DAFTAR NOMINATIF TENAGA HONORER KATEGORI I YANG MEMENUHI KRITERIA BERDASARKAN HASIL VERIFIKASI DAN VALIDASI Instansi :Pemerintah Kab. Lamongan Jumlah Data : 190

HALAMAN: 1 ______________________________________________________________________________________________________________________________________________________________________________________________________ | NO | NAMA | TEMPAT LAHIR |JENIS | UNIT KERJA | PENDIDIKAN | KEP. PENGANGKATAN | TANGGAL | KEP. PENGANGKATAN | TANGGAL | | | | TANGGAL LAHIR |KELAMIN| | | PERTAMA NOMOR SK | SK / TMT | AKHIR NOMOR SK | SK / TMT | ______________________________________________________________________________________________________________________________________________________________________________________________________ | 1|ABDUL HADI |LAMONGAN | L |DINAS PEMUKIMAN DAN PRASARANA |S.1 ADMINISTRASI |80005741010730022004 |16-07-2004 |80006041310101012009 |17-07-2009 | | | |07-08-1979 | |WILAYAH |NEGARA ||16-07-2004 | |16-07-2009 | | | | | | | | | | | | | 2|SUBANDI |TUBAN | L |SLTP UMUM |S.1 MIPA BIOLOGI |821/3612413107KEP/03 |01-06-2003 |800/0021A/413.101/09 |02-01-2009 | | | |27-11-1973 | | | | |01-06-2003 | |01-01-2009 | | | | | | | | | | | | | 3|MUHAMAD PRIBADI |TANJUNG KARANG | L |DINAS PERTANIAN DAN KEHUTANAN |S.1 PERTANIAN |810/07/410.031/1997 |12-03-1997 |8102163106/413203/09 |16-02-2009 | | | |02-10-1965 | | | | |01-04-1997 | |01-04-2009 | | | | | | | | | | | | | 4|DIAN ANGGRAINI |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |AKADEMI PERAWAT |810/115/410.034/2003 |20-05-2003 |8101764274132032009 |15-04-2009 | | | |27-08-1981 | |DAERAH DR. SOEGIRI | | |01-07-2003 | |01-07-2009 | | | | | | | | | | | | | 5|SUMTI |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |8847KANWILSKPEG.2X96 |01-10-1996 |8242/2257/413102/08 |03-10-2008 | | | |26-01-1974 | | | | |01-10-1996 | |01-10-2008 | | | | | | | | | | | | | 6|USROFATIN |GRESIK | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.1779 |01-10-1999 |8242/2257/413.102/08 |03-10-2008 | | | |18-06-1979 | | | | |01-10-1999 ||01-10-2008 | | | | | | | | | | | | | 7|LULUS SANDRAWATI |TULUNGAGUNG | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.1779 |01-10-1999 |8242/2257/413.102/08 |03-10-2008 | | | |30-09-1979 | | | | |01-10-1999 | |01-10-2008 | | | | | | | | | | | | | 8|MULYATI |GRESIK | P |DINAS KESEHATAN |D-I KEBIDANAN |8847KANWILSKPEG2X96 |01-10-1996 |8242/2257/413.102/08 |03-10-2008 | | | |14-06-1977 | | | | |01-10-1996 | |01-10-2008 | | | | | | | | | | | | | 9|MU`AWIYAH |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.1779 |01-10-1999 |8242/2257/413102/08 |03-10-2008 | | | |26-04-1980 | | | | |01-10-1999 | |01-10-2008 | | | | | | | | | | | | | 10|NINUL HARMAWATI |

MALANG | P |DINAS KESEHATAN |D-I KEBIDANAN |8847KANWILSKPEG.2X96 |01-10-1996 |8242/2257/413102/08 |03-10-2008 | | | |25-06-1977 | | | | |01-10-1996 | |01-10-2008 | | | | | | | | | | | | | 11|TITIK INDAYANI |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413.102/07 |01-10-2007 | | | |02-07-1978 | | | | |01-10-1998 | |01-10-2007 | | | | | | | | | | | | | 12|NUR HASANAH |CIAMIS | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.1779 |01-10-1999 |8242/2257/413.102/08 |03-10-2008 | | | |10-10-1979 | | | | |01-10-1999 ||01-10-2008 | | | | | | | | | | | | | 13|NURUL MALA |GRESIK | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413.102/07 |01-10-2007 | | | |11-01-1975 | | | | |01-10-1998 | |01-10-2007 | | | | | | | | | | | | | 14|WIDI ASTUTIK |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |8847KANWILSKPEG.2X96 |01-10-1996 |8242/2257/413102/08 |03-10-2008 | | | |10-05-1977 | | | | |01-10-1996 | |01-10-2008 | | | | | | | | | | | | | 15|SITI FATIMAH |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |8847KANWILSKPEG.2X96 |01-10-1996 |8242/2257/413102/08 |03-10-2008 | | | |07-09-1976 | | | | |01-10-1996 | |01-10-2008 | | | | | | | | | | | | | 16|RUTIN CHOMSIYAH |SIDOARJO | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.1779 |01-10-1999 |8242/2257/413102/08 |03-10-2008 | | | |26-07-1979 | | | | |01-10-1999 | |01-10-2008 | || | | | | | | | | | | 17|SAWITRI DAMAYANTI |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413102/07 |01-10-2007 | | | |30-12-1978 | | | | |01-10-1998 | |01-10-2007 | || | | | | | | | | | | 18|SUKARTI |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |8847KANWILSKPEG.2X96 |01-10-1996 |8242/2257/413102/08 |03-10-2008 | | | |07-01-1977 | | | | |01-10-1996 | |01-10-2008 | | | | | | | | | | | | | 19|INAYAH |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.1779 |01-10-1999 |8242/2257/413.102/08 |03-10-2008 | | | |04-07-1978 | | | | |01-10-1999 | |01-10-2008 | | | | | | | | | | | | | 20|EKO SRI WINARTI |NGAWI | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413.102/07 |01-10-2007 | | | |30-07-1979 | | | | |01-10-1998 | |01-10-2007 | | | | | | | | | | | | | 21|HAZINATUL HAMIDAH |GRESIK | P |DINAS KESEHATAN |D-I KEBIDANAN |8847KANWILSKPEG.2X96 |01-10-1996 |8242/2257/413102/08 |03-10-2008 | | | |20-09-1976 | | | | |01-10-1996 | |01-10-2008 | | | | | | | | | | | | ______________________________________________________________________________________________________________________________________________________________________________________________________

