Pileg2014 Modela.4-Kpu 5271051001 Mataram Barat 14 Mut

PROVINSI : NUSA TENGGARA BARAT KECAMATAN : SELAPARANG

KABUPATEN/KOTA 1) : MATARAM DESA/KELURAHAN : MATARAM BARAT

TPS : 001

Status

PerkawinanB/S/P Jalan / Dusun Rt Rw

1 2 3 4 5 6 7 8 10 11 12 13

1 5271050503086089 5271050504760002 I NYOMAN SUPRAPTHA MATARAM 05-04-1976 38 S L JL. PRAMUKA NO. 27 MATARAM 000 198

2 5271050503086089 5271055508790006 AGUSTIN SETIYANI SP BANYUWANGI 15-08-1979 34 S P JL. PRAMUKA NO. 27 MATARAM 000 198

3 5271051306080015 5271057112310021 MARPUAH MATARAM 31-12-1931 82 P P KARANG MEDAIN BARAT 000 198

4 5271051306080016 5271057112440067 NI WAYAN REME MATARAM 31-12-1944 69 B P KARANG MEDAIN BARAT 000 198

5 5271051608100006 5271051303860005 I MADE SETIADADI MATARAM 13-03-1986 28 S L JL. WR. SUPRATMAN GG.VI/12 KR. MEDAIN BRT 000 198

6 5271052108090006 5271052704800003 I KETUT SURYA ARTHA MATARAM 27-04-1980 33 S L LINGK. KARANG MEDAIN BARAT MTR 000 198

7 5271052108090006 5271057112850066 NI KETUT SRIDANI MATARAM 31-12-1985 28 S P LINGK. KARANG MEDAIN BARAT MTR 000 198

8 5271052405110011 5271054806840003 WIWIK NGGERUKOPA 08-06-1984 29 S P JL.WR.SUPRATMAN GG.4/3 KR.MEDAIN BARAT 000 198

9 5271052405110011 5271021407890004 ALOSIUS SANGARI 14-07-1989 24 S L JL.WR.SUPRATMAN GG.4/3 KR.MEDAIN BARAT 000 198

10 - 5271021010920003 SAYUTI SANGARI 10-10-1982 31 B L JL. WR. SUPRATMAN GG. IV/3 001 198

11 - 5206130108890002 ALFONSIUS LIQUOR TOLONGGERU 08-01-1989 25 B L JL. WR. SUPRATMAN GG. IV/3 001 198

12 - 5206081310890001 IGNASIUS RUSDI MBAWA 13-10-1989 24 B L JL. WR. SUPRATMAN GG. IV/3 001 198

13 - 5206134207900002 THRESIA ST NURBY TOLONGGERU 07-02-1990 24 B L JL. WR. SUPRATMAN GG. IV/3 001 198

14 - 5206080107901092 WIHELMUS TOLONGGERU 01-07-1990 23 B L JL. WR. SUPRATMAN GG. IV/3 001 198

15 - 5206081007901005 MARKUS TOLONGGERU 10-07-1990 23 B L JL. WR. SUPRATMAN GG. IV/3 001 198

16 - 5206081707901003 HERMANUS TOLONGGERU 17-07-1990 23 B L JL. WR. SUPRATMAN GG. IV/3 001 198

17 - 5206081206920003 ISWADIN TOLONGGERU 12-06-1992 21 B L JL. WR. SUPRATMAN GG. IV/3 001 198

18 - 5206081310920001 MARTINUS TOLONGGERU 13-11-1992 21 B L JL. WR. SUPRATMAN GG. IV/3 001 198

19 - 5206135205920001 ALFIAN APOLONIA TOLONGGERU 05-12-1992 21 B P JL. WR. SUPRATMAN GG. IV/3 001 198

20 - 5206132006930001 PURTARDOS K.F TOLONGGERU 20-06-1993 20 B L JL. WR. SUPRATMAN GG. IV/3 001 198

21 - 5206081303941002 ADI HARIANTO PALAMA 13-03-1994 20 B L JL. WR. SUPRATMAN GG. IV/3 001 198

22 - 5206081310940001 SUBANDRIO SANGARI 13-10-1994 19 B L JL. WR. SUPRATMAN GG. IV/3 001 198

23 5271050503087306 5271056504830004 NI WAYAN WARTI MATARAM 25-04-1983 30 P P KARANG MEDAIN BARAT MATARAM 001 198

24 5271050503087771 5271051811830003 I GDE ADNYANA MATARAM 18-11-1983 30 S L KARANG MEDAIN BARAT MATARAM 001 198

25 5271050503087771 5271056704840003 NI NYOMAN TRI PUTRI MAYA SUMBAWA 27-04-1984 29 S P KARANG MEDAIN BARAT MATARAM 001 198

26 5271050503120002 5271051105790002 I WAYAN SUKARI MATARAM 11-05-1979 34 B L KARANG MEDAIN BARAT MATARAM 001 198

27 5271050503120002 5271055305870002 NI NYOMAN MADYANI LILIR 13-05-1987 26 S P KARANG MEDAIN BARAT MATARAM 001 198

9

Tempat LahirTanggal

LahirUmur

Jenis

Keterangan 2)KelaminL/P

Alamat

Model A.4 - KPU

DAFTAR PEMILIH TETAP

PEMILIHAN UMUM ANGGOTA DPR, DPD, DPRD PROVINSI DAN DPRD KABUPATEN / KOTA

TAHUN 2014

No

UrutNo KK NIK Nama

Halaman 1 dari 129



TPS : 001

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

28 5271050504100007 5271056504830003 NI MADE RIA TAURISIA ARMAYANI MATARAM 25-04-1983 30 S P JL. WR. SUPRATMAN GG.VI/4 MTR 001 198

29 5271050504100007 5271050605830001 I KOMANG SUTRIARTHA YANA MATARAM 06-05-1983 30 S L JL. WR. SUPRATMAN GG.VI/4 MTR 001 198

30 5271050603080539 5271051901720001 I GEDE SUMANDI MATARAM 19-01-1972 42 S L KARANG MEDAIN BARAT MATARAM 001 198

31 5271050603080539 5271056805780001 NI LUH PUJI ASTUTI MATARAM 28-05-1978 35 S P KARANG MEDAIN BARAT MATARAM 001 198

32 5271050603081008 5271057112310027 NI NENGAH MATARAM 31-12-1931 82 B P JL. PRAMUKA III/5X MATARAM 001 198

33 5271050603081008 5271052911640001 I GEDE NUARTHA MATARAM 29-11-1964 49 S L JL. PRAMUKA III/5X MATARAM 001 198

34 5271050603081008 5271056810670001 NI KADEK DAYONI CAKRANEGARA 28-10-1967 46 S P JL. PRAMUKA III/5X MATARAM 001 198

35 5271050603081008 5271052711950001 I PUTU BUDI ARTHANA MATARAM 27-11-1995 18 B L JL. PRAMUKA III/5X MATARAM 001 198

36 5271050603081540 5271050411650002 I WAYAN SUTADI SP MATARAM 04-11-1965 48 S L JL. WR.SUPRATMAN 22 KR. MEDAIN 001 198

37 5271050603081540 5271054606720001 NI KOMANG KARIANI LABUHAN LOMBOK 06-06-1972 41 S P JL. WR.SUPRATMAN 22 KR. MEDAIN 001 198

38 5271050603081540 5271051812790002 MULYANTO NAJKHA LABUHAN LOMBOK 18-12-1979 34 B L JL. WR.SUPRATMAN 22 KR. MEDAIN 001 198

39 5271050603082049 5271052310370001 I KM RETADI MATARAM 23-10-1937 76 S L JL. WR.SUPRATMAN NO.22 KR MEDAIN BRT 001 198

40 5271050603082049 5271057112410016 NI KETUT DANIK MATARAM 31-12-1941 72 S P JL. WR.SUPRATMAN NO.22 KR MEDAIN BRT 001 198

41 5271050603082049 5271051402840001 I KOMANG LANUS MATARAM 14-02-1984 30 B L JL. WR.SUPRATMAN NO.22 KR MEDAIN BRT 001 198

42 5271050603082169 5271051910680001 I GEDE LANUS MATARAM 19-10-1968 45 S L KARANG MEDAIN BARAT MATARAM 001 198

43 5271050603082169 5271055108730001 NI KOMANG SUMIHATI MATARAM 11-08-1973 40 S P KARANG MEDAIN BARAT MATARAM 001 198

44 5271050603082539 5271053112450036 I NYOMAN GADANG MATARAM 31-12-1945 68 S L KARANG MEDAIN BARAT MATARAM 001 198

45 5271050603082539 5271056508510001 NI NENGAH BAKTIASA MATARAM 25-08-1951 62 S P KARANG MEDAIN BARAT MATARAM 001 198

46 5271050603083771 5271050801600002 I WAYAN SUKANDA MATARAM 08-01-1960 54 S L LINGK. KR.MEDAIN BARAT MATARAM 001 198

47 5271050603083771 5271057112680197 NI WAYAN MERTHA MATARAM 31-12-1968 45 S P LINGK. KR.MEDAIN BARAT MATARAM 001 198

48 5271050603083771 5271052406900001 I NENGAH SUDHA KRAMA MATARAM 24-06-1990 23 B L LINGK. KR.MEDAIN BARAT MATARAM 001 198

49 5271050603084679 5271053112650072 I NYOMAN SUKANTHA MATARAM 31-12-1965 48 S L KARANG MEDAIN BARAT 001 198

50 5271050603084679 5271057112680098 NI KADEK SUCI MATARAM 31-12-1968 45 S P KARANG MEDAIN BARAT 001 198

51 5271050603084856 5271051808610001 I MADE SUKANTHI MATARAM 18-08-1961 52 S L KARANG MEDAIN BARAT MATARAM 001 198

52 5271050603084856 5271054505630002 NI NENGAH SUWIJA MATARAM 05-05-1963 50 S P KARANG MEDAIN BARAT MATARAM 001 198

53 5271050603084856 5271052410920001 I WAYAN SADADANA PUTRA MATARAM 24-10-1992 21 B L KARANG MEDAIN BARAT MATARAM 001 198

54 5271051001110001 5271051010820010 I NENGAH SUARTA MATARAM 10-10-1982 31 S L JL. WR.SUPRATMAN GG.IV/11 MATARAM 001 198

55 5271051001110001 5271055505900004 NI KETUT MIYANTI MATARAM 15-05-1990 23 S P JL. WR.SUPRATMAN GG.IV/11 MATARAM 001 198

56 5271051406080021 5271050505760003 I KOMANG SUGIARTA MATARAM 05-05-1976 37 S L KARANG MEDAIN BARAT 001 198

57 5271051406080021 5271054409850001 NI NYOMAN ARINI MATARAM 04-09-1985 28 B P KARANG MEDAIN BARAT 001 198

58 5271051701120022 5271051412890003 I KETUT DARMAYASA MATARAM 14-12-1989 24 B L KARANG MEDAIN BARAT MATARAM 001 198

Halaman 2 dari 129



TPS : 001

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

59 5271051701120022 5271025108900002 NI PUTU DEWI LARASATI DENPASAR 11-08-1990 23 S P KARANG MEDAIN BARAT MATARAM 001 198

60 5271051704120002 5271050802540001 I GDE BRATA MATARAM 08-02-1954 60 B L LING. KARANG MEDAIN BARAT MTR. 001 198

61 5271051704120002 5271057012580004 NI KOMANG ARTA MATARAM 30-12-1958 55 B P LING. KARANG MEDAIN BARAT MTR. 001 198

62 5271053107090004 5271026309760002 NI MADE SARNI KARANG ANYAR 23-09-1976 37 S P KARANG MEDAIN BARAT MATARAM 001 198

63 5271053107090004 5271051608810001 I WAYAN SUTADI ARYANA MATARAM 16-08-1981 32 S L KARANG MEDAIN BARAT MATARAM 001 198

64 - 5271052807610002 I MADE SUTAMA TANJUNG LOMBOK UTARA28-07-1961 52 S L JL. PRAMUKA GG.III/2 KR.MEDAIN RT 2 RW 198 KARANG 002 198

65 - 3171501170388001 RANTO FARULIAN. Z HULIONO ZEGA 17-03-1988 26 B L JL. PRAMUKA 29, MATARAM 002 198

66 - 5271054606950001 NI KADEK RISA SUGIANTINI MAMBE, 26-06-1995 18 S P RT.02 RW 198 KARANG MEDAIN BARAT 002 198

67 5271050406100008 5271053001860002 I NYOMAN BUDI ARTHA MATARAM 30-01-1986 28 S L KARANG MEDAIN BARAT MATARAM 002 198

68 5271050406100008 5271054602880001 NI WAYAN EKA DARMAYANTI MATARAM 06-02-1988 26 S P KARANG MEDAIN BARAT MATARAM 002 198

69 5271050407080006 5271052302660002 KRENIUS FERDINANTO MATARAM 23-02-1966 48 S L JL. PRAMUKA NO. 26 MATARAM 002 198

70 5271050407080006 5271055910770002 NI KETUT BUDIARTINI BABAKAN 19-10-1977 36 S P JL. PRAMUKA NO. 26 MATARAM 002 198

71 5271050503080224 5271053112430001 NENGAH TASTRA MATARAM 31-12-1943 70 S L KARANG MEDAIN BARAT MATARAM 002 198

72 5271050503080224 5271057112610006 NI LUH NARTI PAGUTAN 31-12-1961 52 S P KARANG MEDAIN BARAT MATARAM 002 198

73 5271050503080224 5271053108880001 I KOMANG BUDI ARSANA MATARAM 31-08-1988 25 B L KARANG MEDAIN BARAT MATARAM 002 198

74 5271050503080224 5271052512960001 I KETUT MERTHA DANA PAGUTAN 25-12-1996 17 B L KARANG MEDAIN BARAT MATARAM 002 198

75 5271050503082099 5271053112600039 I GEDE SANDIARTHA PRINGGARATA LOTIM31-12-1960 53 S L KARANG MEDAIN BARAT MATARAM 002 198

76 5271050503082099 5271054410640001 KOMANG SRIATI MATARAM 04-10-1964 49 S P KARANG MEDAIN BARAT MATARAM 002 198

77 5271050503082099 5271051812900002 I NENGAH DWI DARMA PUTRA MATARAM 18-12-1990 23 B L KARANG MEDAIN BARAT MATARAM 002 198

