PEMERINTAH PROVINSI NUSA TENGGARA BARAT

DINAS PENDIDIKAN DAN KEBUDAYAAN

SMA NEGERI 4 PRAYA
Jln. Tuan Guru Lopan Praya Lombok Tengah Telp. (0370) 653335
Kode Pos 83511 email: sman4.praya@yahoo.com, website : sman4praya.sch.id

SURAT KEPUTUSAN
KEPALA SMA NEGERI 4 PRAYA
NOMOR: 421.3/006/SMA.04/PPDB.P/MN/2021

TENTANG
HASIL SELEKSI BY-SYSTEM PENERIMAAN PESERTA DIDIK BARU JALUR ZONASI
SMA NEGERI 4 PRAYA
TAHUN PELAJARAN 2021/2022
Kepala SMA Negeri 4 Praya

Menimbang a. Bahwa berdasarkan hasil seleksi by-system penerimaan peserta didik baru tahun
pelajaran 2021/2022 SMA Negeri 4 Praya
b. Bahwa mereka yang nama tersebut dalam lampiran keputusan ini dianggap mampu
dan memenuhi kriteria untuk ditetapkan sebagai peserta didik baru SMA Negeri 4
Praya tahun pelajaran 2021/2022
c. Bahwa berdasarkan pertimbangan pada huruf a dan b di atas perlu ditetapkan Surat
Keputusan Kepala Sekolah SMA Negeri 4 Praya
Mengingat a. UU No. 20 Tahun 2003 Tentang Sistem Pendidikan Nasional
b. Permendiknas No. 22 Tahun 2006 Tentang Standar Isi
c. Permendiknas No. 19 Tahun 2007 Tentang Standar Pengelolaan Sekolah
d. Program Kerja SMA Negeri 4 Praya
e. Juknis Penerimaan Peserta Didik Baru SMA, SMK, DAN SLB Tahun Pelajaran
2021/2022

Memperhatikan Hasil seleksi bay-system penerimaan peserta didik baru jalur ZONASI yang di
laksanakan dari tanggal 5 s.d.7 Juli 2021.

MEMUTUSKAN
Menetapkan
Pertama Hasil Seleksi Penerimaan peserta didik baru untuk jalur Zonasi sebagaimana
tercantum dalam lampiran surat keputusan ini.
Kedua Keputusan ini mulai berlaku sejak tanggal ditetapkan, dengan ketentuan apabila di
kemudian hari terdapat kekeliruan akan diadakan perbaikan sebagaimana mestinya.

Ditetapkan di : Praya
Pada Tanggal : 8 Juli 2021
Kepala Sekolah

KADIAN ,S.Pd.
NIP 197112311997021015
Lampiran -1: Pengumuman Hasil Seleksi Penerimaan Peserta Didik Baru 2021/2022 Jenjang SMA jalur Zonasi