HALAMAN: 2 ______________________________________________________________________________________________________________________________________________________________________________________________________ | NO | NAMA | TEMPAT LAHIR |JENIS | UNIT KERJA | PENDIDIKAN | KEP. PENGANGKATAN | TANGGAL | KEP. PENGANGKATAN | TANGGAL | | | | TANGGAL LAHIR |KELAMIN| | | PERTAMA NOMOR SK | SK / TMT | AKHIR NOMOR SK | SK / TMT | ______________________________________________________________________________________________________________________________________________________________________________________________________ | 22|NANENG KHASANAH |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |D-I KEBIDANAN |810/37/410.034/2001 |02-07-2001 |8103369284132032009 |10-09-2009 | | | |04-01-1978 | |DAERAH DR. SOEGIRI | | |01-01-2001 | |01-01-2010 | | | | | | | | | | | | | 23|WINARTI OKTAVIANA |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.1779 |01-10-1999 |8242/2257/413.102/08 |03-10-2008 | | | |28-10-1978 | | | | |01-10-1999 | |01-10-2008 | | | | | | | | | | | | | 24|EKA YANU WIDIYAWATI |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413.102/07 |01-10-2007 | | | |07-01-1978 | | | | |01-10-1998 | |01-10-2007 | | | | | | | | | | | | | 25|FAIDATUL KHUDLIYAH |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |8847KANWILSKPEG.2X96 |01-10-1996 |8242/2257/413102/08 |03-10-2008 | | | |02-08-1976 | | | | |01-10-1996 | |01-10-2008 | | | | | | | | | | | | | 26|HANDAYANI SRI |SURABAYA | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413102/07 |01-10-2007 | | |LESTARI |12-02-1979 | | | | |01-10-1998 | |01-10-2007 | | | | | | | | | | | | | 27|HARTATIK |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413102/07 |01-10-2007 | | | |27-08-1977 | | | | |01-10-1998 | |01-10-2007 | | | | | | | | | | | | | 28|ENY MA`RUFAH |GRESIK | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413.102/07 |01-10-2007 | | | |25-08-1978 | | | | |01-10-1998 | |01-10-2007 | | | | | | | | | | | | | 29|HIDAYATI WIJAYA |MOJOKERTO | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.1779 |01-10-1999 |8242/2257/413.102/08 |03-10-2008 | | | |15-04-1980 | | | | |01-10-1999 | |01-10-2008 | | | | | | | | | | | | | 30|FADLIYAH |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413102/07 |01-10-2007 | | | |26-12-1978 || | | |01-10-1998 | |01-10-2007 | | | | | | | | | | | | | 31|INDRA MEGAWATI |JEMBER | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413.102/07 |01-10-2007 | | | |10-05-1979 | | | | |01-10-1998 ||01-10-2007 | | | | | | | | | | | | | 32|ISNAH MUJAYATI |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.1779 |01-10-1999 |8242/2257/413.102/08 |03-10-2008 | | | |30-10-1979 | | | | |01-10-1999 | |01-10-2008 | | | | | | | | | | | | | 33|ISTNA ROFI`AH |TRENGGALEK | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413102/07 |01-10-2007 | | | |06-01-1978 | | | | |01-10-1998 | |01-10-2007 | | | | | | | | | | | | | 34|ANI NURMALA HAYATI |GRESIK | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.1779 |01-10-1999 |8242/2257/413.102/08 |03-10-2008 | | | |30-06-1980 | | | | |01-10-1999 | |01-10-2008 | | | | | | | | | | | | | 35|YAYUK INDRAWATI |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413.102/07 |01-10-2007 | | | |09-06-1979 | | | | |01-10-1998 | |01-10-2007 | | | | | | | | | | | | | 36|KRISTINI |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |8847KANWILSKPEG.2X96 |01-10-1996 |8242/2257/413102/08 |03-10-2008 | | |JUARININGSIH |22-01-1976 | | | | |01-10-1996 | |01-10-2008 | | | | | | | | | | | | | 37|DWI YUASTUTI |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |8847KANWILSKPEG.2X96 |01-10-1996 |8242/2257/413102/08 |03-10-2008 | | | |14-01-1965 | | | | |01-10-1996 | |01-10-2008 | | | | | | | | | | | | | 38|DWI ENDAH |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413.102/07 |01-10-2007 | | |SULISTYANINGRUM |15-06-1978 | | | | |01-10-1998 | |01-10-2007 | | | | | | | | | | | | | 39|ITA RISANTI |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |KP.00.02.2.2.2065 |01-10-1998 |8242/2082/413102/07 |01-10-2007 | | | |06-11-1978 | | | | |01-10-1998 | |01-10-2007 | | | | | | | | | | | | | 40|YUNI RAHMAWATI |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |8847KANWILSKPEG.2X96 |01-10-1996 |8242/2257/413102/08 |03-10-2008 || |PURKHON |18-06-1977 | | | | |01-10-1996 | |01-10-2008 | | | | | | | | | | | | | 41|LIS SA`DIYAH |LAMONGAN | P |DINAS KESEHATAN |D-I KEBIDANAN |8847KANWILSKPEG.2X96 |01-10-1996 |8242/2257/413102/08 |03-10-2008 | | | |23-03-1977 | | | | |01-10-1996 | |03-10-2008 | | | | | | | | | | | | | 42|YUNI KHUSNIATI |LAMONGAN | P |DINAS KESEHATAN |D-I KESEHATAN |810/30/413.204/2004 |04-10-2004 |810/555105/413203/09 |15-10-2009 | | | |31-05-1982 | | |KEPERAWATAN | |01-11-2004 | |01-11-2009 | | | | | | | | | | | | ______________________________________________________________________________________________________________________________________________________________________________________________________

