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MODEL A.

3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 001
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271150609****** 1271211702****** SELWA RAJEN MEDAN 17|02|**** B L JL SEI BLUTU PS.IX GG AMAL NO.23 A 000 000 0 0

2 1271210201****** 1271214807****** VIONITA MORAN MEDAN 08|07|**** B P JL DARUSALAM GG RAHMAD NO 5 000 000 0 0

3 1271210201****** 1271212904****** RIVALDY SUTEDJA MEDAN 29|04|**** B L JL DARUSALAM GG RAHMAD NO 5 000 000 0 0

4 1271210205****** 1271216512****** LISTIA MARINI MEDAN 25|12|**** B P JLN SEI BELUTU PS IX NO 9 A 000 000 0 0

5 1271210210****** 1271215508****** RANJES FRI MEDAN 15|08|**** B P JLSEI BLUTU PSIX GGAMAL-23A 000 000 0 0

6 1271210412****** 1271214303****** RUSMAHANI TG.MORAWA 03|03|**** P P JLSEI BLUTU PSIX GGAMAL-26 000 000 0 0

7 1271210412****** 1271215902****** NADIA MEDAN 19|02|**** B P JLSEI BLUTU PSIX GGAMAL-26 000 000 0 0

8 1271210510****** 1271215509****** RATNA DEWI MARIANI KISARAN 15|09|**** S P JL SEI BLUTU PS IX NO 38 C 000 000 0 0

9 1271210510****** 1271212102****** IMAN TEGUH SHIONA S MEDAN 21|02|**** B L JL SEI BLUTU PS IX NO 38 C 000 000 0 0

10 1271210802****** 1271210801****** TRI HARTOYO SANTOSO MEDAN 08|01|**** B L JL SEI BLUTU PS IX NO 12-B 000 000 0 0

11 1271210904****** 1271212808****** ILHAM SAPUTRA MEDAN 28|08|**** B L JL SEI BLUTU PSR IX GG TUKANG NO 9C 000 000 0 0

12 1271211011****** 1271215004****** FRISKA RENI YANTY SIANIPAR MEDAN 10|04|**** B P JL SEI BLUTU GG SURYA NO 13-G 000 000 0 0

13 1271211104****** 1271216602****** VM SARASWATHI MEGA PRIYANKA MEDAN 26|02|**** B P JL SEI BLUTU PSR IX NO 61 000 000 0 0

14 1271211109****** 1271211004****** EDY SYAFRIZAL BANDAR NEGERI 10|04|**** S L JL SEI BLUTU GG AMAL NO 3 000 000 0 0

15 1271211305****** 1271215407****** PDT HOTLINDAWANI NABABAN STH MEDAN 14|07|**** S P JL SEI BLUTU PSR IX NO 36 B 000 000 0 0

16 1271211310****** 1271214304****** LINDA A MANALU MEDAN 03|04|**** S P JL SEI BLUTU GG MELINTANG I N0 2-C 000 000 0 0

17 1271211310****** 1271212011****** CERPIN SITINDAON PANAMBEAN 20|11|**** S L JL SEI BLUTU GG MELINTANG I N0 2-C 000 000 0 0

18 1271211310****** 1271215909****** MERLY JUSTINA SITINDAON PANAMBEAN 19|09|**** B P JL SEI BLUTU GG MELINTANG I N0 2-C 000 000 0 0

19 1271211401****** 1271213112****** DAKUN WONOGIRI 31|12|**** S L JLDARUSSALAM GGRAHMAT NO5 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-001 1 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271211401****** 1271217112****** TINA KISARAN 31|12|**** S P JLDARUSSALAM GGRAHMAT NO5 000 000 0 0

21 1271211401****** 1271212712****** BAMBANG SYAHPUTRA MEDAN 27|12|**** B L JLDARUSSALAM GGRAHMAT NO5 000 000 0 0

22 1271211401****** 1271214208****** MUSTIKA SARI MEDAN 02|08|**** B P JLDARUSSALAM GGRAHMAT NO5 000 000 0 0

23 1271211401****** 1271216005****** NUR WULAN DARI MEDAN 20|05|**** B P JLDARUSSALAM GGRAHMAT NO5 000 000 0 0

24 1271211402****** 1271210901****** RAHMAT NUR MEDAN 09|01|**** S L JL DARUSALAM GG RAHMAD NO 17 000 000 0 0

25 1271211402****** 1271215512****** SONIEM MEDAN 15|12|**** S P JL DARUSALAM GG RAHMAD NO 17 000 000 0 0

26 1271211402****** 1271214602****** NURTIA RAHMAT MEDAN 06|02|**** B P JL DARUSALAM GG RAHMAD NO 17 000 000 0 0

27 1271211402****** 1271214503****** TRISUCI RAHMAT MEDAN 05|03|**** B P JL DARUSALAM GG RAHMAD NO 17 000 000 0 0

28 1271211402****** 1271217009****** SEPTI NIA RAHMAT MEDAN 30|09|**** B P JL DARUSALAM GG RAHMAD NO 17 000 000 0 0

29 1271211405****** 1271215008****** CAROLINA BR MANIK P. SIANTAR 10|08|**** P P JL SEI BLUTU I NO 38 000 000 0 0

30 1271211405****** 1271212208****** SAMUELSON PANJAITAN MEDAN 22|08|**** B L JL SEI BLUTU I NO 38 000 000 0 0

31 1271211405****** 1271212007****** JIMMY HORAS LUHUT PANJAITAN MEDAN 20|07|**** B L JL SEI BLUTU I NO 38 000 000 0 0

32 1271211406****** 1271214802****** WINA SANDRI MALA MEDAN 08|02|**** S P JLSEI BELUTU PS IX NO 26 000 000 0 0

33 1271211409****** 1271210107****** SAJINO SOLO 01|07|**** S L JL SEI BLUTU PS IX NO 9-B 000 000 0 0

34 1271211409****** 1271215205****** TUGIEM SOLO 12|05|**** S P JL SEI BLUTU PS IX NO 9-B 000 000 0 0

35 1271211411****** 1271210809****** ALIDIN NAHAMPUN BULUAMPA 08|09|**** S L JL SEI BLUTU PS IX NO 12-A 000 000 0 0

36 1271211411****** 1271210211****** SUNARDI BANGUN PURBA 02|11|**** S L JL SEI BELUTU PSR IX GG BUNTU NO 21 000 000 0 0

37 1271211411****** 1271212405****** ANGGAR HARDIANSYAH MEDAN 24|05|**** B L JL SEI BELUTU PSR IX GG BUNTU NO 2 000 000 0 0

38 1271211411****** 1271210303****** MARTUA PAIYAN NABABAN TEBING TINGGI 03|03|**** S L JL SEI BLUTU GG AMAL NO 23 C 000 000 0 0

39 1271211411****** 1271216109****** SITI JULAIKA BR NABABAN MEDAN 21|09|**** B P JL SEI BLUTU GG AMAL NO 23 C 000 000 0 0

40 1271211411****** 1271211811****** USMAN HUTAURUK P. SIANTAR 18|11|**** S L JL. SEI BLUTU GG. AMAL NO. 23-B 000 000 0 0

41 1271211411****** 1271215611****** HERLINA SURATMI MEDAN 16|11|**** S P JL. SEI BLUTU GG. AMAL NO. 23-B 000 000 0 0

42 1271211411****** 1271214308****** MAY SARAH, SE MEDAN 03|08|**** B P JL. SEI BLUTU GG. AMAL NO. 23-B 000 000 0 0

43 1271211411****** 1271213110****** SOPAR PANJAITAN SIABAL-ABAL 31|10|**** S L JL DARUSSALAM GG RAHMAT NO 27B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-001 2 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271211411****** 1271215310****** DERHANA SIMANJUNTAK AEK GARUT 13|10|**** S P JL DARUSSALAM GG RAHMAT NO 27B 000 000 0 0

45 1271211411****** 1271212011****** JONATHAN PANJAITAN P.BRANDAN 20|11|**** B L JL DARUSSALAM GG RAHMAT NO 27B 000 000 0 0

46 1271211411****** 1271216011****** SENTINA PANJAITAN P.BRANDAN 20|11|**** B P JL DARUSSALAM GG RAHMAT NO 27B 000 000 0 0

47 1271211411****** 1271214410****** CRISTINA PANJAITAN MEDAN 04|10|**** B P JL DARUSSALAM GG RAHMAT NO 27B 000 000 0 0

48 1271211411****** 1271214502****** TIO VANI PANJAITAN MEDAN 05|02|**** B P JL DARUSSALAM GG RAHMAT NO 27B 000 000 0 0

49 1271211411****** 1271215608****** IDA YOHANA BR PANJAITAN MEDAN 16|08|**** B P JL DARUSSALAM GG RAHMAT NO 27B 000 000 0 0

50 1271211411****** 1271211211****** SUPRAPTO KARANG ANYAR 12|11|**** S L JL SEI BLUTU PS IX NO 10 000 000 0 0

51 1271211411****** 1271216206****** SULARSI SUKOHARJO 22|06|**** S P JL SEI BLUTU PS IX NO 10 000 000 0 0

52 1271211411****** 1271211410****** PRANOWO ADI SUSILO MEDAN 14|10|**** B L JL SEI BLUTU PS IX NO 10 000 000 0 0

53 1271211411****** 1271212604****** M AMIRUL MUKMININ PONOROGO 26|04|**** S L JL SEI BLUTU PSR IX GG SURYA NO 15D 000 000 0 0

54 1271211411****** 1271216308****** SITI FATIMAH MEDAN 23|08|**** S P JL SEI BLUTU PSR IX GG SURYA NO 15D 000 000 0 0

55 1271211412****** 1271215606****** MASNI SIAHAAN P. SIANTAR 16|06|**** S P JL SEI BLUTU PSR IX NO 5 000 000 0 0

56 1271211412****** 1271212410****** SAPTI B P MANALU, ST LUMBAN PAREME 24|10|**** S L JL SEI BLUTU PSR IX NO 15 000 000 0 0

57 1271211504****** 1271212805****** SOFIANTO NABABAN MEDAN 28|05|**** S L JL SEI BLUTU PSR IX NO 9 000 000 0 0

58 1271211504****** 1271215512****** ASIMA LUBIS GAROGA 15|12|**** S P JL SEI BLUTU PSR IX NO 9 000 000 0 0

59 1271211601****** 1271211512****** AZHARI BURHAN DENPASAR 15|12|**** B L JL SEI BLUTU PSR IX NO 2 A 000 000 0 0

60 1271211601****** 1271214205****** RARANI SUKMANINGRUM BARUS, A.Md MEDAN 02|05|**** B P JL SEI BLUTU PSR IX NO 2 A 000 000 0 0

61 1271211603****** 1271210410****** ANAMALE MEDAN 04|10|**** S L JL SEI BLUTU GG SURYA NO 15 000 000 0 0

62 1271211603****** 1271214202****** BATHEMINI MEDAN 02|02|**** S P JL SEI BLUTU GG SURYA NO 15 000 000 0 0

63 1271211603****** 1271214301****** LECEMI MEDAN 03|01|**** B P JL SEI BLUTU GG SURYA NO 15 000 000 0 0

64 1271211603****** 1271210301****** RAMA MEDAN 03|01|**** B L JL SEI BLUTU GG SURYA NO 5 000 000 0 0

65 1271211603****** 1271214411****** KALIMAH MEDAN 04|11|**** B P JL SEI BLUTU GG SURYA NO 15 000 000 0 0

66 1271211603****** 1271215704****** ANURADA MEDAN 17|04|**** B P JL SEI BLUTU GG SURYA NO 15 000 000 0 0

67 1271211605****** 1271192603****** MUHMMAD YA'QUB MEDAN 26|03|**** S L JL SEI BELUTU PS IX NO 25 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-001 3 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271211607****** 1271211101****** PRIANTO, Ir KABANJAHE 11|01|**** S L JL SEI BLUTU GG AMAL NO 3-A 000 000 0 0

69 1271211607****** 1271216610****** HILDA YANTI LANGSA 26|10|**** S P JL SEI BLUTU GG AMAL NO 3-A 000 000 0 0

70 1271211608****** 1271217112****** NURHAYANI P BRANDAN 31|12|**** S P JL SEI BLUTU PS IX NO 16 000 000 0 0

71 1271211608****** 1271215406****** DIANA MEDAN 14|06|**** S P JL DARUSALAM GG RAHMAT NO 14 000 000 0 0

72 1271211608****** 1271210406****** SURIONO P. SIANTAR 04|06|**** S L JL DARUSALAM GG RAHMAT NO 14 000 000 0 0

73 1271211701****** 1271215008****** ARMADA SITUMEANG SH TARUTUNG 10|08|**** S P JL SEI BLUTU PS IX NO 77 MEDAN 000 000 0 0

74 1271211702****** 1271210802****** ANGGIAT SILABAN BA TAPANULI UTARA 08|02|**** S L JL DARUSALAM GG RAHMAT NO 33 000 000 0 0

75 1271211702****** 1271086301****** HASTUTI RANTAU PRAPAT 23|01|**** S P JL DARUSSALAM GG RAHMAT NO 17 LK-I A 000 000 0 0

76 1271211702****** 1271081709****** INSAN HAMONANGAN HASIBUAN SENTIS 17|09|**** S L JL DARUSSALAM GG RAHMAT NO 17 LK-I A 000 000 0 0

77 1271211705****** 1271210204****** RAMLAN MEDAN 02|04|**** S L JL SEI BLUTU PASAR IX NO 12 000 000 0 0

78 1271211705****** 1271217009****** WIWIT SUHARTI MEDAN 30|09|**** S P JL SEI BLUTU PASAR IX NO 12 000 000 0 0

79 1271211707****** 1207281604****** RANDUS PARDAMEAN GAJA SP.II SIMPANG PERBAJA 16|04|**** S L JL SEI BLUTU PASAR IX GG AMAL 000 000 0 0

80 1271211712****** 1271217012****** ASNI MEDAN 30|12|**** P P JLN DARUSSALAM GG RAHMAT NO 7 000 000 0 0

81 1271211801****** 1271211112****** RAMADHAN MIRZA MEDAN 11|12|**** B L JL SEI BLUTU PS IX GG SUBUR 000 000 0 0

82 1271211806****** 1271216802****** RIZKY FEBRIAN SAPUTRI MEDAN 28|02|**** B P JL DARUSSALAM GG RAHMAT NO 14 000 000 0 0

83 1271211807****** 1271210309****** MANOGIR EFENDI NABABAN TEBING TINGGI 03|09|**** S L JL SEI BLUTU PS IX NO 9 F 000 000 0 0

84 1271211807****** 1271214209****** ROSMINA ROMAPEA TEBING TINGGI 02|09|**** S P JL SEI BLUTU PS IX NO 9 F 000 000 0 0

85 1271211807****** 1271214707****** SARIATI BR NABABAN MEDAN 07|07|**** B P JL SEI BLUTU PS IX NO 9 F 000 000 0 0

86 1271211808****** 1271213012****** BAMBANG ADIANTO MEDAN 30|12|**** B L JL DARUSSALAM GG RAHMAT NO 14 000 000 0 0

87 1271211901****** 1271172010****** WIGNESHWAR MEDAN 20|10|**** S L KP RESIDENCE I NO 7-J 000 000 0 0

88 1271211901****** 1271176703****** RADHIKA RAJRATHINAM MADRAS 27|03|**** S P KP RESIDENCE I NO 7-J 000 000 0 0

89 1271211901****** 1271170201****** SAI PRASHANTH MEDAN 02|01|**** B L KP RESIDENCE I NO 7-J 000 000 0 0

90 1271211904****** 1271213007****** PAIAN GIRSANG MEDAN 30|07|**** S L JL SEI BLUTU PSR IX NO 31H 000 000 0 0

91 1271211904****** 1271215611****** JENNY HEPPY MAGDALENA MEDAN 16|11|**** S P JL SEI BLUTU PSR IX NO 31H 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-001 4 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271211904****** 1271211203****** RONY YOGI PRANATA GIRSANG MEDAN 12|03|**** B L JL SEI BLUTU PSR IX NO 31H 000 000 0 0

93 1271211905****** 1271210902****** KUSNADI BAH JAMBI 09|02|**** S L JL SEI BLUTU PS IX NO.9 B 000 000 0 0

94 1271211905****** 1271215210****** SRI MULYANI SAIMIN, SE WONOGIRI 12|10|**** S P JL SEI BLUTU PS IX NO.9 B 000 000 0 0

95 1271211906****** 1271210705****** KI AGUS MAS'UD PALEMBANG 07|05|**** B L JL SEI BLUTU NO 2 MEDAN 000 000 0 0

96 1271211907****** 1271130209****** MUHAMMAD AZMI MEDAN 02|09|**** B L JL DARUSSALAM GG RAHMAT NO 14 000 000 0 0

97 1271211907****** 1271216002****** GIAR FEBITA MEDAN 20|02|**** B P JL DARUSSALAM GG RAHMAT NO 14 000 000 0 0

98 1271211908****** 1271211010****** DAVID PADANG GANTING 10|10|**** S L JL SEI BLUTU PS IX NO.3 000 000 0 0

99 1271211908****** 1271216707****** RITA JUSMARNI BUKIT TINGGI 27|07|**** S P JL SEI BLUTU PS IX NO.3 000 000 0 0

100 1271211908****** 1271211102****** OKKY EKAPUTRA PADANG GANTING 11|02|**** B L JL SEI BLUTU PS IX NO.3 000 000 0 0

101 1271212001****** 1271212210****** EDI WALUYO S SOS MEDAN 22|10|**** S L JLSEI BLUTU PSIX NO9 B 000 000 0 0

102 1271212003****** 1405042404****** DIDIK YOGYAKARTA 24|04|**** S L JL SEI BELUTU PS IX GG.AMAL NO 38 C 000 000 0 0

103 1271212008****** 1271215212****** TETTY CHRISTINA MEDAN 12|12|**** S P JLSEI BLUTU PSIX NO31 MEDAN 000 000 0 0

104 1271212009****** 1271216006****** FITRI SARI MEDAN 20|07|**** B P JL SEI BLUTU NO 70-B MEDAN 000 000 0 0

105 1271212012****** 1271212307****** SAHAT PARULIAN NABABAN MEDAN 23|07|**** S L JL SEI BLUTU PS IX NO 9 F 000 000 0 0

106 1271212012****** 1271216209****** SRI PURNAMA BR PURBA SIMPANG EMPAT 22|09|**** S P JL SEI BLUTU PS IX NO 9 F 000 000 0 0

107 1271212104****** 1271214206****** KANNE BR SITUMORANG PARAPAT 02|06|**** S P JL SEI BLUTU PS IX NO 9-G 000 000 0 0

108 1271212104****** 1271210805****** BACHTIAR HARIANJA SERBELAWAN 08|05|**** S L JL SEI BLUTU PS IX NO 9-G 000 000 0 0

109 1271212104****** 1271212802****** TIGOR HARIANJA MEDAN 28|02|**** B L JL SEI BLUTU PS IX NO 9-G 000 000 0 0

110 1271212104****** 1271214706****** REBEKKA BR HARIANJA MEDAN 07|06|**** B P JL SEI BLUTU PS IX NO 9-G 000 000 0 0

111 1271212104****** 1271215610****** RISMA BR HARIANJA MEDAN 16|10|**** S P JL SEI BLUTU PS IX NO 9-G 000 000 0 0

112 1271212106****** 1271214211****** HAMIDAH SAFITRI MEDAN 02|11|**** P P JL SEI BLUTU PS IX GG RAHMAD NO 17 000 000 0 0

113 1271212108****** 1271216710****** NAUNIDA MEDAN 27|10|**** S P JL SEI BLUTU GG SURYA NO 15 000 000 0 0

114 1271212203****** 1271215912****** LERMINAH RITONGA PANGARIBUAN 19|12|**** P P JL SEI BLUTU PSR IX GG AMAL NO 31-E 000 000 0 0

115 1271212203****** 1271214102****** LAURA SIHOL SIAGIAN MEDAN 01|02|**** B P JL SEI BLUTU PSR IX GG AMAL NO 3 -E 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-001 5 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271212203****** 1271212801****** EDWARD SAHAT SIAGIAN MEDAN 28|01|**** B L JL. SEI BLUTU PSR IX GG. AMAL NO. 3 -E 000 000 0 0

117 1271212203****** 1271210304****** BERNARD SIAGIAN MEDAN 03|04|**** B L JL SEI BLUTU PSR IX GG AMAL NO 3 -E 000 000 0 0

118 1271212204****** 1271214603****** SULASMI GIRSANG BRASTAGI 06|03|**** P P JL SEI BLUTU PS IX GG AMAL NO 23 000 000 0 0

119 1271212204****** 1271211011****** LEONARD PARULIAN LUMBANTORUAN MEDAN 10|11|**** B L JL SEI BLUTU PS IX GG AMAL NO 23 000 000 0 0

120 1271212211****** 1271210404****** SAMSUL HAKIM MEDAN 04|04|**** S L JL. SEI BLUTU GG. AMAL NO. 23-C 000 000 0 0

121 1271212211****** 1271215612****** MARIANI BR GIRSANG MEDAN 16|12|**** S P JL. SEI BLUTU GG. AMAL NO. 23-C 000 000 0 0

122 1271212303****** 1271213110****** HENRY JUSTUS PANJAITAN AEK NABARA 31|10|**** S L JL SEI BELUTU PASAR 9 NO 26 000 000 0 0

123 1271212303****** 1271205204****** NETTY ADELINA SITOMPUL SITOMPUL 12|04|**** S P JL SEI BELUTU PASAR 9 NO 26 000 000 0 0

124 1271212306****** 1271214306****** ROHANI BR SIMBOLON O RUNGGU 03|06|**** P P JL SEI BLUTU PS IX NO 17-A 000 000 0 0

125 1271212306****** 1271215001****** JOJOR PARDEDE MEDAN 10|01|**** B P JL SEI BLUTU PS IX NO 17-A 000 000 0 0

126 1271212306****** 1271211909****** JOHNSON PARDEDE MEDAN 19|09|**** B L JL SEI BLUTU PS IX NO 17-A 000 000 0 0

127 1271212307****** 1271216111****** SUNAENI P. SIANTAR 21|11|**** S P JL SEI BELUTU PS IX NO 2 AA 000 000 0 0

128 1271212307****** 1271215312****** MIRA NINGTIYAS MEDAN 13|12|**** B P JL SEI BELUTU PS IX NO 2 AA 000 000 0 0

129 1271212307****** 1271217010****** TRI INDIRA DEWI MEDAN 30|10|**** B P JL SEI BELUTU PS IX NO 2 AA 000 000 0 0

130 1271212307****** 1271212208****** AGUSTO SYAPUTRA S MEDAN 22|08|**** B L JL SEI BELUTU PS IX NO 2 AA 000 000 0 0

131 1271212311****** 1271210211****** SYAHRIL HADIANSYAH HUTAURUK MEDAN 02|11|**** S L JL SEI BLUTU GG AMAL NO 23-B 000 000 0 0

132 1271212311****** 1271216905****** EKA KURNIATY MEDAN 29|05|**** S P JL SEI BLUTU GG AMAL NO 23-B 000 000 0 0

133 1271212312****** 1271211108****** LIBER NAPITUPULU TARABUNGA 11|08|**** S L JL SEI BLUTU PSR IX GG AMAL NO 31-C 000 000 0 0

134 1271212401****** 1271213103****** ARY GUNAWAN MEDAN 31|03|**** S L JL SEI BLUTU PS IX NO 8 000 000 0 0

135 1271212401****** 1271217007****** SUZANA WATI MEDAN 30|07|**** S P JL SEI BLUTU PS IX NO 8 000 000 0 0

136 1271212401****** 1271210610****** OCTIANSYAH ARZA GUNAWAN MEDAN 06|10|**** B L JL SEI BLUTU PS IX NO 8 000 000 0 0

137 1271212404****** 1271215203****** HJ JALILAH DOLOK MASIHUL 12|03|**** P P JL SEI BLUTU NO 2 MEDAN 000 000 0 0

138 1271212405****** 1271212702****** MOHD. HILAL HIBATULLAH MEDAN 27|02|**** B L JL SEI BLUTU NO 48 000 000 0 0

139 1271212408****** 1271215907****** ELFIDIANA MEDAN 19|07|**** S P JL SEI BLUTU PS IX NO 4 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-001 6 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212408****** 1271212712****** RASYIDIN MEDAN 27|12|**** B L JL SEI BLUTU PS IX NO 4 000 000 0 0

141 1271212408****** 1271212411****** MUHIDIN MEDAN 24|11|**** B L JL SEI BLUTU PS IX NO 4 000 000 0 0

142 1271212502****** 1271210808****** ACHMAD IRWAN MEDAN 08|08|**** S L JL DARUSSALAM GG RAHMAT NO 7 000 000 0 0

143 1271212502****** 1271216506****** SUSI NINGSIH MEDAN 25|06|**** S P JL DARUSSALAM GG RAHMAT NO 7 000 000 0 0

144 1271212502****** 1271211612****** RAZAB SUWANDA MEDAN 16|12|**** B L JL DARUSSALAM GG RAHMAT NO 7 000 000 0 0

145 1271212502****** 1271214512****** MACHICA WULANDIRA MEDAN 05|12|**** B P JL DARUSSALAM GG RAHMAT NO 7 000 000 0 0

146 1271212502****** 1271212005****** RANTO RAMSES PARDEDE TANJUNG PINANG 20|05|**** S L JL SEI BLUTU PSR IX NO 36B 000 000 0 0

147 1271212502****** 1271216611****** DAMERIA ROSMAWATI JAKARTA 26|11|**** S P JL SEI BLUTU PSR IX NO 36B 000 000 0 0

148 1271212502****** 1271216712****** KRISTIN ELISABET BR PARDEDE MEDAN 27|12|**** B P JL SEI BLUTU PSR IX NO 36B 000 000 0 0

149 1271212502****** 1271211912****** RAJA SAMUEL PARLINDUNGAN MEDAN 19|12|**** B L JL SEI BLUTU PSR IX NO 36B 000 000 0 0

150 1271212502****** 1271212512****** AZHARI BANDA ACEH 25|12|**** S L JL SEI BELUTU PS IX NO 14 000 000 0 0

151 1271212502****** 1271216211****** SRI HARYATI MEDAN 22|11|**** S P JL SEI BELUTU PS IX NO 14 000 000 0 0

152 1271212502****** 1271214402****** TARISA HANJANI MEDAN 04|02|**** B P JL SEI BELUTU PS IX NO 14 000 000 0 0

153 1271212502****** 1271214801****** MEUTIA JASMINE MEDAN 08|01|**** B P JL SEI BELUTU PS IX NO 14 000 000 0 0

154 1271212503****** 1271102906****** RUDY BINJAI 29|06|**** B L JL SEI BLUTU PERUMAHAN DE RESIDENCE I NO 8-C 000 000 0 0

155 1271212504****** 1271210901****** SABAM SINAGA MEDAN 09|01|**** S L JL SEI BLUTU PSR IX NO 36B 000 000 0 0

156 1271212504****** 1271214301****** BERLIANA BR SIAGIAN MUARA JAWA 03|01|**** S P JL SEI BLUTU PSR IX NO 36B 000 000 0 0

157 1271212507****** 1271024705****** KASINAH BAH JAMBI 07|05|**** S P JL. SEI BELUTU 000 000 0 0

158 1271212507****** 1271022709****** WINDA SARI MEDAN 27|09|**** B P JL. SEI BELUTU 000 000 0 0

159 1271212507****** 1271020806****** WISNU MEDAN 08|06|**** B L JL. SEI BELUTU 000 000 0 0

160 1271212508****** 1271214508****** ASNAH MEDAN 05|08|**** P P JL DARUSALAM GG RAHMAT NO 7 000 000 0 0

161 1271212508****** 1271211307****** NUR ARMANSYAH MEDAN 13|07|**** B L JL DARUSALAM GG RAHMAT NO 7 000 000 0 0

162 1271212509****** 1271214306****** BUNGARIA S MEDAN 03|06|**** S P JLSEI BLUTU PSIX GG AMAL-1 000 000 0 0

163 1271212509****** 1271211105****** SAHAT MARULI TUA S MEDAN 11|05|**** S L JLSEI BLUTU PSIX GG AMAL-1 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-001 7 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212509****** 1271217010****** TIARMI PASARIBU TARUTUNG BOLAK 30|10|**** S P JLSEI BLUTU PSIX GG AMAL-1 000 000 0 0

165 1271212509****** 1271121111****** MUHAMMAD AKBAR MEDAN 11|11|**** S L JL DARUSSALAM GG RAHMAT NO 16 000 000 0 0

166 1271212509****** 1271216005****** SRI LESTARI MEDAN 20|05|**** S P JL DARUSSALAM GG RAHMAT NO 16 000 000 0 0

167 1271212510****** 1208042702****** FABER PANJAITAN PULO SIBORNA 27|02|**** S L JL SEI BLUTU PSR IX NO 9-I 000 000 0 0

168 1271212511****** 1271210705****** BAGINDA M SIMANJUNTAK LUBAN JULU 07|05|**** S L JL SEI BLUTU PSR IX NO 19 000 000 0 0

169 1271212511****** 1271215504****** SONTI OMPUSUNGGU MUARA TAPUT 15|04|**** S P JL SEI BLUTU PSR IX NO 19 000 000 0 0

170 1271212607****** 1271210202****** SUMAWAN MADIUN 02|02|**** S L JL SEI BELUTU PS IX NO 25 000 000 0 0

171 1271212607****** 1271216308****** ASNIDAR MEDAN 23|08|**** S P JL SEI BELUTU PS IX NO 25 000 000 0 0

172 1271212607****** 1271214101****** RIZKY DWI LARAS MEDAN 01|01|**** B P JL SEI BELUTU PS IX NO 25 000 000 0 0

173 1271212607****** 1271215811****** KARIN TRI ANNISA MEDAN 18|11|**** B P JL SEI BELUTU PS IX NO 25 000 000 0 0

174 1271212607****** 1271210908****** ARRIS FAHRIAN MEDAN 09|08|**** B L JL SEI BELUTU PS IX NO 25 000 000 0 0

175 1271212607****** 1271215805****** MEGA CHRISTIN ZEBUA MEDAN 18|05|**** B P JL SEI BLUTU PS IX GG AMAL-17 000 000 0 0

176 1271212609****** 1271212910****** MUHAMMAD ICHSAN PRAYOGI MEDAN 29|10|**** B L JL SEI BLUTU GG BERSAMA NO 87 B 000 000 0 0

177 1271212611****** 1271215004****** SRI WULANDRI MEDAN 10|04|**** S P JL DARUSSALAM G RAHMAT NO 3 000 000 0 0

178 1271212702****** 1271215212****** SAROJA MEDAN 12|12|**** P P JL SEI BLUTU PS IX NO 5 000 000 0 0

179 1271212702****** 1271215809****** SUMITRA DEWI MEDAN 18|09|**** B P JL SEI BLUTU PS IX NO 15 000 000 0 0

180 1271212703****** 1271216110****** NURAINI SIAHAAN DANAU SIJABUT 21|10|**** B P JL SEI BLUTU GG BERSAMA 000 000 0 0

181 1271212706****** 1271212605****** SAIMIN SOLO 26|05|**** S L JL SEI BLUTU PS IX NO 9 B 000 000 0 0

182 1271212706****** 1271215506****** LASMINI SOLO 15|06|**** S P JL SEI BLUTU PS IX NO 9 B 000 000 0 0

183 1271212707****** 1208015104****** ROSIANA SIMBOLON LUMBAN BUNTU 11|04|**** S P JL. DARUSALAM MELINTANG I NO. 2C 000 000 0 0

184 1271212712****** 1271211108****** RIDWAN MEDAN 11|08|**** S L JL SEI BLUTU PS IX GG AMAL NO 23 B 000 000 0 0

185 1271212712****** 1271195204****** BASYARIAH NASUTION MEDAN 12|04|**** S P JLSEI BLUTU PSIX GG AMAL-23B 000 000 0 0

186 1271212802****** 1271216312****** ARMINA BR GIRSANG SERIBU DOLOK 23|12|**** S P JL SEI BLUTU PS IX NO 36 A 000 000 0 0

187 1271212802****** 1271212302****** WALDI NABABAN LINTONG NIHUTA 23|02|**** S L JL SEI BLUTU PS IX NO 36 A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-001 8 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271212805****** 1271215506****** ROSINTAN BR SITUMEANG TANAH JAWA 15|06|**** P P JL DARUSSALAM GG RAHMAD NO 19 000 000 0 0

189 1271212806****** 1271210303****** EDWARD SIREGAR MUARA 03|03|**** S L JL DARUSALAM GG RAHMAT NO 21 000 000 0 0

190 1271212806****** 1271215708****** SONTI BR MARBUN MEDAN 17|08|**** S P JL DARUSALAM GG RAHMAT NO 21 000 000 0 0

191 1271212806****** 1271216808****** ELISABETH BR SIREGAR MEDAN 28|08|**** B P JL DARUSALAM GG RAHMAT NO 21 000 000 0 0

192 1271212806****** 1271216003****** MARTA BR SIREGAR MEDAN 20|03|**** B P JL DARUSALAM GG RAHMAT NO 21 000 000 0 0

193 1271212811****** 1271214205****** SUKINI P. SIANTAR 02|05|**** S P JL DARUSSALAM GG RAHMAT NO 14 000 000 0 0

194 1271212811****** 1271216211****** SUCI SUPRIYANI MEDAN 22|11|**** B P JL DARUSSALAM GG RAHMAT NO 14 000 000 0 0

195 1271212811****** 1271212305****** SISMIANTO SOLO 23|05|**** S L JL SEI BLUTU PSR IX NO.8 000 000 0 0

196 1271212811****** 1271215306****** SRI LESTARI SOLO 13|06|**** S P JL SEI BLUTU PSR IX NO.8 000 000 0 0

197 1271212901****** 1271215012****** KARTINI BATUBARA PENYABUNGAN 10|12|**** P P JLBLUTU PSIXC NO28 MEDAN 000 000 0 0

198 1271212901****** 1271211010****** KETLER PARDEDE MEDAN 10|10|**** S L JL SEI BLUTU PS IX NO 17 000 000 0 0

199 1271212901****** 1271214312****** DORLA FRISKA BR HOMBING SIDIKALANG 03|12|**** S P JL SEI BLUTU PS IX NO 17 000 000 0 0

200 1271212901****** 1271217006****** MARIA MONIKA A BR PARDEDE MEDAN 30|06|**** B P JL SEI BLUTU PS IX NO 17 000 000 0 0

201 1271212901****** 1271215010****** SHELLY ANGELLIA DAMARISP MEDAN 10|10|**** B P JL SEI BLUTU PS IX NO 17 000 000 0 0

202 1271212901****** 1271212201****** ABNER TIGOR SIANIPAR MEDAN 22|01|**** S L JL SEI BLUTU PS IX GG SURIA NO 15 G 000 000 0 0

203 1271212901****** 1271215001****** MESTIANNA BR DAMANIK SIPINGGAN 10|01|**** S P JL SEI BLUTU PS IX GG SURIA NO 5 G 000 000 0 0

204 1271212901****** 1271211008****** REYMON AUSTYN SIANIPAR MEDAN 10|08|**** B L JL SEI BLUTU PS IX GG SURIA NO 15 G 000 000 0 0

205 1271212901****** 1271214308****** DWYAUSTI RONAULI SIANIPAR MEDAN 03|08|**** B P JL SEI BLUTU PS IX GG SURIA NO 15 G 000 000 0 0

206 1271212903****** 1271216705****** YOANA FRESCILIA KUTACANE 27|05|**** B P JL.SEI BELUTU PSR IX 18 MEDAN 000 000 0 0

207 1271212904****** 1271212311****** PUPUT WAHYUDI MEDAN 23|11|**** B L JL SEI BLUTU GG SUMBER AIR NO 49 C 000 000 0 0

208 1271212909****** 1271212606****** ZUWINGLI DOMINGGOS SILITONGA MEDAN 26|06|**** B L JL SEI BELUTU PS IX NO 17 000 000 0 0

209 1271212910****** 1271211412****** ROLISTON BATUBARA MEDAN 14|12|**** S L JL SEI BLUTU PS IX NO.17 D 000 000 0 0

210 1271212910****** 1271025207****** ROHANI KISARAN 12|07|**** S P JL SEI BLUTU PS IX NO.17 D 000 000 0 0

211 1271213001****** 1271212108****** ZAMRUD ABDI MEDAN 21|08|**** B L JL SEI BLUTU PS IX GG RAHMAD NO 17 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-001 9 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271213001****** 1271210712****** FAJRI MEDAN 07|12|**** S L JL SEI BLUTU PS IX GG RAHMAD NO 17 000 000 0 0

213 1271213001****** 1271214701****** RAHMAYATI MEDAN 07|01|**** B P JL SEI BLUTU PS IX GG RAHMAD NO 17 000 000 0 0

214 1271213003****** 1271030602****** DR LAKSONO BAGUS SASMITO SPM TULUNGAGUNG 06|02|**** P L JL SEI BLUTU KOMP DE RESIDENCE NO 9 C 000 000 0 0

215 1271213003****** 3516184106****** NEDIYANA TRISNA NINGRUM MOJOKERTO 01|06|**** S P JL SEI BLUTU KOMP DE RESIDENCE NO 9 C 000 000 0 0

216 1271213003****** 1271035612****** BALGIS DESY SULISTYOWATI SURABAYA 16|12|**** B P JL SEI BLUTU KOMP DE RESIDENCE NO 9 D 000 000 0 0

217 1271213004****** 1271214602****** SARMA RUT SIMANJUNTAK GAB PARSAORAN 06|02|**** S P JL SEI BLUTU PS IX NO 29 000 000 0 0

218 1271213004****** 1271212104****** ROBINSON SILAEN,SE MEDAN 21|04|**** S L JL SEI BLUTU PS IX NO 29 000 000 0 0

219 1271213005****** 1271211404****** LIKKAS LUBIS GAROGA 14|04|**** S L JL SEI BLUTU GG AMAL NO 25 B 000 000 0 0

220 1271213005****** 1271214711****** MASNA BR PARDOSI GAROGA 07|11|**** S P JL SEI BLUTU GG AMAL NO 25 B 000 000 0 0

221 1271213005****** 1271214711****** RISMAULI LUBIS MEDAN 07|11|**** B P JL SEI BLUTU GG AMAL NO 25 B 000 000 0 0

222 1271213010****** 1201206207****** JULITA HOTMAIDA S JAKARTA 22|07|**** S P PERUM DE RESIDENT JL SEI BLUTU NO 7 L 000 000 0 0

