DATA WARGA USIA 15-59 TAHUN KELURAHAN MUNJUL

Nama Kader Dasawisma :NURHIDAYANTI

Kelompok Dasawisma :BUAH SAWO 008.007.001

JENIS PENDIDIKAN BPJS/

KELAMIN ASURANSI
NO NAMA NIK TANGGAL LAHIR
TIDAK SD SMP SMA D3 S1 S2
L P SEKOLAH PUNYA TIDAK

1 AGUNG SUKARTA 3175101004810001 10-'04-1981 ✅ ✅ ✅

2 NURHIDAYANTI 3175105805820008 28-'05-1982 ✅ ✅ ✅

3 RAMADHANI SHIHABIDA 3175101211030004 12-'11-2003 ✅ ✅ ✅

4 MUHAMMAD JIDAN PRASETYA 3175102202060001 22-'02-2006 ✅ ✅ ✅

5 ANTON ADI NUGROHO 3175091209780002 12-'09-1978 ✅ ✅ ✅

6 PUSPA APRIANI 3175048004950008 20-'04-1995 ✅ ✅ ✅
7 GUNAWAN 3175101602740008 16-'01-1974 ✅ ✅ ✅
8 PRIYATNAH 3175101602740003 08-'06-1978 ✅ ✅ ✅
9 NICO MARCELINO 3175104806780004 01-'06-1997 ✅ ✅ ✅
10 MUHAMMAD RANGGA PANGESTOE 3175100106970003 26-'012002 ✅ ✅ ✅

11 RAFLY GIVANI FAIZBILAH 3175102601021001 15-'01-2006 ✅ ✅ ✅

12 MUHAMMAD FIRDAUS 3175101501060006 04-'02-1980 ✅ ✅ ✅

13 YULI SRI ASTUTI 3175095207800004 12-'07-1980 ✅ ✅ ✅

14 JEJEN BUSTOMI 3272011208920042 12-'08-1992 ✅ ✅ ✅

15 SUSI HOlIDIAWATI 3215196003960002 20-'03-1996 ✅ ✅ ✅

16 JULIAH 3175046505750009 25-'06-1975 ✅ ✅ ✅

17 SITI NIRHASANAH 3175049909990003 19-'09-1999 ✅ ✅ ✅

18 AHMAD KHALID 3175041302060005 13-'02-2006 ✅ ✅ ✅

19 BADARUL ALAM 3175081903950005 19-'05-1995 ✅ ✅ ✅

20 MAI KHARIMAH 3175046305960004 23-'05-1996 ✅ ✅ ✅

21 TAMI INDAH PERMATASARI 317509711001005 31-'10-2001 ✅ ✅ ✅

Hal. 1/6
HUN KELURAHAN MUNJUL

:NURHIDAYANTI
:BUAH SAWO 008.007.001

NIK KET

3175101004810001 BPJS PBI

3175105805820008 BPJS PBI
3175101211030004 BPJS PBI
3175102202060001 BPJS PBI
3175091209780002 BPJS MANDIRI
3175048004950008 BPJS MANDIRI
3175101602740008 BPJS PBI
3175101602740003 BPJS PBI
3175104806780004 BPJS PBI
3175100106970003 BPJS PBI
3175102601021001 BPJS PBI
3175101501060006 BPJS PBI
3175095207800004 BPJS PBI
3272011208920042 BPJS PBI
3215196003960002 BPJS PBI
3175046505750009 BPJS PBI
3175049909990003 BPKS PBI
3175041302060005 BPJS PBI
3175081903950005 BPJS PBI
3175046305960004 BPJS PBI
317509711001005 BPJS MANDIRI