HALAMAN: 3 ______________________________________________________________________________________________________________________________________________________________________________________________________ | NO | NAMA | TEMPAT LAHIR |JENIS | UNIT KERJA | PENDIDIKAN | KEP. PENGANGKATAN | TANGGAL | KEP. PENGANGKATAN | TANGGAL | | | | TANGGAL LAHIR |KELAMIN| | | PERTAMA NOMOR SK | SK / TMT | AKHIR NOMOR SK | SK / TMT | ______________________________________________________________________________________________________________________________________________________________________________________________________ | 43|MOHAMMAD SOLEH |LAMONGAN | L |BADAN PENGELOLA RUMAH SAKIT |STM BANGUNAN |801/19/410.031/1990 |17-09-1990 |810/345937/413203/09 |10-09-2009 | | | |01-08-1964 | |DAERAH DR. SOEGIRI | | |17-09-1990 | |01-10-2009 | | | | | | | | | | | | | 44|MUJAYANAH |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |SMEA TATA NIAGA |810/82/410.031/1997 |24-11-1997 |810/346938/413203/09 |10-09-2009 | | | |08-08-1961 | |DAERAH DR. SOEGIRI | | |01-12-1997 | |01-12-2009 | | | | | | | | | | | | | 45|MUTINI |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |SMP |810/75/410.034/2002 |15-07-2002 |810/298664/413203/09 |01-07-2009 || | |15-03-1975 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 46|MUTRIASEH |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |SMP |810/75/410.034/2002 |15-07-2002 |810/294660/413203/09 |01-07-2009 | | | |20-01-1974 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 47|TONAH |LAMONGAN | P |BADAN PERPUSTAKAAN DAN ARSIP |SEKOLAH MENENGAH |810/20/410.031/1999 |31-07-1999 |810/256622/413203/09 |04-06-2009 | | | |07-11-1965 | | |ATAS | |01-08-1999 | |01-08-2009 | | | | | | | | | | | | | 48|NURHADI |LAMONGAN | L |BADAN PENGELOLA RUMAH SAKIT |SMA A.3 / IPS |810/75/410.034/2002 |15-07-2002 |810/296662/413203/09 |01-07-2009 | | | |05-06-1974 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | || | | | | | | | | | 49|SOLIKAN |LAMONGAN | L |BADAN PENGELOLA RUMAH SAKIT |SMP |810/75/410.034/2002 |15-07-2002 |810/299665/413203/09 |01-07-2009 | | | |09-05-1979 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 50|SRI PUDJI ASTUTIK |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |SMA A.3 / IPS |810/75/410.034/2002 |15-07-2002 |810/297663/413203/09 |01-07-2009 | | | |12-09-1974 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 51|WILIEM YUDHA |LAMONGAN | L |BADAN PENGELOLA RUMAH SAKIT |SMA IPA |810/15/413.204/2004 |25-05-2004 |810/174425/413203/09 |15-04-2009 | | |KURNIAWAN |25-06-1982 | |DAERAH DR. SOEGIRI | | |01-06-2004 | |01-06-2009 | | | | | | | | | | | | | 52|SULEN HADI |LAMONGAN | L |BADAN PENGELOLA RUMAH SAKIT |SMA IPA |810/75/410.034/2002 |15-07-2002 |810/292658/413203/09 |01-07-2009 | | | |25-02-1972 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 53|SUHARTO |LAMONGAN | L |BADAN PENGELOLA RUMAH SAKIT |SMA A.3 / IPS |810/73/410.034/2002 |15-07-2002 |810/286652/413203/09 |01-07-2009 | | | |19-12-1969 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 54|SRI WILUJENG |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |SMA A.3 / IPS |810/37/410.034/2001 |02-07-2001 |810/335927/413203/09 |10-09-2009 | | | |28-03-1970 | |DAERAH DR. SOEGIRI | | |01-01-2001 | |01-01-2010 | | | | | | | | | | | | | 55|SRI UTAMI |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |SMEA KEUANGAN |810/75/410.034/2002 |15-07-2002 |810/285651/413203/09 |01-07-2009 | | | |16-03-1968 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 56|SANTI SETIYOWATI |NGANJUK | P |BADAN PENGELOLA RUMAH SAKIT |SMA A.3 / IPS |810/37/410.034/2001 |02-07-2001 |810/333925/413203/09 |10-09-2009 | | | |02-01-1965 | |DAERAH DR. SOEGIRI | | |01-01-2001 | |01-01-2010 | | | | | | | | | | | | | 57|ANIES LINDA YANTI |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |SEKOLAH MENENGAH |810/75/413.034/2002 |15-07-2002 |810/284650/413203/09 |01-07-2009 | | | |03-03-1965 | |DAERAH DR. SOEGIRI |EKONOMI ATAS | |01-08-2002 | |01-08-2009 | | | || | | | | | | | | 58|AINUL KHOLIQ |LAMONGAN | L |DINAS PENDIDIKAN |S.1 TARBIYAH |421.9/59/108.06/2005 |01-01-2005 |188.4/22/108.07/2009 |05-01-2009 | | | |25-06-1978 | | | | |01-01-2005 | |05-01-2009 | | | | | | | | | | | | | 59|NURADI |LAMONGAN | L |DINAS PENDIDIKAN |SEKOLAH DASAR |331/I04.15/SK/1999 |31-10-1999 |8141/3643B/413101/09 |30-10-2009 | | | |10-06-1966 | | | | |01-11-1999 | |01-11-2009 | | | | | | | | | | | | | 60|KANDAR |LAMONGAN | L |BADAN PENGELOLA RUMAH SAKIT |SMA A.3 / IPS |810/19/410.031/1990 |17-09-1990 |810/344936/413203/09 |10-09-2009 | | | |21-12-1960 | |DAERAH DR. SOEGIRI | | |17-09-1990 | |01-10-2009 | | | | | | | | | | | | | 61|ADI SUSANTO |SURABAYA | L |BADAN PENGELOLA RUMAH SAKIT |SMU IPS |810/15/413.204/2004 |25-05-2004 |810/173424/413203/09 |15-04-2009 | | | |26-04-1981 | |DAERAH DR. SOEGIRI | | |01-06-2004 | |01-06-2009 | | | | | | | || | | | | 62|MOH SUDIRO ADY |LAMONGAN | L |BADAN PENGELOLA RUMAH SAKIT |SMU IPA |810/15/413.204/2004 |25-05-2004 |810/172423/413203/09 |15-04-2009 | | |SAPUTRO |01-02-1981 | |DAERAH DR. SOEGIRI | | |01-06-2004 | |01-06-2009 | | | | | | | | | | | | | 63|EDE ERWANI |SURABAYA | P |BADAN PENGELOLA RUMAH SAKIT |SMA A.3 / IPS |810/75/410.034/2002 |15-07-2002 |810/289655/413203/09 |01-07-2009 | | | |08-09-1970 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | |

______________________________________________________________________________________________________________________________________________________________________________________________________

