PROPOSAL

PERMOHONAN BANTUAN HEWAN QURBAN

KABUPATEN JEMBER
TAHUN 1443 H ( TAHUN 2022 )

DIAJUKAN OLEH
KOMONITAS TANGAN DI ATAS
KTDA
Jl. Sritanjung Kaliwining Wirolegi
Kecamatan Sumbersari Kabupaten Jember
Telp : 085102108407
 KOMONITAS TANGAN DIATAS
KTDA
KABUPATEN : JEMBER
KECAMATAN : SUMBERSARI
KELURAHAN : WIROLEGI LINGK. KALIWINING
SEKRETARIAT : Jl. Sritanjung Kaliwining Wirolegi Tlp : 085102108407 - 085330220608

Nomor : 10/KTD/07/2022
Hal : Permohonan hewan Qurban
Lampiran : 1 Bendel

Kepada
Ketua Lembaga Azka Al Baitul Amien
Jl. Sultan Agung No.02
Di Jember,

Segala puji bagi Allah SWT yang menganugerahi duta hidup memberi petunjuk dan rezeki yang
melimpah, sholawat serta salam semoga tercurah kepada junjungan kita Nabi Muhammad SAW bersama
orang-orang yang istqomah jalan islam.

Sebelumnya perkenalkan kami menghaturkan salam ta`aruf dan silaturarohmi dari segenap pengurus
staf bersama-sama dengan Bapak/Ibuk/Saudara sekalian untuk dapat berjuang dijalan Allah sekaligus
mempersiapkan bekal untuk kehidupan akhirat.

Selanjutnya berhubungan dengan akan datangnya hari raya IDUL ADHA 14H. Maka bersama surat ini
kami mengajukan permohonan hewan Qurban untuk kami salurkan kepada masyarakat khususnya :
1. Anak yatim / piatu
2. Duafa

Besar harapan kami untuk diperkenankannya permohonan kami. Akhir kata tidak ada balasan yang
kami haturkan kecuali doa dari segenap pengurus KTDA atas kebaikan bapak / ibu / saudara semoga Allah
SWT membalas kebaikan yang jauh lebih banyak dan barokah atas amal sholeh sekalian.

