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Page 1: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-1

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.DESIRWAN INDRA, SH, MH

19771220 200003 1 003

2011040011.___________

2. NINA DARMAYANTI, SSTP

19830504 200112 2 001

201104002 2. ___________

3. AAN AFRINALDI, S.STP 19830415 200212 1 001

201104003 3.___________

4. FAIZAL ATMI, SH 19670207 199012 1 001

201104004 4. ___________

5. ERLINDA 19630115 198602 2 002

201104005 5.___________

6. TAUFIQ. S.Ag 19700620 199303 1 004

201104006 6. ___________

7. YULI ADWAR, SH 19680721 198903 1 003

201104007 7.___________

8. SALMI, SH 19620101 198601 2 002

201104008 8. ___________

9 WAZNI 19650406 198603 2 004

201104009 9.___________

10. HENDRIZAL, SH 19621020 198203 1 002

201104010 10.___________

11. YOHN AFFANDI, S.Sos 19700928 200312 1 005

201104011 11.__________

12. EDI SUTARTO 19631110 198602 1 005

201104012 12. __________

13. RUSI HATRIANA, ST 19710305 199803 2 003

201104013 13.__________

14. DEDI ARNALDI, ST 19781215 200604 1 003

201104014 14. __________

15. ERLINDA, SH 19631011 198603 2 018

201104015 15.__________

16. ARIF NUR, SH 19660717 198703 1 003

201104016 16. __________

17. ASRIL , SH 19700403 199101 1 001

201104017 17.__________

18. DELSI SYAFEI, SH 19711218 199308 1 001

201104018 18. __________

19 JHONNERI.SH 19700906 199303 1 006

201104019 19.__________

20.YURNITA, SH 19640305 199003 2

003201104020

20. __________

21. SRI DARMA INDRA, SE 19630930 198303 2 001

201104021 21.__________

22. RINI APRIANTI, SS 19770430 200003 2 001

201104022 22. __________

Page 2: Daftar Hadir Peserta

23. MURDIFIN, SAP.MPA 19770729 200003 1 003

201104023 23.__________

24. RINI AJIR. S.Pd. MM 19690515 199403 2 003

201104024 24. __________

25. AAN DONI FIKRI, SSTP,Mpa

19820312 200012 1 001

201104025 25.__________

26. ZAIDAR NALIS, AS 19580725 198103 2 003

201104026 26. __________

27. RINALDI TAHER 19590912 198303 1 011

201104027 27.__________

28. ELVA ARNIZA 19630818 198303 2 004

201104028 28. __________

29 ZUL ETRI, SH 19660615 199103 1 002

201104029 29.__________

30. ENDANG 19590301 198101 2 001

201104030 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 3: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-2

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.ERSUWIDA 19630912 198703 2

002201104031

1.___________

2. MUSNAIDI, SH 19750130 199403 1 001

201104032 2. ___________

3. AL IKHWAN, SH 19690629 198902 1 001

201104033 3.___________

4. ANDAN SOHAR 19590616 198110 1 003

201104034 4. ___________

5. ERMON ABRIL, SH 19591103 198103 1 003

201104035 5.___________

6. PATRIADI 19640520 198503 1 011

201104036 6. ___________

7. FITRA NELSON 19630213 198903 1 005

201104037 7.___________

8. BUJANG, ST 19651112 198612 1 001

201104038 8. ___________

9 ZULHADI 19560604 198206 1 001

201104039 9.___________

10. ALFAKANIF 19631120 198602 1 001

201104040 10.___________

11. DAHYUWENIZAR, BE 19570505 198403 1 010

201104041 11.__________

12. SUARDI 19640802 198703 1 005

201104042 12. __________

13. AFRINAL, ST 19650227 198603 1 003

201104043 13.__________

14. EDWIN 19560517 198511 1 001

201104044 14. __________

15. FIRDAUS 19570606 198403 1 004

201104045 15.__________

16. YENTI ELIZAR, SST 19720731 199803 2 002

201104046 16. __________

17. AGUSTI AWIZAR, S.T 19700801 199003 1 003

201104047 17.__________

18. JONI EDWAR, SST 19601026 198703 1 006

201104048 18. __________

19 BAHKTIAR, ST 19680312 199003 1 003

201104049 19.__________

20.URIPNO MARDI UTAMA, S.ST.MT

19620512 199203 1 003

201104050 20. __________

21. EDISON, ST 19580912 198809 1 002

201104051 21.__________

22. DURIATUTI 19590715 199012 2 001

201104052 22. __________

Page 4: Daftar Hadir Peserta

23. ALI IMRAN 19721101 199203 1 002

201104053 23.__________

24. RAKIMAN. NST 19600810 199103 1 002

201104054 24. __________

25. KAMAL RISMAN 19620104 198703 1 006

201104055 25.__________

26. AMIRUDDIN 19550807 199203 1 004

201104056 26. __________

27. HASAN 19610622 199203 1 003

201104057 27.__________

28. Drs. SUPRIADI 19640204 198510 1 001

201104058 28. __________

29 Drs. MUSTAR 19610622 198603 1 003

201104059 29.__________

30. ASMAN, S.Pd 19640721 198603 1 005

201104060 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 5: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-3

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.DANUS, S.PdI 19651014 198603 1

002201104061

1.___________

2. Dra. YANISDA 19651008 199003 2 005

201104062 2. ___________

3. BITNER ARITONANG, SH 19670127 198803 1 005

201104063 3.___________

4. ZULHERMAINI 19570424 197903 2 002

201104064 4. ___________

5. IJUL, S.Pd 19661231 199210 1 001

201104065 5.___________

6. MULYADI,SH 19660503 198602 1 003

201104066 6. ___________

7. KHAIRUNNAS, SH 19640105 198603 1 007

201104067 7.___________

8. LENI IRZA, S.Pd 19650114 198603 2 005

201104068 8. ___________

9 AWAL GUSNADI 19640820 199203 1 005

201104069 9.___________

10. FERIZAL, ST 19590101 198703 1 010

201104070 10.___________

11. ZULFAYANTI, SE. Akt 19810331 200604 2 005

201104071 11.__________

12. NASRUDDIN, S.PdI 19600404 198202 1 006

201104072 12. __________

13. AHMAD BUKHARI 19660228 198703 1 002

201104073 13.__________

14. HARMEN, ST 19730503 200801 1 002

201104074 14. __________

15. HERJONI, SKM 19620712 198401 1 001

201104075 15.__________

16. ZARFINI 19590116 198203 1 005

201104076 16. __________

17. SUHARTI, SH 19641231 198603 2 052

201104077 17.__________

18. YULINDA YUDI, AMG 19700830 199303 2 004

201104078 18. __________

19 NASRIL,SH 19650930 198803 1 005

201104079 19.__________

20.FAUZI 19590209 198703 1

004201104080

20. __________

21. YOSE RIZAL, SKM, M.Kes 19750709 199503 1 001

201104081 21.__________

22. MULFIA GUSNI 19670804 198703 2 002

201104082 22. __________

Page 6: Daftar Hadir Peserta

23. HIKMAH RIDHA, SKM, M.Kes

19761227 200012 2 003

201104083 23.__________

24. SANDRA MIDA, SKM 19740910 199803 2 004

201104084 24. __________

25. NURHALIMAH. SKM 19760819 199703 2 003

201104085 25.__________

26. JONNERI MASLI, SKM, MPH

19750104 199803 1 004

201104086 26. __________

27. UJANG DWI YUANTARA 19680913 199103 1 006

201104087 27.__________

28. DONY ANWAR, SKM 19770219 200003 1 002

201104088 28. __________

29 ARMA PUTERA, AMS 19710203 199703 1 003

201104089 29.__________

30. RAHMADONA FITRI, S.Si. Apt

19760914 200604 2 006

201104090 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 7: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-4

