You are on page 1of 246

NAMA PENDAMPING :

KECAMATAN :
DESA :

KODE HUBKEL

1 = KEPALA RT
2 = ISTRI/SUAMI
3 = ANAK
NAMA LENGKAP 4 = MENANTU
NO NOMOR PKH NAMA LENGKAP ART
PENGURUS 5=
CUCU
6 = ORTU/MERTUA
7 = FAMILY LAIN
8 = LAINNYA

1 530404016050239 ABIGAIL NABUNOME ABIGAIL NABUNOME 2


NAHOR TEFI 1
RENDI TEFI 3

2 530404016050166 ADOLFINA LIUBANA ADOLFINA LIUBANA 2


FRANS TAUHO 1
YUFRI TAUHO 3
OKRANDO TAUHO 3

3 530404016050220 ADOLFINA TANEO ADOLFINA TANEO 2


DOMINGGUS BESSI 1
ANITA BESSI 3
ANDI BESSI 3
ARLEN BILDAD BESSI 3

4 530404016050102 ADOLFINA TEFU ADOLFINA TEFU 2


ADOLFINA TEFU YUSTI A. TLONAEN 1
ADOLFINA TEFU OSIAS KASE 3
ADOLFINA TEFU APRIANTO KASE 3

5 530404016050137 ADRIANA FAOT ADRIANA FAOT 2


ADRIANA FAOT DOMINGGUS NENOMNANU 1
ADRIANA FAOT HORAS D. NENOMNANU 3
ADRIANA FAOT HIRON J. NENOMNANU 3

6 530404016050183 AGNES SELAN AGNES SELAN 2


AGNES SELAN YEFTA MAUBANU 1
AGNES SELAN GOMER MAUBANU 3
AGNES SELAN SELPI MAUBANU 3
AGNES SELAN TETI MAUBANU 3

7 53040401650136 AKSAMINA FAOT AKSAMINA FAOT 2


AKSAMINA FAOT NITANEL NENOMNANU 1
AKSAMINA FAOT ADELINA G. NENOMNANU 3

8 530404016050172 ANTONETA NEONUFA ANTONETA NEONUFA 2


ANTONETA NEONUFA LEWI NEOLAKA 1
ANTONETA NEONUFA RESKI NEOLAKA 3
ANTONETA NEONUFA SATRIA H. NEOLAKA 3

9 530404016050231 ANTHONIA N. SUNBANU ANTHONIA N. SUNBANU 2


ANTHONIA N. SUNBANU NITANEL NEOLAKA 1
ANTHONIA N. SUNBANU DEBI A. NEOLAKA 3
ANTHONIA N. SUNBANU NOVENDI C. NEOLAKA 3
ANTHONIA N. SUNBANU VEKI I. NEOLAKA 3

10 530404016050184 ANTONIA SELAN ANTONIA SELAN 2


ANTONIA SELAN ELIAS SELAN 1
ANTONIA SELAN ENJEL TANU 3
ANTONIA SELAN RISTA TANU 3
ANTONIA SELAN AYU PINIS 3

11 530404016050155 ATRIANA TLOIM ATRIANA TLOIM 2


ATRIANA TLOIM SEM TANEO 1
ATRIANA TLOIM MERCI TAEK 3
ATRIANA TLOIM LISTA TAEK 3

12 530404016050096 CHRISTY BARTLES CHRISTY BARTLES 2


CHRISTY BARTLES ELIASER ZAKHARIAS NEONUFA 1
CHRISTY BARTLES LEONARDO A. NEONUFA 3
CHRISTY BARTLES HENRIET S. NEONUFA 3
CHRISTY BARTLES SHERLY L. NEONUFA 3
CHRISTY BARTLES HENRIETTE Y. NEONUFA 3

13 530404016050154 DEBORA BENU DEBORA BENU 2


YOKSAN TANELAB 1
ARWANDI TANELAB 3
ERIS TANTI TANELAB 3
KARMEL TANELAB 3

14 530404016050093 DIANA GANG TAPATFETO DIANA GANG TAPATFETO 2


DIANA GANG TAPATFETO DJEMS R G NUBATONIS 1
DIANA GANG TAPATFETO MEKSI G Y GANG 3
DIANA GANG TAPATFETO APRILIYENI C GANG 3
15 530404016050197 MISGAL PUDISTA BENU MISGAL PUDISTA BENU 2
MISGAL PUDISTA BENU MELIANUS TSE 1
MISGAL PUDISTA BENU JESICKA J SE 3
MISGAL PUDISTA BENU KEZIA TSE 3
MISGAL PUDISTA BENU NAAVA S TSE 3

16 530404016050242 DOMINGGUS SUNBANU DOMINGGUS SUNBANU 1


MARTOFIL SUNBANU 3
ANITA M SUNBANU 3
DIO SUNBANU 3

17 530404016050190 DORCE A M METBOKI DORCE A M METBOKI 2


DORCE A M METBOKI BUYAT NIKSON TEFBANA 1
DORCE A M METBOKI PRETI SELSINA TEFBANA 3
DORCE A M METBOKI APRIFA LOTS TEFBANA 3
DORCE A M METBOKI HETITA Y TEFBANA 3
DORCE A M METBOKI JUNILDA TEFBANA 3

18 530404016050223 DORKAS DJAMI DORKAS DJAMI 2


SEFNAT BESSI 1
MARLIS BESSI 3
JEMS E BESSI 3
CRIS J BESSI 3
OVANDA T BESSI 3

19 530404016050198 DORKAS MANOBE DORKAS MANOBE 2


THEOFILUS HUSEN 1
HESTY HUSEN 3
JULITA HUSEN 3
KIREN HUSEN 3
ARIYANTO HUSEN 3

20 530404016050206 DORTIA NINEF DORTIA NINEF 2


MARTHEN L. BENU 1
RIKI R.A BENU 3
GREVANDI Y.J BENU 3
TRIANDA E. BENU 3
JEPI D. BENU 3

21 530404016050219 DORTIA TOFETO DORTIA TOFETO 1


ALDINAL AGALAPULA 3
YUSUF R.D AGALAPULA 3
LODRIANA AGALAPULA 3
22 530404016050109 DORTYA NAKAMNANU DORTYA NAKAMNANU 2
MAKSEN E. BETTY 1
MIRNA BETTY 3
AZLY BETTY 3
FIRZA NAKAMNANU 3

