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Daftar Peserta Askes Sosial

Kantor Cabang : DENPASAR

Nama PPK : 0225U004-DR. I KETUT BUDI SADPUTRA

Bulan / Tahun : 03 / 2012

No No Kartu Nama JK Tgl Lahir PISA Alamat


1. 0000201935801 A.A KD PURNAMAWATI P 07/08/1979 I CANDIKUSUMA, MELAYA
2. 0000162969388 A.A. AYU NILAWATI P 15/03/1985 I DS. MELAYA
3. 0000141081963 A.A. AYU PT. LIPURNIATI P 31/12/1941 I MELAYA
4. 0000171743231 ADHITYA KURNIAWAN P. L 16/02/1994 3 DESA TUKADAYA
5. 0000141109031 ADI IRAWAN L 13/12/1991 1 KELURAHAN GILIMANUK
6. 0000141048922 AGUSTINUS NYM. ARKA L 21/02/1946 P EKASARI
7. 0000141109964 AILIN CYRENA P 01/07/2001 1 JLN.IKAN PAUS
8. 0000141109975 AILSA CITRAYESTI P 28/02/2005 2 JLN.IKAN PAUS
9. 0000141100907 ALI MUKHTAR L 27/08/1990 2 N/A
10. 0000141140114 ANITSA NURMA KATERINNADA P 24/07/2000 1 DESA CANDIKUSUMA
11. 0000200160033 ANTONIUS KD NOVIAN CANDRA L 05/10/2005 2 EKASARI
12. 0000141109007 ARI STYAWAHYUNI P 11/01/1992 2 JL. JALAK PUTIH GILIMANUK
13. 0000141115274 ARY PRASETYA L 19/10/1943 S DSN. PK. DEDARI
14. 0000141096881 BAYU CAHYA BUANA PUTRA L 24/08/1990 1 DS. MELAYA
15. 0000141092987 BGS.BASKARA MANTRA N L 16/12/2002 2 DESA MELAYA
16. 0000141100885 BINTI ROHMAH P 19/03/1963 I N/A
17. 0000141089016 C.SRI KUNTARI DH P 31/12/1952 P PALASARI DS.EKASARI
18. 0000141109784 CHAMIDAH P 24/08/1955 P MELAYA
19. 0000141011054 CLARA MD. MURNITI P 27/07/1959 P DS. EKASARI
20. 0000141148451 DERA RATNA KUMALA P 09/10/1993 1 JL. CENDRAWASIH G.5
KEL.GILIMANUK
21. 0000140995552 DESAK NYOMAN WINTARI P 18/07/1978 I DESA TUKADAYA
22. 0000141005924 DEVIN PARLINDUNGAN L 19/09/1999 2 DS. MELAYA PANTAI
23. 0000141108838 DIANA ANDILAN P 15/03/1984 P KEL.GILIMANUK
24. 0000140979249 DR. I KT. BUDI SADPUTRA. L 29/02/1956 P DS.MELAYA JL. RAYA
GILIMANUK-DPS
25. 0000203289647 DR. I.A.PUTU PADMI DEVIANI P 12/05/1986 P P NUSA LEMBONGAN,
DAUHWARU
26. 0000148176415 DR.NI KM.YULIA RESTU AYU N. P 10/07/1983 P DESA EKASARI
27. 0000141153298 DRA. NI KETUT SUKARWATI P 15/03/1966 P DS. MELAYA
28. 0000141148473 DRA. NI MADE SRIASIH P 15/04/1966 P JL.SADAR G II SAMIANA
GILIMANUK
29. 0000141141047 DRA. NI MD. KERNI P 31/12/1961 P MELAYA
30. 0000141140709 DRA. NI WYN. KARYANI P 30/10/1966 I MELAYA
31. 0000141140946 DRA.NI MD. MASMANANING H P 31/03/1968 I DESA MELAYA
32. 0000141141205 DRA.SERIMPIANI P 07/04/1960 P CANDIKUSUMA
33. 0000141140092 DRS. ABDUL MANAN L 13/09/1968 P DESA CANDIKUSUMA
34. 0000141140294 DRS. I GD. SUARJANA L 31/12/1960 P MELAYA
35. 0000141148056 DRS. I KT. SUNANTRA L 28/06/1967 P LELATENG
36. 0000141140698 DRS. I NYM. SUKARYA L 27/04/1961 P MELAYA
37. 0000141066461 DRS. I NYOMAN SANTERA L 16/09/1942 P NUSASARI
38. 0000141140733 DRS. I NYOMAN SURIADA. L 20/06/1964 P DESA CANDIKUSUMA
39. 0000141121901 DRS. I WYN. SUKERTHA L 23/02/1954 P BLIMBINGSARI
40. 0000141153456 DRS. NYM. SUANTARA L 23/12/1957 P MELAYA
41. 0000141140136 DRS.I MADE ASAH ARIANA L 17/08/1965 P DESA MELAYA
42. 0000141140935 DRS.I MD. SUDIANTA L 01/05/1962 P MELAYA
43. 0000141148192 DRS.I NGH. SATERA L 16/01/1964 P JL. RAJAWALI 4
44. 0000141140913 DRS.IDRUS L 31/12/1961 P MELAYA
45. 0000141140417 DRS.IKETUT SEREPARSA.SH L 24/08/1960 P DS.MELAYA

