Kolom BH : Diisi dengan Pekerjaan Ayah Kandung dari santri bersangkutan (jika ayah kandung masih hidup), diisi d

Kode Jenis Pekerjaan

01 Tidak bekerja (Di rumah saja)
02 Pensiunan
03 PNS Kementerian/Lembaga/Pemda
04 TNI/Polisi
05 Guru/Dosen
06 Pegawai Swasta
07 Pengusaha/Wiraswasta
08 Pengacara/Hakim/Jaksa/Notaris
09 Seniman/Pelukis/Artis/Sejenis
10 Dokter/Bidan/Perawat
11 Pilot/Pramugari
12 Pedagang
13 Petani/Peternak
14 Nelayan
15 Buruh (Tani/Pabrik/Bangunan)
16 Sopir/Masinis/Kondektur
17 Politikus
18 Lainnya

Kolom BM : Diisi dengan Pekerjaan Ibu Kandung dari santri bersangkutan (jika ibu kandung masih hidup), diisi den
Kode Jenis Pekerjaan
01 Tidak bekerja (Ibu Rumah Tangga)
02 Pensiunan
03 PNS Kementerian/Lembaga/Pemda
04 TNI/Polisi
05 Guru/Dosen
06 Pegawai Swasta
07 Pengusaha/Wiraswasta
08 Pengacara/Hakim/Jaksa/Notaris
09 Seniman/Pelukis/Artis/Sejenis
10 Dokter/Bidan/Perawat
11 Pilot/Pramugari
12 Pedagang
13 Petani/Peternak
14 Nelayan
15 Buruh (Tani/Pabrik/Bangunan)
16 Sopir/Masinis/Kondektur
17 Politikus
18 Lainnya

Kolom BR : Diisi dengan Pekerjaan Wali Santri, diisi dengan kode :

Kode Jenis Pekerjaan
01 Tidak bekerja
02 Pensiunan
03 PNS Kementerian/Lembaga/Pemda
04 TNI/Polisi
05 Guru/Dosen
06 Pegawai Swasta
07 Pengusaha/Wiraswasta
08 Pengacara/Hakim/Jaksa/Notaris
09 Seniman/Pelukis/Artis/Sejenis
10 Dokter/Bidan/Perawat
11 Pilot/Pramugari
12 Pedagang
13 Petani/Peternak
14 Nelayan
15 Buruh (Tani/Pabrik/Bangunan)
16 Sopir/Masinis/Kondektur
17 Politikus
18 Lainnya
kandung masih hidup), diisi dengan kode :

dung masih hidup), diisi dengan kode :

