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    2 views5 pages

    Wa0007.

    Uploaded by

    alyainyh

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    © All Rights Reserved
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    of 5

    DATA WARGA USIA 15-59 TAHUN KELURAHAN MUNJUL

    Nama Kader Dasawisma : IDA FARIDA


    Kelompok Dasawisma Buah sawo. 008.007.003

    JENIS PENDIDIKAN BPJS/


    KELAMIN ASURANSI
    NO NAMA NIK TANGGAL LAHIR KET
    TIDAK SD SMP SMA D3 S1 S2
    L P SEKOLAH PUNYA TIDAK
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

    1 TABRONI 3175100309780001 03/09/1976 ✓ ✓ ✓ ✓ BPJS


    2 IDA FARIDA 3171056406770003 23/061977 ✓ ✓ ✓ ✓ BPJS
    3 APRILIA AZ ZAHRA 3175106605010003 26/04/2001 ✓ ✓ ✓ ✓ BPJS
    4 ALYA DWI INAYAH 3175104104051002 01/04/2005 ✓ ✓ ✓ ✓ BPJS
    5 ADAM TRI ALAMSYAH 3175102706081003 27/06/2008 ✓ ✓ ✓ BPJS
    6 NAMIN 3175101206820004 12-06-1982 ✓ ✓ ✓ ✓ BPJS
    7 ELIYA PUSPASARI 3175105208860001 12/02/1986 ✓ ✓ ✓ ✓ BPJS
    8 MUHAMMAD FADLI 3175102412561001 25/12/2008 ✓ ✓ ✓ BPJS
    9 SIMAN 3175100909930002 09/09/1993 ✓ ✓ ✓ ✓ BPJS
    10 FIAT SHINTA ASIH 3328096704940003 27/04/1994 ✓ ✓ ✓ ✓ BPJS
    11 HADIAH HAKIM 3175100502950006 05/02/1995 ✓ ✓ ✓ BPJS
    12 RAHADIAN AMRI 3175102704960004 27/041996 ✓ ✓ ✓ BPJS
    13 FAHRUR ROZI 3175100209020015 02/09/2002 ✓ ✓ ✓ ✓ BPJS
    14 AGUS TRI SARMAN 3175102508660003 25/06/1986 ✓ ✓ ✓ ✓ BPJS
    15 MUSTARI 3175101708780004 17/09/1978 ✓ ✓ ✓ ✓ BPJS
    16 SRI UTAMI 3175105709900005 17/09/1980 ✓ ✓ ✓ ✓ BPJS
    17 MUHAMMAD FAUZI 3175100710980006 07-10/1998 ✓ ✓ ✓ BPJS
    17 RINJANI DAMAYANTI 3175100710980006 17-08-2002 ✓ ✓ ✓ ✓ BPJS
    18 ASEP SHOBAR 3175105706020003 03/12/1968 ✓ ✓ ✓ ✓ BPJS
    19 HESTI ROSMAWATI 3175100212690003 09/05/1976 ✓ ✓ ✓ ✓ BPJS
    20 MOCH. REZQI HIJRI 3175101704990005 17/04/1999 ✓ ✓ ✓ ✓ BPJS
    Hal. 1/5
    DATA WARGA USIA 15-59 TAHUN KELURAHAN MUNJUL

    Nama Kader Dasawisma : IDA FARIDA


    Kelompok Dasawisma Buah sawo. 008.007.003

    JENIS PENDIDIKAN BPJS/


    KELAMIN ASURANSI
    NO NAMA NIK TANGGAL LAHIR KET
    TIDAK SD SMP SMA D3 S1 S2
    L P SEKOLAH PUNYA TIDAK
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

