Tahap 5 VALIDASI

TANDA TERIMA KARTU JKN TAHAP V PUSKESMAS MALINJAK
TAHUN 2015
HUBK
JK
EL
1=P Alamat Tempat

No Nama Lengkap NO. KARTU 2=S Tgl Lahir
1=L Tinggal
3=I
2=P
4=A
5=T
1 2 3 4 5 6 7
1 RAMBU PADU PIGA 0001576711427 1 02/02/1940 2 BANAWAI
2 YAKOBUS UMBU R.ANABUNI 0001576712507 4 01/06/1978 1 BANAWAI
3 YADI UMBU SEBU TODA 0001576713565 4 02/01/1994 1 BANAWAI
4 RAMBU KUHI PATI 0001576714667 1 06/07/1949 1 WATU BATU
5 BULU BENAK 0001576715771 3 01/07/1950 2 WATU BATU
6 LODIA RAMBU GAWU 0001576716118 4 25/6/2014 2 GAIKADAPU
7 HERCIS UMBU HILI 0001576716221 1 23/03/2009 1 TANA RARA
8 D. B. EDDA 0001576716333 1 11/12/1935 1 TANA RARA
9 RAMBU BITA EMU 0001576716445 3 15/06/1960 2 TANA RARA
10 HERLY R. TOGA 0001576716557 4 31/07/1986 2 TANA RARA
11 RUDI UMBU KATANGA 0001576716568 4 31/07/1993 1 TANA RARA
12 ATY RAMBU B. AWA, SE 0001576716579 4 19/08/1978 2 TANA RARA
13 YEHZKIEL UMBU ROKA 0001576711732 4 08/08/2013 1 DAMEKA
14 GOTI DULU MOSA 0001576711844 1 02/08/1989 2 TANA RARA
15 KORNELIS TUDA YAGI 0001576711956 4 24/08/1993 1 TANA RARA
16 UMBU KERUNG PAMARA 0001576712068 1 19/09/2008 1 TANA RARA
17 BOTU IBI DEMU 0001576712171 1 01/07/1977 1 TANA RARA
18 R. BOBA NAWU 0001576712283 1 01/07/1931 2 TANA RARA
19 NUEL UMBBU BOTU 0001576712395 1 24/07/1987 1 TANA RARA
20 ASNAWATI RAMBU ROKU NAWU 0001576712518 1 05/11/2011 2 KAJILU KOBU
21 MERSI DAUKI IRU 0001576712621 1 06/03/1997 2 WAIKAJOBAK
22 GUSTI GIKU SABA ORA 0001576712733 4 01/07/1992 1 WAIKAJOBAK
23 REGENIUS RIKSON UMBU RIADA YAGI 0001576712845 1 06/09/2003 1 WAIKAJOBAK
24 NIA RAUNA BELA 0001576716581 1 10/01/2008 2 WAIKAJOBAK
25 MARIA GORETI RARA BODU 0001576713047 1 22/09/2002 2 WAIKAJOBAK
26 OKTAVIANU MUANA DEDU 0001576713159 1 27/10/2004 1 WAIKAJOBAK
27 HENDROIS WUNU SABA TUDUNG 0001576713249 4 23/06/1990 1 WAIKAJOBAK
28 SARLINTO SABA KODI 0001576713341 4 04/01/1993 1 WAIKAJOBAK

29 ELISABET SABA KODI 0001576713453 4 06/02/1999 2 WAIKAJOBAK
30 IGNASIUS UMBU WUNU SABA TUDUNG 0001576713576 4 05/08/2011 1 WAIKAJOBAK
31 AGUSTION SILI DONGO 0001576713677 4 12/08/2011 1 LEDI WATU
32 YOHANES KAREJU MANU RARA 0001576713789 4 25/01/1994 1 WAIKAJOBAK
33 TIBA SAGA BARA 0001576713892 1 24/05/1954 1 WAIKAJOBAK
34 R. PARI BOKA 0001576714004 3 06/05/1959 2 WAIKAJOBAK
35 JHON L. PAGEGI 0001576714116 4 15/06/1987 1 WAIKAJOBAK
36 RIKA LEKI NGUJU 0001576714228 4 22/06/1994 2 WAIKAJOBAK
37 ARIAN SAINGU POTI 0001576714331 4 24/02/2007 1 BODU LAURU
38 LADU DAY 0001576714443 1 01/06/1968 2 WAIKAJOBAK
39 R. NGUJU 0001576714555 1 01/07/1939 2 TANA RARA
40 BOLUTAGU KODA 0001576714678 4 01/07/1978 1 TANA RARA
41 VIKTOR GARA MONI 0001576714781 1 21/07/1985 1 KAJILOKOBU
42 SISILIA BILI 0001576714893 3 05/08/1986 2 KAJILOKOBU
43 RISYE SAPUTRA U. M. NAPANG 0001576715005 4 19/05/2008 1 KAJILOKOBU
44 RATRI MAYA RAMBU TODA MEJA 0001576715117 1 03/07/2013 2 WAILABONGI
45 NEKA JARA WOLI 0001576715229 1 01/07/1954 1 WAILABONGI
46 WISNU UMBU NEKA JARA WOLI 0001576715332 4 09/06/1999 1 WAILABONGI
47 ADHY UMBU MOKI 0001576715444 4 24/03/2002 1 KAJILOKOBU
48 MANGU K. L. GADUNG 0001576715556 4 20/07/1990 1 WATU BATA
49 UMBU SANGERA WOLU ADUNG 0001576715668 1 03/03/1953 1 KAJILOKOBU
50 RAMBU EDA RIJA 0001576715782 3 10/10/1968 2 KAJILOKOBU
51 HADI UMBU SAINGU POTI 0001576715894 4 05/12/1986 1 KAJILOKOBU
52 FARIDA RAMBU TAGU 0001576716006 4 10/03/1993 2 KAJILOKOBU
53 MARTHEN S. IBIDAYI 0001576716041 4 14/03/1996 1 KAJILOKOBU
54 IVON RAMBU JOLA 0001576716052 4 30/10/1997 2 KAJILOKOBU
55 RICARDO S. K. WOLI 0001576716063 1 30/04/2002 1 WAILOLUNG
56 AFRIANO R. B. MOLLU 0001576716074 4 18/04/2011 2 PINU TADULA
57 RAMBU MORA SIALA 0001576716085 1 01/07/1940 2 GALU TEKU
58 YONATAN U. S. WADUNG 0001576716096 1 03/08/1970 1 PUNGI NAGA
59 ENI R. ENGA 0001576716107 3 19/03/1972 2 PUNGI NAGA
60 CRISTIAN U. KATANG 0001576716129 4 21/12/1996 1 PUNGI NAGA
61 CLARISA R.D. MOSA 0001576716131 4 23/08/1999 2 PUNGI NAGA
62 PETRIK J. U. LEDI 0001576716142 4 22/10/2003 1 PUNGI NAGA
63 VIRGINIA R. EDA 0001576716153 4 09/07/2005 2 PUNGI NAGA
64 Jelsi U.K.L.Soru 0001576716164 1 09/04/1996 1 malinjak

65 jesika citra R.K.pati 0001576716175 4 25/06/2009 2 malinjak
66 wielhelmus l.b.dina 0001576716186 4 06/09/2013 1 malinjak
67 Dada Tuwa 0001576716197 1 06/07/1960 2 Tana Rara
68 Raga U. Tauwa Koda 0001576716208 4 02/10/1982 1 Tana Rara
69 Wela U. K. L. Soru 0001576716219 4 09/09/1992 1 Tana Rara
70 Ice R. Ladu Bana 0001576716232 3 28/10/1987 2 Dasa Elu
71 Aulya R. Padu Jabu 0001576716243 4 29/08/2012 2 Dasa Elu
72 Elisabeth H. R. L. Kuba 0001576716254 1 22/03/2012 2 Galusamala
73 Norin R. K. Toga 0001576716265 1 12/01/2012 2 Ngado Bolu
74 Rischa R.E.Loji 0001576716276 1 23/02/2012 2 Lainyali
75 Mira Karaja Otu 0001576716287 4 04/08/1995 2 Lainyali
76 Novita R. B. Dopi 0001576716298 4 21/09/1993 2 Tamawitu
77 Yanto U.Djangi 0001576716309 1 29/03/1979 1 Pabuatura
78 Marlince R.K.Wodi 0001576716311 3 19/03/1990 2 Pabuatura
79 Kenso U.Piga 0001576716322 4 30/03/2013 1 Pabuatura
80 Dewi R.D.Pasi 0001576716344 4 31/12/2013 2 Praikisi
81 Pito A.U.L.Pajailung 0001576716355 1 16/09/2011 1 Galusamala
82 aswanto katanga sakala 0001576716366 1 25/06/2012 1 Galumayela
83 Lorensius Tuang Gala 0001576716377 1 24/08/2007 1 Galumayela
84 Okslan U. K. L. Nuga 0001576716399 4 03/10/2011 1 Dewa Jara
85 Glaudya C. R. M. Riwa 0001576716399 1 23/11/2012 2 Tamawitu
86 U. Katanga Yani 0001576716401 1 01/01/1965 1 Waikawolu
87 Pari Boka 0001576716412 3 12/01/1966 2 Waikawolu
88 Riswanto U.T. Gauka 0001576716423 4 29/04/1992 1 Waikawolu
89 Sakti U. K. Jongu 0001576716434 4 01/10/1996 1 Waikawolu
90 Anarti R. Roku Habar 0001576716456 4 31/05/2003 2 Waikawolu
91 Mariana Rambu Dauki 0001576716467 4 08/02/1982 2 Kabelawuntu
92 Hani Rambu Weja 0001576716478 4 01/07/2004 2 Kabelawuntu
93 Andini R.Oyi 0001576716489 1 10/03/1986 2 Rati Analepa
94 U. Laiya Sobang 0001576716491 1 11/07/1980 1 Malinjak
95 Oce R. Podu Loya 0001576716502 3 25/05/1980 2 Malinjak
96 Abraham R. L. R. U. Tiba 0001576716513 4 24/07/2003 1 Malinjak
97 Keyth A. R. B. Oru 0001576716524 4 25/05/2008 2 Malinjak
98 Desmon P.Tibu 0001576716535 1 13/12/1999 1 Mambitul
99 Anggelia s.R.Leki 0001576716546 4 05/09/2010 2 Mambitul
100 Meriana R.B.Moki 0001576711438 1 06/05/1970 2 Mambitul

101 Hendrik U.Laiya 0001576711449 4 08/05/1972 1 Mambitul
102 Regina R.Woji 0001576711451 1 30/03/2008 2
103 Bastian U.Anagoga 0001576711462 1 27/03/1999 1 Gallu Bakul
104 Sastra R.Baba 0001576711473 4 25/02/2010 2 Gallu Bakul
105 Jesika P.R.Bela 0001576711484 1 17/05/2005 2 Gallu Bakul
106 Lavigne R.Y.Ripa 0001576711495 4 31/01/2013 2 Gallu Bakul
107 Oha Jaga Woli 0001576711506 1 31/10/1968 1 SP2Lolukalai
108 Cornelia Betty 0001576711517 3 21/03/1978 2 SP2Lolukalai
109 Aurelie S. R. Rauna 0001576711528 4 21/01/2002 2 SP2Lolukalai
110 Kenneth Y. I. Betty 0001576711539 4 19/12/2005 2 SP2Lolukalai
111 Chintica R. Bangi 0001576711541 4 19/10/2011 2 SP2Lolukalai
112 Samuel U. S. Djurumana 0001576711552 1 05/09/1988 1 SP2Lolukalai
113 Lusiana R. K. Teba 0001576711563 3 03/06/1984 2 SP2Lolukalai
114 Emanuel Bria 0001576711574 1 01/04/1982 1 Gallu Wada
115 Maria Fatima Nahak 0001576711585 3 04/12/1982 2 Gallu Wada
116 Sptian Bria 0001576711596 4 05/09/2010 1 Gallu Wada
117 Ratih A.R.kawurung 0001576711607 4 21/04/1999 2 SP2Lolukalai
118 Breski V. U. Mota 0001576711618 4 09/04/2003 1 SP2Lolukalai
119 Glodia D.Roka 0001576711629 4 23/12/2004 2 SP2Lolukalai
120 Vanelin Rambu Karaji 0001576711631 1 13/04/1998 2 Gallu Wada
121 Nofendi Umbu Janga 0001576711642 4 23/11/2000 1 Gallu Wada
122 Valentinus R. Bara 0001576711653 1 14/02/1983 1 SP1Lalokalai
123 Ester Bangu Kahi 0001576711664 3 28/08/1988 2 SP1Lalokalai
124 Julianti S. F.Panjaitan 0001576711675 4 21/02/1983 2 SP1Lalokalai
125 Jeni Hona 0001576711686 4 31/12/1994 2 SP1Lalokalai
126 Antonius Sabarua 0001576711697 1 19/04/1984 1 Dameka
127 Marita R.Ngoma Sabarua 0001576711708 3 22/11/1983 2 Dameka
128 Yohanis Umbu Sappi 0001576711719 1 20/10/1963 1 Dameka
129 Damaris Jola Pedi 0001576711721 3 03/06/1976 2 Dameka
130 Clauvia R. Ari Gita 0001576711743 4 23/03/2005 2 Dameka
131 Claudia Rambu Bobu 0001576711754 4 29/12/2003 2 Dameka
132 Lisno Olderson Penuam 0001576711765 4 10/01/1983 1 Dameka
133 Stepanus Paji Wolu 0001576711776 1 23/05/1983 1 Praikatohur
134 Betiana R. K. Kawurung 0001576711787 3 16/09/1982 2 Praikatohur
135 Dhifani A. Pajiwolu 0001576711798 4 05/03/2020 2 Praikatohur
136 Stefani Lenita Pajiwolu 0001576711809 4 08/06/2012 2 Praikatohur

137 Yules Umbu Janga 0001576711811 4 15/05/1997 1 Praikatohur
138 Agnes Boba Repi 0001576711822 1 06/07/1973 2 Praitabenyak
139 Eduardus Tuangu Sagalu 0001576711833 4 04/11/1994 1 Praitabenyak
140 Tarsisius Tagu Deta 0001576711855 4 27/07/1995 1 Praitabenyak
141 Rovinus Laiya Kani 0001576711866 4 25/11/1996 1 Praitabenyak
142 Marthen Gauka Rawa,S.Pd 0001576711877 1 07/01/1987 1 Praitabenyak
143 Kristina Kadunga Regi 0001576711888 3 30/11/1992 2 Praitabenyak
144 Sea Mea Lalu 0001576711899 1 17/07/1978 1 Dameka
145 Frederika Ana Lodu 0001576711901 3 02/02/1979 2 Dameka
146 Scudeto Alasky Pagaku 0001576711912 4 19/10/2001 1 Dameka
147 Sheva N. U. Maka Borang 0001576711923 4 13/09/2006 1 Dameka
148 Sheila B. R. Sadipun 0001576711934 4 22/03/2011 2 Dameka
149 Sion Kartika R. Parini 0001576711945 4 08/06/2013 2 Dameka
150 Dauki Iru 0001576711967 1 01/07/1965 2 Tana Rara
151 Hetti Teba Sika 0001576711978 4 08/02/1995 2 Tana Rara
152 Leni Koku Jowa 0001576711989 4 29/05/1999 2 Tana Rara
153 Anli R. Lubu Beba 0001576711991 4 05/05/2009 2 Prairita
154 Addis U. S. Bodu 0001576712002 4 03/07/2011 1 Prairita
155 David U. Saki Peku Limu 0001576712013 1 31/12/1987 1 Prairita
156 Astiani R. Lawu Nedi 0001576712024 4 23/03/1993 2 Prairita
157 Sedu Dairu 0001576712035 1 30/09/195'5 2 Padabar
158 Lina Taba Leki 0001576712046 4 16/06/1986 2 Padabar
159 Agustinus Pati Ibi Tora 0001576712057 4 30/04/1988 1 Padabar
160 Delviana R. Luba Dawu 0001576712079 4 13/10/1991 2 Padabar
161 Steperika J. E. R. L. Katta 0001576712081 4 28/05/1993 2 Padabar
162 Rivaldo S. T. Bakul 0001576712092 4 07/05/2003 1 Padabar
163 Yulianus U. Peku Jawang 0001576712103 1 21/07/1975 1 Wisu Kapeka
164 Yuli R. Kadunga Regi 0001576712114 3 15/06/1977 2 Wisu Kapeka
165 Meylanva R. Yaku 0001576712125 4 12/05/2004 2 Wisu Kapeka
166 Erik U. B. Peka 0001576712136 4 07/02/2006 1 Wisu Kapeka
167 Ovilia R. Leki 0001576712147 4 09/10/2008 2 Wisu Kapeka
168 Hans U. Tanga Wohangara 0001576712158 1 31/12/1972 1 Waimanu
169 Paulina R. Padu Jabu 0001576712169 3 31/12/1983 2 Waimanu
170 Mionalisa C. D. Wohangara 0001576712182 4 08/04/2005 2 Waimanu
171 Delsy Sisilia Wohangara 0001576712193 4 28/10/2009 2 Waimanu
172 Umbu Sangaji Pateduk 0001576712204 1 22/07/1980 1 Pangadu Mabokul

173 Indah Istana 0001576712215 3 08/10/1980 2 Pangadu Mabokul
174 Putri A. R. L. Nguju 0001576712226 4 06/08/2000 2 Pangadu Mabokul
175 Putri E. Rambu Ata 0001576712237 4 17/10/2003 2 Pangadu Mabokul
176 Daniel K. L. Soru 0001576712248 1 30/03/1987 1 Taupopu
177 Marta B. Oru 0001576712259 3 26/03/1986 2 Taupopu
178 Marlin Rambu Sedu 0001576712261 4 16/03/1993 2 Gallu Bakul
179 Risky Umbu Saingu 0001576712272 4 17/07/1999 1 Gallu Bakul
180 Yules Umbu Lagoru 0001576712294 1 10/06/1982 1 Malinjak
181 Jois Umbu Tonga 0001576712305 4 12/10/1993 1 Malinjak
182 Hengki Umbu Jeiwu Oga 0001576712316 4 05/05/1995 1 Malinjak
183 Dinarti R. Baja Oru 0001576712327 4 09/09/1997 2 Malinjak
184 Tuang Sabarua 0001576712338 1 16/10/1954 1 Malinjak
185 Nian Rambu L. Enga 0001576712349 3 10/12/1962 2 Malinjak
186 Elisabeth R. Leki 0001576712351 4 09/03/1990 2 Malinjak
187 Yohanis Anagoga 0001576712362 4 02/02/1995 1 Malinjak
188 Ingko Maramba Uma 0001576712373 4 26/04/2009 1 Malinjak
189 Anderias U. M. Pawolung 0001576712384 1 12/07/1977 1 Mambitul
190 Rosalina Debi Tamar 0001576712406 4 02/06/2007 2 Mambitul
191 Riani Darra Dima 0001576712417 4 29/02/2012 2 Mambitul
192 Petrus Ngongo Palla 0001576712428 1 10/04/1978 1 Waikabeti
193 Marta Muda Ngila 0001576712439 3 20/06/1988 2 Waikabeti
194 Ardinal U. Dasa 0001576712441 4 01/05/2006 1 Waikabeti
195 Alberto Palla 0001576712452 4 08/04/2009 1 Waikabeti
196 Juwita Palla 0001576712463 4 30/07/2010 2 Waikabeti
197 Maria R. Lawu 0001576712474 1 26/04/1991 2 Galu Watu
198 Megetron U. N. Lelung 0001576712485 4 27/02/2007 1 Galu Watu
199 Casoria Yuwasti Fallo 0001576712496 4 13/03/2003 2 Galu Wada
200 Natania R. Baba Niri 0001576712529 1 20/09/2000 2 Paraingu Bua
201 Yani Kawawu Eda 0001576712531 1 01/07/1970 1 SP1Lalokalai
202 Rambu Neni Nopi 0001576712542 3 11/06/1976 2 SP1Lalokalai
203 Yesinta R. B. Joru 0001576712553 4 31/07/2000 2 SP1Lalokalai
204 Remondus R. U. Lagoru 0001576712564 4 30/01/2003 1 SP1Lalokalai
205 Marlin R. Leki Nguju 0001576712575 4 14/05/2005 2 SP1Lalokalai
206 Yeremias U. S. Pani Reku 0001576712586 4 30/05/2007 1 SP1Lalokalai
207 Yerni R. Longa Jati 0001576712597 4 30/05/2009 2 SP1Lalokalai
208 Rambu Eda 0001576712608 1 31/10/1952 2 SP1Lalokalai

209 Debora R. Lubu Oyi 0001576712619 4 26/12/1982 2 SP1Lalokalai
210 Siti R. Mura Guna 0001576712632 4 14/03/1986 2 SP1Lalokalai
211 Diva R. Balla Hunggar 0001576712643 1 24/01/2008 1 SP1Lalokalai
212 Sardianto U. Jowa 0001576712654 1 03/01/1992 1 Liangu Dongu
213 Aryesti P. R. Rama 0001576712665 4 02/04/1994 2 Liangu Dongu
214 Marselince R. Guna 0001576712676 4 21/02/1997 2 Liangu Dongu
215 Afnirka R. Bera 0001576712687 4 24/04/2003 2 Liangu Dongu
216 Vianey U. Tuda Yagi 0001576712698 1 04/08/2012 1 Matawai
217 Rambu Wiku Epa 0001576712709 1 01/07/1954 2 Taman Mas
218 Hendrian U. Ngailu Dedi 0001576712711 4 20/05/2005 1 Taman Mas
219 Markus Lepa Bayu 0001576712722 1 28/11/1984 1 Galu Wada
220 Lusia Caldera 0001576712744 3 01/07/1992 2 Galu Wada
221 Renata Saputri Bayu 0001576712755 4 27/09/2011 2 Galu Wada

AS MALINJAK
Nama Desa Tanda Tangan Penerima
8 9
MALINJAK
MALINJAK
MALINJAK
DAMEKA
DAMEKA
WAI LAWA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
DAMEKA
WAI MANU
WAI MANU
WAI MANU
WAI MANU
WAI MANU
WAI MANU
MALINJAK
MALINJAK
MALINJAK
Dameka
Dameka
Dameka
Dasa Elu
Dasa Elu
Tana Modu
Tana Modu
Tana Modu
Tana Modu
Tana Modu
Tana Modu
Tana Modu
Tana Modu
Tana Modu
Tana Modu
Tana Modu
Tana Modu
Tana Modu
Tana Modu
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Dameka
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Waimanu
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Malinjak
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Dasa Elu
Wailawa
Oka Wacu
Oka Wacu
Konda Maloba
Konda Maloba
Konda Maloba
No No KK NIK/KITAS/KITAP Nama Lengkap
1 2 3 4
1 5317010204082376 5317014202400001 RAMBU PADU PIGA

2 5317010204082376 5317010106780001 YAKOBUS UMBU R.ANABUNI
3 5317010204082376 5317010201940001 YADI UMBU SEBU TODA
4 5317051712090033 5317054607490001 RAMBU KUHI PATI
5 5317051712090033 5317050107500015 BULU BENAK
6 5317052101150001 5317054107410005 RAMBU YAKU MUNA

7 5317052101150001 5317055704780001 GENA RAMBU KAITA
8 5317052101150001 5317056810000001 RATNA RAMBU MUNA
9 5317052012090080 5317050610750001 JHONI UMBU WARA
10 5317052012090080 5317056611030001 GRESELA R. BANGI
11 5317052012090080 5317050111070001 UTAMA PUTRA U. NGARU
12 5317052012090080 5317055011110002 NOVALIA R. PARI GUSI
13 5317010204082228 5317010701400001 DJAMA LUBU LENA
14 5317010204082228 5317014107520015 RAMBU BERA DIMA
15 5317010204082228 5317012503830001 LIUS MARABI SABAT
16 5317010204082228 5317051010880003 OKTA KATANGA YANI
17 5317010204082228 5317051708060002 GUSTAF SAPUTRO DOWO
18 5317010204082228 5317053009080001 AXSEL U. KEBA JANGA
19 5317010204082276 5317050907780002 ANTON UMBU SUNGA PAJUKANG
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348 5317010204083982 5317054505090001 Anli R. Lubu Beba
349 5317010204083982 5317050307110001 Addis U. S. Bodu
350 5317010902090001 5317013112870002 David U. Saki Peku Limu
351 5317010902090001 5317016303930003 Astiani R. Lawu Nedi
352 5317010204084115 5317013009650001 Sedu Dairu
353 5317010204084115 5317055606860001 Lina Taba Leki
354 5317010204084115 5317053004880001 Agustinus Pati Ibi Tora
355 5317010204084115 5317055310910001 Delviana R. Luba Dawu
356 5317010204084115 5317056805930001 Steperika J. E. R. L. Katta
357 5317010204084115 5317010705050001 Rivaldo S. T. Bakul
358 5317050301110001 5317052107750002 Yulianus U. Peku Jawang
359 5317050301110001 5317055506770002 Yuli R. Kadunga Regi
360 5317050301110001 5317055205040001 Meylanva R. Yaku
361 5317050301110001 5317050702060001 Erik U. B. Peka
362 5317050301110001 5317054910080001 Ovilia R. Leki
363 5317010204084054 5317052006750001 Melkianus Saba Kodi
364 5317010204084054 5317014302740002 Herlina Rambu Woji
365 5317010204084054 5317015606040001 Melinda Rambu Piras
366 5317010204084054 5317011401060001 Jelsi J. A.rindi Detang
367 5317010204084054 5317050112080001 Drestanto Mesang Praing
368 5317010204084054 5317051702110001 Geunio F. U. Dama Leha
369 5317051109120002 5317053112720006 Hans U. Tanga Wohangara
370 5317051109120002 5317057112830001 Paulina R. Padu Jabu
371 5317051109120002 5317054804050002 Mionalisa C. D. Wohangara
372 5317051109120002 5317055810090001 Delsy Sisilia Wohangara
373 5317010204082504 5317052207800001 Umbu Sangaji Pateduk
374 5317010204082504 5317054810800001 Indah Istana
375 5317010204082504 5317014808000001 Putri A. R. L. Nguju
376 5317010204082504 5317055710030001 Putri E. Rambu Ata
377 5317050310120006 5317053001870001 Daniel K. L. Soru
378 5317050310120006 5317056603860001 Marta B. Oru
379 5317051802100007 5317050708720001 Anis Umbu Pada
380 5317051802100007 5317055206810001 Jeany R. P. Lailu
381 5317051802100007 5317052103060002 Alfriedo U. Tuku Lepa
382 5317051802100007 5317051806890001 Geraldy U. L. Sobang
383 5317051802100007 5317055603930001 Marlin Rambu Sedu
384 5317051802100007 5317051707990001 Risky Umbu Saingu
385 5317051108090001 5317051007820001 Yules Umbu Lagoru
386 5317051108090001 5317051210930001 Jois Umbu Tonga
387 5317051108090001 5317050505950001 Hengki Umbu Jeiwu Oga
388 5317051108090001 5317054909970001 Dinarti R. Baja Oru
389 5317052106100006 5317051610540001 Tuang Sabarua
390 5317052106100006 5317055012620001 Nian Rambu L. Enga
391 5317052106100006 5317054904900001 Elisabeth R. Leki
392 5317052106100006 5317052001950001 Yohanis Anagoga
393 5317052106100006 5317052404090001 Ingko Maramba Uma
394 5317052410090002 5317052002600001 Anton L. Pira Dawa
395 5317052410090002 5317054102700001 Yuli R. Desi Tara
396 5317052410090002 5317056202960001 Sufantri R. Padu Leba
397 5317052410090002 5317056611990001 Indriane R. Tagu Hana
398 5317052410090002 5317051508070001 Victorense U. M. Pawolung
399 5317051012130003 5317051207770001 Anderias U. M. Pawolung
400 5317051012130003 5317054207850003 Margareta H. Djawa
401 5317051012130003 5317054206070002 Rosalina Debi Tamar
402 5317051012130003 5317056902120001 Riani Darra Dima
403 5317053103100002 5317051004780001 Petrus Ngongo Palla
404 5317053103100002 5317050606880001 Marta Muda Ngila
405 5317053103100002 5317050205060001 Ardinal U. Dasa
406 5317053103100002 5317050804080002 Alberto Palla
407 5317053103100002 5317057007100001 Juwita Palla
408 5317052806120001 5317056604910001 Maria R. Lawu
409 5317052806120001 5317052702070002 Megetron U. N. Lelung
410 5317010204082336 5317051805750001 Arlince R. Kabida
411 5317010204082338 5317050202720001 Agus U. Manaji Napang
412 5317051108090007 5317052409020001 Atis Moni Yalak
413 5317010204081444 5317015303030002 Casoria Yuwasti Fallo
414 5317010204081444 5317055105950002 Metrisia Falo
415 5317010204081512 5317056805800001 Moy R. Longa Jati
416 5317010204081512 5317056009000001 Natania R. Baba Niri
417 5317010204081512 5317052712020001 Gusta V. U. S. Mudi
418 5317010204081512 5317015608050001 Atrin R. Wiku Epa
419 5317010204081512 5317052607080001 Arlan U. Laiya Sobang
420 5317010204081512 5317052803100002 Edwin U. Daku Yewa
421 5317051008090010 5317050107700012 Yani Kawawu Eda
422 5317051008090010 5317055106760001 Rambu Neni Nopi
423 5317051008090010 5317057102000002 Yesinta R. B. Joru
424 5317051008090010 5317053001030001 Remondus R. U. Lagoru
425 5317051008090010 5317055405050001 Marlin R. Leki Nguju
426 5317051008090010 5317053005070001 Yeremias U. S. Pani Reku
427 5317051008090010 5317057005090001 Yerni R. Longa Jati
428 5317051703110004 5317057110520001 Rambu Eda
429 5317051703110004 5317056612820001 Debora R. Lubu Oyi
430 5317051703110004 5317055403860001 Siti R. Mura Guna
431 5317010204081645 5317052401080002 Diva R. Balla Hunggar
432 5317050511120011 5317050301920002 Sardianto U. Jowa
433 5317050511120011 5317054204940002 Aryesti P. R. Rama
434 5317050511120011 5317056102970002 Marselince R. Guna
435 5317050511120011 5317056404040001 Afnirka R. Bera
436 5317010204083890 5317011406400001 Vianey U. Tuda Yagi
437 5317050108110007 5317054107540008 Rambu Wiku Epa
438 5317050108110007 5317052005050001 Hendrian U. Ngailu Dedi
439 5317051604130001 5317052811840001 Markus Lepa Bayu
440 5317051604130001 5317015706860001 Lusia Caldera
441 5317051604130001 5317056709110001 Renata Saputri Bayu
442 5317010204082459 5317054905960001 Jelsi U.K.L.Soru
TOTAL DATA TAHAP V 961