No. Nama NISN Tempat, Tgl Lahir Pilihan Wilayah/Des Jarak Tanggal Tanggal Daftar
Sekolah a Lahir
1 Samsumir Rijal 0053710618 Meteng,09-04-2005 SMAN 4 PRAYA Perapen 200 09-04-2005 2021-06-30 12:30:01
2 Lalu Yusril Apriadi Kama Dinata 0056754032 Mataram,14-04-2005 SMAN 4 PRAYA Perapen 200 14-04-2005 2021-06-30 12:37:32
3 Dara Rasti Suastika 0059376233 Kawo,30-06-2005 SMAN 4 PRAYA Perapen 200 30-06-2005 2021-06-29 08:04:17
4 M. Rizki Hidayat 0051860617 Plambik,01-08-2005 SMAN 4 PRAYA Perapen 200 01-08-2005 2021-07-01 10:26:34
5 Ema Aula Riani 0057451435 Praya,30-08-2005 SMAN 4 PRAYA Perapen 200 30-08-2005 2021-06-30 14:38:43
6 Saupy Aulia 0058350607 Praya,30-09-2005 SMAN 4 PRAYA Perapen 200 30-09-2005 2021-06-30 14:54:18
7 Delis Rama Oktaviana 0054221608 Kawo,03-10-2005 SMAN 4 PRAYA Perapen 200 03-10-2005 2021-06-29 10:36:35
8 Alvin Ramdani 0057800101 Praya,10-10-2005 SMAN 4 PRAYA Perapen 200 10-10-2005 2021-06-30 13:40:30
9 Hasbiallah 0051227800 Praya,21-10-2005 SMAN 4 PRAYA Perapen 200 21-10-2005 2021-06-30 12:52:44
10 Usmin Fitrianingsih 0059083943 Semoyong,01-11-2005 SMAN 4 PRAYA Perapen 200 01-11-2005 2021-06-30 14:21:15
11 Adit Saputra 0051064835 Junge,04-11-2005 SMAN 4 PRAYA Perapen 200 04-11-2005 2021-07-03 23:19:30
12 Widia Astuti 0054389907 Praya,09-11-2005 SMAN 4 PRAYA Perapen 200 09-11-2005 2021-06-29 12:02:13
13 Deff Aldo Maulana S 0052174865 Bale Montong Ii,13-11-2005 SMAN 4 PRAYA Perapen 200 13-11-2005 2021-06-29 07:44:52
14 Ema Emilia Kabila 0059562388 Bale Montong Ii,08-12-2005 SMAN 4 PRAYA Perapen 200 08-12-2005 2021-06-29 08:22:50
15 Mohammad Dimas Hadi Prasetiyo 0058073923 Praya,12-12-2005 SMAN 4 PRAYA Perapen 200 12-12-2005 2021-06-30 14:50:02
16 Deny Janwar 0061465054 Praya,20-01-2006 SMAN 4 PRAYA Perapen 200 20-01-2006 2021-06-29 11:23:14
17 M. Danu Firmansyah 0061837012 Mumbang,13-02-2006 SMAN 4 PRAYA Perapen 200 13-02-2006 2021-06-29 14:44:24
18 Novi Zikro Haulia 0068545878 Ungga,09-03-2006 SMAN 4 PRAYA Perapen 200 09-03-2006 2021-06-29 11:13:03
19 Ananda Agus Dwi Kurnianto 0065415818 Praya,12-03-2006 SMAN 4 PRAYA Perapen 200 12-03-2006 2021-06-29 10:22:16
20 Nilna Nurroyana Laily 0066870496 Praya,13-03-2006 SMAN 4 PRAYA Perapen 200 13-03-2006 2021-07-05 12:16:33
21 Lalu Wilda Adriansah 0063025757 Perendek,28-03-2006 SMAN 4 PRAYA Perapen 200 28-03-2006 2021-07-05 08:49:57
22 Liza Maulidina 0064135698 Praya,29-03-2006 SMAN 4 PRAYA Perapen 200 29-03-2006 2021-06-30 15:09:28
23 Karla Maulida 0069103647 Praya,04-04-2006 SMAN 4 PRAYA Perapen 200 04-04-2006 2021-06-30 13:10:06
24 Era Ardilla 0063141286 Mentokok,22-05-2006 SMAN 4 PRAYA Perapen 200 22-05-2006 2021-07-02 09:44:11
Montong Gereneng,27-05-
25 Titin Maryunisari 0066031660 SMAN 4 PRAYA Perapen 200 27-05-2006 2021-06-29 14:54:09
2006
26 Alfilia Putri Jasinta 0062920095 Kawo,22-06-2006 SMAN 4 PRAYA Perapen 200 22-06-2006 2021-06-29 07:59:27
27 Nida Khairunnisa 0062003153 Ampan Lolat,28-06-2006 SMAN 4 PRAYA Perapen 200 28-06-2006 2021-07-01 22:04:44
28 M. Rizal 0065856562 Merembu,01-07-2006 SMAN 4 PRAYA Perapen 200 01-07-2006 2021-06-29 13:20:18
29 Jespia Mulia Hartini 0061750066 Kawo,25-07-2006 SMAN 4 PRAYA Perapen 200 25-07-2006 2021-06-29 15:06:40
30 Arin Suryaningsih 0061831201 Praya,08-08-2006 SMAN 4 PRAYA Perapen 200 08-08-2006 2021-06-30 11:45:08
31 Annas Hidayat Azizi 0061400741 Praya,15-09-2006 SMAN 4 PRAYA Perapen 200 15-09-2006 2021-06-29 13:32:56
