FORM MIGRASI PESERTA

JENIS PESERTA
NAMA INSTANSI/BADAN/PERUSAHAAN
KODE VIRTUAL ACCOUNT
BANK TEMPAT PEMBAYARAN IURAN
TANGGAl REGISTRASI
NOMOR PKS
KODE PKS
MASA BERLAKU
KODE TANGGUNGAN
KODE KC
KODE DATI2

HUBKEL

No No KK NIK/KITAS/KITAP Nama Lengkap 1=P

2=S
3=I
4=A
5=T

1 2 3 4 5
1 1207021409093798 1207021403660003 ABDUL MULUK 2
2 1207021409093798 1207025806690002 SUNGATIK 3
3 1207022003170014 1271095301560001 MASDANIA BR TOBING 3
4 1207022003170014 1271090604900002 RICARD VAVITO GULTOM 4
5 1207021409092212 1207022209630001 SURIADI 2
6 1207021409092212 1207026211670002 SAMINEM 3
7 1207021409092212 1207026006990004 SRI WULANDARI 4
8 1207021409092212 1207021408060004 M. FAHMI AKBAR 4
9 1207022201110002 1207022811800003 SULIANTO 2
10 1207022201110002 1207025201840004 SITI JALEHA 3
11 1207022201110002 1207024406090002 ICHA LUTHFIYAH ANJANI 4
12 1207022201110002 1207026001130004 DINDA TAZKIYAH WARDANI 4
13 1207020902160008 1207025503160001 DWI AGUS SUKOCO 4
14 1207022201130010 1207025512130003 SHANAYA PUTRI BR BATU BARA 4
15 1207020607150004 1207022411890005 SUSADI PRASETYA SARI SAPUTRA 2
16 1207020607150004 1207024606960013 YULANDA 3
17 1207020607150004 1207025808150004 ARISKA AULIA PUTRI 4
18 1207021409093064 1207022506610001 AMIR HAMZAH 2
19 1207021409093064 1207025711630002 PARTINI 3
20 1207022603120021 1207020104830007 SDRI WAHYUDI 2
21 1207022603120021 1207027009900007 DEWI SURIANI 3
22 1207022603120021 1207022103100007 AZRIL WAHYU UTAMA 4
23 1207022603120021 1207020210130003 AZFAR RAYYAN 4
24 1207021203180003 1207082302930001 IRWANSYAH BARUS 2
25 1207021203180003 1207024408940004 SRI RAHMAWANTI 3
26 1207020910170028 1207025405750002 SUARNI 3
27 1207020607150004 1207025808150004 ARISKA AULIA PUTRI 3
28 1207021203180008 1207024506180004 MIKHA FITRI ASIH 4
29 1207021203180008 1207026703080004 DEA PRATIWI SARI 5
30 1207021209130020 1207022008840010 ARSROT LUBIS 2
31 1207021209130020 1207026710880004 FITRIA 3
32 1207021209130020 1207024311060011 NOVOTA SARI 4
33 1207021209130020 1207025001140003 AISAH LUBIS 4
34 1207021209130020 1207022101160004 AZZAMY SYAUQI LUBIS 4
35 1207022103120006 1207023105160004 ARYA RAFARDHAN 4
36 1207022601180009 1207020208890007 M IRWANSYAH 2
37 1207022601180009 1207024904880004 DIAN INDAH SARI 3
38 1207022601180009 1207026507150007 LAILI ANDIRA 4
39 1207021409093130 1207020202560007 ASBIK 2
40 1207021409093130 1207024605600001 SAMSIAH 3
41 1207021409093130 1207024905840006 DIAN ASMIDAR 4
42 1207021509095304 1207023012020003 ALDIANSYAH 4
43 1207021509095304 1207026910080005 DWI SARTIWI 4
44 1207021705180005 1207020905930004 MUHAMMAD DIANSYAH DEWA 2
45 1207021705180005 1207084801980002 RIKA WARDANI 3
