JENIS STATUS

PISAT TANGGAL LAHIR KELAMI ALAMAT TEMPAT TINGGAL

KAWIN KODE NAMA
N KODE KODE
KODE NAMA KODE NAMA FASKES FASKES
NO NO KK NIK/KITAS/KITAP NAMA LENGKAP RT RW POS KECAMA NAMA DESA FASKES FASKES TK I
KECAMATAN DESA DOKTER DOKTER
TAN TK.I GIGI GIGI
P/I/S/A TEMPAT LAHIR dd/mm/yyyy L=1 ,P=2 1=K 2=B
1..3/T1…n 3=J 4 D

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 1204321711080011 1224021203580001 BAZISOKHI TELAUMBANUA S DASO 13/03/1958 L 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
2 1224025109600001 SEBERIA ZENDRATO I ORAHILI 11/09/1960 P 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
3 1224022110910001 FOERA-ERA TELAUMBANUA A3 DASO 21/10/1991 L 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
4 1204321911070023 1224021506710001 NASOZISOKHI TELAUMBANUA S OMBOLATA SAWO 15/06/1971 L 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
5 1204324107780001 KASIRIA TELAUMBANUA I ONOZITOLI 01/07/1978 P 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
6 1224021403130001 BRYLIAN TELAUMBANUA A1 OMBOLATA DASO 14/03/2013 L 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
7 1204326806500001 SADINA TELAUMBANUA T LASARA 28/06/1950 P 1 OMBOLATA SAWO DUSUN 01 001 001 22852 SAWO OMBOLATA SAWO
8 1204322010080003 1204320712620001 PASTI AMAN TELAUMBANUA S DASO 07/12/1982 L 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
9 1204324608790002 ARIANI TELAUMBANUA I FADORO 06/06/1979 P 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
10 1224022810110001 122402123070002 FATIELI TELAUMBANUA S DASO 12/03/1987 L 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
11 1224026601900001 IMAN SEHATI TELAUMBANUA I DAHANA 26/01/1990 P 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
12 1224026404100001 MEI PUTRI IDAMIN TELAUMBANUA A1 SIHARE'O 24/04/2010 P 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
13 1224021307110001 MEIMAN SETIA TELAUMBANUA A2 SIHARE'O 13/07/2011 L 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
14 1204321411070016 120432482670001 SITISARI TELAUMBANUA S DAHANA 08/02/1967 P 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
15 1224020101890001 SETIA MURNI TELAUMBANUA A1 DASO 01/01/1989 L 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
16 1224022706910001 FADAYA TELAUMBANUA A2 DASO 27/06/1991 L 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
17 1224021405130001 1204320410840001 PERLINDUNGAN TELAUMBANUA S DASO 04/10/1984 L 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
18 1224016707880001 JULIANI NAZARA I LAWIRA SATUA 27/07/1988 P 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
19 1224024709120001 CRISTINE TELAUMBANUA A1 DASO 07/09/2012 P 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
20 RINALDY TELAUMBANUA A2 DASO 29/10/2015 L 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
21 RINALDO TELAUMBANUA A3 DASO 12/10/2015 L 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
22 1204321811080002 1224022210840001 SOZANOLO TELAUMBANUA S DASO 22/10/1984 L 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
23 1224024612850001 ANIMA TELAUMBANUA I LASARA 06/12/1985 P 1 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
24 1224025002080001 JELI SERTAWATI TELAUMBANUA A1 DASO 10/02/2008 P 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
25 1224026202090001 MARSELINA TELAUMBANUA A2 DASO 22/01/2009 P 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
26 1224021810100001 SADAR WIJAYA TELAUMBANUA A3 DASO 18/10/2010 L 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
27 1224024710110001 SISKA LIANA TELAUMBANUA A4 DASO 07/10/2011 P 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