32 Munawarah 0063466718 Serengat,07-10-2006 SMAN 4 PRAYA Perapen 200 07-10-2006 2021-06-30 14:35:22
33 Ghina Nuraini 0062819470 Lingkuk Tengak,01-12-2006 SMAN 4 PRAYA Perapen 200 01-12-2006 2021-06-29 14:56:51
34 Nurmarya Zahira 0074817324 Kawo,12-01-2007 SMAN 4 PRAYA Perapen 200 12-01-2007 2021-06-29 10:42:29
35 Al Fikri Rahmat 0073135215 Mentokok,12-02-2007 SMAN 4 PRAYA Perapen 200 12-02-2007 2021-07-01 10:15:08
36 Sarah Keisya Aziza 0058922932 Praya,19-08-2005 SMAN 4 PRAYA Tiwugalih 300 19-08-2005 2021-06-29 11:46:05
37 Ariel Akbar 0051658752 Gerupuk,18-09-2005 SMAN 4 PRAYA Tiwugalih 300 18-09-2005 2021-07-01 21:32:12
38 Noziya Suranggani 0055380392 Segale Anyar,12-10-2005 SMAN 4 PRAYA Tiwugalih 300 12-10-2005 2021-07-01 21:24:11
39 Baiq Muslehati 0057987085 Lombok Timur,24-10-2005 SMAN 4 PRAYA Tiwugalih 300 24-10-2005 2021-07-05 09:00:17
40 Tri Wardani Lilhawa 0077210180 Pengadang,04-03-2006 SMAN 4 PRAYA Tiwugalih 300 04-03-2006 2021-06-29 11:26:34
41 Yunisa H. Pratiwi 0066273954 Bilelando,04-06-2006 SMAN 4 PRAYA Tiwugalih 300 04-06-2006 2021-07-05 14:09:16
42 Baiq Annisa Julia Maharani 0066888925 Praya,04-07-2006 SMAN 4 PRAYA Tiwugalih 300 04-07-2006 2021-06-29 14:58:14
43 Rara Alung Tri Wilia 0068181250 Kawo,08-09-2006 SMAN 4 PRAYA Tiwugalih 300 08-09-2006 2021-06-29 08:09:41
44 Teguh Arya Wibawa 0067698233 Mentokok,18-10-2006 SMAN 4 PRAYA Tiwugalih 300 18-10-2006 2021-07-01 14:11:55
45 Nazwa Aulia Futri 0072412352 Mentokok,02-01-2007 SMAN 4 PRAYA Tiwugalih 300 02-01-2007 2021-06-29 20:11:47
46 Sri Muliani 0076615456 Mentokok,08-01-2007 SMAN 4 PRAYA Tiwugalih 300 08-01-2007 2021-06-29 10:27:52
47 Rada Saputra 0042183420 Gelondong,24-09-2004 SMAN 4 PRAYA Panji Sari 900 24-09-2004 2021-06-30 11:36:29
48 Ririn Putria Anggraini 3053003902 Kawo,12-01-2005 SMAN 4 PRAYA Panji Sari 900 12-01-2005 2021-06-30 07:08:41
49 Muhamad Nabil Ramdan 0059168841 Lombok Tengah,06-10-2005 SMAN 4 PRAYA Panji Sari 900 06-10-2005 2021-06-30 11:50:41
50 Lira Aulia 3051197066 Pengadang,29-11-2005 SMAN 4 PRAYA Panji Sari 900 29-11-2005 2021-07-03 09:07:34
51 Ferdian Saputra 0064215290 Darul Falah,29-04-2006 SMAN 4 PRAYA Panji Sari 900 29-04-2006 2021-06-30 13:22:14
52 I Wayan Sugita 0069042742 Praya,04-05-2006 SMAN 4 PRAYA Panji Sari 900 04-05-2006 2021-07-01 22:48:54
53 Maelany Asrianti 0068055641 Gelondong,16-05-2006 SMAN 4 PRAYA Panji Sari 900 16-05-2006 2021-07-01 10:04:14
54 Prayatni 0066786082 Semoyong,11-07-2006 SMAN 4 PRAYA Panji Sari 900 11-07-2006 2021-07-05 14:36:11
55 Prayatna 0069293287 Semoyong,11-07-2006 SMAN 4 PRAYA Panji Sari 900 11-07-2006 2021-07-05 14:37:53
56 Lalu Cahya Aidil Fitra 0065479358 Reak,24-10-2002 SMAN 4 PRAYA Leneng 1000 24-10-2002 2021-07-05 14:48:51
57 M. Zian Azror 0046932261 Juring,28-07-2004 SMAN 4 PRAYA Leneng 1000 28-07-2004 2021-06-30 14:11:53
58 Lalu Ikhwan Saputra 0053753135 Darek,12-07-2005 SMAN 4 PRAYA Praya 1000 12-07-2005 2021-07-01 11:05:08
59 Oqila Dafiansyah 0053442129 Praya,10-10-2005 SMAN 4 PRAYA Leneng 1000 10-10-2005 2021-06-30 14:46:08
60 Fitra Destra Jaya 0057774807 Mataram,01-11-2005 SMAN 4 PRAYA Leneng 1000 01-11-2005 2021-07-01 10:35:15
61 Moh. Ikhwan Alfarabi 0057802129 Praya,19-11-2005 SMAN 4 PRAYA Praya 1000 19-11-2005 2021-07-01 10:57:58
62 I Gede Arya Sanjiwa 0058077307 Praya,18-12-2005 SMAN 4 PRAYA Praya 1000 18-12-2005 2021-06-29 10:08:52
63 Gina Purnamasari 0066302440 Praya,14-01-2006 SMAN 4 PRAYA Praya 1000 14-01-2006 2021-06-30 12:44:35
