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REKAPITULASI DAFTAR PEMILIH TETAP KABUPATEN

PEMILIHAN BUPATI DAN WAKIL BUPATI LAMONGAN


TAHUN 2020
OLEH KPU KABUPATEN
PROVINSI : JAWA TIMUR
KABUPATEN : LAMONGAN

JUMLAH JUMLAH PEMILIH


NO NAMA KECAMATAN DESA / KELURAHAN TPS KETERANGAN
L P L+P
1 2 3 4 5 6 7 8
1 SUKORAME SUKORAME.KEDUNGKUMPUL.001 001 192 216 408

2 SUKORAME SUKORAME.KEDUNGKUMPUL.002 002 208 184 392

3 SUKORAME SUKORAME.KEDUNGKUMPUL.003 003 171 164 335

4 SUKORAME SUKORAME.KEDUNGKUMPUL.004 004 118 109 227

5 SUKORAME SUKORAME.KEDUNGKUMPUL.005 005 176 168 344

6 SUKORAME SUKORAME.KEDUNGKUMPUL.006 006 209 225 434

7 SUKORAME SUKORAME.KEDUNGKUMPUL.007 007 212 209 421

8 SUKORAME SUKORAME.KEDUNGKUMPUL.008 008 190 190 380

9 SUKORAME SUKORAME.KEDUNGKUMPUL.009 009 172 208 380

JUMLAH 1,648 1,673 3,321

Disahkan dalam rapat pleno KPU Kabupaten Tanggal 16 Oktober 2020


KPU KABUPATEN LAMONGAN

Nama Tanda Tangan

1. Ketua ............................................ .................................................

2. Anggota ............................................ .................................................

3. Anggota ............................................ .................................................

4. Anggota ............................................ .................................................

5. Anggota ............................................ .................................................


Model A.3-KWK

Model A.3-KWK
DAFTAR PEMILIH TETAP
PEMILIHAN BUPATI DAN WAKIL BUPATI LAMONGAN
TAHUN 2020
PROVINSI : JAWA TIMUR KECAMATAN : SUKORAME
KABUPATEN : LAMONGAN DESA/KELURAHAN : KEDUNGKUMPUL
TPS : 001
TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN
BILITAS
KTP-EL KETERANGAN
B/S/P L/P JALAN/DUKUH RT RW (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 3524010208170001 3524015211900001 SUTRISMI LAMONGAN 12|11|1990 P P PALUOMBO 001 001 0 K

2 3524010501180002 3524011503870001 YUDI MARDIANA LAMONGAN 15|03|1987 S L PALUOMBO 001 001 0 K

3 3524010501180002 3524016707970002 YULIANI SETITI LAMONGAN 27|07|1997 S P PALUOMBO 001 001 0 K

4 3524010509180001 3524012503700002 KARMIN LAMONGAN 25|03|1970 S L PALUOMBO 001 001 0 K

5 3524010509180001 3524015108840004 SANTI LAMONGAN 11|08|1984 S P PALUOMBO 001 001 0 K

6 3524010602200001 3517012610880002 LUKMAN AGUNG JOMBANG 28|10|1988 S L PALUOMBO 001 001 0 K

7 3524010807130002 3524015507890003 SRI PATONAH LAMONGAN 15|07|1989 S P PALUOMBO 001 001 0 K

8 3524010808160003 3524011605820001 SUPARNO LAMONGAN 16|05|1982 S L PALUOMBO 001 001 0 K

9 3524010808160003 3524014805870001 TITIK SARIASIH LAMONGAN 08|05|1987 S P PALUOMBO 001 001 0 K

10 3524010905180002 3524010406730007 SUHARTO LAMONGAN 04|06|1973 P L PALUOMBO 001 001 0 K

11 3524010909190001 3524014311960002 SRI MUTIASARI LAMONGAN 03|11|1996 P P PALUOMBO 001 001 0 K

12 3524011004120003 3524012909750001 SUKOYO LAMONGAN 29|09|1975 S L PALUOMBO 001 001 0 K

13 3524011004120003 3524016602820001 SAMIATI LAMONGAN 26|02|1982 S P PALUOMBO 001 001 0 K

14 3524011011110001 3524014102480006 MARTIWI LAMONGAN 01|02|1948 P P PALUOMBO 001 001 0 K

15 3524011011110001 9109034205640001 WARLIK LAMONGAN 02|05|1964 P P PALUOMBO 001 001 0 K

16 3524011102190001 3524015602970002 LAPID YULANDA WISAROH LAMONGAN 16|02|1997 S P PALUOMBO 001 001 0 K

17 3524011108100973 3524014202720002 LAMIRAH LAMONGAN 02|02|1972 P P Dsn. PALUOMBO 001 001 0 K

18 3524011108100973 3524014703930002 LIANTI LAMONGAN 07|03|1993 B P PALUOMBO 001 001 0 K

19 3524011108101013 3524011003630001 SUNARDI LAMONGAN 10|03|1963 S L PALUOMBO 001 001 0 K

20 3524011108101013 3524014201650004 LASTRI LAMONGAN 02|01|1965 S P PALUOMBO 001 001 0 K

21 3524011108101014 3524011006560001 YADI LAMONGAN 10|06|1956 S L PALUOMBO 001 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 2 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

22 3524011108101014 3524015102600001 SEMI LAMONGAN 11|02|1960 S P PALUOMBO 001 001 0 K

23 3524011108101014 3524016205830001 YANTIK LAMONGAN 22|05|1983 S P PALUOMBO 001 001 0 K

24 3524011108101014 3524015212900003 LINDA SRI UTAMI LAMONGAN 15|10|1992 S P PALUOMBO 001 001 0 K

25 3524011108101236 3524010705510001 SUWARNO LAMONGAN 07|05|1951 S L PALUOMBO 001 001 0 K

26 3524011108101236 3524014809570001 SAINI LAMONGAN 08|09|1957 S P PALUOMBO 001 001 0 K

27 3524011108101237 3524010101700015 SUKIMIN LAMONGAN 01|01|1970 S L PALUOMBO 001 001 0 K

28 3524011108101237 3524014203780001 SAMINING LAMONGAN 02|03|1978 S P PALUOMBO 001 001 0 K

29 3524011108101237 3524014907990001 SASANTI DEWI RAHAYU LAMONGAN 02|09|1999 B P PALUOMBO 001 001 0 K

30 3524011108101262 3524010508660001 LAMIRIN LAMONGAN 05|08|1966 S L PALUOMBO 001 001 0 K

31 3524011108101262 3524015108690002 PARNING LAMONGAN 11|08|1969 S P PALUOMBO 001 001 0 K

32 3524011108101262 3524015508930001 NURMAWATI LAMONGAN 15|08|1993 B P PALUOMBO 001 001 0 K

33 3524011108101395 3524010506590003 JAMIN LAMONGAN 05|06|1959 S L PALUOMBO 001 001 0 K

34 3524011108101395 3524015102640002 KASEH LAMONGAN 11|02|1964 S P PALUOMBO 001 001 0 K

35 3524011108101446 3524011003740003 SEGER ARIANTO LAMONGAN 10|03|1974 S L PALUOMBO 001 001 0 K

36 3524011108101446 3524015302790003 SRI PARLIAH LAMONGAN 13|02|1979 S P PALUOMBO 001 001 0 K

37 3524011108101446 3524016804970002 AYU SELLA NURAINI LAMONGAN 28|04|1997 B P PALUOMBO 001 001 0 K

38 3524011108101465 3524014507480001 MURTINAH LAMONGAN 05|07|1948 P P PALUOMBO 001 001 0 K

39 3524011108101466 3524011503680002 MUKASBI BOJONEGORO 15|03|1968 S L PALUOMBO 001 001 0 K

40 3524011108101466 3524014508770001 SUTIK MARIASIH LAMONGAN 15|04|1977 S P PALUOMBO 001 001 0 K

41 3524011108101468 3524011010750002 BASARI LAMONGAN 10|10|1975 S L PALUOMBO 001 001 0 K

42 3524011108101468 3524015502800001 MARIATI LAMONGAN 15|02|1980 S P PALUOMBO 001 001 0 K

43 3524011108101471 3524013010520001 HERI SUJONO BOJONEGORO 30|10|1952 S L PALUOMBO 001 001 0 K

44 3524011108101471 3524014311620001 LILIK SANTOSOWATI LAMONGAN 03|11|1962 S P PALUOMBO 001 001 0 K

45 3524011108101472 3524010506750001 SAMIJAN LAMONGAN 05|06|1975 S L PALUOMBO 001 001 0 K

46 3524011108101472 3524016309760001 SRI MUKTI LAMONGAN 23|09|1976 S P PALUOMBO 001 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 3 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

47 3524011108101472 3524015101000001 WULAN NINGRESMI LAMONGAN 11|01|2000 B P PALUOMBO 001 001 0 K

48 3524011108101485 3524012706680001 SUNARYO LAMONGAN 27|06|1968 S L PALUOMBO 001 001 0 K

49 3524011108101485 3524017012760001 SUHARNIK LAMONGAN 30|12|1976 S P PALUOMBO 001 001 0 K

50 3524011108101485 3524010601960001 RIAN ARI ISWAHYUDI LAMONGAN 06|01|1996 B L PALUOMBO 001 001 0 K

51 3524011108101486 3524010405640001 MARJI NGANJUK 04|05|1964 S L PALUOMBO 001 001 0 K

52 3524011108101486 3524014101770005 UMAROH NGANJUK 01|01|1977 S P PALUOMBO 001 001 0 K

53 3524011108101486 3524015609020001 PUTRI RAHAYU LAMONGAN 16|09|2002 B P PALUOMBO 001 001 0 K

54 3524011108101487 3524010307600001 WARITO LAMONGAN 03|07|1960 S L PALUOMBO 001 001 0 K

55 3524011108101487 3524014809740001 SITAS MINING LAMONGAN 08|09|1974 S P PALUOMBO 001 001 0 K

56 3524011108101488 3524011311550001 PANGAT LAMONGAN 13|11|1955 S L PALUOMBO 001 001 0 K

57 3524011108101488 3524014603630002 SUNTIASIH LAMONGAN 06|03|1963 S P PALUOMBO 001 001 0 K

58 3524011108101488 3524010606990001 ERFAN BUDI SANTOSO LAMONGAN 06|06|1999 B L PALUOMBO 001 001 0 K

59 3524011108101489 3524017007640001 TASIH LAMONGAN 30|07|1964 P P PALUOMBO 001 001 0 K

60 3524011108101495 3524015705630001 SUMARSI LAMONGAN 17|05|1963 S P PALUOMBO 001 001 0 K

61 3524011108101495 3524012412630001 SUYANTO LAMONGAN 24|12|1963 S L PALUOMBO 001 001 0 K

62 3524011108101495 3524012312860002 ANDRIK PORYONO LAMONGAN 23|12|1986 B L PALUOMBO 001 001 0 K

63 3524011108101495 3524012101990001 RIKI EPENDI LAMONGAN 21|01|1999 B L PALUOMBO 001 001 0 K

64 3524011108101774 3524012802680001 PONIRIN JOMBANG 28|02|1968 S L PALUOMBO 001 001 0 K

65 3524011108101774 3524014605760001 SRINING LAMONGAN 06|05|1976 S P PALUOMBO 001 001 0 K

66 3524011108101774 3524010409960002 ILHAM ARDIANSAH LAMONGAN 14|09|1996 B L PALUOMBO 001 001 0 K

67 3524011108101815 3524010403660001 SADAR LAMONGAN 04|03|1966 S L PALUOMBO 001 001 0 K

68 3524011108101815 3524017012730001 PAMININGYUK LAMONGAN 30|12|1973 S P PALUOMBO 001 001 0 K

69 3524011108101815 3524040101820019 KASMINTO LAMONGAN 01|01|1982 S L PALUOMBO 001 001 0 K

70 3524011108101815 3524016304920001 SRI MURNI LAMONGAN 23|04|1992 S P PALUOMBO 001 001 0 K

71 3524011108101829 3524011906730002 SAGI LAMONGAN 19|06|1973 S L PALUOMBO 001 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 4 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

72 3524011108101830 3524012105510001 PONO LAMONGAN 21|05|1951 S L PALUOMBO 001 001 0 K

73 3524011108101830 3524014601520001 LASTRI LAMONGAN 06|01|1952 S P PALUOMBO 001 001 0 K

74 3524011108101850 3524011505640002 KARNO LAMONGAN 15|05|1964 S L PALUOMBO 001 001 0 K

75 3524011108101850 3524014105730002 PURSRIANI LAMONGAN 01|05|1973 S P PALUOMBO 001 001 0 K

76 3524011108101863 3524010505980001 YOGIK ERLANGGA LAMONGAN 05|05|1998 B L PALUOMBO 001 001 0 K

77 3524011108101881 3524010506400001 TAMIRIN LAMONGAN 05|06|1940 S L PALUOMBO 001 001 0 K

78 3524011108101881 3524014607520001 SUNARMI LAMONGAN 06|07|1952 S P PALUOMBO 001 001 0 K

79 3524011108101883 3524011505700001 SUTAMBAH LAMONGAN 15|05|1970 S L PALUOMBO 001 001 0 K

80 3524011108101883 3524015411750001 SULIK LAMONGAN 14|11|1975 S P PALUOMBO 001 001 0 K

81 3524011108101883 3524016502990001 RICA GHEA PUTRI NUR ANGGI LAMONGAN 25|02|1999 B P PALUOMBO 001 001 0 K

82 3524011108101884 3524010806650001 TARBI'IN LAMONGAN 08|06|1965 S L PALUOMBO 001 001 0 K

83 3524011108101884 3524014907650001 KASIANI LAMONGAN 09|07|1965 S P PALUOMBO 001 001 0 K

84 3524011108101884 3524012601920001 ARIS SETIAWAN LAMONGAN 26|01|1992 B L PALUOMBO 001 001 0 K

85 3524011108101884 3524014302020001 FEBRITA DWI HARTINI LAMONGAN 03|02|2002 B P PALUOMBO 001 001 0 K

86 3524011108101886 3524010704480001 SUKIMAN LAMONGAN 07|04|1948 P L PALUOMBO 001 001 0 K

87 3524011108101886 3524010506710001 SAMIADI LAMONGAN 05|06|1971 B L PALUOMBO 001 001 0 K

88 3524011108101886 3524014605750002 SALINDRI LAMONGAN 06|05|1975 B P PALUOMBO 001 001 0 K

89 3524011108101888 3524010102760001 INSUNSUN LAMONGAN 01|02|1976 S L PALUOMBO 001 001 0 K

90 3524011108101888 3524014606790002 SUKESI LAMONGAN 06|06|1979 S P PALUOMBO 001 001 0 K

91 3524011108101888 3524012111000001 ADI TRISULA LAMONGAN 21|11|2000 B L PALUOMBO 001 001 0 K

92 3524011108101890 3524010503570001 JUPRI LAMONGAN 05|03|1957 S L PALUOMBO 001 001 0 K

93 3524011108101890 3524014703600001 NARYEM LAMONGAN 07|03|1960 S P PALUOMBO 001 001 0 K

94 3524011108101892 3524010806460001 SITAM LAMONGAN 08|06|1946 S L PALUOMBO 001 001 0 K

95 3524011108101892 3524014807850001 SULIKAN LAMONGAN 08|07|1985 B P PALUOMBO 001 001 0 K

96 3524011108101893 3524011206740001 SUWITO JOMBANG 12|06|1974 S L PALUOMBO 001 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 5 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

97 3524011108101893 3524014911760002 DIDIK RINDUWATI LAMONGAN 09|11|1976 S P PALUOMBO 001 001 0 K

98 3524011108101893 3524011703990002 MUHAMMAD FEBY DARMAWANSA MALANG 17|03|1998 B L PALUOMBO 001 001 0 K

99 3524011108101894 3524010602800001 SUJARWO LAMONGAN 06|02|1980 S L PALUOMBO 001 001 0 K

100 3524011108101894 3524014706810001 SUSSILAWATI LAMONGAN 07|06|1981 S P PALUOMBO 001 001 0 K

101 3524011108101894 3524015510010001 FADILA DIAH RAHMAWATI LAMONGAN 15|10|2001 B P PALUOMBO 001 001 0 K

102 3524011108101895 3524010605640001 DIYONO LAMONGAN 06|05|1964 S L PALUOMBO 001 001 0 K

103 3524011108101895 3524014506700003 SAMISRI LAMONGAN 05|06|1970 S P PALUOMBO 001 001 0 K

104 3524011108101896 3524010506720003 KAYAT LAMONGAN 05|06|1972 S L PALUOMBO 001 001 0 K

105 3524011108101896 3524010809940001 BAGUS SUSANTO LAMONGAN 08|09|1994 B L PALUOMBO 001 001 0 K

106 3524011108101897 3524011805750001 MUNTALIB KEDIRI 18|05|1975 S L PALUOMBO 001 001 0 K

107 3524011108101897 3524014706800001 PARTI LAMONGAN 07|06|1980 S P PALUOMBO 001 001 0 K

108 3524011108101898 3524014809700002 MINAH LAMONGAN 08|09|1970 P P PALUOMBO 001 001 0 K

109 3524011108101900 3524010503570002 SUKI LAMONGAN 05|03|1957 S L PALUOMBO 001 001 0 K

110 3524011108101900 3524014605600002 WAGIMAH LAMONGAN 06|05|1960 S P PALUOMBO 001 001 0 K

111 3524011108101900 3524010709810001 WAGIONO LAMONGAN 07|09|1981 S L PALUOMBO 001 001 0 K

112 3524011108101900 3524014109930002 DWI YANTI LAMONGAN 01|09|1993 S P PALUOMBO 001 001 0 B

113 3524011108101901 3524014905600001 NARSIH LAMONGAN 09|05|1960 S P PALUOMBO 001 001 0 K

114 3524011108101901 3524012308650002 SUPARDI LAMONGAN 23|08|1965 S L PALUOMBO 001 001 0 K

115 3524011108102029 3524011201690002 SUTOPO LAMONGAN 12|01|1969 S L PALUOMBO 001 001 0 K

116 3524011108102029 3524016905860002 NA'IMAH EVA SUSANTI LAMONGAN 29|05|1986 S P PALUOMBO 001 001 0 K

117 3524011108102045 3524010508650004 TARIMO LAMONGAN 05|08|1965 S L PALUOMBO 001 001 0 K

118 3524011108102045 3524015503650001 SUMINTEN LAMONGAN 15|03|1965 S P PALUOMBO 001 001 0 K

119 3524011108102045 3524015110990002 ENA KURNIA SARI LAMONGAN 11|10|1999 B P PALUOMBO 001 001 0 K

120 3524011108102050 3524014605630002 RAWUH LAMONGAN 06|05|1963 S P PALUOMBO 001 001 0 K

121 3524011108102094 3524017012480001 SURIP LAMONGAN 30|12|1948 S P PALUOMBO 001 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 6 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

122 3524011108102099 3524010305600001 MUNADI LAMONGAN 03|05|1960 S L PALUOMBO 001 001 0 K

123 3524011108102099 3524015007670001 MANIRAH LAMONGAN 10|07|1967 S P PALUOMBO 001 001 0 K

124 3524011108102117 3524010809570001 SRIPAN LAMONGAN 08|09|1957 S L PALUOMBO 001 001 0 K

125 3524011108102117 3524015112610002 SIWIN LAMONGAN 11|12|1961 S P PALUOMBO 001 001 0 K

126 3524011108102134 3524011508570001 JUPRI LAMONGAN 15|08|1957 S L PALUOMBO 001 001 0 K

127 3524011108102134 3524014805670002 MUNDARI LAMONGAN 08|05|1967 S P PALUOMBO 001 001 0 K

128 3524011108102134 3524012105880002 DWI JOKO MUJIARTO LAMONGAN 21|05|1988 B L PALUOMBO 001 001 0 K

129 3524011108102140 3524011605820003 SUGIANTO LAMONGAN 16|05|1982 S L PALUOMBO 001 001 0 K

130 3524011108102140 3524016305830003 EKA IDA PERWITA SARI LAMONGAN 23|05|1983 S P PALUOMBO 001 001 0 K

131 3524011108102148 3524014705740002 EMILIA MINARNI PADANG 07|05|1974 S P PALUOMBO 001 001 0 K

132 3524011108102148 3524011811990001 RANGGA RAKASIWI PADANG 18|11|1999 B L PALUOMBO 001 001 0 K

133 3524011108102148 3524011906030001 DWIM TITO DANUARTA PADANG 19|06|2003 B L PALUOMBO 001 001 0 K

134 3524011108102149 3524016306690001 JASMANI LAMONGAN 23|06|1969 S P PALUOMBO 001 001 0 B

135 3524011108102149 3524012609960002 SULAPMONO ARIP WIJAYANTO LAMONGAN 26|09|1996 B L PALUOMBO 001 001 0 K

136 3524011108102149 3524012602010001 SULAKSITO ARIS SETIAWAN LAMONGAN 26|02|2001 B L PALUOMBO 001 001 0 K

137 3524011108102202 3524011606790001 SUWARNO LAMONGAN 16|06|1979 S L PALUOMBO 001 001 0 K

138 3524011108102202 3524015212840001 MUJIATI LAMONGAN 12|12|1984 S P PALUOMBO 001 001 0 K

139 3524011108102206 3524010602630001 DRS. SUTJIPTA LAMONGAN 06|02|1963 S L PALUOMBO 001 001 0 K

140 3524011108102206 3524014405700003 MULYA NINGSIH LAMONGAN 04|05|1970 S P PALUOMBO 001 001 0 K

141 3524011108102206 3524010603980001 ZULFAHMI MAHATMA AHMAD LAMONGAN 06|03|1998 B L PALUOMBO 001 001 0 K

142 3524011108102221 3524014609450001 GINAH LAMONGAN 06|09|1945 P P PALUOMBO 001 001 0 K

143 3524011108102221 3524015203750002 MIDAH LAMONGAN 12|03|1975 P P PALUOMBO 001 001 0 K

144 3524011108102221 3524012606030001 ANDREAS BUDI HERMAWAN LAMONGAN 26|06|2003 B L PALUOMBO 001 001 0 K

145 3524011108102222 3524016901670001 SUMANI BOJONEGORO 29|01|1967 S P PALUOMBO 001 001 0 K

146 3524011108102222 3524012807690001 SUHARTONO JOMBANG 28|07|1969 S L PALUOMBO 001 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 7 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

147 3524011108102226 3524010202730002 SADIKUN LAMONGAN 02|02|1973 S L PALUOMBO 001 001 0 K

148 3524011108102226 3524014303820002 NINIK LAMONGAN 03|03|1982 S P PALUOMBO 001 001 0 K

149 3524011108102226 7206080509950001 EKO PRASETYO PALEMBANG 05|09|1995 B L PALUOMBO 001 001 0 K

150 3524011108102226 3524010303030002 ARYA YUDISTIRA LAMONGAN 03|03|2003 B L PALUOMBO 001 001 0 K

151 3524011508190005 3524011307950002 RUDIANTO BOJONEGORO 13|07|1995 S L PALUOMBO 001 001 0 K

152 3524011508190005 3524014407990001 LILIS AYU YULIASIH LAMONGAN 04|07|1999 S P PALUOMBO 001 001 0 K

153 3524011604180001 3524015506810001 YUNI SUSMIATI LAMONGAN 15|06|1981 S P PALUOMBO 001 001 0 K

154 3524011610190001 3522081409600001 ISWARI BOJONEGORO 14|09|1960 P L PALUOMBO 001 001 0 K

155 3524011705160001 5202021504810003 EDI LUGITO LAMONGAN 15|04|1981 S L PALUOMBO 001 001 0 K

156 3524011705160001 5202025212810006 LAYIM DASAN LEKONG 12|12|1981 S P PALUOMBO 001 001 0 K

157 3524011811130001 3524010204800007 PUTJIANTO LAMONGAN 02|04|1980 S L PALUOMBO 001 001 0 K

158 3524011811130001 3524015406860001 YULIANA LAMONGAN 14|06|1984 S P PALUOMBO 001 001 0 K

159 3524012011170001 3524015706480001 SUMINING LAMONGAN 17|06|1948 P P PALUOMBO 001 001 0 K

160 3524012202160001 3524015911640001 SIMAH LAMONGAN 19|11|1964 P P PALUOMBO 001 001 0 K

161 3524012202160001 3524017006820001 ANIS PRIATI LAMONGAN 30|06|1982 S P PALUOMBO 001 001 0 K

162 3524012210190004 3517025511760005 SUMILAH JOMBANG 15|11|1976 S P PALUOMBO 001 001 0 K

163 3524012210190004 3517021510820003 SULIKAN LAMONGAN 15|10|1982 S L PALUOMBO 001 001 0 K

164 3524012404140001 3524010609790001 KUSDI ATMOKO LAMONGAN 06|09|1979 S L PALUOMBO 001 001 0 K

165 3524012404140001 3524016907800002 ARIS KINARSIH LAMONGAN 29|07|1980 S P PALUOMBO 001 001 0 K

166 3524012410190001 3522151408960002 FENDI ARDIAN BOJONEGORO 14|08|1996 S L PALUOMBO 001 001 0 K

167 3524012410190001 3524014210970001 LIA NUR OKTAFIANA LAMONGAN 02|10|1997 S P PALUOMBO 001 001 0 K

168 3524012507160001 3524014607490001 TASRI LAMONGAN 06|07|1949 P P PALUOMBO 001 001 0 K

169 3524012507160001 3275021204590015 LILIK SUPRIADI BOJONEGORO 12|04|1959 S L PALUOMBO 001 001 0 K

170 3524012507160001 3275027001700003 SRI MURTI LAMONGAN 30|01|1970 S P PALUOMBO 001 001 0 K

171 3524012507160001 3275025505970009 INGGITA LELI MURTIKA BEKASI 15|05|1997 B P PALUOMBO 001 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 8 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

172 3524012509190003 3524012207770001 EDI SUCIPTO LAMONGAN 22|07|1977 S L PALUOMBO 001 001 0 K

173 3524012509190003 3524014203800001 IDA WAHYUNINGSIH LAMONGAN 02|03|1980 S P PALUOMBO 001 001 0 K

174 3524012509190003 3524011505990001 DIYON PRATAMA LAMONGAN 15|05|1999 B L PALUOMBO 001 001 0 K

175 3524013101190003 3524014101610026 SAINTEN LAMONGAN 01|01|1961 P P PALUOMBO 001 001 0 K

176 3524013101190003 3524010304820001 MIDI LAMONGAN 03|04|1982 S L PALUOMBO 001 001 0 K

177 3524013101190003 3524014205890001 ETIK LAMONGAN 02|05|1989 S P PALUOMBO 001 001 0 K

178 3524010304120001 3524010803840002 PURNOMO LAMONGAN 08|03|1984 P L PALUOMBO 002 001 0 K

179 3524010411110260 3517120806740001 JUWARI JOMBANG 08|06|1974 S L DSN.PALUOMBO 002 001 0 K

180 3524010411110260 3524016605800001 LESTIOWATI LAMONGAN 26|05|1980 S P DSN.PALUOMBO 002 001 0 K

181 3524010708120001 3524012703770001 SUWITO LAMONGAN 27|03|1977 S L PALUOMBO 002 001 0 K

182 3524010708120001 3524014408840002 SUISWATI LAMONGAN 04|08|1984 S P PALUOMBO 002 001 0 K

183 3524011002140005 3524010504830001 SUWANTO LAMONGAN 05|04|1983 S L PALUOMBO 002 001 0 K

184 3524011002140005 3524015909900001 RODIAH LAMONGAN 19|09|1990 S P PALUOMBO 002 001 0 K

185 3524011008180002 3524015010660001 SUMI LAMONGAN 10|10|1966 P P PALUOMBO 002 001 0 K

186 3524011008180003 3524012104760001 MARJI LAMONGAN 21|04|1976 S L PALUOMBO 002 001 0 K

187 3524011008180003 3524014303880001 SILAH LAMONGAN 03|03|1988 S P PALUOMBO 002 001 0 K

188 3524011108101469 3524014101260008 SAELAH LAMONGAN 01|01|1926 P P PALUOMBO 002 001 0 K

189 3524011108101469 3524014201460007 WARSIH LAMONGAN 02|01|1946 S P PALUOMBO 002 001 0 K

190 3524011108101635 3524011706750001 LISTO WIBOWO LAMONGAN 17|06|1975 S L PALUOMBO 002 001 0 K

191 3524011108101635 3524015504800001 SUNDARI LAMONGAN 15|04|1980 S P PALUOMBO 002 001 0 K

192 3524011108101635 3524011607000002 DIDIN FAJAR NUR AZIZ LAMONGAN 16|07|2000 B L PALUOMBO 002 001 0 K

193 3524011108101756 3524010108600003 TETEP LAMONGAN 01|08|1960 S L PALUOMBO 002 001 0 K

194 3524011108101756 3524016709690001 SAISIH LAMONGAN 27|09|1969 S P PALUOMBO 002 001 0 K

195 3524011108101839 3524014503710001 WAISRI LAMONGAN 05|03|1971 S P PALUOMBO 002 001 0 K

196 3524011108101839 3524012203720001 SUPARMO Grobogan 22|03|1972 S L PALUOMBO 002 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 9 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

197 3524011108101839 3524014111890001 SULAIMAH LAMONGAN 01|11|1989 B P PALUOMBO 002 001 0 K

198 3524011108101842 3524011204760002 HARLIK RUDIAWAN LAMONGAN 12|04|1976 S L PALUOMBO 002 001 0 K

199 3524011108101842 3524015707760001 DWI RAHMAWATI LAMONGAN 17|07|1976 S P PALUOMBO 002 001 0 K

200 3524011108101842 3524011805980001 HABI'IB TIRTA ROBY MUSFAHRUL LAMONGAN 18|05|1998 B L PALUOMBO 002 001 0 K

201 3524011108101843 3524015602650001 NASRI LAMONGAN 16|02|1965 S P PALUOMBO 002 001 0 K

202 3524011108101844 3524014501490002 SAINING PAEJO LAMONGAN 05|01|1949 S P PALUOMBO 002 001 0 K

203 3524011108101844 3524016103740002 KAYATI LAMONGAN 21|03|1974 P P PALUOMBO 002 001 0 K

204 3524011108101844 3524012711780001 PARJI LAMONGAN 27|11|1978 S L PALUOMBO 002 001 0 K

205 3524011108101845 3524015708350002 SAITI LAMONGAN 17|08|1935 P P PALUOMBO 002 001 0 K

206 3524011108101845 3524013009740001 RASIDI LAMONGAN 30|09|1974 S L PALUOMBO 002 001 0 K

207 3524011108101845 3524016406790002 TITIK RAHAYU LAMONGAN 24|06|1979 S P PALUOMBO 002 001 0 K

208 3524011108101845 3524011703010001 SUTYA KAMAL SETIAWAN LAMONGAN 17|03|2001 B L PALUOMBO 002 001 0 K

209 3524011108101846 3524014101590040 SILAH LAMONGAN 01|01|1959 P P PALUOMBO 002 001 0 K

210 3524011108101846 3522080510880002 YADI BOJONEGORO 05|10|1988 S L PALUOMBO 002 001 0 K

211 3524011108101846 3524014104910001 YUNITA LAMONGAN 01|04|1991 S P PALUOMBO 002 001 0 K

212 3524011108101847 3524010101750010 MARJUKI BOJONEGORO 01|01|1975 S L PALUOMBO 002 001 0 K

213 3524011108101847 3524015205790002 SARI ASIH LAMONGAN 12|05|1979 S P PALUOMBO 002 001 0 K

214 3524011108101847 3524011608990001 GANIS BUDIANTO LAMONGAN 16|08|1999 B L PALUOMBO 002 001 0 K

215 3524011108101847 3524014309030001 RINA DWI RAHAYU LAMONGAN 12|09|2003 B P PALUOMBO 002 001 0 K

216 3524011108101848 3524012104770001 ADI PURNOMO LAMONGAN 21|04|1977 S L PALUOMBO 002 001 0 K

217 3524011108101848 3524015208810001 MARIATI LAMONGAN 12|08|1981 S P PALUOMBO 002 001 0 K

218 3524011108101848 3524016101010002 AFRIDA MARDIKARISMA LAMONGAN 21|01|2001 B P PALUOMBO 002 001 0 K

219 3524011108101849 3524012107480001 PAEMAN LAMONGAN 21|07|1948 S L PALUOMBO 002 001 0 K

220 3524011108101849 3524014307580002 PAINTEN LAMONGAN 03|07|1958 S P PALUOMBO 002 001 0 K

221 3524011108101851 3524010201560005 MIDRAN LAMONGAN 02|01|1956 S L PALUOMBO 002 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 10 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

222 3524011108101851 3524015107650001 SADIRAH LAMONGAN 11|07|1965 S P PALUOMBO 002 001 0 K

223 3524011108101851 3524015601980001 AYU WANDIRA LAMONGAN 10|02|2001 B P PALUOMBO 002 001 0 K

224 3524011108101853 3524010308510002 KASIRIN LAMONGAN 03|08|1951 S L PALUOMBO 002 001 0 K

225 3524011108101853 3524014307560002 SURIP LAMONGAN 03|07|1956 S P PALUOMBO 002 001 0 K

226 3524011108101853 3524010607800001 WASIS LAMONGAN 06|07|1980 S L PALUOMBO 002 001 0 K

227 3524011108101853 3524017008840001 UMI KASIDAH LAMONGAN 30|08|1984 S P PALUOMBO 002 001 0 K

228 3524011108101853 3524012808020001 FENDY AGUS PRATAMA LAMONGAN 28|08|2002 B L PALUOMBO 002 001 0 K

229 3524011108101854 3524011301360001 JUPRI LAMONGAN 13|01|1936 S L PALUOMBO 002 001 0 K

230 3524011108101854 3524010404690003 WAIRIN LAMONGAN 04|04|1969 S L PALUOMBO 002 001 0 K

231 3524011108101854 3524014702720002 MIAH LAMONGAN 07|02|1972 S P PALUOMBO 002 001 0 K

232 3524011108101854 3524010410940001 FRENDI EKA PRADANA LAMONGAN 04|10|1994 B L PALUOMBO 002 001 0 K

233 3524011108101856 3524010501590003 SAMIDIN LAMONGAN 05|01|1959 S L PALUOMBO 002 001 0 K

234 3524011108101856 3524015002650001 LASTRI LAMONGAN 10|02|1965 S P PALUOMBO 002 001 0 K

235 3524011108101857 3524015602640001 SITI LAMONGAN 16|02|1964 S P PALUOMBO 002 001 0 K

236 3524011108101857 3524011002730004 HARTONO LAMONGAN 10|02|1973 S L PALUOMBO 002 001 0 K

237 3524011108101858 3524010209530002 KAMID LAMONGAN 02|09|1953 S L PALUOMBO 002 001 0 K

238 3524011108101858 3524014308680003 SADIYAH LAMONGAN 03|08|1968 S P PALUOMBO 002 001 0 K

239 3524011108101858 3524010802860001 EKO SUSANTO LAMONGAN 08|02|1986 B L PALUOMBO 002 001 0 K

240 3524011108101858 3524015310990002 IIN TRIWAHYUNI LAMONGAN 13|09|1999 B P PALUOMBO 002 001 0 K

241 3524011108101859 3524010101640033 MASIMAN LAMONGAN 01|01|1964 S L PALUOMBO 002 001 0 K

242 3524011108101859 3524014207640001 PARMI LAMONGAN 02|07|1964 S P PALUOMBO 002 001 0 K

243 3524011108101861 3524010102480001 RASIBAN LAMONGAN 01|02|1948 S L PALUOMBO 002 001 0 K

244 3524011108101861 3524015708560001 TASRI LAMONGAN 17|08|1956 S P PALUOMBO 002 001 0 K

245 3524011108101863 3524010102700005 SIKAS LAMONGAN 01|02|1970 S L PALUOMBO 002 001 0 K

246 3524011108101863 3524016506780001 NURWATI LAMONGAN 25|06|1978 S P PALUOMBO 002 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 11 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

247 3524011108101864 3524014807580001 MARIYAM LAMONGAN 08|07|1958 S P PALUOMBO 002 001 0 K

248 3524011108101866 3524014101520012 PASRI LAMONGAN 01|01|1952 P P PALUOMBO 002 001 0 K

249 3524011108101869 3524016407610001 SIRUS LAMONGAN 24|07|1961 S P PALUOMBO 002 001 0 K

250 3524011108101869 3524010108620001 SAMPURNO LAMONGAN 01|08|1962 S L PALUOMBO 002 001 0 K

251 3524011108101869 3524010609880001 TATANG SONY RASTIONO LAMONGAN 06|09|1988 P L PALUOMBO 002 001 0 K

252 3524011108101870 3524011409710001 WARDI LAMONGAN 14|09|1971 S L PALUOMBO 002 001 0 K

253 3524011108101870 3524015212810001 PAINEM WONOSOBO 12|12|1981 S P PALUOMBO 002 001 0 K

254 3524011108101870 3524015002980003 WINARNI RAMADHANTI LAMONGAN 10|01|1998 B P PALUOMBO 002 001 0 K

255 3524011108101872 3524010101260004 WARIMAN LAMONGAN 01|01|1926 P L PALUOMBO 002 001 0 K

256 3524011108101872 3524014101650044 SIKAT LAMONGAN 01|01|1965 S P PALUOMBO 002 001 0 K

257 3524011108101872 3524010101690021 YATEMIN LAMONGAN 01|01|1969 S L PALUOMBO 002 001 0 K

258 3524011108101873 3524014407540001 SUPILAH LAMONGAN 04|07|1954 S P PALUOMBO 002 001 0 K

259 3524011108101875 3524014101620030 SAWI LAMONGAN 01|01|1962 S P PALUOMBO 002 001 0 K

260 3524011108101875 3524010101660034 SUPONO LAMONGAN 01|01|1966 S L PALUOMBO 002 001 0 K

261 3524011108101875 3524011009010003 GUNAWAN TRIMULYA SAPUTRA LAMONGAN 10|09|2001 B L PALUOMBO 002 001 0 K

262 3524011108101876 3524010501590004 NARDI LAMONGAN 05|01|1959 S L PALUOMBO 002 001 0 K

263 3524011108101876 3524014107690001 RATNI LAMONGAN 01|07|1969 S P PALUOMBO 002 001 0 K

264 3524011108101876 3524015109990001 NASI'AH LINDA ANDIKA LAMONGAN 11|09|1999 B P PALUOMBO 002 001 0 K

265 3524011108101877 3524010503560001 LEGOH LAMONGAN 05|03|1956 S L PALUOMBO 002 001 0 K

266 3524011108101877 3524016307630001 MURTIWI LAMONGAN 23|07|1963 S P PALUOMBO 002 001 0 K

267 3524011108101878 3524014302510001 SATI LAMONGAN 03|02|1951 P P PALUOMBO 002 001 0 K

268 3524011108101878 3524014804880001 WILDA S N LAMONGAN 08|04|1988 B P PALUOMBO 002 001 0 K

269 3524011108101879 3524011004540001 MITO LAMONGAN 10|04|1954 S L PALUOMBO 002 001 0 K

270 3524011108101879 3524015204570003 SAWI LAMONGAN 12|04|1957 S P PALUOMBO 002 001 0 K

271 3524011108102046 3524011902500001 DJAKIM LAMONGAN 19|02|1950 S L PALUOMBO 002 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 12 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

272 3524011108102047 3524014109490003 SITIK LAMONGAN 01|09|1949 S P PALUOMBO 002 001 0 K

273 3524011108102047 3524012803660002 PONO LAMONGAN 28|03|1966 B L PALUOMBO 002 001 0 K

274 3524011108102047 3524015305820001 KAMINTEN LAMONGAN 13|05|1982 S P PALUOMBO 002 001 0 K

275 3524011108102100 3524010101400036 SURATENO LAMONGAN 01|01|1940 S L PALUOMBO 002 001 0 K

276 3524011108102100 3524014101590047 SUMINAH LAMONGAN 01|01|1959 S P PALUOMBO 002 001 0 K

277 3524011108102119 3524014101650050 JASMIRAH LAMONGAN 01|01|1965 S P PALUOMBO 002 001 0 K

278 3524011108102207 3524010504770001 PURWADI LAMONGAN 05|04|1977 S L Dsn. paluombo 002 001 0 K

279 3524011108102207 3524015807800001 ENI LAMONGAN 18|07|1980 S P Dsn. paluombo 002 001 0 K

280 3524011207120002 3524014301560002 SRI RAHAYU LAMONGAN 03|01|1956 P P PALUOMBO 002 001 0 K

281 3524011312170001 3524015604820001 SUTIAH TUBAN 15|04|1982 S P PALUOMBO 002 001 0 K

282 3524011312170001 3515031609840001 SATRIA INDRA SEPTIYANTO SURABAYA 16|09|1984 S L PALUOMBO 002 001 0 K

283 3524011312170001 3524012905020002 MOHAMAD FACHRUDIN LAMONGAN 29|05|2002 B L PALUOMBO 002 001 0 K

284 3524011806120001 3524014107510001 PAINI LAMONGAN 01|07|1951 P P PALUOMBO 002 001 0 K

285 3524011806120001 3578135910800003 SUYANTI SUKABAYA 19|10|1980 S P PALUOMBO 002 001 0 K

286 3524011806120001 3524011005820001 SABAR LAMONGAN 10|05|1982 S L PALUOMBO 002 001 0 K

287 3524011810180001 3524012207860002 HENDRIK CAHYONO LAMONGAN 22|07|1986 S L PALUOMBO 002 001 0 K

288 3524011810180001 3524010804910001 PENDI WANDOYO LAMONGAN 08|04|1991 S L PALUOMBO 002 001 0 K

289 3524011810180001 3524015801950002 ANITA NATALIA LAMONGAN 18|01|1995 S P PALUOMBO 002 001 0 K

290 3524011811160003 3524011606690003 TARNO LAMONGAN 16|06|1969 S L PALUOMBO 002 001 0 K

291 3524011811160003 3524015203840001 SUTATIK LAMONGAN 12|03|1984 S P PALUOMBO 002 001 0 K

292 3524011811160003 3524017105020001 ADINDA VERA MEYLANI LAMONGAN 30|05|2002 B P PALUOMBO 002 001 0 K

293 3524012504120005 3524013012790001 SLAMET LAMONGAN 30|12|1979 S L PALUOMBO 002 001 0 K

294 3524012504120005 3524015305880002 TUTIK LAMONGAN 13|05|1988 S P PALUOMBO 002 001 0 K

295 3524012511130001 3524010801850001 SUGIANTO LAMONGAN 08|01|1985 S L PALUOMBO 002 001 0 K

296 3524012511130001 3524024805900001 SRI RAHAYU LAMONGAN 08|05|1990 S P PALUOMBO 002 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 13 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

297 3524012805140001 3524012802800001 SUKARDI LAMONGAN 28|07|1980 S L PALUOMBO 002 001 0 K

298 3524012805140001 3524014306820002 PAINING LAMONGAN 03|06|1982 S P PALUOMBO 002 001 0 K

299 3524010202180007 3524015907400002 SUPIYAH LAMONGAN 19|07|1940 P P PALUOMBO 003 001 0 K

300 3524010202180007 3524016005850001 SUPRAPTI LAMONGAN 20|05|1985 S P PALUOMBO 003 001 0 K

301 3524010202180007 3509030810870004 MOHAMMAD MAHFUDZ JEMBER 08|10|1987 S L PALUOMBO 003 001 0 K

302 3524010209190001 6402065809890001 TIWUK SUMIARSIH LAMONGAN 18|09|1987 P P PALUOMBO 003 001 0 K

303 3524010302120001 3524010307810002 DARSONO LAMONGAN 03|07|1981 S L PALUOMBO 003 001 0 K

304 3524010302120001 3524015308920001 ULIAFATUL KHASANAH LAMONGAN 13|08|1992 S P PALUOMBO 003 001 0 K

305 3524010611140001 3524014702740001 RATNAWATI KEDIRI 07|02|1974 P P PALUOMBO 003 001 0 K

306 3524010611140001 3524016408960001 TAMARA ISABELLA ROSALINA KEDIRI 24|08|1996 B P PALUOMBO 003 001 0 K

307 3524010711160001 3524010412840004 SUDARMONO LAMONGAN 04|12|1984 S L PALUOMBO 003 001 0 K

308 3524010711160001 3524016304840001 UMIATI LAMONGAN 23|04|1984 S P PALUOMBO 003 001 0 K

309 3524010808120001 3524014605810001 PEPY SUSIANTI LAMONGAN 06|05|1981 S P PALUOMBO 003 001 0 K

310 3524010808120001 3524011604830001 BASUKI LAMONGAN 16|04|1983 S L PALUOMBO 003 001 0 K

311 3524011007190001 3524015203650003 SUDARWATI LAMONGAN 12|03|1965 P P PALUOMBO 003 001 0 K

312 3524011108101184 3524010601410001 KASTARI LAMONGAN 06|01|1941 S L PALUOMBO 003 001 0 K

313 3524011108101186 3524010512770002 PURWANTO LAMONGAN 05|12|1977 S L PALUOMBO 003 001 0 K

314 3524011108101186 3524014402800001 DARMINI LAMONGAN 04|02|1980 S P PALUOMBO 003 001 0 K

315 3524011108101186 3524012305000001 DANI DAMARA CANDRA YULIANTO LAMONGAN 23|05|2000 B L PALUOMBO 003 001 0 K

316 3524011108101187 3524014911530001 DASINING LAMONGAN 09|11|1953 P P PALUOMBO 003 001 0 K

317 3524011108101187 3524012112870001 DARKO LAMONGAN 21|12|1987 B L PALUOMBO 003 001 0 K

318 3524011108101191 3524011410540001 WAKIT LAMONGAN 14|10|1954 S L PALUOMBO 003 001 0 K

319 3524011108101191 3524016206630001 DASRI LAMONGAN 22|06|1963 S P PALUOMBO 003 001 0 K

320 3524011108101752 3524010506650001 SAWI LAMONGAN 05|06|1965 S L PALUOMBO 003 001 0 K

321 3524011108101752 3524014708720001 SUPINI LAMONGAN 07|08|1972 S P PALUOMBO 003 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 14 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

322 3524011108101785 3524010403600001 WARNO LAMONGAN 04|03|1960 S L PALUOMBO 003 001 0 K

323 3524011108101785 3524025503730004 NINGSIH LAMONGAN 15|03|1973 S P PALUOMBO 003 001 0 K

324 3524011108101786 3524014407570001 SUMIRAH NGANJUK 04|07|1957 S P PALUOMBO 003 001 0 K

325 3524011108101787 3524015505610002 GINTEN LAMONGAN 15|05|1961 S P PALUOMBO 003 001 0 K

326 3524011108101787 3524015805000001 NOPI INDAH SARI LAMONGAN 18|05|2000 B P PALUOMBO 003 001 0 K

327 3524011108101788 3524010906740001 GENDUT LAMONGAN 09|06|1974 S L PALUOMBO 003 001 0 K

328 3524011108101788 3524015906810003 MUJIATI LAMONGAN 19|06|1981 S P PALUOMBO 003 001 0 K

329 3524011108101791 3524011510700001 YASMIN LAMONGAN 15|10|1970 S L PALUOMBO 003 001 0 K

330 3524011108101791 3524017107770001 WARISIH LAMONGAN 31|07|1977 S P PALUOMBO 003 001 0 K

331 3524011108101791 3524010309960001 TEGUH PRASTIYO LAMONGAN 03|09|1996 B L PALUOMBO 003 001 0 K

332 3524011108101795 3524014506600001 WIJI LAMONGAN 05|06|1960 P P PALUOMBO 003 001 0 K

333 3524011108101795 3524015706770002 SUWARNI LAMONGAN 17|06|1977 P P PALUOMBO 003 001 0 K

334 3524011108101795 3524012605010002 CARLOS DANIEL LAMONGAN 26|05|2001 B L PALUOMBO 003 001 0 K

335 3524011108101797 3524014101560027 PAINI LAMONGAN 01|01|1956 S P PALUOMBO 003 001 0 K

336 3524011108101798 3524014101380019 SAMINI LAMONGAN 01|01|1938 P P PALUOMBO 003 001 0 K

337 3524011108101798 3524010608690002 SAENO LAMONGAN 06|08|1969 S L PALUOMBO 003 001 0 K

338 3524011108101798 3524015510700001 SUNTI LAMONGAN 15|10|1970 S P PALUOMBO 003 001 0 K

339 3524011108101798 3524016206020001 IKA AMALIA LAMONGAN 22|06|2002 B P PALUOMBO 003 001 0 K

340 3524011108101799 3524010110670002 SUWOTO BOJONEGORO 01|10|1967 S L PALUOMBO 003 001 0 K

341 3524011108101799 3524014305730001 SRIAMAH LAMONGAN 03|05|1973 S P PALUOMBO 003 001 0 K

342 3524011108101799 3524011606000001 JHONI SETIAWAN BOJONEGORO 16|06|2000 B L PALUOMBO 003 001 0 K

343 3524011108101801 3524016207640002 SRIASIH LAMONGAN 22|07|1964 S P PALUOMBO 003 001 0 K

344 3524011108101802 3524010101570016 DARMAJI LAMONGAN 01|01|1957 S L PALUOMBO 003 001 0 K

345 3524011108101802 3524014101640021 WIASRI LAMONGAN 01|01|1964 S P PALUOMBO 003 001 0 K

346 3524011108101802 3524012007920002 ASRUP WISARTONO LAMONGAN 20|07|1992 B L PALUOMBO 003 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 15 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

347 3524011108101803 3524013112520001 PAINO,S.Pd TRENGGALEK 31|12|1952 S L PALUOMBO 003 001 0 K

348 3524011108101804 3524015002620001 WARINING LAMONGAN 10|02|1962 S P PALUOMBO 003 001 0 K

349 3524011108101804 3524012706940001 BUDI SUDARSONO LAMONGAN 27|06|1994 B L PALUOMBO 003 001 0 K

350 3524011108101805 3524011203750004 DOGOL LAMONGAN 12|03|1975 S L PALUOMBO 003 001 0 K

351 3524011108101805 3524015007760002 YULI RAHMAWATI NGANJUK 10|07|1976 S P PALUOMBO 003 001 0 K

352 3524011108101805 3524011610990001 MOCHAMMAD AMINUDIN YUSWANTO LAMONGAN 16|10|1999 B L PALUOMBO 003 001 0 K

353 3524011108101811 3524016808770001 PATEMI LAMONGAN 28|08|1977 S P PALUOMBO 003 001 0 K

354 3524011108101811 3524011709000001 KELVIN PERDANA PUTRA MULYANA LAMONGAN 17|09|2000 B L PALUOMBO 003 001 0 K

355 3524011108101812 3524010101510018 MURADI LAMONGAN 01|01|1951 S L PALUOMBO 003 001 0 K

356 3524011108101812 3524014101580030 DARSI LAMONGAN 01|01|1958 S P PALUOMBO 003 001 0 K

357 3524011108101813 3524010811440001 SAERUN LAMONGAN 08|11|1944 S L PALUOMBO 003 001 0 K

358 3524011108101813 3524014501550002 SAINING LAMONGAN 05|01|1955 S P PALUOMBO 003 001 0 K

359 3524011108101814 3524011306780001 SUPRIYANTO LAMONGAN 13|06|1978 S L PALUOMBO 003 001 0 K

360 3524011108101814 3524015204790001 SUMIATI LAMONGAN 12|04|1979 S P PALUOMBO 003 001 0 K

361 3524011108101814 3524012009020002 YERIS FAJAR EKO SUPRIYANTO LAMONGAN 20|09|2002 B L PALUOMBO 003 001 0 K

362 3524011108101822 3524010508650002 SODI LAMONGAN 05|08|1965 S L PALUOMBO 003 001 0 K

363 3524011108101959 3524011105700003 DARMANTO LAMONGAN 11|05|1970 S L PALUOMBO 003 001 0 K

364 3524011108101959 3524014710720001 SRI RIMBAWATI NGANJUK 07|10|1972 S P PALUOMBO 003 001 0 K

365 3524011108101959 3524010708990002 ANGGARDA TITUS DARMAWIJAYANTO JOMBANG 07|08|1999 B L PALUOMBO 003 001 0 K

366 3524011108102049 3524013007660002 TABRI LAMONGAN 30|07|1966 S L PALUOMBO 003 001 0 K

367 3524011108102049 3524015302720001 SANTIK LAMONGAN 13|02|1972 S P PALUOMBO 003 001 0 K

368 3524011108102049 3524012604920002 NAFI' EKA LATIKTA AJI LAMONGAN 26|04|1992 B L PALUOMBO 003 001 0 K

369 3524011108102049 2171110702930002 MAHENDRA LAMONGAN 07|02|1993 B L PALUOMBO 003 001 0 K

370 3524011108102101 3524016110760001 SUMARLIK LAMONGAN 21|10|1976 S P PALUOMBO 003 001 0 K

371 3524011108102101 3524015912990001 RISKA NUR MANDANI LAMONGAN 19|12|1999 B P PALUOMBO 003 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 16 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

372 3524011108102120 3524010101630012 HARTONO JOMBANG 01|01|1963 S L PALUOMBO 003 001 0 K

373 3524011108102120 3524014101670008 WAINTEN LAMONGAN 01|01|1967 S P PALUOMBO 003 001 0 K

374 3524011108102120 3524011005890001 EDI HARIANTO LAMONGAN 10|05|1989 B L PALUOMBO 003 001 0 K

375 3524011108102120 3524012005920003 ROIF LAMONGAN 20|05|1992 B L PALUOMBO 003 001 0 K

376 3524011108102141 3524017110780002 NUR IMAAMAA TUTIK RISTYANINGSIH LAMONGAN 31|10|1978 P P PALUOMBO 003 001 0 K

377 3524011108102162 3524010706800001 MELSHANDI LAMONGAN 07|06|1980 S L PALUOMBO 003 001 0 K

378 3524011108102162 3524015304820001 MAISIH PUJIALAMIN LAMONGAN 13|04|1982 S P PALUOMBO 003 001 0 K

379 3524011108102203 3524015203650005 PAINI LAMONGAN 12|03|1965 S P PALUOMBO 003 001 0 K

380 3524011108102203 3524010603740002 TURNYOTO LAMONGAN 06|03|1974 S L PALUOMBO 003 001 0 K

381 3524011302180002 3524015006800001 CICIK WINARTI LAMONGAN 10|06|1980 S P PALUOMBO 003 001 0 K

382 3524011302180002 3578130309820002 ARIEF RACHMAD AMIEN SURABAYA 03|09|1982 S L PALUOMBO 003 001 0 K

383 3524011309180003 3524014101500040 RASINI LAMONGAN 01|01|1950 P P PALUOMBO 003 001 0 K

384 3524011309180003 3524016502710001 SUTIAH LAMONGAN 25|02|1971 P P PALUOMBO 003 001 0 K

385 3524011310170002 3524015205830004 SUTRIWARNI LAMONGAN 12|05|1983 S P PALUOMBO 003 001 0 K

386 3524011310170002 3517161507890001 SUSANTO JOMBANG 15|07|1989 S L PALUOMBO 003 001 0 K

387 3524011310170003 3524014708500001 DASMINAH LAMONGAN 07|08|1950 S P PALUOMBO 003 001 0 K

388 3524011310170003 3524010407660001 DANU SETYAWAN LAMONGAN 04|07|1966 P L PALUOMBO 003 001 0 K

389 3524011410160002 3524010103800001 WINARTO LAMONGAN 01|03|1980 S L PALUOMBO 003 001 0 K

390 3524011410160002 3503135407850001 MUNAWAROH TRENGGALEK 14|07|1985 S P PALUOMBO 003 001 0 K

391 3524012504120003 3524014804680001 MUSINEM LAMONGAN 05|08|1977 P P PALUOMBO 003 001 0 K

392 3524012504120003 3524010208990001 MUHAMAD ILHAM MUSWINDA LAMONGAN 02|08|1999 B L PALUOMBO 003 001 0 K

393 3524012504120004 3524010710840001 RUSTAM HADI LAMONGAN 07|10|1984 S L PALUOMBO 003 001 0 K

394 3524012504120004 3524014305910002 IIS SULFAFALINA LAMONGAN 03|05|1991 S P PALUOMBO 003 001 0 K

395 3524012507120005 3524010501830001 AGUS PURWANTO LAMONGAN 05|01|1983 S L PALUOMBO 003 001 0 K

396 3524012507120005 3524016811850001 AYU KUMASTUTIK LAMONGAN 28|11|1985 S P PALUOMBO 003 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 17 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

397 3524012601180003 3518045008830002 WATINI NGANJUK 10|08|1983 S P PALUOMBO 003 001 0 K

398 3524012604120006 3524012810820002 MUSTAKIN LAMONGAN 28|10|1982 S L PALUOMBO 003 001 0 K

399 3524012604120006 3524016210910002 WAHYU MUSTIKA LAMONGAN 22|10|1991 S P PALUOMBO 003 001 0 K

400 3524012911160001 3524012505870001 SUKO YUWONO LAMONGAN 25|05|1987 S L PALUOMBO 003 001 0 K

401 3524012911160001 3525134306900001 KURNIAWATI NGANJUK 03|06|1990 S P PALUOMBO 003 001 0 K

402 3524013010130001 3524011001580003 MARWAN LAMONGAN 10|01|1958 S L PALUOMBO 003 001 0 K

403 3524013010130001 3524014201640007 SUWATI LAMONGAN 02|01|1964 S P PALUOMBO 003 001 0 K

404 3524013010130001 3524010702850003 MARSUGIK JOMBANG 07|02|1985 S L PALUOMBO 003 001 0 K

405 3524013010130001 3524016402880001 MARTIWI LAMONGAN 24|02|1988 S P PALUOMBO 003 001 0 K

406 3524012008180001 3524015706810001 SIRUM LAMONGAN 17|06|1981 S P PALUOMBO 003 002 0 K

407 3524012008180001 3524012411030001 MUHAMAD RYAN TOMAS LAMONGAN 24|11|2003 B L PALUOMBO 003 002 0 B

408 3524010703180002 3524014304580001 MARKAYAH LAMONGAN 03|04|1958 P P PALUOMBO 001 003 0 K

Keterangan Perkawinan = 408 Keterangan Disabilitas : Keterangan Status Perekaman KTP-el = 408
B : Belum Kawin = 74 1: Disabilitas Fisik B : Belum Rekam = 3 Ditetapkan di LAMONGAN, Tanggal 16 Oktober 2020
S : Kawin = 291 2: Disabilitas Intelektual S : Sudah Rekam (Suket) KPU KABUPATEN LAMONGAN
P : Pernah Kawin = 43 3: Disabilitas Mental K : Sudah Rekam (KTP-el) = 405 KETUA
4: Disabilitas Sensorik
Jenis Kelamin = 408
L : Laki-Laki = 192
P : Perempuan = 216 MAHRUS ALI, S.Pd
KK = 181