46 1207021705180005 1207020201170002 MUHMAMMAD AL FATIH 4
47 1207021508160009 1207021910160004 MUHAMMAD ARKA SINAGA 4
48 1207021409092942 1207021511630004 RUMIANTO 2
49 1207021409092942 1207024505640004 MARSINI 3
50 1207021409092942 1207024601960001 RINDI ANTIKA 4
51 1207021409092942 1207020409990005 M RIDWAN 4
52 1207023108150020 1207022506870006 SRI HAMDANI 2
53 1207023108150020 1218136604930002 SISKA KURNIAWAN 3
54 1207023108150020 1207025312150004 SILFA ARIQAH 4
55 1207021409093794 1207020306840004 BAMBANG SYAPUTRA 2
56 1207021409093794 1207026111870004 SITI NURAINI 3
57 1207021409093794 1207026110050005 ANNISA RAMADHINI 4
58 1207021409093794 1207021209110005 AL IKHSAN SYAHPUTRA 4
59 1207020905120016 1207020503860011 MUHAMMAD NUH 2
60 1207020905120016 1207024510890003 SRI DEWI HANDAYANI 3
61 1207020905120016 1207022101110004 WAHYU PRATAMA 4
62 1207020905120016 1207020403140009 VIKAR PRASETIA 4
63 1207271409090656 1207270201780001 ADI GUNTORO 2
64 1207271409090656 1207274506760004 AMNI 3
65 1207271409090656 1207270209030004 CANRA PRATAMA 4
66 1207271409090656 1207273012060001 DIAN PRASETYO 4
67 1207271409090656 1207024507150005 ADIBAH SYAKILA RAMADHANI 4
68 1207021509090772 1207020807840005 EDI YUSUF 2
 69 1207021509090772 1207026707820003 SUPRIATI 3
70 1207021509090772 1207024806060004 ERIKA FADHILLAH 4
71 1207021509090772 1207024810120004 NANDITA SYAFA AUIA 4
72 1207022009090733 1207020504710001 AMALUDDIN SAMURA 2
73 1207021409093493 1207020609310001 PARMIN 2
74 1207021409093493 1207024809410001 SANIYEM 3
75 1207021607120014 1207022505870012 INDRA 2
76 1207021607120014 1207027105910006 RINI ASRIANI 3
77 1207021607120014 1207021503130006 MIRZA ARKARINDRA 4
78 1207021607120014 1207025507180002 KIRANA ANINDITA 4
79 1207022207130005 1207021404140012 IKHWAN RADITIYA 4
80 1207022207130005 1207024410180001 ARSYFA RANINDA 4
81 1207020402160027 1207020610910001 SURYA PRAYOGI 2
82 1207020402160027 1207025701960002 VIVI HANDAYANI 3
83 1207020402160027 1207021410150006 RAFAEL KENZIO 4
84 1207020602140004 1207021207830008 HARIADI 2
85 1207020602140004 1207026511910003 TARI YANTI 3
86 1207020602140004 1207021303350001 PONIMAN 5
87 1207022009160023 1271210406910004 IRWANSYAH PUTRA TANJUNG 2
88 1207022009160023 1207024909820018 SURATNI 3
89 1207022504120009 1271211009550005 ANWAR CHALIK TANJUNG 2
90 1207022504120009 1271215906600001 SUNARNI 3
91 1207022504120009 1271210104820005 CAHIRUL ANWAR TANJUNG 4
92 1207021503120024 1207020111640003 SUYANTO 2
93 1207021503120024 1207025402730004 SURIATIK 3
94 1207021503120024 1207024603950002 HARIYATI 4
95 1207021503120024 1207025111970002 NOVI ANGGRAINI 4
