Anda di halaman 1dari 2

Data Sasaran Vaksinasi Dinas Pemberdayaan Masyarakat dan Desa Provinsi Kalimantan Tengah

Kode_Kabupaten/Kota_Tempat
No. NIK Nama Jenis Kelamin Tanggal Lahir Umur Instansi_Pekerjaan Jenis_Pekerjaan No. HP Alamat KTP
Bekerja
1 2 3 4 5 6 7 8 9 10 11
1. 6271031005670000 Drs. ROJIKINNOR, M.Si L 5/10/1967 53 Dinas PMD Prov. Kalteng Plt. Kepala Dinas '08115036111 Jln. Semeru No. 20
2. 6271032302670001 EKA DYAN SATYA HADI, ST., M.Si L 2/23/1967 53 Dinas PMD Prov. Kalteng Sekretaris '0811521369 Jl. Antang No. 216
3. 6271036906700005 ADIAH CHANDRA SARI, SH., MH P 7/29/1970 50 Dinas PMD Prov. Kalteng Kabid '081288888595 Jl. Kenari II No. 15 A
4. 6271031002670006 Drs. MURJANI L 2/10/1967 54 Dinas PMD Prov. Kalteng Kabid '081349755616
Jl. Bangas Permai No. 76 RT. 03
5. 6271037010660001 Ir. FRANSISKA, MT P 10/30/1966 54 Dinas PMD Prov. Kalteng Kasi '085249232606 Jl. Tingang No. 286
6. 6271030108630001 Drs. UTU L 8/1/1963 57 Dinas PMD Prov. Kalteng Kasi '082151995555 Jl. Danau Mare II No. 40
7. 6271032511690004 TAKWADI, S.Sos L 11/25/1969 51 Dinas PMD Prov. Kalteng Kasi '081351849600 Jl. Sapan I B No. 057
8. 6271032309780006 MURTADHO BISHRI, S.SiT L 9/23/1978 42 Dinas PMD Prov. Kalteng Kasi '082154738225 Jl. Yudistira No. 14
9. 6271030606880007 BERNIE SAPUTRA, S.IP., MA L 6/6/1988 32 Dinas PMD Prov. Kalteng Kasi '085222403375 Jl. Bukit Raya IX C Gg. I No. 02

10. 6209032612830002 RONNIE FRISATIYA, ST L 12/26/1983 37 Dinas PMD Prov. Kalteng Kasi '082155118575 Jl. G. Obos Gg. Pelangi
11. 6271012909650007 WAWAN SETIAWAN, SE L 9/29/1965 55 Dinas PMD Prov. Kalteng Kasi '082158214259 Jl. Mawar No. 18
Jl. RTA. Milono Gg. Sampit No.
12. 6271011408860001 ANATHA HARI AGUS, S.STP., M.Si L 8/14/1986 34 Dinas PMD Prov. Kalteng Kasi '082154730986
08
13. 6271030202740009 SAIFULLAH, ST L 2/2/1974 47 Dinas PMD Prov. Kalteng Kasi '08115522247 Jl. Antang Kalang No. 73
14. 6271036006760003 FONIYATI RAHIMAH, S.Sos P 6/20/1976 44 Dinas PMD Prov. Kalteng Kasi '081352800411 Jl. G.Obos No. 112
15. 6271035004870004 ETTY APRILYA, ST., M.Si P 4/10/1987 33 Dinas PMD Prov. Kalteng Kasi '085249028138 Jl. G. Obos VIII No. 108 A
16. 6271036611760005 SUFFIE SUSILOWATI, S.Hut.,M.Si P 11/26/1976 44 Dinas PMD Prov. Kalteng Kasi '081349007777 Jl. Sapan Raya No. 36
17. 6271036110830007 ZAHROUNNISWAH, SP P Dinas PMD Prov. Kalteng Kasi '082155990331 Jl. Bhayangkara Aspol. Brimob
10/21/1983 37
No. 02
18. 6271035310640002 RUSNIWATI, SP P 10/13/1964 56 Dinas PMD Prov. Kalteng JFT '081253227406 Jl. Pinguin VII No. 506
19. 6271015108630002 Dra. AMBAR SARASWATI, M.Si P 8/11/1963 57 Dinas PMD Prov. Kalteng JFT '08125568148 Jl. Kayu Manis No. 16
20. 6271030605640003 LAMPUNG, SE L 5/6/1964 56 Dinas PMD Prov. Kalteng Pelaksana '085348415760
Jl. Temanggung Tilung V No. 10
21. 6271031508660001 SANI, SE L 8/15/1966 54 Dinas PMD Prov. Kalteng Pelaksana '081349761114 Jl. Bondang No. 14
22. 6271035209680002 VIRA DJATI PURWANINGSIH, SP P 9/12/1968 52 Dinas PMD Prov. Kalteng JFT '085651301330 Jl. Cilik Riwut Km. 7 No. 49
23. 6271010204830005 TRI HANDRIYANTO, S.Kom L 4/2/1983 37 Dinas PMD Prov. Kalteng JFT '081349272220 Jl. Rajawali I Gg. I No. 03
24. DESY WAHYUNINGSIH, S.KM.,MM P 12/29/1985 35 Dinas PMD Prov. Kalteng Pelaksana '082158842014 Jl. Meranti 3
25. 6213011701780003 RADEN TATA NORATA, S.Pd L 1/17/1978 43 Dinas PMD Prov. Kalteng Pelaksana '085248829442 Jl. Yossudarso V
26. 6271014302840003 FEBRIDIYANI, ST P 2/3/1984 37 Dinas PMD Prov. Kalteng Pelaksana '082254273125 Jl. Akasia No. 36
27. 6271035304650002 HATMAWATI, SE P Dinas PMD Prov. Kalteng JFT '081349114599 Jl. Cilik Riwut Km. 7 Komp.