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.ASRINALDI, SKM 19690125 199303 1

003201104091

1.___________

2. YUDARNIS 19631213 198703 2 002

201104092 2. ___________

3. WIDIA YOFINALDI, SH 19681108 200801 1 001

201104093 3.___________

4. IDA TRISNA, SKM 19730626 199603 2 001

201104094 4. ___________

5. INDRIA WARNI 19650328 198603 2 009

201104095 5.___________

6. dr. RAHMAT 19631105 200604 1 003

201104096 6. ___________

7. DWI HADIAH, SKM 19741127 199903 2 004

201104097 7.___________

8. dr. LUSI HASTUTY 19760305 200501 2 008

201104098 8. ___________

9 RASNA 19630618 198703 2 004

201104099 9.___________

10. dr. HERMAN HARUN 19810410 200901 1 005

201104100 10.___________

11. MINDA MUKHTAR 19700610 199403 2 006

201104101 11.__________

12. IHSAN FAHRI SIREGAR, SKM

19770620 200604 1 003

201104102 12. __________

13. RAHMAD ISA, S.Si 19830618 200501 1 004

201104103 13.__________

14. dr. MONALISA 19810222 200604 2 022

201104104 14. __________

15. WIRAL FETRAMA, SKM 19810212 200501 1 006

201104105 15.__________

16. dr. EDWIN RIVAI 19690715 200212 1 001

201104106 16. __________

17. JASMANIAR 19560411 198010 2 001

201104107 17.__________

18. dr. H. TULUS PUJIANTORO

19670916 200604 1 005

201104108 18. __________

19 ARIF 19710601 199203 1 002

201104109 19.__________

20.dr. YONG MARZUHAILI 19740928 200604 2

007201104110

20. __________

21. ADRISON, B.Sc 19570702 198502 1 001

201104111 21.__________

22. drg. MUTIA FITRI 19721114 200604 2 001

201104112 22. __________

Page 8: Daftar Hadir Peserta

23. HARMANSYAH 19710502 199203 1 007

201104113 23.__________

24. ELMA 19690912 199203 2 006

201104114 24. __________

25. JASMAN 19631213 198812 1 001

201104115 25.__________

26. drg. EDHI SUANDI 19730119 200604 1 002

201104116 26. __________

27. SYABRIANISKO 19670212 198803 1 004

201104117 27.__________

28. MAYYULISDA SUSANTI, SKM, M.Kes

19750515 199803 2 004

201104118 28. __________

29 FITRIA 19670131 198803 2 002

201104119 29.__________

30. dr. AMAN SYARIFUDIN 19740219 200801 1 002

201104120 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 9: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-5

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.EMI HERMINA 19640617 198703 2

003201104121

1.___________

2. YULIANAS, SKM 19640418 198712 1 001

201104122 2. ___________

3. HASRI YATI 19630122 198603 2 003

201104123 3.___________

4. ZAIMUR, SP 19581110 198003 2 003

201104124 4. ___________

5. DEWI LINDA, SP 19630825 198602 2 002

201104125 5.___________

6. LIJUHARTI, SH 19550709 198503 2 001

201104126 6. ___________

7. FAIZAL, SH 19630709 198609 1 002

201104127 7.___________

8. SYAFRI, SP 19600630 198303 1 004

201104128 8. ___________

9 SRIE HANDAYANI, S.Pd 19690206 198903 2 003

201104129 9.___________

10. ROHULI LATIF, S,ST 19700704 199205 1 001

201104130 10.___________

11. VICKEE FRANSISKA, S.TP, M.Si

19720223 200501 2 006

201104131 11.__________

12. FEBRI ISWANDI, SP 19750226 200501 1 007

201104132 12. __________

13. FIRDAUS, ST 19581018 199010 1 001

201104133 13.__________

14. SEPPI TRISNAWADI, SP 19791213 200604 1 009

201104134 14. __________

15. OKTAVIANRI, S.TP 19821001 200501 2 005

201104135 15.__________

16. DEDI, SP 19690411 200312 1 002

201104136 16. __________

17. AJULI MUHDA R. 19580730 198302 2 003

201104137 17.__________

18. SYAFRIZAL. M,SH 19600816 198503 1 012

201104138 18. __________

19 ROSWATI 19580820 198101 2 001

201104139 19.__________

20.YASRIL 19600115 198203 1

010201104140

20. __________

21. LIANAS,SE 19591231 198303 1 152

201104141 21.__________

22. YANITA FITRI 19660115 198903 2 003

201104142 22. __________

Page 10: Daftar Hadir Peserta

23. HARDINAL SYOFYAN, Spt

19700323 199701 1 001

201104143 23.__________

24. NELDIA VENDRA, SP 19760105 200003 1 002

201104144 24. __________

25. ALI AMRAN S. SH 19590515 198503 1 008

201104145 25.__________

26. HASNETI, SE 19661015 198901 2 001

201104146 26. __________

27. Drh YOSRO 19810816 200604 1 004

201104147 27.__________

28. EDISON, SST 19660711 199203 1 009

201104148 28. __________

29 FITRIANI, S.Pt 19790205 200501 2 008

201104149 29.__________

30. MUSARDI,SP 19720818 199703 1 003

201104150 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 11: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-6

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.Drh. LISTIYANTO 19820402 200803 1