3/2/12 5:40 PM Page 1 of 10


No No Kartu Nama JK Tgl Lahir PISA Alamat
46. 0000141140889 DRS.IWYN.PAREASTAWAN. L 31/12/1959 P MELAYA
47. 0000141089027 DRS.YP.I GST.NGRH.WINDRA L 02/06/1983 S DESA EKASARI
48. 0000141108816 DSK. PT. SUKASIH P 28/08/1953 P LINGK. JINENG AGUNG
49. 0000141100738 DSK.KT. RATNA DEWI P 08/03/1970 I GILIMANUK
50. 0000141145852 DSK.MD ANGGA PADMAYANI P 01/12/1991 2 DS.MELAYA
51. 0000141145841 DSK.PT.DIAH ANGGA LAKSMI P 15/11/1989 1 DS.MELAYA
52. 0000194875402 DW.AYU MD.DWI KERTI MEI A. P 14/05/1982 I JL.RAJAWALI III/8 PENDEM
53. 0000141145839 DW.KADEK KARYA SUCITRA L 21/01/1963 S DS.MELAYA
54. 0000167217096 DWI WARSITO NEGARA,S.PD. L 23/09/1959 P DSN.PK.DEDARI MELAYA.
55. 0000141140215 EKA DIAN PRATIWI,S.PD P 30/10/1982 P DSN.PANGKUNG
DEDARI,DS.MELAYA
56. 0000141152692 EL. HENI SUHARSI, S.PD. P 26/06/1962 P DS. BLIMBINGSARI
57. 0000200160011 ELISABETH PT PUTRI PATRIC P 30/03/2002 1 EKASARI
58. 0000141140283 ENDANG SETYOWATI IS. P 22/06/1970 I N/A
59. 0000141148023 ERVI N. LUSIANAWATI P 22/11/1970 I DESA MELAYA
60. 0000141051688 G.AYU RANITHI, MM. P 31/12/1942 I EKASARI
61. 0000141140237 G.NYM. MARA,SPD L 03/03/1963 P MELAYA
62. 0000143153605 GA. KT.AYU NIRMALA DEWI P 05/02/1996 3 DESA TUWED
63. 0000141140711 GD. KARYA DANU PALGUNA L 23/12/1992 1 DS. MELAYA
64. 0000141140226 GD.AGUS BAYU ARIASA,S.PD L 16/01/1983 S DSN.PANGKUNG
DEDARI,DS.MELAYA
65. 0000141141161 GD.DARMA PUTRA L 08/05/1989 1 TUKADAYA
66. 0000141135107 GEDE MIKHAEL MARCHELLINO L 10/03/2000 1 DS. BLIMBINGSARI
67. 0000141066202 GEMA NI WYN. SRI URIP. P 31/12/1950 I DS. EKASARI
68. 0000141092954 GST. AYU KADE MURIATI P 23/07/1963 P DS. MELAYA
69. 0000141108851 GST. AYU KT. NIRIATI P 31/12/1958 I N/A
70. 0000141108849 GST. MD. LAKSANA L 31/12/1961 P GILIMANUK
71. 0000141105824 GST. NGR. MD. AGUS W. L 08/08/1991 2 N/A
72. 0000141140261 GST.AY.NINDYA NORMALASARI P 16/11/1994 2 DESA MELAYA
73. 0000141158485 GST.AYU KADE WIDYA A. P 24/08/2006 2 DESA MANISTUTU
74. 0000164349281 GST.AYU MD.IDHA ARIANI P 25/09/1968 P DESA TUWED
75. 0000141158474 GST.AYU PT.WARAPSARI P 08/11/1999 1 DESA MANISTUTU
76. 0000141140259 GST.N.PT.YOGA ADHYATMANA L 09/03/1989 1 DESA MELAYA
77. 0000141066382 HAJAH MARKINI P 31/12/1950 I JL. PAHLAWAN SUKOTO
78. 0000141108941 HALIDIN L 31/12/1966 S KELURAHAN GILIMANUK
79. 0000141011065 HERMANUS I KT. SUGIARTA L 31/12/1953 S DS. EKASARI
80. 0000141141183 HERNI ARISTININGSIH P 12/09/1975 I DESA MELAYA
81. 0000195748784 HOLYS DONNA CHRIS SHIHITA P 24/12/1992 2 GILIMANUK
82. 0000164819575 I DW.KM.MARTA KERTA ISWARA L 10/03/2009 3 DESA TUWED
83. 0000141011324 I G.KT.PUJA WEDA YASA L 30/09/1966 P GILIMANUK
84. 0000141051677 I G.NYM. WIRAWAN W. L 24/05/1933 P EKASARI
85. 0000141011346 I G.PT.DWI BAYU KRESNA L 10/06/1993 1 GILIMANUK
86. 0000141114429 I GD. ADI BERATA L 29/10/1966 S N/A
87. 0000141096587 I GD. ARDI ANTA YASA. L 15/04/2003 2 DS. TUWED
88. 0000141007329 I GEDE ARDHY NIRATHA L 18/07/2005 1 DESA MELAYA
89. 0000141007307 I GEDE ARYA WIDHYARTHA, ST L 22/01/1977 P DESA MELAYA
90. 0000141140158 I GEDE BAGUS RHAMA K.D.P. L 23/04/1994 1 DESA MELAYA
91. 0000141140272 I GEDE OKA SASMITA K. L 08/02/1965 P MELAYA
92. 0000141140169 I GEDE WAHYU LAKSMANA D.P L 25/09/1999 2 DESA MELAYA
93. 0000141140248 I GST AYU MADE HARINI P 27/10/1966 I MELAYA
94. 0000141109806 I GST AYU SUTATI P 12/12/1951 P DS. MELAYA
95. 0000141140338 I GST PT. SADPUTRA, SPD L 10/08/1957 P PANGKUNG DEDARI
96. 0000141128627 I GST. BGS.NGR. SMARABAWA L 22/10/1967 P BR. PANGKUNG DEDARI
97. 0000141105802 I GST. MD. SUMADI PUTRA L 31/12/1958 P DS. WARNASARI