HALAMAN: 4 ______________________________________________________________________________________________________________________________________________________________________________________________________ | NO | NAMA | TEMPAT LAHIR |JENIS | UNIT KERJA | PENDIDIKAN | KEP. PENGANGKATAN | TANGGAL | KEP. PENGANGKATAN | TANGGAL | | | | TANGGAL LAHIR |KELAMIN| | | PERTAMA NOMOR SK | SK / TMT | AKHIR NOMOR SK | SK / TMT | ______________________________________________________________________________________________________________________________________________________________________________________________________ | 64|ENY SUPRAPTI |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |SMA A.3 / IPS |810/75/410.034/2002 |15-07-2002 |810/287653/413203/09 |01-07-2009 | | | |22-03-1970 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 65|FEDRIK EKO SUSANTO |LAMONGAN | L |BADAN PENGELOLA RUMAH SAKIT |SMK |810/15/413.204/2004 |25-05-2004 |810/175426/413203/09 |15-04-2009 | | | |25-03-1983 | |DAERAH DR. SOEGIRI | | |01-06-2004 | |01-06-2009 | | | | | | | | | | | | | 66|HENDRA SETIAWAN |GRESIK | L |BADAN PENGELOLA RUMAH SAKIT |SMA A.2 / BIOLOGI |810/75/410.034/2002 |15-07-2002 |810/290656/413203/09 |01-07-2009 | | | |19-05-1971 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 67|KARNO |LAMONGAN | L |BADAN PENGELOLA RUMAH SAKIT |SMA A.3 / IPS |810/75/410.034/2002 |15-07-2002 |810/295661/413203/09 |01-07-2009 | | | |30-04-1974 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 68|LILIS TARIWATI |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |SMP |810/75/410.034/2002 |15-07-2002 |810/288654/413203/09 |01-07-2009 | | | |28-06-1970 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | || | | | | | | | | | 69|LULUK NUR HAMIDA |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |SMA A.2 / BIOLOGI |810/75/410.034/2002 |15-07-2002 |810/293659/413203/09 |01-07-2009 | | | |01-05-1972 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 70|MACHMUDAH |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |SMA IPA |810/37/410.034/2001 |02-07-2001 |810/334926/413203/09 |10-09-2009 | | | |03-07-1968 | |DAERAH DR. SOEGIRI | | |01-01-2001 | |01-01-2010 | | | | | | | | | | | | | 71|MAKHSUNAH |LAMONGAN | P |BADAN PENGELOLA RUMAH SAKIT |MADRASAH ALIYAH |810/75/410.034/2002 |15-07-2002 |810/291657/413203/09 |01-07-2009 | | | |25-05-1971 | |DAERAH DR. SOEGIRI | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 72|SOKRAN |LAMONGAN | L |DINAS PENDAPATAN , |SMA A.3 / IPS |810/79/410.031/1992 |27-03-1992 |810/222542/413203/09 |15-05-2009 | | | |27-06-1964 | |PENGELOLAAN KEUANGAN DAN ASSET| | |01-04-1992 | |01-04-2009 | | | | | | | | | | | | | 73|SIDIG |LAMONGAN | L |DINAS PEMUDA DAN OLAHRAGA |SMA A.3 / IPS |810/516/410.101/1993 |31-07-1993 |810/2543144413203/09 |10-03-2009 | | | |04-07-1967 | | | | |01-08-1993 | |01-08-2009 | | | | | | | | | | | | | 74|KARDI |LAMONGAN | L |DINAS PEMUDA DAN OLAHRAGA |SMP |810/531/410.101/1993 |31-07-1993 |810/2403130413203/09 |10-03-2009 | | | |16-01-1969 | | | | |01-08-1993 | |01-08-2009 | | | | | | | | | | | | | 75|SUPRIYADI |LAMONGAN | L |DINAS PEMUDA DAN OLAHRAGA |STM MESIN |810/91/410031/1992 |21-05-1992 |810/2103100413203/09 |10-03-2009 | | | |02-06-1971 | | | | |01-06-1992 | |01-06-2009 | | | | | | | | | | | | | 76|BUDI BROTOSUBAGYO |LAMONGAN | L |DINAS KOPERASI, INDUSTRI DAN |SLTP UMUM |810/78/413.110/2004 |02-01-2004 |814/12/413.111/2009 |02-01-2009 | | | |22-03-1974 | |PERDAGANGAN | | |02-01-2004 | |02-01-2009 | | | | | | || | | | | | 77|NUR MEIROSALIA |LAMONGAN | P |DINAS KOPERASI, INDUSTRI DAN |SEKOLAH MENENGAH |810/78/413.110/2004 |02-01-2004 |814/12/413.111/2009 |02-01-2009 | | | |18-05-1985 | |PERDAGANGAN |ATAS | |02-01-2004 | |02-01-2009 | | | | | | | | | | | | | 78|NURWAQI`AH |LAMONGAN | P |DINAS KOPERASI, INDUSTRI DAN |D-III KESEHATAN |810/60/410.034/2002 |03-04-2002 |810/171361/413203/09 |16-02-2009 | | | |27-01-1974 | |PERDAGANGAN | | |01-04-2002 | |01-04-2009 | | | | | | | | | | | | | 79|RENGGO ARIESZKA |LAMONGAN | L |DINAS KOPERASI, INDUSTRI DAN |SMK |810/78/413.110/2004 |02-01-2004 |814/12/413.111/2009 |02-01-2009 | | | |22-04-1980 | |PERDAGANGAN | | |02-01-2004 | |02-01-2009 | | | | | | | | | | | | | 80|NOER AFDYTIA |LAMONGAN | L |SATUAN POLISI PAMONG PRAJA |SEKOLAH MENENGAH |810/26/413.204/2004 |03-09-2004 |810/318910/413203/09 |01-09-2009 | | |FAHAMSYAH |10-03-1983 | | |UMUM | |01-10-2004 | |01-10-2009 | | | | | | | | | | | | | 81|ABDUR ROCHMAN |LAMONGAN | L |KECAMATAN |S.1 PENDIDIKAN |810/03/413.204/2004 |25-02-2004 |810/87377/413203/09 |16-02-2009 | | | |23-04-1963 | | |AGAMA ISLAM | |01-03-2004 | |01-03-2009 | | | | | | | | | | | | | 82|ABU AMAR |LAMONGAN | L |KECAMATAN |STM BANGUNAN |810/12/410.031/1992 |27-03-1992 |810/196386/413203/09 |16-02-2009 | | | |09-09-1966 | | | | |01-04-1992 | |01-04-2009 | | | | | | | | | | | | | 83|MISTO |LAMONGAN | L |KECAMATAN |STM BANGUNAN |810/35/410.031/1994 |01-04-1994 |810/19737/413.203/09 |16-02-2009 | | | |16-07-1966 | | | | |01-04-1994 | |01-04-2009 | | | | | | | | | | | | | 84|YA`KUB |GRESIK | L |KECAMATAN |MADRASAH IBTIDAIYAH |810/15/413.204/2004 |25-05-2004 |810/2236110413203/10 |01-04-2009 | | | |20-06-1966 | | | | |01-06-2004 | |01-06-2009 | | | | | | | | | | | | _____________________________________________________________________________________________

