN GAYO 11|07|1991 26 B P
71 6471010405100015 6471011110820005 PRASTYONO MADIUN 11|10|1982 35 S L
72 6471012808120023 6471010402900003 MUHAMMAD FARIDHO TANGERANG 04|02|1990 28 S L
73 6471011008150005 6471052502770011 FERY HARTANTO BALIKPAPAN 25|02|1977 41 B L
74 6471011201170008 6409014807890003 SANIAH SAMBOJA 08|07|1989 28 S P
75 6471011711050003 6471013112850023 SABRAN KUTAI 31|12|1985 32 B L
76 6471010508100021 6402136612740001 ERNI BEKTI MALANG 26|12|1974 43 S P
77 6471010710120005 6471012205690002 SAINUL PARE-PARE 22|05|1969 49 S L
78 6471010512060005 6471014903940001 CICI LESPITASARI BALIKPAPAN 09|03|1994 24 B P
79 6471011705100041 6471015405820002 KHUMAIRAH BERAU 14|05|1982 36 B P
80 6471010810120037 6471011001620005 MUSNI PINRANG 10/01/1962 56 S P
81 6471011409160007 6471022603820004 SRI PURWANTO PASER 26/03/1982 36 S L
82 6471019703784 6471010204000002 SYAHRUL GUNAWAN BALIKPAPAN 02/04/2000 18 B L
83 6471011207160014 6471016011960001 HIJRIATUL AMALIAH MEDAN 20/11/1996 27 S P
84 1751039701654 1751036901000001 ADINDA ALYA TIFANI BALIKPAPAN 29/01/2000 18 B P
85 6471013010090004 6471012604800001 YUSFA APRILLIAN BALIKPAPAN 26/04/1980 38 S L

86 6471013010090004 6471015001840002 HARTATI BALIKPAPAN 10/01/1984 34 S P
87 6471011312130009 6471015704990002 FITRI NUR HIDAYATI BALIKPAPAN 17/04/1999 19 B P
88 6471012212080007 6471012202980002 MUSAWWIR BALIKPAPAN 22/02/1998 20 B L
89 6471011406100009 6471021506690002 TAUFIK ABD MUIN, S.PD SIMATANG 15/06/1969 49 S L
90 6471011406100009 6471016206740002 NOOR RAHMAH, MA. BALIKPAPAN 22/06/1974 43 S P
91 6471012209120067 6471012701920002 IMAM FAISHOL PAMEKASAN 27/01/1992 26 S L
92 6471011802090018 6471012805980002 ABD. MALIK HUSAIN BALIKPAPAN 28/05/1998 20 B L
93 6471012411080011 6471016310980003 NIDA URROHMAH BALIKPAPAN 23/10/1998 19 B P
94 6471050805170013 6471052207780005 MUHAMMAD ROFIQ BALIKPAPAN 22/07/1978 39 S L
95 6471050805170013 6471056307820008 SITTI MUNAWWARAH BALIKPAPAN 23/07/1982 35 S P
96 6471012210030004 6471014702990002 NUR ADWIYATIAFIDAH BALIKPAPAN 07/02/1999 19 B P
97 6471012008090005 6471010309700002 MUHAMMAD IQBAL NURKARIM BALIKPAPAN 03/09/1970 47 S L
98 6471012008090005 6471016606760002 RATNA PARE-PARE 26/06/1976 41 S P
99 6471012008090005 6471015206000002 MIFTAHUL FAUZIAH IQBAL BALIKPAPAN 12/06/2000 17 B P
100 6471012007120009 6471010101850002 MUAMMAR MUKHLIS BALIKPAPAN 01/01/1985 33 S L
101 6471012007120009 6471015807810007 RUSINA TENGGARONG 18/07/1981 37 S P
102 6471010611080018 6471012104000004 MUHAMMAD NABIGH ROSYID BALIKPAPAN 21/04/2000 18 B L
103 6471011401100030 6471010709730003 MUHAMMAD SYAHRIR BALIKPAPAN 07/09/1979 38 S L
104 6471011401100030 647101015310790002 NURHIDAYAH BALIKPAPAN 13/10/1979 38 S P
105 6471012907090024 6471015306980002 ASMAUL HUSNA BALIKPAPAN 13/06/1998 19 B P
106 6471011607080007 6471016510980007 NUR FAUZIAH LOA KULU 20/10/1998 19 B P
107 6471012212090025 6471016811990002 NURUL HIDAYANTI QOMARIAH BALIKPAPAN 28/11/1999 18 B P
108 6471010611090008 6471015610990002 NUR AFIFAH BALIKPAPAN 16/10/1999 18 B P
109 6471010611090008 6471012012000001 AHMAD FAUZI ROMADHAN BALIKPAPAN 20/12/2000 17 B L
110 6471012510070009 6471012104980002 RIZKY HAMMAMI BALIKPAPAN 21/04/1998 20 B L
111 64710126120019 3523141003000004 M. MARDIANTO TUBAN 10/03/2000 18 B L
112 6471012408070005 6471014306980002 RAFI SUSANTI BALIKPAPAN 03/06/1998 19 B P
113 6471010808160021 6402021308820008 KARYADI SUKABUMI 13/08/1982 35 S L
114 6471010506170007 6409015205960006 NUR FAUZIAH SOTEK 12/05/1996 22 S P

115 6471011109120027 6471011210830005 ABD. HADI BALIKPAPAN 12/10/1983 34 S L
116 6471011109120027 6471016309900003 RAHMAWATI BALIKPAPAN 23/09/1990 27 S P
117 6471012910140011 6471012907950001 ABD. HALIM MUHAMMAD BALIKPAPAN 29/07/1995 22 S L
118 6471012910140011 6471016212960001 NURYENI BALIKPAPAN 22/12/1996 21 S P
119 6471011401080006 6471011111970004 MUHAMMAD YUSUF AL QALAM BONTANG 11/11/1997 20 B L
120 6471011401080006 6471010505000003 AHMAD KHOLID AL MUZAMIL BALIKPAPAN 05/05/2000 17 B L
121 6471010809060003 6471010906730001 BACHRUDIN CIREBON 09/06/1973 44 S L
122 6471010809060003 6471016411770001 NURSIAH. AM TOLI-TOLI 24/11/1977 40 S P
123 6471013108150004 6471010312800003 MUZHIRUL HAQ BALIKPAPAN 02/04/2980 29 S L
124 6471013108150004 7204106104930003 AL MUJAHIDAH LINGADAN 21/04/1993 24 S P
125 6471011202100018 6402131409750001 ISMAIL FAHMI MUARA JAWA 14/09/1975 43 S L
126 6471011202100018 6402136301800001 NUR ROSYIDAH BALIKPAPAN 23/01/1980 38 S P
127 6471011202100018 6471016312770002 SRI NOR WAHYUNI SAMBOJA 23/12/1977 41 B P
128 6471011202100018 6471012207800001 IHSAN FIRDAUS SAMBOJA 22/07/1980 38 B L