3/2/12 5:40 PM Page 2 of 10


No No Kartu Nama JK Tgl Lahir PISA Alamat
98. 0000141111909 I GST. NGR. SUASANA L 29/09/1952 P CANDIKUSUMA
99. 0000141011403 I GUSTI NGURAH RAKA L 29/02/1968 P -
100. 0000141137289 I KADE ARIANTA L 28/10/1976 P WARNASARI
101. 0000141122845 I KADE OKA WIRAWAN L 13/10/1992 2 DS. KALIAKAH
102. 0000141141071 I KADEK AGUS HENDRAYASA L 14/07/1994 2 MELAYA
103. 0000141115105 I KADEK EDY SUPRIADI L 13/11/1988 1 DS.NUSASARI MELAYA
104. 0000201936047 I KD ADITYA PRAMANA ADI P. L 29/09/2006 2 CANDIKUSUMA, MELAYA
105. 0000141111999 I KD. DODI EPAYANA PUTRA L 10/06/1990 2 TUWED
106. 0000140979879 I KD.ADITYA WIRAJAYA L 17/03/1992 2 MELAYA
107. 0000141148012 I KD.DWI DARMA PUTRA,SPD. L 01/05/1968 P MELAYA
108. 0000140995541 I KETUT HERJAYA L 01/04/1976 P DESA TUKADAYA
109. 0000141096576 I KETUT JUNI ANTARA. L 07/06/1994 1 DS. TUWED
110. 0000141053051 I KETUT KANDI L 30/11/1942 P DS. EKASARI
111. 0000141092998 I KETUT MERTHADANA,S.PD L 25/03/1963 P DESA BLIMBINGSARI
112. 0000141329992 I KETUT PASEK IRI ARSA L 18/07/1970 P DS. SUMBERSARI
113. 0000141118435 I KETUT SUANDI L 04/04/1963 S DESA MELAYA
114. 0000141108985 I KETUT SUITERA L 01/12/1963 S JL. JALAK PUTIH GILIMANUK
115. 0000141152927 I KETUT SUYADNYA, S.PD. L 31/12/1952 P DS. NUSASARI MELAYA
116. 0000141109817 I KETUT TANGKAS L 12/12/1964 P DS NUSASARI MELAYA
117. 0000141053319 I KETUT WESEN L 22/03/1949 P DESA WARNASARI
118. 0000141140474 I KETUT WIDIA, S.PD L 03/12/1970 P DSN. PK. DEDARI
119. 0000141118029 I KETUT WINAYA L 31/12/1968 P DS.TUKADAYA MELAYA
120. 0000198248545 I KM PRADIKA UTAMA L 08/03/2001 2 BR.SUMBERSARI
121. 0000202461096 I KM. AGUS BUDI ARDANA L 04/08/2000 3 NUSASARI KELOD
122. 0000141141159 I KM. KUSNADA L 14/02/1965 S N/A
123. 0000199130163 I KM. OKI PERNANDA P. L 17/10/1999 3 DSN.SUMBERSARI
124. 0000141140507 I KM. PICA ADIASA,BA. L 06/02/1955 P KALIAKAH
125. 0000141148822 I KM.GEDE BUDIARTA, S.PD L 13/06/1979 P DESA NUSASARI
126. 0000162969377 I KOMANG MURTAMA L 11/04/1978 P DS. MELAYA
127. 0000194353007 I KT KODI SUASTANA L 25/11/1953 S JL. JALAK PUTIH GG.V
GILIMANUK
128. 0000141096363 I KT. NAWA L 01/05/1965 P DS. TUWED
129. 0000141102134 I KT. SATRA L 31/12/1955 P PANGKUNGTANAH II
130. 0000141105295 I KT. SOMOYANA L 31/12/1961 P MENDOYO DAUH TUKAD
131. 0000141113957 I KT. SUANDRA L 31/12/1960 P MELAYA
132. 0000141118479 I KT. SUMBERJAYA L 02/02/1954 S PANGKUNG DEDARI
133. 0000141111933 I KT. SUWENTRA L 31/12/1951 P DSN. WARNASARI
134. 0000141109795 I KT. SUWITRA L 25/12/1949 S MELAYA
135. 0000141102459 I KT. TADIUAS, BA L 13/05/1955 S N/A
136. 0000141108873 I KT. TJIPTA MULYANA L 08/05/1956 P GILIMANUK
137. 0000141123363 I KT. TOYA L 17/08/1950 S N/A
138. 0000141108827 I KT. WINANTRA L 22/08/1950 S N/A
139. 0000141118266 I KT. WIRKA L 05/06/1960 P BR.SUMBERSARI
140. 0000141109918 I KT. WIRKA L 31/12/1951 S MELAYA
141. 0000141140395 I KT.PANJI TISNA ADHI L 12/07/1957 P MELAYA
142. 0000141115149 I MADE DANA L 04/04/1968 P NUSASARI
143. 0000141140542 I MADE DARMA, SPD L 31/12/1968 P DS.MELAYA
144. 0000141140722 I MADE DEDITYA WIGUNA L 02/01/1996 2 DS. MELAYA
145. 0000141140968 I MADE DIDIK SATRIANA L 08/06/1996 2 DESA MELAYA
146. 0000141140766 I MADE DWI PRANATA. L 08/03/1994 2 DESA CANDIKUSUMA
147. 0000202052439 I MADE DWI WIRATMAJA L 23/02/1984 S DESA EKASARI
148. 0000141096396 I MADE GD. SUWIYADNYA L 21/07/1994 2 DESA TUWED
149. 0000141056436 I MADE PAHING L 31/12/1949 P DS. NUSASARI
150. 0000141096903 I MADE PUTRA WIJAYA L 13/04/1966 S DS. BLIMBINGSARI

3/2/12 5:40 PM Page 3 of 10


No No Kartu Nama JK Tgl Lahir PISA Alamat
151. 0000143156992 I MADE PUTRAYASA L 16/12/1991 1 DSN.TIRTA
KUSUMA,DS.CANDIKUSUMA
152. 0000141035229 I MADE SUASTIKA, S. AG. L 16/02/1972 P DESA NUSASARI
153. 0000141096993 I MADE SUWIRYA L 09/04/1950 S DS. BLIMBINGSARI
154. 0000201864633 I MADE WIDJA L 07/06/1949 P
155. 0000140979846 I MD. CINDRAYASA L 13/05/1962 P MELAYA
156. 0000141114115 I MD. GAMBAR L 31/12/1958 S NUSASARI
157. 0000141109896 I MD. HARTAWAN L 15/08/1990 2 SUMBERSARI
158. 0000141100694 I MD. PATERENG L 31/12/1952 P LINGK. ARUM, GILIMANUK
159. 0000141120325 I MD. SUARTIKA.SPD L 17/07/1966 P MELAYA
160. 0000140980015 I MD. SUBAGIA L 03/03/1959 P BRAWANTANGI,TUKADAYA
161. 0000141141093 I MD. SUSRAMA WIJAYA L 29/08/1966 S N/A
162. 0000141056717 I MD. TAWA, BA L 01/03/1940 P MELAYA
163. 0000141135096 I MD.RAI FIRDAUS SURYA W L 13/10/1970 S DS. BLIMBINGSARI
164. 0000140992558 I NENGAH MANGKU L 31/12/1960 S DESA NUSASARI
165. 0000141035264 I NENGAH MARA L 14/10/1965 P DS. MELAYA
166. 0000141140643 I NENGAH PUSPA,S.PD L 03/10/1954 P DSN TETELAN DESA
CANDIKUSUMA
167. 0000141096532 I NENGAH SARBA L 31/12/1954 S DESA MELAYA
168. 0000141115083 I NENGAH SUANDRA L 09/07/1961 P DS. NUSASARI MELAYA
169. 0000140994639 I NENGAH SUDIARKA L 31/12/1959 S DS. CANDIKUSUMA
170. 0000141109828 I NENGAH SUWELA L 12/12/1960 P DS.MELAYA
171. 0000141118334 I NENGAH WIJAYA, A.MA.PD L 31/12/1951 P DS. MELAYA
172. 0000141093077 I NGH. ASRATA L 24/03/1954 P DS. MELAYA
173. 0000141118299 I NGH. BAGIA LAKSANA L 31/12/1963 P SUMBERSARI
174. 0000141091661 I NGH. NAYA L 24/05/1960 P GILIMANUK
175. 0000141148168 I NGH. SARKA, BA L 31/12/1952 P TUWED
176. 0000141096868 I NYM. KORNELIUS L 08/12/1954 P BLIMBINGSARI
177. 0000141109863 I NYM. MERTA L 30/03/1960 P SUMBERSARI
178. 0000141130124 I NYM. NANTRAN L 31/12/1962 P NUSASARI
179. 0000141105328 I NYM. RAI L 15/11/1967 P NUSASARI KELOD
180. 0000141148214 I NYM. SEPUTRAJAYA L 12/07/1964 P JL. POGOT I/15
181. 0000141100727 I NYM. SUKENATA L 31/12/1963 P GILIMANUK
182. 0000141091749 I NYM. SUMERTA L 11/04/1955 S N/A
183. 0000140980331 I NYM. SUPARDI L 29/11/1963 P BR. MODING, CANDIKUSUMA
184. 0000141102292 I NYM. SUTAPA L 09/02/1961 P EKASARI
185. 0000141153085 I NYOMAN NIARSA L 31/12/1961 P DS/KEC.MELAYA
186. 0000140992841 I NYOMAN NORES L 15/10/1957 S DSN.PANGKUNG DEDARI
187. 0000141001108 I NYOMAN SUTAMA L 28/02/1965 P -
188. 0000141092965 I NYOMAN SUTAMA L 31/12/1965 S DESA MELAYA
189. 0000141122812 I NYOMAN TARMA, A.MA L 12/03/1963 P DS. KALIAKAH
190. 0000141148034 I PT ERDI MAHENDRA PUTRA L 24/01/1997 1 DESA MELAYA
191. 0000199818538 I PT YUDI ADITYA RADANA Y. L 20/02/2005 1 CANDIKUSUMA, MELAYA
192. 0000141100749 I PT. AGASTYA RATNATA L 10/08/1992 1 GILIMANUK
193. 0000141141104 I PT. AGUS HENDRA SUSANTA L 11/05/1991 1 N/A
194. 0000141141069 I PT. AGUS INDRA SAPUTRA L 04/12/1991 1 MELAYA
195. 0000141096385 I PT. AGUS SADWINA PUTRA L 06/08/1992 1 DESA TUWED
196. 0000140996395 I PT. BUDA L 31/12/1964 P JL. DUYUNG G.I/5
197. 0000141111821 I PT. DARSANA L 10/10/1958 P SARIKUNING, TUKADAYA
198. 0000163534566 I PT. EKA S. JANUARTAMA P 19/01/1994 1 JL. KRAMAT MELAYA PANTAI
199. 0000209416421 I PT. GILANG ISWARA WIJAYA L 15/08/1992 1 DENPASAR GILIMANUK
200. 0000202432691 I PT. HARY ANGGARA C. L 13/05/1997 1 DS NUSASARI MELAYA
201. 0000141099636 I PT. TAGIS L 31/12/1955 P DS. TUWED
202. 0000140980353 I PUTU ADI ANDIKA L 03/03/1989 1 DESA CANDIKUSUMA