_________________________________________________________________________________________________________

HALAMAN: 5 ______________________________________________________________________________________________________________________________________________________________________________________________________ | NO | NAMA | TEMPAT LAHIR |JENIS | UNIT KERJA | PENDIDIKAN | KEP. PENGANGKATAN | TANGGAL | KEP. PENGANGKATAN | TANGGAL | | | | TANGGAL LAHIR |KELAMIN| | | PERTAMA NOMOR SK | SK / TMT | AKHIR NOMOR SK | SK / TMT | ______________________________________________________________________________________________________________________________________________________________________________________________________ | 85|SUPARDI |LAMONGAN | L |KECAMATAN |SEKOLAH MENENGAH |810/93/410.031/1994 |30-11-1994 |810/5621012/41320309 |12-10-2009 | | | |04-04-1971 | | |ATAS | |01-11-1994 | |01-11-2009 | | | | | | | | | | | | | 86|SEPIYANA DWI |LAMONGAN | P |DINAS KOPERASI, INDUSTRI DAN |SMA A.2 / BIOLOGI |810/40/410.034/2001 |30-07-2001 |810/24368/413.203/09 |04-06-2009 | | |SUGIHARTATIK |01-09-1977 | |PERDAGANGAN | | |01-08-2001 | |01-08-2009 | | | | | | | | | | | | | 87|SARIONO |LAMONGAN | L |DINAS KEBUDAYAAN DAN |S.1 SENI |432/3341/108.07/2004 |15-03-2004 |810/57/57/413204/09 |24-12-2008 | | | |27-04-1971 | |PARIWISATA | | |15-03-2004 | |01-02-2009 | | | | | | | | | | | | | 88|ANANTA YUDHI |LAMONGAN | L |DINAS PEKERJAAN UMUM PENGAIRAN|SMK MANAJEMEN BISNIS|810/66/410.034/2002 |01-05-2002 |810/168419/413203/09 |01-04-2009 | | |PRASETYA |09-05-1978 | | | | |01-05-2002 | |01-05-2009 | | | | | | | | | | | | | 89|SRI YULI SUNTARI |LAMONGAN | P |DINAS KOPERASI, INDUSTRI DAN |D-III MANAJEMEN |810/40/410.034/2001 |30-07-2001 |810/24166/413203/09 |04-06-2009 | | | |17-07-1973 | |PERDAGANGAN | | |01-08-2001 | |01-08-2009 | | | | | | | | | | | | | 90|HARIYANTO |LAMONGAN | L |ASISTEN EKONOMI DAN |SMP |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |26-04-1968 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | | | | | | | | 91|RUSLAN |LAMONGAN | L |DINAS KOPERASI, INDUSTRI DAN |SMA A.3 / IPS |810/61/410.034/2002 |03-04-2002 |810/22122/413203/09 |16-02-2009 | | | |05-08-1967 | |PERDAGANGAN | | |01-04-2002 | |01-04-2009 | | | | | | | | | | | | | 92|WARAS WIBISONO |LAMONGAN | L |ASISTEN EKONOMI DAN |PENDIDIKAN SEKOLAH |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |23-09-1965 | |PEMBANGUNAN |DASAR | |01-01-2005 | |01-01-2009 | | | | | | | | | | | | | 93|SUKAERI |LAMONGAN | L |ASISTEN EKONOMI DAN |SMP |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |08-09-1967 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | | | | | | | | 94|SUGENG HARIANTO |LAMONGAN | L |ASISTEN EKONOMI DAN |PERSAMAAN SLTP |800/26/413.408/2005 |05-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |05-02-1982 | |PEMBANGUNAN |(PAKET B) | |01-01-2005 | |01-01-2009 | | | | | | | | | | | | | 95|SAMUDI |LAMONGAN | L |ASISTEN EKONOMI DAN |SMP |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |17-09-1967 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | | | | | | | | 96|ROFIK HIDAYAT |LAMONGAN | L |ASISTEN EKONOMI DAN |SMA A.3 / IPS |800/27/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |09-01-1980 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | | | | | | | | 97|MOKHAMAD ROKIB |LAMONGAN | L |ASISTEN EKONOMI DAN |SMA A.1 / FISIKA |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |27-03-1974 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | || | | | | | 98|MOHAMMAD BAKIR |PASURUAN | L |ASISTEN EKONOMI DAN |MADRASAH IBTIDAIYAH |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |07-06-1966 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | | | | | | | | 99|MOHAMAD SHOLIFUDIN |LAMONGAN | L |ASISTEN EKONOMI DAN |SMA IPA |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | |AFANDI |31-01-1986 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | | | | | | | | 100|MOCHAMMAD SUPRIYANTO|SURABAYA | L |ASISTEN EKONOMI DAN |STM LISTRIK UMUM |910/11/413.501/2009 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |07-07-1976 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | | | | | | | | 101|ERMA NUR MAWAYANTI |LAMONGAN | P |SEKRETARIAT DPRD |S.1 HUKUM |810/07/413.204/2004 |20-02-2004 |810/94226/413203/09 |20-01-2009 | | | |25-03-1979 | | | | |01-04-2004 | |01-04-2009 | | | | | | | | | | | | | 102|MISKAN |LAMONGAN | L |ASISTEN EKONOMI DAN |SMA A.3 / IPS |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |20-10-1975 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | | | | | | | | 103|MOHAMMAD WAHYUDI |LAMONGAN | L |BAGIAN PEMERINTAHAN |SMA A.3 / IPS |810/105/410.031/1997 |01-02-1997 |810/5071011/41320208 |15-10-2008 | | | |10-03-1974 | | | | |01-02-1997 | |01-02-2009 | | | | | | | | | | | | | 104|HENDRA SETYA BUDI |LAMONGAN | L |RUMAH SAKIT UMUM DAERAH DR |DIPLOMA I TEKNIK |810/71/410.034/2002 |01-07-2002 |810/254620/413203/09 |04-06-2009 | | | |18-01-1981 | |SOEGIRI | | |01-07-2002 | |01-07-2009 | | | | | | | | | | | | | 105|SUTRISNO |BOJONEGORO | L |BAGIAN UMUM |SMA IPA |810/1019/413203/2002 |18-09-2002 |810/250615/413203/09 |15-05-2009 | | | |20-06-1965 | | | | |01-10-2002 | |01-10-2009 | | | | | | | | | | | | __________________________________________________________________________________________________________________________________________________________________________________________

____________

HALAMAN: 6 ______________________________________________________________________________________________________________________________________________________________________________________________________ | NO | NAMA | TEMPAT LAHIR |JENIS | UNIT KERJA | PENDIDIKAN | KEP. PENGANGKATAN | TANGGAL | KEP. PENGANGKATAN | TANGGAL | | | | TANGGAL LAHIR |KELAMIN| | | PERTAMA NOMOR SK | SK / TMT | AKHIR NOMOR SK | SK / TMT | ______________________________________________________________________________________________________________________________________________________________________________________________________ | 106|MARWAN TEGUH RAHARJO|LAMONGAN | L |BAGIAN UMUM |SMK |800/27/413.408/2005 |05-01-2005 |810/24124/413204/08 |24-12-2008 | | | |08-05-1984 | | | | |01-01-2005 | |01-03-2009 | | | | | | | | | | | | | 107|EKO SISWAYU |LAMONGAN | L |BAGIAN UMUM |S.1 EKONOMI DAN |8113/23B/413109/2004 |28-01-2004 |810/320690/413204/08 |15-05-2008 | | | |13-04-1968 | | |STUDI PEMBANGUNAN | |28-01-2004 | |01-02-2009 | | | | | | | | | | | | | 108|MOCHAMMAD RO`UF |LAMONGAN | L |ASISTEN EKONOMI DAN |SMA A.3 / IPS |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |17-03-1976 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | || | | | | | | | | 109|DEDIX VARAMAYUDHA |LAMONGAN | L |BAGIAN UMUM |SMA A.3 / IPS |810/73/410.034/2002 |15-07-2002 |810/268634/413203/09 |04-06-2009 | | | |09-04-1982 | | | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 110|GIANTO |LAMONGAN | L |ASISTEN EKONOMI DAN |SLTP UMUM |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |13-06-1986 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | | | | | | | | 111|HIKMAH SURYANI |LAMONGAN | P |BAGIAN PEMERINTAHAN DESA |SMA A.2 / BIOLOGI |800/27/413.408/2005 |01-01-2005 |810/165416/413203/09 |01-04-2009 | | | |12-12-1974 | | | | |01-01-2005 | |01-09-2009 | | | | | | | | | | | | | 112|AHMAD ZAINI |LAMONGAN | L |ASISTEN EKONOMI DAN |SEKOLAH DASAR |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |03-04-1974 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | | | | | | | | 113|AKHMAD NURUL HUDA |LAMONGAN | L |ASISTEN EKONOMI DAN |SMA A.3 / IPS |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |09-07-1975 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | || | | | | | 114|ANWAR ARIFIN |LAMONGAN | L |ASISTEN EKONOMI DAN |SMA A.3 / IPS |910/11/413.408/2005 |01-01-2005 |910/01/413.501/2009 |08-01-2009 | | | |22-03-1974 | |PEMBANGUNAN | | |01-01-2005 | |01-01-2009 | | | | | | || | | | | | 115|SUBIYANTONO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/29/413.204/2004 |15-07-2004 |81024531354132032009 |10-03-2009 | | | |25-01-1973 | |KARYA |ATAS | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 116|SUJAN |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |MADRASAH IBTIDAIYAH |810/101/410.031/1992 |01-12-1992 |810103523/413203/09 |15-05-2009 | | | |18-11-1965 | |KARYA | | |01-12-1992 | |01-12-2009 | | | | | | | | | | | | | 117|SUJA`I |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMP |8131/03/410.031/1988 |29-12-1988 |810153343413203/09 |16-02-2009 | | | |15-05-1966 | |KARYA | | |02-01-1988 | |01-01-2009 | | | | | | | | | | | | | 118|SUGIANTO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/524/410.101/1993 |31-07-1993 |81024431344132032009 |10-03-2009 | | | |22-11-1971 | |KARYA |ATAS | |01-08-1993 | |01-08-2009 | | | | | | | | | | | | | 119|SUGENG |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMP |813.1/03/410.031/88 |29-12-1988 |810/154344/413203/09 |28-10-2009 | | | |11-09-1967 | |KARYA | | |02-01-1989 | |01-01-2009 | | | | | | | | | | | | | 120|TARDJAN |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |8131/03/410.031/1988 |29-12-1988 |810/151341/413203/09 |16-02-2009 | | | |21-06-1961 | |KARYA | | |02-01-1989 | |01-01-2009 | | | | | | | | | | | | | 121|SUMARDI |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/12/410.031/1991 |31-12-1991 |81001095854132032009 |15-05-2009 | | | |09-01-1970 | |KARYA |ATAS | |01-12-1991 | |01-12-2009 | | | | | | | | | | | | | 122|SUDARMAN |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMP |810/86/410.031/1994 |01-11-1994 |810/101521/413203/09 |15-05-2009 | | | |06-05-1974 | |KARYA | | |01-11-1994 | |01-11-2009 | | | | | | | | | | | | | 123|SUKRO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMP |810/19/413.204/2004 |29-06-2004 |8102373127413203/09 |10-03-2009 | | | |02-06-1973 | |KARYA | | |01-07-2004 | |01-07-2009 | | | | | | | | | | | | | 124|SOLIKIN |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |810/29/413.204/2004 |15-07-2004 |810/193513/413203/09 |15-05-2009 | | | |05-10-1975 | |KARYA | | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 125|SLAMET SUGITO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMP |810/08/410.031/1999 |10-03-1999 |8102043944132032009 |10-03-2009 | | | |03-06-1969 | |KARYA | | |01-03-1999 | |01-03-2009 | | | | | | | | | | | | | 126|SETIO WIDODO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |STM MESIN |810/02/41.031/1992 |27-03-1992 |810/88220/413203/09 |20-01-2009 | | | |19-05-1969 | |KARYA | | |01-04-1992 | |01-10-2009 | | | | | | | | | | | | ______________________________________________________________________________________________________________________________________________________________________________________________________