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 27
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. PDAM 027 000 1
JL.PDAM 027 000 1
JL. PDAM 027 000 1
JL. PDAM NO. 27 027 000 1
JL. PDAM 027 000 1
JL.PDAM 027 000 2
JL. PDAM 027 00- 2
JL. PDAM NO. 27 027 00- 4
JL. PDAM NO. 27 027 00- 4
JL. PDAM NO. 21 027 00- 4
JL. PDAM NO. 06 027 00- 4
JL. PDAM NO. 027 00- 4
JL. PDAM NO. 27 027 00- 4
JL. PDAM NO. 0 027 000 4
JL. PDAM 027 000 4
JL. PDAM 027 000 4
JL. PDAM 027 000 4
JL.PDAM 027 000 4
JL. PDAM NO. 027 000 4
JL. PDAM 027 00- 4
JL. PDAM 027 00- 4
JL.PDAM 027 00- 4
JL. PDAM 027 000 5
JL. MULAWARMAN GG. PANT 030 00- 5
JL. MULAWARMAN NO. 31 027 00- 3 U
JL. MULAWARMAN NO 027
B
B
JL. MULAWARMAN RT/RW:27 027
B
JL. PDAM 027
B
JL. PDAM 027 B
JL. MULAWARMAN 027
B
JL. PDAM 027 B
JL. PDAM 027
B
JL. PDAM 027
B
JL. PDAM NO.14 027
B
JL. PDAM NO. 18 027 B
JL. PDAM 027
B
JL. KUTILANG V BLOK H-3 NO.133 024 B
JL. KUTILANG V BLOK H-3 NO.133 024
B
JL. MULAWARMAN 027
B
JL. MUAWARMAN 027
B
JL. MULAWARMAN 027
B
JL. PDAM 027 B
JL. PDAM 027
B
JL. PDAM NO.14 027
B
JL. PDAM 027 B
JL. PDAM 027
B
JL. MULAWARMAN 027
B
JL. MULAWARMAN 027
B
JL. MULAWARMAN GN. BELUKUS NO.33 027
B
JL. PDAM NO.37 027
B
JL. PDAM NO.37 027 B
B
JL. PDAM 027
B
JL. PDAM 027 B
JL. MULAWARMAN 027
B
JL. MULAWARMAN 027
B
B
JL. MULAWARMAN MANGGAR BARU 007 B
JL. MULAWARMAN MANGGAR BARU 007
B
JL. MULAWARMAN 027
B
JL. MULAWARMAN 027
B
JL. PDAM 027 B
JL. PDAM 027
B
JL. MULAWARMAN 027
B
JL. MULAWARMAN 027
B
JL. MULAWARMAN 027
B
JL. MULAWARMAN 027
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471012905130007 7316030107510001 JAYA GOWA 01|07|1951 66 S L
2 6471010705090006 6471021008570003 ABDUL MAJID BALIKPAPAN 10|08|1957 60 S L
3 6471010108060002 6471014306690002 IDA ROSYIDAH BANJARMASIN 03|06|1969 49 P P
4 6471010207070001 6471015103820001 SAWUDAH BARABAI 11|03|1982 36 S P
5 6471010210120084 6471012306850005 NASIB PRIYADI MAGETAN 23|06|1985 33 S L
6 6471010409080006 6471055708760005 HAMIDAH SAMARINDA 17|08|1976 41 B P
7 6471010704090016 6471010202820009 SUMARNO BANJARNEGARA 02|02|1982 36 S L
8 6471010704090016 6471015110890003 MULIYANA BALIKPAPAN 11|10|1989 28 S P
9 6471010707150004 6471017105870001 FITRI AMELIA BALIKPAPAN 31|05|1987 31 B P
10 6471011006080004 6471012307880001 HENDRI SRI MULIYONO ENREKANG 23|07|1988 29 B L
11 6471011010120039 6471013112550079 DAHLAN ENREKANG 31|12|1955 62 S L
12 6471011010120039 6471011505910002 RONALDI ENREKANG 15|05|1991 27 B L
13 6471011010120040 6471015007810009 YULIANA UJUNG PANDANG 10|07|1981 36 S P
14 6471011010120040 6471012610910004 SAMDI ENREKANG 26|10|1991 26 S L
15 6471011010120040 6471015110990002 DEWI BALIKPAPAN 11|10|1999 18 S P
16 6471011404100035 6471013112680043 JUWARI MALANG 31|12|1968 49 S L
17 6471011404100035 6471017112700053 SITI RAHAYU MALANG 31|12|1970 47 S P
18 6471011504100023 6471016401930002 NORMALA SARI BALIKPAPAN 24|01|1993 25 B P
19 6471011905080003 6471010207880001 YAWAN NATANIEL SENDUK PAKUWERU 02|07|1988 29 B L
20 6471012011140010 3404062702870002 IQBAL NUR HAKIM BANDA ACEH 27|02|1987 31 S L
21 6471012109120001 6471011112910004 NAHAR CURIO 11|12|1991 26 B L
22 6471012205090011 6471017112410016 MAHANI ENREKANG 31|12|1941 76 P P
23 6471012205120019 6471010507790013 ABDI. MS BAEBUNTA 05|07|1979 38 S L
24 6471012306080007 6471010909890003 ADRIANTO KISMAN ENREKANG 09|09|1989 28 B L
25 6471012306080008 6471010506820005 AGUS ENREKANG 05|06|1982 36 S L
26 6471012306080008 6471016712860001 FATMAWATI PALOPO 27|12|1986 31 S P
27 6471012306100016 6471016801790002 HELMY LENY LINTONG MANADO 28|01|1979 39 S P
28 6471012505120011 6471010906700002 MUHAMMAD SODIK JEMBER 09|06|1970 48 B L
29 6471012607120031 6471012608770007 MUHAMMAD NAJIB SEBULU 26|08|1977 40 S L
30 6471012607120031 6471017007790003 MASTIKA BALIKPAPAN 30|07|1979 38 S P
31 6471012809100005 6471013112700083 JUNAIDI LOKA 31|12|1970 47 S L
32 6471012908160016 6471013110970002 MUHAMMAD YOGI KURNIADI LOA JANAN 31|10|1997 20 B L
33 6471012909100023 6471015212740003 JUMINA ENREKANG 12|12|1974 43 S P
34 6471013010120017 6471050506820003 ALIMUDDIN BALIKPAPAN 05|06|1982 36 S L
35 6471010108060002 6471010109980001 FAJAR RIDHO BALIKPAPAN 01|09|1998 19 B L
36 6471010203100004 6471056407740001 MARIANTI BALIKPAPAN 24|07|1974 43 B P
37 6471010402100033 6471011007830005 AMRULLAH BALIKPAPAN 10|07|1983 34 B L
38 6471010403649001 6471015312880002 ENI SUDARYATI WONOGIRI 13|12|1983 34 S P
39 6471010607090001 6471012004530002 SAUMARI B.SUMO PATI 20|04|1953 65 S L
40 6471010607090001 6471010302700002 EDY PRAYITNO JEPARA 03|02|1970 48 B L
41 6471010607090001 6471010908820002 RIO AGUSTIAN.L PATI 09|08|1982 35 B L
42 6471010702130005 7316101509810001 YADI PANYURAK 15|11|1981 36 S L
43 6471010906040007 6471016112840002 SUMIATUN BALIKPAPAN 21|12|1984 33 B P
44 6471010907120041 6471014101750007 HASTI BAU 01|01|1975 43 S P
45 6471010907120041 6471010205770012 CAYA URU 02|05|1977 41 S L
46 6471011010120036 6471010704690003 SAHARUDDIN AWANG-AWANG 04|07|1969 48 B L
47 6471011311120039 7316030107660086 ASRIPIN LOKA 01|07|1966 51 B L
48 6471011504100023 6471011203770003 SYAM'ANI BALIKPAPAN 12|03|1977 41 B L
49 6471011505090008 6471051103620001 MASLIKHAN JEPARA 11|03|1962 56 S L
50 6471011505090008 6471054110770004 MASRIAH BALIKPAPAN 01|10|1977 40 S P
51 6471011505090008 6471052108780003 MUHAMMAD ZAENAL ABIDIN JEPARA 21|08|1978 39 B L
52 6471011505090008 6471054805960004 RINA ANDRIYANITA SANGATTA 08|05|1996 22 B P
53 6471011807120003 6471015202820007 HASDA, S.PD ENREKANG 12|02|1982 36 B P
54 6471011903140006 6408120704690002 SAHARUDDIN AWANG-AWANG 07|04|1969 49 S L
55 6471011903140006 6406125512810002 HIKMAH LABOLONG 15|12|1981 36 S P
56 6471011906030010 6471010907780002 ASMADI TOLI-TOLI 09|07|1978 39 B L
57 6471012103130013 6471012802750001 ANDRI ATMANTO GUNUNG KIDUL 28|02|1975 43 B L
58 6471012209100016 6471010104800004 BOIMIN BALIKPAPAN 01|04|1980 38 B L
59 6471012303100016 6471011012840002 KASMIN ENREKANG 10|12|1984 33 B L
60 6471012306100016 6471013004650002 KERRY SENDUK MANADO 30|04|1965 53 S L
61 6471012402100011 6471015312950002 IDA ARIANI SAMBOJA 13|12|1995 22 B P
62 6471012402100011 6471011006970004 A.T. NURHATIP LAMPUNG 10|06|1997 21 B L
63 6471012611120005 7360362707850001 AMMA D LOKA 27|07|1985 32 B P
64 6471012611120005 6471010510930003 HAIRUN NISA BALIKPAPAN 10|05|1993 25 S P
65 6471011010120040 6471015206010004 YUNI ENREKANG 12|06|2001 17 B P
66 6471012306160005 7302011010730003 SYAMSIR BULUKUMBA 10|10|1973 44 S L
67 6471011604130017 6371031311000012 DIKCY WAHYUDI BANJARMASIN 13|11|2000 17 B L
68 6471010210120084 3521104403840003 NUR KAYATI NGAWI 04|03|1984 34 S P
69 6471011409120010 7304055908990002 ESTI AGUSTINA UTAMI JAKARTA 19|08|1999 18 B P
70 6471012908160016 6402135305990001 RISKA AMELIA SAMBOJA 13|05|1999 19 S P
71 6471011805150001 7315032711720001 M. NASHIR SAINONG BOTTAE 27|11|1972 45 P L
72 6471010801080001 6471012908750003 MUARIP WALIONO JEMBER 29|08|1975 42 S L
73 6471010801080001 6471015804800003 SUMIATI BALIKPAPAN 18|04|1980 38 S P
74 6471012403090012 6471012711850002 WAWAN KURNIAWAN PEMARANGAN 27/11/1985 32 S L
75 6471012403090012 6471014903680001 SARI NURHAYATI P MANADO 09/03/1968 50 S P
76 6471012403090012 7172047112380002 MARYAM WAEL YOGYAKARTA 30/12/1938 79 P P
77 6471011504150018 6471030909490002 PRATIKNO BALIKPAPAN 09/09/1949 68 S L
78 6471011504150018 6471036012720004 SUNARTI PETUNG 20/12/1972 45 S P
79 6471011403140005 7316034604860001 ANISA PUJI LESTARI SANGBUA 06/04/1986 31 S P
80 6471019100170010 6402023010730003 MULYADI. M PALEMBANG 30/10/1973 44 S L
81 6471019100170010 6402025112730001 RAMLAH BALIKPAPAN 11/12/1973 44 S P
82 6471021201160001 6471032707960002 MULTIARA INGGA UJUNG PANDANG 27/07/1996 21 S P
83 6471012009100017 6471012802830004 DAVIT PRIA PURWANTA SEMOI II 28/02/1983 35 S L
84 6471012009100017 6471014812880002 IRMAWATI BALIKPAPAN 08/12/1988 29 S P

