No Nama KK Umur Status Anggota Keluarga

1
2
1 DANU HARYONO 2/26/1962 SKU 3
4
5
1 KUSMINAH
2
2 RESO DIONO 12/1/1966 SKU 3
4
5
1 JUNENG
2
3 PAIJO 11/1/1962 SKU 3
4
5
1 NGADIYEM
2 SYARIEF MAULANA
4 HASIM 12/31/1980 SKU 3
4
5
1 SANIYAH
2 MUH RIZQIHARVIANSYAH
5 MUH ABDUL QOHAR 2/14/1981 SKU 3
4
5
1 SITI KHOTIMAH
2 FITRA RAMADHAN
6 NUR FATONI 12/29/1969 SKU 3 FITRI RAMADHANI
4
5
1 PONIKEM
2 AULIA SAFARA
7 SURJA 9/3/1983 SKU 3
4
5
1 BANIYEM
2 SUGENG PRIYONO
8 KESOD 1/6/1969 SKU 3
4
5
1 RASINAH

9 ALDIRIN 6/26/1965 SKU

 2 JIHAD
9 ALDIRIN 6/26/1965 SKU 3
4
5
1 INDARTI
2 ELIS DESI KURNIA
10 WARSONO 11/17/1969 SKU 3
4
5
1 BADRIYAH
2
11 ASRIN SUMARNO 11/3/1947 SKU 3
4
5
1 SUHARTI
2
12 ODIK SUDIRO ALI 6/7/1963 SKU 3
4
5
1 MARCALINA DA SILVA
2 SONIA
13 MATEUS DECONSENCAO S 11/1/1985 SKU 3
4
5
1
2
14 MANUEL DA COSTA 2/5/1992 SKU 3
4
5
1 MUZAEMAH
2 NADIA SEPTIYANA
15 WAHNO 4/12/1988 SKU 3
4
5
1 LITIK
2
16 DARMONO 4/25/1967 SKU 3
4
5
1 RINA LESTARI
2 SEPTY OCTAVIANA VILDA LESTARI
17 NGUYUN 10/24/1991 SKU 3
4
5
1 UMIYATI

18 SARIJO 3/15/1977 SKU

 2 SUHADI
18 SARIJO 3/15/1977 SKU 3 RAFI KURNIAWAN
4
5
1 SUMINAH
2 TARYUNIAH
19 DANURI 10/25/1981 SKU 3 DIKA MANDALA PUTRA
4 KURNIAWAN
5
1 SANIKEM
2
20 BOLOT 5/10/1979 SKU 3
4
5
1
2
21 PUJI HARTONO 11/11/1992 SKU 3
4
5
1 BAWON
2
22 HARYANTO 6/14/1968 SKU 3
4
5
1 NARWATI
2 DENI ANDIKA
23 NASRUN 1/18/1970 SKU 3 DINA ANRIANI
4
5
1 TASLIMAH
2 M MAFTUH ARWANI
24 SUDARMANTO 10/3/1986 SKU 3
4
5
1 GURIS TUKIMAH
2 WIYADI
25 SARYANTO 10/14/1972 SKU 3
4
5
1 SANTI
2 NATSMA AMALIA
26 PONIJO 3/3/1980 SKU 3
4
5
1 RASMI

27 NUR RODIN 7/6/1971 SKU

 2
27 NUR RODIN 7/6/1971 SKU 3
4
5
1 TUMIRAH
2 SERLY OKTAVIANA
28 MASHURI 4/14/1979 SKU 3 MEYLAN AFIFA ZAHIRA
4
5
1 SULIMAH
2 MUHAMAD RIZAL
29 AHMAD SUTRIMO 6/4/1978 SKU 3 RESYA CITRA FEBIANA
4
5
1 ARMINI
2 ANNA FIYAN
30 TURYANTO 10/31/1981 SKU 3 FATIMAH AZZAHRA
4 AHMAD KHALIT
5
1 ROMDIYAH
2
31 WANTO 1/25/1993 SKU 3
4
5
1 SAMINI
2
32 SUPROTO 12/31/1970 SKU 3
4
5
1 TURYATI
2
33 TUGIRI 11/30/1970 SKU 3
4
5
1
2
34 SARDI 11/18/1980 SKU 3
4
5
1
2
35 SIYEM 6/12/1988 SKU 3
4
5
1