001201104151

1.___________

2. M. DWI RICHIE JP, S.Pi 19830323 200604 1 005

201104152 2. ___________

3. DADANG HIKMAT,A.Md 19640519 198503 1 007

201104153 3.___________

4. JON YUWELDRI PUTRA, S.Pt

19770727 200604 1 017

201104154 4. ___________

5. RIYATUL FATMA 19571124 198206 2 001

201104155 5.___________

6. FIRDAUS, SST 19690410 199303 1 004

201104156 6. ___________

7. SYAFRITA, SPt 19710307 200604 2 002

201104157 7.___________

8. YULIANDRI DJ, Spi 19800707 200604 1 006

201104158 8. ___________

9 EDI JUFRI 19550827 197603 1 004

201104159 9.___________

10. LIWAZAN, SP 19571005 198202 1 001

201104160 10.___________

11. DAUD, ST 19661213 198602 1 002

201104161 11.__________

12. SYAMSIR, SH 19580513 198012 1 004

201104162 12. __________

13. YURHASNI.A.Md 19620922 198803 2 003

201104163 13.__________

14. ALI UMRAN, SH 19640325 198603 1 004

201104164 14. __________

15. AMIGO RINALDI. SP 19670822 198803 1 005

201104165 15.__________

16. TASPIAR, SP 19611231 198603 1 105

201104166 16. __________

17. DESI RIANTI 19621203 198602 2 001

201104167 17.__________

18. ROSMALINDA, SP 19620523 198709 1 001

201104168 18. __________

19 DEVI NOFRINA, SP 19761129 200604 2 004

201104169 19.__________

20.AHMAD RINALDI, SP 19630502 200212 1

001201104170

20. __________

21. RUSLAN 19571111 199403 1 001

201104171 21.__________

22. MERI YANTI 19620511 198803 2 003

201104172 22. __________

Page 12: Daftar Hadir Peserta

23. ERMAN 19590520 198202 1 002

201104173 23.__________

24. H. ZULKIFLI, SH 19600805 198602 1 008

201104174 24. __________

25. YANDESMAN, S.Hut 19720909 200003 1 004

201104175 25.__________

26. MURSAL EFFENDI 19660319 198602 1 002

201104176 26. __________

27. SRI HARTATI 19620930 198101 2 001

201104177 27.__________

28. DIDI MULYADI, SH 19621226 198503 1 009

201104178 28. __________

29 WIRDAWATI 19660213 198703 2 003

201104179 29.__________

30. AMNIZAR 19620611 198612 1 001

201104180 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 13: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-7

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.YUNAIDI 19660708 198803 1

003201104181

1.___________

2. MURSIDA 19670325 198903 2 002

201104182 2. ___________

3. HENDRI DUNAN, SH 19790125 200003 1 003

201104183 3.___________

4. ZULKANEDI SUKMANA 19650928 198506 1 001

201104184 4. ___________

5. ADRIZAL 19650101 198503 1 009

201104185 5.___________

6. LISMARDI 19600525 198602 1 004

201104186 6. ___________

7. ERMAN 19571218 198301 1 001

201104187 7.___________

8. YUN FARIZAL 19590707 198103 1 008

201104188 8. ___________

9 Drs. APRIZON 19680405 199503 1 004

201104189 9.___________

10. AFDAL 19650914 198602 1 001

201104190 10.___________

11. NAZUL HENDRI 19650916 198701 1 001

201104191 11.__________

12. NURASNI, S.Sos 19640720 199103 2 002

201104192 12. __________

13. JONI SUTRISNO 19590405 198701 1 001

201104193 13.__________

14. IVAN ISVANDI 19690821 199203 1 004

201104194 14. __________

15. AFRIDANSYAH, SH 19711030 199202 1 001

201104195 15.__________

16. NOVIARTI 19561125 198103 2 001

201104196 16. __________

17. NOVIA HANIF, S.Ag 19611128 198303 1 007

201104197 17.__________

18. REFNITA IDA 19590807 198312 2 001

201104198 18. __________

19 ADRIZAL 19600403 198410 1 004

201104199 19.__________

20.EMWIRDA 19600212 198201 2

002201104200

20. __________

21. MARJOHAN, S.PT 19630415 198303 1 009

201104201 21.__________

22. ANAS 19610806 198603 1 006

201104202 22. __________

Page 14: Daftar Hadir Peserta

23. ISMET, SH 19630511 198601 1 001

201104203 23.__________

24. ASNIL SY, SH 19720929 199202 1 001

201104204 24. __________

25. ELLI KAMAR 19630422 198512 2 001

201104205 25.__________

26. ALWIDARIPAH, SH 19580612 199103 2 001

201104206 26. __________

27. ZUL ASMAR, SH 19660325 198903 1 004

201104207 27.__________

28. YENDAWATI, SH 19630405 198603 2 008

201104208 28. __________

29 NURHAQQI, ST. M. Eng 19741018 200501 1 004

201104209 29.__________

30. BERMAN, SH 19621231 198503 1 112

201104210 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 15: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-8

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.EFA AMELIA, SH 19641221 198903 2

003201104211

1.___________

2. ROSMA WARNI 19561126 198103 2 005

201104212 2. ___________

3. ARIZAL, SH 19610131 198211 1 002

201104213 3.___________

4. IDRUS PAYAN 19650324 198503 1 004

201104214 4. ___________

5. JASMANIARTI 19590407 198001 2 001

201104215 5.___________

6. AZIZAH 19580501 198211 2 001

201104216 6. ___________

7. GUSMAN, SH 19640711 198803 1 007

201104217 7.___________

8. EDWAR, Bsc. 19620921 199103 1 004

201104218 8. ___________

9 MULFIARDI 19600718 198603 1 003

201104219 9.___________

10. BOY ERVANTOS 19641219 198603 1 006

201104220 10.___________

11. ZAIRIL, SE 19680301 198703 1 001

201104221 11.__________

12. YUFRIZAL 19590711 198502 1 002

201104222 12. __________

13. IRWAN RUDI, ST 19741130 200501 1 004

201104223 13.__________

14. SRI HARYANTI 19620929 198603 2 002

201104224 14. __________

15. RAMADAN AHMAD 19601125 198603 1 006

201104225 15.__________

16. ANASRIL 19630919 199203 1 004

201104226 16. __________

17. YANUARDI 19570115 198103 1 008

201104227 17.__________

18. ELUZUARDI, SH 19650609 198602 1 002

201104228 18. __________

19 ARMEN,SH 19700815 198903 1 001

201104229 19.__________

20.MAIMUNAH, SE 19740413 199403 2

006201104230

20. __________

21. EVALIANIS 19631013 198602 2 002

201104231 21.__________

22. HASRIL, SH 19680203 199309 1 001

201104232 22. __________

Page 16: Daftar Hadir Peserta

23. YUDRIZAL 19620101 198301 1 001

201104233 23.__________

24. ENDRIZAL, SH 19681205 199202 1 001

201104234 24. __________

25. JASMARDI 19710612 199403 1 004

201104235 25.__________

26. YUNILAWATI, SE.Akt 19770619 200604 2 004

201104236 26. __________

27. INDRINIATI, SE.Akt 19820510 200604 2 002

201104237 27.__________

28. ROZA MUKHNIWATI, SE.Akt

19820219 200604 2 008

201104238 28. __________

29 BUDI HERIYANTO 19791026 200604 1 007

201104239 29.__________

30. FIRDAUS, SE 19760123 200604 1 004

201104240 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 17: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-9