85 6471013010170009 6409013108670003 MUHAMMAD HASANUDIN BALIKPAPAN 31/08/1967 50 S L
86 6471013010170009 6409014201760007 NIDYA P. PRASETYANINGSIH PURWOREJO 02/01/1976 42 S P
87 6471013010170009 6409012104000003 FIL ARDHI HASANUDIN BALIKPAPAN 21/04/2000 18 B L
88 6471010803100024 6471010707680002 ARDIANSYAH BALIKPAPAN 07/07/1968 49 S L
89 6471010803100024 6471016112680003 DEWI ROSARIA INDAH BLORA 21/12/1968 49 S P
90 6471010803100024 6471012304910001 WENDI ADITYA BALIKPAPAN 23/04/1991 26 B L
91 6471011707080005 6471015611700002 NASRA IRMAWATI PINRANG 16/11/1970 47 S P
92 6471011707080005 6471011603970001 BUDIONO BALIKPAPAN 16/03/1995 23 B L
93 6471010701619 6471041402990001 SUBRANTO BALIKPAPAN 14/02/1999 19 B L
94 6471011307160010 6308061912820001 ABDURRAHMAN EFFENDI KAPUAS 19/12/1982 35 S L
95 6471011307160010 6308064903800001 NURJANAH SUNGAI TURAK 09/03/1980 38 S P
96 6471012306150011 7316031104870001 MUHAMMAD SAIFULLAH LOKA 11/04/1987 30 S L
97 6471012812090004 6471014406820002 SRI HANDAYANI MAGETAN 04/06/1982 35 S P
98 6471011506150002 6309040302870007 HENDRI BUDIMAN MAHE SEBERANG 03/02/1987 31 S L
99 6471011506150002 6309045003900005 SRI WAHYUNI MAGETAN 10/03/1990 28 S P
100 6471011008090013 6471012909760004 ALI YUSNIE SAMARINDA 29/09/1976 41 S L
101 6471011008090013 6471016808770005 MASITAH BALIKPAPAN 28/08/1977 40 S P
102 6471011604130017 6372060110680003 HUSAIDI BANJARMASIN 01/10/1968 49 S L
103 6471011604130017 6372066004740007 MAYASARI BANJARMASIN 20/04/1974 43 S P
104 6471011604130017 6372064112970002 MAYDINAH BANJARMASIN 01/12/1997 20 B P
105 6471013103150005 6471010512810001 EDY SURIANTO BALIKPAPAN 05/12/1981 26 S L
106 6471013103150005 6471014310810001 I. KASMAWATI. A KARAME 03/10/1981 26 S P
107 6471011806030003 7315056809940003 PUTRI SUCIATI BALIKPAPAN 28/09/1994 23 B P
108 6471012407150004 3320095011530002 MUSRIFAH JEPARA 10/11/1953 64 P P
109 6471010308170007 6471041208870001 DIEGO YANUAR BALIKPAPAN 22/01/1987 31 S L
110 6471011505120006 6471010410750003 MAWARDI DONGGALA 04/10/1975 42 S L
111 6471011505120006 6471015101790001 MULIATI BALIKPAPAN 11/10/1979 39 S P
112 6471010910170009 6471014910900003 ASNAWATI BALIKPAPAN 09/10/1990 27 S P