78 5271050503082099 5271050112930001 I NYOMAN SRIDARMA SANDI MATARAM 01-12-1993 20 B L KARANG MEDAIN BARAT MATARAM 002 198

79 5271050503083112 5271051905730002 I MADE WIJAYA KUSUMA MATARAM 19-05-1973 40 S L JL.PRAMUKA 28 A KR. MEDAIN 002 198

80 5271050503083112 5271055503790002 IDA AYU PUTU MARIANI MATARAM 15-03-1979 35 S P JL.PRAMUKA 28 A KR. MEDAIN 002 198

81 5271050503083585 5271050509740001 I NYOMAN WIDYARSA MATARAM 05-09-1974 39 S L KR. MEDAIN BARAT MATARAM 002 198

82 5271050503083585 5271054706770002 NI KETUT YUNIATIANINGSIH MATARAM 07-06-1977 36 S P KR. MEDAIN BARAT MATARAM 002 198

83 5271050503084524 5271052306770002 I GEDE WIDYADNYA MATARAM 23-06-1977 36 S L KARANG MEDAIN BARAT MATARAM 002 198

84 5271050503084530 5271051205740001 I NYOMAN MENDRA YANA MATARAM 12-05-1974 39 S L JL. WR.SUPRATMAN NO.29 MATARAM 002 198

85 5271050503084530 5271055408800002 NI KOMANG SRI ASTITI MATARAM 14-08-1980 33 S P JL. WR.SUPRATMAN NO.29 MATARAM 002 198

86 5271050503084578 5271054810880002 NI KETUT PURNAMA YANTI NARMADA 08-10-1988 25 B P JL. WR. SUPRATMAN IV/5 MATARAM 002 198

87 5271050503087532 5271050709690002 I WAYAN NANDAYATNA MATARAM 07-09-1969 44 P L KARANG MEDAIN BARAT MATARAM 002 198

88 5271050503087745 5271050605820005 I WAYAN ARIANA MATARAM 06-05-1982 31 S L KARANG MEDAIN BARAT MATARAM 002 198

89 5271050503087745 5271056106830002 SRI WAHYUNINGSIH MATARAM 21-06-1983 30 S P KARANG MEDAIN BARAT MATARAM 002 198

Halaman 3 dari 129



TPS : 001

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

90 5271050503088339 5271050607790002 I WAYAN AGUS JUNIARDI NARMADA 06-07-1979 34 S L JL.WR.SUPRATMAN VI/5 KR.MEDAIN 002 198

91 5271050503088339 5271054904830001 TRI SUNARYATI BANTUL 09-04-1983 31 S P JL.WR.SUPRATMAN VI/5 KR.MEDAIN 002 198

92 5271050503088399 5271050607800002 I GEDE SASNATA TANJUNG 06-07-1980 33 S L JL. PRAMUKA NO. 2 KR. MEDAIN 002 198

93 5271050503088399 5271055808830003 NI NYOMAN TANTRI PEMENANG 18-08-1983 30 S P JL. PRAMUKA NO. 2 KR. MEDAIN 002 198

94 5271050503089478 5271052311690001 I NENGAH WIDYANA MATARAM 23-11-1969 44 S L JL. WR. SUPRATMAN GG.VI/11 A 002 198

95 5271050503089478 5271056707810007 IDA AYU KETUT WINDAYANTI MATARAM 27-07-1981 32 S P JL. WR. SUPRATMAN GG.VI/11 A 002 198

96 5271050503089478 5271056205950001 NI PUTU SRI AYU WIDYARI MATARAM 22-05-1995 18 B P JL. WR. SUPRATMAN GG.VI/11 A 002 198

97 5271050503089946 5271050408570001 I WAYAN SUDARSANA MATARAM 04-08-1957 56 S L JL. WR. SUPRATMAN NO. 29 MTR 002 198

98 5271050503089946 5271055308650001 NI LUH ADMINI LOMBOK BARAT 13-08-1965 48 S P JL. WR. SUPRATMAN NO. 29 MTR 002 198

99 5271050503089946 5271055112890002 NI NENGAH DESIYANA SARI MATARAM 11-12-1989 24 B P JL. WR. SUPRATMAN NO. 29 MTR 002 198

100 5271050503089946 5271055608960001 NI KETUT PURA ADRIYANA SARI MATARAM 16-08-1996 17 B P JL. WR. SUPRATMAN NO. 29 MTR 002 198

101 5271050603080113 5271053112640002 I NYOMAN SUDIANA MATARAM 31-12-1964 49 S L KR. MEDAIN BARAT MATARAN 002 198

102 5271050603080113 5271057112640004 NI NENGAH SRI ASTINI MATARAM 31-12-1964 49 S P KR. MEDAIN BARAT MATARAN 002 198

103 5271050603080113 5271055704900001 NI MADE WIJAYANTI DEWI MATARAM 17-04-1990 23 B P KR. MEDAIN BARAT MATARAN 002 198

104 5271050603080113 5271050102930001 I KOMANG BUDIARTHA MATARAM 01-02-1993 21 B L KR. MEDAIN BARAT MATARAN 002 198

105 5271050603080113 5271055207950001 NI KETUT HENY HARDIANTI MATARAM 12-07-1995 18 B P KR. MEDAIN BARAT MATARAN 002 198

106 5271050603080350 5271055605810001 SRI ROHARNIATI DASAN BARU SAKRA 16-05-1981 32 B P KARANG MEDAIN BARAT MATARAM 002 198

107 5271050603080674 5271050301520001 I WAJAN PUTRA MATARAM 03-01-1952 62 S L JL. WR. SUPRATMAN GG. IV NO.11 002 198

108 5271050603080674 5271055108580001 NI NENGAH KARTINI MATARAM 11-08-1958 55 S P JL. WR. SUPRATMAN GG. IV NO.11 002 198

109 5271050603080696 5271053112290002 I WAYAN KARI MATARAM 31-12-1929 84 S L KR. MEDAIN BARAT MATARAM 002 198

110 5271050603080696 5271057112440003 NI LUH WISTA MATARAM 31-12-1944 69 S P KR. MEDAIN BARAT MATARAM 002 198

111 5271050603080696 5271057112440004 NI KETUT RAWIT MATARAM 31-12-1944 69 B P KR. MEDAIN BARAT MATARAM 002 198

112 5271050603080696 5271056802640001 NI NENGAH SRI WARDANI MATARAM 28-02-1964 50 B P KR. MEDAIN BARAT MATARAM 002 198

113 5271050603080696 5271052308680001 I KETUT SUARTHA MATARAM 23-08-1968 45 B L KR. MEDAIN BARAT MATARAM 002 198

114 5271050603081071 5271051606420003 I KOMANG SUKARA KR MEDAIN BARAT 16-06-1942 71 S L KARANG MEDAIN BARAT MATARAM 002 198

115 5271050603081071 5271057112600030 NI WAYAN RUMIATI BANGLI BALI 31-12-1960 53 S P KARANG MEDAIN BARAT MATARAM 002 198

116 5271050603081071 5271050508840001 I MADE AGUS SURYAWAN KR MEDAIN BARAT 05-08-1984 29 B L KARANG MEDAIN BARAT MATARAM 002 198

117 5271050603081213 5271051407620002 MADE PUTRA KARSANA MATARAM 14-07-1962 51 S L LINGK. KR.MEDAIN BARAT MATARAM 002 198

118 5271050603081213 5271055303630001 NI KETUT RISNA MURTI MATARAM 13-03-1963 51 S P LINGK. KR.MEDAIN BARAT MATARAM 002 198

119 5271050603081213 5271052105910002 I MADE PARTHA WIJAYA PUTRA MATARAM 21-05-1991 22 B L LINGK. KR.MEDAIN BARAT MATARAM 002 198

120 5271050603081288 5271050710420001 THOBIAS GORANG MAU KUA PANJAR ALOR 07-10-1942 71 S L JL. PRAMUKA NO. 26 MATARAM 002 198

Halaman 4 dari 129



TPS : 001

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

121 5271050603081288 5271055708490001 AGUSTINA RINTINI MAU CAKRANEGARA 17-08-1949 64 S P JL. PRAMUKA NO. 26 MATARAM 002 198

122 5271050603081288 5271051212610003 DOMININGGUS WENI LELANG ABANG 12-12-1961 52 B L JL. PRAMUKA NO. 26 MATARAM 002 198

123 5271050603081288 5271050607770001 GIDION ESAU JALLA MAU MATARAM 06-07-1977 36 B L JL. PRAMUKA NO. 26 MATARAM 002 198

124 5271050603081349 5271051902400001 I NENGAH RANGKI MATARAM 19-02-1940 74 S L KARANG MEDAIN BARAT MATARAM 002 198

125 5271050603081349 5271056505470001 NI WAYAN SARENG MATARAM 25-05-1947 66 S P KARANG MEDAIN BARAT MATARAM 002 198

126 5271050603081350 5271051508640001 I NENGAH SUKANTA MATARAM 15-08-1964 49 S L KARANG MEDAIN BARAT MATARAM 002 198

127 5271050603081350 5271056909680001 NI LUH PUTU WIDYANI MATARAM 29-09-1968 45 S P KARANG MEDAIN BARAT MATARAM 002 198

128 5271050603081350 5271057107950002 NI PUTU ANITA CANDRI MATARAM 31-07-1995 18 B P KARANG MEDAIN BARAT MATARAM 002 198

129 5271050603081513 5271055610750001 NI LUH WERASPATI MATARAM 16-10-1975 38 S P JL.WR.SUPRATMAN IV/7 KR.MEDAIN 002 198

130 5271050603081513 5271052001960001 I PUTU BAGUS NGURAH DARMAYASA MATARAM 20-01-1996 18 B L JL.WR.SUPRATMAN IV/7 KR.MEDAIN 002 198

131 5271050603081683 5271053112570022 I GDE GUNARTHA MATARAM 31-12-1957 56 S L KARANG MEDAIN BARAT MATARAM 002 198

132 5271050603081683 5271057112630029 NI WAYAN WISTI EYAT KANDEL NARMADA31-12-1963 50 S P KARANG MEDAIN BARAT MATARAM 002 198

133 5271050603081683 5271052407850001 I GDE WISARTHA MATARAM 24-07-1985 28 B L KARANG MEDAIN BARAT MATARAM 002 198

134 5271050603081683 5271051006870001 I NENGAH SRIADI SENTANA MATARAM 10-06-1987 26 B L KARANG MEDAIN BARAT MATARAM 002 198

135 5271050603081683 5271051310920003 I KOMANG BAGUS BUDIARTHA MATARAM 13-10-1992 21 B L KARANG MEDAIN BARAT MATARAM 002 198

136 5271050603081753 5271052810700001 I GEDE SUJANA MATARAM 28-10-1970 43 S L KARANG MEDAIN BARAT MATARAM 002 198

137 5271050603081753 5271057112770016 NI KADEK BUDIARTI EYAT KANDEL NARMADA31-12-1977 36 S P KARANG MEDAIN BARAT MATARAM 002 198

138 5271050603081768 5271056802620001 NI MADE SUCIARTI MATARAM 28-02-1962 52 B P KARANG MEDAIN BARAT MATARAM 002 198

139 5271050603081974 5271050202730002 I GEDE SUKARTHA MATARAM 02-02-1973 41 S L JL. WR.SUPRATMAN GG. VI NO. 12 002 198

140 5271050603081974 5271054511820001 ASNAWATI MATARAM 05-11-1982 31 P P JL. WR.SUPRATMAN GG. VI NO. 12 002 198

141 5271050603082087 5271050211330001 I MADE PAGAH MATARAM 02-11-1933 80 S L KARANG MEDAIN BARAT MATARAM 002 198

142 5271050603082087 5271057112380014 NI NYOMAN MURNI MATARAM 31-12-1938 75 S P KARANG MEDAIN BARAT MATARAM 002 198

143 5271050603082087 5271055812780001 NI PUTU MUSTIARINI MATARAM 18-12-1978 35 B P KARANG MEDAIN BARAT MATARAM 002 198

144 5271050603082136 5271050401730001 YUSTIANTO JALLAMAO MATARAM 04-01-1973 41 S L KARANG MEDAIN BARAT MATARAM 002 198

145 5271050603082136 5271054505780001 MAIJAH RATNAWATI DAREK LOTENG 05-05-1978 35 S P KARANG MEDAIN BARAT MATARAM 002 198

146 5271050603083048 5271057112620047 NI WAYAN SRI MATARAM 31-12-1962 51 S P JL. PRAMUKA GG.III/2 KR.MEDAIN 002 198

147 5271050603083529 5271057112450050 NI KETUT CATRA MATARAM 31-12-1945 68 S P LINGK. KR.MEDAIN BARAT MATARAM 002 198

148 5271050603083565 5271050702680001 I WAYAN SUMERTHA MATARAM 07-02-1968 46 S L KARANG MEDAIN BARAT MATARAM 002 198

149 5271050603083565 5271054808740002 NI NENGAH ASMINI MATARAM 08-08-1974 39 S P KARANG MEDAIN BARAT MATARAM 002 198

150 5271050603084059 5271050201670002 I KETUT SUDIARTHA MATARAM 02-01-1967 47 S L KARANG MEDAIN BARAT MATARAM 002 198

151 5271050603084059 5271055103680002 NI NENGAH RIBEK MATARAM 11-03-1968 46 S P KARANG MEDAIN BARAT MATARAM 002 198

Halaman 5 dari 129



TPS : 001

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

152 5271050603084059 5271055612920001 NI WAYAN DIAN SUDIARTINI MATARAM 16-12-1992 21 B P KARANG MEDAIN BARAT MATARAM 002 198

153 5271050603084059 5271050902950003 I MADE AWAN SUDIARTANA MATARAM 09-02-1995 19 B L KARANG MEDAIN BARAT MATARAM 002 198

