R1 Yankb

1.
Petugas Entri Data

REGISTER PELAYANAN KB R/I/KB/20
Lembar 1
V 2 3 4 5 6
3 2 7 6 0 2 4 Bulan : 2023
NAMA FASKES/ UPTD Puskesmas Baktijaya 7 8 9 10 11 12
:
JARINGAN/JEJARING Kode Provinsi Kode No. Register Faskes No. Jaringan/
Kabupaten/ Jejaring Faskes
Kota
PESERTA KB JENIS TINDAKAN Kasus PENGGUNAAN

SUMBER ALOKON
STATUS PESERTA KB (Kode)

(Kode) (Kode) ASURANSI
PELAYANAN BERGERAK
ISTRI
INFORMED CONSENT
PASCA KEGUGURAN
PASCA PERSALINAN
KOMPLIKASI BERAT
PENCABUTAN DAN
BPJS KESEHATAN
NO. TANGGAL ALAMAT NO. HANDPHONE
PEMASANGAN
PENCABUTAN
NAMA SUAMI
KEGAGALAN
PEMBERIAN/
OPERATIF/
TANGGAL
NIK (NOMOR INDUK KEPENDUDUKAN) NAMA
LAINNYA
MANDIRI
LAHIR
TIDAK
APBN
APBD
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
1 09-Jan-2023 TRI SESIO 3 2 7 6 0 5 6 7 1 2 9 1 0 0 0 5 DESI DWI 27-Dec-1991 SUGU TAMU 1 1 1 0 2 1 0 0 1 0 0 0
2 09-Jan-2023 FIQIH 3 1 7 4 0 4 6 4 0 9 9 9 0 0 0 3 NURIANI 24-Sep-1999 CIMANDIRI 3 1 0 0 2 1 0 0 1 0 0 0
3 09-Jan-2023 ARIULAH 3 2 7 6 0 5 4 5 0 5 9 5 0 0 0 3 SINTIA 05-May-1995 TIPAR 1 1 1 0 2 1 0 0 1 0 0 0
4 09-Jan-2023 Hadu Dosan 3 2 7 6 0 5 4 5 1 1 8 8 0 0 0 2 Elida Fiona 05-Nov-1988 Sugu Tamu 081818761218 1 1 1 0 2 1 0 0 1 0 0 0
5 09-Jan-2023 AFIAN 3 1 7 5 0 9 6 3 0 5 9 7 0 0 0 3 AYU FRIDIA 23-May-1997 CISALAK 1 1 1 0 2 1 0 0 1 0 0 0
6 09-Jan-2023 HASNO 3 3 1 2 1 3 5 7 0 7 8 7 0 0 0 1 DEWI SULASTRI 17-Jun-1987 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0
7 09-Jan-2023 3 2 7 6 0 2 2 7 0 3 8 6 0 0 0 1 EKA MILAWATI 17-Mar-1986 TUGU 1 1 1 0 2 1 0 0 1 0 0 0
8 09-Jan-2023 RIYANTO 3 2 1 6 1 9 5 0 0 4 8 5 0 0 1 2 DIAN 10-Apr-1985 JELUTUNG 3 1 0 0 2 1 0 0 1 0 0 0
9 09-Jan-2023 RONI 3 2 7 6 0 5 5 6 0 1 8 7 0 0 1 2 TRIANI 06-Nov-1988 BAKTIJAYA 3 1 0 0 2 1 0 0 1 0 0 0
10 09-Jan-2023 YUDIANYONO 3 2 7 6 0 2 5 7 0 7 8 2 0 0 2 9 FITRI FATIMA 17-Jul-1982 BAKTIJAYA 3 1 0 0 2 1 0 0 1 0 0 0
11 09-Jan-2023 CANDRA 3 2 7 6 0 5 6 7 1 2 9 8 0 0 0 1 NABILA AULIA 27-Dec-1998 BAKTIJAYA 3 1 0 0 2 1 0 0 1 0 0 0
12 13-Jan-2023 PURNAMA 3 2 7 6 0 5 0 9 0 3 6 9 0 0 0 8 RITA FITRI 09-Mar-1969 JL. JATI 1 0 1 0 4 1 0 0 1 0 0 0
13 13-Jan-2023 HASANUDDIN 3 2 7 6 0 5 4 1 0 6 8 0 0 0 2 1 SUPINI 01-Jun-1980 JL. TURI 3 NO 16 1 0 1 0 4 1 0 0 1 0 0 0
14 13-Jan-2023 SURATNO 3 2 7 6 0 5 4 5 0 3 8 3 0 0 1 3 SURYANTI 05-Mar-1983 BAKTIJAYA 3 0 0 0 4 1 0 0 1 0 0 0
15 13-Jan-2023 WAHYU 3 2 7 6 0 5 7 1 0 8 8 3 0 0 0 4 RINA HANDAYANI 01-Aug-1983 JL. KURING 1 0 1 0 4 1 0 0 1 0 0 0
16 13-Jan-2023 Hardiana 3 2 7 6 0 5 6 4 0 8 9 8 0 0 0 5 Melila Gunawan 25-Aug-1998 Bakti jaya 3 1 0 0 2 1 0 0 1 0 0 0
17 14-Jan-2023 Danu 3 2 7 6 0 5 5 3 0 2 0 0 0 0 0 2 Nabillah Saputri 13-Feb-2000 Bakti jaya 3 1 0 0 2 1 0 0 1 0 0 0
18 21-Jan-2023 AZWAR 3 2 7 6 0 5 4 5 0 8 9 1 0 0 0 9 DEBY AGUSTIANTI 05-Aug-1991 BAKTIJAYA 082113217097 3 1 0 0 2 1 0 0 1 0 0 0
19 27-Jan-2023 ADE 3 2 1 6 2 2 6 7 0 1 8 7 0 0 0 2 SAPRIAH 27-Nov-9987 SUGU TAMU 3 1 0 0 2 1 0 0 1 0 0 0
20 01-Sep-2023 TAUFIK INDRA 3 2 7 6 0 5 4 4 0 3 9 0 0 0 0 6 ANNISAH KHAIRANI 04-Mar-1990 JLN. SAMPIT 6 NO. 215 1 1 1 0 3 1 0 0 1 0 0 0
R. MOHAMMAD HENDRA
21 01-Sep-2023 3 2 0 6 0 1 5 0 1 1 0 0 0 0 0 4 INDRIYANI 10-Nov-2000 JLN. SAMPIT 1 NO 280 1 0 1 0 4 1 0 0 1 0 0 0
SUKMAJAYA
22 01-Sep-2023 Kiky 3 2 7 6 0 5 5 5 0 6 0 3 0 0 0 7 Windi 15-Jun-2003 Jl. Sampit IV 1 1 1 0 10 1 0 0 1 0 0 0
23 01-Sep-2023 MITRO 3 2 7 6 0 5 6 8 0 8 7 8 0 0 0 3 HASNA NURLAELA 28-Aug-1978 JLN. SAMPIT RAYA NO186 RT 07 RW 012 2 1 0 0 9 1 0 0 1 0 0 0
24 01-Sep-2023 RAHMAT HIDAYAT 3 2 7 6 0 1 5 2 0 9 7 3 0 0 0 6 WIWIN YUNIATI 12-Sep-1973 JL MAHAKAM 1/100 RT 003/012 2 1 0 0 3 1 0 0 1 0 0 0
25 01-Sep-2023 M. MUCHLIS 3 2 7 6 0 5 5 5 1 2 6 5 0 0 0 4 SRI SUHARYEKTI 15-Dec-1965 JLN. SAMPIT 1 NO. 284 RT 08 RW 12 1 0 1 0 5 1 0 0 1 0 0 0
26 01-Sep-2023 ICHIN SOLICHIN 3 2 7 6 0 5 5 4 0 9 7 6 0 0 0 2 NANING A BERAHIM 14-Sep-1976 JLN. SAMPIT 4 NO. 234 RT 06 RW 012 2 1 0 0 10 1 0 0 1 0 0 0
27 01-Sep-2023 ANDRI HERNANDI 3 2 7 6 0 5 6 3 1 2 7 8 0 0 0 1 DESI NENI ASTUTI 20-Dec-1978 JL MAHAKAM V1 NO 119 2 1 0 0 10 1 0 0 1 0 0 0

28 01-Sep-2023 KOMARI 3 2 7 6 0 5 4 2 0 5 7 7 0 0 0 8 MAILANI 02-May-1977 JLN. BORNEO RAYA NO. 298 1 1 1 0 11 1 0 0 0 0 0 0
29 01-Sep-2023 AULIA ANNAS 3 2 7 6 0 5 4 5 0 6 7 5 0 0 0 4 KISWATI 05-Jun-1976 JL SAMPIT V11 NO 177 2 1 0 0 3 1 0 0 1 0 0 0
NUR MUHAMAD
30 04-Sep-2023 3 2 7 6 0 5 5 0 0 1 9 2 0 0 0 3 YUSNITA SARI 10-Jan-1992 JL MAHAKAM V1 114 1 1 1 0 9 1 0 0 1 0 0 0
PUJIANTO
31 04-Sep-2023 NOVIYANTO 3 1 7 5 0 5 6 3 0 7 9 2 0 0 0 3 RISMA 23-Jul-1995 SAMPIT VII 1 1 1 0 3 1 0 0 1 0 0 0
32 04-Sep-2023 SUPRIYADI 3 1 7 2 0 3 5 6 0 1 8 9 0 0 0 1 JANIAR ALETA 16-Jan-1989 JLN.MAHAKAM I/94 RT 003/012 1 1 1 0 10 1 0 0 1 0 0 0
33 04-Sep-2023 DEYA M 3 2 7 6 0 5 5 3 0 9 2 0 0 0 0 2 PRILLY 13-Mar-1992 Jl. Sampit VII 1 1 1 0 2 1 0 0 1 0 0 0
34 04-Sep-2023 BAMBANG SUKAMTO 3 2 7 6 0 5 6 6 0 4 8 0 0 0 1 0 YATMINI 26-Apr-1980 JLN.BORNEO RAYA/34 1 1 1 0 3 1 0 0 1 0 0 0
35 04-Sep-2023 YODHI MULIA SAFUTRA 6 3 7 2 0 2 5 3 0 9 9 0 0 0 0 2 SEPTY KUSUMANINGTYAS 13-Sep-1990 JLN. SAMPIT 3 NO. 103 1 1 1 0 9 1 0 0 1 0 0 0
36 04-Sep-2023 SUGIMAN 3 2 7 1 1 0 5 6 0 1 8 8 0 0 0 1 YENI 10-Jan-1989 Jl. Mahakam IV 1 1 1 0 3 1 0 0 1 0 0 0
37 04-Sep-2023 RUDI 3 2 7 6 0 5 7 0 0 7 7 8 0 0 1 1 RINA 30-Jul-1978 Jl. Mahakam 1 1 1 0 3 1 0 0 1 0 0 0
38 11-Sep-2023 DENIH 3 2 7 6 0 5 6 7 0 2 8 3 0 0 0 4 SURYATI 27-Feb-1983 BAKTIJAYA 1 1 1 0 9 1 0 0 1 0 0 0
39 11-Sep-2023 ARY S 3 2 7 6 0 5 6 4 4 0 1 8 0 0 0 2 RITA 04-Jan-1982 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0
40 11-Sep-2023 ANDRI MARULLOH 3 2 7 6 1 0 6 4 0 6 8 9 0 0 0 1 PUDJI NUR HANDAYANI 24-Jun-1989 JL.KERAMAT BENDA RT002 RW 027 NO 89 E 1 1 1 0 2 1 0 0 1 0 0 0
41 11-Sep-2023 AMUN NAWAWI 3 2 7 6 0 5 6 0 1 2 8 4 0 0 1 4 AMELIA N 20-Dec-1984 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0
42 11-Sep-2023 SLAMET RIYANTO 3 2 7 6 0 5 4 2 1 0 8 3 0 0 0 3 ASTUTY 02-Oct-1983 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 10 1 0 0 1 0 0 0
43 11-Sep-2023 ANDRI YANTO 3 2 0 1 0 1 6 0 0 3 2 0 2 0 0 8 NURAINI 20-Mar-2002 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0
JL.KERAMAT BENDA RT 002 RW 027 NO 53

44 11-Sep-2023 TAFSIRUL FAROID 3 2 7 6 0 5 5 7 0 4 7 8 0 0 0 4 GIYARTI 17-Apr-1979 1 0 1 0 4 1 0 0 1 0 0 0
B

45 11-Sep-2023 ABDUL KARIM 3 2 7 6 0 5 5 6 0 8 8 0 0 0 0 2 SUNARTI 16-Aug-1980 1 1 1 0 8 1 0 0 1 0 0 0
A
46 11-Sep-2023 MIFTAHUL KHOIRI 3 2 7 6 0 5 5 3 0 9 8 9 0 0 0 2 WIYARSIH 13-Sep-1989 JL.KERAMAT BENDA RT 002 RW 027 NO 53 J 1 0 1 0 4 1 0 0 1 0 0 0

47 11-Sep-2023 ANDI SUSILO 3 4 0 3 1 2 5 7 0 5 9 2 0 0 0 2 ARINI 17-May-1992 1 1 1 0 9 1 0 0 1 0 0 0
A
MOCH CHANNA EL
48 11-Sep-2023 3 2 7 6 0 5 5 4 0 9 9 3 0 0 0 1 INDAH SEPTIANI 14-Sep-1993 JL KERAMAT BENDA RT 002 RW 027 1 1 1 0 2 1 0 0 1 0 0 0
KAHFI
49 11-Sep-2023 CITRA PRIBADI 3 2 7 6 0 5 6 8 0 8 8 8 0 0 0 2 SUMIRA WATI 28-Aug-1988 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 11 1 0 0 0 0 0 0
50 11-Sep-2023 DARJO 3 2 0 8 0 6 4 8 0 8 7 7 0 0 0 1 SITI AMINAH 08-Aug-1977 JL.KERAMAT BENDA RT 002 R 027 1 1 1 0 10 1 0 0 1 0 0 0

51 11-Sep-2023 ARIO DENIRO 3 6 7 4 0 4 5 5 1 1 9 4 0 0 0 1 AYU HALIMATUSAKINAH 15-Nov-1994 1 0 1 0 6 1 0 0 1 0 0 0
B

52 11-Sep-2023 DIDI SUNADI 3 3 2 9 0 5 6 6 0 8 8 6 0 0 0 4 ROHANI 26-Aug-1986 1 1 1 0 9 1 0 0 1 0 0 0
K
53 11-Sep-2023 ABDUL ROHIM 3 4 0 3 1 2 6 5 0 4 7 6 0 0 0 6 MUJI RAHAYU 15-Apr-1976 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 9 1 0 0 1 0 0 0
54 11-Sep-2023 DARMUDI 3 2 7 6 0 5 5 4 1 2 7 7 0 0 0 1 WATRI 14-Dec-1977 JL.KERAMAT BENDA RT 02 RW 027 NO. 71 1 0 1 0 4 1 0 0 1 0 0 0
55 11-Sep-2023 SUTRIS WAHYU TRI U 3 2 7 6 0 5 5 3 0 8 8 8 0 0 0 1 EMA ARIANDITA 13-Aug-1988 JK.KERAMAT BENDA 1 1 1 0 9 1 0 0 1 0 0 0
MUHAMMAD
56 11-Sep-2023 3 2 7 6 0 5 6 0 0 4 9 9 0 0 0 3 RENI APRIANI 20-Apr-1999 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 1 1 0 0 1 0 0 0
NUROHMAN
57 12-Sep-2023 HANIF 3 2 7 6 0 5 5 8 0 8 8 2 0 0 1 4 HELEN 18-Aug-1982 PELNI C2/18 1 1 1 0 7 1 0 0 1 0 0 0
58 12-Sep-2023 HENDRA DAMANIK 3 2 7 6 0 5 6 7 1 1 8 7 0 0 0 2 NOVRIDA HENING P 27-Nov-1987 PELNI G4 RT 6 RW 17 1 1 1 0 9 1 0 0 1 0 0 0
59 12-Sep-2023 GALIH 3 2 7 6 0 5 5 0 0 7 8 6 0 0 1 3 HERLINA 10-Jul-1986 PELNI E1/20 1 1 1 0 9 1 0 0 1 0 0 0
60 12-Sep-2023 YOGI 3 2 7 6 0 5 6 4 0 5 7 8 0 0 0 4 RESTI 24-May-1978 KOMPLEK PELNI 1 0 1 0 4 1 0 0 1 0 0 0
61 12-Sep-2023 TAUFAN 3 1 7 5 1 0 5 8 1 2 9 0 0 0 0 1 DEVI. A 18-Dec-1990 PELNI E1/21 1 1 1 0 7 1 0 0 1 0 0 0
62 12-Sep-2023 IVAN 3 2 7 6 0 5 5 6 1 1 8 5 0 0 2 5 ATIKA 16-Nov-1985 PELNI G4/1 1 1 1 0 9 1 0 0 1 0 0 0
63 12-Sep-2023 SUNARNO 3 2 7 6 0 5 6 1 1 0 8 8 0 0 0 2 FADILLAH AMALIA 21-Oct-1988 PELNI BLOK G4 RT 6 RW 17 1 1 1 0 9 1 0 0 1 0 0 0
64 14-Sep-2023 SOLAHUDIN 3 2 7 6 0 2 4 1 0 1 8 8 0 0 2 4 ROHANI 01-Jan-1988 BAKTIJAYA 1 1 1 0 11 1 0 0 0 0 0 0
65 14-Sep-2023 SLAMET ARIFIN 3 3 0 4 1 2 4 7 1 2 9 1 0 0 0 2 GAGAT DWI HESTI 07-Dec-1991 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 2 1 0 0 1 0 0 0
66 14-Sep-2023 SLAMET 3 2 7 6 0 5 4 5 1 1 7 8 0 0 0 8 WATI 05-Nov-1978 BAKTIJAYA 1 1 1 0 11 1 0 0 0 0 0 0
67 14-Sep-2023 IRPAN MAULANA 3 2 7 6 0 5 5 7 0 1 0 2 0 0 0 8 LISA PUTRI YANI 17-Jan-2002 JL.KERAMAT BENDA RT 002 1 1 1 0 2 1 0 0 1 0 0 0
68 14-Sep-2023 TOHID 3 2 0 9 0 5 4 1 0 1 8 2 0 0 1 3 SITI AENAH 01-Jan-1982 JL KERAMAT BENDA RT 002 RW 027 1 0 1 0 6 1 0 0 1 0 0 0
69 14-Sep-2023 DARMANTO 3 1 7 6 0 1 6 1 0 2 8 8 0 0 0 3 RATIH LARA 21-Mar-1988 BAKTIJAYA 1 0 1 0 6 1 0 0 1 0 0 0
70 14-Sep-2023 TARYADI 3 2 1 2 0 5 7 0 0 6 7 6 0 0 0 3 CARIDEM 30-Jun-1976 JL.KERAMAT BENDA 1 1 1 0 2 1 0 0 1 0 0 0

71 14-Sep-2023 HIDAYATULLOH 3 2 7 6 0 5 4 3 0 5 7 6 0 0 0 3 SARIPAH 03-May-1976 1 1 1 0 11 1 0 0 0 0 0 0
A
72 14-Sep-2023 RIDWIN PRASETYO 3 1 7 5 0 3 5 6 1 1 8 2 0 0 0 5 MULIAWATI 16-Nov-1982 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 9 1 0 0 1 0 0 0
73 14-Sep-2023 ANDONO 3 2 1 6 2 1 4 1 0 7 8 0 0 0 0 5 SILVIA 01-Jul-1980 BAKTIJAYA 1 0 1 0 4 1 0 0 1 0 0 0
74 14-Sep-2023 HERDI 3 2 7 6 0 5 4 1 0 2 8 4 0 0 1 8 FITRI ARIFIN 01-Feb-1984 JL.KERAMAT BENDA RT 002 RW 027 NO 54 I 1 0 1 0 6 1 0 0 1 0 0 0
75 15-Sep-2023 ABDUR RASYID PARINDU 3 2 7 6 0 5 5 0 0 9 8 9 0 0 0 4 EVA SURYATI 10-Sep-1989 JL.KERAMAT BENDA RT 002 RW 027 1 0 1 0 4 1 0 0 1 0 0 0
76 15-Sep-2023 HENDRA GUNAWAN 3 2 7 6 0 5 5 5 0 2 8 8 0 0 0 1 FARIDA ARIANI 15-Feb-1988 JL.KERAMAT BENDA RT 002 RW 027 1 0 1 0 4 1 0 0 1 0 0 0
77 15-Sep-2023 AGUS SALIM 3 2 7 6 0 5 5 1 0 7 8 2 0 0 0 2 IRUS RUSMIATI 11-Jul-1982 KP.SUGUTAMU 1 1 1 0 3 1 0 0 1 0 0 0
78 15-Sep-2023 TEGUH SETIAWAN 3 2 7 6 0 5 7 0 1 2 7 8 0 0 0 2 WASRIAH 30-Dec-1978 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 11 1 0 0 0 0 0 0

79 15-Sep-2023 AHMAD AMSARI 3 2 7 6 0 2 5 6 0 1 8 6 0 0 1 2 ARIYANI 16-Jan-1986 1 0 1 0 4 1 0 0 1 0 0 0
B
80 15-Sep-2023 JOKO RIANTO 3 2 7 6 0 5 4 5 0 7 8 9 0 0 0 3 SITI JULAEHA 05-Jul-1989 KERAMAT BENDA RT002 RW027 1 1 1 0 9 1 0 0 1 0 0 0
81 15-Sep-2023 IRHAN SETIAWAN 3 2 7 6 0 5 6 2 0 5 9 1 0 0 0 4 SANTI ARISANDI 22-May-1991 JL.KRAMAT BENDA RT 003 RW 027 N0 132 A 1 1 1 0 2 1 0 0 1 0 0 0
JL.KRAMAT BENDA RT 003 RW 027 NO 99 F

82 15-Sep-2023 ASEP GUNAWAN 3 2 7 6 0 5 4 5 0 2 9 6 0 0 0 5 RIRI KUSMAWATI 05-Feb-1996 1 1 1 0 1 1 0 0 1 0 0 0
DEPOK
83 15-Sep-2023 GALIH RAKASIWI H 3 2 7 6 0 5 5 3 0 7 8 9 0 0 0 2 HANDAYANI PURWANTI 13-Jul-1989 JL.KERAMAT BENDA RT 002 1 1 1 0 1 1 0 0 1 0 0 0
84 15-Sep-2023 ISAN SANJAYA 3 2 1 6 1 4 4 4 0 7 8 2 0 0 0 2 NAMIH ROHANI 04-Jul-1982 JL.KERAMAT BENDA 1 1 1 0 8 1 0 0 1 0 0 0
SEPTIAN DANA
85 15-Sep-2023 3 1 7 5 0 1 4 5 0 3 8 8 0 0 1 2 SUMIRAH 05-Mar-1988 JL.KERAMAT BENDA RT 002 RW 027 1 0 1 0 4 1 0 0 1 0 0 0
ANUGRAH
YULIANTO MUHAMMAD
86 15-Sep-2023 3 2 7 6 0 5 6 0 0 6 8 5 0 0 0 8 MUDRIKAH ZEIN 20-Jun-1985 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 3 1 0 0 1 0 0 0
NU
DIMPOS WILSON
87 15-Sep-2023 3 2 7 6 0 5 5 9 1 1 8 7 0 0 1 1 ELIZABETH NINDYANINGRUM 19-Nov-1987 JLN KRAMAT BENDA RT 03 RW 27 NO 99.E 1 1 1 0 2 1 0 0 1 0 0 0
PASARIBU
88 15-Sep-2023 ANGGI SAKERA 3 2 7 6 0 2 6 6 0 6 9 1 0 0 0 8 MUTHIA MEDIANA 26-Jun-1991 JL.KERAMAT BENDA 1 1 1 0 3 1 0 0 1 0 0 0
89 15-Sep-2023 SUKADIR 3 2 7 6 0 5 5 3 0 3 8 1 0 0 1 7 ROBIATUL AHDAWIYAH 13-Mar-1981 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
90 18-Sep-2023 MARUDIN 3 2 7 6 0 5 8 8 0 2 7 7 0 0 0 8 ELIS KOMALASARI 20-Feb-1977 BAKTIJAYA 1 0 1 0 6 1 0 0 1 0 0 0
91 18-Sep-2023 MARDANI 3 2 7 6 0 5 5 6 0 4 8 5 0 0 0 3 SUSANTI 16-Apr-1985 SUGU TAMU 1 1 1 0 3 1 0 0 1 0 0 0
92 18-Sep-2023 BAMBANG KRISTIANTO 3 2 7 6 0 5 5 8 0 6 8 1 0 0 2 0 DEWI SETYAWATI 18-Jun-1981 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 3 1 0 0 2 1 0 0 1 0 0 0
93 18-Sep-2023 MOHAMAD NURIYAWAN 3 2 7 6 0 5 6 1 0 3 9 1 0 0 0 2 LAILATUS SALAMIYAH 21-Mar-1991 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 1 1 0 2 1 0 0 1 0 0 0
94 18-Sep-2023 WAWAN SETIAWAN 3 2 7 6 0 5 4 5 0 5 9 0 0 0 0 3 SITI SALAMAH 05-May-1990 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 1 1 0 3 1 0 0 1 0 0 0
95 18-Sep-2023 WAHYUDIN 3 2 7 6 0 5 4 7 0 3 9 6 0 0 0 4 MAHARANI 07-Mar-1996 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
96 18-Sep-2023 MUHAMAD PERRIADY 3 2 7 6 0 2 5 8 1 2 8 4 0 0 0 9 NADIA MILAH 18-Dec-1984 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
97 18-Sep-2023 ARYANTO 3 2 7 5 0 2 6 3 0 1 9 4 0 0 1 6 RUTH LIDYA 23-Jan-1994 BAKTIJAYA 1 0 1 0 6 1 0 0 1 0 0 0
98 18-Sep-2023 SUWARNO 3 2 7 6 0 5 6 0 0 4 8 4 0 0 0 8 SUKARTINI 20-May-1984 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
99 18-Sep-2023 MAKRUP MUNANDAR 3 2 7 6 0 5 5 4 0 9 9 2 0 0 0 3 MUZDALIFAH 14-Sep-1992 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 1 1 0 2 1 0 0 1 0 0 0
100 19-Sep-2023 TOFIK HIDAYAT 3 2 7 6 0 5 7 0 1 0 9 3 0 0 0 2 RENI OKTAVIANI 30-Oct-1993 JL.KRAMAT BENDA RT003 RW 027 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
101 19-Sep-2023 AGUS ARDIYANTO 3 2 7 6 0 5 5 7 0 8 9 5 0 0 0 2 INTAN PERMATA SARI 17-Aug-1995 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
102 19-Sep-2023 ROMOHONI 3 2 7 6 0 2 7 0 0 4 9 6 0 0 0 5 REZA DWI P 30-Apr-1996 BAKTIJAYA 1 0 1 0 6 1 0 0 1 0 0 0
103 19-Sep-2023 JUMARWAN 3 2 7 6 0 5 5 0 0 6 7 6 0 0 0 8 MULYANIH 10-Jun-1976 JLNK KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0

