Sei sulla pagina 1di 2243

Provinsi : JAWA TIMUR

Kabupaten/Kota : KOTA SURABAYA

No No KK NIK Nama Tempat Lahir Tanggal Lahir Usia

1 2 3 4 5 6 7
1 3578081205140015 3578086802550000 MUNAJAH SURABAYA 28|02|1955 63
2 3578080511150003 3578082912870003 ABDUL MUIS BANGKALAN 29|12|1987 30
3 3578080101086739 3578086109750001 PUJI HANDAYANI SURABAYA 21|09|1975 42
4 3578080102170003 3578085703770008 PUTU PARYASI, SINGARAJA 17|03|1977 41
5 3578080102170003 3578084606010004 A.Md
LUH PUTU SURYA JAKARTA SELATA 06|06|2001 17
6 3578080106120009 3525145507830001 DHARMA MASNA
EVA YULIYANTI GRESIK 15|07|1983 34
7 3578080203170007 3508152506930001 JUNI ANUGRAH LUMAJANG 25|06|1993 25
8 3578080301080318 3578085904670003 AYUK NGATIYEM JEMBER 19|04|1967 51
9 3578080301080318 3578082306670001 M TOYIB BOJONEGORO 23|06|1967 51
10 3578080301080318 3578080203960002 KHOIRUL HUDA JEMBER 02|03|1996 22
11 3578080401080413 3578085307000005 AFIA HARINI SURABAYA 13|07|2000 17
12 3578080401082432 3578084106730008 YUNANIK MOJOKERTO 01|06|1973 45
13 3578080411150016 3578131903930001 RADITYA SURABAYA 19|03|1993 25
14 3578081901160008 3578086904640002 ERLANGGA
SUTINAH PUTRA SURABAYA 29|04|1964 54
15 3578080411150016 3578137110960002 PUTRI GITZA SURABAYA 31|10|1996 21
16 3578080501083006 3578081207990003 PRAMAISELA
ANGGI PRIYO SURABAYA 12|07|1999 18
17 3578080511150003 3520065110880001 SETIAWAN
KEN SETYORINI MAGETAN 11|10|1988 29
18 3578081108150009 3526172004580002 MUHAMMAD BANGKALAN 20|04|1958 60
19 3578081108150009 3526174711620001 ISMAIL
TOGINAH BANGKALAN 07|11|1962 55
20 3578081112150014 3578085503010001 YOLLANDA WILMA SURABAYA 15|03|2001 17
21 3578081211140009 3578264312900001 MARCELLINA
RUTH MIA INDRIANI SURABAYA 03|12|1990 27
22 3578081305140009 3578075606900003 BHASYAR
EKA NINGTYAS SURABAYA 16|06|1990 28
23 3578081408150004 3526170107650183 PUSPITASARI
MISJAN BANGKALAN 01|07|1965 52
24 3578081408150004 3526174607700001 MARGIYEH BANGKALAN 06|07|1970 47
25 3578081408150004 3526174702880005 HALIMATU BANGKALAN 07|02|1988 30
26 3578081408150004 3526171108900001 SAKDIYA
M. RORI BANGKALAN 11|08|1990 27
27 3578081408150004 3526176304970001 SITI ROMILA SURABAYA 23|04|1997 21
28 3578081412160006 3517084806940002 PURI HANDAYANI SURABAYA 08|06|1994 24
29 3578081507150002 3376020409740004 MUHAMMAD TEGAL 04|09|1974 43
30 3578081507150002 ZAENAL ARIFIN
3376027010760001 OKTAVIA TEGAL 30|10|1976 41
31 3578081507150002 3376026606010002 RUSMAWATI
AYUNI IKA ARIFIN TEGAL 26|06|2001 17
32 3578081901160008 3578082512980001 MOCH. AZIZ SURABAYA 25|12|1998 19
33 3578081906150004 3513055706000001 SYAPUTRA
ANISA AL ZANA PROBOLINGGO 17|06|2000 18
34 3578082005150006 3522117112610016 RAHMA
TAMSRI BOJONEGORO 31|12|1961 56
35 3578082005150006 3522110902000002 REZA ARIRANDI BOJONEGORO 09|02|2000 18
36 3578082005160007 3507134403860004 ENDAH SWASTI MALANG 04|03|1986 32
Kecamatan : GUBENG Provinsi
Desa/Kelurahan : MOJO Kabupaten/Kota
TPS : 001 No KK
Status Jenis Alamat Disabi Keterangan *)
Perkawina Kelami litas
n Jalan/Dukuh Rt Rw
8 9 10 11 12 13 14 2
P P MOJO 0 0 0 PINDAHAN DARI TPS 029 3578081205140015
B L MOJO 1 1 0 PINDAHAN DARI TPS 031 3578080511150003
S P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080101086739
S P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080102170003
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080102170003
S P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080106120009
B L MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080203170007
S P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080301080318
S L MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080301080318
B L MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080301080318
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080401080413
S P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080401082432
B L MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080411150016
S P MOJO 1 1 0 PINDAHAN DARI TPS 037 3578081901160008
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080411150016
B L MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080501083006
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578080511150003
S L MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081108150009
S P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081108150009
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081112150014
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081211140009
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081305140009
S L MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081408150004
S P MOJO 1 1 5 PINDAHAN DARI TPS 000 3578081408150004
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081408150004
B L MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081408150004
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081408150004
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081412160006
S L MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081507150002
S P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081507150002
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081507150002
B L MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081901160008
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578081906150004
S P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578082005150006
B L MOJO 1 1 0 PINDAHAN DARI TPS 000 3578082005150006
B P MOJO 1 1 0 PINDAHAN DARI TPS 000 3578082005160007
37 3578082101160006 3578082201000004 RAHMAT YANUAR SURABAYA
38 3578082312090245 3578082709740004 MAS`UD TULUNGAGUNG
39 3578082608150004 3310071807990001 YOGI DWI YULIANTO SIDOARJO
40 3578082608150006 3311025002000006 RISKA SUHARINI SUKOHARJO
41 3578082908140001 3517094307660001 SOEPARTI YOGYAKARTA
42 3578082908140001 3517092606960001 RIZAL JOKO UTOMO JOMBANG
43 3578081004140002 3525166205740003 NINA MARIA SURABAYA
44 3578080401080413 3578082310900002 NANDA RIZKI PRATAMA SURABAYA
45 3578082312090268 3578082606710009 LUGITO SURABAYA
46 3578080101087258 3578086005770001 MULYATI SURABAYA
47 3578080101087258 3578080101780002 EKO SUYONO MALANG
48 3578080401080413 3578082307630001 MOCH HARI SURABAYA
49 3578080401080413 3578084909660001 SUDARINI SURABAYA
50 3578080401080413 3578082104940003 ARIEF DIRGANTARA SURABAYA
51 3578081109150023 3578082704790003 MOCHAMAD RIZQON SURABAYA
52 3578081109150023 3578080907930004 ACHMAD HUSEN SURABAYA
53 3578082101160006 3578084706620001 SUPINI SURABAYA
54 3578082101160006 3578082307800003 MARDIANTO SURABAYA
55 3578082101160006 3578082608830002 HARI PRIHANTO SURABAYA
56 3578082101160006 3578082905850001 HERU SUSANTO SURABAYA
57 3578082101160006 3578082006940003 CATUR GURUH PRAKOSO SURABAYA
58 3578081807160006 3578085611590004 DWI PUJIATI LAMPUNG BARAT
59 3578081112150014 3578082611710001 WILLEM DAVID YUDIANTORO SURABAYA
60 3578081112150014 3578084706750002 NUNUK WAHYUNI TUBAN
61 3578082609160003 3578085709860002 ARINI AYU KRISANTI SURABAYA
62 3578080102170003 3578081002730004 PUTU AMARTA YASA MASNA, SE SURABAYA
63 3578080201081446 3578086203590002 LOE LUCY VERIDIANA PASURUAN
64 3578080201081446 3578080611870001 ALOYCIUS RICKY GOZALI SURABAYA
65 3578080101086643 3578080706550001 HAMID SOSAL DOFA
66 3578080101086643 3578085512560004 ERNA PAKAYA MANADO
67 3578080101086643 3578081712760004 FERY NOERINDRATNO, ST MALANG
68 3578080101086643 3578086805820001 INDRIYANI SOSAL TERNATE
69 3578080101086643 3578084903900001 IRMASURYANI SOSAL TERNATE
70 3578080203170007 3578084305940001 DEA AJENG KIRANA PARAMITA SURABAYA
71 3578080104150009 3578082408670001 AGUS WIDJAJA SURABAYA
72 3578080401082630 3578082112700003 ASNUR LUGIANTONO SURABAYA
73 3578080401082630 3578085209760002 WIDOYANTI SURABAYA
74 3578082312090242 3578084603410001 MAISYAROH SIDOARJO
75 3578080401083420 3578082006610006 RACHMAN JOMBANG
76 3578080401083420 3578086006640009 AMINAH SURABAYA
77 3578080401084516 3578080602610003 MISWADI PACITAN
78 3578080401084516 3578085306640003 SUKARSIH KEDIRI
79 3578080401084516 3578082904950002 HENDRIK NURDIANSYAH SURABAYA
80 3578080906150006 3578086009710003 SARI HIDAYATI SURABAYA
81 3578080906150006 3578081312950001 DWI SUGENG CAHYONO SURABAYA
82 3578081811110004 3578080106750003 SUPRIYONO JEMBER
18 B L MOJO 1 1 0
27|09| 43 S L MOJO 1 1 0
1974
18|07| 18 B L MOJO 1 1 0
1999
10|02| 18 B P MOJO 1 1 0
2000
03|07| 51 P P MOJO 1 1 0
1966
26|06| 22 B L MOJO 1 1 0
1996
22|05| 44 P P MOJO 1 1 0
1974
23|10| 27 B L MOJO 1 1 0
1990
26|06| 47 B L MOJO 1 1 0
1971
20|05| 41 S P MOJO 1 1 0
1977
01|01| 40 S L MOJO 1 1 0
1978
23|07| 54 S L MOJO 1 1 0
1963
09|09| 51 S P MOJO 1 1 0
1966
21|04| 24 B L MOJO 1 1 0
1994
27|04| 39 B L MOJO 1 1 0
1979
09|07| 24 B L MOJO 1 1 0
1993
07|06| 56 S P MOJO 1 1 0
1962
23|07| 37 B L MOJO 1 1 0
1980
26|08| 34 B L MOJO 1 1 0
1983
29|05| 33 B L MOJO 1 1 0
1985
20|06| 24 B L MOJO 1 1 0
1994
16|11| 58 S P MOJO 1 1 0
1959
26|11| 46 S L MOJO 1 1 0
1971
07|06| 43 S P MOJO 1 1 0
1975
17|09| 31 S P MOJO 1 1 0
1986
10|02| 45 S L MOJO 1 1 0
1973
22|03| 59 S P MOJO 1 1 0
1959
06|11| 30 B L MOJO 1 1 0
1987
07|06| 63 S L MOJO 1 1 0
1955
15|12| 61 S P MOJO 1 1 0
1956
17|12| 41 S L MOJO 1 1 0
1976
28|05| 36 S P MOJO 1 1 0
1982
09|03| 28 B P MOJO 1 1 0
1990
03|05| 24 B P MOJO 1 1 0
1994
24|08| 50 S L MOJO 1 1 0
1967
21|12| 47 S L MOJO 1 1 0
1970
12|09| 41 S P MOJO 1 1 0
1976
06|03| 77 S P MOJO 1 1 0
1941
20|06| 57 S L MOJO 1 1 0
1961
20|06| 54 S P MOJO 1 1 0
1964
06|02| 57 S L MOJO 1 1 0
1961
13|06| 54 S P MOJO 1 1 0
1964
29|04| 23 B L MOJO 1 1 0
1995
20|09| 46 S P MOJO 1 1 0
1971
13|12| 22 B L MOJO 1 1 0
1995
01|06| 43 S L MOJO 1 1 0
1975
PINDAHAN DARI TPS 000
PINDAHAN DARI TPS 000
PINDAHAN DARI TPS 000
PINDAHAN DARI TPS 000
PINDAHAN DARI TPS 003
PINDAHAN DARI TPS 003
PINDAHAN DARI TPS 004
PINDAHAN DARI TPS 007
PINDAHAN DARI TPS 007
PINDAHAN DARI TPS 008
PINDAHAN DARI TPS 008
PINDAHAN DARI TPS 008
PINDAHAN DARI TPS 008
PINDAHAN DARI TPS 008
PINDAHAN DARI TPS 009
PINDAHAN DARI TPS 009
PINDAHAN DARI TPS 013
PINDAHAN DARI TPS 013
PINDAHAN DARI TPS 013
PINDAHAN DARI TPS 013
PINDAHAN DARI TPS 013
PINDAHAN DARI TPS 017
PINDAHAN DARI TPS 019
PINDAHAN DARI TPS 019
PINDAHAN DARI TPS 022
PINDAHAN DARI TPS 025
PINDAHAN DARI TPS 025
PINDAHAN DARI TPS 025
PINDAHAN DARI TPS 027
PINDAHAN DARI TPS 027
PINDAHAN DARI TPS 027
PINDAHAN DARI TPS 027
PINDAHAN DARI TPS 027
PINDAHAN DARI TPS 029
PINDAHAN DARI TPS 039
PINDAHAN DARI TPS 039
PINDAHAN DARI TPS 039
PINDAHAN DARI TPS 039
PINDAHAN DARI TPS 044
PINDAHAN DARI TPS 044
PINDAHAN DARI TPS 044
PINDAHAN DARI TPS 044
PINDAHAN DARI TPS 044
PINDAHAN DARI TPS 044
PINDAHAN DARI TPS 044
PINDAHAN DARI TPS 044
83 3578081811110004 3578086404840005 SITI NURJANAH SURABAYA 24|04|
84 3578082102140004 3525131103570013 ANWARI GRESIK 1984
11|03|
85 3578080301085222 3578083009570001 SUWOTO LAMONGAN 1957
30|09|
86 3578082402150006 3517142201870001 ANTON JOMBANG 1957
22|01|
87 3578082402150006 3578085708880001 YENNY AGUSTINE SURABAYA 1987
17|08|
88 3578082609160019 3578086106570002 ZAHRAH ANGGRIANI MAKASAR 1988
21|06|
89 3578082609160019 3578080810850005 KHAUTSAR GATOT WIDODO SURABAYA 1957
08|10|
90 3578082609160019 3578084912860001 FARAH HERDYANA SAGITA, SE SURABAYA 1985
09|12|
91 3578082005160007 3578082704880005 IMRON JOKO NUGROHO MADIUN 1986
27|04|
92 3578082312090291 3578085504760005 SANTI ENDAH LESTARI SURABAYA 1988
15|04|
93 3578080401081753 3578085304680002 HERNALIA PRISTIWATI SURABAYA 1976
13|04|
94 3578080401081753 3578084907720003 HERNALIA DEWI SUKANTIASIH SURABAYA 1968
09|07|
95 3578080310160018 3578087011850001 YAYUK EKO NOVRIYATI SURABAYA 1972
30|11|
96 3578082109150007 3578084611720003 NUR SYAMSIATI FITRIAH LAMONGAN 1985
06|11|
97 3578082109150007 3578081808980004 FAKKAR MAHDAN SURABAYA 1972
18|08|
98 3578082611100004 3578081211840006 HENDRO NOVIANTO SURABAYA 1998
12|11|
99 3578080101089266 3578081404740001 AGUS BASUKI PURWOREJO 1984
14|04|
100 3578080101089266 3578085111790003 SRI WILUJENG SURABAYA 1974
11|11|
101 3578080101089266 3578081807950001 MOCHAMAD AJI BAYU SUGARA SURABAYA 1979
18|07|
102 3578080201084200 3578080802810003 ACHMAD FAIZAL SURABAYA 1995
08|02|
103 3578080301089505 3578080204940002 KEVIN JONATHAN HARTANTO SURABAYA 1981
02|04|
104 3578081412160006 3578080906930001 WANGSIT GILANG PASOPATI SURABAYA 1994
09|06|
105 3578080503120078 3578085102870002 SRI DWI ANGGRAINI SURABAYA 1993
11|02|
106 3578080101083212 3578080606460003 BAMBANG SUBROTO BANYUWANGI 1987
06|06|
107 3578080201082777 3578080908940005 MICHAEL PUTRO SURABAYA 1946
09|08|
108 3578080301080092 3578081406680003 DEDY JUNAIDI ASAHAN 1994
14|06|
109 3578080301080092 3578080409700002 HENDRA DHARMA ASAHAN 1968
04|09|
110 3578080401080546 3578085103630001 FATMAWATI ALI, DRG MALANG 1970
11|03|
111 3578080501083979 3578086409900001 TJOE,STEFANIE TJUGITO SURABAYA 1963
24|09|
112 3578080101080059 3578081805300001 TANTO HUTOMO TANJUNG PATI 1990
18|05|
113 3578080101080059 3578086310610001 SOESIANI INDRAWATI TANJUNG PASURUAN 1930
23|10|
114 3578080201086926 3578080706700002 HENDRIK E GANADHI,THE FAKFAK 1961
07|06|
115 3578080301081307 3578085903560003 LANNY INDAHWATI ELIJAS SURABAYA 1970
19|03|
116 3578080301081307 3578080910570002 GO HENDRA SOEGIANTO SURABAYA 1956
09|10|
117 3578080301081307 3578080509900003 STEVEN ANDRIANTO,GO SURABAYA 1957
05|09|
118 3578080301081307 3578081812910001 YOHAN CHRISTIANTO,GO SURABAYA 1990
18|12|
119 3578080301088348 3578084610610001 CECILIA KARINDA SURABAYA 1991
06|10|
120 3578080401083225 3578085402480002 TAN AY HWA SURABAYA 1961
14|02|
121 3578080401083225 3578080309760003 ALEXANDER SURABAYA 1948
03|09|
122 3578080401083225 3578081804800003 GUNAWAN SURABAYA 1976
18|04|
123 3578080201084826 3578081108750001 STEFANUS ENGELBERT ANDRIES,S.S SURABAYA 1980
11|08|
124 3578080301080225 3578084204390002 KASMIANI SURABAYA 1975
02|04|
125 3578083105120029 3578081007750005 TATANG YULIARTO SURABAYA 1939
10|07|
126 3578080201085903 3578084605530002 MARIAWATI BUDIMAN SURABAYA 1975
06|05|
127 3578080201086143 3578084211460002 MELIJANTI BUDIMAN MALANG 1953
02|11|
128 3578080201086143 3578080311750005 STANLEY PRIJADI SURABAYA 1946
03|11|
1975
34 S P MOJO 1 1 0 PINDAHAN DARI TPS 044
61 P L MOJO 1 1 0 PINDAHAN DARI TPS 044
60 S L MOJO 1 1 0 PINDAHAN DARI TPS 045
31 S L MOJO 1 1 0 PINDAHAN DARI TPS 046
29 S P MOJO 1 1 0 PINDAHAN DARI TPS 046
61 P P MOJO 1 1 0 PINDAHAN DARI TPS 047
32 B L MOJO 1 1 0 PINDAHAN DARI TPS 047
31 S P MOJO 1 1 0 PINDAHAN DARI TPS 047
30 B L MOJO 1 1 0 PINDAHAN DARI TPS 050
42 B P MOJO 1 1 0 PINDAHAN DARI TPS 050
50 S P MOJO 1 1 0 PINDAHAN DARI TPS 051
45 B P MOJO 1 1 0 PINDAHAN DARI TPS 051
32 S P MOJO 1 1 0 PINDAHAN DARI TPS 053
45 S P MOJO 1 1 0 PINDAHAN DARI TPS 057
19 B L MOJO 1 1 0 PINDAHAN DARI TPS 057
33 S L MOJO 1 1 0 PINDAHAN DARI TPS 060
44 S L MOJO 1 1 0 PINDAHAN DARI TPS 062
38 S P MOJO 1 1 0 PINDAHAN DARI TPS 062
22 B L MOJO 1 1 0 PINDAHAN DARI TPS 062
37 S L MOJO 1 1 0 PINDAHAN DARI TPS 062
24 B L MOJO 1 1 0 PINDAHAN DARI TPS 063
25 B L MOJO 1 1 0 PINDAHAN DARI TPS 063
31 S P MOJO 1 1 0 PINDAHAN DARI TPS 064
72 S L MOJO ARUM /3 1 1 0
23 B L MOJO ARUM /3 1 1 0
50 S L MOJO ARUM /4 1 1 0
47 B L MOJO ARUM /4 1 1 0
55 B P MOJO ARUM /56 1 1 0
27 B P MOJO ARUM /65 1 1 0
88 S L MOJO ARUM /67 1 1 0
56 B P MOJO ARUM /67 1 1 0
48 B L MOJO ARUM /69 1 1 0
62 S P MOJO ARUM 1/1 1 1 0
60 S L MOJO ARUM 1/1 1 1 0
27 B L MOJO ARUM 1/1 1 1 0
26 B L MOJO ARUM 1/1 1 1 0
56 B P MOJO ARUM 1/15 1 1 0
70 P P MOJO ARUM 1/17 1 1 0
41 B L MOJO ARUM 1/17 1 1 0
38 B L MOJO ARUM 1/17 1 1 0
42 S L MOJO ARUM 1/19 1 1 0 PINDAHAN DARI TPS 000
79 P P MOJO ARUM 1/31 1 1 0
42 S L MOJO ARUM 1/31 1 1 0
65 B P MOJO ARUM 1/34 1 1 0
71 P P MOJO ARUM 1/34 1 1 0
42 S L MOJO ARUM 1/34 1 1 0
129 3578080201086143 3578085502770003 LIAUW YEE AEI MADIUN 15|02|1977
130 3578080201086143 3578080301010002 KENNETH PRIJADI SURABAYA 03|01|2001
131 3578080501080116 3578080410630002 EFENDY HARIONO SURABAYA 04|10|1963
132 3578082607120008 3578086909720006 RENIK AMAH KEDIRI 29|09|1972
133 3578082607120008 3578080410960004 HADYAN PUTRA PRATAMA KEDIRI 04|10|1996
134 3578082607120008 3578084301000004 SUKMA CAHYANING PUTRI SURABAYA 03|01|2000
135 3578080301080092 3578081510380001 DARIASMIN LABUHAN BATU 15|10|1938
136 3578080301080092 3578085802460002 HALAWIYAH ASAHAN 18|02|1946
137 3578082105150008 3578085005670002 MLL.SETIAWATI SURABAYA 10|05|1967
138 3578082205120008 3578082607480002 JL.KUSUMAHARTANTO KODRATA SURABAYA 26|07|1948
139 3578080301081727 3578080705630003 ANDI PUTERA AUDYANTO L SURABAYA 07|05|1963
140 3578080301081727 3578084203650002 PUSPITA WARNI JOEWONO SURABAYA 02|03|1965
141 3578080301081727 3578086111940002 ERLINA WATI HALIM SURABAYA 21|11|1994
142 3578080301080689 3578084103460001 INGGRIANI LIUNANDA BATU 01|03|1946
143 3578080301080689 3578086701650002 INDRIANI LIUNANDA SURABAYA 27|01|1965
144 3578080401080546 3578081003550001 SANTOSO DHARMAWAN SURABAYA 10|03|1955
145 3578080401081114 3578081106610003 YUDHI SENTOSA,ONG SURABAYA 11|06|1961
146 3578080401081114 3578084305680005 ROSALIA SOEJANTO SURABAYA 03|05|1968
147 3578080401081114 3578081906940003 RENDY SENTOSA SURABAYA 19|06|1994
148 3578080401081114 3578082311960002 ERWIN SENTOSA SURABAYA 23|11|1996
149 3578080101080059 3578084404300001 HERDIEN UTAMI PASURUAN 04|04|1930
150 3578080501083996 3578081801560004 RONNY INDRAWANTO TANJUNG SURABAYA 18|01|1956
151 3578080501083996 3578085807580003 LANNAWATI HADIPUTRO SURABAYA 18|07|1958
152 3578080501083996 3578082102890001 ARI KENCANA TANJUNG SURABAYA 21|02|1989
153 3578080201086926 3578080609370001 N.H.GANADHI,THE FAKFAK 06|09|1937
154 3578080301082138 3578082007610002 JUSUF NAWIR, DR SURABAYA 20|07|1961
155 3578080301082138 3578084506610004 DIANA NAINGGOLAN, DR JAKARTA 05|06|1961
156 3578080301082138 3578084110940002 RACHMANIA OKTAVIANI SURABAYA 01|10|1994
157 3578080301086065 3578085401510001 YENNY MAWARDJI AL DJI GIT WAN ENDE 14|01|1951
158 3578080301086065 3578082408730003 ANDRE ISKANDAR ENDE 24|08|1973
159 3578080501080611 3578082911540002 NJO BUDI SANTOSO SURABAYA 29|11|1954
160 3578080301084215 3578086603500001 CHRISTIN TANOKO SURABAYA 26|03|1950
161 3578080201088100 3578082904640006 HANDOKO SUHARI SURABAYA 29|04|1964
162 3578080201088100 3578080703740001 HARDI SUHARI SURABAYA 07|03|1974
163 3578080301080691 3578084512400001 RYATIN LIUNANDA SURABAYA 05|12|1940
164 3578080101087921 3578082912740004 SING CAI (DEDDY EKAPUTRA) SURABAYA 29|12|1974
165 3578080101081822 3578081204470003 HARUN M HUSEIN,SH DANAU RATA 12|04|1947
166 3578080101081822 3578084612490002 NURMAWAN TITIPASAN 06|12|1949
167 3578080101081822 3578082903710006 FERY L ANDY HARYANTO,ST KOTABUMI (LAMP 29|03|1971
168 3578080101081822 3578082112720001 YUAN DHARMA PUTRA KOTABUMI (LAMP 21|12|1972
169 3578080101081822 3578084604760005 FERA APRILISA,SH,MH LAMPUNG 06|04|1976
170 3578080101081822 3578086601790002 LEGIANA SAFARI TELUK BETUNG 26|01|1979
171 3578080301083466 3578084904290001 SOEGIARTI SURABAYA 09|04|1929
172 3578080301081306 3578085901320001 SUTJIANINGSIH ELIJAS SURABAYA 19|01|1932
173 3578080201087567 3578084502540001 THERESIA JOSEPHA TAN BLORA 05|02|1954
174 3578080201087567 3578082611730001 DEDY SURABAYA 26|11|1973
1

15|02|1977 41 S P MOJO ARUM 1/34 1 1 0


03|01|2001 17 B L MOJO ARUM 1/34 1 1 0
04|10|1963 54 S L MOJO ARUM 1/37 1 1 0
29|09|1972 45 P P MOJO ARUM 1/37 1 1 0
04|10|1996 21 B L MOJO ARUM 1/37 1 1 0
03|01|2000 18 B P MOJO ARUM 1/37 1 1 0
15|10|1938 79 S L MOJO ARUM 1/4 1 1 0
18|02|1946 72 S P MOJO ARUM 1/4 1 1 0
10|05|1967 51 B P MOJO ARUM 1/44 1 1 0
26|07|1948 69 B L MOJO ARUM 1/44 1 1 0
07|05|1963 55 S L MOJO ARUM 1/47 1 1 0
02|03|1965 53 S P MOJO ARUM 1/47 1 1 0
21|11|1994 23 B P MOJO ARUM 1/47 1 1 0
01|03|1946 72 B P MOJO ARUM 1/50 1 1 0
27|01|1965 53 B P MOJO ARUM 1/50 1 1 0
10|03|1955 63 S L MOJO ARUM 1/56 1 1 0
11|06|1961 57 S L MOJO ARUM 1/60 1 1 0
03|05|1968 50 S P MOJO ARUM 1/60 1 1 0
19|06|1994 24 B L MOJO ARUM 1/60 1 1 0
23|11|1996 21 B L MOJO ARUM 1/60 1 1 0
04|04|1930 88 S P MOJO ARUM 1/67 1 1 0
18|01|1956 62 S L MOJO ARUM 1/67 1 1 0
18|07|1958 59 S P MOJO ARUM 1/67 1 1 0
21|02|1989 29 B L MOJO ARUM 1/67 1 1 0
06|09|1937 80 S L MOJO ARUM 1/69 1 1 0
20|07|1961 56 S L MOJO ARUM 1/7 1 1 0
05|06|1961 57 S P MOJO ARUM 1/7 1 1 0
01|10|1994 23 B P MOJO ARUM 1/7 1 1 0
14|01|1951 67 S P MOJOARUM / 4 1 1 0
24|08|1973 44 B L MOJOARUM / 4 1 1 0
29|11|1954 63 S L MOJOARUM / 8 1 1 0
26|03|1950 68 S P MOJOARUM /25 1 1 0
29|04|1964 54 B L MOJOARUM /39 1 1 0
07|03|1974 44 B L MOJOARUM /39 1 1 0
05|12|1940 77 P P MOJOARUM /50 1 1 0
29|12|1974 43 S L MOJOARUM /54 1 1 0
12|04|1947 71 S L MOJOARUM /55 1 1 0
06|12|1949 68 S P MOJOARUM /55 1 1 0
29|03|1971 47 B L MOJOARUM /55 1 1 0
21|12|1972 45 S L MOJOARUM /55 1 1 0
06|04|1976 42 S P MOJOARUM /55 1 1 0
26|01|1979 39 B P MOJOARUM /55 1 1 0
09|04|1929 89 B P MOJOARUM /9 1 1 0
19|01|1932 86 S P MOJOARUM 1/1 1 1 0
05|02|1954 64 P P MOJOARUM 1/11 1 1 0
26|11|1973 44 P L MOJOARUM 1/11 1 1 0

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175 3578080201087567 3578085411750003 LENNY SANDRA SURABAYA 14|11|1975
176 3578080301084233 3578085509490001 HENDAYATI BUDIONO PANGKAL PINANG 15|09|1949
177 3578080101081015 3578084405650004 NJO, INDAH WATI BLORA 04|05|1965
178 3578080301080391 3578081901300001 JACOB KUSUMA HANDJAJA JEMBER 19|01|1930
179 3578080301080391 3578086001380001 RUTH SETIAWATI HANDJAJA LUMAJANG 20|01|1938
180 3578080301080391 3578086902720001 SUZANNA WIDYAWATI SURABAYA 29|02|1972
181 3578080201084983 3578081107760005 TOMMY TJAHJADI SURABAYA 11|07|1976
182 3578080201084983 3578086207770002 VIVI JULIATI ASALIM SURABAYA 22|07|1977
183 3578080301081157 3578080805500002 CHANDRA SIMDUTAMA ALAS SUMBAWA 08|05|1950
184 3578081107130003 3578107007860003 IKA SHINDI PRATISTA SURABAYA 30|07|1986
185 3578081107130003 3578082607860001 EKA SIMDUTAMA SURABAYA 26|07|1986
186 3578080201080994 3578084111740005 CHRISTIN DJAJASEPUTRA SURABAYA 01|11|1974
187 3578080201080994 3578083105780003 YUS SOEDARSONO KOESDIKIN, KOE SURABAYA 31|05|1978
188 3578080501080611 3578086907590001 HO PO TJHING/LILY SURABAYA 29|07|1959
189 3578080501080611 3578080108820004 NJO HADI SANTOSO SURABAYA 01|08|1982
190 3578080501080611 3578085111840002 NJO YEN YEN SURABAYA 11|11|1984
191 3578080501080611 3578080202900001 NJO GUNAWAN SANTOSO SURABAYA 02|02|1990
192 3578080201082327 3578082511700003 HERMAN KARAWITAN DJAJA SEPUTR SURABAYA 25|11|1970
193 3578080201082327 3578085908700006 EMILIA SURABAYA 19|08|1970
194 3578080301087177 3578082404450001 WIBISONO HARDJOPRANOTO PATI 24|04|1945
195 3578080301087177 3578085805460001 CONNIE ISTIARSIH WIBISONO BANJARMASIN 18|05|1946
196 3578080301087177 3578084904970002 VICTORIA JESSICA SURABAYA 09|04|1997
197 3578080201086056 3578082306300002 F.E.ANDRIES MANADO 23|06|1930
198 3578080201086056 3578084904350001 MARIA HELENA ANDRIES SURABAYA 09|04|1935
199 3578080301081199 3578086810400001 ENDANG ASTUTININGRUM MADIUN 28|10|1940
200 3578080301081199 3578086605740003 ADRIA RETNO INDRASPARWATI SURABAYA 26|05|1974
201 3578080301080224 3578082310400001 PAULUS TANDJUNG SURABAYA 23|10|1940
202 3578080301080224 3578185404540002 JEANY LENAWATI SIDOARJO 14|04|1954
203 3578080401082687 3578086012480003 RATNA DEWI ARSIANTI GUNAWAN LASEM 20|12|1948
204 3578080401082687 3578082809820001 YOSEPH PRAYITNO NOTORAHARDJO SURABAYA 28|09|1982
205 3578081404150008 3578085011760002 MARIA NOVITA NOTORAHARDJO, SE SURABAYA 10|11|1976
206 3578080201084888 3578081007540001 TABAH UJIANTO, BA SURABAYA 10|07|1954
207 3578080201084888 3578082811960002 KRIS DHARTANTO SURABAYA 28|11|1996
208 3578080201084888 3578085509580002 Rr.TYAS RUKMI SUSILO RAHAYU BA TULUNGAGUNG 15|09|1958
209 3578080312130004 3578085411560001 RR.SULISTYOWARNI RETNO K, S.Pd TULUNGAGUNG 14|11|1956
210 3578080312130004 3578101911560003 CHOIRON SURABAYA 19|11|1956
211 3578082208110006 3578084604720004 SIH WILUJENG JOMBANG 06|04|1972
212 3578082208110006 3578081907720012 ASMORO ADI CAHYONO JOMBANG 19|07|1972
213 3578082208110006 3578086804950005 NERISA AGATA KRISTIAN JOMBANG 28|04|1995
214 3578080101081685 3578081203310001 SOEGIJO WIBISONO BOJONEGORO 12|03|1931
215 3578083105120140 3578081203790002 PAULUS HARIADI SURABAYA 12|03|1979
216 3578080101088388 3578083101680002 BUDI PRASETYO TAIWAN 31|01|1968
217 3578080101088388 3578085810750003 HENNY SUHARI SURABAYA 18|10|1975
218 3578080201088100 3578087001400001 INDRIATI MALANG 30|01|1940
219 3578080201088100 3578082304650002 TURINO SUHARI SURABAYA 23|04|1965
220 3578080201083385 3578081910800003 YOHANES BUDIADI SURABAYA 19|10|1980
1

14|11|1975 42 S P MOJOARUM 1/11 1 1 0


15|09|1949 68 B P MOJOARUM 1/11 1 1 0
04|05|1965 53 B P MOJOARUM 1/11 1 1 0
19|01|1930 88 S L MOJOARUM 1/12 1 1 0
20|01|1938 80 S P MOJOARUM 1/12 1 1 0
29|02|1972 46 B P MOJOARUM 1/12 1 1 0
11|07|1976 41 S L MOJOARUM 1/14 1 1 0
22|07|1977 40 S P MOJOARUM 1/14 1 1 0
08|05|1950 68 P L MOJOARUM 1/14 1 1 0
30|07|1986 31 S P MOJOARUM 1/14 1 1 0
26|07|1986 31 S L MOJOARUM 1/14 1 1 0
01|11|1974 43 S P MOJOARUM 1/16 1 1 0
31|05|1978 40 S L MOJOARUM 1/16 1 1 0
29|07|1959 58 S P MOJOARUM 1/18 1 1 0
01|08|1982 35 S L MOJOARUM 1/18 1 1 0
11|11|1984 33 S P MOJOARUM 1/18 1 1 0
02|02|1990 28 B L MOJOARUM 1/18 1 1 0
25|11|1970 47 S L MOJOARUM 1/2 1 1 0
19|08|1970 47 S P MOJOARUM 1/2 1 1 0
24|04|1945 73 S L MOJOARUM 1/2 1 1 0
18|05|1946 72 S P MOJOARUM 1/2 1 1 0
09|04|1997 21 B P MOJOARUM 1/2 1 1 0
23|06|1930 88 S L MOJOARUM 1/21 1 1 0
09|04|1935 83 S P MOJOARUM 1/21 1 1 0
28|10|1940 77 P P MOJOARUM 1/23 1 1 0
26|05|1974 44 B P MOJOARUM 1/23 1 1 0
23|10|1940 77 S L MOJOARUM 1/24 1 1 0
14|04|1954 64 B P MOJOARUM 1/24 1 1 0
20|12|1948 69 P P MOJOARUM 1/27 1 1 0
28|09|1982 35 B L MOJOARUM 1/27 1 1 0
10|11|1976 41 S P MOJOARUM 1/27 1 1 0
10|07|1954 63 S L MOJOARUM 1/30 1 1 0
28|11|1996 21 B L MOJOARUM 1/30 1 1 0
15|09|1958 59 S P MOJOARUM 1/30 1 1 0
14|11|1956 61 S P MOJOARUM 1/30 1 1 0
19|11|1956 61 S L MOJOARUM 1/30 1 1 0
06|04|1972 46 S P MOJOARUM 1/32 1 1 0
19|07|1972 45 S L MOJOARUM 1/32 1 1 0
28|04|1995 23 B P MOJOARUM 1/32 1 1 0
12|03|1931 87 S L MOJOARUM 1/36 1 1 0
12|03|1979 39 B L MOJOARUM 1/38 1 1 0
31|01|1968 50 S L MOJOARUM 1/39 1 1 0
18|10|1975 42 S P MOJOARUM 1/39 1 1 0
30|01|1940 78 P P MOJOARUM 1/39 1 1 0
23|04|1965 53 S L MOJOARUM 1/39 1 1 0
19|10|1980 37 S L MOJOARUM 1/40 1 1 0

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221 3578080201083385 3578086809810002 LIDYAWATI PASURUAN 28|09|1981
222 3578080101080920 3578080311630002 HANDOKO SOEGONDO MALANG 03|11|1963
223 3578080101080920 3578085702730003 SUSAN MAGDALENA TANDJUNG SURABAYA 17|02|1973
224 3578080401082311 3578081512480003 KOESDIKIN, KOE/KOE KING KWA SURABAYA 15|12|1948
225 3578080401082311 3578085707490001 LAKSMIWATI DEWANTO/TIO MIETJEN MALANG 17|07|1949
226 3578080201084735 3578082904790002 SANTOSO SUGONDO SURABAYA 29|04|1979
227 3578080201084735 3578085711800001 NOVY ANGGRANI, SE SURABAYA 17|11|1980
228 3578080101087046 3578035011710001 TJAHJOWATI HUSADA NJOTO SURABAYA 10|11|1971
229 3578080101087046 3578081110720001 ANDREW JOEWONO SURABAYA 11|10|1972
230 3578080301081718 3578086605380001 PUSPITO WATI GUNAWAN SURABAYA 26|05|1938
231 3578080301081718 3578081210590001 PURWOTJAHJANTO JOEWONO SURABAYA 12|10|1959
232 3578080301081718 3578084206610001 PUSPITO SARI JOEWONO SURABAYA 02|06|1961
233 3578080101085524 3578085906970001 RISHMA PRAMESTI SURABAYA 19|06|1997
234 3578080101089024 3578080306720004 ADRIAN JUNIAR MALANG 03|06|1972
235 3578080301081133 3578081111360002 SURJADI LIUNANDA SURABAYA 11|11|1936
236 3578081810160014 3578084112800005 MILA MILDA JOMBANG 01|12|1980
237 3578081810160014 3578082401010001 MARVIN ANANDA HALIM SURABAYA 24|01|2001
238 3578080301088464 3578082307480002 PAULUS TANJUNG SURABAYA 23|07|1948
239 3578080301088464 3578084307480003 NANIK JULIATI BOJONEGORO 03|07|1948
240 3578082303100084 3578086009840006 DINA ARIYANTI BUDIANTO JOMBANG 20|09|1984
241 3578082303100084 3578082401840002 ABED ADI LEKSONO SEMARANG 24|01|1984
242 3578081805160009 3578082607860002 EDDY SIMDUTAMA SURABAYA 26|07|1986
243 3578081805160009 3575025511890005 GRACE AMELIA KESUMO KEDIRI 15|11|1989
244 3578080301082908 3578084911460001 SRI HASTUTI KEDIRI 09|11|1946
245 3578080612100003 3578085803820003 INDAH RACHMAWATI JAKARTA 18|03|1982
246 3578080612100004 3578085610690002 DIAH ARIETA SURYAWATI KEDIRI 16|10|1969
247 3578080612100004 3578080501700005 ANANG PRASETIJO BLITAR 05|01|1970
248 3578080612100003 3578081907730005 DONI ASHARI KURNIAWAN, SE.Ak LAMONGAN 19|07|1973
249 3578080612100004 3578085308990006 PRAVICHANA EL BALQIST ANDIAR KI NSURABAYA 13|08|1999
250 3578080301084239 3578080104650006 ISHAK SUHONGGO WONOHADIDJOJ OSURABAYA 01|04|1965
251 3578080301084239 3578086701660004 SELY OEI LIEN LIEN UJUNG PANDANG 27|01|1966
252 3578080301084239 3578081409670005 ARWAN JOHANES UJUNG PANDANG 14|09|1967
253 3578080301084239 3578084102930001 CECILYA CELESTA SUHONGGO SURABAYA 01|02|1993
254 3578080301084239 3578084207000003 DEBORA DEVINA SUHONGGO FILIPINA 02|07|2000
255 3578080401080629 3578080910630003 TRIYANTO TJENDRAWAN, ONG SURABAYA 09|10|1963
256 3578080401080629 3578084408660002 RATNA,S.Kom CAKRANEGARA 04|08|1966
257 3578080101084643 3578084211740002 NOVITA RATNA SUKRISMINTARTI SURABAYA 02|11|1974
258 3578080101084643 3578081304750004 TOMMY WIRYAWAN,SE.Ak JAKARTA 13|04|1975
259 3578080101084643 3578085809000003 SANCHIA CALLISTA RAIHANAH WIRY ASURABAYA 18|09|2000
260 3578081609160004 3515180204860003 SURYANDA FALAQ SURABAYA 02|04|1986
261 3578081408150008 3578060403550002 HENDRO ERWANTO KUSEN PROBOLINGGO 04|03|1955
262 3578080101082474 3578081506730006 DENO BIANTORO SURABAYA 15|06|1973
263 3578080201088620 3578081604880004 JEREMIA GOENADIBRATA SURABAYA 16|04|1988
264 3578080201088620 3578082801980001 BENYAMIN KRISNA GOENADIBRATA SURABAYA 28|01|1998
265 3578080301081798 3578081905410002 YANTO BIANTORO GORONTALO 19|05|1941
266 3578080301081798 3578086510490001 VONNY QUENTA LUDONG GORONTALO 25|10|1949
1

28|09|1981 36 S P MOJOARUM 1/40 1 1 0


03|11|1963 54 S L MOJOARUM 1/42 1 1 0
17|02|1973 45 S P MOJOARUM 1/42 1 1 0
15|12|1948 69 S L MOJOARUM 1/43 1 1 0
17|07|1949 68 S P MOJOARUM 1/43 1 1 0
29|04|1979 39 S L MOJOARUM 1/46 1 1 0
17|11|1980 37 S P MOJOARUM 1/46 1 1 0
10|11|1971 46 S P MOJOARUM 1/47 1 1 0
11|10|1972 45 S L MOJOARUM 1/47 1 1 0
26|05|1938 80 P P MOJOARUM 1/47 1 1 0
12|10|1959 58 B L MOJOARUM 1/47 1 1 0
02|06|1961 57 B P MOJOARUM 1/47 1 1 0
19|06|1997 21 B P MOJOARUM 1/5 1 1 0
03|06|1972 46 S L MOJOARUM 1/50 1 1 0
11|11|1936 81 S L MOJOARUM 1/50 1 1 0
01|12|1980 37 S P MOJOARUM 1/50 1 1 0
24|01|2001 17 B L MOJOARUM 1/50 1 1 0
23|07|1948 69 S L MOJOARUM 1/51 1 1 0
03|07|1948 69 S P MOJOARUM 1/51 1 1 0
20|09|1984 33 S P MOJOARUM 1/52 1 1 0
24|01|1984 34 S L MOJOARUM 1/52 1 1 0
26|07|1986 31 B L MOJOARUM 1/54 1 1 0
15|11|1989 28 B P MOJOARUM 1/54 1 1 0
09|11|1946 71 P P MOJOARUM 1/57 1 1 0
18|03|1982 36 S P MOJOARUM 1/57 1 1 0
16|10|1969 48 S P MOJOARUM 1/57 1 1 0
05|01|1970 48 S L MOJOARUM 1/57 1 1 0
19|07|1973 44 S L MOJOARUM 1/57 1 1 0
13|08|1999 18 B P MOJOARUM 1/57 1 1 0
01|04|1965 53 S L MOJOARUM 1/59 1 1 0
27|01|1966 52 S P MOJOARUM 1/59 1 1 0
14|09|1967 50 B L MOJOARUM 1/59 1 1 0
01|02|1993 25 B P MOJOARUM 1/59 1 1 0
02|07|2000 17 B P MOJOARUM 1/59 1 1 0
09|10|1963 54 S L MOJOARUM 1/60-A 1 1 0
04|08|1966 51 S P MOJOARUM 1/60-A 1 1 0
02|11|1974 43 S P MOJOARUM 1/61 1 1 0
13|04|1975 43 S L MOJOARUM 1/61 1 1 0
18|09|2000 17 B P MOJOARUM 1/61 1 1 0
02|04|1986 32 S L MOJOARUM 1/65 1 1 0
04|03|1955 63 B L MOJOARUM 1/67 1 1 0
15|06|1973 45 P L MOJOARUM 1/69 1 1 0
16|04|1988 30 B L MOJOARUM 1/69 1 1 0
28|01|1998 20 B L MOJOARUM 1/69 1 1 0
19|05|1941 77 S L MOJOARUM 1/69 1 1 0
25|10|1949 68 S P MOJOARUM 1/69 1 1 0

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267 3578080201088620 3578080601510001 HARDJA GOENADIBRATA,Ir SIDOARJO 06|01|1951
268 3578080201088620 3578084411620001 IMELDA GANADHI,THE,Dra FAKFAK 04|11|1962
269 3578080301082974 3578082708520003 AGUS KURNIAWAN, LAU PURWOREJO KLA 27|08|1952
270 3578080301082974 3578084310530002 EMMY HENDRAWATI WIJONO LUMAJANG 03|10|1953
271 3578080301082974 3578086708780002 ANNIE ANGELINA, OEI SURABAYA 27|08|1978
272 3578082712100015 3578085912800012 SULIANI TANDRAYUANA MALANG 19|12|1980
273 3578082712100015 3578081709800002 DANNY FRANCIS SURABAYA 17|09|1980
274 3578080101083085 3578086504730007 SIONATRA EKOPANGASTUTI MOJOKERTO 25|04|1973
275 3578080101083085 3578082204740004 SUSANTO WIJAYA SITUBONDO 22|04|1974
276 3578080401088959 3578086212490002 E.IRGAWATI SURABAYA 22|12|1949
277 3578080301081801 3578084503310002 SWANITA SURABAYA 05|03|1931
278 3578080301081801 3578082610500001 SOETJIPTO SURABAYA 26|10|1950
279 3578080301081801 3578085801610003 SANDRA MAUREEN KARUNIA SURABAYA 18|01|1961
280 3578080301081801 3578080912880001 MICHAEL REINHART SOETJIPTO SURABAYA 09|12|1988
281 3578080301081801 3578081204940003 MELVIN MEINHART SOETJIPTO SURABAYA 12|04|1994
282 3578080401083351 3578080105310001 ALEX TANAMBON TEHORU (PULAU S01|05|1931
283 3578080401083351 3578086007410001 ELSYE SURYANI TASIKMALAYA 20|07|1941
284 3578080501080061 3578084705680004 ROSSANA SATRIYANTI SURABAYA 07|05|1968
285 3578080501080061 3578082408950001 KENART SOJATMIKO SURABAYA 24|08|1995
286 3578080501080061 3578083005970003 RIKART SOJATMIKO SURABAYA 30|05|1997
287 3578080301081966 3578080910860003 HENDRY DAPOT MARINGAN H.M, A.M SURABAYA 09|10|1986
288 3578080401087854 3578086709990005 HILLARY IRENE SAMOSIR SURABAYA 27|09|1999
289 3578080301081966 3578086707410001 TIOMINAR BERLIANA TAMBUN DAIRI 27|07|1941
290 3578080401087854 3578081912630001 DALSEN SAMOSIR, IR MEDAN 19|12|1963
291 3578080401087854 3578085503640002 HERLIATY HOTMAIDA MARPAUNG TEBING TINGGI 15|03|1964
292 3578080401087854 3578084208940001 DEVI HOTNAULI SAMOSIR SURABAYA 02|08|1994
293 3578080401087854 3578084809960004 SABRINA HATOGUAN SAMOSIR SURABAYA 08|09|1996
294 3578082901090015 3578086203540001 SOELANDARI POERWONO SURABAYA 22|03|1954
295 3578082901090015 3578082909570005 NJOO, TEDDY SURABAYA 29|09|1957
296 3578082901090015 3578085805990003 MONICA YOUNG SURABAYA 18|05|1999
297 3578080201084972 3578086710560001 OEY SIOK KIM BALIKPAPAN 27|10|1956
298 3578080501080488 3578080410590003 TAN, HENLIEN SUTANTO SURABAYA 04|10|1959
299 3578080501080488 3578086702600002 MARY LILIANA/ONG,PIK LIAN JEMBER 27|02|1960
300 3578080501080488 3578080611910004 CHRISTIAN SUTANTO SURABAYA 06|11|1991
301 3578081404150003 3578083110870001 ADI PUTRA SUTAN SURABAYA 31|10|1987
302 3578081404150003 3574045901870003 HENNY PUSPITASARI PROBOLINGGO 19|01|1987
303 3578080101084007 3578080612520003 EDY SISWANTO BOJONEGORO 06|12|1952
304 3578080101084617 3578082511540002 TJHIE, FERRY SUSANTO SIDOARJO 25|11|1954
305 3578080101084617 3578084107570004 SRI HARYANTI SURABAYA 01|07|1957
306 3578080301086188 3578086406550001 ERNI WIDJAJA JAK-SEL 24|06|1955
307 3578080301086188 3578081109810002 REZA WINAR CIANJUR 11|09|1981
308 3578080301086188 3578084810840003 ALMIRA WINAR SURABAYA 08|10|1984
309 3578080301086188 3578082310520001 ANDRE WIBISONO,Ir SURABAYA 23|10|1952
310 3578100201087168 3578103103750007 EKO WAHYUDI SURABAYA 31|03|1975
311 3578100201087168 3578104809800005 MARTHA EMMANUEL SURABAYA 08|09|1980
312 3578080109150009 3578086406780003 YUNITA SUCIATI SURABAYA 24|06|1978
1

06|01|1951 67 S L MOJOARUM 1/69 1 1 0


04|11|1962 55 S P MOJOARUM 1/69 1 1 0
27|08|1952 65 S L MOJOARUM 1/71 1 1 0
03|10|1953 64 S P MOJOARUM 1/71 1 1 0
27|08|1978 39 B P MOJOARUM 1/71 1 1 0
19|12|1980 37 S P MOJOARUM 1/71 1 1 0
17|09|1980 37 S L MOJOARUM 1/71 1 1 0
25|04|1973 45 S P MOJOARUM 1/8 1 1 0
22|04|1974 44 S L MOJOARUM 1/8 1 1 0
22|12|1949 68 S P MOJOARUM 1/8 1 1 0
05|03|1931 87 P P MOJOARUM 1/9 1 1 0
26|10|1950 67 S L MOJOARUM 1/9 1 1 0
18|01|1961 57 S P MOJOARUM 1/9 1 1 0
09|12|1988 29 B L MOJOARUM 1/9 1 1 0
12|04|1994 24 B L MOJOARUM 1/9 1 1 0
S01|05|1931 87 S L MOJOARUM 2/55 1 1 0
20|07|1941 76 S P MOJOARUM 2/55 1 1 0
07|05|1968 50 P P MOJOARUM 2/55 1 1 0
24|08|1995 22 B L MOJOARUM 2/55 1 1 0
30|05|1997 21 B L MOJOARUM 2/55 1 1 0
09|10|1986 31 B L KALIWARON 306 2 1 0
27|09|1999 18 B P KALIWARON 306 2 1 0
27|07|1941 76 P P KALIWARON 306 2 1 0
19|12|1963 54 S L KALIWARON 306 2 1 0
15|03|1964 54 S P KALIWARON 306 2 1 0
02|08|1994 23 B P KALIWARON 306 2 1 0
08|09|1996 21 B P KALIWARON 306 2 1 0
22|03|1954 64 S P MOJO ARUM 2/15 2 1 0
29|09|1957 60 S L MOJO ARUM 2/15 2 1 0
18|05|1999 19 B P MOJO ARUM 2/15 2 1 0
27|10|1956 61 B P MOJO ARUM 2/20 2 1 0
04|10|1959 58 S L MOJO ARUM 2/21 2 1 0
27|02|1960 58 S P MOJO ARUM 2/21 2 1 0
06|11|1991 26 B L MOJO ARUM 2/21 2 1 0
31|10|1987 30 S L MOJO ARUM 2/21 2 1 0
19|01|1987 31 S P MOJO ARUM 2/21 2 1 0
06|12|1952 65 S L MOJO ARUM 2/22 2 1 0
25|11|1954 63 S L MOJO ARUM 2/23 2 1 0
01|07|1957 60 S P MOJO ARUM 2/23 2 1 0
24|06|1955 63 S P MOJO ARUM 2/25 2 1 0
11|09|1981 36 B L MOJO ARUM 2/25 2 1 0
08|10|1984 33 S P MOJO ARUM 2/25 2 1 0
23|10|1952 65 S L MOJO ARUM 2/25 2 1 0
31|03|1975 43 S L MOJO ARUM 2/40 2 1 0
08|09|1980 37 S P MOJO ARUM 2/40 2 1 0
24|06|1978 40 B P MOJO ARUM 2/41 2 1 0

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313 3578080501080152 3578081910750008 TAUW LUNG SURABAYA 19|10|1975
314 3578080501080152 3578085108800001 WIDYA TRISNAWATI SURABAYA 11|08|1980
315 3578080108110001 3578082008710002 LIPTA DJAJA SURABAYA 20|08|1971
316 3578080301088459 3578084412420001 NINIK TJAHYANDANI MALANG 04|12|1942
317 3578080401082055 3578086810860001 JULIANA OKTAVIA SURABAYA 28|10|1986
318 3578080401082055 3578086105880003 MELIANA SURABAYA 21|05|1988
319 3578081209140011 3578102306700008 THE RISCARD TANAYLA,ST MALANG 23|06|1970
320 3578081209140011 3578106511730001 JOYCE SURABAYA 25|11|1973
321 3578081209140012 3578106606300002 FRIDA KAMI DJAYA BANDUNG 26|06|1930
322 3578081209140011 3578100803000005 THE REALINO RAMAPUTRA TANAYLA SURABAYA 08|03|2000
323 3578080301080938 3578084806530003 LANY ANGELIZABETH SURABAYA 08|06|1953
324 3578080301080938 3578084905880002 MELYANA WIJONO SURABAYA 09|05|1988
325 3578080201080384 3578082110760005 KOESBIANTO SURABAYA 21|10|1976
326 3578080201080384 3578086201780004 STEFANNY ANGELA PRAYOGO SURABAYA 22|01|1978
327 3578080301089120 3578081403380001 SOESANTO GOENAWAN SURABAYA 14|03|1938
328 3578080301089120 3578085908540001 ENDANG SUGININGSIH ONGKODJOJ OSURABAYA 19|08|1954
329 3578080301089120 3578080403820001 VINCENTIUS EDWARD GOENAWAN SURABAYA 04|03|1982
330 3578081302140003 3578084902800003 FELICIA JOSEPHINE GOENAWAN SURABAYA 09|02|1980
331 3578080401083204 3578083007480001 HANDOKO OSLIJANTO SURABAYA 30|07|1948
332 3578080401083204 3578086905490004 LYDIA ISARTA KRISTANTO BANGKALAN 29|05|1949
333 3578080401083204 3578082509890001 STANLEY TIMOTHY OSLIJANTO SURABAYA 25|09|1989
334 3578080401082055 3578082703560002 TAN CHANDRA SUGIARTO SURABAYA 27|03|1956
335 3578080401082055 3578085410570004 ELLY SIOETANTO SURABAYA 14|10|1957
336 3578080401082055 3578084810900003 THERESIANA SURABAYA 08|10|1990
337 3578080301082746 3578086807330001 HERMINA WAHYUDIONO SURABAYA 28|07|1933
338 3578080201084794 3578082104580002 TONY HARTONO SITUBONDO 21|04|1958
339 3578080201084794 3578086704590002 I LAN MALANG 27|04|1959
340 3578080201084794 3578082803880002 YONGGI ADRIAN SITUBONDO 28|03|1988
341 3578080201084794 3578084707910003 CHITA LARISSA SITUBONDO 07|07|1991
342 3578080201081760 3578084903800002 DIAH WIARSIH KEDIRI 09|03|1980
343 3578081108090001 3578081103790005 DERI WISMA YUDI MAGELANG 11|03|1979
344 3578081108090001 3578224706800004 NANI USRIYATI, S.FARM.APT BANJARMASIN 07|06|1980
345 3578080301081177 3578083011300001 ROESLAN SASMITO,DRS BOJONEGORO 30|11|1930
346 3578080301081177 3578085104390002 TJOEMIEK SUMASTINA SURABAYA 11|04|1939
347 3578082808140007 3515172803650001 TOSHI BAMBANG SANTOSO SURABAYA 28|03|1965
348 3578080301081177 3578086402670002 Rr ANASTHASIA TRI S,Dr SURABAYA 24|02|1967
349 3578080401087992 3578082012470001 HERMAN WIBISONO SURABAYA 20|12|1947
350 3578080401087992 3578086201530003 RUTH BUDIMAN SURABAYA 22|01|1953
351 3578080401087992 3578085408810004 DEVINA HERU WIBISONO SURABAYA 14|08|1981
352 3578080401087992 3578086703830001 MELISSA HERU WIBISONO SURABAYA 27|03|1983
353 3578080301083786 3578085711430001 DAISY KARAMOY MALANG 17|11|1943
354 3578080201080999 3578081104590001 SUKARDI MALANG 11|04|1959
355 3578080201080999 3578087006630025 WARSINAH TRENGGALEK 30|06|1963
356 3578080201080999 3578081612910004 ADI WARDANA MALANG 16|12|1991
357 3578081702170007 3578085102880004 WARDYA SYAHIDA MALANG 11|02|1988
358 3578081905140006 3578101505640005 GUNARSO HANDOYO LIMANJAYA SURABAYA 15|05|1964
1

19|10|1975 42 S L MOJO ARUM 2/41 2 1 0


11|08|1980 37 S P MOJO ARUM 2/41 2 1 0
20|08|1971 46 B L MOJO ARUM 2/45 2 1 0
04|12|1942 75 B P MOJOARUM 2 / 32 2 1 0
28|10|1986 31 B P MOJOARUM 2/ 8 2 1 0
21|05|1988 30 B P MOJOARUM 2/ 8 2 1 0
23|06|1970 48 S L MOJOARUM 2/11 2 1 0
25|11|1973 44 S P MOJOARUM 2/11 2 1 0
26|06|1930 88 P P MOJOARUM 2/11 2 1 0
08|03|2000 18 B L MOJOARUM 2/11 2 1 0
08|06|1953 65 P P MOJOARUM 2/14 2 1 0
09|05|1988 30 B P MOJOARUM 2/14 2 1 0
21|10|1976 41 S L MOJOARUM 2/16 2 1 0
22|01|1978 40 S P MOJOARUM 2/16 2 1 0
14|03|1938 80 S L MOJOARUM 2/16 2 1 0
19|08|1954 63 S P MOJOARUM 2/16 2 1 0
04|03|1982 36 B L MOJOARUM 2/16 2 1 0
09|02|1980 38 S P MOJOARUM 2/16 2 1 0
30|07|1948 69 S L MOJOARUM 2/17 2 1 0
29|05|1949 69 S P MOJOARUM 2/17 2 1 0
25|09|1989 28 B L MOJOARUM 2/17 2 1 0
27|03|1956 62 S L MOJOARUM 2/18 2 1 0
14|10|1957 60 S P MOJOARUM 2/18 2 1 0
08|10|1990 27 B P MOJOARUM 2/18 2 1 0
28|07|1933 84 P P MOJOARUM 2/19 2 1 0
21|04|1958 60 S L MOJOARUM 2/2 2 1 0
27|04|1959 59 S P MOJOARUM 2/2 2 1 0
28|03|1988 30 B L MOJOARUM 2/2 2 1 0
07|07|1991 26 B P MOJOARUM 2/2 2 1 0
09|03|1980 38 B P MOJOARUM 2/20 2 1 0
11|03|1979 39 S L MOJOARUM 2/23 2 1 0
07|06|1980 38 S P MOJOARUM 2/23 2 1 0
30|11|1930 87 S L MOJOARUM 2/24 2 1 0
11|04|1939 79 S P MOJOARUM 2/24 2 1 0
28|03|1965 53 P L MOJOARUM 2/24 2 1 0
24|02|1967 51 B P MOJOARUM 2/24 2 1 0
20|12|1947 70 S L MOJOARUM 2/25 2 1 0
22|01|1953 65 S P MOJOARUM 2/25 2 1 0
14|08|1981 36 B P MOJOARUM 2/25 2 1 0
27|03|1983 35 B P MOJOARUM 2/25 2 1 0
17|11|1943 74 P P MOJOARUM 2/28 2 1 0
11|04|1959 59 S L MOJOARUM 2/29 2 1 0
30|06|1963 54 S P MOJOARUM 2/29 2 1 0
16|12|1991 26 B L MOJOARUM 2/29 2 1 0
11|02|1988 30 B P MOJOARUM 2/29 2 1 0
15|05|1964 54 S L MOJOARUM 2/29 2 1 0

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359 3578081905140006 3578106810750003 LYLI SURYANI KOTABUMI 28|10|1975
360 3578082103130007 3578084810810011 NGATMINAH LUMAJANG 08|10|1981
361 3578081702170007 3515172803860001 ARMYDA AULIA SUDRADJAT SURABAYA 28|03|1986
362 3578080105120110 3578086409280002 SRIWIANI TULUNGAGUNG 24|09|1928
363 3578080201087689 3578087008260001 RATRI GRESIK 30|08|1926
364 3578080201087690 3578082205490001 IR. NGARNO PURWOREJO 22|05|1949
365 3578080201087690 3578086708500001 RATIH RATNASARI, DRH YOGYAKARTA 27|08|1950
366 3578081510140002 3524165206750001 SUMIATI LAMONGAN 12|06|1975
367 3578081510140002 3524166502990003 MIA AYU MULYANI LAMONGAN 25|02|1999
368 3578080201081827 3578082711760002 FAISAL FIRDAUS SURABAYA 27|11|1976
369 3578080401083149 3578086511530001 HOZANA PALEMBANG 25|11|1953
370 3578080401083149 3578085507780003 DIANA YULINAR FIRDAUS SURABAYA 15|07|1978
371 3578081211130005 3578040610830011 STEVEN A. SAKAN KWAN FAFU 06|10|1983
372 3578080301089497 3578080111420001 ICHWAN SANTOSO KUDUS 01|11|1942
373 3578080301089497 3578087004450001 EKO SETIJANINGSIH JEPARA 30|04|1945
374 3578081003090001 3578080510720004 TOMAS SURABAYA 05|10|1972
375 3578081003090001 3578084306790002 YUNITA SURABAYA 03|06|1979
376 3578080101085652 3578080501540002 ANTO HADI SOEBROTO NGAWI 05|01|1954
377 3578080101085652 3578085203560001 ANTI SULISTYANINGDYAH NGAWI 12|03|1956
378 3578080101085652 3578084305610004 SURATMI MAGETAN 03|05|1961
379 3578080101085652 3578085705860001 PRIYANTI HADI S SURABAYA 17|05|1986
380 3578080101085652 3578081909870001 GRAHA HADI S SURABAYA 19|09|1987
381 3578080101085652 3578081409950002 TRIATMOJO HADI S SURABAYA 14|09|1995
382 3578081712120011 3471142409850001 ADIB SEPTARAI YUDANANSYAH YOGYAKARTA 24|09|1985
383 3578080101080305 3578081109650005 WISNUADJI PURWONO T, SH SEMARANG 11|09|1965
384 3578080201080886 3578086407830005 TRI HANDAYANI RAHAYU PALEMBANG 24|07|1983
385 3578080301081261 3578080310340002 R.KOENTJORO SOELEMAN, DR SURABAYA 03|10|1934
386 3578080301081261 3578085004420002 NI SOEHARI TULUNGAGUNG 10|04|1942
387 3578080301081261 3578086312710003 DEASY TRIWAHYUNI SURABAYA 23|12|1971
388 3578080201080886 3578081302700001 IR. NANANG AGUNG SETIAWAN SURABAYA 13|02|1970
389 3578080301081261 3578085405990004 ANISSYA RIZQI WIDITYA SURABAYA 14|05|1999
390 3578082911120006 3578250408700003 IWAN SURABAYA 04|08|1970
391 3578082911120006 3578255910720001 TRESSYE SURABAYA 19|10|1972
392 3578082911120006 3578252311950001 NOFEDO SURABAYA 23|11|1995
393 3578082911120006 3578251411000003 BRYAN SURABAYA 14|11|2000
394 3578080301086670 3578086305390001 ANGGRAHINI,IR.MSC MOJOKERTO 23|05|1939
395 3578080201083942 3578087009760006 ADI LUSIANA KEDIRI 30|09|1976
396 3578080201083942 3578082405800004 ERIC MARCELLIUS SURABAYA 24|05|1980
397 3578080201089208 3578082409520001 SOETIKNO POERWONO SURABAYA 24|09|1952
398 3578080201089208 3578085210580002 SOEANAJANTY SOEHARTO SURABAYA 12|10|1958
399 3578080501084032 3578086308630003 AGUSTIN SATRIJANTI SURABAYA 23|08|1963
400 3578080501084032 3578082505640005 MATIUS KOSASIH SURABAYA 25|05|1964
401 3578080501084032 3578081709900003 WILSON KOSASIH SURABAYA 17|09|1990
402 3578080501084032 3578084401930001 JESSICA KOSASIH SURABAYA 04|01|1993
403 3578080101081662 3578080309720002 STEPHANUS SUHARDIMAN SURABAYA 03|09|1972
404 3578080101081662 3578085906730002 LINDAYANI, ST JEMBER 19|06|1973
1

28|10|1975 42 S P MOJOARUM 2/29 2 1 0


08|10|1981 36 P P MOJOARUM 2/29 2 1 0
28|03|1986 32 B L MOJOARUM 2/29 2 1 0
24|09|1928 89 P P MOJOARUM 2/3 2 1 0
30|08|1926 91 S P MOJOARUM 2/30 2 1 0
22|05|1949 69 S L MOJOARUM 2/30 2 1 0
27|08|1950 67 S P MOJOARUM 2/30 2 1 0
12|06|1975 43 P P MOJOARUM 2/30 2 1 0
25|02|1999 19 B P MOJOARUM 2/30 2 1 0
27|11|1976 41 P L MOJOARUM 2/33 2 1 0
25|11|1953 64 P P MOJOARUM 2/33 2 1 0
15|07|1978 39 B P MOJOARUM 2/33 2 1 0
06|10|1983 34 P L MOJOARUM 2/35 2 1 0
01|11|1942 75 S L MOJOARUM 2/36 2 1 0
30|04|1945 73 S P MOJOARUM 2/36 2 1 0
05|10|1972 45 S L MOJOARUM 2/36 2 1 0
03|06|1979 39 S P MOJOARUM 2/36 2 1 0
05|01|1954 64 S L MOJOARUM 2/38 2 1 0
12|03|1956 62 B P MOJOARUM 2/38 2 1 0
03|05|1961 57 S P MOJOARUM 2/38 2 1 0
17|05|1986 32 B P MOJOARUM 2/38 2 1 0
19|09|1987 30 B L MOJOARUM 2/38 2 1 0
14|09|1995 22 B L MOJOARUM 2/38 2 1 0
24|09|1985 32 S L MOJOARUM 2/38 2 1 0
11|09|1965 52 S L MOJOARUM 2/39 2 1 0
24|07|1983 34 S P MOJOARUM 2/39 2 1 0
03|10|1934 83 S L MOJOARUM 2/39 2 1 0
10|04|1942 76 S P MOJOARUM 2/39 2 1 0
23|12|1971 46 S P MOJOARUM 2/39 2 1 0
13|02|1970 48 S L MOJOARUM 2/39 2 1 0
14|05|1999 19 B P MOJOARUM 2/39 2 1 0
04|08|1970 47 S L MOJOARUM 2/40 2 1 0
19|10|1972 45 S P MOJOARUM 2/40 2 1 0
23|11|1995 22 B L MOJOARUM 2/40 2 1 0
14|11|2000 17 B L MOJOARUM 2/40 2 1 0
23|05|1939 79 B P MOJOARUM 2/42-44 2 1 0
30|09|1976 41 S P MOJOARUM 2/43 2 1 0
24|05|1980 38 S L MOJOARUM 2/43 2 1 0
24|09|1952 65 S L MOJOARUM 2/43 2 1 0
12|10|1958 59 S P MOJOARUM 2/43 2 1 0
23|08|1963 54 S P MOJOARUM 2/47 2 1 0
25|05|1964 54 S L MOJOARUM 2/47 2 1 0
17|09|1990 27 B L MOJOARUM 2/47 2 1 0
04|01|1993 25 B P MOJOARUM 2/47 2 1 0
03|09|1972 45 S L MOJOARUM 2/48 2 1 0
19|06|1973 45 S P MOJOARUM 2/48 2 1 0

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405 3578080301086611 3578085508460001 MARGARETHA MARIA SURABAYA 15|08|1946
406 3578080101081662 3578082605000002 LAURENTIUS ALDI SUHARDIMAN SURABAYA 26|05|2000
407 3578080401085870 3578080411530002 RICHARD WIBISONO SURABAYA 04|11|1953
408 3578080401085870 3578086605600002 SIANE TERTIA MATOVANI,SIM BANGKA 26|05|1960
409 3578080401085870 3578085003890004 CRESCENT WIBISONO SURABAYA 10|03|1989
410 3578080301087151 3578086405600001 SULISTIYAWATI NGAWI 24|05|1960
411 3578080301087151 3578080901880003 ANTONIUS GUNAWAN SURABAYA 09|01|1988
412 3578080401081868 3578081802430001 EDDY JUSUF MAKASAR 18|02|1943
413 3578080401081868 3578085107540001 IRENE NATALIEM/LIEM KIEM GIE MAKASAR 11|07|1954
414 3578080401081868 3578085011800003 VANINI JUSUF SURABAYA 10|11|1980
415 3578080401081868 3578087011840003 VANANI JUSUF SURABAYA 30|11|1984
416 3578081110120026 3578081810780001 IRFAN JUSUF SURABAYA 18|10|1978
417 3578081110120026 3578024206840005 DIANA SURABAYA 02|06|1984
418 3578081101160002 3578082711880003 ANDREW KOSASIH SURABAYA 27|11|1988
419 3578260201082196 3578265812670001 LILY DELLA SENDUK BANJARMASIN 18|12|1967
420 3578260201082196 3578261610920001 MICHAEL DENALDI WIDJOJO SURABAYA 16|10|1992
421 3578260201082196 3578265905960003 RACHEL MEIVA WIDJOJO SURABAYA 19|05|1996
422 3578260201082196 3578262911620001 RONALD GUNADI WIDJOJO, Ir SEMARANG 29|11|1962
423 3578081604100037 3578085308810004 VIVI JULIANA JAKARTA 13|08|1981
424 3578081604100037 3578081203810002 HENDY HARSONO PROBOLINGGO 12|03|1981
425 3578081007090002 3578082703580004 HARTANTO HANDOJO PEKALONGAN 27|03|1958
426 3578082907130008 3578086807000001 GALUH MAHENDRA ARSANI SURABAYA 28|07|2000
427 3578080201082897 3578084506690008 YENNY WILLIANTI BUDIMAN JAKARTA 05|06|1969
428 3578080201082897 3578084605950005 LIEM LANY GUNAWAN SURABAYA 06|05|1995
429 3578080201082897 3578084605950004 LIEM LIANA GUNAWAN SURABAYA 06|05|1995
430 3578080101083039 3578085906670002 ANGELINE UTOMO, Dra.Ec SURABAYA 19|06|1967
431 3578080101083039 3578086309990002 THERESIA LIVIA PURWOKO SURABAYA 23|09|1999
432 3578080301081970 3578086606730003 JEANETTE JOGIONO SURABAYA 26|06|1973
433 3578080201085496 3578081909990001 JOSIE SIDHARTA SURABAYA 19|09|1999
434 3578080501083560 3578084411680003 LUCIA SURYANI WIDJOJO,SH BOGOR 04|11|1968
435 3578080501083560 3578086002990002 VICTORIA ELLEN SUBAGIJO SURABAYA 20|02|1999
436 3578080501083560 3578082903000004 YOHANES NEILSON SUBAGIJO SURABAYA 29|03|2000
437 3578080301087377 3578036706630003 BERNADETTE WIDJAJA, DRA.EC SURABAYA 27|06|1963
438 3578080301082980 3578082911460002 SURYA WIRAHADI KUSUMA,Ir SINGARAJA 29|11|1946
439 3578080201081714 3578080406750002 RUDDY LIERAKUSUMA SURABAYA 04|06|1975
440 3578081610140012 3578085104950001 LYDIANA SURABAYA 11|04|1995
441 3578080202090003 3578083101870002 ALDIAN LIMARDI SURABAYA 31|01|1987
442 3578080201089432 3578086610630003 TERISANATI O A SURABAYA 26|10|1963
443 3578080101082987 3578082903790001 STEVE HARIJONO SURABAYA 29|03|1979
444 3578081904170010 3578136003900001 LUCY EVANTI SURABAYA 20|03|1990
445 3578080401087683 3578082805000003 ANG,ALEXANDER HARTONO SURABAYA 28|05|2000
446 3578081012090013 3578080301690006 IMAM HIDAYAT, A.Md BOJONEGORO 03|01|1969
447 3578080101086739 3578085202000002 SITI ZAHRA JAKARTA 12|02|2000
1

15|08|1946 71 P P MOJOARUM 2/48 2 1 0


26|05|2000 18 B L MOJOARUM 2/48 2 1 0
04|11|1953 64 S L MOJOARUM 2/49 2 1 0
26|05|1960 58 S P MOJOARUM 2/49 2 1 0
10|03|1989 29 B P MOJOARUM 2/49 2 1 0
24|05|1960 58 P P MOJOARUM 2/5 2 1 0
09|01|1988 30 B L MOJOARUM 2/5 2 1 0
18|02|1943 75 S L MOJOARUM 2/52 2 1 0
11|07|1954 63 S P MOJOARUM 2/52 2 1 0
10|11|1980 37 B P MOJOARUM 2/52 2 1 0
30|11|1984 33 S P MOJOARUM 2/52 2 1 0
18|10|1978 39 S L MOJOARUM 2/52 2 1 0
02|06|1984 34 S P MOJOARUM 2/52 2 1 0
27|11|1988 29 B L MOJOARUM 2/53 2 1 0
18|12|1967 50 S P MOJOARUM 2/57 2 1 0
16|10|1992 25 B L MOJOARUM 2/57 2 1 0
19|05|1996 22 B P MOJOARUM 2/57 2 1 0
29|11|1962 55 S L MOJOARUM 2/57 2 1 0
13|08|1981 36 S P MOJOARUM 2/6 2 1 0
12|03|1981 37 S L MOJOARUM 2/6 2 1 0
27|03|1958 60 P L MOJOARUM 2/9 2 1 0
28|07|2000 17 B P MOJO ARUM 3/20 3 1 0
05|06|1969 49 P P MOJO ARUM 3/22 3 1 0
06|05|1995 23 B P MOJO ARUM 3/22 3 1 0
06|05|1995 23 B P MOJO ARUM 3/22 3 1 0
19|06|1967 51 S P MOJOARUM 3/12 3 1 0
23|09|1999 18 B P MOJOARUM 3/12 3 1 0
26|06|1973 45 B P MOJOARUM 3/14 3 1 0
19|09|1999 18 B L MOJOARUM 3/14 3 1 0
04|11|1968 49 S P MOJOARUM 3/15 3 1 0
20|02|1999 19 B P MOJOARUM 3/15 3 1 0
29|03|2000 18 B L MOJOARUM 3/15 3 1 0
27|06|1963 55 S P MOJOARUM 3/16 3 1 0
29|11|1946 71 S L MOJOARUM 3/20 3 1 0
04|06|1975 43 S L MOJOARUM 3/22 3 1 0
11|04|1995 23 B P MOJOARUM 3/24 3 1 0
31|01|1987 31 B L MOJOARUM 3/27 3 1 0
26|10|1963 54 S P MOJOARUM 3/3 3 1 0
29|03|1979 39 B L MOJOARUM 3/3 3 1 0
20|03|1990 28 B P MOJOARUM 3/3 3 1 0
28|05|2000 18 B L MOJOARUM 3/5 3 1 0
03|01|1969 49 S L MOJOARUM 3/6 3 1 0
12|02|2000 18 B P MOJO 1 1 0

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PINDAHAN DARI TPS 000

PINDAHAN DARI TPS 000

PINDAHAN DARI TPS 000

PINDAHAN DARI TPS 000


PINDAHAN DARI TPS 000

PINDAHAN DARI TPS 000


PINDAHAN DARI TPS 000
PINDAHAN DARI TPS 000
PINDAHAN DARI TPS 000
PINDAHAN DARI TPS 000
PINDAHAN DARI TPS 000
PINDAHAN DARI TPS 000

PINDAHAN DARI TPS 000


PINDAHAN DARI TPS 000
PINDAHAN DARI TPS 000
PINDAHAN DARI TPS 000
PINDAHAN DARI TPS 000
DAFTAR PEMILIH
PEMILIHAN GUBERNUR DAN WAKIL GUBER
TAHUN 2018

Provinsi : JAWA TIMUR


Kabupaten/Kota : KOTA SURABAYA

No No KK NIK Nama Tempat Lahir

1 2 3 4 5
1 3578080401087293 3578085510340001 HIDRIANA PRASETIO TUBAN
2 3578080301087334 3578085606420004 M HARDININGWATI KEDIRI
3 3578080301087334 3578082006660001 R LUKY HARI TJAHYONO KEDIRI
4 3578080301087334 3578080508680002 R LEO HARI SATRIYO TANJUNG BALAI
5 3578080301087334 3578082904720005 R HARI RIO HANGGORO JAK-PUS
6 3578080301087334 3578081306740002 R SONNY HARI PRIHANDONO SURABAYA
7 3578082907130008 3578086705720003 NI PUTU SUDEWI SURABAYA
8 3578080301080688 3578084907410001 SUSANA ELISABETH LINTJE MANGGARAI
9 3578080301080688 3578080206630001 PIETER MANGGARAI
10 3578080301080688 3578081308700002 JIMMY LIERAKUSUMA SURABAYA
11 3578080301080688 3578086910710002 JANY LIERAKUSUMA SURABAYA
12 3578081910160006 3578086511630005 SUSAN SHINTAWATI JEMBER
13 3578082303100089 3578085407330001 HENNYWATI BOGOR
14 3578082303100089 3578080309620001 ICHWANHONO KOSASIH,IR SURABAYA
15 3578083105120090 3578085304280001 LYDIA MAWARDJI SUMBAWA BESAR
16 3578080101088463 3578082808660001 HARI SUSANTO S SURABAYA
17 3578080101088463 3578085202720003 HWIE NIO/ELYSABETH TJAHJONO SURABAYA
18 3578080101088463 3578084308940001 SERAFINE HOSANA SANTOSO SURABAYA
19 3578080201086336 3578081904340001 SOEDJIANTORO ONGKO ATMODJO LUMAJANG
20 3578080201086336 3578085109380001 TANTI WIDJAJA DENPASAR
21 3578080201086336 3578085808680001 MAGDALENA AGOES SURABAYA
22 3578080201086336 3578080110680004 HERU ONGKO ATMODJO SURABAYA
23 3578080201086336 3578086303930002 SHERLY MEGAWATI O.A SURABAYA
24 3578080201086336 3578086507960002 STEPHANY ANGELICA O.A SURABAYA
25 3578080101083039 3578084212380001 SUHARTI SWANO SURABAYA
26 3578080101083039 3578085109470002 RATNA WIDJAJANTI SUWANO MOJOKERTO
27 3578080101084393 3578080105650003 ISWAHJUDI SURABAYA
28 3578080101084393 3578087011800001 NOVIZA ENDAH WINARNI KEDIRI
29 3578080101083039 3578082906630008 SULIMAN PURWOKO, DR SURABAYA
30 3578080101083039 3578080405970003 JOSEPH REINALDO PURWOKO SURABAYA
31 3578080201084901 3578082501780003 EDIY SUSANTO JEMBER
32 3578080201084901 3578084106790001 LOUISA JOGIONO SURABAYA
33 3578080201085496 3578150101680003 SIE JUNAEDI SIDHARTA SURABAYA
34 3578080201085496 3578084403700002 LYDIA JOGIONO SURABAYA
35 3578080301081970 3578081112440001 HANDOKO JOGIONO PEKALONGAN
36 3578080301081970 3578085112440002 DYAH DEWI PUSPA SURABAYA
2

A-KWK
R PEMILIH
IHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TIMUR
N 2018

Kecamatan : GUBENG
Desa/Kelurahan : MOJO
TPS : 002
Tanggal Lahir Usia Status Jenis Alamat Disabilitas
Perkawina Kelamin
Jalan/Dukuh Rt Rw
6 7 8 9 10 11 12 13
15|10|1934 83 S P KALIWARON 3 0 3 1 0
16|06|1942 76 P P KALIWARON 308 3 1 0
20|06|1966 52 B L KALIWARON 308 3 1 0
05|08|1968 49 B L KALIWARON 308 3 1 0
29|04|1972 46 B L KALIWARON 308 3 1 0
13|06|1974 44 B L KALIWARON 308 3 1 0
27|05|1972 46 S P MOJO ARUM 3/20 3 1 0
09|07|1941 76 P P MOJO ARUM 3/22 3 1 0
02|06|1963 55 B L MOJO ARUM 3/22 3 1 0
13|08|1970 47 B L MOJO ARUM 3/22 3 1 0
29|10|1971 46 S P MOJO ARUM 3/22 3 1 0
25|11|1963 54 B P MOJO ARUM 3/22 3 1 0
14|07|1933 84 P P MOJO ARUM 3/23 3 1 0
03|09|1962 55 S L MOJO ARUM 3/23 3 1 0
13|04|1928 90 P P MOJO ARUM 3/29 3 1 0
28|08|1966 51 S L MOJO ARUM 3/3 3 1 0
12|02|1972 46 S P MOJO ARUM 3/3 3 1 0
03|08|1994 23 B P MOJO ARUM 3/3 3 1 0
19|04|1934 84 S L MOJO ARUM 3/31 3 1 0
11|09|1938 79 S P MOJO ARUM 3/31 3 1 0
18|08|1968 49 S P MOJO ARUM 3/31 3 1 0
01|10|1968 49 S L MOJO ARUM 3/31 3 1 0
23|03|1993 25 B P MOJO ARUM 3/31 3 1 0
25|07|1996 21 B P MOJO ARUM 3/31 3 1 0
02|12|1938 79 P P MOJOARUM 3/ 2 3 1 0
11|09|1947 70 B P MOJOARUM 3/ 2 3 1 0
01|05|1965 53 S L MOJOARUM 3/10 3 1 0
30|11|1980 37 S P MOJOARUM 3/10 3 1 0
29|06|1963 54 S L MOJOARUM 3/12 3 1 0
04|05|1997 21 B L MOJOARUM 3/12 3 1 0
25|01|1978 40 S L MOJOARUM 3/14 3 1 0
01|06|1979 39 S P MOJOARUM 3/14 3 1 0
01|01|1968 50 S L MOJOARUM 3/14 3 1 0
04|03|1970 48 S P MOJOARUM 3/14 3 1 0
11|12|1944 73 S L MOJOARUM 3/14 3 1 0
11|12|1944 73 S P MOJOARUM 3/14 3 1 0

Page 11
Keterangan *)

14
PINDAHAN DARI TPS 001
37 3578080501083560 3578082708650006 BUDIJONO SUBAGIJO BOJONEGORO 27|08|1965
38 3578080501083560 3578086008960002 CINDY FRANSISCA SUBAGIJO SURABAYA 20|08|1996
39 3578080301087377 3578080401630004 IRAWAN WIDJAJA SURABAYA 04|01|1963
40 3578080301085577 3578085011390002 SWANDAJANI TANUJI JAK-PUS 10|11|1939
41 3578080301085577 3578082901610001 HARIJADI SANTOSO BANDUNG 29|01|1961
42 3578080301085577 3578086710620003 KIMIATI KUSUMADJAJA SURABAYA 27|10|1962
43 3578080301085577 3578081308950002 BEZALEEL NUGRAHA SURABAYA 13|08|1995
44 3578080101080692 3578080111700004 EDDY GUNAWAN SURABAYA 01|11|1970
45 3578080101080692 3578085005740006 SANNY GO TULUNGAGUNG 10|05|1974
46 3578080301082980 3578086110480001 KETUT WARI BULELENG 21|10|1948
47 3578082811130008 3578086506740005 NI KOMANG SRI DEWI UNTARI SURABAYA 25|06|1974
48 3578080301085281 3578085709360001 TAN HWA LAM HOKIAN 17|09|1936
49 3578080501083582 3578086709600001 LIANAJANTI SOEHARTO SURABAYA 27|09|1960
50 3578080501083582 3578081002860004 ERNST VALENTINO SERANG SURABAYA 10|02|1986
51 3578080201081714 3578085008770002 AY FEI CHANDRA KOTAWARINGIN B 10|08|1977
52 3578080104090015 3578082704750003 SUGENG HARTANTO SURABAYA 27|04|1975
53 3578080104090015 3578116604800001 LIE TJIEN SURABAYA 26|04|1980
54 3578080401086275 3578082607470001 EDY SUHENDRA MALANG 26|07|1947
55 3578080401086275 3578085007520004 TING TJHAY ING SURABAYA 10|07|1952
56 3578082309130013 3578082206770003 SETIONO SURABAYA 22|06|1977
57 3578082309130013 3576025504800002 ENNY WATI SAMUAL MDJOKERTO 15|04|1980
58 3578080301081881 3578085803680003 KWIE NIO / ACINTYA P WIJAYA PROBOLINGGO 18|03|1968
59 3578080301081881 3578080401710005 SIEN TJWAN (JANUAR) SURABAYA 04|01|1971
60 3578080202090003 3578080311770003 ALFIAN LIMARDI SURABAYA 03|11|1977
61 3578080401087684 3578082410490002 WIRAHADI SUTANTO SURABAYA 24|10|1949
62 3578080401087684 3578086604600005 RATNA SUSILOWATI SURABAYA 26|04|1960
63 3578083110110006 3578080801850002 JANSEN SUTANTO SURABAYA 08|01|1985
64 3578083110110006 3578084505860004 LIAUW VENNY MULYONO MALANG 05|05|1986
65 3578080301086246 3578086008520003 SRI WALUJATI S JAK-PUS 20|08|1952
66 3578080301086246 3578084106560004 SRI UNTARINI SANTOSO SURABAYA 01|06|1956
67 3578080301086246 3578081805830003 MATIUS SURYANTO WALUJO SURABAYA 18|05|1983
68 3578080301086246 3578082909830002 GLEEN ROSARIO SS JAKARTA 29|09|1983
69 3578080301086246 3578082512840003 DANANG KRISGIANTORO KLATEN 25|12|1984
70 3578080301086246 3578082204860002 KASWANDI GRESIK 22|04|1986
71 3578080301086246 3578080306880006 SYAMSUL TRIBAWANI KLATEN 03|06|1988
72 3578080301086246 3578081904900001 ZAINAL ABIDIN, DI GRESIK 19|04|1990
73 3578080301086246 3524192703930001 TRI ISTANTO LAMONGAN 27|03|1993
74 3578081904170010 3578082305900002 PHILIP CHRISTNA SANTOSO SURABAYA 23|05|1990
75 3578101408090017 3578102805880002 MOCH. IRFAN SURABAYA 28|05|1988
76 3578080101085113 3578081812510002 TOBING KUMOLO SURABAYA 18|12|1951
77 3578080101085113 3578084701610001 CAROLINE UTOMO,DRA SURABAYA 07|01|1961
78 3578080101085113 3578081308930002 ALBERT JESSE KUMOLO SURABAYA 13|08|1993
79 3578080301080113 3578082710350001 ANTHONY UTOMO SURABAYA 27|10|1935
80 3578080301080113 3578085006370001 EMMY UTOMO SURABAYA 10|06|1937
81 3578080401087683 3578082303660001 SANDY HARTONO,ANG PROBOLINGGO 23|03|1966
82 3578080401087683 3578085901690001 ANITA SASMITA SURABAYA 19|01|1969
2

27|08|1965 52 S L MOJOARUM 3/15 3 1 0


20|08|1996 21 B P MOJOARUM 3/15 3 1 0
04|01|1963 55 S L MOJOARUM 3/16 3 1 0
10|11|1939 78 S P MOJOARUM 3/17 3 1 0
29|01|1961 57 S L MOJOARUM 3/17 3 1 0
27|10|1962 55 S P MOJOARUM 3/17 3 1 0
13|08|1995 22 B L MOJOARUM 3/17 3 1 0
01|11|1970 47 S L MOJOARUM 3/18 3 1 0
10|05|1974 44 S P MOJOARUM 3/18 3 1 0
21|10|1948 69 S P MOJOARUM 3/20 3 1 0
25|06|1974 44 S P MOJOARUM 3/20 3 1 0
17|09|1936 81 P P MOJOARUM 3/21 3 1 0
27|09|1960 57 P P MOJOARUM 3/21 3 1 0
10|02|1986 32 B L MOJOARUM 3/21 3 1 0
10|08|1977 40 S P MOJOARUM 3/22 3 1 0
27|04|1975 43 S L MOJOARUM 3/25 3 1 0
26|04|1980 38 S P MOJOARUM 3/25 3 1 0
26|07|1947 70 S L MOJOARUM 3/25 3 1 0
10|07|1952 65 S P MOJOARUM 3/25 3 1 0
22|06|1977 41 S L MOJOARUM 3/25 3 1 0
15|04|1980 38 S P MOJOARUM 3/25 3 1 0
18|03|1968 50 S P MOJOARUM 3/26 3 1 0
04|01|1971 47 S L MOJOARUM 3/26 3 1 0
03|11|1977 40 B L MOJOARUM 3/27 3 1 0
24|10|1949 68 S L MOJOARUM 3/28 3 1 0
26|04|1960 58 S P MOJOARUM 3/28 3 1 0
08|01|1985 33 S L MOJOARUM 3/28 3 1 0
05|05|1986 32 S P MOJOARUM 3/28 3 1 0
20|08|1952 65 B P MOJOARUM 3/3 3 1 0
01|06|1956 62 S P MOJOARUM 3/3 3 1 0
18|05|1983 35 B L MOJOARUM 3/3 3 1 0
29|09|1983 34 S L MOJOARUM 3/3 3 1 0
25|12|1984 33 B L MOJOARUM 3/3 3 1 0
22|04|1986 32 B L MOJOARUM 3/3 3 1 0
03|06|1988 30 B L MOJOARUM 3/3 3 1 0
19|04|1990 28 B L MOJOARUM 3/3 3 1 0
27|03|1993 25 B L MOJOARUM 3/3 3 1 0
23|05|1990 28 B L MOJOARUM 3/3 3 1 0
28|05|1988 30 B L MOJOARUM 3/3 3 1 0
18|12|1951 66 S L MOJOARUM 3/30 3 1 0
07|01|1961 57 S P MOJOARUM 3/30 3 1 0
13|08|1993 24 B L MOJOARUM 3/30 3 1 0
27|10|1935 82 S L MOJOARUM 3/30 3 1 0
10|06|1937 81 S P MOJOARUM 3/30 3 1 0
23|03|1966 52 S L MOJOARUM 3/5 3 1 0
19|01|1969 49 S P MOJOARUM 3/5 3 1 0

Page 12
83 3578080401087683 3578087001960004 CYNTHIA ANGGRAINI,ANG SURABAYA 30|01|1996
84 3578080201089730 3578087006340068 RATNA SUMEDANG 30|06|1934
85 3578080201089730 3578260707560003 SUPARDI SURABAYA 07|07|1956
86 3578080201089730 3578086503570001 RIENA MALIK SURABAYA 25|03|1957
87 3578080201089730 3578085804630002 SRI LESTARI SURABAYA 18|04|1963
88 3578081012090013 3578105002730006 RR. ROSIANA WAHYUNINGDIAH SURABAYA 10|02|1973
89 3578080301086158 3578084801420001 NITAWATI SASMITA BANDUNG 08|01|1942
90 3578080301086162 3578082812640002 GITA SASMITA SURABAYA 28|12|1964
91 3578080301086162 3578084703740006 HELVI WIJAYA, WONG SAMARINDA 07|03|1974
92 3578081404150002 3578084612770003 NATALIA SASMITA SURABAYA 06|12|1977
93 3578080204120027 3578082510830004 ANDRIANTO GUNAWAN SURABAYA 25|10|1983
94 3578080204120027 3578084405830011 FENNY AMBON 04|05|1983
95 3578080301081410 3578082604450001 RIDWAN GUNAWAN PROBOLINGGO 26|04|1945
96 3578080301081410 3578085902520003 HERNI SULISTYAWATI SUDARMA SURABAYA 19|02|1952
97 3578080401088113 3578080312300001 ABDUL AZIS, SH BANYUWANGI 03|12|1930
98 3578080401088113 3578086405360001 SRIWULAN, SH AMAHAI 24|05|1936
99 3578110201085367 3578084609450004 MURNIATI SURABAYA 06|09|1945
100 3578110201085367 3578110402480001 TJIPTO HARTONO SURABAYA 04|02|1948
101 3578080301087459 3578085701390002 SINFAWATI BELITUNG 17|01|1939
102 3578080301087459 3578085210620003 SOEJANI LESMENA SURABAYA 12|10|1962
103 3578080101084994 3578080208750005 HARI ANTHONIUS KOSASIH SURABAYA 02|08|1975
104 3578080101084994 3578126609790004 IVONY SUSAN BONDOWOSO 26|09|1979
105 3578081805110077 3578087110590001 ERLINA SANTOSA SURABAYA 31|10|1959
106 3578080301081629 3578084211460003 LANOVIA UTOYO SURABAYA 11|02|1946
107 3578080201088433 3578086101400002 A.TUTY LUDONG GORONTALO 21|01|1940
108 3578082003140008 3578085601660007 MARIA JUSTINA CUSSOY SURABAYA 16|01|1966
109 3578082003140008 3578080804680002 KOSMOS ADRIANUS CUSSOY SURABAYA 08|04|1968
110 3578082003140008 3578082512940009 CHRISTIAN RENAULDO SUDAYANA SURABAYA 25|12|1994
111 3578082003140008 3578080106010001 KENNETH DESMONDOE SUDAYANA SURABAYA 01|06|2001
112 3578080101086416 3578084508530001 TJIANG LIAN HOA POSO 05|08|1953
113 3578080501082302 3578082308790003 IRVAN WIDJANARKO SURABAYA 23|08|1979
114 3578082606140001 3301221508970004 FADILAH KURNIA CILACAP 15|08|1997
115 3578080201087571 3578080109600001 HELMY DARJANTO,M.T,IR SURABAYA 01|09|1960
116 3578080201087571 3578084906650002 DINA UTAMI,DRA SALATIGA 09|06|1965
117 3578080201087571 3578081212900001 MALIK GANIS ILMAN SURABAYA 12|12|1990
118 3578080201087571 3578082102970001 FIKRI GHIFARI SURABAYA 21|02|1997
119 3578080501080437 3578086604390001 RUTH UTAMI SETIANUGRAHA BANYUWANGI 26|04|1939
120 3578080501083283 3578085704310001 LIDYA TRISNOWATI BANYUWANGI 17|04|1931
121 3578080501083283 3578083006330051 NICODEMUS NJOTO ONGKOSOETRIS SURABAYA 30|06|1933
122 3578080201087588 3578085209550004 SIE ROSIANY SITUBONDO 12|09|1955
123 3578080201087588 3578081908550001 INDRA TAHER KAMDANIE SURABAYA 19|08|1955
124 3578080201087588 3578085804780002 FELICIA KUMALA SARI SURABAYA 18|04|1978
125 3578080601100015 3578082206800003 FERY PALU 22|06|1980
126 3578080601100015 3578084712810001 LISA TANDAUTAMA SITUBONDO 07|12|1981
127 3578080401089319 3578081912700002 HARIADI SURABAYA 19|12|1970
128 3578080401089319 3578086212710002 DECY TANNER AMBON 22|12|1971
2