3/2/12 5:40 PM Page 4 of 10


No No Kartu Nama JK Tgl Lahir PISA Alamat
203. 0000201935889 I PUTU AGUS PRANATA A. L 09/10/1996 1 CANDIKUSUMA, MELAYA
204. 0000209416397 I PUTU ARTHA , SE,MM L 14/03/1962 S DENPASAR GILIMANUK
205. 0000141153309 I PUTU BUDIARSANA L 18/10/1965 S DS. MELAYA
206. 0000141118042 I PUTU CANDRA LESTARI P 17/09/1994 1 DS.TUKADAYA
207. 0000141012516 I PUTU GEDE SUBALI L 04/01/1964 P BANJAR PASAR DESA
MELAYA KEC. MELAYA
208. 0000141096565 I PUTU NESTRA. L 31/12/1959 S DS. TUWED
209. 0000141158452 I PUTU NGURAH WIRYANATA L 27/02/1974 P DESA MANISTUTU
210. 0000141140902 I PUTU PUTRA PRATAMA P. L 27/03/1993 1 DESA MELAYA
211. 0000199818494 I PUTU SUARDANA L 20/05/1980 S CANDIKUSUMA, MELAYA
212. 0000141035231 I PUTU YUDI PERDYAWAN L 31/12/2000 1 DESA NUSASARI
213. 0000141099715 I WAYAN BAGIAYASA L 19/11/1958 S DS. CANDIKUSUMA
214. 0000040236805 I WAYAN DERMEN L 31/12/1964 P PALASARI
215. 0000141140823 I WAYAN KECANG. L 31/12/1954 P DS. NUSASARI
216. 0000141105407 I WAYAN SAPUTRA L 20/11/1970 P CANDIKUSUMA, MELAYA
217. 0000141141216 I WAYAN SUADNYA L 04/05/1956 S CANDIKUSUMA
218. 0000163523237 I WAYAN SULASNA L 19/05/1971 P JL. KRAMAT MELAYA PANTAI
219. 0000141096475 I WAYAN SURATA L 10/12/1963 P TUWED
220. 0000141153153 I WAYAN SUWITRA L 28/05/1959 P MELAYA
221. 0000141114058 I WAYAN TIRTA, AMA.PD L 31/12/1951 P DS. NUSASARI
222. 0000141096791 I WAYAN WENDRA L 31/12/1949 P DS. NUSASARI
223. 0000141093088 I WYN. DANA L 08/08/1956 P DSN. PANGKUNGDEDARI
224. 0000141096947 I WYN. NYATRIANTHA L 27/07/1953 S N/A
225. 0000141081952 I WYN. RARAT L 31/12/1941 P NUSASAKTI, NUSASARI
226. 0000141122913 I WYN. SEBER L 31/12/1952 P WARNASARI
227. 0000141093123 I WYN. SUBAWA, S.PD L 20/02/1967 P DSN. NUSASARI KAJA
228. 0000141100784 I.A. KD. DWI ARIARDANI P 28/01/1995 2 N/A
229. 0000141100762 I.A. NGURAH SWADARMINI P 07/03/1970 I N/A
230. 0000141093134 IDA AYU MADE ALIT P 02/11/1968 I DSN. NUSASARI
231. 0000141100751 IDA BAGUS MAS ARDANA L 18/08/1967 P GILIMANUK
232. 0000141148236 IGEDE SURIPTA ATMAJAYA L 21/10/1994 1 DESA MELAYA
233. 0000141011357 IGST.A.KD.RATNA MAHAYANTI P 06/01/2001 2 GILIMANUK
234. 0000141128649 IGST.BGS.NGR.DARMAPUTRA L 23/12/1995 1 DR PANGKUNG DERAI
235. 0000141128651 IGST.BGS.NGR.DWI SATYAWAN L 12/04/1999 2 BR PANGKUNG DERAI
236. 0000141091716 IK.ARTHAWIRAWAN WIDHYANA L 08/07/1992 1 KEL. GILIMANUK
237. 0000141148247 IMADE PUJA SUBAKTI L 23/08/1996 2 DESA MELAYA
238. 0000141093156 IMD.AGUS BAYU SULAKSANA L 29/05/2001 2 DSN. NUSASARI KAJA
239. 0000141108952 INTAN NUR HALIDAYANTI P 30/03/1995 1 KELURAHAN GILIMANUK
240. 0000141091694 IPT.SUDIANA YASA,SPD L 10/02/1961 P KEL. GILIMANUK
241. 0000141128638 ISMIATI,S.PD P 13/02/1965 I BR PANGKUNG DERAI
242. 0000200424352 JENI PUSPITASARI P 15/07/1996 1 CANDIKUSUMA
243. 0000141040361 KARDI L 26/07/1943 P DS. CANDIKUSUMA
244. 0000141091727 K.ARI MERTHADI WIDHYANA L 10/12/1997 2 KEL. GILIMANUK
245. 0000141099772 KALIL SISWANTO L 31/12/1955 S DS. CANDIKUSUMA
246. 0000141114418 KARTINI P 24/03/1960 P POHSANTEN
247. 0000141330025 KDK. DEVA ANANDA PUTRA L 28/03/2005 2 DS. SUMBERSARI
248. 0000141093066 KDK.TRIMAYUNIKA JULIA P 06/07/1998 2 DS. NUSASARI
249. 0000140996981 KETUT SUDIANA L 15/11/1960 P GILIMANUK
250. 0000141114093 KM.SRIVIKI SUSANTI P 23/02/1992 1 DS.TUWED MELAYA3
251. 0000141108939 KUNHAYATI P 11/06/1967 P KELURAHAN GILIMANUK
252. 0000141141003 LAMYA ZULFIANA P 04/10/1999 2 MELAYA KRAJAN
253. 0000141148438 LILIS RATNA DEWI SJ,S.PD P 05/08/1970 P LINGK.ARUM GG.5
254. 0000141118323 MADE ARI DARMAYANTI P 13/02/1992 2 SUMBERSARI
255. 0000141093044 MADE AYU RESIANI P 09/12/1966 I DS. NUSASARI

