Pkm Kebasen

35
PURWOKERTO Kantor Cabang : 11110501-Puskesmas KEBASEN Nama PPK : Bulan / Tahun : / 2013 02 Daftar Peserta Askes Sosial No Kartu Nama JK Tgl Lahir PISA Alamat No 0000032593116 A ZUBAIDI L 04/04/1954 P PODOMORO NEGERI AGUNG TALANG PADANG 1. 0000162234854 ABD HAMID SR L 20/06/1953 P JL PALEM RAYA NO 2 DUTA INDAH 2. 0000082066735 ACHMAD TAFTAZANI L 08/07/1945 P KALIWEDI 3. 0000162879039 ADAM MAULANA IRFANSYAH L 25/02/2009 1 KALISALAK 4. 0000081678611 ADE PRIYA EKAWANTO L 09/05/1978 S KEBASEN 5. 0000170365623 ADITYA HARTADI L 04/07/1992 1 KEBASEN 6. 0000082069211 ADNAM L 01/01/1944 P RENDEGAN 7. 0000977492496 AFIF HENDRO WIJATMOKO L 26/07/1983 S KALIWEDI 8. 0000210608087 AFIF ILHAM RAMADHANI L 01/09/2008 2 CINDAGA 9. 0000081953526 AGUNG PAMBUDI L 11/10/1997 1 LOSARI 10. 0000081664266 AGUS BUDISANTOSO L 24/08/1959 P KEBASEN 11. 0000081736356 AGUS LADIMIYANTO,SPD L 15/08/1970 S RANDEGAN 12. 0000081513628 AGUS TRI SUSILO L 08/08/1973 P GAMBARSARI 13. 0000200930376 AGUS WIDOSO L 01/01/1988 P KARANGBANAR, KALISALAK 14. 0000081115907 AGUS WIJANARKO L 07/02/1984 P - 15. 0000022397062 AHMAD DANI L 24/02/1985 P - 16. 0000203545765 AHMAD RIFANGI L 26/07/1976 P NGASINAN KALIWEDI 17. 0000082287011 AHMAD ZAKY MUBAROK L 21/10/1990 3 KEBASEN 18. 0000977168283 AJENG SUSILONINGTYAS P 21/04/2010 1 GAMBARSARI 19. 0000081675718 AKHMAD SHOHEH L 09/08/1963 P PENATUSAN 20. 0000081657854 AKHMAD WAKHYUDIN L 11/07/1953 P GAMBARSARI 21. 0000159867843 AKMADI L 21/04/1953 P KEBASEN RT.09/I 22. 0000164713386 AKMAL NAFIS AL ZAHID L 25/10/2007 2 ALANGAMBA 23. 0000082300329 AL HIDAYAH P 17/03/1959 P KALISALAK 24. 0000171871053 ALFATAH GALANG PANDU W L 21/08/2002 1 KALIWEDI 25. 0000082398712 ALFIAN ABDULGANI L 28/04/1993 2 GAMBARSARI 26. 0000081675729 ALFIATI P 15/01/1964 P CINDAGA 27. 0000081677024 ALFIYATUN SHOLIAH P 12/04/2002 2 KALISALAK 28. 0000081675944 ALFIYYANDHI ADHELUTHFI P. L 28/05/1998 2 JL.MASJID 29. 0000038681133 ALI IMRON L 11/08/1973 P - 30. 0000082323279 ALIANSYAH L 13/11/1991 2 GAMBARSARI 31. 0000082303468 ALIFIAN NUR ALFADIAZ L 05/04/1995 1 GAMBARSARI 32. 0001079007985 ALIMAKSUM SETIAWAN L 19/07/1994 1 JL.MASJID 33. 0000081724094 ALIN NUZUL MUSYAFA L 21/10/2005 2 KEBASEN 34. 0000173510616 ALMARATUS SHOLIHAH P 02/07/1987 P KALIWEDI 35. 0000141660876 ALYA FAUZIYAH AZ-AHRA P 16/09/2004 2 MANDIRANCAN 36. 0000081677125 AMARA MAYORI P 27/05/2000 2 KEBASEN 37. 0000080864728 AMDANI A.MA.PD L 10/06/1967 P CINDAGA 38. 0000081676811 AMELIA HALFA RAMADHANI P 12/12/1999 1 JL. RAYA SAWANGAN 39. 0000081676315 AMELIANA M P 09/03/1990 1 ADISANA 40. 0000082482805 AMIN KUNTORO L 08/02/1975 S RANDEGAN 41. 0000038188361 AMIN SUTARMIN L 01/01/1951 S KALI SALAK 42. 0000081674864 AMINAH ZUHRIYAH P 31/07/1969 P GAMBARSARI 43. 0000210716504 ANAM MUSTOLIH L 08/08/1980 S KALIWEDI 44. 0000166325578 ANDAYANI P 20/10/1977 P SAWANGAN 45. 0000080722596 ANDAYANI RISANTI P 19/04/1997 2 GAMBARSARI 46. Page 1 of 35 2/1/13 5:00 PM

Transcript of Pkm Kebasen

Page 1: Pkm Kebasen

PURWOKERTOKantor Cabang :

11110501-Puskesmas KEBASENNama PPK :

Bulan / Tahun : / 201302

Daftar Peserta Askes Sosial

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000032593116 A ZUBAIDI L 04/04/1954 P PODOMORO NEGERI AGUNGTALANG PADANG

1.

0000162234854 ABD HAMID SR L 20/06/1953 P JL PALEM RAYA NO 2 DUTAINDAH

2.

0000082066735 ACHMAD TAFTAZANI L 08/07/1945 P KALIWEDI3.0000162879039 ADAM MAULANA IRFANSYAH L 25/02/2009 1 KALISALAK4.0000081678611 ADE PRIYA EKAWANTO L 09/05/1978 S KEBASEN5.0000170365623 ADITYA HARTADI L 04/07/1992 1 KEBASEN6.0000082069211 ADNAM L 01/01/1944 P RENDEGAN7.0000977492496 AFIF HENDRO WIJATMOKO L 26/07/1983 S KALIWEDI8.0000210608087 AFIF ILHAM RAMADHANI L 01/09/2008 2 CINDAGA9.0000081953526 AGUNG PAMBUDI L 11/10/1997 1 LOSARI10.0000081664266 AGUS BUDISANTOSO L 24/08/1959 P KEBASEN11.0000081736356 AGUS LADIMIYANTO,SPD L 15/08/1970 S RANDEGAN12.0000081513628 AGUS TRI SUSILO L 08/08/1973 P GAMBARSARI13.0000200930376 AGUS WIDOSO L 01/01/1988 P KARANGBANAR, KALISALAK14.0000081115907 AGUS WIJANARKO L 07/02/1984 P -15.0000022397062 AHMAD DANI L 24/02/1985 P -16.0000203545765 AHMAD RIFANGI L 26/07/1976 P NGASINAN KALIWEDI17.0000082287011 AHMAD ZAKY MUBAROK L 21/10/1990 3 KEBASEN18.0000977168283 AJENG SUSILONINGTYAS P 21/04/2010 1 GAMBARSARI19.0000081675718 AKHMAD SHOHEH L 09/08/1963 P PENATUSAN20.0000081657854 AKHMAD WAKHYUDIN L 11/07/1953 P GAMBARSARI21.0000159867843 AKMADI L 21/04/1953 P KEBASEN RT.09/I22.0000164713386 AKMAL NAFIS AL ZAHID L 25/10/2007 2 ALANGAMBA23.0000082300329 AL HIDAYAH P 17/03/1959 P KALISALAK24.0000171871053 ALFATAH GALANG PANDU W L 21/08/2002 1 KALIWEDI25.0000082398712 ALFIAN ABDULGANI L 28/04/1993 2 GAMBARSARI26.0000081675729 ALFIATI P 15/01/1964 P CINDAGA27.0000081677024 ALFIYATUN SHOLIAH P 12/04/2002 2 KALISALAK28.0000081675944 ALFIYYANDHI ADHELUTHFI P. L 28/05/1998 2 JL.MASJID29.0000038681133 ALI IMRON L 11/08/1973 P -30.0000082323279 ALIANSYAH L 13/11/1991 2 GAMBARSARI31.0000082303468 ALIFIAN NUR ALFADIAZ L 05/04/1995 1 GAMBARSARI32.0001079007985 ALIMAKSUM SETIAWAN L 19/07/1994 1 JL.MASJID33.0000081724094 ALIN NUZUL MUSYAFA L 21/10/2005 2 KEBASEN34.0000173510616 ALMARATUS SHOLIHAH P 02/07/1987 P KALIWEDI35.0000141660876 ALYA FAUZIYAH AZ-AHRA P 16/09/2004 2 MANDIRANCAN36.0000081677125 AMARA MAYORI P 27/05/2000 2 KEBASEN37.0000080864728 AMDANI A.MA.PD L 10/06/1967 P CINDAGA38.0000081676811 AMELIA HALFA RAMADHANI P 12/12/1999 1 JL. RAYA SAWANGAN39.0000081676315 AMELIANA M P 09/03/1990 1 ADISANA40.0000082482805 AMIN KUNTORO L 08/02/1975 S RANDEGAN41.0000038188361 AMIN SUTARMIN L 01/01/1951 S KALI SALAK42.0000081674864 AMINAH ZUHRIYAH P 31/07/1969 P GAMBARSARI43.0000210716504 ANAM MUSTOLIH L 08/08/1980 S KALIWEDI44.0000166325578 ANDAYANI P 20/10/1977 P SAWANGAN45.0000080722596 ANDAYANI RISANTI P 19/04/1997 2 GAMBARSARI46.

Page 1 of 352/1/13 5:00 PM

Page 2: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000151579653 ANDERIAS BULU LALU L 12/04/1969 P -47.0000210016102 ANDHIKA PRAMONOVIANTI P 30/11/1997 1 MANDIRANCAN48.0000037823128 ANDHIKA SULISTIAWAN L 01/04/1984 P -49.0000202053374 ANDI NUGROHO L 18/02/1982 P JL PEKIH 1550.0000082074431 ANDRIANI SUSANA DEWI P 27/12/1989 1 GAMBARSARI51.0000082066871 ANEM P 21/07/1942 P KARANGSARI52.0000081659226 ANGGA APRILIANSYAH P 01/04/1998 2 KEBASEN53.0000082303391 ANGGAR SIWI PRAMUDITA P 15/03/2002 3 KALISALAK54.0000208039173 ANGGITA ARUMNINGTYAS P 03/01/1997 3 JL.PENATUSAN55.0000084877918 ANGGITA RAHMAWATI P 06/01/2000 2 KETANGGUNG ADISANA

KEBASEN BANYUMAS56.

0000081835299 ANGGUN RAFIKA NURAENI B P 04/12/2004 1 GENTASARI57.0000081956226 ANI KUSTITAH P 18/06/1963 P KEBASEN RT.04/I,58.0000081680938 ANI KUSTITAH P 18/06/1963 I KEBASEN59.0000081677452 ANI LESTARI P 03/01/1967 I KALISALAK60.0000976909983 ANINDITA KEISHA ZAHRA P 28/08/2012 1 KALISALAK61.0000081677676 ANIPEN P 01/08/1952 I TUMIYANG62.0000082350303 ANISA SUNDARI P 11/02/1963 P JL.RAYA CINDAGA63.0000164713037 ANJANI METHA AYU SULISTYONO P 21/03/2008 1 KAWUNGANTEN LOR64.0000081112577 ANNISA SUNDARI P 11/02/1983 I CINDAGA65.0000173370835 ANNISA'U YAUMAL FITRIYAH P 14/12/2001 1 RANDEGAN66.0000173609302 ANNISAUL FAUZIYAH P 02/07/1991 1 GAMBARSARI67.0000081532258 ANSOR,A.MA L 21/09/1951 P KEBASEN68.0000153781211 ANTJE NEBORE P 23/04/1966 P -69.0000081675819 ANUSROH L 18/06/1953 P KALISALAK70.0000082336432 ANWAIRIN L 25/11/1959 S KALISALAK71.0000203336572 ANWAR SAHID L 30/05/1982 S JL. MAWAR72.0000075876669 APRI DWI RETNOSARI P 24/04/1996 2 GAMBARSARI73.0000080750103 APRIA NUR BAETI P 08/04/1998 2 KEBASEN74.0000082436927 ARCHIEVA NUZULIA PRISYTA D P 13/03/1993 1 KEBASEN75.0000075873688 ARDANI L 03/12/1953 P KALISALAK76.0000081679454 ARDANI L 03/12/1953 S JL.JIMAT77.0000081641103 ARDI L 25/07/1957 P CINDAGA78.0000081761174 ARI SAPTO EDI L 12/02/1976 P MANDIRANCAN79.0000075873699 ARI WIBOWO L 11/03/1973 P KEBASEN80.0000081661342 ARIF BUDI SAMPURNO L 07/08/1997 2 GAMBARSARI81.0000081760239 ARIF DWI APRIANTO L 14/04/2002 2 GAMBARSARI82.0000082071584 ARIF PAMBUDI L 21/06/1993 1 CINDAGA83.0000081956417 ARIF PUJIRIYANTO L 07/10/1980 P KARANGTENGAH84.0001078757796 ARIF SAPUTRA L 27/04/2003 4 KEBASEN85.0000166043081 ARIF TIRTO AJI L 19/12/1991 4 KEBASEN86.0000081718075 ARIF WIDODO L 10/11/1983 P CINDAGA87.0000081737201 ARIFATUN FITRIASIH P 20/05/1994 1 CINDAGA88.0000082416508 ARIS FAOZI L 23/06/1998 2 KALISALAK89.0000167825935 ARIS NUGROHO L 17/04/1981 S CINDAGA90.0000082066926 ARIS SARWIN SARWONO L 18/03/1949 P GAMBARSARI RT.3/III91.0000081677373 ARIS SITI P 23/03/1963 I SAWANGAN92.0000081761196 ARLINT GESTA FARADILA P 01/08/2006 1 MANDIRANCAN93.0000210307781 ARLIST NANDYA IZZATI P 19/12/2009 2 MANDIRANCAN94.0000082066948 ARTI P 31/12/1937 P GAMBARSARI95.0000081597317 ARWAN L 22/04/1966 P MANDIRANCAN96.0000082286346 ASIH ROKHYATUN P 07/12/1967 P KALISALAK97.0000081718198 ASIYAH P 31/12/1951 P KEBASEN98.0000082330762 ASTORO L 19/05/1960 P KEBASEN99.

Page 2 of 352/1/13 5:00 PM

Page 3: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000200797031 ASYFA CHOERUNISA L 26/02/2001 1 SAWANGAN100.0000082067038 ATEM P 24/02/1925 P GAMBARSARI 005101.0000082071729 ATEM P 27/10/1947 I KEBASEN102.0000081681311 ATIK ATIKAH P 20/12/1968 I JL.SATRIA103.0000082071077 ATIK SETIANINGSIH P 21/02/1992 1 KEBASEN104.0000198397719 ATING RESTU JULIAN P 11/07/1985 P Kab. Banyumas105.0000081029079 ATTHAYA TSAMARA ZAHRA P 22/07/2001 1 SAWANGAN106.0000037264612 AUGUSTA CATUR HASMORO L 18/08/2003 2 CINDAGA107.0000196268872 AURELLIA ALIFIA SHIFA L 25/06/2009 1 TUMIYANG108.0000170611931 AURELLIA AQILAH NAJLA P 18/12/2007 1 TUMIYANG109.0000148619193 AVITA ELMA DWINATA P 18/07/2004 2 KEBASEN110.0000163599535 AWAL BANGUN UNTARI P 13/10/1975 I GAMBARSARI111.0000082467044 AWAL SUDIONO L 06/07/1971 P CINDAGA112.0000081892449 AWIT PRIYATI P 31/12/1928 P MANDIRANCAN113.0000203546147 AWWALIA NADIATU ROKHMANI P 20/04/2009 1 NGASINAN114.0000081678238 AZAM ALFATIH AHKAM L 05/04/2002 2 GAMBARSARI115.0000082436973 AZIZ DWI SUBEKTI L 29/10/1997 2 KALISALAK116.0001079005566 AZIZ RIZAL DARMAWAN L 30/12/1999 2 MANDIRANCAN117.0000166325747 AZKI MISBAHUL ROFIQ L 06/03/2002 1 SAWANGAN118.0000082067128 BADARI,A.MA.PD L 05/03/1948 P KALISALAK119.0000170365702 BAGUS TRI PAMUNGKAS L 01/08/1991 1 SAWANGAN120.0001078120451 BAHTIAR KUKUH SETIAWAN L 02/11/1994 1 ADISANA121.0000166325613 BAMBANG SRIYONO L 22/09/1977 S SAWANGAN122.0000081956867 BASIROH P 09/12/1977 P KARANGKEMIRI, MANGGIS123.0000082303334 BENEDICTUS GUNAWAN W L 27/12/1961 P GAMBARSARI124.0000081892473 BESAR L 13/12/1940 P KALIWEDI125.0000081631203 BEWA KUSWORO L 04/11/1961 P KEBASEN126.0000081563152 BISKER SIBORO L 07/05/1955 P KEBASEN127.0000082303479 BOMAS NURMAN ALFANUGROHO L 21/03/2002 2 GAMBARSARI128.0000081677226 BONDAN ARIANTO L 26/01/1993 2 MANDIRANCAN129.0000082303918 BRAMANTIO RIZAL L 11/07/1996 1 KARANGSARI130.0000082067207 BUCHORI L 15/08/1945 P KEBASEN131.0001078960048 BUDI HARTOYO L 25/09/1968 P GAMBARSARI132.0000081675865 BUDI HARTOYO L 25/09/1968 P GAMBARSARI133.0000082364758 BUDIARTI P 17/12/1963 P KALISALAK134.0000082418095 BUDIMAN L 10/10/1975 S MANDIRANCAN135.0000081835277 BUDIYANTO L 13/03/1975 P GENTASARI136.0000075873879 BUDIYONO YS. L 24/05/1955 P KEBASEN137.0000082067242 BUWANG L 03/06/1945 P KEBASEN138.0000008776135 C.HARTONO L 22/09/1955 P JL.DURIAN139.0000081844672 CAESARIA AMALIA RAHMAWATI P 06/08/1998 1 RANDEGAN140.0000081844683 CAESARIA PRIHATINI R P 08/07/2004 2 RANDEGAN141.0000082303727 CAHAYA MURNI P 08/08/1967 I KALISALAK142.0000169948631 CAHYA NINGTYAS P 15/02/1983 I GAMBARSARI143.0000081835301 CAHYA RINI P 21/09/1967 P TUMIYANG144.0000198269469 CAHYONO L 03/12/1973 S ALANGAMBA145.0000081678306 CARELIN DWI NAF P 16/12/2004 2 KALISALAK146.0000081678284 CARNITI P 15/08/1967 I KALISALAK147.0000202861438 CATUR SINGGIH, ST L 02/05/1986 P BANGSA148.0001078977554 CATUR TRI UTAMI P 29/12/1992 4 ADISANA149.0000081015783 CHARISMA ARUM RINENGGA P 06/06/1991 1 KEBASEN150.0000081675911 CHASBUN L 22/10/1955 P JL.MASJID151.0000162878848 CHOLIFATUN P 12/07/1981 P KALISALAK152.