30|01|1996 22 B P MOJOARUM 3/5 3 1 0


30|06|1934 83 P P MOJOARUM 3/6 3 1 0
07|07|1956 61 S L MOJOARUM 3/6 3 1 0
25|03|1957 61 S P MOJOARUM 3/6 3 1 0
18|04|1963 55 B P MOJOARUM 3/6 3 1 0
10|02|1973 45 S P MOJOARUM 3/6 3 1 0
08|01|1942 76 P P MOJOARUM 3/7 3 1 0
28|12|1964 53 S L MOJOARUM 3/7 3 1 0
07|03|1974 44 S P MOJOARUM 3/7 3 1 0
06|12|1977 40 S P MOJOARUM 3/7 3 1 0
25|10|1983 34 S L MOJOARUM 3/8 3 1 0
04|05|1983 35 S P MOJOARUM 3/8 3 1 0
26|04|1945 73 S L MOJOARUM 3/8 3 1 0
19|02|1952 66 S P MOJOARUM 3/8 3 1 0
03|12|1930 87 S L KALIWARON 312 4 1 0
24|05|1936 82 S P KALIWARON 312 4 1 0
06|09|1945 72 S P MOJO ARUM 4/10 4 1 0
04|02|1948 70 S L MOJO ARUM 4/10 4 1 0
17|01|1939 79 S P MOJO ARUM 4/21 4 1 0
12|10|1962 55 S P MOJO ARUM 4/21 4 1 0
02|08|1975 42 S L MOJO ARUM 4/32 4 1 0
26|09|1979 38 S P MOJO ARUM 4/32 4 1 0
31|10|1959 58 P P MOJO ARUM 4/7 4 1 0
11|02|1946 72 P P MOJO ARUM 5/ 4 1 0
21|01|1940 78 S P MOJO ARUM 5/ 2 4 1 0
16|01|1966 52 S P MOJO ARUM 5/12 4 1 0
08|04|1968 50 S L MOJO ARUM 5/12 4 1 0
25|12|1994 23 B L MOJO ARUM 5/12 4 1 0
01|06|2001 17 B L MOJO ARUM 5/12 4 1 0
05|08|1953 64 P P MOJO ARUM 5/9 4 1 0
23|08|1979 38 B L MOJO ARUM 5/9 4 1 0
15|08|1997 20 B L MOJOARUM 4/ 7 4 1 0
01|09|1960 57 S L MOJOARUM 4/14 4 1 0
09|06|1965 53 S P MOJOARUM 4/14 4 1 0
12|12|1990 27 B L MOJOARUM 4/14 4 1 0
21|02|1997 21 B L MOJOARUM 4/14 4 1 0
26|04|1939 79 P P MOJOARUM 4/15 4 1 0
17|04|1931 87 S P MOJOARUM 4/15 4 1 0
30|06|1933 84 P L MOJOARUM 4/15 4 1 0
12|09|1955 62 S P MOJOARUM 4/16 4 1 0
19|08|1955 62 S L MOJOARUM 4/16 4 1 0
18|04|1978 40 S P MOJOARUM 4/16 4 1 0
22|06|1980 38 S L MOJOARUM 4/18 4 1 0
07|12|1981 36 S P MOJOARUM 4/18 4 1 0
19|12|1970 47 S L MOJOARUM 4/2 4 1 0
22|12|1971 46 S P MOJOARUM 4/2 4 1 0

Page 13
PINDAHAN DARI TPS 000
129 3578080401089319 3578087006000007 DEBORA PUTRI SANTOSO SURABAYA 30|06|2000
130 3578080401087710 3578085308470001 ELIYANTI YUNITA SURABAYA 13|08|1947
131 3578080401087710 3578084909750003 FRANCISCA KURNIAWATI, IE SURABAYA 09|09|1975
132 3578080401087710 3578084807810008 CECILIA GUNAWAN, IE SURABAYA 08|07|1981
133 3578083006140018 3578082308720002 ANDREAS ING WIBISONO,IE SURABAYA 23|08|1972
134 3578083006140018 3578085705720005 ELLYANA TANUMIHARDJO SURABAYA 17|05|1972
135 3578080201083592 3578084612310001 SATYAWATI DEWI SURABAYA 06|12|1931
136 3578080201083592 3578036611870002 NIA ANGELLIN WIDYAATMADJA SURABAYA 26|11|1987
137 3578080201083592 3578031412910004 YOHANES CHRISTIAN WIDYAATMADJ SURABAYA 14|12|1991
138 3578081106090033 3578086907330001 INDRAWATI SIGIT SURABAYA 29|07|1933
139 3578080201083569 3578080712740002 YONGKI SUSANTO JEMBER 07|12|1974
140 3578080201083569 3578085012760005 RATNA SURABAYA 10|12|1976
141 3578080401089149 3578082211550003 IGN.SUNARYO W LAMONGAN 22|11|1955
142 3578080401089149 3578085211580001 YULITA IDA MAHMUDAH SURABAYA 12|11|1958
143 3578080401089149 3578085807810003 DINA WIJAYA SUNARYO SURABAYA 18|07|1981
144 3578080401089149 3578084103860001 MARGARETH WIJAYA SUNARYO SURABAYA 01|03|1986
145 3578080401089149 3578081010910004 ROBERT AGUNG WIJAYA SUNARYO SURABAYA 10|10|1991
146 3578080101089583 3578082305640001 HERMANTO TIONO BANDUNG 23|05|1964
147 3578080101089583 3578085703680007 MELANIA ANGGRAINI KOSASIH SURABAYA 17|03|1968
148 3578080101089583 3578081403950008 RICHARDO TIONO SURABAYA 14|03|1995
149 3578080101089583 3578084901000002 KEVIN TIONO SURABAYA 09|01|2000
150 3578080301083197 3578080210460001 ARIEF OENTORO JEMBER 02|10|1946
151 3578080301083197 3578084405510002 CHRISTINE O /TJIOE BOEN KIANG SURABAYA 04|05|1951
152 3578081401110009 3578082209800002 JEMMY OENTORO SURABAYA 22|09|1980
153 3578081401110009 3578065706840004 TANESIA AGNES SUTIKNO SURABAYA 17|06|1984
154 3578083010120008 3578082909620005 HAMDANI SANTOSA SURABAYA 29|09|1962
155 3578080201086938 3578080810350001 BUDI SETIAWAN BOJONEGORO 08|10|1935
156 3578080201080184 3578082210750004 Drg. JIMMY GUNAWAN ISKAK SURABAYA 22|10|1975
157 3578112302090018 3578116604670002 Dra. CINTHIA GANI SURABAYA 26|04|1967
158 3578112302090018 3578116603700004 GO LIVIA GANI, SE SURABAYA 26|03|1970
159 3578082304130014 3517090305820007 ERIK ADHITIA YUDIANTO JOMBANG 03|05|1982
160 3578081511100016 3578080605800001 ASWIN SURABAYA 06|05|1980
161 3578081511100016 3578024209860002 SERAFIN SUTANTO SURABAYA 02|09|1986
162 3578080101080115 3578086711480003 ELSYE WIDJAJA SURABAYA 27|11|1948
163 3578080101080115 3578081005490001 HAN,KIAN BING SURABAYA 10|05|1949
164 3578080101080115 3578084103700002 HAN SIEN LIAN SURABAYA 01|03|1970
165 3578080301085561 3578083011470002 DJONI SETIA BUDI SIDOARJO 30|11|1947
166 3578080301081886 3578086302310001 MARIA HYACINTHA HANDIWIDJAJA SURABAYA 23|02|1931
167 3578080301081886 3578085312480001 MARIA THERESIA SETIADI SURABAYA 13|12|1948
168 3578080301081886 3578085510540003 MARIA LUCIA SETIADI SURABAYA 15|10|1954
169 3578082910120022 3578080205700006 STEFANUS SETIADI SURABAYA 02|05|1970
170 3578082910120022 3578086408740005 IRA VERINDA HERAWATY TARAKAN 24|08|1974
171 3578080301083776 3578081803630002 DRS. WACHID PUTRANTO TEMANGGUNG 18|03|1963
172 3578080301083776 3578081503640001 MOCHTAR AZIZ MOJOKERTO 15|03|1964
173 3578080301083776 3578080802680002 ARRY ARUMAL SURABAYA 08|02|1968
174 3578080301083776 3578085809930003 SABRINA FIRDAUSI AULIA SURABAYA 18|09|1993
2

30|06|2000 17 B P MOJOARUM 4/2 4 1 0


13|08|1947 70 P P MOJOARUM 4/23 4 1 0
09|09|1975 42 B P MOJOARUM 4/23 4 1 0
08|07|1981 36 B P MOJOARUM 4/23 4 1 0
23|08|1972 45 S L MOJOARUM 4/23 4 1 0
17|05|1972 46 S P MOJOARUM 4/23 4 1 0
06|12|1931 86 S P MOJOARUM 4/24 4 1 0
26|11|1987 30 B P MOJOARUM 4/24 4 1 0
14|12|1991 26 B L MOJOARUM 4/24 4 1 0
29|07|1933 84 B P MOJOARUM 4/24 4 1 0
07|12|1974 43 S L MOJOARUM 4/28 4 1 0
10|12|1976 41 S P MOJOARUM 4/28 4 1 0
22|11|1955 62 S L MOJOARUM 4/30 4 1 0
12|11|1958 59 S P MOJOARUM 4/30 4 1 0
18|07|1981 36 B P MOJOARUM 4/30 4 1 0
01|03|1986 32 B P MOJOARUM 4/30 4 1 0
10|10|1991 26 B L MOJOARUM 4/30 4 1 0
23|05|1964 54 S L MOJOARUM 4/32 4 1 0
17|03|1968 50 S P MOJOARUM 4/32 4 1 0
14|03|1995 23 B L MOJOARUM 4/32 4 1 0
09|01|2000 18 B L MOJOARUM 4/32 4 1 0
02|10|1946 71 S L MOJOARUM 4/6 4 1 0
04|05|1951 67 S P MOJOARUM 4/6 4 1 0
22|09|1980 37 S L MOJOARUM 4/6 4 1 0
17|06|1984 34 S P MOJOARUM 4/6 4 1 0
29|09|1962 55 B L MOJOARUM 4/7 4 1 0
08|10|1935 82 S L MOJOARUM 4/8 4 1 0
22|10|1975 42 S L MOJOARUM 4/9 4 1 0
26|04|1967 51 B P MOJOARUM 5/10 4 1 0
26|03|1970 48 B P MOJOARUM 5/10 4 1 0
03|05|1982 36 S L MOJOARUM 5/10-A 4 1 0
06|05|1980 38 S L MOJOARUM 5/11 4 1 0
02|09|1986 31 S P MOJOARUM 5/11 4 1 0
27|11|1948 69 S P MOJOARUM 5/3 4 1 0
10|05|1949 69 S L MOJOARUM 5/3 4 1 0
01|03|1970 48 B P MOJOARUM 5/3 4 1 0
30|11|1947 70 S L MOJOARUM 5/7 4 1 0
23|02|1931 87 P P MOJOARUM 5/8 4 1 0
13|12|1948 69 B P MOJOARUM 5/8 4 1 0
15|10|1954 63 B P MOJOARUM 5/8 4 1 0
02|05|1970 48 S L MOJOARUM 5/8 4 1 0
24|08|1974 43 S P MOJOARUM 5/8 4 1 0
18|03|1963 55 S L MOJO ARUM 6/10 5 1 0
15|03|1964 54 B L MOJO ARUM 6/10 5 1 0
08|02|1968 50 B L MOJO ARUM 6/10 5 1 0
18|09|1993 24 B P MOJO ARUM 6/10 5 1 0

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175 3578080301083776 3578084912610005 Dra. YULIA YUSNAH SURABAYA 09|12|1961
176 3578080301083776 3578086304710005 Dra. YELIN APRILIA SURABAYA 23|04|1971
177 3578080301083776 3578081812980004 THORIQ KEMAL SURABAYA 18|12|1998
178 3578080101084730 3578082103640002 GO, ANDY WILLIAM SURABAYA 21|03|1964
179 3578080101084730 3578084508690002 SIAUW GOAT LIE BALIKPAPAN 05|08|1969
180 3578080101084730 3578082509960003 RICHARD GONDOKUSUMO SURABAYA 25|09|1996
181 3578080201086798 3578081705680005 TJIPTO WIDJANARKO SURABAYA 17|05|1968
182 3578080201086798 3578086502710001 MARIA HALIM SURABAYA 25|02|1971
183 3578080201086798 3578086912960003 MICHELLI TJITRA DEWI SURABAYA 29|12|1996
184 3578080201086798 3578082002980003 MICHAEL TJIPTO WICAKSONO SURABAYA 20|02|1998
185 3578080201086798 3578082112000004 RICHARD TJIPTO WIRAWAN SURABAYA 21|12|2000
186 3578080201082995 3578086112410001 LANY WIDJAJA BANDUNG 21|12|1941
187 3578080201082995 3578086605770001 MELANI JUWONO SURABAYA 26|05|1977
188 3578080209130010 3578082603690003 BUDI HARTONO JUWONO SURABAYA 26|03|1969
189 3578080209130010 3578105208770003 CYNTHIA WIJAYA SURABAYA 12|08|1977
190 3578081510140005 3578084707430003 LILIK ANDRIANI BANDUNG 07|07|1943
191 3578080201082995 3578085912980001 ANGELA GIOVANNY SURABAYA 19|12|1998
192 3578080401082722 3578085902550003 DINA MARDIANI KUSUMA SURABAYA 19|02|1955
193 3578080401082722 3578082207720003 DEDDY WIDJANARKO SURABAYA 22|07|1972
194 3578080401082722 3578082203740001 DECKY WIDJANARKO SURABAYA 22|03|1974
195 3578080401082722 3578081803760004 DEFFRY WIDJANARKO SURABAYA 18|03|1976
196 3578081107120064 3578085509680003 LIE SIOE TIOE SURABAYA 15|09|1968
197 3578081603090011 3578086801850002 JEP FEI FEI SURABAYA 28|01|1985
198 3578081904170019 3578081312870002 JEP CHEN SHIANG SURABAYA 13|12|1987
199 3578080104090007 3578086104550001 RUKMINA ISKANDAR PONTIANAK 21|04|1955
200 3578080104090007 3578081905980003 LAURENSIUS MARCEL SURABAYA 19|05|1998
201 3578080101088492 3578080609640004 GUNAWAN YUSUF SURABAYA 06|09|1964
202 3578080101088492 3578085309700004 TAN IRAWATI SURABAYA 13|09|1970
203 3578080301085831 3578081909650001 HINDARTO ANG SURABAYA 19|09|1965
204 3578080301085831 3578086011680002 GO, LINDAWATI SURABAYA 20|11|1968
205 3578080301085831 3578080901880002 MICHAEL,GO SURABAYA 09|01|1988
206 3578080301085831 3578080305890001 LUKAS,GO SURABAYA 03|05|1989
207 3578080301085831 3578083105930003 FILEMON,GO SURABAYA 31|05|1993
208 3578080101086887 3578086101490001 SOE KIOK ING SURABAYA 21|01|1949
209 3578080101086887 3578082704520001 TJIO BON LIONG SURABAYA 27|04|1952
210 3578080101086887 3578081111860002 JEFFRY MULYADI, TJIO SURABAYA 11|11|1986
211 3578082002140002 3578105304750003 YULINDA LIMANTO SURABAYA 13|04|1975
212 3578080201087435 3578081105630001 DHARMA SOETIKNO SURABAYA 11|05|1963
213 3578080501081867 3578081602620003 HERIJANTO KARTONO KOTA BARU 16|02|1962
214 3578080401082044 3578085602360001 RR.. SITI RETNOWATI MASHADI MAGELANG 16|02|1936
215 3578080201087243 3578086907470001 SURJANTI PURNOMODJATI PONOROGO 29|07|1947
216 3578080501081047 3578080305690003 MOCHAMAD ARFANDI, SH SURABAYA 03|05|1969
217 3578080501081047 3578086105850001 ARI IDHAL LUTHIFAH SURABAYA 21|05|1985
218 3578080803110015 3578086809700008 IRA RACHMAWATI SURABAYA 28|09|1970
219 3578082301090005 3578082307770003 ARIEF SAIFUL EFFENDY SURABAYA 23|07|1977
220 3578082301090005 3578087110780006 DIANA NOVITASARI SURABAYA 31|10|1978
2

09|12|1961 56 S P MOJO ARUM 6/10 5 1 0


23|04|1971 47 P P MOJO ARUM 6/10 5 1 0
18|12|1998 19 B L MOJO ARUM 6/10 5 1 0
21|03|1964 54 S L MOJO ARUM 6/15-F 5 1 0
05|08|1969 48 S P MOJO ARUM 6/15-F 5 1 0
25|09|1996 21 B L MOJO ARUM 6/15-F 5 1 0
17|05|1968 50 S L MOJO ARUM 6/15-i 5 1 0
25|02|1971 47 S P MOJO ARUM 6/15-i 5 1 0
29|12|1996 21 B P MOJO ARUM 6/15-i 5 1 0
20|02|1998 20 B L MOJO ARUM 6/15-i 5 1 0
21|12|2000 17 B L MOJO ARUM 6/15-i 5 1 0
21|12|1941 76 P P MOJO ARUM 6/17-I BLOK I 5 1 0
26|05|1977 41 P P MOJO ARUM 6/17-I BLOK I 5 1 0
26|03|1969 49 S L MOJO ARUM 6/17-I BLOK I 5 1 0
12|08|1977 40 S P MOJO ARUM 6/17-I BLOK I 5 1 0
07|07|1943 74 P P MOJO ARUM 6/17-I BLOK I 5 1 0
19|12|1998 19 B P MOJO ARUM 6/17-I BLOK I 5 1 0
19|02|1955 63 P P MOJO ARUM 7/28 5 1 0
22|07|1972 45 B L MOJO ARUM 7/28 5 1 0
22|03|1974 44 B L MOJO ARUM 7/28 5 1 0
18|03|1976 42 B L MOJO ARUM 7/28 5 1 0
15|09|1968 49 P P MOJO ARUM 8/10 5 1 0
28|01|1985 33 S P MOJO ARUM 8/10 5 1 0
13|12|1987 30 B L MOJO ARUM 8/10 5 1 0
21|04|1955 63 P P MOJO ARUM 8/12 5 1 0
19|05|1998 20 B L MOJO ARUM 8/12 5 1 0
06|09|1964 53 S L MOJO ARUM 8/4 5 1 0
13|09|1970 47 S P MOJO ARUM 8/4 5 1 0
19|09|1965 52 S L MOJO ARUM 9/6 5 1 0
20|11|1968 49 S P MOJO ARUM 9/6 5 1 0
09|01|1988 30 B L MOJO ARUM 9/6 5 1 0
03|05|1989 29 B L MOJO ARUM 9/6 5 1 0
31|05|1993 25 B L MOJO ARUM 9/6 5 1 0
21|01|1949 69 S P MOJO ARUM 9/7 5 1 0
27|04|1952 66 S L MOJO ARUM 9/7 5 1 0
11|11|1986 31 B L MOJO ARUM 9/7 5 1 0
13|04|1975 43 P P MOJO ARUM 9/8 5 1 0
11|05|1963 55 B L MOJOARUM 6/ 5-B 5 1 0
16|02|1962 56 B L MOJOARUM 6/ 5-K 5 1 0
16|02|1936 82 P P MOJOARUM 6/ 7-K 5 1 0
29|07|1947 70 P P MOJOARUM 6/11 5 1 0
03|05|1969 49 S L MOJOARUM 6/11 5 1 0
21|05|1985 33 S P MOJOARUM 6/11 5 1 0
28|09|1970 47 B P MOJOARUM 6/11 5 1 0
23|07|1977 40 S L MOJOARUM 6/11 5 1 0
31|10|1978 39 S P MOJOARUM 6/11 5 1 0

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221 3578082711140020 3578083105770002 FERDIAN RACHMANTO SURABAYA 31|05|1977
222 3578082711140020 3571016310760005 SHINTA AULIA DAMAYANTI KEDIRI 23|10|1976
223 3578080101089908 3578084508730003 IRENE SYLVIANE LIDYA TIMPOROK MANADO 05|08|1973
224 3578080101089908 3578081410740005 HENTJE CHRISTIAN RIMBING SONDER 14|10|1974
225 3578021003110002 3578066107500001 JULITA TITI SUBARTI BANJARMASIN 21|07|1950
226 3578021003110002 3578020607730002 GUNAWAN ADI WIBOWO KUDUS 06|07|1973
227 3578021003110002 3578067003760007 KURNIANINGSIH SURABAYA 30|03|1976
228 3578082502160004 3674015309700004 SANGGAR ASIH BANJARMASIN 13|09|1970
229 3578153006100038 3578155003660004 RATNA KARTONO SURABAYA 09|03|1966
230 3578153006100038 3578152912950002 CHRISTIAN CHANDRA KHOMALA SURABAYA 29|12|1995
231 3578212801110009 3578211107740002 ALEXANDER TUMIWA SURABAYA 11|07|1974
232 3578212801110009 3578136804760002 ERNI SUZANA SURABAYA 28|04|1976
233 3578080412120007 3578084302350001 LILY CHANDRAWATI SURABAYA 03|02|1935
234 3578080501082417 3578081705700001 BAMBANG HARIJANTO SOETIKNO SURABAYA 17|05|1970
235 3578080501082417 3578085210740004 RINI SUTANTO RUTENG 12|10|1974
236 3578080201083730 3578082103790003 MARXELIOUS PROBOLINGGO 21|03|1979
237 3578081506100022 3578094606820003 THERESIA PAULINE SURABAYA 06|06|1982
238 3578081506100022 3578081507830005 dr. JULIOUS PROBOLINGGO 15|07|1983
239 3578080101080655 3578080302250001 WIMARNO MASBUDI BANJARMASIN 03|02|1925
240 3578080301085664 3578081101730004 HERTANTO SURABAYA 11|01|1973
241 3578080301085664 3578086105740005 LIEKE SUKENDY,KWE DOBO 21|05|1974
242 3578080301085664 3578083012920003 KEVIN YUWONO SURABAYA 30|12|1992
243 3578080301085664 3578081003980001 LEONARDO YUWONO SURABAYA 10|03|1998
244 3578080501081867 3578082910370001 EDY KARTONO KOTA BARU 29|10|1937
245 3578080501081867 3578084803390002 HERNI KOTA BARU 08|03|1939
246 3578080102100099 3578085304440002 LYDIA LANAWATI/LIE JIE LAN YOGYAKARTA 13|04|1944
247 3578080102100099 3578080905730004 IMAN ELIM SANTOSO MALANG 09|05|1973
248 3578080102100099 3578082606750003 IMAN KALEB SANTOSO SURABAYA 26|06|1975
249 3578080308110012 3578081102630004 MAK CHIU LING GUANG DONG 11|02|1963
250 3578080201082615 3578085504660005 PHANG, LILY MARIANI, S.Psi TANJUNG PINANG 15|04|1966
251 3578080201082615 3578086605970001 ELIZABETH TIFFANY SURABAYA 26|05|1997
252 3578080201082615 3578084707000003 HELLEN MARGARETA JAKARTA 07|07|2000
253 3578080201082615 3578084707000004 VELLEN MARGARETA JAKARTA 07|07|2000
254 3578082702120003 3578080111770004 RUDIYANTO LIMANUEL PARIGI 01|11|1977
255 3578082702120003 3578087007790012 KIKI SUARNI TJIPTA BANJARMASIN 30|07|1979
256 3578080201082143 3578082911770001 HERBERT WONGSOSAPUTRO SURABAYA 29|11|1977
257 3578080201082143 3578087010770002 NOVI MAGDALENA WAWOLANGI,SE MANADO 30|10|1977
258 3578080610160002 3578014208620002 HARTATIK SURABAYA 02|08|1962
259 3578080610160002 3578010407640006 DJUHARI JUWONO SURABAYA 04|07|1964
260 3578080401083647 3578085412660003 SRI AMPENI SWANDAYANI, SH.CN SURABAYA 14|12|1966
261 3578080401083647 3578081212920003 HC. BAMBANG PERMADI SOETJAHJO SURABAYA 12|12|1992
262 3578080401083647 3578080402980002 BAMBANG SATRIO UTOMO S SURABAYA 04|02|1998
263 3578080401083647 3578081611600001 MIRBAN SOETJAHJO, Drs. Ec SURABAYA 16|11|1960
264 3578080301083591 3578082502420001 TJOK SOEPRANOTO MALANG 25|02|1942
265 3578080301083591 3578085512420001 TINI HANDOJO SURABAYA 15|12|1942
266 3578080301083591 3578080101660006 HARRY JANUAR SOEPRANOTO SURABAYA 01|01|1966
2

31|05|1977 41 B L MOJOARUM 6/11 5 1 0


23|10|1976 41 S P MOJOARUM 6/11 5 1 0
05|08|1973 44 S P MOJOARUM 6/1-3 5 1 0
14|10|1974 43 S L MOJOARUM 6/1-3 5 1 0
21|07|1950 67 P P MOJOARUM 6/15 5 1 0
06|07|1973 44 S L MOJOARUM 6/15 5 1 0
30|03|1976 42 S P MOJOARUM 6/15 5 1 0
13|09|1970 47 S P MOJOARUM 6/15 5 1 0
09|03|1966 52 P P MOJOARUM 6/15 K 5 1 0
29|12|1995 22 B L MOJOARUM 6/15 K 5 1 0
11|07|1974 43 S L MOJOARUM 6/15-AB 5 1 0
28|04|1976 42 S P MOJOARUM 6/15-AB 5 1 0
03|02|1935 83 P P MOJOARUM 6/15-B 5 1 0
17|05|1970 48 S L MOJOARUM 6/15-B 5 1 0
12|10|1974 43 S P MOJOARUM 6/15-B 5 1 0
21|03|1979 39 B L MOJOARUM 6/15-D 5 1 0
06|06|1982 36 S P MOJOARUM 6/15-D 5 1 0
15|07|1983 34 S L MOJOARUM 6/15-D 5 1 0
03|02|1925 93 B L MOJOARUM 6/15-E 5 1 0
11|01|1973 45 S L MOJOARUM 6/15-G 5 1 0
21|05|1974 44 S P MOJOARUM 6/15-G 5 1 0
30|12|1992 25 B L MOJOARUM 6/15-G 5 1 0
10|03|1998 20 B L MOJOARUM 6/15-G 5 1 0
29|10|1937 80 S L MOJOARUM 6/15-K 5 1 0
08|03|1939 79 S P MOJOARUM 6/15-K 5 1 0
13|04|1944 74 P P MOJOARUM 6/15-L 5 1 0
09|05|1973 45 B L MOJOARUM 6/15-L 5 1 0
26|06|1975 43 B L MOJOARUM 6/15-L 5 1 0
11|02|1963 55 S L MOJOARUM 6/15-M 5 1 0
15|04|1966 52 S P MOJOARUM 6/15-M 5 1 0
26|05|1997 21 B P MOJOARUM 6/15-M 5 1 0
07|07|2000 17 B P MOJOARUM 6/15-M 5 1 0
07|07|2000 17 B P MOJOARUM 6/15-M 5 1 0
01|11|1977 40 S L MOJOARUM 6/15-P 5 1 0
30|07|1979 38 S P MOJOARUM 6/15-P 5 1 0
29|11|1977 40 S L MOJOARUM 6/17 5 1 0
30|10|1977 40 S P MOJOARUM 6/17 5 1 0
02|08|1962 55 S P MOJOARUM 6/17 I BLOK I 5 1 0
04|07|1964 53 S L MOJOARUM 6/17 I BLOK I 5 1 0
14|12|1966 51 S P MOJOARUM 6/17-AI 5 1 0
12|12|1992 25 B L MOJOARUM 6/17-AI 5 1 0
04|02|1998 20 B L MOJOARUM 6/17-AI 5 1 0
16|11|1960 57 S L MOJOARUM 6/17-AI 5 1 0
25|02|1942 76 S L MOJOARUM 6/17-B 5 1 0
15|12|1942 75 S P MOJOARUM 6/17-B 5 1 0
01|01|1966 52 S L MOJOARUM 6/17-B 5 1 0

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267 3578080301083591 3578081409670004 RUDY BIANTORO SOEPRANOTO SURABAYA 14|09|1967
268 3578080301083591 3578080105950004 JONATHAN ALEXANDER SOEPRANOT SURABAYA 01|05|1995
269 3578080301083591 3578086402970002 NICOLE ASHLEY SURABAYA 24|02|1997
270 3578080401080631 3578085704520002 HELIANA SURABAYA 17|04|1952
271 3578080401080631 3578080206800002 IRFAN SUSILO SURABAYA 02|06|1980
272 3578080401080631 3578084205840006 STEFANI SUSILO SURABAYA 02|05|1984
273 3578080401080631 3578080603500001 HENDRO SUSILO, Dr SURABAYA 06|03|1950
274 3578080101088078 3578082009570001 RUDI HARSONO KEDIRI 20|09|1957
275 3578080101088078 3578085910890001 MARIA TANIA HAPSARI HARSONO SURABAYA 19|10|1989
276 3578080101088078 3578080101940004 ALFONSUS ADRIAN HADIKUSUMO HA SURABAYA 01|01|1994
277 3578080101088078 3578085709580001 MARIA LUCIA INGE LUSIDA SURABAYA 17|09|1958
278 3578080301083200 3578080309440003 HIDAJAT YUWONO SURAKARTA 03|09|1944
279 3578080301083200 3578084204490001 SRI MULYANI SURAKARTA 02|04|1949
280 3578080301083200 3578086611700001 HERNAWATI SURABAYA 26|11|1970
281 3578080301083201 3578081211690002 HERNAWAN SURAKARTA 12|11|1969
282 3578080301083201 3578085911700003 NOVIANA BUDISUSETYA SURABAYA 19|11|1970
283 3578080301083201 3578081009970001 HENRICO YUWONO SURABAYA 10|09|1997
284 3578080301083201 3578082304990001 RICARDO YUWONO SURABAYA 23|04|1999
285 3578080201080346 3578080902470001 JOES SUBHANDANA ENDRANATA KEDIRI 09|02|1947
286 3578080201080346 3578086610600004 TJHAN SIU LIE JAKARTA 26|10|1960
287 3578080301087390 3578085505430004 RATNANINGSIH KEDIRI 15|05|1943
288 3578080101085552 3578081403750005 JOKO SUHARJA SURABAYA 14|03|1975
289 3578080201082822 3578080212700008 CHEN IK CHUNG MEDAN 02|12|1970
290 3578080201082822 3578084603740002 ENDANG SUHARSARI SURABAYA 06|03|1974
291 3578080301082148 3578082002470004 BUDI SUHARJA SURABAYA 20|02|1947
292 3578080301082148 3578085903490001 ELLITA SARI NEGARA 19|03|1949
293 3578080101085552 3578085204750001 VIVI TJOKRO SOEKARDJO,SE SURABAYA 12|04|1975
294 3578121603090023 3578122010760001 WONG ARIFIN HENDRAWAN SURABAYA 20|10|1976
295 3578121603090023 3578084404790004 SISCA APRILLIANA, SE BANDUNG 04|04|1979
296 3578080401080493 3578084504900003 PRATIWI RAMANDITA SURABAYA 05|04|1990
297 3578080401080493 3578081005910005 BIMO HERDIANTO PRABOWO SURABAYA 10|05|1991
298 3578083011150005 3578082105600004 OETOMO HADIPRAJOGO SITUBONDO 21|05|1960
299 3578080401080493 3578085812620001 Dra. DIAH MOETIORETNO SITUBONDO 18|12|1962
300 3578080207150005 3522123012710010 ZAKY KURNIAWAN LAMONGAN 30|12|1971
301 3578080207150005 3522124512740007 IKE FIDHILIA BOJONEGORO 05|12|1974
302 3578080301080503 3578086101530001 RINDAWATI SURABAYA 21|01|1953
303 3578081904110025 3578081604570001 BAMBANG SUYONO, DR PASURUAN 16|04|1957
304 3578081904110025 3578085002630003 SRI SASTRIDEWI TJOKRO WARDOJO SURABAYA 10|02|1963
305 3578081904110025 3578082802910006 JOHANES PRATAMA SUYONO SURABAYA 28|02|1991
306 3578081904110025 3578081908920001 JONATHAN PRAYOGI SUYONO SURABAYA 19|08|1992
307 3578080301087365 3578082604400001 HADIYANTO CAHYADI MAKASAR 26|04|1940
308 3578080301087365 3578085812460002 VONNY HANDAJANI MALANG 18|12|1946
309 3578080301087365 3578086401680002 MARIA VERONICA CAHYADI SURABAYA 24|01|1968
310 3578080301087365 3578080312700004 YOHANNES CAHYADI SURABAYA 03|12|1970
311 3578080101088907 3578080704630003 SUDARDJI HENDRAWAN SURABAYA 07|04|1963
312 3578080101088907 3578085506700006 YUNIATY SURABAYA 15|06|1970
2

14|09|1967 50 S L MOJOARUM 6/17-B 5 1 0


01|05|1995 23 B L MOJOARUM 6/17-B 5 1 0
24|02|1997 21 B P MOJOARUM 6/17-B 5 1 0
17|04|1952 66 S P MOJOARUM 6/17-B 5 1 0
02|06|1980 38 B L MOJOARUM 6/17-B 5 1 0
02|05|1984 34 B P MOJOARUM 6/17-B 5 1 0
06|03|1950 68 S L MOJOARUM 6/17-B 5 1 0
20|09|1957 60 S L MOJOARUM 6/17-D 5 1 0
19|10|1989 28 B P MOJOARUM 6/17-D 5 1 0
01|01|1994 24 B L MOJOARUM 6/17-D 5 1 0
17|09|1958 59 S P MOJOARUM 6/17-D 5 1 0
03|09|1944 73 S L MOJOARUM 6/17-F 5 1 0
02|04|1949 69 S P MOJOARUM 6/17-F 5 1 0
26|11|1970 47 P P MOJOARUM 6/17-F 5 1 0
12|11|1969 48 S L MOJOARUM 6/17-F 5 1 0
19|11|1970 47 S P MOJOARUM 6/17-F 5 1 0
10|09|1997 20 B L MOJOARUM 6/17-F 5 1 0
23|04|1999 19 B L MOJOARUM 6/17-F 5 1 0
09|02|1947 71 S L MOJOARUM 6/17-H 5 1 0
26|10|1960 57 S P MOJOARUM 6/17-H 5 1 0
15|05|1943 75 S P MOJOARUM 6/17-H 5 1 0
14|03|1975 43 S L MOJOARUM 6/17-I 5 1 0
02|12|1970 47 S L MOJOARUM 6/17-I 5 1 0
06|03|1974 44 S P MOJOARUM 6/17-I 5 1 0
20|02|1947 71 S L MOJOARUM 6/17-I 5 1 0
19|03|1949 69 S P MOJOARUM 6/17-I 5 1 0
12|04|1975 43 S P MOJOARUM 6/17-I 5 1 0
20|10|1976 41 S L MOJOARUM 6/17-I KAV 3 5 1 0
04|04|1979 39 S P MOJOARUM 6/17-I KAV 3 5 1 0
05|04|1990 28 B P MOJOARUM 6/17-K 5 1 0
10|05|1991 27 B L MOJOARUM 6/17-K 5 1 0
21|05|1960 58 S L MOJOARUM 6/17-K 5 1 0
18|12|1962 55 P P MOJOARUM 6/17-K 5 1 0
30|12|1971 46 S L MOJOARUM 6/17-L 5 1 0
05|12|1974 43 S P MOJOARUM 6/17-L 5 1 0
21|01|1953 65 B P MOJOARUM 6/2 5 1 0
16|04|1957 61 S L MOJOARUM 6/21 5 1 0
10|02|1963 55 S P MOJOARUM 6/21 5 1 0
28|02|1991 27 B L MOJOARUM 6/21 5 1 0
19|08|1992 25 B L MOJOARUM 6/21 5 1 0
26|04|1940 78 S L MOJOARUM 6/23 5 1 0
18|12|1946 71 S P MOJOARUM 6/23 5 1 0
24|01|1968 50 B P MOJOARUM 6/23 5 1 0
03|12|1970 47 B L MOJOARUM 6/23 5 1 0
07|04|1963 55 S L MOJOARUM 6/25 5 1 0
15|06|1970 48 S P MOJOARUM 6/25 5 1 0

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313 3578080201086721 3578080905330001 HENDRAWAN SURABAYA 09|05|1933
314 3578080201086721 3578085607380001 KUSTINI PASURUAN 16|07|1938
315 3578080201086721 3578085703650003 LANY HENDRAWAN SURABAYA 17|03|1965
316 3578081506110005 3578085405590002 LILY HENDRAWAN PASURUAN 14|05|1959
317 3578081506110005 3578082202960001 YONATHAN WIDYANTO P.TJIANG SURABAYA 22|02|1996
318 3578081506110006 3578082211670004 INDRATNO HENDRAWAN SURABAYA 22|11|1967
319 3578081506110006 3578081109930002 KEVIN ANGGAKUSUMA HENDRAWAN SURABAYA 11|09|1993
320 3578080101088907 3578084201000004 CINDY CHRISTIANA SURABAYA 02|01|2000
321 3578080205130003 3578082610620001 SUNDORO TIRTORAHARDJO SURABAYA 26|10|1962
322 3578080205130003 3578086708720001 MEI LING IRENE SURABAYA 27|08|1972
323 3578080401083538 3578084210350002 SETIAWATI LIMASEPUTRA SURABAYA 02|10|1935
324 3578080401083062 3578081011530002 EDDY SUNDORO,TJIOE SURABAYA 10|11|1953
325 3578080401083062 3578084605680002 WIDARSEH HARTONO MALANG 06|05|1968
326 3578080401083062 3578085605890002 VENNY SUNDORO,TJIOE SURABAYA 16|05|1989
327 3578080401083062 3578085208900003 NINIK SUNDORO,TJIOE MALANG 12|08|1990
328 3578080401083062 3578082206910003 JOKO SUNDORO SURABAYA 22|06|1991
329 3578080101087029 3578085603750001 TENG WAN CHING SURABAYA 16|03|1975
330 3578080101087029 3578082710750003 SUGENG TJAHJO BANYUWANGI 27|10|1975
331 3578080301087523 3578084612490001 NJOO SIOE LIE BANYUWANGI 06|12|1949
332 3578081904100001 3578083107720001 TENG KHEE SHIEN SURABAYA 31|07|1972
333 3578081904100001 3578065012850001 SOLIHATI ERNANI SURABAYA 10|12|1985
334 3578080101083050 3578086909240001 TUTY RAHAYU L PRANOTO LAWANG 29|09|1924
335 3578080101087913 3578086004580003 WULANDARI INDRAJANTI SETYONO SURABAYA 20|04|1958
336 3578080201085801 3578086207320001 LINDAWATI WAHYUDYONO SURABAYA 22|07|1932
337 3578080301080255 3578082607560001 GO SETIADI GUNAWAN SURABAYA 26|07|1956
338 3578080301080255 3578086303620005 TERISMINATI ONGKO ATMODJO SURABAYA 23|03|1962
339 3578080301080255 3578085408910004 DEBORA ADELIA GUNAWAN, GO SURABAYA 14|08|1991
340 3578080301080255 3578081509930002 ANDREAS ARIF GUNAWAN, GO SURABAYA 15|09|1993
341 3578070101081328 3578071306650003 SUJANTO TJIPTOKARSONO SURABAYA 13|06|1965
342 3578070101081328 3578114408690002 SURIJATI SOELASTRI SURABAYA 04|08|1969
343 3578080301085235 3578084110330003 HARTATI SURABAYA 01|10|1933
344 3578080301085235 3578082803330001 HARJONO BUDIMAN SURABAYA 28|03|1933
345 3578080101087422 3578081610730003 BING YUNUS SURABAYA 16|10|1973
346 3578080101087422 3578087108740001 LOE BING GIOK SURABAYA 31|08|1974
347 3578080101087422 3578081206010003 JEREMY KEN SURABAYA 12|06|2001
348 3578080101081660 3578082508720005 AGUS SEPTA OSMONDO GUNAWAN SURABAYA 25|08|1972
349 3578080301084963 3578082701470002 HARIJANTO GUNAWAN YOGYAKARTA 27|01|1947
350 3578080301084963 3578086910500001 RATNASARI KOENTJORO SURABAYA 29|10|1950
351 3578080301084963 3578085011760003 IMELDA ARMANTHA GUNAWAN SURABAYA 10|11|1976
352 3578080101081660 3578084809720001 ANNY HANDAYANI,BSC BALIKPAPAN 08|09|1972
353 3578080212140001 3578082105720005 YONATHAN KUSNADI SURABAYA 21|05|1972
354 3578080401080282 3578085606700009 GRACE KUSNADI SURABAYA 16|06|1970
355 3578080301084496 3578081404250001 RM SARJANTO KOESOEMOPRANOTO SOLO 14|04|1925
356 3578082307120017 3578084905760005 DINA PUJI HASTUTI SURAKARTA 05|09|1976
357 3578082307120017 3578080407770011 JOKO PRASETYO SURAKARTA 07|04|1977
358 3578081304170008 3275064905760008 DINA PUJI HASTUTI SURAKARTA 09|05|1976
2

09|05|1933 85 S L MOJOARUM 6/25 5 1 0


16|07|1938 79 S P MOJOARUM 6/25 5 1 0
17|03|1965 53 B P MOJOARUM 6/25 5 1 0
14|05|1959 59 S P MOJOARUM 6/25 5 1 0
22|02|1996 22 B L MOJOARUM 6/25 5 1 0
22|11|1967 50 S L MOJOARUM 6/25 5 1 0
11|09|1993 24 B L MOJOARUM 6/25 5 1 0
02|01|2000 18 B P MOJOARUM 6/25 5 1 0
26|10|1962 55 S L MOJOARUM 6/6 5 1 0
27|08|1972 45 S P MOJOARUM 6/6 5 1 0
02|10|1935 82 P P MOJOARUM 6/6 5 1 0
10|11|1953 64 S L MOJOARUM 6/7 5 1 0
06|05|1968 50 S P MOJOARUM 6/7 5 1 0
16|05|1989 29 B P MOJOARUM 6/7 5 1 0
12|08|1990 27 B P MOJOARUM 6/7 5 1 0
22|06|1991 27 B L MOJOARUM 6/7 5 1 0
16|03|1975 43 S P MOJOARUM 6/8 5 1 0
27|10|1975 42 S L MOJOARUM 6/8 5 1 0
06|12|1949 68 P P MOJOARUM 6/8 5 1 0
31|07|1972 45 S L MOJOARUM 6/8 5 1 0
10|12|1985 32 S P MOJOARUM 6/8 5 1 0
29|09|1924 93 P P MOJOARUM 7/ 6 5 1 0
20|04|1958 60 B P MOJOARUM 7/10 5 1 0
22|07|1932 85 P P MOJOARUM 7/10 5 1 0
26|07|1956 61 S L MOJOARUM 7/12 5 1 0
23|03|1962 56 S P MOJOARUM 7/12 5 1 0
14|08|1991 26 B P MOJOARUM 7/12 5 1 0
15|09|1993 24 B L MOJOARUM 7/12 5 1 0
13|06|1965 53 S L MOJOARUM 7/16 5 1 0
04|08|1969 48 S P MOJOARUM 7/16 5 1 0
01|10|1933 84 S P MOJOARUM 7/2 5 1 0
28|03|1933 85 S L MOJOARUM 7/2 5 1 0
16|10|1973 44 S L MOJOARUM 7/20 5 1 0
31|08|1974 43 S P MOJOARUM 7/20 5 1 0
12|06|2001 17 B L MOJOARUM 7/20 5 1 0
25|08|1972 45 S L MOJOARUM 7/26 5 1 0
27|01|1947 71 S L MOJOARUM 7/26 5 1 0
29|10|1950 67 S P MOJOARUM 7/26 5 1 0
10|11|1976 41 S P MOJOARUM 7/26 5 1 0
08|09|1972 45 S P MOJOARUM 7/26 5 1 0
21|05|1972 46 B L MOJOARUM 7/32 5 1 0
16|06|1970 48 B P MOJOARUM 7/32 5 1 1
14|04|1925 93 P L MOJOARUM 7/4 5 1 0
05|09|1976 41 S P MOJOARUM 8/ 4 5 1 0
07|04|1977 41 S L MOJOARUM 8/ 4 5 1 0
09|05|1976 42 S P MOJOARUM 8/14 5 1 0

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359 3578081304170008 3275060407770014 JOKO PRASETYO SURAKARTA 04|07|1977
360 3578080201081656 3578085503600002 ANNY SHIANTO KUPANG 15|03|1960
361 3578080201081656 3578081809600001 SIE BAN GWAN BOJONEGORO 18|09|1960
362 3578080201081656 3578085603890002 FERLY SETIAWAN KUPANG 16|03|1989
363 3578083110110031 3578080105830002 FELDY SETIAWAN SURABAYA 01|05|1983
364 3578083110110031 3578085509830005 JENIFER SOEDARMO MATARAM 15|09|1983
365 3578080101084430 3578082409680002 AFFEY LIMANTO SURABAYA 24|09|1968
366 3578080101084430 3578085204720001 IRINNE WIDAJATI PONTIANAK 12|04|1972
367 3578080101084430 3578080306990002 WILLIAM LIMANTO SURABAYA 03|06|1999
368 3578080401089216 3578080909740007 HEAROLD ABRAM/HERMAN IBRAHIM SURABAYA 09|09|1974
369 3578080401089216 3578084212760002 ESTHER ELLYZABETH SURABAYA 02|12|1976
370 3578080905160011 3578094109600001 RITA HERAWATI SURABAYA 01|09|1960
371 3578080905160011 3578094604860001 DIAN PERMATA SURABAYA 06|04|1986
372 3578080905160011 3578096611910002 DINDA MUTIARA SURABAYA 26|11|1991
373 3578080905160011 3578095604970001 DITA BERLIAN SURABAYA 16|04|1997
374 3578080301081127 3578082809680002 LIM, WILLIANTO LIMBANG BULUNGAN 28|09|1968
375 3578080301081127 3578086808720003 LANY, GO SURABAYA 28|08|1972
376 3578080301081127 3578086909940001 LIM, JESSICA LIMBANG SURABAYA 29|09|1994
377 3578080301081127 3578081909960003 LIM, MATTHEW LIMBANG SURABAYA 19|09|1996
378 3578080301081127 3578084604990001 LIM, MELINDA AMANDA LIMBANG SURABAYA 06|04|1999
379 3578080401089216 3578086609360001 BERHAD DINA KURNIAWAN BANJARMASIN 26|09|1936
380 3578080401089216 3578084101400001 BEA SUSAN VERONIC KURNIAWAN BANJARMASIN 01|01|1940
381 3578080401089216 3578080403960002 TIMOTIUS KUNCORO SURABAYA 04|03|1996
382 3578082703090005 3578082606720006 HENRY SOLOMON SURABAYA 26|06|1972
383 3578082703090005 3578084103780003 NYANTIK RAHAYU NGANJUK 01|03|1978
384 3578080401089216 3578086904630001 Dra. LIZA MARTINE FRANSEZA SURABAYA 29|04|1963
385 3578080401089216 3578082212000007 NATHANAEL ROLLIN MYERS SYDNEY 22|12|2000
386 3578080301081963 3578080605540001 LIEM TJOE ENG SURABAYA 06|05|1954
387 3578080301081963 3578084212580001 DANNY ONGKOKUSUMADJAJA SURABAYA 02|12|1958
388 3578081012090015 3578080204800003 ALEXANDER ADITIYA SURABAYA 02|04|1980
389 3578081012090015 3578084503850004 RATNA JUITA MARTHA SARI JAKARTA 05|03|1985
390 3578081111130007 3578082104840002 BILLY BOY BAGASKARA,LIEM SURABAYA 21|04|1984
391 3578081111130007 3578166401850003 CAMELIA BATUAH JAYA SURABAYA 24|01|1985
392 3578080101085222 3578080808690008 TARUNANEGARA UJUNG PANDANG 08|08|1969
393 3578080101085222 3578085902750001 EKA WAHYU HARYANTI JEMBER 19|02|1975
394 3578080711110006 3578086512440003 YULIANY LIMANTO SURABAYA 25|12|1944
395 3578080711110006 3578085612650004 ENNY LIMANTO SURABAYA 16|12|1965
396 3578082704160007 3578072509880001 IVANDER NYOTO WIJOYO SURABAYA 25|09|1988
2

04|07|1977 40 S L MOJOARUM 8/14 5 1 0


15|03|1960 58 S P MOJOARUM 8/6 5 1 0
18|09|1960 57 S L MOJOARUM 8/6 5 1 0
16|03|1989 29 B P MOJOARUM 8/6 5 1 0
01|05|1983 35 S L MOJOARUM 8/6 5 1 0
15|09|1983 34 S P MOJOARUM 8/6 5 1 0
24|09|1968 49 S L MOJOARUM 8/8 5 1 0
12|04|1972 46 S P MOJOARUM 8/8 5 1 0
03|06|1999 19 B L MOJOARUM 8/8 5 1 0
09|09|1974 43 B L MOJOARUM 9/ 5 1 0
02|12|1976 41 B P MOJOARUM 9/ 5 1 0
01|09|1960 57 P P MOJOARUM 9/ 3 5 1 0
06|04|1986 32 B P MOJOARUM 9/ 3 5 1 0
26|11|1991 26 B P MOJOARUM 9/ 3 5 1 0
16|04|1997 21 B P MOJOARUM 9/ 3 5 1 0
28|09|1968 49 S L MOJOARUM 9/1 5 1 0
28|08|1972 45 S P MOJOARUM 9/1 5 1 0
29|09|1994 23 B P MOJOARUM 9/1 5 1 0
19|09|1996 21 B L MOJOARUM 9/1 5 1 0
06|04|1999 19 B P MOJOARUM 9/1 5 1 0
26|09|1936 81 B P MOJOARUM 9/11 5 1 0
01|01|1940 78 P P MOJOARUM 9/11 5 1 0
04|03|1996 22 B L MOJOARUM 9/11 5 1 0
26|06|1972 46 S L MOJOARUM 9/11 5 1 0
01|03|1978 40 S P MOJOARUM 9/11 5 1 0
29|04|1963 55 S P MOJOARUM 9/11 5 1 0
22|12|2000 17 B L MOJOARUM 9/11 5 1 0
06|05|1954 64 S L MOJOARUM 9/2 5 1 0
02|12|1958 59 S P MOJOARUM 9/2 5 1 0
02|04|1980 38 S L MOJOARUM 9/2 5 1 0
05|03|1985 33 S P MOJOARUM 9/2 5 1 0
21|04|1984 34 S L MOJOARUM 9/2 5 1 0
24|01|1985 33 S P MOJOARUM 9/2 5 1 0
08|08|1969 48 S L MOJOARUM 9/3 5 1 0
19|02|1975 43 S P MOJOARUM 9/3 5 1 0
25|12|1944 73 P P MOJOARUM 9/8 5 1 0
16|12|1965 52 B P MOJOARUM 9/8 5 1 0
25|09|1988 29 B L MOJOARUM 9/9 5 1 0

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DAFTAR PEMILIH
PEMILIHAN GUBERNUR DAN WAKIL GUBERN
TAHUN 2018

Provinsi : JAWA TIMUR


Kabupaten/Kota : KOTA SURABAYA

No No KK NIK Nama Tempat Lahir

1 2 3 4 5
1 3578081201160010 3578054801460001 INDRAWATI SURABAYA
2 3578081201160010 3578053006460037 SOETJIPTO BINGHADI SURABAYA
3 3578080201089909 3578085107590001 SHERLY NOERPOESPANDARI SURABAYA
4 3578080401086897 3578086011980006 LIVIA ERSA PERTIWI SURABAYA
5 3578080301089224 3578086912580002 MISINEM PONOROGO
6 3578081406120016 3578086903830001 PURWINDARI SURABAYA
7 3578081406120016 3578080103840003 AHMAD IRAWAN KEDIRI
8 3578082702170008 3578085404860001 TITI ANGGARANI SURABAYA
9 3578082702170008 3578080907830005 MUHAMAD CHOLIP SURABAYA
10 3578080101087380 3578082201010001 BAYU SATRIA PAMUNGKAS SURABAYA
11 3578080808120015 3578080604670004 IWAN ERNANDA SURABAYA
12 3578080101089714 3578082908730005 ANDRIONO SURABAYA
13 3578080101089714 3578085008810005 SUSIANAH SIDOARJO
14 3578080209140018 3578101910690006 NURCHOIRUS ROFIQ SURABAYA
15 3578080209140018 3578106803710005 SUWARSIH MALANG
16 3578082109100054 3578086006610003 NURILAH SURABAYA
17 3578080209140018 3578104303990006 AINUR TARISYA PUTRI SURABAYA
18 3578080501081374 3578084102560003 LULUK SUPRAPTI MALANG
19 3578080501081374 3578083011570001 DAHLAN RIYANTO MALANG
20 3578081602170002 3578261506890003 ZAINAL ROHMATULLOH SURABAYA
21 3578080301089108 3578082004450001 MUDJIHADI, SH SURABAYA
22 3578081912130003 3578080409770001 FAJAR KURNIAWAN SURABAYA
23 3578081912130003 3578275707860003 MUNGIL INDA LESTARI SURABAYA
24 3578080610100048 3578080909700002 SATRYA ANGKASA SURABAYA
25 3578080610100048 3578265103790001 SRI WAHYUNI SURABAYA
26 3578080101084638 3578080112560004 SUGIONO SURABAYA
27 3578080201082266 3578081011620002 MARIONO SURABAYA
28 3578080401089796 3578083001590001 HARIJONO SURABAYA
29 3578080401089796 3578084907670003 KANIPAH SURABAYA
30 3578080501080197 3578080403450001 OESIN SURABAYA
31 3578080501080197 3578084106720001 YUNITA NINGSIH SURABAYA
32 3578080501080197 3578086005910001 MAYLINDA SURABAYA
33 3578081703110032 3578082107880002 DANY ARI PRABOWO SURABAYA
34 3578081703110032 3578155201910003 ELLY MISWANTI SURABAYA
35 3578082311160015 3578086004650005 SUPARMI SURABAYA
36 3578080101084638 3578085608640002 MU`ALIMAH TUBAN
37 3578080101084638 3578087004890001 MADHA SUCI LINAFSI SURABAYA
38 3578082310140003 3578101209640004 GIMIN SURABAYA
39 3578082311160015 3578082311910002 TOTOK TRI HARDIYANTO SURABAYA
3

A-KWK
DAFTAR PEMILIH
EMILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TIMUR
AHUN 2018

Kecamatan : GUBENG
Desa/Kelurahan : MOJO
TPS : 003
Tanggal Lahir Usia Status Jenis Alamat Disabilitas
Perkawina Kelamin Jalan/Dukuh Rt Rw
6 7 8 9 10 11 12 13
08|01|1946 72 S P DHARMAHUSADA UTARA 715 1 2 0
30|06|1946 71 S L DHARMAHUSADA UTARA 715 1 2 0
11|07|1959 58 P P DHARMAHUSADA UTARA AA-20 1 2 0
20|11|1998 19 B P KALIWARON 14 1 2 0
29|12|1958 59 P P KALIWARON 18 1 2 0
29|03|1983 35 S P KALIWARON 18 1 2 0
01|03|1984 34 S L KALIWARON 18 1 2 0
14|04|1986 32 B P KALIWARON 18 1 2 0
09|07|1983 34 B L KALIWARON 18 1 2 0
22|01|2001 17 B L KALIWARON 18 1 2 0
04|06|1967 51 B L KALIWARON 2- 4 1 2 0
29|08|1973 44 S L KALIWARON 22 1 2 0
08|10|1981 36 S P KALIWARON 22 1 2 0
19|10|1969 48 S L KALIWARON 22 1 2 0
28|03|1971 47 S P KALIWARON 22 1 2 0
20|06|1961 57 B P KALIWARON 22 1 2 0
03|03|1999 19 B P KALIWARON 22 1 2 0
02|01|1956 62 S P KALIWARON 22-A 1 2 0
30|11|1957 60 S L KALIWARON 22-A 1 2 0
15|06|1989 29 B L KALIWARON 22-A 1 2 0
20|04|1945 73 S L KALIWARON 24 1 2 0
09|04|1977 41 S L KALIWARON 24 1 2 0
17|07|1986 31 B P KALIWARON 24 1 2 0
09|09|1970 47 S L KALIWARON 26 1 2 0
11|03|1979 39 S P KALIWARON 26 1 2 0
12|01|1956 62 S L KALIWARON 28 1 2 0
11|10|1962 55 S L KALIWARON 28 1 2 0
30|01|1959 59 S L KALIWARON 28 1 2 0
09|07|1967 50 S P KALIWARON 28 1 2 0
03|04|1945 73 P L KALIWARON 28 1 2 0
20|06|1972 46 P P KALIWARON 28 1 2 0
20|06|1991 27 B P KALIWARON 28 1 2 0
21|07|1988 29 S L KALIWARON 28 1 2 0
01|12|1991 26 S P KALIWARON 28 1 2 0
20|04|1965 53 S P KALIWARON 28 1 2 0
16|08|1964 53 S P KALIWARON 28 1 2 0
30|04|1989 29 B P KALIWARON 28 1 2 0
12|09|1964 53 P L KALIWARON 28 1 2 0
23|11|1991 26 B L KALIWARON 28 1 2 0

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40 3578082502160007 3578101606760003 AYI OVIONO SURABAYA 16|06|1976
41 3578082502160007 3578106807840007 HARTUTIK JOMBANG 28|07|1984
42 3578082502160008 3578102006540007 SUPONO SURABAYA 20|06|1954
43 3578082502160008 3578106508770007 ANIS AGUSTINE SURABAYA 25|08|1977
44 3578080101088671 3578080404730002 IMAM SUBAGIO SURABAYA 04|04|1973
45 3578080101088671 3578086208790001 WINARNI JOMBANG 22|08|1979
46 3578080201088349 3578080808550002 MACHMUD SURABAYA 08|08|1955
47 3578080301083285 3578085700641005 TRISNOWATI SURABAYA 30|06|1941
48 3578080401082123 3578081605640005 SURATMAN SURABAYA 16|05|1964
49 3578080401082123 3578080406680001 SUDARSIH SURABAYA 22|08|1968
50 3578080401082123 3578081202980004 FEBY DWITA DARMAWAN SURABAYA 12|02|1998
51 3578080501080780 3578081909670007 HARIANTO SURABAYA 19|09|1967
52 3578080501080780 3578086906690001 SAMIJATI SURABAYA 29|06|1969
53 3578080707140003 3578081712860005 DEDDY ARISTIYONO SURABAYA 17|12|1986
54 3578080707140003 3578084705890001 FITRIA HARIANI SURABAYA 05|07|1989
55 3578081203150005 3578080706910005 HAKIKI DARUL ARDIANSYAH SURABAYA 07|06|1991
56 3578081911130005 3528040701860005 PRATO YUGO ARISTIONO PASURUAN 07|01|1986
57 3578081911130005 3578085909910003 SEPBRINA EKA RACHMAWATI SURABAYA 19|09|1991
58 3578080401082123 3578080803000001 RENDY IRWANTO ILHAM SURABAYA 08|03|2000
59 3578081203150005 3578104812900004 DIAN ARI PUSPITA SURABAYA 08|12|1990
60 3578080501080779 3578084606320002 PATIMAH SURABAYA 06|06|1932
61 3578100101088156 3578100509550005 SOEDJARWONO MADIUN 09|05|1955
62 3578100101088156 3578085701640004 HARYANTI MADIUN 01|07|1964
63 3578100101088156 3578080802940007 HOKKY RYAN SUDJARWO MADIUN 02|08|1994
64 3578100101088156 3578085306990006 HAPPY KHARISMA SUDJARWO MADIUN 13|06|1999
65 3578080101082440 3578085305860004 RIA MEIRINA SIDOARJO 13|05|1986
66 3578080101082442 3578081112690003 IMAM WAHYUDI SURABAYA 12|11|1969
67 3578080101089135 3578080101730006 POERIJANTO SURABAYA 01|01|1973
68 3578080101082440 3578081505840001 RIZKY SA'A IRILLAH SURABAYA 15|05|1984
69 3578080101082442 3578086001720004 SALAMAH SURABAYA 20|01|1972
70 3578080101089135 3578084904010001 AURELLIA SALWA ADEN SURABAYA 09|04|2001
71 3578080201088917 3578085002630001 ACHMADAN SHOLICHAH SURABAYA 02|10|1963
72 3578080201088917 3578082209880003 AHMAD TAUFIQ SURABAYA 22|09|1988
73 3578080201088917 3578086112970002 DEVI ANGGI OCTAVIANI SURABAYA 21|12|1997
74 3578080401082308 3578087010650004 NOEROEL ISTIKOMAH SURABAYA 30|10|1965
75 3578080401086285 3578082712590002 NUR HIDAJADIN SURABAYA 27|12|1959
76 3578080401086285 3578082511890002 MUHAMMAD FATONI NURDIANSYAH SURABAYA 25|11|1989
77 3578081707130011 3578100502840011 NURACHMAD SURABAYA 05|02|1984
78 3578081707130011 3578086503960005 RIZKY AYU WARDANI SURABAYA 19|03|1996
79 3578080401086285 3578085507600007 SITI FATONAH, S.Pd SURABAYA 15|07|1960
80 3501061102100021 1217122010270472 AHMADI WONOGIRI 20|10|1927
81 3501120911110001 3514020908850004 SUWARNO PASURUAN 08|08|1986
82 3501120911110001 3501125012850002 NUR HIDAYAH PACITAN 10|12|1986
83 3504180408090003 3504181304940001 RUDI SUHERMAN TULUNG AGUNG 13|04|1994
84 3517070601090001 3517071901880004 KASTAWI JOMBANG 19|01|1968
85 3518072012060016 1217121908789608 SUMARTIN GITA AGUSTIN NGANJUK 19|08|1978
86 3523051001120003 1223035007830005 NGAROPAH TUBAN 10|07|1983
87 3523152510110006 3573151010740007 MUHAMAD SALENUDIN SITUBONDO 10|10|1974
88 3578080501081194 3578084206500001 SOEPAINI SURABAYA 06|02|1950
3

16|06|1976 42 S L KALIWARON 28 1 2 0
28|07|1984 33 S P KALIWARON 28 1 2 0
20|06|1954 64 P L KALIWARON 28 1 2 0
25|08|1977 40 B P KALIWARON 28 1 2 0
04|04|1973 45 S L KALIWARON 30 1 2 0
22|08|1979 38 S P KALIWARON 30 1 2 0
08|08|1955 62 S L KALIWARON 30 1 2 0
30|06|1941 76 P P KALIWARON 30 1 2 0
16|05|1964 54 S L KALIWARON 30 1 2 0
22|08|1968 49 S P KALIWARON 30 1 2 0
12|02|1998 20 B L KALIWARON 30 1 2 0
19|09|1967 50 S L KALIWARON 30 1 2 0
29|06|1969 48 S P KALIWARON 30 1 2 0
17|12|1986 31 S L KALIWARON 30 1 2 0
05|07|1989 28 S P KALIWARON 30 1 2 0
07|06|1991 27 S L KALIWARON 30 1 2 0
07|01|1986 32 S L KALIWARON 30 1 2 0
19|09|1991 26 S P KALIWARON 30 1 2 0
08|03|2000 18 B L KALIWARON 30 1 2 0
08|12|1990 27 B P KALIWARON 30 1 2 0
06|06|1932 86 P P KALIWARON 30-A 1 2 0
09|05|1955 63 S L KALIWARON 30-A 1 2 0
01|07|1964 53 S P KALIWARON 30-A 1 2 0
02|08|1994 23 B L KALIWARON 30-A 1 2 0
13|06|1999 19 B P KALIWARON 30-A 1 2 0
13|05|1986 32 S P KALIWARON 32 1 2 0
12|11|1969 48 S L KALIWARON 32 1 2 0
01|01|1973 45 S L KALIWARON 32 1 2 0
15|05|1984 34 S L KALIWARON 32 1 2 0
20|01|1972 46 S P KALIWARON 32 1 2 0
09|04|2001 17 B P KALIWARON 32 1 2 0
02|10|1963 54 S P KALIWARON 34 1 2 0
22|09|1988 29 B L KALIWARON 34 1 2 0
21|12|1997 20 B P KALIWARON 34 1 2 0
30|10|1965 52 P P KALIWARON 34 1 2 0
27|12|1959 58 S L KALIWARON 34 1 2 0
25|11|1989 28 B L KALIWARON 34 1 2 0
05|02|1984 34 S L KALIWARON 34 1 2 0
19|03|1996 22 S P KALIWARON 34 1 2 0
15|07|1960 57 S P KALIWARON 34 1 2 0
20|10|1927 90 S L KALIWARON 36 1 2 0
08|08|1986 31 S L KALIWARON 36 1 2 0
10|12|1986 31 S P KALIWARON 36 1 2 0
13|04|1994 24 B L KALIWARON 36 1 2 0
19|01|1968 50 S L KALIWARON 36 1 2 0
19|08|1978 39 S P KALIWARON 36 1 2 0
10|07|1983 34 S P KALIWARON 36 1 2 0
10|10|1974 43 S L KALIWARON 36 1 2 0
06|02|1950 68 S P KALIWARON 36 1 2 0

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89 3578080501081194 3578080111700003 SAMI'AN SURABAYA 11|01|1970
90 3578080501081194 3578085911720003 SAMI'ATI SURABAYA 19|11|1972
91 3578080501081194 3578081506420002 DJOEMAIN GRESIK 15|06|1942
92 3578080201089115 3578086010610003 RR.WAHYU TJAHJANINGKARTIKA SURABAYA 22|10|1961
93 3578080201089115 3578084710880002 DEVI TJITRA WARDANI SURABAYA 10|07|1988
94 3578080201089115 3578082208560001 T. Y. MURDANI SURAKARTA 22|08|1956
95 3578081011150002 3372041203840004 YUDI WIDIYANTO KARANGANYAR 12|03|1984
96 3578081011150002 3372046610860005 KARTIKA SARI SURABAYA 26|10|1986
97 3578080201081832 3578080402000002 DIMAS EKWA ASTYA PATI 04|02|2000
98 3578080201081787 3578086310610004 TATIK MIARSIH SURABAYA 13|10|1961
99 3578080201082724 3578085008780005 RUKIYAH BANGKALAN 08|10|1978
100 3578080201087692 3578081404630001 KAMID SURABAYA 14|04|1963
101 3578080201087692 3578084110730006 SITI MARMAH BOJONEGORO 01|10|1973
102 3578080201087692 3578080701920002 KHADAFI SURABAYA 01|07|1992
103 3578080201087692 3578081006960001 AINUR ROFIQ SURABAYA 10|06|1996
104 3578080401084404 3578082006490002 MISNAN SURABAYA 20|06|1949
105 3578080501083021 3578084107860003 MAISAROH PAMEKASAN 01|07|1986
106 3578082003170002 3578085612850002 HANDAYANI SURABAYA 16|12|1985
107 3578080501083021 3578082002760006 MOCH. ARIEF SURABAYA 20|02|1976
108 3578080401089788 3578085205530002 SAMI KAMAH SURABAYA 12|05|1953
109 3578080401089788 3578082104860004 ARIS SANTOSO SURABAYA 21|04|1986
110 3578080401089788 3578080309520001 MOCH ARIFIN SURABAYA 03|09|1952
111 3578080501082456 3578087006390074 ROEBINEM TULUNGAGUNG 30|06|1939
112 3578080101086051 3578080702720006 HENRY SULISTIJO KIKSEN SURABAYA 02|07|1972
113 3578080101086051 3578085207750005 NOER SRIJATI SURABAYA 07|12|1975
114 3578080201086092 3578087006450031 SOERATMI TULUNGAGUNG 30|06|1945
115 3578080201086145 3578080102670001 SOEMARNO SURABAYA 01|02|1967
116 3578080201086145 3578084106690005 PAINI PASURUAN 06|01|1969
117 3578080201089268 3578087006340064 SITI KALIMAH SURABAYA 30|06|1934
118 3578080401084412 3578080407660005 WIJANTO SURABAYA 07|04|1966
119 3578080401084412 3578085602700001 TUKINI SURABAYA 16|02|1970
120 3578080401084412 3578082110940002 GORBY DYLAN HOSIYAH SURABAYA 21|10|1994
121 3578080401089263 3578080406720004 WIRJONO SURABAYA 06|04|1972
122 3578080401089263 3578081710980002 OKKY ALFARIZIE SURABAYA 17|10|1998
123 3578081711140006 3578100202620003 HADI TRAPTO SURABAYA 02|02|1962
124 3578081711140006 3578104706650008 ROMLAH SURABAYA 07|06|1965
125 3578081711140006 3578105102970001 CHILVIA DWI ARISANDI SURABAYA 11|02|1997
126 3578260101083862 3578264112770004 NUR ABIDAH JOMBANG 12|01|1977
127 3578260101083862 3578265205960002 ZUHAN ISLAMI JOMBANG 05|12|1996
128 3578080201081660 3578081601690003 SABAR BOEDIANTO SURABAYA 16|01|1969
129 3578080201086145 3578086008900002 ANITA KUSUMA DEWI SURABAYA 20|08|1990
130 3578080401084412 3578086101000001 TEZHA ANATASYA SURABAYA 21|01|2000
131 3578080201086090 3578082406580002 BAMBANG DJUHANA NGANJUK 24|06|1958
132 3578080101085661 3578082306750002 SIADJI MOJOKERTO 23|06|1975
133 3578080712120007 3527066509780002 SARROPAH SAMPANG 25|09|1978
134 3578172812120035 1256196107840005 WULANDARI SURABAYA 21|07|1984
135 3578080401084514 3578082309540002 ASMAYANTO SURABAYA 23|09|1953
136 3578080401084514 3578084505570004 SITI AISAH SURABAYA 06|06|1957
137 3578080501081338 3578084606380001 HOSYAH SURABAYA 06|06|1938
3

11|01|1970 48 B L KALIWARON 36 1 2 0
19|11|1972 45 B P KALIWARON 36 1 2 0
15|06|1942 76 S L KALIWARON 36 1 2 0
22|10|1961 56 S P KALIWARON 4 1 2 0
10|07|1988 29 B P KALIWARON 4 1 2 0
22|08|1956 61 S L KALIWARON 4 1 2 0
12|03|1984 34 S L KALIWARON 4 1 2 0
26|10|1986 31 S P KALIWARON 4 1 2 0
04|02|2000 18 B L KALIWARON 40 1 2 0
13|10|1961 56 P P KALIWARON 42 1 2 0
08|10|1978 39 P P KALIWARON 42 1 2 0
14|04|1963 55 S L KALIWARON 42 1 2 0
01|10|1973 44 S P KALIWARON 42 1 2 0
01|07|1992 25 B L KALIWARON 42 1 2 0
10|06|1996 22 B L KALIWARON 42 1 2 0
20|06|1949 69 S L KALIWARON 42 1 2 0
01|07|1986 31 S P KALIWARON 42 1 2 0
16|12|1985 32 S P KALIWARON 42 1 2 0
20|02|1976 42 S L KALIWARON 42 1 2 0
12|05|1953 65 S P KALIWARON 42-A 1 2 0
21|04|1986 32 B L KALIWARON 42-A 1 2 0
03|09|1952 65 S L KALIWARON 42-A 1 2 0
30|06|1939 78 P P KALIWARON 44 1 2 0
02|07|1972 45 S L KALIWARON 46 1 2 0
07|12|1975 42 S P KALIWARON 46 1 2 0
30|06|1945 72 P P KALIWARON 46 1 2 0
01|02|1967 51 S L KALIWARON 46 1 2 0
06|01|1969 49 S P KALIWARON 46 1 2 0
30|06|1934 83 P P KALIWARON 46 1 2 0
07|04|1966 52 S L KALIWARON 46 1 2 0
16|02|1970 48 S P KALIWARON 46 1 2 0
21|10|1994 23 B L KALIWARON 46 1 2 0
06|04|1972 46 S L KALIWARON 46 1 2 0
17|10|1998 19 B L KALIWARON 46 1 2 0
02|02|1962 56 S L KALIWARON 46 1 2 0
07|06|1965 53 S P KALIWARON 46 1 2 0
11|02|1997 21 B P KALIWARON 46 1 2 0
12|01|1977 41 S P KALIWARON 46 1 2 0
05|12|1996 21 B P KALIWARON 46 1 2 0
16|01|1969 49 S L KALIWARON 46 1 2 0
20|08|1990 27 B P KALIWARON 46 1 2 0
21|01|2000 18 B P KALIWARON 46 1 2 0
24|06|1958 60 S L KALIWARON 46 B 1 2 0
23|06|1975 43 P L KALIWARON 46 BELAKANG 1 2 0
25|09|1978 39 S P KALIWARON 46 BELAKANG 1 2 0
21|07|1984 33 S P KALIWARON 46 BELAKANG 1 2 0
23|09|1953 64 S L KALIWARON 46 BLK 1 2 0
06|06|1957 61 S P KALIWARON 46 BLK 1 2 0
06|06|1938 80 P P KALIWARON 46 BLK 1 2 0

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138 3578080501081338 3578082511680004 WIJADI SURABAYA 25|11|1968
139 3523081703062966 1256194605640003 WAKIDJAH TUBAN 05|06|1964
140 3578080201086344 3578082412550002 ABDUL RACHMAN SOLEH SURABAYA 24|12|1955
141 3578080201086344 3578086610600003 RUSMIYASIH SURABAYA 26|10|1960
142 3578080201089264 3578082504550003 SAMSU SURABAYA 25|04|1956
143 3578080201089264 3578086007610007 DJULIATI SURABAYA 20|07|1967
144 3578080201089731 3578087006510026 PRIHATIN TULUNGAGUNG 30|06|1951
145 3578080201089731 3578086109730004 LULUK LUKYAWATI SURABAYA 09|11|1973
146 3578080201089731 3578080302800005 DIDIK PRATAMA SURABAYA 02|03|1980
147 3578080210120009 3516020409720001 SUPRIADI MOJOKERTO 09|04|1972
148 3578080301087527 3578084703730007 LATIFAH SURABAYA 03|07|1973
149 3578080401087291 3578082103490001 SLAMET SURABAYA 21|03|1949
150 3578080401087291 3578087006580027 SUKATMI NGANJUK 30|06|1958
151 3578080401087291 3578084104830002 NUR ANISA SURABAYA 04|01|1983
152 3578080401087291 3578082302470003 NUR ARDIANSYAH SURABAYA 23|02|1997
153 3578080501080136 1256190505910002 REDO ANJASMORO SURABAYA 05|05|1991
154 3578081612110015 3578084104860005 CINDY FABIOLA TIELMAN SURABAYA 01|04|1986
155 3578081612110015 3578083012880003 ERWIN YULIANSYAH SURABAYA 30|12|1988
156 3578081612110016 3578082607840003 RAHMANTO YOGYAKARTA 26|07|1984
157 3578081612110016 3578084808870002 DIAN ULFIANA SURABAYA 08|08|1987
158 3578260101083862 3578260412660002 RIYANTO SURABAYA 12|04|1966
159 3578080201089264 3578080604000002 HAFIS ERIANSYAH SURABAYA 06|04|2000
160 3578080301087527 3578082405950005 MOHAMAD MAKHRUS SURABAYA 24|05|1995
161 2171102406080016 2171101009849006 SONY WIDIANTORO BLITAR 10|09|1984
162 3578080101082059 3578081010570004 DJAWARI BLITAR 10|10|1957
163 3578080101085926 3578081305770002 EKO SUDARTO SURABAYA 13|05|1977
164 3578080101085926 3578085204800002 NUR ANITA SURABAYA 04|12|1980
165 3578080201081660 3578086210810004 ISWATI SURABAYA 10|12|1981
166 3578080201086093 3578084206640007 NOERYATI SURABAYA 06|02|1964
167 3578080201086093 3578085004940002 LINDAWATI TRY YUANA SURABAYA 04|10|1994
168 3578080205110015 3578082501890002 ANGGA CITRA HERMAWAN KEDIRI 25|01|1989
169 3578080301083747 3578083007470001 DOEL RACHMAN SURABAYA 30|07|1947
170 3578080301083747 3578087007500004 SOEHAENI NGANJUK 30|07|1950
171 3578080301086631 3578082706400001 KAJAT SURABAYA 27|06|1940
172 3578080301086631 3578087112500001 JATOEN NGANJUK 31|12|1950
173 3578080301086631 3578085112680004 MOEDJIATI SURABAYA 12|11|1968
174 3578080301086631 3578085105750002 HARTINI SURABAYA 05|11|1975
175 3578080301086631 3578081506840005 ISMAIL SURABAYA 15|06|1984
176 3578080301087527 3578080711700006 MOEDJIONO SURABAYA 11|07|1970
177 3578080305110015 3578082901850001 YOGA VARISKA SURABAYA 29|01|1985
178 3578080401085120 3578084103690003 WIJATI SURABAYA 01|03|1969
179 3578080401085120 3578084708950003 HINDA PUSPITA SARI SURABAYA 08|07|1995
180 3578080401085618 3578081600690006 BOEDIONO SURABAYA 16|08|1969
181 3578080401085618 3578085604720002 RR.SRI RAHAYU PANGESTUTI SURABAYA 16|04|1972
182 3578080402140004 3578106903940002 BIAS SAKMAYONANDIA.E SURABAYA 29|09|1994
183 3578080501080387 3578080203730007 MOEDJI SANTOSO SURABAYA 03|02|1973
184 3578080501080387 3578086709780001 ISWANTI SURABAYA 27|09|1978
185 3578080501080387 3578082908980002 MOEDJI ISWAHYUDI SURABAYA 29|08|1998
186 3578080501083523 3578080504610002 SOEMIONO SURABAYA 04|05|1961
3

25|11|1968 49 B L KALIWARON 46 BLK 1 2 0


05|06|1964 54 P L KALIWARON 46-A 1 2 0
24|12|1955 62 S L KALIWARON 46-A 1 2 0
26|10|1960 57 S P KALIWARON 46-A 1 2 0
25|04|1956 62 S L KALIWARON 46-A 1 2 0
20|07|1967 50 S P KALIWARON 46-A 1 2 0
30|06|1951 66 S P KALIWARON 46-A 1 2 0
09|11|1973 44 B P KALIWARON 46-A 1 2 0
02|03|1980 38 B L KALIWARON 46-A 1 2 0
09|04|1972 46 S L KALIWARON 46-A 1 2 0
03|07|1973 44 S P KALIWARON 46-A 1 2 0
21|03|1949 69 S L KALIWARON 46-A 1 2 0
30|06|1958 59 S P KALIWARON 46-A 1 2 0
04|01|1983 35 B P KALIWARON 46-A 1 2 0
23|02|1997 21 B L KALIWARON 46-A 1 2 0
05|05|1991 27 B L KALIWARON 46-A 1 2 0
01|04|1986 32 S P KALIWARON 46-A 1 2 0
30|12|1988 29 S L KALIWARON 46-A 1 2 0
26|07|1984 33 S L KALIWARON 46-A 1 2 0
08|08|1987 30 S P KALIWARON 46-A 1 2 0
12|04|1966 52 S L KALIWARON 46-A 1 2 0
06|04|2000 18 B L KALIWARON 46-A 1 2 0
24|05|1995 23 B L KALIWARON 46-A 1 2 0
10|09|1984 33 S L KALIWARON 46-B 1 2 0
10|10|1957 60 S L KALIWARON 46-B 1 2 0
13|05|1977 41 S L KALIWARON 46-B 1 2 0
04|12|1980 37 S P KALIWARON 46-B 1 2 0
10|12|1981 36 S P KALIWARON 46-B 1 2 0
06|02|1964 54 S P KALIWARON 46-B 1 2 0
04|10|1994 23 S P KALIWARON 46-B 1 2 0
25|01|1989 29 S L KALIWARON 46-B 1 2 0
30|07|1947 70 S L KALIWARON 46-B 1 2 0
30|07|1950 67 S P KALIWARON 46-B 1 2 0
27|06|1940 78 S L KALIWARON 46-B 1 2 0
31|12|1950 67 S P KALIWARON 46-B 1 2 0
12|11|1968 49 B P KALIWARON 46-B 1 2 0
05|11|1975 42 B P KALIWARON 46-B 1 2 0
15|06|1984 34 B L KALIWARON 46-B 1 2 0
11|07|1970 47 S L KALIWARON 46-B 1 2 0
29|01|1985 33 S L KALIWARON 46-B 1 2 0
01|03|1969 49 B P KALIWARON 46-B 1 2 0
08|07|1995 22 S P KALIWARON 46-B 1 2 0
16|08|1969 48 S L KALIWARON 46-B 1 2 0
16|04|1972 46 S P KALIWARON 46-B 1 2 0
29|09|1994 23 S P KALIWARON 46-B 1 2 0
03|02|1973 45 S L KALIWARON 46-B 1 2 0
27|09|1978 39 S P KALIWARON 46-B 1 2 0
29|08|1998 19 B L KALIWARON 46-B 1 2 0
04|05|1961 57 S L KALIWARON 46-B 1 2 0

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187 3578080501083523 3578086510650002 ANIK ISMIJATI SURABAYA 25|10|1965
188 3578080801160015 3578083110890002 BAGUS JAWANTORO SURABAYA 31|10|1989
189 3578081210100003 3578086001810004 ERNI SURABAYA 20|01|1981
190 3578081210100003 3578082301810002 MISNAN KEDIRI 23|01|1981
191 3578081511130004 3578081005790005 SLAMET HARIYANTO SURABAYA 05|10|1979
192 3578082406150014 3578086711720001 SAMIANI SURABAYA 27|11|1972
193 3578082406150014 3578086502930001 PAMBAYUN FEBRIANI SURABAYA 25|02|1993
194 3578082408110024 3578080510660011 YAHMIN BOJONEGORO 05|10|1966
195 3578082408110024 3578086706740002 YUNANI SURABAYA 27|06|1974
196 3578082610110005 3578084112960011 ERI ARIANA SARI SURABAYA 19|09|1967
197 3578082610110005 3578080704720008 JUMAWAN PACITAN 04|07|1972
198 3578082610110005 3578086103790005 WATINI PACITAN 12|01|1996
199 3578100401085183 3578100612580006 SUYUNO SURABAYA 12|06|1958
200 3578080101082059 3578086802580001 MA`ANI SURABAYA 28|02|1958
201 3578080305110015 3578085405880003 CHRISTINAWATI YUANA SURABAYA 14|05|1988
202 3578080401085618 3578080707000002 FIRGI DIO PRAKARSA SURABAYA 07|07|2000
203 3578080501083523 3578081312990003 BAYU SETYO UTOMO SURABAYA 13|12|1999
204 3578081008120015 3578086008820003 ITA YUANAWATI SURABAYA 20|08|1982
205 3578081511130004 3578154208750003 SITI MASRUKHAH SURABAYA 02|08|1975
206 3578082803160001 6473021703940002 M.HAIDIL IRSYAN ACHMADI TARAKAN 17|03|1994
207 3578083103160001 3578102004740004 RAHARJO SURABAYA 20|04|1974
208 3578083103160001 3578104506760009 SRI WAHYUNINGSIH SURABAYA 05|06|1976
209 3578083103160001 3578105212960005 ROSA DESY ANGELIA SURABAYA 12|12|1996
210 3578100401085184 3578103107670001 AHDIAT HUSNAINI LOMBOK TENGAH 31|07|1967
211 3578100401085184 3578105706670004 MULYOWATI SURABAYA 17|06|1967
212 3578100401085183 3578086410750002 MUTMAIMAH SURABAYA 24|10|1975
213 3578080208100031 3578080901720002 DR. MASTUR KURNIAWAN SURABAYA 09|01|1972
214 3578080208100031 3578084702810008 ALFI ANDRIANI PURVANDINI, S.KG JOMBANG 07|02|1981
215 3578080401082359 3578085202450002 MASTUCHA SURABAYA 02|12|1945
216 3578080401082359 3578084413670005 RITA SIDIA WATI SURABAYA 12|04|1967
217 3578080401082359 3578084811690005 TRIANA DAHLIA SURABAYA 11|08|1969
218 3578080101089263 1256182209660004 SURO EDI PRAMONO SURABAYA 22|09|1965
219 3578080101089263 1256187004680004 MARYAM SUSANASATI SURABAYA 30|04|1968
220 3578080101089263 1256185711910003 MARIA NOVIANA SURABAYA 17|11|1991
221 3578080101089263 1256182804990003 YOSUA MEGA PRANATA SURABAYA 28|04|1994
222 3578080201087080 3578080808650009 IGNATIUS NGEZO FLORES TIMUR 08|08|1965
223 3578080201087080 3578086709670002 MARIANA SURABAYA 27|09|1967
224 3578080401083674 3578082711750002 DJOKO WAHONO SURABAYA 27|11|1975
225 3578080401083674 3578086411980002 ADINDA VIKA NIRMALA SURABAYA 24|11|1998
226 3578081306130003 3578041903730006 CHOIRUL ASARI SURABAYA 19|03|1973
227 3578080201087080 3578084404920001 KATRINA N.DUA SURABAYA 04|04|1992
228 3578080401083674 3578086312750004 ELLY RUSDIANAWATI SURABAYA 23|12|1975
229 3578080301088582 3578080708740004 MOCHAMAD NURUL.S SURABAYA 08|07|1974
230 3578080501080119 3578085604760003 ERNI JOHAN NGANJUK 16|04|1976
231 3578082003170010 3578083110780002 MOCHAMAD IRWANTO SURABAYA 31|10|1978
232 3578080101080922 3578085607750004 ROSIDAH AMINAH SURABAYA 16|07|1975
233 3578080101080922 3578084104990002 SITI AISYAH SURABAYA 01|04|1999
234 3578080201082473 3578082309720002 ACHMAD KOESWANDI SURABAYA 23|09|1972
235 3578080201082473 3578086005790005 SUNARSIH NGAWI 20|05|1979
3

25|10|1965 52 S P KALIWARON 46-B 1 2 0


31|10|1989 28 S L KALIWARON 46-B 1 2 0
20|01|1981 37 S P KALIWARON 46-B 1 2 0
23|01|1981 37 S L KALIWARON 46-B 1 2 0
05|10|1979 38 S L KALIWARON 46-B 1 2 0
27|11|1972 45 P P KALIWARON 46-B 1 2 0
25|02|1993 25 B P KALIWARON 46-B 1 2 0
05|10|1966 51 S L KALIWARON 46-B 1 2 0
27|06|1974 44 S P KALIWARON 46-B 1 2 0
19|09|1967 50 S P KALIWARON 46-B 1 2 0
04|07|1972 45 S L KALIWARON 46-B 1 2 0
12|01|1996 22 B P KALIWARON 46-B 1 2 0
12|06|1958 60 S L KALIWARON 46-B 1 2 0
28|02|1958 60 S P KALIWARON 46-B 1 2 0
14|05|1988 30 S P KALIWARON 46-B 1 2 0
07|07|2000 17 B L KALIWARON 46-B 1 2 0
13|12|1999 18 B L KALIWARON 46-B 1 2 0
20|08|1982 35 S P KALIWARON 46-B 1 2 0
02|08|1975 42 B P KALIWARON 46-B 1 2 0
17|03|1994 24 B L KALIWARON 46-B 1 2 0
20|04|1974 44 S L KALIWARON 46-B 1 2 0
05|06|1976 42 S P KALIWARON 46-B 1 2 0
12|12|1996 21 B P KALIWARON 46-B 1 2 0
31|07|1967 50 S L KALIWARON 46-BA 1 2 0
17|06|1967 51 S P KALIWARON 46-BA 1 2 0
24|10|1975 42 S P KALIWARON 46-BS 1 2 0
09|01|1972 46 S L KALIWARON 48 1 2 0
07|02|1981 37 S P KALIWARON 48 1 2 0
02|12|1945 72 P P KALIWARON 48 1 2 0
12|04|1967 51 B P KALIWARON 48 1 2 0
11|08|1969 48 S P KALIWARON 48 1 2 0
22|09|1965 52 S L KALIWARON 50 1 2 0
30|04|1968 50 S P KALIWARON 50 1 2 0
17|11|1991 26 B P KALIWARON 50 1 2 0
28|04|1994 24 B L KALIWARON 50 1 2 0
08|08|1965 52 S L KALIWARON 50 1 2 0
27|09|1967 50 S P KALIWARON 50 1 2 0
27|11|1975 42 S L KALIWARON 50 1 2 0
24|11|1998 19 B P KALIWARON 50 1 2 0
19|03|1973 45 P L KALIWARON 50 1 2 0
04|04|1992 26 B P KALIWARON 50 1 2 0
23|12|1975 42 S P KALIWARON 50 1 2 0
08|07|1974 43 B L KALIWARON 50 BLK 1 2 0
16|04|1976 42 S P KALIWARON 50 BLK 1 2 0
31|10|1978 39 S L KALIWARON 50 BLK 1 2 0
16|07|1975 42 S P KALIWARON 50 BLK 1 2 0
01|04|1999 19 B P KALIWARON 50 BLK 1 2 0
23|09|1972 45 S L KALIWARON 50-B 1 2 0
20|05|1979 39 S P KALIWARON 50-B 1 2 0

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236 3578080201083980 3578081908860003 HENDRA IVA ARIANTO SURABAYA 19|08|1986
237 3578080201083980 3578086805880006 MURTINI NGANJUK 28|05|1988
238 3578080211100025 3578086407840001 YUNI AMALIA SURABAYA 24|07|1984
239 3578080301084743 3578085405840002 ATIK CHOIRUN NISA SIDOARJO 14|05|1984
240 3578080301087331 3578080502400001 ACHMAD HASIM SURABAYA 02|05|1940
241 3578080401082554 3578087006330028 LEGIRAH KEDIRI 30|06|1933
242 3578080401086346 3578082804620001 MOCH.SAJOEDI SURABAYA 28|04|1962
243 3578080401086346 3578084306670007 SUSIATI EKA VIANA MALANG 03|06|1967
244 3578080401086346 3578080610880002 ERVAN RUSDIANSYAH SURABAYA 10|06|1988
245 3578080401086346 3578082911900007 IRHAS ADITYA FIRMANSYAH SURABAYA 29|11|1990
246 3578080401087853 3578080110560001 MOCHAMAD SAERI SURABAYA 01|10|1956
247 3578080401087853 3578086208560001 KUSNIYAH SURABAYA 22|08|1956
248 3578080401087853 3578084110820001 RACHMAWATI SURABAYA 01|10|1982
249 3578080401087853 3578082708930006 FIRMANSYAH SURABAYA 27|08|1993
250 3578080401087853 3578080905980002 IHSANUDDIN SURABAYA 05|09|1998
251 3578080811160004 3578085902920002 ALFIANI SURABAYA 19|02|1992
252 3578080904120025 3578081303770002 TONY HARIYANTO SURABAYA 13|03|1977
253 3578080904120025 3578086403870012 LILIK ANDARWATI JOMBANG 24|03|1987
254 3578082702130006 3578084910910002 NOVITA MARIA AGUSTINA SURABAYA 10|09|1991
255 3578080201082473 3578084804010002 TSAMARAH SALSABILLA NGAWI 08|04|2001
256 3578080301087331 3578086111740005 YETI NOERHAYATI SURABAYA 21|11|1974
257 3578080401086346 3578084211000001 SYARAFINA SURABAYA 02|11|2000
258 3578080401087853 3578082309890003 ACHMAD AFFANDI SURABAYA 23|09|1989
259 3578080811160004 3578102403920006 SATRIO HUDOKORO SURABAYA 24|03|1992
260 3578080201085653 3578082609570002 SUPARMAN SURABAYA 26|09|1957
261 3578080201085653 3578085303600001 SUMARTINI SURABAYA 13|02|1960
262 3578080201085653 3578086401880002 TRIYANA ULFIANTI SURABAYA 14|01|1988
263 357808201085653 3578025110930004 MOCHAMMAD ACHIRIN NIZAR SURABAYA 25|10|1993
264 3578080201083727 3578085507840002 YULI DWI PRIHATINI SURABAYA 15|07|1984
265 3578080201085653 3578085909910002 SEPTIA ANDRIANI SURABAYA 19|09|1991
266 3578080301081023 3578086112660001 FLORENTINA ERMY YUNITA BONDOWOSO 21|12|1966
267 3578080301081023 3578081504680004 JOHANES FAIZAL P SUARTHA, SH SURABAYA 15|04|1968
268 3578080301081023 3578086711890004 AURELIA ANDREA SUARTHA SURABAYA 27|11|1989
269 3578080301081023 3578080508930004 ADRIAN RIZALDO SUARTHA SURABAYA 05|08|1993
270 3578080401080985 3578082805610003 ALBERTUS RIO PERMANA SUARTHA NEGARA 28|05|1961
271 3578080401080985 3578081709690004 YOHANNES YOHANSYAH DENPASAR 17|09|1969
272 3578080301081023 3578085204000004 AEMELIA ANCILLA SUARTHA SURABAYA 12|04|2000
273 3578080101081648 3578081112730002 SUTIKNO SURABAYA 12|11|1973
274 3578080101081648 3578085910760003 NANDRIATI SURABAYA 19|10|1976
275 3578080101081648 3578082504970004 SANDI FAJAR FIRMANZAH SURABAYA 25|04|1997
276 3578080101084433 3578086503690006 SUTARWI NGANJUK 25|03|1969
277 3578080101084433 3578080804690004 DARDJITO SURABAYA 04|08|1969
278 3578080101084433 3578084001970002 RINA NOVITA SARI SURABAYA 01|08|1997
279 3578080101089796 3578080504670010 M.SAMSUL HADI SURABAYA 04|06|1967
280 3578080101089796 3578054412710002 NARMIATI SURABAYA 14|12|1971
281 3578080101089796 3578084412960002 ENDAH SRI ASTUTIK SURABAYA 12|04|1996
282 3578080401084730 3578081801800005 DHARMAWAN SURABAYA 18|01|1980
283 3578082001150001 3578101509870002 WIDYOSENO ESTITOYO UJUNG PANDANG 15|09|1987
284 3578080301085547 3578080710720004 YANSEN WASKITO BANYUWANGI 07|10|1972
3

19|08|1986 31 S L KALIWARON 50-B 1 2 0


28|05|1988 30 S P KALIWARON 50-B 1 2 0
24|07|1984 33 S P KALIWARON 50-B 1 2 0
14|05|1984 34 S P KALIWARON 50-B 1 2 0
02|05|1940 78 P L KALIWARON 50-B 1 2 0
30|06|1933 84 P P KALIWARON 50-B 1 2 0
28|04|1962 56 S L KALIWARON 50-B 1 2 0
03|06|1967 51 S P KALIWARON 50-B 1 2 0
10|06|1988 30 B L KALIWARON 50-B 1 2 0
29|11|1990 27 B L KALIWARON 50-B 1 2 0
01|10|1956 61 S L KALIWARON 50-B 1 2 0
22|08|1956 61 S P KALIWARON 50-B 1 2 0
01|10|1982 35 B P KALIWARON 50-B 1 2 0
27|08|1993 24 B L KALIWARON 50-B 1 2 0
05|09|1998 19 B L KALIWARON 50-B 1 2 0
19|02|1992 26 B P KALIWARON 50-B 1 2 0
13|03|1977 41 S L KALIWARON 50-B 1 2 0
24|03|1987 31 S P KALIWARON 50-B 1 2 0
10|09|1991 26 S P KALIWARON 50-B 1 2 0
08|04|2001 17 B P KALIWARON 50-B 1 2 0
21|11|1974 43 B P KALIWARON 50-B 1 2 0
02|11|2000 17 B P KALIWARON 50-B 1 2 0
23|09|1989 28 B L KALIWARON 50-B 1 2 0
24|03|1992 26 B L KALIWARON 50-B 1 2 0
26|09|1957 60 S L KALIWARON 50-C 1 2 0
13|02|1960 58 S P KALIWARON 50-C 1 2 0
14|01|1988 30 S P KALIWARON 50-C 1 2 0
25|10|1993 24 B L KALIWARON 50-C 1 2 0
15|07|1984 33 S P KALIWARON 50-C 1 2 0
19|09|1991 26 B P KALIWARON 50-C 1 2 0
21|12|1966 51 S P KALIWARON 52-C 1 2 0
15|04|1968 50 S L KALIWARON 52-C 1 2 0
27|11|1989 28 B P KALIWARON 52-C 1 2 0
05|08|1993 24 B L KALIWARON 52-C 1 2 0
28|05|1961 57 B L KALIWARON 52-C 1 2 0
17|09|1969 48 B L KALIWARON 52-C 1 2 0
12|04|2000 18 B P KALIWARON 52-C 1 2 0
12|11|1973 44 S L KALIWARON 6 1 2 0
19|10|1976 41 S P KALIWARON 6 1 2 0
25|04|1997 21 B L KALIWARON 6 1 2 0
25|03|1969 49 S P KALIWARON 6 1 2 0
04|08|1969 48 S L KALIWARON 6 1 2 0
01|08|1997 20 B L KALIWARON 6 1 2 0
04|06|1967 51 S L KALIWARON 6 1 2 0
14|12|1971 46 S P KALIWARON 6 1 2 0
12|04|1996 22 B P KALIWARON 6 1 2 0
18|01|1980 38 S L KALIWARON 6 1 2 0
15|09|1987 30 B L KALIWARON 60 1 2 0
07|10|1972 45 B L KALIWARON 62 1 2 0