 Identitas Lembaga Santri Informasi Pribadi Santri
Nomor NIS Nasional Tanggal Lahir Jenis No.
NPSN NIS Lokal NIK/No. Passport Nama Lengkap Santri Tempat Lahir Agama No. HP
Statistik (NISN) Tgl Bln Thn Kelamin Telepon
222235110007 69956389 222235110007151469 0005383752 Ahmad Dhafi Dhaifullah Sidoarjo 2 4 2004 L 1 82231093403
222235110007 69956389 222235110007151470 0055207340 2171031801050002 Sulaiman Batam 18 1 2005 L 1 82231093403
222235110007 69956389 222235110007151471 0044696376 Muhammad Ikhsan Kamal Jember 6 1 2005 L 1 82231093403
222235110007 69956389 222235110007151472 0049326450 Hafiz Nur Aulia Banyuwangi 22 12 2004 L 1 82231093403
222235110007 69956389 222235110007151473 0052416620 Miftah aulia Resaddin Hadi Saputra Banyuwangi 16 3 2005 L 1 82231093403
222235110007 69956389 222235110007151474 0042762528 3508102102050003 Mohamad Hilmi Fauzi Rachman Lumajang 21 2 2005 L 1 82231093403
222235110007 69956389 222235110007151475 0032427672 Alfan Wahyu as Syadat Jember 23 10 2004 L 1 82231093403
222235110007 69956389 222235110007151476 0053777623 3509290710030003 Sohebul Marom Jember 7 10 2003 L 1 82231093403
222235110007 69956389 222235110007151477 0045161364 Hamdan Ardhana Jember 21 5 2005 L 1 82231093403
222235110007 69956389 222235110007151478 0047548872 3508092107040001 Royhan Ashabil Yamin Lumajang 21 7 2004 L 1 82231093403
222235110007 69956389 222235110007151479 0040435001 Taufik Abdullah Bondowoso 11 11 2004 L 1 82231093403
222235110007 69956389 222235110007151480 0043933088 Ata Rizki Bika Lumajang 29 4 2004 L 1 82231093403
222235110007 69956389 222235110007151481 0041886498 3511011306040003 Maulana Ishaq Bondowoso 13 6 2004 L 1 82231093403
222235110007 69956389 222235110007151482 0043498930 3509171108040001 Muhammad Ivan Mubarok Jember 11 8 2004 L 1 82231093403
222235110007 69956389 222235110007151483 0053123663 M. Rafizhan Ikramullah Mandati 05 5 2004 L 1 82231093403
222235110007 69956389 222235110007151484 0051412703 7407012903050002 Muhaimin Pada 29 3 2005 L 1 82231093403
222235110007 69956389 222235110007151485 0063898765 7324040210050003 Waturua Dzikrul Mubin Lampia 2 10 2005 L 1 82231093403
222235110007 69956389 222235110007151486 7407010202060002 Muahamad Ahyar Syafaat Bau Bau 2 2 2006 L 1 82231093403
222235110007 69956389 222235110007151487 0059760158 3514122003040003 Muhammad Mumtaz Mudzakkir Pasuruan 20 3 2004 L 1 82231093403
222235110007 69956389 222235110007151488 0046038132 7407012010050001 Muh. Zulilmi Syarif Ramadhan Pongo 20 10 2005 L 1 82231093403
222235110007 69956389 222235110007151489 0046038132 Zidni Zidan Muzakki Banyuwangi 12 5 2004 L 1 82231093403
222235110007 69956389 222235110007151490 muhammad Khoirul Akbar F Banyuwangi 22 12 2004 L 1 82231093403
222235110007 69956389 222235110007151491 M. Eza Prasetyo Jember 26 1 2005 L 1 82231093403
222235110007 69956389 222235110007151492 0043758650 Fahmi Afif Afriansyah Situbondo 27 6 2004 L 1 82231093403
222235110007 69956389 222235110007151493 0030910832 La Ode Sulaiman Sidik Pongo 26 1 2003 L 1 82231093403
222235110007 69956389 222235110007151494 Muhammad Talmin one laro 6 5 2005 L 1 82231093403
222235110007 69956389 222235110007151495 Fito efendi
222235110007 69956389 222235110007151496 0049567910 rafi ramadhan jember 14 10 2004 L 1 82231093403
222235110007 69956389 222235110007151497 0044588192 fauzan abdillah ibrahimi bondowoso 14 11 2004 L 1 82231093403
222235110007 69956389 222235110007151498 0051098711 achmad syarif akbar mojokerto 31 5 2005 L 1 82231093403
222235110007 69956389 222235110007151499 acmad syahir rifdad mojokerto 31 5 2005 L 1 82231093403
222235110007 69956389 222235110007151500 0043382560 fajar alexando saleh jember 5 8 2004 L 1 82231093403
222235110007 69956389 222235110007151501 0045562320 muhammad musthofa kautsar jember 20 9 2004 L 1 82231093403