Jenis Status
HUBKEL HUBKEL Tgl Lahir
Kelamin kawin
1=BK,
1=P 1=P
2=K,
2=S 2=S
3=CH,
3=I 3=I Tempat Lahir dd/mm/yyyy 1=L 2=P
4=CM
4=A 4=A
5 = TDK
5=T 5=T
TAU
5 5 6 7 8 9
0001576711427 1 1 LAIGOLI 02/02/1940 2 4

0001576712507 4 4 BINAWAI 01/06/1978 1 1
0001576713565 4 5 BINAWAI 02/01/1994 1 1
0001576714667 1 1 KAJILUKOBU 06/07/1949 1 2
0001576715771 3 3 WAIJEWA 01/07/1950 2 2
1 1 0001061926007 GALANGATI 01/07/1941 1 2
4 4 0001061926018 TANA RARA 25/10/1975 4 1
4 5 0000866796186 TANA RARA 28/10/2000 5 1
1 1 0000866794959 TANA RARA 06/10/1975 1 2
4 4 0000866797165 TANA RARA 26/11/2003 2 1
4 4 0000866797222 TANA RARA 01/11/2007 1 1
4 4 DAMEKA 10/11/2011 2 1
1 1 0000866514598 RATI ASU 07/10/1940 1 2
3 3 0000866515487 RATI ASU 01/07/1952 2 2

4 4 0000866515825 RATI ASU 25/03/1983 1 1
4 4 0000866516139 RATI ASU 10/10/1988 1 1

4 4 0000866516545 RATI ASU 17/08/2006 1 1
4 4 0000866516837 RATI ASU 30/09/2008 2 1
1 1 0000866447278 RATI ASU 09/07/1978 1 2
3 3 0000866447414 RATI ASU 14/02/1982 2 2
4 4 0000866447447 RATI ASU 11/11/2002 2 1
4 4 0000866447548 RATI ASU 13/12/2007 2 1
1 1 0000866739554 TAKUTA 01/12/1979 1 2
3 3 0000866741556 WAIJEWA 13/07/1978 2 2
4 4 0000866742715 TAKUTA 13/03/2006 1 1
4 4 0000866743705 TAKUTA 04/05/2008 2 1
4 4 0000866743918 TAKUTA 19/03/2010 2 1
0001576716118 4 4 WAIKABUBAK 25/6/2014 2 1
1 5 0001061928876 KATIKULOKU 01/07/1945 2 4
1 4.II 0000866781088 DAMEKA 28/04/1981 2 1
4 4.V 0000866780752 DAMEKA 29/12/1994 2 1
4 4.VI 0000866781336 DAMEKA 1 1
4 4.II 0000866843864 KARA WOTU 06/03/2010 1 1
0001576716221 1 4.II DAMEKA 23/03/2009 1 1
0001576716333 1 1 KABELA WUNTU 11/12/1935 1 2
0001576716445 3 3 KAJILU KOBA 15/06/1960 2 2

4 4.I DAMEKA 15/04/1972 2 1
0001576716557 4 4.II DAMEKA 31/07/1986 2 1
0001576716568 4 4.III DAMEKA 31/07/1993 1 1
0001576716579 4 5 LEWA 19/08/1978 2 1

1 4.I 0000204323635 PNS DAMEKA 27/12/1987 2 2
4 4.II 0000204323635 ANAK PNS KUPANG 21/03/2010 1 1
1 4.I 0001061926108 PRAI PIDI '20/03/2009 2 1
1 3 0000866817123 WAIMANU 31/12/1987 2 2
0001576711732 4 4.II DAMEKA 08/08/2013 1 1

1 1 0000151629838 MALINJAK 18/02/1945 2 4
4 4.I 0001061928235 TANA RARA 31/01/1980 1 1
4 4.II 0000866358426 LENDI WACU 08/09/1984 1 1
4 4.III 0000865949275 LENDI WACU 02/02/1987 2 1
0001576711844 1 4.I WAILAWA 02/08/1989 2 1
0001576711956 4 4.II WAILAWA 24/08/1993 1 1
0001576712068 1 4.III KAPUBUNG 19/09/2008 1 1
0001576712171 1 4.I TANA RARA 01/07/1977 1 1

1 4.II 0000866328074 DAMEKA 02/12/1997 2 1
1 4.IV 0000866821678 KAPUBUNG 10/02/2007 1 1
4 4.V 0000866821961 KAPUBUNG 17/12/2009 2 1
4 4.III 0000867009442 ANAJIAKA 04/04/1996 2 1
0001576712283 1 5 KABONDOK 01/07/1931 2 4

1 4.III 0000867887662 TANA RARA 24/08/1997 2 1
1 4.I 0000866784497 TANA RARA 11/11/1993 2 1
1 4.I 0000866994952 TANA RARA 01/07/1996 1 1
0001576712395 1 4.II DAMEKA 24/07/1987 1 1

1 4.I 0001061925761 KAJILU KOBU 17/04/1979 1 1
1 4.I 0000866771471 DAMEKA 23/03/1993 2 1
0001576712518 1 4.I KAJILU KOBU 05/11/2011 2 1

1 4.III 0000866801237 DAMEKA 25/10/2003 1 1
0001576712621 1 4.III WAIKAJOBA 06/03/1997 2 1
0001576712733 4 5 WAIKAJOBA 01/07/1992 1 1
0001576712845 1 4.II KABATA PAKU 06/09/2003 1 1

1 1 0000866842086 WAIKAJOBA 01/07/1955 1 2
1 4.I 0001576684596 WAILAWA 19/05/1992 2 1
1 4.II 0000866842975 WAIKAJOBA 05/09/1995 2 1
0001576716581 1 4.III WAIKAJOBA 10/01/2008 2 1
0001576713047 1 5.I WAIKAJOBA 22/09/2002 2 1
0001576713159 1 5.II WAILAWA 27/10/2004 1 1

1 5.III DOBEL DENGAN NOMOR URUTWAIKAJOBA
73 10/01/2008 2 1
1 1 0000866808639 KIJA ROWA 01/02/1963 1 2
0001576713249 4 4.I KIJA ROWA 23/06/1990 1 1
0001576713341 4 4.II KIJA ROWA 04/01/1993 1 1
0001576713453 4 4.III KIJA ROWA 06/02/1999 2 1
0001576713576 4 4.IV KIJA ROWA 05/08/2011 1 1

4 5 0000866810081 KIJA ROWA 01/06/1970 1 1
1 3 0000866801518 KABELA WUNTU 06/07/1972 2 2
4 4.I 0000866803173 WAILAWA 30/11/1992 2 1
4 4.II 0000866803217 WAILAWA 09/06/1995 2 1
4 4.III 0000866803601 WAILAWA 10/07/1997 1 1
4 4.IV 0000866803724 WAILAWA 07/06/2003 1 1
4 4.V 0000866803768 WAILAWA 07/04/2006 1 1
1 3 0000866918867 GALU RITA 03/10/1990 2 2
0001576713677 4 4.I LEDI WATU 12/08/2011 1 1

1 1 0000866902015 LAIGALAK 01/07/1964 1 2
4 4.I 0000866902599 WAIKAJOBA 28/08/1990 1 1
4 4.II 0000866903681 WAILAWA 26/07/1993 1 1
4 4.III 0000866903433 WAILAWA 30/06/1994 2 1
0001576713789 4 5 LEWA 25/01/1994 1 1

1 3 0000866859434 WAIMANU 01/12/1984 2 2
0001576713892 1 1 WAIMANU 24/05/1954 1 2
0001576714004 3 3 WAIMANU 06/05/1959 2 2
0001576714116 4 4.I WAIKAJOBA 15/06/1987 1 1
0001576714228 4 4.II WAILAWA 22/06/1994 2 1

1 1 PNS WAIKAJOBA 18/10/1964 1 2
3 3 PNS GALU BAKUL 10/10/1959 2 2
4 4.I ANAK DARI PNS WAIBAKUL 27/04/1991 2 1
4 4.II PNS WAIBAKUL 24/02/1994 2 1
4 4.III PNS WAIKAJOBA 30/11/2005 1 1
4 5 PNS WAIKAJOBA 13/03/1994 2 1
1 1 0000866443588 WAIKAJOBA 22/11/1982 1 2
3 3 0000866445625 GALUBAKUL 04/11/1985 2 2
4 4.I 0000866446209 WAIKAJOBA 06/09/2007 2 1
1 1 0000866914468 GALU RITA 20/08/1963 1 2
3 3 0000866915785 KABELA WUNTU 01/06/1969 2 2
4 4.I 0000866915829 GALU RITA 19/10/1988 1 1
4 4.II 0000866917282 WAIKAJOBA 13/04/2003 2 1
4 4.III 0000866917383 WAIKAJOBA 15/03/2005 1 1
0001576714331 4 4.IV WAIKAJOBA 24/02/2007 1 1
0001576714443 1 1 BANI LEDU 01/06/1968 2 4
0001576714555 1 1 TANA RARA 01/07/1939 2 4
0001576714678 4 4.I TANA RARA 01/07/1978 1 1
0001576714781 1 1 DAMEKA 21/07/1985 1 2
0001576714893 3 3 PU UPO 05/08/1986 2 2
0001576715005 4 4.I WATU BATA 19/05/2008 1 1
0001576715117 1 4.III WAILABONGI 03/07/2013 2 1
0001576715229 1 1 WAILABONGI 01/07/1954 1 4
0001576715332 4 5 WAILAWA 09/06/1999 1 1

1 1 PBI APBD WAIKABUBAK 26/12/1969 1 2
3 3 PBI APBD BANYUWANGI 03/06/1974 2 2
4 4.I PBI APBD BANYUWANGI 11/10/1997 1 1
4 4.II PBI APBD DENPASAR 01/05/2002 2 1
4 4.III PBI APBD WAIKABUBAK 17/08/2008 1 1
4 4.IV PBI APBD WAIKABUBAK 02/05/2011 1 1
4 5.I PBI APBD DAMEKA 14/06/1980 2 1
4 5.II PBI APBD PAELU PADA 01/08/1993 1 1
4 5.III PBI APBD NGIDU NGAPI 15/01/1995 1 1
1 1 0000867035452 KAJILOKOBU 01/07/1971 1 2
3 3 0000867035957 KABELAWUNTU 01/07/1962 2 2
4 4.I 0000867036148 KAJILOKOBU 24/03/2001 1 1
0001576715444 4 4.II DAMEKA 24/03/2002 1 1
4 4.III 0000867036464 KAJILOKOBU 24/01/2004 2 1
4 4.IV 0000867036644 KAJILOKOBU 30/03/2006 1 1
1 1 0001061925568 KAJILOKOBU 02/04/1961 1 2
3 3 0001061925579 PADANYORA 01/07/1959 2 2
0001576715556 4 4.I WATU BATA 20/07/1990 1 1
4 4.II 0001061925581 KAJILOKOBU 14/04/1998 2 1
1 PESERTA
1 DOBEL DENGAN NMOR URUT 4 DAN 5
KAJILOKOBU 06/07/1949 2 4
4 PESERTA
5 DOBEL DENGAN NMOR URUT 4 DAN 5
WEIJEWA 01/07/1950 1 1
0001576715668 1 1 KAJILOKOBU 03/03/1953 1 2
0001576715782 3 3 PADA NYORA 10/10/1968 2 2
0001576715894 4 4.I KAJILOKOBU 05/12/1986 1 1
0001576716006 4 4.II KAJILOKOBU 10/03/1993 2 1
0001576716041 4 4.III KAJILOKOBU 14/03/1996 1 1
0001576716052 4 4.IV KAJILOKOBU 30/10/1997 2 1
1 1 PBI APBD WAIKAJOBAK 26/02/1982 1 2
3 3 PBI APBD MALINJAK 17/11/1984 2 2
4 4.I PBI APBD WAIRASA 20/04/2010 1 1
1 1 PNS DAMEKA 27/06/1972 1 2
3 3 PNS OMBA RADE 14/08/1977 2 2
4 4.I PNS OMBA RADE 28/06/2000 2 1
4 4.II PNS OMBA RADE 24/05/2004 1 1
1 1 0000867846868 DAMEKA 29/09/1968 1 2
3 3 0000867846879 DAMEKA 04/04/1972 2 2
4 4.I 0000867846936 DAMEKA 21/04/1997 2 1
4 4.II 0000867847487 DAMEKA 21/09/1999 2 1
4 4.III 0000867848804 DAMEKA 31/01/2001 2 1
4 4.IV 0000867849636 DAMEKA 04/08/2003 2 1
4 4.V 0000867850942 DAMEKA 25/08/2005 2 1
4 4.VI 0000867851245 DAMEKA 06/10/2007 1 1
0001576716063 1 5 DAMEKA 30/04/2002 1 1

1 1 0001061926536 DAMEKA 04/06/1986 1 2
3 3 0001061926547 DAMEKA 06/07/1991 2 2
0001576716074 4 4.III DAMEKA 18/04/2011 2 1
0001576716085 1 1 LAWONDA 01/07/1940 2 4
0001576716096 1 1 WAIMANU 03/08/1970 1 2
0001576716107 3 3 WAIKABUBAK 19/03/1972 2 2
0001576716129 4 4.I PASUNGA 21/12/1996 1 1
0001576716131 4 4.II PASUNGA 23/08/1999 2 1
0001576716142 4 4.III PASUNGA 22/10/2003 1 1
0001576716153 4 4.IV PASUNGA 09/07/2005 2 1

1 1 0001061926604 WAILOLUNG 31/12/1965 1 2
3 3 0001061926615 WAIKABUBAK 03/07/1963 2 2
4 4.I 0001061926626 DAMEKA 01/05/1995 1 1
4 4.II 0001061926637 DAMEKA 16/01/2000 1 1
4 4.III 0001061926648 PUNGI NAGA 25/04/2003 2 1
1 1 PNS WAILOLUNG 14/04/1959 1 2
3 3 PNS KABELA WUNTU 30/07/1959 2 2
4 4.III ANAK DARI PNS POTTO KATILU 03/10/1987 1 1
4 4.IV ANAK DARI PNS WAIKABUBAK 21/04/1989 1 1
4 4.V ANAK DARI PNS WAIKABUBAK 07/05/1998 2 1
1 1 0001061926029 PRAI PIDI 09/10/1963 1 2
3 3 0001061926031 WAILOLUNG 25/07/1969 2 2
4 4.I 0001061926042 DAMEKA 10/03/1988 1 1
4 4.II 0001061926053 DAMEKA 20/10/1995 1 1
4 4.III 0001061926064 DAMEKA 07/06/1997 2 1
4 4.IV 0001061926075 DAMEKA 10/03/2001 2 1
4 4.V 0001061926086 DAMEKA 14/04/2003 1 1
4 4.VI 0001061926097 DAMEKA 07/09/2007 2 1
4 4.VII 0001061926108 DAMEKA 20/03/2009 2 1
1 1 0000867023684 DAMEKA 20/05/1970 1 2
3 3 0000867024123 WANOKAKA 13/07/1969 2 2
4 4.I 0000867025102 DAMEKA 23/07/2000 1 1
0001576716164 1 4.1 Kabelawuntu 09/04/1996 1 1