23 5304040016050181 EFROSINA NESIMNASI EFROSINA NESIMNASI 2


LUKAS NUBATONIS 1
ANTONIA NUBATONIS 3
YONATAN NUBATONIS 3
ANCE NUBATONIS 3
WIIWI NUBATONIS 5

24 530404016050189 ELISA MAUBANU ELISA MAUBANU 1


EUNIKA M. SESFAOT 2
ANTONETA MAUBANU 3
MELSI MAUBANU 3

25 530404016050133 ELISABET TEFNAI ELISABET TEFNAI 2


EMANUEL MAMULAK 1
MARYO MAMULAK 3

26 530404016050118 ELISABETH BIEN ELISABETH BIEN 2


KALEB TANEO 1
SEFRI A. TANEO 3
OMRI RINA TANEO 3
AMRAN TANEO 3

27 530404016050124 ENDANG N. TENISTUAN ENDANG N. TENISTUAN 2


YONAS NUBATONIS 1
ARWINTO NUBATONIS 3
TENDY NUBATPONIS 3
ELMA NUBATONIS 3
ELKI R. NUBANTONIS 3
ALFENDI NUBATONIS 3

28 530404016050175 ENIKA SAE ENIKA SAE 2


ZEM TANONO 1
FRISEN N. TANONO 3
DUILVEN TANONO 3

29 530404016050224 EPATRI I. NUBATONIS EPATRI I. NUBATONIS 2


GAT BOIMAU 1
VITRANDA BOIMAU 3
DANIEL BOIMAU 3
VIKI BOIMAU 3

30 530404016050098 ERNA MANAO ERNA MANO 2


MATHEOS LULAN 1
AGRIDORIO LULAN 3
SUSI S. N R LULAN 3
AGANA LULAN 3
PETER Z.N LULAN 3
NIYURI LULAN 3

31 530404016050180 ERNI KAUSE ERNI KAUSE 2


FELIPUS NESIMNASI 1
GLORIA A. NESIMNASI 3
DESTRI NESIMNASI 3
IMANUEL NESIMASI 3
NOLDI NESIMNASI 3

32 530404016050110 ERNI NOMLENI ERNI NOMLENI 2


NIMROT FAOT 1
CINDY FAOT 3
SARI S.A.M FAOT 3
METRY FAOT 3
WINDY C.J FAOT 3
SIFRA FAOT 3

33 530404016050200 ERNI Y. SELAN ERNI Y. SELAN 2


ARY MANAO 1
KEVIN MANAO 3
INTAN MANAO 3
NONITA MANAO 3

34 530404016050212 ESTER DJAMI ESTER DJAMI 2


SAMUEL TEFA 1
SUFIANI TEFA 3
YUSMINA TEFA 3
YUMIMA PELOKILA 8

35 530404016050095 ESTER ROBOT ESTER ROBOT 2


SIMON P GANG NUBATONIS 1
EZRA O GANG 3
CHRISTIN GANG 3

36 530404016050159 FENCI SELAN FENCI SELAN 2


YAFED TAUHO 1
APRIS TAUHO 3
YEFRI TAUHO 3
NORDIANTI TAUHO 3

37 530404016050170 FEOLINA FAOT FEOLINA FAOT 2


LEONARD TALAN 1
DESMI W TAMONOB 8
SEMERIUS SELAN 8

38 530404016050141 HENDERINA F. MAUBANU HENDERINA F. MAUBANU 2


OKTOVIANUS FAOT 1
YURJADIM FAOT 3
AHASMIJOBUNA FAOT 3
FALENTIMUN FAOT 3
APTELMIA FAOT 3
DESTALITAKUM FAOT 3

39 530404016050130 HENDERINA MUABANU HENDERINA MAUBANU 2


BARNABAS NEONUFA 1
JEKSI H. TEFNAI 5
MISAEL K. NEONUFA 3

40 530404016050103 IBRAHIM BENU IBRAHIM BENU 1


YOSIS R. BOIMAU 2
NALDI R. BENU 3
CINDI M. BENU 3
JEKLINE S. BENU 3
ARDEN BENU 3

41 530404016050244 IMELDA BANI IMELDA BANI 2


FRENGKI NENOMNANU 1
SARI NENOMNANU 3
CLARA G.NENOMNANU 3
FAREL L.NENOMNANU 3

42 530404016050140 IMELDA LIUKAE IMELDA LIUKAE 2


DIKSON TEFBANA 1
ROI TEFBANA 3
ANGLIS NITBANI 3

43 530404016050217 IMELDA SELAN IMELDA SELAN 2


530404016050217 IMELDA SELAN SEPRIANUS FANGGIDAE 1
530404016050217 IMELDA SELAN NOVITA FANGGIDAE 3
530404016050217 IMELDA SELAN JITRON FANGGIDAE 3
530404016050217 IMELDA SELAN MERLIN FANGGIDAE 3
530404016050217 IMELDA SELAN SELVY FANGGIDAE 3
530404016050217 IMELDA SELAN ERNY FANGGIDAE 3

44 530404016050186 KATARINA BEIS/SELAN KATARINA BEIS/SELAN 2


530404016050186 KATARINA BEIS/SELAN SEFNAT BEES 1
530404016050186 KATARINA BEIS/SELAN RISMAN BEES 3
530404016050186 KATARINA BEIS/SELAN SERLY BEIS 3

45 530404016050153 KORNALIA FAOT KORNALIA FAOT 2


530404016050153 KORNALIA FAOT OBAJA TEFNAY 1
530404016050153 KORNALIA FAOT SUSTEN TEFNAY 3
530404016050153 KORNALIA FAOT MATCE TEFAY 3
530404016050153 KORNALIA FAOT ANGKY TEFNAY 3

46 530404016050126 LEBRINA TOISLAKA LEBRINA TOISLAKA 2


530404016050126 LEBRINA TOISLAKA YANRID BAINEO 1
530404016050126 LEBRINA TOISLAKA SIPRI BAINEO 3
530404016050126 LEBRINA TOISLAKA ARGAN BAINEO 3
530404016050126 LEBRINA TOISLAKA FADEL BAINEO 3
530404016050126 LEBRINA TOISLAKA RIFEN BAINEO 3