3/2/12 5:40 PM Page 5 of 10


No No Kartu Nama JK Tgl Lahir PISA Alamat
256. 0000141093011 MADE KRISTIAN DWIDANA PUTRA L 04/06/1994 2 DESA BLIMBINGSARI
257. 0000141109841 MADE WINDYAYANA L 05/12/1990 2 MELAYA
258. 0000200777848 MADINA HARFI P 09/04/2010 2 JALAK PULIH,GILIMANUK
259. 0000205885642 MARDI SISWANTO L 29/11/1959 S DS. MELAYA
260. 0000141145828 MARFUAH P 10/03/1962 P DS. MELAYA
261. 0000141096521 MARIA YOHANITA SUDARIYAH P 06/06/1953 P MELAYA
262. 0000141140979 MARYATINI, S. PD. P 23/12/1968 P MELAYA KRAJAN
263. 0000141096554 MAS AYU MARIYAH P 31/12/1962 P DS. TUWED
264. 0000143156979 MD. ARDIKA L 31/12/1959 P CANDIKUSUMA
265. 0000141135118 MD.SELVIA MARCHELLA MF. P 12/09/2002 2 DS. BLIMBINGSARI
266. 0000143117289 MISRUN SUNARYANTO, BA L 01/08/1949 P BANJAR PANGKUNG TANAH
KANGIN
267. 0000141093167 MUJIATUN, S.PD. P 29/09/1962 P DESA MELAYA
268. 0000141148585 MUJITO L 02/12/1959 S JL. GURAMI . GILIMANUK
269. 0000141005891 NAILATUS SARIPA P, S.AG. P 24/03/1969 P DS. MELAYA PANTAI
270. 0000141063647 NGH. NGARJI L 31/12/1939 P NUSASARI
271. 0000141090759 NGH. SUWADIA L 31/12/1951 P WARNASARI
272. 0000141122823 NI KOMANG SEMI P 15/11/1971 I DS. KALIAKAH
273. 0000141100795 NI GST. NYM. WIDARMINI P 19/07/1959 P LINGK. ARUM, GILIMANUK
274. 0000140980342 NI KADEK WIASI P 04/06/1970 I DESA CANDIKUSUMA
275. 0000205706384 NI KADEK BUDIARTINI P 07/04/1981 I WARNASARI
276. 0000141140891 NI KADEK DIANTARI P 06/10/1972 I DESA MELAYA
277. 0000205706406 NI KADEK ELLVINA CYNTHIA DEWI P 01/09/2008 2 WARNASARI
278. 0000141141014 NI KADEK RAHAYU P 01/08/1978 P CANDIKUSUMA, MELAYA
279. 0000140995574 NI KADEK SEKAR AYU Y. P 21/08/2004 2 DESA TUKADAYA
280. 0000141096374 NI KADEK WIDYAWATI P 16/06/1972 I DESA TUWED
281. 0000140980364 NI KADEK YUDA KARTIKA W. P 06/10/1990 2 DESA CANDIKUSUMA
282. 0000141020008 NI KD. ARI SUGIANTI P 19/09/1966 P DENPASAR GILIMANUK
283. 0000141035242 NI KD.ARNITA PERDINAYANTI L 21/05/2007 2 DESA NUSASARI
284. 0000197374689 NI KDK ASRI NOPAYANTHI P 23/11/1991 1 DS. MELAYA
285. 0000199818606 NI KDK RASYA RADANA K.D P 17/08/2008 2 CANDIKUSUMA, MELAYA
286. 0000163537176 NI KDK. DWI AYU MARATIARA DEWI P 12/03/2002 2 JL. KRAMAT MELAYA PANTAI
287. 0000209416432 NI KDK. GALUH PRABANDARI. W P 28/08/1996 2 DENPASAR GILIMANUK
288. 0000141148045 NI KDK. INTAN DEVANI N. M P 24/01/2002 2 DESA MELAYA
289. 0000202430924 NI KDK. NAIRA TIA CAHYANI P 11/08/2002 1 DS. NUSASARI
290. 0000141102325 NI KDK.RATNA KUSUMA DEWI P 26/03/1995 2 EKASARI
291. 0000141153322 NI KDK.YUNIA MATALIA WATI P 12/06/1994 2 DS. MELAYA
292. 0000141100705 NI KETUT SULASIH P 03/06/1962 I LINGK. ARUM. GILIMANUK
293. 0000140992547 NI KETUT KUNING, S.PD P 31/12/1961 P DS.NUSASARI
294. 0000140994641 NI KETUT SRI ARIATI P 31/12/2000 1 DS. CANDIKUSUMA
295. 0000141035635 NI KETUT SRI HERMA YULIASTUTI P 09/07/1978 P EKASARI
296. 0000140992839 NI KETUT SUARNI, S.PD P 16/05/1964 P DSN.PANGKUNG DEDARI
297. 0000141114453 NI KETUT SUDIANTINING P 03/03/1962 P GILIMANUK
298. 0000141118424 NI KETUT SUKRI, A.MA.PD P 30/12/1964 P DSN.SUMBERSARI
299. 0000141140553 NI KETUT SUPADMIATI SPD P 20/04/1969 I MELAYA
300. 0000141140485 NI KETUT WAHYUNI, S.PD P 29/04/1980 I DSN. PK. DEDARI
301. 0000141118031 NI KETUT WARTINI P 31/12/1971 I DS.TUKADAYA MELAYA
302. 0000200191151 NI KM. PUTRI ARIYANTI P 28/02/1993 1 DSN TETELAN DESA
CANDIKUSUMA
303. 0000141148225 NI KM. SUARTINI P 12/10/1973 I N/A
304. 0000141120336 NI KM.SUARDANYAWATI P 26/04/1972 I DESA MELAYA
305. 0000141114082 NI KM.SUNARTI P 31/12/1958 P DS.TUWED MELAYA3
306. 0000141105813 NI KOMANG ARINI P 31/12/1962 I DS. WARNASARI
307. 0000141145885 NI KOMANG DWI MIYANTARI P 02/05/1979 P NEGARA

