Daftar Hadir Peserta

DAFTAR HADIR PESERTA
FIT AND PROPER TEST

DI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN
No.
Nama Lokal
: IV-1
Hari/tanggal
: Minggu / 20 November 2011
Nama
NIP
DESIRWAN INDRA, SH, MH
19771220 200003 1 003
201104001
2.
NINA DARMAYANTI, SSTP
19830504 200112 2 001
201104002
3.
AAN AFRINALDI, S.STP
19830415 200212 1 001
201104003
4.
FAIZAL ATMI, SH
19670207 199012 1 001
201104004
5.
ERLINDA
19630115 198602 2 002
201104005
19700620 199303 1 004
201104006
1.
6.
TAUFIQ. S.Ag
Nomor
Peserta
7.
YULI ADWAR, SH
19680721 198903 1 003
201104007
8.
SALMI, SH
19620101 198601 2 002
201104008
WAZNI
19650406 198603 2 004
201104009
10.
HENDRIZAL, SH
19621020 198203 1 002
201104010
11.
YOHN AFFANDI, S.Sos
19700928 200312 1 005
201104011
12.
EDI SUTARTO
19631110 198602 1 005
201104012
13.
RUSI HATRIANA, ST
19710305 199803 2 003
201104013
14.
DEDI ARNALDI, ST
19781215 200604 1 003
201104014
15.
ERLINDA, SH
19631011 198603 2 018
201104015
16.
ARIF NUR, SH
19660717 198703 1 003
201104016
17.
ASRIL , SH
19700403 199101 1 001
201104017
18.
DELSI SYAFEI, SH
19711218 199308 1 001
201104018
19
JHONNERI.SH
19700906 199303 1 006
201104019
YURNITA, SH
19640305 199003 2 003
201104020
21.
SRI DARMA INDRA, SE
19630930 198303 2 001
201104021
22.
RINI APRIANTI, SS
19770430 200003 2 001
201104022
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
MURDIFIN, SAP.MPA
19770729 200003 1 003
201104023
24.
RINI AJIR. S.Pd. MM
19690515 199403 2 003
201104024
25.
19820312 200012 1 001
201104025
26.
AAN DONI FIKRI,

SSTP,Mpa
ZAIDAR NALIS, AS
19580725 198103 2 003
201104026
27.
RINALDI TAHER
19590912 198303 1 011
201104027
28.
ELVA ARNIZA
19630818 198303 2 004
201104028
29
ZUL ETRI, SH
19660615 199103 1 002
201104029
30.
ENDANG
19590301 198101 2 001
201104030
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________
Padang, 20 November 2011

Pengawas
_________________
Nama dan tandatangan

FIT AND PROPER TEST
No.
Nama Lokal
: IV-2
Hari/tanggal
Nama
NIP
Nomor
Peserta
ERSUWIDA
19630912 198703 2 002
201104031
2.
MUSNAIDI, SH
19750130 199403 1 001
201104032
3.
AL IKHWAN, SH
19690629 198902 1 001
201104033
4.
ANDAN SOHAR
19590616 198110 1 003
201104034
5.
ERMON ABRIL, SH
19591103 198103 1 003
201104035
6.
PATRIADI
19640520 198503 1 011
201104036
7.
FITRA NELSON
19630213 198903 1 005
201104037
8.
BUJANG, ST
19651112 198612 1 001
201104038
ZULHADI
19560604 198206 1 001
201104039
10.
ALFAKANIF
19631120 198602 1 001
201104040
11.
DAHYUWENIZAR, BE
19570505 198403 1 010
201104041
12.
SUARDI
19640802 198703 1 005
201104042
13.
AFRINAL, ST
19650227 198603 1 003
201104043
14.
EDWIN
19560517 198511 1 001
201104044
19570606 198403 1 004
201104045
1.
15.
FIRDAUS
16.
YENTI ELIZAR, SST
19720731 199803 2 002
201104046
17.
AGUSTI AWIZAR, S.T
19700801 199003 1 003
201104047
18.
JONI EDWAR, SST
19601026 198703 1 006
201104048
19
BAHKTIAR, ST
19680312 199003 1 003
201104049
20.
URIPNO MARDI UTAMA,

S.ST.MT
19620512 199203 1 003
201104050
21.
EDISON, ST
19580912 198809 1 002
201104051
22.
DURIATUTI
19590715 199012 2 001
201104052
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
ALI IMRAN
19721101 199203 1 002
201104053
24.
RAKIMAN. NST
19600810 199103 1 002
201104054
25.
KAMAL RISMAN
19620104 198703 1 006
201104055
26.
AMIRUDDIN
19550807 199203 1 004
201104056
27.
HASAN
19610622 199203 1 003
201104057
28.
Drs. SUPRIADI
19640204 198510 1 001
201104058
29
Drs. MUSTAR
19610622 198603 1 003
201104059
19640721 198603 1 005
201104060
30.
ASMAN, S.Pd
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: IV-3
Hari/tanggal
Nama
NIP
Nomor
Peserta
DANUS, S.PdI
19651014 198603 1 002
201104061
2.
Dra. YANISDA
19651008 199003 2 005
201104062
3.
BITNER ARITONANG, SH
19670127 198803 1 005
201104063
4.
ZULHERMAINI
19570424 197903 2 002
201104064
5.
IJUL, S.Pd
19661231 199210 1 001
201104065
6.
MULYADI,SH
19660503 198602 1 003
201104066
7.
KHAIRUNNAS, SH
19640105 198603 1 007
201104067
8.
LENI IRZA, S.Pd
19650114 198603 2 005
201104068
1.
AWAL GUSNADI
19640820 199203 1 005
201104069
10.
FERIZAL, ST
19590101 198703 1 010
201104070
11.
ZULFAYANTI, SE. Akt
19810331 200604 2 005
201104071
12.
NASRUDDIN, S.PdI
19600404 198202 1 006
201104072
13.
AHMAD BUKHARI
19660228 198703 1 002
201104073
14.
HARMEN, ST
19730503 200801 1 002
201104074
15.
HERJONI, SKM
19620712 198401 1 001
201104075
16.
ZARFINI
19590116 198203 1 005
201104076
17.
SUHARTI, SH
19641231 198603 2 052
201104077
18.
YULINDA YUDI, AMG
19700830 199303 2 004
201104078
19
NASRIL,SH
19650930 198803 1 005
201104079
FAUZI
19590209 198703 1 004
201104080
21.
YOSE RIZAL, SKM, M.Kes
19750709 199503 1 001
201104081
22.
MULFIA GUSNI
19670804 198703 2 002
201104082
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
19761227 200012 2 003
201104083
24.
HIKMAH RIDHA, SKM,

M.Kes
SANDRA MIDA, SKM
19740910 199803 2 004
201104084
25.
NURHALIMAH. SKM
19760819 199703 2 003
201104085
26.
JONNERI MASLI, SKM, MPH
19750104 199803 1 004
201104086
19680913 199103 1 006
201104087
23.
27.
UJANG DWI YUANTARA
28.
DONY ANWAR, SKM
19770219 200003 1 002
201104088
29
ARMA PUTERA, AMS
19710203 199703 1 003
201104089
30.
RAHMADONA FITRI, S.Si.