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 28
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. GUNUNG BUBUKAN NO 47028 00- 4
JL. MULAWARMAN TERITIP 028 00- 4
JL. MULAWARMAN TERITIP 028 00- 4
JL. MULAWARMAN GN.BUBUK028 00- 4
JL. MULAWARMAN GN.BUBUK028 00- 4
JL.MULAWARMAN GN. BUBUK028 00- 4
JL.GN. BUBUKAN 028 000 4
JL GUNUNG BUBUKAN 028 000 4
JL.GN. BUBUKAN 028 000 4
JL. GUNUNG BUBUKAN NO. 5 028 000 4
JL.GUNUNG BUBUKAN 028 000 4
JL MULAWARMAN 028 000 4
JL.MULAWARMAN GN. BUB028 00- 5
JL. GN. BUBUKAN 028 000 5
JL. GUNUNG BUBUKAN 028 B
JL. GUNUNG BUBUKAN 028
B
B
B
JL. MULAWARMAN GUNUNG GUNTUR 028
B
JL. MULAWARMAN GUNUNG GUNTUR 028
B
JL. WOLTER MONGISIDI NO.66 BARU ULU BALIKPAPAN
032 BARAT B
B
B
B
B
B
B
B
JL. MULAWARMAN 028
B
JL. MULAWARMAN 028
B
B
JL. MULAWARMAN 028
B
JL. MULAWARMAN 028
B
JL. MULAWARMAN 028
B
JL. MULAWARMAN 028
B
JL. MULAWARMAN 028
B
JL. MULAWARMAN 028
B
JL. MULAWARMAN 028
B
JL. GUNUNG BUBUKAN NO.41 028
B
JL. SWADAYA 028 B
JL MULAWARMAN 28
B
JL.GUNUNG BUBUKAN 28
B
JL GUNUNG BUBUKAN 028 B
JL.GUNUNG BUBUKAN NO 188 028
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471012209120095 6471010711500001 SAPRIANSYAH BALIKPAPAN 07|11|1950 67 P L
2 6471012801080001 3505226805800001 LINA PUJI ASTUTI BLITAR 28|05|1980 38 S P
3 6471010111130008 6471010110960001 EKI SAPUTRA BIMA SAKTI BALIKPAPAN 01|10|1996 21 B L
4 6471010401100004 6471010111760001 ARBANI TABALONG 01|11|1976 41 S L
5 6471010608100061 6471012811630001 ARPANDI KOTA BARU 28|11|1963 54 S L
6 6471010611090004 6471014403550001 NURHAYATI RANTAU 04|03|1955 63 S P
7 6471010710040001 6471044604650009 TRI NGATMININGSIH NGADENAN BALIKPAPAN 06|04|1965 53 S P
8 6471012006070001 6471017112200004 SITI BALIKPAPAN 31|12|1920 97 P P
9 6471050105030003 6471051201260001 AMINOEDDIN SAMARINDA 12|01|1926 92 S L
10 6471012003130004 3502268058000001 LINA PUJIASTUTI BLITAR 28|05|1980 38 S P
11 6471012407080009 6471013112340009 MAKKU GOWA 31|12|1934 83 S L
12 6471012407080009 6471017112540047 NURSIAH KANDANGAN 31|12|1954 63 S P
13 6471012209120096 6471016010940002 ADE ANASTASIA SARYANI BALIKPAPAN 20|10|1994 23 S P
14 6471011008090013 6471012909760004 ALI YUSNIE SAMARINDA 29|09|1976 41 S L
15 6471011008090013 6471016808770005 MASITAH BALIKPAPAN 28|08|1977 40 S P
16 6471010111130009 6471012004950003 MUHAMMAD HIDAYAT BALIKPAPAN 20|04|1995 23 B L
17 6471010502140002 6472102109660001 WAWAN BUDI HARIYANTO BANYUWANGI 21|09|1966 51 S L
18 6471010502140002 3510166512780004 SUPRIYATIN BANYUWANGI 25|12|1978 39 S P
19 6471010508100009 6471010111780001 M. NOOR MANDURIAN HILIR 01|11|1978 39 S L
20 6471012005100009 6471010911820002 HENDRA WAHYUDI BALIKPAPAN 09|11|1982 35 S L
21 6471012304100028 6471012609840003 RHAKHA BOEANA BALIKPAPAN 26|09|1984 33 B L
22 6471012304100028 6471012207860001 SAYDINA SANGGA BALIKPAPAN 22|07|1986 31 B L
23 6471012304100028 6471016905920002 MAYANG MUSTIKA BALIKPAPAN 29|05|1992 26 B P
24 6471012509030007 6471015006480001 SUKARTI JEMBER 10|06|1948 70 S P
25 6307062403100015 6307060303660009 M.NOOR AINI BATI-BATI 16|06|1967 51 S L
26 6471010405150012 1702156412910001 AYU DESTRIANA PAGAR ALAM 24|12|1991 26 B P
27 6471010508100009 6471014712850004 JUBAIDAH MANDURIAN HILIR 07|12|1985 32 S P
28 6471010611090004 6471012004770003 HANAFI, SE BALIKPAPAN 20|04|1977 41 B L
29 6471011105120008 6471010803850003 SAIPULLAH HADI BALIKPAPAN 08|03|1985 33 S L
30 6471011405080001 6471012405710001 JUMADIL PASIR 24|05|1971 47 S L
31 6471011405080001 6471014112960004 MASNIAR FIDINILLAH PASIR 01|12|1996 21 B P
32 6471011803080004 6471052404980009 RAMA MAULANA KENCONG 24|04|1998 20 B L
33 6471012305070003 6471014405970002 SITI HASANAH BALIKPAPAN 04|05|1997 21 B P
34 6471012405100028 6471012905830001 AHMAD BALIKPAPAN 29|05|1983 35 B L
35 6471012509030007 6471014606680001 SITI SYAMSIAH JEMBER 06|06|1968 50 P P
36 6471012709100015 6471016907890001 JULIDA BALIKPAPAN 29|07|1989 28 B P
37 6471012709100015 6471016611940002 NOFI MUSTIKAWATI TENGGARONG 26|11|1994 23 B P
38 6471010705100017 6471011609570001 MUNTAHA MASDAR RATAU 16|09|1957 60 S L
39 6471010705100017 6471017112620066 SITI ASPIAH BALIKPAPAN 31|12|1962 55 S P
40 6471013012090003 6471012101860005 HENGKY SIMANJUNTAK BALIKPAPAN 21|01|1986 32 B L
41 6471010710040001 6471010712450001 BACHRAN ADAM TELUK BAYUR 07|12|1945 72 S L
42 6471010270800014 6471010101610005 BAHRUDIN BALIKPAPAN 01/01/1961 57 P L
43 6471010207080014 6471011011870001 IWAN KURNAIN KOTA BARU 10/11/1987 32 B L
44 6471012703030001 6471013112600043 BAHRUDIN BALIKPAPAN 31/12/1960 57 S L
45 6471011701170007 6471016805980001 NORBAYAH BALIKPAPAN 28/05/1980 37 S P
46 473/30500/DOK/2017 6310024204800006 YUNIAR BALIKPAPAN 02/04/1980 37 S P
47 473/30499/DOK/2017 6310022808720002 ASNAWI BALIKPAPAN 28/08/1972 45 S L
48 6471011705100007 6471011604960003 ELA YANTI BALIKPAPAN 16/04/1996 23 B P
49 6471010308120002 6471057112550071 SALBIAH BALIKPAPAN 31/12/1955 61 P P
50 6471010308120002 6471052004830004 MARJANI BALIKPAPAN 20/04/1983 34 B L
51 6471012004170005 640213208850004 SLAMET SANTOSO GAMPENG 12/08/1985 32 S L

