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NO Submission Date NAMA LENGKAP DAN GELAR NIP NIK TEMPAT LAHIR TANGGAL LAHIR AGAMA STATUS PERKAWINAN PANGKAT/GOLONGAN JABATAN NO. HP EMAIL Provinsi Jalan, Gang, dst Kabupaten/Kota PENDIDIKAN TERAKHIR INSTANSI UNIT KERJA ALAMAT UNIT KERJA KABUPATEN/KOTA TELEPON UNIT KERJA TANDA TANGAN PAS PHOTO 10-39-40-SURAT TUGAS SK JABATAN IJAZAH D3 LEMBAR KOMITMEN
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1 2021/10/02 15:57:37 Anastasia Purba Puspita Yudha Training Tyas19901013 201504 2003 6310########0003 Kotabaru 13-10-1990 Protestan Kawin Pengatur Tk.I - II/d Bidan Pelaksana Lanjutan 085248959988 Anastasiatyas13@gmail.com Kalimantan Selatan Jalan Darma Praja Komplek Haru
Tanah Bumbu D3 RSUD dr. H. Andi AbdurrahmanRSUD dr. H. Andi AbdurrahmanJalan Raya H. M. Amin km. 10 Tanah Bumbu 08115000266 https://www.jotform.com/upl https://www.jotform.com/upl oads/labbidankep/212736730
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2 2021/10/03 11:09:09 Asih,AMd,Keb 199111112015042003 6310065111910006 Banjarsari 11-11-1991 Islam Kawin Pengatur Tk.I - II/d Bidan Pelaksana Lanjutan 085345129661 mnoorppa@gmail.com Kalimantan Selatan Komp.Griya Flamboyan No.B36Tanah Bumbu D3 RSUD dr. H. Andi AbdurrahmanRSUD dr. H. Andi AbdurrahmanJalan Raya H. M. Amin km. 10 Tanah Bumbu 08115000266 https://www.jotform.com/upl https://www.jotform.com/upl oads/labbidankep/212736730
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3 2021/10/03 12:11:20 AYU ZARA SHOLICA, Am.Keb 19881223 201101 2 005 6301036312880008 BANJARMASIN 23-12-1988 Islam Kawin Pengatur Tk.I - II/d BIDAN PELAKSANA 087816015948 yu.akbar@gmail.com KALIMANTAN SELATAN DESA DURIAN BUNGKUK RT.19TANAH LAUT D3 DINAS KESEHATAN KABUPATENPUSKESMAS TAJAU PECAH JL. HM. SARBINI, KECAMATAN Tanah Laut https://www.jotform.com/upl https://www.jotform.com/upl 73/Screenshot_2021-10-03-
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4 2021/10/03 10:14:20 Dahniar, A. Md. Keb 199201042015042001 6310024401920007 Sepunggur 04-01-1992 Islam Kawin Pengatur Tk.I - II/d Bidan Terampil/ Pelaksana 081348645439 dahniar.asc@gmail.com Kalimantan Selatan Desa Sepunggur No. 10 RT 004,Tanah Bumbu D3 Dinas Kesehatan Tanah BumbuRSUD dr. H. Andi AbdurrahmanJl H.M Amin KM 10,RT 003, DesTanah Bumbu 08115000266 https://www.jotform.com/upl https://www.jotform.com/uplo703_com.miui.gallery.jpg
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5 2021/10/02 10:47:00 Dwi Handayani, A.Md.Keb 198402142017042002 6301035402840003 pelaihari 14-02-1984 Islam Kawin Pengatur Tk.I - II/d Bidan Pelaksana 085251381339 dwihandayani1402@gmail.comKalimantan Selatan jalan A. Yani rt 3 rw 2 desa TamTanah Laut D3 Dinas Kesehatan Kab. Tanah LaUPT. Puskesmas Sungai Riam jalan raya Batakan km 12 Tanah Laut - https://www.jotform.com/upl https://www.jotform.com/upl 356456/50898499315193598