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285 3578080301085226 3578081804650004 R.ANTON SUBIJANTO,IR SURABAYA 18|04|1965
286 3578080501082459 3578083108660003 AGUS SUPRAJOGI SURABAYA 31|08|1966
287 3578080201088982 3578083010620001 I KETUT UDHANNY KLUNGKUNG 30|10|1962
288 3578080501081319 3578084804740001 ERNI SURABAYA 08|04|1974
289 3578080401089396 3578080207730004 ARIFSYAH PADANG PULAU 02|07|1973
290 3578080301088433 3578086508700001 JEMINGAH PONOROGO 25|08|1970
291 3578080301088433 3578086701990001 DWI ANDRIANI SURABAYA 27|01|1999
292 3578080101080680 3578083001500001 SABAR KEDIRI 30|01|1950
293 3578080101080680 3578087001620003 SURATIN SURABAYA 30|01|1962
294 3578080101084261 3578083006970004 AVINES PRAMUDIA KURNIAWAN SURABAYA 30|06|1997
295 3578080101089746 3578081610670003 SUPRAPTO TRENGGALEK 16|10|1967
296 3578080107110063 3578085508560006 SITI FATIMAH SURABAYA 15|08|1956
297 3578080201080717 3578085508830004 SUNARTI WONOSOBO 15|08|1983
298 3578080201081996 3578083012780001 DODI DESIANTO SURABAYA 30|12|1978
299 3578080201081996 3578086308870003 FANI RACHMASARI LUMAJANG 23|08|1987
300 3578080205140009 3578211612820001 GALIH ADI.R MALANG 16|12|1982
301 3578080205140009 3578085706850003 NAOMY MURNY OKTAVIANY SURABAYA 17|06|1985
302 3578080401081370 3578086806550006 PAENAH NGANJUK 28|06|1955
303 3578080401088868 3578084909680003 PARTI SURABAYA 09|09|1968
304 3578080401088868 3578087011980003 LULU WIDIYANTI SURABAYA 30|11|1998
305 3578080401089790 3578081305650006 DJOENAEDI SURABAYA 13|05|1965
306 3578080401089790 3578086207720002 CHORIYATUN NGANJUK 22|07|1972
307 3578080401089790 3578085111960002 TRYAS DWI ANDINI SURABAYA 11|11|1996
308 3578080405110006 3578087006520059 RASMINI KEDIRI 30|06|1952
309 3578080501080124 3578082001420002 KABIT SIDOARJO 20|01|1942
310 3578080501080124 3578081608830002 AGUS SETIA BUDI NGANJUK 16|08|1983
311 3578080501081319 3578087006430051 SARMINAH NGANJUK 30|06|1943
312 3578080909140018 3573010512770004 SUPRIADI MALANG 05|12|1977
313 3578081206090001 3578262903810002 HENDRO SURABAYA 29|03|1981
314 3578081206090001 3578085707860004 RIZKI NURLAILI SURABAYA 17|07|1986
315 3578081602100040 3578085301950002 ULFI INDRI SAPUTRI SURABAYA 13|01|1995
316 3578081602100040 3578080606980003 FARIS PRATAMA EFENDI BANGKALAN 06|06|1998
317 3578081604100099 3578086212830004 SULASTRI SURABAYA 22|12|1983
318 3578082212160001 3578086105750003 ISNAWATI SURABAYA 21|05|1975
319 3578082304120002 3578105004830007 ILAIKA SOFA SURABAYA 10|04|1983
320 3578080107110063 3578081010730003 MOCH NORCHOLIS SURABAYA 10|10|1973
321 3578080107110063 3578081304820004 MOCH HARI UTOMO SURABAYA 13|04|1982
322 3578080201080717 3578082411740001 MOCH. ARIEF SISWOYO NGANJUK 24|11|1974
323 3578080401080411 3578086311660001 TETTY HANDAJANI, S.Psi SURABAYA 23|11|1966
324 3578080901120001 3578085306000004 WINDY EKA PRATIWI SURABAYA 13|06|2000
325 3578082212160001 3509091612750002 MOH.ROFIK JEMBER 16|12|1975
326 3578082705150004 3514081007820004 MOCH. DAREM NARENDRA TUBAN 10|07|1982
327 3578082705150004 3514084110880003 DEWI NURTIANAH PASURUAN 01|10|1988
328 3578080101083965 3578082712560001 HERI SUSANTO SURABAYA 27|12|1956
329 3578080101083965 3578085304630001 SITI UTAMI MOJOSARI 13|04|1963
330 3578080101083965 3578081503910001 DWIKI MARDIANSYAH SURABAYA 15|03|1991
331 3578080101087745 3578087010980002 NANDA VIDYA RANI SURABAYA 30|10|1998
332 3578080210120009 3516025906820003 SITI AMINAH BLORA 19|06|1982
333 3578080101087745 3578084608000003 ANINDA FADILLAH RACHMA SURABAYA 06|08|2000
3

18|04|1965 53 S L KALIWARON 66 1 2 0
31|08|1966 51 S L KALIWARON 8 1 2 0
30|10|1962 55 S L KALIWARON NO.46-A 1 2 0
08|04|1974 44 S P KARANG GAYAM WETAN /29 1 2 0
02|07|1973 44 B L KARANG GAYAM WETAN /33 1 2 0
25|08|1970 47 S P KARANG GAYAM WETAN 1/ 29 1 2 0
27|01|1999 19 B P KARANG GAYAM WETAN 1/ 29 1 2 0
30|01|1950 68 S L KARANG GAYAM WETAN 1/29 1 2 0
30|01|1962 56 S P KARANG GAYAM WETAN 1/29 1 2 0
30|06|1997 20 B L KARANG GAYAM WETAN 1/29 1 2 0
16|10|1967 50 S L KARANG GAYAM WETAN 1/29 1 2 0
15|08|1956 61 P P KARANG GAYAM WETAN 1/29 1 2 0
15|08|1983 34 S P KARANG GAYAM WETAN 1/29 1 2 0
30|12|1978 39 S L KARANG GAYAM WETAN 1/29 1 2 0
23|08|1987 30 S P KARANG GAYAM WETAN 1/29 1 2 0
16|12|1982 35 S L KARANG GAYAM WETAN 1/29 1 2 0
17|06|1985 33 S P KARANG GAYAM WETAN 1/29 1 2 0
28|06|1955 62 S P KARANG GAYAM WETAN 1/29 1 2 0
09|09|1968 49 S P KARANG GAYAM WETAN 1/29 1 2 0
30|11|1998 19 B P KARANG GAYAM WETAN 1/29 1 2 0
13|05|1965 53 S L KARANG GAYAM WETAN 1/29 1 2 0
22|07|1972 45 S P KARANG GAYAM WETAN 1/29 1 2 0
11|11|1996 21 B P KARANG GAYAM WETAN 1/29 1 2 0
30|06|1952 65 P P KARANG GAYAM WETAN 1/29 1 2 0
20|01|1942 76 S L KARANG GAYAM WETAN 1/29 1 2 0
16|08|1983 34 B L KARANG GAYAM WETAN 1/29 1 2 0
30|06|1943 74 P P KARANG GAYAM WETAN 1/29 1 2 0
05|12|1977 40 B L KARANG GAYAM WETAN 1/29 1 2 0
29|03|1981 37 S L KARANG GAYAM WETAN 1/29 1 2 0
17|07|1986 31 S P KARANG GAYAM WETAN 1/29 1 2 0
13|01|1995 23 B P KARANG GAYAM WETAN 1/29 1 2 0
06|06|1998 20 B L KARANG GAYAM WETAN 1/29 1 2 0
22|12|1983 34 S P KARANG GAYAM WETAN 1/29 1 2 0
21|05|1975 43 S P KARANG GAYAM WETAN 1/29 1 2 0
10|04|1983 35 S P KARANG GAYAM WETAN 1/29 1 2 0
10|10|1973 44 S L KARANG GAYAM WETAN 1/29 1 2 0
13|04|1982 36 B L KARANG GAYAM WETAN 1/29 1 2 0
24|11|1974 43 S L KARANG GAYAM WETAN 1/29 1 2 0
23|11|1966 51 B P KARANG GAYAM WETAN 1/29 1 2 0
13|06|2000 18 B P KARANG GAYAM WETAN 1/29 1 2 0
16|12|1975 42 S L KARANG GAYAM WETAN 1/29 1 2 0
10|07|1982 35 S L KARANG GAYAM WETAN 1/29 1 2 0
01|10|1988 29 S P KARANG GAYAM WETAN 1/29 1 2 0
27|12|1956 61 S L KARANG GAYAM WETAN 1/29-B 1 2 0
13|04|1963 55 S P KARANG GAYAM WETAN 1/29-B 1 2 0
15|03|1991 27 B L KARANG GAYAM WETAN 1/29-B 1 2 0
30|10|1998 19 B P KARANG GAYAM WETAN 1/33 1 2 0
19|06|1982 36 S P KARANG GAYAM WETAN 1/33 1 2 0
06|08|2000 17 B P KARANG GAYAM WETAN 1/33 1 2 0

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334 3578080301088342 3578086303400001 MA`ANI SURABAYA 23|03|1940
335 3578082904130004 3578082308740002 MOCH. SAIFULLOH SURABAYA 23|08|1974
336 3578080101080170 3578086111720001 RUSTIYAH SURABAYA 21|11|1972
337 3578080301084743 3578081609530001 KAMSURI SURABAYA 16|09|1953
338 3578080301085615 3578083006530021 RIJONO SURABAYA 30|06|1953
339 3578080706130005 3506170608870002 UJUD TRI WANTONO KEDIRI 06|08|1987
340 3578080706130005 3578086704910003 MARIANI SURABAYA 27|04|1991
341 3578080101080170 3578086501000002 FIRLI MULYA ROSYDA SURABAYA 25|01|2000
342 3578080301084743 3578082310810003 ALI SHIDIK SIDOARJO 23|10|1981
343 3578080401083001 3578082105780003 PARULIAN HAMONANGAN S SURABAYA 21|05|1978
344 3578080101080170 3578081906690003 MULJADI SURABAYA 19|06|1969
345 3578080101083658 3578081004780009 ROKO GROBOGAN 04|10|1978
346 3578080101084261 3578080502720003 SOTOMO JOMBANG 02|05|1972
347 3578080101084261 3578084605730004 MUDJIATI SURABAYA 05|06|1973
348 3578080101087745 3578085208730011 IKA KUSRINI SURABAYA 08|12|1973
349 3578080101089746 3578084412660002 FIRSA ANUGRAH PRAKASA SURABAYA 01|07|1995
350 3578080201089839 3578080503630001 KOESAERI SURABAYA 03|05|1963
351 3578080201089839 3578088802680001 KASIYATI SURABAYA 28|02|1968
352 3578080201089839 3578080110920002 MOCH.RIZAL ARDIANSYAH SURABAYA 10|01|1992
353 3578080301084743 3578084508610003 SULAMI SIDOARJO 08|05|1961
354 3578080301085615 3578084702530002 BNGATIJAH JOMBANG 02|07|1953
355 3578080301085615 3578081211800002 HARIAWAN SURABAYA 11|12|1980
356 3578080301085615 3578081001860001 SUHADI SURABAYA 01|10|1986
357 3578080301088433 3578081108650002 KASTO BOJONEGORO 08|11|1965
358 3578080301088433 3578084302930006 ASTRI MARIYANTI PONOROGO 02|03|1993
359 3578080401080411 3578080406510002 MOCH.ZAENY ANTONY LAMONGAN 06|04|1951
360 3578080401080411 3578081606910001 MOCH.AINUR ROFIQIEN SURABAYA 16|06|1991
361 3578080401088868 3578017006430040 SUMINI NGANJUK 30|06|1943
362 3578080401088868 3578081201610001 SUCIPTO PASURUAN 01|12|1961
363 3578080401088868 3578080103670003 DARMAJI SURABAYA 03|01|1967
364 3578080401088868 3578080411910003 MOCH.FAJAR FIRDAUS SURABAYA 11|04|1991
365 3578080401089790 3578085812920001 RIZKY NOER AMELIA SURABAYA 18|12|1992
366 3578080501080124 3578084101450010 SRINGATUN NGANJUK 01|01|1945
367 3578081602100040 3578084965760002 LUTFIATI SURABAYA 05|09|1976
368 3578081602100040 3578080502780004 MAHMUD EFENDI BANGKALAN 02|05|1978
369 3578083110110002 3578081207850001 HENDRI NOOR KOMARI.S SURABAYA 12|07|1985
370 3578083110110002 3578085104850002 ERMA LISTIYA WINATA LAMONGAN 04|11|1985
371 3578160501080607 1256194412660004 KENI TUBAN 12|04|1966
372 3578080101087745 3578081107690003 MOCH. SAFIQ SURABAYA 07|11|1982
373 3578080301089141 3578084201930003 FITA FAILAH SURABAYA 01|02|1993
374 3578080401083001 3578084256450001 RADINSE PARDEDE TAPANULI SELAT A06|02|1945
375 3578080401083001 3578084606740003 DJUMATI MAGDALENA.S SURABAYA 06|05|1974
376 3578080501082018 3578084210660002 DINARIA PARDEDE PANYABUNGAN 10|02|1966
377 3578080501082018 3578081006680003 MARISI SUSANTO SIMANJUNTAK SURABAYA 06|10|1968
378 3578080101087078 3578087006530024 RIDYAH SURABAYA 30|06|1953
379 3578080301082579 3578083006300018 KAMSUN LAMONGAN 30|06|1930
380 3578080101089549 3578080301810003 MAT SYAFIK SAMPANG 03|01|1981
381 3578082402140002 3578086906400016 SAREAH LAMONGAN 29|06|1940
382 3578080101081080 3578082104760002 AGUS PRIONO SURABAYA 21|04|1976
3

23|03|1940 78 P P KARANG GAYAM WETAN 1/33 1 2 0


23|08|1974 43 S L KARANG GAYAM WETAN 1/33 1 2 0
21|11|1972 45 S P KARANGGAYAM WETAN 1/29 1 2 0
16|09|1953 64 S L KARANGGAYAM WETAN 1/29 1 2 0
30|06|1953 64 S L KARANGGAYAM WETAN 1/29 1 2 0
06|08|1987 30 S L KARANGGAYAM WETAN 1/29 1 2 0
27|04|1991 27 S P KARANGGAYAM WETAN 1/29 1 2 0
25|01|2000 18 B P KARANGGAYAM WETAN 1/29 1 2 0
23|10|1981 36 S L KARANGGAYAM WETAN 1/29 1 2 0
21|05|1978 40 B L KARANGGAYAM WETAN 1/33 1 2 0
19|06|1969 49 S L KARANGGAYAM WETAN I/29 1 2 0
04|10|1978 39 S L KARANGGAYAM WETAN I/29 1 2 0
02|05|1972 46 S L KARANGGAYAM WETAN I/29 1 2 0
05|06|1973 45 S P KARANGGAYAM WETAN I/29 1 2 0
08|12|1973 44 S P KARANGGAYAM WETAN I/29 1 2 0
01|07|1995 22 B L KARANGGAYAM WETAN I/29 1 2 0
03|05|1963 55 S L KARANGGAYAM WETAN I/29 1 2 0
28|02|1968 50 S P KARANGGAYAM WETAN I/29 1 2 0
10|01|1992 26 B L KARANGGAYAM WETAN I/29 1 2 0
08|05|1961 57 S P KARANGGAYAM WETAN I/29 1 2 0
02|07|1953 64 S P KARANGGAYAM WETAN I/29 1 2 0
11|12|1980 37 S L KARANGGAYAM WETAN I/29 1 2 0
01|10|1986 31 B L KARANGGAYAM WETAN I/29 1 2 0
08|11|1965 52 S L KARANGGAYAM WETAN I/29 1 2 0
02|03|1993 25 B P KARANGGAYAM WETAN I/29 1 2 0
06|04|1951 67 P L KARANGGAYAM WETAN I/29 1 2 0
16|06|1991 27 B L KARANGGAYAM WETAN I/29 1 2 0
30|06|1943 74 P P KARANGGAYAM WETAN I/29 1 2 0
01|12|1961 56 S L KARANGGAYAM WETAN I/29 1 2 0
03|01|1967 51 S L KARANGGAYAM WETAN I/29 1 2 0
11|04|1991 27 B L KARANGGAYAM WETAN I/29 1 2 0
18|12|1992 25 B L KARANGGAYAM WETAN I/29 1 2 0
01|01|1945 73 S P KARANGGAYAM WETAN I/29 1 2 0
05|09|1976 41 S P KARANGGAYAM WETAN I/29 1 2 0
02|05|1978 40 S L KARANGGAYAM WETAN I/29 1 2 0
12|07|1985 32 S L KARANGGAYAM WETAN I/29 1 2 0
04|11|1985 32 S P KARANGGAYAM WETAN I/29 1 2 0
12|04|1966 52 S P KARANGGAYAM WETAN I/29 1 2 0
07|11|1982 35 S L KARANGGAYAM WETAN I/33 1 2 0
01|02|1993 25 P P KARANGGAYAM WETAN I/33 1 2 0
A06|02|1945 73 P P KARANGGAYAM WETAN I/33 1 2 0
06|05|1974 44 B P KARANGGAYAM WETAN I/33 1 2 0
10|02|1966 52 S P KARANGGAYAM WETAN I/33 1 2 0
06|10|1968 49 S L KARANGGAYAM WETAN I/33 1 2 0
30|06|1953 64 S P KARANG GAYAM WETAN / 2 2 2 0
30|06|1930 87 P L KARANG GAYAM WETAN / 2 2 2 0
03|01|1981 37 S L KARANG GAYAM WETAN / 7 2 2 0
29|06|1940 77 B P KARANG GAYAM WETAN /23 2 2 0
21|04|1976 42 B L KARANG GAYAM WETAN /27-A 2 2 0

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383 3578080101081037 3578080611890002 VELLY NOVALIA SURABAYA 11|06|1989
384 3578080201083520 3578085512720005 NANIK ARIANI SURABAYA 15|12|1972
385 3578080301080703 3578084611710001 NURSIAMAH, S.PD, MM SURABAYA 06|11|1971
386 3578080101080401 3578080109990002 ARISTYA SANDY TRIAWAN SURABAYA 01|09|1999
387 3578080501081835 3578081111920005 CANDRA KRISTIAN MAULANA SURABAYA 11|11|1992
388 3578080301089625 3578080508930005 EKO PRASTIYONO SURABAYA 05|08|1993
389 3578080401081846 3507104505690006 CHOLIFAH MALANG 05|05|1969
390 3578080401081846 3578084801990004 FITRIA RAMADHANI SURABAYA 08|01|1999
391 3578081204160002 3578085305970002 DWI PUTRI AYU SURABAYA 13|05|1997
392 3578082504110008 3578084305680002 RATNA PUSPASARI SURABAYA 03|05|1968
393 3578082504110008 3578084602920004 FEBRIANA NURSA INDAH SARI SURABAYA 06|02|1992
394 3578082504110008 3578084303960004 SEKAR CECILIA SURABAYA 03|03|1996
395 3578081204160002 3578100503920003 MANDRA PUPUT MANGGARJATI SURABAYA 05|03|1992
396 3578080207150004 3527106606010003 MAIMUNAH SAMPANG 26|06|2001
397 3578080201087936 3578082906970006 IFUNG ADITIA PUTRA SURABAYA 29|06|1997
398 3578080101083612 3578085309810005 NITA RAHMAWATI DEWI JAKARTA 13|09|1981
399 3578080101083812 3578086007990002 NURINA JUWITA NINGTYAS DENPASAR 20|07|1999
400 3578083001090016 3578081112620002 FAJAR SODIQ, S.Pd BANGKALAN 11|12|1962
401 3578080201080122 3578084905010001 MUSARROFA SAMPANG 09|05|2001
402 3578080710160005 3517031412750003 ARIF PRIBADI JOMBANG 14|12|1975
403 3578080710160005 3517035706820003 NUR SALEHAH SURABAYA 17|06|1982
404 3578080501083488 3578081109470001 KARSIMAN SURABAYA 11|09|1947
405 3578080501083488 3578084208500002 SUTIRAH SOLO 02|08|1950
406 3578083112110008 3578080701980004 FERI VIVAS SENTOSO SURABAYA 07|01|1998
407 3578080501083132 3578084101990002 KURNIA HANA NURINDAH SARI SURABAYA 01|01|1999
408 3578081402120004 3578084804850011 WEHIDEH SAMPANG 08|04|1985
409 3578082402140002 3578084307320002 WARTIMAH LAMONGAN 03|07|1932
410 3578080901130008 3525151704860001 SUHERMAN GRESIK 17|04|1986
411 3578260101081596 3578261612750001 AMBAR WALOYO SURABAYA 16|12|1975
412 3578260101081596 3578266512980001 DESSY DUSPA ANGGITA SARI SURABAYA 25|12|1998
413 3578080301086917 3578086907720001 SITI MUNIFWATI SURABAYA 29|07|1972
414 3578082405100032 3511225808720005 FARIDA BONDOWOSO 18|08|1972
415 3578083010120010 3578106609900001 MAWAR KARTIKASARI SURABAYA 26|09|1990
416 3578080101085656 3578081904840001 SETIAWAN MOJOKERTO 19|04|1984
417 3578080901120040 3578081605580002 SAMSURIDJAL SURABAYA 16|05|1958
418 3578080301082457 3578056808590003 TRI HARTINI SURABAYA 28|08|1959
419 3578080301082457 3578082112930003 HAA MIIM SURABAYA 21|12|1993
420 3578080301082457 3578081307950001 MUHAMMAD TAUFIQ SURABAYA 13|07|1995
421 3578081501150002 3578096703770003 MERIYANTI SURABAYA 27|03|1977
422 3578080101081037 3578080506880002 AHMAD ASTARICO SURABAYA 05|06|1988
423 3578060601081243 3578061412970001 IQBAL NUR RAFLY SURABAYA 14|12|1997
424 3578060601081243 3578065008690005 AGNIFA ZUSIJANA SURABAYA 10|08|1969
425 3578060601081243 3578064905000006 ANNISA ZUSFARIDA ACHMAD SURABAYA 09|05|2000
426 3578080310120012 3578086109750006 IDA ROYANI SURABAYA 21|09|1975
427 3578080310120012 3578082910950002 WAHYU OKTAVIAN SURABAYA 29|10|1995
428 3578081702100065 3578084808830001 WAHYU UTARI SURABAYA 08|08|1983
429 3578080101086537 3578084412800001 IRA WATI SURABAYA 04|12|1980
430 3578080101089332 3578085610800002 ELLY KURNIAWATI SURABAYA 16|10|1980
431 3578080310160026 3578082207790004 dr. FRANKY RENATO ANTHONIUS GRESIK 22|07|1979
3

11|06|1989 29 B L KARANG GAYAM WETAN /29 2 2 0


15|12|1972 45 B P KARANG GAYAM WETAN /34 2 2 0
06|11|1971 46 S P KARANG GAYAM WETAN 1/1 2 2 0
01|09|1999 18 B L KARANG GAYAM WETAN 1/10 2 2 0
11|11|1992 25 S L KARANG GAYAM WETAN 1/10 2 2 0
05|08|1993 24 S L KARANG GAYAM WETAN 1/10-A 2 2 0
05|05|1969 49 S P KARANG GAYAM WETAN 1/11 2 2 0
08|01|1999 19 B P KARANG GAYAM WETAN 1/11 2 2 0
13|05|1997 21 S P KARANG GAYAM WETAN 1/12 2 2 0
03|05|1968 50 P P KARANG GAYAM WETAN 1/12 2 2 0
06|02|1992 26 B P KARANG GAYAM WETAN 1/12 2 2 0
03|03|1996 22 B P KARANG GAYAM WETAN 1/12 2 2 0
05|03|1992 26 B L KARANG GAYAM WETAN 1/12 2 2 0
26|06|2001 17 B P KARANG GAYAM WETAN 1/15 2 2 0
29|06|1997 20 B L KARANG GAYAM WETAN 1/17 2 2 0
13|09|1981 36 S P KARANG GAYAM WETAN 1/19 2 2 0
20|07|1999 18 B P KARANG GAYAM WETAN 1/2 2 2 0
11|12|1962 55 S L KARANG GAYAM WETAN 1/2 2 2 0
09|05|2001 17 B P KARANG GAYAM WETAN 1/21 2 2 0
14|12|1975 42 S L KARANG GAYAM WETAN 1/21 2 2 0
17|06|1982 36 S P KARANG GAYAM WETAN 1/21 2 2 0
11|09|1947 70 S L KARANG GAYAM WETAN 1/22 2 2 0
02|08|1950 67 S P KARANG GAYAM WETAN 1/22 2 2 0
07|01|1998 20 B L KARANG GAYAM WETAN 1/22 2 2 0
01|01|1999 19 B P KARANG GAYAM WETAN 1/22 2 2 0
08|04|1985 33 S P KARANG GAYAM WETAN 1/22 2 2 0
03|07|1932 85 S P KARANG GAYAM WETAN 1/23 2 2 0
17|04|1986 32 S L KARANG GAYAM WETAN 1/24 2 2 0
16|12|1975 42 S L KARANG GAYAM WETAN 1/24 2 2 0
25|12|1998 19 B P KARANG GAYAM WETAN 1/24 2 2 0
29|07|1972 45 S P KARANG GAYAM WETAN 1/25 2 2 0
18|08|1972 45 S P KARANG GAYAM WETAN 1/26 2 2 0
26|09|1990 27 S P KARANG GAYAM WETAN 1/26 2 2 0
19|04|1984 34 B L KARANG GAYAM WETAN 1/27 2 2 0
16|05|1958 60 B L KARANG GAYAM WETAN 1/27 2 2 0
28|08|1959 58 B P KARANG GAYAM WETAN 1/27 2 2 0
21|12|1993 24 B L KARANG GAYAM WETAN 1/27 2 2 0
13|07|1995 22 B L KARANG GAYAM WETAN 1/27 2 2 0
27|03|1977 41 B P KARANG GAYAM WETAN 1/27 2 2 0
05|06|1988 30 S L KARANG GAYAM WETAN 1/29 2 2 0
14|12|1997 20 B L KARANG GAYAM WETAN 1/3 2 2 0
10|08|1969 48 S P KARANG GAYAM WETAN 1/3 2 2 0
09|05|2000 18 B P KARANG GAYAM WETAN 1/3 2 2 0
21|09|1975 42 S P KARANG GAYAM WETAN 1/34 2 2 0
29|10|1995 22 B L KARANG GAYAM WETAN 1/34 2 2 0
08|08|1983 34 S P KARANG GAYAM WETAN 1/34 2 2 0
04|12|1980 37 S P KARANG GAYAM WETAN 1/34 2 2 0
16|10|1980 37 B P KARANG GAYAM WETAN 1/4-A 2 2 0
22|07|1979 38 S L KARANG GAYAM WETAN 1/4-B 2 2 0

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432 3578080310160026 3578085307800001 INGGRIT PUSPITASARI ANTHONIUS, SGRESIK 13|07|1980
433 3578082812150003 3578051212880001 DHERY PERMANA PUTRA SURABAYA 12|12|1988
434 3578080301086413 3516147112690058 MUJIATI MOJOKERTO 31|12|1969
435 3578080401086685 3578081209910002 MUHAMMAD IKSAN SUCIYONO SURABAYA 12|09|1991
436 3578080401086685 3578080701010001 MUHAMMAD IBNUL ILYASIN SURABAYA 07|01|2001
437 3578080201083512 3578086312670002 SOELASMI SURABAYA 23|12|1967
438 3578080201083512 3578080910920003 SUEB BUSTOMSYAH SURABAYA 09|10|1992
439 3578080501083234 3502196004690001 PATEMI PONOROGO 20|04|1969
440 3578080501083234 3578086905960003 DIAH AYU EISIAH SURABAYA 29|05|1996
441 3578082204160009 3578082006920004 NAFIUDDIN SAMPANG 20|06|1992
442 3578080501082723 3578084303590001 RASMINTEN SURABAYA 03|03|1959
443 3578080501082723 3578080204960003 ADI PRASETYO SURABAYA 02|04|1996
444 3578081909130003 3578085211760004 SUBAIDAH SURABAYA 12|11|1976
445 3578080501083134 3578085907990004 WIDYA PUSPA KRISTIANA SURABAYA 19|07|1999
446 3578081003160005 3578106305830007 MEI LASTATIK SURABAYA 23|05|1983
447 3578082405160004 3578050807860002 RISA ANGGA SAMPURNO SURABAYA 08|07|1986
448 3578080401083548 3578082908640002 MISDU EDDO PRASETYO BANGKALAN 29|08|1964
449 3578080401083548 3578080712990004 MOCHAMAD FAIZOL ABRORI W SURABAYA 07|12|1999
450 3578082111120005 3578082011750004 M. ABD. KODIR SAMPANG 20|11|1975
451 3578080501083829 3578080201990003 IQBAL IKHTIAR ROHMAN SURABAYA 02|01|1999
452 3578080201080474 3578085011830003 NOVI SRI SUSILA,AWAN SURABAYA 10|11|1983
453 3578080310160002 3578084608990002 WARIDAH SAMPANG 06|08|1999
454 3578080101087312 3578081311990001 M. TOMMY ALFARIDZI SURABAYA 13|11|1999
455 3578080101087367 3578085502960002 KUTSIYAH SAMPANG 15|02|1996
456 3578082105120073 3578084902800001 SITI MARIYANAH SURABAYA 09|02|1980
457 3578081507140005 3522102806850001 IMRON ROSYADI SURABAYA 28|06|1985
458 3578081507140005 3578086212880002 DESY ANIPERTIWI SURABAYA 22|12|1988
459 3578081608160007 3578085705950004 SITI MARYAM SAMPANG 17|05|1995
460 3578081608160007 3527062411940003 RIDHO SAMPANG 24|11|1994
461 3578080201080810 3578082203780006 KOES WAHYUDI SURABAYA 22|03|1978
462 3578080201080810 3578085602820001 NURHAYATI SURABAYA 16|02|1982
463 3578080101088714 3578083006530030 MA`SUM SAMPANG 30|06|1953
464 3578080101088714 3578082411960006 ABDUL AZIZ MAULANA SURABAYA 24|11|1996
465 3578082302160008 3578086709990007 ISMAWATI SURABAYA 27|09|1999
466 3578081206090003 3578084610960010 SUNARSIH JOMBANG 06|10|1996
467 3578081206090003 3578085512980003 DESI JELANG RAMADHANI JOMBANG 15|12|1998
468 3578082204140005 3578151402800002 BUDI SETIAWAN Z. SURABAYA 14|02|1980
469 3578080101081875 3578080508750005 KUSNADI SURABAYA 05|08|1975
470 3578080101081875 3578083006530012 MOCH.SALIM SAMPANG 30|06|1953
471 3578081310110028 3578080811750011 HARI SAMPANG 08|11|1975
472 3578081310110028 3578084510760006 AZIZAH SAMPANG 05|10|1976
473 3578081310110028 3578082403990005 SAFRISAL SURABAYA 24|03|1999
474 3578080501083235 3578082910970001 ACHMAD HANIF SURABAYA 29|10|1997
475 3578082411110026 3578081110890004 HARIS OKTAFIAN SURABAYA 11|10|1989
476 3578080611130009 3527060503770004 TURIMAN SAMPANG 05|03|1977
477 3578080611130009 3527065805790002 ROHAH SAMPANG 18|05|1979
478 3578080707150003 3578086308780007 FITRIAH SURABAYA 23|08|1978
479 3578080707150003 3578081608990003 IQBAL MUZHAFFAR SURABAYA 16|08|1999
480 3578040501089880 3578043112610009 ROHMAT BANGKALAN 31|12|1961
3

13|07|1980 37 S P KARANG GAYAM WETAN 1/4-B 2 2 0


12|12|1988 29 B L KARANG GAYAM WETAN 1/9 2 2 0
31|12|1969 48 B P KARANG GAYAM WETAN 1-A/10 2 2 0
12|09|1991 26 B L KARANG GAYAM WETAN 1-A/12 2 2 0
07|01|2001 17 B L KARANG GAYAM WETAN 1-A/12 2 2 0
23|12|1967 50 P P KARANG GAYAM WETAN 1-A/14 2 2 0
09|10|1992 25 B L KARANG GAYAM WETAN 1-A/14 2 2 0
20|04|1969 49 S P KARANG GAYAM WETAN 1-A/14 2 2 0
29|05|1996 22 B P KARANG GAYAM WETAN 1-A/14 2 2 0
20|06|1992 26 B L KARANG GAYAM WETAN 1-A/15 2 2 0
03|03|1959 59 P P KARANG GAYAM WETAN 1-A/16 2 2 0
02|04|1996 22 B L KARANG GAYAM WETAN 1-A/16 2 2 0
12|11|1976 41 B P KARANG GAYAM WETAN 1-A/16 2 2 0
19|07|1999 18 B P KARANG GAYAM WETAN 1-A/16 2 2 0
23|05|1983 35 S P KARANG GAYAM WETAN 1-A/16 2 2 0
08|07|1986 31 B L KARANG GAYAM WETAN 1-A/16 2 2 0
29|08|1964 53 S L KARANG GAYAM WETAN 1-A/16-A 2 2 0
07|12|1999 18 B L KARANG GAYAM WETAN 1-A/16-A 2 2 0
20|11|1975 42 S L KARANG GAYAM WETAN 1-A/17 2 2 0
02|01|1999 19 B L KARANG GAYAM WETAN 1-A/18 2 2 0
10|11|1983 34 S P KARANG GAYAM WETAN 1-A/2 2 2 0
06|08|1999 18 S P KARANG GAYAM WETAN 1-A/21 2 2 0
13|11|1999 18 B L KARANG GAYAM WETAN 1A/5 2 2 0
15|02|1996 22 B P KARANG GAYAM WETAN 1-A/7 2 2 0
09|02|1980 38 S P KARANG GAYAM WETAN 1-A/7 2 2 0
28|06|1985 32 B L KARANG GAYAM WETAN 1-A/8 2 2 0
22|12|1988 29 S P KARANG GAYAM WETAN 1-A/8 2 2 0
17|05|1995 23 B P KARANG GAYAM WETAN 1-A/9 2 2 0
24|11|1994 23 B L KARANG GAYAM WETAN 1-A/9 2 2 1
22|03|1978 40 S L KARANG GAYAM WETAN 1-B/12 2 2 0
16|02|1982 36 B P KARANG GAYAM WETAN 1-B/12 2 2 0
30|06|1953 64 S L KARANG GAYAM WETAN 1-B/6 2 2 0
24|11|1996 21 B L KARANG GAYAM WETAN 1-B/6 2 2 0
27|09|1999 18 B P KARANG GAYAM WETAN 1-C/10 2 2 0
06|10|1996 21 B P KARANG GAYAM WETAN 1-C/12 2 2 0
15|12|1998 19 B P KARANG GAYAM WETAN 1-C/12 2 2 0
14|02|1980 38 S L KARANG GAYAM WETAN 1-C/12-C 2 2 0
05|08|1975 42 P L KARANG GAYAM WETAN 1-C/5 2 2 0
30|06|1953 64 S L KARANG GAYAM WETAN 1-C/5 2 2 0
08|11|1975 42 S L KARANG GAYAM WETAN 1-C/6 2 2 0
05|10|1976 41 S P KARANG GAYAM WETAN 1-C/6 2 2 0
24|03|1999 19 B L KARANG GAYAM WETAN 1-C/6 2 2 0
29|10|1997 20 B L KARANG GAYAM WETAN 1-C/7 2 2 0
11|10|1989 28 S L KARANG GAYAM WETAN 1-C/7 2 2 0
05|03|1977 41 S L KARANG GAYAM WETAN 1-C/8 2 2 0
18|05|1979 39 S P KARANG GAYAM WETAN 1-C/8 2 2 0
23|08|1978 39 S P KARANG GAYAM WETAN 1-C/9 2 2 0
16|08|1999 18 B L KARANG GAYAM WETAN 1-C/9 2 2 0
31|12|1961 56 S L KARANG GAYAM WETAN 2/ 0-B 2 2 0

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481 3578040501089880 3578047006840007 SAIHA BANGKALAN 30|06|1984
482 3578080401089104 3578086212970002 DITA TRI WIDYA SURABAYA 22|12|1997
483 3578082604130001 3578085903760002 SULIMAH SURABAYA 19|03|1976
484 3578082604130001 3578060907750007 REBUT KAMPIONO SURABAYA 09|07|1975
485 3578082604130001 3578086302960003 LIKA FITRI DURHAYATI SURABAYA 23|02|1996
486 3578080401088119 3578080110570001 SOEROSO SURABAYA 01|10|1957
487 3578080501080872 3578082703580002 MOCH. SAFIIE SURABAYA 27|03|1958
488 3578082005140007 3527061507830007 SOLIHIN BANGKALAN 15|07|1983
489 3578082005140007 3527064505960004 JAMILA SAMPANG 05|05|1996
490 3578100501084407 3578101006650010 MAT SAPI`I SAMPANG 10|06|1965
491 3578100501084407 3578105003960005 SITI MARIYAM SURABAYA 10|03|1996
492 3578081402130016 3527021508790006 ABD. MANAF SAMPANG 15|08|1979
493 3578081402130016 3527024507830008 WESIAH SAMPANG 05|07|1983
494 3578080412130001 3578134711910002 IIN FAHMAWATI SURABAYA 07|11|1991
495 3578080412130001 7316043003890003 M. YUSUF NOVIYANTO SURABAYA 30|03|1989
496 3578080101089319 3578086403980003 MUTTIARA SISWOYO PUTRI SURABAYA 24|03|1998
497 3578080501082780 3578087008880001 AGUSTINA GERHANI SURABAYA 30|08|1988
498 3578080501082780 3578086402990002 DINI FEBRIANTI SURABAYA 24|02|1999
499 3578083101090001 3578084106810011 ULFA SUSANTI BLITAR 01|06|1981
500 3578080810130007 3578171610900004 SHOLEH KODIN NAWAWI SURABAYA 16|10|1990
501 3578080810090001 3674055503860004 YENNY HARYANTI BANJARNEGARA 15|03|1986
502 3578081401160001 3578084806900004 MEGA AYU PUSPITA SURABAYA 08|06|1990
503 3578080101084632 3578081304010001 ARIYAWAN EFFENDI SURABAYA 13|04|2001
504 3578082206090020 3578080409960001 SAFIUDIN SAMPANG 04|09|1996
505 3578081109140001 3527034101850025 MAULIDAH SAMPANG 01|01|1985
506 3578080101081316 3578081003990003 ANZAS WARDYANSYAH SURABAYA 10|03|1999
507 3578080101084086 3312171506990001 MUHAMMAD IQBAL SURABAYA 15|06|1999
508 3578080401089382 3578081802700001 RESLAN SAMPANG 18|02|1970
509 3578081202140009 3578081505870005 SANIMAN SAMPANG 15|05|1987
510 3578081202140009 3578084202930003 HANIYE SURABAYA 02|02|1993
511 3578080401089382 3578081701920003 MOCHMAD SOELEH SURABAYA 17|01|1992
512 3578082507160002 9.17102481076001E+15 PATMAWATI SURABAYA 08|10|1976
513 3578080401089560 3578087112580011 WINARTI YOGYAKARTA 31|12|1958
514 3578081107120045 3578081006850005 AKHMAD FADLI NURUSIAM SIDOARJO 10|06|1985
515 3578080201089253 3578080201670002 KASTIJONO SURABAYA 02|01|1967
516 3578080201089253 3578080510950003 REZA OKTAVIAN PALEVI SURABAYA 05|10|1995
517 3578082406150006 3576016312870002 ELIA PUTRISIA MOJOKERTO 23|12|1987
518 3578080201084627 3578084612870001 AYUK DWI HARTANTI PUTRI SURABAYA 06|12|1987
519 3578081703160016 3578085210980002 DINDA RISKI OKTAVIANI SURABAYA 12|10|1998
520 3578080102130010 3578100805820015 TAUFAN MOHAMAD WIJAYA GORONTALO 08|05|1982
521 3578080203160005 3578165203910001 DWITYA RAHMADIA SURABAYA 12|03|1991
522 3578080709160013 3578082309870004 NUGROHO BUDI SUBAGYO SURABAYA 23|09|1987
523 3578080709160013 3578245109870001 RAHAYU WULANDARI SURABAYA 11|09|1987
524 3578080602130012 3578086810860003 PUTRI MAHARDANI SURABAYA 28|10|1986
525 3578081106130014 3578085512870002 RENY PUJI ASTUTI SURABAYA 15|12|1987
526 3578080604090018 3578086906380039 EMMI SURABAYA 29|06|1938
527 3578080809090004 3578085507830005 SUTI`AH TULUNGAGUNG 15|07|1983
528 3578082301130035 3503133112690033 MUSTOFA TRENGGALEK 31|12|1969
529 3578082301130035 3503136912800001 MA'RUFAH TRENGGALEK 29|12|1980
3

30|06|1984 33 B P KARANG GAYAM WETAN 2/ 0-B 2 2 0


22|12|1997 20 B P KARANG GAYAM WETAN 2/10 2 2 0
19|03|1976 42 S P KARANG GAYAM WETAN 2/10-A 2 2 0
09|07|1975 42 B L KARANG GAYAM WETAN 2/10-A 2 2 0
23|02|1996 22 S P KARANG GAYAM WETAN 2/10-A 2 2 0
01|10|1957 60 S L KARANG GAYAM WETAN 2/10-D 2 2 0
27|03|1958 60 S L KARANG GAYAM WETAN 2/10-E 2 2 0
15|07|1983 34 S L KARANG GAYAM WETAN 2/12-B 2 2 0
05|05|1996 22 S P KARANG GAYAM WETAN 2/12-B 2 2 0
10|06|1965 53 S L KARANG GAYAM WETAN 2/12-B 2 2 0
10|03|1996 22 B P KARANG GAYAM WETAN 2/12-B 2 2 0
15|08|1979 38 S L KARANG GAYAM WETAN 2/12-H 2 2 0
05|07|1983 34 S P KARANG GAYAM WETAN 2/12-H 2 2 0
07|11|1991 26 S P KARANG GAYAM WETAN 2/15-A 2 2 0
30|03|1989 29 B L KARANG GAYAM WETAN 2/15-A 2 2 0
24|03|1998 20 B P KARANG GAYAM WETAN 2/18 2 2 0
30|08|1988 29 B P KARANG GAYAM WETAN 2/19 2 2 0
24|02|1999 19 B P KARANG GAYAM WETAN 2/19 2 2 0
01|06|1981 37 S P KARANG GAYAM WETAN 2/2 2 2 0
16|10|1990 27 B L KARANG GAYAM WETAN 2/2 2 2 0
15|03|1986 32 S P KARANG GAYAM WETAN 2/21 2 2 0
08|06|1990 28 S P KARANG GAYAM WETAN 2/25 2 2 0
13|04|2001 17 B L KARANG GAYAM WETAN 2/29 2 2 0
04|09|1996 21 B L KARANG GAYAM WETAN 2/2-A 2 2 0
01|01|1985 33 S P KARANG GAYAM WETAN 2/3 2 2 0
10|03|1999 19 B L KARANG GAYAM WETAN 2/3 2 2 0
15|06|1999 19 B L KARANG GAYAM WETAN 2/3 2 2 0
18|02|1970 48 B L KARANG GAYAM WETAN 2/4 2 2 0
15|05|1987 31 S L KARANG GAYAM WETAN 2/4 2 2 0
02|02|1993 25 S P KARANG GAYAM WETAN 2/4 2 2 0
17|01|1992 26 B L KARANG GAYAM WETAN 2/4 2 2 0
08|10|1976 41 S P KARANG GAYAM WETAN 2/5 2 2 0
31|12|1958 59 S P KARANG GAYAM WETAN 2/5-A 2 2 0
10|06|1985 33 S L KARANG GAYAM WETAN 2/5-A 2 2 0
02|01|1967 51 P L KARANG GAYAM WETAN 2/6 2 2 0
05|10|1995 22 B L KARANG GAYAM WETAN 2/6 2 2 0
23|12|1987 30 B P KARANG GAYAM WETAN 2/6 A 2 2 0
06|12|1987 30 B P KARANG GAYAM WETAN 2/7 2 2 0
12|10|1998 19 B P KARANG GAYAM WETAN 2/7 2 2 0
08|05|1982 36 B L KARANG GAYAM WETAN 2/7-A 2 2 0
12|03|1991 27 B P KARANG GAYAM WETAN 2/7-A 2 2 0
23|09|1987 30 B L KARANG GAYAM WETAN 2/7-B 2 2 0
11|09|1987 30 B P KARANG GAYAM WETAN 2/7-B 2 2 0
28|10|1986 31 S P KARANG GAYAM WETAN 2/7-E 2 2 0
15|12|1987 30 S P KARANG GAYAM WETAN 2/7-E 2 2 0
29|06|1938 79 P P KARANG GAYAM WETAN 3/ 2 2 0
15|07|1983 34 S P KARANG GAYAM WETAN 3/1 2 2 0
31|12|1969 48 S L KARANG GAYAM WETAN 3/21 2 2 0
29|12|1980 37 S P KARANG GAYAM WETAN 3/21 2 2 0

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530 3578080101081038 3578085209490002 LILIK SULIKAH SURABAYA
531 3578080101081203 3578084905600003 SOESILOWATI SURABAYA
532 3578080501083492 3578082703710003 SUYADI SURABAYA
533 3578080501083492 3578085106750002 WAHYU KURNIASIH SURABAYA
534 3578080501083492 3578082410940001 EKA PRASETYO TULUNGAGUNG
535 3578080201081560 3578085104690001 KISWATI LAMONGAN
536 3578080101084580 3578080805590005 MUKSSININ SAMPANG
537 3578082910120021 3578024806840001 UMI SAKDIAH SURABAYA
538 3578082910120021 3578080310820002 WENDRA DWI CAHYONO, ST SURABAYA
539 3578080501083266 3578080412920002 MOCH.NYUDI SURABAYA
540 3578080501081596 3578083005940001 OKKY RAMANANDA SURABAYA
541 3578080501081596 3578081311970004 RICKY ANDRIANTO SURABAYA
542 3578080501081596 3578081311970005 RICKO ANDRIANTO SURABAYA
543 3578080401082355 3578080303690005 ELJAS SANTOSO SURABAYA
544 3578080401081754 3578084710990003 SHERINA DEWI OCTAVIA SARI SURABAYA
545 3578080401081754 3578081204010002 RAFLY TEGUH AKHBAR PRIANGKOS OSURABAYA
546 3578080501081504 3578086503550001 ARWATI SURABAYA
547 3578080301082284 3578080505630004 Drs. IRIANTO ESTU MANUNGGAL BOJONEGORO
548 3578080305160005 3578050111860003 ADAM SATRIYA POETRA SURABAYA
549 3578080401086874 3578082410990002 FARHAN AKBARI ARDIANSYAH SURABAYA
550 3578080201088861 3578085105000001 WIDAAD WAAVFIYAH B.I SURABAYA
551 3578080902160010 3578085411900003 FANNY NOVIANTRI SURABAYA
552 3578081212140010 3578080508770004 IMAM SAFI`I SURABAYA
553 3578081209140007 3524194603860002 NINIK AGUSTIN LAMONGAN
554 3578080401082251 3578080411420001 ABD SOEKOER SURABAYA
555 3578081209140007 3578082307750005 ABD HARIS SURABAYA
556 3578080401084392 3578086702000002 MAGHFIRO SURABAYA
557 3578080301080089 3578080306940005 FAIZ RIFQI WINANDI SURABAYA
558 3578080401083988 3578080105610002 SUROYO MADIUN
559 3578081006130007 3578162709880003 MUHAMMAD YUSUF SURABAYA
560 3578080201088914 3578084506520002 Dra. SRI MURNI SIDOARJO
561 3578080501082713 3578081401700002 ACHMAD CHANAFI SURABAYA
562 3578080401084509 3578080603000005 MOCH. YUSUF MAULANA PRATAMA SURABAYA
563 3578080301086639 3578080505540003 SYAFRUDIN SURABAYA
564 3578080301086639 3578082207750004 RENDY ARDIANSYAH SURABAYA
565 3578080501081120 3578087006470056 LAMSARI MADURA

Ketera Keterangan Disabilitas : Keterangan Status

Pemilih 1 : Tuna Daksa B : Belum Kawin


Pemilih 2: Tuna Netra S : Kawin
3: Tuna Rungu/Wicara P : Pernah Kawin
Jumlah 4: Tuna Grahita
Jumlah 5: Disabilitas lainnya
Jumlah
Jumlah
Jumlah
3

12|09|1949 68 P P KARANG GAYAM WETAN 3/25 2 2 0


09|05|1960 58 P P KARANG GAYAM WETAN 3/4 2 2 0
27|03|1971 47 S L KARANG GAYAM WETAN 3/4 2 2 0
11|06|1975 43 S P KARANG GAYAM WETAN 3/4 2 2 0
24|10|1994 23 B L KARANG GAYAM WETAN 3/4 2 2 0
11|04|1969 49 S P KARANG GAYAM WETAN 3/7 2 2 0
08|05|1959 59 S L KARANG GAYAM WETAN GG IC/10 2 2 0
08|06|1984 34 S P KARANG GAYAM WETAN II/19 2 2 0
03|10|1982 35 S L KARANG GAYAM WETAN II/19 2 2 0
04|12|1992 25 B L KARANG GAYAM WETAN II/5 D 2 2 0
30|05|1994 24 B L KARANGGAYAM WETAN 1/10-B 2 2 0
13|11|1997 20 B L KARANGGAYAM WETAN 1/10-B 2 2 0
13|11|1997 20 B L KARANGGAYAM WETAN 1/10-B 2 2 0
03|03|1969 49 S L KARANGGAYAM WETAN 1/20 2 2 0
07|10|1999 18 B P KARANGGAYAM WETAN 1/21 2 2 0
12|04|2001 17 B L KARANGGAYAM WETAN 1/21 2 2 0
25|03|1955 63 S P KARANGGAYAM WETAN 1/3 2 2 0
05|05|1963 55 S L KARANGGAYAM WETAN 1/3 2 2 0
01|11|1986 31 B L KARANGGAYAM WETAN 1/7 2 2 0
24|10|1999 18 B L KARANGGAYAM WETAN 1/7 2 2 0
11|05|2000 18 B P KARANGGAYAM WETAN 1-A/2 2 2 0
14|11|1990 27 S P KARANGGAYAM WETAN 1-B/4 2 2 0
05|08|1977 40 S L KARANGGAYAM WETAN 2/10D 2 2 0
06|03|1986 32 P P KARANGGAYAM WETAN 2/14 2 2 0
04|11|1942 75 S L KARANGGAYAM WETAN 2/14 2 2 0
23|07|1975 42 S L KARANGGAYAM WETAN 2/14 2 2 0
27|02|2000 18 B P KARANGGAYAM WETAN 2/4-A 2 2 0
03|06|1994 24 B L KARANGGAYAM WETAN 2/8 2 2 0
01|05|1961 57 S L KARANGGAYAM WETAN 2/9 2 2 0
27|09|1988 29 B L KARANGGAYAM WETAN 2/9 2 2 0
05|06|1952 66 P P KARANGGAYAM WETAN 3/9 2 2 0
14|01|1970 48 B L KARANGGAYAM WETAN G-1/29-G 2 2 0
06|03|2000 18 B L KARANGGAYAM WETAN GG.IA/12 2 2 0
05|05|1954 64 P L KARANGGAYAM WETAN IB/2 2 2 0
22|07|1975 42 S L KARANGGAYAM WETAN IB/2 2 2 0
30|06|1947 70 P P KARANGGAYAM WETAN II/ 0 A 2 2 4

*) Keterang Ditetapkan di ………………., Tanggal, …………, …

U: Ubah da5: Tidak Di10: Bukan


1: Meningg6: TNI 11: belum
2:Ganda 7: Polri 12: belum
3:Dibawah8: Hilang in
4: Pindah D9: Hak Pilih

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i ………………., Tanggal, …………, ………


DAFTAR PEMILIH
PEMILIHAN GUBERNUR DAN WAKIL GUBERN
TAHUN 2018

Provinsi : JAWA TIMUR


Kabupaten/Kota : KOTA SURABAYA

No No KK NIK Nama Tempat Lahir

1 2 3 4 5
1 3578261101100022 3578265201500001 LANNY CANDRA MANOAH SURABAYA
2 3578261101100022 3578265501950001 HILLARY ELISABETH SURABAYA
3 3578080101086860 3578087010380001 TAN GIOK TIEN NIO SURABAYA
4 3578080505140011 3578080312920011 DIEFA FADHLIH SURABAYA
5 3578080505140011 3578084701970008 RIFMA AZMI SURABAYA
6 3578080101081142 3578080906450001 JOENUS SOEJONO PARE
7 3578080101081142 3578087008480001 VINIYANAWATI SURABAYA
8 3578080501082591 3578081907660004 KUSNAN MADIUN
9 3578080501082591 3578084307670005 NURUL QOMARIYAH ROIS SURABAYA
10 3578081508140015 3578083006600028 PRAHMONO MALANG
11 3578081508140015 3578085710670002 RENNY SRI UTAMI / YAYUK SURABAYA
12 3578081508140015 3578082502000003 EDDY NUR CAHYONO SURABAYA
13 3578081508140015 3578085405010004 NUR JANAH INDAH LESTARI SURABAYA
14 3578080201086091 3578085011300001 INDRASARI KOMALA KOTAWARINGIN
15 3578080201086091 3578081109540002 RONNY CAHYADI KOTAWARINGIN
16 3578080201086091 3578084612900001 ELISA CAHYADI SURABAYA
17 3578080201086091 3578085011920001 NOVIANI CAHYADI SURABAYA
18 3578080711120014 3578084309650005 GE ERLINA KOTAWARINGIN
19 3578080201086091 3578085103990003 FLORENCIA IRENA CAHYADI SURABAYA
20 3578080301084644 3578081705680006 THE GI SUN DONGGALA
21 3578080301084644 3578084310710001 LILY TJANDRAWATI HARTANTO SURABAYA
22 3578080301084644 3578080903960004 KEVIN ANDRIEN THEONARDO SURABAYA
23 3578080301084644 3578080701980001 JASON ANDREAS THEONARDO SURABAYA
24 3578080101088355 3578080609670004 TJOMO TJENGUNDORO,TJENG SURABAYA
25 3578080101088355 3578085810990005 JESSICA, TJENG SURABAYA
26 3578080301084570 3578081607380001 CARMELITO JUNDIS SAGRADO FILIPINA
27 3578081208150008 3578086209710008 MARICAR SAGRADO BANJARMASIN
28 3578080101089656 3578087003760002 SUSILO VINIE SETIAWATY BALIKPAPAN
29 3578080101089656 3578082911700005 HAPPY TANUDIHARDJO,SE SURABAYA
30 3578080101089656 3578084212730001 SUSILO VIVI AHKNESIA,S.E BALIKPAPAN
31 3578080201088976 3578081311630004 RICHARNO TANUDIHARDJO, Drs SURABAYA
32 3578082105120075 3578082309660002 HADISONO TANUDIHARDJO, SH SURABAYA
33 3578080806150003 3578087004810003 MEILANI PURNAMA SARI SURABAYA
34 3578080301081954 3578086306280002 MARINA CIREBON
35 3578080301081954 3578082505520002 GO SEK BIAUW SURABAYA
36 3578080301081954 3578084111550002 ANG PWEE JEN AMPENAN
37 3578080301081954 3520081609980003 DANI IRAWAN MAGETAN
38 3578081612140010 3578086008410001 KIWANI YENNYTIO/TIO,SIOK HONG SURABAYA
39 3578081612140010 3578086407640002 LEPOWATI TJENGUNDORO,TJENG SURABAYA
4

A-KWK
DAFTAR PEMILIH
PEMILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TIMUR
TAHUN 2018

Kecamatan : GUBENG
Desa/Kelurahan : MOJO
TPS : 004
Tanggal Lahir Usia Status Jenis Alamat Disabilitas
Perkawina Kelamin Jalan/Dukuh Rt Rw
6 7 8 9 10 11 12 13
12|01|1950 68 P P DHARMAHUSADA UTARA 10/8 3 2 0
15|01|1995 23 B P DHARMAHUSADA UTARA 10/8 3 2 0
30|10|1938 79 P P KALIWARON 0 3 2 0
03|12|1992 25 B L KALIWARON 100 3 2 0
07|01|1997 21 B P KALIWARON 100 3 2 0
09|06|1945 73 S L KALIWARON 110 3 2 0
30|08|1948 69 S P KALIWARON 110 3 2 0
19|07|1966 51 S L KALIWARON 112 3 2 0
03|07|1967 50 S P KALIWARON 112 3 2 0
30|06|1960 57 S L KALIWARON 114 3 2 0
17|10|1967 50 S P KALIWARON 114 3 2 0
25|02|2000 18 B L KALIWARON 114 3 2 0
14|05|2001 17 B P KALIWARON 114 3 2 0
T10|11|1930 87 P P KALIWARON 118 3 2 0
T11|09|1954 63 P L KALIWARON 118 3 2 0
06|12|1990 27 B P KALIWARON 118 3 2 0
10|11|1992 25 B P KALIWARON 118 3 2 0
T03|09|1965 52 S P KALIWARON 118 3 2 0
11|03|1999 19 B P KALIWARON 118 3 2 0
17|05|1968 50 S L KALIWARON 122-A 3 2 0
03|10|1971 46 S P KALIWARON 122-A 3 2 0
09|03|1996 22 B L KALIWARON 122-A 3 2 0
07|01|1998 20 B L KALIWARON 122-A 3 2 0
06|09|1967 50 S L KALIWARON 126 3 2 0
18|10|1999 18 B P KALIWARON 126 3 2 0
16|07|1938 79 S L KALIWARON 128 3 2 0
22|09|1971 46 B P KALIWARON 128 3 2 0
30|03|1976 42 B P KALIWARON 128-A 3 2 0
29|11|1970 47 S L KALIWARON 128-A 3 2 0
02|12|1973 44 S P KALIWARON 128-A 3 2 0
13|11|1963 54 S L KALIWARON 128-A 3 2 0
23|09|1966 51 B L KALIWARON 128-A 3 2 0
30|04|1981 37 S P KALIWARON 130 3 2 0
23|06|1928 90 P P KALIWARON 130 3 2 0
25|05|1952 66 S L KALIWARON 130 3 2 0
01|11|1955 62 S P KALIWARON 130 3 2 0
16|09|1998 19 S L KALIWARON 130 3 2 0
20|08|1941 76 S P KALIWARON 136 3 2 0
24|07|1964 53 S P KALIWARON 136 3 2 0

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Keterangan *)

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40 3578081612140010 3578084212720006 ELLY TJENGUNDORO,TJENG SURABAYA 02|12|1972
41 3578081612140010 3578084611920003 ELSA ONGKOWIJAYA SURABAYA 06|11|1992
42 3578080602150002 3578084810820005 LOUIS ANDREANY JAKARTA 08|10|1982
43 3578080101087810 3578084511720008 ISTI`ANAH MS MATARAM 05|11|1972
44 3578080101087810 3578081305950001 MOCHAMAD FAIZ NASHIHUDDIN ALF AKARAWANG 13|05|1995
45 3578080101087810 3578086705990002 CHOFIFAH NURUL IQLIMA SURABAYA 27|05|1999
46 3578080401089654 3578081705610003 KUS BASUKI UNTUNG MADIUN 17|05|1961
47 3578080401089654 3578085208730007 SIE TJING SUE SURABAYA 12|08|1973
48 3578080401089654 3578080310920004 YOHAN WAHYU BASUKI SURABAYA 03|10|1992
49 3578081201170001 3578085705510004 MARIAWATI WIDAYAT MADIUN 17|05|1951
50 3578080401089654 3578086111000003 GABBY PERMATASARI SURABAYA 21|11|2000
51 3578080301084570 3578086809480001 LEE HARLIM BANJARMASIN 28|09|1948
52 3578080401081259 3578086906500006 ESTHER SRI RAHAYU SURABAYA 29|06|1950
53 3578082210120031 3578085209780004 QUITA KARTIKA SARI BUNARDI, SE.M SURABAYA 12|09|1978
54 3578082210120031 3578290805780001 DONNY CHRISTIAAN SAMARINDA 08|05|1978
55 3578082902120013 3578085103760002 DEWI SHINTA BUNARDI, STP SURABAYA 11|03|1976
56 3578082003170007 3578105712620003 FRANCISCA EVELYNE SUNARSIH SURABAYA 17|12|1962
57 3578082003170008 6472045710870002 AMELIA ONGKO WIJOYO SAMARINDA 17|10|1987
58 3578082003170008 3578100308880001 FREDERICK ANDY UTAMA GUNAWAN SURABAYA 03|08|1988
59 3578080101083978 3578086210690003 CECILLIA WIDJAJANTI TJ SURABAYA 22|10|1969
60 3578080101083978 3578086110910003 MONICA BRILIANDRA WIDIYAN P SURABAYA 21|10|1991
61 3578080301086328 3578080610380001 SINGORODJO.T/TJENG KHENG SING SURABAYA 06|10|1938
62 3578082303100090 3578087006380059 SOEMIYANAH TULUNGAGUNG 30|06|1938
63 3578080101086179 3578080905660001 KASIAJI LAMONGAN 09|05|1966
64 3578080201082830 3578082905830003 FENDY KEMBARYANA ABDUL GANI,,S DENPASAR 29|05|1983
65 3578080207130002 3504030607800004 ANDRIE BUDIYANTO SURABAYA 06|07|1980
66 3578080207130002 3578086311900003 EKA DAMAYANTI JOMBANG 23|11|1990
67 3578080401086696 3578083006590029 SUGIYANTO SOLO 30|06|1959
68 3578080401086696 3578085110670003 MAINUN JOMBANG 11|10|1967
69 3578080401086696 3578080712950007 ARDHI NUGROHO SURABAYA 07|12|1995
70 3578082207130003 3578085506830003 RIRIN SETYORINI LAMONGAN 15|06|1983
71 3578082207130003 3578152110880003 HERI NUR NOVYANTO SURABAYA 21|11|1988
72 3578082606140006 3578084204580003 KASTIK LAMONGAN 02|04|1958
73 3578082606140006 3578085405980003 FIRA PERMATA SARI SURABAYA 14|05|1998
74 3578080301084919 3578086810500002 SOEWARTI HARDJO SOEMARTO MADIUN 28|10|1950
75 3578080301084919 3578084609790001 DIAH HARDIANI SURABAYA 06|09|1979
76 3578080301086062 3578084709640003 ENDANG TRISNAWATI LAMONGAN 07|09|1964
77 3578080301086062 3578085009930003 IKA SEPTIA KUSUMAWARDANI SURABAYA 10|09|1993
78 3578080701150007 3578082403810004 YOHAN HARDIONO SURABAYA 24|03|1981
79 3578080809090009 3578082810760004 TOMY HARDIANTO JOMBANG 28|10|1976
80 3578080809090009 3578084307790005 TRI YULIANDAYANI BLITAR 03|07|1979
81 3578081601120009 3578082208830001 SANDY HARDI WARSITO SURABAYA 22|08|1983
82 3578081601120009 3578076905860004 LIES INDAWATI SURABAYA 29|05|1986
83 3578080301086062 3578081203590003 SUWANTO, Drs MADIUN 12|03|1959
84 3578080301086062 3578080610000004 BAYU OKTAVIAN SAPUTRA SURABAYA 06|10|2000
85 3578081701130014 3507042201860001 WIWIT SETIAWAN MALANG 22|01|1986
86 3578081701130014 3578085505870003 AYU NILA SARI SURABAYA 15|05|1987
87 3578080401082000 3578087011560005 MOEDRIKAH AMIRAH SURABAYA 30|11|1956
88 3578080501081749 3578082408590002 ASMADI SURABAYA 24|08|1959
4

02|12|1972 45 B P KALIWARON 136 3 2 0


06|11|1992 25 B P KALIWARON 136 3 2 0
08|10|1982 35 P P KALIWARON 160 3 2 0
05|11|1972 45 S P KALIWARON 164 3 2 0
13|05|1995 23 B L KALIWARON 164 3 2 0
27|05|1999 19 B P KALIWARON 164 3 2 0
17|05|1961 57 S L KALIWARON 170 3 2 0
12|08|1973 44 S P KALIWARON 170 3 2 0
03|10|1992 25 B L KALIWARON 170 3 2 0
17|05|1951 67 S P KALIWARON 170 3 2 0
21|11|2000 17 B P KALIWARON 170 3 2 0
28|09|1948 69 S P KALIWARON 28 3 2 0
29|06|1950 67 P P KALIWARON 296 3 2 0
12|09|1978 39 S P KALIWARON 296 3 2 0
08|05|1978 40 S L KALIWARON 296 3 2 0
11|03|1976 42 B P KALIWARON 296 3 2 0
17|12|1962 55 P P KALIWARON 296 3 2 0
17|10|1987 30 B P KALIWARON 296 3 2 0
03|08|1988 29 B L KALIWARON 296 3 2 0
22|10|1969 48 S P KALIWARON 298 3 2 0
21|10|1991 26 B P KALIWARON 298 3 2 0
06|10|1938 79 S L KALIWARON 36 3 2 0
30|06|1938 79 P P KALIWARON 4 3 2 0
09|05|1966 52 S L KALIWARON 4/ 2-C 3 2 0
29|05|1983 35 B L KALIWARON 4/ 5 3 2 0
06|07|1980 37 S L KALIWARON 4/11 3 2 0
23|11|1990 27 S P KALIWARON 4/11 3 2 0
30|06|1959 58 S L KALIWARON 4/11 3 2 0
11|10|1967 50 S P KALIWARON 4/11 3 2 0
07|12|1995 22 B L KALIWARON 4/11 3 2 0
15|06|1983 35 S P KALIWARON 4/12-C 3 2 0
21|11|1988 29 S L KALIWARON 4/12-C 3 2 0
02|04|1958 60 P P KALIWARON 4/12-C 3 2 0
14|05|1998 20 B P KALIWARON 4/12-C 3 2 0
28|10|1950 67 P P KALIWARON 4/15 3 2 0
06|09|1979 38 B P KALIWARON 4/15 3 2 0
07|09|1964 53 S P KALIWARON 4/15 3 2 0
10|09|1993 24 B P KALIWARON 4/15 3 2 0
24|03|1981 37 S L KALIWARON 4/15 3 2 0
28|10|1976 41 S L KALIWARON 4/15 3 2 0
03|07|1979 38 S P KALIWARON 4/15 3 2 0
22|08|1983 34 S L KALIWARON 4/15 3 2 0
29|05|1986 32 S P KALIWARON 4/15 3 2 0
12|03|1959 59 S L KALIWARON 4/15 3 2 0
06|10|2000 17 B L KALIWARON 4/15 3 2 0
22|01|1986 32 S L KALIWARON 4/17 3 2 0
15|05|1987 31 S P KALIWARON 4/17 3 2 0
30|11|1956 61 S P KALIWARON 4/2 3 2 0
24|08|1959 58 B L KALIWARON 4/2 3 2 0

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PINDAHAN DARI TPS 000
89 3578080501081750 3578084506560002 MUSRIFAH TULUNGAGUNG 05|06|1956
90 3578080401082000 3578081607580002 IFNU SUSILO SURABAYA 16|07|1958
91 3578080403160009 3578081404940007 IRFAN PUTRA PRATAMA SURABAYA 14|04|1994
92 3578080501081750 3578081209680005 ACHMAD FARCHAN SURABAYA 12|09|1968
93 3578080501081750 3578084412740002 RITA DEWI SETYAWATI TULUNGAGUNG 04|12|1974
94 3578080403160009 3578266812930001 DWI KARTIKA SARI SURABAYA 28|12|1993
95 3578080501081750 3578082912980005 FANDI ACHMAD SURABAYA 29|12|1998
96 3578080501081793 3578084101340003 SOEKENI SURABAYA 01|01|1934
97 3578080501081793 3578082304680003 SUKARMAN SURABAYA 23|04|1968
98 3578080501081793 3578085301690001 SUDARMINI SURABAYA 13|01|1969
99 3578082712130004 3506212909880001 ARIS NURDIANTO KEDIRI 29|09|1988
100 3578082712130004 3578086501900003 EKA PUJI DAMAYANTI SURABAYA 25|01|1990
101 3578080101083772 3578080208630004 SULTONI SIDOARJO 02|08|1963
102 3578080101083772 3578084905710010 SUTINI KEDIRI 09|05|1971
103 3578080101083772 3578085905930001 INTAN E.P KEDIRI 19|05|1993
104 3578080201083921 3578081511550002 SENTOT ANDREAS BANYUWANGI 15|11|1955
105 3578080201083921 3578087006600058 TUTIK SRIWININGSIH BANYUWANGI 30|06|1960
106 3578080201083921 3578082909970005 CHRISTIAN PUTRA PRAKOSO PROBOLINGGO 29|09|1997
107 3578080205120024 3578086906600010 MARIANI JOMBANG 29|06|1960
108 3578080205120024 3578080510820006 DJOKO MARYANTO SURABAYA 05|10|1982
109 3578080205120024 3578081901860001 FATCHUR ROZI ZAINUDIN SURABAYA 19|01|1986
110 3578080101083772 3578082310990006 WAHYU ISNAINI AUNUR RIZKI SURABAYA 23|10|1999
111 3578080101084496 3578081006650003 BASUN SURABAYA 10|06|1965
112 3578080101084496 3578084609750004 MUSTIAH BANGKALAN 06|09|1975
113 3578080310140001 3578080408900001 ABD. MUCHID SALIM SURABAYA 04|08|1990
114 3578080310140001 3526134307950001 HOSNIYAH BANGKALAN 03|07|1995
115 3578080401082752 3578082306230001 MASOERI BANGKALAN 23|06|1923
116 3578080401089905 3578080109630003 R.AGOES MOELJONO SURABAYA 01|09|1963
117 3578080401089905 3578085708660005 KRISNANINGATI SURABAYA 17|08|1966
118 3578080401089905 3578086008900003 GLORYTTA NANDA MOELJONO SURABAYA 20|08|1990
119 3578080401089905 3578081110950002 GLORYAN VENANDA MOELJONO SURABAYA 11|10|1995
120 3578080703170003 3578262903880002 RM BAYU INDRA CHRISTIANTO SURABAYA 29|03|1988
121 3578080301082549 3578084211590002 ROEBIANI SURABAYA 02|11|1959
122 3578080301082549 3578082106720003 WAGIMAN JEMBER 21|06|1972
123 3578080301082549 3578081310930001 SAIFUL BAHRI SURABAYA 13|10|1993
124 3578080301082550 3578087006360092 ROEBIAH SAMPANG 30|06|1936
125 3578080101080392 3578082906530009 WARI SURABAYA 29|06|1953
126 3578080101080392 3578084604640004 DEWI NGANJUK 06|04|1964
127 3578080101080392 3578080809880001 EKO HARRY CAHYONO SURABAYA 08|09|1988
128 3578080101083798 3578081206670004 SOEPRAJITNO SURABAYA 12|06|1967
129 3578080101083798 3578086903740005 ENY MARTINI SURABAYA 29|03|1974
130 3578080101083798 3578084312970001 PEGGY GRACIA DESTALIA SURABAYA 03|12|1997
131 3578080201084246 3578086404410002 PARTINI KEDIRI 24|04|1941
132 3578080101081168 3578080404710004 EDY KRISNANTO SURABAYA 04|04|1971
133 3578080101081168 3578086906730012 ITA YUNIARTI SURABAYA 29|06|1973
134 3578080101081169 3578082906400025 KASNO LAMONGAN 29|06|1940
135 3578080101081169 3578086407690006 CHRISTINA SURABAYA 24|07|1969
136 3578080101081169 3578082312850002 BENYAMIN NATALION SURABAYA 23|12|1985
137 3578080501080985 3578084607550001 MUNTINAH SURABAYA 06|07|1955
4

05|06|1956 62 P P KALIWARON 4/2 3 2 0


16|07|1958 59 P L KALIWARON 4/21 3 2 0
14|04|1994 24 B L KALIWARON 4/21 3 2 0
12|09|1968 49 S L KALIWARON 4/21 3 2 0
04|12|1974 43 S P KALIWARON 4/21 3 2 0
28|12|1993 24 B P KALIWARON 4/21 3 2 0
29|12|1998 19 B L KALIWARON 4/21 3 2 0
01|01|1934 84 S P KALIWARON 4/24 3 2 0
23|04|1968 50 S L KALIWARON 4/24 3 2 0
13|01|1969 49 S P KALIWARON 4/24 3 2 0
29|09|1988 29 S L KALIWARON 4/24 3 2 0
25|01|1990 28 S P KALIWARON 4/24 3 2 0
02|08|1963 54 S L KALIWARON 4/25 3 2 0
09|05|1971 47 S P KALIWARON 4/25 3 2 0
19|05|1993 25 B P KALIWARON 4/25 3 2 0
15|11|1955 62 S L KALIWARON 4/25 3 2 0
30|06|1960 57 S P KALIWARON 4/25 3 2 0
29|09|1997 20 B L KALIWARON 4/25 3 2 0
29|06|1960 57 P P KALIWARON 4/25 3 2 0
05|10|1982 35 B L KALIWARON 4/25 3 2 0
19|01|1986 32 S L KALIWARON 4/25 3 2 0
23|10|1999 18 B L KALIWARON 4/25 3 2 0
10|06|1965 53 S L KALIWARON 4/27 3 2 0
06|09|1975 42 S P KALIWARON 4/27 3 2 0
04|08|1990 27 S L KALIWARON 4/27 3 2 0
03|07|1995 22 S P KALIWARON 4/27 3 2 0
23|06|1923 95 S L KALIWARON 4/27 3 2 0
01|09|1963 54 S L KALIWARON 4/29 3 2 0
17|08|1966 51 S P KALIWARON 4/29 3 2 0
20|08|1990 27 B P KALIWARON 4/29 3 2 0
11|10|1995 22 B L KALIWARON 4/29 3 2 0
29|03|1988 30 B L KALIWARON 4/29 3 2 0
02|11|1959 58 S P KALIWARON 4/3 3 2 0
21|06|1972 46 S L KALIWARON 4/3 3 2 0
13|10|1993 24 B L KALIWARON 4/3 3 2 0
30|06|1936 81 P P KALIWARON 4/3 3 2 0
29|06|1953 64 S L KALIWARON 4/33 3 2 0
06|04|1964 54 S P KALIWARON 4/33 3 2 0
08|09|1988 29 B L KALIWARON 4/33 3 2 0
12|06|1967 51 S L KALIWARON 4/35 3 2 0
29|03|1974 44 S P KALIWARON 4/35 3 2 0
03|12|1997 20 B P KALIWARON 4/35 3 2 0
24|04|1941 77 P P KALIWARON 4/36 3 2 0
04|04|1971 47 S L KALIWARON 4/37 3 2 0
29|06|1973 44 S P KALIWARON 4/37 3 2 0
29|06|1940 77 P L KALIWARON 4/37 3 2 0
24|07|1969 48 B P KALIWARON 4/37 3 2 0
23|12|1985 32 S L KALIWARON 4/37 3 2 0
06|07|1955 62 P P KALIWARON 4/37 3 2 0

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138 3578080501080985 3578080812850001 MUJIYANTO SURABAYA 08|12|1985
139 3578080501080986 3578080611590004 TUMIRAN PONOROGO 06|11|1959
140 3578080501080986 3578085609610002 MUNTIATI SURABAYA 16|09|1961
141 3578080501080986 3578082409840002 EKO BOBY SETIAWAN SURABAYA 24|09|1984
142 3578082910140005 3578085202820005 KRISYANTI SURABAYA 12|02|1982
143 3578080101081168 3578080803990001 JOSHUA JEDITH KRISNANTO SURABAYA 08|03|1999
144 3578082910140005 3522132209910001 RUDY SEPTIAN PUTRA BOJONEGORO 22|09|1991
145 3578080401089865 3578080602700002 SURATNO NGANJUK 06|02|1970
146 3578080401089865 3578085507720001 MARIYAM SURABAYA 15|07|1972
147 3578080401089908 3578085801360001 TAMISIH SURABAYA 18|01|1936
148 3578080401089909 3578086802520002 TASPUAH SURABAYA 28|02|1952
149 3578080501082275 3578085406700001 JERNI SURABAYA 14|06|1970
150 3578080501082275 3578082009970003 TIAN TRI CAHYONO SURABAYA 20|09|1997
151 3578080501082275 3578080505650005 MOCH. HARYONO LAMONGAN 05|05|1965
152 3578080303140004 3578100807740007 SAMSUL ARIFIN SURABAYA 08|07|1974
153 3578080303140004 3578105506760007 ROHIMAH BANGKALAN 15|06|1976
154 3578080303140004 3578101009000003 MOCHAMAD RESA SURABAYA 10|09|2000
155 3578080401083440 3578083009570002 SUHARGITO SURABAYA 30|09|1957
156 3578080401083440 3578085404650001 MU`AWANA LAMONGAN 14|04|1965
157 3578080401083440 3578084101980001 DEVI RAQMAWATI SURABAYA 01|01|1998
158 3578080101083340 3578080206690005 ARIFIN PANGGABEAN SURABAYA 02|06|1969
159 3578080401083673 3578084401400001 MOESRI NGANJUK 04|01|1940
160 3578080501081048 3578081108590001 MOELYONO SURABAYA 11|08|1959
161 3578082802120009 3578080207610002 ISMAIL SURABAYA 02|07|1961
162 3578082802120009 3578084401690001 SOENARSIH SURABAYA 04|01|1969
163 3578082802120009 3578086807910001 YENI INDRA WATI SURABAYA 28|07|1991
164 3578080101083340 3578044310630003 SUMINI TATIK SURABAYA 03|10|1963
165 3578080101083340 3578080808650008 SUMARDI KEDIRI 08|08|1965
166 3578080101083340 3578046201900003 YENI ROKHMAWATI SURABAYA 22|01|1990
167 3578080101083340 3578082101940003 ADI MULYA SURABAYA 21|01|1994
168 3578080501083502 3578083006590040 SOEWARNO SURABAYA 30|06|1959
169 3578080201084251 3578081507740007 ARIE KURNIAWAN YULIANTO SURABAYA 15|07|1974
170 3578080201084251 3578085307780001 ENDAH SULISTIO RINI SURABAYA 13|07|1978
171 3578080301084654 3578085202680006 SRI NURMIATI BLITAR 12|02|1968
172 3578080301084654 3578080807700004 SUPRIJADI SURABAYA 08|07|1970
173 3578080301084654 3578080505970004 CHOSSY ALFA PRIMASTA SURABAYA 05|05|1997
174 3578080301084655 3578081108370001 R ISMAIL SURABAYA 11|08|1937
175 3578080301084655 3578087006430083 LILIK SOEPINI TULUNGAGUNG 30|06|1943
176 3578080301084655 3578082306660005 BAMBANG MUDJIONO SURABAYA 23|06|1966
177 3578082312100003 3578085508670004 EMILIA SUSANTI SAMARINDA 15|08|1967
178 3578082312100003 3578081208910003 M. ELDI ROSYADI SURABAYA 12|08|1991
179 3578082312100003 3578080801940002 M. RIZKI FAHMI SURABAYA 08|01|1994
180 3578082312100003 3578083108960002 M. HELMI RAGIEL SIDOARJO 31|08|1996
181 3578080401089156 3578082503600001 SAWAL KERTOSONO 25|03|1960
182 3578080401089156 3578085712690001 WARINI MAGETAN 17|12|1969
183 3578080401089156 3578082412930004 RUDY YOGA SETIAWAN SURABAYA 24|12|1993
184 3578081108160014 3578080108920001 RESTA EKA PUTRA MAGETAN 01|08|1992
185 3578081108160014 3508104802910002 FERI YANTINI LUMAJANG 08|02|1991
186 3578081408150014 3578086802810001 GUSTI ILMI JAYATI SURABAYA 28|02|1981
4

08|12|1985 32 B L KALIWARON 4/37 3 2 0


06|11|1959 58 S L KALIWARON 4/37 3 2 0
16|09|1961 56 S P KALIWARON 4/37 3 2 0
24|09|1984 33 B L KALIWARON 4/37 3 2 0
12|02|1982 36 B P KALIWARON 4/37 3 2 0
08|03|1999 19 B L KALIWARON 4/37 3 2 0
22|09|1991 26 B L KALIWARON 4/37 3 2 0
06|02|1970 48 S L KALIWARON 4/39 3 2 0
15|07|1972 45 S P KALIWARON 4/39 3 2 0
18|01|1936 82 P P KALIWARON 4/39 3 2 0
28|02|1952 66 P P KALIWARON 4/39 3 2 0
14|06|1970 48 S P KALIWARON 4/39 3 2 0
20|09|1997 20 B L KALIWARON 4/39 3 2 0
05|05|1965 53 S L KALIWARON 4/39 3 2 0
08|07|1974 43 S L KALIWARON 4/3-C 3 2 0
15|06|1976 42 S P KALIWARON 4/3-C 3 2 0
10|09|2000 17 B L KALIWARON 4/3-C 3 2 0
30|09|1957 60 S L KALIWARON 4/3-D 3 2 0
14|04|1965 53 S P KALIWARON 4/3-D 3 2 0
01|01|1998 20 B P KALIWARON 4/3-D 3 2 0
02|06|1969 49 B L KALIWARON 4/4 3 2 0
04|01|1940 78 S P KALIWARON 4/4 3 2 0
11|08|1959 58 B L KALIWARON 4/4 3 2 0
02|07|1961 56 B L KALIWARON 4/4 3 2 0
04|01|1969 49 P P KALIWARON 4/4 3 2 0
28|07|1991 26 B P KALIWARON 4/4 3 2 0
03|10|1963 54 S P KALIWARON 4/41 3 2 0
08|08|1965 52 S L KALIWARON 4/41 3 2 0
22|01|1990 28 B P KALIWARON 4/41 3 2 4
21|01|1994 24 B L KALIWARON 4/41 3 2 0
30|06|1959 58 S L KALIWARON 4/41 3 2 0
15|07|1974 43 S L KALIWARON 4/43 3 2 0
13|07|1978 39 S P KALIWARON 4/43 3 2 0
12|02|1968 50 S P KALIWARON 4/43 3 2 0
08|07|1970 47 S L KALIWARON 4/43 3 2 0
05|05|1997 21 B L KALIWARON 4/43 3 2 0
11|08|1937 80 S L KALIWARON 4/43 3 2 0
30|06|1943 74 S P KALIWARON 4/43 3 2 0
23|06|1966 52 S L KALIWARON 4/43 3 2 0
15|08|1967 50 P P KALIWARON 4/43 3 2 0
12|08|1991 26 B L KALIWARON 4/43 3 2 0
08|01|1994 24 B L KALIWARON 4/43 3 2 0
31|08|1996 21 B L KALIWARON 4/43 3 2 0
25|03|1960 58 S L KALIWARON 4/44 3 2 0
17|12|1969 48 S P KALIWARON 4/44 3 2 0
24|12|1993 24 B L KALIWARON 4/44 3 2 0
01|08|1992 25 B L KALIWARON 4/44 3 2 0
08|02|1991 27 B P KALIWARON 4/44 3 2 0
28|02|1981 37 B P KALIWARON 4/45 3 2 0

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187 3578081408150014 3578081608820010 AGUNG MULIAKUSUMAJAYA SURABAYA 16|08|1982
188 3578081408150014 3515164107530001 DRA. YULIA AMIR SURABAYA 01|07|1953
189 3578080201085697 3578081403540002 SUJITNO PACITAN 14|03|1954
190 3578080201085697 3578084706550003 AMIN RAHAYU PACITAN 07|06|1955
191 3578080201085697 3578084807600002 BANDIATIN PACITAN 08|07|1960
192 3578080201085697 3578081101830003 RONA ADI MARSETYO SURABAYA 11|01|1983
193 3578081002160003 3578082105810005 MARGO ADI PRASETYO SURABAYA 21|05|1981
194 3578081002160003 3578134511900002 ARNILA PARAMITA FITRIYANI SURABAYA 05|11|1990
195 3578080101081682 3578080508540004 SAIMAN SURABAYA 05|08|1954
196 3578080101081682 3578086806580003 MUSLIKAH SURABAYA 28|06|1958
197 3578080101081682 3578080405850003 WIRA HARYONO SURABAYA 04|05|1985
198 3578080101082612 3578081407650001 RAMANG MOJOKERTO 14|07|1965
199 3578080101082612 3578084912700005 ASTANINGSIH SURABAYA 09|12|1970
200 3578080101082612 3578080606940005 JUNI ARDI RAMASTA PUTRA MOJOKERTO 06|06|1994
201 3578083112100009 3578081404740004 IMAM MUSTOFA KEDIRI 14|04|1974
202 3578083112100009 3578085007760009 ISMIATI SURABAYA 10|07|1976
203 3578080101082612 3578086106000005 JUNITA RAMASTA PUTRI SURABAYA 21|06|2000
204 3578080401083818 3578080312710003 HADI SANYOTO SURABAYA 03|12|1971
205 3578080401083818 3578084709730002 SRI AMIATUN SURABAYA 07|09|1973
206 3578040301083852 3578041305650006 NURIL HUDA GRESIK 13|05|1965
207 3578040301083852 3578046807700001 ASIH JULIATI MALANG 28|07|1970
208 3578040301083852 3578046907700001 ASIH YULIATI MALANG 29|07|1970
209 3578040301083852 3578046103940001 DHITA AYUNDA PARAMITA SURABAYA 21|03|1994
210 3578040301083852 3578040906980007 DANIAL FAJRIYANSAH SURABAYA 09|06|1998
211 3578080201083601 3578085611770004 DWI RAHAYUNINGSIH SURABAYA 16|11|1977
212 3578081811090008 3578087006550038 SAINI SURABAYA 30|06|1955
213 3578081811090008 3578080909840002 CATUR SUTIYONO SURABAYA 09|09|1984
214 3578080301084235 3578084401700005 YULIATI SURABAYA 04|01|1970
215 3578080301084235 3578080611710003 SUKIMAN DWI ADMOJO NGANJUK 06|11|1971
216 3578080301084235 3578084511950001 HANUM NUR PRATAMA DWI NOVIAN TSIDOARJO 05|11|1995
217 3578080101080998 3578081504720001 ADIYOTO NGANJUK 15|04|1972
218 3578080509130014 3578082905960003 GLEND SANDY EDI SANTOSO NGANJUK 29|05|1996
219 3578080712120006 3523152102640002 ZAENAL RASAD TUBAN 21|02|1964
220 3578080712120006 3523155804700003 DASRI PUSPARINI TUBAN 18|04|1970
221 3578080712120006 3523152609960001 FAESHOL SAPTA MAHESA TUBAN 26|09|1996
222 3578080501080742 3578080207640005 SUHERMAN SURABAYA 07|02|1964
223 3578080501080742 3578088003710006 FERSIANA SURABAYA 30|03|1971
224 3578081207130007 3578104506800005 MARYATI BANGKALAN 05|06|1980
225 3578080101082425 3578083006530013 BEHAKI SAMPANG 30|06|1953
226 3578080101082425 3578085211570005 SRIATIN MALANG 12|11|1957
227 3578080101082425 3578086311780002 RINA UMIWIDAYATI SURABAYA 23|11|1978
228 3578080201083931 3578082203850001 ERIN AGUS TRIWIDODO SURABAYA 22|03|1985
229 3578080201084153 3578081408800001 EDI LISTIYONO SURABAYA 14|08|1980
230 3578080210150007 3578084101890004 NUR INDAHSARI JOMBANG 01|01|1989
231 3578081509110016 3578085503540003 SOETJIATI SURABAYA 15|03|1954
232 3578081509110016 3578084201620001 KASIJATI KERTOSONO 02|01|1962
233 3578081007090001 3578081311820004 AANG BUSONO PUNCAHYO SURABAYA 13|11|1982
234 3578080201083127 3578080507580001 GINI MOJOKERTO 05|07|1958
235 3578080101085660 3578086709700001 SITIYE SURABAYA 27|09|1970
4

16|08|1982 35 B L KALIWARON 4/45 3 2 0


01|07|1953 64 S P KALIWARON 4/45 3 2 0
14|03|1954 64 S L KALIWARON 4/49 3 2 0
07|06|1955 63 S P KALIWARON 4/49 3 2 0
08|07|1960 57 S P KALIWARON 4/49 3 2 0
11|01|1983 35 B L KALIWARON 4/49 3 2 0
21|05|1981 37 B L KALIWARON 4/49 3 2 0
05|11|1990 27 B P KALIWARON 4/49 3 2 0
05|08|1954 63 S L KALIWARON 4/55 3 2 0
28|06|1958 59 S P KALIWARON 4/55 3 2 0
04|05|1985 33 B L KALIWARON 4/55 3 2 0
14|07|1965 52 S L KALIWARON 4/55 3 2 0
09|12|1970 47 S P KALIWARON 4/55 3 2 0
06|06|1994 24 B L KALIWARON 4/55 3 2 0
14|04|1974 44 S L KALIWARON 4/55 3 2 0
10|07|1976 41 S P KALIWARON 4/55 3 2 0
21|06|2000 18 B P KALIWARON 4/55 3 2 0
03|12|1971 46 S L KALIWARON 4/55-A 3 2 0
07|09|1973 44 S P KALIWARON 4/55-A 3 2 0
13|05|1965 53 S L KALIWARON 4/56 3 2 0
28|07|1970 47 S P KALIWARON 4/56 3 2 0
29|07|1970 47 S P KALIWARON 4/56 3 2 0
21|03|1994 24 B P KALIWARON 4/56 3 2 0
09|06|1998 20 B L KALIWARON 4/56 3 2 0
16|11|1977 40 P P KALIWARON 4/57 3 2 0
30|06|1955 62 B P KALIWARON 4/57 3 2 0
09|09|1984 33 B L KALIWARON 4/57 3 2 0
04|01|1970 48 S P KALIWARON 4/59 3 2 0
06|11|1971 46 S L KALIWARON 4/59 3 2 0
05|11|1995 22 B P KALIWARON 4/59 3 2 0
15|04|1972 46 S L KALIWARON 4/6 3 2 0
29|05|1996 22 B L KALIWARON 4/61 3 2 0
21|02|1964 54 S L KALIWARON 4/62 3 2 0
18|04|1970 48 S P KALIWARON 4/62 3 2 0
26|09|1996 21 B L KALIWARON 4/62 3 2 0
07|02|1964 54 S L KALIWARON 4/64 3 2 0
30|03|1971 47 S P KALIWARON 4/64 3 2 0
05|06|1980 38 S P KALIWARON 4/7 3 2 0
30|06|1953 64 S L KALIWARON 4/80 3 2 0
12|11|1957 60 S P KALIWARON 4/80 3 2 0
23|11|1978 39 S P KALIWARON 4/80 3 2 0
22|03|1985 33 S L KALIWARON 4/80 3 2 0
14|08|1980 37 P L KALIWARON 4/80 3 2 0
01|01|1989 29 S P KALIWARON 4/80 3 2 0
15|03|1954 64 S P KALIWARON 4/80 3 2 0
02|01|1962 56 S P KALIWARON 4/80 3 2 0
13|11|1982 35 S L KALIWARON 4/80 3 2 0
05|07|1958 59 B L KALIWARON 4/80 BLK 3 2 0
27|09|1970 47 S P KALIWARON 4/80-B 3 2 0

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236 3578080101085660 3578083009900002 SURYADI BANGKALAN 30|09|1990
237 3578080201082775 3578084102830003 NUR CHUSNUL HIDAYAH SURABAYA 01|02|1983
238 3578080201087766 3578081601520001 SOEWITO SURABAYA 16|01|1952
239 3578080501080706 3578086202920006 AYU ANGGUNSARI SURABAYA 22|02|1992
240 3578081205140006 6404054306780003 LA'AN GERID JELARAI 03|06|1978
241 3578081205140006 3578082107800002 EKO SUDARMOKO SURABAYA 21|07|1980
242 3578080101085660 3578085208000002 FINA AGUSTIN BANGKALAN 12|08|2000
243 3578080201082775 3578081909840007 DWI SEPTHA ERVANDIANTO SURABAYA 19|09|1984
244 3578080301080216 3578081410390001 MOCH NOER SURABAYA 14|10|1939
245 3578080301080216 3578086605710001 SITI NOER CHOLIFAH SURABAYA 26|05|1971
246 3578080301080216 3578081210730006 ARIF NOER EFFENDY SURABAYA 12|10|1973
247 3578080301080216 3578086102750003 SITI NOER CAHYANI, S.PD SURABAYA 21|02|1975
248 3578080301080216 3578086709820001 MAHARDHIKA NOER BAITY SURABAYA 27|09|1982
249 3578081202150007 3578084911420002 SITI SAUDAH SURABAYA 09|11|1942
250 3578081202150007 3578085510660001 SITI NOER AZIZA SURABAYA 15|10|1966
251 3578082311100001 3578085201640001 SUMINEM, SE SURABAYA 12|01|1964
252 3578082311100001 3578272702740001 NANANG SUPRIYADI SURABAYA 27|02|1974
253 3578082311100002 3578086003670003 SURIYATI SURABAYA 20|03|1967
254 3578080201082441 3578081607800002 RONY YULIANTO SURABAYA 16|07|1980
255 3578080201082441 3578086507800001 YULI SETYA RINI,S.Pd SURABAYA 25|07|1980
256 3578081604100121 3578082104860005 SUGENG PURWANTO SURABAYA 21|04|1986
257 3578081604100121 3578084211870004 WIWIK WIJAYANTI MADIUN 02|11|1987
258 3578080201080985 3578081105800001 R.ARIEF SANSIDHARTA SURABAYA 11|05|1980
259 3578080201080985 3578085007800005 MUTMAINAH,SE SURABAYA 10|07|1980
260 3578100101089352 3578101008630007 MAHMUDI HUSIN LAMONGAN 10|08|1963
261 3578100101089352 3578085707690003 ARIFAH BAROROH JEMBER 17|07|1969
262 3578080101089449 3578085907730004 SALMA WINAR PAYAKUMBUH 19|07|1973
263 3578080101089449 3578082807740003 ADHIE SETYAWAN SURABAYA 28|07|1974
264 3578080501081369 3578080307480001 SUISMAN SURABAYA 03|07|1948
265 3578080201080096 3578082312710003 KOKO SUSANTO,S.Ag SURABAYA 23|12|1971
266 3578080201080096 3578085612740004 TRI RATNAWATI WIDYASTUTI,S.Si SURABAYA 16|12|1974
267 3578080101080663 3578085705720003 MANU DAMAYANTI SURABAYA 17|05|1972
268 3578080101080663 3578082802740001 FERRI EFENDI JAKARTA 28|02|1974
269 3578080201082285 3578084907420002 KATI AMANUDIN MADIUN 09|07|1942
270 3578080501083788 3578084609730003 HESTI DAHNIAR CAHYANI MALANG 06|09|1973
271 3578080501083788 3578081406680004 DODI NUR ACHMADI, Ir MADIUN 14|06|1968
272 3578080501083788 3578086403990009 BERLIAN RASUL SURABAYA 24|03|1999
273 3578080301085261 3578082812610002 SUJANTO PONOROGO 28|12|1961
274 3578080301085261 3578085405670003 ENDANG SRIATUN SURABAYA 14|05|1967
275 3578080301085261 3578080507890003 EKO ABDIYANTO SURABAYA 05|07|1989
276 3578080301085261 3578085307910001 ERNA DWI INDRIYANI SURABAYA 13|07|1991
277 3578080201083833 3578084606630003 LIEM ELIZABETH S SURABAYA 06|06|1963
278 3578080201083833 3578081505630003 LWA GUNAWAN LAZUARDI SURABAYA 15|05|1963
279 3578080201083833 3578084210930002 LWA AGNES CYNTHIA LAZUARDI SURABAYA 02|10|1993
280 3578080201083947 3578080508690006 YUDI TRISANCOKO BLITAR 05|08|1969
281 3578080201083947 3578085503720003 MARIANA SURABAYA 15|03|1972
282 3578080201083947 3578080903960003 M. ADIRIZAL FARUQINATA SURABAYA 09|03|1996
283 3578080201080414 3578082806740004 ISWAHYUDI SUWARNO, ST BLITAR 28|06|1974
284 3578080201080414 3578084909760002 ARLINA RAHMADANI, ST SUMENEP 09|09|1976
4

30|09|1990 27 B L KALIWARON 4/80-B 3 2 0


01|02|1983 35 S P KALIWARON 4/80-B 3 2 0
16|01|1952 66 P L KALIWARON 4/80-B 3 2 0
22|02|1992 26 B P KALIWARON 4/80-B 3 2 0
03|06|1978 40 S P KALIWARON 4/80-B 3 2 0
21|07|1980 37 S L KALIWARON 4/80-B 3 2 0
12|08|2000 17 B P KALIWARON 4/80-B 3 2 0
19|09|1984 33 S L KALIWARON 4/80-B 3 2 0
14|10|1939 78 S L KALIWARON 4/9 3 2 0
26|05|1971 47 B P KALIWARON 4/9 3 2 0
12|10|1973 44 B L KALIWARON 4/9 3 2 0
21|02|1975 43 B P KALIWARON 4/9 3 2 0
27|09|1982 35 B P KALIWARON 4/9 3 2 0
09|11|1942 75 S P KALIWARON 4/9 3 2 0
15|10|1966 51 B P KALIWARON 4/9 3 2 0
12|01|1964 54 S P KALIWARON 5/10 3 2 0
27|02|1974 44 S L KALIWARON 5/10 3 2 0
20|03|1967 51 B P KALIWARON 5/10 3 2 0
16|07|1980 37 S L KALIWARON 5/12 3 2 0
25|07|1980 37 S P KALIWARON 5/12 3 2 0
21|04|1986 32 S L KALIWARON 5/16 3 2 0
02|11|1987 30 S P KALIWARON 5/16 3 2 0
11|05|1980 38 S L KALIWARON 5/18 3 2 0
10|07|1980 37 S P KALIWARON 5/18 3 2 0
10|08|1963 54 S L KALIWARON 5/2 3 2 0
17|07|1969 48 S P KALIWARON 5/2 3 2 0
19|07|1973 44 S P KALIWARON 5/20 3 2 0
28|07|1974 43 S L KALIWARON 5/20 3 2 0
03|07|1948 69 S L KALIWARON 5/22 3 2 0
23|12|1971 46 S L KALIWARON 5/30 3 2 0
16|12|1974 43 S P KALIWARON 5/30 3 2 0
17|05|1972 46 S P KALIWARON 5/32 3 2 0
28|02|1974 44 S L KALIWARON 5/32 3 2 0
09|07|1942 75 P P KALIWARON 5/32 3 2 0
06|09|1973 44 S P KALIWARON 5/32 3 2 0
14|06|1968 50 S L KALIWARON 5/32 3 2 0
24|03|1999 19 B P KALIWARON 5/32 3 2 0
28|12|1961 56 S L KALIWARON 5/36 3 2 0
14|05|1967 51 S P KALIWARON 5/36 3 2 0
05|07|1989 28 B L KALIWARON 5/36 3 2 0
13|07|1991 26 B P KALIWARON 5/36 3 2 0
06|06|1963 55 S P KALIWARON 5/38 3 2 0
15|05|1963 55 S L KALIWARON 5/38 3 2 0
02|10|1993 24 B P KALIWARON 5/38 3 2 0
05|08|1969 48 S L KALIWARON 5/4 3 2 0
15|03|1972 46 S P KALIWARON 5/4 3 2 0
09|03|1996 22 B L KALIWARON 5/4 3 2 0
28|06|1974 43 S L KALIWARON 5/42 3 2 0
09|09|1976 41 S P KALIWARON 5/42 3 2 0