0001576716175 4 4.5 Kabelawuntu 25/06/2009 2 1
0001576716186 4 4.6 Kabelawuntu 06/09/2013 1 1
0001576716197 1 1 Kabela Wuntu 06/07/1960 2 4
0001576716208 4 4.I Tana Rara 02/10/1982 1 1
0001576716219 4 4.II Tana Rara 09/09/1992 1 1
4 4.III NIK BERMASALAH Tana Rara 15/12/1994 2 1
1 1 0000866847273 Lalukalai 20/03/1960 1 2
3 3 0000866847576 Prai Au 29/05/1966 2 2
4 4.I 0001061916535 Kabonduk 23/05/1989 2 1
4 4.II 0000866847971 Kabonduk 01/06/1993 1 1
4 4.III 0000866848162 Kabonduk 04/12/1996 1 1
4 4.IV 0000866849433 Kabonduk 23/08/1999 1 1
4 4.V 0000866850186 Kabonduk 17/07/2004 1 1
4 5 0000866851255 Kadua Karak 24/01/2008 1 1
1 1 0000866632241 Galu Bakul 28/05/1980 1 2
0001576716232 3 3 Kabela Wuntu 28/10/1987 2 2
0001576716243 4 4.I Galu Mema 29/08/2012 2 1
0001576716254 1 4.II Galusamala 22/03/2012 2 1
0001576716265 1 4.I Ngado Bolu 12/01/2012 2 1
0001576716276 1 4.V Waikabubak 23/02/2012 2 1
0001576716287 4 4.II Galusamala 04/08/1995 2 1
1 1 0000866397789 Radak 01/07/1942 1 2
3 3 0000866398533 Galu Bakul 21/07/1943 2 2
4 4.I 0000866400039 Radak 28/05/1966 1 1
0001576716298 4 4.III Radak 21/09/1993 2 1
0001576716309 1 1 Galubakul 29/03/1979 1 2
0001576716311 3 3 Radak 19/03/1990 2 2
0001576716322 4 4.I Malinjak 30/03/2013 1 1
0001576716344 4 4.III Praikisi 31/12/2013 2 1
0001576716355 1 4.I Pala Kauki 16/09/2011 1 1
0001576716366 1 4.VIII Galumayela 25/06/2012 1 1
0001576716377 1 4.I Galumayela 24/08/2007 1 1
1 4.I 0000867113695 Galusamala 11/07/1995 1 1
4 4.II 0000867114358 Galusamala 16/04/1997 2 1
4 4.III 0000867115664 Galusamala 09/03/1998 2 1
4 4.IV 0000867116597 Galusamala 28/02/2004 1 1
1 3 0000866439933 Radak 25/06/1972 2 2
1 4.I 0001576683887 Galu Salau 28/04/2012 1 1
1 1 tanggal lahir salh Waikabubak 03/11/1078 1 2
3 3 tanggal lahir salh Pabuatura 03/11/1078 2 2
0001576716399 4 4.II Matolang 03/10/2011 1 1
0001576716399 1 4.III Tamawitu 23/11/2012 2 1
1 1 DOBEL DENGAN NOMOR URUT 19-22RATI ASU 09/07/1978 1 2
3 3 RATI ASU 14/02/1982 2 2
4 4.I RATI ASU 11/11/2012 2 1
4 4.II RATI ASU 13/11/2007 2 1
0001576716401 1 1 MAMBITUL 01/01/1965 1 2
0001576716412 3 3 RADA MURI 12/01/1966 2 2
0001576716423 4 4.I WAIKAWOLU 29/04/1992 1 1
0001576716434 4 4.II WAIKAWOLU 01/10/1996 1 1
0001576716456 4 4.III WAIKAWOLU 31/05/2003 2 1
4 4.IV 0001430902258 WAIKAWOLU 19/10/2013 1 1
1 1 0000866358426 KABELA WUNTU 21/01/1940 1 2
3 3 0000866358663 KABELA WUNTU 20/09/1942 2 2
4 4.I 0000865949444 KABELA WUNTU 28/09/1972 2 1
4 4.II 0000865948869 KABELA WUNTU 20/10/1974 1 1
4 4.III 0000865949275 KABELA WUNTU 16/04/1978 2 1
0001576716467 4 4.IV MALINJAK 08/02/1982 2 1
4 5 0000865950377 KABELA WUNTU 28/09/1992 2 1
4 5 0000865949973 KABELA WUNTU 26/06/1996 1 1
0001576716478 4 5 KABELA WUNTU 01/07/2004 2 1
0001576716489 1 3 PABUATURA 10/03/1986 2 2
0001576716491 1 1 GALU WATU 11/07/1980 1 2
0001576716502 3 3 MATOLANG 25/05/1980 2 2
0001576716513 4 4.I DENPASAR 24/07/2003 1 1
0001576716524 4 4.II DENPASAR 25/05/2008 2 1
0001576716535 1 4.I WAIKAWOLU 13/12/1999 1 1
0001576716546 4 4.II WAIKAWOLU 05/09/2010 2 1
0001576711438 1 4.I MAMBITUL 06/05/1970 2 1
0001576711449 4 4.II MAMBITUL 08/05/1972 1 1
0001576711451 1 MAMBITUL 30/03/2008 2
0001576711462 1 4.I RADAK 27/03/1999 1 1
0001576711473 4 4.II TANA MODU 25/02/2010 2 1
1 3 0000866020577 RADAK 10/01/1955 2 1
4 4.I 0000866020656 GALU BAKUL 15/12/1974 2 1
4 4.II GALU BAKUL 27/04/1979 1 1
4 4.III 0000866020724 GALU BAKUL 30/09/1989 1 1
4 4.IV 0000866021411 BALI 24/12/2007 1 1
0001576711484 1 4.I KABONDUK 17/05/2005 2 1
0001576711495 4 4.III GALU BAKUL 31/01/2013 2 1
1 4.I 0001426835169 MAMBITUL 04/09/2013 1 1
1 1 0001061930046 GALU WATU 12/05/1980 1 2
3 3 HUPU MADA 14/04/1982 2 2
4 4.I 0001061930057 GALU WATU 24/05/2010 2 1
1 4.I 0000866621597 WAIKABUBAK 05/12/2007 2 1
0001576711506 1 1 DAMEKA 31/10/1968 1 2
0001576711517 3 3 KAWILU 21/03/1978 2 2
0001576711528 4 4.I WAIRASA 21/01/2002 2 1
0001576711539 4 4.II SP2LOLUKALAY 19/12/2005 2 1
0001576711541 4 4.III LALOKALAY 19/10/2011 2 1
4 4IV 0000866893184 DAMEKA 01/07/1983 1 1
0001576711552 1 1 ANAJIAKA 05/09/1988 1 2
0001576711563 3 3 ANAKALANG 03/06/1984 2 2
0001576711574 1 1 UMATASI 01/04/1982 1 2
0001576711585 3 3 BAKATEU 04/12/1982 2 2
0001576711596 4 4.I BAKATEU 05/09/2010 1 1
1 1 PODU WATU 01/07/1985 1 2
1 1 0001061934974 WAILOLUNG 22/02/1974 1 2
3 3 0001061934985 ALOR 28/02/1978 2 2
0001576711607 4 4.I ANAJIAKA 21/04/1999 2 1
0001576711618 4 4.II ANAJIAKA 09/04/2003 1 1
0001576711629 4 4.III ANAJIAKA 23/12/2004 2 1
4 4.IV 0001061934996 ANAJIAKA 12/08/2008 1 1
0001576711631 1 4.I RADAK 13/04/1998 2 1
0001576711642 4 4.II RADAK 23/11/2000 1 1
0001576711653 1 1 WAIKABUBAK 14/02/1983 1 2
0001576711664 3 3 SORU 28/08/1988 2 2
4 4.I ;0001422078974 WAIKABUBAK 07/12/2010 2 1
0001576711675 4 4.II MEDAN 21/02/1983 2 1
0001576711686 4 4.III TANA MBANAS 31/12/1994 2 1
0001576711697 1 1 DAMEKA 19/04/1984 1 2
0001576711708 3 3 WAIKABUBAK 22/11/1983 2 2
1 4.I DAMEKA 21/02/2013 1 1
1 1 DOBEL NMOR URUT 172 - WAIMANU 03/08/1970 1 2
3 3 WAIKABUBAK 19/03/1972 2 2
4 4.I PASUNGA 21/12/1996 1 1
4 4.II PASUNGA 23/08/1999 2 1
4 4.III PASUNGA 22/10/2003 1 1
4 4.IV PASUNGA 09/07/2005 2 1
0001576711719 1 1 PRAIPIDI 20/10/1963 1 2
0001576711721 3 3 KATIKU LOKU 03/06/1976 2 2
4 4.I 0001313144897 PEGAWAI SWASA DAMEKA 25/05/1992 1 1
0001576711743 4 4.II DAMEKA 23/03/2005 2 1
0001576711754 4 4.III DAMEKA 29/12/2003 2 1
0001576711765 4 5.I KOALIN 10/01/1983 1 1
4 5.II '0001325386157 PESERTA MANDIRI SOE 03/03/1990 2 1
0001576711776 1 1 GALU TEKU 23/05/1983 1 2
0001576711787 3 3 WAIBAKUL 16/09/1982 2 2
0001576711798 4 4.I DAMEKA 05/03/2020 2 1
0001576711809 4 4.II WAIBAKUL 08/06/2012 2 1
0001576711811 4 5 PONDOK 15/05/1997 1 1
0001576711822 1 1 LAIGALAK 06/07/1973 2 2
0001576711833 4 4.I LAIGALAK 04/11/1994 1 1
0001576711855 4 4.II KATIKU LOKU 27/07/1995 1 1
0001576711866 4 4.III LAIGALAK 25/11/1996 1 1
0001576711877 1 1 DAMEKA 07/01/1987 1 2
0001576711888 3 3 WAILAWA 30/11/1992 2 2
0001576711899 1 1 SOBAWAWI 17/07/1978 1 2
0001576711901 3 3 WAIKANABU 02/02/1979 2 2
0001576711912 4 4.I WAIKABUBAK 19/10/2001 1 1
0001576711923 4 4.II DAMEKA 13/09/2006 1 1
0001576711934 4 4.III DAMEKA 22/03/2011 2 1
0001576711945 4 4.IV DAMEKA 08/06/2013 2 1
0001576711967 1 1 PRAI AU 01/07/1965 2 4
0001576711978 4 4.I WAILAWA 08/02/1995 2 1
0001576711989 4 4.II DAMEKA 29/05/1999 2 1
1 3 0000866855654 PRAIRITA 06/04/1986 2 2
0001576711991 4 4.II PRAIRITA 05/05/2009 2 1
0001576712002 4 4.III PRAIRITA 03/07/2011 1 1
0001576712013 1 4.II PADABAR 31/12/1987 1 1
0001576712024 4 4.III WAIKABUBAK 23/03/1993 2 1
0001576712035 1 3 PADABAR 30/09/195'5 2 4
0001576712046 4 4.I PADABAR 16/06/1986 2 1
0001576712057 4 4.II PADABAR 30/04/1988 1 1
0001576712079 4 4.III PADABAR 13/10/1991 2 1
0001576712081 4 4.IV WAIMANU 28/05/1993 2 1
0001576712092 4 4.V PADABAR 07/05/2003 1 1
0001576712103 1 1 WISUKAPETA 21/07/1975 1 2
0001576712114 3 3 RADAK 15/06/1977 2 2
0001576712125 4 4.I DENPASAR 12/05/2004 2 1
0001576712136 4 4.II KUPANG 07/02/2006 1 1
0001576712147 4 4.III WATUMETUNG 09/10/2008 2 1
1 1 0001061923713 WISUKAPETA 20/06/1975 1 2
3 3 0001061923724 WAI GAI 03/02/1974 2 2
4 4.I 0001061923735 WISUKAPETA 16/06/2004 2 1
4 4.II 0001061923746 WISUKAPETA 14/01/2006 1 1
4 4.III 0001061923757 WISUKAPETA 01/12/2008 1 1
4 4.IV 0001061923768 WISUKAPETA 17/02/2011 1 1
0001576712158 1 1 WAIMANU 31/12/1972 1 2
0001576712169 3 3 WAIMANU 31/12/1983 2 2
0001576712182 4 4.I DENPASAR 08/04/2005 2 1
0001576712193 4 4.II DENPASAR 28/10/2009 2 1
0001576712204 1 1 GALU BAKUL 22/07/1980 1 2
0001576712215 3 3 LUMAJANG 08/10/1980 2 2
0001576712226 4 4.I MALANG 06/08/2000 2 1
0001576712237 4 4.II MALANG 17/10/2003 2 1
0001576712248 1 1 TAUPOPU 30/03/1987 1 2
0001576712259 3 3 BILU WAWI 26/03/1986 2 2
1 1 PBI APBD GALU BAKUL 07/08/1972 1 2
3 3 PBI APBD MADIDI PALAMEDU 12/05/1981 2 2
4 4.I PBI APBD MADIDI PALAMEDU 21/03/200'6 1 1
4 4.II PBI APBD GALU BAKUL 18/06/2009 1 1
0001576712261 4 5.I MAMBITUL 16/03/1993 2 1
0001576712272 4 5.II GALU BAKUL 17/07/1999 1 1
0001576712294 1 4.I WANOKAKA 10/06/1982 1 1
0001576712305 4 4.III KABELA WUNTU 12/10/1993 1 1
0001576712316 4 4.IV MALINJAK 05/05/1995 1 1
0001576712327 4 4.V WAIKABUBAK 09/09/1997 2 1
0001576712338 1 1 GALU BAKUL 16/10/1954 1 2
0001576712349 3 3 GALLU KAWAUNGU 10/12/1962 2 2
0001576712351 4 4.I GALU BAKUL 09/03/1990 2 1
0001576712362 4 4.II GALU BAKUL 02/02/1995 1 1
0001576712373 4 4.III GALU BAKUL 26/04/2009 1 1
1 1 PNS MAMBITUL 20/02/1960 1 2
3 3 PNS GALU WATU 01/02/1970 2 2
4 4.I PNS MAMBITUL 22/02/1996 2 1
4 4.II PNS MAMBITUL 26/11/1999 2 1
4 4.III ANAK PNS MAMBITUL 15/08/2007 1 1
0001576712384 1 1 MALINJAK 12/07/1977 1 2
3 3 PBI APBD KARITA 02/07/1985 2 2
0001576712406 4 4.I KARITA 02/06/2007 2 1
0001576712417 4 4.II DENPASAR 29/02/2012 2 1
0001576712428 1 1 TONGGO MANU 10/04/1978 1 2
0001576712439 3 3 KODI 20/06/1988 2 2
0001576712441 4 4.I WAIKABUBAK 01/05/2006 1 1
0001576712452 4 4.II WAIKABUBAK 08/04/2009 1 1
0001576712463 4 4.III MALINJAK 30/07/2010 2 1
0001576712474 1 4.I MALINJAK 26/04/1991 2 1
0001576712485 4 4.V WAIKABUBAK 27/02/2007 1 1
1 4.I 0000867007203 KABELA WUNTU 28/05/1997 2 1
1 1 0001061929473 MALINJAK 02/02/1972 1 2
1 4.I 0000866720687 JAGA LAMA 21/04/2002 1 1
0001576712496 4 4.III ANAJIAKA 13/03/2003 2 1
1 5 PBI PABD BAKITOLAS 11/05/1995 2 1
1 3 0000866610854 WAIRASA 28/05/1980 2 4
0001576712529 1 4.I WAIRASA 20/09/2000 2 1
4 4.II 0000866610898 ANAKALANG 27/12/2002 1 1
4 4.III 0000866612496 ANAKALANG 16/08/2005 2 1
4 4.IV 0000866613396 ANAKALANG 26/07/2008 1 1
4 4.V 0000866613677 ANAKALANG 28/03/2010 1 1
0001576712531 1 1 LAIMERANG 01/07/1970 1 2
0001576712542 3 3 LAIMERANG 11/06/1976 2 2
0001576712553 4 4.I LAIMERANG 31/07/2000 2 1
0001576712564 4 4.II LAIMERANG 30/01/2003 1 1
0001576712575 4 4.III LAIMERANG 14/05/2005 2 1
0001576712586 4 4.IV LAIMERANG 30/05/2007 1 1
0001576712597 4 4.V LAIMERANG 30/05/2009 2 1
0001576712608 1 1 MATOLANG 31/10/1952 2 4
0001576712619 4 4.I GALU BAKUL 26/12/1982 2 1
0001576712632 4 4.II GALU BAKUL 14/03/1986 2 1
0001576712643 1 5 KADUA KARAK 24/01/2008 1 1
0001576712654 1 4.I RESET 03/01/1992 1 1
0001576712665 4 4.II RESET 02/04/1994 2 1
0001576712676 4 4.III WAIHIBUR 21/02/1997 2 1
0001576712687 4 4.IV WAIHIBUR 24/04/2003 2 1
0001576712698 1 44.I MATAWAI 04/08/2012 1 1
0001576712709 1 1 KABONDUK 01/07/1954 2 4
0001576712711 4 4.I WAIKABUBAK 20/05/2005 1 1
0001576712722 1 1 MADERI 28/11/1984 1 2
0001576712744 3 3 TIMOR TIMUR 01/07/1992 2 2
0001576712755 4 4.I LOLUKALAY 27/09/2011 2 1
1 4.1
DOBEL DENGAN NOMOR URUT 200-202
Kabelawuntu 09/04/1996 1 1
4 4.5 Kabelawuntu 25/06/2009 2 1
4 4.6 Kabelawuntu 06/09/2013 1 1
Kode
Kecamatan Kode Desa
Alamat Tempat Tinggal RT RW Kode Pos Nama Kecamatan Nama Desa
(diisi (diisi petugas)
petugas)
10 11 12 13 14 15 16 17
BANAWAI 001 001 87112 6856 KATIKUTANA SELATAN 70302 MALINJAK

WATU BATU 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
DAMEKA 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
TANA RARA 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
RATI ASU 001 001 87112 6856 KATIKUTANA SELATAN C1081 DASA ELU
RATI ASU 001 001 87112 6856 KATIKUTANA SELATAN 70302 MALINJAK
WAILAWA 001 001 87112 6856 KATIKUTANA SELATAN 79889 WAILAWA

GAIKADAPU 001 001 87112 6856 KATIKUTANA SELATAN 79889 WAI LAWA
GAIKADAPU 001 001 87112 6856 KATIKUTANA SELATAN 79889 WAI LAWA
WAIPAKOJA 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
KARA AWATU 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
LEDI WATU 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
KAPUBUNG 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
KAPUBUNG 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
KALOWU DANGU 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
KAJILU KOBU 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
WAIKAJOBAK 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
NGORA PARAINGU 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
BODU LAURU 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
KAJILOKOBU 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
WAILABONGI 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
WATU BATA 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
GALU MAYILU 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
WAILOLUNG 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
PINU TADULA 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
GALU TEKU 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
PUNGI NAGA 001 001 87112 6856 KATIKUTANA SELATAN 79892 WAI MANU
PRAIKATOHUR 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
KADOKA SAGI 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
SANGERA WOLU ADUNG 001 001 87112 6856 KATIKUTANA SELATAN 79890 DAMEKA
malinjak 001 001 87112 6856 KATIKUTANA SELATAN 70302 MALINJAK
Tana Rara 001 001 87112 6856 KATIKUTANA SELATAN 79890 Dameka
Lolukalay 001 001 87112 6856 KATIKUTANA SELATAN C1081 Dasa Elu
Dasa Elu 001 001 87112 6856 KATIKUTANA SELATAN C1081 Dasa Elu
Galusamala 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Ngado Bolu 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Lainyali 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Lainyali 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Tamawitu 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Pabuatura 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Praikisi 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Galusamala 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Galumayela 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Galumayela 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Galukalitu 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Dewa Jara 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Praikisi 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Tana Modu 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Tana Modu 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Dewa Jara 001 001 87112 6856 KATIKUTANA SELATAN 79894 Tana Modu
Rati Asu 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
Waikawolu 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
Kabelawuntu 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
Rati Analepa 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
Malinjak 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
Mambitul 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
Gallu Bakul 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
Matolang 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
Galu Watu 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
SP2Lolukalai 001 001 87112 6856 KATIKUTANA SELATAN C1081 Dasa Elu
Gallu Wada 001 001 87112 6856 KATIKUTANA SELATAN C1081 Dasa Elu
SP1Lalokalai 001 001 87112 6856 KATIKUTANA SELATAN C1081 Dasa Elu
Dameka 001 001 87112 6856 KATIKUTANA SELATAN 79890 Dameka
Pungi Naga 001 001 87112 6856 KATIKUTANA SELATAN 79890 Dameka
Praikatohur 001 001 87112 6856 KATIKUTANA SELATAN 79890 Dameka
Praitabenyak 001 001 87112 6856 KATIKUTANA SELATAN 79890 Dameka
Prairita 001 001 87112 6856 KATIKUTANA SELATAN 79892 Waimanu
Padabar 001 001 87112 6856 KATIKUTANA SELATAN 79892 Waimanu
Wisu Kapeka 001 001 87112 6856 KATIKUTANA SELATAN 79892 Waimanu
Kamudin 001 001 87112 6856 KATIKUTANA SELATAN 79892 Waimanu
Waimanu 001 001 87112 6856 KATIKUTANA SELATAN 79892 Waimanu
Pangadu Mabokul 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
Taupopu 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
Taupopu 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
Waikabeti 001 001 87112 6856 KATIKUTANA SELATAN 70302 Malinjak
Galu Wada 001 001 87112 6856 KATIKUTANA SELATAN C1081 Dasa Elu
Galu Wada 001 001 87112 6856 KATIKUTANA SELATAN C1081 Dasa Elu
Paraingu Bua 001 001 87112 6856 KATIKUTANA SELATAN C1081 Dasa Elu
Liangu Dongu 001 001 87112 6856 KATIKUTANA SELATAN C1081 Dasa Elu
Matawai 001 001 87112 6856 KATIKUTANA SELATAN 79889 Wailawa
Taman Mas 001 001 87112 6856 KATIKUTANA SELATAN 70301 Oka Wacu
Taman Mas 001 001 87112 6856 KATIKUTANA SELATAN 70301 Oka Wacu
Galu Wada 001 001 87112 6856 KATIKUTANA SELATAN C1080 Konda Maloba
malinjak 001 001 87112 6856 katikutana selatan 70302 malinjak
Status Kelas Rawat
Nomor 1=Tetap,
Kode Faskes Tk.I Nama Faskes Kode Faskes Nama Faskes
Telepon Email NPP Jabatan 2=Kontrak,
(diisi petugas) Tk.I Dokter Gigi Dokter Gigi 1=Kelas I,
Peserta 3=Paruh
2=Kelas II,
waktu
3=Kelas III
4=Penerima
Pensiun
18 19 20 21 22 23 24 25 26 27
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
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24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK
24120404 MALINJAK
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
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24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
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24120404 MALINJAK 3
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24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 MALINJAK 3
24120404 Malinjak 3
24120404 Malinjak 3
24120404 Malinjak 3
Kewarga
Negaraan
Asuransi Lainnya
Gaji Pokok +
TMT Kerja
Tunj. Tetap No. NPWP No Passport
(Kary. Aktif)
(Kary. Aktif) 1=WNI, Nama
No. Polis
2=WNA Asuransi
28 29 30 31 32 33 34
5/1/2015 1
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TANDA TERIMA KARTU JKN TAHAP V PUSKESMAS WAIRASA
TAHUN 2015
HUBKEL JK
1=P Alamat Tempat

No Nama Lengkap NO. KARTU 2 = S Tgl Lahir Nama Desa
1=L Tinggal
3=I
2=P
4=A
5=T
1 2 3 4 5 6 7 8
0001576712766
1 KRISTINA BULU 1 31/03/1974 2 KALADA WOGU MATAWOGA
0001576712777
2 SILVIA R.S.JAWA 4 03/11/2002 2 KALADA WOGU MATAWOGA
0001576712788
3 GERARDUS RIZALDI K.S.JAWA 4 16/10/2004 1 KALADA WOGU MATAWOGA
0001576712799
4 MARIA AQUINATA M.S.JAWA 4 27/09/2014 2 KALADA WOGU MATAWOGA
0001576712801
5 BARNABAS BORA ROWA 1 01/01/1974 1 LAIGALAK MATAWOGA
0001576712812
6 AGUSTINA KEWA GERODA 4 19/08/2004 2 LAIGALAK MATAWOGA
0001576712823
7 FRANSISKO GILBERTO KOPONG 4 18/10/2004 1 LAIGALAK MATAWOGA
0001576712834
8 MARIA ANSELMA K.KOPONG 4 21/04/2010 2 LAIGALAK MATAWOGA
0001576712856
9 ANTONIUS DARMANSA PURU 4 21/05/1990 1 LAIGALAK MATAWOGA
0001576712867
10 PETRUS JERI RAISI MESA 1 24/07/1975 1 LOKU MATAWOGA
0001576712878
11 YULIANA M.KAUWA 3 25/05/1975 2 LOKU MATAWOGA
0001576712889
12 REGINA KRESENSIA B.AWA 4 07/09/2000 2 LOKU MATAWOGA
0001576712891
13 FLORENSIUS XAVERIUS D.LOJA 4 03/10/2002 1 LOKU MATAWOGA
0001576712902
14 AURELIUS ALPRIYENDO L.KANI 4 08/02/2005 2 LOKU MATAWOGA
0001576712913
15 GREGORIUS J.S.KUALA 4 08/05/2010 1 LOKU MATAWOGA
0001576712924
16 MARIA KAITA RIWA 1 23/12/1960 2 PRAIMANIGA UMBU JODU
0001576712935
17 PENINE PODU LOYA 4 23/09/1992 2 PRAIMANIGA UMBU JODU
0001576712946
18 WANRINE AGRIN TARI 4 07/11/2014 2 PRAIMANIGA UMBU JODU
0001576712957
19 MELKIANUS RAGA ADUNG 4 21/07/1964 1 PATEMBU UMBU JODU
0001576716592
20 GERARDUS A.UMBU GAWI 4 13/01/2005 1 ANAPALU ANAPALU
0001576712968
21 DENA GANYI 1 01/07/1949 1 ANAPALU ANAPALU
0001576712979
22 RENI RAMBU KATTA 1 01/08/1994 2 ANAPALU ANAPALU
0001576712981
23 MATILDA RAMBU LADU DAY 1 30/05/1979 2 PRAIKALUBANG ANAPALU
0001576712992
24 TARSIUS TAJI MOJU 1 27/07/1970 1 MATOLANG MATAWOGA
0001576713003
25 TERESIA ATA YILI 3 15/03/1976 2 MATOLANG MATAWOGA
0001576713014
26 YOMI B.LAPUR 4 25/07/1993 2 MATOLANG MATAWOGA
0001576713025
27 DARIUS A.DALA 4 13/05/1995 1 MATOLANG MATAWOGA
0001576713036
28 YUNITA DABI LUNGA 4 17/07/1998 2 MATOLANG MATAWOGA
0001576713058
29 ERTINA D.DATA 4 10/07/2003 2 MATOLANG MATAWOGA
0001576713069
30 DESTRIAN TAGELA LADU NAWU 4 03/12/2006 1 MATOLANG MATAWOGA
0001576713071
31 MARFEL PANGGALA TULA BANI 4 10/05/2009 1 MATOLANG MATAWOGA
0001576713082
32 ESTER MAGI DIALA 1 07/03/1947 2 GALLU MATAWOGA
0001576713093
33 AGUSTINUS INUS KURI BILI 4 01/07/1976 1 GALLU MATAWOGA
0001576713104
34 ADIANUS SUGU BOLU 4 01/07/1985 1 MATOLANG MATAWOGA
0001576713115
35 RUDOLF UMBU DJAMA 1 13/12/1985 1 MATOLANG MATAWOGA
0001676713126
36 MARIA CELIN RAMBU PEDA DJATI 4 14/12/2009 2 MATOLANG MATAWOGA
0001576713137
37 PERONIKA JOLA PEDI 1 01/07/1959 2 MATOLANG MATAWOGA
0001576713148
38 PETRONELA M.MAGI 4 01/07/2000 2 MATOLANG MATAWOGA
0001576713161
39 KLEMENS K.GAGA 1 07/07/1972 1 GALLU MATAWOGA
0001576713172
40 DORKAS DADA TUWA 3 18/07/1972 2 GALLU MATAWOGA
0001576713183
41 ANTONETA S.OYI 4 06/02/1995 2 GALLU MATAWOGA
0001576713194
42 KRISVIANUS JURUMANA 4 09/07/1996 1 GALLU MATAWOGA
0001576713205
43 KRISVINA L.LAURU 4 01/04/1998 2 GALLU MATAWOGA
0001576713216
44 ANDRIAS K.SAPALA 4 30/09/2003 1 GALLU MATAWOGA
0001576713227
45 ANJELINA R.K.YOWI 4 03/02/2006 2 GALLU MATAWOGA
0001576713238
46 FRECHYANDRY LEKU PARENGU 4 25/02/2013 1 GALLU MATAWOGA
0001576716603
47 HERONIMA RIJA WADA 4 20/11/1998 2 WAIBAKU MATAREDI
0001576716614
48 MATEUS NEKA GANA 4 18/08/2000 1 WAIBAKU MATAREDI
0001576713251
49 RADA BERA 4 05/06/1935 2 WAIBAKU MATAREDI
0001576713262 1
50 ADRIANUS NGAILU JOWA 1 07/07/1980 GALLU MATA WOGA
0001576713273
51 YUSTINA RAMBU PEDA JATI 3 17/07/1988 2 GALLU MATA WOGA
0001576713284
52 IPANK TARSIANUS U.TAGELA 4 24/07/2009 1 GALLU MATA WOGA
0001576716625
53 IGNASIUS F.UBINIPILU 4 18/01/2003 1 REDI MATAWOGA
0001576713295
54 NIKOLAS S.POTI 1 18/05/1985 1 REDI MATAWOGA
0001576713306
55 DOMINGGUS SIWA UBINI PILU 1 01/03/1970 1 KALADA WOGU MATAWOGA
0001576713317
56 KATARINA BERA KODI 3 08/11/1970 2 KALADA WOGU MATAWOGA
0001576713328
57 FERDINANDUS UBINIPILU 4 22/02/1985 1 KALADA WOGU MATAWOGA
0001576713339
58 ALFRET UBINIPILU 4 22/04/1998 1 KALADA WOGU MATAWOGA
0001576713352
59 REDAMTA OKTAVIANI UBINIPILU 4 04/08/2000 2 KALADA WOGU MATAWOGA
0001576713363
60 KLARA HARYATI UBINIPILU 4 07/01/2006 2 KALADA WOGU MATAWOGA
0001576713374
61 MIKAEL KERUNG PAMARA 1 19/02/1983 1 KALADA WOGU MATAWOGA
0001576713385
62 MARIA RIJA MALI 3 08/08/1983 2 KALADA WOGU MATAWOGA
0001576713396
63 ROSWITA RENANSI SIPUL 4 23/06/2004 2 KALADA WOGU MATAWOGA
0001576713407
64 MARIANUS UMBU DEKI SIPUL 4 11/09/2006 1 KALADA WOGU MATAWOGA
0001576713418
65 KORNELIA YUSTINA SIPUL 4 10/02/1009 2 KALADA WOGU MATAWOGA
0001576713429
66 MARIA DEVIANI L.DATA 4 17/05/1997 2 LOKU MATAWOGA
0001576713431
67 DOMINIKUS UMBU DEKI SIPUL 1 01/07/1965 1 LINGU DEDI MATAWOGA
0001576713442
68 DORKAS SORI DUDA 3 01/07/1963 2 LINGU DEDI MATAWOGA
0001576713464
69 EMILIANA H.SIPUL 4 09/06/2002 2 LINGU DEDI MATAWOGA
0001576713475
70 EPO UMBU RAUTA 1 21/12/1973 1 WAIKAJAWI ANAKALANG
0001576713486
71 BIBIANA R.L.OYI 3 06/11/1980 2 WAIKAJAWI ANAKALANG
0001576713497
72 ELMA RAMBU KARERI TOGA 4 24/10/2007 2 WAIKAJAWI ANAKALANG
0001576713508
73 DWI PUTRA UMBU SIWA DJURUMANA 4 10/05/2012 1 WAIKAJAWI ANAKALANG
0001576713519
74 DAVID BURA GELA 1 31/12/1968 1 LETIKAKA MATAWOGA
0001576713521
75 REGINA ATA LELI 3 08/09/1975 2 LETIKAKA MATAWOGA
0001576713532
76 KRISNO GELA 4 05/11/1993 1 LETIKAKA MATAWOGA
0001576713543
77 ENDANG GELA 4 26/10/1995 2 LETIKAKA MATAWOGA
0001576713554
78 JOIS GELA 4 30/06/1998 2 LETIKAKA MATAWOGA
0001576713587
79 ERNIWATI JUNA GELA 4 12/01/2000 2 LETIKAKA MATAWOGA
0001576713598
80 UMBU JUNA GELA 4 14/07/2006 1 LETIKAKA MATAWOGA
0001576713609
81 ALFIANA GELA 4 17/08/2007 1 LETIKAKA MATAWOGA
0001576713611
82 RUNGA KAHA RARA 1 10/10/1986 1 LAIPATEDANG MAKATAKERI
0001576713622
83 FREDERIKA RAMBU KABIDA 3 06/02/1989 2 LAIPATEDANG MAKATAKERI
0001576713633
84 SAVERIN RAMBU BANGI RONI 4 25/03/2012 2 LAIPATEDANG MAKATAKERI
0001576713644
85 MARTINE D.R.BITU MEJA 4 16/05/2014 2 LAIPATEDANG MAKATAKERI
R.B. ANABOENI 0001576716636 4 2 WAILOLUNG ANAJIAKA
86 19/01/1954
UMBU LAIYA 0001576713655 1 1 WAILOLUNG ANAJIAKA
87 01/07/1948
DOMINGGUS U. PEKUJAWANG 0001576713666 4 1 WAILOLUNG ANAJIAKA
88 01/04/1979
0001576713688 1 1 KAMBA JAWA UMBU PABAL
89 GILBERT D. MASON HAHAR 28/10/2014
0001576713699 KAWILLU WAIRASA
90 YULES UMBU NGAILU 1 16/07/1986 1
0001576713701 PRAI LUTA DEWA JARA
91 JELISTIN RAMBU PADU 4 03/10/2012 2
0001576713712 PRAI LUTA DEWA JARA
92 MAISA RAMBU MAJA 4 12/06/2014 2
0001576713723 ANAJIAKA
93 JHON KANORU HALANG 1 17/01/1973 1 KALOWU KAUKI
0001576713734 ANAJIAKA
94 SOFIA RAMBU KAWURUNG 3 17/03/1978 2 KALOWU KAUKI
0001576713745 ANAJIAKA
95 ANDINI RAMBU KAWI 4 07/07/2004 2 KALOWU KAUKI
0001576713756 ANAJIAKA
96 REVITA RAMBU MANGINU 4 16/09/2008 2 KALOWU KAUKI
0001576713767 ANAJIAKA
97 RADITYA VALERY U. L. PRAING 4 31/12/2013 1 KALOWU KAUKI
0001576713778
98 ENOS UMBU LEPA 1 12/04/1978 1 WAIHIBUR UMBU MAMIJUK
0001576713791
99 MELIATI R.ATA DAUKI 3 12/01/1988 2 WAIHIBUR UMBU MAMIJUK
0001576713802
100 RICARDO U.K. LIMU 4 20/05/2006 1 WAIHIBUR UMBU MAMIJUK
0001576713813
101 PUTRI ANANDA R. NALLA 4 9/16/2008 2 WAIHIBUR UMBU MAMIJUK
0001576713824
102 DARIUS SANDI U.NG. PAPA 4 27/05/1989 1 WAIHIBUR UMBU MAMIJUK
0001576713835
103 RAMBU KUDU 1 05/02/1964 2 WAIHIBUR UMBU MAMIJUK
0001576713846 ANAKALANG
104 KASEDU LOBU MAWU 1 11/06/1968 1 LAIRADI
0001576713857 UMBU KAWOLU
105 CHERIN R. MURA GUNA 4 04/11/2012 2 KARANGGI ROWA
0001576713868 UMBU KAWOLU
106 ARMANDO UMBU GAWI RADUK 4 19/09/2014 1 KARANGGI ROWA
0001576713879 ANAKALANG
107 ARJEOND UMBU RAISI SURUK 1 27/06/2012 1 LOLAJANGI
0001576713881 ANAKALANG
108 ADI RAMBU MURA NYOKI 1 12/12/1938 1 LOLAJANGI
0001576713903 ANAKALANG
109 JENI R.LUBA SORI SUATU 3 20/01/1977 2 LOLAJANGI
0001576713914 ANAKALANG
110 SEPRI U.PEKA TOGU LAWANG 4 12/03/1985 1 LOLAJANGI
0001576713925 ANAKALANG
111 NORI RAMBU SEDU OYI 4 27/11/1995 2 LOLAJANGI
0001576713936 ANAKALANG
112 NORFIS R. PADU JABU 4 28/03/2004 1 LOLAJANGI
0001576713947 ANAKALANG
113 YULIUS U.J. UBINI API 4 24/06/1976 1 LOLAJANGI
0001576713958 ANAKALANG
114 NAOMI R.P. MALAIRU 4 03/10/1978 2 LOLAJANGI
0001576713969 ANAKALANG
115 STEPANUS GAWI NIGA 4 08/12/1983 1 LOLAJANGI
0001576713971
116 RENNY RAMBU DAY 1 10/05/1982 1 WAIMAMONGU WAIRASA
0001576713982
117 ISHAK KURNIAWAN K.T. SOBA 4 09/07/2004 2 WAIMAMONGU WAIRASA
0001576713993
118 KERTLYN RAMBU BANGI ATA 4 23/12/2009 1 WAIMAMONGU WAIRASA
ASA
Tanda Tangan
Penerima
9
1 2 3 4
1 5317010204082902 5317017103740002 KRISTINA BULU 0001576712766