223 1271213101****** 1271217011****** RUKIYAH BR SILALAHI TARUTUNG 30|11|**** S P JL SEI BLUTU PS IX NO 9-I 000 000 0 0

224 1271213101****** 1271216406****** ELLYS P BR SIMAMORA TARUTUNG 24|06|**** S P JL SEI BLUTU PS IX NO 9-I 000 000 0 0

225 1271213101****** 1271210203****** ERIC SIMAMORA MEDAN 02|03|**** B L JLSEI BLUTU PS IX NO 9-I KODEPOS:20 3 000 000 0 0

226 1271213105****** 1271215505****** IRASMI MEDAN 15|05|**** S P PB SELAYANG I 000 000 0 0

227 1271211312****** 1271211812****** SAMIN SOLO 18|12|**** S L JL SEI BLUTU PS IX NO 8 MEDAN 001 001 0 0

228 1271211312****** 1271215510****** GEMI SOLO 15|10|**** S P JL SEI BLUTU PS IX NO 8 MEDAN 001 001 0 0

229 1271211312****** 1271215211****** WIJILESTARI SOLO 12|11|**** B P JL SEI BLUTU PS IX NO 8 MEDAN 001 001 0 0

230 1271211312****** 1271215011****** DEWI SULASTRI MEDAN 10|11|**** B P JL SEI BLUTU PS IX NO 8 MEDAN 001 001 0 0

231 1271211602****** 1271212001****** SLAMET SUGIONO MEDAN 20|01|**** S L JL SEI BLUTU PS IX NO 12 001 001 0 0

232 1271211602****** 1271215011****** SULTIASIH MEDAN 10|11|**** S P JL SEI BLUTU PS IX NO 12 001 001 0 0

233 1271211602****** 1271210205****** MOH SYAFI I DESA LANGKAN RIAU 02|05|**** B L JL SEI BLUTU PS IX NO 12 001 001 0 0

234 1271211602****** 1271210402****** NANDA PRIYATNO MEDAN 04|02|**** B L JL SEI BLUTU PS IX NO 12 001 001 0 0

235 1271211602****** 1271214104****** MITHA LESTARI KAMPAR 01|04|**** B P JL SEI BLUTU PS IX NO 12 001 001 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-001 10 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

236 1271211808****** 1271213112****** SUHENDI MEDAN 31|12|**** S L JL SEI BLUTU PS IX NO 9 C 001 001 0 0

237 1271211808****** 1271215212****** KASMIATI MEDAN 12|12|**** S P JL SEI BLUTU PS IX NO 9 C 001 001 0 0

238 1271211411****** 1271210102****** ABDUL HALIM NASUTION, SAG, SH P. SIANTAR 01|02|**** S L JL SEI BLUTU PSR IX GG AMAL NO 26 002 001 0 0

239 1271211411****** 1271215407****** ABLAH,SPD MEDAN 14|07|**** S P JL SEI BLUTU PSR IX GG AMAL NO 26 002 001 0 0

240 1271211411****** 1271210506****** MUHAMMAD DZAKWAN AFIF NASUTION MEDAN 05|06|**** B L JL SEI BLUTU PSR IX GG AMAL NO 26 002 001 0 0

241 1271211704****** 1271210302****** KANDER SETIAWAN GIRSANG MEDAN 03|02|**** B L JL SEI BLUTU PS IX GG AMAL NO 23-C 004 001 0 0

242 1271211704****** 1271212402****** RYO JASIMA GIRSANG MEDAN 24|02|**** B L JL SEI BLUTU PS IX GG AMAL NO 23-C 004 001 0 0

243 1271210104****** 1271216610****** ALYA TIOFANI MEDAN 26|10|**** B P JL SEI BLUTU GG SUBUR NO 58B 001 002 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 243 Jenis Kelamin = 243 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 102 L : Laki-Laki = 108 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 128 P : Perempuan = 135 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 13
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 116 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-001 11 / 276
MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 002
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271150609****** 1271151401****** SUNDRO MEDAN 14|01|**** S L JL SEI BLUTU PS.IX GG AMAL NO.23 A 000 000 0 0

2 1271150609****** 1271215907****** BIMLA MEDAN 19|07|**** S P JL SEI BLUTU PS.IX GG AMAL NO.23 A 000 000 0 0

3 1271150609****** 1271211702****** SELWA RAGEN MEDAN 17|02|**** B L JL SEI BLUTU PS.IX GG AMAL NO.23 A 000 000 0 0

4 1271172401****** 1271172504****** BINTANG PANGARIBUAN MEDAN 25|04|**** S L JL.SEI BELUTU PSR IX 18 MEDAN 000 000 0 0

5 1271210102****** 1208180709****** SARTONO MANCUK 07|09|**** S L JL. DARUSSALAM GANG RAHMAT NO. 14 000 000 0 0

6 1271210102****** 1271216004****** SUSI AFRIANI MEDAN 20|04|**** S P JL. DARUSSALAM GANG RAHMAT NO. 14 000 000 0 0

7 1271210104****** 1271212705****** FRENGKI SIREGAR MEDAN 27|05|**** S L JL DARUSALAM GG RAHMAT NO 21 000 000 0 0

8 1271210108****** 1271030811****** TAUFIK GEUDONG 08|11|**** S L JL SEI BLUTU KOMP D RESIDENCE NO N9 000 000 0 0

9 1271210110****** 1271212708****** HERMANSYAH MEDAN 27|08|**** S L JL SEI BLUTU PSR IX NO 1 000 000 0 0

10 1271210110****** 1271024602****** SETYA WATI MEDAN 06|02|**** S P JL SEI BLUTU PSR IX NO 1 000 000 0 0

11 1271210110****** 1271213004****** ANDRIANSYAH MEDAN 30|04|**** B L JL SEI BLUTU PSR IX NO 1 000 000 0 0

12 1271210110****** 1271215504****** HAJIJAH MAHARANI MEDAN 15|04|**** B P JL SEI BLUTU PSR IX NO 1 000 000 0 0

13 1271210110****** 1271020610****** BALAJI MEDAN 06|10|**** B L JL SEI BLUTU PRUM DE RESIDENCE NO 7-C 000 000 0 0

14 1271210110****** 1271034310****** SANGGA MITRA MEDAN 03|10|**** B P JL SEI BLUTU PRUM DE RESIDENCE NO 7-C 000 000 0 0

15 1271210111****** 1271215708****** TIARMA BR TUMORANG TAPANULI UTARA 17|08|**** P P JL DARUSSALAM GG RAHMAT NO 35 000 000 0 0

16 1271210111****** 1271216502****** HELENA BR SITANGGANG MEDAN 25|02|**** B P JL DARUSSALAM GG RAHMAT NO 35 000 000 0 0

17 1271210201****** 1271213112****** RAKIM SUNGAI BALAI 31|12|**** S L JL DARUSALAM GG RAHMAD NO 5 000 000 0 0

18 1271210201****** 1271215112****** VERAWATI MEDAN 11|12|**** S P JL DARUSALAM GG RAHMAD NO 5 000 000 0 0

19 1271210201****** 1271210911****** DJOKO SUTEJO MEDAN 09|11|**** B L JL DARUSALAM GG RAHMAD NO 5 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-002 12 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210203****** 1271052210****** AHMAD RIZA NST MEDAN 22|10|**** B L JL.SEI BELUTU GG.SUBUR NO.58-D 000 000 0 0

21 1271210205****** 1271213112****** MANGUN PAWIRO KLATEN 31|12|**** S L JLN SEI BELUTU PS IX NO 9 A 000 000 0 0

22 1271210205****** 1271214606****** SUARNY S.IP MEDAN 06|06|**** P P JLN SEI BELUTU PS IX NO 9 A 000 000 0 0

23 1271210205****** 1271216712****** MURSINI MEDAN 27|12|**** P P JL SEI BELUTU PSR IX NO 10 000 000 0 0

24 1271210205****** 1271216308****** NURIWAYATI MEDAN 23|08|**** P P JL SEI BELUTU PSR IX NO 10 000 000 0 0

25 1271210205****** 1271216107****** ZULHIJJAH ARIYANTI MEDAN 21|07|**** B P JL SEI BELUTU PSR IX NO 10 000 000 0 0

26 1271210205****** 1271216501****** BEBY RAMADHANI MEDAN 25|01|**** B P JL SEI BELUTU PSR IX NO 10 000 000 0 0

27 1271210205****** 1271211707****** SOYO PATMOWIONO WONOGIRI 17|07|**** S L JL DARUSSALAM GG RAHMAT NO 14 000 000 0 0

28 1271210205****** 1271214306****** SARNI MEDAN 03|06|**** S P JL DARUSSALAM GG RAHMAT NO 4 000 000 0 0

29 1271210207****** 1271216404****** SARINA BR SINURAT MEDAN 24|04|**** S P JLDARUSALAM GGRAHMAT NO31 000 000 0 0

30 1271210207****** 1271213105****** SIMSON SITANGGANG MEDAN 31|05|**** S L JLDARUSALAM GGRAHMAT NO31 000 000 0 0

31 1271210207****** 1271216709****** SUPIAH SEPIANA BR SITANGGANG MEDAN 27|09|**** B P JLDARUSALAM GGRAHMAT NO31 000 000 0 0

32 1271210207****** 1271211204****** HAIRUN MEDAN 12|04|**** S L JL SEI BLUTU PSR IX GG AMAL NO 17E 000 000 0 0

33 1271210207****** 1271216308****** INDRIYANA MEDAN 23|08|**** S P JL SEI BLUTU PSR IX GG AMAL NO 17E 000 000 0 0

34 1271210207****** 1271213003****** YUDHA TAMA MEDAN 30|03|**** B L JL SEI BLUTU PSR IX GG AMAL NO 17E 000 000 0 0

35 1271210207****** 1271211307****** BAGAS RIANTO MEDAN 13|07|**** B L JL SEI BLUTU PSR IX GG AMAL NO 17E 000 000 0 0

36 1271210212****** 1271210710****** WAHAB ABDI MEDAN 07|10|**** S L JL SEI BLUTU Gang RAHMAD NO 17 000 000 0 0

37 1271210306****** 1271212105****** ALBOIN ANDRYWANTO B SE KADUR/P.RUPAT 21|05|**** S L JLSEI BLUTU NO 20 MEDAN 000 000 0 0

38 1271210306****** 1271216412****** MELDA Y NATALIA L TORUAN SE MEDAN 24|12|**** S P JLSEI BLUTU NO 20 MEDAN 000 000 0 0

39 1271210307****** 1271215001****** TIURMA AMBARITA PORSEA 10|01|**** S P JL SEI BELUTU PS IX NO 9 E 000 000 0 0

40 1271210307****** 1271211202****** SATRIA RIFAI LHOKSEUMAWE 12|02|**** S L JL SEI BELUTU PS IX NO 9 E 000 000 0 0

41 1271210307****** 1271211811****** IQBAL AULIA MEDAN 18|11|**** B L JL SEI BELUTU PS IX NO 9 E 000 000 0 0

42 1271210307****** 1271216712****** ISMI PUTRI CHAIRUNNISA MEDAN 27|12|**** B P JL SEI BELUTU PS IX NO 9 E 000 000 0 0

43 1271210307****** 1271216606****** MAUDINA PUTRI CHAIRUNNISA MEDAN 26|06|**** B P JL SEI BELUTU PS IX NO 9 E 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-002 13 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210308****** 1271210105****** THALIB MEDAN 01|05|**** S L JL DARUSSALAM GG RAHMAT NO 14 000 000 0 0

45 1271210308****** 1271215207****** KASRIANI MEDAN 12|07|**** S P JL DARUSSALAM GG RAHMAT NO 14 000 000 0 0

46 1271210401****** 1271212209****** SYAHRUL ADAMSYAH MEDAN 22|09|**** S L JL SEI BLUTU PS IX GG AMAL NO 17 E 000 000 0 0

47 1271210401****** 1271215402****** SOVENIR HASANAH MEDAN 14|02|**** S P JL SEI BLUTU PS IX GG AMAL NO 17 E 000 000 0 0

48 1271210401****** 1271212512****** SUPRIADI TJ KASAU 25|12|**** S L JL SEI BLUTU-MELINTANG I NO 9 000 000 0 0

49 1271210401****** 1271215005****** IDA WATI AIR HITAM ULU 10|05|**** S P JL SEI BLUTU-MELINTANG I NO 9 000 000 0 0

50 1271210401****** 1271210309****** AHMAD RESTU MEDAN 03|09|**** B L JL SEI BLUTU-MELINTANG I NO 9 000 000 0 0

51 1271210401****** 1271215610****** LUTFIAH NILAM SARI MEDAN 16|10|**** B P JL SEI BLUTU-MELINTANG I NO 9 000 000 0 0

52 1271210404****** 1271212512****** RAWI CHANDREN MEDAN 25|12|**** S L JL SEI BLUTU MELINTANG II NO 90 B 000 000 0 0

53 1271210405****** 1271210612****** DIMAS RANGGA DIMUKHA MEDAN 06|12|**** B L JL SEI BELUTU PS IX NO 2 AA 000 000 0 0

54 1271210405****** 1271015502****** DIANA MAYASARI MEDAN 15|02|**** B P JL SEI BELUTU PS IX NO 2 AA 000 000 0 0

55 1271210406****** 1271210403****** BURHANUDDIN LUBIS MEDAN 04|03|**** S L JL SEI BLUTU PSR IX NO 2 A 000 000 0 0

56 1271210406****** 1271216808****** SURYATI MEDAN 28|08|**** S P JL SEI BLUTU PSR IX NO 2 A 000 000 0 0

57 1271210406****** 1271214804****** WAHYUDANI BURHAN DENPASAR 08|04|**** B P JL SEI BLUTU PSR IX NO 2 A 000 000 0 0

58 1271210406****** 1271211306****** RIZALI MEDAN 13|06|**** B L JL SEI BLUTU PSR IX NO 2 A 000 000 0 0

59 1271210407****** 1271210806****** HAPOSAN JUNISTON BATUBARA MEDAN 08|06|**** S L JL. SEI BLUTU PSR IX NO. 7-D 000 000 0 0

60 1271210407****** 1271216310****** RINI TIA BAGO NIAS 23|10|**** S P JL SEI BLUTU PSR IX NO 17-D 000 000 0 0

61 1271210409****** 1271214702****** ROYANI SIAGIAN MEDAN 07|02|**** B P JL DARUSSALAM GG RAHMAT NO 27 A 000 000 0 0

62 1271210409****** 1271216702****** SITI MALENDINA SIAGIAN MEDAN 27|02|**** S P JL DARUSSALAM GG RAHMAT NO 27 A 000 000 0 0

63 1271210409****** 1271211803****** ANOR PATRYA SUPENDY SIMBOLON SIBOLGA 18|03|**** S L JL DARUSSALAM GG RAHMAT NO 27 A 000 000 0 0

64 1271210409****** 1271211612****** TIN FERNANDO SIDIKALANG 16|12|**** B L JL DARUSSALAM GG RAHMAT NO 27 A 000 000 0 0

65 1271210409****** 1271216511****** NOVELITA SARI MEDAN 25|11|**** B P JL DARUSSALAM GG RAHMAT NO 27 A 000 000 0 0

66 1271210409****** 1271211506****** MARTIN MEDAN 15|06|**** B L JL DARUSSALAM GG RAHMAT NO 27 A 000 000 0 0

67 1271210409****** 1271210303****** DANIEL CHANDRA MEDAN 03|03|**** B L JL DARUSSALAM GG RAHMAT NO 27 A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-002 14 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210410****** 1271210309****** PARLINDUNGAN SIMANJUNTAK PANGURURAN 03|09|**** S L JL SEI BLUTU PS IX NO 38 C 000 000 0 0

69 1271210410****** 1271215210****** ROSPITA BR BATUBARA BERASTAGI 12|10|**** S P JL SEI BLUTU PS IX NO 38 C 000 000 0 0

70 1271210410****** 1271212601****** DONY SIMANJUNTAK MEDAN 26|01|**** B L JL SEI BLUTU PS IX NO 38 C 000 000 0 0

71 1271210412****** 1271215911****** RUMINTA SIANTURI MUARA 19|11|**** P P JL SEI BLUTU PS IX NO 31 MEDAN 000 000 0 0

72 1271210412****** 1271210211****** HERRY SARBUDI SE MEDAN 02|11|**** B L JL SEI BLUTU PS IX NO 31 MEDAN 000 000 0 0

73 1271210412****** 1271212911****** HERMAN THEODORE,AMD MEDAN 29|11|**** B L JL SEI BLUTU PS IX NO 31 MEDAN 000 000 0 0

74 1271210503****** 1271216206****** SURIYANTI MEDAN 22|06|**** S P JLSEI BLUTU PS IX NO 9B 000 000 0 0

75 1271210504****** 1271216702****** DIANA MARTAULI BR NAIPOSPOS MEDAN 27|02|**** P P JL SEI BLUTU PSR IX NO 17 MEDAN 000 000 0 0

76 1271210504****** 1271215307****** ANATAOSHIN BR SILITONGA MEDAN 13|07|**** B P JL SEI BLUTU PSR IX NO 17 MEDAN 000 000 0 0

77 1271210504****** 1271212109****** DANIEL ABED NEGO SILITONGA MEDAN 21|09|**** B L JL SEI BLUTU PSR IX NO 17 MEDAN 000 000 0 0

78 1271210504****** 1271217008****** NAINTAN BR SIAHAAN TARUTUNG 30|08|**** P P JL SEI BELUTU PS IX NO 31 B 000 000 0 0

79 1271210504****** 1271211808****** SAHAT SITORUS MEDAN 18|08|**** B L JL SEI BELUTU PS IX NO 31 B 000 000 0 0

80 1271210504****** 1271212204****** SAFRI GIRSANG MEDAN 22|04|**** S L JL SEI BLUTU GG AMAL NO 23 C 000 000 0 0

81 1271210504****** 1271214610****** NELLYRIA BR MALAU CANDI REJO 06|10|**** S P JL SEI BLUTU GG AMAL NO 23 C 000 000 0 0

82 1271210504****** 1271212201****** PRAYOGI ALEXANDER GIRSANG MEDAN 22|01|**** B L JL SEI BLUTU GG AMAL NO 23 C 000 000 0 0

83 1271210506****** 1271216912****** ROIDA BR SIMANJUNTAK PORSEA 29|12|**** P P JL SEI BELUTU PS IX GG AMAL NO.31 E 000 000 0 0

84 1271210512****** 1271215603****** TRI AYU LESTARI MEDAN 16|03|**** B P JL SEI BLUTU GG KELUARGA NO 53C 000 000 0 0

85 1271210601****** 1271211207****** FAIZ AMRI MEDAN 12|07|**** B L JL. SEI BLUTU-MELINTANG I NO. 2-BC 000 000 0 0

86 1271210601****** 1271215712****** VINA AKMALIAH MEDAN 17|12|**** B P JL. SEI BLUTU-MELINTANG I NO. 2-BC 000 000 0 0

87 1271210602****** 1271215104****** GAYATRI MEDAN 11|04|**** S P JLSEI BLUTU PS IX GAMAL 000 000 0 0

88 1271210603****** 1271211708****** SURIADI MEDAN 17|08|**** S L JL. SEI BLUTU PSR IX NO. 9-A 000 000 0 0

89 1271210603****** 1271215111****** SARTINI MEDAN 11|11|**** S P JL. SEI BLUTU PSR IX NO. 9-A 000 000 0 0

90 1271210604****** 1271212909****** ISKANDAR MUDA SIREGAR TANJUNG BALAI 29|09|**** S L JLSEI BLUTU PS IX NO 23 000 000 0 0

91 1271210604****** 1271216612****** BERTA DEASIARYANI BUTAR-BUTAR P SIANTAR 26|12|**** S P JLSEI BLUTU PS IX NO 23 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-002 15 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271210608****** 1271216208****** IMELDA DWI PUTRI NAINGGOLAN MEDAN 22|08|**** B P JL DARUSALAM GG RAHMAT NO 33 000 000 0 0

93 1271210706****** 1271210504****** SUMANTO MEDAN 05|04|**** S L JL SEI BLUTU GG AMAL NO 23-B 000 000 0 0

94 1271210706****** 1271214305****** DAHLIA MEDAN 03|05|**** S P JL SEI BLUTU GG AMAL NO 23-B 000 000 0 0

95 1271210710****** 1271210606****** H MUHAMMAD YUSUF BINJAI 06|06|**** P L JLN SEI BELUTU PS IX NO 9 E 000 000 0 0

96 1271210711****** 1271216901****** NASRIAH HARAHAP SIPIROK 29|01|**** S P JL SEI BLUTU MELINTANG I NO 2 B 000 000 0 0

97 1271210711****** 1271213110****** BACHTIAR SIMATUPANG LAGUBOTI 31|10|**** S L JL SEI BLUTU MELINTANG I NO 2 B 000 000 0 0

98 1271210712****** 1271210708****** MUHAMMAD ICSAN MEDAN 07|08|**** B L JLN SEI BLUTU PS IX NO11-A 000 000 0 0

99 1271210803****** 1271161107****** IR DONI IRFAN MEDAN 11|07|**** S L JL SEI BLUTU PERUM DE RESIDENCE I NO 8 - J 000 000 0 0

100 1271210803****** 1271115810****** DEWI OKTAVIANI ZEIN BANDA ACEH 18|10|**** S P JL SEI BLUTU PERUM DE RESIDENCE I NO 8 - J 000 000 0 0

101 1271210806****** 1271096607****** NURAINUN LUBIS TANJUNG BALAI 26|07|**** S P JL SI BLUTU DE RESIDENCE NO 8-I 000 000 0 0

102 1271210808****** 1271215008****** RIANA TOGATOROP TARUTUNG 10|08|**** P P JL SEI BLUTU PS IX NO 17 D 000 000 0 0

103 1271210810****** 1271214706****** ERITANA PANE LUMBAN PEA 07|06|**** S P JL. DARUSALAM MELINTANG I NO. 2C 000 000 0 0

104 1271210810****** 1271211409****** HENDRA JUNEDI SITINDAON PANAMBEAN 14|09|**** S L JL. DARUSALAM MELINTANG I NO. 2C 000 000 0 0

105 1271210810****** 1271212804****** JONSON ERIANTO SITINDAON PANAMBEAN 28|04|**** B L JL. DARUSALAM MELINTANG I NO. 2C 000 000 0 0

106 1271210812****** 1271212807****** HADI WIJAYA MEDAN 28|07|**** S L JL. SEI BLUTU PSR IX NO. 10 000 000 0 0

107 1271210812****** 1271215509****** NURAIDAWATI MEDAN 15|09|**** S P JL. SEI BLUTU PSR IX NO. 10 000 000 0 0

108 1271210901****** 1271211110****** MUHAMMAD IVAN MEDAN 11|10|**** S L JL SEI BLUTU PSR IX NO 9 B 000 000 0 0

109 1271210901****** 1271216410****** SURIYANI MEDAN 24|10|**** S P JL SEI BLUTU PSR IX NO 9 B 000 000 0 0

110 1271210901****** 1271210201****** MUHAMMAD FADLY MEDAN 02|01|**** B L JL SEI BLUTU PSR IX NO 9 B 000 000 0 0

111 1271210902****** 1271214904****** MARLINA MEDAN 09|04|**** B P JL SEI BLUTU GG AMAL NO 23 A 000 000 0 0

112 1271210903****** 1271210102****** BINSAR FERRY SILITONGA MEDAN 01|02|**** S L JL SEI BELUTU PS IX NO 17 000 000 0 0

113 1271210906****** 1271214302****** ELFRIEDA E M BANUAREAH BALIMBINGAN 03|02|**** S P JL. SEI BLUTU GG. AMAL NO. 25-B 000 000 0 0

114 1271210906****** 1271211312****** MARADEN LUBIS GAROGA 13|12|**** S L JL. SEI BLUTU GG. AMAL NO. 25-B 000 000 0 0

115 1271210906****** 1271210907****** MATHIALAGAN MEDAN 09|07|**** S L JL SEI BLUTU PS IX NO 16 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-002 16 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271210906****** 1271215102****** ROTUA SIMBOLON P SIANTAR 11|02|**** S P JL SEI BLUTU PS IX NO 6 000 000 0 0

117 1271210906****** 1271214701****** M MATHUWI KENDAL 07|01|**** B P JL SEI BLUTU PS IX NO 16 000 000 0 0

118 1271210906****** 1271212703****** M MANE MOGEN KENDAL 27|03|**** S L JL SEI BLUTU PS IX NO 16 000 000 0 0

119 1271210906****** 1271215805****** M SARI THARESENI KENDAL 18|05|**** B P JL SEI BLUTU PS IX NO 16 000 000 0 0

120 1271210906****** 1271212009****** YOHANES KENDAL 20|09|**** B L JL SEI BLUTU PS IX NO 6 000 000 0 0

121 1271210907****** 1271211112****** L. SIREGAR SAMOSIR 11|12|**** S L Jl. Sei Belutu PS IX No 38 000 000 0 0

122 1271210907****** 1271214704****** LILIS RENI AVRIANI SRG MEDAN 07|04|**** B P Jl. Sei Belutu PS IX No 38 000 000 0 0

123 1271210907****** 1271210605****** JOHANNES SRG MEDAN 06|05|**** B L Jl. Sei Belutu PS IX No 38 000 000 0 0

124 1271210907****** 1271211603****** FRENGKITEN SRG MEDAN 16|03|**** B L Jl. Sei Belutu PS IX No 38 000 000 0 0

125 1271210910****** 1271217112****** SUGIARTI MEDAN 31|12|**** P P JL DARUSSALAM GG RAHMAT NO 14 000 000 0 0

126 1271210910****** 1271212708****** ANDI SUFRAYOKO PEKANBARU 27|08|**** B L JL DARUSSALAM GG RAHMAT NO 14 000 000 0 0

127 1271211003****** 1271212808****** SALMON SITORUS MEDAN 28|08|**** S L JL SEI BLUTU PSR IX NO 31-B 000 000 0 0

128 1271211003****** 1271196309****** MANTA MARLINA HUTAGAOL MEDAN 23|09|**** S P JL SEI BLUTU PSR IX NO 31-B 000 000 0 0

129 1271211005****** 1271212912****** SUHERI, IR BINJAI 29|12|**** S L JL DARUSSALAM PS IX GG RAHMAT NO 14 000 000 0 0

130 1271211005****** 1271216105****** SUPARTINI, Drh MEDAN 21|05|**** S P JL DARUSSALAM PS IX GG RAHMAT NO 14 000 000 0 0

131 1271211005****** 1271215808****** KHAIRUNNISA MEDAN 18|08|**** B P JL DARUSSALAM PS IX GG RAHMAT NO 14 000 000 0 0

132 1271211007****** 1271214606****** JUNINTAN LESPITA SINAGA PEMATANG SIANTAR 06|06|**** S P JLSEI BLUTU PS IX NO 20 MEDAN 000 000 0 0

133 1271211007****** 1271210206****** JOHANNES HASIAN L TORUAN SH MEDAN 02|06|**** B L JLSEI BLUTU PS IX NO 20 MEDAN 000 000 0 0

134 1271211009****** 1271211904****** TOGAR M SIMANJUNTAK SUGUMPAR 19|04|**** S L JL DARUSSALAM GG RAHMAT NO 23 B 000 000 0 0

135 1271211009****** 1271214810****** KATARINA SIMANGUNSONG SILIMBAT 08|10|**** S P JL DARUSSALAM GG RAHMAT NO 23 B 000 000 0 0

136 1271211009****** 1271215505****** MAY AQUINO SIMANJUNTAK MEDAN 15|05|**** B P JL DARUSSALAM GG RAHMAT NO 23 B 000 000 0 0

137 1271211009****** 1271215110****** OCTAVINA NINO SIMANJUNTAK MEDAN 11|10|**** B P JL DARUSSALAM GG RAHMAT NO 23 B 000 000 0 0

138 1271211010****** 1271216909****** DINGSE SIMANJUNTAK BALIGE 29|09|**** P P JL SEI BLUTU PS IX NO 33 MEDAN 000 000 0 0

139 1271211010****** 1271216307****** KANDACE BR SIPAHUTAR DAIRI 23|07|**** P P JLSEI BELUTU PSR IX NO 13 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-002 17 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271211012****** 1271217112****** YATUN MEDAN 31|12|**** P P JL SEI BLUTU PS IX GG AMAL NO 23 000 000 0 0

141 1271211012****** 1271215811****** NURJANNAH MEDAN 18|11|**** S P JL SEI BLUTU PS IX GG AMAL NO 23 000 000 0 0

142 1271211012****** 1271210702****** BURHAN MEDAN 07|02|**** S L JL SEI BLUTU PS IX GG AMAL NO 23 000 000 0 0

143 1271211101****** 1271210401****** SUWITO MEDAN 04|01|**** S L JL SEI BLUTU PS IX NO 9 A 000 000 0 0

144 1271211106****** 1271215010****** MISRIAH MEDAN 10|10|**** P P JL SEI BLUTU PS IX GG RAHMAD NO 17 000 000 0 0

145 1271211106****** 1271216302****** CHAIRANI LUBIS MEDAN 23|02|**** B P JL SEI BLUTU PS IX GG RAHMAD NO 17 000 000 0 0

146 1271211108****** 1271216207****** NURLYNA BR SINAGA MEDAN 22|07|**** S P JL SEI BLUTU PSR IX NO 12 A 000 000 0 0

147 1271211108****** 1271210903****** PUTRA BINTANG NAHAMPUN MEDAN 09|03|**** B L JL SEI BLUTU PSR IX NO 12 A 000 000 0 0

148 1271211108****** 1271216906****** MIKA RAHMAWATI NAHAMPUN MEDAN 29|06|**** B P JL SEI BLUTU PSR IX NO 12 A 000 000 0 0

149 1271211108****** 1271214808****** SRI LESTARI, DRA MEDAN 08|08|**** S P JL SEI BLUTU PS IX NO 12 MEDAN 000 000 0 0

150 1271211109****** 1271211809****** H MAHYUDDIN NAYAN, DRS BEDAGEI 18|09|**** S L JL SEI BLUTU PS IX NO 11 MEDAN 000 000 0 0

151 1271211109****** 1271215106****** YUNIAR GINTING, SH BATUBARA 11|06|**** S P JL SEI BLUTU PS IX NO 11 MEDAN 000 000 0 0

152 1271211109****** 1271214806****** SYARI RAMADHANI MEDAN 08|06|**** B P JLSEI BLUTU PSIX NO MEDAN KODEPOS:20 3 000 000 0 0

153 1271211112****** 1271211608****** AGUS SALIM NUR MEDAN 16|08|**** S L JL DARUSSALAM GG RAHMAT NO 17 000 000 0 0

154 1271211201****** 1271211209****** SUWITO MEDAN 12|09|**** S L JL DARUSALAM GG RAHMAT NO 7 000 000 0 0

155 1271211201****** 1271216806****** YUNITA MEDAN 28|06|**** S P JL DARUSALAM GG RAHMAT NO 7 000 000 0 0

156 1271211207****** 1271216104****** LENNY BARUS, DRA MEDAN 21|04|**** S P JL SEI BELUTU PS IX NO 21 000 000 0 0

157 1271211207****** 1271212705****** MONANG PANJAITAN, SE MEDAN 27|05|**** S L JL SEI BELUTU PS IX NO 2 000 000 0 0

158 1271211207****** 1271216909****** LASMA IDA TIO E PANJAITAN MEDAN 29|09|**** B P JL SEI BELUTU PS IX NO 21 000 000 0 0

159 1271211207****** 1271216011****** CHRISTINA BANJAR RIA SARIANA P MEDAN 20|11|**** B P JL SEI BELUTU PS IX NO 21 000 000 0 0

160 1271211207****** 1271214812****** INTAN RUTHYANNA TALENTA PANJAITAN MEDAN 08|12|**** B P JL SEI BELUTU PS IX NO 21 000 000 0 0

161 1271211207****** 1271210308****** NELSON PANJAITAN MEDAN 03|08|**** S L Jl. Sei Belutu PS IX No. 38 000 000 0 0

162 1271211207****** 1271214405****** LASMINA YOLENTA BR SIMBOLON PANGURURAN 04|05|**** S P JL SEI BELUTU PS IX NO 38 000 000 0 0

163 1271211207****** 1271210701****** NICHOLAS MINDO PANJAITAN MEDAN 07|01|**** B L JL SEI BELUTU PS IX NO 38 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-002 18 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271211209****** 1271214202****** RESIANA TAMBUNAN BALIGE 02|02|**** S P JL SEI BLUTU PS IX NO 32 000 000 0 0

165 1271211209****** 1271213003****** DAVID PANJAITAN MEDAN 30|03|**** S L JL SEI BLUTU PS IX NO 26 000 000 0 0

166 1271211209****** 1271216807****** ROMASITA SIHOTANG MEDAN 28|07|**** S P JL SEI BLUTU PS IX NO 26 000 000 0 0

167 1271211211****** 1271211907****** EDY HANDOKO MEDAN 19|07|**** S L JL SEI BLUTU GG AMAL NO 38 000 000 0 0

168 1271211211****** 1271216104****** ANITA MEDAN 21|04|**** S P JL SEI BLUTU GG AMAL NO 38 000 000 0 0

169 1271211211****** 1271210409****** YOGA PRATAMA MEDAN 04|09|**** B L JL SEI BLUTU GG AMAL NO 38 000 000 0 0

170 1271211211****** 1271211711****** ALDY ARDIANSYAH MEDAN 17|11|**** B L JL SEI BLUTU GG AMAL NO 38 000 000 0 0

171 1271211211****** 1271210701****** WAHYU RONI PANGIHUTAN SIREGAR MEDAN 07|01|**** S L JL DARUSSALAM GG RAHMAT NO 14 000 000 0 0

172 1271211303****** 1271210901****** UJANG MARYANTO LAMPUNG 09|01|**** S L JL SEI BLUTU PSR IX GG AMAL NO 23A 000 000 0 0

173 1271211303****** 1271216107****** SALBIAH MEDAN 21|07|**** S P JL SEI BLUTU PSR IX GG AMAL NO 23A 000 000 0 0

174 1271211303****** 1271216211****** ANGGUN ANISA MARYANTO JAKARTA 22|11|**** B P JL SEI BLUTU PSR IX GG AMAL NO 23A 000 000 0 0

175 1271211305****** 1271215608****** JASMINE CAROL AGUSTINE GURNING MAGELANG 16|08|**** B P JL SEI BLUTU PSR IX NO 36 B 000 000 0 0

176 1271211305****** 1201190105****** JERNIMAN HALAWA GUNUNG PAYUNG 01|05|**** S L JL SEI BLUTU GG AMAL NO 31 E 000 000 0 0

177 1271211306****** 1271210507****** RUSTAM ISMADI PEKALONGAN 05|07|**** S L JL SEI BLUTU PS IX GG AMAL NO 17 F 000 000 0 0

178 1271211306****** 1271215205****** HJ MILA DARNY BIREUEN 12|05|**** P P JL SEI BLUTU PS IX NO 6 MEDAN 000 000 0 0

179 1271211307****** 1271212101****** H ABDUL KARIM SE AK PEMATANG SIANTAR 21|01|**** S L JL DARUSALAM NO 126 MEDAN 000 000 0 0

180 1271211307****** 1271216905****** HJ NURHALIMAH SE PEMATANG SIANTAR 29|05|**** S P JL DARUSALAM NO 126 MEDAN 000 000 0 0

181 1271211307****** 1271212705****** ROCHMAD SIDDHIQIE LHOKSEUMAWE 27|05|**** B L JL DARUSALAM NO 126 MEDAN 000 000 0 0

182 1271211309****** 1271212405****** ROGESTON MEDAN 24|05|**** S L JL SEI BLUTU PSIX NO 17-D 000 000 0 0

183 1271211309****** 1271214512****** HOTMAITA BR SITOHANG PABATU 05|12|**** S P JL SEI BLUTU PSIX NO 17-D 000 000 0 0

184 1271210505****** 1271214705****** ISNAWATI MEDAN 07|05|**** P P JL. SEI BLUTU PSR IX NO. 31-A 001 001 0 0

185 1271210505****** 1271211107****** SUKMAPRAMANA MEDAN 11|07|**** B L JL. SEI BLUTU PSR IX NO. 31-A 001 001 0 0

186 1271210812****** 1271212408****** WAHYUNANSYAH, IR MATANGBEN 24|08|**** S L JL SEI BLUTU PSR IX NO 10 001 001 0 0

187 1271210812****** 1271216805****** RISMAWATI, IR MEDAN 28|05|**** S P JL SEI BLUTU PSR IX NO 10 001 001 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-002 19 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271210812****** 1271210903****** MUHAMMAD RIZQI AULIANSYAH MEDAN 09|03|**** B L JL SEI BLUTU PSR IX NO 10 001 001 0 0

189 1271210904****** 1271212907****** SURIONO MEDAN 29|07|**** S L JL SEI BLUTU PSR IX GG TUKANG NO 9C 001 001 0 0

190 1271210904****** 1271214101****** MISNAWATI PEMATANG SIANTAR 01|01|**** S P JL SEI BLUTU PSR IX GG TUKANG NO 9C 001 001 0 0

191 1271210904****** 1271214409****** SURTI ARMAYA MEDAN 09|09|**** B P JL SEI BLUTU PSR IX GG TUKANG NO 9C 001 001 0 0

192 1271210904****** 1271212301****** SUTARNA MEDAN 23|01|**** B L JL SEI BLUTU PSR IX GG TUKANG NO 9C 001 001 0 0

193 1271211211****** 1271212606****** TONNY HUTAJULU DOLOK ILIR 26|06|**** S L JL SEI BLUTU GG AMAL NO 38 001 001 0 0

194 1271211211****** 1271215510****** ARTIYANI TANJUNG MORAWA 15|10|**** S P JL SEI BLUTU GG AMAL NO 38 001 001 0 0

195 1271211304****** 1271213001****** NAZMUL IRFAN PERBAUNGAN 30|01|**** S L JL SEI BLUTU NO 2 001 001 0 0

196 1271211304****** 1271214406****** NYAYU DAHLIA JAKARTA 04|06|**** S P JL SEI BLUTU NO 2 001 001 0 0

197 1271211309****** 1271210101****** SURIANTO MEDAN 01|01|**** S L JL SEI BLUTU PSR IX NO 26 MEDAN 001 001 0 0

198 1271211309****** 1271214707****** JULIANI MEDAN 07|07|**** S P JL SEI BLUTU PSR IX NO 26 MEDAN 001 001 0 0

199 1271211309****** 1271214607****** HALIMAHTUSYADIYAH MEDAN 06|07|**** B P JL SEI BLUTU PSR IX NO 26 MEDAN 001 001 0 0

200 1271210210****** 1271210105****** DARMEN DIREN MEDAN 01|05|**** S L JLSEI BLUTU PSIX GGAMAL-23A 002 001 0 0

201 1271210210****** 1271214208****** MARIMA MEDAN 02|08|**** B P JLSEI BLUTU PSIX GGAMAL-23A 002 001 0 0

202 1271211011****** 1271211507****** PARLINDUNGAN SIANIPAR MEDAN 15|07|**** S L JL SEI BLUTU GG SURYA NO 13-G 002 001 0 0