154 5271050603084261 5271057112450064 NI WAYAN SIKA MATARAM 31-12-1945 68 P P JL. PRAMUKA NO. 27 MATARAM 002 198

155 5271050603084817 5271050903590002 I NENGAH SUDIARTHA MATARAM 09-03-1959 55 S L KARANG MEDAIN BARAT MATARAM 002 198

156 5271050603084817 5271057112600128 NI NENGAH TANTRI MATARAM 31-12-1960 53 S P KARANG MEDAIN BARAT MATARAM 002 198

157 5271050603084817 5271051005840002 I WAYAN WINARTHA MATARAM 10-05-1984 29 B L KARANG MEDAIN BARAT MATARAM 002 198

158 5271050603084817 5271050311880001 I NENGAH ADIARTHA MATARAM 03-11-1988 25 B L KARANG MEDAIN BARAT MATARAM 002 198

159 5271050603084817 5271050706950004 I NYOMAN BUDIARSA MATARAM 07-06-1995 18 B L KARANG MEDAIN BARAT MATARAM 002 198

160 5271050603084833 5271053108560001 I KETUT RUDATI MATARAM 31-08-1956 57 S L KARANG MEDAIN BARAT MATARAM 002 198

161 5271050603084833 5271055507620003 NI WAYAN BUDIARTI UBUD GIANYAR 15-07-1962 51 S P KARANG MEDAIN BARAT MATARAM 002 198

162 5271050603084833 5271056704880001 NI NENGAH WESI DWIYANTI MATARAM 27-04-1988 25 B P KARANG MEDAIN BARAT MATARAM 002 198

163 5271050603084833 5271051209920001 I NYOMAN SUDHAMA YASA MATARAM 12-09-1992 21 B L KARANG MEDAIN BARAT MATARAM 002 198

164 5271050603084833 5271050507950003 I KETUT BUDHI PRAYOGA MATARAM 05-07-1995 18 B L KARANG MEDAIN BARAT MATARAM 002 198

165 5271050603084855 5271053112560070 I NENGAH SUNARTHA MATARAM 31-12-1956 57 S L KARANG MEDAIN BARAT MATARAM 002 198

166 5271050603084855 5271057112630091 NI LUH MERTI MATARAM 31-12-1963 50 S P KARANG MEDAIN BARAT MATARAM 002 198

167 5271050603084855 5271052905830002 I GEDE SUMARTANA MATARAM 29-05-1983 30 B L KARANG MEDAIN BARAT MATARAM 002 198

168 5271050603084855 5271055105920004 NI NYOMAN SUARTINI MATARAM 11-05-1992 21 B P KARANG MEDAIN BARAT MATARAM 002 198

169 5271050603084876 5271051212530002 I GEDE SUDARTHA MATARAM 12-12-1953 60 S L KARANG MEDAIN BARAT MATARAM 002 198

170 5271050603084905 5271053112320014 I WAYAN CARIK MATARAM 31-12-1932 81 S L JL. WR. SUPRATMAN GG.IV/II 002 198

171 5271050603084905 5271057112350038 NI KOMANG PURA MATARAM 31-12-1935 78 B P JL. WR. SUPRATMAN GG.IV/II 002 198

172 5271050603084905 5271050404730004 I NENGAH SUARSANA MATARAM 04-04-1973 41 B L JL. WR. SUPRATMAN GG.IV/II 002 198

173 5271050603085010 5271053112360015 I NYOMAN RABIN MATARAM 31-12-1936 77 S L KR. MEDAIN BARAT MATARAM 002 198

174 5271050603085010 5271057112380038 NI WAYAN JANTEN MATARAM 31-12-1938 75 S P KR. MEDAIN BARAT MATARAM 002 198

175 5271050603085010 5271052509750001 I GEDE ADNYANA MATARAM 25-09-1975 38 B L KR. MEDAIN BARAT MATARAM 002 198

176 5271050603085043 5271052001400001 I MADE SANTRA MATARAM 20-01-1940 74 S L KARANG MEDAIN BARAT MATARAM 002 198

177 5271050603085043 5271057112400067 NI KETUT SABRET MATARAM 31-12-1940 73 S P KARANG MEDAIN BARAT MATARAM 002 198

178 5271050603085043 5271057012670003 NI KETUT ANDRIATI MATARAM 30-12-1967 46 B P KARANG MEDAIN BARAT MATARAM 002 198

179 5271050603085387 5271051007730002 I MADE MERTA ARTA MATARAM 10-07-1973 40 S L KARANG MEDAIN BARAT MATARAM 002 198

180 5271050603085387 5271054806800003 AVA SOERYO JUNIWATI SURABAYA 08-06-1980 33 S P KARANG MEDAIN BARAT MATARAM 002 198

181 5271050703090001 5271054112890001 NI NENGAH BUDIARTI MATARAM 01-12-1989 24 S P KARANG MEDAIN BARAT MATARAM 002 198

182 5271050807110004 5271051203800002 I WAYAN AGUS SUHARTA MATARAM 12-03-1980 34 S L KARANG MEDAIN MATARAM 002 198

Halaman 6 dari 129



TPS : 001

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

183 5271050807110004 5271035212880001 NI KETUT SUTRAWATI MATARAM 12-12-1988 25 S P KARANG MEDAIN MATARAM 002 198

184 5271051109080004 5271056904730002 NI LUH SUPRIYATNI MATARAM 29-04-1973 40 S P JL. PRAMUKA NO.27 MATARAM 002 198

185 5271051109080004 5271052303790004 EBENEZER ZEBUA NIAS 23-03-1979 35 S L JL. PRAMUKA NO.27 MATARAM 002 198

186 5271051110110001 5271050511860001 FRANSISKUS SELIS REHAK 05-11-1986 27 B L JL.PRAMUKA GG.III/6 KR. MEDAIN 002 198

187 5271051406080022 5271052508820003 I WAYAN SUMANDI MATARAM 25-08-1982 31 S L KARANG MEDAIN BARAT 002 198

188 5271051406080022 5271055107870006 NI KETUT ARIANTINI MATARAM 11-07-1987 26 B P KARANG MEDAIN BARAT 002 198

189 5271051701120021 5271052708710004 NENGAH KARE JAYA MATARAM 27-08-1971 42 S L KARANG MEDAIN BARAT 002 198

190 5271051701120021 5271055403780006 NI KETUT SUMARTINI MATARAM 14-03-1978 36 S P KARANG MEDAIN BARAT 002 198

191 5271052306120002 5271052206930005 DOMINIKUS NDARUNG REDONG 22-06-1993 20 B L JL. PRAMUKA GG.III/6 KR.MEDAIN BARAT 002 198

192 5271052307100004 5271050604810005 GDE PRASTHA SEMARA MATARAM 06-04-1981 33 S L KARANG MEDAIN BARAT MATARAM 002 198

193 5271052307100004 5271055908860005 SARINI MATARAM 19-08-1986 27 S P KARANG MEDAIN BARAT MATARAM 002 198

194 5271052312090002 5271054807790003 NI KADEK CANDI PENINJOAN 08-07-1979 34 S P LING. KR. MEDAIN BARAT MATARAM 002 198

195 5271052312090002 5271052909800001 I KETUT SUDIANA MATARAM 29-09-1980 33 S L LING. KR. MEDAIN BARAT MATARAM 002 198

196 5271052402110017 5271024306620002 NI WAYAN MUSTI SAREN 03-06-1962 51 S P JL. PRAMUKA NO. 25 002 198

197 5271052402110017 5271052707700001 I GEDE SUMANDI MATARAM 27-07-1970 43 S L JL. PRAMUKA NO. 25 002 198

198 5271052402110020 5271052011550005 I MADE MERTHADANA MATARAM 20-11-1955 58 S L KARANG MEDAIN BARAT 002 198

199 5271052402110020 5271056104570002 NI KETUT SURYATHI TABANAN 21-04-1957 56 S P KARANG MEDAIN BARAT 002 198

200 5271052402110020 5271050904800004 I MADE SUMARYATNHA MATARAM 09-04-1980 34 B L KARANG MEDAIN BARAT 002 198

201 5271052402110021 5271022102490001 I MADE ARTHA MATARAM 21-02-1949 65 S L JL. WR. SUPRATMAN NO.27 MATARAM 002 198

202 5271052402110021 5271027112530092 NI NENGAH SADIA MATARAM 31-12-1953 60 S P JL. WR. SUPRATMAN NO.27 MATARAM 002 198

203 5271052402110021 5271056306810002 NI LUH ADRIANI MATARAM 23-06-1981 32 P P JL. WR. SUPRATMAN NO.27 MATARAM 002 198

204 5271052402110021 5271022605880001 I NYOMAN BUDIANA MATARAM 26-05-1988 25 B L JL. WR. SUPRATMAN NO.27 MATARAM 002 198

205 5271052502090002 5271054703880002 NI MADE ARINI MATARAM 07-03-1988 26 S P KARANG MEDAIN BARAT 002 198

206 5271052606080008 5271057112340018 NI WAYAN REMA MATARAM 31-12-1934 79 B P KARANG MEDAIN BARAT 002 198

207 5271052606080008 5271057112410063 NI KETUT RAWIT MATARAM 31-12-1941 72 B P KARANG MEDAIN BARAT 002 198

208 5271052802120006 5271052310850003 MADE KARSANA MATARAM 23-10-1985 28 S L LINGK KARANG MEDAIN BARAT 002 198

209 5271052802120006 5271027112900074 NI NENGAH CICI SUMBAWA 31-12-1990 23 S P LINGK KARANG MEDAIN BARAT 002 198

210 5271052804100006 5271034705740001 NI KETUT SUTINI MATARAM 07-05-1974 39 S P JL. WR. SUPRATMAN GG.IV/II 002 198

211 5271052804100006 5271053112800046 I WAYAN SUARDANA MATARAM 31-12-1980 33 S L JL. WR. SUPRATMAN GG.IV/II 002 198

212 - 5205020807820001 FARID F. RAHMAN DOMPU 08-07-1982 31 S L Jl. Pramuka No. 25 Karang Medain Barat 003 198

213 - 5205026304910002 HASRI AINUN DOMPU 23-04-1991 22 B P Jl. Pramuka No. 25 Karang Medain Barat 003 198

Halaman 7 dari 129



TPS : 001

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

214 - 5205020071191003 NURRAHMAN, D DOMPU 07-11-1991 22 B L Jl. Pramuka No. 25 Karang Medain Barat 003 198

215 - 5205021410492001 RADIANSYAH DOMPU 11-04-1992 21 B L Jl. Pramuka No. 25 Karang Medain Barat 003 198

216 - 5205021201920003 ADITIYA RENGGA,S DOMPU 12-12-1992 21 B L Jl. Pramuka No. 25 Karang Medain Barat 003 198

217 - 5205025909930001 KHAIRUNNISAH DOMPU 19-09-1993 20 B P Jl. Pramuka No. 25 Karang Medain Barat 003 198

218 - 5205026001940002 RAEPAL FADLILAH DOMPU 20-01-1994 20 B P Jl. Pramuka No. 25 Karang Medain Barat 003 198

219 - 5205022912950002 MUHAMMAD ANGGI. A DOMPU 09-12-1995 18 B L Jl. Pramuka No. 25 Karang Medain Barat 003 198

220 5271050502110002 5271024605800001 NI LUH PUTU ARYANI MATARAM 06-05-1980 33 S P KARANG MEDAIN BARAT 003 198

221 5271050502110002 5271022308800001 I WAYAN TERIANA SAREN 23-08-1980 33 S L KARANG MEDAIN BARAT 003 198

222 5271050603081004 5271051512400001 I WAYAN KARTHA MATARAM 15-12-1940 73 S L JL. W.R. SUPRATMAN G. VIII/1 KARANG MEDAIN BARAT 003 198

223 5271050603081004 5271057112400015 NI WAYAN SUMIYATI GIANYAR BALI 31-12-1940 73 S P JL. W.R. SUPRATMAN G. VIII/1 KARANG MEDAIN BARAT 003 198

224 5271050603085352 5271050101600013 I GEDE GUNARTHA MATARAM 01-01-1960 54 S L KARANG MEDAIN BARAT MATARAM 003 198

225 5271050603085352 5271057112720083 NI WAYAN SUARTINI MATARAM 31-12-1972 41 S P KARANG MEDAIN BARAT MATARAM 003 198

226 5271050603085352 5271052706930001 I WAYAN PUTU JUNIARTA MATARAM 27-06-1993 20 B L KARANG MEDAIN BARAT MATARAM 003 198

227 5271050603087407 5271054108560002 WAYAN KIRTI TANJUNG 01-08-1956 57 S P JL.PRAMUKA NO.24 KR.MEDAIN BRT 003 198

228 5271050603087407 5271052012900003 I KETUT RIANTA MATARAM 20-12-1990 23 B L JL.PRAMUKA NO.24 KR.MEDAIN BRT 003 198

229 5271050603087407 5271050808950001 GEDE MARDIKA TANJUNG 08-08-1995 18 B L JL.PRAMUKA NO.24 KR.MEDAIN BRT 003 198

230 5271051005110004 5271057112470108 NI KADEK TISNAWATI MATARAM 31-12-1947 66 S P KARANG MEDAIN BARAT 003 198

231 5271052902120012 5271050810790001 PETRUS AGUT RUTENG NTT 08-10-1979 34 S L KARANG MEDAIN BARAT 003 198

232 5271052902120012 5271026603820002 KATARINA PINAS PASA 26-03-1982 32 S P KARANG MEDAIN BARAT 003 198

Status Perkawinan:

B = Belum nikah

S = Sudah nikah

P = Pernah nikah

Jenis Kelamin:

L = Laki-laki

P = Perempuan

1) = Coret yang tidak perlu

2) = Cacat yang disandang pemilih kalau ada

Ditetapkan di MATARAM, Tanggal 18 Januari 2014

a.n. KETUA KOMISI PEMILIHAN UMUM

PUTU SARJANA,SH

KOTA MATARAM

Sekretaris,

TTD

NIP. 19610723 198503 1 011

Halaman 8 dari 129



TPS : 002

Status


1 2 3 4 5 6 7 8 10 11 12 13

1 - 5201145402850002 TRIANA, W JEMBER 14-02-1985 29 S P JL. WR. SUPRATMAN 001 000

2 520114240812000 5200416068100021 SAMSUL HADI KUDUS 16-06-1981 32 S L JL. WR. SUPRATMAN 001 000

3 5271050207100005 5271050909800003 WALUYO SUKOHARJO, SOLO 09-09-1980 33 S L KARANG MEDAIN BARAT 000 198

4 5271050207100005 5271055805880002 NURFITRI RAHMAWATI SOLO 18-05-1988 25 S P KARANG MEDAIN BARAT 000 198

5 5271051306080016 5271055003890004 MARTINA MBAWA 10-03-1989 25 B P KARANG MEDAIN BARAT 000 198

6 5271051306080017 5271053112510062 SAHAR. MATARAM 31-12-1951 62 B L KARANG MEDAIN BARAT 000 198

7 5271052606080012 5271057112450173 NI NENGAH REPOT B MATARAM 31-12-1945 68 P P KARANG MEDAIN BARAT 000 198

8 - 5204131403900001 KADEK LANGKIR PELAMPANG 14-03-1990 24 B L KARANG MEDAIN BARAT 001 198

9 - 5271017152900001 I PUTU JULY KEBUN SARI 31-12-1990 23 B L KARANG MEDAIN BARAT 001 198

10 - 5205020101910004 I WAYAN SUMADEYASA SUMBAWA 12-04-1991 22 B L KARANG MEDAIN BARAT 001 198

11 - 5204131252920002 I PUTU WIDYA MUSTIKA SINAR JAYA 12-12-1992 21 B L KARANG MEDAIN BARAT 001 198

12 - 5271017152930001 I KADEK KARNAYA KEBUN SARI 31-12-1993 20 B L KARANG MEDAIN BARAT 001 198

13 - 5105012004940001 PUTU APRIANTA SEMAYA 20-04-1994 19 B L KARANG MEDAIN BARAT 001 198

14 5271050503083387 5271051005760002 I MADE SUMARTHA MATARAM 10-05-1976 37 S L JL. PRAMUKA NO. 15 MATARAM 001 198

15 5271050503083387 5271055608790002 PUTU DARTINI PUNIA SABA MATARAM16-08-1979 34 S P JL. PRAMUKA NO. 15 MATARAM 001 198

16 5271050503084519 5271052807810001 I GEDE SUKEDANE MATARAM 28-07-1981 32 S L KARANG MEDAIN BARAT MATARAM 001 198

17 5271050503084519 5271056602820001 NI LUH DEWIE WISTAYULIDIANIE MATARAM 26-02-1982 32 S P KARANG MEDAIN BARAT MATARAM 001 198

18 5271050503088824 5271051203740003 I WAYAN SUWARTHA MATARAM 12-03-1974 40 S L KARANG MEDAIN BARAT MATARAM 001 198

19 5271050503089658 5271057112290018 NI KETUT MANGKU MATARAM 31-12-1929 84 P P KARANG MEDAIN BARAT MATARAM 001 198

20 5271050603081079 5271051711700002 I KETUT SUKANTA MATARAM 17-11-1970 43 S L KARANG MEDAIN BARAT MATARAM 001 198

21 5271050603081079 5271054101710002 NI LUH SUARTI MATARAM 01-01-1971 43 S P KARANG MEDAIN BARAT MATARAM 001 198

22 5271050603081451 5271057112460022 NI NENGAH PURI MATARAM 31-12-1946 67 S P LINGK. KARANG MEDAIN BARAT MTR 001 198

23 5271050603081451 5271052612670004 I MADE SUDARMA MATARAM 26-12-1967 46 B L LINGK. KARANG MEDAIN BARAT MTR 001 198

24 5271050603082997 5271057112370023 NI LUH RAWIT MATARAM 31-12-1937 76 S P JL. WR. SUPRATMAN GG.IV/15 MTR 001 198

25 5271050603082997 5271050112380001 I NENGAH KARI PANGKUR MATARAM 01-12-1938 75 S L JL. WR. SUPRATMAN GG.IV/15 MTR 001 198

26 5271050603082997 5271057112590053 NI MADE SUMARNI MATARAM 31-12-1959 54 S P JL. WR. SUPRATMAN GG.IV/15 MTR 001 198

27 5271050603082997 5271051102820001 I NENGAH PUTRA ANTARA MATARAM 11-02-1982 32 B L JL. WR. SUPRATMAN GG.IV/15 MTR 001 198

9

Tempat LahirTanggal

LahirUmur

Jenis


Alamat

Model A.4 - KPU



TAHUN 2014

No

UrutNo KK NIK Nama

Halaman 9 dari 129



TPS : 002

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

28 5271050603083193 5271053112360007 I GEDE PUTU KUTA MATARAM 31-12-1936 77 S L JL. PRAMUKA NO. 16 MATARAM 001 198

29 5271050603083193 5271057112380021 NI KETUT KERTI MATARAM 31-12-1938 75 S P JL. PRAMUKA NO. 16 MATARAM 001 198

30 5271050603083494 5271056202950001 NI LUH PUTU SRI SHANTHIKARINI UBUD 22-02-1995 19 B P JL. PRAMUKA NO. 16 MATARAM 001 198

31 5271050603084678 5271051708670004 I MADE SUHARTANA MATARAM 17-08-1967 46 S L KARANG MEDAIN BARAT 001 198

32 5271050603084678 5271055609710002 NI WAYAN KARWININGSIH PAGESANGAN 16-09-1971 42 S P KARANG MEDAIN BARAT 001 198

33 5271050603084678 5271051403950001 I WAYAN YUDHA SURYANA MATARAM 14-03-1995 19 B L KARANG MEDAIN BARAT 001 198

34 5271051406080017 5271054107610005 NI NENGAH RAME RENDANG BAJUR 01-07-1961 52 S P KARANG MEDAIN BARAT 001 198

35 5271051406080017 5271050507690002 I KOMANG SUDARTA MATARAM 05-07-1969 44 S L KARANG MEDAIN BARAT 001 198

36 5271051406080017 5271052509950005 I WAYAN EKA ADI PUTRA MATARAM 25-09-1995 18 B L KARANG MEDAIN BARAT 001 198

37 5271052402110024 5271052503710004 I NENGAH SUMARTHA MATARAM 25-03-1971 43 S L JL. PRAMUKA NO. 28 KARANG MEDAIN BARAT 001 198

38 5271052402110024 5271054109710003 NI WAYAN TISNAWATI MATARAM 01-09-1971 42 S P JL. PRAMUKA NO. 28 KARANG MEDAIN BARAT 001 198

39 5271052402110024 5271056112940004 NI PUTU DESI NOVITAWATI MATARAM 21-12-1994 19 B P JL. PRAMUKA NO. 28 KARANG MEDAIN BARAT 001 198

40 5271052406100006 5271056006880001 NI LUH SARI MATARAM 20-06-1988 25 S P JL. WR.SUPRATMAN GG. VI NO. 12 001 198

41 - 5271014708680002 NI KOMANG KANTI MATARAM 07-08-1968 45 S P KARANG MEDAIN BARAT 002 198

42 - 5204010603890106 I KADEK SUANDRA SUKAMAJU, 06-03-1989 25 B L JL. WR. SUPRATMAN GG. VI/15 RT.02/198 KARANG MEDA 002 198

43 - 5201072809910001 KOMANG WARTA LABUAN POH, 28-09-1991 22 B L JL. WR. SUPRATMAN GG. VI/15 RT.02/198 KARANG MEDA 002 198

44 5271050103120010 5271034708680001 NI KOMANG KARTI LOMBOK BARAT 07-08-1968 45 S P KARANG MEDAIN BARAT 002 198

45 5271050103120010 5271051101810001 KETUT AGUS SWASTIKA MATARAM 11-01-1981 33 S L KARANG MEDAIN BARAT 002 198

46 5271050112110012 5271052612840001 I NENGAH DISNA ANUMERTA MATARAM 26-12-1984 29 S L LINGK. KR.MEDAIN BARAT MATARAM 002 198

47 5271050112110012 5271056610860003 NI LUH SUKARTI SURANADI 26-10-1986 27 S P LINGK. KR.MEDAIN BARAT MATARAM 002 198

48 5271050503080014 5271050503970001 I GEDE JAYA SATRIAWAN MATARAM 05-03-1997 17 B L KARANG MEDAIN BARAT MATARAM 002 198

49 5271050503080996 5271057112470018 NI KOMANG SUWECA MATARAM 31-12-1947 66 P P KARANG MEDAIN MATARAM 002 198

50 5271050503080996 5271051504840001 I NYOMAN HARI SUDIYANTA MATARAM 15-04-1984 29 B L KARANG MEDAIN MATARAM 002 198

51 5271050503081299 5271051502620001 I NYOMAN HARSANA MATARAM 15-02-1962 52 S L JL. WR. SUPRATMAN GG.IV/5 KARANG MEDAIN BARAT 002 198

52 5271050503081299 5271056508730001 NI NYOMAN RAMPINI KLUNGKUNG BALI 25-08-1973 40 S P JL. WR. SUPRATMAN GG.IV/5 KARANG MEDAIN BARAT 002 198

53 5271050503081299 5271054106930001 WAYAN SRI LESTARI MATARAM 01-06-1993 20 B P JL. WR. SUPRATMAN GG.IV/5 KARANG MEDAIN BARAT 002 198

54 5271050503082377 5271051712570002 MADE WIDNYA KALIANGET BALI 17-12-1957 56 S L JL.PRAMUKA G.II NO.6 KR.MEDAIN 002 198

55 5271050503082377 5271056204590001 NI NYOMAN SUCIARTHI MATARAM 22-04-1959 54 S P JL.PRAMUKA G.II NO.6 KR.MEDAIN 002 198

56 5271050503082377 5271051304880001 I MADE ARI BUDIARTHA MATARAM 13-04-1988 25 B L JL.PRAMUKA G.II NO.6 KR.MEDAIN 002 198

57 5271050503082989 5271056107610002 NI KOMANG PRAPTI MATARAM 21-07-1961 52 S P KARANG MEDAIN BARAT MATARAM 002 198

58 5271050503082989 5271051002620001 KOMANG SUKANTA MATARAM 10-02-1962 52 S L KARANG MEDAIN BARAT MATARAM 002 198

Halaman 10 dari 129



TPS : 002

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

59 5271050503082989 5271051503860002 I NENGAH SUMARTHA WIDYA MATARAM 15-03-1986 28 B L KARANG MEDAIN BARAT MATARAM 002 198

60 5271050503082989 5271050303900003 GEDE EKA MARETAYASA MATARAM 03-03-1990 24 B L KARANG MEDAIN BARAT MATARAM 002 198

61 5271050503082989 5271056911910002 MADE SRI NOPIYANI MATARAM 29-11-1991 22 B P KARANG MEDAIN BARAT MATARAM 002 198

62 5271050503086489 5271051301570001 PARIO PRIORISWANTO SOLO 13-01-1957 57 S L JL. PRAMUKA GG.II/2 KR.MEDAIN 002 198

63 5271050503086489 5271055305650002 SUMIATI BAKALAN 13-05-1965 48 S P JL. PRAMUKA GG.II/2 KR.MEDAIN 002 198

64 5271050503086489 5271051011940001 IKHWAN MUNANDAR SOLO 10-11-1994 19 B L JL. PRAMUKA GG.II/2 KR.MEDAIN 002 198

65 5271050503088700 5271052301680002 I PUTU SUGIH ARTA MATARAM 23-01-1968 46 S L JL. PRAMUKA NO.18 MATARAM 002 198

66 5271050503088700 5271057112700170 NI MADE SURATNI DENPASAR 31-12-1970 43 S P JL. PRAMUKA NO.18 MATARAM 002 198

67 5271050503088700 5271054507910002 NI LUH AYU YULIANDARI MATARAM 05-07-1991 22 B P JL. PRAMUKA NO.18 MATARAM 002 198

68 5271050503088700 5271050208930002 I MADE AGUS SURYADIARTHA MATARAM 02-08-1993 20 B L JL. PRAMUKA NO.18 MATARAM 002 198

69 5271050603080192 5271057112430002 NI NENGAH TAMAN KARANG ASEM 31-12-1943 70 B P JL. WR. SUPRATMAN GG. IV NO.19 002 198

70 5271050603080192 5271051506480001 I WAYAN BERATA KARANG ASEM 15-06-1948 65 S L JL. WR. SUPRATMAN GG. IV NO.19 002 198

71 5271050603080192 5271051506840001 I MADE YOGA MURTI SUDARTA MATARAM 15-06-1984 29 B L JL. WR. SUPRATMAN GG. IV NO.19 002 198

72 5271050603080350 5271050112470001 I NYOMAN OKA MATARAM 01-12-1947 66 S L KARANG MEDAIN BARAT MATARAM 002 198

73 5271050603080350 5271051204820001 I NENGAH ANDRIAWAN MATARAM 12-04-1982 31 B L KARANG MEDAIN BARAT MATARAM 002 198

74 5271050603080350 5271051104840002 I KOMANG SUDARSANA MATARAM 11-04-1984 29 B L KARANG MEDAIN BARAT MATARAM 002 198

75 5271050603081114 5271052112570001 K G WIRYAWAN SINGARAJA 21-12-1957 56 S L JL. PRAMUKA II/5 MATARAM 002 198

76 5271050603081114 5271056109590001 A RAI SOMANING ASIH KLUNGKUNG 21-09-1959 54 S P JL. PRAMUKA II/5 MATARAM 002 198

77 5271050603081114 5271057011860001 PUTU AYU INTAN WIRYANINGSIH MATARAM 30-11-1986 27 B P JL. PRAMUKA II/5 MATARAM 002 198

78 5271050603081114 5271056306880001 MADE AYU MIRA WIRYANINGSIH MATARAM 23-06-1988 25 B P JL. PRAMUKA II/5 MATARAM 002 198

79 5271050603081330 5271052802690001 I KETUT SADIARTA MATARAM 28-02-1969 45 S L JL. PRAMUKA GG 2 NO. 1 MATARAM 002 198

80 5271050603081330 5271054707710001 NI KOMANG SWASTI MATARAM 07-07-1971 42 S P JL. PRAMUKA GG 2 NO. 1 MATARAM 002 198

81 5271050603081330 5271055006920001 NI WAYAN ARISKA MURTI MATARAM 10-06-1992 21 B P JL. PRAMUKA GG 2 NO. 1 MATARAM 002 198

