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Daftar Peserta Askes Sosial

Kantor Cabang : PEKALONGAN

Nama PPK : 11040701-PUSK. TONDANO

Bulan / Tahun : 09 / 2013

No No Kartu Nama JK Tgl Lahir PISA Alamat


1. 0000080381564 A TAUFIQ M. L 29/06/1991 3 JL.DAMAR IV/118 SLAMARAN
2. 0000171369516 A.MUNIR KHOS L 06/08/1993 3 JL TERATAI GG.8/7
3. 0000080398405 ABDUL HADI L 21/06/1956 S JL. NURI
4. 0000080367186 ABDUL QODIR L 31/12/1940 P DEKORO KOD PEKALONGAN
5. 0000080367219 ABDULBARI L 12/11/1923 P PONCOL 14
6. 0000080370426 ABDULLAH HADAD L 20/03/1950 S JL. WAHID HASYIM 122
7. 0000080226674 ABDULLOH AZZAHID L 08/11/1998 2 CEMPAKA
8. 0000078306715 ABDUROHMAN L 21/12/1979 P SETONO GG 2 NO.18
DEKORO PKL TIMUR
9. 0000080280011 ABIYYU BARA I'TISHAM L 17/05/2006 1 JL.JEND.SUDIRMAN V/83
10. 0000205144953 ACHMAD BADHOWI L 24/02/2011 1 PONCOL GG MAWAR 81 PKL
11. 0000044996534 ACHMAD DIMYATI L 30/05/2001 1 SETONO GG.2
12. 0000080236596 ACHMAD PURWA AJIKUSUMA L 13/07/2006 1 JL SUMATRA GG 4 NO 58
13. 0000080370189 ACHMAD RUDIYANTO L 23/09/1989 1 JL. HASANUDIN
SAMPANGAN 8A/32
14. 0000078424964 ACHMAD VANDIAN NUR L 04/07/1992 1 DEKORO KOD PEKALONGAN
15. 0000078311362 ACHMAD YUSUF L 24/11/1977 P TERATE
16. 0000080218361 ADAM PANGUDI PRAJA L 03/12/1991 1 PONCOL BARU PEKL
17. 0000080518465 ADITIYA FARID RIFDAN L 23/08/2001 2 BAROS PEKALONGAN
18. 0000209922737 ADITYA GALIH SYAHPUTRA L 24/01/2004 1 JL. PERINTIS
KEMERDEKAAN GG 3 NO. 43
19. 0000163974317 AFI ZAHRA RIZKIANA L 23/06/2004 2 GTA JL SEROJA II NO 17C,
PEKL
20. 0000080264057 AFIQ FAQIH L 22/04/1996 2 SETONO GG.8/21 C
21. 0000205864536 AGIL FACHRUL HIDAYAT L 07/05/1997 1 PONCOL GG 14D/16
22. 0000080395569 AGNES SUNARTI P 02/09/1960 I PERUMDIN SD KEPUTRAN 10
23. 0000173280993 AGUNG RISDIANTO L 22/06/1980 P JL.TONDANO PONCOL
24. 0000163974205 AGUS AL-AMIN L 28/10/1971 S GTA JL SEROJA II NO 17C,
PEKL
25. 0000080235729 AGUS PRIJAMBODO,IR L 11/08/1954 S JL.KEMIRI 27 MEDONO
26. 0000080417531 AGUS PRIYONO L 26/09/1982 P JL. TERATE GG .8
27. 0000080245811 AGUS SUSILO L 14/08/1972 P JL INSPEKSI GG MENTARI
KAV 56
28. 0000080257015 AGUSTINA NURUL HASNIYAH P 10/08/1970 I JL TAPESIUM III/4 LIMAS
29. 0000080284296 AGUSTINA TRI HARDINI P 03/08/1990 2 JL SINGKARAK 4C
30. 0000080263258 AHMAD NUZIL ARZAQUL A L 23/12/2005 2 SAMPANGAN GG.IX/17
31. 0000147869919 AHMAD SYAIKHU L 01/05/1970 P JL. RAYA BAROS
32. 0000080263225 AHMADUN, S.AG L 21/01/1969 P SAMPANGAN GG.IX/17
33. 0000080418778 AIRLANGGA SATRIA D L 23/08/2002 1 PONCOL BARU 40
34. 0000052406998 AISYA RAHMA FADHILLA P 09/11/1997 1 JL.KH HASYIM ASYARI
35. 0000171523438 AKHMAD MAWARDI L 18/11/1974 S SETONO GG.5
36. 0000080248893 ALFIAH YAHYA,DRA P 14/08/1959 P NOYONTAAN GG.2/6
37. 0000078198974 ALI MARZUQI L 03/11/1987 P DEKORO
38. 0000080408992 ALIFIA ARUMDATI P 12/06/1994 2 JL. K.H HASIM ASYHARI GG 2
NO 05
39. 0000204722122 ALIMIN, S.AG L 31/10/1972 P JL.TERATE GG.06-27,PEKL
40. 0000080287661 ALISHA UKHTI AMELIA P 28/10/1999 1 PONCOL GG.14A
41. 0000080301262 ALZAM L 05/03/1939 P KEPUTRAN
42. 0000080296661 AMAT SHAADIQIN L 02/11/1982 P JL. PERINTIS
KEMERDEKAAN GG 3 NO. 43
43. 0000080367456 AMAT SIPUR L 19/02/1947 P NOYONTAAN
44. 0000080233705 AMELIA P 01/04/1996 1 JL.KEMAKMURAN 38, PEKL

9/3/13 5:06 PM Page 1 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
45. 0000080417103 AMIN YULIONO L 01/07/1963 P PONCOL GG.KEMUNING 14 E
46. 0000080437869 AMINAH ZUHROH, AMD. PD P 05/04/1952 P JL. KH HASYIM ASYARI 8 NO.
88
47. 0000080367513 AMIRJATI P 08/03/1934 P JL.TONDANO NO.7A
48. 0000080287716 AMIS RAHAYU P 07/01/1961 I SUGIHWARAS I/28
49. 0000199282419 ANDRAYANI P 25/06/1981 I PONCOL GG MAWAR 81 PKL
50. 0000080417125 ANDRIE FEBRIAN L 06/02/1998 1 PONCOL GG.KEMUNING 14 E
51. 0000147926463 ANDRIYANI , A.MK P 25/12/1981 P JL. TRIKORA
52. 0000147848141 ANGGI FERLIANA AISAH P 30/01/2005 1 JL. TERATE GG .8
53. 0000080406371 ANGGITA DWI WARDANI P 13/03/2002 2 GANG ANGGREK
54. 0000080245844 ANINDYTA KIRANA WIDYA P P 29/11/2008 2 JL INSPEKSI GG MENTARI
KAV 56
55. 0000080225559 ANISAH L 27/07/1972 S PONCOL GG 14D/16
56. 0000077650121 ANNA SOVIANA P 22/04/1960 I KAUMAN KOD.
57. 0000173166219 ARDIANSYAH TEGAR PRATAMA L 08/03/2010 1 SUGIH WARAS GG 8/9
58. 0000080288965 ARIEF TIRTANA L 29/06/1987 P JL. KH HASYIM ASYARI
59. 0000078054197 ARIF MUTAQIN L 29/03/1965 P JL KI MANGUN SARKORO
60. 0000083654177 ARIF PRIHWICAKSONO L 09/12/1992 3 JL.TONDANO NO.4
61. 0000080398337 ARIIJ JIHAANADA RIA P P 21/01/2000 1 JL.SINGKARAK 7
62. 0000210271724 ATHOILAH ADRIYANTO L 29/03/2012 2 MATANA PONCOL BARU
63. 0000197506798 AULIA WARIH LAZUARDI L 30/12/1991 4 PONCOL 09/02
64. 0000080364093 AYESHA DIAN PUSPAPERTIWI P 22/08/1997 1 JL.TONDANO GG 4/14 A
65. 0000080418789 AYUNINDYA SEKAR PAWESTRI P 30/06/2008 2 PONCOL BARU 40
66. 0000080316988 AZIZAH URIP MULYANI P 15/05/1966 P JL. RASAMALARAYA B IV NO.
17
67. 0000157082837 B. SOEHAMTO L 11/09/1947 P BUDIBAKTI 7
68. 0000080398282 BADRIYAH P 09/07/1967 I JL. RA. KARTINI KEPUTRAN
GG.6/15
69. 0000171365589 BAGUS RAHMADIKA L 14/08/1995 3 JL.KANFER I/35
70. 0000080437959 BAMBANG INDARTO L 23/12/1966 P JL.DAMAR 3/50 SLAMARAN
71. 0000080398258 BAMBANG SUNARTO L 16/04/1949 S KEPUTRAN
72. 0000080243998 BATWATI P 19/12/1962 I JL.KIMANDOKO 193 DEGAYU
73. 0000080353811 BAWON AL.KLIWON P 01/01/1932 I PONCOL VII/47 RT 03/04
74. 0000165206711 BAYU ZIDAN KURNIAWAN L 07/04/2008 3 JL. A YANI DALAM NO.70,
PONCOL
75. 0000080233716 BOBY GUNARSO L 06/04/1999 2 JL.KEMAKMURAN 38, PEK
76. 0000080314209 BUDDY SRIWIGATI P 18/07/1941 I JL.MANINJAU 551
77. 0001081648495 BY NY ANDRAYANI P 18/07/2013 2 PONCOL GG MAWAR 81 PKL
78. 0001081256319 BY NY ROUDL BAIRUCHA L 21/06/2013 1 KEL.BAROS,KOTA PEKL
79. 0001080320488 BY NY TATIK SUMARNI L 21/04/2013 2 JL TONDANO NO 67, PEKL
80. 0000077640232 CAHAYA PARAMUDITA P 13/10/1999 1 JL.KEMIRI 36 PEKALONGAN
81. 0000080437983 CAHYA MUKTI BAGUS E L 20/03/2001 2 JL.DAMAR 3/50 SLAMARAN
82. 0000149334118 CAHYO ANGGORO SAPUTRO L 23/06/1981 S JL FLAMBOYAN IV 01/26
83. 0000080287727 CATUR SUSMITASARI P 24/09/1996 1 SUGIHWARAS I/28
84. 0000080367693 CHAERIYAH P 15/07/1930 P JAYA BHAKTI 3/185
85. 0000077986798 CHAERUDIN L 26/12/1963 P GG.KENANGA 13 A NO.47
86. 0000080409071 CHOLIFAH P 09/08/1961 P JL.TERATE PONCOL GG.3/24
87. 0000080370178 CHUNDARIYAH P 25/01/1953 I JL. HASANUDIN
SAMPANGAN 8A/32
88. 0000080249411 CHUZAINAB P 08/07/1961 P JLAMPRANG 7/29
89. 0000080410656 DABASI TJA`AN L 10/09/1944 S JL.PESONA II /515
90. 0000080301936 DAKIM HS L 10/10/1944 P LANDUNGSARI RT.02/07
91. 0000080438027 DANY DINIYAH P 17/12/1995 2 JL.A YANI DALAM NO.70,
PONCOL
92. 0000080323806 DARIYAH P 31/12/1938 P SUGIHWARAS RT.1/8, PKL
93. 0000080394377 DARWANTI P 02/04/1960 P SETONO GG.2/3
94. 0000080304221 DARYATI P 01/01/1939 I DS PONCOL GG IV
95. 0000167288207 DENY ZIDAN KUSUMA L 13/03/2001 1 JL.HASYIM ASHARI