203 1271211011****** 1271215408****** ERLINCA SITOMPUL PAHAE 14|08|**** S P JL SEI BLUTU GG SURYA NO 13-G 002 001 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 203 Jenis Kelamin = 203 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 72 L : Laki-Laki = 99 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 114 P : Perempuan = 104 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 17
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 091 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-002 20 / 276
MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 003
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271172201****** 1271202810****** THOMAS CHANDRA KISARAN 28|10|**** S L JL SEI BLUTU KOMP D RESIDENCE 2 NO 9M 000 000 0 0

2 1271210201****** 1208041508****** RICKY SETIAWAN SARAGIH KABAN JAHE 15|08|**** S L JL. SEI BLUTU PS IX GG. KELUARGA NO. 53C 000 000 0 0

3 1271210201****** 1208241801****** SUHENDRA SYAFUTRA PEMATANG SIANTAR 18|01|**** S L JL. SEI BLUTU GG. BERSAMA NO. 14 000 000 0 0

4 1271210204****** 1271196911****** SRI KORPRI MANURUNG PORSEA 29|11|**** S P JL SEI BELUTU NO 79 000 000 0 0

5 1271210204****** 1207214708****** NURMAIDA SIREGAR MEDAN 07|08|**** S P JL SEI BLUTU PS IX MEDAN 000 000 0 0

6 1271210205****** 1271062210****** MUHAMMAD ISWANDI TANJUNG MULIA 22|10|**** S L JL SEI BLUTU PSR IX 000 000 0 0

7 1271210208****** 1271216611****** SUKARTI MEDAN 26|11|**** S P JL SEI BELUTU PS IX GG PANSEL NO 3 000 000 0 0

8 1271210401****** 1275024312****** SANGGITA T.BALAI 03|12|**** S P JL SEI BLUTU PS IX NO 59 000 000 0 0

9 1271210403****** 1271215908****** SILVA MEDAN 19|09|**** B P JLSEI SILAU PSXI NO79 MEDAN 000 000 0 0

10 1271210404****** 1209201012****** RENDY RAMADHANA SIREGAR MEDAN 10|12|**** B L JL. SEI BELUTU PS. IX BO. 75 000 000 0 0

11 1271210410****** 1271216303****** NGADIEM SEMARANG 23|03|**** S P JL SEI BLUTU PS IX NO 49 MEDAN 000 000 0 0

12 1271210501****** 1205142009****** DANI PRADANA P BRANDAN 20|09|**** S L -JL SEI BLUTU GG SUBUR NO 58 D 000 000 0 0

13 1271210501****** 1209134208****** ERVA SIAHAAN D. SIJABUT 02|08|**** S P -JL SEI BLUTU GG SUBUR NO 58 D 000 000 0 0

14 1271210506****** 1271210212****** HANAFI SIREGAR SH GUNUNG TUA 02|12|**** S L JL SEI BELUTU PS IX NO.75 000 000 0 0

15 1271210506****** 1271210902****** SAKUM BANYUMAS 09|02|**** S L JL SEI BELUTU PS IX NO.75 000 000 0 0

16 1271210510****** 1271214801****** VIVI HANDAYANI SIREGAR MEDAN 08|01|**** B P JLN SEI BLUTU PSR IX NO 96-A 000 000 0 0

17 1271210512****** 1208016704****** SUHERNI SEM. BARIS 27|04|**** S P JL. SEI BELUTU IX NO. 82C 000 000 0 0

18 1271210512****** 1208012403****** SAHAT MARULI TUA GIRSANG PEMATANG SIANTAR 24|03|**** S L JL. SEI BELUTU IX NO. 82C 000 000 0 0

19 1271210711****** 1271216004****** YUSRA YUSDRA MEDAN 20|04|**** S P JL SEI BELUTU GG BERSAMA NO 20 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-003 21 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210903****** 1271216707****** SUHARTI SIMALUNGUN 27|07|**** S P JL SEI BELUTU PS IX NO 17 000 000 0 0

21 1271211108****** 1271211501****** BAHETTON NAHAMPUN MEDAN 15|01|**** S L JL SEI BLUTU PSR IX NO 12 A 000 000 0 0

22 1271211108****** 1204170501****** CANDRA KURNIAWAN GEA DAHANA SALO'O 05|01|**** S L JL. SEI BLUTU NO 29 000 000 0 0

23 1271211202****** 1271211112****** SEPTIAN ALEXSANDER MAHARDIKA MEDAN 11|12|**** B L JLSEI BLUTU PSIX NO15-P 000 000 0 0

24 1271211206****** 1271214505****** MEISYARAH KHADIJAH MEDAN 05|06|**** B P JL SEI BLUTU PSR IX NO 82 MEDAN 000 000 0 0

25 1271211403****** 1271176606****** NAOMI DITA HARIANTY S MEDAN 26|06|**** B P JL SEI BELUTU KOMP DE'RESIDENCE I NO 8 G 000 000 0 0

26 1271211411****** 1271215008****** RISNAWATI MEDAN 10|08|**** S P JL SEI BLUTU PS IX NO 49 000 000 0 0

27 1271211411****** 1271211111****** SUDONO PADANG 11|11|**** S L JL SEI BLUTU PS IX NO 49 000 000 0 0

28 1271211412****** 1271212001****** M JAKA WARDANA AKBAR PERANGIN ANGIN MEDAN 20|01|**** B L JL SEI BLUTU GG BERSAMA NO 87 000 000 0 0

29 1271211501****** 1271212412****** SURATNO SUKOHARJO 24|12|**** S L JL SEI BLUTU GG SUBUR NO 56-B 000 000 0 0

30 1271211501****** 1271214509****** SUWIJI ARSIH MEDAN 05|09|**** S P JL SEI BLUTU GG SUBUR NO 56-B 000 000 0 0

31 1271211501****** 1271216004****** NURUL HASANAH MEDAN 20|04|**** B P JL SEI BLUTU GG SUBUR NO 56-B 000 000 0 0

32 1271211501****** 1271210603****** TAUFIQ ISMAIL MEDAN 06|03|**** B L JL SEI BLUTU GG SUBUR NO 56-B 000 000 0 0

33 1271211501****** 1271215602****** JARINEM BANYUMAS 16|02|**** P P JL SEI BLUTU GG SUBUR NO 58 E 000 000 0 0

34 1271211501****** 1271211711****** SOPIYAN MEDAN 17|11|**** S L JL SEI BLUTU GG SUBUR NO 58 E 000 000 0 0

35 1271211501****** 1271216605****** REHANA MEDAN 26|05|**** S P JL SEI BLUTU GG SUBUR NO 58 E 000 000 0 0

36 1271211501****** 1271214202****** FEBY AKILA LARASATI MEDAN 02|02|**** B P JL SEI BLUTU GG SUBUR NO 58 E 000 000 0 0

37 1271211502****** 1271211207****** SAMBANANDHAN MEDAN 12|07|**** S L JL SEI BLUTU PS IX NO 53-CC 000 000 0 0

38 1271211502****** 1271216712****** M JAYABARATHI MEDAN 27|12|**** S P JL SEI BLUTU PS IX NO 53-CC 000 000 0 0

39 1271211502****** 1271215308****** NIWITRA DEWI MEDAN 13|08|**** B P JL SEI BLUTU PS IX NO 53-CC 000 000 0 0

40 1271211502****** 1271211210****** S VARUNRAJ MEDAN 12|10|**** B L JL SEI BLUTU PS IX NO 53-CC 000 000 0 0

41 1271211503****** 1271176707****** FONNA CAROLINA MEDAN 27|07|**** S P JL SEI BELUTU KOMP DE RESIDENCE I NO 7 M 000 000 0 0

42 1271211508****** 1271211204****** JEMIRUN MEDAN 12|04|**** S L JL SEI BLUTU PS IX NO 47 MEDAN 000 000 0 0

43 1271211508****** 1271215707****** HJ SURATIK MEDAN 17|07|**** S P JL SEI BLUTU PS IX NO 47 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-003 22 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271211508****** 1271214309****** NURBAITY MEDAN 03|09|**** S P JL. SEI BLUTU GG. KELUARGA NO. 53 C 000 000 0 0

45 1271211508****** 1271211306****** MAKMUR MS KW SIMPANG 13|06|**** S L JL. SEI BLUTU GG. KELUARGA NO. 53 C 000 000 0 0

46 1271211508****** 1271215204****** PUSPA WATY MEDAN 12|04|**** P P JL SEI BLUTU GG PANSEL NO IC 000 000 0 0

47 1271211508****** 1271215405****** MEGAWATI MEDAN 14|05|**** B P JL SEI BLUTU GG PANSEL NO IC 000 000 0 0

48 1271211601****** 1271212708****** HARIDAS MEDAN 27|08|**** S L JL SEI BLUTU PSR IX NO 46A 000 000 0 0

49 1271211601****** 1271215203****** MAILA KUMARI MEDAN 12|03|**** S P JL SEI BLUTU PSR IX NO 46A 000 000 0 0

50 1271211601****** 1271212609****** TIRUMAL MEDAN 26|09|**** B L JL SEI BLUTU PSR IX NO 46A 000 000 0 0

51 1271211601****** 1271214308****** SITA DEWI MEDAN 03|08|**** B P JL SEI BLUTU PSR IX NO 46A 000 000 0 0

52 1271211601****** 1271217006****** SANGGITA DEWI MEDAN 30|06|**** B P JL SEI BLUTU PSR IX NO 46A 000 000 0 0

53 1271211604****** 1271212607****** KUSNO UTOYO BAH JAMBI 26|07|**** S L JL SEI BLUTU PSR IX NO 56C 000 000 0 0

54 1271211604****** 1271214806****** EVRINA TANJUNG BALAI 08|06|**** S P JL SEI BLUTU PSR IX NO 56C 000 000 0 0

55 1271211609****** 1271210208****** SUPARMAN SUKOHARJO 02|08|**** S L JL SEI BLUTU GG KELUARGA NO 53 F 000 000 0 0

56 1271211609****** 1271217112****** SUPARMI SUKOHARJO 31|12|**** S P JL SEI BLUTU GG KELUARGA NO 53 F 000 000 0 0

57 1271211609****** 1271210304****** ARIEF BUDIANTO MEDAN 03|04|**** B L JL SEI BLUTU GG KELUARGA NO 53 F 000 000 0 0

58 1271211609****** 1271215903****** SAFITRI DWI HANDAYANI MEDAN 19|03|**** B P JL SEI BLUTU GG KELUARGA NO 53 F 000 000 0 0

59 1271211611****** 1271214109****** RATMINI RAMBUTAN 01|09|**** S P JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

60 1271211612****** 1271212102****** AIDIL FARHAN MATONDANG MEDAN 21|02|**** B L JLSEI BLUTU PSIX NO28 000 000 0 0

61 1271211705****** 1271215312****** CITRA PUSPITA SARI MEDAN 13|12|**** S P JL SEI BLUTU PS IX GG AMAL-17 000 000 0 0

62 1271211911****** 1205095702****** LIYA SUSANA SECANGGANG 17|02|**** S P JL SEI BLUTU PS IX NO 82 000 000 0 0

63 1271212001****** 1271210709****** ADITIA PERMANA KUALA KAPUAS 07|09|**** B L JL SEI BLUTU GG SUBUR NO 58 000 000 0 0

64 1271212106****** 1271216403****** SRI MULYANI KARANG ANYAR 24|03|**** S P JL. SEI BLUTU NO. 55-D MEDAN 000 000 0 0

65 1271212106****** 1271210105****** FENDI NUR SETYAWAN KARANG ANYAR 01|05|**** B L JL. SEI BLUTU NO. 55-D MEDAN 000 000 0 0

66 1271212107****** 1271210807****** DIPO HARRY SISWANTO MEDAN 08|07|**** B L JL SEI BLUTU PS IX NO 64 000 000 0 0

67 1271212109****** 1271217105****** FARIDA HANUM MEDAN 31|05|**** S P JL SEI BLUTU I PS IX NO 11-A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-003 23 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271212111****** 1271210902****** SELWA KUMAR MEDAN 09|02|**** S L JL SEI BLUTU PS IX NO 54 000 000 0 0

69 1271212111****** 1271216107****** SINTHAMANI MEDAN 21|07|**** S P JL SEI BLUTU PS IX NO 54 000 000 0 0

70 1271212112****** 1271212306****** AMBRI AMDOKO MEDAN 23|06|**** S L JL SEI BLUTU PSR IX GG SUBUR 000 000 0 0

71 1271212112****** 1271034508****** INTAN GUSTIKA MEDAN 05|08|**** S P JL SEI BLUTU PSR IX GG SUBUR 000 000 0 0

72 1271212202****** 1271215010****** MIAN RAULINA BARIMBING SH LUMBAN HARIARA 10|10|**** S P JL DARUSSALAM GG RAHMAT NO 23 A 000 000 0 0

73 1271212202****** 1271210902****** MALADI SIAGIAN,DRS GOMPAR SIGOMBO 09|02|**** S L JL DARUSSALAM GG RAHMAT NO 23 A 000 000 0 0

74 1271212202****** 1271211011****** DARMADI SIAGIAN,ST MEDAN 10|11|**** B L JL DARUSSALAM GG RAHMAT NO 23 A 000 000 0 0

75 1271212202****** 1271212910****** ROY PERMADI SIAGIAN MEDAN 29|10|**** B L JL DARUSSALAM GG RAHMAT NO 23 A 000 000 0 0

76 1271212202****** 1271210905****** SURYA RAKHAMADI SIAGIAN MEDAN 09|05|**** B L JL DARUSSALAM GG RAHMAT NO 23 A 000 000 0 0

77 1271212202****** 1271214409****** PATRICA ANITA SIAGIAN MEDAN 04|09|**** B P JL DARUSSALAM GG RAHMAT NO 23 A 000 000 0 0

78 1271212203****** 1271210905****** ANIFAR MEDAN 09|05|**** S L JL SEI BLUTU GG SUBUR NO 58-B 000 000 0 0

79 1271212203****** 1271214808****** SITI BAHERAM PADANG 08|08|**** S P JL SEI BLUTU GG SUBUR NO 58-B 000 000 0 0

80 1271212203****** 1271211509****** M IQBAL MEDAN 15|09|**** B L JL SEI BLUTU GG SUBUR NO 58-B 000 000 0 0

81 1271212203****** 1271213012****** DEVI AFDIANSYAH, AMD SIMPANG EMPAT 30|12|**** B L JL SEI BLUTU PSR IX NO 46 000 000 0 0

82 1271212203****** 1271062108****** MHD JUNAIDI TANJUNG MULIA 21|08|**** S L JL SEI BLUTU PS IX NO 52-A 000 000 0 0

83 1271212212****** 1271215104****** SAPRIANI MEDAN 11|04|**** S P JL SEI BLUTU PS IX NO 49 000 000 0 0

84 1271212212****** 1271212404****** AGUS SUSILO MEDAN 24|04|**** B L JL SEI BLUTU PSR IX NO 56B 000 000 0 0

85 1271212303****** 1271212704****** ARHAM LYAPANI MEDAN 27|04|**** S L JL SEI BLUTU NO 5 MEDAN 000 000 0 0

86 1271212308****** 1271212401****** SUKIMAN BULU KERTO 24|01|**** S L JL SEI BLUTU GG SUMBER AIR NO 49 C 000 000 0 0

87 1271212308****** 1271214306****** KATIJEM DESA JERUK 03|06|**** S P JL SEI BLUTU GG SUMBER AIR NO 49 C 000 000 0 0

88 1271212311****** 1271216301****** SELLI BR RAJAGUKGUK TANAH JAWA 23|01|**** S P JL SEI BLUTU PS IX NO 17 B 000 000 0 0

89 1271212401****** 1271215602****** MENEGA MEDAN 16|02|**** S P JL SEI BLUTU PS IX NO 59 000 000 0 0

90 1271212401****** 1271213112****** SOPIAH MEDAN 31|12|**** S L JL SEI BLUTU PS IX NO 59 000 000 0 0

91 1271212401****** 1271212310****** SELWIN KUMAR MEDAN 23|10|**** S L JL SEI BLUTU PS IX NO 59 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-003 24 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271212401****** 1271210108****** MADUEN MEDAN 01|08|**** S L JL SEI BLUTU PS IX NO 59 000 000 0 0

93 1271212401****** 1271210312****** SURES MEDAN 03|12|**** B L JL SEI BLUTU PS IX NO 59 000 000 0 0

94 1271212401****** 1271214712****** MADUWI MEDAN 07|12|**** B P JL SEI BLUTU PS IX NO 59 000 000 0 0

95 1271212401****** 1271211112****** MANUN GREN MEDAN 11|12|**** S L JLSEI BLUTU PS IX NO 59 000 000 0 0

96 1271212401****** 1271215809****** DEWI WASENDI MEDAN 18|09|**** S P JLSEI BLUTU PS IX NO 59 000 000 0 0

97 1271212401****** 1271211701****** MUCHLIS MEDAN 17|01|**** S L JL SEI BLUTU PSR IX NO 52 A 000 000 0 0

98 1271212401****** 1271214710****** EVALIN P. SIANTAR 07|10|**** S P JL SEI BLUTU PSR IX NO 52 A 000 000 0 0

99 1271212402****** 1271023112****** SARJI SUKOHARJO 31|12|**** S L JL SEI BLUTU GG SUMBER AIR NO 47-B 000 000 0 0

100 1271212402****** 1271024704****** IKEM SUKOHARJO 07|04|**** S P JL SEI BLUTU GG SUMBER AIR NO 47-B 000 000 0 0

101 1271212402****** 1271024910****** YULI LESTARI SUKOHARJO 09|10|**** B P JL SEI BLUTU GG SUMBER AIR NO 47-B 000 000 0 0

102 1271212403****** 1271214608****** MARLIA AGUSTINA MEDAN 06|08|**** B P JL. SEI BLUTU PSR IX NO. 59-A 000 000 0 0

103 1271212404****** 1271210705****** SUWANDI MEDAN 07|05|**** B L JLSEI BLUTU PSIX NO 49-F 000 000 0 0

104 1271212404****** 1271210902****** JAYA SANGKAR MEDAN 09|02|**** S L JL SEI BELUTU NO 60 MEDAN 000 000 0 0

105 1271212405****** 1271210203****** MHD EKO MEDAN 02|03|**** S L JL SEI BLUTU NO 48 000 000 0 0

106 1271212405****** 1271216409****** INTAN RINA SYAHFITRI MEDAN 24|09|**** S P JL SEI BLUTU NO 48 000 000 0 0

107 1271212408****** 1271211207****** EDINANTA MEDAN 12|07|**** S L JL SEI BLUTU PS IX NO 46 000 000 0 0

108 1271212408****** 1271214808****** RATNA WATI MEDAN 08|08|**** S P JL SEI BLUTU PS IX NO 46 000 000 0 0

109 1271212408****** 1271215201****** GINA RADIANA JAK-BAR 12|01|**** B P JL SEI BLUTU PS IX NO 46 000 000 0 0

110 1271212409****** 1271215509****** KEMINEM MEDAN 15|09|**** P P JLN SEI BLUTU PS IX NO 49 000 000 0 0

111 1271212502****** 1271214512****** SULASTRI MEDAN 05|12|**** S P JLSEI BLUTU PS IX NO 48 000 000 0 0

112 1271212502****** 1271212307****** SISHARDIANTO MEDAN 23|07|**** B L JLSEI BLUTU PS IX NO 48 000 000 0 0

113 1271212504****** 1271211508****** BALWANAN MEDAN 15|08|**** S L JLSEI BLUTU GG SUBUR NO 58 F 000 000 0 0

114 1271212504****** 1271216206****** NYANA SAUNDRI MEDAN 22|06|**** S P JLSEI BLUTU GG SUBUR NO 58 F 000 000 0 0

115 1271212504****** 1271212009****** BOBBY MEDAN 20|09|**** B L JLSEI BLUTU GG SUBUR NO 58 F 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-003 25 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271212505****** 1271212805****** BUDI DARMAWAN MEDAN 28|05|**** S L JL SEI BLUTU PS IX NO 49 000 000 0 0

117 1271212505****** 1271214201****** SUKASTINI PADANG SIDEMPUAN 02|01|**** S P JL SEI BLUTU PS IX NO 49 000 000 0 0

118 1271212508****** 1271211803****** WAWAN SETIAWAN MEDAN 18|03|**** S L JL SEI BLUTU PSR IX GG SUBUR NO 58D MEDAN 000 000 0 0

119 1271212508****** 1271216610****** SRI NINGSIH TANJUNG ANOM 26|10|**** S P JL SEI BLUTU PSR IX GG SUBUR NO 58D MEDAN 000 000 0 0

120 1271212510****** 1271211707****** M REZEKI KS IR MEDAN 17|07|**** S L JL SEI BLUTU PS IX NO 68 000 000 0 0

121 1271212510****** 1271214909****** SRI WAHYUNI MEDAN 09|09|**** S P JL SEI BLUTU PS IX NO 68 000 000 0 0

122 1271212510****** 1271210201****** ALAMSYAH PRASETYO KS MEDAN 02|01|**** B L JL SEI BLUTU PS IX NO 68 000 000 0 0

123 1271212510****** 1271217008****** SUYATMI MEDAN 30|08|**** S P JL SEI BLUTU GG SUBUR NO 58-A 000 000 0 0

124 1271212510****** 1271215505****** RENI SYAFITRI MEDAN 15|05|**** B P JL SEI BLUTU GG SUBUR NO 58-A 000 000 0 0

125 1271212510****** 1271211611****** ADI PRAYOGO MEDAN 16|11|**** B L JL SEI BLUTU GG SUBUR NO 58-A 000 000 0 0

126 1271212510****** 1271212502****** FANDI ATTA HUTAGAOL MEDAN 25|02|**** S L JL. SEI BLUTU PASAR IX 17 A 000 000 0 0

127 1271212602****** 1271212202****** SARIMIN MEDAN 22|02|**** S L JL SEI BLUTU PSR IX NO 56-B MEDAN 000 000 0 0

128 1271212602****** 1271214710****** ROSMIANI MEDAN 07|10|**** S P JL SEI BLUTU PSR IX NO 56-B MEDAN 000 000 0 0

129 1271212602****** 1271214408****** SRI HANDAYANI WONOGIRI 04|08|**** B P JLSEI BLUTU PSR IX 000 000 0 0

130 1271212611****** 1271211109****** SRI YATNO MEDAN 11|09|**** S L JL SEI BELUTU GG SUMBER AIR NO 47 000 000 0 0

131 1271212611****** 1271215909****** SETIO TRIATI MEDAN 19|09|**** S P JL SEI BELUTU GG SUMBER AIR NO 47 000 000 0 0

132 1271212611****** 1271215208****** RAISHA INNO PRATIWI MEDAN 12|08|**** B P JL SEI BELUTU GG SUMBER AIR NO 47 000 000 0 0

133 1271212701****** 1271056111****** NURANI TIORI MEDAN 21|11|**** S P JL SEI BELUTU COMPLEX DE RESIDENCE I NO 8-T 000 000 0 0

134 1271212701****** 1271055903****** ANGIE THEONIS MEDAN 19|03|**** B P JL SEI BELUTU COMPLEX DE RESIDENCE I NO 8-T 000 000 0 0

135 1271212702****** 1271210302****** MEDI HARIYANTO MEDAN 03|02|**** S L JL SEI BLUTU GG KELUARGA NO 53C 000 000 0 0

136 1271212702****** 1271216101****** SURYA NINGSIH MEDAN 21|01|**** S P JL SEI BLUTU GG KELUARGA NO 53C 000 000 0 0

137 1271212703****** 1271215209****** RAHMAH MEDAN 12|09|**** S P JL SEI BLUTU PS IX NO 58 000 000 0 0

138 1271212703****** 1271212802****** TAUFIK ANANTA ACEH TIMUR 28|02|**** S L JL SEI BLUTU PS IX NO 58 000 000 0 0

139 1271212703****** 1271210109****** NURIL AKMAL MEDAN 01|09|**** B L JL SEI BLUTU PS IX NO 58 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-003 26 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212703****** 1271210906****** EKO PRAMONO MEDAN 09|06|**** S L JL SEI BLUTU GG SUBUR NO 58-C 000 000 0 0

141 1271212704****** 1271215701****** FARIDA HANUM MEDAN 17|01|**** S P JL SEI BLUTU PS IX NO 52 A 000 000 0 0

142 1271212704****** 1271216908****** LAILAN HAFNI MEDAN 29|08|**** B P JL SEI BLUTU PS IX NO 52 A 000 000 0 0

143 1271212707****** 1271214107****** SUGIANA MEDAN 01|07|**** S P JL. SEI BLUTU NO. 56-B 000 000 0 0

144 1271212707****** 1271210812****** MUHAMMAD DICKY SANJAYA MEDAN 08|12|**** B L JL. SEI BLUTU NO. 56-B 000 000 0 0

145 1271212707****** 1271215010****** MAYA FITRIANA MEDAN 10|10|**** B P JL. SEI BLUTU NO. 56-B 000 000 0 0

146 1271212709****** 1271162802****** WIJAYA BASKER MEDAN 28|02|**** S L JL. SEI BELUTU GG. KELUARGA NO. 53 CC 000 000 0 0

147 1271212709****** 1271054501****** KALIANI MEDAN 05|01|**** S P JL. SEI BELUTU GG. KELUARGA NO. 53 CC 000 000 0 0

148 1271212710****** 1271216203****** RUMINAH MEDAN 22|03|**** B P JL SEI BELUTU GG KELUARGA 55 D 000 000 0 0

149 1271212712****** 1271212311****** SURASMIN TOTAP MAJAWA 23|11|**** S L JL SEI BLUTU GG SUBUR NO 58 C 000 000 0 0

150 1271212712****** 1271215312****** TINI MARIANI MEDAN 13|12|**** S P JL SEI BLUTU GG SUBUR NO 58 C 000 000 0 0

151 1271212804****** 1271216202****** MIFTA KHAIRUNNISA MEDAN 22|02|**** B P JL SEI BLUTU GG BERSAMA NO 14 000 000 0 0

152 1271212804****** 1271214407****** AFIFAH ZAHRAH MEDAN 04|07|**** B P JL SEI BLUTU GG BERSAMA NO 14 000 000 0 0

153 1271212804****** 1271212912****** ADITYA FERNANDA MEDAN 29|12|**** B L JL SEI BLUTU GG SUMBER AIR 49 000 000 0 0

154 1271212804****** 1271215702****** YULIA NINGSIH MEDAN 17|02|**** B P JL SEI BLUTU PSR IX GG SUBUR 000 000 0 0

155 1271212805****** 1271214604****** JUMINAH JATIM 06|04|**** P P JL SEI BLUTU PSR IX GG SUBUR NO 56 B 000 000 0 0

156 1271212810****** 1271024912****** PRETIE AYU NINGTYAS SST MEDAN 09|12|**** S P JL. SEI BLUTU GG. BILAL NO. 97-B 000 000 0 0

157 1271212810****** 1271040909****** HERRY WAHYUDI MEDAN 09|09|**** B L JL SEI BLUTU GG BILAL NO.97 B 000 000 0 0

158 1271212903****** 1271212603****** SYAFRIDAS MEDAN 26|03|**** S L JL SEI BLUTU GG PANSEL NO 67 000 000 0 0

159 1271212903****** 1271216103****** SUSILA MEDAN 21|03|**** S P JL SEI BLUTU GG PANSEL NO 67 000 000 0 0

160 1271212903****** 1271210608****** SOMALDAS MEDAN 06|08|**** B L JL SEI BLUTU GG PANSEL NO 67 000 000 0 0

161 1271212903****** 1271212005****** SUHENDRA MOHAN LHOKSEUMAWE 20|05|**** B L JL SEI BLUTU GG PANSEL NO 67 000 000 0 0

162 1271212909****** 1271210306****** SUYATNO MEDAN 03|06|**** S L JL SEI BLUTU GG SUBUR NO 58 D 000 000 0 0

163 1271212909****** 1271215206****** SUTRESNI DELI TUA 12|06|**** S P JL SEI BLUTU GG SUBUR NO 58 D 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-003 27 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212911****** 1271210208****** ROBERT TOGATOROP KISARAN 02|08|**** S L JL SEI BLUTU PSr IX GG AMAL NO 31D 000 000 0 0

165 1271213004****** 1271215601****** FILDZAH NUR KHALISHAH MEDAN 16|01|**** B P JL SEI BLUTU PSR IX NO 74 000 000 0 0

166 1271213004****** 1271212202****** SUGIANTO MEDAN 22|02|**** S L JL SEI BLUTU PS IX GG AMAL-26A 000 000 0 0

167 1271213004****** 1271215203****** MUSNIATI MEDAN 12|03|**** S P JL SEI BLUTU PS IX GG AMAL-26A 000 000 0 0

168 1271213004****** 1271215812****** DAHLIANA MEDAN 18|12|**** B P JL SEI BLUTU PS IX GG AMAL-26A 000 000 0 0

169 1271213004****** 1271210301****** M ROZALI MEDAN 03|01|**** B L JL SEI BLUTU PS IX GG AMAL-26A 000 000 0 0

170 1271213005****** 1271212412****** HISKIA FRANS EIRENEUS SIJABAT MEDAN 24|12|**** B L JL.SEI BLUTU PS IX NO31-C 000 000 0 0

171 1271213008****** 1271210106****** JUNIARDI MEDAN 01|06|**** S L JL SEI BLUTU PS IX NO 49 000 000 0 0

172 1271213008****** 1271215609****** MASRIATI SIMALUNGUN 16|09|**** S P JL SEI BLUTU PS IX NO 49 000 000 0 0

173 1271213008****** 1271211504****** CHAIRANI SUHENDRA BAH BIRUNG ULU 15|04|**** B L JL SEI BLUTU PS IX NO 49 000 000 0 0

174 1271213008****** 1271214410****** ALFINDA KHARISMA ARDI MEDAN 04|10|**** B P JL SEI BLUTU PS IX NO 49 000 000 0 0

175 1271213008****** 1271215308****** IFFA NUR KHALISA MEDAN 13|08|**** B P JL SEI BELUTU PSR IX NO 94 A 000 000 0 0

176 1271213008****** 1271210602****** RIVA I SIDAMANIK 06|02|**** S L JL SEI BLUTU NO 58 MEDAN 000 000 0 0

177 1271213008****** 1271215912****** RAIDA MEDAN 19|12|**** S P JL SEI BLUTU NO 58 MEDAN 000 000 0 0

178 1271213008****** 1271210909****** SUBAGIO SENGON SARI 09|09|**** B L JL SEI BLUTU NO 58 MEDAN 000 000 0 0

179 1271213008****** 1271210808****** SUGENG RAHARJO SENGON SARI 08|08|**** B L JL SEI BLUTU NO 58 MEDAN 000 000 0 0

180 1271213008****** 1271211401****** ANDRY GUNAWAN FATAHILLAH MEDAN 14|01|**** B L JL SEI BLUTU NO 58 MEDAN 000 000 0 0

181 1271213008****** 1271210707****** ARIEF DWI NUGROHO MEDAN 07|07|**** B L JL SEI BLUTU NO 58 MEDAN 000 000 0 0

182 1271213008****** 1271214705****** NITA DEWI TANJUNG MORAWA 07|05|**** S P JL SEI BLUTU PS IX GG AMAL NO 23A 000 000 0 0

183 1271213010****** 1201200307****** JUSTIAR RONAL DURI 03|07|**** S L PERUM DE RESIDENT JL SEI BLUTU NO 7 L 000 000 0 0

184 1271213103****** 1271170504****** KLIWON DELI SERDANG 05|04|**** S L JL SEI BLUTU GG SUMBER AIR NO 49 000 000 0 0

185 1271213103****** 1271174407****** SUTRISNI SERGAI 04|07|**** S P JL SEI BLUTU GG SUMBER AIR NO 49 000 000 0 0

186 1271213103****** 1271175304****** TRI RAHAYU MEDAN 13|04|**** B P JL SEI BLUTU GG SUMBER AIR NO 49 000 000 0 0

187 1271213103****** 1271174512****** NILA KARTIKA MEDAN 05|12|**** B P JL SEI BLUTU GG SUMBER AIR NO 49 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-003 28 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271213110****** 1271211506****** RICKY ANSORI MEDAN 15|06|**** S L JL SEI BLUTU PSR XI NO 52B 000 000 0 0

189 1271213110****** 1271214204****** SUMAIDA MEDAN 02|04|**** S P JL SEI BLUTU PSR XI NO 52B 000 000 0 0

190 1271211609****** 1271022005****** WAHIDIN NASUTION MEDAN 20|05|**** S L JLN SEI BELUTU GG KELUARGA NO.55C 001 000 0 0

191 1271211808****** 1271216606****** TUTI ARNITA MEDAN 26|06|**** B P JL SEI BLUTU PS IX NO 68 002 000 0 0

192 1271211808****** 1271100305****** HENDRY WIGIN MEDAN 03|05|**** S L JL SEI BELUTU DALAM NO 77-D 002 000 0 0

193 1271211609****** 1271026210****** KARINA WIBAWANTI NASUTION KISARAN 22|10|**** B P JLN SEI BELUTU GG KELUARGA NO.55C 001 001 0 0

194 1271211609****** 1271021609****** MUHAMMAD IKHSAN NASUTION MEDAN 16|09|**** B L JLN SEI BELUTU GG KELUARGA NO.55C 001 001 0 0

195 1271211609****** 1271024607****** LADY NADYA NASUTION MEDAN 06|07|**** B P JLN SEI BELUTU GG KELUARGA NO.55C 001 001 0 0

196 1271211808****** 1271106802****** MARY FIRDAUS MEDAN 28|02|**** S P JL SEI BELUTU DALAM NO 77-D 002 001 0 0

197 1271211809****** 1271210803****** M AFANDI RIPASSA MEDAN 08|03|**** S L JL SEI BLUTU PS IX NO 47 002 001 0 0

198 1271211809****** 1271216009****** SRI SULININGSIH MEDAN 20|09|**** S P JL SEI BLUTU PS IX NO 47 002 001 0 0

199 1271211809****** 1271212804****** EKA PRAYUDA ALFAJAR RIPASSA MEDAN 28|04|**** B L JL SEI BLUTU PS IX NO 47 002 001 0 0

200 1271211812****** 1271211112****** MUHAMMAD YUSUF PERBAUNGAN 11|12|**** S L JL. SEI BLUTU PSR IX NO. 68 MEDAN 002 001 0 0

201 1271211812****** 1271216112****** NUR DEWI TEBING TINGGI 21|12|**** S P JL. SEI BLUTU PSR IX NO. 68 MEDAN 002 001 0 0

202 1271211907****** 1271211609****** SUPAAT IR MEDAN 16|09|**** S L JL SEI BLUTU PSR IX GG SUBUR NO 58 D 003 001 0 0

203 1271211907****** 1271034703****** TIYAS YUANA MEDAN 07|03|**** S P JL SEI BLUTU PSR IX GG SUBUR NO 58 D 003 001 0 0

204 1271211911****** 1271210311****** SLAMET JATENG 03|11|**** S L JL SEI BLUTU PSR IX NO 56B 003 001 0 0

205 1271211911****** 1271215405****** SUGIATI MEDAN 14|05|**** S P JL SEI BLUTU PSR IX NO 56B 003 001 0 0

206 1271211911****** 1271210309****** HAQI HIDAYAH MEDAN 03|09|**** B L JL SEI BLUTU PSR IX NO 56B 003 001 0 0

207 1271212001****** 1271215405****** HJ SUPARNI MEDAN 14|05|**** S P JL SEI BLUTU GG SUBUR NO 58 003 001 0 0

208 1271212001****** 1271216606****** RISMAYANI SETYANINGSIH BALIKPAPAN 26|06|**** B P JL SEI BLUTU GG SUBUR NO 58 003 001 0 0

209 1271212001****** 1271214707****** DWI ARIDHA YULIANI PALANGKARAYA 07|07|**** B P JL SEI BLUTU GG SUBUR NO 58 003 001 0 0

210 1271212105****** 1271214309****** YUSWANTUTI MERANTI 03|09|**** S P JL SEI BLUTU NO 48 MEDAN 004 001 0 0

211 1271212105****** 1271212306****** ALFIANSYAH LUBIS NORMARK 23|06|**** S L JL SEI BLUTU NO 50-A 004 001 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-003 29 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271212105****** 1271177110****** SARI DEWI TANJUNG BALAI 31|10|**** B P JL SEI BLUTU NO 50-A 004 001 0 0

213 1271212203****** 1271210909****** AFRIANDA SIMPANG EMPAT 09|09|**** B L JL SEI BLUTU PSR IX NO 46 005 001 0 0

214 1271211610****** 1271215410****** INGRID SAROINSONG, SH MAKASAR 14|10|**** S P JLN SEI BLUTU I GG PANSEL NO 5 001 002 0 0

215 1271211610****** 1271213012****** DENNY SIAHAAN, IR MEDAN 30|12|**** S L JLN SEI BLUTU I GG PANSEL NO 5 001 002 0 0

216 1271211701****** 1271212601****** JULIANDI SYAHENDAR HELVETIA 26|01|**** S L JL SEI BLUTU PS IX NO 58 001 002 0 0

217 1271211701****** 1271210909****** FAWWAZ NABIL HILMY MEDAN 09|09|**** B L JL SEI BLUTU PS IX NO 58 001 002 0 0

218 1271211701****** 1271034704****** LAILA ADRIANI MEDAN 07|04|**** B P JLN SEI BLUTU PSR IX N0 77 B 001 002 0 0

219 1271211704****** 1271215005****** TRI YOLANDA MEDAN 10|05|**** B P JL SEI BLUTU PSR IX GG BERSAMA NO 87 001 002 0 0

220 1271211704****** 1271211904****** NAHASON GIRSANG MEDAN 19|04|**** S L JL SEI BLUTU PS IX GG AMAL NO 23-C 001 002 0 0

221 1271211704****** 1271216310****** SUYATNI MEDAN 23|10|**** S P JL SEI BLUTU PS IX GG AMAL NO 23-C 001 002 0 0

222 1271211704****** 1271214210****** LOOKITA PURNAMASARI BR GIRSANG MEDAN 02|10|**** S P JL SEI BLUTU PS IX GG AMAL NO 23-C 001 002 0 0

223 1271211705****** 1271215501****** YUSNITA SIMARMATA MEDAN 15|01|**** S P JL SEI BLUTU PS IX NO 52-B MEDAN 001 002 0 0