104 19-Sep-2023 HAIRUL FAUZI 3 1 7 4 0 4 6 9 0 6 8 8 0 0 0 1 POPY INDRA KURNIAWATI 18-Jun-1988 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
105 19-Sep-2023 FEBRIANTO 3 2 7 6 0 5 6 5 0 6 8 6 0 0 0 1 DEDE SUTARSIH 25-Jun-1986 JL.KRAMAT BENDA RT003/027 1 0 1 0 6 1 0 0 1 0 0 0
106 20-Sep-2023 MARDANI 3 2 7 6 0 5 5 6 0 4 8 5 0 0 0 3 SUSANTI 16-Apr-1985 SUGU TAMU 1 1 1 0 2 1 0 0 1 0 0 0
107 20-Sep-2023 HERMAN 3 2 7 6 0 5 6 1 1 2 8 5 0 0 1 0 DESI SUSANTI 21-Dec-1985 JLN KRAMAT BENDA RT 03 RW O27 1 0 1 0 6 1 0 0 1 0 0 0

108 20-Sep-2023 ASEP GUNAWAN 3 2 7 6 0 5 4 5 0 2 9 6 0 0 0 5 RIRI KUSMAWATI 05-Feb-1996 1 0 1 0 6 1 0 0 1 0 0 0
DEPOK
109 20-Sep-2023 ABDUL MUIN 3 2 7 6 0 5 6 1 0 3 8 7 0 0 1 3 YULIA 21-Mar-1987 BAKTIJAYA 1 1 1 0 9 1 0 0 1 0 0 0
110 20-Sep-2023 TAJUDIN 3 2 7 6 0 5 4 2 0 9 8 5 0 0 0 4 RENNI ARYANIH 02-Sep-1986 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
111 21-Sep-2023 SUYITNO 3 2 7 6 0 5 5 7 0 9 7 4 0 0 0 7 MANISEM 17-Sep-1974 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 1 1 0 1 1 0 0 1 0 0 0
112 22-Sep-2023 GUNUNG ADI SUSANTO 3 2 7 6 0 5 6 5 0 8 8 1 0 0 0 5 ENDANG SUGIARTI 25-Aug-1981 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
113 22-Sep-2023 SARONO 3 3 1 2 0 5 4 6 0 5 8 0 0 0 0 1 WIJIATI 06-May-1980 JL.KRAMAT BENDA RT 002 RW 027 DEPOK 1 1 1 0 1 1 0 0 1 0 0 0
114 22-Sep-2023 HO YUDI 3 2 7 6 0 5 5 8 1 1 7 9 0 0 1 2 YENIE 18-Nov-1979 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 1 1 0 9 1 0 0 1 0 0 0
115 22-Sep-2023 RUSMANI 3 2 7 6 0 2 5 6 0 2 9 6 0 0 1 2 WINDA LESTARI 16-Feb-1996 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 1 1 0 7 1 0 0 1 0 0 0
116 22-Sep-2023 EDI SUSANTO 3 2 7 6 0 5 4 8 0 9 9 6 0 0 0 6 NUR AROFAH 08-Sep-1996 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 1 1 0 3 1 0 0 1 0 0 0
117 22-Sep-2023 GUNTUR S 3 2 7 6 0 5 4 3 0 7 9 3 0 0 1 0 MIFTAHUL JANAH 03-Jul-1993 BAKTIJAYA 1 0 1 0 6 1 0 0 1 0 0 0
118 22-Sep-2023 BAHRUDIN 3 2 7 6 0 5 4 9 0 5 7 6 0 0 0 8 SITI AISAH 09-Jun-1976 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 1 1 0 1 1 0 0 1 0 0 0
119 22-Sep-2023 MARSUDI 3 2 7 6 0 5 6 8 0 9 7 1 0 0 0 2 NGATINEM 26-Aug-1971 BAKTIJAYA 1 1 1 0 1 1 0 0 1 0 0 0
120 26-Sep-2023 DEVI FITRIADI 3 2 7 6 0 2 4 1 0 5 8 7 0 0 1 1 RETTI ROSDIANTI 01-May-1987 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
JLN KRAMAT BENDA RT 03 RW 27 NO 170.C

121 26-Sep-2023 SYAMSUDIN 3 2 7 6 0 5 4 3 1 0 8 6 0 0 1 9 GAYATRIE FITRIAH 03-Oct-1986 1 0 1 0 6 1 0 0 1 0 0 0
DEPOK
122 26-Sep-2023 ASEP RAMDHANI 3 2 7 6 0 5 6 4 1 2 8 5 0 0 0 9 DIAH NINGSIH 24-Dec-1985 JL. BENUANG 6 NO. 44 1 0 1 0 4 1 0 0 1 0 0 0
123 26-Sep-2023 RUSWANDI 3 2 7 6 0 5 5 2 0 1 8 4 0 0 0 6 NURHAYATI 12-Jan-1984 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
124 26-Sep-2023 MINAN 3 2 7 6 0 5 4 4 1 1 7 8 0 0 0 4 NURHASANAH 04-Nov-1978 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 0 1 0 4 1 0 0 1 0 0 0
125 26-Sep-2023 HAIRUL FAUZI 3 1 7 4 0 4 6 9 0 6 8 8 0 0 0 1 POPY INDRA KURNIAWATI 18-Jun-1988 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
126 29-Sep-2023 UJANG NASIM 3 2 0 1 2 5 4 3 0 4 9 0 0 0 1 0 ENING NUR 03-May-1998 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0
127 29-Sep-2023 ABD KODIR ZA 3 2 7 6 0 2 1 9 0 7 7 9 0 0 0 6 SITI ROHMAH 30-Dec-1985 PAL SIGUNUNG RT 006/001 1 1 1 0 2 1 0 0 1 0 0 0
128 29-Sep-2023 ADAD 3 2 7 6 0 5 5 3 0 5 8 1 0 0 0 2 AFIFAH 13-May-1981 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0
129 29-Sep-2023 NISAN.S 3 2 7 6 0 5 4 4 0 5 8 7 0 0 0 9 RAHMAWATI 04-May-1987 KP .SUGUTAMU RT 004/027 1 1 1 0 2 1 0 0 1 0 0 0
130 03-Oct-2023 ARUS TIANA 3 2 7 6 0 5 4 9 0 3 9 0 0 0 0 4 WIWIK RAHAYU 09-Mar-1990 KP.SUGUTAMU RT/RW 004/027 1 1 1 0 2 1 0 0 1 0 0 0
131 03-Oct-2023 MARWANSYAH 3 2 7 6 0 5 4 5 0 1 8 6 0 0 0 1 ISMA BEKTI WAHYUNI 05-Jan-1986 PK SUGUTAMU RT 004/027 1 1 1 0 9 1 0 0 1 0 0 0
132 03-Oct-2023 SOBUR 3 2 7 6 0 5 5 2 0 5 8 1 0 0 0 4 WARSIH 12-May-1981 KP SUGUTAMU RT 004/027 1 0 1 0 4 1 0 0 1 0 0 0
133 03-Oct-2023 SAIFUL ANWAR 3 1 7 5 0 9 4 9 0 6 0 9 0 0 0 5 NINIS AZIZAH 09-Jun-1986 KP SUGUTAMU RT. 04/27 1 1 1 0 2 1 0 0 1 0 0 0
134 03-Oct-2023 SUTRISNO 3 3 1 9 0 9 4 7 0 2 8 0 0 0 0 4 EEN ENDAWATI 07-Feb-1980 KP SUGUTAMU RT 004/027 1 0 1 0 4 1 0 0 1 0 0 0
135 03-Oct-2023 OKTA 3 1 7 5 0 4 5 9 0 8 8 6 0 0 0 3 DIAN ANGRAINI 19-Aug-1996 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0
136 03-Oct-2023 NUR KAMIL 3 2 7 6 0 5 4 2 1 1 9 5 0 0 0 1 SRI LESTARI 02-Nov-1995 GG. MASJID CISALAK RT 006 RW 007 1 1 1 0 2 1 0 0 1 0 0 0
137 03-Oct-2023 RONI SYABAN 3 2 7 6 0 5 5 7 0 6 9 3 0 0 0 1 SRI WAHYUNINGSIH 17-Jun-1993 KP .SUGUTAMU RT 04 RW 027 1 1 1 0 2 1 0 0 1 0 0 0
138 03-Oct-2023 SAMSUDIN 3 2 7 6 0 5 4 8 0 6 7 4 0 0 0 1 IDA ROYANI 08-Jun-1974 KP.SUGUTAMU RT/RW. 004/027 NO.76 1 0 1 0 4 1 0 0 1 0 0 0
139 03-Oct-2023 KARSINO 3 3 1 5 0 8 7 1 1 0 9 5 0 0 0 3 NIA ARIYANTI 31-Oct-1985 KP SUGUTAMU RT 004/027 1 1 1 0 2 1 0 0 1 0 0 0
140 03-Oct-2023 ASMADI 3 2 7 6 0 5 4 5 0 8 6 5 0 0 0 8 AMI 05-Aug-1965 KP.SUGUTAMU RT/RW 004/027 1 1 1 0 2 1 0 0 1 0 0 0
141 03-Oct-2023 SUPRIYATNA 3 2 7 6 0 5 4 9 0 3 8 5 0 0 0 8 DEDAH 09-Mar-1985 KP SUGUTAMU RT 004/027 1 1 1 0 2 1 0 0 1 0 0 0

142 03-Oct-2023 MERY MAULANSYAH 3 2 7 6 0 5 5 7 0 8 7 9 0 0 1 3 AGUSTINE RACHMAWATI 17-Aug-1979 JL JIMBO RT 001/003 1 1 1 0 2 1 0 0 1 0 0 0
143 03-Oct-2023 YUDI YULIADI 3 2 7 6 0 5 6 8 0 7 8 3 0 0 0 8 SURYATI 07-Dec-1989 SUGUTAMU RT. 04/27 1 1 1 0 2 1 0 0 1 0 0 0
144 03-Oct-2023 AJI WIBOWO 3 2 7 6 0 5 4 1 1 0 9 9 0 0 1 5 NUR IKBAR 01-Oct-1999 KP SUGUTAMU RT 04/027 NO 27A 1 1 1 0 2 1 0 0 1 0 0 0
145 03-Oct-2023 EDY NURMAN 3 2 7 6 0 5 4 1 0 9 8 1 0 0 0 7 ZUBAEDAH 01-Sep-1981 KP SUGUTAMU RT 004/027 1 1 1 0 2 1 0 0 1 0 0 0
146 03-Oct-2023 FAISAL EFENDI 3 1 7 1 0 7 5 0 1 0 9 2 0 0 0 8 ZAKIAH ROSARIA 10-Oct-1992 KP SUGUTAMU RT/RW 004/027 1 1 1 0 2 1 0 0 1 0 0 0
147 03-Oct-2023 YUDI KURNIAWAN 3 2 7 6 0 5 5 0 0 1 9 9 0 0 0 1 ANISA 10-Jan-1999 KP.SUGUTAMU RT/RW 004/027 1 1 1 0 9 1 0 0 1 0 0 0
148 03-Oct-2023 ABDUL RAHMAN 3 2 7 6 0 5 4 7 0 3 8 0 0 0 0 3 MASWANIH 07-Mar-1980 KP SUGUTAMU RT 004/027 1 1 1 0 9 1 0 0 1 0 0 0
149 03-Oct-2023 DENI MAULANA 3 2 7 6 0 5 4 5 0 7 9 0 0 0 0 8 PRIHASTUTI.H 05-Jul-1990 KP CURUG RT 005/003 1 1 1 0 2 1 0 0 1 0 0 0
150 03-Oct-2023 HARIYANTO 3 2 7 6 0 5 6 2 0 1 8 4 0 0 0 2 ERNA NUROHMAWATI 22-Jan-1984 KP. SUGUTAMU RT/RW 004/027 1 1 1 0 9 1 0 0 1 0 0 0
151 03-Oct-2023 RIFAN SUGIANTO 3 2 7 6 0 5 6 3 0 3 8 9 0 0 0 9 SANTI MAYASARI 23-Mar-1989 KP. SUGUTAMU RT. 004/027 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0
152 03-Oct-2023 ANDRI K 3 2 7 6 0 5 4 2 0 8 9 6 0 0 0 8 AGUSTINI 02-Aug-1996 KP SUGUTAMU RT. 04/27 1 0 1 0 4 1 0 0 1 0 0 0
153 03-Oct-2023 SICANG S 3 3 1 2 0 5 6 8 0 5 8 9 0 0 0 3 SIFA IRIYANTI 28-May-1989 KP.SUGUTAMU RT/RW 004/027 1 0 1 0 4 1 0 0 1 0 0 0
154 03-Oct-2023 OMAN 3 2 7 6 0 5 4 7 1 1 7 5 0 0 0 1 SUGIATI 07-Nov-1975 KP. SUGUTAMU RT. 04/27 3 1 0 0 2 1 0 0 1 0 0 0
155 03-Oct-2023 SAEPUL 3 2 7 6 0 5 5 0 0 6 9 4 0 0 0 5 DEWI KHAUSARI 10-Jun-1994 KP SUGUTAMU RT 004/027 1 0 1 0 4 1 0 0 1 0 0 0
156 03-Oct-2023 TASRIP 3 2 7 6 0 5 4 7 0 4 8 3 0 0 1 9 SUTINI 07-Apr-1983 KP SUGUTAMU RT 04/027 1 1 1 0 2 1 0 0 1 0 0 0
157 03-Oct-2023 ADI SUSILO 3 2 7 5 0 9 6 5 1 2 8 8 0 0 1 7 LINA WIDYAWATI 25-Dec-1988 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0
158 03-Oct-2023 SUBIYANTORO 3 2 7 6 0 5 5 3 0 5 8 4 0 0 1 7 NUR LELA 13-May-1984 KP SUGUTAMU RT 004/27 1 1 1 0 2 1 0 0 1 0 0 0
159 04-Oct-2023 WISNU AJI PURNOMO 3 2 0 9 1 5 6 4 0 7 9 6 0 0 0 5 SHINTIYA GITA R 24-Jul-1996 KP SUGUTAMU RT 005 / RW 027 1 0 1 0 4 1 0 0 1 0 0 0
160 04-Oct-2023 BUDI WAHYONO 3 3 2 2 0 2 6 2 1 2 9 3 0 0 0 2 SITI DARUSTANTI 22-Dec-1993 KP SUGUTAMU RT 005/037 1 1 1 0 2 1 0 0 1 0 0 0
161 04-Oct-2023 SARONO 3 3 1 2 0 5 4 6 0 5 8 0 0 0 0 1 WIJIATI 06-May-1980 JL.KRAMAT BENDA RT 002 RW 027 DEPOK 1 1 1 0 1 1 0 0 1 0 0 0
162 04-Oct-2023 A Karim 3 2 7 6 0 5 5 6 0 8 8 0 0 0 0 2 Sunarti 16-Aug-1980 RT2/7 081585552609 1 1 1 0 8 1 0 0 1 0 0 0
163 04-Oct-2023 ABDUL HAMIT 3 2 0 2 1 6 5 5 0 8 8 8 0 0 1 3 ERNAWATI SUBARIAH 15-Aug-1988 KP.SUGUTAMU RT/RW 005/027 NO RMH 10C 1 0 1 0 4 1 0 0 1 0 0 0
164 04-Oct-2023 EDI CAHYADI 3 2 0 7 1 6 6 1 0 4 9 3 0 0 0 1 KARTINI 21-Apr-1993 KP.SUGUTAMU RT/RW 003/027 NO 38 1 1 1 0 2 1 0 0 1 0 0 0
165 04-Oct-2023 NOPRIYANDI 3 2 7 6 0 5 5 3 0 1 8 6 0 0 0 7 IDNA GUSPRAMITA 13-Jan-1986 KP SUGUTAMU RT/RW 005/027 NO.10G 1 1 1 0 9 1 0 0 1 0 0 0
166 04-Oct-2023 RUSMANI 3 2 7 6 0 2 5 6 0 2 9 6 0 0 1 2 WINDA LESTARI 16-Feb-1996 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 1 1 0 7 1 0 0 1 0 0 0
DWI DHARMA KOMP.PELNI BLOK B-3 NO.4 RT/RW 007/017

167 04-Oct-2023 3 2 7 6 0 5 5 6 0 6 8 2 0 0 1 1 IDA KUSUMA 16-Jun-1986 1 0 1 0 4 1 0 0 1 0 0 0
AJIWIGUNA NO.8C
168 04-Oct-2023 Miktahol K 3 2 7 6 0 5 5 3 0 9 8 9 0 0 0 2 Wiyarsih 13-Sep-1989 RT2/7 081285594773 1 0 1 0 4 1 0 0 1 0 0 0
169 04-Oct-2023 Andri M 3 2 7 6 1 0 6 4 0 6 8 9 0 0 0 1 Pudji Nur 24-Jun-1989 RT2/7 0895385103505 1 1 1 0 3 1 0 0 1 0 0 0
170 04-Oct-2023 YAHYA 3 2 7 6 0 5 6 7 0 4 9 2 0 0 0 3 NUNIK INDAH. P 27-Apr-1992 KP.SUGUTAMU RT/RW 004/027 NO.49A 1 1 1 0 2 1 0 0 1 0 0 0
171 04-Oct-2023 YUDI WAHYUDI 3 2 7 6 0 5 6 8 1 1 9 3 0 0 0 2 NOPITASARI 28-Nov-1993 KP SUGUTAMU RT 005 / RW 027 1 1 1 0 9 1 0 0 1 0 0 0
172 04-Oct-2023 Amun Nawawi 3 2 7 6 0 5 6 0 1 2 8 4 0 0 1 4 Amelia W 20-Dec-1984 RT2/27 08111031844 1 1 1 0 11 1 0 0 0 0 0 0
173 04-Oct-2023 MIHAMMAD HIDAYAT 3 1 7 1 0 3 5 5 0 9 8 1 0 0 0 8 RIYANAH 15-Sep-1981 KP. SUGUTAMU RT/RW 005/027 1 1 1 0 2 1 0 0 1 0 0 0
174 04-Oct-2023 SLAMET RIYADI 3 2 7 6 0 5 4 2 1 0 9 6 0 0 0 2 OCTAVIA EKA SARWANTI 02-Oct-1996 KP SUGUTAMU RT 005/027 1 1 1 0 2 1 0 0 1 0 0 0
175 04-Oct-2023 AL DARUSSALAM 3 2 7 6 0 5 6 3 1 2 8 3 0 0 0 6 DIYAH SARIANA 23-Dec-1983 KP. SUGUTAMU NO.62 RT/RW 005/027 1 1 1 0 9 1 0 0 1 0 0 0
176 04-Oct-2023 Ario Deniro 3 6 7 4 0 4 5 5 1 1 9 4 0 0 0 1 Ayu H 15-Nov-1991 RT2/7 081381889772 1 0 1 0 6 1 0 0 1 0 0 0
177 04-Oct-2023 Andri Yanto 3 2 0 1 0 1 6 0 0 3 2 0 2 0 0 8 Nur Aini 20-Mar-2002 RT2/27 089638442912 1 1 1 0 2 1 0 0 1 0 0 0
178 04-Oct-2023 SAPTO YULI A 3 2 7 6 0 6 5 8 1 0 7 5 0 0 0 3 SUSILAWATI 18-Oct-1975 SUGUTAMU RT.05/27 3 0 0 0 4 1 0 0 1 0 0 0
179 04-Oct-2023 BAHRUDIN 3 2 7 6 0 5 4 9 0 5 7 6 0 0 0 8 SITI AISAH 09-Jun-1976 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 1 1 0 1 1 0 0 1 0 0 0
180 04-Oct-2023 ASEP GUNAWAN 3 2 7 6 0 5 4 5 0 2 9 6 0 0 0 5 RIRI KUSMAWATI 05-Feb-1996 1 0 1 0 6 1 0 0 1 0 0 0
DEPOK
181 04-Oct-2023 IBNU UMAIR 3 1 7 5 0 8 5 0 0 3 0 0 0 0 0 3 FANNY PUTRI P 10-Mar-2000 KP SUGUTAMU RT 005 / RW 027 1 1 1 0 2 1 0 0 1 0 0 0
182 04-Oct-2023 SUYITNO 3 2 7 6 0 5 5 7 0 9 7 4 0 0 0 7 MANISEM 17-Sep-1974 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 1 1 0 1 1 0 0 1 0 0 0
183 04-Oct-2023 Denih 3 2 7 6 0 5 6 7 0 2 8 3 0 0 0 4 Suryati 27-Feb-1983 RT2/7 085894729186 1 1 1 0 9 1 0 0 1 0 0 0
184 04-Oct-2023 A. Rohim 3 4 0 3 1 2 2 2 0 2 7 4 0 0 0 1 Muji R 15-Apr-1976 RT2/27 082113054344 1 1 1 0 9 1 0 0 1 0 0 0
185 04-Oct-2023 IDRIS EFENDI 3 2 7 6 0 5 5 2 1 0 9 3 0 0 0 3 NURUL HAYANI 12-Oct-1993 KRAMAT BENDA 5 RT/RW 004/027 1 1 1 0 2 1 0 0 1 0 0 0
186 04-Oct-2023 SURATNO 3 2 7 6 0 5 4 8 0 6 7 5 0 0 0 4 SUMIATI 08-Jun-1975 SUGUTAMU RT. 005/027 3 0 0 0 4 1 0 0 1 0 0 0
187 04-Oct-2023 AGUS ARDIYANTO 3 2 7 6 0 5 5 7 0 8 9 5 0 0 0 2 INTAN PERMATA SARI 17-Aug-1995 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
188 04-Oct-2023 EDI SUSANTO 3 2 7 6 0 5 4 8 0 9 9 6 0 0 0 6 NUR AROFAH 08-Sep-1996 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 1 1 0 2 1 0 0 1 0 0 0
189 04-Oct-2023 Slamet R 3 2 7 6 0 5 4 2 1 9 8 3 0 0 0 3 Astuty 02-Oct-1983 RT2/7 085889181993 1 1 1 0 11 1 0 0 0 0 0 0
190 04-Oct-2023 LUKIANTO 3 3 2 6 1 1 5 6 0 2 9 9 0 0 0 1 CASNAYAH 16-Feb-1999 KP SUGUTAMU RT 005 / RW 027 1 0 1 0 4 1 0 0 1 0 0 0
191 04-Oct-2023 WATO 3 3 1 2 0 5 6 0 0 6 9 3 0 0 0 2 SURATMI 20-Jun-1993 K SUGUTAMU RT 005 / RW 027 1 0 1 0 4 1 0 0 1 0 0 0
192 04-Oct-2023 EDI YENI 3 2 7 6 0 5 6 7 0 1 8 5 0 0 0 6 VITAPI SUARTI 27-Jan-1985 KP.SUGUTAMU RT/RW 005/027 1 1 1 0 9 1 0 0 1 0 0 0
193 04-Oct-2023 M YERICO RAUF 3 1 7 5 0 1 2 9 0 9 9 6 0 0 0 4 REZA SEPTIKA HARDI 29-Sep-1996 KP SUGUTAMU RT 005 / RW 027 3 0 0 0 4 1 0 0 1 0 0 0
194 04-Oct-2023 ALI ABDUL A 3 2 7 6 0 5 6 9 1 1 9 0 0 0 1 2 NOFI N 29-Nov-1990 SUGUTAMU RT. 005/027 3 0 0 0 4 1 0 0 1 0 0 0
195 04-Oct-2023 BODI ISKANDAR 3 2 7 6 0 5 4 4 0 6 8 5 0 0 1 4 SINAH WATI 04-Jun-1985 KP SUGITAMU NO.48 RT/RW027 1 1 1 0 2 1 0 0 1 0 0 0
196 04-Oct-2023 SUPARTO 3 2 7 6 0 5 6 5 0 6 8 0 0 0 1 2 RUSWANTINI 25-Jun-1980 SUGUTAMU RT. 005/027 2 1 0 0 9 1 0 0 1 0 0 0
197 04-Oct-2023 Tarsul R 3 2 7 6 0 5 5 7 0 4 7 8 0 0 0 4 Giyatri 17-Apr-1978 RT2/7 085693406205 1 0 1 0 4 1 0 0 1 0 0 0
198 04-Oct-2023 MARSUDI 3 2 7 6 0 5 6 8 0 9 7 1 0 0 0 2 NGATINEM 25-Aug-1971 JL. KRAMAT BENDA 3 1 0 0 1 1 0 0 1 0 0 0
199 04-Oct-2023 NURHASAN 3 2 7 6 0 5 4 4 0 8 8 5 0 0 0 4 NIMAH 04-Aug-1985 KP.SUGUTAMU RT/RW 005/027 NO.12 1 1 1 0 2 1 0 0 1 0 0 0
200 04-Oct-2023 SOPIYAN 3 2 7 6 0 5 5 4 1 1 9 3 0 0 0 6 DIANAH P 14-Nov-1993 SUGUTAMU RT. 005/027 1 1 1 0 2 1 0 0 1 0 0 0
201 04-Oct-2023 Darmudi 3 2 7 6 0 5 5 4 1 2 7 7 0 0 0 1 Watri 14-Dec-1977 RT2/7 087722817922 1 0 1 0 4 1 0 0 1 0 0 0
202 04-Oct-2023 Citra P 3 2 7 6 0 5 6 8 0 8 8 0 0 0 0 2 Sumira Wati 28-Aug-1988 RT2/27 089536433666 1 1 1 0 11 1 0 0 0 0 0 0
203 04-Oct-2023 YANDI HARYADI 3 2 7 6 0 2 6 9 0 7 8 7 0 0 1 4 YULIANTI 29-Jul-1987 KP SUGUTAMU RT 005 / RW 027 1 1 1 0 2 1 0 0 1 0 0 0
204 04-Oct-2023 Darjo 3 2 0 8 0 6 4 8 0 8 7 7 0 0 0 1 Aminah 08-Aug-1977 RT2/7 081299493490 1 1 1 0 11 1 0 0 0 0 0 0
205 04-Oct-2023 TRIMANTO 3 2 7 6 0 5 6 4 0 1 8 4 0 0 0 6 BADRIYAH 24-Jan-1984 KP.SUGUTAMU RT/RW 005/027 NO.25C 1 0 1 0 4 1 0 0 1 0 0 0
206 04-Oct-2023 M. Nurohman 3 2 7 6 0 5 6 0 0 4 9 9 0 0 0 3 Reni A 20-Apr-1999 RT2/27 08157687913 1 1 1 0 1 1 0 0 1 0 0 0
207 04-Oct-2023 Andi S 3 4 0 3 1 2 5 7 0 5 9 2 0 0 0 2 Arini 17-May-1992 RT2/7` 085771949613 1 1 1 0 9 1 0 0 1 0 0 0
208 04-Oct-2023 HO YUDI 3 2 7 6 0 5 5 8 1 1 7 9 0 0 1 2 YENIE 18-Nov-1979 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 1 1 0 9 1 0 0 1 0 0 0
209 04-Oct-2023 Sunarto 3 2 7 6 0 5 6 5 0 6 8 1 0 0 1 3 Dwi Utami 25-Aug-1981 RT2/7 081282401595 1 0 1 0 4 1 0 0 1 0 0 0
210 04-Oct-2023 GUNUNG ADI SUSANTO 3 2 7 6 0 5 6 5 0 8 8 1 0 0 0 5 ENDANG SUGIARTI 25-Aug-1981 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
211 04-Oct-2023 GUNTUR 3 2 7 6 0 5 4 3 0 7 9 3 0 0 1 0 MIFTAHUL JANNAH 03-Jul-1993 JL. KRAMAT BENDA 1 0 1 0 6 1 0 0 1 0 0 0
212 04-Oct-2023 MAULANA H 3 2 0 2 3 8 4 1 0 4 9 6 0 0 0 1 TITA S 01-Apr-1996 SUGUTAMU RT. 005/027 1 1 1 0 2 1 0 0 1 0 0 0
213 04-Oct-2023 Didi S 3 3 2 9 0 5 6 6 0 8 8 6 0 0 0 4 Rohani 26-Aug-1986 RT2/7 081398747626 1 1 1 0 9 1 0 0 1 0 0 0
214 04-Oct-2023 Sutris 3 2 7 6 0 5 5 3 0 8 8 8 0 0 0 1 Rima A 13-Aug-1988 RT2/7 085692622619 1 1 1 0 9 1 0 0 1 0 0 0
215 04-Oct-2023 Ary S 3 2 7 6 0 5 6 4 4 0 1 8 0 0 0 2 Rita 04-Jan-1982 RT2/27 0856915779 1 1 1 0 3 1 0 0 1 0 0 0
JL.KEMUNINH 1E-12/2 TAMAN DUTA