Page 3 of 352/1/13 5:00 PM

Page 4: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000081526937 CHOTIDJAH P 27/06/1951 P CINDAGA153.0000167510654 CHRISTINA HARIE CAHYANTI P 20/06/1981 I KARANGTENGAH154.0000082074363 CHUNAENATUN P 13/01/1950 I KALIWEDI155.0000081719087 CHUSNAN L 21/01/1949 P KALISALAK156.0000208218903 CITRA FIJI ROHYANA P 26/03/2006 3 KEBASEN157.0000082067275 DACHLAN L 14/02/1950 P KARANGSARI158.0000210717009 DAFFA ZAINUL MUTAQIN L 19/06/2007 1 KALIWEDI159.0000081892495 DAINING P 10/08/1952 P MANDIRANCAN160.0000081674908 DAKHIROH P 01/01/1959 P KEBASEN161.0000081661331 DANANG PURWADI WASKITHO L 05/03/1992 1 GAMBARSARI162.0000075898473 DANANG SADEWO L 20/10/1991 2 SAWANGAN RT.01/IV163.0000159062567 DARAMENUSA SALINDEHO L 28/11/1966 P JL CIK DITIRO 14164.0000081676012 DARMANTO L 25/11/1961 P MANDIRANCAN165.0000082067376 DARMIN L 19/07/1945 P KALISALAK166.0000081894014 DARMINI P 13/09/1955 I MANDIRANCAN167.0000082274062 DARMIYATI P 18/06/1970 I KALISALAK168.0000082067411 DARSIH P 02/10/1925 P GAMBARSARI169.0000081892506 DARSIH P 01/07/1930 P GAMBARSARI170.0000081676045 DARSIKIN L 21/01/1959 P JL. PUTERAN171.0000082067455 DARSONO L 17/07/1938 P RANDEGAN172.0000081661871 DARSONO L 19/06/1978 P MANDIRANCAN173.0000075874015 DARSUN L 14/05/1958 P GAMBARSARI174.0000081676089 DARTIM L 24/03/1951 P KEBASEN175.0000081676102 DARTOYO L 23/01/1959 P MANDIRANCAN176.0000075876557 DARWATI P 20/11/1978 I CINDAGA177.0000082071347 DARYADI L 21/05/1940 P ADISANA178.0000082373523 DARYATI P 30/12/1949 I KALIWEDI179.0000080859688 DARYONO L 03/07/1972 S KALISALAK180.0000082403098 DARYOTO L 22/06/1956 P MANDIRANCAN181.0000081892517 DASAM L 25/11/1927 P MANDIRANCAN182.0000082303378 DASIM,SPD L 08/04/1961 P KALISALAK183.0000082276953 DASIMAH P 08/10/1971 I MANDIRANCAN184.0000082067534 DASINAH P 31/12/1936 P MANDIRANCAN185.0000082067545 DASLAM BIN KUTOWIREDJO L 01/01/1929 P KALIWEDI186.0000081676181 DATAN L 09/10/1957 P CINDAGA187.0000082067589 DATO SOEGIARTOYO L 19/12/1949 P SAWANGAN188.0000075876895 DELAN FERDIANSYAH L 24/12/1996 2 KEBASEN189.0000081892912 DENNY WINDAYANTI P 14/12/1991 4 CINDAGA190.0000081678431 DESTIAWAN L 21/12/1990 1 TUMIYANG191.0000081537412 DESTRIYANA DYAH ANGARINI P 20/12/2002 2 KALISALAK192.0000081893812 DEWI MARYATUN P 10/08/1994 2 KALIWEDI193.0000082303806 DEWI ROHMAWATI P 24/09/1997 2 KALISALAK194.0000205261964 DHAFIN FAWAS TSANY L 31/05/2011 2 KALISALAK195.0000082436938 DHEA AYU REZA SAVITRI P 10/02/1997 2 KEBASEN196.0000081681401 DHONI NUR ARIYANTO L 30/03/1992 2 SAWANGAN197.0000075873881 DIAH ASTUTI P 08/05/1955 I KEBASEN198.0000081508926 DIAN NUR AFIFAH P 30/12/2000 4 SAWANGAN199.0000050164356 DIANI MELIA FITRI SUSENA P 05/11/1972 P JL KARTINI GG H TAJUDIN

MATAN HILIR UTARA200.

0000081652577 DIDI DARYANTO L 04/07/1972 S SAWANGAN201.0000082067613 DIKAS AL PARTODIWIRYO L 31/12/1925 P KEBASEN202.0000080864752 DIKSI AFIF RERIFIANTO L 22/04/2001 2 CINDAGA203.0000081679667 DIKUN L 12/10/1953 S SAWANGAN204.0000082282364 DIMAS PURWIYANTORO L 14/08/1993 1 GAMBARSARI205.

Page 4 of 352/1/13 5:00 PM

Page 5: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000081676214 DIMAS SYAHPUTRA L 26/09/2003 2 CINDAGA206.0000081969377 DINA AYU AMALIA P 27/05/1993 2 BANJARPARAKAN207.0000081678903 DINA KURNIATI P 15/06/1993 2 CINDAGA208.0000163959759 DINA SEPTIANTINI L 21/09/1991 4 KEBASEN209.0000200106641 DINAS ADI TAMA L 14/07/1993 1 KARANGREJA210.0000081676923 DINDA OKTAFIYANI P 29/10/2003 2 JL. PEMANCAR LEGOK211.0000075875589 DINDA WILY PANGESTU P 08/08/1997 2 KEBASEN212.0000083017113 DINI SEPTIANTINA P 21/09/1991 3 KEBASEN RT. 05/II213.0000082346398 DIRSUN L 07/09/1960 P GAMBARSARI214.0000082070425 DIRTEM P 31/12/1938 I GAMBARSARI215.0000081100495 DIRWOTO L 05/11/1960 P MANDIRANCAN216.0000081681794 DISKI ELING YAHRENO L 01/08/1997 2 KARANGSARI217.0000082067668 DISLIM HADIMARTOYO L 12/10/1942 P KEBASEN218.0000195528475 DITRIA RIZQI KUMALASARI L 11/07/2001 1 KEBASEN219.0000080699062 DIVA LUTHFI ANTAMA P 07/10/2001 1 KEBASEN220.0000081676258 DJAMALUDIN L 22/06/1951 P KEBASEN221.0000173722926 DJAMALUDIN L 29/12/1954 S KALISALAK222.0000080735602 DJAMAN L 19/11/1955 P KALIWEDI223.0000082067747 DJARI L 05/07/1945 P KALIWEDI RT.03/IV224.0000082323257 DJAROT RIYADI L 01/03/1958 S GAMBARSARI225.0000082067771 DJATEM P 31/12/1943 P TUMIYANG226.0000081892541 DJUANSAH P 05/01/1928 P MANDIRANCAN227.0000082067815 DJUMIJAH P 31/12/1948 P RANDEGAN228.0000152915062 DJUNITA PAWI P 20/06/1988 P -229.0000082067826 DJUWAB AL SANTARDJO L 12/11/1922 P KEBASEN230.0000081957813 DJUWEDAH P 07/07/1956 P KEBASEN231.0000081664446 DJWI NUGROHO L 15/09/1995 2 KARANGSARI232.0000082067848 DOELLAH KOMAROEN L 05/07/1936 P KEBASEN233.0000003409942 DONI KURNIAWAN L 17/10/2004 1 CINDAGA234.0000082071134 DONO TRI P L 31/03/1991 3 ADISANA235.0000043461213 DRG. KUSMANTO L 03/09/1961 P -236.0000081674919 DRS. SOBIRIN L 04/04/1955 S KEBASEN237.0000081679689 DWI ARGO PAMUJI L 10/06/1989 2 SAWANGAN238.0000081676293 DWI DARMADI L 14/05/1964 P JL. PEDEGER239.0000195528464 DWI FITRIA AGUSTINA P 26/08/1979 I KEBASEN240.0000081676023 DWI HARTATININGSIH P 23/08/1969 I MANDIRANCAN241.0000081676337 DWI HARTININGSIH P 23/08/1969 P MANDIRANCAN242.0000172975386 DWI JATISETYANINGSIH P 28/04/1988 P BANGSA243.0000081599084 DWI SAPTONO ADE P L 09/09/1995 2 MANDIRANCAN244.0000082330795 DWI YULI HARWATI P 16/07/1994 2 KEBASEN245.0000008776157 DWINANTO KURNIADI L 19/07/1990 2 JL.DURIAN246.0000080864741 DZIKRI ACHMAD MASCHUN L 06/07/1993 1 CINDAGA247.0000172503696 EDI JUNAEDI L 18/03/1966 S KEBASEN248.0000082303402 EDI MARYONO,SPD L 16/06/1960 P BANGSA249.0000075874206 EDIT SUWITO L 12/10/1954 P GAMBARSARI250.0000173370958 EFENDI GHOZALI YUNANTO L 14/06/2006 2 RANDEGAN251.0000081894464 EFI KISIA RIFANI P 01/08/1995 2 KEBASEN252.0000002831387 EKA DHARMA L 22/05/1983 P -253.0000078489459 EKO NURWADI,SH L 19/10/1959 P KALIWEDI254.0000081554556 EKO PRAMONO L 08/09/1972 P MANDIRANCAN255.0000081556413 EKO WINARTO,S.KEP.NS L 27/04/1977 P KALISALAK256.0000077221359 EKO YUNIANTO L 26/06/1975 P JL SITUMANG257.0000210016067 ELI SUTANTI P 11/06/1974 I MANDIRANCAN258.

Page 5 of 352/1/13 5:00 PM

Page 6: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082273342 ELING RIANTI P 22/04/1973 P MANDIRANCAN259.0000028793992 ELISNAINI P 09/09/1986 P -260.0001078942533 ELSERA TRIKAWIDIASTUTI P 11/02/1997 3 JL.PERHUTANI261.0000082303435 ENDAH KURNIASIH P 29/10/1963 P KALISALAK262.0000081631214 ENDANG CATUR K P 28/12/1961 I KEBASEN263.0000081527455 ENDANG LISTIOWATI P 19/04/1965 P MARGASANA264.0000082303446 ENDANG NURWATI P 07/05/1967 P GAMBARSARI265.0000082323099 ENDANG PRAYOGI P 13/10/1968 I KARANGSARI266.0000081676642 ENDANG RIYOWATI P 02/09/1959 I SAWANGAN267.0000082262338 ENDANG SRI NINGSIH P 16/10/1960 I KEBASEN268.0000082436905 ENDANG SUSININGSIH P 15/03/1966 P KEBASEN269.0000082260821 ENDANG WERDININGSIH P 29/07/1959 I KEBASEN RT.09/I270.0000081679836 ENDO TANGGUH PANUNTUN L 01/01/1995 2 KEBASEN271.0000082322886 ENGGAR PRATIWI P 19/08/1998 2 BANGSA272.0001078998063 ENGGAR YANUARDI L 12/08/1996 1 SAWANGAN273.0000162383218 ENI HANDAYANI P 06/06/1972 P KEBASEN274.0000081676372 ENI HARYATI P 12/06/1957 P GAMBARSARI275.0000075874217 ENI HARYATI P 12/06/1957 I GAMBARSARI276.0000081676394 ENI PURWATI P 05/09/1963 P SAWANGAN277.0000083106819 ENI SUWARI P 12/02/1960 I GAMBARSARI278.0000081677542 ERI PURNIATI P 21/01/1983 I KEBASEN279.0000081740812 ERNA SULASMI P 12/10/1980 P MANDIRANCAN280.0000167316939 ERNA WATI P 12/01/1988 P TUMIYANG281.0000081958792 ERY KUSTIYANTI P 12/01/1972 P KEBASEN282.0000080699051 ERY KUSTIYANTI P 12/01/1972 I KEBASEN283.0000082074183 ESTERINA SATINI P 14/04/1950 I KARANGSARI284.0000084877907 ESTI FIRMAN SARI P 21/01/1992 1 KETANGGUNG ADISANA

KEBASEN BANYUMAS285.

0001078185734 ESTI MUNGIZZAH P 27/03/2002 3 BANGSA286.0000166933686 ESTI YUNIASIH P 29/06/1977 I KEBASEN287.0000082352002 ESTY WAHYUNINGSIH P 28/03/1982 P JL. MARGOSARI288.0000082303424 ETIK SETYANINGRUM P 05/04/1991 2 BANGSA289.0000038652243 ETIKA WILIHARTI P 21/05/1967 P KARANGSARI290.0000086573981 EXNACIUS ANANG WIDYANTA L 12/11/1973 P -291.0000200588229 FADILAH NANDA RIZKY P 10/04/2008 1 CINDAGA292.0001079003867 FAIQ FIDIANTO L 13/05/2000 2 SAWANGAN293.0000165615557 FAIRUS SHAFIRA RAMEYZA ROSYADI P 25/08/2009 1 KALISALAK294.0000081677474 FAISAL NUR ASHAR L 15/04/1999 2 KALISALAK295.0000149490112 FAIZ AMRULLAH L 22/12/2002 1 KALISALAK296.0000163169368 FAIZAH AZAHRO L 18/02/2009 2 KEBASEN297.0000159875256 FAJAR NUGROHO L 11/12/1982 P JL. GRILYA298.0000081680196 FAKHRI FADLUL UMAM P 03/05/2005 2 JL.NGASINAH299.0000081832151 FALIJ HAFISH RAMADHAN L 30/11/2002 1 KALISALAK300.0000166325804 FARAH ATIKA ZAHRA P 25/03/2005 2 SAWANGAN301.0000081479834 FARID MAHMUDI, S.KOM L 14/07/1975 P GAMBARSARI302.0000081479867 FARIDA ALYA MALAYU P 23/04/2004 2 GAMBARSARI303.0000170975878 FARIDA WIDYA PARAMITA P 30/03/1993 2 KEBASEN RT.01/I BMS304.0000082303323 FARIDATUL MAJIDAH AP P 28/02/1994 2 KEBASEN305.0000173954294 FATIMAH P 01/01/1936 P KALISALAK306.0000081479856 FAUZA IBRAHIM FARID L 29/01/2003 1 GAMBARSARI307.0000081678701 FAUZIYAH NURUL KHAYATI P 12/04/1995 2 GAMBARSARI308.0000081736378 FAUZIYYAH JIHAN AQILAH P 17/12/2007 2 RANDEGAN309.0000976925845 FAWAZ SAYYID MURTADLO L 17/09/2002 2 KEBASEN310.0000081758799 FEBI RUSDIYANTI P 09/02/1996 1 MANDIRANCAN311.

Page 6 of 352/1/13 5:00 PM

Page 7: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000075875128 FEBRI PUTRA RAMADHAN L 03/02/1995 2 TUMIYANG312.0000081664525 FEBRIANI STYANINGRUM P 01/02/1992 1 KEBASEN313.0000038734997 FENTY LINDARI P 02/02/1975 P -314.0000159875818 FERI AKROM L 07/01/1983 P JL. PUK315.0000081680624 FERINA AKHSANIKAMILA L 12/01/1995 1 KALIWEDI316.0001078989693 FIKA ZULFIKAR FAOZI L 26/04/1995 3 KALISALAK317.0000082530494 FIKRY HANIF L 31/05/1995 1 MAJASARI RT.04/04318.0000081678262 FIRDAUS AHMAD L 27/09/1992 2 GAMBARSARI319.0000082374153 FIRNANDILA AGNA ARIENSTIK P 05/03/2004 1 GAMBARSARI320.0000167316557 FITRIANTI P 12/10/1985 P MENGANTI321.0000082072989 FIYAN FATMA NURFADILAH P 06/04/1996 1 KALISALAK322.0001078985327 FRAHNISA AZ ZAHRA L 15/02/2012 1 JL. GRILYA323.0000081149321 GAGAS TAEFURROHMAN L 05/09/2004 1 KEBASEN324.0000193660277 GAGAT ARYASATYA L 12/09/2008 1 KEBASEN325.0000082316889 GALANG SINGGIH P L 07/06/1993 2 KALISALAK326.0000082306697 GALANG W PRAMUDITIA L 23/12/1992 2 CINDAGA327.0000083106821 GALIH ANTON NUGROHO L 13/12/1991 2 GAMBARSARI328.0000082398701 GALIH ANTONI P 22/05/1990 1 GAMBARSARI329.0000082306708 GALIH BAGUS PANUNTUN L 22/03/1994 3 CINDAGA330.0000081678194 GALIH RAHMADAN L 07/02/1997 1 MANDIRANCAN331.0000164174872 GALIH SETYO PAMBUDI L 29/05/1999 5 MANDIRANCAN332.0000976164129 GALUH LARASWENI P 18/01/1994 3 SAWANGAN333.0000081892552 GARNIWA L 03/07/1940 P KALISALAK334.0000081838113 GATOT YUDHO HARTONO L 17/10/1969 S ADISANA335.0000081677114 GESTI PALUPI P 16/05/1992 1 KEBASEN336.0000081032635 GHUFRON MIJIB, SPD L 18/07/1968 P KALISALAK337.0000080721977 GUNADI L 30/12/1959 P KARANGSARI338.0000082067883 H DOELAH MARKOEM L 31/12/1929 P KALISALAK339.0000081838124 HABIB MAHFUDZ L 29/11/2000 1 ADISANA340.0000082067387 HADMIYAH P 17/10/1948 I KALISALAK341.0000172504642 HAFIZ MAULANA ISYA L 17/02/2009 1 GAMBARSARI342.0000081112566 HALILINTAR WIDADI L 24/04/1976 P CINDAGA343.0000081725084 HAMIDATUS SA'DIYAH P 31/12/1962 I RANDEGAN344.0000080746413 HANIF FAJAR PRATAMA L 19/06/2007 1 CINDAGA345.0000082303773 HANIF SOBRI W L 07/03/1999 2 JL.BALAI DESA346.0000082071843 HANIFAH SULISTYANINGRUM P 05/03/2004 2 TUMIYANG347.0000081838135 HANIN LATHIFAH P 15/06/2004 2 ADISANA348.0000205635014 HANNA TRILIANI ANGGITA P 28/07/1998 3 MANDIRANCAN349.0000081677068 HARDIAN NANDA TRI NUGROHO L 13/07/1995 1 KALISALAK350.0000160641731 HARI SUBAGYO L 05/08/1963 P -351.0000162398215 HARIS PRAPTOMO L 12/03/1966 S KEBASEN352.0000082303481 HARIYADI,SPD L 17/09/1961 P KALISALAK353.0000108856754 HARNOTO L 06/12/1970 P -354.0000082303492 HARTATI P 06/10/1957 P KEBASEN355.0000081632013 HARTIWI P 22/08/1958 P MANDI RANCAN356.0000081676405 HARTONO L 23/03/1959 S SAWANGAN357.0000081965452 HARTOYO L 04/05/1956 S MANDIRANCAN358.0000081967072 HARYANI P 30/10/1971 I MANDIRANCAN359.0000081676631 HARYANTO L 05/11/1957 P SAWANGAN360.0000081892596 HARYATI P 19/11/1953 P GAMBARSARI361.0000081676675 HARYATI P 15/07/1955 P GAMBARSARI362.0000976522836 HASTIN ASIH P 17/05/1972 I CINDAGA363.0000207198189 HASYA SAFIRA P 18/09/2009 1 CINDAGA364.

Page 7 of 352/1/13 5:00 PM

Page 8: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000081676135 HENDAR PRASETYO L 21/10/1999 2 MANDIRANCAN365.0000141660843 HENDRI TEGUH WIBOWO,SE L 07/11/1973 P MANDIRANCAN366.0000082067951 HENDRIK SUTEDJO L 12/07/1939 P KEBASEN367.0000160627566 HENI ALISTIANI P 18/10/1983 P -368.0000162407709 HERAMINA SUKMARANTI P 22/11/1998 1 KEBASEN369.0000172504326 HERI NASTITI P 28/12/1987 P GAMBARSARI370.0000081148915 HERI NOERCHANIF L 02/11/1971 P KEBASEN371.0000148432285 HERI YULIADI L 17/07/1975 P KEBASEN372.0000171779826 HERIYANTO,S.SOS L 18/02/1978 P MANDIRANGAN373.0000082482794 HERNAWATI P 15/05/1975 P RANDEGAN374.0000081959589 HERNI CAHYATI P 15/03/1976 P KALISALAK375.0000081556424 HERNI CAHYATI P 30/03/1976 I KALISALAK376.0000082073619 HEROWATI TITIN S P 25/06/1960 I KEBASEN377.0000081527591 HERU PRANOWO L 24/06/1963 P JL. PUK BARAT NO. 55378.0000081527624 HERY SUPRIYATNO L 22/12/1969 P JL.MAWAR NO.17379.0000081679195 HESTI NURPRATIWI P 05/09/1991 1 SAWANGAN380.0000045126235 HETTY WIDIASTUTI P 13/06/1980 P -381.0000082399094 HIDAJAT L 23/07/1953 P KEBASEN382.0000977799475 HIKMATUN MUTINGAH P 08/10/2003 3 KALISALAK383.0000081556446 HILDA NAILAH HUSNA L 21/04/2006 2 KALISALAK384.0000081556435 HILMY NABIL FERROSI L 16/09/1998 1 KALISALAK385.0000123882491 HORMANSYAH L 04/03/1961 P DESA SUATO TATAKAN

RT.08 RW.IV386.

0001078998096 HURAFIK ARIZA L 12/12/2003 2 SAWANGAN387.0000082067962 HUSEN SISWOJO L 08/08/1944 P RANDEGAN388.0000081507846 HUSNA AL GHOIDA P 05/02/1996 1 CINDAGA389.0000204181637 HUSNA ARIFIANI HANIF L 05/12/1992 1 BENTUL390.0000200563503 I'ZAAZ ZUKHRUF WAHYUDIYANTO L 11/05/2010 2 JL.P.BANGKA KP.SATU SKIP391.0000200744155 IBNU ANHAN, SE L 15/09/1985 P KALISALAK392.0000080805971 IBNU SYAFIQ BASALAMAH L 23/10/2002 2 CINDAGA393.0000058008295 IDA NURLINDA P 28/07/1962 P JL. GUNTUR SARI WETAN

NO. 9 BANDUNG394.