224 1271211705****** 1271211405****** RIZALDI ALMAS MEDAN 14|05|**** S L JL SEI BLUTU PS IX NO 52-B MEDAN 001 002 0 0

225 1271211801****** 1271212509****** ABDI SUSILO MEDAN 25|09|**** S L JL SEI BLUTU PS IX GG SUBUR 001 002 0 0

226 1271211801****** 1271216012****** IKA WAHYUNINGSIH SANTI MEDAN 20|12|**** S P JL SEI BLUTU PS IX GG SUBUR 001 002 0 0

227 1271211802****** 1271215007****** SUSWIANI MEDAN 10|07|**** S P JL SEI BLUTU PSR IX NO 56-A 001 002 0 0

228 1271211804****** 1271212908****** RIDHO ADITYA MEDAN 29|08|**** B L JL. SEI BLUTU PSR IX NO. 76 001 002 0 0

229 1271211804****** 1271211202****** PARJIYANTO SUKOHARJO 12|02|**** S L JLNSEI BLUTU GGKELUARGA 53-C 001 002 0 0

230 1271211804****** 1271214801****** NURAINI MEDAN 08|01|**** S P JLNSEI BLUTU GGKELUARGA 53-C 001 002 0 0

231 1271211804****** 1271212704****** MUHAMMAD AZIZI WIJAYA MEDAN 27|04|**** B L JLNSEI BLUTU GGKELUARGA 53-C 001 002 0 0

232 1271211804****** 1271211007****** SELAMET NURDIN SYAHPUTRA MEDAN 10|07|**** B L JLNSEI BLUTU GGKELUARGA 53-C 001 002 0 0

233 1271211808****** 1271210808****** MES HARYONO MEDAN 08|08|**** S L JL SEI BLUTU PS IX NO 68 001 002 0 0

234 1271211808****** 1271214306****** NGATINI MEDAN 03|06|**** S P JL SEI BLUTU PS IX NO 68 001 002 0 0

235 1271212203****** 1271215210****** BERLIANA PANJAITAN LANGSA 12|10|**** S P JL SEI BLUTU PSR IX NO 46 001 002 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-003 30 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

236 1271212308****** 1271211710****** KODIM PRIYANTO MEDAN 17|10|**** B L JL SEI BLUTU GG SUMBER AIR NO 49 C 001 002 0 0

237 1271212308****** 1271213008****** TONI SOFIYAN MEDAN 30|08|**** B L JL SEI BLUTU GG SUMBER AIR NO 49 C 001 002 0 0

238 1271212403****** 1271211903****** TURIMAN BANYUMAS 19|03|**** S L JL SEI BLUTU GG SUBUR NO 58C 001 002 0 0

239 1271211812****** 1271216911****** ANNISA SEKAR RAMADHANI MEDAN 29|11|**** B P JL. SEI BLUTU PSR IX NO. 68 MEDAN 002 002 0 0

240 1271211902****** 1271210303****** SUDIRMAN SEI SEMUJUR 03|03|**** S L JL SEI BLUTU PS IX NO 47-C 002 002 0 0

241 1271211902****** 1271216706****** SRI RAHAYU MEDAN 27|06|**** S P JL SEI BLUTU PS IX NO 47-C 002 002 0 0

242 1271211902****** 1271216408****** DIRA PUTRI DEWANTI MEDAN 24|08|**** B P JL SEI BLUTU PS IX NO 47-C 002 002 0 0

243 1271211903****** 1271212006****** GIMIN SEMARANG 20|06|**** S L JL SEI BELUTU GG KELUARGA 002 002 0 0

244 1271211903****** 1271216512****** INEM MEDAN 25|12|**** S P JL SEI BELUTU GG KELUARGA 002 002 0 0

245 1271211903****** 1271215906****** FITRIANI MEDAN 19|06|**** B P JL SEI BELUTU GG KELUARGA 002 002 0 0

246 1271211903****** 1271217108****** RIA AGUSTINA MEDAN 31|08|**** B P JL SEI BELUTU GG KELUARGA 002 002 0 0

247 1271211903****** 1271211409****** TRI SUTERISNO MEDAN 14|09|**** B L JL SEI BELUTU GG KELUARGA 002 002 0 0

248 1271211903****** 1271211407****** HANDOKO MEDAN 14|07|**** B L JL SEI BELUTU GG KELUARGA 002 002 0 0

249 1271211904****** 1271212108****** ANDIKA BENNIH PRAYOGA GIRSANG MEDAN 21|08|**** B L JL SEI BLUTU PSR IX NO 31H 002 002 0 0

250 1271212109****** 1271212209****** KHAIRUL SATRIA RANGKUTI MEDAN 22|09|**** S L JL SEI BLUTU I PS IX NO 11-A 002 002 0 0

251 1271212212****** 1271031203****** RIDWAN TAMBUNAN MEDAN 12|03|**** S L JL SEI BLUTU PS IX NO 49 002 002 0 0

252 1271212404****** 1271214504****** SANDRIKA MEDAN 05|04|**** S P JL SEI BELUTU NO 60 MEDAN 002 002 0 0

253 1271212003****** 1271214606****** SUJARIAH BATANG TORU 06|06|**** P P JL SEI BELUTU I NO 68 003 002 0 0

254 1271212003****** 1271214105****** SRIMAYANI MEDAN 01|05|**** B P JL SEI BELUTU I NO 68 003 002 0 0

255 1271212003****** 1271211109****** HERU RESPATI MEDAN 11|09|**** S L JL SEI BELUTU I NO 68 003 002 0 0

256 1271212101****** 1271214706****** SUARSIAH MEDAN 07|06|**** S P JLSEI BLUTU PS IX NO 47 003 002 0 0

257 1271212101****** 1271212207****** JULI EDI SE SEI BEJANGKAR 22|07|**** S L JLSEI BLUTU PS IX NO 47 003 002 0 0

258 1271212101****** 1271210810****** MHD IQBAL NUGROHO MEDAN 08|10|**** B L JLSEI BLUTU PS IX NO 47 003 002 0 0

259 1271212103****** 1271212502****** CEPIT SISWOYO MEDAN 25|02|**** S L JL SEI BLUTU GG SUBUR NO 56-A MEDAN 003 002 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-003 31 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

260 1271212103****** 1271214709****** NIKMATU ZAHRA TANJUNG LENGGANG 07|09|**** S P JL SEI BLUTU GG SUBUR NO 56-A MEDAN 003 002 0 0

261 1271212104****** 1271212106****** MEIYALAGAN MEDAN 21|06|**** S L JL SEI BLUTU GG KELUARGA NO 53-CC 003 002 0 0

262 1271212104****** 1271214401****** VENNILA MEDAN 04|01|**** S P JL SEI BLUTU GG KELUARGA NO 53-CC 003 002 0 0

263 1271212105****** 1271216412****** SUWARNI MEDAN 24|12|**** P P JL SEI BLUTU NO 48 MEDAN 003 002 0 0

264 1271212105****** 1271212504****** MHD ENO ANDALOKA MEDAN 25|04|**** S L JL SEI BLUTU NO 48 MEDAN 003 002 0 0

265 1271212203****** 1271214909****** HANA MAYASARI MEDAN 09|09|**** S P JL SEI BLUTU PS IX NO 52-A 003 002 0 0

266 1271212402****** 1271021601****** ENDRI SETIAWAN MEDAN 16|01|**** B L JL SEI BLUTU GG SUMBER AIR NO 47-B 003 002 0 0

267 1271212106****** 1271210808****** PARDI SUKAHARJO 08|08|**** S L JL. SEI BLUTU NO. 55-D MEDAN 004 002 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 267 Jenis Kelamin = 267 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 96 L : Laki-Laki = 132 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 165 P : Perempuan = 135 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 6
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 128 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-003 32 / 276
MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 004
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271161904****** 1271166211****** NYANA SUNDRI MEDAN 22|11|**** P P JL SEI BELUTU GG. KELUARGA NO. 53 CC 000 000 0 0

2 1271171406****** 1271171012****** BAMBANG TARIGAN MEDAN 10|12|**** S L JL SEI BLUTU GG SUBUR NO 58 000 000 0 0

3 1271171406****** 1271174808****** MARIANI LIMA PULUH 08|08|**** S P JL SEI BLUTU GG SUBUR NO 58 000 000 0 0

4 1271171406****** 1271175002****** FITRICIA HIDAYAH MEDAN 10|02|**** B P JL SEI BLUTU GG SUBUR NO 58 000 000 0 0

5 1271171406****** 1271172310****** AJI MULYANA MEDAN 23|10|**** B L JL SEI BLUTU GG SUBUR NO 58 000 000 0 0

6 1271210104****** 1271211212****** SUPARDJO ADI SAHPUTRA SOLO 12|12|**** S L JL SEI BLUTU GG SUBUR NO 58B 000 000 0 0

7 1271210104****** 1271214909****** ROSLINA MEDAN 09|09|**** S P JL SEI BLUTU GG SUBUR NO 58B 000 000 0 0

8 1271210104****** 1271215205****** WAHYU RASASI PUTRI MEDAN 12|05|**** B P JL SEI BLUTU GG SUBUR NO 58B 000 000 0 0

9 1271210108****** 1271211406****** MHD NURDIN MEDAN 14|06|**** S L JL SEI BLUTU PSR IX NO 52-A 000 000 0 0

10 1271210108****** 1271216907****** HENI JULILIAH MEDAN 29|07|**** S P JL SEI BLUTU PSR IX NO 52-A 000 000 0 0

11 1271210108****** 1271211409****** MUHAMMAD KAHFI PRATAMA MEDAN 14|09|**** B L JL SEI BLUTU PSR IX NO 52-A 000 000 0 0

12 1271210111****** 1271215605****** CHAIRUNNISA MEDAN 16|05|**** B P JL SEI BLUTU GG BILAL NO 99 000 000 0 0

13 1271210202****** 1271211707****** SAMUGAM MEDAN 17|07|**** S L JL. SEI BLUTU PSR IX NO. 59 000 000 0 0

14 1271210202****** 1271215111****** PARIMALA MEDAN 11|11|**** S P JL. SEI BLUTU PSR IX NO. 59 000 000 0 0

15 1271210202****** 1271216602****** RADISARESWADIRATHIKA MEDAN 26|02|**** S P JL SEI BLUTU PS IX NO 59 000 000 0 0

16 1271210202****** 1271213112****** KANABRAN MEDAN 31|12|**** S L JL SEI BLUTU PSR IX NO 59 MEDAN 000 000 0 0

17 1271210202****** 1271214209****** KUILAMBAL MEDAN 02|09|**** S P JL SEI BLUTU PSR IX NO 59 MEDAN 000 000 0 0

18 1271210205****** 1271211905****** MUHAMMAD FAHMI FACHROZI MEDAN 19|05|**** B L JL SEI BELUTU PSR IX NO 10 000 000 0 0

19 1271210208****** 1271211808****** RAMLAN MURTIA MEULABOH 18|08|**** S L JL SEI BELUTU PS IX GG PANSEL NO 3 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-004 33 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210208****** 1271212304****** ARIF MEDAN 23|04|**** B L JL SEI BELUTU PS IX GG PANSEL NO 3 000 000 0 0

21 1271210208****** 1271211705****** KURNIAWAN SYAHPUTRA MEDAN 17|05|**** B L JL SEI BELUTU PS IX GG PANSEL NO 3 000 000 0 0

22 1271210208****** 1271212005****** FREDERIK JULIUS PAILALAH MEDAN 20|05|**** S L JL SEI BLUTU PSR IX NO 69 C 000 000 0 0

23 1271210208****** 1271215810****** ANNY ENDRAWATY MEDAN 18|10|**** S P JL SEI BLUTU PSR IX NO 69 C 000 000 0 0

24 1271210208****** 1271210602****** JEISEN FREDERIK PAILALAH MEDAN 06|02|**** B L JL SEI BLUTU PSR IX NO 69 C 000 000 0 0

25 1271210208****** 1271211212****** BILLY JOE PAILALAH MEDAN 12|12|**** B L JL SEI BLUTU PSR IX NO 69 C 000 000 0 0

26 1271210209****** 1271215504****** MANI MEGELEI MEDAN 15|04|**** S P JLSEI BLUTU PS IX NO 65 000 000 0 0

27 1271210209****** 1271210708****** S SATYA SILEN MEDAN 07|08|**** B L JLSEI BLUTU PS IX NO 65 000 000 0 0

28 1271210210****** 1271210110****** SATINO SOLO 01|10|**** S L JL SEI BLUTU GG KELUARGA NO 53.F 000 000 0 0

29 1271210210****** 1271214406****** LEGIYEM BINJAI 04|06|**** S P JL SEI BLUTU GG KELUARGA NO 53.F 000 000 0 0

30 1271210303****** 1271214103****** CINDY BR HUTAPEA MEDAN 01|03|**** B P JL SEI BLUTU PS IX NO 96 C 000 000 0 0

31 1271210304****** 1271211008****** WADI POLOKARTO 10|08|**** S L JL SEI BLUTU PS IX NO 48 B 000 000 0 0

32 1271210304****** 1271216012****** WARSINI POLOKARTO 20|12|**** S P JL SEI BLUTU PS IX NO 48 B 000 000 0 0

33 1271210304****** 1271215507****** YULI EKAWATI SUKOHARJO 15|07|**** B P JL SEI BLUTU PS IX NO 48 B 000 000 0 0

34 1271210304****** 1271217112****** NANI JAWA TENGAH 31|12|**** P P JL SEI BLUTU GG SUMBER AIR NO 49-D 000 000 0 0

35 1271210304****** 1271210404****** SRIYADI JAWA TENGAH 04|04|**** B L JL SEI BLUTU GG SUMBER AIR NO 49-D 000 000 0 0

36 1271210305****** 1271216210****** NANCY GHO PTP.IX BULUCINA 22|10|**** P P JL SEI BLUTU PSR IX NO 69.B 000 000 0 0

37 1271210305****** 1271212301****** LARDI MEDAN 23|01|**** S L JL SEI BLUTU PS IX NO 49 MEDAN 000 000 0 0

38 1271210305****** 1271216312****** SRI WAHYUNI MEDAN 23|12|**** S P JL SEI BLUTU PS IX NO 49 MEDAN 000 000 0 0

39 1271210306****** 1271216504****** SATIYEM MEDAN 25|04|**** P P JL SEI BLUTU PS IX NO 56 C 000 000 0 0

40 1271210306****** 1271211907****** RAMADANI SAPUTRA LARAS 19|07|**** B L JL SEI BLUTU PS IX NO 56 C 000 000 0 0

41 1271210306****** 1271212707****** D KANAYA MEDAN 27|07|**** S L JL SEI BLUTU PSR IX NO 61 000 000 0 0

42 1271210306****** 1271214901****** KUSARANI SE MEDAN 09|01|**** B P JL SEI BLUTU PSR IX NO 61 000 000 0 0

43 1271210308****** 1271211404****** HARIRAM MEDAN 14|04|**** S L JL SEI BLUTU PSR IX NO 59 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-004 34 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210308****** 1271214611****** WANISTRI MEDAN 06|11|**** S P JL SEI BLUTU PSR IX NO 59 000 000 0 0

45 1271210308****** 1271211605****** ARUN KUMAR MEDAN 16|05|**** B L JL SEI BLUTU PSR IX NO 59 000 000 0 0

46 1271210310****** 1271216511****** RATNAWATI PEKANBARU 25|11|**** S P JLSEI BLUTU NO 56 B MEDAN 000 000 0 0

47 1271210310****** 1271213008****** ROBERT SARAGI NAPITU BINJAI 30|08|**** S L J LSEI BLUTU NO 52 000 000 0 0

48 1271210310****** 1271215102****** MEIJI CHRISTINA PANGGABEAN MEDAN 11|02|**** S P J LSEI BLUTU NO 52 000 000 0 0

49 1271210403****** 1271215503****** JAYANTI MEDAN 15|03|**** S P JL SEI BLUTU GG SUBUR NO 58 F 000 000 0 0

50 1271210404****** 1271215011****** SEMA DEWI MEDAN 10|11|**** S P JL SEI BLUTU MELINTANG II NO 90 B 000 000 0 0

51 1271210405****** 1271210405****** TOLIB SUMBER 04|05|**** S L JLSEI BLUTU PS IX NO 47 MEDAN 000 000 0 0

52 1271210405****** 1271214809****** SRI UTAMI MEDAN 08|09|**** S P JLSEI BLUTU PS IX NO 47 MEDAN 000 000 0 0

53 1271210405****** 1271211010****** YUDI PRANOTO SOLO 10|10|**** B L JLSEI BLUTU PS IX NO 47 MEDAN 000 000 0 0

54 1271210405****** 1271213105****** TAUFIQ YUDHA YUSRIZAL MEDAN 31|05|**** B L JLSEI BLUTU PS IX NO 47 MEDAN 000 000 0 0

55 1271210406****** 1271215612****** SANDRA MEDAN 16|12|**** B P JL. SEI BLUTU PSR IX NO. 59 000 000 0 0

56 1271210406****** 1271215008****** MARIMA MEDAN 10|08|**** P P JL SEI BLUTU PSR IX NO 59 000 000 0 0

57 1271210406****** 1271214508****** DIVIYA BARDI MEDAN 05|08|**** B P JL SEI BLUTU PSR IX NO 59 000 000 0 0

58 1271210408****** 1271212507****** H IDRIS ZAINAL SH ASAHAN 25|07|**** S L JL SEI BLUTU GG KELUARGA NO 53 B 000 000 0 0

59 1271210408****** 1271214803****** HJ ZAKIAH,DRA,MPD PURBA BARU 08|03|**** S P JL SEI BLUTU GG KELUARGA NO 53 B 000 000 0 0

60 1271210408****** 1271215805****** AISYAH MEDAN 18|05|**** B P JL SEI BLUTU GG KELUARGA NO 53 B 000 000 0 0

61 1271210408****** 1271210910****** MUHAMMAD IHSAN MEDAN 09|10|**** B L JL SEI BLUTU GG KELUARGA NO 53 B 000 000 0 0

62 1271210408****** 1271215910****** SYARIFAH MEDAN 19|10|**** B P JL SEI BLUTU GG KELUARGA NO 53 B 000 000 0 0

63 1271210408****** 1271215401****** KHAIRINA MEDAN 14|01|**** B P JL SEI BLUTU GG KELUARGA NO 53 B 000 000 0 0

64 1271210408****** 1271210506****** DEDI SUNARDI MEDAN 05|06|**** S L JL SEI BLUTU GG SUBUR NO 58 D 000 000 0 0

65 1271210410****** 1271210603****** WAGINO SEMARANG 06|03|**** S L JL SEI BLUTU PS IX NO 49 MEDAN 000 000 0 0

66 1271210410****** 1271210607****** MUJI SAPUTRA MEDAN 06|07|**** B L JL SEI BLUTU PS IX NO 49 MEDAN 000 000 0 0

67 1271210411****** 1271036606****** SITI SALMIAH, drg.,Sp.KGA MEDAN 26|06|**** S P JLN SEI BLUTU PSR IX N0 77 B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-004 35 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210411****** 1271213112****** SAMADI SUKOHARJO 31|12|**** S L JL SEI BLUTU GG KELUARGA NO 53 F 000 000 0 0

69 1271210501****** 1271213112****** EDI SUTRISNO BINJAI 31|12|**** S L JL SEI BLUTU PS IX NO 47 000 000 0 0

70 1271210501****** 1271216710****** SAFITRIANI,SAG MEDAN 27|10|**** S P JL SEI BLUTU PS IX NO 47 000 000 0 0

71 1271210502****** 1271215710****** TIURMA HUTAGALUNG KISARAN 17|10|**** P P JL SEI BLUTU NO 52 000 000 0 0

72 1271210502****** 1271210602****** DIDI M NUR TJ BALAI 06|02|**** S L JLSEI BLUTU PS IX NO 46 000 000 0 0

73 1271210502****** 1271216710****** SUSI RAHMAYADANI MEDAN 27|10|**** S P JLSEI BLUTU PS IX NO 46 000 000 0 0

74 1271210504****** 1271210205****** AGUNG PRATAMA GIRSANG MEDAN 02|05|**** B L JL SEI BLUTU GG AMAL NO 23 C 000 000 0 0

75 1271210504****** 1271213001****** MICHAEL GIRSANG MEDAN 30|01|**** B L JL SEI BLUTU GG AMAL NO 23 C 000 000 0 0

76 1271210506****** 1271210104****** BAMBANG IRAWAN MEDAN 01|04|**** S L JL SEI BLUTU GG AMAL NO 26 000 000 0 0

77 1271210506****** 1271055310****** SYAHFITRI MULIANA MEDAN 13|10|**** S P JL SEI BLUTU GG AMAL NO 26 000 000 0 0

78 1271210510****** 1271211708****** AKHIRUDDIN RANGKUTI PURBA BARU 17|08|**** S L JLSEI BELUTU GGKELUARGA 000 000 0 0

79 1271210510****** 1271215502****** ASNAH DEWI MEDAN 15|02|**** S P JLSEI BELUTU GGKELUARGA 000 000 0 0

80 1271210510****** 1271213107****** HAMDANI RANGKUTI MEDAN 31|07|**** B L JLSEI BELUTU GGKELUARGA 000 000 0 0

81 1271210510****** 1271211302****** IRSYAD F HADENGGANAN MUNTHE MEDAN 13|02|**** B L JL SEI BLUTU PSR IX NO 75 A 000 000 0 0

82 1271210512****** 1271211504****** BAMBANG SUTRISNO MEDAN 15|04|**** S L JL SEI BLUTU GG KELUARGA NO 53C 000 000 0 0

83 1271210512****** 1271215508****** SUMIATY KEBUMEN 15|08|**** S P JL SEI BLUTU GG KELUARGA NO 53C 000 000 0 0

84 1271210512****** 1271210311****** ENDANG SOEILHAM KEBUMEN 03|11|**** B L JL SEI BLUTU GG KELUARGA NO 53C 000 000 0 0

85 1271210602****** 1271211807****** SURACH WARDANA MEDAN 18|07|**** B L JLSEI BLUTU PS IX GAMAL 000 000 0 0

86 1271210604****** 1271212903****** DEDY MAURITZ W SIMANJUNTAK MA P.BRANDAN 29|03|**** B L JL SEI BLUTU GG KELUARGA NO 55-A 000 000 0 0

87 1271210604****** 1271210908****** RIO MITSU V K SIMANJUNTAK, AMd P.BRANDAN 09|08|**** B L JL SEI BLUTU GG KELUARGA NO 55-A 000 000 0 0

88 1271210604****** 1271116511****** NOVI YANTI MARGARETA TARIGAN MEDAN 25|11|**** B P JL SEI BLUTU GG KELUARGA NO 55-A 000 000 0 0

89 1271210605****** 1271211204****** NGATEMIN MEDAN 12|04|**** S L JL. SEI BLUTU PSR IX GG. SUBUR NO. 58-B 000 000 0 0

90 1271210605****** 1271216412****** IDAWATI MEDAN 24|12|**** S P JL. SEI BLUTU PSR IX GG. SUBUR NO. 58-B 000 000 0 0

91 1271210605****** 1271211907****** ADIB DZAKY MEDAN 19|07|**** B L JL. SEI BLUTU PSR IX GG. SUBUR NO. 58-B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-004 36 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271210605****** 1271215511****** DAHNIAR MEDAN 15|11|**** S P JL SEI BLUTU GG PANSEL 000 000 0 0

93 1271210605****** 1271216909****** LAURA PAILALAH MEDAN 29|09|**** B P JL SEI BLUTU GG PANSEL 000 000 0 0

94 1271210605****** 1271213103****** YOSUA PAILALAH MEDAN 31|03|**** B L JL SEI BLUTU GG PANSEL 000 000 0 0

95 1271210605****** 1271214509****** VIVIEN PAILALAH MEDAN 22|11|**** B P JL SEI BLUTU GG PANSEL 000 000 0 0

96 1271210605****** 1271210306****** SOFYAN HELMI RANGKUTI MEDAN 03|06|**** S L JL SEI BLUTU GG KELUARGA NO 55 B 000 000 0 0

97 1271210605****** 1271215806****** SITI AISYAH PETUMBUKAN 18|06|**** S P JL SEI BLUTU GG KELUARGA NO 55 B 000 000 0 0

98 1271210606****** 1271213101****** BAYU SRILANTO MEDAN 31|01|**** B L JLSEI BLUTU PS IX NO 49 000 000 0 0

99 1271210606****** 1271212512****** MUHAMMAD OKI TRICAHYO MEDAN 25|12|**** B L JLSEI BLUTU PS IX NO 49 000 000 0 0

100 1271210607****** 1271211011****** JUNI BINAWAN PACITAN 10|11|**** S L JL SEI BLUTU GG KELUARGA NO.53 D 000 000 0 0

101 1271210607****** 1271215510****** PARYANTI SUKOHARJO 15|10|**** S P JL SEI BLUTU GG KELUARGA NO.53 D 000 000 0 0

102 1271210607****** 1271212005****** EKO SUPRIYANTO MEDAN 20|05|**** B L JL SEI BLUTU GG KELUARGA NO.53 D 000 000 0 0

103 1271210607****** 1271212510****** PURNOMO ADI PRASETIYO MEDAN 25|10|**** B L JL SEI BLUTU GG KELUARGA NO.53 D 000 000 0 0

104 1271210607****** 1271215404****** RENI KUSUMAWATY MEDAN 14|04|**** B P JL SEI BLUTU GG KELUARGA NO.53 D 000 000 0 0

105 1271210607****** 1271210707****** SUNARDI SOLO 07|07|**** S L JL SEI BLUTU PSR IX NO 16 B 000 000 0 0

106 1271210607****** 1271216710****** SUPRAPTI SOLO 27|10|**** S P JL SEI BLUTU PSR IX NO 16 B 000 000 0 0

107 1271210607****** 1271210508****** SUKADI SOLO 05|08|**** B L JL SEI BLUTU PSR IX NO 16 B 000 000 0 0

108 1271210610****** 1271212110****** EKO PUJI SURYANTONO SURABAYA 21|10|**** S L JLSEI BLUTU PSR IX GG KELUARGA 000 000 0 0

109 1271210610****** 1271214306****** NILA HAYATI RANGKUTI PURBA BARU 03|06|**** S P JLSEI BLUTU PSR IX GG KELUARGA 000 000 0 0

110 1271210610****** 1271211209****** MHD DAFFA FACHROZI MEDAN 12|09|**** B L JLSEI BLUTU PSR IX GG KELUARGA 000 000 0 0

111 1271210702****** 1271210405****** MANGANTAR SIMANJUNTAK, DR BALIGE 04|05|**** S L JL SEI BLUTU GG PANSEL NO.68 000 000 0 0

112 1271210702****** 1271214607****** HJ.SITI HASNAH SIMANJUNTAK MEDAN 06|07|**** S P JL SEI BLUTU GG PANSEL NO.68 000 000 0 0

113 1271210703****** 1271212411****** LOUIS DE KOCK AMBON 24|11|**** S L JLSEI BLUTU PSIX GPANSEL-5C 000 000 0 0

114 1271210703****** 1271215809****** ELVIRA LUMENTUT MANADO 18|09|**** S P JLSEI BLUTU PSIX GPANSEL-5C 000 000 0 0

115 1271210703****** 1271212302****** MAGES WARAN MEDAN 23|02|**** S L JL SEI BLUTU GG SUBUR NO 58A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-004 37 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271210703****** 1271056709****** JULI PRADA MEDAN 27|09|**** S P JL SEI BLUTU GG SUBUR NO 58A 000 000 0 0

117 1271210703****** 1271210505****** INDRA MAWAN MEDAN 05|05|**** S L JL SEI BLUTU GG KELUARGA NO 55D 000 000 0 0

118 1271210704****** 1271192901****** DAPOT MANGUNSONG BSC BALIGE 29|01|**** S L JL SEI BELUTU PSR IX NO 26 000 000 0 0

119 1271210704****** 1271196911****** BETTYH PANJAITAN BA MEDAN 29|11|**** S P JL SEI BELUTU PSR IX NO 26 000 000 0 0

120 1271210706****** 1271216206****** NYANEMBAL MEDAN 22|06|**** P P JL SEI BLUTU GG KELUARGA N0 55.B 000 000 0 0

121 1271210706****** 1271210106****** KALIMANI ARUMUGAM MEDAN 01|06|**** S L JL SEI BLUTU GG KELUARGA N0 55.B 000 000 0 0

122 1271210706****** 1271214101****** BAWANI MEDAN 01|01|**** S P JL SEI BLUTU GG KELUARGA N0 55.B 000 000 0 0

123 1271210706****** 1271215012****** RENUKA JAKARTA 10|12|**** B P JL SEI BLUTU GG KELUARGA N0 55.B 000 000 0 0

124 1271210706****** 1271214506****** RIZKA RAHMA SARI MEDAN 05|06|**** B P JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

125 1271210706****** 1271210612****** DERY BAGUS KURNIAWAN MEDAN 06|12|**** B L JL SEI BLUTU GG AMAL NO 23-B 000 000 0 0

126 1271210706****** 1271212306****** DIMAS ARDITYA MEDAN 23|06|**** B L JL SEI BLUTU GG AMAL NO 23-B 000 000 0 0

127 1271210707****** 1271210406****** EDY JUNAEDI MEDAN 04|06|**** P L JLSEI BLUTU PS IX NO 47 000 000 0 0

128 1271210707****** 1271212308****** ERICK PUSWA MEDAN 23|08|**** B L JLSEI BLUTU PS IX NO 47 000 000 0 0

129 1271210707****** 1271210707****** TAUFAN PUSWARA MEDAN 07|07|**** B L JLSEI BLUTU PS IX NO 47 000 000 0 0

130 1271210707****** 1271212311****** RIDHO RIZKY MEDAN 23|11|**** B L JLSEI BLUTU PS IX NO 47 000 000 0 0

131 1271210711****** 1271210411****** MARGAN R P SIBARANI DR,M.KES SIBOLGA 04|11|**** S L JL SEI BELUTU NO 52 000 000 0 0

132 1271210711****** 1271214402****** ELISABETH B PANGGABEAN MEDAN 04|02|**** S P JL SEI BELUTU NO 52 000 000 0 0

133 1271210711****** 1271216209****** DR URSULA R F SIBARANI MEDAN 22|09|**** S P JL SEI BELUTU NO 52 000 000 0 0

134 1271210711****** 1271215607****** CAROLINA SIBARANI MEDAN 16|07|**** B P JL SEI BELUTU NO 52 000 000 0 0

135 1271210711****** 1271211110****** DIMIN SUKOHARJO 11|10|**** S L JL SEI BLUTU PSR IX NO 49 000 000 0 0

136 1271210711****** 1271216905****** SUTRISNI MEDAN 29|05|**** S P JL SEI BLUTU PSR IX NO 49 000 000 0 0

137 1271210711****** 1271212907****** RIO JIWANA MEDAN 29|07|**** B L JL SEI BLUTU PSR IX NO 49 000 000 0 0

138 1271210712****** 1271211605****** KARAM CHANNAM DEWA MEDAN 16|05|**** S L JL SEI BLUTU GG SUMBER AIR-47 D 000 000 0 0

139 1271210712****** 1271216207****** SATYAWANY BINJAI 22|07|**** S P JL SEI BLUTU GG SUMBER AIR-47 D 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-004 38 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271210712****** 1271212303****** SANTOS MEDAN 23|03|**** B L JL SEI BLUTU GG SUMBER AIR-47 D 000 000 0 0

141 1271210712****** 1271216302****** SHANJINIY MEDAN 23|02|**** B P JL SEI BLUTU GG SUMBER AIR-47 D 000 000 0 0

142 1271210712****** 1271212312****** SADEV MEDAN 23|12|**** B L JL SEI BLUTU GG SUMBER AIR-47 D 000 000 0 0

143 1271210712****** 1271172611****** HARIADI MEDAN 26|11|**** B L JL SEI BLUTU PS IX NO 56 B 000 000 0 0

144 1271210712****** 1271215007****** SUCI MANDASARI MEDAN 10|07|**** S P JL SEI BLUTU PS IX NO 56 B 000 000 0 0

145 1271210712****** 1201012505****** ABDUL KARIM MARBUN UJUNG BATU 25|05|**** B L JLN. SEI BLUTU PSR IX NO.49 000 000 0 0

146 1271210712****** 1271215106****** SULISTIANI MEDAN 11|06|**** B P JLN. SEI BLUTU PSR IX NO.49 000 000 0 0

147 1271210901****** 1271192407****** KASIM KUSUMA MEDAN 24|07|**** B L JL SEI BLUTU KOMP RESIDENSI NO 9 000 000 0 0

148 1271210901****** 1271196102****** TIO PHIK HEE MEDAN 21|02|**** B P JL SEI BLUTU KOMP RESIDENSI NO 9 000 000 0 0

149 1271210901****** 1271071110****** JOPPY RAHMAD NUGRAHA, SE MEDAN 11|10|**** B L JL SEI BLUTU GG SUBUR NO 58C 000 000 0 0

150 1271210901****** 1271216308****** TRI WAHYUNI UNTARI MEDAN 23|08|**** S P JL SEI BLUTU GG SUBUR NO 58C 000 000 0 0

151 1271210902****** 1271214705****** WAGIEM BATANG KUIS 07|05|**** P P JLSEI BLUTU PS IX GG PANSEL NO.3 000 000 0 0

152 1271210902****** 1271212011****** ZAINUDDIN MEDAN 20|11|**** B L JLSEI BLUTU PS IX GG PANSEL NO.3 000 000 0 0

153 1271210902****** 1271212607****** JULIHERMAN, ST MEDAN 26|07|**** S L JL SEI BLUTU PSR IX NO 58 000 000 0 0

154 1271210902****** 1271214109****** ISLEINI NASUTION, SPSI LIMA PULUH 01|09|**** S P JL SEI BLUTU PSR IX NO 58 000 000 0 0

155 1271210903****** 1271211008****** ANDRIANSAH MEDAN 10|08|**** B L JL SEI BLUTU PS IX GG AMAL-26A 000 000 0 0

156 1271210905****** 1271216502****** EMI PURDILAWATI MEDAN 25|02|**** S P JL. SEI BLUTU PSR IX GG. SUBUR NO. 56-A 000 000 0 0

157 1271210905****** 1271210605****** USEP SUMARNA SUKABUMI 06|05|**** S L JL. SEI BLUTU PSR IX GG. SUBUR NO. 56-A 000 000 0 0

158 1271210905****** 1271213001****** NEIKKY SEPMIWAN MEDAN 30|01|**** B L JL. SEI BLUTU PSR IX GG. SUBUR NO. 56-A 000 000 0 0

159 1271210905****** 1271210502****** IWAN SETIAWAN MEDAN 05|02|**** S L JL SEI BLUTU PS IX NO 68 000 000 0 0

160 1271210905****** 1271214502****** NURMALINA SARI HARAHAP PANGKALAN BRANDAN 05|02|**** S P JL SEI BLUTU PS IX NO 68 000 000 0 0

161 1271210905****** 1271216004****** LESTARI SETIAWAN PANGKALAN BRANDAN 20|04|**** B P JL SEI BLUTU PS IX NO 68 000 000 0 0

162 1271210906****** 1271214502****** JUMINEM PERLANAAN 05|02|**** S P JL SEI BLUTU GG SUMBER AIR NO 49 000 000 0 0

163 1271210906****** 1271212903****** SUMARYONO BUKIT TINGGI 29|03|**** S L JL SEI BLUTU GG SUMBER AIR NO 49 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-004 39 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271211003****** 1271214502****** JUMHANI MEDAN 05|02|**** P P JL SEI BLUTU GG AMAL NO 26 000 000 0 0

165 1271211003****** 1271215911****** NURMALA SARI MEDAN 19|11|**** S P JL SEI BLUTU GG AMAL NO 26 000 000 0 0

166 1271211008****** 1271211207****** SUGIYONO SUKOHARJO 12|07|**** S L JL SEI BLUTU NO 48-A MEDAN 000 000 0 0

167 1271211008****** 1271216111****** SRI MUJIYEM SUKOHARJO 21|11|**** S P JL SEI BLUTU NO 48-A MEDAN 000 000 0 0

168 1271211008****** 1271214611****** FITRI WULAN SARI MEDAN 06|11|**** B P JL SEI BLUTU NO 48-A MEDAN 000 000 0 0

169 1271211008****** 1271215711****** ADE NOVITA SARI MEDAN 17|11|**** B P JL SEI BLUTU NO 48-A MEDAN 000 000 0 0

170 1271211010****** 1271210205****** DULLES SITORUS,IR PORSEA 02|05|**** B L JL SEI BLUTU PS IX NO 33 MEDAN 000 000 0 0

171 1271211012****** 1271212111****** DIRAN SOLO 21|11|**** S L JL SEI BLUTU PS IX NO 52-A 000 000 0 0

172 1271211012****** 1271215005****** SUMARMI KLATEN 10|05|**** S P JL SEI BLUTU PS IX NO 52-A 000 000 0 0

173 1271211012****** 1271216309****** CUT MUTHIA MEDAN 23|09|**** B P JL SEI BLUTU GG BERSAMA NO 4 000 000 0 0

174 1271211012****** 1271211401****** NABAWI MEDAN 14|01|**** B L JL SEI BLUTU GG BERSAMA NO 14 000 000 0 0

175 1271211012****** 1271215306****** MAGDALENA DE KOOK AMBON 13|06|**** B P JLSEI BLUTU P IX GPANSEL-5 C 000 000 0 0

176 1271211012****** 1271215203****** REFIATI MEDAN 12|03|**** P P JL SEI BELUTU I NO 52 B 000 000 0 0

177 1271211012****** 1271216809****** RATNA HASANAH MEDAN 28|09|**** B P JL SEI BELUTU I NO 52 B 000 000 0 0

178 1271211101****** 1271211712****** K L UTHAGAMA NAIDU MEDAN 17|12|**** S L JLSEI BLUTU PS IX NO 61 000 000 0 0

179 1271211101****** 1271214612****** SUSILA DEWI MEDAN 06|12|**** S P JLSEI BLUTU PS IX NO 61 000 000 0 0

180 1271211103****** 1271210801****** MHD DENI OVIAFIRNI MEDAN 08|01|**** S L JL SEI BLUTU NO 48 MEDAN 000 000 0 0

181 1271211104****** 1271216503****** HERLIANA MEDAN 25|03|**** S P JLSEI BLUTU GG SUBUR NO 58-B 000 000 0 0

182 1271211104****** 1271210704****** K L VENGEDESRAO MEDAN 07|04|**** S L JL SEI BLUTU PSR IX NO 61 000 000 0 0

183 1271211104****** 1271214801****** MAILAWATHI KARAWANG 08|01|**** S P JL SEI BLUTU PSR IX NO 61 000 000 0 0

184 1271211106****** 1271213101****** SENAN PONOROGO 31|01|**** S L JLSEI BLUTU GGKELUARGA-53-F 000 000 0 0

185 1271211106****** 1271217010****** MARMI PONOROGO 30|10|**** S P JLSEI BLUTU GGKELUARGA-53-F 000 000 0 0

186 1271211106****** 1271210304****** MARYONO PONOROGO 03|04|**** S L JLSEI BLUTU GGKELUARGA-53-F 000 000 0 0

187 1271211106****** 1271216702****** TUTIK MEDAN 27|02|**** B P JLSEI BLUTU GGKELUARGA-53-F 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-004 40 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271211106****** 1271210106****** SISWANTO MEDAN 01|06|**** B L JLSEI BLUTU GGKELUARGA-53-F 000 000 0 0