64 Sahid Hidayaturrahman 0044756707 Awang Balak,19-01-2006 SMAN 4 PRAYA Praya 1000 19-01-2006 2021-06-30 18:28:31
65 Raka Azrul Pratama 0069701627 Barelantan,02-02-2006 SMAN 4 PRAYA Leneng 1000 02-02-2006 2021-06-29 15:04:06
66 Mira Wahyu Safitri 0063667852 Bagik Pemurah,07-02-2006 SMAN 4 PRAYA Praya 1000 07-02-2006 2021-07-05 08:53:57
67 Yuliana Wiryani 0061540705 Mentokok,17-02-2006 SMAN 4 PRAYA Praya 1000 17-02-2006 2021-07-03 09:13:36
68 Muhamad Ariq Febrian 0067386522 Tolot Tolot,23-02-2006 SMAN 4 PRAYA Praya 1000 23-02-2006 2021-06-29 10:35:02
Dasan Ketapang,24-02-
69 M.Febrian Hielmy 0067668037 SMAN 4 PRAYA Praya 1000 24-02-2006 2021-06-29 11:23:58
2006
70 Muhammad Fahrul Rozi 0069629226 Leneng,06-03-2006 SMAN 4 PRAYA Leneng 1000 06-03-2006 2021-07-01 10:10:54
71 Lalu Yusuf Arungan.S.W. 0061171120 Barelantan,07-03-2006 SMAN 4 PRAYA Praya 1000 07-03-2006 2021-06-30 18:45:13
72 M. Alung Irfaizi 0063187499 Kidang,18-03-2006 SMAN 4 PRAYA Leneng 1000 18-03-2006 2021-06-30 14:42:01
Lalu Gede Janarung Ginawang
73 0064196371 Praya,28-03-2006 SMAN 4 PRAYA Leneng 1000 28-03-2006 2021-06-30 14:28:10
Arkan
74 Arya Wira Kusuma 0062985555 Praya,30-03-2006 SMAN 4 PRAYA Leneng 1000 30-03-2006 2021-06-29 10:58:49
75 Alpia Setiawati 0061849595 Mentokok,31-05-2006 SMAN 4 PRAYA Leneng 1000 31-05-2006 2021-06-29 11:49:13
76 Artaning Tirta Buwana 0068792816 Otak Dise,02-06-2006 SMAN 4 PRAYA Praya 1000 02-06-2006 2021-06-30 13:02:04
77 Yunia Susana Karomatullaily 0068662170 Leneng,25-06-2006 SMAN 4 PRAYA Leneng 1000 25-06-2006 2021-07-01 21:45:23
78 Lale Chardina Aulia Zahara 0066705901 Praya,30-06-2006 SMAN 4 PRAYA Praya 1000 30-06-2006 2021-07-01 21:36:20
79 Maulana Baehaqi 0064837278 Juring,11-07-2006 SMAN 4 PRAYA Leneng 1000 11-07-2006 2021-06-30 13:29:41
80 Daffa Imansyah 0063132682 Praya,09-08-2006 SMAN 4 PRAYA Praya 1000 09-08-2006 2021-06-30 12:07:12
81 Resti Sefrienty 0067933942 Lentek,12-09-2006 SMAN 4 PRAYA Leneng 1000 12-09-2006 2021-07-01 22:07:53
82 Tsurayya Amanda 0062835205 Mataram,18-09-2006 SMAN 4 PRAYA Praya 1000 18-09-2006 2021-06-29 09:55:27
83 Tomi Harsono 0054126852 Praya,19-09-2006 SMAN 4 PRAYA Praya 1000 19-09-2006 2021-06-29 11:35:33
84 Dimas Pratama Putra 0066329094 Mentokok,08-10-2006 SMAN 4 PRAYA Praya 1000 08-10-2006 2021-07-01 10:10:27
85 Joyadi Ferdian 0068721385 Pengadang,05-11-2006 SMAN 4 PRAYA Praya 1000 05-11-2006 2021-06-29 12:07:20
 86 Elva Agestina 0071691729 Reak,01-08-2007 SMAN 4 PRAYA Leneng 1000 01-08-2007 2021-07-01 22:11:06
87 R. M. Wezzy Miskawayh 0061860462 Darek,05-03-2005 SMAN 4 PRAYA Renteng 1200 05-03-2005 2021-07-05 13:51:48
88 Muhamad Galang Elang Anarki 0054353459 Barejulat,30-08-2005 SMAN 4 PRAYA Renteng 1200 30-08-2005 2021-06-30 17:52:56
89 Muhammad Rizki Pratama 0052880399 Wakul,10-12-2005 SMAN 4 PRAYA Renteng 1200 10-12-2005 2021-07-01 11:56:49
90 Lalu Garda Bani Khadapi 0055281738 Kupang,13-12-2005 SMAN 4 PRAYA Renteng 1200 13-12-2005 2021-06-29 13:47:30
91 Gian Minami 0066055071 Gerupuk,14-12-2005 SMAN 4 PRAYA Renteng 1200 14-12-2005 2021-07-01 22:19:30
92 Yuhaniz Laili Nispahayati 0067937460 Otak Desa,07-09-2006 SMAN 4 PRAYA Renteng 1200 07-09-2006 2021-06-29 15:11:33
93 Intan Cahyani 0065323729 Mendo,23-09-2006 SMAN 4 PRAYA Renteng 1200 23-09-2006 2021-07-01 10:48:11
94 Nurwahdaniah 0061558851 Dasan Baru,15-03-2006 SMAN 4 PRAYA Semayan 2600 15-03-2006 2021-06-30 18:33:15
