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DAFTAR WARGA DESA AIR KASAI

YANG BELUM MENERIMA VAKSIN

Nomor Induk Tempat Jenis Kelamin


No Nama Usia
Kependudukan ( NIK ) Tanggal Lahir Lk Pr
1 2 3 4 5 6 7
1 1706145903870002 ELLY SUSANTI 19/03/1987 34 P
2 1301100701900004 ROBI SUWANTORO 7/1/1990 31 L
3 1301104608900001 BINTI MAHMUDAH 6/8/1990 31 P
4 1706141805020001 M. RIAN MAULANA 18/05/2002 19 L
5 1706142710940001 ANGGA ANGGRIAWAN 27/10/1994 27 L
6 1706141710030001 DWI PUJA WIJAYA 17/10/2003 18 L
7 1706144902970002 IRA FEBRINA 09/02/1997 24 P
8 1706142612700001 SUDAR 26/12/1970 51 L
9 1706144412030001 SUSANTI 4/12/2003 18 P
10 1706141404010001 ANDI KURIAWAN 14/04/2001 20 L
11 1706145006580001 WARSIEM 10/6/1958 63 P
12 1706141407730001 BENNY SATRIA 14/07/1973 48 L
13 1706145404780001 MERI SOFYA 14/04/1978 43 P
14 1706143004940001 APRILIANTO SYAHPUTA 30/04/1994 27 L
15 1706145606980001 ADILATHUL HUSNA 16/06/1998 23 P
16 1706111606750001 SANER 16/06/1975 46 L
17 1706115707840001 NURLELA 17/07/1984 35 P
18 1706115811030001 SELFILA RAHMADHANI 18/11/2003 18 P
19 1706146812010001 CHATRINA ANGGUN TIFASYA28/12/2001 20 P
20 1706146008770002 RUDIYAH 20/08/1977 44 P
21 1305060402930002 DONI SAPUTRA 4/2/1993 28 L
22 1301096504920001 NEGTIWARNI 25/04/1992 29 P
23 1706146810760001 EMI YULIANI 28/10/1976 45 P
24 1706141602940001 RAMADHANI SOLIHIN 11/2/1996 25 L
25 1706142904690001 ZAINAL ARIFIN 29/04/1969 52 L
26 1706141810950001 DEDE SETIA PUTRA 18/10/1995 26 L
27 1706140803700001 DARUSLI 8/3/1970 51 L
28 1706140606860004 HASTARI 06/06/1986 35 L
29 1706145010900002 YEYEN OKTARIA 20/10/1990 21 P
30 1706140505990002 DEKA DWI KEMBARA 05/05/1999 22 L
31 1706140505990003 DEKI DWI KEMBARA 05/05/1999 22 L
32 1706146803910001 NONI ULIAN RASMI 28/03/1991 30 P
33 1706142802650001 RUSMAIDI 28/02/1955 66 L
34 1706142903910001 MARCO NUSIVERA 29/03/1991 30 L
35 1706144511800001 NURKARTINI 06/11/1980 41 P
36 1706146401040001 HELMI DAYANTI INDRIANI 24/01/2004 17 P
37 1706141102750001 EDI SAPARI 11/02/1975 46 L
38 1706146808880001 SUTRI SANTI 28/08/1988 33 P
39 1706035508820001 MAISITA 15/08/1982 39 P
40 1706141005010001 MARDIAN EFENDI 10/05/2001 20 L
41 1706142402920001 FEBRI NURDIANSYAH 24/02/1992 29 L
42 1706142712990002 RIAN HIDAYAT 27/12/1999 22 L
43 1706140607980001 YUNUS SAPUTRA 06/07/1998 23 L
44 1706043012980001 MANDA ADI SATRIA 30/12/1998 23 L
45 1706145704990001 CICI PERMITA 17/04/1999 22 P
46 1706140405510001 SUKAMAD 04/05/1951 70 L
47 1706105512950001 SUKARSIH 15/12/1995 26 P
48 1706140306960001 JON HARYANTO SITORUS 03/06/1996 25 L
49 1210142507720003 MARTHIN LAIA 25/07/1972 49 L
50 1706104305470001 MISIEM 03/05/1947 74 P
51 1703126502730001 W.R. YULIANA 25/02/1973 48 P
52 1706145304530001 RASMINAH 13/04/1953 68 P
53 1706140101790003 HARTONO 01/01/1979 42 L
54 1706144502800001 SUHARNI 05/02/1980 41 P
55 1706145902040001 SUARI 19/02/2004 17 P
56 1706140311790001 AGUS ANIKA PUTNO 03/11/1979 42 L
57 1706146403850002 WIWIN PURWANTI 24/03/1985 36 P
58 1771071812880002 DEDI HARIANTO 18/12/1988 33 L
59 1706030505740001 KURIYADIN 05/05/1974 47 L
60 1706025001870001 MUNARTI 10/01/1987 34 P
61 1706143009910001 BUYUNG DEYAS FENDY 13/10/1994 27 L
62 1706025202960001 USWATUN HASANAH 12/02/1996 25 P