82 5271050603081401 5271051503590001 NENGAH BUDIYANA MATARAM 15-03-1959 55 S L JL. PRAMUKA 10 MATARAM 002 198

83 5271050603081401 5271057112590028 NI LUH NAKTI MATARAM 31-12-1959 54 S P JL. PRAMUKA 10 MATARAM 002 198

84 5271050603081401 5271050411900001 I WAYAN BUDIHARTAWAN MATARAM 04-11-1990 23 B L JL. PRAMUKA 10 MATARAM 002 198

85 5271050603081401 5271054502930002 NI NENGAH SUGIHARTINI MATARAM 05-02-1993 21 B P JL. PRAMUKA 10 MATARAM 002 198

86 5271050603081500 5271052804590001 I WAYAN GEDE DANTHA MATARAM 28-04-1959 54 S L JL. PRAMUKA NO. 24 A MATARAM 002 198

87 5271050603081500 5271056412610001 NI MADE MERTA NINGSIH MATARAM 24-12-1961 52 S P JL. PRAMUKA NO. 24 A MATARAM 002 198

88 5271050603081501 5271051712700001 KOMANG CANDRA MATARAM 17-12-1970 43 S L JL. PRAMUKA NO.24A MATARAM 002 198

89 5271050603081501 5271055007710001 NI MADE YULIATI MATARAM 10-07-1971 42 S P JL. PRAMUKA NO.24A MATARAM 002 198

Halaman 11 dari 129



TPS : 002

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

90 5271050603081501 5271052604940001 PUTU EKA YURA MATARAM 26-04-1994 19 B L JL. PRAMUKA NO.24A MATARAM 002 198

91 5271050603081731 5271054603680001 NI MADE PUTU MERTHA MATARAM 06-03-1968 46 P P JL. WR. SUPRATMAN GG.II NO.1 002 198

92 5271050603081772 5271050612400001 I NENGAH GADANG ANTIKA MATARAM 06-12-1940 73 P L JL. PRAMUKA II/ KR. MEDAIN 002 198

93 5271050603081772 5271054909760014 NI NYOMAN SUDARTI MATARAM 09-09-1976 37 P P JL. PRAMUKA II/ KR. MEDAIN 002 198

94 5271050603081772 5271054907920001 NI NENGAH DWI PUTRI MANIK MATARAM 09-07-1992 21 B P JL. PRAMUKA II/ KR. MEDAIN 002 198

95 5271050603081974 5271054808770002 NI LUH HENDRAYANI MATARAM 08-08-1977 36 S P JL. WR.SUPRATMAN GG. VI NO. 12 002 198

96 5271050603081974 5271055804930001 NI LUH PUTU ANGGRENI MATARAM 18-04-1993 20 B P JL. WR.SUPRATMAN GG. VI NO. 12 002 198

97 5271050603082089 5271052901700001 IDA BAGUS PUTU RAKA SIDAN GIANYAR 29-01-1970 44 S L KARANG MEDAIN BARAT MATARAM 002 198

98 5271050603082089 5271054903700001 NI NYOMAN ARIANTI MATARAM 09-03-1970 44 S P KARANG MEDAIN BARAT MATARAM 002 198

99 5271050603082089 5271055208960002 IDA AYU PUTU SRI ARTIKA SARI MATARAM 12-08-1996 17 B P KARANG MEDAIN BARAT MATARAM 002 198

100 5271050603084327 5271051111790001 I WAYAN SANTIASA LUNYUK SUMBAWA 11-11-1979 34 S L KARANG MEDAIN BARAT MATARAM 002 198

101 5271050603084327 5271054604800002 NI NYOMAN INDRIYANI MATARAM 06-04-1980 34 S P KARANG MEDAIN BARAT MATARAM 002 198

102 5271050603084677 5271051302650001 I WAYAN SUDARYANTHA MATARAM 13-02-1965 49 S L KARANG MEDAIN BARAT MATARAM 002 198

103 5271050603084677 5271056802780002 NI WAYAN SRIYANTI NUSAPENIDA BALI 28-02-1978 36 S P KARANG MEDAIN BARAT MATARAM 002 198

104 5271050603084677 5271052610950003 I GEDE SUDI DWI ARTHA MATARAM 26-10-1995 18 B L KARANG MEDAIN BARAT MATARAM 002 198

105 5271050603084825 5271053105400001 I KETUT PUTU MATARAM 31-05-1940 73 B L KARANG MEDAIN BARAT 002 198

106 5271050603085375 5271053112300018 I NENGAH KARI MATARAM 31-12-1930 83 S L KR. MEDAIN BARAT MATARAM 002 198

107 5271050603085375 5271056605620001 NI LUH SUKARI KR MEDAIN BARAT 26-05-1962 51 B P KR. MEDAIN BARAT MATARAM 002 198

108 5271051201100002 5271052104660001 WIJIYANTO SUKOHARJO 21-04-1966 47 S L JL.PRAMUKA GG.II/2 002 198

109 5271051201100002 5271057112720148 SUMINEM SUKOHARJO 31-12-1972 41 S P JL.PRAMUKA GG.II/2 002 198

110 5271051201100002 5271051011900002 SUBARI AT MOKO MATARAM 10-11-1990 23 B L JL.PRAMUKA GG.II/2 002 198

111 5271051406110010 5271052308830001 I PUTU AGUSTIAWAN ARMAWA MATARAM 23-08-1983 30 S L JL.PRAMUKA G.II NO.6 KR.MEDAIN BARAT 002 198

112 5271051406110010 5271036603880002 NI NENGAH ANDRIYANI MATARAM 26-03-1988 26 S P JL.PRAMUKA G.II NO.6 KR.MEDAIN BARAT 002 198

113 5271051901100013 5271050707600001 KARNO SUKOHARJO 07-07-1960 53 S L KARANG MEDAIN BARAT 002 198

114 5271051901100013 5271054203710003 LEGIEM SUKOHARJO 02-03-1971 43 S P KARANG MEDAIN BARAT 002 198

115 5271051901100013 5271051907940002 HARI SETYO UTOMO SUKOHARJO 19-07-1994 19 B L KARANG MEDAIN BARAT 002 198

116 5271051911080004 5271051808860004 I GUSTI LANANG WISWANANDA BONA GIANYAR 18-08-1986 27 B L JL.PRAMUKA GANG II/6 KR.MEDAIN 002 198

117 5271052402110014 5271050305870005 SARYFUDIN SUDIN LANGKA 03-05-1987 26 S L JL. PRAMUKA KARANG MEDAIN BARAT 002 198

118 5271052402110014 5271054504880004 DEWI KURNIATI GAFUR NGGORANG 05-04-1988 26 S P JL. PRAMUKA KARANG MEDAIN BARAT 002 198

119 5271052402110018 5271022008700002 I MADE ARTHA MERAKIH PUNIA SABA 20-08-1970 43 B L JL. PRAMUKA NO.28 002 198

120 - 5271050609800001 I WAYAN SRI HARI MURTI MATARAM 06-09-1980 33 B L KARANG MEDAIN BARAT MATARAM RT 3 RW 198 KARANG MED 003 198

Halaman 12 dari 129



TPS : 002

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

121 - 5271055706830007 PARYANTI WONOGIRI 17-06-1983 30 S P JL. PRAMUKA SAMPING PASAR RT 3 RW 198 KARANG MEDAI 003 198

122 - 5271052801860003 I MADE SANTOSA BANGLI 28-01-1986 28 S L KARANG MEDAIN BARAT RT 3 RW 198 003 198

123 5271050107090001 5271053112680144 I WAYAN KARTA KEDIRI LOBAR 31-12-1968 45 S L JL. PRAMUKA NO. 25B KR. MEDAIN 003 198

124 5271050107090001 5271054412690001 NI NYOMAN AYU SUKESNI KR. KELEBUT CAKRA 04-12-1969 44 S P JL. PRAMUKA NO. 25B KR. MEDAIN 003 198

125 5271050304120004 5271053112500143 I NENGAH RAKA MATARAM 31-12-1950 63 S L KARANG MEDAIN BARAT 003 198

126 5271050304120004 5271057112620158 NI MADE RAI MATARAM 31-12-1962 51 S P KARANG MEDAIN BARAT 003 198

127 5271050304120004 5271056611900001 NI WAYAN MUTIKARI MATARAM 26-11-1990 23 B P KARANG MEDAIN BARAT 003 198

128 5271050403110002 5271050606870007 YANI PRIHANTONO SUMBAWA 06-06-1987 26 B L JL.PRAMUKA N0.7X KR.MEDAIN 003 198

129 5271050406080017 5271057112360030 NI KADEK MERTHA MATARAM 31-12-1936 77 P P KARANG MEDAIN BARAT MATARAM 003 198

130 5271050503080343 5271050402780001 IGN AGUS WIJAYA GIANYAR 04-02-1978 36 B L JL. PRAMUKA GG. II NO. 7 KR. MEDAIN 003 198

131 5271050503080343 5271055907840001 NI KETUT SUKARMI TA A 19-07-1984 29 B P JL. PRAMUKA GG. II NO. 7 KR. MEDAIN 003 198

132 5271050503080995 5271052809550001 I NENGAH RETADI MATARAM 28-09-1955 58 S L KARANG MEDAIN BARAT MATARAM 003 198

133 5271050503080995 5271057112580002 NI KOMANG SRI BUNGA MATARAM 31-12-1958 55 S P KARANG MEDAIN BARAT MATARAM 003 198

134 5271050503081136 5271052301670001 SAMTO DWI ATMOJO KLATEN 23-01-1967 47 S L JL. PRAMUKA GG. II/7 MATARAM 003 198

135 5271050503081136 5271054601710001 SUTATI KLATEN 06-01-1971 43 S P JL. PRAMUKA GG. II/7 MATARAM 003 198

136 5271050503081136 5271052308940001 GALANG SULISTYANTO PRAYOGA MATARAM 23-08-1994 19 B L JL. PRAMUKA GG. II/7 MATARAM 003 198

137 5271050503081686 5271051707650001 I KETUT SUMIRTA BULELENG 17-07-1965 48 S L JL. PRAMUKA NO.29 A 003 198

138 5271050503081686 5271057009740001 NI LUH PUTU YANDRI YANI MATARAM 30-09-1974 39 S P JL. PRAMUKA NO.29 A 003 198

139 5271050503083803 5271056909810001 NI WAYAN BAGIASTI MATARAM 29-09-1981 32 S P JL. PRAMUKA NO.24 KR. MEDAIN 003 198

140 5271050503083803 5271050505830002 I MADE SUNARTHA TANJUNG LOBAR 05-05-1983 30 S L JL. PRAMUKA NO.24 KR. MEDAIN 003 198

141 5271050503084036 5271055312690002 SUMIATI SOLO JATENG 13-12-1969 44 P P KARANG MEDAIN BARAT MATARAM 003 198

142 5271050503084036 5271052405880001 NANA SUMARNA JAKARTA 24-05-1988 25 B L KARANG MEDAIN BARAT MATARAM 003 198

143 5271050503084036 5271052512910002 ANTO SUGIANTO JAKARTA 25-12-1991 22 B L KARANG MEDAIN BARAT MATARAM 003 198

144 5271050503084265 5271051709830002 WAYAN SUMADA SIDOHARJO 17-09-1983 30 B L JL. PRAMUKA NO. 7B MATARAM 003 198

145 5271050503084265 5271051806920001 PUTU YOGA MAHAPUTRA PALEMBANG 18-06-1992 21 B L JL. PRAMUKA NO. 7B MATARAM 003 198

146 5271050503084525 5271054804720001 TUMINEM SUKOHARJO 08-04-1972 42 S P KARANG MEDAIN BARAT MATARAM 003 198

147 5271050503084525 5271053112740046 MUHADI SUKOHARJO 31-12-1974 39 S L KARANG MEDAIN BARAT MATARAM 003 198

148 5271050603082573 5271050511670001 I NYOMAN DADI MATARAM 05-11-1967 46 S L JL.PRAMUKA GG.V/1KR.MEDAIN 003 198

149 5271050603082573 5271056905810002 SURYANINGRUM TALIWANG 29-05-1981 32 S P JL.PRAMUKA GG.V/1KR.MEDAIN 003 198

150 5271050603082573 5271056304900001 NI MADE SUSANTIANI MATARAM 23-04-1990 23 B P JL.PRAMUKA GG.V/1KR.MEDAIN 003 198

151 5271050603082573 5271051703950002 I NYOMAN ADI SUARJAYA MATARAM 17-03-1995 19 B L JL.PRAMUKA GG.V/1KR.MEDAIN 003 198

Halaman 13 dari 129



TPS : 002

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

152 5271050603083593 5271055502330001 RIAMI MALANG 15-02-1933 81 P P JL. PRAMUKA NO.31X MATARAM 003 198

153 5271050603083593 5271057112590059 SRI RAHAYU MALANG 31-12-1959 54 S P JL. PRAMUKA NO.31X MATARAM 003 198

154 5271050603083593 5271056111670004 DIAH SUTJI NINGRAS MALANG JATIM 21-11-1967 46 S P JL. PRAMUKA NO.31X MATARAM 003 198

155 5271050603083593 5271050907680002 SUEB MALANG JATIM 09-07-1968 45 S L JL. PRAMUKA NO.31X MATARAM 003 198

156 5271050603083593 5271054312890003 SHANTY KOESUMA WS MALANG 03-12-1989 24 B P JL. PRAMUKA NO.31X MATARAM 003 198

157 5271050603083593 5271056310930002 AYU SARTIKA KOESUMA NS MATARAM 23-10-1993 20 B P JL. PRAMUKA NO.31X MATARAM 003 198

158 5271052603100001 5271052011860003 ALI SUMANTO SERANG 20-11-1986 27 S L KARANG MEDAIN BARAT MATARAM RT 3 RW 198 KARANG MED 003 198

159 5271050503085990 5271053112780110 YOHANES DOKU BANI KONGGE 31-12-1978 35 B L JL. WR SUPRATMAN GG IV. NO. 3 001 200

160 5271050503085990 5271051302870001 PETRUE ERY DONGGO 13-02-1987 27 B L JL. WR SUPRATMAN GG IV. NO. 3 001 200

161 5271050503085990 5271054911890002 NURHAYATI SANGARI 09-11-1989 24 B L JL. WR SUPRATMAN GG IV. NO. 3 001 200

162 5271050503085990 5271050201910001 ILYAS SANGARI 16-11-1990 23 B L JL. WR SUPRATMAN GG IV. NO. 3 001 200

163 5271050503085997 5271054112780005 MARIA SITI NUR BIMA 01-12-1978 35 S P JL. WR SUPRATMAN GG IV. NO. 3 001 200

164 5271050503085997 5271053103900003 BENYAMIN TOLONGGERU 31-05-1990 23 B L JL. WR SUPRATMAN GG IV. NO. 3 001 200

165 5271050503085997 5271050201910002 YULIUS NGGERUKOPA 02-01-1991 23 B L JL. WR. SUPRATMAN GG IV No. 3 001 200

166 5271051709090003 5271051308750003 I KETUT EKA HARTA, SH. MKN MATARAM 13-08-1975 38 S L JL. ANGSOKA II/19 KR. SERAYA RT 1 RW 200 KARANG SE 002 200