52 6471012004170005 6471015004910003 AIDA YANTI BALIKPAPAN 10/04/1991 26 S P
53 6471010512130003 7204042711860001 MASHUR KAYULOMPA 27/07/1986 31 S L
54 6471011301090001 6471012302700001 EDY PUDJIANTO, S.Sos SAMARINDA 23/02/1970 48 S L
55 6471011301090001 6471014711780001 IRMAYANA BALIKPAPAN 07/11/1978 39 S P
56 6471011301090001 6471011308000001 MUHAMAD ERZAL SYAHREZA BALIKPAPAN 13/08/2000 17 S L
57 6471011301090001 6471011304800002 RULIANSYAH BALIKPAPAN 13/04/1980 37 B L
58 6471010601140002 3302130208890001 NURUL HIDAYAT BANYUMAS 02/08/1989 30 S L
59 6471010601140002 3503146410960001 LUTFI HIDHAYAH TRENGGALEK 24/10/1996 21 S P
60 6471013105160003 6402130302790004 RONY SUROTO PURBALINGGA 03/02/1979 39 S L
61 6471013105160003 6402136606780006 RUMYATI CILACAP 26/06/1978 39 S P
62 6471012901180011 1302100301930004 JONI EKA PUTRA SELAYO 03/01/1993 25 S L
63 6471012901180011 6471055307980001 NIDA FITRI AZIZAH BANJARMASIN 13/07/1998 29 S P
64 6471012209120094 6471010803740006 SOLIKHIN BANJARNEGARA 08/03/1976 42 S L
65 6471012209120094 6471014705860001 SUWARNI BALIKPAPAN 07/05/1986 31 S P
66 6471013010170002 6471011702940002 RAHMAD SIDIK BALIKPAPAN 17/02/1994 S L
67 6471012410170004 6471052305880006 WAHYU TRI HARTANTO MAGELANG 23/05/1988 S L

