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LEMBAR VALIDASI PENGAJUAN BANTUAN

PEMBERIAN BANTUAN DALAM KEADAAN TERTENTU DARURAT PENYAKIT


KOTA BATU

JUMLAH (EKOR) KELENGKAPAN


No NAMA PETERNAK DESA KEC.

PRINT OUT
MATI PB KTP
ISIKHNAS

1 SUPRIONO GUNUNGSARI BUMIAJI 2 - ok ok

2 NUR CAHYO GUNUNGSARI BUMIAJI 2 - ok ok

3 SULIYAN GUNUNGSARI BUMIAJI 1 - ok ok

4 JANIB GUNUNGSARI BUMIAJI 3 - ok ok

5 KHOIRUL GUNUNGSARI BUMIAJI 1 - ok ok

6 SUKADI GUNUNGSARI BUMIAJI 3 - ok ok

7 MARKASAN GUNUNGSARI BUMIAJI 2 - ok ok

8 MUJIONO GUNUNGSARI BUMIAJI 2 - ok ok

9 KURNIAWAN GUNUNGSARI BUMIAJI 1 - ok ok

10 JANIP GUNUNGSARI BUMIAJI 2 - ok ok

MOCHAMAD ANANG
11 SUGIARTO GUNUNGSARI BUMIAJI 1 - ok ok

12 MUHAMAD ALI GUNUNGSARI BUMIAJI 1 - ok ok

13 NGATENO GUNUNGSARI BUMIAJI 1 - ok ok

14 ARIYANTO GUNUNGSARI BUMIAJI 4 - ok ok

15 HENDRI SANTOSO GUNUNGSARI BUMIAJI 1 - ok ok

16 SULIYANTO GUNUNGSARI BUMIAJI 1 - ok ok

17 USIN PURNOMO GUNUNGSARI BUMIAJI 1 - ok ok

18 SOLIKIN GUNUNGSARI BUMIAJI 1 - ok ok

19 MARIONO GUNUNGSARI BUMIAJI 1 - ok ok

20 SUTOMO GUNUNGSARI BUMIAJI 1 - ok ok

21 SAREH GUNUNGSARI BUMIAJI 1 - ok ok

22 MARSAID GUNUNGSARI BUMIAJI 2 - ok ok

23 SUNAR GUNUNGSARI BUMIAJI 3 - ok ok

24 MUHAMAD MUNIR GUNUNGSARI BUMIAJI 2 - ok ok

25 MISRI GUNUNGSARI BUMIAJI 1 - ok ok

26 MARSUDI GUNUNGSARI BUMIAJI 2 - ok ok

27 SUNAJI GUNUNGSARI BUMIAJI 1 - ok ok

28 KARNADI GUNUNGSARI BUMIAJI 1 - ok ok


29 RIWAYATI GUNUNGSARI BUMIAJI 1 - ok ok

30 SUGITO GUNUNGSARI BUMIAJI 1 - ok ok

31 DIKY DWI PRASETYO GUNUNGSARI BUMIAJI 2 - ok ok

32 KASIYAN GUNUNGSARI BUMIAJI 1 - ok ok

33 KABUL ARIFIN GUNUNGSARI BUMIAJI 1 - ok ok

34 ASMANU GUNUNGSARI BUMIAJI 3 - ok ok

35 SAID GUNUNGSARI BUMIAJI 1 - ok ok

36 GATOT GUNUNGSARI BUMIAJI 1 - ok ok

37 BOBY IRAWAN GUNUNGSARI BUMIAJI 1 - ok ok

38 EKO HARIYANTO GUNUNGSARI BUMIAJI 1 - ok ok

39 NANANG WIDIANTO GUNUNGSARI BUMIAJI 5 - ok ok

40 WAHONO GUNUNGSARI BUMIAJI 2 - ok ok

41 SUEP GUNUNGSARI BUMIAJI 1 - ok ok

42 SUGIANTO GUNUNGSARI BUMIAJI 3 - ok ok

43 SUWARTI GUNUNGSARI BUMIAJI 1 - ok ok

44 ROKIM GUNUNGSARI BUMIAJI 2 - ok ok

45 FAHMI HAMDANI GUNUNGSARI BUMIAJI 2 - ok ok

46 SUPRIADI GUNUNGSARI BUMIAJI 2 - ok ok

47 SUGIARTO GUNUNGSARI BUMIAJI 1 - ok ok

48 SUNTORO GUNUNGSARI BUMIAJI 1 - ok ok

49 SUWANTONO GUNUNGSARI BUMIAJI 1 - ok ok

50 SUKUR GUNUNGSARI BUMIAJI 1 - ok ok