0000082345645 IIN NURFAISAH P 15/12/1986 P SAWANGAN395.0000071058082 IING SETIADI L 21/06/1968 P -396.0000083017539 IING SUMARTI,SPD P 28/02/1956 I KEBASEN397.0001078942577 IKA APRILIANI L 19/04/1997 1 GAMBARSARI398.0000082274073 IKA MUSLIMATUL FAEDAH P 08/09/1991 1 KALISALAK399.0000977869405 IKHSAN FEBRIANTO L 08/02/2012 2 KEBASEN400.0000081838102 IKI KURNIASIH P 03/09/1975 P ADISANA401.0000082067984 IKLAS L 25/11/1947 P CINDAGA402.0000081657876 IKO IDMAWAN L 08/01/2000 1 GAMBARSARI403.0000141660865 ILHAM AKBAR HIBATULLAH L 23/01/2001 1 MANDIRANCAN404.0000080805969 ILHAM FAUZI L 24/05/1996 1 CINDAGA405.0000080922385 ILHAM WISNU MURTI L 30/08/1997 2 CINDAGA406.0000082068006 IMAM L 03/08/1931 P KALIWEDI407.0000081831047 IMAM BUDI ANGGORO L 20/05/1998 2 KARANGSARI408.0000976925801 IMAM FAOZI L 22/12/1967 S KEBASEN409.0000108305212 IMAM HANAFI L 05/02/1952 P DS.NGLETIH KEC.KANDAT

KAB. KEDIRI410.

0000081678892 IMAM KURNIANTO L 20/01/1991 1 CINDAGA411.0000081678543 IMAM NURYADIN L 24/05/1989 1 SAWANGAN412.0000081678734 IMAM PURWADI L 17/10/1990 3 GAMBARSARI413.0000082530472 IMAM SAFRUDIN L 18/01/1968 P TUMIYANG414.0000082068028 INAH P 03/03/1933 P MANDIRANCANG415.0000166933743 INAS HANAFI AFIFAH P 19/09/2002 1 KEBASEN416.

Page 8 of 352/1/13 5:00 PM

Page 9: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000080859677 INDAH ZULAIKHA P 16/10/1969 P KALISALAK417.0000159543911 INDARTI KUSUMASTUTI, DRA P 13/08/1966 P KALIWEDI418.0001079018807 INDRA ROFIQ FITRIAN SYAH L 22/05/1988 S BANGSA419.0000075875962 INDRIYANTI P 07/09/1993 1 MANDIRANCAN420.0000082397788 INTAN P 06/03/1993 3 KEBASEN421.0000081841779 INTAN AYU MUSTIKA P 18/10/1995 2 KARANGSARI422.0000082074442 INTAN SARI DEWI P 23/05/1994 2 GAMBARSARI423.0000080838584 INTAN WIDI KAHESTINA P 19/06/1991 2 JL RAYA CINDAGA424.0000082323112 INTAN ZAHROTUN ULFAH P 25/10/1993 2 KARANGSARI425.0000082372713 IQBAL SAHBANI MANSUR L 13/01/1996 2 GAMBARSARI426.0000140386386 IRFAN SAMPER L 04/10/1987 P -427.0000082281734 IRHAM SOFAN L 21/09/1976 S KALISALAK428.0000082071595 IRMA NURBEKTI P 13/05/1996 2 CINDAGA429.0000081680681 IRWAN DWI SANTOSA L 14/07/1991 2 KEBASEN430.0000080852027 ISKANDAR,SPD L 13/06/1956 P JL RAYA KALISALAK431.0000043609476 ISMAIL NAIYOWEHAJI SALAM PESSY L 04/01/1974 P KP BARU RT.003 RW.05

PONDOK PINANG432.

0000081676855 ISNA USWATUN HASANAH P 30/08/1992 2 KARANGSARI433.0000081679331 ISNAH KURNIATI P 06/05/1991 2 KALISALAK434.0000163043965 ISNAN THOYIB L 27/12/1999 2 RANDEGAN435.0000003405609 ISTI FAIZAH,A.MD P 13/11/1976 P GADING436.0000081806949 JAENAB P 31/12/1927 I KALISALAK437.0000210608076 JAFAR SODIK L 03/10/1997 1 CINDAGA438.0000081681783 JALU ANUGRAH L 07/11/1992 1 KARANGSARI439.0000082303795 JAMALUDIN L 22/01/1982 S KALISALAK440.0000196391665 JAMALUDIN AZIZ L 16/08/1982 P KALIWEDI441.0000110557585 JAMHURI L 13/12/1965 P DESA TIRTOMARTO RT

0018/06 AMPEL GADING442.

0000077221383 JANTIKA AULIA ISLAMADINA P 09/01/2007 2 ADISANA443.0000045126257 JANU PRAKOSO L 16/01/1987 P -444.0000082069569 JARIYAH P 02/06/1951 I KECILA445.0000082067591 JASMAITI P 30/12/1950 I SAWANGAN446.0000083017383 JEFRI NURSETYA N L 06/12/1992 2 KEBASEN447.0000037895387 JOKO PERMADI L 07/07/1970 P KALISALAK448.0000082436949 JONO L 19/07/1964 P KALISALAK449.0000162879006 JULI SISWANTO L 17/07/1979 S KALISALAK450.0000158036286 JULIUS LOUIS KORWA L 28/07/1953 P JL B D DANOMIRA NABIRE451.0000036312131 JUMARIAH P 27/05/1969 P -452.0000082303558 JUMIATUN P 02/05/1956 I KALISALAK453.0000081953471 JUNI HENDRATTI P 04/06/1969 P KEBASEN454.0000081681851 JUNIATI WURYANDINI P 19/06/1993 1 KEBASEN455.0000081676798 JUWARIYAH P 28/10/1958 P JL. RAYA SAWANGAN456.0000081605766 JUWARIYAH P 16/12/1977 P ALANGAMBA457.0000082303569 JUWENI L 21/07/1990 1 KALISALAK458.0000081678532 KADEM P 12/05/1968 I SAWANGAN459.0000075874522 KADIM L 14/05/1953 P KEBASEN460.0000082303547 KADIM L 29/05/1955 P KALISALAK461.0000081641553 KADIYONO L 28/12/1959 P KEBASEN462.0000082068096 KALIPAN L 08/03/1946 P GAMBARSARI463.0000082073226 KAMINAH P 31/12/1932 I GAMBARSARI464.0000082453195 KAMINAH P 02/05/1968 I GAMBARSARI465.0000207872537 KAMIRAH P 10/09/1968 I KALISALAK466.0000082068153 KANTJA EDY RAHARJO L 09/10/1935 P BANGSA467.0000082411299 KARDIMAN L 08/04/1962 P KALISALAK468.

Page 9 of 352/1/13 5:00 PM

Page 10: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082068175 KARDIWAN L 20/02/1951 P MANDIRANCAN469.0000081677057 KARISEM P 10/06/1946 I KALISALAK470.0000082068197 KARLIM L 07/10/1949 P KEBASEN471.0000081892607 KARLIN L 17/11/1941 P KEBASEN472.0000082068243 KARMI P 28/06/1933 P GAMBARSARI473.0000082068254 KARMI P 31/12/1931 P GAMBARSARI474.0000082068265 KARMONO L 29/10/1941 P SAWANGAN475.0000082282083 KARNI,DRA P 10/12/1964 P CINDAGA476.0000082306675 KARSAM L 12/09/1962 P CINDAGA477.0000082072416 KARSAM L 16/06/1941 S GAMBARSARI478.0000082303571 KARSAN L 01/02/1961 P KALISALAK479.0000203928074 KARSAN L 15/07/1948 P KEBASEN480.0000081676822 KARSAN, AMA L 25/12/1968 P KARANGSARI481.0000082068276 KARSIDI L 31/12/1948 P KARANGSARI482.0000160896903 KARSIH P 10/04/1963 P KALISALAK483.0000081892664 KARSILAH P 01/12/1933 P KEBASEN484.0000081894159 KARSILAH P 15/10/1933 P KEBASEN485.0000077209547 KARSIM L 10/03/1961 P KEBASEN486.0000204024442 KARSINI P 11/04/1940 P KEBASEN487.0000082069975 KARSITEM P 20/12/1947 P MANDIRANCAN488.0000081676888 KARSITI P 14/04/1953 P CINDAGA489.0000081513819 KARSITO L 24/04/1976 P KEBASEN490.0000082353284 KARSIYAH P 08/08/1956 P CINDAGA491.0000206551102 KARSIYATI P 22/09/1957 I KEBASEN492.0000081676901 KARSO L 20/03/1958 P JL. PEMANCAR LEGOK493.0000082068322 KARSOEDI L 15/09/1927 P KEBASEN494.0000082068344 KARSOEM L 06/08/1927 P RANDEGAN495.0000082071358 KARSONO L 21/01/1942 P KARANGSARI496.0000082068366 KARSUN L 05/07/1944 P KEBASEN497.0000075550588 KARSUN L 02/09/1930 P CINDAGA498.0000162943108 KARTEM P 19/02/1970 I GAMBARSARI499.0000081807669 KARTEM P 31/12/1930 I KALISALAK500.0000081677463 KARTIKA FITRI RESTIANI P 14/07/1993 1 KALISALAK501.0000081892708 KARTIM L 14/07/1942 P KALISALAK502.0000082068412 KARTIM AL MADKARTIM L 01/01/1936 P CINDAGA503.0000082073542 KARTINEM P 16/04/1927 I KALISALAK504.0000162922781 KARTINI P 21/01/1970 I KALISALAK505.0000082068456 KARTIWEN P 01/01/1958 P KEBASEN506.0001078957462 KARUNIA DEWY BERLYAN P P 15/01/2012 2 JL.RAYA LAMPEGAN507.0000081681287 KARUNIA SIWI D W P 03/03/2006 1 JL.RAYA LAMPEGAN508.0000082068489 KARWAN L 16/08/1943 P SAWANGAN509.0000081807039 KARWEN P 31/12/1932 P KALISALAK510.0000081893158 KARWEN P 09/05/1933 P KALISALAK511.0000080750092 KARYATI P 05/06/1975 I KEBASEN512.0000081632294 KARYOTO L 04/04/1951 P MANDIRANCAN513.0000081892743 KASAN L 24/09/1943 P CINDAGA514.0000082068524 KASAN L 11/11/1924 P CINDAGA515.0000082068535 KASAN KASANWIREDJA L 04/06/1927 P CINDAGA516.0000082068557 KASANI ,BA L 13/10/1937 P BAMGSA517.0000082068568 KASDAKAN AL RASUM L 14/07/1947 P MANDIRANCAN518.0000082068603 KASDI L 07/08/1942 P MANDIRANCAN519.0000082068636 KASEM P 16/08/1930 P BANGSA520.0000081676629 KASEM P 14/05/1952 P KARANGSARI521.

Page 10 of 352/1/13 5:00 PM

Page 11: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082069075 KASEM P 30/01/1951 I MANDIRANCAN522.0000081599062 KASEM P 08/08/1959 I MANDIRANCAN523.0000082068647 KASIATUN P 23/07/1956 P KEBASEN524.0000081676978 KASIDI L 10/05/1959 P KARANGSARI RT.03/IV525.0000976330449 KASIJEM P 25/03/1932 I KALIWEDI526.0000169055976 KASINAH P 07/01/1930 I CINDAGA527.0000060637149 KASINAH P 05/10/1945 I TUMIYANG528.0000082068704 KASINEM P 29/05/1938 P BANGSA529.0000081893441 KASINEM P 31/12/1931 P GAMBARSARI530.0000081893654 KASINEM P 05/08/1950 I ADISANA531.0000081893349 KASINI P 09/04/1948 I CINDAGA532.0000075875084 KASIYEM P 31/12/1957 I KEBASEN533.0000075874656 KASLIM L 29/09/1955 P KEBASEN534.0000081807052 KASMIHARDJA AL TASIM L 10/08/1926 P TUMIYANG535.0000082068783 KASMINI P 21/09/1933 P GAMBARSARI536.0000081677035 KASMININGSIH P 08/05/1959 P MANDIRANCAN537.0000082068816 KASNO L 24/06/1952 P GAMBARSARI538.0000082068827 KASNO L 27/08/1942 P GAMBARSARI539.0000082068849 KASWAN KASWADI L 07/05/1942 P MANDIRANCAN540.0000082068862 KATAM L 03/11/1940 P GAMBARSARI541.0000081677046 KATAMSI L 17/05/1954 P KALISALAK542.0000081892811 KATEM JD. P 01/01/1932 P GAMBARSARI543.0000082068917 KATIDJAH P 27/10/1936 P GAMBARSARI544.0000081892822 KATIJAH P 01/01/1940 P CINDAGA545.0000081677079 KATIMIN L 29/10/1953 P KALISALAK546.0000082072348 KATIYEM P 15/04/1941 I KALISALAK547.0000083106808 KATUN L 24/04/1958 P GAMBARSARI548.0000169056527 KEMPEN P 31/12/1924 I CINDAGA549.0000081557155 KENTI CAHYANI P 18/04/1969 P KEBASEN550.0000081677092 KENWI HAMIROH P 13/12/1966 P KEBASEN551.0001078901201 KENZO WASHILATA GOLDE L 21/08/2010 3 KALISALAK552.0000210794387 KHAAMIIM AL HABIB L 06/05/2001 3 GAMBARSARI553.0000083358202 KHADIRIN L 13/02/1962 P KALISALAK554.0000081737212 KHAERUNISA SALSABILA Z P 01/07/2004 2 CINDAGA555.0001078959262 KHALILA ALYASYIFA PARAMASTI P 21/05/2008 2 KEBASEN556.0000081677564 KHAMDAN FEBRI MAHARDIKA L 25/02/2009 2 KEBASEN557.0000162922858 KHAMIDATUL AWALIYAH P 14/04/2000 1 KALISALAK558.0000210716289 KHANIFAH P 24/06/1972 P KALIWEDI559.0000081029081 KHANSA KINAN AZ-ZAHRA P 29/10/2004 2 SAWANGAN560.0001079008119 KHILMAN JUBKHI MUNAWAR L 01/12/2005 2 JL.MASJID561.0000081678295 KHOEROTUNGOVINA P 18/10/1992 1 KALISALAK562.0000077218986 KHOFSATUN P 15/10/1965 I KALISALAK563.0000010498465 KHOIRUL KHOTIM L 20/09/1981 S KALISALAK564.0000162880211 KHOLIDIN L 05/08/1972 S ADISANA565.0000196268804 KHOLIDIN L 04/08/1983 S TUMIYANG566.0000081724072 KHOLIFATURROHMAH P 05/11/1978 I KEBASEN567.0000080788487 KHOLIL L 16/10/1958 P JL MASJID568.0000082303762 KHOLIS ZUHUD P L 27/10/1996 1 JL.BALAI DESA569.0000082411345 KHOLQI AZAM RIZALDI L 21/10/1996 1 BANGSA570.0000196391777 KHOTIMAH P 04/07/1986 I KALIWEDI571.0000003405914 KHUSNI RAKHMAWATI P 31/03/1982 P CINDAGA572.0000081960669 KHUSNUL KHOTIMAH P 22/02/1976 P KALIWEDI573.0000173370633 KHUSNUL KHOTIMAH P 02/01/1979 I RANDEGAN574.

Page 11 of 352/1/13 5:00 PM

Page 12: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082067758 KHUTOMAH P 07/09/1955 I KALIWEDI RT.03/IV575.0000172367864 KIKI KARNILA WIDIASTUTI, A.MA P 07/12/1989 P KARANGSARI576.0000075933562 KIKY NURAHMAWATI P 02/03/1994 3 GAMBARSARI577.0000082068974 KIRSAMBODO L 18/03/1948 P CINDAGA578.0000081807085 KISAM L 27/08/1922 P CINDAGA579.0000082068996 KISAN L 27/07/1938 P KEBASEN580.0000082069031 KISTAM L 31/12/1944 P KEBASEN581.0000082069053 KITAM P 31/12/1930 P GAMBARSARI582.0000081807917 KITEM P 31/12/1948 I KALISALAK583.0000082365827 KLINAH P 08/02/1964 P MANDIRANCAN584.0000082069064 KOESEN L 20/04/1945 P MANDIRANCAN585.0000082303604 KOKO MARDIANTORO L 22/12/1994 2 KALISALAK586.0000081724061 KOMARUDIN L 19/01/1972 P KEBASEN587.0000082071448 KOMINAH P 12/12/1940 P KALISALAK588.0000198360922 KRIDAWATI, AM.KEB P 19/08/1986 P Kab. Banyumas589.0000200122817 KUKUH NUR TAUFIQ L 13/12/1994 1 KEBASEN590.0000198453611 KUKUH SATRIO SAMBODO L 25/04/1998 3 KEBASEN591.0000082336454 KUMALA PRATIKNYOWATI P 26/06/1992 2 KALISALAK592.0000082274084 KURNIASIH ISNAENI P 30/06/1997 2 KALISALAK593.0000082069108 KUSDAM L 02/08/1930 P GAMBARSARI594.0000081679116 KUSLAN L 05/05/1952 S CINDAGA595.0000091798211 KUSMAN L 16/07/1966 P -596.0000082075421 KUSMIYATI P 25/07/1954 P SAWANGAN597.0000081807096 KUSNAN AL PURWOSUDARMO L 31/12/1925 P KARANGSARI598.0000082069121 KUSNEN L 04/09/1941 P KALISALAK599.0000162880108 KUSNIATUN P 25/05/1978 P ADISANA600.0000082069222 KUSNIYAH P 01/01/1950 I RENDEGAN601.0000081677193 KUSNO L 08/03/1958 P MANDIRANCAN602.0000082069143 KUSRIYATI P 05/05/1950 P MANDIRANCAN603.0000080852038 KUSRIYATI P 21/06/1961 I JL RAYA KALISALAK604.0000082069154 KUSTAMTINAH P 31/12/1937 P KALIWEDI605.0000081893136 KUSTI P 10/05/1930 I KEBASEN606.0000163043908 KUSTO L 15/08/1965 S RANDEGAN607.0000082276942 KUSWANDI,DRS L 15/07/1965 P MANDIRANCAN608.0000081677237 KUSWARDIATUN,SPD P 13/08/1967 P KALISALAK609.0000081680343 KUSWATI P 12/02/1959 I JL. RAYA SAMPANG BUNTU610.0000976334859 KUSWATI P 29/09/1963 I GAMBARSARI611.0000081893632 KW. TRI AGUSTIN P 17/08/1992 3 CINDAGA612.0000082069165 LADEM P 12/11/1936 P KEBASEN613.0000172503551 LAELA MARDRIYATUN P 25/03/1977 P KEBASEN614.0000160643384 LAKSMI WIDJAYANTI SETIANI P 05/02/1971 P -615.0001078998017 LALAS WUEYANI P 27/03/1976 I SAWANGAN616.0000081961817 LANING DEVILA SETYA PUTRI P 13/12/1992 1 KEBASEN617.0000081807129 LASIMIN L 31/12/1926 P ADISANA618.0000081676056 LASIYAH P 02/11/1963 I JL. PUTERAN619.0000082070379 LASIYEM P 03/01/1935 I CINDAGA620.0000200716942 LATIFA DWI ALFIANA L 03/03/2009 2 CINDAGA621.0000082069176 LATIN L 20/07/1938 P MANDIRANCAN622.0000082072945 LATIYAH P 10/02/1949 I KALISALAK623.0000167510733 LEANDRA RIZKI PRADA EVANO L 05/04/2009 1 KARANGTENGAH624.0000082276975 LELY NUR TACHI P 08/07/2001 2 MANDIRANCAN625.0000081680466 LI'LUATI MARATU ZAHROH P 06/06/1997 1 JL.SILUK626.0000207889738 LIA ERNAWATI P 06/04/1986 I JL. GRILYA627.