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.ERWANTO 19691128 198903 1

003201104241

1.___________

2. ZULFELMI, SH 19590828 198602 1 006

201104242 2. ___________

3. EFRI YETTI 19600410 198101 2 003

201104243 3.___________

4. SUZI SUWIRMA 19610226 198203 2 006

201104244 4. ___________

5. SYAFNI DARYETTI 19580916 198101 2 001

201104245 5.___________

6. SYAHRIAL, SH 19640424 198602 1 004

201104246 6. ___________

7. GUSNELI 19620208 198602 2 002

201104247 7.___________

8. DEDI HERDIAN 19640122 198602 1 001

201104248 8. ___________

9 SYAMSIRWAN, SH 19651205 198708 1 001

201104249 9.___________

10. YASRUL, SH 19630415 198603 1 012

201104250 10.___________

11. RINI ANGRAINI, ST 19810525 200604 2 007

201104251 11.__________

12. KHAIDIR ISMET, ST 19760412 200601 1 011

201104252 12. __________

13. HELMI HERIYANTO, ST 19730907 200501 1 007

201104253 13.__________

14. BENNY. R. PURBA, BSW 19640919 198603 2 005

201104254 14. __________

15. RISNAWATI 19551202 198102 2 001

201104255 15.__________

16. DARNIATI 19591010 198101 2 005

201104256 16. __________

17. GAMAL ABDUL NASER, Aks

19680406 198901 1 002

201104257 17.__________

18. ZUFLIWARDY ANWAR, SH

19590519 198503 1 001

201104258 18. __________

19 HERMAN MAARUF 19610804 198302 1 004

201104259 19.__________

20. MAKMUR SARAGI 19600519 198203 1

005201104260

20. __________

21. ENDRIANTO CHANIAGO,SH

19650505 198503 1 007

201104261 21.__________

22. ZULKIFLI, SH 19571231 198101 1 013

201104262 22. __________

Page 18: Daftar Hadir Peserta

23. ISNAWILIS.Z 19621120 198607 2 001

201104263 23.__________

24. HASNIL 19571015 198003 1 008

201104264 24. __________

25. NURSIDA GUSTINA 19660812 198703 2 005

201104265 25.__________

26. ISHAK, S.Pd 19710804 199702 1 001

201104266 26. __________

27. MAWARTI, BA 19620615 198903 2 005

201104267 27.__________

28. HERLINDA, SH 19700816 199103 2 006

201104268 28. __________

29 JAAFAR, SH. 19690607 199003 1 002

201104269 29.__________

30. SUSMIARTI 19570817 198303 2 003

201104270 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 19: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-10

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.JON FAUZI, S.Ag 19651115 198903 1

006201104271

1.___________

2. YUHELNIDAR 19590403 198602 2 003

201104272 2. ___________

3. AZWIRMAN, SH 19590610 199203 1 003

201104273 3.___________

4. MARYENTI ANWAR 19680310 199003 2 006

201104274 4. ___________

5. GUSTI ELIZA, S.Pd 19620809 198703 2 002

201104275 5.___________

6. DESYARTI, SH 19661206 199312 2 001

201104276 6. ___________

7. BETTI ZULFIA 19640104 198603 2 005

201104277 7.___________

8. NURUL FAUZI 19650127 198603 1 004

201104278 8. ___________

9 YON ERNI 19641110 198602 2 002

201104279 9.___________

10. SYAFNI ERIZA, SH 19750306 199403 2 002

201104280 10.___________

11. BERTALIANI 19651120 198703 2 005

201104281 11.__________

12. NURSUHARNI 19640610 199003 2 003

201104282 12. __________

13. HELMI YATDA 19630221 198603 2 002

201104283 13.__________

14. ZULHAMDI, S.Kom 19771208 200501 1 007

201104284 14. __________

15. MURNIATI 19580108 198003 2 002

201104285 15.__________

16. MUNASRIL, SH 19651203 198602 1 002

201104286 16. __________

17. ROSMAINI 19601116 198303 2 005

201104287 17.__________

18. HERLINA, S.Ag 19600611 198303 2 002

201104288 18. __________

19 IDET, ST 19590616 198103 1 006

201104289 19.__________

20.HENDRI WIJAYA, SH 19711210 199203 1

001201104290

20. __________

21. MARWAZI, ST 19580327 198103 1 007

201104291 21.__________

22. MHD. SYAFEI, SH 19650323 199312 1 001

201104292 22. __________

Page 20: Daftar Hadir Peserta

23. YULITA ENDANG P.U.SH. 19660404 199201 2 001

201104293 23.__________

24. YURIFELMAI, SH 19660512 198602 1 003

201104294 24. __________

25. HAYATUL BADRI 19611218 198610 2 001

201104295 25.__________

26. RISWANDI, SH 19611008 198103 1 002

201104296 26. __________

27. ABDUL RIZAL, SH 19640415 198602 1 005

201104297 27.__________

28. ENDA MURNI.DJ. A.Md 19690524 199503 2 001

201104298 28. __________

29 FAJRIATI. SY,SE 19740216 200604 2 001

201104299 29.__________

30. DONY ARDORIA, ST 19780723 200604 1 003

201104300 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 21: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-11

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.YUNITA 19560615 198007 2

001201104301

1.___________

2. EFRI YANTO, SPt 19730707 199903 1 005

201104302 2. ___________

3. ENDANG SUSILOWATI, ST

19750915 200003 2 004

201104303 3.___________

4. RAHMAT GUSVERI, S.Si, M.Si

19740818 200003 1 005

201104304 4. ___________

5. JUBAIDAH, SE. 19660729 198903 2 004

201104305 5.___________

6. RIA KUDU, SH 19641117 198703 1 004

201104306 6. ___________

7. RIDWAN 19650221 198602 1 001

201104307 7.___________

8. METRI WILDA NASUTION, SE

19770107 200003 2 001

201104308 8. ___________

9 AHDA HIDAYAT, S.Sos 19800503 200312 1 004

201104309 9.___________

10. RAHMA YENTI, SE.Ak, M.Ec.Dev

19810204 200501 2 005

201104310 10.___________

11. BAMBANG RIWANTO, ST 19790302 200604 1 002

201104311 11.__________

12. DIKRI YENNI, SH 19650825 199308 2 001

201104312 12. __________

13. PONIZAR 19600224 198103 2 003

201104313 13.__________

14. NIKMATUSSADISAH.SH 19680603 199803 2 003

201104314 14. __________

15. YUDARTI 19590713 198603 2 003

201104315 15.__________

16. ALI AMRAN A 19590526 198201 1 001

201104316 16. __________

17. EDWARD, SH 19720615 199703 1 006

201104317 17.__________

18. JENDRI YANI.SH 19660415 199003 1 005

201104318 18. __________

19 JONNIZAR, SH 19610620 198703 1 003

201104319 19.__________

20.MARTA YANDRA,S.Kom 19790402 200501 1

004201104320

20. __________

21. ASRIAL 19680826 198903 1 004

201104321 21.__________

22. SAKDANIL, SH 19661215 199203 1 006

201104322 22. __________

Page 22: Daftar Hadir Peserta

23. NUNUNG LESMANA 19640821 198903 2 003

201104323 23.__________

24. DILTA NOPRIJUM 19601120 198110 1 001

201104324 24. __________

25. BENHARD 19630410 198602 1 002

201104325 25.__________

26. NURHAYATI. B 19610313 198503 2 004

201104326 26. __________

27. DAHLIANA , SE. 19630313 198603 2 005

201104327 27.__________

28. YUNIRMAN,S.ST 19650618 198901 1 001

201104328 28. __________

29 MAYESTI 19620513 198603 2 003

201104329 29.__________

30. SUARDI 19620706 198602 1 004

201104330 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 23: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-12

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.JUARDI LUBIS, ST.M.Eng 19790119 200501 1

