PEREMPUAN 72 JL LETTU KARIM KADIR GANG SEDIA RT. 18 KEL. KARANG JAYA
LAKI-LAKI 62 PERUM GRIYA ASRI BLOK M NO. 53-54 RT. 07 KEL. PULOKERTO
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
JENIS KELAMIN USIA ALAMAT
LAKI-LAKI 65 Jln. Sungai Tenang RT. 20 Kel. Pulokerto
PEREMPUAN 68 PERUM BUKIT SEJAHTERA BLOK CY07 RT. 14 KEL. KARANG JAYA
16
17
18
19
20
21
22
23
24
25
26
No. E-TIKET NIK NAMA TTL USIA
1 S-414C47E2 1671121212500005 M SYIRWAN ADIL 12/12/1950 71
2 S-9B722302 1607105202570002 RUZIA 2/12/1957 71
3 S-BCD30B01 1671060801490004 NG TJAN TJIONG 1/8/1949 73
4 S-F4A461EE 1607104505400001 SUPIYEM 5/5/1940 82
5 P-LG7JOOKT 1671064605290001 PETRUS SELAMET W. 18/10/1955 65
6 S-053F7E0E 1671125211550001 HODIJAH 11/12/1955 66
7 Q-6540F91D 1671122303840003 MUNAWIR 23/03/1984 37
8 Q-89DF5DC8 1671071706790013 DARSAN 17/06/1979 51
9 S-5D567E60 1671120208480001 SUKO MIHARJO 2/8/1948 74
10 S-94F273D4 1671124809530001 SUPINI 9/8/1953 68
11 Q-EF632FEE 1607101211770001 INDIANSYAH 11/12/1977 44
12 S-2AFED179 1671120204450002 AHMAD 4/2/1945 77
13 S-26A833F9 1671011912530001 BUDIMAN 19/12/1953 67
14 P-LJUA3Y27 1671015508620002 NYAYU SITI NINGCIK 15/08/1962 58
15 Q-C0070FD7 1671126202750001 FIBRINA 22/02/1975 45
16 W-24B85D48 1672010107900005 BAYU SEGARA 7/1/1990 32
17 W-2D1B1A6F 7371131904700001 IKHWAN FAHRI 19/04/1970 50
18 S-10B9900E 1671122801580005 AZRI 28/01/1958 62
19 S-E68606BD 1607162512600001 EDI ROMLI 12/25/1960 61
20 S-5265E25B 1607104107550047 YAMI 1/7/1955 67
21 S-23C7E957 1671125109880003 RIKA SEPTARIANA 11/9/1988 33
22 P-8A08B8D0 1671016907900001 DANA YULI NOVRIANTI 29/07/1990 30
23 P-LN5Y2RFO 1671126611980001 TIYA FITRIYANTI 26/11/1998 22
24 S-67790051 1671124403590002 HUDAYA 4/3/1959 63
25 S-E391D93B 1607101806590001 MATIUS SUBARJO 6/18/1959 63
26 S-85EFF970 1671065109880010 Dian Eka Septiani, S.pd 9/11/1988 33
27 S-D0FB921A 1671095401810002 Desi Affriyani 1/14/1981 41
28 W-081FC4BB 1671160210760001 ANDI WIJAYA 10/2/1976 45
29 Z-B34EF979 1671121207730002 TEGUH 7/12/1973 49
30 P-LP1MC0O8 1671127004010004 SHERLI APRILYANA 30/04/2001 19
31 P-LPAM4UYJ 1671125506860006 SUSANTI 15/06/1986 34
32 S-A7B36784 1671125503530004 MSY NINGMAS 15/03/1953 68
33 S-8CB07456 1671127112430019 MAIMUNAH 31/12/1943 77
34 S-4ED3D4C6 1671127112510025 ANIMAH 31/12/1951 69
35 S-80773EE8 1671127112600056 SUWARTI 31/12/1960 60
36 P-8A0F4880 1671121308800005 FITRIADI, ST 13/08/1980 40
37 Q-E8483187 1673012708840004 MGS. MUHAMMAD ZAQI 27/08/1984 36
38 W-32055CB0 1671111309790002 DAVID SUHENDRA 13/09/1979 43
39 Q-806CBA97 1671121105800006 WAISA 11/5/1980 41
40 Q-2CDDB10D 1671125708790004 NURAINI 17/08/1979 42
ALAMAT NO. HP KETERANGAN
Perum griya asri blok. F-73 RT. 17 Kel. Pulokerto 082186669145 Lansia
LK III Sukomoro RT. 28 Kel. Sukomoro 081373622268 Lansia
Jln. Ali Gatmir No. 97 RT. 4 Kel. 11 ilir 083183003533 Lansia
Jln. Rawang Sari RT. 29 Kel. Tanah Mas 081373622268 Lansia
JL. DIPONEGORO KM. 18 RT. 27 RW.6 081373622268 Lansia
Jln. Lettu Karim Kadir RW. 2 RT. 9 081904061984 Lansia
JL. PULOKERTO RT. 21 082373606086 RT
Perumnas Talang Kelapa Blok. IV RT. 50 081273651313 RT
Perum PNS Tiga Putri Blok. CC RT. 26 Kel. Gandus 081271668315 Lansia
Perum PNS Tiga Putri Blok. CC RT. 26 Kel. Gandus 081271668315 Lansia
Jl. Taruna RT. 4 Kel. Air Batu 0821774063 POLRI
Jl. Latsitarda Kajang Bayan RT. 17 Kel. GANDUS 081272823710 Lansia