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285 3578080201080415 3578081709740001 ANDY RAHMADAN SUMENEP 17|09|1974
286 3578080201080415 3578085710810002 NINA SUSANTI JAKARTA TIMUR 17|10|1981
287 3578080301089150 3578081708500003 H. AGUS SALIM SURABAYA 17|08|1950
288 3578080301089150 3578086803520001 DJULILIK SURABAYA 28|03|1952
289 3578080301089150 3578080312810002 RIZKI RACHMAWAN, ST SURABAYA 03|12|1981
290 3578080101088542 3578081703640005 ROESNADI SURABAYA 17|03|1964
291 3578080101088542 3578087006660022 LILIK SURYANI LAMONGAN 30|06|1966
292 3578080101088542 3578085109950002 LINDA RETNO WATI SURABAYA 11|09|1995
293 3578080301083149 3578082309490001 KARNAFI SAMIAT SURABAYA 23|09|1949
294 3578080301083149 3578085005510003 SRI SUPADMI SURABAYA 10|05|1951
295 3578080201085628 3578085903450001 MOESRIATI BLITAR 19|03|1945
296 3578080201085628 3578084212690004 WIWIK WAHYUNI SURABAYA 02|12|1969
297 3578080201085628 3578082411730001 WAWAN TRIYONO SURABAYA 24|11|1973
298 3578080201083750 3578080303710003 MOCH MUNIF SURABAYA 03|03|1971
299 3578080201083750 3578084508730001 SARINDO SURABAYA 05|08|1973
300 3578080201087568 3578087006350024 PANIJEM PONOROGO 01|01|1941
301 3578080201087568 3578080503700001 SRI WAHONO SURABAYA 05|03|1970
302 3578080101086028 3578081109670005 HARI KISTIJOADI SURABAYA 11|09|1967
303 3578080101086028 3578084307750001 SARIATI SURABAYA 03|07|1975
304 3578080501080285 3578082711660003 R.FERRY NOVAMUKER WIBISONO SURABAYA 27|11|1966
305 3578080501080285 3578086602670002 TUNIK MARIYATI SURABAYA 26|02|1967
306 3578080501080285 3578086210920003 FERNIKE OCTAVIASARI SURABAYA 22|10|1992
307 3578080501080285 3578080702940005 FERNIKO FEBRIAWAN SURABAYA 07|02|1994
308 3578080501080285 3578082005960003 FERNINDO MEIDIAWAN SURABAYA 20|05|1996
309 3578080110130003 3578084412750001 SAMIATI SURABAYA 04|12|1975
310 3578080401085391 3578081902710003 DJUMARI SURABAYA 19|02|1971
311 3578080401085391 3578081806770001 MARUWI SURABAYA 18|06|1977
312 3578080401085391 3578083006500001 DJI`AN SURABAYA 30|06|1950
313 3578080301085825 3578081609570001 ANDY WIRYANTO/ONG, KIAN HAN SURABAYA 16|09|1957
314 3578080101087810 3578082403710002 AHMAD FALAHUDIN,,S.AG KARAWANG 24|03|1971
315 3578080201083497 3578084412400001 MOESTIKAH JOMBANG 04|12|1940
316 3578080301084565 3578080811410003 WIDAYAT SASTROWARDOYO,DR MADIUN 08|11|1941
317 3578080101081573 3578080504400002 DJAUHARI MAGELANG 05|04|1940
318 3578080101081573 3578085708550003 ANISSIFAH JOMBANG 17|08|1955
319 3578080101081573 3578080704750003 MUCHAMMAD YAHYA JOMBANG 07|04|1975
320 3578080101081573 3578082303760002 MUCHAMMAD LATIF SURABAYA 23|03|1976
321 3578080101081573 3578082212820004 MUCHAMMAD FAHRUDIN SURABAYA 22|12|1982
322 3578080101087854 3578082707730001 ABD.CHOLIQ JOMBANG 27|07|1974
323 3578080101087854 3578086509760004 DZAWIT TAUKHIDAH JOMBANG 25|09|1976
324 3578080201085022 3578082509680001 SOEDJOKO SURABAYA 25|09|1968
325 3578080201085022 3578084806710006 MAS`AMAH JOMBANG 08|06|1971
326 3578080201085022 3578081611960006 MOHAMMAD BAANDRIYO SOEDJOKO JOMBANG 16|11|1996
327 3578080301082058 3578080505630003 MISTAM MALANG 05|05|1963
328 3578080301082058 3578084706660001 MUNIR TULUNGAGUNG 07|06|1966
329 3578080301082210 3578082206470001 H. MOCHAMAD SANUSI SURABAYA 22|06|1947
330 3578080301082210 3578194705630001 HJ. SUKARTI, S.PD BANYUWANGI 07|05|1963
331 3578080301082210 3578194305960002 RIMAWATI NURCHOTIMAH NABIRE 03|05|1996
332 3578080301083933 3578082606630003 MUDO BUDIYANTO MAGELANG 26|06|1963
333 3578080301083933 3578086006630006 SOELASTRI SURABAYA 20|06|1963
4

17|09|1974 43 S L KALIWARON 5/42 3 2 0


17|10|1981 36 S P KALIWARON 5/42 3 2 0
17|08|1950 67 S L KALIWARON 5/42 3 2 0
28|03|1952 66 S P KALIWARON 5/42 3 2 0
03|12|1981 36 B L KALIWARON 5/42 3 2 0
17|03|1964 54 S L KALIWARON 5/44 3 2 0
30|06|1966 51 S P KALIWARON 5/44 3 2 0
11|09|1995 22 B P KALIWARON 5/44 3 2 0
23|09|1949 68 S L KALIWARON 5/48 3 2 0
10|05|1951 67 S P KALIWARON 5/48 3 2 0
19|03|1945 73 P P KALIWARON 5/56 3 2 0
02|12|1969 48 B P KALIWARON 5/56 3 2 0
24|11|1973 44 B L KALIWARON 5/56 3 2 0
03|03|1971 47 S L KALIWARON 5/60 3 2 0
05|08|1973 44 S P KALIWARON 5/60 3 2 0
01|01|1941 77 S P KALIWARON 5/60 3 2 0
05|03|1970 48 B L KALIWARON 5/60 3 2 0
11|09|1967 50 S L KALIWARON 5/64 3 2 0
03|07|1975 42 S P KALIWARON 5/64 3 2 0
27|11|1966 51 S L KALIWARON 5/68 3 2 0
26|02|1967 51 S P KALIWARON 5/68 3 2 0
22|10|1992 25 B P KALIWARON 5/68 3 2 0
07|02|1994 24 B L KALIWARON 5/68 3 2 0
20|05|1996 22 B L KALIWARON 5/68 3 2 0
04|12|1975 42 S P KALIWARON 5/8 3 2 0
19|02|1971 47 B L KALIWARON 5/8 3 2 0
18|06|1977 41 S L KALIWARON 5/8 3 2 0
30|06|1950 67 S L KALIWARON 5/8 3 2 0
16|09|1957 60 S L KALIWARON 58 3 2 0
24|03|1971 47 S L KALIWARON 64 3 2 0
04|12|1940 77 P P KALIWARON 6-B 3 2 0
08|11|1941 76 S L KALIWARON 70 3 2 0
05|04|1940 78 S L KALIWARON 78 3 2 0
17|08|1955 62 S P KALIWARON 78 3 2 0
07|04|1975 43 B L KALIWARON 78 3 2 0
23|03|1976 42 B L KALIWARON 78 3 2 0
22|12|1982 35 B L KALIWARON 78 3 2 0
27|07|1974 43 S L KALIWARON 78 3 2 0
25|09|1976 41 S P KALIWARON 78 3 2 0
25|09|1968 49 S L KALIWARON 78 3 2 0
08|06|1971 47 S P KALIWARON 78 3 2 0
16|11|1996 21 B L KALIWARON 78 3 2 0
05|05|1963 55 S L KALIWARON 78 3 2 0
07|06|1966 52 S P KALIWARON 78 3 2 0
22|06|1947 71 S L KALIWARON 78 3 2 0
07|05|1963 55 S P KALIWARON 78 3 2 0
03|05|1996 22 B P KALIWARON 78 3 2 0
26|06|1963 55 S L KALIWARON 78 3 2 0
20|06|1963 55 S P KALIWARON 78 3 2 0

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334 3578080301083933 3578081811890009 NOVADI INDRAPRATAMA SURABAYA 18|11|1989
335 3578080301083933 3578080406960005 YUVAN ADITYA JAYANTA SURABAYA 04|06|1996
336 3578080301084296 3578083006400016 ADJIS JOMBANG 30|06|1940
337 3578080301084296 3578087006680027 SAMINTEN BOJONEGORO 30|06|1968
338 3578080301084296 3578081605800001 FERRY IRWAN SURABAYA 16|05|1980
339 3578080301084296 3578084506960004 OKI SAFITRI BOJONEGORO 05|06|1996
340 3578080401083860 3578085708540006 ANIS SIFAH JOMBANG 17|08|1954
341 3578080401083860 3578086107810004 SITI UMI LATIFAH SURABAYA 21|07|1981
342 3578080604160006 3578081009910003 RISKY WAHYU SEPTIA PRIBADY SURABAYA 10|09|1991
343 3578080301082210 3578194708990001 NUR SANTI INDRI KURNIAWATI NABIRE 07|08|1999
344 3578080401083860 3578083012400003 M. DJAUHARI MAGELANG 30|12|1940
345 3578080604160006 3578105205910002 YUNI PUJIYANTI SURABAYA 12|05|1991
346 3578080201088006 3578087006520034 RATEMU LAMONGAN 30|06|1952
347 3578080201088006 3578084101800011 KARDIYATI LAMONGAN 01|01|1980
348 3578080804130001 3519112912890002 WIJIARKO SURABAYA 29|12|1989
349 3578080804130001 3578086604910002 SAFITRI SURABAYA 26|04|1991
350 3578080101080462 3578081011670006 YUDOSISWANTO SURABAYA 10|11|1967
351 3578080101080462 3578084605730007 QOMARIYAH TUBAN 06|05|1973
352 3578080101089392 3578086307680001 DJULIATI SURABAYA 23|07|1968
353 3578080101089392 3578082601690002 YUDOTRIYANTO SURABAYA 26|01|1969
354 3578080201081763 3578082803660001 HERMANTO SINGARAJA 28|03|1966
355 3578080201081763 3578085306750002 YUNIWIDORINI SURABAYA 13|06|1975
356 3578080201081763 3578070303950003 GAGAS ADITYA PRATAMA PUTRA PROBOLINGGO 03|03|1995
357 3578080201085662 3578082203400001 SOEPARDI NGANJUK 22|03|1940
358 3578080301083888 3578084910920001 OCTAVIA HERDIYANTI SURABAYA 09|10|1992
359 3578080301083888 3578084605960002 MEIDY DAMAYANTI SURABAYA 06|05|1996
360 3578081203090002 3578081812700011 HERMAWAN SURABAYA 18|12|1970
361 3578081203090002 3578085601720005 YULIS TRIYANTI LEBOE SURABAYA 16|01|1972
362 3578081203090002 3578084909970005 NUR AFIFAH FAUZIYYAH SURABAYA 09|09|1997
363 3578082312140008 3578085604940003 VIVI RACHMAWATI SURABAYA 16|04|1994
364 3578082711120001 3578080704730003 BAMBANG KAWANDONO SURABAYA 07|04|1973
365 3578211107120005 3578216211730001 NOVITA ANDRIANI SURABAYA 22|11|1973
366 3578080101089392 3578083112990002 REZA EURIKO ANUGRAH RHAMADHA SURABAYA 31|12|1999
367 3578080301083888 3578082504630001 HERRI PRIJANTO, Drh SURABAYA 25|04|1963
368 3578080301083888 3578084904640001 DYAH HERAWATI, Drh BANJARMASIN 09|04|1964
369 3578082101160010 3516024611630002 PONASIH MOJOKERTO 06|11|1963
370 3578080401089553 3578083006530043 PAULUS NONAWI JOMBANG 30|06|1953
371 3578080401089553 3578087006560032 SAMIYEM SOLO 30|06|1956
372 3578080401089553 3578081506910001 YUNIAS ABDIEL SURABAYA 15|06|1991
373 3578080301086192 3578080905680001 AGOES MURTONO SURABAYA 09|05|1968
374 3578080301083893 3578082002400001 KOESMIN SOEDJIATNO TULUNGAGUNG 20|02|1940
375 3578080401085869 3578087006420079 MARINAH. BOJONEGORO 30|06|1942
376 3578080301084967 3578086811450001 SITI SUNDARI NGANJUK 28|11|1945
377 3578082404120002 3578085310610005 SUMINARSIH SURABAYA 13|10|1961
378 3578082404120002 3578086110880005 VITA ADHIKAWATI SURABAYA 21|10|1988
379 3578080401083549 3578081708510003 KASIMUN SUPIYANTO SURABAYA 17|08|1951
380 3578080401083549 3578082201820005 YANU ARIANTO SURABAYA 22|01|1982
381 3578080401083549 3578085604920003 FRISKA KARUNIA PUTRI SURABAYA 16|04|1992
382 3578080101089617 3578086306730004 WIWIT MUDJI AS TUTIEK SURABAYA 23|06|1973
4

18|11|1989 28 B L KALIWARON 78 3 2 0
04|06|1996 22 B L KALIWARON 78 3 2 0
30|06|1940 77 S L KALIWARON 78 3 2 0
30|06|1968 49 S P KALIWARON 78 3 2 0
16|05|1980 38 B L KALIWARON 78 3 2 0
05|06|1996 22 B P KALIWARON 78 3 2 0
17|08|1954 63 S P KALIWARON 78 3 2 0
21|07|1981 36 B P KALIWARON 78 3 2 0
10|09|1991 26 B L KALIWARON 78 3 2 0
07|08|1999 18 B P KALIWARON 78 3 2 0
30|12|1940 77 S L KALIWARON 78 3 2 0
12|05|1991 27 B P KALIWARON 78 3 2 0
30|06|1952 65 P P KALIWARON 78 BLK 3 2 0
01|01|1980 38 B P KALIWARON 78 BLK 3 2 0
29|12|1989 28 S L KALIWARON 78 BLK 3 2 0
26|04|1991 27 S P KALIWARON 78 BLK 3 2 0
10|11|1967 50 S L KALIWARON 80 3 2 0
06|05|1973 45 S P KALIWARON 80 3 2 0
23|07|1968 49 S P KALIWARON 80 3 2 0
26|01|1969 49 S L KALIWARON 80 3 2 0
28|03|1966 52 S L KALIWARON 80 3 2 0
13|06|1975 43 S P KALIWARON 80 3 2 0
03|03|1995 23 B L KALIWARON 80 3 2 0
22|03|1940 78 S L KALIWARON 80 3 2 0
09|10|1992 25 B P KALIWARON 80 3 2 0
06|05|1996 22 B P KALIWARON 80 3 2 0
18|12|1970 47 S L KALIWARON 80 3 2 0
16|01|1972 46 S P KALIWARON 80 3 2 0
09|09|1997 20 B P KALIWARON 80 3 2 0
16|04|1994 24 B P KALIWARON 80 3 2 0
07|04|1973 45 B L KALIWARON 80 3 2 0
22|11|1973 44 P P KALIWARON 80 3 2 0
31|12|1999 18 B L KALIWARON 80 3 2 0
25|04|1963 55 S L KALIWARON 80 3 2 0
09|04|1964 54 S P KALIWARON 80 3 2 0
06|11|1963 54 S P KALIWARON 80 3 2 0
30|06|1953 64 S L KALIWARON 80 BELAKANG 3 2 0
30|06|1956 61 S P KALIWARON 80 BELAKANG 3 2 0
15|06|1991 27 B L KALIWARON 80 BELAKANG 3 2 0
09|05|1968 50 S L KALIWARON 82 3 2 0
20|02|1940 78 S L KALIWARON ABC 2/ 4 3 2 0
30|06|1942 75 P P KALIWARON ABC 2/ 6 3 2 0
28|11|1945 72 S P KALIWARON ABC 2/ 8 3 2 0
13|10|1961 56 P P KALIWARON ABC 2/10 3 2 0
21|10|1988 29 B P KALIWARON ABC 2/10 3 2 0
17|08|1951 66 P L KALIWARON ABC 2/12 3 2 0
22|01|1982 36 B L KALIWARON ABC 2/12 3 2 0
16|04|1992 26 B P KALIWARON ABC 2/12 3 2 0
23|06|1973 45 S P KALIWARON ABC 2/14 3 2 0

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383 3578082111120017 3578085308480001 MUBAROKAH LAMONGAN 13|08|1948
384 3578082111120017 3578085010700006 SRI MOEDJIRAHAYU NINGSIH SURABAYA 10|10|1970
385 3578080101089617 3578081608710003 MUSTAQIM,ST SIDOARJO 16|08|1971
386 3578081904120041 3578085809790003 FERAWATI SURABAYA 18|09|1979
387 3578082207110005 3578080103690012 BERO SUBAGIONO TULUNGAGUNG 01|03|1969
388 3578082207110005 3578085306690012 SRI SUBIATI SURABAYA 13|06|1969
389 3578082207110005 3578084912970005 ANITA ARIYANTI SURABAYA 09|12|1997
390 3578080301084967 3578080312440001 R. GATOT SANTOSO SURABAYA 03|12|1944
391 3578080301087086 3578083112650006 DESEMBER PRIYANA MAGETAN 31|12|1965
392 3578080301087086 3578085312710001 PURWO PUTRIANI SURABAYA 13|12|1971
393 3578080301087086 3578081006950003 DELJUVE ARVIANDO SURABAYA 10|06|1995
394 3578080301088864 3578085505500001 KATINI MADIUN 15|05|1950
395 3578080201089184 3578082409510002 EKO YUDHO PURWITO NGANJUK 24|09|1951
396 3578080201089184 3578080911540002 SUDIONO SURABAYA 09|11|1954
397 3578081303120052 3578086505820001 YOHANA TRIASETIYORINI SURABAYA 25|05|1982
398 3578081303120052 3578082105850005 FRANDANIS ARIAFANDI, S.KOM KEDIRI 21|05|1985
399 3578083105120012 3578085709570001 SETIASIH NGANJUK 17|09|1957
400 3578080301083597 3578084704460001 NGATIYEM SOLO 07|04|1946
401 3578080301083597 3578080501470002 DARYANTO SOEPARDI SURABAYA 05|01|1947
402 3578082403150001 3578085601860002 MAYA FATIMAH SURABAYA 16|01|1986
403 3578082403150001 3578011804830003 SHOFIWAFA LAMONGAN 18|04|1983
404 3578081702090011 3578085511420002 PANTI DUMILAH MOJOKERTO 15|11|1942
405 3578080201084171 3578081311780004 ARIFIN SURABAYA 13|11|1978
406 3578080201087085 3578082712590001 LARGUS JUMA FLORES TIMUR 27|12|1959
407 3578080201087085 3578084809630002 SUPRIJATI SURABAYA 08|09|1963
408 3578080201087085 3578085207870001 YUNITA DWI ANGGE RIYATI TEI SURABAYA 12|07|1987
409 3578080201087085 3578083008960002 ANDREAS XAVERIUS WELLY SURABAYA 30|08|1996
410 3578080301088507 3578083006530017 SOEPARNO SURABAYA 30|06|1953
411 3578080508160003 3578087006560053 MUJIATI BLITAR 30|06|1956
412 3578081006090009 3578082703440001 DANIEL ALI BIN BONGOK JAKARTA 27|03|1944
413 3578081006090009 3578086010550002 RAHKEL KASIPAH SURABAYA 20|10|1955
414 3578081006090009 3578087005860001 ARLINA RAMADANI SURABAYA 30|05|1986
415 3578081006090009 3578083103870003 INDRA GUNAWAN SURABAYA 31|03|1987
416 3578082802130004 3578263108890001 SURYO AGUS H SURABAYA 31|08|1989
417 3578083006100051 3578080706770003 PURWANTO SURABAYA 07|06|1977
418 3578082802130004 3578084603860005 FARNIATI SURABAYA 06|03|1986
419 3578083006100051 3516115808860007 AGUSTINA MAYASARI MOJOKERTO 18|08|1986
420 3578080202090016 3578291311710001 HADI PUSPITA SURABAYA 13|11|1971
421 3578080202090016 3578085809770005 IKE PURWO SETIYORINI SURABAYA 18|09|1977
422 3578080301082676 3578086401830006 RUFAIDA NURAFIANTI SURABAYA 24|01|1983
423 3578082406150018 3578084506500003 SITI HATIDJAH SUMENEP 05|06|1950
424 3578082406150018 3578080708790004 RIZAL FIRMANSYAH, SH SURABAYA 07|08|1979
425 3578080309120013 3578081207670004 SOETARNO SURABAYA 12|07|1967
426 3578080309120013 3578086107720003 RUBIATI KEDIRI 21|07|1972
427 3578080401081506 3578084506670001 SUHARTI KASANAH SURABAYA 05|06|1967
428 3578080401087996 3578082608730003 RIYADI SURABAYA 26|08|1973
429 3578080401087996 3578081604820001 RIAJI SURABAYA 16|04|1982
430 3578080201086620 3578080407380002 DIRK THE/BOEDIONO MALANG 04|07|1938
431 3578080201086620 3578087006570041 MITUN TULUNGAGUNG 30|06|1957
4

13|08|1948 69 P P KALIWARON ABC 2/14 3 2 0


10|10|1970 47 B P KALIWARON ABC 2/14 3 2 0
16|08|1971 46 S L KALIWARON ABC 2/14 3 2 0
18|09|1979 38 S P KALIWARON ABC 2/16 3 2 0
01|03|1969 49 S L KALIWARON ABC 2/16 3 2 0
13|06|1969 49 S P KALIWARON ABC 2/16 3 2 0
09|12|1997 20 B P KALIWARON ABC 2/16 3 2 0
03|12|1944 73 S L KALIWARON ABC 2/18 3 2 0
31|12|1965 52 S L KALIWARON ABC 2/22 3 2 0
13|12|1971 46 S P KALIWARON ABC 2/22 3 2 0
10|06|1995 23 B L KALIWARON ABC 2/22 3 2 0
15|05|1950 68 P P KALIWARON ABC 2/22 3 2 0
24|09|1951 66 P L KALIWARON ABC 2/28 3 2 0
09|11|1954 63 B L KALIWARON ABC 2/28 3 2 0
25|05|1982 36 S P KALIWARON ABC 2/28 3 2 0
21|05|1985 33 S L KALIWARON ABC 2/28 3 2 0
17|09|1957 60 S P KALIWARON ABC 2/28 3 2 0
07|04|1946 72 S P KALIWARON ABC 2/30 3 2 0
05|01|1947 71 S L KALIWARON ABC 2/30 3 2 0
16|01|1986 32 S P KALIWARON ABC 2/30 3 2 0
18|04|1983 35 S L KALIWARON ABC 2/30 3 2 0
15|11|1942 75 P P KALIWARON ABC 2/34 3 2 0
13|11|1978 39 S L KALIWARON ABC 2/40 3 2 0
27|12|1959 58 S L KALIWARON ABC 2/40 3 2 0
08|09|1963 54 S P KALIWARON ABC 2/40 3 2 0
12|07|1987 30 B P KALIWARON ABC 2/40 3 2 0
30|08|1996 21 B L KALIWARON ABC 2/40 3 2 0
30|06|1953 64 S L KALIWARON ABC 2/40 3 2 0
30|06|1956 61 S P KALIWARON ABC 2/40 3 2 0
27|03|1944 74 S L KALIWARON ABC 2/40 3 2 0
20|10|1955 62 S P KALIWARON ABC 2/40 3 2 0
30|05|1986 32 B P KALIWARON ABC 2/40 3 2 0
31|03|1987 31 B L KALIWARON ABC 2/40 3 2 0
31|08|1989 28 S L KALIWARON ABC 2/40 3 2 0
07|06|1977 41 S L KALIWARON ABC 2/40 3 2 0
06|03|1986 32 S P KALIWARON ABC 2/40 3 2 0
18|08|1986 31 S P KALIWARON ABC 2/40 3 2 0
13|11|1971 46 S L KALIWARON ABC 2/44 3 2 0
18|09|1977 40 S P KALIWARON ABC 2/44 3 2 0
24|01|1983 35 B P KALIWARON ABC 2/46 3 2 0
05|06|1950 68 S P KALIWARON ABC 2/46 3 2 0
07|08|1979 38 B L KALIWARON ABC 2/46 3 2 0
12|07|1967 50 S L KALIWARON ABC 2/52 3 2 0
21|07|1972 45 S P KALIWARON ABC 2/52 3 2 0
05|06|1967 51 P P KALIWARON ABC 2/52 3 2 0
26|08|1973 44 B L KALIWARON ABC 2/52 3 2 0
16|04|1982 36 B L KALIWARON ABC 2/52 3 2 0
04|07|1938 79 S L KALIWARON ABC 2/54 3 2 0
30|06|1957 60 S P KALIWARON ABC 2/54 3 2 0

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432 3578080403110028 3578081605790002 DANIEL TULUNGAGUNG 16|05|1979
433 3578080403110028 3578085302840002 MARGARETHA EPIFANI MOJOKERTO 13|02|1984
434 3578080305110007 3515185303810002 ERNA JUWITA NGANJUK 13|03|1981
435 3578080201080657 3578081712760005 DODIK SUGIHARTO SURABAYA 17|12|1976
436 3578080201080657 3578084106780002 YAYUK SURABAYA 01|06|1978
437 3578080301085690 3578084205690005 TRI RAHAYU,SPD SURABAYA 02|05|1969
438 3578080101083088 3578081910760003 SUHIDROLIK SURABAYA 19|10|1976
439 3578080101083088 3578085306770001 SUMARTIN SURABAYA 13|06|1977
440 3578080301083275 3578080707430002 SOEWADI MOJOKERTO 07|07|1943
441 3578080301083275 3578087006450046 SOENTIANI MOJOKERTO 30|06|1945
442 3578080301083275 3578080206640007 SOEWANAN SURABAYA 02|06|1964
443 3578080401089160 3578084609710006 SOEGIHARTI SURABAYA 06|09|1971
444 3578080401089160 3578080602720006 JUDHO ASMORO SOEGIONO SURABAYA 06|02|1972
445 3578080401089160 3578086111930003 TIARA PUTRI ASMORO SURABAYA 21|11|1993
446 3578080401089160 3578080906970007 YUNUS TRI PUTRA ASMORO SURABAYA 09|06|1997
447 3578081001170011 3578080403960001 YUSGIHARDO PUTRA ASMORO SURABAYA 04|03|1996
448 3578081001170011 3522106112950005 ELWINDA AYU SETYOHADI BOJONEGORO 21|12|1995
449 3578080401083812 3578087101650004 SRI MULYANI SURABAYA 31|01|1965
450 3578080401083812 3578082811900004 DIMAS EKA PRASETYA SURABAYA 28|11|1990
451 3578080401083812 3578082810940003 DENY DWI CAHYANA SURABAYA 28|10|1994
452 3578080401083812 3578086810960003 DITA TRY PUSPITASARI SURABAYA 28|10|1996
453 3578080301089664 3578085411450001 SRI KANDARI BOYOLALI 14|11|1945
454 3578080301089664 3578086105750001 TRI BOEDI PANGESTU SURABAYA 21|05|1975
455 3578080301089664 3578085512710001 SRI SUPRIYATIN RAHAYU,S.Sos SURABAYA 15|12|1971
456 3578082611120007 3578082611680008 ACHMAD SUWANDI POHAN SURABAYA 26|11|1968
457 3578082611120007 3578084408720005 DJUARIYAH SURABAYA 04|08|1972
458 3578080201084421 3578081908830003 YOHANES PETRUS OYANG PRASETY MAGETAN 19|08|1983
459 3578080501082310 3578083006510035 WAGIMIN (SAPARI) SURABAYA 30|06|1951
460 3578080501082310 3578085010560005 MURTI TULUNGAGUNG 10|10|1956
461 3578082901090014 3505135307830002 SRI WAHYUNI BLITAR 13|07|1983
462 3578082901090014 3578082702830004 DARMAWAN SURABAYA 27|02|1983
463 3578080201082220 3578081006790006 ANTON BAGUS ANDRIANTO TULUNGAGUNG 10|06|1979
464 3578080201082220 3578086803810001 SARI INDRAWATI SURABAYA 28|03|1981
465 3578080301088352 3578081601510001 SUWITO NGANJUK 16|01|1951
466 3578080301088352 3578086805570006 RULIYANTINI SURABAYA 28|05|1957
467 3578080301088352 3578086604950006 APRILIAMAHARANI SURABAYA 26|04|1995
468 3578082307140010 3578084210850002 SARI TRIWIDYAWATI SURABAYA 02|10|1985
469 3578080401089049 3578080808590005 AGUS SUMARSONO TRENGGALEK 08|08|1959
470 3578080401089049 3578086101640004 SUKARTI SURABAYA 21|01|1964
471 3578080401089049 3578082006650001 SUKIRNO SURABAYA 20|06|1965
472 3578080401089049 3578085012900005 ERNANINGTYAS SURABAYA 10|12|1990
473 3578080401089049 3578084802940004 LUSIANA FEBRIA RIANTI SURABAYA 08|02|1994
474 3578080401120014 3578086806840004 ENI SUSANTI SURABAYA 28|06|1984
475 3578080401120014 3578080107840012 AMIRUDDIN SAMPANG 01|07|1984
476 3578082303100038 3578080101540003 SOEDJIRO BANDUNG 01|01|1954
477 3578080401089049 3578085607990004 MEDIA YULI ASTRI SURABAYA 16|07|1999
478 3578080301085257 3578087006610033 DJUMIATUN MADIUN 30|06|1961
479 3578080401088982 3578086410710001 DEWI FATIMAH MAGETAN 24|10|1971
480 3578080401088982 3578081608700006 IWAN SUKMADI JOMBANG 16|08|1972
4

16|05|1979 39 S L KALIWARON ABC 2/54 3 2 0


13|02|1984 34 S P KALIWARON ABC 2/54 3 2 0
13|03|1981 37 S P KALIWARON ABC 2/56 3 2 0
17|12|1976 41 S L KALIWARON ABC 2/58 3 2 0
01|06|1978 40 S P KALIWARON ABC 2/58 3 2 0
02|05|1969 49 S P KALIWARON ABC 2/6 3 2 0
19|10|1976 41 S L KALIWARON ABC 2/62 3 2 0
13|06|1977 41 S P KALIWARON ABC 2/62 3 2 0
07|07|1943 74 S L KALIWARON ABC 2/62 3 2 0
30|06|1945 72 S P KALIWARON ABC 2/62 3 2 0
02|06|1964 54 B L KALIWARON ABC 2/62 3 2 0
06|09|1971 46 S P KALIWARON ABC 2/62 3 2 0
06|02|1972 46 S L KALIWARON ABC 2/62 3 2 0
21|11|1993 24 B P KALIWARON ABC 2/62 3 2 0
09|06|1997 21 B L KALIWARON ABC 2/62 3 2 0
04|03|1996 22 B L KALIWARON ABC 2/62 3 2 0
21|12|1995 22 B P KALIWARON ABC 2/62 3 2 0
31|01|1965 53 P P KALIWARON ABC 2/64 3 2 0
28|11|1990 27 B L KALIWARON ABC 2/64 3 2 0
28|10|1994 23 B L KALIWARON ABC 2/64 3 2 0
28|10|1996 21 B P KALIWARON ABC 2/64 3 2 0
14|11|1945 72 P P KALIWARON ABC 2/66 3 2 0
21|05|1975 43 S P KALIWARON ABC 2/66 3 2 0
15|12|1971 46 B P KALIWARON ABC 2/66 3 2 0
26|11|1968 49 S L KALIWARON ABC 2/8 3 2 0
04|08|1972 45 S P KALIWARON ABC 2/8 3 2 0
19|08|1983 34 B L KALIWARON ABC 20 3 2 0
30|06|1951 66 S L KALIWARON ABC 3/ 6 3 2 0
10|10|1956 61 S P KALIWARON ABC 3/16 3 2 0
13|07|1983 34 S P KALIWARON ABC 3/16 3 2 0
27|02|1983 35 S L KALIWARON ABC 3/16 3 2 0
10|06|1979 39 S L KALIWARON ABC 3/20 3 2 0
28|03|1981 37 S P KALIWARON ABC 3/20 3 2 0
16|01|1951 67 S L KALIWARON ABC 3/20 3 2 0
28|05|1957 61 S P KALIWARON ABC 3/20 3 2 0
26|04|1995 23 B P KALIWARON ABC 3/20 3 2 0
02|10|1985 32 P P KALIWARON ABC 3/20 3 2 0
08|08|1959 58 S L KALIWARON ABC 3/8 3 2 0
21|01|1964 54 S P KALIWARON ABC 3/8 3 2 0
20|06|1965 53 S L KALIWARON ABC 3/8 3 2 0
10|12|1990 27 B P KALIWARON ABC 3/8 3 2 0
08|02|1994 24 B P KALIWARON ABC 3/8 3 2 0
28|06|1984 33 S P KALIWARON ABC 3/8 3 2 0
01|07|1984 33 S L KALIWARON ABC 3/8 3 2 0
01|01|1954 64 S L KALIWARON ABC 3/8 3 2 0
16|07|1999 18 B P KALIWARON ABC 3/8 3 2 0
30|06|1961 56 S P KALIWARON ABC 5/24 3 2 0
24|10|1971 46 S P KALIWARON ABC-2/20 3 2 0
16|08|1972 45 S L KALIWARON ABC-2/20 3 2 0

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481 3578080401088982 3578081606960003 IMMANUEL REVANA KEDIRI 16|06|1996
482 3578080401088982 3578087007980003 REVINA MARTHALITA SUKMA DEWI SURABAYA 30|07|1998
483 3578080301085257 3578080411550002 SUPARNO HADINOTO NGAWI 04|11|1955
484 3578080301085257 3578080504870002 CATUR BUDI LAKSONO NGAWI 05|04|1987
485 3578080301080513 3578081312330001 SOETRISNO WARDOYO BANTUL 13|12|1933
486 3578080301080513 3578085606400003 SUHARTI YOGYAKARTA 16|06|1940
487 3578080201086510 3578085212480002 SOEPARMI BLITAR 12|12|1948
488 3578080303170018 3578083107740001 NANANG YULI AGUSTIONO SURABAYA 31|07|1974
489 3578081811090008 3578084807860007 PANCA YULI YATI SURABAYA 08|07|1986
490 3578080201087213 3578085506560001 SUNARSIH SURABAYA 15|06|1956
491 3578080201087213 3578080909590003 MASHUDI ARIFIN SURABAYA 09|09|1959
492 3578080201087213 3578086706880001 YUNI PUSPITASARI SURABAYA 27|06|1988
493 3578080201087213 3578080102850002 AGUNG FEBRIANTO WIBOWO, SE SURABAYA 01|02|1985
494 3578081811090005 3578082808710010 BERNARDUS BAMBANG WIDJANARK SURABAYA 28|08|1971
495 3578081811090005 3578081311980002 NAKULA FIRSTIAN WINANDA SURABAYA 13|11|1998
496 3578081811090005 3578081311980003 SADEWA SECHAN WINANDO SURABAYA 13|11|1998
497 3578081811090007 3578085505420001 M.M. SOEWIDJI BLITAR 15|05|1942
498 3578081811090007 3578080906680002 AGUSTINUS WIDJAJANTO OETORO SURABAYA 09|06|1968
499 3578080401082051 3578087006580026 SRIWATI MALANG 30|06|1958
500 3578080401082051 3578083107000005 ARDANI BAGUS SAPUTRA SURABAYA 31|07|2000
501 3578080301084430 3578081012640005 SUTRISNO SURABAYA 10|12|1964
502 3578081908130001 3578214905670001 ASRI MARTINI BANYUWANGI 01|03|1972
503 3578081908130001 3578211804990003 KEVIN APRILLYDO ANGDJADI SURABAYA 18|04|1999
504 3578080401081865 3578085909760004 MIYASARI RANOEWIDJOJO SURABAYA 19|09|1976
505 3578080401081865 3578080909770001 BUDIARTO RANOEWIDJOJO SURABAYA 09|09|1977
506 3578080401081865 3578081602910001 KEVIN RANOEWIDJOJO SURABAYA 16|02|1991
507 3578080301083409 3578086604960001 MICHELLE CAROLINE CHANDRA SURABAYA 26|04|1996
508 3578083112140002 6371025306880007 ANNY LIANA. T BANJARMASIN 13|06|1988
509 3578080101087876 3578081504480001 HARUN MULJONO KUSUMA WLINGI 15|04|1948
510 3578080101087876 3578084204510001 CHRISTINE ROSALINA MANOAH SURABAYA 02|04|1951
511 3578080402160002 3578082103880005 GERSON MARIO SURABAYA 21|03|1988
512 3578080201084722 3578084310760002 ANITA OCTAVIA SURABAYA 03|10|1976
513 3578080401083677 3578085806580002 MEITY JULYANA SURABAYA 18|06|1958
514 3578080902170008 3576016402900003 ELISABET MOJOKERTO 24|02|1990
515 3578080201089888 3578080409480001 PURWOKO SUWANDI SURABAYA 04|09|1948
516 3578080201089888 3578084101510007 FENI BUDIANI S/LIEM GIOK HOEN SURABAYA 01|01|1951
517 3578080201089888 3578087101720002 DJENNY WONSOAMIDJOJO, WONG SURABAYA 31|01|1972
518 3578080201089888 3578080607720003 SURJONO SUWANDI SURABAYA 06|07|1972
519 3578080201089888 3578082008770003 ANDY SUWANDI SURABAYA 20|08|1977
520 3578080201089888 3578084108000001 MAGGIE SUWANDI KOO SURABAYA 01|08|2000
521 3578080201085792 3578084109790004 ERNAWATI ONGKO SURABAYA 01|09|1979
522 3578080201085792 3578085008810004 YENNY ONGKO SURABAYA 10|08|1981
523 3578080301089799 3578080611530001 BUDI SATRIO TETANTO BANGKALAN 06|11|1953
524 3578080101087296 3578084512270002 TJOE KWIE JIEN SURABAYA 05|12|1927
525 3578080301083476 3578087007760002 INNE SETIONO BOJONEGORO 30|07|1976
526 3578080301083476 3578084603800004 IKA SETIONO BOJONEGORO 06|03|1980
527 3578080101087835 3578080704780002 SUWANDI ONGKODJOJO SURABAYA 07|04|1978
528 3578081803160006 3671016212880008 NATALY FLORENCIA PONTIANAK 22|12|1988
529 3578081406100063 3578082112690003 TEDDY PRAJETNO AGUS, SE SURABAYA 21|12|1969
4

16|06|1996 22 B L KALIWARON ABC-2/20 3 2 0


30|07|1998 19 S P KALIWARON ABC-2/20 3 2 0
04|11|1955 62 S L KALIWARON ABC-2/24 3 2 0
05|04|1987 31 S L KALIWARON ABC-2/24 3 2 0
13|12|1933 84 S L KALIWARON ABC-2/26 3 2 0
16|06|1940 78 S P KALIWARON ABC-2/26 3 2 0
12|12|1948 69 P P KALIWARON GANG ABC 2/58 3 2 0
31|07|1974 43 B L KALIWARON GANG ABC 2/58 3 2 0
08|07|1986 31 B P KALIWARON GG 4/57 3 2 0
15|06|1956 62 S P KALIWARON NO. 78 B 3 2 0
09|09|1959 58 S L KALIWARON NO. 78 B 3 2 0
27|06|1988 30 B P KALIWARON NO. 78 B 3 2 0
01|02|1985 33 B L KALIWARON NO. 78 B 3 2 0
28|08|1971 46 S L KALIWARON NO.298 3 2 0
13|11|1998 19 S L KALIWARON NO.298 3 2 0
13|11|1998 19 S L KALIWARON NO.298 3 2 0
15|05|1942 76 P P KALIWARON NO.298 3 2 0
09|06|1968 50 B L KALIWARON NO.298 3 2 0
30|06|1958 59 S P KEDUNG PENGKOL 1/22 3 2 0
31|07|2000 17 B L KEDUNG PENGKOL 1/22 3 2 0
10|12|1964 53 P L MOJOKLANGGRU LOR BARU 4/ 3 2 0
01|03|1972 46 P P DARMAHUSADA UTARA AA/6 4 2 0
18|04|1999 19 B L DARMAHUSADA UTARA AA/6 4 2 0
19|09|1976 41 B P DHARMA HUSADA UTARA AA/ 5 4 2 0
09|09|1977 40 B L DHARMA HUSADA UTARA AA/ 5 4 2 0
16|02|1991 27 B L DHARMA HUSADA UTARA AA/ 5 4 2 0
26|04|1996 22 B P DHARMA HUSADA UTARA AA/8 4 2 0
13|06|1988 30 B P DHARMAHUSADA UTARA 10/4 4 2 0
15|04|1948 70 S L DHARMAHUSADA UTARA 10/8 4 2 0
02|04|1951 67 S P DHARMAHUSADA UTARA 10/8 4 2 0
21|03|1988 30 B L DHARMAHUSADA UTARA 10/8 4 2 0
03|10|1976 41 S P DHARMAHUSADA UTARA 2/20 4 2 0
18|06|1958 60 S P DHARMAHUSADA UTARA 2/6 4 2 0
24|02|1990 28 B P DHARMAHUSADA UTARA 2/6 4 2 0
04|09|1948 69 S L DHARMAHUSADA UTARA 3/33 4 2 0
01|01|1951 67 S P DHARMAHUSADA UTARA 3/33 4 2 0
31|01|1972 46 S P DHARMAHUSADA UTARA 3/33 4 2 0
06|07|1972 45 S L DHARMAHUSADA UTARA 3/33 4 2 0
20|08|1977 40 S L DHARMAHUSADA UTARA 3/33 4 2 0
01|08|2000 17 B P DHARMAHUSADA UTARA 3/33 4 2 0
01|09|1979 38 B P DHARMAHUSADA UTARA 4/ 4 2 0
10|08|1981 36 B P DHARMAHUSADA UTARA 4/ 4 2 0
06|11|1953 64 S L DHARMAHUSADA UTARA 4/ 0 4 2 0
05|12|1927 90 P P DHARMAHUSADA UTARA 4/ 5 4 2 0
30|07|1976 41 S P DHARMAHUSADA UTARA 4/08 4 2 0
06|03|1980 38 S P DHARMAHUSADA UTARA 4/08 4 2 0
07|04|1978 40 S L DHARMAHUSADA UTARA 4/1 4 2 0
22|12|1988 29 B P DHARMAHUSADA UTARA 4/10 4 2 0
21|12|1969 48 S L DHARMAHUSADA UTARA 4/12 4 2 0

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530 3578081406100063 3578082305010002 BRYAN EDBERT SURABAYA 23|05|2001
531 3578080301086629 3578081003470002 SOESANTO PRAYOGO SURABAYA 10|03|1947
532 3578080301086629 3578085001550004 LIOE LIP YOENG SURABAYA 10|01|1955
533 3578080401080222 3578087006150007 LIEM GIOK YAN R.R.C. 30|06|1915
534 3578080301088806 3578082108590002 SOETRISNO SOEWITO TIRTO SURABAYA 21|08|1959
535 3578080301088806 3578086810590003 LIEM KIOK LIE JAKARTA 28|10|1959
536 3578080301088806 3578081808890001 AGUSTINUS JAKARTA 18|08|1989
537 3578080301088806 3578085207910001 JULIA JAKARTA 12|07|1991
538 3578080201089116 3578085401590001 TJOA, SIAUW TJUEN,AL YUNITA K KOSONG 14|01|1959
539 3578080201089117 3578081801330001 JOSMANTO UNTUNG BANYUWANGI 18|01|1933
540 3578081901150002 3578085806750001 MARY ANN CLEMENTE DE MESA MANILA 18|06|1975
541 3578081901150002 3578086204950002 SHERRY LYNE DJAJADIBRATA SURABAYA 22|04|1995
542 3578080301080944 3578081805510001 FATH FRANKY NGANTUNG MANADO 18|05|1951
543 3578080301080944 3578085210560002 DWIYANA IMOEK SAMARINDA 12|10|1956
544 3578080301080944 3578086207880004 ANABELLA MARIA NGANTUNG SURABAYA 22|07|1988
545 3578080201088688 3578082510430001 HADI SOESANTO KEDIRI 25|10|1943
546 3578081809140003 3578087011520001 LIANAWATI SOESANTO SURABAYA 30|11|1952
547 3578081809140003 3578083005830001 WENDI RACHMAN SUSANTO SURABAYA 30|05|1983
548 3578081809140003 3578081305850003 IRVAN RACHMAN SUSANTO SURABAYA 13|05|1985
549 3578081809140003 3578080606880002 YONAS RACHMAN SUSANTO SURABAYA 06|06|1988
550 3578080301088468 3578081603880005 HANDRY TANUJAYA SURABAYA 16|03|1988
551 3578080301086198 3578080703440001 BAMBANG LOWANTO SURABAYA 07|03|1944
552 3578080301086860 3578082112000005 JONATHAN WIJONO SURABAYA 21|12|2000
553 3578220502090008 3578226903010003 KURNIA PUTRI ANANDA JAMBI 29|03|2001
554 3578080301086406 3578086009640001 JETTY PALEMBANG 20|09|1964
555 3578080301086406 3578082405880005 YERIECO STEVANUS,OEY JAKARTA 24|05|1988
556 3578080301086406 3578081409890004 THOMAS LEXANDER, OEY JAKARTA 14|09|1989
557 3578080301086406 3578086306970001 VIOLITA BEBY PRISCILLA,OEY SURABAYA 23|06|1997
558 3578070101084456 3578071411760001 WAYUDI SOEWANDI SURABAYA 14|11|1976
559 3578070201083231 3578075008430001 INDRAWATI MALANG 10|08|1943
560 3578070201083231 3578070112430002 SOEWANDI UJUNG PANDANG 01|12|1943
561 3578070201083231 3578074511800002 GO, RATNAWATI SURABAYA 05|11|1980
562 3578070201083231 3578070409000001 KEVIN ANANDA JAYADI SURABAYA 04|09|2000
563 3578080201088751 3578082808680004 AWEN HARSONO,SIAUW BANYUWANGI 28|08|1968
564 3578080201088751 3578086309950005 CRISLITA SEPTAVIOLA HARSONO BANYUWANGI 23|09|1995
565 3578081202130010 3578081610880002 HENRY ONGKO SURABAYA 16|10|1988
566 3578080301088499 3578081211260001 HAMDI GAFFAR, IR. BANJARMASIN 12|11|1926
567 3578080810120008 3578086110400001 HERLINA GAFFAR BARABAI 21|10|1940
568 3578080810120008 3578081510930001 ALIFFERDI RAHMAN WIYONO SURABAYA 15|10|1993
569 3578080401089557 3578081611440001 BAGONG BUDI HARTONO SURABAYA 16|11|1944
570 3578080401088276 3578085509500002 SRI KARTIKA SARI ATAU LO SIOE HE EKOSONG 15|09|1950
571 3578081803090009 3578083112720008 WAHJU SETIONO SURABAYA 31|12|1972
572 3578081803090009 3578084605750009 ANNIE CEMARA SARI SURABAYA 06|05|1975
573 3578081803090009 3578082809000004 PHILIPPE THOMPSON TJENTANUKU SSURABAYA 28|09|2000
574 3578080201083894 3578086507810002 SOFIE SARI DEWI SURABAYA 25|07|1981
575 3578080301083405 3578080602540003 HUDIANTO SARONGKU/HANG NAM H POSO 06|02|1954
576 3578080301084916 3578081810700003 TEMMY HARIJANTO TEGUH MALANG 18|10|1970
577 3578080301084916 3578082410000005 DAVID FREEMAN THE SURABAYA 24|10|2000
578 3578080909130003 3578080411650005 QUETLY MIGDAD, SH PAMEKASAN 04|11|1965
4

23|05|2001 17 B L DHARMAHUSADA UTARA 4/12 4 2 0


10|03|1947 71 S L DHARMAHUSADA UTARA 4/15 4 2 0
10|01|1955 63 S P DHARMAHUSADA UTARA 4/15 4 2 0
30|06|1915 102 P P DHARMAHUSADA UTARA 4/2 4 2 0
21|08|1959 58 S L DHARMAHUSADA UTARA 4/23 4 2 0
28|10|1959 58 S P DHARMAHUSADA UTARA 4/23 4 2 0
18|08|1989 28 B L DHARMAHUSADA UTARA 4/23 4 2 0
12|07|1991 26 B P DHARMAHUSADA UTARA 4/23 4 2 0
14|01|1959 59 S P DHARMAHUSADA UTARA 4/24 4 2 0
18|01|1933 85 S L DHARMAHUSADA UTARA 4/24 4 2 0
18|06|1975 43 S P DHARMAHUSADA UTARA 4/25 4 2 0
22|04|1995 23 S P DHARMAHUSADA UTARA 4/25 4 2 0
18|05|1951 67 S L DHARMAHUSADA UTARA 4/7 4 2 0
12|10|1956 61 S P DHARMAHUSADA UTARA 4/7 4 2 0
22|07|1988 29 S P DHARMAHUSADA UTARA 4/7 4 2 0
25|10|1943 74 S L DHARMAHUSADA UTARA 7/23 4 2 0
30|11|1952 65 S P DHARMAHUSADA UTARA 7/23 4 2 0
30|05|1983 35 S L DHARMAHUSADA UTARA 7/23 4 2 0
13|05|1985 33 S L DHARMAHUSADA UTARA 7/23 4 2 0
06|06|1988 30 S L DHARMAHUSADA UTARA 7/23 4 2 0
16|03|1988 30 B L DHARMAHUSADA UTARA AA / 28 4 2 0
07|03|1944 74 S L DHARMAHUSADA UTARA AA/16 4 2 0
21|12|2000 17 B L DHARMAHUSADA UTARA AA/22 4 2 0
29|03|2001 17 B P DHARMAHUSADA UTARA AA/27 4 2 0
20|09|1964 53 S P DHARMAHUSADA UTARA AA/6 4 2 0
24|05|1988 30 B L DHARMAHUSADA UTARA AA/6 4 2 0
14|09|1989 28 B L DHARMAHUSADA UTARA AA/6 4 2 0
23|06|1997 21 B P DHARMAHUSADA UTARA AA/6 4 2 0
14|11|1976 41 S L DHARMAHUSADA UTARA AA/9 4 2 0
10|08|1943 74 S P DHARMAHUSADA UTARA AA/9 4 2 0
01|12|1943 74 S L DHARMAHUSADA UTARA AA/9 4 2 0
05|11|1980 37 S P DHARMAHUSADA UTARA AA/9 4 2 0
04|09|2000 17 B L DHARMAHUSADA UTARA AA/9 4 2 0
28|08|1968 49 S L DHARMAHUSADA UTARA AA-5 4 2 0
23|09|1995 22 B P DHARMAHUSADA UTARA AA-5 4 2 0
16|10|1988 29 B L DHARMAHUSADA UTARA V AA 1-2 4 2 0
12|11|1926 91 S L TAMAN DHARMAHUSADA UTARA 4 4 2 0
21|10|1940 77 S P TAMAN DHARMAHUSADA UTARA 4 4 2 0
15|10|1993 24 S L TAMAN DHARMAHUSADA UTARA 4 4 2 0
16|11|1944 73 S L DHARMAHUSADA UTARA 10 7 2 0
15|09|1950 67 S P DHARMAHUSADA UTARA 15 7 2 0
31|12|1972 45 S L DHARMAHUSADA UTARA 15 7 2 0
06|05|1975 43 S P DHARMAHUSADA UTARA 15 7 2 0
28|09|2000 17 B L DHARMAHUSADA UTARA 15 7 2 0
25|07|1981 36 B P DHARMAHUSADA UTARA 18 7 2 0
06|02|1954 64 B L DHARMAHUSADA UTARA 2 7 2 0
18|10|1970 47 B L DHARMAHUSADA UTARA 2 7 2 0
24|10|2000 17 B L DHARMAHUSADA UTARA 2 7 2 0
04|11|1965 52 S L DHARMAHUSADA UTARA 2/4 7 2 0

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579 3578080909130003 3578087006800014 SAMIRAH BOGOR
580 3578081809140009 3578101911550001 HENGKY CHANDRA SURABAYA
581 3578081809140009 3578105608660002 TJHIE YOE YONG SURABAYA
582 3578081809140009 3578105109930003 ANITA SEPTIANE CHANDRA SURABAYA
583 3578081809140009 3578102001000003 YONGKI CHANDRA SURABAYA
584 3578082912120001 3573056603800004 LESY MARTINI MALANG
585 3578080301084737 3578080302510003 HENDRA GUNAWAN KOTA BARU
586 3578080301084737 3578087105590004 LILIK SOETARMIJATI SURABAYA
587 3578080301084737 3578085411820004 ELISABETH PRIMAVERA SURABAYA
588 3578080101082597 3578086701800002 IKA RURIANA MALANG
589 3578080201089409 3578084812760004 CINDRAWATI SURABAYA
590 3578080201089409 3578084204810004 FERLIN WIJAYA SURABAYA
591 3578080212140007 3578081106870002 HANSEN KURNIAWAN SURABAYA
592 3578261703110003 3578025412880002 SAGITA DINA WINATA SURABAYA
593 3578083108160013 3575017108770001 AGUSTINA PASURUAN
594 3578083108160013 3575021102770001 FERRY TANUWIJAYA SURABAYA
595 3578081501130001 3578064404810006 LYDIA SURABAYA
596 3578080301081154 3578081705620003 DAVID TJUGITO,TJOE SURABAYA
597 3578080401080615 3578080805990001 ANDREW HAUWANTO IRAWAN SURABAYA
598 3578080401080615 3578082610000004 RYAN HAUWANTO IRAWAN SURABAYA
599 3578081908090005 3578080702780002 HARY WIJAYA AGUSALIM SURABAYA
600 3578080201084959 3578081508970003 BONAVENTURA KEVIN GUNAWAN SURABAYA
601 3578080201084959 3578086203000004 MARGARETHA AGNES GUNAWAN SURABAYA

Ketera Keterangan Disabilitas : Keterangan Status


Pemilih 1 : Tuna Daksa B : Belum Kawin
Pemilih 2: Tuna Netra S : Kawin
3: Tuna Rungu/Wicara P : Pernah Kawin
Jumlah 4: Tuna Grahita
Jumlah 5: Disabilitas lainnya
Jumlah
Jumlah
Jumlah
4

30|06|1980 37 S P DHARMAHUSADA UTARA 2/4 7 2 0


19|11|1955 62 S L DHARMAHUSADA UTARA 20 7 2 0
16|08|1966 51 S P DHARMAHUSADA UTARA 20 7 2 0
11|09|1993 24 B P DHARMAHUSADA UTARA 20 7 2 0
20|01|2000 18 B L DHARMAHUSADA UTARA 20 7 2 0
26|03|1980 38 S P DHARMAHUSADA UTARA 21 7 2 0
03|02|1951 67 S L DHARMAHUSADA UTARA 23 7 2 0
31|05|1959 59 S P DHARMAHUSADA UTARA 23 7 2 0
14|11|1982 35 B P DHARMAHUSADA UTARA 23 7 2 0
27|01|1980 38 B P DHARMAHUSADA UTARA 26 7 2 0
08|12|1976 41 B P DHARMAHUSADA UTARA 3/38-A 7 2 0
02|04|1981 37 B P DHARMAHUSADA UTARA 3/38-A 7 2 0
11|06|1987 31 B L DHARMAHUSADA UTARA 32 7 2 0
14|12|1988 29 B P DHARMAHUSADA UTARA 39 7 2 0
31|08|1977 40 S P DHARMAHUSADA UTARA 40-A 7 2 0
11|02|1977 41 P L DHARMAHUSADA UTARA 40-A 7 2 0
04|04|1981 37 B P DHARMAHUSADA UTARA 5 7 2 0
17|05|1962 56 S L DHARMAHUSADA UTARA 6 7 2 0
08|05|1999 19 B L DHARMAHUSADA UTARA 8 7 2 0
26|10|2000 17 B L DHARMAHUSADA UTARA 8 7 2 0
07|02|1978 40 B L DHARMAHUSADA UTARA 9 7 2 0
15|08|1997 20 B L RAYA DHARMAHUSADA UTARA 11 7 2 0
22|03|2000 18 B P RAYA DHARMAHUSADA UTARA 11 7 2 0

*) Keterang Ditetapkan di ………………., Tanggal, …………,


U: Ubah da5: Tidak Di10: Bukan
1: Meningg6: TNI 11: belum
2:Ganda 7: Polri 12: belum
3:Dibawah8: Hilang in
4: Pindah D9: Hak Pilih

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i ………………., Tanggal, …………, ………


DAFTAR PEMILIH
PEMILIHAN GUBERNUR DAN WAKIL GUBERN
TAHUN 2018

Provinsi : JAWA TIMUR


Kabupaten/Kota : KOTA SURABAYA

No No KK NIK Nama Tempat Lahir

1 2 3 4 5
1 3578080201089458 3578083006590021 BOEDIONO MALANG
2 3578080201089458 3578086309600004 NURMIATI SURABAYA
3 3578080201089458 3578082704820002 JOKO WAHYU MULYONO SURABAYA
4 3578080301080703 3578080112640004 EKO TEGUH SUYANTO SURABAYA
5 3578080301080703 3578081412960001 AGUNG MAHENDRA SURABAYA
6 3578080501081835 3578081204680012 SUTARI NGANJUK
7 3578080501081835 3578085207700005 IWAN NOERHAYATI SURABAYA
8 3578080501083197 3578086906400050 MUNDJIYAH SURABAYA
9 3578080301089625 3578085312650001 RUSMINI SURABAYA
10 3578080301089625 3578081003650001 SUYONO SURABAYA
11 3578080301089625 3578085601960001 DWI MIA AYU LESTARI SURABAYA
12 3578080401081846 3578081408680003 AGUS MULJADI SURABAYA
13 3578080401081846 3578084108920002 MARIA ULFA MALANG
14 3578080101087078 3578080306520002 MATARUH SURABAYA
15 3578080201082083 3578081410720006 AGUNG WAHYONO SURABAYA
16 3578082303090023 3578081511790004 WASONO MALANG
17 3578082303090023 3578086803850002 ASMINI ARTI SURABAYA
18 3578082306150001 3578082006300001 JASIR SURABAYA
19 3578080201087936 3578081508280003 SOEPADI MALANG
20 3578080201087936 3578085501660001 ESTUNING ANGGRAINI SURABAYA
21 3578080201087936 3578081907950001 HANDY PRASTYA SURABAYA
22 3578080401080412 3578085002590001 SUBIJAH SAMPANG
23 3578080401080412 3578080301730008 MOCH. AMIN SURABAYA
24 3578080503120034 3578104909760006 MASRUROH SURABAYA
25 3578080101083812 3578080110690004 AGUS TJAHJONO SURABAYA
26 3578080101083812 3578086006770002 YUNI RETNOWATI BLITAR
27 3578083001090016 3578085408740006 WAHYU WIDAYANTI SURABAYA
28 3578080101089641 3578081106800005 HASYIM SAMPANG
29 3578080101081521 3578084905830005 HOYYIBAH SAMPANG
30 3578082003140019 3578084809640002 NANIK KISWATI LAMONGAN
31 3578080101089840 3578081205780006 YUSUP ARIFIN SURABAYA
32 3578080101089840 3578085808800004 PRISNAWATI BLITAR
33 3578080501083177 3578086107710008 SRI YULIANTI MALANG
34 3578080501083177 3578082101940001 RIYANTO SURABAYA
35 3578082309150020 3578085109800004 IDA MARIJANI SURABAYA
36 3578082405100032 3578083112710005 IMAM LESTARI SURABAYA
37 3578083010120010 3578080803880002 ADHEK CHRISTIAN SURABAYA
5

A-KWK
TAR PEMILIH
ILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TIMUR
UN 2018

Kecamatan : GUBENG
Desa/Kelurahan : MOJO
TPS : 005
Tanggal Lahir Usia Alamat Disabilitas
Jalan/Dukuh Rt Rw
6 7 8 9 10 11 12 13
30|06|1959 58 S L KARANG GAYAM WETAN 1/1 2 2 0
23|09|1960 57 S P KARANG GAYAM WETAN 1/1 2 2 0
27|04|1982 36 B L KARANG GAYAM WETAN 1/1 2 2 0
01|12|1964 53 S L KARANG GAYAM WETAN 1/1 2 2 0
14|12|1996 21 B L KARANG GAYAM WETAN 1/1 2 2 0
12|04|1968 50 S L KARANG GAYAM WETAN 1/10 2 2 0
12|07|1970 47 S P KARANG GAYAM WETAN 1/10 2 2 0
29|06|1940 77 S P KARANG GAYAM WETAN 1/10 2 2 0
13|12|1965 52 S P KARANG GAYAM WETAN 1/10-A 2 2 0
10|03|1965 53 S L KARANG GAYAM WETAN 1/10-A 2 2 0
16|01|1996 22 S P KARANG GAYAM WETAN 1/10-A 2 2 0
14|08|1968 49 S L KARANG GAYAM WETAN 1/11 2 2 0
01|08|1992 25 S P KARANG GAYAM WETAN 1/11 2 2 0
03|06|1952 66 S L KARANG GAYAM WETAN 1/12 2 2 0
14|10|1972 45 S L KARANG GAYAM WETAN 1/14 2 2 0
15|11|1979 38 S L KARANG GAYAM WETAN 1/14 2 2 0
28|03|1985 33 S P KARANG GAYAM WETAN 1/14 2 2 0
20|06|1930 88 P L KARANG GAYAM WETAN 1/14 2 2 0
15|08|1928 89 P L KARANG GAYAM WETAN 1/17 2 2 0
15|01|1966 52 S P KARANG GAYAM WETAN 1/17 2 2 0
19|07|1995 22 S L KARANG GAYAM WETAN 1/17 2 2 0
10|02|1959 59 S P KARANG GAYAM WETAN 1/17 2 2 0
03|01|1973 45 S L KARANG GAYAM WETAN 1/17 2 2 0
09|09|1976 41 S P KARANG GAYAM WETAN 1/18 2 2 0
01|10|1969 48 S L KARANG GAYAM WETAN 1/2 2 2 0
20|06|1977 41 S P KARANG GAYAM WETAN 1/2 2 2 0
14|08|1974 43 S P KARANG GAYAM WETAN 1/2 2 2 0
11|06|1980 38 S L KARANG GAYAM WETAN 1/21 2 2 0
09|05|1983 35 S P KARANG GAYAM WETAN 1/23 2 2 0
08|09|1964 53 P P KARANG GAYAM WETAN 1/23 2 2 0
12|05|1978 40 S L KARANG GAYAM WETAN 1/24 2 2 0
18|08|1980 37 S P KARANG GAYAM WETAN 1/24 2 2 0
21|07|1971 46 S P KARANG GAYAM WETAN 1/24 2 2 0
21|01|1994 24 S L KARANG GAYAM WETAN 1/24 2 2 0
11|09|1980 37 S P KARANG GAYAM WETAN 1/26 2 2 0
31|12|1971 46 S L KARANG GAYAM WETAN 1/26 2 2 0
08|03|1988 30 S L KARANG GAYAM WETAN 1/26 2 2 0

Page 45
Keterangan *)

14
38 3578080101086545 3578083006540021 BUNINGRAT SAMPANG 30|06|1954
39 3578080301082457 3578086412910001 KHOTIJAH SURABAYA 24|12|1991
40 3578080101081037 3578082403660001 RUDY HERMANTO SURABAYA 24|03|1966
41 3578080107110083 3578062304820004 RIZAL AGUNG NUGROHO SURABAYA 23|04|1982
42 3578082107140021 3578081811890003 RACHMAD AGUNG SURABAYA 18|11|1989
43 3578060601081243 3578062111680003 ACHMAD NUR SURABAYA 21|11|1968
44 3578080501083196 3578082102620002 PRIYONO MADIUN 21|02|1962
45 3578080501083196 3578081311900003 YUSUF WARDOYO SURABAYA 13|11|1990
46 3578080101086537 3578080309790001 RIO CHANDRA ADITYA SALATIGA 03|09|1979
47 3578080201083520 3578081303460001 ARBAIN MALANG 13|03|1946
48 3578080310120012 3578081312800002 SUDARWANTO SURABAYA 13|12|1980
49 3578080101089332 3578087005550001 CHOSNIYAH SURABAYA 30|05|1955
50 3578082101090003 3578082804790003 WAHYUDI CHUSIAWAN SURABAYA 28|04|1979
51 3578080310160026 3578080301710004 SUKALI SURABAYA 03|01|1971
52 3578080401084378 3578087006560036 DJUARIJAH PAMEKASAN 30|06|1956
53 3578080401086685 3578080508690003 AGUS DWI ATMO NUGROHO SURABAYA 05|08|1969
54 3578080401086685 3578085607790003 SITI FAUSIN SURABAYA 16|07|1979
55 3578080501083234 3578080310650001 DJUMADI SURABAYA 03|10|1965
56 3578080501083234 3578080604910004 MOCHAMAD FAUZI SURABAYA 06|04|1991
57 3578080501083234 3578086111980001 NOVIANTI SURABAYA 21|11|1998
58 3578082204160009 3578086805960002 YULINDA SURABAYA 28|05|1996
59 3578080501083134 3578083004610002 SAMAN SURABAYA 30|04|1961
60 3578080501083134 3578085107670002 SITUM KLATEN 11|07|1967
61 3578080501083134 3578080107900002 PRAMBUDI PRASTYO SURABAYA 01|07|1990
62 3578080101082402 3578082906590002 JUHERI SAMPANG 29|06|1959
63 3578080101082402 3578087006600048 HAMIMAH SAMPANG 30|06|1960
64 3578080501083829 3578081210690003 TRI SUGENG WIDODO SURABAYA 12|10|1969
65 3578080501083829 3578086402750003 SUMIATIN SURABAYA 24|02|1975
66 3578080201080474 3578082103760002 GAGUK GUNARWANTO SURABAYA 21|03|1976
67 3578081806090013 3578084211550002 RODIYAH SAMPANG 02|11|1955
68 3578081806090013 3578081607930003 YUNUS SAMPANG 16|07|1993
69 3578080406130003 3578075606870001 SULIKA MALANG 16|06|1987
70 3578080501082582 3578086906640032 DAMI MOJOKERTO 29|06|1964
71 3578080501082582 3578082811860001 AGUS HERWANTO SURABAYA 28|11|1986
72 3578080101087312 3578081004730004 SUBEIRI SAMPANG 10|04|1973
73 3578080101087312 3578085303780002 NOER HAYANI SURABAYA 13|03|1978
74 3578080101087367 3578085808650005 SUMILAH SAMPANG 18|08|1965
75 3578082703150002 3578081101870002 WALUYO NUGROHO SURABAYA 11|01|1987
76 3578082703150002 3578085306960002 YUNI ATINING TYAS SURABAYA 13|06|1996
77 3578081805110060 3578080703710009 MURI SAMPANG 07|03|1971
78 3578081805110060 3578086001730002 TONI SAMPANG 20|01|1973
79 3578080101087821 3578080603720005 ISMAIL SAMPANG 06|03|1972
80 3578080101087821 3578085007740001 FATMAWATI SAMPANG 10|07|1974
81 3578080301086289 3578081706510003 RASIMIN BLITAR 17|06|1951
82 3578080301086289 3578080511850004 SUGENG HARTANTO SURABAYA 05|11|1985
83 3578080101088713 3578085608840001 SITI ROKAYAH SURABAYA 16|08|1984
84 3578080101088713 3578081310980004 FATHUR ROZAK SURABAYA 13|10|1998
5

30|06|1954 63 P L KARANG GAYAM WETAN 1/27 2 2 0


24|12|1991 26 B P KARANG GAYAM WETAN 1/27 2 2 0
24|03|1966 52 S L KARANG GAYAM WETAN 1/29 2 2 0
23|04|1982 36 S L KARANG GAYAM WETAN 1/29 2 2 0
18|11|1989 28 B L KARANG GAYAM WETAN 1/29 2 2 0
21|11|1968 49 S L KARANG GAYAM WETAN 1/3 2 2 0
21|02|1962 56 S L KARANG GAYAM WETAN 1/30 2 2 0
13|11|1990 27 B L KARANG GAYAM WETAN 1/30 2 2 0
03|09|1979 38 S L KARANG GAYAM WETAN 1/34 2 2 0
13|03|1946 72 S L KARANG GAYAM WETAN 1/34 2 2 0
13|12|1980 37 S L KARANG GAYAM WETAN 1/34 2 2 0
30|05|1955 63 P P KARANG GAYAM WETAN 1/4-A 2 2 0
28|04|1979 39 S L KARANG GAYAM WETAN 1/4-A 2 2 0
03|01|1971 47 S L KARANG GAYAM WETAN 1/4-B 2 2 0
30|06|1956 61 S P KARANG GAYAM WETAN 1-A/12 2 2 0
05|08|1969 48 S L KARANG GAYAM WETAN 1-A/12 2 2 0
16|07|1979 38 S P KARANG GAYAM WETAN 1-A/12 2 2 0
03|10|1965 52 S L KARANG GAYAM WETAN 1-A/14 2 2 0
06|04|1991 27 B L KARANG GAYAM WETAN 1-A/14 2 2 0
21|11|1998 19 B P KARANG GAYAM WETAN 1-A/14 2 2 0
28|05|1996 22 B P KARANG GAYAM WETAN 1-A/15 2 2 0
30|04|1961 57 S L KARANG GAYAM WETAN 1-A/16 2 2 0
11|07|1967 50 S P KARANG GAYAM WETAN 1-A/16 2 2 0
01|07|1990 27 B L KARANG GAYAM WETAN 1-A/16 2 2 0
29|06|1959 58 S L KARANG GAYAM WETAN 1-A/17 2 2 0
30|06|1960 57 S P KARANG GAYAM WETAN 1-A/17 2 2 0
12|10|1969 48 S L KARANG GAYAM WETAN 1-A/18 2 2 0
24|02|1975 43 S P KARANG GAYAM WETAN 1-A/18 2 2 0
21|03|1976 42 S L KARANG GAYAM WETAN 1-A/2 2 2 0
02|11|1955 62 S P KARANG GAYAM WETAN 1-A/21 2 2 0
16|07|1993 24 S L KARANG GAYAM WETAN 1-A/21 2 2 0
16|06|1987 31 S P KARANG GAYAM WETAN 1-A/25 2 2 0
29|06|1964 53 S P KARANG GAYAM WETAN 1-A/25 2 2 0
28|11|1986 31 B L KARANG GAYAM WETAN 1-A/25 2 2 0
10|04|1973 45 S L KARANG GAYAM WETAN 1A/5 2 2 0
13|03|1978 40 S P KARANG GAYAM WETAN 1A/5 2 2 0
18|08|1965 52 P P KARANG GAYAM WETAN 1-A/7 2 2 0
11|01|1987 31 B L KARANG GAYAM WETAN 1-A/8 2 2 0
13|06|1996 22 B P KARANG GAYAM WETAN 1-A/8 2 2 0
07|03|1971 47 S L KARANG GAYAM WETAN 1-A/9 2 2 0
20|01|1973 45 S P KARANG GAYAM WETAN 1-A/9 2 2 0
06|03|1972 46 S L KARANG GAYAM WETAN 1-B/14 2 2 0
10|07|1974 43 S P KARANG GAYAM WETAN 1-B/14 2 2 0
17|06|1951 67 S L KARANG GAYAM WETAN 1-B/20 2 2 0
05|11|1985 32 B L KARANG GAYAM WETAN 1-B/20 2 2 0
16|08|1984 33 S P KARANG GAYAM WETAN 1-B/6 2 2 0
13|10|1998 19 B L KARANG GAYAM WETAN 1-B/6 2 2 0

Page 46
85 3578080101088714 3578087006690009 SUTIRAH SAMPANG 30|06|1969
86 3578080101088714 3578086107880002 SITI HALIMA SURABAYA 21|07|1988
87 3578080704150010 3578081810920002 ABD. HARIS SURABAYA 18|10|1992
88 3578080101087809 3578083006740015 SLAMET SAMPANG 30|06|1974
89 3578080101087809 3578085003790001 MURTI SAMPANG 10|03|1979
90 3578082302160008 3578084502840001 SAIMAH SAMPANG 05|02|1984
91 3578081206090003 3578081407740004 SAMSUDI JOMBANG 14|07|1974
92 3578082701090011 3578080407760003 SUKRI SURABAYA 04|07|1976
93 3578082701090011 3578086809800005 SUSWATI JEMBER 28|09|1980
94 3578082204140005 3578155808870001 SUNDARI SURABAYA 18|08|1987
95 3578080101089912 3578085605780005 SUPIYAH SAMPANG 16|05|1978
96 3578080101081875 3578087006530054 ROKAJAH SAMPANG 30|06|1953
97 3578081603160001 3578081910970001 MOCHAMAD TAUFIK SURABAYA 19|10|1997
98 3578080501083235 3578081802610004 HARI WAHYUDI SURABAYA 18|02|1961
99 3578080501083235 3578085907650001 YULIATI LAWANG 19|07|1965
100 3578080501083235 3578082910970002 ACHMAD HANAFI SURABAYA 29|10|1997
101 3578080401089104 3578080704610001 WIDJIONO SURABAYA 07|04|1961
102 3578080401089104 3578086303660002 SUJATI SURABAYA 23|03|1966
103 3578080401089104 3578084211940002 ZULFA EKA WIDYA NOVIANTI SURABAYA 02|11|1994
104 3578080401089104 3578084203960004 RIZKA DWI WIDYA PUTRI SURABAYA 02|03|1996
105 3578080201084857 3578080804800001 SAMSURI SURABAYA 08|04|1980
106 3578080201084857 3578085303840001 ANJAR WIDIYATI SURABAYA 13|03|1984
107 3578080401088119 3578084605850005 SITI FATIMAH SURABAYA 06|05|1985
108 3578080112110029 3578081207850002 ANAS SUHENDRO SURABAYA 12|07|1985
109 3578080501080872 3578086806580004 KASANAH TULUNGAGUNG 28|06|1958
110 3578082808090001 3578080803740009 SULASDI TRENGGALEK 08|03|1974
111 3578082808090001 3578085201830005 NOFITRI ARIANI SURABAYA 12|01|1983
112 3578080201083153 3578080705810003 KHOIRIYADI SAMPANG 07|05|1981
113 3578100501084407 3578105006600014 MISNATI SAMPANG 10|06|1960
114 3578100501084407 3578104806910002 HERNI SURABAYA 08|06|1991
115 3578100501084407 3578104208940003 MARHANAH SURABAYA 02|08|1994
116 3578080201081801 3578080508760004 SUDI HIDAYAT SAMPANG 05|08|1976
117 3578080201081801 3578086211860003 KHOMSATUN SAMPANG 22|11|1986
118 3578081101100058 3578082707750003 IWAN SAPUTRA SURABAYA 27|07|1975
119 3578080401082888 3578080911640003 KASTURI SURABAYA 09|11|1964
120 3578080401082888 3578085405690003 SITI MUSLIKATUN BANYUWANGI 14|05|1969
121 3578080101089319 3578081408700005 AGUS SISWOJO SURABAYA 14|08|1970
122 3578080101089319 3578085408720006 SUKIRAH MAGETAN 14|08|1972
123 3578080501082780 3578082209670003 SUWADJI SURABAYA 22|09|1967
124 3578080501082780 3578086610700002 PAINI SURABAYA 26|10|1970
125 3578080501082780 3578081306930001 SLAMET ARIFIN SURABAYA 13|06|1993
126 3578080201088649 3578085511950002 NOVITA JULIONO SURABAYA 15|11|1995
127 3578080301086414 3578086201610001 YATI MUNAWAROH SURABAYA 22|01|1961
128 3578080808140014 3578080506680001 DJUNIANSYAH SURABAYA 05|06|1968
129 3578080810130007 3578086304960003 KARTIKA DWI RAHAYU SURABAYA 23|04|1996
130 3578083101090001 3578082603780007 CHOIRUL LUTHFI SURABAYA 26|03|1978
131 3578080401087129 3578080511550002 MARIYONO SURABAYA 05|11|1955
5

30|06|1969 48 B P KARANG GAYAM WETAN 1-B/6 2 2 0


21|07|1988 29 B P KARANG GAYAM WETAN 1-B/6 2 2 0
18|10|1992 25 B L KARANG GAYAM WETAN 1-B/6 2 2 0
30|06|1974 43 S L KARANG GAYAM WETAN 1-B/8 2 2 0
10|03|1979 39 S P KARANG GAYAM WETAN 1-B/8 2 2 0
05|02|1984 34 S P KARANG GAYAM WETAN 1-C/10 2 2 0
14|07|1974 43 S L KARANG GAYAM WETAN 1-C/12 2 2 0
04|07|1976 41 S L KARANG GAYAM WETAN 1-C/12 2 2 0
28|09|1980 37 S P KARANG GAYAM WETAN 1-C/12 2 2 0
18|08|1987 30 S P KARANG GAYAM WETAN 1-C/12 2 2 0
16|05|1978 40 S P KARANG GAYAM WETAN 1-C/3 2 2 0
30|06|1953 64 S P KARANG GAYAM WETAN 1-C/5 2 2 0
19|10|1997 20 B L KARANG GAYAM WETAN 1-C/5 2 2 0
18|02|1961 57 S L KARANG GAYAM WETAN 1-C/7 2 2 0
19|07|1965 52 S P KARANG GAYAM WETAN 1-C/7 2 2 0
29|10|1997 20 B L KARANG GAYAM WETAN 1-C/7 2 2 0
07|04|1961 57 S L KARANG GAYAM WETAN 2/10 2 2 0
23|03|1966 52 S P KARANG GAYAM WETAN 2/10 2 2 0
02|11|1994 23 B P KARANG GAYAM WETAN 2/10 2 2 0
02|03|1996 22 B P KARANG GAYAM WETAN 2/10 2 2 0
08|04|1980 38 S L KARANG GAYAM WETAN 2/10-D 2 2 0
13|03|1984 34 S P KARANG GAYAM WETAN 2/10-D 2 2 0
06|05|1985 33 B P KARANG GAYAM WETAN 2/10-D 2 2 0
12|07|1985 32 S L KARANG GAYAM WETAN 2/10-E 2 2 0
28|06|1958 59 S P KARANG GAYAM WETAN 2/10-E 2 2 0
08|03|1974 44 S L KARANG GAYAM WETAN 2/10-E 2 2 0
12|01|1983 35 S P KARANG GAYAM WETAN 2/10-E 2 2 0
07|05|1981 37 S L KARANG GAYAM WETAN 2/12-B 2 2 0
10|06|1960 58 S P KARANG GAYAM WETAN 2/12-B 2 2 0
08|06|1991 27 B P KARANG GAYAM WETAN 2/12-B 2 2 0
02|08|1994 23 B P KARANG GAYAM WETAN 2/12-B 2 2 0
05|08|1976 41 S L KARANG GAYAM WETAN 2/12-C 2 2 0
22|11|1986 31 S P KARANG GAYAM WETAN 2/12-C 2 2 0
27|07|1975 42 S L KARANG GAYAM WETAN 2/12-I 2 2 0
09|11|1964 53 S L KARANG GAYAM WETAN 2/15-A 2 2 0
14|05|1969 49 S P KARANG GAYAM WETAN 2/15-A 2 2 0
14|08|1970 47 S L KARANG GAYAM WETAN 2/18 2 2 0
14|08|1972 45 S P KARANG GAYAM WETAN 2/18 2 2 0
22|09|1967 50 S L KARANG GAYAM WETAN 2/19 2 2 0
26|10|1970 47 S P KARANG GAYAM WETAN 2/19 2 2 0
13|06|1993 25 S L KARANG GAYAM WETAN 2/19 2 2 0
15|11|1995 22 B P KARANG GAYAM WETAN 2/2 2 2 0
22|01|1961 57 S P KARANG GAYAM WETAN 2/2 2 2 0
05|06|1968 50 B L KARANG GAYAM WETAN 2/2 2 2 0
23|04|1996 22 S P KARANG GAYAM WETAN 2/2 2 2 0
26|03|1978 40 S L KARANG GAYAM WETAN 2/2 2 2 0
05|11|1955 62 S L KARANG GAYAM WETAN 2/20 2 2 0

Page 47
132 3578080301080392 3578082506500001 MUCHTAR JOMBANG 25|06|1950
133 3578080301080392 3578080110810005 ZAINUL ARIFIN SURABAYA 01|10|1981
134 3578080101089565 3578083006570026 RIFAI SURABAYA 30|06|1957
135 3578080101089565 3578085712720003 LIANA SURABAYA 17|12|1972
136 3578082206090020 3578080806730005 SAFAI BANGKALAN 08|06|1973
137 3578083105120021 3578080910900004 MOCH. PRASTYO PACITAN 09|10|1990
138 3578080201080306 3578085410760003 RUSMINI SAMPANG 14|10|1976
139 3578080201080306 3578080703760003 TINGGAL SURABAYA 07|03|1976
140 3578080401089382 3578082605540003 HABAR SAMPANG 26|05|1954
141 3578080401089382 3578085107550002 MISTIE SAMPANG 11|07|1955
142 3578080401089382 3578082707870002 DARMAN SAMPANG 27|07|1987
143 3578080101088902 3578082201790001 SAMHADI SURABAYA 22|01|1979
144 3578080101088902 3578085110830002 MIATI SURABAYA 11|10|1983
145 3578080711130003 3578086906600044 SUPARMI SURABAYA 29|06|1960
146 3578080711130003 3578081607790006 GATOT SANTOSO SURABAYA 16|07|1979
147 3578080501083266 3578082906380003 PAERAN NGANJUK 29|06|1938
148 3578080501083266 3578084205410001 BATIN NGANJUK 02|05|1941
149 3578080501083266 3578085809740012 PARTINI SURABAYA 18|09|1974
150 3578080301086411 3578080711410001 SUWOTO MALANG 07|11|1941
151 3578080301086411 3578087006530061 TARIYAH SURABAYA 30|06|1953
152 3578080501083194 3578081812570001 WARAS AL SULIYONO SURABAYA 18|12|1957
153 3578080501083194 3578086906600039 SOEMINARSIH SURABAYA 29|06|1960
154 3578080603130011 3529011912840002 KHAIRUL WAHYUDI SUMENEP 19|12|1984
155 3578080203160005 3578080907880003 TAUFIK KHURROHMAN SAYUDONO SURABAYA 09|07|1988
156 3578080401082068 3578086812600002 UMI ZAHROH JEMBER 28|12|1960
157 3578081905110002 3578085505700008 SULASTRI SURABAYA 15|05|1970
158 3578080401087999 3578080401670006 FAKIH SURABAYA 04|01|1967
159 3578080401087999 3578085002680002 SIMPEN SURABAYA 10|02|1968
160 3578080401087999 3578085206930001 LILIS FARIDAH SURABAYA 12|06|1993
161 3578080403090023 3578085410820004 OLLY MAHMUD MANADO 14|10|1982
162 3578080809090004 3578082210760004 ALI SUSANTO SURABAYA 22|10|1976
163 3578080906140022 3578087112730003 ROHATI SURABAYA 31|12|1973
164 3578080906140022 3578084509960005 RISA RISKIATUL MUSAROVA SURABAYA 05|09|1996
165 3578080101088264 3578085203300001 SUMARTI KEDIRI 12|03|1930
166 3578080201088915 3578085809520001 NI GUSTI KETUT DARY BULELENG 18|09|1952
167 3578082912090012 3578082004650004 NANANG ELYANTO SURABAYA 20|04|1965
168 3578080301085579 3578080302520004 ADI PURNJOTO SURABAYA 03|02|1952
169 3578080301085579 3578085412530002 JAMILAH LUMAJANG 14|12|1953
170 3578080101084155 3578080710730002 SUNARIYO SURABAYA 07|10|1973
171 3578080101084155 3578086009770003 RINING MADIUN 20|09|1977
172 3578080101081122 3578080108510001 PADI MADIUN 01|08|1951
173 3578080101081122 3578085612630002 SUNARMI MADIUN 16|12|1963
174 3578080101086883 3578081612770003 ANANG SALEH SURABAYA 16|12|1977
175 3578080101086883 3578085106830002 MAULLA SUNYI HARI SURABAYA 11|06|1983
176 3578080104090013 3578080204840005 APRI SANTOSO TANJUNG ENIM 02|04|1984
177 3578080104090013 3578086707870003 MIDIA DWI RAHAYU SURABAYA 27|07|1987
178 3578080201081560 3578082611900002 GALIH INDAH SANTOSO LAMONGAN 26|11|1990
5

25|06|1950 68 P L KARANG GAYAM WETAN 2/22 2 2 0


01|10|1981 36 S L KARANG GAYAM WETAN 2/22 2 2 0
30|06|1957 60 S L KARANG GAYAM WETAN 2/25 2 2 0
17|12|1972 45 S P KARANG GAYAM WETAN 2/25 2 2 0
08|06|1973 45 S L KARANG GAYAM WETAN 2/2-A 2 2 0
09|10|1990 27 B L KARANG GAYAM WETAN 2/3 2 2 0
14|10|1976 41 S P KARANG GAYAM WETAN 2/4 2 2 0
07|03|1976 42 S L KARANG GAYAM WETAN 2/4 2 2 0
26|05|1954 64 S L KARANG GAYAM WETAN 2/4 2 2 0
11|07|1955 62 S P KARANG GAYAM WETAN 2/4 2 2 0
27|07|1987 30 B L KARANG GAYAM WETAN 2/4 2 2 0
22|01|1979 39 S L KARANG GAYAM WETAN 2/4-A 2 1 0
11|10|1983 34 S P KARANG GAYAM WETAN 2/4-A 2 1 0
29|06|1960 57 S P KARANG GAYAM WETAN 2/5-A 2 2 0
16|07|1979 38 B L KARANG GAYAM WETAN 2/5-A 2 2 0
29|06|1938 79 S L KARANG GAYAM WETAN 2/5-D 2 2 0
02|05|1941 77 S P KARANG GAYAM WETAN 2/5-D 2 2 0
18|09|1974 43 B P KARANG GAYAM WETAN 2/5-D 2 2 0
07|11|1941 76 S L KARANG GAYAM WETAN 2/6 2 2 0
30|06|1953 64 S P KARANG GAYAM WETAN 2/6 2 2 0
18|12|1957 60 S L KARANG GAYAM WETAN 2/79 2 2 0
29|06|1960 57 S P KARANG GAYAM WETAN 2/79 2 2 0
19|12|1984 33 S L KARANG GAYAM WETAN 2/79 2 2 0
09|07|1988 29 B L KARANG GAYAM WETAN 2/7-A 2 2 0
28|12|1960 57 S P KARANG GAYAM WETAN 2/7-A 2 2 0
15|05|1970 48 S P KARANG GAYAM WETAN 2/7-B 2 2 0
04|01|1967 51 B L KARANG GAYAM WETAN 2/7-C 2 2 0
10|02|1968 50 S P KARANG GAYAM WETAN 2/7-C 2 2 0
12|06|1993 25 B P KARANG GAYAM WETAN 2/7-C 2 2 0
14|10|1982 35 S P KARANG GAYAM WETAN 2/9 2 2 0
22|10|1976 41 S L KARANG GAYAM WETAN 3/1 2 2 0
31|12|1973 44 P P KARANG GAYAM WETAN 3/11 2 2 0
05|09|1996 21 B P KARANG GAYAM WETAN 3/11 2 2 0
12|03|1930 88 P P KARANG GAYAM WETAN 3/15 2 2 0
18|09|1952 65 P P KARANG GAYAM WETAN 3/15 2 2 0
20|04|1965 53 P L KARANG GAYAM WETAN 3/25 2 2 0
03|02|1952 66 S L KARANG GAYAM WETAN 3/3 2 2 0
14|12|1953 64 S P KARANG GAYAM WETAN 3/3 2 2 0
07|10|1973 44 S L KARANG GAYAM WETAN 3/4 2 2 0
20|09|1977 40 S P KARANG GAYAM WETAN 3/4 2 2 0
01|08|1951 66 S L KARANG GAYAM WETAN 3/6 2 2 0
16|12|1963 54 S P KARANG GAYAM WETAN 3/6 2 2 0
16|12|1977 40 S L KARANG GAYAM WETAN 3/6 2 2 0
11|06|1983 35 S P KARANG GAYAM WETAN 3/6 2 2 0
02|04|1984 34 S L KARANG GAYAM WETAN 3/6 2 2 0
27|07|1987 30 S P KARANG GAYAM WETAN 3/6 2 2 0
26|11|1990 27 B L KARANG GAYAM WETAN 3/7 2 2 0

Page 48
179 3578080201081560 3578085504930001 KARINA INDAH APRIANI LAMONGAN 15|04|1993
180 3578082307150002 3578086701650001 CRIDAWATI SURABAYA 27|01|1965
181 3578082307150002 3578082907910001 YONGKI BRILYAN ALKAHA SURABAYA 29|07|1991
182 3578080101084580 3578085305660001 MARIA SAMPANG 13|05|1966
183 3578080101084580 3578082905980003 MUHLIS SAMPANG 29|05|1998
184 3578080101087314 3578080208740002 ABD. WAHAB MUTAMAM LAMONGAN 02|08|1974
185 3578080101087314 3578085511800002 PATEMI NGANJUK 15|11|1980
186 3578080401087344 3578082308650004 EKO IRMAWANTO SURABAYA 23|08|1965
187 3578082104150008 3578086202760007 NURCHOLIFAH SURABAYA 22|02|1976
188 3578080501083174 3578086305410001 SRI SOETIJONINGSIH KEDIRI 23|05|1941
189 3578080501083174 3578082905840002 SUNARDI SURABAYA 29|05|1984
190 3578080201085799 3578084312540001 SIHATI PONOROGO 03|12|1954
191 3578080201085799 3578083006550025 MARKABAN JOMBANG 30|06|1955
192 3578080501083572 3578081406960003 MOCH. TEGAR PRIYANTO SURABAYA 14|06|1996
193 3578080401083544 3578081512550002 SOESWADI SURABAYA 15|12|1955
194 3578080401083544 3578086605850005 SANTY EKASARI SURABAYA 26|05|1985
195 3578080101085997 3578080106620005 MOCH. CHANAFI SURABAYA 01|06|1962
196 3578080101085997 3578086611700004 MUJAYANAH JOMBANG 26|11|1970
197 3578080501081596 3578082301660004 SUTARNO SURABAYA 23|01|1966
198 3578080501081596 3578086810670003 YAYUK INTARTI SURABAYA 28|10|1967
199 3578080401082355 3578083006380001 MOESTOFA GRESIK 30|06|1938
200 3578080401082355 3578087006430050 MOENIRAH SURABAYA 30|06|1943
201 3578080705140006 3578081204690005 SULIMIN SURABAYA 12|04|1969
202 3578080705140006 3578084104710005 FENI RAHAYU SURABAYA 01|04|1971
203 3578080705140006 3578085009960003 SANDRA DEVITA ANGGRAINI SURABAYA 10|09|1996
204 3578080401081754 3578082706680002 SUPRIYANTO KEDIRI 27|06|1968
205 3578080301082284 3578086008630001 AGUSTIN ZUCHARIDAH SURABAYA 20|08|1963
206 3578080301082284 3578080602940002 ADHITYA AFRIDIAN FAHMI SURABAYA 06|02|1994
207 3578080305160005 3578084304940005 ALMAS IZZATI LESTARI SURABAYA 03|04|1994
208 3578080401086874 3578081611700005 RUDYANTO SURABAYA 16|11|1970
209 3578080401086874 3578086711740002 DIAN AYU DAMAYANTI SURABAYA 27|11|1974
210 3578080201088861 3578081403740003 YUDI GUNAWAN TUBAN 14|03|1974
211 3578080902160009 3578084707630002 ETTY JULIA SURABAYA 07|07|1963
212 3578080902160009 3578084509960004 HAFIDOTUL FAUZIAH SURABAYA 05|09|1996
213 3578080902160010 3578080804910003 AINUR RAMADHANI SURABAYA 08|04|1991
214 3578082004090014 3578070711820002 SCORPIO FANDY HERU RASYIDI SURABAYA 07|11|1980
215 3578082004090014 3570004303370003 MEGA AYU HANDINI SURABAYA 08|08|1997
216 3578082206090020 3578085608740005 SUMI SAMPANG 16|08|1974
217 3578080101081316 3578086508620004 SULISTYOWANIK SURABAYA 20|08|1962
218 3578080401084141 3578080641280005 RODIJAH SURABAYA 24|12|1960
219 3578081109140001 3577030101800045 MUZAMMIL SAMPANG 01|01|1980
220 3578080401089382 3578081707940001 RONI SURABAYA 17|04|1994
221 3578080401084392 3578080801970002 AINUR ROFIK SURABAYA 06|01|1997
222 3578081107120045 3578086111860002 ANIK PURWATI GRESIK 21|11|1966
223 3578080201084627 3578080010550002 SUYANI TULUNGAGUNG 20|10|1956
224 3578080201084627 3578080205600001 SRIANI KEDIRI 12|05|1960
225 3578081905110002 3578081805320004 HARWAN BUDIARSO NGANJUK 18|06|1962
5

15|04|1993 25 B P KARANG GAYAM WETAN 3/7 2 2 0


27|01|1965 53 P P KARANG GAYAM WETAN 3/7 2 2 0
29|07|1991 26 B L KARANG GAYAM WETAN 3/7 2 2 0
13|05|1966 52 S P KARANG GAYAM WETAN GG IC/ 2 2 0
29|05|1998 20 B L KARANG GAYAM WETAN GG IC/ 2 2 0
02|08|1974 43 S L KARANG GAYAM WETAN GG II/1 2 2 0
15|11|1980 37 S P KARANG GAYAM WETAN GG II/1 2 2 0
23|08|1965 52 S L KARANG GAYAM WETAN I/15-I 2 2 0
22|02|1976 42 S P KARANG GAYAM WETAN I/28 2 2 0
23|05|1941 77 S P KARANG GAYAM WETAN I-C/12 2 2 0
29|05|1984 34 B L KARANG GAYAM WETAN I-C/12 2 2 0
03|12|1954 63 S P KARANG GAYAM WETAN II/19 2 2 0
30|06|1955 62 S L KARANG GAYAM WETAN II/19 2 2 0
14|06|1996 22 B L KARANG GAYAM WETAN II/5 D 2 2 0
15|12|1955 62 S L KARANG GAYAM WETAN II/8A 2 2 0
26|05|1985 33 B P KARANG GAYAM WETAN II/8A 2 2 0
01|06|1962 56 S L KARANGGAYAM WETAN 1/1 2 2 0
26|11|1970 47 S P KARANGGAYAM WETAN 1/1 2 2 0
23|01|1966 52 S L KARANGGAYAM WETAN 1/10-B 2 2 0
28|10|1967 50 S P KARANGGAYAM WETAN 1/10-B 2 2 0
30|06|1938 79 S L KARANGGAYAM WETAN 1/20 2 2 0
30|06|1943 74 S P KARANGGAYAM WETAN 1/20 2 2 0
12|04|1969 49 S L KARANGGAYAM WETAN 1/20 2 2 0
01|04|1971 47 S P KARANGGAYAM WETAN 1/20 2 2 0
10|09|1996 21 B P KARANGGAYAM WETAN 1/20 2 2 0
27|06|1968 50 S L KARANGGAYAM WETAN 1/21 2 2 0
20|08|1963 54 S P KARANGGAYAM WETAN 1/3 2 2 0
06|02|1994 24 B L KARANGGAYAM WETAN 1/3 2 2 0
03|04|1994 24 B P KARANGGAYAM WETAN 1/7 2 2 0
16|11|1970 47 S L KARANGGAYAM WETAN 1/7 2 2 0
27|11|1974 43 S P KARANGGAYAM WETAN 1/7 2 2 0
14|03|1974 44 P L KARANGGAYAM WETAN 1-A/2 2 2 0
07|07|1963 54 S P KARANGGAYAM WETAN 1-B/4 2 2 0
05|09|1996 21 B P KARANGGAYAM WETAN 1-B/4 2 2 0
08|04|1991 27 B L KARANGGAYAM WETAN 1-B/4 2 2 0
07|11|1980 37 S L KARANGGAYAM WETAN 2 NO. 0 2 0 0
08|08|1997 20 S P KARANGGAYAM WETAN 2 NO. 0 2 0 0
16|08|1974 43 S P KARANGGAYAM WETAN 2 NO. 0 2 0 0
20|08|1962 55 S P KARANGGAYAM WETAN 2 NO. 0 2 0 0
24|12|1960 57 S P KARANGGAYAM WETAN 2 NO. 0 2 0 0
01|01|1980 38 S L KARANGGAYAM WETAN 2 NO. 0 2 0 0
17|04|1994 24 B L KARANGGAYAM WETAN 2 NO. 0 2 0 0
06|01|1997 21 B L KARANGGAYAM WETAN 2 NO. 0 2 0 0
21|11|1966 51 S P KARANGGAYAM WETAN 2 NO. 0 2 0 0
20|10|1956 61 S L KARANGGAYAM WETAN 2 NO. 0 2 0 0
12|05|1960 58 S P KARANGGAYAM WETAN 2 NO. 0 2 0 0
18|06|1962 56 S L KARANGGAYAM WETAN 2 NO. 0 2 0 0