2 5317010204082902 5317014311020001 SILVIA R.S.JAWA 0001576712777
3 5317010204082902 5317011610040001 GERARDUS RIZALDI K.S.JAWA 0001576712788
4 5317010204082902 5317016709140001 MARIA AQUINATA M.S.JAWA 0001576712799
5 5317012201100001 5317010101740002 BARNABAS BORA ROWA 0001576712801
6 5317012201100001 5317015908740003 AGUSTINA KEWA GERODA 0001576712812
7 5317012201100001 5317011810040002 FRANSISKO GILBERTO KOPONG 0001576712823
8 5317012201100001 5317016104100001 MARIA ANSELMA K.KOPONG 0001576712834
9 5317010608120001 5317012105900001 ANTONIUS DARMANSA PURU 0001576712856
10 5317010204082894 5317012407750003 PETRUS JERI RAISI MESA 0001576712867
11 5317010204082894 5317016505750002 YULIANA M.KAUWA 0001576712878
12 5317010204082894 5317014709000003 REGINA KRESENSIA B.AWA 0001576712889
13 5317010204082894 5317010310020002 FLORENSIUS XAVERIUS D.LOJA 0001576712891
14 5317010204082894 5317010802050004 AURELIUS ALPRIYENDO L.KANI 0001576712902
15 5317010204082894 5317010805100001 GREGORIUS J.S.KUALA 0001576712913
16 5317021506100003 5317026312600002 MARIA KAITA RIWA 0001576712924
17 5317021506100003 5317026309920002 PENINE PODU LOYA 0001576712935
18 5317021506100003 5317024711140002 WANRINE AGRIN TARI 0001576712946
19 5317020703130001 5317022405540001 JARA DAPA NALUNG
20 5317020703130001 5317022107640002 MELKIANUS RAGA ADUNG 0001576712957
21 5317020204080120 5317021301050001 GERARDUS A.UMBU GAWI 0001576716592
22 5317020204080120 5317020107490041 DENA GANYI 0001576712968
23 5317020204080327 5317024108940002 RENI RAMBU KATTA 0001576712979
24 5317020204080340 5317027005790002 MATILDA RAMBU LADU DAY 0001576712981
25 5317010204083058 5317012707700001 TARSIUS TAJI MOJU 0001576712992
26 5317010204083058 5317015503760002 TERESIA ATA YILI 0001576713003
27 5317010204083058 5317016507930001 YOMI B.LAPUR 0001576713014
28 5317010204083058 5317011305950001 DARIUS A.DALA 0001576713025
29 5317010204083058 5317015707980002 YUNITA DABI LUNGA 0001576713036
30 5317010204083058 5317015007030002 ERTINA D.DATA 0001576713058
31 5317010204083058 5317010312060001 DESTRIAN TAGELA LADU NAWU 0001576713069
32 5317010204083058 5317011005090003 MARFEL PANGGALA TULA BANI 0001576713071
33 5317010204083096 5317014703470001 ESTER MAGI DIALA 0001576713082
34 5317010204083096 5317010107760034 AGUSTINUS INUS KURI BILI 0001576713093
35 5317010204083096 5317010107850029 ADIANUS SUGU BOLU 0001576713104
36 5317010803110009 5317011312850003 RUDOLF UMBU DJAMA 0001576713115
37 5317010803110009 5317015412090002 MARIA CELIN RAMBU PEDA DJATI 0001676713126
38 5317010204083060 5317014107590011 PERONIKA JOLA PEDI 0001576713137
39 5317010204083060 5317014107000028 PETRONELA M.MAGI 0001576713148
40 5317020204082662 5317024107380011 DEHI NORU
41 5317020204082662 5317020107500055 PILA MALIYANU
42 5317010204083099 5317010707720006 KLEMENS K.GAGA 0001576713161
43 5317010204083099 5317015807720001 DORKAS DADA TUWA 0001576713172
44 5317010204083099 5317014602950002 ANTONETA S.OYI 0001576713183
45 5317010204083099 5317010907960002 KRISVIANUS JURUMANA 0001576713194
46 5317010204083099 5317014104960001 KRISVINA L.LAURU 0001576713205
47 5317010204083099 5317013009030001 ANDRIAS K.SAPALA 0001576713216
48 5317010204083099 5317014302060002 ANJELINA R.K.YOWI 0001576713227
49 5317010204083099 5317012502130001 FRECHYANDRY LEKU PARENGU 0001576713238
50 5317010204083057 5317015612580001 VINCENSIA R.KAWI BEBA
51 5317010204083057 5317015103880002 MARSELINA R.DAWI NGANA
52 5317010204083057 5317016306900001 ALBINA R.PAILA METI
53 5317010204083057 5317014604940003 FLORENTIN A.R.MALAIRU
54 5317010204083057 5317015307940001 ROVINA R.R.MALI
55 5317010204083057 5317016604140001 ADINDA ANGELICA R.K.BEBA
56 5317011506090008 5317010511700001 ANDEREAS SEBU TODA BAKUL
57 5317011506090008 5317014407750002 LUSIA L.NEDI
58 5317011506090008 5317012303950003 KRISTOFORUS UMBU KUTA IBIRITI
59 5317011506090008 5317016211960001 HERONIMA RIJA WADA 0001576716603
60 5317011506090008 5317011808980005 MATEUS NEKA GANA 0001576716614
61 5317011506090008 5317015309000001 MONICA RADA BERA
62 5317011506090008 5317012006030001 DOMINGGUS DANGI LOJA
63 5317011506090008 5317015803050002 AGNES B.KAYU
64 5317011506090008 5317014506350001 RADA BERA 0001576713251
65 5317010801150001 5317010707800003 ADRIANUS NGAILU JOWA 0001576713262
66 5317010801150001 5317015707880003 YUSTINA RAMBU PEDA JATI 0001576713273
67 5317010801150001 5317012407090002 IPANK TARSIANUS U.TAGELA 0001576713284
68 5317010204082895 5317011801030001 IGNASIUS F.UBINIPILU 0001576716625
69 5317010204082895 5317011805850002 NIKOLAS S.POTI 0001576713295
70 5317010204082881 5317010103700001 DOMINGGUS SIWA UBINI PILU 0001576713306
71 5317010204082881 5317014811700001 KATARINA BERA KODI 0001576713317
72 5317010204082881 5317012202950001 FERDINANDUS UBINIPILU 0001576713328
73 5317010204082881 5317012204980001 ALFRET UBINIPILU 0001576713339
74 5317010204082881 5317014408000001 REDAMTA OKTAVIANI UBINIPILU 0001576713352
75 5317010204082881 5317014701060001 KLARA HARYATI UBINIPILU 0001576713363
76 5317012703120001 5317011902830002 MIKAEL KERUNG PAMARA 0001576713374
77 5317012703120001 5317014808830002 MARIA RIJA MALI 0001576713385
78 5317012703120001 5317016306040002 ROSWITA RENANSI SIPUL 0001576713396
79 5317012703120001 5317011109060004 MARIANUS UMBU DEKI SIPUL 0001576713407
80 5317012703120001 5317015002090004 KORNELIA YUSTINA SIPUL 0001576713418
81 5317010204082891 5317011707720001 AGUSTINUS SABA ORA
82 5317010204082891 5317014104760001 APSINTA ZAGHU
83 5317010204082891 5317015705970002 MARIA DEVIANI L.DATA 0001576713429
84 5317010204082891 5317015208070005 PATRISIA D.P.DOPI
85 5317010204082891 5317010404090001 DIDIMUS NGAILU BEKU
86 5317010204082913 5317010107550036 DOMINIKUS UMBU DEKI SIPUL 0001576713431
87 5317010204082913 5317014107630029 DORKAS SORI DUDA 0001576713442
88 5317010204082913 5317014906020003 EMILIANA H.SIPUL 0001576713464
89 5317011910100003 5317012112730004 EPO UMBU RAUTA 0001576713475
90 5317011910100003 5317014611800002 BIBIANA R.L.OYI 0001576713486
91 5317011910100003 5317016410070001 ELMA RAMBU KARERI TOGA 0001576713497
92 5317011910100003 5317011005120001 DWI PUTRA UMBU SIWA DJURUMANA 0001576713508
93 5317010204082869 5317013009560001 AGUSTINUS LAIYA UBI RAGA
94 5317010204082869 5317011103930001 DAUD K.TAGU BORI
95 5317010204082869 5317011303060003 NIKODEMUS NEKA LELUNG
96 5317012101110001 5317013112680021 DAVID BURA GELA 0001576713519
97 5317012101110001 5317014809750001 REGINA ATA LELI 0001576713521
98 5317012101110001 5317010511930001 KRISNO GELA 0001576713532
99 5317012101110001 5317012610950001 ENDANG GELA 0001576713543
100 5317012101110001 5317013006980006 JOIS GELA 0001576713554
101 5317012101110001 5317015201000001 ERNIWATI JUNA GELA 0001576713587
102 5317012101110001 5317011407060002 UMBU JUNA GELA 0001576713598
103 5317012101110001 5317015708070002 ALFIANA GELA 0001576713609
104 5317010204082908 5317012512750001 DANIEL D.GABA
105 5317010204082908 5317014403770003 MARTISANA K.BULU
106 5317010204082908 5317016005000001 BERNARDINE IBIRITI
107 5317010204082908 5317014309030002 YUDITH ADRIANI IBIRITI
108 5317010204082908 5317014909080002 MATERNA A.IBIRITI
109 5317010204082908 5317011302120001 RIKARDIS IBIRITI
110 5317011103130002 5317011010860001 RUNGA KAHA RARA 0001576713611
111 5317011103130002 5317014602890002 FREDERIKA RAMBU KABIDA 0001576713622
112 5317011103130002 5317016503120002 SAVERIN RAMBU BANGI RONI 0001576713633
113 5317011103130002 5317015605140001 MARTINE D.R.BITU MEJA 0001576713644
114 5317020204080048 5317025901540001 R.B. ANABOENI 0001576716636
115 5317020204080048 5317020107480001 UMBU LAIYA 0001576713655
116 5317020204080048 5317020104790008 DOMINGGUS U. PEKUJAWANG 0001576713666
117 5317020709140002 5317022810140001 GILBERT D. MASON HAHAR 0001576713688

118 5317020204083196 5317020107480022 UMBU TALU PEKU LIMU
119 5317020204083196 5317024202550001 RAMBU YAKU IMA
120 5317020204083196 5317021607860002 YULES UMBU NGAILU 0001576713699
121 5317020204083196 5317027009950002 SOVIA RAMBU DULU MOSA
122 5317012901150003 5317010107870004 YOSUA U. GOYI
123 5317012901150003 5317017008930001 MIRANTI VERAWATI RAMBU ATA
124 5317012901150003 5317014310120001 JELISTIN RAMBU PADU 0001576713701
125 5317012901150003 5317015206140001 MAISA RAMBU MAJA 0001576713712
126 5317022712100004 5317021701730002 JHON KANORU HALANG 0001576713723
127 5317022712100004 5317025703780003 SOFIA RAMBU KAWURUNG 0001576713734
128 5317022712100004 5317024707040002 ANDINI RAMBU KAWI 0001576713745
129 5317022712100004 5317025609080002 REVITA RAMBU MANGINU 0001576713756
130 5317022712100004 5317023112130001 RADITYA VALERY U. L. PRAING 0001576713767
131 5317020511100001 5317021204780002 ENOS UMBU LEPA 0001576713778
132 5317020511100001 5317025201880001 MELIATI R.ATA DAUKI 0001576713791
133 5317020511100001 5317022005060001 RICARDO U.K. LIMU 0001576713802
134 5317020511100001 5317025609080001 PUTRI ANANDA R. NALLA 0001576713813
135 5317020511100001 5317022705890002 DARIUS SANDI U.NG. PAPA 0001576713824
136 5317023010120007 5317024107570019 RAMBU KUDU 0001576713835
137 5317010204080165 5317010407660001 KASEDU LOBU MAWU 0001576713846
138 5317021412100001 5317024411120001 CHERIN R. MURA GUNA 0001576713857
139 5317021412100001 5317021909140001 ARMANDO UMBU GAWI RADUK 0001576713868
140 5317012712100001 5317012604790003 AKRI UMBU REKU NAWU
141 5317012712100001 5317016908790002 MARTINA R.W. OLLU
142 5317012712100001 5317010101040003 JENEFER U. DAUNGU NIGA
143 5317012712100001 5317014904070004 INDRIANI RAMBU NYOKI
144 5317012712100001 5317012706120001 ARJEOND UMBU RAISI SURUK 0001576713879
145 5317011308110001 5317015212380001 ADI RAMBU MURA NYOKI 0001576713881
146 5317011308110001 5317016001770002 JENI R.LUBA SORI SUATU 0001576713903
147 5317011308110001 5317011203850001 SEPRI U.PEKA TOGU LAWANG 0001576713914
148 5317011308110001 5317016711960001 NORI RAMBU SEDU OYI 0001576713925
149 5317011308110001 5317016803040003 NORFIS R. PADU JABU 0001576713936
150 5317010204080415 5317010106440001 UMBU SAINGU POTI
151 5317010204080415 5317017006470001 RAMBU KARERI HARA
152 5317010204080415 5317012406760001 YULIUS U.J. UBINI API 0001576713947
153 5317010204080415 5317014310780002 NAOMI R.P. MALAIRU 0001576713958
154 5317010204080415 5317010812830002 STEPANUS GAWI NIGA 0001576713969
155 5317022710100001 5317021507500001 DANIEL DJAWA TAKA JAJI
156 5317022710100001 5317027006620003 RAMBU KAPUDA BITU MEJA
157 5317022710100001 5317022309840001 HENGKI U. LAIYA SOBANG
158 5317022710100001 5317022108860002 SOLEMAN U.S. DJAMI LAGA
159 5317022710100001 5317021804890003 ARISTO UMBU GIKU LODA
160 5317022710100001 5317020810950001 ORIS RAUTA KAREBU
161 5317022710100001 5317024304010001 ANITA RAMBU KAHI BANGU
162 5317022710100001 5317022704010002 ARDI U. SORU SOGAR
163 5317023007100002 5317025005820002 RENNY RAMBU DAY 0001576713971
164 5317023007100002 5317020907040003 ISHAK KURNIAWAN K.T. SOBA 0001576713982
165 5317023007100002 5317026312090001 KERTLYN RAMBU BANGI ATA 0001576713993
Jenis Status
HUBKEL HUBKEL Tgl Lahir
Kelamin kawin
1=BK,
1=P 1=P
2=K, Alamat Tempat Tinggal RT RW
2=S 2=S
3=CH,
3=I 3=I Tempat Lahir dd/mm/yyyy 1=L 2=P
4=CM
4=A 4=A
5 = TDK
5=T 5=T
TAU
5 5 6 7 8 9 10 11 12
1 3 KALEMBU KOMI 31/03/1974 2 2 KALADA WOGU 001 001

4 4 LAIGALAK 03/11/2002 2 2 KALADA WOGU 001 001
4 4 WAILOLUNG 27/09/2014 2 1 KALADA WOGU 001 001
1 2 LAIGALAK 01/01/1974 1 2 LAIGALAK 001 001
4 3 KATIKULOKU 19/08/2004 2 2 LAIGALAK 001 001
1 2 LAIGALAK 24/07/1975 1 2 LOKU 001 001
3 3 LAIGALAK 25/05/1975 2 2 LOKU 001 001
4 4 LAIGALAK 07/09/2000 2 1 LOKU 001 001
4 4 LAIGALAK 03/10/2002 1 1 LOKU 001 001
4 4 LAIGALAK 08/02/2005 2 1 LOKU 001 001
4 4 LAIGALAK 08/05/2010 1 1 LOKU 001 001
1 2 PRAIMARADA 23/12/1960 2 2 PRAIMANIGA 001 001
4 4 PATEMBU 23/09/1992 2 1 PRAIMANIGA 001 001
4 4 PATEMBU 07/11/2014 2 1 PRAIMANIGA 001 001
1 2 0000866658317 LIANG HADANG 10/06/1955 1 2 PATEMBU 001 001
4 5 LIANG ADUNG 21/07/1964 1 1 PATEMBU 001 001
4 4 ANAJIAKA 13/01/2005 1 1 ANAPALU 001 001
1 4 ANAJIAKA 30/05/1979 2 1 PRAIKALUBANG 001 001
1 2 LATARUNG 27/07/1970 1 2 MATOLANG 001 001
3 3 MAMBORO 15/03/1976 2 2 MATOLANG 001 001
4 4 MATOLANG 17/07/1998 2 1 MATOLANG 001 001
1 2 LOLI 07/03/1947 2 4 GALLU 001 001
4 4 GALLU 01/07/1976 1 1 GALLU 001 001
4 4 GALLU 01/07/1985 1 1 MATOLANG 001 001
1 4 WAIBAKU 01/07/1959 2 1 MATOLANG 001 001
4 5 PRAIMARADA 01/07/2000 2 1 MATOLANG 001 001
1 5 0000866725626 NGIDU ALAWU 01/07/1938 2 4 KARARA 001 001
4 5 0000866726201 KARARA 01/07/1950 1 1 KARARA 001 001
1 2 GALLU 07/07/1972 1 2 GALLU 001 001
3 3 LAITOTUK 18/07/1972 2 2 GALLU 001 001
4 4 GALLU 06/02/1995 2 1 GALLU 001 001
4 4 GALLU 09/07/1996 1 1 GALLU 001 001
4 4 GALLU 01/04/1998 2 1 GALLU 001 001
4 4 GALLU 30/09/2003 1 1 GALLU 001 001
4 4 GALLU 03/02/2006 2 1 GALLU 001 001
4 4 GALLU 25/02/2013 1 1 GALLU 001 001
1 2 WAIMANU '16/12/1968 2 2 MATOLANG 001 001
3 3 PEGAWAI SWASTA MATOLANG '11/03/1988 2 1 MATOLANG 001 001
4 4 MATOLANG '23/06/1990 2 1 MATOLANG 001 001
4 4 MATOLANG '06/04/1994 2 1 MATOLANG 001 001
4 4 KATIKULOKU 26/04/2014 2 1 MATOLANG 001 001
1 2 0000867475912 WAITAKEJAK 05/11/1970 1 2 WAIBAKU 001 001
3 3 0000867477677 GALLU WALAKARI 04/07/1975 2 2 WAIBAKU 001 001
4 4 0000867478959 GALLU WALAKARI 11/03/1998 1 1 WAIBAKU 001 001
4 4 WAIBAKU 20/11/1998 2 1 WAIBAKU 001 001
4 4 LAISOWANG 18/08/2000 1 1 WAIBAKU 001 001
4 4 0000867479343 LAISOWANG 15/09/2001 2 1 WAIBAKU 001 001
4 5 WAITAKEJAK 05/06/1935 2 4 WAIBAKU 001 001
1 2 UBU KABA 07/07/1980 1 2 GALLU 001 001
3 3 GALLU 17/07/1988 2 2 GALLU 001 001
4 4 GALLU 24/07/2009 1 1 GALLU 001 001
4 5 LAIGALAK 18/01/2003 1 1 REDI 001 001
1 5 LAIGALAK 18/05/1985 1 1 REDI 001 001
3 3 KODI 08/11/1970 2 2 KALADA WOGU 001 001
1 2 LIANGU DEDI 19/02/1983 1 2 KALADA WOGU 001 001
3 3 KALIWU WINU 08/08/1983 2 2 KALADA WOGU 001 001
4 4 LIANGU DEDI 23/06/2004 2 1 KALADA WOGU 001 001
4 4 KALADA WOGU 11/09/2006 1 1 KALADA WOGU 001 001
4 4 KALADA WOGU 10/02/1009 2 1 KALADA WOGU 001 001
1 2 0000866611348 LAIGALAK 1707/1972 1 2 LOKU 001 001
3 3 0000866611811 TAMBOLAKA 01/04/1976 2 2 LOKU 001 001
4 4 TAMBOLAKA 17/05/1997 2 1 LOKU 001 001
4 4 0000866612812 LAIGALAK 12/08/2007 2 1 LOKU 001 001
4 4 0000866612968 LAIGALAK 04/04/2009 1 1 LOKU 001 001
1 2 LAIGALAK 01/07/1965 1 2 LINGU DEDI 001 001
3 3 SOTU 01/07/1963 2 2 LINGU DEDI 001 001
4 5 LIANGU DEDI 09/06/2002 2 1 LINGU DEDI 001 001
1 2 WAIKAJAWI 21/12/1973 1 2 WAIKAJAWI 001 001
3 3 LAIGALAK 06/11/1980 2 2 WAIKAJAWI 001 001
4 4 WAIKABUBAK 24/10/2007 2 1 WAIKAJAWI 001 001
4 4 WAILOLUNG 10/05/2012 1 1 WAIKAJAWI 001 001
1 2 0000866502077 KALIWU 30/09/1956 1 2 KALIWU 001 001
4 4 0000866985039 KALIWU 11/03/1993 1 1 KALIWU 001 001
4 4 0000866985388 KALIWU 06/06/1997 1 1 KALIWU 001 001
1 2 LAIGALAK 31/12/1968 1 2 LETIKAKA 001 001
3 3 LAIGALAK 08/09/1975 2 2 LETIKAKA 001 001
4 4 LETIKAKA 05/11/1993 1 1 LETIKAKA 001 001
1 2PESERTA MANDRI TDAK BAYAR IURAN
LAIGALAK 25/12/1975 1 2 LIANGU DEDI 001 001
LOMBU 04/03/1977 2 2 LIANGU DEDI 001 001
WAIKABUBAK 09/09/2008 2 1 LIANGU DEDI 001 001
WAIKABUBAK 13/02/2012 1 1 LIANGU DEDI 001 001
1 2 LAIPATEDANG 10/10/1986 1 2 LAIPATEDANG 001 001
3 3 TADULA 06/02/1989 2 2 LAIPATEDANG 001 001
4 1 WAILOLUNG 19/01/1954 2 2 WAILOLUNG 001 001
1 5 ANAJIAKA 01/07/1948 1 1 WAILOLUNG 001 001
4 5 ANAJIAKA 01/04/1979 1 1 WAILOLUNG 001 001
1 4 WAIHIBUR 28/10/2014 1 1 KAMBA JAWA 001 001
1 1 0000867539283 LAIRIKA 01/07/1948 1 2 KAWILLU 001 001
3 3 0000867539722 LAWONDA 02/02/1955 2 2 KAWILLU 001 001
1 4 KAWILU 16/07/1986 1 1 KAWILLU 001 001
4 4 0000867540003 KAWILU 30/10/1994 2 1 KAWILLU 001 001
1 1 0001061919808 PARAILUTA 07/08/1988 1 2 PRAI LUTA 001 001
3 3 0001061917749 ANAKALANG 30/08/1993 2 2 PRAI LUTA 001 001
4 4 PARAILUTA 03/10/2012 2 1 PRAI LUTA 001 001
4 4 PARAILUTA 12/06/2014 2 1 PRAI LUTA 001 001
1 1 DAMEKA 17/01/1973 1 2 KALOWU KAUKI 001 001
3 3 DEWA KAWORUNG 17/03/1978 2 2 KALOWU KAUKI 001 001
4 4 WAILOLUNG 07/07/2004 2 1 KALOWU KAUKI 001 001
4 4 WAIKABUBAK 16/09/2008 2 1 KALOWU KAUKI 001 001
4 4 WAIHIBUR 31/12/2013 1 1 KALOWU KAUKI 001 001
1 1 WAIHIBUR 12/04/1978 1 2 WAIHIBUR 001 001
3 3 ANAJIAKA 12/01/1988 2 2 WAIHIBUR 001 001
4 4 ANAJIAKA 20/05/2006 1 1 WAIHIBUR 001 001
1 1 PANDANGI 05/02/1964 2 2 WAIHIBUR 001 001
1 4 ANAKALANG 11/06/1968 1 2 LAIRADI 001 001
4 4 WAILOLUNG 04/11/2012 2 1 KARANGGI ROWA 001 001
4 4 KARANGGI ROWA 19/09/2014 1 1 KARANGGI ROWA 001 001
1 1 0000866709314 LOLAJANGI 26/04/1979 1 2 LOLAJANGI 001 001
3 3 0000866650656 TAMENYAL 29/08/1979 2 2 LOLAJANGI 001 001
1 4 LOLAJANGI 27/06/2012 1 1 LOLAJANGI 001 001
1 1 LAIBULA 12/12/1938 1 2 LOLAJANGI 001 001
3 3 KARANGGI ROWA 30/06/1947 2 2 LOLAJANGI 001 001
4 4 ANAKALANG 24/06/1976 1 1 LOLAJANGI 001 001
1 1 0001061947629 ANAKALANG 17/06/1950 1 2 WAIMAMONGU 001 001
3 3 0001061947631 RADAK 30/06/1962 2 2 WAIMAMONGU 001 001
4 4 0001061947642 WAIMAMONGU 23/09/1984 1 1 WAIMAMONGU 001 001
1 3 LOKU UJUNG 10/05/1982 1 2 WAIMAMONGU 001 001
4 4 WAIMAMONGU 09/07/2004 2 1 WAIMAMONGU 001 001
4 4 WAIMAMONGU 23/12/2009 1 1 WAIMAMONGU 001 001
Kode
Kode Desa Kode Faskes
Kecamatan Nama Faskes Kode Faskes
Kode Pos Nama Kecamatan (diisi Nama Desa Tk.I (diisi
(diisi Tk.I Dokter Gigi
petugas) petugas)
petugas)
13 14 15 16 17 18 19 20
87112 5584 KATIKUTANA 79881 MATAWOGA 24120401 WAIRASA

