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JENIS PESERTA
NAMA INSTANSI/BADAN/PERUSAHAAN
KODE VIRTUAL ACCOUNT
BANK TEMPAT PEMBAYARAN IURAN
TANGGAl REGISTRASI
NOMOR PKS
KODE PKS
MASA BERLAKU
KODE TANGGUNGAN
KODE KC
KODE DATI2

Jenis Status
PISAT Tgl Lahir
Kelamin Kawin

1 = Peserta
No No KK NIK/KITAS/KITAP NAMA LENGKAP 2 = Suami
1=B,
3 = Istri
Tempat Lahir dd/mm/yyyy 1=L 2=P 2=K,
4 = Anak
3=C
5=
Tambahan

1 2 3 4 5 6 7 8 9
1 3203011208120003 3203010512620011 USMAN RUSMANA ROHAN 1 CIANJUR 12/05/1962 1 2
2 3203014509780010 RIA SEPTI ARIANTY 3 CIANJUR 09/05/1979 2 2
3 3203016503060011 AYA ARTINA PUTRI 4 CIANJUR 26-03-2009 2 1
4 3203012402150004 RAGA RAKSA ABDILLAH 4 CIANJUR 24-02-2015 1 1
5 3203012310120047 3203010405660009 YAYAT SUTARYAT 1 CIANJUR 4/5/1966 1 2
6 3203014309850012 MIMIN SUMARTINI 3 CIANJUR 3/9/1985 2 2
7 3203135604920013 RAKA RIVANDY APRIZAL 4 CIANJUR 9/4/1996 1 1
 8 3203130101960051 NUR RIKA APRILIA 4 CIANJUR 23/04/2005 2 1
9 3203132411540001 MUHAMAD RADI CAHYADI 4 CIANJUR 9/11/2012 1 2
10 3203012602130017 3203011310820023 DENI RAHMAT 2 CIANJUR 13/10/1982 1 2
11 3203012602130017 3203014306830022 YARI NURHAYATI 3 CIANJUR 3/6/1983 2 2
12 3203012602130017 3203012705070009 M. ARI MEIZAIDIA 4 CIANJUR 27/05/2007 1 1
13 3203012602130017 3203014607130006 SHALSA JULIANTY RAHMA 4 CIANJUR 6/7/2013 2 1
14 3203011009130035 3203015003900012 HANI HANIPAH 3 GARUT 10/3/1990 2 3
15 3203011009130035 3203016207110008 ZAHRA NUR AISYAH 4 GARUT 22/07/2011 2 1
16 3203010512110058 3203010611610008 IIP RUSANDI 2 GARUT 6/11/1961 1 2
17 3203010512110058 3203015208630012 NANI 3 GARUT 1/11/1900 2 2
18 3203010512110058 3203015212950020 RIKA KARTIKA 4 GARUT 12/12/1995 1 1
19 3203011003112019 3203011108720006 IYUS SURYANA 1 CIANJUR 11/8/1972 1 2
20 3203011003112019 3203014611080010 FITRI NOVIYANTI 1 CIANJUR 6/11/2008 2 1
21 3203011003112019 3203011501160002 FUTRA AL FAJAR 4 CIANJUR 15/01/2016 1 1
22 3203012012180007 3203010705960001 M.SIDIK SARIPUDIN 2 CIANJUR 7/5/1996 1 2
23 3203012012180007 3203114511970001 EUIS SANIAH 3 CIANJUR 11/5/1997 2 2
24 3203012511058587 3203012712630006 BEBEN SAFE'I 2 CIANJUR 27-12-1963 1 2
25 3203012511058587 3203015312700011 IIN MARLINA 3 CIANJUR 12/12/1970 2 2
26 3203012511058587 3203015605980004 SRI MELANI 4 CIANJUR 16-05-1998 2 1
27 3203012511058587 3203015311010007 DEWI MARWATI 4 CIANJUR 13-11-2001 2 1
28 3203012511058587 3203011607030012 DODI SUPRIYADI 4 CIANJUR 16-07-2003 1 1
29 3203012511058587 3203010301140008 M ALFAJRI SAPUTRA 4 CIANJUR 3/1/2014 1 1
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41 3203012511058564 3203011207820013 SANDI PERMANA 2 CIANJUR 12/7/1982 1 2
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 74 3203010206080043 3203016808810005 HENI ROHAENI 3 CIANJUR 28-08-1981 2 2