51 SUTRIANI GUNUNGSARI BUMIAJI 1 - ok ok

52 BENI ARDIANSAH GUNUNGSARI BUMIAJI 2 - ok ok

53 KASIANI GUNUNGSARI BUMIAJI 1 - ok ok

54 SUPARDI GUNUNGSARI BUMIAJI 2 - ok ok

55 ANDRI PUJI SANTOSO GUNUNGSARI BUMIAJI 1 - ok ok

56 HADI SISWOYO GUNUNGSARI BUMIAJI 1 - ok ok

57 SUYONO GUNUNGSARI BUMIAJI 1 - ok ok

58 SAPARI GUNUNGSARI BUMIAJI 1 - ok ok

59 DUGI SAMPURNO GUNUNGSARI BUMIAJI 2 - ok ok

60 MOCHAMAD YASIN GUNUNGSARI BUMIAJI 5 - ok ok


61 ZAINUL ROJIKIN GUNUNGSARI BUMIAJI 1 - ok ok

62 MOCHAMAD MAKSUN GUNUNGSARI BUMIAJI 1 - ok ok

63 NACHROWI GUNUNGSARI BUMIAJI 1 - ok ok

64 IMAM BASORI GUNUNGSARI BUMIAJI 1 - ok ok

65 SUMARTI GUNUNGSARI BUMIAJI 1 - ok ok

66 SUHERWANTO GUNUNGSARI BUMIAJI 1 - ok ok

67 SUPRAPTO GUNUNGSARI BUMIAJI 2 - ok ok

68 SULIYAN GUNUNGSARI BUMIAJI 1 - ok ok

69 SUTOMO GUNUNGSARI BUMIAJI 1 - ok ok

Total 107 0

Batu, Septemb

No Nama/ NIP

1 Drh Utami Kurniawati, MP Me


19690724 200701 2 020

2 Muhammad Sodik PPL D


NIP. 197508042021211000

3 Purwito, SST PPL Ds


NIP. 19650728 199103 1 007

4 Gatot Sutrisno, SST PPL


NIP. 19700313 200701 1 028

5 Dio Prasita H, S.Pt PPL D


NIP.19841119 201001 1 010

6 Ir. Puji Iriani PPL D


NIP. 19680124 200701 2 015

7 Vertilis, SP
NIP. 19790121 200903 2 004
8 Muarifin PP
NIP. 19680924 202121 1 001

9 Hafiedz FD, S.P. PPL


NIP. 19770527 201001 1 014

10 Fatmawati Mahmud,SP PPL


NIP. 19820710 200903 2 008
N
NYAKIT MULUR DAN KUKU

NGKAPAN ADMINSTRASI
NO. ISIKHNAS KK

SURKET VISUM/
KEPEMILIKAN SURKET

ok ok 32958100 ok

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!
ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!
ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 32958100 ok #VALUE!

ok ok 33092925 ok #VALUE! #

ok ok 33003575 ok #VALUE! #

ok ok 33003575 ok #VALUE! #

ok ok 32981144 ok #VALUE! #

ok ok 32981144 ok #VALUE! #

ok ok 32981144 ok #VALUE! #

#VALUE!

September 2022 107

Jabatan TTD

Medik Veteriner ............................

PPL Ds. Pesanggrahan


..............................

PPL Ds. Oro-Oro Ombo


............................

#REF!
PPL Ds. Giripurno
..............................

PPL Ds. Gunungsari


..............................

PPL Ds. Sumbergondo


..............................

PPL Ds. Beji


..............................
PPL Ds. Junrejo
..............................

PPL Ds. Tlekung


..............................