Jln. Tri Darma Suak Bujang RT. 3 081272823710 Lansia
Jln. Tri Darma Suak Bujang RT. 3 081272823710 PUBLIK
Perum Pns Pemkot blok. N No.4 Gandus 081273736067 GURU
Perum pns pemkot blok. BT RT. 34 085268140800 KELURAHAN
Jln. Bumi 15 Blok. C.3 RT. 4 Kel. Gunung Sari 0811464606 PLN
Perum Griya Asri Blok. D RT. 18 082184814783 Lansia
DUSUN I. DESA RIMBA TERAB Lansia
JL. TALANG BULUH Lansia
Jln. TPH Sofyan Kenawas RT. 19 082294604886 PENDIDIK
Perum PNS Pemkot Blok. BH RT. 34 081438038918 PENDIDIK
Jln. TPH Sofyan Kenawas RT. 19 08117811441 PENDIDIK
Jln. TPH Sofyan Kenawas RT. 19 082379912989 Lansia
SUKAMORO Lansia
Jln. PDAM Musi II 085273440505 PENDIDIK
Jln. AKBP H UMAR RT. 14 PENDIDIK
KOMP. WAHANA GRIYA IN RT. 09 KEL. LEBUNG GAJAH 081338956110 KELURAHAN
Jln. Syakyakirti RT. 13 085267088428 KELURAHAN
Jln. TPH Sofyan Kenawas RT. 20 083192422755 PENDIDIK
Jln. TPH Sofyan Kenawas RT. 16 085279872147 PENDIDIK
Jln. PSING Kenayan rt. 10 081904061984 Lansia
Jln. PSING Kenayan rt. 10 081904061984 Lansia
Jln. PSING Kenayan rt. 10 081904061984 Lansia
Jln. PSING Kenayan rt. 10 081904061984 Lansia
Jln. Tanjung Rawo RT. 54 Bukit Lama 08117883911 PENDIDIK
Perum Bukit Sejahtera RT. 77 Bukit Lama 0819682321 POLRI
Perum Griya Mitra 2 RT. 27 Kel. Karang Jaya 08127844076 POLRI
Jln. Sungai Tenang RT. 19 085268449770 PUBLIK
Jln. Sungai Tenang RT. 19 085310122059 PUBLIK
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
No. E-TIKET NIK NAMA TTL
1 S-DD01F412 1671121212570007 SOPIAN 12/12/1957
2 P-MALYJY2Y 1602034710600002 yusmaini 7/10/1960
3 Q-A9296A13 1601144103680001 HENNY SUMPRIATY 1/3/1968
4 P-IJFV0UYC 1671043112610022 H. YUSRI, SE 31-12-1961
5 S-CFE95175 1671123012550002 AHMAD 30-12-1955
6 S-5B63C417 1671120105400001 JASIR 5/1/1940
7 S-46BF406A 1671120404540004 M ZAHRI BIN H SOLEH 4/4/1954
8 S-0FC8A3A3 1671126002600005 NURBAITI SOLEH SYARI 20-02-1960
9 S-500F5662 1671122008540001 A ROHIM 20-08-1954
10 S-59C7CAB8 1671050104550001 WIRA KESUMAH 4/1/1955
11 S-10ECE964 1671121011570003 SUPARMAN 11/10/1957
12 Y-00000X9B 1671120202590001 BONGGAR 2/2/1959
13 Q-3E39FD65 1671125701600002 KAMSINI 17-01-1960
14 P-MEZEVFSR 1671115005960001 FATMA 10/5/1996
15 S-00F01E41 1671126908580001 ROHANA 29-08-1958
16 S-5AF7D922 1607041510510001 NGADIMAN 15-10-1951
17 S-3F401E11 1671120803570003 HASANUDDIN 8/3/1957
18 S-2782E6D9 1608055307910002 MELLANITA VRISDIANA 13-07-1991
19 P-FE8ZKDR8 1671120612710001 WIYONO 6/12/1971
20 W-C277BB40 1671042905830003 TRI DARMIZI 29-05-1983
21 S-80772144 1671124201490003 SITI HAMA 1/2/1949
22 S-4C4BD02E 1671120505540003 MASUDIN 5/5/1954
23 S-CEB3D305 1671127112540023 HASANA 31-12-1954
24 S-D7132002 1671120101580014 SUKEMI 1/1/1958
25 S-91F132D1 1608094909900002 SITI UMAYAH 9/9/1990
26 Q-879C2AA1 1671121207560003 ROBERT MARULI TL GAOL 12/7/1956
27 W-9C0850E6 1671070707760010 ANDRI 7/7/1976
28 W-5B3DA37F 1607100403670002 UMDARI 4/3/1967
29 S-37BED6F8 1671121606540001 IMRON BIN HARUN 16-06-1954
30 S-144DAA6C 1671121501590003 RUSDI 15-01-1959
31 S-7F8803C4 1671123112510019 M HATTA 31-12-1951
32 S-CCB3D023 1671121207590003 SUJIK 7/12/1959
33 S-5C35B5D3 1671120704540001 BUSTOMI 4/7/1954
34 S-C7932398 1671123011520002 H USMAN CIKNANG 30-11-1952
35 W-88572C22 1671086503690004 SITI JURIAH 25-03-1969
36 P-MVB8K8XB 1671121204830003 ZUHARI 12/4/1983
37 P-MVGR3WHV 1671056501780003 YUS MELI 1/1/1978