Apt
19760914 200604 2 006
201104090
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
1.
2.
Nama Lokal
: IV-4
Hari/tanggal
Nama
ASRINALDI, SKM
YUDARNIS
NIP
Nomor
Peserta
19690125 199303 1 003
201104091
19631213 198703 2 002
201104092
3.
WIDIA YOFINALDI, SH
19681108 200801 1 001
201104093
4.
IDA TRISNA, SKM
19730626 199603 2 001
201104094
5.
INDRIA WARNI
19650328 198603 2 009
201104095
6.
dr. RAHMAT
19631105 200604 1 003
201104096
7.
DWI HADIAH, SKM
19741127 199903 2 004
201104097
8.
dr. LUSI HASTUTY
19760305 200501 2 008
201104098
RASNA
19630618 198703 2 004
201104099
10.
dr. HERMAN HARUN
19810410 200901 1 005
201104100
11.
MINDA MUKHTAR
19700610 199403 2 006
201104101
12.
19770620 200604 1 003
201104102
13.
IHSAN FAHRI SIREGAR,

SKM
RAHMAD ISA, S.Si
19830618 200501 1 004
201104103
14.
dr. MONALISA
19810222 200604 2 022
201104104
15.
WIRAL FETRAMA, SKM
19810212 200501 1 006
201104105
16.
dr. EDWIN RIVAI
19690715 200212 1 001
201104106
17.
JASMANIAR
19560411 198010 2 001
201104107
18.
dr. H. TULUS PUJIANTORO
19670916 200604 1 005
201104108
19
ARIF
19710601 199203 1 002
201104109
dr. YONG MARZUHAILI
19740928 200604 2 007
201104110
21.
ADRISON, B.Sc
19570702 198502 1 001
201104111
22.
drg. MUTIA FITRI
19721114 200604 2 001
201104112
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
HARMANSYAH
19710502 199203 1 007
201104113
24.
ELMA
19690912 199203 2 006
201104114
25.
JASMAN
19631213 198812 1 001
201104115
26.
drg. EDHI SUANDI
19730119 200604 1 002
201104116
27.
SYABRIANISKO
19670212 198803 1 004
201104117
28.
19750515 199803 2 004
201104118
29
MAYYULISDA SUSANTI,
SKM, M.Kes
FITRIA
19670131 198803 2 002
201104119
30.
dr. AMAN SYARIFUDIN
19740219 200801 1 002
201104120
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: IV-5
Hari/tanggal
Nama
NIP
Nomor
Peserta
EMI HERMINA
19640617 198703 2 003
201104121
2.
YULIANAS, SKM
19640418 198712 1 001
201104122
3.
HASRI YATI
19630122 198603 2 003
201104123
4.
ZAIMUR, SP
19581110 198003 2 003
201104124
5.
DEWI LINDA, SP
19630825 198602 2 002
201104125
6.
LIJUHARTI, SH
19550709 198503 2 001
201104126
7.
FAIZAL, SH
19630709 198609 1 002
201104127
8.
SYAFRI, SP
19600630 198303 1 004
201104128
SRIE HANDAYANI, S.Pd
19690206 198903 2 003
201104129
10.
ROHULI LATIF, S,ST
19700704 199205 1 001
201104130
11.
19720223 200501 2 006
201104131
12.
VICKEE FRANSISKA, S.TP,

M.Si
FEBRI ISWANDI, SP
19750226 200501 1 007
201104132
13.
FIRDAUS, ST
19581018 199010 1 001
201104133
14.
SEPPI TRISNAWADI, SP
19791213 200604 1 009
201104134
15.
OKTAVIANRI, S.TP
19821001 200501 2 005
201104135
16.
DEDI, SP
19690411 200312 1 002
201104136
17.
AJULI MUHDA R.
19580730 198302 2 003
201104137
18.
SYAFRIZAL. M,SH
19600816 198503 1 012
201104138
19
ROSWATI
19580820 198101 2 001
201104139
YASRIL
19600115 198203 1 010
201104140
21.
LIANAS,SE
19591231 198303 1 152
201104141
22.
YANITA FITRI
19660115 198903 2 003
201104142
1.
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
24.
HARDINAL SYOFYAN, Spt

NELDIA VENDRA, SP
19700323 199701 1 001
201104143
19760105 200003 1 002
201104144
25.
ALI AMRAN S. SH
19590515 198503 1 008
201104145
26.
HASNETI, SE
19661015 198901 2 001
201104146
27.
Drh YOSRO
19810816 200604 1 004
201104147
28.
EDISON, SST
19660711 199203 1 009
201104148
29
FITRIANI, S.Pt
19790205 200501 2 008
201104149
30.
MUSARDI,SP
19720818 199703 1 003
201104150
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: IV-6
Hari/tanggal
Nama
NIP
Nomor
Peserta
Drh. LISTIYANTO
19820402 200803 1 001
201104151
2.
M. DWI RICHIE JP, S.Pi
19830323 200604 1 005
201104152
3.
DADANG HIKMAT,A.Md
19640519 198503 1 007
201104153
4.
19770727 200604 1 017
201104154
5.
JON YUWELDRI PUTRA,