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-001 Hal 18 dari 142


Model A.3-KWK

Model A.3-KWK
DAFTAR PEMILIH TETAP
PEMILIHAN BUPATI DAN WAKIL BUPATI LAMONGAN
TAHUN 2020
PROVINSI : JAWA TIMUR KECAMATAN : SUKORAME
KABUPATEN : LAMONGAN DESA/KELURAHAN : KEDUNGKUMPUL
TPS : 002
TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN
BILITAS
KTP-EL KETERANGAN
B/S/P L/P JALAN/DUKUH RT RW (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 3524010411110894 3524014504510001 SOYI LAMONGAN 05|04|1951 S P PALUOMBO 001 001 0 K

2 3524011108102026 3524010101510023 KARIMAN LAMONGAN 01|01|1951 S L PALUOMBO 001 001 0 K

3 3524012009170001 3524010108530001 LISONO LAMONGAN 01|08|1953 S L PALUOMBO 001 001 0 K

4 3524012009170001 3524015707690001 SRI BUDI KARTININGSIH LAMONGAN 17|07|1969 S P PALUOMBO 001 001 0 K

5 3524010411110363 3524011108630002 SLAMET LAMONGAN 11|08|1963 S L PALUOMBO 002 001 0 K

6 3524010612120002 3524015906850023 SUWARNI LAMONGAN 19|06|1985 S P PALUOMBO 003 001 0 K

7 3524011108101189 3524011205520001 DJAKI LAMONGAN 12|05|1952 S L PALUOMBO 003 001 0 K

8 3524011108101189 3524014610580001 TUTIK LAMONGAN 06|10|1958 S P PALUOMBO 003 001 0 K

9 3524011108101190 3524015109610001 WIJI LAMONGAN 11|09|1961 P P PALUOMBO 003 001 0 K

10 3524011108101190 3524016401810001 MUKTI LAMONGAN 24|01|1981 S P PALUOMBO 003 001 0 K

11 3524011108101190 3524010207860001 MUJIANTO LAMONGAN 02|07|1986 B L PALUOMBO 003 001 0 K

12 3524011108101784 3524011001570003 MUSTAKIM LAMONGAN 10|01|1957 S L PALUOMBO 003 001 0 K

13 3524011108101784 3524014101690035 TIANI JOMBANG 01|01|1969 S P PALUOMBO 003 001 0 K

14 3524011108101784 3524012410870003 ANDIK SANTOSO JOMBANG 24|10|1987 B L PALUOMBO 003 001 0 K

15 3524011108101784 3524012309950001 AGUS DWIANTO LAMONGAN 23|09|1995 B L PALUOMBO 003 001 0 K

16 3524011108101796 3524011810640001 DASIRAN LAMONGAN 18|10|1964 S L PALUOMBO 003 001 0 K

17 3524011108101796 3524015403720003 SRIYEM LAMONGAN 14|03|1972 S P PALUOMBO 003 001 0 K

18 3524011108101796 3524011510980001 TIO DWI SAPUTRO LAMONGAN 15|10|1998 B L PALUOMBO 003 001 0 K

19 3524011108101809 3524014107890001 YULI SETYONINGSIH LAMONGAN 01|07|1989 B P PALUOMBO 003 001 0 K

20 3524011108101818 3524010810820001 DASIB LAMONGAN 08|10|1982 S L PALUOMBO 003 001 0 K

21 3524011108101823 3524012206580001 SAEDUN LAMONGAN 22|06|1958 S L PALUOMBO 003 001 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 19 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

22 3524011108101823 3524013006950001 MUJIAGUS DWI PURNOMO LAMONGAN 30|06|1995 B L PALUOMBO 003 001 0 K

23 3524011108102104 3524012011650003 SUTIONO LAMONGAN 20|11|1965 S L PALUOMBO 003 001 0 K

24 3524011108102104 3524015705690003 SISWATI LAMONGAN 17|05|1969 S P PALUOMBO 003 001 0 K

25 3524011108102104 3524016206940001 INDAH RATNASARI NINGRUM LAMONGAN 22|06|1994 B P PALUOMBO 003 001 0 K

26 3524011108102109 3524010105690003 WAIGI LAMONGAN 01|05|1969 S L PALUOMBO 003 001 0 K

27 3524011108102109 3524014106710001 SURIP LAMONGAN 01|06|1971 S P PALUOMBO 003 001 0 K

28 3524011108102109 3524014603910002 FITRI RAHAYU LAMONGAN 06|03|1991 S P PALUOMBO 003 001 0 K

29 3524011108102109 3502192004940003 SYAIFUDIN ZAKARIA PONOROGO 20|04|1994 S L PALUOMBO 003 001 0 K

30 3524012502200008 3524016608890001 NILAM SARI AGUSTIN NINGTYAS LAMONGAN 28|08|1989 B P PALUOMBO 003 001 0 K

31 3524012502200008 3524061201910001 DIAN PRASETYO UTOMO.S.kom LAMONGAN 12|01|1991 S L PALUOMBO 003 001 0 K

32 3524010207180001 6404010405730005 SAJI LAMONGAN 04|05|1973 S L PALUOMBO 001 002 0 K

33 3524010207180001 6404014508830001 SRI NARTIK LAMONGAN 05|08|1983 S P PALUOMBO 001 002 0 K

34 3524010506120001 3524010109840001 UMARYONO LAMONGAN 01|09|1984 S L PALUOMBO 001 002 0 K

35 3524010506120001 3517165212840002 ENNY RAHAYU JOMBANG 12|12|1984 S P PALUOMBO 001 002 0 K

36 3524010807190002 3524015505630001 SUPIK LAMONGAN 15|05|1963 P P PALUOMBO 001 002 0 K

37 3524011108100987 3524012007510001 ABDULLAH LAMONGAN 20|07|1951 S L PALUOMBO 001 002 0 K

38 3524011108100987 3524015305630001 NARI LAMONGAN 13|05|1963 S P PALUOMBO 001 002 0 K

39 3524011108100987 3524010904800001 WIDODO LAMONGAN 09|04|1980 B L PALUOMBO 001 002 0 K

40 3524011108100988 3524010302560001 YATEMI LAMONGAN 03|02|1956 P L PALUOMBO 001 002 0 K

41 3524011108100989 3524010705400001 LASIMO LAMONGAN 07|05|1940 S L PALUOMBO 001 002 0 K

42 3524011108100989 3524016107510001 SALAMAH LAMONGAN 21|07|1951 S P PALUOMBO 001 002 0 K

43 3524011108100989 3524010302820001 SUKISNO LAMONGAN 03|02|1982 B L PALUOMBO 001 002 0 K

44 3524011108100989 3524013004970001 DAVIT PRASTYO LAMONGAN 28|02|1995 B L PALUOMBO 001 002 0 K

45 3524011108100990 3524014502520001 SITIN LAMONGAN 05|02|1952 P P PALUOMBO 001 002 0 K

46 3524011108100990 3524010802820001 SIDI LAMONGAN 08|02|1982 B L PALUOMBO 001 002 2 B

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 20 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

47 3524011108100990 3524012705970001 DAMAS PUJIANTO LAMONGAN 27|05|1997 B L PALUOMBO 001 002 0 K

48 3524011108100992 3524012110770002 JUMANI LAMONGAN 21|10|1977 S L PALUOMBO 001 002 0 K

49 3524011108100992 3524016404800001 SARINING LAMONGAN 24|04|1980 S P PALUOMBO 001 002 0 K

50 3524011108100993 3524010309560001 JAIS BOJONEGORO 03|09|1956 S L PALUOMBO 001 002 0 K

51 3524011108100993 3524015004590001 SUPINI LAMONGAN 10|04|1959 S P PALUOMBO 001 002 0 K

52 3524011108100993 3524012601970001 AAL ARI ASYARO LAMONGAN 26|01|1997 B L PALUOMBO 001 002 0 K

53 3524011108100994 3524013010990001 DANI RIZKI RISMAWAN LAMONGAN 30|10|1999 B L PALUOMBO 001 002 0 K

54 3524011108100996 3524012603580001 JARNO LAMONGAN 26|03|1958 S L PALUOMBO 001 002 0 K

55 3524011108100996 3524014309610001 SUMINAH LAMONGAN 03|09|1961 S P PALUOMBO 001 002 0 K

56 3524011108100996 3524012901850001 RAKUP LAMONGAN 29|01|1985 B L PALUOMBO 001 002 0 K

57 3524011108100999 3524015709600001 PAIMI LAMONGAN 17|09|1960 S P PALUOMBO 001 002 0 K

58 3524011108100999 3524016709750001 JUWARNI LAMONGAN 27|09|1975 P P PALUOMBO 001 002 0 K

59 3524011108100999 3524015406830001 RIATI LAMONGAN 14|06|1983 S P PALUOMBO 001 002 0 K

60 3524011108101001 3524010109690001 MULYONO LAMONGAN 01|09|1969 S L PALUOMBO 001 002 0 K

61 3524011108101001 3524012211940001 WAHYUNDA NUR ACHMAD LAMONGAN 22|11|1994 B L PALUOMBO 001 002 0 K

62 3524011108101002 3524011503570002 PAIMIN LAMONGAN 15|03|1957 P L PALUOMBO 001 002 0 K

63 3524011108101002 3524012211000001 DIARI ROMADAN LAMONGAN 26|12|1999 B L PALUOMBO 001 002 0 K

64 3524011108101006 3524011111620001 PARNO LAMONGAN 11|11|1962 S L PALUOMBO 001 002 0 K

65 3524011108101006 3524016005680001 TANEM LAMONGAN 20|05|1968 S P PALUOMBO 001 002 0 K

66 3524011108101006 3524012701940001 WAHYU KURNIAWAN LAMONGAN 27|01|1994 S L PALUOMBO 001 002 0 K

67 3524011108101007 3524010405590001 MA'SUM LAMONGAN 04|05|1959 S L PALUOMBO 001 002 0 K

68 3524011108101007 3524016504630001 SRIATI LAMONGAN 25|04|1963 S P PALUOMBO 001 002 0 K

69 3524011108101007 3524015707990001 SINDI MANIAS BUTOMO JAKARTA PUSAT 17|07|1999 B P PALUOMBO 001 002 0 B

70 3524011108101008 3524012706470001 SADI LAMONGAN 27|06|1947 S L PALUOMBO 001 002 0 K

71 3524011108101008 3524012704980003 WISIK ADITYA PERTIWI LAMONGAN 27|04|1998 B L PALUOMBO 001 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 21 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

72 3524011108101183 3524016403290001 WAENAH LAMONGAN 24|03|1929 P P PALUOMBO 001 002 0 K

73 3524011108101458 3524010505710002 SUGENG WIJINARTOMO LAMONGAN 05|05|1971 S L PALUOMBO 001 002 0 K

74 3524011108101458 3524014112720002 MURSIMU LAMONGAN 01|12|1972 S P PALUOMBO 001 002 0 K

75 3524011108101458 3524011801970002 KRISNA ARI PRATAMA LAMONGAN 18|01|1997 B L PALUOMBO 001 002 0 K

76 3524011108101459 3524013010680001 JUMANI LAMONGAN 30|10|1968 S L PALUOMBO 001 002 0 K

77 3524011108101459 3524016509720001 KASIANI LAMONGAN 25|09|1972 S P PALUOMBO 001 002 0 K

78 3524011108101459 3524011701960001 TAUFIK HIDAYAT LAMONGAN 17|01|1996 B L PALUOMBO 001 002 0 K

79 3524011108101461 3524012808720003 PRIANTO LAMONGAN 28|08|1972 S L PALUOMBO 001 002 0 K

80 3524011108101461 3524015202770001 SUTIK LAMONGAN 12|02|1977 S P PALUOMBO 001 002 0 K

81 3524011108101462 3524015806430001 TEMOK LAMONGAN 18|06|1943 P P PALUOMBO 001 002 0 K

82 3524011108101462 3524011608730002 GUNAWAN TULUNGAGUNG 16|08|1973 S L PALUOMBO 001 002 0 K

83 3524011108101462 3524015909770001 MAINI LAMONGAN 19|09|1977 S P PALUOMBO 001 002 0 K

84 3524011108101462 3524015603980002 SALSABILLA MONIKA SHOLIKAHTUS GUNAWAN LAMONGAN 16|03|1998 B P PALUOMBO 001 002 0 K

85 3524011108101463 3524010704590001 SUWARNO LAMONGAN 07|04|1959 S L PALUOMBO 001 002 0 K

86 3524011108101463 3524015209740003 SUDARTIK LAMONGAN 12|09|1974 S P PALUOMBO 001 002 0 K

87 3524011108101464 3524011909650001 JAMIAN ASHIDIQ LAMONGAN 19|09|1965 S L PALUOMBO 001 002 0 K

88 3524011108101464 3524015304770001 JUMILAH LAMONGAN 13|04|1977 S P PALUOMBO 001 002 0 K

89 3524011108101464 3524010404010001 DIKA MUSLIK SAHROJI LAMONGAN 04|04|2001 B L PALUOMBO 001 002 0 K

90 3524011108101484 3524010609650001 DARTO LAMONGAN 06|09|1965 S L PALUOMBO 001 002 0 K

91 3524011108101484 3524016303790001 TASENI LAMONGAN 23|03|1979 S P PALUOMBO 001 002 0 K

92 3524011108101484 3524014407950001 CITRA FRISKA AMELIA LAMONGAN 04|07|1995 B P PALUOMBO 001 002 0 K

93 3524011108101727 3524010307650002 DAKELAN LAMONGAN 03|07|1965 S L PALUOMBO 001 002 0 K

94 3524011108101727 3524014605710004 SRIANI LAMONGAN 06|05|1971 S P PALUOMBO 001 002 0 K

95 3524011108101727 3524015002960001 WERDAVELANI MAMUAYA LAMONGAN 10|02|1996 B P PALUOMBO 001 002 0 K

96 3524011108101727 3524014208980002 DAHLIA PUTRI PURNAMASARI LAMONGAN 02|08|1998 B P PALUOMBO 001 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 22 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

97 3524011108101728 3524012504610001 SAPARI LAMONGAN 25|04|1961 S L PALUOMBO 001 002 0 K

98 3524011108101728 3524017005700001 TAPILAH LAMONGAN 30|05|1970 S P PALUOMBO 001 002 0 K

99 3524011108101728 3524015606850004 SRI WAHYUNI LAMONGAN 16|06|1985 B P PALUOMBO 001 002 0 K

100 3524011108101728 3524015707900003 MUNAWARDANI LAMONGAN 09|05|1996 B P PALUOMBO 001 002 0 K

101 3524011108102093 3524010102420001 PAIDI LAMONGAN 01|02|1942 S L PALUOMBO 001 002 0 K

102 3524011108102093 3524014505570001 TIMI LAMONGAN 05|05|1957 S P PALUOMBO 001 002 0 K

103 3524011108102098 3524015505820001 SUPARTI EKO LISTYOMI LAMONGAN 15|05|1982 S P PALUOMBO 001 002 0 K

104 3524011108102103 3524010510630001 SURAJI JOMBANG 05|10|1963 S L PALUOMBO 001 002 0 K

105 3524011108102103 3524014608710002 TAMPI BOJONEGORO 06|08|1971 S P PALUOMBO 001 002 0 K

106 3524011108102103 3524010902000002 SUDI PRAKOSO LAMONGAN 09|02|2000 B L PALUOMBO 001 002 0 K

107 3524011108102161 3524011907800002 NOTO SURYANTO LAMONGAN 19|07|1980 S L Dsn. PALUOMBO 001 002 0 K

108 3524011512110001 3524016009810001 MUJI ASTUTIK LAMONGAN 20|09|1981 S P PALUOMBO 001 002 0 K

109 3524011512110001 3524011404910001 RIDON ABDUL FATRA LAMONGAN 14|04|1991 B L PALUOMBO 001 002 0 K

110 3524011705180003 3524021110890001 LUTVIA ADE CANDRA LAMONGAN 11|10|1989 S L PALUOMBO 001 002 0 K

111 3524011705180003 3524016910940001 PUPUT ANDARWATI OKTAVIA LAMONGAN 29|10|1994 S P PALUOMBO 001 002 0 K

112 3524011901180001 3524010708800001 SABAR LAMONGAN 07|08|1980 S L PALUOMBO 001 002 0 K

113 3524011901180001 3524015001880001 JAIMI LAMONGAN 10|01|1988 S P PALUOMBO 001 002 0 K

114 3524011904160002 3524014502520002 SAMINAH LAMONGAN 05|02|1952 P P PALUOMBO 001 002 0 K

115 3524011904160002 3524010608940002 SHOMAT ABDUL SOLIKIN LAMONGAN 06|08|1994 B L PALUOMBO 001 002 0 K

116 3524012005190003 3524015908800001 SRI MURTI LAMONGAN 04|02|1980 S P PALUOMBO 001 002 0 K

117 3524012005190003 3524011909990001 BAYU RANGGA KUSUMA LAMONGAN 19|09|1999 B L PALUOMBO 001 002 0 B

118 3524012010160002 3524011502880001 RAJI LAMONGAN 15|02|1988 S L PALUOMBO 001 002 0 K

119 3524012010160002 3524016805920001 SRILIS SETIYOWATI LAMONGAN 28|05|1992 S P PALUOMBO 001 002 0 K

120 3524012301170003 3173034806750002 PAEDAH LAMONGAN 08|06|1975 P P DUSUN PALUOMBO 001 002 0 K

121 3524012510170005 3524022510830001 SUWARNO LAMONGAN 25|10|1983 S L PALUOMBO 001 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 23 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

122 3524012510170005 3524016609840002 RIRIN YENI KUSNINDAR LAMONGAN 26|09|1984 S P PALUOMBO 001 002 0 K

123 3524012806110005 3316022901810002 SUPARLAN BLORA 29|01|1981 S L PALUOMBO 001 002 0 K

124 3524012806110005 3524015804900001 FITRI NURJANAH LAMONGAN 18|04|1990 S P PALUOMBO 001 002 0 K

125 3524012806110017 3515123101650001 NGATEMAN SIDOARJO 31|01|1965 S L PALUOMBO 001 002 0 K

126 3524012806110017 3515126606750002 SUPARTI SIDOARJO 26|06|1975 P P PALUOMBO 001 002 0 K

127 3524012806110059 3524010206830005 MUHAMMAD ALI AS'AD JEPARA 02|06|1983 S L PALUOMBO 001 002 0 K

128 3524010404140001 3524010301800001 SAMSURI LAMONGAN 03|01|1980 S L PALUOMBO 002 002 0 K

129 3524010404140001 3524016002820002 SUNARSIH LAMONGAN 20|02|1982 S P PALUOMBO 002 002 0 K

130 3524011108100905 3524015405630001 SISIH LAMONGAN 14|05|1963 P P PALUOMBO 002 002 0 K

131 3524011108100905 3524011504680001 JUMAIN LAMONGAN 15|04|1968 S L PALUOMBO 002 002 0 K

132 3524011108100905 3524015805740001 UTAMI LAMONGAN 18|05|1974 S P PALUOMBO 002 002 0 K

133 3524011108100905 3522120210890003 SUWIKNYO DWI S BOJONEGORO 10|02|1989 S L PALUOMBO 002 002 0 K

134 3524011108100905 3522120804910001 NUR HAJI BOJONEGORO 08|04|1991 S L PALUOMBO 002 002 0 K

135 3524011108100905 3524016812910001 SRI UMAMI JUWITASARI LAMONGAN 28|12|1991 S P PALUOMBO 002 002 0 K

136 3524011108101193 3524015205530001 TAMISRI LAMONGAN 12|05|1953 S P PALUOMBO 002 002 0 K

137 3524011108101193 3524012412540001 RAKIM LAMONGAN 24|12|1954 S L PALUOMBO 002 002 0 K

138 3524011108101193 3524011203950001 TAKIT LAMONGAN 12|03|1995 B L PALUOMBO 002 002 0 K

139 3524011108101195 3524011701510001 SILIM LAMONGAN 17|01|1951 P L PALUOMBO 002 002 0 K

140 3524011108101195 3524012705890001 ADI PURNOMO LAMONGAN 27|05|1989 B L PALUOMBO 002 002 0 K

141 3524011108101196 3524011212520001 MAJID LAMONGAN 12|12|1952 S L PALUOMBO 002 002 0 K

142 3524011108101196 3524011211700001 PRIANTO LAMONGAN 12|11|1970 S L PALUOMBO 002 002 0 B

143 3524011108101196 3524011203810003 PRIONO LAMONGAN 12|03|1981 B L PALUOMBO 002 002 0 K

144 3524011108101197 3524014101670017 SAMPURNI LAMONGAN 01|01|1967 P P PALUOMBO 002 002 0 K

145 3524011108101197 3524010610970002 UNANG APRILIA LAMONGAN 03|04|1996 B L PALUOMBO 002 002 0 K

146 3524011108101198 3524010211750003 MUJIANTO NGANJUK 02|11|1975 S L PALUOMBO 002 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 24 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

147 3524011108101198 3524015204800001 SRI WIJAYANTI LAMONGAN 12|04|1980 S P PALUOMBO 002 002 0 K

148 3524011108101198 3524016710000001 ANAS SOFIATUL FAUZIAH LAMONGAN 27|10|2000 B P PALUOMBO 002 002 0 K

149 3524011108101198 3524011904030001 FARFAUZI GYMNASTIAR LAMONGAN 19|04|2003 B L PALUOMBO 002 002 0 K

150 3524011108101199 3524010105620001 SIJO LAMONGAN 01|05|1962 S L PALUOMBO 002 002 0 K

151 3524011108101199 3524014502750001 SUPANI LAMONGAN 05|02|1975 S P PALUOMBO 002 002 0 K

152 3524011108101199 3524010209910001 NURHADI LAMONGAN 02|09|1991 B L PALUOMBO 002 002 0 K

153 3524011108101199 3524015711990001 GITA NURAINI LAMONGAN 17|11|1999 B P PALUOMBO 002 002 0 K

154 3524011108101200 3524011512600001 KASEMAN LAMONGAN 15|12|1960 S L PALUOMBO 002 002 0 K

155 3524011108101201 3524012501510001 SAJI LAMONGAN 25|01|1951 S L PALUOMBO 002 002 0 K

156 3524011108101201 3524014203700001 MARINTEN LAMONGAN 02|03|1970 S P PALUOMBO 002 002 0 K

157 3524011108101201 3524013003900002 RUDIANTO LAMONGAN 30|03|1990 B L PALUOMBO 002 002 0 K

158 3524011108101201 3524011402970001 RIPAI LAMONGAN 14|02|1997 B L PALUOMBO 002 002 0 K

159 3524011108101202 3524010507720001 SUPARIN LAMONGAN 05|07|1972 S L PALUOMBO 002 002 0 K

160 3524011108101202 3524014609750001 JASIH LAMONGAN 06|09|1975 S P PALUOMBO 002 002 0 K

161 3524011108101202 3524014707030001 NIKEN GALOH PARWATI LAMONGAN 07|07|2003 B P PALUOMBO 002 002 0 K

162 3524011108101203 3524010101650021 PARJI LAMONGAN 01|01|1965 S L PALUOMBO 002 002 0 K

163 3524011108101203 3524016305670001 PARTIK LAMONGAN 23|05|1967 S P PALUOMBO 002 002 0 K

164 3524011108101203 3522082801880009 SUJITO BOJONEGORO 28|01|1988 S L PALUOMBO 002 002 0 K

165 3524011108101203 3524014410900001 ANIS LAMONGAN 04|10|1990 S P PALUOMBO 002 002 0 K

166 3524011108101205 3524017012520001 YATEMI LAMONGAN 30|12|1952 S P PALUOMBO 002 002 0 K

167 3524011108101205 3524010205670001 SABAR LAMONGAN 02|05|1967 S L PALUOMBO 002 002 0 K

168 3524011108101205 3524016702880001 KRISTIN EKA MARLIANA LAMONGAN 27|02|1988 P P PALUOMBO 002 002 0 K

169 3524011108101207 3524012510700001 SAMAN LAMONGAN 25|10|1970 S L PALUOMBO 002 002 0 K

170 3524011108101207 3524014103720001 SUPINI LAMONGAN 01|03|1972 S P PALUOMBO 002 002 0 K

171 3524011108101207 3524011404940002 POMO LAMONGAN 14|04|1994 B L PALUOMBO 002 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 25 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

172 3524011108101207 3524014405010002 SUMIATI LAMONGAN 04|05|2001 B P PALUOMBO 002 002 0 K

173 3524011108101208 3524010107550001 PAELAN LAMONGAN 01|07|1955 S L PALUOMBO 002 002 0 K

174 3524011108101208 3524014501600001 WAISI LAMONGAN 05|01|1960 S P PALUOMBO 002 002 0 K

175 3524011108101209 3524011809670001 BAMBANG SUTIKNO LAMONGAN 18|09|1967 S L PALUOMBO 002 002 0 K

176 3524011108101209 3524015202630001 JULIKAH LAMONGAN 09|09|1971 S P PALUOMBO 002 002 0 K

177 3524011108101210 3524010401680001 TUWOH LAMONGAN 04|01|1968 S L PALUOMBO 002 002 0 K

178 3524011108101210 3524014106750001 SRIGATI LAMONGAN 01|06|1975 S P PALUOMBO 002 002 0 K

179 3524011108101210 3524011205910001 EDI SUWANTO LAMONGAN 07|07|1991 S L PALUOMBO 002 002 0 K

180 3524011108101210 3522125710980001 OLIVIA BOJONEGORO 17|10|1998 S P PALUOMBO 002 002 0 K

181 3524011108101211 3524015207640001 PAEMAH LAMONGAN 12|07|1964 P P PALUOMBO 002 002 0 K

182 3524011108101211 3524010904810001 SUPARMAN LAMONGAN 09|04|1981 B L PALUOMBO 002 002 0 K

183 3524011108101213 3524014212530001 PARTIAH LAMONGAN 02|12|1953 S P PALUOMBO 002 002 0 K

184 3524011108101213 3524010206600001 PAIDI LAMONGAN 02|06|1960 S L PALUOMBO 002 002 0 K

185 3524011108101215 3524016408580001 SANTIMAH LAMONGAN 24|08|1958 P P PALUOMBO 002 002 0 K

186 3524011108101222 3524011211500001 MITRAN LAMONGAN 12|11|1950 S L PALUOMBO 002 002 0 K

187 3524011108101222 3524015608780001 SUMISIH LAMONGAN 16|08|1978 S P PALUOMBO 002 002 0 K

188 3524011108101223 3524014809390001 DASEMI LAMONGAN 08|09|1939 S P PALUOMBO 002 002 0 K

189 3524011108101223 3524010501400001 SUNGKANI LAMONGAN 05|01|1940 S L PALUOMBO 002 002 0 K

190 3524011108101224 3524014606600001 MIATI LAMONGAN 06|06|1960 S P PALUOMBO 002 002 0 K

191 3524011108101757 3524015711450001 SARTI LAMONGAN 17|11|1945 P P PALUOMBO 002 002 0 K

192 3524011108101757 3524012704710001 ADI PURWONO LAMONGAN 27|04|1971 S L PALUOMBO 002 002 0 K

193 3524011108101757 3524016707720001 ASIH LAMONGAN 22|03|1972 S P PALUOMBO 002 002 0 K

194 3524011108101757 3517081702860007 MAKIM JOMBANG 17|02|1986 S L PALUOMBO 002 002 0 K

195 3524011108101757 3524014308760001 AL ISROTIN LAMONGAN 03|08|1996 S P PALUOMBO 002 002 0 K

196 3524011108101758 3524012710680001 AMBYAH LAMONGAN 27|10|1968 S L PALUOMBO 002 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 26 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

197 3524011108101758 3524015310770001 SUMINAH BOGOR 13|10|1977 S P PALUOMBO 002 002 0 K

198 3524011108101758 3524010705020001 ENDRUE SATYA NEGARA LAMONGAN 07|05|2002 B L PALUOMBO 002 002 0 K

199 3524011108101808 3524010711560001 SUKIMIN LAMONGAN 07|11|1956 S L PALUOMBO 002 002 0 K

200 3524011108101808 3524014101580029 TARMIJAH LAMONGAN 01|01|1958 S P PALUOMBO 002 002 0 K

201 3524011108101825 3524014101510012 RUKINAH LAMONGAN 01|01|1951 P P PALUOMBO 002 002 0 K

202 3524011108101826 3524010501580002 MULYONO LAMONGAN 05|01|1958 S L PALUOMBO 002 002 0 K

203 3524011108101826 3524014701690001 SAMPORNAH LAMONGAN 07|01|1969 S P PALUOMBO 002 002 0 K

204 3524011108101826 3524011703950001 TOPA ADI SAPUTRA LAMONGAN 17|03|1995 B L PALUOMBO 002 002 0 K

205 3524011108101827 3524010509590001 SUBARI NGANJUK 05|09|1959 S L PALUOMBO 002 002 0 K

206 3524011108101827 3524014707610001 JAMINI JOMBANG 07|07|1961 S P PALUOMBO 002 002 0 K

207 3524011108101828 3524011202720001 SUTRIS LAMONGAN 12|02|1972 S L PALUOMBO 002 002 0 K

208 3524011108101828 3524015202780001 SRIAWIN LAMONGAN 15|06|1979 S P PALUOMBO 002 002 0 K

209 3524011108101828 3524014604990001 HENY IKA TRISDIANA LAMONGAN 06|04|1999 B P PALUOMBO 002 002 0 K

210 3524011108101831 3524014711580001 GINEM LAMONGAN 07|11|1958 P P PALUOMBO 002 002 0 K

211 3524011108101832 3524011212510001 SURIP LAMONGAN 12|12|1951 S L PALUOMBO 002 002 0 K

212 3524011108101832 3524014912520001 MARINAH LAMONGAN 09|12|1952 S P PALUOMBO 002 002 0 K

213 3524011108101835 3524010312410001 TINGAN LAMONGAN 03|12|1941 S L PALUOMBO 002 002 0 K

214 3524011108101836 3524014507500001 PAIMI LAMONGAN 05|07|1950 P P PALUOMBO 002 002 0 K

215 3524011108101836 3524012204020002 IRFAN PRAMUDYA LAMONGAN 22|04|2002 B L PALUOMBO 002 002 0 K

216 3524011108101837 3524010502520002 TAWI LAMONGAN 05|02|1952 S L PALUOMBO 002 002 0 K

217 3524011108101837 3524014206520001 YATUN LAMONGAN 02|06|1952 S P PALUOMBO 002 002 0 K

218 3524011108101837 3524013003910002 PARMIN LAMONGAN 30|03|1991 B L PALUOMBO 002 002 0 K

219 3524011108101838 3524010406620001 PANITO LAMONGAN 04|06|1962 S L PALUOMBO 002 002 0 K

220 3524011108101838 3524014602680001 TARINING LAMONGAN 06|02|1968 S P PALUOMBO 002 002 0 K

221 3524011108102044 3524013005650001 SARKUP NGANJUK 30|05|1965 S L PALUOMBO 002 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 27 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

222 3524011108102044 3524015602740001 PARLIS LAMONGAN 16|02|1974 S P PALUOMBO 002 002 0 K

223 3524011108102044 3524012306950001 PUJIANTO NUR SAPANDI LAMONGAN 23|06|1995 B L PALUOMBO 002 002 0 K

224 3524011108102044 3524010205010001 TOMMY DWI SAPANDI LAMONGAN 02|05|2001 B L PALUOMBO 002 002 0 K

225 3524011108102096 3524016002810001 NARMI LAMONGAN 20|02|1981 S P PALUOMBO 002 002 0 K

226 3524011108102133 3524010106560002 MULYONO LAMONGAN 01|06|1956 S L PALUOMBO 002 002 0 K

227 3524011108102133 3524010306960002 GALIH PRASANCA LAMONGAN 03|06|1996 B L PALUOMBO 002 002 0 K

228 3524011108102154 3524012911030001 SELAMET RIADI LAMONGAN 29|11|2003 B L DSN. PALUOMBO 002 002 0 B

229 3524011108102210 3524010606850003 SULISWANTO LAMONGAN 06|06|1985 S L PALUOMBO 002 002 0 K

230 3524011108102210 3524015704860002 RUTINAH LAMONGAN 17|04|1986 S P PALUOMBO 002 002 0 K

231 3524011108102231 3524010305840001 MUHAMAD MAHFUD KEDIRI 03|05|1984 S L PALUOMBO 002 002 0 K

232 3524011108102241 3524011205790002 SUKONO LAMONGAN 12|05|1979 S L PALUOMBO 002 002 0 K

233 3524011108102241 3524015004810002 SRI WAHYUNI WONOGIRI 10|04|1981 S P PALUOMBO 002 002 0 K

234 3524011108102241 3524015110020001 INDAH DAMAYANTI JAK-PUS 11|10|2002 B P PALUOMBO 002 002 0 K

235 3524011112180007 3524012509740002 SIMAN LAMONGAN 25|09|1974 S L PALUOMBO 002 002 0 K

236 3524011112180007 3524014910840005 SUS MUSLIMIN LAMONGAN 09|10|1984 S P PALUOMBO 002 002 0 K

237 3524011112180007 3524010301920001 ADI PURNOMO LAMONGAN 03|01|1992 B L PALUOMBO 002 002 0 K

238 3524011112180007 3524014705020002 MERINDA EKA CAHYANI LAMONGAN 07|05|2002 B P PALUOMBO 002 002 0 K

239 3524011207130001 3503031610800001 SUGIANTO TRENGGALEK 16|10|1980 S L PALUOMBO 002 002 0 K

240 3524011207130001 3524015806910001 SULAING TARIAS LAMONGAN 18|06|1991 S P PALUOMBO 002 002 0 K

241 3524011505130001 3524011308880002 RIANTO AGUS SETIAWAN LAMONGAN 13|08|1988 S L PALUOMBO 002 002 0 K

242 3524011505130001 3524014406910001 NURHIDAYAH LAMONGAN 04|06|1991 S P PALUOMBO 002 002 0 K

243 3524011612160003 3524011410800001 GOGOT PUJIANTO LAMONGAN 14|10|1980 S L PALUOMBO 002 002 0 K

244 3524011809120004 3524016404780003 PATREM INDRAWATI LAMONGAN 24|04|1978 P P PALUOMBO 002 002 0 K

245 3524011809120004 3522081507970002 BUDI CAHYONO BOJONEGORO 15|07|1997 S L PALUOMBO 002 002 0 K

246 3524011809120004 3524016907970002 TASSYA AYU PUJI LESTARI LAMONGAN 29|07|1997 S P PALUOMBO 002 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 28 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

247 3524012002120002 3524011001740002 NURDIN MADIUN 10|01|1974 S L PALUOMBO 002 002 0 K

248 3524012002120002 3524016607860001 RIRIS ANDRIANI LAMONGAN 26|07|1986 S P PALUOMBO 002 002 0 K

249 3524012702130001 3524012405790001 MARMIN LAMONGAN 24|05|1979 S L PALUOMBO 002 002 0 K

250 3524012702130001 3515115207900002 NUR HALIMAH SIDOARJO 12|07|1990 S P PALUOMBO 002 002 0 K

251 3524012908160001 3524010108810001 SUPARMAN LAMONGAN 01|08|1981 P L PALUOMBO 002 002 0 K

252 3524013009140004 3524010101840002 SUGIANTO LAMONGAN 01|01|1984 S L PALUOMBO 002 002 0 K

253 3524013009140004 3524015007880001 WARIANI LAMONGAN 10|07|1988 S P PALUOMBO 002 002 0 K

254 3524010308170001 3524015206710002 PONINTEN LAMONGAN 12|06|1971 P P PALUOMBO 003 002 0 K

255 3524010308170001 3524011309920001 AGUS SETIAWAN LAMONGAN 13|09|1992 B L PALUOMBO 003 002 0 K

256 3524010308170002 3524011509640001 PARSONO LAMONGAN 15|09|1964 S L PALUOMBO 003 002 0 K

257 3524010402140003 3524011702900001 SISWO DONO WIYOSO LAMONGAN 17|02|1990 S L PALUOMBO 003 002 0 K

258 3524010402140003 3524016006920002 SRI MARTINI NOVI LESTARI LAMONGAN 20|06|1992 S P PALUOMBO 003 002 0 K

259 3524010411110360 3524015209600002 SAMINAH LAMONGAN 12|09|1960 S P PALUOMBO 003 002 0 K

260 3524010411110408 3524010904840001 EKO ARIANTO LAMONGAN 09|04|1984 B L PALUOMBO 003 002 0 K

261 3524010411110700 3524010101580033 SIDEM LAMONGAN 01|01|1958 S L PALUOMBO 003 002 0 K

262 3524010602200005 3524016207790001 PARLUPIK LAMONGAN 22|07|1979 B P PALUOMBO 003 002 0 K

263 3524010612120002 3524072306830004 RUSKA'IS MUJIB LAMONGAN 20|12|1983 S L PALUOMBO 003 002 0 K

264 3524010612120002 3524014909880004 SUWARNI INDAH LESTARI LAMONGAN 09|09|1988 S P PALUOMBO 003 002 0 K

265 3524010806170001 3518193006720013 RIYANTO NGANJUK 30|06|1972 S L PALUOMBO 003 002 0 K

266 3524010806170001 3524016504820001 SRINDUK SRIWAHYUNI LAMONGAN 25|04|1982 S P PALUOMBO 003 002 0 K

267 3524010806170002 3524014305700002 SRIAMI LAMONGAN 03|05|1970 P P PALUOMBO 003 002 0 K

268 3524010806170002 3524014312970001 LIA ANGARSARI LAMONGAN 03|12|1997 B P PALUOMBO 003 002 0 K

269 3524010806170002 3524014303030002 PUTRI WIDIA RAHAYU LAMONGAN 03|03|2003 B P PALUOMBO 003 002 0 K

270 3524010808160002 3524021508870002 HADI SUTRISNO LAMONGAN 15|08|1987 S L PALUOMBO 003 002 0 K

271 3524010808160002 3524016701950002 PEPI DIAH ASTUTIK LAMONGAN 27|01|1995 S P PALUOMBO 003 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 29 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

272 3524010812140001 3524011804900001 ANDIK ISYANTO LAMONGAN 18|04|1990 S L PALUOMBO 003 002 0 K

273 3524010812140001 3524016907970001 DIA AYU JUPITA SARI LAMONGAN 29|07|1997 S P PALUOMBO 003 002 0 K

274 3524010907190001 6305064107860086 JUNIWATI LAMONGAN 01|07|1986 S P PALUOMBO 003 002 0 K

275 3524010907190001 6305061404860005 MARDOKO LAMONGAN 14|04|1989 S L PALUOMBO 003 002 0 K

276 3524011007180001 3524015106800002 RUMIATI LAMONGAN 11|06|1980 P P PALUOMBO 003 002 0 K

277 3524011108101218 3524016712570001 NARTIK LAMONGAN 27|12|1957 S P PALUOMBO 003 002 0 K

278 3524011108101218 3524011302620001 SUNAR A.R LAMONGAN 13|02|1962 S L PALUOMBO 003 002 0 K

279 3524011108101218 3524011303960001 IMAM ARIPIN LAMONGAN 06|07|1996 B L PALUOMBO 003 002 0 K

280 3524011108101729 3524010301740001 PAEMAN LAMONGAN 03|01|1974 S L PALUOMBO 003 002 0 K

281 3524011108101729 3524016406750001 TUTIK SUGIARTI LAMONGAN 06|12|1975 S P PALUOMBO 003 002 0 K

282 3524011108101729 3524014405970002 ELVA AYU LESTARI LAMONGAN 04|05|1997 B P PALUOMBO 003 002 0 K

283 3524011108101731 3524012408770001 JAENO LAMONGAN 24|08|1977 S L PALUOMBO 003 002 0 K

284 3524011108101731 3524015805780001 SITI MAIMUNAH BOJONEGORO 18|05|1978 S P PALUOMBO 003 002 0 K

285 3524011108101731 3524016207000001 SITI ZIZATUL AISYAH LAMONGAN 22|07|2000 B P PALUOMBO 003 002 0 K

286 3524011108101735 3524010101420018 WAKIJO LAMONGAN 01|01|1942 S L PALUOMBO 003 002 0 K

287 3524011108101736 3524015212540001 MARSI LAMONGAN 12|12|1954 S P PALUOMBO 003 002 0 K

288 3524011108101736 3524011201760001 MARTONO LAMONGAN 12|01|1976 B L PALUOMBO 003 002 0 K

289 3524011108101737 3524015605470001 PARMI LAMONGAN 16|05|1947 S P PALUOMBO 003 002 0 K

290 3524011108101737 3524014909890003 SUWARNI INDAH LESTARI LAMONGAN 09|09|1989 S P PALUOMBO 003 002 0 K

291 3524011108101738 3524014510720004 PAENAH LAMONGAN 05|10|1972 P P PALUOMBO 003 002 0 K

292 3524011108101743 3524014802340001 TUNIRAH LAMONGAN 08|02|1934 P P PALUOMBO 003 002 0 K

293 3524011108101743 3524011101650003 TARIMIN LAMONGAN 11|01|1965 S L PALUOMBO 003 002 0 K

294 3524011108101743 3524015012680001 ISMIATI LAMONGAN 10|12|1968 S P PALUOMBO 003 002 0 K

295 3524011108101743 3524010411890001 LISNANTO WONOGIRI 04|11|1989 S L PALUOMBO 003 002 0 K

296 3524011108101743 3524015506890001 INA ETIKAWATI LAMONGAN 26|09|1989 S P PALUOMBO 003 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 30 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

297 3524011108101743 3524011407010001 ANGGA DWI PORYANTO LAMONGAN 14|07|2001 B L PALUOMBO 003 002 0 K

298 3524011108101744 3524015211560001 SAMINTRI LAMONGAN 12|11|1956 P P PALUOMBO 003 002 0 K

299 3524011108101744 3524011008770001 NARYOTO JOMBANG 10|08|1977 S L PALUOMBO 003 002 0 K

300 3524011108101744 3524015202820002 JUWARNI LAMONGAN 12|02|1982 S P PALUOMBO 003 002 0 K

301 3524011108101744 3524010805000002 LINGGA P. LAMONGAN 08|05|2000 B L PALUOMBO 003 002 0 K

302 3524011108101744 3524011003020001 BAGAS LINGGA BUANA LAMONGAN 10|03|2002 B L PALUOMBO 003 002 0 K

303 3524011108101746 3524012001480001 SAELAN LAMONGAN 20|01|1948 S L PALUOMBO 003 002 0 K

304 3524011108101746 3524014101500039 PARIYEM LAMONGAN 01|01|1950 S P PALUOMBO 003 002 0 K

305 3524011108101746 3524011808910001 PARLIN LAMONGAN 18|08|1991 B L PALUOMBO 003 002 0 K

306 3524011108101748 3524015401480001 SUMI LAMONGAN 14|01|1948 P P PALUOMBO 003 002 0 K

307 3524011108101749 3524014108720002 WARSITA LAMONGAN 01|08|1972 P P PALUOMBO 003 002 0 K

308 3524011108101749 3524010412880002 PIPIT RIJA SEKENTARIYAS LAMONGAN 04|12|1988 B L PALUOMBO 003 002 0 K

309 3524011108101749 3524021011940001 SEDIYO BUDI UTOMO LAMONGAN 10|11|1994 S L PALUOMBO 003 002 0 K

310 3524011108101749 3524014402980001 TRIA SANTIKA LAILATUL KHOMARIAH LAMONGAN 04|02|1998 S P PALUOMBO 003 002 0 K

311 3524011108101749 3524015002030002 VALENTINA FEBRIANTI SA'ADAH LAMONGAN 10|02|2003 B P PALUOMBO 003 002 0 K

312 3524011108101750 3524011503680001 MUSALI LAMONGAN 15|03|1968 S L PALUOMBO 003 002 0 K

313 3524011108101751 3524011503630002 SAMAT JOMBANG 15|03|1963 S L PALUOMBO 003 002 0 K

314 3524011108101751 3524014504740002 SAMI LAMONGAN 15|12|1974 S P PALUOMBO 003 002 0 K

315 3524011108101751 3524010710930001 SUTRISNO LAMONGAN 08|10|1993 B L PALUOMBO 003 002 0 K

316 3524011108101753 3524011111670001 SARJI LAMONGAN 11|11|1967 S L PALUOMBO 003 002 0 K

317 3524011108101753 3524014604750001 WARTIK LAMONGAN 06|04|1975 S P PALUOMBO 003 002 0 K

318 3524011108101753 3524010305950003 MOHAMAD ROPIK LAMONGAN 03|02|1995 B L PALUOMBO 003 002 0 K

319 3524011108101753 3524014304030003 NUR AISA RAHMADANI LAMONGAN 10|11|2003 B P PALUOMBO 003 002 0 B

320 3524011108101754 3524010411690001 BISRI TUBAN 04|11|1969 S L PALUOMBO 003 002 0 K

321 3524011108101759 3524011902530001 JUKI LAMONGAN 19|02|1953 S L PALUOMBO 003 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 31 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

322 3524011108101759 3524014101640020 DARPIK LAMONGAN 01|01|1964 S P PALUOMBO 003 002 0 K

323 3524011108101759 3524013108950001 BAGUS DWI DARMANTO LAMONGAN 31|08|1995 B L PALUOMBO 003 002 0 K

324 3524011108101760 3524011608550002 DIRUN LAMONGAN 16|08|1955 S L PALUOMBO 003 002 0 K

325 3524011108101760 3524015607570001 SUTI LAMONGAN 16|07|1957 S P PALUOMBO 003 002 0 K

326 3524011108101761 3524010902700002 MINTO KEDIRI 09|02|1970 S L PALUOMBO 003 002 0 K

327 3524011108101761 3524014403770001 SARIATI LAMONGAN 04|03|1977 S P PALUOMBO 003 002 0 K

328 3524011108101761 3524011006960003 MANDA PUTRA PRATAMA LAMONGAN 06|06|1996 B L PALUOMBO 003 002 0 K

329 3524011108101762 3524011706450002 SARDI LAMONGAN 17|06|1945 S L PALUOMBO 003 002 0 K

330 3524011108101762 3524015605470002 SUMINING LAMONGAN 16|05|1947 S P PALUOMBO 003 002 0 K

331 3524011108101763 3524011708680001 SUNARI LAMONGAN 17|08|1968 S L PALUOMBO 003 002 0 K

332 3524011108101765 3524011209720001 BARI LAMONGAN 12|09|1972 S L PALUOMBO 003 002 0 K

333 3524011108101765 3524015105720001 SULIKHAH LAMONGAN 11|05|1972 S P PALUOMBO 003 002 0 K

334 3524011108101765 3524014905000001 IRAWATI LAMONGAN 09|05|2000 B P PALUOMBO 003 002 0 K

335 3524011108101766 3524016707820001 SUKARMINTEN LAMONGAN 27|07|1982 B P PALUOMBO 003 002 0 K

336 3524011108101767 3524010509850001 YUNAN RISTANTO LAMONGAN 05|09|1985 B L PALUOMBO 003 002 0 K

337 3524011108101768 3524012202610002 PUNIRAN LAMONGAN 22|02|1961 S L PALUOMBO 003 002 0 K

338 3524011108101768 3524011312970001 SIROY ABIYYU LAMONGAN 13|12|1997 B L PALUOMBO 003 002 0 K

339 3524011108101771 3524010906700003 SUJANI LAMONGAN 09|06|1970 S L PALUOMBO 003 002 0 K

340 3524011108101771 3524014301750001 RANTI LAMONGAN 03|01|1975 S P PALUOMBO 003 002 0 K

341 3524011108101771 3524011111950002 JOHAN RISMAWANTO LAMONGAN 11|11|1995 B L PALUOMBO 003 002 0 K

342 3524011108101772 3524011904400001 SIDIN LAMONGAN 19|04|1940 S L PALUOMBO 003 002 0 K

343 3524011108101772 3524014307450001 MASIYAH LAMONGAN 03|07|1945 S P PALUOMBO 003 002 0 K

344 3524011108101773 3524010406750001 SUWONO LAMONGAN 04|06|1975 S L PALUOMBO 003 002 0 K

345 3524011108101773 3524014603790001 SRIATUN LAMONGAN 06|03|1979 S P PALUOMBO 003 002 0 K

346 3524011108101773 3524015003020003 DEVI PARWANTI LAMONGAN 10|03|2002 B P PALUOMBO 003 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 32 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

347 3524011108101777 3524011708690001 SRIMIN LAMONGAN 17|08|1969 S L PALUOMBO 003 002 0 K

348 3524011108101777 3524014604770001 TARINI LAMONGAN 06|04|1977 S P PALUOMBO 003 002 0 K

349 3524011108101777 3524011702950002 TINO RIZUL'AN LAMONGAN 17|02|1995 B L PALUOMBO 003 002 0 K

350 3524011108101779 3524010202670001 SELAMET LAMONGAN 02|02|1967 S L PALUOMBO 003 002 0 K

351 3524011108101779 3524014702730001 SARIANI LAMONGAN 07|02|1973 S P PALUOMBO 003 002 0 K

352 3524011108101780 3524011101450001 SIRAN LAMONGAN 11|01|1945 S L PALUOMBO 003 002 0 K

353 3524011108101780 3524014101630029 RASIMAH LAMONGAN 01|01|1963 S P PALUOMBO 003 002 0 K

354 3524011108101782 3524013007730001 TAMIRIN LAMONGAN 30|07|1973 S L PALUOMBO 003 002 0 K

355 3524011108101782 3524015301820002 TATIK LAMONGAN 13|01|1982 S P PALUOMBO 003 002 0 K

356 3524011108101782 3524014809010001 I'IN NUR FA'IZAH LAMONGAN 08|09|2001 B P PALUOMBO 003 002 0 K

357 3524011108101806 3524014101580028 TAMISRI LAMONGAN 01|01|1958 P P PALUOMBO 003 002 0 K

358 3524011108101860 3524010101560030 SIDI EDY LAMONGAN 01|01|1956 B L PALUOMBO 003 002 0 K

359 3524011108101882 3524010606530002 PRAYITNO LAMONGAN 06|06|1953 S L PALUOMBO 003 002 0 K

360 3524011108102095 3524011503620001 WADJI LAMONGAN 15|03|1962 S L PALUOMBO 003 002 0 K

361 3524011108102095 3524015312640001 SAMI LAMONGAN 13|12|1964 S P PALUOMBO 003 002 0 K

362 3524011108102106 3524011011390001 TARIBIN LAMONGAN 10|11|1939 S L PALUOMBO 003 002 0 K

363 3524011108102106 3524015201540002 KARTI LAMONGAN 12|01|1954 S P PALUOMBO 003 002 0 K

364 3524011108102106 3524011610900001 TRIA ADI SUSANTO LAMONGAN 16|10|1990 B L PALUOMBO 003 002 0 K

365 3524011108102118 3524013001630002 SAEKAN LAMONGAN 30|01|1963 S L Dsn.PALUOMBO 003 002 0 K

366 3524011108102118 3524014803710001 SAMINAH LAMONGAN 08|03|1971 S P Dsn.PALUOMBO 003 002 0 K

367 3524011108102126 3524014102450001 DARSI LAMONGAN 01|02|1945 S P PALUOMBO 003 002 0 K

368 3524011108102142 3524012607990002 AFIF RIDHWAN PUTRA LAMONGAN 26|07|1999 B L PALUOMBO 003 002 0 K

369 3524011108102146 3524010504500001 JUMALI LAMONGAN 05|04|1950 S L PALUOMBO 003 002 0 K

370 3524011108102185 3524011211780002 MULYO BOJONEGORO 12|11|1978 S L PALUOMBO 003 002 0 K

371 3524011108102185 3275045612850017 LINA FAJAR HARYANTI WONOGIRI 16|12|1985 S P PALUOMBO 003 002 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 33 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

372 3524011108102185 3524016706030002 ELISA RESTY SALSABILLA LAMONGAN 27|06|2003 B P PALUOMBO 003 002 0 K

373 3524011108102204 3524011807810004 SUKARDI TUBAN 18|07|1981 S L Dsn. PALUOMBO 003 002 0 K

374 3524011108102204 3524015304860001 SUMARLIK LAMONGAN 13|04|1986 S P Dsn. PALUOMBO 003 002 0 K

375 3524011108102212 3524010405840001 BUDI UTOMO LAMONGAN 01|02|1984 S L PALUOMBO 003 002 0 K

376 3524011108102212 3524014909880003 KARTI NINGSIH LAMONGAN 09|09|1988 S P PALUOMBO 003 002 0 K

377 3524011108102227 3524011803810001 BAHNO LAMONGAN 18|03|1981 S L PALUOMBO 003 002 0 K

378 3524011108102227 3524015908820001 SAMINEM LAMONGAN 19|08|1982 S P PALUOMBO 003 002 0 K

379 3524011108102235 3524012108860001 AGUS SUSANTO LAMONGAN 21|08|1986 S L PALUOMBO 003 002 0 K

380 3524011108102235 3524015104860001 YULI IRAWATI LAMONGAN 11|04|1986 S P PALUOMBO 003 002 0 K

381 3524011108102240 3524015308540001 SURIP LAMONGAN 13|08|1954 P P PALUOMBO 003 002 0 K

382 3524011108102240 3524016206910002 SINIWATI LAMONGAN 22|06|1991 S P PALUOMBO 003 002 0 K

383 3524011108102240 3522270508950002 TRIONO BOJONEGORO 05|08|1995 S L PALUOMBO 003 002 0 K

384 3524011108104198 3524010307630001 SLAMET LAMONGAN 03|07|1963 S L PALUOMBO 003 002 0 K

385 3524011111110001 3524011710840001 DIMAS HADI SUSWANTO LAMONGAN 17|10|1984 S L PALUOMBO 003 002 0 K

386 3524011111110001 3524015004910001 LIYA PRASTYAWATI BOJONEGORO 10|04|1991 S P PALUOMBO 003 002 0 K

387 3524011402190001 3524012310710001 PAESAN LAMONGAN 23|10|1971 B L PALUOMBO 003 002 0 K

388 3524011705180002 3516152405920002 ACH. SYAFII MOJOKERTO 24|05|1992 S L PALUOMBO 003 002 0 K

389 3524011705180002 3524010906940001 RIZKI WAHYU KURNIA DEWI LAMONGAN 09|06|1994 S P PALUOMBO 003 002 0 K

390 3524013101190001 3524012104660003 PAIMIN LAMONGAN 21|04|1966 S L PALUOMBO 003 002 0 K

391 3524013101190001 3523162506880001 RIDUWAN TUBAN 02|06|1988 S L PALUOMBO 003 002 0 K

392 3524013101190001 3524015901920002 YENI NURWIDAYANTI LAMONGAN 19|01|1992 S P PALUOMBO 003 002 0 K

Keterangan Perkawinan = 392 Keterangan Disabilitas = 1 Keterangan Status Perekaman KTP-el = 392
B : Belum Kawin = 92 1: Disabilitas Fisik B : Belum Rekam = 6 Ditetapkan di LAMONGAN, Tanggal 16 Oktober 2020
S : Kawin = 267 2: Disabilitas Intelektual = 1 S : Sudah Rekam (Suket) KPU KABUPATEN LAMONGAN
P : Pernah Kawin = 33 3: Disabilitas Mental K : Sudah Rekam (KTP-el) = 386 KETUA
4: Disabilitas Sensorik
Jenis Kelamin = 392
L : Laki-Laki = 208

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 34 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14
P : Perempuan = 184 MAHRUS ALI, S.Pd
KK = 174

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-002 Hal 35 dari 142


Model A.3-KWK

Model A.3-KWK
DAFTAR PEMILIH TETAP
PEMILIHAN BUPATI DAN WAKIL BUPATI LAMONGAN
TAHUN 2020
PROVINSI : JAWA TIMUR KECAMATAN : SUKORAME
KABUPATEN : LAMONGAN DESA/KELURAHAN : KEDUNGKUMPUL
TPS : 003
TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN
BILITAS
KTP-EL KETERANGAN
B/S/P L/P JALAN/DUKUH RT RW (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 3524010502160001 3309160607829007 PRIYANTO BOYOLALI 06|07|1982 S L SAMBEN 001 003 0 K