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 29
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. MULAWARMAN GG. PENA 029 000 1
JL MULAWARMAN 029 000 2
JL. PANTAI TERITIP MAS 006 00- 4
JL. PANTAI TERITIP MAS 006 00- 4
TERITIP 029 000 U
TERITIP 029 000 U
TERITIP 029 000 U
JL. MULAWARMAN NO. 15 029 00- U
JL. MULAWARMAN 029
B
JL. MULAWARMAN N0.07 029 B
JL. MULAWARMAN N0.07 029 B
JL. MULAWARMAN 029
B
B
JL. MULAWARMAN 029
B
JL. MULAWARMAN 029
B
B
B
JL. MULAWARMAN 029
B
JL. MULAWARMAN 029
B
JL. MULAWARMAN 029
B
JL. MULAWARMAN 029
B
JL. MUALWARMAN 029
B
JL. MULAWARMAN 029
B
JL. MULAWARMAN 029
B
JL. MULAWARMAN 029
B
JL. MULAWARMAN 029
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471011309050002 6471012003570001 DILLO ABDILLAH BALIKPAPAN 20|03|1957 61 S L
2 6471012403050014 6471013112230005 YASIN MALANG 31|12|1923 94 S L
3 6471010809100006 6471013112460015 LAPOTO.M SEGERI 31|12|1946 71 S L
4 6471011501100019 6471013112540043 UDIN. J PASIR 31|12|1954 63 S L
5 6471012303100003 6471014502550001 MASRIAH BALIKPAPAN 05|02|1955 63 S P
6 6471041307100063 6471044605550001 SULIYEM SEMARANG 06|05|1955 63 S P
7 6471011609090018 6471013112780040 BUDIYANSAH BALIKPAPAN 31|12|1978 39 B L
8 6471011202100001 6471016812710001 ARQOMIAHNUR BALIKPAPAN 28|12|1971 46 P P
9 6471010906090027 6471017112660063 NGATENI TUBAN 31|12|1966 51 P P
10 6471012509120040 6471012203880001 SUGI UTOMO BALIKPAPAN 22|03|1988 30 S L
11 6471010111120003 6471056512670003 IDA HASTUTI TARAKAN 25|12|1967 50 S P
12 6471011010120044 6471011205880002 HARTONO TRENGGALEK 12|05|1988 30 B L
13 6471011106080004 6471016108930002 KAMRIDA PACCING 21|08|1993 24 B P
14 6471011602110001 6471013112770045 SUGANG HARIYANTO BALIKPAPAN 31|12|1977 40 B L
15 6471012105120009 6471013103890003 ASDAR ASTRIADI, A. Md. Kep TANAH CELLAE 31|03|1989 29 B L
16 6471013108120015 6471013110640003 MUTASAM BLORA 31|10|1964 53 S L
17 6471013108120015 6471014107720005 SITI SRI PURWATI BLORA 01|07|1972 45 S P
18 6471013108120015 6471011205940005 MUHAMMAD NUR EFENDI BLORA 12|05|1994 24 B L
19 6471021201100053 6471021508600002 SABRI BALI 15|08|1960 57 S L
20 6471021201100053 6471025503610001 TASNIAH SAMARINDA 15|03|1961 57 S P
21 6471021201100053 6471020504820004 ACHMAD KARYADI BALIKPAPAN 05|04|1982 36 B L
22 6471021201100053 6471020404830005 APRI SUHARDJONO BALIKPAPAN 04|04|1983 35 B L
23 6471010111120003 6471053010880001 DINDA BAYU PERMANA BALIKPAPAN 30|10|1988 29 B L
24 6471010111120003 6471052508970001 DINDA IBNU DWIKI BALIKPAPAN 25|08|1997 20 B L
25 6471010406090011 6471015111650005 MARITJE UMBOH MANDO 11|11|1965 52 S P
26 6471010502080001 7307020212970001 RONI WIJAYA SINJAI 02|12|1997 20 B L
27 6471010808060004 6471015012800001 DIYANA BALIKPAPAN 10|12|1980 37 B P
28 6471010808060004 6471014110830001 JUMAIYAH BALIKPAPAN 01|10|1983 34 B P
29 6471011201090019 6471012002590001 SEMANG ENREKANG 20|02|1959 59 B L
30 6471011211080002 6471057112790021 WA SALIMA BUTON 31|12|1979 38 B P
31 6471012408040003 6471010101410002 SYACHDAN (PTL) BALIKPAPAN 01|01|1941 77 S L
32 6471012908050006 6471017112680053 ASMAWATI BALIKPAPAN 31|12|1968 49 S P
33 6471012908050006 6471013112780051 ENDRI WAJO 31|12|1978 39 B L
34 6471010312140006 6409044107600054 SUKATMI PACITAN 01|07|1960 57 P P
35 6471012309160010 7307050806910001 MUSDAR BARAKKAO 08|06|1991 27 B L
36 6471011407140017 6409041007760003 AGUS SUGIANTO BANYUWANGI 10|07|1976 41 S L
37 6471011407140017 6409046502820003 ANDRIANI BALIKPAPAN 25|02|1982 36 S P
38 6471011602110001 6471013112770090 IWAN AGUS PORNOMO BALIKPAPAN 31|12|1977 40 B L
39 6471012412130024 6471015112940001 SITI ANGGREANI NUOR FATIMAH BALIKPAPAN 11|12|1994 23 B P
40 6471012904090001 6471016107720002 NURHAYATI MALANG 21|07|1972 45 S P
41 6471012904090001 6471012304750002 SJARIFUDDIN BANJARMASIN 23|04|1975 43 S L
42 6471010806090020 6471010410810001 WARSITO KEDIRI 04|10|1981 36 B L
43 6471010809100006 6471012702910001 FERIANUS T PARENTEAN SEMUNTAI 27|02|1991 27 B L
44 6471011012120010 3507134804720003 KARTINI MALANG 08|04|1972 46 S P
45 6471013012020008 6471017112580070 MARIYAM TAPIN 31|12|1958 59 S P
46 6471010108160007 6471016807780001 YULLY ENDAH WEDYANINGRUMBALIKPAPAN 28|07|1978 39 S P
47 6471010501100024 6471010504710003 FIRMAN LAPASU 05|04|1971 47 P L
48 6471010502080001 6471011306990002 ACHMAL DIANTAMA BALIKPAPAN 13|06|1999 19 B L
49 6471010505100015 6471014403760002 SARIWATI BATU MERAH 04|03|1976 42 S P
50 6471010704170007 3507322805000001 CANDRIKA KUMARA TUNGGA SAMARINDA 28|05|2000 18 B P
51 6471010903150012 6403054402990005 IKA ERRISA FERONICA BALIKPAPAN 04|02|1999 19 B P
52 6471010912090020 3316082904990002 DANANG VIKA WIJAYANTO BLORA 29|04|1999 19 B L
53 6471011609160001 6471051407590001 MARSUP BANGKALAN 14|07|1959 58 S L
54 6471011609160001 6471014101910005 WIWI YAYUK SURIANA KUTAI 01|01|1991 27 S P
55 6471011808160002 1404085003970003 NENENG FITRIANI SULAWESI 10|03|1997 21 B P
56 6471011809120031 6471055011990005 RACHMAYANI TUNGKA 10|11|1999 18 B P
57 6471011902130015 6471040511990001 DRAJAT BALIKPAPAN 05|11|1999 18 B L
58 6471012101100007 6471011209990002 EVI NUR SARAH MUARA BENGKAL 12|09|1999 18 B P
59 6471012105120009 7308075808950003 RAHMAH TANAH CELLAE 18|08|1995 22 B P
60 6471012106070001 6471017112710001 NURBIAH BALIKPAPAN 31|12|1971 46 S P
61 6471012308060001 6471010603810003 SAMSUDDIN WAJO 06|03|1981 37 S L
62 6471012308060001 6471015207820002 PITRIYANTI BARAMAMASA 12|07|1982 35 S P
63 6471012308060001 6471012811000004 SAHRUL RAHMADAN BALIKPAPAN 28|11|2000 17 B L
64 6471012507130003 6471027112760024 SYAMSIAR UJUNG PANDANG 31|12|1976 41 S P
65 6471012901080010 6471014701730001 ISNAWATI BALIKPAPAN 07|01|1973 45 S P
66 6471012901080010 6471012001010001 MUHAMMAD BADRI SULAIMANBALIKPAPAN 20|01|2001 17 B L
67 6471012904090001 6471012801010002 RASYID SIDIQ HAMDANI BALIKPAPAN 28|01|2001 17 B L
68 6471012505150014 7307022309870001 ZAENAL SEPTIADI SINJAI 23|09|1987 30 B L
69 6471010808160018 6401045602770001 ENDANG BUDI NINGSIH BALIKPAPAN 16|02|1977 41 S P
6471010260917006 6471050302780003 ROY ROBIANTO SANGA-SANGA 03/02/1978 40 S L
70
6471012609170006 6472056909790006 NORSARINI SAMARINDA 29/09/1979 38 S P
71
6471012108170013 3275032812770017 ANDI KRISBIYANTO BOJONEGORO 28/12/1977 40 S L
72
6471012108170013 3275034907870020 PURYANTI SRAGEN 09/07/1987 30 S P
73
6471010704170007 3507323110760001 DWI SUSANTO MALANG 31/10/1976 41 S L
74
6471010704170007 3507326702810001 JUMIATI MALANG 27/02/1981 37 S P
75
6471010704170007 3507322805000001 CANDRIKA KUMARA TUNGGA SAMARINDA 28/05/2000 17 B P
76
6471011101100003 6471012105750001 DARMAWAN BANJARMASIN 21/05/1975 42 S L
77
6471012810130012 6402130103890001 SYAFRUDDIN TAWAU 01/03/1989 29 S L
78
6471011101100003 6471013011990001 YASINA IQWAL BALIKPAPAN 30/11/1999 18 B L
79
6471011106090003 6471012807800004 NASRUN BLORA 26/07/1980 37 S L
80
6471013007090034 6471017112540016 SITI NGAISAH MADIUN 31/12/1954 63 S P
81
6471011204160006 6402131302720002 SANTOSO KEDIRI 13/02/1972 46 S L
82
6471011204160006 6402134906720001 AMINAH KEDIRI 09/06/1972 46 S P
83
6471010404030406 6471015506000002 NURHANI MAULIDAH BALIKPAPAN 15/06/2000 17 B P
84
6471010507100017 6471035208570001 SIMPEN TULUNGAGUNG 12/08/1957 60 S P
85
6471012309140017 6402132608800001 HAIRUDDIN SAMBOJA 26/08/1980 37 S L
86
6471010405100015 6471011110820005 PRASTYONO MADIUN 11/10/1982 35 S L
87
6471010308100006 6471051411630002 BUDIMAN BALIKPAPAN 14/11/1963 54 S L
88
6471011201090019 6471011311980001 M. RIZAL BALIKPAPAN 13/11/1998 19 B L
89
6471010502080001 6471011306990002 ACHMAL DIANTAMA BALIKPAPAN 13/06/1999 18 B L
90
6471012504070005 6471016511810002 ARBAINAH BALIKPAPAN 25/11/1981 36 S P
91
6471010412170019 6471010103840003 ARIS SUGITO BLITAR 01/03/1984 34 S L
92
6471011207120011 6471011605860002 SEKI NABARA JEPARA 16/05/1986 31 S L
93
6471011207120011 6471015306930003 ANISA SUNGAI GUNTUNG 13/06/1993 24 S P
94
6471010501100024 6471010504710003 FIRMAN LAPASU 05/04/1962 55 S L
95
6471010501100024 6471015207690001 RAHMANI KUTAI 12/07/1969 49 S P
96
6471010501100024 6471012510940004 LEO CHANDRA BALIKPAPAN 25/10/1994 23 B L
97
6471010501100024 6471010608980001 JUNAEDI BALIKPAPAN 06/08/1998 19 B L
98
6471012104140003 6307011305870002 MUHAMMAD JAMHURI TAMPANGAN 13/05/1987 30 S L
99
6471012104140003 6307014107910127 SITI AMINAH PASTING 01/07/1991 26 S P
100
6471011109120041 6471016504800003 FARIDAH ILUNG 25/04/1980 37 S P
101
6471011109120041 6471014512990006 LIYA MALINA BALIKPAPAN 05/12/1999 18 B P
102
6471010605090007 6471010610800006 SAPARI RAMADHAN NGAWI 06/10/1980 37 S L
103
6471010605090007 6471010605090007 MARATUSHALIKHAH BALIKPAPAN 27/01/1985 33 S P
104
6471011809030004 6408144203870001 SUSI SUSANTI GEROBONG 02/03/1987 31 S P
105
6471010412120019 3202126003820002 EMBID BIDANATI SUKABUMI 20/03/1982 36 S P
106
Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 30
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL. MULAWARMAN NO... 030 000 1
JL. MULAWARMAN NO. 60, 030 00- 4
JL. MULAWARMAN NO. 60, 030 000 4
JL. MULAWARMAN NO. 60, 030 000 4
JL.MULAWARMAN NO. 0 030 000 4
JL. SMP 3 030 000 4
JL. MUJLAWARMAN NO. 030 000 5
JL. PANTURA 030 00- 5
JL.PINANG 030 00- 5
JL.SMP 13 030 00- 5
JL. MULAWARMAN GG.PAN030 00- 5
JL. MULAWARMAN GG.PAN030 00- 5
JL. PANTURA 030 00- 8
JL. MULAWARMAN GG. PANTURA 030
B
B
B
B
JL. MULAWARMAN 030
B
JL. MULAWARMAN 030
B
JL. MULAWARMAN 030
B
B
JL. MULAWARMAN 030
B
B
JL. MULAWARMAN 030
B
JL. MULAWARMAN 030
B
B
B
JL. SMPN 13 030
B
JL. MULAWARMAN NO. 030
B
JL. MULAWARMAN 030
B
B
JL. MULAWARMAN (RUMAH DINAS PDAM) 030
B
JL. MULAWARMAN 030
B
B
JL. MULAWARMAN 030
B
B
JL. MULAWARMAN 030
B
JL. MULAWARMAN 030
B
JL. SMP 13 GG. PINANG 030
B
B
B
B
JL. MULAWARMAN 030
B
JL. MULAWARMAN 030
B
JL. SMP 13 030
B
JL. SMP 13 030
B
JL. MULAWARMAN 030
B
JL. MULAWARMAN 030
B
JL. MULAWARMAN 030
B
B
Ketua
(……………………………….………..………..)
TAHUN 2018
TPS
Status
B/S/P
1 2 3 4 5 6 7 8 9
1 6471010312080019 6471011008340001 H. ACHMAD SALIM KUDUS 10|08|1934 83 S L
2 6471010702050007 6471013112610046 ABIDIN ENREKANG 31|12|1961 56 S L
3 6471010908050001 6471017112300016 ANTUNG RATU KOTA BARU 31|12|1930 87 P P
4 6471011801100030 6471011010640003 KEMIS NGANJUK 10|10|1964 53 S L
5 6471012210120007 6471015604900002 TUTI KUSMIRA BALIKPAPAN 16|04|1990 28 B P
6 6471011100485001 6471014209900002 BINTI LARASATI BALIKPAPAN 10|02|1990 28 S P
7 6471011405070003 6471017117640111 TINI TUBAN 31|12|1964 53 S P
8 6471012610090010 6471051502650006 SAMUJI TULUNGAGUNG 15|02|1965 53 S L
9 6471010905170002 6307071812890005 JUMBERI LUNJUK 18|12|1989 28 B L
10 6471010207120038 6471015305730001 NORNIYATI BALIKPAPAN 13|05|1973 45 P P
11 6471012701100013 6471052305770002 J. CHRISTIAWAN. R BALIKPAPAN 23|05|1977 41 S L
12 6471012701100013 6471055708770004 SUMARTININGSIH LAMONGAN 17|08|1977 40 S P
13 6471011310140011 6471010101890003 HENDRA BALIKPAPAN 01|01|1989 29 S L
14 6471011111090004 6471015802960001 YENI TUBAN 18|02|1996 22 B P
15 6471011311130016 6471014103950001 SITI RAHMAH BALIKPAPAN 01|03|1995 23 B P
16 6471011901090010 6471011305940002 KHOIRUL ANAM BALIKPAPAN 13|05|1994 24 B L
17 6471012007100004 6471011405800003 GUNARI TUBAN 14|05|1980 38 S L
18 6471012007100004 6471015110870002 TAMINI TUBAN 11|10|1987 30 S P
19 6471012208130001 7316034309950001 HIJRAH BAMBOLING 03|09|1995 22 S P
20 6471012208130001 7316031805960001 ROMANSYAH PASONGKENG 18|05|1996 22 S P
21 6471012403050005 6471013112500030 ABDULAH KOTA BARU 31|12|1950 67 S L
22 6471012310030009 6471013112660040 YASNO TUBAN 31|12|1966 51 S L
23 6471012403050003 6471014508680001 ENASRI TUBAN 05|08|1968 49 S P
24 6471012403050003 6471011603720001 KARSIBAN TUBAN 16|03|1972 46 S L
25 6471011905100007 6471011904740002 SAYAID USMAN BALIKPAPAN 19|04|1974 44 S L
26 6471011106050008 6471010301940001 DIAN SAPUTRA BALIKPAPAN 03|01|1994 24 B L
27 6471012008080006 6471010806730003 MARJUKI BALIKPAPAN 08|06|1973 45 S L
28 6471012809090019 6471011212820003 AHMAD YONI TUBAN 12|12|1982 35 S L
29 6471011802140012 3523111403830003 MUSLIH TUBAN 14/03/1983 35 S L
30 6471011802140012 3523116002860003 SOLIKAH TUBAN 20/02/1986 32 S P
31 6471012808170007 3522016811980002 PUTRI ELA SARI BOJONEGORO 28/11/1998 19 B P
32 6471011608160015 6302160808900002 MUHAMMAD KHAIRULLAH BALIKPAPAN 08/08/1990 27 S L
33 6471012304150002 7316104204700003 JUHARIA BUNTU KATARRUNG 02/04/1970 47 S P
34 6471012009160024 6471011907970003 AKMAL PARE-PARE 19/07/1997 20 B L
35 6471013110160015 6402130107700071 SUJAK TUBAN 01/07/1970 47 S L
36 6471013110160015 6402135604740005 SATINI BLORA 16/04/1974 43 S P
37 6471011010120076 3523114602900005 JUMIATIN TUBAN 17/10/1991 26 S P
38 6471010208120020 6402136109950002 SRI SUHARTINI SAMBOJA 21/09/1995 22 S P
39 6471010503150017 6471015510950004 TITIS RATNASARI SAMBOJA 15/10/1995 22 S P
40 6471012608150030 3522070105880003 MUHAMMAD HADI BOJONEGORO 01/05/1988 29 S L
41 6471010402150005 3523141903780001 SUMIDI TUBAN 19/03/1976 42 S L
42 6471010402150005 3523144103830004 SUNAYATI LAMONGAN 01/03/1983 35 S P
43 6471012606120017 6471011210830004 SURATMAN NGANJUK 12/10/1983 34 S L
44 6471011305110008 6471015001600003 NURSIAH UJUNG PANDANG 10/01/1960 58 S P
45 6471011908150014 6402130911840005 EDY WIBOWO TUBAN 09/11/1984 33 S L
46 6471010907120013 6471011009780003 ASMAD SUYANTO SEPAKU 09/10/1978 39 S L
47 6471010907120013 6471014702810005 KUMALASARI BALIKPAPAN 02/07/1981 36 S P
48 6471011712150014 3523201807700002 SUPARMIN TUBAN 18/07/1970 49 S L
49 6471011712150014 3523205005800007 MASRUAH TUBAN 10/05/1980 37 S P
50 6471012112150007 6402130504660001 SUMIJAN NGARUM 05/04/1966 51 S L