S.Pt
RIYATUL FATMA
19571124 198206 2 001
201104155
6.
FIRDAUS, SST
19690410 199303 1 004
201104156
7.
SYAFRITA, SPt
19710307 200604 2 002
201104157
8.
YULIANDRI DJ, Spi
19800707 200604 1 006
201104158
EDI JUFRI
19550827 197603 1 004
201104159
10.
LIWAZAN, SP
19571005 198202 1 001
201104160
11.
DAUD, ST
19661213 198602 1 002
201104161
12.
SYAMSIR, SH
19580513 198012 1 004
201104162
13.
YURHASNI.A.Md
19620922 198803 2 003
201104163
14.
ALI UMRAN, SH
19640325 198603 1 004
201104164
15.
AMIGO RINALDI. SP
19670822 198803 1 005
201104165
16.
TASPIAR, SP
19611231 198603 1 105
201104166
17.
DESI RIANTI
19621203 198602 2 001
201104167
18.
ROSMALINDA, SP
19620523 198709 1 001
201104168
19
DEVI NOFRINA, SP
19761129 200604 2 004
201104169
AHMAD RINALDI, SP
19630502 200212 1 001
201104170
21.
RUSLAN
19571111 199403 1 001
201104171
22.
MERI YANTI
19620511 198803 2 003
201104172
1.
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
ERMAN
19590520 198202 1 002
201104173
24.
H. ZULKIFLI, SH
19600805 198602 1 008
201104174
25.
YANDESMAN, S.Hut
19720909 200003 1 004
201104175
26.
MURSAL EFFENDI
19660319 198602 1 002
201104176
27.
SRI HARTATI
19620930 198101 2 001
201104177
28.
DIDI MULYADI, SH
19621226 198503 1 009
201104178
29
WIRDAWATI
19660213 198703 2 003
201104179
30.
AMNIZAR
19620611 198612 1 001
201104180
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: IV-7
Hari/tanggal
Nama
NIP
Nomor
Peserta
YUNAIDI
19660708 198803 1 003
201104181
2.
MURSIDA
19670325 198903 2 002
201104182
3.
HENDRI DUNAN, SH
19790125 200003 1 003
201104183
4.
ZULKANEDI SUKMANA
19650928 198506 1 001
201104184
5.
ADRIZAL
19650101 198503 1 009
201104185
6.
LISMARDI
19600525 198602 1 004
201104186
7.
ERMAN
19571218 198301 1 001
201104187
8.
YUN FARIZAL
19590707 198103 1 008
201104188
Drs. APRIZON
19680405 199503 1 004
201104189
10.
AFDAL
19650914 198602 1 001
201104190
11.
NAZUL HENDRI
19650916 198701 1 001
201104191
12.
NURASNI, S.Sos
19640720 199103 2 002
201104192
13.
JONI SUTRISNO
19590405 198701 1 001
201104193
14.
IVAN ISVANDI
19690821 199203 1 004
201104194
15.
AFRIDANSYAH, SH
19711030 199202 1 001
201104195
16.
NOVIARTI
19561125 198103 2 001
201104196
17.
NOVIA HANIF, S.Ag
19611128 198303 1 007
201104197
18.
REFNITA IDA
19590807 198312 2 001
201104198
19
ADRIZAL
19600403 198410 1 004
201104199
EMWIRDA
19600212 198201 2 002
201104200
21.
MARJOHAN, S.PT
19630415 198303 1 009
201104201
22.
ANAS
19610806 198603 1 006
201104202
1.
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
ISMET, SH
19630511 198601 1 001
201104203
24.
ASNIL SY, SH
19720929 199202 1 001
201104204
25.
ELLI KAMAR
19630422 198512 2 001
201104205
26.
ALWIDARIPAH, SH
19580612 199103 2 001
201104206
27.
ZUL ASMAR, SH
19660325 198903 1 004
201104207
28.
YENDAWATI, SH
19630405 198603 2 008
201104208
29
NURHAQQI, ST. M. Eng
19741018 200501 1 004
201104209
30.
BERMAN, SH
19621231 198503 1 112
201104210
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: IV-8
Hari/tanggal
Nama
NIP
Nomor
Peserta
EFA AMELIA, SH
19641221 198903 2 003
201104211
2.
ROSMA WARNI
19561126 198103 2 005
201104212
3.
ARIZAL, SH
19610131 198211 1 002
201104213
19650324 198503 1 004
201104214
1.
4.
IDRUS PAYAN
5.
JASMANIARTI
19590407 198001 2 001
201104215
6.
AZIZAH
19580501 198211 2 001
201104216
7.
GUSMAN, SH
19640711 198803 1 007
201104217
8.
EDWAR, Bsc.
19620921 199103 1 004
201104218
MULFIARDI
19600718 198603 1 003
201104219
10.
BOY ERVANTOS
19641219 198603 1 006
201104220
19680301 198703 1 001
201104221
11.
ZAIRIL, SE
12.
YUFRIZAL
19590711 198502 1 002
201104222
13.
IRWAN RUDI, ST
19741130 200501 1 004
201104223
14.
SRI HARYANTI
19620929 198603 2 002
201104224
15.
RAMADAN AHMAD
19601125 198603 1 006
201104225
16.
ANASRIL
19630919 199203 1 004
201104226
17.
YANUARDI
19570115 198103 1 008
201104227
18.
ELUZUARDI, SH
19650609 198602 1 002
201104228
19
ARMEN,SH
19700815 198903 1 001
201104229
MAIMUNAH, SE
19740413 199403 2 006
201104230
21.
EVALIANIS
19631013 198602 2 002
201104231
22.
HASRIL, SH
19680203 199309 1 001
201104232
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
YUDRIZAL
19620101 198301 1 001
201104233
24.
ENDRIZAL, SH
19681205 199202 1 001
201104234
25.
JASMARDI
19710612 199403 1 004
201104235
26.
YUNILAWATI, SE.Akt
19770619 200604 2 004
201104236
27.
INDRINIATI, SE.Akt
19820510 200604 2 002
201104237
28.
19820219 200604 2 008
201104238
29
ROZA MUKHNIWATI,
SE.Akt
BUDI HERIYANTO
19791026 200604 1 007
201104239
30.
FIRDAUS, SE
19760123 200604 1 004
201104240
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: IV-9
Hari/tanggal
Nama
NIP
Nomor
Peserta
ERWANTO
19691128 198903 1 003
201104241
2.
ZULFELMI, SH
19590828 198602 1 006
201104242
3.
EFRI YETTI
19600410 198101 2 003
201104243
4.
SUZI SUWIRMA
19610226 198203 2 006
201104244
5.
SYAFNI DARYETTI
19580916 198101 2 001
201104245
6.
SYAHRIAL, SH
19640424 198602 1 004
201104246
7.
GUSNELI
19620208 198602 2 002
201104247
8.
DEDI HERDIAN
19640122 198602 1 001
201104248
SYAMSIRWAN, SH
19651205 198708 1 001
201104249
10.
YASRUL, SH
19630415 198603 1 012
201104250
11.
RINI ANGRAINI, ST
19810525 200604 2 007
201104251
12.
KHAIDIR ISMET, ST
19760412 200601 1 011
201104252
13.
HELMI HERIYANTO, ST
19730907 200501 1 007
201104253
14.
BENNY. R. PURBA, BSW
19640919 198603 2 005
201104254
15.
RISNAWATI
19551202 198102 2 001
201104255
16.
DARNIATI
19591010 198101 2 005
201104256
17.
GAMAL ABDUL NASER, Aks
19680406 198901 1 002
201104257
18.
ZUFLIWARDY ANWAR, SH
19590519 198503 1 001
201104258
19
HERMAN MAARUF
19610804 198302 1 004
201104259
MAKMUR SARAGI
19600519 198203 1 005
201104260
19650505 198503 1 007
201104261
19571231 198101 1 013
201104262
1.
20.
21.
22.
ENDRIANTO CHANIAGO,SH
ZULKIFLI, SH
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
24.
ISNAWILIS.Z
HASNIL
19621120 198607 2 001
201104263
19571015 198003 1 008
201104264
25.
NURSIDA GUSTINA
19660812 198703 2 005
201104265
26.
ISHAK, S.Pd
19710804 199702 1 001
201104266
27.
MAWARTI, BA
19620615 198903 2 005
201104267
19700816 199103 2 006
201104268
28.
HERLINDA, SH
29
JAAFAR, SH.
19690607 199003 1 002
201104269
30.
SUSMIARTI
19570817 198303 2 003
201104270
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: IV-10
Hari/tanggal
Nama
NIP
Nomor
Peserta
JON FAUZI, S.Ag
19651115 198903 1 006
201104271
2.
YUHELNIDAR
19590403 198602 2 003
201104272
3.
AZWIRMAN, SH
19590610 199203 1 003
201104273
4.
MARYENTI ANWAR
19680310 199003 2 006
201104274
5.
GUSTI ELIZA, S.Pd
19620809 198703 2 002
201104275
6.
DESYARTI, SH
19661206 199312 2 001
201104276
7.
BETTI ZULFIA
19640104 198603 2 005
201104277
8.
NURUL FAUZI
19650127 198603 1 004
201104278
YON ERNI
19641110 198602 2 002
201104279
10.
SYAFNI ERIZA, SH
19750306 199403 2 002
201104280
11.
BERTALIANI
19651120 198703 2 005
201104281
12.
NURSUHARNI
19640610 199003 2 003
201104282
13.
HELMI YATDA
19630221 198603 2 002
201104283
14.
ZULHAMDI, S.Kom
19771208 200501 1 007
201104284
19580108 198003 2 002
201104285
19651203 198602 1 002
201104286
19601116 198303 2 005
201104287
1.
15.
16.
17.
MURNIATI
MUNASRIL, SH
ROSMAINI
18.
HERLINA, S.Ag
19600611 198303 2 002
201104288
19
IDET, ST
19590616 198103 1 006
201104289
HENDRI WIJAYA, SH
19711210 199203 1 001
201104290
21.
MARWAZI, ST
19580327 198103 1 007
201104291
22.
MHD. SYAFEI, SH
19650323 199312 1 001
201104292
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
YULITA ENDANG P.U.SH.
19660404 199201 2 001
201104293
24.
YURIFELMAI, SH
19660512 198602 1 003
201104294
25.
HAYATUL BADRI
19611218 198610 2 001
201104295
26.
RISWANDI, SH
19611008 198103 1 002
201104296
27.
ABDUL RIZAL, SH
19640415 198602 1 005
201104297
28.
ENDA MURNI.DJ. A.Md
19690524 199503 2 001
201104298
29
FAJRIATI. SY,SE
19740216 200604 2 001
201104299
30.
DONY ARDORIA, ST
19780723 200604 1 003
201104300
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: IV-11
Hari/tanggal
Nama
NIP
Nomor
Peserta
YUNITA
19560615 198007 2 001
201104301
2.
EFRI YANTO, SPt
19730707 199903 1 005
201104302
3.
ENDANG SUSILOWATI, ST
19750915 200003 2 004
201104303
4.
19740818 200003 1 005
201104304
5.
RAHMAT GUSVERI, S.Si,