Total warga belum vaksin : 62

Air Kasai, 21 D
Mengetahui, Dibuat Oleh,
Pj. Kepala Desa Air Kasai Kasi Kesra Des

EKO MUDIYANTO, S.AP Kevin Al Muha


SAI
SIN

Alamat VAKSIN I VAKSIN II Ket.

8 9 10 11
AIR KASAI BELUM VAKSIN
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AIR KASAI HAMIL
AIR KASAI BELUM VAKSIN
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AIR KASAI SAKIT
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Air Kasai, 21 Desember 2021


Dibuat Oleh,
Kasi Kesra Desa Air Kasai

Kevin Al Muhammad Mazaya


DAFTAR URUTAN LAMPIRAN PERATURAN BUPATI
NOMOR...............2015

NO URAIAN KETERANGAN

1 MODEL A CKD Tanda Bukti Pendaftaran Pemilih

2 MODEL A1 CKD Daftar Pemilih Sementara

3 MODEL A2 CKD Daftar Pemilih Tambahan

4 MODEL A3 CKD Daftar Pemilih Tetap

5 MODEL A4 CKD Berita Acara Pengesahan Daftar Pemilih Tetap

6 MODEL B CKD Surat Permohonan Menjadi Calan Kepala Desa

7 MODEL B1 CKD Surat Pernyataan Bertqwa Kepada Tuhan Yang Maha Esa

8 MODEL B2 CKD Surat Pernyataan Setia Kepada Pancasila dan Negara Kesatuan

Republik Indonesia

9 MODEL B3 CKD Surat Pernyataan Bersedia di Calonkan Menjadi Kepala Desa

10 MODEL B4 CKD Surat Pernyataan Belum Pernah Menjabat Kepala Desa 3 (tiga)

kali masa Jabatan

11 MODEL B5 CKD Surat Pernyataan Pengunduruan Diri sebagai Pimpinan dan

Anggota BPD

12 MODEL B6 CKD Surat Permohonan Cuti Kepala Desa

13 MODEL B7 CKD Daftar Riwayat Hidup Kepala Desa

14 MODEL B8 CKD Surat Pernyataan Belum Pernah Menjabat Kepala Desa 3 (tiga)

kali masa Jabatan dari Camat

15 MODEL B9 CKD Surat Keterangan Sebagai Warga Negara Indonesia

16 MODEL B10 CKD Surat Pernyataan Tidak akan Mengundurkan diri Sebagai Calon

Kepala Desa

18 MODEL B11 CKD Surat Permohonan Izin Cuti Perangkat Desa

19 MODEL B12 CKD Surat Permohonan Izin Cuti Kepala Desa Dari Camat

20 MODEL B13 CKD Surat Permohonan Izin Cuti Perangkat Desa Dari Camat

21 MODEL CKD Surat Keterangan Catatan Kriminal

22 MODEL CKD Surat Keterangan Berbadan Sehat dari RSUD Kab.Mukomumo

23 MODEL CKD Surat Keterangan Tidak Pernah di Hukum Penjara paling singkat

5 ( lima ) Tahun

24 MODEL C CKD Berita Acara Pemungutan dan Perhitungan Suara Pemilihan Kepala

Desa

25 MODEL C1 CKD Catatan Pelaksanaan Pemungutan Suara dan Penghitungan Suara

Pemilihan Kepala Desa

26 MODEL C2 CKD Sertifikat Hasil Penghitungan Suara Pemilhan Kepala Desa (Plano)

27 MODEL C3 CKD Pernyataan Keberatan Saksi dan Kejadian Khusus

28 MODEL C4 CKD Surat Undangan


29 MODEL C5 CKD Daftar Hadir Pemilih

30 FROM 1 Surat Pemberitahuan berakhir masa Jabatan Kepala Desa

31 FROM 2 Surat Keputusan BPD tentang Pembentukan Panitia Pilkades

32 FROM 3 Lampiran Surat Keputusan BPD

33 FROM 4 Berita Acara Pembentukan Panitia Pilkades

34 FROM 5 Daftar Hadir Rapat

35 FROM 6 Laporan Pembentukan Panitia Pilkades

36 FROM 7 Berita Acara Musyawarah Panitia Pilkades

37 FROM 8 Lampiran Hasil Musyawarah Panitia Pilkades

39 FROM 9 Berita Acara Pembukaan Pengumuman Pilkades

