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PERMOHONAN KARTU IDENTITAS ANAK (KIA)

PERUM. BARELANG & CENTRAL RAYA , RT.001/RW.008

KEL, TG UNCANG, KEC, BATU AJI. BATAM #29424

TMP/TGL
NO NAMA NO. KTP NAMA ORTU NO. HP KET
LAHIR
MOHAMAD AZMI BATAM, 10-04- .217112100405 SAHID/JUMIATIN .085272188289 PENGAJUAN
1 WIJAYA 2005 9003 , 10/05/21
MOHAMAD BATAM, 11 -03- .217112110310 SAHID/JUMIATIN .085272188289 PENGAJUAN
2 FOUZI 2010 0001 , 10/05/21
WIJAYA
MOHAMMADALTH BATAM, 28-07- .217112807160 SAHID/JUMIATIN ,085271188289 PENGAJUAN
3 AF WIJAYA 2016 003 , 10/05/21
MOHAMMAD BATAM, 15-09- ,217011509090 AHMADHASANUDIN/AI ,085830280422 PENGAJUAN
4 RIFQI RAHMAN 2009 001 KUSWATI , 10/05/21
MUHAMMAD BATAM, 25-10- 2171112251013 AHMADHASANUDIN/AI ,085830280422 PENGAJUAN
5 NABIL YAHDAN 20013 006 KUSWATI , 10/05/21

KHUSNUL BATAM, 05-08- ,217112508060 WINDU AJI.M/ERNI ,081372712202 PENGAJUAN


6 KHOTIMAH 2006 001 , 10/05/21
SASKIA JANITA P BURUNG, 28- ,140420680613 ZAHERMAN/HAFISAH ,085363804789 PENGAJUAN
7 RAHMADANI 06-2013 0001 , 10/05/21
APRILIA SABILA BATAM, 20-04- ,140420600406 ZAHERMAN/HAFISAH ,085363804789 PENGAJUAN
8 2014 0003 , 10/05/21
ELYASA EZA DEMAK, 21-12- ,217112211208 MOH ABDULAH/ENY ,082389016929 PENGAJUAN
9 ABDULAH 2008 0005 , 10-05-21
AFKAR FADHIL BATAM, 20-07- ,217112200714 MOH ABDULAH/ENY .082389016929 PENGAJUAN
10 ABDULAH 2014 0002 , 10-05-21
DINDA ARIANI BATAM. 08- .21711248061 ZAINUDIN/AINI .082287987723 PENGAJUA
11
06-2010 00009 SUSANTI N, 10-05-21
DINI AZMY LIANI BATAM, 25-02- .217112250213 ZAINUDIN/AINI .082287987723 PENGAJUAN
12 2013 0008 SUSANTI , 10-05-21
KHORUN NIZA BATAM., 29-10- .217112291014 WINDU AJI/ERNI .081372712202 PENGAJUAN
13 ROHMADONI 2014 0003 , 10-05-21
IBRAHIM FARROS BATAM, 09-01- .217112090112 SLAMET RIYADI/DWI .081261051255 PENGAJUAN
14 JANUARDI 2012 0001 RIKA HANDAYANI , 10-05-21
MUHAMMAD BATAM, 29-05- .217112290514 SLAMET RIYADI/DWI .081261051255 PENGAJUAN
15 RIDHO AL 2014 0007 RIKA HANDAYANI , 10-05-21
GHAZALI
M. RAKA FAROZI KAMPS JAYA, .140419280907 ISMAIL ARIANSYAH/ .082283210858 PENGAJUAN
16 28-09-2007 0001 EVI SUSANTI , 10-05-21
FEBBY TRI BATAM, 19-08- ,217111219081 ISMAIL ARIANSYAH/ 082283210858 PENGAJUAN
17 LESTARI 2015 5006 EVI SUSANTI , 10-05-21
ADINDA FIRLIANI JAMBI, 21-01- .157106661011 HAZNIATULAKBAR/ .081364607382 PENGAJUAN
18 AKBAR 2014 4001 MARDESWATI , 10-05-21
M.AZRIL RAFIQ BATAM, 22-05- .211722205202 HAZNIATULAKBAR/ .081364607382 PENAJUAN,
19 AKBAR 2020 00039 MARDESWATI 10-05-21
FATHUL ARHAM BATAM, 13-08- .211711213081 RAHMAD ZASNO/SILMI .081270222670 PENGAJUAN
20 RIZKUS 2012 2002 EFRIANI , 10-05-21
INTAN AYU BATAM, 24-10- .217112641106 NUROHMAN/KUSWATI .089612046422 PENGAJUAN
21 SYAHVIRA 2006 9004 10-05-21
HANA AYU BATAM, 17-05- .217112170517 NUROHMAN/KUSWAT .089612046422 PENGAJUAN
22 RAHMADANI 20017 004 10-05-21
HANI AYU BATAM, 17-05- 2171121705170 NUROHMAN/KUSWAT 089612046422 PENGAJUAN
23 RAHMADANI 20017 02 10-05-21
RAHMAD HADY BATAM, 11-12- .217112111214 IWAN R/ROSITA .081372331930 PENGAJUAN
24 ISWANTO 2014 002 POHAN 10-05-21
MUHAMAD RISKI BATAM, 01-06- .217112014710 IWAN R/ROSITA .08137233193 PENGAJUAN
25 2011 85003 POHAN 10-05-21
PERMOHONAN KARTU IDENTITAS ANAK (KIA)