36 KHAMIDI 9/23/1985 SKU

 2
36 KHAMIDI 9/23/1985 SKU 3
4
5
1 MARYATI
2 SAINA FAJARKRISTIYANI
37 TUKIMAN 2/8/1979 SKU 3 NAFISA AURELLIA
4
5
1
2
38 SUPARNO 11/9/1981 SKU 3
4
5
1 MURLINA
2 RINDI YANI
39 KOSIM 1/8/1976 SKU 3 NUR KHOLIK
4
5
1 SURIYAH
2
40 SUBAKRI 5/2/1967 SKU 3
4
5
1
2
41 MATALI 8/23/1988 SKU 3
4
5
1 SITI MUQAROMAH
2 ARIQO FATINA
42 AKMAD SUKARDI 10/6/1976 SKU 3
4
5
1 ASIH
2
43 MUHAMAD WAHRUR 10/5/1988 SKU 3
4
5
1 NARMINI
2 ABDUL ROZAK
44 EDI SARWONO 6/14/1978 SKU 3
4
5
1 YENI SOFIANI

45 ALI USMAN 8/23/1988 SKU

 2 M ALFARIZI
45 ALI USMAN 8/23/1988 SKU 3
4
5
1 MISTIYANTI
2 AHMAD FATKHURROHMAN
46 MISNO 2/27/1986 SKU 3 NUR LATIFAH
4
5
1 BIYEM
2 TRI NIASIH HIDAYAT
47 TUKUL HIDAYAT 4/9/1974 SKU 3
4
5
1 TUTI HARYANI
2 BETTY NURIANA PUTRI
48 BAIMIN 9/4/1991 SKU 3
4
5
1 UMI AMINAH
2 MARVIN
49 WALIYO 6/16/1974 SKU 3
4
5
1
2
50 TUKIMIN 10/12/1985 SKU 3
4
5
1 UMI HARYANI
2
51 NIKUN 12/13/1972 SKU 3
4
5
1
2
52 SULASTRI 10/14/1994 SKU 3
4
5
1
2
53 DODI PRIONO 1/2/1982 SKU 3
4
5
1

54 ABDUL HIRIS 8/3/1996 SKU

 2
54 ABDUL HIRIS 8/3/1996 SKU 3
4
5
1
2
55 SUPARDI 5/28/2000 PHL 3
4
5
1
2
56 MARJONO 3/18/1961 PHL 3
4
5
1 DESI RUSANTI
2 SOFYATI KHOLIDATOL FAUZIAH
57 TRIYATNO 10/14/1994 PHL 3
4
5
1
2
58 AMINUDDIN 1/20/1983 PHL 3
4
5
1 TUJIATI
2
59 BIBIT 6/13/1977 PHL 3
4
5
1 DEVI SAFITRI
2
60 TRIYANTO 8/8/1992 PHL 3
4
5
1
2 MEYSHA PUTRI KAMELLIA
61 KIKI KUSMAWATI 6/10/1993 SKU 3
4
5
1 SITI FATIMAH
2 REVAN PERMANA
62 NGADISO 7/2/1985 SKU 3
4
5
1 SUMINI

63 NGADIMAN 8/17/1980 SKU

 2
63 NGADIMAN 8/17/1980 SKU 3
4
5
1 YATIMAH
2 JALU AJI
64 DAYAK AJI 11/16/1977 SKU 3
4
5
1 BISIH
2 DANI SAPUTRA
65 SUPONO 7/27/1978 SKU 3 NASYA AULIA
4
5
1
2
66 SEPRIYATNO 9/18/1996 SKU 3
4
5
1
2
67 IWA DWI PURBAYADI 6/3/1972 SKU 3
4
5
1 LINDA
2
68 SURADI RAHMAD 09/061982 SKU 3
4
5
1
2
69 SABAR 7/30/1986 SKU 3
4
5
1
2
70 RICKY ZAHARA 6/9/1999 SKU 3
4
5
1 HARDA LIANA
2 DESYCA LESTARI
71 SARIJO 10/5/1976 SKU 3
4
5
1 DEVI SAFITRI