Jazakumullah khoiron katsiron

KETUA SEKERTARIS

SAIDAH P. HOSEN
 PROFIL LEMBAGA

Nama Lembaga : Komonitas Tangan Di Atas

Alamat : Jl. Sritanjung Kaliwining Kel. Wirolegi Kec. Sumbersari

Ketua : Saidah

Alamat : Jl. Sritanjung Kaliwining RT. 01 RW .10

Sekertaris : P. Hosen

Bendahara I : Syafiufin

Bendahara II : Supriadianto

Penasihat I : Moh. Ya’la

Penasihat II : Husen Jaylani

Jember, 03 Juli 2022

Ketua

SAIDAH
 DATA NAMA-NAMA DUAFA
LINGKUNGAN KALIWINING

Jenis
No. Nama Umur Alamat
Kelamin

1 B. Rohani P 70Th RT.01 RW.10 Kaliwining

2 Masitah P 55Th RT.01 RW.10 Kaliwining

3 B. Nuryami p 60 Th RT.01 RW.10 Kaliwining

4 P. Edi L 62Th RT.01 RW.10 Kaliwining

5 b.yuyn p 55Th RT.01 RW.10 Kaliwining

6 b.tres robia p 70Th RT.01 RW.10 Kaliwining

7 B.maryam P 56Th RT.01 RW.10 Kaliwining

8 B.jenna P 59Th RT.01 RW.10 Kaliwining

9 B.hartatik P 62Th RT.01 RW.10 Kaliwining

10 B.suyati p 65Th RT.01 RW.10 Kaliwining

11 b.sayani P 71Th RT.01 RW.10 Kaliwining

12 B.nur/di P 69Th RT.01 RW.10 Kaliwining

13 B.sanurya P 95Th RT.01 RW.10 Kaliwining

14 misnaden L 83Th RT.01 RW.10 Kaliwining

15 P.hos L 64Th RT.01 RW.10 Kaliwining

16 B.orep P 66Th RT.02 RW.10 Kaliwining

17 B.sari’a P 67Th RT.02 RW.10 Kaliwining

18 B.suyana P 80Th RT.02 RW.10 Kaliwining

19 B.har/tuyani P 62Th RT.02 RW.10 Kaliwining

20 B.sol P 83Th RT.02 RW.10 Kaliwining

21 B.sirat P 87Th RT.02 RW.10 Kaliwining

22 B.om P 84Th RT.02 RW.10 Kaliwining

23 B.cicik P 64Th RT.02 RW.10 Kaliwining

24 B.amsani P 73Th RT.02 RW.10 Kaliwining

25 B.nawawi P 56Th RT.02 RW.10 Kaliwining

26 B.jum/rokaya P 58Th RT.02 RW.10 Kaliwining

27 B.sufia P 53Th RT.02 RW.10 Kaliwining

28 B.di/tomi P 73Th RT.02 RW.10 Kaliwining

29 B.juma’ia P 61Th RT.02 RW.10 Kaliwining

30 b.halel P 78Th RT.02 RW.10 Kaliwining

31 B.sana P 61Th RT.02 RW.10 Kaliwining

32 B.yunik P 60Th RT.03 RW.10 Kaliwining

33 B.mardia P 55Th RT.03 RW.10 Kaliwining

34 b.mina P 57Th RT.03 RW.10 Kaliwining

35 B.jumaani P 62Th RT.03 RW.10 Kaliwining

36 B.naser P 70Th RT.03 RW.10 Kaliwining

37 P.sarep L 66Th RT.03 RW.10 Kaliwining

38 B.saton P 81Th RT.03 RW.10 Kaliwining

39 B.sariya P 63Th RT.03 RW.10 Kaliwining

40 B.nanik P 65Th RT.03 RW.10 Kaliwining

41 B.maryaton P 62Th RT.03 RW.10 Kaliwining

42 B.jole P 80Th RT.03 RW.10 Kaliwining

43 B.amyati P 67Th RT.03 RW.10 Kaliwining

44 B.masia P 83Th RT.03 RW.10 Kaliwining

45 P.seniman L 63Th RT.03 RW.10 Kaliwining

46 B.mai P 90Th RT.03 RW.10 Kaliwining

47 B.tuba P 65Th RT.03 RW.10 Kaliwining

48 B.sun P 64Th RT.01 RW.11 Kaliwining

49 B.sayni P 91Th RT.01 RW.11 Kaliwining

50 B.hafid P 67Th RT.01 RW.11 Kaliwining

51 B.ahmad P 65Th RT.01 RW.11 Kaliwining

52 B.halis P 72Th RT.01 RW.11 Kaliwining

53 B.har P 60Th RT.01 RW.11 Kaliwining

54 B.tuyana P 65Th RT.01 RW.11 Kaliwining