4/13/1965 55
Transito
28. 6271030606810002 MURYANTO, S.IP L 6/6/1981 39 Dinas PMD Prov. Kalteng Pelaksana '085252843498 Jl. Rajawali KM. 7 No. 007
29. 6271035807830004 YULIDA EKA SINTA, ST P Dinas PMD Prov. Kalteng JFT '082158230718 Jl. T. Tilung I Perum. Tilung
7/18/1983 37
Residence No. 15 B
30. 6271042711840001 YANDI, SH L 11/27/1984 36 Dinas PMD Prov. Kalteng Pelaksana '085249240379 Jl. Basir Jahan VI No. 38 C
31. 6271030203630008 SUMINTO L 3/2/1963 57 Dinas PMD Prov. Kalteng Pelaksana '081250973358 Jl. Simpei Karuhei V
32. 6206022305800002 MASDADI, S.Kom L 5/23/1980 40 Dinas PMD Prov. Kalteng Pelaksana '085251913879 Jl. IR. Soewarno No. 27
33. 6271036703790006 HERRY SUPRIYANA,SE L 1/17/1979 42 Dinas PMD Prov. Kalteng JFT '085391413993 Jl. Mendawai V No. 107
34. 6271037108800004 SELVI NORA INDAH, S.Sos P 8/31/1980 40 Dinas PMD Prov. Kalteng Pelaksana '085249164442 Jl. Aries III No. 6
35. 6271035008840003 AGUS TETIANA, A.MG P 8/10/1984 36 Dinas PMD Prov. Kalteng Pelaksana 08115208311 Jl. Merak No. 11
36. 6271035212850009 DIANA KARTIKA, SE L 12/12/1985 35 Dinas PMD Prov. Kalteng Pelaksana '085252790009 Jl. Walet Ujung No. 48
Jl. Kristopel Mihing Gg.
37. 6271036108920005 TRESY WIGRENY, S.IP P 8/21/1992 28 Dinas PMD Prov. Kalteng Pelaksana '081250900104
Tamahas II No. 03
38. 6271015105920003 MEYLIN, ST P 5/11/1992 28 Dinas PMD Prov. Kalteng Pelaksana '082250450300
Jl. Jati Pengaringan III No. 01
39. 6271036710770002 ANI, A.Md P 10/27/1977 43 Dinas PMD Prov. Kalteng Pelaksana '082149548950 Jl. Manjuhan V A No. 07

40. 6271031905790007 PINOASI, A.Md L 5/19/1979 41 Dinas PMD Prov. Kalteng JFT 082157975342 Jl. G. Obos VII Gg. Rabakoi Jaya
Jalur 5 KPR No. 7
41. 6202051309910001 KRISTIAN EKA STEFANUS, S.M L 9/13/1991 29 Dinas PMD Prov. Kalteng Pelaksana '082333361168 Jl. Menteng XXV Blok I No. 08

42. 6271035512870001 RISKA DEWITA NATALIA, SE P 12/15/1987 33 Dinas PMD Prov. Kalteng Pelaksana '081251408844 Jl. Perkutut No. 244
43. 6271010206720002 ALFRIADI L 6/2/1972 48 Dinas PMD Prov. Kalteng Pelaksana '082155803255 Jl. Jati Raya II No. 20
44. 6271022801870001 MUHAMAD SASI, A.Md L 1/28/1987 34 Dinas PMD Prov. Kalteng Pelaksana '085252717275 Jl. Kalibata Blok E I No. 04
45. 6271034605840009 MARIA IKALISKANAWATY P 5/6/1984 36 Dinas PMD Prov. Kalteng Pelaksana '082153489496 Jl. Samudin Aman VII No. 2
46. 6271032005810010 MULYADI L 5/20/1981 39 Dinas PMD Prov. Kalteng Pelaksana '085349681351 Jl. Simpati III No. 99 D
47. 6371034902960007 UPRIYAH RAMADAYANTI, A.Md P Dinas PMD Prov. Kalteng Pelaksana '08977546509 Jl. Belitung Darat Gg. Emas Urai
2/9/1995 26