95 Dina Afrilia 0063502768 Praya,22-04-2006 SMAN 4 PRAYA Semayan 2600 22-04-2006 2021-06-30 14:13:19
96 Sumarni 0051896516 Guling,15-09-2005 SMAN 4 PRAYA Sasake 2700 15-09-2005 2021-07-03 09:38:27
97 Hulaisul Fikri 0042360946 Mataram,23-11-2004 SMAN 4 PRAYA Batujai 3100 23-11-2004 2021-07-05 11:06:38
98 Hawa Rahziskia Sabiilul Aini 0053815415 Denpasar,25-07-2005 SMAN 4 PRAYA Batujai 3100 25-07-2005 2021-06-29 20:02:57
99 Nabila Nurmayani 0059635863 Mentokok,25-09-2005 SMAN 4 PRAYA Batujai 3100 25-09-2005 2021-07-01 10:18:49
100 Eky Urmila 0059911959 Segala Anyar,09-10-2005 SMAN 4 PRAYA Batujai 3100 09-10-2005 2021-06-29 14:51:35
101 Ahmad Subandi 0053211238 Montong Buwuh,10-11-2005 SMAN 4 PRAYA Batujai 3100 10-11-2005 2021-07-02 00:38:26
102 Lalu Deni Firmansyah 0051703390 Darek,22-12-2005 SMAN 4 PRAYA Batujai 3100 22-12-2005 2021-07-05 05:50:40
103 Desy Indah Permata Sari 0067057253 Petak,01-01-2006 SMAN 4 PRAYA Batujai 3100 01-01-2006 2021-06-30 13:43:53
104 Lale Diva Ulya Fajrina 0067129012 Batujai,09-02-2006 SMAN 4 PRAYA Batujai 3100 09-02-2006 2021-06-30 13:25:47
105 Ekiq Febrian 0067469044 Tanak Raramg,18-02-2006 SMAN 4 PRAYA Batujai 3100 18-02-2006 2021-06-30 18:38:06
106 Baiq Anggun Aulannida 0062945746 Panujak,06-03-2006 SMAN 4 PRAYA Batujai 3100 06-03-2006 2021-07-05 05:53:28
107 Baiq Nisa Ananda Soleha 0067534450 Rebile,06-03-2006 SMAN 4 PRAYA Batujai 3100 06-03-2006 2021-07-05 12:06:53
108 Nubuah Marsabila 0062897297 Lamboan,23-03-2006 SMAN 4 PRAYA Batujai 3100 23-03-2006 2021-06-30 15:02:10
109 Lalu Fantoni Aziz Assarozi 0063465084 Tanak Awu,04-04-2006 SMAN 4 PRAYA Batujai 3100 04-04-2006 2021-07-02 00:35:19
110 Maulida Ananda Saufi Apriani 0064027767 Sunggaling,05-04-2006 SMAN 4 PRAYA Batujai 3100 05-04-2006 2021-07-05 10:56:54
111 Wanda Nurshama 0068741085 Batujai,13-05-2006 SMAN 4 PRAYA Batujai 3100 13-05-2006 2021-06-29 09:48:44
112 Baiq Tri Aninda Safira 0061948073 Darek,10-06-2006 SMAN 4 PRAYA Batujai 3100 10-06-2006 2021-07-05 05:56:26
113 Miftahul Makwa 0067091180 Toro,01-07-2006 SMAN 4 PRAYA Batujai 3100 01-07-2006 2021-06-30 18:24:32
114 Metal Aria Anggara 0062346267 Tanak Awu,14-08-2006 SMAN 4 PRAYA Batujai 3100 14-08-2006 2021-07-01 22:16:40
115 Ihsan Ahmad 0065335144 Bekasi,23-08-2006 SMAN 4 PRAYA Batujai 3100 23-08-2006 2021-06-29 14:46:11
116 Lalu Danu Ardian 0054629625 Penujak,11-10-2006 SMAN 4 PRAYA Batujai 3100 11-10-2006 2021-07-01 21:55:59
117 Lalu Dafa Trisna Surya 0062149759 Batujai,29-10-2006 SMAN 4 PRAYA Batujai 3100 29-10-2006 2021-06-29 15:16:48
118 Lale Alfiana Rupawan 0067656951 Batujai,28-11-2006 SMAN 4 PRAYA Batujai 3100 28-11-2006 2021-06-29 15:08:49
119 Mardiah 0065759014 Karang Gol,16-12-2006 SMAN 4 PRAYA Batujai 3100 16-12-2006 2021-07-01 21:51:41
120 Angraini Suci Ramdani 0065070440 Mentokok,01-01-2007 SMAN 4 PRAYA Batujai 3100 01-01-2007 2021-07-06 09:53:47
121 Indah Tri Handayani 0064178918 Enjak-Enjak,01-02-2005 SMAN 4 PRAYA Jontlak 3500 01-02-2005 2021-06-29 14:25:05
122 Muhammad Amudi Maulana 0052129397 Praya,24-10-2005 SMAN 4 PRAYA Jontlak 3500 24-10-2005 2021-06-30 13:05:35
123 Ahmad Satria Andika Usmayadi 0055573029 Praya,24-10-2005 SMAN 4 PRAYA Jontlak 3500 24-10-2005 2021-07-03 09:31:56
124 Arwin Hadi Ruswanda 0054389970 Praya Tengah,09-12-2005 SMAN 4 PRAYA Jontlak 3500 09-12-2005 2021-06-29 14:25:43
125 Dita Pebriani 0065972008 Enjak-Enjak,06-02-2006 SMAN 4 PRAYA Jontlak 3500 06-02-2006 2021-06-29 14:38:27