87112 3261 UMBU RATU NGGAY BARAT 79893 UMBU JODU 24120401 WAIRASA
87112 3261 UMBU RATU NGGAY BARAT 70301 ANAPALU 24120401 WAIRASA
87112 3261 UMBU RATU NGGAY BARAT 25350 UMBU PABAL 24120401 WAIRASA
87112 5584 KATIKUTANA 79881 MATAREDI 24120401 WAIRASA
87112 5584 KATIKUTANA 79881 MATA WOGA 24120401 WAIRASA
87112 5584 KATIKUTANA 70301 ANAKALANG 24120401 WAIRASA
87112 5584 KATIKUTANA 79896 MAKATAKERI 24120401 WAIRASA
87112 3261 UMBU RATU NGGAY BARAT 70614 ANAJIAKA 24120401 WAIRASA
87112 3261 UMBU RATU NGGAY BARAT 25351 WAIRASA 24120401 WAIRASA
87112 5584 KATIKUTANA 70301 DEWA JARA 24120401 WAIRASA
87112 3261 UMBU RATU NGGAY BARAT 25349 UMBU MAMIJUK 24120401 WAIRASA
87112 3261 UMBU RATU NGGAY BARAT 79893 UMBU KAWOLU 24120401 WAIRASA
87112 3261 UMBU RATU NGGAY BARAT 79893 UMBU KAWOLU 24120401 WAIRASA
Kewarga
Status Kelas Rawat
Negaraan
Nomor 1=Tetap, Gaji Pokok +

Nama Faskes 2=Kontrak, TMT Kerja
Telepon Email NPP Jabatan 1=Kelas I, Tunj. Tetap
Dokter Gigi 3=Paruh (Kary. Aktif)
Peserta 2=Kelas II, (Kary. Aktif) 1=WNI,
waktu 2=WNA
3=Kelas III
4=Penerima
Pensiun
21 22 23 24 25 26 27 28 29 30
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
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3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
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3 5/1/2015 1
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3 5/1/2015 1
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3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
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3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
Asuransi Lainnya
No. NPWP No Passport

Nama
No. Polis
Asuransi
31 32 33 34
TANDA TERIMA KARTU JKN TAHAP V PUSKESMAS MANANGA
TAHUN 2015
HUBKEL JK
1=P Alamat Tempat Tanda Tangan

No Nama Lengkap NO. KARTU 2=S Tgl Lahir Nama Desa
1=L Tinggal Penerima
3=I
2=P
4=A
5=T
1 2 3 4 5 6 7 8 9
1 DONATUS KAKA 0001576714015 1 20/08/2004 1 WENDEWA BARAT WENDEWA BARAT

2 YOHANIS UMBU TONGA 0001576714026 1 1 TAYANG MANU WOLU
23/02/1982
3 MIGU SORI DAIJU 0001576714037 3 2 TAYANG MANU WOLU
01/07/1988
HUBKEL Tgl Lahir
1=P
No No KK NIK/KITAS/KITAP Nama Lengkap 2=S
3=I Tempat Lahir
4=A
5=T
1 2 3 4 5 6
1 5317030405100002 5317032008040003 DONATUS KAKA 0001576714015 1 KODI

2 5317032201150002 5317032302820002 YOHANIS UMBU TONGA 0001576714026 1 RATINAI KOKU
3 5317032201150002 5317024107860003 MIGU SORI DAIJU 0001576714037 3 WAI WACU
Tgl Lahir Jenis Kelamin Status kawin
Kode
Kode Desa
Kecamatan Nama
1=BK, 2=K, Alamat Tempat Tinggal RT RW Kode Pos (diisi
(diisi Kecamatan
dd/mm/yyyy 1=L 2=P 3=CH, 4=CM petugas)
petugas)
5 = TDK TAU
7 8 9 10 11 12 13 14 15 16
20/08/2004 1 1 WENDEWA BARAT 001 001 87112 5582 MAMBORO 25336

23/02/1982 1 2 TAYANG 001 001 87112 5582 MAMBORO 25340
01/07/1988 2 2 TAYANG 001 001 87112 5582 MAMBORO 25340
Status
Kode Faskes Nomor 1=Tetap,

Nama Faskes Kode Faskes Nama Faskes 2=Kontrak,
Nama Desa Tk.I (diisi Telepon Email NPP Jabatan
Tk.I Dokter Gigi Dokter Gigi 3=Paruh
petugas) Peserta
waktu
4=Penerima
Pensiun
17 18 19 20 21 22 23 24 25 26
WENDEWA BARAT 24120501 MANANGA

MANU WOLU 24120501 MANANGA
Kewarga
Kelas Rawat
Negaraan Asuransi Lainnya
Gaji Pokok +
TMT Kerja
1=Kelas I, Tunj. Tetap No. NPWP No Passport
(Kary. Aktif)
2=Kelas II, (Kary. Aktif) 1=WNI, No. Polis
Nama
2=WNA Asuransi
3=Kelas III
27 28 29 30 31 32 33 34
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
TANDA TERIMA KARTU JKN TAHAP V PUSKESMAS LENDEWACU
TAHUN 2015
HUBKEL JK
1=P Alamat
Tanda Tangan
No Nama Lengkap NO. KARTU 2=S Tgl Lahir Tempat Nama Desa
1=L Penerima
3=I Tinggal
2=P
4=A
5=T
1 4 5 7 8 9 10 17
0001576714048
1 ERZON A.HAWU 1 10/06/1985 1 LENDEWACU NGADU OLU
0001576714059
2 LIDIA L.MOTO 3 02/04/1986 2 LENDEWACU NGADU OLU
0001576714061
3 AGUSTIN ANGGUN MOTO 4 18/08/2005 2 LENDEWACU NGADU OLU
0001576714072
4 SEANXAVARYO H.NAWU 4 14/03/2012 1 LENDEWACU NGADU OLU
0001576714083 1 2 CUA NGADU OLU
5 ESI JANATA SARI RAMBU KUBA 07/01/2015
0001576714094 1 1 LOKURATA NGADU OLU
6 CORNELIS L. PATIMAY 29/08/1983
7 NAOMI PONGGO 16/11/1986
8 CHREYSON KIANO PATIMAY 11/10/2012
HUBKEL
1=P
3=I
4=A
5=T
1 2 3 4 5
1 5317040506130002 5317041006850003 ERZON A.HAWU 0001576714048 1

2 5317040506130002 5317044204860001 LIDIA L.MOTO 0001576714059 3
3 5317040506130002 5317045808050003 AGUSTIN ANGGUN MOTO 0001576714061 4
4 5317040506130002 5317041403120001 SEANXAVARYO H.NAWU 0001576714072 4
5 5317041903150002 5317044701150001 ESI JANATA SARI RAMBU KUBA 0001576714083 1
6 5317041002140004 5317042908830003 CORNELIS L. PATIMAY 0001576714094 1
7 5317041002140004 5317045611860001 NAOMI PONGGO 0001576714105 3
8 5317041002140004 5317041110120001 CHREYSON KIANO PATIMAY 0001576714127 4

Jenis Status
Tgl Lahir
Kelamin kawin
1=BK, Kode
2=K, Kecamatan
Alamat Tempat Tinggal RT RW Kode Pos
3=CH, (diisi
Tempat Lahir dd/mm/yyyy 1=L 2=P petugas)
4=CM
5 = TDK
TAU
6 7 8 9 10 11 12 13 14
WAINGAPU 10/06/1985 1 2 LENDEWACU 001 001 87112 3259

WAIKABUBAK 02/04/1986 2 1 LENDEWACU 001 001 87112 3259
WAIKABUBAK 18/08/2005 2 1 LENDEWACU 001 001 87112 3259
LENDEWACU 14/03/2012 1 1 LENDEWACU 001 001 87112 3259
CUA 07/01/2015 2 1 CUA 001 001 87112 3259
LOKURATA 29/08/1983 1 2 LOKURATA 001 001 87112 3261
BONDO KODI 16/11/1986 2 2 LOKURATA 001 001 87112 3261
BONDO KODI 11/10/2012 1 1 LOKURATA 001 001 87112 3261
Kode Desa Kode Faskes Nomor
Nama Faskes Kode Faskes Nama Faskes
Nama Kecamatan (diisi Nama Desa Tk.I (diisi Telepon
Tk.I Dokter Gigi Dokter Gigi
petugas) petugas) Peserta
15 16 17 18 19 20 21 22
UMBU RATU NGGAY 79887 NGADU OLU 24120402 LENDEWACU

UMBU RATU NGGAY BARAT 79887 NGADU OLU 24120402 LENDEWACU
Kewarga
Status Kelas Rawat
1=Tetap, Gaji Pokok +

2=Kontrak, TMT Kerja
Email NPP Jabatan 1=Kelas I, Tunj. Tetap
3=Paruh (Kary. Aktif)
Nama
waktu 2=WNA Asuransi
3=Kelas III
4=Penerima
Pensiun
23 24 25 26 27 28 29 30 31 32
3 01/05/2015 1
3 01/05/2015 1
3 01/05/2015 1
3 01/05/2015 1
3 01/05/2015 1
3 01/05/2015 1
3 01/05/2015 1
3 01/05/2015 1
33 34
TANDA TERIMA KARTU JKN TAHAP V PUSKESMAS WAIRASA
TAHUN 2015
HUBKEL JK
1=P Alamat
Tanda Tangan
No Nama Lengkap NO. KARTU 2=S Tgl Lahir Tempat Nama Desa
1=L Penerima
3=I Tinggal
2=P
4=A
5=T
1 2 3 4 5 6 7 8 9
0001576714138
1 INANG SURYANI LANGO 4 25/7/2012 2 REMAJA DEWA TANA
0001576714149 1 1 WACU BATA DAHA ELU
2 MATIUS TIBA BARAK 26/04/1978
3 ROSLINA PODU LOYA 01/07/1985
4 SATRIANTI R. KONGA DIRI 26/08/2005
0001576714173 MATA WAIKAJAWI
5 UMBU DAKU YEWA 1 15/10/1961 1 WUDI
6 LIDIA RAMBU MURA 3 16/03/1970 2 WUDI
7 SUSANTI R. SORI IMA 4 14/04/2001 2 WUDI
1 2 3 4
1 5317020204080844 5317026507120001 INANG SURYANI LANGO 0001576714138

2 5317020204080844 5317026003960001 ENIA BELA
3 5317020204080663 5317022604780001 MATIUS TIBA BARAK 0001576714149
4 5317020204080663 5317024502850002 ROSLINA PODU LOYA 0001576714151
5 5317020204080663 5317026608050002 SATRIANTI R. KONGA DIRI 0001576714162
6 5317022303150008 5317021510610001 UMBU DAKU YEWA 0001576714173
7 5317022303150008 5317024107720007 LIDIA RAMBU MURA 0001576714184
8 5317022303150008 5317025404010002 SUSANTI R. SORI IMA 0001576714195
Kode
Jenis Status Kecamatan
Tgl Lahir Alamat Tempat Tinggal RT RW Kode Pos
Ke1amin 2awin (diisi
petugas)
HUBKEL
1=BK, 2=K,
3=CH,
1=P
Tempat Lahir dd/mm/yyyy 1=L 2=P 4=CM
2=S
5 = TDK
3=I
TAU
4=A
5=T
5 6 7 8 9 10 11 12 13 14
4 WAIKABUBAK 25/7/2012 2 1 REMAJA 002 001 87112 3261

1 SENDI MANU 20/3/1996 2 1 REMAJA 002 001 87112 3261
1 LARI BAKUL 26/04/1978 1 2 WACU BATA 005 003 87112 3261
3 PATUNG 01/07/1985 2 2 WACU BATA 005 003 87112 3261
4 KABATA 26/08/2005 2 1 WACU BATA 005 003 87112 3261
1 WUDI 15/10/1961 1 2 WUDI 001 001 87112 3261
3 DEWA 16/03/1970 2 2 WUDI 001 001 87112 3261
4 WUDI 14/04/2001 2 1 WUDI 001 001 87112 3261
Nama Kecamatan (diisi Nama Desa Tk.I (diisi Telepon
15 16 17 18 19 20 21 22
UMBU RATU NGGAY BARAT 70616 DEWA TANA 24120405 LAWONDA

UMBU RATU NGGAY BARAT 70616 DEWA TANA 24120405 LAWONDA
UMBU RATU NGGAY BARAT 70616 DAHA ELU 24120405 LAWONDA
UMBU RATU NGGAY BARAT 70616 MATA WAIKAJAWI 24120405 LAWONDA
Gaji Pokok +
TMT Kerja (Kary. Kewarga
Email NPP Jabatan Status Kelas Rawat Tunj. Tetap
Aktif) Negaraan
(Kary. Aktif)
Asuransi Lainnya
1=Tetap,
2=Kontrak,
1=Kelas I,
3=Paruh 1=WNI, Nama
2=Kelas II, No. Polis
3=Kelas III
4=Penerima
Pensiun
23 24 25 26 27 28 29 30 31 32
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
33 34
TANDA TERIMA KARTU JKN TAHAP V PUSKESMAS WEELURI
TAHUN 2015
HUBKEL JK
1=P Alamat Tempat

No Nama Lengkap NO. KARTU 2=S Tgl Lahir 1=L Nama Desa Tanda Tangan Penerima
Tinggal
3=I
4=A 2=P
5=T
1 2 3 4 5 6 7 8 9
1 YOHANIS NGONGO 0001576714206 1 01/07/1987 1 PUU GHUNGA BONDO SULLA
2 MARIANA KONI MAGI 0001576714217 3 23/12/1994 2 PUU GHUNGA BONDO SULLA
3 SULASNINA AIRIN NGONGO 0001576714239 4 13/09/2014 2 PUU GHUNGA BONDO SULLA
4 MEKI LANI 0001576714241 1 02/02/2012 1 PUU NAGA OLE ATE

HUBKEL

1=P
2=S
3=I
4=A
5=T
1 2 3 4 5
1 5317030502150010 5317030107870049 YOHANIS NGONGO 0001576714206 1
2 5317030502150010 5317036312940001 MARIANA KONI MAGI 0001576714217 3
3 5317030502150010 5317035309140001 SULASNINA AIRIN NGONGO 0001576714239 4
4 5317030204080957 5317030202120002 MEKI LANI 0001576714241 1
Jenis Status
Tgl Lahir
Ke1amin 2awin
1=BK, Kode
2=K, Kecamatan
Alamat Tempat Tinggal RT RW Kode Pos Nama Kecamatan
3=CH, (diisi
Tempat Lahir dd/mm/yyyy 1=L 2=P petugas)
4=CM
5 = TDK
TAU
6 7 8 9 10 11 12 13 14 15
KAWARU 01/07/1987 1 2 PUU GHUNGA 005 003 87112 5582 MAMBORO

GOLLU UPO 23/12/1994 2 2 PUU GHUNGA 005 003 87112 5582 MAMBORO
PUU GHUNGA 13/09/2014 2 1 PUU GHUNGA 005 003 87112 5582 MAMBORO
PUU NAGA 02/02/2012 1 1 PUU NAGA 001 001 87112 5582 MAMBORO
(diisi Nama Desa Tk.I (diisi Telepon Email NPP Jabatan
16 17 18 19 20 21 22 23 24 25
25339 BONDO SULLA 02421000 WEELURI
25339 OLE ATE 02421000 WEELURI
Kewarga
Status Kelas Rawat
1=Tetap, Gaji Pokok +

2=Kontrak, TMT Kerja
1=Kelas I, Tunj. Tetap No. NPWP No Passport
3=Paruh (Kary. Aktif)
Nama
3=Kelas III
4=Penerima
Pensiun
26 27 28 29 30 31 32 33 34
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
3 5/1/2015 1
TANDA TERIMA KARTU JKN TAHAP V PUSKESMAS WEELURI
TAHUN 2015
HUB
JK
KEL
1=P Alamat
No Nama Lengkap NO. KARTU 2 = S Tgl Lahir Tempat Nama Desa
1=L Tinggal
3=I
2=P
4=A
5=T
1 2 3 4 5 6 7 8
1 Enos Diwa Garam 0001576714252 1 16/12/1987 1 Pahar Lenang
2 Marta Roku Wugu 0001576714263 3 09/07/1990 2 Pahar Lenang
3 Sabatani Lambu Apu 0001576714274 1 03/01/2009 1 Pahar Lenang