Page 12 of 352/1/13 5:00 PM

Page 13: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000165615467 LILI NURHASANAH. SE P 20/02/1983 I KALISALAK628.0000082075252 LIN NOVITA SARI P 25/11/1989 1 KEBASEN RT.06/02629.0000196268736 LINA BUDIARTI P 01/07/1985 P TUMIYANG630.0000122273976 LINA WAHYUNI,A.MD.KEP. P 23/03/1978 P JL.P.BANGKA KP.SATU SKIP631.0001078190267 LINTANG SETYO NUGRAHANING WIDI L 12/01/1996 3 KARANGSARI632.0000075873701 LISA SUNDARI P 19/11/1975 I KEBASEN633.0000081961143 LISDINAWATI VL P 17/11/1962 P KEBASEN634.0000082391477 LUDIMAH P 31/12/1963 I KEBASEN635.0000075874678 LUGU LARASATI P 17/02/2007 2 CINDAGA636.0000081053559 LUHMANTO RUSTAMINA L 21/05/1976 P KALISALAK637.0000080734228 LULU FAADILAH SYAFRIN P 20/08/1991 2 MANDIRANCAN638.0000141660854 LULUS FAJAR RACHMAWATI,ST P 25/09/1974 I MANDIRANCAN639.0000081807164 LUSIA TUMINI JD FX SUDJO P 15/04/1934 P KEBASEN640.0000174047973 LUSMIYATI P 16/04/1971 P BANGSA641.0000081675933 LUTFI PRASETYOHADI L 19/06/1992 1 JL.MASJID642.0000082323268 LUTFIAHANA P 11/12/1989 1 GAMBARSARI643.0000082346422 LUTHFI FAIZAL L 13/09/1992 2 GAMBARSARI644.0001078950071 LUVI ASTRININGSIH P 16/04/1997 1 KEBASEN645.0000196857393 M ABDUH ARO AZAIB L 23/06/1999 2 KALISALAK646.0000028937395 M U R S I A H P 23/09/1931 I JL DANAU MANINJAU 42647.0000083358224 M WILDAN NS L 27/01/1994 1 KALISALAK648.0000082372533 M. SUNARTONO SH L 02/11/1960 P MANDIRANCAN649.0000082069233 MACHFUDZ,A.MA L 26/11/1945 P KALISALAK650.0000082069288 MADIN L 14/08/1949 P ADISANA651.0000082069299 MADROCHIN L 01/02/1945 P SAWANGAN652.0000037895398 MAFTUCHAH WINARNI P 02/06/1974 I KALISALAK653.0000081965891 MAHARDIKA NAUFAL IKMAL L 16/06/2002 1 TUNJUNG654.0000081677553 MAHRANI AWALUL MUSLIMAH P 01/08/2001 1 KEBASEN655.0000082072361 MAINAH P 15/01/1948 I KEBASEN656.0000081725073 MAKHMUD * L 31/12/1948 P RANDEGAN657.0000082069345 MAKSOEM L 19/07/1945 P KALISALAK658.0000162943244 MALIK RIZKA DINATA L 24/04/2002 2 GAMBARSARI659.0001078854513 MANDALA KHOIRI L 25/08/2002 2 GAMBARSARI660.0000081527635 MARATUS SOLIKHAH P 23/05/1971 I JL.MAWAR NO.17661.0000081677305 MARATUS SOLIKUN* * L 31/12/1965 P JL.MAWAR NO.17662.0000082453206 MARATUSSHOLIHAH P 21/05/1993 1 GAMBARSARI663.0000081681748 MARCHAMATUN S P 20/12/1966 I RANDEGAN664.0000162878264 MARDI L 04/08/1969 S KARANGKEMIRI665.0000081678554 MARFIANA WICAKSANA L 04/03/1999 2 SAWANGAN666.0000081677316 MARGIYATI P 17/04/1958 P JL. MAWAR667.0000081677362 MARGONO L 01/02/1962 P SAWANGAN668.0000082303345 MARHAENI TUTI LESTARI P 16/05/1966 I GAMBARSARI669.0000162878297 MARITZA WIDYA DANISWARA P 11/06/2004 1 KARANGKEMIRI670.0000081807175 MARJONO AL MADTOJIB L 31/12/1925 P KALIWEDI671.0000082069378 MARLIANTI WIRATNO P 03/12/1991 P MANDIRANCAN672.0000081892888 MARMINAH P 08/04/1935 P MANDIRANCAN673.0000081839711 MARNO L 03/04/1972 P GAMBARSARI674.0000082303582 MARSEM P 18/05/1970 I KALISALAK675.0000081725422 MARSIJAH P 01/09/1949 P SAWANGAN676.0000082069391 MARSOEM L 31/12/1927 P KEBASEN677.0000081807221 MARTADJI AL BAPAN L 31/12/1925 P TUNJUNG RT.4/2678.0000082069402 MARTINAH P 31/12/1943 P GAMBARSARI679.0000082069301 MARTIYAH P 24/06/1949 I SAWANGAN680.

Page 13 of 352/1/13 5:00 PM

Page 14: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082067995 MARTIYAH P 11/10/1952 I CINDAGA681.0000081892901 MARWATI P 01/12/1962 P CINDAGA682.0000081681388 MARYANTO L 19/09/1959 S SAWANGAN683.0000160910493 MARYAWI L 10/06/1924 P CINDAGA684.0000082069424 MARYONO L 20/08/1950 P GAMBARSARI685.0000081677406 MARYONO,S.PD L 03/06/1959 P BANGSA686.0000081725433 MARZUKI L 21/11/1947 S SAWANGAN687.0000003409931 MASHURI L 10/08/1975 S CINDAGA688.0000082069446 MASKAD L 02/12/1939 P KALIWEDI689.0000037264588 MASLAH L 10/05/1961 P CINDAGA690.0000081148926 MASLAKHAH P 10/02/1970 I KEBASEN691.0000075875095 MASLIM L 03/01/1957 P TUMIYANG692.0000081677439 MASRUCHIN L 05/05/1950 P KEBASEN693.0000082372689 MASRURIYAH P 19/01/1966 P GAMBARSARI694.0000082453217 MAULANA KHASAN L 20/06/1996 2 GAMBARSARI695.0000081724083 MAULIDA HILMA AZKI P 13/05/2002 1 KEBASEN696.0000081678453 MAULIDYA WIDHA INTANTI P 20/09/1991 3 JL.RAYA BENTUL697.0000081969322 MAULINA NURANDINI P 18/05/1996 2 BANJARPARAKAN698.0000081661228 MEGA S DENDRA MELATI P 09/01/1992 2 SAWANGAN699.0000200796985 MEI ANDRIYANTO L 22/05/1975 S SAWANGAN700.0000075876603 MEI LARASWATI P 31/05/2001 1 CINDAGA701.0000209989394 MELLYMA SULANJARI P 05/05/1995 2 CINDAGA702.0000081679138 MENIK SRI WAHYUNI P 29/06/1989 3 CINDAGA703.0000082069525 MIDJAN L 26/12/1942 P KEBASEN RT.6/3 KEBASEN704.0000081725894 MIFTACHUL CHOIRI L 25/12/1948 P KALISALAK705.0000081677441 MIFTHAHORUN,S.PD L 27/09/1966 P KALISALAK706.0000081892923 MINAH P 01/01/1938 P TUMIYANG707.0000162639988 MINI P 31/12/1933 I MANDIRANCAN RT.06/02708.0000080993013 MINTARSIH,SPD P 28/07/1968 P ADISANA709.0000082069547 MIRYATI P 31/12/1954 P RANDEGAN710.0000038339256 MIRZA RAHADIAN L 02/03/1983 P JL KH MAS MANSYUR NO

25A RT 014/010711.

0000173370521 MISBAHUL MUNIR L 06/09/1975 P RANDEGAN712.0000082073766 MISEM P 04/06/1942 I MANDIRANCAN713.0000082069558 MISMAN L 30/07/1945 P KECILA714.0000081677529 MISPAN L 06/06/1967 P SAWANGAN715.0001079003744 MISTIYANINGRUM P 30/12/1997 1 SAWANGAN716.0000082070155 MISWEN P 31/12/1932 I CINDAGA717.0000082069593 MOCH MOEDJIONO L 29/07/1948 P SAWANGAN718.0000081557493 MOCHAMAD AMIN EFENDI BUDIANTO L 05/03/1970 P -719.0000082069615 MOCHTAR L 21/10/1942 P KEBASEN720.0000081649563 MOHAMAD ADNAN ADI FIKRI L 17/05/2001 2 KEBASEN721.0000081677531 MOHAMMAD ALI PURNOMO L 20/01/1970 P KEBASEN722.0000075874724 MOHAMMAD RAIHAN AL FATAH L 13/07/2003 2 CINDAGA723.0000081680613 MUALIFAH P 22/07/1974 I KALIWEDI724.0000080788498 MUBAROKHAH P 15/06/1963 I JL MASJID725.0000081726197 MUCH ADRI L 31/12/1948 P RANDEGAN726.0000158503779 MUCHDIJATI P 04/05/1948 P KARANGSARI727.0000082069762 MUCHTAR L 21/10/1942 P KEBASEN728.0000075875264 MUDJI SUWARTI P 20/03/1960 I KEBASEN729.0000075874904 MUDJIONO L 09/09/1954 P GAMBARSARI730.0000081680635 MUFTI FADLI WAFDA L 12/03/2006 2 KALIWEDI731.0000081839946 MUGIYANTO L 06/03/1983 P CINDAGA732.0000081677586 MUGIYARTO L 13/05/1959 P JL. BENTUL BENTUL733.

Page 14 of 352/1/13 5:00 PM

Page 15: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000162880626 MUHAMAD DAWA UN MUSYFI L 22/11/2008 1 ADISANA734.0000172503742 MUHAMMAD AKBAR DAFANSYAH L 31/01/2006 1 KEBASEN735.0000081841241 MUHAMMAD FAIZUN L 19/02/2006 1 CINDAGA736.0000081680062 MUHAMMAD FIKRI RAMADHAN L 10/11/2004 2 GAMBARSARI737.0000080734116 MUHAMMAD MU'ADZ L 01/02/1994 2 CINDAGA738.0000082320546 MUHAYATUN NURSANAH P 25/05/1973 P ADISARA739.0000081567898 MUHAYATUN NURSANAH SPD P 25/05/1973 I KALISALAK740.0000043492656 MUHTAR EFENDI L 26/11/1959 P KALIWEDI741.0000075876412 MUHYATI P 05/09/1982 I CINDAGA742.0000082069435 MUJI ASTUTI P 05/11/1958 I GAMBARSARI743.0000082346409 MUJI RIYANI P 30/05/1964 I GAMBARSARI744.0000082071663 MUJIANA P 07/08/1992 1 CINDAGA745.0000080735624 MUJIANTO L 18/04/1992 3 KALIWEDI746.0000081638965 MUJIONO L 08/06/1971 P SAWANGAN747.0000081680771 MUKHAMAD AMIRUDIN L 26/11/1991 2 JL.PENATUSAN748.0000081677632 MUKHTAROM SB L 11/05/1958 P KALISALAK749.0000081892967 MUKMINAH P 20/08/1934 P SAWANGAN750.0000081676091 MUKSITATUN P 22/06/1956 I KEBASEN751.0000081677665 MULUD DIJANTO L 01/08/1950 P TUMIYANG752.0000083017361 MULYATI P 23/07/1964 I KEBASEN753.0000082069852 MULYONO L 12/10/1941 P KARANGSARI754.0000082069863 MUNADJAT ACHMAD L 20/07/1943 P GAMBARSARI755.0000081961795 MUNDJI SETYAWATI P 29/02/1964 P KEBASEN756.0000081678216 MUNFARID L 15/11/1968 S GAMBARSARI757.0000082268065 MUNIDAH,DRA P 15/07/1964 P JATI758.0000081675922 MUNINGAH P 07/09/1970 I JL.MASJID759.0000081652566 MUNTOFINGAH P 30/03/1971 P SAWANGAN760.0000158028243 MURDIYANA L 14/09/1958 P CINDAGA761.0000158653833 MURID AL SUKADI L 03/09/1949 P KARANGSARI762.0000081677687 MURIYAH P 14/04/1954 P JL.SILUK763.0000081680455 MURIYAH P 14/04/1954 I JL.SILUK764.0000200442159 MURNI P 25/05/1955 I ADISANA765.0000203043734 MURNI ASTUTI,S.PD P 08/05/1972 P SAWANGAN766.0000173608874 MURSID L 03/09/1959 P GAMBARSARI767.0000148432296 MURSYIDAAN ADI FIRMANSYAH L 22/07/2009 1 KEBASEN768.0000081677711 MURTINAH P 14/02/1954 P KEBASEN769.0000082069874 MURYATI P 28/04/1953 P RANDEGAN770.0000082071461 MUSFIROH P 31/12/1935 I KALISALAK771.0000160644396 MUSIANI P 19/05/1967 P -772.0000082069885 MUSLIM L 01/08/1946 P GAMBARSARI773.0000082074519 MUSLIMAH P 31/12/1948 I KALIWEDI774.0000081678251 MUSLIMATUN HASANAH P 30/10/1990 1 GAMBARSARI775.0000140253129 MUSMULYADI L 19/11/1975 P -776.0000158968642 MUSTOFA, S.PD L 11/03/1969 P SAWANGAN RT.01/02777.0000168081028 MUSTOLINGAH P 12/01/1981 P RANDEGAN778.0000081894036 MUTASINAH P 05/07/1951 I KEBASEN779.0000162413886 MUTIA ZULFA P 09/10/2009 2 KEBASEN780.0000081112588 MUTIARA PUTRI WIDADI P 03/08/2006 1 CINDAGA781.0000081659193 MUTOHAR L 08/01/1961 P KEBASEN782.0000081967094 NADIA INAN AMIRAT P 09/02/1999 2 MANDIRANCAN783.0000081004364 NAENI ISMAWATI,SPD P 09/05/1975 P RANDEGAN784.0000081657887 NAFA ZAKIA WAKHYU KINASIH P 03/11/2006 2 GAMBARSARI785.0000081965902 NAHARANI NURI AKMAL P 28/09/2007 2 TUNJUNG786.

Page 15 of 352/1/13 5:00 PM

Page 16: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000172753571 NAJMI PRIFA ALFARESI P 04/02/2007 1 KALISALAK787.0000082069918 NAKIR HADISUTRISNO L 15/01/1944 P CINDAGA788.0000081680174 NANI AMINAH SAG P 23/04/1968 I JL.NGASINAH789.0000081892484 NAPINGAH P 25/11/1948 I KALIWEDI790.0000081892991 NARDAM L 12/03/1945 P MANDIRANCAN791.0000082075285 NARDEM P 21/05/1951 I MANDIRANCAN792.0000081514113 NARDI L 02/03/1970 P GAMBARSARI793.0000160887374 NARKIM L 12/07/1925 P CINDAGA794.0001079007895 NARSEM P 15/09/1969 I JL.MASJID795.0000082069929 NARSIM L 07/09/1945 P KEBASEN796.0000207929608 NARSIYAH P 15/07/1958 P KARANGSARI797.0000075933549 NARSUM L 07/03/1957 P GAMBARSARI798.0000082069953 NARWAN L 09/11/1934 P GAMBARSARI799.0000082403109 NARWEN P 02/05/1959 I MANDIRANCAN800.0000081953504 NARYANTO L 12/09/1969 P LOSARI801.0000082070008 NASAN L 01/04/1950 P GAMBARSARI802.0000082070019 NASEM P 02/08/1926 P KEBASEN803.0000082303503 NASIKUN L 20/05/1960 S KEBASEN804.0000082389249 NASILEM P 03/05/1961 P MANDIRANCAN805.0000081597971 NASIM L 26/09/1955 P TUMIYANG806.0000082416475 NASIM,SPD L 02/07/1965 P KALISALAK807.0000081989008 NASIMIN L 17/07/1952 P ADISANA808.0000081807456 NASIRAH P 21/12/1932 I ADISANA809.0000082070043 NASIRUN L 13/12/1939 P KARANGSARI810.0000081677924 NASIWEN P 07/10/1967 P KARANGSARI811.0000075876636 NASIYAH P 06/09/1966 I GAMBARSAR812.0000082394212 NASKA NATRI RAHAYU P 07/07/1960 I KEBASEN813.0000081655683 NASLAM L 16/05/1965 P ADISANA814.0000203749255 NASRUDIN MOKHAMAD DAKHLAN L 18/02/1997 2 GAMBARSARI815.0000080852049 NASRUL UMAM L 09/07/1989 3 JL RAYA KALISALAK816.0000081962346 NASTITI P 18/11/1963 P GAMBARSARI817.0000081677935 NASTITI HIDAYATI P 11/04/1957 P KEBASEN818.0000081893013 NATEM P 10/04/1956 P TUMIYANG819.0000082070087 NATI P 12/06/1934 P TUMIYANG820.0000081680185 NAUFAL AZIZUL UMAM P 11/09/2000 1 JL.NGASINAH821.0000081652599 NAURA ARUM KARTIKA P 28/03/2003 2 SAWANGAN822.0000080859699 NAWALI NAJWAN AZHIM M L 20/05/2006 1 KALISALAK823.0000081641788 NAWAN L 11/06/1957 P KEBASEN824.0000081892956 NAWEN P 09/03/1949 I MANDIRANCAN825.0001078249037 NAWISAH P 09/07/1965 I KEBASEN826.0000082452824 NAWITEM P 27/10/1958 I GAMBARSARI827.0000210762347 NAZAR ARY PRATAMA L 28/01/2007 1 SAWANGAN828.0000075876592 NENENG KARWATI P 07/04/1982 I CINDAGA829.0000211277722 NENTI P 20/07/1974 I KEBASEN830.0000173921826 NERPADITA PARAMASTRI P 27/06/1999 2 KALISALAK831.0000082276964 NETTY KUSUMA L P 12/06/1996 1 MANDIRANCAN832.0000038188359 NGAIS TUTI P 09/09/1959 P KALI SALAK833.0000082073305 NGALIYAH P 22/09/1947 I KALIWEDI834.0000058796763 NGATIRAN L 08/07/1966 P -835.0000041200661 NI KT. DIAH CHAERANI P 06/12/1962 P JL KRI BERUANG NO 25A RT

002 RW 09836.

0000082071281 NILEM P 11/09/1952 I MANDIRANCAN837.0000082418084 NINA HERNIATI,SPD P 28/09/1972 P MANDIRANCAN838.0000081514135 NINDI UU AINI P 27/11/1999 1 GAMBARSARI839.

Page 16 of 352/1/13 5:00 PM

Page 17: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000081678622 NINDYA FADHILA RAHMAH P 26/03/2004 1 KEBASEN840.0000080864739 NING SETYOWATI P 16/09/1972 I CINDAGA841.0000082071066 NING SUKARNI P 13/10/1953 I KEBASEN842.0000081763334 NING WAHYUNI P 14/05/1963 I TUMIYANG843.0000075875106 NINI NGADINAH P 07/03/1968 I TUMIYANG844.0000081641125 NISITA ANGGINUGRAHENI P 19/06/1993 2 CINDAGA845.0001078120449 NITIASIH P 06/02/1967 I ADISANA846.0000075875837 NIWEN P 16/05/1961 I KEBASEN847.0000081667113 NOFI DIAN SUNDARI P 12/11/1984 P KEBASEN848.0000203946895 NOFI INDRIYANI P 20/09/1990 P CINDAGA849.0000081537401 NOVADHILA PURWANING TYAS P 15/11/1997 1 KALISALAK850.0000081760228 NOVI ARYATI P 21/11/1992 1 GAMBARSARI851.0000082353306 NUGROHO KUSUMA WARDANA L 14/12/1989 3 CINDAGA852.0000075876366 NUKMAAFAINI MEVIA P 27/06/2001 2 KEBASEN853.0000077221361 NUNIK SETIAWATI P 14/05/1977 I ADISANA854.0000082070199 NUR AINAH P 10/07/1941 P KALISALAK855.0001078797532 NUR AMINAH P 30/11/2001 2 MANDIRANCAN856.0000075874048 NUR CAHYANI MUSTIKA RINI P 24/06/1990 2 GAMBARSARI857.0001078966383 NUR IZAH ROMADHON P 13/11/2003 2 KEBASEN858.0001078797497 NUR JANNAH P 30/11/2001 1 MANDIRANCAN859.0000211277744 NUR MAUDIANA L 29/07/1996 2 KEBASEN860.0000165849524 NURAINI P 17/02/1950 P KALIWEDI861.0000082070212 NURDINI L 31/12/1946 P SAWANGAN862.0001078967226 NURFAHMI ALFAUZI L 25/11/1999 5 KALIWEDI863.0000082070234 NURHIDAJAH P 21/07/1946 P GAMBARSARI864.0000080922363 NURIATIAH P 23/05/1968 I CINDAGA865.0000081760217 NURITAH P 07/05/1966 I GAMBARSARI866.0000038271846 NURLAELA P 18/06/1970 P GG MANGGIS 13/17 RT 07/04867.0000081678148 NURMIAH. HJ P 19/03/1959 P KEBASEN868.0000082309814 NURSETIO AJI PRAPTOMO L 16/08/1990 2 SAWANGAN869.0000081756819 NURUL RAMDANI P 17/02/1995 1 GAMBARSARI870.0000078489483 NURVITA YUNI VIANTI P 20/06/1991 2 KALIWEDI871.0000081678161 NURYANTI P 06/03/1962 P KEBASEN872.0000082066746 NURYATI P 31/12/1966 I KALIWEDI873.0000081719098 NURYATI P 05/10/1957 I KALISALAK874.0001078665131 NYAMINAH P 01/08/1965 I KEBASEN875.0000209790099 ODRI NUR ALFANI L 02/10/2003 3 TUMIYANG876.0000082303536 OKTI MAULITA DEWI P 01/10/1990 3 KEBASEN877.0000082070267 ONDJO SYARIFUDIN L 31/12/1945 P CINDAGA878.0000082070289 PAIMAN L 31/12/1935 P GAMBARSARI879.0000082070302 PAINAH P 25/04/1937 P KEBASEN880.0000081679184 PAINEM P 07/03/1971 I SAWANGAN881.0000163043199 PANDHU WIJAYANTO L 07/07/2009 2 LOSARI882.0000081659215 PANDU EKO PRASETYO P 06/01/1993 1 KEBASEN883.0000210757015 PANGGIH PAWENANG L 13/09/1986 P KEBASEN884.0000081678172 PANGGUNG LESMANA L 10/06/1966 P MANDIRANCAN885.0000082391466 PARDI L 09/04/1959 P KEBASEN886.0000082070335 PARDI L 30/12/1952 P MANDIRANCAN887.0000082070368 PARDJI AL MARTADJI L 03/01/1927 P CINDAGA888.0000081893057 PARMAN L 17/08/1949 P BANGSA889.0000082452813 PARNO L 28/01/1968 P GAMBARSARI890.0000082066983 PARSINEM P 17/12/1925 I KEBASEN891.0000081678205 PARSITI P 14/02/1968 P GAMBARSARI892.