2 3524010502160001 3524014505840001 SUMINING LAMONGAN 05|05|1984 S P SAMBEN 001 003 0 K

3 3524011108101626 3524011709750001 SARWO BOJONEGORO 17|09|1975 S L SAMBEN 001 003 0 K

4 3524011108101626 3524015507780001 WARINTEN LAMONGAN 15|07|1978 S P SAMBEN 001 003 0 K

5 3524011108101626 3524016607010001 YULI AYU LESTARI LAMONGAN 26|07|2001 B P SAMBEN 001 003 0 K

6 3524011108101632 3524010405640002 TARMUJI LAMONGAN 04|05|1964 S L SAMBEN 001 003 0 K

7 3524011108101632 3524014403720002 NGADEMI LAMONGAN 04|03|1972 S P SAMBEN 001 003 0 K

8 3524011108101632 3524010509910001 SANDI LAMONGAN 05|09|1991 B L SAMBEN 001 003 0 K

9 3524011108101632 3524016312020001 DEPI PENITA SARI LAMONGAN 23|12|2002 B P SAMBEN 001 003 0 K

10 3524011108101647 3524010311670001 PUGUH LAMONGAN 03|11|1967 S L SAMBEN 001 003 0 K

11 3524011108101650 3524010402750001 WAJID LAMONGAN 04|02|1975 S L SAMBEN 001 003 0 K

12 3524011108101650 3524014401800001 SUTRI LAMONGAN 04|01|1980 S P SAMBEN 001 003 0 K

13 3524011108101650 3524010607020002 NIRWAN ADI SAPUTRA LAMONGAN 06|07|2002 B L SAMBEN 001 003 0 K

14 3524011108101661 3524012103640002 SIHAT LAMONGAN 21|03|1964 S L SAMBEN 001 003 0 K

15 3524011108101661 3524014806690002 KARMI LAMONGAN 08|06|1969 S P SAMBEN 001 003 0 K

16 3524011108101661 3524010808990001 AGUS BUDI SETIAWAN LAMONGAN 08|08|1999 B L SAMBEN 001 003 0 K

17 3524011108101663 3524010702660001 BAKRI LAMONGAN 07|02|1966 S L SAMBEN 001 003 0 K

18 3524011108101663 3524016004710001 SUMINI LAMONGAN 20|04|1971 S P SAMBEN 001 003 0 K

19 3524011108101664 3524011707770001 SUWONO LAMONGAN 17|07|1977 S L SAMBEN 001 003 0 K

20 3524011108101664 3524014707820002 SAMINTRI LAMONGAN 07|07|1982 S P SAMBEN 001 003 0 K

21 3524011108101664 3524014111020001 WINDI PITRIANI EKA WATI LAMONGAN 05|11|2002 B P SAMBEN 001 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 36 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

22 3524011108101666 3524014608650001 MIIN LAMONGAN 06|08|1965 P P SAMBEN 001 003 0 K

23 3524011108101666 3524015008020003 PARTILIS DWI LESTARI LAMONGAN 08|10|2001 B P SAMBEN 001 003 0 K

24 3524011108101920 3524011010710002 NGATEMIN LAMONGAN 12|10|1965 S L SAMBEN 001 003 0 K

25 3524011108101920 3524015011770003 MINING LAMONGAN 10|11|1977 S P SAMBEN 001 003 0 K

26 3524011108101920 3524012211990001 RISKI ADI PRADANA LAMONGAN 22|11|1999 B L SAMBEN 001 003 0 K

27 3524012106160001 3524016308780001 TARSUN LAMONGAN 23|08|1978 S P SAMBEN 001 003 0 B

28 3524012106160001 5308010603820001 NASRUL ABDUL HAMID BHOAWOKA 06|03|1982 S L SAMBEN 001 003 0 K

29 3524012106160001 3524011808990002 MOCH RIDWAN ADI RIVANA LAMONGAN 18|08|1999 B L SAMBEN 001 003 0 K

30 3524013105180001 6404051401870001 PRIADI LAMONGAN 14|01|1987 S L SAMBEN 001 003 0 K

31 3524013105180001 3524014106910001 YENIK LAMONGAN 01|06|1991 S P SAMBEN 001 003 0 K

32 3524010105130001 3524011703850002 LAMIDI LAMONGAN 17|03|1985 S L SAMBEN 002 003 0 K

33 3524010105130001 3329045603880006 TORIAH BREBES 16|03|1988 S P SAMBEN 002 003 0 K

34 3524010110180001 3524017112690001 SITRI BOJONEGORO 31|12|1969 P P SAMBEN 002 003 0 K

35 3524010110180001 3524012608930002 BRIN INDRA PANTRIANA BOJONEGORO 26|08|1993 B L SAMBEN 002 003 0 K

36 3524010110180001 3524016611940001 LIDIA CANDRA BUANA BOJONEGORO 26|11|1994 B P SAMBEN 002 003 0 K

37 3524010110180001 3524012605010001 DIMAS CANDRA TRIPRADANA LAMONGAN 26|05|2001 B L SAMBEN 002 003 0 K

38 3524010202180006 3524015705880001 MARIYATI LAMONGAN 17|05|1988 S P SAMBEN 002 003 0 K

39 3524010301120001 3524012507870002 ISMA'UN LAMONGAN 25|07|1987 S L SAMBEN 002 003 0 K

40 3524010301120001 3524015606910002 NASRI LAMONGAN 16|06|1991 S P SAMBEN 002 003 0 K

41 3524010302120004 3524010909840002 EDIK LAMONGAN 09|09|1984 S L SAMBEN 002 003 0 K

42 3524010302120004 3524014804900001 RIWAN ANITA LAMONGAN 08|04|1990 S P SAMBEN 002 003 0 K

43 3524010507170001 3524015804640001 JAMI LAMONGAN 18|04|1964 S P SAMBEN 002 003 0 K

44 3524010802130002 3216015106820004 SRI RAGIL WAHYUNINGDYAH PONOROGO 11|06|1982 S P SAMBEN 002 003 0 K

45 3524010802130002 3524011911840002 SUYONO LAMONGAN 19|11|1984 S L SAMBEN 002 003 0 K

46 3524011001180001 3306045304780003 GHONIM KHAYATI PURWOREJO 13|04|1978 S P SAMBEN 002 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 37 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

47 3524011001180001 3524010611800002 SUPARLAN LAMONGAN 06|11|1980 S L SAMBEN 002 003 0 K

48 3524011108100906 3524011907710001 KAMIJAN LAMONGAN 19|07|1971 S L SAMBEN 002 003 0 K

49 3524011108100906 3524015203770001 NANIK LAMONGAN 12|03|1977 S P SAMBEN 002 003 0 K

50 3524011108100906 3524016011990001 DUWI JAYANTI LAMONGAN 20|11|1999 B P SAMBEN 002 003 0 K

51 3524011108101106 3524011009520001 TASIRAN LAMONGAN 10|09|1952 P L SAMBEN 002 003 0 K

52 3524011108101106 3524011010950001 PADI LAMONGAN 15|10|1995 B L SAMBEN 002 003 0 K

53 3524011108101653 3524011204650003 SANTIWI LAMONGAN 12|04|1965 S L SAMBEN 002 003 0 K

54 3524011108101653 3524014609690001 KUSTI LAMONGAN 06|09|1969 S P SAMBEN 002 003 0 K

55 3524011108101663 3524016104980001 YUSTINA FATMAWATI LAMONGAN 11|03|1998 B P SAMBEN 002 003 0 K

56 3524011108101695 3524010411520001 MASIDI LAMONGAN 04|11|1952 S L SAMBEN 002 003 0 K

57 3524011108101695 3524014506610002 LAMISIH LAMONGAN 05|06|1961 S P SAMBEN 002 003 0 K

58 3524011108101695 3524012401980001 MUHAMAD SULTON LAMONGAN 24|01|1998 B L SAMBEN 002 003 0 K

59 3524011108101696 3524010807670001 SAGET LAMONGAN 08|07|1967 S L SAMBEN 002 003 0 K

60 3524011108101696 3524014506780001 SUWARNI LAMONGAN 05|06|1978 S P SAMBEN 002 003 0 K

61 3524011108101697 3524011306750001 PARTONO LAMONGAN 13|06|1975 S L SAMBEN 002 003 0 K

62 3524011108101697 3524015105840001 LASTRI LAMONGAN 11|05|1984 S P SAMBEN 002 003 0 K

63 3524011108101698 3524010306570001 TASENO LAMONGAN 03|06|1957 S L SAMBEN 002 003 0 K

64 3524011108101698 3524015607600001 SATIWI LAMONGAN 16|07|1960 S P SAMBEN 002 003 0 K

65 3524011108101698 3524011208860004 SUGITO LAMONGAN 12|08|1986 P L SAMBEN 002 003 0 K

66 3524011108101699 3524010104750003 SURYADI LAMONGAN 01|04|1975 S L SAMBEN 002 003 0 K

67 3524011108101699 3524014304810002 NANIK LAMONGAN 03|04|1981 S P SAMBEN 002 003 0 K

68 3524011108101699 3524014106020001 ATUN LAMONGAN 01|06|2002 B P SAMBEN 002 003 0 K

69 3524011108101699 3524014106020002 ASRI LAMONGAN 01|06|2002 B P SAMBEN 002 003 0 K

70 3524011108101700 3524011708540001 KADERI LAMONGAN 17|08|1954 S L SAMBEN 002 003 0 K

71 3524011108101701 3524010404540001 SITAM LAMONGAN 04|04|1954 S L SAMBEN 002 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 38 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

72 3524011108101701 3524015110600001 DASI LAMONGAN 11|10|1960 S P SAMBEN 002 003 0 K

73 3524011108101701 3524014501990001 MARLIAH MILA R LAMONGAN 05|01|1999 B P SAMBEN 002 003 0 K

74 3524011108101702 3524011104590001 SIJI LAMONGAN 11|04|1959 S L SAMBEN 002 003 0 K

75 3524011108101702 3524015104610001 LASTRI LAMONGAN 11|04|1961 S P SAMBEN 002 003 0 K

76 3524011108101703 3524011209710002 YOMO LAMONGAN 12|09|1971 S L SAMBEN 002 003 0 K

77 3524011108101703 3524015205810002 MULYANI LAMONGAN 12|05|1980 S P SAMBEN 002 003 0 K

78 3524011108101703 3524010904030001 ANDIKA PUTRA LAMONGAN 09|04|2003 B L SAMBEN 002 003 0 K

79 3524011108101704 3524014102620001 SUMINTEN LAMONGAN 01|02|1962 P P SAMBEN 002 003 0 K

80 3524011108101705 3524010809560001 SATIM LAMONGAN 08|09|1956 S L SAMBEN 002 003 0 K

81 3524011108101705 3524015007600002 SRIMAH LAMONGAN 10|07|1960 S P SAMBEN 002 003 0 K

82 3524011108101705 3524011111910002 SUTRISNO LAMONGAN 25|11|1991 B L SAMBEN 002 003 0 K

83 3524011108101706 3524010208750001 SINTO LAMONGAN 02|08|1975 S L SAMBEN 002 003 0 K

84 3524011108101706 3524016407760001 SOYI LAMONGAN 24|07|1976 S P SAMBEN 002 003 0 K

85 3524011108101706 3524014905020001 SINDI FATIKA SARI LAMONGAN 09|05|2002 B P SAMBEN 002 003 0 K

86 3524011108101707 3524010411440001 MARSO LAMONGAN 04|11|1944 S L SAMBEN 002 003 0 K

87 3524011108101707 3524015709490001 TAMISRI LAMONGAN 17|09|1949 S P SAMBEN 002 003 0 K

88 3524011108101707 3524010910880001 KARMONO LAMONGAN 09|10|1988 B L SAMBEN 002 003 0 K

89 3524011108101707 3524010712890002 SAPARIN LAMONGAN 07|12|1989 B L SAMBEN 002 003 0 K

90 3524011108101709 3524010501700003 PARMAN LAMONGAN 05|01|1970 S L SAMBEN 002 003 0 K

91 3524011108101709 3524017006760002 PARTI LAMONGAN 30|06|1976 S P SAMBEN 002 003 0 K

92 3524011108101709 3524010611950001 TONI D R LAMONGAN 06|11|1995 B L SAMBEN 002 003 0 K

93 3524011108101711 3524011611660001 NARI LAMONGAN 16|11|1966 S L SAMBEN 002 003 0 K

94 3524011108101711 3524015306670001 MARNI LAMONGAN 13|06|1967 S P SAMBEN 002 003 0 K

95 3524011108101711 3524014808010001 NILAM AGUSTINA LAMONGAN 08|08|2001 B P SAMBEN 002 003 0 K

96 3524011108101712 3524013006390001 SAINDU LAMONGAN 30|06|1939 S L SAMBEN 002 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 39 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

97 3524011108101713 3524016501480001 MBARTI LAMONGAN 25|01|1948 P P SAMBEN 002 003 0 K

98 3524011108101714 3524012409450001 NADI LAMONGAN 24|09|1945 S L SAMBEN 002 003 0 K

99 3524011108101714 3524016409490001 SAPRI LAMONGAN 24|09|1949 S P SAMBEN 002 003 0 K

100 3524011108101715 3524011005650002 SUTAJI LAMONGAN 10|05|1965 S L SAMBEN 002 003 0 K

101 3524011108101715 3524015005690001 GINTUN LAMONGAN 10|05|1969 S P SAMBEN 002 003 0 K

102 3524011108101715 3524011711870001 WANTO LAMONGAN 17|11|1987 S L SAMBEN 002 003 0 K

103 3524011108101715 3524014504890002 HARIANI LAMONGAN 05|04|1989 S P SAMBEN 002 003 0 K

104 3524011108101716 3524010202730001 SENEN JOMBANG 02|02|1973 S L SAMBEN 002 003 0 K

105 3524011108101716 3524015207810001 INDIANI LAMONGAN 12|07|1981 S P SAMBEN 002 003 0 K

106 3524011108101716 3524010901030002 AGNAN FRENDY RIMBAWAN LAMONGAN 09|01|2003 B L SAMBEN 002 003 0 K

107 3524011108101717 3524014811520001 SUKINING LAMONGAN 08|11|1952 S P SAMBEN 002 003 0 K

108 3524011108101718 3524011301770001 KUWAT LAMONGAN 13|01|1977 S L SAMBEN 002 003 0 K

109 3524011108101718 3524014810790001 SULAMI LAMONGAN 08|10|1979 S P SAMBEN 002 003 0 K

110 3524011108101718 3524016203020001 IMATUL ALIYAH LAMONGAN 22|03|2002 B P SAMBEN 002 003 0 K

111 3524011108101719 3524014910590004 RASIYEM LAMONGAN 09|10|1959 S P SAMBEN 002 003 0 K

112 3524011108101719 3524012108920001 MUJIARTO LAMONGAN 21|08|1992 B L SAMBEN 002 003 0 K

113 3524011108101719 3524015503970001 JEPI RATNASARI LAMONGAN 09|12|1997 B P SAMBEN 002 003 0 K

114 3524011108101720 3524011201550002 WARMIN LAMONGAN 12|01|1955 S L SAMBEN 002 003 0 K

115 3524011108101720 3524015408640001 MARIANI LAMONGAN 14|08|1964 S P SAMBEN 002 003 0 K

116 3524011108101720 3524010511820002 SUGENG LAMONGAN 05|11|1982 P L SAMBEN 002 003 0 K

117 3524011108101720 3524012702980001 ERPAN ARI PURWANTO LAMONGAN 27|02|1998 B L SAMBEN 002 003 0 K

118 3524011108101721 3524010409590001 MUNASIR BOJONEGORO 04|09|1959 S L SAMBEN 002 003 0 K

119 3524011108101722 3524011210680002 SUKADI LAMONGAN 12|10|1968 S L SAMBEN 002 003 0 K

120 3524011108101722 3524015804700001 SARINAH LAMONGAN 18|04|1970 S P SAMBEN 002 003 0 K

121 3524011108101722 3524016309000001 SERI DIAH RATNASARI LAMONGAN 23|09|2000 B P SAMBEN 002 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 40 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

122 3524011108101724 3524012108720001 SIDARMAJI LAMONGAN 21|08|1972 S L SAMBEN 002 003 0 K

123 3524011108101724 3524015504760002 SUPARNI LAMONGAN 15|04|1976 S P SAMBEN 002 003 0 K

124 3524011108101724 3524042904890001 DUL ROHMAN LAMONGAN 29|04|1989 S L SAMBEN 002 003 0 K

125 3524011108101724 3524015210930002 CITA LAMONGAN 12|10|1993 P P SAMBEN 002 003 0 K

126 3524011108101725 3524012407680001 KAMARI LAMONGAN 24|07|1968 S L SAMBEN 002 003 0 K

127 3524011108101725 3524012502980002 RUDI KUSWANTO LAMONGAN 25|02|1998 B L SAMBEN 002 003 0 K

128 3524011108101726 3524011903490001 SAERUN LAMONGAN 19|03|1949 S L SAMBEN 002 003 0 K

129 3524011108101726 3524014411570001 KAENTEN LAMONGAN 04|11|1957 S P SAMBEN 002 003 0 K

130 3524011108101726 3524011210800001 WAIDI LAMONGAN 12|10|1980 S L SAMBEN 002 003 0 K

131 3524011108101726 3524015107840001 SARIANI LAMONGAN 11|07|1984 S P SAMBEN 002 003 0 K

132 3524011108101905 3524010509650002 SUGIONO LAMONGAN 05|09|1965 S L SAMBEN 002 003 0 K

133 3524011108101905 3524014908680001 SULASTRI LAMONGAN 09|08|1968 S P SAMBEN 002 003 0 K

134 3524011108101905 3524010212910002 ANDRI SUWANTO LAMONGAN 02|12|1991 B L SAMBEN 002 003 0 K

135 3524011108101905 3524012601020001 JEPRI TEGUH HARIANTO LAMONGAN 26|01|2002 B L SAMBEN 002 003 0 K

136 3524011108101906 3524013112680001 PARIN LAMONGAN 31|12|1968 S L SAMBEN 002 003 0 K

137 3524011108101906 3524017009690001 LAMINING LAMONGAN 30|09|1969 S P SAMBEN 002 003 0 K

138 3524011108101907 3524013112440001 SUPRAT LAMONGAN 31|12|1944 S L SAMBEN 002 003 0 K

139 3524011108101907 3524016408590001 GINTEN LAMONGAN 24|08|1959 S P SAMBEN 002 003 0 K

140 3524011108101909 3524015304410001 LAMINTEN LAMONGAN 13|04|1941 P P SAMBEN 002 003 0 K

141 3524011108101913 3524011408500001 TRIMO LAMONGAN 14|08|1950 P L SAMBEN 002 003 0 K

142 3524011108101913 3524010103750001 SIMUL LAMONGAN 01|03|1975 S L SAMBEN 002 003 0 K

143 3524011108101913 3524016012810001 YATI LAMONGAN 20|12|1981 S P SAMBEN 002 003 0 K

144 3524011108101915 3524010305690001 SIKAS LAMONGAN 03|05|1969 S L SAMBEN 002 003 0 K

145 3524011108101915 3524014507790002 SUMINING LAMONGAN 05|07|1979 S P SAMBEN 002 003 0 K

146 3524011108101915 3524016007980002 WIDIAH YULIA RISWANA LAMONGAN 20|07|1998 B P SAMBEN 002 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 41 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

147 3524011108101927 3524011703740001 SUPRI LAMONGAN 17|03|1974 S L SAMBEN 002 003 0 K

148 3524011108101927 3524015407790002 SUMILAH LAMONGAN 14|07|1979 S P SAMBEN 002 003 0 K

149 3524011108101927 3524016510000001 SUSI SUSANTI LAMONGAN 29|10|2000 B P SAMBEN 002 003 0 K

150 3524012008190001 3524014904590001 ASIH LAMONGAN 09|04|1959 P P SAMBEN 002 003 0 K

151 3524012008190001 3524015808010001 SULKIYA NURUL AGUSTIN LAMONGAN 18|08|2001 B P SAMBEN 002 003 0 K

152 3524012011170003 3524017012620001 WARIJAH LAMONGAN 30|12|1962 P P SAMBEN 002 003 0 K

153 3524012601170001 6371031101850008 SAPI'I LAMONGAN 11|01|1985 S L SAMBEN 002 003 0 K

154 3524012601170001 3524015704940003 AYU WULANDARI LAMONGAN 17|04|1994 S P SAMBEN 002 003 0 K

155 3524010111170003 3524075203710002 TITIK SUNDARI LAMONGAN 12|03|1971 S P SAMBEN 003 003 0 K

156 3524010111170003 3524011203830002 SAMPURNO LAMONGAN 12|03|1983 S L SAMBEN 003 003 0 K

157 3524010409170002 3517136309900002 LUFI AMIN ROHMADI JOMBANG 23|09|1990 S L SAMBEN 003 003 0 K

158 3524010409170002 3524016611930003 TARMI FATMAWATI LAMONGAN 26|11|1993 S P SAMBEN 003 003 0 K

159 3524011108101083 3524011909700001 TONO LAMONGAN 19|09|1970 S L SAMBEN 003 003 0 K

160 3524011108101083 3524015907750001 SUNDARI LAMONGAN 19|07|1975 S P SAMBEN 003 003 0 K

161 3524011108101085 3524011909710001 SADARI LAMONGAN 19|09|1971 S L SAMBEN 003 003 0 K

162 3524011108101085 3524015812760001 MARIYEM LAMONGAN 18|12|1976 S P SAMBEN 003 003 0 K

163 3524011108101085 3524014804980001 NANI AGUSTINING TIAS LAMONGAN 08|04|1998 B P SAMBEN 003 003 0 K

164 3524011108101088 3524010706680002 PARDI LAMONGAN 07|06|1968 S L SAMBEN 003 003 0 K

165 3524011108101088 3524015902710001 SIDREM LAMONGAN 19|02|1971 S P SAMBEN 003 003 0 K

166 3524011108101088 3524012001940001 SITRA LAMONGAN 20|01|1994 B L SAMBEN 003 003 0 K

167 3524011108101089 3524010201540002 SAMIRAN LAMONGAN 02|01|1954 S L SAMBEN 003 003 0 K

168 3524011108101089 3524016607600001 SARIMAH LAMONGAN 26|07|1960 S P SAMBEN 003 003 0 K

169 3524011108101089 3524013101810001 SAMI'IN LAMONGAN 31|01|1981 S L SAMBEN 003 003 0 K

170 3524011108101089 3524014711860001 SUWARTI LAMONGAN 07|11|1986 S P SAMBEN 003 003 0 K

171 3524011108101090 3524011906530001 SARBI LAMONGAN 19|06|1953 P L SAMBEN 003 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 42 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

172 3524011108101091 3524014810450001 MINEM LAMONGAN 08|10|1945 P P SAMBEN 003 003 0 K

173 3524011108101091 3524011805900001 MIJAN RIYANTO LAMONGAN 18|05|1990 B L SAMBEN 003 003 0 K

174 3524011108101095 3524014207560001 JAISIH LAMONGAN 02|07|1956 S P SAMBEN 003 003 0 K

175 3524011108101095 3524010109020002 HUDA LAMONGAN 01|09|2002 B L SAMBEN 003 003 0 K

176 3524011108101096 3524010801720001 SURIP LAMONGAN 19|07|1969 S L SAMBEN 003 003 0 K

177 3524011108101096 3524014108750001 SINEM LAMONGAN 01|08|1975 S P SAMBEN 003 003 0 K

178 3524011108101096 3524011610970002 KOMAR HADI LAMONGAN 16|10|1997 B L SAMBEN 003 003 0 K

179 3524011108101104 3524014306520001 RATIMAH LAMONGAN 03|06|1952 P P SAMBEN 003 003 0 K

180 3524011108101104 3524010205820001 SISWOYO LAMONGAN 02|05|1982 B L SAMBEN 003 003 0 K

181 3524011108101108 3524010803750001 SANTO LAMONGAN 08|03|1975 S L SAMBEN 003 003 0 K

182 3524011108101108 3524016509790001 SATRI LAMONGAN 25|09|1979 S P SAMBEN 003 003 0 K

183 3524011108101108 3524015110990001 ALMUR SALATULLAH LAMONGAN 11|10|1999 B P SAMBEN 003 003 0 K

184 3524011108101111 3524010402490001 SARDI LAMONGAN 04|02|1949 S L SAMBEN 003 003 0 K

185 3524011108101111 3524014508500001 JAISRI LAMONGAN 05|08|1950 S P SAMBEN 003 003 0 K

186 3524011108101113 3524010607680001 WINARTO LAMONGAN 06|07|1968 S L SAMBEN 003 003 0 K

187 3524011108101113 3524014902780001 SILUS RAHAYU LAMONGAN 09|02|1978 S P SAMBEN 003 003 0 K

188 3524011108101113 3524010812960001 DIO CENDANA PAKSI LAMONGAN 08|12|1996 B L SAMBEN 003 003 0 K

189 3524011108101116 3524015006500001 LASIRAH LAMONGAN 10|06|1950 S P SAMBEN 003 003 0 K

190 3524011108101118 3524016806490001 YATEMI LAMONGAN 28|06|1949 P P SAMBEN 003 003 0 K

191 3524011108101119 3524010102740001 SURIP LAMONGAN 01|02|1974 S L SAMBEN 003 003 0 K

192 3524011108101119 3524014803840003 NARSIH LAMONGAN 08|03|1984 S P SAMBEN 003 003 0 K

193 3524011108101119 3524010710000001 RIA PRANDOYO BUDI WAHYONO LAMONGAN 07|10|2000 B L SAMBEN 003 003 0 K

194 3524011108101120 3524015601540001 TAMINI LAMONGAN 16|01|1954 P P SAMBEN 003 003 0 K

195 3524011108101120 3524011207890001 SUPARMAN LAMONGAN 12|07|1989 B L SAMBEN 003 003 0 B

196 3524011108101120 3524011005020001 NUR KEKI LAMONGAN 10|05|2002 B L SAMBEN 003 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 43 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

197 3524011108101121 3524014101380023 PAISIH LAMONGAN 01|01|1938 P P SAMBEN 003 003 0 K

198 3524011108101121 3524016202710001 NGADI LAMONGAN 22|02|1971 P P SAMBEN 003 003 0 K

199 3524011108101121 3524012305960001 JOKO EDI PRASETYO LAMONGAN 23|05|1996 B L SAMBEN 003 003 0 K

200 3524011108101121 3524016711010001 NOVITA DWI ARDIANTI LAMONGAN 27|11|2001 B P SAMBEN 003 003 0 K

201 3524011108101122 3524011505780001 PAIDI LAMONGAN 15|05|1978 S L SAMBEN 003 003 0 K

202 3524011108101122 3524014502850001 NUR KHASANAH LAMONGAN 05|02|1985 S P SAMBEN 003 003 0 K

203 3524011108101122 3524010512010001 ANDIVA PUTRA PRAWIBOWO LAMONGAN 05|12|2001 B L SAMBEN 003 003 0 K

204 3524011108101126 3524011806590001 NUR KHASAN LAMONGAN 18|06|1959 S L SAMBEN 003 003 0 K

205 3524011108101126 3524015705650001 SUMIYAS LAMONGAN 17|05|1965 S P SAMBEN 003 003 0 K

206 3524011108101126 3524011912860001 IMAM HIDAYAT LAMONGAN 19|12|1986 S L SAMBEN 003 003 0 K

207 3524011108101126 3524016001900001 SRIAWIN LAMONGAN 20|01|1990 S P SAMBEN 003 003 0 K

208 3524011108101127 3524010101620030 WARDIANSYAH LAMONGAN 01|01|1962 S L SAMBEN 003 003 0 K

209 3524011108101127 3524015206650001 SAENAH LAMONGAN 12|06|1965 S P SAMBEN 003 003 0 K

210 3524011108101128 3524012105690001 TASIYIN LAMONGAN 21|05|1969 S L SAMBEN 003 003 0 K

211 3524011108101128 3524014303750001 SAMPEN LAMONGAN 03|03|1975 S P SAMBEN 003 003 0 K

212 3524011108101129 3524014708570001 GINTEN LAMONGAN 07|08|1957 S P SAMBEN 003 003 0 K

213 3524011108101129 3524010411580001 WAJI LAMONGAN 04|11|1958 S L SAMBEN 003 003 0 K

214 3524011108101129 3524012404870001 JUMALI LAMONGAN 24|03|1987 B L SAMBEN 003 003 0 K

215 3524011108101129 3524014907960001 WINDAYANI LAMONGAN 09|07|1995 B P SAMBEN 003 003 0 B

216 3524011108101130 3524010705530001 SEGER LAMONGAN 07|05|1953 S L SAMBEN 003 003 0 K

217 3524011108101130 3524014107550001 SAKINTEN LAMONGAN 01|07|1955 S P SAMBEN 003 003 0 K

218 3524011108101131 3524010204580001 SUGENG LAMONGAN 02|04|1958 S L SAMBEN 003 003 0 K

219 3524011108101131 3524014305650001 WIRAH LAMONGAN 03|05|1965 S P SAMBEN 003 003 0 K

220 3524011108101131 3524015610830002 MINI LAMONGAN 16|10|1983 P P SAMBEN 003 003 0 K

221 3524011108101131 3524010603020001 DIKKI SETIAWAN LAMONGAN 06|03|2002 B L SAMBEN 003 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 44 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

222 3524011108101134 3524011207540001 SAEJO LAMONGAN 12|07|1954 P L SAMBEN 003 003 0 K

223 3524011108101134 3524013112720001 SUWAJI LAMONGAN 31|12|1972 S L SAMBEN 003 003 0 K

224 3524011108101134 3524016404780002 SAETI LAMONGAN 24|04|1978 S P SAMBEN 003 003 0 K

225 3524011108101134 3524010705970001 ASTO KUNCORO LAMONGAN 07|05|1997 B L SAMBEN 003 003 0 K

226 3524011108101137 3524014812540001 WARI LAMONGAN 08|12|1954 P P SAMBEN 003 003 0 K

227 3524011108101137 3524010704750001 SUWITO BOJONEGORO 07|04|1975 S L SAMBEN 003 003 0 K

228 3524011108101137 3524017012810002 TARSIH LAMONGAN 30|12|1981 S P SAMBEN 003 003 0 K

229 3524011108101137 3524012502000001 LEO ADI PRADANA LAMONGAN 25|02|2000 B L SAMBEN 003 003 0 K

230 3524011108101214 3524010703590001 KARJAK LAMONGAN 07|03|1959 S L SAMBEN 003 003 0 K

231 3524011108101214 3524017006650001 SAMINING LAMONGAN 30|06|1965 S P SAMBEN 003 003 0 K

232 3524011108101217 3524012407440001 TARBI LAMONGAN 24|07|1944 S L SAMBEN 003 003 0 K

233 3524011108101217 3524014605530002 SARTIK LAMONGAN 06|05|1953 S P SAMBEN 003 003 0 K

234 3524011108101219 3524011902760001 RATNO LAMONGAN 19|02|1976 S L SAMBEN 003 003 0 K

235 3524011108101219 3524014809800001 SISWATI LAMONGAN 08|09|1980 S P SAMBEN 003 003 0 K

236 3524011108101219 3524011505980002 IBNUN ADI PRADANA LAMONGAN 10|05|1998 B L SAMBEN 003 003 0 K

237 3524011108101220 3524014605530001 DARMI LAMONGAN 06|05|1953 S P SAMBEN 003 003 0 K

238 3524011108101226 3524010703930001 SUTRISNO LAMONGAN 07|03|1993 B L SAMBEN 003 003 0 K

239 3524011108101227 3524014708400001 KASRI LAMONGAN 07|08|1940 P P SAMBEN 003 003 0 K

240 3524011108101227 3524011008710001 TUMBI LAMONGAN 10|08|1971 B L SAMBEN 003 003 0 K

241 3524011108101231 3524016405710001 SIREP LAMONGAN 24|05|1971 S P SAMBEN 003 003 0 K

242 3524011108101231 3524011603780001 SIDO LAMONGAN 16|03|1978 S L SAMBEN 003 003 0 K

243 3524011108101231 3524012308020001 PRISMA ADI PAMUNGKAS LAMONGAN 23|08|2002 B L SAMBEN 003 003 0 K

244 3524011108101232 3524012503700001 KAMBI LAMONGAN 25|03|1970 S L SAMBEN 003 003 0 K

245 3524011108101232 3524016004740001 KASNI LAMONGAN 20|04|1974 S P SAMBEN 003 003 0 K

246 3524011108101232 3524010611930001 SANDRIK LAMONGAN 11|05|1993 S L SAMBEN 003 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 45 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

247 3524011108101233 3524014304540001 SATENI LAMONGAN 03|04|1954 S P SAMBEN 003 003 0 K

248 3524011108101234 3524011708750001 KASIR LAMONGAN 17|08|1975 S L SAMBEN 003 003 0 K

249 3524011108101234 3524016811830001 TASIYEM LAMONGAN 28|11|1983 S P SAMBEN 003 003 0 K

250 3524011108101234 3524010604010001 RIO ADI PRADANA LAMONGAN 06|04|2001 B L SAMBEN 003 003 0 K

251 3524011108101235 3524012407490001 KASDI LAMONGAN 24|07|1949 S L SAMBEN 003 003 0 K

252 3524011108101235 3524016608560001 SAINING LAMONGAN 26|08|1956 S P SAMBEN 003 003 0 K

253 3524011108101311 3524012007610001 SAMSURI LAMONGAN 20|07|1961 S L SAMBEN 003 003 0 K

254 3524011108101311 3524015108710001 TANI LAMONGAN 11|08|1971 S P SAMBEN 003 003 0 K

255 3524011108101311 3524016908030001 SRIWANI LAMONGAN 29|08|2003 B P SAMBEN 003 003 0 K

256 3524011108101904 3524010904740001 SIKUT LAMONGAN 09|04|1974 S L SAMBEN 003 003 0 K

257 3524011108101904 3524015711760001 SUJATINI TUBAN 17|11|1976 S P SAMBEN 003 003 0 K

258 3524011108101904 3524010108000003 ABIM AYUB VICTORIO LAMONGAN 01|08|2000 B L SAMBEN 003 003 0 K

259 3524011108102156 3524014208650001 MINAH LAMONGAN 02|08|1965 S P DSN. SAMBEN 003 003 0 K

260 3524011108102174 3524015109700001 SARMINI LAMONGAN 03|01|1972 P P SAMBEN 003 003 0 K

261 3524011108102174 3524010408940001 DADAN BAHTIAR LAMONGAN 04|08|1994 B L SAMBEN 003 003 0 K

262 3524011202130001 3522093112790017 SUGIANTO BOJONEGORO 31|12|1979 S L SAMBEN 003 003 0 K

263 3524011202130001 3524011102820001 SAMINTRI LAMONGAN 11|02|1982 S P SAMBEN 003 003 0 K

264 3524011202130001 3524011408990001 SAYIDINA MUSLIMAT LAMONGAN 14|08|1999 B L SAMBEN 003 003 0 K

265 3524011611170002 3524011704820001 WIJI LAMONGAN 17|04|1982 B L SAMBEN 003 003 0 K

266 3524011611170002 3524010111860002 SUPALI LAMONGAN 01|11|1986 S L SAMBEN 003 003 0 K

267 3524011611170002 3524015804900003 LINDA TRIOTADIA LAMONGAN 02|10|1993 S P SAMBEN 003 003 0 K

268 3524011907190001 3524014803740001 SUKIMAH LAMONGAN 08|03|1974 S P SAMBEN 003 003 0 K

269 3524011907190001 3524011909940001 SUPI'I LAMONGAN 09|07|1993 B L SAMBEN 003 003 0 K

270 3524011909170001 3524010412750001 SUYONO LAMONGAN 04|12|1975 S L SAMBEN 003 003 0 K

271 3524011909170001 3524014506820002 SRIATIN LAMONGAN 05|06|1982 S P SAMBEN 003 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 46 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

272 3524012008190009 3524014506660002 SUMI'AH LAMONGAN 05|06|1966 P P SAMBEN 003 003 0 K

273 3524012008190009 3524026311890001 LULUK HARWATI LAMONGAN 23|11|1989 S P SAMBEN 003 003 0 K

274 3524012008190009 6401040402900001 FEBRI KURDIAN HANIF LAMONGAN 04|02|1990 S L SAMBEN 003 003 0 K

275 3524012507170001 3524010204820001 HARIYANTO LAMONGAN 02|04|1982 S L SAMBEN 003 003 0 K

276 3524012507170001 3524025010850001 SUTRISMI LAMONGAN 10|10|1985 S P SAMBEN 003 003 0 K

277 3524012712180001 3524015301890001 SANIK LAMONGAN 13|01|1989 S P SAMBEN 003 003 0 K

278 3524012712180001 3506200501920002 YAHMAN KEDIRI 05|01|1992 S L SAMBEN 003 003 0 K

279 3524010202180005 3524015202870001 NOKO HARI LAMONGAN 12|02|1987 S L SAMBEN 004 003 0 K

280 3524010202180005 3524014508940002 MIA YULIWINARTI LAMONGAN 24|05|1993 S P SAMBEN 004 003 0 K

281 3524010208170003 3524010711930002 WALUYO LAMONGAN 07|11|1993 S L SAMBEN 004 003 0 K

282 3524010208170003 3524014304950001 ITA SURIRIN LAMONGAN 03|04|1995 S P SAMBEN 004 003 0 K

283 3524010406180002 3524015209730001 SISMIATI LAMONGAN 12|09|1973 P P SAMBEN 004 003 0 K

284 3524010509140005 3524012607840001 SAEKO LAMONGAN 26|07|1984 S L SAMBEN 004 003 0 K

285 3524010509140005 3524016404920002 RUKIYAH LAMONGAN 24|04|1992 S P SAMBEN 004 003 0 K

286 3524010808120002 3524011001860002 MARDI LAMONGAN 10|01|1986 B L SAMBEN 004 003 0 B

287 3524010808120003 3524011209780001 MARNO LAMONGAN 12|09|1978 S L SAMBEN 004 003 0 K

288 3524010808120003 3524015105800001 SUTRI LAMONGAN 11|05|1980 S P SAMBEN 004 003 0 K

289 3524011107170003 3524011102870001 KAKAT LAMONGAN 11|02|1987 S L SAMBEN 004 003 0 K

290 3524011107170003 3524015308970002 YUNINA LAMONGAN 13|08|1997 S P SAMBEN 004 003 0 K

291 3524011108101064 3524015601440001 TIMI LAMONGAN 16|01|1944 P P SAMBEN 004 003 0 K

292 3524011108101065 3524015106450001 SAKINI LAMONGAN 11|06|1945 S P SAMBEN 004 003 0 K

293 3524011108101123 3524012908030001 MOH. RAHMANU LAMONGAN 29|08|2003 B L SAMBEN 004 003 0 K

294 3524011108101124 3524011110630001 WAIRIN LAMONGAN 11|10|1963 S L SAMBEN 004 003 0 K

295 3524011108101124 3524014911630001 SIDEM LAMONGAN 09|11|1963 S P SAMBEN 004 003 0 B

296 3524011108101124 3524012605870001 ROKIM LAMONGAN 26|05|1987 S L SAMBEN 004 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 47 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

297 3524011108101124 3524015102900003 YUNITA LAMONGAN 11|02|1990 S P SAMBEN 004 003 0 K

298 3524011108101124 3524010610000001 MUHAMMAD BAYU IRAWAN LAMONGAN 06|10|2000 B L SAMBEN 004 003 0 K

299 3524011108101132 3524010505510001 MARDJI LAMONGAN 05|05|1951 S L SAMBEN 004 003 0 K

300 3524011108101132 3524015010740002 SIPIK LAMONGAN 10|10|1974 S P SAMBEN 004 003 0 K

301 3524011108101132 3524011205860003 DIDIK SANTOSO LAMONGAN 12|05|1986 S L SAMBEN 004 003 0 K

302 3524011108101132 3524016609020001 ISMA DEWI ANJANI LAMONGAN 26|09|2002 B P SAMBEN 004 003 0 K

303 3524011108101133 3524010101550015 WAGE LAMONGAN 01|01|1955 S L SAMBEN 004 003 0 K

304 3524011108101133 3524014104590001 SAMINAH LAMONGAN 01|04|1959 S P SAMBEN 004 003 0 K

305 3524011108101133 3524016107890001 SRIANI LAMONGAN 21|07|1989 P P SAMBEN 004 003 0 K

306 3524011108101133 3524010201030001 ARIS LAMONGAN 02|01|2003 B L SAMBEN 004 003 0 K

307 3524011108101159 3524010510650001 LARI LAMONGAN 05|10|1965 P L SAMBEN 004 003 0 K

308 3524011108101159 3524011107920001 LAMDOYO AL GHANI LAMONGAN 11|07|1992 B L SAMBEN 004 003 0 K

309 3524011108101159 3524014104020002 LANI DWI RAHMAD SARI LAMONGAN 04|04|2002 B P SAMBEN 004 003 0 K

310 3524011112180001 3524012210890002 ALIP AMANU LAMONGAN 22|10|1989 S L SAMBEN 004 003 0 K

311 3524011112180001 3524116901000001 TRI PUJI LESTARI LAMONGAN 29|01|2000 S P SAMBEN 004 003 0 K

312 3524011204120004 3524011704860001 WASIS LAMONGAN 17|04|1986 S L SAMBEN 004 003 0 K

313 3524011204120004 3524014601870002 YULIATI LAMONGAN 06|01|1987 S P SAMBEN 004 003 0 B

314 3524012806110116 3524010710590001 PARLAN LAMONGAN 07|10|1959 S L SAMBEN 004 003 0 K

315 3524012806110116 3524014906760002 KARNI LAMONGAN 09|06|1976 S P SAMBEN 004 003 0 K

316 3524012911180003 3524014107610001 PAIJEM LAMONGAN 01|07|1961 P P SAMBEN 004 003 0 K

317 3524012911180003 3524012408960002 AGUS WINARNO LAMONGAN 04|08|1996 B L SAMBEN 004 003 0 B

318 3524010411110098 3524010811690001 WARIYO LAMONGAN 08|11|1969 S L SAMBEN 005 003 0 K

319 3524010411110098 3524014209760001 JASRI LAMONGAN 02|09|1976 S P SAMBEN 005 003 0 K

320 3524010411110098 3524011703970003 INDRA IMAM WIBOWO LAMONGAN 17|03|1997 B L SAMBEN 005 003 0 B

321 3524012809150001 6471050604820008 PRIYO LAMONGAN 06|04|1982 S L SAMBEN 005 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 48 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

322 3524012809150001 3520054301870001 ISTINI MAGETAN 03|01|1987 S P SAMBEN 005 003 0 K

323 3524010111170003 3524011803780001 LAMIDI LAMONGAN 18|03|1978 S L SAMBEN 001 004 0 K

324 3524011108101166 3524014608590001 SILAH LAMONGAN 06|08|1959 S P SAMBEN 001 004 0 K

325 3524011108101166 3524010509830001 NAJI LAMONGAN 05|09|1983 B L SAMBEN 001 004 0 K

326 3524011108101690 3524017110660001 SARIDAH LAMONGAN 31|10|1966 S P SAMBEN 001 004 0 K

327 3524011108101690 3524016009940002 RIA NOVITA SARI LAMONGAN 20|09|1994 S P SAMBEN 001 004 0 K

328 3524011108101692 3524011802740001 SUYADI BOJONEGORO 18|02|1974 S L SAMBEN 001 004 0 K

329 3524011108101692 3524016010800001 SUMIATI LAMONGAN 20|10|1980 S P SAMBEN 001 004 0 K

330 3524011108101692 3524011608980001 AGUS DODIK SUTIAWAN LAMONGAN 16|08|1998 B L SAMBEN 001 004 0 K

331 3524011706150002 3524011812800002 SAMIRIN LAMONGAN 18|12|1980 S L SAMBEN 002 004 0 K

332 3524011706150002 3524015001920002 SRI WAHYUNI LAMONGAN 10|01|1992 S P SAMBEN 002 004 0 K

333 3524011111150001 3524011307750001 SUGIN LAMONGAN 05|04|1976 S L SAMBEN 003 004 0 K

334 3524011111150001 3524015302820001 SARINTEN LAMONGAN 12|10|1981 S P SAMBEN 003 004 0 K

335 3524011111150001 3524014412000001 RINDI NOVITA SARI LAMONGAN 04|12|2000 B P SAMBEN 003 004 0 K

Keterangan Perkawinan = 335 Keterangan Disabilitas : Keterangan Status Perekaman KTP-el = 335
B : Belum Kawin = 80 1: Disabilitas Fisik B : Belum Rekam = 8 Ditetapkan di LAMONGAN, Tanggal 16 Oktober 2020
S : Kawin = 225 2: Disabilitas Intelektual S : Sudah Rekam (Suket) KPU KABUPATEN LAMONGAN
P : Pernah Kawin = 30 3: Disabilitas Mental K : Sudah Rekam (KTP-el) = 327 KETUA
4: Disabilitas Sensorik
Jenis Kelamin = 335
L : Laki-Laki = 171
P : Perempuan = 164 MAHRUS ALI, S.Pd
KK = 137

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-003 Hal 49 dari 142


Model A.3-KWK

Model A.3-KWK
DAFTAR PEMILIH TETAP
PEMILIHAN BUPATI DAN WAKIL BUPATI LAMONGAN
TAHUN 2020
PROVINSI : JAWA TIMUR KECAMATAN : SUKORAME
KABUPATEN : LAMONGAN DESA/KELURAHAN : KEDUNGKUMPUL
TPS : 004
TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN
BILITAS
KTP-EL KETERANGAN
B/S/P L/P JALAN/DUKUH RT RW (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 3524011108101153 3524015009410001 SAMIRAH LAMONGAN 10|09|1941 S P SAMBEN 001 003 0 K

2 3524011108101288 3524010904710003 SAPARI LAMONGAN 09|04|1971 S L SAMBEN 001 003 0 K

3 3524011108101288 3524016402820001 SUPARTI LAMONGAN 24|02|1982 S P SAMBEN 001 003 0 K

4 3524011108101288 3524010404950003 IMAM ZAENURI LAMONGAN 04|04|1994 B L SAMBEN 001 003 0 K

5 3524011108101288 3524011507000001 MOCH CHOIRUL HUDA LAMONGAN 15|07|2000 B L SAMBEN 001 003 0 K

6 3524011108101624 3524016707630001 TASINAH LAMONGAN 27|07|1963 P P SAMBEN 001 003 0 K

7 3524011108101624 3524015011910002 LUSTIKA LAMONGAN 10|11|1991 P P SAMBEN 001 003 0 K

8 3524011108101628 3524010305570001 WARNO LAMONGAN 03|05|1957 S L SAMBEN 001 003 0 K

9 3524011108101629 3524014104500001 LAMINI LAMONGAN 01|04|1950 P P SAMBEN 001 003 0 K

10 3524011108101629 3524015303760002 WARISIH LAMONGAN 13|03|1976 S P SAMBEN 001 003 0 K

11 3524011108101633 3524011402810002 SUWAJI LAMONGAN 14|02|1981 S L SAMBEN 001 003 0 K

12 3524011108101633 3524014705810001 SOMI LAMONGAN 07|05|1981 S P SAMBEN 001 003 0 K

13 3524011108101636 3524010911490001 SIKAT LAMONGAN 09|11|1949 S L SAMBEN 001 003 0 K

14 3524011108101636 3524014906560001 BARNI LAMONGAN 09|06|1956 S P SAMBEN 001 003 0 K

15 3524011108101636 3524010111900001 BASUDI LAMONGAN 10|01|1990 B L SAMBEN 001 003 0 K

16 3524011108101637 3524015305400001 LAMISIH LAMONGAN 13|05|1940 S P SAMBEN 001 003 0 K

17 3524011108101639 3524011109510001 TARNO LAMONGAN 11|09|1951 S L SAMBEN 001 003 0 K

18 3524011108101639 3524015309590001 JAISIH LAMONGAN 13|09|1959 S P SAMBEN 001 003 0 K

19 3524011108101639 3524012703950001 KARNO HIDAYAT LAMONGAN 27|03|1995 B L SAMBEN 001 003 0 K

20 3524011108101649 3524010508650001 SUKIRAN LAMONGAN 05|08|1965 S L SAMBEN 001 003 0 K

21 3524011108101649 3524014908770001 TUTIK LAMONGAN 09|08|1977 S P SAMBEN 001 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-004 Hal 50 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

22 3524011108101652 3524010702560001 SAKI LAMONGAN 07|02|1956 S L SAMBEN 001 003 0 K

23 3524011108101652 3524014101600044 WAISI LAMONGAN 01|01|1960 S P SAMBEN 001 003 0 K

24 3524011108101652 3524012802010001 SONNY SETIAWAN LAMONGAN 28|02|2001 B L SAMBEN 001 003 0 K

25 3524011108101655 3524010607660001 SADI LAMONGAN 06|07|1966 S L SAMBEN 001 003 0 K

26 3524011108101655 3524017008710001 SRI MURTIAH LAMONGAN 30|08|1971 S P SAMBEN 001 003 0 K

27 3524011108101659 3524014109400002 KAMI LAMONGAN 01|09|1940 P P SAMBEN 001 003 0 K

28 3524011108101659 3524014102710001 SANTIK LAMONGAN 01|02|1971 S P SAMBEN 001 003 0 K

29 3524011108101659 3524011906730001 SUMADI JOMBANG 19|06|1973 S L SAMBEN 001 003 0 K

30 3524011108101659 3524010105930002 NALUK LAMONGAN 01|05|1993 B L SAMBEN 001 003 0 K

31 3524011108101665 3524012505440001 YATEMIN LAMONGAN 25|05|1944 S L SAMBEN 001 003 0 K

32 3524011108101665 3524016112480001 SATIK LAMONGAN 21|12|1948 S P SAMBEN 001 003 0 K

33 3524011108101668 3524011804620001 MARIDIN LAMONGAN 18|04|1962 S L SAMBEN 001 003 0 K

34 3524011108101668 3524016808690001 WARINING LAMONGAN 28|08|1969 S P SAMBEN 001 003 0 K

35 3524011108101669 3524017012590002 SUWIN LAMONGAN 30|12|1959 P P SAMBEN 001 003 0 K

36 3524011108101669 3524010608700002 MUJIANTO LAMONGAN 06|08|1973 S L SAMBEN 001 003 0 K

37 3524011108101669 3524014308740001 MARLIK LAMONGAN 03|08|1974 S P SAMBEN 001 003 0 K

38 3524011108101669 3524011201970001 AHMAD RUDIN ARIS MUNANDAR LAMONGAN 12|01|1997 B L SAMBEN 001 003 0 K

39 3524011108101672 3524011910500001 PARDI LAMONGAN 19|10|1950 P L SAMBEN 001 003 0 K

40 3524011108101672 3524012212970002 IMAM SUJALI LAMONGAN 22|12|1997 B L SAMBEN 001 003 0 K

41 3524011108101672 3524016510020001 NYLA SOFYA PADRIANA LAMONGAN 25|10|2001 B P SAMBEN 001 003 0 K

42 3524011108101673 3524012704740002 WARJITO LAMONGAN 27|04|1974 S L SAMBEN 001 003 0 K

43 3524011108101673 3524014508780001 SUHARTI LAMONGAN 05|08|1978 S P SAMBEN 001 003 0 K

44 3524011108101673 3524015602010001 WIDIAWATI LAMONGAN 16|02|2001 B P SAMBEN 001 003 0 K

45 3524011108101674 3524015502570001 SUMIJAH LAMONGAN 15|02|1957 P P SAMBEN 001 003 0 K

46 3524011108101674 3524012010930001 SUDEPIT LAMONGAN 20|10|1993 S L SAMBEN 001 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-004 Hal 51 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

47 3524011108101674 3524014705960001 PRAMAI INDAH DEWI ANJARWATI LAMONGAN 07|05|1996 S P SAMBEN 001 003 0 K

48 3524011108101675 3524013103590001 NAWI LAMONGAN 31|03|1959 S L SAMBEN 001 003 0 K

49 3524011108101675 3524015812600001 SULASIH LAMONGAN 18|12|1960 S P SAMBEN 001 003 0 K

50 3524011108101676 3524010109460002 MIRIN LAMONGAN 01|09|1946 S L SAMBEN 001 003 0 K

51 3524011108101676 3524014109500002 MAENTEN LAMONGAN 01|09|1950 S P SAMBEN 001 003 0 K

52 3524011108101676 3524015303860001 MASIRAH LAMONGAN 13|03|1986 S P SAMBEN 001 003 0 K

53 3524011108101676 3524010105940001 MASIDI LAMONGAN 01|05|1994 B L SAMBEN 001 003 0 K

54 3524011108101677 3524014112990002 SITI POPYA D LAMONGAN 01|12|1999 B P SAMBEN 001 003 0 K

55 3524011108101678 3524010405440001 MARKIN LAMONGAN 04|05|1944 S L SAMBEN 001 003 0 K

56 3524011108101678 3524014808480001 KARMINI LAMONGAN 08|08|1948 S P SAMBEN 001 003 0 K

57 3524011108101679 3524010406630001 SENEN LAMONGAN 04|06|1963 S L SAMBEN 001 003 0 K

58 3524011108101679 3524015009680001 TARNI LAMONGAN 10|09|1968 S P SAMBEN 001 003 0 K

59 3524011108101679 3524014708690002 TASRI LAMONGAN 07|08|1969 P P SAMBEN 001 003 0 K

60 3524011108101679 3524010808740001 MINTO LAMONGAN 08|08|1974 B L SAMBEN 001 003 0 K

61 3524011108101679 3524012401930001 LUSMIANTO LAMONGAN 24|01|1993 B L SAMBEN 001 003 0 K

62 3524011108101679 3524015510990001 NURI'AH LAMONGAN 15|10|1999 B P SAMBEN 001 003 0 K

63 3524011108101680 3524011312660001 WIDJI LAMONGAN 13|12|1966 S L SAMBEN 001 003 0 K

64 3524011108101680 3524014407760002 SRIGEM LAMONGAN 04|07|1976 S P SAMBEN 001 003 0 K

65 3524011108101680 3524011205890001 RUDI WANTORO LAMONGAN 12|05|1999 B L SAMBEN 001 003 0 K

66 3524011108102092 3524014309350001 YANI LAMONGAN 03|09|1935 P P SAMBEN 001 003 0 K

67 3524011108102092 3524011904760001 SUMIRAN LAMONGAN 19|04|1976 S L SAMBEN 001 003 0 K

68 3524011108102092 3524016411790001 LILIK WINARTI JOMBANG 24|11|1979 S P SAMBEN 001 003 0 K

69 3524012001140001 3517151311820001 SUMALI JOMBANG 13|11|1982 S L SAMBEN 001 003 0 K

70 3524012001140001 3524015111840002 PARMI LAMONGAN 11|11|1984 S P SAMBEN 001 003 0 K

71 3524012106130002 3524011603840003 TARMONO LAMONGAN 16|03|1984 S L SAMBEN 001 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-004 Hal 52 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

72 3524012106130002 3524015011900001 SANTI LAMONGAN 21|11|1989 S P SAMBEN 001 003 0 K

73 3524012407130003 3524010803770001 BARKIN LAMONGAN 08|03|1977 S L SAMBEN 001 003 0 K

74 3524012407130003 3524045110860001 SITI KHASANAH LAMONGAN 11|10|1986 S P SAMBEN 001 003 0 K

75 3524011108100939 3524010101800022 SOIPUL NGANJUK 01|01|1980 S L SAMBEN 002 003 0 K

76 3524011108101908 3524010202920002 BRINENDRA PANDRIANA BOJONEGORO 02|02|1992 B L SAMBEN 002 003 0 K

77 3524011108101916 3524010609640001 SUWAJI LAMONGAN 06|09|1964 S L SAMBEN 002 003 0 K

78 3524011108101916 3524016108740001 TRIWILIS LAMONGAN 21|08|1974 S P SAMBEN 002 003 0 K

79 3524011108102167 3524011212840001 SAMSUL LAMONGAN 12|12|1984 S L Dsn. SAMBEN 002 003 0 K

80 3524011108102167 3524015206870002 SUKIP LAMONGAN 12|06|1987 S P Dsn. SAMBEN 002 003 0 K

81 3524011108102168 3524012606800001 SUMARNO LAMONGAN 26|06|1980 P L SAMBEN 002 003 0 K

82 3524011108102168 3522094708860001 INDRIWATI BOJONEGORO 07|08|1986 S P SAMBEN 002 003 0 K

83 3524011108102169 3524012806770001 NARTO LAMONGAN 28|06|1977 S L Dsn. SAMBEN 002 003 0 K

84 3524011108102169 3524016704800001 SUTRISMI LAMONGAN 27|04|1980 S P Dsn. SAMBEN 002 003 0 K

85 3524011108102170 3524010703750001 WOTO LAMONGAN 07|03|1975 S L SAMBEN 002 003 0 K

86 3524011108102170 3524015301850001 PARNING LAMONGAN 13|01|1985 S P SAMBEN 002 003 0 K

87 3524011108102193 3524010103370001 SAJI LAMONGAN 01|03|1937 S L DSN. SAMBEN 002 003 0 K

88 3524011108102193 3524014101430017 TASMI LAMONGAN 01|01|1943 S P DSN. SAMBEN 002 003 0 K

89 3524011108102214 3524012501770001 MUSTAM BOJONEGORO 25|01|1977 S L SAMBEN 002 003 0 K

90 3524011108102214 3524015308820001 RINAWATI LAMONGAN 13|08|1982 S P SAMBEN 002 003 0 K

91 3524011108102214 3524011509010001 PRAYOGA FERMANDANA LAMONGAN 15|09|2001 B L SAMBEN 002 003 0 K

92 3524011108102215 3524012003710001 SIDIK LAMONGAN 20|03|1971 S L SAMBEN 002 003 0 K

93 3524011108102215 3524014201820001 ENDANG SUSILOWATI LAMONGAN 02|01|1982 S P SAMBEN 002 003 0 K

94 3524011312160004 3524017010800001 GANTI LAMONGAN 30|10|1980 S P SAMBEN 002 003 0 K

95 3524011312160004 3524011501820001 DATENG PURWANTO LAMONGAN 15|01|1982 S L SAMBEN 002 003 0 K

96 3524011108101086 3524011904750004 MARIYOTO PONCO SUDARSONO PALEMBANG 19|04|1975 S L SAMBEN 003 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-004 Hal 53 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