M.Si
JUBAIDAH, SE.
19660729 198903 2 004
201104305
6.
RIA KUDU, SH
19641117 198703 1 004
201104306
7.
RIDWAN
19650221 198602 1 001
201104307
8.
METRI WILDA NASUTION,

SE
AHDA HIDAYAT, S.Sos
19770107 200003 2 001
201104308
19800503 200312 1 004
201104309
19810204 200501 2 005
201104310
11.
RAHMA YENTI, SE.Ak,

M.Ec.Dev
BAMBANG RIWANTO, ST
19790302 200604 1 002
201104311
12.
DIKRI YENNI, SH
19650825 199308 2 001
201104312
13.
PONIZAR
19600224 198103 2 003
201104313
14.
NIKMATUSSADISAH.SH
19680603 199803 2 003
201104314
15.
YUDARTI
19590713 198603 2 003
201104315
16.
ALI AMRAN A
19590526 198201 1 001
201104316
17.
EDWARD, SH
19720615 199703 1 006
201104317
18.
JENDRI YANI.SH
19660415 199003 1 005
201104318
19
JONNIZAR, SH
19610620 198703 1 003
201104319
MARTA YANDRA,S.Kom
19790402 200501 1 004
201104320
19680826 198903 1 004
201104321
19661215 199203 1 006
201104322
1.
9
10.
20.
21.
22.
ASRIAL
SAKDANIL, SH
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
NUNUNG LESMANA
19640821 198903 2 003
201104323
24.
DILTA NOPRIJUM
19601120 198110 1 001
201104324
25.
BENHARD
19630410 198602 1 002
201104325
26.
NURHAYATI. B
19610313 198503 2 004
201104326
27.
DAHLIANA , SE.
19630313 198603 2 005
201104327
28.
YUNIRMAN,S.ST
19650618 198901 1 001
201104328
29
MAYESTI
19620513 198603 2 003
201104329
30.
SUARDI
19620706 198602 1 004
201104330
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: IV-12
Hari/tanggal
Nama
NIP
Nomor
Peserta
JUARDI LUBIS, ST.M.Eng
19790119 200501 1 004
201104331
2.
EZY AMELIA EP, SP
19750127 199803 2 002
201104332
3.
EMMI SUDARTI
19550616 197901 2 001
201104333
4.
ROSMIATI
19570626 198002 2 001
201104334
5.
RUSMANUDDIN ZAICAN, SP
19610303 198303 1 010
201104335
6.
NIFEBRIENI, SE
19651130 198711 2 001
201104336
7.
IRSAL, SP
19590817 198103 1 014
201104337
8.
JASMAN, SP
19620602 198803 1 003
201104338
PURWATI NINGSIH
19590317 198503 2 002
201104339
10.
CHANDRA FAHMI, SP
19571228 197901 1 001
201104340
11.
RAFLIS
19620325 198503 1 006
201104341
12.
RAFLES SALIM, SP
19570816 198603 1 004
201104342
13.
M. SUHAILI
19561109 198002 1 001
201104343
14.
KHAIRUL AMRI
19590907 198312 1 001
201104344
15.
MURDANI, SP
19621231 198803 1 067
201104345
16.
TAMRIN, S.Pi
19770415 200501 1 012
201104346
17.
NOFERI ILYAS, A.Md
19631114 198710 1 001
201104347
18.
SUDIRMAN
19631231 198803 1 081
201104348
19
RENI ZULITA, SP
19631006 198603 2 002
201104349
SRI NURAIDA HASTUTI, SP
19700220 199303 2 002
201104350
21.
MY.ANTONIUS,A.Md
19630901 198803 1 004
201104351
22.
ERMITTA, SE
19690328 199302 2 002
201104352
1.
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
SYAFRI LISWAN
19600315 198101 1 002
201104353
24.
NURBIAH
19600120 198402 2 001
201104354
25.
ERITA WILIS, SH
19590910 198402 2 001
201104355
26.
USMAWATI
19590919 198603 2 003
201104356
27.
HARMAINI, SH
19630212 198603 2 004
201104357
28.
ROSTINA
19621120 198903 2 005
201104358
29
YUNIL BAHRUDIN
19620501 198603 1 007
201104359
30.
SYAFIRUDIN
19630910 198703 1 005
201104360
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: IV-13
Hari/tanggal
Nama
NIP
Nomor
Peserta
PITWARTINI, SH
19601220 198503 2 003
201104361
2.
MISYELLI. SH
19660410 198603 2 004
201104362
3.
LINDA
19640528 198812 2 001
201104363
4.
SURMAYETTI
19600306 198101 2 001
201104364
19621014 198602 2 002
201104365
1.
5.
RAMANIZAR.S.Sos
6.
RIFMAINIRNI
19590508 198206 2 002
201104366
7.
ERMAWATI
19630910 198703 1 004
201104367
8.
YANUAR
19650117 198802 1 001
201104368
SYOFIA WARMAN, S.Ag
19760205 200604 1 007
201104369
10.
HENDRI YANTO, S.Ag
19750725 200604 1 002
201104370
11.
MAIYARNI LUBIS, S.Ag
19720522 200604 2 014
201104371
12.
ERLINA HARTI, S.Pd
19650727 199003 2 009
201104372
19740327 199303 1 003
201104373
19591109 198903 1 004
201104374
13.
14.
HENDRAWANSYAH, SH
MASRIVUL, SH
15.
AZWAR
19630825 198603 1 004
201104375
16.
ASMIDA, SH.
19731210 199312 2 001
201104376
17.
AJIDAR, ST
19611231 198703 1 069
201104377
18.
EM HASRIL
19620303 198101 1 001
201104378
19
YASNIDA
19611228 199303 2 001
201104379
NURIASMI
19640502 199003 2 001
201104380
21.
BUDI CENDEKIA.P, SE.Ak
19760128 200604 1 003
201104381
22.
LINDA SUYANTI
19650820 198602 2 003
201104382
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
YUSRIZAL, SH
19700607 199003 1 005
201104383
24.
SUBHANDI, ST
19740804 200312 1 003
201104384
25.
TITIS ERNINGSIH, ST, Msi
19740728 200501 2 006
201104385
26.
EKA DETRIMAN, SH