47 530404016050111 LILI YANTI MAUBANU LILI YANTI MAUBANU 2


530404016050111 LILI YANTI MAUBANU SUHERMAN SELAN 1
530404016050111 LILI YANTI MAUBANU ARDI SELAN 3
530404016050111 LILI YANTI MAUBANU YUSUF SELAN 3
530404016050111 LILI YANTI MAUBANU FAISAL I.SELAN 3

48 530404016050202 MADA M.TANEO MADA M.TANEO 2


530404016050202 MADA M.TANEO MELKIAS KARMOY 1
530404016050202 MADA M.TANEO HENDERINA KARMOY 3
530404016050202 MADA M.TANEO MARLON E.KARMOY 3
530404016050202 MADA M.TANEO SARLOT MARIA KARMOY 3

49 530404016050151 MAGDALENA TAANEO MAGDALENA TANEO 2


ISMAEL MANU 1
ELFIANUS MANU 3
JUMIATI MANU 3
ELSA MANU 3
JUITA MANU 3

50 530404016050235 MARGARETA MISSA MARGARETA MISSA 2


ALOYSIUS KAMLASI 1
STEVANI KAMLASI 3
DEFANDI KAMLASI 3

51 530404016050122 MARGARITA NOEL MARGARITA NOEL 2


ARKALAUS EBIKAWA 1
NOVALEAN EBIKAWA 3
LODIA E.EBIKAWA 3
APRIWINI A.EBIKAWA 3
MARTIN EHUD EBIKAWA 3

52 530404016050188 MARIA P.ANOK MARIA P.ANOK 2


FIRMUS TISER 1
FLAFIANUS L.TISER 3
MARIA STEVANI TISER 3

53 530404016050138 MARIA SOIBALA MARIA SOINBALA 2


FREBGKI NEONUFA 1
INDRA NEONUFA 3
CHORNALIUS NEONUFA 3
OPA SONI NEONUFA 3

54 530404016050208 MARIA Y.TINO MARIA Y.TINO 2


EFRON E.LIU 1
OKTOVIANUS Y.LIU 3
JHUNA D.LIU 3

55 530404016050221 MARICE NENOHAIFETO MARICE NENOHAIFETO 2


IMANUEL SOLLE 1
JUNITA SOLLE 3
DETRI AMELIA SOLLE 3
JIMRON SOLLE 3

56 530404016050213 MARSALINA AOTPAH MARSALINA AOTPAH 2


EDISON TEFA 1
NETI M.TEFA 3
LODOWIC M.TEFA 3
JIMI ANDAREAS TEFA 3
PETER TEFA 3
NATALIA TEFA 3
AGRIANI TEFA 3

57 530404016050215 MARTHA BAOK MARTHA BAOK 2


CHARLES MAYAR 1
JINANDA TALITA MAYAR 3

58 530404016050236 MARTHA FINIT MARTHA FINIT 2


NIKODEMUS NENOMANTAUS 1
MARSERIUS NOMANTAUS 3
JUNI V.NENOMANTAUS 3
VALENSIA TALAN 5
COSTANTINUS TALAN 5

59
CATATAN :
1. FORMAT DATABASE KPM INI HARUS DILENGKAPI SESUAI DENGAN FORMAT YANG DIKELUARKAN OLEH PPKH KABUPATEN TANPA M
2. KOLOM BPJS LAINNYA DIISI APABILA KPM TIDAK MEMPUNYAI KIS TAPI MEMELIKI JAMKESDA/BPJS MANDIRI
3. DATABASE YANG DIISI SUDAH DISESUAIKAN DENGAN FORMAT BPJS KARENA ITU DATA YANG DIISI HARUS AKURAT
4. DATABASE SUDAH HARUS DITERIMA KEMBALI OLEH APD/OPERATOR PALING LAMBAT TANGGAL 31 OKTOBER 2018
JENIS STATUS
TANGGAL LAHIR KELAMIN KAWIN

NAMA IBU KANDUNG 1=L 1=K NOMOR KK


PENGURUS 2 = BK
TEMPAT LAHIR DD/MM/YYYY 3=J
4=D
2=P

BERNIKA BETTY KAENENO 11/11/1970 P 1 5302071606080010


9/5/1964 L 1 5302071606080010
3/3/1999 L 2 5302071606080010

FEOLINA BELL NUSA 4/24/1960 P 1 5302072501084786


7/27/1954 L 1 5302072501084786
L 2 5302072501084786
10/25/2007 P 2 5302072501084786

SARLINA LIUNESI BELE 12/2/1982 P 1 5302072501084245


9/11/1973 L 1 5302072501084245
8/7/2001 P 2 5302072501084245
4/12/2005 L 2 5302072501084245
4/26/2010 L 2 5302072501084245

MARTHA TEFLOPO FATUTNANA 10/15/1968 P 5302071611110001


10/15/1968 P 5302071611110001
9/11/1985 L 5302071611110001
4/25/2011 L 5302071611110001

ANACI TAUHO MNELALETE 4/28/1987 P 1 5302072501084441


10/5/1977 L 1 5302072501084441
6/16/2016 L 2 5302072501084441
5/21/2017 L 2 5302072501084441

ANTONIA NUBATONIS OEFEKU 3/18/1985 P 1 5302072501082378


7/26/1985 L 1 5302072501082378
3/18/1985 L 2 5302072501082378
8/6/2008 P 2 5302072501082378
P 2 5302072501082378

SARCI LIUBANA TETAF 8/19/1976 P 1 5302072002090005


11/30/1975 L 1 5302072002090005
2/15/2009 P 2 5302072002090005

SALOMI MAUBANU MANA 12/31/1962 P 1 5302072501084750


12/31/1963 L 1 5302072501084750
10/5/1994 L 2 5302072501084750
3/7/2012 L 2 5302072501084750

YOSINA TEFNAY OEKAMUSA 8/2/1968 P 1 5302071306080005


7/29/1971 L 1 5302071306080005
12/7/2000 P 2 5302071306080005
11/15/2003 L 2 5302071306080005
5/31/2006 L 2 5302071306080005