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JL.PR HIDAYATULLOH 002 014 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL.PR HIDAYATULLOH 002 014 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL.PR HIDAYATULLOH 002 014 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 002 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 002 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 002 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. ARYA CIKONDANG 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. ARYA CIKONDANG 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. GUNUNG GEDE 004 003 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. GUNUNG GEDE 004 003 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. GUNUNG GEDE 004 003 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. GUNUNG GEDE 004 003 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. GUNUNG GEDE 004 003 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. GUNUNG GEDE 004 003 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 002 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 002 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 002 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 002 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 002 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
JL. SILIWANGI GG.PANGRANGO 003 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
GG. ISTIKOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
GG. ISTIKOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
GG. ISTIKOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
GG. ISTIKOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
GG. ISTIKOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
GG. ISTIKOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
KP. CIKARET GG. AL ISTIQOMAH 002 011 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
GG.PANGRANGO 001 007 43212 200 CIANJUR 08 SAWAH GEDE CIANJUR KOTA
 Kewarga
Kelas
Status Negaraa
Rawat
n Asuransi Lainnya

Gaji Pokok
1=Tetap, TMT Kerja + Tunj. Nomor
Jabatan 2=Kontrak (Kary. Tetap NPWP
1=Kelas I, Pasport
, 3=Paruh 2=Kelas II, Aktif) (Kary. 1=WNI, No. Kartu Nama
Aktif)
waktu 2=WNA Asuransi Asuransi
4=Penerim 3=Kelas III
a Pensiun

25 26 27 28 29 30 31 32 33 34
FORM MIGRASI PESERTA
JENIS PESERTA
NAMA INSTANSI/BADAN/PERUSAHAAN
KODE VIRTUAL ACCOUNT
BANK TEMPAT PEMBAYARAN IURAN
TANGGAl REGISTRASI
NOMOR PKS
KODE PKS
MASA BERLAKU
KODE TANGGUNGAN
KODE KC
KODE DATI2

No No KK NIK/KITAS/KITAP NAMA LENGKAP

1 2 3 4
1 3203011705110005 3203012104820007 AFRIWANTO
2 3203015609840012 HENI AMALIA
3 3203014805110001 SITI RIZKIA NUR MEDINA
4 3203016704150006 SITI AFIFAH NAHDA RAFANDA
5 3203011510080057 3203012512820004 ENDANG RIDWANSYAH
6 3203014403850004 CUCU HERLIARITA
7 3203015112090002 CINTA ANISA NUR'AFIAH
8 3203012308110007 3203011006800002 MUHAMMAD IBNU ADI JUNAEDI
9 3203014103930028 AI ROHAENI
10 3203014807120006 NENG JIHAN AWALIYAH
11 3203015911160001 QOTRUNNIDA ALIALILAH
12 3203012311057430 3203012007730003 YAYAN SOFYAN
13 3203015001820005 ENI NURAENI
14 3203012302030006 MUHAMMAD RAFLY SOFYAN
15 3203010605100005 MUHAMMAD AKMAL ARDIANSYAH SOFYAN
16 3203010307180010 3203012510960024 M HASAN MAULANA
17 3203014607970001 N YULIA NURISA