96 1207021503120024 1207024111990010 SRI NURMALAWATI 4
97 1207021409092812 1207026005640007 PONIEM 3
98 1207021409092812 1207022910930002 DEDI IRAWAN 4
99 1207021409092098 1207020607760003 MUSRIYANTO 2
100 1207021409092098 1207024503860007 SURIANA 3
101 1207021409092098 1207020207080004 MUHAMMAD FAHRIL 4
102 1207021409092098 1207026004110008 ASYA HUMAIRA 4
103 1207021409093546 1207023112750037 SUTRISNO 2
104 1207021409093546 1207024107750004 KUSMIATI 3
105 1207021409093546 1207022504030009 DIMAS WAHYUDI 4
106 1207021409093546 1207274506550001 DARSEH 5
107 1207021009130006 1207020307900005 JULI KURNIAWAN SRI RAHAYU 2
108 1207021009130006 1207026205920003 SRI RAHAYU 3
109 1207021009130006 1207021001140004 RIDHO RIZWANSYAH 4
110 1207021009130006 1207020311170006 RAFFI DWI RIZWANDA 4
111 1207022208170009 1207020308830013 LEO VOLDO GULTOM 2
112 1207022208170009 1207024808870015 UMI QORIAH 3
113 1207022208170009 1207025312070008 KEISHA AULIA GULTOM 4
114 1207022208170009 1207026704130005 ANGGUN SURYANI GULTOM 4
115 1207022208170009 1207026701160005 JENI ANANDA GULTOM 4
116 1207023008130005 1271040501840007 MARNALA SIREGAR 2
117 1207023008130005 1271044810830008 DOSINTA SITORUS 3
118 1207023008130005 1271040110040005 JIMMY JEFFERSON SIREGAR 4
119 1207023008130005 1271046809070005 REVALINA STEPHANI SIREGAR 4
120 1207023008130005 1207026706140003 CHELSEA YUNIAR SIREGAR 4
121 1207020506180019 1207021509920008 MARKUS JEFRIADI PAKPAHAN 2
122 1207020506180019 1212025212910004 RINI KATRIN NAPITUPULU 3
123 1207022901160004 1207025403690001 DORMIAN TAMBUNAN 2
124 1207022901160004 1207027001950004 ESTER PAKPAHAN 4
125 1207022901160004 1207022011960005 LEONARDO PAKPAHAN 4
126 1207022901160004 1207024108990002 ENDANG PAKPAHAN 4
127 1207022210140019 1207026612130005 ARTAULI MELDA BR PASARIBU 4
128 1207021405100006 1207020707570013 DAULAT LUMBAN TOBING 2
129 1207021405100006 1207027004610003 RUSMIDA BR BAGARIANG 3
130 1207021405100006 1207020812840005 PANDAPOTAN LUMBAN TOBING 4
131 1207020708140003 1207020606730014 USMAN 2
132 1207020708140003 1207024807780008 NURYANI 3
133 1207020708140003 1207024802980004 ANDRIANTI 4
134 1207020205110003 1207022809720003 NGATIRAN 2
135 1207020205110003 1207026901140004 JANAT U SAUKIA 4
136 1207020205110003 1207022202150001 ABIDIN 4
137 1207020205110003 1207023112160001 KASTAJI 5
138 1207021409091753 1207023105570003 SUWARNO 2
139 1207021409091753 1207025111550001 ROSLIANA 3
140 1207021409091753 1207020211070006 POJAN SYAHPUTRA 4
141 1207021409091753 1207027112350002 MARIANA BARUS 5
142 1207021409091753 1207023112800014 MHD LIAN 5
143 1207021409096070 1207021303730004 SYARIFUDDIN 2
144 1207021409096070 1207024711810001 SUMARNI 3