189 1271211106****** 1271214305****** SRI HARTATI MEDAN 03|05|**** S P JLN SEI BLUTU PS IX NO 49 000 000 0 0

190 1271211107****** 1271217004****** SRI WULANDARI MEDAN 30|04|**** B P JL SEI BLUTU PASAR IX NO 49 000 000 0 0

191 1271211108****** 1271211703****** GANESEN MEDAN 17|03|**** S L JL. SEI BLUTU GG. KELUARGA NO. 53A 000 000 0 0

192 1271211108****** 1271214505****** SANDA KUMARI MEDAN 05|05|**** S P JL. SEI BLUTU GG. KELUARGA NO. 53A 000 000 0 0

193 1271211108****** 1271215904****** NISA MEDAN 19|04|**** B P JL. SEI BLUTU GG. KELUARGA NO. 53A 000 000 0 0

194 1271211108****** 1271216810****** SARIKA MEDAN 28|10|**** B P JL. SEI BLUTU GG. KELUARGA NO. 53A 000 000 0 0

195 1271211201****** 1271211201****** BERLIN HUSSIN SINAGA TANJUNG ENIM 12|01|**** S L JL SEI BLUTU PS IX NO 55 A 000 000 0 0

196 1271211201****** 1271214108****** RUMONDANG ROSITA SIMANJUNTAK P BRANDAN 01|08|**** S P JL SEI BLUTU PS IX NO 55 A 000 000 0 0

197 1271211204****** 1271211804****** JAYA RAHMAN MEDAN 18|04|**** S L JL SEI BLUTU GG SUBUR NO 58-A 000 000 0 0

198 1271211204****** 1271216906****** SUGENTI DEWI MEDAN 29|06|**** S P JL SEI BLUTU GG SUBUR NO 58-A 000 000 0 0

199 1271211204****** 1271214605****** SANTA KUMARI MEDAN 06|05|**** B P JL SEI BLUTU GG SUBUR NO 58-A 000 000 0 0

200 1271211204****** 1271212205****** PRAWINDRA WAREN MEDAN 22|05|**** B L JL SEI BLUTU GG SUBUR NO 58-A 000 000 0 0

201 1271211210****** 1271210101****** ROBBY PAMUNGKAS P.BRANDAN 01|01|**** B L JL SEI BLUTU GG BILAL NO 6 000 000 0 0

202 1271211302****** 1206156803****** ELLA ANGGREINI MEDAN 28|03|**** S P JL SEI BLUTU PASAR IX NO 49 000 000 0 0

203 1271211304****** 1271216712****** ENNI PUSPITASARI MEDAN 27|12|**** S P JL. SEI BLUTU GG. SUBUR NO. 58-E 000 000 0 0

204 1271211304****** 1271216811****** SYAHLOUM BELLA FAHIRA MEDAN 28|11|**** B P JL. SEI BLUTU GG. SUBUR NO. 58-E 000 000 0 0

205 1271211305****** 1271212204****** EFRAIM ALEXANDER HABASAON G MAGELANG 22|04|**** B L JL SEI BLUTU PSR IX NO 36 B 000 000 0 0

206 1271211309****** 1271211011****** NGADIMAN SOHARI MEDAN 10|11|**** S L JL SEI BLUTU GG SUBUR NO 58C 000 000 0 0

207 1271211309****** 1271215701****** KEMALA DEWI MEDAN 17|01|**** S P JL SEI BLUTU GG SUBUR NO 58C 000 000 0 0

208 1271211309****** 1271216506****** DWI AYUNDA MEDAN 25|06|**** B P JL SEI BLUTU GG SUBUR NO 58C 000 000 0 0

209 1271211311****** 1271215806****** DINA ARISCA MEDAN 18|06|**** B P JL. SEI BLUTU PSR IX NO. 87 000 000 0 0

210 1271211311****** 1271212003****** SUTRISNO MEDAN 20|03|**** S L JL SEI BLUTU PS IX NO 47 000 000 0 0

211 1271211311****** 1271214505****** RINAWATI MEDAN 05|05|**** S P JL SEI BLUTU PS IX NO 47 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-004 41 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271211311****** 1271215012****** MIFTA MARDIYAH MEDAN 10|12|**** B P JL SEI BLUTU PS IX NO 47 000 000 0 0

213 1271211312****** 1271211512****** WIDODO SOLO 15|12|**** S L JL SEI BLUTU GG KELUARGA NO 53C 000 000 0 0

214 1271211312****** 1271216805****** NURHAYATI MEDAN 28|05|**** S P JL SEI BLUTU GG KELUARGA NO 53C 000 000 0 0

215 1271211312****** 1271211111****** MOHD KHADAFI MEDAN 11|11|**** B L JL SEI BLUTU GG KELUARGA NO 53C 000 000 0 0

216 1271211312****** 1271215507****** WIDYA DWI HANDAYANI MEDAN 15|07|**** B P JL SEI BLUTU GG KELUARGA NO 53C 000 000 0 0

217 1271211402****** 1271211103****** HADIARTO BALIGE 11|03|**** S L JL. SEI BLUTU PSR IX GG. PANSEL NO. 3 000 000 0 0

218 1271211402****** 1271214301****** ALMAH MEDAN 03|01|**** S P JL. SEI BLUTU PSR IX GG. PANSEL NO. 3 000 000 0 0

219 1271211402****** 1271216610****** EKA WAHYUNI S MEDAN 26|10|**** B P JL. SEI BLUTU PSR IX GG. PANSEL NO. 3 000 000 0 0

220 1271211402****** 1271210410****** HENDRA SETIAWAN MEDAN 04|10|**** B L JL. SEI BLUTU PSR IX GG. PANSEL NO. 3 000 000 0 0

221 1271211402****** 1271215301****** TRI HARTATI MEDAN 13|01|**** B P JL. SEI BLUTU PSR IX GG. PANSEL NO. 3 000 000 0 0

222 1271211403****** 1271212111****** NOVRIZAL PRABOWO MEDAN 21|11|**** B L JL SEI BLUTU PS IX NO 68 000 000 0 0

223 1271211403****** 1207055704****** YUYUN ANGGREINI SILAU DUNIA 17|04|**** B P JL SEI BLUTU PS IX NO 68 000 000 0 0

224 1271211404****** 1271213008****** FAUZAN HENDARWINTO MEDAN 30|08|**** S L JL SEI BLUTU PSR IX NO 59-A 000 000 0 0

225 1271211404****** 1271206606****** ERA MARIYANA MEDAN 26|06|**** S P JL SEI BLUTU PSR IX NO 59-A 000 000 0 0

226 1271211405****** 1271211306****** JOHN PIETER PANJAITAN, SP MEDAN 13|06|**** B L JL SEI BLUTU I NO 38 000 000 0 0

227 1271211408****** 1271211306****** EGA DWI PRAYOGO MEDAN 13|06|**** B L JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

228 1271211409****** 1271210705****** HENDRY DODI MEDAN 07|05|**** S L JLSEI BLUTU GGBERSAMA NO87C 000 000 0 0

229 1271211411****** 1271215404****** RINI SUARSIH MEDAN 14|04|**** B P JL SEI BLUTU PS IX NO 49 000 000 0 0

230 1271210902****** 1271210208****** AZLAN NAUVAL NUBLI MEDAN 02|08|**** B L JL SEI BLUTU PSR IX NO 58 002 002 0 0

231 1271211101****** 1271212009****** U.S.RAJKANT NAIDU MEDAN 20|09|**** B L JLSEI BLUTU PS IX NO 61 002 002 0 0

232 1271210308****** 1271211801****** SETHURAMEN MEDAN 18|01|**** B L JL SEI BLUTU PSR IX NO 59 003 002 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 232 Jenis Kelamin = 232 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 101 L : Laki-Laki = 118 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 120 P : Perempuan = 114 KETUA

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-004 42 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13
3: Tuna Rungu/Wicara P : Pernah Kawin = 11
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 103 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-004 43 / 276
MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 005
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271210204****** 1271192707****** FRANKY SIMATUPANG KUTACANE 27|07|**** S L JL SEI BELUTU NO 79 000 000 0 0

2 1271210204****** 1271192305****** NIKO RUDIANTO SIMATUPANG JAKARTA 23|05|**** B L JL SEI BELUTU NO 79 000 000 0 0

3 1271210304****** 1271214909****** ROSMAYATI TASIKMALAYA 09|09|**** S P JL SEI BLUTU GG BILAL NO 2 000 000 0 0

4 1271210509****** 1271211007****** ALFRED SITORUS SIRAITURUK 10|07|**** S L JL SEI BLUTU PS IX NO 64 000 000 0 0

5 1271210509****** 1271217011****** THERESIA SITORUS MEDAN 30|11|**** B P JL SEI BLUTU PS IX NO 64 000 000 0 0

6 1271210906****** 1271215202****** DEWI PUSPASARI MEDAN 12|02|**** S P JL SEI BLUTU GG BILAL NO 79 000 000 0 0

7 1271211711****** 1271216610****** ELISA FARAH PANE MEDAN 26|10|**** S P JL.SEI BLUTU PS.IX NO.114 000 000 0 0

8 1271211803****** 1271212108****** SUPARMAN MEDAN 21|08|**** S L JL SEI BLUTU PSR IX NO 78 000 000 0 0

9 1271211804****** 1271211404****** SYAMSUL PASURUAN 14|04|**** S L JL SEI BLUTU PS IX NO 17-F MEDAN 000 000 0 0

10 1271211804****** 1271215508****** RENY SAFITRI MEDAN 15|08|**** S P JL SEI BLUTU PS IX NO 7-F MEDAN 000 000 0 0

11 1271211804****** 1271215905****** PIPIN SUSANTI MEDAN 19|05|**** B P JL SEI BLUTU PS IX NO 17-F MEDAN 000 000 0 0

12 1271211804****** 1271211603****** TACHRIZAL MEDAN 16|03|**** S L JL SEI BLUTU PSR IX NO 73 MEDAN 000 000 0 0

13 1271211804****** 1271216601****** SRI ROCHAYATI TETI DEVIANTI MEDAN 26|01|**** S P JL SEI BLUTU PSR IX NO 73 MEDAN 000 000 0 0

14 1271211804****** 1271212912****** MUHAMMAD AFIF GIFFARI MEDAN 29|12|**** B L JL SEI BLUTU PSR IX NO 73 MEDAN 000 000 0 0

15 1271211804****** 1271213101****** MUHAMMAD RAIHAN MEDAN 31|01|**** B L JL SEI BLUTU PSR IX NO 73 MEDAN 000 000 0 0

16 1271211804****** 1271210203****** PARYOTO MEDAN 02|03|**** S L JL. SEI BLUTU PSR IX NO. 76 000 000 0 0

17 1271211804****** 1271215702****** NINFA SYAFITRI MEDAN 17|02|**** B P JL. SEI BLUTU PSR IX NO. 76 000 000 0 0

18 1271211804****** 1271212812****** POETRA YOGI HALIANDRA BANDUNG 28|12|**** S L JLSEI BLUTU NO 96 A MEDAN 000 000 0 0

19 1271211804****** 1271216502****** FEBIOLA HALIANDRA MEDAN 25|02|**** B P JLSEI BLUTU NO 96 A MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-005 44 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271211804****** 1271212502****** MUHAMMAD YOGI REZKY HALIANDRA MEDAN 25|02|**** B L JLSEI BLUTU NO 96 A MEDAN 000 000 0 0

21 1271211804****** 1271210303****** RYANZIE INDIGO HALIANDRA JAKARTA 03|03|**** B L JLSEI BLUTU NO 96 A MEDAN 000 000 0 0

22 1271211806****** 1271210910****** M MUSA MARIKE 09|10|**** S L JL. SEI BLUTU PSR IX G. BERSAMA 000 000 0 0

23 1271211806****** 1271216607****** WINDA LESTARI MEDAN 26|07|**** B P JL. SEI BLUTU PSR IX G. BERSAMA 000 000 0 0

24 1271211806****** 1271215509****** SELPIANI MEDAN 15|09|**** B P JL. SEI BLUTU PSR IX G. BERSAMA 000 000 0 0

25 1271211809****** 1271210303****** SUTRISNO MEDAN 03|03|**** S L JL SEI BELUTU GG BERSAMA NO 87-H 000 000 0 0

26 1271211809****** 1271211001****** DIOPRANATA MEDAN 10|01|**** B L JL SEI BELUTU GG BERSAMA NO 87-H 000 000 0 0

27 1271211809****** 1271215902****** DEPY PRASISTY MEDAN 19|02|**** B P JL SEI BELUTU GG BERSAMA NO 87-H 000 000 0 0

28 1271211812****** 1271210511****** DHANI PERWIRASH MEDAN 05|11|**** S L JLSEI BLUTU GGBILAL NO 000 000 0 0

29 1271211812****** 1271215807****** UMI KALSUMSP UJUNG PANDANG 18|07|**** S P JLSEI BLUTU GGBILAL NO 000 000 0 0

30 1271211904****** 1271211001****** ABDI JONATHAN GIRSANG MEDAN 10|01|**** B L JL SEI BLUTU PSR IX NO 31H 000 000 0 0

31 1271211904****** 1271212506****** MHD FREDY MEDAN 25|06|**** S L J LSEI BLUTU GG BERSAMA NO.83-D 000 000 0 0

32 1271211904****** 1271211502****** MUHAMMAD FADLI MEDAN 15|02|**** S L JL SEI BLUTU GG BERSAMA NO 22 000 000 0 0

33 1271211905****** 1271210908****** SOPIAN SORI EFENDI MEDAN 09|08|**** S L JL SEI BLUTU PSR IX GG BERSAMA 000 000 0 0

34 1271211905****** 1271210903****** RIKI RIKARDO PADANG 09|03|**** B L JL SEI BLUTU PSR IX GG BERSAMA 000 000 0 0

35 1271211905****** 1271213012****** MARPAL EKRIADI PADANG 30|12|**** B L JL SEI BLUTU PSR IX GG BERSAMA 000 000 0 0

36 1271211905****** 1271216012****** FITRI ANTI PADANG 20|12|**** S P JL SEI BLUTU PSR IX GG BERSAMA 000 000 0 0

37 1271211907****** 1271211712****** BENNY DASWELYSE LUBUK SIKAPING 17|12|**** S L JLSEI BLUTU PSRIX NO88 000 000 0 0

38 1271211911****** 1271210907****** MOHAMMAD RAZA MEDAN 09|07|**** B L P BULAN SELAYANG I 000 000 0 0

39 1271212001****** 1271213101****** PARDAMAN MEDAN 31|01|**** S L JLN SEI BLUTU PSR IX NO 61 MEDAN 000 000 0 0

40 1271212001****** 1271216312****** DJAYA LETJIMI MEDAN 23|12|**** S P JLN SEI BLUTU PSR IX NO 61 MEDAN 000 000 0 0

41 1271212001****** 1271212309****** PJ WIJEKUMARA NAIDU MEDAN 23|09|**** B L JLN SEI BLUTU PSR IX NO 61 MEDAN 000 000 0 0

42 1271212001****** 1271213108****** P J PERGAS PADAGONE NAIDU MEDAN 31|08|**** B L JLN SEI BLUTU PSR IX NO 61 MEDAN 000 000 0 0

43 1271212001****** 1271204208****** YULISTRIANA, AMd PKL.BRANDAN 02|08|**** S P JLSEI BLUTU PSIX NO9 B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-005 45 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271212001****** 1271211004****** PONIRAN MEMBANG MUDA 10|04|**** S L JL SEI BELUTU GG BERSAMA NO 20 000 000 0 0

45 1271212001****** 1271025404****** VIVIN ANDRIANI MEDAN 14|04|**** S P JL SEI BELUTU GG BERSAMA NO 20 000 000 0 0

46 1271212001****** 1271210511****** HERMAN RONALD M PANJAITAN, SH MEDAN 05|11|**** B L JL. SEI BLUTU PSR IX NO. 77 MEDAN 000 000 0 0

47 1271212003****** 1271211303****** HUSNI, SH MEDAN 13|03|**** S L JL SEI BLUTU GG BILAL NO 90 000 000 0 0

48 1271212003****** 1271210409****** ABD HARITH HUSIN MEDAN 04|09|**** B L JL SEI BLUTU GG BILAL NO 90 000 000 0 0

49 1271212003****** 1271211610****** SARFENS LAUT TADOR 16|10|**** B L JL SEI BLUTU GG BILAL NO 90 000 000 0 0

50 1271212003****** 1271212710****** FACHRI RIZAL MEDAN 27|10|**** B L JLSEI BLUTU GG BILAL NO 90 000 000 0 0

51 1271212003****** 1271216712****** DEVIDAH HASANAH MEDAN 27|12|**** B P JL SEI BLUTU GG BILAL NO 90 000 000 0 0

52 1271212004****** 1271217006****** SRI NINGSIH MEDAN 30|06|**** S P JLSEI BLUTU GGKELUARGA-55 D 000 000 0 0

53 1271212004****** 1271212504****** BUDI SYAHPUTRA MEDAN 25|04|**** B L JLSEI BLUTU GGKELUARGA-55 D 000 000 0 0

54 1271212005****** 1271214603****** BESTINA BR TAMBUNAN MEDAN 06|03|**** S P JL. SEI BLUTU PSR IX NO. 90-A 000 000 0 0

55 1271212009****** 1271213112****** SYAFRIL PADANG 31|12|**** S L JL SEI BLUTU NO 70-B MEDAN 000 000 0 0

56 1271212009****** 1271216301****** HARTINI PEMATANG SIANTAR 23|01|**** S P JL SEI BLUTU NO 70-B MEDAN 000 000 0 0

57 1271212010****** 1271210610****** NAZARUDDIN P BRANDAN 06|10|**** S L JL SEI BLUTU I NO 73 000 000 0 0

58 1271212010****** 1271210607****** RAZAK MIRAZA MEDAN 06|07|**** B L JL SEI BLUTU I NO 73 000 000 0 0

59 1271212011****** 1271215406****** ROHANI KISARAN 14|06|**** P P JLSEI BLUTU GGBERSAMA NO 4 000 000 0 0

60 1271212011****** 1271211012****** ABDUL HARIS MARGOLANGSE KISARAN 10|12|**** B L JLSEI BLUTU GGBERSAMA NO 4 000 000 0 0

61 1271212011****** 1271216011****** FAUZIAH LATIFAH HANUM MEDAN 20|11|**** B P JLSEI BLUTU GGBERSAMA NO 4 000 000 0 0

62 1271212011****** 1271210607****** HERMAN OZI SAHPUTRA MEDAN 06|07|**** B L JLSEI BLUTU GGBERSAMA NO 4 000 000 0 0

63 1271212101****** 1271210301****** AMINUDDINDRS PANGKALAN SUSU 03|01|**** S L JLSEI BELUTU GGBILAL NO6 000 000 0 0

64 1271212101****** 1271214208****** JULIANA PANGKALAN SUSU 02|08|**** S P JLSEI BELUTU GGBILAL NO6 000 000 0 0

65 1271212101****** 1271216701****** HILMI YATURRAHMAH MEDAN 27|01|**** B P JLSEI BELUTU GGBILAL NO6 000 000 0 0

66 1271212101****** 1271215507****** HIDAYATUSSAKINAH RANTAU PERAPAT 15|07|**** B P JLSEI BELUTU GGBILAL NO6 000 000 0 0

67 1271212101****** 1271216709****** RIZKY DARA ATIKAH MEDAN 27|09|**** B P JLSEI BLUTU PS IX NO 47 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-005 46 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271212102****** 1271211707****** IRSAN DANI HIDAYAT MEDAN 17|07|**** S L JL SEI BELUTU GG BILAL NO.88 000 000 0 0

69 1271212102****** 1271214410****** IR,FARDIAH AYU MEDAN 04|10|**** S P JL SEI BELUTU GG BILAL NO.88 000 000 0 0

70 1271212107****** 1271213001****** RAMLI ABDUL RAHMAN MEDAN 30|01|**** S L JL SEI BLUTU PS IX NO 64 000 000 0 0

71 1271212108****** 1271210505****** MUKIYO WONOGIRI 05|05|**** S L JL SEI BLUTU PS IX MEDAN 000 000 0 0

72 1271212108****** 1271214401****** SUKINAH WONOGIRI 04|01|**** S P JL SEI BLUTU PS IX MEDAN 000 000 0 0

73 1271212108****** 1271215705****** OMAS BERLIANA SITORUS MEDAN 17|05|**** S P JLSEI BLUTU PSIX NO90-A 000 000 0 0

74 1271212108****** 1271216006****** RIRI TABITHA SEMARANG 20|06|**** B P JLSEI BLUTU PSIX NO90-A 000 000 0 0

75 1271212108****** 1271216510****** TANNIA FRANSISKA SINAGA BANDUNG 25|10|**** B P JLSEI BLUTU PSIX NO90-A 000 000 0 0

76 1271212108****** 1271212307****** RIO GABRIEL NOEGROHO SINAGA MEDAN 23|06|**** B L JLSEI BLUTU PSIX NO90-A 000 000 0 0

77 1271212108****** 1271216609****** RIANA MAGDALENA ROULINA SINAGA MEDAN 26|09|**** B P JLSEI BLUTU PSIX NO90-A 000 000 0 0

78 1271212109****** 1206152012****** SRY BUDY P. SIANTAR 20|12|**** B P JL SEI BELUTU PSR IX NO 97 000 000 0 0

79 1271212201****** 1271212101****** SUHARNO MEDAN 21|01|**** S L JL SEI BLUTU PS IX NO 76 MDN 000 000 0 0

80 1271212201****** 1271214104****** SARI ARMAINI SIREGAR MEDAN 01|04|**** S P JL SEI BLUTU PS IX NO 76 MDN 000 000 0 0

81 1271212201****** 1271210102****** ABDULLAH RACHMAN ASHAARI MEDAN 01|02|**** B L JL SEI BLUTU PS IX NO 76 MDN 000 000 0 0

82 1271212201****** 1271214606****** NURUL FAHDILLA MEDAN 06|06|**** B P JL SEI BLUTU PS IX NO 76 MDN 000 000 0 0

83 1271212203****** 1271216903****** IDA SANTHYP KUTA BULUH 29|03|**** S P JLSBLUTU PSIX GBERSAMA- 2B 000 000 0 0

84 1271212203****** 1271215808****** SYAFRIDA MEDAN 18|08|**** S P JL SEI BLUTU NO 77-A MEDAN 000 000 0 0

85 1271212203****** 1271210111****** M SYAUQI MEDAN 01|11|**** B L JL SEI BLUTU NO 77-A MEDAN 000 000 0 0

86 1271212203****** 1271210511****** H MULYONO P.SAMBU 05|11|**** S L JL SEI BLUTU PSR IX NO 81 000 000 0 0

87 1271212203****** 1271217007****** HJ YUSLIANA DALIMUNTHE BELAWAN 30|07|**** S P JL SEI BLUTU PSR IX NO 81 000 000 0 0

88 1271212203****** 1271212701****** RUDI RAHMANDA BINJAI 27|01|**** S L JL SEI BLUTU PSR IX NO 81 000 000 0 0

89 1271212203****** 1174020809****** REZA AFRIZAL LANGSA 08|09|**** B L JL SEI BLUTU PSR IX NO 46 000 000 0 0

90 1271212209****** 1271211110****** ACHJAR AHMAD RIDWANSH TANJUNG PURA 11|10|**** S L JLSEI BLUTU NO 73 MEDAN 000 000 0 0

91 1271212209****** 1271215711****** HJALFIDAIR P BRANDAN 17|11|**** S P JLSEI BLUTU NO 73 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-005 47 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271212211****** 1271100506****** HIDAYAT MEDAN 05|06|**** S L JL SEI BLUTU GG BERSAMA 83 D 000 000 0 0

93 1271212211****** 1271214309****** NOVITA SARI MEDAN 03|09|**** S P JL SEI BLUTU GG BERSAMA 83 D 000 000 0 0

94 1271212302****** 1271214306****** MISIEM TAKENGON 03|06|**** S P JLSEI BLUTU GGBERSAMA-83 D 000 000 0 0

95 1271212305****** 1271210405****** ABDUL ROZAK PANGGABEAN MEDAN 04|05|**** S L JLSEI BLUTU GGBERSAMA NO 4 000 000 0 0

96 1271212305****** 1271216810****** MURNIATI MEDAN 28|10|**** P P JL SEI BLUTU MELINTANG II NO 77 D 000 000 0 0

97 1271212305****** 1271214311****** DARMAYANI MEDAN 03|11|**** B P JL SEI BLUTU MELINTANG II NO 77 D 000 000 0 0

98 1271212306****** 1271212404****** ZULFIKAR AMRI MEDAN 24|04|**** S L JLSEI BLUTU GANG BILAL NO 98 E 000 000 0 0

99 1271212308****** 1271212101****** RUDI RAHMANDAIR BINJAI 21|01|**** S L JLSEI BLUTU PSIX NO8 MEDAN 000 000 0 0

100 1271212308****** 1271210509****** RINALDI ANDRIAN MEDAN 05|09|**** B L JLSEI BLUTU PSIX NO8 MEDAN 000 000 0 0

101 1271212308****** 1271211210****** DICKY RIVANDA MAKASAR 12|10|**** B L JLSEI BLUTU PSIX NO8 MEDAN 000 000 0 0

102 1271212308****** 1271214303****** ELVINA INDRAWATI MEDAN 03|03|**** S P JL SEI BLUTU GG BILAL NO 99 000 000 0 0

103 1271212401****** 1271216309****** DIVIA MAITRI KARUNIA MEDAN 23|09|**** B P JLSEI BLUTU PS IX NO 59 000 000 0 0

104 1271212401****** 1271214507****** SAPNA MAITRI KARUNA MEDAN 05|07|**** B P JLSEI BLUTU PS IX NO 59 000 000 0 0

105 1271212404****** 1271211603****** ALDI ANGGARA MEDAN 16|03|**** B L JLSEI BLUTU PSIX NO 49-F 000 000 0 0

106 1271212408****** 1271215801****** ROSMIATI MEDAN 18|01|**** P P JL SEI BLUTU GG BILAL NO 1 000 000 0 0

107 1271212408****** 1271213108****** YUDI INDRAWAN, SE MEDAN 31|08|**** S L JL SEI BLUTU GG BILAL NO 1 000 000 0 0

108 1271212408****** 1271214306****** HESTY AMALIA, SE P. SIANTAR 03|06|**** S P JL SEI BLUTU GG BILAL NO 1 000 000 0 0

109 1271212408****** 1271210909****** BAMBANG SUSILO MEDAN 09|09|**** B L JL SEI BLUTU PS IX GG BILAL NO 6 000 000 0 0

110 1271212409****** 1271214506****** SRI JUNAINI MEDAN 05|06|**** B P JLN SEI BLUTU PS IX NO 49 000 000 0 0

111 1271212409****** 1271217112****** AMARABATI DELI TUA 31|12|**** P P JL SEI ULAR BARU NO 90 B 000 000 0 0

112 1271212409****** 1271211906****** PERUMAL MEDAN 19|06|**** S L JL SEI ULAR BARU NO 90 B 000 000 0 0

113 1271212409****** 1271217112****** PARMISPRI MEDAN 31|12|**** P P JL SEI ULAR BARU NO 90 B 000 000 0 0

114 1271212409****** 1271210911****** SURIS KUMAR MEDAN 09|11|**** B L JL SEI ULAR BARU NO 90 B 000 000 0 0

115 1271212409****** 1271212605****** RAMA CHANDREN MEDAN 26|05|**** B L JL SEI ULAR BARU NO 90 B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-005 48 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271212503****** 1271211712****** MUHAMMAD ASWIN ST MEDAN 17|12|**** S L JL SEI BLUTU PSR IX NO 82 000 000 0 0

117 1271212503****** 1271212203****** ANDI MAULANA KARO-KARO MEDAN 22|03|**** S L JL SEI BLUTU PS IX-MELINTANG NO 3 000 000 0 0

118 1271212504****** 1271211606****** HASUDUNGAN SITORUS SIRAITURUK 16|06|**** S L JL SEI BLUTU PS IX NO 64 000 000 0 0

119 1271212507****** 1271210106****** ITANG YUNAS SUPARMAN TASIKMALAYA 01|06|**** S L JL SEI BLUTU GG BILAL NO 6/B 000 000 0 0

120 1271212507****** 1271216003****** ROBIAH JAKARTA 20|03|**** S P JL SEI BLUTU GG BILAL NO 6/B 000 000 0 0

121 1271212507****** 1271213006****** ABDUL MUTHALIB, SE MEDAN 30|06|**** S L JL SEI BLUTU GG BILAL NO 99 000 000 0 0

122 1271212507****** 1271217108****** SITI ENDANG RUSNITA P. SIANTAR 31|08|**** S P JL SEI BLUTU GG BILAL NO 99 000 000 0 0

123 1271212507****** 1271211905****** MUHAMMAD HAFIZ MEDAN 19|05|**** B L JL SEI BLUTU GG BILAL NO 99 000 000 0 0

124 1271212507****** 1271210807****** YUSHARIANTO, SE MEDAN 08|07|**** S L JL SEI BLUTU GG BERSAMA NO 87-B 000 000 0 0

125 1271212510****** 1271217101****** YOLANDA SAFITRI BR KS MEDAN 31|01|**** B P JL SEI BLUTU PS IX NO 68 000 000 0 0

126 1271212604****** 1271216211****** SUSILAWATI MEDAN 22|11|**** S P JL SEI BELUTU NO 76 000 000 0 0

127 1271212604****** 1271021505****** DARMAWAN MEDAN 15|05|**** S L JL SEI BELUTU NO 76 000 000 0 0

128 1271212606****** 1271210612****** WIDODO SUWARNO SUKOHARJO 06|12|**** S L JL. SEI BLUTU PSR IX NO. 88 000 000 0 0

129 1271212606****** 1271215606****** SURATMI SUKOHARJO 16|06|**** S P JL. SEI BLUTU PSR IX NO. 88 000 000 0 0

130 1271212606****** 1271212412****** WAWAN HERI SUMADI SUKOHARJO 24|12|**** B L JL. SEI BLUTU PSR IX NO. 88 000 000 0 0

131 1271212606****** 1271210403****** SUTARMIN SUKOHARJO 04|03|**** B L JL. SEI BLUTU PSR IX NO. 88 000 000 0 0

132 1271212606****** 1271210110****** INDRA SAKTI MEDAN 01|10|**** B L JL. SEI BLUTU PSR IX NO. 88 000 000 0 0

133 1271212607****** 1271210108****** HASAN DIAPARI HARAHAP TAPSEL 01|08|**** S L JL SEI BLUTU GG BERSAMA NO 87 000 000 0 0

134 1271212607****** 1271216208****** MALAHAYATI HARAHAP HUTAIMBARU 22|08|**** B P JL SEI BLUTU GG BERSAMA NO 87 000 000 0 0

135 1271212607****** 1271210505****** ASNAN HASIAN HARAHAP GUNUNG TUA 05|05|**** B L JL SEI BLUTU GG BERSAMA NO 87 000 000 0 0

136 1271212607****** 1271210109****** REZKY IBRAHIM SIREGAR GUNUNG TUA 01|09|**** B L JL SEI BLUTU GG BERSAMA NO 87 000 000 0 0

137 1271212609****** 1271211606****** MUHAMMAD RISWAN, ST MEDAN 16|06|**** S L JL SEI BLUTU GG BERSAMA NO 87 B 000 000 0 0

138 1271212609****** 1271215911****** NOVI SANTI MEDAN 19|11|**** S P JL SEI BLUTU GG BERSAMA NO 87 B 000 000 0 0

139 1271212609****** 1271210810****** NANDA PRAYOGA MEDAN 08|10|**** B L JL SEI BLUTU GG BERSAMA NO 87 B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-005 49 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212610****** 1271212110****** RUSYADI USMAN MEDAN 21|10|**** S L JL SEI BLUTU NO.89 MEDAN LK I B 000 000 0 0

141 1271212610****** 1271216707****** JULIZAH PULUNGAN MEDAN 27|07|**** S P JL SEI BLUTU NO.89 MEDAN LK I B 000 000 0 0

142 1271212610****** 1271216002****** FEBY ADLIYANTI DKI JAKARTA 20|02|**** B P JL SEI BLUTU NO.89 MEDAN LK I B 000 000 0 0

143 1271212610****** 1271213009****** ARY PRASETYO SYAHPUTRA DKI JAKARTA 30|09|**** B L JL SEI BLUTU NO.89 MEDAN LK I B 000 000 0 0

144 1271212610****** 1271211806****** ANDY RIZKY YUDIANSYAH DKI JAKARTA 18|06|**** B L JL SEI BLUTU NO.89 MEDAN LK I B 000 000 0 0

145 1271212610****** 1271210601****** REYHAN EGY SYAHPUTRA JAKARTA 06|01|**** B L JL SEI BLUTU NO.89 MEDAN LK I B 000 000 0 0

146 1271212612****** 1271212808****** VIDYARTONO DWI PURNOMO MEDAN 28|08|**** B L JL SEI BLUTU PSR IX NO 74 000 000 0 0

147 1271212703****** 1271211212****** NASRUL BUKITTINGGI 12|12|**** S L JL. SEI BLUTU PSR IX GG. BILAL NO. 6-B 000 000 0 0

148 1271212703****** 1271214604****** DEWI ASTUTI MEDAN 06|04|**** S P JL. SEI BLUTU PSR IX GG. BILAL NO. 6-B 000 000 0 0

149 1271212703****** 1271213112****** JULIANNUS SIAHAAN TELUK DALAM 31|12|**** S L JL SEI BLUTU GG BERSAMA 000 000 0 0

150 1271212703****** 1271216101****** IMAWATI HARTATI DANAU SIJABUT 21|01|**** S P JL SEI BLUTU GG BERSAMA 000 000 0 0

151 1271212704****** 1271212312****** JOKO SAPRIYANTO SEI MANGKA 23|12|**** B L JLSEI BLUTU GGBERSAMA NO 89 000 000 0 0

152 1271212707****** 1271211005****** EKA TRIWADI KISARAN 10|05|**** S L JL. SEI BLUTU NO. 56-B 000 000 0 0

153 1271212711****** 1271212811****** MUHAMMAD ROEM USMAN MEDAN 28|11|**** S L JL SEI BELUTU PSR IX NO 97 000 000 0 0

154 1271212711****** 1271216810****** TUTY SURIATI P. SIANTAR 28|10|**** S P JL SEI BELUTU PSR IX NO 97 000 000 0 0

155 1271212802****** 1271210805****** ANTONY ROBINSON PANJAITAN SABANG 08|05|**** S L JLSEI BLUTU PS IX NO 77 000 000 0 0

156 1271212802****** 1271210108****** RASUL HAMIDI CACANG 01|08|**** S L JL SEI BLUTU PS IX GG BERSAMA 000 000 0 0

157 1271212802****** 1306011703****** RAHMAT FAUZI CACANG TINGGI 17|03|**** B L JL SEI BLUTU PS IX GG BERSAMA 000 000 0 0

158 1271212803****** 1271211901****** LEOPOLD ROY HUTAHAYAN MEDAN 19|01|**** S L JLSEI BLUTU PSIX MEDAN 000 000 0 0

159 1271212804****** 1271215111****** NOVIDA MEDAN 11|11|**** S P JL SEI BLUTU GG BERSAMA NO 14 000 000 0 0

160 1271212808****** 1271212407****** IWAN SETIAWAN SARAGIH MEDAN 24|07|**** P L JL SEI BLUTU NO 95 MEDAN 000 000 0 0

161 1271212810****** 1271210210****** FAISAL HADY MEDAN 02|10|**** S L JL. SEI BLUTU GG. BILAL NO. 97-B 000 000 0 0

162 1271212811****** 1271211211****** YOPI TONI SAMPULBSC MANADO 12|11|**** S L JLSEI BLUTU PS IX NO 92 000 000 0 0

163 1271212811****** 1271212402****** FRANS FERNANDO TEBING TINGGI 24|02|**** B L JLSEI BLUTU PS IX NO 92 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-005 50 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212811****** 1271216903****** GRACE MARIA KISARAN 29|03|**** B P JLSEI BLUTU PS IX NO 92 000 000 0 0

165 1271212811****** 1271215405****** RIANA SIREGAR SIPIROK 14|05|**** P P JL SEI BLUTU PS IX NO 77 C 000 000 0 0

166 1271212811****** 1271211512****** JAFAR SYAHBUDDIN RITONGA MEDAN 15|12|**** P L JL SEI BLUTU PS IX NO 77 C 000 000 0 0

167 1271212812****** 1271215605****** DINDA AMANDA MEDAN 16|05|**** B P JL SEI BLUTU PSR IX NO 56A 000 000 0 0

168 1271212812****** 1271212411****** SUVIANTO HENDRI LESMANA DR MEDAN 24|11|**** S L JLSEI BLUTU PS IX NO 93 000 000 0 0

169 1271212812****** 1271215708****** OKI LESTARI IRSAN DR MEDAN 17|08|**** S P JLSEI BLUTU PS IX NO 93 000 000 0 0

170 1271212902****** 1271211901****** KRISNA MURTI MEDAN 19|01|**** S L JLSEI BLUTU-SEI ULAR BARU-88D 000 000 0 0

171 1271212902****** 1271212605****** ALEGEN CHANDREN MEDAN 26|05|**** B L JLSEI BLUTU-SEI ULAR BARU-88D 000 000 0 0

172 1271212903****** 1271214201****** HJ MASNIAH SIREGAR MEDAN 02|01|**** P P JL SEI BLUTU PSR IX NO 98 000 000 0 0

173 1271212903****** 1271011311****** ACHMAD HADYAN BICHMAN MEDAN 13|11|**** B L JL SEI BLUTU PSR IX NO 98 000 000 0 0

174 1271212903****** 1102020612****** WIRO BATIN NAPITUPULU LAWE SIGALA TIMUR 06|12|**** B L JL.SEI BELUTU PSR IX 18 MEDAN 000 000 0 0

175 1271212903****** 1102052111****** SUPRIYANTO TOGUSANJAYA JAKARTA 21|11|**** B L JL.SEI BELUTU PSR IX 18 MEDAN 000 000 0 0