004201104331

1.___________

2. EZY AMELIA EP, SP 19750127 199803 2 002

201104332 2. ___________

3. EMMI SUDARTI 19550616 197901 2 001

201104333 3.___________

4. ROSMIATI 19570626 198002 2 001

201104334 4. ___________

5. RUSMANUDDIN ZAICAN, SP

19610303 198303 1 010

201104335 5.___________

6. NIFEBRIENI, SE 19651130 198711 2 001

201104336 6. ___________

7. IRSAL, SP 19590817 198103 1 014

201104337 7.___________

8. JASMAN, SP 19620602 198803 1 003

201104338 8. ___________

9 PURWATI NINGSIH 19590317 198503 2 002

201104339 9.___________

10. CHANDRA FAHMI, SP 19571228 197901 1 001

201104340 10.___________

11. RAFLIS 19620325 198503 1 006

201104341 11.__________

12. RAFLES SALIM, SP 19570816 198603 1 004

201104342 12. __________

13. M. SUHAILI 19561109 198002 1 001

201104343 13.__________

14. KHAIRUL AMRI 19590907 198312 1 001

201104344 14. __________

15. MURDANI, SP 19621231 198803 1 067

201104345 15.__________

16. TAMRIN, S.Pi 19770415 200501 1 012

201104346 16. __________

17. NOFERI ILYAS, A.Md 19631114 198710 1 001

201104347 17.__________

18. SUDIRMAN 19631231 198803 1 081

201104348 18. __________

19 RENI ZULITA, SP 19631006 198603 2 002

201104349 19.__________

20.SRI NURAIDA HASTUTI, SP

19700220 199303 2 002

201104350 20. __________

21. MY.ANTONIUS,A.Md 19630901 198803 1 004

201104351 21.__________

22. ERMITTA, SE 19690328 199302 2 002

201104352 22. __________

Page 24: Daftar Hadir Peserta

23. SYAFRI LISWAN 19600315 198101 1 002

201104353 23.__________

24. NURBIAH 19600120 198402 2 001

201104354 24. __________

25. ERITA WILIS, SH 19590910 198402 2 001

201104355 25.__________

26. USMAWATI 19590919 198603 2 003

201104356 26. __________

27. HARMAINI, SH 19630212 198603 2 004

201104357 27.__________

28. ROSTINA 19621120 198903 2 005

201104358 28. __________

29 YUNIL BAHRUDIN 19620501 198603 1 007

201104359 29.__________

30. SYAFIRUDIN 19630910 198703 1 005

201104360 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 25: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-13

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.PITWARTINI, SH 19601220 198503 2

003201104361

1.___________

2. MISYELLI. SH 19660410 198603 2 004

201104362 2. ___________

3. LINDA 19640528 198812 2 001

201104363 3.___________

4. SURMAYETTI 19600306 198101 2 001

201104364 4. ___________

5. RAMANIZAR.S.Sos 19621014 198602 2 002

201104365 5.___________

6. RIFMAINIRNI 19590508 198206 2 002

201104366 6. ___________

7. ERMAWATI 19630910 198703 1 004

201104367 7.___________

8. YANUAR 19650117 198802 1 001

201104368 8. ___________

9 SYOFIA WARMAN, S.Ag 19760205 200604 1 007

201104369 9.___________

10. HENDRI YANTO, S.Ag 19750725 200604 1 002

201104370 10.___________

11. MAIYARNI LUBIS, S.Ag 19720522 200604 2 014

201104371 11.__________

12. ERLINA HARTI, S.Pd 19650727 199003 2 009

201104372 12. __________

13. HENDRAWANSYAH, SH 19740327 199303 1 003

201104373 13.__________

14. MASRIVUL, SH 19591109 198903 1 004

201104374 14. __________

15. AZWAR 19630825 198603 1 004

201104375 15.__________

16. ASMIDA, SH. 19731210 199312 2 001

201104376 16. __________

17. AJIDAR, ST 19611231 198703 1 069

201104377 17.__________

18. EM HASRIL 19620303 198101 1 001

201104378 18. __________

19 YASNIDA 19611228 199303 2 001

201104379 19.__________

20.NURIASMI 19640502 199003 2

001201104380

20. __________

21. BUDI CENDEKIA.P, SE.Ak 19760128 200604 1 003

201104381 21.__________

22. LINDA SUYANTI 19650820 198602 2 003

201104382 22. __________

Page 26: Daftar Hadir Peserta

23. YUSRIZAL, SH 19700607 199003 1 005

201104383 23.__________

24. SUBHANDI, ST 19740804 200312 1 003

201104384 24. __________

25. TITIS ERNINGSIH, ST, Msi

19740728 200501 2 006

201104385 25.__________

26. EKA DETRIMAN, SH 19601230 198103 1 004

201104386 26. __________

27. JONI HAFIZAL, SH 19641107 198602 1 002

201104387 27.__________

28. M. SYAFEI, SH 19591220 198603 1 008

201104388 28. __________

29 YULIARDI, SH 19730703 199303 1 002

201104389 29.__________

30. MUHAMMAD,S.Ag 19560209 198203 1 004

201104390 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 27: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-14

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.ASRINIWATI 19631022 198603 2

002201104391

1.___________

2. YELLIDA 19660519 198602 2 001

201104392 2. ___________

3. YUSRAN 19600923 198103 1 006

201104393 3.___________

4. AMRISAL 19620602 198103 1 006

201104394 4. ___________

5. ZULFAHMI, SH 19700712 199203 1 006

201104395 5.___________

6. ABDUL MUHIR, SH 19790410 200003 1 004

201104396 6. ___________

7. YONNARITA 19580228 198206 2 002

201104397 7.___________

8. ZAKRI, SE 19650624 199503 1 004

201104398 8. ___________

9 DICKY SYAHPUTRA, S.Sos

19730330 199803 1 003

201104399 9.___________

10. HARNEL LIBRA, SH 19660923 199003 1 004

201104400 10.___________

11. YULIA HARTATI, S.Si, Apt 19670712 199703 2 002

201104401 11.__________

12. YUMERIZA 19571127 198206 2 001

201104402 12. __________

13. IRNA HAIDESNI, AMK 19701214 199403 2 001

201104403 13.__________

14. NELLY, A.Md.Kep 19640519 198902 2 001

201104404 14. __________

15. dr. NURWETI EMIDA 19751028 200501 2 006

201104405 15.__________

16. NETTY, A.Md.Kep 19610909 198703 2 002

201104406 16. __________

17. WADDYAWATI 19661124 198703 2 004

201104407 17.__________

18. EVA GUSRIANIA.Md. KL 19670303 198903 2 004

201104408 18. __________

19 ASLIZA, SKM.M.Si 19770709 199703 2 001

201104409 19.__________

20.NURINAWATI, SH. 19680705 199003 2

008201104410

20. __________

21. MUAS, SH 19650927 198603 1 006

201104411 21.__________

22. SYAFRI, SH 19610516 198903 1 002

201104412 22. __________

Page 28: Daftar Hadir Peserta

23. WARLIS,SH 19600720 198903 1 005

201104413 23.__________

24. ALYUMI GUSTI 19690124 198912 1 001

201104414 24. __________

25. ALKADRI 19650320 198603 1 005

201104415 25.__________

26. YUSMILIZA BETH 19591009 198603 2 003

201104416 26. __________

27. BURHAN, SH 19640807 198903 1 006

201104417 27.__________

28. HASRIL 19591211 198303 1 005

201104418 28. __________

29 SYOFINAR, S.Sos 19641212 198603 2 009

201104419 29.__________

30. ZULFRINDON 19650910 198803 1 004

201104420 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 29: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-15