216 04-Oct-2023 MAHWUT MUJIANTO 3 6 7 4 0 2 4 1 0 7 8 6 0 0 0 3 TITIN KARYATI 12-Jul-1986 1 1 1 0 2 1 0 0 1 0 0 0
RT/RW 004/011 NO.RMH 8A
217 04-Oct-2023 DADAN SETIAWAN 3 2 7 6 0 2 7 0 0 5 8 0 0 0 1 3 WINARNI 30-May-1980 KP.SUGUTAMU NO.76 RT/RW 005/027 1 1 1 0 2 1 0 0 1 0 0 0
218 04-Oct-2023 M. Channa 3 2 7 6 0 5 6 4 0 9 9 9 0 0 0 1 Indah S 14-Sep-1993 RT2/27 08135678341 1 1 1 0 3 1 0 0 1 0 0 0
219 04-Oct-2023 TAJUDIN 3 2 7 6 0 5 4 2 0 9 8 5 0 0 0 4 RENNI ARYANIH 02-Sep-1986 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
220 04-Oct-2023 Rizki W 3 2 7 6 0 5 7 1 1 0 9 7 0 0 0 3 Anis K 31-Oct-1997 RT2/7 089603394565 1 1 1 0 9 1 0 0 1 0 0 0
JLN KRAMAT BENDA RT 03 RW 27 NO 170.C

221 05-Oct-2023 SYAMSUDIN 3 2 7 6 0 5 4 3 1 0 8 6 0 0 1 9 GAYATRIE FITRIAH 03-Oct-1986 1 0 1 0 6 1 0 0 1 0 0 0
DEPOK
222 05-Oct-2023 MARDANI 3 2 7 6 0 5 5 6 0 4 8 5 0 0 0 3 SUSANTI 16-Apr-1985 SUGU TAMU 1 1 1 0 2 1 0 0 1 0 0 0
223 05-Oct-2023 HERMAN 3 2 7 6 0 5 6 1 1 2 8 5 0 0 1 0 DESI SUSANTI 21-Dec-1985 JLN KRAMAT BENDA RT 03 RW O27 1 0 1 0 6 1 0 0 1 0 0 0
224 05-Oct-2023 MINAN 3 2 7 6 0 5 4 4 1 1 7 8 0 0 0 4 NURHASANAH 04-Nov-1978 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 0 1 0 4 1 0 0 1 0 0 0
225 05-Oct-2023 DEVI FITRIADI 3 2 7 6 0 2 4 1 0 5 8 7 0 0 1 1 RETTI ROSDIANTI 01-May-1987 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
226 05-Oct-2023 HAIRUL FAUZI 3 1 7 4 0 4 6 9 0 6 8 8 0 0 0 1 POPY INDRA KURNIAWATI 18-Jun-1988 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
227 05-Oct-2023 ABDUL MUIN 3 2 7 6 0 5 6 1 0 3 8 7 0 0 1 3 YULIA 21-Mar-1987 BAKTIJAYA 1 1 1 0 9 1 0 0 1 0 0 0
228 05-Oct-2023 ASEP RAMDHANI 3 2 7 6 0 5 6 4 1 2 8 5 0 0 0 9 DIAH NINGSIH 24-Dec-1985 JL. BENUANG 6 NO. 44 1 0 1 0 4 1 0 0 1 0 0 0
229 05-Oct-2023 RUSWANDI 3 2 7 6 0 5 5 2 0 1 8 4 0 0 0 6 NURHAYATI 12-Jan-1984 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
230 06-Oct-2023 AGUS SALIM 3 2 7 6 0 5 5 1 0 7 8 2 0 0 0 2 IRUS RUSMIATI 11-Jul-1982 KP.SUGUTAMU 1 1 1 0 3 1 0 0 1 0 0 0

231 06-Oct-2023 ASEP GUNAWAN 3 2 7 6 0 5 4 5 0 2 9 6 0 0 0 5 RIRI KUSMAWATI 05-Feb-1996 1 1 1 0 1 1 0 0 1 0 0 0
DEPOK
DIMPOS WILSON
232 06-Oct-2023 3 2 7 6 0 5 5 9 1 1 8 7 0 0 1 1 ELIZABETH NINDYANINGRUM 19-Nov-1987 JLN KRAMAT BENDA RT 03 RW 27 NO 99.E 1 1 1 0 2 1 0 0 1 0 0 0
PASARIBU
233 06-Oct-2023 MOHAMAD NURIYAWAN 3 2 7 6 0 5 6 1 0 3 9 1 0 0 0 2 LAILATUS SALAMIYAH 21-Mar-1991 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 1 1 0 2 1 0 0 1 0 0 0
234 06-Oct-2023 TOFIK HIDAYAT 3 2 7 6 0 5 7 0 1 0 9 3 0 0 0 2 RENI OKTAVIANI 30-Oct-1993 JL.KRAMAT BENDA RT003 RW 027 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
235 06-Oct-2023 WAWAN SETIAWAN 3 2 7 6 0 5 4 5 0 5 9 0 0 0 0 3 SITI SALAMAH 05-May-1990 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 1 1 0 3 1 0 0 1 0 0 0
236 06-Oct-2023 MARDANI 3 2 7 6 0 5 5 6 0 4 8 5 0 0 0 3 SUSANTI 16-Apr-1985 SUGU TAMU 1 1 1 0 3 1 0 0 1 0 0 0
237 06-Oct-2023 MUHAMAD PERRIADY 3 2 7 6 0 2 5 8 1 2 8 4 0 0 0 9 NADIA MILAH 18-Dec-1984 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
238 06-Oct-2023 AGUS ARDIYANTO 3 2 7 6 0 5 5 7 0 8 9 5 0 0 0 2 INTAN PERMATA SARI 17-Aug-1995 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
239 06-Oct-2023 ROMOHONI 3 2 7 6 0 2 7 0 0 4 9 6 0 0 0 5 REZA DWI P 30-Apr-1996 BAKTIJAYA 1 0 1 0 6 1 0 0 1 0 0 0
240 06-Oct-2023 SUWARNO 3 2 7 6 0 5 6 0 0 4 8 4 0 0 0 8 SUKARTINI 20-May-1984 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
241 06-Oct-2023 IRHAN SETIAWAN 3 2 7 6 0 5 6 2 0 5 9 1 0 0 0 4 SANTI ARISANDI 22-May-1991 JL.KRAMAT BENDA RT 003 RW 027 N0 132 A 1 1 1 0 2 1 0 0 1 0 0 0
242 06-Oct-2023 MAKRUP MUNANDAR 3 2 7 6 0 5 5 4 0 9 9 2 0 0 0 3 MUZDALIFAH 14-Sep-1992 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 1 1 0 2 1 0 0 1 0 0 0
243 06-Oct-2023 ARYANTO 3 2 7 5 0 2 6 3 0 1 9 4 0 0 1 6 RUTH LIDYA 23-Jan-1994 BAKTIJAYA 1 0 1 0 6 1 0 0 1 0 0 0
244 06-Oct-2023 HAIRUL FAUZI 3 1 7 4 0 4 6 9 0 6 8 8 0 0 0 1 POPY INDRA KURNIAWATI 18-Jun-1988 JLN KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
245 06-Oct-2023 JUMARWAN 3 2 7 6 0 5 5 0 0 6 7 6 0 0 0 8 MULYANIH 10-Jun-1976 JLNK KRAMAT BENDA RT 03 RW 27 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
246 06-Oct-2023 SUKADIR 3 2 7 6 0 5 5 3 0 3 8 1 0 0 1 7 ROBIATUL AHDAWIYAH 13-Mar-1981 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
247 06-Oct-2023 FEBRIANTO 3 2 7 6 0 5 6 5 0 6 8 6 0 0 0 1 DEDE SUTARSIH 25-Jun-1986 JL.KRAMAT BENDA RT003/027 1 1 1 0 8 1 0 0 1 0 0 0
248 06-Oct-2023 BAMBANG KRISTIANTO 3 2 7 6 0 5 5 8 0 6 8 1 0 0 2 0 DEWI SETYAWATI 18-Jun-1981 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 1 1 0 2 1 0 0 1 0 0 0
249 06-Oct-2023 WAHYUDIN 3 2 7 6 0 5 4 7 0 3 9 6 0 0 0 4 MAHARANI 07-Mar-1996 JL.KRAMAT BENDA RT 003 RW 027 DEPOK 1 0 1 0 6 1 0 0 1 0 0 0
250 06-Oct-2023 MARUDIN 3 2 7 6 0 5 8 8 0 2 7 7 0 0 0 8 ELIS KOMALASARI 20-Feb-1977 BAKTIJAYA 1 0 1 0 6 1 0 0 1 0 0 0
251 07-Oct-2023 IRPAN MAULANA 3 2 7 6 0 5 5 7 0 1 0 2 0 0 0 8 LISA PUTRI YANI 17-Jan-2002 JL.KERAMAT BENDA RT 002 1 1 1 0 2 1 0 0 1 0 0 0
252 07-Oct-2023 RIDWIN PRASETYO 3 1 7 5 0 3 5 6 1 1 8 2 0 0 0 5 MULIAWATI 16-Nov-1982 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 9 1 0 0 1 0 0 0
253 07-Oct-2023 GALIH RAKASIWI H 3 2 7 6 0 5 5 3 0 7 8 9 0 0 0 2 HANDAYANI PURWANTI 13-Jul-1989 JL.KERAMAT BENDA RT 002 1 1 1 0 1 1 0 0 1 0 0 0
254 07-Oct-2023 DARMANTO 3 1 7 6 0 1 6 1 0 3 8 8 0 0 0 3 RATIH 21-Mar-1988 BAKTIJAYA 1 0 1 0 6 1 0 0 1 0 0 0
255 07-Oct-2023 TEGUH SETIAWAN 3 2 7 6 0 5 7 0 1 2 7 8 0 0 0 2 WASRIAH 30-Dec-1978 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 11 1 0 0 0 0 0 0
256 07-Oct-2023 ABD. KODIR. ZA 3 2 7 6 0 2 1 9 0 7 7 9 0 0 0 6 SITI ROHMAH 30-Dec-1985 PAL SIGUNUNG RT 006/001 1 1 1 0 2 1 0 0 1 0 0 0
257 07-Oct-2023 SLAMET H 3 2 7 6 0 5 4 5 1 1 7 8 0 0 0 8 WATI 05-Nov-1978 BAKTIJAYA 1 1 1 0 11 1 0 0 0 0 0 0
258 07-Oct-2023 NISAN.S 3 2 7 6 0 5 4 4 0 5 8 7 0 0 0 9 RAHMAWATI 04-May-1987 KP .SUGUTAMU RT 004/027 1 1 1 0 2 1 0 0 1 0 0 0
259 07-Oct-2023 SLAMET ARIFIN 3 3 0 4 1 2 4 7 1 2 9 1 0 0 0 2 GAGAT DWI HESTI 07-Dec-1991 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 2 1 0 0 1 0 0 0

260 07-Oct-2023 AHMAD AMSARI 3 2 7 6 0 2 5 6 0 1 8 6 0 0 1 2 ARIYANI 16-Jan-1986 1 0 1 0 4 1 0 0 1 0 0 0
B
261 07-Oct-2023 ISAN SANJAYA 3 2 1 6 1 4 4 4 0 7 8 2 0 0 0 2 NAMIH ROHANI 04-Jul-1982 JL.KERAMAT BENDA 1 1 1 0 8 1 0 0 1 0 0 0
262 07-Oct-2023 TOHID 3 2 0 9 0 5 4 1 0 1 8 2 0 0 1 3 SITI AENAH 01-Jan-1982 JL KERAMAT BENDA RT 002 RW 027 1 0 1 0 6 1 0 0 1 0 0 0
263 07-Oct-2023 HERDI 3 2 7 6 0 5 4 1 0 2 8 4 0 0 1 8 FITRI ARIFIN 01-Feb-1984 JL.KERAMAT BENDA RT 002 RW 027 NO 54 I 1 0 1 0 6 1 0 0 1 0 0 0
264 07-Oct-2023 ANGGI SAKERA 3 2 7 6 0 2 6 6 0 6 9 1 0 0 0 8 MUTHIA MEDIANA 26-Jun-1991 JL.KERAMAT BENDA 1 1 1 0 3 1 0 0 1 0 0 0
265 07-Oct-2023 ABDUR RASYID PARINDU 3 2 7 6 0 5 5 0 0 9 8 9 0 0 0 4 EVA SURYATI 10-Sep-1989 JL.KERAMAT BENDA RT 002 RW 027 1 0 1 0 4 1 0 0 1 0 0 0
266 07-Oct-2023 HENDRA GUNAWAN 3 2 7 6 0 5 5 5 0 2 8 8 0 0 0 1 FARIDA ARIANI 15-Feb-1988 JL.KERAMAT BENDA RT 002 RW 027 1 0 1 0 4 1 0 0 1 0 0 0
267 07-Oct-2023 JOKO RIANTO 3 2 7 6 0 5 4 5 0 7 8 9 0 0 0 3 SITI JULAEHA 05-Jul-1989 KERAMAT BENDA RT002 RW027 1 1 1 0 9 1 0 0 1 0 0 0
268 07-Oct-2023 SOLAHUDIN 3 2 7 6 0 2 4 1 0 1 8 8 0 0 2 4 ROHANIL 01-Jan-1988 BAKTIJAYA 1 1 1 0 11 1 0 0 0 0 0 0
YULIANTO MUHAMMAD
269 07-Oct-2023 3 2 7 6 0 5 6 0 0 6 8 5 0 0 0 8 MUDRIKAH ZEIN 20-Jun-1985 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 3 1 0 0 1 0 0 0
NU
270 07-Oct-2023 TARYADI 3 2 1 2 0 5 7 0 0 6 7 6 0 0 0 3 CARIDEM 30-Jun-1976 JL.KERAMAT BENDA 1 1 1 0 2 1 0 0 1 0 0 0
271 07-Oct-2023 UJANG NASIM 3 2 0 1 2 5 4 3 0 4 9 0 0 0 1 0 ENING NUR 03-Apr-1998 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0

272 07-Oct-2023 HIDAYATULLOH 3 2 7 6 0 5 4 3 0 5 7 6 0 0 0 3 SARIPAH 03-May-1976 1 1 1 0 11 1 0 0 0 0 0 0
A
273 07-Oct-2023 ANDONO 3 2 1 6 2 1 4 1 0 7 8 0 0 0 0 5 SILVIA 01-Jul-1980 BAKTIJAYA 1 1 1 0 3 1 0 0 1 0 0 0
274 07-Oct-2023 ADAD 3 2 7 6 0 5 5 3 0 5 8 1 0 0 0 2 AFIFAH 13-May-1981 BAKTIJAYA 089613114172 1 1 1 0 2 1 0 0 1 0 0 0
SEPTIAN DANA
275 07-Oct-2023 3 1 7 5 0 1 4 5 0 3 8 8 0 0 1 2 SUMIRAH 05-Mar-1988 JL.KERAMAT BENDA RT 002 RW 027 1 0 1 0 4 1 0 0 1 0 0 0
ANUGRAH
276 09-Oct-2023 ICHIN SOLICHIN 3 2 7 6 0 5 5 4 0 9 7 6 0 0 0 2 NANING A BERAHIM 14-Sep-1976 JLN. SAMPIT 4 NO. 234 RT 06 RW 012 1 1 1 0 11 1 0 0 0 0 0 0
277 09-Oct-2023 M. MUCHLIS 3 2 7 6 0 5 5 5 1 2 6 5 0 0 0 4 SRI SUHARYEKTI 15-Dec-1965 JLN. SAMPIT 1 NO. 284 RT 08 RW 12 1 0 1 0 4 1 0 0 1 0 0 0
278 09-Oct-2023 ANDRI HERNANDI 3 2 7 6 0 5 6 3 1 2 7 8 0 0 0 1 DESI NENI ASTUTI 20-Dec-1978 JL MAHAKAM V1 NO 119 1 1 1 0 11 1 0 0 0 0 0 0
279 09-Oct-2023 AULIA ANNAS 3 2 7 6 0 5 4 5 0 6 7 5 0 0 0 4 KISWATI 05-Jun-1976 JL SAMPIT V11 NO 177 1 1 1 0 3 1 0 0 1 0 0 0
280 09-Oct-2023 MITRO 3 2 7 6 0 5 6 8 0 8 7 8 0 0 0 3 HASNA NURLAELA 28-Aug-1978 JLN. SAMPIT RAYA NO186 RT 07 RW 012 1 1 1 0 8 1 0 0 1 0 0 0
281 09-Oct-2023 KOMARI 3 2 7 6 0 5 4 2 0 5 7 7 0 0 0 8 MAILANI 02-May-1977 JLN. BORNEO RAYA NO. 298 1 1 1 0 8 1 0 0 1 0 0 0
282 09-Oct-2023 RAHMAT HIDAYAT 3 2 7 6 0 1 5 2 0 9 7 3 0 0 0 6 WIWIN YUNIATI 12-Sep-1973 JL MAHAKAM 1/100 RT 003/012 1 0 1 0 4 1 0 0 1 0 0 0
283 21-Nov-2023 IMAN SANTOSO 3 2 7 6 0 5 6 1 0 6 8 6 0 0 0 1 YUNI SULISTIAWATI 21-Jun-1986 JL SIAK RAYA NO 147 1 1 1 0 9 1 0 0 1 0 0 0
284 21-Nov-2023 NURHIDAYAT 3 2 7 6 0 5 4 6 0 8 9 2 0 0 0 4 WIDIYA AGUSTIA 06-Aug-1992 KP. BOJONG NO 37 3 1 0 0 2 1 0 0 1 0 0 0
285 21-Nov-2023 ARIFIAN JATIKUSUMO 3 2 7 6 0 2 6 0 0 6 7 6 0 0 1 3 IRA HERAWATI 20-Jun-1976 JL. KAYUMANIS V NO. 177 1 1 1 0 9 1 0 0 1 0 0 0
286 21-Nov-2023 ROMI L 3 6 0 1 2 5 6 0 0 7 8 2 0 0 0 1 EPIT SURYANI 20-Jul-1982 JL.SIAK VIII NO.172.RT.001-RW.09 1 1 1 0 3 1 0 0 1 0 0 0
287 21-Nov-2023 DECKY 3 2 7 6 0 5 4 8 1 0 8 0 0 0 0 7 OKTY R 08-Oct-1980 JL. SIAK RAYA 1 1 1 0 9 1 0 0 1 0 0 0
288 21-Nov-2023 RIKI ILHAM 3 1 7 4 0 2 4 7 0 4 9 1 0 0 0 3 DINDA 07-Jan-1991 JL. SIAK III 14 1 1 1 0 9 1 0 0 1 0 0 0
289 21-Nov-2023 amin 3 2 7 6 0 5 5 1 0 2 7 8 0 0 0 8 endah lestari 11-Feb-0978 baktijaya 1 1 0 0 2 1 0 0 1 0 0 0
290 21-Nov-2023 AGUS SUSENO 3 2 7 6 0 5 6 3 0 3 8 1 0 0 0 8 SITI MARWIYAH 23-Mar-1981 JL.SIAK VIII NO.190 1 1 1 0 3 1 0 0 1 0 0 0
291 21-Nov-2023 M. FADLI 3 1 7 5 0 4 4 8 0 2 9 5 0 0 0 5 TAZKIYA 08-Feb-1995 JL. SIAK RAYA 1 1 1 0 9 1 0 0 1 0 0 0
292 21-Nov-2023 BAYU NUGROHO 3 2 7 6 0 5 5 7 0 7 7 9 0 0 0 9 AGNES CATUR YULIANI 17-Jul-1979 JL. DAMAR LAUT IV NO. 160 1 0 1 0 5 1 0 0 1 0 0 0
293 21-Nov-2023 SUWANTO 3 2 7 6 0 5 5 3 0 4 8 6 0 0 0 1 APRILIA 13-Apr-1986 JL. SIAK RAYA 1 1 1 0 9 1 0 0 1 0 0 0