145 1207021409096070 1207024606040003 SELVI DINATA SARI 4
146 1207021409096070 1207025212080003 CINDY ANGGRAINI 4
147 1207021409096070 1207021909100001 SUTAN ARNANDA 4
148 1207021409096070 1207021407170001 FEBRI ARMINDO BATU BARA 4
149 1207021409093587 1207021910650002 TONGGOR SILITONGA 2
150 1207021409093587 1207026801710001 MARIATI MANALU 3
151 1207021409093587 1207021206950005 JUN MARTIN SILITONGA 4
152 1207021409093587 1207024207970002 NOVITA SARI SILITONGA 4
153 1207021409093587 1207021201010003 JANUARDO SILITONGA 4
154 1207021409093587 1207020712070001 DES STEVEN SILITONGA 4
155 1207020306140002 1207024208600003 SAMSIAR 3
156 1207020306140002 1207022707860004 M RICKY HAMDANI 4
157 1207020306140002 1207022303930008 RANGGA 4
158 1207020306140002 1207025511960014 SELLY WIDYA RISKI 4
159 1207020306140002 1207021510010009 TEGAR PRAYOGA 4
160 1207021409091778 1207025609110001 BERLIN MESSYA RINJANI SIREGAR 4
 Jenis Status
Tgl Lahir
Kelamin Kawin

1=BK,
2=K,
3=CH,
Tempat Lahir dd/mm/yyyy 1=1 2=2
4=CM
5 = TDK
TAU

6 7 8 9
M. SINEMBAH Monday, March 14, 1966 1 2
LIMAU MANIS Monday, August 18, 1969 2 2
MEDAN Friday, January 13, 1956 2 4
MEDAN Friday, April 06, 1990 1 1
LIMAU MANIS Sunday, September 22, 1963 1 2
TANJUNG MORAWA Wednesday, November 22, 1967 2 2
TANJUNG MORAWA Sunday, June 20, 1999 2 1
TANJUNG MORAWA Monday, August 14, 2006 1 1
UNDIAN Friday, November 28, 1980 1 2
MEDAN SINEMBAH Thursday, January 12, 1984 2 2
MEDAN SINEMBAH Thursday, June 04, 2009 2 1
MEDAN SINEMBAH Sunday, January 20, 2013 2 1
MEDAN SINEMBAH Tuesday, March 15, 2016 2 1
MEDAN SINEMBAH Sunday, December 15, 2013 2 1
BANGUN SARI Friday, November 24, 1989 1 2
MEDAN SINEMBAH Thursday, June 06, 1996 2 2
MEDAN SINEMBAH Tuesday, August 18, 2015 2 1
TANJUNG MORAWA Sunday, June 25, 1961 1 2
TANJUNG MORAWA Sunday, November 17, 1963 2 2
MEDAN SINEMBAH Friday, April 01, 1983 1 2
KESATUAN Sunday, September 30, 1990 2 2
TANJUNG MORAWA Sunday, March 21, 2010 1 1
TANJUNG MORAWA Wednesday, October 02, 2013 1 1
KAMPUNG TANJUNG Tuesday, February 23, 1993 1 2
MEDAN SINEMBAH Thursday, August 04, 1994 2 2
TANJUNG MORAWA Wednesday, May 14, 1975 2 3
MEDAN SINEMBAH Tuesday, August 18, 2015 2 1
MEDAN SINEMBAH Tuesday, June 05, 2018 2 1
TANJUNG RADEN Thursday, March 27, 2008 2 1
MEDAN Wednesday, June 20, 1984 1 2
TANJUNG MORAWA Monday, October 17, 1988 2 2
TANJUNG MORAWA Friday, November 03, 2006 2 1
TANJUNG MORAWA Friday, January 10, 2014 2 1
MEDAN SINEMBAH Thursday, January 21, 2016 1 1
TANJUNG MORAWA Tuesday, May 31, 2016 1 1
SIANTAR Wednesday, August 02, 1989 1 2
MEDAN SINEMBAH Saturday, April 09, 1988 2 2
TANJUNG MORAWA Saturday, July 25, 2015 2 1