Page 17 of 352/1/13 5:00 PM

Page 18: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000081678249 PARSIYAH P 21/08/1956 P GAMBARSARI893.0000081678273 PARSUM L 08/04/1967 P KALISALAK894.0000082070381 PARTAM L 27/04/1942 P KEBASEN895.0000082070054 PARTINI P 01/01/1962 I KARANGSARI896.0001078936413 PARTIYAH P 27/03/1972 I GAMBARSARI897.0000082070414 PARTOWIREDJO L 10/06/1922 P GAMBARSARI898.0000081841206 PARWATI P 10/06/1975 P KEBASEN899.0000210762281 PARWOKO L 02/12/1980 S SAWANGAN900.0000080734206 PARYATI P 24/07/1962 I MANDIRANCAN901.0000082072719 PENNY SUBIYASTUTI P 15/11/1953 P GAMBARSARI,KEBASEN,BMS902.0000082070436 PIRNGADI L 10/09/1936 P KEBASEN903.0000082070458 PONIRAN L 31/12/1936 P MANDIRANCAN904.0000193579018 PONIYEM P 05/05/1952 I KEBASEN905.0000075875253 PONTJO L 30/07/1955 P KEBASEN906.0000081667372 PRABAWANTI ROSANA P 01/03/1985 P ADISANA907.0000081652588 PRADANA REZKY DARYANTO L 20/07/1997 1 SAWANGAN908.0000976220987 PRADIPTA BAGAS JATMIKO L 03/02/1995 3 KALISALAK909.0000976305699 PRAPTONO L 12/08/1950 P KEBASEN910.0000081661329 PRAPTONO, SH L 18/11/1963 S GAMBARSARI911.0000210514779 PRATISTA PALUPININGTYAS P 25/03/2004 3 KALISALAK912.0000081893103 PRAYITNO B.MARTODIHARDJO L 22/02/1946 P KEBASEN913.0000081675843 PRIMA GHOZALI L 25/12/1989 3 KALISALAK914.0000081677384 PUGUH ANDOKO L 11/06/1989 1 SAWANGAN915.0000081601299 PUJADI L 27/01/1956 P JL. LAP PENGAIRAN916.0000081832138 PUJADI WIDYASTOMO L 25/07/1975 P KALISALAK917.0000081537399 PUJI TUGIARTI P 19/11/1973 I KALISALAK918.0000075875567 PUJIATI P 29/04/1972 I KEBASEN919.0000082303749 PUJIONO L 16/03/1962 P JL.BALAI DESA920.0000081841443 PUJO ANTONO L 03/11/1973 P MANDIRANCAN921.0000081894341 PUNTO AJI PANGASTUTI P 11/07/1999 2 KEBASEN922.0000082397777 PUPUT MANIS P 26/03/1990 2 KEBASEN923.0000082322853 PURNOMO L 25/03/1967 P BANGSA924.0000159569919 PURNOMOSIDI L 19/10/1957 P KEBASEN RT.01/I BMS925.0000080922352 PURNOMOSIDI ,A.MA.PD L 28/09/1965 P CINDAGA926.0000081758788 PURWANTI P 15/06/1972 I MANDIRANCAN927.0000058027746 PURWANTI HADISIWI P 24/08/1958 P JL TOPOGRAFI 268 B KPAD

GEGERKALONG928.

0000081841511 PURWANTO,DR L 23/02/1966 P PATIKRAJA929.0000081678418 PURWATI P 07/05/1955 P JL.RAYA BENTUL930.0000082303784 PURWATI P 04/10/1961 P KALISALAK931.0000081678407 PURWATI P 19/08/1965 P TUMIYANG932.0000081575201 PURWIDIANTORO A.N L 03/10/1991 1 KEBASEN933.0000083017102 PURWONO L 19/07/1954 P KEBASEN RT. 05/II934.0000209511213 QONITA INDRIYANI P 15/08/2001 1 MANDIRANCAN935.0000081680051 QONITA SALSABILA P 17/06/2002 1 GAMBARSARI936.0000081675887 QURROTA AYUN AL AZHAR P 12/10/1995 1 GAMBARSARI937.0001078960318 QURROTA AYUN AL AZHAR P 12/10/1995 1 GAMBARSARI938.0000080838562 RABUN L 22/05/1952 P JL RAYA CINDAGA939.0000082070504 RADAM L 08/10/1948 P KALISALAK940.0000210467349 RADITYA RIDHO ABDILLAH L 17/06/1996 2 KEBASEN941.0000081893182 RADIYEM P 01/01/1937 P CINDAGA942.0000162640001 RADIYEM P 01/01/1937 I CINDAGA RT.4/VIII KEBASEN943.0000203057673 RAFA YULIAN AZHAR L 23/07/2010 2 GADING944.0000003405622 RAFI FAIZ ZAUHAIR L 15/01/2006 1 GADING945.

Page 18 of 352/1/13 5:00 PM

Page 19: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082281745 RAFI PARAHITA P 14/05/2004 1 KALISALAK946.0000210016113 RAFLI OKTALIO RAMADHANDI L 31/10/2004 2 MANDIRANCAN947.0000081675876 RAGIL KUNMARYATI P 11/04/1973 I GAMBARSARI948.0001078960151 RAGIL KUNMARYATI P 11/04/1973 I GAMBARSARI949.0000082730351 RAGIL LIHANA KUSUMA W P 02/09/2007 1 TUMIYANG950.0000977694838 RAHAYU TEGUH PRIATIN P 14/04/2010 3 TUMIYANG951.0000037594089 RAHMANIAH P 24/06/1972 P -952.0000050695907 RAHMAYANTI P 21/07/1981 P -953.0000207849881 RAID IJLAL NABIH A.M L 26/08/2011 3 ALANGAMBA954.0000081678159 RAIS FAIZAL L 20/07/1991 2 KEBASEN955.0000081893834 RAMIAH P 05/03/1934 I KEBASEN956.0000081529705 RAMIJAN L 22/03/1951 S GAMBARSARI957.0000977925576 RANDYKA GUMILANG P L 27/09/2002 3 KALISALAK958.0000082303885 RANGGA ATYANTA IDASA L 21/08/1989 2 KEBASEN959.0000082411356 RANI PUSPITA PURNA R P 23/04/2004 2 BANGSA960.0000081807489 RANTEM SANTIKA P 28/11/1954 P KALISALAK961.0000082070594 RASEM L 01/07/1942 P SAWANGAN962.0000081893867 RASEM P 12/12/1936 I KEBASEN963.0000081726208 RASEM P 31/12/1952 I RANDEGAN964.0000081807535 RASEM P 31/12/1942 I SAWANGAN965.0000082070605 RASID L 05/12/1945 P KALISALAK966.0000082070627 RASIJAH MARMI P 31/12/1950 P PERUMAHAN DPU SERAYU

HILIR967.

0000081807311 RASIKIN. L 31/12/1925 P KALISALAK968.0000081678521 RASIM L 11/04/1962 P SAWANGAN969.0000082070638 RASIM L 28/04/1949 P GAMBARSARI970.0000210467305 RASIM L 03/06/1959 S KEBASEN971.0000158803839 RASIM* * L 31/12/1962 P KARANGSARI972.0000082067938 RASIMAN L 31/12/1944 P KEBASEN973.0000081893237 RASIMAN L 08/08/1947 P KALISALAK974.0000082070684 RASINEM P 01/01/1931 P GAMBARSARI975.0000082070673 RASINEM P 05/07/1947 P RANDEGAN976.0000082070291 RASINEM P 01/01/1943 I GAMBARSARI977.0000210467327 RASISTIA W PRIMADINESKA P 22/08/1994 1 KEBASEN978.0000082070695 RASIWEN P 31/12/1959 P KALISALAK979.0000081893259 RASIYEM P 04/04/1957 P ADISANA980.0000080735613 RASIYEM P 31/12/1951 I KALIWEDI981.0000082070706 RASMI WAHYUNI P 31/12/1959 P KEBASEN982.0000082070739 RASMINI JD DJAENAL ARIFIN P 15/02/1961 P BENTUL KEBASEN983.0000081841757 RASMIYAH P 14/01/1966 P KARANGSARI984.0001078942544 RASTAM L 28/11/1966 S GAMBARSARI985.0000082070818 RASTI P 08/04/1942 P BANGSA986.0000082070831 RASUM L 15/05/1930 P CINDAGA987.0000082070853 RASUN L 01/01/1924 P TUMIYANG988.0000082070908 RATAM L 21/06/1942 P KALISALAK989.0000082070921 RATAM KARTOATMODJO L 31/12/1933 P JL.POMPA AIR KEBASEN990.0000082072113 RATEM P 31/12/1940 I KEBASEN991.0000081893283 RATINEM P 12/01/1956 P KEBASEN992.0000082070943 RATISEM P 14/06/1948 P SAWANGAN993.0000082070954 RATIYAH P 31/12/1939 P SAWANGAN994.0000082071044 RATIYEM P 01/01/1930 P KEBASEN995.0000081530548 RATNA KHUMIROH P 11/01/1969 I JL. MESJID996.0000207410229 RAWEN P 01/01/1941 I BANGSA997.0000158031257 RAYAN SILALAHI L 04/10/1958 P PARAPAT KEC.GIRSANG998.

Page 19 of 352/1/13 5:00 PM

Page 20: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

SIPANGANBOLON

0000082070965 RD.SUMARTA L 04/08/1951 P SAWANGAN999.0000081681322 RENDRA RAHMAN L 11/11/1990 1 JL.SATRIA1,000.0000081053561 RENI WARDANI P 23/08/1989 I KALISALAK1,001.0000082336421 RESMINI P 26/11/1962 P KALISALAK1,002.0000081841768 RESTU ANGGA PERMANA L 09/05/1994 1 KARANGSARI1,003.0000081678609 RETNO INDARYANI P 14/05/1978 P KEBASEN1,004.0000081528941 RETNO KUSETYOWATI P 18/11/1961 P JL.TAMBANGAN1,005.0000081963437 RETNO WIYATI P 20/09/1972 P BANGSA1,006.0000081678442 RIA MERNAWATI P 07/03/1996 2 TUMIYANG1,007.0000081149308 RIADI L 28/05/1976 P KEBASEN1,008.0000081563185 RICHARD ARLI FEB. SIBORO L 18/02/1994 3 KEBASEN1,009.0000081756821 RIDHO FAUZAN L 14/12/1998 2 GAMBARSARI1,010.0000082530505 RIFKA SAFRIDA P 04/01/2000 2 TUMIYANG1,011.0000153501862 RIFKI FIRMANSYAH L 16/03/1977 P -1,012.0000081677619 RIFKI ISNA FEBRIANTO L 26/02/1993 2 JL. BENTUL BENTUL1,013.0000208309454 RIFKI NURARIFIN L 15/01/1995 3 KALIWEDI1,014.0000039460959 RIKKI JUNALDI L 09/06/1985 P -1,015.0000082069209 RINAH P 01/01/1945 I KEBASEN1,016.0000038684024 RINI MUHARINI P 14/01/1975 P JL PROF M YAMIN GG TELUK

PAKEDAI II/41,017.

0000081893316 RIPAN SUPRAYOGI L 06/10/1944 P KEBASEN1,018.0000082072438 RISAM L 19/09/1943 S SAWANGAN1,019.0000081678677 RISMAN,S.PD L 21/07/1966 P GAMBARSARI1,020.0000081575212 RISNA AYU PARAMITA P 16/01/1995 2 KEBASEN1,021.0000081555491 RISTAM L 20/09/1966 P CINDAGA1,022.0000080722563 RISWAN L 11/06/1958 P GAMBARSARI1,023.0000081893338 RITAM L 22/03/1943 P CINDAGA1,024.0000082071055 RITHAM L 20/12/1939 P KEBASEN1,025.0000081678712 RIWAN L 19/04/1950 P GAMBARSARI1,026.0000075876568 RIZAL FEBRIANZAH L 05/02/1999 1 CINDAGA1,027.0001078958766 RIZKIANA NUR ARIFFAH P 23/06/1995 3 SAWANGAN1,028.0000162922959 RIZKY MEI DANI L 05/05/2005 2 KALISALAK1,029.0000082071099 ROCHAENI P 06/06/1955 P KEBASEN1,030.0001078664995 ROCHID L 02/09/1959 P KEBASEN1,031.0000082071101 ROCHMAT L 15/08/1956 P ADISANA1,032.0000080788509 ROCHMAT KIRNIAWAN L 03/05/1989 1 JL MASJID1,033.0000036755673 RODJALI L 14/08/1954 P JL JATI JAJAR I RT

02/02/DESA JATI JAJAR I1,034.

0000081057363 RODJIKIN L 31/12/1948 P CINDAGA1,035.0000082071145 ROESEB P 01/01/1930 P GAMBARSARI1,036.0000082071156 ROHADI L 17/03/1936 P KEBASEN1,037.0000081149319 ROHMAYANI P 29/09/1983 I KEBASEN1,038.0000201877839 ROIF JULI SURYAWAN L 31/07/2010 2 CINDAGA1,039.0000081678745 ROKHATI WIDYOWATI,SPD P 15/12/1958 P JL. SAEBANI1,040.0000075875556 ROKHYAT L 07/04/1971 P KEBASEN1,041.0000081681333 ROSITA OKTA PRASTIKA P 20/10/1994 2 JL.SATRIA1,042.0000012486688 ROSMANIAR POLEM P 29/04/1959 P JL.KELAPA NO.56 GUNUNG

SITOLI1,043.

0000082071178 RUBINEM P 24/06/1924 P GAMBARSARI1,044.0000082071189 RUDIN BIN DULCHARIS L 10/10/1944 P CINDAGA1,045.0000081849071 RUDIYANA L 31/07/1962 P CINDAGA1,046.0000081967083 RUDY PUTRA ANDIKA L 07/08/1992 1 MANDIRANCAN1,047.0000113300223 RUKMINTO L 26/07/1961 P DELTA TAMA V/15 WARU1,048.0000081678881 RUMIYATI P 11/05/1961 P CINDAGA1,049.

Page 20 of 352/1/13 5:00 PM

Page 21: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082071202 RUMPITI P 31/12/1938 P GAMBARSARI1,050.0000082071213 RUPI P 13/03/1948 P KALISALAK1,051.0000081678914 RUPINAH P 15/04/1952 P SAWANGAN1,052.0000082071235 RUSDIANTO L 10/03/1947 P CINDAGA1,053.0000081679645 RUSINAH P 05/06/1960 I KALIWEDI1,054.0000081963865 RUSMIASIH P 22/12/1975 P MANDIRANCAN1,055.0000082071268 RUSMINI P 01/01/1935 P GAMBARSARI1,056.0000082399105 RUSMINI P 23/12/1963 I KEBASEN1,057.0000081677081 RUSMINI P 15/07/1957 I KALISALAK1,058.0000081953515 RUSMINI P 05/09/1972 I LOSARI1,059.0000082071279 RUSTAM L 04/11/1941 P MANDIRANCAN1,060.0000081507824 RUSTAMTO,DRS L 30/09/1965 P CINDAGA1,061.0000081963887 RUSWATI P 02/05/1954 P KEBASEN1,062.0000081807131 S A W E N P 31/12/1927 I ADISANA1,063.0000082071303 S HADI SOEMARTO L 05/04/1935 P KEBASEN1,064.0000082071325 S POEJOHARSONO L 18/02/1941 P BANGSA1,065.0000043459571 SABARDINI MEGALESTARI PUJIASTUTI P 13/03/1958 P PERUM CANDRA LAMA JL

SULAWESI BLOK E961,066.

0000082071382 SABAT L 15/04/1945 P KALIWEDI1,067.0000168081489 SABILA ZULFAUS SYOFA L 01/02/2006 1 RANDEGAN1,068.0000080857269 SABINGIN L 17/03/1958 P KALISALAK1,069.0000976243318 SABQI HAMZAH AZIB L 09/09/2011 1 MANDIRANCAN1,070.0000081606622 SADAM L 02/12/1964 P TUMIYANG1,071.0000081639303 SADI L 05/11/1972 P GAMBARSARI1,072.0000081893428 SADIKIN L 01/11/1928 P MD RANCAN RT.4/31,073.0000082730338 SADIM L 07/08/1948 P TUMIYANG1,074.0000082303852 SADIMIN,DRS L 28/01/1960 P KEBASEN1,075.0000081893452 SADINAH P 27/10/1939 P KALIWEDI1,076.0000082071472 SADIRI L 20/12/1948 P KALIWEDI1,077.0000082071527 SADIYAH P 24/07/1941 P KEBASEN1,078.0000163397878 SAEFUDDIN, S.AG, M.AG L 10/02/1974 S JL.KARANGSAWAH

SUDAGARAN1,079.

0000977167517 SAFIRA ZULAFTUT TAQIYYAH P 09/02/2009 2 GAMBARSARI1,080.0000081963922 SAHERI * L 02/01/1955 P KEBASEN1,081.0000082071562 SAHIR L 07/06/1948 P CINDAGA1,082.0000196173595 SAHMA AMAR SYAHIDA L 22/06/2010 2 KALISALAK1,083.0000083017269 SAHUDI L 22/12/1972 P KEBASEN1,084.0000081893485 SAHUDI L 22/02/1940 P KARANGSARI1,085.0000149490101 SAIFUL AZIS L 04/06/1975 S KALISALAK1,086.0000081679105 SAINAH P 01/10/1957 P CINDAGA1,087.0000081894082 SAINAH P 16/06/1947 I KEBASEN1,088.0000082071628 SAINEM P 02/02/1939 P BANGSA RT 4/I1,089.0000082071639 SAINEM P 31/12/1927 P GAMBARSARI1,090.0000081679149 SAINO L 13/01/1965 P JL.KARTINI1,091.0000082071641 SAIRAN L 12/03/1950 P CINDAGA1,092.0000082068399 SAITEM P 06/03/1954 I KEBASEN1,093.0000081807434 SAKEM P 31/12/1940 I KALISALAK1,094.0000081710965 SAKIYEM P 06/06/1955 I ADISANA1,095.0000081679162 SALADI L 19/11/1944 P TUMIYANG1,096.0000082071718 SALAM L 12/03/1923 P KEBASEN1,097.0000160889095 SALAM SAREDJA L 10/10/1928 P MANDIRANCAN1,098.0000082071742 SALECH AL MUH DAHLAN L 06/06/1933 P KEBASEN1,099.0000082071764 SALIJEM P 28/03/1930 P MANDAIRANCAN1,100.0000082071775 SALIKIN L 10/12/1940 P KEBASEN1,101.