No. 49
48. 6271031112710007 HINOKARPI L 12/11/1971 49 Dinas PMD Prov. Kalteng Pelaksana '085251080048 Jl. G. Obos VII No. 03
49. 6271034603890001 FIORENI ANTIKA, S.Pd P 3/6/1989 31 Dinas PMD Prov. Kalteng Pekon APBD '085393434888 Jl. Bukit Raya I B NO. 21
50. '6271016912820003 DESI WIDIYASTUTI, S.Sos P 12/29/1982 38 Dinas PMD Prov. Kalteng Pekon APBD 085389939225 Jl. Karet No. 45
51. '6271034509850004 FERA RUSMAULI, SE P 9/5/1985 35 Dinas PMD Prov. Kalteng Pekon APBD '085245576300 Jl. Tiung I No. 25
52. '6271014712930005 PUTERI LARASATI, SE P 12/7/1993 27 Dinas PMD Prov. Kalteng Pekon APBD '082368887388 Jl. Harum Manis VIII No. 01
Jl. Pangeran Hidayattullah Komp
53. '6371054308940003 RIZNA RATIH PUSPA, SH P 4/3/1994 26 Dinas PMD Prov. Kalteng Pekon APBD '082292537773 Abdi Persada Jaya Blok C No.
10
54. '6271036801900004 LUTFI PAWITRA KENCANA PUTRI, S.IP P 1/28/1990 31 Dinas PMD Prov. Kalteng Pekon APBD 085247804869 Jl. Podang No. 108
55. '6271031708850012 ERVAN MAHARDHIKA, SE L 8/17/1985 35 Dinas PMD Prov. Kalteng Pekon APBD '08118598069 Jl. Cilik Riwut KM. 7 No. 26
56. '6271033112780013 AMIN NOOR HAKIM, SE L 12/31/1978 42 Dinas PMD Prov. Kalteng Pekon APBD '085821814844 Jl. Puteri Junjung Buih III
57. '6211061606900001 ROBBI,S.Pd L 6/16/1990 30 Dinas PMD Prov. Kalteng Pekon APBD '085245354340 Jl. G.Obos VIII/ Bakung II
58. '6271034301730002 BIATRIS KALOMBANG P 1/3/1973 48 Dinas PMD Prov. Kalteng Pekon APBD '085252989015 Jl. Rajawali VI No. 07
59. '6271015203830001 ERNI P 3/12/1983 37 Dinas PMD Prov. Kalteng Pekon APBD '08158248892 Jl. Madang No. 21
60. 6271046512880002 SITI MAYSHAROH P 12/25/1988 32 Dinas PMD Prov. Kalteng Pekon APBD '085349025668 Jl. Basir Jahan XII No. 19 D
61. '6271015403820001 MARYUNAH P 3/14/1982 38 Dinas PMD Prov. Kalteng Pekon APBD '082351551345 Jl. Jambu No. 10 A
62. '6271035605910009 SZESTY PUTRI AYU MEINTARI P 5/16/1991 29 Dinas PMD Prov. Kalteng Pekon APBD '081251116881 Jl. Merpati I No. 63
63. '6271046304920001 RIKA CHRISTALINA ARIANI P 4/23/1992 28 Dinas PMD Prov. Kalteng Pekon APBD '082153734434 Jl. Basir Jahan VI No.44 C
Jl. Mahir Mahar Perm. BMT Gg.
64. '6271041410760001 KAMARANI L 10/14/1976 44 Dinas PMD Prov. Kalteng Pekon APBD '081351959245
V No. 51
65. '6271030206930002 RACHMAT ROCKIYAT L 6/2/1993 27 Dinas PMD Prov. Kalteng Pekon APBD '081254449968 Jl. Gemini No. 108
66. '6211022106980002 MUHAMMAD PATHOR RAHMAN L 7/21/1998 22 Dinas PMD Prov. Kalteng Pekon APBD '085820253150 Jl. Wortel 07 No. 06
67. '6271032611810005 DOBY L Dinas PMD Prov. Kalteng Pekon APBD '082148994695 Jl. Sanggabuana II Selatan Gg.