9/3/13 5:06 PM Page 2 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
96. 0000077979791 DEWI ROSARI P 19/09/1978 I JL KH. DEWANTORO NO 67
PEKL
97. 0000078424953 DEWI SUTRIANI P 23/03/1968 I DEKORO KOD PEKALONGAN
98. 0000077640221 DEWI WURIYANTI, SE P 12/08/1967 I JL.KEMIRI 36 PEKALONGAN
99. 0000077653383 DIAH ASMANAH SPI P 12/09/1979 P JL. KIHAJAR DEWANTORO
100. 0000080385568 DIAH PURWATI P 12/02/1949 I JL.DAMAR DALAM I/43
101. 0000080410623 DIAH WULAN SARI P 01/06/1991 1 PONCOL GG.KEMINUNING 31
102. 0000077847568 DIAN SITAWATI P 20/07/1957 P JL.TERATAI IX/28A
PEKALONGAN TIMUR
103. 0000080246136 DIANI ARBA`IYAH P 05/08/1970 P SETONO 2/1
104. 0000080236348 DILIANA ENGGARWATI P 10/06/1983 P DOROREJO
105. 0000080279302 DIMAS FIKRY ARDIANSYAH L 07/12/2000 2 JL. TERATE PONCOL GG.2/70
106. 0000194449206 DINA CAMELIA P 07/04/1996 2 NOYONTAAN GG.2/6
107. 0000078054221 DINA KHOIRUNNISA P 22/01/2000 2 JL.KI MANGUN SARKORO
108. 0000080438422 DINI MUTHIA SARI P 23/10/1995 2 JL.KALISARI GG 22/99
109. 0000199160638 DIONISIA NATHANIA ANDINI P 12/08/2008 1 DOROREJO
110. 0000078051971 DIPO MARTADI L 08/05/1965 P KEPUTRAN
111. 0000080302421 DJOEMADI. L 31/12/1929 P TONDANO 5
112. 0000005130077 DJOKO PRASANTO, Drs. L 29/12/1958 P PANJANG INDAH III/173
113. 0000083654166 DJUMIATUN BA. P 01/01/1952 I JL.TONDANO NO.4
114. 0000157303574 DJUMINAH P 01/12/1939 P NOYONTAAN G.I/39 RT.1/I
115. 0000169085248 DJURIAH P 22/12/1942 I BUDIBAKTI 7
116. 0000080418756 DODI SUPRIADI L 27/12/1971 P PONCOL BARU 40
117. 0000080317708 DR . SOFA PRIMATIR L 02/09/1982 P JL. TERATE PONCOL 10 /13
118. 0000194300076 DR. H. MOHAMAD BASYIR AHMAD L 24/07/1953 P JL. AGUS SALIM NO. 67
119. 0000199167131 DR. PRATIWI YUNISARI P 14/06/1977 P JL.ANGKATAN 66 NO.16
120. 0000080369368 DRA . MUNA THALIB P 11/11/1947 P NOYONTAAN GG 2/17
121. 0000078326043 DRA HARYANTI BERNADHETA P 18/12/1958 I ASRI 337 RT 27/6
122. 0000080285556 DRA NABILAH SUNGKAR P 10/11/1963 I JL MERANTI 5/32
123. 0000080233683 DRG LANNY SETIAWAN P 12/08/1961 P JL.KEMAKMURAN 38 PEKL
124. 0000080279695 DRS . MURDIYANTO L 28/12/1966 P JL.DWARAWATI III/163
125. 0000080367131 DRS .H. ABDUL FATAH L 07/03/1948 P SAMPANGAN GG.IX/17
126. 0000052406976 DRS.HASANUDDIN L 14/10/1967 P JL.KH HASYIM ASYARI
127. 0000169047088 DUHITA ZAHRA P 17/11/1963 I BUARAN III/292
128. 0000080367851 DUMILAH P 21/04/1942 P JL.TONDANO NO.15
129. 0000171808255 DWI AYULIANTI DEWI P 13/12/1983 I JL.HAYAM WURUK 4 NO.2
130. 0000080231242 DWI INDAH WIDIASTUTI P 06/09/1977 P JL.MURAI I BLOK C/54
131. 0000075737035 EDDY MULYONO L 15/08/1963 P JL.PATIUNUS NO.11
132. 0000077632391 EDDY SUPENO SE L 02/03/1965 P JL.FLAMBOYAN 3 SERUNI
133. 0000080225414 EDI PRIYANTONO L 13/09/1969 P TONDANO PONCOL GG 12/30
134. 0000080376895 EFENDI L 14/05/1939 P WR SUPRATMAN GG 10/40
135. 0000199022782 EKA SETIAWAN L 18/04/1992 1 TONDANO
136. 0000080431661 EKA YUSUF MAULANA L 09/11/1990 1 JL.ULIN IV/27 PKL
137. 0000147848128 EKMAWATI P 15/02/1984 I JL. TERATE GG .8
138. 0000080406077 EKO KURNIAWAN L 03/04/1990 1 SAMPANGAN GG V NO 8,
139. 0000080283306 EKO SIWI KAEKSI P 18/05/1958 P PRINGGOSARI NO. 10
140. 0000080372496 EKO SIWI KAEKSI P 18/05/1958 I PRINGGOSARI, PEKL
141. 0000080367862 EKO TJAHJONO L 26/01/1951 P JL. OTISTA NO . 17
142. 0000084636685 EL PRIYANTO L 15/01/1965 P RUNMDIN SDN KEPUTRAN 8
143. 0000084636707 ELIYANI SUSANTI P 16/08/1995 1 RUNMDIN SDN KEPUTRAN 8
144. 0000080284263 ELLY MUKMINATI P 05/07/1965 P KEBULEN GG II NO 51
145. 0000080409431 ELSA HAPSARI P 18/06/1995 2 NOYONTAAN GG 4 NO 3
146. 0000080445633 ELY MUFIDAH.S AG P 22/04/1980 P DEKORO
147. 0000080417114 ELY SUSPARWATININGSIH P 07/05/1969 I PONCOL GG.KEMUNING 14 E

9/3/13 5:06 PM Page 3 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
148. 0000080225436 EMA NURAENI RIYANTI P 05/04/1998 1 TONDANO PONCOL GG 12/30
149. 0000174650477 EMILIA KHASANAH P 25/05/2001 2 TONDANO GG MELATI, PEKL
150. 0000080518443 EMMA ROSYIDA, SH P 16/07/1972 I BAROS PEKALONGAN
151. 0000080284274 ENDAH MURTININGRUM P 23/06/1957 P JL.SINGKARAK 4C
152. 0000078186677 ENDAH WIDOWATI P 10/08/1959 I JL.TOBA IVA/2 PEKL
153. 0000080284318 ENDANG YUNIANINGSIH P 01/06/1959 P KEPUTRAN GG.7/22
154. 0000080409429 ENDHRA HERLAMBANG L 16/01/1991 1 NOYONTAAN GG 4 NO 3
155. 0000080319734 ENNY SULISTYOWATI P 21/11/1953 I BINAGRIYA BLOK B III/125
156. 0000077238977 ENY TUSMARTIKA P 30/03/1973 P KRAPYAK LOR RT.06/13
157. 0000202555618 ERA WINDIANA P 24/11/1987 P NOYONTAAN GG 11A NO.
158. 0000080313794 ERNA SOFIANINGSIH P 19/02/1966 I NOYONTAAN RT.5/3 PEKL.
159. 0000080398293 ESA KARIMATUZ ZAHARA P 01/05/1995 1 JL. RA. KARTINI KEPUTRAN
GG.6/15
160. 0000080232827 ESTI DWI KOSIASIH P 16/04/1965 P PESAREAN WARUNG ASEM
161. 0000080409418 ETI IRAWATI P 13/10/1962 I NOYONTAAN GG 4 NO 3
162. 0000080402815 F. MARTINI S. P 20/10/1954 P JL TONDANO I
163. 0000080326416 F.WADJDI BAKRI L 15/07/1935 P JL.CEMPAKA 42 A RT 03/01
164. 0000077707304 FAIZAH P 07/02/1963 I DK KUDUNGAN DEGAYU
165. 0000080377108 FAIZAH NADJIB P 20/02/1933 P PONCOL I/3
166. 0000170362012 FAJAR RIVAI L 26/01/1990 1 JL.KANFER I/35
167. 0000080249938 FALISTIN P 18/09/1956 P SETONO GG.VI NO.21A PKL
168. 0000080264024 FAQIHUDDIN, Drs. L 26/09/1963 P GG.MAKAM SIKEDUNG NO
169. 0000078212439 FARID AKHWAN L 16/08/2004 2 GAMER
170. 0000194098983 FARID WAJDI L 06/09/2009 2 PONCOL GG XI /7
171. 0000080398394 FATCHIYAH P 04/11/1960 P JL NURI
172. 0000080316999 FATCHOEL KAPIM L 06/11/1962 S JL. RASAMALARAYA B IV NO
173. 0000080406246 FATHIMATUL HUSNA P 03/11/1994 1 RUMDIN SD KANDANG PJG
10/11
174. 0000080250107 FATIMAH ALI P 02/02/1962 I KH. HASYIM ASY'ARI NO.96
175. 0000077979789 FATKHUL ARIFIN L 17/09/1969 P JL KH. DEWANTORO NO 67
PEKL
176. 0000080377132 FATONAH P 26/02/1945 P SAMPANGAN
177. 0000080445767 FATONAH P 11/07/1973 P PONCOL GG.14A/GG.MAWAR
83
178. 0000080367142 FAUZIYAH P 08/04/1952 I SAMPANGAN GG.IX/17
179. 0000166832954 FERIANTO SUBANGKIT L 03/06/1981 S JL.KANFER II NO.27
180. 0000078321475 FIFI MAGHFIROH P 26/07/2000 2 SAMPANGAN GG 8 A
181. 0000080248904 FIHIR ABUBAKAR L 02/03/1950 S NOYONTAAN GG.2/6 RT.2/1
182. 0000077960092 FIRYAAL AYU PRATIWI P 31/03/2003 1 JL. KI MANGUN SARKORO
DEKORO
183. 0000167288139 FITROKHILMIYAH P 15/11/1969 I JL.HASYIM ASHARI
184. 0000077960079 FIVI DWIJAYANTI P 09/01/1978 P JL. KI MANGUN SARKORO
DEKORO
185. 0000076659647 GALIH LARAS SANDRA P 18/09/1991 2 JL.TOBA 3/7 RT.02/02
186. 0000166832842 GALUH ARIYANTI P 01/10/1980 P JL.KANFER II NO.27
187. 0000080404165 GATOT SURONO L 17/09/1954 S JL.KISURONTOKO DEKORO
188. 0000080250096 GHOZALI, Drs. L 10/10/1959 P SETONO
189. 0000080225548 GIYONO P 30/09/1967 P PONCOL GG 14D/16
190. 0000080377222 GOENARDI L 17/05/1947 P JL.KANFER I/32 PKL
191. 0000080251604 H AHMAD SYA'RONI L 21/03/1960 S KLEGO GG 1 NO. 20
192. 0000078139708 H MUCHLAR ISMAIL L 29/04/1937 S PEKAJANGAN G.12/6.PEKL
193. 0000077715178 H. ASIJAH MUZAIJJIN, BA P 05/03/1949 P JL. RAYA BAROS NO.17
194. 0000080368132 H. SUWARJO, A.MA L 11/04/1947 P JL.RAYA BAROS
195. 0000080303084 H.TARHADI L 25/06/1951 P KEPUTRAN GG.6/22 RT.6/4
196. 0000169082458 HANIFAH P 04/10/1961 I JL TERATAI GG.8/7
197. 0000080285578 HANIFAH P 25/06/2002 2 JL MERANTI 5/32
198. 0000080327981 HANIYAH P 31/12/1954 P NOYONTAAN GG.15 A NO.56

