PHBS Wameo

LINGKUNGAN RUMUH SUSUN BLOK A
Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

No.
Keluarga KEL. LAHIR DIKAN JAAN PN ASI TB SAB CT JKS
1 LD SAEFUL 1 15/5/1982 4 5 1 1 1
NINGSIH 2 31/1/1987 4 1 1 1
2 LD. ZYNI 1 31/12/1945 2 5 1 1 1

MUKMINA 2 17/7/1979 4 1 1 1
LD. RAHMAT RIZKY 3 2/2/2004 1 1 1
WD. RAHMA YANTI 3 19/12/2009 1 1 1
ANDITA 3 6/5/2012 1 1 1 1
3 MUH. YUSRAF 1 28/1/1988 4 5 1 1 1

INDAH SAHRIANI 2 7/8/1988 4 1 1 1
SAKILAPUTRI SASYA 3 4/10/2010 1 1 1
AKILA 3 8/1/2013 1 1 1 1
4 ASRIWAN 1 3/1/1982 4 5 1 1 1
ASRIYA 2 9/10/1989 4 1 1 1
NAJLA 3 26/10/2008 1 1 1
NAJMA 3 26/10/2008 1 1 1
5 SURIADI 1 31/10/1982 4 JUAL IKAN 1 1 1

ULFA 2 22/9/1990 3 1 1 1
ASIKAR RAHMAD BUCKORI 3 31/3/2010 1 1 1
AL BIZAR 3 2/8/2013 1 1 1 1
6 MUHLIS BAILI 1 11/12/1984 5 3 1 1 1

DARLIN LA UTE 2 3/6/1982 1 1 1
NUR TIARA AZ ZAHRA 3 22/8/2006 1 1 1
MUH. FATAHILA 3 22/8/2006 1 1 1
7 AL SADAD 1 17/8/1957 3 5 1 1 1
ST. HASNUL KHOTIMA 2 22/12/1964 3 1 1 1
No.
8 SAEFUL 1 15/4/1981 6 5 1 1 1
INDAH PRAWESTI 2 21/4/1981 4 1 1 1
M. JANUAR 3 3/1/2003 1 1 1
FITRIH YULIA ANUCERAH 3 29/7/2009 1 1 1
9 LM. DEDI YUSNANTO 1 4/4/1980 4 3 1 1 1

WINARTI 2 14/8/1986 4 1 1 1
LD. ABDUL GALIH RAFIKSYAH 3 25/3/2007 1 1 1
LM. REZKY APYADYAH 3 19/2/2009 1 1 1
KANZA 3 19/12/2011 1 1 1 1
DINA 3 3/1/2014 1 1 1 1
10 SUDIANTO 1 19/9/1968 4 5 1 1 1
WD. ARWAH 2 7/8/1986 4 1 1 1
11 SANTOSO 1 25/4/1985 6 3 1 1 1
MARLINA 2 30/6/1984 6 1 1 1
RIVAL 3 21/9/2005 1 1 1
ABIT AL GIVARI 3 23/1/2015 1 2 1 1 1 1
12 KARDINA 1 9/8/1975 2 5 1 1 1
WA SUFI 2 10/5/1981 2 1 1 1
HESRI 3 24/1/1999 1 1 1
ELSA PUTRI 3 7/3/2003 1 1 1
RASGIAT 3 9/9/2004 1 1 1
ANDIKA 3 9/9/2006 1 1 1
13 ARMAN 1 6/9/1974 4 PENJAHIT 1 1 1
WD. HALIA 2 5/11/1978 4 1 1 1
NOVIANTI ARMAN 3 20/11/2001 1 1 1
ABDUL FITRAH ARMAN 3 12/11/2004 1 1 1
14 LA AMAN 1 15/3/1981 4 tkg. Batu 1 1 1

SURNIATI 2 10/10/1988 4 1 1 1

No.
15 MUH. RIDWAN 1 10/11/1988 4 3 1 1 1
NUR ASNITA 2 23/3/1992 3 1 1 1
AZIZA NUR SAFITRI 3 6/2/2009 1 1 1
16 T. SUSANTO 1 9/9/1974 4 JUALAN 1 1 1

UMI KAYATIN 2 14/4/1976 3 1 1 1
TOMI ANDIKA PUTRA 3 27/12/1997 2 1 1 1
INTAN YULITA 3 9/7/1999 2 1 1 1
MUH. RIZKI JAKA 3 29/9/2003 1 1 1
17 LA ADIMAN WALY 1 7/7/1974 3 5 1 1 1

SUMARNI 2 23/10/1975 3 1 1 1
JAINAL AMRIN WALY 3 13/12/2002 1 1 1
PARDLY WALY 3 26/12/2005 1 1 1
ST. HARYANI WALY 3 11/5/2010 1 1 1
18 LA RABAIDIN, SH 1 1/4/1982 6 3 1 1 1
WD. HASNI, S.PD 2 18/7/1984 6 HONOR 1 1 1
WD. DEASY QURAINI 3 19/12/2013 1 1 1 1
19 JAINAL 1 4/1/1986 4 3 1 1 1
ISRAWATI 2 10/2/1986 4 1 1 1
MUH. IRZAN PRATAMA 3 21/9/2013 1 1 1 1
20 KARNANDIP 1 10/7/1986 5 5 1 1 1
HANI ATUS SAHFIYA 2 21/3/1990 6 1 1 1
NADIFA PUTRI SASIKIRANAH 3 4/11/2010 1 1 1
21 BUNYAMIN 1 16/12/1965 4 5 1 1 1
ST. JUARIYA 2 24/4/1964 4 1 1 1
ADE SURYA 3 24/3/1989 4 1 1 1
MUH. FAJAR 3 19/12/1991 4 1 1 1
YUNIAR SILVIA 3 20/6/1998 3 1 1 1

No.
1 DARMAWAN 1 15/12/1976 4 5 1 1 1
SAMNARWATI 2 2/11/1978 4 1 1 1
DEFRAN DIADI 3 14/1/2008 1 1 1
2 UUZA 1 31/12/1970 2 JUAL 1 1 1

HASNA 2 1/7/1972 2 BUAH 1 1 1
RUSDIN 3 24/12/1992 3 1 1 1
SAPNA 3 5/3/1999 3 1 1 1
3 JUMARSIN 1 27/2/1981 4 5 1 1 1
INDARIYANI 2 24/2/1986 4 1 1 1
AISAH KHOLIFAH MULIA 3 30/3/2006 1 1 1
FATUR 3 26/9/2009 1 1 1
RAZIK 3 31/5/2014 1 1 1 1
4 HARUNI 1 10/10/1972 4 ojek 1 1 1

HIDAYAH 2 22/4/1981 4 1 1 1
NILA YARNI SARI 3 4/12/1999 4 1 1 1
M. FIRMAN 3 8/8/2002 2 1 1 1
M. IRFAN 3 4/4/2004 1 1 1
ATIKA PUSPA SARI 3 4/4/2007 1 1 1
5 PURNAWAN 1 9/8/1974 4 5 1 1 1
SUHARTI 2 6/5/1978 3 1 1 1
REZA 3 28/12/2010 1 1 1
REVA 3 8/2/2011 1 1 1
FAREN 3 20/4/2012 1 1 1 1
6 LD. HASMAN 1 1/7/1984 4 5 1 1 1

MARYANA 2 1/7/1989 3 1 1 1
ELA 3 29/2/2009 1 1 1
AZRIL 3 24/6/2013 1 1 1 1

No.
7 SARIFUDDIN MUHAMMAD 1 10/12/1975 6 4 1 1 1
RUBIANTI 2 5/7/1987 4 1 1 1
SARTI SARIFUDDIN 3 3/12/2009 1 1 1
8 NURDIN DJAUHARA 1 8/3/1971 4 5 1 1 1

ERVINA 2 17/5/1979 4 1 1 1
FAHRULROZY 3 22/3/2001 1 1 1
USWATUN HASANAH 3 11/12/2010 1 1 1
9 SAIFUDIANTO 1 1/7/1984 4 5 1 1 1
HAJARI 2 6/3/1987 6 1 1 1
PRISKA PUTRI FAJRIA 3 10/4/2009 1 1 1
10 IKO BUDI HARTOKO 1 25/8/1988 4 3 1 1 1

ASTIN 2 31/7/1989 4 1 1 1
DITA YURIKAARDANI 3 20/7/2008 1 1 1
RAFIANDRA 3 11/12/2012 1 1 1 1
11 YAZIDDUL BUSTAM 1 28/4/1978 4 3 1 1 1

DEWI ZARIATI 2 26/8/1983 4 1 1 1
YADI AL MAJID 3 12/10/2005 1 1 1
YAZID ULIL AMRI 3 27/5/2007 1 1 1
YUSTIN JUMIANTI 3 7/6/2008 1 1 1
YUSRIANTI DUMAIRA 3 2/5/2012 1 1 1 1
12 LA DAANE 1 7/11/1963 4 5 1 1 1
HADIJA 2 31/12/1970 3 1 1 1
APRIL 3 31/5/2004 1 1 1
ARIN 3 7/5/2009 1 1 1
MUSTIKA ERIN 3 7/5/2009 1 1 1
REVAN 3 11/9/2011 2 1 1 1
REY 3 20/11/2012 2 1 1 1
13 IMRAN 1 11/3/1976 4 TUKANG 1 1 1

HASDA 2 16/11/1975 4 1 1 1
AZ ZAHRA NAFITA 3 19/11/2006 1 1 1
AL SYIRA 3 23/8/2008 1 1 1

No.
14 LA IMBI 1 27/4/1976 2 4 1 1 1
TRISNAWATI 2 26/8/1977 4 1 1 1
ASMAN PRATAMA 3 12/12/2000 1 1 1
RAFLI SETIAWAN 3 4/6/2005 1 1 1
RISLY PRAMUDYA 3 4/6/2007 1 1 1
META AFRIYANTI 3 13/6/2009 1 1 1
15 MUH. SYAWAL 1 10/7/1983 4 MONTIR 1 1 1

ROSTIANTI 2 11/5/1989 4 1 1 1
FITRIANTI 3 19/10/2010 1 1 1
16 MARTAWANG 1 1/7/1963 4 PENJAHIT 1 1 1

NURSIDA 2 14/8/1976 4 1 1 1
MUH. RAMADHAN. T 3 1/1/1999 3 1 1 1
RIZKI MUH. FAHRI 3 9/1/2004 1 1 1
MUH. FADLY 3 28/11/2012 1 1 1 1
17 ALWI 1 31/12/1982 2 OJEK 1 1 1

FARIDA 2 11/10/1978 4 1 1 1
ELIN 3 15/1/2002 2 1 1 1
AZIR 3 8/3/2007 1 1 1
18 SUNARDI NATSIR 1 20/7/1978 4 PENJAHIT 1 1 1

IRMAN 2 23/6/1988 4 1 1 1
MUH. ADIMAS 3 23/4/2010 1 1 1
DINA RAMADANI 3 21/7/2011 2 1 1 1
19 LA ARIMI 1 3/7/1987 4 PELAYAN 1 1 1

SUMIATI 2 5/7/1993 4 TOKO 1 1 1
AINI 3 30/12/2012 1 1 1 1
20 SAHLAN MARZUKI 1 23/11/1982 4 PELAYAN 1 1 1

ST. HADIJA 2 31/12/1984 2 TOKO 1 1 1
SALDIN 3 10/2/2007 1 1 1
SALSABILA 3 3/8/2012 1 1 1 1

No.
21 HENDRI 1 24/7/1990 4 OJEK 1 1 1
FERLIYANTI YUSUF 2 26/11/1992 4 1 1 1
22 DJAMALUDDIN 1 21/4/1964 6 DOSEN 1 1 1

ERMA ANDRIYANI 2 9/6/1968 4 1 1 1
ZEIN TAHTA 3 8/7/1998 4 1 1 1
NIZAR TITA SAPUTRA 3 1/11/2011 1 1 1 1

No.
No.
1 ARMAN WABULA 1 8/8/1979 3 5 1 1 1
WA JAUNA PARAY 2 31/12/1980 3 1 1 1
ARJUN PALAY 3 16/4/2003 2 1 1 1
NATASYA ARMAN 3 1/6/2005 1 1 1
ALIF ZULHAM 3 2/4/2013 1 1 1 1
2 YUSMAN 1 11/11/1989 4 5 1 1 1
MALDIA 2 21/8/1989 4 1 1 1
YUMNA 3 21/11/2015 1 1 2 1 1 1
3 FASLIM UDE 1 13/12/1972 4 5 1 1 1

ST. FATIMA 2 23/11/1972 4 1 1 1
RAHMA YUNITA 3 22/6/1992 2 1 1 1
MEY WULANDARI 3 20/5/1995 2 1 1 1
4 LALU MUH. HARYADI 1 15/2/1982 4 5 1 1 1

HADIJA 2 1/8/1982 4 1 1 1
RADIKA 3 8/10/2011 1 1 1 1
ARSYA 3 13/9/2015 1 1 1 1 1 1
5 LD. ASRIL 1 31/12/1980 4 TAMBANG 1 1 1

LENI 2 2/1/1984 4 1 1 1
RAISYA 3 27/5/2014 2 1 1 1
6 SAMSUL BIN IBRAHIM 1 16/8/1968 4 TAMBANG 1 1 1

FITRIA ODE 2 30/1/1987 3 1 1 1
DAMAYANTI 3 4/9/2004 1 1 1
YUSUF FAHRI 3 31/10/2014 1 1 1 1
7 SALIM 1 2/6/1979 4 HONORER 1 1 1

ZURMANI 2 17/2/1984 5 1 1 1
RADIT ERKA SAPUTRA 3 10/7/2006 1 1 1
ALIF. S 3 1/11/2007 1 1 1
NAHDA 3 3/12/2015 1 1 1 1 1 1
8 ASWAN 1 11/4/1985 3 SOPIR 1 1 1
ST. NUR INTAN 2 2/1/1987 3 1 1 1
M. IMAM SAPUTRA 3 31/6/2011 2 1 1 1

No.
9 KAHARUDIN 1 27/5/1978 4 5 1 1 1
KARMILA 2 30/10/1984 4 1 1 1
MUH. APDE SAPUTRA 3 17/1/2006 1 1 1
ALWAN HAIDAR 3 11/2/2009 1 1 1
NAUVAL AFKAR 3 10/5/2014 1 1 1 1
10 SAFIUDIN 1 17/4/1963 3 OJEK 1 1 1

SURIANI 2 12/8/1967 4 1 1 1
FADLY 3 10/4/1994 3 1 1 1
FAJAR 3 12/10/1997 3 1 1 1
MUH. FAHMI 3 29/4/2007 1 1 1
11 MUH. ARIADI 1 9/8/1984 2 5 1 1 1

SRIA NDRIANA 2 11/11/1983 6 1 1 1
MUH. FAISAL ANAN 3 16/7/2003 1 1 1
12 TAMRIN 1 10/3/1988 4 5 1 1 1
WD. SUMARNI 2 20/12/1992 3 1 1 1
REHAN PRATAMA 3 20/9/2011 2 1 1 1
13 MUHUNI 1 5/7/1969 4 5 1 1 1
SARIATI 2 3/4/1972 4 1 1 1
ST. HUSNIATI 3 5/5/2000 1 1 1
AL RIZKI 3 8/7/2006 1 1 1
AL HIKMAWAN 3 6/6/2010 1 1 1
14 HADIJA 2 2/6/1974 4 5 1 1 1
RAHMA 3 7/7/1993 3 1 1 1
FAHRUL 3 5/10/2001 2 1 1 1
SURNI 3 14/6/2009 1 1 1
15 USMAN 1 5/4/1972 4 5 1 1 1
ROSDIANA 2 4/5/1976 3 1 1 1

No.
16 HAMRIN ZUKURI 1 22/1/1981 4 3 1 1 1
ISRAN 2 5/5/1988 3 1 1 1
MUH. ALI WAHID 3 30/5/2009 1 1 1
MUH. FIKRAN ABBAS 3 3/6/2012 2 1 1 1
17 MAHMUDIN 1 30/6/1987 4 4 1 1 1
WIWIN 2 12/9/1989 3 1 1 1
HAFIZA 3 12/7/2015 1 2 1 1 1 1
No.
1 NARDIN 1 12/2/1993 3 5 1 1 1
ERNI 2 6/6/1991 3 1 1 1
AMELIA 3 14/6/2012 2 1 1 1
2 KAHARUDIN 1 17/7/1987 4 3 1 1 1
SITI HAJAR 2 5/9/1989 4 1 1 1
FIKA 3 12/4/2013 1 1 1 1
3 AKMAL 1 12/11/1989 3 4 1 1 1
SALFIANI 2 28/1/1990 3 1 1 1
SALFANA 3 14/12/2013 2 1 1 1
4 KAMARUDIN 1 13/2/1982 4 5 1 1 1
NIKMATUL FADILA 2 12/1/1986 4 1 1 1
M. AL ANSHOR RAMADHAN 3 6/11/2008 1 1 1
5 HASRI 1 1/7/1982 4 5 1 1 1
WD. ST. MUNAWATI 2 14/10/1991 5 1 1 1
LM. RIFQY 3 28/5/2014 2 1 1 1
6 SAM JUFRI 1 13/5/1974 4 5 1 1 1
WD. DARMAWATI 2 14/2/1978 4 1 1 1
AL AKSAR 3 13/10/2002 1 1 1
DINI ALMADINA 3 10/8/2005 1 1 1
AYATULLAH 3 25/2/2014 2 1 1 1
7 NURLI PALAHIDU 1 4/7/1983 4 3 1 1 1