51 6471012112150007 6402134301780001 DASMIATUN NGARUM 03/01/1978 40 S P
52 6471010312080019 6471012707980003 ACHMAD SAIFUL AMIN BALIKPAPAN 27/07/1998 19 B L
53 6471011506160009 6402181006760001 SUWANDI D. LUNJUK 10/06/1976 41 S L
54 6471011506160009 6402185001840001 SITI SURYATI B. TANGGA 10/01/1984 34 S P
55 6471011401160010 3523200107810003 NA. MOHAMAD IRVAN JASMADI TUBAN 01/07/1981 36 S L
56 6471011401160010 3523204207860001 YULIS STYOWATI TUBAN 02/07/1986 31 S P
57 6471012409130010 3510241801900002 SULAIMAN FADLI BANYUWANGI 18/01/1990 28 S L
58 6471011106050002 6471015704820002 KUNASRI TUBAN 17/04/1982 35 S P

Hal …dari…
Model A.B-KWK
: BALIKPAPAN TIMUR
: 31
Alamat
Disabil Keterangan
itas
Jalan/Dukuh Rt Rw
10 11 12 13 14
JL.MUFAKAT JEMBATAN BESI 031 00- 1
JL. MUFAKAT NO.53 031 00- 1
JL. MUFAKAT NO.29 031 00- 1
JL. MULAWARMAN GG.MUFAK031 000 1
JL. MULAWARMAN GG.MUF031 00- 2
JL.MUFAKAT 031 00- 4
JL.MUFAKAT 031 00- 4
JL.MUFAKAT 031 00- U
JL. MUFAKAT 031 000 U
JL.MUFAKAT 031 000 U
JL. MUFAKAT NO.36 031 000 U
JL. MULAWARMAN GG. MUFAKAT 031
B
B
JL. MUFAKAT NO.51 031
B
JL. MUFAKAT 031
B
JL. MUFAKAT NO.53 031 B
B
JL. MULAWARMAN GG. MUFAKAT 031 B
B
JL. MUFAKAT NO. 031
B
JL. MUFAKAT 031
B
JL. MUFAKAT 031 B
JL. MUFAKAT 031
B
JL. MUFAKAT 031
B
JL. MUFAKAT 031 B
JL. MUFAKAT 031
B
JL. MUFAKAT 031
B
JL. MUFAKAT 031
B
B
B
JL. MUFAKAT 031 B
JL. MUFAKAT 031 B
JL. MUFAKAT JEMBATAN BESI 031
B
JL. MUFAKAT 031 B
JL. MUFAKAT 031
B
JL. MUFAKAT 031
B
JL. MUFAKAT 031
B
JL. MUFAKAT NO.49 031 B
JL. MUFAKAT 031
B
Ketua
(……………………………….………..………..)