9/3/13 5:06 PM Page 4 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
199. 0000080301273 HANIYAH P 17/08/1977 I KEPUTRAN
200. 0000080372518 HANJAR SETYA ADMAJA L 09/06/1992 2 PRINGGOSARI, PEKL
201. 0000164830498 HANNA WIDYA HARINI P 15/01/1993 2 JL.MATANA 17 PONCOL
202. 0000080242356 HARDIYANTO L 01/02/1978 P SUGIH WARAS GG 8/9
203. 0000080303141 HARDJO L 02/06/1927 P LANDUNGSARI 14/19 PEKL.
204. 0000164780515 HARLINA P 23/02/1968 I JL.MATANA 17 PONCOL
205. 0000080313974 HARNI P 21/09/1951 I JL. TERATAI PONCOL
206. 0001079689882 HARTINI P 08/04/1962 I JL.TONDANO 40
207. 0000080391464 HARYANTO L 10/03/1962 P SULAWESI 12
208. 0000080409306 HASAN BASYA L 26/09/1989 2 JL.KH.HASYIM ASYARI
209. 0000080233694 HASAN TJAHJONO L 21/09/1962 S JL.KEMAKMURAN 38, PEKL
210. 0000004548295 HASNIAH P 04/04/1969 P JL. TERATAI PONCOL 86 B
211. 0000080232952 HAYUMUNINGSIH P 05/12/1953 P KLEGO
212. 0000080236574 HEMA WIDIYARSI P 29/06/1977 P JL SUMATRA GG 4 NO 58
213. 0000976744214 HIBBY NAHJA MUHAMMAD L 06/02/2012 1 SETONO GG 7 NO 11 A
214. 0000080303095 HIKMAH MUMTAZAH P 20/07/1950 I KEPUTRAN GG.6/22 RT.6/4
215. 0000080415292 HIMMATUN NAFISA P 12/01/2002 2 DS SUBAH, BATANG
216. 0000196173922 HINDUN P 08/06/1977 I TERATE
217. 0000077995146 HIQMAD WAHYUDI L 24/05/1953 S BHINA GRIYA INDAH 578
218. 0000078139697 HJ.MUDJAELAH SUNDRUS, BA P 31/12/1951 P PEKAJANGAN G.12/6.PEKL
219. 0000080329083 HJ.SALMAH ABU BAKAR P 05/12/1943 P KAUMAN 12/33A RT.03/02
220. 0000199167849 HUMAIRAH KHAIRANI AZ-ZAHRA P 13/05/2008 2 JL.ANGKATAN 66 NO.16
221. 0000075812264 HUSEIN HASSAN L 19/08/1974 P JL SURABAYA NO 55, PEKL
222. 0000080282709 HUSNA KARIMAH P 31/05/1994 1 JL.TONDANO PONCOL GG
MAWAR
223. 0000080251154 ILIYAMA KURNIASARI P 10/10/1993 3 JL.KI HAJAR DEWANTORO
224. 0000080317181 IMAM AHADIYANTO L 08/09/1970 P WARUNGPRING,MOGA,PEM
ALANG
225. 0000080239408 IMAM SUKAMTO L 08/07/1962 P TONDANO
226. 0001080241929 IMAM SUPRIADI L 28/10/1978 S PONCOL GG.14A/GG.MAWAR
83
227. 0000076659614 IMAN HADISANTOSO L 01/03/1957 P JL.TOBA 3/7 RT.02/02
228. 0000077960081 IMRON L 08/11/1970 S JL. KI MANGUN SARKORO
DEKORO
229. 0000194531117 INAYAH P 16/01/1985 I JL SURABAYA NO 55, PEKL
230. 0000080422031 INNA P 09/11/1961 P JL. KUTAI NO.49
231. 0000080261177 INTAN MARYAM ULFAH P 19/03/1999 1 PONCOL BARU GG 17
232. 0000080244641 IR.BAYU NANANG SATRIYONO L 27/12/1961 S JL.TOBA NO.49 RT.05/02
233. 0000080246608 IRDA MULTAHADA , A.MA P 13/05/1971 P JL. HASYIM ASYARI
234. 0000080225673 ISMARTOPO L 23/04/1965 P JL.KINTAMANI 8 KEPUTRAN
PKL
235. 0000080279324 ISMIATUN P 10/04/1960 P KEDUNGMIRI KASEPUHAN
236. 0000080225425 ISNAINI KARIMAH P 20/07/1970 I TONDANO PONCOL GG 12/30
237. 0000080414111 ISNIYANTI P 26/08/1981 I PONCOL GG XI /7
238. 0000080411185 ISROCHANI P 12/05/1955 P KARYA BHAKTI 01/06
239. 0000084636718 ISTI DWI PUTRANTI P 09/02/2000 2 RUNMDIN SDN KEPUTRAN 8
240. 0000078321442 ISTIQOMAH P 12/12/1965 P SAMPANGAN GG 8 A
241. 0000208093072 ITA INDIANI P 01/12/1980 I JL.MATANA. GG RUKUN ,
PONCOL
242. 0000199161044 ITA SUGIARTI P 24/10/1988 P JL. KHA DAHLAN IX NO. 298/5
TIRTO
243. 0001080000099 ITANG SUBECHI L 08/02/2002 1 GG.KENANGA 13 A NO.47
244. 0000080371833 IVVAH DIANA P 19/04/1990 1 SETONO GG.8/16
245. 0000080330433 J.M. PONTORORING L 12/07/1951 P SINGKARAK 4 KEPUTRAN
246. 0000080285545 JAMAL ABDUL NASIR L 26/08/1965 P JL MERANTI 5/32
247. 0000080303534 JAMILAH SOEWONDO P 09/02/1924 P JL.TONDANO NO.9 RT.3/2
248. 0000080250445 JUMIYAH. P 28/09/1965 P KANDANG PANJANG 7C
249. 0000078026128 KAETI P 06/01/1969 I JL MATANA NO 60, PKL

9/3/13 5:06 PM Page 5 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
250. 0000080378381 KALOEDI BIN HARI L 31/12/1933 P KEPUTRAN
251. 0000080303769 KALTUN P 12/06/1930 P PONCOL 2/56 PEKL
252. 0000080331017 KAMILATUN P 20/05/1949 P DEKORO
253. 0000077632413 KANIA ARDA PRASIDA E P 15/07/1999 1 JL.FLAMBOYAN 3 SERUNI
254. 0000080378471 KAPSIN. L 07/07/1937 P MERDEKA I
255. 0000080291632 KARIYAH P 01/01/1933 P GANG ASPARAGUS
256. 0000080388088 KARTIKA ESTER GUNAWAN P 16/06/1946 I JL.DR.WAHIDIN 27
257. 0000080225796 KASIR L 21/12/1960 P SETONO GG . 4
258. 0000080378829 KASIRUN IMAM NURJANTO BA L 29/01/1943 P YUDA BAKTI III/184A
259. 0000080233481 KASTOLANI L 24/11/1958 P PONCOL
260. 0000080365601 KATIDJAH P 19/12/1939 P DS.DUWET ROWO
261. 0000080398089 KATMIRAH P 23/06/1952 P JL.TOBA NO.49 PKL.
262. 0000080251503 KHARISAH P 28/05/1965 I JL. JOKO TINGKIR NO.76
263. 0000080246766 KHATMIYATI P 01/04/1973 P PONCOL GG. BUNGA
264. 0000080282711 KHAULAH P 25/06/1999 2 JL.TONDANO PONCOL
265. 0000080298808 KHOMSAH P 08/03/1967 I DEKORO
266. 0000080264002 KHOTIJAH P 26/05/1968 I KEL DEKORO KOTA PEKL.
267. 0000080304219 KISAAM L 12/02/1929 P DS PONCOL GG IV
268. 0000080245833 KUMARA SATYA ARKANANTA D L 18/05/2006 1 JL INSPEKSI GG MENTARI
KAV 56
269. 0000080359751 KUNAENAH P 18/08/1947 I JL.TONDANO NO.51
270. 0000080370955 KUNDRIYATI P 10/07/1942 I JL.TONDANO NO.14 PKL.
271. 0000080239419 KURNIASIH P 14/07/1974 I TONDANO
272. 0000080225976 KUSBARIN L 04/02/1955 P PONCOL 09/02
273. 0000080410601 KUSJONO L 11/08/1953 P PONCOL GG.KEMINUNING 31
274. 0000083525949 KUSMIYATI P 18/07/1957 I PODOSUGIH 17
275. 0000080230566 KUSPRIYATI P 07/01/1967 I JL. WR SUPRATMAN GANG
AWAL 3
276. 0000077392091 KUSTIATI P 14/07/1966 P TONDANO
277. 0000080332852 KUSTINAH P 25/10/1925 P LOMPOBATANG 22 BENDAN
278. 0000080230577 LA' OKTA FERNANDO L 04/10/1989 1 JL. WR SUPRATMAN GANG
AWAL 3
279. 0000080286884 LAELA KARIMA P 02/06/1994 2 JL.TOBA 3/25 KEPUTRAN
280. 0000080236732 LAILATUL MUBAROKAH P 24/09/1976 P LANDUNGSARI GG.12
281. 0000078317289 LAILATUL MUBAROKAH P 24/09/1976 I LANDUNGSARI GG.12
282. 0000080233661 LALAN KUSLAN L 26/05/1954 P JL TONDANO NO.28
283. 0000080368727 LANTRIYAH P 31/12/1928 P NOYONTAAN GG.7 /36
284. 0000080287929 LEILANI YULI NURFITASARI P 03/07/1992 3 SETONO GANG 4 /27
285. 0000080398348 LERINA MEDARIA PURNAMA P 15/09/2005 2 JL SINGKARAK 7
286. 0000080225807 LIANAH P 13/04/1965 I SETONO GG . 4
287. 0000080367805 LILIK URIPAH P 04/02/1952 I NOYOTAAN GG VI/34
288. 0000163414743 LINTANG ANGGITO PRABOWO L 25/08/1998 1 KEPUTRAN
289. 0000199160561 LUKAS LUKITO L 30/05/1978 S DOROREJO
290. 0000080333199 LULUK SETYOWATI P 10/07/1940 P JL.TERATAI RT.05/01
291. 0000080264035 LUTFIYATI P 12/01/1967 I SETONO GG.8/21 C
292. 0000077650143 M ABDILLAH L 11/08/1994 2 KAUMAN KOD.
293. 0000077650132 M FARIS RASYIF NOVIAN L 21/05/1990 1 KAUMAN KOD.
294. 0000077711578 M .ALDI YUDHI PRADANA L 19/01/2001 2 NOYONTAAN GG 11A/555
295. 0000077711567 M ALDAN YUDHA PRATAMA L 19/01/2001 1 NOYONTAAN GG 11A/555
296. 0000080317001 M ARIF AKMAL RIZKU L 26/08/1991 1 JL RASAMALARAYA B IV NO
297. 0000080368773 M SUCHERI P 07/02/1927 P SUGIHWARAS GG.2/26
298. 0000193509573 M. HILMI MUBAROK L 14/05/2009 2 SUMURJOMBLANGBOGO
KAB PKL
299. 0000078186666 M. JANUHARYANTO, SH MH L 26/01/1957 P JL.TOBA IVA/2 PEKL
300. 0000170549526 M. REZA SAPUTRA L 14/06/2002 1 JL. SUTAN SYAHRIR
301. 0000201889552 M. SAINUDI L 15/12/1942 P NOYONTAAN GG VI NO 31