18 3203011706180002 M. BILAL FITRA ARHASYA
19 3203012311058813 3203010202650005 DEDE RAHMAT
20 3203015211710009 ETI NAFISAH
21 3203011708950006 AGUS MULYANA
22 3203011606980002 SARIPUDIN
23 3203015107010004 AJENG LESTARI AYU
24 3203010307050009 MOH IQBAL
25 3203015702070000 PIPIT FITRIANINGSIH
26 3203011602120010 3203012311920011 IRPAN ALPIAN
27 3203015403940008 USSY HANDAYANI
28 3203012105120003 REHAN IBRAHIM AL FIYANSYAH
29 3203016701160003 RERE NUR HANDAYANI
30 3203010301120001 3203012507760014 DEDEN
31 3203014603810024 DIAH NURMARDIAH
32 3203010903120003 MUHAMMAD AL ZABBAR
33 3203014904160001 ANISA SITI JAENAB
34 3203012110080027 3203011007770019 AFIN SUPAENI
35 3203015509850007 EUIS MARDIAH
36 3203010202090003 MUHAMMAD RIZKY NURALFAENI
37 3203016109120002 RIZKYANA NABILA PUTRI
38 3203012505110017 3203010701840015 ARIF AHMAD JAELANI
39 3203014208860017 MALA RESTI YANASARI
40 3203010811070008 MOCH MUCKLAS NURFAIRLANSYAH
41 3203010905180012 3203013003910015 IHSAN WILDAN RAMDAN
42 3203075508960018 SITI NURAJIZAH
43 3203014105160003 KEZYA ZAHRANI
44 3203017001180007 KAYLA SHAKILA ORLIN
45 3203013007120018 3203010207920016 SOLIHIN
46 3203016609940009 NANI SURYANI
47 3203015010120003 ENSA SULYANI
48 3203012707020021 DIDAN GILANG
49 3203034405060011 TATI SUMIYATI
50 3203016706060014 SILVANA HERMAN
51 3203010303160020 3203027010820001 AYI SUDRAJAT
52 3203015402830009 NIA NURNIATI
53 3203014409070007 DHEVA ZAHRA AULIA
54 HASAN BASRI
55 AHMAD SOFYAN ASSYAURI
56 3203012309160007 3201251909780001 SYAEFUL ANWAR
57 3201255909820007 AI SITI MARIAM
58 3201255907080001 SITI NURSYAEHA ALMAIDAH
59 3201255402120001 PUTRI BILQIS ADAWIYYAH
60 3203013001170005 MUHAMMAD RAIHAN BALYA MALKAN
61 3203012010080039 3203012208750004 ASEP ANSHORI
62 3203014110770005 ATI NURHAYATI
63 3203016009040005 NASFA FITRIANI SYEHAR
64 3203014104120002 RAHMI AFIZAH SURUR
65 3203012511051612 3203011705560009 HASANUDIN
66 3203015112600003 AI NURYATI
67 3203016505000003 NURUL HUDA
68 3203012511051593 3203011808480006 DIDI ROSIDI
 69 3203014107560152 SITI KHODIJAH
70 3203010906830004 M HADI KURNIA
71 3203012607860011 AANG AHMAD RIFA'I
72 3203013004150016 3203010906830004 M HADI KURNIA
73 3214046810950002 TIA SUTIANAH
74 3203011203150006 AHMAD ADITYA AL GHAZALI
75 3203010703110203 3203010604810010 HENDRA ASMARA
76 3203014705800014 ELIS SALSIAH
77 3203014912050000 DERA ASMARANI PERMATAWATI
78 3203010611120047 3203101012840009 ENTIS SUTISNA
79 3203105910880006 RINA SETIAWATI
80 3203071611110003 M FAUZI FADHHUROHMAN
81 3203012606150006 M ARSYA FATAHILLAH
82 3203010511180002 ADSHAN MUHAMMAD ATHARIZZ
83 3203012511051625 3203010603520002 ENDANG SUPRIATNA
84 3203014603610002 IROS ROSTIAWATI
85 3203285006990004 MIA YUNIAR
86 3203012511051609 3203012603480002 HM YEYEH SOLEH
87 3203014510580004 HJ ELIS NURMILAH
88 3203014701960000 NENG SARAH FAUZIAH
89 3203012701990006 PUAD YAZIDABDULAH MANSYUR
90 3203012511051601 3203011308700006 CECE MUHIDIN
91 3203015605750009 DEVI ANDRIANI
92 3203010401960009 M. ARI CHUMAEDI