97 3524011108102135 3524010408640002 WARNO LAMONGAN 04|08|1964 S L SAMBEN 003 003 0 K

98 3524011108102135 3524015011700002 LILIK LAMONGAN 10|11|1970 S P SAMBEN 003 003 0 K

99 3524011311170002 3524040511630001 SUWONO LAMONGAN 05|11|1963 S L SAMBEN 003 003 0 K

100 3524012806110227 3524011702790002 SISWANTO LAMONGAN 17|02|1979 S L SAMBEN 003 003 0 K

101 3524012806110227 3524016411890001 EKA SUSMIATI LAMONGAN 24|11|1989 S P SAMBEN 003 003 0 K

102 3524010208120003 3517152510790006 PARSIS JOMBANG 25|10|1979 S L SAMBEN 004 003 0 K

103 3524010208120003 3524016707860001 SISMIATI LAMONGAN 27|07|1986 S P SAMBEN 004 003 0 K

104 3524011108101093 3524014710450001 RASI LAMONGAN 07|10|1945 S P SAMBEN 004 003 0 K

105 3524011108101099 3524011012640001 SIBUN LAMONGAN 10|12|1964 S L SAMBEN 004 003 0 K

106 3524011108101099 3524015011670001 SAYEM LAMONGAN 10|11|1967 S P SAMBEN 004 003 0 K

107 3524011108101100 3524014203670001 TUMIRAH LAMONGAN 02|03|1967 S P SAMBEN 004 003 0 K

108 3524011108101101 3524016007440001 KASTIK LAMONGAN 20|07|1944 P P SAMBEN 004 003 0 K

109 3524011108101105 3524011209490001 SEMIN LAMONGAN 12|09|1949 S L SAMBEN 004 003 0 K

110 3524011108101105 3524015210510001 YATMINAH LAMONGAN 12|10|1951 S P SAMBEN 004 003 0 K

111 3524011108101105 3524011703930001 SUWINTUT LAMONGAN 17|03|1993 B L SAMBEN 004 003 0 K

112 3524011108101110 3524015104500001 KAMINAH LAMONGAN 11|04|1950 P P SAMBEN 004 003 0 K

113 3524011108101112 3524015110620001 SARIMAH LAMONGAN 11|10|1962 S P SAMBEN 004 003 0 K

114 3524011108101114 3524014207640002 SARMI LAMONGAN 02|07|1964 P P SAMBEN 004 003 0 K

115 3524011108101114 3524013005900001 SAWAL LAMONGAN 30|05|1990 B L SAMBEN 004 003 0 B

116 3524011108101114 3524011009020001 SUSANTO UTOMO LAMONGAN 10|09|2002 B L SAMBEN 004 003 0 K

117 3524011108101125 3524010801400001 JANI JOMBANG 08|01|1940 S L SAMBEN 004 003 0 K

118 3524011108101125 3524014309490001 MARTUN LAMONGAN 03|09|1949 S P SAMBEN 004 003 0 K

119 3524011108101125 3524010405760001 SIRIN LAMONGAN 04|05|1976 B L SAMBEN 004 003 0 K

120 3524011108101135 3524016401440001 PAISRI LAMONGAN 24|01|1944 P P SAMBEN 004 003 0 K

121 3524011108101143 3524010309530001 BUNTAR LAMONGAN 03|09|1953 S L SAMBEN 004 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-004 Hal 54 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

122 3524011108101143 3524015102540002 SULIN LAMONGAN 11|02|1954 S P SAMBEN 004 003 0 K

123 3524011108101149 3524010608530001 KARMIDI LAMONGAN 06|08|1953 S L SAMBEN 004 003 0 K

124 3524011108101149 3524015107540001 SRIMPI LAMONGAN 11|07|1954 S P SAMBEN 004 003 0 K

125 3524011108101150 3524010908520001 SIMAN LAMONGAN 09|08|1952 S L SAMBEN 004 003 0 K

126 3524011108101150 3524015609620001 PUNISRI LAMONGAN 16|09|1962 S P SAMBEN 004 003 0 K

127 3524011108101152 3524010201730002 SUKIS LAMONGAN 02|01|1973 S L SAMBEN 004 003 0 K

128 3524011108101152 3524014108770001 SINAH LAMONGAN 01|08|1977 S P SAMBEN 004 003 0 K

129 3524011108101158 3524011908550002 SIDIANTO LAMONGAN 19|08|1955 S L SAMBEN 004 003 0 K

130 3524011108101158 3524016109630001 SIWIN LAMONGAN 21|09|1963 S P SAMBEN 004 003 0 K

131 3524011108101160 3524013012700001 SOLIKAN JOMBANG 30|12|1970 S L SAMBEN 004 003 0 K

132 3524011108101160 3524015602760001 MINI ARIASEH LAMONGAN 16|02|1976 S P SAMBEN 004 003 0 K

133 3524011108101160 3524012107950001 GUGUK DIMAS YULIA NUR CAHYO LAMONGAN 21|07|1995 B L SAMBEN 004 003 0 K

134 3524011108101161 3524011401440001 MIRIN LAMONGAN 14|01|1944 S L SAMBEN 004 003 0 K

135 3524011108101161 3524014501490001 PAINING LAMONGAN 05|01|1949 S P SAMBEN 004 003 0 K

136 3524011108101627 3524014312670001 TASIMAH LAMONGAN 03|12|1967 S P SAMBEN 004 003 0 K

137 3524011108101627 3524010202910001 SIGIT GUNAWAN LAMONGAN 02|02|1992 B L SAMBEN 004 003 0 K

138 3524011108101671 3524010307590001 LASIMO LAMONGAN 03|07|1959 S L SAMBEN 004 003 0 K

139 3524011108101671 3524014602720001 PANI LAMONGAN 06|02|1972 S P SAMBEN 004 003 0 K

140 3524011108101683 3524015110450004 SUKINI LAMONGAN 11|10|1945 S P SAMBEN 004 003 0 K

141 3524011108101684 3524015903620001 SAINING LAMONGAN 19|03|1962 P P SAMBEN 004 003 0 K

142 3524011108101684 3524011504830002 EDI SISWOYO LAMONGAN 15|04|1983 B L SAMBEN 004 003 0 K

143 3524011108101684 3524017012960001 WIWIN SETIASIH LAMONGAN 30|12|1996 B P SAMBEN 004 003 0 K

144 3524011108101694 3524014601860002 YULIATI LAMONGAN 06|01|1986 S P SAMBEN 004 003 0 K

145 3524011806130004 3524014208520001 SUMISIH LAMONGAN 02|08|1952 P P SAMBEN 004 003 0 K

146 3524011806130004 3524011004930001 BENI AKBAR LAMONGAN 10|04|1993 B L SAMBEN 004 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-004 Hal 55 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

147 3524011811150002 3524010808810001 SUPRIANTO LAMONGAN 08|08|1981 S L SAMBEN 004 003 0 K

148 3524011811150002 3524015012880001 MIASIH LAMONGAN 10|12|1988 S P SAMBEN 004 003 0 K

149 3524012703140001 3524040610770001 PRIYO LAMONGAN 06|10|1977 S L SAMBEN 004 003 0 K

150 3524012703140001 3524014507890001 NANIK LAMONGAN 05|07|1989 S P SAMBEN 004 003 0 K

151 3524011108101092 3524012001750001 JAJUD LAMONGAN 20|01|1975 S L SAMBEN 005 003 0 K

152 3524011108101092 3524016907780001 MURNI LAMONGAN 29|07|1978 S P SAMBEN 005 003 0 K

153 3524011108101092 3524014612980001 RIKA LUSIANA LAMONGAN 06|12|1998 B P SAMBEN 005 003 0 K

154 3524011108101097 3524014711780001 SUMINTEN LAMONGAN 07|11|1978 S P SAMBEN 005 003 0 K

155 3524011108101115 3524014105510001 SRITI LAMONGAN 01|05|1951 S P SAMBEN 005 003 0 K

156 3524011108101115 3524010208580001 TARAM LAMONGAN 02|08|1958 S L SAMBEN 005 003 0 K

157 3524011108101115 3524013003900001 WATONO LAMONGAN 30|03|1990 B L SAMBEN 005 003 0 K

158 3524012708150002 3524011801950001 JARIADI LAMONGAN 18|01|1995 S L SAMBEN 005 003 0 K

159 3524012708150002 3524014803960002 WIJI ASTUTIK LAMONGAN 08|03|1996 S P SAMBEN 005 003 0 K

160 3524011108101638 3524013010540001 KASDA'I LAMONGAN 30|10|1954 S L SAMBEN 006 003 0 K

161 3524011108101638 3524015009590001 SUWARDINI LAMONGAN 10|09|1959 S P SAMBEN 006 003 0 K

162 3524011108101642 3524016311600002 NANTI LAMONGAN 23|11|1960 P P SAMBEN 006 003 0 K

163 3524011108101642 3524015605820001 NISEMI LAMONGAN 16|05|1982 S P SAMBEN 006 003 0 K

164 3524011108101642 3524012702860001 PURWIYANTO LAMONGAN 27|02|1986 S L SAMBEN 006 003 0 K

165 3524010411111040 3524011810980001 SULTAN BAYU PRATAMA LAMONGAN 18|10|1998 B L SAMBEN 001 004 0 K

166 3524010908170002 3524011801750001 TAMIRAN LAMONGAN 18|01|1975 S L SAMBEN 001 004 0 K

167 3524010908170002 3524014204800001 YULIATIN LAMONGAN 02|04|1980 S P SAMBEN 001 004 0 K

168 3524010908170002 3524010907000001 INDRAWAN LAMONGAN 09|07|2000 B L SAMBEN 001 004 0 K

169 3524011108101145 3524014109680001 SUMANI LAMONGAN 01|09|1968 S P SAMBEN 001 004 0 K

170 3524011209120003 3524014506730001 JUMANI LAMONGAN 05|06|1973 S P SAMBEN 001 004 0 K

171 3524011209120003 3524012701800002 SUKIMAN LAMONGAN 27|01|1980 S L SAMBEN 001 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-004 Hal 56 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

172 3524011212170001 3524011403590001 TAWIN LAMONGAN 14|03|1959 S L SAMBEN 001 004 0 K

173 3524011309190001 3513161909780003 MOH. HUSAIN AMINO PROBOLINGGO 19|09|1978 S L SAMBEN 001 004 0 K

174 3524011309190001 3513165508780002 RUBIANTI LAMONGAN 15|08|1978 S P SAMBEN 001 004 0 K

175 3524012305180001 3504144408880002 DINA AGUS SETIYA RINI TULUNGAGUNG 04|08|1988 S P SAMBEN 001 004 0 K

176 3524012305180001 3524010808930002 MARJOKO LAMONGAN 08|08|1993 S L SAMBEN 001 004 0 K

177 3524011108101646 3524010101270010 SIJAS LAMONGAN 01|01|1927 P L SAMBEN 002 004 0 K

178 3524011108101646 3524011604520001 LAMIJAN LAMONGAN 16|04|1952 S L SAMBEN 002 004 0 K

179 3524011108101648 3524016604640001 TASININGRUM LAMONGAN 26|04|1964 S P SAMBEN 002 004 0 K

180 3524011108101648 3524010301650001 PUTUT SUNARTO LAMONGAN 03|01|1965 S L SAMBEN 002 004 0 K

181 3524011108101648 3524011610980002 BAYU PRASETYO BUDI LAMONGAN 16|10|1998 B L SAMBEN 002 004 0 B

182 3524011108102110 3524010506820003 HARIANTO LAMONGAN 05|06|1982 S L SAMBEN 002 004 0 K

183 3524011108102110 3524016203820001 RANTIYEM LAMONGAN 22|03|1982 S P SAMBEN 002 004 0 K

184 3524011108102110 3524014802010001 SINTIA ANIS FEBRIANTI LAMONGAN 08|02|2001 B P SAMBEN 002 004 0 K

185 3524011610180002 3524012309830001 POMO LAMONGAN 23|09|1983 S L SAMBEN 002 004 0 K

186 3524011610180002 3524016105990001 WIDYA MAYASARI LAMONGAN 21|05|1999 S P SAMBEN 002 004 0 K

187 3524012310170004 3524011409890001 BANDI LAMONGAN 14|09|1989 S L SAMBEN 002 004 0 K

188 3524012310170004 3524015111940002 SRI WAHYUNI LAMONGAN 24|10|1994 S P SAMBEN 002 004 0 K

189 3524012708150001 3524017001690001 PAISIH LAMONGAN 30|01|1969 P P SAMBEN 002 004 0 K

190 3524012708150001 3524010706860003 PUJI HARIYANTO LAMONGAN 07|06|1986 P L SAMBEN 002 004 0 K

191 3524011107170002 3524011907870001 SARTONO LAMONGAN 19|07|1987 S L SAMBEN 003 004 0 K

192 3524011107170002 3524016603980001 IDA PUJI ASTUTI LAMONGAN 02|03|1998 S P SAMBEN 003 004 0 K

193 3524011108101577 3524012709870001 DUWIK LAMONGAN 27|09|1987 B L SAMBEN 003 004 0 K

194 3524011108101582 3524012506700001 SAMI'AN LAMONGAN 25|06|1970 S L SAMBEN 003 004 0 K

195 3524011108101582 3524015503790002 SU'IN LAMONGAN 15|03|1979 S P SAMBEN 003 004 0 K

196 3524011108101582 3524016003000004 SULIYAH LAMONGAN 20|03|2000 B P SAMBEN 003 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-004 Hal 57 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

197 3524011108101595 3524011910690002 PAERAN LAMONGAN 19|10|1969 S L SAMBEN 003 004 0 K

198 3524011108101595 3524015205730001 SATRI LAMONGAN 12|05|1973 S P SAMBEN 003 004 0 K

199 3524011108101595 3524010903960001 SAI'IN ANATA LAMONGAN 09|03|1996 B L SAMBEN 003 004 0 K

200 3524011410160001 3524012512900002 SUBANDI EKO PRASTYO LAMONGAN 25|12|1990 S L SAMBEN 003 004 0 K

201 3524011410160001 3524014406950001 JUWIT PENITA SARI LAMONGAN 04|06|1995 S P SAMBEN 003 004 0 K

202 3524013107180002 3524016301940001 EVI DWI ANA WATI LAMONGAN 23|01|1994 P P SAMBEN 003 004 0 K

203 3524010702190004 3524010110960002 OKKY WIRANTO LAMONGAN 01|10|1996 S L DSN.SAMBEN 004 004 0 K

204 3524010809170001 3524015206750002 SRINDUK LAMONGAN 12|06|1975 S P SAMBEN 004 004 0 K

205 3524010809170001 3524011809700001 SIKAS LAMONGAN 18|09|1978 S L SAMBEN 004 004 0 K

206 3524010809170001 3524012009010001 DANANG PRASETIYO PUTRO LAMONGAN 20|09|2001 B L SAMBEN 004 004 0 K

207 3524011108101573 3524011504660001 KARNU LAMONGAN 15|04|1966 S L SAMBEN 004 004 0 K

208 3524011108101573 3524015609740002 TATIK WAHYUNINGSIH LAMONGAN 16|09|1974 S P SAMBEN 004 004 0 B

209 3524011108101584 3524011307640001 JURI LAMONGAN 13|07|1964 S L SAMBEN 004 004 0 K

210 3524011108101584 3524015802720001 SRIATI LAMONGAN 18|02|1972 S P SAMBEN 004 004 0 K

211 3524011108101584 3524011009010002 MUHAMAD CHOIRUMAN LAMONGAN 10|09|2001 B L SAMBEN 004 004 0 K

212 3524011108101585 3524011208540002 WARIJO LAMONGAN 12|08|1954 P L SAMBEN 004 004 0 K

213 3524011108101585 3524012811910001 BAMBANG SUSANTO LAMONGAN 28|11|1991 B L SAMBEN 004 004 0 K

214 3524011108101586 3524013011680001 SAGIANTO LAMONGAN 30|11|1968 B L SAMBEN 004 004 0 K

215 3524011108101586 3524010410710002 SATEN LAMONGAN 04|10|1971 B L SAMBEN 004 004 1 K

216 3524011110190002 3524013101390001 RASEMAN LAMONGAN 31|01|1939 S L SAMBEN 004 004 0 K

217 3524011110190002 3524014107550002 PATREM LAMONGAN 01|07|1955 S P SAMBEN 004 004 0 K

218 3524011110190002 3524012305800001 PARMIN LAMONGAN 23|05|1980 S L SAMBEN 004 004 0 K

219 3524011110190002 3524011404880002 WITONO LAMONGAN 14|04|1988 B L SAMBEN 004 004 0 K

220 3524011110190002 3524016801900001 WASRIHAYU LAMONGAN 28|01|1990 S P SAMBEN 004 004 0 K

221 3524012410170001 3524010412880001 MUNAWI LAMONGAN 04|12|1988 S L SAMBEN 004 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-004 Hal 58 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

222 3524012410170001 3524014706940001 ILHAMUN FITRI LAMONGAN 07|06|1994 S P SAMBEN 004 004 0 K

223 3524012702120003 3524015511770001 KASINI LAMONGAN 15|11|1977 S P SAMBEN 007 004 0 K

224 3524012702120003 3524011012790001 PARWONO LAMONGAN 10|12|1979 S L SAMBEN 007 004 0 K

225 3524012702120003 3524010109860002 KASIMIN LAMONGAN 01|09|1986 B L SAMBEN 007 004 0 K

226 3524011303170001 3524014207950001 INDRA YANIK LAMONGAN 02|07|1995 S P SAMBEN 008 004 0 K

227 3524011303170001 3524011212960001 HADI MUSTIKO LAMONGAN 12|12|1996 S L SAMBEN 008 004 0 K

Keterangan Perkawinan = 227 Keterangan Disabilitas = 1 Keterangan Status Perekaman KTP-el = 227
B : Belum Kawin = 43 1: Disabilitas Fisik = 1 B : Belum Rekam = 3 Ditetapkan di LAMONGAN, Tanggal 16 Oktober 2020
S : Kawin = 162 2: Disabilitas Intelektual S : Sudah Rekam (Suket) KPU KABUPATEN LAMONGAN
P : Pernah Kawin = 22 3: Disabilitas Mental K : Sudah Rekam (KTP-el) = 224 KETUA
4: Disabilitas Sensorik
Jenis Kelamin = 227
L : Laki-Laki = 118
P : Perempuan = 109 MAHRUS ALI, S.Pd
KK = 105

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-004 Hal 59 dari 142


Model A.3-KWK

Model A.3-KWK
DAFTAR PEMILIH TETAP
PEMILIHAN BUPATI DAN WAKIL BUPATI LAMONGAN
TAHUN 2020
PROVINSI : JAWA TIMUR KECAMATAN : SUKORAME
KABUPATEN : LAMONGAN DESA/KELURAHAN : KEDUNGKUMPUL
TPS : 005
TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN
BILITAS
KTP-EL KETERANGAN
B/S/P L/P JALAN/DUKUH RT RW (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 3524010709170002 3524014809480001 SUWI LAMONGAN 08|09|1948 P P SAMBEN 004 003 0 K

2 3524011108101084 3524011203510001 YONO LAMONGAN 12|03|1951 S L SAMBEN 004 003 0 K

3 3524011108101084 3524015102540001 WARSI LAMONGAN 11|02|1954 S P SAMBEN 004 003 0 K

4 3524011108101084 3524011412870001 PRAYIT BOJONEGOKO 14|12|1987 S L SAMBEN 004 003 0 K

5 3524011108101084 3524016712880002 SUMIASIH LAMONGAN 27|12|1988 S P SAMBEN 004 003 0 K

6 3524011108101084 3524012501950002 WARIADI LAMONGAN 25|01|1995 B L SAMBEN 004 003 0 K

7 3524011108101102 3524012504690001 SLAMET LAMONGAN 25|04|1969 S L SAMBEN 004 003 0 K

8 3524011108101102 3524015811700001 SUMINEM LAMONGAN 18|11|1970 S P SAMBEN 004 003 0 K

9 3524011108101102 3524012911940001 MULYONO LAMONGAN 29|11|1994 B L SAMBEN 004 003 0 K

10 3524011108101102 3524014502030001 MIA PEBRIANI LAMONGAN 05|02|2003 B P SAMBEN 004 003 0 K

11 3524011108101147 3524011101440003 SANIMAN LAMONGAN 11|01|1944 S L SAMBEN 004 003 0 K

12 3524011108101147 3524010505900001 SUTAJI LAMONGAN 05|05|1990 B L SAMBEN 004 003 0 K

13 3524011108101148 3524011009540001 MARDOPO LAMONGAN 10|09|1954 S L SAMBEN 004 003 0 K

14 3524011108101148 3524014108620001 WARLIK LAMONGAN 01|08|1962 S P SAMBEN 004 003 0 K

15 3524011108101148 3524011211940001 JOKO SANTOSO LAMONGAN 12|11|1994 B L SAMBEN 004 003 0 K

16 3524011108101157 3524011003490001 SAWIN LAMONGAN 10|03|1949 S L SAMBEN 004 003 0 K

17 3524011108101157 3524015210620002 MINTEN LAMONGAN 12|10|1962 S P SAMBEN 004 003 0 K

18 3524011108101157 3524011304030001 AFRIANSYAH BINTANG PRAYOGI LAMONGAN 13|04|2003 B L SAMBEN 004 003 0 K

19 3524011108101681 3524012012670001 SUMAT LAMONGAN 20|12|1967 S L SAMBEN 004 003 0 K

20 3524011108101681 3524016411700002 SIRIT LAMONGAN 24|11|1970 S P SAMBEN 004 003 0 K

21 3524011108101681 3524011604930001 GIGIK SISWANTORO LAMONGAN 14|05|1993 B L SAMBEN 004 003 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 60 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

22 3524011108101682 3524010409690001 TUNGGAL LAMONGAN 04|09|1969 S L SAMBEN 004 003 0 K

23 3524011108101682 3524014205790002 TUTIK LAMONGAN 02|05|1979 S P SAMBEN 004 003 0 K

24 3524011108101682 3524011509030001 SEPTIAWAN YOGA PUTRA LAMONGAN 15|09|2003 B L SAMBEN 004 003 0 K

25 3524011108101109 3524011005690001 SUKIR LAMONGAN 10|05|1969 S L SAMBEN 005 003 0 K

26 3524011108101109 3524014905710001 JINJOWATI LAMONGAN 09|05|1971 S P SAMBEN 005 003 0 K

27 3524011108101109 3524016206030001 DINDA RATNA SARI LAMONGAN 22|06|2003 B P SAMBEN 005 003 0 K

28 3524010411110510 3524012604910001 SAIFUL ANAM LAMONGAN 26|04|1991 S L SAMBEN 001 004 0 K

29 3524011108100908 3524011301690001 SABAR LAMONGAN 13|01|1969 S L SAMBEN 001 004 0 K

30 3524011108100908 3524015208700001 LASTIK LAMONGAN 12|08|1970 S P SAMBEN 001 004 0 K

31 3524011108101063 3524011904600001 KARDI LAMONGAN 19|04|1960 P L SAMBEN 001 004 0 K

32 3524011108101063 3524014807910001 DARTIK LAMONGAN 08|07|1991 S P SAMBEN 001 004 0 K

33 3524011108101117 3524011602700001 SARJI LAMONGAN 16|02|1970 S L SAMBEN 001 004 0 K

34 3524011108101117 3524015106740001 WIWIK LAMONGAN 11|06|1974 S P SAMBEN 001 004 0 K

35 3524011108101117 3524014406010001 VANESA INGKA PUTRI LAMONGAN 04|06|2001 B P SAMBEN 001 004 0 K

36 3524011108101139 3524013006540001 WONO LAMONGAN 30|06|1954 S L SAMBEN 001 004 0 K

37 3524011108101139 3524017006640001 PARMI LAMONGAN 30|06|1964 S P SAMBEN 001 004 0 K

38 3524011108101139 3524014411010002 PUTRI DWI LESTARI LAMONGAN 04|11|2001 B P SAMBEN 001 004 0 K

39 3524011108101140 3524011204790003 MBULUT LAMONGAN 12|04|1979 S L SAMBEN 001 004 0 K

40 3524011108101140 3524014210830001 SRIMUT LAMONGAN 02|10|1983 S P SAMBEN 001 004 0 K

41 3524011108101141 3524010602620001 SISAM LAMONGAN 06|02|1962 S L SAMBEN 001 004 0 K

42 3524011108101141 3524015208650001 PAINI LAMONGAN 12|08|1965 S P SAMBEN 001 004 0 K

43 3524011108101141 3524011001900004 SUKI LAMONGAN 10|01|1990 B L SAMBEN 001 004 0 K

44 3524011108101142 3524010304680001 RANTIMIN BOJONEGORO 03|04|1968 S L SAMBEN 001 004 0 K

45 3524011108101142 3524014704700001 SAMISRI LAMONGAN 07|04|1970 S P SAMBEN 001 004 0 K

46 3524011108101142 3524010206900001 SYAMSURI LAMONGAN 02|06|1990 S L SAMBEN 001 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 61 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

47 3524011108101142 3524016705940001 JULAIKAH LAMONGAN 27|05|1994 S P SAMBEN 001 004 0 K

48 3524011108101146 3524011105650001 SURONO BOJONEGORO 11|05|1965 S L SAMBEN 001 004 0 K

49 3524011108101146 3524014702720001 JAINI LAMONGAN 07|02|1972 S P SAMBEN 001 004 0 K

50 3524011108101154 3524011110710002 MUHAMAD MASKUR JOMBANG 11|10|1971 S L SAMBEN 001 004 0 K

51 3524011108101154 3524014908740001 KAMIDAH LAMONGAN 09|08|1974 S P SAMBEN 001 004 0 K

52 3524011108101154 3524011207970002 ABDUL ROUF KRISDIANTO JOMBANG 12|07|1997 B L SAMBEN 001 004 0 K

53 3524011108101155 3524011411640002 GATOT YISWO LUMAJANG 14|11|1964 S L SAMBEN 001 004 0 K

54 3524011108101155 3524015903700003 KASMI LAMONGAN 19|03|1970 S P SAMBEN 001 004 0 K

55 3524011108101156 3524015506540001 DARISAH LAMONGAN 15|06|1954 P P SAMBEN 001 004 0 K

56 3524011108101156 3524012112650001 DARIMIN LAMONGAN 21|12|1965 B L SAMBEN 001 004 0 K

57 3524011108101156 3524014311860002 SAWITRI LAMONGAN 03|11|1986 B P SAMBEN 001 004 0 K

58 3524011108101162 3524011210700001 SUKASDI TUBAN 12|10|1970 S L SAMBEN 001 004 0 K

59 3524011108101162 3524014312750001 WIDAWATI, S.Pd LAMONGAN 03|12|1975 S P SAMBEN 001 004 0 K

60 3524011108101162 3524011003970001 LIMARDI WANTORO LAMONGAN 10|03|1997 B L SAMBEN 001 004 0 K

61 3524011108101163 3524010904490001 PAIDI LAMONGAN 09|04|1949 S L SAMBEN 001 004 0 K

62 3524011108101163 3524014905590002 MURINI LAMONGAN 09|05|1959 S P SAMBEN 001 004 2 K

63 3524011108101163 3524015509780001 RUBIANTI LAMONGAN 15|09|1978 B P SAMBEN 001 004 0 K

64 3524011108101165 3524010404440001 BARIDAN LAMONGAN 04|04|1944 S L SAMBEN 001 004 0 K

65 3524011108101165 3524014509590002 PAENAH LAMONGAN 05|09|1959 S P SAMBEN 001 004 0 K

66 3524011108101167 3524012404780001 PURWANTO LAMONGAN 24|04|1978 S L SAMBEN 001 004 0 K

67 3524011108101167 3524014109800002 SAYEM LAMONGAN 01|09|1980 S P SAMBEN 001 004 0 K

68 3524011108101167 3524010201010001 AJI SETIOKO ADI NUGROHO LAMONGAN 02|01|2001 B L SAMBEN 001 004 0 K

69 3524011108101169 3524012406710001 KASMIDI LAMONGAN 24|06|1971 P L SAMBEN 001 004 0 K

70 3524011108101170 3524010312590001 TAMIDI LAMONGAN 03|12|1959 S L SAMBEN 001 004 0 K

71 3524011108101170 3524015408650001 MUNASRI LAMONGAN 14|08|1965 S P SAMBEN 001 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 62 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

72 3524011108101171 3524010703650002 SONO LAMONGAN 07|03|1965 S L SAMBEN 001 004 0 K

73 3524011108101171 3524015504730001 SATRI LAMONGAN 15|04|1973 S P SAMBEN 001 004 0 K

74 3524011108101171 3524015108990002 YULI INDAH SARI LAMONGAN 11|08|1999 B P SAMBEN 001 004 0 K

75 3524011108101174 3524010808680001 TUBI LAMONGAN 08|08|1968 B L SAMBEN 001 004 0 K

76 3524011108101175 3524015508830001 TITIK LAMONGAN 15|08|1983 P P SAMBEN 001 004 0 K

77 3524011108101176 3524010509600001 TAKIM LAMONGAN 05|09|1960 S L SAMBEN 001 004 0 K

78 3524011108101176 3524014203680001 SUNARSIH LAMONGAN 02|03|1968 S P SAMBEN 001 004 0 K

79 3524011108101176 3524014705680001 KARTI LAMONGAN 07|05|1968 S P SAMBEN 001 004 0 K

80 3524011108101177 3524010812600001 TAMILAN LAMONGAN 08|12|1960 S L SAMBEN 001 004 0 K

81 3524011108101177 3524015012620002 KEMI LAMONGAN 10|12|1962 S P SAMBEN 001 004 0 K

82 3524011108101178 3524016501510001 SUWARI LAMONGAN 25|01|1951 S P SAMBEN 001 004 0 K

83 3524011108101180 3524016303530001 SUAMI LAMONGAN 23|03|1953 S P SAMBEN 001 004 0 K

84 3524011108101181 3524011602720001 SUCIPTO LAMONGAN 16|02|1972 S L SAMBEN 001 004 0 K

85 3524011108101181 3524015306780001 GANTI LISWATI LAMONGAN 13|06|1978 S P SAMBEN 001 004 0 K

86 3524011108101181 3524010606980001 BAGUS HADI PRAMONO LAMONGAN 06|06|1998 B L SAMBEN 001 004 0 K

87 3524011108101685 3524012710700001 SUKIR LAMONGAN 27|10|1970 S L SAMBEN 001 004 0 K

88 3524011108101685 3524014202740001 NGATEMI LAMONGAN 02|02|1974 S P SAMBEN 001 004 0 K

89 3524011108101685 3524010603930001 ROKIM LAMONGAN 06|03|1993 B L SAMBEN 001 004 0 K

90 3524011108101687 3524010407740001 SUKRAN LAMONGAN 04|07|1974 S L SAMBEN 001 004 0 K

91 3524011108101687 3524014404800002 SRIYATINAH LAMONGAN 04|04|1980 S P SAMBEN 001 004 0 K

92 3524011108101689 3524014904540001 KANTI LAMONGAN 09|04|1954 P P SAMBEN 001 004 0 K

93 3524011108101693 3524011005540002 JAIRIN LAMONGAN 10|05|1954 S L SAMBEN 001 004 0 K

94 3524011108101693 3524011905910002 WITO LAMONGAN 19|05|1991 B L SAMBEN 001 004 0 K

95 3524011108102139 3524011803720003 SUPARDI LAMONGAN 18|03|1972 S L SAMBEN 001 004 0 K

96 3524011108102139 3524015212720003 WARTINI JOMBANG 12|12|1972 S P SAMBEN 001 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 63 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

97 3524011108102139 3524010707930002 DAVIT KRASIAGAM LAMONGAN 07|07|1993 B L SAMBEN 001 004 0 K

98 3524011108102139 3524012809970002 BAHTIAR DWI SANTOSO LAMONGAN 28|09|1997 B L SAMBEN 001 004 0 K

99 3524011108102159 3524014304750001 KUSRIASIH LAMONGAN 03|04|1975 P P DSN SAMBEN 001 004 0 K

100 3524011108102159 3524014512960002 DESI PUTRI MILANTIKA LAMONGAN 05|12|1996 B P DSN SAMBEN 001 004 0 K

101 3524011108102164 3524010903810001 SUBI LAMONGAN 09|03|1981 S L SAMBEN 001 004 0 K

102 3524011108102164 3524017006860002 TRISMI LAMONGAN 30|06|1986 S P SAMBEN 001 004 0 K

103 3524011108102237 3524012607810001 MURDIANTO LAMONGAN 26|07|1981 S L Dsn. SAMBEN 001 004 0 K

104 3524011108102237 3524015808880001 SUHARNANIK BOJONEGORO 18|08|1988 S P Dsn. SAMBEN 001 004 0 K

105 3524011209120001 3524171206810001 SUBANDIK LAMONGAN 12|06|1981 S L SAMBEN 001 004 0 K

106 3524011209120001 3524016203830001 BISRI ERNAWATININGSIH LAMONGAN 22|03|1983 S P SAMBEN 001 004 0 K

107 3524012112160001 3524017110440001 PAETI LAMONGAN 31|10|1944 P P SAMBEN 001 004 0 K

108 3524012211110004 3524011404720001 SAMINO LAMONGAN 14|04|1972 S L SAMBEN 001 004 0 K

109 3524012211110004 3524014504860002 JAEMAH LAMONGAN 05|04|1986 S P SAMBEN 001 004 0 K

110 3524012504120001 3524012906810001 SUMAT LAMONGAN 29|06|1981 S L SAMBEN 001 004 0 K

111 3524012504120001 3524014301880001 SULASTRI LAMONGAN 03|01|1988 S P SAMBEN 001 004 0 K

112 3524011108101066 3524010209990002 KARNOTO LAMONGAN 02|09|1999 B L SAMBEN 002 004 0 K

113 3524011108101589 3524010808730001 EDY SUTOMO LAMONGAN 08|08|1973 S L SAMBEN 002 004 0 K

114 3524011108101589 3524014702770001 RISMIATI LAMONGAN 07|02|1977 S P SAMBEN 002 004 0 K

115 3524011108101596 3524014510400001 WITI LAMONGAN 05|10|1940 S P SAMBEN 002 004 0 K

116 3524011108101597 3524015202490001 SUPIK LAMONGAN 12|02|1949 S P SAMBEN 002 004 0 K

117 3524011108101597 3524010610600001 SUKISNO LAMONGAN 06|10|1960 B L SAMBEN 002 004 0 K

118 3524011108101598 3524011212790001 MARBIN LAMONGAN 12|12|1979 S L SAMBEN 002 004 0 K

119 3524011108101598 3524016505840001 SRIWASIS LAMONGAN 25|05|1984 S P SAMBEN 002 004 0 K

120 3524011108101598 3524011405010008 RICO ALDY MUNAFAN LAMONGAN 14|05|2001 B L SAMBEN 002 004 0 K

121 3524011108101599 3524011908720001 SANTO LAMONGAN 19|08|1972 S L SAMBEN 002 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 64 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

122 3524011108101599 3524015010780001 SIWUT LAMONGAN 10|10|1978 S P SAMBEN 002 004 0 K

123 3524011108101600 3524012001590002 JIMAN LAMONGAN 20|01|1959 S L SAMBEN 002 004 0 K

124 3524011108101600 3524016706680002 KAENAH LAMONGAN 27|06|1968 S P SAMBEN 002 004 0 K

125 3524011108101600 3524011102900002 EKA PURNOMO LAMONGAN 11|02|1990 S L SAMBEN 002 004 0 K

126 3524011108101600 3524014610950002 DEWI SETIANI LAMONGAN 06|10|1995 S P SAMBEN 002 004 0 K

127 3524011108101601 3524011210520001 RASIBAN LAMONGAN 12|10|1952 S L SAMBEN 002 004 0 K

128 3524011108101601 3524014908530001 KARINI LAMONGAN 09|08|1953 S P SAMBEN 002 004 0 K

129 3524011108101602 3524016909400001 LASRI LAMONGAN 29|09|1940 S P SAMBEN 002 004 0 K

130 3524011108101602 3524010307540001 SURATEMAN JOMBANG 03|07|1954 S L SAMBEN 002 004 0 K

131 3524011108101603 3524010805580001 SANTIMAN LAMONGAN 08|05|1958 P L SAMBEN 002 004 0 K

132 3524011108101603 3524010405690001 SITIK LAMONGAN 04|05|1969 P L SAMBEN 002 004 0 K

133 3524011108101603 3524011806960001 SANUT LAMONGAN 18|06|1996 B L SAMBEN 002 004 0 K

134 3524011108101604 3524011310590001 SUPONO JOMBANG 13|10|1959 S L SAMBEN 002 004 0 K

135 3524011108101604 3524014410590001 JAMI LAMONGAN 04|10|1959 P P SAMBEN 002 004 0 K

136 3524011108101604 3524014410680002 SIBAH LAMONGAN 04|10|1968 S P SAMBEN 002 004 0 K

137 3524011108101604 3524010407940001 SUGIK HARMANTO LAMONGAN 04|07|1994 B L SAMBEN 002 004 0 K

138 3524011108101604 3524014508030001 DENIS PUJI LESTARI LAMONGAN 05|08|2003 B P SAMBEN 002 004 0 K

139 3524011108101606 3524010109540001 NADI LAMONGAN 01|09|1954 S L SAMBEN 002 004 0 K

140 3524011108101606 3524014109570001 SUCIATI LAMONGAN 01|09|1957 S P SAMBEN 002 004 0 K

141 3524011108101606 3524010202780001 SULAMDI LAMONGAN 02|02|1978 S L SAMBEN 002 004 0 K

142 3524011108101606 3524026112830001 SITI KOTIMAH BOJONEGORO 21|12|1983 S P SAMBEN 002 004 0 K

143 3524011108101607 3524012805560001 TARMIN LAMONGAN 28|05|1956 S L SAMBEN 002 004 0 K

144 3524011108101607 3524014910590003 WARTI LAMONGAN 09|10|1959 S P SAMBEN 002 004 0 K

145 3524011108101608 3524014105540001 KATIMAH LAMONGAN 01|05|1954 P P SAMBEN 002 004 0 K

146 3524011108101609 3524012105750001 WARIDI LAMONGAN 21|05|1975 S L SAMBEN 002 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 65 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

147 3524011108101609 3524014709760001 SISWATI LAMONGAN 07|09|1976 S P SAMBEN 002 004 0 K

148 3524011108101610 3524012107640002 SRIONO LAMONGAN 21|07|1964 S L SAMBEN 002 004 0 K

149 3524011108101610 3524016904710001 NANIK SUGIARTI LAMONGAN 29|04|1971 S P SAMBEN 002 004 0 K

150 3524011108101610 3524015207970002 EKA MIFTHAHUL JANNAH LAMONGAN 12|07|1997 B P SAMBEN 002 004 0 K

151 3524011108101611 3524015806540001 SRIMI LAMONGAN 18|06|1954 P P SAMBEN 002 004 0 K

152 3524011108101612 3524010705740002 KUSNO LAMONGAN 07|05|1974 S L SAMBEN 002 004 0 K

153 3524011108101612 3524016308820001 NOK SRIASIH LAMONGAN 23|08|1982 S P SAMBEN 002 004 0 K

154 3524011108101614 3524012708490001 SUKAT LAMONGAN 27|08|1949 S L SAMBEN 002 004 0 K

155 3524011108101614 3524016609520001 MASRI LAMONGAN 26|09|1952 S P SAMBEN 002 004 0 K

156 3524011108101614 3524010412010001 ARDI RAMADAN LAMONGAN 04|12|2001 B L SAMBEN 002 004 0 K

157 3524011108101615 3524010704680002 WAJI LAMONGAN 07|04|1968 S L SAMBEN 002 004 0 K

158 3524011108101615 3524014309740001 PAITRI LAMONGAN 03|09|1974 S P SAMBEN 002 004 0 K

159 3524011108101617 3524010202540002 MIRAN LAMONGAN 02|02|1954 S L SAMBEN 002 004 0 K

160 3524011108101619 3524010801640001 TUMIDI LAMONGAN 08|01|1964 S L SAMBEN 002 004 0 K

161 3524011108101619 3524014103660001 RASEMI LAMONGAN 01|03|1966 S P SAMBEN 002 004 0 K

162 3524011108101620 3524011209770001 TUKI LAMONGAN 12|09|1977 S L SAMBEN 002 004 0 K

163 3524011108101620 3524015305810001 SUKARMANI LAMONGAN 13|05|1981 S P SAMBEN 002 004 0 K

164 3524011108101621 3524014207490001 SUWATI LAMONGAN 02|07|1949 P P SAMBEN 002 004 0 K

165 3524011108101622 3524013011490001 SAEKUN LAMONGAN 30|11|1949 S L SAMBEN 002 004 0 K

166 3524011108101622 3524014607590001 SAENAH LAMONGAN 06|07|1959 S P SAMBEN 002 004 0 K

167 3524011108101622 3524011903820001 PARMIN LAMONGAN 19|03|1982 B L SAMBEN 002 004 0 K

168 3524011108101622 3524011702950001 PARNO LAMONGAN 17|02|1994 B L SAMBEN 002 004 0 K

169 3524011108101623 3524010807510001 SUDIK LAMONGAN 08|07|1951 S L SAMBEN 002 004 0 K

170 3524011108101623 3524014801530002 SAISRI LAMONGAN 08|01|1953 S P SAMBEN 002 004 0 K

171 3524011108101641 3524014403760002 SAITUN LAMONGAN 04|03|1976 B P SAMBEN 002 004 4 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 66 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

172 3524011108101643 3524014711660001 WARNI LAMONGAN 07|11|1966 B P SAMBEN 002 004 0 K

173 3524011108101643 3524010907740002 SAIM LAMONGAN 09|07|1974 B L SAMBEN 002 004 0 K

174 3524011108101644 3524014803810001 SUKESI LAMONGAN 08|03|1981 S P SAMBEN 002 004 0 K

175 3524011108101644 3524010708870001 RAJI LAMONGAN 07|08|1987 S L SAMBEN 002 004 0 K

176 3524011108101656 3524011903580001 MISKAM, Spd PACITAN 19|03|1958 S L SAMBEN 002 004 0 K

177 3524011108101656 3524017007630001 KARIN INDAR ISTIASIH LAMONGAN 30|07|1963 S P SAMBEN 002 004 0 K

178 3524011108102155 3524012105740001 DIDIK SISWANTO LAMONGAN 21|05|1974 S L SAMBEN 002 004 0 K

179 3524011108102155 3524015612820001 EKA WIJI LESTARI LAMONGAN 16|12|1982 S P SAMBEN 002 004 0 K

180 3524011108102186 3524016704430002 SURATMI LAMONGAN 27|04|1943 P P SAMBEN 002 004 0 K

181 3524012410160001 3524016706940001 JUNI WATI LAMONGAN 27|06|1994 S P SAMBEN 002 004 0 K

182 3524012410160001 3524010409960001 NURHADI LAMONGAN 04|09|1995 S L SAMBEN 002 004 0 K

183 3524012604120008 3524010809870001 WAHYUDI LAMONGAN 08|09|1987 S L SAMBEN 002 004 0 K

184 3524012604120008 3517134211880003 UMMI KHARIROH JOMBANG 02|11|1988 S P SAMBEN 002 004 0 K

185 3524012604170001 3520042504870001 BAGUS PURWANTO MAGETAN 25|04|1987 S L SAMBEN 002 004 0 K

186 3524012604170001 3524016008920001 WIDYA DWI ASTUTIK LAMONGAN 20|08|1992 S P SAMBEN 002 004 0 K

187 3524010104130002 3524011209830001 SUWONO LAMONGAN 12|09|1983 S L SAMBEN 003 004 0 K

188 3524010104130002 3524014707840002 SRI ASIH KUSUMA WARDHANI LAMONGAN 07|07|1984 S P SAMBEN 003 004 0 K

189 3524010411110510 3524011405010001 MARIKO LAMONGAN 14|05|2001 B L SAMBEN 003 004 0 K

190 3524010709170002 3314086407930003 DWI LESTARI SKAGEN 24|07|1993 S P SAMBEN 003 004 0 K

191 3524010709170002 3524010905930001 WARTONO LAMONGAN 09|05|1993 S L SAMBEN 003 004 0 K

192 3524011105120002 3524011510830003 KASIBAN LAMONGAN 15|10|1983 S L SAMBEN 003 004 0 K

193 3524011105120002 3524015003870002 MUJIANI LAMONGAN 10|03|1987 S P SAMBEN 003 004 0 K

194 3524011108101066 3524010306640001 KETANG LAMONGAN 03|06|1964 S L SAMBEN 003 004 0 K

195 3524011108101066 3524016004660001 KARTINING JOMBANG 20|04|1966 S P SAMBEN 003 004 0 K

196 3524011108101066 3524014310890001 SUKARMINAH LAMONGAN 03|10|1989 S P SAMBEN 003 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 67 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

197 3524011108101066 3522081307930001 ARIFIN BOJONEGORO 13|07|1993 S L SAMBEN 003 004 0 K

198 3524011108101067 3524014301560001 LASENING LAMONGAN 03|01|1956 S P SAMBEN 003 004 0 K

199 3524011108101067 3524011403770001 WINARTO LAMONGAN 14|03|1977 S L SAMBEN 003 004 0 K

200 3524011108101069 3524012202690001 MOCHAMAD ABDUL SYAKUR BOJONEGORO 22|02|1969 S L SAMBEN 003 004 0 K

201 3524011108101069 3524016609740001 SIMURTI LAMONGAN 26|09|1974 S P SAMBEN 003 004 0 K

202 3524011108101069 3524016412970001 DIAH FATMALA LAMONGAN 24|12|1997 B P SAMBEN 003 004 0 K

203 3524011108101070 3524016005700001 SUTIK LAMONGAN 20|05|1970 S P SAMBEN 003 004 0 K

204 3524011108101070 3524011304810001 SUPRAPTO LAMONGAN 13|04|1981 S L SAMBEN 003 004 0 K

205 3524011108101070 3524015812890001 SUPARTI LAMONGAN 18|12|1989 S P SAMBEN 003 004 0 K

206 3524011108101071 3524015402520001 TASIYEM LAMONGAN 14|02|1952 S P SAMBEN 003 004 0 K

207 3524011108101072 3524012003690001 MARDI LAMONGAN 20|03|1969 S L SAMBEN 003 004 0 K

208 3524011108101072 3524014305710001 NARTI LAMONGAN 03|05|1971 S P SAMBEN 003 004 0 K

209 3524011108101073 3524015904580001 MARPIK LAMONGAN 19|04|1958 P P SAMBEN 003 004 0 K

210 3524011108101073 3524012401690001 LASIMAN LAMONGAN 24|01|1969 S L SAMBEN 003 004 0 K

211 3524011108101073 3524010410710001 SANTIK LAMONGAN 04|10|1971 B L SAMBEN 003 004 0 K

212 3524011108101073 3524015903750001 TATIK LAMONGAN 19|03|1975 S P SAMBEN 003 004 0 K

213 3524011108101073 3524012910970001 ABDUL FATKUR ROHMAN LAMONGAN 29|10|1997 B L SAMBEN 003 004 0 K

214 3524011108101075 3524013003560001 SAEMAN LAMONGAN 30|03|1956 P L SAMBEN 003 004 0 K

215 3524011108101076 3524014309770001 SRINI LAMONGAN 03|09|1977 S P SAMBEN 003 004 0 K

216 3524011108101076 3524010109790001 SAMIUN LAMONGAN 01|09|1979 S L SAMBEN 003 004 0 K

217 3524011108101078 3524010307660001 WAKIT LAMONGAN 03|07|1966 S L SAMBEN 003 004 0 K

218 3524011108101078 3524014308680001 SISUM LAMONGAN 03|08|1968 S P SAMBEN 003 004 0 K

219 3524011108101079 3524011409700001 KASIRIN LAMONGAN 14|09|1970 B L SAMBEN 003 004 0 K

220 3524011108101080 3524014808540001 SUKARMANI LAMONGAN 08|08|1954 S P SAMBEN 003 004 0 K

221 3524011108101080 3524011907560001 SAKUN LAMONGAN 19|07|1956 S L SAMBEN 003 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 68 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

222 3524011108101080 3524010105900001 ANDIK SUGIMAN LAMONGAN 01|05|1990 S L SAMBEN 003 004 0 K

223 3524011108101080 3524014909940002 SEPTIANA LAMONGAN 09|09|1994 S P SAMBEN 003 004 0 K

224 3524011108101082 3524011709510001 SIGUN LAMONGAN 17|09|1951 S L SAMBEN 003 004 0 K

225 3524011108101082 3524014702560001 SUPRI LAMONGAN 07|02|1956 S P SAMBEN 003 004 0 K

226 3524011108101087 3524010809670001 GATUT LAMONGAN 08|09|1967 S L SAMBEN 003 004 0 K

227 3524011108101087 3524015011690001 PONI LAMONGAN 10|11|1969 S P SAMBEN 003 004 0 K

228 3524011108101289 3524011011690003 KASDAM LAMONGAN 10|11|1969 S L SAMBEN 003 004 0 K

229 3524011108101289 3524016704740001 SUPINAH LAMONGAN 27|04|1974 S P SAMBEN 003 004 0 K

230 3524011108101289 3524014804010002 AMILIA LAMONGAN 06|04|2001 B P SAMBEN 003 004 0 K

231 3524011108101578 3524012807750001 TUKUL LAMONGAN 28|07|1975 S L SAMBEN 003 004 0 K

232 3524011108101578 3524016011810001 WAISRI LAMONGAN 20|11|1981 S P SAMBEN 003 004 0 K

233 3524011108101578 3524010107010001 SAYIT ABDULLAH LAMONGAN 01|07|2001 B L SAMBEN 003 004 0 K

234 3524011108101579 3524014807660003 SUPARMI LAMONGAN 08|07|1966 P P SAMBEN 003 004 0 K

235 3524011108101579 3524012805940001 LASTAJI LAMONGAN 28|05|1994 B L SAMBEN 003 004 0 K

236 3524011108101580 3524014609560001 TINI LAMONGAN 06|09|1956 P P LAMPEYAN 003 004 0 K

237 3524011108101590 3524011205800001 DARTO LAMONGAN 12|05|1980 S L SAMBEN 003 004 0 K

238 3524011108101594 3524011405680001 KASNAWI LAMONGAN 14|05|1968 S L SAMBEN 003 004 0 K

239 3524011108101594 3524016803830001 SUWARLIK LAMONGAN 28|03|1983 S P SAMBEN 003 004 0 K

240 3524011108101594 3524016408000001 JEMMY AMELIA LAMONGAN 24|08|2000 B P SAMBEN 003 004 0 K

241 3524011108101596 3524011408610001 SAMIDAN LAMONGAN 14|08|1961 S L SAMBEN 003 004 0 K

242 3524011108101596 3524015407650001 JASMANI LAMONGAN 14|07|1965 S P SAMBEN 003 004 0 K

243 3524011108101596 3524016408030001 BELLA REFI AMANDANI LAMONGAN 24|08|2003 B P SAMBEN 003 004 0 K

244 3524011108101613 3524011101700002 SAMIRAN LAMONGAN 11|01|1970 S L SAMBEN 003 004 0 K

245 3524011108101613 3524015011830002 PARLIS LAMONGAN 10|11|1983 S P SAMBEN 003 004 0 K

246 3524011108101616 3524011105590001 SALIN LAMONGAN 11|05|1959 S L SAMBEN 003 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 69 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

247 3524011108101616 3524016308630001 SEMI LAMONGAN 23|08|1963 S P SAMBEN 003 004 0 K

248 3524011108101781 3524013001530001 SAEBAN LAMONGAN 30|01|1953 S L SAMBEN 003 004 0 K

249 3524011108101781 3524015901550001 SANTI LAMONGAN 19|01|1955 S P SAMBEN 003 004 0 K

250 3524011108101781 3524014205980002 SRI DUWI SETIORINI LAMONGAN 02|05|1998 B P SAMBEN 003 004 0 K

251 3524011108101928 3524014801500001 WARTI LAMONGAN 08|01|1950 P P SAMBEN 003 004 0 K

252 3524011108101930 3524014911750001 RATEMI LAMONGAN 09|11|1975 P P SAMBEN 003 004 0 K

253 3524011108101931 3524010910590001 NGATEMAN LAMONGAN 09|10|1959 S L SAMBEN 003 004 0 K

254 3524011108101931 3524014511690001 SAMASRI LAMONGAN 05|11|1969 S P SAMBEN 003 004 0 K

255 3524011108101932 3524016809470001 KAMAR LAMONGAN 28|09|1947 S P SAMBEN 003 004 0 K

256 3524011108101932 3524011707690002 KADI LAMONGAN 17|07|1969 P L SAMBEN 003 004 0 K

257 3524011108101933 3524012211670001 SUKRI JOMBANG 22|11|1967 S L SAMBEN 003 004 0 K

258 3524011108101933 3524016801710001 PANI LAMONGAN 28|01|1971 S P SAMBEN 003 004 0 K

259 3524011108101933 3524011205960001 YOYOK AKIN LAMONGAN 12|05|1996 B L SAMBEN 003 004 0 B

260 3524011108101934 3524012201680001 DIONO LAMONGAN 22|01|1968 S L SAMBEN 003 004 0 K

261 3524011108101934 3524016802740001 SRI MUSMIATI LAMONGAN 28|02|1974 S P SAMBEN 003 004 0 K

262 3524011108101935 3524012711530001 SAMIDI LAMONGAN 27|11|1953 S L SAMBEN 003 004 0 K

263 3524011108101935 3524017004580001 LASI LAMONGAN 30|04|1958 S P SAMBEN 003 004 0 K

264 3524011108101935 3524011006810001 MUIN LAMONGAN 10|06|1981 B L SAMBEN 003 004 0 K

265 3524011108102051 3524012908760001 SAJIONO LAMONGAN 04|01|1964 S L SAMBEN 003 004 0 K

266 3524011108102051 3524014110700002 RATMINAH LAMONGAN 01|10|1970 S P SAMBEN 003 004 0 K

267 3524012701120003 3524013010800001 JUMALIL LAMONGAN 30|10|1980 S L SAMBEN 003 004 0 K

268 3524012701120003 3524014707810001 SRIMAH LAMONGAN 07|07|1981 S P SAMBEN 003 004 0 K

269 3524012707120001 3524013112800002 SRIONO LAMONGAN 31|12|1980 S L SAMBEN 003 004 0 K

270 3524012707120001 3524016502910001 ISMIATIN LAMONGAN 25|02|1991 S P SAMBEN 003 004 0 K

271 3524010902170001 3524011709930001 RIYALDI LAMONGAN 17|09|1993 S L SAMBEN 004 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 70 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

272 3524010902170001 3524014210960001 NINUK JUNIATI LAMONGAN 15|06|1995 S P SAMBEN 004 004 0 K

273 3524011108101238 3524017010550001 SULASIH LAMONGAN 30|10|1955 S P SAMBEN 004 004 0 K

274 3524011108101239 3524011008400001 TRIPAN LAMONGAN 10|08|1940 P L SAMBEN 004 004 0 K

275 3524011108101239 3524010202880001 JUNAIDI TUBAN 02|02|1988 S L SAMBEN 004 004 0 K

276 3524011108101240 3524014206490001 YATUN LAMONGAN 02|06|1949 P P SAMBEN 004 004 0 K

277 3524011108101241 3524010705560001 SAKIM LAMONGAN 07|05|1956 S L SAMBEN 004 004 0 K

278 3524011108101241 3524015709560001 MAINING LAMONGAN 17|09|1956 S P SAMBEN 004 004 0 K

279 3524011108101242 3524014803540001 DASEMI LAMONGAN 08|03|1954 S P SAMBEN 004 004 0 K

280 3524011108101571 3524012401580001 KARSAM LAMONGAN 24|01|1958 S L SAMBEN 004 004 0 K

281 3524011108101571 3524014411660001 MINAH LAMONGAN 04|11|1966 S P SAMBEN 004 004 0 K

282 3524011108101571 3524011212990001 WANITO LAMONGAN 12|12|1999 B L SAMBEN 004 004 0 K

283 3524011108101576 3524012806650001 TRIYO LAMONGAN 28|06|1965 S L SAMBEN 004 004 0 K

284 3524011108101576 3524014802740001 SUNARSIH LAMONGAN 08|02|1974 S P SAMBEN 004 004 0 K

285 3524011108101581 3524016709490001 TASEMI LAMONGAN 27|09|1949 S P SAMBEN 004 004 0 K

286 3524011108101587 3524011610540002 SAMIUN LAMONGAN 16|10|1954 S L SAMBEN 004 004 0 K

287 3524011108101587 3524014703590002 TAMINTEN LAMONGAN 07|03|1959 S P SAMBEN 004 004 0 K

288 3524011108101590 3524011608650002 MASIRAN LAMONGAN 16|08|1965 S L SAMBEN 004 004 0 K

289 3524011108101590 3524017010660001 MARI LAMONGAN 30|10|1966 S P SAMBEN 004 004 0 K

290 3524011108101591 3524011808550001 SLAMET LAMONGAN 18|08|1955 S L SAMBEN 004 004 0 K

291 3524011108101591 3524014308600001 PAISRI LAMONGAN 03|08|1960 S P SAMBEN 004 004 0 K

292 3524011108101592 3524011112740002 RASMI LAMONGAN 11|12|1974 P L SAMBEN 004 004 0 K

293 3524011108101592 3524010411960001 BAGONG WIJAYA LAMONGAN 04|11|1996 B L SAMBEN 004 004 0 K

294 3524011108101593 3524014903540001 KAMYU LAMONGAN 09|03|1954 S P SAMBEN 004 004 0 K

295 3524011108101654 3524010504570001 SIJEP LAMONGAN 05|04|1957 S L SAMBEN 004 004 0 K

296 3524011108101654 3524016409620001 KASIRUM LAMONGAN 24|09|1962 S P SAMBEN 004 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 71 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