MILKA SELAN TUAPENU 6/24/1985 P 1 5302072501084763


12/31/1939 L 1 5302072501084763
3/29/2006 P 2 5302072501084763
2/16/2008 P 2 5302072501084763
8/23/2012 P 2 5302072501084763

PAULINA NOKAS KAENENO 6/3/1951 P 1 5302072501084452


12/31/1953 L 1 5302072501084452
5/21/2001 P 2 5302072501084452
P 2 5302072501084452

HENDRIETE MARKUS BA'A 10/26/1976 P 1 5302072506080071


9/23/1973 L 1 5302072506080071
8/27/1998 L 2 5302072506080071
10/15/2000 L 2 5302072506080071
5/17/2003 P 2 5302072506080071
11/26/2004 P 2 5302072506080071

SILPA TALAN MNELALETE 12/25/1982 P 1 5302072501083004


1/23/1977 L 1 5302072501083004
8/28/2005 L 2 5302072501083004
7/17/2008 P 2 5302072501083004
7/31/2014 P 2 5302072501083004

TEODORA SONBAI KAPAN 3/11/1966 2 1 5302072506080020


9/19/1958 1 1
3/28/1982 1 1
4/24/2003 2 2
SARCI P BOIMAU HAUNOBENAK 12/30/1982 2 1 5302071301160001
5/18/1981 1 1
7/9/2009 2 2
7/12/2012 2 2
11/29/2014 2 2

YOSINA TEFNAY BATU PUTIH 9/5/1979 1 3 5302071606080002


4/8/2006 1 2
8/8/2007 2 2
12/4/2009 1 2

YUMINA FALLO SOE 12/5/1980 2 1 5302012501085116


11/23/1973 1 1
2/28/2015 2 2
4/1/2010 2 2
7/3/2008 2 2
6/17/2004 2 2

MARIA TANEO HOIBETI 1/2/1971 2 1 5302072002090149


9/27/1969 1 1
2 2
1/26/2000 1 2
1/17/2005 1 2
10/8/2011 2 2

MARIA TALAN SOE 12/28/1959 2 1 5302072501081562


8/3/1955 1 1
2/16/1986 2 1
7/13/2005 2 2
1/5/2009 2 2
6/29/2012 1 2

ANTONETA NEOLAKA NOEBANA 15/12/1974 2 1 5302072501086749


7/7/1974 1 1 5302072501086749
12/7/2000 1 2 5302072501086749
24/01/2004 1 2 5302072501086749
3/5/2009 1 2 5302072501086749
31/05/2008 1 2 5302072501086749

DEBRIANA SAEFATU PILI 8/3/1968 2 1 5302072501081550


14/04/2000 2 2 5302072501081550
24/09/2006 1 2 5302072501081550
24/02/2009 2 2 5302072501081550
KATARINA NOME HOY 2/9/1984 2 1 5302071806080013
30/03/1983 1 1 5302071806080013
19/03/2011 2 2 5302071806080013
9/4/2013 1 2 5302071806080013
9/2/2009 2 2 5302071806080013

BATSEBA BOMAU TUAPENU 10/12/1954 2 1 5302072501084715


31/12/1950 1 1 5302072501084715
2 2 5302072501084715
1 2 5302072501084715
2 2 5302072501084715
13/09/2006 2 2 5302072501084715

PAULINA MAUBANU OENALI 26/06/1977 1 1 5302072501084271


4/3/1986 2 1 5302072501084271
25/07/2011 2 2 5302072501084271
21/05/2013 2 2 5302072501084271

SUSANA MAUBANU MNELALETE 24/04/1974 2 1


1 1
20/05/2007 1 2

OKTOVINA KABU HASO 4/7/1967 2 1 5302072501084467


9/12/1966 1 1 5302072501084467
11/9/1993 1 2 5302072501084467
15/12/1995 2 2 5302072501084467
3/6/2002 1 2 5302072501084467

BERTA M. LIUNOME OEKIU 17/07/1968 2 1 5302072501086326


1/7/1965 1 1 5302072501086326
1 2 5302072501086326
1 2 5302072501086326
2 2 5302072501086326
1/12/2002 2 2 5302072501086326
19/11/2009 1 2 5302072501086326

SELFINA TOBE FATUTNANA 28/04/1971 2 1 5302072506080017


1/10/1970 1 1 5302072506080017
7/2/2005 1 2 5302072506080017
2/11/2009 1 2 5302072506080017

SILPA FAOT MEOKONO 4/5/1986 2 1 5302070504110001


2/3/1978 1 1 5302070504110001
24/09/2009 2 2 5302070504110001
30/06/2012 1 2 5302070504110001
5/2/2018 1 2 5302070504110001

ANACI TALAN KANEN 18/11/1973 2 1 5302072501084347


10/6/1965 1 1 5302072501084347
12/8/2006 1 2 5302072501084347
24/12/2007 2 2 5302072501084347
7/10/2011 1 2 5302072501084347
23/11/2014 1 2 5302072501084347
11/11/2009 1 2 5302072501084347

SILPA SELAN TOIHEUM 8/9/1982 2 1 5302072501086297


27/9/1966 1 1 5302072501086297
03/102002 2 2 5302072501086297
10/7/2004 2 2 5302072501086297
8/10/2006 1 2 5302072501086297
1 2 5302072501086297

NELCI NATONIS OENEKE 30/06/1976 2 1 5302072501084476


1 1 5302072501084476
26/02/2000 2 2 5302072501084476
14/04/2002 2 2 5302072501084476
8/3/2005 2 2 5302072501084476
19/01/2008 2 2 5302072501084476
9/7/2017 2 2 5302072501084476

YAKOBED MANAO OENALI 22/10/1983 2 1 5302072501081559


8/7/1975 1 1 5302072501081559
17/06/2005 1 2 5302072501081559
17/10/2006 2 2 5302072501081559
0/02/2012 2 2 5302072501081559

YUSMINA TUALAKA HOIBETI 14/11/1960 2 1 5302072002090157


5/4/1959 1 1 5302072002090157
16/06/1991 2 2 5302072002090157
22/07/1993 2 2 5302072002090157
10/2/2006 2 2 5302072002090157