9/3/13 5:06 PM Page 6 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
302. 0000080398304 M. SULTAN AKBAR WEDDY D L 16/03/2000 2 JL. RA. KARTINI KEPUTRAN
GG.6/15
303. 0000209922805 M. WAHYU SYAHBANA L 04/08/2009 2 JL. PERINTIS
KEMERDEKAAN GG 3 NO. 43
304. 0000080398427 M.HIFNI AMRI L 28/09/1995 2 JL. NURI
305. 0000080286873 M.REZA MAULANA L 07/10/1992 1 JL.TOBA 3/25 KEPUTRAN
306. 0000080371697 M.UMAR MU THI.H L 31/12/1944 S DEKORO GG.8/31 PKL
307. 0000080368806 M.ZAINUDIN L 12/08/1945 P PONCOL GG.10/37 PKL
308. 0000080393038 MAEMUN YATI P 01/07/1959 P SRIWIJAYA NO 10
309. 0000080371001 MAENAH P 11/08/1940 I PONCOL PEKALONGAN
310. 0000080398247 MAKRIFAH P 12/11/1950 P KEPUTRAN
311. 0000080425236 MALIKUS SOLEKHA,SAG P 12/09/1963 P LEDOK KEPUTRAN GG.1/33
312. 0000080406235 MAMAN SUHERMAN L 10/05/1959 S RUMDIN SD KANDANG PJG
10/11
313. 0000080279561 MANSUR L 14/02/1967 P PONCOL PEKALONGAN
314. 0000080233727 MAR'I L 07/06/1964 P PERUM DINAS
315. 0000080338285 MARDHIJAH P 11/10/1947 I PONCOL GG.12 A/5 RT 4/5
316. 0000080365836 MARDI L 18/08/1943 P JL.DWIKORA II YOSOREJO
317. 0000080250794 MARDINI P 15/10/1965 P TONDANO 1000
318. 0000080230588 MARIO LADITAMA L 05/07/1994 2 JL. WR SUPRATMAN GANG
AWAL 3
319. 0000080367221 MARIYAM P 07/08/1926 I PONCOL 14
320. 0000080297605 MARIYATUL KIPTIYAH P 23/11/1977 P
321. 0000077987709 MARKINI P 25/12/1957 I JL NUSANTARA I KEPUTRAN
322. 0000195290469 MARNI P 31/12/1958 I JL. A YANI DALAM I PONCOL
GG. 16/21
323. 0000080334753 MARSOEDI L 01/08/1923 P NOYONTAAN GG.VI/22 PKL.
324. 0001078837042 MARTINAH P 25/12/1920 P KEPUTRAN
325. 0000080244459 MARTINI P 08/10/1958 P BINA GRIYA BRT C/382
326. 0000078003437 MARYO L 04/11/1953 P JL MATANA NO 35 PONCOL
327. 0000080368817 MASANAH P 02/05/1955 I PONCOL GG.10/37 PKL
328. 0000004548306 MASHAK JANURI L 15/01/1964 S JL. TERATAI PONCOL 86 B
329. 0000080368378 MASIYAM P 17/09/1942 I SETONO II/1 , DEKORO
330. 0000078909502 MASNUNAH P 10/12/1958 P JL. SUNAN KALIJAGA NO 18
331. 0000080369019 MASRI KADARIJAH P 28/05/1931 P PONCOL GG.7/16
332. 0000080409611 MASRIAH, A. MA P 29/05/1952 P PONCOL BARU NO. 55
333. 0000080394478 MASRIFAH P 13/08/1963 P JL.PALAPA 2/12
334. 0000080368839 MASYRIFAH P 06/12/1954 I DEKORO KOD.PKL
335. 0000080263247 MAULAYA ROYYANA P 26/11/2002 1 SAMPANGAN GG.IX/17
336. 0000080441471 MAYA ARISMAN P 02/07/1998 2 PONCOL GG. 08A
337. 0000078026139 MELADIA NUZA ILAINA P 14/08/2001 1 JL MATANA NO 60 PKL
338. 0000164946475 MERI HERLIANAN L 25/03/1998 1 KANDANG PANJANG GG.7C
NO.116
339. 0000080399103 MG SRI WIJIYATUN P 27/07/1964 P TERATE RUMAH DINAS
340. 0000080239432 MILENIA FITRIA SARI P 14/01/2000 2 TONDANO
341. 0000080409317 MILLATINA HANIFAH P 01/10/1992 3 JL.KH.HASYIM ASYARI
342. 0000080261155 MILONO L 06/05/1975 P PONCOL BARU GG 17, PEKL
343. 0000080371056 MIRATUN P 31/12/1956 I NOYONTAAN GG. V NO. 21
PKL.
344. 0000080425282 MOCH MUJIB USMANA L 07/04/2000 4 KEPUTRAN PEKL
345. 0000080438973 MOCH SAWALI L 08/02/1966 P PONCOL 17/31
346. 0000080439006 MOCH. SEPTIO UTOMO L 05/09/1996 2 PONCOL 17/31
347. 0000080369199 MOENABAH L 07/11/1938 P NOYONTAAN GG.V/15 PEKL
348. 0000080380653 MOERDIATI P 21/07/1928 P KANDANG PANJANG GG.
349. 0000080347263 MOERNIATI P 03/03/1948 I BINAGRIYA B.I/36
350. 0000080380798 MOH KUSNA SISWO PRAWIRO H L 15/06/1934 P PODOSUGIH RT1/3
351. 0000164006919 MOH REZA FAHLEVI L 23/02/2005 1 SUMURJOMBLANGBOGO
KAB PKL

9/3/13 5:06 PM Page 7 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
352. 0000078026141 MOH YOGA MAHENDRA L 04/12/2003 2 JL MATANA NO 60 PKL
353. 0000080398271 MOH. IZIDIN, S.AG L 27/11/1964 P JL. RA. KARTINI KEPUTRAN
GG.6/15
354. 0000080380811 MOH.ABDULRAHMAN L 15/05/1941 P NOYONTAAN 2/17 RT 2/1
355. 0000078026117 MOH.MARGONO L 06/08/1965 P JL MATANA NO 60 PKL
356. 0000078317278 MOHAMAD AUNUR ROFIK,SPD L 09/03/1968 P LANDUNGSARI GG.12
357. 0000077729747 MOHAMAD MARTIAS BILLY L 30/04/1986 P GRIYA MUKTI INDAH GG
MAWAR D 164
358. 0000077650119 MOHAMAD MEMO ICHWAN, IR L 05/02/1955 P KAUMAN KOD.
359. 0001078384206 MOHAMMAD ANAS L 30/06/1963 S SAMPANGAN GG 8 A
360. 0000080264013 MOHAMMAD HELMY L 22/02/2001 1 KEL DEKORO KOTA PEKL.
361. 0000077979802 MOHAMMAD OKY L 13/10/1999 1 JL KH. DEWANTORO NO 67
PEKL
362. 0000204758526 MOKHAMAD KADHAFI, A.MD L 12/10/1988 P KEL.BAROS,KOTA PEKL
363. 0000159878856 MOKHAMAD ZAKI L 11/05/1958 P BUARAN III/292
364. 0000080414122 MOKHAMMAD FUAD L 09/05/2005 1 PONCOL GG XI /7
365. 0000080248915 MUCHAMMAD NAUFAL L 13/01/1991 3 NOYONTAAN GG.2/6
366. 0000080370551 MUDRIKAH P 13/01/1947 I DARMA BHAKTI GG 12
367. 0000078349241 MUH HASBI ABID ERSALAN L 07/08/1996 1 JL.KINTAMANI 4
368. 0000080250131 MUH. FIKRI L 27/04/1992 3 KH. HASYIM ASY'ARI NO.96
369. 0000080337699 MUH. HARSONO L 12/12/1935 P NOYONTAKAN RT.03/01
370. 0000194300291 MUHAMAD AMMAR BASYIR L 04/12/1991 2 JL. AGUS SALIM NO. 67
371. 0000194300234 MUHAMAD AZMI BASYIR L 19/06/1990 1 JL. AGUS SALIM NO. 67
372. 0000080413222 MUHAMAD FATHAN MUBINA L 30/10/2008 2 PONCOL GG BUGENVILLE
373. 0000210232282 MUHAMAD IKHSAN L 21/01/1989 S JL. KHA DAHLAN IX NO. 298/5
TIRTO
374. 0000080236585 MUHAMAD NASRUDIN L 17/03/1976 S JL SUMATRA GG 4 NO 58
375. 0000052407009 MUHAMAD REZA NAUFAL L 09/12/1999 2 JL.KH HASYIM ASYARI
376. 0000080419836 MUHAMAD RIFAN, SPD L 09/06/1981 P KAUMAN PEKALONGAN
377. 0000210232337 MUHAMAD YUDHISTIRA L 01/07/2011 1 JL. KHA DAHLAN IX NO. 298/5
TIRTO
378. 0000080398528 MUHAMMAD ADI TRI WIDODO L 22/10/1997 2 JL.PALAPA 2/12
379. 0000204084066 MUHAMMAD AKMAL L 17/06/1995 1 TONDANO GG MELATI, PEKL
380. 0000209215653 MUHAMMAD AMMAAR RIZKI L 28/10/2011 1 JL.SETIA BAKTI GG.I NO 12
381. 0000198650316 MUHAMMAD ARJUSSALAM AMNA L 23/06/2010 1 SETONO GG.5
382. 0000199167682 MUHAMMAD AZIZURROHMAN L 11/04/2002 1 JL.ANGKATAN 66 NO.16
383. 0000080285567 MUHAMMAD AZMI L 12/07/1998 1 JL MERANTI 5/32
384. 0000080299181 MUHAMMAD DANI HIMAWAN L 28/03/1997 2 PONCOL GG.17A
385. 0000080251514 MUHAMMAD FAHMIL ULUM L 18/07/1992 1 JL. JOKO TINGKIR NO.76
386. 0000080246799 MUHAMMAD IKHSANUDIN L 27/05/2004 2 PONCOL GG. BUNGA
387. 0000080264046 MUHAMMAD IMAM MUHAJIR L 02/09/1992 1 SETONO GG.8/21 C
388. 0000080261188 MUHAMMAD NAUFAL NAFIQ P 26/09/2008 2 PONCOL BARU GG 17
389. 0000080251626 MUHAMMAD RIFQI NASRULLOH L 28/05/1991 2 KLEGO GG 1 NO. 20
390. 0000164507501 MUHAMMAD RIZAL DWI NUR Y L 28/06/1991 3 SIMBANG KULON
391. 0000164311694 MUHAMMAD RIZKY YAHYA L 06/09/2006 1 JL TONDANO NO 67, PEKL
392. 0000080287918 MUHAMMAD RIZQI YUNANTO L 04/06/1990 2 SETONO GANG 4 /27
393. 0000080251525 MUHAMMAD RODHI L 26/05/1996 2 JL. JOKO TINGKIR NO.76
394. 0000080284307 MUHAMMAD TEGAR SAPUTRA L 17/09/2001 3 JL.SINGKARAK 4C
395. 0000080226663 MUHAMMAD THOYFUR L 06/09/1997 1 CEMPAKA
396. 0000080251119 MUHAMMAD ZAKI L 13/03/1959 P LANDUNGSARI GG. X
397. 0000080257004 MUHTAR AREDY L 02/10/1964 P JL TRAPESIUM III/4 LIMAS,
PEKL
398. 0000080279976 MUJIATI P 05/11/1960 I JL.TONDANO NO.30
399. 0000080253336 MUJIOSO L 01/02/1964 S KH HASIM AS'YARI
400. 0000080265723 MUKH. MUSLIKH L 22/10/1974 P SAMPANGAN GG 8/23
401. 0000080246619 MUKHAMAD ABDUL F , S.PD L 16/07/1972 S JL. HASYIM ASYARI
402. 0001078586177 MUKHAMMAD ALFA FARKHIN L 24/11/2007 1 JL. HASYIM ASYARI