126 Diva Pramana 0063056098 Pengakap,13-05-2006 SMAN 4 PRAYA Jontlak 3500 13-05-2006 2021-06-30 14:06:03
127 Very Sudrajat 0063467401 Praya,31-05-2006 SMAN 4 PRAYA Jontlak 3500 31-05-2006 2021-06-29 14:02:56
128 Muh. Fasya Annur 0063965674 Praya,10-06-2006 SMAN 4 PRAYA Jontlak 3500 10-06-2006 2021-06-30 13:07:47
129 Jumilia Putri Trinadi Nirmala 0067524333 Mataram,29-06-2006 SMAN 4 PRAYA Jontlak 3500 29-06-2006 2021-06-30 14:31:13
130 Baiq Farisa Oktavia 0057670381 Praya,01-10-2005 SMAN 4 PRAYA Gerunung 3600 01-10-2005 2021-06-30 12:39:11
131 Muhamad Iqbal Gilaz Bahari 0062768239 Gerunung,23-04-2006 SMAN 4 PRAYA Gerunung 3600 23-04-2006 2021-06-29 14:02:39
132 Lalu Muhammad Sahroni 0066072852 Bungan Tapen,03-05-2006 SMAN 4 PRAYA Gerunung 3600 03-05-2006 2021-06-30 12:53:13
133 Dodik Pratama 0069721257 Sundil,02-06-2006 SMAN 4 PRAYA Gerunung 3600 02-06-2006 2021-06-30 18:20:35
134 Lalu Muh. Ari Fikri 0067402610 Marung,05-01-2005 SMAN 4 PRAYA Bunut Baok 4700 05-01-2005 2021-06-29 09:38:40
135 Diaz Agistaranda Susan 0034604230 Bonjeruk,28-08-2005 SMAN 4 PRAYA Bunut Baok 4700 28-08-2005 2021-06-29 14:37:31
136 Deni Firman Zakaria 0077949725 Juring,15-07-2005 SMAN 4 PRAYA Gerantung 4800 15-07-2005 2021-07-05 15:24:35
137 Firman Arjaya 0066891549 Lingkuk Baru,18-01-2006 SMAN 4 PRAYA Lajut 5000 18-01-2006 2021-06-30 13:37:26
138 Firman Asy Syaukani 0065794109 Praya,01-06-2006 SMAN 4 PRAYA Lajut 5000 01-06-2006 2021-06-29 13:52:03
139 Novi Arianti 3064874420 Batu Keliang,12-11-2006 SMAN 4 PRAYA Lajut 5000 12-11-2006 2021-07-06 11:52:21
140 Muhammad Faesal Hadi Efendi 0058790492 Aik Mual,14-06-2005 SMAN 4 PRAYA Mertak Tombok 5500 14-06-2005 2021-06-29 14:13:20
141 Mia Astina 0069044739 Dasan Tengak,10-05-2005 SMAN 4 PRAYA Batunyala 5700 10-05-2005 2021-07-05 06:00:31
142 Muh. Ikhwan Saputra 0059201489 Praya,30-08-2005 SMAN 4 PRAYA Batunyala 5700 30-08-2005 2021-07-01 22:01:14
143 Enggi Oktwo Fiani 0053684687 Semoyong,02-10-2005 SMAN 4 PRAYA Batunyala 5700 02-10-2005 2021-07-05 12:10:09
144 Akilo Pradipta Manof 0061135249 Mataram,09-11-2005 SMAN 4 PRAYA Batunyala 5700 09-11-2005 2021-07-05 05:44:04
145 Dila Sulistia 0055561084 Setapuk,14-12-2005 SMAN 4 PRAYA Batunyala 5700 14-12-2005 2021-07-05 10:51:24
146 Dodi Ismail 0069862106 Semut,23-02-2006 SMAN 4 PRAYA Batunyala 5700 23-02-2006 2021-07-05 11:03:34
147 Lova Aditya Ananta 0067970555 Pengadang,03-03-2006 SMAN 4 PRAYA Batunyala 5700 03-03-2006 2021-07-05 05:46:52
148 Enji Natasya 0063412375 Kawo,21-03-2006 SMAN 4 PRAYA Batunyala 5700 21-03-2006 2021-06-30 14:38:45
149 Baiq Putik Analekta 0065843752 Batunyala,10-04-2006 SMAN 4 PRAYA Batunyala 5700 10-04-2006 2021-07-02 09:22:39
150 Lalu Ahmad Azizil Azmi 3062114806 Depol,20-04-2006 SMAN 4 PRAYA Batunyala 5700 20-04-2006 2021-07-05 06:09:51
151 Ardelia Izzati 0066484495 Kawo,17-05-2006 SMAN 4 PRAYA Batunyala 5700 17-05-2006 2021-07-05 06:05:17
152 Meia Nanda Paraditha 0065719646 Kawo,31-05-2006 SMAN 4 PRAYA Batunyala 5700 31-05-2006 2021-07-05 12:01:47
153 Baiq Mega Lestari 0065960514 Majan,27-08-2006 SMAN 4 PRAYA Batunyala 5700 27-08-2006 2021-06-30 12:50:10
154 Haifa Khairunnisa 0067502104 Batunyala,29-08-2006 SMAN 4 PRAYA Batunyala 5700 29-08-2006 2021-07-01 21:38:57
155 Saddam Hidayat 0053211393 Aikmual,19-08-2005 SMAN 4 PRAYA Aik Mual 6700 19-08-2005 2021-06-30 12:27:13
156 Desya Eka Aninda 0053233718 Dasan Agung,13-12-2005 SMAN 4 PRAYA Aik Mual 6700 13-12-2005 2021-07-05 10:46:22