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6 2021/10/02 14:25:51 ERA TANTYA HANE MASNADY, A. M. KEB 199105282014032001 6372066805910002 MARTAPURA 28-05-1991 Islam Kawin Pengatur Tk.I - II/d BIDAN PUSKESMAS SUNGAI D 082358940214 masnadyeratantyahane@gmailKalimantan Selatan JL. Taman Gunung Permai BaratBanjarbaru D3 Dinas Kesehatan Kotabaru Puskesmas Sungai Durian Jl. Pamukan Raya Km. 03 Desa Kotabaru 52/SURAT TUGAS2.jpg
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7 2021/10/02 21:10:30 ERNI ARIANI, A.Md.Keb 199304282015032002 6303056804930006 Malintang Lama 28-04-1993 Islam Kawin Pengatur Tk.I - II/d Bidan Pelaksana 082155514475 erniariani21@gmail.com Kalimantan Selatan Jl. Pendidikan Komplek Citra PeBanjar D3 Dinas Kesehatan Kab. Tapin Puskesmas Margasari Ds. Margasari Ilir, kecamatan CTapin https://www.jotform.com/upl https://www.jotform.com/uplohttps://www.jotform.com/uplohttps://www.jotform.com/upl
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8 2021/10/02 18:56:35 ERNY JULIANA, A.Md.Keb 19910716 201504 2 001 6310025607910002 Pagatan 16-07-1991 Islam Kawin Pengatur Tk.I - II/d Bidan Pelaksana 081351245800 erny16.july@gmail.com Kalimantan Selatan Jl. Ansoka RT 002, Desa SepungTanah Bumbu D3 RSUD dr. H. Andi AbdurrahmanRSUD dr. H. Andi AbdurrahmanJalan Raya H. M. Amin km. 10 Tanah Bumbu 08115000266 https://www.jotform.com/upl https://www.jotform.com/upl 16/20210929_160843.jpg
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9 2021/10/03 08:21:47 Hj. Dian Fitri Anggraini Am.Keb 197911262007012013 63722066611790002 Landasan Ulin 26-11-1979 Islam Kawin Pengatur Tk.I - II/d Pengatur 081351971877 hjdianfitrianggraini@gmail.co Kalimantan Selatan Jl. Sidodadi II RT 005/RW 005 KKota Banjarbaru D3 Dinas Kesehatan Tanah Laut Puskesmas Tambang Ulang Jl. A Yani Ds. Tambang Ulang, Tanah Laut https://www.jotform.com/upl https://www.jotform.com/upl oads/labbidankep/212736730
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10 2021/10/02 07:13:22 Hj.Norani,A.Md.Keb 197902192006042008 6302175902790003 Banjarmasin 19-02-1979 Islam Kawin Pengatur Tk.I - II/d Bidan pelaksana 081349124788 79norani@gmail.com Kalimantan Selatan Jl.Madarammang rt.05 rw.03 TaKotabaru D3 Dinas kesehatan kab.kotabaru Puskesmas Tanjung Seloka Jl.H.Kanda rt.04 rw.02 Tanjung Kotabaru 081349124788 https://www.jotform.com/upl https://www.jotform.com/upl 16/20210929_163405.jpg
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11 2021/10/03 21:27:15 Ida Ria Gendo Naibaho, A.Md 198907302015032004 6311017007890001 Berastagi 30-07-1989 Protestan Kawin Pengatur Tk.I - II/d Bidan Pelaksana 085361158862 riagendo@gmail.com Kalimantan Selatan Ds bungin Gg Ar Rahim no 140 Balangan D3 Dinas kesehatan balangan Upt Puskesmas Uren De Uren Rt 01 Balangan https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/uploads/labbidankep/212736730356456/5090804337027015436/IMG_20211003_213225.jpg