3/2/12 5:40 PM Page 6 of 10


No No Kartu Nama JK Tgl Lahir PISA Alamat
308. 0000141105317 NI KOMANG TRI LESTARI P 03/04/1993 1 DESA TUWED
309. 0000141108963 NI KT. DANI ARNITI P 06/05/1963 P GILIMANUK
310. 0000141091672 NI KT. DANI ARNITI P 06/05/1963 I N/A
311. 0000141056447 NI KT. DERESTI P 31/12/1948 I NUSASARI
312. 0000141053062 NI KT. MIASA P 31/12/1946 I EKASARI
313. 0000141122924 NI KT. RAI P 31/12/1959 I WARNASARI
314. 0000140979857 NI KT. SUAMI P 31/12/1963 I MELAYA
315. 0000141108884 NI KT. SUDIANTINING P 03/03/1962 I N/A
316. 0000141111911 NI KT. SUENI ENDRAENI P 24/12/1949 I DS. CANDIKUSUMA
317. 0000141099704 NI KT. SUKERNI P 11/09/1959 P CANDIKUSUMA
318. 0000141011335 NI KT. SUNANTRI ASIH P 10/10/1976 I GILIMANUK
319. 0000141102145 NI KT. SUNARTI P 31/12/1956 I N/A
320. 0000141099647 NI KT. SUWENDI P 31/12/1955 I N/A
321. 0000141140957 NI L. SOVIANITA N. P 20/12/1992 1 MELAYA
322. 0000141096892 NI LUH ARSANI YULIASTUTI P 06/07/1967 P DESA BLIMBINGSARI
323. 0000141140428 NI LUH GEDE BUDIASIH P 03/07/1973 I DS.MELAYA
324. 0000141120358 NI LUH MD.SRI RITNASARI P 14/06/1998 2 DESA MELAYA
325. 0000141091705 NI LUH NURNIASIH P 05/08/1967 I KEL. GILIMANUK
326. 0000141096914 NI LUH OKTALIA WIDYA S. P 13/10/1990 1 DS. BLIMBINGSARI
327. 0000141153311 NI LUH PT. LINDIANA O.U P 03/10/1991 1 DS. MELAYA
328. 0000141120347 NI LUH PT.LINDA S. P 05/03/1994 1 DESA MELAYA
329. 0000141140439 NI LUH PUTU DEWI PRIDANI P 29/04/2002 1 DS.MELAYA
330. 0000141115228 NI LUH RENAHATI P 11/10/1955 P MELAYA
331. 0000141035758 NI LUH SANTIKA ARY HENDRAYANTI P 25/01/1982 P -
332. 0000163529831 NI LUH SUBADRI P 07/10/1971 I JL. KRAMAT MELAYA PANTAI
333. 0000141096936 NI LUH SUDIATHI P 06/04/1955 P BLIMBINGSARI
334. 0000162969399 NI LUH VINA FEBRIANI P 10/02/2002 1 DS. MELAYA
335. 0000141064571 NI MADE LATIH P 31/12/1943 P DSN.SUMBERSARI
336. 0000143156981 NI MADE PUTRI P 31/12/1962 I DSN.TIRTA
KUSUMA,DS.CANDIKUSUMA
337. 0000141096508 NI MADE ARI SUSANTI P 12/10/1995 2 DESA TUWED
338. 0000141118053 NI MADE DWI CAHYANI P 21/12/2000 2 DS.TUKADAYA MELAYA
339. 0000141093235 NI MADE PUTRI SUANITA P 10/12/1995 2 DS. YEHEMBANG KAUH
340. 0000141093009 NI MADE RAI ARIANI P 08/02/1970 I DESA BLIMBINGSARI
341. 0000141096925 NI MADE RAI CINTHIA C. P 15/05/1998 2 DS. BLIMBINGSARI
342. 0000141066472 NI MADE RITANIASIH P 15/08/1945 I NUSASARI
343. 0000202231078 NI MADE SARNI P 15/12/1950 I DSN.WARGASARI DS.
344. 0000140993717 NI MADE TANTRI L 31/12/1959 P DS.MELAYA
345. 0000141096486 NI MADE YENI P 31/12/1966 I DESA TUWED
346. 0000141109907 NI MD. BUDIANI P 31/12/1953 P MELAYA KRAJAN
347. 0000141135085 NI MD. DWI HENY CHRISTANTI,SE P 17/12/1976 P DS. BLIMBINGSARI
348. 0000141130135 NI MD. REMIH P 31/12/1969 I N/A
349. 0000141105352 NI MD. RESITA LESTIANI P 16/02/1994 2 DESA NUSASARI
350. 0000141096969 NI MD. SUCIATHI P 04/02/1953 P DS. BLIMBINGSARI
351. 0000141153467 NI MD. SUWILI P 31/12/1961 I MELAYA
352. 0000141118457 NI NENGAH AYU B.AGUSTINI P 01/08/1994 2 MELAYA
353. 0000141111966 NI NGH. NADIASIH P 18/06/1962 P DS. TUWED
354. 0000141118277 NI NGH. SUDAMI P 16/03/1967 I SUMBERSARI
355. 0000141118345 NI NGH. SUKAPTI P 31/12/1956 I DS. MELAYA
356. 0000200190971 NI NGH.TEMU ARTINI P 26/10/1963 I DSN TETELAN DESA
CANDIKUSUMA
357. 0000203688055 NI NYM SATYA CHARISTI P 12/07/1993 1 LINGK. ARUM, GILIMANUK
358. 0000141118468 NI NYM. ADRININGSIH P 15/07/1960 P PANGKUNG DEDARI
359. 0000141099737 NI NYM. DIARNI P 31/12/1961 P CANDIKUSUMA