294 21-Nov-2023 ILHAM 1 2 1 3 1 0 0 3 0 6 0 2 0 0 0 1 RISKI S P 03-Aug-2002 RT. 003/022 1 1 1 0 3 1 0 0 1 0 0 0
295 21-Nov-2023 ZAENAL S 3 2 7 6 0 5 5 9 0 3 9 2 0 0 0 7 MARISA 19-Mar-1992 RT. 003/022 1 1 1 0 9 1 0 0 1 0 0 0
296 21-Nov-2023 MOHAMMAD IQBAL T 3 2 7 6 0 6 5 0 0 8 9 8 0 0 0 7 ASTUTI HADINI 10-Aug-1998 KP. SUGUTAMU 1 1 1 0 2 1 0 0 1 0 0 0
297 21-Nov-2023 IRWANSYAH 3 2 7 6 0 5 4 3 1 1 8 2 0 0 0 2 TITIN KHODIJAH 03-Nov-1982 KP BOJONG 1 1 0 0 2 1 0 0 1 0 0 0
298 21-Nov-2023 PRASETYO LINUWIH 3 2 7 6 0 5 6 0 0 3 8 7 0 0 0 3 NIDIA MARSILIONA 20-Mar-1987 JLN SIAK 1 NMR 34 1 1 1 0 3 1 0 0 1 0 0 0
299 21-Nov-2023 SUGENG KUSNADI 3 2 7 6 0 5 4 1 1 1 7 4 0 0 0 2 SARI NOVI YANTI 01-Nov-1974 JLN SIAK 5 NMR 96 1 1 1 0 9 1 0 0 1 0 0 0
300 21-Nov-2023 maruloh 3 2 7 6 0 5 4 5 0 1 8 4 0 0 0 2 yayan h 05-Jan-1984 kp.sugu tamu 1 1 0 0 2 1 0 0 1 0 0 0
301 21-Nov-2023 ADI KUSUMA 3 2 7 6 0 5 6 3 0 8 8 0 0 0 0 6 AGUSTINA 23-Aug-1980 JL. SIAK RAYA 1 1 1 0 9 1 0 0 1 0 0 0
302 21-Nov-2023 TEDI AFANDI 3 2 7 6 0 5 5 0 0 2 9 3 0 0 0 4 ANIS MARSELA 10-Feb-1993 KP. SUGUTAMU 3 1 0 0 9 1 0 0 1 0 0 0
303 21-Nov-2023 DEVI AKBAR 3 2 7 6 0 5 5 9 1 2 8 3 0 0 0 3 IDA NASHRIAH HAIDAR 19-Dec-1983 PONDOK SUKMAJAYA BLOK A5/2 1 1 1 0 9 1 0 0 1 0 0 0
304 21-Nov-2023 DIAN TIAS 3 2 7 6 0 5 6 2 0 3 8 1 0 0 0 1 WINDYASIH 22-Mar-1981 JL. BATANG HARI 197 1 1 1 0 3 1 0 0 1 0 0 0
305 21-Nov-2023 BAMBANG ERAWAN 3 2 0 9 3 2 6 0 0 8 9 2 0 0 0 1 SOLIHA 20-Aug-1992 JL. MULIA KP. SUGUTAMU 1 1 1 0 3 1 0 0 1 0 0 0
306 21-Nov-2023 PRIMA KORDAWIBAWA 3 2 7 6 0 5 4 1 0 1 6 8 0 0 0 3 SULIATI 01-Jan-1968 JL.SIAK VI NO.70.RT.006-RW.09 1 1 1 0 2 1 0 0 1 0 0 0
307 21-Nov-2023 boyan 3 2 7 6 0 5 5 6 0 1 7 9 0 0 0 2 dini dwi 16-Jan-1979 kp. sugu tamu 1 1 0 0 2 1 0 0 1 0 0 0
308 21-Nov-2023 wahidin 3 2 7 6 0 5 5 9 0 8 9 5 0 1 0 1 indri agustiani 19-Aug-1985 jl. jelutung 1 1 1 0 9 1 0 0 1 0 0 0
309 21-Nov-2023 APEP RIDWAN 3 2 7 6 0 5 6 4 0 2 8 0 0 0 0 6 LIA LUTFIA 24-Feb-1980 JL. SIAK RAYA VI 73 1 1 1 0 2 1 0 0 1 0 0 0
310 21-Nov-2023 WAHONO 3 2 7 6 0 5 5 9 0 1 8 4 0 0 0 8 TANTI WARDISA 19-Jan-1984 KP. SUGUTAMU 1 1 1 0 2 1 0 0 1 0 0 0
311 21-Nov-2023 TUNGGUL RAMADHON 3 2 7 6 0 5 4 2 0 8 8 4 0 0 0 3 HERA DEWA GUSTYANA 14-Jun-1984 JL. DAMAR LAUT IV NO. 164 1 1 1 0 9 1 0 0 1 0 0 0
312 21-Nov-2023 OKI JAKA M 3 3 0 4 0 4 6 1 0 4 9 5 0 0 0 5 SEPTI A 27-Feb-1997 RT. 003/022 1 1 1 0 3 1 0 0 1 0 0 0
313 21-Nov-2023 NAMIN SUHADA 3 2 7 6 0 5 4 7 0 2 8 1 0 0 0 1 SURYANIH APRIYANTI 07-Feb-1981 KP. SUGUTAMU 1 0 1 0 4 1 0 0 1 0 0 0
314 21-Nov-2023 PADIL P 3 2 7 6 0 5 6 0 1 0 9 8 0 0 0 1 NURAINI M 11-Oct-1998 RT. 003/022 1 1 1 0 3 1 0 0 1 0 0 0
315 21-Nov-2023 EDIH 3 2 7 6 0 5 6 6 0 9 8 2 0 0 0 2 IKA SETIAWATI 26-Sep-1982 JLN SIAK 2 NMR 43 1 1 1 0 7 1 0 0 1 0 0 0
316 21-Nov-2023 YANA MEGO WAHONO 3 1 7 5 0 9 4 4 0 7 7 9 0 0 1 2 DAHLIANA PANE 04-Jul-1979 JL. KAYUMANIS V NO. 181 1 1 1 0 9 1 0 0 1 0 0 0
317 21-Nov-2023 SUGENG 3 2 7 6 0 5 6 8 0 7 7 5 0 0 0 4 NYAI NOLIS 28-Jul-1975 JL. DAMAR LAUT 1 1 1 0 3 1 0 0 1 0 0 0
318 21-Nov-2023 EMIRUL BAHAR 3 2 7 6 0 5 7 0 0 7 7 3 0 0 0 1 HEFFY SURYATY 30-Jul-1973 JL.SIAK VIII NO.13.RT.007-RW.09 1 1 1 0 3 1 0 0 1 0 0 0
319 21-Nov-2023 GATOT P 3 2 7 6 0 5 5 0 0 5 8 5 0 0 0 8 ANITA 10-Jun-1983 JL. SIAK 8 1 1 1 0 9 1 0 0 1 0 0 0
320 21-Nov-2023 SISWO SUSILO 3 2 7 6 0 5 6 2 0 6 8 2 0 0 0 5 HENITA. P 22-May-1982 JL. SIAK RAYA 1 1 1 0 9 1 0 0 1 0 0 0
321 21-Nov-2023 NICO BAYUDI 3 2 7 6 0 5 5 6 1 0 7 9 0 0 0 9 RISKA 16-Oct-1979 JL. DAMAR LAUT 1 0 1 0 6 1 0 0 1 0 0 0
322 21-Nov-2023 ALAND ARI YUDHA 3 2 7 6 0 5 6 8 0 8 9 3 0 0 1 5 LATIPAH AYU BIYANTI 28-Aug-1993 JL. KOL POL. PRONOTO NO. 97 KP. AREMAN 1 1 1 0 9 1 0 0 1 0 0 0
323 21-Nov-2023 SABAR WAHYUDI 3 2 7 6 0 5 4 6 0 7 9 1 0 0 0 1 INTAN SARI 06-Jul-1991 JL.SIAK VIII NO.194 1 1 1 0 3 1 0 0 1 0 0 0
324 21-Nov-2023 RANA SUNARYA 3 2 7 6 0 8 4 1 0 5 8 2 0 0 0 1 NURYATI 01-May-1982 JL. SIAK IV 58 1 1 1 0 9 1 0 0 1 0 0 0
325 21-Nov-2023 M SOPYAN 3 2 7 6 0 5 6 2 0 4 8 3 0 0 0 4 RINA D 22-Apr-1983 JL. SIAK RAYA 108 1 0 1 0 4 1 0 0 1 0 0 0
326 21-Nov-2023 ALDI MAULANA 3 2 0 8 1 7 6 1 0 3 9 5 0 0 0 2 CARINA 21-Feb-1995 JL. SIAK RAYA 1 1 1 0 1 1 0 0 1 0 0 0
327 21-Nov-2023 YUDHI JUMANSYAH 3 2 7 6 0 5 5 5 0 4 7 5 0 0 1 4 IRMA ASTUTI 15-Apr-1975 JL.SIAK IX NO.12.RT.007-RW.09 1 1 1 0 9 1 0 0 1 0 0 0
328 21-Nov-2023 HERMANSYAH 3 2 7 6 0 5 6 1 0 5 8 6 0 0 0 9 ADE PUSPITA MAELANI 21-May-1986 KP SUGUTAMU 1 1 1 0 2 1 0 0 1 0 0 0
329 21-Nov-2023 RIO PERTINALDI 3 6 7 4 0 6 4 1 1 1 8 6 0 0 0 4 CITRA EKA W 01-Nov-1986 JL. SIAK IV 62 1 1 1 0 7 1 0 0 1 0 0 0
WAHYU BAYU
330 21-Nov-2023 3 2 0 1 0 1 5 6 0 7 9 1 0 0 0 2 SRI ASTINI 16-Jul-1991 JL. SIAK 2 NO. 51 1 1 1 0 9 1 0 0 1 0 0 0
PRASETYO
331 21-Nov-2023 heri wibowo 3 2 7 6 0 5 5 2 1 2 9 1 0 0 0 3 nina 12-Dec-1991 sugutamu 1 1 0 0 2 1 0 0 1 0 0 0

332 21-Nov-2023 RONALD WIJATMOKO S 3 2 7 6 0 8 4 7 0 5 8 8 0 0 0 1 RAHADJENG ANDINA T 07-May-1988 JL.SIAK VIII NO.167. RT.001-RW.09 1 1 1 0 3 1 0 0 1 0 0 0
333 21-Nov-2023 ADI PRABOWO 3 2 7 6 0 5 5 6 1 2 7 9 0 0 0 3 DESI MELANI D 16-Dec-1979 JL. SIAK RAYA 1 1 1 0 9 1 0 0 1 0 0 0
334 21-Nov-2023 HANAN NURSAFAN 3 2 7 6 0 5 5 1 0 6 8 3 0 0 0 7 SITI NURAENI 11-Jun-1983 JLN SIAK 2 NMR 47 1 1 1 0 3 1 0 0 1 0 0 0
335 21-Nov-2023 TRI BUANA T 3 2 7 6 0 5 5 9 1 0 8 2 0 0 0 1 RACHMI 19-Oct-1982 JL. SIAK 1 0 1 0 6 1 0 0 1 0 0 0
336 21-Nov-2023 YUSUF EMDANI 1 3 0 6 1 1 5 0 0 9 9 9 0 0 0 2 SEMI EFSABELA 10-Sep-1999 KP.SUGUTAMU 1 1 1 0 3 1 0 0 1 0 0 0
337 21-Nov-2023 TAUFIK H 3 2 7 6 0 5 6 8 1 2 8 4 0 0 0 4 RENI P 02-Aug-1984 JL. KAYU MANIS 1 0 1 0 6 1 0 0 1 0 0 0
338 21-Nov-2023 HERI HAMZAH 3 2 7 6 0 5 4 6 0 3 8 1 0 0 0 7 R. DWITA N 06-Mar-1981 JL. BATANG HARI 1 1 1 0 9 1 0 0 1 0 0 0
339 21-Nov-2023 SIDDIK 3 2 7 6 0 5 5 8 0 2 9 2 0 0 0 8 SILVINA NUGRAHWATI 16-Feb-1991 KP BOJONG RT 08 RW 20 NO 85 DEPOK 1 1 0 0 2 1 0 0 1 0 0 0
340 21-Nov-2023 ABUD ABIDIN 3 2 7 6 0 5 5 0 1 0 8 1 0 0 1 1 NENENG HASANAH 10-Oct-1981 JLN SIAK 1 NMR 30 1 1 1 0 9 1 0 0 1 0 0 0
341 21-Nov-2023 AGUS AWALUDIN 3 1 7 5 0 1 6 6 0 4 8 5 0 0 0 7 DIAH FERDIANTI 26-Apr-1986 JL. KAYUMAIS IV NO 170 1 0 1 0 6 1 0 0 1 0 0 0
342 21-Nov-2023 IWAN 3 2 0 7 1 5 6 3 1 0 8 8 0 0 0 2 TETI MARLIATI 23-Oct-1988 KP. SUGUTAMU 1 1 1 0 3 1 0 0 1 0 0 0
343 21-Nov-2023 IRWAN 3 2 7 6 0 2 6 3 0 8 9 4 0 0 0 5 DEWI SINTA 23-Aug-1994 RT. 003/022 1 1 1 0 2 1 0 0 1 0 0 0
344 21-Nov-2023 HAJRIN 3 2 7 6 0 5 4 3 0 2 7 5 0 0 0 6 NENY MASARI 03-Feb-1975 JL. SIAK RAYA 1 0 1 0 4 1 0 0 1 0 0 0
345 21-Nov-2023 DIMAS SURYANTO 3 2 7 6 0 5 6 9 0 4 9 5 0 0 0 4 LIA SETIYANINGSIH 29-Apr-1995 KP. TIPAR 1 1 1 0 2 1 0 0 1 0 0 0
346 21-Nov-2023 imam f 3 2 7 6 0 5 5 1 0 5 8 9 0 0 0 6 maya 11-May-1989 kp. sugu tamu 1 1 0 0 2 1 0 0 1 0 0 0
347 21-Nov-2023 SIMUN 3 2 7 6 0 5 4 3 0 9 8 0 0 0 0 2 SITI RAHAYU 03-Sep-1980 KP. SUGUTAMU 1 1 1 0 9 1 0 0 1 0 0 0
348 21-Nov-2023 FARHAN 3 2 7 6 0 5 6 2 1 0 0 1 0 0 0 2 NOVIA ARDANA 22-Oct-2001 JL. SIAK RAYA 1 1 1 0 9 1 0 0 1 0 0 0
349 21-Nov-2023 D. APRIANTO 3 2 7 4 0 8 5 7 0 3 8 2 0 0 0 3 MANAULJA 17-Mar-1982 JL. SIAK RAYA 1 0 1 0 4 1 0 0 1 0 0 0
MAWAN SAPTO
350 21-Nov-2023 3 2 7 6 0 5 4 2 0 4 8 0 0 0 0 2 HENY WIJAYANTI 02-Apr-1980 JL. KAYUMANIS V NO. 182 1 1 1 0 9 1 0 0 1 0 0 0
PRATOMO
351 21-Nov-2023 DODY PERMADI 3 1 7 3 0 2 5 5 0 3 6 9 0 0 0 2 DWIKARTI WIDYASTUTI 15-Mar-1969 JL. CIBULAN I NO 59 1 1 1 0 3 1 0 0 1 0 0 0
352 21-Nov-2023 ROHANDI 3 2 7 6 0 2 6 7 1 2 7 6 0 0 0 2 SRI SURYO 27-Dec-1976 JL. SIAK RAYA VII 119 1 1 1 0 9 1 0 0 1 0 0 0
353 21-Nov-2023 IRVANSYAH 3 1 7 4 0 7 9 2 1 2 7 9 0 0 0 2 KARTIKA 02-Dec-1999 JL. SIAK RAYA 1 0 1 0 6 1 0 0 1 0 0 0
354 21-Nov-2023 RICHWAN NUFI 3 1 7 4 0 9 5 4 0 7 7 8 0 0 0 6 RATNA FAHMI DJAMALUS 14-Jul-1978 JL.SIAK VIII NO.193. RT.001-RW.09 1 1 1 0 3 1 0 0 1 0 0 0
355 21-Nov-2023 IRFAN INDRA 3 3 1 2 0 8 6 7 0 1 8 7 0 0 0 1 FEBI ENI 27-Jan-1987 JL. SIAK RAYA 152 1 0 1 0 6 1 0 0 1 0 0 0
356 21-Nov-2023 EFENDI JARKASIH 3 2 7 6 0 2 5 3 1 1 8 8 0 0 0 7 NOVITA SARI 13-Nov-1988 KP. SUGUTAMU 1 1 1 0 9 1 0 0 1 0 0 0
357 21-Nov-2023 ANDRI S 3 2 7 6 0 5 5 2 0 8 9 1 0 0 0 9 SHINTA M.A 12-Aug-1991 RT. 003/022 1 1 1 0 2 1 0 0 1 0 0 0
358 21-Nov-2023 saripudin 3 6 0 1 2 0 4 6 0 9 8 5 0 0 0 2 iis ispah 06-Sep-1985 komplek pelni 1 1 0 0 2 1 0 0 1 0 0 0
359 21-Nov-2023 INDRA N 3 2 7 6 0 5 4 2 0 1 7 5 0 0 0 3 DYAH TR 02-Jan-1975 JL.SIAK VIII NO.175.RT.001-RW.09 1 1 1 0 2 1 0 0 1 0 0 0
360 21-Nov-2023 RIZKI SAPUTRA 3 2 0 1 1 6 6 7 0 2 9 7 0 0 0 4 THESYA FEBRIYANTI 27-Feb-1997 KP. CIMANGGU 1 1 1 0 2 1 0 0 1 0 0 0
361 21-Nov-2023 M. JAKA 3 2 7 6 0 2 5 1 1 0 9 4 0 0 0 1 DHIAH DITA 11-Oct-1994 RT. 003/022 1 1 1 0 2 1 0 0 1 0 0 0
362 21-Nov-2023 ERICK 3 2 7 6 0 5 4 8 0 2 8 2 0 0 0 6 DWI IKA 08-Feb-1982 JL. SIAK RAYA 1 0 1 0 6 1 0 0 1 0 0 0
363 22-Nov-2023 RAHADIAN SUKMA 3 1 7 2 0 4 7 1 0 1 9 4 0 0 0 7 NITA DAMAYANTI 31-Jan-1994 JL CIPANAS I NO 15 1 1 1 0 1 1 0 0 1 0 0 0
364 22-Nov-2023 MUCHAMAD RIZALDI 3 2 7 6 0 5 5 8 0 4 8 2 0 0 0 7 ISATUL FADILLAH 18-Apr-1982 JL. KAYUMANIS V NO. 234 1 1 1 0 9 1 0 0 1 0 0 0
365 22-Nov-2023 SUKARMAN HAKIM 3 3 2 4 0 4 4 9 1 0 9 0 0 0 0 1 SRI HARDIYANTI 09-Oct-1990 JL. KAYUMANIS V NO. 224 3 1 0 0 1 1 0 0 1 0 0 0
366 22-Nov-2023 ANIS KHAITAMA A 3 2 7 1 0 4 4 9 0 8 9 0 0 0 1 3 WINDA AGUSTIN S 09-Aug-1990 JL.DAMAR LAUT VI NO.263 1 1 1 0 9 1 0 0 1 0 0 0

367 22-Nov-2023 ABDUL KARIM 3 2 7 6 0 5 5 6 0 8 8 0 0 0 0 2 SUNARTI 16-Aug-1980 1 1 1 0 8 1 0 0 1 0 0 0
A
368 22-Nov-2023 M. UNTUNG 3 2 7 6 0 5 6 2 1 0 8 1 0 0 1 1 LISA 16-Oct-1981 JL. DAMAR LAUT 1 1 1 0 9 1 0 0 1 0 0 0
369 22-Nov-2023 OYODIKA PRASENTA B 3 2 7 6 0 5 4 4 0 6 9 1 0 0 0 5 RIZKI FACHRIANI 04-Jun-1991 JL. KAYUMANIS V NO. 225 1 1 1 0 3 1 0 0 1 0 0 0
370 22-Nov-2023 SUNARTO 3 2 7 6 0 5 6 5 0 6 8 1 0 0 1 3 DWI UTAMI 25-Jun-1981 1 0 1 0 4 1 0 0 1 0 0 0
N
371 22-Nov-2023 MOHAMMAD RIDWAN 3 3 0 5 0 8 7 0 0 4 9 1 0 0 0 1 RATNA RIZKY AMALIA 30-Apr-1991 JL.KAYUMANIS 3 NO.70 1 1 1 0 9 1 0 0 1 0 0 0
JL DAMAR LAUT II NO 113

372 22-Nov-2023 DEDY WAHYUDI 3 2 7 6 0 5 5 9 1 1 8 0 0 0 0 3 NOVI VERAWATY 19-Nov-1980 BAKTIJAYA 1 1 1 0 9 1 0 0 1 0 0 0
373 22-Nov-2023 AMUN NAWAWI 3 2 7 6 0 5 6 0 1 2 8 4 0 0 1 4 AMELIA N 20-Dec-1984 BAKTIJAYA 1 1 1 0 9 1 0 0 1 0 0 0
374 22-Nov-2023 DARMUDI 3 2 7 6 0 5 5 4 1 2 7 7 0 0 0 1 WATRI 14-Dec-1977 JL.KERAMAT BENDA RT 02 RW 027 NO. 71 1 0 1 0 4 1 0 0 1 0 0 0
375 22-Nov-2023 ASMAUN 3 2 7 6 0 5 7 1 0 7 8 1 0 0 1 1 WENDA SAFITRI 31-Jul-1981 JL DAMAR LAUT VI NO.284 1 1 1 0 9 1 0 0 1 0 0 0
376 22-Nov-2023 SUTRIS WAHYU TRI U 3 2 7 6 0 5 5 3 0 8 8 8 0 0 0 1 EMA ARIANDITA 13-Aug-1988 JK.KERAMAT BENDA 1 1 1 0 9 1 0 0 1 0 0 0
377 22-Nov-2023 M.IRSYAD KHALID 3 2 7 6 0 5 5 2 0 3 0 0 0 0 0 6 SALSABILA PRADISYA P 23-Mar-2000 JL.KAYUMANIS 3 NO.87 1 1 1 0 9 1 0 0 1 0 0 0
378 22-Nov-2023 SYARIFUDDIN AHMAD 3 2 7 6 0 5 5 8 0 6 7 8 0 0 0 3 SUPARTI 18-Jun-1978 JL KAYUMANIS 2 NO 65 1 1 1 0 9 1 0 0 1 0 0 0
JL DAMAR LAUT V NO 196

379 22-Nov-2023 JUNAIDI AABDILLAH 3 2 7 6 0 5 4 6 0 1 8 1 0 0 0 5 ANITA YULIANTI 06-Jan-1981 BAKTIJAYA 1 1 1 0 9 1 0 0 1 0 0 0
380 22-Nov-2023 MUSA DILLAH 3 2 7 6 0 5 5 3 0 6 8 6 0 0 0 3 DWI FITRIANTI AHMAD 13-Jun-1986 JL KAYUMANIS 2 NO 65 1 1 1 0 9 1 0 0 1 0 0 0
381 22-Nov-2023 RIZKY PRAMUDYA Y 3 2 7 6 0 5 4 4 1 1 9 0 0 0 0 3 NOVITA WINDAYANI 04-Nov-1990 JL KAYUMANIS 3 NO 86 1 1 1 0 8 1 0 0 1 0 0 0
382 22-Nov-2023 BAWUK W 3 2 7 6 0 5 6 6 0 8 7 7 0 0 0 3 IDA FARIDA 26-Aug-1977 JL. KAYU MANIS III 1 1 1 0 9 1 0 0 1 0 0 0
JL DAMAR LAUT V NO 205 H

383 22-Nov-2023 ADI PRIHARTONO 3 2 0 1 1 9 4 3 0 3 9 1 0 0 0 2 SRI HARTATI 03-Mar-1981 BAKTIJAYA 1 0 1 0 5 1 0 0 1 0 0 0
384 22-Nov-2023 BAHTIAR RIFAI 3 1 7 3 0 5 4 5 0 5 8 2 0 0 0 3 ZAHRAA RATNA KD 05-May-1982 JL. KAYUMANIS V NO. 186 1 1 1 0 8 1 0 0 1 0 0 0
385 22-Nov-2023 BUNGSU PURNOMO 3 2 7 6 0 5 5 1 0 8 8 4 0 0 1 5 NINA SAFITRI 11-Aug-1984 JL KAYUMANIS VI NO.288 1 1 1 0 9 1 0 0 1 0 0 0
386 22-Nov-2023 RUSMIN YURIANSYAH 3 1 7 1 0 3 4 6 0 9 9 1 0 0 0 7 MARIYATI 05-Aug-1981 JL.DAMAR LAUT 6 NO.267 A 1 1 1 0 9 1 0 0 1 0 0 0
387 22-Nov-2023 DENIH 3 2 7 6 0 5 6 7 0 2 8 3 0 0 0 4 SURYATI 27-Feb-1983 BAKTIJAYA 1 1 1 0 9 1 0 0 1 0 0 0
388 22-Nov-2023 CITRA PRIBADI 3 2 7 6 0 5 6 8 0 8 8 8 0 0 0 2 SUMIRA WATI 28-Aug-1988 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 9 1 0 0 1 0 0 0

389 22-Nov-2023 ANDI SUSILO 3 4 0 3 1 2 5 7 0 5 9 2 0 0 0 2 ARINI 17-May-1992 1 1 1 0 9 1 0 0 1 0 0 0
A

390 22-Nov-2023 TAFSIRUL FAROID 3 2 7 6 0 5 5 7 0 4 7 8 0 0 0 4 GIYARTI 17-Apr-1979 1 0 1 0 5 1 0 0 1 0 0 0
B
391 22-Nov-2023 DARJO 3 2 0 8 0 6 4 8 0 8 7 7 0 0 0 1 SITI AMINAH 08-Aug-1977 JL.KERAMAT BENDA RT 002 R 027 1 1 1 0 9 1 0 0 1 0 0 0
MOCH CHANNA EL
392 22-Nov-2023 3 2 7 6 0 5 5 4 0 9 9 3 0 0 0 1 INDAH SEPTIANI 14-Sep-1993 JL KERAMAT BENDA RT 002 RW 027 1 1 1 0 3 1 0 0 1 0 0 0
KAHFI
393 22-Nov-2023 REYZA MAULANA M 3 2 0 2 1 3 4 7 0 6 8 4 0 0 0 7 NORMA YUNITA 07-Jun-1984 JL DAMARLAUT 6 NO 255 1 1 1 0 8 1 0 0 1 0 0 0
394 22-Nov-2023 MIFTAHUL KHOIRI 3 2 7 6 0 5 5 3 0 9 8 9 0 0 0 2 WIYARSIH 13-Sep-1989 JL.KERAMAT BENDA RT 002 RW 027 NO 53 J 1 0 1 0 5 1 0 0 1 0 0 0
395 22-Nov-2023 ANDRI YANTO 3 2 0 1 0 1 6 0 0 3 2 0 2 0 0 8 NURAINI 20-Mar-2002 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0

396 22-Nov-2023 DIDI SUNADI 3 3 2 9 0 5 6 6 0 8 8 6 0 0 0 4 ROHANI 26-Aug-1986 1 1 1 0 9 1 0 0 1 0 0 0
K
397 22-Nov-2023 ABDUL ISMAIL 3 2 7 6 0 5 4 9 1 2 8 3 0 0 0 9 SITI MULYANI 09-Dec-1983 JL KAYUMANIS 3 NO 89 1 0 1 0 5 1 0 0 1 0 0 0
398 22-Nov-2023 SENTOT ARYO 3 2 7 6 0 5 5 9 0 8 7 9 0 0 0 8 PURNANINGDIAH 09-Aug-1979 JL. DAMAR LAUT 1 0 1 0 6 1 0 0 1 0 0 0
399 22-Nov-2023 CHUDORI 3 2 7 6 0 5 4 7 0 5 8 6 0 0 0 2 HERLINAWATI 06-Jul-1986 JLN MERAWAN 5 NO 180 1 1 1 0 9 1 0 0 1 0 0 0
400 22-Nov-2023 RIZKI PRABOWO 3 2 0 3 0 4 4 6 0 4 9 4 0 0 0 5 WATI KOMALA 06-Apr-1994 JL. DAMAR LAUT NO. 201 1 1 1 0 3 1 0 0 1 0 0 0
401 22-Nov-2023 ARUAN S 3 6 1 8 0 8 5 0 0 2 9 2 0 0 0 1 WINDIA H 19-Feb-1992 JL. KAYU MANIS 1 1 1 0 9 1 0 0 1 0 0 0
402 22-Nov-2023 SUSILO YEKTI 3 2 7 6 0 5 1 8 0 5 9 0 0 0 0 1 SILVANI EKA 18-May-1990 JL. DAMAR LAUT 1 0 1 0 5 1 0 0 1 0 0 0
403 22-Nov-2023 ABDUL ROHIM 3 4 0 3 1 2 6 5 0 4 7 6 0 0 0 6 MUJI RAHAYU 15-Apr-1976 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 9 1 0 0 1 0 0 0
JL DAMAR LAUT V NO 190

404 22-Nov-2023 M TAUFIK ROHMAN 3 2 7 6 0 5 7 1 1 0 8 5 0 0 0 2 ITA SARININGSIH 31-Oct-1985 BAKTIJAYA 1 1 1 0 9 1 0 0 1 0 0 0
405 22-Nov-2023 RIZKI WAHYUDI 3 2 7 6 0 5 7 1 1 0 9 7 0 0 0 3 ANIS KURNIAWATI 31-Oct-1997 JL.KERAMAT BENDA RT 002 RW 027 NO 90 3 1 0 0 9 1 0 0 1 0 0 0
406 22-Nov-2023 ANDRI MARULLOH 3 2 7 6 1 0 6 4 0 6 8 9 0 0 0 1 PUDJI NUR HANDAYANI 24-Jun-1989 JL.KERAMAT BENDA RT002 RW 027 NO 89 E 1 1 1 0 3 1 0 0 1 0 0 0
407 22-Nov-2023 ENDANG KUSNANDI 3 2 7 6 0 5 6 5 0 6 8 0 0 0 1 0 ASTRI YUNIARTI 25-Jun-1980 JL KAYUMANIS 2 1 1 1 0 9 1 0 0 1 0 0 0