176 1271212905****** 1271210201****** RAJARAM MEDAN 02|01|**** S L JLSEI BELUTU MELINTANG II-88D 000 000 0 0

177 1271212912****** 1271212712****** FAZAR ISWARA MEDAN 27|12|**** B L JL. SEI BLUTU PSR IX NO. 49 H 000 000 0 0

178 1271213003****** 1271212102****** NAZARUDDIN SIMANJUNTAKDRS P. SIANTAR 21|02|**** S L JLSEI BELUTU GG BERSAMA NO 20 000 000 0 0

179 1271213003****** 1271211502****** MUHAMMAD IHSAN FADIL HUMAIDIS MEDAN 15|02|**** B L JLSEI BELUTU GG BERSAMA NO 20 000 000 0 0

180 1271213004****** 1271211504****** SLAMET RIYANTO MEDAN 15|04|**** S L JL SEI BLUTU PSR IX NO 74 000 000 0 0

181 1271213004****** 1271214201****** TINA LUBUK PAKAM 02|01|**** S P JL SEI BLUTU PSR IX NO 74 000 000 0 0

182 1271213005****** 1271216901****** ELINDA MEDIA LIDIA SIANTURI KOTACANE 29|01|**** S P JLSEI BLUTU PSIX NO31-C 000 000 0 0

183 1271213005****** 1271211202****** HOSBORN TWELVE FEBRIANTO S MEDAN 12|02|**** B L JLSEI BLUTU PSIX NO31-C 000 000 0 0

184 1271213005****** 1271216610****** SIFRAYANI PUALILIATI KATHAROS BR SIJABAT MEDAN 26|10|**** B P JLSEI BLUTU PSIX NO31-C 000 000 0 0

185 1271213006****** 1271210101****** MASWARDI SARAGIH BANDAR TONGAH 01|01|**** S L JL SEI BLUTU PS IX NO 63 000 000 0 0

186 1271213006****** 1271214104****** RUKIAH LARAS 01|04|**** S P JL SEI BLUTU PS IX NO 63 000 000 0 0

187 1271213006****** 1271210809****** SUHARDI MEDAN 08|09|**** B L JL SEI BLUTU PS IX NO 63 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-005 51 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271213006****** 1271213001****** SUWANTO LARAS 30|01|**** B L JL SEI BLUTU PS IX NO 63 000 000 0 0

189 1271213006****** 1271214309****** WARSIH SARAGIH MEDAN 03|09|**** B P JL SEI BLUTU PS IX NO 63 000 000 0 0

190 1271213006****** 1271210110****** ANDRI S MEDAN 01|10|**** B L JL SEI BLUTU PS IX NO 63 000 000 0 0

191 1271213006****** 1207286205****** DIAH AYU HUTABARAT LUBUK PAKAM 22|05|**** B P JLSEI BLUTU PS IX NO 17 000 000 0 0

192 1271213008****** 1271216004****** DINI KHAIRANI MEDAN 20|04|**** S P JL SEI BELUTU PSR IX NO 94 A 000 000 0 0

193 1271213008****** 1271210709****** RUSLI MEDAN 07|09|**** S L JL SEI BELUTU PSR IX NO 94 A 000 000 0 0

194 1271213008****** 1271216310****** NAJWA SHADRINA MEDAN 23|10|**** B P JL SEI BELUTU PSR IX NO 94 A 000 000 0 0

195 1271213008****** 1271214602****** HJ NGATIEM MEDAN 06|02|**** S P JLSEI BLUTU PS IX NO94-A 000 000 0 0

196 1271213010****** 1271211511****** SAIFULLAH MEDAN 15|11|**** B L JLSEI BLUTU PSIX NO99 000 000 0 0

197 1271213010****** 1271211601****** SUHERMAN MEDAN 16|01|**** B L JLSEI BLUTU PSIX NO99 000 000 0 0

198 1271213101****** 1271210801****** SURYADI MEDAN 08|01|**** P L JL. SEI BLUTU GG. KELUARGA NO. PSR-IX 000 000 0 0

199 1271213103****** 1271213112****** AMRIZAL MEDAN 31|12|**** S L JLSEI BLUTU PS9 GBERSAMA-87 000 000 0 0

200 1271213103****** 1271214105****** HJZAINAB ZEIN BINJAI 01|05|**** P P JLSEI BLUTU GGBILAL NO99 000 000 0 0

201 1271213103****** 1271212612****** BUDI IRAWAN SE MEDAN 26|12|**** B L JLSEI BLUTU GGBILAL NO99 000 000 0 0

202 1271212003****** 1271214705****** MARISSA MAYANG 07|05|**** B P JL SEI BLUTU GG BILAL NO 90 001 000 0 0

203 1271211905****** 1271215010****** MURNIATI MEDAN 10|10|**** B P JL SEI BLUTU PS IX NO 75-B MEDAN 002 000 0 0

204 1271212102****** 1271215008****** HANIFAH AZIZAH MEDAN 10|08|**** B P JL SEI BELUTU GG BILAL NO.88 002 000 0 0

205 1271212107****** 1271215005****** SISWANTI MEDAN 10|05|**** S P JL SEI BLUTU PS IX NO 64 002 000 0 0

206 1271212209****** 1271215008****** AFRIZA ST MEDAN 10|08|**** B P JLSEI BLUTU NO 73 MEDAN 002 000 0 0

207 1271211904****** 1271215203****** MARZANAH DHALIMUNTHE MEDAN 12|03|**** S P JL SEI BLUTU GG BERSAMA NO 22 004 000 0 0

208 1271212010****** 1271215404****** NURUL HUDA MEDAN 14|04|**** B P JL SEI BLUTU I NO 73 001 001 0 0

209 1271212507****** 1271215407****** JULI RATI NINGSIH MEDAN 14|07|**** S P JL SEI BLUTU GG BERSAMA NO 87-B 003 001 0 0

210 1271213008****** 1271215407****** YUMIDAR MEDAN 14|07|**** S P JLSEI BLUTU PS IX NO94-A 003 001 0 0

211 1271211804****** 1271214907****** SUHARNI MEDAN 09|07|**** S P JL. SEI BLUTU PSR IX NO. 76 001 002 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-005 52 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271211904****** 1271214904****** MARDIANI MEDAN 09|04|**** S P J LSEI BLUTU GG BERSAMA NO.83-D 001 002 0 0

213 1271212306****** 1271214903****** NURLIS DRA P. SIANTAR 09|03|**** S P JLSEI BLUTU GANG BILAL NO 98 E 001 002 0 0

214 1271212308****** 1271214808****** LAILAN SAFINA NASUTION MEDAN 08|08|**** S P JLSEI BLUTU PSIX NO8 MEDAN 001 002 0 0

215 1271212503****** 1271214805****** WINDA MEDAN 08|05|**** S P JL SEI BLUTU PS IX-MELINTANG NO 3 001 002 0 0

216 1271212607****** 1271214904****** YELVI IRAWATI SIREGAR SUNGAI LIMAU 09|04|**** B P JL SEI BLUTU GG BERSAMA NO 87 001 002 0 0

217 1271212612****** 1271214909****** SRI SURYATI YOGYAKARTA 09|09|**** S P JL SEI BLUTU PSR IX NO 74 001 002 0 0

218 1271212503****** 1271215110****** MULIANA MEDAN 11|10|**** S P JL SEI BLUTU PSR IX NO 82 002 002 0 0

219 1271212507****** 1271215109****** INDRI PUSPITA SARI JAKARTA 11|09|**** B P JL SEI BLUTU GG BILAL NO 6/B 002 002 0 0

220 1271212802****** 1271215112****** GPKOSKLARA HUTABARATSH RENGAT 11|12|**** S P JLSEI BLUTU PS IX NO 77 002 002 0 0

221 1271212810****** 1271215111****** WILDA MEUTIA MEDAN 11|11|**** S P JL SEI BLUTU GG BILAL NO.97 B 002 002 0 0

222 1271212905****** 1271215103****** CITRA DEWI MEDAN 11|03|**** S P JLSEI BELUTU MELINTANG II-88D 002 002 0 0

223 1271213003****** 1271215101****** MARDIAH FITRIYANTIDRA MEDAN 11|01|**** S P JLSEI BELUTU GG BERSAMA NO 20 002 002 0 0

224 1271212502****** 1271215203****** SARAH SABRINA MEDAN 12|03|**** B P JLSEI BLUTU PS IX NO 48 003 002 0 0

225 1271212703****** 1271215411****** NOVITA RAHMI BERAU 14|11|**** B P JL SEI BLUTU PS IX NO 58 003 002 0 0

226 1271212003****** 1271215803****** SAADIAH LUBIS JAKARTA 18|03|**** S P JL SEI BLUTU GG BILAL NO 90 004 002 0 0

227 1271212209****** 1271215209****** AFIA MEDAN 12|09|**** B P JLSEI BLUTU NO 73 MEDAN 004 002 0 0

228 1271212610****** 1271215204****** AFRITA SARI MEDAN 12|04|**** B P JL SEI BLUTU NO.89 MEDAN 004 002 0 0

229 1271213004****** 1271215210****** AIDA IRAWAN MEDAN 12|10|**** B P JLSEI BLUTU PSIX NO5 004 002 0 0

230 1271212607****** 1271215004****** ROMALANNA NASUTION MEDAN 10|04|**** S P JL SEI BLUTU GG BERSAMA NO 87 001 004 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 230 Jenis Kelamin = 230 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 99 L : Laki-Laki = 121 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 120 P : Perempuan = 109 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 11
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 104 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-005 53 / 276
MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 006
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271172401****** 1271170110****** M P PANGARIBUAN TAPANULI UTARA 01|10|**** P L JL.SEI BELUTU PSR IX 18 MEDAN 000 000 0 0

2 1271190512****** 1271192001****** ALI MARTONO PADANG 20|01|**** S L JL SEI BLUTU GG BERSAMA / 87 000 000 0 0

3 1271210103****** 1271210809****** HERMANSYAH MEDAN 08|09|**** B L JL SEI BLUTU NO 97 MEDAN 000 000 0 0

4 1271210103****** 1271214505****** INDAH SRIWAHYUNI BALIMBINGAN 05|05|**** B P JL SEI BLUTU NO 97 MEDAN 000 000 0 0

5 1271210103****** 1271210506****** HARDIANSYAH D MASIHUL 05|06|**** B L JL SEI BLUTU NO 97 MEDAN 000 000 0 0

6 1271210108****** 1271212306****** SYARIF MEDAN 23|06|**** S L JL SEI BLUTU GG BERSAMA NO 22 000 000 0 0

7 1271210108****** 1271215508****** LASMINI P. SIANTAR 15|08|**** S P JL SEI BLUTU GG BERSAMA NO 22 000 000 0 0

8 1271210108****** 1271214408****** JULAIKA MEDAN 04|08|**** B P JL SEI BLUTU GG BERSAMA NO 22 000 000 0 0

9 1271210108****** 1271212504****** M ZUHRY MEDAN 25|04|**** B L JL SEI BLUTU GG BERSAMA NO 22 000 000 0 0

10 1271210110****** 1271210701****** TEDDY GUNAWAN MEDAN 07|01|**** S L JL SEI BLUTU GG BERSAMA NO 87 B 000 000 0 0

11 1271210110****** 1271211807****** CHAIRUL AZHAR RAMBE MEDAN 18|07|**** S L JLSEI BLUTU G BERSAMA NO 87 000 000 0 0

12 1271210110****** 1271216712****** NURHAYATI MEDAN 27|12|**** S P JLSEI BLUTU G BERSAMA NO 87 000 000 0 0

13 1271210110****** 1271214407****** IRFA JULI HAIRANI RAMBE MEDAN 04|07|**** B P JLSEI BLUTU G BERSAMA NO 87 000 000 0 0

14 1271210202****** 1271210701****** HT RAZIF MAHMUD AZHAMSE MEDAN 07|01|**** S L JLSEI BLUTU GG BILAL NO98-B 000 000 0 0

15 1271210202****** 1271214411****** TLAISLA BONITA BANDUNG 04|11|**** B P JLSEI BLUTU GG BILAL NO98-B 000 000 0 0

16 1271210203****** 1271055105****** ASMI ASTUTI MEDAN 11|05|**** S P JL.SEI BELUTU GG.SUBUR NO.58-D 000 000 0 0

17 1271210203****** 1271052305****** ANGGA AUDIVA NST MEDAN 23|05|**** B L JL.SEI BELUTU GG.SUBUR NO.58-D 000 000 0 0

18 1271210205****** 1271210504****** NAGIN MEDAN 05|04|**** B L JLSEI BLUTU NO 90-88 000 000 0 0

19 1271210205****** 1271210305****** SELWA MEDAN 03|05|**** B L JLSEI BLUTU NO 90-88 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-006 54 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210207****** 1271211711****** BUDHY KURNIAWAN MEDAN 17|11|**** S L JL SEI BLUTU GG BERSAMA NO 87 000 000 0 0

21 1271210209****** 1271217112****** S SATYA WANI, S. Psi MEDAN 31|12|**** B P JLSEI BLUTU PS IX NO 65 000 000 0 0

22 1271210210****** 1271211707****** DR, SJAHRIL EFFENDY P P.SIDEMPUAN 17|07|**** S L JL SEI BLUTU PS IX NO 75-B 000 000 0 0

23 1271210210****** 1271212909****** KHAIRIL A GANI BINJAI 29|09|**** B L JL SEI BLUTU PS IX NO 75-B 000 000 0 0

24 1271210210****** 1271216106****** DR, SORAYA FASYA MEDAN 21|06|**** S P JL SEI BLUTU PS IX NO 75-B 000 000 0 0

25 1271210302****** 1271213107****** EDHO DHARMADI MEDAN 31|07|**** B L JL SEI BLUTU PSR IX NO 75 A 000 000 0 0

26 1271210302****** 1271214507****** LIZA HARLINI NASUTION MEDAN 05|07|**** B P JL SEI BLUTU PSR IX NO 75 A 000 000 0 0

27 1271210303****** 1271210203****** SUDIRMAN HUTAPEA LAGUBOTI 02|03|**** S L JL SEI BLUTU PS IX NO 96 C 000 000 0 0

28 1271210303****** 1271212311****** OBERLIN HUTAPEA MEDAN 23|11|**** B L JL SEI BLUTU PS IX NO 96 C 000 000 0 0

29 1271210303****** 1271215903****** KISMIYATI YOGYAKARTA 19|03|**** S P JL SEI BLUTU PS IX NO 96 C 000 000 0 0

30 1271210303****** 1271212605****** JONES HUTAPEA MEDAN 26|05|**** B L JL SEI BLUTU PS IX NO 96 C 000 000 0 0

31 1271210303****** 1271216605****** JANUS HUTAPEA MEDAN 26|05|**** B P JL SEI BLUTU PS IX NO 96 C 000 000 0 0

32 1271210303****** 1271216602****** ISMARTINI BOGOR 26|02|**** S P JLSEI BLUTU PS IX NO 68 000 000 0 0

33 1271210304****** 1271210508****** ZULFI LUKMAN MEDAN 05|08|**** S L JLSEI BLUTU PSIX NO73 MEDAN 000 000 0 0

34 1271210304****** 1271211602****** SURYADI TASIKMALAYA 16|02|**** S L JL SEI BLUTU GG BILAL NO 2 000 000 0 0

35 1271210304****** 1271210706****** M SURYA SUBUH MEDAN 07|06|**** S L JL SEI BLUTU GG BILAL NO 2 000 000 0 0

36 1271210304****** 1271212708****** ABDUL ROZAK MUHAIMIN MEDAN 27|08|**** B L JL SEI BLUTU GG BILAL NO 2 000 000 0 0

37 1271210306****** 1271215603****** LACEMI MEDAN 16|03|**** S P JL SEI BLUTU PSR IX NO 61 000 000 0 0

38 1271210307****** 1271216712****** DEWI LESTARI MEDAN 27|12|**** S P JL SEI BLUTU PS IX NO 82-F 000 000 0 0

39 1271210308****** 1271211811****** SARAWANAN MEDAN 18|11|**** B L JL SEI BLUTU PSR IX NO 59 000 000 0 0

40 1271210310****** 1271217105****** SITI HAJAR TANJUNG BALAI 31|05|**** S P JLSEI BATU GINGGING G BILAL-85 000 000 0 0

41 1271210411****** 1271211109****** SYAHBAN DOLI SIREGAR KISARAN 11|09|**** S L JLN SEI BLUTU PSR IX N0 77 B 000 000 0 0

42 1271210502****** 1271212401****** DAFA MNUR MEDAN 24|01|**** B L JLSEI BLUTU PS IX NO 46 000 000 0 0

43 1271210504****** 1271217008****** SRI YAYUK NINGSIH MEDAN 30|08|**** B P JL SEI BLUTU PS IX NO 76 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-006 55 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210505****** 1271214102****** SUKMAWATI MEDAN 01|02|**** B P JL. SEI BLUTU PSR IX NO. 3 -A 000 000 0 0

45 1271210509****** 1271215508****** RH IDAWATY SILALAHI BALIGE 15|08|**** S P JL SEI BLUTU PS IX NO 64 000 000 0 0

46 1271210509****** 1271212606****** IRVAN SARUMAHA NIAS 26|06|**** B L JL SEI BLUTU PS IX NO 64 000 000 0 0

47 1271210509****** 1271216512****** SALVINI SITORUS SIRAITURUK 25|12|**** B P JL SEI BLUTU PS IX NO 64 000 000 0 0

48 1271210510****** 1271216308****** EMMY MISDJAH P. SIANTAR 23|08|**** S P JLN SEI BLUTU PSR IX NO 96-A 000 000 0 0

49 1271210510****** 1271211203****** INDRA GUNASTI MUNTHE SIBOLGA 12|03|**** S L JL SEI BLUTU PSR IX NO 75 A 000 000 0 0

50 1271210510****** 1271214501****** IKA SAVITRI PASARIBU, S.SOS MEDAN 05|01|**** S P JL SEI BLUTU PSR IX NO 75 A 000 000 0 0

51 1271210510****** 1271210205****** TUKIMAN SIMALUNGUN 02|05|**** S L JL SEI BELUTU PS IX NO 56 000 000 0 0

52 1271210511****** 1271211708****** AMIRUDIN STABAT 17|08|**** S L JL SEI BLUTU PSR IX NO 91 000 000 0 0

53 1271210511****** 1271214202****** SRI WAHYUNI KISARAN 02|02|**** S P JL SEI BLUTU PSR IX NO 91 000 000 0 0

54 1271210605****** 1271211812****** H MHD ABDUH PANE, IR SIPIROK 18|12|**** S L JL.SEI BLUTU PS.IX NO.114 000 000 0 0

55 1271210605****** 1271216004****** MARGARET JANE PANE AUSTRALIA 20|04|**** S P JL.SEI BLUTU PS.IX NO.114 000 000 0 0

56 1271210605****** 1271210101****** MUHAMMAD FAUZAN PANE MEDAN 01|01|**** B L JL.SEI BLUTU PS.IX NO.114 000 000 0 0

57 1271210605****** 1271216703****** MARDIANA SE MEDAN 27|03|**** S P JL SEI BLUTU PS IX NO 94-A 000 000 0 0

58 1271210605****** 1271212606****** ARDI EFFENDI SURABAYA 26|06|**** S L JL SEI BLUTU PS IX NO 94-A 000 000 0 0

59 1271210607****** 1271210705****** MRIZKI GUNAWAN MEDAN 07|05|**** B L JLSEI BLUTU PS IX NO 9-A 000 000 0 0

60 1271210607****** 1271216304****** SARI AFIANDARI MEDAN 23|04|**** S P JLSEI BLUTU NO 96 000 000 0 0

61 1271210607****** 1271210805****** RENDRA KURNIADY BINJAI 08|05|**** S L JLSEI BLUTU NO 96 000 000 0 0

62 1271210607****** 1271210212****** RIZKI KURNIADY MEDAN 02|12|**** B L JLSEI BLUTU NO 96 000 000 0 0

63 1271210607****** 1271211707****** RAIHAN DAFFA KURNIADY MEDAN 17|07|**** B L JLSEI BLUTU NO 96 000 000 0 0

64 1271210609****** 1271210510****** ZULFANIR KISARAN 05|10|**** S L JLSEI BLUTU GBERSAMA NO 2 000 000 0 0

65 1271210609****** 1271210307****** NAZIBUDDIN M NUR MEDAN 03|07|**** B L JLSEI BLUTU GBERSAMA NO 2 000 000 0 0

66 1271210609****** 1271212010****** ISHAK TALEB PERLAK 20|10|**** B L JLSEI BLUTU GBERSAMA NO 2 000 000 0 0

67 1271210609****** 1271212808****** M IMANJATI AKBAR LANGSA 28|08|**** B L JLSEI BLUTU GBERSAMA NO 2 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-006 56 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210609****** 1271211309****** DENI SAPUTRA MEDAN 13|09|**** S L JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

69 1271210610****** 1271212903****** DOLLY PUTRA PARLINDUNGAN PASARIBU MEDAN 29|03|**** S L JL SEI BLUTU PSR IX NO.75A 000 000 0 0

70 1271210610****** 1271214502****** ROSALINA SIREGAR JAKARTA 05|02|**** S P JL SEI BLUTU PSR IX NO.75A 000 000 0 0

71 1271210705****** 1271210604****** M HASAN WAHYUDI TEBING TINGGI 06|04|**** B L JL SEI BLUTU PS.IX GG.BILAL NO.99 000 000 0 0

72 1271210706****** 1271210705****** FACHRY HASBALLAH,IR JAKARTA 07|05|**** S L JL SEI BLUTU GG BILAL NO 29 000 000 0 0

73 1271210706****** 1271215509****** NELVA KARMILA MEDAN 15|09|**** S P JL SEI BLUTU GG BILAL NO 29 000 000 0 0

74 1271210706****** 1271211311****** DARSONO BAH JAMBI 13|11|**** B L JL SEI BLUTU GG BILAL NO 29 000 000 0 0

75 1271210706****** 1271215611****** RABI AH BATANG KUIS 16|11|**** B P JL SEI BLUTU GG BILAL NO 29 000 000 0 0

76 1271210706****** 1271216011****** LINA MARYANA BATANG KUIS 20|11|**** B P JL SEI BLUTU GG BILAL NO 29 000 000 0 0

77 1271210706****** 1271211406****** M NEVINO MEDAN 14|06|**** B L JL SEI BLUTU GG BILAL NO 29 000 000 0 0

78 1271210706****** 1271210506****** SURIADI RAMBUTAN 05|06|**** S L JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

79 1271210706****** 1271216812****** RAMISAH SEI SEMAYANG 28|12|**** S P JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

80 1271210706****** 1271211706****** M SURYA ANDIKA DISKI 17|06|**** B L JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

81 1271210709****** 1271210308****** IVAN AGUS SALIM BATUBARA MEDAN 03|08|**** S L JLSEI BLUTU PS IX NO 77 B 000 000 0 0

82 1271210709****** 1271216711****** FITRIYANI SIREGAR P SIDEMPUAN 27|11|**** S P JLSEI BLUTU PS IX NO 77 B 000 000 0 0

83 1271210709****** 1271212007****** ABDUL FARHAN BATUBARA MEDAN 20|07|**** B L JLSEI BLUTU PS IX NO 77 B 000 000 0 0

84 1271210711****** 1271210501****** H M YAHYA CHAN MEDAN 05|01|**** S L JL SEI BELUTU GG BERSAMA NO 20 000 000 0 0

85 1271210711****** 1271214302****** MARIANI POHAN P SORI 03|02|**** B P JL SEI BELUTU GG BERSAMA NO 20 000 000 0 0

86 1271210711****** 1271211008****** RAHMAT GUSTIAR MEDAN 10|08|**** S L JL SEI BLUTU PSR IX MELINTANG 2 000 000 0 0

87 1271210801****** 1271211705****** MAISWARDI MEDAN 17|05|**** S L JL SEI BLUTU MELINTANG II NO 77D 000 000 0 0

88 1271210801****** 1271214201****** MARIANI PULAU RAJA 02|01|**** S P JL SEI BLUTU MELINTANG II NO 77D 000 000 0 0

89 1271210801****** 1271212709****** MHD ADLI MUDZAKKIR DWI RIDHO MEDAN 27|09|**** B L JLSEI BLUTU PS IX GG BERSAMA 000 000 0 0

90 1271210811****** 1271211908****** SAGUSRI MEDAN 19|08|**** B L JLSEI BLUTU GGBERSAMA NO18 000 000 0 0

91 1271210811****** 1271212508****** SYAFWAN ANDRI MEDAN 25|08|**** B L JLSEI BLUTU GGBERSAMA NO18 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-006 57 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271210902****** 1271216906****** NURLELA MEDAN 29|06|**** B P JLSEI BLUTU PS IX GG PANSEL NO.3 000 000 0 0

93 1271210902****** 1271210802****** SYAFRI YUSUF PADANG 08|02|**** S L JL SEI SILAU NO 85 000 000 0 0

94 1271210902****** 1271214101****** FARIDA PADANG 01|01|**** S P JL SEI SILAU NO 85 000 000 0 0

95 1271210902****** 1271211012****** ARIF FATUR RAHMAN MEDAN 28|04|**** B L JL SEI SILAU NO 85 000 000 0 0

96 1271210905****** 1271217107****** RAHIMI BANDA ACEH 31|07|**** S P JLSEI BLUTU GGBERSAMA NO 6 000 000 0 0

97 1271210905****** 1271212609****** SULAIMAN ISALAT PONTIANAK 26|09|**** B L JLSEI BLUTU GGBERSAMA NO 6 000 000 0 0

98 1271210905****** 1271210505****** EDHI EDWAR CILACAP 05|05|**** B L JLSEI BLUTU GGBERSAMA NO 6 000 000 0 0

99 1271210905****** 1271212005****** ABDUL HADI BANDUNG 20|05|**** S L JLSEI BLUTU GGBERSAMA NO 6 000 000 0 0

100 1271210905****** 1271216610****** NISRINA MEDAN 26|10|**** B P JLSEI BLUTU GGBERSAMA NO 6 000 000 0 0

101 1271210905****** 1271216601****** FELICYA FIANCA DWI FELADINA TANGERANG 26|01|**** B P JLSEI BLUTU GGBERSAMA NO 6 000 000 0 0

102 1271210906****** 1271212201****** JUNAIDI MEDAN 22|01|**** S L JL SEI BLUTU GG BERSAMA NO 83F 000 000 0 0

103 1271210907****** 1271214409****** M BR SITUMORANG SAMOSIR 04|09|**** S P JL SEI BLUTU PSr IX NO 38 000 000 0 0

104 1271210907****** 1271210611****** ROY FEBERTUS SIREGAR MEDAN 06|11|**** B L JL SEI BLUTU PSr IX NO 38 000 000 0 0

105 1271210908****** 1271213006****** PURWANTO SUKOHARJO 30|06|**** S L JL SEI BLUTU PS IX NO 88 000 000 0 0

106 1271210908****** 1271215412****** PARGINEM SUKOHARJO 14|12|**** S P JL SEI BLUTU PS IX NO 88 000 000 0 0

107 1271210910****** 1207266406****** RITA ERNAWITA MEDAN 24|06|**** B P JL DARUSSALAM GG.RAHMAT NO.27 000 000 0 0

108 1271211001****** 1271211205****** AHMAD YANI MEDAN 12|05|**** S L JL SEI BELUTU GG BILAL NO 99 000 000 0 0

109 1271211001****** 1271215708****** ENDANG SUSANTY WANINGSIH MEDAN 17|08|**** S P JL SEI BELUTU GG BILAL NO 99 000 000 0 0

110 1271211001****** 1271212911****** BASHARRUDDIN TEBING TINGGI 29|11|**** B L JL SEI BELUTU GG BILAL NO 99 000 000 0 0

111 1271211001****** 1271215907****** TASNIM TEBING TINGGI 19|07|**** B P JL SEI BELUTU GG BILAL NO 99 000 000 0 0

112 1271211012****** 1271214306****** UMI YUNINDA NASUTION MEDAN 03|06|**** B P JLSEI BLUTU PSR IX NO 80 000 000 0 0

113 1271211106****** 1271212707****** M RIZKY ARIANTO MEDAN 27|07|**** B L JLSEI BLUTU GGKELUARGA-53-F 000 000 0 0

114 1271211106****** 1271201507****** HAIDIR PUTRA RAHMADSYAH MEDAN 15|07|**** S L JLN SEI BLUTU PS IX NO 49 000 000 0 0

115 1271211107****** 1271210707****** WIANTO SUKOHARJO 07|07|**** S L JL SEI BLUTU PASAR IX NO 49 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-006 58 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271211107****** 1271217112****** SRI WAHYUNI MEDAN 31|12|**** S P JL SEI BLUTU PASAR IX NO 49 000 000 0 0

117 1271211107****** 1271210707****** SUMARDI KLATEN 07|07|**** S L JL. SEI BLUTU PSR IX NO. 89-B 000 000 0 0

118 1271211107****** 1271217012****** DESNA NETTY TANJUNG SILUNGKANG 30|12|**** S P JL. SEI BLUTU PSR IX NO. 89-B 000 000 0 0

119 1271211107****** 1271211611****** ABDULLAH REZA SIDIQ MEDAN 16|11|**** B L JL. SEI BLUTU PSR IX NO. 89-B 000 000 0 0

120 1271211112****** 1271210111****** BAHTIAR SEMBIRING SAG DESA PAMAH TAMBUNAN 01|11|**** S L JL SEI BLUTU PS IX GG BUNTU 82 000 000 0 0

121 1271211112****** 1271216707****** MISTI DESA AMAN SARI 27|07|**** S P JL SEI BLUTU PS IX GG BUNTU 82 000 000 0 0

122 1271211203****** 1271210311****** M EVAN RIZKY RAMADHAN LAMPUNG 03|11|**** B L JL SEI BLUTU GG BILAL NO 98-B 000 000 0 0

123 1271211206****** 1271212206****** H PANUSUNAN PASARIBU, DRS.MM P SIDEMPUAN 22|06|**** S L JL SEI BLUTU PSR IX NO 75 A 000 000 0 0

124 1271211206****** 1271214601****** HJ ISNA IRAWATI SIREGAR P.SIDEMPUAN 06|01|**** S P JL SEI BLUTU PSR IX NO 75 A 000 000 0 0

125 1271211206****** 1271212004****** IWA KESUMA SUMANTRI MEDAN 20|04|**** S L JL SEI BLUTU PSR IX NO 82 MEDAN 000 000 0 0

126 1271211206****** 1271217006****** NONG CUT MUTHIA MEDAN 30|06|**** S P JL SEI BLUTU PSR IX NO 82 MEDAN 000 000 0 0

127 1271211206****** 1271214408****** ANNISA MEDAN 04|08|**** B P JL SEI BLUTU PSR IX NO 82 MEDAN 000 000 0 0

128 1271211210****** 1271211510****** SUPARYONO SOLO 15|10|**** S L JL SEI BLUTU PSR IX NO 82 F 000 000 0 0

129 1271211210****** 1271214604****** SUTARTI SOLO 06|04|**** S P JL SEI BLUTU PSR IX NO 82 F 000 000 0 0

130 1271211210****** 1271212005****** MUHAMMAD TASLIM SOLO 20|05|**** B L JL SEI BLUTU PSR IX NO 82 F 000 000 0 0

131 1271211210****** 1271217112****** RASINEM MEDAN 31|12|**** P P JL SEI BLUTU GG BILAL NO 6 000 000 0 0

132 1271211210****** 1271212105****** MUHAMMAD JAMIL MEDAN 21|05|**** S L JL SEI BLUTU GG BILAL NO 6 000 000 0 0

133 1271211210****** 1271216811****** HALIMATUN SAKDIAH P.BRANDAN 28|11|**** S P JL SEI BLUTU GG BILAL NO 6 000 000 0 0

134 1271211210****** 1271210609****** TEGUH ROY BOWO P.BRANDAN 06|09|**** B L JL SEI BLUTU GG BILAL NO 6 000 000 0 0

135 1271211302****** 1271210202****** DARSONO MEDAN 02|02|**** S L JL SEI BLUTU GG BERSAMA NO 87-B 000 000 0 0

136 1271211302****** 1271215408****** SARMI MEDAN 14|08|**** S P JL SEI BLUTU GG BERSAMA NO 87-B 000 000 0 0

137 1271211302****** 1271211203****** AGUNG BUDIANTO MEDAN 12|03|**** S L JL SEI BLUTU PASAR IX NO 49 000 000 0 0

138 1271211304****** 1271216112****** HJ AINUN MARDIAH BANDA ACEH 21|12|**** P P JL SEI BLUTU PSR IX NO 82 000 000 0 0

139 1271211305****** 1271211005****** H M ASAL SIREGAR MEDAN 10|05|**** S L JLN SEI BLUTU PSR IX N0 77 B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-006 59 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271211305****** 1271215609****** FITRIANA HARAHAP SE AK P.SIDEMPUAN 16|09|**** B P JLN SEI BLUTU PSR IX N0 77 B 000 000 0 0

141 1271211305****** 1271212605****** PDT HARAPAN GURNING SPD MTh AEK NABARA 26|05|**** S L JL SEI BLUTU PSR IX NO 36 B 000 000 0 0

142 1271211311****** 1271211010****** SUROSO MEDAN 10|10|**** S L JL. SEI BLUTU PSR IX NO. 87 000 000 0 0

143 1271211403****** 1271216009****** ZURAIDAH BANDA ACEH 20|09|**** S P JL. SEI BLUTU GG. BILAL NO. 97-B 000 000 0 0

144 1271211403****** 1271213003****** SJAMSUAR DJAMIL BANDA ACEH 30|03|**** S L JL. SEI BLUTU GG. BILAL NO. 97-B 000 000 0 0

145 1271211403****** 1271216507****** IRA YULITA BANDA ACEH 25|07|**** B P JL. SEI BLUTU GG. BILAL NO. 97-B 000 000 0 0

146 1271211407****** 1271216706****** ISMAWANA MEDAN 27|06|**** P P JL SEI BLUTU NO 73 MEDAN 000 000 0 0

147 1271211407****** 1271211811****** KARA MOZAVIE SE MEDAN 18|11|**** B L JL SEI BLUTU NO 73 MEDAN 000 000 0 0

148 1271211408****** 1271210307****** TRI JULI SYAHPUTRA KISARAN 03|07|**** S L JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

149 1271211408****** 1271215512****** SURYANTI MEDAN 15|12|**** S P JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

150 1271211409****** 1271214101****** HJ NURNI Bukittinggi 01|01|**** P P JLSEI BLUTU GGBERSAMA NO87C 000 000 0 0

151 1271211411****** 1271210303****** MUHAMMAD HAYKAL HABINSARAN MEDAN 03|03|**** B L JL SEI BT GING GING GG BILAL NO 85 000 000 0 0

152 1271211411****** 1271210909****** REINHARD SINAGA BINJAI 09|09|**** S L JL. SEI BLUTU PSR IX NO. 90-A 000 000 0 0

153 1271211411****** 1271210111****** SURYONO MEDAN 01|11|**** S L JL SEI BLUTU GG BERSAMA NO.87 B 000 000 0 0

154 1271211411****** 1271216609****** TRISNAWATI MEDAN 26|09|**** S P JL SEI BLUTU GG BERSAMA NO.87 B 000 000 0 0

155 1271211412****** 1271214106****** LILIS SEMBIRING KUTABULUH 01|06|**** S P JL SEI BLUTU GG BERSAMA NO 87 000 000 0 0

156 1271211412****** 1271210704****** SUPARNO AKBAR PERANGIN-ANGIN MEDAN 07|04|**** S L JL SEI BLUTU GG BERSAMA NO 87 000 000 0 0

157 1271211412****** 1271210310****** JONSON SEMBIRING KUTABULUH 03|10|**** B L JL SEI BLUTU GG BERSAMA NO 87 000 000 0 0

158 1271211501****** 1271213007****** SAGOM MARTYSON SITORUS PORSEA 30|07|**** S L JL SEI BLUTU PS IX NO 96-B 000 000 0 0

159 1271211501****** 1271211109****** ANWAR DAULAT SITORUS MEDAN 11|09|**** B L JL SEI BLUTU PS IX NO 96-B 000 000 0 0

160 1271211511****** 1271215411****** ERNAWATI MEDAN 14|11|**** S P JL SEI BLUTU PS IX NO 82 000 000 0 0

161 1271211511****** 1271210910****** MUHAMMAD FAUZUL MEDAN 09|10|**** S L JL SEI BLUTU PS IX NO 82 000 000 0 0

162 1271211512****** 3216191802****** RAJA SELWAN PILLAY MEDAN 18|02|**** S L JL. SEIBLUTU GG. BERSAMA NO. 89A 000 000 0 0

163 1271211605****** 1271217004****** TIA LESTARI MEDAN 30|04|**** B P JLSEI BLUTU PS IX NO 7 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-006 60 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271211608****** 1271212805****** ANTON TORKIS L TOBING, SE MEDAN 28|05|**** S L JLSEI BELUTU NO 79 MEDAN 000 000 0 0

165 1271211608****** 1271215805****** YETTI SURYADI, BA JAKARTA 18|05|**** S P JLSEI BELUTU NO 79 MEDAN 000 000 0 0

166 1271211608****** 1271211512****** YEHEZKIEL LAMORA LUMBAN TOBING DEPOK 15|12|**** B L JLSEI BELUTU NO 79 MEDAN 000 000 0 0

167 1271211608****** 1271214503****** RARA DWI CITRA LUMBAN TOBING MAKASSAR 05|03|**** B P JLSEI BELUTU NO 79 MEDAN 000 000 0 0

168 1271211611****** 1271210203****** SALIMAN RAMBUTAN 02|03|**** S L JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

169 1271211611****** 1271216602****** SRY MULYANI MEDAN 26|02|**** S P JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

170 1271211611****** 1271210104****** ARIF AFRIANTO MEDAN 01|04|**** B L JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

171 1271211611****** 1271216401****** KIKI RIZKI TRI WARDANI MEDAN 24|01|**** B P JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

172 1271211611****** 1271215712****** BEKTI MULIA UTAMI MEDAN 17|12|**** B P JL SEI BLUTU GG BERSAMA NO 83 000 000 0 0

173 1271211701****** 1271214104****** SAUSAN HAURA TUHFAH MEDAN 01|04|**** B P JL SEI BLUTU PS IX NO 58 000 000 0 0

174 1271211701****** 1271211304****** SOFYAN DOLI SIREGAR SE TEBING TINGGI 13|04|**** B L JLN SEI BLUTU PSR IX N0 77 B 000 000 0 0

