Negara Tujuan : MALAYSIA No. Pengajuan PAP : 050/19.06 BFLN/WKL/NTB/2014 Tgl Pengajuan PAP : 18-06-2014 Ditujukan ke : MATARAM - NUSA TENGGARA BARAT No Nama & ID Tempat Tgl.Lahir L/P Jabatan No. Paspor No. Visa Tanggal Visa Nama PJTKA Nama & alamat Pengguna Jasa Asuransi Purna No DP3TKI Ket 1 ANDI IRAWAN (10575220) KARANG TIMBANG 16-04-1991 L Plantation Worker AS774242 BPA/01291/CJAJL3 51311 24-12-2014 EPA MANAGEMENT SDN. BHD EPA MANAGEMENT SDN BHD KB 705 ULU TIRAM ESTATE JOHOR BAHRU JOHOR 01 2 ARIS MANDALA PUTRA (10554898) BOWOH 31-08-1995 L Plantation Worker A 6575858 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 3 ARSURRAHMAN (10554893) LINGKOK BUNUT 13-04-1991 L Plantation Worker A 6246583 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 4 AWI (10575211) LENTING 30-12-1984 L Plantation Worker AT030473 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 5 DEDI HERWIN (10554910) REPOK TEMAS 27-06-1993 L Plantation Worker AS844866 BPA14015/DCAVL2 129256 06-05-2014 ESTET PERKEBUNAN KECIL SDN. BHD ANGLO EASTERN PLANTATIONS LEVEL 7 WISMA EQUITY 150 JALAN AMPANG KUALALUMPUR 01 6 FAOZAN (10487998) LENTING 10-03-1992 L Plantation Worker AT030475 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 7 GENAH (10575199) KONDONG 11-01-1987 L Plantation Worker A 7085703 BPA/01291/CJAJL3 51311 24-12-2014 EPA MANAGEMENT SDN. BHD EPA MANAGEMENT SDN BHD KB 705 ULU TIRAM ESTATE JOHOR BAHRU JOHOR 01 8 HAMDI (10554887) ONYOK 07-12-1989 L Plantation Worker W 296127 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 9 HAMDI (10539262) KEBUN KARET 22-02-1973 L Plantation Worker AR200028 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 No Nama & ID Tempat Tgl.Lahir L/P Jabatan No. Paspor No. Visa Tanggal Visa Nama PJTKA Nama & alamat Pengguna Jasa Asuransi Purna No DP3TKI Ket 10 HANAPI (10554926) TATAR 01-08-1991 L Plantation Worker AS931723 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 11 HARIADI (10554917) PESORONGAN JUKUNG 31-12-1994 L Plantation Worker AS886711 BPA14015/DCAVL2 129256 06-05-2014 ESTET PERKEBUNAN KECIL SDN. BHD ANGLO EASTERN PLANTATIONS LEVEL 7 WISMA EQUITY 150 JALAN AMPANG KUALALUMPUR 01 12 HARLI (10575204) LENTING 02-06-1990 L Plantation Worker AP289668 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 13 HASAN (10575193) PRAIDA 31-12-1985 L Plantation Worker A 7569574 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 14 HERMAN YUSUF (10554908) PESORONGAN JUKUNG 10-11-1992 L Plantation Worker AS844872 BPA14015/DCAVL2 129256 06-05-2014 ESTET PERKEBUNAN KECIL SDN. BHD ANGLO EASTERN PLANTATIONS LEVEL 7 WISMA EQUITY 150 JALAN AMPANG KUALALUMPUR 01 15 HERMAWADI (10575223) KARANG BARU 14-05-1983 L Plantation Worker AR237474 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 16 HERUMAN (10575213) MUJUR 31-12-1992 L Plantation Worker AT033440 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 17 HUSMAN (10575194) PRAIDA 01-07-1978 L Plantation Worker A 7568603 