Page 49
226 3578081905110002 3578085612220004 FRIDA MULYAWATI SURABAYA 16|12|1992
227 3578081905110002 3578082208840005 ANDI MULYAWAN SURABAYA 22|08|1994
228 3578080201083153 3578007004020001 HOLIYAH BANGKALAN 30|04|1982
229 3578100501084407 3578100403880007 MAT SADI SURABAYA 04|03|1988
230 3578081101100058 3578055102820006 HANIPAH SAMPANG 11|02|1982
231 3578080101085543 3570808420159002 SITI HADIJAH AMPARAYA 02|01|1959
232 3578080101085543 3578088007870002 SULISTIOWANINGSIH BANJARMASIN 20|07|1987
233 3578080501082780 3578082506940003 ANWAR ANAS SURABAYA 05|06|1994
234 3578080101086446 3578080511760008 PUJIONO LAMONGAN 05|11|1976
235 3578080501080872 3578080401800003 EBIT PRIADI SURABAYA 04|01|1980
236 3578082405100008 3578081107900003 SITI MA'RUFAH, S.T. SURABAYA 11|07|1990
237 3578081212140010 3578086006370005 PATENAH JOMBANG 20|06|1937
238 3578080401089912 3578081412550001 ASELAN LAMONGAN 14|12|1955
239 3578080401089912 3578085508600006 KAYAH LAMONGAN 15|08|1960
240 3578080401082251 3578085409480003 WAMALAH SURABAYA 14|09|1948
241 3578080401082251 3578082405830003 ARMAN AMIN SURABAYA 24|05|1983
242 3578080101085543 3578083112590003 SUSISNO LAMONGAN 31|12|1959
243 3578080201088649 3578080407630001 ASIK JULIONO SURABAYA 20|04|1963
244 3578080401084141 3578081212620006 SUYAMIN SIDOARJO 12|12|1962
245 3578083105120021 3578086608870004 SUYATMI PACITAN 26|08|1970
246 3578083105120021 3578087110940002 WAHYU RAHMAH NGANJUK 31|10|1984
247 3578080401084417 3578087006400060 SAFIYAH SAMPANG 30|06|1940
248 3578080401084392 3578081203720003 SAMHUJI SAMPANG 12|03|1972
249 3578080401084392 3578086808800005 ROKIBAH SURABAYA 28|08|1980
250 3578080401080494 3578085104620003 RATMI BOJONEGORO 11|04|1962
251 3578080401080494 3578085502830002 HERMIN ARISTYANINGRUM SURABAYA 07|06|1983
252 3578080401080494 3578080706850004 HERLAMBANG RAHMANDOYO SURABAYA 07|06|1985
253 3578080301080089 3578082709590005 INI SUSWANDI SURABAYA 27|09|1959
254 3578080301080089 3578084105630005 WINARNI SURAKARTA 01|05|1963
255 3578080301080089 3578081505910006 RIZKY WINANDI SURAKARTA 15|05|1991
256 3578080301080089 3578080111980002 NAUFAL SHOFWAN WINANDI SURABAYA 01|11|1998
257 3578080401083988 3578084109640003 IFA NURHAYATI SURABAYA 01|09|1964
258 3578081006130007 3578085407890002 NONA KENNY SUROYO SURABAYA 14|07|1989
259 3578080501081792 3578082503570001 ARI KHAMID KUDUS 25|03|1957
260 3578080501081792 3578080110559001 UMI MARDYANI MOJOKERTO 11|05|1959
261 3578080201085420 3578131705830002 FIFIN SIWAHONO SURABAYA 17|06|1983
262 3578080201085420 3578086412860001 DESSY ANGGRAENI, AMD. FIS. SURABAYA 24|12|1986
263 3578080401087677 1256191102560001 WAGIS WIRYONO SURABAYA 11|02|1956
264 3578080401087677 1256195102600003 JUWARIYAH SURABAYA 11|02|1960
265 3578080401087677 1256196312910002 DEBBY KRISTIN, S.PSI SURABAYA 23|12|1991
266 3578082102120056 3578082712810005 DENNY ISWORO, S.H. SURABAYA 27|12|1981
267 3578080301083778 3578080705560002 SUHARNOTO, M.PD SIDOARJO 07|05|1956
268 3578080101081122 3578085304050001 TRYA RIZKI DEVI SURABAYA 13|04|1996
269 3578082301130035 3508139312800001 MA'RUFAH TRENGGALEK 29|01|1980
270 3578080201083800 1256196811720007 ELVY SUKESI MADIUN 28|12|1972
271 3578080201083800 1256192911770002 ANDIK SETIAWAN BOJONEGORO 29|11|1977
272 3578080301082348 3578080307550001 MUCHTAROM BOJONEGORO 07|03|1955
5

16|12|1992 25 B P KARANGGAYAM WETAN 2 NO. 0 2 0 0


22|08|1994 23 B L KARANGGAYAM WETAN 2 NO. 0 2 0 0
30|04|1982 36 S P KARANGGAYAM WETAN 2 NO. 2 2 2 0
04|03|1988 30 B L KARANGGAYAM WETAN 2 NO. 2 2 2 0
11|02|1982 36 S L KARANGGAYAM WETAN 2 NO. 2 2 2 0
02|01|1959 59 S P KARANGGAYAM WETAN 2 NO. 5 2 2 0
20|07|1987 30 B P KARANGGAYAM WETAN 2 NO. 5 2 2 0
05|06|1994 24 B L KARANGGAYAM WETAN 2 NO. 9 2 2 0
05|11|1976 41 S L KARANGGAYAM WETAN 2/ 0B 2 2 0
04|01|1980 38 B L KARANGGAYAM WETAN 2/ 0E 2 2 0
11|07|1990 27 S P KARANGGAYAM WETAN 2/ 2 2 2 0
20|06|1937 81 P P KARANGGAYAM WETAN 2/10D 2 2 0
14|12|1955 62 S L KARANGGAYAM WETAN 2/11 2 2 0
15|08|1960 57 S P KARANGGAYAM WETAN 2/11 2 2 0
14|09|1948 69 S P KARANGGAYAM WETAN 2/14 2 2 0
24|05|1983 35 B L KARANGGAYAM WETAN 2/14 2 2 0
31|12|1959 58 S L KARANGGAYAM WETAN 2/15 2 2 0
20|04|1963 55 S L KARANGGAYAM WETAN 2/2 2 2 0
12|12|1962 55 S L KARANGGAYAM WETAN 2/3 2 2 0
26|08|1970 47 P P KARANGGAYAM WETAN 2/3 2 2 0
31|10|1984 33 B P KARANGGAYAM WETAN 2/3 2 2 0
30|06|1940 77 P P KARANGGAYAM WETAN 2/4A 2 2 0
12|03|1972 46 S L KARANGGAYAM WETAN 2/4-A 2 2 0
28|08|1980 37 S P KARANGGAYAM WETAN 2/4-A 2 2 0
11|04|1962 56 S P KARANGGAYAM WETAN 2/5C 2 2 0
07|06|1983 35 B P KARANGGAYAM WETAN 2/5C 2 2 0
07|06|1985 33 B L KARANGGAYAM WETAN 2/5C 2 2 0
27|09|1959 58 S L KARANGGAYAM WETAN 2/8 2 2 0
01|05|1963 55 S P KARANGGAYAM WETAN 2/8 2 2 0
15|05|1991 27 B L KARANGGAYAM WETAN 2/8 2 2 0
01|11|1998 19 B L KARANGGAYAM WETAN 2/8 2 2 0
01|09|1964 53 S P KARANGGAYAM WETAN 2/9 2 2 0
14|07|1989 28 S P KARANGGAYAM WETAN 2/9 2 2 0
25|03|1957 61 S L KARANGGAYAM WETAN 3 NO. 0 2 2 0
11|05|1959 59 S P KARANGGAYAM WETAN 3 NO. 0 2 2 0
17|06|1983 35 S L KARANGGAYAM WETAN 3 NO. 0 2 2 0
24|12|1986 31 S L KARANGGAYAM WETAN 3 NO. 0 2 2 0
11|02|1956 62 S L KARANGGAYAM WETAN 3 NO. 0 2 2 0
11|02|1960 58 S P KARANGGAYAM WETAN 3 NO. 0 2 2 0
23|12|1991 26 B P KARANGGAYAM WETAN 3 NO. 0 2 2 0
27|12|1981 36 S L KARANGGAYAM WETAN 3 NO. 0 2 2 0
07|05|1956 62 S P KARANGGAYAM WETAN 3 NO. 0 2 2 0
13|04|1996 22 B P KARANGGAYAM WETAN 3 NO. 0 2 2 0
29|01|1980 38 S P KARANGGAYAM WETAN 3 NO. 2 2 2 0
28|12|1972 45 S P KARANGGAYAM WETAN 3 NO. 2 2 2 0
29|11|1977 40 S L KARANGGAYAM WETAN 3 NO. 2 2 2 0
07|03|1955 63 S L KARANGGAYAM WETAN 3 NO. 2 2 2 0

Page 50
273 3578080301082348 3578084503790006 IDA RACHMAWATI SURABAYA 03|05|1979
274 3578080301082348 3578082900840002 ARIEF SAFI'I SURABAYA 29|09|1984
275 3578080407110066 3570808120580005 AGUNG RAHARJO BOJONEGORO 05|12|1980
276 3578080407110066 3578084410830002 PIPIT RAHAYUNINGSIH BOJONEGORO 10|04|1983
277 3578080401082522 3578086107780003 JUMIATI SURABAYA 11|07|1984
278 3578080401082522 3578086702770004 SUGIONO SURABAYA 27|02|1985
279 3578080201088915 3578086803480001 ETIK BADAWATI EMILIANA KEDIRI 08|03|1948
280 3578080201088915 3578083005760003 I GUSTI PUTU WIJAYANTO SURABAYA 30|05|1978
281 3578080501081792 3578080712920003 DENI ARDIAN SURABAYA 07|12|1992
282 3578080501081792 3578085012930002 DESSI ADJENG ARDIANI SURABAYA 10|12|1993
283 3578080101081038 3578086806310003 MARPUAH SURABAYA 28|06|1931
284 3578080301083778 3578085707570003 SAMSIANI MAGETAN 17|07|1957
285 3578080510120006 3578085011840002 HARDIANI NOVIANTI, S.PSI SURABAYA 10|11|1984
286 3578080201088914 3578080805770002 ARIF WULYONO SIDOARJO 08|05|1977
287 3578080301086413 3516123112690003 MUJIATI MOJOKERTO 31|12|1969
288 3578080301084567 3578087007890004 MIRANTI SURABAYA 30|07|1989
289 3578080301084567 3578084606920003 DWI PRATIWI SURABAYA 06|06|1992
290 3578080401084509 3578081105700006 SOEPII SURABAYA 11|05|1970
291 3578080401084509 3578084110780002 SITI MARIJAM SURABAYA 01|10|1978
292 3578080201082018 3578080307700001 SA'I SAMPANG 07|03|1970
293 3578080101083261 3578082810580002 DJUMAIN MOJOKERTO 28|10|1958
294 3578080101083261 3578080906870039 EKO SUSANTO SURABAYA 09|06|1987
295 3578080301086413 3578082906630024 PARDJO NGANJUK 26|06|1953
296 3578080201082018 3578084609710007 ST NASIPAH SAMPANG 09|06|1971
297 3578080201082018 3578084802930004 ISSRI SAMPANG 02|08|1993
298 3578080201083530 3578084711820006 HOSAINA SURABAYA 07|11|1962
299 3578080201083530 3578088006790003 KACONG SAMPANG 30|06|1979
300 3578082105120073 3578081112850004 ROSIDI PAMEKASAN 11|12|1985
301 3578082507120104 3578080107640004 ABDUL ADJIS SURABAYA 01|07|1984
302 3578080401084378 3578083006550049 SADJI LAMONGAN 30|08|1955
303 3578080301086289 3578085005580008 SARMI MALANG 10|05|1956
304 3578080101081443 3578086006770006 JUNA SAMPANG 29|08|1977
305 3578080101080830 3578086107310001 SUPIRAH JOMBANG 21|07|1931
306 3578080401083198 3578084605730001 RESTU HESTYANINGSIH SURABAYA 05|06|1973
307 3578080401083198 3578082911960003 M. DIKY ANUGRA P. SURABAYA 29|11|1996
308 3578080501083134 3578086103880003 IKE MARIANA SURABAYA 04|03|1988
309 3578080101082402 3578081504990003 MUTAMAN SAMPANG 15|04|1998
310 3578080101087357 3578080208940002 IMAM TURMUDI SAMPANG 08|02|1994
311 3578080201083522 3578080506480001 DJAMAL SAMPANG 06|05|1948
312 3578080201083522 3578085006490002 KINA SAMPANG 06|10|1969
313 3578080101088713 3578081405720003 RUSDI SAMPANG 14|05|1972
314 3578080101088714 3578087006490043 SUTIMAH SAMPANG 30|06|1949
315 3578080101089912 3578080512650006 SUPARDI SAMPANG 06|12|1965
316 3578080101089912 3578085811950004 MUSLIHAH SURABAYA 24|01|1995
317 3578080201081370 3578085909790002 ROHIMAH SURABAYA 19|06|1979
318 3578080201081370 3578080901750002 ABD. LATIP SAMPANG 09|01|1997
319 3578082204140005 3578515140280002 BUDI SETIAWAN Z. SURABAYA 14|02|1980
5

03|05|1979 39 B P KARANGGAYAM WETAN 3 NO. 2 2 2 0


29|09|1984 33 B L KARANGGAYAM WETAN 3 NO. 2 2 2 0
05|12|1980 37 S L KARANGGAYAM WETAN 3 NO. 2 2 2 0
10|04|1983 35 S P KARANGGAYAM WETAN 3 NO. 2 2 2 0
11|07|1984 33 B P KARANGGAYAM WETAN 3 NO. 4 2 2 0
27|02|1985 33 P L KARANGGAYAM WETAN 3 NO. 4 2 2 0
08|03|1948 70 P P KARANGGAYAM WETAN 3 NO. 5 2 2 0
30|05|1978 40 S L KARANGGAYAM WETAN 3 NO. 5 2 2 0
07|12|1992 25 B L KARANGGAYAM WETAN 3/10 2 2 0
10|12|1993 24 B P KARANGGAYAM WETAN 3/10 2 2 0
28|06|1931 86 P P KARANGGAYAM WETAN 3/25 2 2 0
17|07|1957 60 S P KARANGGAYAM WETAN 3/5 2 2 0
10|11|1984 33 S P KARANGGAYAM WETAN 3/5 2 2 0
08|05|1977 41 B L KARANGGAYAM WETAN 3/9 2 2 0
31|12|1969 48 S P KARANGGAYAM WETAN 5A/ 0 2 2 0
30|07|1989 28 B P KARANGGAYAM WETAN GANG 2 2 0
06|06|1992 26 B P KARANGGAYAM WETAN GANG 2 2 0
11|05|1970 48 S L KARANGGAYAM WETAN GG.IA/ 1002 2 0
01|10|1978 39 S P KARANGGAYAM WETAN GG.IA/ 1002 2 0
07|03|1970 48 S L KARANGGAYAM WETAN I A NO. 2 2 0
28|10|1958 59 S L KARANGGAYAM WETAN I A NO. 2 2 0
09|06|1987 31 B L KARANGGAYAM WETAN I A NO. 2 2 0
26|06|1953 65 S L KARANGGAYAM WETAN I A NO. 2 2 0
09|06|1971 47 S P KARANGGAYAM WETAN I A NO. 2 2 0
02|08|1993 24 B P KARANGGAYAM WETAN I A NO. 2 2 0
07|11|1962 55 S P KARANGGAYAM WETAN I A NO. 2 2 0
30|06|1979 38 S L KARANGGAYAM WETAN I A NO. 2 2 0
11|12|1985 32 S L KARANGGAYAM WETAN I A NO. 2 2 0
01|07|1984 33 S L KARANGGAYAM WETAN I A NO. 2 2 0
30|08|1955 62 S L KARANGGAYAM WETAN I A NO. 2 2 0
10|05|1956 62 S P KARANGGAYAM WETAN I A NO. 2 2 0
29|08|1977 40 S P KARANGGAYAM WETAN I A NO. 2 2 0
21|07|1931 86 P P KARANGGAYAM WETAN I A NO. 2 2 0
05|06|1973 45 S P KARANGGAYAM WETAN I A NO. 2 2 0
29|11|1996 21 B L KARANGGAYAM WETAN I A NO. 2 2 0
04|03|1988 30 B P KARANGGAYAM WETAN I A NO. 2 2 0
15|04|1998 20 B L KARANGGAYAM WETAN I A NO. 2 2 0
08|02|1994 24 B L KARANGGAYAM WETAN I A NO. 2 2 0
06|05|1948 70 S L KARANGGAYAM WETAN I A NO. 2 2 0
06|10|1969 48 S P KARANGGAYAM WETAN I A NO. 2 2 0
14|05|1972 46 S L KARANGGAYAM WETAN I B NO. 2 2 0
30|06|1949 68 S P KARANGGAYAM WETAN I B NO. 2 2 0
06|12|1965 52 S L KARANGGAYAM WETAN I C NO. 2 2 0
24|01|1995 23 B P KARANGGAYAM WETAN I C NO. 2 2 0
19|06|1979 39 S P KARANGGAYAM WETAN I C NO. 2 2 0
09|01|1997 21 S L KARANGGAYAM WETAN I C NO. 2 2 0
14|02|1980 38 S L KARANGGAYAM WETAN I C NO. 2 2 0

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320 3578080101081875 3578080107840003 MOCHAMMAD SAMSURI, S.E. SURABAYA 01|07|1984
321 3578080810080001 3578080408800001 AGUS SETYO UTOMO, S.E. JOMBANG 26|11|1970
322 3578080201089946 3578086004600001 PARMI GRESIK 17|04|1986
323 3578080501081835 3578084301950001 PUPUT TRI PERTIWI SURABAYA 03|01|1995
324 3578080501082585 3578082903400001 JADI A. DULDJALIL SURABAYA 29|03|1946
325 3578080501083197 3578082906360001 MOCH. CHOLIL SURABAYA 23|06|1936
326 3578080401087133 3578081406450002 SOENGKONO SURABAYA 14|06|1945
327 3578083004090006 3578085809830002 NURUL BIDAYAH KEDIRI 23|06|1973
328 3578083004090006 3578082306730008 YUDHI SETIAWAN SURABAYA 18|09|1983
329 3578060601081243 3578061606960006 LUTHFI NUR RACHMAN SURABAYA 16|06|1996
330 3578080602130012 3504172811860003 HERRY KURNIAWAN SURABAYA 28|11|1986
331 3578080301085883 3578086804580001 SUNARTIN GRESIK 28|04|1958
332 3578080401083544 3578086704800004 KANAH SURABAYA 27|04|1960
333 3578080201088955 3578080106120573 TRI KURNIAWAN SURABAYA 12|05|1973
334 3578081006130007 3578186279880003 MUHAMMAD YUSUF SURABAYA 27|09|1988
335 3578082405100032 3511225000720005 FARIDA SURABAYA 10|08|1972
336 3578050201084079 1256194204710007 SULISTINAH SURABAYA 14|10|1972
337 3578080201080425 1256190608710008 ANDI SUSANTO SURABAYA 06|08|1971
338 3578080201089946 3578081107540004 SARTONO DRS. SURABAYA 06|03|1952
339 3578080401081754 3578084111680001 ADA BASRI SURABAYA 01|11|1969
340 3578080401081754 3578084105950003 FRISCA MAYA PUSPITA SURABAYA 01|05|1985
341 3578080201083176 3578082810600006 SUNARKO SURABAYA 21|06|1974
342 3578080501083004 3578081602740003 FEBRY YUS ERNAWATI SURABAYA 16|02|1974
343 3578080501083602 3578087606720001 PARIYEM SURABAYA 16|06|1972
344 3578080501087302 3578081602690004 SEKSOES SUPRIANTO SURABAYA 20|04|1969
345 3578080101081521 3578083006980005 ACHMAT FAIZ FAUZI SURABAYA 30|06|1988
346 3578080201082201 3578081106692002 M. HASAN MUUANTO SURABAYA 11|06|1992
347 3578080201082201 3578085404950002 SINTYA KUMALA DEWI SURABAYA 14|04|1996
348 3578080103120008 3578084806060001 YUSMANIYAH SURABAYA 08|05|1960
349 3578080501083177 3578088107710008 DWI YULIANTI MALANG 21|07|1974
350 3578260101081596 3578265805760002 ATIK ANGGRAENI SURABAYA 18|06|1976
351 3578080301086917 3578085605950002 PRAMITA IKAMAWARNI SURABAYA 16|05|1996
352 3578080501083195 3578082012680001 SLAMET RIYADI SURABAYA 20|12|1969
353 3516161205090007 3578084808850002 SUGIARTIK SAMPANG 08|08|1985
354 3578080301082457 3578082102630001 GESANG JUKADIARKO DR. SURABAYA 21|02|1963
355 3578080901120040 3578086008460001 SUMARNI JOMBANG 20|06|1946
356 3578080901120040 3578081011630005 HERI PAHLAWAN SURABAYA 11|10|1963
357 3578081806130002 3578081111570006 MACHMUDI SURABAYA 11|11|1957
358 3578082402140001 3578082612590001 LIWON SETIAWAN SURABAYA 28|12|1959
359 3578080107110083 3578085304830003 NURHAYATI SURABAYA 13|03|1983
360 3578080501083196 3570082905880001 EFFENDI JATMIKO SURABAYA 29|06|1998
361 3578080301089141 3578080201800003 FIZA FARDHILA SURABAYA 01|02|1980
362 3578080201082082 3578086104710006 SUPRIHATI AL ATIN MADIUN 21|04|1971
363 3578080301085323 3578084811275001 ARENA WAHYUNI SURABAYA 08|12|1975
364 3578080301085324 3578085005760004 NANIK POERWATI SURABAYA 10|05|1976
365 3578080101081037 3578088004590004 HARI MURNI SURABAYA 20|04|1959
366 3578080101081037 3578083107950002 ZULFIKAR AL AZHAR SURABAYA 31|07|1994
5

01|07|1984 33 B L KARANGGAYAM WETAN I C NO. 2 0 0


26|11|1970 47 S L KARANGGAYAM WETAN I NO. 2 2 0
17|04|1986 32 S P KARANGGAYAM WETAN I NO. 0 2 2 0
03|01|1995 23 S P KARANGGAYAM WETAN I NO. 0 2 2 0
29|03|1946 72 P L KARANGGAYAM WETAN I NO. 0 2 2 0
23|06|1936 82 S L KARANGGAYAM WETAN I NO. 0 2 2 0
14|06|1945 73 S L KARANGGAYAM WETAN I NO. 0 2002 2 0
23|06|1973 45 S P KARANGGAYAM WETAN I NO. 0 2002 2 0
18|09|1983 34 S L KARANGGAYAM WETAN I NO. 0 2002 2 0
16|06|1996 22 B L KARANGGAYAM WETAN I NO. 0 3002 2 0
28|11|1986 31 S L KARANGGAYAM WETAN I NO. 0 7002 0 0
28|04|1958 60 P P KARANGGAYAM WETAN I NO. 0 8002 2 0
27|04|1960 58 S P KARANGGAYAM WETAN I NO. 0 8002 0 0
12|05|1973 45 S L KARANGGAYAM WETAN I NO. 0 9002 0 0
27|09|1988 29 S L KARANGGAYAM WETAN I NO. 0 9002 2 0
10|08|1972 45 S P KARANGGAYAM WETAN I NO. 0 -2 2 0
14|10|1972 45 S P KARANGGAYAM WETAN I NO. 2 2 2 0
06|08|1971 46 S L KARANGGAYAM WETAN I NO. 2 2 2 0
06|03|1952 66 S L KARANGGAYAM WETAN I NO. 2 2 2 0
01|11|1969 48 S P KARANGGAYAM WETAN I NO. 2 2 2 0
01|05|1985 33 S P KARANGGAYAM WETAN I NO. 2 2 2 0
21|06|1974 44 S L KARANGGAYAM WETAN I NO. 2 2 2 0
16|02|1974 44 B P KARANGGAYAM WETAN I NO. 2 2002 2 0
16|06|1972 46 B P KARANGGAYAM WETAN I NO. 2 2002 2 0
20|04|1969 49 B L KARANGGAYAM WETAN I NO. 2 2002 2 0
30|06|1988 29 S L KARANGGAYAM WETAN I NO. 2 3002 2 0
11|06|1992 26 B L KARANGGAYAM WETAN I NO. 2 3002 2 0
14|04|1996 22 B P KARANGGAYAM WETAN I NO. 2 3002 2 0
08|05|1960 58 S P KARANGGAYAM WETAN I NO. 2 4002 2 0
21|07|1974 43 S P KARANGGAYAM WETAN I NO. 2 4002 2 0
18|06|1976 42 S P KARANGGAYAM WETAN I NO. 2 4002 2 0
16|05|1996 22 S P KARANGGAYAM WETAN I NO. 2 5002 2 0
20|12|1969 48 S L KARANGGAYAM WETAN I NO. 2 6002 2 0
08|08|1985 32 S P KARANGGAYAM WETAN I NO. 2 7002 2 0
21|02|1963 55 S L KARANGGAYAM WETAN I NO. 2 7002 2 0
20|06|1946 72 S P KARANGGAYAM WETAN I NO. 2 7002 2 0
11|10|1963 54 B L KARANGGAYAM WETAN I NO. 2 7002 2 0
11|11|1957 60 S L KARANGGAYAM WETAN I NO. 2 7002 2 0
28|12|1959 58 B L KARANGGAYAM WETAN I NO. 2 8002 2 0
13|03|1983 35 S P KARANGGAYAM WETAN I NO. 2 9002 2 0
29|06|1998 19 B L KARANGGAYAM WETAN I NO. 3 2 2 0
01|02|1980 38 S L KARANGGAYAM WETAN I NO. 3 3002 2 0
21|04|1971 47 S P KARANGGAYAM WETAN I NO. 4 2 2 0
08|12|1975 42 S P KARANGGAYAM WETAN I NO. 4 2 2 0
10|05|1976 42 S P KARANGGAYAM WETAN I NO. 4 2 2 0
20|04|1959 59 S P KARANGGAYAM WETAN I NO. 5 2 2 0
31|07|1994 23 S L KARANGGAYAM WETAN I NO. 5 2 2 0

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367 3578080401086874 1256196711740003 FARHAN AKBARI ARDIANSYAH SURABAYA 24|10|1998
368 3578080401088119 1256196311600001 SOEJATI SURABAYA 23|11|1960
369 3578080401088119 1256192705830005 MUHAMMAD SOLEH SURABAYA 27|05|1983
370 3578080401088119 1256194605850004 SITI FATIMAH SURABAYA 06|05|1985
371 3578080401088119 1256192807980003 MOCHAMAD ZAENURI SURABAYA 28|07|1990
372 3578080401088119 1256192909940001 MOCHAMAMAD ISBAL EFENDI SURABAYA 29|09|1994
373 3578100301080761 1256190110570002 SOEROSO SURABAYA 10|10|1957
374 3578080201085556 3578084306780010 MAFTUHAH SAMPANG 06|03|1978
375 3578080201085556 3578080706800010 MOH. YUSUF SAMPANG 06|07|1980
376 3578080201087936 3578080410680003 SUMANTRI LAMONGAN 04|10|1969
377 3578080603130011 3578086912910004 TRI UTAMI SURABAYA 29|01|1991
378 3578080503120034 3578082005740004 TUKIBAN PONOROGO 26|06|1974
379 3578080201088955 3574808188900003 ARDI REZA T. SURABAYA 18|06|1989
380 3578080301086289 3578085005560008 RB. ABDUL LATIF SURABAYA 23|06|1961
381 3578080101083261 3578082201820004 MOCH. ARIFIN SURABAYA 22|01|1982
382 3578271506100019 3578274409000002 FEBBY VERGINIA SURABAYA 04|09|2000
383 3578080401088399 3578081005010002 DONY KHARISMA MUKTI SURABAYA 10|05|2001
384 3578080401083864 3578082904570003 NOERYADI SURABAYA 29|04|1957
385 3578080401083864 3578086704790002 SARININGSIH SURABAYA 27|04|1979
386 3578080808140012 3578081712790003 NANANG DARDIANTO SURABAYA 17|12|1979
387 3578080808140012 3578106302770002 SUGIARTI SURABAYA 23|02|1977
388 3578080401086716 3578081408570003 SARIMAN PACITAN 14|08|1957
389 3578082012160003 3505066009750004 RURIN ARINAL HUSNA BLITAR 20|09|1975
390 3578080301088563 3578085804900001 MEGA PURNAMA SARI SURABAYA 18|04|1990
391 3578082606090033 3578086609710004 DWI HARIYANTI KARANGANYAR 26|09|1971
392 3578082606090033 3578085205940002 INTAN FRINTIA LAKSANA SURABAYA 12|05|1994
393 3578080201082731 3578084404850003 SETIA PUJI RAHAYU SURABAYA 04|04|1985
394 3578080501083728 3578081605970001 LUKMAN WAHYU PERDANA SURABAYA 16|05|1997
395 3578081504130005 3578104808670005 WARTINI SURABAYA 08|08|1967
396 3578081504130005 3578100506970003 INDRA KURNIAWAN PUTRA SURABAYA 05|06|1997
397 3578080301088572 3578081504910002 SRI HARI ROMAWAN SURABAYA 15|04|1991
398 3578080401082961 3578084904570002 TITIN SUMARNI PACITAN 09|04|1957
399 3578081002150005 3578080810770004 PUDJI WAHYUDI SURABAYA 08|10|1977
400 3578082711130006 3524170211870002 IKSAN MIFTAKHUL ULUMI LAMONGAN 02|11|1987
401 3578080301088453 3578080912560003 PUJIONO SURABAYA 09|12|1956
402 3578080301088532 3578086311630001 SOEPRIHATIN TULUNGAGUNG 23|11|1963
403 3578080301088532 3578080402670001 IBNU SOEBROTO SEMARANG 04|02|1967
404 3578080301088532 3578081701950003 ILHAM PRIDANU SURABAYA 17|01|1995
405 3578080301088535 3578082008550001 POEDJIWANTORO RIAU 20|08|1955
406 3578080301088535 3578084911640008 WINARTI SURABAYA 09|11|1964
407 3578080301088535 3578084207930001 TRY YULY PREGAWATI SURABAYA 02|07|1993
408 3578080501080962 3578085006510002 WENI INDRAWATI SURABAYA 10|06|1951
409 3578080501080962 3578081005610002 BAWI WARNI PACITAN 10|05|1961
410 3578080401086893 3578086106620001 MUDJIRAH SURABAYA 21|06|1962
411 3578082403090007 3578082804750003 MACHFUD SHOLEH GRESIK 28|04|1975
412 3578082403090007 3578085202790005 SUTIANI LAMONGAN 12|02|1979
413 3578080401086893 3578082106590007 SUJATNO NGANJUK 21|06|1959
5

24|10|1998 19 B L KARANGGAYAM WETAN I NO. 5 2 2 0


23|11|1960 57 S P KARANGGAYAM WETAN I NO. 5 2 2 0
27|05|1983 35 S L KARANGGAYAM WETAN I NO. 5 2 2 0
06|05|1985 33 S P KARANGGAYAM WETAN I NO. 5 2 2 0
28|07|1990 27 S L KARANGGAYAM WETAN I NO. 5 2 2 0
29|09|1994 23 S L KARANGGAYAM WETAN I NO. 5 2 2 0
10|10|1957 60 S L KARANGGAYAM WETAN I NO. 5 2 2 0
06|03|1978 40 S P KARANGGAYAM WETAN I NO. 5 2 2 0
06|07|1980 37 S L KARANGGAYAM WETAN I NO. 5 2 2 0
04|10|1969 48 S L KARANGGAYAM WETAN I NO. 7 2 2 0
29|01|1991 27 S P KARANGGAYAM WETAN I NO. 7 9002 0 0
26|06|1974 44 S L KARANGGAYAM WETAN I NO. 8 2 2 0
18|06|1989 29 B L KARANGGAYAM WETAN I NO. 9 2 2 0
23|06|1961 57 P L KARANGGAYAM WETAN I NO. 9 2 2 0
22|01|1982 36 B L KARANGGAYAM WETAN IA/10 2 2 0
04|09|2000 17 B P JOJORAN 3-A/44 5 2 0
10|05|2001 17 B L MOJO KLANGGRU LOR BARU 1/ 1005 2 0
29|04|1957 61 B L MOJO KLANGGRU LOR BARU 1/ 1005 2 0
27|04|1979 39 B P MOJO KLANGGRU LOR BARU 1/ 1005 2 0
17|12|1979 38 S L MOJO KLANGGRU LOR BARU 1/ 1005 2 0
23|02|1977 41 B P MOJO KLANGGRU LOR BARU 1/ 1005 2 0
14|08|1957 60 S L MOJO KLANGGRU LOR BARU 1/ 1005 2 0
20|09|1975 42 S P MOJO KLANGGRU LOR BARU 1/ 1005 2 0
18|04|1990 28 B P MOJO KLANGGRU LOR BARU 1/ 2005 2 0
26|09|1971 46 P P MOJO KLANGGRU LOR BARU 1/ 2005 2 0
12|05|1994 24 S P MOJO KLANGGRU LOR BARU 1/ 2005 2 0
04|04|1985 33 S P MOJO KLANGGRU LOR BARU 1/ 4005 2 0
16|05|1997 21 B L MOJO KLANGGRU LOR BARU 2/ 2005 2 0
08|08|1967 50 P P MOJO KLANGGRU LOR BARU 2/ 9005 2 0
05|06|1997 21 B L MOJO KLANGGRU LOR BARU 2/ 9005 2 0
15|04|1991 27 B L MOJO KLANGGRU LOR BARU 3/ 1005 2 0
09|04|1957 61 S P MOJO KLANGGRU LOR BARU 3/ 1005 2 0
08|10|1977 40 B L MOJO KLANGGRU LOR BARU 3/ 1005 2 0
02|11|1987 30 S L MOJO KLANGGRU LOR BARU 3/ 1005 2 0
09|12|1956 61 S L MOJO KLANGGRU LOR BARU 3/ 3005 2 0
23|11|1963 54 S P MOJO KLANGGRU LOR BARU 3/ 3005 2 0
04|02|1967 51 S L MOJO KLANGGRU LOR BARU 3/ 3005 2 0
17|01|1995 23 B L MOJO KLANGGRU LOR BARU 3/ 3005 2 0
20|08|1955 62 S L MOJO KLANGGRU LOR BARU 3/ 3005 2 0
09|11|1964 53 S P MOJO KLANGGRU LOR BARU 3/ 3005 2 0
02|07|1993 24 B P MOJO KLANGGRU LOR BARU 3/ 3005 2 0
10|06|1951 67 S P MOJO KLANGGRU LOR BARU 3/ 3005 2 0
10|05|1961 57 S L MOJO KLANGGRU LOR BARU 3/ 3005 2 0
21|06|1962 56 S P MOJO KLANGGRU LOR BARU 3/ 5005 2 0
28|04|1975 43 S L MOJO KLANGGRU LOR BARU 3/ 5005 2 0
12|02|1979 39 S P MOJO KLANGGRU LOR BARU 3/ 5005 2 0
21|06|1959 59 S L MOJO KLANGGRU LOR BARU 3/ 5005 2 0

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414 3578080503130008 3578105112900004 DIANITA ULFIANA SURABAYA 11|12|1990
415 3578080401082813 3578081511680001 SUKATNO PACITAN 15|11|1968
416 3578080401082813 3578086907710003 SRI SUPRAPTI PACITAN 29|07|1971
417 3578081303150008 3578082912880003 WAHYU EKO PRASETYO PACITAN 29|12|1988
418 3578081303150008 3578085212900002 PUTRY DWY ARYNDA SURABAYA 12|12|1990
419 3578080301083746 3578081908630001 SUKADI SURABAYA 19|08|1963
420 3578080401082689 3578081406670001 TIWAN AGA NR, Ir BANGKALAN 14|06|1967
421 3578080401082689 3578085204000002 ANNISA AYU ANGGI PERTIWI SURABAYA 12|04|2000
422 3578080101084917 3578085408720005 SUMARIYANA SURABAYA 14|08|1972
423 3578080101084917 3578080905000003 ALFIAN DWI CRISTIANDOKO SURABAYA 09|05|2000
424 3578080101080645 3578081804740001 CHOIRUL HUDA JOMBANG 18|04|1974
425 3578080301088587 3578081608640002 AGUSTIONO SURABAYA 16|08|1964
426 3578080301088587 3578085911660001 NUR MUNINGSIH SURABAYA 19|11|1966
427 3578080101081170 3578081508600003 HASAN DIMYATI SURABAYA 15|08|1960
428 3578080101081170 3578085908670004 NUNUK ANJARINI PACITAN 19|08|1967
429 3578080101081170 3578086002910002 SILVIA KARTIKA SARI SURABAYA 20|02|1991
430 3578080501080121 3578085601740004 WAHYU EKO SUCIATI SURABAYA 16|01|1974
431 3578080401088575 3578081904500001 SOEGIJONO PACITAN 19|04|1950
432 3578080401088575 3578086906520031 LICHIANAH MOJOKERTO 29|06|1952
433 3578081203140014 3518130502810001 MOCH. MIFTAHUL ULUM NGANJUK 05|02|1981
434 3578080101083626 3578080105010001 VICKY CHANDRA FIRMANSYAH SURABAYA 01|05|2001
435 3578081203140014 3578085709810004 RAGIL RETNO WATI SURABAYA 17|09|1981
436 3578080401087871 3578086102780001 MUKMINAH SAMPANG 21|02|1978
437 3578080501082996 3578081010680008 LAMURI NGANJUK 10|10|1968
438 3578080501082996 3578084512000007 DEVINA AYU RAHMADHANI SURABAYA 05|12|2000
439 3578080201089582 3578082403690002 SOELAIMAN SURABAYA 24|03|1969
440 3578080201089582 3578080306960004 ALFIN MAHARDIKA PUTRA SURABAYA 03|06|1996
441 3578080401086715 3578082502750002 SUPRIJADI SURABAYA 25|02|1975
442 3578083001130001 3518135508750001 SUKINEM NGANJUK 15|08|1975
443 3578081207130011 3508100808630006 SUTIKNO BLITAR 08|08|1963
444 3578081207130011 3508105104750004 KARSI LUMAJANG 11|04|1975
445 3578081207130011 3508106310990001 NURUL HIDAYAH MAKASAR 23|10|1999
446 3578081207130011 3508106501990005 IKA YUNIAR ARDITA LUMAJANG 25|01|1999
447 3578080201082837 3578081505690005 JAMAN MAGETAN 15|05|1969
448 3578082111140016 3578081505790008 BUDIANTO SURABAYA 15|05|1979
449 3578080201082837 3578082904990001 INDRAWANTO SURABAYA 29|04|1999
450 3578080401089741 3578086204520004 SATUMI JEMBER 22|04|1952
451 3578080401089741 3578082810870004 HARYONO JEMBER 28|10|1987
452 3578080106120016 3578080312790001 PENDIK HARIYANTO SURABAYA 13|12|1979
453 3578080501083758 3578080911560001 SOKEP KEDIRI 09|11|1956
454 3527122104062843 1256184506500011 MISUNI SAMPANG 05|06|1950
455 3578080101088739 1256181005860009 MOH. FATHOR RAHMAN SAMPANG 21|02|1986
456 3578080101088739 1256185204890004 NANIK LIA SAMPANG 12|07|1987
457 3578080101088739 1256180501900004 M. FAIZ ZAINAL ARIFIN SURABAYA 08|01|1989
458 3578080101088739 1256181409980004 HAFID SAMPANG 14|09|1998
459 3578080401083133 3578085607690003 RUSMIJATI SURABAYA 16|07|1969
460 3578080401086911 3578086106510005 DJANATIN SURABAYA 21|06|1951
5

11|12|1990 27 B P MOJO KLANGGRU LOR BARU 3/ 5005 2 0


15|11|1968 49 S L MOJO KLANGGRU LOR BARU 3/ 9005 2 0
29|07|1971 46 S P MOJO KLANGGRU LOR BARU 3/ 9005 2 0
29|12|1988 29 S L MOJO KLANGGRU LOR BARU 3/ 9005 2 0
12|12|1990 27 S P MOJO KLANGGRU LOR BARU 3/ 9005 2 0
19|08|1963 54 S L MOJO KLANGGRU LOR BARU 3/ 9005 2 0
14|06|1967 51 S L MOJO KLANGGRU LOR BARU 3/ 9005 2 0
12|04|2000 18 B P MOJO KLANGGRU LOR BARU 3/ 9005 2 0
14|08|1972 45 S P MOJO KLANGGRU LOR BARU 4/ 1005 2 0
09|05|2000 18 B L MOJO KLANGGRU LOR BARU 4/ 1005 2 0
18|04|1974 44 S L MOJO KLANGGRU LOR BARU 4/ 1005 2 0
16|08|1964 53 S L MOJO KLANGGRU LOR BARU 4/ 1005 2 0
19|11|1966 51 S P MOJO KLANGGRU LOR BARU 4/ 1005 2 0
15|08|1960 57 S L MOJO KLANGGRU LOR BARU 4/ 2005 2 0
19|08|1967 50 S P MOJO KLANGGRU LOR BARU 4/ 2005 2 0
20|02|1991 27 B P MOJO KLANGGRU LOR BARU 4/ 2005 2 0
16|01|1974 44 S P MOJO KLANGGRU LOR BARU 4/ 2005 2 0
19|04|1950 68 S L MOJO KLANGGRU LOR BARU 4/ 2005 2 0
29|06|1952 65 S P MOJO KLANGGRU LOR BARU 4/ 2005 2 0
05|02|1981 37 S L MOJO KLANGGRU LOR BARU 4/ 2005 2 0
01|05|2001 17 B L MOJO KLANGGRU LOR BARU 4/ 2005 2 0
17|09|1981 36 B P MOJO KLANGGRU LOR BARU 4/ 2005 2 0
21|02|1978 40 S P MOJO KLANGGRU LOR BARU 5/ 5 2 0
10|10|1968 49 S L MOJO KLANGGRU LOR BARU 5/ 1005 2 0
05|12|2000 17 B P MOJO KLANGGRU LOR BARU 5/ 1005 2 0
24|03|1969 49 S L MOJO KLANGGRU LOR BARU 5/ 8005 2 0
03|06|1996 22 B L MOJO KLANGGRU LOR BARU 5/ 8005 2 0
25|02|1975 43 S L MOJOKLANGGRU BARU 2/14 5 2 0
15|08|1975 42 S P MOJOKLANGGRU BARU 2/14 5 2 0
08|08|1963 54 S L MOJOKLANGGRU BARU 4/9 5 2 0
11|04|1975 43 S P MOJOKLANGGRU BARU 4/9 5 2 0
23|10|1999 18 B P MOJOKLANGGRU BARU 4/9 5 2 0
25|01|1999 19 B P MOJOKLANGGRU BARU 4/9 5 2 0
15|05|1969 49 S L MOJOKLANGGRU LOR 4/15 5 2 0
15|05|1979 39 B L MOJOKLANGGRU LOR 4/15 5 2 0
29|04|1999 19 B L MOJOKLANGGRU LOR 4/15 5 2 0
22|04|1952 66 P P MOJOKLANGGRU LOR 4/3 5 2 0
28|10|1987 30 B L MOJOKLANGGRU LOR 4/3 5 2 0
13|12|1979 38 S L MOJOKLANGGRU LOR BARU / 5 2 0
09|11|1956 61 S L MOJOKLANGGRU LOR BARU / 5 5 2 0
05|06|1950 68 S L MOJOKLANGGRU LOR BARU / 7 5 2 0
21|02|1986 32 B L MOJOKLANGGRU LOR BARU / 7 5 2 0
12|07|1987 30 B P MOJOKLANGGRU LOR BARU / 7 5 2 0
08|01|1989 29 B L MOJOKLANGGRU LOR BARU / 7 5 2 0
14|09|1998 19 B L MOJOKLANGGRU LOR BARU / 7 5 2 0
16|07|1969 48 S P MOJOKLANGGRU LOR BARU 1/1 5 2 0
21|06|1951 67 P P MOJOKLANGGRU LOR BARU 1/1 5 2 0

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461 3578311710120007 3578046302890002 DESSY FEBRIANA SURABAYA 23|02|1989
462 3578080101085277 3578084709690006 SUCIATI SURABAYA 07|09|1969
463 3578080101085277 3578085305000002 AMELIA PRIANTI PUTRI SURABAYA 13|05|2000
464 3578082308130015 3578087010580001 SUKINEM KEDIRI 30|10|1958
465 3578080201080382 3578087105750006 ROHEMAH SAMPANG 31|05|1975
466 3578083105120048 3578082304830011 ABDUL ROHMAN JEMBER 23|04|1983
467 3578080301084267 3578080611540002 SETIARSO BLITAR 06|11|1954
468 3578082603090001 3578085708810002 SRI HARI AGUSTININGRUM SURABAYA 17|08|1981
469 3578082603090001 3578100310860002 BUDI RAHAYU SURABAYA 03|10|1986
470 3578081602150004 3578096708850001 AINUR ROHMAWATI SURABAYA 27|08|1985
471 3578082411150001 3502092104770005 MUNADJI PONOROGO 21|04|1977
472 3578082411150001 3502096204790001 SETIOWATI SURABAYA 22|04|1979
473 3578080201086767 3578081212650003 NASUTION USMAN WAIKABUBAK 12|12|1965
474 3578080501082255 3578081407950003 RACHMAT WIHANDANA AGASI SURABAYA 14|07|1995
475 3578080501082255 3578080512970001 MIFTA FERNANDA ALAMSYAH SURABAYA 05|12|1997
476 3578080501082255 3578082208980008 PANCA YUDHA NUGRAHA SURABAYA 22|08|1998
477 3578080201086767 3578085101650001 BIBIT MUDJIANI, Dra SURABAYA 11|01|1965
478 3578080201086767 3578080105990002 NUGROHO SUPRIYONO SURABAYA 01|05|1999
479 3578080809160008 3578081405880001 RIYADI SURABAYA 14|05|1988
480 3578080809160008 3578084303000003 PUTRI HANDAYANI SURABAYA 03|03|2000
481 3578080809160008 3578085505010004 DWI MELISA RAHMAWATI SURABAYA 15|05|2001
482 3578080101087424 3578084705010001 MAY ARYANTI PURWANTO SURABAYA 07|05|2001
483 3578082602130008 3578082701620004 SABAR SURABAYA 27|01|1962
484 3578082602130008 3578084601970001 WAHYUN BARDIANING PANGGALIH TUBAN 06|01|1997
485 3578080401086715 3570005009530001 KASTI PUAH SURABAYA 18|09|1953
486 3578080401086715 3578082506540073 SAPUAN SURABAYA 29|06|1954
487 3578080401086715 3578081810960001 YUDA PRAKOSO WICAKSONO SURABAYA 18|10|1995
488 3578082104140019 3570884204520001 SUMINEM SURABAYA 02|04|1952
489 3578080301089128 3578084707570005 SUPRIHATIN PONOROGO 07|07|1957
490 3578080611140002 3578261007540001 DRS. SARNO PONOROGO 10|07|1954
491 3578082411110032 3578081902740006 SAE SAMPANG 19|02|1974
492 3578082411110032 3578086007770005 JUHAIRIYEH SAMPANG 20|07|1977
493 3578082411110032 3578085311990004 SITI MUFARROHAH SAMPANG 13|11|1999
494 3578080201080984 3578080106780004 SUYANTO MOJOKERTO 01|06|1978
495 3578080201080984 3578086404790001 SUKARTI SURABAYA 24|04|1979
496 3578080201080091 3578080609770004 FIBISONO SURABAYA 06|09|1977
497 3578082104140019 3578086903920003 JUWITA AGIL PUTRI ANDA M SURABAYA 29|03|1992
498 3578082712110005 3515137011830001 IDA BADRIYAH SIDOARJO 30|11|1983
499 3578081007120017 3578084908960011 KOEN ROFI`AH ADAWI SURABAYA 09|08|1996
500 3578080101088360 3578082307960003 RAMANG GUNTARA SURABAYA 23|07|1996
501 3578080501082961 3578081905900003 EKO WICAKSONO SURABAYA 19|05|1990
502 3578080501082961 3578085206960002 KUSMIATI SURABAYA 12|06|1996
503 3578080101088360 3578086004000004 DERI PRASASTI SURABAYA 20|04|2000
504 3578080201088862 3578083001820002 IFNU RIYANTO SURABAYA 30|01|1982
505 3578080101084501 3578085107770002 YULI SUWARNI NGANJUK 11|07|1977
506 3578080101084501 3578082303770004 BUDI HARIANTO SURABAYA 23|03|1977
507 3578080101083083 3578085904690002 MARTINI BLITAR 19|04|1969
5

23|02|1989 29 B P MOJOKLANGGRU LOR BARU 1/1 5 2 0


07|09|1969 48 S P MOJOKLANGGRU LOR BARU 1/1 5 2 0
13|05|2000 18 B P MOJOKLANGGRU LOR BARU 1/1 5 2 0
30|10|1958 59 P P MOJOKLANGGRU LOR BARU 1/1 5 2 0
31|05|1975 43 S P MOJOKLANGGRU LOR BARU 1/1 5 2 0
23|04|1983 35 S L MOJOKLANGGRU LOR BARU 1/1 5 2 0
06|11|1954 63 P L MOJOKLANGGRU LOR BARU 1/4 5 2 0
17|08|1981 36 S P MOJOKLANGGRU LOR BARU 1/4 5 2 0
03|10|1986 31 S L MOJOKLANGGRU LOR BARU 1/4 5 2 0
27|08|1985 32 B P MOJOKLANGGRU LOR BARU 1/4 5 2 0
21|04|1977 41 S L MOJOKLANGGRU LOR BARU 1/4 5 2 0
22|04|1979 39 S P MOJOKLANGGRU LOR BARU 1/4 5 2 0
12|12|1965 52 S L MOJOKLANGGRU LOR BARU 1/5 5 2 0
14|07|1995 22 B L MOJOKLANGGRU LOR BARU 1/5 5 2 0
05|12|1997 20 B L MOJOKLANGGRU LOR BARU 1/5 5 2 0
22|08|1998 19 B L MOJOKLANGGRU LOR BARU 1/5 5 2 0
11|01|1965 53 S P MOJOKLANGGRU LOR BARU 1/5 5 2 0
01|05|1999 19 B L MOJOKLANGGRU LOR BARU 1/5 5 2 0
14|05|1988 30 B L MOJOKLANGGRU LOR BARU 1/6 5 2 0
03|03|2000 18 B P MOJOKLANGGRU LOR BARU 1/6 5 2 0
15|05|2001 17 B P MOJOKLANGGRU LOR BARU 1/6 5 2 0
07|05|2001 17 B P MOJOKLANGGRU LOR BARU 1/8 5 2 0
27|01|1962 56 S L MOJOKLANGGRU LOR BARU 1/9 5 2 0
06|01|1997 21 B P MOJOKLANGGRU LOR BARU 1/9 5 2 0
18|09|1953 64 S P MOJOKLANGGRU LOR BARU 2/ 4005 2 0
29|06|1954 63 S L MOJOKLANGGRU LOR BARU 2/ 4005 2 0
18|10|1995 22 B L MOJOKLANGGRU LOR BARU 2/ 4005 2 0
02|04|1952 66 P P MOJOKLANGGRU LOR BARU 2/ 6005 2 0
07|07|1957 60 S P MOJOKLANGGRU LOR BARU 2/1 5 2 0
10|07|1954 63 P L MOJOKLANGGRU LOR BARU 2/1 5 2 0
19|02|1974 44 S L MOJOKLANGGRU LOR BARU 2/1 5 2 0
20|07|1977 40 S P MOJOKLANGGRU LOR BARU 2/1 5 2 0
13|11|1999 18 B P MOJOKLANGGRU LOR BARU 2/1 5 2 0
01|06|1978 40 S L MOJOKLANGGRU LOR BARU 2/1 5 2 0
24|04|1979 39 S P MOJOKLANGGRU LOR BARU 2/1 5 2 0
06|09|1977 40 B L MOJOKLANGGRU LOR BARU 2/1 5 2 0
29|03|1992 26 B P MOJOKLANGGRU LOR BARU 2/1 5 2 0
30|11|1983 34 B P MOJOKLANGGRU LOR BARU 2/1 5 2 0
09|08|1996 21 B P MOJOKLANGGRU LOR BARU 2/2 5 2 0
23|07|1996 21 B L MOJOKLANGGRU LOR BARU 2/6 5 2 0
19|05|1990 28 B L MOJOKLANGGRU LOR BARU 2/6 5 2 0
12|06|1996 22 B P MOJOKLANGGRU LOR BARU 2/6 5 2 0
20|04|2000 18 B P MOJOKLANGGRU LOR BARU 2/6 5 2 0
30|01|1982 36 S L MOJOKLANGGRU LOR BARU 2/7 5 2 0
11|07|1977 40 S P MOJOKLANGGRU LOR BARU 2/7 5 2 0
23|03|1977 41 S L MOJOKLANGGRU LOR BARU 2/7 5 2 0
19|04|1969 49 S P MOJOKLANGGRU LOR BARU 2/8 5 2 0

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508 3578081411140005 3514182205940001 MUHAMMAD ALI IQBAL PASURUAN 22|05|1994
509 3578081411140005 3578084805950002 DIYA AINUN ULFA BLITAR 08|05|1995
510 3578083005110009 3578084808710007 RULICHA KEDIRI 08|08|1974
511 3578083005110009 3578084911950002 NANDA SUHANDIKA KEDIRI 09|11|1995
512 3578083005110009 3578081204970003 SAWUNG ARDIANSYAH SURABAYA 12|04|1997
513 3578080101083083 3578081405000001 HAINUL DAHLAN SURABAYA 14|05|2000
514 3578082009100006 3578084106780007 YUNI ETY SURABAYA 01|06|1978
515 3578082009100006 3578100604810002 SAMSUL ARIFIN SURABAYA 06|04|1981
516 3578083105130012 3578085609690004 MARSUCI LAMONGAN 16|09|1969
517 3578082711130006 3579094508910002 ERWINDA AGUSTINA SURABAYA 05|08|1991
518 3578080201083006 3578080504780005 PRIYO BUDHI WIBOWO, S.Si SURABAYA 05|04|1978
519 3578080201083006 3578084111780001 ETTIEN NOVITASARI, A.Md SURABAYA 01|11|1978
520 3578080101088537 3578082304770003 SUBHAN ARIF SURABAYA 23|04|1977
521 3578080101088537 3578086707820003 ARIEYANTI DWI YULIANA BOJONEGORO 27|07|1982
522 3578080201080723 3578085903750002 SUSILOWATI SURABAYA 19|03|1975
523 3578080201080723 3578080912810004 MULYONO SURABAYA 09|12|1981
524 3578082110130014 3507021305690002 SUGIONO MALANG 13|05|1972
525 3578082110130014 3507025908720001 SUMAIYAH MALANG 19|08|1973
526 3578082110130014 3507021610940001 MUHAMMAD RIDO'I MALANG 16|10|1994
527 3578082110130014 3507026612980001 CICIN WULANDARI MALANG 26|12|1998
528 3578081101100052 3578082910000003 DAFFA RIZKY MAHARDHIKA SURABAYA 29|10|2000
529 3578080301088453 3578086303620004 AMAH JOMBANG 03|03|1962
530 3578080301088453 3578085808830001 ADITYA TRI AGUSTINE SURABAYA 18|08|1993
531 3578080101086595 3578082406960001 SULTON SANTOSO SAMPANG 24|06|1996
532 3578080101083083 3578082008700004 DOJO SURABAYA 28|08|1970
533 3578080401082689 3578086309370002 SRI SUHASTUTI SURABAYA 23|09|1967
534 3578080401082689 3578085108950002 INTAN CITRA PERTIWI SURABAYA 08|11|1995
535 3578080101084917 3578080901960002 RANDY AGUNG PRAYOGO SURABAYA 01|09|1996
536 3578080101087744 3578085102720001 FERBINA FONDA SUPARLINA SURABAYA 11|02|1072
537 3578080201087004 3578085005300001 KATINEM MAGETAN 10|05|1930
538 3578080401086716 3578084205610002 SRIATI MALANG 22|05|1961
539 3578082308130015 3578081905810005 HENDRIK BUDIANTO KEDIRI 19|05|1961
540 3578082308130015 3578080808890003 MUCHAMAD YULIANTO KEDIRI 08|07|1989
541 3578080101080645 3578084511720007 RINI ELFITRI SURABAYA 11|05|1972
542 3578083105120048 3578007011770011 AYU NOVINDA SARI BANYUWANGI 30|11|1977
543 3578080101087744 3578081412720001 SUTIKNO SURABAYA 14|12|1972
544 3578080201081140 3578081902770002 MOHAMMAD SHOLEH BANGKALAN 19|02|1977
545 3578080201081140 3578085808850006 NING RAHAYU JEMBER 18|08|1985
546 3578082710160002 3578085012810001 KASMIATI NINGRUM JEMBER 10|12|1981
547 3578080107090025 3578086202800005 NUNUK PUJIATI SURABAYA 22|02|1980
548 3578080107090025 3578080306830004 SUGENG WAHYUDI BLITAR 06|03|1983
549 3578080501082414 3578085806590001 SOETINI BOJONEGORO 06|10|1959
550 3578080401089828 3578084604630001 SUMARTINI PONOROGO 04|06|1963
551 3578082507120062 3578084107840011 SUPRIAH SAMPANG 01|07|1984
552 3578080501082996 3578084906740004 WARSITI LAMONGAN 06|09|1974
553 3578080501082996 3578084602950001 PUTRI FEBRI ANGGRAINI SURABAYA 02|06|1995
554 3578080401089828 3578082209620002 ARIEF DIMYATI SIDOARJO 22|09|1962
5

22|05|1994 24 S L MOJOKLANGGRU LOR BARU 2/8 5 2 0


08|05|1995 23 S P MOJOKLANGGRU LOR BARU 2/8 5 2 0
08|08|1974 43 P P MOJOKLANGGRU LOR BARU 2/8 5 2 0
09|11|1995 22 B P MOJOKLANGGRU LOR BARU 2/8 5 2 0
12|04|1997 21 B L MOJOKLANGGRU LOR BARU 2/8 5 2 0
14|05|2000 18 B L MOJOKLANGGRU LOR BARU 2/8 5 2 0
01|06|1978 40 S P MOJOKLANGGRU LOR BARU 25 5 2 0
06|04|1981 37 S L MOJOKLANGGRU LOR BARU 25 5 2 0
16|09|1969 48 S P MOJOKLANGGRU LOR BARU 25 5 2 0
05|08|1991 26 S P MOJOKLANGGRU LOR BARU 3/ 5005 2 0
05|04|1978 40 S L MOJOKLANGGRU LOR BARU 3/1 5 2 0
01|11|1978 39 S P MOJOKLANGGRU LOR BARU 3/1 5 2 0
23|04|1977 41 S L MOJOKLANGGRU LOR BARU 3/1 5 2 0
27|07|1982 35 S P MOJOKLANGGRU LOR BARU 3/1 5 2 0
19|03|1975 43 S P MOJOKLANGGRU LOR BARU 3/1 5 2 0
09|12|1981 36 S L MOJOKLANGGRU LOR BARU 3/1 5 2 0
13|05|1972 46 S L MOJOKLANGGRU LOR BARU 3/1 5 2 0
19|08|1973 44 S P MOJOKLANGGRU LOR BARU 3/1 5 2 0
16|10|1994 23 B L MOJOKLANGGRU LOR BARU 3/1 5 2 0
26|12|1998 19 B P MOJOKLANGGRU LOR BARU 3/1 5 2 0
29|10|2000 17 B L MOJOKLANGGRU LOR BARU 3/2 5 2 0
03|03|1962 56 S P MOJOKLANGGRU LOR BARU 3/3 5 2 0
18|08|1993 24 B P MOJOKLANGGRU LOR BARU 3/3 5 2 0
24|06|1996 22 B L MOJOKLANGGRU LOR BARU 3/6 5 2 0
28|08|1970 47 S L MOJOKLANGGRU LOR BARU 3/8 5 2 0
23|09|1967 50 S P MOJOKLANGGRU LOR BARU 3/9 5 2 0
08|11|1995 22 B P MOJOKLANGGRU LOR BARU 3/9 5 2 0
01|09|1996 21 B L MOJOKLANGGRU LOR BARU 4/ 5 2 0
11|02|1072 946 S P MOJOKLANGGRU LOR BARU 4/ 5 2 0
10|05|1930 88 P P MOJOKLANGGRU LOR BARU 4/ 5 2 0
22|05|1961 57 S P MOJOKLANGGRU LOR BARU 4/ 5 2 0
19|05|1961 57 B L MOJOKLANGGRU LOR BARU 4/ 5005 2 0
08|07|1989 28 B L MOJOKLANGGRU LOR BARU 4/ 5005 2 0
11|05|1972 46 S P MOJOKLANGGRU LOR BARU 4/ 7005 2 0
30|11|1977 40 S P MOJOKLANGGRU LOR BARU 4/ 9005 2 0
14|12|1972 45 S L MOJOKLANGGRU LOR BARU 4/1 5 2 0
19|02|1977 41 S L MOJOKLANGGRU LOR BARU 4/3 5 2 0
18|08|1985 32 S P MOJOKLANGGRU LOR BARU 4/3 5 2 0
10|12|1981 36 S P MOJOKLANGGRU LOR BARU 4/3 5 2 0
22|02|1980 38 S P MOJOKLANGGRU LOR BARU 4/9 5 2 0
06|03|1983 35 S L MOJOKLANGGRU LOR BARU 4/9 5 2 0
06|10|1959 58 S P MOJOKLANGGRU LOR BARU 4/9 5 2 0
04|06|1963 55 S P MOJOKLANGGRU LOR BARU 5/ 5 2 0
01|07|1984 33 S P MOJOKLANGGRU LOR BARU 5/ 5005 2 0
06|09|1974 43 S P MOJOKLANGGRU LOR BARU 5/ 7005 2 0
02|06|1995 23 B P MOJOKLANGGRU LOR BARU 5/ 7005 2 0
22|09|1962 55 S L MOJOKLANGGRU LOR BARU 5/1 5 2 0

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555 3578080506120005 3578081212700011 ABDUL KOHAR JOMBANG 12|12|1970
556 3578080506120005 3578087005700006 SUMAIDAH TRENGGALEK 30|05|1970
557 3578080401089828 3578084212990001 FIRDA ALICIA RAHMA SURABAYA 02|12|1999
558 3578080506120005 3578083008000011 ANDRA ANDIKA TRENGGALEK 30|08|2000
559 3578082609160001 3578056209830001 LATIPAH SAMPANG 22|09|1983
560 3578080201083295 3578084304780007 YULIANI SUMIYANTI KULONPROGO 04|03|1978
561 3578080401088972 3578084204750006 SUSIANA SURABAYA 02|04|1975
562 3578080201083295 3578081910000005 RYAN RASENDRIYA SURABAYA 19|10|2000
563 3578080201089582 3578084009720006 NUNIK MARTUTIK SURABAYA 09|09|1972
564 3578080201087215 3578081303000003 DHIMAS DWI HERLAMBANG SURABAYA 13|03|2000
565 3578080501081375 3578081707570006 BAMBANG UNTARDI NGANJUK 17|07|1957
566 3578080501081375 3578082711820005 TOTON HERMANTO SINDANG SARI 27|11|1982
567 3578080501081375 3578084912870002 NINA UMAMI SURABAYA 09|12|1987
568 3578080501081375 3578082406910003 ADI SUMARGO SURABAYA 24|06|1991
569 3578080501081375 3578080511930002 RUDI HERMANSYAH SURABAYA 05|11|1993
570 3578080110140008 3578086908830002 NADIA MIRZHA YUSMARANI SURABAYA 29|08|1983
571 3578080110140008 3578101601920003 MUHAMMAD NUR LATHIF SURABAYA 16|01|1992
572 3578081406120136 3578085508600005 SRI AGUSDINI, SH SURABAYA 15|08|1960
573 3578080101082395 3578085505400001 DJUANAH PROBOLINGGO 15|05|1940
574 3578080101080511 3578084606620003 UMI REJEKI JOMBANG 06|06|1962
575 3578080301080956 3578084307610002 KASIH WIJATI SURABAYA 03|07|1961
576 3578080301080956 3578081105930002 TRI SUBAGYO SURABAYA 11|05|1993
577 3578082405160011 3578085010580003 W.KUNANTI SURABAYA 10|10|1958
578 3578080101080511 3578085508000003 INDAH AGUSTINA SURABAYA 15|08|2000
579 3578080101080148 3578081808660004 ATMOKO SURABAYA 18|08|1966
580 3578080101080148 3578080903960005 DANAR PRIOATMOJO SURABAYA 09|03|1996
581 3578080101080148 3578085804690001 MAS`AMAH LAMONGAN 18|04|1969
582 3578080101080148 3578081001990002 MAWAN PUJO TRIANTORO SURABAYA 10|01|1999
583 3578080401089036 3578081708650013 AGOES WAHYUDI SURABAYA 17|08|1965
584 3578080401089036 3578086102680003 KASIATUN SURABAYA 21|02|1968
585 3578080401089036 3578080401900003 ADE INDRA WAHYUDI SURABAYA 04|01|1990
586 3578080401089036 3578080706930002 ARDI WAHYUDI SURABAYA 07|06|1993
587 3578080401087702 3578085211700002 SUPRIYATI SURABAYA 12|11|1970
588 3578080401087702 3578084509000002 DWI ANGGRAINI SURABAYA 05|09|2000
589 3578081606150017 3578087008720006 SUPRIATUN SURABAYA 30|08|1972
590 3578080401088126 3578080510480001 TUKIRAN LUMAJANG 05|10|1948
591 3578080408110016 3578085205820001 NUR ULFA HARIYATININGSIH SURABAYA 12|05|1982
592 3578081203150006 3578081703860002 HERU SETIAWAN SURABAYA 17|03|1986
593 3578082102120071 3578084510750009 FARIDA ARIYANI LUMAJANG 05|10|1975
594 3578082912140004 3578086907990003 ANAIDA NUR ALFIAH SURABAYA 29|07|1999
595 3578082912140004 3578086907990002 AMINDA NUR KHOLIFAH SURABAYA 29|07|1999
596 3578080501083318 3578082302950004 ANDI GUNAWAN SURABAYA 23|02|1995
597 3578080401089251 3578085108820004 ONGKI YUSTANTI SURABAYA 11|08|1982
598 3578080201086539 3578087006580055 MARDIYAH BANGKALAN 30|06|1958
599 3578080201086539 3578083006540029 SAFI`IE BANGKALAN 30|06|1954
600 3578081402110034 3578085710950003 FIRSTY AMALIA CHUSNA KEDIRI 17|10|1995
601 3578080401082965 3578085504400002 DEWI MARIJAM SURABAYA 15|04|1940
5

12|12|1970 47 S L MOJOKLANGGRU LOR BARU 5/1 5 2 0


30|05|1970 48 S P MOJOKLANGGRU LOR BARU 5/1 5 2 0
02|12|1999 18 B P MOJOKLANGGRU LOR BARU 5/1 5 2 0
30|08|2000 17 B L MOJOKLANGGRU LOR BARU 5/1 5 2 0
22|09|1983 34 S P MOJOKLANGGRU LOR BARU 5/1 5 2 0
04|03|1978 40 S P MOJOKLANGGRU LOR BARU 5/5 5 2 0
02|04|1975 43 S P MOJOKLANGGRU LOR BARU 5/5 5 2 0
19|10|2000 17 B L MOJOKLANGGRU LOR BARU 5/5 5 2 0
09|09|1972 45 S P MOJOKLANGGRU LOR BARU 5/8 5 2 0
13|03|2000 18 B L MOJOKLANGGRU LOR BARU II/1 5 2 0
17|07|1957 60 S L KALIWARON 46-B 6 2 0
27|11|1982 35 B L KALIWARON 46-B 6 2 0
09|12|1987 30 B P KALIWARON 46-B 6 2 0
24|06|1991 27 B L KALIWARON 46-B 6 2 0
05|11|1993 24 B L KALIWARON 46-B 6 2 0
29|08|1983 34 S P KALIWARON 76-A 6 2 0
16|01|1992 26 S L KALIWARON 76-A 6 2 0
15|08|1960 57 B P KALIWARON 76-A 6 2 0
15|05|1940 78 P P MOJO KLANGGRU LOR 14-C 6 2 0
06|06|1962 56 S P MOJO KLANGGRU LOR 15 6 2 0
03|07|1961 56 S P MOJO KLANGGRU LOR 15 6 2 0
11|05|1993 25 B L MOJO KLANGGRU LOR 15 6 2 0
10|10|1958 59 B P MOJO KLANGGRU LOR 15 6 2 0
15|08|2000 17 B P MOJO KLANGGRU LOR 15 6 2 0
18|08|1966 51 S L MOJO KLANGGRU LOR 15-B 6 2 0
09|03|1996 22 B L MOJO KLANGGRU LOR 15-B 6 2 0
18|04|1969 49 S P MOJO KLANGGRU LOR 15-B 6 2 0
10|01|1999 19 B L MOJO KLANGGRU LOR 15-B 6 2 0
17|08|1965 52 S L MOJO KLANGGRU LOR 17-C 6 2 0
21|02|1968 50 S P MOJO KLANGGRU LOR 17-C 6 2 0
04|01|1990 28 B L MOJO KLANGGRU LOR 17-C 6 2 0
07|06|1993 25 S L MOJO KLANGGRU LOR 17-C 6 2 0
12|11|1970 47 S P MOJO KLANGGRU LOR 23 6 2 0
05|09|2000 17 B P MOJO KLANGGRU LOR 23 6 2 0
30|08|1972 45 S P MOJO KLANGGRU LOR 23-C 6 2 0
05|10|1948 69 S L MOJO KLANGGRU LOR 23-D 6 2 0
12|05|1982 36 S P MOJO KLANGGRU LOR 23-D 6 2 0
17|03|1986 32 B L MOJO KLANGGRU LOR 23-D 6 2 0
05|10|1975 42 S P MOJO KLANGGRU LOR 23-D 6 2 0
29|07|1999 18 B P MOJO KLANGGRU LOR 23-D 6 2 0
29|07|1999 18 B P MOJO KLANGGRU LOR 23-D 6 2 0
23|02|1995 23 B L MOJO KLANGGRU LOR 4 6 2 0
11|08|1982 35 S P MOJO KLANGGRU LOR 9 6 2 0
30|06|1958 59 S P MOJO KLANGRU LOR 7-A 6 2 0
30|06|1954 63 S L MOJO KLANGRU LOR 7-A 6 2 0
17|10|1995 22 B P MOJOKLANGGRU LOR 10 6 2 0
15|04|1940 78 P P MOJOKLANGGRU LOR 11 6 2 0

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PINDAHAN DARI TPS 000

PINDAHAN DARI TPS 000

PINDAHAN DARI TPS 019

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602 3578080401082965 3578081504610001 ARIEF SUBEKTI, ST,M.MT SURABAYA 15|04|1961
603 3578080401082965 3578080104930002 TAUFIQ RIFAI SURABAYA 01|04|1993
604 3578080401082965 3578086710630001 RAHNINGSIH, Dra JOMBANG 27|10|1963
605 3578083012100010 3578086511710008 DENY SURYO ANOM SARI KULON PROGO 25|11|1971
606 3578083012100010 3578084401990001 NIKE LARASATI ALFINOSARI SURABAYA 04|01|1999
607 3578080401085868 3578084111960001 NOVIA IRMAYANTI SURABAYA 01|11|1996
608 3578080401085868 3578085606740001 MU`ANI GRESIK 16|06|1974
609 3578080201084229 3578086109620002 SRI HANDAYANI SURABAYA 21|09|1962
610 3578080201084229 3578081006800001 SUGENG HANDOYO SURABAYA 10|06|1980
611 3578080201084229 3578086909920004 TRI WULANDARI SURABAYA 29|09|1992
612 3578080201083271 3578084211760003 ENDAH WIGATI SURABAYA 02|11|1976
613 3578080201087086 3578084711580001 DJUMALIKAH NGANJUK 07|11|1958
614 3578080301087363 3578080104570001 RA I MALANG 01|04|1957
615 3578080301087363 3578086112650003 KATINI KEDIRI 21|12|1965
616 3578081605130013 3578082507870001 ADI PRAYITNO SURABAYA 25|07|1987
617 3578081605130013 3578156103900001 ERNI WIJAYANTI SURABAYA 21|03|1990
618 3578080101088516 3578082105010004 MOCH. ARIFIN ILHAM SURABAYA 21|05|2001
619 3578080301089627 3578080703640002 MACHFUD SURABAYA 07|03|1964
620 3578080301089627 3578086603670005 SITI KHASANAH MOJOKERTO 26|03|1967
621 3578080909140010 3578086711890005 NOVI ADITYA ROSALITA SURABAYA 27|11|1989
622 3578080909140010 3578210311890001 ARDY NOVIAWAN PUTRA SURABAYA 03|11|1989
623 3578080201089459 3578080506760004 MACHFUD LAMONGAN 05|06|1976
624 3578080401088109 3578080608520001 SULKAN SURABAYA 06|08|1952
625 3578080401088109 3578085011520002 SRI SULASIH SURABAYA 10|11|1952
626 3578080401088200 3578085210530004 SUPARNI SURABAYA 12|10|1953
627 3578080501080548 3578086309650002 TITIK KARJANINGSIH SURABAYA 23|09|1965
628 3578080604110002 3578081310740004 AGUS SUPRIYANTO SURABAYA 13|10|1974
629 3578081408140013 3578091807510001 MAT SADIYO KEDIRI 18|07|1951
630 3578082210120038 3578084703800002 FIFIT LISTIYAWATI SURABAYA 07|03|1980
631 3578080503120031 3578085801820005 YUNANIK TRENGGALEK 18|01|1982
632 3578081408140013 3578083001010001 MUHAMMAD RAFLY ABDILLAH DHAR MSURABAYA 30|01|2001
633 3578080301089626 3578086308550001 ELIFAH SURABAYA 23|08|1955
634 3578080301089626 3578086309970001 SHINTA REMEINA SURABAYA 23|09|1997
635 3578080201085161 3578085808990005 KEVIN AUDREYNA AMADA SYIFA BLORA 18|08|1999
636 3578080101088692 3578081506770003 TUKIYO,,SE CILACAP 15|06|1977
637 3578080101088692 3578084903800003 IKA RATNA LESTARI SURABAYA 09|03|1980
638 3578080401083134 3578080112570001 SOEMANI RAHARJO KEDIRI 01|12|1957
639 3578080401087697 3578082008670001 M. AGUS ASMUNIR SURABAYA 20|08|1967
640 3578080401087697 3578085206680003 SUPRIYATIN SURABAYA 12|06|1968
641 3578080401088104 3578085710590002 JUMANAH MALANG 17|10|1959
642 3578080401088104 3578085612970004 DESY RAHMAWATY SURABAYA 16|12|1997
643 3578080501083956 3578080908950001 MOCH MAULANA ARDIANSYAH SURABAYA 09|08|1995
644 3578082008140005 3578086502930002 FANNY FEBRIANA SURABAYA 25|02|1993
645 3578080401088104 3578082706000003 DAVIT JUNIANDIKA SURABAYA 27|06|2000
646 3578082008140005 3578102508930002 CANDRA DIMAS SETIYANTO SURABAYA 25|08|1993
647 3578080101080119 3578086006600001 SULIYANI LAMONGAN 20|06|1960
648 3578081107130002 3515181207860005 JULIANT HENDRA WARDHANA SURABAYA 12|07|1986
5

15|04|1961 57 S L MOJOKLANGGRU LOR 11 6 2 0


01|04|1993 25 B L MOJOKLANGGRU LOR 11 6 2 0
27|10|1963 54 S P MOJOKLANGGRU LOR 11 6 2 0
25|11|1971 46 S P MOJOKLANGGRU LOR 12-A 6 2 0
04|01|1999 19 B P MOJOKLANGGRU LOR 12-A 6 2 0
01|11|1996 21 B P MOJOKLANGGRU LOR 12-B 6 2 0
16|06|1974 44 S P MOJOKLANGGRU LOR 12-B 6 2 0
21|09|1962 55 P P MOJOKLANGGRU LOR 12-C 6 2 0
10|06|1980 38 B L MOJOKLANGGRU LOR 12-C 6 2 0
29|09|1992 25 B P MOJOKLANGGRU LOR 12-C 6 2 0
02|11|1976 41 S P MOJOKLANGGRU LOR 14 6 2 0
07|11|1958 59 P P MOJOKLANGGRU LOR 14 6 2 0
01|04|1957 61 S L MOJOKLANGGRU LOR 14-B 6 2 0
21|12|1965 52 S P MOJOKLANGGRU LOR 14-B 6 2 0
25|07|1987 30 S L MOJOKLANGGRU LOR 14-B 6 2 0
21|03|1990 28 B P MOJOKLANGGRU LOR 14-B 6 2 0
21|05|2001 17 B L MOJOKLANGGRU LOR 14-C 6 2 0
07|03|1964 54 S L MOJOKLANGGRU LOR 14-F 6 2 0
26|03|1967 51 S P MOJOKLANGGRU LOR 14-F 6 2 0
27|11|1989 28 B P MOJOKLANGGRU LOR 14-F 6 2 0
03|11|1989 28 B L MOJOKLANGGRU LOR 14-F 6 2 0
05|06|1976 42 S L MOJOKLANGGRU LOR 15 6 2 0
06|08|1952 65 S L MOJOKLANGGRU LOR 15 6 2 0
10|11|1952 65 S P MOJOKLANGGRU LOR 15 6 2 0
12|10|1953 64 S P MOJOKLANGGRU LOR 15 6 2 0
23|09|1965 52 S P MOJOKLANGGRU LOR 15 6 2 0
13|10|1974 43 B L MOJOKLANGGRU LOR 15 6 2 0
18|07|1951 66 S L MOJOKLANGGRU LOR 15 6 2 0
07|03|1980 38 S P MOJOKLANGGRU LOR 15 6 2 0
18|01|1982 36 B P MOJOKLANGGRU LOR 15 6 2 0
30|01|2001 17 B L MOJOKLANGGRU LOR 15 6 2 0
23|08|1955 62 S P MOJOKLANGGRU LOR 17 6 2 0
23|09|1997 20 B P MOJOKLANGGRU LOR 17 6 2 0
18|08|1999 18 B P MOJOKLANGGRU LOR 17-B 6 2 0
15|06|1977 41 S L MOJOKLANGGRU LOR 23 6 2 0
09|03|1980 38 S P MOJOKLANGGRU LOR 23 6 2 0
01|12|1957 60 S L MOJOKLANGGRU LOR 23 6 2 0
20|08|1967 50 S L MOJOKLANGGRU LOR 23 6 2 0
12|06|1968 50 S P MOJOKLANGGRU LOR 23 6 2 0
17|10|1959 58 S P MOJOKLANGGRU LOR 23 6 2 0
16|12|1997 20 B P MOJOKLANGGRU LOR 23 6 2 0
09|08|1995 22 S L MOJOKLANGGRU LOR 23 6 2 0
25|02|1993 25 S P MOJOKLANGGRU LOR 23 6 2 0
27|06|2000 18 B L MOJOKLANGGRU LOR 23 6 2 0
25|08|1993 24 B L MOJOKLANGGRU LOR 23 6 2 0
20|06|1960 58 P P MOJOKLANGGRU LOR 23-B 6 2 0
12|07|1986 31 S L MOJOKLANGGRU LOR 23-B 6 2 0

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649 3578082004160006 3578085212520002 SITI RUWAIDAH PATI 12|12|1952
650 3578080101087197 3578084208000001 NOVITA EKA WIDIASNINGRUM SURABAYA 02|08|2000
651 3578080401084155 3578086606560001 SUJATIN, S.Pd MADIUN 26|06|1956
652 3578081107130002 3578085604860008 NINIK SULASTRININGSIH, S.Kom SURABAYA 16|04|1986
653 3578080101084136 3578086204680004 SITI FAUDJIAH SURABAYA 22|04|1968
654 3578080201080159 3578083001820003 MOCHAMAD YUNUS SURABAYA 30|01|1982
655 3578080702130018 3578046106870001 QURROTA A`YUN SURABAYA 21|06|1987
656 3578080101084136 3578082808640003 SARMUDJI SURABAYA 28|08|1964
657 3578080101084136 3578085804920001 FIDIYAH SURABAYA 18|04|1992
658 3578080411150003 3578086109940005 FARADIBA DARMANINGTYAS SURABAYA 21|09|1994
659 3578080702130018 3578081112870004 DIDIK EKO PRASETYO SURABAYA 11|12|1987
660 3578080401088863 3578084410400002 PAISAH NGANJUK 04|10|1940
661 3578080501082946 3578080508540001 EFFENDI SURABAYA 05|08|1954
662 3578080501082946 3578086109570003 SUPARTI SURABAYA 21|09|1957
663 3578083110110007 3578090401780002 RUDI ANWAR KENDARI 04|01|1978
664 3578083110110007 3578084802810005 HERLINA EFFENDI JEMBER 08|02|1981
665 3578080101084262 3578084505000002 KHANSA RENATA SURABAYA 05|05|2000
666 3578080201085461 3578080304820010 MAHFUDZ ARIFIN JEMBER 03|04|1982
667 3578080401087572 3578086802750008 MARIYAH BANGKALAN 28|02|1975
668 3578080401087572 3578082510970003 MOCHAMMAD IZZUDDIN SURABAYA 25|10|1997
669 3578080401089549 3578081105590002 LUSANTONO SURABAYA 11|05|1959
670 3578080401089549 3578080810970004 RICKY ADI KURNIAWAN SURABAYA 08|10|1997
671 3578080401089551 3578085201400001 KAPSAH SURABAYA 12|01|1940
672 3578080401087866 3578081004570001 OERIP SANTOSO SURABAYA 10|04|1957
673 3578082706130001 3510160501880001 DIMAS BUYUNG PERWIRA BANYUWANGI 05|01|1988
674 3578082601120001 3578081304820005 RENDRA ARIF WIJAYA SURABAYA 13|04|1982
5

12|12|1952 65 B P MOJOKLANGGRU LOR 23-B 6 2 0


02|08|2000 17 B P MOJOKLANGGRU LOR 23-B 6 2 0
26|06|1956 62 S P MOJOKLANGGRU LOR 23-B 6 2 0
16|04|1986 32 S P MOJOKLANGGRU LOR 23-B 6 2 0
22|04|1968 50 S P MOJOKLANGGRU LOR 2-A 6 2 0
30|01|1982 36 B L MOJOKLANGGRU LOR 2-A 6 2 0
21|06|1987 31 S P MOJOKLANGGRU LOR 2-A 6 2 0
28|08|1964 53 S L MOJOKLANGGRU LOR 2-A 6 2 0
18|04|1992 26 B P MOJOKLANGGRU LOR 2-A 6 2 0
21|09|1994 23 B P MOJOKLANGGRU LOR 2-A 6 2 0
11|12|1987 30 S L MOJOKLANGGRU LOR 2-A 6 2 0
04|10|1940 77 P P MOJOKLANGGRU LOR 2-C 6 2 0
05|08|1954 63 S L MOJOKLANGGRU LOR 4 6 2 0
21|09|1957 60 S P MOJOKLANGGRU LOR 4 6 2 0
04|01|1978 40 S L MOJOKLANGGRU LOR 4 6 2 0
08|02|1981 37 S P MOJOKLANGGRU LOR 4 6 2 0
05|05|2000 18 B P MOJOKLANGGRU LOR 7 6 2 0
03|04|1982 36 S L MOJOKLANGGRU LOR 7-A 6 2 0
28|02|1975 43 S P MOJOKLANGGRU LOR 7-A 6 2 0
25|10|1997 20 B L MOJOKLANGGRU LOR 7-A 6 2 0
11|05|1959 59 P L MOJOKLANGGRU LOR 8 6 2 0
08|10|1997 20 B L MOJOKLANGGRU LOR 8 6 2 0
12|01|1940 78 P P MOJOKLANGGRU LOR 8 6 2 0
10|04|1957 61 P L MOJOKLANGRU LOR 4 6 2 0
05|01|1988 30 S L MOJOKLANGRU LOR 4 6 2 0
13|04|1982 36 S L MOJO 3-F/23 10 5 0

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DAFTAR PEMILIH
PEMILIHAN GUBERNUR DAN WAKIL GUBERN
TAHUN 2018

Provinsi : JAWA TIMUR


Kabupaten/Kota : KOTA SURABAYA

No No KK NIK Nama Tempat Lahir

1 2 3 4 5
1 3578080101082279 3578086008710002 AY LIEN MALANG
2 3578080101082279 3578081404770004 ANDY FERRIYANTO MALANG
3 3578080101082359 3578084305580001 SOESILAWATI TIRTO/THE LIE HWA BANYUWANGI
4 3578080201087005 3578082310490001 SUWITO HANDOKO KOTA BARU
5 3578080201087005 3578082411770003 ROBBY SULISTIO HANDOKO,,SE SURABAYA
6 3578080301081955 3578084705340002 TITIEK SOEKARTI MUCHNI NGAWI
7 3578080301081955 3578082010650003 OKTOVIANTO TRI ATMADJI,SH SURABAYA
8 3578080301081955 3578080103630009 EKO ATMADJI,Drs.Ec AMBON
9 3578080501080755 3578085002410001 TAN SHU MEY/SURYANI SETIONO SAMARINDA
10 3578080501080755 3578082501410001 THIO ENG BOEN/BUDI SETIONO SAMARINDA
11 3578080201088634 3578086006200001 MOEKTIYAH AW SOEJOSO KEDIRI
12 3578080201088634 3578081301670006 ACHMAD SETYAHADI, DRS SURABAYA
13 3578080101088881 3578085706600001 TJHUI MIE TANJUNG PANDA
14 3578080201082586 3578082905800002 WENDY SUYANTO SURABAYA
15 3578080201082586 3578085208810002 SOFIA SANTI MULJONO RUTENG
16 3578080201088616 3578082308940003 ZENNA RASYID YUDARANA SURABAYA
17 3578080201088616 3578080605970001 ZAKARIA RASYID YUDARANA SURABAYA
18 3578080201088634 3578085910710002 DEBBY SETYAWATI SURABAYA
19 3578080201088634 3578083012950001 ACHMAD FAHMI GHIFARIAKBAR SURABAYA
20 3578082003120033 3578080511690011 FADJAR ZAMAN, SH SEMARANG
21 3578080201088616 3578087112690004 DINI ARIFIANI, SH SURABAYA
22 3578080201088617 3578084312670005 DIAN SETYASTUTI,Dra SURABAYA
23 3578080201088634 3578080704360003 H. SAMSUL HARUN ALRASJID, DR PROBOLINGGO
24 3578080201088634 3578085902370002 EKOWATI S HARUN, DR KEDIRI
25 3578082003120033 3578087112690005 DINA ARIFIANA, SH SURABAYA
26 3578080201080260 3578081702780002 JAMES SOETANTO SURABAYA
27 3578080201080260 3578085004820004 GO, ANNY SAPUTRO SURABAYA
28 3578080105120003 3578080903840001 ROBERT SOEWANTO SURABAYA
29 3578080105120003 3578275501890002 FENNY JAKARTA BARAT
30 3578080401081934 3578081705530003 BAMBANG HUSANA, KWEE BALIKPAPAN
31 3578080401081934 3578085201610002 TITI GUNAWAN BANJARMASIN
32 3578081502160003 3578080111840001 NIKKO SANJAYA KUSUMA, KWEE SURABAYA
33 3578080101088134 3578084611490001 ERNI ADRIANI AGUS SURABAYA
34 3578081502130001 3578087108600001 INSYANE L/THE TJAI HOENG KLUNGKUNG
35 3578081502130001 3578082409810003 ADI PRANOTO,TJONG SURABAYA
36 3578081502130001 3578081306840003 IWAN SASMITA,TJONG SURABAYA
37 3578081502130001 3578081407860001 HERMAN SASMITA,TJONG SURABAYA
38 3578082608160015 3578106305890001 SYLVIA MEGA SUSANTI SURABAYA
39 3578281904120003 3578105204720005 LISTYA SUSANTI SOEGONDO MOJOKERTO
6

A-KWK
DAFTAR PEMILIH
EMILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TIMUR
AHUN 2018

Kecamatan : GUBENG
Desa/Kelurahan : MOJO
TPS : 006
Tanggal Lahir Usia Status Jenis Alamat Disabilitas
Perkawina Kelamin Jalan/Dukuh Rt Rw
6 7 8 9 10 11 12 13
20|08|1971 46 S P DHARMA HUSADA UTARA 3/24 8 2 0
14|04|1977 41 B L DHARMA HUSADA UTARA 3/24 8 2 0
03|05|1958 60 S P DHARMA HUSADA UTARA 3/32 8 2 0
23|10|1949 68 S L DHARMAHUSADA UTARA /6-A 8 2 0
24|11|1977 40 B L DHARMAHUSADA UTARA /6-A 8 2 0
07|05|1934 84 P P DHARMAHUSADA UTARA 11/4-A 8 2 0
20|10|1965 52 S L DHARMAHUSADA UTARA 11/4-A 8 2 0
01|03|1963 55 P L DHARMAHUSADA UTARA 11/4-A 8 2 0
10|02|1941 77 S P DHARMAHUSADA UTARA 11/8 8 2 0
25|01|1941 77 S L DHARMAHUSADA UTARA 11/8 8 2 0
20|06|1920 98 P P DHARMAHUSADA UTARA 3/ 0 8 2 0
13|01|1967 51 S L DHARMAHUSADA UTARA 3/ 0 8 2 0
17|06|1960 58 S P DHARMAHUSADA UTARA 3/ 9 8 2 0
29|05|1980 38 S L DHARMAHUSADA UTARA 3/1 8 2 0
12|08|1981 36 S P DHARMAHUSADA UTARA 3/1 8 2 0
23|08|1994 23 B L DHARMAHUSADA UTARA 3/10 8 2 0
06|05|1997 21 B L DHARMAHUSADA UTARA 3/10 8 2 0
19|10|1971 46 S P DHARMAHUSADA UTARA 3/10 8 2 0
30|12|1995 22 B L DHARMAHUSADA UTARA 3/10 8 2 0
05|11|1969 48 S L DHARMAHUSADA UTARA 3/10 8 2 0
31|12|1969 48 P P DHARMAHUSADA UTARA 3/10 8 2 0
03|12|1967 50 S P DHARMAHUSADA UTARA 3/10 8 2 0
07|04|1936 82 S L DHARMAHUSADA UTARA 3/10 8 2 0
19|02|1937 81 S P DHARMAHUSADA UTARA 3/10 8 2 0
31|12|1969 48 S P DHARMAHUSADA UTARA 3/10 8 2 0
17|02|1978 40 S L DHARMAHUSADA UTARA 3/11 8 2 0
10|04|1982 36 S P DHARMAHUSADA UTARA 3/11 8 2 0
09|03|1984 34 S L DHARMAHUSADA UTARA 3/14 8 2 0
15|01|1989 29 S P DHARMAHUSADA UTARA 3/14 8 2 0
17|05|1953 65 S L DHARMAHUSADA UTARA 3/15 8 2 0
12|01|1961 57 S P DHARMAHUSADA UTARA 3/15 8 2 0
01|11|1984 33 B L DHARMAHUSADA UTARA 3/15 8 2 0
06|11|1949 68 P P DHARMAHUSADA UTARA 3/16 8 2 0
31|08|1960 57 P P DHARMAHUSADA UTARA 3/17 8 2 0
24|09|1981 36 B L DHARMAHUSADA UTARA 3/17 8 2 0
13|06|1984 34 B L DHARMAHUSADA UTARA 3/17 8 2 0
14|07|1986 31 B L DHARMAHUSADA UTARA 3/17 8 2 0
23|05|1989 29 B P DHARMAHUSADA UTARA 3/19 8 2 0
12|04|1972 46 S P DHARMAHUSADA UTARA 3/19 8 2 0

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40 3578281904120003 3578102111970006 NICKO STANLEY SURABAYA 21|11|1997
41 3578281904120003 3578281404710001 SATYADY EDYANTO SURABAYA 14|04|1971
42 3578082608160015 3578232004880002 WILLIAM`S APRILIUS SOEYANTO SURABAYA 20|04|1988
43 3578080201086502 3578085207370002 TANINGSIH SURABAYA 12|07|1937
44 3578080101085507 3578082910470001 KUSNO RIYANTO KURNIAWAN JEMBER 29|10|1947
45 3578080101085507 3578084201550001 MERIANTY AMIR BAGAN SIAPI API 02|01|1955
46 3578080101085507 3578084706830003 YUNITA KUMALA DEWI SURABAYA 07|06|1983
47 3578080101085507 3578084206860001 PAULINA KUMALA SARI SURABAYA 02|06|1986
48 3578080301086332 3578086708570001 TANTI DEWI,TAN UJUNG PANDANG 27|08|1957
49 3578081106090006 3578080511780004 GUNAWAN SUGIHARTO SURABAYA 05|11|1978
50 3578081106090006 3578264303830003 MELINDA HOSANNA UJUNG PANDANG 03|03|1983
51 3578082701140006 3578082004820001 GUNADI SUGIHARTO SURABAYA 20|04|1982
52 3578082701140006 3578255311900001 DIANA MORITA WILOPO SURABAYA 13|11|1990
53 3578080201083819 3578081110780003 MARIO HARTONO GOZALI SURABAYA 11|10|1978
54 3578080301081152 3578080606470002 HERY WIDJAKSONO GOZALI MALANG 06|06|1947
55 3578080301081152 3578086803540001 SETYOWATI MULJO SUMENEP 28|03|1954
56 3578080301081152 3578081402620003 HENDRO WIDJAJA GOZALI SURABAYA 14|02|1962
57 3578080301083294 3578080107410001 ROBYANTO ICHWAN TANUMULIA BANJARMASIN 01|07|1941
58 3578080301083294 3578055708470001 LINDA SOEHARTO DENPASAR 17|08|1947
59 3578080301083294 3578082911740005 ROY TANUMULIA SURABAYA 29|11|1974
60 3578080301083294 3578080112840003 NGURAH NINO KOELN 01|12|1984
61 3578080201080947 3578087006230018 ONG, MARIANI WANGSA RUSTAN R.R.C. 30|06|1923
62 3578080501081062 3578085604520001 INNAVIA RUSTANTI, TAN SURABAYA 16|04|1952
63 3578080501081062 3578081312840001 DANIEL SARWONO, TAN SURABAYA 13|12|1984
64 3578080501081062 3578081407860002 DAVID SARWONO, TAN SURABAYA 14|07|1986
65 3578080501081062 3578081707930006 DARWIN SARWONO, TAN SURABAYA 17|07|1993
66 3578080301082855 3578080206420001 JUNG LIANDO MANADO 02|06|1942
67 3578080301082855 3578085809420001 MEYKE IRAWATI BANYUWANGI 18|09|1942
68 3578080301082855 3578082509680002 SINYO LIANDO SURABAYA 25|09|1968
69 3578080301082865 3578085212640006 ELSYE THENDEANO MANADO 12|12|1964
70 3578080301082865 3578082610650002 MENG LIANDO SURABAYA 26|10|1965
71 3578080301082865 3578080611970005 WILLIAM LIANDO SURABAYA 06|11|1997
72 3578080301082865 3578084106990003 MICHELLE LIANDO MANADO 01|06|1999
73 3578080201084471 3578080309760002 HANDOJO SIDOARJO 03|09|1976
74 3578080201084471 3578084406770002 JUNIAWATI SURABAYA 04|06|1977
75 3578080301080936 3578080706430002 FRANS SUJONO,TOENG SOE DJIN SURABAYA 07|06|1943
76 3578080301080936 3578085603450004 LISAJANI,LIONG LEE PIN SURABAYA 16|03|1945
77 3578080301080936 3578084907690007 FILINDAWATI,TOENG SURABAYA 09|07|1969
78 3578080301080936 3578082008710003 HADI,TOENG PEN JUNG SURABAYA 20|08|1971
79 3578080301080936 3578080903740003 HENDRIK,TOENG SURABAYA 09|03|1974
80 3578080501083933 3578081012700008 HERU RACHMAN SISWANTO KEDIRI 10|12|1970
81 3578080501083933 3578084311730004 MEGAWATI KEDIRI 03|11|1973
82 3578080501083933 3578084711970001 CYNTHIA KARINA SURABAYA 07|11|1997
83 3578080501083933 3578081609990004 CHRISTIAN WIJAYA SURABAYA 16|09|1999
84 3578080401083271 3578085901580002 LUSIANA BUDISARWONO, SE SURABAYA 19|01|1958
85 3578080401083271 3578085510900005 IRIS PUTRI JOHANNA LIAUW SURABAYA 15|10|1990
86 3578080401083271 3578080602920002 AARDE PUTRA MIRACLE LAKSMONO SURABAYA 06|02|1992
87 3578080301082543 3578082206660001 IR. TAN, PIETER SUTANTO, MM AMBON 22|06|1966
88 3578080301082543 3578085409690002 RIKA HARIJATI WINATA, ST MALANG 14|09|1969
6

21|11|1997 20 B L DHARMAHUSADA UTARA 3/19 8 2 0


14|04|1971 47 S L DHARMAHUSADA UTARA 3/19 8 2 0
20|04|1988 30 B L DHARMAHUSADA UTARA 3/19 8 2 0
12|07|1937 80 P P DHARMAHUSADA UTARA 3/2 8 2 0
29|10|1947 70 S L DHARMAHUSADA UTARA 3/21 8 2 0
02|01|1955 63 S P DHARMAHUSADA UTARA 3/21 8 2 0
07|06|1983 35 B P DHARMAHUSADA UTARA 3/21 8 2 0
02|06|1986 32 B P DHARMAHUSADA UTARA 3/21 8 2 0
27|08|1957 60 P P DHARMAHUSADA UTARA 3/22 8 2 0
05|11|1978 39 S L DHARMAHUSADA UTARA 3/22 8 2 0
03|03|1983 35 S P DHARMAHUSADA UTARA 3/22 8 2 0
20|04|1982 36 S L DHARMAHUSADA UTARA 3/22 8 2 0
13|11|1990 27 S P DHARMAHUSADA UTARA 3/22 8 2 0
11|10|1978 39 S L DHARMAHUSADA UTARA 3/23 8 2 0
06|06|1947 71 S L DHARMAHUSADA UTARA 3/23 8 2 0
28|03|1954 64 S P DHARMAHUSADA UTARA 3/23 8 2 0
14|02|1962 56 B L DHARMAHUSADA UTARA 3/23 8 2 0
01|07|1941 76 S L DHARMAHUSADA UTARA 3/25 8 2 0
17|08|1947 70 S P DHARMAHUSADA UTARA 3/25 8 2 0
29|11|1974 43 S L DHARMAHUSADA UTARA 3/25 8 2 0
01|12|1984 33 B L DHARMAHUSADA UTARA 3/25 8 2 0
30|06|1923 94 P P DHARMAHUSADA UTARA 3/26 8 2 0
16|04|1952 66 B P DHARMAHUSADA UTARA 3/26 8 2 0
13|12|1984 33 B L DHARMAHUSADA UTARA 3/26 8 2 0
14|07|1986 31 B L DHARMAHUSADA UTARA 3/26 8 2 0
17|07|1993 24 B L DHARMAHUSADA UTARA 3/26 8 2 0
02|06|1942 76 S L DHARMAHUSADA UTARA 3/27 8 2 0
18|09|1942 75 S P DHARMAHUSADA UTARA 3/27 8 2 0
25|09|1968 49 B L DHARMAHUSADA UTARA 3/27 8 2 0
12|12|1964 53 S P DHARMAHUSADA UTARA 3/27 8 2 0
26|10|1965 52 S L DHARMAHUSADA UTARA 3/27 8 2 0
06|11|1997 20 B L DHARMAHUSADA UTARA 3/27 8 2 0
01|06|1999 19 B P DHARMAHUSADA UTARA 3/27 8 2 0
03|09|1976 41 S L DHARMAHUSADA UTARA 3/28 8 2 0
04|06|1977 41 S P DHARMAHUSADA UTARA 3/28 8 2 0
07|06|1943 75 S L DHARMAHUSADA UTARA 3/28 8 2 0
16|03|1945 73 S P DHARMAHUSADA UTARA 3/28 8 2 0
09|07|1969 48 B P DHARMAHUSADA UTARA 3/28 8 2 0
20|08|1971 46 B L DHARMAHUSADA UTARA 3/28 8 2 0
09|03|1974 44 B L DHARMAHUSADA UTARA 3/28 8 2 0
10|12|1970 47 S L DHARMAHUSADA UTARA 3/29 8 2 0
03|11|1973 44 S P DHARMAHUSADA UTARA 3/29 8 2 0
07|11|1997 20 B P DHARMAHUSADA UTARA 3/29 8 2 0
16|09|1999 18 B L DHARMAHUSADA UTARA 3/29 8 2 0
19|01|1958 60 S P DHARMAHUSADA UTARA 3/3 8 2 0
15|10|1990 27 B P DHARMAHUSADA UTARA 3/3 8 2 0
06|02|1992 26 B L DHARMAHUSADA UTARA 3/3 8 2 0
22|06|1966 52 S L DHARMAHUSADA UTARA 3/30 8 2 0
14|09|1969 48 S P DHARMAHUSADA UTARA 3/30 8 2 0