PPL Ds. Mojorejo


..............................
DAFAR PENERIMA BANTUAN

Jumlah Ternak Mati/ Potong


Bersyarat
No. NAMA NIK No. HP
Sapi Kambing/ Babi
Domba
1 SUPRIONO 3579020407690002 2 - -

2 NUR CAHYO 3579021402850002 2 - -

3 SULIYAN 3579021307650001 1 - -

4 JANIB 3579020708790001 3 - -

5 KHOIRUL 3579021108830001 1 - -

6 SUKADI 3579020311590001 3 - -

7 MARKASAN 3579021208620004 085755838518 2 - -

8 MUJIONO 3579021711900001 083856596923 2 - -

9 KURNIAWAN 3579021409950002 1 - -

10 JANIP 3579022309660001 2 - -

11 MOCHAMAD ANANG SUGIARTO 3579021712790004 085604507327 1 - -

12 MUHAMAD ALI 3579022309800002 085100484089 1 - -

13 NGATENO 3579022810680001 1 - -

14 ARIYANTO 3579021805850002 085755217858 4 - -

15 HENDRI SANTOSO 3579020108930002 1 - -

16 SULIYANTO 3579020607650001 085100250896 1 - -

17 USIN PURNOMO 3579021103660001 1 - -

18 SOLIKIN 3579020503530001 1 - -

19 MARIONO 3579021106720001 0882009639751 1 - -

20 SUTOMO 3579021209600001 - 1 - -

21 SAREH 3579021404570002 1 - -

22 MARSAID 3579022411620001 2 - -

23 SUNAR 3579022405640001 3 - -

24 MUHAMAD MUNIR 3579020507700003 081333828848 2 - -

25 MISRI 3579022204600001 1 - -

26 MARSUDI 3579022304690003 2 - -

27 SUNAJI 3579021307650002 1 - -

28 KARNADI 3579021703710002 1 - -

29 RIWAYATI 3579025908670001 1 - -

30 SUGITO 3579020502560001 1 - -

31 DIKY DWI PRASETYO 3579021711930001 081529951451 2 - -

32 KASIYAN 3579022904650001 1 - -

33 KABUL ARIFIN 3507260801730001 085707725026 1 - -

34 ASMANU 3579020711650001 082336590372 3 - -

35 SAID 3579020506550001 - 1 - -

36 GATOT 3579022501670001 1 - -

37 BOBY IRAWAN 3579021306930001 082349897931 1 - -

38 EKO HARIYANTO 3579022102820002 1 - -

39 NANANG WIDIANTO 3579020502900001 5 - -

40 WAHONO 3579021803620001 '081231868244 2 - -

41 SUEP 3579021609640001 1 - -

42 SUGIANTO 3579020109810001 08786394511 3 - -

43 SUWARTI 3579025904600002 082337168084 1 - -

44 ROKIM 3579020101640020 2 - -

45 FAHMI HAMDANI 3579011806910002 081945398911 2 - -

46 SUPRIADI 3579020708660001 2 - -

47 SUGIARTO 3579022603600001 1 - -

48 SUNTORO 3579020112770001 081216106168 1 - -

49 SUWANTONO 3579023006660003 1 - -

50 SUKUR 3579020602640001 081317663958 1 - -


51 SUTRIANI 3579025708900003 082143349336 1 - -

52 BENI ARDIANSAH 3579020704880002 082233760854 2 - -

53 KASIANI 3579026302670002 081332021376 1 - -

54 SUPARDI 3579020112550001 082139679472 2 - -

55 ANDRI PUJI SANTOSO 3579021412950003 082233760854 1 - -

56 HADI SISWOYO 3579022412750002 082143353026 1 - -

57 SUYONO 3579021404780002 081252562585 1 - -

58 SAPARI 3579021312820004 085232038269 1 - -

59 DUGI SAMPURNO 3579020909750002 '081357696897 2 - -

60 MOCHAMAD YASIN 3579021801980002 081249425813 5 - -

61 ZAINUL ROJIKIN 3579022708960001 082229993403 1 - -

62 MOCHAMAD MAKSUN 3579021705790001 085249491871 1 - -

63 NACHROWI 3579020106560001 081234486926 1 - -

64 IMAM BASORI 3579020101770015 085257934548 1 - -

65 SUMARTI 3579025006720003 082139679473 1 - -

66 SUHERWANTO 3579022109820002 1 - -

67 SUPRAPTO 3579021707650002 2 - -

68 SULIYAN 3579020101500018 082265224042 1 - -

69 SUTOMO 3579021004490001 1 - -

TOTAL 107 0 0

Batu, September 2022

PEJABAT PEMBUAT KOMITMEN KEPALA DINAS PETERNAKAN KEPALA DINAS PERTANIAN DAN
PROVINSI JAWA TIMUR KETAHANAN PANGAN KOTA BATU