4 Veraria Rambu Kudu 0001576714285 1 15/06/2013 2 Jambamoni Lenang
5 Sandra Peku Jawang 0001576714296 1 07/07/2012 1 Kura Lenang
6 Gusdiman Irwanto Gali Amas 0001576714307 1 14/06/1997 1 Pahar Lenang
7 Prastiadi Umbu Mawu 0001576714318 4 05/10/2004 1 Pahar Lenang
8 Oktovhina Rambu Dawu 0001576714329 4 24/10/2012 2 Pahar Lenang
9 Melni Guna Bombu 0001576714342 1 13/07/2011 2 Bela Bakul Lenang
10 Alyam Manjiu Yanggu 0001576714353 4 08/11/2013 1 Bela Bakul Lenang
11 Sandi Maramba Jawa 0001576714364 1 17/10/1989 1 Lenang Lenang
12 Petronela Depa Ngara 0001576714375 3 28/11/1990 2 Lenang Lenang
13 Minda Yani Maramba Jawa 0001576714386 4 12/05/2011 2 Lenang Lenang
14 Renaldi Maramba Jawa 0001576714397 4 10/03/2014 1 Lenang Lenang
15 Iska Rambu Kapu 0001576714408 1 17/01/2014 2 Bela Bakul Lenang
16 Bomba Lapur 0001576714419 1 07/06/1967 2 Bela Bakul Lenang
17 Hendrik Pila Ndelu 0001576714421 1 12/02/1994 1 Bela Bakul Lenang
18 Agung Renggi Tay 0001576714432 4 01/08/2000 1 Bela Bakul Lenang
19 Aplianus T. Plewali 0001576714454 1 16/04/1985 1 Bela Bakul Lenang
20 Reni P. Loya 0001576714465 3 17/01/1990 2 Bela Bakul Lenang
21 Chelin Bomba Lapur 0001576714476 4 22/03/2008 2 Bela Bakul Lenang
22 Jovandra Mandaha Ratu 0001576714487 4 16/09/2010 1 Bela Bakul Lenang
23 Enkaristi Enda Hada 0001576714498 1 06/06/2002 2 Kalumbang Lenang
24 Rambu Manis N.H. Lelu 0001576714509 4 15/05/2011 2 Kalumbang Lenang
25 Benyamin P.R.Jawa 0001576714511 46 1 Bela Bakul Lenang
26 Ade Apu Moju Riwa 0001576714522 1 15/10/2009 2 Bela Bakul Lenang
27 Ricardo H. Mbay 0001576714533 1 17/02/2012 1 Bela Bakul Lenang
28 Imanuel H. Parenggu 0001576714544 1 24/04/2012 1 Belake Lenang
29 Nadia R. Bombu 0001576714566 4 12/02/2013 2 Bela Bakul Lenang
30 Nundu Taya 0001576714577 1 12/10/1954 1 Belake Lenang
31 Abeth P. Henggu 0001576714588 4 16/09/2008 1 Belake Lenang
32 Sionon Hutarawa 0001576714599 4 30/02/2012 1 Belake Lenang
33 Elin Podu Loya 0001576714601 4 16/04/2013 2 Bela Bakul Lenang
34 Aura Kasih R. Lika 0001576714612 1 05/04/2013 2 Matmadua Lenang
35 Aurel Sintia R. Mbaduk 0001576714623 4 05/04/2013 2 Matmadua Lenang
36 Elisabeth Laiya Ngiku 0001576714634 1 10/10/1983 2 Palendi Lenang
37 Jesandro Keba Kamang 0001576714645 1 02/12/2012 1 Belake Lenang
38 Marten Dena Nggaba 0001576714656 1 10/09/1995 1 Belake Lenang
39 Yerlin Lingga Wandal 0001576714689 4 17/10/1998 2 Belake Lenang
40 Mince N.H. Lelu 0001576714691 4 15/05/2013 2 Belake Lenang
41 Nundu Gali Mara 0001576714702 1 02/03/1951 1 Bela Bakul Lenang
42 Banja Oru 0001576714713 3 28/07/1954 2 Bela Bakul Lenang
43 Habil Dena Yina 0001576714724 4 07/08/1982 1 Bela Bakul Lenang
44 Danil Haru Baha 0001576714735 4 01/11/2007 1 Bela Bakul Lenang
45 Padelka Rambu Talamuh 0001576714746 4 28/07/2013 2 Kota Kronja Lenang
46 Ani Kareri Ata Jama 0001576714757 1 01/07/1985 2 Bela Bakul Lenang
47 Agnes Podu Loya 0001576714768 4 01/07/1996 2 Bela Bakul Lenang
48 Yoland Panju Marada 0001576714779 1 15/11/2013 1 Bela Bakul Lenang
49 Rosalina Rambu Kudu 0001576714792 1 18/04/1991 2 Bela Bakul Lenang
50 Arkiles Umbu Jara 0001576714803 4 27/02/2013 1 Bela Bakul Lenang
51 Artonius Umbu Jawa Ray 0001576714814 4 31/08/2014 1 Bela Bakul Lenang
52 Astiyani Tanggu Hana 0001576714825 4 15/08/2009 2 Palendi Lenang
53 Marsela Mura Manggul 0001576714836 4 30/03/2012 2 Palendi Lenang
54 Juvita Enda Hadda 0001576714847 1 16/09/2011 2 Belake Lenang
55 Devita Day Mbana 0001842708374 1 12/07/2011 2 Belake Lenang
56 Valentina K. Tamar 0001842708824 4 14/02/2013 2 Pahar Lenang
57 Jusvika Nona Koni 0001576714858 1 17/08/2011 2 Pahar Lenang
58 Rojian M. Yoli 0001576714869 1 29/12/2012 1 Bondu Herum Lenang
59 Yensi Tupa Lala 0001576714871 4 16/08/2011 2 Kota Kronja Lenang
60 Yelsi Podu Loya 0001576714882 4 02/04/2014 2 Kota Kronja Lenang
61 Taba Leku Minggu 0001576714904 1 31/12/1935 2 Bela Bakul Lenang
62 Rivando Jawa Rai 0001576714915 1 03/03/2013 1 Palendi Lenang
63 Rosalia Yaku Lunga 0001576714926 1 29/09/2012 2 Paremarada Lenang Selatan
64 Yohanis Taku Rangga 0001576714937 1 10/11/1998 1 Lenang Selatan Lenang Selatan
65 Sovia Temba Kanggu 0001576714948 4 02/09/2009 2 Lenang Selatan Lenang Selatan
66 Yermias Ngunju Lenang 0001576714959 1 15/03/2003 1 Nggalu Kawu Lenang Selatan
67 Stenly Ngunju Lenang 0001576714961 4 16/10/2011 1 Nggalu Kawu Lenang Selatan
68 Yohana Tanggu Atta Hidu 0001576714972 4 23/04/1993 2 Kabawacu Lenang Selatan
69 Danial Ladu Rehi 0001576714983 1 08/12/1980 1 Ngadu Mbolu Ngadu Mbolu
70 Rosalia Dada Gole 0001576714994 3 14/07/1981 2 Ngadu Mbolu Ngadu Mbolu
71 Christiano Kaheha 0001576715016 4 13/04/2011 1 Ngadu Mbolu Ngadu Mbolu
72 Oktavianus M. Yewa 0001576715027 1 03/05/1980 1 Ngadu Mbolu Ngadu Mbolu
73 Erni T. Apu 0001576715038 3 16/05/1993 2 Ngadu Mbolu Ngadu Mbolu
74 Nartiana Jawa 0001576715049 4 10/06/2004 2 Ngadu Mbolu Ngadu Mbolu
75 Alfriando Yewa 0001576715051 4 19/01/2013 1 Ngadu Mbolu Ngadu Mbolu
76 Elvenrias Mudi 0001576715062 1 11/04/1988 1 Ngadu Mbolu Ngadu Mbolu
77 Ana Rambu Wadang 0001576715073 3 23/05/1986 2 Ngadu Mbolu Ngadu Mbolu
78 Chevano Mudi 0001576715084 4 15/03/2011 1 Ngadu Mbolu Ngadu Mbolu
79 Givenray Mudi 0001576715095 4 15/05/2012 1 Ngadu Mbolu Ngadu Mbolu
80 Erius Mudi 0001576715106 1 09/12/1991 1 Ngadu Mbolu Ngadu Mbolu
81 Yusak Mudi 0001576715128 4 02/01/1993 1 Ngadu Mbolu Ngadu Mbolu
82 Frengki Mudi 0001576715139 4 24/02/2005 1 Ngadu Mbolu Ngadu Mbolu
83 Agustinus K. Mandaha 0001576715141 1 17/08/1972 1 Ngadu Mbolu Ngadu Mbolu
84 Lidia Kaleka Ana Nggiri 0001576715152 3 14/05/1975 2 Ngadu Mbolu Ngadu Mbolu
85 Sara Dehi Mboru 0001576715163 4 17/07/1993 2 Ngadu Mbolu Ngadu Mbolu
86 Arviandis D. Nggaba 0001576715174 4 19/08/1993 1 Ngadu Mbolu Ngadu Mbolu
87 Stevani Day Mbana 0001576715185 4 06/09/1995 2 Ngadu Mbolu Ngadu Mbolu
88 Yana Moju Ata Uku 0001576715196 4 14/03/1997 2 Ngadu Mbolu Ngadu Mbolu
89 Helti Bola Kata Rina 0001576715207 4 14/02/2005 2 Ngadu Mbolu Ngadu Mbolu
90 Friklen K. Mandaha 0001576715218 4 13/09/2012 1 Ngadu Mbolu Ngadu Mbolu
91 Kalidi Pili Muka 0001576715231 1 04/12/1962 1 Ngadu Mbolu Ngadu Mbolu
92 Haput B. Ata Laki 0001576715242 3 11/05/1971 2 Ngadu Mbolu Ngadu Mbolu
93 Riska Klara Nemba 0001576715253 4 06/07/1967 2 Ngadu Mbolu Ngadu Mbolu
94 Marten W. Mbani 0001576715264 1 06/07/1967 1 Wailanggati Ngadu Mbolu
95 Oksen Meta Yiwa 0001576715275 4 05/10/2002 1 Wailanggati Ngadu Mbolu
96 Arya Nazario Mandaha 0001576715286 1 31/05/2011 1 Ngadu Mbolu Ngadu Mbolu
97 Yanti Negu Maja 0001576715297 1 10/06/1985 2 Wailanggati Ngadu Mbolu
98 Dinasti Yang Konga Wandal 0001576715308 4 03/07/2005 2 Wailanggati Ngadu Mbolu
99 Letikca Artika Limu 0001576715319 1 20/06/2013 2 Ngadu Mbolu Ngadu Mbolu
100 Lukas Leti Mawu 0001576715321 1 14/05/1967 1 Ngadu Mbolu Ngadu Mbolu
101 Yohana Rambu Ata Dauki 0001576715343 3 01/05/1969 2 Ngadu Mbolu Ngadu Mbolu
102 Anggreny Rambu O. Mawu 0001576715354 4 18/10/2001 2 Ngadu Mbolu Ngadu Mbolu
103 Derisansi Safira Konda 0001576715365 1 24/06/2013 2 Ngadu Mbolu Ngadu Mbolu
104 Reku Landu Wulang 0001576715376 1 14/12/1962 1 Ngadu Mbolu Ngadu Mbolu
105 Ros Rambu Dungu Riama 0001576715387 3 26/12/1979 2 Ngadu Mbolu Ngadu Mbolu
106 Ayu Rambu Pinggat P. Loya 0001576715398 4 04/12/2004 2 Ngadu Mbolu Ngadu Mbolu
107 Adelaide Rambu M. Meja 0001576715409 4 06/01/2007 2 Ngadu Mbolu Ngadu Mbolu
108 Christy Angelia R. Ngana 0001576715411 4 24/12/2009 2 Ngadu Mbolu Ngadu Mbolu
109 Mardianto Dena Gaba 0001576715422 4 28/03/2006 1 Ngadu Mbolu Ngadu Mbolu
110 Pinceliana Gadu Mayi 0001576715433 4 20/10/2007 2 Ngadu Mbolu Ngadu Mbolu
111 Michael T N Ndima 0001576715455 4 24/11/1999 1 Ngadu Mbolu Ngadu Mbolu
112 Adi Apu 0001576715466 4 01/07/2002 2 Ngadu Mbolu Ngadu Mbolu
113 Arlando H. Lagu Walu 0001576715477 4 15/04/2013 1 Ngadu Mbolu Ngadu Mbolu
114 Melda Ladu Mbana 0001576715488 1 13/03/1970 2 Ngadu Mbolu Ngadu Mbolu
115 Suryani Adu Ata Hiwu 0001576715422 4 31/08/1997 2 Ngadu Mbolu Ngadu Mbolu
116 Arin Mora Imung 0001576715501 4 '07/08/1999 2 Ngadu Mbolu Ngadu Mbolu
117 Mawil Ngunju Lenang 0001576715512 1 '04/03/2012 1 Ngadu Mbolu Ngadu Mbolu
118 Arilso Hapa K. Kalli 0001576715523 4 15/04/2014 1 Ngadu Mbolu Ngadu Mbolu
119 Ima Bangu Bahi 0001576715534 1 28/071988 2 Ngadu Mbolu Ngadu Mbolu
120 Nicodemus H. Hamaratu 0001576715545 1 13/10/1990 1 Ngadu Mbolu Ngadu Mbolu
121 Marliana Karunia Dasaladu 0001576715567 3 18/01/1994 2 Ngadu Mbolu Ngadu Mbolu
122 Ani Konga Wandal 0001576715578 4 03/03/1984 2 Ngadu Mbolu Ngadu Mbolu
123 Roger Novanto G.B. Nukar 0001576715589 4 01/07/2009 1 Ngadu Mbolu Ngadu Mbolu
124 Jeslin Tegu Lora 0001576715591 4 18/08/2012 2 Ngadu Mbolu Ngadu Mbolu
125 Mehang Tanggu Konda 0001576715602 1 26/06/1946 1 Ngadu Mbolu Ngadu Mbolu
126 Satu Klara Embu 0001576715613 3 01/01/1950 2 Ngadu Mbolu Ngadu Mbolu
127 Hengki Taku Heha 0001576715624 4 05/04/1995 1 Ngadu Mbolu Ngadu Mbolu
128 Suryadi Haingu Kenju Limu 0001576715635 4 01/05/1997 1 Ngadu Mbolu Ngadu Mbolu
129 Ripaldo U. Mbaha 0001576715646 4 26/06/2002 1 Ngadu Mbolu Ngadu Mbolu
130 Esti Kalara Embu 0001576715657 4 13/07/2003 2 Ngadu Mbolu Ngadu Mbolu
131 Mirani P. Njola 0001576715679 4 13/03/2007 2 Ngadu Mbolu Ngadu Mbolu
132 Irene Tamu Ina 0001576715681 4 12/03/2012 2 Ngadu Mbolu Ngadu Mbolu
133 Yamat Dawu Nendur 0001576715692 1 06/05/1972 1 Ngadu Mbolu Ngadu Mbolu
134 Martina Ninda Hapa 0001576715703 4 29/9/1992 2 Ngadu Mbolu Ngadu Mbolu
135 Adi Rambu Mitta 0001576715714 4 22/03/1999 2 Ngadu Mbolu Ngadu Mbolu
136 Adi Appu S. Ballu Meru 0001576715725 4 12/02/2006 2 Ngadu Mbolu Ngadu Mbolu
137 Aryo M. Jawa 0001576715736 4 11/10/2008 1 Ngadu Mbolu Ngadu Mbolu
138 Dina Kahi Leba 0001576715747 4 20/06/1992 2 Ngadu Mbolu Ngadu Mbolu
139 Apliana Kareri Hara 0001576715758 4 26/04/1994 2 Ngadu Mbolu Ngadu Mbolu
140 Arwandi Umbu Manang 0001576715769 4 04/05/2013 1 Oka Ngadu Mbolu
141 Rince Ng. H. Wula 0001576715793 4 23/11/2004 2 Ngadu Mbolu Ngadu Mbolu
142 Soleman Dawa Lowu 0001576715804 1 07/01/1972 1 Ngadu Mbolu Ngadu Mbolu
143 Jenia Kahuatu Tammar 0001576715815 4 22/06/2002 2 Ngadu Mbolu Ngadu Mbolu
144 Bobi Haru Baha 0001576715826 4 10/01/2005 1 Ngadu Mbolu Ngadu Mbolu
145 Fridolis R.R. Mananga 0001576715837 4 02/06/2007 1 Ngadu Mbolu Ngadu Mbolu
146 Fandro Laku Ritu 0001576715848 1 17/04/2012 1 Ngadu Mbolu Ngadu Mbolu
147 Dominggus Neka U. Lelu 0001576715859 1 18/03/2005 1 Ngadu Mbolu Ngadu Mbolu
148 Duwani Podu Loya 0001576715861 4 12/08/2011 2 Ngadu Mbolu Ngadu Mbolu
149 Dedy Daut Kae Dama 0001576715872 1 02/06/2004 1 Ngadu Mbolu Ngadu Mbolu
150 Armanto Umbu Amas 0001576715883 4 24/08/2000 1 Ngadu Mbolu Ngadu Mbolu
151 Oldi Umbu Siwa 0001576715905 4 23/10/2005 1 Katombu Ngadu Mbolu
152 Ismail B. Djuma 0001576715916 1 05/01/2002 1 Ngadu Mbolu Ngadu Mbolu
153 Siti Nurmi 0001576715927 4 19/10/2006 2 Ngadu Mbolu Ngadu Mbolu
154 Viktor Umbu Mawu 0001576715938 1 31/12/1990 1 Ngadu Mbolu Ngadu Mbolu
155 Yoser Koro Raja 0001576715949 4 07/03/1994 1 Ngadu Mbolu Ngadu Mbolu
156 Rambu Yowi 0001576715951 1 07/01/1955 2 Ngadu Mbolu Ngadu Mbolu
157 Thomas Laku Ritu 0001576715962 1 11/10/1971 1 Ngadu Mbolu Ngadu Mbolu
158 Maria Imakulata Jemani 0001576715973 3 08/07/1973 2 Ngadu Mbolu Ngadu Mbolu
159 Chornelis Kari 0001576715984 4 27/03/1997 1 Ngadu Mbolu Ngadu Mbolu
160 Ruben Ruba Kora Radja 0001576715995 4 26/03/2000 1 Ngadu Mbolu Ngadu Mbolu
161 Riski Umbu Kamang 0001576716017 4 30/05/2004 1 Ngadu Mbolu Ngadu Mbolu
162 Alfarido Ekoputra T. Baku 0001576716028 4 18/03/2010 1 Ngadu Mbolu Ngadu Mbolu
163 Valentino Radda Year 0001576716039 4 04/10/2012 1 Ngadu Mbolu Ngadu Mbolu
WEELURI
Tanda Tangan
Penerima
9
HUBKEL
1=P
3=I
4=A
5=T
1 2 3 4 5
1 5317040204080468 5317041612870001 Enos Diwa Garam 0001576714252 1
2 5317040204080468 5317044907900001 Marta Roku Wugu 0001576714263 3
3 5317040204080816 5317044301090001 Sabatani Lambu Apu 0001576714274 1
4 5317040204080477 5317045506130001 Veraria Rambu Kudu 0001576714285 1
5 5317040204080809 5317040707120001 Sandra Peku Jawang 0001576714296 1
6 5317040204080491 5317041607970001 Gusdiman Irwanto Gali Amas 0001576714307 1
7 5317040204080491 5317040510040001 Prastiadi Umbu Mawu 0001576714318 4
8 5317040204080491 5317046410120001 Oktovhina Rambu Dawu 0001576714329 4
9 5317040204080555 5317045307110001 Melni Guna Bombu 0001576714342 1
10 5317040204080555 5317040811130001 Alyam Manjiu Yanggu 0001576714353 4
11 5317040512140003 5317041710890002 Sandi Maramba Jawa 0001576714364 1
12 5317040512140003 5317046811900002 Petronela Depa Ngara 0001576714375 3
13 5317040512140003 5317045205110001 Minda Yani Maramba Jawa 0001576714386 4
14 5317040512140003 5317041003140001 Renaldi Maramba Jawa 0001576714397 4
15 5317040204080597 5317045701140001 Iska Rambu Kapu 0001576714408 1
16 5317040204080580 5317044706670001 Bomba Lapur 0001576714419 1
17 5317040204080580 5317041202940001 Hendrik Pila Ndelu 0001576714421 1
18 5317040204080580 5317040108000001 Agung Renggi Tay 0001576714432 4
19 5317040204080505 5317042302120001 Budiyanto M. Yanggu 1
20 5317041912140003 5317042302120001 Candra Landu Dama Rana 1
21 5317041609130001 5317041604850002 Aplianus T. Plewali 0001576714454 1
22 5317041609130001 5317045809980001 Reni P. Loya 0001576714465 3
23 5317041609130001 5317046203080001 Chelin Bomba Lapur 0001576714476 4
24 5317041609130001 5317041609100001 Jovandra Mandaha Ratu 0001576714487 4
25 5317040204080510 5317045103990001 Enkaristi Enda Hada 0001576714498 1
26 5317040204080510 5317045106110001 Rambu Manis N.H. Lelu 0001576714509 4
27 5317041407140010 531704500290001 Ariyanto Umbu Amas 4
28 5317040204080563 5317042805070001 Benyamin P.R.Jawa 0001576714511 46
29 5317040204080563 5317045510090001 Ade Apu Moju Riwa 0001576714522 1
30 5317040204080557 5317041702120001 Ricardo H. Mbay 0001576714533 1
31 5317040204080552 5317042404120001 Imanuel H. Parenggu 0001576714544 1
32 5317040204080571 5317044812110003 Betrandi P. Lila 1
33 5317040204080571 5317044302130003 Nadia R. Bombu 0001576714566 4
34 5317042005140003 531704209680002 Pundu M. Jawa 1
35 5317040204080554 5317041210540001 Nundu Taya 0001576714577 1
36 5317040204080554 5317041609080001 Abeth P. Henggu 0001576714588 4
37 5317040204080554 5317043001120001 Sionon Hutarawa 0001576714599 4
38 5317040204080575 5317040905110001 Juvendri K.H Wali 1
39 5317040204080575 5317045604130002 Elin Podu Loya 0001576714601 4
s 5317042208130002 5317044504130002 Aura Kasih R. Lika 0001576714612 1
41 5317042208130002 5317044504130001 Aurel Sintia R. Mbaduk 0001576714623 4
42 5317040204080825 5317045010830003 Elisabeth Laiya Ngiku 0001576714634 1
43 5317042101130001 5317040212130001 Jesandro Keba Kamang 0001576714645 1
44 5317041407140024 5317041710950002 Marten Dena Nggaba 0001576714656 1
45 5317041407140024 5317045009980002 Yerlin Lingga Wandal 0001576714689 4
46 5317040204080823 5317045306940201 Damaris Tabba Ata Hiwu 4
47 5317040204080823 5317041507950001 Oris Opung Umbu Lera 1
48 5317040204080481 5317004200668001 Hamba Pulu N. Parengu 1
49 5317040204080481 5317045506970002 Sara Tanggu Hana 4
50 5317040204080481 5317044505120001 Mince N.H. Lelu 0001576714691 4
51 5317040204080581 5317040203510001 Nundu Gali Mara 0001576714702 1
52 5317040204080581 5317046807540001 Banja Oru 0001576714713 3
53 5317040204080581 5317040708820002 Habil Dena Yina 0001576714724 4
54 5317040204080581 5317040809860001 Danil Haru Baha 0001576714735 4
55 5317040204080593 5317042404950003 Mukter Umbu Mawu 1
56 5317040204080593 5317045803930001 Nince N.H. Lelu 4
57 5317040204080593 5317046806130001 Padelka Rambu Talamuh 0001576714746 4
58 5317040204080556 5317044107850005 Ani Kareri Ata Jama 0001576714757 1
59 5317040204080556 5317044107960002 Agnes Podu Loya 0001576714768 4
60 5317042301140020 5317041511130002 Yoland Panju Marada 0001576714779 1
61 5317040204080607 5317045804910004 Rosalina Rambu Kudu 0001576714792 1
62 5317040204080607 5317042702130001 Arkiles Umbu Jara 0001576714803 4
63 5317040204080607 5317043108140001 Artonius Umbu Jawa Ray 0001576714814 4
64 5317040204080817 5317040550810001 Astiyani Tanggu Hana 0001576714825 4
65 5317040204080817 5317047003130001 Marsela Mura Manggul 0001576714836 4
66 5317040204080794 5317045609110002 Juvita Enda Hadda 0001576714847 1
67 5317040204080525 5317045207110001 Devita Day Mbana 0001842708374 1
68 5317040204080525 5317045402130001 Valentina K. Tamar 0001842708824 4
69 5317041009140005 5317045708110001 Jusvika Nona Koni 0001576714858 1
70 5317040204080519 5317042912120001 Rojian M. Yoli 0001576714869 1
71 5317040204080625 5317045608110003 Yensi Tupa Lala 0001576714871 4
72 5317040204080625 5317044402140001 Yelsi Podu Loya 0001576714882 4
73 5317040204080525 5317044210070001 Chelsi Olivia B. Meja 1
74 5317040204080525 5317045207110001 Devita Day Mbana 4
75 5317040204080613 5317047112350001 Taba Leku Minggu 0001576714904 1
76 5317041407140022 5317040303130001 Rivando Jawa Rai 0001576714915 1
77 5317040204080722 5317046909120001 Rosalia Yaku Lunga 0001576714926 1
78 5317040204080777 5317042103970002 Yohanis Taku Rangga 0001576714937 1
79 5317040204080777 5317044209090001 Sovia Temba Kanggu 0001576714948 4
80 5317040507110001 5317041503030001 Yermias Ngunju Lenang 0001576714959 1
81 5317040507110001 5317041610110001 Stenly Ngunju Lenang 0001576714961 4
82 5317042804140003 5317040904430001 Lopu Lambu Api 1
83 5317042804140003 5317044107500025 Atta Dehu Boru 3
84 5317042804140003 5317046007900002 Yakobus Reku Tanggu Manang 4
85 5317042804140003 5317042304930002 Yohana Tanggu Atta Hidu 0001576714972 4
86 5317042804140003 5317041510970002 Hendrikus Hapu Mbayi 4
87 5317042804140003 5317042110020001 Marselinus Diwa Garam 4
88 5317042804140003 5317041209030001 Arles Hota Lelu 4
89 5317041112110002 5317045011320001 Kira Ladu Mbana 1
90 5317041112110002 5317046503860001 Altin Yaku Danga 4
91 5317041102150006 5317040812800001 Danial Ladu Rehi 0001576714983 1
92 5317041102150006 5317045407810001 Rosalia Dada Gole 0001576714994 3
93 5317041102150006 5317041304110001 Christiano Kaheha 0001576715016 4
94 5317040204081506 5317040305800001 Oktavianus M. Yewa 0001576715027 1
95 5317040204081506 5317045101830001 Erni T. Apu 0001576715038 3
96 5317040204081506 5317045006040001 Nartiana Jawa 0001576715049 4
97 5317040204081506 5317041901130001 Alfriando Yewa 0001576715051 4
98 5317040105120001 5317041104880003 Elvenrias Mudi 0001576715062 1
99 5317040105120001 5317046305860002 Ana Rambu Wadang 0001576715073 3
100 5317040105120001 5317041503110001 Chevano Mudi 0001576715084 4
101 5317040105120001 5317041505120001 Givenray Mudi 0001576715095 4
102 5317040204081507 5317040912910002 Erius Mudi 0001576715106 1
103 5317040204081507 5317040201930001 Yusak Mudi 0001576715128 4
104 5317040204081507 5317046904950002 Aryance Mudi 4
105 5317040204081507 5317045204970002 Ariesta Mudi 4
106 5317040204081507 5317044205990001 Handyana Mudi 4
107 5317040204081507 5317042304030003 Alventri Mudi 4
108 5317040204081507 5317042402050001 Frengki Mudi 0001576715139 4
109 5317041312130002 5317041708720004 Agustinus K. Mandaha 0001576715141 1
110 5317041312130002 5317045405750001 Lidia Kaleka Ana Nggiri 0001576715152 3
111 5317041312130002 5317045707930002 Sara Dehi Mboru 0001576715163 4
112 5317041312130002 5317045908930001 Arviandis D. Nggaba 0001576715174 4
113 5317041312130002 5317044609950002 Stevani Day Mbana 0001576715185 4
114 5317041312130002 5317045403970002 Yana Moju Ata Uku 0001576715196 4
115 5317041312130002 5317045402050001 Helti Bola Kata Rina 0001576715207 4
116 5317041312130002 5317041309120001 Friklen K. Mandaha 0001576715218 4
117 5317040204081582 5317040412620001 Kalidi Pili Muka 0001576715231 1
118 5317040204081582 5317045105710001 Haput B. Ata Laki 0001576715242 3
119 5317040204081582 5317044509990001 Riska Klara Nemba 0001576715253 4
120 5317040204081541 5317040107610006 Marten W. Mbani 0001576715264 1
121 5317040204081541 5317041410000001 Oksen Meta Yiwa 0001576715275 4
122 5317040204081421 5317043105110002 Arya Nazario Mandaha 0001576715286 1
123 5317040204081528 5317046907850001 Yanti Negu Maja 0001576715297 1
124 5317040204081528 5317040106040002 Dinasti Yang Konga Wandal 0001576715308 4
125 5317041112130001 5317046006130001 Letikca Artika Limu 0001576715319 1
126 5317040907090003 5317041405670001 Lukas Leti Mawu 0001576715321 1
127 5317040907090003 5317044501690001 Yohana Rambu Ata Dauki 0001576715343 3
128 5317040907090003 5317045810000001 Anggreny Rambu O. Mawu 0001576715354 4
129 5317040408140002 5317046406130001 Derisansi Safira Konda 0001576715365 1
130 5317040204120001 5317041412620002 Reku Landu Wulang 0001576715376 1
131 5317040204120001 5317046612790001 Ros Rambu Dungu Riama 0001576715387 3
132 5317040204120001 5317045204040002 Ayu Rambu Pinggat P. Loya 0001576715398 4
133 5317040204120001 5317044106070001 Adelaide Rambu M. Meja 0001576715409 4
134 5317040204120001 5317046412090002 Christy Angelia R. Ngana 0001576715411 4
135 5317040204081427 5317042511760001 Danial Keba Serinawa 1
136 5317040204081427 5317044205860001 Meriana Mbitu Meja 3
137 5317040204081427 5317042803050001 Mardianto Dena Gaba 0001576715422 4
138 5317040204081427 5317046710070001 Pinceliana Gadu Mayi 0001576715433 4
139 5317041312130006 5317045212780002 Dorkas T.B. Gadung 1
140 5317041312130006 5317042209000001 Stepanus Maramba Jua 4
141 5317040204081558 5317042801680001 Kanatang Dena Gaba 1
142 5317040204081558 5317046806780001 Dorkas Tenggu Nalu 3
143 5317040204081558 5317046411970001 Lidia Lawa Djati 4
144 5317040204081558 5317046411970002 Michael T N Ndima 0001576715455 4
145 5317040204081558 5317044811000001 Nisa Padu Lemba 4
146 5317040204081558 5317040107020009 Adi Apu 0001576715466 4
147 5317040204081558 5317041211990001 Ronaldi Meta Yewa 4
148 5317040204081558 5317042603110001 Akri Kela Juri Mudi 4
149 5317040204081558 5317041504130001 Arlando H. Lagu Walu 0001576715477 4
150 5317040204081488 5317045303700002 Melda Ladu Mbana 0001576715488 1
151 5317040204081488 5317041108970001 Suryani Adu Ata Hiwu 0001576715422 4
152 5317040204081488 5317040708990001 Arin Mora Imung 0001576715501 4
153 5317040204080855 5317040107820007 Ayub Meta Yewa 1
154 5317040204080855 5317044710920001 Sartika Ngunju Lenang 3
155 5317040204080855 5317040403120001 Mawil Ngunju Lenang 0001576715512 1
156 5317040204080855 5317041504140001 Arilso Hapa K. Kalli 0001576715523 4
157 5317040408140002 5317041104340001 Yanto Konda Puru Balu 1
158 5317040408140002 5317045003850001 Meriana Bili 3
159 5317041112130001 5317042106870002 Lukas Nduka Limu 1
160 5317041112130001 5317046807880001 Ima Bangu Bahi 0001576715534 1
161 5317041112110002 5317040107470018 Kabula Heha 1
162 5317041112110002 5317046104940001 Yulisia R.Munggul 4
163 5317041112110002 5317045910990001 Marlis Kalara Hinggu 4
164 5317040204081520 5317040107490004 Gapa Laku Weru 1
165 5317040204081520 5317044609450001 Yana Enga Lika 3
166 5317040204081520 5317044605900001 Manja Weru 4
167 5317040204081520 5317040907000001 Yuleks Djuru Mudi 4
168 5317041601140001 5317041310900001 Nicodemus H. Hamaratu 0001576715545 1
169 5317041601140001 5317045801940002 Marliana Karunia Dasaladu 0001576715567 3
170 5317040204081550 5317041306810001 Melkianus Kalendi Wawu 1
171 5317040204081550 5317044809830001 Dasar Tanggu Hana 3
172 5317040204081550 5317040107000013 Ridwan Kalendi Wawu 4
173 5317040204081474 5317047011660001 Paulina Ana Hawu 1
174 5317040204081474 5317044903800001 Ani Konga Wandal 0001576715578 4
175 5317040204081474 5317041709830001 Marselinus W.P. Andung 4
176 5317040204081474 5317044107900015 Yunita Kadunga Nipi 4
177 5317040204081459 5317043112550002 Gawu Behar Nukar 1
178 5317040204081459 5317047112660003 Baruh N. Lapur 3
179 5317040204081459 5317042508970001 Salomo Juru Mana 4
180 5317040204081459 5317045202030001 Ayuwandira Yaku Danga 4
181 5317040204081459 5317042904050001 Herodes Kabula Heha 4
182 5317040204081459 5317040501090001 Roger Novanto G.B. Nukar 0001576715589 4
183 53170402040281485 5317042706820001 Hapa Lowang H.T. Konda 1
184 53170402040281485 531704690660001 Serfina Ana Higa 3
185 53170402040281485 5317042007050001 Josni Maramba Jara 4
186 53170402040281485 5317046703070004 Hensi U.T. Lawang 4
187 53170402040281485 5317044101090001 Jetri Rambu Hida 4
188 53170402040281485 5317042703070001 Jeslin Tegu Lora 0001576715591 4
189 5317041401140010 5317042606460001 Mehang Tanggu Konda 0001576715602 1
190 5317041401140010 5317044101500001 Satu Klara Embu 0001576715613 3
191 5317041401140010 5317041906790001 Yakub M.B. Konda 4
192 5317041401140010 5317040504950002 Hengki Taku Heha 0001576715624 4
193 5317041401140010 5317040105970002 Suryadi Haingu Kenju Limu 0001576715635 4
194 5317041401140010 5317042606020002 Ripaldo U. Mbaha 0001576715646 4
195 5317041401140010 5317045307030002 Esti Kalara Embu 0001576715657 4
196 5317043112130002 5317041301800003 Martinus Opung U. Lera 1
197 5317043112130002 5317044101940001 Ester Hebu Nipa 3
198 5317043112130002 5317045303070001 Mirani P. Njola 0001576715679 4
199 5317043112130002 5317045203120001 Irene Tamu Ina 0001576715681 4
200 "5317040204081588 5317044506700001 Yamat Dawu Nendur 0001576715692 1
201 "5317040204081588 5317046909920001 Martina Ninda Hapa 0001576715703 4
202 "5317040204081588 531704060794001 Isak Buka Hetu 4
203 "5317040204081588 531704560797002 Irwan Bitu Meja 4
204 5317040204081572 531704270155001 Ngodu Ranja Ratu 1
205 5317040204081572 5317046103660001 Ranu Kadunga Nipa 3
206 5317040204081572 5317046203990001 Adi Rambu Mitta 0001576715714 4
207 5317040204081572 5317044212060002 Adi Appu S. Ballu Meru 0001576715725 4
208 5317040204081572 5317041110080001 Aryo M. Jawa 0001576715736 4
209 5317040204081510 5317045109720002 Nina Lawa Djati 1
210 5317040204081510 5317046003910001 Siska Kapu Lelu 4
211 5317040204081510 5317046401970003 Dina Kahi Leba 0001576715747 4
212 5317040204081510 5317046401970004 Apliana Kareri Hara 0001576715758 4
213 5317040204081510 5317044602010001 Ningsi Ata Kay 4
214 5317040204081510 5317044804040001 Hendrik Djolu Meha 4
215 5317040204081510 5317040905060001 Hendra Kaha Rara 4
216 5317040204081510 5317042704040002 Hesron Landu Awang 4
217 5317040204081510 5317040804040001 Ina Yowi Mbalu 4
218 5317042502100001 5317042409680005 Markus Meta Yiwa 1
219 5317042502100001 5317045411790004 Citta Mbitu Meja 3
220 5317042502100001 5317041201560003 Alexius Yewa 4
221 5317042502100001 5317040911970004 Helson Mutu Romu 4
222 5317042502100001 5317042312990002 Estonius Taku Heha 4
223 5317042502100001 5317040906040004 Aryanto Poti Andung 4
224 5317042502100001 5317044807060002 Evanri Ata Kay 4
225 5317042502100001 5317046905090001 Heslin R.Kudu 4
226 5317040204081484 5317041601750001 Benyamin Keba Lamu 1
227 5317040204081484 5317044808770003 Erni Rambu Ngana 3
228 5317040204081484 5317046110000001 Tiara Putri Rambu Awa Ate 4
229 5317040204081484 5317040802030001 Yuwandra Umbu Henggu 4
230 5317040204081484 5317042108070001 Sosiawan U.H. Rawa 4
231 5317040204081484 5317044308100001 Ananse Rambu Yana 4
232 5317040204081484 5317040504130001 Arwandi Umbu Manang 0001576715769 4
233 5317040204081479 5317041507750001 Titus P. Weru 1
234 5317040204081479 5317045201750001 Maria Bitu Meja 3
235 5317040204081479 5317041004940003 Darius T. Ndaka Dau 4
236 5317040204081479 5317041710840001 Dance Eli Ambu 4
237 5317040204081479 5317046311040002 Rince Ng. H. Wula 0001576715793 4
238 5317040204081547 5317042403600001 U. Ati Hamba Adu Walu 1
239 5317040204081547 5317046809800001 Lusi AtaMua 4
240 5317040204081547 5317040901010003 Yusli Rambu Dupa 4
241 5317040204081547 5317040107060007 Yudi Mada Bidi Konda 4
242 5317040204081521 5317043112620001 U. Pura Papang 1
243 5317040204081521 5317047006710001 Maryati Lawa Jati 3
244 5317040204081521 5317047006910001 Asri R. Atta Yinna 4
245 5317040204081521 5317044107990007 Marleni Banggu Kahi 4
246 5317041312130003 5317040107720034 Soleman Dawa Lowu 0001576715804 1
247 5317041312130003 5317046607030001 Jenia Kahuatu Tammar 0001576715815 4
248 5317041312130003 5317040110050001 Bobi Haru Baha 0001576715826 4
249 5317040204081487 5317040107640006 Dimu Diawa garam 1
250 5317040204081487 5317044404660001 Reda Loda Wahak 3
251 5317040204081487 5317044811870001 Yublina A. Hiwu 4
252 5317040204081487 5317040505940003 Adipapa R. yoli 4
253 5317040204081487 5317040602070002 Fridolis R.R. Mananga 0001576715837 4
254 5317040204081567 5317040107690006 Rifka D. Boru 1
255 5317040204081567 5317040107000014 Gusti Adiputra N. Manurara 4
256 5317040204081567 5317040107050004 Juventri L. Ritu 4
257 5317040204081567 5317044803080001 Neli Jola Pedi 4
258 5317040204081567 5317045109100001 Elhayati T. Hana 4
259 5317040204081498 5317040107560006 Kabukut Manggadung 1
260 5317040204081498 5317046809720001 Ester Bita Dopi 3
261 5317040204081498 5317045607920001 Dewi Tanggu Hana 4
262 5317040204081498 5317041808950003 Yudas Renggi Djuru Mudi 4
263 5317040204081498 5317042909000003 Stepanus Dapa Yammi 4
264 5317040204081498 5317040107040002 Sinta Mbalu Atta Ngana 4
265 5317040204081498 5317047112070001 Relsi Horu Magu Ana Wullang 4
266 5317040204081498 5317047011090001 Ince Wewu Lapur 4
267 5317040204081498 5317041704120001 Fandro Laku Ritu 0001576715848 1
268 5317041401140009 5317040604780002 Marten Niga Manu Rara 1
269 5317041401140009 5317045806870002 Rusli Mbauka Maja 3
270 5317041401140009 5317041803050003 Dominggus Neka U. Lelu 0001576715859 1
271 5317041401140009 5317041711070001 Alfiandro Wulang P. Andung 4
272 5317041401140009 5317041310090001 Rolanda Hiwa Wunu 4
273 5317041401140009 5317044812110002 Duwani Podu Loya 0001576715861 4
274 5317040204081508 5317041105650002 Hendrik Remindau 1
275 5317040204081508 5317045212670001 Nalu Wala hara 3
276 5317040204081508 5317041101940002 Jefri Huruta Remindau 4
277 5317040204081508 5317045203980001 Mace Konga Kupang 4
278 5317040204081508 5317045101020002 Elsi Anggreini Rambu Guna 4
279 5317040204081508 5317044207070002 Angelia Remindau 4
280 5317040204081473 5317043112710006 Abdul Gani Kae Dama 1
281 5317040204081473 5317044501720001 Halima Ahmad 3
282 5317040204081473 5317045112800001 Mega Mbitu Ata Loku 4
283 5317040204081473 5317044707910001 Sitti Aisa Janifa 4
284 5317040204081473 5317041503930001 Dedy Daut Kae Dama 0001576715872 1
285 5317040204081473 5317041111060001 Muhammad Jen K. Dama 4
286 5317040204081473 5317045002080001 Nailan Endang Yati 4
287 5317040204081473 5317046508110001 Apu Muna 4
288 5317040204081420 5317042605510001 Mada Rewa Koku 1
289 5317040204081420 5317045608520001 Sublina Guku Dalla 3
290 5317040204081420 5317040507830002 Yohanis D. Mayi 4
291 5317040204081420 5317042512850001 Danial Taku Nunu 4
292 5317040204081420 5317044511860002 Tesalonika T. Wuasu 4
293 5317040204081420 5317040502880001 Ferdinandus Peka Damu 4
294 5317040204081420 5317044204900001 Apliana P. Loya 4
295 5317040204081420 5317042408990001 Armanto Umbu Amas 0001576715883 4
296 5317040402110001 5317041506670001 Umbu Nggadung 1
297 5317040402110001 5317041507910002 Ardi Umbu Turu 4
298 5317040402110001 5317044202010001 Risna Rambu Kaita 4
299 5317040402110001 5317042310050002 Oldi Umbu Siwa 0001576715905 4
300 5317040204081413 5317040603780001 Samsul Delu Pila 1
301 5317040204081413 5317047105800001 Ida Royani 3
302 5317040204081413 5317045605000002 Ice Krisnawati 4
303 5317040204081413 5317040206900001 Ismail B. Djuma 0001576715916 1
304 5317040204081413 5317040312020001 Usman Ndapa 4
305 5317040204081413 5317044107030006 Siti Nurmi 0001576715927 4
306 5317040204081413 5317045711080002 Andini K. Harra 4
307 5317042301140014 5317044701760003 Beda Ngoma Ata Mbetu 1
308 5317042301140014 5317040910970003 Yunus Niga Mana Rara 4
309 5317042301140014 5317042501070002 Heribertus B.K. Juma 1
310 53170423011400113 5317045307530002 Halindu Kapu Lelu 1
311 53170423011400113 5317043112900005 Viktor Umbu Mawu 0001576715938 1
312 53170423011400113 5317046209920001 Seni Rambu Hida 4
313 53170423011400113 5317040307940001 Yoser Koro Raja 0001576715949 4
314 5317040204081416 5317041905690001 Amas K.I. Wawu 1
315 5317040204081416 5317044102790001 Katrina Rambu Ngailu 3
316 5317040204081416 5317045604000002 Asti Konga Wandal 4
317 5317040204081416 5317046405020001 Mediana Guku Dalla 4
318 5317040204081416 5317040709040001 Seprianus Meta Yewa 4
319 5317040204081416 5317044111060001 Nurlia Yaku Danga 4
320 5317040204081416 5317042002090001 Falentino Laki Modu 4
321 53170402040814443 5317044109700001 Rambu Yowi 0001576715951 1
322 53170402040814443 5317042909880001 Elvis S.L. Langi 4
323 5317041608100001 5317041011710002 Thomas Laku Ritu 0001576715962 1
324 5317041608100001 5317044708730003 Maria Imakulata Jemani 0001576715973 3
325 5317041608100001 5317042703970002 Chornelis Kari 0001576715984 4
326 5317041608100001 5317042603000001 Ruben Ruba Kora Radja 0001576715995 4
327 5317041608100001 5317043005040002 Riski Umbu Kamang 0001576716017 4
328 5317041608100001 5317041803100001 Alfarido Ekoputra T. Baku 0001576716028 4
329 5317041608100001 5317041004120001 Valentino Radda Year 0001576716039 4
Jenis
Tgl Lahir Kelamin Status 2awin
Kode
1=BK, 2=K, Alamat Tempat Tinggal RT RW Kode Pos Kecamata
Tempat Lahir
dd/mm/yyyy 1=L 2=P 3=CH, n
4=CM
5 = TDK TAU
6 7 8 9 10 11 12 13 14
Pareng Gag 16/12/1987 1 2 Pahar 07 03 87112 3259
Magewar 09/07/1990 2 2 Pahar 07 03 87112 3259
Katoda Jian 03/01/2009 1 1 Pahar 09 05 87112 3259
Pahar 15/06/2013 2 1 Jambamoni 07 03 87112 3259
Kura 07/07/2012 1 1 Kura 09 05 87112 3259
Lenang 14/06/1997 1 1 Pahar 07 03 87112 3259
Lenang 05/10/2004 1 1 Pahar 07 03 87112 3259
Lenang 24/10/2012 2 1 Pahar 07 03 87112 3259
Kambu Kara 13/07/2011 2 1 Bela Bakul 03 02 87112 3259
Kambu Kara 08/11/2013 1 1 Bela Bakul 03 02 87112 3259
Lenang 17/10/1989 1 2 Lenang 04 02 87112 3259
Kodi 28/11/1990 2 2 Lenang 04 02 87112 3259
Kodi 12/05/2011 2 1 Lenang 04 02 87112 3259
Kodi 10/03/2014 1 1 Lenang 04 02 87112 3259
Lenang 17/01/2014 2 1 Bela Bakul 01 01 87112 3259
Bela Bakul 07/06/1967 2 3 Bela Bakul 03 02 87112 3259
Belake 23/02/2012 1 1 Belake 02 01 87112 3259
Kalumbang 06/06/2002 2 1 Kalumbang 03 02 87112 3259
Belabakul 15/05/2011 2 1 Kalumbang 03 02 87112 3259
Bela Bakul 1 1 Bela Bakul 03 02 87112 3259
Belake 24/04/2012 1 1 Belake 02 01 87112 3259
Pahar 12/9/1968 1 2 Pahar 07 03 87112 3259
Belake 12/10/1954 1 2 Belake 02 01 87112 3259
Belake 16/09/2008 1 1 Belake 02 01 87112 3259
Belake 30/02/2012 1 1 Belake 02 01 87112 3259
Matmadua 05/04/2013 2 1 Matmadua 01 01 87112 3259
Matmadua 05/04/2013 2 1 Matmadua 01 01 87112 3259
Palendi 10/10/1983 2 1 Palendi 87112 3259
Belake 02/12/2012 1 1 Belake 03 02 87112 3259
Belake 10/09/1995 1 1 Belake 03 02 87112 3259
Belake 17/10/1998 2 1 Belake 03 02 87112 3259
Belake 13/06/1994 2 1 Belake 03 02 87112 3259
Belake 16/04/1994 1 1 Belake 03 02 87112 3259
Belake 20/06/1968 1 2 Belake 03 02 87112 3259
Belake 15/06/1997 2 1 Belake 03 02 87112 3259
Belake 15/05/2013 2 1 Belake 03 02 87112 3259
Kota Kronja 24/04/1995 1 1 Kota Kronja 01 01 87112 3259
Palendi 15/08/2009 2 1 Palendi 03 02 87112 3259
Palendi 30/03/2012 2 1 Palendi 03 02 87112 3259
Belake 16/09/2011 2 1 Belake 02 01 87112 3259
Belake 12/07/2011 2 1 Belake 02 01 87112 3259
Pahar 14/02/2013 2 1 Pahar 03 02 87112 3259
Pahar 17/08/2011 2 1 Pahar 03 02 87112 3259
Bondu Heru 29/12/2012 1 1 Bondu Herum 001 02 87112 3259
Kota Kronja 16/08/2011 2 1 Kota Kronja 87112 3259
Kota Kronja 02/04/2014 2 1 Kota Kronja 87112 3259
Pahar 10/02/2007 2 1 Belake 02 01 87112 3259
Pahar 07/12/2011 2 1 Belake 02 01 87112 3259
Pahar 03/03/2013 1 1 Palendi 87112 3259
Paremarada 29/09/2012 2 1 Paremarada 001 006 87112 3259
Galutosi 10/11/1998 1 1 Lenang Selatan 011 006 87112 3259
Lenang 02/09/2009 2 1 Lenang Selatan 011 006 87112 3259
Lenang 15/03/2003 1 1 Nggalu Kawu 008 004 87112 3259
Nggalu Kawu 16/10/2011 1 1 Nggalu Kawu 008 004 87112 3259
Kabawacu 04/09/1943 1 2 Kabawacu 87112 3259
Wailanggati 10/11/1932 2 2 Ngadu Mbolu 06 03 87112 3259
Ngadu Mbol 25/03/1986 2 1 Ngadu Mbolu 06 03 87112 3259
Waitabula 14/07/1981 2 2 Ngadu Mbolu 08 04 87112 3259
Waitabula 13/04/2011 1 1 Ngadu Mbolu 08 04 87112 3259
Parai Wunga 16/05/1993 2 2 Ngadu Mbolu 03 05 87112 3259
Parai Wunga 10/06/2004 2 1 Ngadu Mbolu 03 05 87112 3259
Mamboro 11/04/1988 1 2 Ngadu Mbolu 08 04 87112 3259
Mbilur Pang 23/05/1986 2 2 Ngadu Mbolu 08 04 87112 3259
Waikabubak 15/03/2011 1 1 Ngadu Mbolu 08 04 87112 3259
Wailanggati 06/07/1967 1 1 Wailanggati 11 05 87112 3259
Wailanggati 05/10/2002 1 1 Wailanggati 11 05 87112 3259
Ngadu Mbol 10/06/1985 2 2 Wailanggati 11 05 87112 3259
Ngadu Mbol 03/07/2005 2 1 Wailanggati 11 05 87112 3259
Waingapu 20/06/2013 2 1 Ngadu Mbolu 04 02 87112 3259
Kahangahua 26/12/1979 2 2 Ngadu Mbolu 03 05 87112 3259
Tandula Jan 25/12/1976 1 2 Ngadu Mbolu 04 02 87112 3259
Katombu 14/05/1986 2 2 Ngadu Mbolu 04 02 87112 3259
Ngadu Mbol 12/121978 2 2 Ngadu Mbolu 02 07 87112 3259
Ngadu Mbol 13/03/1970 2 2 Ngadu Mbolu 87112 3259
Ngadu Mbol '07/08/1999 2 1 Ngadu Mbolu 87112 3259
Wiro Doli '01/07/1982 1 2 Ngadu Mbolu 87112 3259
Galu Kawu '07/10/1992 2 2 Ngadu Mbolu 87112 3259
Galu Kawu '04/03/2012 1 1 Ngadu Mbolu 87112 3259
Galu Kawu 15/04/2014 1 1 Ngadu Mbolu 87112 3259
Mamboro '10/03/1985 2 2 Ngadu Mbolu 010 005 87112 3259
Lenang 21/09/1981 1 2 Ngadu Mbolu 004 002 87112 3259
Ngadu Mbol 28/071988 2 2 Ngadu Mbolu 004 002 87112 3259
Ngadu Mbol 0'1/07/1947 1 2 Ngadu Mbolu 008 004 87112 3259
Lenang 07/09/1982 1 2 Ngadu Mbolu 87112 3259
Maderi 26/09/1986 2 2 Ngadu Mbolu 87112 3259
Sumba Barat 24/09/1968 1 2 Oka 87112 3259
Ngadu Mbol 14/11/1979 2 2 Oka 87112 3259
Ngadu Mbol 01/12/1996 1 1 Oka 87112 3259
Ngadu Mbol 11/09/1997 1 1 Oka 87112 3259
Ngadu Mbol 23/12/1999 1 1 Oka 87112 3259
Ngadu Mbol 06/09/2004 1 1 Oka 87112 3259
Ngadu Mbol 07/08/2006 2 1 Oka 87112 3259
Ngadu Mbol 29/05/2009 2 1 Oka 87112 3259
Ngadu Mbol 16/01/1975 1 2 Oka 87112 3259
Kajeru Metu 08/08/1977 2 2 Oka 87112 3259
Ngadu Mbol 21/10/2000 2 1 Oka 87112 3259
Ngadu Mbol 02/08/2003 1 1 Oka 87112 3259
Ngadu Mbol 21/08/2007 1 1 Oka 87112 3259
Ngadu Mbol 08/03/2010 2 1 Oka 87112 3259
Ngadu Mbol 04/05/2013 1 1 Oka 87112 3259
Ngadu Mbol '08/11/1987 2 1 Ngadu Mbolu 87112 3259
Bolu Bokat 17/07/1974 2 2 Ngadu Mbolu 08 04 87112 3259
Jajul 08/06/1992 2 1 Ngadu Mbolu 08 04 87112 3259
Sambali Lok 18/06/1987 2 2 Ngadu Mbolu 11 05 87112 3259
Bolu Bokat 18/03/2005 1 1 Ngadu Mbolu 11 05 87112 3259
Kodi 05/11/1965 1 2 Ngadu Mbolu 08 04 87112 3259
Tamma 11/10/1967 1 2 Ngadu Mbolu 02 01 87112 3259
Mananga 17/09/1968 2 2 Ngadu Mbolu 02 01 87112 3259
Mananga 08/06/1998 2 1 Ngadu Mbolu 02 01 87112 3259
Pray Langin 24/08/2000 1 1 Ngadu Mbolu 04 02 87112 3259
Katombu 15/06/1967 1 3 Katombu 87112 3259
Katombu 15/07/1991 1 1 Katombu 87112 3259
Katombu 02/02/2001 2 1 Katombu 87112 3259
Katombu 23/10/2005 1 1 Katombu 87112 3259
Puu Ruan 08/07/1973 2 2 Ngadu Mbolu 87112 3259
Kode Nama
Kode Nama Faskes Faskes Faskes Nomor
Nama Kecamatan Kode Desa Nama Desa Faskes Tk.I Tk.I Dokter Dokter Telepon
Gigi Gigi
15 16 17 18 19 20 21 22
Umbu Ratu Nggay 70496 Lenang 02421001 PAHAR