9/3/13 5:06 PM Page 8 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
403. 0000004548328 MUKHAMMAD DZOIFIKHOR AMRI L 10/10/1995 2 JL. TERATAI PONCOL 86 B
404. 0000004548317 MUKHAMMAD FATIKHUL IKHSAN L 18/10/1993 1 JL. TERATAI PONCOL 86 B
405. 0000080431659 MUKTININGSIH P 17/02/1965 I JL.ULIN IV/27 PKL
406. 0000080406044 MULYADI L 30/03/1964 P JL.DR.WAHIDIN GG.VI/28
407. 0000080254146 MULYANTO L 16/05/1970 P MATANA PONCOL BARU
408. 0000080251143 MUMTAZ MILLATIMASARI P 15/01/1992 2 JL.KI HAJAR DEWANTORO
409. 0000080338252 MUNAWAR L 20/07/1933 P PONCOL GG.12 A/5 RT 4/5
410. 0000204722199 MUNIROH P 04/04/1971 I JL.TERATE GG.06-27,PEKL
411. 0000080422244 MURBANDININGSIH, Dra. P 24/04/1953 P BINAGRIYA V/218
412. 0000080306122 MURDINAH P 27/10/1945 P DESA PONCOL
413. 0000080369403 MURIP NINGSIH P 18/06/1957 P PONCOL
414. 0000080301947 MURTINI P 07/10/1952 I LANDUNGSARI RT.02/07
415. 0000080321905 MURTININGSIH P 24/03/1950 I KEBULEN
416. 0000080317451 MURYANI P 17/03/1971 P DS DEKORO
417. 0000078054208 MURYANI P 17/03/1971 I JL KI MANGUN SARKORO
418. 0000080381531 MUSDALIFAH JD AFANDI P 18/08/1958 P JL.DAMAR IV/118 SLAMARAN
419. 0000080369469 MUSIYAM P 08/05/1952 P SUGIH WARAS GG 8/9 PKL
420. 0000080369482 MUSJIATI P 05/07/1948 P BAROS
421. 0000080367873 MUSJIATI P 10/02/1953 I JL OTISTA 17
422. 0000080369493 MUSNIJAH P 31/12/1946 P JL.CEMPAKA GG.5/3A
423. 0000080395672 MUSTOFA L 25/04/1952 S JL.KANFER I/35
424. 0000080282687 MUTAQIN L 27/12/1961 P JL.TONDANO PONCOL GG
MAWAR
425. 0000078289964 MUTMAINAH P 05/05/1958 P JENGGOT IV NO.350, PKL
426. 0000201889721 MUZAROH P 30/10/1955 I NOYONTAAN GG VI NO 31
427. 0000208465211 NABIILAH RIMA ALIFIA P 06/11/2011 1 SETONO GG 2 NO.18
428. 0000080287896 NAFILAH P 22/11/1963 I SETONO GANG 4 /27
429. 0000149500653 NAFISA CAHAYA PUTRI P 28/05/2008 1 JL.DR.WAHIDIN GG.2 NO 1A
430. 0000080226641 NAHRUL KHOLIS L 16/08/1967 P CEMPAKA
431. 0000078208716 NAILI ARZAKIYAH , S. AG P 12/08/1973 P SETONO GG.5
432. 0000080225447 NAILIS SA'ADAH P 12/12/1999 2 TONDANO PONCOL GG 12/30
433. 0000077979813 NANDA RISKQI FEBRIANA L 14/02/2003 2 JL KH. DEWANTORO NO 67
PEKL
434. 0000080339398 NARKO SUNARYO L 08/08/1942 P PONCOL IX/3 RT.03/04 PEKL
435. 0000078289975 NASIKHU L 31/12/1960 S JENGGOT IV NO.350, PKL
436. 0000080386817 NGATMAN L 13/04/1969 S BANDENGAN RT.1/2, PKL
437. 0000080422255 NI'MAH,DRA P 06/05/1966 P JL.SURABAYA NO.55
438. 0000078909524 NIDA FALAHATI L 25/03/1997 1 JL. SUNAN KALIJAGA NO 18
439. 0000080237362 NIMAS AYU PRAHA BELFAS P 24/05/2007 1 JL GAJAH MADA, PEKL
440. 0000080218359 NIRMALASARI P 22/12/1967 I PONCOL BARU PEKL
441. 0000080226652 NISMA ZAQUL JANAH P 22/02/1977 I CEMPAKA
442. 0000080369919 NOER TJAHAJA P 31/12/1941 I JL.TONDANO 5, PONCOL
443. 0000199167546 NONON ARIEF RACHMAN,SE L 06/12/1977 S JL.ANGKATAN 66 NO.16
444. 0000080441458 NOOR ARIYANI P 15/06/1963 I PONCOL GG. 08A
445. 0000080244639 NUNIK ARIASTUTI, Dra. P 13/06/1961 P JL.TOBA NO.49 RT.05/02
446. 0000076659625 NUNUK WINDRATI P 13/11/1957 I JL.TOBA 3/7 RT.02/02
447. 0000080227192 NUR FITRIANI P 12/01/1999 2 NOYONTAAN GG.II NO 6A
PEKL
448. 0000080406066 NUR AINI P 20/11/1963 P SAMPANGAN GG V NO 8,
449. 0000195187656 NUR AMBYAH P 28/01/1958 P DS. KARANG MALANG TIMUR
KOTA PKL
450. 0000078212417 NUR AMINAH P 07/03/1973 I GAMER
451. 0000173766486 NUR BADRIYAH P 07/05/1948 P JL.HASYIM ASYARI
452. 0000080253358 NUR CHOLIS MUJI SANTOSO L 02/02/2001 2 KH HASIM AS'YARI
453. 0000080297954 NUR ELLY P 26/12/1979 P JL. SUTAN SYAHRIR
454. 0000080234234 NUR ENDAH RAHAYU P 14/10/1962 P JL. DHARMA BAKTI 163