297 3524011108101654 3524012907850002 JUJUK LAMONGAN 29|07|1985 B L SAMBEN 004 004 0 K

298 3524011108101902 3524010607480001 KASERAN LAMONGAN 06|07|1948 S L SAMBEN 004 004 0 K

299 3524011108101902 3524015811600001 SUMISRI LAMONGAN 18|11|1960 S P SAMBEN 004 004 0 K

300 3524011108101903 3524010610690002 SUWAJI LAMONGAN 06|10|1969 S L SAMBEN 004 004 0 K

301 3524011108101903 3524016210740001 SRIAMI LAMONGAN 22|10|1974 S P SAMBEN 004 004 0 K

302 3524011108101903 3524012702990001 HERMAWAN BUDI HARJONO LAMONGAN 21|02|1997 B L SAMBEN 004 004 0 K

303 3524011108101903 3524010112030001 THOMAS PRASTIONO LAMONGAN 29|04|2003 B L SAMBEN 004 004 0 K

304 3524011108101911 3524011112470001 TUMPANG LAMONGAN 11|12|1947 S L SAMBEN 004 004 0 K

305 3524011108101911 3524015209550001 PAEKAH LAMONGAN 12|09|1955 S P SAMBEN 004 004 0 K

306 3524011108101914 3524010810690001 WADI LAMONGAN 08|10|1969 S L SAMBEN 004 004 0 K

307 3524011108101914 3524014702720003 YANIK LAMONGAN 07|02|1972 S P SAMBEN 004 004 0 K

308 3524011108101914 3524016708980001 AYU WANTIKA LAMONGAN 27|08|1998 B P SAMBEN 004 004 0 K

309 3524011108101917 3524016108510001 SUMI LAMONGAN 21|08|1951 S P SAMBEN 004 004 0 K

310 3524011108101917 3524010910560001 MURIADI LAMONGAN 09|10|1956 S L SAMBEN 004 004 0 K

311 3524011108101918 3524013010540002 SUKADI LAMONGAN 30|10|1954 S L SAMBEN 004 004 0 K

312 3524011108101918 3524014109630001 PRANTI LAMONGAN 01|09|1963 S P SAMBEN 004 004 0 K

313 3524011108101919 3524014810480001 SUWIN LAMONGAN 08|10|1948 P P SAMBEN 004 004 0 K

314 3524011108101921 3524010712710001 SIHUT LAMONGAN 07|12|1971 S L SAMBEN 004 004 0 K

315 3524011108101921 3524014410740002 BASINING LAMONGAN 04|10|1974 S P SAMBEN 004 004 0 K

316 3524011108101921 3524010707990001 YULI SETIAWAN LAMONGAN 07|07|1999 B L SAMBEN 004 004 0 K

317 3524011108101922 3524015211490001 SARPIK LAMONGAN 12|11|1949 S P SAMBEN 004 004 0 K

318 3524011108101922 3524012004500001 WARITO LAMONGAN 20|04|1950 S L SAMBEN 004 004 0 K

319 3524011108101922 3524010109940003 SARKIN LAMONGAN 01|09|1994 B L SAMBEN 004 004 1 K

320 3524011108101924 3524011507520001 UNTUNG NGAWI 15|07|1952 S L SAMBEN 004 004 0 K

321 3524011108101924 3524015605560002 MAINI LAMONGAN 16|05|1956 S P SAMBEN 004 004 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 72 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

322 3524011108101924 3524010801830001 SUPRIYANTO LAMONGAN 08|01|1983 S L SAMBEN 004 004 0 K

323 3524011108101924 3524015002870001 UMARWATI LAMONGAN 10|02|1987 S P SAMBEN 004 004 0 K

324 3524011108101925 3524012804650002 TASUWI LAMONGAN 28|04|1965 S L SAMBEN 004 004 0 K

325 3524011108101925 3524015906680001 SUCI LAMONGAN 19|06|1968 S P SAMBEN 004 004 0 K

326 3524011108101926 3524012409690001 LASENO LAMONGAN 24|09|1969 S L SAMBEN 004 004 0 K

327 3524011108101926 3524015510730002 SAIPIK LAMONGAN 15|10|1973 S P SAMBEN 004 004 0 K

328 3524011108101926 3524015403970001 LASRIANI LAMONGAN 14|03|1997 B P SAMBEN 004 004 0 K

329 3524011108102121 3524011010750003 RAWAT LAMONGAN 10|10|1975 S L SAMBEN 004 004 0 K

330 3524011108102121 3524014606820001 RULMIASIH LAMONGAN 06|06|1982 B P SAMBEN 004 004 0 K

331 3524011108102188 3524010407790006 RASIMO LAMONGAN 04|07|1979 S L SAMBEN 004 004 0 K

332 3524011108102188 3524015412860002 PARLIK LAMONGAN 14|12|1986 S P SAMBEN 004 004 0 K

333 3524011108102247 3524011005780001 PADIK LAMONGAN 10|05|1978 S L SAMBEN 004 004 0 K

334 3524011108102247 3524015101790004 PAISRI LAMONGAN 11|01|1979 S P SAMBEN 004 004 0 K

335 3524011702120004 3524011901790001 JIONO LAMONGAN 19|01|1979 S L SAMBEN 004 004 0 K

336 3524011702120004 3524014707870001 SUMIATI LAMONGAN 07|07|1987 S P SAMBEN 004 004 0 K

337 3524011806150001 3524012305780001 SUPRI LAMONGAN 23|05|1978 S L SAMBEN 004 004 0 K

338 3524011806150001 3524015202910001 DEWI LAMONGAN 12|02|1991 S P SAMBEN 004 004 0 K

339 3524012201130002 3524011306390001 TAMIRAN LAMONGAN 13|06|1939 P L SAMBEN 004 004 0 K

340 3524012201130002 3524010904810002 MASRIPAN TUBAN 09|04|1981 S L SAMBEN 004 004 0 K

341 3524012201130002 3524014408860001 SRI NURYATI LAMONGAN 04|08|1986 S P SAMBEN 004 004 0 K

342 3524012409120001 3316041803830002 TONO BLORA 18|03|1983 S L SAMBEN 004 004 0 K

343 3524012409120001 3524015109910002 IDAYAH LAMONGAN 11|09|1991 S P SAMBEN 004 004 0 K

344 3524011108101923 3524011507800009 SAMIRIN LAMONGAN 15|07|1980 S L SAMBEN 008 004 0 K

Keterangan Perkawinan = 344 Keterangan Disabilitas = 3 Keterangan Status Perekaman KTP-el = 344
B : Belum Kawin = 62 1: Disabilitas Fisik = 1 B : Belum Rekam = 1 Ditetapkan di LAMONGAN, Tanggal 16 Oktober 2020
S : Kawin = 255 2: Disabilitas Intelektual = 1 S : Sudah Rekam (Suket) KPU KABUPATEN LAMONGAN

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 73 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14
P : Pernah Kawin = 27 3: Disabilitas Mental K : Sudah Rekam (KTP-el) = 343 KETUA
4: Disabilitas Sensorik = 1
Jenis Kelamin = 344
L : Laki-Laki = 176
P : Perempuan = 168 MAHRUS ALI, S.Pd
KK = 150

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-005 Hal 74 dari 142


Model A.3-KWK

Model A.3-KWK
DAFTAR PEMILIH TETAP
PEMILIHAN BUPATI DAN WAKIL BUPATI LAMONGAN
TAHUN 2020
PROVINSI : JAWA TIMUR KECAMATAN : SUKORAME
KABUPATEN : LAMONGAN DESA/KELURAHAN : KEDUNGKUMPUL
TPS : 006
TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN
BILITAS
KTP-EL KETERANGAN
B/S/P L/P JALAN/DUKUH RT RW (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 3524011108100980 3524011203750001 WAERUN LAMONGAN 12|03|1975 S L JEDUNG 002 003 0 K

2 3524011108100980 3524014905780001 SRI WAHYUNI LAMONGAN 09|05|1978 S P JEDUNG 002 003 0 K

3 3524011108100980 3524016304950001 WINDIANI BUDIARTI LAMONGAN 23|04|1995 B P JEDUNG 002 003 0 K

4 3524011108100981 3524010405470001 TASMAN LAMONGAN 04|05|1947 S L JEDUNG 002 003 0 K

5 3524011108100981 3524015708530001 MARMI LAMONGAN 17|08|1953 S P JEDUNG 002 003 0 K

6 3524011108100981 3524011607730001 DAYAT LAMONGAN 16|07|1973 S L JEDUNG 002 003 0 K

7 3524011108100981 3524017101850001 SUPINAH LAMONGAN 31|01|1985 S P JEDUNG 002 003 0 K

8 3524010110120004 3524010609800001 SUBIONO LAMONGAN 06|09|1980 S L JEDUNG 001 005 0 K

9 3524010110120004 3524016210950002 SULIANA LAMONGAN 22|10|1995 S P JEDUNG 001 005 0 K

10 3524010409140001 3524023105840001 NURHADI LAMONGAN 31|05|1984 S L JEDUNG 001 005 0 K

11 3524010409140001 3524016909920001 TUTIK IRAWATI LAMONGAN 29|09|1992 S P JEDUNG 001 005 0 K

12 3524010411110755 3524016203650002 MULKULSUM LAMONGAN 22|03|1965 S P JEDUNG 001 005 0 K

13 3524010904120004 3516151206680001 SUDARI MOJOKERTO 12|06|1968 S L JEDUNG 001 005 0 K

14 3524010904120004 3524014405700001 PASIH LAMONGAN 04|05|1970 S P JEDUNG 001 005 0 K

15 3524010904120004 3524011406960001 AINUL WAHYUDI LAMONGAN 14|06|1996 B L JEDUNG 001 005 0 K

16 3524011007220008 3524010101920003 ANDIK SAPUTRO LAMONGAN 01|01|1992 S L JEDUNG 001 005 0 K

17 3524011108100937 3524014405690001 SAMISRI LAMONGAN 04|05|1969 S P JEDUNG 001 005 0 K

18 3524011108100938 3524011205580001 SAMIDI LAMONGAN 12|05|1958 S L JEDUNG 001 005 0 K

19 3524011108100938 3524014604620001 SAMISIH LAMONGAN 06|04|1962 S P JEDUNG 001 005 0 K

20 3524011108100938 3524011801940001 SUKIRNO LAMONGAN 18|01|1994 B L JEDUNG 001 005 0 K

21 3524011108100940 3524010509690001 YOSO AL SIBUR LAMONGAN 05|09|1969 S L JEDUNG 001 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 75 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

22 3524011108100940 3524015107790001 YULIATI LAMONGAN 11|07|1979 S P JEDUNG 001 005 0 K

23 3524011108100940 3524010507000001 VICKY RISTI ANTORO LAMONGAN 05|07|2000 B L JEDUNG 001 005 0 K

24 3524011108100941 3524010609630001 MARSONO LAMONGAN 06|09|1963 S L JEDUNG 001 005 0 K

25 3524011108100941 3524014604640001 KAMIAH LAMONGAN 06|04|1964 S P JEDUNG 001 005 0 K

26 3524011108100941 3524015909990001 JUWAS DWI GALITA LAMONGAN 19|09|1999 B P JEDUNG 001 005 0 K

27 3524011108100942 3524011406780001 DARTO LAMONGAN 14|06|1978 S L JEDUNG 001 005 0 K

28 3524011108100942 3524015405840001 NDARI LAMONGAN 14|05|1984 S P JEDUNG 001 005 0 K

29 3524011108100943 3524010310600001 SIDAR LAMONGAN 03|10|1960 S L JEDUNG 001 005 0 K

30 3524011108100943 3524014108630001 SANIMAH LAMONGAN 01|08|1963 S P JEDUNG 001 005 0 K

31 3524011108100944 3524012005530001 WIJI LAMONGAN 20|05|1953 S L JEDUNG 001 005 0 K

32 3524011108100944 3524014402650001 SUNARWATI LAMONGAN 04|02|1965 S P JEDUNG 001 005 0 K

33 3524011108100946 3524010902700001 SUPAR LAMONGAN 09|02|1970 S L JEDUNG 001 005 0 K

34 3524011108100946 3524014209730001 SIRUS LAMONGAN 02|09|1973 S P JEDUNG 001 005 0 K

35 3524011108100946 3524014506970001 EKMAWATI LAMONGAN 19|11|1997 B P JEDUNG 001 005 0 K

36 3524011108100947 3524010608740001 SUBANDI JOMBANG 06|08|1974 S L JEDUNG 001 005 0 K

37 3524011108100947 3524011709990001 SEPTA DIONI RIVIAN RISKI LAMONGAN 17|09|1999 B L JEDUNG 001 005 0 K

38 3524011108100948 3524010605700001 SUJONO LAMONGAN 06|05|1970 S L JEDUNG 001 005 0 K

39 3524011108100948 3524017004740001 KASMISRI LAMONGAN 30|04|1974 S P JEDUNG 001 005 0 K

40 3524011108100948 3524016804980001 WIWIK ERDIANA PUTRI LAMONGAN 28|04|1998 B P JEDUNG 001 005 0 K

41 3524011108100949 3524011607890001 JAINURI LAMONGAN 16|07|1989 B L JEDUNG 001 005 0 K

42 3524011108100950 3524010109430001 WARDI LAMONGAN 01|09|1943 S L JEDUNG 001 005 0 K

43 3524011108100950 3524014111550001 MISRI LAMONGAN 01|11|1955 S P JEDUNG 001 005 0 K

44 3524011108100951 3524010507700001 SUKARMAN LAMONGAN 05|07|1970 S L JEDUNG 001 005 0 K

45 3524011108100951 3524014912750002 WAINTEN LAMONGAN 09|12|1975 S P JEDUNG 001 005 0 K

46 3524011108100967 3524012304520001 PAIMIN LAMONGAN 23|04|1952 S L JEDUNG 001 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 76 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

47 3524011108100967 3524015204840002 SANTIASIH LAMONGAN 12|04|1984 S P JEDUNG 001 005 0 K

48 3524011108101269 3524010907670001 KASENO LAMONGAN 09|07|1967 S L JEDUNG 001 005 0 K

49 3524011108101269 3524014406770001 SUMINI LAMONGAN 04|06|1977 S P JEDUNG 001 005 0 K

50 3524011108101269 3524012308970001 SRI SURYADI LAMONGAN 23|08|1997 B L JEDUNG 001 005 0 K

51 3524011108101270 3524014204480001 SEMI LAMONGAN 02|04|1948 S P JEDUNG 001 005 0 K

52 3524011108101271 3524014506490001 MIRAH LAMONGAN 05|06|1949 P P JEDUNG 001 005 0 K

53 3524011108101271 3524014406700001 SRIANI LAMONGAN 04|06|1970 P P JEDUNG 001 005 0 K

54 3524011108101272 3524010607590001 PAIDI LAMONGAN 06|07|1959 S L JEDUNG 001 005 0 K

55 3524011108101272 3524015202670002 JAINI LAMONGAN 12|02|1967 S P JEDUNG 001 005 0 K

56 3524011108101272 3524017004930001 PAINING LAMONGAN 30|04|1993 S P JEDUNG 001 005 0 K

57 3524011108101273 3524010604620001 DASEMAT LAMONGAN 06|04|1962 S L JEDUNG 001 005 0 K

58 3524011108101273 3524014404700001 SIPIK LAMONGAN 04|04|1970 S P JEDUNG 001 005 0 K

59 3524011108101273 3524015311870002 LINA LUSTIANA LAMONGAN 13|11|1987 B P JEDUNG 001 005 0 K

60 3524011108101331 3524011010540001 NGATEMO LAMONGAN 10|10|1954 S L JEDUNG 001 005 0 K

61 3524011108101331 3524015712560001 SITIN LAMONGAN 17|12|1956 S P JEDUNG 001 005 0 K

62 3524011108101334 3524010408570001 JAESAN LAMONGAN 04|08|1957 S L JEDUNG 001 005 0 K

63 3524011108101334 3524014107650001 SAMIJAH LAMONGAN 01|07|1965 S P JEDUNG 001 005 0 K

64 3524011108101334 3524014407990002 DWI ASTUTIK LAMONGAN 04|07|1999 B P JEDUNG 001 005 0 K

65 3524011108101336 3524011207680001 ARIFIN LAMONGAN 12|07|1968 S L JEDUNG 001 005 0 K

66 3524011108101336 3524014405800001 SATIWI LAMONGAN 04|05|1980 S P JEDUNG 001 005 0 K

67 3524011108101336 3524011607020005 ROBIL MUSTOFA LAMONGAN 16|08|2001 B L JEDUNG 001 005 0 K

68 3524011108101337 3524010304480001 RASIT LAMONGAN 03|04|1948 S L JEDUNG 001 005 0 K

69 3524011108101337 3524014101540013 NGAINI LAMONGAN 01|01|1954 S P JEDUNG 001 005 0 K

70 3524011108101338 3524015501640001 TATIK LAMONGAN 15|01|1964 P P JEDUNG 001 005 0 K

71 3524011108101339 3524010406720001 JANI LAMONGAN 04|06|1972 S L JEDUNG 001 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 77 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

72 3524011108101339 3524014612790001 MURSILAH LAMONGAN 06|12|1979 S P JEDUNG 001 005 0 K

73 3524011108101340 3524010407540002 DARIMAN LAMONGAN 04|07|1954 S L JEDUNG 001 005 0 K

74 3524011108101341 3524017001560001 MANIJAH LAMONGAN 30|01|1956 S P JEDUNG 001 005 0 K

75 3524011108101341 3524011507570002 SAKIRAN LAMONGAN 15|07|1957 S L JEDUNG 001 005 0 K

76 3524011108101343 3524015403560001 SRI SUMI LAMONGAN 14|03|1956 S P JEDUNG 001 005 0 K

77 3524011108101344 3524011101690001 SUTAMTO LAMONGAN 11|01|1969 S L JEDUNG 001 005 0 K

78 3524011108101344 3524016401750001 RUMIATI LAMONGAN 24|01|1975 S P JEDUNG 001 005 0 K

79 3524011108101344 3524012405960001 AHMAD RIDWAN LAMONGAN 24|05|1996 B L JEDUNG 001 005 0 K

80 3524011108101344 3524015301000001 SRI YUYUN SUKAWATI LAMONGAN 13|01|2000 B P JEDUNG 001 005 0 K

81 3524011108101345 3524011706690001 LAMIN LAMONGAN 17|06|1969 S L JEDUNG 001 005 0 K

82 3524011108101345 3524014405730001 TUMILAH LAMONGAN 04|05|1973 S P JEDUNG 001 005 0 K

83 3524011108101345 3524014810970001 UMUL HASANAH LAMONGAN 08|10|1997 B P JEDUNG 001 005 0 K

84 3524011108101346 3524014702560002 PAMI LAMONGAN 07|02|1956 S P JEDUNG 001 005 0 K

85 3524011108101347 3524012808690001 LASITO JOMBANG 28|08|1969 S L JEDUNG 001 005 0 K

86 3524011108101347 3524014911730001 DASENI LAMONGAN 09|11|1973 S P JEDUNG 001 005 0 K

87 3524011108101347 3524011508980001 TONI SETIAWAN LAMONGAN 15|08|1998 B L JEDUNG 001 005 0 K

88 3524011108101348 3524012811700001 NADI LAMONGAN 28|11|1970 S L JEDUNG 001 005 0 K

89 3524011108101348 3524015509760001 SUBEKTI LAMONGAN 15|09|1976 S P JEDUNG 001 005 0 K

90 3524011108101349 3524010309630001 RANTISAN LAMONGAN 03|09|1963 S L JEDUNG 001 005 0 K

91 3524011108101349 3524014304670002 MARKONAH LAMONGAN 03|04|1967 S P JEDUNG 001 005 0 K

92 3524011108101349 3524012304960001 RIYAN PURNIAWAN LAMONGAN 23|04|1995 B L JEDUNG 001 005 0 K

93 3524011108101351 3524013004450001 MARJUKI LAMONGAN 30|04|1945 S L JEDUNG 001 005 0 K

94 3524011108101351 3524014405580001 SRIATUN LAMONGAN 04|05|1958 S P JEDUNG 001 005 0 K

95 3524011108101352 3524010507690002 SUPOMO LAMONGAN 05|07|1969 S L JEDUNG 001 005 0 K

96 3524011108101352 3524016309770001 SRI MUSTIANI LAMONGAN 23|09|1977 S P JEDUNG 001 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 78 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

97 3524011108101352 3524016911930001 SRI NOVI LESTARI PUTRI LAMONGAN 23|11|1993 B P JEDUNG 001 005 0 K

98 3524011108101352 3524015304000001 NONIK APRILIA LESTARI PUTRI LAMONGAN 13|04|2000 B P JEDUNG 001 005 0 K

99 3524011108101353 3524011507590002 SANIDAN LAMONGAN 15|07|1959 S L JEDUNG 001 005 0 K

100 3524011108101353 3524014203620002 MINING LAMONGAN 02|03|1962 S P JEDUNG 001 005 0 K

101 3524011108101353 3524016504010001 EVAH KURNIA LAMONGAN 25|04|2001 B P JEDUNG 001 005 0 K

102 3524011108101354 3524010112540001 KIDAH LAMONGAN 01|12|1954 S L JEDUNG 001 005 0 K

103 3524011108101354 3524015704600001 YATINAH LAMONGAN 17|04|1960 S P JEDUNG 001 005 0 K

104 3524011108101356 3524010603540002 KASNAWI LAMONGAN 06|03|1954 S L JEDUNG 001 005 0 K

105 3524011108101356 3524014408620001 SISMU LAMONGAN 04|08|1962 S P JEDUNG 001 005 0 K

106 3524011108101356 3524010905860001 MOCHAMAD MANSUR LAMONGAN 09|05|1986 B L JEDUNG 001 005 0 K

107 3524011108101358 3524010207570002 SONO LAMONGAN 02|07|1957 S L JEDUNG 001 005 0 K

108 3524011108101358 3524014706650001 SRIWARLUPIK LAMONGAN 07|06|1965 S P JEDUNG 001 005 0 K

109 3524011108101358 3505104606840007 TITIS WAHYUNI LAMONGAN 06|06|1984 S P JEDUNG 001 005 0 K

110 3524011108101359 3524010904470001 KAMIRIN LAMONGAN 09|04|1947 S L JEDUNG 001 005 0 K

111 3524011108101359 3524014604600001 MURTI LAMONGAN 06|04|1960 S P JEDUNG 001 005 0 K

112 3524011108101359 3524014408780002 INDRAYANI LAMONGAN 04|08|1978 B P JEDUNG 001 005 0 K

113 3524011108101359 3524011106870001 PRIADI LAMONGAN 01|02|1985 S L JEDUNG 001 005 0 K

114 3524011108101359 3524014602910001 SUMINING LAMONGAN 06|02|1991 S P JEDUNG 001 005 0 K

115 3524011108101361 3524010605480001 KAMISAN LAMONGAN 06|05|1948 S L JEDUNG 001 005 0 K

116 3524011108101361 3524014406570003 PARMI LAMONGAN 04|06|1957 S P JEDUNG 001 005 0 K

117 3524011108101361 3524016511950001 WIDIAWATI LAMONGAN 25|11|1995 B P JEDUNG 001 005 0 K

118 3524011108101363 3524012110720001 SADIKUN JOMBANG 21|10|1972 S L JEDUNG 001 005 0 K

119 3524011108101363 3524015005780001 RIANA LAMONGAN 10|05|1978 S P JEDUNG 001 005 0 K

120 3524011108101385 3524012806720001 KASBULAH LAMONGAN 28|06|1972 S L JEDUNG 001 005 0 K

121 3524011108101385 3524014412820002 JUMIATUN LAMONGAN 28|02|1980 S P JEDUNG 001 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 79 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

122 3524011108101385 3524014507020001 ROHMAH MUHAZAH KHOFFIFAH LAMONGAN 05|07|2002 B P JEDUNG 001 005 0 K

123 3524011108102190 3524011208720002 SRIYANTO LAMONGAN 12|08|1972 S L JEDUNG 001 005 0 K

124 3524011108102190 3524015404840002 TITIS YULIATI LAMONGAN 14|04|1984 S P JEDUNG 001 005 0 K

125 3524011108102196 3524010609740001 SUKARJI JOMBANG 06|09|1974 S L JEDUNG 001 005 0 K

126 3524011108102196 3524014209740002 YATMIATI LAMONGAN 02|09|1974 S P JEDUNG 001 005 0 K

127 3524011108102242 3524011708820002 HARIONO LAMONGAN 17|08|1982 S L JEDUNG 001 005 0 K

128 3524011108102242 3524015605870001 NING TYAS LAMONGAN 16|05|1987 S P JEDUNG 001 005 0 K

129 3524011108111706 3522081805800004 BUDIONO BOJONEGORO 18|05|1980 S L JEDUNG 001 005 0 K

130 3524011207170001 3524011101960002 AMALUSIN LAMONGAN 11|11|1996 S L JEDUNG 001 005 0 K

131 3524011207170001 3524015801990001 TRI ETI NUGRAHENI LAMONGAN 18|01|1999 S P JEDUNG 001 005 0 K

132 3524011306130005 3524014804500002 SRIATUN LAMONGAN 08|04|1950 P P JEDUNG 001 005 0 K

133 3524011505130002 3524016205820002 KARTININGSIH LAMONGAN 27|05|1982 S P DUSUN JEDUNG 001 005 0 K

134 3524011604190001 3524012805980002 MUKSIN LAMONGAN 28|05|1996 S L JEDUNG 001 005 0 K

135 3524011607180001 3524011005730006 SADIK LAMONGAN 10|05|1973 S L JEDUNG 001 005 0 K

136 3524011607180001 3524015307830001 SRI WAHYUNI LAMONGAN 13|07|1983 S P JEDUNG 001 005 0 K

137 3524011607180001 3524011209020002 ISMAIL LAMONGAN 12|09|2002 B L JEDUNG 001 005 0 K

138 3524011607180002 3524011605860001 NARDI LAMONGAN 16|05|1986 S L JEDUNG 001 005 0 K

139 3524011607180002 3517095508980002 AYU NURUL FADILAH JOMBANG 14|08|1998 S P JEDUNG 001 005 0 K

140 3524012201130001 3524014211460001 SAWITRI LAMONGAN 02|11|1946 P P JEDUNG 001 005 0 K

141 3524012604120004 3524011412770001 SURYADI LAMONGAN 14|12|1977 S L JEDUNG 001 005 0 K

142 3524012604120004 3524014610800002 SRI ASTUTIK LAMONGAN 06|10|1980 S P JEDUNG 001 005 0 K

143 3524012910180001 3524010109500001 SAMIRIN LAMONGAN 01|09|1950 S L JEDUNG 001 005 0 K

144 3524012910180001 3524014406570002 PAISI LAMONGAN 04|06|1957 S P JEDUNG 001 005 0 K

145 3524010405150001 3524012606820001 MASTAIN LAMONGAN 20|10|1984 S L JEDUNG 002 005 0 K

146 3524010405150001 3524014106890001 SUMISRI LAMONGAN 01|06|1989 S P JEDUNG 002 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 80 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

147 3524010510170002 3524012107470001 SARIMIN LAMONGAN 21|07|1947 S L JEDUNG 002 005 0 K

148 3524010510170002 3524017103550001 JAINING LAMONGAN 31|03|1955 S P JEDUNG 002 005 0 K

149 3524010510170002 3524010812820001 AGUS SUPARDI LAMONGAN 08|12|1982 S L JEDUNG 002 005 0 K

150 3524010510170002 3524014404830002 SITI ROKAYAH LAMONGAN 04|04|1983 S P JEDUNG 002 005 0 K

151 3524010805180002 3524016309550001 KATINI LAMONGAN 23|09|1955 P P JEDUNG 002 005 0 K

152 3524010808190003 3524010310920001 POMO LAMONGAN 02|02|1992 S L JEDUNG 002 005 0 K

153 3524010808190003 3524015712020002 ADE POPPY RAMADANTI LAMONGAN 17|12|2000 S P JEDUNG 002 005 0 K

154 3524010910170001 3524016409920001 JUWITALISA HAYATI LAMONGAN 24|09|1992 S P JEDUNG 002 005 0 K

155 3524010910170001 3524041705970001 LEXY DIAZ KURNIAWAN LAMONGAN 17|05|1997 S L JEDUNG 002 005 0 K

156 3524011002120001 3524012808780001 SANTO LAMONGAN 28|08|1978 S L JEDUNG 002 005 0 K

157 3524011002120001 3524015003820001 LISWATI LAMONGAN 10|03|1982 S P JEDUNG 002 005 0 K

158 3524011002140002 3524012307870001 PRAYETNO LAMONGAN 23|07|1987 S L JEDUNG 002 005 0 K

159 3524011002140002 3524015703990001 WIDIYASTUTIK LAMONGAN 01|08|1994 S P JEDUNG 002 005 0 K

160 3524011108100909 3524010605600001 KASTUBI LAMONGAN 06|05|1960 S L JEDUNG 002 005 0 K

161 3524011108100909 3524016204640001 DARIPAH LAMONGAN 22|04|1964 S P JEDUNG 002 005 0 K

162 3524011108100910 3524010510620001 MASYHUDI LAMONGAN 05|10|1965 P L JEDUNG 002 005 0 K

163 3524011108100910 3524011303010001 M. SYAHRUL DAFIT LAMONGAN 13|03|2001 B L JEDUNG 002 005 0 K

164 3524011108100911 3524015501470001 SUMIRAH LAMONGAN 15|01|1947 P P JEDUNG 002 005 0 K

165 3524011108100911 3524012107640001 KARMISAN LAMONGAN 21|07|1964 S L JEDUNG 002 005 0 K

166 3524011108100911 3524015804670001 KINTUN LAMONGAN 18|04|1967 S P JEDUNG 002 005 0 K

167 3524011108100912 3524010706640002 KUSDIANTO LAMONGAN 07|06|1964 S L JEDUNG 002 005 0 K

168 3524011108100912 3524020206900001 NURHADI LAMONGAN 02|06|1990 S L JEDUNG 002 005 0 K

169 3524011108100912 3524016812940001 MIFTIANSIH LAMONGAN 28|12|1994 S P JEDUNG 002 005 0 K

170 3524011108100914 3524012303000001 RIZKY HERMAWANTO LAMONGAN 23|03|2000 B L JEDUNG 002 005 0 K

171 3524011108100915 3524012104550001 KEMIS LAMONGAN 21|04|1955 S L JEDUNG 002 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 81 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

172 3524011108100915 3524016305630001 SRIMPI LAMONGAN 23|05|1963 S P JEDUNG 002 005 0 K

173 3524011108100915 3524016808940001 UMINI LAMONGAN 29|08|1994 S P JEDUNG 002 005 0 K

174 3524011108100916 3524011807630001 MUSTARI LAMONGAN 18|07|1963 P L JEDUNG 002 005 0 K

175 3524011108100917 3524010705740001 PANIRAN LAMONGAN 07|05|1974 S L JEDUNG 002 005 0 K

176 3524011108100917 3524015811820001 SITI ROFI'I LAMONGAN 18|11|1982 S P JEDUNG 002 005 0 K

177 3524011108100917 3524010904980002 PRASETYO WIBOWO LAMONGAN 09|04|1998 B L JEDUNG 002 005 0 K

178 3524011108100918 3524011501530001 SIKAN LAMONGAN 15|01|1953 B L JEDUNG 002 005 0 K

179 3524011108100919 3524014503470001 LASIMAH LAMONGAN 05|03|1947 P P JEDUNG 002 005 0 K

180 3524011108100919 3524010706670001 DASIM LAMONGAN 07|06|1967 S L JEDUNG 002 005 0 K

181 3524011108100919 3524014506800001 SAITUN LAMONGAN 05|06|1980 S P JEDUNG 002 005 0 K

182 3524011108100919 3524015505960001 DEVI LESTARI PUTRI LAMONGAN 15|05|1996 B P JEDUNG 002 005 0 B

183 3524011108100921 3524011011640001 LASIPAN LAMONGAN 10|11|1964 S L JEDUNG 002 005 0 K

184 3524011108100921 3524014907660001 LANI LAMONGAN 09|07|1966 S P JEDUNG 002 005 0 K

185 3524011108100922 3524010106560001 MARJO LAMONGAN 01|06|1956 S L JEDUNG 002 005 0 K

186 3524011108100922 3524014712640001 DARNI LAMONGAN 07|12|1964 S P JEDUNG 002 005 0 K

187 3524011108100922 3524012403920001 INDRA HIMAWAN LAMONGAN 24|03|1992 S L JEDUNG 002 005 0 K

188 3524011108100922 3524015603020001 DIANA MARGARETA LAMONGAN 16|03|2002 B P JEDUNG 002 005 0 K

189 3524011108100923 3524014111470001 PAEMAH LAMONGAN 01|11|1947 S P JEDUNG 002 005 0 K

190 3524011108100924 3524010502780001 HARIANTO LAMONGAN 05|02|1978 S L JEDUNG 002 005 0 K

191 3524011108100924 3524015203800001 KUSMAWATI JOMBANG 12|03|1980 S P JEDUNG 002 005 0 K

192 3524011108100924 3524011809000001 UDIN SAPUTRO LAMONGAN 18|09|2000 B L JEDUNG 002 005 0 K

193 3524011108100925 3524015608660001 SATI LAMONGAN 16|08|1966 S P JEDUNG 002 005 0 K

194 3524011108100925 3524011107670001 MUNARI LAMONGAN 11|07|1967 S L JEDUNG 002 005 0 K

195 3524011108100925 3524010808890003 AGUS SAMIANTO LAMONGAN 08|08|1989 S L JEDUNG 002 005 0 K

196 3524011108100925 3524012904030004 PUGUH DIANTORO LAMONGAN 29|04|2003 B L JEDUNG 002 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 82 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

197 3524011108100926 3524012801710001 SUKIMAN LAMONGAN 28|01|1971 S L JEDUNG 002 005 0 K

198 3524011108100926 3524015804790001 SATUN LAMONGAN 18|04|1979 S P JEDUNG 002 005 0 K

199 3524011108100926 3524010307010001 IRVAN KRISDIANTORO LAMONGAN 03|07|2001 B L JEDUNG 002 005 0 K

200 3524011108100927 3524016502470001 KHOTIDJAH LAMONGAN 25|02|1947 P P JEDUNG 002 005 0 K

201 3524011108100927 3524014505750001 SAITI LAMONGAN 05|05|1975 S P JEDUNG 002 005 0 K

202 3524011108100927 3524011205760001 KATIMIN LAMONGAN 12|05|1976 S L JEDUNG 002 005 0 K

203 3524011108100927 3524010509960001 MOCHAMAD SAIFUL LAMONGAN 05|09|1996 B L JEDUNG 002 005 0 K

204 3524011108100929 3524016510660001 PAISRI LAMONGAN 25|10|1966 S P JEDUNG 002 005 0 K

205 3524011108100930 3524015509720001 SISWATI LAMONGAN 15|09|1972 S P JEDUNG 002 005 0 K

206 3524011108100930 3524011005750001 SUCIONO LAMONGAN 10|05|1975 S L JEDUNG 002 005 0 K

207 3524011108100930 3524016906020002 SUSI WIRETNO LAMONGAN 29|06|2002 B P JEDUNG 002 005 0 K

208 3524011108100932 3524012702640001 SUMBER LAMONGAN 27|02|1964 S L JEDUNG 002 005 0 K

209 3524011108100932 3524014811670001 SITIK LAMONGAN 08|11|1967 S P JEDUNG 002 005 0 K

210 3524011108100933 3524011209570001 KASTURI LAMONGAN 12|09|1957 S L JEDUNG 002 005 0 K

211 3524011108100933 3524015707660001 WAIMI LAMONGAN 17|07|1966 S P JEDUNG 002 005 0 K

212 3524011108100934 3524012809550001 PAEJO LAMONGAN 28|09|1955 S L JEDUNG 002 005 0 K

213 3524011108100934 3524016910570001 SIWIN LAMONGAN 29|10|1957 S P JEDUNG 002 005 0 K

214 3524011108100935 3524012802540001 SAEMO LAMONGAN 28|02|1954 S L JEDUNG 002 005 0 K

215 3524011108100935 3524015011560001 WARIYEM LAMONGAN 10|11|1956 S P JEDUNG 002 005 0 K

216 3524011108100953 3524011602760001 DARTO LAMONGAN 16|02|1976 S L JEDUNG 002 005 0 K

217 3524011108100953 3522085808860003 RISTANA BOJONEGORO 18|08|1986 S P JEDUNG 002 005 0 K

218 3524011108100985 3524010901790001 SUGENG LAMONGAN 09|01|1979 S L JEDUNG 002 005 0 K

219 3524011108100985 3524015201830001 KAENAH LAMONGAN 12|01|1983 S P JEDUNG 002 005 0 K

220 3524011108100985 3524016803030001 SOFI NUR ASIA LAMONGAN 28|03|2003 B P JEDUNG 002 005 0 K

221 3524011108100986 3524012508640001 RAKIMAN LAMONGAN 25|08|1964 S L JEDUNG 002 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 83 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

222 3524011108100986 3524017005760001 TUTIK LAMONGAN 30|05|1976 S P JEDUNG 002 005 0 K

223 3524011108101249 3524011307720001 MELAN LAMONGAN 13|07|1972 S L JEDUNG 002 005 0 K

224 3524011108101249 3524014301790001 SIWIK LAMONGAN 03|01|1979 S P JEDUNG 002 005 0 K

225 3524011108101249 3524014310970001 MISTA IRANI LAMONGAN 03|10|1996 B P JEDUNG 002 005 0 K

226 3524011108101251 3524010812650001 WAIRIN LAMONGAN 08|12|1965 S L JEDUNG 002 005 0 K

227 3524011108101251 3524014308680002 MUJIATI LAMONGAN 03|08|1968 S P JEDUNG 002 005 0 K

228 3524011108101251 3524010211900001 ABDUL MUNIF MAHFUDIN LAMONGAN 02|09|1990 B L JEDUNG 002 005 0 K

229 3524011108101251 3524016509010001 SITI MUKHLIS SHOTIN IRMA FINANDA LAMONGAN 25|09|2001 B P JEDUNG 002 005 0 K

230 3524011108101252 3524010808600002 NURSALIM LAMONGAN 08|08|1960 S L JEDUNG 002 005 0 K

231 3524011108101252 3524015403730001 RINDIANI BUDIATI LAMONGAN 14|03|1973 S P JEDUNG 002 005 0 K

232 3524011108101253 3524012101780001 HARI LAMONGAN 21|01|1978 S L JEDUNG 002 005 0 K

233 3524011108101253 3524014109830002 PAINI LAMONGAN 01|09|1983 S P JEDUNG 002 005 0 K

234 3524011108101254 3524010705520001 SALI LAMONGAN 07|05|1952 S L JEDUNG 002 005 0 K

235 3524011108101254 3524014801530001 WARINING LAMONGAN 08|01|1953 S P JEDUNG 002 005 0 K

236 3524011108101256 3524011806600001 SANTIMIN LAMONGAN 18|06|1960 S L JEDUNG 002 005 0 K

237 3524011108101256 3524016709630001 SIDEM LAMONGAN 27|09|1963 S P JEDUNG 002 005 0 K

238 3524011108101258 3524016108560001 JAISRI LAMONGAN 21|08|1956 P P JEDUNG 002 005 0 K

239 3524011108101258 3524012501840001 SAJI LAMONGAN 25|01|1984 S L JEDUNG 002 005 0 K

240 3524011108101258 3524045005890001 NURUL HIDAYAH. LAMONGAN 10|05|1989 S P JEDUNG 002 005 0 K

241 3524011108101259 3524012001750002 BECIK LAMONGAN 20|01|1975 S L JEDUNG 002 005 0 K

242 3524011108101259 3524014506810001 PARIYEM LAMONGAN 05|06|1981 S P JEDUNG 002 005 0 K

243 3524011108101263 3524017009470001 SRIATUN LAMONGAN 30|09|1947 P P JEDUNG 002 005 0 K

244 3524011108101264 3524012411660002 SRI PURNOMO LAMONGAN 24|11|1966 S L JEDUNG 002 005 0 K

245 3524011108101264 3524016105750001 SAMIATI LAMONGAN 21|05|1975 S P JEDUNG 002 005 0 K

246 3524011108101264 3524014809890001 SRI WAHYU NINA NUR AIDA LAMONGAN 08|09|1989 P P JEDUNG 002 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 84 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

247 3524011108101266 3524011809750001 WASIMAN LAMONGAN 18|09|1975 S L JEDUNG 002 005 0 K

248 3524011108101266 3524016010760002 SRIMAH LAMONGAN 20|10|1976 S P JEDUNG 002 005 0 K

249 3524011108101266 3524016208970001 NILA ZULIAWATI LAMONGAN 22|08|1997 B P JEDUNG 002 005 0 K

250 3524011108101267 3524011112690002 SADAR LAMONGAN 11|12|1969 S L JEDUNG 002 005 0 K

251 3524011108101267 3524016702730001 DARSI LAMONGAN 27|02|1973 S P JEDUNG 002 005 0 K

252 3524011108101267 3524014111960001 DARPIK LAMONGAN 01|11|1996 B P JEDUNG 002 005 0 B

253 3524011108101318 3524010708770002 JADI LAMONGAN 07|08|1977 S L JEDUNG 002 005 0 K

254 3524011108101318 3524014404840001 KISMIATI LAMONGAN 04|04|1984 S P JEDUNG 002 005 0 K

255 3524011108101318 3524012103030001 ADITIYA LAMONGAN 21|03|2003 B L JEDUNG 002 005 0 K

256 3524011108101319 3524012310630001 TUMBAR LAMONGAN 23|10|1963 S L JEDUNG 002 005 0 K

257 3524011108101319 3524015212740001 SIRUM LAMONGAN 12|12|1974 S P JEDUNG 002 005 0 K

258 3524011108101320 3524012011740002 SUKAT LAMONGAN 20|11|1974 S L JEDUNG 002 005 0 K

259 3524011108101320 3524014305850001 SALIMI LAMONGAN 03|05|1985 S P JEDUNG 002 005 0 K

260 3524011108101321 3524014805620001 WATINI LAMONGAN 08|05|1962 S P JEDUNG 002 005 0 K

261 3524011108101322 3524010103590002 SURATENO LAMONGAN 01|03|1959 S L JEDUNG 002 005 0 K

262 3524011108101322 3524014507690001 PAINI LAMONGAN 05|07|1969 S P JEDUNG 002 005 0 K

263 3524011108101322 3524012006010001 ROHMAD WAHYUDI LAMONGAN 20|06|2001 B L JEDUNG 002 005 0 K

264 3524011108101323 3524013008670002 KAMIRAN LAMONGAN 30|08|1967 S L JEDUNG 002 005 0 K

265 3524011108101323 3524015310750001 PAEJAH LAMONGAN 13|10|1975 S P JEDUNG 002 005 0 K

266 3524011108101323 3524015411980001 ZULAIKAH LAMONGAN 14|11|1998 B P JEDUNG 002 005 0 B

267 3524011108101324 3524012311620001 SAID LAMONGAN 23|11|1962 S L JEDUNG 002 005 0 K

268 3524011108101324 3524015205690005 JAITUN LAMONGAN 12|05|1969 S P JEDUNG 002 005 0 K

269 3524011108101324 3524015801960002 SRI RENGGANIS LAMONGAN 18|01|1996 B P JEDUNG 002 005 0 K

270 3524011108101325 3524011108570001 SAKRI LAMONGAN 11|08|1957 S L JEDUNG 002 005 0 K

271 3524011108101325 3524014709580001 KARNI LAMONGAN 07|09|1958 S P JEDUNG 002 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 85 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

272 3524011108101325 3524011208950003 KASTONO LAMONGAN 12|08|1995 B L JEDUNG 002 005 0 K

273 3524011108101327 3524012807490001 LAMIRIN LAMONGAN 28|07|1949 S L JEDUNG 002 005 0 K

274 3524011108101327 3524011905730001 SISWANTO LAMONGAN 19|05|1973 B L JEDUNG 002 005 0 K

275 3524011108101328 3524011507640002 RIAJI LAMONGAN 15|07|1964 S L JEDUNG 002 005 0 K

276 3524011108101328 3524014712670001 KASINING LAMONGAN 07|12|1967 S P JEDUNG 002 005 0 K

277 3524011108101328 3524012006840001 NANDAR LAMONGAN 20|06|1984 B L JEDUNG 002 005 0 B

278 3524011108101329 3524012807600001 MUNTOHO LAMONGAN 28|07|1960 S L JEDUNG 002 005 0 K

279 3524011108101329 3524016711610001 NARMI LAMONGAN 27|11|1961 S P JEDUNG 002 005 0 K

280 3524011108101332 3524016811670001 SIRAS LAMONGAN 28|11|1967 S P JEDUNG 002 005 0 K

281 3524011108101333 3524012503790001 KUSMARI JOMBANG 25|03|1979 S L JEDUNG 002 005 0 K

282 3524011108101333 3524016503820002 PARNIK LAMONGAN 25|03|1982 S P JEDUNG 002 005 0 K

283 3524011108101333 3524012912000002 ALEX YOGI PRATAMA LAMONGAN 29|12|2000 B L JEDUNG 002 005 0 K

284 3524011108101994 3524014607540001 TARINI LAMONGAN 06|07|1954 P P JEDUNG 002 005 0 K

285 3524011108101995 3524015207550002 KARSI LAMONGAN 12|07|1955 S P JEDUNG 002 005 0 K

286 3524011108101995 3524011706910002 PUDARWANTO LAMONGAN 17|06|1991 B L JEDUNG 002 005 0 K

287 3524011108102085 3524012706710001 ROTO LAMONGAN 27|06|1971 S L JEDUNG 002 005 0 K

288 3524011108102085 3524015609780002 MARIYAM LAMONGAN 16|09|1978 S P JEDUNG 002 005 0 K

289 3524011108102085 3524011011990001 WINDOYO EFENDI LAMONGAN 10|11|1999 B L JEDUNG 002 005 0 K

290 3524011108102181 3524010802620002 SAEKAN LAMONGAN 08|02|1962 S L JEDUNG 002 005 0 K

291 3524011108102181 3524017112690002 MAISIH LAMONGAN 31|12|1969 S P JEDUNG 002 005 0 K

292 3524011108102191 3524010401640002 WAIRIN LAMONGAN 04|01|1964 S L Dsn. JEDUNG 002 005 0 K

293 3524011108102191 3524016502790001 SUTRI LAMONGAN 25|02|1979 S P Dsn. JEDUNG 002 005 0 K

294 3524011108102224 3524010306790001 DARKO LAMONGAN 03|06|1979 S L JEDUNG 002 005 0 K

295 3524011108102224 3524016004840002 SRIASIH LAMONGAN 20|04|1984 S P JEDUNG 002 005 0 K

296 3524011108102224 3524010510010001 GALIH ANDRIONO LAMONGAN 05|10|2001 B L JEDUNG 002 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 86 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

297 3524011108102233 3524011902800002 SAEKUN LAMONGAN 19|02|1980 S L Dsn. JEDUNG 002 005 0 K

298 3524011108102233 3524016204870002 ENIK WULANDARI LAMONGAN 22|04|1987 S P Dsn. JEDUNG 002 005 0 K

299 3524011108102244 3524011102800002 SURAJI LAMONGAN 11|02|1980 S L JEDUNG 002 005 0 K

300 3524011108102244 3524015202830002 SAMUSRI LAMONGAN 12|02|1983 S P JEDUNG 002 005 0 K

301 3524012208170001 3524014705470001 SARINEM LAMONGAN 07|05|1947 P P JEDUNG 002 005 0 K

302 3524012208170001 3524010507840001 PARDI LAMONGAN 05|07|1984 S L JEDUNG 002 005 0 K

303 3524012208170001 3527104102900012 PEROHAH SAMPANG 01|02|1990 S P JEDUNG 002 005 0 K

304 3524012310140002 3524015703810001 DARTIK LAMONGAN 17|03|1981 S P JEDUNG 002 005 0 K

305 3524012310140002 3524012205830001 TOKOL LAMONGAN 22|05|1983 S L JEDUNG 002 005 0 K

306 3524012604120005 3524011111800002 MBARNO LAMONGAN 11|11|1980 S L JEDUNG 002 005 0 K

307 3524012604120005 3524015803900002 SRI UMI NUR HAYATI LAMONGAN 18|03|1990 S P JEDUNG 002 005 0 K

308 3524012606120003 3524011810840001 SAWI DWIONO LAMONGAN 18|10|1984 S L JEDUNG 002 005 0 K

309 3524012606120003 3524016904850001 LULUK HIDAYATI LAMONGAN 29|04|1985 S P JEDUNG 002 005 0 K

310 3524012707120002 3524013006810001 WAKIRAN LAMONGAN 30|06|1981 S L JEDUNG 002 005 0 K

311 3524012707120002 3524015401850001 TITIK LAMONGAN 14|10|1985 S P JEDUNG 002 005 0 K

312 3524012901150001 3522081810930001 HADI RIDHOIN BOJONEGORO 18|10|1993 S L JEDUNG 002 005 0 K

313 3524012901150001 3524014907950001 RATNA DWI RAHAYU LAMONGAN 09|07|1995 S P JEDUNG 002 005 0 K

314 3524010105120001 3524011005780002 YOTO LAMONGAN 10|05|1978 S L JEDUNG 003 005 0 K

315 3524010105120001 3524014603860001 SAMPURTI LAMONGAN 06|03|1986 S P JEDUNG 003 005 0 K

316 3524010305190002 3524015604750003 NARMI LAMONGAN 16|04|1975 P P JEDUNG 003 005 0 K

317 3524010305190002 3578041805960003 DWI BUDI HARTONO SURABAYA 18|05|1996 S L JEDUNG 003 005 0 K

318 3524010305190002 3524015112970002 PUPUT ADALIAH LAMONGAN 11|12|1997 S P JEDUNG 003 005 0 K

319 3524010402140004 3524012303900004 ARIS NUR GIANTO LAMONGAN 23|03|1990 S L JEDUNG 003 005 0 K

320 3524010402140004 3524014305940003 HENNY MUSLIMAWATIN LAMONGAN 20|01|1994 S P JEDUNG 003 005 0 K

321 3524010701130001 3524010610850001 SAMI'UN LAMONGAN 06|10|1985 S L JEDUNG 003 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 87 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

322 3524010701130001 3524014410940001 DENI FATMAWATI LAMONGAN 04|10|1994 S P JEDUNG 003 005 0 K

323 3524010712110002 3524011804790001 NUR HADI LAMONGAN 05|10|1981 S L JEDUNG 003 005 0 K

324 3524010712110002 3524015603850001 TITIK SETIANINGSIH LAMONGAN 16|03|1985 S P JEDUNG 003 005 0 K

325 3524011108100977 3524011309520001 NASRIYO LAMONGAN 13|09|1952 S L JEDUNG 003 005 0 K

326 3524011108100977 3524015005610001 SUTARNI LAMONGAN 10|05|1961 S P JEDUNG 003 005 0 K

327 3524011108100978 3524011102570001 SAMSU LAMONGAN 11|02|1957 S L JEDUNG 003 005 0 K

328 3524011108100978 3524014906590001 PARNIK LAMONGAN 09|06|1959 S P JEDUNG 003 005 0 K

329 3524011108100982 3524015406460001 RAKIMAH LAMONGAN 14|06|1946 P P JEDUNG 003 005 0 K

330 3524011108100982 3524011506700001 JAYUSMAN LAMONGAN 15|06|1970 S L JEDUNG 003 005 0 K

331 3524011108100982 3524015207700002 KANTI LAMONGAN 12|07|1970 S P JEDUNG 003 005 0 K

332 3524011108100982 3524010605970001 USMAN SYAHDANY LAMONGAN 04|08|1997 B L JEDUNG 003 005 0 K

333 3524011108100983 3524015307520001 SRIMI LAMONGAN 13|07|1952 P P JEDUNG 003 005 0 K

334 3524011108101282 3524011008560001 MARWI LAMONGAN 10|08|1956 S L JEDUNG 003 005 0 K

335 3524011108101282 3524015205570001 LASINAH LAMONGAN 12|05|1957 S P JEDUNG 003 005 0 K

336 3524011108101283 3524010810400001 JAEPAN LAMONGAN 08|10|1940 S L JEDUNG 003 005 0 K

337 3524011108101283 3524014709480001 KATIMAH LAMONGAN 07|09|1948 S P JEDUNG 003 005 0 K

338 3524011108101284 3524011506520001 MURADI LAMONGAN 15|06|1952 S L JEDUNG 003 005 0 K

339 3524011108101284 3524014502640001 MANIS LAMONGAN 05|02|1964 S P JEDUNG 003 005 0 K

340 3524011108101284 3524011007810001 NARYO LAMONGAN 10|07|1981 S L JEDUNG 003 005 0 K

341 3524011108101426 3524014502550001 MISIH LAMONGAN 05|02|1955 P P JEDUNG 003 005 0 K

342 3524011108101427 3524011103720002 GONO LAMONGAN 11|03|1972 S L JEDUNG 003 005 0 K

343 3524011108101427 3524014503750001 MUKLISITUM LAMONGAN 20|05|1980 S P JEDUNG 003 005 0 K

344 3524011108101427 3524012811990001 WAHYU SAPUTRA LAMONGAN 28|11|1999 B L JEDUNG 003 005 0 K

345 3524011108101428 3524010702650001 PAESO LAMONGAN 07|02|1965 S L JEDUNG 003 005 0 K

346 3524011108101428 3524014504730002 NINGSIH LAMONGAN 05|04|1973 S P JEDUNG 003 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 88 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

347 3524011108101428 3524015408960001 EKA ASIANI LAMONGAN 14|08|1996 B P JEDUNG 003 005 0 K

348 3524011108101429 3524011206670002 SARMUJI LAMONGAN 12|06|1967 S L JEDUNG 003 005 0 K

349 3524011108101429 3524015506750002 YAYUK LAMONGAN 15|06|1975 S P JEDUNG 003 005 0 K

350 3524011108101429 3524010902000001 A. ROMADHONI LAMONGAN 09|02|2000 B L JEDUNG 003 005 0 K

351 3524011108101430 3524011102620001 PADI LAMONGAN 11|02|1962 S L JEDUNG 003 005 0 K

352 3524011108101430 3524014104650001 MAINI LAMONGAN 01|04|1965 S P JEDUNG 003 005 0 K

353 3524011108101430 3524012803960001 MASHURI LAMONGAN 28|03|1996 B L JEDUNG 003 005 0 K

354 3524011108101431 3524014506530001 SARIJEM LAMONGAN 05|06|1953 P P JEDUNG 003 005 0 K

355 3524011108101431 3524010808920001 SAPARI LAMONGAN 08|08|1992 S L JEDUNG 003 005 0 K

356 3524011108101431 3524044901940001 MARMINEM LAMONGAN 09|01|1994 S P JEDUNG 003 005 0 K

357 3524011108101432 3524011202630001 WARNO LAMONGAN 12|02|1963 S L JEDUNG 003 005 0 K

358 3524011108101432 3524014512690002 PANI LAMONGAN 05|12|1969 S P JEDUNG 003 005 0 K

359 3524011108101432 3524014203850001 UMARIAH LAMONGAN 02|03|1985 B P JEDUNG 003 005 0 B

360 3524011108101432 3524010305950002 JOHAN LAMONGAN 03|05|1995 B L JEDUNG 003 005 0 K

361 3524011108101433 3524010803510001 JUPRI LAMONGAN 08|03|1951 S L JEDUNG 003 005 0 K

362 3524011108101433 3524014204590002 SRI PARLIK LAMONGAN 02|04|1959 S P JEDUNG 003 005 0 K

363 3524011108101436 3524010702600001 SUKASPAR LAMONGAN 07|02|1960 S L JEDUNG 003 005 0 K

364 3524011108101436 3524014901690001 SRIYEM LAMONGAN 09|01|1969 S P JEDUNG 003 005 0 K

365 3524011108101436 3524015607020001 MIFTAKHUL MUSLIMAH LAMONGAN 03|04|2002 B P JEDUNG 003 005 0 K

366 3524011108101438 3524010206500001 SARNO LAMONGAN 02|06|1950 S L JEDUNG 003 005 0 K

367 3524011108101438 3524014103580001 DAMISIH LAMONGAN 01|03|1958 S P JEDUNG 003 005 0 K

368 3524011108101439 3524011007770002 SAMUT LAMONGAN 10|07|1977 S L JEDUNG 003 005 0 K

369 3524011108101439 3524014705790001 SUMINTEN LAMONGAN 07|05|1979 S P JEDUNG 003 005 0 K

370 3524011108101439 3524010402000001 ANTOK WIJAYA LAMONGAN 02|04|2000 B L JEDUNG 003 005 0 K

371 3524011108101440 3524014607650001 WIWIK LAMONGAN 06|07|1965 P P JEDUNG 003 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 89 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