Mataram, 3 Juli 2021

Kepala Dinas Dikbud NTB

Dr. H. Aidy Furqan, M.Pd

Pembina Utama Muda
NIP. 19710124 199801 1 002
Lampiran -2: Pengumuman Hasil Seleksi Penerimaan Peserta Didik Baru 2021/2022 Jenjang SMA jalur Zonasi (ofline)

NO NAMA DESA/KEL. PILIHAN SEKOLAH JARAK TANGGAL DAFTAR

1 Milda Novarza Perapen 50219620 SMAN 4 PRAYA 200 29/06/2021 10:42
2 Muhamad Ridho Hidayat Perapen 50219620 SMAN 4 PRAYA 200 01/07/2021 10:15
3 Muhammad Atha Syafi'i Perapen 50219620 SMAN 4 PRAYA 200 03/07/2021 09:47
4 Nadila Arisanti Perapen 50219620 SMAN 4 PRAYA 200 05/07/2021 09:20
5 Nurman Hakim Perapen 50219620 SMAN 4 PRAYA 200 29/06/2021 10:42
6 Raden Ahmad Febri Ariadi Perapen 50219620 SMAN 4 PRAYA 200 01/07/2021 10:15
7 Sasta Mauliya Perapen 50219620 SMAN 4 PRAYA 200 03/07/2021 09:47
8 Zhayla Esha Sarjuni Perapen 50219620 SMAN 4 PRAYA 200 05/07/2021 09:20
9 Baiq Septiana Heriati Perapen 50219620 SMAN 4 PRAYA 200 29/06/2021 10:42
10 Baiq Triana Sauma Oktarini Perapen 50219620 SMAN 4 PRAYA 200 01/07/2021 10:15
11 Ahkam Arya Fradhita Perapen 50219620 SMAN 4 PRAYA 200 03/07/2021 09:47
12 Lalu Abdurrahmin Perapen 50219620 SMAN 4 PRAYA 200 05/07/2021 09:20
13 Aida Puspita Sari Tiwugalih 50219620 SMAN 4 PRAYA 300 29/06/2021 08:09
14 Muhamad Haekal Syahroni Tiwugalih 50219620 SMAN 4 PRAYA 300 01/07/2021 14:11
15 Vitto Dwi Nugroho Tiwugalih 50219620 SMAN 4 PRAYA 300 29/06/2021 20:11
16 Baiq Anggun Sagina Melinda Tiwugalih 50219620 SMAN 4 PRAYA 300 29/06/2021 10:27
17 Baiq Nidiah Ayu Handini Tiwugalih 50219620 SMAN 4 PRAYA 300 29/06/2021 00:43
18 Lalu Farid Heristo Farel Tiwugalih 50219620 SMAN 4 PRAYA 300 28/06/2021 15:00
19 Elisya Maharani Tiwugalih 50219620 SMAN 4 PRAYA 300 28/06/2021 05:16
20 Leni Nova Yani Tiwugalih 50219620 SMAN 4 PRAYA 300 27/06/2021 19:32
21 Intan Maulana Rahma Dewi Panjisari 50219620 SMAN 4 PRAYA 900 05/07/2021 14:36
22 Jalu Ambara Panjisari 50219620 SMAN 4 PRAYA 900 05/07/2021 14:37
23 Rodatul Aulia Panjisari 50219620 SMAN 4 PRAYA 900 05/07/2021 14:39
24 Inggita Gayatri Panjisari 50219620 SMAN 4 PRAYA 900 05/07/2021 14:41
25 Lalu Yusril Febriyan Panjisari 50219620 SMAN 4 PRAYA 900 05/07/2021 14:42
26 Lalu Restu Adayatama Panjisari 50219621 SMAN 4 PRAYA 900 05/07/2021 14:44
27 Hasn Achmad Al Haddar Panjisari 50219620 SMAN 4 PRAYA 900 05/07/2021 14:46
28 Muhamad Ali Purnamadirja Praya 50219620 SMAN 4 PRAYA 1000 01/07/2021 10:10
29 Muhamad Nif'an Wahyudi Praya 50219620 SMAN 4 PRAYA 1000 29/06/2021 12:07
30 Widya Dwi Artika Sari Praya 50219620 SMAN 4 PRAYA 1000 27/06/2021 14:04
31 Baiq Hofifatul Izzati Praya 50219620 SMAN 4 PRAYA 1000 25/06/2021 16:01
32 Baiq Maya Zulfia Praya 50219620 SMAN 4 PRAYA 1000 23/06/2021 17:57
33 Dima Maulidi Praya 50219620 SMAN 4 PRAYA 1000 21/06/2021 19:54
34 Muhamad Danu Prabianta Leneng 50219620 SMAN 4 PRAYA 1000 01/07/2021 22:07
35 Muhammad Robi Febriansyah Leneng 50219620 SMAN 4 PRAYA 1000 01/07/2021 22:11
36 Asshura Imam Kasturi Leneng 50219620 SMAN 4 PRAYA 1000 01/07/2021 22:14
37 Wanda Nabila Leneng 50219620 SMAN 4 PRAYA 1000 01/07/2021 22:17
38 Baiq Yuhanis Rahma Dani Leneng 50219620 SMAN 4 PRAYA 1000 01/07/2021 22:20
39 Yuni Anggun anisa Leneng 50219620 SMAN 4 PRAYA 1000 01/07/2021 22:23
40 M. Riski Mulya Guna Renteng 50219620 SMAN 4 PRAYA 1200 29/06/2021 15:11
41 Ariksa Ariansyah Renteng 50219620 SMAN 4 PRAYA 1200 01/07/2021 10:48
42 Salwa Indah Renteng 50219620 SMAN 4 PRAYA 1200 03/07/2021 06:24
43 Ahmad Izwan Saputra Renteng 50219620 SMAN 4 PRAYA 1200 05/07/2021 02:01
44 Lalu Gozi Azmi Semayan 50219620 SMAN 4 PRAYA 2500 30/06/2021 18:33
45 Muh. Yusron Semayan 50219620 SMAN 4 PRAYA 2500 30/06/2021 14:13
46 Muhammad Sofyan Wardi Semayan 50219620 SMAN 4 PRAYA 2500 30/06/2021 09:53
47 Wahyudi Hartawan Semayan 50219620 SMAN 4 PRAYA 2500 30/06/2021 05:33
48 Isna Nida'ul Adha Semayan 50219620 SMAN 4 PRAYA 2500 30/06/2021 01:13
49 Putri Maulinda Semayan 50219620 SMAN 4 PRAYA 2500 29/06/2021 20:53
50 Dinda setia Lestari Semayan 50219620 SMAN 4 PRAYA 2500 29/06/2021 16:33