408 22-Nov-2023 IMAM KOSIM 3 2 7 6 0 5 7 0 1 2 8 0 0 0 1 0 TRI MAHARANI 30-Dec-1980 JL DAMAR LAUT VI NO.269 1 1 1 0 9 1 0 0 1 0 0 0
409 22-Nov-2023 SLAMET RIYANTO 3 2 7 6 0 5 4 2 1 0 8 3 0 0 0 3 ASTUTY 02-Oct-1983 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 9 1 0 0 1 0 0 0
410 22-Nov-2023 CHRISTIAN THEO B 3 2 7 6 0 5 6 1 1 1 7 6 0 0 0 1 MARIA DWI ARDIANA 21-Nov-1976 JL. DAMAR LAUT IV NO. 154 1 1 1 0 9 1 0 0 1 0 0 0
411 22-Nov-2023 ZAKI ADAM 3 5 1 8 0 9 4 2 1 2 9 4 0 0 0 3 INDAH PRASETYOWATI 23-Sep-1994 JL.KAYUMANIS 3 NO.88 1 1 1 0 9 1 0 0 1 0 0 0
412 22-Nov-2023 ARY S 3 2 7 6 0 5 6 4 4 0 1 8 0 0 0 2 RITA 04-Jan-1982 BAKTIJAYA 1 1 1 0 3 1 0 0 1 0 0 0

413 22-Nov-2023 ARIO DENIRO 3 6 7 4 0 4 5 5 1 1 9 4 0 0 0 1 AYU HALIMATUSAKINAH 15-Nov-1994 1 0 1 0 6 1 0 0 1 0 0 0
B
MUHAMMAD
414 22-Nov-2023 3 2 7 6 0 5 6 0 0 4 9 9 0 0 0 3 RENI APRIANI 20-Apr-1999 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 1 1 0 0 1 0 0 0
NUROHMAN
415 22-Nov-2023 DENI TRI WIJAYANTO 3 2 7 6 0 5 5 3 0 7 8 5 0 0 0 7 INTAN NURMALASARI 13-Jul-1985 JL. DAMAR LAUT NO. 204 1 0 1 0 6 1 0 0 1 0 0 0
416 22-Nov-2023 BUDI HAMDANI 3 2 7 6 0 5 5 7 0 8 8 8 0 0 0 4 RENNY ANDRIANI 17-Aug-1988 JL KAYUMANIS 3 NO 91 1 1 1 0 9 1 0 0 1 0 0 0
417 23-Nov-2023 SOVIAN APRIANTO 3 2 7 6 0 5 6 1 0 7 9 7 0 0 1 0 DWI SARASWATI 21-Jul-1997 KP BOJONG RT 02 RW 20 0895622997729 1 1 1 0 1 1 0 0 0 0 0 0
418 23-Nov-2023 SARNO SISWANTO 3 2 7 6 0 5 5 2 0 4 7 0 0 0 0 4 SRI HANDAYANI 12-Apr-1970 KP BOJONG RT 02 RW 20 1 0 1 0 4 0 1 0 1 0 0 0
419 23-Nov-2023 FAHRUL ROZY 3 2 7 6 0 5 6 3 0 2 9 3 0 0 0 8 ROSDIANATI 23-Feb-1993 KP BOJONG RT 01 RW 20 1 0 1 0 4 0 0 1 1 0 0 0
420 23-Nov-2023 CASUDIN 3 2 7 6 0 5 4 5 0 4 7 8 0 0 0 3 ETIH APRIYESTI 05-Apr-1978 KP. BOJONG, RT03 RW20 1 1 1 0 1 1 0 0 1 0 0 0
421 23-Nov-2023 INDRA S 3 2 7 6 0 5 6 1 0 7 9 7 0 0 1 5 TRI H 15-May-1991 RT 02 /020 1 1 1 0 1 1 0 0 1 0 0 0
422 23-Nov-2023 DEDE AGUS NUROHMAN 3 2 7 6 0 5 5 6 0 2 8 0 0 0 0 1 EKA PRIHATININGSIH 16-Feb-1980 KP BOJONG 1 1 1 0 2 0 1 0 1 0 0 0
423 23-Nov-2023 ARI SUBROTO 3 2 7 6 0 5 5 5 0 8 7 3 0 0 0 5 SULASTRI 15-Aug-1973 KP BOJONG RT 02 RW 20 NO 52 1 1 1 0 2 0 1 0 1 0 0 0
424 23-Nov-2023 WANDA SANJAYA 3 2 7 6 0 5 4 6 0 4 9 3 0 0 1 3 FITRI APRIYANI 08-Apr-1993 KP BOJONG RT 02 RW 20 1 1 1 0 1 1 0 0 1 0 0 0
425 23-Nov-2023 RIZKY B.P 3 6 7 4 0 3 5 7 0 1 9 4 0 0 0 1 INTAN S 21-Jul-1994 KP BOJONG RT 02/ 020 08581203850 1 1 1 0 1 1 0 0 1 0 0 0
426 23-Nov-2023 UJANG.A 3 2 7 6 0 5 4 6 1 2 8 1 0 0 0 8 NENENG.H 06-Dec-1981 KP BOJONG RT 02/ 020 081586238672 1 0 1 0 5 1 0 0 1 0 0 0
427 23-Nov-2023 ZAENAL ARIFIN 3 2 0 3 1 2 5 7 0 5 7 9 0 0 0 9 INA R 16-Oct-1979 KP BOJONG RT 02 RW 20 NO 34 1 1 1 0 1 1 0 0 1 0 0 0
428 23-Nov-2023 AWALUDIN 1 8 0 3 2 0 4 2 1 0 9 5 0 0 0 2 IRMA SANTIKA 02-Oct-1995 KP BOJONG RT 02 RW 20 1 1 1 0 1 1 0 0 1 0 0 0
429 23-Nov-2023 AHMAD SYAMSARI 3 2 7 6 0 5 6 5 0 3 9 1 0 0 0 3 SARIFAH 25-Mar-1991 KO BOJONG 1 0 1 0 6 0 0 1 1 0 0 0
430 23-Nov-2023 TRI SUKARSO 3 2 7 6 0 5 5 5 0 8 8 0 0 0 1 6 RITA KOMALA 15-Aug-1980 KP BOJONG RT02 RW20 1 1 1 0 2 0 1 0 1 0 0 0
431 23-Nov-2023 ERIK SAEPULOH 3 2 7 6 0 5 6 2 0 3 9 5 0 0 0 8 RETNO ANJAR SARI 22-Mar-1995 KP BOJONG RT03 RW20 1 0 1 0 6 1 0 0 1 0 0 0
432 23-Nov-2023 RAHMAT S 3 2 7 6 0 5 5 1 0 1 7 6 0 0 0 6 CASRINI 11-Jan-1976 KP BOJONG RT02 RW20 1 1 1 0 1 1 0 0 1 0 0 0
433 23-Nov-2023 JOKO S 3 2 0 5 1 7 6 4 0 6 8 9 0 0 0 2 RAHMAWATI 24-Jun-1989 KP BOJONG RT 02 RW 20 1 1 1 0 9 1 0 0 1 0 0 0
434 23-Nov-2023 KHOIRUL 3 2 7 6 0 5 4 9 0 3 8 1 0 0 0 4 RATNA W 09-Mar-1984 KP BOJONG RT 02 RW 20 1 1 1 0 9 1 0 0 1 0 0 0
435 23-Nov-2023 IWAN DARMAWAN P 3 2 7 6 0 5 5 8 0 9 7 9 0 0 0 5 ERI SINTYA A 16-Sep-1979 KP BOJONG RT 02 RW 20 1 1 1 0 2 0 0 1 1 0 0 0
436 23-Nov-2023 FREDY ADI SAPUTRA 3 2 7 6 0 5 5 9 0 4 9 6 0 0 0 1 CHATERINE APRILIA 19-Apr-1996 KAMPUNG BOJONG RT 02 RW 20 1 1 1 0 7 1 0 0 1 0 0 0
437 23-Nov-2023 AGUNG PERIATNA 3 2 7 6 0 5 4 4 0 9 6 6 0 0 0 1 DEVI OKTAVIA D 04-Sep-1966 KP BOJONG RT 03 RW 20 1 1 1 0 9 1 0 0 1 0 0 0
GG. H. MUHAMAD, KP. BOJONG, RT 03 RW

438 23-Nov-2023 SYARIFUDIN 3 2 7 6 0 5 4 7 0 2 9 2 0 0 0 7 HANDAYANIH ALPAH 07-Feb-1992 1 0 1 0 6 0 1 0 1 0 0 0
20, KELURAHAN BAKTIJAYA,
439 23-Nov-2023 ABDUL HAMID 3 2 7 6 0 5 5 8 0 9 7 6 0 0 0 5 INDRAWATI SUNARNO 18-Sep-1976 KP BOJONG RT 03 RW 20 1 1 1 0 9 1 0 0 1 0 0 0
440 23-Nov-2023 SUTARSONO 3 2 7 6 0 5 4 5 1 2 8 4 0 0 0 3 TRI LUCASTI 06-Dec-1984 KP BOJONG RT 02 RW 20 NO 55 1 1 1 0 2 0 1 0 1 0 0 0
441 23-Nov-2023 ILYAS SAKUR 3 1 7 4 0 2 4 8 0 2 8 4 0 0 0 6 YULI SOFIANA 08-Feb-1984 KP BOJONG RT03 RW20 085888429551 1 0 1 0 6 0 0 1 1 0 0 0
442 23-Nov-2023 WIJIYANTO 3 3 1 2 1 1 6 1 0 4 8 3 0 0 0 3 ROHIANA SITUMORANG 21-Apr-1983 KP BOJONG RT 02 RW 20 NO 37 1 1 1 0 9 1 0 0 1 0 0 0
443 23-Nov-2023 DARYONO 3 2 7 6 0 5 6 8 0 5 8 6 0 0 1 1 NADIAH YULIANA 28-May-1986 KP BOJONG RT 02 RW 20 NO 66 1 1 1 0 1 1 0 0 1 0 0 0
444 23-Nov-2023 ARIS BUDIONO 3 2 7 6 0 5 5 8 0 5 9 4 0 0 1 0 MIA LUKIANA 18-May-1994 KP BOJONG RT 02 RW 20 NO 07 1 1 1 0 1 1 0 0 1 0 0 0
445 23-Nov-2023 HERMAN 3 2 7 6 0 5 5 3 1 1 8 4 0 0 0 5 ONI 13-Nov-1984 KP BOJONG RT 02 RW 020 1 0 1 0 6 0 0 1 1 0 0 0

446 23-Nov-2023 TB SAEFUDIN 3 2 7 6 0 5 5 6 0 8 9 0 0 0 0 1 DAMAYANTI 16-Aug-1990 KP BOJONG RT 02 RW 20 1 0 1 0 4 0 1 0 1 0 0 0
ADHELLIA ALFINA PUTRI

447 23-Nov-2023 SUKRISNA AHMAD 3 2 7 6 0 5 4 2 1 0 9 9 0 0 0 1 02-Oct-1999 KP BOJONG RT 03 RW20 1 1 1 0 2 1 0 0 1 0 0 0
DEWANI
448 23-Nov-2023 WINARNO 3 2 7 6 0 5 5 7 0 5 7 7 0 0 0 4 RD.DEWI ARTIAWATI AG 17-May-1977 KP BOJONG 1 0 1 0 5 1 0 0 1 0 0 0
449 23-Nov-2023 RACHMAT 3 2 7 6 0 5 4 1 0 5 6 1 0 0 0 3 SUMIATI 01-May-1981 RT. 002/020 1 1 1 0 1 1 0 0 1 0 0 0
450 23-Nov-2023 DESNO DWI SAPUTRA 3 2 7 6 0 5 6 8 1 0 8 5 0 0 0 6 SITI MAISAROH 28-Oct-1985 KP. BOJONG, NO. 3D, RT 03 RW 20, 1 0 1 0 6 1 0 0 1 0 0 0
451 23-Nov-2023 HERI WARSITO 3 2 7 6 0 5 5 5 0 7 7 5 0 0 0 7 KOMARIAH 15-Jul-1975 KP BOJONG RT 02 RW 20 1 1 1 0 3 0 0 1 1 0 0 0
452 23-Nov-2023 REJAH 3 2 7 6 0 5 6 3 1 0 9 1 0 0 0 3 DAHLIA SINTYA 23-Oct-1991 KP BOJONG RT 02 RW 20 NO 21 1 1 1 0 2 1 0 0 1 0 0 0
453 23-Nov-2023 HANAFI 3 2 7 6 0 5 7 0 0 9 7 6 0 0 0 2 SUMIATI 30-Sep-1976 KP BOJONG RT 02 RW 20 1 1 1 0 3 0 1 0 1 0 0 0
454 23-Nov-2023 ROYANI 3 2 7 6 0 5 6 9 0 4 7 3 0 0 0 7 SITI HOMZAH 29-Apr-1973 KP BOJONG RT 02 RW 20 NO 63 1 1 1 0 1 1 0 0 1 0 0 0
455 23-Nov-2023 BONAN 3 2 7 6 0 5 5 3 0 9 7 3 0 0 0 5 JUBAEDAH 13-Sep-1973 KP BOJONG RT 02 RW 20 NO 21 1 1 1 0 2 1 0 0 1 0 0 0
456 24-Nov-2023 AJIES MUNANDAR 3 2 7 6 0 5 6 5 0 1 8 4 0 0 1 0 SITI HODIJAH 25-Jan-1984 KP BOJONG RT03 RW20 1 1 1 0 1 1 0 0 1 0 0 0
457 24-Nov-2023 EGGI SUSANTO 3 1 7 4 0 9 5 0 0 6 9 2 0 0 0 8 HIRDA YUNINGSIH 10-Jun-1992 KP BOJONG RT 03 RW20 1 1 1 0 1 1 0 0 1 0 0 0
458 24-Nov-2023 SAMSURI 3 2 7 6 0 5 4 3 1 1 7 2 0 0 0 1 EVVY FUZIANTY 03-Nov-1972 KP BOJONG RT 03 RW20 1 1 1 0 11 1 0 0 0 0 0 0
459 24-Nov-2023 TRIONO 3 2 7 6 0 5 5 2 0 3 9 0 0 0 1 0 YANTI SUSILOWATI 12-Mar-1990 KP BOJONG RT 03 RW20 1 1 1 0 3 1 0 0 1 0 0 0
460 24-Nov-2023 ABDUL QODIR 3 2 7 6 0 5 5 1 0 5 8 3 0 0 0 7 LAILAN LUBIS 11-May-1983 KP BOJONG RT 03 RW20 1 1 1 0 9 1 0 0 1 0 0 0
461 24-Nov-2023 RIYADI 3 2 7 6 0 5 4 4 0 8 8 0 0 0 0 4 ISYANTI 04-Apr-1980 KP BOJONG RT03 RW20 1 0 1 0 6 1 0 0 1 0 0 0
GG. H. MUHAMAD, KP. BOJONG, NO. 57, RT

462 24-Nov-2023 CHALID ARFAN 3 2 7 6 0 5 6 2 1 0 8 2 0 0 1 2 RATNA SARI MARYONO 22-Oct-1982 1 1 1 0 11 1 0 0 0 0 0 0
03 RW 20, KELURAHAN
463 24-Nov-2023 DJATI RONGGO 3 2 7 6 0 5 5 8 0 2 8 7 0 0 0 3 PRATIWI 18-Feb-1987 KP BOJONG RT 03 RW20 1 1 1 0 1 1 0 0 1 0 0 0
464 24-Nov-2023 ADE KUSTIAWAN 3 2 7 6 0 5 6 4 0 8 8 3 0 0 1 6 SUCI SUSANTI 24-Aug-1983 KP BOJONG RT 03 RW20 1 0 1 0 5 1 0 0 1 0 0 0
465 24-Nov-2023 NANAN 3 6 7 1 0 5 6 4 0 1 8 6 0 0 0 3 RATIH RATNA P 21-Apr-1986 KP BOJONG RT03 RW20 1 0 1 0 4 1 0 0 1 0 0 0
466 24-Nov-2023 ABDUL HADI KARYANA 3 2 7 6 0 5 6 5 0 4 9 1 0 0 0 3 FAUZIYAH PURWANTI 25-Apr-1991 KP BOJONG RT 03 RW20 1 1 1 0 1 1 0 0 1 0 0 0
MUHAMMAD INSAN
467 24-Nov-2023 3 2 7 6 0 5 4 6 0 1 9 6 0 0 0 2 JULIA ARDIAN 06-Jan-1996 KP BOJONG RT03 RW20 1 1 1 0 2 0 0 1 1 0 0 0
SUHADA
468 24-Nov-2023 ABDUL AR-RASYID 3 2 7 6 0 5 4 2 1 2 9 3 0 0 0 1 DIZHA RIVANI 12-Dec-1993 KP BOJONG RT 03 RW20 1 0 1 0 6 1 0 0 1 0 0 0
469 24-Nov-2023 SUKARNA ARIANTO 3 2 7 6 0 5 5 3 1 0 8 1 0 0 1 4 TRI KURNIAWATI 13-Oct-1981 KP BOJONG RT 03 RW20 1 1 1 0 9 1 0 0 1 0 0 0
470 24-Nov-2023 BARON 3 2 7 6 0 5 4 5 0 3 8 5 0 0 0 3 UMROH 05-Mar-1985 KP. BOJONG RT 03 RW 20 1 1 1 0 1 0 0 1 1 0 0 0
GG. H. MUHAMAD, KP. BOJONG, NO. 52A,

471 24-Nov-2023 HASAN 3 2 7 6 0 5 4 6 0 1 8 9 0 0 0 3 INTAN SYARIF 06-Jan-1989 1 1 1 0 1 1 0 0 1 0 0 0
RT 03 RW 20,
472 24-Nov-2023 FAJAR FAUZI U 3 2 1 5 2 2 6 3 0 9 9 6 0 0 0 7 YUSRI NURAENI 23-Sep-1996 KP BOJONG RT 03 RW20 1 0 1 0 6 0 1 0 1 0 0 0
473 24-Nov-2023 RAMLY 3 2 7 6 0 5 4 4 0 7 8 4 0 0 1 6 FITRAH LENI 04-Jul-1984 KP BOJONG RT03 RW20 1 0 1 0 5 1 0 0 1 0 0 0
474 24-Nov-2023 PUTRA BUDI ANGGARA 3 2 7 6 0 5 4 1 0 4 9 4 0 0 0 2 DEWI KARMILAH 01-Apr-1994 KP. BOJONG, NO. 94, RT 03 RW 20, 1 1 1 0 3 1 0 0 1 0 0 0
475 24-Nov-2023 INDRA K 3 6 0 1 3 0 1 9 0 3 9 2 0 0 0 1 SUMINAR 23-Jan-1993 KP BOJONG RT 03 RW20 1 1 1 0 1 1 0 0 1 0 0 0
476 24-Nov-2023 KAMAL IDRIS 3 2 7 6 0 5 4 3 0 3 9 2 0 0 0 9 RESHA PARAMITA 03-Mar-1992 KP BOJONG RT 03 RW 20 1 1 1 0 1 1 0 0 1 0 0 0
477 24-Nov-2023 ANUAR GOJALI 3 3 0 1 2 0 5 0 0 9 9 2 0 0 0 5 SAMIDAH 10-Sep-1992 KP BOJONG RT03 RW20 1 1 1 0 1 1 0 0 1 0 0 0
478 24-Nov-2023 HENDRA GUNAWAN 3 2 7 6 0 5 4 6 0 9 8 3 0 0 0 4 RUSAIS S 06-Sep-1983 KP BOJONG RT 03 RW 20 1 0 1 0 11 1 0 0 0 0 0 0
479 24-Nov-2023 RISTAM 3 3 0 3 0 3 6 6 0 5 8 5 0 0 1 3 TURIPAH 26-Jun-1985 KP BOJONG RT 03 RW20 1 0 1 0 5 0 0 1 1 0 0 0
480 24-Nov-2023 ABDUL HAKIM 3 2 7 6 0 5 4 4 0 6 8 4 0 0 0 7 SAWINAH 04-Jun-1984 KP BOJONG RT 03 RW20 1 1 1 0 1 1 0 0 1 0 0 0
481 24-Nov-2023 ALISURYA PURNAMA 3 2 7 6 0 5 6 7 0 2 8 3 0 0 1 0 MURNI SARBINI 27-Feb-1983 KP. BOJONG, NO. 22, RT 03 RW 20 1 1 1 0 11 0 1 0 0 0 0 0
482 24-Nov-2023 RUDIANTO 3 1 7 4 0 9 4 8 0 5 8 5 0 0 0 2 NANI DINIYAH 08-May-1985 KP. BOJONG, NO. 87, RT 03 RW 20, 1 1 1 0 7 0 0 1 1 0 0 0
483 24-Nov-2023 SUPRIYADI 3 3 1 6 1 6 4 2 0 4 9 3 0 0 0 1 FITRI ARISKA 14-Nov-1992 KP BOJONG RT 03 RW20 1 0 1 0 6 1 0 0 1 0 0 0