372 3524011108101440 3524014806840002 LASMINAH LAMONGAN 13|05|1982 P P JEDUNG 003 005 0 K

373 3524011108101440 3524014104020001 WINDA LESTARI LAMONGAN 05|07|2003 B P JEDUNG 003 005 0 K

374 3524011108101442 3524010904580001 WIJI LAMONGAN 09|04|1958 S L JEDUNG 003 005 0 K

375 3524011108101442 3524014503650001 SISWATI LAMONGAN 05|03|1965 S P JEDUNG 003 005 0 K

376 3524011108101444 3524015907460002 KARMINING LAMONGAN 19|07|1946 P P JEDUNG 003 005 0 K

377 3524011108101444 3524010110650001 SADISAN LAMONGAN 01|10|1965 S L JEDUNG 003 005 0 K

378 3524011108101444 3524015102770001 SISWATI LAMONGAN 11|02|1977 S P JEDUNG 003 005 0 K

379 3524011108101444 3524012810940002 EDI HERMANTO LAMONGAN 28|10|1994 B L JEDUNG 003 005 0 K

380 3524011108101445 3524010604670001 SAMIAN LAMONGAN 06|04|1967 S L JEDUNG 003 005 0 K

381 3524011108101445 3524014902750001 DARTI LAMONGAN 09|02|1975 S P JEDUNG 003 005 0 K

382 3524011108101445 3524010506940002 PUTERA ANDYTIAN LAMONGAN 05|06|1994 B L JEDUNG 003 005 0 K

383 3524011108101447 3524015007420001 JAINTEN LAMONGAN 10|07|1942 P P JEDUNG 003 005 0 K

384 3524011108101447 3524010804630002 YATEMIN LAMONGAN 08|04|1963 S L JEDUNG 003 005 0 K

385 3524011108101447 3524015304680002 MANISIH LAMONGAN 13|04|1968 S P JEDUNG 003 005 0 K

386 3524011108101447 3524012908900001 SATIP LAMONGAN 29|08|1990 B L JEDUNG 003 005 0 K

387 3524011108101449 3524014403650001 WARI LAMONGAN 04|03|1965 P P JEDUNG 003 005 0 K

388 3524011108101449 3524020104810001 SUSANTO LAMONGAN 01|04|1981 S L JEDUNG 003 005 0 K

389 3524011108101449 3524016807820003 SITI ZULAIKAH LAMONGAN 28|07|1982 S P JEDUNG 003 005 0 K

390 3524011108101449 3524010111890003 A. PURDIANTO L.W LAMONGAN 01|11|1989 B L JEDUNG 003 005 0 K

391 3524011108101451 3524010201540005 MUKAYIN LAMONGAN 02|01|1954 S L JEDUNG 003 005 0 K

392 3524011108101451 3524014102680003 RAMINING LAMONGAN 01|02|1968 S P JEDUNG 003 005 0 K

393 3524011108101451 3524010905880001 IMAM KANAFI LAMONGAN 09|05|1988 B L JEDUNG 003 005 0 K

394 3524011108101451 3524014406950002 SITI KASPIAH LAMONGAN 21|10|1995 B P JEDUNG 003 005 0 K

395 3524011108101451 3524010703970001 MUHAMAD SAMSUL LAMONGAN 07|03|1997 B L JEDUNG 003 005 0 K

396 3524011108101453 3524010101660033 BAMBANG SUTEJO LAMONGAN 01|01|1966 S L JEDUNG 003 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 90 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

397 3524011108101453 3524014304700001 SANTIMAH LAMONGAN 03|04|1970 S P JEDUNG 003 005 0 K

398 3524011108102022 3524014503560001 SUPI LAMONGAN 05|03|1956 S P JEDUNG 003 005 0 K

399 3524011108102069 3524011606660001 SISWO LAMONGAN 16|06|1966 S L JEDUNG 003 005 0 K

400 3524011108102069 3524015705750001 SIRI LAMONGAN 17|05|1975 S P JEDUNG 003 005 0 K

401 3524011108102069 3524014306010001 AMBARWATI LAMONGAN 03|06|2001 B P JEDUNG 003 005 0 K

402 3524011108102114 3524011205570002 ASIM LAMONGAN 12|05|1957 S L Ds. JEDUNG 003 005 0 K

403 3524011108102114 3524015204640001 TARMINTEN LAMONGAN 12|04|1964 S P Ds. JEDUNG 003 005 0 K

404 3524011108102199 3524012309770002 ARIS TRIMASHADI LAMONGAN 23|09|1977 S L JEDUNG 003 005 0 K

405 3524011108102199 3524015609820001 SRIATI LAMONGAN 16|09|1982 S P JEDUNG 003 005 0 K

406 3524011108102211 3524012508790001 WAZ'I LAMONGAN 25|08|1979 S L JEDUNG 003 005 0 K

407 3524011108102211 3524015604830002 SRI SAFAROH LAMONGAN 16|04|1983 S P JEDUNG 003 005 0 K

408 3524011108102252 3524014706820001 SAYUTI LAMONGAN 07|06|1982 S P JEDUNG 003 005 0 K

409 3524011108102253 3524011510830004 SAJI LAMONGAN 15|10|1983 S L JEDUNG 003 005 0 K

410 3524011108102253 3524016512850001 MARIATI MOJOKERTO 25|12|1985 S P JEDUNG 003 005 0 K

411 3524011204120001 3524014804540001 SRIYEM LAMONGAN 08|04|1954 S P JEDUNG 003 005 0 K

412 3524011204120001 3524012405790002 SUSWOYO LAMONGAN 24|05|1979 S L JEDUNG 003 005 0 K

413 3524011204120001 3524016508860002 SIWI NARTI LAMONGAN 25|08|1986 S P JEDUNG 003 005 0 K

414 3524011707180003 3524012907820001 SARPONO LAMONGAN 29|07|1982 S L JEDUNG 003 005 0 K

415 3524011707180003 3524014105860001 FITRI LAMONGAN 01|05|1986 S P JEDUNG 003 005 0 K

416 3524011707190002 3524013004780002 DARTO WICAKSONO MADIUN 30|04|1978 S L JEDUNG 003 005 0 K

417 3524011707190002 3524014112870001 DIAH SUGIARTI LAMONGAN 01|12|1987 S P JEDUNG 003 005 0 K

418 3524011812120001 3524010502810002 SINUR LAMONGAN 05|02|1981 S L JEDUNG 003 005 0 K

419 3524011812120001 3524014304940001 EVI KARINI LAMONGAN 03|04|1994 S P JEDUNG 003 005 0 K

420 3524012008140001 3524015205750003 SRIATIN LAMONGAN 12|05|1975 S P JEDUNG 003 005 0 K

421 3524012008140001 3524041504840005 SUKIMAN LAMONGAN 15|04|1984 S L JEDUNG 003 005 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 91 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

422 3524012806110628 3573020202610006 MULYADI MALANG 02|02|1961 S L JEDUNG 003 005 0 K

423 3524012806110628 3524014604710002 PARIYEM LAMONGAN 06|04|1971 S P JEDUNG 003 005 0 K

424 3524012806110628 3524011910080001 WAHYU DIMAS MAULANA LAMONGAN 19|10|2002 B L JEDUNG 003 005 0 K

425 3524012911130001 3524012003850001 BUNADI LAMONGAN 20|03|1985 S L JEDUNG 003 005 0 K

426 3524012911130001 3524015206870003 SRI ARUM WAHYUNI SETIYORINI LAMONGAN 12|06|1987 S P JEDUNG 003 005 0 K

427 3524013004120011 3524016305800002 MASINING LAMONGAN 23|05|1986 S P JEDUNG 003 005 0 K

428 3524013108120002 3524012510800001 SISWANTO LAMONGAN 25|10|1980 S L JEDUNG 003 005 0 K

429 3524013108120002 3524016501890001 PRAPTI LAMONGAN 25|01|1989 S P JEDUNG 003 005 0 B

430 3524013108170001 3524014307580001 SIRI LAMONGAN 03|07|1958 P P JEDUNG 003 005 0 K

431 3524013108170001 3524011605710002 SUJARI LAMONGAN 16|05|1971 S L JEDUNG 003 005 0 K

432 3524013108170001 3524017007720001 DARMIATUN LAMONGAN 30|07|1972 S P JEDUNG 003 005 0 K

433 3524013108170001 3524012610020001 JOFANGGA HENDRIAWAN LAMONGAN 06|12|2002 B L JEDUNG 003 005 0 K

434 3524015004120011 3524011718300001 DARMANTO LAMONGAN 17|11|1983 S L JEDUNG 003 005 0 K

Keterangan Perkawinan = 434 Keterangan Disabilitas : Keterangan Status Perekaman KTP-el = 434
B : Belum Kawin = 74 1: Disabilitas Fisik B : Belum Rekam = 6 Ditetapkan di LAMONGAN, Tanggal 16 Oktober 2020
S : Kawin = 333 2: Disabilitas Intelektual S : Sudah Rekam (Suket) KPU KABUPATEN LAMONGAN
P : Pernah Kawin = 27 3: Disabilitas Mental K : Sudah Rekam (KTP-el) = 428 KETUA
4: Disabilitas Sensorik
Jenis Kelamin = 434
L : Laki-Laki = 209
P : Perempuan = 225 MAHRUS ALI, S.Pd
KK = 185

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-006 Hal 92 dari 142


Model A.3-KWK

Model A.3-KWK
DAFTAR PEMILIH TETAP
PEMILIHAN BUPATI DAN WAKIL BUPATI LAMONGAN
TAHUN 2020
PROVINSI : JAWA TIMUR KECAMATAN : SUKORAME
KABUPATEN : LAMONGAN DESA/KELURAHAN : KEDUNGKUMPUL
TPS : 007
TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN
BILITAS
KTP-EL KETERANGAN
B/S/P L/P JALAN/DUKUH RT RW (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 3524012111140001 3524010510900001 BUDI UTOMO LAMONGAN 05|10|1990 S L JEDUNG 006 004 0 K

2 3524012111140001 3524014708950002 INDRAWATI LAMONGAN 01|03|1993 S P JEDUNG 006 004 0 K

3 3524011108101335 3524014610490001 DASIYEM LAMONGAN 06|10|1949 S P JEDUNG 001 005 0 K

4 3524011108101360 3524014607420001 LASEMI LAMONGAN 06|07|1942 P P JEDUNG 001 005 0 K

5 3524011108101360 3524010905700001 LAMISAN LAMONGAN 09|05|1970 S L JEDUNG 001 005 0 K

6 3524011108101360 3524014601780001 KARLIK LAMONGAN 06|01|1978 S P JEDUNG 001 005 0 K

7 3524012203120001 3524010706790002 SEMIN LAMONGAN 07|06|1979 S L JEDUNG 001 005 0 K

8 3524012203120001 3524014102930001 PARWATI NINGSIH LAMONGAN 12|08|1990 S P JEDUNG 001 005 0 K

9 3524011108101261 3524015511780001 SAMPURNI LAMONGAN 15|11|1978 P P JEDUNG 002 005 0 K

10 3524011108101261 3524017103950001 RENI NINDI ARISTA LAMONGAN 31|03|1995 S P JEDUNG 002 005 0 K

11 3524011108101265 3524016308470001 RAMI LAMONGAN 23|08|1947 S P JEDUNG 002 005 0 K

12 3524012604120007 3524015601440002 WARSI LAMONGAN 16|01|1944 P P JEDUNG 002 005 0 K

13 3524012604120007 3524012007780001 MURSIMAN LAMONGAN 20|07|1978 S L JEDUNG 002 005 0 K

14 3524012604120007 3524014906850003 TIANI LAMONGAN 09|06|1985 S P JEDUNG 002 005 0 K

15 3524011108101435 3524014507510001 SRIAMAH LAMONGAN 05|07|1951 S P JEDUNG 003 005 2 K

16 3524011108101467 3524014112380001 MASINI LAMONGAN 01|12|1938 S P JEDUNG 003 005 0 K

17 3524010208120001 3524012112820001 NURUL LAMONGAN 21|12|1982 S L JEDUNG 001 006 0 K

18 3524010208120001 3524014506860002 KIAGENG KELUH PW LAMONGAN 05|06|1986 S P JEDUNG 001 006 0 K

19 3524010208120002 3524012601800001 BASIRAN LAMONGAN 26|01|1980 S L JEDUNG 001 006 0 K

20 3524010208120002 3524014602900001 ENIK LAMONGAN 06|02|1990 S P JEDUNG 001 006 0 K

21 3524010411110961 3524011502720003 MUJAYIN LAMONGAN 15|02|1972 S L JEDUNG 001 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 93 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

22 3524010502130001 3524010202800002 PAEJAN LAMONGAN 02|02|1980 S L JEDUNG 001 006 0 K

23 3524010502130001 3524015401870003 SIPUK WIJI LESTARI LAMONGAN 14|01|1987 S P JEDUNG 001 006 0 K

24 3524010504180001 3524014102700006 WARI LAMONGAN 01|02|1970 S P JEDUNG 001 006 0 K

25 3524010504180001 3524010209850001 SANUDIN LAMONGAN 02|09|1989 S L JEDUNG 001 006 0 K

26 3524010504180001 3524056201930001 RENY NURHIDAYAH LAMONGAN 22|01|1993 S P JEDUNG 001 006 0 K

27 3524010906170001 3524010307910002 GAGUK GUNAWAN LAMONGAN 24|04|1992 P L JEDUNG 001 006 0 K

28 3524011102150001 3524011007770001 SAEPAN LAMONGAN 10|07|1977 S L JEDUNG 001 006 0 K

29 3524011102150001 3524014103820003 SAIPI LAMONGAN 11|07|1982 S P JEDUNG 001 006 0 K

30 3524011107170004 3518111706860007 ARIF SETIAWAN NGANJUK 17|06|1986 S L JEDUNG 001 006 0 K

31 3524011107170004 3524015809950001 NARTI LAMONGAN 18|09|1995 S P JEDUNG 001 006 0 K

32 3524011108100968 3524014103650002 LASNO LAMONGAN 01|03|1965 B L JEDUNG 001 006 0 K

33 3524011108100968 3524014710710001 SASMIATI LAMONGAN 07|10|1971 S P JEDUNG 001 006 0 K

34 3524011108100968 3524010310980001 EGI MARIZAL LAMONGAN 08|06|1999 B L JEDUNG 001 006 0 K

35 3524011108100971 3524014103690001 KASIMAH LAMONGAN 01|03|1969 S P JEDUNG 001 006 0 K

36 3524011108100971 3524010703700001 KARDI LAMONGAN 07|03|1970 S L JEDUNG 001 006 0 K

37 3524011108100971 3524010904910001 SOLIKIN LAMONGAN 09|04|1991 S L JEDUNG 001 006 0 K

38 3524011108100971 3524017001000001 CAHAYA BIDADARI LAMONGAN 30|01|2000 S P JEDUNG 001 006 0 K

39 3524011108100984 3524014911500001 RASENI LAMONGAN 09|11|1950 S P JEDUNG 001 006 0 K

40 3524011108101278 3524010304660001 ALI LAMONGAN 03|04|1966 S L JEDUNG 001 006 0 K

41 3524011108101278 3524015103700001 NANIK LAMONGAN 11|03|1970 S P JEDUNG 001 006 0 K

42 3524011108101278 3524012305890001 ARIANTI LAMONGAN 23|05|1989 B L JEDUNG 001 006 0 K

43 3524011108101278 3524011710010001 NICHO ARI PRATAMA LAMONGAN 17|10|2001 B L JEDUNG 001 006 0 K

44 3524011108101279 3524014701500001 SULASTRI LAMONGAN 07|01|1950 S P JEDUNG 001 006 0 K

45 3524011108101279 3524011204950002 ADI LAMONGAN 12|04|1995 B L JEDUNG 001 006 0 K

46 3524011108101285 3524011209390001 TAWAR LAMONGAN 12|09|1939 S L JEDUNG 001 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 94 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

47 3524011108101285 3524014401440001 WASIRAH LAMONGAN 04|01|1944 S P JEDUNG 001 006 0 K

48 3524011108101286 3524015810630002 JAISIH LAMONGAN 18|10|1963 S P JEDUNG 001 006 0 K

49 3524011108101286 3524016110910001 ERNA PURWATI LAMONGAN 21|10|1991 S P JEDUNG 001 006 0 K

50 3524011108101286 3524012405930001 ALI SHOBIRIN LAMONGAN 24|05|1993 S L JEDUNG 001 006 0 K

51 3524011108101378 3524015707550001 JAMINI LAMONGAN 17|07|1955 P P JEDUNG 001 006 0 K

52 3524011108101378 3524010906870002 AFANDI LAMONGAN 09|06|1987 S L JEDUNG 001 006 0 K

53 3524011108101383 3524016707680003 SUWARNI LAMONGAN 27|07|1968 S P JEDUNG 001 006 0 K

54 3524011108101383 3524011506710003 JA'IS LAMONGAN 15|06|1971 S L JEDUNG 001 006 0 K

55 3524011108101386 3524010602550001 SIDI LAMONGAN 06|02|1955 S L JEDUNG 001 006 0 K

56 3524011108101386 3524015201600001 SANIRAH LAMONGAN 12|01|1960 S P JEDUNG 001 006 0 K

57 3524011108101387 3524010703660001 SUBANDRI LAMONGAN 07|03|1966 S L JEDUNG 001 006 0 K

58 3524011108101387 3524014310800001 DARNI LAMONGAN 03|10|1980 S P JEDUNG 001 006 0 K

59 3524011108101387 3524011506030001 KISWANTO LAMONGAN 15|06|2003 B L JEDUNG 001 006 0 K

60 3524011108101388 3524014306450001 KARMINTEN LAMONGAN 03|06|1945 P P JEDUNG 001 006 0 K

61 3524011108101388 3524010106700001 SAMI'AN LAMONGAN 01|06|1970 S L JEDUNG 001 006 0 K

62 3524011108101388 3524014507790001 SRIAH LAMONGAN 05|07|1979 S P JEDUNG 001 006 0 K

63 3524011108101388 3524014106000002 ANDI SRIWAHYUNI LAMONGAN 07|04|1999 B L JEDUNG 001 006 0 K

64 3524011108101389 3524011603720001 SAKIM LAMONGAN 16|03|1972 S L JEDUNG 001 006 0 K

65 3524011108101389 3524014305750001 WARNI LAMONGAN 03|05|1975 S P JEDUNG 001 006 0 K

66 3524011108101390 3524010307500002 SEJO LAMONGAN 03|07|1950 S L JEDUNG 001 006 0 K

67 3524011108101390 3524014108650001 SUMINTEN LAMONGAN 01|08|1965 S P JEDUNG 001 006 0 K

68 3524011108101391 3524014702650001 WARTIWI LAMONGAN 07|02|1957 S P JEDUNG 001 006 0 K

69 3524011108101391 3524010303950002 MAHMUT NURUL HUDA LAMONGAN 01|06|1997 B L JEDUNG 001 006 0 K

70 3524011108101392 3524012102650001 KASMIRAN LAMONGAN 21|02|1965 S L JEDUNG 001 006 0 K

71 3524011108101392 3524014306790001 SUMINAH LAMONGAN 03|06|1979 S P JEDUNG 001 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 95 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

72 3524011108101392 3524014901020002 DINDA LIBRIANA LAMONGAN 09|01|2002 B P JEDUNG 001 006 0 K

73 3524011108101393 3524014706500003 KASTI LAMONGAN 07|06|1950 S P JEDUNG 001 006 0 K

74 3524011108101394 3524014103500001 SUPI LAMONGAN 01|03|1950 P P JEDUNG 001 006 0 K

75 3524011108101397 3524010107600001 SADAM LAMONGAN 01|07|1960 S L JEDUNG 001 006 0 K

76 3524011108101397 3524014201680008 SANTIMI LAMONGAN 02|01|1968 S P JEDUNG 001 006 0 K

77 3524011108101397 3524010611900001 DWI SUSANTO LAMONGAN 06|11|1990 B L JEDUNG 001 006 0 K

78 3524011108101398 3524010106580002 SAIBI LAMONGAN 01|06|1958 S L JEDUNG 001 006 0 K

79 3524011108101399 3524010307650001 JAEPO LAMONGAN 03|07|1965 S L JEDUNG 001 006 0 K

80 3524011108101399 3524014108730001 SAIRI LAMONGAN 01|08|1976 S P JEDUNG 001 006 0 K

81 3524011108101400 3524010103600003 SAENO LAMONGAN 01|03|1960 S L JEDUNG 001 006 0 K

82 3524011108101400 3524014701650001 SRIANI LAMONGAN 07|01|1965 S P JEDUNG 001 006 0 K

83 3524011108101402 3524014105620002 TAMISIH LAMONGAN 01|05|1962 P P JEDUNG 001 006 0 K

84 3524011108101402 3524014306990002 YAHNI LAMONGAN 03|06|1999 B P JEDUNG 001 006 0 B

85 3524011108101455 3524010108600002 WAENO LAMONGAN 01|08|1960 S L JEDUNG 001 006 0 K

86 3524011108101455 3524015202650002 MUNAYAH JOMBANG 12|02|1965 S P JEDUNG 001 006 0 K

87 3524011108101455 3524014301970002 ITA PURNAMASARI LAMONGAN 30|06|1999 B P JEDUNG 001 006 0 K

88 3524011108101865 3524011705720001 ALI LAMONGAN 17|05|1972 S L JEDUNG 001 006 0 K

89 3524011108101865 3524016107820002 SIMU LAMONGAN 05|02|1982 S P JEDUNG 001 006 0 K

90 3524011108101865 3524011607030001 BACHTIAR FAMUJI LAMONGAN 14|09|2003 B L JEDUNG 001 006 0 K

91 3524011108101993 3524010207750001 SARDI LAMONGAN 02|07|1975 S L JEDUNG 001 006 0 K

92 3524011108101993 3524014801800001 SAMIATUN LAMONGAN 08|01|1980 S P JEDUNG 001 006 0 K

93 3524011108101993 3524010707930003 TRENDY CRYSTIONO LAMONGAN 07|07|1993 B L JEDUNG 001 006 0 K

94 3524011108101999 3524010102720002 HARTONO LAMONGAN 01|02|1972 S L JEDUNG 001 006 0 K

95 3524011108101999 3524015208770001 YATI LAMONGAN 12|08|1977 S P JEDUNG 001 006 0 K

96 3524011108102000 3524013103690001 SUKATNO LAMONGAN 31|03|1969 S L JEDUNG 001 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 96 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

97 3524011108102000 3524014105700003 DASIRAH LAMONGAN 01|05|1970 S P JEDUNG 001 006 0 K

98 3524011108102000 3524010102930001 VICKI WAHYUDA LAMONGAN 01|02|1993 B L JEDUNG 001 006 0 K

99 3524011108102001 3524010206600002 TETEP LAMONGAN 02|06|1960 S L JEDUNG 001 006 0 K

100 3524011108102001 3524014206650001 SRIKANTI LAMONGAN 02|06|1965 S P JEDUNG 001 006 0 K

101 3524011108102002 3524010604600001 KASMARI LAMONGAN 06|04|1960 S L JEDUNG 001 006 0 K

102 3524011108102002 3524014407640003 MUSRI LAMONGAN 04|07|1964 S P JEDUNG 001 006 0 K

103 3524011108102003 3524010406720003 WARDI LAMONGAN 26|02|1972 S L JEDUNG 001 006 0 K

104 3524011108102003 3524014107800002 ISTIQOMAH LAMONGAN 01|07|1980 S P JEDUNG 001 006 0 K

105 3524011108102003 3524016505990002 CHOIRUN NISA LAMONGAN 23|03|1999 B P JEDUNG 001 006 0 K

106 3524011108102004 3524010108510001 UMAR LAMONGAN 01|08|1951 S L JEDUNG 001 006 0 K

107 3524011108102004 3524014901600001 JASMINAH LAMONGAN 09|01|1960 S P JEDUNG 001 006 0 K

108 3524011108102005 3524010504750005 SUBIANTO LAMONGAN 05|04|1975 S L JEDUNG 001 006 0 K

109 3524011108102005 3524014612800001 SRI WILUJENG ASTUTIK LAMONGAN 10|05|1980 S P JEDUNG 001 006 0 K

110 3524011108102005 3524010103990001 JABARUDIN LAMONGAN 23|01|1999 B L JEDUNG 001 006 0 K

111 3524011108102006 3524010401400001 KARIM LAMONGAN 04|01|1940 S L JEDUNG 001 006 0 K

112 3524011108102006 3524014201420002 SIRUP LAMONGAN 02|01|1942 S P JEDUNG 001 006 0 K

113 3524011108102006 3524012406770002 RIBUT WAIDI LAMONGAN 24|06|1977 B L JEDUNG 001 006 0 K

114 3524011108102006 3524014504810002 MUJIATI LAMONGAN 05|04|1981 B P JEDUNG 001 006 0 B

115 3524011108102007 3524010706750002 KARMIN LAMONGAN 07|06|1975 S L JEDUNG 001 006 0 K

116 3524011108102007 3524014506800002 MUNTIANI LAMONGAN 05|06|1980 S P JEDUNG 001 006 0 K

117 3524011108102008 3524014204600002 SUMBUT LAMONGAN 02|04|1960 S P JEDUNG 001 006 0 K

118 3524011108102011 3524010107600002 KAYAT LAMONGAN 01|07|1960 S L JEDUNG 001 006 0 K

119 3524011108102011 3524014306630001 TENTREM LAMONGAN 03|06|1963 S P JEDUNG 001 006 0 K

120 3524011108102012 3524010704700001 JUMAIN LAMONGAN 07|04|1970 S L JEDUNG 001 006 0 K

121 3524011108102012 3524011111900002 MASKUNCORO LAMONGAN 11|11|1990 B L JEDUNG 001 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 97 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

122 3524011108102014 3524015712300001 YAHNING LAMONGAN 17|12|1930 P P JEDUNG 001 006 0 K

123 3524011108102014 3524011202600003 SISWO LAMONGAN 12|02|1960 S L JEDUNG 001 006 0 K

124 3524011108102014 3524015307650001 DASRI LAMONGAN 13|07|1965 S P JEDUNG 001 006 0 K

125 3524011108102015 3524014602650001 WARTI LAMONGAN 06|02|1965 S P JEDUNG 001 006 0 K

126 3524011108102015 3524010703700003 SAEDAK LAMONGAN 07|03|1970 S L JEDUNG 001 006 0 K

127 3524011108102016 3524010807600002 KASTUR LAMONGAN 08|07|1960 S L JEDUNG 001 006 0 K

128 3524011108102016 3524014208780001 MURTININGSIH LAMONGAN 02|08|1978 S P JEDUNG 001 006 0 K

129 3524011108102016 3524015312920001 ULFA LUTFI'AH LAMONGAN 13|12|1992 B P JEDUNG 001 006 0 K

130 3524011108102016 3524010510000002 MUJIB RIZQI AFANDI LAMONGAN 05|10|2000 B L JEDUNG 001 006 0 K

131 3524011108102017 3524014208600002 JAIMI LAMONGAN 02|08|1960 S P JEDUNG 001 006 0 K

132 3524011108102023 3524011204670001 ABDULLAH LAMONGAN 12|04|1967 P L JEDUNG 001 006 0 K

133 3524011108102024 3524011411720001 WARTAM LAMONGAN 14|11|1972 S L JEDUNG 001 006 0 K

134 3524011108102024 3524015407780001 SUMI LAMONGAN 14|07|1978 S P JEDUNG 001 006 0 K

135 3524011108102024 3524015112970001 WATIK LAMONGAN 11|12|1997 B P JEDUNG 001 006 0 B

136 3524011108102025 3524010702650002 SAMPUR LAMONGAN 07|02|1965 S L JEDUNG 001 006 0 K

137 3524011108102025 3524014111770001 MUNASRI LAMONGAN 01|11|1977 S P JEDUNG 001 006 0 K

138 3524011108102025 3524010102970003 DIKY PURNIAWAN LAMONGAN 30|01|1999 B L JEDUNG 001 006 0 K

139 3524011108102054 3524010103500001 SAERAN LAMONGAN 01|03|1950 S L JEDUNG 001 006 0 K

140 3524011108102054 3524014706600001 TAMINING LAMONGAN 07|06|1960 S P JEDUNG 001 006 0 K

141 3524011108102070 3524011608770002 SLAMET LAMONGAN 16|08|1977 S L JEDUNG 001 006 0 K

142 3524011108102070 3524015305800001 NASOPA LAMONGAN 13|05|1980 S P JEDUNG 001 006 0 K

143 3524011108102070 3524016404010001 PIPIN NURZINTA LAMONGAN 24|04|2001 B P JEDUNG 001 006 0 K

144 3524011108102086 3524011604540001 DARMAJI LAMONGAN 16|04|1954 S L JEDUNG 001 006 0 K

145 3524011108102086 3524015708600001 SIYAM LAMONGAN 17|08|1960 S P JEDUNG 001 006 0 K

146 3524011108102150 3524014702600001 PAESAH LAMONGAN 07|02|1960 B P JEDUNG 001 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 98 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

147 3524011108102150 3524016201670001 PAINTEN LAMONGAN 22|01|1967 S P JEDUNG 001 006 0 K

148 3524011108102150 3524010803740001 BAMBANG PADI LAMONGAN 08|03|1974 S L JEDUNG 001 006 0 K

149 3524011108102150 3524011109940002 ANDIKA LAMONGAN 11|09|1994 B L JEDUNG 001 006 0 K

150 3524011108102150 3524014807020001 METTI LAMONGAN 08|07|2002 B P JEDUNG 001 006 0 K

151 3524011108102234 3524011008740003 SUWAJI SANJAYA LAMONGAN 10|08|1974 S L DSN. JEDUNG 001 006 0 K

152 3524011108102234 3524014106860001 ITA MULIYA LAMONGAN 01|06|1986 S P DSN. JEDUNG 001 006 0 K

153 3524011108102255 3524011306780002 BAMBANG SUGIARTO DELI SERDANG 13|06|1978 S L JEDUNG 001 006 0 K

154 3524011108102255 3524014803810002 MUAWANAH LAMONGAN 08|03|1981 S P JEDUNG 001 006 0 K

155 3524011112180008 3518022111800006 JOKO WAHYUDI NGANJUK 15|12|1985 S L JEDUNG 001 006 0 K

156 3524011112180008 3524014709890001 SIKIT NUR AISAH LAMONGAN 07|09|1989 S P JEDUNG 001 006 0 K

157 3524011210170001 3524011006860002 JARNO LAMONGAN 10|06|1986 S L JEDUNG 001 006 0 K

158 3524011210170001 3517157103940001 ANIS FITRIANINGRUM JOMBANG 31|03|1994 S P JEDUNG 001 006 0 K

159 3524011411160001 3524011905940001 MOCH. IMAM SAFII BOJONEGORO 19|05|1994 S L JEDUNG 001 006 0 K

160 3524011411160001 3524016901980001 FITRIANI LAMONGAN 29|01|1998 S P JEDUNG 001 006 0 K

161 3524011411180003 3524010503660001 MULYADI LAMONGAN 05|03|1966 S L JEDUNG 001 006 0 K

162 3524011411180003 3524014910730001 NURIANIK LAMONGAN 09|10|1973 S P JEDUNG 001 006 0 K

163 3524011411180003 3524015610890002 ANGELY EMITASARI LAMONGAN 16|10|1988 B P JEDUNG 001 006 0 K

164 3524011411180003 3524015507000001 ALEX EDO WARDANA LAMONGAN 16|10|1999 B L JEDUNG 001 006 0 K

165 3524011502190001 3522080502940002 MAWAN SUTANTO BOJONEGORO 05|02|1994 S L JEDUNG 001 006 0 K

166 3524011502190001 3524015103960001 NELLY SRIATUN LAMONGAN 12|05|2000 S P JEDUNG 001 006 0 K

167 3524011508170002 3524010312960001 NURJATIN LAMONGAN 27|05|1996 S L JEDUNG 001 006 0 K

168 3524011508170002 3524015508000001 AL IZA NUROHMAH LAMONGAN 15|08|1999 S P JEDUNG 001 006 0 K

169 3524011601170002 3524010109640002 MARWI LAMONGAN 01|09|1964 P L JEDUNG 001 006 0 K

170 3524011601170002 3316030202830002 SAMSUL MA'ARIF BLORA 02|02|1983 S L JEDUNG 001 006 0 K

171 3524011601170002 3524014303960001 FITA FATIMAH LAMONGAN 03|03|1996 S P JEDUNG 001 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 99 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

172 3524011810190001 3524014306650001 NAMPI LAMONGAN 03|06|1965 P P JEDUNG 001 006 0 K

173 3524011810190001 3524016112000001 FITRIA WAHYUNINGSIH LAMONGAN 21|12|2000 B P JEDUNG 001 006 0 K

174 3524012004120001 3524010409880001 MOHAMAD SUEP ABIDIN LAMONGAN 04|09|1988 S L JEDUNG 001 006 0 K

175 3524012005190002 3524016304960002 BETRIS LIBRIANA LAMONGAN 23|04|1996 P P JEDUNG 001 006 0 K

176 3524012108170001 3517151206900004 EDI PURNOMO JOMBANG 12|06|1990 S L JEDUNG 001 006 0 K

177 3524012108170001 3524016511970002 WANING TIAS UTAMI LAMONGAN 25|11|1997 S P JEDUNG 001 006 0 K

178 3524012210190007 3524015005690002 SUPINI LAMONGAN 10|05|1969 P P JEDUNG 001 006 0 K

179 3524012210190007 3524011706000002 TRISNO LAMONGAN 17|06|2000 B L JEDUNG 001 006 0 K

180 3524012507170002 3524010406910001 ILHAM LAMONGAN 17|11|1990 S L JEDUNG 001 006 0 K

181 3524012507170002 3524014103010001 RIKA FAUZIAH LAMONGAN 01|03|2001 S P JEDUNG 001 006 0 K

182 3524012606120002 3524010102870001 SAIIN LAMONGAN 01|02|1987 S L JEDUNG 001 006 0 K

183 3524012606120002 3524016003920001 AAS MUHAJAR LAMONGAN 20|03|1992 S P JEDUNG 001 006 0 K

184 3524010312180001 3524020906930001 DONI IRAWANTO LAMONGAN 09|06|1993 S L JEDUNG 002 006 0 K

185 3524010312180001 3524014912940001 LASMIATI LAMONGAN 09|12|1994 S P JEDUNG 002 006 0 K

186 3524010412170001 3524010406740001 SAEMAN LAMONGAN 04|06|1974 S L JEDUNG 002 006 0 K

187 3524010412170001 3517154112900002 MURTINI JOMBANG 04|07|1990 S P JEDUNG 002 006 0 K

188 3524011108100972 3524010301370001 RAIS LAMONGAN 03|01|1937 S L JEDUNG 002 006 0 K

189 3524011108100972 3524015002680001 NDARI LAMONGAN 10|02|1968 S P JEDUNG 002 006 0 K

190 3524011108100974 3524010106650001 KARDI LAMONGAN 01|06|1965 S L JEDUNG 002 006 0 K

191 3524011108100974 3524015903700002 RATENI LAMONGAN 19|03|1970 S P JEDUNG 002 006 0 K

192 3524011108100974 3524014508000001 YULI LAMONGAN 28|06|1999 B P JEDUNG 002 006 0 K

193 3524011108100975 3524015511700001 SRIMUDA LAMONGAN 15|11|1970 P P JEDUNG 002 006 0 K

194 3524011108100975 3524010403960001 ARIF KRISTIOWANTO LAMONGAN 04|03|1996 B L JEDUNG 002 006 0 B

195 3524011108100976 3524015201810001 RI HANDAYANI LAMONGAN 12|01|1981 P P JEDUNG 002 006 0 K

196 3524011108100976 3524010104000001 APRIJONO SUSANTO KAWANGKO MAKASSAR 01|04|2000 B L JEDUNG 002 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 100 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

197 3524011108101243 3524011001600001 KASIMIN LAMONGAN 10|01|1960 S L JEDUNG 002 006 0 K

198 3524011108101243 3524014603620001 JAITRI LAMONGAN 06|03|1962 S P JEDUNG 002 006 0 K

199 3524011108101281 3524016010560001 NANTI LAMONGAN 20|10|1956 P P JEDUNG 002 006 0 K

200 3524011108101281 3524016507890001 UMIATUN LAMONGAN 25|07|1989 S P JEDUNG 002 006 0 B

201 3524011108101403 3524010508400002 PAERO LAMONGAN 05|08|1940 S L JEDUNG 002 006 0 K

202 3524011108101403 3524017010450001 NATMINI LAMONGAN 30|10|1945 S P JEDUNG 002 006 0 K

203 3524011108101406 3524010605690002 LASMIN LAMONGAN 06|05|1969 S L JEDUNG 002 006 0 K

204 3524011108101406 3524014107700002 SANTINING LAMONGAN 01|07|1970 S P JEDUNG 002 006 0 K

205 3524011108101408 3524011001490002 LAMIJAN LAMONGAN 10|01|1949 S L JEDUNG 002 006 0 K

206 3524011108101408 3524015103540001 SAMINING LAMONGAN 11|03|1954 S P JEDUNG 002 006 0 K

207 3524011108101408 3524011003920002 SAIMIN LAMONGAN 10|03|1992 B L JEDUNG 002 006 0 K

208 3524011108101409 3524010208760001 SAEJO LAMONGAN 02|08|1976 S L JEDUNG 002 006 0 K

209 3524011108101409 3524014902790001 SUNDARI LAMONGAN 09|02|1979 S P JEDUNG 002 006 0 K

210 3524011108101411 3524010907340001 LAMAR LAMONGAN 09|07|1934 S L JEDUNG 002 006 0 K

211 3524011108101411 3524015902620001 KARTINI LAMONGAN 19|02|1962 S P JEDUNG 002 006 0 K

212 3524011108101412 3524010506770001 SIKAT LAMONGAN 05|06|1977 S L JEDUNG 002 006 0 K

213 3524011108101412 3524014701800001 KINING WINARTI LAMONGAN 10|10|1980 S P JEDUNG 002 006 0 K

214 3524011108101412 3524014110010002 NING SISKA SRI NUR LAINI LAMONGAN 01|10|2000 B P JEDUNG 002 006 0 K

215 3524011108101413 3524011003350001 JAYADI LAMONGAN 10|03|1935 S L JEDUNG 002 006 0 K

216 3524011108101413 3524015204560001 MURINI LAMONGAN 12|04|1956 S P JEDUNG 002 006 0 K

217 3524011108101414 3524010509790002 PRAYIT LAMONGAN 05|09|1979 S L JEDUNG 002 006 0 K

218 3524011108101414 3524010306000003 MUHAMAD SYUKUR LAMONGAN 23|03|2000 B L JEDUNG 002 006 0 K

219 3524011108101415 3524010509500001 WARMIN LAMONGAN 05|09|1950 S L JEDUNG 002 006 0 K

220 3524011108101415 3524014801550001 SAINI LAMONGAN 08|01|1955 S P JEDUNG 002 006 0 K

221 3524011108101416 3524011202650001 TOWO LAMONGAN 12|02|1965 S L JEDUNG 002 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 101 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

222 3524011108101417 3524011001520002 SAEJO LAMONGAN 10|01|1952 S L JEDUNG 002 006 0 K

223 3524011108101417 3524014111640001 JENJEM LAMONGAN 01|11|1964 S P JEDUNG 002 006 0 K

224 3524011108101418 3524011701680001 PANIRIN LAMONGAN 17|01|1968 S L JEDUNG 002 006 0 K

225 3524011108101418 3524015001730001 NAMPI LAMONGAN 10|01|1973 S P JEDUNG 002 006 0 K

226 3524011108101418 3524014605990002 SRI MUTA PIPIN LAMONGAN 12|07|1999 B P JEDUNG 002 006 0 K

227 3524011108101419 3524014601590001 RANTINI LAMONGAN 06|01|1959 P P JEDUNG 002 006 0 K

228 3524011108101419 3524011908000001 DHONI EKA SAPUTRA LAMONGAN 14|07|2000 B L JEDUNG 002 006 0 K

229 3524011108101420 3524011210690002 PARLAN LAMONGAN 12|10|1969 S L JEDUNG 002 006 0 K

230 3524011108101420 3524015112770001 SRIAH LAMONGAN 11|12|1977 S P JEDUNG 002 006 0 K

231 3524011108101420 3524010910970001 BUDI UTOMO LAMONGAN 29|09|1997 B L JEDUNG 002 006 0 K

232 3524011108101421 3524011504530001 TARJI LAMONGAN 15|04|1953 S L JEDUNG 002 006 0 K

233 3524011108101421 3524014208600001 SOMI LAMONGAN 02|08|1960 S P JEDUNG 002 006 0 K

234 3524011108101421 3524010306760001 IKWAN SARUDIN LAMONGAN 03|06|1976 B L JEDUNG 002 006 0 K

235 3524011108101421 3524010409920002 MINTO LAMONGAN 05|08|1996 B L JEDUNG 002 006 0 K

236 3524011108101423 3524015001600002 PARTI LAMONGAN 10|01|1960 S P JEDUNG 002 006 0 K

237 3524011108101423 3524010302630001 SUTO LAMONGAN 03|02|1963 S L JEDUNG 002 006 0 K

238 3524011108101424 3524011101590001 JAEDO LAMONGAN 11|01|1959 S L JEDUNG 002 006 0 K

239 3524011108101424 3524016802650001 KLUMPUK LAMONGAN 28|02|1965 S P JEDUNG 002 006 0 K

240 3524011108101424 3524011005990001 TEGUH PRASTYO LAMONGAN 10|12|1999 B L JEDUNG 002 006 0 K

241 3524011108101473 3524010310520001 WAKIRIN LAMONGAN 03|10|1952 S L JEDUNG 002 006 0 K

242 3524011108101473 3524016208590001 RIATI LAMONGAN 22|08|1959 S P JEDUNG 002 006 0 K

243 3524011108101936 3524016906000001 ELA NUR AINI LAMONGAN 29|06|2000 B P JEDUNG 002 006 0 K

244 3524011108101937 3524011011340001 SALIDIN LAMONGAN 10|11|1934 S L JEDUNG 002 006 0 K

245 3524011108101937 3524014702390001 SEMI LAMONGAN 07|02|1939 S P JEDUNG 002 006 0 K

246 3524011108101939 3524010510650002 WAKIT LAMONGAN 05|10|1965 S L JEDUNG 002 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 102 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

247 3524011108101939 3524014601810001 SUPI LAMONGAN 06|01|1981 S P JEDUNG 002 006 0 K

248 3524011108101939 3524015301020001 EMILINDA FANIN DIANITA LAMONGAN 13|01|2002 B P JEDUNG 002 006 0 K

249 3524011108101942 3524010504810002 RASEMO LAMONGAN 05|04|1981 S L JEDUNG 002 006 0 K

250 3524011108101942 3524015005810001 SALISIH LAMONGAN 10|05|1981 S P JEDUNG 002 006 0 K

251 3524011108101943 3524011503440001 KADIYAT LAMONGAN 15|03|1944 S L JEDUNG 002 006 0 K

252 3524011108101944 3524010505700002 MULONJO LAMONGAN 05|05|1970 S L JEDUNG 002 006 0 K

253 3524011108101944 3524016505750002 MURTINAH LAMONGAN 25|05|1975 S P JEDUNG 002 006 0 K

254 3524011108101944 3524010403890001 HERIANTO LAMONGAN 04|03|1989 S L JEDUNG 002 006 0 K

255 3524011108101944 3524014111920001 MUJIANAH LAMONGAN 01|11|1992 S P JEDUNG 002 006 0 K

256 3524011108101946 3524014103560002 TAMISIH LAMONGAN 01|03|1956 S P JEDUNG 002 006 0 K

257 3524011108101946 3524014103840001 MARIANI LAMONGAN 25|04|1987 S P JEDUNG 002 006 0 K

258 3524011108101946 3524010101880004 MARNO LAMONGAN 01|01|1988 S L JEDUNG 002 006 0 K

259 3524011108101948 3524014512450001 TARMINAH LAMONGAN 05|12|1945 P P JEDUNG 002 006 0 K

260 3524011108101949 3524011005730004 TARIONO LAMONGAN 10|05|1973 S L JEDUNG 002 006 0 K

261 3524011108101949 3524014608780001 SEMI LAMONGAN 06|08|1978 S P JEDUNG 002 006 0 K

262 3524011108101950 3524010109400001 SITRIS LAMONGAN 01|09|1940 S L JEDUNG 002 006 0 K

263 3524011108101950 3524016001550001 WAINING LAMONGAN 20|01|1955 S P JEDUNG 002 006 0 K

264 3524011108101951 3524014904700001 SIRES LAMONGAN 09|04|1970 S P JEDUNG 002 006 0 K

265 3524011108101951 3524010811720001 PARLIN LAMONGAN 08|11|1972 S L JEDUNG 002 006 0 K

266 3524011108101951 3524011502980001 SIHUT MUHAMAD FARHAM LAMONGAN 29|03|1998 B L JEDUNG 002 006 0 K

267 3524011108102018 3524012501350002 SALIMO LAMONGAN 25|01|1935 P L JEDUNG 002 006 0 K

268 3524011108102018 3524011305640001 MIIN LAMONGAN 13|05|1964 P L JEDUNG 002 006 0 K

269 3524011108102020 3524010801760003 RIADI LAMONGAN 08|01|1976 S L JEDUNG 002 006 0 K

270 3524011108102020 3524015306820001 SARIANIK LAMONGAN 13|06|1982 S P JEDUNG 002 006 0 K

271 3524011108102020 3524010107030009 SETIAWAN LAMONGAN 07|11|2002 B L JEDUNG 002 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 103 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

272 3524011108102052 3524015002560001 MARTIWI LAMONGAN 10|02|1956 S P JEDUNG 002 006 0 K

273 3524011108102052 3524010212860001 MARIONO LAMONGAN 02|12|1986 B L JEDUNG 002 006 0 K

274 3524011108102229 3524011903760001 MULYONO LAMONGAN 19|03|1976 S L Dsn. JEDUNG 002 006 0 K

275 3524011108102229 3524014510840001 KUSWATI LAMONGAN 05|10|1984 S P Dsn. JEDUNG 002 006 0 K

276 3524011108102238 3524011606740002 SUJONO LAMONGAN 16|06|1974 S L JEDUNG 002 006 0 K

277 3524011108102238 3524015802800002 SAMPI LAMONGAN 18|02|1980 S P JEDUNG 002 006 0 K

278 3524011206170001 3524010101820007 PARNO LAMONGAN 01|01|1982 S L JEDUNG 002 006 0 K

279 3524011206170001 3524015202830003 SAMPEN LAMONGAN 12|02|1983 S P JEDUNG 002 006 0 K

280 3524011207120001 3509060602810002 JIANTO LAMONGAN 06|05|1981 S L JEDUNG 002 006 0 K

281 3524011207120001 3509067004860002 RINA RAHMAWATI JEMBER 30|04|1986 S P JEDUNG 002 006 0 K

282 3524011310150001 3524010102860001 HARI KISWANTO LAMONGAN 05|03|1989 S L JEDUNG 002 006 0 K

283 3524011310150001 3524016710940001 SRI UTONAH LAMONGAN 27|06|1994 S P JEDUNG 002 006 0 K

284 3524011402180003 3524010103750002 SAEMUN LAMONGAN 01|03|1975 S L JEDUNG 002 006 0 K

285 3524011402180003 3524015003880002 SRI DANIATI LAMONGAN 10|03|1988 S P JEDUNG 002 006 0 K

286 3524010808170002 6401044907840001 SUMIARTI BALIKPAPAN 09|07|1984 S P JEDUNG 003 006 0 K

287 3524010808170002 3524012804850001 ISKAK LAMONGAN 28|04|1985 S L JEDUNG 003 006 0 K

288 3524010811130002 3524010108900001 ANANG ARIFIN LAMONGAN 24|06|1989 S L JEDUNG 003 006 0 K

289 3524010811130002 3524014110930001 UTAMI LAMONGAN 27|06|1993 S P JEDUNG 003 006 0 K

290 3524011108100954 3524010708650001 SAMPUR LAMONGAN 07|08|1965 S L JEDUNG 003 006 0 K

291 3524011108100954 3524015209740001 LASRI LAMONGAN 12|09|1974 S P JEDUNG 003 006 0 K

292 3524011108100954 3524011610970001 LASIRAN LAMONGAN 16|10|1997 B L JEDUNG 003 006 0 K

293 3524011108100955 3524016709500001 SAMINING LAMONGAN 27|09|1950 P P JEDUNG 003 006 0 K

294 3524011108100956 3524011507740001 PUJIONO LAMONGAN 15|07|1974 S L JEDUNG 003 006 0 K

295 3524011108100956 3524014905790002 KARTINI LAMONGAN 09|05|1979 S P JEDUNG 003 006 0 K

296 3524011108100956 3524014712000001 SRI RAHAYU LAMONGAN 01|01|2000 B P JEDUNG 003 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 104 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

297 3524011108100957 3524014912490001 SAMINEM LAMONGAN 09|12|1949 S P JEDUNG 003 006 0 K

298 3524011108100957 3524011705640001 SAENO LAMONGAN 17|05|1964 S L JEDUNG 003 006 0 K

299 3524011108100957 3524010511830001 SRIANTO LAMONGAN 05|11|1983 S L JEDUNG 003 006 0 K

300 3524011108100957 3524016306860001 SIYAM LAMONGAN 23|06|1986 S P JEDUNG 003 006 0 K

301 3524011108100958 3524011506540001 WARJI LAMONGAN 15|06|1954 S L JEDUNG 003 006 0 K

302 3524011108100958 3524015704690002 SAMISRI LAMONGAN 17|04|1969 S P JEDUNG 003 006 0 K

303 3524011108100958 3524011012900001 SAMINO LAMONGAN 16|12|1990 B L JEDUNG 003 006 0 K

304 3524011108100959 3524010105760001 SISNO LAMONGAN 01|05|1976 S L JEDUNG 003 006 0 K

305 3524011108100959 3524016208790001 INTI WATI LAMONGAN 22|08|1979 S P JEDUNG 003 006 0 K

306 3524011108100959 3524014103990001 ILMA NIKHMATUL MAULA LAMONGAN 13|03|1999 B P JEDUNG 003 006 0 K

307 3524011108100960 3524012803780001 PARDI LAMONGAN 28|03|1978 S L JEDUNG 003 006 0 K

308 3524011108100960 3524016703820001 SUMIATI LAMONGAN 27|03|1982 S P JEDUNG 003 006 0 K

309 3524011108100960 3524010601000001 AAN WAHYUDI LAMONGAN 06|01|2000 B L JEDUNG 003 006 0 K

310 3524011108100961 3524011209550001 SUGINO NGAWI 12|09|1955 S L JEDUNG 003 006 0 K

311 3524011108100961 3524015809650001 YATMINING LAMONGAN 18|09|1965 P P JEDUNG 003 006 0 K

312 3524011108100963 3524010911500001 MADARIM LAMONGAN 09|11|1950 S L JEDUNG 003 006 0 K

313 3524011108100963 3524014209630001 SUWATI LAMONGAN 02|09|1963 S P JEDUNG 003 006 0 K

314 3524011108100964 3524015301470001 PAENAH LAMONGAN 13|01|1947 P P JEDUNG 003 006 0 K

315 3524011108100965 3524010106730001 SADIRIN LAMONGAN 01|06|1973 S L JEDUNG 003 006 0 K

316 3524011108100965 3524015106730001 SUISWATI INDAH TUBAN 11|06|1973 S P JEDUNG 003 006 0 K

317 3524011108100965 3524012608990002 WAHYU SAPUTRA LAMONGAN 26|08|1999 B L JEDUNG 003 006 0 K

318 3524011108100966 3524012703600001 SAMPURNO LAMONGAN 27|03|1960 P L JEDUNG 003 006 0 K

319 3524011108101275 3524012510580001 JASENO LAMONGAN 25|10|1958 S L JEDUNG 003 006 0 K

320 3524011108101276 3524010105520001 SAMIAJI LAMONGAN 01|05|1952 S L JEDUNG 003 006 0 K

321 3524011108101276 3524014312600001 SIAH LAMONGAN 03|12|1960 S P JEDUNG 003 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 105 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

322 3524011108101276 3524014610010002 ANITA LAMONGAN 06|10|2001 S P JEDUNG 003 006 0 K

323 3524011108101277 3524014311440001 KINI LAMONGAN 03|11|1944 P P JEDUNG 003 006 0 K

324 3524011108101277 3524011707850001 PARNO LAMONGAN 17|07|1985 B L JEDUNG 003 006 0 K

325 3524011108101280 3524014211620001 SANI LAMONGAN 02|11|1962 P P JEDUNG 003 006 0 K

326 3524011108101280 3524012509890001 IWAN SETIO BUDI LAMONGAN 25|09|1989 S L JEDUNG 003 006 0 K

327 3524011108101280 3524026906920001 SUNANIK LAMONGAN 29|06|1992 S P JEDUNG 003 006 0 K

328 3524011108101364 3524010101550024 SIRIN LAMONGAN 01|01|1955 S L JEDUNG 003 006 0 K

329 3524011108101365 3524011902540001 SALIM LAMONGAN 19|02|1954 S L JEDUNG 003 006 0 K

330 3524011108101365 3524015501610001 PINING LAMONGAN 15|01|1961 S P JEDUNG 003 006 0 K

331 3524011108101365 3524011006810002 MULIANTO LAMONGAN 10|06|1981 S L JEDUNG 003 006 0 K

332 3524011108101365 3524015106830001 SISWANTIN LAMONGAN 11|06|1983 S P JEDUNG 003 006 0 K

333 3524011108101366 3524010101570022 TOWO LAMONGAN 01|01|1957 S L JEDUNG 003 006 0 K

334 3524011108101366 3524014101600043 LASINI LAMONGAN 01|01|1960 S P JEDUNG 003 006 0 K

335 3524011108101366 3524021501810001 ROKHIM LAMONGAN 15|01|1981 S L JEDUNG 003 006 0 K

336 3524011108101366 3524010101960002 FARID NUR ROHMAN LAMONGAN 09|04|1996 B L JEDUNG 003 006 0 K

337 3524011108101367 3524012202620001 SANUT LAMONGAN 22|02|1962 S L JEDUNG 003 006 0 K

338 3524011108101367 3524016006660001 TIWI LAMONGAN 20|06|1966 S P JEDUNG 003 006 0 K

339 3524011108101369 3524012702600001 TOMPO LAMONGAN 27|02|1960 S L JEDUNG 003 006 0 K

340 3524011108101369 3524014112630001 SRIPAH LAMONGAN 01|12|1963 S P JEDUNG 003 006 0 K

341 3524011108101369 3524010906860002 ANDIK SUSANTO LAMONGAN 09|06|1986 B L JEDUNG 003 006 0 K

342 3524011108101369 3524010303930001 YANTO LAMONGAN 03|03|1993 B L JEDUNG 003 006 0 K

343 3524011108101370 3524015710440001 SOGI LAMONGAN 17|10|1944 P P JEDUNG 003 006 0 K

344 3524011108101370 3524011809640001 KASIRIN LAMONGAN 18|09|1964 S L JEDUNG 003 006 0 K

345 3524011108101370 3524016803670001 RAMINI LAMONGAN 28|03|1967 S P JEDUNG 003 006 0 K

346 3524011108101370 3524011312860001 DIKUK LAMONGAN 13|12|1986 B L JEDUNG 003 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 106 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

347 3524011108101371 3524010712670001 SAMINGUN LAMONGAN 07|12|1967 S L JEDUNG 003 006 0 K

348 3524011108101371 3524014305700001 KASMI LAMONGAN 03|05|1970 S P JEDUNG 003 006 0 K

349 3524011108101372 3524011801540001 SIBAN LAMONGAN 18|01|1954 S L JEDUNG 003 006 0 K

350 3524011108101372 3524014401560001 SAINI LAMONGAN 04|01|1956 S P JEDUNG 003 006 0 K

351 3524011108101372 3524011505790001 SALOKO LAMONGAN 15|05|1979 B L JEDUNG 003 006 0 K

352 3524011108101372 3524021208860001 SUCIPTO LAMONGAN 12|08|1986 S L JEDUNG 003 006 0 K

353 3524011108101372 3524016703890001 SUNTARI LAMONGAN 27|03|1989 S P JEDUNG 003 006 0 K

354 3524011108101374 3524010102610001 SANTANU LAMONGAN 01|02|1961 S L JEDUNG 003 006 0 K

355 3524011108101374 3524014103720002 SRI SANTOSOWATI LAMONGAN 01|03|1972 S P JEDUNG 003 006 0 K

356 3524011108101374 3524015003010001 SRIATUN LAMONGAN 17|05|2002 B P JEDUNG 003 006 0 K

357 3524011108101375 3524014709480002 TANDUR LAMONGAN 07|09|1948 P P JEDUNG 003 006 0 K

358 3524011108101376 3524010509400001 GINTUN LAMONGAN 05|09|1940 S L JEDUNG 003 006 0 K

359 3524011108101376 3524015106600002 YATEMI LAMONGAN 11|06|1960 S P JEDUNG 003 006 0 K

360 3524011108101376 3524012509920001 AHMAD BASIR LAMONGAN 25|09|1992 B L JEDUNG 003 006 0 K

361 3524011108101376 3524015704000001 NUR ELISA NOVITA SARI LAMONGAN 17|05|2000 B P JEDUNG 003 006 0 K

362 3524011108101377 3524014812360001 KINEM LAMONGAN 08|12|1936 P P JEDUNG 003 006 0 K

363 3524011108101380 3524011210670002 TRISNO LAMONGAN 12|10|1967 S L JEDUNG 003 006 0 K

364 3524011108101380 3524017003690001 SAMINI LAMONGAN 30|03|1969 S P JEDUNG 003 006 0 K

365 3524011108101380 3524016406980001 TITIK LAMONGAN 24|06|1998 S P JEDUNG 003 006 0 K

366 3524011108101381 3524010502690001 SIROJUDIN LAMONGAN 05|02|1969 S L JEDUNG 003 006 0 K

367 3524011108101381 3524016310700001 NURUL KHOTIMAH NGANJUK 23|10|1970 S P JEDUNG 003 006 0 K

368 3524011108101381 3524011012930001 MUHAMAD HISYAM ASHARI LAMONGAN 10|12|1993 B L JEDUNG 003 006 0 K

369 3524011108101381 3524010104980004 MAULANA AHMAD LAMONGAN 31|03|1998 B L JEDUNG 003 006 0 K

370 3524011108101405 3524011906810001 MUALI LAMONGAN 19|06|1981 S L JEDUNG 003 006 0 K

371 3524011108101405 3524014802820002 MARTIWI LAMONGAN 08|02|1982 S P JEDUNG 003 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 107 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