3/2/12 5:40 PM Page 7 of 10


No No Kartu Nama JK Tgl Lahir PISA Alamat
360. 0000141108974 NI NYM. KARNASIH P 31/12/1964 P JL.NYALAK PUTIH
361. 0000141148541 NI NYM. MANIK PUSPITA P 22/10/1992 3 JL.CENDRAWASIH.
362. 0000140996992 NI NYM. NANTRIANI P 31/12/1965 I GILIMANUK
363. 0000141140406 NI NYM. SANTRI P 31/12/1962 I N/A
364. 0000141115263 NI NYM. SARATHATIWANGI P 05/04/1960 P PK. DEDARI MELAYA
365. 0000141060756 NI NYM. SUDIARTINI P 31/12/1963 P DESA EKASARI
366. 0000141096982 NI NYM. SUKAWINADI P 14/10/1955 P BLIMBINGSARI
367. 0000141093099 NI NYOMAN SANTRI P 31/12/1956 I DSN.P.DEDARI. MELAYA
368. 0000141093202 NI NYOMAN SURYANI, S.AG P 28/08/1963 P DS. NUSASARI
369. 0000141105791 NI NYOMAN TAMAN P 31/12/1956 P NEGARA
370. 0000209613227 NI PT ADARA NARESWARI RESTU P.W P 19/07/2011 1 DESA EKASARI
371. 0000141140305 NI PT. ASTITI P 31/12/1964 I MELAYA
372. 0000141093145 NI PT. DEWI AYU SULAKSMI P 14/12/1996 1 DSN. NUSASARI KAJA
373. 0000141112001 NI PT. LELY WERKELMENI P 15/12/1960 P DS. KUBUTAMBAHAN
374. 0000141148179 NI PT. LELY WERKELMENI P 15/12/1960 I TUWED
375. 0000205706395 NI PT. RATNA ASTITI DEWI P 23/07/2005 1 WARNASARI
376. 0000141111832 NI PT. WARDANI P 31/12/1964 I DESA TUKADAYA
377. 0000141153412 NI PT. WARNILIATI P 23/03/1962 P DS. MELAYA
378. 0000141140755 NI PT.EKA ROSIANA DEWI. P 05/05/1991 1 DESA CANDIKUSUMA
379. 0000141093224 NI PT.PIPI INDRA WAHYUNI P 04/03/1991 1 DS. YEHEMBANG KAUH
380. 0000141140564 NI PUTU ARI PURNAMI P 16/01/1995 1 MELAYA
381. 0000141092976 NI PUTU AYU ASTITI P 13/03/2000 1 DESA MELAYA
382. 0000141122834 NI PUTU OKA WIRAWATI P 21/10/1990 1 DS. KALIAKAH
383. 0000141148528 NI PUTU SUKARMI P 08/10/1959 P JL. JALAK PUTIH GG.V
GILIMANUK
384. 0000141158463 NI PUTU SWARMINI P 28/05/1981 I DESA MANISTUTU
385. 0000141090761 NI PUTU TORNI P 31/12/1953 I DESA WARNASARI
386. 0000143153583 NI PUTU UTAMI P 05/04/1961 I DESA TUWED
387. 0000141053321 NI WAYAN MERI P 31/12/1953 I DESA WARNASARI
388. 0000141035837 NI WAYAN BANDAWATI P 17/09/1980 P -
389. 0000141140147 NI WAYAN KERTI, S.PD P 25/07/1970 I DESA MELAYA
390. 0000197374645 NI WAYAN MARIANI P 11/08/1966 I DS. MELAYA
391. 0000172468539 NI WAYAN PUTRI P 24/12/1954 I DS. NUSASARI KEC.MELAYA
392. 0000141114069 NI WAYAN SARIANI P 31/12/1956 I DS. NUSASARI
393. 0000141109839 NI WAYAN SORTI P 31/12/1961 I N/A
394. 0000141118301 NI WAYAN SUATI P 31/12/1965 I SUMBERSARI
395. 0000141140744 NI WAYAN SUWENI. P 15/11/1971 I DESA CANDIKUSUMA
396. 0000141096464 NI WAYAN TASIAN P 31/12/1954 I DESA NUSASARI
397. 0000141099748 NI WAYAN TUSI P 31/12/1953 P DS. CANDIKUSUMA
398. 0000141140834 NI WAYAN WARI P 31/12/1955 I DS. NUSASARI
399. 0000141123453 NI WY. ARYATI P 07/08/1961 P TUWED
400. 0000141063658 NI WY. MINDON P 31/12/1944 I NUSASARI
401. 0000141113968 NI WY. PUTRI P 31/12/1960 I MELAYA
402. 0000141114104 NI WYN. KANDRI P 12/09/1954 P NUSASARI
403. 0000141115195 NI WYN. MUNDRI P 05/12/1965 I N/A
404. 0000141093213 NI WYN. PURNIASIH P 14/08/1965 P DS. MANGGISSARI
405. 0000141115307 NI WYN. PUTRI P 31/12/1960 P GILIMANUK
406. 0000141105339 NI WYN. SUARTINI P 19/09/1969 I DESA NUSASARI
407. 0000141105306 NI WYN. SUDARMI P 31/12/1963 I DESA TUWED
408. 0000141112023 NI WYN. SUERNI P 02/03/1962 P DS. TUWED
409. 0000141115094 NI WYN. SUKARTI P 15/04/1965 I DS.NUSASARI MELAYA
410. 0000141102303 NI WYN. SUTRI P 05/01/1965 I N/A
411. 0000141091738 NI WYN. SUWINI P 05/11/1960 P GILIMANUK
412. 0000141330003 NI WYN. YULI ADNYANI P 02/07/1975 I DS. SUMBERSARI