LUBUK PAKAM Thursday, February 02, 1956 1 2
MEDAN SINEMBAH Friday, May 06, 1960 2 2
MEDAN SINEMBAH Wednesday, May 09, 1984 2 1
BANGUN REJO Monday, December 30, 2002 1 1
TANJUNG MORAWA Wednesday, October 29, 2008 2 1
MEDAN SINEMBAH Sunday, May 09, 1993 1 2
BATU LOKONG Thursday, January 08, 1998 2 2
TANJUNG MORAWA Monday, January 02, 2017 1 1
LUBUK PAKAM Wednesday, October 19, 2016 1 1
MEDAN SINEMBAH Friday, November 15, 1963 1 2
MEDAN SINEMBAH Tuesday, May 05, 1964 2 2
MEDAN SINEMBAH Saturday, January 06, 1996 2 1
MEDAN SINEMBAH Saturday, September 04, 1999 1 1
MEDAN SI Thursday, June 25, 1987 1 2
PAYA LOMBANG Monday, April 26, 1993 2 2
TANJUNG MORAWA Sunday, December 13, 2015 2 1
MEDAN Sunday, June 03, 1984 1 2
MEDAN SINEMBAH Saturday, November 21, 1987 2 2
MEDAN SINEMBAH Friday, October 21, 2005 2 1
MEDAN SINEMBAH Monday, September 12, 2011 1 1
MEDAN SINEMBAH Wednesday, March 05, 1986 1 2
TANJUNG MORAWA Thursday, October 05, 1989 2 2
MEDAN SINEMBAH Friday, January 21, 2011 1 2
MEDAN SINEMBAH Tuesday, March 04, 2014 1 1
MEDAN SINEMBAH Monday, January 02, 1978 1 2
DESA SENA Saturday, June 05, 1976 2 2
DESA SENA Tuesday, September 02, 2003 1 1
DESA SENA Saturday, December 30, 2006 1 1
MEDAN SINEMBAH Sunday, July 05, 2015 2 1
TANJUNG MORAWA Sunday, July 08, 1984 1 2
TANJUNG MORAWA Tuesday, July 27, 1982 2 2
TANJUNG MORAWA Thursday, June 08, 2006 2 1
TANJUNG MORAWA Monday, October 08, 2012 2 1
MEDAN SINEMBAH Monday, April 05, 1971 1 3
SEI BASAH Sunday, September 06, 1931 1 2
BEKILAH Monday, September 08, 1941 2 2
TANJUNG MORAWA Monday, May 25, 1987 1 2
MEDAN SINEMBAH Sunday, May 31, 2009 2 2
MEDAN SINEMBAH Friday, March 15, 2013 1 1
MEDAN SINEMBAH Sunday, July 15, 2018 2 1
TANJUNG MORAWA Monday, April 14, 2014 1 1
MEDAN SINEMBAH Thursday, October 04, 2018 2 1
PUJI MULIO Sunday, October 06, 1991 1 2
MEDAN SINEMBAH Tuesday, January 17, 1995 2 2
MEDAN SINEMBAH Wednesday, October 14, 2015 1 1
TANJUNG MORAWA Tuesday, July 12, 1983 1 2
MEDAN SINEMBAH Monday, November 25, 1991 2 2
G. RINTIS Wednesday, March 13, 1935 1 4
MEDAN Sunday, August 04, 1991 1 2
MEDAN SINEMBAH Thursday, September 09, 1982 2 2
P. SIANTAR Saturday, September 10, 1955 1 2
MEDAN Sunday, June 19, 1960 2 2
LABUHAN DELI Thursday, April 01, 1982 1 1
TANJUNG MORAWA Sunday, November 01, 1964 1 2
PASAR MIRING Wednesday, February 14, 1973 2 2
PANCUR BATU Monday, March 06, 1995 2 1
PANCUR BATU Tuesday, November 11, 1997 2 1
PANCUR BATU Monday, November 01, 1999 2 1
MEDAN SINEMBAH Wednesday, May 20, 1964 2 4
MEDAN SINEMBAH Friday, October 29, 1993 1 1
SIGLI Tuesday, July 06, 1976 1 2
TANJUNG MORAWA Wednesday, March 05, 1986 2 2
TANJUNG MORAWA Wednesday, July 02, 2008 1 1