55 B.pati P 71Th RT.01 RW.11 Kaliwining

56 B.SUKRI P 73Th RT.01 RW.11 Kaliwining

57 B.ro P 68Th RT.01 RW.11 Kaliwining

58 B.tin P 67Th RT.01 RW.11 Kaliwining

59 B.rokep P 63Th RT.01 RW.11 Kaliwining

60 B.rofek P 64Th RT.01 RW.11 Kaliwining

61 B.her P 47Th RT.01 RW.11 Kaliwining

62 B.asnawan P 71Th RT.01 RW.11 Kaliwining

63 B.rudi P 69Th RT.01 RW.11 Kaliwining

64 B.ton P 68Th RT.01 RW.11 Kaliwining

65 B.bia P 83Th RT.01 RW.11 Kaliwining

66 B.asan P 67Th RT.02 RW.11 Kaliwining

67 B.sitti P 71Th RT.02 RW.11 Kaliwining

68 B.her P 63Th RT.02 RW.11 Kaliwining

69 P.ri/slamet L 66Th RT.02 RW.11 Kaliwining

70 B.tor P 93Th RT.02 RW.11 Kaliwining

71 B.tuyami P 55Th RT.02 RW.11 Kaliwining

72 B.ninti P 57Th RT.02 RW.11 Kaliwining

73 B.cahyo P 56Th RT.02 RW.11 Kaliwining

74 P.didik L 83Th RT.02 RW.11 Kaliwining

75 P.wi L 85Th RT.02 RW.11 Kaliwining

76 B.sutik P 49Th RT.02 RW.11 Kaliwining

77 B.dul aziz P 71Th RT.02 RW.11 Kaliwining

78 B.yanija P 73Th RT.03 RW.11 Kaliwining

79 B.busia P 76Th RT.03 RW.11 Kaliwining

80 B.muntaha P 75Th RT.03 RW.11 Kaliwining

81 B.lipa P 60Th RT.03 RW.11 Kaliwining

82 B.holifah P 48Th RT.03 RW.11 Kaliwining

83 B.ririn/suati P 78Th RT.03 RW.11 Kaliwining

84 B.ahmad/sauri P 72Th RT.03 RW.11 Kaliwining

85 B.duma P 64Th RT.03 RW.11 Kaliwining

86 B.tohari P 67Th RT.03 RW.11 Kaliwining

87 B.nabia P 76Th RT.03 RW.11 Kaliwining

88 B.buhari/misna P 63Th RT.03 RW.11 Kaliwining

89 B.abdur P 85Th RT.03 RW.11 Kaliwining

90 B.nahrawi P 80Th RT.03 RW.11 Kaliwining

91 B.mat P 73Th RT.03 RW.11 Kaliwining

92 B.rusdi P 65Th RT.03 RW.11 Kaliwining

93 B.jahya P 64Th RT.03 RW.11 Kaliwining

94 B.sun P 63Th RT.01 RW.12 Kaliwining

95 B.ros P 63Th RT.01 RW.12 Kaliwining

96 B.tek P 52Th RT.01 RW.12 Kaliwining

97 B.sol P 79Th RT.01 RW.12 Kaliwining

98 B.saton P 75Th RT.01 RW.12 Kaliwining

99 B.nuryama P 84Th RT.01 RW.12 Kaliwining

100 B.tija P 62Th RT.01 RW.12 Kaliwining

101 B.suparti P 70Th RT.01 RW.12 Kaliwining

102 B.ti/parmi P 74Th RT.01 RW.12 Kaliwining

103 B.junaidi P 84Th RT.01 RW.12 Kaliwining

104 B.miatun P 90Th RT.01 RW.12 Kaliwining

105 B.yet P 64Th RT.01 RW.12 Kaliwining

106 B.rahma P 84Th RT.01 RW.12 Kaliwining

107 B.buji P 87Th RT.01 RW.12 Kaliwining

108 B.ti/jalan P 92Th RT.01 RW.12 Kaliwining

109 B.cipto P 84Th RT.01 RW.12 Kaliwining

110 B.kos P 57Th RT.02 RW.12 Kaliwining

111 B.tin P 57Th RT.02 RW.12 Kaliwining

112 B.rimal P 89Th RT.02 RW.12 Kaliwining

113 B.siati P 71Th RT.02 RW.12 Kaliwining

114 B.pa P 75Th RT.02 RW.12 Kaliwining

115 B.nito P 74Th RT.02 RW.12 Kaliwining

116 B.misyani P 66Th RT.02 RW.12 Kaliwining

117 B.sotek P 70Th RT.02 RW.12 Kaliwining

118 B.man P 65Th RT.02 RW.12 Kaliwining

119 B.lut P 64Th RT.02 RW.12 Kaliwining

120 B.pot P 63Th RT.02 RW.12 Kaliwining