UMBU RATU NGGAY 70496 Lenang Selatan 02421001 PAHAR
Umbu Ratu Nggay 79887 Ngadu Mbolu 02421001 PAHAR






Kelas Kewarga
Status Rawat Negaraan Asuransi Lainnya
Gaji /
Email NPP Jabatan 1=Tetap, 1=Kelas I, TMT Kerja
2=Kontrak 2=Kelas II, Pensiunan 1=WNI, Nama
No. Polis
, 3=Paruh 3=Kelas III 2=WNA Asuransi
waktu
23 24 25 26 27 28 29 30 31 32
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No
No. NPWP Passport
33 34
1 5317010204082376 5317014202400001 RAMBU PADU PIGA 1 LAIGOLI
2 5317010204082376 5317010106780001 YAKOBUS UMBU R.ANABUNI 4 BINAWAI
3 5317010204082376 5317010201940001 YADI UMBU SEBU TODA 4 BINAWAI
4 5317051712090033 5317054607490001 RAMBU KUHI PATI 1 KAJILUKOBU
5 5317051712090033 5317050107500015 BULU BENAK 3 WAIJEWA
6 5317052012090080 5317055011110002 NOVALIA R. PARI GUSI 4 DAMEKA
7 5317051803150003 5317056506140001 LODIA RAMBU GAWU 4 WAIKABUBAK

8 5317010204080893 5317052303090005 HERCIS UMBU HILI 1 DAMEKA
9 5317010204080872 5317051112350001 D. B. EDDA 1 KABELA WUNTU
10 5317010204080872 5317055506600002 RAMBU BITA EMU 3 KAJILU KOBA
11 5317010204080872 5317055504720002 RUCE R. GUNA 4 DAMEKA
12 5317010204080872 5317057107860002 HERLY R. TOGA 4 DAMEKA
13 5317010204080872 5317053107930002 RUDI UMBU KATANGA 4 DAMEKA
14 5317010204080872 5317055908780001 ATY RAMBU B. AWA, SE 4 LEWA
15 5317051405120001 5317050808140002 YEHZKIEL UMBU ROKA 4 DAMEKA
16 5317010204080876 5317054208890001 GOTI DULU MOSA 1 WAILAWA
17 5317010204080876 5317052408930001 KORNELIS TUDA YAGI 4 WAILAWA
18 5317010204080870 5317051909080001 UMBU KERUNG PAMARA 1 KAPUBUNG
19 5317010204080884 5317010107770009 BOTU IBI DEMU 1 TANA RARA
20 5317010204080878 5317014107310004 R. BOBA NAWU 1 KABONDOK
21 5317051712090054 5317052407870001 NUEL UMBBU BOTU 1 DAMEKA
22 5317050110120002 5317050110120002 ASNAWATI RAMBU ROKU NAWU 1 KAJILU KOBU
23 5317051008110002 5317054603970001 MERSI DAUKI IRU 1 WAIKAJOBA
24 5317051008110002 5317050107920003 GUSTI GIKU SABA ORA 4 WAIKAJOBA
25 5317052012090037 5317050609030001 REGENIUS RIKSON UMBU RIADA YAGI 1 KABATA PAKU
26 5317052012090077 5317055001080001 NIA RAUNA BELA 1 WAIKAJOBA
27 5317052012090077 5317056209020002 MARIA GORETI RARA BODU 1 WAIKAJOBA
28 5317052012090077 5317052710040001 OKTAVIANU MUANA DEDU 1 WAILAWA
29 5317051712090040 5317052306900001 HENDROIS WUNU SABA TUDUNG 4 KIJA ROWA
30 5317051712090040 5317050401930001 SARLINTO SABA KODI 4 KIJA ROWA
31 5317051712090040 5317054602990001 ELISABET SABA KODI 4 KIJA ROWA
32 5317051712090040 5317050508110001 IGNASIUS UMBU WUNU SABA TUDUNG 4 KIJA ROWA
33 5317052811090027 5317051208110001 AGUSTION SILI DONGO 4 LEDI WATU
34 5317050109110008 5317052501940001 YOHANES KAREJU MANU RARA 4 LEWA
35 5317051712090034 5317052405540001 TIBA SAGA BARA 1 WAIMANU
36 5317051712090034 5317054605590001 R. PARI BOKA 3 WAIMANU
37 5317051712090034 5317051506870001 JHON L. PAGEGI 4 WAIKAJOBA
38 5317051712090034 5317056106940001 RIKA LEKI NGUJU 4 WAILAWA
39 5317050401100036 5317052402070002 ARIAN SAINGU POTI 4 WAIKAJOBA
40 5317051008110011 5317054106680002 LADU DAY 1 BANI LEDU
41 5317010204080881 5317014107390004 R. NGUJU 1 TANA RARA
42 5317010204080881 5317010107780012 BOLUTAGU KODA 4 TANA RARA
43 5317050401100021 5317052107850001 VIKTOR GARA MONI 1 DAMEKA
44 5317050401100021 5317054508860002 SISILIA BILI 3 PU UPO
45 5317050401100021 5317051905080001 RISYE SAPUTRA U. M. NAPANG 4 WATU BATA

46 5317051510120006 5317054307130001 RATRI MAYA RAMBU TODA MEJA 1 WAILABONGI
47 5317052310120013 5317050107540008 NEKA JARA WOLI 1 WAILABONGI
48 5317052310120013 5317050906990002 WISNU UMBU NEKA JARA WOLI 4 WAILAWA
49 5317010204080912 5317052403020001 ADHY UMBU MOKI 4 DAMEKA

50 5317010204080883 5317052007900002 MANGU K. L. GADUNG 4 WATU BATA
51 5317010204080914 5317050303530003 UMBU SANGERA WOLU ADUNG 1 KAJILOKOBU
52 5317010204080914 5317055010680004 RAMBU EDA RIJA 3 PADA NYORA
53 5317010204080914 5317010512860001 HADI UMBU SAINGU POTI 4 KAJILOKOBU
54 5317010204080914 5317055003930002 FARIDA RAMBU TAGU 4 KAJILOKOBU
55 5317010204080914 5317051403960001 MARTHEN S. IBIDAYI 4 KAJILOKOBU
56 5317010204080914 5317057010970002 IVON RAMBU JOLA 4 KAJILOKOBU
57 5317010204080994 5317053004020002 RICARDO S. K. WOLI 1 DAMEKA
58 5317051407110001 5317055804110001 AFRIANO R. B. MOLLU 4 DAMEKA
59 5317054107400007 5317010204081041 RAMBU MORA SIALA 1 LAWONDA
60 5317010204084218 5317010308700002 YONATAN U. S. WADUNG 1 WAIMANU
61 5317010204084218 5317015903720001 ENI R. ENGA 3 WAIKABUBAK
62 5317010204084218 5317012112960001 CRISTIAN U. KATANG 4 PASUNGA
63 5317010204084218 5317015308990002 CLARISA R.D. MOSA 4 PASUNGA
64 5317010204084218 5317012210030003 PETRIK J. U. LEDI 4 PASUNGA
65 5317010204084218 5317014907050001 VIRGINIA R. EDA 4 PASUNGA
66 5317010204082459 5317054905960001 Jelsi U.K.L.Soru 1 Kabelawuntu