drh. JUNI ASNAWATI SURBAKTI, ME Ir. INDYAH ARYANI, MM HERU YULIANTO, SP.MM
NIP. 19640615 199003 2 002 Pembina Utama Muda Pembina Tk.I
NIP. 196607171996021001
Jumlah Bantuan

20,000,000
10,000,000
20,000,000
10,000,000
10,000,000
10,000,000
30,000,000
10,000,000
10,000,000
10,000,000
30,000,000
10,000,000
20,000,000
10,000,000
20,000,000
10,000,000
10,000,000
10,000,000
20,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
40,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
20,000,000
10,000,000
30,000,000
10,000,000
20,000,000
10,000,000
10,000,000
10,000,000
20,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
20,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
30,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
50,000,000
10,000,000
20,000,000
10,000,000
10,000,000
10,000,000
30,000,000
10,000,000
10,000,000
10,000,000
20,000,000
10,000,000
20,000,000
10,000,000
20,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
20,000,000
10,000,000
10,000,000
10,000,000
20,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
20,000,000
10,000,000
50,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
20,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
1,070,000,000

September 2022

ALA DINAS PERTANIAN DAN


HANAN PANGAN KOTA BATU

ERU YULIANTO, SP.MM


Pembina Tk.I
P. 196607171996021001
RIMA BANTUAN DARURAT PMK

Nama JENIS TEMPAT


No Kode Pos Alamat KTP RT RW Desa /Kelurahan Kecamatan Kabupaten Provinsi
KELAMIN LAHIR

1 SUPRIONO 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

2 NUR CAHYO 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

3 SULIYAN 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

4 JANIB 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

5 KHOIRUL 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

6 SUKADI 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

7 MARKASAN 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

8 MUJIONO 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

9 KURNIAWAN 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

10 JANIP 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG


MOCHAMAD ANANG
11 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG
SUGIARTO
12 MUHAMAD ALI 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

13 NGATENO 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

14 ARIYANTO 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

15 HENDRI SANTOSO 65337 DUSUN BRAU 1 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG
16 SULIYANTO 65337 DUSUN BRAU 2 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