484 24-Nov-2023 MACHFUDIN 3 2 7 6 0 5 4 8 0 9 7 4 0 0 1 0 NURHAIDA LUBIS 08-Sep-1974 KP BOJONG RT 03 RW20 1 0 1 0 5 1 0 0 1 0 0 0
485 24-Nov-2023 RANDI KISUMA 3 3 1 6 1 6 4 2 0 4 9 3 0 0 0 1 RENI S 20-Jul-1996 KP BOJONG RT 03 RW20 1 1 1 0 2 0 0 1 1 0 0 0
486 24-Nov-2023 YOHANES PARULUAN.S 3 2 7 6 0 5 5 0 0 3 9 5 0 0 0 4 AJENG MUMPUNI 10-Mar-1995 KP BOJONG RT 03 RW20 1 1 1 0 1 1 0 0 1 0 0 0
487 24-Nov-2023 ASEP 3 2 0 4 1 4 4 8 0 8 9 1 0 0 0 3 DEY SRISYANDI 08-Aug-1991 KP BOJONG RT 03 RW20 1 1 1 0 3 1 0 0 1 0 0 0
488 24-Nov-2023 DJOKO PURNOMO 3 6 7 4 0 6 4 9 0 1 8 4 0 0 0 1 SRI SUKMANINGSIH 04-Jan-1984 KP BOJONG RT 03 RW20 1 1 1 0 1 1 0 0 1 0 0 0
489 24-Nov-2023 ADI JAJANG ATMAJA 3 2 7 6 0 5 4 8 0 1 7 9 0 0 1 2 DIAN WAHYUNI 08-Jan-1979 KP. BOJONG, NO. 25, RT 03 RW 20, 1 0 1 0 5 1 0 0 1 0 0 0
490 24-Nov-2023 FERDY ARDIAN 3 2 7 6 0 5 6 2 0 4 9 7 0 0 0 5 NILAM AMBARSARI P 22-Apr-1997 KP. BOJONG, NO. 25, RT 03 RW 20, 1 1 1 0 3 0 0 1 1 0 0 0
491 24-Nov-2023 HANDI LALA 3 2 7 6 0 5 6 0 0 8 9 7 0 0 0 1 SUGIARTI 20-Aug-1997 KP BOJONG RT 03 RW20 1 1 1 0 3 1 0 0 1 0 0 0
492 25-Nov-2023 M RIZAL 3 2 7 6 0 5 6 7 1 1 9 8 0 0 0 1 NOVITA S 27-Nov-1998 KP BOJONG RT05 RW20 1 1 0 0 3 0 1 0 1 0 0 0
PIAGAM FAUZI
493 25-Nov-2023 3 2 7 6 0 5 5 5 0 5 9 9 0 0 1 0 SRI MAINY PUTRI POHAN 15-May-1999 KP BOJONG 1 1 1 0 2 1 0 0 1 0 0 0
MUHAMMA
494 25-Nov-2023 APISUDIN LUBIS 1 2 1 3 0 5 5 0 0 2 0 0 0 0 0 1 FEBRI HANDAYANI 10-Feb-2000 KP BOJONG RT05 RW20 1 1 1 0 2 0 1 0 1 0 0 0
495 25-Nov-2023 RAFLI HAIKAL 3 2 7 6 0 5 6 2 1 1 0 3 0 0 0 5 RAENA SYAREFA 22-Nov-2003 KP BOJONG RT05 RW20 1 1 1 0 3 0 1 0 1 0 0 0
496 25-Nov-2023 ROHMAT 3 2 7 6 0 5 4 1 0 2 7 7 0 0 0 2 NURIAH 01-Feb-1977 KO BOJONG RT 05 RW 20 NO 72 1 1 1 0 3 0 1 0 1 0 0 0
497 25-Nov-2023 ACHMAD TOHA 3 2 7 6 0 8 4 1 0 1 8 7 0 0 0 3 INDAH DEWI ROSMIATI 01-Jan-1987 KP BOJONG RT 05 RW 20 NO 73 1 1 1 0 1 1 0 0 1 0 0 0
498 25-Nov-2023 AIDI 3 2 7 6 0 5 6 3 0 7 8 1 0 0 0 7 LAILATUL KOMARIAH 23-Jul-1981 KP BOJONG RT08 RW20 DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
499 25-Nov-2023 HERMANSYAH 3 2 0 2 0 9 4 5 0 4 8 4 0 0 0 6 MIROH 05-Apr-1984 KPBOJONG NO11A RT05 RW20 1 1 1 0 3 0 1 0 1 0 0 0
500 25-Nov-2023 KARMAN 3 2 0 2 1 9 5 4 0 9 8 3 0 0 0 2 TIANAH 14-Sep-1983 KP. BOJONG 1 1 1 0 3 0 1 0 1 0 0 0
KP BOJONG RT08 RW 20 NO 87
501 25-Nov-2023 SUSANTO 3 1 7 4 0 8 6 1 1 1 8 1 0 0 0 5 SURANI 21-Nov-1981 1 1 1 0 3 0 0 1 1 0 0 0
KELURAHAN BAKTIJAYA
502 25-Nov-2023 DADANG DARUSMAN 3 2 7 6 0 5 4 6 0 3 8 0 0 0 0 9 MULYANI SLAMET 06-Mar-1980 KP BOJONG RT 03 RW20 1 0 1 0 4 0 1 0 1 0 0 0
503 25-Nov-2023 NUR CAHYA 3 2 7 6 0 5 6 8 0 3 7 9 0 0 0 3 DAHLIA S 28-Mar-1979 KP BOJONG RT05 RW20 1 1 1 0 3 0 1 0 1 0 0 0
504 25-Nov-2023 DENI ARPANDI 3 2 7 6 0 5 4 1 1 2 8 2 0 0 0 6 YULIANAH 01-Dec-1982 KP BOJONG RT 05 RW 20 1 1 1 0 9 0 1 0 1 0 0 0
505 25-Nov-2023 SUHENDRA 3 2 7 6 0 5 4 7 0 6 8 8 0 0 0 2 SUSANTI 07-Jun-1988 KP BOJONG RT05 RW20 1 1 1 0 2 0 1 0 1 0 0 0
506 25-Nov-2023 CHARIS MUZAENI 3 2 7 6 0 5 6 1 0 6 9 5 0 0 1 3 MASYRIFATUNNISA 21-Jun-1995 KP BOJONG RT 05 RW 20 NO 7 1 1 1 0 3 0 1 0 1 0 0 0
507 25-Nov-2023 SAKUR 3 3 2 6 0 9 5 1 1 1 9 4 0 0 0 1 AJENG 13-Feb-2001 KPBOJONG RT 05 RW20 1 1 1 0 3 1 0 0 1 0 0 0
508 25-Nov-2023 ABDUL RASYID 3 2 0 1 0 1 4 5 0 7 8 8 0 0 1 2 MAEMUNAH 05-Jul-1988 KP BOJONG RT05 RW20 1 1 0 0 3 0 1 0 1 0 0 0
509 25-Nov-2023 M RIVALDI 3 2 0 2 1 6 4 5 1 2 9 7 0 0 0 7 VOIRY SHABILA 05-Dec-1997 KP BOJONG RT05 RW20 1 1 1 0 8 1 0 0 1 0 0 0
510 25-Nov-2023 ARIF RAHMAN S 3 2 7 6 0 5 6 0 0 7 7 4 0 0 0 2 LILIS SUPARTINI 20-Jul-1974 KP. BOJONG NO.10 RT05 RW20 1 1 1 0 3 1 0 0 1 0 0 0
511 25-Nov-2023 MUHAMMAD YASIN 3 2 7 6 0 5 6 5 1 2 8 0 0 0 2 0 ENDEH SAADAH 25-Dec-1980 KP BOJONG RT 05 RW 20NO 110 1 1 1 0 3 0 1 0 1 0 0 0
512 25-Nov-2023 DANU PUSPITO 3 2 7 6 0 5 5 3 0 2 0 0 0 0 0 2 NABILLAH SAPUTRI 13-Feb-2000 KP BOJONG RT 05 RW 20 NO 42 B 1 1 1 0 3 0 1 0 1 0 0 0
513 25-Nov-2023 SUHARYANTO 3 2 7 6 0 5 6 2 0 7 9 0 0 0 0 2 DESTIA. H 22-Jul-1990 KP BOJONG RT05 RW20 1 1 1 0 3 0 1 0 1 0 0 0
514 25-Nov-2023 KASIM 3 2 7 6 0 5 6 0 0 1 8 1 0 0 0 4 SULASTRI 20-Jan-1981 KP BOJONG RT 05 RW 20 NO 105 1 1 1 0 3 0 1 0 1 0 0 0
515 25-Nov-2023 RULYADI LUBIS 3 2 0 6 2 9 5 6 0 2 9 3 0 0 0 2 SANTI ROSMIYATI 16-Feb-1993 KP BOJONG NO 42 RT05 RW 20 1 1 1 0 3 0 0 1 1 0 0 0
516 25-Nov-2023 ANDI HERDIANA 3 2 7 6 0 5 5 6 1 2 8 6 0 0 0 7 MARDIYAH HAYATI 12-Dec-1986 KP BOJONG NO 44 RT 05 RW20 1 1 1 0 3 0 1 0 1 0 0 0
517 25-Nov-2023 NURHIDAYAT 3 2 7 6 0 5 4 6 0 8 9 2 0 0 0 4 WIDIYA AGUSTIA 06-Aug-1992 KP. BOJONG NO 37 1 1 1 0 1 0 1 0 1 0 0 0
518 25-Nov-2023 BAKTI WIBISONO 3 2 7 6 0 5 6 1 0 7 8 1 0 0 0 4 YEMI KOMALASARI 21-Jun-1981 KP BOJONG RT 08 RW 20 NO 21 DEPOK 1 0 1 0 5 0 1 0 1 0 0 0
519 25-Nov-2023 SUPENDI 3 6 0 2 0 5 4 2 1 2 8 5 0 0 0 1 AMINAH 02-Dec-1985 KP BOJONG RT 05 RW 20 NO 34 B 1 1 1 0 3 0 1 0 1 0 0 0
520 25-Nov-2023 AHMSD FAUZI 3 2 7 6 0 5 5 8 0 7 9 5 0 0 1 1 RAFIKA H .A 18-Jul-1995 KP BOJONG RT05 RW20 1 1 1 0 3 0 1 0 1 0 0 0
521 25-Nov-2023 FEBRIZAL 3 2 7 6 0 5 5 2 0 1 8 3 0 0 0 1 SUPRIYATIN 12-Jan-1983 KP BOJONG RT 05 RW 20 1 1 1 0 3 1 0 0 1 0 0 0

522 25-Nov-2023 ASIM 3 2 7 6 0 5 5 7 0 3 7 5 0 0 0 9 NENENG ULIYAH 17-Mar-1975 KP BOJONG RT 05 RW 20 NO 99 1 1 1 0 3 0 0 1 1 0 0 0
523 25-Nov-2023 DEDY KUSNANTO 3 2 7 6 0 5 4 3 0 5 7 9 0 0 1 2 ELIA FRANSICA 03-May-1979 KP BOJONG RT 05 RW 20 NO 93 1 1 1 0 11 1 0 0 0 0 0 0
524 25-Nov-2023 LUKMAN HAKIM 3 2 7 6 0 5 5 6 0 1 8 7 0 0 0 1 MUNAWAROH 06-Jan-1988 KP BOJONG RT 08 RW20 1 1 1 0 11 0 1 0 0 0 0 0
525 25-Nov-2023 ROSHADI 3 1 7 1 0 7 4 3 0 3 8 7 0 0 0 2 ITA MARLIYA 03-Mar-1988 KP BOJONG RT05 RW20 1 1 1 0 3 0 1 0 1 0 0 0
526 25-Nov-2023 HENDRA NOVIO 3 2 7 6 1 0 6 6 0 7 8 6 0 0 0 3 MARYANIH 26-Jul-1986 KP BOJONG RT 08 RW 20 NO 84 DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
527 25-Nov-2023 SEPTIANA 3 2 7 6 0 5 4 1 0 8 9 4 0 0 0 2 NISRINA.B 01-Aug-1994 KP BOJONG RT05 RW20 1 1 1 0 3 0 1 0 1 0 0 0
528 25-Nov-2023 SUTRISNO 3 2 7 6 0 2 6 0 0 8 8 8 0 0 0 8 ROHAENI 20-Aug-1988 KP BOJONG RT 05 RW 20 NO 43 D 1 1 0 0 3 0 1 0 1 0 0 0
529 25-Nov-2023 WAHYUDI 3 2 7 6 0 5 4 2 1 1 9 0 0 0 0 1 MAYA T.N 12-Nov-1990 KP BOJONG RT 05 RW20 1 1 1 0 3 0 1 0 1 0 0 0
530 25-Nov-2023 MUN TOHA 3 2 7 6 0 5 4 8 0 8 7 6 0 0 0 4 WAIDAH 09-Sep-1976 KP. BOJONG NO. 87 RT05 RW20 1 0 1 0 5 0 1 0 1 0 0 0
531 25-Nov-2023 WAHYONO 3 2 7 6 0 9 4 3 0 7 7 6 0 0 0 2 INDASAH 03-Jul-1978 KP BOJONG RT05 RW20 1 1 1 0 8 1 0 0 1 0 0 0
532 26-Nov-2023 WAWAN HERMAWAN 3 2 7 6 0 5 5 4 1 0 8 3 0 0 0 6 FITRI YANI 14-Oct-1983 KP BOJONG RT 08 RW 20 NO 50 DEPOK 1 1 1 0 3 0 0 1 1 0 0 0
533 26-Nov-2023 IPAN YOLANDA 1 8 1 2 0 1 6 3 1 1 9 3 0 0 0 4 ADE NOPRI 23-Nov-1993 KP BOJONG RT04 RW20 1 1 1 0 1 0 0 1 1 0 0 0
534 26-Nov-2023 INDRA SUBONO 3 2 7 6 0 5 4 6 0 8 8 0 0 0 0 5 WENI HANDAYANI 06-Aug-1980 KP BOJONG RT 08 RW 20 NO 29 DEPOK 1 0 1 0 5 0 1 0 1 0 0 0
ADREI OKTAVIANUS
535 26-Nov-2023 3 2 7 6 0 5 5 5 0 3 8 6 0 0 0 8 MARISYA 15-Mar-1986 KP BOJONG RT04 RW20 1 1 1 0 1 0 1 0 1 0 0 0
MAL
536 26-Nov-2023 TRI HARTONO 3 2 7 6 0 5 5 2 0 2 8 1 0 0 0 6 NUR UMMAMAH FITRIYAH 12-Feb-1961 KP BOJONG RT 08 RW 20 NO 32 DEPOK 1 1 1 0 3 0 0 1 1 0 0 0
537 26-Nov-2023 MULYADI 3 2 7 6 0 5 5 9 1 2 8 5 0 0 0 4 DAHLIA 20-Dec-1985 KP BOJONG RT 08 RW20 1 1 1 0 3 0 1 0 1 0 0 0
538 26-Nov-2023 DEDY ARDIANSYAH 3 2 7 6 0 5 6 9 1 2 8 7 0 0 0 9 DEASY IRAWATI RUSMAR 29-Dec-1987 KP BOJONG RT08 RW20 NO 08A DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
539 26-Nov-2023 ANARUDIN 3 2 7 6 0 5 4 8 0 3 8 7 0 0 1 1 ALIAH 08-Mar-1987 KP BOJONG RT 08 RW 20 DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
540 26-Nov-2023 EFIN FANANI 3 2 7 6 0 5 6 5 1 0 9 3 0 0 0 9 MUTIA HANDAYANI 25-Oct-1993 KP BOJONG RT04 RW20 1 1 1 0 9 1 0 0 1 0 0 0
541 26-Nov-2023 SYAMSIARSYAH 3 1 7 5 0 8 6 5 0 8 9 8 0 0 0 4 TIARA 25-Aug-1998 KP BOJONG RT 08 RW20 1 1 1 0 3 0 1 0 1 0 0 0
542 26-Nov-2023 REZA OKTAVIAN 3 2 7 6 0 5 6 4 0 8 9 5 0 0 1 2 LENI .A 24-Aug-1995 KP BOJONG RT04 RW20 1 1 1 0 9 0 1 0 1 0 0 0
543 26-Nov-2023 IRWAN DALIAWAN 3 2 7 6 0 5 6 3 0 7 8 3 0 0 1 2 MUTOHAROH 23-Jul-1983 KP BOJONG RT08 RW 20 NO 17DEPOK 1 1 1 0 3 0 0 1 1 0 0 0
544 26-Nov-2023 KARNA 3 2 7 6 0 5 5 1 1 1 8 5 0 0 0 9 WENI WAHYUNI 11-Nov-1985 KP BOJONG RT08 RW20 NO 08 DEPOK 1 1 1 0 11 0 1 0 0 0 0 0
545 26-Nov-2023 SOLEH 3 6 0 4 2 9 4 4 1 2 9 3 0 0 0 3 UNAYAH 04-Dec-1993 KP BOJONG RT 08 RW 20 NO 79B DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
546 26-Nov-2023 JAYNUDIN 3 2 1 3 1 3 6 0 0 2 8 6 0 0 0 2 LILIS 20-Feb-1986 KP BOJONG RT 08 RW 20 NO 49 B DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
KP BOJONG RT 04 RW 20
547 26-Nov-2023 RIANTO 3 2 7 6 0 5 6 0 0 5 8 8 0 0 0 6 SUCI MAHARANI 20-May-1988 1 1 1 0 11 0 0 1 0 0 0 0
BAKTIJAYA SUKMAJAYA
548 26-Nov-2023 RIDHO 3 2 7 6 0 5 6 9 0 7 0 0 0 0 0 6 CITRA AMELIA 29-Jul-2000 KP. BOJONG 1 1 1 0 3 0 1 0 1 0 0 0
KP. BOJONG RT 04 RW 20
549 26-Nov-2023 ANDHIKA 3 2 7 6 0 5 6 0 0 1 9 7 0 0 0 7 SITI ROSITA 20-Jan-1997 1 0 1 0 4 0 0 1 1 0 0 0
BAKTIJAYA SUKMAJAYA
550 26-Nov-2023 DIAN PERMANA PUTRA 3 2 7 6 0 1 5 7 0 4 8 8 0 0 0 4 DITA ISKANDAR 17-Apr-1988 KP BOJONG RT 08 RW 20 NO A.02 DEPOK 1 1 1 0 9 1 0 0 1 0 0 0
APRILANTO HERU
551 26-Nov-2023 3 6 0 3 0 3 7 0 0 6 9 1 0 0 0 3 DEVI LUQITA DAMAYANT 30-Jun-1991 KP. BOJONG RT 04 RW 20 NO 45 1 1 1 0 9 1 0 0 1 0 0 0
WAHYONO
552 26-Nov-2023 ARDIANSAH 3 2 7 6 1 0 4 6 0 9 2 2 0 0 0 8 ANISS NUR.A 31-Mar-1997 KP BOJONG RT04 RW20 1 1 1 0 9 0 0 1 1 0 0 0
553 26-Nov-2023 SIDDIK 3 2 7 6 0 5 5 8 0 2 9 2 0 0 0 8 SILVINA NUGRAHWATI 16-Feb-1991 KP BOJONG RT 08 RW 20 NO 85 DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
554 26-Nov-2023 JONFIANUS.Y 3 2 7 6 0 5 6 7 1 1 7 7 0 0 0 2 DIANA 27-Nov-1977 KP BOJONG RT04 RW20 1 1 1 0 11 0 1 0 0 0 0 0
555 26-Nov-2023 YONGKI PRAJA 3 2 7 6 0 5 5 0 0 8 9 2 0 0 0 5 YENI KUSMIYATI 10-Aug-1992 KP BOJONG RT 08 RW 20 DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
556 26-Nov-2023 ABDUL ROHMAN 3 2 7 6 0 5 6 6 0 5 7 3 0 0 1 1 NURHAYATI 26-May-1973 KP BOJONG RT 08 RW 20 NO 51 DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
KP BOJONG RT08 RW 20 NO 62
557 26-Nov-2023 MUHAMMAD RAMDANIH 3 2 7 6 0 5 5 2 1 0 8 6 0 0 0 3 LILIS SURYANI 12-Oct-1986 1 1 1 0 3 0 1 0 1 0 0 0
KELURAHAN BAKTIJAYA
558 26-Nov-2023 HARDIANA. B 3 2 7 6 0 5 6 4 0 8 9 8 0 0 0 5 Melila Gunawan 25-Aug-1998 KP BOJONG RT04 RW20 1 1 1 0 1 0 0 1 1 0 0 0
559 26-Nov-2023 FEBRIANTO PRASETYO 3 2 7 6 0 5 5 3 0 2 9 5 0 0 0 2 PUTRI KHARISMA 13-Feb-1995 KP. BOJONG RT 04 RW 20 NO 41C 1 1 1 0 1 0 1 0 1 0 0 0
560 26-Nov-2023 REZA EDI.W 1 3 0 5 0 3 6 2 1 2 9 3 0 0 0 1 RAFIKA 22-Dec-1993 KP BOJONG RT04 RW20 1 1 1 0 3 0 1 0 1 0 0 0
561 26-Nov-2023 ALPIN .NAJAR 3 2 7 6 0 5 5 8 0 6 9 4 0 0 0 7 RISA KURNIA 18-Jun-1994 BAKTI JAYA 1 1 1 0 1 0 1 0 1 0 0 0
562 26-Nov-2023 HENDRA NOVIO 3 2 7 6 1 0 6 6 0 7 8 6 0 0 0 3 MARYANIH 26-Jul-1986 KP BOJONG RT 08 RW 20 NO 84 DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
563 26-Nov-2023 FREEDY 3 2 7 1 0 5 6 2 0 6 8 0 0 0 1 1 ANITA YUNINDAR 22-Jun-1980 KP BOJONG RT 08 RW 20 NO 12 DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
564 26-Nov-2023 DEDI 3 2 7 6 0 5 4 1 0 8 8 3 0 0 1 4 ANA SORAYA 01-Aug-1983 KP BOJONG RT08 RW20 NO71 DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
565 26-Nov-2023 JOHAN WAHYUDI 3 2 7 6 0 5 6 0 0 7 8 3 0 0 1 3 N.JAYANTI 20-Jul-1983 KP BOJONG RT 08 RW20 1 1 1 0 3 0 1 0 1 0 0 0
566 26-Nov-2023 HASANUDIN 3 2 7 6 0 5 5 5 0 1 7 8 0 0 0 9 RITA KURNIASI 15-Jan-1978 KP BOJONG RT08 RW 20 NO 07 DEPOK 1 1 1 0 11 0 1 0 0 0 0 0
567 26-Nov-2023 LARNO 3 2 7 6 0 5 4 1 0 6 8 6 0 0 1 2 ENDRA WINARSIH 01-Jun-1986 KP BOJONG RT 04 RW 20 NO 90A 1 1 1 0 9 1 0 0 1 0 0 0
568 26-Nov-2023 ALI YUNA 3 2 7 6 0 5 7 0 0 4 9 4 0 0 0 4 FIRDA MAULIDINA 30-Apr-1994 KP BOJONG RT 08 RW 20 DEPOK 1 0 1 0 5 0 1 0 1 0 0 0
569 26-Nov-2023 SUPARDIYANTO 3 2 7 6 0 5 5 2 0 7 7 7 0 0 2 2 TITI SHOLIHATI 12-Jul-1977 KP BOJONG RT 08 RW 20 NO63 DEPOK 1 0 1 0 5 0 1 0 1 0 0 1
570 26-Nov-2023 JONIANTON MARUHAWA 3 2 7 6 0 5 4 2 0 7 9 3 0 0 0 6 VINA MIRANTI YULIA 02-Jul-1993 KP BOJONG RT04 RW20 1 1 1 0 3 0 0 1 1 0 0 0
571 26-Nov-2023 MULYADI 3 2 7 6 0 5 4 4 0 4 7 4 0 0 1 9 KARSILAH 04-Apr-1974 KP BOJONG RT 09 RW 20 NO 35 B DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
572 26-Nov-2023 MARDIAN 3 2 7 6 0 5 4 7 0 5 9 3 0 0 0 9 HERNIS 07-May-1993 KP BOJONG RT05 RW20 1 1 1 0 11 0 1 0 0 0 0 0
573 26-Nov-2023 APRI YANDI 3 2 7 6 0 5 6 9 1 0 8 7 0 0 0 7 SRI NUR INDAH 29-Oct-1987 KP BOJONG RT 09 RW 20 NO 76 DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
574 26-Nov-2023 FARHAN NOOR 3 1 7 1 0 4 5 8 0 8 9 4 0 0 0 1 UMU KULSUM 18-Aug-1994 KP BOJONG RT 08 RW 20 NO 67 DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
575 26-Nov-2023 MUSTOPA 3 2 7 6 0 5 4 4 0 9 7 6 0 0 1 3 ROSMALA 04-Sep-1976 KP BOJONG RT 08 RW 20 DEPOK 1 0 1 0 5 0 1 0 1 0 0 0
576 26-Nov-2023 APRIZAL 3 2 0 3 2 0 5 2 1 2 9 0 0 0 0 5 YENI 12-Dec-1990 KP BOJONG RT 08 RW 20 NO 59 DEPOK 1 1 1 0 3 0 1 0 1 0 0 0
577 26-Nov-2023 SARODI 3 2 7 6 0 5 6 1 0 7 8 8 0 0 0 5 IIS RACHMAWATY 21-Jul-1988 KP BOJONG RT 08 RW 20 NO 44 DEPOK 1 0 1 0 5 0 1 0 1 0 0 0
578 26-Nov-2023 M SYAHRUDIN 3 2 7 6 0 5 1 2 0 6 7 7 0 0 1 0 SUPIH 04-May-1980 KP BOJONG RT 08 RW20 1 1 1 0 3 0 1 0 1 0 0 0
579 26-Nov-2023 AHMAD AZHARI 3 2 7 6 0 5 5 6 0 7 8 4 0 0 0 1 VINAH 16-Jul-1984 KP BOJONG RT 08 RW20 1 1 1 0 3 0 1 0 1 0 0 0
580 04-Dec-2023 FIKRI HUSAINI 3 1 7 1 0 7 6 0 0 4 9 4 0 0 0 7 SARTIKA SARI 20-Apr-1994 KP BOJONG RT04 RW20 1 1 1 0 3 0 1 0 1 0 0 0
581 04-Dec-2023 HARWANTO 3 3 2 9 1 5 4 9 1 1 9 5 0 0 0 1 SRI NUR 09-Nov-1995 KP BOJONG RT04 RW20 1 0 1 0 4 0 0 1 1 0 0 0
582 04-Dec-2023 WAHYUDI 3 2 7 6 0 5 4 5 0 5 8 3 0 0 2 3 WIWIK 05-May-1983 KP BOJONG RT04 RW20 1 1 1 0 3 0 1 0 1 0 0 0
KP BOJONG RT 04 RW 20 NO 18
583 04-Dec-2023 RONAL MUHARI 3 2 7 6 0 5 6 3 0 3 9 1 0 0 1 1 SRI MULYANI 23-May-1991 BAKTIJAYA 1 1 1 0 3 0 0 1 1 0 0 0
584 04-Dec-2023 CANDRA. B 3 2 7 6 0 5 6 7 1 2 9 8 0 0 0 1 NABILA AULIA 27-Dec-1998 KP BOJONG RT04 RW20 1 1 1 0 3 0 1 0 1 0 0 0
585 04-Dec-2023 AZHAR NUR KHOLIK 3 2 7 6 0 5 4 4 1 1 8 5 0 0 0 3 MIMIN .K 04-Nov-1995 KP BOJONG RT04 RW20 1 1 1 0 3 0 1 0 1 0 0 0
586 04-Dec-2023 ABDUL ROHMAN 3 2 7 6 0 5 5 0 0 7 8 9 0 0 1 3 RISNA 10-Jul-1989 KP BOJONG RT04 RW20 1 1 1 0 3 0 1 0 1 0 0 0
587 04-Dec-2023 WACHYUDI 3 2 7 6 0 5 4 5 0 6 7 3 0 0 0 4 MARYANAH 05-Jun-1973 KP BOJONG RT04 RW20 1 1 1 0 3 0 0 1 1 0 0 0
588 04-Dec-2023 EDI RAMA 3 3 2 8 0 3 7 0 1 2 8 4 7 1 4 8 SITI MUNAH 30-Dec-1980 KP BOJONG RT04 RW20 1 1 1 0 3 0 1 0 1 0 0 0
589 04-Dec-2023 ARRAZAK HASAN 3 2 7 6 0 5 4 1 1 1 9 6 0 0 0 3 ANITA 01-Nov-1996 KP BOJONG RT04 RW20 1 1 1 0 3 0 0 1 1 0 0 0
590 04-Dec-2023 M YUSUF 3 2 7 6 0 5 4 7 0 9 7 8 0 0 1 1 FITRIYANI 07-Sep-1978 KP BOJONG RT04 RW20 1 0 1 0 5 0 1 0 1 0 0 0
591 04-Dec-2023 SUPRIYANTO 3 2 7 6 0 5 6 3 1 0 9 9 0 0 0 9 RIA KOMALA 23-Oct-1989 KP BOJONG RT04 RW20 1 1 1 0 3 0 0 1 1 0 0 0
592 04-Dec-2023 SEPTIAN 3 2 7 6 0 5 4 2 0 9 8 6 0 0 1 6 RENA S 02-Sep-1986 KP BOJONG RT04 RW20 1 1 1 0 3 0 1 0 1 0 0 0
593 04-Dec-2023 MAWI 3 2 7 6 0 5 6 4 0 6 7 5 0 0 1 5 SOPIAH 24-Jun-1976 KP BOJONG RT04 RW20 1 1 1 0 3 0 1 0 1 0 0 0
594 04-Dec-2023 SYAMSUL FIRDAUS 3 2 7 6 0 5 6 4 1 0 8 8 0 0 0 4 LINA SYURYATI 25-Oct-1988 KP.BOJONG RT04 RW20 1 1 1 0 3 0 1 0 1 0 0 0
595 04-Dec-2023 SOEKARNO 3 2 7 6 0 5 6 7 1 2 8 1 0 0 0 3 MURNI 27-Dec-1981 KP BOJONG RT04 RW20 1 1 1 0 3 0 0 1 1 0 0 0
596 04-Dec-2023 ASMADI 3 2 7 6 0 5 4 6 0 7 8 2 0 0 0 4 TRI WINARTI 06-Jul-1982 KP BOJONG RT 04 RW 20 1 1 1 0 3 0 0 1 1 0 0 0
597 05-Dec-2023 MIANTO 1 8 0 2 2 6 5 2 0 8 9 2 0 0 0 5 TRI UTAMI 12-Aug-1992 KP BOJONG RT.006/020 3 0 0 0 4 0 1 0 1 0 0 0