Status Perkawinan:

B = Belum nikah

S = Sudah nikah

P = Pernah nikah

Jenis Kelamin:

L = Laki-laki

P = Perempuan





PUTU SARJANA,SH

KOTA MATARAM

Sekretaris,

TTD

NIP. 19610723 198503 1 011

Halaman 14 dari 129



TPS : 003

Status


1 2 3 4 5 6 7 8 10 11 12 13

1 5271052704120003 5271050806820002 I NENGAH SUKARTHA MATARAM 08-06-1982 31 B L KARANG MEDAIN BARAT 003 000

2 5271050503084482 5271054208720002 SAYU NYOMAN NITIARI TABANAN 02-08-1972 41 S P JL. PRAMUKA GG.PUTRA KR.MEDAIN BARAT 000 198

3 5271050503084482 5271050707780004 I NYOMAN SUARDIKA BULELENG 07-07-1978 35 S L JL. PRAMUKA GG.PUTRA KR.MEDAIN BARAT 000 198

4 5271050803100004 5271031006620001 I KETUT WIDNYA SERANGAN 10-06-1962 51 S L KARANG MEDAIN BARAT 000 198

5 5271050803100004 5271055407650002 NI MADE SUCI GIANYAR 14-07-1965 48 S P KARANG MEDAIN BARAT 000 198

6 5271050803100004 5271056402930002 RADHARANI PRASADA JAKARTA 24-02-1993 21 B P KARANG MEDAIN BARAT 000 198

7 5271052112090007 5271051704740004 NENGAH KARSANA MATARAM 17-04-1974 39 S L JL.PRAMUKA NO,31X KR.MEDAIN BRT 000 198

8 5271052112090007 5271055808760006 NI NYOMAN ARIANI BENTEK PEMENANG 18-08-1976 37 S P JL.PRAMUKA NO,31X KR.MEDAIN BRT 000 198

9 5271051406080013 5271057112610110 NI KOMANG SRIWATI MATARAM 31-12-1961 52 P P KARANG MEDAIN BARAT 001 198

10 5271051406080014 5271057112300043 NI KADEK WISTI MATARAM 31-12-1930 83 P P KARANG MEDAIN BARAT 001 198

11 5271052406100006 5271052406850002 I NENGAH BUDIARTA MATARAM 24-06-1985 28 S L JL. WR.SUPRATMAN GG. VI NO. 12 001 198

12 5271052606080005 5271057112300044 NI NENGAH REPOT A MATARAM 31-12-1930 83 P P KARANG MEDAIN BARAT 001 198

13 5271050503080304 5271057112640008 SUTINI SUKOHARJO 31-12-1964 49 P P KR. MEDAIN BARAT MATARAM 002 198

14 5271050503080711 5271056212750001 SRI SULASTRI SUMBAWA 22-12-1975 38 B P JL. PRAMUKA NO. 11 KARANG MEDAIN BARAT 002 198

15 5271050503082289 5271052008780001 I WAYAN AGUS GEDE SUMANTRI MATARAM 20-08-1978 35 S L JL.PRAMUKA NO.30 KR.MEDAIN MTR 002 198

16 5271050503082289 5271056403810003 MAGDALENA LOLO MILLA SUMBA 24-03-1981 33 S P JL.PRAMUKA NO.30 KR.MEDAIN MTR 002 198

17 5271050503082889 5271051606800001 I NENGAH PUTRA JUNIARTHA MATARAM 16-06-1980 33 S L JL. PRAMUKA NO.23 MATARAM 002 198

18 5271050503084869 5271051101610002 I MADE SUTHAMA PRIANA ABANG KR ASEM 11-01-1961 53 S L JL. PRAMUKA NO.7 B KARANG MEDAIN BARAT 002 198

19 5271050503084869 5271055003720002 NI KOMANG ROHANI MENYALI BULELEN 10-03-1972 42 S P JL. PRAMUKA NO.7 B KARANG MEDAIN BARAT 002 198

20 5271050503084869 5271054405920002 NI KADEK RATIH PRIMANDARI MATARAM LOMBOK04-05-1992 21 B P JL. PRAMUKA NO.7 B KARANG MEDAIN BARAT 002 198

21 5271050503084869 5271050709940003 I KOMANG CANDRA DWIPAYANA MATARAM LOMBOK07-09-1994 19 B L JL. PRAMUKA NO.7 B KARANG MEDAIN BARAT 002 198

22 5271050503087816 5271055509600003 KT SRI HARTINI MATARAM 15-09-1960 53 P P JL.PRAMUKA NO.30 KR.MEDAIN MTR 002 198

23 5271050503087816 5271055605870001 MELA WINDARI SUMBAWA 16-05-1987 26 B P JL.PRAMUKA NO.30 KR.MEDAIN MTR 002 198

24 5271050503087816 5271056211920002 MELI PRATIKSI BOGOR 22-11-1992 21 B P JL.PRAMUKA NO.30 KR.MEDAIN MTR 002 198

25 - 5271050505800003 I DEWA GDE RAI BAWA MATARAM 05-05-1980 33 S L JL. PRAMUKA 9X KR.MEDAIN BARAT RT 3 RW 198 KARANG 003 198

26 5271050206100002 5271050308800003 I GEDE WERA PRIARTHA MATARAM 03-08-1980 33 S L KARANG MEDAIN BARAT MATARAM 003 198

27 5271050206100002 5271057112920017 NI MADE SUASTI PEMUNUT 31-12-1992 21 S P KARANG MEDAIN BARAT MATARAM 003 198

9

Tempat LahirTanggal

LahirUmur

Jenis


Alamat

Model A.4 - KPU



TAHUN 2014

No

UrutNo KK NIK Nama

Halaman 15 dari 129



TPS : 003

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

28 5271050503080138 5271053112620003 ING MANDRA MATARAM 31-12-1962 51 S L KARANG MEDAIN BARAT 003 198

29 5271050503080138 5271055206730001 NI NENGAH RUPANTI MATARAM 12-06-1973 40 S P KARANG MEDAIN BARAT 003 198

30 5271050503080138 5271056904940001 AYU MANDIRA GANDI BIMA 29-04-1994 19 B P KARANG MEDAIN BARAT 003 198

31 5271050503081001 5271056707750001 NI LUH RUPINTI MATARAM 27-07-1975 38 S P KARANG MEDAIN BARAT MATARAM 003 198

32 5271050503081001 5271050504770001 I KOMANG ADIANA MATARAM 05-04-1977 37 S L KARANG MEDAIN BARAT MATARAM 003 198

33 5271050503082306 5271056204730001 YB METTY KANGGAR SUMBAWA 22-04-1973 40 B P JL.PRAMUKA NO.7X KR.MEDAIN MTR 003 198

34 5271050503082751 5271052507620001 IKAYAN KARIYADI KELADIAN BALI 25-07-1962 51 S L JL PRAMUKA NO. 7 B MATARAM 003 198

35 5271050503082751 5271051606880004 I PUTU JUNIADI PERMANA DAUHWARU 16-06-1988 25 B L JL PRAMUKA NO. 7 B MATARAM 003 198

36 5271050503082758 5271051106700003 IGST KM KEMBARAWAN MENDOYO BALI 11-06-1970 43 S L KARANG MEDAIN BARAT MATARAM 003 198

37 5271050503082758 5271055107770001 NI LUH PUTU WIRA ASTUTI BANJAR TENGAH BALI11-07-1977 36 S P KARANG MEDAIN BARAT MATARAM 003 198

38 5271050503082896 5271050204630001 I WAYAN SUMERTHA GIANYAR BALI 02-04-1963 51 S L KARANG MEDAIN BARAT MATARAM 003 198

39 5271050503082896 5271057110740002 NI KOMANG PURNI MARSINI GIANYAR 31-10-1974 39 S P KARANG MEDAIN BARAT MATARAM 003 198

40 5271050503082896 5271052612950002 I WAYAN INDRA WIGUNA MURTI MANADO SULUT 26-12-1995 18 B L KARANG MEDAIN BARAT MATARAM 003 198

41 5271050503083280 5271053112560048 NYOMAN BUDITHA S BULELENG 31-12-1956 57 S L KARANG MEDAIN BARAT MATARAM 003 198

42 5271050503083280 5271057112600083 NI WAYAN SUKANAMI BULELENG 31-12-1960 53 S P KARANG MEDAIN BARAT MATARAM 003 198

43 5271050503083280 5271051908860003 BOY SISTA NANDA DIPRAJA SINGARAJA 19-08-1986 27 B L KARANG MEDAIN BARAT MATARAM 003 198

44 5271050503083280 5271050108900004 YOWANA ASTA PRATAMA BULELENG 01-08-1990 23 B L KARANG MEDAIN BARAT MATARAM 003 198

45 5271050503083545 5271052909690003 SUKIMIN SUKOHARJO JATENG29-09-1969 44 S L JL.PRAMUKA GG.I/1 KR.MEDAIN 003 198

46 5271050503083545 5271054305820001 SUNARMI KR ANYAR JATENG 03-05-1982 31 S P JL.PRAMUKA GG.I/1 KR.MEDAIN 003 198

47 5271050503083550 5271051104710001 SUGIYO SUKOHARJO 11-04-1971 42 S L JL. PRAMUKA GG.I/1 KR.MEDAIN 003 198

48 5271050503083550 5271055104780001 SEMIYATI SUKOHARJO JATENG11-04-1978 35 S P JL. PRAMUKA GG.I/1 KR.MEDAIN 003 198

49 5271050503083963 5271050106700003 I WAYAN ARDHI WIRAWAN SEBATU GIANYAR 01-06-1970 43 S L JL.PRAMUKA 7B KR.MEDAIN BARAT 003 198

50 5271050503083963 5271056010750001 NI WAYAN SWITRI KLUNGKUNG BALI 20-10-1975 38 S P JL.PRAMUKA 7B KR.MEDAIN BARAT 003 198

51 5271050503084265 5271053112610048 I KETUT SUMADA BANGLI 31-12-1961 52 S L JL. PRAMUKA NO. 7B MATARAM 003 198

52 5271050503084265 5271054307690001 NI KETUT SUYASTI PALEMBANG 03-07-1969 44 S P JL. PRAMUKA NO. 7B MATARAM 003 198

53 5271050503084265 5271055111960001 KADEK AYU SRI DEWI NOPIANTI JAMBI 11-11-1996 17 B P JL. PRAMUKA NO. 7B MATARAM 003 198

54 5271050503084929 5271056506810002 RAHAYU NUR ARIANTI SUKOHARJO 25-06-1981 32 S P KARANG MEDAIN BARAT MATARAM 003 198

55 5271050503085052 5271052407760003 WARSITO SUKOHARJO 24-07-1976 37 S L JL. PRAMUKA NO. 20 B.KR.MEDAIN 003 198

56 5271050503085052 5271055404770004 SRI UTAMI SUKOHARJO 14-04-1977 36 S P JL. PRAMUKA NO. 20 B.KR.MEDAIN 003 198

57 5271050503085340 5271053012640005 WAGIMUN WONOGIRI 30-12-1964 49 S L JL.PRAMUKA KR. MEDAIN BARAT 003 198

58 5271050503085340 5271055306800004 NARTI WONOGIRI 13-06-1980 33 S P JL.PRAMUKA KR. MEDAIN BARAT 003 198

Halaman 16 dari 129



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Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

59 5271050503085340 5271052212840003 WARSO WONOGIRI 22-12-1984 29 B L JL.PRAMUKA KR. MEDAIN BARAT 003 198

60 5271050503085917 5271050709760001 I GEDE ARYA GUNAKSA MATARAM 07-09-1976 37 S L JL. PRAMUKA 7B MATARAM 003 198

61 5271050503085917 5271056109820002 NI NYOMAN KARTIKA MATARAM 21-09-1982 31 S P JL. PRAMUKA 7B MATARAM 003 198

62 5271050503086522 5271052909660001 I GEDE SUDIARTA MATARAM 29-09-1966 47 S L JL.PRAMUKA NO.7B KR. MEDAIN 003 198

63 5271050503086522 5271057112700143 NI KOMANG SUKARNI SINGARAJA 31-12-1970 43 S P JL.PRAMUKA NO.7B KR. MEDAIN 003 198

64 5271050503086522 5271052104820003 I NYOMAN BUDIARTA MATARAM 21-04-1982 31 B L JL.PRAMUKA NO.7B KR. MEDAIN 003 198

65 5271050503086522 5271054702950001 NI PUTU RARA AMIATI MATARAM 07-02-1995 19 B P JL.PRAMUKA NO.7B KR. MEDAIN 003 198

66 5271050503087450 5271052104770003 I NYOMAN ADNYANA NARMADA 21-04-1977 36 B L JL.PRAMUKA NO.12X MATARAM 003 198

67 5271050503088322 5271050101770009 I WAYAN ARDANA PUTRA MATARAM 01-01-1977 37 S L KARANG MEDAIN BARAT MATARAM 003 198

68 5271050503088322 5271056901860001 NI NYOMAN LATRI ARIANTI MATARAM 29-01-1986 28 S P KARANG MEDAIN BARAT MATARAM 003 198

69 5271050503088368 5271054809840002 GUSTI AYU SEPTINA CANDRI SURANADI 08-09-1984 29 S P JL. PRAMUKA 9X KR.MEDAIN BARAT 003 198