HALAMAN: 7 ______________________________________________________________________________________________________________________________________________________________________________________________________ | NO | NAMA | TEMPAT LAHIR |JENIS | UNIT KERJA | PENDIDIKAN | KEP. PENGANGKATAN | TANGGAL | KEP. PENGANGKATAN | TANGGAL | | | | TANGGAL LAHIR |KELAMIN| | | PERTAMA NOMOR SK | SK / TMT | AKHIR NOMOR SK | SK / TMT | ______________________________________________________________________________________________________________________________________________________________________________________________________ | 127|SALEKAN |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |813.1/09410031/1988 |29-12-1988 |810/158348/413203/09 |16-02-2009 | | | |27-02-1970 | |KARYA | | |01-03-1988 | |01-01-2009 | | | | | | | | | | | | | 128|YAMAN |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/520/410.101/1993 |31-07-1993 |81024131314132032009 |10-03-2009 | | | |28-01-1969 | |KARYA |ATAS | |01-08-1993 | |01-08-2009 | | | | | | | | | | | | | 129|TASAN SUPRAYITNO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMP |810/ /410.031/1999 |27-12-1999 |810/201391/413203/09 |16-02-2009 | | | |13-05-1962 | |KARYA | | |01-01-2000 | |01-01-2009 | | | | | | | | | | | | | 130|WARAS |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMP |810/11/410.031/2000 |31-08-2000 |8101005204132032009 |15-05-2009 | | | |25-11-1964 | |KARYA | | |01-10-2000 | |01-10-2009 | | | | | | | | | | | | | 131|RUSLAN |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH PERTANIAN |810/29/413.204/2004 |15-07-2004 |810/18656/413203/09 |15-05-2009 | | | |09-07-1965 | |KARYA |PEMBANGUNAN (SPP) | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 132|SUTRISNO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |810/29/413.204/2004 |15-07-2004 |810/18959/413.203/09 |15-05-2009 | | | |24-03-1971 | |KARYA | | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 133|SUTIKNO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |810/29/413.204/2004 |15-04-2004 |81012423324132032009 |10-03-2009 | | | |13-04-1970 | |KARYA | | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 134|SUROSO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |STM BANGUNAN |810/35/410.031/1994 |31-03-1994 |810/11333/413203/09 |10-03-2009 | | | |09-02-1968 | |KARYA | | |01-04-1994 | |01-07-2009 | | | | | | | | | | | | | 135|UWAR |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/54/410.031/1994 |01-07-1994 |81021331034132032009 |10-03-2009 | | ||14-08-1966 | |KARYA |ATAS | |01-07-1994 | |01-07-2009 | | | | | | | | | | | | | 136|SUWONO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/29/413.204/2004 |15-07-2004 |810/191511/413203/09 |15-05-2009 | | | |27-06-1971 | |KARYA |ATAS | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 137|SUPARNO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |S.1 AGAMA |810/66/410.034/2002 |01-05-2002 |810/161351/413203/09 |16-02-2009 | | | |24-04-1970 | |KARYA | | |01-05-2002 | |01-05-2009 | | | | | | | | | | | | | 138|SUKRI |KENDARI | L |DINAS PEKERJAAN UMUM CIPTA |SMP |810/29/413.204/2004 |15-07-2004 |810/195515/413203/09 |15-05-2009 | | | |28-04-1977 | |KARYA | | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 139|SUNARYO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/29/413.204/2004 |15-07-2004 |810/190510/413203/09 |15-05-2009 | | | |21-04-1971 | |KARYA |ATAS | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 140|BEKTI PRANAWA |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/73/410.034/2002 |26-07-2002 |8101945144132032009 |15-05-2009 | | | |05-07-1976 | |KARYA |UMUM | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 141|SYAIFUDIN |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |MADRASAH TSANAWIYAH |810/95/410.031/1997 |30-11-1997 |810/106526/413203/09 |15-05-2009 | | | |06-04-1970 | |KARYA | | |01-12-1997 | |01-12-2009 | | | | | | | | | | | | | 142|SYAMSUL |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMP |810/29/413.204/2004 |15-07-2004 |810/18454/413203/09 |15-05-2009 | | | |15-08-1961 | |KARYA | | |01-08-2004 | |01-08-2009 | | | | | | || | | | | | 143|SUMAR |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMP |810/22/410.031/1999 |05-08-1999 |810/192512/413203/09 |15-05-2009 | | | |04-04-1973 | |KARYA | | |01-08-1999 | |01-08-2009 | | | | | | | | | | | | | 144|TA`IB |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |MADRASAH ALIYAH |8131/04/410.031/1988 |29-12-1988 |810156346/413203/09 |16-02-2009 | | | |05-04-1968 | |KARYA | | |02-01-1989 | |01-01-2009 | | | | | | | | | | | | | 145|TA`IM |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |MADRASAH ALIYAH |810/08/410.031/1999 |10-03-1999 |810/205395/413203/09 |10-03-2009 | | | |27-06-1977 | |KARYA | | |01-03-1999 | |01-03-2009 | | | | | | | | | | | | | 146|SUTIKNO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMK |810/73/410.034/2002 |15-07-2002 |81025131414132032009 |10-03-2009 | | | |13-12-1980 | |KARYA | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 147|SUNOTO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |8131/03/410031/1988 |29-12-1988 |810/155345/413203/09 |16-02-2009 | | | |04-04-1968 | |KARYA | | |02-01-1989 | |01-01-2009 | | | | | | | | | | | | ______________________________________________________________________________________________________________________________________________________________________________________________________