598 05-Dec-2023 IRMANSYAH 3 2 7 6 0 1 4 7 0 7 8 5 0 0 1 4 LISA ROSLIANA 07-Jul-1985 KP BOJONG 68B RT06 RW20 3 1 0 0 1 0 1 0 1 0 0 0
ENJANG SAMIL
599 05-Dec-2023 3 2 7 6 0 2 4 8 0 6 9 0 0 0 0 6 GEMMY FRESSANTIKA 08-Jun-1990 KAMPUNG BOJONG NO.87 A 3 0 0 0 5 0 1 0 1 0 0 0
SAEPULOH
600 05-Dec-2023 ABDUL NAFIS 3 2 7 6 0 5 4 5 0 4 9 1 0 0 1 4 FITRI NINGSIH 05-Apr-1991 KP.BOJONG RT.006/020 3 0 0 0 5 1 0 0 1 0 0 0
601 05-Dec-2023 HASYIM 3 2 7 6 0 5 4 4 0 4 7 8 0 0 0 3 EEM SUHAEMAH 04-Apr-1978 KP BOJONG RT06 RW20 1 1 1 0 11 1 0 0 0 0 0 0
602 05-Dec-2023 DONNY ISKANDAR 3 2 7 6 0 5 5 3 0 1 8 6 0 0 1 2 SUMIRAH 13-Jan-1986 KP BOJONG RT.006/020 3 0 0 0 5 0 1 0 1 0 0 0
603 05-Dec-2023 M. AMRULLOH 3 3 2 6 0 8 5 4 0 5 9 6 0 0 6 1 SRIYATUN 19-May-1996 KP BOJONG RT06 RW20 1 1 1 0 2 1 0 0 1 0 0 0
604 05-Dec-2023 DIKA ARDIANSAH 1 8 7 2 0 1 6 8 1 0 9 8 0 0 0 8 NATSYA PUTRI HANGGITA 28-Oct-1998 KP BOJONG RT.006/020 3 1 0 0 8 1 0 0 1 0 0 0
605 05-Dec-2023 JAKA MAULANA 3 2 7 6 0 5 6 8 1 1 9 4 0 0 0 2 DEWI SUMIYATI 28-Nov-1994 KP BOJONG RT.006/020 3 1 0 0 2 1 0 0 1 0 0 0
606 05-Dec-2023 M. ASROI 3 2 7 6 0 5 6 8 0 6 8 6 0 0 1 0 ENDANG JUNIANI 28-Jun-1986 KP BOJONG RT06 RW20 2 1 0 0 1 1 0 0 1 0 0 0
607 05-Dec-2023 ADE TISNA 3 2 7 6 0 5 4 6 0 5 9 7 0 0 0 3 LIA RAHMAWATI 06-May-1997 KP BOJONG RT.006/020 3 1 0 0 2 1 0 0 1 0 0 0
608 05-Dec-2023 CANDRA 3 2 7 6 0 5 6 6 1 2 9 5 0 0 0 8 DESTI NURHAYATI 26-Dec-1995 KAMPUNG BOJONG NO.72 3 0 0 0 5 0 1 0 1 0 0 0
609 05-Dec-2023 MUHAMMAD TAJUDDIN 3 2 7 6 0 5 5 0 0 3 8 3 0 0 0 4 FITRIAH 10-Mar-1983 KP BOJONGB NO.68 RT06 RW20 3 1 0 0 8 1 0 0 1 0 0 0
610 05-Dec-2023 ABDUL MAJID 3 2 0 1 1 3 5 7 0 9 8 4 0 0 0 8 SITI MULYANA 17-Sep-1984 KP BOJONG RT.006/020 3 0 0 0 5 1 0 0 1 0 0 0
611 05-Dec-2023 SETIAWAN 3 2 7 6 0 5 4 9 1 1 8 2 0 0 1 1 DWI NUNI SAPUTRI SE 09-Nov-1982 KP BOJONG RT 06 RW 20 1 1 1 0 9 1 0 0 1 0 0 0
612 05-Dec-2023 HERY KARTONO 3 1 7 2 0 3 5 2 0 8 8 7 0 0 1 7 SITI RAMLAH 12-Aug-1987 KP BOJONG NO.31A RT.006/020 3 0 0 0 5 1 0 0 1 0 0 0
613 05-Dec-2023 DIDI 3 2 7 6 0 5 4 2 0 4 7 6 0 0 1 1 MARYANAH 02-Apr-1976 KP BOJONG RT.006/020 3 0 0 0 5 1 0 0 1 0 0 0
614 05-Dec-2023 RIZKY BHASKARA CITRA 3 2 7 6 0 6 5 1 0 5 9 5 0 0 0 1 CHAIRANI SAFITRI 11-May-1995 KP BOJONG NO.32C RT.006/020 3 1 0 0 2 0 1 0 1 0 0 0
615 05-Dec-2023 ARI WIBOWO 3 2 7 6 0 5 6 4 0 3 9 1 0 0 0 3 YA ARINDA 24-Mar-1991 KP BOJONG RT.006/020 3 0 0 0 5 1 0 0 1 0 0 0
616 05-Dec-2023 RAHADIAN AGUS RIADI 3 2 7 6 0 5 4 6 0 6 7 8 0 0 0 7 YESIKA 06-Jun-1978 KP BOJONG RT.006/020 3 0 0 0 4 0 1 0 1 0 0 0
617 05-Dec-2023 ALI ARMAN 3 2 7 6 0 5 5 8 0 5 8 2 0 0 1 5 MELY NOVITA 18-May-1982 KP BOJONG NO.66 RT06 RW20 3 0 0 0 5 1 0 0 1 0 0 0
618 05-Dec-2023 KAMALUDIN 3 2 7 6 0 5 5 0 0 1 7 8 0 0 0 4 SADIAH 10-Jan-1978 KP BOJONG NO.14 RT.006/020 3 1 0 0 8 0 1 0 1 0 0 0
619 05-Dec-2023 AMRIYANSYAH T.S 3 2 7 6 0 5 5 1 0 8 8 8 0 0 1 2 HARINDA ROSALITA P 11-Aug-1988 KP BOJONG RT 06 RW 20 NO 57 3 0 0 0 5 0 0 1 1 0 0 0
620 05-Dec-2023 IWAN RUSMANDAR 3 2 7 6 0 5 4 8 1 0 8 6 0 0 0 7 YURIKA CAHYA 08-Oct-1986 KP BOJONG RT.006/020 3 1 0 0 3 0 0 1 1 0 0 0
621 05-Dec-2023 AL MAHDI 3 2 0 1 3 5 4 7 0 7 0 2 0 0 0 2 SITI MAESAROH 07-Jul-2002 KP BOJONG RT06 RW20 1 1 1 0 2 1 0 0 1 0 0 0
622 05-Dec-2023 JUNAIDI 3 2 7 6 0 5 4 1 0 5 7 9 0 0 0 7 SITI SURAYAH 01-May-1979 KAMPUNG BOJONG NO.50A 3 0 0 0 5 0 0 1 1 0 0 0
623 05-Dec-2023 ASWIN 3 2 7 6 0 5 4 2 0 3 8 6 0 0 1 5 MAGDALENA 02-Mar-1986 KP BOJONG RT 06 RW 20 1 1 1 0 11 1 0 0 0 0 0 0
624 05-Dec-2023 SURITNO 3 3 2 6 0 9 6 4 0 2 8 3 0 0 0 2 SUPARNI 24-Feb-1983 Kp BOJONG NO.91A RT06 RW20 3 0 0 0 5 0 0 1 1 0 0 0
625 05-Dec-2023 DWI JUNLASNARITA 3 2 7 6 0 5 4 3 0 9 8 8 0 0 1 3 SUKESI 03-Sep-1987 KP BOJONG NO.48 RT06 RW 20 3 1 0 0 3 1 0 0 1 0 0 0
626 05-Dec-2023 BAYU AJI 3 2 7 6 0 5 4 6 0 5 8 1 0 0 2 6 NUR ASIYAH 06-May-1981 KP BOJONlG RT06 RW 20 NO 70 1 1 1 0 11 1 0 0 0 0 0 0
627 05-Dec-2023 FIRMANSYAH 3 2 7 6 0 5 5 2 0 9 8 6 0 0 0 9 IKA ROHIKA 12-Sep-1986 KP BOJONG NO.57A RT06 RW 20 3 0 0 0 5 1 0 0 1 0 0 0
628 05-Dec-2023 TRIONO 3 3 1 5 0 6 5 2 0 9 9 3 0 0 0 2 ANGGUN SEPTIANI 12-Sep-1993 KP BOJONG RT.006/020 3 1 0 0 2 0 1 0 1 0 0 0
629 05-Dec-2023 AMIR MAHMUD 3 2 7 6 0 5 6 1 0 5 8 5 0 0 0 7 NUR KOMAL SARI 21-May-1985 KP BOJONG NO.55 RT06 RW20 3 0 0 0 5 0 1 0 1 0 0 0
630 05-Dec-2023 SURYANA 3 2 7 6 0 5 5 4 0 8 8 3 0 0 1 6 IRMA NURDIANTI 14-Aug-1982 KP BOJONG RT.06 RW 20 3 0 0 0 5 1 0 0 1 0 0 0
631 05-Dec-2023 DENI TRISCAHYADI 3 2 7 6 0 5 6 1 0 4 7 4 0 0 1 9 DEWI AMBARITA 21-Apr-1974 KP.BOJONG NO.94 RT 006/020 3 0 0 0 6 1 0 0 1 0 0 0
632 05-Dec-2023 ANWAR SANUSI 3 2 7 6 0 5 4 5 0 8 9 1 0 0 0 9 DEBY AGUSTIANTI 05-Aug-1991 KP BOJONG RT 06/020 1 1 1 0 1 1 0 0 1 0 0 0
633 05-Dec-2023 MIFTAKHUL MUNIR 3 3 0 5 1 2 4 3 0 6 9 4 0 0 0 4 SITI LAELIYAH 03-Jun-1994 KP BOJONG NO.71B RT06 RW20 1 1 1 0 2 1 0 0 1 0 0 0
JAMES PARIS
634 05-Dec-2023 3 2 7 6 1 0 4 6 0 6 8 1 0 0 0 4 JUNI ARTAWATI HASIBUAN 06-Jun-1981 KP BOJONG RT.006/020 3 1 0 0 1 1 0 0 1 0 0 0
TARIHORAN
635 05-Dec-2023 MUHAMAD 3 2 7 6 0 5 6 0 0 2 7 8 0 0 0 4 RITA ZAHARA 20-Feb-1978 KP BOJONG RT06 RW 20 2 0 0 0 5 0 1 0 1 0 0 0

636 05-Dec-2023 SLAMET RINALDI 3 2 7 6 0 5 5 0 0 5 8 1 0 0 0 6 SAIDAH 10-May-1981 KP BOJONG RT06 RW20 2 1 0 0 3 1 0 0 1 0 0 0
637 05-Dec-2023 ABDUL GANI NASUTION 3 1 7 4 0 7 6 8 0 2 8 3 0 0 0 5 RUJINAH 28-Feb-1983 KP NOJONG RT 06 RW 20 NO 89 1 1 1 0 9 1 0 0 1 0 0 0
638 05-Dec-2023 DEDY SUHENDI 3 2 0 1 2 6 5 6 0 7 8 8 0 0 0 3 SITI NURHASANAH 16-Jul-1989 KAMPUNG BOJONG NO.79 3 1 0 0 3 0 0 1 1 0 0 0
639 05-Dec-2023 MACHFUDZ SAUQI 3 2 7 6 0 5 6 5 0 2 9 3 0 0 0 5 SENTIA FEBBI ELVIRANI 25-Feb-1993 KP BOJONG RT.006/020 3 0 0 0 4 1 0 0 1 0 0 0
640 05-Dec-2023 TIKNO ADIMAN 3 2 0 2 2 0 4 4 0 4 9 1 0 0 0 3 MARPUAH 04-Apr-1991 KP BOJONG NO.106C RT.006/020 3 0 0 0 3 0 1 0 1 0 0 0
641 05-Dec-2023 SUKADI 3 2 7 6 0 5 4 7 0 7 7 9 0 0 1 3 YULIANTI 07-Jul-1979 KP BOJONG NO.71C RT06 RW20 3 1 0 0 1 0 1 0 1 0 0 0
642 05-Dec-2023 M. KHOIRUL ANAM 3 3 0 8 1 4 4 2 0 4 9 8 0 0 0 4 MARDIYAH 02-Apr-1998 KP BOJONG RT06 RW20 1 1 1 0 2 1 0 0 1 0 0 0
643 05-Dec-2023 WARMIN 3 3 2 8 1 6 4 5 0 3 7 9 0 0 0 3 SITI MASITOH 05-Mar-1979 kP BOJONG 71 RT06 RW20 3 0 0 0 5 0 0 1 1 0 0 0
644 06-Dec-2023 SYAHRIZAL ZANUAR 3 2 7 6 0 5 5 0 0 7 7 8 0 0 0 7 ZULFIANA SAFITRI 10-Jul-1978 KP BOJONG NO.58 RT.007/020 2 0 0 0 5 0 1 0 1 0 0 0
645 06-Dec-2023 ERWIN NATAWIJAYA 3 2 7 6 0 5 5 0 0 6 8 0 0 0 1 5 TRI WAHYUNI 10-Jun-1980 KP BOJONG NO.102C RT.007/020 3 1 0 0 3 0 1 0 1 0 0 0
646 06-Dec-2023 UDUR SITANGGANG 3 2 7 6 0 5 6 5 0 4 7 7 0 0 1 6 SAHMA SIHOTANG 15-Apr-1977 KP BOJONG RT.07/020 3 0 0 0 6 1 0 0 1 0 0 0
647 06-Dec-2023 AHMAD MAULANA 3 2 7 6 0 5 6 4 0 6 9 4 0 0 0 8 RISMA YUNIANTI 24-Jun-1994 KP BOJONG NO.6 RT.007/020 1 0 1 0 4 1 0 0 1 0 0 0
648 06-Dec-2023 SUBEHI 3 2 7 6 0 2 4 4 0 5 7 9 9 0 0 1 EKOWATI 04-May-1979 KP BOJONG RT06 RW20 3 1 0 0 9 0 1 0 1 0 0 0
649 06-Dec-2023 FITRA ARIF RAHMAN 3 2 7 6 0 5 6 5 0 4 9 8 0 0 0 3 IRHAM NUR FADHILLAH 25-Apr-1998 KP BOJONG NO.2 RT.07/020 3 1 0 0 2 0 1 0 1 0 0 0
650 06-Dec-2023 KHAIRUDIN 3 2 7 6 0 5 6 0 1 2 9 5 0 0 1 5 NENENG SADIAH 20-Dec-1995 KAMPUNG BOJONG RT.007/020 1 1 1 0 2 1 0 0 1 0 0 0
651 06-Dec-2023 SIPRIONO 3 3 2 6 1 1 4 8 0 9 8 9 0 0 0 2 SITI MARYA ULFA 07-Sep-1989 KP BOJONG NO.89 RT.007/020 3 1 0 0 3 0 1 0 1 0 0 0
652 06-Dec-2023 MARDIANSYAH 3 2 7 6 0 5 4 9 0 5 9 2 0 0 1 3 KARMILA 09-May-1992 KP BOJONG RT.007/020 3 1 0 0 2 1 0 0 1 0 0 0
653 06-Dec-2023 ABDUL HAKIM 3 3 0 3 1 3 4 5 0 6 8 6 0 0 0 2 MARINI 05-Jun-1986 KP BOJONG N.43 RT07/020 3 0 0 0 5 1 0 0 1 0 0 0
654 06-Dec-2023 MUKTHAR WIDADI 3 2 7 6 0 5 5 5 0 1 8 2 0 0 0 3 MAYYA 15-Jan-1982 KP BOJONG NO.14 RT.007/020 2 1 0 0 3 1 0 0 1 0 0 0
655 06-Dec-2023 ABDUL AZIS 3 2 7 6 0 5 6 8 0 6 8 3 0 0 0 2 YUNITA 28-Jun-1983 KP BOJONG NO.103 RT.007/020 3 0 0 0 3 1 0 0 1 0 0 0
656 06-Dec-2023 YATNA SUPRIYATNA 3 2 7 6 0 5 6 7 1 1 8 5 0 0 0 7 ERNAWATI 27-Nov-1985 KAMPUNG BOJONG NO.87 RT.007/020 1 1 1 0 3 0 1 0 1 0 0 0
657 06-Dec-2023 SUGIYANTO 3 2 7 6 0 2 6 9 0 3 9 5 0 0 0 6 SITI RAHAYU 29-Mar-1995 KP BOJONG RT.07/020 3 1 0 0 2 0 1 0 1 0 0 0
658 06-Dec-2023 GUNADI 3 2 7 6 0 5 6 2 1 1 7 9 0 0 0 3 NURHAYATI 22-Nov-1979 KP BOJONG NO.94 RT07/020 3 0 0 0 5 1 0 0 1 0 0 0
659 06-Dec-2023 RIZKA ARDIANSYAH 3 2 7 6 0 5 5 1 0 1 8 4 0 0 0 4 ISTHI SULISTYANTO 11-Jan-1984 KP BOJONG NO.80 RT.007/020 3 0 0 0 5 0 1 0 1 0 0 0
660 06-Dec-2023 HERU MARWANTO 3 2 7 6 0 5 5 2 0 4 9 4 0 0 0 3 AJENG AFRILIA ADITAMA 12-Apr-1994 KP BOJONG NO.53A RT.007/020 3 1 0 0 9 0 1 0 1 0 0 0
661 06-Dec-2023 SYARIFUDIN FADLI 3 2 7 6 0 5 5 6 0 7 9 3 0 0 0 8 ANA NURHASANAH 16-Jul-1993 KP BOJONG NO.38 RT.006/020 1 1 1 0 1 1 0 0 1 0 0 0
662 06-Dec-2023 M ARIFIN 3 1 7 6 0 6 5 9 0 9 8 2 1 0 0 3 HETY HANDAYANI 19-Sep-1982 KP BOJONG NO.102 RT.007/020 3 1 0 0 3 0 1 0 1 0 0 0
663 06-Dec-2023 ALDI RIVALDI 3 2 7 6 0 5 5 7 0 6 9 8 0 0 0 2 TRYAS EMILIA DEWI 17-Jun-1998 KP BOJONG NO.51 RT.007/020 3 1 0 0 2 0 1 0 1 0 0 0
664 06-Dec-2023 DARMA 3 2 7 6 0 5 6 1 0 4 7 7 0 0 1 4 ANI 21-Apr-1977 KP BOJONG NO.100 RT.007/020 3 0 0 0 5 0 0 1 1 0 0 0
665 06-Dec-2023 ADIH 3 2 7 6 0 5 5 0 0 4 8 7 0 0 1 0 ODRY APRIYANTI 10-Apr-1987 KP BOJONG RT07.RW 20 NO 120A 3 1 0 0 8 1 0 0 1 0 0 0
666 06-Dec-2023 SUPANDI 3 2 7 6 0 5 7 0 0 6 7 9 0 0 0 4 TINAH 30-Jun-1979 KP BOJONG 101A RT.007/020 3 1 0 0 1 0 0 1 1 0 0 0
667 06-Dec-2023 TULUS HATI 3 2 7 6 0 5 5 6 0 2 0 0 0 0 0 8 FEBRIYANTI SUCISARI 16-Feb-2000 KP BOJONG NO.94 RT07/020 3 1 0 0 2 1 0 0 1 0 0 0
668 06-Dec-2023 MAMAT 3 2 0 6 2 7 5 5 1 0 8 0 0 0 0 4 YATI HAYATI 15-Oct-1980 KP BOJONG NO.96 RT.007/020 3 1 0 0 3 0 1 0 1 0 0 0
669 06-Dec-2023 BROR NURDIYANTO 3 2 7 6 0 5 6 7 0 9 8 0 0 0 1 3 FITRIAH 27-Sep-1980 KP BOJONG NO.101 RT.007/020 3 1 0 0 1 0 0 1 1 0 0 0
670 06-Dec-2023 MIFTAH ANDALUSI 3 2 7 6 0 5 7 0 0 6 8 6 0 0 1 3 IJA ZAHARA PILIANG 30-Jun-1986 KP BOJONG N0.61 RT07/020 3 0 0 0 6 0 1 0 1 0 0 0
AHMAD ANDRA
671 06-Dec-2023 3 2 7 6 0 5 4 8 0 2 8 2 0 0 1 4 RAFIQOH ULFA 08-Feb-1982 KP BOJONG NO.5 RT.007/020 3 0 0 0 6 0 1 0 1 0 0 0
FAHTONI
672 06-Dec-2023 AHMAD FAUZI SOBIRIN 3 1 7 1 0 4 6 6 1 1 9 1 0 0 0 2 NUR ANDINI 26-Nov-1991 KP BOJONG NO.4 RT.007/020 1 1 0 0 9 0 1 0 1 0 0 0
673 06-Dec-2023 ADE RIVAN RAMDON 3 2 7 6 0 5 6 2 0 5 0 2 0 0 0 7 ANJANI PEBRIANYANTI 22-May-2000 KP BOJONG RT.007/020 1 1 1 0 3 1 0 0 1 0 0 0
674 06-Dec-2023 DEDE HAMDAN 3 2 0 8 0 3 5 2 0 2 9 7 0 0 0 2 CITA FEBRYANISA ULFA 12-Feb-1997 KP BOJONG NO.52C RT.007/020 3 1 0 0 1 0 1 0 1 0 0 0
675 06-Dec-2023 DUMYATI 3 2 7 6 0 6 5 7 0 3 7 5 0 0 0 1 SUMIYATI 17-Mar-1975 KP BOJONG NO.71 RT.007/020 3 1 0 0 3 0 1 0 1 0 0 0
676 06-Dec-2023 SUTRISNA 3 2 1 6 2 1 6 7 0 7 8 0 0 0 0 6 YENI PURWANTI 17-Jul-1980 KP BOJONG NO.78 RT.007/020 3 1 0 0 1 0 1 0 1 0 0 0
677 06-Dec-2023 ACEP FAHRUDIN 3 2 7 6 0 5 6 6 0 8 7 7 0 0 0 8 TENGKU SYAROFIZA 26-Aug-1977 KP BOJONG NO.109A RT.007/020 3 1 0 0 9 0 1 0 1 0 0 0
678 06-Dec-2023 RAMZI 3 2 7 6 0 5 7 1 1 0 7 8 0 0 0 9 TRIKASRI 31-Oct-1978 KP BOJONG NO.30 RT.007/020 1 1 0 0 11 0 1 0 0 0 0 0
679 06-Dec-2023 IBRAHIM 3 2 7 6 0 5 4 5 0 9 8 7 0 0 0 3 NURLELA 06-Sep-1987 KP BOJONG RT.007/020 3 0 0 0 5 0 1 0 1 0 0 0
MUHAMMAD ZEN
680 06-Dec-2023 3 2 7 6 0 5 6 0 0 5 7 8 0 0 0 1 SUNI RAHAYU 20-May-1978 KP BOJONG RT.07/20 3 0 0 0 5 0 1 0 1 0 0 0
SUTRISNO
681 06-Dec-2023 SYAFRIZAL D P 3 2 7 6 0 5 5 8 0 2 8 9 0 0 1 2 AFNI FEBRIYAN 18-Feb-1989 KP BOJONG NO.38 RT07/020 1 1 1 0 2 0 1 0 1 0 0 0
682 07-Dec-2023 ABDUL MATTINAS 3 2 7 6 0 5 4 1 1 1 7 9 0 0 0 7 ANI WINARTI 01-Nov-1979 JL CIPANAS I NO 15 RW01 3 0 0 0 4 1 0 0 1 0 0 0
683 07-Dec-2023 FARHAN TAUFIK 3 2 7 6 0 5 6 2 0 6 9 8 0 0 1 7 ZAHRANI ZAHRA 22-Jun-1998 CIPANAS RAYA NO 83 R01W02 3 1 0 0 2 1 0 0 1 0 0 0
684 07-Dec-2023 YODIA ANTOITRIAS 3 2 7 6 0 5 5 6 0 1 8 9 0 0 0 7 SRI MARYANI 16-Jan-1989 CIPANAS RAYA NO 76 2 1 0 0 9 1 0 0 1 0 0 0
685 07-Dec-2023 AGUS SUROTO 3 2 7 6 0 5 4 5 0 8 7 9 0 0 1 9 PEPI ANDRIANI 05-Aug-1979 JL CIPANAS I NO 14 RW01 2 1 0 0 9 1 0 0 1 0 0 0
MUHAMMAD AGUS
686 07-Dec-2023 3 2 7 6 0 5 5 6 0 6 9 2 0 0 0 4 LUSI TRI INDAH 16-Jun-1992 CIPANAS RAYA NO 87zRW01 1 0 1 0 6 0 1 0 1 0 0 0
SUNARYONO
687 07-Dec-2023 AMINNUDIN 3 2 7 6 0 5 5 1 0 2 7 8 0 0 0 6 ENDAH PUJI ASTUTI 11-Feb-1978 JLN CIPANAS III NO. 59 RW01 2 1 0 0 9 1 0 0 1 0 0 0
688 07-Dec-2023 PUJO SUSANTO 3 2 7 6 0 5 4 4 1 0 7 9 0 0 0 4 DWI CHAHYANI 04-Oct-1979 CIPANAS RAYA NO 79 RW 01 3 1 0 0 2 1 0 0 1 0 0 0
689 07-Dec-2023 JOKO ISNARTO 3 3 0 5 0 1 5 1 1 1 7 6 0 0 0 2 SUTIMAH 11-Nov-1976 JL CIPANAS II NO 43 RW 01 3 0 0 0 4 1 0 0 1 0 0 0
BUKIT CENGKEH BERBUNGA BLOK B2 NO

690 10-Dec-2023 RULIAWAN 3 1 7 4 0 5 6 5 1 2 8 3 0 0 0 9 DESI NATALIA 25-Dec-1983 3 0 0 0 6 0 1 0 1 0 0 0
6 RT001 RW024
691 10-Dec-2023 FAROUK SYAHBANA 3 2 7 6 0 5 4 6 1 1 8 3 0 0 0 3 NOFIANTI HERLINA 11-Jun-1983 JL CIPANAS III NO 58 3 1 0 0 9 1 0 0 1 0 0 0
692 10-Dec-2023 RISKI 3 2 7 6 0 5 4 5 0 8 9 1 0 0 0 8 ZULAEHA 15-Aug-1991 CIDURIAN 3 NO 200 3 1 0 0 9 1 0 0 1 0 0 0
693 10-Dec-2023 EKO FEBRIANTO 3 2 4 6 0 5 5 0 0 9 8 0 0 0 1 2 REZKA FITRIYAH 10-Sep-1980 BCB D2/15 RW 24 3 1 0 0 9 0 1 0 1 0 0 0
694 10-Dec-2023 RIZKY 3 2 7 6 0 5 4 3 0 5 9 9 0 0 1 1 RIZKA M 03-May-1999 Jl Cipanas Raya 2 0 0 0 6 0 1 0 1 0 0 0
695 10-Dec-2023 FRANCISCUS SIMAMORA 1 2 1 2 0 7 4 1 0 5 9 3 0 0 0 3 MERI KRISTIN HASIBUAN 01-May-1993 JL. CIDURIAN RAYA NO. 164 3 1 0 0 9 1 0 0 1 0 0 0
696 10-Dec-2023 RHONY NUNGKY F 3 1 7 3 0 7 6 6 0 2 9 6 0 0 0 2 NENG ACAH 26-Feb-1996 JL. CIDURIAN II NO. 142 3 1 0 0 9 1 0 0 1 0 0 0
697 10-Dec-2023 AHMAD ROMLI 3 5 2 7 0 1 6 9 0 6 9 1 0 0 0 1 KHALIFATUR RIFDAH 29-Jun-1991 KP BOJONG RT 02 RW 20 2 1 0 0 11 0 1 0 0 0 0 0
698 10-Dec-2023 AGUS TRIAWAN 3 2 0 1 1 3 5 0 1 0 9 0 0 0 0 1 KHUSNUL KHOTIMAH S. 10-Oct-1990 JL CIPANAS III NO.64 2 1 0 0 11 0 1 0 0 0 0 0
699 10-Dec-2023 ZULFI ROBBANI 3 1 7 4 0 5 6 8 0 9 9 7 0 0 0 3 NOER KHOLIFAH 28-Sep-1997 JL CIPANAS II NO 40 1 0 1 0 6 0 1 0 1 0 0 0