93 3203011810020008 M. SIDIK ABDURAHMAN
94 3203014707060004 NURSIFA AULIA
95 3203015504600018 LILIS RUKOYAH
96 3203010803111951 3203010607690010 DUDUM DUMYATI
97 3203014609790010 TITIN SUAIBAH
98 3203016101060002 YOFI BAYDILLAH
99 3203010205150008 FIO FITRIA
100 3203012706140009 3203011904910010 DIKI
101 3203015110930012 EUIS HOLISOH
102 3203012305140004 MOCH. NARIZKHI
103 3203016606160002 ULFA ALIYA SACKI
104 3203010903110073 3203015103640004 ITOH MASITOH
105 3203010508980007 ADJI SUHENDAR
106 3203011402030009 M. REZA FAUZI
107 3203010708080023 3203010509820011 UJANG DADAN
108 3203015909860009 DEDE EA JULAEHA
109 3203010108080004 MUHAMMDA REVAN MAULANA
110 3203012505120006 MOCH RAVA JUANDIKA SHYAKIDH
111 3203013009170007 ARKAAN KHIAR ARDHANI
112 3203012511051657 3203011401650006 ABU BAKAR SIDIQ
113 3203015503800010 YEYET SATIAH
114 3203016809990009 FIKA FAUZIAH
115 3203012506030004 MUHAMMAD PRAYOGA
116 3203010306080001 AHMAD REFAMI
117 3203011810140005 FAWAZ FAHLEFI
118 3203012511051645 3203010101570035 UJANG SUHERMAN
119 3203015006620005 ADE NURAENI
120 3203014503840020 HENNY HERYANI
121 3203016508970003 LINA NURFIT RIANI AGUSTINA
122 3203014809000007 ELSA SITI AISYAH
123 3203011101180012 3203014306710008 OOY RUKOYAH
124 3203010202950014 M RAMDANI SOLEH
125 3203011401030005 M PUTRA ABDULATIF
126 3203012511051649 3203011710720004 ASEP PURQON
127 3203015109760010 YANYAN PURNAMA
128 3203015707000005 LINA MARLINA
129 3203011506040006 M. IQBAL
130 3203012801080003 M.ILHAM ABDUL GOFAR
131 3203015504150002 HASNA SABILA APRILIA
132 3203012511051619 3203011301720007 RUSLAN ASEP SUDRAJAT
133 3203014802800006 ETI SOLIHATI
134 3203015910000018 SITI KHODIJAH
135 3203012511050002 M YUSUP PIRDAUS
136 3203010505160007 MUHAMMAD AR ROSYID
137 3203012511051640 3203011108500003 NURDIN
138 3203015703580007 TATI
139 3203011810850007 SYARIF HIDAYATULLOH
140 3203012511051582 3203010101590080 NUNANG SURYA MUNAJAT
141 3203014406690005 WIWIN JUARIAH
142 3203011210900015 REGI ABDUL RIZAL
143 3203010509980009 NANDI SAEPULOH
144 3203016005020009 SILVIA
145 3203011108120012 3203014510500011 YAYAH SOPIAH
146 3203016404760010 YANI MULYANI
147 3203017105950012 MONA
148 3203014310080009 NATHANIA REFA
149 3203010110064514 3203010603760007 DENI SAPUTRA
150 3203015007760002 ERNA NURHAYATI
151 3203010407970004 MOCHAMMAD LUTFI MANSYUR
152 3203012101050003 ILHAM
153 3203017006100006 NAVISHA INDAH SALAMAH
154 3203012606120005 MUHAMMAD FAUZAN ISLAHULHAQ
155 3203010811150005 MUHAMMAD TEGUH IMAMUL HAKIM
156 3203012511050102 3203011111560006 HARYADI ONGKO DIPUTRA
157 3203016504680004 PIPIH
158 3203011503870003 WILLY D ONGKO DIPUTRA
159 3203016605880008 YULIAWATY PERMATASARI
160 3203016803890019 WINDA
161 3203010402040011 WIRRA KARUNA ONGKO DIPUTRA
162 3203011203110425 3203010511730010 YADI MULYADI
163 3203014406730011 YUYUN KUSMIATI
164 3203010806940007 AGUS SETIAWAN
165 3203015211960014 NINA YULIANTI
166 3203014206000012 SAPITRA YUNIARTI
167 3203015204050003 WULAN SANIARTI
168 3203012008130018 3203012101760009 DONI ROMDONI