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 18 JUMISAH (10562223) PENGADANGAN 31-12-1975 L Plantation Worker AR572452 BPA14015/DCAVL2 129256 06-05-2014 ESTET PERKEBUNAN KECIL SDN. BHD ANGLO EASTERN PLANTATIONS LEVEL 7 WISMA EQUITY 150 JALAN AMPANG KUALALUMPUR 01 19 KARIADI (10554912) REPOK TEMAS 15-12-1984 L Plantation Worker AS844620 BPA14015/DCAVL2 129256 06-05-2014 ESTET PERKEBUNAN KECIL SDN. BHD ANGLO EASTERN PLANTATIONS LEVEL 7 WISMA EQUITY 150 JALAN AMPANG KUALALUMPUR 01 No Nama & ID Tempat Tgl.Lahir L/P Jabatan No. Paspor No. Visa Tanggal Visa Nama PJTKA Nama & alamat Pengguna Jasa Asuransi Purna No DP3TKI Ket 20 LINA (10554890) DEDALPAK 31-12-1975 L Plantation Worker A 6575097 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 21 MAHNUN (10554903) DENGKUR 31-12-1983 L Plantation Worker AS775411 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 22 MASNI (10554915) PESORONGAN JUKUNG 31-12-1991 L Plantation Worker AS844876 BPA14015/DCAVL2 129256 06-05-2014 ESTET PERKEBUNAN KECIL SDN. BHD ANGLO EASTERN PLANTATIONS LEVEL 7 WISMA EQUITY 150 JALAN AMPANG KUALALUMPUR 01 23 MILHAM (10562243) RUNTAK 15-09-1994 L Plantation Worker AS929296 BPA14015/DCAVL2 129256 06-05-2014 ESTET PERKEBUNAN KECIL SDN. BHD ANGLO EASTERN PLANTATIONS LEVEL 7 WISMA EQUITY 150 JALAN AMPANG KUALALUMPUR 01 24 MOHAMAD HAMZANWADI (10554886) PENAMBONG 10-01-1991 L Plantation Worker A 6575096 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 25 MUHADI (10554888) PENYAMBAK 01-07-1982 L Plantation Worker A 6246489 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 26 MUHAMAD PARMAN FARIZI (10568719) BERORO 18-02-1995 L Plantation Worker AS773006 BPA/01291/CJAJL3 51311 24-12-2014 EPA MANAGEMENT SDN. BHD EPA MANAGEMENT SDN BHD KB 705 ULU TIRAM ESTATE JOHOR BAHRU JOHOR 01 27 MUHARDI (10554889) ESOH 31-12-1982 L Plantation Worker A 6575098 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 28 MUHHAMAT ATIB (10554919) PENGADANGAN 31-12-1994 L Plantation Worker A 6735923 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 29 MUHHAMAT RAKIB (10554918) PENGADANGAN 31-12-1994 L Plantation Worker A 6735925 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 30 MUKSIN (10554901) GEREPEK 02-08-1985 L Plantation Worker AS845739 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 No Nama & ID Tempat Tgl.Lahir L/P Jabatan No. Paspor No. Visa Tanggal Visa Nama PJTKA Nama & alamat Pengguna Jasa Asuransi Purna No DP3TKI Ket 31 MURNAN (10554891) ONYOK 01-07-1973 L Plantation Worker A 0227535 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 32 NAHRI (10575221) TEGAL 25-02-1978 L Plantation Worker AR583721 BPA/01291/CJAJL3 51311 24-12-2014 EPA MANAGEMENT SDN. BHD EPA MANAGEMENT SDN BHD KB 705 ULU TIRAM ESTATE JOHOR BAHRU JOHOR 01 33 SAHARUDDIN (10512269) LINGKOK TELU 10-02-1992 L Plantation Worker AT033445 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 34 SAHEDON (10554896) BOWOH 31-10-1982 L Plantation Worker A 6246493 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 