70 5271050503089251 5271053112550106 I KOMANG SUTEJA MATARAM 31-12-1955 58 S L JL. PRAMUKA NO. 23 MATARAM 003 198

71 5271050503089251 5271057112600202 NI KETUT KURNIAWATI MATARAM 31-12-1960 53 S P JL. PRAMUKA NO. 23 MATARAM 003 198

72 5271050503089251 5271056510830002 NI NYOMAN KRISNAWATI MATARAM 25-10-1983 30 B P JL. PRAMUKA NO. 23 MATARAM 003 198

73 5271050503089251 5271056405940002 NI KETUT INTAN MEGAWATI SUTEJA P MATARAM 24-05-1994 19 B P JL. PRAMUKA NO. 23 MATARAM 003 198

74 5271050503089995 5271053112540096 I MADE JANTEN MATARAM 31-12-1954 59 S L KARANG MEDAIN BARAT MATARAM 003 198

75 5271050503089995 5271057112590139 NI NENGAH SIMPEN MATARAM 31-12-1959 54 S P KARANG MEDAIN BARAT MATARAM 003 198

76 5271050503089995 5271052508890004 I GEDE GANDI PUTRA MATARAM 25-08-1989 24 B L KARANG MEDAIN BARAT MATARAM 003 198

77 5271050503089995 5271056002970002 NI MADE SUJIANI MATARAM 20-02-1997 17 B P KARANG MEDAIN BARAT MATARAM 003 198

78 5271050503120007 5271052310760004 I KETUT SUWECA MATARAM 23-10-1976 37 S L LINGKUNGAN KARANG MEDAIN BARAT 003 198

79 5271050603080040 5271053112460001 I GEDE KARSA KARANG ASEM 31-12-1946 67 S L JL. PRAMUKA 7B MATARAM 003 198

80 5271050603080040 5271055506480001 NI NENGAH SUKRI MATARAM 15-06-1948 65 S P JL. PRAMUKA 7B MATARAM 003 198

81 5271050603080040 5271051804850001 I WAYAN SUTAMA GUNAKSA MATARAM 18-04-1985 28 B L JL. PRAMUKA 7B MATARAM 003 198

82 5271050603080096 5271057010580001 NI LUH KANTEN MATARAM 30-10-1958 55 P P JL. PRAMUKA GG. I NO.3 MATARAM 003 198

83 5271050603080405 5271052611660001 SARMIN SUKOHARJO 26-11-1966 47 S L KARANG MEDAIN BARAT MATARAM 003 198

84 5271050603080405 5271054808680001 SUPARTI SUKOHARJO 08-08-1968 45 S P KARANG MEDAIN BARAT MATARAM 003 198

85 5271050603080405 5271052308920001 DIDIK EKO BUDI SANTOSO SUKOHARJO 23-08-1992 21 B L KARANG MEDAIN BARAT MATARAM 003 198

86 5271050603081212 5271050409660001 I KETUT PUTRA MAHENDRA MATARAM 04-09-1966 47 S L JL. PRAMUKA GG PUTRA 003 198

87 5271050603081212 5271054211720001 NI LUH SRI ASTI MATARAM 02-11-1972 41 S P JL. PRAMUKA GG PUTRA 003 198

88 5271050603081212 5271054901960001 NI WAYAN SRI DEVI ANGGRENI MATARAM 09-01-1996 18 B P JL. PRAMUKA GG PUTRA 003 198

89 5271050603081765 5271050809650001 I KOMANG PUJA ASTAWA MATARAM 08-09-1965 48 S L KARANG MEDAIN BARAT MATARAM 003 198

Halaman 17 dari 129



TPS : 003

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

90 5271050603081765 5271056706670001 NI LUH SUCITRA MATARAM 27-06-1967 46 S P KARANG MEDAIN BARAT MATARAM 003 198

91 5271050603081765 5271055601910001 NI NENGAH YULIYANI MATARAM 16-01-1991 23 B P KARANG MEDAIN BARAT MATARAM 003 198

92 5271050603081765 5271057010950001 NI NYOMAN SURYANI MATARAM 30-10-1995 18 B P KARANG MEDAIN BARAT MATARAM 003 198

93 5271050603082562 5271051403720001 I KETUT SOMAJAYA KARANG ASEM BALI 14-03-1972 42 S L KARANG MEDAIN BARAT MATARAM 003 198

94 5271050603082562 5271057112760039 IDA AYU NYOMAN SUCIRAWATI CAKRANEGARA 31-12-1976 37 S P KARANG MEDAIN BARAT MATARAM 003 198

95 5271050603083096 5271055001520001 GST AYU MADE SASIH MATARAM 10-01-1952 62 S P JL. PRAMUKA 9X KR.MEDAIN BARAT 003 198

96 5271050603083141 5271052006680002 I GEDE NUKARI MATARAM 20-06-1968 45 S L KARANG MEDAIN BARAT MATARAM 003 198

97 5271050603083141 5271054507710001 NI NENGAH KARTIANI CAKRA TIMUR 05-07-1971 42 S P KARANG MEDAIN BARAT MATARAM 003 198

98 5271050603083141 5271052711940001 I NENGAH BAYU KRISNA AMBARA MATARAM 27-11-1994 19 B L KARANG MEDAIN BARAT MATARAM 003 198

99 5271050603083415 5271052001610001 SUKINO PRATOWIDODO SUKOHARJO 20-01-1961 53 S L JL. PRAMUKA GG.I/1B KR.MEDAIN 003 198

100 5271050603083415 5271055606650003 NGADIYEM SUKOHARJO 16-06-1965 48 S P JL. PRAMUKA GG.I/1B KR.MEDAIN 003 198

101 5271050603083656 5271051608450002 I NENGAH GANTI MATARAM 16-08-1945 68 S L JL. PRAMUKA NO.18X MATARAM 003 198

102 5271050603083656 5271057112450033 NI KADEK LUMBUNG MATARAM NTB 31-12-1945 68 S P JL. PRAMUKA NO.18X MATARAM 003 198

103 5271050603083658 5271050204620001 I KOMANG SANDIARTA MATARAM 02-04-1962 52 S L JL.PRAMUKA NO. 17 BX 003 198

104 5271050603083658 5271054503640001 NI WAYAN DIASTI PADANGBAI KR ASEM05-03-1964 50 S P JL.PRAMUKA NO. 17 BX 003 198

105 5271050603083768 5271050204640001 SUGITO SUKOHARJO JATENG02-04-1964 50 S L KR. MEDAIN BARAT 003 198

106 5271050603083768 5271055708710001 SRI LESTARI SUKOHARJO JATENG17-08-1971 42 S P KR. MEDAIN BARAT 003 198

107 5271050603083768 5271050801940005 GALIH SURYO BASKORO MATARAM 08-01-1994 20 B L KR. MEDAIN BARAT 003 198

108 5271050603083768 5271056708960001 RISTI SUGESTI MATARAM 27-08-1996 17 B P KR. MEDAIN BARAT 003 198

109 5271050603083787 5271050209680001 HARTONO WONOGIRI JATENG 02-09-1968 45 S L KR. MEDAIN BARAT MATARAM 003 198

110 5271050603083787 5271056302970002 SETIANINGSIH SOLO 23-02-1997 17 B P KR. MEDAIN BARAT MATARAM 003 198

111 5271050603084061 5271050906650001 I WAYAN RUNANTI MATARAM 09-06-1965 48 S L KARANG MEDAIN BARAT MATARAM 003 198

112 5271050603084061 5271056903730001 NI WAYAN WIDARINI PAGUTAN 29-03-1973 41 S P KARANG MEDAIN BARAT MATARAM 003 198

113 5271050603084061 5271055906940001 NI LUH SRI SADIATI KARANG MEDAIN BARAT19-06-1994 19 B P KARANG MEDAIN BARAT MATARAM 003 198

114 5271050603084074 5271051002660001 SUNARDI SOLO JATENG 10-02-1966 48 S L KARANG MEDAIN BARAT 003 198

115 5271050603084074 5271056005660001 PARTI SOLO JATENG 20-05-1966 47 S P KARANG MEDAIN BARAT 003 198

116 5271050603084074 5271054911960001 DORA NOVIANA SOLO JATENG 09-11-1996 17 B P KARANG MEDAIN BARAT 003 198

117 5271050603084094 5271051605800002 I GEDE MANDRA MATARAM 16-05-1980 33 S L KARANG MEDAIN BARAT 003 198

118 5271050603084094 5271056002890005 NI NENGAH SUKERTI MATARAM 20-02-1989 25 S P KARANG MEDAIN BARAT 003 198

119 5271050603084096 5271052006700001 I KOMANG DIKTE MATARAM 20-06-1970 43 S L KARANG MEDAIN BARAT MATARAM 003 198

120 5271050603084096 5271054604730002 NI KOMANG GEMUH RINI MATARAM 06-04-1973 41 S P KARANG MEDAIN BARAT MATARAM 003 198

Halaman 18 dari 129



TPS : 003

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

121 5271050603084096 5271055907940001 NI WAYAN YULI DIKTIANINGSIH MATARAM 19-07-1994 19 B P KARANG MEDAIN BARAT MATARAM 003 198

122 5271050603084256 5271051704740002 I NENGAH KARSANA MATARAM 17-04-1974 39 S L KARANG MEDAIN BARAT 003 198

123 5271050603084680 5271051012700001 I KOMANG SRIADI MATARAM 10-12-1970 43 S L KARANG MEDAIN BARAT 003 198

124 5271050603084680 5271054912750001 NI WAYAN SUKESNI MULYANI MATARAM 09-12-1975 38 S P KARANG MEDAIN BARAT 003 198

125 5271050603084680 5271051011950005 I WAYAN EKA PUTRA WERANADI MATARAM 10-11-1995 18 B L KARANG MEDAIN BARAT 003 198

126 5271050603084910 5271053112560073 I MADE SRIADA MATARAM 31-12-1956 57 S L KARANG MEDAIN BARAT MATARAM 003 198

127 5271050603084910 5271057112570058 NI NENGAH SARI MERTANDINI MATARAM 31-12-1957 56 S P KARANG MEDAIN BARAT MATARAM 003 198

128 5271050603084910 5271055904870002 NI MADE WERDIANI MATARAM 19-04-1987 26 B P KARANG MEDAIN BARAT MATARAM 003 198

129 5271050603085573 5271051312600001 I GEDE MATRA KARANG MEDAIN 13-12-1960 53 S L KARANG MEDAIN BARAT MATARAM 003 198

130 5271050603085573 5271055512670003 NI KOMANG DAGING KUANG MAYUNG 15-12-1967 46 S P KARANG MEDAIN BARAT MATARAM 003 198

131 5271050603085573 5271055505930002 NI WAYAN TRI AKSARI MATARAM 15-05-1993 20 B P KARANG MEDAIN BARAT MATARAM 003 198

132 5271050603085711 5271051202550001 I GUSTI MADE SUDARSANA MATARAM 12-02-1955 59 S L JL. PRAMUKA GG.I NO.2 MATARAM 003 198

133 5271050603085711 5271056004640001 NI MADE MARHAENI SINGARAJA BALI 20-04-1964 49 S P JL. PRAMUKA GG.I NO.2 MATARAM 003 198

134 5271050603085711 5271052808840001 I GUSTI NGURAH RAI DHARSANA MATARAM 28-08-1984 29 B L JL. PRAMUKA GG.I NO.2 MATARAM 003 198

135 5271050603085711 5271050810900001 I GUSTI NGURAH ARYA SUMARYADI MATARAM 08-10-1990 23 B L JL. PRAMUKA GG.I NO.2 MATARAM 003 198

136 5271050603085711 5271050403930001 I GUSTI NGURAH ADITYA SUMARDANA SUMBAWA 04-03-1993 21 B L JL. PRAMUKA GG.I NO.2 MATARAM 003 198

137 5271050603085711 5271050606960004 I GUSTI NGURAH ALIT WIDIARSA SUMBAWA 06-06-1996 17 B L JL. PRAMUKA GG.I NO.2 MATARAM 003 198

138 5271050603085879 5271050307790001 ADI NINGRAT MONTA BARU DOMPU03-07-1979 34 B L JL. PRAMUKA NO.1B GOMONG 003 198

139 5271050603086333 5271050404660001 I KETUT SUKERANA SINGARAJA 04-04-1966 48 S L JL. PRAMUKA NO. 9X MATARAM 003 198

140 5271050603086333 5271055103720002 DEWA AYU SRI ARTINI MATARAM 11-03-1972 42 S P JL. PRAMUKA NO. 9X MATARAM 003 198

141 5271050603086333 5271051304940002 GEDE INDRA ASTIKA SINGARAJA 13-04-1994 19 B L JL. PRAMUKA NO. 9X MATARAM 003 198

142 5271050603086340 5271050703740002 I DEWA GDE PUTRA ANTARA MATARAM 07-03-1974 40 S L JL. PRAMUKA 9X KR.MEDAIN BARAT 003 198

143 5271050603086340 5271035001830001 NI MADE ANIES SULISTIAWATI MATARAM 10-01-1983 31 S P JL. PRAMUKA 9X KR.MEDAIN BARAT 003 198

144 5271050603087347 5271050208810002 SODIKUN CILACAP 02-08-1981 32 S L KARANG MEDAIN BARAT MATARAM 003 198

145 5271050603087347 5271055004820006 YULIANA SUKOHARJO 10-04-1982 31 S P KARANG MEDAIN BARAT MATARAM 003 198

146 5271050603087525 5271056704540003 NI NYOMAN SUWARTINI MATARAM 27-04-1954 59 P P KR. MEDAIN BARAT MATARAM 003 198

147 5271050603087525 5271055912910001 DESI PURNAWATI MATARAM 19-12-1991 22 B P KR. MEDAIN BARAT MATARAM 003 198

148 5271050603087808 5271050607700004 I NENGAH METRA MATARAM 06-07-1970 43 S L KARANG MEDAIN BARAT 003 198

149 5271050603087808 5271054508820003 NI KADEK PURNI MATARAM 05-08-1982 31 S P KARANG MEDAIN BARAT 003 198

150 5271050612110003 5271051608810005 I NENGAH SRI ARDANI PUTRA MATARAM 16-08-1981 32 S L KARANG MEDAIN BARAT MATARAM 003 198

151 5271050612110003 5271054706910002 NI NENGAH HANDAYANI MATARAM 07-06-1991 22 S P KARANG MEDAIN BARAT MATARAM 003 198

Halaman 19 dari 129



TPS : 003

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

152 5271050704110005 5271055509760001 NI WAYAN SUDIARTINI KARANG ASEM 15-09-1976 37 B P JL. PRAMUKA 7B MATARAM 003 198

153 5271051406080001 5271052408630002 I KOMANG INDRAJAYA PRATAMA MATARAM 24-08-1963 50 S L KARANG MEDAIN BARAT 003 198

154 5271051701120024 5271053009770003 I MADE PARWATA SUWANA CENDANA PUTIH 30-09-1977 36 S L LINGK KARANG MEDAIN BARAT 003 198