169 3203017105890000 IDA FARIDAH
170 3203012011130001 MUHAMMAD AL FATIH ISHLAHUL ARIFIN
171 3203011210180001 MUHAMMAD HAFIDZAN ISHLAUHAL FALAAH
172 3203010109140023 3203012808900013 AGUS MAULANA
173 3203015602900005 MIRA MARYATI
174 3203015805170004 SASFA FADELA MAULANA
175 3203013108150011 3203012804870003 DEDI SUPRIYADI
176 3203114107950284 RATNA SUMINAR
177 3203011510160003 M ARSHAKA SUPRIYADI
178 3203011404140017 3203071508730011 DENY ANWAR HAMBALI
179 3203075607730012 SRI ASTUTI
180 3203014801050005 LENA PUSPITA
181 3203012109080012 RAEHAN ANWAR
182 3203012311050111 3203010203600006 ADE SUPRIADI
183 3203015802740002 ERNAWATI
184 3203015605040006 DEPI KURNIAWATI
185 3203016908070007 DESI SUSANTI
186 3203012105140014 3203012011750012 MUHAMAD SUJANI
187 3203014305890019 EVI SULASTRI
188 3203011201100007 M ALWY MUSA
189 3203015705130004 MEYNANDA CAHYANI SALSABILA
190 3203010611120014 3203015201320002 EHA JULAEHA
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192 3203012710110048 3203010510830028 ERWIN KRISTIAN
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196 3203016607170002 AQILA SITI SYAWAL JULIANTY
197 3203011003111413 3203010508790025 AGUS RAMDAN
198 3203015107810011 SITI NURIAH
199 3203010401040002 M. SEKA HARKISTA
200 3203015011100007 SYAHLA NURHANIFAH
201 3203012511050052 3203012501630002 GANDA IRAWAN
202 3203014206700005 NENENG KURNIASIH
203 3203012509870002 ZAELANI SAFARUDIN
204 3203010203010008 MUHAMMAD NAWAFI ARIYAWAN
205 3203011103111332 3203010701540006 OMAN
206 3203015512590015 NARTI
207 3203012007760007 ISKANDAR
208 3203015507980011 SITI SOPIAH
209 3203011804110018 3203012112720005 YUDI RUSWANDI
210 3203016904790009 DATI HASTUTI
211 3203012206010005 RIZKI MOCH RUSWANDI
212 3203016309070005 ZAHRA AZHARI
 Jenis Status
PISAT Tgl Lahir Kelamin Kawin

1 = Peserta
2 = Suami
dd/mm/yyyy 1=L 2=P 1=B,3=C
2=K,
3 = Istri Tempat Lahir
4 = Anak
5 = Tambahan

5 6 7 8 9
1 PADANG 21-04-1982 1 2
3 CIANJUR 16-09-1984 2 2
4 CIANJUR 06/08/2011 2 1
4 CIANJUR 27-04-2015 2 1
1 CIANJUR 25-12-1982 1 2
3 CIANJUR 4/3/1985 2 2
4 CIANJUR 11/12/2009 2 1
1 CIANJUR 10/6/1980 1 2
3 CIANJUR 1/3/1993 2 2
4 CIANJUR 8/7/2012 2 1
4 CIANJUR 19-11-2016 2 1
1 CIANJUR 20-07-1973 1 2
3 CIANJUR 10/1/1982 2 2
4 CIANJUR 23-02-2003 1 1
4 CIANJUR 6/5/2010 1 1
1 CIANJUR 25-10-1996 1 2
3 CIANJUR 6/7/1997 2 2
4 CIANJUR 17-06-2018 1 1
1 CIANJUR 2/2/1965 1 2
3 CIANJUR 12/11/1971 2 2
4 CIANJUR 17-08-1995 1 1
4 CIANJUR 16-06-1998 1 1
4 CIANJUR 11/7/2001 2 1
4 CIANJUR 3/7/2005 1 1
4 CIANJUR 17-02-2007 2 1
1 CIANJUR 23-11-1992 1 2
3 CIANJUR 14-03-1994 2 2
4 CIANJUR 21-05-2012 1 1
4 CIANJUR 27-01-2016 2 1
1 SUKABUMI 25-07-1976 1 2
3 CIANJUR 6/3/2012 2 2
4 CIANJUR 9/3/2012 1 1
4 CIANJUR 9/4/2017 2 1
1 CIANJUR 10/7/1977 1 2
3 CIANJUR 15-09-1985 2 2
4 CIANJUR 2/2/2009 1 1
4 CIANJUR 21-09-2012 2 1
1 CIANJUR 7/1/1984 1 2
3 CIANJUR 2/8/1988 2 2
4 CIANJUR 8/11/2007 1 1
1 CIANJUR 30-03-1991 1 2
3 CIANJUR 15-08-1996 2 2
4 CIANJUR 1/5/2016 1 1
4 CIANJUR 30-01-2018 1 1