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12 2021/10/02 18:07:00 Jumiatul Adawiyah, A.Md.Keb 199202092015042001 6310034902920002 Sebamban Lama 09-02-1992 Islam Kawin Pengatur Tk.I - II/d Bidan Pelaksana Lanjutan 082354363659 jumiatuladawiyah09@gmail.c Kalimantan Selatan Komplek. 5 Saudara Mandiri NoTanah Bumbu D3 RSUD dr. H. ANDI ABDURRAH RSUD dr. H. ANDI ABDURRAH Jl. H. M. Amin Km.10 RT.03 Ds. Tanah Bumbu 08115000266 41/Surat Tugas.jpg
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13 2021/10/02 07:23:51 Karini, AMd.Keb 199104282015032002 6308046804910001 Hulu Sungai Utara 28-04-1991 Islam Kawin Pengatur Tk.I - II/d Bidan Terampil 082293807839 karini.amdkeb@gmail.com Kalimantan Selatan Jalan kesatuan Amuntai Alabi Hulu Sungai Utara D3 Dinas Kesehatan Kabupaten BaRSUD Balangan Jalan lingkar timur KM 1,7 Pari Balangan 05262094039 https://www.jotform.com/upl https://www.jotform.com/upl oads/labbidankep/212736730
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14 2021/10/02 17:12:11 Kumala Dewi, A. Md. Keb 198903302015042004 6310047003890001 Sungai Danau 30-03-1989 Islam Kawin Pengatur Tk.I - II/d Bidan Terampil/Pelaksana 082251516780 kmd.mala3389@gmail.com Kalimantan Selatan Perum. Griya Flamboyan Blok BTanah Bumbu D3 Rumah Sakit Umum Daerah RSUD dr. H. Andi AbdurrahmanJl. H. M. Amin KM.10 RT.003 D Tanah Bumbu 05186070767 https://www.jotform.com/upl https://www.jotform.com/upl 41/Surat Tugas1.jpg https://www.jotform.com/upl https://www.jotform.com/uplohttps://www.jotform.com/uploads/labbidankep/212736730356456/5089787295711514841/Lembar Komitmen.jpg
15 2021/10/02 12:10:47 LAILI ELFA SAHRA, A.Md.Keb 199203022014022004 6308034203920005 HULU SUNGAI UTARA 02-03-1992 Islam Kawin Pengatur Tk.I - II/d BIDAN TERAMPIL 082251869637 LAILIELFASAHRA@GMAIL.COMKALIMANTAN SELATAN Jl. BRIGJEN H. HASAN BASRY TAPIN D3 DINAS KESEHATAN KABUPATENPUSKESMAS LOKPAIKAT JL. BRIGJEN H. HASAN BASRY Tapin https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/uploads/labbidankep/212736730356456/5089606453257808436/PESERTA PELATIHAN(1).jpg
16 2021/10/02 19:44:06 Ninin Karyani,A.Md.Keb 199311142015032001 3322065411930002 Kabupaten Semarang 14-11-1993 Islam Kawin Pengatur Tk.I - II/d Bidan Terampil 085391373902 nininkaryani@gmail.com Kalimantan Selatan Jl.Bahari Komp.Permata Indah ITapin D3 Dinas kesehatan Kabupaten TapPuskesmas Piani Jl.Pembngunan no.1 Desa Miawa
Tapin https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/uploads/labbidankep/212736730356456/5089878440216124071/IMG_20211002_203909.jpg
17 2021/10/02 10:35:50 Nor Janah, A.Md.Keb 199311132015022002 6301########0001 Tanah Laut 13-11-1993 Islam Kawin Pengatur Tk.I - II/d Bidan Pelaksana 082254789961 j7944443@gmail.com Kalimantan Selatan jalan atilam rt 4 rw 2 no 1,kel Tanah Laut D3 Dinas Kesehatan Kab. Tanah LaUPT. Puskesmas Sungai Riam jalan raya Batakan km 12 Tanah Laut - https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/uploads/labbidankep/212736730356456/5089549480511204532/IMG_20210930_113656-min (2) (1).jpg