PERUM. BARELANG & CENTRAL RAYA , RT.001/RW.008

KEL, TG UNCANG, KEC, BATU AJI. BATAM #29424

TMP/TGL
NO NAMA NO KTP NAMA ORTUA NO. HP KET
LAHIR
SHINTA AULYA SUKOHRJO, .331109530112 AGUS .081372191062 PENGAJUAN
26 FATIAH 13-01-2012 0002 DANURI/AGUSTINA 10-05-21
NAWANG FATIH BATAM, 22-10- .217112221119 AGUS .081372191062 PENGAJUAN
27 ARYADIKA 2019 003 DANURI/AGUSTINA 10-05-21
ASYILA, F BATAM, 30-05- .217112700518 SAIB HARAHAP/SITI .082287815376 PENGAJUAN
28 HARAHAP 2018 0015 RASMI RITONGA 10-05-21
FACHRUL BATAM, 31-11- .217112311005 EDY .081364785514 PENGAJUAN
29 RAHMADAN 2005 0001 HADAYA/SUHARYATI 10-05-21
AULIA FITRI BATAM, 17-09- .217112570910 EDY .081364785514 PENGAJUAN
30 AMANDA 2010 0002 HADAYA/SUHARYATI 10-05-21
MUHAMMAD BATAM,17-01- .217112170113 FRISON/NOVERA .081364669950 PENGAJUAN
31 FAJAR 2013 0002 TANTI 10-05-21
DIVA SALVA BILA BATAM, 22-03- .217126203069 FRISON/NOVERA 081364669950 PENGAJUAN
32 2006 007 TANTI 10-05-21
ANDREISAPUTRA M. BUNGO, 06- .150802060109 YULIOS ENDANG .082381208415 PENGAJUAN
33 06-2009 0001 P/DEWI DARMANTI 10-05-21
NUR AINI BATAM, 18-05- .217112580515 YULIOS ENDANG .082381208415 PENGAJUAN
34 2015 0002 P/DEWI DARMANTI 10-05-21
GEO ZAGA BATAM, 12 01- ,150802120106 YULIOS ENDANG .082381208415 PENGAJUAN
35 VARTOSA 2006 001 P/DEWI DARMANTI 10-05-21

CALLISTA BATAM, 03-01- .130112430117 APRIYADI/FITRI .08581277547852 PENGAJUAN


36 MAHARANI S 2017 0001 PARDENI 10-05-21
RASELIA SALSA BATAM, 20-07- .217112310160 RAHMAT BAHRUL .82172272856 PENGAJUAN
37 BILA 2016 004 ULUM 10-05-21
SANTO SIMON BATAM, 22-11- ,217112221105 HENDRI .081268083830 PENGAJUAN
38 DAPARI 2005 0002 DAPARI/ROGANDA 10-05-21
OKTAVIANUS BATAM, 27-10- .211711227101 HENDRI D/ROGANDA 081268083830 PENGAJUAN
39 SEMBIRING D 2014 40007 10-05-21

AZLINA ACEH, 08-12- ,217112481204 AIYUB/SULASTI .085265434212 PENGAJUAN


40 ATZRIQUNDO 2004 9002 10-05-21
AULIA BATAM, 23-07- .217112630712 MARWAN/NURLINDA .081372936474 PENGAJUAN
41 RAHMADANI 2012 0003 10-05-21
FIBRA DJAMUNA BATAM, 13-09- .217112130907 WEMPI .085374554866 PENGAJUAN
42 2007 90005 DJAMUNA/HERAWATI 10-05-21
NURAZ BATAM,14-04- .217114041040 NANDA DJAMUNA/ .085374554866 PENGAJUAN
43 TAMIRDJAMUNA 2021 39009 AMAND WIDYA A 10-05-21
M. MULINDA BATAM, 13-09- .217111130911 ANWAR/ASRIANI .081275418294 PENGAJUAN
44 2011 0009 10-05-21
HEMALIA PUTRI BATAM,26-11- .217111661113 ANWAR/ASRIANI .081275418294 PENGAJUAN
45 2013 0005 10-05-21
AHMAD MADANI BATAM, 11-10- .217112111101 WAHYUDI/LILI .081372660293 PENGAJUAN
46 2021 80001 PUSPITA 10-05-21
SITI JIHAN BATAM, 24-12- .217112641213 WAHYUDI/LILI .081372660293 PENGAJUAN
47 TALITA LILFA 2013 0004 PUSPITA 10-05-21
YUMNA NAFISAH BATAM, 13-08- .217125308190 TISEN POHAN/NUR .085358796211 PENGAJUAN
48 POHAN 2019 0002 ANISA BHOA 10-05-21
PUTRI NESYA BATAM, 07-04- .217112470407 MULYONO/MAIDA .082382703368 PENGAJUAN
49 GHAISANI 2007 0002 RITONGA 10-05-21
SITI NUR AISYAH BATAM, 22-04- .217111620409 WAHYUDI/LILI 081372660293 PENGAJUAN
50 2009 0001 PUSPITA 10-05-21
MARWAN BATAM, 05-12- .217103051215 JUMBARI/JULANA .081276193237 PENGAJUAN
51 RINANDA 2015 0003 10-05-21
ADINDA BATAM, 14-11- .217112541106 ALIMORA RIT/KRITINA .081364493463 PENGAJUAN
52 NOVRIYANTI R 2006 9004 WAHYU BARUTU 10-05-21
DZAKIY KAMIL BATAM, 13-01- .217112013011 YUGO .O8127716187 PENGAJUAN
53 2012 20001` WIGUNO/ENDANG .S 10-05-2021
DZAKWAN KAMIL BATAM,08-03- ,217112080308 YUGO .O8127716187 PENGAJUAN
54 2008 0001 WIGUNO/ENDANG .S 10-05-2021

KORDINATOR MENGETAHUI :

HUMAS FKTW KETUA RT.001/ RW-008

ROY SIANIPAR SAHID WIJAYA

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