3/2/12 5:40 PM Page 8 of 10


No No Kartu Nama JK Tgl Lahir PISA Alamat
413. 0000141140125 NUR DINA MARDHATILLAH P 16/07/2007 2 DESA CANDIKUSUMA
414. 0000141140103 NURKUMALA WATI P 17/11/1979 I DESA CANDIKUSUMA
415. 0000141066191 NYM. PAULUS SURYAWAN. L 31/12/1945 P DS. EKASARI
416. 0000141140981 NYO HARYANTO EDHI, SE3 L 22/03/1963 S MELAYA KRAJAN
417. 0000141093022 NYOMAN YEMIMA SOFIA PUTRI P 14/01/2009 3 DESA BLIMBINGSARI
418. 0000141066786 PAIJEM P 31/12/1948 I MELAYA
419. 0000140992569 PT. NONIK RISQI PRATIWI P 04/04/1994 1 DESA NUSASARI
420. 0000141148833 PT.ERA WAHYU ASTITI, S.PD P 17/03/1983 I DESA NUSASARI
421. 0000141093055 PT.RIA JUNITA KRISIANI P 13/06/1994 1 DS. NUSASARI
422. 0000141141148 PT.SRI WARJANI P 03/01/1967 P TUKADAYA
423. 0000141005913 PURWANISYAH P 30/12/1997 1 DS. MELAYA PANTAI
424. 0000143117302 PUSPITA DIAH SUSANTI P 22/10/1992 1 BAJAR PANGKUNG TAANAH
KANGIN
425. 0000141140496 PUTU ANANTASASTRA A. L 04/09/2007 1 DSN. PK. DEDARI. DESA
MELAYA
426. 0000194875604 PUTU AYU DIAH SUDARZANIA P 21/10/2006 1 JL.RAJAWALI III/8 PENDEM
427. 0000201780663 PUTU AYUDIA RADHYADISTI P 25/01/2011 1 DSN.PANGKUNG
DEDARI,DS.MELAYA
428. 0000141330014 PUTU DEVI JANISA PUTRI P 24/01/2001 1 DS. SUMBERSARI
429. 0000140995563 PUTU PAJAR NUSIARMANA L 13/02/1998 1 DESA TUKADAYA
430. 0000141148078 PUTU SISKA PUSPITARINI P 02/05/2003 1 JL. RAJAWALI 4 GILIMANUK
431. 0000141148607 RAHIMA FITRIATI P 09/04/1992 2 JL. GURAMI GILIMANUK
432. 0000205582162 RAHMI FIRDAUSI P 05/11/1999 3 MELAYA
433. 0000167217974 RAISHA DIAN PRAMESTI P 17/12/2002 2 DSN.PK.DEDARI MELAYA.
434. 0000140997363 RAKHMAT L 26/07/1971 P NEGARA
435. 0000141148449 RAKHMAT L 26/07/1971 S JL.CENDRAWASIH G.5 KEL.
GILIMANUK
436. 0000141141194 RENALDI ANWAR L 28/06/2007 1 DESA MELAYA
437. 0000203681575 RIFANA WAHYU R. P 16/07/1996 3 LINGK. ARUM, GILIMANUK
438. 0000141093033 RIJASA IKT. L 21/04/1964 P DS. NUSASARI
439. 0000141115116 RISA PRAMITA DEWI P 13/12/1995 2 DS.NUSASARI MELAYA
440. 0000141108895 ROCKY PRIMANA TJIPTA L 01/04/1990 1 N/A
441. 0000141048933 ROSA NI KT. SUKAWATI P 21/01/1950 I EKASARI
442. 0000204796214 ROSALIA NYOMAN MARIATI P 29/05/1982 P EKASARI, MELAYA
443. 0000141066371 SUPAR L 15/10/1940 P JL. PAHLAWAN SUKOTO
444. 0000141141172 SADIKIN, A.MD. L 20/11/1971 P DESA MELAYA
445. 0000141115296 SALOMO ABDI PRASETYA L 03/04/2000 1 DSN. PK. DEDARI
446. 0000141100874 SAMSURI L 01/08/1960 P GILIMANUK
447. 0000141114126 SANG AYU KETUT MULIASIH P 31/12/1952 P DS.EKASARI MELAYA
448. 0000141040372 SARIYEM P 12/12/1949 I DS. CANDIKUSUMA
449. 0000140994628 SAYU KADE SARIATI P 31/12/1960 P DS. CANDIKUSUMA
450. 0000141099761 SAYU KOMANG. RAKA,SPD. P 14/06/1953 P DS. CANDIKUSUMA
451. 0000141109874 SILUH PT. EKAWATI P 15/08/1966 I SUMBERSARI
452. 0000141118492 SILUH PUTU EKAWATI P 15/08/1966 P DSN SUMBERSARI DS
453. 0000140984054 SITI HASANAH P 28/04/1959 P BRAWANTANGI, TUKADAYA
454. 0000163865687 SITI HORIYAH, A.MA. P 16/01/1973 P JALAK PULIH,GILIMANUK
455. 0000141032766 SITI KHOTIMAH P 09/05/1967 I N/A
456. 0000141148574 SITI ZUBAIDAH P 21/03/1964 P MELAYA
457. 0000141133803 SLAMAT RAHARJO, AMD.RAD L 15/01/1969 P KELURAHAN GILIMANUK
458. 0000141066775 SLAMET L 31/12/1942 P DSN. MELAYA PANTAI
459. 0000141041957 SOEWANDI L 14/05/1938 P JL. GURAMI 48 KEL.
GILIMANUK
460. 0000141096879 SRI HARTINI P 12/09/1963 I DS. MELAYA
461. 0000200159943 STEFANUS I NYM SUTARJANA L 23/09/1973 S EKASARI
462. 0000141109953 SUGIS SUNARSIH P 12/04/1974 I JLN.IKAN PAUS
463. 0000141093246 SUHARTATIK, S.PD P 09/06/1959 P DS. MELAYA

3/2/12 5:40 PM Page 9 of 10


No No Kartu Nama JK Tgl Lahir PISA Alamat
464. 0000141109942 SUKAMTO L 24/04/1971 P JLN.IKAN PAUS
465. 0000141148067 SUMBULATIN P 12/12/1971 I N/A
466. 0000141114161 SUNARTI P 05/09/1961 P DS. CANDIKUSUMA
467. 0000141112034 SUNYOTO L 15/11/1960 P DSN TETELAN DS
CANDIKUSUMA
468. 0000141114172 SUNYOTO L 15/11/1956 S EKASARI
469. 0000141093178 SUPARJONO L 12/07/1960 S DESA MELAYA
470. 0000141041968 SURATI P 05/08/1945 I JL. GURAMI 48 KEL.
GILIMANUK
471. 0000141140992 SURYA FUADI PRAKASA L 29/04/1996 1 MELAYA KRAJAN
472. 0000143117291 SUSIATI P 02/02/1955 I BAJAR PANGKUNG TANAH
KANGIN
473. 0000140979251 SUWARTINI P 01/10/1956 I DS.MELAYA JL.RAYA
GILIMANUK-DPS.
474. 0000141005902 SYAHRIN. S. L 12/03/1965 S DS. MELAYA PANTAI
475. 0000141091828 TITIK LESTARI P 21/03/1965 I N/A
476. 0000141007318 TITIN NUR RAHMAWATI P 26/04/1981 I DESA MELAYA
477. 0000206483152 TRI ASTUTI L 17/05/1996 3 GILIMANUK
478. 0000167217592 TRI DIAN PRASETYANI P 05/01/1989 1 DSN.PK.DEDARI MELAYA.
479. 0000141109029 TUSIYAH P 12/03/1963 P GILIMANUK
480. 0000163865722 UNTUNG L 11/10/1976 S KELURAHAN GILIMANUK
481. 0000141011076 VENDA DWI PUTRA L 03/03/1989 1 DS. EKASARI
482. 0000141093191 VIKI TRIMULYANTO L 15/09/1994 2 DESA MELAYA
483. 0000167217298 WIDARINI P 21/05/1964 I DSN.PK.DEDARI MELAYA.
484. 0000200777793 WIJI DEWI UTAMI P 04/10/2000 1 JALAK PULIH,GILIMANUK
485. 0000141148203 WIRA SUSDIYANA,SJ P 25/03/1980 I DESA ASAH DUREN
486. 0000141096971 WYN. SUDIARKA L 13/12/1948 S N/A
487. 0000141091817 YADJID L 12/03/1956 P LINGK. ARUM, GILIMANUK
488. 0000141115318 YASIB MUSLIM L 03/05/1953 P PENEBEL
489. 0000141102448 YUSNINGHATI MATANGGU P 02/04/1955 P MELAYA

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