Hal. 2/6
DATA WARGA USIA 15-59 TAHUN KELURAHAN MUNJUL

Nama Kader Dasawisma :NURHIDAYANTI

Kelompok Dasawisma :BUAH SAWO 008.007.001

JENIS PENDIDIKAN BPJS/

KELAMIN ASURANSI
NO NAMA NIK TANGGAL LAHIR
TIDAK SD SMP SMA D3 S1 S2
L P SEKOLAH PUNYA TIDAK

22 SYIFA AMELIA NADAYANG 3175104306970005 03-'06-1997 ✅ ✅ ✅

23 EMICK RIZKYI SODOGORON 3175100105830010 01'-05-1983 ✅ ✅ ✅

24 PARULIAN MARBUN 3175100202800013 02-'02-1980 ✅ ✅ ✅

25 ADELIA LUMBARJA 3172027103850012 31-'03-1985 ✅ ✅ ✅

26 SUYANTI 3507026006870001 25-'02-1980 ✅ ✅ ✅

27 RATNA SARI DEWI 3175096502800003 28-'02-1980 ✅ ✅ ✅

28 DENY HARIANTO 3276022006820021 20-'06-1982 ✅ ✅ ✅

29 LISNA 3175106000880008 20-'06-1988 ✅ ✅ ✅

30 ISNADI SYUKRI 3175092012780010 20-'12-1978 ✅ ✅ ✅

31 RURI MARTININGRUM 3175094803820001 08'03-1982 ✅ ✅ ✅

32 FARHAN HAZAMI ISNADI 3175093103070006 31-'03-2007 ✅ ✅ ✅

33 RIDWAN BASUKI 3175091607780001 15-'07-1978 ✅ ✅ ✅

34 HERNAWATI 3201165001900001 10-'01-1990 ✅ ✅ ✅

35 HARJAYA 3175100508370004 05-'08-1973 ✅ ✅ ✅

36 IMUR 3175102709000002 10-'05-1976 ✅ ✅ ✅

37 IMAM SUPARMAN 3175100210020003 27-'09-2000 ✅ ✅ ✅

38 IFAN SANJAYA 3175104701091005 07-'01-2002 ✅ ✅ ✅

39 ANGGA SULAIMAN 3175100507860003 03-'02-1986 ✅ ✅ ✅

40 FEBRIANI 3175104302840003 03-'02-1984 ✅ ✅ ✅

41 SALSABILA AYUNDA NAUTAMA S 3175105907040006 19-'07-2004 ✅ ✅ ✅

42 KOMARIAM 3175105412890009 14-'02-1989 ✅ ✅ ✅

Hal. 3/6
HUN KELURAHAN MUNJUL

:NURHIDAYANTI
:BUAH SAWO 008.007.001

NIK KET

3175104306970005 BPJS PBI

3175100105830010 BPJS PBI
3175100202800013 BPJS PBI
3172027103850012 BPJS PBI
3507026006870001 BPJS PBI
3175096502800003 BPJS PBI
3276022006820021 BPJS PBI
3175106000880008 BPJS PBI
3175092012780010 BPJS PBI
3175094803820001 BPJS PBI
3175093103070006 BPJS PBI
3175091607780001 BPJS PBI
3201165001900001 BPJS PBI
3175100508370004 BPJS PBI
3175102709000002 BPJS PBI
3175100210020003 BPJS PBI
3175104701091005 BPJS PBI
3175100507860003 BPJS PBI
3175104302840003 BPJS PBI
3175105907040006 BPJS PBI
3175105412890009 BPJS PBI

Hal. 4/6
DATA WARGA USIA 15-59 TAHUN KELURAHAN MUNJUL

Nama Kader Dasawisma :NURHIDAYANTI

Kelompok Dasawisma :BUAH SAWO 008.007.001

JENIS PENDIDIKAN BPJS/

KELAMIN ASURANSI
NO NAMA NIK TANGGAL LAHIR
TIDAK SD SMP SMA D3 S1 S2
L P SEKOLAH PUNYA TIDAK

43 SUPRIYSTI UVI YULiSTIA 3175106104690002 21-'04-1969 ✅ ✅ ✅

44 DHIO RIZKY FADILLA CHANDRA 3175101712960003 17-'12-1996 ✅ ✅ ✅

45 SHANDI VINOZA CHANDRA 3175101801890001 16-'08-2012 ✅ ✅ ✅

46 SARMAN 3175100304650006 03-'04-1965 ✅ ✅ ✅

47 SUMARNI W 3175107112760007 31-'12-1976 ✅ ✅ ✅

48 SARMILA JULIA PUTRI 3175107006010001 30-'06-2001 ✅ ✅ ✅

49 JAYADI 3175100403750011 04-'03-1975 ✅ ✅ ✅

50 HERLINA 3175106309790005 23-'09-1979 ✅ ✅ ✅

51 ALFIAN ADI WIJAYA 3175102007990009 20-'07-1999 ✅ ✅ ✅

52 DINI SRI RAHAYU 3175105704030009 17-'07-2003 ✅ ✅ ✅

53 YAMAN SURYAMAN 3208311406860001 14-'06-1986 ✅ ✅ ✅

JUMLAH 53 53 28 25 0 0 11 28 1 13 0 53 0

DATA WARGA USIA 15-59 TAHUN KELURAHAN MUNJUL

Hal. 5/6
HUN KELURAHAN MUNJUL

:NURHIDAYANTI
:BUAH SAWO 008.007.001

NIK KET

3175106104690002 BPJS PBI

3175101712960003 BPJS PBI
3175101801890001 BPJS PBI
3175100304650006 BPJS PBI
3175107112760007 BPJS PBI
3175107006010001 BPJS PBI
3175100403750011 BPJS PBI
3175106309790005 BPJS PBI
3175102007990009 BPJS PBI
3175105704030009 BPJS PBI
3208311406860001 BPJS PBI

53 53

HUN KELURAHAN MUNJUL

Hal. 6/6