P0RM PENDAFTARAN PESERTA BARU BPJS KETENAGAKERJAAN PROGRAM BKBK

TAHUN 2023
NAMA DESA ; SUMBERSARI
KECAMATAN : RIMBO ULU
TANGGAL LAHIR
NO NAMA NIK NAMA IBU KANDUNG NO HP
( 01 - 01 - 2007)
1 WAHRUDIN 1404190709690002 07-09-1969 DARYUMI 0822 3792 7123
2 ZAENAL MUTTAQIN 1509070101720013 01-01-1972 TASEM 0822 4313 8181
3 MAULANA 1404191406950001 14-06-1995 HADMINAH 0822 1706 6212
4 PASTI CANDRA SITEPU 1509071404790004 14-04-1979 SAMAWATI 0853 8091 6602
5 BUDI HARTANTO 1509040505760008 05-05-1973 ENDANG SUPRAPTI 0853 8282 8166
6 SLAMET RUDIANTO 1509070505780001 05-05-1978 SUTIYAH 0852 3141 6208
7 MIFTADI 1509073010910004 30-10-1991 TURISAH 0821 7898 3574
8 WARSITO 1509072606590002 26-06-1959 TONI'AH 0821 7527 8249
9 SABAR 1509071210800007 12-10-1980 KASTIJAH 0823 0683 0582
10 WASRONI 1509071209800002 12-09-1980 TARWI 0822 1493 7834
11 SUSILO 1509071612680001 16-12-1968 NGATUROHMI 0852 1400 9552
12 DARYANTI 1509075202920002 12-02-1992 TUKIMUN 0858 7797 5007
13 NARAENSYAH YASSER SUMBAYAK 1509072303830001 23-03-1983 ASMANITA SINAGA 0813 6382 9668
14 HENDRA YULIANTO 1509071607780003 16-07-1978 SUMARIAH 0813 6628 6996
15 PARDAMAIAN 1509073105830002 13-05-1983 MASNIAR 0853 8013 7305
16 NOVI WAHYUTRI 1509072812890002 28-12-1989 SITI AISAH 0822 8090 6500
17 MOH BAHRI 1509070507790002 05-07-1979 RAINAH 0852 4592 3645
18 PURWATI NINGSIH 1509075004820006 10-03-1982 PATONAH 0853 4592 3645
19 MUHAMMAD KHAFIDZ 1509070903770003 09-03-1977 MUFLIKHA 0822 9857 8490
20 GUSNURUL FALAH 1509070107940054 01-07-1994 SITI KHULASOH 0812 7187 9176
21 JULIADEN SIPAYUNG 1509070607590003 06-07-1959 DAINEM 085266965381
22 ARIEF RUBIYANTO 1509071204600001 13-04-1960 SARMINAH 081366428157
23 DASUN KARMIYOTO 1509070101500009 01-01-1950 TUMINAH 082182506553
24 SUMARNI 1509074711810003 07-11-1981 PARINI 085266965381
25 DRAJAT 1509071607610003 16-07-1961 SUKIYEM 085266965381
26 SUWARNO 1509071509610001 15-09-1961 SUKINEM 082377533912
27 SUNARTO 3304021608740002 16-08-1974 SILAH 085266965381
28 HARTINI 1509075406670001 14-06-1967 MARSINAH 082177414583
29 PAIDAH 1509075105810003 11-05-1981 TUMINEM 085266965381
30 BAMBANG SANTOSO 1509070504870004 05-04-1987 WARINAH 081368022797
31 ERMAN 1509070408760003 04-08-2976 ZAHNIAR 085218594855
32 RAHAYUNINGGONO 1509070107510051 01-07-1951 MUJIMAH 085269858841
33 SURYANI 1375015903770001 19-03-1977 HAINI 085269858841
34 MULTESI YUSRA 1509071408710003 14-08-1971 NURMI 085269858841
35 RUDI ISMANTO 1207090509850002 05-09-1985 SUMIATI 085269858841
36 TAMZIL 1509072709770002 27-09-1977 YULIDAR 085269858841
37 KHAIRON 1509070107770115 0I-07-1977 MABRURAH 0853 8417 8652
38 BASUKI 1509071005810004 10-05-1981 MURTINAH 085269858841
39 YATMI 1509075510780001 15-10-1978 YANI 085269858841
40 PARJONO 1509071207620002 12-07-1962 NGASI 085269858841
41 SUGIANTO 1509073112780001 31-12-1978 WAGIRAH 085269858841
42 SIMUN 1205091708390003 17-08-1939 ATIK SIBUN 085269858841
43 ROBI DANIEL 1509072812940001 28-12-1994 TUMIRAH 082281352826
44 TUSMIYANTO 1509070107870083 08-08-1985 SUKARNI 082246911959
45 SARJONO 1509070907750005 31-08-1989 SITI 085273096587
46 EKA SISWARNO 1509073108890002 10-06-1952 WAGINAH 085279017250
47 MUHAMMAD ISA 1509071607510001 16-07-1958 SARIPAH 085273017646
48 PONIJEM 1509074605420001 06-05-1942 SUMIRAH 085281814837
49 SAMINEM 1509074804480001 08-04-1948 SADIYEM 082268056962
50 SAYEM 1509076004450001 20-04-1945 KUMINEM 085273017646
51 MULYANTO 1509072508470001 25-08-1947 RATINA 082307657333
52 WIWIT WAHYUDI 1509071501840002 15-01-1984 WAGIYAH 081366575909
53 RIYANTO SITUMORANG 1509073101660001 31-01-1966 HANA ROSA BR HANAMPU 082281352826
54 ISNAINI 1509072505620004 25-05-1962 SARINEM 082256141900
55 SUGITO 1509071507850005 15-07-1985 JUARIAH 082286268611
56 AGUS BUDIYANTO 1509072606870001 26-06-1987 SURAMI 082351137768
57 SUMARAH 3307060506900003 05-06-1990 NGAINEM 082175910864
58 SAWON SURYANTO 1509072808740003 28-08-1974 SUHARTINI 082268627410
59 SETIAWAN 1509071406820003 25-11-1982 NGADIYEM 082373109405
60 HARIYANTO 1509070705890003 07-05-1989 TUMPI 082183509860
61 SUTOPO 1509071707920001 17-07-1992 KASMI 082297680484
62 TRI SANTOSO 1509040605890002 06-05-1989 SUGIARSIH 082282334037
63 SUWARTO 1509070610680002 06-10-1960 WELAS 085378351786
64 TUKIMAN 1509070208800001 02-08-1980 SUMINEM 082282162123
65 WARDAN 1509071607700003 12-06-1966 DEMES 082213411794
66 SARWANDI 1509072111570001 21-11-1957 TUKIYEM 082213411794
67 TEGO 1509071006520001 10-06-1952 WASI 082213411794
68 BAHALIYANTO 1509074085800002 14-08-1952 HANIFAH 082213411794
69 PONIYEM 1509074105670001 01-05-1967 OAIKEM 082213411794
70 JADI 1509071007490002 10-07-1949 PAINEM 082213411794
71 SUPI 1509074905520001 09-05-1952 WATI 082213411794
72 SUKIYEM 1509075001390001 10-01-1937 RAKEM 082213411794
73 SUMARDI 1509070906580001 09-06-1958 LASMINI 082213411794
74 SISWO ATMO 1509072407390001 24-07-1939 SINEM 082213411794
75 TIMAYU 1509075406650002 14-06-1965 AINI 082213411794