Page 21 of 352/1/13 5:00 PM

Page 22: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000081664413 SALIKUN L 19/04/1955 P KARANGSARI1,102.0000082373512 SALIM L 29/09/1954 P KALIWEDI1,103.0000082071854 SALIMI L 04/08/1945 P KEBASEN1,104.0000082071887 SALIPAN L 16/09/1942 P RANDEGAN1,105.0000976523332 SALIYAH P 10/11/1964 I KALISALAK1,106.0000081893507 SALIYEM P 01/01/1946 P KALISALAK1,107.0000081807153 SALIYEM P 13/08/1936 I ADISANA1,108.0001078643114 SALSA MUSLIMATUSYIFA P 08/08/2003 3 GAMBARSARI1,109.0000082070032 SAMI P 07/10/1955 I KEBASEN1,110.0000082071911 SAMINAH P 27/06/1956 P KEBASEN1,111.0000082069536 SAMINAH P 12/11/1946 I KEBASEN RT.6/3 KEBASEN1,112.0000081664424 SAMINAH P 07/06/1968 I KARANGSARI1,113.0000082416486 SAMINEM P 10/07/1969 I KALISALAK1,114.0000081893518 SAMINI P 30/07/1946 P GAMBARSARI1,115.0000082075241 SAMINI P 15/05/1956 I KEBASEN RT.06/021,116.0000082068333 SAMIRAH P 01/01/1945 I KEBASEN1,117.0000081057374 SAMIRAH P 20/10/1954 I CINDAGA1,118.0000082073439 SAMIRAH P 13/07/1945 I KEBASEN1,119.0000082071922 SAMIRUN L 12/08/1948 P KARANGSARI1,120.0000082274051 SAMIRUN L 03/03/1968 P KALISALAK1,121.0000081893529 SAMIYAH P 01/12/1952 P KALISALAK1,122.0000082070515 SAMIYAH P 14/08/1955 I KALISALAK1,123.0000082071944 SAMPEN P 10/10/1954 P KALIWEDI1,124.0000081807445 SANDANI L 15/12/1923 P ADISANA1,125.0000082071966 SANDIARJA DASAM L 18/07/1923 P TUMIYANG1,126.0000081678767 SANDY ANITA ROYANA DEWI P 16/06/1991 1 JL. SAEBANI1,127.0000008442753 SANIAH P 31/12/1969 P -1,128.0000082072271 SANIAH P 17/07/1925 I CINDAGA1,129.0000082071988 SANIATUN,BA P 20/04/1947 P KEBASEN1,130.0000082071999 SANIJO L 31/12/1925 P KEBASEN1,131.0000081676912 SANIYAH P 20/04/1962 I JL. PEMANCAR LEGOK1,132.0000082072012 SANIYEM P 23/08/1934 P GAMBARSARI1,133.0000075875703 SANJOTO L 01/06/1954 P KEBASEN RT.8/I1,134.0000082072023 SANKOESDI L 31/12/1929 P KALISALAK1,135.0000081676113 SANTI NUGRAHENI P 05/05/1971 I MANDIRANCAN1,136.0000082072067 SANWACHID L 31/12/1937 P GAMBARSARI1,137.0000082072089 SANWIHARDJO AL DASAM L 28/08/1933 P TUMIYANG1,138.0000081679173 SAPIN, A.MA L 12/06/1969 P SAWANGAN1,139.0000082072192 SAPINGI L 03/06/1938 P GAMBARSARI1,140.0000055746055 SAPTAHARI MUDIJANA SOEGIRI POETRA L 15/06/1957 P JL GANDARIA 2 NO 5 RANCA

KENDAL1,141.

0000081842523 SAPTO BUDI WALUYO L 01/10/1966 P BANGSA1,142.0000149195215 SAPTO WASONO, S.SI L 05/03/1969 P ADISANA1,143.0000045755875 SARA TANIA APRIANTY P 24/04/1978 P JL CIMANDIRI 3 NO 97 RT

03/031,144.

0000081758777 SARDI L 10/12/1970 P MANDIRANCAN1,145.0000082067973 SARI P 31/12/1951 I RANDEGAN1,146.0000082079087 SARIDAH P 04/01/1943 P SAWANGAN1,147.0000082072282 SARINAH P 31/12/1949 P KALIWEDI1,148.0000081679217 SARINAH P 13/08/1949 P KEBASEN1,149.0000082072315 SARIPAH P 31/12/1948 P SAWANGAN1,150.0000169834803 SARITEM P 18/07/1973 I CINDAGA1,151.0000082072326 SARIYEM P 30/01/1952 P KEBASEN1,152.0000158749064 SARKUM * L 31/12/1960 P KEBASEN1,153.

Page 22 of 352/1/13 5:00 PM

Page 23: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082374142 SARMINI NUR RAHMAWATI P 17/04/1984 I GAMBARSARI1,154.0000166933596 SARNO L 18/01/1971 P KEBASEN1,155.0000050556767 SARPUJI L 01/01/1960 P JL. PROF DR. HAMKA GG.

NILAM IV1,156.

0000082072337 SARPUN L 06/01/1934 P KALISALAK1,157.0000082072359 SARTAM L 07/06/1947 P KEBASEN1,158.0000081677204 SARTI P 10/06/1962 I MANDIRANCAN1,159.0000082072372 SARTIJAH P 10/06/1948 P KALISALAK1,160.0000081893531 SARTIM L 30/01/1930 P GAMBARSARI1,161.0000081893248 SARTIMAH P 01/01/1953 I KALISALAK1,162.0000075875804 SARTIMAN L 02/03/1954 P GAMBARSARI RT.01/041,163.0000082072383 SARTIMAN L 29/11/1946 P GAMBARSARI1,164.0000081893553 SARTINAH P 08/07/1943 P KEBASEN1,165.0000082072405 SARTINEM P 01/01/1946 P GAMBARSARI1,166.0000077209558 SARTINEM P 20/12/1963 I KEBASEN1,167.0000082072394 SARTINI P 15/09/1951 I GAMBARSARI1,168.0000082072427 SARTIWI P 26/08/1954 P SAWANGAN1,169.0000081807625 SARWEN P 26/11/1926 I KALISALAK1,170.0000081894194 SARWEN P 12/02/1945 I SAWANGAN1,171.0000081664457 SARWONO L 12/05/1949 P KEBASEN1,172.0000082073709 SARYATI P 06/03/1958 I BANGSA RT.4/I,KEBASEN1,173.0000082446197 SASTI AMAR SABILA P 25/03/2001 1 KALISALAK1,174.0000081807524 SASTROPAWIRO AL SARWAN L 31/12/1923 P SAWANGAN1,175.0000082072866 SATI P 01/04/1937 I KEBASEN1,176.0000082068838 SATI P 22/06/1955 I GAMBARSARI1,177.0001078758145 SATINAH P 05/09/1964 I KEBASEN1,178.0000082069492 SATINI P 31/12/1947 P KALISALAK1,179.0000082072539 SATINI P 01/01/1930 P KEBASEN1,180.0000162642363 SATINI P 01/01/1930 I KEBASEN RT.02/021,181.0000075875815 SATINI P 05/06/1959 I GAMBARSARI RT.01/041,182.0000081893564 SATIRMAN L 15/05/1924 P KEBASEN1,183.0000081807568 SATIRMAN L 15/05/1924 P KALISALAK1,184.0000083017359 SATIWAN L 10/10/1953 P KEBASEN1,185.0000082072541 SATIWEN P 15/12/1950 P KALISALAK1,186.0000081893575 SATIYEM P 31/12/1930 P SAWANGAN1,187.0000081677654 SATRI YULI PRAYOGO L 11/07/1994 2 KALISALAK1,188.0000075875826 SAWADI L 11/09/1958 P KEBASEN1,189.0000081807581 SAWIN AL PARTAWI L 31/12/1930 P CINDAGA1,190.0000081892754 SAWINAH P 12/10/1956 I CINDAGA1,191.0000081893586 SAWIYEM P 31/12/1925 P KEBASEN1,192.0000204386488 SAYYID HANAN PRAMUJATI L 24/07/2010 2 KARANGKEMIRI, MANGGIS1,193.0000198363622 SELVIANA EKA TREANDANI, AM.KEB P 26/05/1987 P Kab. Banyumas1,194.0000081681276 SEMIATI P 26/04/1979 I JL.RAYA LAMPEGAN1,195.0000082072574 SENEN JD.SOEKIR AK. P 01/01/1935 P KEBASEN1,196.0000082303896 SENEN SUSANTO L 25/03/1947 P KARANGSARI1,197.0000198397179 SEPTI LISDIANINGSIH P 06/09/1986 P Kab. Banyumas1,198.0000081969311 SEPTI NURWIDIASTUTI P 22/09/1991 1 BANJARPARAKAN1,199.0000202089216 SEPTI SUDI ASTUTI P 11/09/1986 P JL. MAWAR1,200.0001078942757 SEPTIAN DWI RINALD L 02/09/1999 2 GAMBARSARI1,201.0000082303312 SEPTIANDITA ARYA M P 03/09/1990 1 KEBASEN1,202.0000037264601 SEPTRIONO L 05/09/1994 1 CINDAGA1,203.0000085808259 SETIANA ANDRIATI* * P 29/08/1966 P TUMIYANG1,204.0000003405611 SETIYOKO KURNIAWAN,A.MD L 17/07/1974 S GADING1,205.0000082072607 SETOE L 02/02/1932 P GAMBARSARI1,206.

Page 23 of 352/1/13 5:00 PM

Page 24: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000081675898 SHAFLY WAFIQI L 02/10/1999 2 GAMBARSARI1,207.0001078960397 SHAFLY WAFIQI L 02/10/1999 2 GAMBARSARI1,208.0000081893439 SHAONAH P 10/07/1964 I MD RANCAN RT.4/31,209.0000081679307 SHODIKIN L 29/09/1958 P JL. KALISALAK1,210.0000082465075 SHOFA MOCH SUTOPO,IR L 04/10/1954 P KEBASEN1,211.0000208149996 SHOFIARA BINTANG KINANTHI WIJAYA L 15/03/2011 2 KALIWEDI1,212.0000082072787 SIDEM P 17/10/1951 I BANGSA1,213.0000166620014 SIGIT BAYU SUMANTRI L 11/01/1999 3 GAMBARSARI1,214.0000080734083 SIGIT PRIYATMONO L 28/10/1962 P KEPUDANG NO 141,215.0000082072642 SIKAN L 10/03/1933 P GAMBARSARI1,216.0000082072664 SILAM L 11/05/1943 P CINDAGA1,217.0000082072721 SIMIN L 05/12/1940 P BANGSA1,218.0000082072743 SINEM P 04/05/1944 P KEBASEN1,219.0000171366107 SINGGIH RIYADI L 23/04/1991 3 SAWANGAN1,220.0000162943198 SINGGIH TILARSO L 26/05/1993 1 GAMBARSARI1,221.0000082070403 SINGREM P 31/12/1928 I GAMBARSARI1,222.0000082068614 SISEN P 31/12/1946 I MANDIRANCAN1,223.0000082072754 SISJONO L 13/12/1943 P BANGSA1,224.0000082323088 SISWADI L 01/05/1966 P KARANGSARI1,225.0000082072776 SISWADI L 27/07/1942 P BANGSA1,226.0000082072798 SITEM AL KARSITEM P 01/01/1942 P KEBASEN1,227.0000978033363 SITI AMINAH P 01/12/1932 I KARANGSARI RT.02.I1,228.0000081679342 SITI ARIYAH P 13/04/1947 P KALISALAK1,229.0000132359185 SITI BARIROH * P 31/12/1969 P ADISANA1,230.0000082258569 SITI DJALALAH P 20/12/1936 P GAMBARSARI1,231.0000081532269 SITI FATIMAH P 12/05/1959 I KEBASEN1,232.0000081675821 SITI HANDAYANI P 23/12/1960 I KALISALAK1,233.0000127677633 SITI HASBIAH P 15/12/1967 P MAMOA RAYA NO.191,234.0000043492667 SITI HOLISOH P 10/02/1967 I KALIWEDI1,235.0000082284208 SITI ISBANDIYAH * P 17/08/1969 P KEBASEN1,236.0000082323123 SITI JAENAB L 23/02/1969 P KEBASEN1,237.0000081649541 SITI JAENAB P 23/02/1969 I KEBASEN1,238.0000081679432 SITI JUWARIYAH P 19/01/1968 P JL.BALAI DESA1,239.0000082398699 SITI KHAJAROH P 19/08/1963 I GAMBARSARI1,240.0000081679318 SITI KHASANATUN P 30/04/1969 I JL. KALISALAK1,241.0000081659204 SITI KHOTIJAH P 27/12/1970 I KEBASEN1,242.0000081893417 SITI KOMARIJAH P 01/01/1950 P KEBASEN1,243.0000082072811 SITI MAEMUNAH P 01/04/1942 P KALISALAK1,244.0000081679443 SITI MARIAH P 05/10/1959 P JL.JIMAT1,245.0000081679465 SITI MARIAH P 12/12/1949 P KEBASEN1,246.0000081661206 SITI MASLIKHAH P 30/06/1967 I SAWANGAN1,247.0000169055177 SITI MASRUROH P 21/07/1968 I KEBASEN RT.01/I BMS1,248.0000082530483 SITI MUFIDAH P 13/02/1975 I MAJASARI RT.04/041,249.0000083358213 SITI MUFIDAH P 09/12/1966 I KALISALAK1,250.0000082075162 SITI MULYASIH P 10/08/1950 I TUMIYANG1,251.0000081893992 SITI MUNIRAH P 19/06/1947 I MANDIRANCAN1,252.0000081679509 SITI NGATIKOH P 02/06/1966 P BANGSA1,253.0000082072833 SITI RODHIYAH P 31/12/1935 P GAMBARSARI RT.9/I1,254.0000081529694 SITI SAMINAH P 09/10/1953 P TAMBAKNEGARA1,255.0000081679577 SITI SUMARSIH P 22/07/1957 P JL. PERTANIAN1,256.0000082072844 SITI SUMARSIH* * P 31/12/1950 P ADISANA1,257.0000081676697 SITI TRI RAHAYU P 15/02/1989 1 GAMBARSARI1,258.0000196953153 SITUN L 31/12/1933 P RANDEGAN1,259.

Page 24 of 352/1/13 5:00 PM

Page 25: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000081893597 SIWEN P 01/01/1932 P CINDAGA1,260.0000081893608 SIWI HARIYANINGSIH P 16/06/1959 P CINDAGA1,261.0000081527657 SIWI MEYLANI RAHMI P 06/05/2001 2 JL.MAWAR NO.171,262.0000081678429 SJAFII RACHMAT L 05/06/1949 S JL.RAYA BENTUL1,263.0000055933378 SJARIF AVITIJADI A L 31/12/1955 P JL SUTIRAGEN VI NO.6 RT.03

RW.161,264.

0000206103701 SKOLASTIKA SINTA DEWI F P 01/02/1993 1 CINDAGA1,265.0000082072923 SLAMET L 09/06/1944 P KALISALAK1,266.0000082072899 SLAMET L 01/12/1947 P KEBASEN1,267.0000082072888 SLAMET L 19/04/1940 P TUMIYANG1,268.0000081679623 SLAMET L 02/04/1959 P KALIWEDI1,269.0000082072901 SLAMET L 28/11/1950 P KALISALAK1,270.0000976486533 SLAMET AGUS WIBOWO L 17/08/1988 P KARANGSARI1,271.0000082072991 SLAMET HADI WIYOTO L 01/02/1935 P BANGSA1,272.0000082073013 SLAMET KARTODIKROMO L 30/12/1924 P CINDAGA1,273.0000209511325 SLAMET PRIYANTO L 05/04/1975 S MANDIRANCAN1,274.0000040256054 SLAMET RIYADI L 21/11/1971 P KEBASEN1,275.0000080734127 SLAMET SUBEKTI,SPD L 25/05/1957 P KEBASEN1,276.0000082073024 SLAMET SUBENO L 15/02/1948 P RANDEGAN1,277.0000082073035 SOBARI L 15/03/1942 P KEBASEN RT.09/021,278.0000082286987 SOBIRIN,DRS L 04/04/1955 P KEBASEN1,279.0000082446175 SOCHIMIN,LC L 09/10/1969 P KALISALAK1,280.0000075875949 SODIRIN L 19/09/1966 P MANDIRANCAN1,281.0000082073092 SOECHEMI L 26/12/1942 P KEBASEN1,282.0000082495304 SOEDARYO,IR L 08/12/1943 P SAWANGAN1,283.0000082073125 SOEDIRMAN L 27/12/1937 P CINDAGA1,284.0000082073182 SOEKARDI L 15/12/1929 P SAWANGAN1,285.0000207338128 SOEKIRMAN L 25/04/1941 P BANGSA1,286.0000081637108 SOEMARNO L 29/12/1945 S MANDIRANCAN1,287.0000081893643 SOEMIARTO L 15/06/1935 P ADISANA1,288.0000080918515 SOENARDI WIBOWO L 17/07/1953 P KALISALAK1,289.0000159846096 SOENARTI P 01/01/1959 P KEBASEN1,290.0000081893665 SOERATMAN L 18/04/1944 P KALISALAK1,291.0000082073237 SOEWADI H L 25/07/1935 P SAWANGAN1,292.0000081679656 SOFINGAH P 25/05/1962 P SAWANGAN1,293.0000082067646 SOIMAH P 31/12/1948 I KEBASEN1,294.0000082073272 SOLICHIN L 21/06/1941 P KALIWEDI1,295.0000168081355 SOLICHIN L 06/06/1978 S RANDEGAN1,296.0000081680657 SOPII L 20/11/1956 S KALISALAK1,297.0000081563163 SORTA ELITA GULTOM P 16/02/1960 I KEBASEN1,298.0000081483985 SRI ERAWATI P 31/12/1978 P GAMBARSARI1,299.0000081479845 SRI ERAWATI P 31/12/1978 I GAMBARSARI1,300.0000082359641 SRI HARTINI P 09/04/1961 P SOKAWERA1,301.0000080838573 SRI HIDAYATI EKO R P 21/01/1957 I JL RAYA CINDAGA1,302.0000081664514 SRI KASINI P 09/08/1970 I KEBASEN1,303.0000082069604 SRI MULJASTITI P 04/05/1955 I SAWANGAN1,304.0000173968839 SRI NINGSIH P 12/06/1962 I CINDAGA1,305.0000082373545 SRI NUR HIDAYAH P 29/04/1993 2 KALIWEDI1,306.0000195913438 SRI NUR LASTIRIN, SP P 02/08/1976 P SAWANGAN1,307.0000082073349 SRI POERWATI P 25/02/1940 P KEBASEN1,308.0000081677417 SRI PUJIATI P 24/04/1967 I BANGSA1,309.0000081508915 SRI PUJIHASTUTI P 15/10/1964 I SAWANGAN1,310.0000157256482 SRI RAHAYU SUSANTI P 11/01/1953 P JL SUKO DS PAGEDANGAN

TUREN1,311.

Page 25 of 352/1/13 5:00 PM

Page 26: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082071167 SRI SAMINAH P 13/09/1948 I KEBASEN1,312.0000082073351 SRI SOEMARNI P 31/12/1930 P KEBASEN1,313.0000080922442 SRI SUDARMI ,A.MA.PD P 24/08/1954 P KEBASEN1,314.0000082368099 SRI SUGIARTI P 04/05/1963 P PESAWAHAN1,315.0000081965441 SRI SULASMI P 21/11/1954 P MANDIRANCAN1,316.0000198393873 SRI SULASTRI P 05/12/1982 P Kab. Banyumas1,317.0000081679746 SRI SULASTRI P 09/03/1978 P SAWANGAN1,318.0000082068985 SRI SULASTRI P 21/09/1958 I CINDAGA1,319.0000082465086 SRI SUMINI ANAWATI P 09/10/1965 I KEBASEN1,320.0000081893002 SRI WAHJUNINGSIH P 13/03/1950 I MANDIRANCAN1,321.0000148619169 SRI WAHYUNI ANASTUTI P 16/06/1977 I KEBASEN1,322.0000082368246 SRI WIDIANINGSIH P 04/04/1949 P KABASEN1,323.0000083585237 SRIE ASTUTI HANDAYANI,DR P 29/11/1978 P SUDAGARAN1,324.0000081893891 SRIJATI P 07/10/1944 I KARANGSARI1,325.0000210377845 SUCI NURHANDAYANI P 13/08/1979 P TUMIYANG1,326.0000169754826 SUCI NURHANDAYANI P 13/08/1979 I TUMIYANG1,327.0000081893755 SUCI SETIYANI P 31/12/1995 2 CINDAGA1,328.0000082073384 SUCIPTO L 26/05/1949 P CINDAGA1,329.0000082073428 SUDAR L 13/09/1923 P KEBASEN1,330.0000082073441 SUDARMI P 01/10/1944 P KEBASEN1,331.0000195449422 SUDARMI P 21/08/1971 I BANGSA1,332.0000082073452 SUDARNI P 04/01/1947 P CINDAGA1,333.0000082073474 SUDARNO L 08/07/1949 P CINDAGA1,334.0000081679803 SUDARTI P 01/09/1966 P KEBASEN1,335.0000081508904 SUDARYO L 05/12/1954 P SAWANGAN1,336.0000081079672 SUDI SUNARMI,DRA P 12/05/1959 P ADISANA RT.03/101,337.0000081679858 SUDIMAN L 13/01/1951 P SAWANGAN1,338.0000082303975 SUDIMAN L 17/02/1970 P GAMBARSARI1,339.0000082073496 SUDIN L 06/01/1947 P ADISANA1,340.0000082073531 SUDIR MADSUDIRNO L 02/03/1922 P KALISALAK1,341.0000081679869 SUDIRO L 01/06/1958 P JL.PERHUTANI1,342.0000081597993 SUDIRO L 05/06/1995 2 TUMIYANG1,343.0000082073608 SUDIRWO L 12/07/1950 P KEBASEN1,344.0000075933551 SUDIYARTI P 25/01/1959 I GAMBARSARI1,345.0000080734195 SUDJARWO L 02/03/1957 P MANDIRANCAN1,346.0000082073676 SUDJONO L 04/11/1942 P KEBASEN1,347.0000976243263 SUDWITO L 25/07/1983 S MANDIRANCAN1,348.0000977143476 SUESMI P 23/12/1952 I KEBASEN1,349.0000082073698 SUGAWAT L 12/07/1946 P BANGSA RT.4/I,KEBASEN1,350.0000081965878 SUGENG SUDIBYO L 05/07/1964 P TUNJUNG1,351.0000977694772 SUGI RAHAYU P 01/10/1968 I TUMIYANG1,352.0000081758801 SUGIARTONO L 04/06/2001 2 MANDIRANCAN1,353.0000082073711 SUGIHATI P 19/03/1951 P KEMIRI1,354.0000083017528 SUGIJANTO BE L 25/08/1955 P KEBASEN1,355.0000008411174 SUGIMAN L 29/09/1965 P BAWANG SAKTI JAYA KEC

BANJARAGUNG1,356.