19601230 198103 1 004
201104386
27.
JONI HAFIZAL, SH
19641107 198602 1 002
201104387
28.
M. SYAFEI, SH
19591220 198603 1 008
201104388
29
YULIARDI, SH
19730703 199303 1 002
201104389
30.
MUHAMMAD,S.Ag
19560209 198203 1 004
201104390
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
1.
2.
Nama Lokal
: IV-14
Hari/tanggal
Nama
ASRINIWATI
YELLIDA
NIP
Nomor
Peserta
19631022 198603 2 002
201104391
19660519 198602 2 001
201104392
3.
YUSRAN
19600923 198103 1 006
201104393
4.
AMRISAL
19620602 198103 1 006
201104394
19700712 199203 1 006
201104395
5.
ZULFAHMI, SH
6.
ABDUL MUHIR, SH
19790410 200003 1 004
201104396
7.
YONNARITA
19580228 198206 2 002
201104397
8.
ZAKRI, SE
19650624 199503 1 004
201104398
DICKY SYAHPUTRA, S.Sos
19730330 199803 1 003
201104399
10.
HARNEL LIBRA, SH
19660923 199003 1 004
201104400
11.
YULIA HARTATI, S.Si, Apt
19670712 199703 2 002
201104401
12.
YUMERIZA
19571127 198206 2 001
201104402
13.
IRNA HAIDESNI, AMK
19701214 199403 2 001
201104403
14.
NELLY, A.Md.Kep
19640519 198902 2 001
201104404
15.
dr. NURWETI EMIDA
19751028 200501 2 006
201104405
16.
NETTY, A.Md.Kep
19610909 198703 2 002
201104406
17.
WADDYAWATI
19661124 198703 2 004
201104407
18.
EVA GUSRIANIA.Md. KL
19670303 198903 2 004
201104408
19
ASLIZA, SKM.M.Si
19770709 199703 2 001
201104409
NURINAWATI, SH.
19680705 199003 2 008
201104410
21.
MUAS, SH
19650927 198603 1 006
201104411
22.
SYAFRI, SH
19610516 198903 1 002
201104412
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
WARLIS,SH
19600720 198903 1 005
201104413
24.
ALYUMI GUSTI
19690124 198912 1 001
201104414
25.
ALKADRI
19650320 198603 1 005
201104415
26.
YUSMILIZA BETH
19591009 198603 2 003
201104416
27.
BURHAN, SH
19640807 198903 1 006
201104417
28.
HASRIL
19591211 198303 1 005
201104418
29
SYOFINAR, S.Sos
19641212 198603 2 009
201104419
30.
ZULFRINDON
19650910 198803 1 004
201104420
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: IV-15
Hari/tanggal
Nama
NIP
Nomor
Peserta
INDRA, SP
19621122 199212 1 001
201104421
2.
YUSNIMAR
19590601 197912 2 001
201104422
3.
ERNA ADRIATI
19640323 198602 2 002
201104423
4.
ZASTRI ELVA
19580228 198603 2 003
201104424
5.
JASRIL,SH
19610404 198602 1 002
201104425
6.
ELDI NOFASTA
19711121 199203 1 003
201104426
7.
GUSTINA EMARNI, S.Sos.I
19660810 199303 2 008
201104427
19600622 198102 2 001
201104428
1.
8.
SALMIATI, S.Sos
ERMA YESTI
19640504 198603 2 003
201104429
10.
ERA HASNI S.Kom
19701018 200501 2 009
201104430
11.
HAFRIZALZUL, SH
19780426 200003 1 001
201104431
12.
HIDAYATUL TAUFIK, SSTP
19840323 200312 1 001
201104432
13.
MUHAMMAD ISNAINI
19791202 200901 1 007
201104433
14.
YULIDAR.Y
19580720 198402 2 002
201104434
15.
YENNI
19611203 198603 2 003
201104435
16.
ATMA GUSTITIA
19631029 198602 2 002
201104436
17.
NURNA ELIA
19640422 198602 2 004
201104437
18.
ESSY SUPRAISA
19730506 199303 2 003
201104438
19
DARLIS, SKM
19600405 198603 1 003
201104439
EMMI
19621221 198602 2 001
201104440
21.
AGUSTIMAIZOL. SH
19710619 199202 1 001
201104441
22.
EDWARDI URAI
19610510 198103 1 007
201104442
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
YOMI VALENTIA, SS
19830203 200501 2 003
201104443
24.
EDWARD BRATA PUTRA
19880209 200701 1 001
201104444
25.
JUNAIDI, BAC
19610407 198603 1 006
201104445
26.
ERFIDA
19591030 198403 2 001
201104446
27.
HAPNIL WADI, SH
19710918 199303 1 004
201104447
28.
MARDINATA. BE
19590317 199003 1 003
201104448
29
ELFIAN
19630515 198910 1 001
201104449
30.
RASNA HELMI
19630917 198903 2 002
201104450
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: IV-16
Hari/tanggal
Nama
NIP
Nomor
Peserta
SAHIDIN
19630305 198703 1 009
201104451
2.
YUSTIMAR
19640616 198703 2 004
201104452
3.
RAJO ALI
19600520 198403 1 010
201104453
4.
APRISAL
19640828 198903 1 007
201104454
5.
GUFTI YOMI, SE
19730824 200701 1 007
201104455
6.
JULIATER GINTING, S.Tp
19760702 200604 1 005
201104456
7.
RAJAMIN, S.Pi
19720903 200604 1 004
201104457
8.
ABU BAKAR THARMIZE
19700326 200901 1 001
201104458
ARDIMAN
19591231 198403 1 063
201104459
10.
SYAHRUL, SE
19630502 198603 1 006
201104460
11.
Drs. IRFAN. A
19651110 199503 1 001
201104461
12.
MAWARDI, SH
19670801 199311 1 001
201104462
13.
GUSTANIAH, SE
19760215 200801 2 013
201104463
14.
RAIDUL MIWARI, SH
19690929 199301 1 003
201104464
15.
MINARTI
19600907 198312 2 001
201104465
16.
MASYRUL
19590922 198603 1 004
201104466
17.
SYOFYAN
19591215 198603 1 009
201104467
18.
ASRIAL ARFANDI HASAN,