17 USIN PURNOMO 65337 DUSUN BRAU 2 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

18 SOLIKIN 65337 DUSUN BRAU 2 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

19 MARIONO 65337 DUSUN BRAU 2 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

20 SUTOMO 65337 DUSUN BRAU 2 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

21 SAREH 65337 DUSUN BRAU 3 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

22 MARSAID 65337 DUSUN BRAU 3 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

23 SUNAR 65337 DUSUN BRAU 3 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

24 MUHAMAD MUNIR 65337 DUSUN BRAU 4 10 GUNUNGSARI BUMIAJI BATU JATIM L BATU

25 MISRI 65337 DUSUN BRAU 3 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

26 MARSUDI 65337 DUSUN BRAU 3 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

27 SUNAJI 65337 DUSUN BRAU 3 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

28 KARNADI 65337 DUSUN BRAU 3 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

29 RIWAYATI 65337 DUSUN BRAU 4 10 GUNUNGSARI BUMIAJI BATU JATIM P MALANG

30 SUGITO 65337 DUSUN BRAU 3 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

31 DIKY DWI PRASETYO 65337 DUSUN BRAU 3 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

32 KASIYAN 65337 DUSUN BRAU 3 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

33 KABUL ARIFIN 65337 DUSUN BRAU 3 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

34 ASMANU 65337 DUSUN BRAU 4 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG


35 SAID 65337 DUSUN BRAU 4 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

36 GATOT 65337 DUSUN BRAU 4 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

37 BOBY IRAWAN 65337 DUSUN BRAU 4 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

38 EKO HARIYANTO 65337 DUSUN BRAU 4 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

39 NANANG WIDIANTO 65337 DUSUN BRAU 4 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

40 WAHONO 65337 DUSUN BRAU 4 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

41 SUEP 65337 DUSUN BRAU 4 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

42 SUGIANTO 65337 DUSUN BRAU 4 10 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

43 SUWARTI 65337 DUSUN TALANGREJO 1 5 GUNUNGSARI BUMIAJI BATU JATIM P MALANG

44 ROKIM 65337 DUSUN KANDANGAN 3 4 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

45 FAHMI HAMDANI 65337 DUSUN KANDANGAN 1 4 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

46 SUPRIADI 65337 DUSUN KANDANGAN 3 4 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

47 SUGIARTO 65337 DUSUN JANTUR 1 8 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

48 SUNTORO 65337 DUSUN JANTUR 2 8 GUNUNGSARI BUMIAJI BATU JATIM L MALANG


49 SUWANTONO 65337 DUSUN JANTUR 4 8 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

50 SUKUR 65337 DUSUN JANTUR 5 8 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

51 SUTRIANI 65337 DUSUN JANTUR 7 8 GUNUNGSARI BUMIAJI BATU JATIM P MALANG

52 BENI ARDIANSAH 65337 DUSUN JANTUR 7 8 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

53 KASIANI 65337 DUSUN JANTUR 6 8 GUNUNGSARI BUMIAJI BATU JATIM P MALANG

54 SUPARDI 65337 DUSUN JANTUR 1 8 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

55 ANDRI PUJI SANTOSO 65337 DUSUN JANTUR 4 8 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

56 HADI SISWOYO 65337 DUSUN JANTUR 7 8 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

57 SUYONO 65337 DUSUN CLAKET 1 9 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

58 SAPARI 65337 DUSUN CLAKET 3 9 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

59 DUGI SAMPURNO 65337 DUSUN CLAKET 1 9 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

60 MOCHAMAD YASIN 65337 DUSUN CLAKET 2 9 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

61 ZAINUL ROJIKIN 65337 DUSUN CLAKET 4 9 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

62 MOCHAMAD MAKSUN 65337 DUSUN CLAKET 4 9 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

63 NACHROWI 65337 DUSUN CLAKET 2 9 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

64 IMAM BASORI 65337 DUSUN CLAKET 1 9 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

65 SUMARTI 65337 DUSUN CLAKET 3 9 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

66 SUHERWANTO 65337 DUSUN NGEBRUK 1 7 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

67 SUPRAPTO 65337 DUSUN TALANGREJO 2 5 GUNUNGSARI BUMIAJI BATU JATIM L MALANG


68 SULIYAN 65337 DUSUN PRAMBATAN 4 1 GUNUNGSARI BUMIAJI BATU JATIM L MALANG

69 SUTOMO 65337 DUSUN TALANGREJO 2 5 GUNUNGSARI BUMIAJI BATU JATIM L MALANG


NAMA IBU NOMOR IDENITAS TANGGAL TANGGAL AGAMA STATUS Nomor Rekening
TANGGAL LAHIR JENIS No HP
KANDUNG (NIK) (Disi oleh Bank)
TERBIT KADALUWARSA PERKAWINAN