Page 1
222235110007 69956389 222235110007151502 Santri
arman maulana banyuwangi 14 4 2004 L 1 82231093403
222235110007 69956389 222235110007151503 ramzi abdat jakarta 25 3 2005 L 1 82231093403
222235110007 69956389 222235110007151504 0046878464 rifki akbar banyuwangi 28 3 2004 L 1 82231093403
222235110007 69956389 222235110007151505 abdurrahman faiz asuli 14 5 2005 L 1 82231093403
222235110007 69956389 222235110007151506 0045763427 habil lukman makassar 1 10 2004 L 1 82231093403
222235110007 69956389 222235110007151507 0044432691 muhammad althaf abdullah azzuhdi jember 28 12 2004 L 1 82231093403
222235110007 69956389 222235110007151508 muhammad akbar fadilillah batam 15 10 2004 L 1 82231093403
222235110007 69956389 222235110007151509 muhammad alveto ma'aly banyuwangi 7 7 2004 L 1 82231093403
222235110007 69956389 222235110007151510 mohammad rayhanuartta habillah jember 21 5 2005 L 1 82231093403
222235110007 69956389 222235110007151511 nibras arya duta sikayu L 1 82231093403
222235110007 69956389 222235110007151512 achmad agis kusmawardi jember 19 8 2004 L 1 82231093403
222235110007 69956389 222235110007151513 0055370828 3529071303050001 Tajul Irfan Sumenep 13 3 2005 L 1 82231093403
222235110007 69956389 222235110007151514 0045113459 3510191503040002 Vika Ahmad Fuady Banyuwangi 15 3 2004 L 1 82231093403
222235110007 69956389 222235110007151515 3509221707020001 Moh. Saiful Bahri Jember 17 7 2002 L 1 82231093403
222235110007 69956389 222235110007151516 Moh. Seqqi Hamdani Jember 22 5 2005 L 1 82231093403
222235110007 69956389 222235110007151517 0042829740 3509222709040001 Muhammad Dzaky Holilullah Jember 27 9 2004 L 1 82231093403
222235110007 69956389 222235110007151518 3509251301040003 Muhammad Angga Jember 19 9 2004 L 1 82231093403
222235110007 69956389 222235110007151519 Muchammad Kaddavi Jember 2 12 2004 L 1 82231093403
222235110007 69956389 222235110007151520 0058756464 Muhamma Ifan Jember 6 6 2004 L 1 82231093403
222235110007 69956389 222235110007151521 MOH. Rizky Pamekasan 18 12 L 1 82231093403
222235110007 69956389 222235110007151522 Muhammad Hasib Habibullah Jember 17 5 2005 L 1 82231093403
222235110007 69956389 222235110007151523 Feri Pamekasan L 1 82231093403
222235110007 69956389 222235110007151524 0040611414 Taufiq Gufron Lumajang 7 6 2004 L 1
222235110007 69956389 222235110007151525 0049343487 Amirul Mukminin Lumajang 16 9 2004 L 1
222235110007 69956389 222235110007151526 0049111718 Kholid Ahmad Z. Lumajang 7 4 2004 L 1
222235110007 69956389 222235110007151527 0048469211 Malik Ibnu Hakim Lumajang 13 7 2004 L 1
222235110007 69956389 222235110007151528 0053660104 Muhammad Fajry S. Lumajang 30 1 2005 L 1
222235110007 69956389 222235110007151529 0046741207 Rio Eka Ananda Lumajang 25 6 2004 L 1
222235110007 69956389 222235110007151530 0042299424 Amirul Iqbal H. Lumajang 31 7 2004 L 1
222235110007 69956389 222235110007151531 0045313699 Muhlisun Shohib Lumajang 25 12 2004 L 1
222235110007 69956389 222235110007151532 0052112809 Novarel Galang R. Lumajang 17 9 2005 L 1
222235110007 69956389 222235110007151533 0047779406 Muhamad Mochlisin Lumajang 14 3 2004 L 1
222235110007 69956389 222235110007151534 0032703058 Yoga Adhitia Lumajang 1 6 2004 L 1
222235110007 69956389 222235110007151535 0045313692 Wahyu Mauludin Lumajang 10 5 2004 L 1
222235110007 69956389 222235110007151536 0035256478 Muhammat Sayet Lumajang 3 3 2005 L 1
222235110007 69956389 222235110007151537 0051550756 Riyan Dwi Pramana Lumajang 7 5 2005 L 1