RASMI 2 17/7/1987 4 1 1 1
NUR ASNI MAGHFIRAH 3 3/6/2008 1 1 1
MOH. FAIZ AKBAR 3 3/5/2009 1 1 1
8 LA KUI 1 31/21/1971 4 5 1 1 1
WA NUYA 2 31/12/1976 2 1 1 1
PUTRI AINULLAH 3 22/9/1997 2 1 1 1
IMAN AZIZULLAH 3 3/11/2001 1 1 1
ASNIAR HAMNATULLAH 3 27/6/2003 1 1 1

No.
9 HARDI 1 3/1/1983 4 5 1 1 1
SAMNIA 2 3/6/1985 2 1 1 1
10 ARDIAN 1 3/1/1983 4 5 1 1 1
HEDIANA 2 3/6/1986 2 1 1 1
YUSRI ARIANI 3 31/7/2006 1 1 1
GRACELIA 3 6/7/2008 1 1 1
11 DAHRUN 1 10/9/1980 4 5 1 1 1
NUR JANA 2 17/8/1984 4 1 1 1
FRENDI 3 3/9/2009 1 1 1
12 EDI ARDI BATARA 1 3/1/1987 4 5 1 1 1

LSNAWATI ASMIR 2 23/1/1986 4 1 1 1
MUH. FAREL BATARA 3 9/12/2009 1 1 1
13 BERD 1 10/5/1978 2 5 1 1 1
YANTI 2 12/9/1978 2 1 1 1
ADEL 3 16/6/2014 2 1 1 1
14 TURN 1 11/6/1980 4 5 1 1 1
SUKMA 2 2/4/1989 4 1 1 1
ALIF 3 12/6/2012 1 1 1 1
15 RIZAL 1 21/4/1964 4 5 1 1 1
SARINA 2 27/6/1974 4 1 1 1
MUH. RIZKI WAHYUSI 3 3/5/2014 1 1 1 1

No.
1 MARIHI 1 17/1/1961 4 5 1 1 1
NOOR ILHAM 2 3/9/1978 4 1 1 1
AURA AMALIA RAMADANI 3 6/9/2008 1 1 1
2 RUSTAM 1 30/4/1987 4 5 1 1 1
DIANA 2 6/8/1988 4 1 1 1
WIDIA PURNAMA SARI 3 6/3/2007 1 1 1
ARNANDO 3 31/12/2014 1 1 1 1
3 SAFIUDDIN 1 12/11/1987 2 5 1 1 1
NAFITA SALEH 2 6/6/1986 2 1 1 1
BULAN 3 5/6/2013 2 1 1 1
4 AHLAK NADIMIN 1 26/3/1986 4 5 1 1 1

HENI MULAKI 2 17/9/1982 4 1 1 1
INTAN RAMADANI 3 8/10/2006 1 1 1
ATIKA PUTRI 3 4/11/2014 1 1 1 1
5 LM. ROY YUSNANTO 1 6/10/1976 4 3 1 1 1

NENG SAADIAH 2 6/10/1982 4 1 1 1
LM. WAHDANIA 3 10/6/2004 1 1 1
WD. AMELIA 3 28/10/2008 1 1 1
BINTANG 3 2/2/2015 1 1 1 1
6 BUDI SARAUN 1 21/11/1975 3 5 1 1 1

HASNA 2 13/12/1979 2 1 1 1
MIRWAN 3 23/10/1996 2 1 1 1
MIRNA 3 3/8/1998 2 1 1 1
MARWA 3 23/0/2002 2 1 1 1
MIZWAR 3 25/7/2006 1 1 1
MARWIN 3 28/4/2009 1 1 1
MARDAN 3 16/2/2014 2 1 1 1
7 RUDIN AMBO 1 25/4/1974 5 5 1 1 1

RATNA ODE 2 1/7/1986 4 1 1 1
RADHI ATHILAH AMBO 3 28/4/2009 1 1 1
RUMAINA AMBO 3 17/11/2013 1 1 1 1

No.
8 HENY BODY 1 21/2/1984 4 5 1 1 1
WD. NURMILA 2 11/7/1988 3 1 1 1
ALFAT 3 3/6/2015 1 2 1 1 1 1
9 SALIM 1 4/3/1984 2 5 1 1 1
RANI 2 18/9/1989 4 1 1 1
NAYLA 3 16/12/1013 2 1 1 1
10 AHMAD ARSYAT 1 1/10/1986 4 5 1 1 1

ANDI SYAMSIAH 2 14/2/1985 4 1 1 1
INAYAH 3 21/10/2013 2 1 1 1
11 EDY FERI PURNOMO 1 1/2/1977 4 KARY. 1 1 1

YUNIARTI 2 6/1/1979 4 TOKO 1 1 1
12 EVAN VAROLAN 1 13/2/1979 4 5 1 1 1

RINA RAHMAN 2 7/12/1980 4 1 1 1
THALITA AZ ZAHRA 3 25/3/2007 1 1 1
OMAR KHALILAL KHAIRI 3 18/10/2010 1 1 1
13 ARWIN 1 25/7/1987 4 HONOR 1 1 1

NURHAYATI 2 15/11/1985 4 1 1 1
AULIYA 3 6/2/2010 1 1 1
14 ABDUL ANIS 1 4/4/1984 4 5 1 1 1

SASMITA 2 25/12/1989 4 1 1 1
FERDIAN BAANE 3 20/10/2008 1 1 1
DWI SELVIAN 3 7/7/2011 1 1 1 1
15 LA ODE SAFARUDDIN 1 1967 2 5 1 1 1

WD. ONTE 2 1982 3 1 1 1
WD. NURMILA 3 1995 4 1 1 1
AHMAD 3 1997 1 1 1
LM. JUNAIDIN 3 2005 1 1 1
16 LA ERA 1 1/7/1947 4 5 1 1 1
WA DARA 2 1/7/1951 2 1 1 1

No.
17 LD. ANA 1 31/12/1949 2 5 1 1 1
WD. SAMNIA 2 8/11/1968 3 1 1 1
LD. ALIMUDDIN 3 10/11/1994 2 1 1 1
WD. SAFENI 3 17/3/1997 2 1 1 1
WD. SEPTILIA 3 8/9/2000 2 1 1 1
WD. FEBRIANTI 3 6/2/2007 1 1 1
18 HENDRIK 1 23/6/1989 2 5 1 1 1
FITRI 2 6/5/1991 3 1 1 1
REHAN 3 8/1/2011 1 1 1
REFAN 3 22/11/2012 1 1 1 1
19 ARSAT 1 18/10/1958 2 PETANI 1 1 1

WA SARA 2 12/4/1965 2 PETANI 1 1 1
20 JUMADI WALI 1 25/2/1982 3 OJEK 1 1 1

NURHAYATI 2 27/12/1988 3 1 1 1
MOH. RAYHAN 3 25/10/2004 1 1 1
MOH. FAUZAN 3 20/1/2007 1 1 1
ABD. FARAN 3 13/11/2009 1 1 1
No.
1 ATMIN. AM 1 22/6/1978 3 5 1 1 1
YANNI 2 31/12/1980 3 1 1 1
DEISI 3 22/12/1998 2 1 1 1
JULIATI 3 9/7/2003 2 1 1 1
2 LD. SYAFARUDDIN 1 20/11/1980 4 5 1 1 1

ARNITA 2 16/5/1986 3 1 1 1
LM. SULTAN 3 12/1/2015 1 1 1 1
3 LD. ALISIR 1 11/1/1982 4 3 1 1 1

MESRI TANDIARA 2 12/12/1986 4 1 1 1
DINA FARENZA 3 5/11/2006 1 1 1
ANISA PUTRI 3 26/1/2012 1 1 1 1
FATAN 3 10/9/2015 1 1 1 1 1 1
4 LD. BAHARUDDIN ANNA 1 25/5/1968 4 3 1 1 1

MUSLIMA WALY 2 20/1/1968 6 1 1 1
WD. JANNA MEYLANI 3 26/1/2001 2 1 1 1
LD. DESTA ALI SANDRO 3 26/12/2006 1 1 1
LD. KAISAR IKHSAN 6/10/2007 1 1 1
5 ERDIN ABIDIN 1 26/12/1978 4 5 1 1 1

DIANA 2 15/4/1979 4 1 1 1
DARWIS 3 7/4/2004 1 1 1
ZIDAN 3 28/8/2005 1 1 1
BUNYAMIN 3 16/6/2010 1 1 1
6 ALI BUTON 1 7/2/1989 4 3 1 1 1

WD. ASTUTI 2 9/10/1989 4 1 1 1
MUH. TEGAR 3 1/8/2010 1 1 1
7 LD. INDRA PRATAMA 1 21/12/1984 4 5 1 1 1
HERNIWATI 2 3/5/1988 4 1 1 1
SYAFA MAURA 3 8/10/2008 1 1 1

No.
8 LM. SYAHRIL 1 24/4/1983 4 5 1 1 1
HERNIATI LA WUSU 2 3/6/1982 4 1 1 1
WD. MAYSARA AUGUST. S 3 24/8/2004 1 1 1
LD. APRIANAS HARDIAN. S 3 27/4/2006 1 1 1
9 MANSYUR 1 22/2/1964 4 5 1 1 1
MUSLIHA 2 20/5/1967 4 1 1 1
10 RUSLINA 1 25/11/1970 4 5 1 1 1
HAJRA 3 27/5/1997 3 1 1 1
NELI PUPUT 3 8/5/2004 1 1 1
11 AKBAR TANJUNG 1 1/7/1991 4 5 1 1 1

SISKA SOFYAN 2 11/11/1991 4 1 1 1
ASILA 3 7/9/2012 1 1 1 1
ASIFA 3 1/7/2014 1 1 1 1
12 AFANDI 1 13/5/1988 3 OJEK 1 1 1

SRI WILDAWATI 2 30/10/1990 4 1 1 1
KEVIN ZULFIKAR 3 17/4/2011 2 1 1 1
ABD. RAZAK 3 27/1/2013 2 1 1 1
13 ARDANI AGILANG 1 21/4/1974 6 5 1 1 1

HASMIA 2 4/6/1979 6 1 1 1
LINTANG PUSPITA 3 29/10/2002 1 1 1
SAFIA BINAR SETIA 3 17/2/2008 1 1 1
NAJWA 3 23/12/2012 2 1 1 1
14 SALIM 1 31/11/1985 4 3 1 1 1
FARLIN 2 12/6/1987 4 1 1 1
LM.AL HAFIZ 3 6/11/2011 1 1 1 1
LD. SAFRIN 3 2/11/2012 1 1 1 1
WD. KESYA 3 6/7/2014 1 1 1 1
15 H. MARZUKI 1 1/7/1958 2 5 1 1 1
HJ. SUPARMI 2 1/71963 2 1 1 1

No.
16 HARYANTO 1 29/2/1974 4 5 1 1 1
YARNI 2 25/5/1983 3 1 1 1
ARYA 3 13/2/2003 2 1 1 1
ASRI 3 22/4/2005 1 1 1
AUREL VIRDAYANTI 3 6/3/2012 1 1 1 1
17 MUH. FAUZAN 1 7/7/1977 4 5 1 1 1

NURHAYATI 2 1/1/1990 4 1 1 1
PUTRIA NINGSIH 3 11/11/2006 1 1 1
TEGAR HERLAMBANG 3 25/5/2010 1 1 1
RIZKI DARMAWAN 3 4/8/2015 1 2 1 1 1 1
18 LA GOBA 1 17/6/1979 2 5 1 1 1
MARLINA 2 2/2/1980 3 1 1 1
RINA 3 30/9/2002 1 1 1
DINA 3 12/1/2006 1 1 1
19 AHMAD, SH 1 18/12/1984 6 5 1 1 1
WD. HASRIANI 2 6/7/1987 6 1 1 1
KESYA 3 29/5/2015 1 1 1 1 1 1
20 LA ICA 1 12/12/1970 4 5 1 1 1
AMIJA 2 27/7/1972 3 1 1 1
ALIFU RAHMI 3 1/1/1998 4 1 1 1
HIJRA APRILYANI 3 6/4/2000 2 1 1 1
SULFA HANDAYANI 3 11/7/2002 1 1 1
DEBILA 3 19/12/2005 1 1 1
21 LD. DARMAWAN 1 1/1/1980 6 5 1 1 1

KARMILAWATI 2 23/5/1983 4 1 1 1
YUHARI RIZKI 3 24/7/2000 1 1 1
WA ODE PUTRI 3 23/5/2012 1 1 1 1

No.
1 SUDDIN SATTA 1 25/1/1970 4 5 1 1 1
ZANIY 2 1/7/1968 4 1 1 1
RABIL 3 15/5/1990 1 1 1
AYU ZULFIKAR 3 23/11/1994 1 1 1
PANJI SUTAMIN 3 29/9/2000 1 1 1
2 AMALIA 1 11/11/1981 4 5 1 1 1
ABD.ILHAM RAHMAD 3 9/3/2006 1 1 1
ABD. HASAN RAHMAD 3 9/3/2010 1 1 1
3 ZAINAL 1 12/12/1966 4 5 1 1 1
ROSIDA 2 16/6/1967 4 1 1 1
NAHDATUL ZAIR 3 11/2/1998 3 1 1 1
4 MARWAN SAHDI 1 19/7/1982 4 5 1 1 1

MURSYAINTA METARUSTI 2 10/5/1983 4 1 1 1
5 RIRIN 1 6/6/1987 4 3 1 1 1
WD. RISTA RATNAWATI 2 15/3/1990 4 1 1 1
NABILA QUROTUN AINI RIRIN 3 1/8/2010 1 1 1
WD. RAISA 3 27/5/2014 1 1 1 1
6 KAMALIA 1 10/8/1982 4 3 1 1 1
SULASNI 2 11/4/1988 3 1 1 1
ADIT 3 6/1/2009 1 1 1
7 OKI IRWANSYAH 1 19/10/1988 4 3 1 1 1

MARWIAH JAMALUDDIN 2 3/3/1988 4 1 1 1
8 FAHRUDDIN SAJIMAN 1 23/7/1983 4 5 1 1 1

ASNI 2 8/4/1984 4 1 1 1
KESYA STEFANI PUTRI 3 27/6/2009 1 1 1
MUH. FAHRIL DWI NANDA 3 7/6/2010 1 1 1

No.
9 MUH. SABRI 1 3/5/1985 2 5 1 1 1
IKA WULANDARI SAPUTRI 2 16/1/1989 4 1 1 1
RAHIM KUMULLAH 3 1/6/2009 1 1 1
RAHMATULLAH 3 1/6/2009 1 1 1
RAZAK 3 4/8/2014 1 1 1 1
10 NARDI 1 15/1/1976 4 5 1 1 1
MARDINA 2 21/9/1987 4 1 1 1
BERLIAN 3 30/3/2008 1 1 1
11 LD. ALIMUDDIN 1 31/12/1964 4 5 1 1 1

WD. SABARIA 2 1/7/1967 4 1 1 1
12 ARHAM 1 28/7/1981 3 5 1 1 1
ALIS 2 1/12/1986 4 1 1 1
AIRA ALKIARA 3 25/9/2010 1 1 1
AMIRA 3 20/7/2015 1 2 1 1 1 1
13 MUH. FARID GANI.A 1 24/4/1980 4 5 1 1 1

SUDAYANA 2 3/5/1986 4 1 1 1
HAFIZ HIDAYATULLAH 3 1/4/2012 2 1 1 1
14 LA ONI 1 22/7/1982 3 5 1 1 1
ERNAWATI 2 31/12/1985 3 1 1 1
MUH. FADEL 3 12/5/2002 1 1 1
FAREL ARDIANSAH PUTRA 3 13/11/2006 1 1 1
YUDISTIAN AL FATIR 3 31/5/2011 1 1 1
15 LA ARI 1 1/7/1964 2 TKG. BATU 1 1 1

ZAIDA 2 1/7/1966 3 1 1 1
SYAHRUL 3 9/9/1999 2 1 1 1
ST. FAUZIAH 3 23/5/2008 1 1 1
RENDI 3 15/6/2005 1 1 1
16 AMIRUDDIN 1 16/3/1988 3 5 1 1 1
WA RINI 2 8/3/1993 2 1 1 1
MELISA ARIN 3 25/2/2012 1 1 1 1

No.
17 SURYA SYAIR SUBUH 1 13/2/1986 4 5 1 1 1
RATNA MULYANA 2 20/9/1986 4 1 1 1
MUH. RESKI AS 3 20/5/2008 1 1 1
18 ARIF ROHMAN 1 23/3/1983 4 5 1 1 1

ASNA WINATA 2 5/4/1990 4 1 1 1
SESILIA CINTA SEPTIANI 3 27/9/2010 1 1 1
19 MUH. RUSLI 1 10/1/1975 4 HONOR 1 1 1

WD. LISDAYATI 2 1/5/1980 4 1 1 1
HERI ISLAMI RUSLI 3 3/11/2000 1 1 1
EL SALSABIL ISLAMI RUSLI 3 11/2/2002 1 1 1
DZULKIFLI ISLAMI RUSLI 3 12/11/2003 1 1 1
MUH. SAHIR 3 11/4/2014 1 1 1 1
20 LA BOYA 1 15/7/1963 3 5 1 1 1
WD. SAFIRA 2 3/12/1953 2 1 1 1
21 LD. NURHADI 1 9/11/1975 4 5 1 1 1