    21 FARHANA GELIYA ILMADIN 3175100403021002 04/03/2002 ✓ ✓ ✓ ✓ BPJS


    22 FARHANI HUSNI HABIBAH 3175106701040005 27/01/2004 ✓ ✓ ✓ ✓ BPJS
    23 TSABITA MUTIARA SYABAN 3175104709070003 07/09/2007 ✓ ✓ ✓ BPJS
    24 TOHIRIN 3175102811821001 28-11-1982 ✓ ✓ ✓ ✓ BPJS
    25 ROHAMAH 3175105306710013 13-06-1971 ✓ ✓ ✓ ✓ BPJS
    26 DIKA MAHENDRA 3175101904991002 19-4-1999 ✓ ✓ ✓ ✓ BPJS
    27 KAMAL ARIFIN 3175101701900010 01-17-1990 ✓ ✓ ✓ ✓ BPJS
    28 ENI PURWANTI 3175105402750001 14-02-1974 ✓ ✓ ✓ ✓ BPJS
    29 AYU NUARANI 3175106106080003 21-06-2008 ✓ ✓ ✓ BPJS
    30 DENI SAPUTRA 3175102906930009 29/06/1993 ✓ ✓ ✓ ✓ BPJS
    31 DIMAS ARYA TRIYADI 3175101012950002 10-12-1995 ✓ ✓ ✓ ✓ BPJS
    32 MILA SEPTIYANI 3175105209960003 12-09-1996 ✓ ✓ ✓ ✓ BPJS
    33 DAMAD 3175102202800007 22-02-1980 ✓ ✓ ✓ ✓ BPJS
    34 SUMINAH 3175105105850004 11-06-1986 ✓ ✓ ✓ ✓ BPJS
    35 DEIA HUSNA MEDINA 3175105112050005 11-12-2005 ✓ ✓ ✓ BPJS
    36 HENDRIK PURNOMO 3175101905780004 19-05-1978 ✓ ✓ ✓ ✓ BPJS
    37 SUMIATI 3175104894820003 09-04-1982 ✓ ✓ ✓ ✓ BPJS
    38 MOHAMMAD DEVON 3175100811010009 09-11-2001 ✓ ✓ ✓ ✓ BPJS
    39 SEPTO ADI PURNOMO 3175100109060005 01/09/2006 ✓ ✓ ✓ ✓ BPJS
    40 ANWAR 3175101212920003 12/12/1992 ✓ ✓ ✓ ✓ BPJS
    41 ADE SOPIANI SALAMAH 3205035107950003 11/07/1995 ✓ ✓ ✓ ✓ BPJS
    Hal. 2/5
    DATA WARGA USIA 15-59 TAHUN KELURAHAN MUNJUL

    Nama Kader Dasawisma : IDA FARIDA


    Kelompok Dasawisma Buah sawo. 008.007.003

    JENIS PENDIDIKAN BPJS/


    KELAMIN ASURANSI
    NO NAMA NIK TANGGAL LAHIR KET
    TIDAK SD SMP SMA D3 S1 S2
    L P SEKOLAH PUNYA TIDAK
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

    42 FERY AGUSTIN 3175102108980005 21-08-1998 ✓ ✓ ✓ ✓ BPJS


    43 ELFA JAYANTI 3175109904710002 12-01-1989 ✓ ✓ ✓ ✓ BPJS
    44 NENENG 3175106904710002 29/04/1981 ✓ ✓ ✓ ✓ BPJS
    45 MEGA 3175106411071002 14/11/2007 ✓ ✓ ✓ BOJS

    Hal. 3/5
    DATA WARGA USIA 15-59 TAHUN KELURAHAN MUNJUL

    Nama Kader Dasawisma : IDA FARIDA


    Kelompok Dasawisma Buah sawo. 008.007.003

    JENIS PENDIDIKAN BPJS/


    KELAMIN ASURANSI
    NO NAMA NIK TANGGAL LAHIR KET
    TIDAK SD SMP SMA D3 S1 S2
    L P SEKOLAH PUNYA TIDAK
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

    Hal. 4/5
    DATA WARGA USIA 15-59 TAHUN KELURAHAN MUNJUL

    Nama Kader Dasawisma : IDA FARIDA


    Kelompok Dasawisma Buah sawo. 008.007.003

    JENIS PENDIDIKAN BPJS/


    KELAMIN ASURANSI
    NO NAMA NIK TANGGAL LAHIR KET
    TIDAK SD SMP SMA D3 S1 S2
    L P SEKOLAH PUNYA TIDAK
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

    JUMLAH 25 20 38 5 21 18 0 2 0 46 0

    Hal. 5/5

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