175 1271211704****** 1271210103****** MOHAMMAD YANI SIREGAR MEDAN 01|03|**** S L JL SEI BLUTU PSR IX NO 96 A 000 000 0 0

176 1271211704****** 1271214204****** RENI AFRIYANTI MEDAN 02|04|**** S P JL SEI BLUTU PSR IX NO 96 A 000 000 0 0

177 1271211704****** 1271212212****** MOHAMMAD EGGI SETIAWAN SIREGAR MEDAN 22|12|**** B L JL SEI BLUTU PSR IX NO 96 A 000 000 0 0

178 1271211704****** 1271216404****** ADINDA AFRIYANI SIREGAR MEDAN 24|04|**** B P JL SEI BLUTU PSR IX NO 96 A 000 000 0 0

179 1271211704****** 1271212701****** JUMADI MEDAN 27|01|**** S L JL SEI BLUTU PSR IX GG BERSAMA NO 87 000 000 0 0

180 1271211704****** 1271216412****** SAMIAH MEDAN 24|12|**** S P JL SEI BLUTU PSR IX GG BERSAMA NO 87 000 000 0 0

181 1271211704****** 1271212506****** SANDI MEDAN 25|06|**** B L JL SEI BLUTU PSR IX GG BERSAMA NO 87 000 000 0 0

182 1271211707****** 1271205205****** TRISNAWATI MEDAN 12|05|**** S P JL SEI BELUTU PASAR IX NO 82 000 000 0 0

183 1271211707****** 1271172611****** ARYA SUHANDA MEDAN 26|11|**** S L JL SEI BELUTU PASAR IX NO 82 000 000 0 0

184 1271211711****** 1271140901****** ADI YUSWARDI MEDAN 09|01|**** B L JL.SEI BLUTU PS.IX NO.114 000 000 0 0

185 1271211712****** 1271211005****** SYAHRIL KOTO TIKU 10|05|**** S L JL SEI BLUTU PSR IX GG BERSAMA NO 87 000 000 0 0

186 1271211712****** 1271214105****** ASNIRAWATI PADANG 01|05|**** S P JL SEI BLUTU PSR IX GG BERSAMA NO 87 000 000 0 0

187 1271211801****** 1271215712****** BERTUA DELIANA SITORUS MEDAN 17|12|**** S P JL.SEI BLUTU PS IX NO.96 B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-006 61 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271211801****** 3174101812****** JOHAN SIBARANI JAKARTA 18|12|**** B L JL.SEI BLUTU PS IX NO.96 B 000 000 0 0

189 1271211802****** 1271211412****** SONYWIJAYA MEDAN 14|12|**** B L JL SEI BLUTU PSR IX NO 56-A 000 000 0 0

190 1271211802****** 1271215409****** GINA MAYANG SARI MEDAN 14|09|**** B P JL SEI BLUTU PSR IX NO 56-A 000 000 0 0

191 1271211803****** 1271214407****** SURIATI SUNGGAL 04|07|**** S P JL SEI BLUTU PSR IX NO 78 000 000 0 0

192 1271211803****** 1271214301****** WIDARI MEDAN 03|01|**** B P JL SEI BLUTU PSR IX NO 78 000 000 0 0

193 1271211803****** 1271214106****** DITA IRMAYA MEDAN 01|06|**** B P JL SEI BLUTU PSR IX NO 78 000 000 0 0

194 1271210303****** 1271214708****** TUTY MARIANA HUTAPEA MEDAN 07|08|**** S P JL SEI BLUTU PS IX NO 96 C 001 000 0 0

195 1271210609****** 1271214701****** ZAINATUN LANGSA 07|01|**** S P JLSEI BLUTU GBERSAMA NO 2 001 000 0 0

196 1271210801****** 1271214710****** SAIDAH ULFAH TRIWARDHANI MEDAN 07|10|**** S P JLSEI BLUTU PS IX GG BERSAMA 001 000 0 0

197 1271210808****** 1271214710****** REFLIANIS LABUHAN HAJI 07|10|**** S P JLSEI BLUTU GGBERSAMA NO 4 001 000 0 0

198 1271211309****** 1271214701****** FITRI INDRIANI MEDAN 07|01|**** B P JL SEI BLUTU PSR IX NO 26 MEDAN 001 000 0 0

199 1271210202****** 1271215009****** TMIRA REZMA MEDAN 10|09|**** B P JLSEI BLUTU GG BILAL NO98-B 002 000 0 0

200 1271210705****** 1271215010****** SRI WAHYUDIATI MEDAN 10|10|**** S P JL SEI BLUTU PS.IX GG.BILAL NO.99 002 000 0 0

201 1271211501****** 1271215006****** LINCE BR HUTAPEA SILAEN 10|06|**** S P JL SEI BLUTU PS IX NO 96-B 002 000 0 0

202 1271210210****** 1271215402****** HJ FAUZIAH DAULAY, DRA BANDA ACEH 14|02|**** S P JL SEI BLUTU PS IX NO 75-B 005 001 0 0

203 1271210304****** 1271215308****** SUMIATI TASIKMALAYA 13|08|**** S P JL SEI BLUTU GG BILAL NO 2 005 001 0 0

204 1271210706****** 1271215401****** FARA SHAMARA MEDAN 14|01|**** B P JL SEI BLUTU GG BILAL NO 29 005 001 0 0

205 1271211412****** 1271215309****** NINA PUTRI LISKA PERANGINANGIN MEDAN 13|09|**** B P JL SEI BLUTU GG BERSAMA NO 87 005 001 0 0

206 1271190512****** 1271214805****** MISRA DIANA AUR MALINTANG 08|05|**** S P JL SEI BLUTU GG BERSAMA / 87 001 002 0 0

207 1271210504****** 1271214806****** DJUMIKEM DOLOK MELANGIR 08|06|**** P P JL SEI BLUTU PS IX NO 76 001 002 0 0

208 1271210906****** 1271214806****** ISTUKAM SIANTAR 08|06|**** S P JL SEI BLUTU GG BERSAMA NO 83F 001 002 0 0

209 1271210711****** 1271215111****** SARIYANTI MEDAN 11|11|**** S P JL SEI BLUTU PSR IX MELINTANG 2 002 002 0 0

210 1271211611****** 1271215102****** SULISTIORINI MEDAN 11|02|**** S P JL SEI BLUTU GG BERSAMA NO 83 002 002 0 0

211 1271210405****** 1271215608****** JOICE CHRISTY TARIGAN KABANJAHE 16|08|**** P P JL S PADANG GG LANGGAR 003 002 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-006 62 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271210205****** 1271215204****** NIRMALA MEDAN 12|04|**** B P JLSEI BLUTU NO 90-88 004 002 0 0

213 1271210210****** 1271215212****** NURASIAH P.SIDEMPUAN 12|12|**** B P JL SEI BLUTU PS IX NO 75-B 004 002 0 0

214 1271210902****** 1271215304****** ASRIANI MEDAN 13|04|**** B P JLSEI BLUTU PS IX GG PANSEL NO.3 004 002 0 0

215 1271210902****** 1271215208****** RUKMINI PADANG 12|08|**** S P JL SEI SILAU NO 85 004 002 0 0

216 1271211107****** 1271215206****** YUNI NUR HALIDZAH MEDAN 12|06|**** B P JL. SEI BLUTU PSR IX NO. 89-B 004 002 0 0

217 1271211311****** 1271215206****** MULIANI SUNGGAL 12|06|**** S P JL. SEI BLUTU PSR IX NO. 87 004 002 0 0

218 1271211411****** 1271215212****** VENNY MEDAN 12|12|**** S P JL. SEI BLUTU PSR IX NO. 90-A 004 002 0 0

219 1271211305****** 1271214911****** HJ SYAMSIDAR HARAHAP PARGARUTAN 09|11|**** S P JLN SEI BLUTU PSR IX N0 77 B 001 003 0 0

220 1271210609****** 1271215001****** AMINAH TANJUNG SERI 10|01|**** S P JL SEI BLUTU GG BERSAMA NO 83 001 004 0 0

221 1271210303****** 1271215307****** ELLY HUTAPEA LAGUBOTI 13|07|**** B P JL SEI BLUTU PS IX NO 96 C 004 006 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 221 Jenis Kelamin = 221 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 91 L : Laki-Laki = 111 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 123 P : Perempuan = 110 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 7
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 099 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-006 63 / 276
MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 007
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271210102****** 1271213112****** MANSYURDIN MEDAN 31|12|**** S L JL. SEI BATU GINGGING PSR X NO. 22-C 000 000 0 0

2 1271210102****** 1271216009****** NURLELI MEDAN 20|09|**** S P JL. SEI BATU GINGGING PSR X NO. 22-C 000 000 0 0

3 1271210102****** 1271216702****** FEBRI MUHARNI MEDAN 27|02|**** B P JL. SEI BATU GINGGING PSR X NO. 22-C 000 000 0 0

4 1271210105****** 1271214607****** YULIANIS MEDAN 06|07|**** B P JL.SEI BT.GINGGING PS.X NO. 3D 000 000 0 0

5 1271210107****** 1271210409****** MUHAMMAD ALI MEDAN 04|09|**** B L JL SEI BATUGINGGING PS X NO 3-D 000 000 0 0

6 1271210201****** 1271210312****** WALUYO MEDAN 03|12|**** S L JLSEI BATU GINGGING NO 12 C 000 000 0 0

7 1271210201****** 1271215601****** SUHARNI MEDAN 16|01|**** S P JLSEI BATU GINGGING NO 12 C 000 000 0 0

8 1271210201****** 1271211208****** MUHAMMAD IKHBAL PRANOWO MEDAN 12|08|**** B L JLSEI BATU GINGGING NO 12 C 000 000 0 0

9 1271210205****** 1271215405****** HELVINA SUGESTI MEDAN 14|05|**** P P JL SEI BATU GINGGING PSR X NO 23 B 000 000 0 0

10 1271210205****** 1271217004****** FAHIRAH AMANDA MEDAN 30|04|**** B P JL SEI BATU GINGGING PSR X NO 23 B 000 000 0 0

11 1271210205****** 1271215904****** FITRIYANI MEDAN 19|04|**** S P JL. SEI BT GINGGING PS X NO. 23 A 000 000 0 0

12 1271210208****** 1271215005****** MERIDA SIHOMBING SIGODUNG 10|05|**** S P JL SEI BT GINGGING PS X-17 B 000 000 0 0

13 1271210209****** 1271214908****** PAULINA LAUHATAPESSY MEDAN 09|08|**** S P JL SEI BT GINGGING PS X-17 B 000 000 0 0

14 1271210211****** 1471044308****** SISKA ASTUTI PANJAITAN MEDAN 03|08|**** P P JL. SEI BATU GINGGING PASAR X GG. BENGKEL NO.37 000 000 0 0

15 1271210301****** 1271214303****** NURAINI MEDAN 03|03|**** S P JLSEI BATUGINGGING PSX-11-B 000 000 0 0

16 1271210306****** 1271215406****** HORMAT BR TARIGAN TG BERINGIN 14|06|**** P P JL SEI BT GINGGING PS X NO 15 000 000 0 0

17 1271210309****** 1271216707****** SITI NURAINI MEDAN 27|07|**** P P JL SEI BATU GINGGING PSR X NO 03 000 000 0 0

18 1271210309****** 1271210704****** MUHAMMAD HASBI PRABOWO MEDAN 07|04|**** B L JL SEI BATU GINGGING PSR X NO 03 000 000 0 0

19 1271210310****** 1271217112****** SUNTINAH JAWA TIMUR 31|12|**** P P JL SEI BT GINGGING PS X NO 3 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 64 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210401****** 1271210911****** TIGOR HUTABARAT,DRS KISARAN 09|11|**** S L JL SEI BATU GINGGING PSR X NO 2 B 000 000 0 0

21 1271210401****** 1271216612****** NGENA PERANGIN-ANGIN LUBUK PAKAM 26|12|**** S P JL SEI BATU GINGGING PSR X NO 2 B 000 000 0 0

22 1271210401****** 1271213108****** FRANS SINATRA HUTABARAT MEDAN 31|08|**** B L JL SEI BATU GINGGING PSR X NO 2 B 000 000 0 0

23 1271210401****** 1271212211****** WILLIAM F HUTABARAT MEDAN 22|11|**** B L JL SEI BATU GINGGING PSR X NO 2 B 000 000 0 0

24 1271210402****** 1271212106****** DEDY SYAHPUTRA MEDAN 21|06|**** B L JL SEI BATU GINGGING PSR X NO 03 000 000 0 0

25 1271210402****** 1207244206****** MIKE IRAWATI KLAMBIR LIMA 02|06|**** S P JL SEI BATU GINGGING PSR X NO 03 000 000 0 0

26 1271210405****** 1271211405****** ROY MEKA SYAHPUTRA MEDAN 14|05|**** S L JL. SEI BATUGINGGING PSR X NO. 25-A 000 000 0 0

27 1271210406****** 1271212404****** ALI BOSAR SIREGAR MEDAN 24|04|**** S L JLSEI BTGINGGING PS X NO11 000 000 0 0

28 1271210406****** 1271214206****** RENTA ANDIKA TAMPUBOLON IR JAKARTA 02|06|**** P P JL SEI BATUGINGGING PSR 10 NO 22 000 000 0 0

29 1271210406****** 1271215509****** MARIA IRAMA TAMPUBOLON JAKARTA 15|09|**** B P JL SEI BATUGINGGING PSR 10 NO 22 000 000 0 0

30 1271210406****** 1271214601****** EMMA BEATRIX TAMPUBOLON MEDAN 06|01|**** B P JL SEI BATUGINGGING PSR 10 NO 22 000 000 0 0

31 1271210406****** 1271212402****** SIMON TORASH MEDAN 24|02|**** B L JL SEI BATUGINGGING PSR 0 NO 22 000 000 0 0

32 1271210406****** 1102135410****** ROMAULI KISARAN 14|10|**** S P JL.SEI BATU GINGGING PS.X NO.26-C 000 000 0 0

33 1271210410****** 1271215506****** FARIDA BR S MEDAN 15|06|**** S P JLSEI BATUGINGGING PS X MEDAN 000 000 0 0

34 1271210410****** 1271211008****** SARWANI MEDAN 10|08|**** S L JL SEI BT GINGGING PS X NO 23 000 000 0 0

35 1271210410****** 1271215704****** MISDAWATI TURANGEI 17|04|**** S P JL SEI BT GINGGING PS X NO 23 000 000 0 0

36 1271210410****** 1271211511****** IRFAN KUSNADI MEDAN 15|11|**** B L JL SEI BT GINGGING PS X NO 23 000 000 0 0

37 1271210410****** 1271212809****** JOKO IRWANDA MEDAN 28|09|**** B L JL SEI BT GINGGING PS X NO 23 000 000 0 0

38 1271210502****** 1271210701****** BAHDER JOHAN HS P.SIDEMPUAN 07|01|**** S L JL SEI BATU GINGING PS X NO 26-B 000 000 0 0

39 1271210502****** 1271215602****** ROSLINA ZEGA, SAG NIAS 16|02|**** S P JL SEI BATU GINGING PS X NO 26-B 000 000 0 0

40 1271210502****** 1219073011****** RIZA AZLAN NUR SIAJAM 30|11|**** S L JL EI BATU GINGGING PASAR X NO 24 A 000 000 0 0

41 1271210504****** 1271212009****** SUYONO MEDAN 20|09|**** S L JL SEI BT GINGGING PSR X NO 69 A 000 000 0 0

42 1271210505****** 1271214111****** PAINEM TEBING TINGGI 01|11|**** P P JL SEI BT GINGGING PS X NO 25 C 000 000 0 0

43 1271210505****** 1271211002****** DHANI RAHARJO MEDAN 10|02|**** B L JL SEI BT GINGGING PS X NO 25 C 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 65 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210505****** 1271217004****** SISWATI MEDAN 30|04|**** B P JL SEI BT GINGGING PS X NO 25 C 000 000 0 0

45 1271210505****** 1271215008****** IRMA KOESNITA MEDAN 10|08|**** B P JL SEI BT GINGGING PS X NO 25 C 000 000 0 0

46 1271210505****** 1271215802****** NOVI JAHARA MEDAN 18|02|**** B P JL SEI BT GINGGING PS X NO 25 C 000 000 0 0

47 1271210507****** 1271212406****** DIDI YACOB YUDHATAMA PEKAN BARU 24|06|**** S L JL SEI BATU GINGGING PSR X NO 26 000 000 0 0

48 1271210507****** 1271215005****** MAULINA, SE MEDAN 10|05|**** S P JL SEI BATU GINGGING PSR X NO 26 000 000 0 0

49 1271210507****** 1209194701****** MELISA ROYDA OVARI SITOHANG T. BALAI 07|01|**** B P JL SEI BATU GINGGING PSR X NO 13 000 000 0 0

50 1271210509****** 1271212808****** WAGIO R.SIALANG 28|08|**** S L JL SEI BATU GINGGING PS X NO 27 A 000 000 0 0

51 1271210509****** 1271216607****** SURYANI SUMBER PADI 26|07|**** S P JL SEI BATU GINGGING PS X NO 27 A 000 000 0 0

52 1271210509****** 1271210408****** MUHAMMAD FIDANTORIQ MEDAN 04|08|**** B L JL SEI BATU GINGGING PS X NO 27 A 000 000 0 0

53 1271210510****** 1271211406****** HAFNI JUNAIDI MEDAN 14|06|**** S L JL SEI BATU GINGGING PSR X NO 23 B 000 000 0 0

54 1271210510****** 1271215204****** MUSLIMAH MEDAN 12|04|**** S P JL SEI BATU GINGGING PSR X NO 23 B 000 000 0 0

55 1271210510****** 1271215606****** ATHIRA FIKHRIYA MEDAN 16|06|**** B P JL SEI BATU GINGGING PSR X NO 23 B 000 000 0 0

56 1271210511****** 1271216402****** YULITA MEDAN 24|02|**** B P JL SEI BT GINGGING PS X NO 25 C 000 000 0 0

57 1271210602****** 1271212001****** BOBY SETIADI MEDAN 20|01|**** S L JL SEI BATUGINGGING PS X NO 23 000 000 0 0

58 1271210602****** 1271214604****** SUARSIH MEDAN 06|04|**** S P JL SEI BATUGINGGING PS X NO 23 000 000 0 0

59 1271210602****** 1271216711****** SRY AJENG UTAMI MEDAN 27|11|**** B P JL SEI BATUGINGGING PS X NO 23 000 000 0 0

60 1271210603****** 1271210702****** SALOMON W L SIJAUTA P.SIDEMPUAN 07|02|**** S L JL SEI BTGINGGING PS X NO 15 000 000 0 0

61 1271210603****** 1271217008****** WIKWIK ANGGRAENI BANDUNG 30|08|**** S P JL SEI BTGINGGING PS X NO 15 000 000 0 0

62 1271210703****** 1210202411****** KHAIRUL ANWAR TANJUNG SARANG ELANG 24|11|**** S L JL. SEI BATU GINGGING PASAR X NO. 23 C 000 000 0 0

63 1271210802****** 1271215412****** DEMSE SAMOSIR SABUNGANNI HUTA 14|12|**** S P JLSEI BATUGINGGING PS X-19-B 000 000 0 0

64 1271210802****** 1271212604****** KASDIN SITUMORANG BATU JAGAR 26|04|**** S L JLSEI BATUGINGGING PS X-19-B 000 000 0 0

65 1271210802****** 1271214110****** ERNAWATI SITINJAK PARMONANGAN 01|10|**** B P JLSEI BATUGINGGING PS X-19-B 000 000 0 0

66 1271210802****** 1271210708****** BISTOK AGUSTINUS SITUMORANG MEDAN 07|08|**** B L JLSEI BATUGINGGING PS X-19-B 000 000 0 0

67 1271210802****** 1271215902****** YUSTINA FEBRIANI SITUMORANG MEDAN 19|02|**** B P JLSEI BATUGINGGING PS X-19-B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 66 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210802****** 1271215209****** LISTRISIA SITUMORANG MEDAN 12|09|**** B P JLSEI BATUGINGGING PS X-19-B 000 000 0 0

69 1271210807****** 1271217012****** IRIANI MEDAN 30|12|**** B P JL SEI BT GINGGING PS X NO12-C 000 000 0 0

70 1271210811****** 1271212601****** ALIEF ALQASIM NASUTION TEBING TINGGI 26|01|**** B L JL SEI BTGINGGING PSR X NO 11 A 000 000 0 0

71 1271210812****** 1271216012****** HENY SHAFITRI BANDAR KHALIPAH 20|12|**** S P JL SEI BATUGINGGING PS X NO 25-B 000 000 0 0

72 1271210812****** 1271212112****** EDY SUSANTO MEDAN 21|12|**** S L JL SEI BATUGINGGING PS X NO 25-B 000 000 0 0

73 1271210901****** 1271210812****** MARISI MANURUNG KERASAAN 08|12|**** S L JLSEI BATUGINGGING PSR X- 4 A 000 000 0 0

74 1271210901****** 1271215606****** ROSMINA SAMOSIR KERASAAN 16|06|**** S P JLSEI BATUGINGGING PSR X-14 A 000 000 0 0

75 1271210901****** 1271210909****** MARIO JEFRI MANURUNG MEDAN 09|09|**** B L JLSEI BATUGINGGING PSR X-14 A 000 000 0 0

76 1271210901****** 1271212807****** JOSEP JULIANTO MANURUNG MEDAN 28|07|**** B L JLSEI BATUGINGGING PSR X-14 A 000 000 0 0

77 1271210902****** 1271166603****** PINA PANDUWINARSIH MEDAN 26|03|**** S P JL SEI BT GINGGING PS X NO 13 A 000 000 0 0

78 1271210905****** 1271215105****** MERY HUTAGALUNG SIBOLGA 11|05|**** S P JL SEI BATU GINGGING PSR X NO 24 000 000 0 0

79 1271210910****** 1271211810****** IMANSYAH LUBIS, SH LANGKAT 18|10|**** S L JL. SEI BATU GINGGING PSR X NO. 19 000 000 0 0

80 1271210910****** 1271216411****** SRY INDAH DWIBERTY, SH MEDAN 24|11|**** S P JL. SEI BATU GINGGING PSR X NO. 19 000 000 0 0

81 1271210910****** 1271211209****** ISFAHAN SHAH LUBIS MEDAN 12|09|**** B L JL. SEI BATU GINGGING PSR X NO. 19 000 000 0 0

82 1271210910****** 1277025301****** SUSI PUJIANTI UJUNG PADANG 13|01|**** B P JL.SEI BATU GINGGING PSR X NO.21 A 000 000 0 0

83 1271210911****** 1271211503****** M SYARIF MEDAN 15|03|**** S L JL. SEI BTGINGGING PSR X NO. 22-A 000 000 0 0

84 1271210911****** 1271215410****** EMY NASEH DOLOK MELANGIR 14|10|**** S P JL SEI BATUGINGGING PSR X NO 22-A 000 000 0 0

85 1271210911****** 1271212105****** M FAHMI SYARIF SERBELAWAN 21|05|**** B L JL SEI BATUGINGGING PSR X NO 22-A 000 000 0 0

86 1271210911****** 1271215703****** APNI NAMIRA LATIFAH MEDAN 17|03|**** B P JL SEI BATUGINGGING PSR X NO 22-A 000 000 0 0

87 1271210911****** 1271210911****** ARIS SULASTO SUKOHARJO 09|11|**** S L JL SEI BATU GINGGING PSR X NO 4 A 000 000 0 0

88 1271210911****** 1271217112****** LAMIYEM SUKOHARJO 31|12|**** S P JL SEI BATU GINGGING PSR X NO 4 A 000 000 0 0

89 1271210911****** 1271211707****** TUKINO SUKOHARJO 17|07|**** S L JL SEI BATU GINGGING PSR X NO 6.B 000 000 0 0

90 1271210911****** 1271214202****** SUHARTINI MEDAN 02|02|**** S P JL SEI BATU GINGGING PSR X NO 6.B 000 000 0 0

91 1271211001****** 1271216112****** RINI SUMARNI MEDAN 21|12|**** S P JL SEI BATU GINGGING PSR X NO 69A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 67 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271211003****** 1271211307****** PAIMIN PULAU REJO 13|07|**** S L JL. SEI BATU GINGGING PSR X NO. 22-A 000 000 0 0

93 1271211003****** 1271214111****** SARMI SUMBER PADI 01|11|**** S P JL. SEI BATU GINGGING PSR X NO. 22-A 000 000 0 0

94 1271211005****** 1271212611****** ZURIEL IMMANUEL NATAN AMBON 26|11|**** B L JL SEI BATUGINGGING PSR X NO 15 000 000 0 0

95 1271211005****** 1271215510****** SURIATY TEBING TINGGI 15|10|**** P P JL. SEI BT GINGGING PSR X NO. 26-C 000 000 0 0

96 1271211005****** 1271211105****** INDRA PURNAMA MEDAN 11|05|**** S L JL. SEI BT GINGGING PSR X NO. 26-C 000 000 0 0

97 1271211005****** 1271215705****** SUSY MAGDHALENA PATTISINA MEDAN 17|05|**** S P JL. SEI BT GINGGING PSR X NO. 26-C 000 000 0 0

98 1271211005****** 1271210310****** IMAM INDRASA HABIB MEDAN 03|10|**** B L JL. SEI BT GINGGING PSR X NO. 26-C 000 000 0 0

99 1271211006****** 1271214807****** SUZANNA ELISABETH FERDINANDUS MEDAN 08|07|**** S P JL SEI BATUGINGGING PS X NO 17 000 000 0 0

100 1271211007****** 1271214204****** SAROJA MEDAN 02|04|**** P P JL SEI BTGINGGING PS X NO 13 A 000 000 0 0

101 1271211007****** 1271211211****** SATHYASEGER MEDAN 12|11|**** B L JL SEI BTGINGGING PS X NO 13 A 000 000 0 0

102 1271211007****** 1271214412****** SATHYA JYOTHI MEDAN 04|12|**** B P JL SEI BTGINGGING PS X NO 13 A 000 000 0 0

103 1271211007****** 1271215002****** KAHLAY SHELWY MEDAN 10|02|**** B P JL SEI BTGINGGING PS X NO 13 A 000 000 0 0

104 1271211008****** 1271211808****** IBRAHIM TELUK SENTOSA 18|08|**** S L JL. SEI BATUGINGGING PSR X NO. 23-C 000 000 0 0

105 1271211008****** 1271214709****** ROLIYAH MEDAN 07|09|**** S P JL. SEI BATUGINGGING PSR X NO. 23-C 000 000 0 0

106 1271211010****** 1271212306****** H SAIRIN RAHMAT, DRS MEDAN 23|06|**** S L JL SEI BATUGINGGING PS X NO 19 000 000 0 0

107 1271211010****** 1271214612****** HJ SRY ATUN P. SIANTAR 06|12|**** S P JL SEI BATUGINGGING PS X NO 19 000 000 0 0

108 1271211101****** 1271211308****** AMSURI CHANDRA MEDAN 13|08|**** S L JL SEI BATUGINGGING PSR X NO 23 000 000 0 0

109 1271211101****** 1271216212****** SARTIKAWATI MEDAN 22|12|**** S P JL SEI BATUGINGGING PSR X NO 23 000 000 0 0

110 1271211103****** 1271212107****** PRAYITNO MEDAN 21|07|**** S L JL SEI BATU GINGGING PSR X NO 23 B 000 000 0 0

111 1271211103****** 1271216504****** MUSLENA MEDAN 25|04|**** S P JL SEI BATU GINGGING PSR X NO 23 B 000 000 0 0

112 1271211103****** 1271212109****** SAFTIAR NASUTION SEI MENCIRIM 21|09|**** B L JL SEI BATU GINGGING PSR X NO 23 B 000 000 0 0

113 1271211107****** 1271095907****** RARA ASTILI SIREGAR MEDAN 19|07|**** S P JL SEI BT GINGGING PS X MELINTANG I NO 1 000 000 0 0

114 1271211107****** 1271212301****** BAGINDA YANUAR HARAHAP TEBING TINGGI 23|01|**** S L JL SEI BT GINGGING PS X MELINTANG I NO 1 000 000 0 0

115 1271211108****** 1271214603****** ELVINA SIAHAAN MEDAN 06|03|**** S P JL SEI BT GINGGING PS X MELINTANG I NO 1 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 68 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271211108****** 1271212405****** HELMY RAMADHANA HARAHAP TEBING TINGGI 24|05|**** B L JL SEI BT GINGGING PS X MELINTANG I NO 1 000 000 0 0

117 1271211108****** 1271215806****** VERANY YUNITA HARAHAP TEBING TINGGI 18|06|**** B P JL SEI BT GINGGING PS X MELINTANG I NO 1 000 000 0 0

118 1271211111****** 1271210507****** AZWARZEIN MEDAN 05|07|**** B L JLSEI BT GINGGING PS X-27 B 000 000 0 0

119 1271211112****** 1271216409****** IDA LUSIA MEDAN 24|09|**** P P JL SEI BATU GINGGING PS X 25 000 000 0 0

120 1271211112****** 1271212003****** MUHAMMAD RIFQI WIJAYA MEDAN 20|03|**** B L JL SEI BATU GINGGING PS X 25 000 000 0 0

121 1271211202****** 1271212404****** ALI SAKTI SIREGAR MEDAN 24|04|**** S L JLSEI BT GINGGING PS X NO 20 000 000 0 0

122 1271211202****** 1271216509****** DOMINA BR SIMAMORA SIPIROK 25|09|**** S P JLSEI BT GINGGING PS X NO 20 000 000 0 0

123 1271211207****** 1207266008****** NADA RIANA HARNUM TANJUNG REJO 20|08|**** S P JL SEI BATU GINGING PS X NO 26-B 000 000 0 0

124 1271211207****** 1271210508****** GITA SAHALA ADHA HS BANDA ACEH 05|08|**** S L JL SEI BATU GINGING PS X NO 26-B 000 000 0 0

125 1271211209****** 1271212606****** EDDY DAHLAN SWIYANTO HUTAURUK TARUTUNG 26|06|**** S L JL SEI BATUGINGGING PS X NO.24 A 000 000 0 0

126 1271211209****** 1271216304****** PAGET MAGHDALENA MEDAN 23|04|**** S P JL SEI BATUGINGGING PS X NO.24 A 000 000 0 0

127 1271211211****** 1271210807****** TOMMY HENRY GANDATUA MARPAUNG MEDAN 08|07|**** S L JL SEI BATU GINGGING PSR X NO 13D 000 000 0 0

128 1271211211****** 1271214602****** RINA RIAMA SIREGAR, ST GUNUNG PAMELA 06|02|**** S P JL SEI BATU GINGGING PSR X NO 13D 000 000 0 0

129 1271211212****** 1271210103****** HARAHIM HARAHAP DRS P SIDEMPUAN 01|03|**** S L JLSEI BATU GINGGING PS X-10 000 000 0 0

130 1271211212****** 1271216601****** HJ NURHAIDAH MARPAUNG DRA BALIGE 26|01|**** S P JLSEI BATU GINGGING PS X-10 000 000 0 0

131 1271211212****** 1271210408****** MUHAMMAD ALI ZAMINUL ALAM P. SIANTAR 04|08|**** S L JLSEI BATU GINGGING PS X-10 000 000 0 0

132 1271211212****** 1271212212****** MUHAMMAD DESRA YUSUF HARAHAP MEDAN 22|12|**** B L JLSEI BATU GINGGING PS X-10 000 000 0 0

133 1271211212****** 1271211710****** MUHAMMAD IQBAL HARAHAP MEDAN 17|10|**** B L JLSEI BATU GINGGING PS X-10 000 000 0 0

134 1271211212****** 1271211812****** FARHAN RAZAK P PANGARIBUAN MEDAN 18|12|**** B L JLSEI BATU GINGGING PS X-10 000 000 0 0

135 1271211212****** 1271212012****** SYABRI SAPUTRA IR MEDAN 20|12|**** S L JL SEI BATU GINGGING PS X NO 19-A 000 000 0 0

136 1271211212****** 1271215709****** CHAIRINA FAUZIAH MEDAN 17|09|**** S P JL SEI BATU GINGGING PS X NO 19-A 000 000 0 0

137 1271211212****** 1271216308****** DWI AYU SABRINA PUTRI MEDAN 23|08|**** B P JL SEI BATU GINGGING PS X NO 19-A 000 000 0 0

138 1271211302****** 1271215004****** DEMAK BUULOLO MEDAN 10|04|**** B P JL SEI BATU GINGGING PS X-14 000 000 0 0

139 1271211310****** 1271216007****** KASIANI BANDAR MERIAH 20|07|**** S P JL SEI BATUGINGGING NO 26-C PS X MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 69 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271211311****** 1271210503****** JP KEREH MANADO 05|03|**** S L JLSEI BTGINGGING PSX NO18 000 000 0 0

141 1271211311****** 1271215310****** ANITA Y KEREH TEBING TINGGI 13|10|**** B P JLSEI BTGINGGING PSX NO18 000 000 0 0

142 1271211311****** 1271214402****** C ELISABETH KEREH MEDAN 04|02|**** B P JLSEI BTGINGGING PSX NO18 000 000 0 0

143 1271211403****** 1271214701****** ISMARINA STABAT 07|01|**** S P JL. SEI BATU GINGGING PASAR X NO 25 000 000 0 0

144 1271211412****** 1205034303****** SYAHFITRI RAMADANI KAMPUNG AMAL 03|03|**** S P JL SEI BT GINGGING PS X NO 12 C 000 000 0 0

145 1271211502****** 1271211512****** BOHUR LUBIS LOSUNG BATU 15|12|**** S L JL SEI BATU GINGGING PS X NO 12 C 000 000 0 0

146 1271211502****** 1271214701****** RUKIAH MEDAN 07|01|**** S P JL SEI BATU GINGGING PS X NO 12 C 000 000 0 0

147 1271211502****** 1271210805****** BUDI HALIM LUBIS MEDAN 08|05|**** B L JL SEI BATU GINGGING PS X NO 12 C 000 000 0 0

148 1271211502****** 1271211909****** RIZKY HALIM LUBIS MEDAN 19|09|**** B L JL SEI BATU GINGGING PS X NO 12 C 000 000 0 0

149 1271211506****** 1271213108****** JOHAN ALEXANDER FERDINANDUS MEDAN 31|08|**** S L JL SEI BT GINGGING PS X NO 17 000 000 0 0

150 1271211506****** 1271215611****** YVONNE FERDINANDUS MEULABOH 16|11|**** S P JL SEI BT GINGGING PS X NO 17 000 000 0 0

151 1271211506****** 1271211606****** BACHRAM MEDAN 16|06|**** S L JL SEI BT GINGGING PS X NO 12 C 000 000 0 0

152 1271211506****** 1271216112****** HARYATI MEDAN 21|12|**** S P JL SEI BT GINGGING PS X NO 12 C 000 000 0 0

153 1271211506****** 1271212502****** FEBDRIAN MEDAN 25|02|**** B L JL SEI BT GINGGING PS X NO 12 C 000 000 0 0

154 1271211506****** 1271211609****** MUHAMMAD ACKBAR MEDAN 16|09|**** B L JL SEI BT GINGGING PS X NO 12 C 000 000 0 0

155 1271211509****** 1271216412****** ADELLIA DEVITA MEDAN 24|12|**** B P JLSEI BT GINGGING PSX NO23A 000 000 0 0

156 1271211603****** 1271211503****** MUHAMMAD RAIS MEDAN 15|03|**** S L JLSEI BTGINGGING PS X NO 23 B 000 000 0 0

157 1271211603****** 1271216205****** RAHMALIA PRATIWI MEDAN 22|05|**** S P JLSEI BTGINGGING PS X NO 23 B 000 000 0 0

158 1271211704****** 1207082302****** M ABDULLAH ARIF MUNTHE BANDAR DURIAN 23|02|**** S L PB SELAYANG I 000 000 0 0

159 1271211704****** 1207085607****** KASMAWATI GUMPANG 16|07|**** S P PB SELAYANG I 000 000 0 0

160 1271211807****** 1271214212****** SATIYAH BALIAS 02|12|**** S P JL SEI BATU GINGGING GG BILAL NO 83 A 000 000 0 0

161 1271211904****** 1203011204****** AGUSSALLIM SITOMPUL SITANGGILING 29|04|**** S L JL SEI BATU GINGGING PSR X NO 25-D 000 000 0 0

162 1271211904****** 1203014308****** MUTIAH AEK PARDOMUAN 05|07|**** S P JL SEI BATU GINGGING PSR X NO 25-D 000 000 0 0

163 1271212002****** 1271157010****** AFRIDA HARAHAP MEDAN 30|10|**** S P JL. SEI BATUGINGGING PSR X NO. 77 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 70 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212007****** 1271214511****** SURONA MEDAN 05|11|**** S P JL. SEI BTGINGGING PSR X NO. 26 000 000 0 0

165 1271212008****** 1271217108****** SURATMI MEDAN 31|08|**** P P JL SEI BATU GINGGING PSR X NO 6- A 000 000 0 0

166 1271212011****** 1271211311****** A RAHMAN LUBIS SH MEDAN 13|11|**** S L JL SEI BATU GINGGING PS X NO 21 A 000 000 0 0

167 1271212011****** 1271211310****** RIDHO PRANANTA LUBIS MEDAN 13|10|**** B L JL SEI BATU GINGGING PS X NO 21 A 000 000 0 0

168 1271212101****** 1271210807****** YUDHY BOY SAHUWAT JAKARTA 08|07|**** S L JL SEI BTGINGGING PSR X NO 15-A 000 000 0 0

169 1271212101****** 1271214612****** YOLANDA CHRISTINA SAHUAT MEDAN 06|12|**** B P JL SEI BTGINGGING PSR X NO 15-A 000 000 0 0

170 1271212101****** 1271210504****** RIVALDO JEREMIA SAHUAT MEDAN 05|04|**** B L JL SEI BTGINGGING PSR X NO 15-A 000 000 0 0

171 1271212107****** 1271212807****** RAKIMAN, SE MEDAN 28|07|**** S L JL SEI BT GINGGING PSR X NO 25 000 000 0 0

172 1271212107****** 1271215008****** YUSNANI NOVIYANTI MEDAN 10|08|**** S P JL SEI BT GINGGING PSR X NO 25 000 000 0 0

173 1271212107****** 1271214305****** RETNO RANA UTAMI MEDAN 03|05|**** B P JL SEI BT GINGGING PSR X NO 25 000 000 0 0

174 1271212107****** 1271216111****** RANA ADE DWI NOVIZA MEDAN 21|11|**** B P JL SEI BT GINGGING PSR X NO 25 000 000 0 0