WD. MUNSIA 2 6/6/1976 3 1 1 1
KIKI 3 8/8/2009 1 1 1
AKIL 3 27/2/2012 2 1 1 1
23 MUH. YIWAN YUSRAWAN 1 7/9/1972 4 5 1 1 1

SUSI RAFIANI 2 27/10/1970 4 1 1 1
MUH. GHALI 3 23/1/1995 3 1 1 1
LD. ZAID AZLAM 3 20/5/2003 1 1 1
SHEMA 3 3/5/2008 1 1 1
24 HASIRUN 1 3/8/1988 4 5 1 1 1
YULIANTI 2 10/10/1989 3 1 1 1
ADELIA 3 24/1/2016 1 1 1 1 1 1

No.
1 JUSRI 1 17/1/1983 4 TKG LAS 1 1 1
WD. ERNAWATI 2 12/5/1986 4 1 1 1
FARHAN ABDAN 3 20/8/2012 1 1 1 1
2 IMRAN 1 3/6/1987 4 5 1 1 1
SILVIA YUYUN 2 19/4/1989 4 1 1 1
3 MUSLIMIN 1 23/8/1974 3 5 1 1 1
INDRAWATI 2 20/2/1980 4 1 1 1
4 MUH. IKSAN SYUHADA 1 7/7/1980 6 5 1 1 1

WD. RINI 2 21/5/1989 6 1 1 1
MUH. ZULFIKAR NAGA SYUHADA 3 15/2/2013 1 1 1 1
5 LD. AJIZ 1 14/5/1987 2 5 1 1 1

WD. ANIS 2 20/9/1989 3 1 1 1
NAILA 3 1/8/2013 1 1 1 1
WD. DARMA 3 12/8/2015 1 2 1 1 1 1
6 LD. SAHARUDDIN 1 30/6/1970 3 5 1 1 1

DARIA 2 25/4/1970 3 1 1 1
7 WAHYUDIN 1 8/2/1990 4 5 1 1 1
PIKA 2 1/7/1994 2 1 1 1
AQILAH 3 15/12/2014 1 1 1 1
8 AHMAD NUR 1 2/8/1985 4 5 1 1 1

SUFIANA 2 1/7/1990 4 1 1 1
9 ANDI IRWAN 1 23/8/1986 5 5 1 1 1

ERNAWAT BACO 2 31/12/1983 4 1 1 1
ANDI ADRIAN PRATAMA 3 12/7/2008 1 1 1
10 LA RUBIA 1 31/12/1985 2 4 1 1 1
MARTIA 2 18/1/1986 3 1 1 1
RESTI AYU WULANDAI 3 27/6/2008 1 1 1
No.
11 JUMLAN LA BOU 1 25/5/1992 4 4 1 1 1
INDRIYANI MUSTAFA 2 8/8/1994 4 1 1 1
HENDRA 3 3/4/2013 2 1 1 1
12 SUSTRIONO 1 3/2/1984 4 5 1 1 1
MARNIA 2 30/10/1983 4 1 1 1
IKA CAHYANI 3 25/11/2008 1 1 1
FITRI 3 3/9/2014 2 1 1 1
13 MUH. YAHYA 1 25/5/1985 3 5 1 1 1

WD. RINA 2 15/4/1987 4 1 1 1
MUH. JUARDI YAHYA 3 11/1/2008 1 1 1
MUH. FAUZAN YAHYA 3 31/7/2010 1 1 1
14 LD. JUNAIDDIN 1 10/5/1992 4 5 1 1 1

ARSINA 2 18/10/1987 4 1 1 1
MUZHAR 3 18/12/2013 1 1 1 1
15 MAHADIN 1 14/10/1971 4 5 1 1 1
ST. AISAH 2 30/12/1979 2 1 1 1
MUH. IFAN SETIAWAN 3 25/7/2011 1 1 1
FAREL 3 25/7/2010 1 1 1
16 LD. INUN 1 23/5/1983 3 5 1 1 1

WD. HASNENI 2 14/12/1984 3 1 1 1
WD. ASTRID AULIA 3 23/3/2006 1 1 1
LM. ARSYAD 3 13/1/2009 1 1 1
AMELIA 3 3/8/2013 1 1 1 1
17 MUH. ANSYAR 1 7/3/1973 4 5 1 1 1

HUSNAH SALEH AZIZ 2 27/7/1978 3 1 1 1
LINDAH FADIAH SAHBRINA 3 28/9/2009 1 1 1
MUH. RIZKI 3 14/8/2010 1 1 1
AFIKA AZIZA 3 13/9/2012 2 1 1 1

No.
18 LA ABDIY 1 15/11/1975 2 3
WA REDI 2 2/8/1976 2
LINDA 2 24/11/1998 3
DIRMAN 2 22/6/2000 3
HAIKAL 2 18/6/2006
19 LA ATIA 1 25/11/1969 3 3
WA ITASA 2 1/7/1968 3
MUSAFIR FALIM 2 1/7/2005
ARIANTO 2 31/12/1995
No.
No.
No.
No.
PHBS
Ket
BJ AKT MAK TM
2 1 1 2 A1.001
2 1 1 1
1 1 1 2 A1.002
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 2 A1.003
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 1 A1.004
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 1 A1.005
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 1 a1.006
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 2 A1.007
2 1 1 1
PHBS
Ket
BJ AKT MAK TM
2 1 1 2 A1.008
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 1 A1.011
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 A1.012
2 1 1
1 1 1 1 A1.014
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 2 A1.015
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 1 A1.016
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 2 A1.017
2 1 1 1
PHBS
Ket
BJ AKT MAK TM
2 1 1 2 A1.018
2 1 1 1
2 1 1 1
2 1 1 1 A1.019
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 2 A1.020
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 2 A1.021
1 1 1 1
1 1 1 1
1 1 1 1 A1.022
1 1 1 1
1 1 1 1
1 1 1 1 A1.23
1 1 1 1
1 1 1 1 dbd
2 1 1 1 A1.24
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
PHBS
Ket
BJ AKT MAK TM
1 1 1 2 A2.001
1 1 1 1
1 1 1 1
2 1 1 1 A2.002
2 1 1 1
2 1 1 2
2 1 1 1
1 1 1 1 A2.003
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 A2.004
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 2 A2.005
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 2 A2.006
1 1 1 1
1 1 1 1
1 1 1 1
PHBS
Ket
BJ AKT MAK TM
1 1 1 2 A2.007
1 1 1 1
1 1 1 1
1 1 1 2 A2.008
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 2 A2.009
2 1 1 1
2 1 1 1
1 1 1 2 A2.010
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 2 A2.011
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 2 A2.012
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 2 A2.013
1 1 1 1
1 1 1 1
1 1 1 1
PHBS
Ket
BJ AKT MAK TM
2 1 1 2 A2. 015
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 2 A2. 016
2 1 1 1
2 1 1 1
2 1 1 2 A2. 017
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 2 A2. 018
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 2 A2. 019
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 A2. 020
1 1 1 1
1 1 1 1
1 1 1 1 A2. 021
1 1 1 1
1 1 1 1
1 1 1 1
PHBS
Ket
BJ AKT MAK TM
1 1 1 2 A2. 022
1 1 1 1
1 1 1 1 A2. 024
1 1 1 1
1 1 1 1
1 1 1 1
PHBS
Ket
Ket
BJ AKT MAK TM
1 1 1 2 A3. 001
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 1 A3. 002
2 1 1 1
2 1 1 1
1 1 1 1 A3. 003
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 2 A3. 004
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 2 A3. 005
2 1 1 1
2 1 1 1
1 1 1 2 A3. 006
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 A3. 007
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 2 A3. 009
2 1 1 1
2 1 1 1
PHBS
Ket
BJ AKT MAK TM
1 1 1 1 A3. 010
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 2 A3. 011
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 1 A3. 012
1 1 1 1
1 1 1 1
2 1 1 1 A3.013
2 1 1 1
2 1 1 1
2 1 1 1 A3.015
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 1 A3.016
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 A3.018
1 1 1 1
PHBS
Ket
BJ AKT MAK TM
2 1 1 1 A3.019
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 2 A3. 024
1 1 1 1
1 1 1 1
PHBS
Ket
BJ AKT MAK TM
1 1 1 2 A4. 003
1 1 1 1
1 1 1 1
1 1 1 1 A4. 005
1 1 1 1
1 1 1 1
2 1 1 2 A4. 007
2 1 1 1
2 1 1 1
1 1 1 1 A4. 008
1 1 1 1
1 1 1 1
2 1 1 2 A4. 010
2 1 1 1
2 1 1 1
2 1 1 2 A4. 011
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 1 A4. 012
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 2 A4. 013
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
PHBS
Ket
BJ AKT MAK TM
1 1 1 1 A4. 014
1 1 1 1
2 1 1 2 A4. 015
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 2 A4. 016
1 1 1 1
1 1 1 1
2 1 1 2 A4. 017
2 1 1 1
2 1 1 1
2 1 1 2 A4. 019
2 1 1 1
2 1 1 1
1 1 1 2 A4. 021
1 1 1 1
1 1 1 1
1 1 1 1 A4. 24
1 1 1 1
1 1 1 1
PHBS
Ket
BJ AKT MAK TM
2 1 1 2 B1. 001
2 1 1 1
2 1 1 1
2 1 1 2 B1. 002
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 1 B1. 003
1 1 1 1
1 1 1 1
2 1 1 2 B1. 005
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1 B1. 007
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 2 B1. 008
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 2 B1. 009
1 1 1 1
1 1 1 1
1 1 1 1
PHBS
Ket
BJ AKT MAK TM
2 1 1 2 B1.010
2 1 1 1
2 1 1 1
1 1 1 2 B1. 011
1 1 1 1
1 1 1 1
2 1 1 2 B1. 012
2 1 1 1
2 1 1 1
1 1 1 1 B1. 013
1 1 1 1
2 1 1 2 B1. 014
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1 B1. 015
2 1 1 1
2 1 1 1
1 1 1 2 B1. 016
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 2 B1. 019
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1 B1. 020
2 1 1 1
PHBS
Ket
BJ AKT MAK TM
1 1 1 1 B1. 021
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 B1. 022
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 1 B1. 023
2 1 1 1
2 1 1 2 B1. 024
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
PHBS
Ket
BJ AKT MAK TM
2 1 1 2 B2. 001
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 1 B2. 002
1 1 1 1
1 1 1 1
1 1 1 1 B2. 003
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 B2. 004
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 2 b2. 005
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 2 b2.006
1 1 1 1
1 1 1 1
1 1 1 2 b2. 008
1 1 1 1
1 1 1 1
PHBS
Ket
BJ AKT MAK TM
1 1 1 1 B2. 009
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 2 B2. 010
2 1 1 1
2 1 1 1 B2. 011
2 1 1 1
2 1 1 1
1 1 1 1 B2. 012
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 2 B2. 013
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 2 B2. 014
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 2 B2. 016
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 1 B2. 017
2 1 1 1
PHBS
Ket
BJ AKT MAK TM
2 1 1 2 B2. 018
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1 B2. 019
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 1 B2.020
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 2 B2.022
1 1 1 1
1 1 1 1
1 1 1 2 B2. 023
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 B2. 024
1 1 1 1
1 1 1 1
1 1 1 1
PHBS
Ket
BJ AKT MAK TM
2 1 1 2 B3. 001
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 1 B3. 002
1 1 1 1
1 1 1 1
2 1 1 2 B3. 003
2 1 1 1
2 1 1 1
2 1 1 1 B3. 004
2 1 1 1
1 1 1 2 B3. 005
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 B3. 006
1 1 1 1
1 1 1 1
2 1 1 2 B3. 007
2 1 1 1
2 1 1 2 B3. 008
2 1 1 1
2 1 1 1
2 1 1 1
PHBS
Ket
BJ AKT MAK TM
2 1 1 2 B3. 009
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 2 B3. 010
1 1 1 1
1 1 1 1
2 1 1 2 B3. 011
2 1 1 1
2 1 1 1 B3. 012
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 2 B3. 013
2 1 1 1
2 1 1 1
2 1 1 1 B3. 014
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1 B3. 016
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
1 1 1 1 B3. 017
1 1 1 1
1 1 1 1
PHBS
Ket
BJ AKT MAK TM
1 1 1 2 B3. 018
1 1 1 1
1 1 1 1
2 1 1 2 B3. 019
2 1 1 1
2 1 1 1
1 1 1 1 B3. 020
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 B3. 021
1 1 1 1
2 1 1 2 B3. 022
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 2 B3. 023
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1 B3. 024
2 1 1 1
2 1 1 1
PHBS
Ket
BJ AKT MAK TM
1 1 1 1 B4.001
1 1 1 1
1 1 1 1
1 1 1 1 B4.002
1 1 1 1
2 1 1 2 B4.003
2 1 1 1
1 1 1 1 B4. 005
1 1 1 1
1 1 1 1
1 1 1 2 B4.007
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 1 B4.008
2 1 1 1
1 1 1 1 B4. 009
1 1 1 1
1 1 1 1
1 1 1 2 B4.012
1 1 1 1
1 1 1 2 B4.013
1 1 1 1
1 1 1 1
2 1 1 2 B4.015
2 1 1 1
2 1 1 1
PHBS
Ket
BJ AKT MAK TM
1 1 1 2 B4. 016
1 1 1 1
1 1 1 1
1 1 1 1 B4.017
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 2 B4.018
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 B4.019
1 1 1 1
1 1 1 1
1 1 1 2 B4.020
1 1 1 1
1 1 1 1
1 1 1 1
2 1 1 1 B4.021
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 2 B4.022
2 1 1 1
2 1 1 1
2 1 1 1
2 1 1 1
PHBS
Ket
BJ AKT MAK TM
1 2 B4.023
1 1 B4.024
PHBS
Ket
BJ AKT MAK TM
PHBS
Ket
BJ AKT MAK TM
PHBS
Ket
BJ AKT MAK TM
PHBS
Ket
BJ AKT MAK TM
LINGKUNGAN PONDA RW 01 / RT 01

No.
Keluarga KEL. LAHIR DIKAN JAAN PN ASI TB SAB CT JKS BJ
1 JAFAR 1 12/11/1952 6 5 1 1 1 2
SAMRAT 2 22/11/1957 4 1 1 1 2
2 ABDUL RAZAK 1 13/3/1968 4 5 1 1 1 2

TINATASAN 2 12/8/1965 4 1 1 1 2
FADILA ELSA ISABEL 3 17/2/2000 3 1 1 1 2
FARADISA 3 1/5/2001 2 1 1 1 2
RIFALAL FADEL 3 1/7/2002 1 1 1 2
PUPUT SINDI 3 1/7/2004 1 1 1 2
3 LA AMBO 1 1/7/1955 2 5 1 1 1 1
WA IYA 2 1/7/1950 2 1 1 1 1
KARMILA 3 20/1/1994 1 1 1 1
SRIYANTI 3 19/6/1996 1 1 1 1
MILA 3 6/8/2001 1 1 1 1
4 GUSMAN 1 5/9/1981 4 5 1 1 1 2
WD. ZALTINA 2 29/12/1981 4 1 1 1 2
RASTI FERIANTI 3 27/2/2007 1 1 1 2
5 WD. JUNIATI 1 18/6/1980 3 5 1 1 1 2

LD. SULAEMAN 3 2/11/2006 1 1 1 2
6 YAKUB SIHASALEH 1 19/7/1976 4 3 1 1 1 1

LD. ABDUL HADI 3 4/7/1996 4 1 1 1 1
WD. NURHAYATI 3 1/3/1997 4 1 1 1 1
7 LA SAMANA 1 8/5/1977 2 5 1 1 1 1
WD.ZALFIANI 2 15/5/1979 3 1 1 1 1
SAHRIL.L 3 12/7/1999 3 1 1 1 1
ABDUL MUIS 3 22/9/2003 2 1 1 1 1
M. SAFWAN 3 13/3/2014 2 1 1 1 1

No.
8 MUNSIR ARFA 1 31/12/1963 4 6 1 1 1 2
HARIANI 2 17/10/1979 4 1 1 1 2
ARMIN ARFA 3 12/7/1993 3 1 1 1 2
MATA 3 24/3/2002 2 1 1 1 2
SRIMULYANI 3 25/1/2013 2 1 1 1 2
9 JEFI 1 1/7/1986 4 3 1 1 1 1
WD. NUR AIDA 2 10/6/1992 4 1 1 1 1
FAREL 3 21/5/2011 1 1 1 1
10 MANZA 1 12/5/1954 2 5 1 1 1 2
MARYAM 2 20/5/1959 2 1 1 1 2
HERLIN 3 10/8/1984 4 1 1 1 2
HARZAN 3 5/7/1990 4 3 1 1 1 2
11 HARIYANTO 1 24/8/1979 4 5 1 1 1 1
MULYANI 2 10/7/1983 1 1 1 1
NURMA YANTI 3 6/6/2000 1 1 1 1
YAMIN 3 7/7/2003 1 1 1 1
HASAN SAPUTRA 3 30/12/2008 1 1 1 1
ARI 3 1/7/2012 2 1 1 1 1
12 ABDUL SAMAD 1 10/12/1971 8 7 1 1 1 2