MARGARETA JAWA BARA KUPANG 20/03/1959 2 1 5302072406080042


6/11/1944 1 1 5302072406080042
22/12/2006 1 2 5302072406080042
3/3/2012 2 2 5302072406080042

APLONIA SELAN MNELALETE 14/04/1989 2 1 5302072501084849


25/08/1981 1 1 5302072501084849
10/4/2008 1 2 5302072501084849
26/08/2013 1 2 5302072501084849
8/11/2015 2 2 5302072501084849

MARIA MAUBANU NULLE 31/12/1968 2 1 5302072501084764


31/12/1941 1 1 5302072501084764
2/11/2006 2 2 5302072501084764
24/07/2000 1 2 5302072501084764

OKTOVIANA FAOT NUSA 24/04/1971 2 1 5302072501084737


24/04/1960 1 1 5302072501084737
1 2 5302072501084737
1 2 5302072501084737
12/11/2000 1 2 5302072501084737
5/4/2004 2 2 5302072501084737
28/12/2006 2 2 5302072501084737

MARIA NEONUFA MNELALETE 25/08/1951 2 1 5302072501084851


26/04/1949 1 1 5302072501084851
14/01/2002 1 2 5302072501084851
14/05/2002 1 2 5302072501084851

LEA KASE KUANTATU 18/12/1976 1 1 5302072506080005


16/11/1978 2 1 5302072506080005
1/7/2001 1 2 5302072506080005
11/10/2003 2 2 5302072506080005
4/7/2008 2 2 5302072506080005
21/08/2013 2 5302072506080005

MARGARITA MISSA OENALI 9/10/1992 2 1 5302072402100001


26/02/1990 1 1 5302072402100001
9/12/2010 2 2 5302072402100001
17/09/2014 2 2 5302072402100001
8/2/2017 1 2 5302072402100001

YULIANA TUKE MNELALETE 13/03/1989 2 1 5302072501086272


15/12/1987 1 1 5302072501086272
4/10/2009 1 2 5302072501086272
1 2 5302072501086272

REGINA MAYAR OENALI 14/05/1985 2 1


13/09/1984 1 1
29/11/2004 2 2
22/07/2006 1 2
2/5/2008 2 2
2/9/2010 2 2
2/1/2014 2 2

SELFINA BETTY TUAPENU 12/4/1962 2 1 5302072501081148


24/11/11962 1 1 5302072501081148
2 2 5302072501081148
25/09/2002 2 2 5302072501081148

REGINA SELAN MNELALETE 04//03/1973 2 1 5302072501084838


17/10/1959 1 1 5302072501084838
3/5/2000 1 2 5302072501084838
4/3/2003 2 2 5302072501084838
1 2 5302072501084838

FERDERIKA PUAY OEPLIKI 15/12/1985 2 1 5302072501086261


5/7/1985 1 1 5302072501086261
1 2 5302072501086261
9/9/2008 1 2 5302072501086261
1 2 5302072501086261
1 2 5302072501086261

EMA NGELAN OEKAMUSA 24/05/1986 2 1 530207006110002


2/2/1984 1 1 530207006110002
14/08/2012 1 2 530207006110002
13/02/2015 1 2 530207006110002
17/10/2007 1 2 530207006110002

SARCI FALLO NUNUKNITI 21/01/1979 2 1 5302072501084251


13/05/1972 1 1 5302072501084251
31/01/2006 2 2 5302072501084251
30/10/2010 1 2 5302072501084251
17/11/2013 2 2 5302072501084251

ATRIANA TALOIM MNELALETE 5/11/1984 2 1 5302072501084450


18/02/1979 1 1 5302072501084450
15/02/2006 1 2 5302072501084450
5/1/2009 2 2 5302072501084450
15/02/2012 2 2 5302072501084450
6/10/2015 2 2 5302072501084450

THERESIA MANAO MEOKONO 1/3/1996 2 1


21/11/1990 1 1
26/12/2014 2 2
20/12/2016 1 2

LODIA NOE BUI TAKARI 3/3/1969 2 1 5302072501084473


1 1 5302072501084473
2 2 5302072501084473
2 2 5302072501084473
2 2 5302072501084473
24/02/2006 1 2 5302072501084473

KRISTINA HORAK NUROBO 28/10/1985 2 1 5302072501084276


14/11/1980 1 1 5302072501084276
1/2/2011 1 2 5302072501084276
7/7/2014 2 2 5302072501084276

FILPINA TSE NONO 3/3/1967 2 1 5302072501084746


5/12/1966 1 1 5302072501084746
29/04/2007 1 2 5302072501084746
19/06/2009 1 2 5302072501084746
17/07/2011 1 2 5302072501084746

ANTONIA BAOK OENALI 4/12/1985 2 1 5302072908170001


6/6/1975 1 1 5302072908170001
8/10/2009 1 2 5302072908170001
27/06/2014 1 2 5302072908170001

TERESIA PUAY SABKIKI 29/05/1980 2 1 5302072501084308


23/01/1978 1 1 5302072501084308
27/05/2004 2 2 5302072501084308
21/12/2008 2 2 5302072501084308
9/6/2012 1 2 5302072501084308

MARTA BASOIN TETAF 7/3/1983 2 1 5302072812090003


6/6/1981 1 1 5302072812090003
3/3/2004 2 2 5302072812090003
3/10/2005 1 2 5302072812090003
23/01/2007 1 2 5302072812090003
15/06/2011 1 2 5302072812090003
29/05/2013 2 2 5302072812090003
13/08/2015 2 2 5302072812090003

TERESIA TAMONOB MEOKONO 4/4/1969 2 1 5302072501084325


2/12/1966 1 1 5302072501084325
11/1/2010 2 2 5302072501084325

SUSANA TKELA KUANFATU 6/8/1967 2 1 5302071206080008


16/11/1958 1 1 5302071206080008
18/03/1999 1 2 5302071206080008
2/6/2002 2 2 5302071206080008
10/2/2013 2 2 5302071206080008
11/8/2014 1 2 5302071206080008
EN TANPA MENGURANGI ATAU MENAMBAHKAN KOLOM
NIK ALAMAT SESUAI KTP KATEGORI
KKS KIS