18 2021/10/02 16:10:14 Novaliani, A.Md. Keb 199304172015032001 6371015704930004 Banjarmasin 17-04-1993 Islam Kawin Pengatur Tk.I - II/d Bidan Pelaksana 085251964834 arsyadnovaliani@gmail.com Kalimantam Selatan Poskesdes matang batas desa Tapin D3 Dinas Kesehatan Kabupaten TapPuskesmas Hatungun Desa Hatungun Tapin https://www.jotform.com/upl https://www.jotform.com/uplohttps://www.jotform.com/uplohttps://www.jotform.com/upl
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19 2021/10/02 06:23:15 NUR AYU WERDININGSIH,A.Md.Keb 199307302015042003 3303017007930002 PURBALINGGA 30-07-1993 Islam Kawin Pengatur Tk.I - II/d BIDAN PELAKSANA 082227064345 ayuien93@gmail.com KALIMANTAN SELATAN PERUMAHAN KARANG JAWA NO.
TANAH BUMBU D3 DINAS KESEHATAN KAB. TANA PUSKESMAS BATULICIN JALAN PEMERINTAHAN NO.9 KETanah Bumbu https://www.jotform.com/upl https://www.jotform.com/upl 356456/50895466292534435
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20 2021/10/03 03:18:50 RAHMADANIATI HIKMAH, A.Md.Keb 19931125 201503 200 1 6309036511930003 TANJUNG 25-11-1993 Islam Kawin Pengatur Tk.I - II/d BIDAN PELAKSANA 082251515193 rahmadaniatih@gmail.com KALIMANTAN SELATAN DESA MANGKUSIP, RT.04, NO TABALONG D3 DINAS KESEHATAN KABUPATE BLUD RSUD BALANGAN Jalan Lingkar Timur Km. 1,7 Pa Balangan (0526) 2094039 https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl
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21 2021/10/03 20:05:39 Rasmiaty,Am.Keb 197705252006042025 6302########0001 Kediri 25-05-1977 Katolik Kawin Pengatur Tk.I - II/d Bidan Pelaksana 082155089339 rasmiaty156@gmail.com Kalimantan Selatan UPT SP 1 Hampang RT 007/01 LKotabaru D3 Dinas Kesehatan Kabupaten KoPuskesmas Hampang Jl. Datu Tangiang Rt 05 Hampa Kotabaru https://www.jotform.com/upl https://www.jotform.com/upl 356456/50898425415197141
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22 2021/10/03 13:54:58 Resky Mariana, A.Md.Keb 199101032015032008 6308054301910002 Amuntai 03-01-1991 Islam Kawin Pengatur Tk.I - II/d Calon Bidan 085251221352 reskymariana567@gmail.com Kalimantan Selatan Jl. Surya Wangsa RT/RW 001/0Hulu Sungai Utara D3 Dinas Kesehatan Kabupaten HulUPT Puskesmas Paminggir Jl Murung Keramat RT III Desa Hulu Sungai Utara 29/SURAT TUGAS2.jpg
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23 2021/10/02 10:31:04 Safarina, A.Md.Keb 199106172015032003 6302135706910005 Bakau 17-06-1991 Islam Kawin Pengatur Tk.I - II/d Bidan 082158034623 rinasafarina17@gmail.com Kalimantan Selatan Jl.UPT.NPS.Kelumpang F Desa Kotabaru D3 Dinas Kesehatan Kab.Kotabaru Puskesmas Kelumpang F Jl.UPT.NPS.Kelumpang F Desa Kotabaru 085257448978 oads/labbidankep/212736730