35 SAHLANUDIN (10575197) PRAYA 31-12-1987 L Plantation Worker A 2551972 BPA/01291/CJAJL3 51311 24-12-2014 EPA MANAGEMENT SDN. BHD EPA MANAGEMENT SDN BHD KB 705 ULU TIRAM ESTATE JOHOR BAHRU JOHOR 01 36 SAHMUN (10554884) PENGOROS 03-06-1990 L Plantation Worker A 6246492 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 37 SAHNE (10554907) JURANG MALANG 31-12-1988 L Plantation Worker AS844875 BPA14015/DCAVL2 129256 06-05-2014 ESTET PERKEBUNAN KECIL SDN. BHD ANGLO EASTERN PLANTATIONS LEVEL 7 WISMA EQUITY 150 JALAN AMPANG KUALALUMPUR 01 38 SAHRAENI (10512256) MUJUR BARAT 16-06-1994 L Plantation Worker AT033444 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 39 SAPARUDIN (10568721) SELAMPANG 12-12-1974 L Plantation Worker AS701585 BPA/01291/CJAJL3 51311 24-12-2014 EPA MANAGEMENT SDN. BHD EPA MANAGEMENT SDN BHD KB 705 ULU TIRAM ESTATE JOHOR BAHRU JOHOR 01 40 SAPIUDIN (10575207) MUJUR 12-09-1988 L Plantation Worker AT033442 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 41 SAPRI (10575217) TEGAL 01-07-1979 L Plantation Worker AS774241 BPA/01291/CJAJL3 51311 24-12-2014 EPA MANAGEMENT SDN. BHD EPA MANAGEMENT SDN BHD KB 705 ULU TIRAM ESTATE JOHOR BAHRU JOHOR 01 42 SUHARDIMAN (10539260) YATEMAT 31-12-1973 L Plantation Worker AS931539 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 No Nama & ID Tempat Tgl.Lahir L/P Jabatan No. Paspor No. Visa Tanggal Visa Nama PJTKA Nama & alamat Pengguna Jasa Asuransi Purna No DP3TKI Ket 43 SUKARMAN (10575201) LENTING 31-12-1971 L Plantation Worker A 4206113 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 44 SUPARDI (10554913) TEMAS 12-07-1986 L Plantation Worker AS844621 BPA14015/DCAVL2 129256 06-05-2014 ESTET PERKEBUNAN KECIL SDN. BHD ANGLO EASTERN PLANTATIONS LEVEL 7 WISMA EQUITY 150 JALAN AMPANG KUALALUMPUR 01 45 SYAWALUDIN WAHID (10554927) PERINA 06-06-1986 L Plantation Worker V 658027 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 46 TURMUZI (10554905) PESORONGAN JUKUNG 01-07-1970 L Plantation Worker AS844873 BPA14015/DCAVL2 129256 06-05-2014 ESTET PERKEBUNAN KECIL SDN. BHD ANGLO EASTERN PLANTATIONS LEVEL 7 WISMA EQUITY 150 JALAN AMPANG KUALALUMPUR 01 47 WADI (10575202) LENTING 30-06-1982 L Plantation Worker AP411248 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 48 WAWAN SUPRIANDI (10554892) KEMALIK JARAN 31-12-1990 L Plantation Worker AP369801 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 49 WIWIN DARMAWAN (10554894) BOWOH 26-08-1995 L Plantation Worker A 6246491 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN.BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 50 ZAINUL ROZI (10554925) PERESAK 25-04-1994 L Plantation Worker A 6898418 BPA/14015/DDAAP 1141997 06-05-2014 FELDA TECHNOPLANT SDN BHD FELDA TEHNOPLANT SDN BHD BLOK F, TINGKAT 3 ANJUNG FELDA, JALAN MAKTAB KUALALUMPUR 01 Jumlah yang disetujui : 50 orang Waktu Cetak : 18-06-2014 07:31:26 WIB DIREKTUR PT. 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