28 1224024601130002 NURTINA TELAUMBANUA A5 DASO 06/01/2013 P 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
29 1224025306140001 INDAH SARI TELAUMBANUA A6 DASO 13/06/2014 P 2 0MBOLATA SAWO DUSUN 1 001 001 22852 SAWO OMBOLATA SAWO
30 1204321202080132 1204321703760001 FATIZARO TELAUMBANUA S OMBOLATA 16/12/1970 L 1 OMBOLATA SAWO DUSUN 02 007 002 22852 SAWO OMBOLATA SAWO
31 1204326405790001 DINAOMI HALAWA I LOLOWA'U 05/07/1975 P 1 OMBOLATA SAWO DUSUN 02 007 002 22852 SAWO OMBOLATA SAWO
32 1204326611990001 SETIA YANI TELAUMBANUA A1 OMBOLATA 14/11/2000 P 2 OMBOLATA SAWO DUSUN 02 007 002 22852 SAWO OMBOLATA SAWO
33 1204321103010001 IKHLAS TELAUMBANUA A2 OMBOLATA 31/03/2002 L 2 OMBOLATA SAWO DUSUN 02 007 002 22852 SAWO OMBOLATA SAWO
34 1204325103030001 MONESTI TELAUMBANUA A3 OMBOLATA 11/03/2005 P 2 OMBOLATA SAWO DUSUN 02 007 002 22852 SAWO OMBOLATA SAWO
35 1224021204080001 ARDIANUS TELAUMBANUA A4 OMBOLATA 12/04/2008 L 2 OMBOLATA SAWO DUSUN 02 007 002 22852 SAWO OMBOLATA SAWO
36 1224022810110003 1204321406910001 YUNIELI TELAUMBANUA S OMBOLATA 14/06/1991 L 1 OMBOLATA SAWO DUSUN 02 007 002 22852 SAWO OMBOLATA SAWO
37 1204135410860001 OTISANI HAREFA I BAHO 15/10/1985 P 1 OMBOLATA SAWO DUSUN 02 007 002 22852 SAWO OMBOLATA SAWO
38 1224024210110001 LEVIS DAMAI TELAUMBANUA A1 OMBOLATA 02/10/2011 P 2 OMBOLATA SAWO DUSUN 02 007 002 22852 SAWO OMBOLATA SAWO
39 1224024908130001 LETRI DAMAI TELAUMBANUA A2 OMBOLATA 09/08/2013 P 2 OMBOLATA SAWO DUSUN 02 007 002 22852 SAWO OMBOLATA SAWO
40 1224022306800001 YUNIUS TELAUMBANUA S OMBOLATA 23/06/1980 L 1 OMBOLATA SAWO DUSUN 02 007 002 22852 SAWO OMBOLATA SAWO
41 1224024907820001 JULISA ZALUKHU I HILINDRURIA 09/07/1982 P 1 OMBOLATA SAWO DUSUN 02 007 002 22852 SAWO OMBOLATA SAWO
42 1204321611070053 1204322304800001 ANUAR TELAUMBANUA S LASARA 23/04/1980 L 1 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
43 1204324206780001 MARINA GEA I FULOLO 02/06/1987 P 1 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
44 1204322108020001 AGUSTINUS TELAUMBANUA A1 LASARA 21/08/2002 L 2 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
45 1204324506050001 LILIS KRISDAYANTI TELAUMBANUA A2 LASARA 05/06/2005 P 2 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
46 1204321809060001 SERIUS TELAUMBANUA A3 LASARA 18/09/2006 L 2 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
47 1224025009070001 MEI PUTRI HAYATI TELAUMBANUA A4 LASARA 10/09/2007 P 2 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
48 1224021006120001 ALFI JAYA TELAUMBANUA A5 LASARA 10/06/2012 L 2 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
49 1224020901150002 1204021103510001 MARTILINUS TELAUMBANUA S LASARA 11/03/1991 L 1 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
50 1224027004920001 FENIATI TELAUMBANUA I DELAFIGA 30/04/1992 P 1 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
51 1224025710130001 RESNI OKTAVIANI TELAUMBANUA A1 LASARA 17/10/2013 P 2 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
52 1204321205090009 1204322905490001 SOKHIARO TELAUMBANUA S LASARA 29/05/1949 L 1 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
53 1204325307520002 ATINA TELAUMBANUA I DANGE 13/07/1952 P 1 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
54 1204325110860001 ONIARI TELAUMBANUA A1 LASARA 11/10/1986 P 2 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
55 1204325107890001 JULIATI TELAUMBANUA A2 LASARA 11/07/1989 P 2 OMBOLATA SAWO DUSUN 03 010 003 22852 SAWO OMBOLATA SAWO
 STATUS KELAS ASURANSI LAINNYA
KEWARGA
1=TETAP RAWAT
NOMOR GAPOK/PE NEGARAA NO.PASSP
EMAIL NPP JABATAN 2=KONTRA 1=KELAS I TMT KERJA NSIUNAN N 1=WNI 2 NO.NPWP
TELEPON ORT
K 3=PARUH 2=KELAS II WNA
WAKTU 3=KELAS III NAMA
NO.POLIS
ASURANSI