40 FROM 10 Pengumuman Panitia Pilkades

41 FROM 11 Berita Acara Penutupan Pengumuman

42 FROM 12 Berita Acara Hasil Penelitian,Kelengkapan,Persyaratan Administrasi

dan Klarifikasi berkas Permohonan Bakal Calon Kepala Desa

43 FROM 13 Laporan Penjaringan Bakal Calon Kepala Desa

44 FROM 14 Laporan Hasil Penyaringan Bakal Calon Kepala Desa

45 FROM 15 SK Panitia tentang Penetapan Calon Kepala Desa yang berhak di Pilih

46 FROM 16 Lampiran Keputusan Panitia Pilkades

47 FROM 17 Berita Acara Pengundian Nomor Urut Calon Kepala Desa

48 FROM 18 Usulan Pengesahan dan Pelantikan Calon Kepala Desa Terpilih

49 FROM 19 SK BPD tentang Pembubaran Panitia Pilkades

50 FROM 20 Laporan Pelaksanaan Pemilihan Kepala Desa

51 FROM 21 Bentuk Kertas Suara Pilkades

52 FROM 22 Bentuk Kotak Suara dan Bilik Suara Pilkades


DAFTAR PEMILIH SEMENTARA ( DOMISILI )
PEMILIHAN KEPALA DESA AIR KASAI KECAMATAN AIR DIKIT
KABUPATEN MUKOMUKO TAHUN 2021

DESA : AIR KASAI


KECAMATAN : AIR DIKIT
KABUPATEN : MUKOMUKO
Halaman :...........(.................)
Nomor Nomor Induk Tempat Umur/Usia Jenis Kelamin
Nama Pemilih Alamat Keterangan
Urut Kependudukan ( NIK ) dan Tanggal Lahir Tahun LK Pr
1 2 3 4 5 6 7 8 9
1 1706100603880001 PARWADI 06/03/1988 33 L AIR KASAI
2 1706110702880002 ENDI 1706/1988 33 L AIR KASAI
3 1706140810810001 KADRI 08/10/1981 40 L AIR KASAI
4 1706144808860003 ESI MARIANI 08/08/1986 35 P AIR KASAI
5 1706032003970001 LUDI SAROJO 20/03/1997 24 L AIR KASAI
6 3521144409690002 SUYATI 04/09/1969 52 P AIR KASAI
7 3521141812650001 NYOTO 18/12/1965 56 L AIR KASAI
8 1304031907860001 ANDILA KAPITA 19/07/1986 35 L AIR KASAI
9 1304033003860002 SATRIA ANDESKI 30/03/1986 35 L AIR KASAI
10 1304031406890002 RENGGA ERMANA 14/06/1989 32 L AIR KASAI
11 1706140409950002 SOSILO 04/06/1995 26 L AIR KASAI
12 1706085612960001 DESI NOVITA SARI 16/12/1996 25 P AIR KASAI
13 1706141506850001 SOSYANTO 01/06/1985 36 L AIR KASAI
14 1706106302930001 ENDAH WULANDARI 29/02/1993 28 P AIR KASAI
15 1706030107950011 SUPOMO 01/07/1995 26 L AIR KASAI
16 1706144010960002 RIRIS RISMAWATI 09/10/1996 25 P AIR KASAI
17 1706081208840001 ALADIN VIHAMDANI 12/08/1984 37 L AIR KASAI
18 1706030505740001 KURIYADIN 05/05/1974 47 L AIR KASAI
19 1706025001870001 MUNARTI 10/01/1987 34 P AIR KASAI
20 1706025001040002 RODHATUL JANNAH 10/01/2004 17 P AIR KASAI
21 1802160710810002 USEP SUPRIADI 07/10/1981 40 L AIR KASAI
22 1703141608920003 ELKANA FERNDY MAGFRETI ME16/08/1992 29 L AIR KASAI
23 1703145110980002 KRISMI WULAN SARI 11/10/1998 23 P AIR KASAI
24 1607010203960005 ZAINUDIN 02/03/1996 25 L AIR KASAI
25 1805202607880001 SUMARLIN 26/07/19988 33 L AIR KASAI
26 1703143110850002 SISWOYO BUDOYO 31/10/1985 36 L AIR KASAI
27 1802162707960002 FERI NDIKA SAPUTRA 27/07/1996 25 L AIR KASAI
28 1508065501980001 GITA VIONY 15/01/1998 23 P AIR KASAI
29 1771062910860002 HEDI KURNIAWAN 29/10/1986 35 L AIR KASAI
30 1706143009910001 BUYUNG DEYAS FENDY 13/10/1994 27 L AIR KASAI