Page 8
NO NAMA DESA/KEL. PILIHAN SEKOLAH JARAK TANGGAL DAFTAR
51 Lalu Asanul Insan Sasake 50219620 SMAN 4 PRAYA 2600 03/07/2021 09:38
52 Mayzatul Husni Sasake 50219620 SMAN 4 PRAYA 2600 04/07/2021 09:38
53 Sinta Adelia Sasake 50219620 SMAN 4 PRAYA 2600 05/07/2021 09:38
54 Iqbal Harta Wijaya Sasake 50219620 SMAN 4 PRAYA 2600 06/07/2021 09:38
55 Ziad Rosma Sovian Sasake 50219620 SMAN 4 PRAYA 2600 05/07/2021 09:38
56 M. Rizki Sasake 50219620 SMAN 4 PRAYA 2600 06/07/2021 09:38
57 Lalu Muharrar Fawaid Batujai 50219620 SMAN 4 PRAYA 3100 29/06/2021 15:08
58 Lalu Teguh Aswandi Utama Batujai 50219620 SMAN 4 PRAYA 3100 01/07/2021 21:51
59 M. Kurniawan Batujai 50219620 SMAN 4 PRAYA 3100 06/07/2021 09:53
60 Anisatrasna Octavia Batujai 50219620 SMAN 4 PRAYA 3100 29/06/2021 15:08
61 Muhammad Sukma Wijaya Batujai 50219620 SMAN 4 PRAYA 3100 01/07/2021 21:51
62 Sri Mahnun Batujai 50219620 SMAN 4 PRAYA 3100 06/07/2021 09:53
63 Zumratul Aulia Batujai 50219620 SMAN 4 PRAYA 3100 29/06/2021 15:08
64 Ahmad Rosyidin Putra Batujai 50219620 SMAN 4 PRAYA 3100 29/06/2021 15:08
65 Arif Gunawan Batujai 50219620 SMAN 4 PRAYA 3100 01/07/2021 21:51
66 Azrial Alfarizi Batujai 50219620 SMAN 4 PRAYA 3100 06/07/2021 09:53
67 Baiq Ainum Batujai 50219620 SMAN 4 PRAYA 3100 29/06/2021 15:08
68 Baiq Apriliana Maulida Haryani Batujai 50219620 SMAN 4 PRAYA 3100 01/07/2021 21:51
69 Baiq Ema Prayitna Batujai 50219620 SMAN 4 PRAYA 3100 06/07/2021 09:53
70 Lalu Deni Firmansyah Batujai 50219620 SMAN 4 PRAYA 3100 29/06/2021 15:08
71 Leo Susanto Batujai 50219620 SMAN 4 PRAYA 3100 29/06/2021 15:08
72 Satrio Giri Pemungkas Batujai 50219620 SMAN 4 PRAYA 3100 01/07/2021 21:51
73 Catur Budihariyanto Jontlak 50219620 SMAN 4 PRAYA 3500 29/06/2021 14:02
74 Lalu Indrawan Ichsan Maulana Jontlak 50219620 SMAN 4 PRAYA 3500 30/06/2021 13:07
75 Muhamad Fikri Jontlak 50219620 SMAN 4 PRAYA 3500 30/06/2021 14:31
76 Ni Ketut Sri Savitri Jontlak 50219620 SMAN 4 PRAYA 3500 29/06/2021 14:02
77 Nur Azylya Monica Jontlak 50219620 SMAN 4 PRAYA 3500 30/06/2021 13:07
78 Lalu Ahmad Abyadh Alwi Jontlak 50219620 SMAN 4 PRAYA 3500 30/06/2021 14:31
79 Lalu Abdurrahman Jontlak 50219620 SMAN 4 PRAYA 3500 29/06/2021 14:02
80 Baiq Sopia Maulinda Jontlak 50219620 SMAN 4 PRAYA 3500 30/06/2021 13:07
81 Lalu Wizul Ibnu Putra Gerunung 50219620 SMAN 4 PRAYA 3600 30/06/2021 12:53
82 Muhamad Resar Fahlefi Ashar Gerunung 50219620 SMAN 4 PRAYA 3600 30/06/2021 18:20
83 Muhammad Rizky Adha Gerunung 50219620 SMAN 4 PRAYA 3600 30/06/2021 23:47
84 Roman Riordan Gerunung 50219620 SMAN 4 PRAYA 3600 01/07/2021 05:15
85 Adinda Dwi Nursamsi Bunut Baok 50219620 SMAN 4 PRAYA 4700 29/06/2021 09:38
86 Isti Purnamasari Bunut Baok 50219620 SMAN 4 PRAYA 4700 29/06/2021 14:37
87 Baiq Tania Mailestari Bunut Baok 50219620 SMAN 4 PRAYA 4700 29/06/2021 19:36
88 Sulton Duta Elbanu Bunut Baok 50219620 SMAN 4 PRAYA 4700 30/06/2021 00:35
89 A'an Adrian Bunut Baok 50219620 SMAN 4 PRAYA 4700 30/06/2021 05:34
90 Zulpiya Elvandari Mertak Tombok 50219620 SMAN 4 PRAYA 5500 06/07/2021 11:52
91 Hesti Asri Rahayu Jago 50219620 SMAN 4 PRAYA 5700 29/06/2021 14:13
92 Lalu Sopan Ariadi Batunyala 50219620 SMAN 4 PRAYA 5700 05/07/2021 12:01
93 Baiq Putik Analekta Batunyala 50219620 SMAN 4 PRAYA 5700 30/06/2021 12:50
94 Lalu Ervin Khutbi Islam Batunyala 50219620 SMAN 4 PRAYA 5700 01/07/2021 21:38
:

Ditetapkan di Praya
Pada Tanggal : 8 Juli 2021
Kepala Sekolah

KADIAN ,S.Pd.
NIP 197112311997021015

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