ST. AMINAH 2 4/10/1972 1 1 1 2
UTARI AYUNINGTYAS 3 14/1/2000 1 1 1 2
DWI WIBINTORO 3 13/9/2001 1 1 1 2
SAMRIDA 7 14/7/1986 1 1 1 2
NURMIDA 7 9/10/1990 1 1 1 2
13 LD. TAFSIR 1 1/7/1952 8 8 1 1 1 2

WD. MAYA 2 12/10/1955 6 7 1 1 1 2

No.
14 LA NABA 1 10/10/1962 4 7 1 1 1 2
HASIMA 2 15/8/1961 6 10 1 1 1 2
JOKO HAJIRIN 3 15/7/1988 8 1 1 1 2
DARMA YANTI 3 30/10/1993 6 1 1 1 2
APRIADI HASLAN 3 1/4/1995 7 1 1 1 2
FADLY YAUSYA SAPUTRA 7 30/12/2001 5 1 1 1 2
15 MASUDIN 1 12/3/1964 8 7 1 1 1 1
AIDA 2 24/10/1964 8 7 1 1 1 1
IPUNG SRIWATI 3 12/9/1992 8 1 1 1 1
16 ARIFIN 1 23/12/1975 8 7 1 1 1 2
SALMAWATI 2 23/12/1975 8 7 1 1 1 2
ELVIN CHRISTIAN 3 23/12/1999 7 1 1 1 2
CHELSEA ARIFIN 3 28/12/2005 1 1 1 2
17 AHMAD 1 8/12/984 10 7 1 1 1 1
WD. HASRIANI 2 6/7/1987 10 10 1 1 1 1
18 LM. ARSAL 1 23/2/1971 10 7 1 1 1 1

SURIANI 2 28/7/1978 8 1 1 1 1
L.M ADRIAN SAPUTRA 3 25/4/2003 3 1 1 1 1
WD. ANGGI REGINA.S 3 16/8/2007 3 1 1 1 1
L.M AQIL SAPUTRA 3 30/5/2013 1 1 1 1
19 KAMAL 1 1/7/1962 8 7 1 1 1 2
NURSIA 2 1/7/1968 8 7 1 1 1 2
NOVIYANTI, AM. KEB 3 3/11/1991 1 1 1 2
RIZAL 3 9/11/1993 9 1 1 1 2
PUPUT FITRIA 3 20/12/2002 7 1 1 1 2

No.
20 ALI TAMRIN 1 7/9/1985 10 7 1 1 1 2
YUYUN RAHAYU 2 30/8/1987 10 4 1 1 1 2
ASRIL 3 3/7/2013 2 1 1 1 2
21 HENDRIK 1 1/7/1985 4 6 1 1 1 1
FIFIYANTI, S.SI, APT 2 5/3/1985 5 6 1 1 1 1
? 3 31/1/2016 1 1 1 1 1
22 TASLIM 1 5/5/1976 8 7 1 1 1 1
DEWI MURNI 2 7/7/1977 8 7 1 1 1 1
RISKIYANA. T 3 15/4/2000 1 1 1 1
RIZKI SYUHADA 3 9/6/2003 1 1 1 1
FIZAR. M. A 3 21/2/1999 1 1 1 1
SADIL 3 19/5/2014 1 1 1 1 1
23 ANDRIYANI SAID 1 17/2/1977 8 5 1 1 1 1

HILAL ALFON MABAS 3 26/6/1997 7 1 1 1 1
ALTOF RIZKI PERMANA 3 21/3/1999 5 1 1 1 1
ALDO ARILPUTRA 3 23/1/2001 5 1 1 1 1
SALSABILAPUTRI 3 20/10/2005 3 1 1 1 1
25 UDIN LIHI 1 14/2/1972 8 7 1 1 1 2

HADIJAH 2 26/6/1976 8 7 1 1 1 2
NUR INDAH 3 27/4/1997 7 1 1 1 2
MUH. ISHAK 3 3/11/2000 5 1 1 1 2
LA DAINI LIHI 1 23/3/1973 8 7 1 1 1 2

NURBAYA 2 5/8/1976 8 7 1 1 1 2
TAUFIKLIHI 3 23/1/2005 1 1 1 2
TIARA 3 25/8/2013 2 1 1 1 2

No.
26 MUH. ANUA SAID 1 27/2/1969 10 7 1 1 1 2
MARIANI 2 10/9/1977 8 1 1 1 2
YUSRIL MAHENDRA 3 23/1/1997 7 1 1 1 2
YUSRAN PAMUNGKAS 3 23/1/1997 7 1 1 1 2
YASRIL 3 10/12/2003 3 1 1 1 2
27 USMAN 1 31/12/1968 8 7 1 1 1 1
WD. NURMIN 2 31/12/1970 8 7 1 1 1 1
SOFYAN SADRI USNUR 3 1/11/1993 8 1 1 1 1
ALFIAN SADRI USNUR 3 20/4/1997 7 1 1 1 1
28 YANTO 1 1/7/1987 8 2 1 1 1 1
YENTI 2 20/7/1996 6 1 1 1 1
MELAN SARAI YANTO 3 11/7/2013 1 1 1 1
28 HENDRIK 1 23/6/1989 4 7 1 1 1 2
FITRI 2 6/6/1991 6 1 1 1 2
RAYHAN HEAFIT SAPUTRA 3 8/10/2011 2 1 1 1 2
29 KD. HAIRIL ANWAR, SE 1 14/3/1979 10 4 1 1 1 2

ERNI JOHAN, S.IP 2 12/7/1988 10 4 1 1 1 2
WD. LATIFA KHIRUNNADA 3 15/7/2013 2 1 1 1 2
30 DIRMAN ZAHALI 1 4/7/1986 8 7 1 1 1 1

JULFA MUHAMMAD 2 1/6/1984 8 7 1 1 1 1
JESIKA PUTRI 3 4/12/2008 1 1 1 1
JIHANSEPTRIANI 3 6/8/2012 2 1 1 1 1
M. FATHIN PUTRA DIRMAN 3 25/8/2014 1 1 1 1 1

No.
1 H. SJAFRIN 1 1/9/1944 6 PENSIUN 1 1 1 2
ST. HAJAR SJAFRIN 3 5/9/1986 4 1 1 1 2
MUH. YAMIN SJAFRIN 1 30/8/1970 6 6 1 1 1 2

SUSANTI KADIR 2 6/3/1977 4 1 1 1 2
ARYA REZKI PUTRA 3 6/6/2005 1 1 1 2
ADITYA 3 9/1/2007 1 1 1 2
AFIQAH KHAERANI 3 1/7/2013 2 1 1 1 2
SUHUFI ABBAS 1 18/6/1959 4 5 1 1 1 2

ASRINA 2 10/7/1969 4 1 1 1 2
ADNAN 3 12/3/2001 3 1 1 1 2
FEBRIYANTI 3 10/2/2002 2 1 1 1 2
ARIS 3 28/4/2004 1 1 1 2
OKTARI NOVIANTI 3 31/10/2008 1 1 1 2
2 LA UDO 1 31/12/1960 2 4 1 1 1 2
HATIA 2 31/12/1965 2 1 1 1 2
MIMI YATI 3 16/6/1987 4 1 1 1 2
HARIYATI 3 18/7/1990 4 1 1 1 2
YENI RISTANTI 3 23/10/1994 4 1 1 1 2
SAHARUDIN UDON 1 30/6/1982 4 3 1 1 1 2

WD. SUPRIANI 2 11/8/1986 4 1 1 1 2
3 DARMAN 1 23/7/1978 4 3 1 1 1 2
FATMIATI 2 20/4/1984 3 1 1 1 2
MUH. HIDAYAT 3 2/2/2002 2 1 1 1 2
NAYLA BULAN NURAINI 3 2/12/2008 1 1 1 2
ARIS 3 1/7/2009 1 1 1 2

No.
4 JALIMUDIN 1 6/5/1965 4 3 1 1 1 2
HUSRIA 2 12/3/1969 4 1 1 1 2
MAYANG 3 13/1/1992 3 1 1 1 2
ERIK ERLANS 3 24/4/1996 1 1 1 2
HUSRI 7 31/12/1966 1 1 1 2
5 AMILUDIN 1 31/12/1969 1 3 1 1 1 2
ATI 2 10/5/1976 3 3 1 1 1 2
ASTI 3 10/1/1999 1 1 1 2
6 LA ANAGEA 1 31/12/1945 1 4 1 1 1 2
WA SINA 2 31/12/1955 3 3 1 1 1 2
7 ANIRU 1 1/7/1962 3 4 1 1 1 2
ANDRE 3 8/5/1990 4 3 1 1 1 2
HENDRA 3 16/6/1991 4 3 1 1 1 2
NURBAYA 3 1/7/1994 4 3 1 1 1 2
8 AMINUDIN 1 1/7/1956 2 4 1 1 1 1
NASINA 2 31/12/1969 2 3 1 1 1 1
ERWIN 3 1/7/1994 4 1 1 1 1
MIA ASTUTI 3 1/1/2001 2 1 1 1 1
NIA ASTUTI 3 1/1/2001 2 1 1 1 1
ALMIN 3 17/1/2003 1 1 1 1
ASWAN 1 8/2/1985 4 3 1 1 1 1
HARIANI 2 1/7/1986 6 1 1 1 1
SAHALUDIN 1 28/4/1986 4 3 1 1 1 1
ASMINA 2 1/7/1989 4 3 1 1 1 1
INDAH 3 12/9/2013 1 1 1 1 1
1 1 1 1
No.
9 LD. BAHARUDIN 1 29/3/1967 2 3 1 1 1 1
WD. SADARIA 2 10/6/1965 4 1 1 1 1
WD. RISKA RAMADHANI 3 1/1/1998 4 1 1 1 1
WD. HILDA 3 11/11/2003 2 1 1 1 1
LD. MUSNAWIR 1 1/7/1987 4 3 1 1 1 1

ANDI SUSANTI 2 7/10/1989 4 1 1 1 1
LM. FARHAN 3 7/10/2012 1 1 1 1 1
WD. AURALIA 3 9/11/2014 1 1 1 1 1
10 AMIN ADE 1 1/7/1984 4 3 1 1 1 1

WD. HASMAWATI 2 1/7/1985 4 1 1 1 1
ALDI 3 1/7/2002 1 1 1 1
RESTI AMELIA 3 10/10/2005 1 1 1 1
RESKI AMELIA 3 1/1/2011 1 1 1 1
11 LD. AZHAR 1 25/4/1979 4 3 1 1 1 2

ASRIA 2 3/9/1980 4 3 1 1 1 2
LD. ARHAM 3 9/7/2002 2 1 1 1 2
WD. CITRA 3 26/4/2005 1 1 1 2
WD. KEYZHA 3 7/12/2008 1 1 1 2
12 SARDIN 1 15/11/1983 4 3 1 1 1 2
WD. ASRIANI 2 5/3/1988 4 3 1 1 1 2
HILDANITA 3 22/1/2006 1 1 1 2
WAWA 3 26/11/2010 1 1 1 2
AZKA 3 7/9/2014 1 1 1 1 2
WD. MUNIRA 6 31/12/1959 1 1 1 2
13 MULYONO 1 1/7/1968 2 3 1 1 1 2
WD. INDAH PERMATA. S 2 19/3/1972 4 HONOR 1 1 1 2
MEGA MUSTIKA 3 9/7/2004 1 1 1 2
M. HARIS 3 4/3/2010 1 1 1 2
NUR ILFI MULYASARI 3 1/7/2013 1 1 1 1 2

No.
14 LD. MARISI 1 30/12/1966 4 5 1 1 1 2
SUKIANI 2 30/12/1966 4 1 1 1 2
ANDRIANTON 3 14/11/1997 4 1 1 1 2
DRA. HANAFIAH 7 30/12/1964 6 5 1 1 1 2
15 LUKMAN 1 10/5/1976 4 3 1 1 1 2
RAMNAWATI 2 1/5/1979 4 1 1 1 2
CINDY MAULANA.P 3 30/11/1998 3 1 1 1 2
RENALDI HADI. S 3 7/12/2001 2 1 1 1 2
WD. RUZAYA 6 1/1/1948 1 1 1 1 2
16 IKHSAN 1 1/1/1972 4 3 1 1 1 1
WD. SURTI ISAM 2 1/3/1978 4 1 1 1 1
ERWIN 3 16/11/1997 3 1 1 1 1
YETI YULIANTI 3 4/7/2001 2 1 1 1 1
PUPUT MELANI 3 12/3/2004 1 1 1 1
YAZAL RUDIN 3 21/1/2009 1 1 1 1
FANI ANDRIYANI 3 15/2/2012 2 1 1 1 1
17 LM. ARWIN ISAM 1 1/7/1968 4 6 1 1 1 1

ZAMUUMA 2 25/5/1971 4 honorer 1 1 1 1
WD. NOVIYANTI 3 30/10/1991 5 PTT 1 1 1 1
WD. ILDAYANTI 3 30/7/1993 6 1 1 1 1
LM. ILHAM 3 11/7/1998 4 1 1 1 1
WD. MINAYANTI 3 29/7/2002 2 1 1 1 1
LD. ASLIN 7 27/10/1986 4 1 1 1 1
LD. MUH. SUWANDI 7 5/3/1989 4 1 1 1 1
18 WD. RUSNIA 1 28/5/1968 4 1 1 1 2

LD. HUSAIN 3 1/7/1993 4 1 1 1 2
LD. FIRMAN 3 1/7/1994 4 1 1 1 2
MUGHNI NUR 3 17/12/1999 4 1 1 1 2
WD. SAHMATHYN 3 30/12/2002 2 1 1 1 2

No.
19 LD. RAHMAN 1 31/12/1961 4 5 1 1 1 2
SAFARIA 2 31/12/1973 4 1 1 1 2
WD. FITRIA 3 20/12/2002 2 1 1 1 2
WD. ISRAH 3 21/4/2005 1 1 1 2
WD. SELFIANTI 3 16/5/2012 1 1 1 1 2
LD. RASYID 5 7/8/1953 1 1 1 2
20 AGUS 1 19/2/1970 3 4 1 1 1 2
WD. HARSIDA 2 31/12/1977 3 3 1 1 1 2
DENI ILHAM 3 14/2/1998 4 1 1 1 2
DARMAWAN ISMAIL 3 10/10/1999 3 1 1 1 2
SITI RAHYUN 3 7/7/2004 1 1 1 2
ISRA MIRALDI 3 24/5/2012 2 1 1 1 2
21 WD. AMIYAH 1 31/12/1958 4 6 1 1 1 1

WS. PUTRI ANASTASIAN 3 29/9/1996 4 1 1 1 1
LM. ERLIN PUTRA 1 12/4/1988 6 3 1 1 1 1

WD. NI'MAINI URFIA 2 8/3/1989 6 1 1 1 1
22 TATIK PUSPANDARI 1 17/3/1968 4 3 1 1 1 1
LD. MUHAIMIN IQBAL 3 4/9/1996 4 1 1 1 1
LD. BIMA ISMAIL 3 29/5/2001 2 1 1 1 1
23 LD. AZMAN 1 1/7/1976 4 2 1 1 1 2

WD. SYAHRAINI 2 1/7/1978 4 1 1 1 2
WD. SRI MAHARANI 3 1/7/2002 2 1 1 1 2
WD. SRI ANDINA 3 1/7/2010 1 1 1 2
WD. SRI ANDINI 3 1/7/2010 1 1 1 2
24 GAZALIN SAHIR 1 31/12/1951 2 3 1 1 1 1

NORMIN 2 1/6/1951 4 3 1 1 1 1
ST. USRIANA 3 17/1/1989 4 1 1 1 1
FATRA 3 15/5/2008 1 1 1 1

No.
25 NASIR WANDA 1 31/12/1960 4 3 1 1 1 1
WD. NUR AIFA 2 11/12/1965 2 1 1 1 1
JONI 3 17/12/1982 4 1 1 1 1
IRWAN WANDA 3 3/12/1983 4 3 1 1 1 1
NENI WANDA 3 17/11/1986 6 6 1 1 1 1
OVY WANDA 3 19/5/1994 4 1 1 1 1

No.
1 JULLY SAID 1 15/6/1976 3 5 1 1 1 2
MASNIAR, S. PD 2 24/6/1977 6 1 1 1 2
AZHAM ILHAM 3 15/7/2006 1 1 1 2
LALA REZKI AMALIA 3 10/6/2010 1 1 1 2
2 MUSNAWI 1 11/10/1967 6 5 1 1 1 2
BUMAWATI 2 10/3/1981 4 1 1 1 2
ARGITA CAHYAN 3 28/5/2008 2 1 1 1 2
LUCKY PERDANA 3 17/3/2011 1 1 1 2
WA SAMLANI 6 1/7/1946 2 5 1 1 1 2
LA KUKU 1 1/7/1981 4 5 1 1 1 2
PARIATI 2 7/10/1979 3 1 1 1 2
AKBAR 3 18/8/2012 2 1 1 1 2
3 LD. MADJINO 1 1/7/1940 2 1 1 1 1

SILATI 2 1/7/1946 2 1 1 1 1
LD. ROBIN 3 1/7/1988 4 5 1 1 1 1
WD. EFIANTI 1 10/7/1993 2 1 1 1 1

BILAL KARIM 3 20/3/2013 1 1 1 1
WD. ARIANI 1 10/7/1983 2 1 1 1 1

ANANG 3 22/7/2012 1 1 1 1
JOHAN 1 1/7/1984 4 3 1 1 1 1
WD. RENI 2 1/7/1984 2 1 1 1 1
MUH. DONI ALDIANSYAH 3 4/6/2007 1 1 1 1
REFENTI 3 6/3/2010 1 1 1 1
4 ABDUL BASIR 1 1/7/1959 2 3 1 1 1 2