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89 3578080301082543 3578084908950003 CATHERINE JEANE SUTANTO SURABAYA 09|08|1995
90 3578080301082543 3578084908950002 CARINE JEANE SUTANTO SURABAYA 09|08|1995
91 3578080301082543 3578084909970002 CAROLINE MONICA SUTANTO SURABAYA 09|09|1997
92 3578080706100006 3578080810670003 ANTHON SUTANTO, TAN AMBON 08|10|1967
93 3578080706100006 3578084706760004 IMELDA LIMANAUW MANADO 07|06|1976
94 3578081201120010 3578132310950003 INDRA HAKIM FADIL SURABAYA 23|10|1995
95 3578081201120010 3578081901820005 Dr. FAJAR PERDHANA SAMARINDA 19|01|1982
96 3578081201120010 3578135111830004 Dr. INDRI LAKHSMI PUTRI SURABAYA 11|11|1983
97 3578082003140016 3578090509790001 RUDY HARTAWAN SURABAYA 05|09|1979
98 3578082003140016 3578084206800003 REZA MATHILDA GOZALI SURABAYA 02|06|1980
99 3578080101082605 3578081103660003 HANAFI MATARAM 11|03|1966
100 3578080101082605 3578080805800004 ANG,PAO YONG MATARAM 08|05|1980
101 3578080401088807 3578080110630003 SULISTYO PRANOTO SURABAYA 01|10|1963
102 3578080401088807 3578084703730002 ANITA TRISIANA PRANOTO SURABAYA 07|03|1973
103 3578080401088808 3578087004260001 RATNADARNINGSIH SUWARDJO ROGOJAMPI 30|04|1926
104 3578081310160005 3578084511520002 ITA SURTIDEWI PRANOTO BANDUNG 05|11|1952
105 3578081310160005 3578084206570001 KANTJANADEWI PRANOTO SURABAYA 02|06|1957
106 3578080101080791 3578082212760005 ADI GUNAWAN WIJAKSONO SURABAYA 22|12|1976
107 3578080101080791 3578086005800001 THIO SARI WATI SAMARINDA 20|05|1980
108 3578080101088496 3578081707790001 WIDIYANTO WIJAKSONO SURABAYA 17|07|1979
109 3578080101088496 3578086304800006 MARTINI JAPNANTO SURABAYA 23|04|1980
110 3578080201089431 3578085105500003 SILVIANA WIJAKSONO MALANG 11|05|1950
111 3578080301080943 3578085411600002 SURJANI IMOEK SAMARINDA 14|11|1960
112 3578080101080791 3578086609000001 CHERINE WIJAKSONO SURABAYA 26|09|2000
113 3578080505110078 3578086107840002 YULIANTY TUNGGARY MAUMERE 21|07|1984
114 3578080505110078 3578081911840007 DANIEL PRASETYO SURABAYA 19|11|1984
115 3578082101130004 3578274508500001 HAY ELOK HANDAYANI BANDUNG 05|08|1950
116 3578082101130004 3578274702730001 LIANAWATI SURABAYA 07|02|1973
117 3578080201084302 3578085208810001 LESLIE SOEGIANTO UJUNG PANDANG 12|08|1981
118 3578080201084302 3578081506820004 CUN CUN GUNAWAN, THE SURABAYA 15|06|1982
119 3578080301082149 3578081912470001 ADI WAHONO, THE SURABAYA 19|12|1947
120 3578080301082149 3578084604530002 KONG MIN TJIUW / EVI MINARTI SURABAYA 06|04|1953
121 3578080301082149 3578086811750001 YULIANA KARTIKA, THE SURABAYA 28|11|1975
122 3578080509110035 3578084810770005 LINA KARTIKA,THE SURABAYA 08|10|1977
123 3578080101085841 3578080309780002 RUDY SETIAWAN RACHMAT MALANG 03|09|1978
124 3578080301082853 3578084102520003 ESTER ARIJANI RACHMAT SURABAYA 01|02|1952
125 3578080301082854 3578085309480001 IDA ARIJANI RACHMAT MALANG 13|09|1948
126 3578080301082854 3578080211480001 GIDEON HADI KUSUMA SURABAYA 02|11|1948
127 3578080301082854 3578082505810003 MARIO RACHMAT KUSUMA SURABAYA 25|05|1981
128 3578080401089902 3578085309560004 FINAYATI SUSILO BOJONEGORO 13|09|1956
129 3578080401089902 3578085707880001 JESSICA DAMAYANTI HANAFI SURABAYA 17|07|1988
130 3578080401089902 3578084601910002 ELAINE KARTIKA SARI HANAFI SURABAYA 06|01|1991
131 3578080201089592 3578080110410001 KARJADI DJAJADIBRATA JOMBANG 01|10|1941
132 3578080201089592 3578084101420002 FINTJE KURNIAWATI TL.SUMBANG 01|01|1942
133 2103071809140002 3578082808800002 ROBERT SAVERIUS HAMONANGAN S SIMANTIN 28|08|1980
134 3578080201085907 3578086611780003 INGGRID GUNAWAN JOO SURABAYA 26|11|1978
135 3578080201085907 3578080910800002 ADI GUNAWAN SAPUTRA SURABAYA 09|10|1980
136 3578080301088429 3578086509500002 SHERLY HERAWATI, HAN AMBULU 25|09|1950
137 3578080301088429 3578080611470001 JOHANNES LIMANTORO SURABAYA 06|11|1947
6

09|08|1995 22 B P DHARMAHUSADA UTARA 3/30 8 2 0


09|08|1995 22 B P DHARMAHUSADA UTARA 3/30 8 2 0
09|09|1997 20 B P DHARMAHUSADA UTARA 3/30 8 2 0
08|10|1967 50 S L DHARMAHUSADA UTARA 3/30 8 2 0
07|06|1976 42 S P DHARMAHUSADA UTARA 3/30 8 2 0
23|10|1995 22 B L DHARMAHUSADA UTARA 3/31 8 2 0
19|01|1982 36 S L DHARMAHUSADA UTARA 3/31 8 2 0
11|11|1983 34 S P DHARMAHUSADA UTARA 3/31 8 2 0
05|09|1979 38 S L DHARMAHUSADA UTARA 3/32 8 2 0
02|06|1980 38 S P DHARMAHUSADA UTARA 3/32 8 2 0
11|03|1966 52 B L DHARMAHUSADA UTARA 3/34 8 2 0
08|05|1980 38 B L DHARMAHUSADA UTARA 3/34 8 2 0
01|10|1963 54 S L DHARMAHUSADA UTARA 3/34 8 2 0
07|03|1973 45 S P DHARMAHUSADA UTARA 3/34 8 2 0
30|04|1926 92 P P DHARMAHUSADA UTARA 3/34 8 2 0
05|11|1952 65 B P DHARMAHUSADA UTARA 3/34 8 2 0
02|06|1957 61 B P DHARMAHUSADA UTARA 3/34 8 2 0
22|12|1976 41 S L DHARMAHUSADA UTARA 3/37 8 2 0
20|05|1980 38 S P DHARMAHUSADA UTARA 3/37 8 2 0
17|07|1979 38 S L DHARMAHUSADA UTARA 3/37 8 2 0
23|04|1980 38 S P DHARMAHUSADA UTARA 3/37 8 2 0
11|05|1950 68 S P DHARMAHUSADA UTARA 3/37 8 2 0
14|11|1960 57 B P DHARMAHUSADA UTARA 3/37 8 2 0
26|09|2000 17 B P DHARMAHUSADA UTARA 3/37 8 2 0
21|07|1984 33 S P DHARMAHUSADA UTARA 3/4 8 2 0
19|11|1984 33 S L DHARMAHUSADA UTARA 3/4 8 2 0
05|08|1950 67 P P DHARMAHUSADA UTARA 3/4 8 2 0
07|02|1973 45 S P DHARMAHUSADA UTARA 3/4 8 2 0
12|08|1981 36 S P DHARMAHUSADA UTARA 3/5 8 2 0
15|06|1982 36 S L DHARMAHUSADA UTARA 3/5 8 2 0
19|12|1947 70 S L DHARMAHUSADA UTARA 3/5 8 2 0
06|04|1953 65 S P DHARMAHUSADA UTARA 3/5 8 2 0
28|11|1975 42 B P DHARMAHUSADA UTARA 3/5 8 2 0
08|10|1977 40 S P DHARMAHUSADA UTARA 3/5 8 2 0
03|09|1978 39 S L DHARMAHUSADA UTARA 3/6 8 2 0
01|02|1952 66 S P DHARMAHUSADA UTARA 3/6 8 2 0
13|09|1948 69 S P DHARMAHUSADA UTARA 3/6 8 2 0
02|11|1948 69 S L DHARMAHUSADA UTARA 3/6 8 2 0
25|05|1981 37 B L DHARMAHUSADA UTARA 3/6 8 2 0
13|09|1956 61 S P DHARMAHUSADA UTARA 3/8 8 2 0
17|07|1988 29 B P DHARMAHUSADA UTARA 3/8 8 2 0
06|01|1991 27 B P DHARMAHUSADA UTARA 3/8 8 2 0
01|10|1941 76 S L DHARMAHUSADA UTARA 3/9 8 2 0
01|01|1942 76 S P DHARMAHUSADA UTARA 3/9 8 2 0
28|08|1980 37 S L JL. ALI MURTOPO 8 2 0
26|11|1978 39 B P DHARMA HUSADA UTARA 2/ 2 9 2 0
09|10|1980 37 B L DHARMA HUSADA UTARA 2/ 2 9 2 0
25|09|1950 67 S P DHARMA HUSADA UTARA 2/2 9 2 0
06|11|1947 70 S L DHARMA HUSADA UTARA 2/21 9 2 0

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138 3578080301088429 3578085501920001 VIRGINIA YOLANDA LIMANTORO SURABAYA 15|01|1992
139 3578080401088564 3578081704380001 BUNTARAN WAHJUDI SURABAYA 17|04|1938
140 3578081801160014 3578084702460001 EMMY TJOKRO SURABAYA 07|02|1946
141 3578081801160014 3578082412740003 GINO MARINO WAHJUDI SURABAYA 24|12|1974
142 3578080301081025 3578086706480001 ANDRYANI THIO UJUNG PANDANG 26|06|1948
143 3578080301081025 3578080301690005 RIVIER MATULATAN UJUNG PANDANG 03|01|1969
144 3578080401086286 3578082507510001 HARYONO SETIOBUDI SURABAYA 25|07|1951
145 3578080401086286 3578086112520001 LINDA PUSPITASARI SETIOBUDI SURABAYA 21|12|1952
146 3578080401086286 3578087110790001 FANNY EKAWATI SETIOBUDI SURABAYA 31|10|1979
147 3578080101081393 3578082201540001 TJIA,JOHANIS LIANDO LABUHA 22|01|1954
148 3578080101081393 3578084805560004 TAN,MARTHA TANTER AMBON 08|05|1956
149 3578080101081393 3578087004810001 TJIA,NINGSIH TRIATNA LIANDO AMBON 30|04|1981
150 3578080101081393 3578081501910001 TJIA,JAN MICHAEL LIANDO SURABAYA 15|01|1991
151 3578080101081393 3578086303930006 MONICA FRANCESCA LIANDO SURABAYA 23|03|1993
152 3578080201085777 3578081802440001 BAMBANG DJOHANTO WIDJAJA SURABAYA 18|02|1944
153 3578080401088411 3578080908460002 RUDOLF AGUSTINUS SUTANTO SURABAYA 09|08|1946
154 3578080301083477 3578080110760007 SIAUW,HERMAN YUDI (HWAT YUNG) SURABAYA 01|10|1976
155 3578082601170005 3578084103460003 MIMI SURABAYA 01|03|1946
156 3578080101089376 3578082407510004 BAMBANG GUNAWAN KEDIRI 24|07|1951
157 3578080101089376 3578086810880003 RIA GUNAWAN SURABAYA 28|10|1988
158 3578081507150011 3578085006550006 LILIANA SURABAYA 10|06|1955
159 3578081507150011 3578132904490001 ERY GUNAWAN SURABAYA 29|04|1949
160 3578080401088411 3578083005530004 BENNY SUTANTO SURABAYA 30|05|1953
161 3578080401088411 3578084112630003 LILIK KURNIAWAN SURABAYA 01|12|1963
162 3578080501080011 3578080202620002 EDDY SUTANTO SURABAYA 02|02|1962
163 3578080501080011 3578086512660004 NATALIA JOHANNA ANGGRAINI SURABAYA 25|12|1966
164 3578080501080011 3578081106960003 ELBERT CHRISTIAN SURABAYA 11|06|1996
165 3578080501080011 3578085006970002 FELICITA CHRISTINE SURABAYA 10|06|1997
166 3578080301083477 3578080512510001 TONY SUSANTO,SIAUW SURABAYA 05|12|1951
167 3578080301083477 3578087107540001 SWITA RAHAYU, OEI SURABAYA 31|07|1954
168 3578080401088571 3578080508570002 AKORI MATANDI SURABAYA 05|08|1957
169 3578080401088571 3578084607580005 JOYCE IRMAWATI WIDJAJA JAKARTA 06|07|1958
170 3578080408110045 3578080208860001 ANDI MATANDI SURABAYA 02|08|1986
171 3578080408110045 3578124911860003 YANIE LOEKITO SURABAYA 09|11|1986
172 3578083012100013 3578114708830002 PERLITA DEWI SOEWANDOMO, SE SURABAYA 07|08|1983
173 3578083012100013 3578082207830001 ARIEF MATANDI SURABAYA 22|07|1983
174 3578080201089719 3578082410430001 HALCY INDARTO JEMBER 24|10|1943
175 3578080201089719 3578087011510001 LAUW LIE CHING SURABAYA 30|11|1951
176 3578080201089719 3578083107730002 FRENKY INDARTO YOGYAKARTA 31|07|1973
177 3578080201089719 3578080104780002 HANS LIANDO INDARTO YOGYAKARTA 01|04|1978
178 3578080401084369 3578082401470001 SINDUNATA TJAHYONO BANJARMASIN 24|01|1947
179 3578080401084369 3578082802510001 RUDY DARMAWAN BANJARMASIN 28|02|1951
180 3578080401084369 3578087011620003 ELISABETH DARMAWAN AMPENAN 30|11|1962
181 3578080401084369 3578085402850002 THERESIA DEWI SURABAYA 14|02|1985
182 3578080401084369 3578086706870003 THERESIA YUNITA SURABAYA 27|06|1987
183 3578080509110036 3578084803430002 LILIAN TANDI TELUK BAYUR 08|03|1943
184 3578082909110013 3578085808840003 ELIANA LILIK BANGKALAN 18|08|1984
185 3578082909110013 3578212411840002 ANTON FADJARTO SURABAYA 24|11|1984
186 3578080301086327 3578083103370001 SWANDAJANA HINDRA TIJO SURABAYA 31|03|1937
6

15|01|1992 26 B P DHARMA HUSADA UTARA 2/21 9 2 0


17|04|1938 80 S L DHARMA HUSADA UTARA 2/25 9 2 0
07|02|1946 72 S P DHARMA HUSADA UTARA 2/25 9 2 0
24|12|1974 43 B L DHARMA HUSADA UTARA 2/25 9 2 0
26|06|1948 70 P P DHARMA HUSADA UTARA 2/28 9 2 0
03|01|1969 49 B L DHARMA HUSADA UTARA 2/28 9 2 0
25|07|1951 66 S L DHARMA HUSADA UTARA 2/33 9 2 0
21|12|1952 65 S P DHARMA HUSADA UTARA 2/33 9 2 0
31|10|1979 38 B P DHARMA HUSADA UTARA 2/33 9 2 0
22|01|1954 64 S L DHARMA HUSADA UTARA 2/42 9 2 0
08|05|1956 62 S P DHARMA HUSADA UTARA 2/42 9 2 0
30|04|1981 37 B P DHARMA HUSADA UTARA 2/42 9 2 0
15|01|1991 27 B L DHARMA HUSADA UTARA 2/42 9 2 0
23|03|1993 25 B P DHARMA HUSADA UTARA 2/42 9 2 0
18|02|1944 74 S L DHARMAHUSADA UTARA 2/ 0 9 2 0
09|08|1946 71 S L DHARMAHUSADA UTARA 2/ 4 9 2 0
01|10|1976 41 S L DHARMAHUSADA UTARA 2/ 5 9 2 0
01|03|1946 72 S P DHARMAHUSADA UTARA 2/10 9 2 0
24|07|1951 66 S L DHARMAHUSADA UTARA 2/11 9 2 0
28|10|1988 29 B P DHARMAHUSADA UTARA 2/11 9 2 0
10|06|1955 63 S P DHARMAHUSADA UTARA 2/12 9 2 0
29|04|1949 69 S L DHARMAHUSADA UTARA 2/12 9 2 0
30|05|1953 65 S L DHARMAHUSADA UTARA 2/14 9 2 0
01|12|1963 54 S P DHARMAHUSADA UTARA 2/14 9 2 0
02|02|1962 56 S L DHARMAHUSADA UTARA 2/14 9 2 0
25|12|1966 51 S P DHARMAHUSADA UTARA 2/14 9 2 0
11|06|1996 22 B L DHARMAHUSADA UTARA 2/14 9 2 0
10|06|1997 21 B P DHARMAHUSADA UTARA 2/14 9 2 0
05|12|1951 66 S L DHARMAHUSADA UTARA 2/15 9 2 0
31|07|1954 63 S P DHARMAHUSADA UTARA 2/15 9 2 0
05|08|1957 60 S L DHARMAHUSADA UTARA 2/16 9 2 0
06|07|1958 59 S P DHARMAHUSADA UTARA 2/16 9 2 0
02|08|1986 31 S L DHARMAHUSADA UTARA 2/16 9 2 0
09|11|1986 31 S P DHARMAHUSADA UTARA 2/16 9 2 0
07|08|1983 34 S P DHARMAHUSADA UTARA 2/16 9 2 0
22|07|1983 34 S L DHARMAHUSADA UTARA 2/16 9 2 0
24|10|1943 74 S L DHARMAHUSADA UTARA 2/17 9 2 0
30|11|1951 66 S P DHARMAHUSADA UTARA 2/17 9 2 0
31|07|1973 44 B L DHARMAHUSADA UTARA 2/17 9 2 0
01|04|1978 40 B L DHARMAHUSADA UTARA 2/17 9 2 0
24|01|1947 71 B L DHARMAHUSADA UTARA 2/18 9 2 0
28|02|1951 67 S L DHARMAHUSADA UTARA 2/18 9 2 0
30|11|1962 55 S P DHARMAHUSADA UTARA 2/18 9 2 0
14|02|1985 33 B P DHARMAHUSADA UTARA 2/18 9 2 0
27|06|1987 31 B P DHARMAHUSADA UTARA 2/18 9 2 0
08|03|1943 75 P P DHARMAHUSADA UTARA 2/22 9 2 0
18|08|1984 33 S P DHARMAHUSADA UTARA 2/23 9 2 0
24|11|1984 33 S L DHARMAHUSADA UTARA 2/23 9 2 0
31|03|1937 81 S L DHARMAHUSADA UTARA 2/24 9 2 0

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187 3578080301086327 3578086102410001 IRAWATI TANDI BERAU 21|02|1941
188 3578080301086327 3578086410780001 INTAN ANDRIANI TIJO SURABAYA 24|10|1978
189 3578080101089185 3578082902760002 BONY PRAMONO SURABAYA 29|02|1976
190 3578080101089185 3578086404770002 DINI HERDIANTI SURABAYA 24|04|1977
191 3578080501080640 3578086010670001 BUDI SARASATI SEMARANG 20|10|1967
192 3578080501080640 3578085902930002 DITA NUR FATIMA JAKARTA TIMUR 19|02|1993
193 3578080501080640 3578082908940008 TODI RAHMAT ASH`SHIDDIQ JAKARTA TIMUR 29|08|1994
194 3578080201081758 3578080301720001 RISON MATULATAN UJUNG PANDANG 03|01|1972
195 3578080301082051 3578081304500001 YUDDY LIMANTO SURABAYA 13|04|1950
196 3578080301082051 3578086401610003 SHERLI ARIANI SITUBONDO 24|01|1961
197 3578080301082051 3578080805840005 ALEXANDER MAYRION LIMANTO SINGAPURA 08|05|1984
198 3578080301082051 3578082008880001 ABRAHAM YEHEZKIBELTSAZARO L SURABAYA 20|08|1988
199 3578080301082051 3578082009910002 ARIELSHALLOM CHRISTOPHER L SURABAYA 20|09|1991
200 3578080301086669 3578081712620004 DAVE PANGESTU KASENDA,LIEM SURABAYA 17|12|1962
201 3578080301086669 3578086510680003 SYLVY MARGARETHA SURABAYA 25|10|1968
202 3578080301086669 3578084701940004 MICHELLE LINI KASENDA,LIEM SURABAYA 07|01|1994
203 3578080301086669 3578081512940001 YOHANES CHRISTIAN SURABAYA 15|12|1994
204 3578080401082017 3578080911660001 KASENDA,LIEM
YAN SETIAWAN KASENDA,LIEM SURABAYA 09|11|1966
205 3578080401082017 3578085510730002 ESTRALITA SUMENDAP AMURANG 15|10|1973
206 3578080401082017 3578086109000004 ELIZABETH AURELIA KASENDA,LIEM SURABAYA 21|09|2000
207 3578080401088785 3578080309700004 JEFFRY SETIAWIDJAJA SURABAYA 03|09|1970
208 3578080401088785 3578085908700001 OENTARI WIJONO SURABAYA 19|08|1970
209 3578080401088785 3578081708960001 YOHANES GABRIEL AGUSTINUS SURABAYA 17|08|1996
210 3578080401088785 3578080210970006 RAFAEL HERMAN YOSEF SURABAYA 02|10|1997
211 3578080401088788 3578086904450002 RINI SETIAWATI MALUKU 29|04|1945
212 3578080401088785 3578081102990001 MIKE CHRIST HERU SURABAYA 11|02|1999
213 3578080409120002 3578086003810005 YENNY RATNA SARI SETIAWIDJAYA, SURABAYA 20|03|1981
214 3578080101081086 3578081707620005 TJIA,ALEXIUS LIANDO LABUHA 17|07|1962
215 3578080101081086 3578087011680003 BONG SIOE PHIN JAKARTA 30|11|1968
216 3578080101081086 3578081805910003 TJIA,RIAN NICHOLAUS LIANDO SURABAYA 18|05|1991
217 3578080101081086 3578082908940004 TJIA,IVAN ALEXANDER SURABAYA 29|08|1994
218 3578080201081667 3578081602950002 JASON LIANDO SURABAYA 16|02|1995
219 3578080401081565 3578080509580002 ANDREAS LIANDO,TJIA, DR LABUHA BACAM 05|09|1958
220 3578080401081565 3578085411640004 URSULA LIANDO,TJIA AMBON 14|11|1964
221 3578080401084985 3578085504670002 HENNY HARDJONO UJUNG PANDANG 15|04|1967
222 3578080101081086 3578080106000003 JUAN MATTHEW LIANDO SURABAYA 01|06|2000
223 3578081712100014 3578086401390001 BUDI SETYAWATI HALIM SURABAYA 24|01|1939
224 3578081712100014 3578083103430002 HERMAN SETYABUDHI KARTAKUSUM NGANJUK 31|03|1943
225 3578081712100014 3578086505740003 ANNA MARIA RATNA HARMANI SURABAYA 25|05|1974
226 3578081712100014 3578081011760001 STEFANUS ADI DHARMA K SURABAYA 10|11|1976
227 3578080201084318 3578081708780004 HINDARTO SETIOBUDI SURABAYA 17|08|1978
228 3578080201084318 3578086309780002 SIENNY GUNAWAN SURABAYA 23|09|1978
229 3578080401087019 3578082107530002 THONG WIE TJAN/ALEX WINATA BANYUWANGI 21|07|1953
230 3578080401087019 3578084205570002 INDRA CHRISTINA, PEK KEDIRI 02|05|1957
231 3578080401087019 3578080805860001 FRANS WINATA,THONG KEDIRI 08|05|1986
232 3578081304160006 3578087101840001 YENNY SINNATA KEDIRI 31|01|1984
233 3578081304160006 3329072803840003 FENDRY HANDOKO TEGAL 28|03|1984
234 3578080401081045 3578082505490001 HARTONO SUMARGO SURABAYA 25|05|1949
235 3578080401081045 3578080612780003 ALBERT SUMARGO SURABAYA 06|12|1978
6

21|02|1941 77 S P DHARMAHUSADA UTARA 2/24 9 2 0


24|10|1978 39 B P DHARMAHUSADA UTARA 2/24 9 2 0
29|02|1976 42 S L DHARMAHUSADA UTARA 2/26 9 2 0
24|04|1977 41 S P DHARMAHUSADA UTARA 2/26 9 2 0
20|10|1967 50 S P DHARMAHUSADA UTARA 2/26 9 2 0
19|02|1993 25 B P DHARMAHUSADA UTARA 2/26 9 2 0
29|08|1994 23 B L DHARMAHUSADA UTARA 2/26 9 2 0
03|01|1972 46 S L DHARMAHUSADA UTARA 2/28 9 2 0
13|04|1950 68 S L DHARMAHUSADA UTARA 2/29 9 2 0
24|01|1961 57 S P DHARMAHUSADA UTARA 2/29 9 2 0
08|05|1984 34 B L DHARMAHUSADA UTARA 2/29 9 2 0
20|08|1988 29 B L DHARMAHUSADA UTARA 2/29 9 2 0
20|09|1991 26 B L DHARMAHUSADA UTARA 2/29 9 2 0
17|12|1962 55 S L DHARMAHUSADA UTARA 2/3 9 2 0
25|10|1968 49 S P DHARMAHUSADA UTARA 2/3 9 2 0
07|01|1994 24 B P DHARMAHUSADA UTARA 2/3 9 2 0
15|12|1994 23 B L DHARMAHUSADA UTARA 2/3 9 2 0
09|11|1966 51 S L DHARMAHUSADA UTARA 2/3 9 2 0
15|10|1973 44 S P DHARMAHUSADA UTARA 2/3 9 2 0
21|09|2000 17 B P DHARMAHUSADA UTARA 2/3 9 2 0
03|09|1970 47 S L DHARMAHUSADA UTARA 2/30 9 2 0
19|08|1970 47 S P DHARMAHUSADA UTARA 2/30 9 2 0
17|08|1996 21 B L DHARMAHUSADA UTARA 2/30 9 2 0
02|10|1997 20 B L DHARMAHUSADA UTARA 2/30 9 2 0
29|04|1945 73 S P DHARMAHUSADA UTARA 2/30 9 2 0
11|02|1999 19 B L DHARMAHUSADA UTARA 2/30 9 2 0
20|03|1981 37 B P DHARMAHUSADA UTARA 2/30 9 2 0
17|07|1962 55 S L DHARMAHUSADA UTARA 2/31 9 2 0
30|11|1968 49 S P DHARMAHUSADA UTARA 2/31 9 2 0
18|05|1991 27 B L DHARMAHUSADA UTARA 2/31 9 2 0
29|08|1994 23 B L DHARMAHUSADA UTARA 2/31 9 2 0
16|02|1995 23 B L DHARMAHUSADA UTARA 2/31 9 2 0
05|09|1958 59 S L DHARMAHUSADA UTARA 2/31 9 2 0
14|11|1964 53 P P DHARMAHUSADA UTARA 2/31 9 2 0
15|04|1967 51 S P DHARMAHUSADA UTARA 2/31 9 2 0
01|06|2000 18 B L DHARMAHUSADA UTARA 2/31 9 2 0
24|01|1939 79 S P DHARMAHUSADA UTARA 2/32 9 2 0
31|03|1943 75 S L DHARMAHUSADA UTARA 2/32 9 2 0
25|05|1974 44 B P DHARMAHUSADA UTARA 2/32 9 2 0
10|11|1976 41 B L DHARMAHUSADA UTARA 2/32 9 2 0
17|08|1978 39 S L DHARMAHUSADA UTARA 2/33 9 2 0
23|09|1978 39 S P DHARMAHUSADA UTARA 2/33 9 2 0
21|07|1953 64 S L DHARMAHUSADA UTARA 2/34 9 2 0
02|05|1957 61 S P DHARMAHUSADA UTARA 2/34 9 2 0
08|05|1986 32 B L DHARMAHUSADA UTARA 2/34 9 2 0
31|01|1984 34 B P DHARMAHUSADA UTARA 2/34 9 2 0
28|03|1984 34 P L DHARMAHUSADA UTARA 2/34 9 2 0
25|05|1949 69 S L DHARMAHUSADA UTARA 2/38 9 2 0
06|12|1978 39 B L DHARMAHUSADA UTARA 2/38 9 2 0

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236 3578080401082870 3578087001660002 TAN,YENNY SUTANTO SURABAYA 30|01|1966
237 3578080401082870 3578081102660005 ONGKIE WIDYA SURABAYA 11|02|1966
238 3578080401082870 3578082411940006 KENNY RAMA WIDYA SURABAYA 24|11|1994
239 3578080401082870 3578082411940007 FERDIAN RAMA WIDYA SURABAYA 24|11|1994
240 3578080401082870 3578086407970002 VANIA DEVI SURABAYA 24|07|1997
241 3578080201081085 3578081711760001 Drg. DEBBY HENDRAWAN,Sp.KG SURABAYA 17|11|1976
242 3578080201081085 3578086905800002 Drg. ROOSANTI NURWINDA PURISAR SURABAYA 29|05|1980
243 3578080301082551 3578085912360001 DHARMAYANTIE P H PRASETYO BANDUNG 19|12|1936
244 3578080301082551 3578081502390002 BENO PRASETYO JAKARTA 15|02|1939
245 3578080301082551 3578086203660001 POEDJIE INGASTOETIE H SURABAYA 22|03|1966
246 3578080301081636 3578081606470002 BUDI YULIANTO SURABAYA 16|06|1947
247 3578080301081636 3578085504470001 FIFI MURNIATI/HO SU FIE SURABAYA 15|04|1947
248 3578080301081636 3578085103980005 LENNY YULIANTO SURABAYA 11|03|1998
249 3578080502140007 3578082011790006 BUDI HANAFI SURABAYA 20|11|1979
250 3578080502140007 3578096112790006 EMMY ANDRIYANY ALAS SUMBAWA 21|12|1979
251 3578080501081402 3578081702670003 BELFRY SUBAKTI, SE SURAKARTA 17|02|1967
252 3578080501081402 3578086001700001 RINI DJOEWITO BANYUWANGI 20|01|1970
253 3578080501081402 3578082106960001 HANS THADEUS SURABAYA 21|06|1996
254 3578080501082589 3578082706730004 ACHMAN WINATA, ST KALIBARU 27|06|1973
255 3578080501081402 3578086802000002 THEOPHILA BECCA NASYA SURABAYA 28|02|2000
256 3578080301081022 3578085605470001 TJANDRAWATI/TIO KIEM OEN SURABAYA 16|05|1947
257 3578080301081022 3578085204760005 IVY CHOURYSA SURABAYA 12|04|1976
258 3578080501080289 3578081404450002 HENDRATNO KEDIRI 14|04|1945
259 3578080501080289 3578086005500003 ELLY INDRAWATI SURABAYA 20|05|1950
260 3578080501080289 3578084912720006 VONNY INDRAWATI SURABAYA 09|12|1972
261 3578080501080289 3578082806760001 HONGKY HENDRAWAN SURABAYA 28|06|1976
262 3578082304090018 3578082809740004 ROY HENDRAWAN SURABAYA 28|09|1974
263 3578080301081884 3578082208480003 PINARTO SISWOJO TEDJOKUSUMO BOJONEGORO 22|08|1948
264 3578080301081884 3578084605510003 ESTHER UTAMI NYOTOWIDJOJO SURABAYA 06|05|1951
265 3578080301081884 3578085306890004 YOANNA SISWOYO TEDJOKUSUMO SURABAYA 13|06|1989
266 3578080201085906 3578086901290001 JAUW KIEM HWA R.R.C. 29|01|1929
267 3578080201085906 3578083105530001 DOMO SUSILO BLITAR 31|05|1953
268 3578080201085906 3578084102540001 DJIE CHIAN HWA SURABAYA 01|02|1954
269 3578080201085906 3578081407790004 TIRTA RAHARDJA YOGYAKARTA 14|07|1979
270 3578080201085906 3578087110800005 SILVIA LAURA YOGYAKARTA 31|10|1980
271 3578080201085906 3578081309870002 ANDREW RAHARDJA SINGAPORE 13|09|1987
272 3578081410160012 3578110505850002 MOH. ARIS S. LAMONGAN 05|05|1985
273 3578080310110099 3578080208690002 M.FADHILAH ASHARI SUKABUMI 02|08|1969
274 3578080310110099 3578086109410002 ERNA ESTOETI BOJONEGORO 21|09|1941
275 3578080310110099 3578082307720001 M.FAHMI SJARIEF SUKABUMI 23|07|1972
276 3578080501083825 3578084205710005 LILY MEGAWATI SEMARANG 02|05|1971
277 3578080501083825 3578082703740006 ALEXANDER ALLEN TOH KHA YIN BANJARMASIN 27|03|1974
278 3578080301080523 3578086409490001 HILDA DHARMAWAN SURABAYA 24|09|1949
279 3578080301080523 3578080303490002 HARDI PRATIKNJO SOENJOTO MOJOKERTO 03|03|1949
280 3578080301080523 3578085003930001 CLAUDIA SOENJOTO SURABAYA 10|03|1993
281 3578080501081740 3578086906360048 RUKIYAH GRESIK 29|06|1936
282 3578080501081122 3578082503450001 SAMUEL SETIADJI SURABAYA 25|03|1945
283 3578080501081122 3578086911510002 RATNAWATI ONGGORAHARDJO MOJOKERTO 29|11|1951
284 3578080501081122 3578080711850002 IGNATIUS YOHANNES SETIADJI SURABAYA 07|11|1985
6

30|01|1966 52 S P DHARMAHUSADA UTARA 2/39 9 2 0


11|02|1966 52 S L DHARMAHUSADA UTARA 2/39 9 2 0
24|11|1994 23 B L DHARMAHUSADA UTARA 2/39 9 2 0
24|11|1994 23 B L DHARMAHUSADA UTARA 2/39 9 2 0
24|07|1997 20 B P DHARMAHUSADA UTARA 2/39 9 2 0
17|11|1976 41 S L DHARMAHUSADA UTARA 2/40 9 2 0
29|05|1980 38 S P DHARMAHUSADA UTARA 2/40 9 2 0
19|12|1936 81 S P DHARMAHUSADA UTARA 2/42 9 2 0
15|02|1939 79 S L DHARMAHUSADA UTARA 2/42 9 2 0
22|03|1966 52 B P DHARMAHUSADA UTARA 2/42 9 2 0
16|06|1947 71 S L DHARMAHUSADA UTARA 2/8 9 2 0
15|04|1947 71 S P DHARMAHUSADA UTARA 2/8 9 2 0
11|03|1998 20 B P DHARMAHUSADA UTARA 2/8 9 2 0
20|11|1979 38 S L DHARMAHUSADA UTARA 2/8 9 2 0
21|12|1979 38 S P DHARMAHUSADA UTARA 2/8 9 2 0
17|02|1967 51 S L DHARMAHUSADA UTARA 7/1 9 2 0
20|01|1970 48 S P DHARMAHUSADA UTARA 7/1 9 2 0
21|06|1996 22 B L DHARMAHUSADA UTARA 7/1 9 2 0
27|06|1973 45 B L DHARMAHUSADA UTARA 7/1 9 2 0
28|02|2000 18 B P DHARMAHUSADA UTARA 7/1 9 2 0
16|05|1947 71 S P DHARMAHUSADA UTARA 7/11 9 2 0
12|04|1976 42 B P DHARMAHUSADA UTARA 7/11 9 2 0
14|04|1945 73 S L DHARMAHUSADA UTARA 7/17 9 2 0
20|05|1950 68 S P DHARMAHUSADA UTARA 7/17 9 2 0
09|12|1972 45 S P DHARMAHUSADA UTARA 7/17 9 2 0
28|06|1976 41 S L DHARMAHUSADA UTARA 7/17 9 2 0
28|09|1974 43 P L DHARMAHUSADA UTARA 7/17 9 2 0
22|08|1948 69 S L DHARMAHUSADA UTARA 7/19 9 2 0
06|05|1951 67 S P DHARMAHUSADA UTARA 7/19 9 2 0
13|06|1989 29 B P DHARMAHUSADA UTARA 7/19 9 2 0
29|01|1929 89 P P DHARMAHUSADA UTARA II/17 9 2 0
31|05|1953 65 S L DHARMAHUSADA UTARA II/17 9 2 0
01|02|1954 64 S P DHARMAHUSADA UTARA II/17 9 2 0
14|07|1979 38 B L DHARMAHUSADA UTARA II/17 9 2 0
31|10|1980 37 B P DHARMAHUSADA UTARA II/17 9 2 0
13|09|1987 30 B L DHARMAHUSADA UTARA II/17 9 2 0
05|05|1985 33 B L KALIWARON 50-B 9 2 0
02|08|1969 48 B L DARMA HUSADA UTARA /54 10 2 0
21|09|1941 76 P P DARMA HUSADA UTARA 1/54 10 2 0
23|07|1972 45 B L DARMA HUSADA UTARA 1/54 10 2 0
02|05|1971 47 S P DARMAHUSADA UTARA 11-16 10 2 0
27|03|1974 44 S L DARMAHUSADA UTARA 11-16 10 2 0
24|09|1949 68 S P DARMAHUSADA UTARA 7/3-A 10 2 0
03|03|1949 69 S L DARMAHUSADA UTARA 7/3-A 10 2 0
10|03|1993 25 B P DARMAHUSADA UTARA 7/3-A 10 2 0
29|06|1936 81 P P DHARMA HUSADA UTARA /24 10 2 0
25|03|1945 73 S L DHARMA HUSADA UTARA /37 10 2 0
29|11|1951 66 S P DHARMA HUSADA UTARA 1/37 10 2 0
07|11|1985 32 B L DHARMA HUSADA UTARA 1/37 10 2 0

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285 3578080401088761 3578082805520004 TIKNO SUKAMTO,KANG SURABAYA 28|05|1952
286 3578080401088761 3578084612830004 FILYANI SUKAMTO,KANG SURABAYA 06|12|1983
287 3578080401088761 3578080106870002 ERWIN SUKAMTO,KANG SURABAYA 01|06|1987
288 3578081404140001 3578080608810002 ERVAN SUKAMTO,KANG SURABAYA 06|08|1981
289 3578081404140001 3508104506870006 ROSITA DWI PUSPITASARI HARDJON LUMAJANG 05|06|1987
290 3578080401088761 3578085905570002 LYDIA LESTARI, LIE MANADO 19|05|1957
291 3578080301080697 3578080105490001 SOEGIHARTO MALANG 01|05|1949
292 3578080301080697 3578084101510008 IRAWATI/TAN MOK DJOE CILACAP 01|01|1951
293 3578080504110012 3578082204750003 TONY SOEGIHARTO SURABAYA 22|04|1975
294 3578080504110012 3578266503830006 PAMELA CICILIA, SS SURABAYA 25|03|1983
295 3578080301085696 3578082606380002 PURNOMO SEGORO SIDOARJO 26|06|1938
296 3578080301085696 3578086603560001 NINIEK TIASTUTY BANGKALAN 26|03|1956
297 3578080301085696 3578081611830005 TOMMY FERNANDO SEGORO SURABAYA 16|11|1983
298 3578080301085696 3578082607850002 TEDDY ANTONIO SEGORO SURABAYA 26|07|1985
299 3578080301085696 3578084606950003 MARIA STEFANI SURABAYA 06|06|1995
300 3578080201087083 3578080301290001 HARSONO WINOTO, OEI HAN SIONG SURABAYA 03|01|1929
301 3578080101087427 3578084501580002 INDAHWATI SOETANTO SURABAYA 05|01|1958
302 3578081805110038 3578084112800003 LUCIA WIDYARINI SOETANTO SURABAYA 01|12|1980
303 3578080401081704 3578086906320013 HEE GIOK ING HOKIAN 29|06|1932
304 3578080401081704 3578085004620003 SYLVIA MARIA,KAM SEMARANG 10|04|1962
305 3578081406120051 3578086901830002 LIM NELLY CHEN RENGAT 29|01|1983
306 3578080201082479 3578086408780002 EVIE RATNA SARI,,SE BANYUWANGI 24|08|1978
307 3578080401082753 3578084908720007 DINA KUSUMAWATI HANDRIJONO SURABAYA 09|08|1972
308 3578080101083180 3578086509350001 KHO EN HWA KEDIRI 25|09|1935
309 3578080301086673 3578084610420001 NUR JULITA S/LIE,DJO LONG SURABAYA 06|10|1942
310 3578080401080553 3578080106480001 DJOKO SUTJINTO SAMARINDA 01|06|1948
311 3578080301086867 3578082805770003 DENNY N KARUNDENG MANADO 28|05|1977
312 3578080301085612 3578086008720005 AGUSTINA INGRID,ONG TERNATE 20|08|1972
313 3578080301081745 3578080812410004 H.A.DEDDY NATAWIDJAJA GARUT 08|12|1941
314 3578080301081745 3578084202450003 OTTY KOEN WIRASTY BANDUNG 02|02|1945
315 3578080301081745 3578081108760002 DODDY NUGRAHA BANDUNG 11|08|1976
316 3578080401084405 3578084901440001 SRI SUNDARI PASURUAN 09|01|1944
317 3578080101084361 3578081903740002 TAN, WILLY SUTANTO SAMARINDA 19|03|1974
318 3578080101084361 3578084305750005 AUDREY KARTIKA SURABAYA 03|05|1975
319 3578080401084364 3578086202380001 E. R. HERLIANTINI HANDJOJO SURABAYA 22|02|1938
320 3578080501082522 3578082103750004 GAN,DAVID GANI SURABAYA 21|03|1975
321 3578080501082522 3578086907820004 GAN,SANDY GANI SURABAYA 29|07|1982
322 3578080101087441 3578084501560001 INDAHWATI SOETANTO SURABAYA 05|01|1956
323 3578081805110038 3578083005810008 JOSEF SUGIANTO MEDAN 30|05|1981
324 3578080301084649 3578082311590003 ANTONIUS GATOT HALIM BANJARMASIN 23|11|1959
325 3578080301084649 3578084509610002 WIDYA RUKMINIWATI T DENPASAR 05|09|1961
326 3578080301084649 3578082912880002 ARNOLD WIJAYA HALIM SURABAYA 29|12|1988
327 3578080301084652 3578081811360001 AGUSTINUS WIDJAYA HALIM MUARA TEWE 18|11|1936
328 3578080301084652 3578087105380001 JOSEPHINE ANGGRAINI H BANJARMASIN 31|05|1938
329 3578080401085968 3578086908580001 CHRISTINE DEWIYANI HALIM BANJARMASIN 29|08|1958
330 3578080401085968 3578085502810002 MERLYN SULISTIO SURABAYA 15|02|1981
331 3578080401085968 3578085110830003 IMELDA SULISTIO SURABAYA 11|10|1983
332 3578080301084649 3578080601990002 MICHAEL WIJAYA SURABAYA 06|01|1999
333 3578080201083125 3578081608660003 GEE SIE SIONG/AGUS SUDARMONO SURABAYA 16|08|1966
6

28|05|1952 66 S L DHARMA HUSADA UTARA 1/43 10 2 0


06|12|1983 34 B P DHARMA HUSADA UTARA 1/43 10 2 0
01|06|1987 31 B L DHARMA HUSADA UTARA 1/43 10 2 0
06|08|1981 36 S L DHARMA HUSADA UTARA 1/43 10 2 0
05|06|1987 31 S P DHARMA HUSADA UTARA 1/43 10 2 0
19|05|1957 61 S P DHARMA HUSADA UTARA 1/43 10 2 0
01|05|1949 69 S L DHARMA HUSADA UTARA 1/52 10 2 0
01|01|1951 67 S P DHARMA HUSADA UTARA 1/52 10 2 0
22|04|1975 43 S L DHARMA HUSADA UTARA 1/52 10 2 0
25|03|1983 35 S P DHARMA HUSADA UTARA 1/52 10 2 0
26|06|1938 80 S L DHARMA HUSADA UTARA 1/9 10 2 0
26|03|1956 62 S P DHARMA HUSADA UTARA 1/9 10 2 0
16|11|1983 34 B L DHARMA HUSADA UTARA 1/9 10 2 0
26|07|1985 32 B L DHARMA HUSADA UTARA 1/9 10 2 0
06|06|1995 23 B P DHARMA HUSADA UTARA 1/9 10 2 0
03|01|1929 89 S L DHARMA HUSADA UTARA I/34 10 2 0
05|01|1958 60 S P DHARMAHUSADA UTARA / 2 10 2 0
01|12|1980 37 S P DHARMAHUSADA UTARA / 2 10 2 0
29|06|1932 85 S P DHARMAHUSADA UTARA / 4 10 2 0
10|04|1962 56 S P DHARMAHUSADA UTARA / 4 10 2 0
29|01|1983 35 P P DHARMAHUSADA UTARA / 6 10 2 0
24|08|1978 39 S P DHARMAHUSADA UTARA /22 10 2 0
09|08|1972 45 B P DHARMAHUSADA UTARA /22 10 2 0
25|09|1935 82 P P DHARMAHUSADA UTARA /23 10 2 0
06|10|1942 75 S P DHARMAHUSADA UTARA /24 10 2 0
01|06|1948 70 S L DHARMAHUSADA UTARA /24 10 2 0
28|05|1977 41 B L DHARMAHUSADA UTARA /28 10 2 0
20|08|1972 45 B P DHARMAHUSADA UTARA /35 10 2 0
08|12|1941 76 S L DHARMAHUSADA UTARA /40 10 2 0
02|02|1945 73 S P DHARMAHUSADA UTARA /40 10 2 0
11|08|1976 41 B L DHARMAHUSADA UTARA /40 10 2 0
09|01|1944 74 S P DHARMAHUSADA UTARA /40 10 2 0
19|03|1974 44 S L DHARMAHUSADA UTARA /5 10 2 0
03|05|1975 43 S P DHARMAHUSADA UTARA /5 10 2 0
22|02|1938 80 S P DHARMAHUSADA UTARA /50 10 2 0
21|03|1975 43 B L DHARMAHUSADA UTARA /8 10 2 0
29|07|1982 35 B P DHARMAHUSADA UTARA /8 10 2 0
05|01|1956 62 P P DHARMAHUSADA UTARA 1/12 10 2 0
30|05|1981 37 S L DHARMAHUSADA UTARA 1/12 10 2 0
23|11|1959 58 S L DHARMAHUSADA UTARA 1/14 10 2 0
05|09|1961 56 S P DHARMAHUSADA UTARA 1/14 10 2 0
29|12|1988 29 B L DHARMAHUSADA UTARA 1/14 10 2 0
18|11|1936 81 S L DHARMAHUSADA UTARA 1/14 10 2 0
31|05|1938 80 S P DHARMAHUSADA UTARA 1/14 10 2 0
29|08|1958 59 P P DHARMAHUSADA UTARA 1/14 10 2 0
15|02|1981 37 B P DHARMAHUSADA UTARA 1/14 10 2 0
11|10|1983 34 B P DHARMAHUSADA UTARA 1/14 10 2 0
06|01|1999 19 B L DHARMAHUSADA UTARA 1/14 10 2 0
16|08|1966 51 S L DHARMAHUSADA UTARA 1/15 10 2 0

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334 3578080205140016 3578086708690002 LINDA KUSUMA SURABAYA 27|08|1969
335 3578080205140016 3578080908910002 ANDRE AGATHA SURABAYA 09|08|1991
336 3578080205140016 3578080604930001 STANLEY HADINATA SURABAYA 06|04|1993
337 3578080301080718 3578080310440001 TJIOE, LUKITO HADIWIDJAJA MOJOKERTO 03|10|1944
338 3578080301080718 3578087003550001 GO, SISKA OLIVIA SURABAYA 30|03|1955
339 3578081806090008 3578081708810004 TJIOE ANDY HADIWIDJAJA SURABAYA 17|08|1981
340 3578080101081462 3578084607520001 DIAH RENAWATI SUJANTO SURABAYA 06|07|1952
341 3578080201085797 3578085511450002 KRISTINA TJUATJADJAJA SURABAYA 15|11|1945
342 3578080201085797 3578080711470003 TONNY WIDJAJA SURABAYA 07|11|1947
343 3578080201085797 3578084411760004 DEASY IRMA WIDJAJA SURABAYA 04|11|1976
344 3578080201085797 3578085301790001 DEBBY IRA WIDJAJA SURABAYA 13|01|1979
345 3578080201085797 3578081410840001 STEVE WIDJAJA SURABAYA 14|10|1984
346 3578080201084459 3578081210790001 ROY SUSILO SURABAYA 12|10|1979
347 3578080201084459 3578085401800001 CAROLINA NANIEK ANDARINA PAMEKASAN 14|01|1980
348 3578080401088001 3578086712570002 LIANA WIJAYA/LIE,AY LIAN SURABAYA 27|12|1957
349 3578080401088001 3578082812580005 WILIANTO WIJAYA/TJOA,KIE WIE SURABAYA 28|12|1958
350 3578082405100002 3578074108820003 SHEELIANA GUNAWAN SURABAYA 01|08|1982
351 3578082405100002 3578080704820004 EDDY WIJAYA SURABAYA 07|04|1982
352 3578082002130004 3578265810890001 FLORENCIA SHELLA WIDJAJA SURABAYA 18|10|1989
353 3578080301084764 3578081311450001 H. BAMBANG SUPRAPTO MALANG 13|11|1945
354 3578080301084764 3578086410470001 HJ. KUTSIYAH SUMENEP 24|10|1947
355 3578080201082479 3578080306770003 SLAMET HARIADI, ST SURABAYA 03|06|1977
356 3578080201088686 3578085612610003 WENNY HANDOJO SURABAYA 16|12|1961
357 3578080201088686 3578086404660002 FRANSISCA SUGANDI SURABAYA 24|04|1966
358 3578080201088686 3578086004690005 ANASTASIA SUGANDI SURABAYA 20|04|1969
359 3578080401080553 3578084512470001 RATNA SULISTYAWATI SURABAYA 05|12|1947
360 3578080401080553 3578086108760001 LISA SETIAWATI SURABAYA 21|08|1976
361 3578080101088761 3578082512720005 RIZAL CHRISTIAN MALANG 25|12|1972
362 3578080101088761 3578085403780001 JEANNY HARJONO SAMARINDA 14|03|1978
363 3578080201085148 3578080609820001 JIMMY HARJONO SAMARINDA 06|09|1982
364 3578080201085148 3578085612820001 DEWI PUTRI LESTARIO SURABAYA 16|12|1982
365 3578080301088475 3578080308490002 WELLY HARJONO SURABAYA 03|08|1949
366 3578080301088475 3578085803560004 TAN SIOE NIO/CHANDRA YUWITA MUARAANCALON 18|03|1956
367 3578080401089509 3578085402520004 WANDAYANI KUSUMA BANJARMASIN 14|02|1952
368 3578080401089509 3578082602750004 ARDY HALIM LINGGO SURABAYA 26|02|1975
369 3578080401089509 3578082602750003 ANDY HALIM LINGGO SURABAYA 26|02|1975
370 3578080401089509 3578081508800003 DANNY HALIM LINGGO SURABAYA 15|08|1980
371 3578080301086867 3578081010500006 HARRY KARUNDENG MANADO 10|10|1950
372 3578080612110008 3578086105520002 LORITA KURNIAWAN SEMARANG 21|05|1952
373 3578080612110008 3578080104780003 JIMMY SASMITA SURABAYA 01|04|1978
374 3578080612110008 3578080109790003 ROBBY SASMITA SURABAYA 01|09|1979
375 3578082809160009 3578176208760003 ESTHER SURABAYA 22|08|1976
376 3578080201081549 3578081611760003 DENNY SOEGIARTO SURABAYA 16|11|1976
377 3578080201081549 3578086307780003 SHIRLEY HALIM LINGGO SURABAYA 23|07|1978
378 3578081010140001 3578011608680004 Ir.AMOS SANGKA TANA TORAJA 16|08|1968
379 3578081010140001 3578016311990001 CHATRINE EVANIA PALANGANSANG KSURABAYA 23|11|1999
380 3578080301085612 3578084508690001 JOSEPHINA FANNY,ONG TERNATE 05|08|1969
381 3578081910090014 3578086502430002 CAROLIN CAROLES/TJIA GIOK ENG MANADO 25|02|1943
382 3578080201087467 3578085009480001 MA. ARIANI TJIPTOWIDJOJO, IR SURABAYA 10|09|1948
6

27|08|1969 48 P P DHARMAHUSADA UTARA 1/15 10 2 0


09|08|1991 26 B L DHARMAHUSADA UTARA 1/15 10 2 0
06|04|1993 25 B L DHARMAHUSADA UTARA 1/15 10 2 0
03|10|1944 73 S L DHARMAHUSADA UTARA 1/16 10 2 0
30|03|1955 63 S P DHARMAHUSADA UTARA 1/16 10 2 0
17|08|1981 36 P L DHARMAHUSADA UTARA 1/16 10 2 0
06|07|1952 65 S P DHARMAHUSADA UTARA 1/17 10 2 0
15|11|1945 72 S P DHARMAHUSADA UTARA 1/18 10 2 0
07|11|1947 70 S L DHARMAHUSADA UTARA 1/18 10 2 0
04|11|1976 41 B P DHARMAHUSADA UTARA 1/18 10 2 0
13|01|1979 39 B P DHARMAHUSADA UTARA 1/18 10 2 0
14|10|1984 33 B L DHARMAHUSADA UTARA 1/18 10 2 0
12|10|1979 38 S L DHARMAHUSADA UTARA 1/19 10 2 0
14|01|1980 38 S P DHARMAHUSADA UTARA 1/19 10 2 0
27|12|1957 60 S P DHARMAHUSADA UTARA 1/20 10 2 0
28|12|1958 59 S L DHARMAHUSADA UTARA 1/20 10 2 0
01|08|1982 35 S P DHARMAHUSADA UTARA 1/20 10 2 0
07|04|1982 36 S L DHARMAHUSADA UTARA 1/20 10 2 0
18|10|1989 28 B P DHARMAHUSADA UTARA 1/21 10 2 0
13|11|1945 72 S L DHARMAHUSADA UTARA 1/22 10 2 0
24|10|1947 70 S P DHARMAHUSADA UTARA 1/22 10 2 0
03|06|1977 41 S L DHARMAHUSADA UTARA 1/22 10 2 0
16|12|1961 56 P P DHARMAHUSADA UTARA 1/23 10 2 0
24|04|1966 52 B P DHARMAHUSADA UTARA 1/23 10 2 0
20|04|1969 49 B P DHARMAHUSADA UTARA 1/23 10 2 0
05|12|1947 70 S P DHARMAHUSADA UTARA 1/24 10 2 0
21|08|1976 41 B P DHARMAHUSADA UTARA 1/24 10 2 0
25|12|1972 45 S L DHARMAHUSADA UTARA 1/25 10 2 0
14|03|1978 40 S P DHARMAHUSADA UTARA 1/25 10 2 0
06|09|1982 35 S L DHARMAHUSADA UTARA 1/25 10 2 0
16|12|1982 35 S P DHARMAHUSADA UTARA 1/25 10 2 0
03|08|1949 68 S L DHARMAHUSADA UTARA 1/25 10 2 0
18|03|1956 62 S P DHARMAHUSADA UTARA 1/25 10 2 0
14|02|1952 66 P P DHARMAHUSADA UTARA 1/27 10 2 0
26|02|1975 43 B L DHARMAHUSADA UTARA 1/27 10 2 0
26|02|1975 43 B L DHARMAHUSADA UTARA 1/27 10 2 0
15|08|1980 37 B L DHARMAHUSADA UTARA 1/27 10 2 0
10|10|1950 67 S L DHARMAHUSADA UTARA 1/28 10 2 0
21|05|1952 66 P P DHARMAHUSADA UTARA 1/29 10 2 0
01|04|1978 40 B L DHARMAHUSADA UTARA 1/29 10 2 0
01|09|1979 38 B L DHARMAHUSADA UTARA 1/29 10 2 0
22|08|1976 41 S P DHARMAHUSADA UTARA 1/30 10 2 0
16|11|1976 41 S L DHARMAHUSADA UTARA 1/31 10 2 0
23|07|1978 39 S P DHARMAHUSADA UTARA 1/31 10 2 0
16|08|1968 49 S L DHARMAHUSADA UTARA 1/34 10 2 0
23|11|1999 18 B P DHARMAHUSADA UTARA 1/34 10 2 0
05|08|1969 48 B P DHARMAHUSADA UTARA 1/35 10 2 0
25|02|1943 75 P P DHARMAHUSADA UTARA 1/36 10 2 0
10|09|1948 69 S P DHARMAHUSADA UTARA 1/38 10 2 0

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383 3578080201087467 3578081904490001 STANISLAUS KUNCORO SANTOSO, I RYOGYAKARTA 19|04|1949
384 3578080501082837 3578081808360001 SOEGIANTO MALANG 18|08|1936
385 3578080501082837 3578086011470003 KOE JIE JOEN SURABAYA 20|11|1947
386 3578080401080290 3578085009550001 ENDANG ANGGRAENI/THE AY KHING PARAKAN 10|09|1955
387 3578080401080290 3578081908560001 HARIANTO KOWARI/KO SING TJIONG SURABAYA 19|08|1956
388 3578080401080290 3578082207810001 ANDREW KOWARI, KO SURABAYA 22|07|1981
389 3578080401080290 3578086312830001 ONA ADININGSIH KOWARI, KO SURABAYA 23|12|1983
390 3578080101086838 3578086310450001 TJAN KIEM JOEK/LUSY TJANDRA SURABAYA 23|10|1945
391 3578080101086838 3578081808970003 KEVIN SURABAYA 18|08|1997
392 3578080301080696 3578084107250001 MELANIA HANINDITO MALANG 01|07|1925
393 3578080301080696 3578085901550001 MARIA CATHARINA HADIUTOMO SURABAYA 19|01|1955
394 3578080301080695 3578080912510003 STEFANUS HADIUTOMO SURABAYA 09|12|1951
395 3578080301080695 3578086004550004 RETNO INDRAWATI MOJOKERTO 20|04|1955
396 3578080301080695 3578086402830004 JANE HADIUTOMO SURABAYA 24|02|1983
397 3578080301082919 3578081911500001 ANDREAS KOENTJORO S, DR SURABAYA 19|11|1950
398 3578080301082919 3578084704790004 ADELA KOENTJORO DENPASAR 07|04|1979
399 3578080301082919 3578084704790005 ALMIRA KOENTJORO DENPASAR 07|04|1979
400 3578080301082919 3578081709850004 ALDO KOENTJORO SURABAYA 17|09|1985
401 3578080301082919 3578081709850003 ARMAND KOENTJORO SURABAYA 17|09|1985
402 3578080301082919 3578087107520001 YUSTINA RAHARDJO MOJOKERTO 31|07|1952
403 3578080501081640 3578081408560002 AGUSTINUS SUWITO BS SURABAYA 14|08|1956
404 3578080501081640 3578085912580002 NANY SURABAYA 19|12|1958
405 3578080501081640 3578080312930001 ADRIANUS HARIESTA SURABAYA 03|12|1993
406 3578082804170003 3578085108870003 AGUSTINA PUTRI SURABAYA 11|08|1987
407 3578081102140002 6472046610880003 KARTIKA SAMARINDA 26|10|1988
408 3578080401084364 3578082708330001 JB UTOMO LIMANTO REMBANG 27|08|1933
409 3578080401084364 3578081510630003 LEONARDUS SUHONO LIMANTO SURABAYA 15|10|1963
410 3578080401081632 3578082610540001 FELIX GUNAWAN,GO SURABAYA 26|10|1954
411 3578080401081632 3578085201670001 LINDAWATI KURNIA SAMPIT 12|01|1967
412 3578080401081632 3578082706920003 SANDY GUNAWAN SURABAYA 27|06|1992
413 3578080401081632 3578082301970001 JOHN ANDREW GUNAWAN SURABAYA 23|01|1997
414 3578080101081299 3578085208670006 AUGUSTINE BUDIMAN,SH JAK-PUS 12|08|1967
415 3578080101081299 3578082311970001 KAROLUS STEVEN HARYONO SANTO SURABAYA 23|11|1997
416 3578080205120010 3578081608530005 ARIEF BUDIMAN SAMARINDA 16|08|1953
417 3578080101081299 3578080607680005 IR. ROBBY HARI TJAHJONO SANTOS OSURABAYA 06|07|1968
418 3578080501082522 3578080607500004 GAN,BAMBANG SETIAWANTO GANI SURABAYA 06|07|1950
419 3578082701140003 3578081102620007 HERNOWO HADIWIJAYA,HEE MALANG 11|02|1962
420 3578082701140003 3578082105910002 TEDDY HADIWIJAYA,HEE SURABAYA 21|05|1991
421 3578082701140003 3578085512920001 CHRISTINA HADIWIJAYA,HEE SURABAYA 15|12|1992
422 3578080201084016 3578081910730001 YUDI PINARTO MALANG 19|10|1973
423 3578080201084016 3578216409780001 FENNY SUCIANTO SORONG 24|09|1978
424 3578080201089040 3578081201470001 HERRY PINARTO JEMBER 12|01|1947
425 3578080201089040 3578085809490002 TITIK SUKRISNAWATI BANJARMASIN 18|09|1949
426 3578080201089040 3578082106790003 JONI PINARTO SURABAYA 21|06|1979
427 3578080201089040 3578082102830006 FERDI PINARTO SURABAYA 21|02|1983
428 3578081910110024 3578084203550001 MEILIANA GUNAWAN JAKARTA 02|03|1955
429 3578081910110024 3578084911770004 SANDRA SURABAYA 09|11|1977
430 3578081910110024 3578084712850002 SHEFFIELD POERNOMO SURABAYA 07|12|1985
431 3578081910110024 3578086502800001 VERA SURABAYA 25|02|1980
6

19|04|1949 69 S L DHARMAHUSADA UTARA 1/38 10 2 0


18|08|1936 81 S L DHARMAHUSADA UTARA 1/39 10 2 0
20|11|1947 70 S P DHARMAHUSADA UTARA 1/39 10 2 0
10|09|1955 62 S P DHARMAHUSADA UTARA 1/41 10 2 0
19|08|1956 61 S L DHARMAHUSADA UTARA 1/41 10 2 0
22|07|1981 36 B L DHARMAHUSADA UTARA 1/41 10 2 0
23|12|1983 34 B P DHARMAHUSADA UTARA 1/41 10 2 0
23|10|1945 72 S P DHARMAHUSADA UTARA 1/42 10 2 0
18|08|1997 20 B L DHARMAHUSADA UTARA 1/42 10 2 0
01|07|1925 92 P P DHARMAHUSADA UTARA 1/44 10 2 0
19|01|1955 63 B P DHARMAHUSADA UTARA 1/44 10 2 0
09|12|1951 66 S L DHARMAHUSADA UTARA 1/46 10 2 0
20|04|1955 63 S P DHARMAHUSADA UTARA 1/46 10 2 0
24|02|1983 35 B P DHARMAHUSADA UTARA 1/46 10 2 0
19|11|1950 67 S L DHARMAHUSADA UTARA 1/46 10 2 0
07|04|1979 39 B P DHARMAHUSADA UTARA 1/46 10 2 0
07|04|1979 39 B P DHARMAHUSADA UTARA 1/46 10 2 0
17|09|1985 32 B L DHARMAHUSADA UTARA 1/46 10 2 0
17|09|1985 32 B L DHARMAHUSADA UTARA 1/46 10 2 0
31|07|1952 65 S P DHARMAHUSADA UTARA 1/46 10 2 0
14|08|1956 61 S L DHARMAHUSADA UTARA 1/48 10 2 0
19|12|1958 59 S P DHARMAHUSADA UTARA 1/48 10 2 0
03|12|1993 24 B L DHARMAHUSADA UTARA 1/48 10 2 0
11|08|1987 30 B P DHARMAHUSADA UTARA 1/48 10 2 0
26|10|1988 29 B P DHARMAHUSADA UTARA 1/5 10 2 0
27|08|1933 84 S L DHARMAHUSADA UTARA 1/50 10 2 0
15|10|1963 54 S L DHARMAHUSADA UTARA 1/50 10 2 0
26|10|1954 63 S L DHARMAHUSADA UTARA 1/56 10 2 0
12|01|1967 51 S P DHARMAHUSADA UTARA 1/56 10 2 0
27|06|1992 26 B L DHARMAHUSADA UTARA 1/56 10 2 0
23|01|1997 21 B L DHARMAHUSADA UTARA 1/56 10 2 0
12|08|1967 50 S P DHARMAHUSADA UTARA 1/7 10 2 0
23|11|1997 20 B L DHARMAHUSADA UTARA 1/7 10 2 0
16|08|1953 64 S L DHARMAHUSADA UTARA 1/7 10 2 0
06|07|1968 49 S L DHARMAHUSADA UTARA 1/7 10 2 0
06|07|1950 67 S L DHARMAHUSADA UTARA 1/8 10 2 0
11|02|1962 56 P L DHARMAHUSADA UTARA 11/14 10 2 0
21|05|1991 27 B L DHARMAHUSADA UTARA 11/14 10 2 0
15|12|1992 25 B P DHARMAHUSADA UTARA 11/14 10 2 0
19|10|1973 44 S L DHARMAHUSADA UTARA 11/16-18 10 2 0
24|09|1978 39 S P DHARMAHUSADA UTARA 11/16-18 10 2 0
12|01|1947 71 S L DHARMAHUSADA UTARA 11/16-18 10 2 0
18|09|1949 68 S P DHARMAHUSADA UTARA 11/16-18 10 2 0
21|06|1979 39 B L DHARMAHUSADA UTARA 11/16-18 10 2 0
21|02|1983 35 B L DHARMAHUSADA UTARA 11/16-18 10 2 0
02|03|1955 63 P P DHARMAHUSADA UTARA 11/20 10 2 0
09|11|1977 40 B P DHARMAHUSADA UTARA 11/20 10 2 0
07|12|1985 32 B P DHARMAHUSADA UTARA 11/20 10 2 0
25|02|1980 38 S P DHARMAHUSADA UTARA 11/20 10 2 0

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432 3578081910110024 3578085504830007 WENDY POERNOMO SURABAYA 15|04|1983
433 3578081910110024 3578082505840001 ARIEF POERNOMO SURABAYA 25|05|1984
434 3578080201081586 3578080110680002 DAVID EKO SUTANTO HANDRIJONO SURABAYA 01|10|1968
435 3578080201081586 3578155510740004 ERLYSIAWATI SURABAYA 15|10|1974
436 3578080201085170 3578081204750007 DANIEL SETIAWAN HANDRIJONO SURABAYA 12|04|1975
437 3578080401082753 3578084609410003 EMMY SUSIANA HANDIJANTO SURABAYA 06|09|1941
438 3578080401082753 3578085906710004 DEBORAH INDRAWATI HANDRIJONO SURABAYA 19|06|1971
439 3578080301086673 3578082801430001 SANCA SASONGKO/ONG,TJIN TIONG SURABAYA 28|01|1943
440 3578080201089958 3578086409480002 WULANDARI KOSWAWIDJAJA MADIUN 24|09|1948
441 3578080201089958 3578081705810005 FERDINAN SANTOSO SURABAYA 17|05|1981
442 3578080301081888 3578080307510002 HARYANTO SANTOSO SURABAYA 03|07|1951
443 3578080301081888 3578085502530003 YULIANINGSIH PRATOMO,PEK SURABAYA 15|02|1953
444 3578080201084622 3578084711770004 FELICIA IDARTO SURABAYA 07|11|1977
445 3578080201084622 3578081803770005 ANDRE SOENJOTO MUNSTER 18|03|1977
446 3578081101110007 3578090712760001 RONY, SE SAMARINDA 07|12|1976
447 3578081101110007 3578096303770001 DJIE JESSICA WIJAYA, SE SURABAYA 23|03|1977
448 3578090101080983 3578095412360001 TAN SIN GIOK NIO SAMARINDA 14|12|1936
449 3578090101080983 3578091201360001 LIM TJONG KIM TANJUNG REDEB 12|01|1936
6

15|04|1983 35 B P DHARMAHUSADA UTARA 11/20 10 2 0


25|05|1984 34 B L DHARMAHUSADA UTARA 11/20 10 2 0
01|10|1968 49 S L DHARMAHUSADA UTARA 11/22 10 2 0
15|10|1974 43 S P DHARMAHUSADA UTARA 11/22 10 2 0
12|04|1975 43 S L DHARMAHUSADA UTARA 11/22 10 2 0
06|09|1941 76 P P DHARMAHUSADA UTARA 11/22 10 2 0
19|06|1971 47 B P DHARMAHUSADA UTARA 11/22 10 2 0
28|01|1943 75 S L DHARMAHUSADA UTARA 11/24 10 2 0
24|09|1948 69 S P DHARMAHUSADA UTARA 11/28 10 2 0
17|05|1981 37 B L DHARMAHUSADA UTARA 11/28 10 2 0
03|07|1951 66 S L DHARMAHUSADA UTARA 1-30 10 2 0
15|02|1953 65 S P DHARMAHUSADA UTARA -30 10 2 0
07|11|1977 40 S P DHARMAHUSADA UTARA 7/3-A 10 2 0
18|03|1977 41 S L DHARMAHUSADA UTARA 7/3-A 10 2 0
07|12|1976 41 S L DHARMAHUSADA UTARA I/11 10 2 0
23|03|1977 41 S P DHARMAHUSADA UTARA I/11 10 2 0
14|12|1936 81 S P DHARMAHUSADA UTARA I/11 10 2 0
12|01|1936 82 S L DHARMAHUSADA UTARA I/11 10 2 0

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DAFTAR PEMILIH
PEMILIHAN GUBERNUR DAN WAKIL GUBE
TAHUN 2018
Kecamatan
Provinsi : JAWA TIMUR
Kabupaten/Kota : KOTA SURABAYA

No No KK NIK Nama Tempat Lahir

1 2 3 4 5
1 3578080101080086 3578084712360001 RADJINEM NGANJUK
2 3578080101084960 3578080903470001 MULYO NGANJUK
3 3578081208130007 1256190108740002 AGUNG SUBAKRI SURABAYA
4 3578080501080198 3578082906940001 SAIDINA ALI SURABAYA
5 3578080501083048 3578085110950001 MARIA OKTAVIA ELISABETH S SURABAYA
6 3578080101083000 3578082906660007 HERI TASIKMALAYA
7 3578080501083730 3578085204660005 NUNUK MARLIJAH SURABAYA
8 3578080501083730 3578080604880005 ACHMED MACHFUZH ZULKARNAEN SURABAYA
9 3578080101080034 3578083006500032 SLAMET HADIMULYO MAGELANG
10 3578080101089076 3578085604880001 DWI NURHAYATI SURABAYA
11 3578080101084317 3578080309730001 AGUSTINUS SURABAYA
12 3578082910130015 3578082801760004 CAHYONO EDIE SURABAYA
13 3578080101085083 3578086802680002 DRA.. MIRTHA LISTIAYU SURABAYA
14 3578080101085083 3578082904690002 R.M. ARI JUDIANTO SURABAYA
15 3578080201084954 3578082003650002 ERFAN SURYANTO SURABAYA
16 3578130101084791 1256190305760012 ARIEF BUDIONO SURABAYA
17 3578080101083260 3578086304670003 ELLY FARIDAH SURABAYA
18 3578080101083260 3578084709910001 AYU RESA SURABAYA
19 3578080101083260 3578087103940003 APRILIA SURABAYA
20 3578080303100004 3578081510900005 SYARJONO REJEB HATEJAWA
21 3578080201081483 3578085006740004 HOSNI SURABAYA
22 3578080401086684 3578080609710004 HARIADI SURABAYA
23 3578080201080085 3578082009640001 HARIYANTO KUPANG
24 3578080401082118 3578084308390001 SAMIATI SURABAYA
25 3578081912120004 3271067112400024 SRIADI MADIUN
26 3578080301088500 3578081708440004 SOEMIRAT SURABAYA
27 3578080301088500 3578084812510001 ANI MARIYANI BANDUNG
28 3578080101086129 3578080611700002 RAMANG PANU GORONTALO
29 3578080101086129 3578085103810004 LAILIK SAADAH SURABAYA
30 3578080410160021 3578080404920002 SATYA ILMI PRADANA SURABAYA
31 3578081302120011 3578087006500057 SUYATIN NGANJUK
32 3578081302120011 3578086607880001 WIWIK WIKA NINGSIH SURABAYA
33 3578082310120025 3578087009770002 ULFAH FAUZIAH SURABAYA
34 3578083105120138 3578085608790006 LULUK HIDAYAH SURABAYA
35 3578080410160021 3578105506920009 YUNEKE BRIDA HERNANDA SURABAYA
36 3578083105120138 3578081003010001 ERWIN PRADANA SIDOARJO
37 3578080501083048 3578085510630002 HILDERIA S MEDAN
7

A-KWK
FTAR PEMILIH
MILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TIMUR
HUN 2018
camatan
: GUBENG
Desa/Kelurahan : MOJO
TPS : 007
Tanggal Lahir Usia Alamat Disabilitas
Jalan/Dukuh Rt Rw
6 7 8 9 10 11 12 13
07|12|1936 81 S P KEDUNG PENGKOL / 1 3 0
09|03|1947 71 S L KEDUNG PENGKOL / 5 1 3 0
08|01|1974 44 S L KEDUNG PENGKOL / 6 1 3 0
29|06|1994 23 B L KEDUNG PENGKOL / 8-B 1 3 0
11|10|1995 22 B P KEDUNG PENGKOL / -A 1 3 0
29|06|1966 51 S L KEDUNG PENGKOL /20 1 3 0
12|04|1966 52 S P KEDUNG PENGKOL /20 1 3 0
06|04|1988 30 B L KEDUNG PENGKOL /20 1 3 0
30|06|1950 67 P L KEDUNG PENGKOL /20-C 1 3 0
16|04|1988 30 B P KEDUNG PENGKOL /20-C 1 3 0
09|03|1973 45 S L KEDUNG PENGKOL /22 1 3 0
28|01|1976 42 B L KEDUNG PENGKOL /26-B 1 3 0
28|02|1968 50 S P KEDUNG PENGKOL /26-C 1 3 0
29|04|1969 49 S L KEDUNG PENGKOL /26-C 1 3 0
20|03|1965 53 S L KEDUNG PENGKOL /28 1 3 0
05|05|1976 42 B L KEDUNG PENGKOL /28 1 3 0
23|04|1967 51 S P KEDUNG PENGKOL /3 1 3 0
07|09|1991 26 B P KEDUNG PENGKOL /3 1 3 0
31|03|1994 24 B P KEDUNG PENGKOL /3 1 3 0
15|10|1990 27 B L KEDUNG PENGKOL /3 1 3 0
10|06|1974 44 S P KEDUNG PENGKOL /5 1 3 0
09|06|1971 47 B L KEDUNG PENGKOL /5 C 1 3 0
20|09|1964 53 S L KEDUNG PENGKOL /5-C 1 3 0
03|08|1939 78 P P KEDUNG PENGKOL /5-D 1 3 0
31|12|1940 77 S P KEDUNG PENGKOL /7 1 3 0
17|08|1944 73 S L KEDUNG PENGKOL 1 / 7-B 1 3 0
08|12|1951 66 S P KEDUNG PENGKOL 1 / 7-B 1 3 0
06|11|1970 47 S L KEDUNG PENGKOL 1/11 1 3 0
11|03|1981 37 S P KEDUNG PENGKOL 1/11 1 3 0
04|04|1992 26 B L KEDUNG PENGKOL 1/11 1 3 0
30|06|1950 67 P P KEDUNG PENGKOL 1/11 1 3 0
26|07|1988 29 B P KEDUNG PENGKOL 1/11 1 3 0
30|09|1977 40 S P KEDUNG PENGKOL 1/11 1 3 0
16|08|1979 38 S P KEDUNG PENGKOL 1/11 1 3 0
15|06|1992 26 B P KEDUNG PENGKOL 1/11 1 3 0
10|03|2001 17 B L KEDUNG PENGKOL 1/11 1 3 0
15|10|1963 54 S P KEDUNG PENGKOL 1/11-A 1 3 0

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14

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PINDAHAN DARI TP S 000
38 3578080501083048 3578082605820001 ELMAN RICARDO ARITONANG MEDAN 26|05|1982
39 3578080501083048 3578081707890004 SUTAN SOALOON MALANG 17|07|1989
40 3578080101084960 3578085210480002 NURHAJATI SURABAYA 12|10|1948
41 3578041811100028 3578044411690012 SUTARWIJAH SURABAYA 04|11|1969
42 3578080101081265 3578084503370001 RASMANI LAMONGAN 05|03|1937
43 3578080101081265 3578080701620001 RAMADJI SURABAYA 07|01|1962
44 3578080101087791 3578082207750001 YULI ISTANTO SURABAYA 22|07|1975
45 3578080101087791 3578087110810001 RACHMAWATI SURYANINGTIAS SURABAYA 31|10|1981
46 3578081008160001 3578084803590003 SARMI SURABAYA 08|03|1959
47 3578081008160001 3578081807920002 KRISTIAN SURABAYA 18|07|1992
48 3578081208130007 3578085003660003 SUYATMI WONOGIRI 10|03|1966
49 3578081208130007 3578080108740003 AGUNG SUBAKRI SURABAYA 01|08|1974
50 3578082110100020 3578086508630004 AGUSTIN RAHAYU SURABAYA 25|08|1963
51 3578082312090278 3578086401550002 SOESIANAH SOELIATI SURABAYA 24|01|1955
52 3578082312090278 3578084805960003 TAMZILA MEI DITA SURABAYA 08|05|1996
53 3578082312090303 3578086402640007 SARTINAH SURABAYA 24|02|1964
54 3578082312090303 3578083112950005 RISAL ARIESDIANTO SURABAYA 31|12|1995
55 3578082411140017 3578087012350002 SANIMAH MOJOWARNO 30|12|1935
56 3578082411140017 3578081005680004 SUGENG ISPRIYANTO SURABAYA 10|05|1968
57 3578082411140017 3578080809730001 AGUNG ISMULYANTO SURABAYA 08|09|1973
58 3578082411140019 3578086504650004 APRIL LISTIATI SURABAYA 25|04|1965
59 3578082312090303 3578084110000002 WENNI OKTAVIANA SURABAYA 01|10|2000
60 3578080101087509 3578082206670006 PUDJIHARTO SURABAYA 22|06|1967
61 3578080101087509 3578084704790006 MINARSIH MALANG 07|04|1979
62 3578080401083541 3578081711560001 SALMON ALEXANDER DOPPIE SURABAYA 17|11|1956
63 3578080401083541 3578085303650002 ULAAN
SUJATI SURABAYA 13|03|1965
64 3578080401083541 3578085102840002 SHANTY FERAWATI ULAAN SURABAYA 11|02|1984
65 3578080909140015 3578080806840003 BAMBANG TIMOR KUSBIYANTORO SURABAYA 08|06|1984
66 3578080909140015 3515116101900001 RIKA SETYA LUTVIYANTI SIDOARJO 21|01|1990
67 3578080401083541 3578082107990004 GEDEON FIRNANDUS ULAAN SURABAYA 21|07|1999
68 3578081105160002 3578116112860001 DEWI PERMANASARI SURABAYA 21|12|1986
69 3578082207140001 3578117006620138 MINARSIH SURABAYA 30|06|1962
70 3578081105160002 3528082306810001 RIZAL PAMEKASAN 23|06|1981
71 3578082207140001 3578297112760004 INDAHWATI SURABAYA 31|12|1976
72 3578080201084989 3578086705730002 NUNING RAHAYUNINGSIH SURABAYA 27|05|1973
73 3578080201084989 3578080811730004 SATRIYA ANANDITA JAYA SURABAYA 08|11|1973
74 3578080201084837 3578085406800001 MAMIK KHOIRUNNISAK KEDIRI 14|06|1980
75 3578080201084837 3578081503820004 BUDI PRABOWO SURABAYA 15|03|1982
76 3578080401083328 3578085212460001 HARTATIK NGANJUK 12|12|1946
77 3578080401083329 3578081401650001 ACHMAD SUPRIYADI SEMARANG 14|01|1965
78 3578080401083329 3578084409670002 NOENIK LESTARI SURABAYA 04|09|1967
79 3578080401083329 3578081011940003 ARDIAN NOVIANTO NUGRAHUTAMA SURABAYA 10|11|1994
80 3578080401083329 3578085003970001 ASTARI CIKA DWI ARIANI SURABAYA 10|03|1997
81 3578082105120039 3578084203700001 TITIK HARIJANI SURABAYA 02|03|1970
82 3578082105120039 3578082507830011 DJOKO SUSANTO NGANJUK 25|07|1983
83 3578082704100008 3578086203710002 TITIK HARIANA SURABAYA 22|03|1971
84 3578082704100008 3578081003780003 MARDIYANTO SURABAYA 10|03|1978
7

26|05|1982 36 B L KEDUNG PENGKOL 1/11-A 1 3 0


17|07|1989 28 B L KEDUNG PENGKOL 1/11-A 1 3 0
12|10|1948 69 S P KEDUNG PENGKOL 1/15 1 3 0
04|11|1969 48 B P KEDUNG PENGKOL 1/16 1 3 0
05|03|1937 81 P P KEDUNG PENGKOL 1/16 1 3 0
07|01|1962 56 B L KEDUNG PENGKOL 1/16 1 3 0
22|07|1975 42 S L KEDUNG PENGKOL 1/16 1 3 0
31|10|1981 36 S P KEDUNG PENGKOL 1/16 1 3 0
08|03|1959 59 S P KEDUNG PENGKOL 1/16 1 3 0
18|07|1992 25 B L KEDUNG PENGKOL 1/16 1 3 0
10|03|1966 52 S P KEDUNG PENGKOL 1/16 1 3 0
01|08|1974 43 S L KEDUNG PENGKOL 1/16 1 3 0
25|08|1963 54 P P KEDUNG PENGKOL 1/16 1 3 0
24|01|1955 63 P P KEDUNG PENGKOL 1/16 1 3 0
08|05|1996 22 B P KEDUNG PENGKOL 1/16 1 3 0
24|02|1964 54 P P KEDUNG PENGKOL 1/16 1 3 0
31|12|1995 22 B L KEDUNG PENGKOL 1/16 1 3 0
30|12|1935 82 S P KEDUNG PENGKOL 1/16 1 3 0
10|05|1968 50 S L KEDUNG PENGKOL 1/16 1 3 0
08|09|1973 44 B L KEDUNG PENGKOL 1/16 1 3 0
25|04|1965 53 S P KEDUNG PENGKOL 1/16 1 3 0
01|10|2000 17 B P KEDUNG PENGKOL 1/16 1 3 0
22|06|1967 51 S L KEDUNG PENGKOL 1/16-B 1 3 0
07|04|1979 39 S P KEDUNG PENGKOL 1/16-B 1 3 0
17|11|1956 61 S L KEDUNG PENGKOL 1/16-B 1 3 0
13|03|1965 53 S P KEDUNG PENGKOL 1/16-B 1 3 0
11|02|1984 34 B P KEDUNG PENGKOL 1/16-B 1 3 0
08|06|1984 34 S L KEDUNG PENGKOL 1/16-B 1 3 0
21|01|1990 28 S P KEDUNG PENGKOL 1/16-B 1 3 0
21|07|1999 18 B L KEDUNG PENGKOL 1/16-B 1 3 0
21|12|1986 31 S P KEDUNG PENGKOL 1/16-C 1 3 0
30|06|1962 55 P P KEDUNG PENGKOL 1/16-C 1 3 0
23|06|1981 37 S L KEDUNG PENGKOL 1/16-C 1 3 0
31|12|1976 41 S P KEDUNG PENGKOL 1/16-C 1 3 0
27|05|1973 45 S P KEDUNG PENGKOL 1/18 1 3 0
08|11|1973 44 S L KEDUNG PENGKOL 1/18 1 3 0
14|06|1980 38 S P KEDUNG PENGKOL 1/18-A 1 3 0
15|03|1982 36 S L KEDUNG PENGKOL 1/18-A 1 3 0
12|12|1946 71 P P KEDUNG PENGKOL 1/18-A 1 3 0
14|01|1965 53 S L KEDUNG PENGKOL 1/18-A 1 3 0
04|09|1967 50 S P KEDUNG PENGKOL 1/18-A 1 3 0
10|11|1994 23 B L KEDUNG PENGKOL 1/18-A 1 3 0
10|03|1997 21 B P KEDUNG PENGKOL 1/18-A 1 3 0
02|03|1970 48 S P KEDUNG PENGKOL 1/18-A 1 3 0
25|07|1983 34 S L KEDUNG PENGKOL 1/18-A 1 3 0
22|03|1971 47 S P KEDUNG PENGKOL 1/18-A 1 3 0
10|03|1978 40 S L KEDUNG PENGKOL 1/18-A 1 3 0

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PINDAHAN DARI TP S 000


PINDAHAN DARI TP S 000
85 3578080201082208 3578084811690002 SRI RAHAYU SURABAYA 08|11|1969
86 3578080201082208 3578083110740004 TAUFIK RACHMAN SURABAYA 31|10|1974
87 3578080201082344 3578082901670001 DJOKO SOEGIJARTO SURABAYA 29|01|1967
88 3578080201082344 3578085406830007 MARIA ULFA KEDIRI 14|06|1983
89 3578080301087579 3578086907450001 TINAH SURABAYA 29|07|1945
90 3578080301087579 3578084610700001 IDA ROCHMIJATI SURABAYA 06|10|1970
91 3578080301087579 3578086510750002 SUSI ARIATI SURABAYA 25|10|1975
92 3578080501080198 3578082906710011 NIRI SAMPANG 29|06|1971
93 3578080501080198 3578086906730008 HARYATI SURABAYA 29|06|1973
94 3578080501080198 3578081608980001 KUNTO IRAWAN SURABAYA 16|08|1998
95 3578081306130010 3578086210680003 KRISTIANINGSIH SURABAYA 22|10|1968
96 3578081306130010 3578084510950002 OKTAVIA RIZKA PRATAMA SURABAYA 05|10|1995
97 3578080101082823 3578082412710002 SUDARMADJI SURABAYA 24|12|1971
98 3578080101082823 3578086602790001 NURNI SA`ADAH REMBANG 26|02|1979
99 3578082112120015 3578085907790001 YULIANA SURABAYA 19|07|1979
100 3578082712160012 3578087107600007 SULASTRI SURABAYA 31|07|1960
101 3578082805150008 3526141612860001 KHOLILI SURABAYA 16|12|1986
102 3578082805150008 3578084412900001 SUHERNA SURABAYA 04|12|1990
103 3578080101082823 3578080404000002 MUHAMMAD RIZKI KURNIAWAN SURABAYA 04|04|2000
104 3578082112120015 3578085202000003 WANDA FEBRIANTI SURABAYA 12|02|2000
105 3578080101085132 3578081308710008 SAMSUL HADI SURABAYA 13|08|1971
106 3578080101085132 3578085710750001 NANING BUDI HARTINI SURABAYA 17|10|1975
107 3578080201080073 3578080906760002 HARTANTO KURNIAWAN SURABAYA 09|06|1976
108 3578080201080073 3578085602830002 AISYAH CANDRA PUSPITA SURABAYA 16|02|1983
109 3578082811120024 3578087006480059 SJAMSIJAH BLITAR 30|06|1948
110 3578082811120024 3578086109760003 HANDAYANI SURABAYA 21|09|1976
111 3578080201081693 3578081306700005 LANDELINUS RATUAIN WOWONDA 13|06|1970
112 3578080201081693 3578086305710004 METTY CHORCELLA SURABAYA 23|05|1971
113 3578080201084415 3578081212670004 SLAMET RIADI SURABAYA 12|12|1967
114 3578080201084415 3578085307720002 WENNY CHORNIAWATI SURABAYA 13|07|1972
115 3578080201085538 3578082303750005 PENGKY CHORNELLES SURABAYA 23|03|1975
116 3578080201085538 3578106304760003 AGNES NIKEN SWANDANI SURABAYA 23|04|1976
117 3578080301082858 3578087006550044 NURBUWATI LUMAJANG 30|06|1955
118 3578080101089076 3578087006620048 SATIKEM CEPU 30|06|1962
119 3578080301084230 3578082105400001 SOETARDJO NGANJUK 21|05|1940
120 3578080301084230 3578082711730005 NANANG BUDDI WAHONO SURABAYA 27|11|1973
121 3578080501081642 3578081609630003 MOCH.SU`UD SIDOARJO 16|09|1963
122 3578080501081642 3578086202760005 SITI NURKHOTIJAH BANYUWANGI 22|02|1976
123 3578080501081642 3578085412970006 DESY SYFA URROHMAH BANYUWANGI 14|12|1997
124 3578081904120007 3578084104860002 SARI PRISTIFATMAWATI SURABAYA 01|04|1986
125 3578082203100011 3578170709790002 JITO TRENGGALEK 07|09|1979
126 3578082203100011 3578085707820001 YULIANA BUDI ASTUTIK SURABAYA 17|07|1982
127 3578080101084317 3578087009760007 SUNARI SURABAYA 30|09|1976
128 3578080201081643 3578080107740002 HERMANTO SURABAYA 01|07|1974
129 3578080201081643 3578084505780003 SITI MAIMUNAH BANYUWANGI 05|05|1978
130 3578080401081702 3578087006430035 MARTIAH SURABAYA 30|06|1943
131 3578080401083207 3578082808710008 WURIYANTO SURABAYA 28|08|1971
7

08|11|1969 48 S P KEDUNG PENGKOL 1/18-B 1 3 0


31|10|1974 43 S L KEDUNG PENGKOL 1/18-B 1 3 0
29|01|1967 51 S L KEDUNG PENGKOL 1/18-B 1 3 0
14|06|1983 35 S P KEDUNG PENGKOL 1/18-B 1 3 0
29|07|1945 72 P P KEDUNG PENGKOL 1/18-B 1 3 0
06|10|1970 47 B P KEDUNG PENGKOL 1/18-B 1 3 0
25|10|1975 42 B P KEDUNG PENGKOL 1/18-B 1 3 0
29|06|1971 46 S L KEDUNG PENGKOL 1/18-B 1 3 0
29|06|1973 44 S P KEDUNG PENGKOL 1/18-B 1 3 0
16|08|1998 19 S L KEDUNG PENGKOL 1/18-B 1 3 0
22|10|1968 49 P P KEDUNG PENGKOL 1/18-C 1 3 0
05|10|1995 22 B P KEDUNG PENGKOL 1/18-C 1 3 0
24|12|1971 46 S L KEDUNG PENGKOL 1/20 1 3 0
26|02|1979 39 S P KEDUNG PENGKOL 1/20 1 3 0
19|07|1979 38 S P KEDUNG PENGKOL 1/20 1 3 0
31|07|1960 57 S P KEDUNG PENGKOL 1/20 1 3 0
16|12|1986 31 S L KEDUNG PENGKOL 1/20 1 3 0
04|12|1990 27 B P KEDUNG PENGKOL 1/20 1 3 0
04|04|2000 18 B L KEDUNG PENGKOL 1/20 1 3 0
12|02|2000 18 B P KEDUNG PENGKOL 1/20 1 3 0
13|08|1971 46 S L KEDUNG PENGKOL 1/20-A 1 3 0
17|10|1975 42 S P KEDUNG PENGKOL 1/20-A 1 3 0
09|06|1976 42 S L KEDUNG PENGKOL 1/20-A 1 3 0
16|02|1983 35 S P KEDUNG PENGKOL 1/20-A 1 3 0
30|06|1948 69 P P KEDUNG PENGKOL 1/20-A 1 3 0
21|09|1976 41 B P KEDUNG PENGKOL 1/20-A 1 3 0
13|06|1970 48 S L KEDUNG PENGKOL 1/20-B 1 3 0
23|05|1971 47 S P KEDUNG PENGKOL 1/20-B 1 3 0
12|12|1967 50 S L KEDUNG PENGKOL 1/20-B 1 3 0
13|07|1972 45 S P KEDUNG PENGKOL 1/20-B 1 3 0
23|03|1975 43 S L KEDUNG PENGKOL 1/20-B 1 3 0
23|04|1976 42 S P KEDUNG PENGKOL 1/20-B 1 3 0
30|06|1955 62 P P KEDUNG PENGKOL 1/20-B 1 3 0
30|06|1962 55 P P KEDUNG PENGKOL 1/20-C 1 3 0
21|05|1940 78 P L KEDUNG PENGKOL 1/20-C 1 3 0
27|11|1973 44 B L KEDUNG PENGKOL 1/20-C 1 3 0
16|09|1963 54 S L KEDUNG PENGKOL 1/20-C 1 3 0
22|02|1976 42 S P KEDUNG PENGKOL 1/20-C 1 3 0
14|12|1997 20 B P KEDUNG PENGKOL 1/20-C 1 3 0
01|04|1986 32 S P KEDUNG PENGKOL 1/20-C 1 3 0
07|09|1979 38 S L KEDUNG PENGKOL 1/20-C 1 3 0
17|07|1982 35 S P KEDUNG PENGKOL 1/20-C 1 3 0
30|09|1976 41 S P KEDUNG PENGKOL 1/22 1 3 0
01|07|1974 43 S L KEDUNG PENGKOL 1/22 1 3 0
05|05|1978 40 S P KEDUNG PENGKOL 1/22 1 3 0
30|06|1943 74 P P KEDUNG PENGKOL 1/22 1 3 0
28|08|1971 46 S L KEDUNG PENGKOL 1/22 1 3 0

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132 3578080401083207 3578085005720003 TUKIYEM PONOROGO 10|05|1972
133 3578080401083207 3578085005960002 ANITA RAHAYU PONOROGO 10|05|1996
134 3578080501082904 3578086909690008 DJOEMAIJAH SURABAYA 29|09|1969
135 3578082312160004 3578087006440056 SUREP BLITAR 30|06|1944
136 3578082312160004 3578081801930001 JAINUL MOCHAMAD TANGGO SURABAYA 18|01|1993
137 3578080401080554 3578086806450001 FATIMAH PAMEKASAN 28|06|1945
138 3578080501083304 3578082711580005 TEOFILUS MATHIAS ADEKAL SURABAYA 27|11|1958
139 3578080506120004 3578082910730002 SUPRIYADI SURABAYA 29|10|1973
140 3578080506120004 3578044406790010 YUNI EMA PURWANTI SURABAYA 04|06|1979
141 3578080101083555 3578080201610001 NURDIYAMAN CIANJUR 02|01|1961
142 3578080101083555 3578085903960002 RIZKI ADE NURDIYANTI SURABAYA 19|03|1996
143 3578080101085778 3578085606750002 RENY RATMINING DIAH SURABAYA 16|06|1975
144 3578080101085778 3578082308760007 SUHARTONO SURABAYA 23|08|1976
145 3578080201084034 3578080203620004 MUGI SANTOSO SURABAYA 02|03|1962
146 3578080201084034 3578082312930002 DWI SANTOSO SURABAYA 23|12|1993
147 3578080501080754 3578081111590004 WALIJADI SURABAYA 11|11|1959
148 3578080501080754 3578086303700004 ISMIJATI SURABAYA 23|03|1970
149 3578080501080754 3578086709950001 NIA PUSPITA WATI SURABAYA 27|09|1995
150 3578080101085778 3578081706990004 DIKY HARDIAWAN PUTRA SURABAYA 17|06|1999
151 3578081503160001 3524051011770003 ABDUL LATIF LAMONGAN 10|11|1977
152 3578080101080033 3578080812610004 MOCH.ROCHIM MOJOKERTO 08|12|1961
153 3578080101080033 3578086911690001 PUDJI ASTUTI SURABAYA 29|11|1969
154 3578080101080033 3578085012890002 NUR FATIHA SAHDIYAH SURABAYA 10|12|1989
155 3578080101080033 3578085402950005 RISSA AYU WULANDARI SURABAYA 14|02|1995
156 3578080201081419 3578080510680005 WAHYUDI SURABAYA 05|10|1968
157 3578080201081419 3578086008760003 SRI RETNO SARI SURABAYA 20|08|1976
158 3578080201084015 3578082805710002 SUWADAK MOJOKERTO 28|05|1971
159 3578080201084015 3578085905720003 ENDANG TAWANG WULAN SURABAYA 19|05|1972
160 3578080201084015 3578085708960002 SINDI DELA AGUSTIN SURABAYA 17|08|1996
161 3578080301089817 3578085105420001 S.ANDJAR ASMIATI SURABAYA 11|05|1942
162 3578080301089817 3578080307430001 SOEPARNI MALANG 03|07|1943
163 3578080201081419 3578080705010001 MOCH. ALDI PRATAMA SURABAYA 07|05|2001
164 3578080301081239 3578080703630001 ADI SANDJAJA MAKIR KEDIRI 07|03|1963
165 3578080301081239 3578085302690001 ANIEK PUDJIATIE SURABAYA 13|02|1969
166 3578080301081239 3578085906940006 OVIE PRISCHILIA SANDJAYA SURABAYA 19|06|1994
167 3578081703110021 3578086601790004 OIES LAILA FADILA JEMBER 26|01|1979
168 3578082910130015 3578087012500003 KAMSINI KERTOSONO 30|12|1950
169 3578080301081239 3578081907000005 DIO GANDA PUTRA SANDJAYA SURABAYA 19|07|2000
170 3578080101087507 3578080309790002 WAHYUDI SURABAYA 03|09|1979
171 3578080101087507 3578087010810001 LENNIE EMBARSARI SURABAYA 30|10|1981
172 3578080501080793 3578080803400001 R.M. ERMAWAN YOGYAKARTA 08|03|1940
173 3578080501080793 3578084401520001 MULJATI SURABAYA 04|01|1952
174 3578082911120003 3578086212730001 EVA CHRISTANTI PAMEKASAN 22|12|1973
175 3578082911120003 3506062904810001 RIO SYAHPUTRA TANJUNG 29|04|1981
176 3578080201080273 3578080908800006 IWAN SUCAHYO PINANG
PACITAN 09|08|1980
177 3578080201080273 3578085201810006 RIBUT IRAWATI SURABAYA 12|01|1981
178 3578080501081096 3578086906390004 TUMIRAH PACITAN 29|06|1939
7