S.STP
MASDALENA S.Sos
19840824 200212 1 001
201104468
19650909 200604 2 008
201104469
BUDHI WAHYU SATRIA,SIP
19880308 200701 1 001
201104470
21.
ERNAWATI.SH
19651210 199312 2 001
201104471
22.
Dra. SURMIYETTI
19651002 199503 2 003
201104472
1.
19
20.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
Drs. AHMAD SANUSI
19611015 199403 1 002
201104473
24.
ALTASMAN
19650513 198903 1 002
201104474
25.
RAME SIRAIT
19630319 198602 2 001
201104475
26.
RAJO
19601106 198403 1 003
201104476
27.
Anasril, S.Pd
19700210 199603 1 005
201104477
28.
Nurfiati, S.Pd
19630515 198703 2 006
201104478
29
GUDRIN, A.Ma
19600205 198103 1 014
201104479
30.
Zulfan, S.Pd
19591015 198302 1 003
201104480
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
Nama Lokal
: IV-17
Hari/tanggal
Esselon III & IV

No.
Nama
NIP
Nomor
Peserta
Maruddin, SH
19620412 198603 1 004
201104481
2.
Suhemi, S.Pd
19620610 198302 1 003
201104482
3.
Maswir Raflis
19610817 198603 1 013
201104483
4.
Wasdianto, S.Pd
19611006 198112 1 002
201104484
5.
Seprialdi, A,Ma
19630929 198603 1 011
201104485
6.
Hamdani, AM.a
19641226 198610 1 001
201104486
7.
Syolikhin, A.Ma
19641215 199001 1 002
201104487
8.
Aljufri, S.Pd
19590302 198011 1 001
201104488
Yusrizal, S.Pd
19620227 198703 1 003
201104489
10.
Muklan. S
19650501 198802 1 001
201104490
11.
Asnil. I, A.Ma. Pd
19560816 197911 1 001
201104491
12.
Alwizon, S.Pd
19630703 198410 1 001
201104492
13.
Muhardi, S.Pd
19610621 198112 1 001
201104493
14.
Adrijon, S.Pd
19650727 198410 1 001
201104494
15.
Sri Erlinda, S.Pd
19690222 199003 2 002
201104495
16.
Wirdani
19570816 198003 1 011
201104496
17.
Safarudin
19670204 199003 1 005
201104497
18.
Jalalluddin
19580326 198602 1 003
201104498
19
KHAIRUL EFRI, SH
196612211986021002
201103151
20.
ELVI WARDI, SH
196212101986021003
201103152
1.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.
EVA ROBANIATUN, SH
197605051994032001
201103153
22.
SILVIA EVAYANTI, S.Pi,