SAHIBA 2 1/7/1971 2 1 1 1 2

No.
5 WD. HUSNA 1 31/12/1967 4 5 1 1 1 1
HAYUL KALFAN 3 5/2/1994 4 1 1 1 1
M. SYAWAL LANDRA 3 1/7/1997 4 1 1 1 1
6 LD. HUSNI 1 31/12/1968 2 3 1 1 1 1

SALMA 2 29/7/1970 1 1 1 1 1
LD. SARDIN 3 9/7/1996 3 1 1 1 1
WD. SARNI 3 2/6/1998 3 1 1 1 1
LD. SOFYAN 3 1/9/2000 2 1 1 1 1
WD. ANDINI 3 3/10/2003 1 1 1 1
WD. AMELIA 3 1/7/2011 1 1 1 1
7 LD. FARIHI 1 1/7/1950 4 5 1 1 1 1

WD. ST. ASMA 2 1/7/1953 4 1 1 1 1
WD. HASMAWATI 3 10/10/1979 6 HONOR 1 1 1 1
WD. SRI HWRIYATI 3 23/10/1981 5 1 1 1 1
LM. ERWIN 3 27/11/1983 4 1 1 1 1
HAMSAN FARID 1 30/8/1974 4 5 1 1 1 1

ADE ISMAWATI 2 29/5/1974 4 1 1 1 1
8 LD. BACHTIAR 1 16/6/1967 4 3 1 1 1 2

DINA AFIDIN 2 24/10/1977 4 3 1 1 1 2
WD. ASRAIANA 3 5/10/2001 2 1 1 1 2
WD. ASRIDA 3 2/6/2005 1 1 1 2
GARMIN 3 4/11/2002 2 1 1 1 2
9 SULHAN LA KUTO 1 7/7/1973 2 5 1 1 1 1

WD. NURMIN 2 12/4/1975 4 1 1 1 1

No.
No.
10 ASIA 1 31/12/1959 2 - 1 1 1 2
LD. HAERUDDIN 3 1/1/1977 2 3 1 1 1 2
ARDI 3 31/10/1985 4 5 1 1 1 2
WD. HASNIA HASYIM 1 11/5/1975 5 HONOR 1 1 1 2

LD. DIMAS AWAL. R 3 17/11/2001 2 1 1 1 2
WD. GINA SENATRI 3 25/8/2005 1 1 1 2
LD. ABDUL MAMAN 1 25/4/1980 4 3 1 1 1 2

WD. SUCI 3 27/2/2008 1 1 1 2
LD. HENDRIK 1 19/10/1986 4 5 1 1 1 2

LD. HERLAN 3 8/12/2005 1 1 1 2
LD. ANGGA 3 29/8/2008 1 1 1 2
11 SANURIAH 1 8/12/1941 4 1 1 1 1 1
NURFATMA 3 28/2/1967 6 6 1 1 1 1
MUH. ILYAS 7 8/8/1984 4 5 1 1 1 1
MUH. RIDWAN 7 8/1/1987 4 3 1 1 1 1
FARIDA 1 31/12/1975 4 3 1 1 1 1
FARINDI ARIANTI 3 20/11/1998 3 1 1 1 1
RAHMI 1 15/8/1973 4 6 1 1 1 1
M. FARID 3 19/12/1996 4 1 1 1 1
NAJWA 3 21/1/1999 3 1 1 1 1
M. ILHAM 3 21/9/2006 1 1 1 1
? 3 31/12/2014 1 1 1 1
MUH. NASIR 1 23/7/1974 4 6 1 1 1 1

ZUWAIDAH 2 11/11/1977 6 HONOR 1 1 1 1
FATIN AZHARA 3 20/3/2002 2 1 1 1 1
ABDUL RASYID 3 6/8/2005 1 1 1 1
NADIRA LESTARI 3 17/9/2008 1 1 1 1

No.
NAFIAH 1 25/8/1970 4 HONOR 1 1 1 1
CANTIKA SARI 3 16/7/2001 3 1 1 1 1
12 TA'LIM SAINO 1 10/11/1943 4 PENSIUN 1 1 1 1

ROSMINY 2 1/9/1948 4 1 1 1 1
ROSNI TA'LIM 3 25/1/1969 4 1 1 1 1
ASDIN TA'LIM 3 13/5/1975 4 1 1 1 1
NELSI TA'LIM 3 23/12/1983 6 1 1 1 1
13 H. SUPAJI 1 21/6/1973 4 5 1 1 1 2
NUNUNG SUNDARI 2 5/7/1979 3 1 1 1 2
ARAYAN AM 3 2/3/1998 4 1 1 1 2
ISNI NADA SETYARINI 3 23/2/2003 3 1 1 1 2
MUH. ALFATIH HUSSALAM 3 12/5/2008 1 1 1 2
MUH. RIFQY AL FARABI 3 13/10/2010 1 1 1 2
14 AHMAD HIDAYAT 1 8/10/1984 6 3 1 1 1 1

FARSI TAGA 2 21/8/1986 4 1 1 1 1
MUH. FIKAR AL HIDAYAT 3 6/7/2013 1 1 1 1
YATI TAGA 6 29/12/1961 4 3 1 1 1 1
15 IRWAN TAGA 1 24/7/1975 4 6 1 1 1 1

YULIANA 2 3/4/1978 3 1 1 1 1
MUH. IKRA PRASETYA 3 30/10/1999 3 1 1 1 1
3 16/8/2001 2 1 1 1 1
ST. 3 1/8/2004 1 1 1 1
JULIAN 3 8/7/2012 1 1 1 1
16 SARIMAN 1 27/1/1976 6 5 1 1 1 1
RINAWATI TAGA 2 29/9/1979 6 6 1 1 1 1
17 RUFIAH 1 1/7/1959 2 1 1 1 1
RUSNI 3 16/9/1972 6 3 1 1 1 1

No.
18 LD. ARDIN 1 1/7/1981 4 5 1 1 1 1
SUNARTI 2 1/7/1978 6 3 1 1 1 1
LD. MARDAN 3 1/7/2003 1 1 1 1
WD. WELDAN 3 1/7/2007 1 1 1 1
USMAN 7 1/7/1975 4 5 1 1 1 1
UMAR 7 1/7/1975 4 1 1 1 1
19 HIDAYAT ABBAS 1 1/7/1961 4 5 1 1 1 2

ST. RAHMATIA 2 17/11/1976 4 5 1 1 1 2
AHMAD ALBAYAN 3 21/4/1996 4 1 1 1 2
DITA NAFIRA 3 17/11/1998 4 1 1 1 2
SAHRUL RAMADHAN 3 31/12/2001 2 1 1 1 2
AHMAD AL FALID 3 24/6/2003 1 1 1 2
DINDA RESLIA 3 20/4/2006 1 1 1 2
20 BAETAL 1 1/7/1961 6 6 1 1 1 1
GAHNIAR 2 1/7/1962 3 5 1 1 1 1
BURHANUDDIN 3 16/5/1989 4 1 1 1 1
BADARIA ZULFITRI 3 21/2/1998 4 1 1 1 1
21 LD. JARUDIN 1 31/12/1972 3 5 1 1 1 1

FARID 2 11/2/1969 4 1 1 1 1
WD. FEBRIANI 3 26/12/1996 4 1 1 1 1
LD. ASRUL 3 1/1/2000 2 1 1 1 1
WD. RAHMAWATI 3 11/4/2010 1 1 1 1
22 LD. HAMIN 1 17/2/1968 4 5 1 1 1 2

NURHASANAH 2 4/7/1977 3 5 1 1 1 2
LM. ACHYAR ALFAJRIN 3 11/8/2000 2 1 1 1 2
LM ALFHAD JIRAN 3 18/8/2004 1 1 1 2
WD. REHAN 3 6/9/2005 1 1 1 2
WD. WADAN 3 12/8/2006 1 1 1 2

No.
23 WD. SALMA 1 1/7/1958 3 3 1 1 1 1
WD. NURHIYAL ULYA 3 29/11/1975 4 3 1 1 1 1
LD. SUAR ULHAQ 3 27/7/1987 6 1 1 1 1
LD. ZIKRULLAH 3 27/2/1990 4 1 1 1 1
WD. NURIYAT NURBADIYAH 3 22/6/1992 4 HONOR 1 1 1 1
MUH. AWALUDDIN 1 6/1/1981 4 6 1 1 1 1

WD. NUR INDAH 2 11/5/1982 4 6 1 1 1 1
AHMAD KANZUL 3 22/2/2012 1 1 1 1 1
24 ARMIN 1 11/5/1977 4 3 1 1 1 1
WD. ISMA DIAN SARI 2 11/5/1983 4 6 1 1 1 1
WD. ANIS HUMAIRA 3 24/5/2004 1 1 1 1
ZUMROTIN 3 11/12/2013 1 1 1 1 1
25 LA ARI 1 31/12/1968 2 1 1 1 2
WD. HERNI 2 31/12/1966 4 3 1 1 1 2
RYAN ARISTIAN 3 1/12/1995 4 1 1 1 2
RISAL ARISTIAN 3 6/5/2001 3 1 1 1 2
26 LM. ARSYAD 1 28/2/1975 6 6 1 1 1 1

DEWI YANA 2 13/3/1977 4 1 1 1 1
WD. ARSETHYA DHEANSARI 3 30/4/2001 2 1 1 1 1
LD. WINANDAR ADYA 3 28/4/2003 1 1 1 1
WD. MHERDINA 3 28/3/2012 1 1 1 1 1
27 LD. SUFRIN 1 31/12/1972 4 3 1 1 1 1

EMILIA 2 8/4/1974 6 3 1 1 1 1
LM. AGIFA 3 1/6/2001 2 1 1 1 1
ALFIAN 3 30/1/2006 1 1 1 1
28 WD. MUSFIA 1 1/2/1943 2 1 1 1 1 1

WD. FITRIANTI 3 1/7/1987 6 1 1 1 1 1

No.
LD. JOHAR 1 31/12/1970 4 3 1 1 1 1
WD. RISNAYATI 2 7/6/1983 4 HONOR 1 1 1 1
LD. HENDRAWAN 3 26/4/2004 1 1 1 1
LD. RAYHAN 3 6/9/2005 1 1 1 1
WD. ELYZABETH DALILA 3 19/10/2014 1 1 1 1 1
29 MUSNAWIR UFI 1 23/6/1978 4 3 1 1 1 2

ASNIAR 2 29/8/1983 4 1 1 1 2
WINI ZAHARA PUTRI 3 10/4/2005 1 1 1 2
IZAN 3 20/6/2009 1 1 1 2
30 ARIFIN NAANE 1 25/6/1955 4 3 1 1 1 1

ASTUTI 2 20/4/1960 4 6 1 1 1 1
ISAL 3 1/7/1987 1 1 1 1
AAN 3 1/7/1998 1 1 1 1
RAMLIANTO 1 24/6/1982 4 3 1 1 1 1
ERLIS ARIFIN 2 19/6/1985 4 1 1 1 1
FINATHIN 3 27/9/2008 1 1 1 1
WAHDATUL JANNAH 3 29/9/2014 1 1 1 1 1
31 JANUR 1 1/3/1900 4 3 1 1 1 1
NURMIN ARIFIN 2 16/6/1983 4 1 1 1 1
32 HIRANI 1 31/12/1952 2 1 1 1 1
JASMIN 7 26/6/1982 4 3 1 1 1 1
NUNUNG 7 24/3/1989 4 3 1 1 1 1
HASLINDA 7 24/3/1995 4 1 1 1 1

No.
RONALDY KAREL 1 24/8/1979 4 3 1 1 1 1
ENI LD. JAPA 2 15/3/1978 6 6 1 1 1 1
LISNAWATI 3 19/9/2006 1 1 1 1
MUH. AKBAR 3 24/1/2008 1 1 1 1
NADWAH 3 22/4/2011 1 1 1 1
ALKAYAT 3 26/6/2014 1 1 1 1 1
33 SATTAR 1 31/12/1972 3 5 1 1 1 2
MARLINA RAHMAT 2 25/4/1976 4 1 1 1 2
MELSI APRIYANTI 3 13/9/1998 4 1 1 1 2
M. ZAKIR HASAN 3 4/4/1995 3 1 1 1 2
M. IZQRA AZHARA 3 25/12/2004 1 1 1 2
AZHAMZA 3 11/8/2007 1 1 1 2
AMORA 3 5/2/2011 1 1 1 2
AIRA 3 16/8/2014 1 1 1 1 2
34 SUWITNO 1 22/6/1962 4 3 1 1 1 2
WD. MUSNIA 2 10/9/1972 4 3 1 1 1 2
DEDIANTO SUWITNO 3 17/7/1997 4 1 1 1 2
RAMADANI SUWITNO 3 1/7/2000 2 1 1 1 2
35 SUHARIADI 1 3/9/1979 4 6 1 1 1 1
NURSIAH 2 13/9/1981 3 1 1 1 1
SELTI APRILIA 3 30/4/2001 1 1 1 1
MUH. HAMRIN 3 16/10/2002 1 1 1 1
FAHRIL EDWAR 3 7/3/2006 1 1 1 1
MAULIDYA 3 16/3/2009 1 1 1 1
36 RASID SJAFRIN 1 15/6/1976 6 3 1 1 1 1

ASRI MUCHTAR 2 15/7/1978 4 1 1 1 1
MUH. IKMAL 3 9/2/2010 1 1 1 1
ST. BUNAYAH SHAFWAH 3 1/6/2012 1 1 1 1 1
ST. BUNAYAH AUWALIYAH 3 26/7/2014 1 1 1 1 1

No.
37 LD. HARIS 1 12/2/1972 2 3 1 1 1 1
WD. SITINA 2 10/7/1969 3 1 1 1 1
WD.ISMAWATI 3 4/4/1994 4 1 1 1 1
LD. FIRDAN 3 21/12/1996 1 1 1 1 1
LD. HARLAN 3 24/7/1998 1 1 1 1 1
WD. SUHARWATI 3 17/8/2000 2 1 1 1 1
38 JAMALUDDIN 1 28/8/1977 4 3 1 1 1 1
DARSIA 2 15/7/1978 3 6 1 1 1 1
AMELIA 3 1/7/2002 2 1 1 1 1
RIFQAH 3 13/11/2006 1 1 1 1

No.
1 SAIFULLAH. ST 1 7/8/1976 6 5 1 1 1 1
WD. NURFINA SUHA 2 21/5/1976 6 1 1 1 1
IMRAH ISHAMIYAH 3 13/9/2007 1 1 1 1
FATIKA DZALULIYAH 3 20/10/2010 1 1 1 1
ANDINI 3 31/1/2016 1 1 1 1 1 1 1
WD. NURFALINA SUHA 7 20/7/1974 4 6 1 1 1 1
WD. NURHAYATI 6 8/2/1946 6 1 1 1 1
2 SAMNA 1 1/7/1949 2 1 1 1 2
JALAL HEHANUSA 3 8/8/1988 2 2 1 1 1 2
3 TAKDIR 1 31/12/1990 3 2 1 1 1 2
WA ITA 2 1/5/1992 3 1 1 1 2
SUCI SALBILA 3 24/9/2012 2 1 1 1 2
4 NASIHU 1 12/6/1957 3 3 1 1 1 2
WA ONI 2 15/7/1960 3 1 1 1 2
NASIR 3 1/7/1996 3 1 1 1 2
ALIMIN 3 1/7/1998 3 1 1 1 2
ASINA 3 13/7/1999 3 1 1 1 2
ILMAN 3 13/8/2002 2 1 1 1 2
5 LA WADA 1 1/7/1959 3 3 1 1 1 2
WA OWU 2 1/7/1960 3 1 1 1 1 2
HAMZAH 3 24/11/1988 4 3 1 1 1 2
HASIM 3 25/7/1989 4 3 1 1 1 2
6 SAHRIL 1 26/12/1984 4 3 1 1 1 1
ROSLIANI 2 17/12/1991 4 1 1 1 1
FAIZHA NUR ANDRIANI 3 28/3/2011 1 1 1 1
NUR ASYIFATUL ZAHRA 3 14/3/2013 1 1 1 1 1

No.
7 H. UDIN 1 1/5/1956 6 6 1 1 1 2
WD. NUR HANI 2 18/8/1960 6 6 1 1 1 2
NURDIN 3 15/11/1988 6 3 1 1 1 2
AGUS RAHMAD 3 20/8/1996 4 1 1 1 2
ARWIN 7 12/5/1983 4 1 1 1 2
8 USTANTO 1 3/4/1976 2 3 1 1 1 2
FIANI 2 19/5/1978 4 3 1 1 1 2
MUH. HENDI YANATO 3 11/9/1999 3 1 1 1 2
ST. NUR ARIMBI 3 13/3/2000 2 1 1 1 2
SRI RENI AMBARANI 3 22/4/2004 1 1 1 2
9 LA MIDI 1 25/6/1981 2 4 1 1 1 1
NURBIANTI 2 25/8/1978 4 3 1 1 1 1
ERWIN SRIWAHYUNI 3 7/8/1998 4 1 1 1 1
MUH. AZWAN 3 9/9/1999 2 1 1 1 1
MUH. ADITYA 3 29/9/2003 1 1 1 1
DWI ANGRAINI 3 18/6/2006 1 1 1 1
10 AABE 1 1/6/1960 4 1 1 1 2
DIDIN WAHYUNI 3 12/12/1994 3 3 1 1 1 2
MERLIN YANTI 3 12/12/1996 2 1 1 1 2
11 WA UDU 1 31/12/1954 2 2 1 1 1 2
SAHRIFAIN 2 26/9/1981 4 4 1 1 1 2
ANDRIYANI 3 1/7/1986 4 1 1 1 2
ADE YUHIARTI 3 24/6/1991 4 1 1 1 2
LYLA FEBRIANTI 3 31/12/1994 4 1 1 1 2
12 WA AINTE 1 1/7/1955 2 1 1 1 1 1
ARDIANTO 3 1/7/1995 3 4 1 1 1 1