121 Sundari P 72Th RT.03 RW.12 Kaliwining

122 Tomi L 53Th RT.03 RW.12 Kaliwining

123 B.hayati P 60Th RT.03 RW.12 Kaliwining

124 B.supani P 55Th RT.03 RW.12 Kaliwining

125 B.buni P 50Th RT.03 RW.12 Kaliwining

126 B.rum juma’ati P 56Th RT.03 RW.12 Kaliwining

127 B.nurhadi P 65Th RT.03 RW.12 Kaliwining

128 B.sama/B.ti P 62Th RT.03 RW.12 Kaliwining

129 B.agus/samina P 68Th RT.03 RW.12 Kaliwining

130 B.saniwar P 70Th RT.03 RW.12 Kaliwining

131 B.safi’iyah P 63Th RT.03 RW.12 Kaliwining

132 B.juhari P 55Th RT.03 RW.12 Kaliwining

133 B.satori P 70Th RT.03 RW.12 Kaliwining

134 B.holip/nabi P 54Th RT.03 RW.12 Kaliwining

135 B.arbaiyah/holipa P 75Th RT.03 RW.12 Kaliwining

136 B.pit/tima P 55Th RT.03 RW.12 Kaliwining

137 B.ki P 60Th RT.03 RW.12 Kaliwining

138 B.sofi/farit P 46Th RT.03 RW.12 Kaliwining

139 B.samsuri P 67Th RT.03 RW.12 Kaliwining

140 B.sirat P 60Th RT.03 RW.12 Kaliwining

141 B.asan P 79Th RT.03 RW.12 Kaliwining

142 B.satori/bahmi P 76Th RT.03 RW.12 Kaliwining

143 B.sucip/maryam P 60Th RT.03 RW.12 Kaliwining

144 B.rudi,na P 70Th RT.03 RW.12 Kaliwining

145 B.nitas P 70Th RT.03 RW.12 Kaliwining

146 B.artini P 68Th RT.03 RW.12 Kaliwining

147 B.saka P 65Th RT.03 RW.12 Kaliwining

148 B.ruk P 62Th RT.03 RW.12 Kaliwining

149 B.jum P 60Th RT.03 RW.12 Kaliwining

150 B.nap P 65Th RT.03 RW.12 Kaliwining

151 B.tin P 60Th RT.03 RW.12 Kaliwining

152 B.satrani P 70Th RT.03 RW.12 Kaliwining

153 Fa,ik P 45Th RT.03 RW.12 Kaliwining

154 B.nukal/juma’ati P 49Th RT.03 RW.12 Kaliwining

155 B.sapi’ P 70Th RT.03 RW.12 Kaliwining

156 B.se/juma’ati P 60Th RT.03 RW.12 Kaliwining

157 hatija P 70Th RT.03 RW.12 Kaliwining

158 B.hos P 68Th RT.03 RW.12 Kaliwining

159 B.misyati P 62Th RT.03 RW.12 Kaliwining

160 sariti P 70Th RT.03 RW.12 Kaliwining

DATA NAMA-NAMA ANAK YATIM / PIATU

LINGKUNGAN KALIWINING

No. Nama RW Pendidikan Nama Orang Tua

1 Hendra Dwi P 10 SMP Almarhum Sanadentendang

2 Nurhidayatullah 10 SMP Almarhum Asmad

3 Moh.Aviv 10 SMP Almarhum Rofik

4 Fadilatus 10 SMP Almarhum jumat

5 Nurulaini 10 SMP Almarhum Muksa

6 Doni 10 SD Almarhum Suherma

7 Balqis 10 SD Almarhum Suherma

8 Aditya 10 SD Almarhum Jumat

9 Angga bayu 10 SD Almarhum Misjani

10 Yuliana rosita 11 SMP Almarhum Sudiono

11 Siti aisah 11 SMP Almarhum Rokip

12 Siti robiatul 11 SMP Almarhum Rokip

13 Siti rohmatul laila 11 SD Almarhum Rokip

14 Farinatus zahro 11 SD Almarhum Halil

15 Muh.hasyim A 11 SD Almarhum Halil

16 Siti maimunah 11 Belum Sekolah Almarhum Halil

17 Rozi 11 SD Almarhum P.yuli

18 Atik 11 SD Almarhum P.yuli

19 Imam 11 SD Almarhum Abdur

20 Ikzan 11 TK Almarhum Supramono

21 Kaniatus 11 SD Almarhum Supramono

22 Imam syafi’i 12 SMP Almarhum Sutomo

23 Dimas 12 SMP Almarhum Miski

24 Fikram 12 SMP Almarhum Senima

25 Riko ferlan 12 SD Almarhum Senima