155 5271051701120024 5271056208810002 NI PUTU ASRIYANI PAYANGAN 22-08-1981 32 S P LINGK KARANG MEDAIN BARAT 003 198

156 5271051712110008 5271053006820002 PUTU DEDY JUNIAWAN MATARAM 30-06-1982 31 B L JL. PRAMUKA NO.9X KR. MEDAIN 003 198

157 5271051712110008 5271052612840002 MADE ADI SUGANDI MATARAM 26-12-1984 29 B L JL. PRAMUKA NO.9X KR. MEDAIN 003 198

158 5271052006080009 5271044811840002 LUTVIATUN HASANAH SELEWAT LOTENG 08-11-1984 29 S P JL. PRAMUKA GG.I/1B KR.MEDAIN 003 198

159 5271052006080009 5271052107870003 RIDWAN PUTRA MATARAM 21-07-1987 26 S L JL. PRAMUKA GG.I/1B KR.MEDAIN 003 198

160 5271052308110002 5271051004850004 I GEDE WIDIANTARA MATARAM 10-04-1985 28 S L JL.PRAMUKA NO. 17 BX 003 198

161 5271052308110002 5271054606900007 KADEK JUNIARTI MATARAM 06-06-1990 23 S P JL.PRAMUKA NO. 17 BX 003 198

162 5271052402110006 5271050307780001 SARTONO WONOGIRI JATENG 03-07-1978 35 S L JL. PRAMUKA SAMPING PASAR 003 198

163 5271052402110008 5271022308770001 I KETUT SUJATHE MATARAM 23-08-1977 36 S L KARANG MEDAIN BARAT 003 198

164 5271052402110008 5271024702830002 NI NENGAH ARIASIH MATARAM 07-02-1983 31 S P KARANG MEDAIN BARAT 003 198

165 5271052402110019 5271056003830006 ELDA HARIAKISTI SUMBAWA 20-03-1983 31 S P KARANG MEDAIN BARAT 003 198

166 5271052402110019 5271050101880008 SAHRIL AMPENAN 01-01-1988 26 S L KARANG MEDAIN BARAT 003 198

167 5271052403080120 5271051007740003 ROY RUSTAM EFFENDY SURABAYA 10-07-1974 39 S L JL. PRAMUKA NO.17 KR.MEDAIN 003 198

168 5271052403080120 5271056909770002 VIVI CARLITA MALANG 29-09-1977 36 S P JL. PRAMUKA NO.17 KR.MEDAIN 003 198

169 5271052403080120 5271052405830003 ERIK SANTIAKA MALANG 24-05-1983 30 B L JL. PRAMUKA NO.17 KR.MEDAIN 003 198

170 5271052406100005 5271015502840001 LAELATIN KADARIAH TEMPIT 15-02-1984 30 S P KARANG MEDAIN BARAT MATARAM 003 198

171 5271052406100005 5271052308840002 I KETUT MERDANA PUTRA MATARAM 23-08-1984 29 S L KARANG MEDAIN BARAT MATARAM 003 198

172 5271052902120012 5310121210930001 TOMIANUS AMON REDONG 12-10-1993 20 B L KARANG MEDAIN BARAT 003 198

173 5271050503086380 5271052802740001 SYAHIR EL WATHAN MATARAM 28-02-1974 40 S L JL. PRAMUKA NO.1 MATARAM 004 198

174 5271050503086380 5271056507780005 ITA YUNITA SE LOMBOK TIMUR 25-07-1978 35 S P JL. PRAMUKA NO.1 MATARAM 004 198

175 5271052404100001 5271052904750001 LALU ISSATRIADI IHWAN PRAYA 29-04-1975 38 S L JL. PEJANGGIK NO.19 MATARAM 004 198

176 5271052404100001 5271056004770002 BAIQ KARTIKA APRIANI LOMBOK TIMUR 20-04-1977 36 S P JL. PEJANGGIK NO.19 MATARAM 004 198

177 5271050603081377 5271056909660002 SUNARNI SUKOHARJO JATENG29-09-1966 47 S P JL. PRAMUKA NO.20 B KR.MEDAIN BARAT 005 198

178 5271051401120005 5271052805810004 GEDE MAHARDIKA BANYUATIS 28-05-1981 32 S L JL. PRAMUKA GG.IV NO. 7 MATARAM 005 198

179 5271051401120005 5271056206820003 KETUT YUNIATI WAY JEPARA 22-06-1982 31 S P JL. PRAMUKA GG.IV NO. 7 MATARAM 005 198

180 - 5271051108870001 I WAYAN WIDIARTANA MATARAM 11-08-1987 26 B L KR. MEDAIN UTARA RT 1 RW 199 KARANG MEDAIN UTARA 001 199

181 5271050911100002 5271055301560001 NI WAYAN DWIANI MATARAM 13-01-1956 58 S P JL. BUGENVIL NO.1 MATARAM 000 200

182 5271050911100002 5271050711560001 I WAYAN SUTRESNA BANGLI 07-11-1956 57 S L JL. BUGENVIL NO.1 MATARAM 000 200

Halaman 20 dari 129



TPS : 003

Status


1 2 3 4 5 6 7 8 10 11 12 139

Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

183 5271050911100002 5271052910840003 I WAYAN KORNIA ASTIKA RATA BANGLI 29-10-1984 29 B L JL. BUGENVIL NO.1 MATARAM 000 200

184 5271050911100002 5271052205880004 I MADE GILANG CANDRA PRADIPTA RA MATARAM 22-05-1988 25 B L JL. BUGENVIL NO.1 MATARAM 000 200

185 5271050911100002 5271022112920001 GALIH AGUNG PERMADI MATARAM 21-12-1992 21 B L JL. BUGENVIL NO.1 MATARAM 000 200

186 5271050911100002 5271026812950002 ANINDYA DWITYA PUTRI MATARAM 28-12-1995 18 B P JL. BUGENVIL NO.1 MATARAM 000 200

187 5271050704090005 5271057112250021 MBAH KASNIA TEGAL 31-12-1925 88 P P KARANG SERAYA MATARAM 003 200

Status Perkawinan:

B = Belum nikah

S = Sudah nikah

P = Pernah nikah

Jenis Kelamin:

L = Laki-laki

P = Perempuan





PUTU SARJANA,SH

KOTA MATARAM

Sekretaris,

TTD

NIP. 19610723 198503 1 011

Halaman 21 dari 129



TPS : 004

Status


1 2 3 4 5 6 7 8 10 11 12 13

1 - 5271015303670002 NI NYOMAN MISMAYANTI BANYUWANGI 13-03-1967 47 S P KARANG MEDAIN UTARA MATARAM 000 199

2 5271020608080013 5271057112480003 NI KADEK SUINI MATARAM 31-12-1948 65 P P CATUR WARGA NO.3 GG.III 000 199

3 5271020608080013 5271052001820001 I NYOMAN SUWARTE JAYA MATARAM 20-01-1982 32 B L CATUR WARGA NO.3 GG.III 000 199

4 5271050503085822 5271050506810005 I MADE JUNIKARIYASA MATARAM 05-06-1981 32 S L KR. MEDAIN UTARA 000 199

5 5271050503085822 5271054802840002 NI NYOMAN SUKERNI, A.MD MATARAM 08-02-1984 30 S P KR. MEDAIN UTARA 000 199

6 5271050503087606 5271050910720004 I MADE LOKA MATARAM 09-10-1972 41 S L KARANG MEDAIN UTARA 000 199

7 5271050503087606 5271057112780084 NI LUH KRESNI KARANG BARU PUNIKAN31-12-1978 35 S P KARANG MEDAIN UTARA 000 199

8 5271050603080163 5271053112710001 I KETUT WIDYANA PUTRA MATARAM 31-12-1971 42 B L KARANG MEDAIN UTARA MATARAM 000 199

9 5271050603080424 5271052012670001 I WAYAN SUARTHAYASA MATARAM 20-12-1967 46 S L KARANG MEDAIN UTARA MATARAM 000 199

10 5271050603080424 5271050408930001 I NENGAH ANDRE KOSALA WITARSA MATARAM 04-08-1993 20 B L KARANG MEDAIN UTARA MATARAM 000 199

11 5271052803090003 5271051607750001 I NENGAH KOMPIANG MATARAM 16-07-1975 38 S L CATUR WARGA NO.3 GG.III 000 199

12 5271052803090003 5271056310830003 NI NENGAH GENTINI PAGUTAN 23-10-1983 30 S P CATUR WARGA NO.3 GG.III 000 199

13 - 5271056807820003 NI WAYAN SUMIASIH BANGLI 28-07-1982 31 S P KR.MEDAIN UTARA RT 1 RW 199 KARANG MEDAIN UTARA 001 199

14 - 5271052110860001 PUTU INDRA KUSUMA TABANAN 21-10-1986 27 B L KARANG MEDAIN UTARA MATARAM RT 1 RW 199 KARANG MED 001 199

15 5271050305080003 5271050802700002 I NYOMAN SUKANTHA MATARAM 08-02-1970 44 S L KARANG MEDAIN UTARA 001 199

16 5271050305080003 5271057112740107 NI KETUT MERTE DANGIN TUKAD 31-12-1974 39 S P KARANG MEDAIN UTARA 001 199

17 5271050403110003 5271055003640006 NI NYM SUTRANINGSIH KARANG MEDAIN 10-03-1964 50 S P JL. CATUR WARGA GG.II NO.4 MATARAM 001 199

18 5271050403110003 5271050509660002 I GEDE PASEK MATARAM 05-09-1966 47 S L JL. CATUR WARGA GG.II NO.4 MATARAM 001 199

19 5271050403110003 5271056503970004 NI LUH PRIATI MATARAM 25-03-1997 17 B P JL. CATUR WARGA GG.II NO.4 MATARAM 001 199

20 5271050503080156 5271057112400003 NI LUH PURNA NARMADA 31-12-1940 73 S P KARANG MEDAIN UTARA 001 199

21 5271050503080156 5271050305920001 I WAYAN SUECA MATARAM 03-05-1992 21 B L KARANG MEDAIN UTARA 001 199

22 5271050503080156 5271050709940001 I NENGAH KARSA MATARAM 07-09-1994 19 B L KARANG MEDAIN UTARA 001 199

23 5271050503080834 5271052506690002 I NYOMAN HARI SUKRAMA MATARAM 25-06-1969 44 S L JL. WR. SUPRATMAN GG. IV NO. 6 001 199

24 5271050503080834 5271056607780001 NI WAYAN KARIANI MATARAM 26-07-1978 35 S P JL. WR. SUPRATMAN GG. IV NO. 6 001 199

25 5271050503082170 5271055102710001 NI NYOMAN WARSI DF KR MEDAIN UTARA 11-02-1971 43 S P KR. MEDAIN UTARA 001 199

26 5271050503082170 5271051602710001 I NENGAH PUTRA YASA PAGESANGAN 16-02-1971 43 S L KR. MEDAIN UTARA 001 199

27 5271050503082170 5271050102920001 I GEDE JAYA SAPUTRA MATARAM 01-02-1992 22 B L KR. MEDAIN UTARA 001 199

9

Tempat LahirTanggal

LahirUmur

Jenis


Alamat

Model A.4 - KPU



TAHUN 2014

No

UrutNo KK NIK Nama

Halaman 22 dari 129



TPS : 004

Status


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Tempat LahirTanggal

LahirUmur

Jenis


AlamatNo

UrutNo KK NIK Nama

28 5271050503082170 5271052609960001 I MADE SEPTAYANA ANTARE MATARAM 26-09-1996 17 B L KR. MEDAIN UTARA 001 199

29 5271050503082265 5271056410610001 KETUT SUCITA MATARAM 24-10-1961 52 S P KR.MEDAIN UTARA 001 199

30 5271050503082265 5271053112650040 I NYOMAN PARWATA BR PANDE BANGLI 31-12-1965 48 S L KR.MEDAIN UTARA 001 199

31 5271050503082265 5271054902870001 NI WAYAN FITRIANINGSIH BR PANDE BANGLI 09-02-1987 27 B P KR.MEDAIN UTARA 001 199

32 5271050503082265 5271051103950001 I KADEK YUDA PARAMARTA BR PANDE BANGLI 11-03-1995 19 B L KR.MEDAIN UTARA 001 199

33 5271050503082361 5271051510660002 I NYOMAN YUDHIYA W MATARAM 15-10-1966 47 S L LINGK.KARANG MEDAIN UTARA 001 199

34 5271050503082361 5271055201760001 NI KETUT SRI RAHAYU NGAWI JATIM 12-01-1976 38 S P LINGK.KARANG MEDAIN UTARA 001 199

35 5271050503082701 5271057112500063 NI WAYAN NGATAG SURANADI 31-12-1950 63 P P KR. MEDAIN UTARA 001 199

36 5271050503082701 5271051212830002 I MADE SUMANTRI MATARAM 12-12-1983 30 B L KR. MEDAIN UTARA 001 199

37 5271050503082861 5271051212610002 I NYOMAN ARIANA MATARAM 12-12-1961 52 S L KARANG MEDAIN UTARA MATARAM 001 199

38 5271050503082861 5271055803620001 KETUT MARIANI MATARAM 18-03-1962 52 S P KARANG MEDAIN UTARA MATARAM 001 199

39 5271050503082861 5271051805870002 WAYAN ARSANA PUTRA MATARAM 18-05-1987 26 B L KARANG MEDAIN UTARA MATARAM 001 199

40 5271050503082861 5271051706900002 MADE YUNIARTANA MATARAM 17-06-1990 23 B L KARANG MEDAIN UTARA MATARAM 001 199

41 5271050503082955 5271057112600074 NI LUH CATRI MATARAM 31-12-1960 53 S P KARANG MEDAIN UTARA MATARAM 001 199

42 5271050503082955 5271050701780002 I WAYAN WIRIANA M

Pileg2014 Modela.4-Kpu 5271051001 Mataram Barat 14 Mut

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