No.
13 LD. NAANE 1 31/12/1962 3 3 1 1 1 2
NURIATI AKO 2 31/12/1962 3 1 1 1 2
JUMADIN 3 11/8/1994 4 3 1 1 1 2
ERWIN 3 27/1/1997 4 3 1 1 1 2
WD. NURAENI 3 17/5/2004 1 1 1 2
LD. SOFYAN 3 1/12/2007 1 1 1 2
AFIFA RAMADHANI 3 20/8/2006 1 1 1 2
NUR SAFIAWATI 3 29/11/2011 2 1 1 1 2
14 NANANG 1 7/8/1981 4 2 1 1 1 1
ROSIDA NIDI 2 6/4/1973 4 2 1 1 1 1
ABD. RAHMAN 3 9/9/1993 4 1 1 1 1
AGUNG SUPRIYANTO 3 22/2/2004 1 1 1 1
RASYID GUNAWAN 3 29/4/2008 1 1 1 1
15 MARDAN 1 5/7/1991 4 4 1 1 1 1
YUSRI 2 19/2/1992 4 1 1 1 1
AYNUN 3 8/12/2012 1 1 1 1 1
16 SANDI SAMSUL 1 10/7/1986 3 4 1 1 1 2

SAFARIDA 2 19/11/1989 3 1 1 1 2
FATMAWATI 3 29/7/2008 1 1 1 2
ISRAFIL FARSA 3 12/10/2011 1 1 1 2
SYAFIRA FARSA 3 30/11/2013 1 1 1 2
17 LAIRIA 1 31/12/1961 3 3 1 1 1 2
ASNA. T 2 19/10/1964 3 2 1 1 1 2
JEFRI 3 5/5/1981 4 4 1 1 1 2
IRFAN 3 17/4/2001 2 1 1 1 2

No.
18 LD. ARIFU 1 18/5/1947 2 3 1 1 1 1
WD. NUR IDA 2 15/2/1970 2 2 1 1 1 1
LD. AHMADI 3 18/2/1996 3 3 1 1 1 1
LM.KADIR 3 15/12/1998 3 1 1 1 1
WD. NUR FADILA 3 19/7/2010 1 1 1 1
19 HAAZI 1 1/7/1958 4 3 1 1 1 2
NARNI 2 7/5/1971 4 4 1 1 1 2
HASMIN 3 7/6/1992 4 1 1 1 2
FAHRIN 3 23/11/1995 3 1 1 1 2
MURSALIM 3 28/11/2003 1 1 1 2
20 LA SAINI 1 31/7/1956 2 4 1 1 1 1
WD. RIANA 2 15/5/1973 4 1 1 1 1
SIDI SARWANI 3 24/2/2003 1 1 1 1
SANDRI KIRANA 3 14/2/2006 1 1 1 1
21 LD. SALIM 1 24/2/1987 4 4 1 1 1 1

FARLIN 2 17/4/1992 4 1 1 1 1
LM. AL HAFIZ 3 6/11/2011 1 1 1 1 1
LM.SAFRIN 3 2/11/2012 1 1 1 1 1
WD. KESYA SANASSA 3 6/7/2014 1 1 1 1 1
22 LD. ADNAN 1 31/12/1962 4 3 1 1 1 2

NURIATI 2 31/12/1969 4 2 1 1 1 2
CITRA AYUSHOLAWATI 3 18/12/1994 4 1 1 1 2
LD. MUH. NURUL. T 3 27/7/1999 3 1 1 1 2
WD. PUPUT LUTRIANI 3 14/3/2000 2 1 1 1 2
IBAIDIL 3 9/11/2003 1 1 1 2
LD. BAYNUN IBNU 3 13/9/2005 1 1 1 2

No.
23 NURSIA 1 1/7/1949 2 2 1 1 1 2
LD. MARZAM 3 1/7/1991 3 4 1 1 1 2
24 THE TEK HOA 1 17/3/1958 4 5 1 1 1 1

TONG FUI KING 2 15/6/1963 4 5 1 1 1 1
ARIFIN SEPTIAN THE 3 19/10/1995 3 1 1 1 1
IMELDA THE 3 17/1/2001 2 1 1 1 1
25 LD. AFIDI 1 12/12/1952 4 3 1 1 1 1

WD. NASIMA 2 19/9/1952 4 3 1 1 1 1
WD. NOVIANTI 3 30/3/1993 5 1 1 1 1
26 WD. HAKIMA 1 31/12/1955 2 2 1 1 1 1

WD. NURFADILA 3 8/8/2003 1 1 1 1
27 LD. HARIANTO 1 20/10/1977 1 1 1 1

WD. SAMSIAR 2 9/11/1982 1 1 1 1
WD. FITRIANI 3 27/12/2000 1 1 1 1
LD. MALIK MULKI 3 15/3/2003 1 1 1 1
28 ZUANI BOLO 1 1/7/1950 1 1 1 2

BUDIMAN LA BAE 3 11/7/1987 1 1 1 2
ARDIN LA BAE 3 28/9/1989 1 1 1 2
DEWI LA BAE 3 15/10/1991 1 1 1 2
LENI LA BAE 3 18/10/1999 1 1 1 2
29 LD. MARDIN 1 20/3/1979 1 1 1 2

MULIANI 2 25/4/1975 1 1 1 2
WD. MARDIANI 3 31/12/2008 1 1 1 2
LD. AHMAD SALAM 3 8/5/2013 1 1 1 1 2

No.
30 SUDIN ANCE 1 31/12/1951 1 1 1 2
NASIA 2 18/1/1954 1 1 1 2
NENGSI 3 24/2/1987 1 1 1 2
FENTI 3 1/11/1989 1 1 1 2
31 LA NUSURI 1 20/6/1984 1 1 1 2
MUSMIN 2 13/5/1984 1 1 1 2
ARINI 3 6/8/2010 1 1 1 2
MUH. AFWAN 3 7/9/2012 1 1 1 1 2
32 RONI, S.Pd 1 14/9/1981 6 3 1 1 1 1

ALFIANI SAID 2 10/5/1984 6 1 1 1 1
AZKIA JA'ARIYAH 3 3/2/2007 1 1 1 1
AINUN MARDIAH JA'ARIYAH 3 12/12/2009 1 1 1 1
ANISA JA'ARIYAH 3 7/7/2012 1 1 1 1 1
33 ASMN ATA 1 12/10/1973 4 2 1 1 1 2

AZIZA 2 6/8/1975 4 1 1 1 2
REZA ATMANUR 3 1/7/2002 2 1 1 1 2
MUH. RIFAYAT MANUR 3 11/2/2004 1 1 1 2
NASYA NURUL FATMA 3 9/11/2008 1 1 1 2
34 ABDUL WAHAB RAIF 1 6/2/1975 6 3 1 1 1 2

SURIFANA 2 27/1/1979 6 1 1 1 2
IRSYAD FAUZAN 3 12/2/2004 1 1 1 2
BULAN MEI 3 3/5/2010 1 1 1 2
35 ZAMILI 1 10/2/1970 4 3 1 1 1 2
SUHAENI 2 8/3/1972 4 3 1 1 1 2
YENI NURUL AENI 3 7/9/1999 4 1 1 1 2
YUSRAN RAMADHAN 3 21/9/2002 1 1 1 2

No.
36 ANDRI TENGGONO 1 9/7/1961 4 5 1 1 1 2
ANGELINA LIEM 2 24/9/1968 4 5 1 1 1 2
YULIUS TENGGONO 3 13/5/1993 4 1 1 1 2
NOVIA TENGGONO 3 7/12/1996 4 1 1 1 2
NATALIA TENGGONO 3 12/11/1997 4 1 1 1 2
37 LD. AFIDI 1 12/12/1952 4 3 1 1 1 2

WD. JAWARIA 2 17/3/1967 4 3 1 1 1 2
WD. NUR AULIA PUTRI 3 28/3/2005 1 1 1 2
38 EDI SUHU 1 18/8/1973 4 3 1 1 1 2

SALMI 2 6/2/1975 4 3 1 1 1 2
ELSA AGUSTINA 3 5/8/2000 3 1 1 1 2
WAHYU PRASETYO 3 226/10/2002 2 1 1 1 2
ZULKIFLI 3 2/1/2005 1 1 1 2
39 ROBIN 1 23/5/1975 3 3 1 1 1 2
JAMALIA 2 23/12/1973 3 3 1 1 1 2
ASDIKA ZAIN 3 28/2/2002 1 1 1 2
SANDRA GITA 3 14/1/2006 1 1 1 2
40 SAHIRUDIN 1 10/12/1958 4 3 1 1 1 1
BAJA 2 10/5/1955 4 6 1 1 1 1
41 HASNIA 1 18/4/1976 2 3 1 1 1 2
LM. SAWALUDDIN 2 25/4/1994 3 1 1 1 2
AHMAD RIFADIL 3 7/9/2007 1 1 1 2
ASMA 7 17/1/1987 4 1 1 1 2
42 LD. SAFRIN 1 4/6/1989 3 3 1 1 1 1

ADE ROSMALINA 2 23/6/1991 4 1 1 1 1
WD. AZARA 3 29/9/2011 1 1 1 1
WD. NAZWA APRILIA 3 19/4/2013 1 1 1 1
No.
43 LD. MUH. YUSUF 1 15/7/1980 4 3 1 1 1 2
HASRIA 2 15/1/1984 4 1 1 1 2
LD. MUH. NABIL 3 14/4/2006 1 1 1 2
WD. NAILA ADELIA 3 16/4/2011 1 1 1 2
44 JUFRIN 1 2/5/1991 3 3 1 1 1 2
YUSNIYA 2 8/3/1987 4 1 1 1 2
ASIFA JULIANTI 3 16/7/2011 1 1 1 2
M. FAUZAN RAMADHAN 3 8/7/2013 1 1 1 1 2
45 ERFAN 1 22/2/1988 3 3 1 1 1 2
RAMAYANTI 2 31/12/1987 3 1 1 1 2
AMELIA 3 5/7/2007 1 1 1 2
46 ARIFIN 1 23/12/1975 4 4 1 1 1 2
SALMAWATI 2 23/12/1975 4 1 1 1 2
ELWIN CHRISTIAN 3 23/12/1999 2 1 1 1 2
CHELSEA ARIFIN 3 28/12/2005 1 1 1 2
47 YUSUF LATIF 1 20/6/1972 4 3 1 1 1 2

NURIANI AMBAI 2 8/4/1969 6 6 1 1 1 2
ANDI DARWIS 3 31/12/2009 1 1 1 2
INDA RAHAYU 3 28/1/2002 1 1 1 2
48 HASNA 1 31/12/1968 3 1 1 1 2
IKI KRISTIAWAN 3 24/1/1994 4 3 1 1 1 2
49 ARIS 1 10/2/1987 3 3 1 1 1 2
NURLIN 2 12/4/1984 3 1 1 1 2
REVALINA ADESTIA 3 15/7/2007 1 1 1 2
FARA 3 16/7/2013 1 1 1 1 2

No.
50 HIDAYAT 1 18/8/1989 3 3 1 1 1 1
FEBIYANTI 2 7/12/1991 4 1 1 1 1
MESYA NURHIDAYAT 3 9/5/2011 1 1 1 1
51 LA ENE 1 12/12/1967 5 6 1 1 1 2
SAHNIYA 2 12/12/1958 5 6 1 1 1 2
NELFIN WULANDARI 3 21/7/1992 4 1 1 1 2
NIATRI IYET 3 22/2/1997 4 1 1 1 2
YELFAN YEGA 3 26/4/2000 2 1 1 1 2
SALIM 7 22/2/1992 4 3 1 1 1 2
52 SULIA 1 1/7/1955 3 3 1 1 1 2
ELVINA ABDUL GANI 3 9/7/1988 6 3 1 1 1 2
ISMAIL ABDUL GANI 1 1/10/1980 4 3 1 1 1 2

YULIANI 2 10/2/1992 4 3 1 1 1 2

No.
1 LD. SAADI 1 31/12/1943 3 3 1 1 1 2
WD. SARSINA 2 31/12/1946 3 3 1 1 1 2
2 SUWARDIN 1 1/7/1964 4 6 1 1 1 2
WD. NURMIN 2 31/12/1966 4 1 1 1 2
NURUL MUSLIMAT 3 21/3/1990 1 1 1 2
FIRMAN ISMAIL 3 8/6/1992 1 1 1 2
3 NURYANA 1 31/12/1946 4 6 1 1 1 2
ASRIN 3 4/12/1972 2 3 1 1 1 2
NUR INSAN 3 2/10/1979 6 1 1 1 2
4 LD. RIDWAN 1 31/12/1952 4 3 1 1 1 2

WD. RITA 2 31/12/1956 4 1 1 1 2
WD. NURMALA 3 1/7/1990 4 1 1 1 2
WD. SINTA KIRANA 3 10/11/2005 1 1 1 2
HJ. WD. RIJNA 6 1/7/1937 1 1 1 2
5 LA HIJA 1 1/7/1967 4 5 1 1 1 2
WA ROHANI 2 1/7/1970 2 1 1 1 2
HASRIJANTI 3 8/7/1990 6 1 1 1 2
IRFAN 3 15/8/1991 6 1 1 1 2
SUPRIADIN 3 19/8/1996 4 1 1 1 2
FITRIYANTI 3 6/11/2000 2 1 1 1 2
6 LA HINDA 1 1/7/1954 2 3 1 1 1 1
NINGSIH 3 11/11/1993 5 1 1 1 1
TIANSI 3 6/8/1997 4 1 1 1 1

No.
7 LD. HASRUN 1 29/9/1982 4 6 1 1 1 1
RUSNI 2 10/10/1979 4 1 1 1 1
WD. NASRA 3 25/2/2011 1 1 1 1
LD.PUTRA 3 15/10/2014 1 1 1 1 1
8 LD. WADJA 1 1/4/1945 4 3 1 1 1 2

WD. MARYAM 2 1/7/1944 3 1 1 1 2
9 LD. ABDUL WAHAB 1 13/6/1976 4 3 1 1 1 1

WD. NURMIN 2 19/6/1985 6 1 1 1 1
WD. ARNISA 3 12/5/2009 1 1 1 1
WD. MULYANA 3 3/11/2010 1 1 1 1
10 SAALUDIN 1 12/12/1976 4 3 1 1 1 2
ASIATI 2 31/12/1977 4 3 1 1 1 2
SYARIF 3 1/7/2004 1 1 1 2
FARID 3 12/6/2006 1 1 1 2
DENIS 3 25/7/2009 1 1 1 2
SILVA 3 10/6/2013 1 1 1 1 2
11 IMRAN 1 7/8/1976 6 3 1 1 1 2
AINUN 2 4/2/1984 4 1 1 1 2
12 SARIY 1 1/7/1943 4 1 1 1 1
BUDI 3 31/12/1981 6 3 1 1 1 1
AZRINA 7 7/10/1985 3 1 1 1 1
13 MANSUHU 1 5/1/1978 4 3 1 1 1 2
YUNI OWO 2 26/11/1980 6 6 1 1 1 2
NUR SALSA DILA 3 10/6/2003 1 1 1 2
DWI WULANDARI 3 18/8/2005 1 1 1 2
MARSYA SRI RAHAYU 3 11/7/2007 1 1 1 2
PUTRI ANJANI 3 3/9/2009 1 1 1 2

No.
14 LD. SIRAJUDDIN. A 1 31/12/1946 4 3 1 1 1 1
WD. ZAMUMA 2 31/12/1969 4 1 1 1 1
APRIANA 3 6/4/1997 3 1 1 1 1
AMALIATI 3 16/6/2002 2 1 1 1 1
MUSLINA 3 20/9/2005 1 1 1 1
15 ASMA 1 31/12/1963 2 3 1 1 1 1
ST. HAJAR 3 2/6/1993 4 1 1 1 1
16 KAMALUDDIN 1 1/7/1955 4 6 1 1 1 1
ZULIMA 2 20/5/1957 4 6 1 1 1 1
WYNDA NARVIDA 3 12/11/1990 5 1 1 1 1
NASTA 3 12/7/1993 6 1 1 1 1
17 WA ANI 1 12/12/1947 3 3 1 1 1 2
WD. ST. HAWA 7 3/7/1994 4 3 1 1 1 2
18 ZULBAHRI 1 26/4/1966 6 3 1 1 1 2
HUSNIA TARMIN 2 5/5/1975 4 6 1 1 1 2
MUH. ZEIN KASIMPA 3 22/7/1997 3 1 1 1 2
ST. HAWA MEULINIA 3 4/11/2000 2 1 1 1 2
19 SYAHRUDDIN, S.Pd 1 1/7/1960 6 6 1 1 1 1