10|05|1972 46 S P KEDUNG PENGKOL 1/22 1 3 0


10|05|1996 22 B P KEDUNG PENGKOL 1/22 1 3 0
29|09|1969 48 S P KEDUNG PENGKOL 1/22 1 3 0
30|06|1944 73 S P KEDUNG PENGKOL 1/22 1 3 0
18|01|1993 25 B L KEDUNG PENGKOL 1/22 1 3 0
28|06|1945 72 P P KEDUNG PENGKOL 1/24 1 3 0
27|11|1958 59 P L KEDUNG PENGKOL 1/24 1 3 0
29|10|1973 44 S L KEDUNG PENGKOL 1/24 1 3 0
04|06|1979 39 S P KEDUNG PENGKOL 1/24 1 3 0
02|01|1961 57 P L KEDUNG PENGKOL 1/26 1 3 0
19|03|1996 22 B P KEDUNG PENGKOL 1/26 1 3 0
16|06|1975 43 S P KEDUNG PENGKOL 1/26 1 3 0
23|08|1976 41 S L KEDUNG PENGKOL 1/26 1 3 0
02|03|1962 56 P L KEDUNG PENGKOL 1/26 1 3 0
23|12|1993 24 B L KEDUNG PENGKOL 1/26 1 3 0
11|11|1959 58 S L KEDUNG PENGKOL 1/26 1 3 0
23|03|1970 48 S P KEDUNG PENGKOL 1/26 1 3 0
27|09|1995 22 B P KEDUNG PENGKOL 1/26 1 3 0
17|06|1999 19 B L KEDUNG PENGKOL 1/26 1 3 0
10|11|1977 40 S L KEDUNG PENGKOL 1/26 B 1 3 0
08|12|1961 56 S L KEDUNG PENGKOL 1/26-A 1 3 0
29|11|1969 48 S P KEDUNG PENGKOL 1/26-A 1 3 0
10|12|1989 28 B P KEDUNG PENGKOL 1/26-A 1 3 0
14|02|1995 23 B P KEDUNG PENGKOL 1/26-A 1 3 0
05|10|1968 49 S L KEDUNG PENGKOL 1/26-A 1 3 0
20|08|1976 41 S P KEDUNG PENGKOL 1/26-A 1 3 0
28|05|1971 47 S L KEDUNG PENGKOL 1/26-A 1 3 0
19|05|1972 46 S P KEDUNG PENGKOL 1/26-A 1 3 0
17|08|1996 21 B P KEDUNG PENGKOL 1/26-A 1 3 0
11|05|1942 76 S P KEDUNG PENGKOL 1/26-A 1 3 0
03|07|1943 74 S L KEDUNG PENGKOL 1/26-A 1 3 0
07|05|2001 17 B L KEDUNG PENGKOL 1/26-A 1 3 0
07|03|1963 55 S L KEDUNG PENGKOL 1/26-B 1 3 0
13|02|1969 49 S P KEDUNG PENGKOL 1/26-B 1 3 0
19|06|1994 24 B P KEDUNG PENGKOL 1/26-B 1 3 0
26|01|1979 39 P P KEDUNG PENGKOL 1/26-B 1 3 0
30|12|1950 67 P P KEDUNG PENGKOL 1/26-B 1 3 0
19|07|2000 17 B L KEDUNG PENGKOL 1/26-B 1 3 0
03|09|1979 38 S L KEDUNG PENGKOL 1/26-C 1 3 0
30|10|1981 36 S P KEDUNG PENGKOL 1/26-C 1 3 0
08|03|1940 78 S L KEDUNG PENGKOL 1/26-C 1 3 0
04|01|1952 66 S P KEDUNG PENGKOL 1/26-C 1 3 0
22|12|1973 44 P P KEDUNG PENGKOL 1/26-C 1 3 0
29|04|1981 37 S L KEDUNG PENGKOL 1/26-C 1 3 0
09|08|1980 37 S L KEDUNG PENGKOL 1/26-D 1 3 0
12|01|1981 37 S P KEDUNG PENGKOL 1/26-D 1 3 0
29|06|1939 78 P P KEDUNG PENGKOL 1/26-D 1 3 0

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179 3578080501081096 3578080511690006 HERI UTOMO SURABAYA 05|11|1969
180 3578080501081096 3578084508700005 ANING ERNAWATI KEDIRI 05|08|1970
181 3578080101085403 3578081209700010 SAMIAN SUPARMAN SURABAYA 12|09|1970
182 3578080101085403 3578087006710017 JUNIAR KURNIASARI SURABAYA 30|06|1971
183 3578080101085403 3578084202980002 IMANIAR FITRI AISYAH SURABAYA 02|02|1998
184 3578080201084954 3578084802740001 INEKE CHRISDIANA SURABAYA 08|02|1974
185 3578080201089044 3578084505390001 SUNARNING SURABAYA 05|05|1939
186 3578080203160011 3578080305760003 ARIF BUDIONO SURABAYA 03|05|1976
187 3578080101085403 3578085006010004 MAULIDYA NURRAFIFAH SURABAYA 10|06|2001
188 3578080201084954 3578082601990001 DANDY SURYAPRAJA SURABAYA 26|01|1999
189 3578080201089044 3578082809680001 HERRY AVIANTO SURABAYA 28|09|1968
190 3578080203160011 3578105609920008 ADI DEVI WINNIA SURABAYA 16|09|1992
191 3578080101087080 3578082712640001 ACHMAD PUDJI IRIANTO SURABAYA 27|12|1964
192 3578080101087080 3578085510670007 WAHYU HARTATI SURABAYA 15|10|1967
193 3578080101083260 3578082801590003 ARIYONO SURABAYA 28|01|1959
194 3578080101083260 3578081703870002 MARDIN SYAH PUTRA SURABAYA 17|03|1987
195 3578080101083260 3578080206890003 JUNAIDI PERMANA SURABAYA 02|06|1989
196 3578080209130003 3578082605850004 ERIK RAMADHON SURABAYA 26|05|1985
197 3578080303100004 3578084909690001 EMY CHURRIYAH SURABAYA 09|09|1969
198 3578080303100004 3578080909710005 SYARIF REJEB HATEJAWA 09|09|1971
199 3578080303100004 3578081910930003 AMI ROCHMAN HAKIM SURABAYA 19|10|1993
200 3578080303100004 3578085912940005 SINTA PERMATA SARI SURABAYA 19|12|1994
201 3578080303100004 3578085909960004 RIZKI WULAN SARI SURABAYA 19|09|1996
202 3578081504090011 3578015704820002 ERNA ALVINA, SE SURABAYA 17|04|1982
203 3578081504090011 3578083101820006 NOLLY JANUAR SURABAYA 31|01|1982
204 3578081701130016 3578086706640002 ENY JUNIARTI SURABAYA 27|06|1964
205 3578080209130003 3578154711830002 ATIK NURMAYA SURABAYA 07|11|1983
206 3578080201081816 3578081807690001 JOEDY SOELISTIONO SURABAYA 18|07|1969
207 3578080201081816 3578086402780001 NURUL HIDAYAH SURABAYA 24|02|1978
208 3578080301089110 3578086404650008 AFRIANTI HARTINI SURABAYA 24|04|1965
209 3578080201081816 3578080106990001 FAVIAN NUGRAHA HIBATULLAH AR SURABAYA 01|06|1999
210 3578080201081483 3578081506720003 SUMIN SAMPANG 15|06|1972
211 3578080101081741 3578080208650003 AGUS SUNARTO SURABAYA 02|08|1965
212 3578080101081741 3578085002660006 SUMILAH SURABAYA 10|02|1966
213 3578080101081741 3578086905930002 MEYLANI PRAMITA SURABAYA 29|05|1993
214 3578080301084204 3578080704650003 MOH HUZAIRI ZAINI BANGKALAN 07|04|1965
215 3578080301084204 3578086106680004 R ENDANG HERLIANINGSIH BANGKALAN 21|06|1968
216 3578080301084204 3578081308940001 DINAR ALIEF MAULANA SURABAYA 13|08|1994
217 3578080901120039 3578081105650003 SUBANDIJO SURABAYA 11|05|1965
218 3578080901120039 3578086504680003 FARIDA NURAINI SURABAYA 25|04|1968
219 3578081806150007 3578104303650004 RUHAYATI SURABAYA 03|03|1965
220 3578081806150007 3578102904960005 KURNIA ANDI SUROJO SURABAYA 29|04|1996
221 3578080201080085 3578084602690001 MAINI JOMBANG 06|02|1969
222 3578080401085934 3578082504680010 HARIADJI SURABAYA 25|04|1968
223 3578080401085934 3578087006710015 MASMI LAMONGAN 30|06|1971
224 3578080401085934 3578084201980002 NUCKY RAMADHANI SURABAYA 02|01|1998
225 3578080401086684 3578082512620002 DIDIK KRISDIANTO SURABAYA 25|12|1962
7

05|11|1969 48 S L KEDUNG PENGKOL 1/26-D 1 3 0


05|08|1970 47 S P KEDUNG PENGKOL 1/26-D 1 3 0
12|09|1970 47 S L KEDUNG PENGKOL 1/28 1 3 0
30|06|1971 46 S P KEDUNG PENGKOL 1/28 1 3 0
02|02|1998 20 B P KEDUNG PENGKOL 1/28 1 3 0
08|02|1974 44 S P KEDUNG PENGKOL 1/28 1 3 0
05|05|1939 79 P P KEDUNG PENGKOL 1/28 1 3 0
03|05|1976 42 B L KEDUNG PENGKOL 1/28 1 3 0
10|06|2001 17 B P KEDUNG PENGKOL 1/28 1 3 0
26|01|1999 19 B L KEDUNG PENGKOL 1/28 1 3 0
28|09|1968 49 S L KEDUNG PENGKOL 1/28 1 3 0
16|09|1992 25 B P KEDUNG PENGKOL 1/28 1 3 0
27|12|1964 53 S L KEDUNG PENGKOL 1/28-A 1 3 0
15|10|1967 50 S P KEDUNG PENGKOL 1/28-A 1 3 0
28|01|1959 59 S L KEDUNG PENGKOL 1/3 1 3 0
17|03|1987 31 S L KEDUNG PENGKOL 1/3 1 3 0
02|06|1989 29 B L KEDUNG PENGKOL 1/3 1 3 0
26|05|1985 33 S L KEDUNG PENGKOL 1/3 1 3 0
09|09|1969 48 S P KEDUNG PENGKOL 1/3 1 3 0
09|09|1971 46 S L KEDUNG PENGKOL 1/3 1 3 0
19|10|1993 24 B L KEDUNG PENGKOL 1/3 1 3 0
19|12|1994 23 B P KEDUNG PENGKOL 1/3 1 3 0
19|09|1996 21 B P KEDUNG PENGKOL 1/3 1 3 0
17|04|1982 36 S P KEDUNG PENGKOL 1/3 1 3 0
31|01|1982 36 S L KEDUNG PENGKOL 1/3 1 3 0
27|06|1964 54 B P KEDUNG PENGKOL 1/3 1 3 0
07|11|1983 34 S P KEDUNG PENGKOL 1/3 1 3 0
18|07|1969 48 S L KEDUNG PENGKOL 1/30 1 3 0
24|02|1978 40 S P KEDUNG PENGKOL 1/30 1 3 0
24|04|1965 53 B P KEDUNG PENGKOL 1/30 1 3 0
01|06|1999 19 B L KEDUNG PENGKOL 1/30 1 3 0
15|06|1972 46 S L KEDUNG PENGKOL 1/5 1 3 0
02|08|1965 52 S L KEDUNG PENGKOL 1/5-A 1 3 0
10|02|1966 52 S P KEDUNG PENGKOL 1/5-A 1 3 0
29|05|1993 25 B P KEDUNG PENGKOL 1/5-A 1 3 0
07|04|1965 53 S L KEDUNG PENGKOL 1/5-A 1 3 0
21|06|1968 50 S P KEDUNG PENGKOL 1/5-A 1 3 0
13|08|1994 23 B L KEDUNG PENGKOL 1/5-A 1 3 0
11|05|1965 53 S L KEDUNG PENGKOL 1/5-B 1 3 0
25|04|1968 50 S P KEDUNG PENGKOL 1/5-B 1 3 0
03|03|1965 53 S P KEDUNG PENGKOL 1/5-B 1 3 0
29|04|1996 22 B L KEDUNG PENGKOL 1/5-B 1 3 0
06|02|1969 49 S P KEDUNG PENGKOL 1/5-C 1 3 0
25|04|1968 50 S L KEDUNG PENGKOL 1/5-C 1 3 0
30|06|1971 46 S P KEDUNG PENGKOL 1/5-C 1 3 0
02|01|1998 20 B P KEDUNG PENGKOL 1/5-C 1 3 0
25|12|1962 55 S L KEDUNG PENGKOL 1/5-C 1 3 0

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226 3578080401086684 3578085011630005 GANEFIATI SURABAYA 10|11|1963
227 3578081802160001 3578080311890001 ISCHAK HARMI SURABAYA 03|11|1989
228 3578082910140004 3578232110860002 SHOREA VECO PERDANA YOELIONO BALIKPAPAN 21|10|1986
229 3578082910140004 3578087004930003 ELLA APRILIYANTI SURABAYA 30|04|1993
230 3578080401086684 3578085110000004 NOVITA KRISDIANTO BLITAR 11|10|2000
231 3578081802160001 3578105907940006 FARAMITA DWI AYU KARTIKASARI SURABAYA 19|07|1994
232 3578080101085180 3578084401550001 SUYANTI LAMPUNG 04|01|1955
233 3578080101085180 3578087110740001 INDRA ADE SUSANTI SURABAYA 31|10|1974
234 3578082505160001 3578082602590002 SUTARMAN SURABAYA 26|02|1959
235 3578082505160001 3578084306650007 SUKARNIK SURABAYA 03|06|1965
236 3578082505160001 3578082202690004 BAMBANG SOEBIANTORO/YESSY S. WSURABAYA 22|02|1969
237 3578082505160001 3578082901830002 YONATHAN VAN PIED SURABAYA 29|01|1983
238 3578080101080984 3578080207600001 RUSLAN BIMA 02|07|1960
239 3578080101080984 3578085205670004 LILI JUMEIHARTI BIMA 12|05|1967
240 3578080101080984 3578082903950002 RIZQY RULYPRATAMA BIMA 29|03|1995
241 3578080101080984 3578086805970002 VIDYA FARADILA SURABAYA 28|05|1997
242 3578080101088612 3578082504810003 KARMIDI SURABAYA 25|04|1981
243 3578080101088612 3578084203820004 ALISYA NURHAYANI SURABAYA 02|03|1982
244 3578080201080267 3578085212700005 EMI PRIATIN MADIUN 12|12|1970
245 3578080201080267 3578082512750004 WASIS PRAYITNO PONOROGO 25|12|1975
246 3578080201083164 3578082812760002 ABD. RAHMAN JAYA SIDOARJO 28|12|1976
247 3578080201083164 3578084912770003 RA. DYAH AYU WIDORETNO SURABAYA 09|12|1977
248 3578080201083347 3578081407770002 TIONO JOMBANG 14|07|1977
249 3578080201083347 3578086002820001 RA.DYAH RETNO WIDHIASTUTI SURABAYA 20|02|1982
250 3578080203150006 3578085012950003 DEWI RACHMASARI SURABAYA 10|12|1995
251 3578080301080781 3578086705520001 EMI SUNGATMI SURABAYA 27|05|1952
252 3578080301089928 3578080306510001 SAMIN SURABAYA 03|06|1951
253 3578080301089928 3578087006610023 ALIMAH SURABAYA 30|06|1961
254 3578080301089928 3578080209900003 MUHAMMAD SHALEH SURABAYA 02|09|1990
255 3578080401080226 3578081911680002 BAGINDA HASIBUAN SURABAYA 19|11|1968
256 3578080401080226 3578084605730002 SUMIATI SURABAYA 06|05|1973
257 3578080401080226 3578082106910001 MOCH.HARUN HASIBUAN SURABAYA 21|06|1991
258 3578080401080226 3578085006930004 AFIFAH DWI KURNIAWATI HASIBUAN SURABAYA 10|06|1993
259 3578080401080346 3578080601710002 ZULKIFLI HASIBUAN SURABAYA 06|01|1971
260 3578080401080346 3578080701730001 DENGGAN HASIBUAN SURABAYA 07|01|1973
261 3578081406120077 3578081202780001 ILDREM HASIBUAN SURABAYA 12|02|1978
262 3578081406120077 3578175811870001 YUNITA MAZDA CHRISTINA SURABAYA 18|11|1987
263 3578080101088612 3578081605010001 MOCH. DIMAS ADRIANSYAH SURABAYA 16|05|2001
264 3578080301080781 3578080204720006 RM. SURJO GURITNO.H SURABAYA 02|04|1972
265 3578080301080781 3578082610850001 RM. SURYO PAMUNGKAS SURABAYA 26|10|1985
266 3578080401080346 3578085202750002 ADELINA HASIBUAN SURABAYA 12|02|1975
267 3578080201083038 1256120202410001 KOESNAN SURABAYA 02|02|1941
268 3578080201083038 1256126806450004 PARTIWI SURABAYA 28|06|1945
269 3578080201085742 3578082701650002 SLAMET RIYADI KEDIRI 27|01|1965
270 3578080101085132 3578080212980002 AHMAD AINUL YAQIN SURABAYA 12|03|1998
271 3578080501080793 3578084603980002 ANNISANIA PUTRI SURABAYA 06|03|1998
272 3578080106110005 3578086609340001 DANAR POEDYASTOETI SURABAYA 26|09|1934
7

10|11|1963 54 S P KEDUNG PENGKOL 1/5-C 1 3 0


03|11|1989 28 B L KEDUNG PENGKOL 1/5-C 1 3 0
21|10|1986 31 S L KEDUNG PENGKOL 1/5-C 1 3 0
30|04|1993 25 S P KEDUNG PENGKOL 1/5-C 1 3 0
11|10|2000 17 B P KEDUNG PENGKOL 1/5-C 1 3 0
19|07|1994 23 B P KEDUNG PENGKOL 1/5-C 1 3 0
04|01|1955 63 S P KEDUNG PENGKOL 1/5-D 1 3 0
31|10|1974 43 S P KEDUNG PENGKOL 1/5-D 1 3 0
26|02|1959 59 P L KEDUNG PENGKOL 1/5-D 1 3 0
03|06|1965 53 P P KEDUNG PENGKOL 1/5-D 1 3 0
22|02|1969 49 B L KEDUNG PENGKOL 1/5-D 1 3 0
29|01|1983 35 B L KEDUNG PENGKOL 1/5-D 1 3 0
02|07|1960 57 S L KEDUNG PENGKOL 1/7-B 1 3 0
12|05|1967 51 S P KEDUNG PENGKOL 1/7-B 1 3 0
29|03|1995 23 B L KEDUNG PENGKOL 1/7-B 1 3 0
28|05|1997 21 B P KEDUNG PENGKOL 1/7-B 1 3 0
25|04|1981 37 S L KEDUNG PENGKOL 1/7-B 1 3 0
02|03|1982 36 S P KEDUNG PENGKOL 1/7-B 1 3 0
12|12|1970 47 S P KEDUNG PENGKOL 1/7-B 1 3 0
25|12|1975 42 S L KEDUNG PENGKOL 1/7-B 1 3 0
28|12|1976 41 S L KEDUNG PENGKOL 1/7-B 1 3 0
09|12|1977 40 S P KEDUNG PENGKOL 1/7-B 1 3 0
14|07|1977 40 S L KEDUNG PENGKOL 1/7-B 1 3 0
20|02|1982 36 S P KEDUNG PENGKOL 1/7-B 1 3 0
10|12|1995 22 B P KEDUNG PENGKOL 1/7-B 1 3 0
27|05|1952 66 S P KEDUNG PENGKOL 1/7-B 1 3 0
03|06|1951 67 S L KEDUNG PENGKOL 1/7-B 1 3 0
30|06|1961 56 S P KEDUNG PENGKOL 1/7-B 1 3 0
02|09|1990 27 B L KEDUNG PENGKOL 1/7-B 1 3 0
19|11|1968 49 S L KEDUNG PENGKOL 1/7-B 1 3 0
06|05|1973 45 S P KEDUNG PENGKOL 1/7-B 1 3 0
21|06|1991 27 B L KEDUNG PENGKOL 1/7-B 1 3 0
10|06|1993 25 B P KEDUNG PENGKOL 1/7-B 1 3 0
06|01|1971 47 B L KEDUNG PENGKOL 1/7-B 1 3 0
07|01|1973 45 B L KEDUNG PENGKOL 1/7-B 1 3 0
12|02|1978 40 S L KEDUNG PENGKOL 1/7-B 1 3 0
18|11|1987 30 S P KEDUNG PENGKOL 1/7-B 1 3 0
16|05|2001 17 B L KEDUNG PENGKOL 1/7-B 1 3 0
02|04|1972 46 B L KEDUNG PENGKOL 1/7-B 1 3 0
26|10|1985 32 B L KEDUNG PENGKOL 1/7-B 1 3 0
12|02|1975 43 S P KEDUNG PENGKOL 1/7-B 1 3 0
02|02|1941 77 S L KEDUNG PENGKOL I/ 8 1 3 0
28|06|1945 72 S P KEDUNG PENGKOL I/ 8 1 3 0
27|01|1965 53 B L KEDUNG PENGKOL I/16 1 3 0
12|03|1998 20 B L KEDUNG PENGKOL I/20-A 1 3 0
06|03|1998 20 B P KEDUNG PENGKOL I/26-C 1 3 0
26|09|1934 83 P P KEDUNG PENGKOL I/28A 1 3 0

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273 3578080106110005 3578080308650005 AGUS TRI TJAHJANA SURABAYA 03|08|1965
274 3578080106110005 3578085607700001 JULI RAHMAWATI SURABAYA 16|07|1970
275 3578080106110005 3578085606730002 YUSWITA SARI SURABAYA 16|06|1973
276 3578080101081741 3578080405980002 MEYCHO DEMO NUSWANTORO SURABAYA 05|04|1998
277 3578080101081741 3578080405980003 MEYCHA DEMO NUSWANTORO SURABAYA 05|04|1998
278 3578080101085180 3578080607980004 VALDO DAMAR SAPUTRO SURABAYA 03|01|1990
279 3578080401082118 3578080802980003 FERDIN PRADANA SURABAYA 02|08|1998
280 3578081802130008 3578084510610001 ERNAWATI SURABAYA 05|10|1961
281 3578081802130008 3578080206850003 ANJARU ERIAT RAHMADAN SEMARANG 02|06|1985
282 3578081802130008 3578086110860002 RESTRY DIAH ANGGRAINING TYAS SURABAYA 21|10|1986
283 3578081802130008 3578082803920004 RIZALI ANIARAUF SURABAYA 28|03|1992
284 3578081802130008 3578081009880002 NURANDI TRIARSUNU SURABAYA 10|09|1988
285 3578080101081355 3578080505580002 EDDY SUPARMAN LAMONGAN 05|05|1958
286 3578081203140002 3578130912860001 ANGGARA HADI SUSANTO AMD SURABAYA 12|09|1986
287 3578080501080130 3578080905480001 SOEGIHARTO, MADIUN 09|05|1948
288 3578080501080130 3578086501490004 RR.ENDANG SITI REDJEKI SOLO 25|01|1949
289 3578081406110064 3578086511620005 RATNA HUSTIARTI PONTIANAK 25|11|1962
290 3578081406110064 3578081511850006 WISNU NARA NAMASKARA SURAKARTA 15|11|1985
291 3578081406110064 3578085609920001 SEPTY NOORA NAMASKARA JAKARTA 16|09|1992
292 3578081905090002 3578081101770003 YOPIE ENDIHARTO, ST SURABAYA 11|01|1977
293 3578081905090002 3578085006820006 WELLY, SE BUKIT TINGGI 10|06|1982
294 3578080201080770 3578082506520001 TANG GUEK TJUN MEDAN 25|06|1952
295 3578080201080770 3578085907550002 TAN SU JAN BANJARMASIN 19|07|1955
296 3578080201080770 3578084603800002 PEI YIN SURABAYA 06|03|1980
297 3578081301160005 3578082303890003 DAVID CANDRA SURABAYA 23|03|1989
298 3578081301160005 3578114201890001 ISMI PURWANTI SUYOTO SURABAYA 02|01|1989
299 3578080101089448 3578086812440001 LIEN PURWATI PURWOKERTO 28|12|1944
300 3578080212100016 3578081105740005 ARIEP BUDI KRISTANTO SURABAYA 11|05|1974
301 3578080212100016 3578087112740002 LINDATYOWATI CHRISTIANINGRUM BALI 31|12|1974
302 3578080101083915 3578084106730009 K.VERA IRAWATI SETYANINGRUM,SH SURABAYA 01|06|1973
303 3578080101083915 3578084503990001 MARIA EZRA ZEFANYA SOLO 05|03|1999
304 3578082211160012 3578084507700007 SITI RULYANAWATI SURABAYA 05|07|1970
305 3578082211160012 3578082101950003 RINALDY MARULYANSYAH SURABAYA 21|01|1995
306 3578082807100003 3578084206750004 ARI YUNIARTI SURABAYA 02|06|1975
307 3578082807100003 3578092406750007 R. FEMMY RESTU NUGRAHA SURABAYA 24|06|1975
308 3578080101081355 3578083101670003 IWAN REUSKI WINANTONO, S.IP MOSCOW 31|01|1967
309 3578080101081355 3578085003710002 LIS SISWATI, Dra SURABAYA 10|03|1971
310 3578080101081355 3578082810000001 NEVINKO RIZQULLAH REULYSANTO SURABAYA 28|10|2000
311 3578083105120095 3578081803700002 M. ZAMRONI JOMBANG 18|03|1970
312 3578083105120095 3578081706000004 ALFIAN FALAH ZAFITRA SURABAYA 17|06|2000
313 3578081203140002 3578087010910001 RR. AYU OKTAVIA FORSTANTA K DEMAK 30|10|1991
314 3578080501080131 3578087103280001 RA SOEHARNI SOLO 31|03|1928
315 3578080301083775 3578087108300001 OENTARI SURABAYA 31|08|1930
316 3578080101089268 3578085903720004 MARTHA LAURA SASELA PALEMBANG 19|03|1972
317 3578080501083336 3578086407500003 LILY TOBING SASELA BANDUNG 24|07|1950
318 3578081406120015 3578081604870004 HARI BARU MUKTI BOJONEGORO 16|04|1987
319 3578081406120017 3578086403740001 TATIK SUGIARTI SURABAYA 24|03|1974
7

03|08|1965 52 B L KEDUNG PENGKOL I/28A 1 3 0


16|07|1970 47 B P KEDUNG PENGKOL I/28A 1 3 0
16|06|1973 45 B P KEDUNG PENGKOL I/28A 1 3 0
05|04|1998 20 B L KEDUNG PENGKOL I/5-A 1 3 0
05|04|1998 20 B L KEDUNG PENGKOL I/5-A 1 3 0
03|01|1990 28 B L KEDUNG PENGKOL I/5-D 1 3 0
02|08|1998 19 B L KEDUNG PENGKOL I/5-D 1 3 0
05|10|1961 56 P P KEDUNG TARUKAN WETAN 16 1 3 0
02|06|1985 33 B L KEDUNG TARUKAN WETAN 16 1 3 0
21|10|1986 31 B P KEDUNG TARUKAN WETAN 16 1 3 0
28|03|1992 26 B L KEDUNG TARUKAN WETAN 16 1 3 0
10|09|1988 29 B L KEDUNG TARUKAN WETAN 16 1 3 0
05|05|1958 60 P L KALIWARON /4 2 3 0
12|09|1986 31 S L KALIWARON /9 2 3 0
09|05|1948 70 S L KALIWARON 1/17 2 3 0
25|01|1949 69 S P KALIWARON 1/17 2 3 0
25|11|1962 55 P P KALIWARON 1/17 2 3 0
15|11|1985 32 B L KALIWARON 1/17 2 3 0
16|09|1992 25 B P KALIWARON 1/17 2 3 0
11|01|1977 41 S L KALIWARON 1/17 2 3 0
10|06|1982 36 S P KALIWARON 1/17 2 3 0
25|06|1952 66 S L KALIWARON 1/19 2 3 0
19|07|1955 62 S P KALIWARON 1/19 2 3 0
06|03|1980 38 B P KALIWARON 1/19 2 3 0
23|03|1989 29 B L KALIWARON 1/19 2 3 0
02|01|1989 29 B P KALIWARON 1/19 2 3 0
28|12|1944 73 P P KALIWARON 1/25 2 3 0
11|05|1974 44 S L KALIWARON 1/25 2 3 0
31|12|1974 43 S P KALIWARON 1/25 2 3 0
01|06|1973 45 S P KALIWARON 1/27 2 3 0
05|03|1999 19 B P KALIWARON 1/27 2 3 0
05|07|1970 47 S P KALIWARON 1/3-A 2 3 0
21|01|1995 23 B L KALIWARON 1/3-A 2 3 0
02|06|1975 43 S P KALIWARON 1/3-A 2 3 0
24|06|1975 43 S L KALIWARON 1/3-A 2 3 0
31|01|1967 51 S L KALIWARON 1/4 2 3 0
10|03|1971 47 S P KALIWARON 1/4 2 3 0
28|10|2000 17 B L KALIWARON 1/4 2 3 0
18|03|1970 48 S L KALIWARON 1/7 2 3 0
17|06|2000 18 B L KALIWARON 1/7 2 3 0
30|10|1991 26 S P KALIWARON 1/9 2 3 0
31|03|1928 90 P P KALIWARON 2/3 2 3 0
31|08|1930 87 P P KALIWARON 3/ 0 2 3 0
19|03|1972 46 B P KALIWARON 3/ 9 2 3 0
24|07|1950 67 P P KALIWARON 3/ 9 2 3 0
16|04|1987 31 B L KALIWARON 3/1 2 3 0
24|03|1974 44 S P KALIWARON 3/1 2 3 0

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PINDAHAN DARI TP S 000
PINDAHAN DARI TP S 000
320 3578080201081026 3578082809760001 BUDI SANTOSO SURABAYA 28|09|1976
321 3578080201081026 3578085901780004 SHINTA KUSUMA DEWI RIZAL EFFEN JEMBER 19|01|1978
322 3578080301083767 3578080311560003 SONNY SUTANTO SURABAYA 03|11|1956
323 3578080301083767 3578082909820002 DAVID SUTANTO SURABAYA 29|09|1982
324 3578082804110012 3578080308790005 MICHAEL SURABAYA 03|08|1979
325 3578082804110012 3578085501820006 YENI SURABAYA 15|01|1982
326 3578080101088031 3578081707780004 SONNY SUGIARTO GUNAWAN SIDOARJO 17|07|1978
327 3578080101088031 3578086208780004 PO AY BING SURABAYA 22|08|1978
328 3578080401084416 3578082011730006 HARSONO WIDJAJA SURABAYA 20|11|1973
329 3578080401084416 3578086805760004 MIESKE SURABAYA 28|05|1976
330 3578080401084416 3578083107000002 ALDWIN PURNOMO SURABAYA 31|07|2000
331 3578080102100055 3578086606770001 EVI KURNIAWATI SURABAYA 26|06|1977
332 3578080102100055 3578080906960003 MICHAEL MARCELLINO GERALDO SURABAYA 09|06|1996
333 3578080102100055 3578081006970006 RAPHAEL KEVIN NAZARIO SURABAYA 10|06|1997
334 3578081312110027 3578082404700011 HERMAN AR UJUNG PANDANG 24|04|1970
335 3578081312110027 3578085607700011 ANDI JULIANTI MALANG 16|07|1970
336 3578081312110027 3578085609960003 ISNAENY AULYA AR UJUNG PANDANG 16|09|1996
337 3578080101083887 3578085805700001 ANNA LUDFIA,,ST SURABAYA 18|05|1970
338 3578080201089355 3578080208450002 SUKADI LUMAJANG 02|08|1945
339 3578081605160011 3578084112480003 JUWARIAH LUMAJANG 01|12|1948
340 3578082904110001 3578081105610002 HENKY WIJAYA, STH. MPH SUKABUMI 11|05|1961
341 3578082904110001 3578086502620002 SULASTRI SUKABUMI 25|02|1962
342 3578082904110001 3578086109870005 CRYSTAL MIRACLE WIJAYA PALEMBANG 21|09|1987
343 3578082904110001 3578082009910003 CHRISTIAN OLIVER W SUKABUMI 20|09|1991
344 3578080101081058 3578081812580004 R.ABDUS SYOEKOER, DRS.EC KALIANGET 18|12|1958
345 3578080101081058 3578086311600003 SRI HERLINA, DRA.EC SURABAYA 23|11|1960
346 3578082101160012 3578082504910001 R.ADITYA RIADY NUGROHO SURABAYA 25|04|1991
347 3578080101081058 3578084605920005 RR.DIAHAYU MANDASARI SURABAYA 06|05|1992
348 3578081801130002 3578082811720001 R ANDREAS PRAYOGA NKSW PAMEKASAN 28|11|1972
349 3578081801130002 3578085905630005 Rr A JOVIE MEILINA WITARJAMI S MADIUN 19|05|1963
350 3578080101088423 3578083011450001 SUSANTO WANAATMADJA MALANG 30|11|1945
351 3578080101088423 3578086905490003 TINNY TJANDRAWATY BOJONEGORO 29|05|1949
352 3578080201084477 3578082202790002 JOHN EDWARD WANAATMADJA SURABAYA 22|02|1979
353 3578080201084477 3578085706870001 YUNITA ALFA MEGAWATI SURABAYA 17|06|1987
354 3578080201088165 3578086710480002 OEMI SUKANTINI, Dra JOMBANG 27|10|1948
355 3578080201086477 3578084111680004 ELLYZABET SETYAWATI NGANJUK 01|11|1968
356 3578080201086477 3578081603680007 SETIONO SURABAYA 16|03|1968
357 3578080201086477 3578086101960002 VICITHA RANI SURABAYA 21|01|1996
358 3578080201086477 3578084102970001 LISA MARIA FEBY SURABAYA 01|02|1997
359 3578080201086961 3578081707560002 HENKY SANTOSO SURABAYA 17|07|1956
360 3578080201086961 3578085912630002 MARIA VALENTIA MEITYASSA SURABAYA 19|12|1963
361 3578080201086961 3578081110900004 VICTORRIO FILBERT GIOVANNI S P SURABAYA 11|10|1990
362 3578080201087434 3578084910370004 CONNY WATININGSIH SURABAYA 09|10|1937
363 3578080201087434 3578080909600001 HARRY SANTOSO SURABAYA 09|09|1960
364 3578080401084507 3578082307560005 HAMZAH, DR.DSAN UJUNG PANDANG 23|07|1956
365 3578080401084507 3578085208610002 HELMI LAHIYA, SH BANTAENG 12|08|1961
366 3578080401084507 3578086510860001 AMI PRATAMI MUNIFAH UJUNG PANDANG 25|10|1986
7

28|09|1976 41 S L KALIWARON 3/10 2 3 0


19|01|1978 40 S P KALIWARON 3/10 2 3 0
03|11|1956 61 P L KALIWARON 3/10 2 3 0
29|09|1982 35 B L KALIWARON 3/10 2 3 0
03|08|1979 38 S L KALIWARON 3/10 2 3 0
15|01|1982 36 S P KALIWARON 3/10 2 3 0
17|07|1978 39 S L KALIWARON 3/11 2 3 0
22|08|1978 39 S P KALIWARON 3/11 2 3 0
20|11|1973 44 S L KALIWARON 3/11 2 3 0
28|05|1976 42 S P KALIWARON 3/11 2 3 0
31|07|2000 17 B L KALIWARON 3/11 2 3 0
26|06|1977 41 S P KALIWARON 3/15 2 3 0
09|06|1996 22 B L KALIWARON 3/15 2 3 0
10|06|1997 21 B L KALIWARON 3/15 2 3 0
24|04|1970 48 S L KALIWARON 3/15 2 3 0
16|07|1970 47 S P KALIWARON 3/15 2 3 0
16|09|1996 21 B P KALIWARON 3/15 2 3 0
18|05|1970 48 S P KALIWARON 3/2 2 3 0
02|08|1945 72 S L KALIWARON 3/2 2 3 0
01|12|1948 69 S P KALIWARON 3/2 2 3 0
11|05|1961 57 S L KALIWARON 3/2 2 3 0
25|02|1962 56 S P KALIWARON 3/2 2 3 0
21|09|1987 30 B P KALIWARON 3/2 2 3 0
20|09|1991 26 B L KALIWARON 3/2 2 3 0
18|12|1958 59 S L KALIWARON 3/3 2 3 0
23|11|1960 57 S P KALIWARON 3/3 2 3 0
25|04|1991 27 B L KALIWARON 3/3 2 3 0
06|05|1992 26 B P KALIWARON 3/3 2 3 0
28|11|1972 45 B L KALIWARON 3/4 2 3 0
19|05|1963 55 S P KALIWARON 3/4 2 3 0
30|11|1945 72 S L KALIWARON 3/5 2 3 0
29|05|1949 69 S P KALIWARON 3/5 2 3 0
22|02|1979 39 S L KALIWARON 3/5 2 3 0
17|06|1987 31 S P KALIWARON 3/5 2 3 0
27|10|1948 69 P P KALIWARON 3/6 2 3 0
01|11|1968 49 S P KALIWARON 3/8 2 3 0
16|03|1968 50 S L KALIWARON 3/8 2 3 0
21|01|1996 22 B P KALIWARON 3/8 2 3 0
01|02|1997 21 B P KALIWARON 3/8 2 3 0
17|07|1956 61 S L KALIWARON 3/9 2 3 0
19|12|1963 54 S P KALIWARON 3/9 2 3 0
11|10|1990 27 B L KALIWARON 3/9 2 3 0
09|10|1937 80 P P KALIWARON 3/9 2 3 0
09|09|1960 57 B L KALIWARON 3/9 2 3 0
23|07|1956 61 S L KALIWARON 3/9 2 3 0
12|08|1961 56 S P KALIWARON 3/9 2 3 0
25|10|1986 31 B P KALIWARON 3/9 2 3 0

Page 77
PINDAHAN DARI TP S 000

PINDAHAN DARI TP S 000

PINDAHAN DARI TP S 000

PINDAHAN DARI TP S 000


367 3578080401084507 3578080104950002 ANANG MAULANA YUSUF SURABAYA 01|04|1995
368 3578080709100008 3578081109770004 SARWANI NGANJUK 11|09|1977
369 3578080709100008 3578086411770003 HERDYAH NOVIEYATIN MOJOKERTO 24|11|1977
370 3578080608140003 3578104212920006 PUTRI AL-FATIH ARTHA HIDAYAH SURABAYA 02|12|1992
371 3578080201082778 3578082803770004 ANTON SETIAJI, SS SURABAYA 28|03|1977
372 3578080201082778 3578256404790002 INDAH ZULFA LAMONGAN 24|04|1979
373 3578080401080278 3578085504500001 SURATMIATI MOJOKERTO 15|04|1950
374 3578081012130007 3578260711750001 SETIAKI SURABAYA 07|11|1975
375 3578082606090053 3578082908760001 HASTO PIDEKSO, ST SURABAYA 29|08|1976
376 3578082606090053 3578087010780011 HANY HIDAYAH, S.SI MALANG 30|10|1978
377 3578080301088821 3578084510250001 KOESAMIRAH MADIUN 05|10|1925
378 3578080201083066 3578082910780001 PRIYO SOEDIGDO SURABAYA 29|10|1978
379 3578080201083066 3578085310830002 MARIA EKA MARIYADI SURABAYA 13|10|1983
380 3578080401086537 3578081308470001 SOEPRIYADI SOLO 13|08|1947
381 3578080401086537 3578085307530001 DWI PRAMESTI SURABAYA 13|07|1953
382 3578080101084907 3578086001630002 SAYU SRI WAHYUNI SURABAYA 20|01|1963
383 3578080101084908 3578086005590006 TISNO WATI RAHAYU SURABAYA 20|05|1959
384 3578100401081178 3578101412600007 BAGUS BASUKI SURABAYA 14|12|1960
385 3578100401081178 3578107004920001 FITRIA RAHMANINGTYAS SURABAYA 30|04|1992
386 3578100401081178 3578106811940006 SUCI NOVIANTI SURABAYA 28|11|1994
387 3578080301083274 3578082505650006 R.MOHAMAD JUNUS SURABAYA 25|05|1965
388 3578080301083274 3578085311960005 ANGGRAINI NOVITASARI SURABAYA 13|11|1996
389 3578080301083274 3578085310460002 Rr.SOEPRIYATIENI SURABAYA 13|10|1946
390 3578080401082051 3578082910630003 DJUNAEDI SURABAYA 29|10|1963
391 3578080501083354 3578080403920004 INDRA KUKUH WINATA SEMARANG 04|03|1992
392 3578080208130011 3578086102950005 PUSPA CANDRA DEWI SEMARANG 21|02|1995
393 3578080101081156 3578086101630001 NURJATI SURABAYA 21|01|1963
394 3578080401088585 3578081508710009 NASRUL ISWAHYUDI SURABAYA 15|08|1971
395 3578080610100028 3578085312580001 ENDANG SULISTYOWATI SURABAYA 13|12|1958
396 3578080101087576 3578080303710002 SOENARKO SURABAYA 03|03|1971
7

01|04|1995 23 B L KALIWARON 3/9 2 3 0


11|09|1977 40 S L KEDUNG PENGKOL WETAN 10 2 3 0
24|11|1977 40 S P KEDUNG PENGKOL WETAN 10 2 3 0
02|12|1992 25 S P KEDUNG PENGKOL WETAN 12 2 3 0
28|03|1977 41 S L KEDUNG PENGKOL WETAN 2 2 3 0
24|04|1979 39 S P KEDUNG PENGKOL WETAN 2 2 3 0
15|04|1950 68 P P KEDUNG PENGKOL WETAN 2 2 3 0
07|11|1975 42 P L KEDUNG PENGKOL WETAN 2 2 3 0
29|08|1976 41 S L KEDUNG PENGKOL WETAN 27 2 3 0
30|10|1978 39 S P KEDUNG PENGKOL WETAN 27 2 3 0
05|10|1925 92 P P KEDUNG PENGKOL WETAN 4 2 3 0
29|10|1978 39 S L KEDUNG PENGKOL WETAN 5 2 3 0
13|10|1983 34 S P KEDUNG PENGKOL WETAN 5 2 3 0
13|08|1947 70 S L KEDUNG PENGKOL WETAN 5 2 3 0
13|07|1953 64 S P KEDUNG PENGKOL WETAN 5 2 3 0
20|01|1963 55 B P KEDUNG PENGKOL WETAN 6 2 3 0
20|05|1959 59 P P KEDUNG PENGKOL WETAN 6 2 3 0
14|12|1960 57 S L KEDUNG PENGKOL WETAN 6 2 3 0
30|04|1992 26 B P KEDUNG PENGKOL WETAN 6 2 3 0
28|11|1994 23 B P KEDUNG PENGKOL WETAN 6 2 3 0
25|05|1965 53 P L KEDUNG PENGKOL WETAN 9 2 3 0
13|11|1996 21 B P KEDUNG PENGKOL WETAN 9 2 3 0
13|10|1946 71 P P KEDUNG PENGKOL WETAN 9 2 3 0
29|10|1963 54 S L KEDUNG PENGKOL 1/22 3 2 0
04|03|1992 26 B L KEDUNG PENGKOL 2/2 -A 3 3 0
21|02|1995 23 B P KEDUNG PENGKOL 2/21-A 3 3 0
21|01|1963 55 S P KEDUNG PENGKOL 2/9 3 3 0
15|08|1971 46 B L KEDUNG PENGKOL 2/9 3 3 0
13|12|1958 59 P P KEDUNG TARUKAN WETAN 16 3 3 0
03|03|1971 47 B L KEDUNG TARUKAN WETAN 8 3 3 0

Page 78
PINDAHAN DARI TP S 000
DAFTAR PEMILIH
PEMILIHAN GUBERNUR DAN WAKIL GUBER
TAHUN 2018

Provinsi : JAWA TIMUR


Kabupaten/Kota : KOTA SURABAYA

No No KK NIK Nama Tempat Lahir

1 2 3 4 5
1 3578080101087723 3578081509620002 HENDRO PURNOMO SURABAYA
2 3578080101087723 3578082603960001 IRFANO HENDRIANTO PONOROGO
3 3578080101087723 3578086011650003 PUJI RAHAYU,S.Kep PONOROGO
4 3578080101083563 3578084207720001 TITIK WAHYUNINGSIH SURABAYA
5 3578080101083563 3578080301730007 RIZKIE YANUAR SURABAYA
6 3578080301083204 3578082704450003 MOCHAMAD KOESNOEN SURABAYA
7 3578080301083204 3578085010460002 TITIEK SOEWARTIE SURABAYA
8 3578082301130019 3578082605700002 SOFIE WIRAWAN SURABAYA
9 3578082301130019 3578056003700002 ETI MARTIANI SURABAYA
10 3578083108100015 3578080303800002 NICO FIRMAN WIJAYA, ST SURABAYA
11 3578083108100015 3578085108800002 FITRIYANI, SE KEDIRI
12 3578080101083563 3578082807990003 DAVIN RIZKIE PRATAMA SURABAYA
13 3578081310110029 3578080308830006 AGUS SALIM SURABAYA
14 3578080401080293 3578083006450025 P.NO.AL.MUHADIN JEMBER
15 3578080401080293 3578085506560002 B.NO.AL.SUGINI JEMBER
16 3578080401080293 3578082004770007 SUYONO JEMBER
17 3578080401081856 3578087006370041 SATUNI SURABAYA
18 3578080201086658 3578087001590001 SUDARTI SURABAYA
19 3578080201083920 3578084605690007 MASFUFAH SURABAYA
20 3578080201083920 3578080402750002 ANDRI FEBRIANTO,ST SURABAYA
21 3578080806100020 3578085705580002 TATIK INDRA SURYA SURABAYA
22 3578080806100020 3578086710940004 ARINIL CHAQ SURABAYA
23 3578080806100020 3578086901960003 AUZI`NY SURABAYA
24 3578080806100020 3578086811970001 FANY FADHILAH SURABAYA
25 3578080301082044 3578084108610001 NURBADIAH SURABAYA
26 3578080301082044 3578080306820001 TAUFIK DEVI MURIA SURABAYA
27 3578080301082044 3578080901970001 BIMBO GILANG RAMADHAN SURABAYA
28 3578080901130010 3507142610880003 BENNY OKTO FANDI SURABAYA
29 3578082504170006 3578086611830001 DEWI FATIMAH SURABAYA
30 3578080901130010 3578084408890003 DANIAR CHUSUSYAH WAHYUNINGTY SURABAYA
31 3578082504170006 3578102402790004 EKO SISWANTO BOJONEGORO
32 3578080101088838 3578082108740002 AGUS HARIADI SURABAYA
33 3578080101088838 3578085605790002 LILIK MAHMUDAH SURABAYA
34 3578080401083258 3578081906670003 LIE BING SANG SURABAYA
35 3578080401083258 3578086006680008 CHUSNUL CHOTIMAH SURABAYA
36 3578080401083258 3578081808950001 RACHMAT BAGUS KUSWANTONO, LI ESURABAYA
37 3578080401087136 3578087006570056 DJOEWARIJAH SURABAYA
8

A-KWK
AFTAR PEMILIH
MILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TIMUR
HUN 2018

Kecamatan : GUBENG
Desa/Kelurahan : MOJO
TPS : 008
Tanggal Lahir Usia Alamat Disabilitas
Jalan/Dukuh Rt Rw
6 7 8 9 10 11 12 13
15|09|1962 55 S L KALIWARON 1/23 3 3 0
26|03|1996 22 B L KALIWARON 1/23 3 3 0
20|11|1965 52 S P KALIWARON 1/23 3 3 0
02|07|1972 45 S P KALIWARON 1/29 3 3 0
03|01|1973 45 S L KALIWARON 1/29 3 3 0
27|04|1945 73 S L KALIWARON 1/29 3 3 0
10|10|1946 71 S P KALIWARON 1/29 3 3 0
26|05|1970 48 S L KALIWARON 1/29 3 3 0
20|03|1970 48 S P KALIWARON 1/29 3 3 0
03|03|1980 38 S L KALIWARON 1/29 3 3 0
11|08|1980 37 S P KALIWARON 1/29 3 3 0
28|07|1999 18 B L KALIWARON 1/29 3 3 0
03|08|1983 34 B L KEDUNG PENGKOL /27 3 3 0
30|06|1945 72 S L KEDUNG PENGKOL /36-D BLK 3 3 0
15|06|1956 62 S P KEDUNG PENGKOL /36-D BLK 3 3 0
20|04|1977 41 B L KEDUNG PENGKOL /36-D BLK 3 3 0
30|06|1937 80 P P KEDUNG PENGKOL /40 3 3 0
30|01|1959 59 S P KEDUNG PENGKOL /46-B 3 3 0
06|05|1969 49 S P KEDUNG PENGKOL 1/23 3 3 0
04|02|1975 43 S L KEDUNG PENGKOL 1/23 3 3 0
17|05|1958 60 P P KEDUNG PENGKOL 1/23-A 3 3 0
27|10|1994 23 B P KEDUNG PENGKOL 1/23-A 3 3 0
29|01|1996 22 B P KEDUNG PENGKOL 1/23-A 3 3 0
28|11|1997 20 B P KEDUNG PENGKOL 1/23-A 3 3 0
01|08|1961 56 P P KEDUNG PENGKOL 1/25 3 3 0
03|06|1982 36 B L KEDUNG PENGKOL 1/25 3 3 0
09|01|1997 21 B L KEDUNG PENGKOL 1/25 3 3 0
26|10|1988 29 S L KEDUNG PENGKOL 1/25 3 3 0
26|11|1983 34 S P KEDUNG PENGKOL 1/25 3 3 0
04|08|1989 28 S P KEDUNG PENGKOL 1/25 3 3 0
24|02|1979 39 P L KEDUNG PENGKOL 1/25 3 3 0
21|08|1974 43 S L KEDUNG PENGKOL 1/27 3 3 0
16|05|1979 39 S P KEDUNG PENGKOL 1/27 3 3 0
19|06|1967 51 S L KEDUNG PENGKOL 1/27 3 3 0
20|06|1968 50 S P KEDUNG PENGKOL 1/27 3 3 0
18|08|1995 22 B L KEDUNG PENGKOL 1/27 3 3 0
30|06|1957 60 S P KEDUNG PENGKOL 1/27 3 3 0

Page 79
Keterangan *)

14

PINDAHAN DARI RT 000

PINDAHAN DARI RT 000

PINDAHAN DARI RT 000

PINDAHAN DARI RT 000


PINDAHAN DARI RT 000
38 3578080401087136 3578082301610002 SUPARNO JOMBANG 23|01|1961
39 3578080401087136 3578080211830003 MOCHAMAD LUKMAN SURABAYA 02|11|1983
40 3578080401087136 3578080308930003 AGUS ADI SUNARTO SURABAYA 03|08|1993
41 3578080401087136 3578082011950003 ACHMAD FAISAL SURABAYA 20|11|1995
42 3578080101088059 3578086806720001 RINA INDARTI,SE SURABAYA 28|06|1972
43 3578080101088059 3578080305720003 MASHUDI CHUSAINI,ST SURABAYA 03|05|1972
44 3578080301081730 3578085907470001 MASMALI/MASNIATI MOJOKERTO 19|07|1947
45 3578080301081730 3578081212680005 BUDI HARTONO SURABAYA 12|12|1968
46 3578080301081730 3578084701750003 ASMA`UL KHUSNAH SURABAYA 07|01|1975
47 3578080301081730 3578085704970004 AFRIDA SHOFIA PARAMITHA A SURABAYA 17|04|1997
48 3578080301081730 3578086505980003 BELLA ISNAINIA RAHMANITA F SURABAYA 25|05|1998
49 3578080201081596 3578085005800003 DIAN NUR AFNI TRENGGALEK 10|05|1980
50 3578080201081596 3578081611800002 NOVIYAN SISWANTO SURABAYA 16|11|1980
51 3578080201082128 3578081808800001 AGUS NORISTIAWAN SURABAYA 18|08|1980
52 3578080201082128 3578086210860003 DEWI IRAWATI LUMAJANG 22|10|1986
53 3578080201082279 3578082211830004 RENDRA KRISTIAN ARIMBAWAN SURABAYA 22|11|1983
54 3578080201082279 3578085008840004 ELLY AGUSTINA SURABAYA 10|08|1984
55 3578080201087594 3578081203430002 YOESOEF SURABAYA 12|03|1943
56 3578080201087594 3578085505490001 SAPUAH SURABAYA 15|05|1949
57 3578080201088631 3578081010690002 EDI SUYONO JEMBER 10|10|1969
58 3578080201088631 3578085509700002 ENDAH SRI WULANDARI SURABAYA 15|09|1970
59 3578080201088631 3578083105930002 YOGA EKO WICAKSONO SURABAYA 31|05|1993
60 3578080301080782 3578081702550001 ISNIN SUSILOYONO KEDIRI 17|02|1955
61 3578080301080782 3578086909560003 NUR ROCHMAH SURABAYA 29|09|1956
62 3578080301089427 3578082810570005 AGUNG IRIANTO SURABAYA 28|10|1957
63 3578080301089427 3578086204650002 SRI SUNDARI SURABAYA 22|04|1965
64 3578080301089427 3578080303920002 RACHMAD ROBBY PRASETYO SURABAYA 03|03|1992
65 3578080401089348 3578082806610003 AGUS IMAM WAHYUDI SURABAYA 28|06|1961
66 3578080401089348 3578086909700001 YENNY MARTHA MASFUFAH SURABAYA 29|09|1970
67 3578080401089348 3578082810920002 YANDI KRESNA AFIANTA SURABAYA 28|10|1992
68 3578080401089348 3578081805960001 RANGGA DWI KURNIAWAN SURABAYA 18|05|1996
69 3578080705130008 3578086201840001 FAULINA ARIANTI SURABAYA 22|01|1984
70 3578080705130008 3517181101890002 ARIK AGUS SANTOSO SURABAYA 11|01|1989
71 3578081003090020 3578086904840002 CITRA KUSUMAWARDHANI SURABAYA 29|04|1984
72 3578081003090020 3578081003850004 ACHMAD HAMBALI SURABAYA 10|03|1985
73 3578081505090018 3578081304820003 DEDI FAJAR KISTANTO SURABAYA 13|04|1982
74 3578081505090018 3578084512850002 ULUL AZMI SURABAYA 05|12|1985
75 3578083101120011 3578115008860002 ANITA HERAWATI SURABAYA 10|08|1986
76 3578083101120011 3578081603870001 RIZKY RACHMANTO SURABAYA 16|03|1987
77 3578080201081596 3578080801010003 MUHAMAD IRVAN AFANDY SURABAYA 08|01|2001
78 3578080201088631 3578082504990003 GERRY ARYO BIMOYONO SURABAYA 25|04|1999
79 3578080401089348 3578082112980001 RIZAL SAHRU RAMADHAN SURABAYA 21|12|1998
80 3578080501082013 3578085404770006 LINA KUSUMA SARI SURABAYA 14|04|1977
81 3578080501082013 3578082506990002 DIMAS KUSUMA JAYA SURABAYA 25|06|1999
82 3578080201082400 3578080403730005 RUDY SETYONO SURABAYA 04|03|1973
83 3578080201082400 3578084204730004 HERY TAURIS TYOWATI JOMBANG 02|04|1973
84 3578080201082400 3578080908970004 ADITYA PERDANA PUTRA SURABAYA 09|08|1997
8

23|01|1961 57 S L KEDUNG PENGKOL 1/27 3 3 0


02|11|1983 34 S L KEDUNG PENGKOL 1/27 3 3 0
03|08|1993 24 B L KEDUNG PENGKOL 1/27 3 3 0
20|11|1995 22 B L KEDUNG PENGKOL 1/27 3 3 0
28|06|1972 45 S P KEDUNG PENGKOL 1/27 3 3 0
03|05|1972 46 S L KEDUNG PENGKOL 1/27 3 3 0
19|07|1947 70 P P KEDUNG PENGKOL 1/29 3 3 0
12|12|1968 49 S L KEDUNG PENGKOL 1/29 3 3 0
07|01|1975 43 S P KEDUNG PENGKOL 1/29 3 3 0
17|04|1997 21 B P KEDUNG PENGKOL 1/29 3 3 0
25|05|1998 20 B P KEDUNG PENGKOL 1/29 3 3 0
10|05|1980 38 S P KEDUNG PENGKOL 1/33 3 3 0
16|11|1980 37 S L KEDUNG PENGKOL 1/33 3 3 0
18|08|1980 37 S L KEDUNG PENGKOL 1/33 3 3 0
22|10|1986 31 S P KEDUNG PENGKOL 1/33 3 3 0
22|11|1983 34 S L KEDUNG PENGKOL 1/33 3 3 0
10|08|1984 33 S P KEDUNG PENGKOL 1/33 3 3 0
12|03|1943 75 S L KEDUNG PENGKOL 1/33 3 3 0
15|05|1949 69 S P KEDUNG PENGKOL 1/33 3 3 0
10|10|1969 48 S L KEDUNG PENGKOL 1/33 3 3 0
15|09|1970 47 S P KEDUNG PENGKOL 1/33 3 3 0
31|05|1993 25 B L KEDUNG PENGKOL 1/33 3 3 0
17|02|1955 63 S L KEDUNG PENGKOL 1/33 3 3 0
29|09|1956 61 S P KEDUNG PENGKOL 1/33 3 3 0
28|10|1957 60 S L KEDUNG PENGKOL 1/33 3 3 0
22|04|1965 53 S P KEDUNG PENGKOL 1/33 3 3 0
03|03|1992 26 B L KEDUNG PENGKOL 1/33 3 3 0
28|06|1961 56 S L KEDUNG PENGKOL 1/33 3 3 0
29|09|1970 47 S P KEDUNG PENGKOL 1/33 3 3 0
28|10|1992 25 B L KEDUNG PENGKOL 1/33 3 3 0
18|05|1996 22 B L KEDUNG PENGKOL 1/33 3 3 0
22|01|1984 34 S P KEDUNG PENGKOL 1/33 3 3 0
11|01|1989 29 S L KEDUNG PENGKOL 1/33 3 3 0
29|04|1984 34 S P KEDUNG PENGKOL 1/33 3 3 0
10|03|1985 33 S L KEDUNG PENGKOL 1/33 3 3 0
13|04|1982 36 S L KEDUNG PENGKOL 1/33 3 3 0
05|12|1985 32 S P KEDUNG PENGKOL 1/33 3 3 0
10|08|1986 31 S P KEDUNG PENGKOL 1/33 3 3 0
16|03|1987 31 S L KEDUNG PENGKOL 1/33 3 3 0
08|01|2001 17 B L KEDUNG PENGKOL 1/33 3 3 0
25|04|1999 19 B L KEDUNG PENGKOL 1/33 3 3 0
21|12|1998 19 B L KEDUNG PENGKOL 1/33 3 3 0
14|04|1977 41 S P KEDUNG PENGKOL 1/33-B 3 3 0
25|06|1999 19 B L KEDUNG PENGKOL 1/33-B 3 3 0
04|03|1973 45 S L KEDUNG PENGKOL 1/33-F 3 3 0
02|04|1973 45 S P KEDUNG PENGKOL 1/33-F 3 3 0
09|08|1997 20 B L KEDUNG PENGKOL 1/33-F 3 3 0

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85 3578080501083355 3578084902740003 SUSANA SURABAYA 09|02|1974
86 3578080501083355 3578086606950002 LITA SULFIANA RACHMAN SURABAYA 26|06|1995
87 3578080501083355 3578083009690003 MUCH. LUTFI RACHMAN SURABAYA 30|09|1969
88 3578080201082894 3578085808730003 SRI ERNI WIDYANI SURABAYA 18|08|1973
89 3578080301081130 3578085605490001 KASIJATUN JOMBANG 16|05|1949
90 3578080602140017 3578086505510002 KASIANI JOMBANG 25|05|1951
91 3578080201083978 3578081612640001 MUDJIANTO SURABAYA 16|12|1964
92 3578080201083978 3578085801720001 NINIK SUMARTINI SURABAYA 18|01|1972
93 3578080301086435 3578086711710002 KUNDARI SURABAYA 27|11|1971
94 3578080301086435 3578080404950005 RAKHA ASYROFI SURABAYA 04|04|1995
95 3578080301086435 3578086605980002 REVA RIANI PUTRI ASYROFI SURABAYA 26|05|1998
96 3578080401082804 3578084601450001 YATINI PONOROGO 06|01|1945
97 3578080301086435 3578081507610001 DR. RUFI`I, S.SI,ST,M.PD SURABAYA 15|07|1961
98 3578080101089186 3578085509670005 UMI CHAYANAH SURABAYA 15|09|1967
99 3578080101089186 3578080805700006 HARI SOESANTO SURABAYA 08|05|1970
100 3578080401088379 3578082907660002 AGUS UNTUNG SUDJIONO SURABAYA 29|07|1966
101 3578080401088379 3578084805690003 JUWARSIH CILACAP 08|05|1969
102 3578080401088379 3578081105960004 EKO SYAEFUDIN SIDOARJO 11|05|1996
103 3578080602140002 3527062810840002 HOIRI SAMPANG 28|10|1984
104 3578080602140002 3527066611850004 NURYATUN SAMPANG 26|11|1985
105 3578082407140013 3522185310830004 USWATUN KHASANAH BOJONEGORO 13|10|1983
106 3578080401086884 3578086611540002 ROCHANI MALANG 26|11|1954
107 3578080401086884 3578081109550003 SOEPRIADJI SURABAYA 11|09|1955
108 3578080401086884 3578084406840007 ROCHMAH YUNIARTI SURABAYA 04|06|1984
109 3578080101086430 3578081006640004 YERRY YOSEPH MALANG 10|06|1964
110 3578080101086430 3578085503700001 ENDANG WAHYUNINGSIH SIDOARJO 15|03|1970
111 3578080101086430 3578081605950001 RICHARD RANDY YOSEPH SURABAYA 16|05|1995
112 3578080201082026 3578086812790005 SUSIATI JEMBER 28|12|1979
113 3578080201082026 3578081401840001 DENY CHOIRUL ARIFIN MOJOKERTO 14|01|1984
114 3578080201082027 3578080607790004 BAMBANG SIDI PURNOMO SURABAYA 06|07|1979
115 3578080201082027 3578085003830002 HARNI SURABAYA 10|03|1983
116 3578080401082377 3578081809540002 PUDJI SANTOSO SURABAYA 18|09|1954
117 3578080401082377 3578084910570003 SRI NUNUK MINARNI BABAT 09|10|1957
118 3578081406130004 3210202608820001 KARTIWA MAJALENGKA 26|08|1982
119 3578081406130004 3578085908850005 RATNA PUSPITA SARI SURABAYA 19|08|1985
120 3578081802100028 3578081407800002 EKO YUSTITIYA GUNAWAN, SE BABAT 14|07|1980
121 3578081802100028 3578255109810001 RETNO TRI SATITI, SE SURABAYA 11|09|1981
122 3578080401088374 3578085906480002 Dra.Hj. ISTIYA SUPRIHATIN PACITAN 19|06|1948
123 3578080101089052 3578085912720001 LATIFAH HANUM SURABAYA 19|12|1972
124 3578080101089052 3578082605740001 MURYONO KEDIRI 26|05|1974
125 3578080201081581 3578085505800003 TITIK KUSMI HARTANTI PONOROGO 15|05|1980
126 3578080201081581 3578081012840001 MUHAMMAD GUNTUR ARIFIN SURABAYA 10|12|1984
127 3578080301088519 3578080512530001 IMAM CHAMBALI SURABAYA 05|12|1953
128 3578080301088519 3578084502630001 NY. UMI ASLIYAH KEDIRI 05|02|1963
129 3578080401081856 3578081002720009 ISMANTO AKBAR SURABAYA 10|02|1972
130 3578080401081856 3578081708730003 AGUS ROCHTULLOH SURABAYA 17|08|1973
131 3578080401082163 3578084707690004 SOFIAH SURABAYA 07|07|1969
8

09|02|1974 44 S P KEDUNG PENGKOL 1/34 3 3 0


26|06|1995 23 B P KEDUNG PENGKOL 1/34 3 3 0
30|09|1969 48 S L KEDUNG PENGKOL 1/34 3 3 0
18|08|1973 44 S P KEDUNG PENGKOL 1/34-C 3 3 0
16|05|1949 69 P P KEDUNG PENGKOL 1/34-C 3 3 0
25|05|1951 67 P P KEDUNG PENGKOL 1/34-C 3 3 0
16|12|1964 53 S L KEDUNG PENGKOL 1/35 3 3 0
18|01|1972 46 S P KEDUNG PENGKOL 1/35 3 3 0
27|11|1971 46 S P KEDUNG PENGKOL 1/35 3 3 0
04|04|1995 23 B L KEDUNG PENGKOL 1/35 3 3 0
26|05|1998 20 B P KEDUNG PENGKOL 1/35 3 3 0
06|01|1945 73 P P KEDUNG PENGKOL 1/35 3 3 0
15|07|1961 56 S L KEDUNG PENGKOL 1/35 3 3 0
15|09|1967 50 S P KEDUNG PENGKOL 1/36 3 3 0
08|05|1970 48 S L KEDUNG PENGKOL 1/36 3 3 0
29|07|1966 51 S L KEDUNG PENGKOL 1/36-A 3 3 0
08|05|1969 49 S P KEDUNG PENGKOL 1/36-A 3 3 0
11|05|1996 22 B L KEDUNG PENGKOL 1/36-A 3 3 0
28|10|1984 33 S L KEDUNG PENGKOL 1/36-A 3 3 0
26|11|1985 32 S P KEDUNG PENGKOL 1/36-A 3 3 0
13|10|1983 34 S P KEDUNG PENGKOL 1/36-A 3 3 0
26|11|1954 63 S P KEDUNG PENGKOL 1/36-B 3 3 0
11|09|1955 62 S L KEDUNG PENGKOL 1/36-B 3 3 0
04|06|1984 34 B P KEDUNG PENGKOL 1/36-B 3 3 0
10|06|1964 54 S L KEDUNG PENGKOL 1/36-C 3 3 0
15|03|1970 48 S P KEDUNG PENGKOL 1/36-C 3 3 0
16|05|1995 23 B L KEDUNG PENGKOL 1/36-C 3 3 0
28|12|1979 38 S P KEDUNG PENGKOL 1/36-D BLK 3 3 0
14|01|1984 34 S L KEDUNG PENGKOL 1/36-D BLK 3 3 0
06|07|1979 38 S L KEDUNG PENGKOL 1/36-D BLK 3 3 0
10|03|1983 35 S P KEDUNG PENGKOL 1/36-D BLK 3 3 0
18|09|1954 63 S L KEDUNG PENGKOL 1/37 3 3 0
09|10|1957 60 S P KEDUNG PENGKOL 1/37 3 3 0
26|08|1982 35 S L KEDUNG PENGKOL 1/37 3 3 0
19|08|1985 32 S P KEDUNG PENGKOL 1/37 3 3 0
14|07|1980 37 S L KEDUNG PENGKOL 1/37 3 3 0
11|09|1981 36 S P KEDUNG PENGKOL 1/37 3 3 0
19|06|1948 70 B P KEDUNG PENGKOL 1/37 3 3 0
19|12|1972 45 S P KEDUNG PENGKOL 1/40 3 3 0
26|05|1974 44 S L KEDUNG PENGKOL 1/40 3 3 0
15|05|1980 38 S P KEDUNG PENGKOL 1/40 3 3 0
10|12|1984 33 S L KEDUNG PENGKOL 1/40 3 3 0
05|12|1953 64 S L KEDUNG PENGKOL 1/40 3 3 0
05|02|1963 55 S P KEDUNG PENGKOL 1/40 3 3 0
10|02|1972 46 B L KEDUNG PENGKOL 1/40 3 3 0
17|08|1973 44 B L KEDUNG PENGKOL 1/40 3 3 0
07|07|1969 48 S P KEDUNG PENGKOL 1/40 3 3 0

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132 3578080401082163 3578082306700009 FATCHUR RACHMAN SURABAYA 23|06|1970
133 3578080401082163 3578080209940001 ABDULLAH SUKRIEROCHMAN SURABAYA 02|09|1994
134 3578080401082163 3578081011970003 NOVI ARI KURNIAWAN SURABAYA 10|11|1997
135 3578080401082802 3578081203520001 MOCH SULTONI SURABAYA 12|03|1952
136 3578080401082802 3578084103660001 MUDJIANAH SURABAYA 01|03|1966
137 3578080401082802 3578083006690017 MOCH MUCHRIM SURABAYA 30|06|1969
138 3578080401089166 3578081901690009 ISMANU SURABAYA 19|01|1969
139 3578080401089166 3578085809740011 FINDA AMBHITA SURABAYA 18|09|1974
140 3578081702100043 3578080403890002 TAUFIK KURACHMAN SURABAYA 04|03|1989
141 3578082004170001 3578266204910001 KARTIKA SARI SURABAYA 22|04|1991
142 3578080301088519 3578080308000001 LANGGENG KRAMAYUDA SURABAYA 03|08|2000
143 3578080401089166 3578086602990003 VISTA HERMAWATI SURABAYA 26|02|1999
144 3578080401081706 3578086803570001 MUCHADASYAH SURABAYA 28|03|1957
145 3578080401081706 3578081802580001 MUNASIS SURABAYA 18|02|1958
146 3578081503130007 3578084409870002 LINA SELFIANA SURABAYA 04|09|1987
147 3578082208130002 3520083012840001 SIDIK SANTOSO MAGETAN 30|12|1984
148 3578082208130002 3578084409870001 LENI ANGGRAINI SURABAYA 04|09|1987
149 3578080401081706 3578080908830005 ALIMMATUS FIRMANSYAH, S.Pd SURABAYA 09|08|1983
150 3578081503130007 3578090402830002 STEPANUS JOHN.T SURABAYA 04|02|1983
151 3578080301084876 3578087110960001 LISNAIFAHSYA GHINA SA`DIYAH SURABAYA 31|10|1996
152 3578080301084876 3578082909660008 Drs. SYAIFUL ULUM SURABAYA 29|09|1966
153 3578080301084876 3578086806710003 SOELISTIJA SRI PAMILIH,S.Pd SURABAYA 28|06|1971
154 3578081804130006 3578086906470019 NASIKAH PANDAAN 29|06|1947
155 3578081804130006 3578085808860001 DIANA AGUSTIN SURABAYA 18|08|1986
156 3578081804130006 3578101705820004 BENI ISMADI SURABAYA 17|05|1982
157 3578080201086658 3578081912520001 MIDJO KEBUMEN 19|12|1952
158 3578080101085119 3578085309750002 MUSLIMA SURABAYA 13|09|1975
159 3578080101085119 3578082210760001 SJAMSUL ANWAR SURABAYA 22|10|1976
160 3578080101085538 3578080603710004 KURNIAWAN DWIDJO TJAHYONO SURABAYA 06|03|1971
161 3578080101085538 3578085804760002 NI`MAH HAMIDAH SURABAYA 18|04|1976
162 3578080105120222 3578084403530005 DJUWARIYAH SURABAYA 04|03|1953
163 3578080201082612 3578081304770002 M. NOVIANTO SURABAYA 13|04|1977
164 3578080201082612 3578086406790005 SUPRIJATI SURABAYA 24|06|1979
165 3578080201084382 3578080609790002 RIO SURYADINATA, SE SURABAYA 06|09|1979
166 3578080401080713 3578086605560002 SITI DJUWARIYAH SURABAYA 26|05|1956
167 3578080401082376 3578081212510004 MOH. AMARI SURABAYA 12|12|1951
168 3578080401082376 3578086609520003 SUDARTIWI BOJONEGORO 26|09|1952
169 3578080401085748 3578084101430002 TOEMIYAH TULANGAN 01|01|1943
170 3578080401085748 3578085202680001 SUHARTINAH SURABAYA 12|02|1968
171 3578080401086879 3578082807420001 SOEPARMAN SURABAYA 28|07|1942
172 3578080401086879 3578087006510049 KARNATUN JOMBANG 30|06|1951
173 3578080401086879 3578084405810004 ERNI LINDA PURWATI SURABAYA 04|05|1981
174 3578080401086879 3578081607840002 BAMBANG PRASETYO SURABAYA 16|07|1984
175 3578081101100037 3578081009700004 MOH. AMIN SAMPANG 10|09|1970
176 3578081101100037 3578084101770006 RODIYAH SAMPANG 01|01|1977
177 3578081406100078 3578080505750008 SULIMAN RIFAI SURABAYA 05|05|1975
178 3578081406100078 3578085904800005 ENI KUSIJAH SURABAYA 19|04|1980
8

23|06|1970 48 S L KEDUNG PENGKOL 1/40 3 3 0


02|09|1994 23 B L KEDUNG PENGKOL 1/40 3 3 0
10|11|1997 20 B L KEDUNG PENGKOL 1/40 3 3 0
12|03|1952 66 P L KEDUNG PENGKOL 1/40 3 3 0
01|03|1966 52 B P KEDUNG PENGKOL 1/40 3 3 0
30|06|1969 48 B L KEDUNG PENGKOL 1/40 3 3 0
19|01|1969 49 S L KEDUNG PENGKOL 1/40 3 3 0
18|09|1974 43 S P KEDUNG PENGKOL 1/40 3 3 0
04|03|1989 29 S L KEDUNG PENGKOL 1/40 3 3 0
22|04|1991 27 S P KEDUNG PENGKOL 1/40 3 3 0
03|08|2000 17 B L KEDUNG PENGKOL 1/40 3 3 0
26|02|1999 19 B P KEDUNG PENGKOL 1/40 3 3 0
28|03|1957 61 S P KEDUNG PENGKOL 1/42-A 3 3 0
18|02|1958 60 S L KEDUNG PENGKOL 1/42-A 3 3 0
04|09|1987 30 S P KEDUNG PENGKOL 1/42-A 3 3 0
30|12|1984 33 S L KEDUNG PENGKOL 1/42-A 3 3 0
04|09|1987 30 S P KEDUNG PENGKOL 1/42-A 3 3 0
09|08|1983 34 B L KEDUNG PENGKOL 1/42-A 3 3 0
04|02|1983 35 B L KEDUNG PENGKOL 1/42-A 3 3 0
31|10|1996 21 B P KEDUNG PENGKOL 1/44 3 3 0
29|09|1966 51 S L KEDUNG PENGKOL 1/44 3 3 0
28|06|1971 46 S P KEDUNG PENGKOL 1/44 3 3 0
29|06|1947 70 P P KEDUNG PENGKOL 1/46 3 3 0
18|08|1986 31 S P KEDUNG PENGKOL 1/46 3 3 0
17|05|1982 36 B L KEDUNG PENGKOL 1/46 3 3 0
19|12|1952 65 S L KEDUNG PENGKOL 1/46-B 3 3 0
13|09|1975 42 S P KEDUNG PENGKOL 1/48 3 3 0
22|10|1976 41 S L KEDUNG PENGKOL 1/48 3 3 0
06|03|1971 47 S L KEDUNG PENGKOL 1/48 3 3 0
18|04|1976 42 S P KEDUNG PENGKOL 1/48 3 3 0
04|03|1953 65 P P KEDUNG PENGKOL 1/48 3 3 0
13|04|1977 41 S L KEDUNG PENGKOL 1/48 3 3 0
24|06|1979 39 S P KEDUNG PENGKOL 1/48 3 3 0
06|09|1979 38 P L KEDUNG PENGKOL 1/48 3 3 0
26|05|1956 62 S P KEDUNG PENGKOL 1/48 3 3 0
12|12|1951 66 S L KEDUNG PENGKOL 1/48 3 3 0
26|09|1952 65 S P KEDUNG PENGKOL 1/48 3 3 0
01|01|1943 75 P P KEDUNG PENGKOL 1/48 3 3 0
12|02|1968 50 B P KEDUNG PENGKOL 1/48 3 3 0
28|07|1942 75 S L KEDUNG PENGKOL 1/48 3 3 0
30|06|1951 66 S P KEDUNG PENGKOL 1/48 3 3 0
04|05|1981 37 B P KEDUNG PENGKOL 1/48 3 3 0
16|07|1984 33 B L KEDUNG PENGKOL 1/48 3 3 0
10|09|1970 47 S L KEDUNG PENGKOL 1/48 3 3 0
01|01|1977 41 S P KEDUNG PENGKOL 1/48 3 3 0
05|05|1975 43 S L KEDUNG PENGKOL 1/48 3 3 0
19|04|1980 38 S P KEDUNG PENGKOL 1/48 3 3 0

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179 3578081701130011 3578080412750004 MULIYONO SURABAYA 04|12|1975
180 3578081701130011 3524177011830001 NUR KHOIROWATI LAMONGAN 30|11|1983
181 3578082311090001 3578080302730002 SUYANTO SURABAYA 03|02|1973
182 3578082311090001 3578084107810007 SUBEIDEH SAMPANG 01|07|1981
183 3578082910130003 3508070203700011 HARIONO LUMAJANG 02|03|1970
184 3578082910130003 3578106508820008 ERNI SURABAYA 25|08|1982
185 3578080101085538 3578085411000001 SHANIA PUTRI BADRIYYAH SURABAYA 14|11|2000
186 3578081609140008 3578201311760001 TRI HARIYANTO SURABAYA 13|11|1976
187 3578081609140008 3578205012800002 ERMAWATI SURABAYA 10|12|1980
188 3578080201083500 3578081308850001 MOH. ROSUL MALANG 13|08|1985
189 3578080201083500 3578086612860001 SRI WAHYUNI SURABAYA 26|12|1986
190 3578080301080241 3578084804580003 LISANAWATI SURABAYA 08|04|1958
191 3578080301080241 3578082506780004 MOCHAMAD MASRUR SURABAYA 25|06|1978
192 3578080301080241 3578080701830002 MOCHAMAD CHOIRON SURABAYA 07|01|1983
193 3578080401081938 3578082211540001 MOEDJONO SURABAYA 22|11|1954
194 3578080804100010 3578061510780001 HASAN BANGKALAN 15|10|1978
195 3578080804100010 3578085604800002 LILIK FAUZIAH SURABAYA 16|04|1980
196 3578080809120003 3578085701810002 MUJAYANAH MOJOKERTO 17|01|1981
197 3578080101081470 3578082301660005 SOEGENG HARIADI SURABAYA 23|01|1966
198 3578080101081470 3578086511700001 NUFI DIANAWATI SURABAYA 25|11|1970
199 3578080101081470 3578084701930002 RATIH KUSUMA WARDANI SURABAYA 07|01|1993
200 3578080101081470 3578086011960003 NINDYA NOVITASARI SURABAYA 20|11|1996
201 3578080201080767 3578081505700002 DJUNAIDI SURABAYA 15|05|1970
202 3578080201080767 3578084307780002 LILIK ANDRA WAHYUNI SURABAYA 03|07|1978
203 3578080401082754 3578081307690005 SUJUD KEDIRI 13|07|1969
204 3578080401082754 3578085802730002 INDAHWATI SURABAYA 18|02|1973
205 3578080401082754 3578086811940002 SILVI SUKMAWATI SURABAYA 28|11|1994
206 3578080101082616 3578081211720002 RIYADI SURABAYA 12|11|1972
207 3578080101082616 3578086707750002 TRI WINARTI SLEMAN 27|07|1975
208 3578080101082616 3578086401970002 WINDI ARUM KUSUMA SARI SURABAYA 26|01|1997
209 3578080301084265 3578082609370001 HOEDYO WARDOJO MALANG 26|09|1937
210 3578080401087021 3578083010380001 MOCH. SLAMET SURABAYA 30|10|1938
211 3578080401087021 3578085505750001 SUWARNI SURABAYA 15|05|1975
212 3578081003170006 3578085106760003 SUSANA SURABAYA 11|06|1976
213 3578083110110040 3578082510770006 TOHER TILAN SAMPANG 25|10|1977
214 3578083110110040 3578086510790001 SUNARMI SURABAYA 25|10|1979
215 3578080301080619 3578080405810001 BRAMANTIO,,S.S,M.HUM SURABAYA 04|05|1981
216 3578080101081464 3578082412500001 SYAMSOEL HOEDA SURABAYA 24|12|1950
217 3578080101081464 3578084209600004 DEWI SUCHUFIE SURABAYA 02|09|1960
218 3578080101081464 3578081005950001 MOCH.TAUFIK ISMAIL SURABAYA 10|05|1995
219 3578081501150011 3174055909820016 OLIVIA EVASARI JAKARTA 19|09|1982
220 3578081501150011 3578081604840001 EDI ILMU LAHUT SURABAYA 16|04|1984
221 3578080101088117 3578086405580001 PURWANI WILISTIYOMIATI SURABAYA 24|05|1958
222 3578080301081147 3578085602550002 KUSMIJATI SURABAYA 16|02|1955
223 3578080301081147 3578081207930005 M ARIEF RACHMAN SURABAYA 12|07|1993
224 3578080301081148 3578080812560002 SUPONO YOGYAKARTA 08|12|1956
225 3578080301081148 3578084107610001 ISMIJATI SURABAYA 01|07|1961
8

04|12|1975 42 S L KEDUNG PENGKOL 1/48 3 3 0


30|11|1983 34 S P KEDUNG PENGKOL 1/48 3 3 0
03|02|1973 45 S L KEDUNG PENGKOL 1/48 3 3 0
01|07|1981 36 S P KEDUNG PENGKOL 1/48 3 3 0
02|03|1970 48 S L KEDUNG PENGKOL 1/48 3 3 0
25|08|1982 35 S P KEDUNG PENGKOL 1/48 3 3 0
14|11|2000 17 B P KEDUNG PENGKOL 1/48 3 3 0
13|11|1976 41 S L KEDUNG PENGKOL 1/48 3 3 0
10|12|1980 37 S P KEDUNG PENGKOL 1/48 3 3 0
13|08|1985 32 S L KEDUNG PENGKOL 1/48-A 3 3 0
26|12|1986 31 S P KEDUNG PENGKOL 1/48-A 3 3 0
08|04|1958 60 P P KEDUNG PENGKOL 1/48-A 3 3 0
25|06|1978 40 B L KEDUNG PENGKOL 1/48-A 3 3 0
07|01|1983 35 P L KEDUNG PENGKOL 1/48-A 3 3 0
22|11|1954 63 S L KEDUNG PENGKOL 1/48-A 3 3 0
15|10|1978 39 S L KEDUNG PENGKOL 1/48-A 3 3 0
16|04|1980 38 S P KEDUNG PENGKOL 1/48-A 3 3 0
17|01|1981 37 P P KEDUNG PENGKOL 1/48-A 3 3 0
23|01|1966 52 S L KEDUNG PENGKOL 1/48-B 3 3 0
25|11|1970 47 S P KEDUNG PENGKOL 1/48-B 3 3 0
07|01|1993 25 B P KEDUNG PENGKOL 1/48-B 3 3 0
20|11|1996 21 B P KEDUNG PENGKOL 1/48-B 3 3 0
15|05|1970 48 S L KEDUNG PENGKOL 1/48-B 3 3 0
03|07|1978 39 S P KEDUNG PENGKOL 1/48-B 3 3 0
13|07|1969 48 S L KEDUNG PENGKOL 1/48-B 3 3 0
18|02|1973 45 S P KEDUNG PENGKOL 1/48-B 3 3 0
28|11|1994 23 B P KEDUNG PENGKOL 1/48-B 3 3 0
12|11|1972 45 S L KEDUNG PENGKOL 1/48-C 3 3 0
27|07|1975 42 S P KEDUNG PENGKOL 1/48-C 3 3 0
26|01|1997 21 B P KEDUNG PENGKOL 1/48-C 3 3 0
26|09|1937 80 S L KEDUNG PENGKOL 1/48-C 3 3 0
30|10|1938 79 P L KEDUNG PENGKOL 1/48-C 3 3 0
15|05|1975 43 B P KEDUNG PENGKOL 1/48-C 3 3 0
11|06|1976 42 S P KEDUNG PENGKOL 1/48-C 3 3 0
25|10|1977 40 S L KEDUNG PENGKOL 1/48-C 3 3 0
25|10|1979 38 S P KEDUNG PENGKOL 1/48-C 3 3 0
04|05|1981 37 B L KEDUNG PENGKOL 2/ 6 3 3 0
24|12|1950 67 S L KEDUNG PENGKOL 2/1 3 3 0
02|09|1960 57 S P KEDUNG PENGKOL 2/1 3 3 0
10|05|1995 23 B L KEDUNG PENGKOL 2/1 3 3 0
19|09|1982 35 S P KEDUNG PENGKOL 2/1 3 3 0
16|04|1984 34 B L KEDUNG PENGKOL 2/1 3 3 0
24|05|1958 60 P P KEDUNG PENGKOL 2/11 3 3 0
16|02|1955 63 P P KEDUNG PENGKOL 2/14 3 3 0
12|07|1993 24 B L KEDUNG PENGKOL 2/14 3 3 0
08|12|1956 61 S L KEDUNG PENGKOL 2/14 3 3 0
01|07|1961 56 S P KEDUNG PENGKOL 2/14 3 3 0

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226 3578083108150014 3578085412860004 DEVI DWI PUSPITANINGTYAS SURABAYA 14|12|1986
227 3578080101087973 3578082508810001 BELFIN PAIAN SIAHAAN, SS ONAN SAMPANG 25|08|1981
228 3578080101087973 3275046609830021 M.BERNADETTE BETANINGDYAS JAKARTA 26|09|1983
229 3578080201083155 3578082804760003 PARAS GUNAWAN,A.Md JAKARTA 28|04|1976
230 3578080201083155 3578085109810002 SHINTA IKA SULISTYAWATI,SE SURABAYA 11|09|1981
231 3578083108150014 3578092711860004 NOVAN DWI ERWANTO SURABAYA 27|11|1986
232 3578081901160001 3507044303880002 KREAFTA MERIDIAN GRESIK 03|03|1988
233 3578080201081222 3578080409570001 HURI NGANJUK 04|09|1957
234 3578082701140015 1171045202820001 SARAH FIRDAUSA BANDA ACEH 12|02|1982
235 3578080210150004 3578082703860003 PUNGKY BUDIAWAN, SE SURABAYA 27|03|1986
236 3578080301084218 3578081611580002 RISTIYONO MADIUN 16|11|1958
237 3578080301084218 3578084104640002 ERNAWATI SURABAYA 01|04|1964
238 3578080210150004 3515086006850009 SAVITRY PRAMITA SURABAYA 20|06|1985
239 3578080101088041 3578082601650003 SETYOKO WIDADI TUBAN 26|01|1965
240 3578080101088041 3578085006740003 ROHMI ZAENAL SURABAYA 10|06|1974
241 3578080201083299 3578080812710001 NURMAN LAMONGAN 08|12|1971
242 3578080201083299 3578086507760003 WARSINAH NGANJUK 25|07|1976
243 3578080401089491 3578082503700002 SLAMET SUNARIYADI SURABAYA 25|03|1970
244 3578080401089491 3578084106710005 BINTI ANISAH MALANG 01|06|1971
245 3578080401089491 3578084402980001 SAFITRI NUR NADIYA SURABAYA 04|02|1998
246 3578082606090012 3578087007940002 RATIH KUSUMA DEWI SURABAYA 30|07|1994
247 3578080101088041 3578086105010002 SITI SAFIRATUL FALAKHA TUBAN 21|05|2001
248 3578080101086459 3578080808620001 SOERATMAN SURABAYA 08|08|1962
249 3578080101086459 3578084911670004 CHOIRUL BARIYAH SURABAYA 09|11|1967
250 3578080101086459 3578081711910003 MUCHAMMAD SYAHMINAN ZAINI SURABAYA 17|11|1991
251 3578080101086459 3578086202960001 SURURIA SURABAYA 22|02|1996
252 3578080208130011 3578085911960003 ANNA PUSPITA DEWI SEMARANG 19|11|1996
253 3578080101086459 3578086104010001 SITI ULFA TURROCHMA SURABAYA 21|04|2001
254 3578082009130002 3516036906690001 ELVIATI SURABAYA 29|06|1969
255 3578080201089814 3578087006390052 AMBARSIH BOJONEGORO 30|06|1939
256 3578080201089814 3578085209720002 ISMATUN LATIFAH SURABAYA 12|09|1972
257 3578082009130002 3516032006710002 NANANG JUNIARKO SURABAYA 20|06|1971
258 3578082009130002 3516036412950003 ELNA ISTIQOMAH AZHA ZAKIA SURABAYA 24|12|1995
259 3578082603120008 3578071208640001 MOH. SJAHRIL SURABAYA 12|08|1964
260 3578082603120008 3578084310640003 SITI ROCHMAH SURABAYA 03|10|1964
261 3578080201089814 3578081304420001 ABD. ROCHIM SURABAYA 13|04|1942
262 3578082009130002 3516032712000002 MUHAMMAD FALIKH AIDIL FITRAH SURABAYA 27|12|2000
263 3578081507150009 1271052708990006 ASRAFIF TYAS PRANOWOHRP MEDAN 27|08|1999
264 3578080201083376 3524185211630004 ANIK LAMONGAN 12|11|1963
265 3578080201083376 3524182707920002 HAFID LUKMAN SURABAYA 27|07|1992
266 3578080201083376 3524186007950003 NURUL HIDAYANTI SURABAYA 20|07|1995
267 3578080201083376 3524186506970002 LAILI ALFIAH SURABAYA 25|06|1997
268 3578080201085211 3578082705820002 M. TAUFIK HIDAYAT SURABAYA 27|05|1982
269 3578080201085211 3578084604840001 ANIK PURWANTI SURABAYA 06|04|1984
270 3578080306160006 3578085606690004 MUDJIANI GRESIK 16|06|1969
271 3578080401086071 3578086504680002 MUNTIYANI LAMONGAN 25|04|1968
272 3578080401086880 3578081208640005 MUDJIONO SURABAYA 12|08|1964
8

14|12|1986 31 B P KEDUNG PENGKOL 2/14 3 3 0


25|08|1981 36 B L KEDUNG PENGKOL 2/14 3 3 0
26|09|1983 34 B P KEDUNG PENGKOL 2/14 3 3 0
28|04|1976 42 S L KEDUNG PENGKOL 2/14 3 3 0
11|09|1981 36 S P KEDUNG PENGKOL 2/14 3 3 0
27|11|1986 31 B L KEDUNG PENGKOL 2/14 3 3 0
03|03|1988 30 B P KEDUNG PENGKOL 2/15 3 3 0
04|09|1957 60 S L KEDUNG PENGKOL 2/17-B 3 3 0
12|02|1982 36 S P KEDUNG PENGKOL 2/18-A 3 3 0
27|03|1986 32 B L KEDUNG PENGKOL 2/19 3 3 0
16|11|1958 59 S L KEDUNG PENGKOL 2/19 3 3 0
01|04|1964 54 S P KEDUNG PENGKOL 2/19 3 3 0
20|06|1985 33 B P KEDUNG PENGKOL 2/19 3 3 0
26|01|1965 53 S L KEDUNG PENGKOL 2/21 3 3 0
10|06|1974 44 S P KEDUNG PENGKOL 2/21 3 3 0
08|12|1971 46 S L KEDUNG PENGKOL 2/21 3 3 0
25|07|1976 41 S P KEDUNG PENGKOL 2/21 3 3 0
25|03|1970 48 S L KEDUNG PENGKOL 2/21 3 3 0
01|06|1971 47 S P KEDUNG PENGKOL 2/21 3 3 0
04|02|1998 20 B P KEDUNG PENGKOL 2/21 3 3 0
30|07|1994 23 B P KEDUNG PENGKOL 2/21 3 3 0
21|05|2001 17 B P KEDUNG PENGKOL 2/21 3 3 0
08|08|1962 55 S L KEDUNG PENGKOL 2/21-A 3 3 0
09|11|1967 50 S P KEDUNG PENGKOL 2/21-A 3 3 0
17|11|1991 26 B L KEDUNG PENGKOL 2/21-A 3 3 0
22|02|1996 22 B P KEDUNG PENGKOL 2/21-A 3 3 0
19|11|1996 21 B P KEDUNG PENGKOL 2/21-A 3 3 0
21|04|2001 17 B P KEDUNG PENGKOL 2/21-A 3 3 0
29|06|1969 48 S P KEDUNG PENGKOL 2/23 3 3 0
30|06|1939 78 S P KEDUNG PENGKOL 2/3 3 3 0
12|09|1972 45 B P KEDUNG PENGKOL 2/3 3 3 0
20|06|1971 47 S L KEDUNG PENGKOL 2/3 3 3 0
24|12|1995 22 B P KEDUNG PENGKOL 2/3 3 3 0
12|08|1964 53 S L KEDUNG PENGKOL 2/3 3 3 0
03|10|1964 53 S P KEDUNG PENGKOL 2/3 3 3 0
13|04|1942 76 S L KEDUNG PENGKOL 2/3 3 3 0
27|12|2000 17 B L KEDUNG PENGKOL 2/3 3 3 0
27|08|1999 18 B L KEDUNG PENGKOL 2/7 3 3 0
12|11|1963 54 S P KEDUNG PENGKOL 2/8 3 3 0
27|07|1992 25 B L KEDUNG PENGKOL 2/8 3 3 0
20|07|1995 22 B P KEDUNG PENGKOL 2/8 3 3 0
25|06|1997 21 B P KEDUNG PENGKOL 2/8 3 3 0
27|05|1982 36 S L KEDUNG PENGKOL 2/8 3 3 0
06|04|1984 34 S P KEDUNG PENGKOL 2/8 3 3 0
16|06|1969 49 S P KEDUNG PENGKOL 2/8 3 3 0
25|04|1968 50 S P KEDUNG PENGKOL 2/8 3 3 0
12|08|1964 53 S L KEDUNG PENGKOL 2/8 3 3 0

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273 3578080401086881 3578081112530002 HADI PURNOMO SURABAYA 11|12|1953
274 3578080401086881 3578084808630001 SANI`AH GRESIK 08|08|1963
275 3578082108140014 3509051007840004 BUDIANTO BLITAR 10|07|1984
276 3578080401086071 3578082107670004 SYAFI`I LAMONGAN 21|07|1967
277 3578080401086071 3578080211000006 MUHAMMAD JAKA SANTOSO SURABAYA 02|11|2000
278 3578082108140014 3509054201870006 AINIYATUL FITRIYAH JEMBER 02|01|1987
279 3578080201082774 3578081306640004 SLAMET TRILAKSONO PUTRO SURABAYA 13|06|1964
280 3578080201082774 3578086005700004 HERNI MINARTI SURABAYA 20|05|1970
281 3578080202100008 3578083011770007 AGUNG ADI SAPTOMO MEDAN 30|11|1977
282 3578080202100008 3578084205820011 NIA LUSANAWATI SURABAYA 02|05|1982
283 3578080301084216 3578080101560006 MOCH.SOBERI SURABAYA 01|01|1956
284 3578080301084216 3578084305590003 SUSILOWATI SURABAYA 03|05|1959
285 3578080301084216 3578084212890003 DEKKA OLLIVIANTI SOBRI, SE SURABAYA 02|12|1989
286 3578080301084216 3578081901930005 MOCHAMAD FAUZI SOBRI SURABAYA 19|01|1993
287 3578080301084220 3578081905600003 AMINOE SURABAYA 19|05|1960
288 3578080401088585 3578080805730006 HENDRIANTO KURNIAWAN TULUNGAGUNG 08|05|1973
289 3578080401088585 3578085204740003 RETNO WAHYU ESTI MALANG 12|04|1974
290 3578080201083778 3578084305370001 BUNIH SAMPANG 03|05|1937
291 3578080201083778 3578082010800003 SAMSUL ARIFIN SAMPANG 20|10|1980
292 3578080201083778 3578085704870004 SUSI SURABAYA 17|04|1987
293 3578080908120036 3578082505810002 ENDRO SUGITO SURABAYA 25|05|1981
294 3578080908120036 3578085903830005 WAHYU KRISTIANA PANGESTUTI LAMONGAN 19|03|1983
295 3578080301080953 3578084607470002 Hj. ISMIATIN,S.Pd PACITAN 06|07|1947
296 3578080201089083 3578081708540003 DARMANSYAH BANJARMASIN 17|08|1954
297 3578080201089083 3578087006570034 NGADIYEM SURAKARTA 30|06|1957
298 3578080201085746 3578080807650001 SAJURI BOYOLALI 08|07|1965
299 3578080201085746 3578081105930005 RISFIONO MUHABIDDIN SURABAYA 11|05|1993
300 3578080201085746 3578083110960001 RIDHO MISBAHUL HUDA SURABAYA 31|10|1996
301 3578080201085746 3578085105670003 MUDJI WAHJUDIJATI SURABAYA 11|05|1967
302 3578080509110016 3578084101620015 NOR CHOTIMAH SURABAYA 01|01|1962
303 3578080509110016 3578081205840006 BAMBANG NURDIANSYAH SURABAYA 12|05|1984
304 3578082509130007 3578085008890001 DWI NUR ANGGRAENI SURABAYA 10|08|1989
305 3578080509110016 3578082604000001 ADAM NUR HERMANSYAH SURABAYA 26|04|2000
306 3578082509130007 3578212309880003 DUWI SEPDIONO NGAWI 23|09|1988
307 3578080501080707 3578081312590003 KARDI SURABAYA 13|12|1959
308 3578080501080707 3578085607610001 SOELFIJAH SURABAYA 16|07|1961
309 3578080501080707 3578080511910004 ACHMAD FARID SURABAYA 05|11|1991
310 3578080501080707 3578082605970001 MOCHAMMAD ANDRI LATIF SURABAYA 26|05|1997
311 3578080501080729 3578082306660004 MOESTOFAH SURABAYA 23|06|1966
312 3578080501080729 3578087001760003 LILIK ASTUTIK SURABAYA 30|01|1976
313 3578081604100159 3578104406750004 NURCHAYATI SURABAYA 04|06|1975
314 3578081604100159 3578082609770007 ACHMAD ARIS SURABAYA 26|09|1977
315 3578080301088526 3578085311370001 FREDERIKA MARGARETHA S AMBON - MALUKU 13|11|1937
316 3578080301088526 3578081807750005 YUBERLY GENSYO.S SURABAYA 18|07|1975
317 3578080501082627 3578082403450001 HAMDAN LAWANG 24|03|1945
318 3578080501082627 3578086908700001 RESTU WAHJUNINGTYAS SURABAYA 29|08|1970
319 3578080501082627 3578081606730004 WAHYUDI HARI PURNOMO SURABAYA 16|06|1973
8