9/3/13 5:06 PM Page 9 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
455. 0000080398517 NUR EVA SUKIANTI P 18/11/1989 1 JL.PALAPA 2/12
456. 0000080251492 NUR FAIZIN L 06/10/1963 P JL. JOKO TINGKIR NO.76
457. 0000077846365 NUR FIQIH HIDAYAT L 31/10/2000 2 JL. KH. HASYIM ASHARI NO.
458. 0000164006831 NUR HIDAYAH P 29/01/1978 I SUMURJOMBLANGBOGO
KAB PKL
459. 0000080340276 NUR KAENI P 20/11/1946 P DEKORO RT.02/I
460. 0000080414223 NUR KHOLAF L 05/09/1970 P JL.HASYIM ASHARI
461. 0000080246788 NUR KHOLIS RAHMAWANTO L 29/09/1998 1 PONCOL GG. BUNGA
462. 0000159853241 NUR SOMA AJI L 16/06/1975 P SUMURJOMBLANGBOGO
KAB PKL
463. 0000080287885 NURDIN L 20/02/1956 P SETONO GANG 4 /27
464. 0000080317506 NURHAYATI BARAWASI P 27/06/1973 P GTA JL SEROJA II NO 17C,
PEKL
465. 0000080438398 NURUL FALAH L 03/09/1963 P JL.KALISARI GG.22/99
466. 0000080251593 NURUL HIDAYAH P 27/10/1962 P KLEGO GG 1 NO. 20
467. 0000077846354 NURUL INDAH PRATIWI P 28/09/1996 1 JL. KH. HASYIM ASHARI
468. 0000172492525 NURUL MUTAMMIMAH AMD. KEB P 19/02/1986 I DS KEBONSARI KAB PEKL
469. 0000078424975 NURUL VANIDIA P 03/12/1996 2 DEKORO KOD PEKALONGAN
470. 0000080438411 NUVANDA EKA SFITRI P 27/04/1992 1 JL.KALISARI GG 22/99
471. 0000977622502 NUZAH P 01/01/1944 P JL KH HASYIM ASY'ARI GG VI
472. 0000165910735 OEMI BARKAH P 01/07/1933 P PONCOL PEKALONGAN
473. 0000080382069 OEMI BARKAH P 01/07/1932 P PONCOL GG 10/13
474. 0000080245822 OKI BUDIANIS DJUARIN P 03/10/1972 I JL INSPEKSI GG MENTARI
KAV 56
475. 0000080244652 OLIVININTYA N OCEANY P 20/03/1998 1 JL.TOBA NO.49 RT.05/02
476. 0000080317517 OPIK TAUFIK L 23/09/1977 P JL TONDANO NO 67, PEKL
477. 0000078051126 PAIJAL IMRON SIP L 01/10/1972 P PERUM GRIYA JASA
SEJAHTERA B 15
478. 0000207938406 PANCA WINDI NOFIANI P 29/11/2001 4 PERUM BUMIREJO DAMAI
BLOK C6/9
479. 0000080406224 PARLIYAH P 10/07/1960 P RUMDIN SD KANDANG PJG
10/11
480. 0000080369774 PARSINI P 02/02/1955 P PONCOL GGG 14/14 PKL
481. 0000080341435 PARTIYAH JD BONGKOT P 01/12/1935 P KARANGMALANG RT.2/1,
482. 0001080259975 PASMIATI P 15/02/1986 I GRIYA MUKTI INDAH GG
MAWAR D 164
483. 0000080395558 PETRUS MARJIONO L 03/02/1957 P KEPUTRAN LEDOK PEKL
484. 0000171609377 PRADIPTA NIHARTMAN,A.MK L 10/10/1987 P PONCOL GG.9/5A
485. 0000080251806 PRAPTININGSIH P 10/04/1962 P PROGO 4/4
486. 0000080284285 PRIYANTO L 05/10/1955 S JL.SINGKARAK 4C
487. 0000080303152 PRIYATI P 16/02/1966 I LANDUNGSARI 14/19 PEKL.
488. 0000209922625 PUJI ASTUTI P 22/10/1982 I JL. PERINTIS
KEMERDEKAAN GG 3 NO. 43
489. 0000078003448 PUJI ISMIASIH P 03/03/1963 I JL MATANA NO 35 PONCOL
490. 0000080398315 PURNOMO L 15/05/1960 P JL SINGKARAK 7
491. 0000080402826 PY BAMBANG IRIYANTO L 11/10/1951 S JL TONDANO I
492. 0000080266239 QURROTUL AINI, S.AG P 09/12/1975 P PURNA SARI, KALIBANGER
493. 0000080382543 R SUFAIJAH P 25/11/1942 P KAUMAN GG.I NO.7
494. 0000080313783 R.HENDRO MOCHJONO L 21/11/1926 P NOYONTAAN RT.5/3 PEKL.
495. 0000080369943 R.M.SOEHARTO L 07/12/1930 P JL. TONDANO NO. 7 A
496. 0000044996523 R.MAYA KUMALASARI P 03/05/1971 I SETONO GG.2
497. 0000080298821 RACHEL HAPSARI L 08/11/2003 2 DEKORO
498. 0000080343538 RAHADI L 17/09/1942 P KAUMAN PEKALONGAN
499. 0000977278847 RAHAYN NISA FATIMA,SKM P 01/10/1987 I DUKUH BONG ROWOSARI
500. 0001080812722 RAHAYU P 02/02/1944 P PONCOL GG XI NO 2
501. 0000080415281 RAHMA MUFIDA P 02/11/2000 1 DS SUBAH, BATANG
502. 0000080253347 RAHMAD PUJI SARJONO L 23/12/1993 1 KH HASIM AS'YARI
503. 0000080438995 RAHMAWATI WULANSARI P 06/11/1994 1 PONCOL 17/31
504. 0000080372507 RAKA SIWI PANDU AGUNO L 09/11/1989 1 PRINGGOSARI, PEKL

9/3/13 5:06 PM Page 10 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
505. 0000080370077 RAMADI L 29/03/1938 P MATANA GG.MEKAR 1
506. 0000080431648 RATONO L 22/09/1960 P JL.ULIN IV/27 PKL
507. 0000080279291 RENNY SILVIA INDRIYANI P 31/03/1995 1 JL. TERATE PONCOL GG.2/70
508. 0000080410612 RETNO WULAN RAMADHANI P 29/12/1967 I PONCOL GG.KEMUNING 31
509. 0000194508549 REVALINO PUTRA SETIAWAN L 24/01/2010 1 JL.TERATE PENCOL,PEKL
510. 0000173281476 RHESSA MAULIDA P 09/04/2007 1 JL.TONDANO PONCOL
511. 0000080422266 RIDHWAN AWUD AZIZ L 21/08/1966 S JL TONDANO NO 9
512. 0000080518454 RIEZA FERDIANSYAH L 02/07/2000 1 BAROS PEKALONGAN
513. 0000080254157 RIFA YUNIANA P 26/06/1977 I MATANA PONCOL BARU
514. 0000080431672 RINA ISTIQOMAH P 29/06/1992 2 JL.ULIN IV/27PKL
515. 0000080254168 RINA RIZKY ANANDA P 10/03/2000 1 MATANA PONCOL BARU
516. 0000201620845 RINATA MAHARDIANI P 22/06/1979 I SETONO GG 2 NO.18
DDEKORO PEKL TIMUR
517. 0000080310475 RINTINAH P 11/11/1942 I PONCOL BARU RT.4/6 NO.58
518. 0000080287648 RISKIYAH P 02/02/1968 P PONCOL GG 14 A
519. 0000078441039 RISWANDHA L 24/02/1997 1 TOBA NO.27
520. 0000080376906 RISWATI HANDAYANI P 01/01/1953 I WR SUPRATMAN GG 10/40
521. 0000080398326 RIYANI P 24/05/1981 I JL.SINGKARAK 7
522. 0000080235742 RIZKA PRITA YULIANI P 09/07/1993 2 JL.KEMIRI 27 MEDONO
523. 0000080246158 RIZKI ALIFIA RAHMAH P 29/07/1999 1 SETONO 2/1
524. 0000149120256 RIZKI ANNA LESTARI , SKM P 23/12/1984 P JL. MUSI III NO 14
525. 0000077847592 RIZKI RAHMAWATI P 07/01/1992 2 JL.TERATAI IX/28A
PEKALONGAN TIMUR
526. 0000080317012 RIZKY AMALIA P 31/03/1994 2 JL. RASAMALARAYA B IV NO.
17
527. 0000206082009 RIZKY TEGAR SATRIA L 09/01/2011 2 PONCOL GG.KEMUNING 14 E
528. 0000078441017 ROBERTUS IWAN BUDIARTO,SH L 18/09/1968 P TOBA NO.27
529. 0000080371427 ROCHMIJATUN P 15/04/1954 I PONCOL 14B/96
530. 0000080287659 ROCHYANTO L 02/02/1965 S PONCOL GG.14 A
531. 0000080409284 ROGHIBIN DIMYATIE L 07/11/1954 S JL.KH.HASYIM ASYARI
532. 0000080299157 ROHMAWATI P 14/06/1966 P JL A.YANI BARU GG.15/64
533. 0000080370257 ROLIYAH JD DALNO P 21/03/1924 P PONCOL NO.17
534. 0000080404154 ROMELAH P 15/04/1957 P JL.KISURONTOKO DEKORO
535. 0000080237351 RONI ISMOYO L 15/10/1979 S JL GAJAH MADA, PEKL
536. 0000080287672 RORISTA KHUSNA AMALINA P 22/10/2002 2 PONCOL PEKALONGAN
537. 0000078314657 ROSALINA P 11/03/1981 P JL.TERATE PENCOL,PEKL
538. 0000080409273 ROSYIDAH P 07/07/1955 P JL.KH.HASYIM ASYARI
539. 0001080451146 ROUDL BAIRUCHA P 24/08/1989 I KEL.BAROS,KOTA PEKL
540. 0000163414686 RR LAELA SAFARIANA P 20/04/1969 I KEPUTRAN
541. 0000080370268 RR MULJATI P 20/07/1927 P PONCOL GG 12/37
542. 0000080234728 RR. CAHYANINGDYAH P 15/09/1956 P NOYONTAAN GG. 02 NO.18
543. 0000080370314 RR.MUNARSIH P 01/11/1927 P PONCOL GG 12/2
544. 0000080370347 RR.SITI NGAISAH JD R ACHMAD P 01/01/1933 P PONCOL 12/8
545. 0000080370415 RUGAYAH SHAHAB P 07/02/1942 P JL. WAHID HASYIM 122
546. 0000080310082 RUKIYAH P 15/03/1923 I PONCOL RT 09 RW 05 PKL
547. 0000080396897 RUSTIATI FATKHIYAH, S.PD P 05/01/1963 P SETONO GG.2 NO.3
548. 0000080244009 RUSYANI SYAHWONO P 09/05/1996 1 JL.KIMANDOKO 193 DEGAYU
549. 0000080244011 RUSYANTO SYAHWONO L 29/05/2001 2 JL.KIMANDOKO 293 DEGAYU
550. 0000080346453 S NOER JD. ABDULLAH P 31/12/1937 P PONCOL XI/6 PEKALONGAN
551. 0000080371359 SACHUR L 24/09/1940 S JL TERATAI PONCOL 10/10
552. 0000080350323 SAENI P 28/12/1950 I PONCOL GG 14 A/14
553. 0000163267727 SAFINAH SA"ADAH P 03/03/2000 1 JL.TERATE PONCOL GG.3/24
554. 0000080370494 SAIDAH P 07/04/1945 P SUGIH WARAS GG.3/9 PKL.
555. 0000077863421 SAJUTI L 02/01/1924 P PROYONANGGAN TENGAH
556. 0000080347577 SAKINAH ALATAS P 10/12/1947 I KEPUTRAN LEDOK GG 1/22