31 1706025202960001 USWATUN HASANAH 12/02/1996 25 P AIR KASAI
32 1706143001700001 BALMAN TAMPUBOLON 30/01/1976 45 L AIR KASAI
33 1706144310800001 ROMASIABORU SILABAN 03/10/1980 41 P AIR KASAI
34 1706142510770001 MANSYUR 25/10/1977 44 L AIR KASAI
35 1706145608840001 FITRI 16/08/1984 37 P AIR KASAI
36 1706144712020001 DEVA SAFITRI 7/12/2002 19 P AIR KASAI
37 1603111702820001 FERIANDUS FAHK 17/02/1982 39 L AIR KASAI
38 1603115604830006 SRI KAUWIYANTI 16/04/1983 38 P AIR KASAI
39 1703140311920001 SUTIKNO HARTONO 03/11/1992 29 L AIR KASAI
40 1508090707790006 HOLIDIN 07/07/1979 42 L AIR KASAI
41 1508095505840002 RUMIYATI 15/05/1984 37 P AIR KASAI
42 1702090403940004 TESA PRATAMA 21/03/1994 27 L AIR KASAI
43 1708021611750001 BAMBANG 16/11/1975 46 L AIR KASAI
44 1706020110000001 BRAMA ARIFIN 01/10/2000 21 L AIR KASAI
45 1804150907980002 BENI SETIO PURWANTO 09/07/1998 23 L AIR KASAI
46 1706020307750001 HERIYANTO 3/7/1975 46 L AIR KASAI
47 1706024207830001 DERI LINARSI 2/7/1983 38 P AIR KASAI
48 1706100303900003 GIANTO 03/03/1990 31 L AIR KASAI
49 3309014409979002 SITI ROISAH 04/09/1997 24 P AIR KASAI
50 1702160111880002 ANDRI WIJAYA 01/11/1988 33 L AIR KASAI
51 1702165307930001 FERI MARYANI 13/07/1993 28 P AIR KASAI
52 1706140112710002 S. MANULANG 01/12/1971 50 L AIR KASAI
53 1706144506800004 R. SIREGAR 05/06/1980 41 P AIR KASAI
54 1706145706020002 FRISKA MANULANG 17/06/2002 19 P AIR KASAI
55 1706141010040001 JOSUA MANULANG 29/10/2004 17 L AIR KASAI
56 1706031507940003 AGUSRIN 15/07/1994 27 L AIR KASAI
57 1706144912970001 KUSMAINI 09/12/1997 24 P AIR KASAI
58 1706140806770001 SUPRIYADI 08/06/1977 44 L AIR KASAI
59 1706144606870001 LUKI DIYAN SARI 06/06/1987 34 P AIR KASAI
60 1706146705930001 NURHIKMAH NASUTION 27/05/1993 28 p AIR KASAI
61 1301100202840001 RIKO FEBRIANTO 02/02/1994 27 L AIR KASAI
62 1301106008000005 NISA JANATIN ALIAH 20/08/2000 21 P AIR KASAI
63 1706142706940002 RUDI PUTRA 27/06/1994 27 L AIR KASAI
64 1706026808080001 SULFI AGUSTI 28/08/1996 25 P AIR KASAI
65 1706105602870002 PERI NOVITA SARI 20/02/1986 35 P AIR KASAI
66 1202052701930003 BUDIMAN 27/01/1993 28 L AIR KASAI
67 1706142610990001 AHMAD TEGUH SANTOSO 28/10/1999 22 L AIR KASAI
68 1702105112990001 RESTI ZULIANA 11/12/1999 22 P AIR KASAI
69 1706142207790001 DARTUM 22/07/1979 42 L AIR KASAI
70 1706146127790001 ANIS RAWATI 21/12/1979 42 P AIR KASAI
71 1301101502000005 RIKI FEBRI ANDIKA 15/02/2000 21 L AIR KASAI
72 1706122505890001 WAHYUDI 25/05/1989 32 L AIR KASAI
73 1706125595940001 RISTI AFIKA 25/05/1994 27 P AIR KASAI
74 1301031806800001 SYAFRIZAL 18/05/1983 38 L AIR KASAI
75 1301024606890003 INENG 06/08/1989 32 P AIR KASAI
76 1706021004820001 HERMAN KUSWANTO 10/04/1982 39 L AIR KASAI
77 1706025212860005 TUMI SALAMAH 12/12/1986 35 P AIR KASAI
78 1203010307890004 AGUS DANA PANE 06/07/1989 32 L AIR KASAI
79 1203014505950023 MERI SERYANTI POHAN 05/05/1995 24 P AIR KASAI
80 1203011902000005 BUDI TUA POHAN 19/12/2000 21 L AIR KASAI
81 1301110908999001 RAPI 09/08/1996 21 25 AIR KASAI