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.INDRA, SP 19621122 199212 1

001201104421

1.___________

2. YUSNIMAR 19590601 197912 2 001

201104422 2. ___________

3. ERNA ADRIATI 19640323 198602 2 002

201104423 3.___________

4. ZASTRI ELVA 19580228 198603 2 003

201104424 4. ___________

5. JASRIL,SH 19610404 198602 1 002

201104425 5.___________

6. ELDI NOFASTA 19711121 199203 1 003

201104426 6. ___________

7. GUSTINA EMARNI, S.Sos.I

19660810 199303 2 008

201104427 7.___________

8. SALMIATI, S.Sos 19600622 198102 2 001

201104428 8. ___________

9 ERMA YESTI 19640504 198603 2 003

201104429 9.___________

10. ERA HASNI S.Kom 19701018 200501 2 009

201104430 10.___________

11. HAFRIZALZUL, SH 19780426 200003 1 001

201104431 11.__________

12. HIDAYATUL TAUFIK, SSTP

19840323 200312 1 001

201104432 12. __________

13. MUHAMMAD ISNAINI 19791202 200901 1 007

201104433 13.__________

14. YULIDAR.Y 19580720 198402 2 002

201104434 14. __________

15. YENNI 19611203 198603 2 003

201104435 15.__________

16. ATMA GUSTITIA 19631029 198602 2 002

201104436 16. __________

17. NURNA ELIA 19640422 198602 2 004

201104437 17.__________

18. ESSY SUPRAISA 19730506 199303 2 003

201104438 18. __________

19 DARLIS, SKM 19600405 198603 1 003

201104439 19.__________

20.EMMI 19621221 198602 2

001201104440

20. __________

21. AGUSTIMAIZOL. SH 19710619 199202 1 001

201104441 21.__________

22. EDWARDI URAI 19610510 198103 1 007

201104442 22. __________

Page 30: Daftar Hadir Peserta

23. YOMI VALENTIA, SS 19830203 200501 2 003

201104443 23.__________

24. EDWARD BRATA PUTRA 19880209 200701 1 001

201104444 24. __________

25. JUNAIDI, BAC 19610407 198603 1 006

201104445 25.__________

26. ERFIDA 19591030 198403 2 001

201104446 26. __________

27. HAPNIL WADI, SH 19710918 199303 1 004

201104447 27.__________

28. MARDINATA. BE 19590317 199003 1 003

201104448 28. __________

29 ELFIAN 19630515 198910 1 001

201104449 29.__________

30. RASNA HELMI 19630917 198903 2 002

201104450 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 31: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-16

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1.SAHIDIN 19630305 198703 1

009201104451

1.___________

2. YUSTIMAR 19640616 198703 2 004

201104452 2. ___________

3. RAJO ALI 19600520 198403 1 010

201104453 3.___________

4. APRISAL 19640828 198903 1 007

201104454 4. ___________

5. GUFTI YOMI, SE 19730824 200701 1 007

201104455 5.___________

6. JULIATER GINTING, S.Tp 19760702 200604 1 005

201104456 6. ___________

7. RAJAMIN, S.Pi 19720903 200604 1 004

201104457 7.___________

8. ABU BAKAR THARMIZE 19700326 200901 1 001

201104458 8. ___________

9 ARDIMAN 19591231 198403 1 063

201104459 9.___________

10. SYAHRUL, SE 19630502 198603 1 006

201104460 10.___________

11. Drs. IRFAN. A 19651110 199503 1 001

201104461 11.__________

12. MAWARDI, SH 19670801 199311 1 001

201104462 12. __________

13. GUSTANIAH, SE 19760215 200801 2 013

201104463 13.__________

14. RAIDUL MIWARI, SH 19690929 199301 1 003

201104464 14. __________

15. MINARTI 19600907 198312 2 001

201104465 15.__________

16. MASYRUL 19590922 198603 1 004

201104466 16. __________

17. SYOFYAN 19591215 198603 1 009

201104467 17.__________

18. ASRIAL ARFANDI HASAN, S.STP

19840824 200212 1 001

201104468 18. __________

19 MASDALENA S.Sos 19650909 200604 2 008

201104469 19.__________

20.BUDHI WAHYU SATRIA,SIP

19880308 200701 1 001

201104470 20. __________

21. ERNAWATI.SH 19651210 199312 2 001

201104471 21.__________

22. Dra. SURMIYETTI 19651002 199503 2 003

201104472 22. __________

Page 32: Daftar Hadir Peserta

23. Drs. AHMAD SANUSI 19611015 199403 1 002

201104473 23.__________

24. ALTASMAN 19650513 198903 1 002

201104474 24. __________

25. RAME SIRAIT 19630319 198602 2 001

201104475 25.__________

26. RAJO 19601106 198403 1 003

201104476 26. __________

27. Anasril, S.Pd 19700210 199603 1 005

201104477 27.__________

28. Nurfiati, S.Pd 19630515 198703 2 006

201104478 28. __________

29 GUDRIN, A.Ma 19600205 198103 1 014

201104479 29.__________

30. Zulfan, S.Pd 19591015 198302 1 003

201104480 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 33: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : IV-17

Hari/tanggal : Minggu / 20 November 2011

Esselon III & IV

No. Nama NIP Nomor Peserta

Tanda Tangan

1.Maruddin, SH 19620412 198603 1

004201104481

1.___________

2. Suhemi, S.Pd 19620610 198302 1 003

201104482 2. ___________

3. Maswir Raflis 19610817 198603 1 013

201104483 3.___________

4. Wasdianto, S.Pd 19611006 198112 1 002

201104484 4. ___________

5. Seprialdi, A,Ma 19630929 198603 1 011

201104485 5.___________

6. Hamdani, AM.a 19641226 198610 1 001

201104486 6. ___________

7. Syolikhin, A.Ma 19641215 199001 1 002

201104487 7.___________

8. Aljufri, S.Pd 19590302 198011 1 001

201104488 8. ___________

9 Yusrizal, S.Pd 19620227 198703 1 003

201104489 9.___________

10. Muklan. S 19650501 198802 1 001

201104490 10.___________

11. Asnil. I, A.Ma. Pd 19560816 197911 1 001

201104491 11.__________

12. Alwizon, S.Pd 19630703 198410 1 001

201104492 12. __________

13. Muhardi, S.Pd 19610621 198112 1 001

201104493 13.__________

14. Adrijon, S.Pd 19650727 198410 1 001

201104494 14. __________

15. Sri Erlinda, S.Pd 19690222 199003 2 002

201104495 15.__________

16. Wirdani 19570816 198003 1 011

201104496 16. __________

17. Safarudin 19670204 199003 1 005

201104497 17.__________

18. Jalalluddin 19580326 198602 1 003

201104498 18. __________

19 KHAIRUL EFRI, SH 196612211986021002 201103151 19.__________

20. ELVI WARDI, SH 196212101986021003 201103152 20. __________

21. EVA ROBANIATUN, SH 197605051994032001 201103153 21.__________

Page 34: Daftar Hadir Peserta

22. SILVIA EVAYANTI, S.Pi, MM

196801051994032004 201103154 22. __________

23. 23.__________

24. 24. __________

25. 25.__________

26. 26. __________

27. 27.__________

28. 28. __________

29 29.__________

30. 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 35: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : III-1