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24 2021/10/02 18:44:16 Setyana Jiwanti, A. md. Keb 1976079 200801 2 011 6310025907760001 Trenggalek 19-07-1976 Islam Kawin Pengatur Tk.I - II/d Bidan Pelaksana 081330718419 fasya.tuppi19@gmail.com Kalimantan Selatan Jl. Ansoka RT 002, Desa SepungTanah Bumbu D3 RSUD dr. H. Andi AbdurrahmanRSUD dr. H. Andi AbdurrahmanJalan Raya H. M. Amin km. 10 Tanah Bumbu 08115000266 https://www.jotform.com/upl https://www.jotform.com/upl 356456/50902314147118900
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25 2021/10/03 08:33:59 Shaleha, A.Md.Keb 199202252015032001 6307036502920002 HST 25-02-1992 Islam Kawin Pengatur Tk.I - II/d Bidan Pelaksana 085249477222 Shalehabrb07@gmail.com Kal-Sel Komplek murakata indah mandin
HST D3 Dinas Kesehatan PPKB kab. Bal Puskesmas Awayan Jl. Ciputat desa Putat Basiun k Balangan 80/IMG-20211002-
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26 2021/10/02 06:58:58 SYILVIANA SUKMA WARDHANA, AM.KEB 199105182011012001 6302065805910003 KOTABARU 18-05-1991 Islam Kawin Pengatur Tk.I - II/d FUNGSIONAL 082253320339 syilvianasukma@gmail.com KALIMANTAN SELATAN Jl.bima KOTABARU D3 DINAS KESEHATAN KOTABARUPUSKESMAS SENGAYAM JL. LINTAS PROVINSI KALSELT Kotabaru 0000000 https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/upl
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27 2021/10/03 13:07:32 THANTI, A.Md.Keb 19750615 200604 2 028 6301095506750001 BANJARMASIN 15-06-1975 Islam Kawin Pengatur Tk.I - II/d BIDAN PELAKSANA 081351079336 thantithanti8@gmail.com KALIMANTAN SELATAN DESA DAMIT HULU RT.5, KEC TANAH LAUT D3 DINAS KESEHATAN KABUPATENPUSKESMAS TAJAU PECAH JL. HM. SARBINI, KECAMATAN Tanah Laut https://www.jotform.com/upl https://www.jotform.com/upl 356456/50902314147118900
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28 2021/10/03 05:32:23 Via Atvianti, A.Md. Keb 19920415 201504 2 002 6302########0002 Labuhan 15-04-1992 Protestan Kawin Pengatur Tk.I - II/d Bidan Terampil/ Pelaksana 081251244057 atvianti07@gmail.com Kalimantan Selatan Jl. Kuranji RT.012/ RW.- Peru Tanah Bumbu D3 RSUD dr. H. Andi AbdurrahmanRSUD dr. H. Andi AbdurrahmanJl.HM. Amin KM 10, RT.003 De Tanah Bumbu 08115000266 https://www.jotform.com/upl https://www.jotform.com/upl WA0007.jpg https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/uploads/labbidankep/212736730356456/5090231414711890080/Untitled-1.JPG
29 2021/10/03 10:53:55 Yayuk Setyowati, A.Md.Keb 199301192015042002 6210045901930002 wonorejo 19-01-1993 Islam Kawin Pengatur Tk.I - II/d bidan pelaksana 085248501869 yayuk.setyowati19gmail.com Kalimantan Selatan Dusun II RT 13 Desa Wonorejo Kabupaten Tanah Bumbu D3 Dinas Kesehatan Kabupaten T Rumah Sakit Umum Daerah dr Jl H.M Amin KM 10 RT 03 Desa Tanah Bumbu 08115000266 https://www.jotform.com/upl https://www.jotform.com/upl https://www.jotform.com/uplohttps://www.jotform.com/uplohttps://www.jotform.com/upl https://www.jotform.com/uploads/labbidankep/212736730356456/5090424332299223935/komitmen-min.jpg

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