72 TRIYANTO 8/8/1992 PHL

 2 ERLITA ARSIFA S
72 TRIYANTO 8/8/1992 PHL 3 A NAUFALIN FARZANA
4
5
1
2
73 SLAMET RIYADI 5/20/1987 BRG 3
4
5
1
2
74 ISIANAKO SUGIARTO 11/5/1980 BRG 3
4
5
1
2
75 MITONO 12/09/19883 BRG 3
4
5
1
2
76 RUSYANTO 8/7/1998 BRG 3
4
5
1
2
77 SUTARYO 3/28/1960 BRG 3
4
5
1
2
78 KINEM 6/11/1969 BRG 3
4
5
1 ISTIYAH
2 ARIF BILLA
79 CHARIR USMAN 6/26/1993 BRG 3
4
5
1
2
80 YULIANTO 7/13/1979 BRG 3
4
5
1

81 BONASIR 2/5/1972 BRG

 2
81 BONASIR 2/5/1972 BRG 3
4
5
1
2
82 MANISO B 4/4/1970 BRG 3
4
5
1
2
83 MOCHAMAD SLAMET BRG 3
4
5
1
2
84 LUKMANNUL HAKIM 1/31/1994 BRG 3
4
5
1
2
85 YUN 12/31/1987 BRG 3
4
5
1
2
86 GINAH 12/31/1980 BRG 3
4
5
1
2
87 ABDUL MU'AS 2/4/1991 BRG 3
4
5
1
2
88 JALALUDIN 12/31/1989 BRG 3
4
5
 Anggota Keluarga Tanggal Lahir Status Jenis KB Keterangan