700 10-Dec-2023 DHIKA NUGRAHA 3 2 7 6 0 8 5 8 0 2 8 9 0 0 0 1 EVA YOLANDA SUSIARTI 18-Feb-1989 3 0 0 0 6 0 1 0 1 0 0 0
2 & 23 RT 01 RW 24
701 10-Dec-2023 RUSDI 3 2 7 6 0 5 4 8 0 6 7 9 0 0 0 6 SULIYATI 06-Jun-1979 JL CIDURIAN 3 2 1 0 0 11 0 1 0 0 0 0 0
702 15-Dec-2023 AHMAD MUHRIM I, 3 2 7 6 0 5 6 7 1 2 8 4 0 0 0 9 RETNO HERAWATI 27-Dec-1984 BCB. RT 03 RW 24 BLOK C2 NO 005 3 0 0 0 6 0 1 0 1 0 0 0
BUKIT CENGKEH BERBUNGA BLOK A3 NO

703 15-Dec-2023 GURIEL AGUSTINO M 3 1 7 5 0 3 5 6 0 8 8 5 0 0 0 3 REZMI NAMORA 16-Aug-1985 3 1 0 0 9 1 0 0 1 0 0 0
4-5
704 15-Dec-2023 ANGGA PERMANA 3 2 7 6 0 5 5 2 0 3 9 6 0 0 1 2 DEFI ANGGREANI 12-Mar-1996 BCB. RT 003 RW 024 BLOK C1 NO 2 3 1 0 0 9 0 1 0 1 0 0 0
705 15-Dec-2023 SANDI 1 0 7 1 0 1 6 0 0 4 9 0 0 0 0 2 RULLY 20-Apr-1990 BCB.A2/22 RT02 RW24 3 1 0 0 1 1 0 0 1 0 0 0

706 15-Dec-2023 ADITIYO DWI NUGROHO 3 2 7 6 0 5 5 2 1 1 8 7 0 0 0 5 AYUNINGTYAS 12-Nov-1987 3 1 0 0 9 0 1 0 1 0 0 0
15 RT001 RW024

707 15-Dec-2023 HERFIN TOJIB 0 9 5 2 0 2 4 7 1 2 7 7 0 3 9 4 EMIRAL DIANA 07-Dec-1977 3 0 0 0 6 0 1 0 1 0 0 0
7 RT02 RW024

708 15-Dec-2023 DIDIN NURADIN 3 2 7 6 0 2 5 2 0 4 8 0 0 0 2 2 EUIS APRIANTI 12-Apr-1980 3 0 0 0 6 0 1 0 1 0 0 0
19 RT001 RW024
709 15-Dec-2023 ARIEF WAHYU BASUKI W 3 2 7 6 0 5 5 1 0 4 7 7 0 0 1 1 WIDATI SARASTUTI 11-Apr-1977 BCB.A2 NO5 RT02 RW24 3 1 0 0 9 0 1 0 1 0 0 0
710 15-Dec-2023 YUDI DANU SAPUTRA 3 1 7 5 1 0 5 1 0 9 7 6 0 0 0 4 RAHMA WULANSARI 11-Sep-1976 BCB.RT03 RW24 BLOK C2 NO 003 3 0 0 0 6 0 1 0 1 0 0 0

711 15-Dec-2023 TONI PRABOWO 3 2 7 6 0 5 4 1 0 9 9 5 0 0 0 6 MARWAH AZIZAH KARIEM 01-Sep-1995 3 0 0 0 6 1 0 0 1 0 0 0
10
712 15-Dec-2023 DARMA PUTRA 3 1 7 5 0 9 4 1 0 1 8 0 0 0 1 1 SANUR TRIDA SIREGAR 01-Jan-1980 3 1 0 0 9 1 0 0 1 0 0 0
11 RT002 RW024
713 15-Dec-2023 ANTONNIUS 3 2 7 6 0 5 5 9 0 1 9 0 0 0 0 6 RUTH JEANE ELIZABETH 19-Jan-1990 BUKIT CENGKEH BERBUNGA BLOK A2/11 3 1 0 0 1 0 1 0 1 0 0 0
714 16-Dec-2023 LUTFHI ABDUL AZIZ 3 2 7 6 0 5 4 3 0 5 8 9 0 0 0 4 NADIA NATASIA 03-May-1989 BCB.BLOK A5 NO. 10 3 0 0 0 6 0 1 0 1 0 0 0
715 16-Dec-2023 FERY 3 2 7 6 0 5 9 9 0 7 8 2 0 0 1 1 HERAWATI 28-Jul-1982 BCB.C4/17 RT04/24 3 1 0 0 9 0 1 0 1 0 0 0
716 16-Dec-2023 ANDRY KARDO 3 2 7 6 0 5 5 2 1 1 8 7 0 0 0 7 ARMAPALA KARNEA W 12-Nov-1987 BCB. BLOK A1/1 3 1 0 0 9 1 0 0 1 0 0 0
717 16-Dec-2023 PANCAR K 3 2 7 6 0 5 5 1 0 4 8 5 0 0 1 9 LULUT.A.I 11-Apr-1983 BCB.B4/9 RT05/24 3 1 0 0 9 1 0 0 1 0 0 0
718 16-Dec-2023 ARIO SUNAR BASKORO 3 2 7 6 0 6 5 0 0 4 8 0 0 0 0 1 LIA HARNITA 10-Apr-1980 BCB.RT 005 RW 024 BLOK A4 NO 001 3 0 0 0 6 0 1 0 1 0 0 0
719 16-Dec-2023 HERMAWAN 3 2 7 6 0 5 4 1 1 0 9 6 0 0 0 3 MIRA SUNDARI 01-Oct-1996 BCB C1/1 RT03/24 3 0 0 0 6 0 1 0 1 0 0 0
720 16-Dec-2023 MUHAMMAD IWAN H. 3 1 7 5 0 7 6 0 0 6 8 3 0 0 0 9 BERLI 20-Jun-1983 BCBA5/6 RT05/24 3 0 0 0 6 0 1 0 1 0 0 0
YUGO LEONARDO BUKIT CENGKEH BERBUNGA RT 003 RW

721 16-Dec-2023 1 6 7 1 0 8 6 7 0 8 9 0 0 0 0 4 ATRI AISYAH 27-Aug-1990 3 0 0 0 6 0 1 0 1 0 0 0
SUYONO 024 BLOK C2 NO 012
722 16-Dec-2023 ABRIANTO 5 3 2 4 0 8 4 6 0 7 9 6 0 0 0 1 SHAFADILA 06-Jun-1996 BCB.A5/8 RT05/24 3 1 0 0 8 1 0 0 1 0 0 0
723 16-Dec-2023 RUFAL DS 3 2 7 6 0 7 4 3 1 8 9 1 0 0 0 5 DESTA 08-Feb-1991 BCB.C2/4 RT03/24 3 0 0 0 6 0 1 0 1 0 0 0
PUPUNG PUNGGA
724 16-Dec-2023 3 2 7 6 0 5 4 1 1 1 8 0 0 0 0 6 MILA NOVITA 01-Nov-1980 BCB.C7/15RT05/24 3 0 0 0 6 0 1 0 1 0 0 0
LESMANA
725 16-Dec-2023 AQA BIQI 3 2 7 6 0 5 6 9 0 8 8 4 0 0 0 9 YUANITA ASRI W 29-Aug-1984 BCB RT 03 RW 24 BLOK C2 NO 011 2 1 0 0 11 1 0 0 0 0 0 0
726 16-Dec-2023 TRI NUGROHO 3 2 0 1 1 8 4 7 1 0 8 5 0 0 0 6 MASAYU.D 07-Oct-1985 BCB. C4/18 RT04/24 3 1 0 0 3 0 1 0 1 0 0 0
727 16-Dec-2023 AFDIL MARDI 3 2 7 6 0 2 5 9 0 7 8 4 0 0 1 3 SITI SOPIAH 19-Jul-1984 BCB. BLOK B6/8 RT06/24 3 1 0 0 9 1 0 0 1 0 0 0
1) Keterangan Kode
STATUS PESERTA KB KODE JENIS ALOKON (Diisi Pada Jenis Tindakan dan Kasus)
1 : Peserta KB Baru 3 : Peserta KB Ulangan 1 : Suntikan 1 Bulanan 3 : Suntikan 3 Bulanan 5 : Pil Progestin 7 : Implan 1 Batang 9 : IUD 11 : Tubektomi
2 : Peserta KB Ganti 4 : Komplikasi 2 : Suntikan 3 Bulanan 4 : Pil Kombinasi 6 : Kondom 8 : Implan 2 Batang 10 : Vasektomi
2) SELAIN STATUS PESERTA KB, JENIS TINDAKAN DAN KASUS DIISI TANDA CENTANG (V)
1. Petugas Entri Data Lamp.R/I/KB/20
LAMPIRAN R/I/KB/20 Lembar 21
1 2 3 4 5 6
3 2 7 6 0 2 4 Bulan : 2023
NAMA FASKES/ UPTD Puskesmas Baktijaya 7 8 9 10 11 V
:
JARINGAN/JEJARING Kode Provinsi Kode No. Register Faskes No. Jaringan/
Kabupaten/ Jejaring Faskes
Kota
RINGKASAN HASIL PELAYANAN KB
PESERTA KB BARU (PB) PESERTA KB ULANGAN PELAYANAN KASUS
PEMBERIAN INFORMED PB DAN KESERTAAN JKN PEMBERIAN INFORMED

NO. METODE KONTRASEPSI CONSENT CONSENT (Untuk
(Untuk PB) PB PASCA PB PASCA Peserta KB Ulangan)
GANTI CARA PELAYANAN ULANG PENCABUTAN KOMPLIKASI BERAT KEGAGALAN
PERSALINAN KEGUGURAN
PB JKN PB NON JKN TOTAL PB
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 KONDOM 0 0 0 0 0 0 0 0 1 0 0
2 SUNTIKAN 0 0 0 0 0 0 1 0 1 0 0
3 IUD 0 0 0 0 0 0 1 0 1 0 0
4 SUNTIKAN 1 0 1 1 1 0 0 0 0 0 0
5 SUNTIKAN 1 1 0 1 1 0 0 0 0 0 0
6 SUNTIKAN 1 0 1 1 1 0 0 0 0 0 0
7 SUNTIKAN 1 1 0 1 1 0 0 0 0 0 0
8 KONDOM 0 0 0 0 0 0 0 0 1 0 0
9 PIL 0 0 0 0 0 0 0 0 1 0 0
10 SUNTIKAN 1 1 0 1 1 0 0 0 0 0 0
11 SUNTIKAN 1 0 0 0 1 0 0 0 0 0 0
12 IMPLAN 0 0 0 0 0 0 1 0 1 0 0
13 IUD 1 1 0 1 1 0 0 0 0 0 0
14 SUNTIKAN 1 1 0 1 1 0 0 0 0 0 0
15 SUNTIKAN 1 0 1 1 1 0 0 0 0 0 0
16 IUD 1 0 1 1 0 0 0 0 0 0 0
17 SUNTIKAN 1 0 1 1 1 0 0 0 0 0 0
18 SUNTIKAN 1 1 0 1 1 0 0 0 0 0 0
19 SUNTIKAN 1 0 1 1 1 0 0 0 0 0 0
20 PIL 0 0 0 0 0 0 0 0 1 0 0
21 MOP 1 1 0 1 1 0 0 0 0 0 0
22 SUNTIKAN 1 1 0 1 1 0 0 0 0 0 0
JUMLAH 441 468 90 558 576 0 83 19 119 0 0 0
Kota Depok , 27-December-2023

Pimpinan Faskes KB/Jaringan/Jejaring*
197112252007012003
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1.

Petugas Entri Data

PESERTA KB JENIS TINDAKAN Kasus PENGGUNAAN

STATUS PESERTA KB (Kode)

1 09-Jan-2023 TRI SESIO 3 2 7 6 0 5 6 7 1 2 9 1 0 0 0 5 DESI DWI 27-Dec-1991 SUGU TAMU 1 1 1 0 2 1 0 0 1 0 0 0

2 09-Jan-2023 FIQIH 3 1 7 4 0 4 6 4 0 9 9 9 0 0 0 3 NURIANI 24-Sep-1999 CIMANDIRI 3 1 0 0 2 1 0 0 1 0 0 0

3 09-Jan-2023 ARIULAH 3 2 7 6 0 5 4 5 0 5 9 5 0 0 0 3 SINTIA 05-May-1995 TIPAR 1 1 1 0 2 1 0 0 1 0 0 0

4 09-Jan-2023 Hadu Dosan 3 2 7 6 0 5 4 5 1 1 8 8 0 0 0 2 Elida Fiona 05-Nov-1988 Sugu Tamu 081818761218 1 1 1 0 2 1 0 0 1 0 0 0

5 09-Jan-2023 AFIAN 3 1 7 5 0 9 6 3 0 5 9 7 0 0 0 3 AYU FRIDIA 23-May-1997 CISALAK 1 1 1 0 2 1 0 0 1 0 0 0

6 09-Jan-2023 HASNO 3 3 1 2 1 3 5 7 0 7 8 7 0 0 0 1 DEWI SULASTRI 17-Jun-1987 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0

7 09-Jan-2023 3 2 7 6 0 2 2 7 0 3 8 6 0 0 0 1 EKA MILAWATI 17-Mar-1986 TUGU 1 1 1 0 2 1 0 0 1 0 0 0

8 09-Jan-2023 RIYANTO 3 2 1 6 1 9 5 0 0 4 8 5 0 0 1 2 DIAN 10-Apr-1985 JELUTUNG 3 1 0 0 2 1 0 0 1 0 0 0

9 09-Jan-2023 RONI 3 2 7 6 0 5 5 6 0 1 8 7 0 0 1 2 TRIANI 06-Nov-1988 BAKTIJAYA 3 1 0 0 2 1 0 0 1 0 0 0

10 09-Jan-2023 YUDIANYONO 3 2 7 6 0 2 5 7 0 7 8 2 0 0 2 9 FITRI FATIMA 17-Jul-1982 BAKTIJAYA 3 1 0 0 2 1 0 0 1 0 0 0

11 09-Jan-2023 CANDRA 3 2 7 6 0 5 6 7 1 2 9 8 0 0 0 1 NABILA AULIA 27-Dec-1998 BAKTIJAYA 3 1 0 0 2 1 0 0 1 0 0 0

12 13-Jan-2023 PURNAMA 3 2 7 6 0 5 0 9 0 3 6 9 0 0 0 8 RITA FITRI 09-Mar-1969 JL. JATI 1 0 1 0 4 1 0 0 1 0 0 0

13 13-Jan-2023 HASANUDDIN 3 2 7 6 0 5 4 1 0 6 8 0 0 0 2 1 SUPINI 01-Jun-1980 JL. TURI 3 NO 16 1 0 1 0 4 1 0 0 1 0 0 0

14 13-Jan-2023 SURATNO 3 2 7 6 0 5 4 5 0 3 8 3 0 0 1 3 SURYANTI 05-Mar-1983 BAKTIJAYA 3 0 0 0 4 1 0 0 1 0 0 0

15 13-Jan-2023 WAHYU 3 2 7 6 0 5 7 1 0 8 8 3 0 0 0 4 RINA HANDAYANI 01-Aug-1983 JL. KURING 1 0 1 0 4 1 0 0 1 0 0 0

16 13-Jan-2023 Hardiana 3 2 7 6 0 5 6 4 0 8 9 8 0 0 0 5 Melila Gunawan 25-Aug-1998 Bakti jaya 3 1 0 0 2 1 0 0 1 0 0 0

17 14-Jan-2023 Danu 3 2 7 6 0 5 5 3 0 2 0 0 0 0 0 2 Nabillah Saputri 13-Feb-2000 Bakti jaya 3 1 0 0 2 1 0 0 1 0 0 0

18 21-Jan-2023 AZWAR 3 2 7 6 0 5 4 5 0 8 9 1 0 0 0 9 DEBY AGUSTIANTI 05-Aug-1991 BAKTIJAYA 082113217097 3 1 0 0 2 1 0 0 1 0 0 0

19 27-Jan-2023 ADE 3 2 1 6 2 2 6 7 0 1 8 7 0 0 0 2 SAPRIAH 27-Nov-9987 SUGU TAMU 3 1 0 0 2 1 0 0 1 0 0 0

22 01-Sep-2023 Kiky 3 2 7 6 0 5 5 5 0 6 0 3 0 0 0 7 Windi 15-Jun-2003 Jl. Sampit IV 1 1 1 0 10 1 0 0 1 0 0 0

24 01-Sep-2023 RAHMAT HIDAYAT 3 2 7 6 0 1 5 2 0 9 7 3 0 0 0 6 WIWIN YUNIATI 12-Sep-1973 JL MAHAKAM 1/100 RT 003/012 2 1 0 0 3 1 0 0 1 0 0 0

25 01-Sep-2023 M. MUCHLIS 3 2 7 6 0 5 5 5 1 2 6 5 0 0 0 4 SRI SUHARYEKTI 15-Dec-1965 JLN. SAMPIT 1 NO. 284 RT 08 RW 12 1 0 1 0 5 1 0 0 1 0 0 0

27 01-Sep-2023 ANDRI HERNANDI 3 2 7 6 0 5 6 3 1 2 7 8 0 0 0 1 DESI NENI ASTUTI 20-Dec-1978 JL MAHAKAM V1 NO 119 2 1 0 0 10 1 0 0 1 0 0 0

29 01-Sep-2023 AULIA ANNAS 3 2 7 6 0 5 4 5 0 6 7 5 0 0 0 4 KISWATI 05-Jun-1976 JL SAMPIT V11 NO 177 2 1 0 0 3 1 0 0 1 0 0 0

31 04-Sep-2023 NOVIYANTO 3 1 7 5 0 5 6 3 0 7 9 2 0 0 0 3 RISMA 23-Jul-1995 SAMPIT VII 1 1 1 0 3 1 0 0 1 0 0 0

32 04-Sep-2023 SUPRIYADI 3 1 7 2 0 3 5 6 0 1 8 9 0 0 0 1 JANIAR ALETA 16-Jan-1989 JLN.MAHAKAM I/94 RT 003/012 1 1 1 0 10 1 0 0 1 0 0 0

33 04-Sep-2023 DEYA M 3 2 7 6 0 5 5 3 0 9 2 0 0 0 0 2 PRILLY 13-Mar-1992 Jl. Sampit VII 1 1 1 0 2 1 0 0 1 0 0 0

34 04-Sep-2023 BAMBANG SUKAMTO 3 2 7 6 0 5 6 6 0 4 8 0 0 0 1 0 YATMINI 26-Apr-1980 JLN.BORNEO RAYA/34 1 1 1 0 3 1 0 0 1 0 0 0

36 04-Sep-2023 SUGIMAN 3 2 7 1 1 0 5 6 0 1 8 8 0 0 0 1 YENI 10-Jan-1989 Jl. Mahakam IV 1 1 1 0 3 1 0 0 1 0 0 0

37 04-Sep-2023 RUDI 3 2 7 6 0 5 7 0 0 7 7 8 0 0 1 1 RINA 30-Jul-1978 Jl. Mahakam 1 1 1 0 3 1 0 0 1 0 0 0

38 11-Sep-2023 DENIH 3 2 7 6 0 5 6 7 0 2 8 3 0 0 0 4 SURYATI 27-Feb-1983 BAKTIJAYA 1 1 1 0 9 1 0 0 1 0 0 0

39 11-Sep-2023 ARY S 3 2 7 6 0 5 6 4 4 0 1 8 0 0 0 2 RITA 04-Jan-1982 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0

41 11-Sep-2023 AMUN NAWAWI 3 2 7 6 0 5 6 0 1 2 8 4 0 0 1 4 AMELIA N 20-Dec-1984 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0

42 11-Sep-2023 SLAMET RIYANTO 3 2 7 6 0 5 4 2 1 0 8 3 0 0 0 3 ASTUTY 02-Oct-1983 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 10 1 0 0 1 0 0 0

43 11-Sep-2023 ANDRI YANTO 3 2 0 1 0 1 6 0 0 3 2 0 2 0 0 8 NURAINI 20-Mar-2002 BAKTIJAYA 1 1 1 0 2 1 0 0 1 0 0 0

JL.KERAMAT BENDA RT 002 RW 027 NO 53

JL.KERAMAT BENDA RT 002 RW 027 NO 50

46 11-Sep-2023 MIFTAHUL KHOIRI 3 2 7 6 0 5 5 3 0 9 8 9 0 0 0 2 WIYARSIH 13-Sep-1989 JL.KERAMAT BENDA RT 002 RW 027 NO 53 J 1 0 1 0 4 1 0 0 1 0 0 0

JL.KERAMAT BENDA RT 002 RW 027 NO 40

50 11-Sep-2023 DARJO 3 2 0 8 0 6 4 8 0 8 7 7 0 0 0 1 SITI AMINAH 08-Aug-1977 JL.KERAMAT BENDA RT 002 R 027 1 1 1 0 10 1 0 0 1 0 0 0

JL.KERAMAT BENDA RT 002 RW 027 NO 84

JL.KERAMAT BENDA RT 002 RW 027 NO 53

54 11-Sep-2023 DARMUDI 3 2 7 6 0 5 5 4 1 2 7 7 0 0 0 1 WATRI 14-Dec-1977 JL.KERAMAT BENDA RT 02 RW 027 NO. 71 1 0 1 0 4 1 0 0 1 0 0 0

55 11-Sep-2023 SUTRIS WAHYU TRI U 3 2 7 6 0 5 5 3 0 8 8 8 0 0 0 1 EMA ARIANDITA 13-Aug-1988 JK.KERAMAT BENDA 1 1 1 0 9 1 0 0 1 0 0 0

57 12-Sep-2023 HANIF 3 2 7 6 0 5 5 8 0 8 8 2 0 0 1 4 HELEN 18-Aug-1982 PELNI C2/18 1 1 1 0 7 1 0 0 1 0 0 0

58 12-Sep-2023 HENDRA DAMANIK 3 2 7 6 0 5 6 7 1 1 8 7 0 0 0 2 NOVRIDA HENING P 27-Nov-1987 PELNI G4 RT 6 RW 17 1 1 1 0 9 1 0 0 1 0 0 0

59 12-Sep-2023 GALIH 3 2 7 6 0 5 5 0 0 7 8 6 0 0 1 3 HERLINA 10-Jul-1986 PELNI E1/20 1 1 1 0 9 1 0 0 1 0 0 0

60 12-Sep-2023 YOGI 3 2 7 6 0 5 6 4 0 5 7 8 0 0 0 4 RESTI 24-May-1978 KOMPLEK PELNI 1 0 1 0 4 1 0 0 1 0 0 0

61 12-Sep-2023 TAUFAN 3 1 7 5 1 0 5 8 1 2 9 0 0 0 0 1 DEVI. A 18-Dec-1990 PELNI E1/21 1 1 1 0 7 1 0 0 1 0 0 0

62 12-Sep-2023 IVAN 3 2 7 6 0 5 5 6 1 1 8 5 0 0 2 5 ATIKA 16-Nov-1985 PELNI G4/1 1 1 1 0 9 1 0 0 1 0 0 0

63 12-Sep-2023 SUNARNO 3 2 7 6 0 5 6 1 1 0 8 8 0 0 0 2 FADILLAH AMALIA 21-Oct-1988 PELNI BLOK G4 RT 6 RW 17 1 1 1 0 9 1 0 0 1 0 0 0

64 14-Sep-2023 SOLAHUDIN 3 2 7 6 0 2 4 1 0 1 8 8 0 0 2 4 ROHANI 01-Jan-1988 BAKTIJAYA 1 1 1 0 11 1 0 0 0 0 0 0

68 14-Sep-2023 TOHID 3 2 0 9 0 5 4 1 0 1 8 2 0 0 1 3 SITI AENAH 01-Jan-1982 JL KERAMAT BENDA RT 002 RW 027 1 0 1 0 6 1 0 0 1 0 0 0

69 14-Sep-2023 DARMANTO 3 1 7 6 0 1 6 1 0 2 8 8 0 0 0 3 RATIH LARA 21-Mar-1988 BAKTIJAYA 1 0 1 0 6 1 0 0 1 0 0 0

70 14-Sep-2023 TARYADI 3 2 1 2 0 5 7 0 0 6 7 6 0 0 0 3 CARIDEM 30-Jun-1976 JL.KERAMAT BENDA 1 1 1 0 2 1 0 0 1 0 0 0

JL.KERAMAT BENDA RT 002 RW 027 NO 04

72 14-Sep-2023 RIDWIN PRASETYO 3 1 7 5 0 3 5 6 1 1 8 2 0 0 0 5 MULIAWATI 16-Nov-1982 JL.KERAMAT BENDA RT 002 RW 027 1 1 1 0 9 1 0 0 1 0 0 0

73 14-Sep-2023 ANDONO 3 2 1 6 2 1 4 1 0 7 8 0 0 0 0 5 SILVIA 01-Jul-1980 BAKTIJAYA 1 0 1 0 4 1 0 0 1 0 0 0

74 14-Sep-2023 HERDI 3 2 7 6 0 5 4 1 0 2 8 4 0 0 1 8 FITRI ARIFIN 01-Feb-1984 JL.KERAMAT BENDA RT 002 RW 027 NO 54 I 1 0 1 0 6 1 0 0 1 0 0 0