1 CIANJUR 2/7/1992 1 2
3 CIANJUR 26-09-1994 2 2
4 CIANJUR 10/10/2012 2 1
5 CIANJUR 27-07-2002 1 1
5 CIANJUR 4/5/2006 2 1
5 CIANJUR 27-06-2006 2 1
1 CIANJUR 30-10-1982 1 2
3 CIANJUR 14-02-1983 2 2
4 CIANJUR 4/9/2007 2 1
4 CIANJUR 20-07-20016 1 1
4 CIANJUR 15-04-2018 1 1
1 BOGOR 19-09-1978 1 2
3 CIANJUR 19-09-1982 2 2
4 BOGOR 19-07-2008 2 1
4 BOGOR 14-02-2012 2 1
4 CIANJUR 30-01-2017 1 1
1 TASIKMALAYA 22-08-1975 1 2
3 CIANJUR 1/10/1997 2 2
4 CIANJUR 20-09-2004 2 1
4 CIANJUR 1/4/2012 2 1
1 CIANJUR 17-06-1956 1 2
3 CIANJUR 11/12/1960 2 2
4 CIANJUR 26-032000 2 1
1 CIANJUR 18-08-1948 1 2
3 CIANJUR 1/7/1956 2 2
4 CIANJUR 9/6/1983 1 1
4 CIANJUR 26-07-1986 1 1
1 CIANJUR 9/6/1983 1 2
3 PURWAKARTA 28-10-1995 2 2
4 CIANJUR 12/3/2015 1 1
1 CIANJUR 6/4/1981 1 2
3 CIANJUR 7/5/1980 2 2
4 CIANJUR 9/12/2005 2 1
1 CIANJUR 10/12/1984 1 2
3 CIANJUR 19-10-1988 2 2
4 CIANJUR 16-11-2011 1 1
4 CIANJUR 26-06-2015 1 1
4 CIANJUR 5/11/2018 1 1
1 CIANJUR 6/3/1952 1 2
3 CIANJUR 6/3/1961 2 2
5 CIANJUR 9/5/1998 2 1
1 CIANJUR 26-03-1948 1 2
3 CIANJUR 5/8/1953 2 2
4 CIANJUR 6/1/1996 2 1
5 CIANJUR 27-01-1999 1 1
1 CIANJUR 13-08-1970 1 2
3 CIANJUR 16-05-1975 2 2
4 CIANJUR 1/4/1996 1 1
4 CIANJUR 18-10-2003 1 1
4 CIANJUR 7/7/2006 2 1
5 CIANJUR 15-04-1960 2 1
1 CIANJUR 6/7/1969 1 2
3 CIANJUR 6/9/1979 2 2
4 CIANJUR 21-01-2006 1 1
4 CIANJUR 2/5/2015 2 1
1 CIANJUR 19-04-1991 1 2
2 CIANJUR 11/10/1993 2 2
1 CIANJUR 23-05-2014 1 1
2 CIANJUR 26-06-2016 2 1
2 CIANJUR 11/3/1964 2 3
1 CIANJUR 5/8/1998 1 1
1 CIANJUR 14-02-2003 1 1
1 CIANJUR 5/9/1982 1 2
2 CIANJUR 19-09-1986 2 2
1 CIANJUR 1/8/2008 1 1
1 CIANJUR 25-05-2012 1 1
1 CIANJUR 30-09-2017 1 1
1 CIANJUR 14-01-1965 2 2
3 GARUT 15-03-1980 2 2
4 CIANJUR 28-09-1999 2 1
4 CIANJUR 25-06-2003 1 1
4 CIANJUR 3/6/2008 1 1
4 CIANJUR 18-10-2014 1 1
1 CIANJUR 1/1/1957 1 1
3 CIANJUR 10/6/1962 2 1
4 CIANJUR 5/3/1984 2 1
4 CIANJUR 25-08-1997 2 3
4 CIANJUR 8/9/2000 2 1
1 CIANJUR 3/6/1971 2 3
4 CIANJUR 2/2/1995 1 1
4 CIANJUR 14-01-2003 1 1
1 CIANJUR 17-10-1972 1 2
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4 CIANJUR 15-06-2004 1 1
4 CIANJUR 28-01-2008 1 1
4 TASIKMALAYA 15-04-2015 2 1
1 CIANJUR 13-01-1972 1 2
2 CIANJUR 17-02-1981 2 2
4 CIANJUR 19-11-2000 2 1
4 CIANJUR 25-09-2005 1 1
4 CIANJUR 5/5/2016 1 1
1 CIANJUR 11/8/1960 1 2
3 CIANJUR 17-03-1958 2 2
4 CIANJUR 18-10-1985 1 1
1 CIANJUR 1/1/1959 1 2
3 BANDUNG 4/6/1969 2 2
4 BANDUNG 12/10/1990 1 1
4 CIANJUR 5/9/1998 1 1
4 CIANJUR 20-05-2002 2 1
3 CIANJUR 5/10/1950 2 3
4 BANDUNG 24-04-1976 2 2
5 CIANJUR 31-05-1995 2 1
5 SUKABUMI 3/10/2008 2 1
1 BANDUNG 06-031976 1 2
3 CIANJUR 10/7/1976 2 2
4 CIANJUR 4/6/1997 1 1
4 CIANJUR 21-01-2005 1 1
4 CIANJUR 30-06-2010 2 1
4 CIANJUR 26-06-2012 1 1
4 CIANJUR 8/11/2015 1 1
1 CIANJUR 11/11/1956 1 2
3 CIANJUR 25-04-1968 2 2
4 CIANJUR 15-03-1987 1 1
4 CIANJUR 26-06-1988 2 1
4 CIANJUR 28-03-1989 2 1
4 CIANJUR 4/2/2004 1 1
1 CIANJUR 5/11/1973 1 2
3 BANDUNG 4/6/1973 2 2
4 CIANJUR 8/6/1994 1 1
4 CIANJUR 12/11/1996 2 1
4 CIANJUR 2/6/2000 2 1
4 CIANJUR 12/4/2005 2 1
1 CIANJUR 21-01-1976 1 2