HALAMAN: 8 ______________________________________________________________________________________________________________________________________________________________________________________________________ | NO | NAMA | TEMPAT LAHIR |JENIS | UNIT KERJA | PENDIDIKAN | KEP. PENGANGKATAN | TANGGAL | KEP. PENGANGKATAN | TANGGAL | | | | TANGGAL LAHIR |KELAMIN| | | PERTAMA NOMOR SK | SK / TMT | AKHIR NOMOR SK | SK / TMT | ______________________________________________________________________________________________________________________________________________________________________________________________________ | 148|ACHMAD |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMK |810/66/410.034/2002 |01-05-2002 |8101663564132032009 |16-02-2009 | | | |19-05-1980 | |KARYA | | |01-05-2002 | |01-05-2009 | | | | | | | | | | | | | 149|CHOIRUL HUDA |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |810/63/410.031/1995 |12-03-1995 |8102033934132032009 |28-01-2009 | | | |20-06-1968 | |KARYA | | |01-04-1995 | |01-03-2009 | | | | | | | | | | | | | 150|CHOIRI WULYO HADI |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/36/410.031/1995 |20-05-1995 |8101623524132032009 |16-02-2009 | | | |10-06-1973 | |KARYA |ATAS | |01-05-1995 | |01-05-2009 | | | | | | | | | | | | | 151|BAMBANG ISPOYO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH PERAWAT |810/66/410.034/2002 |01-05-2002 |810/2333123/41320309 |10-03-2009 | | | |03-08-1968 | |KARYA |KESEHATAN | |01-05-2002 | |01-05-2009 | | | | | | | | | | | | | 152|BAKIR |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |810/95/410.031/1997 |30-11-1997 |810/104524/413203/09 |15-05-2009 | | | |11-04-1968 | |KARYA | | |01-12-1997 | |01-12-2009 | | | | | | | | | | | | | 153|ARIF |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |810/29/413.204/2004 |15-07-2004 |810/197517/413203/09 |15-05-2009 | | | |31-07-1986 | |KARYA | | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 154|ANTO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |810/66/410.034/2002 |01-05-2002 |8101603504132032009 |16-02-2009 | | | |05-11-1965 | |KARYA | | |01-05-2002 | |01-05-2009 | | | | | | | | | | | | | 155|AKHMAT SARONI |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH TEKNOLOGI |810/13/410.031/1992 |27-03-1992 |810/87219/413203/09 |20-01-2009 | | | |30-04-1968 | |KARYA |MENENGAH | |01-04-1992 | |01-04-2009 | | | | | | | | | | | | | 156|AKHMAD RO`IS |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SPG PENDIDIKAN SD |810/18/410.031/1998 |01-09-1998 |81025531454132032009 |10-03-2009 | | | |14-01-1968 | |KARYA | | |01-09-1998 | |01-09-2009 | | | || | | | | | | | | 157|EDI KHUSAIRI |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |MADRASAH TSANAWIYAH |810/12/410.031/1991 |31-12-1991 |810/102522413203/09 |15-05-2009 | | | |09-09-1960 | |KARYA | | |01-12-1991 | |01-12-2009 | | | | | | | | | | | | | 158|AGUNG SUPRIADI |JAKARTA | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/29/413.204/2004 |15-07-2004 |810/2493139413203/09 |10-03-2009 | | | |17-03-1978 | |KARYA |ATAS | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 159|EDY PURNOMO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |813.1/08/410031/1988 |29-12-1988 |810/4391110413203/09 |28-10-2009 | | | |09-03-1973 | |KARYA | | |02-01-1989 | |01-01-2010 | | | | | | | | | | | | | 160|ABDUL HAMID |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMK |810/73/410.034/2002 |15-07-2002 |81025231424132032009 |10-03-2009 | | | |11-04-1982 | |KARYA | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 161|TOFAN TARIAJI |LAMONGAN | L |DINAS PEKERJAAN UMUM BINA |SMA A.3 / IPS |810/32/413.204/2004 |26-10-2004 |810/327919/413203/09 |02-09-2009 | || |30-04-1983 | |MARGA | | |01-11-2004 | |01-11-2009 | | | | | | | | | | | | | 162|SUNARTO |LAMONGAN | L |DINAS PEKERJAAN UMUM BINA |SMA A.3 / IPS |810/32/413.304/2004 |26-10-2004 |810/325917/413203/09 |02-09-2009 | || |25-05-1974 | |MARGA | | |01-11-2004 | |01-11-2009 | | | | | | | | | | | | | 163|SUAMTO |LAMONGAN | L |DINAS PEKERJAAN UMUM BINA |STM MESIN |810/32/413.204/2004 |26-10-2004 |810/326918/413203/09 |02-09-2009 | | | |25-12-1974 | |MARGA | | |01-11-2004 | |01-11-2009 | | | | | | | | | | | | | 164|PURYANTO HADAK |LAMONGAN | L |DINAS PEKERJAAN UMUM BINA |SMK |810/32/413.204/2004 |26-10-2004 |810/328920/413203/09 |02-09-2009 | | | |09-06-1983 | |MARGA | | |01-11-2004 | |01-11-2009 | | | | | | | | | | | | | 165|HARTONO |LAMONGAN | L |DINAS PEKERJAAN UMUM BINA |STM BANGUNAN |810/32/413.204/2004 |26-10-2004 |810/324916/413203/09 |02-09-2009 | | | |23-07-1970 | |MARGA | | |01-11-2004 | |01-11-2009 | | | | | | | | | | | | | 166|DIDIK SETYO UTOMO |LAMONGAN | L |DINAS PEKERJAAN UMUM BINA |SMK AKUNTANSI |810/32/413.204/2004 |26-10-2004 |810/329921/413203/09 |02-09-2009 | | | |04-09-1983 | |MARGA | | |01-11-2004 | |01-11-2009 | | | | | | | | | | | | | 167|YUDI ISWANTO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/19/413.204/2004 |29-06-2004 |8101673574132032009 |16-02-2009 | | | |02-10-1983 | |KARYA |ATAS | |01-07-2004 | |01-07-2009 | | | | | | | || | | | | 168|AGUS WAHYU RIYONO |TUBAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/66/410.034/2002 |01-05-2002 |810/165355/413203/09 |16-02-2009 | | | |18-08-1978 | |KARYA |UMUM | |01-05-2002 | |01-05-2009 | | | | | | | | | | | | _____________________________________________________________________________________________