67 5317010204082459 5317056506090005 jesika citra R.K.pati 4 Kabelawuntu
68 5317010204082459 5317050609130000 wielhelmus l.b.dina 4 Kabelawuntu
69 5317053012090003 5317054607600006 Dada Tuwa 1 Kabela Wuntu
70 5317053012090003 5317050210820001 Raga U. Tauwa Koda 4 Tana Rara
71 5317053012090003 5317050909920003 Wela U. K. L. Soru 4 Tana Rara
72 5317050310120005 5317056810870002 Ice R. Ladu Bana 3 Kabela Wuntu
73 5317050310120005 5317056908120001 Aulya R. Padu Jabu 4 Galu Mema
74 5317010204083397 5317056203120001 Elisabeth H. R. L. Kuba 1 Galusamala
75 5317050404110002 5317055201120001 Norin R. K. Toga 1 Ngado Bolu
76 5317010204083345 5317056302120001 Rischa R.E.Loji 1 Waikabubak
77 5317010204083345 5317054408950001 Mira Karaja Otu 4 Galusamala
78 5317010204083182 5317056203750001 Novita R. B. Dopi 4 Radak
79 5317051604130002 5317052903790001 Yanto U.Djangi 1 Galubakul
80 5317051604130002 5317055903900003 Marlince R.K.Wodi 3 Radak
81 5317051604130002 5317953003130001 Kenso U.Piga 4 Malinjak
82 5317010204083340 5317055512130000 Dewi R.D.Pasi 4 Praikisi
83 5317052910120006 5317051609110001 Pito A.U.L.Pajailung 1 Pala Kauki
84 5317010204083381 5317052506120002 aswanto katanga sakala 1 Galumayela
85 5317051606110003 5317052408070003 Lorensius Tuang Gala 1 Galumayela
86 5317050501110001 5317053010110002 Okslan U. K. L. Nuga 4 Matolang
87 5317051511100056 5317056311120002 Glaudya C. R. M. Riwa 1 Tamawitu
88 5317010204082414 5317050101560001 U. Katanga Yani 1 MAMBITUL
89 5317010204082414 5317055201660001 Pari Boka 3 RADA MURI
90 5317010204082414 5317052904920001 Riswanto U.T. Gauka 4 WAIKAWOLU
91 5317010204082414 5317050110960001 Sakti U. K. Jongu 4 WAIKAWOLU
92 5317010204082414 5317057105030001 Anarti R. Roku Habar 4 WAIKAWOLU
93 5317010204082458 5317054802820001 Mariana Rambu Dauki 4 MALINJAK
94 5317010204082458 5317054107040003 Hani Rambu Weja 4 KABELA WUNTU
95 5317051411130001 5317012502800001 Andini R.Oyi 1 PABUATURA
96 5317052610090042 5317051107800001 U. Laiya Sobang 1 GALU WATU
97 5317052610090042 5317056505800003 Oce R. Podu Loya 3 MATOLANG
98 5317052610090042 5317052907030001 Abraham R. L. R. U. Tiba 4 DENPASAR
99 5317052610090042 5317056505080001 Keyth A. R. B. Oru 4 DENPASAR
100 5317050501110004 5317051312990001 Desmon P.Tibu 1 WAIKAWOLU
101 5317050501110004 5317054509100001 Anggelia s.R.Leki 4 WAIKAWOLU
102 5317010204082307 5317014605700001 Meriana R.B.Moki 1 MAMBITUL
103 5317010204082307 5317010805720001 Hendrik U.Laiya 4 MAMBITUL
104 5317010204083854 5317057003080002 Regina R.Woji 1 MAMBITUL
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511 "5317040204081588 531704060794001 Isak Buka Hetu 4 Lenang
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537 5317041608100001 5317044708730003 Maria Imakulata Jemani 3 Puu Ruan
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04/08/2012 1 1 Matawai 001 001 87112 6856 KATIKUTANA S 79889
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20/05/2005 1 1 Taman Mas 001 001 87112 6856 KATIKUTANA S 70301
31/03/1974 2 2 KALADA WOGU 001 001 87112 5584 KATIKUTANA 79881
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27/06/2012 1 1 LOLAJANGI 001 001 87112 5584 KATIKUTANA 70301
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20/08/2004 1 1 WENDEWA BARAT 001 001 87112 5582 MAMBORO 25336
23/02/1982 1 2 TAYANG 001 001 87112 5582 MAMBORO 25340
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29/08/1983 1 2 LOKURATA 001 001 87112 3261 UMBU RATU NG 79887
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UMBU KAWOLU24120401 WAIRASA
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WENDEWA BAR24120501 MANANGA
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BONDO SULLA02421000 WEELURI
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Lenang 02421001 PAHAR

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415 5317040204081416 5317042002090001 Falentino Laki Modu
416 53170402040814443 5317042909880001 Elvis S.L. Langi
417 5317042502100001 5317040906040004 Aryanto Poti Andung
418 5317042502100001 5317044807060002 Evanri Ata Kay
419 5317042502100001 5317046905090001 Heslin R.Kudu
133 5317012611080011
531705290500001 ( NIK BERMASALAH
Febriano
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396 5317041407140010
Ariyanto
) Umbu Amas
511 5317040204081588
Isak) Buka Hetu
512 5317040204081588
Irwan
) Bitu Meja
339 5317010204080415 5317010106440001 UMBU SAINGU POTI
107 5317010204082463 5317012702790001 Hepi U.Saingu
500 5317041401140010 5317041906790001 Yakub M.B. Konda
454 5317040204081507 5317042304030003 Alventri Mudi
528 5317042301140014 5317042501070002 Heribertus B.K. Juma
121 5317052510120004 5317050107850011 Jhon Robaka
6 5317052012090080 5317055011110002 NOVALIA R. PARI GUSI
110 5317052312090013 5317055404820002 Bera Kodu
11 5317010204080872 5317055504720002 RUCE R. GUNA
388 5317041912140003 5317042302120001 Candra Landu Dama Rana ( DUPLIKASI
381 5317040204080505
5317042302120001 ( NIK BERMASALAH
Budiyanto
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334 5317010204080415 5317017006470001 RAMBU KARERI HARA
417 5317040204080525 5317045207110001 Devita Day Mbana
421 5317040204080525 5317044210070001 YOHANA TEGA WUHU
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4 4 0001061926018 TANA RARA 25/10/1975 4 1
4 5 0000866796186 TANA RARA 28/10/2000 5 1
1 1 0000866794959 TANA RARA 06/10/1975 1 2
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4 4 0000866797222 TANA RARA 01/11/2007 1 1
1 1 0000866514598 RATI ASU 07/10/1940 1 2
3 3 0000866515487 RATI ASU 01/07/1952 2 2

4 4 0000866515825 RATI ASU 25/03/1983 1 1
4 4 0000866516139 RATI ASU 10/10/1988 1 1

4 4 0000866516545 RATI ASU 17/08/2006 1 1
4 4 0000866516837 RATI ASU 30/09/2008 2 1
1 1 0000866447278 RATI ASU 09/07/1978 1 2
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4 4 0000866447548 RATI ASU 13/12/2007 2 1
1 1 0000866739554 TAKUTA 01/12/1979 1 2
3 3 0000866741556 WAIJEWA 13/07/1978 2 2
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4 4 0000866743705 TAKUTA 04/05/2008 2 1
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1 4.II 0000866781088 DAMEKA 28/04/1981 2 1
4 4.V 0000866780752 DAMEKA 29/12/1994 2 1
4 4.VI 0000866781336 DAMEKA 1 1
4 4.II 0000866843864 KARA WOTU 06/03/2010 1 1
1 4.I 0000204323635 PNS DAMEKA 27/12/1987 2 2
4 4.II 0000204323635 ANAK PNSKUPANG 21/03/2010 1 1
1 4.I 0001061926108 PRAI PIDI '20/03/2009 2 1
1 3 0000866817123 WAIMANU 31/12/1987 2 2
1 1 0000151629838 MALINJAK 18/02/1945 2 4
4 4.I 0001061928235 TANA RARA 31/01/1980 1 1
4 4.II 0000866358426 LENDI WACU 08/09/1984 1 1
4 4.III 0000865949275 LENDI WACU 02/02/1987 2 1
1 4.II 0000866328074 DAMEKA 02/12/1997 2 1
1 4.IV 0000866821678 KAPUBUNG 10/02/2007 1 1
4 4.V 0000866821961 KAPUBUNG 17/12/2009 2 1
4 4.III 0000867009442 ANAJIAKA 04/04/1996 2 1
1 4.III 0000867887662 TANA RARA 24/08/1997 2 1
1 4.I 0000866784497 TANA RARA 11/11/1993 2 1
1 4.I 0000866994952 TANA RARA 01/07/1996 1 1
1 4.I 0001061925761 KAJILU KOBU 17/04/1979 1 1
1 4.I 0000866771471 DAMEKA 23/03/1993 2 1
1 4.III 0000866801237 DAMEKA 25/10/2003 1 1
1 1 0000866842086 WAIKAJOBA 01/07/1955 1 2
1 4.I 0001576684596 WAILAWA 19/05/1992 2 1
1 4.II 0000866842975 WAIKAJOBA 05/09/1995 2 1
1 1 0000866808639 KIJA ROWA 01/02/1963 1 2
4 5 0000866810081 KIJA ROWA 01/06/1970 1 1
1 3 0000866801518 KABELA WUNT06/07/1972 2 2
4 4.I 0000866803173 WAILAWA 30/11/1992 2 1
4 4.II 0000866803217 WAILAWA 09/06/1995 2 1
4 4.III 0000866803601 WAILAWA 10/07/1997 1 1
4 4.IV 0000866803724 WAILAWA 07/06/2003 1 1
4 4.V 0000866803768 WAILAWA 07/04/2006 1 1
1 3 0000866918867 GALU RITA 03/10/1990 2 2
1 1 0000866902015 LAIGALAK 01/07/1964 1 2
4 4.I 0000866902599 WAIKAJOBA 28/08/1990 1 1
4 4.II 0000866903681 WAILAWA 26/07/1993 1 1
4 4.III 0000866903433 WAILAWA 30/06/1994 2 1
1 3 0000866859434 WAIMANU 01/12/1984 2 2
1 1 PNS WAIKAJOBA 18/10/1964 1 2
3 3 PNS GALU BAKUL 10/10/1959 2 2
4 4.II PNS WAIBAKUL 24/02/1994 2 1
4 4.III PNS WAIKAJOBA 30/11/2005 1 1
4 5 PNS WAIKAJOBA 13/03/1994 2 1
1 1 0000866443588 WAIKAJOBA 22/11/1982 1 2
3 3 0000866445625 GALUBAKUL 04/11/1985 2 2
4 4.I 0000866446209 WAIKAJOBA 06/09/2007 2 1
1 1 0000866914468 GALU RITA 20/08/1963 1 2
3 3 0000866915785 KABELA WUNT01/06/1969 2 2
4 4.I 0000866915829 GALU RITA 19/10/1988 1 1
4 4.II 0000866917282 WAIKAJOBA 13/04/2003 2 1
4 4.III 0000866917383 WAIKAJOBA 15/03/2005 1 1
1 1 PBI APBD WAIKABUBAK 26/12/1969 1 2
3 3 PBI APBD BANYUWANGI 03/06/1974 2 2
4 4.I PBI APBD BANYUWANGI 11/10/1997 1 1
4 4.II PBI APBD DENPASAR 01/05/2002 2 1
4 4.III PBI APBD WAIKABUBAK 17/08/2008 1 1
4 4.IV PBI APBD WAIKABUBAK 02/05/2011 1 1
4 5.I PBI APBD DAMEKA 14/06/1980 2 1
4 5.II PBI APBD PAELU PADA 01/08/1993 1 1
4 5.III PBI APBD NGIDU NGAPI 15/01/1995 1 1
1 1 0000867035452 KAJILOKOBU 01/07/1971 1 2
3 3 0000867035957 KABELAWUNTU 01/07/1962 2 2
4 4.I 0000867036148 KAJILOKOBU 24/03/2001 1 1
4 4.III 0000867036464 KAJILOKOBU 24/01/2004 2 1
4 4.IV 0000867036644 KAJILOKOBU 30/03/2006 1 1
1 1 0001061925568 KAJILOKOBU 02/04/1961 1 2
3 3 0001061925579 PADANYORA 01/07/1959 2 2
4 4.II 0001061925581 KAJILOKOBU 14/04/1998 2 1
1 1 PBI APBD WAIKAJOBAK 26/02/1982 1 2
3 3 PBI APBD MALINJAK 17/11/1984 2 2
4 4.I PBI APBD WAIRASA 20/04/2010 1 1
1 1 PNS DAMEKA 27/06/1972 1 2
3 3 PNS OMBA RADE 14/08/1977 2 2
4 4.I PNS OMBA RADE 28/06/2000 2 1
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1 1 0001061926604 WAILOLUNG 31/12/1965 1 2
3 3 0001061926615 WAIKABUBAK 03/07/1963 2 2
4 4.I 0001061926626 DAMEKA 01/05/1995 1 1
4 4.II 0001061926637 DAMEKA 16/01/2000 1 1
4 4.III 0001061926648 PUNGI NAGA 25/04/2003 2 1
1 1 PNS WAILOLUNG 14/04/1959 1 2
3 3 PNS KABELA WUNT30/07/1959 2 2
1 1 0001061926029 PRAI PIDI 09/10/1963 1 2
3 3 0001061926031 WAILOLUNG 25/07/1969 2 2
4 4.I 0001061926042 DAMEKA 10/03/1988 1 1
4 4.II 0001061926053 DAMEKA 20/10/1995 1 1
4 4.III 0001061926064 DAMEKA 07/06/1997 2 1
4 4.IV 0001061926075 DAMEKA 10/03/2001 2 1
4 4.V 0001061926086 DAMEKA 14/04/2003 1 1
4 4.VI 0001061926097 DAMEKA 07/09/2007 2 1
4 4.VII 0001061926108 DAMEKA 20/03/2009 2 1
1 1 0000867023684 DAMEKA 20/05/1970 1 2
3 3 0000867024123 WANOKAKA 13/07/1969 2 2
4 4.I 0000867025102 DAMEKA 23/07/2000 1 1
1 1 0000866847273 Lalukalai 20/03/1960 1 2

3 3 0000866847576 Prai Au 29/05/1966 2 2
4 4.I 0001061916535 Kabonduk 23/05/1989 2 1
4 4.II 0000866847971 Kabonduk 01/06/1993 1 1
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4 4.V 0000866850186 Kabonduk 17/07/2004 1 1
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1 1 0000866397789 Radak 01/07/1942 1 2
3 3 0000866398533 Galu Bakul 21/07/1943 2 2
4 4.I 0000866400039 Radak 28/05/1966 1 1
1 4.I 0000867113695 Galusamala 11/07/1995 1 1
4 4.II 0000867114358 Galusamala 16/04/1997 2 1
4 4.III 0000867115664 Galusamala 09/03/1998 2 1
4 4.IV 0000867116597 Galusamala 28/02/2004 1 1
1 3 0000866439933 Radak 25/06/1972 2 2
1 4.I 0001576683887 Galu Salau 28/04/2012 1 1
4 4.IV 0001430902258 WAIKAWOLU 19/10/2013 1 1
1 1 0000866358426 KABELA WUNTU 21/01/1940 1 2
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4 4.I 0000865949444 KABELA WUNTU 28/09/1972 2 1
4 4.II 0000865948869 KABELA WUNTU 20/10/1974 1 1
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4 4.I 0001061930057 GALU WATU 24/05/2010 2 1
1 4.I 0000866621597 WAIKABUBAK 05/12/2007 2 1
4 4IV 0000866893184 DAMEKA 01/07/1983 1 1
1 1 0001061934974 WAILOLUNG 22/02/1974 1 2
3 3 0001061934985 ALOR 28/02/1978 2 2
4 4.IV 0001061934996 ANAJIAKA 12/08/2008 1 1
4 4.I ;0001422078974 WAIKABUBAK 07/12/2010 2 1
4 4.I 0001313144897 PEGAWAI SWASADAMEKA 25/05/1992 1 1
4 5.II '0001325386157 PESERTA MANDIRISOE 03/03/1990 2 1
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1 1 0001061923713 WISUKAPETA 20/06/1975 1 2
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3 3 PBI APBD MADIDI PALAMEDU 12/05/1981 2 2
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4 4.II PBI APBD GALU BAKUL 18/06/2009 1 1
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1 1 0001061929473 MALINJAK 02/02/1972 1 2
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1 3 0000866610854 WAIRASA 28/05/1980 2 4
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4 4.III 0000866612496 ANAKALANG 16/08/2005 2 1
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1 5.III DOBEL DENGAN NOMOR URUT
WAIKAJOBA
73 10/01/2008 2 1
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1 1 PESERTA DOBEL DENGAN NMOR URUT 4 DAN 5
KAJILOKOBU 06/07/1949 2 4
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WEIJEWA 01/07/1950 1 1
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4 4.I RATI ASU 11/11/2012 2 1
4 4.II RATI ASU 13/11/2007 2 1
1 1 DOBEL NMOR URUT 172 - WAIMANU 03/08/1970 1 2
3 3 WAIKABUBAK 19/03/1972 2 2
4 4.I PASUNGA 21/12/1996 1 1
4 4.II PASUNGA 23/08/1999 2 1
4 4.III PASUNGA 22/10/2003 1 1
4 4.IV PASUNGA 09/07/2005 2 1
1 4.1 DOBEL DENGAN NOMOR URUT 200-202
Kabelawuntu 09/04/1996 1 1
4 4.5 Kabelawuntu 25/06/2009 2 1
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1 2 0000866658317 LIANG HADAN 10/06/1955 1 2
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4 5 0000866726201 KARARA 01/07/1950 1 1
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4 4 0000867479883 LAISOWANG 18/03/2005 2 1
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4 4 0000866612968 LAIGALAK 04/04/2009 1 1
1 2 0000866502077 KALIWU 30/09/1956 1 2
4 4 0000866985039 KALIWU 11/03/1993 1 1
4 4 0000866985388 KALIWU 06/06/1997 1 1
1 2 PESERTA MANDRI TDAK BAYAR LAIGALAK
IURAN 25/12/1975 1 2
3 3 PESERTA MANDRI TDAK BAYAR LOMBU
IURAN 04/03/1977 2 2
IURAN 20/05/2000 2 1
IURAN 03/09/2003 2 1
4 4 PESERTA MANDRI TDAK BAYAR WAIKABUBAK
IURAN 09/09/2008 2 1
4 4 PESERTA MANDRI TDAK BAYAR WAIKABUBAK
IURAN 13/02/2012 1 1
1 1 0000867539283 LAIRIKA 01/07/1948 1 2
3 3 0000867539722 LAWONDA 02/02/1955 2 2
4 4 0000867540003 KAWILU 30/10/1994 2 1

1 1 0001061919808 PARAILUTA 07/08/1988 1 2
3 3 0001061917749 ANAKALANG 30/08/1993 2 2
1 1 0000866709314 LOLAJANGI 26/04/1979 1 2
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3 3 PEGAWAI SWASTA MATOLANG '11/03/1988 2 1
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4 4 MATOLANG '06/04/1994 2 1
4 4 MATOLANG 13/07/1994 2 1
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0000866950154 1 SENDI MANU 20/3/1996 2 1 REMAJA
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1 0001061971053 2 Ngadu Mbolu 13/01/1980 1 2
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4 PNS 42 Ngadu Mbolu 11/09/1997 1 1
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1 0000867002578 2 Ngadu Mbolu 16/01/1975 1 2
3 0000867002646 3 Kajeru Metung 08/08/1977 2 2
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4 0000867004031 43 Ngadu Mbolu 21/08/2007 1 1
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1 0000866958232 2 Ngadu Mbolu 15/07/1975 1 2
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4 0000866959637 42 Ngadu Mbolu 17/10/1997 2 1
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001
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001
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002 001 87112 3261 UMBU RATU NG 70616 DEWA TANA 24120405 LAWONDA
Bela Bakul 03 02 87112 3259 Umbu Ratu Ngg 70496 Lenang 02421001 PAHAR
Pahar 07 03 87112 3259 Umbu Ratu Ngg 70496 Lenang 02421001 PAHAR
Bela Bakul 03 01 87112 3259 Umbu Ratu Ngg 70496 Lenang 02421001 PAHAR
Belake 03 02 87112 3259 Umbu Ratu Ngg 70496 Lenang 02421001 PAHAR
Kota Kronja 01 01 87112 3259 Umbu Ratu Ngg 70496 Lenang 02421001 PAHAR
Kota Kronja 01 01 87112 3259 Umbu Ratu Ngg 70496 Lenang 02421001 PAHAR
Kabawacu 87112 3259 UMBU RATU N 70496 Lenang Selatan 02421001 PAHAR
Ngadu Mbolu 06 03 87112 3259 Umbu Ratu Ngg 79887 Ngadu Mbolu 02421001 PAHAR
Ngadu Mbolu 87112 3259 Umbu Ratu Ngg 79887 Ngadu Mbolu 02421001 PAHAR
Oka 87112 3259 Umbu Ratu Ngg 79887 Ngadu Mbolu 02421001 PAHAR
Katombu 87112 3259 Umbu Ratu Ngg 79887 Ngadu Mbolu 02421001 PAHAR
001 87112 6856 KATIKUTAN79890 Dameka 2.4E+07 MALINJAK

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001 87112 3259 Umbu Ratu 79887 Ngadu Mbol02421001 PAHAR
001 87112 5584 KATIKUTAN70301 ANAKALAN2.4E+07 WAIRASA
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001 87112 6856 KATIKUTANC1081 Dasa Elu 2.4E+07 MALINJAK
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001 87112 6856KATIKUTANA SELATAN
79890 DAMEKA 2.4E+07 MALINJAK
001 87112 5584 KATIKUTAN 70301 ANAKALAN 2.4E+07 WAIRASA
001 001 87112 3259 Umbu Ratu 70496 Lenang 02421001 PAHAR
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422 5317040204080525 5317045207110001 0001842708374 AKTIF PER TANGGAL 01/05/2015
416 5317040204080525 5317045402130001 0001842708824 AKTIF PER TANGGAL 01/05/2015
Devita Day Mbana 4 Pahar 07/12/2011 2 1 Belake 001 001
Valentina K. Tamar 4 Pahar 14/02/2013 2 1 Pahar 001 001
87112 3259 Umbu Ratu Nggay 70496 Lenang 02421001 PAHAR
87112 3259 Umbu Ratu Nggay 70496 Lenang 02421001 PAHAR
02982 3 5/1/2015 1
02976 3 5/1/2015 1

Tahap 5 VALIDASI

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Tahap 5 VALIDASI

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TANDA TERIMA KARTU JKN TAHAP V PUSKESMAS MALINJAK

1=P Alamat Tempat

1 RAMBU PADU PIGA 0001576711427 1 02/02/1940 2 BANAWAI

2 YAKOBUS UMBU R.ANABUNI 0001576712507 4 01/06/1978 1 BANAWAI

3 YADI UMBU SEBU TODA 0001576713565 4 02/01/1994 1 BANAWAI

4 RAMBU KUHI PATI 0001576714667 1 06/07/1949 1 WATU BATU

5 BULU BENAK 0001576715771 3 01/07/1950 2 WATU BATU

6 LODIA RAMBU GAWU 0001576716118 4 25/6/2014 2 GAIKADAPU

7 HERCIS UMBU HILI 0001576716221 1 23/03/2009 1 TANA RARA

8 D. B. EDDA 0001576716333 1 11/12/1935 1 TANA RARA

9 RAMBU BITA EMU 0001576716445 3 15/06/1960 2 TANA RARA

10 HERLY R. TOGA 0001576716557 4 31/07/1986 2 TANA RARA

11 RUDI UMBU KATANGA 0001576716568 4 31/07/1993 1 TANA RARA

12 ATY RAMBU B. AWA, SE 0001576716579 4 19/08/1978 2 TANA RARA

13 YEHZKIEL UMBU ROKA 0001576711732 4 08/08/2013 1 DAMEKA

14 GOTI DULU MOSA 0001576711844 1 02/08/1989 2 TANA RARA

15 KORNELIS TUDA YAGI 0001576711956 4 24/08/1993 1 TANA RARA

16 UMBU KERUNG PAMARA 0001576712068 1 19/09/2008 1 TANA RARA

17 BOTU IBI DEMU 0001576712171 1 01/07/1977 1 TANA RARA

18 R. BOBA NAWU 0001576712283 1 01/07/1931 2 TANA RARA

19 NUEL UMBBU BOTU 0001576712395 1 24/07/1987 1 TANA RARA

20 ASNAWATI RAMBU ROKU NAWU 0001576712518 1 05/11/2011 2 KAJILU KOBU

21 MERSI DAUKI IRU 0001576712621 1 06/03/1997 2 WAIKAJOBAK

22 GUSTI GIKU SABA ORA 0001576712733 4 01/07/1992 1 WAIKAJOBAK

23 REGENIUS RIKSON UMBU RIADA YAGI 0001576712845 1 06/09/2003 1 WAIKAJOBAK

24 NIA RAUNA BELA 0001576716581 1 10/01/2008 2 WAIKAJOBAK

25 MARIA GORETI RARA BODU 0001576713047 1 22/09/2002 2 WAIKAJOBAK

26 OKTAVIANU MUANA DEDU 0001576713159 1 27/10/2004 1 WAIKAJOBAK

27 HENDROIS WUNU SABA TUDUNG 0001576713249 4 23/06/1990 1 WAIKAJOBAK

28 SARLINTO SABA KODI 0001576713341 4 04/01/1993 1 WAIKAJOBAK

30 IGNASIUS UMBU WUNU SABA TUDUNG 0001576713576 4 05/08/2011 1 WAIKAJOBAK

31 AGUSTION SILI DONGO 0001576713677 4 12/08/2011 1 LEDI WATU

32 YOHANES KAREJU MANU RARA 0001576713789 4 25/01/1994 1 WAIKAJOBAK

33 TIBA SAGA BARA 0001576713892 1 24/05/1954 1 WAIKAJOBAK

34 R. PARI BOKA 0001576714004 3 06/05/1959 2 WAIKAJOBAK

35 JHON L. PAGEGI 0001576714116 4 15/06/1987 1 WAIKAJOBAK

36 RIKA LEKI NGUJU 0001576714228 4 22/06/1994 2 WAIKAJOBAK

37 ARIAN SAINGU POTI 0001576714331 4 24/02/2007 1 BODU LAURU

38 LADU DAY 0001576714443 1 01/06/1968 2 WAIKAJOBAK

39 R. NGUJU 0001576714555 1 01/07/1939 2 TANA RARA

40 BOLUTAGU KODA 0001576714678 4 01/07/1978 1 TANA RARA

41 VIKTOR GARA MONI 0001576714781 1 21/07/1985 1 KAJILOKOBU

42 SISILIA BILI 0001576714893 3 05/08/1986 2 KAJILOKOBU

43 RISYE SAPUTRA U. M. NAPANG 0001576715005 4 19/05/2008 1 KAJILOKOBU

44 RATRI MAYA RAMBU TODA MEJA 0001576715117 1 03/07/2013 2 WAILABONGI

45 NEKA JARA WOLI 0001576715229 1 01/07/1954 1 WAILABONGI

46 WISNU UMBU NEKA JARA WOLI 0001576715332 4 09/06/1999 1 WAILABONGI

47 ADHY UMBU MOKI 0001576715444 4 24/03/2002 1 KAJILOKOBU

48 MANGU K. L. GADUNG 0001576715556 4 20/07/1990 1 WATU BATA

49 UMBU SANGERA WOLU ADUNG 0001576715668 1 03/03/1953 1 KAJILOKOBU

50 RAMBU EDA RIJA 0001576715782 3 10/10/1968 2 KAJILOKOBU

51 HADI UMBU SAINGU POTI 0001576715894 4 05/12/1986 1 KAJILOKOBU

52 FARIDA RAMBU TAGU 0001576716006 4 10/03/1993 2 KAJILOKOBU

53 MARTHEN S. IBIDAYI 0001576716041 4 14/03/1996 1 KAJILOKOBU

54 IVON RAMBU JOLA 0001576716052 4 30/10/1997 2 KAJILOKOBU

55 RICARDO S. K. WOLI 0001576716063 1 30/04/2002 1 WAILOLUNG

56 AFRIANO R. B. MOLLU 0001576716074 4 18/04/2011 2 PINU TADULA

57 RAMBU MORA SIALA 0001576716085 1 01/07/1940 2 GALU TEKU

58 YONATAN U. S. WADUNG 0001576716096 1 03/08/1970 1 PUNGI NAGA

59 ENI R. ENGA 0001576716107 3 19/03/1972 2 PUNGI NAGA

60 CRISTIAN U. KATANG 0001576716129 4 21/12/1996 1 PUNGI NAGA

61 CLARISA R.D. MOSA 0001576716131 4 23/08/1999 2 PUNGI NAGA

62 PETRIK J. U. LEDI 0001576716142 4 22/10/2003 1 PUNGI NAGA

63 VIRGINIA R. EDA 0001576716153 4 09/07/2005 2 PUNGI NAGA