0000211185437 SUGINAH HARYATI P 05/09/1960 I CINDAGA1,357.0000082073722 SUGITO L 20/05/1950 P KEBASEN1,358.0000081893766 SUGIYAH P 05/06/1933 P KARANGSARI1,359.0000081514124 SUGIYANI P 02/03/1975 I GAMBARSARI1,360.0000081893777 SUGIYEM P 02/03/1946 P KALISALAK1,361.0000082073755 SUHADI L 04/09/1929 P MANDIRANCAN1,362.0000081680049 SUHARI L 18/04/1966 P GAMBARSARI1,363.0000082073799 SUHARJONO L 11/07/1950 P KEBASEN1,364.

Page 26 of 352/1/13 5:00 PM

Page 27: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082073046 SUHARNI P 01/01/1952 I KEBASEN RT.09/021,365.0000080750081 SUHARSO L 13/04/1959 P KEBASEN 31,366.0000081844661 SUJIMAN L 28/02/1972 S RANDEGAN1,367.0000158030379 SUJITNO L 29/07/1957 P JL TMP KOMP TVRI TANAH

MERAH1,368.

0000081680152 SUKAESIH P 19/02/1971 P GAMBARSARI1,369.0000081680163 SUKAMTO L 13/07/1968 P JL.NGASINAH1,370.0000082025594 SUKARDI L 24/04/1942 P KALISUBE1,371.0000082073856 SUKARNI P 04/04/1947 P KEBASEN1,372.0000081514462 SUKARNO L 03/04/1954 P KARANGSARI1,373.0000081807197 SUKARSINI P 14/10/1940 I KEBASEN1,374.0000081601301 SUKARTI P 21/10/1960 I KEBASEN1,375.0000075877367 SUKENSIH P 19/04/1962 I KEBASEN1,376.0000082068963 SUKESNI P 28/04/1944 I TUMIYANG1,377.0000075876333 SUKIMAN L 04/05/1955 P KEBASEN1,378.0000081893823 SUKIMAN BIN RANADIWIRYA L 01/01/1931 P KEBASEN1,379.0000082073902 SUKIN L 10/11/1951 P KEBASEN1,380.0000082073924 SUKINAH P 12/01/1938 P MANDIRANCAN1,381.0000082073935 SUKINI P 31/12/1930 P KALISALAK1,382.0000081893845 SUKINI P 01/12/1932 P KEBASEN1,383.0000160131069 SUKIRNO L 14/12/1960 P CINDAGA1,384.0000082074688 SUKIRNO L 31/12/1939 S CINDAGA1,385.0000082073946 SUKIRWAN L 28/10/1943 P TUMIYANG RT.2/3 KEBASEN1,386.0000082073957 SUKITRI P 10/10/1936 P MANDIRANCAN1,387.0000081677002 SUKIYEM P 25/05/1974 I KALISALAK1,388.0000075875973 SUKMA MUKTISARI P 08/07/1999 2 MANDIRANCAN1,389.0000082073913 SUKMANIATUN P 23/02/1957 I KEBASEN1,390.0000195772443 SUKMAWARDANI P 09/05/1992 3 KEBASEN1,391.0000082073968 SUKRAM L 11/02/1952 P GAMBARSARI1,392.0000081893856 SUKRISNO L 27/04/1931 P KEBASEN1,393.0000082073992 SULASMI P 18/07/1944 P ADISANA1,394.0000081844435 SULASTIN P 18/01/1970 P KEBASEN1,395.0000082074003 SULASTRI P 16/06/1945 P KALISALAK1,396.0000206667617 SULASTRI P 02/03/1936 I GAMBARSARI1,397.0000081756808 SULASTRI RIANA P 07/06/1965 I GAMBARSARI1,398.0000081969366 SULIS SETIO DEDI AYI P L 27/01/1992 1 BANJARPARAKAN1,399.0000082074014 SULISTIYATI* * P 20/09/1945 P MANDIRANCAN1,400.0000163282656 SULISTYONO DWI ATMOKO L 20/01/1980 S KAWUNGANTEN LOR1,401.0000198355408 SULISTYORINI EKONINGSIH, AM.KEB P 24/08/1981 P Kab. Banyumas1,402.0000161022104 SULIYAH P 29/06/1930 P KALISALAK1,403.0000081893878 SULIYAH P 01/01/1930 P KALISALAK1,404.0000083017664 SUMANTORO L 20/10/1955 P GAMBARSARI1,405.0000082394201 SUMANTRI L 10/07/1954 P KEBASEN1,406.0000081893889 SUMARDI L 28/03/1938 P KARANGSARI1,407.0000081844659 SUMARIYAM P 22/05/1975 P RANDEGAN1,408.0000080805958 SUMARJITO L 16/10/1966 S CINDAGA1,409.0000081969355 SUMARNI P 08/07/1957 I BANJARPARAKAN1,410.0000082408252 SUMARNO L 26/10/1959 P KEBASEN1,411.0000081649539 SUMARSO L 02/01/1968 P KEBASEN1,412.0000081676809 SUMARSONO L 27/12/1954 S JL. RAYA SAWANGAN1,413.0000081893935 SUMARTI P 10/04/1929 P CINDAGA1,414.0000081149736 SUMARYANTO L 27/03/1975 P GAMBARSARI1,415.0000082073788 SUMARYATI P 04/04/1950 P KEBASEN1,416.0000082074071 SUMARYO L 31/12/1946 P KEBASEN1,417.

Page 27 of 352/1/13 5:00 PM

Page 28: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082374131 SUMARYO L 18/01/1977 P GAMBARSARI1,418.0000080699049 SUMARYO L 21/05/1972 P KEBASEN1,419.0000081680332 SUMARYO L 26/12/1956 P JL. RAYA SAMPANG BUNTU1,420.0000082074115 SUMEDI L 18/06/1949 P KEBASEN1,421.0000081734995 SUMERI L 01/01/1948 P KEBASEN1,422.0000210608065 SUMI IRAWATI P 10/11/1971 I CINDAGA1,423.0000082074137 SUMIHARTITI SETYANINGSIH P 21/09/1947 P KEBASEN1,424.0000082071933 SUMINAH P 08/12/1948 I KARANGSARI1,425.0000075874533 SUMINEM P 14/04/1958 I KEBASEN1,426.0000081807557 SUMINEM P 30/12/1936 I CINDAGA1,427.0000080805947 SUMIRAH P 21/08/1967 P CINDAGA1,428.0000082397755 SUMIRAH P 18/03/1965 I KEBASEN1,429.0000082074159 SUMIYAH P 21/04/1943 P KEBASEN1,430.0000082068107 SUMIYATI P 21/02/1952 I GAMBARSARI1,431.0000080857271 SUMIYATINI P 07/09/1961 I KALISALAK1,432.0000081680354 SUMSIYATI P 30/09/1959 P KEBASEN1,433.0000075898451 SUNANTO L 08/05/1958 S SAWANGAN RT.01/IV1,434.0000081893981 SUNAR L 25/06/1938 P MANDIRANCAN1,435.0000081894003 SUNARDI L 30/09/1948 P MANDIRANCAN1,436.0000082074238 SUNARJO L 27/04/1950 P GAMBARSARI1,437.0000075876401 SUNARKO L 01/11/1977 P CINDAGA1,438.0000082316867 SUNARNO L 08/09/1962 P KALISALAK1,439.0000081737199 SUNARSIH P 08/10/1973 I CINDAGA1,440.0000081530537 SUNARSO L 07/03/1967 P JL. PEPABRI1,441.0000082074172 SUNARSO L 10/04/1943 P KARANGSARI1,442.0000082408329 SUNARTI P 10/09/1952 P GAMBARSARI1,443.0000082074216 SUNARTI P 29/04/1943 P BANGSA1,444.0000081892697 SUNARTI P 31/12/1931 P CINDAGA1,445.0000082074205 SUNARTI P 06/05/1943 P RANDEGAN1,446.0000081892585 SUNARTI P 02/03/1940 I KEBASEN1,447.0000139678942 SUNARWAN CHANDRA WIDJAJA L 16/07/1974 P JL.KASUARI 41 KOTA1,448.0000081826378 SUNGKOWO TEGUH S, DRS L 27/05/1966 P KALISALAK1,449.0001078797431 SUNIYAH P 31/12/1971 I MANDIRANCAN1,450.0000082075149 SUNIYAH P 28/05/1955 I KEBASEN1,451.0000081966712 SUNTARI P 27/04/1977 P KALISALAK1,452.0000081894025 SUPANGAT L 15/11/1945 P KEBASEN1,453.0000082397744 SUPANGKAT L 22/07/1958 P KEBASEN RT.01/011,454.0000081680444 SUPARDI L 01/08/1947 P JL.SILUK1,455.0000082070559 SUPARLINAH P 05/06/1947 P CINDAGA1,456.0000202374033 SUPARMI P 21/08/1963 P KATILAYU1,457.0000082074249 SUPARMI P 08/06/1946 P BANGSA1,458.0000162642385 SUPARMI P 08/06/1946 I BANGSA RT 1/31,459.0000081894047 SUPARNI P 01/01/1922 P CINDAGA1,460.0000081844907 SUPARNO L 07/04/1962 P GAMBARSARI1,461.0000081807748 SUPARNO L 31/12/1925 P CINDAGA1,462.0000076652684 SUPARNO L 16/03/1964 P JL.KARANG REJO VI/55 RT

2/7 BANYUMANIK1,463.

0000080734094 SUPARTI P 10/11/1969 I CINDAGA1,464.0000081894071 SUPARYO L 27/03/1938 P KEBASEN1,465.0000081641564 SUPENI P 01/12/1966 I KEBASEN1,466.0000082074306 SUPINAH P 31/12/1950 P KEBASEN1,467.0000082074328 SUPINI P 21/02/1948 P BENTUL1,468.0000082071573 SUPINI P 07/06/1956 I CINDAGA1,469.0000081680602 SUPONO L 17/06/1961 P KALIWEDI1,470.

Page 28 of 352/1/13 5:00 PM

Page 29: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000081894104 SUPRAPTI P 21/09/1931 P GAMBARSARI1,471.0000197514595 SUPRAPTI P 10/04/1945 P CINDAGA1,472.0000081835288 SUPRAPTI P 17/03/1982 I GENTASARI1,473.0000082071112 SUPRAPTI P 14/09/1966 I ADISANA1,474.0000081893068 SUPRAPTI P 05/11/1954 I BANGSA1,475.0000081966802 SUPRI HASTUTI P 21/03/1962 P KALISALAK1,476.0000081015737 SUPRIHATI P 16/08/1954 P GAMBARSARI1,477.0000081664503 SUPRIHONO L 22/05/1964 P KEBASEN1,478.0000081607735 SUPRIYANTI P 16/07/1976 P KAWUNGANTEN LOR1,479.0000075876344 SUPRIYANTI P 21/03/1961 I KEBASEN1,480.0000075876546 SUPRIYANTO L 31/01/1970 P CINDAGA1,481.0000082436916 SUPRIYANTO L 10/10/1968 S KEBASEN1,482.0000171871007 SUPRIYANTO L 02/04/1969 S KALIWEDI1,483.0000081680646 SUPRIYATI P 17/11/1959 P KALISALAK1,484.0000041357632 SUPRIYATI P 06/09/1968 P NANAS RAYA NO 91 RT 05

RW 021,485.

0000081832149 SUPRIYATI P 28/11/1981 I KALISALAK1,486.0000198364746 SUPRIYATIN, AM.KEB P 17/12/1985 P Kab. Banyumas1,487.0000172753468 SUPRIYONO L 08/05/1981 S KALISALAK1,488.0000075876581 SURAT L 08/07/1972 P CINDAGA1,489.0000082074352 SURATMAN L 23/07/1945 P KALIWEDI1,490.0000080722574 SURATMI P 19/05/1963 I GAMBARSARI1,491.0000081967061 SURATMIN L 10/01/1965 P MANDIRANCAN1,492.0000081961806 SURATMIN L 19/04/1959 S KEBASEN1,493.0000075876614 SURATNO L 24/10/1960 P GAMBARSARI1,494.0000081680668 SURENI P 16/04/1961 P KEBASEN1,495.0000082069931 SURIP P 12/02/1948 I KEBASEN1,496.0000081967149 SURIPAH P 14/01/1967 P RANDEGAN1,497.0000081892528 SURIPAH P 01/01/1934 I MANDIRANCAN1,498.0000081680692 SURONO L 27/03/1970 P SAWANGAN1,499.0000081680758 SURYATI P 12/12/1961 P JL.PENATUSAN1,500.0000081514473 SURYATI P 13/12/1959 I KARANGSARI1,501.0000081537388 SURYATNO L 07/07/1962 P KALISALAK1,502.0000082074385 SURYONO L 10/11/1943 P CINDAGA1,503.0000096881218 SUSANTO L 23/12/1952 P KADIROJO I

PURWOMARTANI KALASAN1,504.

0001078854489 SUSI P 07/12/1995 1 GAMBARSARI1,505.0000210762235 SUSI SUHARTINI P 05/09/1985 P SAWANGAN1,506.0000082260819 SUSMAN L 22/09/1949 P KEBASEN1,507.0000081677395 SUSMITA WIJAYANTI P 22/01/1995 2 SAWANGAN1,508.0000081892462 SUSMIYATI P 23/10/1950 I KEBASEN1,509.0000080746402 SUSTINAH P 06/01/1985 I CINDAGA1,510.0000082069749 SUSTININGSIH P 12/12/1951 I KALIWEDI1,511.0000080784426 SUSTININGSIH, S.PD P 12/12/1951 P KALIWEDI1,512.0000081575188 SUSWANTO L 24/05/1959 P KEBASEN1,513.0000082411323 SUSWIMAIYANTI P 24/04/1969 P KALISALAK1,514.0000082453184 SUTAM L 07/05/1964 P GAMBARSARI1,515.0000082074429 SUTANTI P 20/03/1959 P GAMBARSARI1,516.0000082074453 SUTARI P 11/08/1947 P MANDIRANCANG1,517.0000081893542 SUTARI P 10/04/1938 I GAMBARSARI1,518.0000160274981 SUTARNI P 26/11/1950 P KEBASEN1,519.0000082074508 SUTARNO MUCHTAR L 16/10/1944 P KALIWEDI1,520.0000083017888 SUTARTO L 16/05/1962 P KEBASEN1,521.0000082074554 SUTIJAH P 09/09/1950 P CINDAGA1,522.

Page 29 of 352/1/13 5:00 PM

Page 30: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000080746391 SUTIKNO L 27/02/1976 P CINDAGA1,523.0000082069683 SUTIMAH P 31/12/1941 I KALISALAK NO.231,524.0000082067624 SUTINAH P 31/12/1932 I KEBASEN1,525.0000082074565 SUTINI P 08/05/1957 P CINDAGA1,526.0000081677597 SUTINI P 21/02/1964 I JL. BENTUL BENTUL1,527.0000081893327 SUTIYAH P 13/07/1952 I KEBASEN1,528.0000081639955 SUTORO L 09/03/1966 P GAMBARSARI1,529.0000200106437 SUTRAS L 12/10/1957 P KARANGREJA1,530.0000081710943 SUTRISNO L 30/04/1951 P RT 02/II ADISANA KEBASEN1,531.0000084877885 SUTRISNO L 03/10/1963 P KETANGGUNG ADISANA

KEBASEN BANYUMAS1,532.

0000081737289 SUTRISNO L 05/05/1960 S PEGALONGAN1,533.0000081680927 SUTRISNO,DRS L 29/09/1961 P KEBASEN1,534.0000075876816 SUWADI BEDJO L 24/04/1954 P KEBASEN1,535.0000075876873 SUWANTI P 25/05/1957 I KEBASEN1,536.0000080985486 SUWARGO L 01/12/1963 P ADISANA RT.01/II KEBASEN1,537.0000173968762 SUWARKIM L 06/05/1957 P CINDAGA1,538.0000163802294 SUWARNI P 24/04/1970 I GAMBARSARI1,539.0000075876851 SUWARNO L 26/07/1955 P KEBASEN1,540.0000081279009 SUWARNO L 15/05/1937 P CINDAGA1,541.0000081894115 SUWARTI P 01/01/1936 P SAWANGAN1,542.0000082074644 SUWARTI P 10/11/1936 P KEBASEN1,543.0000081676833 SUWARTI P 17/07/1967 I KARANGSARI1,544.0000082303907 SUWARTI P 29/11/1955 I KARANGSARI1,545.0000082070932 SUWARTI P 31/12/1938 I JL.POMPA AIR KEBASEN1,546.0000082070976 SUWARTI P 19/08/1962 I SAWANGAN1,547.0000206550933 SUWARYO L 08/01/1953 P KEBASEN1,548.0000082074699 SUWATI P 16/04/1942 P TUMIYANG1,549.0000081892618 SUWATI P 11/05/1948 I KEBASEN1,550.0000082071371 SUWINAH P 01/01/1942 P GAMBARSARI1,551.0000037647123 SUWITO L 27/07/1971 P AL FURQON SIDA MUKTI

SUKMAJAYA1,552.

0000082074723 SUYANTO L 14/07/1952 P KEBASEN1,553.0000089578168 SUYATI P 14/03/1953 P KEBASEN1,554.0000082304019 SUYATI L 07/03/1964 P KEBASEN1,555.0000081657865 SUYATI P 13/06/1974 I GAMBARSARI1,556.0000082330773 SUYATI P 07/11/1958 I KEBASEN1,557.0000042155324 SUYATNO L 10/08/1969 P -1,558.0000075927982 SUYATNO L 08/12/1960 P NGASINAN RT 1/8 GEBANG

MASARAN1,559.

0000081642622 SUYATNO L 21/06/1969 S KEBASEN1,560.0000082074745 SUYONO L 01/04/1943 P MANDIRANCAN1,561.0000976338966 SYAFRIE YUSUF L 09/02/2010 1 RANDEGAN1,562.0000050956209 SYARIFAH ZUBAIDAH P 18/04/1962 P JL KOM YOS SUDARSO GG

JAMBU MENTE NO 331,563.

0000081649552 SYARIFATUL YASMIN ULFAH P 17/10/1998 1 KEBASEN1,564.0000077221372 SYIFA AULIA OKTAVIANI P 24/10/2000 1 ADISANA1,565.0000080788511 SYIFA NUR CHOFIFAH P 28/06/1999 2 JL MASJID1,566.0000081894172 T WARSINI P 20/01/1950 P CINDAGA1,567.0000060637138 TAKUM L 03/10/1937 P TUMIYANG1,568.0000081892563 TAMIRAH P 14/07/1943 I KALISALAK1,569.0000081894183 TAMZIT B. DULAH SADJAD L 01/01/1936 P SAWANGAN1,570.0000081736345 TANTI NURLAELA,SPD P 20/05/1975 P RANDEGAN1,571.0000081599051 TARDI L 09/06/1964 P MANDIRANCAN1,572.0000075877018 TARJO L 16/12/1952 P KEBASEN1,573.0000045085138 TARMINI P 21/04/1928 P MANDIRANCANG1,574.