11|12|1953 64 S L KEDUNG PENGKOL 2/8 3 3 0


08|08|1963 54 S P KEDUNG PENGKOL 2/8 3 3 0
10|07|1984 33 S L KEDUNG PENGKOL 2/8 3 3 0
21|07|1967 50 S L KEDUNG PENGKOL 2/8 3 3 0
02|11|2000 17 B L KEDUNG PENGKOL 2/8 3 3 0
02|01|1987 31 S P KEDUNG PENGKOL 2/8 3 3 0
13|06|1964 54 S L KEDUNG PENGKOL 2/9 3 3 0
20|05|1970 48 S P KEDUNG PENGKOL 2/9 3 3 0
30|11|1977 40 S L KEDUNG PENGKOL 2/9 3 3 0
02|05|1982 36 S P KEDUNG PENGKOL 2/9 3 3 0
01|01|1956 62 S L KEDUNG PENGKOL 2/9 3 3 0
03|05|1959 59 S P KEDUNG PENGKOL 2/9 3 3 0
02|12|1989 28 B P KEDUNG PENGKOL 2/9 3 3 0
19|01|1993 25 B L KEDUNG PENGKOL 2/9 3 3 0
19|05|1960 58 S L KEDUNG PENGKOL 2/9 3 3 0
08|05|1973 45 S L KEDUNG PENGKOL 2/9 3 3 0
12|04|1974 44 S P KEDUNG PENGKOL 2/9 3 3 0
03|05|1937 81 P P KEDUNG PENGKOL 40 BLK 3 3 0
20|10|1980 37 S L KEDUNG PENGKOL 40 BLK 3 3 0
17|04|1987 31 S P KEDUNG PENGKOL 40 BLK 3 3 0
25|05|1981 37 S L KEDUNG PENGKOL GANG 1 NO.33 3 3 0
19|03|1983 35 S P KEDUNG PENGKOL GANG 1 NO.33 3 3 0
06|07|1947 70 P P KEDUNG PENGKOL GANG 1/37 3 3 0
17|08|1954 63 S L KEDUNG PENGKOL GG I/48-B 3 3 0
30|06|1957 60 S P KEDUNG PENGKOL GG I/48-B 3 3 0
08|07|1965 52 S L KEDUNG PENGKOL I/35 3 3 0
11|05|1993 25 B L KEDUNG PENGKOL I/35 3 3 0
31|10|1996 21 B L KEDUNG PENGKOL I/35 3 3 0
11|05|1967 51 S P KEDUNG PENGKOL I/35 3 3 0
01|01|1962 56 P P KEDUNG PENGKOL I/36 BELAKANG 3 3 0
12|05|1984 34 B L KEDUNG PENGKOL I/36 BELAKANG 3 3 0
10|08|1989 28 S P KEDUNG PENGKOL I/36 BELAKANG 3 3 0
26|04|2000 18 B L KEDUNG PENGKOL I/36 BELAKANG 3 3 0
23|09|1988 29 B L KEDUNG PENGKOL I/36 BELAKANG 3 3 0
13|12|1959 58 S L KEDUNG TARUKAN WETAN 10 3 3 0
16|07|1961 56 S P KEDUNG TARUKAN WETAN 10 3 3 0
05|11|1991 26 B L KEDUNG TARUKAN WETAN 10 3 3 0
26|05|1997 21 B L KEDUNG TARUKAN WETAN 10 3 3 0
23|06|1966 52 B L KEDUNG TARUKAN WETAN 10 3 3 0
30|01|1976 42 B P KEDUNG TARUKAN WETAN 10 3 3 0
04|06|1975 43 S P KEDUNG TARUKAN WETAN 10 3 3 0
26|09|1977 40 S L KEDUNG TARUKAN WETAN 10 3 3 0
13|11|1937 80 P P KEDUNG TARUKAN WETAN 11-B 3 3 0
18|07|1975 42 B L KEDUNG TARUKAN WETAN 11-B 3 3 0
24|03|1945 73 P L KEDUNG TARUKAN WETAN 11-B 3 3 0
29|08|1970 47 B P KEDUNG TARUKAN WETAN 11-B 3 3 0
16|06|1973 45 S L KEDUNG TARUKAN WETAN 11-B 3 3 0

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320 3578080706130003 3578060309750003 STAMMY STEVEN JONATHAN WUNTU SURABAYA 03|09|1975
321 3578080706130003 3578084511760007 TRIAS ENDAH LESTARI SURABAYA 05|11|1976
322 3578081101100098 3578081312710002 MARCEMBY SAGITTA.S SURABAYA 13|12|1971
323 3578080706130003 3578084802000002 MICHELLE NATHANNIA TAIRAS SURABAYA 08|02|2000
324 3578080112110027 3578102208790003 ANDIK AGUS SETYAWAN SURABAYA 22|08|1979
325 3578080112110027 3578085205850001 AMALIA WINDAYANTI SURABAYA 12|05|1985
326 3578082409140003 3578084907560001 GINAH SALATIGA 09|07|1956
327 3578082807150001 3578084107820003 RINA RACHMAWATIE KURNIASARI, S ESURABAYA 01|07|1982
328 3578082807150001 3209312202840009 FERRY EKA SETIAWAN SOLO 22|02|1984
329 3578080401086883 3578082601540001 ACHMAD RINUN SURABAYA 26|01|1954
330 3578080401086883 3578084305600001 SUSIE ELLIJATIE SURABAYA 03|05|1960
331 3578080401086883 3578081903810001 RICKY SETYAWAN SURABAYA 19|03|1981
332 3578080401086883 3578081402990001 RYAN ILHAM FIBRIANSYAH SURABAYA 14|02|1999
333 3578080301083769 3578081006950001 DHIO YUDASA PRATAMA SURABAYA 10|06|1995
334 3578080610100028 3578082008930002 TUBAGUS TRIDARATYO SURABAYA 20|08|1993
335 3578080101087518 3578081512430002 SOENARI KEDIRI 15|12|1943
336 3578080101087518 3578085708450003 LAMINAH MALANG 17|08|1945
337 3578080101087518 3578080301740001 SOEJAK SURABAYA 03|01|1974
338 3578080301081249 3578083006600029 YOHANES SENEN JEMBER 30|06|1960
339 3578080301081249 3578086512660003 SOENARSIH SURABAYA 25|12|1966
340 3578080301081249 3578084901970005 AYUK POERWANTI SURABAYA 09|01|1997
341 3578080501081647 3578085210510002 SOEWARTINAH SURABAYA 12|10|1951
342 3578080501081647 3578086209610003 SOENARTI SURABAYA 22|09|1961
343 3578080501081647 3578084510690002 RUSMINI SURABAYA 05|10|1969
344 3578080501081647 3578081008720002 SOEMARGI SURABAYA 10|08|1972
345 3578081403170001 3578085911910001 NOVEN SETIYOWATI SURABAYA 19|11|1991
346 3578082609120035 3578081009710004 DWI PURWANTO BANYUWANGI 09|10|1971
347 3578088260912003 3578086712710005 SURTI LAMONGAN 27|12|1971
348 3578080301081249 3578084511990001 NOSINTA WAHYU SETIYOWATI SURABAYA 05|11|1999
349 3578081403170001 3519141003920001 LUKY ADI PRASETIO MADIUN 10|03|1992
350 3578082801150013 3522110410860001 ACHMAD SUNDORO BOJONEGORO 04|10|1986
351 3578083004130010 3578084211880001 NOVITA KUSUMANINGRUM, A.MD SURABAYA 02|11|1988
352 3578080401087327 3578082909580002 CHOIRON SURABAYA 29|09|1958
353 3578080301080635 3578081908610004 AGUS WAHYU HIDAYAT SURABAYA 19|08|1961
354 3578080401082997 3578080604570002 DIDI WAHYUDI SURABAYA 06|04|1957
355 3578082803110005 3578080702010002 ALEXANDER TARA HUTAGAOL SURABAYA 07|02|2001
356 3578080401083434 3578082809650002 SUSANTO, DRS BOJONEGORO 28|09|1965
357 3578080401083434 3578084509710005 ENDANG PURWATI SURABAYA 05|09|1971
358 3578080401083434 3578086911950001 CATERINA AYU SUSANTI SURABAYA 29|11|1995
359 3578080401083434 3578082505000001 KURNIA ANDI SAPUTRA SURABAYA 25|05|2000
360 3578080301083254 3578080805380001 KASIDUN SOENANDAR SURABAYA 08|05|1938
361 3578080301083254 3578086101550003 ENDANG SUDJATININGDYAH MOJOKERTO 21|01|1955
362 3578080301083254 3578080108750002 ANDY AGUS SUNARTO SURABAYA 01|08|1975
363 3578081811100004 3578082804770001 DANNY SETIAWAN, SH SURABAYA 28|04|1977
364 3578081811100005 3525114909790005 GABRIELLA SRI LARASHATI PURWOKERTO 29|09|1979
365 3578081811100005 3578080905790005 SONNY SUPRIYANTO, A.Md SURABAYA 09|05|1979
366 3578100301085622 3578081602630005 MUHAINI SURABAYA 16|02|1963
8

03|09|1975 42 S L KEDUNG TARUKAN WETAN 11-B 3 3 0


05|11|1976 41 S P KEDUNG TARUKAN WETAN 11-B 3 3 0
13|12|1971 46 S L KEDUNG TARUKAN WETAN 11-B 3 3 0
08|02|2000 18 B P KEDUNG TARUKAN WETAN 11-B 3 3 0
22|08|1979 38 S L KEDUNG TARUKAN WETAN 11-C 3 3 0
12|05|1985 33 S P KEDUNG TARUKAN WETAN 11-C 3 3 0
09|07|1956 61 S P KEDUNG TARUKAN WETAN 11-C 3 3 0
01|07|1982 35 S P KEDUNG TARUKAN WETAN 12 3 3 0
22|02|1984 34 S L KEDUNG TARUKAN WETAN 12 3 3 0
26|01|1954 64 S L KEDUNG TARUKAN WETAN 14 3 3 0
03|05|1960 58 S P KEDUNG TARUKAN WETAN 14 3 3 0
19|03|1981 37 S L KEDUNG TARUKAN WETAN 14 3 3 0
14|02|1999 19 B L KEDUNG TARUKAN WETAN 14 3 3 0
10|06|1995 23 B L KEDUNG TARUKAN WETAN 16 3 3 0
20|08|1993 24 B L KEDUNG TARUKAN WETAN 16 3 3 0
15|12|1943 74 S L KEDUNG TARUKAN WETAN 8 3 3 0
17|08|1945 72 S P KEDUNG TARUKAN WETAN 8 3 3 0
03|01|1974 44 B L KEDUNG TARUKAN WETAN 8 3 3 0
30|06|1960 57 S L KEDUNG TARUKAN WETAN 8 3 3 0
25|12|1966 51 S P KEDUNG TARUKAN WETAN 8 3 3 0
09|01|1997 21 B P KEDUNG TARUKAN WETAN 8 3 3 0
12|10|1951 66 P P KEDUNG TARUKAN WETAN 8 3 3 0
22|09|1961 56 B P KEDUNG TARUKAN WETAN 8 3 3 0
05|10|1969 48 B P KEDUNG TARUKAN WETAN 8 3 3 0
10|08|1972 45 B L KEDUNG TARUKAN WETAN 8 3 3 0
19|11|1991 26 B P KEDUNG TARUKAN WETAN 8 3 3 0
09|10|1971 46 S L KEDUNG TARUKAN WETAN 8 3 3 0
27|12|1971 46 S P KEDUNG TARUKAN WETAN 8 3 3 0
05|11|1999 18 B P KEDUNG TARUKAN WETAN 8 3 3 0
10|03|1992 26 B L KEDUNG TARUKAN WETAN 8 3 3 0
04|10|1986 31 B L KEDUNGPENGKOL 2/5 3 3 0
02|11|1988 29 S P KEDUNG TARUKAN WETAN /3 4 3 0
29|09|1958 59 S L KEDUNG TARUKAN WETAN /3 -D 4 3 0
19|08|1961 56 B L KEDUNG TARUKAN WETAN /4 4 3 0
06|04|1957 61 S L KEDUNG TARUKAN WETAN /4 4 3 0
07|02|2001 17 B L KEDUNG TARUKAN WETAN 1/10 4 3 0
28|09|1965 52 S L KEDUNG TARUKAN WETAN 1/2 4 3 0
05|09|1971 46 S P KEDUNG TARUKAN WETAN 1/2 4 3 0
29|11|1995 22 B P KEDUNG TARUKAN WETAN 1/2 4 3 0
25|05|2000 18 B L KEDUNG TARUKAN WETAN 1/2 4 3 0
08|05|1938 80 S L KEDUNG TARUKAN WETAN 1/31 4 3 0
21|01|1955 63 S P KEDUNG TARUKAN WETAN 1/31 4 3 0
01|08|1975 42 B L KEDUNG TARUKAN WETAN 1/31 4 3 0
28|04|1977 41 S L KEDUNG TARUKAN WETAN 1/31 4 3 0
29|09|1979 38 P P KEDUNG TARUKAN WETAN 1/31 4 3 0
09|05|1979 39 S L KEDUNG TARUKAN WETAN 1/31 4 3 0
16|02|1963 55 B L KEDUNG TARUKAN WETAN 1/31-A 4 3 0

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367 3578100601085549 3578101203730006 DIDIK SANTOSO KEDIRI 12|03|1973
368 3578100601085549 3578104401780002 ROCHIYATIN SURABAYA 04|01|1978
369 3578100601085549 3578105807990006 YULI RODIAH SURABAYA 18|07|1999
370 3578080301085330 3578084305550001 SUNARSIH PONOROGO 03|05|1955
371 3578080301085330 3578086411760002 PUJI ASTUTI SURABAYA 24|11|1976
372 3578080301085330 3578084112810002 DENY ANSARI SURABAYA 01|12|1981
373 3578081810160013 3578084508680006 SUPIK, S.PD SURABAYA 05|08|1968
374 3578081810160013 3578086005950004 UMMU KHOIRIYATUL HIJJAH M SURABAYA 20|05|1995
375 3578080101087609 3578081704750007 KUSNAN SURABAYA 17|04|1975
376 3578080101087609 3578085904790001 SRI SETYO UTAMI SURABAYA 19|04|1979
377 3578080401086890 3578080707500001 MARWAN LAMONGAN 07|07|1950
378 3578080401086890 3578086106510003 SUMINI BLITAR 21|06|1951
379 3578080101087609 3578081203000001 MOCH.FERRY RANGGA ADITYA UTAM SURABAYA 12|03|2000
380 3578081710140009 3578082101990001 KHARISMA IQBAL HARIYADI SURABAYA 21|01|1999
381 3578080401088665 3578082912650002 CHRIS IWAN SOEBIJANTORO SURABAYA 29|12|1965
382 3578080401088665 3578085204700004 DWI UBAYANINGSIH MADIUN 12|04|1970
383 3578080201086512 3578080412400002 PAIMAN DARMO SEPUTRO SIDOARJO 04|12|1940
384 3578080712090014 3578084302820001 RIRIN MARLINA, S.PD NGANJUK 03|02|1982
385 3478080311110036 3578084706680011 MUJIATI MOJOKERTO 06|07|1968
386 3578081311130013 3578084501840006 MARLIK SURABAYA 05|01|1984
387 3578080201082765 3578085602740005 DINAR PALUPI SURABAYA 16|02|1974
388 3578080201082765 3578082107740001 WIBIYONO AL DAGDO SIDOARJO 21|07|1974
389 3578081811160009 3578085807510001 SUMIJATI SIDOARJO 18|07|1951
390 3578080401087326 3578087007600002 NUR HAYATI SURABAYA 30|07|1960
391 3578080401087326 3578082606990003 MUCHAMAD NIZAR BAGUS JOKO MUL SURABAYA 26|06|1999
392 3578080101081392 3578082009650003 WARSONO TUBAN 20|09|1965
393 3578080101081392 3578085909740001 LASMINTEN TUBAN 19|09|1974
394 3578080101081766 3578085605860001 MEI FAUZI SURABAYA 16|05|1986
395 3578080101082278 3578080808520006 NJONO MADIUN 08|08|1952
396 3578080712090014 3578082805730002 PUDJI SANTOSO SURABAYA 28|05|1973
397 3578082309150003 3578081801930002 DIDIK LAKSONO TUBAN 18|01|1993
398 3578082309150003 3521036102920001 RATNA DWI LESTARI NGAWI 21|02|1992
399 3578080501080487 3578085512470001 MUSIRAH KEDIRI 15|12|1947
400 3578080501080487 3578082108850002 AGUS SANTOSO NGANJUK 21|08|1985
401 3578080301080027 3578086707660001 MENIS SURABAYA 27|07|1966
402 3578080301080027 3578081212670005 DAERI SIDOARJO 12|12|1967
403 3578080302150011 3578084908900001 PUTUT WULANDARI SURABAYA 09|08|1990
404 3578080311110036 3578082209740001 SOLEH HUDIN SURABAYA 22|09|1974
405 3578081311130013 3578087006530049 NGAISAH JOMBANG 30|06|1953
406 3578080302150011 3578080512860002 ADIL WIBOWO SURABAYA 05|12|1986
407 3578080311110036 3576024706680005 MUJIATI MOJOKERTO 07|06|1968
408 3578080401085627 3578082101650002 SUPRAPTO SURABAYA 21|01|1965
409 3578080401085627 3578080508670003 MOCHAMAD SAJIK SURABAYA 05|08|1967
410 3578080401085628 3578081705640005 SAMAR SURABAYA 17|05|1964
411 3578080401085628 3578086503730004 DARNINGSIH KEDIRI 25|03|1973
412 3578080401085628 3578086303960003 DYA RISALA S SIDOARJO 23|03|1996
413 3578080401086295 3578087005620005 AMINA SURABAYA 30|05|1962
8

12|03|1973 45 S L KEDUNG TARUKAN WETAN 1/31-A 4 3 0


04|01|1978 40 S P KEDUNG TARUKAN WETAN 1/31-A 4 3 0
18|07|1999 18 B P KEDUNG TARUKAN WETAN 1/31-A 4 3 0
03|05|1955 63 P P KEDUNG TARUKAN WETAN 1/31-B 4 3 0
24|11|1976 41 S P KEDUNG TARUKAN WETAN 1/31-B 4 3 0
01|12|1981 36 B P KEDUNG TARUKAN WETAN 1/31-B 4 3 0
05|08|1968 49 S P KEDUNG TARUKAN WETAN 1/31-D 4 3 0
20|05|1995 23 B P KEDUNG TARUKAN WETAN 1/31-D 4 3 0
17|04|1975 43 S L KEDUNG TARUKAN WETAN 1/5 4 3 0
19|04|1979 39 S P KEDUNG TARUKAN WETAN 1/5 4 3 0
07|07|1950 67 S L KEDUNG TARUKAN WETAN 1/5 4 3 0
21|06|1951 67 S P KEDUNG TARUKAN WETAN 1/5 4 3 0
12|03|2000 18 B L KEDUNG TARUKAN WETAN 1/5 4 3 0
21|01|1999 19 B L KEDUNG TARUKAN WETAN 1/6 4 3 0
29|12|1965 52 S L KEDUNG TARUKAN WETAN 1/8 4 3 0
12|04|1970 48 S P KEDUNG TARUKAN WETAN 1/8 4 3 0
04|12|1940 77 S L KEDUNG TARUKAN WETAN 1/9 4 3 0
03|02|1982 36 S P KEDUNG TARUKAN WETAN 2/ 7 4 3 0
06|07|1968 49 S P KEDUNG TARUKAN WETAN 2/ 9 4 3 0
05|01|1984 34 B P KEDUNG TARUKAN WETAN 2/ 9 4 3 0
16|02|1974 44 S P KEDUNG TARUKAN WETAN 2/15 4 3 0
21|07|1974 43 S L KEDUNG TARUKAN WETAN 2/15 4 3 0
18|07|1951 66 S P KEDUNG TARUKAN WETAN 2/15 4 3 0
30|07|1960 57 B P KEDUNG TARUKAN WETAN 2/16 4 3 0
26|06|1999 19 B L KEDUNG TARUKAN WETAN 2/16 4 3 0
20|09|1965 52 S L KEDUNG TARUKAN WETAN 2/17 4 3 0
19|09|1974 43 S P KEDUNG TARUKAN WETAN 2/17 4 3 0
16|05|1986 32 B P KEDUNG TARUKAN WETAN 2/17 4 3 0
08|08|1952 65 P L KEDUNG TARUKAN WETAN 2/17 4 3 0
28|05|1973 45 S L KEDUNG TARUKAN WETAN 2/17 4 3 0
18|01|1993 25 B L KEDUNG TARUKAN WETAN 2/17 4 3 0
21|02|1992 26 B P KEDUNG TARUKAN WETAN 2/17 4 3 0
15|12|1947 70 P P KEDUNG TARUKAN WETAN 2/18 4 3 0
21|08|1985 32 B L KEDUNG TARUKAN WETAN 2/18 4 3 0
27|07|1966 51 S P KEDUNG TARUKAN WETAN 2/19 4 3 0
12|12|1967 50 S L KEDUNG TARUKAN WETAN 2/19 4 3 0
09|08|1990 27 B P KEDUNG TARUKAN WETAN 2/19 4 3 0
22|09|1974 43 S L KEDUNG TARUKAN WETAN 2/19 4 3 0
30|06|1953 64 P P KEDUNG TARUKAN WETAN 2/19 4 3 0
05|12|1986 31 B L KEDUNG TARUKAN WETAN 2/19 4 3 0
07|06|1968 50 S P KEDUNG TARUKAN WETAN 2/19 4 3 0
21|01|1965 53 B L KEDUNG TARUKAN WETAN 2/21 4 3 0
05|08|1967 50 B L KEDUNG TARUKAN WETAN 2/21 4 3 0
17|05|1964 54 S L KEDUNG TARUKAN WETAN 2/21 4 3 0
25|03|1973 45 S P KEDUNG TARUKAN WETAN 2/21 4 3 0
23|03|1996 22 B P KEDUNG TARUKAN WETAN 2/21 4 3 0
30|05|1962 56 S P KEDUNG TARUKAN WETAN 2/21 4 3 0

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414 3578080401086295 3578083005630002 WARAS KERTOSONO 30|05|1963
415 3578080401086295 3578080404850004 ARIFIN SURABAYA 04|04|1985
416 3578080401086295 3578085507940003 YULI DEWI SARTIKA SURABAYA 15|07|1994
417 3578080906140002 3578085210670001 KASIANA SURABAYA 12|10|1967
418 3578082308130008 3520137008600001 SILAH RUKMINI MAGETAN 30|08|1960
419 3578081901160004 3578165603820008 LINA LARASANTI MAGETAN 16|03|1982
420 3578080301087006 3578081512580003 RAJALELO H TAPANULI 15|12|1958
421 3578080301087006 3578086104680004 SURATMI PONOROGO 21|04|1968
422 3578080301087006 3578081606960001 MUCH NANDA HARAHAP PONOROGO 16|06|1996
423 3578080401083425 3578086208540002 RUMANTININGSIH SURABAYA 22|08|1954
424 3578080401083425 3578082403800003 ERWAN SOEBIANTORO SURABAYA 24|03|1980
425 3578080401083428 3578083108640006 LUKITO SURABAYA 31|08|1964
426 3578080401083428 3578084602700001 SRI LASMI KUNTIANI JEMBER 06|02|1970
427 3578080401083428 3578085610970005 INTAN PERMATASARI SURABAYA 16|10|1997
428 3578080601170004 3578082401950003 FIKI FIRMANSYAH SURABAYA 24|01|1995
429 3578081009130003 3519092007710002 SUSANTO MADIUN 20|07|1971
430 3578081009130003 3519096305750003 KASIANI SURABAYA 23|05|1975
431 3578081009130003 3519095407950003 YOLANDA ULFATILAH MADIUN 14|07|1995
432 3578081106090032 3578085210670002 KASIANI SURABAYA 12|10|1967
433 3578081106090032 3578083006680021 HANDOYO PONOROGO 30|06|1968
434 3578081305090003 3578081210730004 HERI RUSTAMADJI SURABAYA 12|10|1973
435 3578081305090003 3578084510800004 TASRIYAH LAMONGAN 05|10|1980
436 3578082110100033 3578082912880004 LUKITO SUSANTO SURABAYA 29|12|1988
437 3578082110100033 3578087008900008 NITA BELAWATI SURABAYA 30|08|1990
438 3578082801150002 3578087006300067 PARMI BOJONEGORO 30|06|1930
439 3578082801150002 3578081606640004 BUDI SANTOSO SURABAYA 16|06|1964
440 3578082801150002 3517196209770002 ANIK JOMBANG 22|09|1977
441 3578080109140024 3578085510910001 SULIHA SURABAYA 15|10|1991
8

30|05|1963 55 S L KEDUNG TARUKAN WETAN 2/21 4 3 0


04|04|1985 33 B L KEDUNG TARUKAN WETAN 2/21 4 3 0
15|07|1994 23 B P KEDUNG TARUKAN WETAN 2/21 4 3 0
12|10|1967 50 S P KEDUNG TARUKAN WETAN 2/21 4 3 0
30|08|1960 57 P P KEDUNG TARUKAN WETAN 2/21 4 3 0
16|03|1982 36 S P KEDUNG TARUKAN WETAN 2/21 4 3 0
15|12|1958 59 S L KEDUNG TARUKAN WETAN 2/22 4 3 0
21|04|1968 50 S P KEDUNG TARUKAN WETAN 2/22 4 3 0
16|06|1996 22 B L KEDUNG TARUKAN WETAN 2/22 4 3 0
22|08|1954 63 P P KEDUNG TARUKAN WETAN 2/22 4 3 0
24|03|1980 38 B L KEDUNG TARUKAN WETAN 2/22 4 3 0
31|08|1964 53 S L KEDUNG TARUKAN WETAN 2/22 4 3 0
06|02|1970 48 S P KEDUNG TARUKAN WETAN 2/22 4 3 0
16|10|1997 20 B P KEDUNG TARUKAN WETAN 2/22 4 3 0
24|01|1995 23 B L KEDUNG TARUKAN WETAN 2/22 4 3 0
20|07|1971 46 S L KEDUNG TARUKAN WETAN 2/22 4 3 0
23|05|1975 43 S P KEDUNG TARUKAN WETAN 2/22 4 3 0
14|07|1995 22 B P KEDUNG TARUKAN WETAN 2/22 4 3 0
12|10|1967 50 S P KEDUNG TARUKAN WETAN 2/22 4 3 0
30|06|1968 49 S L KEDUNG TARUKAN WETAN 2/22 4 3 0
12|10|1973 44 S L KEDUNG TARUKAN WETAN 2/22 4 3 0
05|10|1980 37 S P KEDUNG TARUKAN WETAN 2/22 4 3 0
29|12|1988 29 S L KEDUNG TARUKAN WETAN 2/22 4 3 0
30|08|1990 27 S P KEDUNG TARUKAN WETAN 2/22 4 3 0
30|06|1930 87 P P KEDUNG TARUKAN WETAN 2/22 4 3 0
16|06|1964 54 B L KEDUNG TARUKAN WETAN 2/22 4 3 0
22|09|1977 40 S P KEDUNG TARUKAN WETAN 2/22 4 3 0
15|10|1991 26 S P KEDUNG PENGKOL 1/40 BLK 5 3 0

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442 3578080201081640 3578081204600004 ZAINULLAH PAMEKASAN 12|04|1960
443 3578080201081640 3578087108620002 MAISA PAMEKASAN 31|08|1962
444 3578080201081640 3578085012830002 NUR ASISAH SURABAYA 10|12|1983
445 3578080201081640 3578080607860004 HARIYANTO PAMEKASAN 06|07|1986
446 3578080109140024 3578081501900002 TAUFIK SURABAYA 15|01|1990
447 3578082704150001 3578071305720001 DJAENAL ARIFIN SURABAYA 13|05|1972
448 3578082704150001 3578074107740003 SUPIATI SURABAYA 01|07|1974
449 3578082704150001 3578076311960001 ALYA DEWI ARIFIANTI SURABAYA 23|11|1996
450 3578080602150006 3578081808860002 SULAIMAN BANGKALAN 18|08|1986
451 3578080602150006 3578116610920001 NURUL FATIMAH SURABAYA 26|10|1992
8

12|04|1960 58 S L KEDUNG PENGKOL 1/40 BLK 5 3 0


31|08|1962 55 S P KEDUNG PENGKOL 1/40 BLK 5 3 0
10|12|1983 34 B P KEDUNG PENGKOL 1/40 BLK 5 3 0
06|07|1986 31 B L KEDUNG PENGKOL 1/40 BLK 5 3 0
15|01|1990 28 B L KEDUNG PENGKOL 1/40 BLK 5 3 0
13|05|1972 46 S L KEDUNG PENGKOL 1/46-A 5 3 0
01|07|1974 43 S P KEDUNG PENGKOL 1/46-A 5 3 0
23|11|1996 21 B P KEDUNG PENGKOL 1/46-A 5 3 0
18|08|1986 31 S L KEDUNG TARUKAN WETAN 8 5 3 0
26|10|1992 25 S P KEDUNG TARUKAN WETAN 8 5 3 0

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PINDAHAN DARI RT 000
DAFTAR PEMILIH
PEMILIHAN GUBERNUR DAN WAKIL GUB
TAHUN 2018
Kecamatan
Provinsi : JAWA TIMUR
Kabupaten/Kota : KOTA SURABAYA

No No KK NIK Nama Tempat Lahir

1 2 3 4 5
1 3578080101083235 3578084209720002 WENNI ERWINDIA, Dr SURABAYA
2 3578080101083235 3578081903730004 ANANDA HARIS, Dr BELANDA
3 3578080101083235 3578085305990002 AMIRA PRIMIPUTRI PALU
4 3578080101083235 3578085512000001 ALFI SYAHRIANI SURABAYA
5 3578080201088641 3578080403670002 SWASONO TJIPTO WALOEJO SURABAYA
6 3578080201088641 3578085402690001 SRI HANDAJANI BLITAR
7 3578080201088641 3578084612910001 WENNY SWASONO SURABAYA
8 3578080201088641 3578085205940003 DEBBY SWASONO SURABAYA
9 3578080201088641 3578084104950003 CINDY SWASONO SURABAYA
10 3578080301088483 3578081610370001 JUSUF TUMBELAKA MAKASAR
11 3578080301088483 3578087101400001 KURNIAWATI NOEHDJAJA GRESIK
12 3578081512150001 3578086404850001 CYNTHIA PUGUH, ST SURABAYA
13 3578081901110019 3578086010620001 SIUWANI TUMBELAKA MAKASAR
14 3578081901110019 3578081111860003 LOUIS PRATAMA PUGUH SURABAYA
15 3578081901110020 3578085910660003 LINDA SURYANI GERDYMAN SURABAYA
16 3578081901110020 3578081202660003 LUKMAN TUMBELAKA UJUNG PANDANG
17 3578081901110020 3578085506910003 MELIANA TUMBELAKA SURABAYA
18 3578081901110020 3578082705940002 ALDVIN TUMBELAKA SURABAYA
19 3578081901110019 3578086408000002 CELINE PUGUH SURABAYA
20 3578080301087082 3578084802620004 SASTIA LESTARI VIRGINI AMPENAN
21 3578080301087082 3578082711840001 ASWIN TJOKRO SURABAYA
22 3578080301087082 3578084511880002 ASTRID TJOKRO SURABAYA
23 3578080401085183 3578081706400002 AWIE SALIM BONDOWOSO
24 3578080401085183 3578084412430002 CHRISTINE SUWIGNYO SURABAYA
25 3578080301080602 3578082603530001 SOETRISNO BASOEKI SURABAYA
26 3578080301080602 3578084203560002 IKAWATI POEDJIONO MALANG
27 3578080301080602 3578086508850001 FRANSISKA BASOEKI SURABAYA
28 3578080301080602 3578082305870001 IVAN BASOEKI SURABAYA
29 3578080301087091 3578086207330001 TITI WIGATI MADIUN
30 3578080101080425 3578085005690003 SILVIA WATI SOEWANDI SURABAYA
31 3578080101080425 3578084110930001 CYNTHIA ANGGREAWAN SURABAYA
32 3578080101080425 3578083103950004 STEVEN ANGGREAWAN SURABAYA
33 3578080101080425 3578080803970002 TORIDE ANGGREAWAN SURABAYA
34 3578080301087013 3578084308510001 INDRAWATI SURABAYA
35 3578080301087013 3578080809760008 HARTONO GUNAWAN SURABAYA
36 3578080301087013 3578080605940002 MICHAEL GUNAWAN SURABAYA
37 3578080301087013 3578084601720001 LANY GUNAWAN SURABAYA
9

A-KWK
FTAR PEMILIH
MILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TIMUR
HUN 2018
camatan
: GUBENG
Desa/Kelurahan : MOJO
TPS : 009
Tanggal Lahir Usia Alamat Disabilitas
Jalan/Dukuh Rt Rw
6 7 8 9 10 11 12 13
02|09|1972 45 S P DHARMA HUSADA SELATAN 11 1 4 0
19|03|1973 45 S L DHARMA HUSADA SELATAN 11 1 4 0
13|05|1999 19 B P DHARMA HUSADA SELATAN 11 1 4 0
15|12|2000 17 B P DHARMA HUSADA SELATAN 11 1 4 0
04|03|1967 51 S L DHARMA HUSADA SELATAN 6 1 4 0
14|02|1969 49 S P DHARMA HUSADA SELATAN 6 1 4 0
06|12|1991 26 B P DHARMA HUSADA SELATAN 6 1 4 0
12|05|1994 24 B P DHARMA HUSADA SELATAN 6 1 4 0
01|04|1995 23 B P DHARMA HUSADA SELATAN 6 1 4 0
16|10|1937 80 S L DHARMAHUSADA 122 1 4 0
31|01|1940 78 S P DHARMAHUSADA 122 1 4 0
24|04|1985 33 B P DHARMAHUSADA 122 1 4 0
20|10|1962 55 S P DHARMAHUSADA 122 1 4 0
11|11|1986 31 B L DHARMAHUSADA 122 1 4 0
19|10|1966 51 S P DHARMAHUSADA 122 1 4 0
12|02|1966 52 S L DHARMAHUSADA 122 1 4 0
15|06|1991 27 B P DHARMAHUSADA 122 1 4 0
27|05|1994 24 B L DHARMAHUSADA 122 1 4 0
24|08|2000 17 B P DHARMAHUSADA 122 1 4 0
08|02|1962 56 S P DHARMAHUSADA 124 1 4 0
27|11|1984 33 B L DHARMAHUSADA 124 1 4 0
05|11|1988 29 B P DHARMAHUSADA 124 1 4 0
17|06|1940 78 S L DHARMAHUSADA 136 1 4 0
04|12|1943 74 S P DHARMAHUSADA 136 1 4 0
26|03|1953 65 S L DHARMAHUSADA 138 1 4 0
02|03|1956 62 S P DHARMAHUSADA 138 1 4 0
25|08|1985 32 B P DHARMAHUSADA 138 1 4 0
23|05|1987 31 B L DHARMAHUSADA 138 1 4 0
22|07|1933 84 P P DHARMAHUSADA 144 1 4 0
10|05|1969 49 S P DHARMAHUSADA 152 1 4 0
01|10|1993 24 B P DHARMAHUSADA 152 1 4 0
31|03|1995 23 B L DHARMAHUSADA 152 1 4 0
08|03|1997 21 B L DHARMAHUSADA 152 1 4 0
03|08|1951 66 S P DHARMAHUSADA 154 1 4 0
08|09|1976 41 S L DHARMAHUSADA 154 1 4 0
06|05|1994 24 B L DHARMAHUSADA 154 1 4 0
06|01|1972 46 B P DHARMAHUSADA 154 1 4 0

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38 3578080101089426 3578080510740004 LIOE PURWITANTO KEDIRI 05|10|1974
39 3578080301086404 3578086507960001 AUDELINE ELLEORA JAK-PUS 25|07|1996
40 3578080401086347 3578087110350001 ELISA ANGGRAENI MALANG 31|10|1935
41 3578080401086355 3578084903650004 DIJAH MARIA E.S, DRG MALANG 09|03|1965
42 3578080401086355 3578085803970001 JESSLYN CLARANCE LAMTARA SURABAYA 18|03|1997
43 3578080301086404 3578081809670003 ERNESTIAWAN LEONARDI ELIAS SURABAYA 18|09|1967
44 3578080301086404 3578082608000007 SAS
JUSTIN PHILLIP JAKARTA 26|08|2000
45 3578080201089428 3578086706600001 VONNY TJITROKUSMO BANYUWANGI 27|06|1960
46 3578080201089428 3578080409600002 TEDDY TJOKRO SURABAYA 04|09|1960
47 3578080201089428 3578085401890002 MELIA TJOKRO,SE SURABAYA 14|01|1989
48 3578080301083464 3578081412640004 TONY SUTRISNO SAMARINDA 14|12|1964
49 3578080301083464 3578084207640004 KO NIDYA TAMARA JAK-PUS 02|07|1964
50 3578080301083464 3578082912880005 JASEN CHRISTIAN SUTRISNO SURABAYA 29|12|1988
51 3578080301083464 3578085601940001 JANET NATASYA SUTRISNO SURABAYA 16|01|1994
52 3578081903130004 3578101110700004 MULYONO HADIKUSUMO SURABAYA 11|10|1970
53 3578081903130004 3578106408710002 ERNIWATI NAULI,SE SIBOLGA 24|08|1971
54 3578081903130004 3578106012980001 EUGINIA NATALIA WONG SURABAYA 20|12|1998
55 3578081903130004 3578104406000004 GIOVANNI ANGGASTA WONG SURABAYA 04|06|2000
56 3578080201088848 3578082710690001 JOHNY HARTONO.P/SUN ING SURABAYA 27|10|1969
57 3578080201088848 3578084904700002 EVI SETIAWATI,TJOENG BANYUWANGI 09|04|1970
58 3578080201088848 3578086803950007 JESSLYN CESYA POERNOMO SURABAYA 28|03|1995
59 3578082404130010 3578086404900004 APRILIA MONA WIBISONO SURABAYA 24|04|1990
60 3578080706100024 3578084202450002 TAN GIOK TIEN BANYUWANGI 02|02|1945
61 3578082503130009 3578084107720003 THONG, GIANNI SUGIANTO, ST BANJARMASIN 01|07|1972
62 3578082503130009 3578081709720003 BUDIJANTO BANYUWANGI 17|09|1972
63 3578081412120010 3578084507740001 EVY YULIANA BANYUWANGI 05|07|1974
64 3578082503130009 3578086812000001 GIGI NATHALIE BANJARMASIN 28|12|2000
65 3578080301087091 3578084304620002 RENI ANGGRAINI SEMARANG 03|04|1962
66 3578080101089426 3578081009470001 LIOE LUHUR KARSONO GUNAWAN KEDIRI 10|09|1947
67 3578080101089426 3578086202520001 KONG INDAH MAYASARI SURABAYA 22|02|1952
68 3578080101089426 3578084403760002 LIOE VIVI SUSANTI KEDIRI 04|03|1976
69 3578080101089426 3578082301770003 LIOE RUDY SANJAYA KEDIRI 23|01|1977
70 3578080201084893 3578082304830002 DR. ANDRE HERDIAN HANINTYA BANDUNG 23|04|1983
71 3578080301086404 3578086306700002 FENNY MULJADI SURABAYA 23|06|1970
72 3578080201089428 3578080311870004 ANDRE TJOKRO SURABAYA 03|11|1987
73 3578080301084195 3578080602330001 ANA SUTRISNO SAMARINDA 06|02|1933
74 3578080301082982 3578087006330039 WAGINAH SEMARANG 30|06|1933
75 3578080301082982 3578081311600003 R HERIMAWAN SULISTYANTO,DRS JAK-TIM 13|11|1960
76 3578080301082982 3578081910620003 R EDDY TISTOMO,SE JAK-TIM 19|10|1962
77 3578080201088842 3578082305430004 TIRTO TJAHYONO POERNOMO SURABAYA 23|05|1943
78 3578080201088842 3578086306480001 INDRAWATI SIDOARJO 23|06|1948
79 3578080201088842 3578082503730013 HANDOYO POERNOMO SURABAYA 25|03|1973
80 3578080201088848 3578086108960004 JACQUELINE ACACIA POERNOMO SURABAYA 21|08|1996
81 3578080201088542 3578082806470001 SETYO HARTONO SURAKARTA 28|06|1947
82 3578080201088542 3578086810570002 ENNY SETYOWATI, KAM SURAKARTA 28|10|1957
83 3578080201088542 3578082703790001 ROY HARTONO SURABAYA 27|03|1979
84 3578080201088542 3578085405860001 LIDWIN HARTONO SURABAYA 14|05|1986
9

05|10|1974 43 S L DHARMAHUSADA 156 1 4 0


25|07|1996 21 B P DHARMAHUSADA 158 1 4 0
31|10|1935 82 P P DHARMAHUSADA 158 1 4 0
09|03|1965 53 S P DHARMAHUSADA 158 1 4 0
18|03|1997 21 B P DHARMAHUSADA 158 1 4 0
18|09|1967 50 S L DHARMAHUSADA 158 1 4 0
26|08|2000 17 B L DHARMAHUSADA 158 1 4 0
27|06|1960 58 S P DHARMAHUSADA 165 1 4 0
04|09|1960 57 S L DHARMAHUSADA 165 1 4 0
14|01|1989 29 B P DHARMAHUSADA 165 1 4 0
14|12|1964 53 S L DHARMAHUSADA 171 1 4 0
02|07|1964 53 S P DHARMAHUSADA 171 1 4 0
29|12|1988 29 B L DHARMAHUSADA 171 1 4 0
16|01|1994 24 B P DHARMAHUSADA 171 1 4 0
11|10|1970 47 S L DHARMAHUSADA 187 1 4 0
24|08|1971 46 S P DHARMAHUSADA 187 1 4 0
20|12|1998 19 B P DHARMAHUSADA 187 1 4 0
04|06|2000 18 B P DHARMAHUSADA 187 1 4 0
27|10|1969 48 S L DHARMAHUSADA 189 1 4 0
09|04|1970 48 S P DHARMAHUSADA 189 1 4 0
28|03|1995 23 B P DHARMAHUSADA 189 1 4 0
24|04|1990 28 B P DHARMAHUSADA 199 1 4 0
02|02|1945 73 P P DHARMAHUSADA 36-D 1 4 0
01|07|1972 45 S P DHARMAHUSADA 36-D 1 4 0
17|09|1972 45 S L DHARMAHUSADA 36-D 1 4 0
05|07|1974 43 P P DHARMAHUSADA 36-D 1 4 0
28|12|2000 17 B P DHARMAHUSADA 36-D 1 4 0
03|04|1962 56 S P DHARMAHUSADA 44 1 4 0
10|09|1947 70 S L DHARMAHUSADA 56 1 4 0
22|02|1952 66 S P DHARMAHUSADA 56 1 4 0
04|03|1976 42 B P DHARMAHUSADA 56 1 4 0
23|01|1977 41 B L DHARMAHUSADA 56 1 4 0
23|04|1983 35 B L DHARMAHUSADA 58 1 4 0
23|06|1970 48 S P DHARMAHUSADA 58 1 4 0
03|11|1987 30 B L DHARMAHUSADA 65 1 4 0
06|02|1933 85 S L DHARMAHUSADA 7 1 4 0
30|06|1933 84 P P DHARMAHUSADA 73 1 4 0
13|11|1960 57 B L DHARMAHUSADA 73 1 4 0
19|10|1962 55 B L DHARMAHUSADA 73 1 4 0
23|05|1943 75 S L DHARMAHUSADA 89 1 4 0
23|06|1948 70 S P DHARMAHUSADA 89 1 4 0
25|03|1973 45 B L DHARMAHUSADA 89 1 4 0
21|08|1996 21 B P DHARMAHUSADA 89 1 4 0
28|06|1947 70 S L DHARMAHUSADA NO.148 1 4 0
28|10|1957 60 S P DHARMAHUSADA NO.148 1 4 0
27|03|1979 39 B L DHARMAHUSADA NO.148 1 4 0
14|05|1986 32 B P DHARMAHUSADA NO.148 1 4 0

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85 3578081506100026 3578085811680002 SAUW, WENNY SETIOWATI HADIWID MALANG 18|11|1968
86 3578081506100026 3578080412960003 KOE, JONATHAN SHAN,KUSUMA MALANG 04|12|1996
87 3578080401088576 3578086908330001 HERMIEN HADIATI KOESWADJI, SH PURWODADI 29|08|1933
88 3578082402110009 3578081401860001 RONNY PRASETIO SURABAYA 14|01|1986
89 3578080101085638 3578084510460001 SHERLY GUNAWAN SAMARINDA 05|10|1946
90 3578080101085638 3578082909650002 Dr. GUNAWAN ANANG SEMARANG 29|09|1965
91 3578080401080567 3578082110600001 BANGUN TRAPSILA PURWAKA, DR YOGYAKARTA 21|10|1960
92 3578080501083985 3578082509560001 BAMBANG SURYADI, IR MALANG 25|09|1956
93 3578080501083985 3578086502590004 BUDIARTI, B.SC MALANG 25|02|1959
94 3578080501083985 3578081806810004 ADITYA EKA PARAMASATYA SURABAYA 18|06|1981
95 3578080501083985 3578081202840002 BHAKTI DWITYA A TEMBAGAPURA 12|02|1984
96 3578080501083985 3578084902920002 CITTA TRIAJENG S JAKARTA 09|02|1992
97 3578080401080567 3578085506580001 TRIANTI DIAH C.S, Dr MALANG 15|06|1958
98 3578080401080567 3578085307870001 Dr.ERICKA ANGGRAINI SURABAYA 13|07|1987
99 3578080101089289 3578080103760002 MARTINUS SONNY DHARMAWAN SURABAYA 01|03|1976
100 3578080101089289 3578085704780005 JELIANA SOPHIA WIJAYA SURABAYA 17|04|1978
101 3578080301084793 3578084206390001 AMINAH PALEMBANG 02|06|1939
102 3578080301084793 3578084407420001 SOETARTI MADIUN 04|07|1942
103 3578260201087125 3578265309260001 SULASMI TIONGKOK 13|09|1926
104 3578260201087125 3578266102580001 SUSANNA OEIRIA MEDAN 21|02|1958
105 3578260201087125 3578261008610004 DJUMARNO JAKARTA 10|08|1961
106 3578260201087125 3578262011940001 HANS PRASETYA COKRO SURABAYA 20|11|1994
107 3578080201082194 3578081309750004 RACHMAT RAMADHAN, RAMA SURABAYA 13|09|1975
108 3578082105130002 3578086606420002 UMI LARASATI SURAKARTA 26|06|1942
109 3578080712160001 3508052011790006 RUDI HARTONO TUBAN 20|11|1979
110 3578080712160001 3508056409820003 MUJIATI LUMAJANG 24|09|1982
111 3578080101089205 3578082201910006 AULIA DHARANA MUFTI SURABAYA 22|01|1991
112 3578082712130006 3510052207810005 FENDI FATKHURROHMAN GOZI BANYUWANGI 22|07|1981
113 3578082712130006 3578084906870001 EUREKA NUSRA GRAHITA LARANTUKA 09|06|1987
114 3578080101089205 3578084106670001 ENDANG SUSILOWATI,S.Pd SURABAYA 01|06|1967
115 3578080609110006 3578080411540007 SINGGIH MARDIJANTO SIDOARJO 04|11|1954
116 3578080609110006 3578086111590011 BEATRICE ELISABETH MEDAN 21|11|1959
117 3578080201081868 3578083001710003 TAN, TJIN TJIN TJANDRA SURABAYA 30|01|1971
118 3578080201086833 3578085206390003 TJANDRAWATI SURABAYA 12|06|1939
119 3578080401080495 3578083103620001 TUTU SANDJAJA SIDOARJO 31|03|1962
120 3578080401080495 3578084708640001 GO,SUSILORINI SURABAYA 07|08|1964
121 3578080401080495 3578085605900004 MEILANI SANDJAJA SURABAYA 16|05|1990
122 3578080401080495 3578087010920003 OKTOVONI SANDJAJA SURABAYA 30|10|1992
123 3578080810130013 3578081408370001 TAN,SANDJAJA TJANDRA HOKCIA 14|08|1937
124 3578081512150012 3578085512790004 MARIA,SE SURABAYA 15|12|1979
125 3578080501082248 3578080607560001 ABDUL GOFUR SURABAYA 06|07|1956
126 3578080501082248 3578087006680018 ANIS KHOIRIYAH KEDIRI 30|06|1968
127 3578080703170004 3578084404910001 APRILIA PUSPITA SURABAYA 04|04|1991
128 3578081801130013 3578081608870003 ANAN AMIRULLOH KEDIRI 16|08|1987
129 3578082801150003 3578083008890001 MOCHAMAD MISBAH SYAIFULLAH SURABAYA 30|08|1989
130 3578080501082248 3578085403000002 ERNA KHUSNUL QORIAH SURABAYA 14|03|2000
131 3578080712090008 3578082210750002 HERI SOEBAGIO SURABAYA 22|10|1975
9

18|11|1968 49 P P DHARMAHUSADA SEL 2 1 4 0


04|12|1996 21 B L DHARMAHUSADA SEL 2 1 4 0
29|08|1933 84 B P DHARMAHUSADA SELATAN 1 1 4 0
14|01|1986 32 B L DHARMAHUSADA SELATAN 10 1 4 0
05|10|1946 71 S P DHARMAHUSADA SELATAN 160- B001 4 0
29|09|1965 52 B L DHARMAHUSADA SELATAN 160- B001 4 0
21|10|1960 57 S L DHARMAHUSADA SELATAN 25 1 4 0
25|09|1956 61 S L DHARMAHUSADA SELATAN 25 1 4 0
25|02|1959 59 S P DHARMAHUSADA SELATAN 25 1 4 0
18|06|1981 37 B L DHARMAHUSADA SELATAN 25 1 4 0
12|02|1984 34 B L DHARMAHUSADA SELATAN 25 1 4 0
09|02|1992 26 B P DHARMAHUSADA SELATAN 25 1 4 0
15|06|1958 60 S P DHARMAHUSADA SELATAN 25 1 4 0
13|07|1987 30 B P DHARMAHUSADA SELATAN 25 1 4 0
01|03|1976 42 S L DHARMAHUSADA SELATAN 29 1 4 0
17|04|1978 40 S P DHARMAHUSADA SELATAN 29 1 4 0
02|06|1939 79 B P DHARMAHUSADA SELATAN 3 1 4 0
04|07|1942 75 B P DHARMAHUSADA SELATAN 3 1 4 0
13|09|1926 91 P P DHARMAHUSADA SELATAN 31 1 4 0
21|02|1958 60 S P DHARMAHUSADA SELATAN 31 1 4 0
10|08|1961 56 S L DHARMAHUSADA SELATAN 31 1 4 0
20|11|1994 23 B L DHARMAHUSADA SELATAN 31 1 4 0
13|09|1975 42 B L DHARMAHUSADA SELATAN 33 1 4 0
26|06|1942 76 P P DHARMAHUSADA SELATAN 33 1 4 0
20|11|1979 38 S L DHARMAHUSADA SELATAN 35 1 4 0
24|09|1982 35 B P DHARMAHUSADA SELATAN 35 1 4 0
22|01|1991 27 B L DHARMAHUSADA SELATAN 39 1 4 0
22|07|1981 36 S L DHARMAHUSADA SELATAN 39 1 4 0
09|06|1987 31 S P DHARMAHUSADA SELATAN 39 1 4 0
01|06|1967 51 P P DHARMAHUSADA SELATAN 39 1 4 0
04|11|1954 63 S L DHARMAHUSADA SELATAN 6 1 4 0
21|11|1959 58 S P DHARMAHUSADA SELATAN 6 1 4 0
30|01|1971 47 S L DHARMAHUSADA SELATAN 8 1 4 0
12|06|1939 79 P P DHARMAHUSADA SELATAN 8 1 4 0
31|03|1962 56 S L DHARMAHUSADA SELATAN 8 1 4 0
07|08|1964 53 S P DHARMAHUSADA SELATAN 8 1 4 0
16|05|1990 28 B P DHARMAHUSADA SELATAN 8 1 4 0
30|10|1992 25 B P DHARMAHUSADA SELATAN 8 1 4 0
14|08|1937 80 S L DHARMAHUSADA SELATAN 8 1 4 0
15|12|1979 38 S P DHARMAHUSADA SELATAN 8 1 4 0
06|07|1956 61 S L MOJO KLANGGRU 18-A 1 4 0
30|06|1968 49 S P MOJO KLANGGRU 18-A 1 4 0
04|04|1991 27 S P MOJO KLANGGRU 18-A 1 4 0
16|08|1987 30 S L MOJO KLANGGRU 18-A 1 4 0
30|08|1989 28 B L MOJO KLANGGRU 18-A 1 4 0
14|03|2000 18 B P MOJO KLANGGRU 18-A 1 4 0
22|10|1975 42 S L MOJO KLANGGRU 20 1 4 0

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132 3578080712090008 3573035809770002 HERLINA MALANG 18|09|1977
133 3578080712090008 3578080806000006 ANANDA ALIF HERDIANSYAH MALANG 08|06|2000
134 3578081806150001 3578086405860004 SULISTYORINI RAHAYU SURABAYA 24|05|1986
135 3578081910120003 3578103103730003 RUDY HARMANTO SURABAYA 31|03|1973
136 3578081910120003 3578087006740007 YOENY ERMAWATI, SE SURABAYA 30|06|1974
137 3578080201080173 3578082410750003 DHENI TRIYAS WAHYUDI,SE SURABAYA 24|10|1975
138 3578080201080173 3578084501760003 MERRY CINTYA INDIANI,SE SURABAYA 05|01|1976
139 3578081910120003 3578085001010001 SALSABILA ERDIAN MAWARDANI SURABAYA 10|01|2001
140 3578080201089957 3578081502590001 MUDJIANTONO SURABAYA 15|02|1959
141 3578080201089957 3578086903640004 NANING WIDJAJATI SURABAYA 29|03|1964
142 3578081608160002 3578086603960002 AMELIA NOVIANTI SURABAYA 26|03|1996
143 3578081608160002 3578172604960001 SAMSUL PRAYUDA SURABAYA 26|04|1996
144 3578080201080328 3578082509820002 MACHMUD SURABAYA 25|09|1982
145 3578080201080328 3578084106860003 FANDI WIJAYANA JEMBER 01|06|1986
146 3578080101080389 3578082902640001 R.DJOKO WURYANTO JAKARTA 29|02|1964
147 3578080101080389 3578087009650007 ANIK DWI SURYANI SURABAYA 30|09|1965
148 3578080101080389 3578085409910002 ARINDA WURNI AYU PERTIWI SURABAYA 14|09|1991
149 3578080101080389 3578084212940003 INTAN AYU PUSPITASARI SURABAYA 02|12|1994
150 3578080101080389 3578082801970002 R.TRI RACHMAD PRIBADI SURABAYA 28|01|1997
151 3578081103130006 3578086507630004 PAMRIHATI SURABAYA 25|07|1963
152 3578080101084909 3578086906440009 MUKAYAH SURABAYA 29|06|1944
153 3578080102160014 3578080811920002 MUHAMAD RIZAL SURABAYA 08|11|1992
154 3578080401086310 3578082705620001 BUDI UTOMO WAHYU SEMARANG 27|05|1962
155 3578080401086310 3578081306910004 ROBBY SETIAWAN UTOMO SURABAYA 13|06|1991
156 3578080406130006 3578085803860003 CHOIRILLA FAJAR WATI SURABAYA 18|03|1986
157 3578080501082305 3578081306590001 CHOZIN SURABAYA 13|06|1959
158 3578080501082305 3578086609670004 MAISAROH JOMBANG 26|09|1967
159 3578081011150005 3578084410600003 RIANAH SURABAYA 04|10|1960
160 3578081011150005 3578082702980001 FEBRI KUSUMA WARDHANA SURABAYA 27|02|1998
161 3578081406120033 3578080909820001 DWI PURNOMO SURABAYA 09|09|1982
162 3578081406120033 3578084302830007 MARYAM BOJONEGORO 03|02|1983
163 3578080102160014 3505205305890001 DIAN FADILA BLITAR 08|12|1988
164 3578080401086310 3578084506990004 ROSALYN CHANDRA UTOMO SURABAYA 05|06|1999
165 3578080406130006 3578092009850003 MUHAMMAD MAGHRUS ALI SURABAYA 20|09|1985
166 3578080501082305 3578085101990001 SUCI RAHMADANIA SURABAYA 11|01|1999
167 3578080101084037 3578082603530002 SOEJITNO SURABAYA 26|03|1953
168 3578080101084037 3578084904600001 ZULAINY SURABAYA 09|04|1960
169 3578080401089390 3578085208690003 RITA SARI SURABAYA 12|08|1969
170 3578080401089390 3578081507700004 TATANG KURNIAWAN SURABAYA 15|07|1970
171 3578080401089390 3578081903950002 IRHAM FAJRIA KURNIAWAN SURABAYA 19|03|1995
172 3578081504140004 3317101803820002 AZWAR IMAM PRAYOGI REMBANG 18|03|1982
173 3578081504140004 3578085911830001 RIZKI NOVANI AMALIA SURABAYA 19|11|1983
174 3578081010160010 3578102905680003 EDY PRAYITNO SURABAYA 29|05|1968
175 3578081010160010 3578105010690008 LASMININGSIH KEDIRI 10|10|1969
176 3578081010160010 3578101612920002 CRISTIAN ALFA PRASETYO SURABAYA 16|12|1992
177 3578081010160010 3578101203010003 OMEGA YOEL PRASETYO SURABAYA 12|03|2001
178 3578080101083309 3578081110690009 ERWIN HADIONO,IR SURABAYA 11|10|1969
9

18|09|1977 40 S P MOJO KLANGGRU 20 1 4 0


08|06|2000 18 B L MOJO KLANGGRU 20 1 4 0
24|05|1986 32 B P MOJO KLANGGRU 36 1 4 0
31|03|1973 45 S L MOJO KLANGGRU 36 1 4 0
30|06|1974 43 S P MOJO KLANGGRU 36 1 4 0
24|10|1975 42 S L MOJO KLANGGRU 36 1 4 0
05|01|1976 42 S P MOJO KLANGGRU 36 1 4 0
10|01|2001 17 B P MOJO KLANGGRU 36 1 4 0
15|02|1959 59 S L MOJO KLANGGRU 39 1 4 0
29|03|1964 54 S P MOJO KLANGGRU 39 1 4 0
26|03|1996 22 B P MOJO KLANGGRU 39 1 4 0
26|04|1996 22 B L MOJO KLANGGRU 39 1 4 0
25|09|1982 35 S L MOJO KLANGGRU LOR 18-A 1 4 0
01|06|1986 32 S P MOJO KLANGGRU LOR 18-A 1 4 0
29|02|1964 54 S L MOJO KLANGGRU LOR 1-A 1 4 0
30|09|1965 52 S P MOJO KLANGGRU LOR 1-A 1 4 0
14|09|1991 26 B P MOJO KLANGGRU LOR 1-A 1 4 0
02|12|1994 23 B P MOJO KLANGGRU LOR 1-A 1 4 0
28|01|1997 21 B L MOJO KLANGGRU LOR 1-A 1 4 0
25|07|1963 54 P P MOJO KLANGGRU LOR 8-A 1 4 0
29|06|1944 73 S P MOJOKLANGGRU 18-A 1 4 0
08|11|1992 25 B L MOJOKLANGGRU 18-A 1 4 0
27|05|1962 56 P L MOJOKLANGGRU 18-A 1 4 0
13|06|1991 27 B L MOJOKLANGGRU 18-A 1 4 0
18|03|1986 32 S P MOJOKLANGGRU 18-A 1 4 0
13|06|1959 59 S L MOJOKLANGGRU 18-A 1 4 0
26|09|1967 50 S P MOJOKLANGGRU 18-A 1 4 0
04|10|1960 57 S P MOJOKLANGGRU 18-A 1 4 0
27|02|1998 20 B L MOJOKLANGGRU 18-A 1 4 0
09|09|1982 35 S L MOJOKLANGGRU 18-A 1 4 0
03|02|1983 35 S P MOJOKLANGGRU 18-A 1 4 0
08|12|1988 29 S P MOJOKLANGGRU 18-A 1 4 0
05|06|1999 19 B P MOJOKLANGGRU 18-A 1 4 0
20|09|1985 32 B L MOJOKLANGGRU 18-A 1 4 0
11|01|1999 19 B P MOJOKLANGGRU 18-A 1 4 0
26|03|1953 65 S L MOJOKLANGGRU 20 1 4 0
09|04|1960 58 S P MOJOKLANGGRU 20 1 4 0
12|08|1969 48 S P MOJOKLANGGRU 20 1 4 0
15|07|1970 47 S L MOJOKLANGGRU 20 1 4 0
19|03|1995 23 B L MOJOKLANGGRU 20 1 4 0
18|03|1982 36 B L MOJOKLANGGRU 20 1 4 0
19|11|1983 34 S P MOJOKLANGGRU 20 1 4 0
29|05|1968 50 S L MOJOKLANGGRU 24 1 4 0
10|10|1969 48 S P MOJOKLANGGRU 24 1 4 0
16|12|1992 25 B L MOJOKLANGGRU 24 1 4 0
12|03|2001 17 B L MOJOKLANGGRU 24 1 4 0
11|10|1969 48 S L MOJOKLANGGRU 36 1 4 0

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179 3578080101083309 3578087010720001 JULIE KHRISSETIAWATI SURABAYA 30|10|1972
180 3578082507120059 3578080806760005 HERI SUKOHARJO 08|06|1976
181 3578080401080728 3578080101580009 MATRIYAN BANGKALAN 01|01|1958
182 3578080401080728 3578083101850001 RANDU KUSUMA SURABAYA 31|01|1985
183 3578080401080728 3578084205880004 YOELEHA SURABAYA 02|05|1988
184 3578081204170008 3578082003820002 HARTOYO SURABAYA 20|03|1982
185 3578081204170008 3578284403900001 LISA YULIANI SURABAYA 04|03|1990
186 3578080401087857 3578082208720007 AGUS SUPRIJO SURABAYA 22|08|1972
187 3578080401087857 3578086807720010 AGFIDA ZUSNAINY SURABAYA 28|07|1972
188 3578080401087857 3578086710930004 ANINDYA PERMATA SARI SURABAYA 27|10|1993
189 3578080401087857 3578086001950006 CHAIRIA NABELLA KHANZA SURABAYA 20|01|1995
190 3578080401087858 3578085504370001 EUIS BANDUNG 15|04|1937
191 3578080401087858 3578080410750005 ISPURNOMO BAKTI SURABAYA 04|10|1975
192 3578080401088442 3578082107630004 KUSNO SURABAYA 21|07|1963
193 3578080401088442 3578084706690002 LILIS SETIYOWATI SURABAYA 07|06|1969
194 3578081903150006 3578084209850001 SILVIE STEFANIE SURABAYA 02|09|1985
195 3578081903150007 3578084605610002 ENDANG WAHYUTI SURABAYA 06|05|1961
196 3578080401087857 3578081905010002 FARIZ AGIEL PRAMUDYA SURABAYA 19|05|2001
197 3578080401088442 3578080906000004 BIMA PUTRA KUSUMA SURABAYA 09|06|2000
198 3578080201080829 3578083112740003 GITO NGANJUK 31|12|1974
199 3578080201080829 3578085201890001 ANITA SETYOWATI SURABAYA 12|01|1989
200 3578080201081238 3578080208730004 MOHAMMAD FAISHOL GRESIK 02|08|1973
201 3578080201081238 3578085801770001 HENNY SOEMAMI SURABAYA 18|01|1977
202 3578080201085407 3578081206740003 MASELAN DEMAK 12|06|1974
203 3578080201085407 3578085302830001 ARY MUJIASTUTI SURABAYA 13|02|1983
204 3578080301081520 3578083009480001 SOETJIPTO SURABAYA 30|09|1948
205 3578080401085268 3578083006600026 NUBADI SURABAYA 30|06|1960
206 3578080401085268 3578085209620004 WIDJI LESTARI JAKARTA 12|09|1962
207 3578080401085268 3578080404970001 ARIFIN SURABAYA 04|04|1997
208 3578080401085268 3578082705000002 RESA ALFIANTO SURABAYA 27|05|2000
209 3578080401082429 3578080205520003 SUJONO BLITAR 02|05|1952
210 3578080101089815 3578081412750004 SUSILO HANDOKO BLITAR 14|12|1975
211 3578080101089815 3578084107780006 DORIS YULIANINGSIH SURABAYA 01|07|1978
212 3578080301084964 3578084108380001 SRI UTAMI NGANJUK 01|08|1938
213 3578080401082121 3578082402640002 RAMELAN SURABAYA 24|02|1964
214 3578080401082121 3578085503680003 SITI ASNAH KEDIRI 15|03|1968
215 3578080401082121 3578085509910001 MAULIDYAH LUCIANA RAMELAN SURABAYA 15|09|1991
216 3578080401082121 3578084303970002 SHANDITYA MARIANA RAMELAN SURABAYA 03|03|1997
217 3578080501083675 3578086912370002 ROEPIAH SURABAYA 29|12|1937
218 3578083110120002 3578080504770011 BUDIYONO JEMBER 05|04|1977
219 3578083110120002 3578085505800007 SITI AMINAH JEMBER 15|05|1980
220 3578080101089815 3578084207000002 RATNA LU`LU`UL FIRDANSI SURABAYA 02|07|2000
221 3578083110120002 3578082502990005 YULHAND
FATKHUR ROHMAN JEMBER 25|02|1999
222 3578080101083223 3578085312660001 ENDANG DWI SETIYOWATININGSIH NGANJUK 13|12|1966
223 3578080101083223 3578082611670002 IMAM SABARONI SURABAYA 26|11|1967
224 3578080101083223 3578084304970001 RANI AFRINA CHOTIJA SURABAYA 03|04|1997
225 3578080401082528 3578085502300001 SAMONAH SURABAYA 15|02|1930
9

30|10|1972 45 S P MOJOKLANGGRU 36 1 4 0
08|06|1976 42 S L MOJOKLANGGRU 36 1 4 0
01|01|1958 60 S L MOJOKLANGGRU 36-D 1 4 0
31|01|1985 33 S L MOJOKLANGGRU 36-D 1 4 0
02|05|1988 30 S P MOJOKLANGGRU 36-D 1 4 0
20|03|1982 36 B L MOJOKLANGGRU 36-D 1 4 0
04|03|1990 28 B P MOJOKLANGGRU 36-D 1 4 0
22|08|1972 45 S L MOJOKLANGGRU 36-E 1 4 0
28|07|1972 45 S P MOJOKLANGGRU 36-E 1 4 0
27|10|1993 24 B P MOJOKLANGGRU 36-E 1 4 0
20|01|1995 23 B P MOJOKLANGGRU 36-E 1 4 0
15|04|1937 81 P P MOJOKLANGGRU 36-E 1 4 0
04|10|1975 42 P L MOJOKLANGGRU 36-E 1 4 0
21|07|1963 54 S L MOJOKLANGGRU 36-E 1 4 0
07|06|1969 49 S P MOJOKLANGGRU 36-E 1 4 0
02|09|1985 32 B P MOJOKLANGGRU 36-E 1 4 0
06|05|1961 57 S P MOJOKLANGGRU 36-E 1 4 0
19|05|2001 17 B L MOJOKLANGGRU 36-E 1 4 0
09|06|2000 18 B L MOJOKLANGGRU 36-E 1 4 0
31|12|1974 43 S L MOJOKLANGGRU 39 1 4 0
12|01|1989 29 S P MOJOKLANGGRU 39 1 4 0
02|08|1973 44 S L MOJOKLANGGRU 39 1 4 0
18|01|1977 41 S P MOJOKLANGGRU 39 1 4 0
12|06|1974 44 S L MOJOKLANGGRU 39 1 4 0
13|02|1983 35 S P MOJOKLANGGRU 39 1 4 0
30|09|1948 69 P L MOJOKLANGGRU 39 1 4 0
30|06|1960 57 S L MOJOKLANGGRU 39 1 4 0
12|09|1962 55 S P MOJOKLANGGRU 39 1 4 0
04|04|1997 21 B L MOJOKLANGGRU 39 1 4 0
27|05|2000 18 B L MOJOKLANGGRU 39 1 4 0
02|05|1952 66 S L MOJOKLANGGRU 8-A 1 4 0
14|12|1975 42 S L MOJOKLANGGRU LOR 18 1 4 0
01|07|1978 39 S P MOJOKLANGGRU LOR 18 1 4 0
01|08|1938 79 P P MOJOKLANGGRU LOR 18 1 4 0
24|02|1964 54 S L MOJOKLANGGRU LOR 18 1 4 0
15|03|1968 50 S P MOJOKLANGGRU LOR 18 1 4 0
15|09|1991 26 B P MOJOKLANGGRU LOR 18 1 4 0
03|03|1997 21 B P MOJOKLANGGRU LOR 18 1 4 0
29|12|1937 80 P P MOJOKLANGGRU LOR 18 1 4 0
05|04|1977 41 S L MOJOKLANGGRU LOR 18 1 4 0
15|05|1980 38 S P MOJOKLANGGRU LOR 18 1 4 0
02|07|2000 17 B P MOJOKLANGGRU LOR 18 1 4 0
25|02|1999 19 B L MOJOKLANGGRU LOR 18 1 4 0
13|12|1966 51 S P MOJOKLANGGRU LOR 18-A 1 4 0
26|11|1967 50 S L MOJOKLANGGRU LOR 18-A 1 4 0
03|04|1997 21 B P MOJOKLANGGRU LOR 18-A 1 4 0
15|02|1930 88 S P MOJOKLANGGRU LOR 18-A 1 4 0

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226 3578080401082528 3578086009770005 SUMINAH SURABAYA 20|09|1977
227 3578080401082540 3578080701750004 RIYANTO MADIUN 07|01|1975
228 3578080401082540 3578085503760001 SUMIANTI SURABAYA 15|03|1976
229 3578080401082540 3578086503970003 SHANTI RIZQIA SURABAYA 25|03|1997
230 3578080501083573 3578083006740011 PURIANTO SURABAYA 30|06|1974
231 3578081102160006 3578081109900003 MUHAMMAD YUNUS SURABAYA 11|09|1990
232 3578080501083573 3578085307760005 ANIK MURTININGSIH, S.Pd SURABAYA 13|07|1976
233 3578080501083573 3578081611990009 MUHAMMAD YUSRIL NUR HABIBII SURABAYA 16|11|1999
234 3578081102160006 3524174705890003 FINA FITRIA SARI LAMONGAN 07|05|1989
235 3578080201083176 3578087008780002 ISTIQORINI SURABAYA 30|08|1978
236 3578080401088581 3578081009570003 MUDJIONO MALANG 10|09|1957
237 3578080401088581 3578086506570001 IDDAH NURAINI SURABAYA 25|06|1957
238 3578080401088581 3578087011870002 NOVITA DWI KURNIASARI SURABAYA 30|11|1987
239 3578082802110016 3578041402810001 ROSIYAN SAHRUL MUNIR SURABAYA 14|02|1981
240 3578082802110016 3578086510820004 IKE WIDYATAMA SURABAYA 25|10|1982
241 3578080201086934 3578081808670004 AGUS SETIAWAN JAK-SEL 18|08|1967
242 3578080201086934 3578081606720007 ANDI YUHANDI JAK-SEL 16|06|1972
243 3578081603090003 3578085210810009 OKTAVIANA SURABAYA 12|10|1981
244 3578082803130008 3578081906970003 RAFI IRFANATHA HERU SADJARWO SURABAYA 19|06|1997
245 3578082803130008 3578084606740006 SABRINA ASKANDAR TJOKRO PRAW SURABAYA 06|06|1974
246 3578080101088167 3578074606680001 PADMARINI HARYANTI SATYADHARM SURABAYA 06|06|1968
247 3578080101088167 3578085612300001 INGGARWATI SATYADHARMA MALANG 16|12|1930
248 3578080301088537 3578086905830002 IKA PURNAMASARI SURABAYA 29|05|1983
249 3578080301088537 3578085505840006 DWI MEINITASARI SURABAYA 15|05|1984
250 3578080201089263 3578081909890005 PUGUH HARYONO SURABAYA 19|09|1989
251 3578080301085272 3578083006420029 SAKIM LAMONGAN 30|06|1942
252 3578080301085272 3578087006480048 NASRI LAMONGAN 30|06|1948
253 3578080301088537 3578081305530001 KASIMIN KEBUMEN 13|05|1953
254 3578080301088537 3578085609580004 ANIK PURWATI JOMBANG 16|09|1958
255 3578080301089162 3578080903540001 RUDDY YANCE HITIPEUW PALEMBANG 09|03|1954
256 3578080301089162 3578085909630002 SOESANA BERHITOE TABANAN 19|09|1963
257 3578082011140005 3578085607590005 KASIYATI SURABAYA 16|07|1959
258 3578082011140005 3578081001800001 SAIFUL RAHMAN SURABAYA 10|01|1980
259 3578082011140005 3578086104850003 RENI PURWATI SURABAYA 21|04|1985
260 3578080301089162 3578080912990002 FRANS NICO HITIPEUW SURABAYA 09|12|1999
261 3578080201089263 3578083010510001 PAIMAN SURABAYA 30|10|1951
262 3578080201089263 3578085006540001 PATIKAH SURABAYA 10|06|1954
263 3578080201089263 3578082903750006 PRAYITNO SURABAYA 29|03|1975
264 3578080301088578 3578082001480002 BAMBANG SUDOJO LAMONGAN 20|01|1948
265 3578080301088578 3578086003510001 DWIANI BOJONEGORO 20|03|1951
266 3578080501083793 3578082210990003 NATHANAEL PRATAMA PUTRA P SURABAYA 22|10|1999
267 3578080102100047 3578084608850003 ARY INSYIAWATI SURABAYA 06|08|1985
268 3578080305110006 3578082207750008 SAMAJI LAMONGAN 22|07|1975
269 3578080305110006 3578085505770011 MERI KUSTIOWATI SURABAYA 15|05|1977
270 3578080401082680 3578086701540002 KALIMAH SOEMINI SURABAYA 27|01|1954
271 3578080401082680 3578081509740001 PURWANTO SURABAYA 15|09|1974
272 3578080401082680 3578086404810005 ANA KUSMAWATI SURABAYA 24|04|1981
9

20|09|1977 40 S P MOJOKLANGGRU LOR 18-A 1 4 0


07|01|1975 43 S L MOJOKLANGGRU LOR 18-A 1 4 0
15|03|1976 42 S P MOJOKLANGGRU LOR 18-A 1 4 0
25|03|1997 21 B P MOJOKLANGGRU LOR 18-A 1 4 0
30|06|1974 43 S L MOJOKLANGGRU LOR 18-A 1 4 0
11|09|1990 27 B L MOJOKLANGGRU LOR 18-A 1 4 0
13|07|1976 41 S P MOJOKLANGGRU LOR 18-A 1 4 0
16|11|1999 18 B L MOJOKLANGGRU LOR 18-A 1 4 0
07|05|1989 29 B P MOJOKLANGGRU LOR 18-A 1 4 0
30|08|1978 39 S P MOJOKLANGGRU LOR 18A2 1 4 0
10|09|1957 60 S L MOJOKLANGGRU LOR 18-G 1 4 0
25|06|1957 61 S P MOJOKLANGGRU LOR 18-G 1 4 0
30|11|1987 30 B P MOJOKLANGGRU LOR 18-G 1 4 0
14|02|1981 37 S L MOJOKLANGGRU LOR 18-G 1 4 0
25|10|1982 35 S P MOJOKLANGGRU LOR 18-G 1 4 0
18|08|1967 50 B L MOJOKLANGGRU LOR 8 1 4 0
16|06|1972 46 B L MOJOKLANGGRU LOR 8 1 4 0
12|10|1981 36 S P MOJOKLANGGRU LOR 1 4 0
19|06|1997 21 B L KOMPLEX
PROF.DR.MOESTOPO 36-F 1 4 0
06|06|1974 44 P P PROF.DR.MOESTOPO 36-F 1 4 0
06|06|1968 50 B P PROF.DR.MUSTOPO 118 1 4 0
16|12|1930 87 S P PROF.DR.MUSTOPO 8 1 4 0
29|05|1983 35 B P MOJO KLANGGRU / 2 4 0
15|05|1984 34 B P MOJO KLANGGRU / 2 4 0
19|09|1989 28 B L MOJO KLANGGRU / 5 2 4 0
30|06|1942 75 S L MOJO KLANGGRU 1/10-B 2 4 0
30|06|1948 69 S P MOJO KLANGGRU 1/10-B 2 4 0
13|05|1953 65 S L MOJO KLANGGRU 1/11 2 4 0
16|09|1958 59 S P MOJO KLANGGRU 1/11 2 4 0
09|03|1954 64 S L MOJO KLANGGRU 1/11 2 4 0
19|09|1963 54 S P MOJO KLANGGRU 1/11 2 4 0
16|07|1959 58 P P MOJO KLANGGRU 1/11 2 4 0
10|01|1980 38 B L MOJO KLANGGRU 1/11 2 4 0
21|04|1985 33 B P MOJO KLANGGRU 1/11 2 4 0
09|12|1999 18 B L MOJO KLANGGRU 1/11 2 4 0
30|10|1951 66 S L MOJO KLANGGRU 1/15 2 4 0
10|06|1954 64 S P MOJO KLANGGRU 1/15 2 4 0
29|03|1975 43 B L MOJO KLANGGRU 1/15 2 4 0
20|01|1948 70 S L MOJO KLANGGRU 1/6 2 4 0
20|03|1951 67 S P MOJO KLANGGRU 1/6 2 4 0
22|10|1999 18 B L MOJO KLANGGRU 1/8 2 4 0
06|08|1985 32 S P MOJO KLANGGRU 38 2 4 0
22|07|1975 42 S L MOJO KLANGGRU 38 2 4 0
15|05|1977 41 S P MOJO KLANGGRU 38 2 4 0
27|01|1954 64 P P MOJO KLANGGRU 38 2 4 0
15|09|1974 43 B L MOJO KLANGGRU 38 2 4 0
24|04|1981 37 B P MOJO KLANGGRU 38 2 4 0

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273 3578080401082680 3578080707910001 MUHAMMAD SUSANTO SURABAYA 07|07|1991
274 3578081501160008 3578085401790001 ANY KOESHERAWATI SURABAYA 14|01|1979
275 3578080101087076 3578082809740005 EKO SUSANTO SURABAYA 28|09|1974
276 3578080101087076 3578084201760005 FAUZIAH MAKASAR JAKARTA 02|01|1976
277 3578080501081585 3578082309960002 MUHAMMAD RIZAL ISNANTO SURABAYA 23|09|1996
278 3578080501081585 3578080212970002 ACHMAD FAUZI FADHLULLAH SURABAYA 02|12|1997
279 3578083105120005 3578087011570003 SRI WAHYUNI SURABAYA 30|11|1957
280 3578083105120005 3578081207630004 MUDJIANTORO SURABAYA 12|07|1963
281 3578080101087076 3578082206010001 DIMAS MOCH GHALIB ALFARIZ SURABAYA 22|06|2001
282 3578080501081585 3578084402650006 Dra. ISNA FITRIATI BANJARMASIN 04|02|1965
283 3578080501081585 3578081709650005 Drs. MUDJIONO SURABAYA 17|09|1965
284 3578080401085277 3578082006520001 MATADJIS SURABAYA 20|06|1952
285 3578080401085277 3578086006550006 MARLIYAH SURABAYA 20|06|1955
286 3578080401085277 3578081312730005 PURWANTORO SURABAYA 13|12|1973
287 3578080401085277 3578082203750001 PITONO SURABAYA 22|03|1975
288 3578080401085277 3578081406900001 PANCA INDRA WIDJAYA SURABAYA 14|06|1990
289 3578081402110060 3578081110780001 WIWIT WASIS WICAKSONO, SE SURABAYA 11|10|1978
290 3578081402110060 3578085311860005 NOVIA IRA MAULANA MALANG 13|11|1986
291 3578082411110028 3578083008770003 MOKHAMAD SAIFUL ARIF SURABAYA 30|08|1977
292 3578082411110028 3578084806840011 VIVIT TRIMAYUNI MOJOKERTO 08|06|1984
293 3578080301088466 3578086802410001 Dra. EKOWATI, M.Pd MALANG 28|02|1941
294 3578080301088466 3578081001490003 Drs. HERRY MARGIONO, ST BLITAR 10|01|1949
295 3578080201081792 3578080102820003 JEFRI KUSHERLIAN SIDOARJO 02|01|1982
296 3578080101084903 3578080305730001 SUPRIYANTO SURABAYA 03|05|1973
297 3578080101084903 3578085404810005 RIRIN DWI ASTUTIK SURABAYA 14|04|1981
298 3578080201085838 3578087006270029 SUPINAH SURABAYA 30|06|1927
299 3578080201085838 3578084303820002 INDAH SANJAYA SURABAYA 03|03|1982
300 3578080201085838 3578081002540002 DJAYA KARSENG PALEMBANG 10|02|1954
301 3578080201085838 3578084507630002 NGATEMI SURABAYA 05|07|1963
302 3578080201085838 3578082211900005 INDRA WIJAYANTO SURABAYA 22|11|1990
303 3578080401082821 3578081805600004 KRISTAMAJI SURABAYA 18|05|1960
304 3578082110100029 3578080306680007 JUNIARKO SURABAYA 03|06|1968
305 3578082110100029 3578085006710002 KUNAYAH SURABAYA 10|06|1971
306 3578082507120137 3578085404670003 ARIS TRIANAH SURABAYA 14|04|1967
307 3578082507120137 3578100507680001 MOCH. SYAHRONI SURABAYA 05|07|1968
308 3578080101085336 3578081112690001 MOCH. RAHMAN SUMENEP 11|12|1969
309 3578080101085336 3578086707780002 PUJIASTUTIEK SURABAYA 27|07|1978
310 3578080401082821 3578086912680004 ISWATI SYUKRIYAH KEPANJEN 29|12|1968
311 3578080401082821 5271024707900001 FRESTY NOOR AISHIAH MALANG 07|07|1990
312 3578080401082821 3578082908940009 MOCH RIFQI FIRDAUS RAFII MALANG 29|08|1994
313 3578080401082821 3578081404920002 MOCH KIRANDA TATANIARSA MALANG 14|04|1992
314 3578080301085233 3578080808360001 DJAJADI,Drs,M.S SOLO 08|08|1936
315 3578080301089117 3578081406680002 ZULKARNAEN BANJARMASIN 14|06|1968
316 3578080301089117 3578085712710001 SRI IRA WATI SURABAYA 17|12|1971
317 3578080301089117 3578081610890001 IRWAN AFRYANTO SURABAYA 16|10|1989
318 3578080301089117 3578082301960002 RIZA RAMA DHANI SURABAYA 23|01|1996
319 3578080301089624 3578084204750003 SUKESI SURABAYA 02|04|1975
9

07|07|1991 26 B L MOJO KLANGGRU 38 2 4 0


14|01|1979 39 S P MOJO KLANGGRU 38 2 4 0
28|09|1974 43 S L MOJO KLANGGRU 42 2 4 0
02|01|1976 42 S P MOJO KLANGGRU 42 2 4 0
23|09|1996 21 B L MOJO KLANGGRU 42 2 4 0
02|12|1997 20 B L MOJO KLANGGRU 42 2 4 0
30|11|1957 60 B P MOJO KLANGGRU 42 2 4 0
12|07|1963 54 B L MOJO KLANGGRU 42 2 4 0
22|06|2001 17 B L MOJO KLANGGRU 42 2 4 0
04|02|1965 53 S P MOJO KLANGGRU 42 2 4 0
17|09|1965 52 S L MOJO KLANGGRU 42 2 4 0
20|06|1952 66 S L MOJO KLANGGRU 46 2 4 0
20|06|1955 63 S P MOJO KLANGGRU 46 2 4 0
13|12|1973 44 B L MOJO KLANGGRU 46 2 4 0
22|03|1975 43 B L MOJO KLANGGRU 46 2 4 0
14|06|1990 28 B L MOJO KLANGGRU 46 2 4 0
11|10|1978 39 S L MOJO KLANGGRU 46 2 4 0
13|11|1986 31 S P MOJO KLANGGRU 46 2 4 0
30|08|1977 40 S L MOJO KLANGGRU 46 2 4 0
08|06|1984 34 S P MOJO KLANGGRU 46 2 4 0
28|02|1941 77 S P MOJO KLANGGRU 46 2 4 0
10|01|1949 69 S L MOJO KLANGGRU 46 2 4 0
02|01|1982 36 S L MOJO KLANGGRU 46 C 2 4 0
03|05|1973 45 S L MOJO KLANGGRU GG-1/5 2 4 0
14|04|1981 37 S P MOJO KLANGGRU GG-1/5 2 4 0
30|06|1927 90 P P MOJO KLANGGRU I/ 2 4 0
03|03|1982 36 B P MOJO KLANGGRU I/ 2 4 0
10|02|1954 64 S L MOJO KLANGGRU I/11 2 4 0
05|07|1963 54 S P MOJO KLANGGRU I/11 2 4 0
22|11|1990 27 B L MOJO KLANGGRU I/11 2 4 0
18|05|1960 58 S L MOJO KLANGGRU LOR /8-B 2 4 0
03|06|1968 50 S L MOJO KLANGGRU LOR 1/11-A 2 4 0
10|06|1971 47 S P MOJO KLANGGRU LOR 1/11-A 2 4 0
14|04|1967 51 S P MOJO KLANGGRU LOR 1/11-A 2 4 0
05|07|1968 49 S L MOJO KLANGGRU LOR 1/11-A 2 4 0
11|12|1969 48 S L MOJO KLANGGRU LOR 1/2-A 2 4 0
27|07|1978 39 S P MOJO KLANGGRU LOR 1/2-A 2 4 0
29|12|1968 49 S P MOJO KLANGGRU LOR 1/8-B 2 4 0
07|07|1990 27 S P MOJO KLANGGRU LOR 1/8-B 2 4 0
29|08|1994 23 B L MOJO KLANGGRU LOR 1/8-B 2 4 0
14|04|1992 26 B L MOJO KLANGGRU LOR 1/8-B 2 4 0
08|08|1936 81 P L MOJO KLANGGRU LOR 38 2 4 0
14|06|1968 50 S L MOJO KLANGGRU LOR 384 2 4 0
17|12|1971 46 S P MOJO KLANGGRU LOR 384 2 4 0
16|10|1989 28 B L MOJO KLANGGRU LOR 384 2 4 0
23|01|1996 22 B L MOJO KLANGGRU LOR 384 2 4 0
02|04|1975 43 B P MOJO KLANGGRU LOR 38-A 2 4 0

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320 3578080301089624 3578084102770004 EVA SRI WAHYUNI BLITAR 01|02|1977
321 3578080301089624 3578081106780001 SUTIKNO SURABAYA 11|06|1978
322 3578080301086291 3578081706430002 MASRUHIN SURABAYA 17|06|1943
323 3578081306160017 3578087006480051 ALIMAH SURABAYA 30|06|1948
324 3578080301087190 3578082908960004 MUHAMMAD AZZAM ALIFUDDIN SURABAYA 29|08|1996
325 3578080301087190 3578083108640005 ARIF TJAHJONO,SH SURABAYA 31|08|1964
326 3578080301087190 3578085401680002 IMRONAH,SE SURABAYA 14|01|1968
327 3578080301087190 3578081409000001 MUHAMMAD RIZQULLAH AKBAR SURABAYA 14|09|2000
328 3578080101086097 3578081111810002 RB. ARIES WINDI ADITIYA SURABAYA 11|11|1981
329 3578080101081172 3578081211720001 SUGENG SUTIKNO SURABAYA 12|11|1972
330 3578080101081172 3578086305740003 NURROKHMAH QUWWATA SURABAYA 23|05|1974
331 3578080101081172 3578082301010002 BURHANA ROBBY SURABAYA 23|01|2001
332 3578080301080171 3578081102360002 SAID LAMONGAN 11|02|1936
333 3578081211120005 3578086308730009 RENI AGUSTI SURABAYA 23|08|1973
334 3578080401088568 3578084805700001 SITI SUHANAH SURABAYA 08|05|1970
335 3578080401088568 3578080712710004 MOCH YUNUS, SP SURABAYA 07|12|1971
336 3578080401088568 3578084810960004 SYAFRIDA ALVI NABILA SURABAYA 08|10|1996
337 3578080401088568 3578086805000004 SYAFIRA RIZKY AMIRA SURABAYA 28|05|2000
338 3578080501080284 3578085108350001 LILIK WIDAYATI MALANG 11|08|1935
339 3578080301088565 3578083009610003 IRAWAN SURABAYA 30|09|1961
340 3578080301088565 3578084909630005 ROSIPAH SURABAYA 09|09|1963
341 3578080301088565 3578082209850006 ARIEF KURNIAWAN SURABAYA 22|09|1985
342 3578080301088565 3578081612870003 DANANG KRESTIAWAN SURABAYA 16|12|1987
343 3578082401170003 3578080611910003 NOVIANTO TRI LAKSONO SURABAYA 06|11|1991
344 3578082401170003 3578044611940003 NOVITA SARI SURABAYA 06|11|1994
345 3578080101083562 3578081001730005 RUSWANDONO SURABAYA 10|01|1973
346 3578080101083562 3578084307740003 NUR ISLAHIYAH GRESIK 03|07|1974
347 3578080101086093 3578081504710003 PURWANTO SURABAYA 15|04|1971
348 3578080101086093 3578085402760003 KHAULA ROFIANA KEDIRI 14|02|1976
349 3578080101086093 3578087107970002 IKA QURNIA IMANDINAN SURABAYA 31|07|1997
350 3578080401088811 3578081906710006 RUSLANHADI SURABAYA 19|06|1971
351 3578080401088811 3578085004780006 NIKMAH YUHAH LAMONGAN 10|04|1978
352 3578081301100037 3578086803720002 SOESIATI SURABAYA 28|03|1972
353 3578080501081341 3578086004550003 ENDANG SUYATIN KEDIRI 20|04|1955
354 3578080501081341 3578082505560001 DJUMADI MOJOKERTO 25|05|1956
355 3578081703090007 3578080807800003 KUSTIAWAN SIDOARJO 08|07|1980
356 3578081703090007 3578085708820004 HENI SRI AGUSTIN MOJOKERTO 17|08|1982
357 3578080101087603 3578080806770001 JOSEPH LESLIE HANS SURABAYA 08|06|1977
358 3578080101087603 3578084801780001 EPIPHANIAS HUTAHURUK TARUTUNG 08|01|1978
359 3578080201084990 3578081112820001 SUDARMANTO BLITAR 11|12|1982
360 3578080201085234 3578080907790001 RAY JONLY DAREL MANADO 09|07|1979
361 3578080201085234 3578084206790001 OLIVIA JESSICA SURABAYA 02|06|1979
362 3578080301083011 3578080106520001 SUPARTO JOMBANG 01|06|1952
363 3578080301083011 3578085309570001 SOEPARTI SURABAYA 13|09|1957
364 3578080301083011 3578085304840001 ETIK LINDAWATI, A.MD SURABAYA 13|04|1984
365 3578080401088876 3578085210420001 DJUWARIJAH SURABAYA 12|10|1942
366 3578080401088876 3578082309770007 EDI MULYO SURABAYA 23|09|1977
9

01|02|1977 41 S P MOJO KLANGGRU LOR 38-A 2 4 0


11|06|1978 40 S L MOJO KLANGGRU LOR 38-A 2 4 0
17|06|1943 75 S L MOJO KLANGGRU LOR 44 2 4 0
30|06|1948 69 S P MOJO KLANGGRU LOR 44 2 4 0
29|08|1996 21 B L MOJO KLANGGRU LOR 46 E 2 4 0
31|08|1964 53 S L MOJO KLANGGRU LOR 46 E 2 4 0
14|01|1968 50 S P MOJO KLANGGRU LOR 46 E 2 4 0
14|09|2000 17 B L MOJO KLANGGRU LOR 46 E 2 4 0
11|11|1981 36 P L MOJO KLANGGRU LOR 48 2 4 0
12|11|1972 45 S L MOJO KLANGGRU LOR 51 2 4 0
23|05|1974 44 S P MOJO KLANGGRU LOR 51 2 4 0
23|01|2001 17 B L MOJO KLANGGRU LOR 51 2 4 0
11|02|1936 82 P L MOJO KLANGGRU LOR 55 2 4 0
23|08|1973 44 P P MOJO KLANGGRU LOR 57-B 2 4 0
08|05|1970 48 S P MOJO KLANGGRU LOR 65-C 2 4 0
07|12|1971 46 S L MOJO KLANGGRU LOR 65-C 2 4 0
08|10|1996 21 B P MOJO KLANGGRU LOR 65-C 2 4 0
28|05|2000 18 B P MOJO KLANGGRU LOR 65-C 2 4 0
11|08|1935 82 P P MOJOKLANGGRU /8 2 4 0
30|09|1961 56 S L MOJOKLANGGRU 1 / 10 2 4 0
09|09|1963 54 S P MOJOKLANGGRU 1 / 10 2 4 0
22|09|1985 32 B L MOJOKLANGGRU 1 / 10 2 4 0
16|12|1987 30 B L MOJOKLANGGRU 1 / 10 2 4 0
06|11|1991 26 B L MOJOKLANGGRU 1 / 10 2 4 0
06|11|1994 23 B P MOJOKLANGGRU 1 / 10 2 4 0
10|01|1973 45 S L MOJOKLANGGRU 1/10 2 4 0
03|07|1974 43 S P MOJOKLANGGRU 1/10 2 4 0
15|04|1971 47 S L MOJOKLANGGRU 1/10 2 4 0
14|02|1976 42 S P MOJOKLANGGRU 1/10 2 4 0
31|07|1997 20 B P MOJOKLANGGRU 1/10 2 4 0
19|06|1971 47 S L MOJOKLANGGRU 1/10 2 4 0
10|04|1978 40 S P MOJOKLANGGRU 1/10 2 4 0
28|03|1972 46 B P MOJOKLANGGRU 1/10 2 4 0
20|04|1955 63 S P MOJOKLANGGRU 1/10-B 2 4 0
25|05|1956 62 S L MOJOKLANGGRU 1/10-B 2 4 0
08|07|1980 37 S L MOJOKLANGGRU 1/10-B 2 4 0
17|08|1982 35 S P MOJOKLANGGRU 1/10-B 2 4 0
08|06|1977 41 S L MOJOKLANGGRU 1/11 2 4 0
08|01|1978 40 S P MOJOKLANGGRU 1/11 2 4 0
11|12|1982 35 S L MOJOKLANGGRU 1/11 2 4 0
09|07|1979 38 S L MOJOKLANGGRU 1/11 2 4 0
02|06|1979 39 S P MOJOKLANGGRU 1/11 2 4 0
01|06|1952 66 S L MOJOKLANGGRU 1/11 2 4 0
13|09|1957 60 S P MOJOKLANGGRU 1/11 2 4 0
13|04|1984 34 B P MOJOKLANGGRU 1/11 2 4 0
12|10|1942 75 P P MOJOKLANGGRU 1/11 2 4 0
23|09|1977 40 B L MOJOKLANGGRU 1/11 2 4 0

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367 3578080403140006 3578081905750003 SUBAKTI SURABAYA 19|05|1975
368 3578080403140006 3507024306830003 JARNI SETIYONINGSIH MALANG 03|06|1983
369 3578081209140002 3578081105810002 RUSTAMADJI SURABAYA 11|05|1981
370 3578080201084990 3578086802800003 DWI KURNIASARI,SE SURABAYA 28|02|1980
371 3578080201080817 3578084307770001 PRAPTI SURABAYA 03|07|1977
372 3578080201083985 3578081702840001 ANAS KUSWANTO SURABAYA 17|02|1984
373 3578080201083985 3578085706870002 FITRIA SURABAYA 17|06|1987
374 3578080401089066 3578085607630002 CHOTIDJAH/ANISAH SURABAYA 16|07|1963
375 3578080401089066 3578082905710001 SONY SUHERI MALANG 29|05|1971
376 3578080401089115 3578080101610001 MADHALI BANGKALAN 01|01|1961
377 3578080401089115 3578084205690006 SITIROHANA SURABAYA 02|05|1969
378 3578080401089115 3578080507930004 RACHMAN ALI SURABAYA 05|07|1993
379 3578082405130010 3578174508850001 HERLINA SURABAYA 05|08|1985
380 3578080401089066 3578081610000001 SAIFULLAH SYAM HUMAM PRAYOGO SURABAYA 16|10|2000
381 3578080101085724 3578080108740002 SUGIANTO MAGETAN 01|08|1974
382 3578080101085724 3578086909770004 ANITA KURNIA WULANSARI SURABAYA 29|09|1977
383 3578080501080506 3578084506490002 MARIYATI