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DAFTAR PERUBAHAN PEMILIH HASIL PEMUTAKHIRAN

PEMILIHAN GUBERNUR DAN WAKIL GUBERNUR KALIMANTAN TIMUR

Keterangan disabilitas: Keterangan Status Perkawinan : *Keterangan di isi:

Panitia Pemungutan Suara

Keterangan disabilitas: Keterangan Status Perkawinan : *Keterangan di isi:

Panitia Pemungutan Suara

46 6471011403160021 6402036106610002 FATIMAH BIMA 21/06/1961 56 P P

47 6471011403160021 6402034909930003 DEWI INTAN BAIDURI BIMA 09/09/1993 24 B P

48 6471012309120033 6471015503010001 NOR HASANAH TABALONG 15/03/2001 16 B P

49 6471012311170006 7309020910980002 JUMARDI NGAPA 09/10/1998 19 B L

50 6471012011170019 6472036608970007 RISCA WATI SAMARINDA 26/08/1997 20 S P

51 6471011011170001 6471013112640105 UDDIN MAKASSAR 31/12/1964 53 B L

52 6471011309130002 7310035005740001 MASNIA ISMAIL PL. SALEMO 10/05/1974 43 S P

54 6471010711160010 7309025202590001 HJ RENNU SAWARU 12/02/1959 59 P P

55 6471010109140010 7408015807900002 PUTRIANA NGAPA 18/07/1990 27 S P

56 6471012412040002 6471011710980002 RAHMAT HIDAYAT BALIKPAPAN 17/10/1998 19 B L

57 6471012809070002 6471017112620081 ISELO WAJO 31/12/1962 55 S L

58 6471012809070002 6471016212950002 ASNA WATI BALIKPAPAN 22/12/1995 22 B P

59 6471012809070002 6471011509980003 SAKRI ANSYA BALIKPAPAN 15/09/1998 19 B L

60 6402131411075509 6402130502780001 RUSLAN ENREKANG 05/02/1978 40 S L

61 6402131411075509 6402136401850001 ROHANY SAMBOJA KUALA 24/04/1985 22 S P

62 6471012312160010 6402137012960003 SITI AISYAH SAMBOJA 30/12/1996 21 S P

63 6471012808120015 6471011404000001 IQVANNY ZUBAIDI BLORA 14/04/2000 17 B L

Keterangan disabilitas: Keterangan Status Perkawinan : *Keterangan di isi:

58 6471010203150001 6471011704830001 AHMAD FAISAL BALIKPAPAN 17/04/1983 24 B L

59 6471010901180004 6471016609950001 SAHIDAH BALIKPAPAN 26/09/1995 22 S P

60 6471010309090027 6471014208980001 NADATHUL ARDALIA BALIKPAPAN 02/08/1998 19 B P

61 647101080410003 6471014601980005 RABIATUN ASLAMIAH BALIKPAPAN 06/01/1998 19 B P

62 6471010902090036 6471015007530001 MASIYAH BARABAI 10/07/1953 54 P P

63 6471011409170009 6471034510780001 WIWIK NOVITA SARI BALIKPAPAN 05/10/1978 39 S P

64 6471010500753 6471016901860002 HAMSIAH BALIKPAPAN 29/01/1986 32 S P

65 6471012302150022 6471012711720002 HASAN ASARI BALIKPAPAN 27/11/1972 45 S L

66 6471011303170007 6471014605930001 DESI RUSNIAH BALIKPAPAN 06/05/1993 24 B P

67 6471010305050003 6471010606830004 ROBIANSYAH BALIKPAPAN 06/06/1983 34 S L

68 6471012101160007 6472046802940008 SRI FATMAWATI NINGSIH BANJARMASIN 28/02/1994 24 S P

69 6471012510160006 3518030806790004 ALI HARTONO NGANJUK 08/06/1979 38 S L

70 6471011506170005 6471052907810004 ARI PANGESTU BANYUWANGI 29/07/1981 36 S L

71 6471011506170005 6471057011760004 SARINGATIN BANYUWANGI 30/11/1976 41 S P

72 6409012302080018 6409014803850007 EKA SULISTIAWATI BALIKPAPAN 08/03/1985 33 S P

73 6409012302080018 6409010111720006 ACHMAD TAUFIQ BALIKPAPAN 01/11/1972 45 S L

74 6471012301180005 6471016107000002 RIZKY WIDIYA SARI BALIKPAPAN 21/07/2000 17 B P

Keterangan disabilitas: Keterangan Status Perkawinan : *Keterangan di isi:

75 64710125030030002 6471017112780034 JUMIATI BALIKPAPAN 31/12/1978 39 S P

76 6471011208040006 6471015005770004 SITI AISYAH KUTAI 10/05/1977 40 S P

77 6471011208040006 6471012511700002 PADLI BANJARMASIN 25/11/1970 47 S L

78 6471011208040006 6471014411980002 SAIDATUN NAFI'AH BALIKPAPAN 04/11/1998 19 B P

79 6471012607120031 6471012608770007 MUHAMMAD NAJIB SEBULU 26/08/1977 40 S L

80 6471012607120031 6471017007790003 MASTIKA BALIKPAPAN 30/07/1979 38 S P

81 6471010107130019 6471014808550001 NURHAMIAH BALIKPAPAN 08/08/1955 62 S P

82 6471052505100054 6471054112840003 SALMIAH BALIKPAPAN 01/12/1984 33 S P

83 6471011610170015 6402130708800005 KAMUA BALIKPAPAN 07/08/1980 37 S L

84 6471011610170015 6402137112820006 SAMSIAH BALIKPAPAN 31/12/1982 35 S P

86 6401082403140012 6401086505000002 RATNA NINGSIH MENDIK BHAKTI 25/05/2000 17 B P

87 6471010312090001 6471010406740002 DIDI ROSADI BOGOR 04/06/1974 43 S L

88 6471010312090001 6471014101970001 ALTITA IRLIANTI BARABAI 01/01/1997 21 B P

89 6471041703100030 6471042402780001 ANDRAWIJAYA BALIKPAPAN 24/02/1978 40 S L

90 6471041703100030 6471015307860002 NURMILASARI BALIKPAPAN 13/07/1986 31 S P

91 6471011706130013 6471041010740010 MUKSIN BONE 10/10/1974 43 S L

92 6471011706130013 6471044708810004 MILA WATI MUARA LANGON 07/08/1981 36 S P

93 6402131711160010 6402031607730006 ROMELI MALANG 16/07/1973 44 S L

94 6402131711160010 6402034508900003 IRAWATI MALANG 05/08/1990 27 S P

95 6471012506140006 6403054507870003 NELI YANTI BALIKPAPAN 05/07/1987 30 S P

96 6471011808160011 7373080409810001 EDI SUSANTO KUDUS 04/09/1981 37 S L

97 6471011808160011 7373084307760001 CAYA PALOPO 03/07/1976 42 S P