9/3/13 5:06 PM Page 11 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
557. 0000163267648 SALEH ALI L 09/10/1960 S JL.TERATE PONCOL GG.3/24
558. 0000080347498 SALEH B KARDJAN L 01/01/1931 P DARMA BHAKTI GG 12 15/5
559. 0000080301014 SALMAH MUSTOFA P 31/12/1930 I JL MANINJAU NO.4 PKL.
560. 0000080370562 SAMINAH P 01/01/1945 P PONCOL GG BUKENVIL
561. 0000080394489 SAMIYONO,SIP SPD L 05/07/1959 P SETONO GANG 2 NO.3
562. 0000080408902 SANTOSA MUJI RAHARJO L 01/10/1962 P JL.PERMAI NO 99 BINAGRIYA
INDAH
563. 0000080370595 SANUSI L 05/09/1931 P SETONO PEKALONGAN
564. 0000080308337 SAPALI L 01/08/1941 P JL.KINTAMANI NO.4 RT.3/1
565. 0000075836755 SARDJONO L 05/04/1959 P SIMBANG KULON
566. 0000080395582 SELADIAN MAYASARI. R P 17/05/1990 2 PERUMDIN SD KEPUTRAN 10
567. 0000080279987 SEPTI OKTAVIANI P 23/10/1989 1 JL.TONDANO NO.30
568. 0000080408924 SEPTIANA EKA LESTARI P 26/09/1991 1 JL.PERMAI 337 BGI MEDONO
569. 0000080299168 SETIO PAMUNGKAS L 28/02/1965 S PONCOL GG.17A
570. 0000077640243 SHABRINA NURLATHIFAH P 29/10/2001 2 JL.KEMIRI 36 PEKALONGAN
571. 0000174112108 SHAFA HESWITA ANGGRAINI P 13/02/2010 1 JL FLAMBOYAN IV 01/26
572. 0000080313939 SIDAH P 05/08/1935 P JL.SURABAYA NO.52
SUGIHWARAS PKL
573. 0000078212428 SIGIT PAMBUDI L 02/01/1998 1 GAMER
574. 0001081425846 SIGIT PRADIPTO L 30/03/1984 S JL. MUSI III NO 14
575. 0000080437961 SILAWATI P 01/06/1967 I JL.DAMAR 3/50 SLAMARAN
576. 0000080225987 SITI CHANIFAH P 25/11/1959 I PONCOL GG.9/2
577. 0000976134857 SITI DIAN WAHYUNI P 04/04/1985 I JL. TERATE PONCOL 10 /13
578. 0000080252291 SITI FATIMAH P 04/12/1967 P JL. HAYAM WURUK
579. 0000160282901 SITI FATIMAH P 02/02/1952 P JL.KINTAMANI NO.4
580. 0000169053658 SITI FATIMAH P 02/02/1952 I JL.KINTAMANI NO.4 RT.3/1
581. 0000080349131 SITI HAFSAH P 24/03/1943 P NOYONTAAN GG.III NO.37
582. 0000080337701 SITI HAFSAH P 24/03/1943 I NOYONTAKAN RT.03/01
583. 0000080227179 SITI KOMARIYAH P 04/11/1961 I NOYONTAAN GG.II NO16A
PEKL
584. 0000197904058 SITI MARWIYAH P 16/06/1957 I JEND.SUDIRMAN 83
585. 0000044996545 SITI MARYAM L 12/07/2006 2 SETONO GG.2
586. 0000078054219 SITI MAULIDAYANTI P 07/08/1995 1 JL.KI MANGUN SARKORO
587. 0000204077452 SITI MUJARATUN P 08/11/1966 I TONDANO GG MELATI, PEKL
588. 0000080242367 SITI NGASIROH P 01/01/1977 I SUGIH WARAS GG 8/9
589. 0000085322305 SITI NURJANNAH D,SH, Dra. P 01/04/1952 P JL.TONDANO NO.4 PEKL.
590. 0000080313963 SLAMET L 29/08/1946 P JL.TERATAI PONCOL
591. 0000080227168 SOBIRIN L 25/04/1960 P NOYONTAAN GG.II NO 16 A
PEKL
592. 0000080370999 SOEDARSO L 10/08/1935 P PONCOL PEKALONGAN
593. 0000080352022 SOEDRIYATI P 05/11/1929 I JL.TONDANO PONCOL BARU
594. 0000080371023 SOEGIARNO L 12/05/1946 P KARANGMALANG NO. 08
595. 0000080371045 SOEGIRI, S.PD L 24/11/1946 P NOYONTAAN GG.V NO. 21
596. 0000080385557 SOEGIRI,BSC L 11/09/1945 P JL.DAMAR DALAM I/43
597. 0000080371089 SOEHARSIH P 15/12/1925 P NOYONTAAN I/22 RT.01/01
598. 0000080352382 SOEMADI L 14/08/1935 P NOYONTAAN GG.II/27
599. 0000080312635 SOEMILAH P 17/02/1932 I PONCOL GG XIV/20
600. 0000027660958 SOENENDRI L 24/04/1933 P JL.TONDANO 40
601. 0000080310071 SOEPARDJO SASTRODIHARJO L 15/03/1923 P PONCOL RT 09 RW 05 PKL
602. 0000080314086 SOEPARNI P 27/07/1936 I JL.DR.WAHIDIN GG.12/17
603. 0000080371348 SOEPARTI P 15/09/1944 P JL TERATAI PONCOL 10/10
604. 0000080310306 SOERIP L 24/01/1924 P JL.DR.SUTOYO RT.01/01
605. 0000077640219 SOEROSO L 10/06/1956 P JL.KEMIRI 36 PEKALONGAN
606. 0000080279965 SOETARTO L 03/09/1953 P JL.TONDANO NO.30
607. 0000080386626 SOETARTO L 17/07/1936 P KRAPYAK KIDUL KLEGO GG
608. 0000080379077 SOETARTO L 17/07/1936 S JL.JLAMPRANG I/556

9/3/13 5:06 PM Page 12 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
KDL
609. 0000080310464 SOETJIPTO L 20/08/1936 P PONCOL BARU RT.4/6 NO.58
610. 0000080408935 SOVIE DWI KURNIASIH P 05/08/1997 2 JL.PERMAI 337 BGI MEDONO
611. 0000075737643 SRI BARMANI P 01/01/1951 P JL SLAMET 63
612. 0000080387021 SRI BAWON P 07/08/1936 P KEPUTRAN II/5
613. 0000080274655 SRI DANA LAYUNG UPIK M P 01/12/1975 P JL. KH HASYIM ASYARI NO.1
614. 0000080371686 SRI DARJATI.BSC.HJ P 15/11/1947 P DEKORO GG.8/31 PKL
615. 0000078441028 SRI ESTI SWANDAYANI, SH P 06/03/1969 I TOBA NO.27
616. 0000080314143 SRI HARYATI P 15/04/1953 P JL. A YANI DALAM GG.
617. 0000080371765 SRI HERWATI P 19/07/1948 P KEPUTRAN GG BARU NO. 3
618. 0001078508002 SRI INDAH SARI P 12/10/1965 I KRATON KIDUL
619. 0000080251121 SRI IRIYANTI P 17/11/1962 I JL. HOS COKROAMINOTO
620. 0000080371798 SRI LESTARI P 16/06/1955 P JL. TERATAI X/75
621. 0000080377233 SRI LESTARI P 24/07/1956 I JL.KANFER I/32
622. 0000080311386 SRI MARYATI P 25/09/1929 I TERATE NO.60 PONCOL
623. 0000080371822 SRI MULYANAH JD P 10/01/1953 P SETONO GG.8/16
624. 0000080279998 SRI MULYATI P 01/05/1968 P JL.JEND.SUDIRMAN V/83
625. 0000078195802 SRI MURJIATI P 24/10/1963 P KEPUTRAN PEKALONGAN
626. 0000080438005 SRI MURYATI P 04/11/1965 P JL. A YANI DALAM NO.70,
PONCOL
627. 0000080408979 SRI REJEKI P 09/05/1967 I JL. K.H HASYIM ASYHARI GG
2 NO 05
628. 0000207186399 SRI SUHARTININGSIH P 14/03/1951 P PONCOL GG 14A NO 9
629. 0000080398653 SRI SUSTININGSIH P 09/06/1958 P PONCOL GG.IX/44 PEKL.
630. 0000080371034 SRI WAHYUNINGSIH P 18/10/1954 I KARANGMALANG NO. 08
631. 0000080281697 SRI YULIATI P 23/07/1954 P JL.KINTAMANI 15/2A
632. 0000080371967 SRIYONO L 27/05/1951 P PONCOL BARU NO.59
633. 0000080280077 SUBANDI L 31/08/1967 P TONDANO GG MELATI, PEKL
634. 0000080261166 SUDARSIH INDRIYANI P 05/07/1979 I PONCOL BARU GG 17
635. 0000080314198 SUDARTO L 12/12/1937 P JL.MANINJAU 551
636. 0000080441447 SUDIMAN L 07/04/1960 P PONCOL GG. 08A
637. 0000077847579 SUDOKO L 22/12/1952 S JL.TERATAI IX/28A
PEKALONGAN TIMUR
638. 0000080311059 SUDRIYAH P 05/02/1930 P PONCOL GG XII
639. 0000080287705 SUGENG GARNOTO L 30/12/1960 P PERUM BUMIREJO DAMAI
BLOK C6/9
640. 0000080282698 SUGIARTI P 15/05/1965 I JL.TONDANO PONCOL
641. 0000080311061 SUGIASIH P 16/06/1937 P PONCOL BARU 47
642. 0000080436666 SUHARMINI, S. PD .I P 24/11/1960 P SETONO GG 9/168D
643. 0000080372147 SUHARTI.HJ P 13/06/1947 P Jl. Toba 27, Pekalongan
644. 0000080409407 SUHARTO L 21/04/1959 P NOYONTAAN GG 4 NO 3
645. 0000080388077 SUHARTO, dr. L 02/07/1937 P JL.DR.WAHIDIN 27 RT.05/02
646. 0000080396673 SUKARNO L 10/05/1955 P KEPUTRAN LEDOK III NO.32
647. 0000080398495 SUKINO L 07/04/1963 P JL.PALAPA 2/12
648. 0000080369201 SULAMI P 01/01/1959 I NOYONTAKAN V/15
649. 0000075867592 SULISTIANINGSIH P 01/02/1973 P NOYONTAAN GG 11A/555
650. 0000077711556 SULISTYANINGSIH P 01/02/1973 I NOYONTAAN G.III/16 PKL
651. 0000080357949 SULIYAH P 01/01/1941 P PONCOL NO.10/32 RT.09/04
652. 0000080311375 SUMADI ADNAN L 15/05/1926 P TERATE NO.60 PONCOL
653. 0000080311419 SUMARI L 05/08/1942 P PONCOL 10A RT.6/5 PKL
654. 0000080246147 SUMARNO L 08/10/1969 S SETONO 2/1
655. 0000080311421 SUMARTI P 31/12/1945 I PONCOL 10A RT.6/5 PKL
656. 0000080422277 SUMAYYAH P 08/05/2001 1 JL.SURABAYA NO.55
657. 0000077994876 SUMEJI L 12/05/1977 P JL.MATANA. GG RUKUN ,
PONCOL
658. 0000077846343 SUMIATI P 05/09/1975 I JL. KH KASYIM ASHARI