WD. RUSIANI, AMK 2 8/6/1961 5 6 1 1 1 1
SYARDI, S.Pd 3 15/10/1987 6 6 1 1 1 1
WENI APRIYESTI, AMD. KEB 3 17/4/1990 6 6 1 1 1 1
20 LD. AMALUDDIN 1 3/5/1987 2 3 1 1 1 2

SAMSIYA 2 30/10/1990 3 1 1 1 2
WD. ALIFA AMIATUL 3 18/6/2007 1 1 1 2
LM. AZAM 3 2/11/2012 1 1 1 1 2

No.
21 LA RIO 1 6/1/1974 4 3 1 1 1 1
MULIATI 2 5/7/1972 4 3 1 1 1 1
22 TRISNA 17/3/1992 3 3 1 1 1 2
DINDA VALENITA 13/2/2010 1 1 1 2
YUSRIN 17/10/1997 3 1 1 1 2
23 DAHLAN 1 2/7/1981 4 4 1 1 1 1
MINARNI 2 14/2/1985 3 3 1 1 1 1
RIDWAN 3 3/3/2003 1 1 1 1
NANDAR 3 3/10/2011 2 1 1 1 1
24 LA BOOLO 1 31/12/1949 4 3 1 1 1 2
HANIA 2 1/7/1950 3 1 1 1 2
25 YURNI 1 1/1/1975 4 3 1 1 1 2
ARDIANSAH 3 15/2/1995 3 1 1 1 2
REDITA 3 1/7/2001 2 1 1 1 2
MELANI 3 31/12/2005 1 1 1 2
26 FIRMAN NIUS 1 10/2/1977 6 3 1 1 1 2

SARNI 2 12/11/1977 4 1 1 1 2
MUH. FAUZAN 3 28/4/2009 1 1 1 2
AYESHA 3 11/2/2012 1 1 1 1 2
27 WA IBA 1 31/12/1959 2 3 1 1 1 2
ERVINA 3 5/6/1987 4 1 1 1 2
28 ALIMUDDIN 1 1/7/1974 4 3 1 1 1 1
RASIDA 2 31/12/1976 4 1 1 1 1
MULYANA 3 24/5/1997 3 1 1 1 1
AGIL SAPUTRA 3 24/9/2011 1 1 1 1 1
No.
29 HERLIN 1 31/8/1984 4 4 1 1 1 1
SRIYANTI 2 1/8/1992 4 1 1 1 1
FAKILA SAPUTRI 3 24/9/2013 1 1 1 1 1
30 ERWIN 1 20/2/1987 2 3 1 1 1 2
ANDRIYANI 2 1/12/1984 3 1 1 1 2
SYABIL 3 31/12/2013 1 1 1 1 2
31 LA IYZU 1 1/3/1943 2 4 1 1 1 2
RUSLI 3 1/7/1983 4 3 1 1 1 2
32 SARUDIN 1 31/12/1968 4 4 1 1 1 2
MARIYATI 2 10/5/1980 2 1 1 1 2
FARDIYANSYAH 3 20/5/2007 1 1 1 2
33 ALIMIN 1 30/9/1967 6 4 1 1 1 2
WD. KARTINA 2 7/4/1971 4 1 1 1 2
MARLINA 3 5/2/1993 4 1 1 1 2
NUR WAHYU 3 20/5/2004 1 1 1 2
DINA AYUSTIN 3 30/3/2011 1 1 1 2
MARWAH 3 25/6/2012 1 1 1 1 2
34 ALIMIN 1 31/12/1971 4 4 1 1 1 2
MARWIAH 2 6/6/1975 4 1 1 1 2
DELIYANA 3 10/4/1996 4 1 1 1 2
DEVI AGUSTIN 3 8/8/1997 3 1 1 1 2
RISMA 3 21/3/2003 1 1 1 2
KIKI VAKRIYA 3 3/7/2009 1 1 1 2
No.
35 RINANG 1 29/12/1962 4 3 1 1 1 2
MUHAMIYA 2 12/8/1973 4 3 1 1 1 2
MUHARIFAL IZA 3 4/4/1994 4 1 1 1 2
ZAITUL BAHDU 3 23/9/1995 4 1 1 1 2
MIAR SATRAWILA 3 28/8/2000 2 1 1 1 2
NUR FATIN CITRA 3 29/7/2006 1 1 1 2
INSANUKAMIL 3 26/3/2013 1 1 1 1 2
36 LD. RAHMAN 1 14/4/1972 4 6 1 1 1 1

DAMAYANTI 2 1/7/1975 3 1 1 1 1
LM. ALFIAN 3 12/7/1998 3 1 1 1 1
LM. HAFIZAN 3 10/6/2001 2 1 1 1 1
WD. FIFIN DWI AGUSTIN 3 2/8/2000 2 1 1 1 1
WD. FIYEL NUR SAKINA 3 23/10/2005 1 1 1 1
37 AZWAR,S.PD 1 22/12/1979 6 6 1 1 1 1
RUSLIA PEGE, AMKL 2 7/11/1978 5 6 1 1 1 1
GHINA NAIRA 3 9/12/2008 1 1 1 1
AURA KAISYYA 3 29/7/2011 1 1 1 1
38 LA ANE 1 2/10/1967 4 3 1 1 1 1
MUSNILA 2 2/1/1967 4 1 1 1 1
FIRMAN 3 21/6/1980 4 3 1 1 1 1
YULIANTI SINO 3 26/1/1985 3 1 1 1 1
FIRSAN PRATAMA 3 15/7/2009 1 1 1 1
39 AHMAD RUSAMSI 1 1/1/1965 4 3 1 1 1 2
SAMRIYA 2 9/7/1970 4 1 1 1 2
SEPTIANI ACHMAD 3 28/9/1994 3 1 1 1 2
MUH. RIDHO 3 28/9/2009 1 1 1 2

No.
40 HALISI 1 31/12/1968 3 3 1 1 1 2
ASTIA 2 31/12/1971 4 3 1 1 1 2
ASRIYANTI HALISI 3 26/6/1993 4 1 1 1 2
ADRIYAN 3 26/11/1994 4 1 1 1 2
HARLINI 3 16/4/1997 4 1 1 1 2
RUSLAN 3 14/10/2002 2 1 1 1 2
41 AMINUDDIN 1 18/8/1969 4 3 1 1 1 2
WA LINA 2 2/6/1980 4 1 1 1 2
PUTRA 3 28/6/2005 1 1 1 2
AURA 3 17/7/2011 1 1 1 2
42 PUJONO 1 31/12/1956 4 3 1 1 1 1
SALMA 2 29/7/1956 4 6 1 1 1 1
TRIYONO BUDYATMA 3 26/2/1995 4 1 1 1 1
43 TASLIM 1 31/12/1977 4 3 1 1 1 1
NUR FITRIA 2 1/7/1986 4 1 1 1 1
44 SUYONO ADYATMA 1 12/12/1989 4 3 1 1 1 2

MARIANA 2 16/2/1989 4 1 1 1 2
NUR RAHMANIAR 3 21/3/2012 1 1 1 1 2
PUTRA 3 30/11/2014 1 1 1 1 2
45 RUSLIN 1 31/12/1959 4 3 1 1 1 1
HASRA. N 2 31/12/1959 6 6 1 1 1 1
AHMAD RUSMAYANTO 3 28/3/1989 6 3 1 1 1 1
HERTI SARIYANTI 3 5/1/1991 5 1 1 1 1
YANI MEYSTA 3 2/5/1993 5 1 1 1 1

No.
46 LD. ABDUL RAHIM 1 31/12/1971 2 4 1 1 1 2
WAPOE 2 15/7/1972 3 3 1 1 1 2
LD. RAHMAD 3 1/7/1991 4 6 1 1 1 2
LD. HENDRIK 3 12/12/1994 4 1 1 1 2
WD. RATI 3 21/6/2003 1 1 1 2
47 USMAN 1 8/4/1970 4 6 1 1 1 1
NUSRIAN 2 1/7/1959 6 6 1 1 1 1
NUR REZKI AMELYA 3 24/11/1994 5 1 1 1 1
NUR FATMAWATI 3 30/11/1996 4 1 1 1 1
PUTRI SRI OKTAVIAN 3 15/10/1999 3 1 1 1 1
ST. NUR HAEDAN 3 28/11/2001 2 1 1 1 1
48 LD. MANSUR TAYEB 1 2/6/1972 4 4 1 1 1 1

SALMIATI 2 9/7/1977 4 1 1 1 1
LM. FAHRUL HISYAM 3 27/8/2000 1 1 1 1
WD. SYEILA ASMI 3 29/1/2004 1 1 1 1
49 AMALUDDIN 1 1/1/1968 3 3 1 1 1 2
ANIYATI 2 12/7/1971 4 1 1 1 2
ALUN 3 17/10/1995 4 1 1 1 2
IRSAN 3 3/1/2005 1 1 1 2
VANI 3 5/7/2013 2 1 1 1 2
50 AMILUDDIN 1 31/12/1961 4 3 1 1 1 2
MARIA 2 23/3/1963 4 1 1 1 2
IDRIS 3 31/12/1989 4 1 1 1 2
ASTUTI SARI 3 10/8/1993 4 1 1 1 2
AMIRULLAH 3 2/2/1998 3 1 1 1 2
ASRULLAH 3 2/2/1998 3 1 1 1 2
ANITA RAHMAWATI 3 4/9/2000 2 1 1 1 2

No.
51 LD. SUPARJO 1 10/2/1981 6 6 1 1 1 1
ARWATI 2 14/3/1987 6 1 1 1 1
ALFIN ADIAKSA 3 13/6/2014 1 1 1 1 1
52 YUSRI 1 3/8/1969 4 6 1 1 1 1
AGUSTINA 2 21/8/1977 4 1 1 1 1
FAJAR INDRAWAN 3 27/10/1998 3 1 1 1 1
FIKRAM DARMAWAN 3 3/8/2000 2 1 1 1 1
FAUSHIA 3 16/12/2004 1 1 1 1
FAHIRA 3 1/4/2011 1 1 1 1

No.
1 LD. ALI KUDUS 1 25/10/1954 3 5 1 1 1 2
ST. RADHIALLAH 2 5/8/1958 3 1 1 1 2
2 SUPRAYETNO 1 9/3/1988 4 5 1 1 1 2
WD. TINA 2 16/6/1981 4 1 1 1 2
3 RISMAN 1 31/12/1976 4 5 1 1 1 2
HASNI 2 10/11/1976 4 1 1 1 2
MUH. IMAN 3 31/12/2000 2 1 1 1 2
ABDUL MUAZ 3 11/7/2004 1 1 1 2
MUH. HOLID 3 17/8/2007 1 1 1 2
MAULANA YUSUF 3 6/11/2010 1 1 1 2
4 HAFID B. SAIMAN 1 8/10/1968 4 6 1 1 1 2

WD. MUSFIA 2 4/9/1969 4 1 1 1 2
MUH. YASIN. S 3 14/6/2007 1 1 1 2
5 LD. MALIHU. R 1 10/10/1946 4 5 1 1 1 1

WD. AMALIA 2 1/7/1949 4 1 1 1 1
LD. AHZAM 3 13/2/1986 6 3 1 1 1 1
WD. HERTINA 3 22/2/1989 6 1 1 1 1
6 NASRUN 1 31/12/1976 4 4 1 1 1 2
SUMARTI 2 31/12/1975 4 3 1 1 1 2
ACING SUMANTRI 3 5/5/1996 4 1 1 1 2
WINUA DWI SAPUTRA 3 29/9/1998 3 1 1 1 2
MUTHIA TRI. R 3 12/2/2001 2 1 1 1 2
SIFA YATUL WAHDANIA 3 14/6/2006 1 1 1 2
KESYA AURA 3 6/12/2008 1 1 1 2

No.
7 HASARUDDIN 1 1/1/1978 4 3 1 1 1 1
MIRA 2 1/1/1974 4 3 1 1 1 1
YANAR 3 1/7/1995 4 1 1 1 1
MUNANDAR ESLAN 3 1/1/1999 1 1 1 1
YAYANG TRIANA 3 10/11/2004 1 1 1 1
ITA ASTUTI 7 26/4/1985 3 1 1 1 1
8 BAHARUDDIN 1 22/12/1972 4 3 1 1 1 1
NUR FITRIA 2 22/11/1981 4 1 1 1 1
FAHSAWAL ZULFIKAR 3 3/6/2003 1 1 1 1
9 RIDWAN LA ADE 1 2/11/1974 6 3 1 1 1 2

WD. MARDIANA 2 24/2/1982 4 3 1 1 1 2
SYAHLUL ALVIQAN 3 25/3/2003 1 1 1 2
SHOLEHA APRILIA 3 10/4/2005 1 1 1 2
DHANWI MARDHANA 3 22/5/2007 1 1 1 2
10 LD. AHMADI 1 7/2/1980 5 4 1 1 1 1

WD. YATI 2 16/6/1981 3 1 1 1 1
LD.AQIL SYUKRILLAH 3 30/12/2002 1 1 1 1
LM. ISHAK ALFATTAH 3 15/4/2004 1 1 1 1
LM HABUL FATUR 3 23/1/2008 1 1 1 1
11 TOTOK YUNARTO 1 15/6/1971 4 6 1 1 1 2

NURMIN 2 27/5/1972 4 6 1 1 1 2
MUH. EKA PAKSI 3 16/5/1997 4 1 1 1 2
MUH. ADZAN MAULID 3 15/7/1998 3 1 1 1 2
MUH. ILWA TRY YUDHA 3 26/6/2001 2 1 1 1 2
SEKAR WELYA NUR 3 26/11/2004 1 1 1 2
No.
12 SUPARDI 1 1/9/1985 4 3 1 1 1 2
WD. SRI NINGSIH 2 22/8/1989 4 1 1 1 2
MUH. ZIKRAN 3 8/6/2009 1 1 1 2
MUH. WIZRAN 3 4/3/2011 1 1 1 2
13 LD. RAZAK 1 15/5/1970 4 3 1 1 1 1

WD.NURDIANA 2 21/4/1980 4 3 1 1 1 1
WD. HASRIA 3 6/1/1998 3 1 1 1 1
WD. NASRIA 3 6/1/1998 3 1 1 1 1
LD. ARFAN 3 21/2/2002 2 1 1 1 1
WD. DEWITRI 3 13/3/2003 1 1 1 1
14 YUSUF PERE 1 1/7/1974 4 3 1 1 1 2

INDRAWATI 2 10/10/1977 4 1 1 1 2
AYU LESTARI 3 11/7/1995 4 1 1 1 2
HANDI PRADANA 3 10/10/1998 3 1 1 1 2
RIRIN 3 9/10/2002 2 1 1 1 2
SELVI 3 28/9/2004 1 1 1 2
SINDI 3 7/5/2007 1 1 1 2
15 MARFUA 1 1/7/1947 4 3 1 1 1 2
HAMIDA 3 8/5/1980 6 3 1 1 1 2
ASRAM 3 9/12/1969 6 6 1 1 1 2
MAHARAINI 3 27/2/1982 6 3 1 1 1 2
16 AKRIM BAHIRA 1 11/8/1972 4 3 1 1 1 1

DARNA ASIS 2 27/9/1982 4 3 1 1 1 1
MUH. SHUFIFUL RAHMAT 3 11/3/2003 1 1 1 1
MUH. SYARIF HIDAYAT 3 7/3/2005 1 1 1 1
ERLITA FEBRIANA PUTRI 3 12/2/2009 1 1 1 1

No.
17 HASNA 1 1/7/1959 2 3 1 1 1 2
SARINA 3 1/7/1996 4 1 1 1 2
WA DERE 6 31/12/1942 3 1 1 1 2
18 ASIS 1 18/4/1972 4 3 1 1 1 2
WD. NURBAYA 2 16/6/1977 4 1 1 1 2
CANTIKA REGINA PUTRI 3 6/6/2010 1 1 1 2
19 LA MANE 1 14/8/1974 4 3 1 1 1 2
MUIS 3 1/7/1997 4 OJEK 1 1 1 2
AHMAD 3 1/7/1997 4 1 1 1 2
20 SOEKARNO 1 27/8/1937 2 1 1 1 2
HANIA 2 20/7/1940 2 1 1 1 2
ARLIADI 3 15/1/1984 4 3 1 1 1 2
21 LD. AKBAR 1 4/4/1980 4 3 1 1 1 1

RASMIYATI 2 19/2/1986 4 1 1 1 1
REIN ALFA REZEL 3 5/4/2005 1 1 1 1
22 SALEH BAKRI 1 1/7/1952 4 3 1 1 1 2

NURMA 2 1/7/1963 4 1 1 1 2
23 LA UMARA 1 1/7/1934 2 4 1 1 1 2
WA FALI 2 1/7/1940 2 1 1 1 2
YULIANI 1 1/7/1983 4 3 1 1 1 2
M. RIKO 3 10/6/2005 1 1 1 2
24 LA EMU 1 21/10/1945 4 6 1 1 1 2
ZUMUMA 2 31/12/1955 4 1 1 1 2
ELHAM EMU 3 17/6/1982 4 1 1 1 2
MUSRIDA EMU 3 17/7/1986 6 1 1 1 2