TIUMBAKI,DUSUN C RW 09 RT 026 9
TIUMBAKI,DUSUN C RW 09 RT 026 9
TIUMBAKI,DUSUN C RW 09 RT 026 9

5302076004600001 NEONSAE, DUSUN 7 RW 04 RT 14 9 0000853991223


NEONSAE, DUSUN 7 RW 04 RT 14 9 0000853991166
NEONSAE, DUSUN 7 RW 04 RT 14 9
NEONSAE, DUSUN 7 RW 04 RT 14 4 0000853991886

DUSUN C RW 08 RT 024 9 0001059352907


DUSUN C RW 08 RT 024 9 0001059352896
DUSUN C RW 08 RT 024 6 0001059352918
DUSUN C RW 08 RT 024 4 0001059352929
DUSUN C RW 08 RT 024 4

OEKAMUSA DUSUIN 7 RT 03 RW 01 9
5302075510680003 OEKAMUSA DUSUIN 7 RT 03 RW 01 9
OEKAMUSA DUSUIN 7 RT 03 RW 01 9
OEKAMUSA DUSUIN 7 RT 03 RW 01 4

5302076804870003 DUSUN B RW 03 RT 012 9 0000852917297


5302070510770001 DUSUN B RW 03 RT 012 9 0000852917062
DUSUN B RW 03 RT 012 4 0000852917905
DUSUN B RW 03 RT 012 2

TUAPENU, DUSUN B RW 06 RT 18 9
TUAPENU, DUSUN B RW 06 RT 18 9
TUAPENU, DUSUN B RW 06 RT 18 4
TUAPENU, DUSUN B RW 06 RT 18 4
TUAPENU, DUSUN B RW 06 RT 18 4

5302075908760001 DUSUN B RW 03 RT 012 9 0000853208739


5302073011750002 DUSUN B RW 03 RT 012 9
DUSUN B RW 03 RT 012 4

5302077112620018 DUSUN B RW 05 RT 015 9


5302073112630008 DUSUN B RW 05 RT 015 9
DUSUN B RW 05 RT 015 9
DUSUN B RW 05 RT 015 3

5302074208680001 TIUMBAKI, DUSUN C RW 09 RT 024 9 0000853201124


5302072909710001 TIUMBAKI, DUSUN C RW 09 RT 025 9 0000853200909
TIUMBAKI, DUSUN C RW 09 RT 026 6 0000853201832
TIUMBAKI, DUSUN C RW 09 RT 027 5 0000853202092
TIUMBAKI, DUSUN C RW 09 RT 028 4 0000853202529

TUAPENU, DUSUN B RW 06 RT 18 9 0000853808409


TUAPENU, DUSUN B RW 06 RT 18 9
TUAPENU, DUSUN B RW 06 RT 18 4 0000853809625
TUAPENU, DUSUN B RW 06 RT 18 4 0000853810266
TUAPENU, DUSUN B RW 06 RT 18 3

DUSUN B RW 03 RT 012 9
DUSUN B RW 03 RT 012 9
DUSUN B RW 03 RT 012 6
DUSUN B RW 03 RT 012 2

OEKAMUSA DUSUN ARW 01 RT 02 9


OEKAMUSA DUSUN ARW 01 RT 02 9
OEKAMUSA DUSUN ARW 01 RT 02 9
OEKAMUSA DUSUN ARW 01 RT 02 9
OEKAMUSA DUSUN ARW 01 RT 02 6
OEKAMUSA DUSUN ARW 01 RT 02 5

DUSUN B RT 11 RW 03 9 0000853838987
5302072301770001 DUSUN B RT 11 RW 03 9 5302072301770001 0000853838493
DUSUN B RT 11 RW 03 5
DUSUN B RT 11 RW 03 4
DUSUN B RT 11 RW 03 2

5302075103660002 OEKAMUSA DUSUN A RW 001 RT 001 9


5302071909580002 OEKAMUSA DUSUN A RW 001 RT 001 9
OEKAMUSA DUSUN A RW 001 RT 001 9
OEKAMUSA DUSUN A RW 001 RT 001 5 0000853865886
OENALI RT 021 RW 007 9
5302071805810001 OENALI RT 021 RW 007 9
OENALI RT 021 RW 007 4
OENALI RT 021 RW 007 3
OENALI RT 021 RW 007 2

TIUMBAKI DUSUN C RW 009 RT 026 9


TIUMBAKI DUSUN C RW 009 RT 026 4
TIUMBAKI DUSUN C RW 009 RT 026 4
TIUMBAKI DUSUN C RW 009 RT 026 4

5302014512800002 DUSUN C RW 007 RT 021 9


5302012311730001 DUSUN C RW 007 RT 021 9
DUSUN C RW 007 RT 021 2
DUSUN C RW 007 RT 021 4
DUSUN C RW 007 RT 021 4
DUSUN C RW 007 RT 021 5

DUSUN C RW 008 RT 023 9 0000853369378


5302072709690002 DUSUN C RW 008 RT 023 9 0000853369119
DUSUN C RW 008 RT 023 9
DUSUN C RW 008 RT 023 6 0000853369661
DUSUN C RW 008 RT 023 5 0000853370504
DUSUN C RW 008 RT 023 3

OENALI RT 021 RW 007 9


OENALI RT 021 RW 007 9
OENALI RT 021 RW 007 9
OENALI RT 021 RW 007 5
OENALI RT 021 RW 007 4
OENALI RT 021 RW 007 3

5302075512740001 OENALI, RT 019 RW 007 9 0000853432299


OENALI, RT 019 RW 007 9 0000853432064
OENALI, RT 019 RW 007 5 0000853432536
OENALI, RT 019 RW 007 5 0000853432615
OENALI, RT 019 RW 007 4 0000853433829
OENALI, RT 019 RW 007 4

OENALI RT 024 RW 008 9 0000853223556


OENALI RT 024 RW 008 6 0000853227933
OENALI RT 024 RW 008 4 0000853230205
OENALI RT 024 RW 008 4 0000853231869
TIUMBAKI RT 026 RW 09 9
TIUMBAKI RT 026 RW 09 9
TIUMBAKI RT 026 RW 09 4
TIUMBAKI RT 026 RW 09 3
TIUMBAKI RT 026 RW 09 4