Page 2
222235110007 69956389 222235110007151538 0051550755 Santri
Ahmad Fahmi Azis Lumajang 21 4 2005 L 1
222235110007 69956389 222235110007151539 0049520606 Dimas Naufal Wirdiyansyah Lumajang 10 6 2004 L 1
222235110007 69956389 222235110007151540 0056323259 Dimas Robi R. Lumajang 9 5 2005 L 1
222235110007 69956389 222235110007151541 0043944944 Hadit Saifullah Lumajang 12 6 2004 L 1
222235110007 69956389 222235110007151542 0045313700 Wahyu Andreansyah Lumajang 29 12 2004 L 1
222235110007 69956389 222235110007151543 0054530395 Muhammad Khoirin Lumajang 4 1 2005 L 1
222235110007 69956389 222235110007151544 0045313698 Habibullah Ainul Yaqin Lumajang 23 12 2005 L 1
222235110007 69956389 222235110007151545 Abdul Gofar Lumajang 26 2 2005 L 1
222235110007 69956389 222235110007151546 0060095079 3509250107060009 Heriyanto Abdullah Jember 24 1 2006 L 1
222235110007 69956389 222235110007151547 0044100566 3509220901030001 Aan Habibu Rochman Jember 9 1 2005 L 1
222235110007 69956389 222235110007151548 3509105401040001 Lana Syafiah Achmad Radjab Bondowoso 19 9 2005 P 1 82231093403
222235110007 69956389 222235110007151549 3509136310040002 Rusyidina Andira Tsabitah Azzah Jember 16 1 2004 P 1 82231093403
222235110007 69956389 222235110007151550 0044065397 3510096207050005 Vina Amaliatul Mubarokah Jember 23 10 2004 P 1 82231093403
222235110007 69956389 222235110007151551 0059413824 3511114201040001 Syaghofa Ilmal Khaq Banyuwangi 22 7 2005 P 1 82231093403
222235110007 69956389 222235110007151552 0045942097 3509106702050001 Sifak Firdaus Bondowoso 2 1 2004 P 1 82231093403
222235110007 69956389 222235110007151553 0052701670 3510135705050003 Sabrina Dzikrur Rohma Jember 27 2 2005 P 1 82231093403
222235110007 69956389 222235110007151554 3509204911040003 Annida Shofwan Eldin Banyuwangi 17 5 2005 P 1 82231093403
222235110007 69956389 222235110007151555 3509216412040005 Indah Novita Sari Jember P 1 82231093403
222235110007 69956389 222235110007151556 0043245009 3505195012040001 Augusta Audriansyah Puteri Jember 3 8 2004 P 1 82231093403
222235110007 69956389 222235110007151557 3574036206040010 Jesicha Dio Fanany Blitar 10 12 2004 P 1 82231093403
222235110007 69956389 222235110007151558 3509194207040002 Aisyatun Khoirunnisa Probolinggo 12 6 2004 P 1 82231093403
222235110007 69956389 222235110007151559 0046542346 3511144607050001 Sania Putri Abidin Jember 2 7 2004 P 1 82231093403
222235110007 69956389 222235110007151560 0049898959 3509215907050003 Najmah Amiratunnisa Jember 22 12 2004 P 1 82231093403
222235110007 69956389 222235110007151561 0053872746 3509106201050001 Nadiyah Putri Bahtiar Jember 19 7 2005 P 1 82231093403
222235110007 69956389 222235110007151562 0055284554 3510094807040003 Indah Novita Sari Jember 22 1 2005 P 1 82231093403
222235110007 69956389 222235110007151563 3509194406050003 Naswanda Salsabila Banyuwangi 8 7 2004 P 1 82231093403
222235110007 69956389 222235110007151564 3509106504050001 Nadhira Wahyuning Prastika Jember 4 6 2005 P 1 82231093403
222235110007 69956389 222235110007151565 0054571904 3511115312040003 Akmaliah Fatin Fatihah Jember 25 4 2005 P 1 82231093403
222235110007 69956389 222235110007151566 5108116209020001 Wildatus Sholehah Bondowoso 13 12 2004 P 1 82231093403
222235110007 69956389 222235110007151567 2171126401050001 Arsyi Tania Sekar Melati Buleleng 22 9 2004 P 1 82231093403
222235110007 69956389 222235110007151568 0055245231 3510115212040002 Rifka Zaimatul Adila Batam 24 1 2005 P 1 82231093403
222235110007 69956389 222235110007151569 0047050401 3511065607090003 Umi Hanik Salsabila Banyuwangi 12 12 2004 P 1 82231093403
222235110007 69956389 222235110007151570 0047519808 3511117107040001 Nadia Ummul Karomah Bondowoso 14 8 2004 P 1 82231093403
222235110007 69956389 222235110007151571 0048460744 3512066612040003 Elika Putri Revania Bondowoso 31 7 2004 P 1 82231093403
222235110007 69956389 222235110007151572 3512065210040001 Adilah Nuriy Izzaturrohim Situbondo 26 12 2004 P 1 82231093403
222235110007 69956389 222235110007151573 3509214901040006 Nur Santina Puji Okta Wulandari Situbondo 12 10 2004 P 1 82231093403