No.
25 LA DAI 1 17/8/1972 3 6 1 1 1 1
HARIATI 2 23/3/1975 4 1 1 1 1
DANI NURHAM SAHLU 3 7/4/1994 4 1 1 1 1
NOVERA INDRIYANI 3 10/7/1997 4 1 1 1 1
MUTIARA ZULDESTI 3 5/12/2001 2 1 1 1 1
26 LA SANJI 1 8/4/1968 6 6 1 1 1 1
WD. NASRAH 2 1/9/1972 4 1 1 1 1
ELVIN NUR ANGGRAENI 3 17/8/1994 4 1 1 1 1
AL MUKMIN DICKY 3 25/9/1996 4 1 1 1 1
NUR SERLY COROLINA 3 1/9/1998 4 1 1 1 1
NUR FATMA 3 7/6/2003 2 1 1 1 1
AHMAD RABIL RAZIQUL 3 9/2/2008 1 1 1 1
27 RISLIN 1 14/2/1991 2 4 1 1 1 2
SELVI AGUSNIARA 2 12/8/1994 3 1 1 1 2
ARIYANO RISLIN 1 3/4/1982 6 6 1 1 1 2

ST. SALMAWATI 2 20/10/1982 6 1 1 1 2
MUH. ALIF ZAKWAN 3 15/1/2013 1 1 1 1 2
28 AYUBA 1 1/7/1950 4 3 1 1 1 2
BAABE 2 1/7/1954 4 3 1 1 1 2
29 RATNA 1 14/4/1966 2 3 1 1 1 1
FENDI 3 25/8/1992 4 1 1 1 1
SALMA 3 21/5/1995 3 1 1 1 1
HENDRIK 3 28/3/2001 1 1 1 1
30 LA ADI 1 26/1/1988 4 3 1 1 1 1
FENI ISNAINI 2 9/10/1990 4 1 1 1 1
NUR WIDI KEYSHA 3 2/11/2011 1 1 1 1 1

No.
31 NASARUDDIN 1 31/12/1970 3 3 1 1 1 2
SARSIDA 2 31/12/1969 4 3 1 1 1 2
FERSI SUSANTO 3 20/10/1992 4 3 1 1 1 2
FEBRIYANTO 3 28/12/1993 4 1 1 1 2
FITRIA 3 7/6/1996 4 1 1 1 2
FADLI ANSA 3 9/9/1999 3 1 1 1 2
ARDIANSAH 3 23/1/2001 2 1 1 1 2
SARTIKA 3 21/4/2006 1 1 1 2
ARIF KURNIAWAN 3 16/5/2012 1 1 1 1 2
32 ALFI 1 1/7/1959 2 1 1 1 2
JUSRI MANE 3 7/2/1982 4 3 1 1 1 2
35 MARIONO 1 18/7/1969 4 3 1 1 1 1
FAYNI 2 16/4/1978 4 1 1 1 1
NURMAYANI 3 13/4/2000 2 1 1 1 1
FATMAWATI PRATIWI 3 30/4/2004 1 1 1 1
34 IKHWAN 1 30/10/1984 4 4 1 1 1 1
FATMA 2 15/5/1983 6 1 1 1 1
ASYFA 3 20/5/2011 1 1 1 1
AISYA 3 28/12/2012 1 1 1 1 1
35 LA ONE 1 27/2/1974 5 5 1 1 1 2
SURIATI 2 31/3/1981 4 1 1 1 2
RONAL 3 16/1/2000 2 1 1 1 2
RINI AULIA 3 4/5/2003 1 1 1 2
36 ISWAN MANDOLA 1 1/7/1984 2 3 1 1 1 1

NASRAH WATI 2 16/12/1982 3 1 1 1 1
WAHYUTIKA 3 8/7/2013 1 1 1 1 1

No.
37 ARIFIN 1 1/7/1971 4 3 1 1 1 1
MUSLINA 2 1/7/1984 2 1 1 1 1
M. RIFKI 3 17/3/2005 1 1 1 1
DESRIANTI CLARA 3 3/12/2006 1 1 1 1
NNGSIH SAPUTRI 3 10/7/2009 1 1 1 1
38 MANSYUR AJU 1 4/2/1975 4 3 1 1 1 2

NURFI 2 10/6/1977 4 1 1 1 2
LUFI MANJAWARI 3 24/10/1998 4 1 1 1 2
NURUL ISLAMIYAH 3 29/1/2001 2 1 1 1 2
KHALIK 3 17/4/2004 1 1 1 2
NUR ZAKIAH 3 3/3/2007 1 1 1 2
39 AHMAD SHOLIHIN 1 12/2/1983 4 3 1 1 1 1

WD. ASRIANI 2 6/4/1974 6 3 1 1 1 1
WD. AISAR 7 14/8/1982 2 1 1 1 1
40 SOFYAN SAID 1 9/8/1988 4 3 1 1 1 2

UNIATI 2 18/5/1988 4 1 1 1 2
KAVLA RAMADHAN 3 14/8/2010 1 1 1 2
41 LD. RAHMAD 1 12/12/1984 6 3 1 1 1 1

ST. HAJAR 2 5/8/1987 4 1 1 1 1
WD. ST. ADZAH 3 11/1/2011 1 1 1 1
LM. SAYYID RODHI 3 15/11/2013 1 1 1 1 1
Ket
AKT MAK TM
1 1 2 TIDAK
1 1 1
1 1 1 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1 TIDAK
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 TIDAK
1 1 1
Ket
AKT MAK TM
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1 TIDAK
1 1 1
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1 TIDAK
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1 PHBS
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 2
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1 TIDAK
1 1 1 PHBS
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 2
1 1 2
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 1
1 2 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
Ket
Ket
AKT MAK TM
1 1 1
1 1 2
1 1 2
1 1 1
1 1
1 1
1 1 2
1 1
1 1 2
1 1
1 1
1 1 1
1 1 1
1 1 2
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 2
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 2 1
1 2 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 2
1 2 1
1 2 1
1 2 1
1 2 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 1
1 2 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 2 1
1 2
1 1 2
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 2 1
1 2 2
1 1 2
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
Ket
AKT MAK TM
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 2
1 1 1
1 1 1
1 2 2
1 2 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 2
1 1 2
1 1 2
1 1 2
1 1 2
1 1 2
1 1 2
1 1 2
1 2 2
1 2 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
LINGKUNGAN LIMBO RW 03 / RT 01

No.
1 SURIATI 1 15/8/1970 3 3 1 1 1 2
SARTI 3 15/6/1989 6 6 1 1 1 2
ABDUL HALI 3 18/5/1991 5 1 1 1 2
ST. NURHADIJA 3 17/8/1999 4 1 1 1 2
WA AJO 6 15/3/1956 1 1 1 1 2
ARDI 1 15/6/1987 4 5 1 1 1 2
ARMINA 2 12/6/1988 4 1 1 1 2
CAHYATI 3 27/11/2008 1 1 1 2
ASIFA SAUKIYAH RAMADHAN 3 11/7/2013 1 1 1 1 2
2 ABDUL AZIZ 1 31/12/1945 3 2 1 1 1 1

ROSNIA 2 31/12/1955 3 1 1 1 1
3 NUR MAJID 1 30/4/1979 4 6 1 1 1 1

ASNI DJAMALUDDIN 2 28/10/1981 5 6 1 1 1 1
IKA PUTRI MAHARANI 3 26/6/2007 1 1 1 1
4 DJAMALUDDIN 1 22/10/1955 4 6 1 1 1 2
ZAADA 2 10/4/1958 3 1 1 1 2
SUHARJUN 3 6/6/1994 5 1 1 1 2
5 SUDIN 1 28/10/1977 3 5 1 1 1 2
NURIATI 2 17/8/1971 3 1 1 1 2
DIAN RYSKI 3 13/9/2001 2 1 1 1 2
DIMAN 3 29/4/2003 2 1 1 1 2
DION 3 1/2/2007 1 1 1 2
DIKA 3 31/12/2010 1 1 1 2
No.
6 LA DOMBO 1 31/12/1955 3 3 1 1 1 1
WA AWAO 2 31/12/1960 3 1 1 1 1
AGUS FAISAL 3 18/8/1992 4 1 1 1 1
RAMADHAN 3 25/2/1995 4 1 1 1 1
AMALIA 3 1/2/1998 2 1 1 1 1
7 SYAIFUDDIN 1 16/5/1975 4 3 1 1 1 2
FIFIYANTI 2 1/5/1978 4 1 1 1 2
ADRIAN 3 22/6/1999 3 1 1 1 2
VEBY 3 9/6/2005 1 1 1 2
FAREL 3 28/1/2011 1 1 1 2
8 MASJONI MAALU 1 10/10/1973 4 6 1 1 1 2

EVI FEBRIANTI 2 18/2/1990 4 1 1 1 2
LM. IKRAR FATHUR 3 21/5/2001 2 1 1 1 2
WD. ZAHRA MAULIDYA 3 17/1/2014 1 1 1 1 2
9 LD. ASMAN 1 17/7/1980 6 6 1 1 1 1

WD. HUSNIA 2 20/5/1985 6 6 1 1 1 1
10 LA SIHA 1 5/10/1977 4 5 1 1 1 1
HAMIDA 2 13/8/1974 4 1 1 1 1
MUH.ALI KUDUS 3 8/7/2004 1 1 1 1
AHMAD FADIL KUDUS 3 29/7/2005 1 1 1 1
IBNU FAIZ KUDUS 3 15/9/2009 1 1 1 1
SUCI SALSABILA KUDUS 3 21/8/2011 1 1 1 1
11 KADIR 1 31/12/1963 1 5 1 1 1 1
SARIFA 2 14/5/1962 4 6 1 1 1 1
SYAMSUL EGAR 3 15/5/1991 2 1 1 1 1
IPING 3 20/3/1993 3 1 1 1 1
PIPIT 3 25/5/1985 3 1 1 1 1

No.
12 ZAMUDIN 1 31/12/1953 3 5 1 1 1 2
ELIYANTI 3 5/7/1985 6 1 1 1 2
RENI MUHARNI 3 18/6/1996 5 1 1 1 2
ALDI 3 30/12/2000 2 1 1 1 2
13 LD. RAUF 1 10/8/1993 4 5 1 1 1 2

DESY ALMAN SARI 2 28/12/1994 4 1 1 1 2
14 LD. HANUDIN 1 31/10/1949 4 5 1 1 1 1

WD. SARWA 2 31/2/1951 4 1 1 1 1
LD. SYAIFUDDIN 1 31/12/1990 6 6 1 1 1 1

WD. HUSRIA 2 24/4/1983 6 5 1 1 1 1
15 FERY HARYANTO 1 23/2/1989 4 6 1 1 1 1

WD. HAMIDA 2 19/12/1981 5 1 1 1 1
ALIF 3 30/12/2012 1 1 1 1 1
16 ISWANTO 1 4/4/1979 4 6 1 1 1 1
WD. ZAMLIA 2 26/5/1978 5 1 1 1 1
17 NASARUDDIN 1 28/8/1976 4 6 1 1 1 2
KURNIAWATI 2 15/10/1979 3 1 1 1 2
IMELDA 3 22/7/2005 1 1 1 2
MARSA 3 28/2/2008 1 1 1 2
FERAWATI 3 1/5/2010 1 1 1 2
MUH. FATRAS 3 27/7/2014 1 1 1 1 2
18 LA ARAFA 1 4/11/1966 1 1 1 2
DARIANI 2 9/7/1968 1 1 1 2
MELIYANI 3 25/5/1994 1 1 1 2
RAHMAD RAMADHAN 3 8/12/1999 1 1 1 2
AHMAD MAULIDUN 3 5/4/2008 1 1 1 2

No.
19 NASIR 1 8/8/1972 3 4 1 1 1 2
SURIATI 2 20/11/1974 4 1 1 1 2
RAHMAD HIDAYAT 3 27/1/1998 3 1 1 1 2
IFA HASIATI 3 10/10/2000 2 1 1 1 2
HIJRAN 3 9/9/2003 1 1 1 2
HARLAN 3 4/1/2008 1 1 1 2
20 NASKAH NONCI 1 1/12/1976 4 5 1 1 1 2

YULIATI 2 14/6/1980 4 6 1 1 1 2
NESYA RAMADANI 3 1/8/2011 1 1 1 1 2
21 NAHDATUL NONCI 1 15/5/1987 4 6 1 1 1 1

RAHMATIA 2 31/10/1988 6 5 1 1 1 1
ABI 3 1/8/2014 1 1 1 1 1
LINGKUNGAN RW 0 /RT 0

No.
No.
No.
No.
No.
No.
No.
No.
No.
No.
No.
No.
Ket
AKT MAK TM
1 1 1 TIDAK
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 PHBS
1 1 1
1 1 1 PHBS
1 1 1
1 1 1
1 1 1 TIDAK
1 1 1 PHBS
1 1 1
1 1 2 TIDAK
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 TIDAK
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1 TIDAK
1 1 1 PHBS
1 1 1
1 1 1
1 1 1 PHBS
1 1 1
1 1 2
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1 PHBS
1 1 2
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2 TIDAK
1 1 1 PHBS
1 1 1
1 1 1
1 1 2 TIDAK
1 1 1 PHBS
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1 PHBS
1 1 1
1 1 1
1 1 1 PHBS
1 1 1
1 1 2 TIDAK
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 TIDAK
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
Ket
AKT MAK TM
1 1 2 TIDAK
1 1 1 PHBS
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 TIDAK
1 1 1 PHBS
1 1 1
1 1 1 PHBS
1 1 1
1 1 1
Ket
AKT MAK TM
Ket
AKT MAK TM
Ket
Ket
AKT MAK TM
Ket
AKT MAK TM
Ket
AKT MAK TM
Ket
AKT MAK TM
Ket
AKT MAK TM
Ket
AKT MAK TM
Ket
AKT MAK TM
Ket
AKT MAK TM
Ket
AKT MAK TM

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LINGKUNGAN RUMUH SUSUN BLOK A

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

2 LD. ZYNI 1 31/12/1945 2 5 1 1 1

3 MUH. YUSRAF 1 28/1/1988 4 5 1 1 1

5 SURIADI 1 31/10/1982 4 JUAL IKAN 1 1 1

6 MUHLIS BAILI 1 11/12/1984 5 3 1 1 1

9 LM. DEDI YUSNANTO 1 4/4/1980 4 3 1 1 1

14 LA AMAN 1 15/3/1981 4 tkg. Batu 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

16 T. SUSANTO 1 9/9/1974 4 JUALAN 1 1 1

17 LA ADIMAN WALY 1 7/7/1974 3 5 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

2 UUZA 1 31/12/1970 2 JUAL 1 1 1

4 HARUNI 1 10/10/1972 4 ojek 1 1 1

6 LD. HASMAN 1 1/7/1984 4 5 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

8 NURDIN DJAUHARA 1 8/3/1971 4 5 1 1 1

10 IKO BUDI HARTOKO 1 25/8/1988 4 3 1 1 1

11 YAZIDDUL BUSTAM 1 28/4/1978 4 3 1 1 1

13 IMRAN 1 11/3/1976 4 TUKANG 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

15 MUH. SYAWAL 1 10/7/1983 4 MONTIR 1 1 1

16 MARTAWANG 1 1/7/1963 4 PENJAHIT 1 1 1

17 ALWI 1 31/12/1982 2 OJEK 1 1 1

18 SUNARDI NATSIR 1 20/7/1978 4 PENJAHIT 1 1 1

19 LA ARIMI 1 3/7/1987 4 PELAYAN 1 1 1

20 SAHLAN MARZUKI 1 23/11/1982 4 PELAYAN 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

22 DJAMALUDDIN 1 21/4/1964 6 DOSEN 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

3 FASLIM UDE 1 13/12/1972 4 5 1 1 1

4 LALU MUH. HARYADI 1 15/2/1982 4 5 1 1 1

5 LD. ASRIL 1 31/12/1980 4 TAMBANG 1 1 1

6 SAMSUL BIN IBRAHIM 1 16/8/1968 4 TAMBANG 1 1 1

7 SALIM 1 2/6/1979 4 HONORER 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

10 SAFIUDIN 1 17/4/1963 3 OJEK 1 1 1

11 MUH. ARIADI 1 9/8/1984 2 5 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

7 NURLI PALAHIDU 1 4/7/1983 4 3 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

12 EDI ARDI BATARA 1 3/1/1987 4 5 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

4 AHLAK NADIMIN 1 26/3/1986 4 5 1 1 1

5 LM. ROY YUSNANTO 1 6/10/1976 4 3 1 1 1

6 BUDI SARAUN 1 21/11/1975 3 5 1 1 1

7 RUDIN AMBO 1 25/4/1974 5 5 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

10 AHMAD ARSYAT 1 1/10/1986 4 5 1 1 1

11 EDY FERI PURNOMO 1 1/2/1977 4 KARY. 1 1 1

12 EVAN VAROLAN 1 13/2/1979 4 5 1 1 1

13 ARWIN 1 25/7/1987 4 HONOR 1 1 1

14 ABDUL ANIS 1 4/4/1984 4 5 1 1 1

15 LA ODE SAFARUDDIN 1 1967 2 5 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS

19 ARSAT 1 18/10/1958 2 PETANI 1 1 1

20 JUMADI WALI 1 25/2/1982 3 OJEK 1 1 1

2 LD. SYAFARUDDIN 1 20/11/1980 4 5 1 1 1

3 LD. ALISIR 1 11/1/1982 4 3 1 1 1

4 LD. BAHARUDDIN ANNA 1 25/5/1968 4 3 1 1 1

5 ERDIN ABIDIN 1 26/12/1978 4 5 1 1 1

6 ALI BUTON 1 7/2/1989 4 3 1 1 1

Nama Anggota HUB TGL PENDI PEKER INDIKATOR PHBS