MM
196801051994032004
201103154
23.
21.__________
22. __________
23.__________
24.
25.
24. __________
25.__________
26.
27.
26. __________
27.__________
28.
29
28. __________
29.__________
30.
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: III-1
Hari/tanggal
Nama
NIP
Nomor
Peserta
1.
DJOKO RIFANTO,
S.Sos Msi
19681024 199009 1 002
201103001
2.
FATRIZON, SH, M.Si
19661224 198903 1 005
201103002
3.
Drs. YUSRI
19630314 198803 1 008
201103003
4.
SURYA DARMA, SH
19580721 198101 1 001
201103004
5.
EFKA EMI. SH
19640102 199308 1 001
201103005
6.
MARDIANTO,SH
19700505 199603 1 005
201103006
7.
GUSTIAN, S.Pd
19670303 198802 1 001
201103007
8.
Drs. M. SAYUTI
POHAN. AP
19740721 199402 1 003
201103008
Drs. SEWAN,M.Si
19580929 198603 1 007
201103009
10.
MUKHRIZAL,SH
19611111 198503 1 005
201103010
11.
TAFDHIL, SH
19620522 198602 1 001
201103011
12.
NIFA HAKOLA, SH
19620712 199103 1 006
201103012
13.
ALIM BAZAR, S.Sos
19690614 199009 1 001
201103013
14.
EDI ZUBIR, SST
19600210 198901 1 002
201103014
15.
M. SYAFRIL MASNUR,
ST,MT
19670602 199403 1 005
201103015
16.
APRIALDI SAID, SH
19700423 199202 1 001
201103016
17.
NASRUL, ST
19610509 198602 1 001
201103017
18.
Drs. ALDAR
USMAN,M.Pd
19590705 198603 1 011
201103018
19
GUNAWAN, S.Pd,M.Si
19681017 199203 1 004
201103019
20.
BUDI INDRAWAN, S.Pd
19670611 199411 1 001
201103020
21.
HASBUL ZAHRI S.Pd
19610727 198512 1 001
201103021
22.
NOVIARTIAS,SH
19641108 198506 1 001
201103022
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
ABRAL MULYANDRI,
SE
19670801 199303 1 004
201103023
24.
RIDWAN, SKM
19600810 198603 1 005
201103024
25.
YUSMAN, SKM
19591020 198009 1 001
201103025
26.
YUHENDRI, BSc
19630423 198703 1 006
201103026
27.
dr. Hj. INDRA YENI
19631009 200212 2 002
201103027
28.
IN ISRAIL, S.Sos
19640212 198602 1 003
201103028
29
AFRIUS, SP
19561106 197901 1 001
201103029
30.
Ir. JONNI. D
19590622 199308 1 001
201103030
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: III-2
Hari/tanggal
Nama
NIP
Nomor
Peserta
1.
YULRASDI, SP
19620710 198303 1 009
201103031
2.
drh. RUD HASTIA
19600625 198903 2 002
201103032
3.
ZULNEDI, SP
19590209 198002 1 002
201103033
4.
TASRIN YULES SH
19600707 198602 1 004
201103034
5.
SALFADRI PUTRA, S.Pi
19740506 199903 1 006
201103035
6.
IRZAN, B.Sc
19630621 199003 1 006
201103036
7.
ABDUL ASMI, SH
19580521 198101 1 002
201103037
8.
ORTOK, SH
19630805 198602 1 004
201103038
ITA WISIKARTIYAH, SP
19690416 199403 2 008
201103039
10.
ADIAR KAMARUDDIN
19570927 198202 1 002
201103040
11.
MAISIR. SP
19570426 198203 1 007
201103041
12.
Drs. DEAS
KHAIRNALIM
EKO SYAFRIANTO, AP,
M.Si
19650319 199203 1 005
201103042
19740902 199311 1 001
201103043
13.
14.
ETRIWALDI, SH
19730625 199303 1 002
201103044
15.
AYO SUNARYO, SH
19570414 198903 1 001
201103045
16.
TERRA DHARMA. S
.Hut, M.Si
19710923 199903 1 004
201103046
17.
FERHADI, SH
19610214 198103 1 002
201103047
18.
ALFRED, SE
19620820 199103 1 004
201103048
19
ASRIL AMIR, SH. M.Si
19600418 198301 1 001
201103049
20.
ASADI, A.Ma
19640829 198602 1 001
201103050
21.
SYAFRIANDI, SH
19591110 198103 1 011
201103051
22.
IDRIAL, SH
19610210 198603 1 009
201103052
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
MAHATIAFIRIA, SH
19650412 199003 1 009
201103053
24.
RADIAL,SH.MM
19650107 198603 1 006
201103054
25.
BUDHI HERMAWAN,
SH
19711116 199003 1 001
201103055
26.
Drs. ADASMI
19651010 199203 1 008
201103056
27.
AMRI SIREGAR, SmHk.
19590313 198603 1 004
201103057
28.
ASWAR, SH
19641122 198602 1 003
201103058
29
HASAN BASRI, SH
19631202 198603 1 005
201103059
30.
RAHIMAL,SH
19611118 198703 1 001
201103060
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: III-3
Hari/tanggal
Nama
NIP
Nomor
Peserta
1.
YUTRIANE YUSHIR,
SE. Akt,MM
19720323 199701 2 001
201103061
2.
GUSTI ALIMAN, SE
19620204 198302 1 002
201103062
3.
EFINA, SE
19670303 199302 2 002
201103063
4.
M. YASRIN
SYAHPUTRA, SE. MM
19710619 199803 1 003
201103064
5.
ROICHARD. SH
19770106 199701 1 001
201103065
6.
ZUL EFENDI.S.Hut
19680506 199803 1 005
201103066
7.
Ir. RIZALWIN, M.Si
19611115 199103 1 002
201103067
8.
M. YUNUS, S.Sos
19581004 198301 1 001
201103068
SASTRA BURDIA ,ST.

MM
19610916 199003 1 004
201103069
10.
DEV EDWAR, ST.MM
19710921 200312 1 003
201103070
11.
BUJANG, S.Pd
19581026 198303 1 002
201103071
12.
H. SYAHRUDDIN, SH,
MM
19580726 198303 1 005
201103072
13.
ASRIL, BE
19601112 198503 1 008
201103073
14.
ELVA AFRIZAL.SP
19610420 198303 1 013
201103074
15.
Drs.AHMAD ZEIN
19571010 198202 1 003
201103075
16.
RIYANTO NADRI
19591231 198403 1 062
201103076
17.
CHOIRUDDIN BATU
BARA, SE. MM
19741215 199903 1 001
201103077
18.
Drs. IRMANTO.M.Pd
19621212 199903 1 002
201103078
19
EDWIN, SH
19630517 198503 1 007
201103079
20.
SUKARDI, S.Pd, MM
19700507 199303 1 004
201103080
21.
HENDRIANTO, SE
19620727 198203 1 004
201103081
22.
Drs. RISMANTO
19640520 199202 1 001
201103082
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
NULFIKAR, S.Ag
19620430 198303 1 003
201103083
24.
HERMAN SURYA, ST
19631121 199103 1 004
201103084
25.
Drs. MULYATMIN.CH,
MM
19601014 199003 1 005
201103085
26.
NAZIR NAMRI, SE
19620818 199003 1 006
201103086
27.
DIAN MUSRINA, SE,