7/4/1969 JEMAMI KTP 3579020407690002 9/29/2021 SEUMUR HIDUP ISLAM KAWIN

2/12/1985 JEMAMI KTP 3579021402850002 7/25/2018 SEUMUR HIDUP ISLAM KAWIN

7/13/1975 LATIFAH KTP 3579021307650001 7/4/2012 7/13/2017 ISLAM KAWIN

8/7/1975 SULIATI KTP 3579020708790001 9/30/2021 SEUMUR HIDUP ISLAM KAWIN

8/11/1983 RIWATI KTP 3579021108830001 6/22/2020 SEUMUR HIDUP ISLAM KAWIN

11/3/1959 MIMAH KTP 3579020311590001 7/4/2012 11/3/2017 ISLAM KAWIN

8/12/1962 EKAMAH KTP 3579021208620004 5/18/2017 SEUMUR HIDUP ISLAM KAWIN 085755838518

11/17/1990 SUHERNI KTP 3579021711900001 7/4/2012 11/17/2017 ISLAM BELUM KAWIN 083856596923

9/14/1995 SUNAMI KTP 3579021409950002 1/21/2019 SEUMUR HIDUP ISLAM KAWIN

9/23/1966 KASEMI KTP 3579022309660001 7/4/2012 9/23/2017 ISLAM KAWIN

12/17/1979 SUPIATI KTP 3579021712790004 7/4/2012 12/17/2017 ISLAM KAWIN 085604507327

9/23/1980 LISTIANI KTP 3579022309800002 2/13/1980 SEUMUR HIDUP ISLAM KAWIN 085100484089

10/28/1968 SULIKAH KTP 3579022810680001 7/4/2012 10/26/2017 ISLAM KAWIN

5/18/1985 SUNAMI KTP 3579021805850002 7/4/2012 5/18/2017 ISLAM KAWIN 085755217858

8/1/1993 RUKANAH KTP 3579020108930002 7/25/2018 SEUMUR HIDUP ISLAM KAWIN


7/6/1965 KAMINI KTP 3579020607650001 7/4/2012 7/6/2017 ISLAM KAWIN 085100250896

3/11/1966 RIAMIK KTP 3579021103660001 7/4/2012 3/11/2017 ISLAM KAWIN

3/5/1953 DARSIH KTP 3579020503530001 7/4/2012 3/5/2017 ISLAM KAWIN

6/11/1972 KASIANI KTP 3579021106720001 7/4/2012 6/11/2017 ISLAM KAWIN 0882009639751

9/12/1960 HASRI KTP 3579021209600001 7/4/2012 9/12/2017 ISLAM KAWIN -

4/14/1957 MIAH KTP 3579021404570002 3/12/2019 SEUMUR HIDUP ISLAM CERAI MATI

11/24/1962 MARLIAH KTP 3579022411620001 7/4/2012 11/24/2017 ISLAM KAWIN

5/24/1964 MIAH KTP 3579022405640001 7/4/2012 5/24/2017 ISLAM KAWIN

7/5/1970 SAINI KTP 3579020507700003 7/4/2012 7/5/2017 ISLAM KAWIN 081333828848

4/22/1960 KASTINAH KTP 3579022204600001 7/4/2012 4/22/2017 ISLAM KAWIN

4/23/1969 KASTINI KTP 3579022304690003 7/4/2012 4/23/2017 ISLAM KAWIN

7/13/1965 KASIATI KTP 3579021307650002 7/4/2012 7/13/2017 ISLAM KAWIN

3/17/1971 NGATENI KTP 3579021703710002 7/4/2012 3/17/2017 ISLAM KAWIN

8/19/1967 ASARI KTP 3579025908670001 7/4/2012 8/19/2017 ISLAM CERAI MATI

2/5/1956 BAIMAH KTP 3579020502560001 7/4/2012 2/5/2017 ISLAM KAWIN

1/17/1993 SUBIATI KTP 3579021711930001 12/18/2018 SEUMUR HIDUP ISLAM KAWIN 081529951451

4/29/1965 NYARMU KTP 3579022904650001 7/4/2012 4/29/2017 ISLAM KAWIN

1/8/1973 PUJIATI KTP 3507260801730001 10/4/2017 SEUMUR HIDUP ISLAM KAWIN 085707725026

11/7/1965 MINAH KTP 3579020711650001 7/4/2012 11/7/2017 ISLAM KAWIN 082336590372


6/5/1955 NGATMIKAH KTP 3579020506550001 7/4/2012 6/5/2017 ISLAM KAWIN -

1/25/1967 SAYEM KTP 3579022501670001 5/21/2015 SEUMUR HIDUP ISLAM KAWIN