LAJANG

KUSMINAH 8/4/1965 ISTRI TDK KB

JUNENG 2/14/1963 ISTRI/PHL TDK KB

NGADIYEM 9/17/1970 ISTRI/SKU SUNTIK

SYARIEF MAULANA 9/9/2009 ANAK

SANIYAH 1/1/1986 ISTRI/SKU SUNTIK

MUH RIZQIHARVIANSYAH 12/12/2005 ANAK

SITI KHOTIMAH 5/25/1984 ISTRI/SKU HAMIL

FITRA RAMADHAN 10/3/2006 ANAK
FITRI RAMADHANI 8/16/2010 ANAK

PONIKEM 1/5/1983 ISTRI/SKU SUNTIK

AULIA SAFARA 2/20/2009 ANAK

BANIYEM 1/7/1973 ISTRI/SKU INPLAN

SUGENG PRIYONO 12/28/1998 ANAK

RASINAH 2/18/1970 ISTRI/PHL TDK KB

JIHAD

INDARTI 10/13/1968 ISTRI/SKU SUNTIK

ELIS DESI KURNIA 3/31/2003 ANAK

BADRIYAH 12/31/1961 ISTRI TDK KB

SUHARTI 4/14/1966 ISTRI TDK KB

MARCALINA DA SILVA 5/5/1986 ISTRI/SKU KB PIL

SONIA ANAK

LAJANG

MUZAEMAH 3/6/1989 ISTRI/SKU KB 3 BLN

NADIA SEPTIYANA 9/17/2012 ANAK

LITIK 3/15/1966 ISTRI TDK KB

RINA LESTARI 3/19/1994 ISTRI/SKU IMPLAN

SEPTY OCTAVIANA VILDA LESTARI 10/5/2013 ANAK

UMIYATI 6/16/1978 ISTRI/SKU IMPLAN

SUHADI 5/5/2004 ANAK
RAFI KURNIAWAN 5/24/2011 ANAK

SUMINAH 7/15/1986 ISTRI/SKU KB 3 BLN

TARYUNIAH 8/24/2004 ANAK
DIKA MANDALA PUTRA 10/4/2013 ANAK
KURNIAWAN 8/14/2016 ANAK

SANIKEM 7/13/1983 ISTRI/SKU KB 3 BLN

LAJANG

BAWON 1/2/1968 ISTRI/PHL TDK KB

NARWATI 2/9/1974 ISTRI/SKU STIRIL

DENI ANDIKA 2/26/2008 ANAK
DINA ANRIANI 2/26/2008 ANAK

TASLIMAH 8/26/1981 ISTRI/SKU IMPLAN

M MAFTUH ARWANI 10/10/2010 ANAK

GURIS TUKIMAH 4/3/1983 ISTRI/SKU KB 3 BLN

WIYADI 4/23/2007 ANAK

SANTI 1/17/1985 ISTRI/SKU HAMIL

NATSMA AMALIA 7/3/2012 ANAK

RASMI 9/19/1965 ISTRI/PHL TDK KB

TUMIRAH 2/14/1985 ISTRI/SKU KB 3 BLN
SERLY OKTAVIANA 10/1/2005 ANAK
MEYLAN AFIFA ZAHIRA 5/22/2008 ANAK

SULIMAH 11/10/1987 ISTRI/PHL STIRIL

MUHAMAD RIZAL 10/22/2008 ANAK
RESYA CITRA FEBIANA 2/7/2013 ANAK

ARMINI 3/15/1979 ISTRI/BRG KB 3 BLN

ANNA FIYAN 2/12/2006 ANAK
FATIMAH AZZAHRA 7/9/2010 ANAK
AHMAD KHALIT 10/10/2016 ANAK

ROMDIYAH 5/1/1900 ISTRI IMPLAN

SAMINI ISTRI TDK KB

TURYATI 12/29/1970 ISTRI TDK KB

LAJANG

LAJANG

LAJANG
 LAJANG

MARYATI 1/31/1993 ISTRI/BRG KB 3 BLN

SAINA FAJARKRISTIYANI 6/10/2013 ANAK
NAFISA AURELLIA 11/8/2015 ANAK

LAJANG

MURLINA 6/6/1980 ISTRI/SKU KB 3 BLN

RINDI YANI 9/9/2001 ANAK
NUR KHOLIK 2/19/2006 ANAK

SURIYAH 2/9/1973 ISTRI/PHL KB PIL

LAJANG

SITI MUQAROMAH 5/3/1978 ISTRI/SKU SPIRAL

ARIQO FATINA 7/4/2014 ANAK

ASIH 1/18/1989 ISTRI/SKU IMPLAN

NARMINI 3/21/1978 ISTRI/SKU IMPLAN

ABDUL ROZAK 9/24/2005 ANAK

YENI SOFIANI 2/2/1994 ISTRI/SKU KB 3 BLN

M ALFARIZI 9/29/2013 ANAK

MISTIYANTI 4/16/1987 ISTRI/PHL BLM KB

AHMAD FATKHURROHMAN 8/30/2007 ANAK
NUR LATIFAH 10/10/2017 ANAK

BIYEM 12/20/1975 ISTRI/BRG KB 3 BLN

TRI NIASIH HIDAYAT 1/25/2012 ANAK

TUTI HARYANI 2/15/1997 ISTRI/SKU KB 3 BLN

BETTY NURIANA PUTRI 5/29/2016 ANAK

UMI AMINAH 6/8/1994 ISTRI/SKU TDK KB

MARVIN ANAK

LAJANG

UMI HARYANI 12/25/1970 ISTRI/PHL IUD

LAJANG

LAJANG

LAJANG
 LAJANG

LAJANG

LAJANG

DESI RUSANTI 12/9/1996 ISTRI/PHL SUNTIK

SOFYATI KHOLIDATOL FAUZIAH 2/10/2015

LAJANG

TUJIATI 1/5/1985 ISTRI/PHL HAMIL

DEVI SAFITRI ISTRI/PHL

SUNTIK
MEYSHA PUTRI KAMELLIA 5/14/2014 ANAK

SITI FATIMAH 11/30/1984 ISTRI/SKU SUNTIK

REVAN PERMANA 1/15/2017 ANAK

SUMINI 11/9/1986 ISTRI/SKU SUNTIK

YATIMAH 6/6/1984 ISTRI/SKU TDK KB
JALU AJI 3/15/2005 ANAK

BISIH 1/21/1980 ISTRI/SKU INPLAN

DANI SAPUTRA 9/2/2003 ANAK
NASYA AULIA 4/24/2011 ANAK

LAJANG

LAJANG

LINDA 8/23/1989 ISTRI TDK KB

LAJANG

LAJANG

HARDA LIANA 8/19/1983 ISTRI INPLAN

DESYCA LESTARI 12/19/2014 ANAK

DEVI SAFITRI 4/7/1989 ISTRI INPLAN

ERLITA ARSIFA S 10/14/2014 ANAK
A NAUFALIN FARZANA 1/15/2017 ANAK

ISTIYAH 9/1/1992 ISTRI/BRG INPLAN

ARIF BILLA 10/11/2016 ANAK