22 23 24 25 26 27 28 29 30 31 32 33 34
3 1
3 1
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3 1
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3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
3 1
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3 1
3 1
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3 1
3 1
3 1
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3 1
3 1
3 1
3 1
3 1
3 1
3 1
 HASIL VERIFIKASI JAMKESDA DESA OMBOLATA SAWO KEC.SAWO KAB.NIAS UTARA

SURAT
AKTA
NO NO KK NIK NAMA KK KTP KETERANGAN
LAHIR LAHIR

1 1204321711080011 1224021203580001 BAZISOKHI TELAUMBANUA √ √ - -

2 1224025109600001 SEBERIA ZENDRATO - - - -
3 1224022110910001 FOERA-ERA TELAUMBANUA - - - -
4 1204321911070023 1224021506710001 NASOZISOKHI TELAUMBANUA √ √ - -
5 1204324107780001 KASIRIA TELAUMBANUA - √ - -
6 1224021403130001 BRYLIAN TELAUMBANUA - - - -
7 1204326806500001 SADINA TELAUMBANUA - - - -
8 1204322010080003 1204320712620001 PASTI AMAN TELAUMBANUA √ √ - -
9 1204324608790002 ARIANI TELAUMBANUA - - - -
10 1224022810110001 122402123070002 FATIELI TELAUMBANUA √ √ - -
11 1224026601900001 IMAN SEHATI TELAUMBANUA - √ - -
12 1224026404100001 MEI PUTRI IDAMIN TELAUMBANUA - - - -
13 1224021307110001 MEIMAN SETIA TELAUMBANUA - - - -
14 1204321411070016 120432482670001 SITISARI TELAUMBANUA √ √ - -
15 1224020101890001 SETIA MURNI TELAUMBANUA - - - -
16 1224022706910001 FADAYA TELAUMBANUA - √ - -
17 1224021405130001 1204320410840001 PERLINDUNGAN TELAUMBANUA √ √ - -
18 1224016707880001 JULIANI NAZARA - - - -
19 1224024709120001 CRISTINE TELAUMBANUA - - - -
20 RINALDY TELAUMBANUA - - - √
21 RINALDO TELAUMBANUA - - - √
22 1204321811080002 1224022210840001 SOZANOLO TELAUMBANUA √ √ - -
23 1224024612850001 ANIMA TELAUMBANUA - √ - -
24 1224025002080001 JELI SERTAWATI TELAUMBANUA - - - -
25 1224026202090001 MARSELINA TELAUMBANUA - - - -
26 1224021810100001 SADAR WIJAYA TELAUMBANUA - - - -
27 1224024710110001 SISKA LIANA TELAUMBANUA - - - -
28 1224024601130002 NURTINA TELAUMBANUA - - - -
29 1224025306140001 INDAH SARI TELAUMBANUA - - - -
30 1204321202080132 1204321703760001 FATIZARO TELAUMBANUA √ √ - -
31 1204326405790001 DINAOMI HALAWA - - - -
32 1204326611990001 SETIA YANI TELAUMBANUA - - - -
33 1204321103010001 IKHLAS TELAUMBANUA - - - -
34 1204325103030001 MONESTI TELAUMBANUA - - - -
35 1224021204080001 ARDIANUS TELAUMBANUA - - - -
36 1224022810110003 1204321406910001 YUNIELI TELAUMBANUA √ - - -
37 1204135410860001 OTISANI HAREFA - - - -
38 1224024210110001 LEVIS DAMAI TELAUMBANUA - - - -
39 1224024908130001 LETRI DAMAI TELAUMBANUA - - - -
40 1204321611070053 1204322304800001 ANUAR TELAUMBANUA √ √ - -
41 1204324206780001 MARINA GEA - √ - -
42 1204322108020001 AGUSTINUS TELAUMBANUA - - - -
43 1204324506050001 LILIS KRISDAYANTI TELAUMBANUA - - - -
44 1204321809060001 SERIUS TELAUMBANUA - - - -
45 1224025009070001 MEI PUTRI HAYATI TELAUMBANUA - - - -
46 1224021006120001 ALFI JAYA TELAUMBANUA - - - -
47 1224020901150002 1204021103510001 MARTILINUS TELAUMBANUA √ √ - -
48 1224027004920001 FENIATI TELAUMBANUA - √ - -
49 1224025710130001 RESNI OKTAVIANI TELAUMBANUA - - - -
50 1204321205090009 1204322905490001 SOKHIARO TELAUMBANUA √ √ - -
51 1204325307520002 ATINA TELAUMBANUA - √ - -
52 1204325110860001 ONIARI TELAUMBANUA - - - -
53 1204325107890001 JULIATI TELAUMBANUA - - - -