6/13/1993 MUNTIAH KTP 3579021306930001 31-06-2022 SEUMUR HIDUP ISLAM BELUM KAWIN 082349897931

3/1/1982 ARBAATUN KTP 3579022102820002 9/2/2018 SEUMUR HIDUP ISLAM KAWIN

05-02-19990 SUTIANI KTP 3579020502900001 7/4/2012 2/5/2017 ISLAM BELUM KAWIN

3/18/1962 MINAH KTP 3579021803620001 7/4/2012 3/18/2017 ISLAM KAWIN '081231868244

9/16/1964 PATONAH KTP 3579021609640001 7/4/2012 9/16/2017 ISLAM KAWIN

2/21/1982 WIJI KTP 3579020109810001 9/28/2021 SEUMUR HIDUP ISLAM KAWIN 08786394511

4/19/1960 RUSTIN KTP 3579025904600002 7/3/2012 4/19/2017 ISLAM CERAI HIDUP 082337168084

1/24/2019 SRIATIN KTP 3579020101640020 1/24/2018 SEUMUR HIDUP ISLAM KAWIN

6/18/1991 MARIA ULFA RAHAYU KTP 3579011806910002 1/21/2019 SEUMUR HIDUP ISLAM KAWIN 081945398911

9/8/1967 KATIJAH KTP 3579020708660001 5/9/2019 SEUMUR HIDUP ISLAM KAWIN

3/26/1960 REMBATI KTP 3579022603600001 7/4/2012 3/26/2017 ISLAM KAWIN

12/1/1977 SUHARTI KTP 3579020112770001 7/4/2012 12/1/2017 ISLAM KAWIN 081216106168


6/30/1966 TAMUAH KTP 3579023006660003 7/4/2012 6/30/2017 ISLAM KAWIN

2/6/1964 TUMINEN KTP 3579020602640001 7/4/2012 2/6/2017 ISLAM KAWIN 081317663958

8/17/1990 DEWISRI KTP 3579025708900003 8/30/2018 SEUMUR HIDUP ISLAM KAWIN 082143349336

4/7/1988 SUMARMI KTP 3579020704880002 4/19/2021 SEUMUR HIDUP ISLAM KAWIN 082233760854

2/23/1967 NGATEMI KTP 3579026302670002 7/4/2012 2/23/2017 ISLAM KAWIN 081332021376

12/1/1965 SARMINTEN KTP 3579020112550001 7/4/2012 12/1/2017 ISLAM KAWIN 082139679472

12/14/1995 BAWON MULIATI KTP 3579021412950003 8/25/2020 SEUMUR HIDUP ISLAM KAWIN 082233760854

12/24/1975 MULIYANI KTP 3579022412750002 7/4/2012 12/24/2017 ISLAM KAWIN 082143353026

4/14/1977 NGAPIAH KTP 3579021404780002 9/29/2021 SEUMUR HIDUP ISLAM KAWIN 081252562585

12/12/1982 SUWARNI KTP 3579021312820004 8/6/2018 SEUMUR HIDUP ISLAM KAWIN 085232038269

9/9/1975 MAINI KTP 3579020909750002 7/8/2018 SEUMUR HIDUP ISLAM KAWIN '081357696897

1/18/1998 RUSMIATI KTP 3579021801980002 5/12/2016 SEUMUR HIDUP ISLAM KAWIN 081249425813

8/27/1996 SUMARMI KTP 3579022708960001 4/20/2016 SEUMUR HIDUP ISLAM KAWIN 082229993403

5/17/1979 DEWI KTP 3579021705790001 6/21/2017 SEUMUR HIDUP ISLAM KAWIN 085249491871

6/1/1956 MUNTAMAH KTP 3579020106560001 7/4/2012 6/1/2017 ISLAM KAWIN 081234486926

1/1/1977 KASIATI KTP 3579020101770015 7/4/2012 1/1/2017 ISLAM KAWIN 085257934548

6/10/1972 WARSINI KTP 3579025006720003 7/4/2012 6/10/2017 ISLAM KAWIN 082139679473

9/21/1982 LIIN KTP 3579022109820002 03-03-202 SEUMUR HIDUP ISLAM KAWIN

7/17/1965 SIAMI KTP 3579021707650002 7/4/2012 7/17/2017 ISLAM KAWIN


1/1/1950 ROSIAH KTP 3579020101500018 7/4/2012 SEUMUR HIDUP ISLAM KAWIN 082265224042

4/10/1949 SIAMI KTP 3579021004490001 7/4/2012 SEUMUR HIDUP ISLAM KAWIN

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