Air Kasai, 13 Oktober 2021


Disahkan di : Air Kasai
Pada Tanggal : …… September 2021
PANITIA PELAKSANA PEMILIHAN KEPALA DESA
NAMA TANDA TANGAN
1. Ketua : KAWIT ( ..............................)
2. Anggota : AGUS ANWAR ( ..............................)
3. Anggota :SUDIRMAN ( ..............................)
4. Anggota : HERMANTO ( ..............................)
5. Anggota : TRI HARI MUL ( ..............................)

Diketahui dan setujui oleh :

1 Calon Kepala Desa Nomor Urut 1

SUGENG SUPRIYANTO

2 Calon Kepala Desa Nomor Urut 2

SUKIRMAN

3 Calon Kepala Desa Nomor Urut 3


GAMANSYAH NW
DAFTAR PEMILIH TETAP
1 1706100204920004 FEBRI P 02/04/1 29 L AIR KASAI
2 1706141012870004 ARISMAN15/07/1 29 L AIR KASAI
3 1706140507860002 JULIANU### 35 L AIR KASAI
4 1301100701900004 ROBI SU### 31 L AIR KASAI
5 1706142109790001 M. ROFIK21/09/1 42 L AIR KASAI
6 1706141805020001 M. RIAN 18/05/2 19 L AIR KASAI
7 1706140610750001 SUPARM06/10/1 46 L AIR KASAI
8 1706140211770001 ASASOKH 04/11/1 54 L AIR KASAI
9 1706140301010001 FIRMANS03/01/2 20 L AIR KASAI
10 1706142710940001 ANGGA A27/10/1 27 L AIR KASAI
11 1706141710030001 DWI PUJ17/10/2 18 L AIR KASAI
12 1706140704810002 SLAMET ### 40 L AIR KASAI
13 1706141401720001 HARRY Y14/01/1 49 L AIR KASAI
14 1802260102820006 MUHAMM ### 39 L AIR KASAI
15 1706142612700001 SUDAR 26/12/1 51 L AIR KASAI
16 1706142812950001 EKO BUD28/12/1 26 L AIR KASAI
17 1706141003750001 WAWAN ### 46 L AIR KASAI
18 1706141404010001 ANDI KU14/04/2 20 L AIR KASAI
19 1706101408800002 GUSTIAN14/08/1 41 L AIR KASAI
20 1706100107010010 MUHAMAD ### 20 L AIR KASAI
21 1706140304540001 SUYOTO### 67 L AIR KASAI
22 1706142712800001 SUBARI 27/12/1 41 L AIR KASAI
23 1706141407730001 BENNY S14/07/1 48 L AIR KASAI
24 1706140312680001 KAWIT ### 53 L AIR KASAI
25 1706140110020001 WILLY M### 19 L AIR KASAI
26 1706143004940001 APRILIA 30/04/1 27 L AIR KASAI
27 1706142309820001 SUHEND23/09/1 39 L AIR KASAI
28 1706140107640002 ABDUL M### 57 L AIR KASAI
29 1706144201700001 MASHEND 19/09/1 31 L AIR KASAI
30 1706141606640001 ASROFI 16/06/1 57 L AIR KASAI
31 1706140905000003 AMANAH09/05/2 21 L AIR KASAI
32 1305051506880001 RIAN SU 25/06/1 33 L AIR KASAI
33 1706111606750001 SANER 16/06/1 46 L AIR KASAI
34 1706141011610001 M. MARI ### 60 L AIR KASAI
35 3603181605880016 HENGKI 16/05/1 33 L AIR KASAI
36 1706141005780002 RAHMAT### 43 L AIR KASAI
37 1706142806820003 RINTO G28/08/1 39 L AIR KASAI
38 1706142809830001 HADI PR 28/09/1 38 L AIR KASAI