TANJUNG MORAWA Wednesday, April 20, 2011 2 1
MEDAN SINEMBAH Wednesday, December 31, 1975 1 2
BATANG KUIS Tuesday, July 01, 1975 2 2
MEDAN SINEMBAH Friday, April 25, 2003 1 1
SEI TUAN Sunday, June 05, 1955 2 1
TANJUNG MORAWA Tuesday, July 03, 1990 1 2
MEDAN SINEMBAH Friday, May 22, 1992 2 2
TANJUNG MORAWA Friday, January 10, 2014 1 1
TANJUNG MORAWA Friday, November 03, 2017 1 1
MEDAN Wednesday, August 03, 1983 1 2
BEDAGAI Saturday, August 08, 1987 2 2
MEDAN Thursday, December 13, 2007 2 1
MEDAN Saturday, April 27, 2013 2 1
MEDAN Wednesday, January 27, 2016 2 1
MEDAN Thursday, January 05, 1984 1 2
PENARA TG.MORAWA Saturday, October 08, 1983 2 2
MEDAN Friday, October 01, 2004 1 1
MEDAN Friday, September 28, 2007 2 1
MEDAN Friday, June 27, 2014 2 1
MEDAN Tuesday, September 15, 1992 1 2
BANUALUHU Thursday, December 12, 1991 2 2
SIGOTOM Friday, March 14, 1969 1 4
MEDAN Monday, January 30, 1995 2 1
MEDAN Wednesday, November 20, 1996 1 1
MEDAN Sunday, August 01, 1999 2 1
MEDAN Thursday, December 26, 2013 2 1
TARUTUNG Sunday, July 07, 1957 1 2
TARUTUNG Sunday, April 30, 1961 2 2
TARUTUNG Saturday, December 08, 1984 1 1
MEDAN SINEMBAH Wednesday, June 06, 1973 1 2
MEDAN SINEMBAH Saturday, July 08, 1978 2 2
MEDAN SINEMBAH Sunday, February 08, 1998 2 1
WONOSARI Thursday, September 28, 1972 1 2
LUBUK PAKAM Wednesday, January 29, 2014 2 1
LUBUK PAKAM Sunday, February 22, 2015 1 1
JAWA Saturday, December 31, 2016 1 1
TANJUNG MORAWA Friday, May 31, 1957 1 2
TANJUNG MORAWA Friday, November 11, 1955 2 2
TANJUNG MORAWA Friday, November 02, 2007 1 1
TANJUNG MUDA Tuesday, December 31, 1935 2 4
TANJUNG MORAWA Wednesday, December 31, 1980 1 1
MEDAN SINEMBAH Tuesday, March 13, 1973 1 2
TANJUNG MORAWA Saturday, November 07, 1981 2 2
TANJUNG MORAWA Sunday, June 06, 2004 2 1
TANJUNG MORAWA Friday, December 12, 2008 2 1
TANJUNG MORAWA Sunday, September 19, 2010 1 1
TANJUNG MORAWA Friday, July 14, 2017 1 1
SIBORONG BORONG Saturday, October 19, 1985 1 2
TEBING TINGGI Tuesday, January 26, 1971 2 2
MEDAN Monday, June 12, 1995 1 1
MEDAN Wednesday, July 02, 1997 2 1
MEDAN Friday, January 12, 2001 1 1
MEDAN Friday, December 07, 2007 1 1
TANJUNG MORAWA Tuesday, August 02, 1960 2 4
TANJUNG MORAWA Sunday, July 27, 1986 1 1
TANJUNG MORAWA Tuesday, March 23, 1993 1 1
TANJUNG MORAWA Friday, November 15, 1996 2 1
TANJUNG MORAWA Monday, October 15, 2001 1 1
TANJUNG MORAWA Friday, September 16, 2011 2 1
 Kode
Alamat Tempat Tinggal RT RW Kode Pos Kecamatan
(diisi
petugas)

10 11 12 13 14
DUSUN III 20362
DUSUN III 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IV 20362
DUSUN IV 20362
DUSUN IV 20362
DUSUN IV 20362
DUSUN VI 20362
DUSUN VI 20362