3 CIANJUR 30-05-1989 2 2
4 CIANJUR 20-11-2013 1 1
4 CIANJUR 12/10/2019 1 1
1 CIANJUR 28-08-1990 1 2
3 CIANJUR 16-02-1990 2 2
4 CIANJUR 18-05-2017 2 1
1 CIANJUR 28-04-1986 1 2
3 CIANJUR 17-12-1995 2 2
4 CIANJUR 15-10-2016 1 1
1 CIANJUR 15-08-1973 1 2
3 BANYUWANGI 16-07-1973 2 2
4 CIANJUR 8/1/2005 2 1
4 CIANJUR 21-09-2008 1 1
1 CIANJUR 2/3/1960 1 2
3 CIANJUR 18-02-1974 2 2
4 CIANJUR 16-05-2004 2 1
4 CIANJUR 29-08-2007 2 1
1 CIANJUR 20-11-1975 1 2
3 CIANJUR 3/5/1989 2 2
4 CIANJUR 12/1/2010 1 1
4 CIANJUR 17-05-2013 2 1
1 TASIKMALAYA 12/1/1932 2 2
1 CIANJUR 12/12/1930 2 2
1 CIANJUR 5/10/1983 1 2
3 CIANJUR 24-10-1983 2 2
4 CIANJUR 3/1/2005 2 1
4 CIANJUR 17-06-2007 2 1
4 CIANJUR 26-07-2017 2 1
1 CIANJUR 5/8/1979 1 2
3 CIANJUR 11/7/1981 2 2
4 CIANJUR 4/1/2004 1 1
4 CIANJUR 10/11/2010 2 1
1 CIANJUR 25-01-1963 1 2
3 CIANJUR 2/6/1970 2 2
4 CIANJUR 25-09-1987 1 1
4 CIANJUR 2/3/2001 1 1
1 CIANJUR 7/1/1954 1 2
3 CIANJUR 15-12-1959 2 2
4 CIANJUR 20-07-1976 1 1
4 CIANJUR 15-07-1998 2 1
1 CIANJUR 21-12-1972 1 2
3 CIANJUR 29-04-1979 2 2
4 CIANJUR 22-06-2001 1 1
4 CIANJUR 23-09-2007 2 1
 Kode Nama
Alamat Tempat Tinggal RT RW Kode Pos Kecamata Kecamata Kode Desa
n n

10 11 12 13 14 15 16
JL. ARIF RAHMAN HAKIM GG. ABUYA ISMU 001 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM GG. ABUYA ISMU 001 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM GG. ABUYA ISMU 001 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM GG. ABUYA ISMU 001 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 002 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 002 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 002 016 43214 200 CIANJUR 04
JL ARAHA KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
JL ARAHA KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
JL ARAHA KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
JL ARAHA KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
JL ARAHA KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
JL ARAHA KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
JL ARAHA KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM 002 014 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM 002 014 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM 002 014 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM 002 014 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM 002 014 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM 002 014 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM 002 014 43214 200 CIANJUR 04
KP LEMBUR TENGAH 002 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 002 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 002 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 002 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM 002 014 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM 002 014 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM 002 014 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM 002 014 43214 200 CIANJUR 04
JL ARAHA GG BABAKAN TASIK 003 016 43214 200 CIANJUR 04