TUAPENU, RT 018 RW 006 9


TUAPENU, RT 018 RW 006 9
TUAPENU, RT 018 RW 006 9
TUAPENU, RT 018 RW 006 9
TUAPENU, RT 018 RW 006 9
TUAPENU, RT 018 RW 006 4

5302072606770001 0ENALI, RT 019 RW 007 9 0000853014622


0ENALI, RT 019 RW 007 9 0000853015465
0ENALI, RT 019 RW 007 4
0ENALI, RT 019 RW 007 2

MNELALETE RT 011 RW 003 9


MNELALETE RT 011 RW 003 9
MNELALETE RT 011 RW 003 4

MNELALETE, RT 008 RW 003 9


5302070912660001 MNELALETE, RT 008 RW 003 9
MNELALETE, RT 008 RW 003 9
MNELALETE, RT 008 RW 003 9
MNELALETE, RT 008 RW 003 6 0000853745837

5302075707680002 HAUMENI, RT 010 RW 003 9


HAUMENI, RT 010 RW 003 9
HAUMENI, RT 010 RW 003 9
HAUMENI, RT 010 RW 003 9
HAUMENI, RT 010 RW 003 9
HAUMENI, RT 010 RW 003 6
HAUMENI, RT 010 RW 003 4

5302076804710001 OEKAMUSA, RT 003 RW 001 9 0000853389832


OEKAMUSA, RT 003 RW 001 9 0000853389641
OEKAMUSA, RT 003 RW 001 4
OEKAMUSA, RT 003 RW 001 4 0000852955424

OENALI, RT 025 RW 008 9


5302070203780001 OENALI, RT 025 RW 008 9
OENALI, RT 025 RW 008 4
OENALI, RT 025 RW 008 3
OENALI, RT 025 RW 008 2

5302075811730001 OEKAMUSA, RT 002 RW 001 9 0000853234299


OEKAMUSA, RT 002 RW 001 9 0000853234198
OEKAMUSA, RT 002 RW 001 4 0000853236268
OEKAMUSA, RT 002 RW 001 4 0000853237146
OEKAMUSA, RT 002 RW 001 3
OEKAMUSA, RT 002 RW 001 2
OEKAMUSA, RT 002 RW 001 4 0000853237326

TOIHEUM, RT 017 RW 006 9 00008540584181


TOIHEUM, RT 017 RW 006 9 0000854058295
TOIHEUM, RT 017 RW 006 6
TOIHEUM, RT 017 RW 006 5
TOIHEUM, RT 017 RW 006 4
TOIHEUM, RT 017 RW 006 2

OEKAMUSA, RT 006 RW 001 9 0000853794832


5302070811750001 OEKAMUSA, RT 006 RW 001 9 '0000853793908
OEKAMUSA, RT 006 RW 001 6
OEKAMUSA, RT 006 RW 001 5
OEKAMUSA, RT 006 RW 001 5
OEKAMUSA, RT 006 RW 001 4
OEKAMUSA, RT 006 RW 001 2

OENALI, RT 021RW 007 9 0000853025782


5302070807750001 OENALI, RT 021RW 007 9 0000853023969
OENALI, RT 021RW 007 5 0000853026287
OENALI, RT 021RW 007 4
OENALI, RT 021RW 007 3

OENALI, RT 023 RW 008 9


OENALI, RT 023 RW 008 9
OENALI, RT 023 RW 008 9
OENALI, RT 023 RW 008 9
OENALI, RT 023 RW 008 4

5302076003590001 OEKAMUS, RT 001 RW 001 9


5302070611440001 OEKAMUS, RT 001 RW 001 9
OEKAMUS, RT 001 RW 001 4
OEKAMUS, RT 001 RW 001 3

LIMAN, RT 014 RW 004 9 0000853791232


5302072508810001 LIMAN, RT 014 RW 004 9 0000853790861
LIMAN, RT 014 RW 004 4 0000853791851
LIMAN, RT 014 RW 004 3
LIMAN, RT 014 RW 004 2

5302077112680005 MNELALETE, RT 015 RW 005 8


5302073112410006 MNELALETE, RT 015 RW 005 9
MNELALETE, RT 015 RW 005 4
MNELALETE, RT 015 RW 005 9

MNELALETE, RT 011 RW 003 9


MNELALETE, RT 011 RW 003 9
MNELALETE, RT 011 RW 003 9
MNELALETE, RT 011 RW 003 9
MNELALETE, RT 011 RW 003 6
MNELALETE, RT 011 RW 003 5
MNELALETE, RT 011 RW 003 4

MNELALETE, RT 011 RW 003 9 0000853169376


MNELALETE, RT 011 RW 003 9 0000853169297
MNELALETE, RT 011 RW 003 9
MNELALETE, RT 011 RW 003 4

OEKAMUSA, RT 003 RW 001 9


OEKAMUSA, RT 003 RW 001 9 0000853328643
OEKAMUSA, RT 003 RW 001 6
OEKAMUSA, RT 003 RW 001 5
OEKAMUSA, RT 003 RW 001 4 0000853329475
OEKAMUSA, RT 003 RW 001 2

HAEMENI, RT 010 RW 003 9 0000853193351


HAEMENI, RT 010 RW 003 9 0000853193248
HAEMENI, RT 010 RW 003 4 0000853193867
HAEMENI, RT 010 RW 003 2
HAEMENI, RT 010 RW 003 2

5302071303690003 MNELALETE, RT 011 RW 003 9 0000853993462


5302071512870002 MNELALETE, RT 011 RW 003 9 0000853992909
MNELALETE, RT 011 RW 003 4 0000853993822
MNELALETE, RT 011 RW 003 2

OENALI, RT 024 RW 008 9


530207130984001 OENALI, RT 024 RW 008 9
OENALI, RT 024 RW 008 5 0000853158025
OENALI, RT 024 RW 008 4 0000853159296
OENALI, RT 024 RW 008 4
OENALI, RT 024 RW 008 4
OENALI, RT 024 RW 008 7