11/26/1981 39
AL-Islah No. 31
68. '6271030201800003 YANDRI BENI L 1/2/1980 41 Dinas PMD Prov. Kalteng Pekon APBD '085249001397 Jl. T. Tilung No. 22 A
69. '6211082107880002 SUJATMIKO L 7/21/1988 32 Dinas PMD Prov. Kalteng Pekon APBD '081522935133
Jl. Pangeran Samudra III No. 05
70. '6211081404560002 KASMIN L 4/14/1958 62 Dinas PMD Prov. Kalteng Pekon APBD 082154091643
Jl. Pangeran Samudra III No. 05
71. '6201022701700002 ABDUL HALIK L 1/27/1970 51 Dinas PMD Prov. Kalteng Pekon APBD '085248668472 Jl. Batutu No. 04
72. '3402160401860003 GALUH KRISTIANTO, S.Pd L 1/4/1986 35 Dinas PMD Prov. Kalteng Pekon APBD '082152321388 Jl. Seth Adji
73. '6271034812840001 YEMIMA WAHYUDHA ARSANTI, SE P 12/8/1984 36 Dinas PMD Prov. Kalteng Pekon APBD '082251223118 Jl. Rajawali II B No. 42
74. '6201022803810003 ARIS MUNDZIRI, SE L 3/28/1981 39 Dinas PMD Prov. Kalteng Pekon APBD '085787675787 Jl. Rajawali III No. 28
75. '6271031806860006 LADIDIDORIE, S.Pd L 6/18/1986 34 Dinas PMD Prov. Kalteng Pekon APBD '082332073888 Jl. Danau Mare II No. 14
76. '6271031009880001 YAYAN, S.Sos L 9/10/1988 32 Dinas PMD Prov. Kalteng Pekon APBD '081348339703 Jl. Baban I No. 24 A
77. '6271013001960002 ALI MUSTOFA L 1/30/1996 25 Dinas PMD Prov. Kalteng Pekon APBD '089605500152 Jl. Tuti II Gg. Ibadah
78. '6271031404910013 JULAI L 4/14/1994 26 Dinas PMD Prov. Kalteng Pekon APBD '085248669928 Jl. Garuda XI No. 254
79. '6271013011670003 JOKO SUTRISNO L 11/30/1967 53 Dinas PMD Prov. Kalteng Pekon APBD '081251845923
Jl. Ramin III Gg. Demak No. 38
80. '6210022408860001 GLORI ADE CANDRA, ST L 8/24/1986 34 Dinas PMD Prov. Kalteng Pekon APBD '085243781672 Jl. Danau Mare II No. 06
81. '6271031611870005 AJI LAMIANG,S.Sos L 11/16/1987 33 Dinas PMD Prov. Kalteng Pekon APBD '085245384386 Jl. Nila Putih No. 04
82. 6271031005670000 MUHAMAD EFENDI, SE.,MM L 8/25/1974 46 Dinas PMD Prov. Kalteng Pekon APBN '085299256778
Jl. Buluh Marindu I No. 67 E
83. 6271031004890001 DEWA GEDE YUDHA ARIAWAN, SE L 4/10/1989 31 Dinas PMD Prov. Kalteng Pekon APBN '085249073096 Jl. Tingang No. 46
84. 6271011509810004 SAIPIN, SP L 9/15/1981 39 Dinas PMD Prov. Kalteng Pekon APBN '082251008976 Jl. Salampak Umar No. 07
85. 6271035506800006 ELVIDARIS HUTASOIT, ST P 6/15/1980 40 Dinas PMD Prov. Kalteng Pekon APBN '085249129050 Jl. Tabiring Raya II B No. 2
86. 6271032611890004 AGAM WIDHI SUSILO, ST L 11/26/1989 31 Dinas PMD Prov. Kalteng Pekon APBN '082251111432 Jl. Sapan X No. 02
Perum. Ghina Housing Jl. Louhan
87. 6203014705870006 RATIH KUMALASARI, SE P 5/7/1987 33 Dinas PMD Prov. Kalteng Pekon APBN '082157954240
Mas Permata Hijau No. 0
Jl. RTA. Milono KM. 5,8 Garuda
88. 6271031708900006 ANDIKA KURNIAWAN, ST L 8/17/1990 30 Dinas PMD Prov. Kalteng Pekon APBN '081315030828
Permai No. 10 B

Anda mungkin juga menyukai