MM
19640424 199512 2 001
201103087
28.
Drs. ENDRI YANSON
131600589
201103088
29
SYAMSURIJAL, SH
19590429 198203 1 007
201103089
30.
HENDRA KURNIAWAN.
SE. MSi
19680209 199308 1 001
201103090
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
1.
2.
Nama Lokal
: III-4
Hari/tanggal
Nama
YUNISMA NASUTION,
S.Pd
HENDY HAMULIA,
S.Kom
NIP
Nomor
Peserta
19570607 198103 2 001
201103091
19680314 199701 1 001
201103092
3.
ALI UMAR.S, ST.MT
19650504 199003 1 007
201103093
4.
RAFNINELI, S. IP, Msi
19690611 199303 2 003
201103094
5.
YOSRIZAL,SH
19610404 198602 1 001
201103095
6.
YULISMAN, SH
19580706 198403 1 005
201103096
7.
IKBAL, SH
19600704 198203 1 012
201103097
8.
ADMIALDI, SH
19620405 198602 1 003
201103098
TEDDY MARTHA,SSTP
19780311 199703 1 002
201103099
10.
MUSRAWAL GUSTI, SH
19660801 198602 1 001
201103100
11.
Drs. WIRMAN
PANYALAI
19630215 199203 1 004
201103101
12.
AHMAD YANI, S.Ag.MM
19661007 198602 1 002
201103102
13.
AKSAN, S.IP
19710103 199203 1 002
201103103
14.
Drs. MUSTAYARDI
19590804 198903 1 006
201103104
15.
Ir. MAIRITA
19670526 199303 2 002
201103105
16.
Ir. FURKAN SYAHRIAL
19641102 199303 1 006
201103106
17.
AZNIL, SP
19600713 198503 1 004
201103107
18.
HAFNISON LUBIS,
SH.MM
19610901 198301 1 002
201103108
19
Dra. ASRI SUHERTI
19611231 199103 2 015
201103109
20.
Dra. SITI KHATIJAH
19680504 199203 2 003
201103110
21.
Drs. WAIZAR
19660814 199312 1 001
201103111
GUSHAR DRIANI
SUNDARI, S.STP
19791003 199810 2 001
201103112
22.
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22. __________
23.
EDISON, S.Pd
19601011 198703 1 005
201103113
24.
PILIHAN, SH
19591231 198603 1 115
201103114
25.
REFDI ELDI, SH
19600503 198103 1 007
201103115
26.
MASPET KENEDI , SH.
19650416 198602 1 003
201103116
27.
MUKTI LUBIS, SH
19650530 198612 1 001
201103117
28.
PARMOHONAN,
S.Ag,MM
19631002 199003 1 004
201103118
29
Drs. MARJOHAN, MM
19600201 199202 1 002
201103119
30.
YUSRIZAL, SH.
19700420 199003 1 003
201103120
23.__________
24. __________
25.__________
26. __________
27.__________
28. __________
29.__________
30. __________

Pengawas
_________________

FIT AND PROPER TEST
No.
Nama Lokal
: III-5
Hari/tanggal
Nama
1.
ERI HERMAWAN, SH
2.
dr. HIDAYAH
3.
dr.ARNIDA
4.
5.
6.
7.
ARDIWITRA, AMK.
S.Pdi
AMDARISMAN, SKM,
SH. M.Kes
FURKAN, SKM
SILFIA EVAYANTI,S.Pi,
MM
8.
ZUL HENDRI, SH
DARLIUS, SH
10.
LOTFRIEDO RAMA,
SSTP
11.
Drs. HAIDIR HUSIN
12.
RENALDI,S.Pd
13.
M. IKHSAN, SIP. M.Si
14.
AKMAL, S.Sos
15.
DEVI ALFRIANI, S.Ip
16.
AFNITA, SSTP
17.
MADRIZON, SH
18.
HUTRIANTO, SH
19
HERMANSYAH, SSTP
20.
AWALUDDIN, SH
21.
JON WILMAR, A.Md
NIP
19631124 199308 1
001
19610918 198902 2
001
19700825 200012 2
003
19690214 199203 1
003
19730919 199403 1
002
19720712 199202 1
002
19680105 199403 2
004
19690206 199703 1
003
19630805 198602 1
003
19810809 199912 1
001
19621231 199003 1
083
19600928 198303 1
004
19671123 198809 1
001
19720505 199302 1
001
19730714 199303 2
004
19790401 199711 2
001
19690706 198903 1
002
19720912 199203 1
002
19780418 199703 1
002
19640504 198602 1
004
19630311 198903 1
009
Nomor
Peserta
201103121
201103122
201103123
201103124
201103125
201103126
201103127
201103128
201103129
201103130
201103131
201103132
201103133
201103134
201103135
201103136
201103137
201103138
201103139
201103140
201103141
Tanda Tangan
1.___________
2. ___________
3.___________
4. ___________
5.___________
6. ___________
7.___________
8. ___________
9.___________
10.___________
11.__________
12. __________
13.__________
14. __________
15.__________
16. __________
17.__________
18. __________
19.__________
20. __________
21.__________
22.
KHAIRUL INSAN, SP
23.
Drs. AZWARDI
24.
EDDIE HASFA. S.Sos
25.
DAHRIZAL, SH
26.
REFRIZAL, SH
27.
KAHARUDDIN, S.Sos
28.
Drs. NOVELDI
29
MIRIS, S.Ag
30.
FIRSYA EDWIS, SST
19660815 198903 1
008
19630416 198903 1
006
19721117 199203 1
002
19660724 198602 1
003
19690402 198903 1
006
19600812 199403 1
001
19591106 198703 1
002
19641110 198603 1
008
19620720 198602 1
002
22. __________
201103142
201103143
23.__________
24. __________
201103144
201103145
25.__________
26. __________
201103146
201103147
27.__________
28. __________
201103148
201103149
29.__________
201103150
30. __________

Pengawas
_________________

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FIT AND PROPER TEST

: Minggu / 20 November 2011

DESIRWAN INDRA, SH, MH

19771220 200003 1 003

NINA DARMAYANTI, SSTP

19830504 200112 2 001

AAN AFRINALDI, S.STP

19830415 200212 1 001

19670207 199012 1 001

19630115 198602 2 002

19700620 199303 1 004

19680721 198903 1 003

19620101 198601 2 002

19650406 198603 2 004

19621020 198203 1 002

YOHN AFFANDI, S.Sos

19700928 200312 1 005

19631110 198602 1 005

19710305 199803 2 003

19781215 200604 1 003

19631011 198603 2 018

19660717 198703 1 003

19700403 199101 1 001

19711218 199308 1 001

19700906 199303 1 006

19640305 199003 2 003

SRI DARMA INDRA, SE

19630930 198303 2 001

19770430 200003 2 001

19770729 200003 1 003

RINI AJIR. S.Pd. MM

19690515 199403 2 003

19820312 200012 1 001

AAN DONI FIKRI,

19580725 198103 2 003

19590912 198303 1 011

19630818 198303 2 004

19660615 199103 1 002

19590301 198101 2 001

Padang, 20 November 2011

DAFTAR HADIR PESERTA

: Minggu / 20 November 2011

19630912 198703 2 002

19750130 199403 1 001

19690629 198902 1 001

19590616 198110 1 003

19591103 198103 1 003

19640520 198503 1 011

19630213 198903 1 005

19651112 198612 1 001

19560604 198206 1 001

19631120 198602 1 001

19570505 198403 1 010

19640802 198703 1 005

19650227 198603 1 003

19560517 198511 1 001

19570606 198403 1 004

YENTI ELIZAR, SST

19720731 199803 2 002

AGUSTI AWIZAR, S.T

19700801 199003 1 003

JONI EDWAR, SST

19601026 198703 1 006