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1. DJOKO RIFANTO, S.Sos Msi

19681024 199009 1 002 201103001 1.___________

2. FATRIZON, SH, M.Si 19661224 198903 1 005 201103002 2. ___________

3. Drs. YUSRI 19630314 198803 1 008 201103003 3.___________

4. SURYA DARMA, SH 19580721 198101 1 001 201103004 4. ___________

5. EFKA EMI. SH 19640102 199308 1 001 201103005 5.___________

6. MARDIANTO,SH 19700505 199603 1 005 201103006 6. ___________

7. GUSTIAN, S.Pd 19670303 198802 1 001 201103007 7.___________

8. Drs. M. SAYUTI POHAN. AP

19740721 199402 1 003 201103008 8. ___________

9 Drs. SEWAN,M.Si 19580929 198603 1 007 201103009 9.___________

10. MUKHRIZAL,SH 19611111 198503 1 005 201103010 10.___________

11. TAFDHIL, SH 19620522 198602 1 001 201103011 11.__________

12. NIFA HAKOLA, SH 19620712 199103 1 006 201103012 12. __________

13. ALIM BAZAR, S.Sos 19690614 199009 1 001 201103013 13.__________

14. EDI ZUBIR, SST 19600210 198901 1 002 201103014 14. __________

15. M. SYAFRIL MASNUR, ST,MT

19670602 199403 1 005 201103015 15.__________

16. APRIALDI SAID, SH 19700423 199202 1 001 201103016 16. __________

17. NASRUL, ST 19610509 198602 1 001 201103017 17.__________

18. Drs. ALDAR USMAN,M.Pd

19590705 198603 1 011 201103018 18. __________

19 GUNAWAN, S.Pd,M.Si 19681017 199203 1 004 201103019 19.__________

20. BUDI INDRAWAN, S.Pd 19670611 199411 1 001 201103020 20. __________

21. HASBUL ZAHRI S.Pd 19610727 198512 1 001 201103021 21.__________

22. NOVIARTIAS,SH 19641108 198506 1 001 201103022 22. __________

Page 36: Daftar Hadir Peserta

23. ABRAL MULYANDRI, SE

19670801 199303 1 004 201103023 23.__________

24. RIDWAN, SKM 19600810 198603 1 005 201103024 24. __________

25. YUSMAN, SKM 19591020 198009 1 001 201103025 25.__________

26. YUHENDRI, BSc 19630423 198703 1 006 201103026 26. __________

27. dr. Hj. INDRA YENI 19631009 200212 2 002 201103027 27.__________

28. IN ISRAIL, S.Sos 19640212 198602 1 003 201103028 28. __________

29 AFRIUS, SP 19561106 197901 1 001 201103029 29.__________

30. Ir. JONNI. D 19590622 199308 1 001 201103030 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 37: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : III-2

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1. YULRASDI, SP 19620710 198303 1 009 201103031 1.___________

2. drh. RUD HASTIA 19600625 198903 2 002 201103032 2. ___________

3. ZULNEDI, SP 19590209 198002 1 002 201103033 3.___________

4. TASRIN YULES SH 19600707 198602 1 004 201103034 4. ___________

5. SALFADRI PUTRA, S.Pi 19740506 199903 1 006 201103035 5.___________

6. IRZAN, B.Sc 19630621 199003 1 006 201103036 6. ___________

7. ABDUL ASMI, SH 19580521 198101 1 002 201103037 7.___________

8. ORTOK, SH 19630805 198602 1 004 201103038 8. ___________

9 ITA WISIKARTIYAH, SP 19690416 199403 2 008 201103039 9.___________

10. ADIAR KAMARUDDIN 19570927 198202 1 002 201103040 10.___________

11. MAISIR. SP 19570426 198203 1 007 201103041 11.__________

12. Drs. DEAS KHAIRNALIM

19650319 199203 1 005 201103042 12. __________

13. EKO SYAFRIANTO, AP, M.Si

19740902 199311 1 001 201103043 13.__________

14. ETRIWALDI, SH 19730625 199303 1 002 201103044 14. __________

15. AYO SUNARYO, SH 19570414 198903 1 001 201103045 15.__________

16. TERRA DHARMA. S .Hut, M.Si

19710923 199903 1 004 201103046 16. __________

17. FERHADI, SH 19610214 198103 1 002 201103047 17.__________

18. ALFRED, SE 19620820 199103 1 004 201103048 18. __________

19 ASRIL AMIR, SH. M.Si 19600418 198301 1 001 201103049 19.__________

20. ASADI, A.Ma 19640829 198602 1 001 201103050 20. __________

21. SYAFRIANDI, SH 19591110 198103 1 011 201103051 21.__________

22. IDRIAL, SH 19610210 198603 1 009 201103052 22. __________

Page 38: Daftar Hadir Peserta

23. MAHATIAFIRIA, SH 19650412 199003 1 009 201103053 23.__________

24. RADIAL,SH.MM 19650107 198603 1 006 201103054 24. __________

25. BUDHI HERMAWAN, SH

19711116 199003 1 001 201103055 25.__________

26. Drs. ADASMI 19651010 199203 1 008 201103056 26. __________

27. AMRI SIREGAR, SmHk. 19590313 198603 1 004 201103057 27.__________

28. ASWAR, SH 19641122 198602 1 003 201103058 28. __________

29 HASAN BASRI, SH 19631202 198603 1 005 201103059 29.__________

30. RAHIMAL,SH 19611118 198703 1 001 201103060 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 39: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : III-3

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1. YUTRIANE YUSHIR, SE. Akt,MM