372 3524011108101405 3524015606020001 WINANDA FERIAWAN LAMONGAN 07|05|2002 B L JEDUNG 003 006 0 K

373 3524011108101407 3524010309760002 PARMIN LAMONGAN 03|09|1976 S L JEDUNG 003 006 0 K

374 3524011108101407 3524014301860001 WARNI LAMONGAN 03|01|1986 S P JEDUNG 003 006 0 K

375 3524011108101407 3524012309020001 DANDI LASMANA LAMONGAN 01|01|2001 B L JEDUNG 003 006 0 K

376 3524011108101410 3524010409760002 SAENO LAMONGAN 04|09|1976 S L JEDUNG 003 006 0 K

377 3524011108101410 3524010202000001 ALDY PRATAMA LAMONGAN 11|09|2000 B L JEDUNG 003 006 0 K

378 3524011108101416 3524010706520001 SAIRIN LAMONGAN 07|06|1952 P L JEDUNG 003 006 0 K

379 3524011108101416 3524014407720001 DEWI LAMONGAN 04|07|1972 S P JEDUNG 003 006 0 K

380 3524011108101651 3524012502780001 DARSONO LAMONGAN 25|02|1978 S L JEDUNG 003 006 0 K

381 3524011108101651 3524015605820002 RUKMIATI LAMONGAN 16|05|1982 S P JEDUNG 003 006 0 K

382 3524011108101651 3524010902030001 TAUFIK NUR HIDAYAT LAMONGAN 09|02|2003 B L JEDUNG 003 006 0 K

383 3524011108101947 3524011104670001 SUMBER LAMONGAN 11|04|1967 S L JEDUNG 003 006 0 K

384 3524011108101947 3524015702730001 SUKINI LAMONGAN 17|02|1973 S P JEDUNG 003 006 0 K

385 3524011108101947 3524010612030002 KHOIRUDIN MU'ANAM LAMONGAN 06|12|2003 B L JEDUNG 003 006 0 B

386 3524011108101952 3524010911800001 MULYONO LAMONGAN 09|11|1980 S L JEDUNG 003 006 0 K

387 3524011108101952 3524015308850001 HARNANIK LAMONGAN 13|08|1985 S P JEDUNG 003 006 0 K

388 3524011108101998 3524011211740001 PAIMIN LAMONGAN 12|11|1974 S L JEDUNG 003 006 0 K

389 3524011108101998 3524015202760001 SRIANI LAMONGAN 12|02|1976 S P JEDUNG 003 006 0 K

390 3524011108101998 3524015210970002 PARTIAH LAMONGAN 10|12|1997 B P JEDUNG 003 006 0 K

391 3524011108101998 3524010112020001 RIZKI MUJIYAN LAMONGAN 01|12|2002 B L JEDUNG 003 006 0 K

392 3524011108102009 3524010312700002 SABIDIN BOJONEGORO 03|12|1970 S L JEDUNG 003 006 0 K

393 3524011108102009 3524016812800001 YULINARSIH LAMONGAN 28|12|1980 S P JEDUNG 003 006 0 K

394 3524011108102009 3524011508000003 AHMAD BASYARUDIN LAMONGAN 15|08|2000 B L JEDUNG 003 006 0 K

395 3524011108102019 3524015204650005 SUWARNI LAMONGAN 13|10|1966 S P JEDUNG 003 006 0 K

396 3524011108102019 3524012010670002 YADI LAMONGAN 20|10|1967 S L JEDUNG 003 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 108 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

397 3524011108102019 3524015506960001 MELIA DWI RAHAYU LAMONGAN 10|02|1996 B P JEDUNG 003 006 0 K

398 3524011108102053 3524011002600002 MULYADI JOMBANG 10|02|1960 S L JEDUNG 003 006 0 K

399 3524011108102053 3524015908650001 TEMI LAMONGAN 19|08|1965 S P JEDUNG 003 006 0 K

400 3524011108102053 3524011608850002 IRAWAN LAMONGAN 16|08|1985 S L JEDUNG 003 006 0 K

401 3524011108102053 3524016506860001 SUMIRAH BLORA 25|06|1986 S P JEDUNG 003 006 0 K

402 3524011108102145 3524015512710002 DEWI MAYA SARI LAMONGAN 15|12|1971 P P JEDUNG 003 006 0 K

403 3524011108102219 3524013001720001 RASIT LAMONGAN 30|01|1972 S L JEDUNG 003 006 0 K

404 3524011108102219 3524015902880001 SRIATON LAMONGAN 19|02|1988 S P JEDUNG 003 006 0 K

405 3524011108102223 3524016612420001 YATEMAH LAMONGAN 26|12|1942 P P JEDUNG 003 006 0 K

406 3524011108102232 3524014712580001 SAEMAH LAMONGAN 07|12|1958 P P JEDUNG 003 006 0 K

407 3524011108102236 3524016705750001 SUHERNI LAMONGAN 27|05|1975 S P Dsn. JEDUNG 003 006 0 K

408 3524011108102236 3524011610830001 YAMIS SETIYANTO LAMONGAN 16|10|1983 S L Dsn. JEDUNG 003 006 0 K

409 3524011108102251 3524012011660001 JAMIN LAMONGAN 20|11|1966 S L JEDUNG 003 006 0 K

410 3524011108102251 3524015205830003 DASINING LAMONGAN 12|05|1983 S P JEDUNG 003 006 0 K

411 3524011108102251 3524011610000001 TEDY KUSUMA LAMONGAN 16|10|2000 B L JEDUNG 003 006 0 K

412 3524011411180002 3524011001850001 PAIKIN LAMONGAN 10|01|1985 S L JEDUNG 003 006 0 K

413 3524011411180002 3524016505910002 TIKA RAHAYU LAMONGAN 25|05|1991 S P JEDUNG 003 006 0 K

414 3524011609160002 3524011005850001 PUTUT SUDARYANTO LAMONGAN 10|05|1985 S L JEDUNG 003 006 0 K

415 3524011609160002 3524014403900001 NURYATI LAMONGAN 04|03|1990 S P JEDUNG 003 006 0 K

416 3524011909130001 3524010305860001 YUSDIANTO LAMONGAN 03|05|1986 S L JEDUNG 003 006 0 K

417 3524011909130001 3525034903910002 DWI RAHAYU GRESIK 09|03|1991 S P JEDUNG 003 006 0 K

418 3524012006140002 3524012209850001 GANDA HEMAWAN LAMONGAN 22|09|1985 S L JEDUNG 003 006 0 K

419 3524012006140002 3524014910940001 WARTIK LAMONGAN 19|08|1993 S P JEDUNG 003 006 0 K

420 3524010910190001 3524010401800002 SISWANTO LAMONGAN 04|01|1980 S L JEDUNG 004 006 0 K

421 3524010910190001 3522120507880001 JASMANI BOJONEGORO 05|07|1988 S P JEDUNG 004 006 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 109 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14
Keterangan Perkawinan = 421 Keterangan Disabilitas = 1 Keterangan Status Perekaman KTP-el = 421
B : Belum Kawin = 76 1: Disabilitas Fisik B : Belum Rekam = 6 Ditetapkan di LAMONGAN, Tanggal 16 Oktober 2020
S : Kawin = 311 2: Disabilitas Intelektual = 1 S : Sudah Rekam (Suket) KPU KABUPATEN LAMONGAN
P : Pernah Kawin = 34 3: Disabilitas Mental K : Sudah Rekam (KTP-el) = 415 KETUA
4: Disabilitas Sensorik
Jenis Kelamin = 421
L : Laki-Laki = 212
P : Perempuan = 209 MAHRUS ALI, S.Pd
KK = 181

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-007 Hal 110 dari 142


Model A.3-KWK

Model A.3-KWK
DAFTAR PEMILIH TETAP
PEMILIHAN BUPATI DAN WAKIL BUPATI LAMONGAN
TAHUN 2020
PROVINSI : JAWA TIMUR KECAMATAN : SUKORAME
KABUPATEN : LAMONGAN DESA/KELURAHAN : KEDUNGKUMPUL
TPS : 008
TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN
BILITAS
KTP-EL KETERANGAN
B/S/P L/P JALAN/DUKUH RT RW (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 3524011108102084 3524011704610001 MARDI LAMONGAN 17|04|1961 S L JEDUNG 002 005 0 K

2 3524011108102084 3524014701680001 SIPUK LAMONGAN 07|01|1968 S P JEDUNG 002 005 0 K

3 3524011108102084 3524011804810001 SUMARTO LAMONGAN 18|04|1981 S L JEDUNG 002 005 0 K

4 3524011108102084 3524014204890001 IDA ZULIATI LAMONGAN 02|04|1989 S P JEDUNG 002 005 0 K

5 3524010411110624 3524010611830001 SUPANGAT LAMONGAN 06|11|1983 P L LAMPEAN 001 007 0 K

6 3524010502160002 3524011002820001 SARNO LAMONGAN 10|02|1982 S L LAMPEYAN 001 007 0 K

7 3524010502160002 3524014207900001 LUSIATI LAMONGAN 02|07|1990 S P LAMPEYAN 001 007 0 K

8 3524010702180004 3524014101830005 WINARSIH LAMONGAN 01|01|1983 S P LAMPEYAN 001 007 0 K

9 3524011012150001 3524010504920002 RUDI HARIANTO LAMONGAN 05|04|1992 S L LAMPEYAN 001 007 0 K

10 3524011012150001 3524016110940001 I'IS DWI MAYASARI LAMONGAN 21|09|1994 S P LAMPEYAN 001 007 0 K

11 3524011108101024 3524015207610001 JASMINING LAMONGAN 12|07|1961 S P LAMPEYAN 001 007 0 K

12 3524011108101026 3524012501400001 JAEMAN LAMONGAN 25|01|1940 S L LAMPEYAN 001 007 0 K

13 3524011108101026 3524014212500001 SAEMAH LAMONGAN 02|12|1950 S P LAMPEYAN 001 007 0 K

14 3524011108101027 3524012211840002 RUSDIANTO LAMONGAN 22|11|1984 S L LAMPEYAN 001 007 0 K

15 3524011108101027 3524014909910001 SULIS SETIYOWATI LAMONGAN 15|01|1993 S P LAMPEYAN 001 007 0 K

16 3524011108101029 3524011106660001 SUMIJAN LAMONGAN 11|06|1966 S L LAMPEYAN 001 007 0 K

17 3524011108101029 3524014602700001 TAMISRI LAMONGAN 06|02|1970 S P LAMPEYAN 001 007 0 K

18 3524011108101030 3524011102660002 PARLIN LAMONGAN 11|02|1966 S L LAMPEYAN 001 007 0 K

19 3524011108101030 3524014109700001 SUPARTINING LAMONGAN 01|09|1970 S P LAMPEYAN 001 007 0 K

20 3524011108101031 3524011202400001 KASDI LAMONGAN 12|02|1940 S L LAMPEYAN 001 007 0 K

21 3524011108101032 3524015907520001 YATMINAH LAMONGAN 19|07|1952 P P LAMPEYAN 001 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 111 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

22 3524011108101032 3524011811700001 SUPRIADI LAMONGAN 10|02|1973 S L LAMPEYAN 001 007 0 K

23 3524011108101032 3524015202750001 JUMIATI LAMONGAN 30|04|1982 S P LAMPEYAN 001 007 0 K

24 3524011108101032 3524012003030001 YERIS SUKISNO LAMONGAN 20|03|2003 B L LAMPEYAN 001 007 0 K

25 3524011108101033 3524011107760002 BAHNO LAMONGAN 11|07|1976 S L LAMPEYAN 001 007 0 K

26 3524011108101033 3524014607830001 NARWIN LAMONGAN 06|07|1983 S P LAMPEYAN 001 007 0 K

27 3524011108101036 3524014306410001 SAMIAH LAMONGAN 03|06|1941 S P LAMPEYAN 001 007 0 K

28 3524011108101037 3524014602700002 SAINING LAMONGAN 06|02|1970 S P LAMPEYAN 001 007 0 K

29 3524011108101037 3524012501910003 ARISJAYA LAMONGAN 25|01|1991 B L LAMPEYAN 001 007 0 K

30 3524011108101037 3524012001930003 ABUT RAMADHAN LAMONGAN 20|01|1993 B L LAMPEYAN 001 007 0 K

31 3524011108101039 3524014907520001 PARMI LAMONGAN 09|07|1952 P P LAMPEYAN 001 007 0 K

32 3524011108101039 3524014607710001 SUMARMI LAMONGAN 06|07|1971 S P LAMPEYAN 001 007 0 K

33 3524011108101039 3524010206740001 LAMIJO LAMONGAN 02|06|1974 S L LAMPEYAN 001 007 0 K

34 3524011108101040 3524011201480002 SARIBI LAMONGAN 12|01|1948 S L LAMPEYAN 001 007 0 K

35 3524011108101040 3524014101560017 SUMINING LAMONGAN 01|01|1956 S P LAMPEYAN 001 007 0 K

36 3524011108101044 3524014407300001 SUMIRAH LAMONGAN 04|07|1930 S P LAMPEYAN 001 007 0 K

37 3524011108101044 3524010101880006 SLAMET LAMONGAN 01|01|1988 S L LAMPEYAN 001 007 0 K

38 3524011108101044 3524017006940001 DEWI NURMALA SARI LAMONGAN 30|06|1994 S P LAMPEYAN 001 007 0 K

39 3524011108101048 3524010909610001 SUHARDI TRENGGALEK 09|09|1961 S L LAMPEYAN 001 007 0 K

40 3524011108101048 3524014304630001 SAMINEM LAMONGAN 03|04|1963 S P LAMPEYAN 001 007 0 K

41 3524011108101049 3524010412660001 WARSAN LAMONGAN 04|12|1966 S L LAMPEYAN 001 007 0 K

42 3524011108101049 3524015107710001 RAWI LAMONGAN 11|07|1971 S P LAMPEYAN 001 007 0 K

43 3524011108101049 3524012905800003 NARSO LAMONGAN 29|05|1980 S L LAMPEYAN 001 007 0 K

44 3524011108101049 3524015808900002 WARNI LAMONGAN 18|08|1990 S P LAMPEYAN 001 007 0 K

45 3524011108101049 3524011312940002 DIDIK IRAWAN LAMONGAN 13|12|1994 B L LAMPEYAN 001 007 0 K

46 3524011108101050 3524010507610001 WARAS LAMONGAN 05|07|1961 S L LAMPEYAN 001 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 112 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

47 3524011108101050 3524014711710002 MURTILAH LAMONGAN 07|11|1971 S P LAMPEYAN 001 007 0 K

48 3524011108101051 3524010101740012 WARIJO LAMONGAN 01|01|1974 S L LAMPEYAN 001 007 0 K

49 3524011108101051 3524014103780001 SUNARTIK LAMONGAN 01|03|1978 S P LAMPEYAN 001 007 0 K

50 3524011108101051 3524011107990001 NARDI LAMONGAN 11|07|1999 B L LAMPEYAN 001 007 0 K

51 3524011108101052 3524015110560001 TARMINAH LAMONGAN 11|10|1956 S P LAMPEYAN 001 007 0 K

52 3524011108101052 3524010107620001 PAEMIN LAMONGAN 01|07|1962 S L LAMPEYAN 001 007 0 K

53 3524011108101052 3524010101010002 SLAMET LAMONGAN 01|01|2001 B L LAMPEYAN 001 007 0 K

54 3524011108101053 3524014807570001 RAMINING LAMONGAN 08|07|1957 P P LAMPEYAN 001 007 0 K

55 3524011108101053 3524011207710001 SUMALI MADIUN 12|07|1971 S L LAMPEYAN 001 007 0 K

56 3524011108101053 3524014512810001 RUSMIATI LAMONGAN 05|12|1981 S P LAMPEYAN 001 007 0 K

57 3524011108101053 3524014808020001 YULIANA PERMATASARI LAMONGAN 08|08|2002 B P LAMPEYAN 001 007 0 K

58 3524011108101054 3524010902610001 SAIT LAMONGAN 09|02|1961 S L LAMPEYAN 001 007 0 K

59 3524011108101054 3524014101610017 LASINI LAMONGAN 01|01|1961 S P LAMPEYAN 001 007 0 K

60 3524011108101055 3524010101510011 RADISAN LAMONGAN 01|01|1951 S L LAMPEYAN 001 007 0 K

61 3524011108101055 3524014809560001 SINING LAMONGAN 08|09|1956 S P LAMPEYAN 001 007 0 K

62 3524011108101055 3524014808970001 PIPIN ASTI LAMONGAN 08|08|1997 B P LAMPEYAN 001 007 0 K

63 3524011108101057 3524010606550001 SIRUN LAMONGAN 06|06|1955 S L LAMPEYAN 001 007 0 K

64 3524011108101057 3524015207680002 WIJI LAMONGAN 12|07|1968 S P LAMPEYAN 001 007 0 K

65 3524011108101057 3524015412950001 RINDIANI LAMONGAN 14|12|1995 P P LAMPEYAN 001 007 0 K

66 3524011108101522 3524011206700002 PAIRI LAMONGAN 12|06|1970 S L LAMPEYAN 001 007 0 K

67 3524011108101522 3524015202740002 TASEMI LAMONGAN 12|02|1974 S P LAMPEYAN 001 007 0 K

68 3524011108101523 3524010603510001 JASMINI LAMONGAN 06|03|1951 P L LAMPEYAN 001 007 0 K

69 3524011108101523 3524012107600001 SAMADI LAMONGAN 21|07|1960 S L LAMPEYAN 001 007 0 K

70 3524011108101523 3524015201700001 KUSMIATI LAMONGAN 12|01|1970 S P LAMPEYAN 001 007 0 K

71 3524011108101527 3524011109710001 LAMORAN LAMONGAN 11|09|1971 S L LAMPEYAN 001 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 113 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

72 3524011108101527 3524014810710001 SILIN LAMONGAN 08|10|1971 S P LAMPEYAN 001 007 0 K

73 3524011108101527 3524010908860001 CIPTO SUGIONO LAMONGAN 09|08|1986 B L LAMPEYAN 001 007 0 K

74 3524011108101527 3524012605880001 ILUK LAMONGAN 26|05|1988 B L LAMPEYAN 001 007 0 K

75 3524011108101528 3524010101610028 TASEMAT LAMONGAN 01|01|1961 S L LAMPEYAN 001 007 0 K

76 3524011108101528 3524014102650001 YATEMI LAMONGAN 01|02|1965 S P LAMPEYAN 001 007 0 B

77 3524011108101530 3524015005710002 WIWIK LAMONGAN 10|05|1971 P P LAMPEYAN 001 007 0 K

78 3524011108101531 3524015709450001 KASINI LAMONGAN 17|09|1945 P P LAMPEYAN 001 007 0 K

79 3524011108101531 3524015102760001 LILIK SEYOWATI LAMONGAN 11|02|1976 P P LAMPEYAN 001 007 0 K

80 3524011108101531 3524014211020001 INDRA KURNIAWAN LAMONGAN 20|01|2003 B L LAMPEYAN 001 007 0 K

81 3524011108102041 3524011906570001 WIDYATMADI MALANG 19|06|1957 S L LAMPEYAN 001 007 0 K

82 3524011108102041 3524014907920001 INDAH SUWARNI LAMONGAN 09|07|1992 S P LAMPEYAN 001 007 0 K

83 3524011108102075 3524011012600001 DARNO NGANJUK 15|12|1960 S L LAMPEYAN 001 007 0 K

84 3524011108102075 3524016111750001 SRI HANDAYANI LAMONGAN 21|11|1975 S P LAMPEYAN 001 007 0 K

85 3524011108102075 3516170505870003 ARIEF PRASETIYO MOJOKERTO 05|05|1987 S L LAMPEYAN 001 007 0 K

86 3524011108102075 3524012006000001 BUDI SETYO LAMONGAN 05|10|1998 B L LAMPEYAN 001 007 0 K

87 3524011108102075 3524016301030001 ALFI DAMAYANTI LAMONGAN 23|01|2003 S P LAMPEYAN 001 007 0 K

88 3524011108102076 3524012505520001 BUNARI LAMONGAN 25|05|1952 S L LAMPEYAN 001 007 0 K

89 3524011108102076 3524016011610001 MASINI LAMONGAN 20|11|1961 S P LAMPEYAN 001 007 0 K

90 3524011108102082 3524012106770001 MURADI LAMONGAN 21|06|1977 S L LAMPEYAN 001 007 0 K

91 3524011108102082 3524015909800001 SEMI MEINDA OKTAVIA LAMONGAN 19|09|1980 S P LAMPEYAN 001 007 0 K

92 3524011108102082 3523020107940107 NUR SALAM TUBAN 06|07|1994 S L LAMPEYAN 001 007 0 K

93 3524011108102082 3524016908030002 SELVIA AGUSTIN LAMONGAN 29|08|2003 S P LAMPEYAN 001 007 0 K

94 3524011108102200 3524010805800001 PAINO LAMONGAN 08|05|1980 S L LAMPEYAN 001 007 0 K

95 3524011108102200 3524014204840003 SUPINI LAMONGAN 02|04|1984 S P LAMPEYAN 001 007 0 K

96 3524011108102228 3524010101800008 SUKRI LAMONGAN 01|01|1980 S L Dsn. LAMPEYAN 001 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 114 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

97 3524011108102228 3524014712840001 WARNING LAMONGAN 07|12|1984 S P Dsn. LAMPEYAN 001 007 0 K

98 3524011108102239 3524010311800003 NARTO LAMONGAN 03|11|1980 S L LAMPEAN 001 007 0 K

99 3524011108102239 3524015203840002 PARIYEM LAMONGAN 12|03|1984 S P LAMPEAN 001 007 0 K

100 3524011108102246 3524010607760001 SUTARNO LAMONGAN 06|07|1976 S L LAMPEYAN 001 007 0 K

101 3524011108102246 3524014607760001 SIWIK LAMONGAN 06|07|1976 S P LAMPEYAN 001 007 0 K

102 3524011308180001 3524010702970001 DIMAS SAPUTRO LAMONGAN 07|02|1997 S L LAMPEYAN 001 007 0 K

103 3524011308180001 3524016909990002 SELVIKA ELENA SEPTENIA LAMONGAN 29|09|1999 S P LAMPEYAN 001 007 0 K

104 3524011704180001 3524012102930001 LESMONO WIBOWO LAMONGAN 21|02|1993 S L LAMPEYAN 001 007 0 K

105 3524011704180001 3524046011940002 JANATUN NA'IM ELY NOPITA LAMONGAN 20|11|1994 S P LAMPEYAN 001 007 0 K

106 3524011710180005 3507012406960002 ANDIKA ARISTAN MALANG 24|06|1996 S L LAMPEYAN 001 007 0 K

107 3524011710180005 3524014808960001 CITRA ISYANI LAMONGAN 08|08|1996 S P LAMPEYAN 001 007 0 K

108 3524012105140002 3524010108450001 SALI LAMONGAN 01|08|1945 P L LAMPEYAN 001 007 0 K

109 3524012105140002 3524011207880001 TITUK PUJIANTO LAMONGAN 12|07|1988 S L LAMPEYAN 001 007 0 K

110 3524012105140002 3524015102920001 SUKARTI LAMONGAN 11|02|1992 S P LAMPEYAN 001 007 0 K

111 3524012601180001 3519060407770002 PARNO MADIUN 04|07|1977 S L LAMPEYAN 001 007 0 K

112 3524012601180001 3524015608800002 JUMI SRIASIH LAMONGAN 16|08|1980 S P LAMPEYAN 001 007 0 K

113 3524012601180001 3524014304030001 ELSA FIRMANDA AYU PUSPITA SARI LAMONGAN 03|04|2003 B P LAMPEYAN 001 007 0 K

114 3524013004120006 3524011112800001 TRI MURTADO LAMONGAN 11|12|1980 S L LAMPEAN 001 007 0 K

115 3524013004120006 3524015305870001 WARSITI LAMONGAN 13|05|1987 S P LAMPEAN 001 007 0 K

116 3524010208160002 3524010606800002 SUWARNO LAMONGAN 06|06|1980 B L LAMPEYAN 002 007 0 K

117 3524010411110624 3524011603910005 PRAYITNO LAMONGAN 16|05|1991 B L LAMPEYAN 002 007 0 K

118 3524010509140004 3524011707790001 AGUS TRISWANTO LAMONGAN 17|07|1979 S L LAMPEYAN 002 007 0 K

119 3524010509140004 3524015102900002 YULIS LAMONGAN 11|02|1990 S P LAMPEYAN 002 007 0 K

120 3524010708170001 3522081709850002 WAJI BOJONEGORO 17|09|1985 S L LAMPEYAN 002 007 0 K

121 3524010708170001 3524014101930004 PURWATI LAMONGAN 01|01|1993 S P LAMPEYAN 002 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 115 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

122 3524010808170003 3517151201860001 WASIS JOMBANG 12|01|1986 S L LAMPEYAN 002 007 0 K

123 3524010808170003 3524014101980002 TIA KOFIA SARI LAMONGAN 13|09|1997 S P LAMPEYAN 002 007 0 K

124 3524011102130002 3524011601770001 PAIJI LAMONGAN 16|01|1977 S L LAMPEYAN 002 007 0 K

125 3524011102130002 3524011204790004 WARAS LAMONGAN 12|04|1979 S L LAMPEYAN 002 007 0 K

126 3524011102130002 3524014101860003 SAMINAH LAMONGAN 01|01|1986 S P LAMPEYAN 002 007 0 K

127 3524011102130002 3524011906020001 YOGI ARIS PRATAMA LAMONGAN 19|08|2003 B L LAMPEYAN 002 007 0 K

128 3524011108101009 3524014101620019 SUPIK LAMONGAN 01|01|1962 P P LAMPEYAN 002 007 0 K

129 3524011108101009 3524016012020001 PUTRI UTAMI LAMONGAN 20|12|2002 B P LAMPEYAN 002 007 0 K

130 3524011108101012 3524011208690002 SUMIJAN BOJONEGORO 12|08|1969 S L LAMPEYAN 002 007 0 K

131 3524011108101012 3524014201690001 TASMINING LAMONGAN 02|01|1969 S P LAMPEYAN 002 007 0 K

132 3524011108101012 3524010101950005 YOYOK SAILANDI LAMONGAN 17|10|1995 S L LAMPEYAN 002 007 0 K

133 3524011108101012 3524014402980003 SANIKA LAMONGAN 04|02|1998 S P LAMPEYAN 002 007 0 K

134 3524011108101015 3524010112620001 JAEKAN LAMONGAN 01|12|1962 S L LAMPEYAN 002 007 0 K

135 3524011108101015 3524014603630001 PANITI LAMONGAN 06|03|1963 S P LAMPEYAN 002 007 0 K

136 3524011108101015 3524014603880001 ANIS SISWATI LAMONGAN 06|03|1988 S P LAMPEYAN 002 007 0 K

137 3524011108101015 3524011609030002 M AINUR ROZIQIN LAMONGAN 16|09|2003 B L LAMPEYAN 002 007 0 K

138 3524011108101016 3524011207630001 WARAS LAMONGAN 12|07|1963 S L LAMPEYAN 002 007 0 K

139 3524011108101016 3524014102700004 PANISIH LAMONGAN 01|02|1970 S P LAMPEYAN 002 007 0 K

140 3524011108101016 3524014712920001 YANI SUSILO LAMONGAN 23|06|1992 B L LAMPEYAN 002 007 0 K

141 3524011108101017 3524010501730001 SUKRI LAMONGAN 05|01|1973 S L LAMPEYAN 002 007 0 K

142 3524011108101017 3524014501750002 KASTI LAMONGAN 05|01|1975 S P LAMPEYAN 002 007 0 K

143 3524011108101017 3524011410010001 INDRA OKTA FIRMANDA LAMONGAN 14|10|2001 B L LAMPEYAN 002 007 0 K

144 3524011108101018 3524010401550001 SUBANI JOMBANG 04|01|1955 S L LAMPEYAN 002 007 0 K

145 3524011108101018 3524016101600001 RANTI LAMONGAN 21|01|1960 S P LAMPEYAN 002 007 0 K

146 3524011108101018 3524011009890001 GENDUT SISWO LAMONGAN 10|09|1989 S L LAMPEYAN 002 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 116 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

147 3524011108101018 3524014202950001 RENI SRI RAHAYU LAMONGAN 02|02|1995 S P LAMPEYAN 002 007 0 K

148 3524011108101019 3524011204500001 MIRAN LAMONGAN 12|04|1950 S L LAMPEYAN 002 007 0 K

149 3524011108101019 3524014201520001 MARNI LAMONGAN 02|01|1952 S P LAMPEYAN 002 007 0 K

150 3524011108101019 3524010701730001 SUWARDI LAMONGAN 07|01|1973 S L LAMPEYAN 002 007 0 K

151 3524011108101019 3524016001830002 MINAH LAMONGAN 20|01|1983 S P LAMPEYAN 002 007 0 K

152 3524011108101021 3524016208750001 SUBATI LAMONGAN 22|08|1975 P P LAMPEYAN 002 007 0 K

153 3524011108101041 3524010101700013 TIRAN LAMONGAN 01|01|1970 S L LAMPEYAN 002 007 0 K

154 3524011108101041 3524014101710005 SANTIK LAMONGAN 01|01|1971 S P LAMPEYAN 002 007 0 K

155 3524011108101058 3524016407560001 SITIN LAMONGAN 24|07|1956 S P LAMPEYAN 002 007 0 K

156 3524011108101059 3524016202430001 SIBAH LAMONGAN 22|02|1943 P P LAMPEYAN 002 007 0 K

157 3524011108101059 3524012202610001 SELAMET LAMONGAN 22|02|1961 S L LAMPEYAN 002 007 0 K

158 3524011108101059 3524016212640001 PAIMI LAMONGAN 22|12|1964 S P LAMPEYAN 002 007 0 K

159 3524011108101059 3524011207860001 PARJI LAMONGAN 12|07|1986 S L LAMPEYAN 002 007 0 K

160 3524011108101059 3524016202910001 DARPIK LAMONGAN 22|02|1991 S P LAMPEYAN 002 007 0 K

161 3524011108101060 3524012207800002 SUTIKNO LAMONGAN 22|07|1980 S L LAMPEYAN 002 007 0 K

162 3524011108101060 3524016207840001 UMIATI LAMONGAN 22|07|1984 S P LAMPEYAN 002 007 0 K

163 3524011108101062 3524010404620001 SAMINGUN LAMONGAN 04|04|1962 S L LAMPEYAN 002 007 0 K

164 3524011108101062 3524014404640002 SULIYAT LAMONGAN 04|04|1964 S P LAMPEYAN 002 007 0 K

165 3524011108101062 3524013012780001 DAMIRIN LAMONGAN 30|12|1978 S L LAMPEYAN 002 007 0 K

166 3524011108101062 3524010404850001 SRIATI LAMONGAN 04|04|1985 S L LAMPEYAN 002 007 0 K

167 3524011108101062 3524011303020001 SUGIK LAMONGAN 13|03|2002 B L LAMPEYAN 002 007 0 K

168 3524011108101302 3524010101710010 PAERAN LAMONGAN 01|01|1971 S L LAMPEYAN 002 007 0 K

169 3524011108101302 3524014101750011 SUMIJAS LAMONGAN 01|01|1975 S P LAMPEYAN 002 007 0 K

170 3524011108101302 3524016106960001 DYAH FITA LESTARI LAMONGAN 26|12|1995 B P LAMPEYAN 002 007 0 K

171 3524011108101474 3524010101680025 LAMIJO LAMONGAN 01|01|1968 S L LAMPEYAN 002 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 117 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

172 3524011108101475 3524010101700022 SUJONO LAMONGAN 01|01|1970 S L LAMPEYAN 002 007 0 K

173 3524011108101475 3524014101740014 PARIYEM LAMONGAN 01|01|1974 S P LAMPEYAN 002 007 0 K

174 3524011108101475 3524010101930005 AHMAT SUGANDA LAMONGAN 12|06|1999 B L LAMPEYAN 002 007 0 K

175 3524011108101476 3524010101740007 SETU LAMONGAN 01|01|1974 S L LAMPEYAN 002 007 0 K

176 3524011108101476 3524014101750012 PRIANTI LAMONGAN 01|01|1975 S P LAMPEYAN 002 007 0 K

177 3524011108101476 3524014101010002 PIYA ERNASARI LAMONGAN 06|11|2000 B P LAMPEYAN 002 007 0 K

178 3524011108101477 3524010101690017 SAMAN LAMONGAN 01|01|1969 S L LAMPEYAN 002 007 0 K

179 3524011108101477 3524014101700013 SUTI'AH LAMONGAN 01|01|1970 S P LAMPEYAN 002 007 0 K

180 3524011108101477 3524014606910004 SRI WAHYUNI LAMONGAN 06|06|1991 S P LAMPEYAN 002 007 0 K

181 3524011108101478 3524010907570001 DARMO LAMONGAN 09|07|1957 P L LAMPEYAN 002 007 0 K

182 3524011108101478 3524010907740001 SUMINO LAMONGAN 09|07|1974 S L LAMPEYAN 002 007 0 K

183 3524011108101478 3524014907760002 JASMINAH LAMONGAN 09|07|1976 S P LAMPEYAN 002 007 0 K

184 3524011108101480 3524010808650001 SUKAWI LAMONGAN 08|08|1965 S L LAMPEYAN 002 007 0 K

185 3524011108101480 3524014808730002 SARIMAH LAMONGAN 08|08|1973 S P LAMPEYAN 002 007 0 K

186 3524011108101480 3524010101780012 SAMPURDI LAMONGAN 01|01|1978 S L LAMPEYAN 002 007 0 K

187 3524011108101480 3524014401930002 LASMINI LAMONGAN 04|01|1993 S P LAMPEYAN 002 007 0 K

188 3524011108101480 3524010808970001 JOKO SUDIRO LAMONGAN 08|08|1997 B L LAMPEYAN 002 007 0 B

189 3524011108101491 3524014702890001 IRMA ERVIANA LAMONGAN 07|02|1989 S P LAMPEYAN 002 007 0 K

190 3524011108101509 3524015705700001 RANTINING LAMONGAN 17|05|1970 S P LAMPEYAN 002 007 0 K

191 3524011108101541 3524010304730001 PARDI LAMONGAN 03|04|1973 S L LAMPEYAN 002 007 0 K

192 3524011108101541 3524014401750001 MUSLIAH LAMONGAN 04|01|1975 S P LAMPEYAN 002 007 0 K

193 3524011108101541 3524011501980001 RIAN HERMAWAN LAMONGAN 15|01|1998 B L LAMPEYAN 002 007 0 K

194 3524011108101554 3524010101550026 PARNU LAMONGAN 01|01|1955 S L LAMPEYAN 002 007 0 K

195 3524011108101554 3524015101600003 TINAH LAMONGAN 11|01|1960 S P LAMPEYAN 002 007 0 K

196 3524011108101555 3524010101680026 TOKOL LAMONGAN 01|01|1968 S L LAMPEYAN 002 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 118 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

197 3524011108101555 3524014101730008 TINING LAMONGAN 01|01|1973 S P LAMPEYAN 002 007 0 K

198 3524011108101556 3524010101700023 PARSAM BOJONEGORO 01|01|1970 S L LAMPEYAN 002 007 0 K

199 3524011108101556 3524014101800009 KASMIATI LAMONGAN 01|01|1980 S P LAMPEYAN 002 007 0 K

200 3524011108101558 3524010101640032 SUPAR LAMONGAN 01|01|1964 S L LAMPEYAN 002 007 0 K

201 3524011108101558 3524014101720013 SRIWI LAMONGAN 01|01|1972 S P LAMPEYAN 002 007 0 K

202 3524011108101558 3524014101930003 WARIATI LAMONGAN 12|01|1993 S P LAMPEYAN 002 007 0 K

203 3524011108101559 3524015101660002 PARMI LAMONGAN 11|01|1966 S P LAMPEYAN 002 007 0 K

204 3524011108101559 3524010402030001 ROKIM LAMONGAN 04|02|2003 B L LAMPEYAN 002 007 0 K

205 3524011108101560 3524010101620022 SUKIMAN LAMONGAN 01|01|1962 S L LAMPEYAN 002 007 0 K

206 3524011108101562 3524011101630002 SUKIR LAMONGAN 11|01|1963 S L LAMPEYAN 002 007 0 K

207 3524011108101562 3524014101700014 SUMIYAS LAMONGAN 01|01|1970 S P LAMPEYAN 002 007 0 K

208 3524011108101562 3524015711940001 MELINDA NOFIYANTI LAMONGAN 17|11|1994 B P LAMPEYAN 002 007 0 K

209 3524011108101563 3524010101650031 MIRAN LAMONGAN 01|01|1965 S L LAMPEYAN 002 007 0 K

210 3524011108101563 3524014101710016 DARMI LAMONGAN 01|01|1971 S P LAMPEYAN 002 007 0 K

211 3524011108101564 3524014101750015 LAMINING LAMONGAN 01|01|1975 S P LAMPEYAN 002 007 0 K

212 3524011108101565 3524011101740001 SUGIANTO LAMONGAN 11|01|1974 S L LAMPEYAN 002 007 0 K

213 3524011108101565 3524014101760015 SUJASMINI LAMONGAN 01|01|1976 S P LAMPEYAN 002 007 0 K

214 3524011108101565 3524014101010004 NITA FITRIANI LAMONGAN 13|11|2000 B P LAMPEYAN 002 007 0 K

215 3524011108101566 3524011101500001 KEMIS LAMONGAN 11|01|1950 S L LAMPEYAN 002 007 0 K

216 3524011108101566 3524014101550026 RUKEMAH LAMONGAN 01|01|1955 S P LAMPEYAN 002 007 0 K

217 3524011108101567 3524010101650033 SATIMIN LAMONGAN 01|01|1965 S L LAMPEYAN 002 007 0 K

218 3524011108101567 3524014101740015 SAYI LAMONGAN 01|01|1974 S P LAMPEYAN 002 007 0 K

219 3524011108101567 3524011801970001 SUGIANTO LAMONGAN 18|01|1997 S L LAMPEYAN 002 007 0 K

220 3524011108101567 3524014101970002 NOFI RETNO GUMILAR LAMONGAN 01|01|1997 S P LAMPEYAN 002 007 0 K

221 3524011108101569 3524010101650034 HADI LUMAJANG 01|01|1965 S L LAMPEYAN 002 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 119 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

222 3524011108101569 3524014101680024 YAHMI LAMONGAN 01|01|1968 S P LAMPEYAN 002 007 0 K

223 3524011108101569 3524014101960004 ERA FIJIRA LAMONGAN 01|01|1996 B P LAMPEYAN 002 007 0 K

224 3524011108101570 3524010101620023 SUGIN LAMONGAN 01|01|1962 S L LAMPEYAN 002 007 0 K

225 3524011108101570 3524014101670025 TRINING LAMONGAN 01|01|1967 S P LAMPEYAN 002 007 0 K

226 3524011108101570 3524010101950006 PUTUT DARMANTO LAMONGAN 01|01|1995 B L LAMPEYAN 002 007 0 K

227 3524011108102027 3524014104570002 PAINTEN LAMONGAN 01|04|1957 P P LAMPEYAN 002 007 0 K

228 3524011108102027 3524010204610001 SAMIRIN LAMONGAN 02|04|1961 P L LAMPEYAN 002 007 0 K

229 3524011108102027 3524014204740002 SARIANI LAMONGAN 02|04|1974 B P LAMPEYAN 002 007 0 K

230 3524011108102030 3524010202640001 PARNO LAMONGAN 02|02|1964 S L LAMPEYAN 002 007 0 K

231 3524011108102030 3524014102640003 KARMINAH LAMONGAN 01|02|1964 S P LAMPEYAN 002 007 0 K

232 3524011108102030 3524015708010001 SUSI WINANDA LAMONGAN 17|08|2001 B P LAMPEYAN 002 007 0 K

233 3524011108102032 3524010102680003 SUYANTO LAMONGAN 01|02|1968 S L LAMPEYAN 002 007 0 K

234 3524011108102032 3524014102750002 SUPINI LAMONGAN 01|02|1975 S P LAMPEYAN 002 007 0 K

235 3524011108102032 3524010102990001 SYAFARUDIN LAMONGAN 24|02|1999 B L LAMPEYAN 002 007 0 K

236 3524011108102043 3524014202650003 LASTRI LAMONGAN 02|02|1965 S P LAMPEYAN 002 007 0 K

237 3524011108102043 3524010202930002 PUJIANTO LAMONGAN 12|01|1993 B L LAMPEYAN 002 007 0 K

238 3524011108102083 3524011605540001 RAJIMAN LAMONGAN 16|05|1954 S L LAMPEYAN 002 007 0 K

239 3524011108102084 3578115101255001 MISLAN SURABAYA 12|10|1955 S L LAMPEYAN 002 007 0 K

240 3524011108102088 3524011101570003 KASMADI LAMONGAN 11|01|1957 S L LAMPEYAN 002 007 0 K

241 3524011108102088 3524015704600002 DARISAH LAMONGAN 17|04|1960 S P LAMPEYAN 002 007 0 K

242 3524011108102090 3524010811740002 SUPONO LAMONGAN 08|11|1974 S L LAMPEYAN 002 007 0 K

243 3524011108102090 3524014105800002 LISMIATI LAMONGAN 01|05|1980 S P LAMPEYAN 002 007 0 K

244 3524011108102152 3524011011630005 SUTIKNO BOJONEGORO 10|11|1963 S L DSN. LAMPEYAN 002 007 0 K

245 3524011108102152 3524014404740001 SARILAH LAMONGAN 04|04|1974 S P DSN. LAMPEYAN 002 007 0 K

246 3524011108102172 3524011010770001 SUBANDI BOJONEGORO 10|06|1976 S L DSN. LAMPEYAN 002 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 120 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

247 3524011108102172 3524015101900002 SUKARMINING LAMONGAN 15|01|1986 S P DSN. LAMPEYAN 002 007 0 K

248 3524011108102173 3524014107700003 RATEMI LAMONGAN 01|07|1970 P P LAMPEYAN 002 007 0 K

249 3524011108102183 3524010101820005 SIWO LAMONGAN 01|01|1982 S L LAMPEAN 002 007 0 K

250 3524011108102183 3524014907840001 MUNTIASIH LAMONGAN 09|07|1984 S P LAMPEAN 002 007 0 K

251 3524011108102184 3524010407790001 SUWARNO LAMONGAN 04|07|1979 S L LAMPEYAN 002 007 0 K

252 3524011108102184 3524014404830001 SRIAWIN LAMONGAN 15|03|1984 S P LAMPEYAN 002 007 0 K

253 3524011108102184 3524011201020002 ARIP SUMANTO LAMONGAN 12|01|2003 B L LAMPEYAN 002 007 0 K

254 3524011108102243 3524010108800003 SUCIPTO LAMONGAN 01|08|1980 S L LAMPEYAN 002 007 0 K

255 3524011108102243 3524014711860002 DARIMAH LAMONGAN 07|11|1986 S P LAMPEYAN 002 007 0 K

256 3524011108102250 3524010101770008 TRIJAN LAMONGAN 01|01|1977 S L LAMPEYAN 002 007 0 K

257 3524011108102250 3524014606880001 NAWAN SARI LAMONGAN 06|06|1988 S P LAMPEYAN 002 007 0 K

258 3524011208150001 3524015101470001 SAMINI LAMONGAN 11|01|1947 S P LAMPEYAN 002 007 0 K

259 3524011208150001 3524010409750004 WAERAN BUDIONO LAMONGAN 04|09|1975 S L LAMPEYAN 002 007 0 K

260 3524011208150001 3524014101850002 KASMINAH LAMONGAN 01|01|1985 S P LAMPEYAN 002 007 0 K

261 3524011211130004 3524010106890001 YUSMAN LAMONGAN 01|06|1989 S L LAMPEYAN 002 007 0 K

262 3524011211130004 3524014911940001 NAFIATUN LAMONGAN 09|11|1994 S P LAMPEYAN 002 007 0 K

263 3524011303190003 3524014101690033 TEMOK LAMONGAN 01|01|1969 P P LAMPEYAN 002 007 0 K

264 3524011303190003 3517150203850001 JASMAN JOMBANG 02|03|1985 S L LAMPEYAN 002 007 0 K

265 3524011303190003 3524014101910004 NURUL HIDAYAH LAMONGAN 01|01|1991 S P LAMPEYAN 002 007 0 K

266 3524011310170001 3524010101660039 PARNO LAMONGAN 01|01|1966 S L LAMPEYAN 002 007 0 K

267 3524011310170001 3524014102740004 SUPIANI LAMONGAN 01|02|1974 S P LAMPEYAN 002 007 0 K

268 3524011310170001 3524016909020001 DINA USMA'UL LAMONGAN 29|09|2002 B P LAMPEYAN 002 007 0 K

269 3524011509140007 3517201507700003 PONIRAN LAMONGAN 15|07|1970 S L LAMPEYAN 002 007 0 K

270 3524011509140007 3517206008750003 SUWARNI JOMBANG 20|08|1975 S P LAMPEYAN 002 007 0 K

271 3524011607130001 3524014907790001 JASMI LAMONGAN 15|04|1985 S P LAMPEYAN 002 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 121 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

272 3524011607130001 3522231607880002 MUHAMMAD MUHAJIR BOJONEGORO 16|07|1988 S L LAMPEYAN 002 007 0 K

273 3524011710180001 3524011512920001 DEVRI SUSANTO LAMONGAN 15|12|1992 S L LAMPEYAN 002 007 0 K

274 3524011710180001 3525135903960004 ULFAH ROSITA GRESIK 19|03|1996 S P LAMPEYAN 002 007 0 K

275 3524012108170002 3524011512940001 YUDI RIANTO LAMONGAN 15|12|1994 S L LAMPEYAN 002 007 0 K

276 3524012108170002 3524014101990001 WIJI LESTARI LAMONGAN 14|12|1998 S P LAMPEYAN 002 007 0 K

277 3524012108180001 3524015101520004 TASIH LAMONGAN 11|01|1952 P P LAMPEYAN 002 007 0 B

278 3524012108180001 3524021012810001 SUMAR LAMONGAN 10|12|1981 S L LAMPEYAN 002 007 0 K

279 3524012108180001 3524014101870006 DARWATI LAMONGAN 01|01|1987 S P LAMPEYAN 002 007 0 K

280 3524012401880001 1601132909720002 EDI SORYADI BATU RAJA 29|09|1972 S L LAMPEYAN 002 007 0 K

281 3524012406140001 3524091207850001 SUPARTONO LAMONGAN 12|07|1985 S L LAMPEYAN 002 007 0 K

282 3524012406140001 3524014101880007 TITIK INDANG WINARTI LAMONGAN 08|06|1988 S P LAMPEYAN 002 007 0 K

283 3524012408160003 3524010101810003 SUMIJAN LAMONGAN 01|01|1981 S L LAMPEYAN 002 007 0 K

284 3524012408160003 3524014101920002 RISTIANI LAMONGAN 01|01|1992 S P LAMPEYAN 002 007 0 K

285 3524012505180001 3525030507900003 EKO HADI SAPUTRO GRESIK 05|07|1990 S L LAMPEYAN 002 007 0 K

286 3524012505180001 3524014101980003 SILVIA DWI NUR ALIFAH LAMONGAN 20|02|1999 S P LAMPEYAN 002 007 0 K

287 3524012604120011 3524012307780001 NGATEMAN LAMONGAN 23|07|1978 S L LAMPEYAN 002 007 0 K

288 3524012604120011 3524014101880006 SAMISIH LAMONGAN 01|01|1988 S P LAMPEYAN 002 007 0 K

289 3524012805140003 3524012607780001 GIONO LAMONGAN 26|07|1978 S L LAMPEAN 002 007 0 K

290 3524012805140003 3524014707910001 ERMA ERVIANA LAMONGAN 07|02|1999 S P LAMPEAN 002 007 0 B

291 3524012808180001 3524014507750001 KAMISRI LAMONGAN 05|07|1975 S P LAMPEYAN 002 007 0 K

292 3524012808180001 3524010209990001 JONI LAMONGAN 02|09|1999 B L LAMPEYAN 002 007 0 K

293 3524012901190001 3524010305500001 KARJAN BOJONEGORO 03|05|1950 S L LAMPEYAN 002 007 0 K

294 3524012901190001 3524014601530001 LASTRI LAMONGAN 06|01|1953 S P LAMPEYAN 002 007 0 K

295 3524010208170002 3524012008900001 BUDI SANTOSO LAMONGAN 20|08|1990 S L LAMPEYAN 003 007 0 K

296 3524010208170002 5207084710930001 NUR AJIJAH BIMA 07|10|1993 S P LAMPEYAN 003 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 122 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

297 3524010307130001 3517151205790002 TUKIRAN JOMBANG 12|05|1979 S L LAMPEYAN 003 007 0 K

298 3524010307130001 3524015505900002 SRI MURNI LAMONGAN 15|05|1990 S P LAMPEYAN 003 007 0 K

299 3524010803180001 3524010204890001 SARIAJI LAMONGAN 02|04|1989 S L LAMPEYAN 003 007 0 K

300 3524010803180001 3524014112900001 YUANTIKA LAMONGAN 01|12|1990 S P LAMPEYAN 003 007 0 K

301 3524010808190002 3524014303500001 MINTEN LAMONGAN 03|03|1950 S P LAMPEYAN 003 007 0 K

302 3524011004120006 3524014604860003 RUWI PUJI ASTUTIK LAMONGAN 06|04|1986 S P LAMPEYAN 003 007 0 K

303 3524011108101020 3524015504500001 SUMILAH LAMONGAN 15|04|1950 P P LAMPEYAN 003 007 0 K

304 3524011108101020 3524011010920001 RASENO LAMONGAN 10|10|1992 B L LAMPEYAN 003 007 0 K

305 3524011108101022 3524011712680001 YADI LAMONGAN 17|12|1968 S L LAMPEYAN 003 007 0 K

306 3524011108101022 3524012006880001 PRAYUGI LAMONGAN 20|06|1988 S L LAMPEYAN 003 007 0 K

307 3524011108101022 3524014101910007 YANIK PUSPITASARI LAMONGAN 01|01|1991 S P LAMPEYAN 003 007 0 K

308 3524011108101035 3524014511630002 SAESRI LAMONGAN 05|11|1963 P P LAMPEYAN 003 007 0 K

309 3524011108101035 3524010305850001 SARWI LAMONGAN 03|05|1985 S L LAMPEYAN 003 007 0 K

310 3524011108101035 3524014511850001 SUPIATI LAMONGAN 05|11|1985 S P LAMPEYAN 003 007 0 K

311 3524011108101035 3524016109010001 SARMELA DHEA ANANDA LAMONGAN 21|09|2001 B P LAMPEYAN 003 007 0 K

312 3524011108101045 3524011310890001 LUK WANDAYA LAMONGAN 13|10|1989 S L LAMPEYAN 003 007 0 K

313 3524011108101045 3524014410960001 NURYATI LAMONGAN 08|08|1994 S P LAMPEYAN 003 007 0 K

314 3524011108101047 3524012406770001 SUTOYO LAMONGAN 24|06|1977 S L LAMPEYAN 003 007 0 K

315 3524011108101047 3524017012880001 SAMINARTININGSIH LAMONGAN 30|12|1988 S P LAMPEYAN 003 007 0 K

316 3524011108101493 3524014909470002 SUMINAH LAMONGAN 09|09|1947 S P LAMPEYAN 003 007 0 K

317 3524011108101496 3524010102710001 CINTO LAMONGAN 01|02|1971 S L LAMPEYAN 003 007 0 K

318 3524011108101496 3524014502750002 KAMIJAH LAMONGAN 05|02|1975 S P LAMPEYAN 003 007 0 K

319 3524011108101499 3524010104700001 TARI LAMONGAN 01|04|1970 S L LAMPEYAN 003 007 0 K

320 3524011108101499 3524014304700002 SULASTRI LAMONGAN 03|04|1970 S P LAMPEYAN 003 007 0 K

321 3524011108101499 3524012809890001 HERI SANTOSO LAMONGAN 28|09|1989 S L LAMPEYAN 003 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 123 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

322 3524011108101499 3524014303030003 LIDYA AYU PUTRI LAMONGAN 03|03|2003 B P LAMPEYAN 003 007 0 K

323 3524011108101505 3524010306460001 RIMIN LAMONGAN 03|06|1946 S L LAMPEYAN 003 007 0 K

324 3524011108101505 3524014710510001 WARTI LAMONGAN 07|10|1951 S P LAMPEYAN 003 007 0 K

325 3524011108101508 3524010710660001 SUPRAT LAMONGAN 07|10|1966 S L LAMPEYAN 003 007 0 K

326 3524011108101508 3524015802690001 SULASTRI LAMONGAN 18|02|1969 S P LAMPEYAN 003 007 0 K

327 3524011108101508 3524010501960001 SUIF DWI WAHYUDI LAMONGAN 05|01|1996 B L LAMPEYAN 003 007 0 K

328 3524011108101510 3524010101550025 DARMAJI LAMONGAN 01|01|1955 S L LAMPEYAN 003 007 0 K

329 3524011108101511 3524010103560001 KAMIDI LAMONGAN 01|03|1956 S L LAMPEYAN 003 007 0 K

330 3524011108101513 3524010203550001 KARBI LAMONGAN 02|03|1955 S L LAMPEYAN 003 007 0 K

331 3524011108101513 3524014203650001 MARIYEM LAMONGAN 02|03|1965 S P LAMPEYAN 003 007 0 K

332 3524011108101513 3524014401710001 SUMIATI LAMONGAN 04|01|1971 B P LAMPEYAN 003 007 0 K

333 3524011108101521 3524016310630002 LAMINING LAMONGAN 23|10|1963 S P LAMPEYAN 003 007 0 K

334 3524011108101521 3524010101690019 MU'IDI LAMONGAN 01|01|1969 S L LAMPEYAN 003 007 0 K

335 3524011108101521 3524014101750014 WARTI LAMONGAN 01|01|1975 S P LAMPEYAN 003 007 0 K

336 3524011108101525 3524010101750009 SUMIJAN LAMONGAN 01|01|1975 S L LAMPEYAN 003 007 0 K

337 3524011108101525 3524014101810002 SUWARNI LAMONGAN 01|01|1981 S P LAMPEYAN 003 007 0 K

338 3524011108101529 3524010302700001 SISWANTO LAMONGAN 03|02|1970 S L LAMPEYAN 003 007 0 K

339 3524011108101529 3524014704750001 LISWATI LAMONGAN 07|04|1975 S P LAMPEYAN 003 007 0 K

340 3524011108101535 3524010404730001 SUNARDI LAMONGAN 04|04|1973 S L LAMPEYAN 003 007 0 K

341 3524011108101535 3524015501770001 ENTIK WIJAYANTI LAMONGAN 16|04|1981 S P LAMPEYAN 003 007 0 K

342 3524011108101535 3524012202010002 REZA ANTONY LAMONGAN 22|02|2001 B L LAMPEYAN 003 007 0 K

343 3524011108101537 3524010211650001 JONO LAMONGAN 02|11|1965 S L LAMPEYAN 003 007 0 K

344 3524011108101537 3524014305690001 SUMINING LAMONGAN 03|05|1969 S P LAMPEYAN 003 007 0 K

345 3524011108101537 3524010301910002 IMAM PAMUJIANTO LAMONGAN 03|01|1993 B L LAMPEYAN 003 007 0 K

346 3524011108101537 3524010505990001 ADIP SETIAWAN LAMONGAN 05|05|1999 B L LAMPEYAN 003 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 124 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

347 3524011108101539 3524010105590001 KASIMO LAMONGAN 01|05|1959 S L LAMPEYAN 003 007 0 K

348 3524011108101542 3524010101360017 SAJIMAN LAMONGAN 01|01|1936 S L LAMPEYAN 003 007 0 K

349 3524011108101542 3524014201400007 MIATUN LAMONGAN 02|01|1940 S P LAMPEYAN 003 007 0 K

350 3524011108101543 3524010301590003 LAMIDI LAMONGAN 03|01|1959 S L LAMPEYAN 003 007 0 K

351 3524011108101543 3524014410600001 SANTINING LAMONGAN 04|10|1960 S P LAMPEYAN 003 007 0 K

352 3524011108101543 3524010304730002 SUTA'IN LAMONGAN 03|04|1973 S L LAMPEYAN 003 007 0 K

353 3524011108101543 3524014501750003 RESMINI LAMONGAN 05|01|1975 S P LAMPEYAN 003 007 0 K

354 3524011108101543 3524013110020001 GUNAWAN NUR IMAN SAHIDIN LAMONGAN 31|10|2002 B L LAMPEYAN 003 007 0 K

355 3524011108101874 3524011405400001 SANAWI LAMONGAN 14|05|1940 S L LAMPEYAN 003 007 0 K

356 3524011108101874 3524014101620029 SUMINTRI LAMONGAN 01|01|1962 S P LAMPEYAN 003 007 0 K

357 3524011108101874 3524014209820001 HARTINING LAMONGAN 02|09|1982 S P LAMPEYAN 003 007 0 B

358 3524011108101874 3524013012960002 PRENDI SUSANTO LAMONGAN 30|12|1996 B L LAMPEYAN 003 007 0 B

359 3524011108101874 3524010110990001 JOHAN EFENDI LAMONGAN 05|10|1999 B L LAMPEYAN 003 007 0 K

360 3524011108102059 3524014802630001 LAMINING LAMONGAN 08|02|1963 S P LAMPEYAN 003 007 0 K

361 3524011108102059 3524010101720011 SARJONO LAMONGAN 01|01|1972 S L LAMPEYAN 003 007 0 K

362 3524011108102059 3524010505990002 ANGGA PRASTYO LAMONGAN 05|05|1999 B L LAMPEYAN 003 007 0 K

363 3524011108102081 3524014601600001 KASIEM LAMONGAN 06|01|1960 S P LAMPEYAN 003 007 0 K

364 3524011108102081 3524016104780002 WARSITI LAMONGAN 21|04|1978 S P LAMPEYAN 003 007 0 B

365 3524011108102081 3524011102900001 MARLIN LAMONGAN 11|02|1990 B L LAMPEYAN 003 007 0 K

366 3524011108102081 3524012102990001 JOHAN SURYA HANDIKA LAMONGAN 21|02|1999 B L LAMPEYAN 003 007 0 B

367 3524011108102216 3524014101710015 NANIK LAMONGAN 01|01|1971 P P Dsn. LAMPEYAN 003 007 0 K

368 3524011108102216 3524010101990002 NARSUN LAMONGAN 01|01|1999 B L Dsn. LAMPEYAN 003 007 0 B

369 3524011109170002 3524014101590038 WARINING LAMONGAN 01|01|1959 P P LAMPEYAN 003 007 0 K

370 3524011109170002 3524014304800003 PARIASIH LAMONGAN 03|04|1980 S P LAMPEYAN 003 007 0 K

371 3524011209170001 3524012712800002 KEMAT BUDI HARYONO LAMONGAN 27|12|1980 S L LAMPEYAN 003 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 125 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