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222235110007 69956389 222235110007151574 0045116929 3509246604050001 Santri
Sinta Sari Dewi Jember 9 1 2004 P 1 82231093403
222235110007 69956389 222235110007151575 alifna miyazaki banyuwangi 27 12 2003 P 1 82231093403
222235110007 69956389 222235110007151576 0049860971 afni maria ulfa jember 9 4 2004 P 1 82231093403
222235110007 69956389 222235110007151577 0052623556 Karunia Nafisah Jember 26 4 2005 P 1 82231093403
222235110007 69956389 222235110007151578 0047902739 Risty Amalia Putri Wijaya Jember 4 6 2004 P 1 82231093403
222235110007 69956389 222235110007151579 awfa zakiya bondowoso
222235110007 69956389 222235110007151580 putri fatihan jember
222235110007 69956389 222235110007151581 0043527024 3509215206040001 Nafisatus Zakyah Jember 12 6 2004 P 1 82231093403
222235110007 69956389 222235110007151582 0030225288 3509245511030001 Nurul Hasanah Jember 15 11 2003 P 1 82231093403
222235110007 69956389 222235110007151583 0053777617 3509266503050001 Najjhan Khoirinnisa' Jember 25 2 2005 P 1 82231093403
222235110007 69956389 222235110007151584 0053384712 3509226506050001 Bilqis Zalzabila Jember 25 6 2005 P 1 82231093403
222235110007 69956389 222235110007151585 Wasilatul Koni'ah Bondowoso 21 7 2000 P 1 82231093403
222235110007 69956389 222235110007151586 0021398563 Ine Sintiya Jember 25 6 2002 P 1 82231093403
222235110007 69956389 222235110007151587 Kamilatus Sholeha Jember 1 1 2004 P 1 82231093403
222235110007 69956389 222235110007151588 0043272200 Siti Halimatus Sa'dia Jember 13 1 2004 P 1 82231093403
222235110007 69956389 222235110007151589 Siti Ayu Nur Utami Denpasar 12 6 2003 P 1 82231093403
222235110007 69956389 222235110007151590 Dela Afriani Rahma Banyuwangi 18 1 2005 P 1 82231093403
222235110007 69956389 222235110007151591 0051554701 Nofia Anggraeni Lumajang 17 4 2005 P 1
222235110007 69956389 222235110007151592 0051550758 Asmaul Husna Lumajang 11 6 2005 P 1
222235110007 69956389 222235110007151593 0032082731 Nanda Nabila Salsabila Lumajang 13 8 2003 P 1
222235110007 69956389 222235110007151594 0056837592 Emilia Purnama Sari Lumajang 12 4 2005 P 1
222235110007 69956389 222235110007151595 0051554700 Isma Putri Ayu W. Lumajang 3 4 2005 P 1
222235110007 69956389 222235110007151596 0060077067 Novia Andriani Lumajang 20 3 2005 P 1
222235110007 69956389 222235110007151597 0041072789 Marlissa Syazana Lumajang 5 7 2004 P 1
222235110007 69956389 222235110007151598 0045313697 Aqidatul Izza Lumajang 14 12 2004 P 1
222235110007 69956389 222235110007151599 0045313691 Luluk Ansuro Lumajang 3 7 2004 P 1
222235110007 69956389 222235110007151600 0048955525 Nabila Anatasya Lumajang 1 6 2004 P 1
222235110007 69956389 222235110007151601 0042343743 Eka Retno Wulan Sari Lumajang 10 10 2004 P 1
222235110007 69956389 222235110007151602 0047872623 3509224506030003 Hotima Jember 5 6 2004 P 1
222235110007 69956389 222235110007151603 3509254110050001 Habibah Jember 1 10 2005 P 1
222235110007 69956389 0042786363 Sarmita Pada Raya 23 5 2004 P 1

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