19720323 199701 2 001 201103061 1.___________

2. GUSTI ALIMAN, SE 19620204 198302 1 002 201103062 2. ___________

3. EFINA, SE 19670303 199302 2 002 201103063 3.___________

4. M. YASRIN SYAHPUTRA, SE. MM

19710619 199803 1 003 201103064 4. ___________

5. ROICHARD. SH 19770106 199701 1 001 201103065 5.___________

6. ZUL EFENDI.S.Hut 19680506 199803 1 005 201103066 6. ___________

7. Ir. RIZALWIN, M.Si 19611115 199103 1 002 201103067 7.___________

8. M. YUNUS, S.Sos 19581004 198301 1 001 201103068 8. ___________

9 SASTRA BURDIA ,ST. MM

19610916 199003 1 004 201103069 9.___________

10. DEV EDWAR, ST.MM 19710921 200312 1 003 201103070 10.___________

11. BUJANG, S.Pd 19581026 198303 1 002 201103071 11.__________

12. H. SYAHRUDDIN, SH, MM

19580726 198303 1 005 201103072 12. __________

13. ASRIL, BE 19601112 198503 1 008 201103073 13.__________

14. ELVA AFRIZAL.SP 19610420 198303 1 013 201103074 14. __________

15. Drs.AHMAD ZEIN 19571010 198202 1 003 201103075 15.__________

16. RIYANTO NADRI 19591231 198403 1 062 201103076 16. __________

17. CHOIRUDDIN BATU BARA, SE. MM

19741215 199903 1 001 201103077 17.__________

18. Drs. IRMANTO.M.Pd 19621212 199903 1 002 201103078 18. __________

19 EDWIN, SH 19630517 198503 1 007 201103079 19.__________

20. SUKARDI, S.Pd, MM 19700507 199303 1 004 201103080 20. __________

21. HENDRIANTO, SE 19620727 198203 1 004 201103081 21.__________

22. Drs. RISMANTO 19640520 199202 1 001 201103082 22. __________

Page 40: Daftar Hadir Peserta

23. NULFIKAR, S.Ag 19620430 198303 1 003 201103083 23.__________

24. HERMAN SURYA, ST 19631121 199103 1 004 201103084 24. __________

25. Drs. MULYATMIN.CH, MM

19601014 199003 1 005 201103085 25.__________

26. NAZIR NAMRI, SE 19620818 199003 1 006 201103086 26. __________

27. DIAN MUSRINA, SE, MM

19640424 199512 2 001 201103087 27.__________

28. Drs. ENDRI YANSON 131600589 201103088 28. __________

29 SYAMSURIJAL, SH 19590429 198203 1 007 201103089 29.__________

30. HENDRA KURNIAWAN. SE. MSi

19680209 199308 1 001 201103090 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 41: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : III-4

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1. YUNISMA NASUTION, S.Pd

19570607 198103 2 001 201103091 1.___________

2. HENDY HAMULIA, S.Kom

19680314 199701 1 001 201103092 2. ___________

3. ALI UMAR.S, ST.MT 19650504 199003 1 007 201103093 3.___________

4. RAFNINELI, S. IP, Msi 19690611 199303 2 003 201103094 4. ___________

5. YOSRIZAL,SH 19610404 198602 1 001 201103095 5.___________

6. YULISMAN, SH 19580706 198403 1 005 201103096 6. ___________

7. IKBAL, SH 19600704 198203 1 012 201103097 7.___________

8. ADMIALDI, SH 19620405 198602 1 003 201103098 8. ___________

9 TEDDY MARTHA,SSTP 19780311 199703 1 002 201103099 9.___________

10. MUSRAWAL GUSTI, SH 19660801 198602 1 001 201103100 10.___________

11. Drs. WIRMAN PANYALAI

19630215 199203 1 004 201103101 11.__________

12. AHMAD YANI, S.Ag.MM 19661007 198602 1 002 201103102 12. __________

13. AKSAN, S.IP 19710103 199203 1 002 201103103 13.__________

14. Drs. MUSTAYARDI 19590804 198903 1 006 201103104 14. __________

15. Ir. MAIRITA 19670526 199303 2 002 201103105 15.__________

16. Ir. FURKAN SYAHRIAL 19641102 199303 1 006 201103106 16. __________

17. AZNIL, SP 19600713 198503 1 004 201103107 17.__________

18. HAFNISON LUBIS, SH.MM

19610901 198301 1 002 201103108 18. __________

19 Dra. ASRI SUHERTI 19611231 199103 2 015 201103109 19.__________

20. Dra. SITI KHATIJAH 19680504 199203 2 003 201103110 20. __________

21. Drs. WAIZAR 19660814 199312 1 001 201103111 21.__________

22. GUSHAR DRIANI SUNDARI, S.STP

19791003 199810 2 001 201103112 22. __________

Page 42: Daftar Hadir Peserta

23. EDISON, S.Pd 19601011 198703 1 005 201103113 23.__________

24. PILIHAN, SH 19591231 198603 1 115 201103114 24. __________

25. REFDI ELDI, SH 19600503 198103 1 007 201103115 25.__________

26. MASPET KENEDI , SH. 19650416 198602 1 003 201103116 26. __________

27. MUKTI LUBIS, SH 19650530 198612 1 001 201103117 27.__________

28. PARMOHONAN, S.Ag,MM

19631002 199003 1 004 201103118 28. __________

29 Drs. MARJOHAN, MM 19600201 199202 1 002 201103119 29.__________

30. YUSRIZAL, SH. 19700420 199003 1 003 201103120 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan

Page 43: Daftar Hadir Peserta

DAFTAR HADIR PESERTA

FIT AND PROPER TESTDI LINGKUNGAN PEMERINTAH KABUPATEN PASAMAN

Nama Lokal : III-5

Hari/tanggal : Minggu / 20 November 2011

No. Nama NIP Nomor Peserta

Tanda Tangan

1. ERI HERMAWAN, SH19631124 199308 1 001

201103121 1.___________

2. dr. HIDAYAH19610918 198902 2 001

201103122 2. ___________

3. dr.ARNIDA19700825 200012 2 003

201103123 3.___________

4. ARDIWITRA, AMK. S.Pdi

19690214 199203 1 003

201103124 4. ___________

5. AMDARISMAN, SKM, SH. M.Kes

19730919 199403 1 002

201103125 5.___________

6. FURKAN, SKM19720712 199202 1 002

201103126 6. ___________

7. SILFIA EVAYANTI,S.Pi, MM

19680105 199403 2 004

201103127 7.___________

8. ZUL HENDRI, SH19690206 199703 1 003

201103128 8. ___________

9 DARLIUS, SH19630805 198602 1 003

201103129 9.___________

10. LOTFRIEDO RAMA, SSTP

19810809 199912 1 001

201103130 10.___________

11. Drs. HAIDIR HUSIN19621231 199003 1 083

201103131 11.__________

12. RENALDI,S.Pd19600928 198303 1 004

201103132 12. __________

13. M. IKHSAN, SIP. M.Si19671123 198809 1 001

201103133 13.__________

14. AKMAL, S.Sos19720505 199302 1 001

201103134 14. __________

15. DEVI ALFRIANI, S.Ip19730714 199303 2 004

201103135 15.__________

16. AFNITA, SSTP19790401 199711 2 001

201103136 16. __________

17. MADRIZON, SH19690706 198903 1 002

201103137 17.__________

18. HUTRIANTO, SH19720912 199203 1 002

201103138 18. __________

19 HERMANSYAH, SSTP19780418 199703 1 002

201103139 19.__________

20. AWALUDDIN, SH19640504 198602 1 004

201103140 20. __________

21. JON WILMAR, A.Md19630311 198903 1 009

201103141 21.__________

Page 44: Daftar Hadir Peserta

22. KHAIRUL INSAN, SP19660815 198903 1 008

201103142 22. __________

23. Drs. AZWARDI19630416 198903 1 006

201103143 23.__________

24. EDDIE HASFA. S.Sos19721117 199203 1 002

201103144 24. __________

25. DAHRIZAL, SH19660724 198602 1 003

201103145 25.__________

26. REFRIZAL, SH19690402 198903 1 006

201103146 26. __________

27. KAHARUDDIN, S.Sos19600812 199403 1 001

201103147 27.__________

28. Drs. NOVELDI19591106 198703 1 002

201103148 28. __________

29 MIRIS, S.Ag19641110 198603 1 008

201103149 29.__________

30. FIRSYA EDWIS, SST19620720 198602 1 002

201103150 30. __________

Padang, 20 November 2011

Pengawas

_________________Nama dan tandatangan