_________________________________________________________________________________________________________

HALAMAN: 9 ______________________________________________________________________________________________________________________________________________________________________________________________________ | NO | NAMA | TEMPAT LAHIR |JENIS | UNIT KERJA | PENDIDIKAN | KEP. PENGANGKATAN | TANGGAL | KEP. PENGANGKATAN | TANGGAL | | | | TANGGAL LAHIR |KELAMIN| | | PERTAMA NOMOR SK | SK / TMT | AKHIR NOMOR SK | SK / TMT | ______________________________________________________________________________________________________________________________________________________________________________________________________ | 169|KASTO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |8131/67/410.031/1991 |13-06-1991 |810208398/413203/09 |10-03-2009 | | | |10-11-1965 | |KARYA | | |13-06-1991 | |01-06-2009 | | | | | | | | | | | | | 170|RATIM |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SMA A.3 / IPS |810/11/410.031/2000 |18-03-2000 |810/206396/413203/09 |10-03-2009 | | | |08-10-1969 | |KARYA | | |01-04-2000 | |01-04-2009 | | | | | | | | | | | | | 171|PUGUH TONY WIJAYANTO|LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH TEKNOLOGI |810/73/410.034/2002 |15-07-2002 |81024731374132032009 |10-03-2009 | | | |09-04-1977 | |KARYA |MENENGAH | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 172|NUR HADI |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |810/05/410.031/1994 |19-01-1994 |81023231224132032009 |10-03-2009 | | | |02-03-1972 | |KARYA | | |01-01-1994 | |01-01-2009 | | | | | | | | | | | | | 173|NARTO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SLTP UMUM |810/29/413.204/2004 |15-07-2004 |810/2533143/41320309 |10-03-2009 | | | |02-11-1982 | |KARYA | | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 174|MUHAMMAD SUGIN |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |810/60/410.034/2003 |25-09-2003 |810/2113101413203/09 |10-03-2009 | | | |08-11-1972 | |KARYA | | |01-06-2003 | |01-06-2009 | | | | | | | | | | | | | 175|MUHAMMAD SHOKHIB |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |8131/09/410.031/1988 |29-12-1988 |810/157347/413203/09 |16-02-2009 | | | |03-11-1969 | |KARYA | | |02-01-1989 | |01-01-2009 | | | | | || | | | | | | 176|MUHAMMAD ABDUR |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |MADRASAH ALIYAH |810/73/410.034/2002 |15-07-2002 |810/2503140413203/09 |10-03-2009 | | |ROHMAN |10-01-1979 | |KARYA | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 177|MOH TAUFIQ |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |MADRASAH ALIYAH |810/73/410.034/2002 |15-07-2002 |810/2463136/41320309 |10-03-2009 | | | |25-07-1974 | |KARYA | | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 178|DJOKO SUDARMONO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/89/410.031/1995 |01-12-1995 |810/107527/413203/09 |15-05-2009 | | | |17-05-1973 | |KARYA |ATAS | |01-12-1995 | |01-12-2009 | | | | | | | | | | | | | 179|KUSNAN |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/29/413.204/2004 |15-07-2004 |810/18757/413203/09 |15-05-2009 | | | |09-02-1968 | |KARYA |ATAS | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 180|RUMIYATI |LAMONGAN | P |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/09/410.031/2000 |13-03-2000 |810/86218/413203/09 |20-01-2009 | | | |14-07-1967 | |KARYA |EKONOMI ATAS | |01-04-2000 | |01-04-2009 | | | | | | | | | | | | | 181|KASNING |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |813.1/66/410031/1991 |13-06-1991 |810/209399/413203/09 |10-03-2009 | | | |05-02-1971 | |KARYA | | |01-04-1991 | |01-06-2009 | | | | | | | | | | | | | 182|KASIRAN |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |810/29/413.204/2004 |15-07-2004 |810/18555/413203/09 |15-05-2009 | | | |02-02-1962 | |KARYA | | |01-08-2004 | |01-08-2009 | | | | | | | | | | | | | 183|KARTO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |MADRASAH TSANAWIYAH |810/19/410.031/2000 |31-08-2000 |810/199519/413203/09 |15-05-2009 | | | |17-06-1973 | |KARYA | | |01-10-2000 | |01-10-2009 | | | | | | | | | | | | | 184|KARITO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |STM BANGUNAN |810/43/410.031/1996 |30-04-1996 |810/90222/413203/09 |28-10-2009 | | | |19-09-1970 | |KARYA | | |01-05-1996 | |01-05-2009 | | | | | | | | | | | | | 185|ISMAIL |SIDOARJO | L |DINAS PEKERJAAN UMUM CIPTA |SMK |810/66/410.034/2002 |01-05-2002 |810/164/354413203/09 |16-02-2009 | | | |12-09-1976 | |KARYA | | |01-05-2002 | |01-05-2009 | | | | | | | | | | | | | 186|IMAM BASORI |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |810/08/410.031/1998 |27-05-1998 |8102123102413203/09 |16-03-2009 | | | |05-05-1974 | |KARYA | | |01-06-1998 | |01-06-2009 | | | | | | | | | | | | | 187|HENDRIX TRIWIBOWO |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/73/410.034/2002 |15-07-2002 |8101794304132032009 |15-04-2009 | | | |06-11-1981 | |KARYA |UMUM | |01-08-2002 | |01-08-2009 | | | | | | | | | | | | | 188|ERWAN SETIYO MARGONO|LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH MENENGAH |810/66/410.034/2002 |01-05-2002 |810/163353/413203/09 |16-02-2009 | | | |18-03-1975 | |KARYA |ATAS | |01-05-2002 | |01-05-2009 | | | | | | | | | | | | | 189|ERNA YULIATI |LAMONGAN | P |DINAS PEKERJAAN UMUM CIPTA |SMK |810/02/410.031/2000 |01-02-2000 |810/85217/413203/09 |20-01-2009 | | | |31-07-1978 | |KARYA | | |01-03-2000 | |01-03-2009 | | | | | | | | | | | | _____________________________________________________________________________________________

_________________________________________________________________________________________________________

HALAMAN: 10 ______________________________________________________________________________________________________________________________________________________________________________________________________ | NO | NAMA | TEMPAT LAHIR |JENIS | UNIT KERJA | PENDIDIKAN | KEP. PENGANGKATAN | TANGGAL | KEP. PENGANGKATAN | TANGGAL | | | | TANGGAL LAHIR |KELAMIN| | | PERTAMA NOMOR SK | SK / TMT | AKHIR NOMOR SK | SK / TMT | ______________________________________________________________________________________________________________________________________________________________________________________________________ | 190|MAT LADJIM |LAMONGAN | L |DINAS PEKERJAAN UMUM CIPTA |SEKOLAH DASAR |813.1/09/410031/1988 |29-12-1988 |8101523424132032009 |16-02-2009 | | | |07-02-1961 | |KARYA | | |01-03-1988 | |01-01-2009 | | | | | | | | | | | | ______________________________________________________________________________________________________________________________________________________________________________________________________ Catatan : Daftar Nama tersebut dapat diangkat menjadi CPNS apabila dapat menunjukan dokumen asli dan sah sesuai PP yang berlaku dan belum diusulkan dalam Formasi Tahun sebelumnya

Dicetak di Jakarta Tanggal 22-03-2012

WAKIL KEPALA BKN

EKO SUTRISNO