FORMULIR 2.C.

PEMANTAUAN LAYANAN DAN SASARAN PAUD ANAK >2 – 6 TAHUN

Usia Menurut Kategori

Jenis Kelamin (L/P)

No Nomer kk Nama Anak Tanggal Lahir

2 - < 3 Tahun
Anak Usia
a b c d
1 3504096203160001 VANESA 12/02/2015 P
2 3504095501150002 FARA 15/01/2015 P
3 3504095803160003 MARCELLA 18/02/2015 P
4 3504095304150003 PUTRI 13/03/2015 P
5 3504090506150001 ZIDAN ARYA 05/04/2015 L
6 3504094807160001 NAILIYA 08/07/2015 P
7 3504094110150001 NADIRA 01/10/2015 P
8 740621651100012 TASYA 25/10/2015 P
9 3504096811150001 ZULFA 15/07/2015 P
10 3504095811150002 SAMARA 18/11/2015 P
11 3504096001160002 FELISIA 20/01/2016 P
12 3504096201160001 RIMAYA 23/01/2016 P
13 3504094802160002 NISA 07/02/2016 P
14 3504096302160001 SYAKILA 23/02/2016 P
15 3504096804160001 ARSILA 26/04/2016 P
16 3571023105160001 DAVA 31/05/2016 L
17 3504094708160003 SALSABILA 07/08/2016 P
18 3504091009160001 BARIQ 10/09/2016 L
19 3604071309150001 FIKRI 13/09/2016 L
20 3504090910160001 DIKA 08/10/2016 L
21 3504094701170001 FIONA 07/01/2017 P V
22 3504032701170002 FIKRI 27/01/2017 P V
23 3504097101170001 ZAKIYYA 31/01/2017 P V
24 3504094903170001 ALMIRA 09/03/2017 P V
25 6112030307170002 ARKA 03/07/2017 L V
26 3504096706170001 SOFIA 25/06/2017 P V
27 3504090511170001 FARHAN 05/11/2017 L V
28 3504092812170001 AZMI 27/12/2017 L V
29 3504096201180001 FATMA 22/01/2018 P V
30 3504090502180001 HAMEEDA 28/01/2018 P V
31 3504090504150001 HAMDAN 05/04/2015 L
32 3504095004160001 NATASYA 20/04/2015 P
33 3504096405150003 MEYSA 24/05/2015 P
34 3504090907160001 ASKA 09/07/2015 L
35 3504090407160002 FIKA 24/07/2015 P
36 3504090809150002 NASRUL 07/09/2015 L
37 3504095109160001 HADIBA 11/09/2015 P
38 3504094312150001 DEIS 03/12/2015 P
39 1403012310140003 MONDY 25/01/2016 L
40 35040906O5160001 HAFIDZ 06/05/2016 L
41 3504096206160001 AZKA D 26/06/2016 L
42 ELBINTARI 13/08/2016 L
43 1113025509160001 ALESA 15/09/2016 P
44 3504096710160001 SOFA 25/10/2016 P
45 3504091212160001 ATALLA 12/12/2016 L
46 3504094402170001 AISYAH 04/01/2017 P V
47 3504091302170001 RAZHA 13/02/2017 L V
48 3504096203170002 RISMA 11/03/2017 P V
49 AKROM 15/06/2017 L V
50 EXEL 16/06/2017 L V
51 3504095307170002 ANA F 13/07/2017 P V
52 3504096007170004 RAHEL 20/07/2017 L V
53 3504090510170002 ARIDO 05/10/2017 L V
54 140301261117001 RAFIN 29/11/2017 L V
55 3504096105150002 DEA AYU 20/05/2015 P
56 3504095610150001 NAZILA 17/06/2015 P
57 3504092207150001 ASMI 22/07/2015 L
58 3504092207150002 IMRON 22/07/2015 L
59 3504095208160001 ALYA 11/08/2015 P
60 3504091411150002 DANIS 13/11/2015 L
61 3504091001160001 RANGGA 10/01/2016 L
62 35404096903160001 NAJWA 29/03/2016 P
63 3504096005160001 DESTIANA 21/05/2016 P V
64 35040908160004 RAYA 08/07/2016 P V
65 3504092309160002 NAUFAL 23/09/2016 L V
66 3504090903170001 RAUF 09/03/2017 L V
67 3504094104170004 SAHIRA 01/04/2017 P V
68 3504092504170001 TITAN 23/04/2017 L V
69 ARSILA 26/04/2017 P V
70 3506091206170002 ALFIN 12/06/2017 L V
71 3504092808170001 RENDI 25/08/2017 L V
72 3504091609170004 ARKA 16/09/2017 L V
73 3504095208170001 SYAKILA 12/08/2017 P V
74 3504096610170001 TSALISA 25/10/2017 P V
75 3504090911170002 ALFAREZI 11/11/2017 L V
76 3504092611170002 FATAN 26/11/2017 L V
77 3504092001180002 KIA 20/01/2018 P V
78 3504096901180001 DAFIN 05/02/2018 L V
BARIQ
FIKRI
N SASARAN PAUD ANAK >2 – 6 TAHUN

Pada Bulan Ini Apakah Anak

Mendapatkan Pelayanan PAUD
Usia Menurut Kategori
(Parenting Bagi Orang Tua Anak Usia
2 - < 3 Tahun) Atau Kelas PAUD Bagi Anak 3 - 6 Tahun
Tahun : ……………….
3 - 6 Tahun
Anak Usia

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