JL ARAHA GG BABAKAN TASIK 003 016 43214 200 CIANJUR 04
JL ARAHA GG BABAKAN TASIK 003 016 43214 200 CIANJUR 04
JL ARAHA GG BABAKAN TASIK 003 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 002 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 002 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 002 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM GG. ABUYA ISMU 001 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM GG. ABUYA ISMU 001 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM GG. ABUYA ISMU 001 016 43214 200 CIANJUR 04
JL. ARIF RAHMAN HAKIM GG. ABUYA ISMU 001 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
KP LEMBUR TENGAH 003 016 43214 200 CIANJUR 04
JL. HOS COKROAMINTO GG RANCABALI WETAN 002 012 43214 200 CIANJUR 04
JL. HOS COKROAMINTO GG RANCABALI WETAN 002 012 43214 200 CIANJUR 04
JL. HOS COKROAMINTO GG RANCABALI WETAN 002 012 43214 200 CIANJUR 04
JL. HOS COKROAMINTO GG RANCABALI WETAN 002 012 43214 200 CIANJUR 04
JL. HOS COKROAMINTO GG RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
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KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 001 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 004 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 004 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 004 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 004 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 004 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 004 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 004 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 004 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 004 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 004 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
KP. RANCABALI WETAN 002 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
GG. DARMA BAKTI 003 012 43214 200 CIANJUR 04
JL. KH SYABAN GG JAMI NO.D.24 004 012 43214 200 CIANJUR 04
JL. KH SYABAN GG JAMI NO.D.24 004 012 43214 200 CIANJUR 04
JL. KH SYABAN GG JAMI NO.D.24 004 012 43214 200 CIANJUR 04
JL. KH SYABAN GG JAMI NO.D.24 004 012 43214 200 CIANJUR 04
JL. KH SYABAN 003 012 43214 200 CIANJUR 04
JL. KH SYABAN 003 012 43214 200 CIANJUR 04
JL. KH SYABAN 003 012 43214 200 CIANJUR 04
JL. KH SYABAN 003 012 43214 200 CIANJUR 04
KP SOLOKPANDAN 002 010 43214 200 CIANJUR 04
KP SOLOKPANDAN 002 010 43214 200 CIANJUR 04
KP SOLOKPANDAN 002 010 43214 200 CIANJUR 04
KP SOLOKPANDAN 002 010 43214 200 CIANJUR 04
 Kode Nama Nomor
Kode Faskes Faskes
Nama Desa Nama Faskes Tk.I Telepon Email NPP Jabatan
Faskes Tk.I Dokter Dokter Peserta
Gigi Gigi

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 Kelas Kewarga
Status Rawat Negaraan Asuransi Lainnya
Gaji Pokok
1=Tetap, TMT Kerja + Tunj.
2=Kontrak 1=Kelas I, Nomor
(Kary. Tetap NPWP
, 3=Paruh 2=Kelas II, Aktif) 1=WNI, No. Kartu Nama Pasport
(Kary.
waktu Aktif) 2=WNA Asuransi Asuransi
4=Penerim 3=Kelas III
a Pensiun

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