39 1706140810930001 DEBBY O### 28 L AIR KASAI
40 1706147109710001 SUARJI 17/09/1 50 L AIR KASAI
41 1706142811780001 BAMBAN28/11/1 43 L AIR KASAI
42 1706140701520001 SUDRAJA ### 69 L AIR KASAI
43 1706142302010001 SODIKLA23/02/2 20 L AIR KASAI
44 1706140507570001 NUR KHO### 64 L AIR KASAI
45 1706140202890001 MUHAMAD ### 32 L AIR KASAI
46 1706140711020001 AGIL IK ### 19 L AIR KASAI
47 1706140912930001 TRI HAR ### 28 L AIR KASAI
48 1305060402930002 DONI SA### 28 L AIR KASAI
49 1706102606960003 MUTADII26/06/1 25 L AIR KASAI
50 1706141205780001 AMAN RI### 43 L AIR KASAI
51 1706022703830001 MONDIK 27/03/1 38 L AIR KASAI
52 1706142107790001 APRINAL21/07/1 42 L AIR KASAI
53 1706141505850002 SETYO P15/06/1 36 L AIR KASAI
54 1706141602940001 RAMADHA ### 25 L AIR KASAI
55 1706142904690001 ZAINAL A29/04/1 52 L AIR KASAI
56 1706141810950001 DEDE SE18/10/1 26 L AIR KASAI
57 1706140904850002 MUHMMA 09/04/1 36 L AIR KASAI
58 1706040607730001 SAMIO ### 48 L AIR KASAI
59 1706140910970001 RAMDAN### 24 L AIR KASAI
60 1301020510890004 KEVIN A ### 32 L AIR KASAI
61 1706140803700001 DARUSLI### 51 L AIR KASAI
62 1706141206720001 RAHMAN### 49 L AIR KASAI
63 1706141305000001 IVAN SA 13/05/2 21 L AIR KASAI
64 1706141611020001 HABIB N16/11/2 19 L AIR KASAI
65 1706111106690001 YUDI WI ### 52 L AIR KASAI
66 1706140606860004 HASTARI06/06/1 35 L AIR KASAI
67 1706149111740001 NOPRIZA01/11/1 47 L AIR KASAI
68 1706140107770009 AMIN ZIK10/05/1 45 L AIR KASAI
69 1706140505990002 DEKA DW 05/05/1 22 L AIR KASAI
70 1706140505990003 DEKI DW05/05/1 22 L AIR KASAI
71 1706140207830001 SAHARUD 02/07/1 38 L AIR KASAI
72 1706090407940001 FERNGKI09/03/1 29 L AIR KASAI
73 1706141212600001 DAMIN 12/12/1 61 L AIR KASAI
74 1706021812930001 AHMAD L18/12/1 28 L AIR KASAI
75 1706020201980003 FARID A 02/02/1 23 L AIR KASAI
76 1706142104840002 RIKO HA21/04/1 37 L AIR KASAI
77 1706140405900002 KISWAND 04/05/1 31 L AIR KASAI
78 1706140101660003 AHMAD S01/01/1 55 L AIR KASAI
79 1706142803040001 MARSUAN 28/03/2 17 L AIR KASAI
80 1706140104770002 APRIANS01/04/1 44 L AIR KASAI
81 1706141102010004 HABIB R11/02/2 20 L AIR KASAI
82 1706010305820001 ANDRE J03/05/1 39 L AIR KASAI
82 1706141407700001 EWIN 14/07/1 51 L AIR KASAI
83 1671081001850003 DEDE WA 10/01/1 36 L AIR KASAI
84 1706141909650001 GAMANSY 19/09/1 56 L AIR KASAI
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252 170607030890001 ASEP AN03/08/1 31 L AIR KASAI

L 252
P 237
489
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