DUSUN VI 20362
DUSUN VI 20362
DUSUN VIII 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN I 20362
DUSUN I 20362
DUSUN I 20362
DUSUN I 20362
DUSUN I 20362
DUSUN I 20362
DUSUN I 20362
DUSUN I 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN VIII 20362
DUSUN VIII 20362
DUSUN VIII 20362
DUSUN VIII 20362
DUSUN VIII 20362
DUSUN X 20362
DUSUN V GG UTAMA 20362
DUSUN V GG UTAMA 20362
DUSUN V GG UTAMA 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN IV 20362
DUSUN IV 20362
DUSUN IV 20362
DUSUN IV 20362
DUSUN I 20362
DUSUN I 20362
DUSUN I 20362
DUSUN IV 20362
DUSUN IV 20362
DUSUN IV 20362
DUSUN IV 20362
DUSUN IV 20362
DUSUN II 20362
DUSUN II 20362
DUSUN II 20362
DUSUN I 20362
DUSUN I 20362
DUSUN I 20362
DUSUN I 20362
DUSUN I 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN II 20362
DUSUN V 20362
DUSUN V 20362
DUSUN II 20362
DUSUN II 20362
DUSUN II 20362
DUSUN II 20362
DUSUN II 20362
DUSUN II 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V GG PRIBADI 20362
DUSUN V GG PRIBADI 20362
DUSUN V GG PRIBADI 20362
DUSUN V GG PRIBADI 20362
DUSUN II 20362
DUSUN II 20362
DUSUN II 20362
DUSUN II 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
PERUM PURI MEDANG TAMORA BLOK A 51 20362
PERUM PURI MEDANG TAMORA BLOK A 51 20362
PERUM PURI MEDANG TAMORA BLOK A 51 20362
PERUM PURI MEDANG TAMORA BLOK A 51 20362
PERUM PURI MEDANG TAMORA BLOK A 51 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
PERUM CENDANA ASRI DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V 20362
DUSUN V GG PRIBADI 20362
DUSUN V GG PRIBADI 20362
DUSUN V GG PRIBADI 20362
DUSUN V GG PRIBADI 20362
DUSUN V GG PRIBADI 20362
MEDAN SINEMBAH 20362
MEDAN SINEMBAH 20362
MEDAN SINEMBAH 20362
MEDAN SINEMBAH 20362
MEDAN SINEMBAH 20362
MEDAN SINEMBAH 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
DUSUN IX 20362
JL. IRIAN LINGK 5 20362
JL. IRIAN LINGK 5 20362
JL. IRIAN LINGK 5 20362
JL. IRIAN LINGK 5 20362
JL. IRIAN LINGK 5 20362
G LURAH LINGK I 20362
 Kode
Kode Desa Kode
Faskes Tk.I Nama
Nama Kecamatan (diisi Nama Desa Faskes
(diisi Faskes Tk.I Dokter Gigi
petugas) petugas)

15 16 17 18 19 20
TANJUNG MORAWA PEKAN TANJUNG MORAWA
TANJUNG MORAWA PEKAN TANJUNG MORAWA
TANJUNG MORAWA MEDAN SINEMBAH
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 Kelas Kewarga
Status Rawat Negaraan
Gaji Pokok
Nama Nomor 1=Tetap, TMT Kerja + Tunj.
Faskes Telepon Email NPP Jabatan 2=Kontrak, 1=Kelas I, (Kary. Tetap
Dokter Gigi Peserta 3=Paruh 2=Kelas II, Aktif) (Kary. 1=WNI,
waktu Aktif)
3=Kelas III 2=WNA
4=Penerim
a Pensiun

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 Asuransi Lainnya

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