TUAPENU, RT 018 RW 006 9 0000853335369


5302072411620001 TUAPENU, RT 018 RW 006 9
TUAPENU, RT 018 RW 006 9
TUAPENU, RT 018 RW 006 6

MNELALETE, RT 013 RW 004 9 0000854015725


5302071710560001 MNELALETE, RT 013 RW 004 9 0000854014781
MNELALETE, RT 013 RW 004 6
MNELALETE, RT 013 RW 004 5 0000854017727
MNELALETE, RT 013 RW 004 4 0000854019606

5302075512850001 HUMENI, RT 010 RW 003 9


5302070507850003 HUMENI, RT 010 RW 003 9
HUMENI, RT 010 RW 003 4
HUMENI, RT 010 RW 003 4
HUMENI, RT 010 RW 003 4
HUMENI, RT 010 RW 003 2

5302076405860002 OEKAMUSA, RT 006 RW 001 9


5302070202840001 OEKAMUSA, RT 006 RW 001 9
OEKAMUSA, RT 006 RW 001 3
OEKAMUSA, RT 006 RW 001 2
OEKAMUSA, RT 006 RW 001 4

OENALI, RT 023 RW 008 9 0000852935927


5302071305720001 OENALI, RT 023 RW 008 9
OENALI, RT 023 RW 008 4 0000852936478
OENALI, RT 023 RW 008 4 0000852936772
OENALI, RT 023 RW 008 3

MNELALETE, RT 012 RW 003 9


MNELALETE, RT 012 RW 003 9
MNELALETE, RT 012 RW 003 4
MNELALETE, RT 012 RW 003 4
MNELALETE, RT 012 RW 003 3
MNELALETE, RT 012 RW 003 2

MNELALETE, RT 008 RW 003 9


MNELALETE, RT 008 RW 003 9
MNELALETE, RT 008 RW 003 9
MNELALETE, RT 008 RW 003 9
MNELALETE, RT 008 RW 003 9
MNELALETE, RT 008 RW 003 4

OENALI, RT 019 RW 007 9 0000853378637


5302071411800001 OENALI, RT 019 RW 007 9 0000853379008
OENALI, RT 019 RW 007 4 0000853379739
OENALI, RT 019 RW 007 2

5302074303670002 MNELALETE, RT 01 RW 005 9 0000852931383


5302070512660001 MNELALETE, RT 01 RW 005 9 0000852930944
MNELALETE, RT 01 RW 005 4 0000852932237
MNELALETE, RT 01 RW 005 4 0000852933047
MNELALETE, RT 01 RW 005 4 0000852933069

OENALI, RT 022 RW 008 9


OENALI, RT 022 RW 008 9
OENALI, RT 022 RW 008 4
OENALI, RT 022 RW 008 2

OENALI,RT 024 RW 008 9 0000853331308


5302072301780002 OENALI,RT 024 RW 008 9 0000853330882
OENALI,RT 024 RW 008 5 0000853331668
OENALI,RT 024 RW 008 4 0000853332399
OENALI,RT 024 RW 008 3

5302074703830007 OENALI, RT 023 RW 008 9 0000853281584


5302070606810001 OENALI, RT 023 RW 008 9 0000853280785
5302074303040006 OENALI, RT 023 RW 008 5 0000853281865
OENALI, RT 023 RW 008 4 0000853282934
OENALI, RT 023 RW 008 4 0000853283171
OENALI, RT 023 RW 008 3
OENALI, RT 023 RW 008 2
OENALI, RT 023 RW 008 2

OENALI, RT 024 RW 008 9


5302070212660001 OENALI, RT 024 RW 008 9 0000852949462
OENALI, RT 024 RW 008 4

5302074608670003 TIUMBAKI, RT 026 RW 009 9 0000853423018


5302071611580002 TIUMBAKI, RT 026 RW 009 9 0000853422074
TIUMBAKI, RT 026 RW 009 6 0000853425437
TIUMBAKI, RT 026 RW 009 6 0000853425854
TIUMBAKI, RT 026 RW 009 2
TIUMBAKI, RT 026 RW 009 2
KOMPLEMENTARITAS

KOHOR
BPJS LAINNYA KIP RASTRA RUTILAHU KUBE UEP

1 0 0 0 2017

1 0 0 0 2017

1 0 0 0 2017

T1A0NG
T12EEQ

1 0 0 0 2017

R809AU 1 0 0 0 2017

1 0 0 0 2017
1 0 0 0 2017

QL911T

1 0 0 0 2017

1 0 0 0 2017

QW3ER9
RPBXFD

1 0 0 0 2017

ROQAB4

1 0 0 0 2017

1 0 0 0 2017

1 0 0 0 2017

RYT6EF

1 0 0 0 2017

QHZBG5
1 0 0 0 2017

1 0 0 0 2017

RT04T2

1 0 0 0 2017

1 0 0 0 2017

QEOBLA
Q8GM63

1 0 0 0 2017

1 0 0 0 2017

R3WKD8

R64QUZ

1 0 0 0 2017
TOSNAS
TALBVW
1 0 0 0 2017

1 0 0 0 0 2017

0 0 0 0 2017

1 0 0 0 0 2017

1 0 0 0 2017

QQEJUR

1 0 0 0 2017

1 0 0 0 2017

RDT5LO

1 0 0 0 2017
1 0 0 0 2017

RLBEEF
QMFA3D

1 0 0 0 2017

Q1657F

1 0 0 0 2017

QD89QT
QH26G4
RJ80BL

1 0 0 0 2017

QUCWQN

1 0 0 0 2017

1 0 0 0 2017

ROTVPW

1 0 0 0 2017

RIC7MO
1 0 0 0 2017

1 0 0 0 2017

1 0 0 0 2017

1 0 0 0 2017

QL83TM

1 0 0 0 2017

1 0 0 0 2017

1 0 0 0 2017

T77LHE
T4TZKN
1 0 0 0 2017

QM6J57

1 0 0 0 2017

1 0 0 0 2017

RC855D

1 0 0 0 2017

QX9M5P

1 0 0 0 2017

1 0 0 0 2017

1 0 0 0 2017
1 0 0 0 2017

1 0 0 0 2017

RYNABC

1 0 0 0 2017

1 0 0 0 2017

Q419XY

1 0 0 0 2017

RUHGW8

RFVLNV

1 0 0 0 2017

TMLXIY

1 0 0 0 2017

You might also like