372 3524011209170001 3524014304860001 PARIATIK LAMONGAN 03|04|1986 S P LAMPEYAN 003 007 0 K

373 3524012208160002 3522080510840003 JOKO SAMPURNO BOJONEGOKO 05|10|1984 S L LAMPEYAN 003 007 0 K

374 3524012208160002 3524015709890001 RUSMINI LAMONGAN 17|09|1989 S P LAMPEYAN 003 007 0 K

375 3524012507180002 3518132310830002 MOHAMAD RIFAI TEGAL 23|10|1983 S L LAMPEYAN 003 007 0 K

376 3524012507180002 3524014712890001 WINARSIH LAMONGAN 07|12|1989 S P LAMPEYAN 003 007 0 K

377 3524012604120010 3524010101800007 SAMIONO LAMONGAN 05|04|1982 S L LAMPEYAN 003 007 0 K

378 3524012604120010 3524015505850001 TARMINI LAMONGAN 15|05|1985 S P LAMPEYAN 003 007 0 K

379 3524012604180001 3524011710800001 JUMADI RIO IDWAN LAMONGAN 17|10|1980 S L LAMPEYAN 003 007 0 K

380 3524012604180001 3524014909800002 PADI LAMONGAN 09|09|1980 S P LAMPEYAN 003 007 0 K

Keterangan Perkawinan = 380 Keterangan Disabilitas : Keterangan Status Perekaman KTP-el = 380
B : Belum Kawin = 53 1: Disabilitas Fisik B : Belum Rekam = 9 Ditetapkan di LAMONGAN, Tanggal 16 Oktober 2020
S : Kawin = 304 2: Disabilitas Intelektual S : Sudah Rekam (Suket) KPU KABUPATEN LAMONGAN
P : Pernah Kawin = 23 3: Disabilitas Mental K : Sudah Rekam (KTP-el) = 371 KETUA
4: Disabilitas Sensorik
Jenis Kelamin = 380
L : Laki-Laki = 190
P : Perempuan = 190 MAHRUS ALI, S.Pd
KK = 156

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-008 Hal 126 dari 142


Model A.3-KWK

Model A.3-KWK
DAFTAR PEMILIH TETAP
PEMILIHAN BUPATI DAN WAKIL BUPATI LAMONGAN
TAHUN 2020
PROVINSI : JAWA TIMUR KECAMATAN : SUKORAME
KABUPATEN : LAMONGAN DESA/KELURAHAN : KEDUNGKUMPUL
TPS : 009
TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN
BILITAS
KTP-EL KETERANGAN
B/S/P L/P JALAN/DUKUH RT RW (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 3524010411110456 3524014207540003 SAEMAH LAMONGAN 02|07|1954 S P LAMPEYAN 001 007 0 K

2 3524011108101550 3524014101420012 SINI LAMONGAN 01|01|1942 S P LAMPEYAN 002 007 0 K

3 3524011108101023 3524015610600001 SAPURI LAMONGAN 16|10|1960 B P LAMPEYAN 003 007 0 K

4 3524011108101544 3524010704710001 PARJAN LAMONGAN 07|04|1971 S L LAMPEYAN 003 007 0 K

5 3524011108101544 3524014501750004 RESMIATI LAMONGAN 05|01|1975 S P LAMPEYAN 003 007 0 K

6 3524011108101545 3524010102550002 SUTO LAMONGAN 01|02|1955 S L LAMPEYAN 003 007 0 K

7 3524011108101545 3524014101590039 WAESRI LAMONGAN 01|01|1959 S P LAMPEYAN 003 007 0 K

8 3524011108101546 3524010403710002 MUSTARI LAMONGAN 04|03|1971 S L LAMPEYAN 003 007 0 K

9 3524011108101546 3524014303750002 LISTIYOWATI LAMONGAN 03|03|1975 S P LAMPEYAN 003 007 0 K

10 3524011108101546 3524010508980002 IVAN EFENDI LAMONGAN 05|08|1998 B L LAMPEYAN 003 007 0 K

11 3524011108102031 3524014102610001 GEMI LAMONGAN 01|02|1961 S P LAMPEYAN 003 007 0 K

12 3524011108102031 3524010612630001 SAJI LAMONGAN 06|12|1963 S L LAMPEYAN 003 007 0 K

13 3524011108102033 3524014303610001 SAMINTRI LAMONGAN 03|03|1961 S P LAMPEYAN 003 007 0 K

14 3524011108102037 3524015106500001 SARIYAH LAMONGAN 11|06|1950 P P LAMPEYAN 003 007 0 K

15 3524011108102037 3524014901770001 SULASMI LAMONGAN 09|01|1977 P P LAMPEYAN 003 007 0 K

16 3524011108102038 3524012211610001 AGUNG BOJONEGORO 22|11|1961 S L LAMPEYAN 003 007 0 K

17 3524011108102039 3524011610690001 SUPRI LAMONGAN 16|10|1969 S L LAMPEYAN 003 007 0 K

18 3524011108102039 3524015110760002 KASIMAH LAMONGAN 11|10|1976 S P LAMPEYAN 003 007 0 K

19 3524011108102040 3524016101500003 KARMINTEN LAMONGAN 21|01|1950 P P LAMPEYAN 003 007 0 K

20 3524011108102040 3524011404600001 SENO LAMONGAN 14|04|1960 S L LAMPEYAN 003 007 0 K

21 3524011108102040 3524014101640027 MASRI LAMONGAN 01|01|1964 S P LAMPEYAN 003 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 127 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

22 3524011108102040 3524015407970001 NILA FITRIA ESA LAMONGAN 14|07|1997 B P LAMPEYAN 003 007 0 K

23 3524011108102057 3524015512770003 SUMARSIH LAMONGAN 15|12|1977 S P LAMPEYAN 003 007 0 K

24 3524011108102063 3524011006750001 SUYONO LAMONGAN 10|06|1975 S L LAMPEYAN 003 007 0 K

25 3524011108102063 3524016704750002 SUSMINING LAMONGAN 27|04|1975 S P LAMPEYAN 003 007 0 K

26 3524011108102063 3524014302990001 DINDA NUNGKI SABELA LAMONGAN 03|02|1999 B P LAMPEYAN 003 007 0 K

27 3524011108102065 3524011603690002 PANIDAN LAMONGAN 16|03|1969 S L LAMPEYAN 003 007 0 K

28 3524011108102065 3524017101790001 SUNDARI LAMONGAN 13|01|1978 S P LAMPEYAN 003 007 0 K

29 3524011108102065 3524010112980001 NIKO PRADIANSYAH LAMONGAN 01|12|1998 B L LAMPEYAN 003 007 0 K

30 3524011108102067 3524010605670001 YONO LAMONGAN 06|05|1967 S L LAMPEYAN 003 007 0 K

31 3524011108102067 3524015012700001 SIRUM LAMONGAN 10|12|1970 S P LAMPEYAN 003 007 0 K

32 3524011108102071 3524011105650002 SARDI LAMONGAN 11|05|1965 S L LAMPEYAN 003 007 0 K

33 3524011108102071 3524017009650001 SRIATI LAMONGAN 30|09|1965 P P LAMPEYAN 003 007 0 K

34 3524011108102071 3524015710920001 TRI JUNIKE KUKUH ANJARSARI LAMONGAN 17|10|1992 B P LAMPEYAN 003 007 0 K

35 3524011108102072 3524010607670001 YADI LAMONGAN 06|07|1967 S L LAMPEYAN 003 007 0 K

36 3524011108102072 3524014703670004 WIJIATI LAMONGAN 07|03|1967 S P LAMPEYAN 003 007 0 K

37 3524011108102073 3524014105990002 SELVIA RINA ALIFIAH SARI LAMONGAN 01|05|1999 B P LAMPEYAN 003 007 0 K

38 3524011108102153 3524011604620001 KASIYAN LAMONGAN 16|04|1962 S L LAMPEAN 003 007 0 K

39 3524011108102153 3524017112650001 MARTINI BOJONEGORO 31|12|1965 S P LAMPEAN 003 007 0 K

40 3524011108102178 3524011807560002 SAMIRIN LAMONGAN 18|07|1956 S L Dsn. LAMPEAN 003 007 0 K

41 3524011108102178 3524016709570001 SAMISRI LAMONGAN 27|09|1957 S P Dsn. LAMPEAN 003 007 0 K

42 3524011108102178 3524011907830002 SIBUT LAMONGAN 19|07|1983 S L Dsn. LAMPEAN 003 007 0 K

43 3524011108102178 3524016004900003 DIAN FITRIANIK LAMONGAN 20|04|1990 S P Dsn. LAMPEAN 003 007 0 K

44 3524011108102220 3524010308700001 WARIJAN LAMONGAN 03|08|1970 P L Dsn. LAMPEAN 003 007 0 K

45 3524011307120001 3524011408790001 SADAM LAMONGAN 14|08|1979 S L LAMPEYAN 003 007 0 K

46 3524011307120001 3524017007900001 YULIS YULAIKAH LAMONGAN 30|07|1990 S P LAMPEYAN 003 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 128 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

47 3524011607120002 3524011005790003 SADRI LAMONGAN 10|05|1979 S L LAMPEYAN 003 007 0 K

48 3524011607120002 3524016805820001 SUNDARI LAMONGAN 28|05|1982 S P LAMPEYAN 003 007 0 K

49 3524011607120002 3524015002980004 FEMBRI USMA'UL WULANDARI LAMONGAN 10|02|1998 B P LAMPEYAN 003 007 0 K

50 3524011905150003 3524010706790003 MARJI LAMONGAN 07|06|1979 S L LAMPEYAN 003 007 0 K

51 3524011905150003 1207861038500011 LAMRO PAKPAHAN CINTA DAMAI 21|03|1985 S P LAMPEYAN 003 007 0 K

52 3524012103140001 3524010307790001 PADI LAMONGAN 03|07|1979 S L LAMPEYAN 003 007 0 K

53 3524012103140001 3524014811870002 RIKA ASTUTIK LAMONGAN 08|11|1987 S P LAMPEYAN 003 007 0 K

54 3524012609120002 3275064504770026 MUJIATIN LAMONGAN 05|04|1977 S P LAMPEYAN 003 007 0 K

55 3524010308150004 3524014511750001 MUSTI LAMONGAN 10|02|1977 S P LAMPEYAN 004 007 0 K

56 3524010308150004 3524012104790003 KADIR LAMONGAN 21|04|1979 S L LAMPEYAN 004 007 0 K

57 3524010308150004 3524014412030001 ABELA SAFIRA LAMONGAN 04|12|2003 B P LAMPEYAN 004 007 0 B

58 3524010403200005 3524012611970001 NOVI NUR KOLIS LAMONGAN 26|11|1997 S L LAMPEYAN 004 007 0 K

59 3524010409170003 3524010101770009 SAKIONO LAMONGAN 01|01|1977 S L LAMPEYAN 004 007 0 K

60 3524010409170003 3524014101780010 WIJIATI LAMONGAN 01|01|1978 S P LAMPEYAN 004 007 0 K

61 3524010409170003 3524014911000001 MELINDA NOVITA SARI LAMONGAN 09|11|2000 S P LAMPEYAN 004 007 0 K

62 3524010411130001 3524014101490020 SUMIATI LAMONGAN 01|01|1949 P P LAMPEYAN 004 007 0 K

63 3524010411130001 3524010302740001 SARBIANTO LAMONGAN 03|02|1974 S L LAMPEYAN 004 007 0 K

64 3524010411130001 3524015409760001 SARMINI LAMONGAN 14|09|1976 S P LAMPEYAN 004 007 0 K

65 3524010411130001 3524012608960003 SONIK MOHANDI LAMONGAN 26|08|1996 B L LAMPEYAN 004 007 0 K

66 3524010509140003 3524014101780009 SUPINAH LAMONGAN 01|01|1978 S P LAMPEYAN 004 007 0 K

67 3524010509140003 3524010904770002 SUGIYANTO BOJONEGORO 16|03|1980 S L LAMPEYAN 004 007 0 K

68 3524010509140003 3524017105000001 SRI UTAMI LAMONGAN 31|05|2000 B P LAMPEYAN 004 007 0 K

69 3524010605130002 3524010101880005 YANTO LAMONGAN 10|03|1987 S L LAMPEYAN 004 007 0 K

70 3524010605130002 3524014101920003 SARIANIUM LAMONGAN 19|10|1993 S P LAMPEYAN 004 007 0 K

71 3524010709170001 3524010101770005 TEGUK LAMONGAN 01|01|1977 S L LAMPEYAN 004 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 129 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

72 3524010709170001 3524014101830006 SAMISRI LAMONGAN 01|01|1983 S P LAMPEYAN 004 007 0 K

73 3524010901190003 3524015607980001 RONI SETIAWAN LAMONGAN 16|07|1998 S L LAMPEYAN 004 007 0 K

74 3524010901190003 3524016004000001 DWI RATNA SARI LAMONGAN 20|04|2000 S P LAMPEYAN 004 007 0 K

75 3524010908160001 3524014101670024 SAMILAH LAMONGAN 01|01|1967 P P LAMPEYAN 004 007 0 K

76 3524010908160001 3524012104810001 LAMIDI LAMONGAN 21|04|1981 S L LAMPEYAN 004 007 0 K

77 3524010908160001 3524015803840003 SIMU HANDAYANI LAMONGAN 18|03|1984 S P LAMPEYAN 004 007 0 K

78 3524011108101501 3524010101650030 RAWI LAMONGAN 01|01|1965 S L LAMPEYAN 004 007 0 K

79 3524011108101501 3524014101670023 LI'AH LAMONGAN 01|01|1967 S P LAMPEYAN 004 007 0 K

80 3524011108101502 3524011101610002 KASIMAN LAMONGAN 11|01|1961 S L LAMPEYAN 004 007 0 K

81 3524011108101502 3524014101630028 WAISIH LAMONGAN 01|01|1963 S P LAMPEYAN 004 007 0 K

82 3524011108101502 3524010301850002 YATNO LAMONGAN 03|01|1985 S L LAMPEYAN 004 007 0 K

83 3524011108101502 3524015004890001 MUJIANI LAMONGAN 10|04|1989 S P LAMPEYAN 004 007 0 K

84 3524011108101503 3524010201600009 SAMSURI LAMONGAN 02|01|1960 S L LAMPEYAN 004 007 0 K

85 3524011108101503 3524014101620028 SAMISRI LAMONGAN 01|01|1962 S P LAMPEYAN 004 007 0 K

86 3524011108101503 3524010101780009 RAWUH LAMONGAN 01|01|1978 S L LAMPEYAN 004 007 0 K

87 3524011108101503 3524014101790006 NURIL UMIATI LAMONGAN 01|01|1979 S P LAMPEYAN 004 007 0 K

88 3524011108101506 3524010201600010 MARMIN LAMONGAN 02|01|1960 S L LAMPEYAN 004 007 0 K

89 3524011108101506 3524014102600002 SAMINI LAMONGAN 01|02|1960 S P LAMPEYAN 004 007 0 K

90 3524011108101506 3524011010950002 SAMTO TONDHO PURNOMO LAMONGAN 10|10|1995 B L LAMPEYAN 004 007 0 K

91 3524011108101507 3524010101620020 SUMADI LAMONGAN 01|01|1962 S L LAMPEYAN 004 007 0 K

92 3524011108101507 3524014101640019 LAMINTEN LAMONGAN 01|01|1964 S P LAMPEYAN 004 007 0 K

93 3524011108101507 3524015912010001 NAFA AMELIA LAMONGAN 19|12|2001 B P LAMPEYAN 004 007 0 K

94 3524011108101516 3524012404690002 SUPARDI LAMONGAN 24|04|1969 S L LAMPEYAN 004 007 0 K

95 3524011108101516 3524015502750001 TUMINAH LAMONGAN 15|02|1975 S P LAMPEYAN 004 007 0 K

96 3524011108101516 3509194511920002 NOVIKA TRI AMBARWATI JEMBER 05|11|1992 S P LAMPEYAN 004 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 130 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

97 3524011108101516 9171051802920002 RUDI EKO SAPUTRO LAMONGAN 18|02|1992 S L LAMPEYAN 004 007 0 K

98 3524011108101517 3524010201500007 MARNO LAMONGAN 02|01|1950 S L LAMPEYAN 004 007 0 K

99 3524011108101517 3524014301600003 SAMI LAMONGAN 03|01|1960 S P LAMPEYAN 004 007 0 K

100 3524011108101518 3524010101690018 SUJAK LAMONGAN 01|01|1969 S L LAMPEYAN 004 007 0 K

101 3524011108101518 3524014101690032 WARSIYEM LAMONGAN 01|01|1969 S P LAMPEYAN 004 007 0 K

102 3524011108101518 3524010104980005 DEDIP WIRANTO LAMONGAN 01|04|1998 B L LAMPEYAN 004 007 0 K

103 3524011108101519 3524010101300021 SIMUN LAMONGAN 01|01|1930 S L LAMPEYAN 004 007 0 K

104 3524011108101547 3524010301600001 SAENO LAMONGAN 03|01|1960 S L LAMPEYAN 004 007 0 K

105 3524011108101547 3524014201620007 SULASTRI LAMONGAN 02|01|1962 S P LAMPEYAN 004 007 0 K

106 3524011108101548 3524010101410015 WANGKIT LAMONGAN 01|01|1941 S L LAMPEYAN 004 007 0 K

107 3524011108101548 3524014101480020 SUKAT LAMONGAN 01|01|1948 S P LAMPEYAN 004 007 0 K

108 3524011108101550 3524014101410014 PAISRI LAMONGAN 01|01|1941 S P LAMPEYAN 004 007 0 K

109 3524011108101550 3524010101740010 RAWAN LAMONGAN 01|01|1974 B L LAMPEYAN 004 007 0 K

110 3524011108101551 3524010101670015 SUBRI LAMONGAN 01|01|1967 S L LAMPEYAN 004 007 0 K

111 3524011108101551 3524014101680023 TAMIRAH LAMONGAN 01|01|1968 S P LAMPEYAN 004 007 0 K

112 3524011108101953 3524014102390001 KASEMI LAMONGAN 01|02|1939 P P LAMPEYAN 004 007 0 K

113 3524011108101954 3524010101680027 RAWUH LAMONGAN 01|01|1968 S L LAMPEYAN 004 007 0 K

114 3524011108101954 3524014101700015 PAEMAH LAMONGAN 01|01|1970 S P LAMPEYAN 004 007 0 K

115 3524011108101955 3524010301400002 MUNADI LAMONGAN 03|01|1940 S L LAMPEYAN 004 007 0 K

116 3524011108101955 3524014201480005 SUTI LAMONGAN 02|01|1948 S P LAMPEYAN 004 007 0 K

117 3524011108101955 3524012611830001 SUMILAN LAMONGAN 26|11|1983 S L LAMPEYAN 004 007 0 K

118 3524011108101956 3524010101610029 SAMIRUN LAMONGAN 01|01|1961 S L LAMPEYAN 004 007 0 K

119 3524011108101956 3524014101630031 TUMI LAMONGAN 01|01|1963 S P LAMPEYAN 004 007 0 K

120 3524011108101957 3524014101520013 DINEM LAMONGAN 01|01|1952 P P LAMPEYAN 004 007 0 K

121 3524011108101960 3524014101540014 DIYEM LAMONGAN 01|01|1954 P P LAMPEYAN 004 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 131 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

122 3524011108101960 3524010101770006 UMIKLIN LAMONGAN 01|01|1977 B L LAMPEYAN 004 007 0 K

123 3524011108101961 3524014101600045 SUNI LAMONGAN 01|01|1960 P P LAMPEYAN 004 007 0 K

124 3524011108101962 3524010101690022 KASNO LAMONGAN 01|01|1969 S L LAMPEYAN 004 007 0 K

125 3524011108101962 3524014101700016 RANI LAMONGAN 01|01|1970 S P LAMPEYAN 004 007 0 K

126 3524011108101963 3524010101650035 MAERAN LAMONGAN 01|01|1965 S L LAMPEYAN 004 007 0 K

127 3524011108101963 3524014101680025 RAMI LAMONGAN 01|01|1968 S P LAMPEYAN 004 007 0 K

128 3524011108101963 3524010211830002 SAMIDAN LAMONGAN 02|11|1983 S L LAMPEYAN 004 007 0 K

129 3524011108101963 3524014101880008 YULIATI LAMONGAN 01|01|1988 S P LAMPEYAN 004 007 0 K

130 3524011108101963 3524015701000001 MERRY PUSPITASARI LAMONGAN 17|01|2000 B P LAMPEYAN 004 007 0 K

131 3524011108101964 3524010101600027 SABIT LAMONGAN 01|01|1960 S L LAMPEYAN 004 007 0 K

132 3524011108101964 3524010101750011 KASIMAN LAMONGAN 01|01|1975 S L LAMPEYAN 004 007 0 K

133 3524011108101964 3524014101780008 PARMI LAMONGAN 01|01|1978 S P LAMPEYAN 004 007 0 K

134 3524011108101964 3524015303030001 PUTRI KUMALASARI LAMONGAN 13|03|2003 B P LAMPEYAN 004 007 0 K

135 3524011108101965 3524014101640022 SUMITRI LAMONGAN 01|01|1964 S P LAMPEYAN 004 007 0 K

136 3524011108101965 3524014101940004 RUSTIN LAMONGAN 01|01|1994 P P LAMPEYAN 004 007 0 K

137 3524011108101965 3524010101000004 SIUT LAMONGAN 01|01|2000 B L LAMPEYAN 004 007 0 K

138 3524011108101966 3524010101680029 SIMAT LAMONGAN 01|01|1968 S L LAMPEYAN 004 007 0 K

139 3524011108101966 3524014201690004 PARTI LAMONGAN 02|01|1969 S P LAMPEYAN 004 007 0 K

140 3524011108101966 3524014101930006 PRAYITNO LAMONGAN 01|01|1993 B L LAMPEYAN 004 007 0 K

141 3524011108101966 3524010201020001 JOKO SANTOSO LAMONGAN 02|01|2002 B L LAMPEYAN 004 007 0 K

142 3524011108101967 3524010301540001 SARI LAMONGAN 03|01|1954 S L LAMPEYAN 004 007 0 K

143 3524011108101967 3524014201550008 MINING LAMONGAN 02|01|1955 S P LAMPEYAN 004 007 0 K

144 3524011108101968 3524014101770008 SUPINI LAMONGAN 01|01|1977 S P LAMPEYAN 004 007 0 K

145 3524011108101968 3524011408020001 SUPRAPTO LAMONGAN 16|02|2002 B L LAMPEYAN 004 007 0 K

146 3524011108101974 3524014101460023 RINI LAMONGAN 01|01|1946 P P LAMPEYAN 004 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 132 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

147 3524011108101974 3524010101790006 JURIANTO LAMONGAN 01|01|1979 S L LAMPEYAN 004 007 0 K

148 3524011108101974 3524014101800010 SUPINANGGIH LAMONGAN 01|01|1980 S P LAMPEYAN 004 007 0 K

149 3524011108101974 3524015905020002 IFA FINANDA LAMONGAN 19|05|2002 B P LAMPEYAN 004 007 0 K

150 3524011108101975 3524010101620025 TARIYO LAMONGAN 01|01|1962 S L LAMPEYAN 004 007 0 K

151 3524011108101975 3524014201650009 JAMI LAMONGAN 02|01|1965 S P LAMPEYAN 004 007 0 K

152 3524011108101976 3524010201620003 BASUKI LAMONGAN 02|01|1962 S L LAMPEYAN 004 007 0 K

153 3524011108101976 3524014201640008 PARTI LAMONGAN 02|01|1964 S P LAMPEYAN 004 007 0 K

154 3524011108101976 3524011307940002 HERMAN LAMONGAN 13|07|1994 B L LAMPEYAN 004 007 0 K

155 3524011108101977 3524014101770010 SUPIANIK LAMONGAN 01|01|1977 P P LAMPEYAN 004 007 0 K

156 3524011108101979 3524010101680030 SAIT LAMONGAN 01|01|1968 S L LAMPEYAN 004 007 0 K

157 3524011108101979 3524014101750016 PARIYEM LAMONGAN 01|01|1975 S P LAMPEYAN 004 007 0 K

158 3524011108101980 3524010101580027 SATAM LAMONGAN 01|01|1958 P L LAMPEYAN 004 007 0 K

159 3524011108101980 3524014101970004 PEYIN LAMONGAN 01|01|1997 B P LAMPEYAN 004 007 0 B

160 3524011108101981 3524010101610031 TAWAR LAMONGAN 01|01|1961 S L LAMPEYAN 004 007 0 K

161 3524011108101981 3524014201620009 LASTRI LAMONGAN 02|01|1962 S P LAMPEYAN 004 007 0 K

162 3524011108101991 3524010101570019 RAKIYO LAMONGAN 01|01|1957 S L LAMPEYAN 004 007 0 K

163 3524011108101991 3524014101590042 SUKAT LAMONGAN 01|01|1959 S P LAMPEYAN 004 007 0 K

164 3524011108102035 3524010812740001 SUKAMTO LAMONGAN 08|12|1974 S L LAMPEYAN 004 007 0 K

165 3524011108102035 3524015109770001 NINIK DARWATI LAMONGAN 25|08|1975 S P LAMPEYAN 004 007 0 K

166 3524011108102035 3524010108960002 GAGUK ANDIKA YAHYA LAMONGAN 01|08|1996 B L LAMPEYAN 004 007 0 K

167 3524011108102036 3524010201400007 WARISO LAMONGAN 02|01|1940 S L LAMPEYAN 004 007 0 K

168 3524011108102036 3524014110480002 LASIYAM LAMONGAN 01|10|1948 S P LAMPEYAN 004 007 0 K

169 3524011108102036 3524012611790001 LANTO BOJONEGORO 26|11|1979 S L LAMPEYAN 004 007 0 K

170 3524011108102036 3524015106820001 PATINI LAMONGAN 11|06|1982 S P LAMPEYAN 004 007 0 K

171 3524011108102079 3524010707700001 SARIONO LAMONGAN 07|07|1970 S L LAMPEYAN 004 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 133 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

172 3524011108102079 3524015706710001 TRINEM LAMONGAN 17|06|1971 S P LAMPEYAN 004 007 0 K

173 3524011108102171 3524011506700002 WARI LAMONGAN 15|06|1970 S L DSN. LAMPEYAN 004 007 0 K

174 3524011108102171 3524015306730002 SAMISEH LAMONGAN 13|06|1973 S P DSN. LAMPEYAN 004 007 0 K

175 3524011108102171 3524016610940001 YUYUK LAMONGAN 26|10|1994 B P DSN. LAMPEYAN 004 007 0 K

176 3524011108102175 3524010101740009 SUPARLAN LAMONGAN 01|01|1974 S L LAMPEAN 004 007 0 K

177 3524011108102175 3524014101770006 SULASMI LAMONGAN 01|01|1977 S P LAMPEAN 004 007 0 K

178 3524011108102175 3524011401020001 ANTONY REGA PRASTYO LAMONGAN 14|01|2002 B L LAMPEAN 004 007 0 K

179 3524011108102177 3524014809350001 SAMIJAH LAMONGAN 08|09|1935 S P Dsn. LAMPEYAN 004 007 0 K

180 3524011211180002 3524017005990001 MAYLINDA AYU RISKI LAMONGAN 30|05|1999 S P LAMPEYAN 004 007 0 K

181 3524011308180005 3524011909740003 SUPARJO LAMONGAN 19|09|1974 S L LAMPEYAN 004 007 0 K

182 3524011308180005 3524014101900003 SULASMI LAMONGAN 01|01|1990 S P LAMPEYAN 004 007 0 K

183 3524011403190001 3522081506900002 WARSITO BOJONEGORO 15|06|1990 S L LAMPEYAN 004 007 0 K

184 3524011403190001 3524014512930001 EMI PUJIASTUTIK LAMONGAN 05|12|1993 S P LAMPEYAN 004 007 0 K

185 3524011601200003 3524018106820001 SAIRIN BOJONEGORO 10|06|1982 S L LAMPEYAN 004 007 0 K

186 3524011712180001 3522082707840001 ANDIK PURWANTO BOJONEGORO 27|07|1984 S L LAMPEYAN 004 007 0 K

187 3524011712180001 3524014101930005 SUNDARNIK LAMONGAN 01|01|1993 S P LAMPEYAN 004 007 0 K

188 3524011901180002 3517155304890001 SITI PUJI ASTUTIK JOMBANG 24|05|1990 S P LAMPEYAN 004 007 0 K

189 3524011901180002 3524010101900004 LULUS LAMONGAN 01|01|1990 S L LAMPEYAN 004 007 0 K

190 3524011901180003 3524014101610027 KAISRI LAMONGAN 01|01|1961 P P LAMPEYAN 004 007 0 K

191 3524011901180003 3524012911940002 DODIK WIDODO LAMONGAN 29|11|1994 S L LAMPEYAN 004 007 0 K

192 3524011901180003 3524016703970001 WINDA SITI RAHAYU LAMONGAN 27|03|1997 S P LAMPEYAN 004 007 0 K

193 3524011906170001 3524010103890001 SUPRIYONO LAMONGAN 15|02|1990 S L LAMPEYAN 004 007 0 K

194 3524011906170001 3524014301940003 MEGA SITI MAYSAROH LAMONGAN 03|01|1994 S P LAMPEYAN 004 007 0 K

195 3524012112170002 3524016102020001 SANITA FEBRIASARI LAMONGAN 21|02|2002 S P LAMPEYAN 004 007 0 K

196 3524012509150001 3524014101470009 SETI LAMONGAN 01|01|1947 P P LAMPEYAN 004 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 134 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

197 3524012509150001 3524013012730001 SUKISNO LAMONGAN 04|04|1968 S L LAMPEYAN 004 007 0 K

198 3524012509150001 3524014101740016 MURTI NINGSIH LAMONGAN 01|01|1974 S P LAMPEYAN 004 007 0 K

199 3524012604120009 3524010101840004 SUPRI LAMONGAN 01|01|1984 S L LAMPEYAN 004 007 0 K

200 3524012604120009 3524014101850003 TAMISRI LAMONGAN 01|01|1985 S P LAMPEYAN 004 007 0 K

201 3524012705190002 3524014101440017 SINTEN LAMONGAN 01|01|1944 P P LAMPEYAN 004 007 0 K

202 3524012705190002 3524011101730002 SLAMET LAMONGAN 11|01|1973 S L LAMPEYAN 004 007 0 K

203 3524012705190002 3524014101790008 PAITI LAMONGAN 01|01|1979 S P LAMPEYAN 004 007 0 K

204 3524012705190002 3524014101880009 PAENAH LAMONGAN 01|01|1988 P P LAMPEYAN 004 007 0 K

205 3524010208170004 3524014202760001 NARTI LAMONGAN 02|02|1976 S P LAMPEYAN 005 007 0 K

206 3524010210170002 3524010101670020 SARIONO LAMONGAN 01|01|1967 S L LAMPEYAN 005 007 0 K

207 3524010210170002 3524016008710002 WARTIWIK LAMONGAN 20|08|1971 S P LAMPEYAN 005 007 0 K

208 3524010410180002 3524012209820001 PARJI LAMONGAN 22|09|1982 S L LAMPEYAN 005 007 0 K

209 3524010410180002 3524045811940003 RUSMIATI LAMONGAN 18|11|1994 S P LAMPEYAN 005 007 0 K

210 3524011004180004 3524016911610001 LAMISIH LAMONGAN 29|11|1961 P P LAMPEYAN 005 007 0 K

211 3524011004180004 3522081601860001 ANDIK BOJONEGORO 16|01|1986 S L LAMPEYAN 005 007 0 K

212 3524011004180004 3524010908950001 IKA PURNIAWAN LAMONGAN 09|08|1992 S P LAMPEYAN 005 007 0 K

213 3524011004180005 3524016212830002 SUWANTI LAMONGAN 22|12|1983 P P LAMPEYAN 005 007 0 K

214 3524011004180005 3524012702850002 SUKIMIN LAMONGAN 27|02|1985 B L LAMPEYAN 005 007 0 K

215 3524011108101244 3524014107710001 SEMI LAMONGAN 01|07|1971 S P LAMPEYAN 005 007 0 K

216 3524011108101244 3524011111730001 RIBUT LAMONGAN 11|11|1973 S L LAMPEYAN 005 007 0 K

217 3524011108101244 3524013003010001 RIKI SETIAWAN LAMONGAN 30|03|2001 B L LAMPEYAN 005 007 0 K

218 3524011108101245 3524010104560001 SAMINO LAMONGAN 01|04|1956 S L LAMPEYAN 005 007 0 K

219 3524011108101245 3524015107660001 LAMISRI LAMONGAN 11|07|1966 S P LAMPEYAN 005 007 0 K

220 3524011108101245 3524017006900001 ISWATI LAMONGAN 30|06|1990 S P LAMPEYAN 005 007 0 K

221 3524011108101290 3524012007560001 RADI LAMONGAN 20|07|1956 S L LAMPEYAN 005 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 135 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

222 3524011108101290 3524015203610002 SUMINING LAMONGAN 12|03|1961 S P LAMPEYAN 005 007 0 K

223 3524011108101291 3524014101500036 YAHMI LAMONGAN 01|01|1950 S P LAMPEYAN 005 007 0 K

224 3524011108101292 3524015101580002 SAINI LAMONGAN 11|01|1958 P P LAMPEYAN 005 007 0 K

225 3524011108101292 3524010101720008 SIANTO LAMONGAN 01|01|1972 S L LAMPEYAN 005 007 0 K

226 3524011108101292 3524017008760001 SUMISRI LAMONGAN 30|08|1976 S P LAMPEYAN 005 007 0 K

227 3524011108101292 3524011708000001 ANDIKA SETIAWAN LAMONGAN 03|03|2000 B L LAMPEYAN 005 007 0 K

228 3524011108101293 3524010112610001 TUWONO LAMONGAN 01|12|1961 S L LAMPEYAN 005 007 0 K

229 3524011108101293 3524015708660001 SUTIANI LAMONGAN 17|08|1966 S P LAMPEYAN 005 007 0 K

230 3524011108101293 3522080911900003 PURKUSTIONO BOJONEGORO 09|11|1990 S L LAMPEYAN 005 007 0 K

231 3524011108101293 3524015211980001 SULISTINA LAMONGAN 01|05|1995 S P LAMPEYAN 005 007 0 K

232 3524011108101294 3524015207730002 SITUT LAMONGAN 12|07|1973 S P LAMPEYAN 005 007 0 K

233 3524011108101294 3522080101880002 WASALIM BOJONEGORO 01|01|1988 S L LAMPEYAN 005 007 0 K

234 3524011108101294 3524014804930002 ISMAWATI LAMONGAN 08|04|1993 S P LAMPEYAN 005 007 0 K

235 3524011108101297 3524011712750002 KASNO LAMONGAN 17|12|1975 S L LAMPEYAN 005 007 0 K

236 3524011108101297 3524016706760001 HARTATIK LAMONGAN 27|06|1976 S P LAMPEYAN 005 007 0 K

237 3524011108101298 3524015806610001 TARMINI LAMONGAN 18|06|1961 S P LAMPEYAN 005 007 0 K

238 3524011108101298 3524016101810001 PUAH SETYAWATI LAMONGAN 21|01|1981 B P LAMPEYAN 005 007 0 B

239 3524011108101300 3524015102550001 KASINEM LAMONGAN 11|02|1955 S P LAMPEYAN 005 007 0 K

240 3524011108101300 3524010108760002 WANTO LAMONGAN 01|08|1976 S L LAMPEYAN 005 007 0 B

241 3524011108101301 3524010101710009 SUBONDO LAMONGAN 02|07|1976 S L LAMPEYAN 005 007 0 K

242 3524011108101301 3524014104760002 LASRI LAMONGAN 02|01|1981 S P LAMPEYAN 005 007 0 K

243 3524011108101301 3524017008990001 ADE YUHA NANDA LAMONGAN 30|08|1999 B P LAMPEYAN 005 007 0 K

244 3524011108101303 3524012508510001 SAMIRIN LAMONGAN 25|08|1951 S L LAMPEYAN 005 007 0 K

245 3524011108101303 3524011603920001 SUBIANTORO LAMONGAN 16|03|1992 B L LAMPEYAN 005 007 0 K

246 3524011108101304 3524010702580001 LAMIDIN LAMONGAN 07|02|1958 P L LAMPEYAN 005 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 136 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

247 3524011108101304 3524014712700001 PARMI LAMONGAN 07|12|1970 S P LAMPEYAN 005 007 0 K

248 3524011108101305 3524011908610001 RASIDI LAMONGAN 19|08|1961 S L LAMPEYAN 005 007 0 K

249 3524011108101305 3524016401620001 LASTRI LAMONGAN 24|01|1962 S P LAMPEYAN 005 007 0 K

250 3524011108101305 3524015508850001 RIMAMI NOVITA MANDASARI LAMONGAN 15|08|1985 S P LAMPEYAN 005 007 0 B

251 3524011108101306 3524011809710002 SUKISNO LAMONGAN 18|09|1971 S L LAMPEYAN 005 007 0 K

252 3524011108101306 3524015007800001 RIANTI LAMONGAN 10|07|1980 S P LAMPEYAN 005 007 0 K

253 3524011108101307 3524015706510001 PINAH LAMONGAN 17|06|1951 P P LAMPEYAN 005 007 0 K

254 3524011108101308 3524010903610001 SUGIYO LAMONGAN 09|03|1961 S L LAMPEYAN 005 007 0 K

255 3524011108101308 3524014209660001 KASIRAH LAMONGAN 02|09|1966 S P LAMPEYAN 005 007 0 K

256 3524011108101310 3524013009510002 SAEPO LAMONGAN 30|09|1951 S L LAMPEYAN 005 007 0 K

257 3524011108101312 3524010101700021 BEJO LAMONGAN 01|01|1970 S L LAMPEYAN 005 007 0 K

258 3524011108101312 3524014101760013 RUSMINI LAMONGAN 01|01|1976 S P LAMPEYAN 005 007 0 K

259 3524011108101314 3524010101660032 SITAR LAMONGAN 01|01|1966 S L LAMPEYAN 005 007 0 K

260 3524011108101314 3524014101710014 WARINEM LAMONGAN 01|01|1971 S P LAMPEYAN 005 007 0 K

261 3524011108101315 3524014101610024 PAINING LAMONGAN 01|01|1961 P P LAMPEYAN 005 007 0 K

262 3524011108101315 3524014106000001 MITA LAMONGAN 01|06|2000 B P LAMPEYAN 005 007 0 K

263 3524011108101316 3524012412660001 SUKIR LAMONGAN 24|12|1966 S L LAMPEYAN 005 007 0 K

264 3524011108101316 3524016209710001 SUPINAH LAMONGAN 22|09|1971 S P LAMPEYAN 005 007 0 K

265 3524011108101317 3524011801700001 PAIRIN LAMONGAN 18|01|1970 S L LAMPEYAN 005 007 0 K

266 3524011108101317 3524015110760001 YAYUK YULIATI LAMONGAN 11|10|1976 S P LAMPEYAN 005 007 0 K

267 3524011108101317 3524011509960001 REFA RENDIYA KUNCORO LAMONGAN 15|09|1996 B L LAMPEYAN 005 007 0 K

268 3524011108101973 3524011210610001 SAMIRAN LAMONGAN 12|10|1961 S L LAMPEYAN 005 007 0 K

269 3524011108101973 3524014308650001 PIYAH LAMONGAN 03|08|1965 S P LAMPEYAN 005 007 0 K

270 3524011108101973 3524010108910002 MARSUGIK LAMONGAN 01|08|1991 B L LAMPEYAN 005 007 0 K

271 3524011108101982 3524012108510001 SIMAT LAMONGAN 21|08|1951 S L LAMPEYAN 005 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 137 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

272 3524011108101982 3524015208610001 SIWIN LAMONGAN 12|08|1961 S P LAMPEYAN 005 007 0 K

273 3524011108101982 3524016406760003 SISWATI LAMONGAN 24|06|1976 P P LAMPEYAN 005 007 0 K

274 3524011108101982 3524015008990001 SRIRAHAYU PUSPITASARI LAMONGAN 24|05|1999 B P LAMPEYAN 005 007 0 K

275 3524011108101984 3524014101550028 KAEMI LAMONGAN 01|01|1955 S P LAMPEYAN 005 007 0 K

276 3524011108101984 3524015108750001 RUSTININGSIH LAMONGAN 11|08|1975 B P LAMPEYAN 005 007 0 K

277 3524011108101984 3524014808940004 JULIKAH LAMONGAN 08|08|1994 B P LAMPEYAN 005 007 0 K

278 3524011108101985 3524010207710002 RASNO BOJONEGORO 10|05|1971 S L LAMPEYAN 005 007 0 K

279 3524011108101985 3524016409600001 SUMARLIK LAMONGAN 16|04|1975 S P LAMPEYAN 005 007 0 K

280 3524011108101985 3524015907840001 SANTIMAH LAMONGAN 19|07|1984 P P LAMPEYAN 005 007 0 K

281 3524011108101985 3524011608980002 ARIF SUDARSONO LAMONGAN 16|08|1998 B L LAMPEYAN 005 007 0 K

282 3524011108101985 3524015004010001 WINA DAMIASIH LAMONGAN 10|04|2001 B P LAMPEYAN 005 007 0 K

283 3524011108101986 3524012502760001 SURIP LAMONGAN 25|02|1976 S L LAMPEYAN 005 007 0 K

284 3524011108101986 3524016408760001 SAIMI LAMONGAN 24|08|1976 S P LAMPEYAN 005 007 0 K

285 3524011108101986 3524011007980001 SALEH LAMONGAN 10|07|1998 B L LAMPEYAN 005 007 0 K

286 3524011108101987 3524017001210001 SAMI LAMONGAN 30|01|1921 S P LAMPEYAN 005 007 0 K

287 3524011108101987 3524012507510001 KADI LAMONGAN 25|07|1951 S L LAMPEYAN 005 007 0 K

288 3524011108101989 3524011108610001 KAMAT LAMONGAN 11|08|1961 S L LAMPEYAN 005 007 0 K

289 3524011108101989 3524015206610001 SUTI'AH LAMONGAN 12|06|1961 S P LAMPEYAN 005 007 0 K

290 3524011108101990 3524010704610001 SLAMET LAMONGAN 07|04|1961 S L LAMPEYAN 005 007 0 K

291 3524011108101990 3524016502660001 NART'IAH LAMONGAN 25|02|1966 S P LAMPEYAN 005 007 0 K

292 3524011108101990 3524010608000001 ARI WIBOWO LAMONGAN 06|08|2000 B L LAMPEYAN 005 007 0 K

293 3524011108101992 3524010101660037 SUMBER LAMONGAN 01|01|1966 S L LAMPEYAN 005 007 0 K

294 3524011108101992 3524017011710001 SURATI LAMONGAN 30|11|1971 S P LAMPEYAN 005 007 0 K

295 3524011108102055 3524015201690001 JAMI LAMONGAN 12|01|1969 P P LAMPEYAN 005 007 0 K

296 3524011108102058 3524011607800003 TUKIRAN LAMONGAN 16|07|1980 S L LAMPEYAN 005 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 138 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

297 3524011108102058 3524015303820003 PUJIATI LAMONGAN 13|03|1982 S P LAMPEYAN 005 007 0 K

298 3524011108102077 3524015706500001 SITRI LAMONGAN 17|06|1950 P P LAMPEYAN 005 007 0 K

299 3524011108102077 3524011703710002 KAMIT LAMONGAN 17|03|1971 S L LAMPEYAN 005 007 0 K

300 3524011108102077 3524015608750001 TASWANI LAMONGAN 16|08|1975 S P LAMPEYAN 005 007 0 K

301 3524011108102077 3524011705960001 AAN LAMONGAN 17|05|1996 B L LAMPEYAN 005 007 0 K

302 3524011108102078 3524011504700001 JAIRIN LAMONGAN 15|04|1970 S L LAMPEYAN 005 007 0 K

303 3524011108102078 3524015705700002 SUMI LAMONGAN 17|05|1970 S P LAMPEYAN 005 007 0 K

304 3524011108102078 3524010404880002 TIKUK LAMONGAN 04|04|1988 B L LAMPEYAN 005 007 0 K

305 3524011108102180 3524011409800002 MUTOHARI LAMONGAN 14|09|1980 S L LAMPEYAN 005 007 0 K

306 3524011108102180 3524015108830002 YUNTIANIS LAMONGAN 11|08|1983 S P LAMPEYAN 005 007 0 K

307 3524011108102195 3524012704810001 SUPRATMANTO LAMONGAN 27|04|1981 S L LAMPEYAN 005 007 0 K

308 3524011108102195 3524015508810001 SRI HARNINGSIH LAMONGAN 15|08|1981 S P LAMPEYAN 005 007 0 K

309 3524011108102205 3524010404810003 NAWIE ABE LAMONGAN 04|04|1981 S L Dsn. LAMPEYAN 005 007 0 K

310 3524011108102205 3524016306850001 HARTATIK BOJONEGORO 23|06|1985 S P Dsn. LAMPEYAN 005 007 0 K

311 3524011108102209 3524011704820002 AGUS PURNOMO LAMONGAN 17|04|1982 S L Dsn. LAMPEYAN 005 007 0 K

312 3524011108102209 3524015402920001 SAMISIH LAMONGAN 14|02|1992 S P Dsn. LAMPEYAN 005 007 0 K

313 3524011108102248 3524010210770001 MEMONARI LAMONGAN 02|10|1977 S L LAMPEYAN 005 007 0 K

314 3524011108102248 3524014408870001 SUMIATI LAMONGAN 04|08|1987 S P LAMPEYAN 005 007 0 K

315 3524011204170002 3524011508860001 SARMAN LAMONGAN 15|08|1986 S L LAMPEYAN 005 007 0 K

316 3524011204170002 3524015904910001 PARLIK MUNTIASIH LAMONGAN 17|04|1991 S P LAMPEYAN 005 007 0 K

317 3524011508190001 3523152609830005 HARIANTO LAMONGAN 26|09|1973 S L LAMPEYAN 005 007 0 K

318 3524011508190001 3523154408830003 SUMINI TUBAN 19|10|1983 S P LAMPEYAN 005 007 0 K

319 3524011703140001 3524011804830001 SUMARI LAMONGAN 18|04|1983 S L LAMPEYAN 005 007 0 K

320 3524011703140001 3518144104860006 MAYASARI NGANJUK 01|04|1986 S P LAMPEYAN 005 007 0 K

321 3524011806130003 3524010101800006 LASDI LAMONGAN 07|04|1981 S L LAMPEYAN 005 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 139 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

322 3524011806130003 3524015610870001 TITIK RIANTI LAMONGAN 14|10|1986 S P LAMPEYAN 005 007 0 K

323 3524012008180002 3524014101500037 SARMI LAMONGAN 01|01|1950 S P DSN. LAMPEAN 005 007 0 K

324 3524012008180002 3522081608730004 PARMIN LAMONGAN 16|08|1974 S L DSN. LAMPEAN 005 007 0 K

325 3524012309160001 3524012108810001 EDI SUSANTO LAMONGAN 21|08|1981 S L LAMPEYAN 005 007 0 K

326 3524012309160001 3524025205890001 LIDIYA LAMONGAN 12|05|1989 S P LAMPEYAN 005 007 0 K

327 3524012507120001 3524010102700004 PARDI LAMONGAN 01|02|1970 S L LAMPEYAN 005 007 0 K

328 3524012507120001 3524015707910001 RASIMAH LAMONGAN 17|07|1991 S P LAMPEYAN 005 007 0 K

329 3524012604180002 3524012010830002 JUMA'IN LAMONGAN 20|10|1983 B L LAMPEYAN 005 007 0 K

330 3524012609120002 3275061206770018 SUGENG WIDODO KULONPROGO 12|06|1977 S L LAMPEYAN 005 007 0 K

331 3524012702180005 3524016007810001 ATIK LAMONGAN 20|07|1981 P P LAMPEYAN 005 007 0 K

332 3524012702180005 3524011212030001 ARIS WIRANTO LAMONGAN 12|05|2003 B L LAMPEYAN 005 007 0 K

333 3524012912170001 3524021304900001 SUWANAN LAMONGAN 13|04|1990 S L LAMPEYAN 005 007 0 K

334 3524012912170001 3524015401950002 ERNI LAMONGAN 14|01|1995 S P LAMPEYAN 005 007 0 K

335 3524013107180001 3524011312940003 CUCUK PRADIANTO LAMONGAN 13|12|1994 S L LAMPEYAN 005 007 0 K

336 3524013107180001 3524026207950001 YULI AGUSTIN LAMONGAN 22|07|1995 S P LAMPEYAN 005 007 0 K

337 3524010201120001 3524010802840003 YATEMO LAMONGAN 08|02|1984 S L LAMPEYAN 021 007 0 K

338 3524010201120001 3524014801890001 AYU WIDIAKUSUMA LAMONGAN 08|01|1989 S P LAMPEYAN 021 007 0 K

339 3524010411110456 3524014403760004 MASINI LAMONGAN 04|03|1976 P P LAMPEYAN 021 007 0 K

340 3524011108101046 3524010110770002 NURHADI LAMONGAN 01|10|1977 S L LAMPEYAN 021 007 0 K

341 3524011108101046 3524015101790003 SRIMIASIH LAMONGAN 11|01|1979 S P LAMPEYAN 021 007 0 K

342 3524011108101046 3524010905000001 ROY HADI KUSUMO LAMONGAN 09|05|2000 B L LAMPEYAN 021 007 0 K

343 3524011108101526 3524010101710011 SAMIRIN LAMONGAN 01|01|1971 S L LAMPEYAN 021 007 0 K

344 3524011108101526 3524014101720012 NYAMI LAMONGAN 01|01|1972 S P LAMPEYAN 021 007 0 K

345 3524010411110261 3524010707650002 WALUYO LAMONGAN 07|07|1965 S L LAMPEYAN 022 007 0 B

346 3524010411110261 3524014707720001 MIATUN LAMONGAN 07|07|1972 S P LAMPEYAN 022 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 140 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

347 3524010411110456 3524015110040087 KASEMI BOJONEGORO 11|10|1940 S P LAMPEYAN 022 007 0 K

348 3524011108101557 3524015101600004 SULASTRI LAMONGAN 11|01|1960 P P LAMPEYAN 022 007 0 K

349 3524011108101561 3524014101500038 SAKINI LAMONGAN 01|01|1950 S P LAMPEYAN 022 007 0 K

350 3524012806110065 3524010410780001 SUKRI LAMONGAN 04|10|1978 S L Dsn. LAMPEYAN 022 007 0 K

351 3524012806110065 3524014809830001 HARTINI LAMONGAN 08|09|1983 S P Dsn. LAMPEYAN 022 007 0 K

352 3524010411110456 3524012803020002 TOMI WAHYUDA LAMONGAN 28|03|2002 B L LAMPEYAN 023 007 0 K

353 3524011106120002 3524011711720001 NARTONO LAMONGAN 17|11|1972 S L LAMPEYAN 023 007 0 K

354 3524011106120002 3524014507750002 SAMISIH LAMONGAN 05|07|1975 S P LAMPEYAN 023 007 0 K

355 3524011106120002 3524010109030002 ANDREAS PUTRA PRATAMA. LAMONGAN 01|09|2003 B L LAMPEYAN 023 007 0 K

356 3524011108101538 3524011403630001 SUDARJO LAMONGAN 14|03|1963 S L LAMPEYAN 023 007 0 K

357 3524011108101538 3524014201650008 SUPIANI LAMONGAN 02|01|1965 S P LAMPEYAN 023 007 0 K

358 3524011108101538 3524010301920002 PUGUH BUDI SANTOSO LAMONGAN 30|11|1992 S L LAMPEYAN 023 007 0 K

359 3524011108101538 3524016401930002 LUSIATI LAMONGAN 24|01|1993 S P LAMPEYAN 023 007 0 K

360 3524011108101938 3524014101590041 LASEMI LAMONGAN 01|01|1959 S P LAMPEYAN 023 007 0 K

361 3524011108101953 3524014101630030 LAMINTEN LAMONGAN 01|01|1963 S P LAMPEYAN 024 007 0 K

362 3524011108101953 3524016807880001 PARNIK LAMONGAN 28|07|1988 S P LAMPEYAN 024 007 0 K

363 3524011108102217 3524014211800001 WAINING LAMONGAN 02|11|1980 S P Dsn. LAMPEYAN 024 007 0 K

364 3524011108102217 3524011207810002 SAMPURNO LAMONGAN 12|07|1981 S L Dsn. LAMPEYAN 024 007 0 K

365 3524011201150004 3524014101630032 SRIYAT LAMONGAN 01|01|1963 P P Dsn. LAMPEYAN 024 007 0 K

366 3524011108101313 3524014701510001 SUMINI LAMONGAN 07|01|1951 S P LAMPEYAN 025 007 0 K

367 3524011108102151 3524015810790001 HARPUAH LAMONGAN 18|10|1979 S P LAMPEAN 025 007 0 K

368 3524011612130002 3524014102640002 MAMI LAMONGAN 01|02|1964 P P LAMPEYAN 025 007 0 K

369 3524011612130002 3524010606760001 BAMBANG SUGITO LAMONGAN 12|12|1984 S L LAMPEYAN 025 007 0 K

370 3524011612130002 3524014101860004 SUPI UTRIYAH LAMONGAN 13|01|1985 S P LAMPEYAN 025 007 0 K

371 9109031005110001 9109035108840011 HENI LAMONGAN 11|08|1984 B P LAMPEYAN 025 007 0 K

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 141 dari 142


Model A.3-KWK

TANGGAL STATUS JENIS ALAMAT DISA STATUS PEREKAMAN


NO NO KK NIK NAMA TEMPAT LAHIR PERKAWINAN KELAMIN KTP-EL KETERANGAN
LAHIR B/S/P L/P JALAN/DUKUH RT RW BILITAS (B/S/K)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

372 3524011108102669 3524015101700005 KATEMI LAMONGAN 11|01|1970 S P LAMPEYAN 001 008 0 K

373 3524011108102669 3524011803730002 SAMIRAN LAMONGAN 18|03|1973 S L LAMPEYAN 001 008 0 K

374 3524011108101023 3524010501550006 DARISAN LAMONGAN 05|01|1955 S L LAMPEYAN 002 008 0 K

375 3524011211150001 3524015206800001 TATIK LAMONGAN 12|06|1980 S P LAMPEYAN 002 008 0 K

376 3524011211150001 3312170202830002 MISDI WONOGIRI 02|02|1983 S L LAMPEYAN 002 008 0 K

377 3524012604130001 3524014402840001 LULUS WIDARTIK LAMONGAN 25|02|1984 S P LAMPEYAN 002 008 0 K

378 3524012604130001 3522082910850002 HENDRI SUSANTO BOJONEGORO 29|10|1985 S L LAMPEYAN 002 008 0 K

379 3524011108102064 3524011304780001 SUWADAK LAMONGAN 13|04|1978 S L LAMPEYAN 005 008 0 K

380 3524011309180001 9171056508820008 MINDARINI AGUSTIN JEMBER 25|08|1982 S P LAMPEYAN 003 010 0 K

Keterangan Perkawinan = 380 Keterangan Disabilitas : Keterangan Status Perekaman KTP-el = 380
B : Belum Kawin = 52 1: Disabilitas Fisik B : Belum Rekam = 6 Ditetapkan di LAMONGAN, Tanggal 16 Oktober 2020
S : Kawin = 294 2: Disabilitas Intelektual S : Sudah Rekam (Suket) KPU KABUPATEN LAMONGAN
P : Pernah Kawin = 34 3: Disabilitas Mental K : Sudah Rekam (KTP-el) = 374 KETUA
4: Disabilitas Sensorik
Jenis Kelamin = 380
L : Laki-Laki = 172
P : Perempuan = 208 MAHRUS ALI, S.Pd
KK = 166

Kd10-JAWA_TIMUR-LAMONGAN-SUKORAME-KEDUNGKUMPUL-009 Hal 142 dari 142

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