9/3/13 5:06 PM Page 13 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
659. 0000080316876 SUMINI P 03/09/1984 P JL FLAMBOYAN IV 01/26
660. 0000080314255 SUMIYATI P 30/01/1934 P NOYONTAAN GG.5 NO.10
661. 0000005130088 SUPADINAH P 01/01/1937 I PANJANG INDAH III/173
662. 0000080358636 SUPARMI P 23/03/1942 P YOSOREJO 03/21
PEKALONGAN
663. 0000080398664 SUPARTO L 07/04/1953 S PONCOL GG.IX/44 PEKL.
664. 0000080372485 SUPRIYANTO L 28/10/1952 P PRINGGOSARI, PEKL
665. 0000080246777 SUPRIYANTO L 27/09/1972 S PONCOL GG. BUNGA
666. 0000080372531 SURATI P 31/12/1945 P BAROS KOTA PEKALONGAN
667. 0000080304131 SURATI P 01/01/1926 I KEPUTRAN IV/24
668. 0000080358974 SURIP ALIAS MOH.MOERIP L 10/09/1947 P JL. A YANI DALAM I PONCOL
GG. 16/21
669. 0000080437972 SUSILA INDRA SAPUTRA L 08/01/1991 1 JL.DAMAR 3/50 SLAMARAN
670. 0000081789996 SUTARTO L 21/01/1956 P RAJAWALI
671. 0000084636696 SUTIKWATI P 15/03/1967 I RUNMDIN SDN KEPUTRAN 8
672. 0001080970479 SUTINAH P 19/10/1973 I KRAPYAK KIDUL KLEGO GG
673. 0000169670801 SUTRISNO L 03/07/1978 S JL. SUTAN SYAHRIR
674. 0000078017668 SUWARDI L 22/12/1958 P JL.MAHONI RAYA 199
675. 0000080441537 SUWARSIH P 01/05/1963 P DAMAR DALAM IV/123
676. 0000080414987 SUWARTINI SPD P 16/03/1972 P JL APOLO GG MELATI V/65
677. 0000080441548 SUYITNO,S.PD L 05/02/1964 P JL.MAHONI RAYA NO.197
678. 0000028303738 SYAH AGUNG HARDIYANTO,A.MD L 11/08/1981 P DS KEBONSARI KAB PEKL
679. 0000205864659 SYAHRUL HIDAYATULLAH L 21/04/2003 2 PONCOL GG 14D/16
680. 0000080237349 SYARIFAH NURTRIANA P 12/05/1977 P JL GAJAH MADA, PEKL
681. 0000078424942 TADJUDIN NUR,SH L 04/03/1962 P DEKORO KOD
682. 0000080311915 TANPENG NIO P 12/05/1935 P PONCOL 14/17
683. 0000080284612 TARISA SUSILOWATI P 25/01/2001 4 JL MATANA PERMAI PEKL
684. 0000077863432 TARKONAH P 07/05/1934 I PROYONANGGAN TENGAH
685. 0000078017679 TARMINI P 10/01/1961 I JL.MAHONI RAYA 199
686. 0000080292881 TARUDJI L 29/06/1958 P KANDANG PANJANG 4A/19A
687. 0000080372744 TARWIYAH JD ROCHYADI P 31/12/1925 P PONCOL 10/10
688. 0000080314345 TARYI P 14/06/1947 P JL MATANA NO 24 PEKL
689. 0000080408968 TARYOSO L 02/12/1961 P JL. K.H HASYIM ASYHARI,
GG 2 NO 05
690. 0000080235718 TATIEK SUHARTATI P 05/04/1959 P JL.KEMIRI 27 BINA GRIYA
691. 0000164311648 TATIK SUMARNI P 02/03/1982 I JL TONDANO NO 67, PEKL
692. 0000080372788 TAUFIQ, A. MA L 07/04/1956 P JL. MANINJAU 7,
693. 0000080395424 THERESIA MARYATUN P 22/08/1960 P BUARAN INDAH B130
694. 0000080326945 THERESIA RAHIPITUN D P 12/12/1954 I SULTAN AGUNG 93 PKL
695. 0000163974249 THUFAILAH FAJRIN P 28/10/2001 1 GTA JL SEROJA II NO 17C,
PEKL
696. 0000204426494 TIARA ARINASTITI P 17/05/2002 3 JL. K.H HASYIM ASYHARI GG
2 NO 05
697. 0000080372902 TISANAH P 15/06/1957 P LANDUNGSARI GG.19
698. 0000197506866 TITAH BENING SURGAWI P 17/09/1997 5 PONCOL 09/02
699. 0000080253325 TITIK PUJIATININGSIH P 21/02/1966 P KH HASIM AS'YARI
700. 0000080299361 TITIN KURNIASIH, DRA P 10/02/1962 P JL DR. SUTOMO GANG 6
JOHAR
701. 0001080000044 TIYAH P 30/12/1976 I GG.KENANGA 13 A NO.47
702. 0000080372261 TJARTINI P 15/01/1941 I KEPUTRAN GANG.4 NO. 10
703. 0000080361731 TOEAENI JD.SARBINI P 31/12/1935 P KARGON GG.XI/12
704. 0000080303523 TOMY VILLYAN INDARTA L 16/09/1990 2 JL.TONDANO 15 RT 4/2
705. 0000044996512 TOYI L 12/04/1952 P SETONO GG.2
706. 0000080239151 TRI FAIZATU NABILA P 27/07/1997 3 JL.YANI DALAM NO.3
707. 0000080303501 TRI INDARYATI P 12/12/1966 I JL.TONDANO 15
708. 0000080425271 TRI WAHYU KURNIASIH P 05/12/1992 3 KEPUTRAN PEKL
709. 0000080436982 TRIANI PUJI ASTUTI P 08/03/1979 I BROKOH

9/3/13 5:06 PM Page 14 of 15


No No Kartu Nama JK Tgl Lahir PISA Alamat
710. 0000080395661 TRINI SUGIYANTI P 05/06/1961 P JL.KANFER I/35
711. 0000080425247 TRISILO L 05/10/1955 S KEPUTRAN PEKL
712. 0000080376851 TRISMANINGRUM P 17/08/1954 I BINA GRIYA 247
713. 0000078909704 TRISNOTO L 06/07/1965 P JL. SUNAN KALIJAGA NO. 18
714. 0000080413198 TRIYANTO L 12/06/1969 P PONCOL GG BUGENVILLE
715. 0000080281258 TUGIS MANTO L 25/12/1983 P PONCOL GG MAWAR 81 PKL
716. 0000080286862 TUNANDIROH P 27/12/1967 P JL.TOBA 3/25 KEPUTRAN
717. 0000076229739 TURYATI P 08/07/1970 P PONCOL GG.9 NO.9 RT.3/4
718. 0000080391475 ULFA P 05/12/1962 I SULAWESI 12
719. 0000080438409 ULFA SUTAMI P 10/10/1970 I JL.KALISARI GG 22/99
720. 0000080281708 UMAR HADI L 01/09/1949 S JL.KINTAMANI15/2A RT.1/2
721. 0000080372799 UMI KULSUM P 16/06/1962 I JL .MANINJAU 7,
722. 0000052405571 UMIATUN.AMA P 03/08/1974 P JL.HASYIM ASYARI
723. 0000173281419 UPIT UMRIYAH P 17/02/1979 I JL.TONDANO PONCOL
724. 0000080415268 URIP PURWANINGSIH P 19/03/1972 P TIRTO PEKALONGAN
725. 0000080373069 URIPAH P 31/12/1935 P PONCOL PEKALONGAN
726. 0000080438984 UTAMI WULANINGSIH P 09/01/1974 I PONCOL 17/31
727. 0001078159443 UWAIS AHMAD HARDIYANTO L 27/11/2012 1 DS KEBONSARI KAB PEKL
728. 0000080410634 VALENT AL SHUFFAH L 14/02/1996 2 PONCOL GG.KEMINUNING 31
729. 0000149478221 WAHYU DHAYAT MINULYO,SKM L 31/03/1985 P DUKUH BONG ROWOSARI
730. 0000080303106 WAHYU NUR A INI P 13/04/2002 1 KEPUTRAN GG.6/22 RT.6/4
731. 0000203357035 WALI MIRZA ACHMAD, S.SOS L 13/09/1985 P SUGIHWARAS GG.11/1,PEKL
732. 0000080312624 WALIDI L 02/02/1925 P PONCOL GG XIV/20
733. 0000080422885 WALUYO PRASETYOHADI,S.PD L 31/03/1952 P BINAGRIYA B V/218
734. 0000080398056 WARDIMAN L 07/06/1967 P GANG ANGGREK
735. 0000080408597 WIDIYANINGSIH P 24/10/1957 I KEPUTRAN GG.1/29
736. 0000093607165 WIDIYANTO, SH L 03/06/1963 P JL.MATANA 17 PONCOL
737. 0000149500631 WIDODO RAHAYU LESTARI L 15/05/1982 P JL.DR.WAHIDIN GG.2 NO 1A
738. 0000080225684 WINDANAH P 01/11/1975 I JL.KINTAMANI 8 KEPUTRAN
PKL
739. 0000080364082 WIYANTI P 24/11/1967 P JL.TONDANO GG4/14A
740. 0000163414798 WULAN SARI TIARA PUTRI P 06/09/2002 2 KEPUTRAN
741. 0000194508325 YAHYA REY SETIAWAN L 17/08/1981 S JL.TERATE PENCOL,PEKL
742. 0000080369651 YANI KURNIATRI R P 20/11/1989 2 JL. A YANI DALEM 73
743. 0000080279289 YANTO HADIWIJOYO L 01/08/1968 S JL. TERATE PONCOL GG.2/70
744. 0000080348624 YATIMAH P 31/12/1943 I NOYONTAAN GG.11 A
745. 0000080406347 YATINI , S . PD.SD P 25/07/1968 P GANG ANGGREK
746. 0000080418767 YEKTI UTAMI P 16/04/1980 I PONCOL BARU 40
747. 0000080239421 YOGA MANDA PRATAMA L 18/01/1995 1 TONDANO
748. 0000080299179 YOSI IMAN SETIADI L 03/07/1993 1 PONCOL GG.17A
749. 0000028974587 YUKE RUKASIH,NY. P 13/03/1938 P DANAU SITUAKSAN 8 RT 02/4
750. 0000201356627 YUNAN KOMAR FATASYEH L 19/04/1985 P JL. HASYIM ASYARI 136
751. 0000080243087 YUNIATI P 02/02/1987 I PONCOL BARU GG 16
752. 0000080441572 YUSUF NARENDRA L 15/11/1989 2 JL.MAHONI RAYA NO.197
753. 0000080233672 YUYUN MASYUNAH P 05/11/1955 I JL TONDANO NO.28
754. 0000078001323 YUYUN MASYUNAH.HJ P 05/11/1955 P JL.TONDANO NO.28 PEKL.
755. 0000171142874 ZAHRA ANISA P 11/12/2008 2 JL. SUTAN SYAHRIR
756. 0000080373339 ZAINAH P 21/03/1947 P JL.TERATAI PONCOL 4/24
757. 0000078289986 ZIGARA MUHAMMAD L 26/07/1995 1 JENGGOT IV NO.350, PKL
758. 0000080413209 ZUBAIDAH P 21/02/1973 I PONCOL GG BUGENVILLE
759. 0000080291709 ZUHRO P 01/01/1938 P KEPUTRAN 6/25 PKL.

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