Page 30 of 352/1/13 5:00 PM

Page 31: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000081845807 TARSEM P 19/11/1973 P CINDAGA1,575.0000075876827 TARSEM P 31/12/1959 I KEBASEN1,576.0000075875951 TARSEM P 07/05/1973 I MANDIRANCAN1,577.0000081676192 TARSINI P 10/03/1963 I CINDAGA1,578.0000169055493 TARSIYA P 01/09/1957 I KEBASEN RT.09/I1,579.0000081575199 TARSIYAH P 23/03/1973 I KEBASEN1,580.0000082067949 TARSIYEM P 05/01/1954 I KEBASEN1,581.0000075877029 TARSO L 20/05/1961 P KEBASEN1,582.0000165996123 TARSONO L 03/05/1957 S JL.TAMBANGAN1,583.0000075898449 TARSUTI P 18/11/1963 P SAWANGAN1,584.0000081680679 TARYONO L 27/10/1956 S KEBASEN1,585.0000082074892 TASEM P 05/12/1941 P MANDIRANCAN1,586.0000081677643 TASEM P 24/06/1965 I KALISALAK1,587.0000081894238 TASIH NURHAYATI P 27/04/1949 I MANDIRANCAN1,588.0000081892719 TASINAH P 12/07/1947 I KALISALAK1,589.0000082072596 TASINEM P 07/11/1940 P BANGSA1,590.0000037264599 TASIRAH P 17/01/1965 I CINDAGA1,591.0000082074903 TASIYAH P 14/07/1934 P CINDAGA1,592.0000081894227 TASLAM L 29/11/1946 P MANDIRANCAN1,593.0000081807759 TASMIREDJA L 05/05/1924 P MANDIRANCAN1,594.0000082069997 TASMIYAH P 20/05/1943 I KEBASEN1,595.0000082730349 TASMIYATI P 22/12/1961 I TUMIYANG1,596.0000081681221 TASNGADI L 08/03/1949 P KALIWEDI1,597.0000081677103 TASWANTO L 31/05/1963 S KEBASEN1,598.0000056595148 TATANG RUSTANDI L 13/12/1959 P SEKELOA RT 02 RW 041,599.0000081681298 TATI MARDIYATI,SPD P 01/03/1958 P KEBASEN1,600.0000146139805 TAUFIK CAHYO SUDRAJAD L 31/01/1983 P -1,601.0000075877053 TAUFIK MULIYATNO L 13/08/1994 2 KEBASEN1,602.0000081736626 TAVIP RIYADI L 05/02/1965 P KALISALAK1,603.0000082282375 TEDDY PURBIYANTORO L 02/11/1996 2 GAMBARSARI1,604.0000075875725 TEGUH SUPRIYATNO L 05/05/2000 1 KEBASEN1,605.0000159875043 TEGUH TRI SUSWANTORO L 19/06/1971 P TUMIYANG1,606.0000164174815 TEGUH WIJI ASTOTO L 01/07/1989 4 MANDIRANCAN1,607.0000158852338 TEGUH WIJONO * L 31/12/1955 P KEBASEN1,608.0000127254161 TENRIAGI MALAWAT P 21/08/1972 P KOMP UNHAS BARAYA

SUNU F2 MAKASSAR1,609.

0000081642611 TENTREM P 03/12/1972 P KEBASEN1,610.0000082074936 THERESIA SUTINI P 12/07/1942 P GAMBARSARI1,611.0001079007838 TILAM L 15/09/1966 P JL.MASJID1,612.0000081029057 TIN INDRI ASTUTI,SPD. P 02/01/1973 P SAWANGAN1,613.0000082074947 TINEM P 31/12/1937 P KALISALAK 0011,614.0000082074969 TISEM P 31/12/1935 P GAMBARSARI RT.04/031,615.0000081681265 TISLAM L 12/01/1977 P JL.RAYA LAMPEGAN1,616.0000080922374 TITAN HILMAWAN L 11/03/1992 1 CINDAGA1,617.0000082074971 TITI SULIATI P 17/09/1943 P KEBASEN1,618.0000083017675 TITI SUPRIYATI P 08/04/1959 I GAMBARSARI1,619.0001078854445 TITIK LUSTIYOWATI P 08/06/1970 I GAMBARSARI1,620.0000081681309 TITO PURWOKO L 15/12/1961 P JL.SATRIA1,621.0000081894251 TJASLIMAH P 13/09/1953 P KEBASEN1,622.0000082075004 TJATEM P 29/03/1924 P TUMIYANG1,623.0000082075015 TOEKIWEN P 30/11/1931 P CINDAGA1,624.0001078967147 TOFIK MUFID ALMANSUR L 31/03/1992 4 KALIWEDI1,625.0000081894262 TOLIP L 10/10/1924 P KEBASEN1,626.0000203801433 TOSIWEN P 08/05/1925 P GAMBARSARI1,627.

Page 31 of 352/1/13 5:00 PM

Page 32: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082075048 TOTANINGSIH RAHAYU P 25/07/1944 P KEBASEM1,628.0000168188951 TRI FERIATI P 06/02/1984 P JL SAWAH CONTOH1,629.0000200459248 TRI LIA YULIANTI P 27/07/1996 3 SAWANGAN1,630.0000081681377 TRI NUR HADIYATI P 13/04/1963 P SAWANGAN1,631.0000977186619 TRI PRASETIYO L 29/07/2000 3 KEBASEN1,632.0000018471879 TRI RAHARJO L 10/12/1984 P -1,633.0000082442215 TRI SUKESTI P 14/01/1970 P MANDIRANCAN1,634.0000082304065 TRI WARNI SETYANINGSIH P 20/04/1963 P SAWANGAN1,635.0001078960476 TRI WIDYARDO L 19/12/1992 3 RANDEGAN1,636.0000081661195 TRI WIJOKO L 22/12/1963 P SAWANGAN1,637.0000081668327 TRIANA JUMASARI P 23/03/1984 P KALIWEDI1,638.0000082073485 TRIKAYAH RINJANI P 22/07/1954 I CINDAGA1,639.0000209565786 TRISIA HASTUTI P 21/08/1970 I KEBASEN1,640.0000081680951 TRISIAN PUSPA W P 02/11/1990 2 KEBASEN1,641.0000082070998 TRISNA FEBRIANI P 05/02/2000 2 SAWANGAN1,642.0000077209569 TRIYANTO L 08/06/1994 3 KEBASEN1,643.0000082369719 TRIYATMI P 11/03/1965 P KALISALAK1,644.0000081737188 TUFANDI L 14/10/1969 P CINDAGA1,645.0000160288975 TUGINI P 05/09/1981 P RANDEGAN1,646.0000081676989 TUGIYAH P 17/12/1960 I KARANGSARI1,647.0000081894295 TUJEM P 05/04/1942 P GAMBARSARI RT.05/011,648.0000203928153 TUMARGI P 20/06/1949 I KEBASEN1,649.0000081894306 TUMBA P 18/12/1934 P KALISALAK1,650.0000082073979 TUMIRAH P 23/12/1959 I GAMBARSARI1,651.0000165780123 TUNEM P 25/07/1952 I KEBASEN1,652.0000081893362 TUNIYAH P 10/08/1937 I KALISALAK1,653.0000082067218 TURIYAH P 01/02/1954 I KEBASEN1,654.0000081831014 TUTI BUDIHARTI,DRA P 24/02/1964 P KARANGSARI1,655.0000081679151 TUTI PARTINI P 06/11/1966 I JL.KARTINI1,656.0000081681535 TUTI SUBIYARTININGSIH P 25/05/1965 P JL.PERHUTANI1,657.0000081894328 TUTIMAH P 05/09/1967 P KEBASEN1,658.0000081681862 TYAS BIYANTI AFRIAN P 03/04/1999 2 KEBASEN1,659.0000082281723 UJI SUSWIYATUN P 11/04/1977 P KALISALAK1,660.0000172753378 ULFAH KURNIA LAELI P 14/12/1980 P KALISALAK1,661.0000081661217 ULIA DESY NUR UTOMO L 09/12/1989 1 SAWANGAN1,662.0000081678227 ULIL MUBAROK ALFARID L 28/03/1995 1 GAMBARSARI1,663.0000081678688 UMI ASTUTI P 03/11/1966 I GAMBARSARI1,664.0000081737583 UMI KHOLIFATUN P 12/03/1983 P KALISALAK1,665.0000158778988 UMI KULSUMM P 05/03/1954 P KEBASEN RT7 RW31,666.0000081737605 UMI KUSROTIN P 05/03/1958 P BENTUL1,667.0000082369833 UMI RAHAYU P 22/10/1956 P JL.DURIAN1,668.0000081681232 UMI ROCHMATUN P 11/03/1961 I KALIWEDI1,669.0000203545989 UMI ULFAH P 07/11/1982 I NGASINAN1,670.0000078489461 UMI YANAH P 01/07/1964 I KALIWEDI1,671.0000166142531 UMMU MAHMUDAH P 05/02/1973 P SAWANGAN1,672.0000081679825 UNGKI PRIMANDANU L 23/04/1990 1 KEBASEN1,673.0000160637804 UNTUNG L 02/02/1972 P -1,674.0000075874667 URIP ADITIA L 21/07/1997 1 CINDAGA1,675.0000160101033 URIP WARDOYO L 26/03/1955 P JL DURIAN NO 23 HARAPAN

BARU BEKASI BARAT1,676.

0000208975577 USFI ZUHROTUL ASFIYA P 13/09/1980 P KALIWEDI1,677.0000081677327 UTOMO L 03/05/1957 S SAWANGAN1,678.0000976334905 UTVI APRILIANA P 01/04/1999 1 GAMBARSARI1,679.0000977902042 VANIO AHZA ANNADHIF L 25/02/2010 2 KALISALAK1,680.

Page 32 of 352/1/13 5:00 PM

Page 33: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000122273998 VAZRI AZZURI WAHYUDIYANTO L 07/08/2008 1 JL.P.BANGKA KP.SATU SKIP1,681.0001078188895 VEBIANA VALENZA PUTRI L 14/02/2009 3 KALISALAK1,682.0000082372555 VERA RATRIA RACHMAWATI P 08/11/1993 2 MANDIRANCAN1,683.0000082075138 WACHID L 19/09/1947 P KEBASEN1,684.0000082068129 WAGIJEM P 13/02/1957 I KEBASEN1,685.0000081661318 WAGINI P 30/07/1964 P GAMBARSARI1,686.0000081893384 WAGISIH P 10/08/1943 I CINDAGA1,687.0000081029068 WAHIDIN L 06/01/1972 S SAWANGAN1,688.0000075875714 WAHMIATI P 10/10/1965 I KEBASEN1,689.0000081965474 WAHYUARI W L 31/01/1992 2 MANDIRANCAN1,690.0000082411334 WAHYUNIATI,S.PD P 06/03/1970 P BANGSA1,691.0000081969298 WAKHTUM,S.SOS L 03/06/1967 P BANJARPARAKAN1,692.0000082075151 WAKIM L 23/10/1944 P TUMIYANG1,693.0000205243108 WALIMAN L 18/06/1938 P GAMBARSARI1,694.0000082398677 WALUYO L 19/07/1958 P GAMBARSARI1,695.0000081763323 WANDOYO L 15/05/1957 P TUMIYANG1,696.0000172504607 WANTAR SUBEKTI L 15/03/1979 S GAMBARSARI1,697.0000082067523 WANTINI P 26/12/1946 P KEBASEN1,698.0000081736367 WARDAH HABIBAH P 01/06/2002 1 RANDEGAN1,699.0000081894352 WARDI L 07/05/1945 P KEBASEN1,700.0000081681636 WARDIYATI P 23/01/1959 P KEBASEN1,701.0000082074082 WARIDAH P 31/12/1953 I KEBASEN1,702.0000082070447 WARIDAH P 23/05/1943 I KEBASEN1,703.0000082353295 WARIDAN L 16/11/1950 S CINDAGA1,704.0000081894374 WARIDJEM P 31/12/1927 P SAWANGAN1,705.0000173921679 WARISEM P 24/02/1975 I KALISALAK1,706.0000075877031 WARIYAH P 27/11/1960 I KEBASEN1,707.0000083018261 WARKINO L 23/03/1971 P KALISALAK1,708.0000082075217 WARLAM SUMARJO L 04/05/1930 P KEBASEN1,709.0000081893204 WARNI P 31/12/1929 I KEBASEN KEC. KEBASEN1,710.0000081969344 WARNO L 16/07/1953 P BANJARPARAKAN1,711.0000081678183 WARSIKEM P 30/03/1966 I MANDIRANCAN1,712.0000082075239 WARSIKIN L 21/05/1952 P KEBASEN RT.06/021,713.0000081567887 WARSIN L 03/02/1969 P KALISALAK1,714.0000081637097 WARSINAH P 18/03/1949 P MANDIRANCAN1,715.0000075874713 WARSINEM P 12/10/1961 I CINDAGA1,716.0000081969456 WARSIRO,SPT L 02/05/1962 P KEBASEN1,717.0000082075274 WARSITO L 07/08/1945 P MANDIRANCAN1,718.0000082385403 WARSITO L 26/11/1945 P KARANGSARI1,719.0000082075307 WARTAM L 15/05/1945 P BANGSA1,720.0000082072517 WARTIYAH P 11/02/1950 I KEBASEN1,721.0000082073171 WARTIYEM P 30/12/1945 P KARANGSARI1,722.0000081681737 WARTO L 15/06/1960 P RANDEGAN1,723.0000081893496 WARYEM P 02/02/1950 I KARANGSARI1,724.0000081894418 WASIH P 07/05/1927 P CINDAGA1,725.0000084877896 WASIKEM P 15/08/1969 I KETANGGUNG ADISANA

KEBASEN BANYUMAS1,726.

0000082436951 WASIKEM P 31/12/1967 I KALISALAK1,727.0000149490099 WASIKHAN P 08/10/1977 P KALISALAK1,728.0000082071652 WASINEM P 31/12/1950 I CINDAGA1,729.0000010498454 WASINGATUL KHASANAH P 02/07/1981 P KALISALAK1,730.0001079003654 WASIYAH P 06/07/1978 I SAWANGAN1,731.0000081681772 WASPODO,DRS L 27/04/1964 P KARANGSARI1,732.0000082075397 WATAM L 12/01/1942 P KALISALAK1,733.

Page 33 of 352/1/13 5:00 PM

Page 34: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000082070109 WATINI P 20/11/1940 I BANGSA1,734.0000082075408 WATIYAH P 27/10/1949 I KALISALAK1,735.0000082322875 WAYAH LANGIT SUMIRAT P 19/09/1995 1 BANGSA1,736.0000200106562 WIARTI P 14/04/1958 I KARANGREJA1,737.0000081957824 WIDHODHO SUGIHARTO L 13/10/1953 S KEBASEN1,738.0000173968918 WIDI WICAKSONO L 17/01/1992 1 CINDAGA1,739.0000097553136 WIHARJITO L 05/05/1963 P WONOCATUR 06 24

BANGUNTAPAN BANTUL1,740.

0000081676844 WIHDAH NUR IMANIYAH P 24/11/1990 1 KARANGSARI1,741.0000081894431 WIJATIJAH P 31/12/1930 P MANDIRANCAN1,742.0000194659738 WIJAYANTI EFENDI P 05/01/1991 3 KALIWEDI1,743.0000081965889 WIJI ASTUTI P 13/04/1977 I TUNJUNG1,744.0000081507857 WILDAN SYAHIDULLAH L 10/01/1998 2 CINDAGA1,745.0000081631236 WILLY HUDHA N L 28/11/1990 3 KEBASEN1,746.0000082323246 WINARNI P 13/12/1958 P GAMBARSARI RT.4/I1,747.0000081894442 WINARTI P 16/06/1959 P KEBASEN1,748.0000173921736 WINDRIA TRUNISWORO P 13/07/1997 1 KALISALAK1,749.0000037877859 WINWIN CUWARTIKA P 14/04/1970 P KOMP ANTAM 1 B/1 JL LIMO1,750.0000082075432 WITO AL HARDJOSUWITO L 16/03/1941 P TUMIYANG1,751.0000148619182 WIWIT DHITA CAHYANI P 08/12/1999 1 KEBASEN1,752.0000077214519 WIWIT HUTARI P 18/08/1973 P JLSAWANGAN1,753.0000082068873 WIYATI P 07/11/1962 I GAMBARSARI1,754.0000082303367 WORO SEKAR LINANGKUNG P 05/05/1996 2 GAMBARSARI1,755.0000160646422 WUJUD LASNO L 10/10/1965 P -1,756.0000081681849 WURYANTO,SPD L 02/03/1966 P KEBASEN1,757.0000081676326 YAN ISNAENINGSIH P 26/04/1999 2 JL. PEDEGER1,758.0000082072495 YANUAR S L 17/01/1994 2 MANDIRANCAN1,759.0000039453614 YARMAN MAZNI L 13/10/1965 P JL GUNUK RAYA 124 PS

MINGGU1,760.

0000081676304 YASMINI P 23/08/1973 I JL. PEDEGER1,761.0000081893676 YATIMAH P 10/08/1950 I KALISALAK1,762.0000086052047 YATINAH BOEWANG SOETRISNO P 30/10/1962 I CINDAGA1,763.0000082074734 YATIRAH P 07/01/1949 I KEBASEN1,764.0000077181693 YAYUK SETYANINGSIH P 09/03/1975 P KANCILAN RT 02/05

KEMBANG JEPARA1,765.

0000081527646 YOGA ADI PRADANA L 13/11/1995 1 JL.MAWAR NO.171,766.0000081642633 YOGI AGUS SAPUTRA L 21/08/2005 1 KEBASEN1,767.0000081676034 YOGI ANDRI P L 26/10/1991 1 MANDIRANCAN1,768.0000158032978 YONATHAN BEAMA L 13/05/1960 P KEL SIKUMANA RT 04/02 KEC

MAULAFA1,769.

0001078901155 YOSI RIANTI P 19/10/1971 I KALISALAK1,770.0000081826593 YOSI RIANTI, SPD P 19/10/1971 P KALISALAK1,771.0000149554539 YUDI HARTINI P 01/12/1977 P KEBASEN1,772.0000158037232 YULIA ENITA P 12/03/1958 P JL INSPEKTUR MARZUKI

RT.04/091,773.

0000075876658 YULIA WIRATNA P 26/07/1989 1 GAMBARSARI1,774.0000081676124 YULIAN YUDHA ADITYATMA L 12/07/1994 1 MANDIRANCAN1,775.0000081761185 YULIYATI P 19/06/1980 I MANDIRANCAN1,776.0000038680582 YUNI HARLINAWATI P 26/06/1979 P BABAKANRAYA IV. NO.205

BABAKAN DARMAGA1,777.

0000081839957 YUNI KUSMIATI P 12/06/1987 I CINDAGA1,778.0000081679206 YUNI SUSANTI P 19/06/1993 2 SAWANGAN1,779.0000003409929 YUNIASIH P 05/06/1975 P CINDAGA1,780.0000075874026 YUNIATI P 13/06/1961 I GAMBARSARI1,781.0000081807906 YUNUS AL SUMINTA L 31/12/1925 P KALISALAK1,782.0000081893744 YUSNUR TRIAJI L 23/09/1990 1 CINDAGA1,783.0000082067139 YUSTIYAH P 15/03/1963 I KALISALAK1,784.

Page 34 of 352/1/13 5:00 PM

Page 35: Pkm Kebasen

No Kartu Nama JK Tgl Lahir PISA AlamatNo

0000081677013 YUSUF JASWANTO L 18/01/1993 1 KALISALAK1,785.0000081601323 YUSUF RAMLI L 10/12/1994 2 KEBASEN1,786.0000081678756 YUSUP L 20/05/1963 S JL. SAEBANI1,787.0000081893226 YUTINAH P 19/10/1929 P KALISALAK1,788.0000082071898 YUTINAH P 18/07/1943 I RANDEGAN1,789.0000081530561 ZAENIFA MUFLIHATUN NISA P 29/05/1995 2 JL. MESJID1,790.0000201450879 ZAHRA ALMAIRA RAHMAH P 23/01/2011 2 CINDAGA1,791.0000166933934 ZAHRAN ARIB ABYANSYAH L 22/11/2008 2 KEBASEN1,792.0000081676078 ZAHROTUN NI MAH P 22/01/1996 2 KALISALAK JL. PUTERAN1,793.0000122950945 ZAINUDIN NOOR L 17/02/1983 P -1,794.0000082073057 ZAKY ATUSSOLIHAH P 26/10/1990 2 KEBASEN RT.09/021,795.0000149490123 ZALLA AZZAM BAIHAQI L 02/07/2008 2 KALISALAK1,796.0000210762426 ZASKIA LUTHFIA DEWANTARI P 06/06/2009 2 SAWANGAN1,797.0000165615164 ZIDNI ROSYADI, S.PD.I L 15/12/1980 P KALISALAK1,798.0000976925823 ZIYAN FARRIJ KARBANA L 20/08/2001 1 KEBASEN1,799.0000208443464 ZULFADHLI AZZAM L 27/12/2011 2 KEBASEN1,800.

Page 35 of 352/1/13 5:00 PM