175 1271212109****** 1203015707****** RISNA DEWI AEK PARDOMUAN 17|02|**** S P JL SEI BT GINGGING PS X NO 25 000 000 0 0

176 1271212109****** 1271211202****** RAHMAN RAMADHAN MEDAN 12|02|**** B L JL SEI BT GINGGING PS X NO 25 000 000 0 0

177 1271212112****** 1271215612****** DEWI HARTATI MEDAN 16|12|**** B P JL SEI BTGINGGING PS X NO 12 C 000 000 0 0

178 1271212202****** 1271212612****** HESTURI WALUYO MEDAN 26|12|**** S L JL SEI BATUGINGGING PS X NO 23-B 000 000 0 0

179 1271212204****** 1271215302****** WISNI DAHLIA MEDAN 13|02|**** S P JL SEI BATU GINGGING PSR X NO 26 000 000 0 0

180 1271212205****** 1271212709****** MULIA MANULLANG JAKARTA 27|09|**** S L JL SEI BATUGINGGING PS X NO 14 000 000 0 0

181 1271212205****** 1271216602****** HOTMARISI BR PANGARIBUAN MEDAN 26|02|**** S P JL SEI BATUGINGGING PS X NO 14 000 000 0 0

182 1271212205****** 1271212602****** REINOLD MEDAN 26|02|**** B L JLSEI BATUGINGGING PS X NO 4 000 000 0 0

183 1271212205****** 1271216711****** BARMANI MEDAN 27|11|**** S P JL SEI BT GINGGING PS X NO 15 B 000 000 0 0

184 1271212205****** 1271211512****** DEKKY HARY SAHUWAT MEDAN 15|12|**** S L JL SEI BT GINGGING PS X NO 15 B 000 000 0 0

185 1271212208****** 1271210208****** PRIYONO LIMAU MANIS 02|08|**** S L JL SEI BT GINGGING PS X NO 25 000 000 0 0

186 1271212208****** 1271214103****** SUWARNI MEDAN 01|03|**** S P JL SEI BT GINGGING PS X NO 25 000 000 0 0

187 1271212208****** 1271214801****** DINDA PRATIWI MEDAN 08|01|**** B P JL SEI BT GINGGING PS X NO 25 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 71 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271212210****** 1271210512****** ZULFAHMI BUKIT TINGGI 05|12|**** S L JL SEI BATU GINGGING PSR X NO 26 000 000 0 0

189 1271212210****** 1271216612****** DAHNIAR BUKIT TINGGI 26|12|**** S P JL SEI BATU GINGGING PSR X NO 26 000 000 0 0

190 1271212210****** 1271215101****** ZULFALINDA, SE MEDAN 11|01|**** S P JL SEI BATU GINGGING PSR X NO 26 000 000 0 0

191 1271212305****** 1271211611****** DENNY FRANKLIN SAHUWAT MEDAN 16|11|**** S L JL SEI BATUGINGGING PS X NO 15 B 000 000 0 0

192 1271212305****** 1271024907****** YULIA BIREUEN 09|07|**** S P JL SEI BATUGINGGING PS X NO 15 B 000 000 0 0

193 1271212308****** 1271212508****** ANDREAS SIREGAR MEDAN 25|08|**** B L JLN SEI BATUGINGGING PSR X -6 000 000 0 0

194 1271212312****** 1271210505****** ANDRI HARIANTO MEDAN 05|05|**** S L JL SEI BT GINGGING PS X NO 6 A 000 000 0 0

195 1271212312****** 1271216004****** RIA LESTARI ICHSAN JAKARTA 20|04|**** S P JL SEI BT GINGGING PS X NO 6 A 000 000 0 0

196 1271212403****** 1271212603****** M HALIM SUPOMO SUKOHARJO 26|03|**** S L JL SEI BATU GINGGING PSR X NO 2A 000 000 0 0

197 1271212403****** 1271212003****** FRANS THOMAS PATTISINA MEDAN 20|03|**** S L JL SEI BATUGINGGING PS X NO 26 C 000 000 0 0

198 1271212403****** 1271216306****** SUSANTI MEDAN 23|06|**** S P JL SEI BATUGINGGING PS X NO 26 C 000 000 0 0

199 1271212403****** 1271214304****** VIKA MARCELIAEPATTISINA MEDAN 03|04|**** B P JL SEI BATUGINGGING PS X NO 26 C 000 000 0 0

200 1271212406****** 1271215209****** MARTA PETTERZ SABANG 12|09|**** S P JL SEI BATUGINGGING PS X NO 15-B 000 000 0 0

201 1271212408****** 1271114511****** CLARESTA SRINOVINTAN ZENDRATO MEDAN 05|11|**** B P JL SEI BATU GINGGING PSR X NO 34 000 000 0 0

202 1271212408****** 1271210301****** M IQBAL PRASETYA MEDAN 03|01|**** B L JL SEI BATU GINGGING PSR X NO 34 000 000 0 0

203 1271212501****** 1271215405****** HARIATUN SUKOHARJO 14|05|**** S P JL SEI BATU GINGGING PS X NO 4 A 000 000 0 0

204 1271212501****** 1271214109****** RELIANA BR TAMPUBOLON TITI BESI 01|09|**** P P JL. SEI BATUGINGGING PSR X NO. 14-A 000 000 0 0

205 1271212501****** 1271215004****** RISEM MEDAN 10|04|**** P P JL. SEI BATUGINGGING PSR X NO. 25-B 000 000 0 0

206 1271212501****** 1271212511****** MUSTIKA HENDRIK MEDAN 25|11|**** B L JL. SEI BATUGINGGING PSR X NO. 25-B 000 000 0 0

207 1271212502****** 1271212508****** HADIRIAN PARULIAN MEDAN 25|08|**** S L JL SEI BATU GINGGING NO 4 000 000 0 0

208 1271212502****** 1271211712****** KRISTIAN JH NAPITUPULU MEDAN 17|12|**** B L JL SEI BATU GINGGING NO 4 000 000 0 0

209 1271212502****** 1271210708****** LEONARD HASIHOLAN NAPITUPULU MEDAN 07|08|**** B L JL SEI BATU GINGGING NO 4 000 000 0 0

210 1271212502****** 1271210307****** YOEL HATORANGAN NAPITUPULU MEDAN 03|07|**** B L JL SEI BATU GINGGING NO 4 000 000 0 0

211 1271212503****** 1271216302****** HJ HUSNI BIRUEN 23|02|**** P P JL SEI BATU GINGGING PS X NO 19 A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 72 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271212504****** 1271212807****** SARUL LUBUK PAKAM 28|07|**** S L JL SEI BATU GINGGING PSR X NO 26-C 000 000 0 0

213 1271212504****** 1271215708****** ANI RUMIATIK PONDOK SIBARAU 17|08|**** S P JL SEI BATU GINGGING PSR X NO 26-C 000 000 0 0

214 1271212601****** 1113100506****** IRWANSYAH RIKIT GAIB 05|06|**** S L JL. SEI BATU GINGGING NO.26.C 000 000 0 0

215 1271212601****** 1102026302****** NUR HAMINAH LAWE LONING 23|02|**** S P JL. SEI BATU GINGGING NO.26.C 000 000 0 0

216 1271212604****** 1271215603****** SAPRIDA MEDAN 16|03|**** S P JL SEI BATUGINGGING PS X NO 25-A 000 000 0 0

217 1271212610****** 1271216908****** AGUSTINA YT KEREH MEDAN 29|08|**** P P JL. SEI BATUGINGGING PSR X NO.18 000 000 0 0

218 1271212611****** 1271213010****** MUHAMMAD AKAD MEDAN 30|10|**** S L JL SEI BATUGINGGING PSR X NO 25-D 000 000 0 0

219 1271212611****** 1271214202****** SULASMI MEDAN 02|02|**** S P JL SEI BATUGINGGING PSR X NO 25-D 000 000 0 0

220 1271212702****** 1271214911****** MANALAKSAK BR DOLOK SARIBU PORSEA 09|11|**** P P JL SEI BATUGINGGING PSR X NO 13 000 000 0 0

221 1271212702****** 1271210802****** FERDY H SITORUS MEDAN 08|02|**** B L JL SEI BATUGINGGING PSR X NO 3 000 000 0 0

222 1271212708****** 1271216706****** PORMAN BR MANURUNG BANDAR 27|06|**** S P JL SEI BT GINGGING PSR X NO 14 000 000 0 0

223 1271212708****** 1271211508****** JOTAR SIANIPAR SIGUMPAR 15|08|**** S L JL SEI BT GINGGING PSR X NO 14 000 000 0 0

224 1271212708****** 1271212404****** MONANG SIANIPAR DOLOK JIOR 24|04|**** B L JL SEI BT GINGGING PSR X NO 14 000 000 0 0

225 1271212708****** 1271211609****** TOMI SIANIPAR MEDAN 16|09|**** B L JL SEI BT GINGGING PSR X NO 14 000 000 0 0

226 1271212708****** 1271212210****** ROY MARTEN MEDAN 22|10|**** B L JL SEI BT GINGGING PSR X NO 14 000 000 0 0

227 1271212708****** 1271215405****** MEILINA BR SIANIPAR MEDAN 14|05|**** B P JL SEI BT GINGGING PSR X NO 14 000 000 0 0

228 1271212710****** 1271211412****** FIKI SUTANA GINTING MEDAN 14|12|**** B L JLSEI BTGINGGING PSX NO2 A 000 000 0 0

229 1271212802****** 1271216005****** ITA AMI BUULOLO NIAS 20|05|**** S P JL SEI BT GINGGING PS X NO 44 000 000 0 0

230 1271212802****** 1271215405****** HARMI HARDINI MEDAN 14|05|**** S P JL SEI BATU GINGGING PSR X NO 6-A 000 000 0 0

231 1271212802****** 1271211809****** MHD SOPIYAN MULIO REJO 18|09|**** S L JL SEI BATU GINGGING PSR X NO 6-A 000 000 0 0

232 1271212803****** 1271212010****** ALOGO BAIK HUTAURUK BOGOR 20|10|**** S L JL SEI BATU GINGGING NO 11 MDN 000 000 0 0

233 1271212803****** 1271216702****** ELVIRA SIREGAR,SE LARAS 27|02|**** S P JL SEI BATU GINGGING NO 11 MDN 000 000 0 0

234 1271212803****** 1271215209****** LAUTHA ALDA RENY HUTAURUK MEDAN 12|09|**** B P JL SEI BATU GINGGING NO 11 MDN 000 000 0 0

235 1271212803****** 1271211512****** BANTA BERAMSYAH STABAT 15|12|**** S L JL SEI BATU GINGGING PSR X NO 26-C 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 73 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

236 1271212803****** 1271217006****** SUNARSEH STABAT 30|06|**** S P JL SEI BATU GINGGING PSR X NO 26-C 000 000 0 0

237 1271212803****** 1271216903****** SYARAHMIYAH STABAT 29|03|**** S P JL SEI BATU GINGGING PSR X NO 26-C 000 000 0 0

238 1271212804****** 1271211004****** SUHARTOYO GROBOKAN 10|04|**** S L JL SEI BATU GINGGING PSR X NO 5C 000 000 0 0

239 1271212804****** 1271216707****** NUR DWI SUSANTI GROBOKAN 27|07|**** S P JL SEI BATU GINGGING PSR X NO 5C 000 000 0 0

240 1271212809****** 1271200506****** DICKY PRAMANA MEDAN 05|06|**** S L JL SEI BATU GINGGING PSR X NO 26 000 000 0 0

241 1271212906****** 1271210704****** SAFAHRY KOTO PARIAMAN 07|04|**** S L JL SEI BT GINGGING PSR X NO 12 B 000 000 0 0

242 1271212906****** 1271215705****** LILIYANI PURNAMASARI MEDAN 17|05|**** S P JL SEI BT GINGGING PSR X NO 12 B 000 000 0 0

243 1271212908****** 1271212103****** THOMAS DP SIJAUTA MEDAN 21|03|**** S L JL SEI BT GINGGING PS X NO 15 000 000 0 0

244 1271212908****** 1271215704****** KASMITA BR TARIGAN KABANJAHE 17|04|**** S P JL SEI BT GINGGING PS X NO 15 000 000 0 0

245 1271212908****** 1206060101****** JAKA WARDANA SEMBIRING TANJUNG BERINGIN 01|01|**** B L JL SEI BT GINGGING PS X NO 15 000 000 0 0

246 1271213001****** 1271215801****** YOHANNA LAWEN KEREH MEDAN 18|01|**** S P JL SEI BATUGINGGING PS X NO 18 B 000 000 0 0

247 1271213004****** 1271214307****** SUSANA SAVITRI PATTISINA MEDAN 03|07|**** S P JL SEI BATU GINGGING NO 12-B 000 000 0 0

248 1271213008****** 1271212408****** HENDAR MARULI TUA SIREGAR TEBING TINGGI 24|08|**** S L JL SEI BATU GINGGING PSR X NO 20 000 000 0 0

249 1271213008****** 1271217101****** RELINA DARMAWATY SITUMORANG DOLOK SANGGUL 31|01|**** S P JL SEI BATU GINGGING PSR X NO 20 000 000 0 0

250 1271213008****** 1271211212****** MARAJA SAHALA PRATAMA SIREGAR P. SIANTAR 12|12|**** B L JL SEI BATU GINGGING PSR X NO 20 000 000 0 0

251 1271213008****** 1271214807****** MARSELLYNA SIMBOLON SH PANGURURAN 08|07|**** S P JL SEI BTGINGGING PSX NO 12 000 000 0 0

252 1271213008****** 1271212307****** EDUWARD SANGGUL PURBA SE MEDAN 23|07|**** S L JL SEI BTGINGGING PSX NO 12 000 000 0 0

253 1271213011****** 1271213011****** DANIEL FITRI DANUHUDO HANDOYO PALEMBANG 30|11|**** S L JL SEI BATU GINGGING PSR X NO 17-B 000 000 0 0

254 1271213011****** 1271216212****** DESSY ELLYSABETH MEDAN 22|12|**** S P JL SEI BATU GINGGING PSR X NO 17-B 000 000 0 0

255 1271213011****** 1271210707****** DENNES JULIO ANDRESA MEDAN 07|07|**** B L JL SEI BATU GINGGING PSR X NO 17-B 000 000 0 0

256 1271213011****** 1271172603****** MAMAN WAGIMAN WONOGIRI 26|03|**** S L JL SEI BATU GINGGING 3-B 000 000 0 0

257 1271213011****** 1271174106****** DWI ISTIYATUN KLATEN 01|06|**** S P JL SEI BATU GINGGING 3-B 000 000 0 0

258 1271213110****** 1271210907****** BATARA NAPOSO HS P. SIANTAR 09|07|**** S L JL SEI BATU GINGING PS X NO 26-B 000 000 0 0

259 1271213110****** 1271175005****** RINDI S MEDAN 10|05|**** S P JL SEI BATU GINGING PS X NO 26-B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 74 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

260 1271216402****** 1219041507****** MUHAMMAD ARIFIN PERUPUK 15|07|**** S L JL SEI BT GINGGING PS X NO 25 C 000 000 0 0

261 1271211809****** 1271210503****** SUWANDI BOJONEGORO 05|03|**** S L JL SEI BATUGINGGING PS X NO 23-C 003 000 0 0

262 1271211809****** 1271216505****** SRI HANDAYANI NASUTION SIMPANG AJAMU 25|05|**** S P JL SEI BATUGINGGING PS X NO 23-C 003 000 0 0

263 1271211903****** 1271215402****** KRISTI LABORA SIREGAR DOLOK MASIHOL 14|02|**** S P JL. SEI BT GINGGING PSR X NO. 20 003 000 0 0

264 1271211903****** 1271211012****** DEMON RIVAI SILALAHI PINTU-PINTU 10|12|**** S L JL. SEI BT GINGGING PSR X NO. 20 003 000 0 0

265 1271211904****** 1271211504****** DIMAR TAMBA,DRS HT GODUNG 15|04|**** S L JL SEI BTGINGGING PS X NO 21 003 002 0 0

266 1271211904****** 1271214712****** DEBORA MANURUNG P. SIANTAR 07|12|**** S P JL SEI BTGINGGING PS X NO 21 003 002 0 0

267 1271211701****** 1271216708****** RISMAYANI MEDAN 27|08|**** S P JL SEI BATUGINGGING PS X NO 27-A 001 003 0 0

268 1271211701****** 1271211406****** KIKI CITRA ASMARA MEDAN 14|06|**** S L JL SEI BATUGINGGING PS X NO 27-A 001 003 0 0

269 1271211704****** 1271210401****** IMAM SYAHABIB MEDAN 04|01|**** B L JL SEI BATUGINGGING PS X NO 22-A 001 003 0 0

270 1271212006****** 1271212509****** AGUM TETUKO SUKOHARJO 25|09|**** B L JL. SEI BT GINGGING PSR X NO. 2-A 001 003 0 0

271 1271211907****** 1271211303****** RIO GORGA SIREGAR AIR MOLEK 13|03|**** S L JL SEI BT GINGGING PSR X NO 20 003 003 0 0

272 1271211907****** 1271174212****** VICKY MAGDALENA T MEDAN 02|12|**** S P JL SEI BT GINGGING PSR X NO 20 003 003 0 0

273 1271211909****** 1271212207****** M RIKI SABARUDDIN HARAHAP MEDAN 22|07|**** S L JL SEI BATU GINGGING PS X NO 10 003 003 0 0

274 1271211909****** 1271216406****** FERIANI ANWAR MEDAN 24|06|**** S P JL SEI BATU GINGGING PS X NO 10 003 003 0 0

275 1271212001****** 1271211507****** JULIAN MEDAN 15|07|**** S L JLSEI BT GINGGING PS X-23 B 003 003 0 0

276 1271212001****** 1271026612****** SRI RAHAYU MEDAN 26|12|**** S P JLSEI BT GINGGING PS X-23 B 003 003 0 0

277 1271212004****** 1271210101****** HARDI FITRI R SIALANG 01|01|**** S L JL SEI BATU GINGGING PSR X NO 24A 003 003 0 0

278 1271212004****** 1271215009****** PONIYAH R SIALANG 10|09|**** S P JL SEI BATU GINGGING PSR X NO 24A 003 003 0 0

279 1271212004****** 1271216503****** PRATIWI MEDAN 25|03|**** B P JL SEI BATU GINGGING PSR X NO 24A 003 003 0 0

280 1271212006****** 1271211008****** SUPANTO RAHARJO SUKOHARJO 10|08|**** S L JL. SEI BT GINGGING PSR X NO. 2-A 003 003 0 0

281 1271212006****** 1271215011****** KARTI SUKOHARJO 10|11|**** S P JL. SEI BT GINGGING PSR X NO. 2-A 003 003 0 0

282 1271212101****** 1271215408****** MARTHA ELISABETH PIETERSZ JAKARTA 14|08|**** S P JL SEI BTGINGGING PSR X NO 15-A 003 003 0 0

283 1271212006****** 1271211212****** WAHYU SUBAKTI SUKOHARJO 12|12|**** B L JL. SEI BT GINGGING PSR X NO. 2-A 005 003 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 75 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

284 1271212007****** 1271212212****** MUHARLINSAS KOTO MEDAN 22|12|**** S L JL. SEI BTGINGGING PSR X NO. 26 005 003 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 284 Jenis Kelamin = 284 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 88 L : Laki-Laki = 135 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 180 P : Perempuan = 149 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 16
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 138 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-007 76 / 276
MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 008
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271171703****** 1271175704****** ELSA NOVITA ARIFAH MEDAN 17|04|**** B P JL SEI BATUGINGGING PSR X NO. 104 MEDAN 000 000 0 0

2 1271210109****** 1271091205****** HERYANTO SIBURIAN SE PALEMBANG 12|05|**** B L JL SEI BATUGINGGING PSR X NO 28-A 000 000 0 0

3 1271210109****** 1271214210****** DEWI AMORITA SITANGGANG, SE MEDAN 02|10|**** B P JL SEI BATUGINGGING PSR X NO 28-A 000 000 0 0

4 1271210202****** 1271210901****** SUDARMADI ST MEDAN 09|01|**** S L JL SEI BT GINGGING PS X NO 67 000 000 0 0

5 1271210202****** 1271215402****** NANI WINASARI MEDAN 14|02|**** S P JL SEI BT GINGGING PS X NO 67 000 000 0 0

6 1271210203****** 1271212402****** HOTMAN SITANGGANG SIANTAR-ANTAR 24|02|**** S L JL. SEI BT GINGGING PSR X NO. 28-A 000 000 0 0

7 1271210203****** 1271216612****** ROSMAWATI LIMBONG TAPANULI UTARA 26|12|**** S P JL. SEI BT GINGGING PSR X NO. 28-A 000 000 0 0

8 1271210203****** 1271215911****** VIVI NOVITA SITANGGANG MEDAN 19|11|**** B P JL. SEI BT GINGGING PSR X NO. 28-A 000 000 0 0

9 1271210203****** 1271216308****** ANGELIA AGUSTINI SITANGGANG MEDAN 23|08|**** B P JL. SEI BT GINGGING PSR X NO. 28-A 000 000 0 0

10 1271210203****** 1271214702****** TOGIANA MORINA MONIQUEL SITANGGANG MEDAN 07|02|**** B P JL. SEI BT GINGGING PSR X NO. 28-A 000 000 0 0

11 1271210203****** 1271215703****** SUSILAWATI MEDAN 17|03|**** S P JL. SEI BATUGINGGING PSR X NO. 29-C 000 000 0 0

12 1271210205****** 1271215503****** ROSELINA BR SIMBOLON NAGOJOR 15|03|**** P P JL SEI B GINGGING PSR X NO 30A 000 000 0 0

13 1271210205****** 1271211601****** SAKA DIAN B MANURUNG MEDAN 16|01|**** B L JL SEI B GINGGING PSR X NO 30A 000 000 0 0

14 1271210205****** 1271101106****** MUHAMMAD IKHSAN SIREGAR MEDAN 11|06|**** S L JL. SEI BT GINGGING PS X NO. 23 A 000 000 0 0

15 1271210401****** 1271212705****** DR R H MARULI TUA SIAHAAN SONDY RAYA 27|05|**** S L JLSEI BATU GINGGING PS X-30 A 000 000 0 0

16 1271210401****** 1271216702****** ELLY SRI ANORAH BR MANURUNG MEDAN 27|02|**** S P JLSEI BATU GINGGING PS X-30 A 000 000 0 0

17 1271210403****** 1271212509****** SUTADI MEDAN 25|09|**** S L JL SEI BATU GINGGING PSR X NO 72 000 000 0 0

18 1271210403****** 1271215505****** NURMAINI MEDAN 15|05|**** S P JL SEI BATU GINGGING PSR X NO 72 000 000 0 0

19 1271210403****** 1271216008****** GUSTI INDAH LESTARI MEDAN 20|08|**** B P JL SEI BATU GINGGING PSR X NO 72 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-008 77 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210407****** 1271211706****** DENNI HASUDUNGAN DAMANIK MEDAN 17|06|**** S L JL SEI BATU GINGGING PSR X NO 56 B 000 000 0 0

21 1271210407****** 1271214603****** EVA LUSY TIURMA D SIMAMORA RANTAU 06|03|**** S P JL SEI BATU GINGGING PSR X NO 56 B 000 000 0 0

22 1271210504****** 1271210611****** KAMALUDDIN MEDAN 06|11|**** S L JL SEI BATU GINGGING PSR X NO 33 000 000 0 0

23 1271210504****** 1271214201****** ERNI SINYO KENDARI 02|01|**** S P JL SEI BATU GINGGING PSR X NO 33 000 000 0 0

24 1271210508****** 1271214809****** LISA KURNIATI ADIL, ST MEDAN 08|09|**** P P JL. SEI BATUGINGGING PSR X NO. 39-A 000 000 0 0

25 1271210510****** 1271214611****** SUMIATI LEBERIA 06|11|**** P P JL SEI BATU GINGGING PSR X NO 53.B 000 000 0 0

26 1271210510****** 1271210208****** AGUS SUPRIYANTO MEDAN 02|08|**** B L JL SEI BATU GINGGING PSR X NO 53.B 000 000 0 0

27 1271210510****** 1271212010****** OBI SYAHPUTRA YS MEDAN 20|10|**** B L JL SEI BATU GINGGING PSR X NO 53.B 000 000 0 0

28 1271210606****** 1271210605****** ISHAK LHOKSUMAWE 06|05|**** S L JL SEI BATU GINGGING PSR X NO 54 000 000 0 0

29 1271210606****** 1271215511****** NURLAILA ARMI LHOKSUMAWE 15|11|**** S P JL SEI BATU GINGGING PSR X NO 54 000 000 0 0

30 1271210606****** 1271211711****** ASNAWI LHOKSUMAWE 17|11|**** B L JL SEI BATU GINGGING PSR X NO 54 000 000 0 0

31 1271210606****** 1271210908****** ISKANDAR MEDAN 09|08|**** B L JL SEI BATU GINGGING PSR X NO 54 000 000 0 0

32 1271210606****** 1271210703****** SAFRIZAL MEDAN 07|03|**** B L JL SEI BATU GINGGING PSR X NO 54 000 000 0 0

33 1271210606****** 1271211508****** IRWANSYAH MEDAN 15|08|**** B L JL SEI BATU GINGGING PSR X NO 54 000 000 0 0

34 1271210606****** 1271212606****** FAISAL MAULANA MEDAN 26|06|**** B L JL SEI BATU GINGGING PSR X NO 54 000 000 0 0

35 1271210606****** 1271214812****** INTAN NADYA FITRI MEDAN 08|12|**** B P JL SEI BATU GINGGING PSR X NO 54 000 000 0 0

36 1271210608****** 1271216904****** RINI KARTIKA SARI ARITONANG MEDAN 29|04|**** B P JL SEI BATU GINGGING PS X NO 69-B 000 000 0 0

37 1271210610****** 1271216703****** NELLYANA SEBAYANG KISARAN 27|03|**** B P JL SEI BATU GINGGING PSR X NO 30 000 000 0 0

38 1271210610****** 1271214704****** ISABRINA SABELLA BR SEBAYANG KABANJAHE 07|04|**** B P JL SEI BATU GINGGING PSR X NO 30 000 000 0 0

39 1271210706****** 1271210710****** ABDUL KARIM TEBING TINGGI 07|10|**** S L JL SEI BATU GINGGING PSR X 000 000 0 0

40 1271210706****** 1271216005****** SUGIATY LIMAU MANIS 20|05|**** S P JL SEI BATU GINGGING PSR X 000 000 0 0

41 1271210706****** 1271213101****** HERU KHALAMIN MEDAN 31|01|**** B L JL SEI BATU GINGGING PSR X 000 000 0 0

42 1271210708****** 1271216004****** ANNISA PADHILA MEDAN 20|04|**** B P JL SEI BT GINGGING PSR X NO 56 000 000 0 0

43 1271210802****** 1271215303****** SITI HADIJAH HUTAPEA P SIANTAR 13|03|**** S P JL SEI BATU GINGGING PS X NO.55-A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-008 78 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210803****** 1271211206****** YOELLOVA MANGGALA PUTRA PASARIBU PEKANBARU 12|06|**** B L JL SEI BATUGINGGING PSR X NO 45 000 000 0 0

45 1271210805****** 1271210605****** MEIYER MEDAN 06|05|**** S L JL SEI BATU GINGGING PSR X NO 60 000 000 0 0

46 1271210805****** 1271215108****** TENGKU LATIFAH MEDAN 11|08|**** S P JL SEI BATU GINGGING PSR X NO 60 000 000 0 0

47 1271210808****** 1271212606****** EDY EFIANTO ARIF MEDAN 26|06|**** S L JL SEI BATU GINGGING PSR X NO 56 B 000 000 0 0

48 1271210808****** 1271216808****** ASMAIDA MEDAN 28|08|**** S P JL SEI BATU GINGGING PSR X NO 56 B 000 000 0 0

49 1271210808****** 1271210206****** HANAFI AMBRY MEDAN 02|06|**** B L JL SEI BATU GINGGING PSR X NO 56 B 000 000 0 0

50 1271210808****** 1271215105****** NUR SAFRIANI MEDAN 11|05|**** B P JL SEI BATU GINGGING PSR X NO 56 B 000 000 0 0

51 1271210808****** 1271215007****** ESTHER LILYANNA SEBAYANG MEDAN 10|07|**** S P JL SEI BT GINGGING PSR X NO 30 000 000 0 0

52 1271210808****** 1271211207****** JARUDDIN BINJAI 12|07|**** S L JL SEI BT GINGGING PSR X NO 30 000 000 0 0

53 1271210811****** 1271214210****** NILAWATY MEDAN 02|10|**** S P JL SEI BATU GINGGING PSR X N0 58A 000 000 0 0

54 1271210811****** 1271210710****** MAHADI MEDAN 07|10|**** S L JL SEI BATU GINGGING PSR X N0 58A 000 000 0 0

55 1271210902****** 1271211707****** BUDI MAHFUD MADURA 17|07|**** S L JL SEI BT GINGGING PS X NO 54 000 000 0 0

56 1271210902****** 1271215302****** NURAINI MEDAN 13|02|**** S P JL SEI BT GINGGING PS X NO 54 000 000 0 0

57 1271210902****** 1271212609****** JAYA KESUMA MEDAN 26|09|**** B L JL SEI BT GINGGING PS X NO 54 000 000 0 0

58 1271210902****** 1271210310****** M ILHAM SYAHPUTRA MEDAN 03|10|**** B L JL SEI BT GINGGING PS X NO 54 000 000 0 0

59 1271210904****** 1271214202****** HJ ELSYE FERDINANDUS P. SIANTAR 02|02|**** S P JL SEI BTGINGING PSR X NO 34 000 000 0 0

60 1271210906****** 1271210110****** HAMDHANI MEDAN 01|10|**** S L JLSEI BATU GINGGING NO 56 000 000 0 0

61 1271210906****** 1271215811****** NUR ISNIATI MEDAN 18|11|**** S P JLSEI BATU GINGGING NO 56 000 000 0 0

62 1271210907****** 1271212311****** SUKAMTO MEDAN 23|11|**** S L JL. SEI BATU GINGGING PSR X NO. 53 000 000 0 0

63 1271210907****** 1271215204****** APRINA WITA MEDAN 12|04|**** S P JL. SEI BATU GINGGING PSR X NO. 53 000 000 0 0

64 1271210910****** 1271210508****** H RUSTAM JAKARTA 05|08|**** S L JL SEI BT GINGGING PS X NO 42 000 000 0 0

65 1271210910****** 1271215003****** HJ SYARIFAH RODIAH PERDAGANGAN 10|03|**** S P JL SEI BT GINGGING PS X NO 42 000 000 0 0

66 1271210910****** 1271211703****** IZHAR HAFIZH LUBIS MEDAN 17|03|**** B L JL. SEI BATU GINGGING PSR X NO. 19 000 000 0 0

67 1271211007****** 1271216806****** KARIANI LAIA NIAS 28|06|**** B P JL SEI BATUGINGGING PSR X NO 44 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-008 79 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271211010****** 1271216801****** RAHMATIKA MEDAN 28|01|**** B P JL SEI BATUGINGGING PS X NO 19 000 000 0 0

69 1271211101****** 1271213007****** AHMAD HUMAIDI SIRAIT MEDAN 30|07|**** B L JL SEI BATU GINGGING PS X NO 80 000 000 0 0

70 1271211101****** 1271212101****** ZULFANSYAH ALI SAPUTRA, ST, M.Eng MEDAN 21|01|**** S L JL. SEI BT GINGGING GG. BILAL NO. 83-A 000 000 0 0

71 1271211101****** 1271215705****** SRI SUHESTY, DRg MEDAN 17|05|**** S P JL. SEI BT GINGGING GG. BILAL NO. 83-A 000 000 0 0

72 1271211104****** 1271216510****** DESSY THOURISIA SIHOMBING MEDAN 25|10|**** S P JL SEI BATU GINGGING PS X NO-54 C 000 000 0 0

73 1271211104****** 1271216003****** INDAH MUTIARA AGAVE SIMBOLON MEDAN 20|03|**** B P JL SEI BATU GINGGING PS X NO-54 C 000 000 0 0

74 1271211104****** 1271210204****** NASIB MEDAN 02|04|**** S L JL SEI BATUGINGGING PSR X NO 67 MEDAN 000 000 0 0

75 1271211109****** 1271217101****** FRISKA ERITA SIAHAAN MEDAN 31|01|**** S P JLSEI BATUGINGGING PS X-31 000 000 0 0

76 1271211109****** 1271210906****** NOBEL JEVANIA MARPAUNG MEDAN 09|06|**** B L JLSEI BATUGINGGING PS X-31 000 000 0 0

77 1271211109****** 1271215204****** KETRIN MAHARANI MARPAUNG MEDAN 12|04|**** B P JLSEI BATUGINGGING PS X-31 000 000 0 0

78 1271211109****** 1271211310****** HERCULES BERKAT MARPAUNG MEDAN 13|10|**** B L JLSEI BATUGINGGING PS X-31 000 000 0 0

79 1271211110****** 1271214911****** SALMIAH MEDAN 09|11|**** P P JL SEI BT GINGGING PSR X NO 56 000 000 0 0

80 1271211110****** 1271210701****** BENNY TRIDITIA JAKARTA 07|01|**** B L JL SEI BT GINGGING PSR X NO 56 000 000 0 0

81 1271211203****** 1271213011****** DONNY PRANOTO MEDAN 30|11|**** S L JL SEI BT GINGGING PS X NO 60 000 000 0 0

82 1271211203****** 1271214704****** AFRINA MEDAN 07|04|**** S P JL SEI BT GINGGING PS X NO 60 000 000 0 0

83 1271211204****** 1271211212****** LEONARDO AL HASYIM SITORUS BP MANDOGE 12|12|**** S L JL SEI BATUGINGGING PS X NO 53-B 000 000 0 0

84 1271211204****** 1271215811****** NOVI YANTI MEDAN 18|11|**** S P JL SEI BT GINGGING NO 55 000 000 0 0

85 1271211207****** 1271215308****** YETTY HERAWATY BAH JAMBI 13|08|**** S P JL. SEI BATU GINGGING PSR X NO. 42 000 000 0 0

86 1271211207****** 1271212606****** INDRA GUNAWAN, DRS MEDAN 26|06|**** S L JL. SEI BATU GINGGING PSR X NO. 42 000 000 0 0

87 1271211207****** 1271212301****** INDRAYANI BANDUNG 23|01|**** B L JL. SEI BATU GINGGING PSR X NO. 42 000 000 0 0

88 1271211207****** 1271215701****** ADHELIA KHAIRUNISA MEDAN 17|11|**** B P JL. SEI BATU GINGGING PSR X NO. 42 000 000 0 0

89 1271211209****** 1271211902****** MUHAMMAD RICKI SUHENDRA MEDAN 19|02|**** S L JL SEI BATU GINGGING PSR X NO 03 000 000 0 0

90 1271211209****** 1271044511****** SITI ZAHARA MEDAN 05|11|**** S P JL SEI BATU GINGGING PSR X NO 03 000 000 0 0

91 1271211210****** 1271210907****** ABDUL HALIM TANJUNG SARANG ELANG 09|07|**** S L JL SEI BATUGINGGING PS X NO 23-C 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-008 80 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271211212****** 1271210109****** FAUZIE SYAHPUTRA MEDAN 01|09|**** B L JL SEI BATU GINGGING PS X NO 19-A 000 000 0 0

93 1271211302****** 1271214611****** NA'IMAH ARIFAH MEDAN 06|11|**** B P JL SEI BATUGINGGING PS X NO 55 000 000 0 0

94 1271211302****** 1271210612****** AMAKHOITA BUULOLO NIAS 06|12|**** S L JL SEI BATU GINGGING PSR X NO 44 000 000 0 0

95 1271211302****** 1271215505****** SOVIANA SILALAHI SIDIKALANG 15|05|**** S P JL SEI BATU GINGGING PSR X NO 44 000 000 0 0

96 1271211302****** 1271212211****** CHANDRA NOVERLIUS BUULOLO MEDAN 22|11|**** B L JL SEI BATU GINGGING PSR X NO 44 000 000 0 0

97 1271211303****** 1271212107****** HAMDHAN TAQWALDIN MEDAN 21|07|**** S L JL SEI BATU GINGGING PSR X NO 55-B 000 000 0 0

98 1271211303****** 1271216606****** MARDIAH MEDAN 26|06|**** S P JL SEI BATU GINGGING PSR X NO 55-B 000 000 0 0

99 1271211303****** 1271211901****** JANUAR KEPRI MEDAN 19|01|**** S L JL SEI BATUGINGGING PS X NO 35-B 000 000 0 0

100 1271211303****** 1271216312****** YESSY WULANDARI MEDAN 23|12|**** S P JL SEI BATUGINGGING PS X NO 35-B 000 000 0 0

101 1271211303****** 1271212111****** LONDUT SIRINGO RINGO, S.SOS TAPANULI UTARA 21|11|**** S L JL SEI BT GINGGING PS X NO 5 F 000 000 0 0

102 1271211303****** 1271174804****** HINSA ROS RINA SIBUEA TARUTUNG 08|04|**** S P JL SEI BT GINGGING PS X NO 5 F 000 000 0 0

103 1271211307****** 1271210902****** ARI YUDHA MEDAN 09|02|**** B L JL SEI BATUGINGGING PS X GG BILAL NO 85 000 000 0 0

104 1271211307****** 1271111001****** MUHAMMAD AFIF SE MEDAN 10|01|**** B L JL.SEI BATUGINGGING PERUM M BARU GARDEN BLOK B-7 000 000 0 0

105 1271211406****** 1271210405****** RUDOLF SIHOMBING P. SIANTAR 04|05|**** S L JL SEI BT GINGGING PS X NO 54 C 000 000 0 0

106 1271211406****** 1271215506****** AHID TAMBUNAN BA PORSEA 15|06|**** S P JL SEI BT GINGGING PS X NO 54 C 000 000 0 0

107 1271211412****** 1271216705****** MARLIN BR SIBUEA KUALA SIMPANG 27|05|**** S P JLSEI BT GINGGING PSR X-35 C 000 000 0 0

108 1271211412****** 1271211310****** ANDHY FIRDAUS GINTING SABANG 13|10|**** B L JLSEI BT GINGGING PSR X-35 C 000 000 0 0

109 1271211412****** 1271211810****** AGUNG LINEKER PURBA MEDAN 18|10|**** B L JLSEI BT GINGGING PSR X-35 C 000 000 0 0

110 1271211412****** 1271212905****** HARFANSYAH MEDAN 29|05|**** B L JL SEI BT GINGGING PS X NO 12 C 000 000 0 0

111 1271211501****** 1271211605****** ZACKY HERIADI BANDA ACEH 16|05|**** S L JL SEI BATU GINGGING PSR 10 NO 26 C 000 000 0 0

112 1271211502****** 1271215901****** WIDYA ASTUTI HALIM LUBIS MEDAN 19|01|**** B P JL SEI BATU GINGGING PS X NO 12 C 000 000 0 0

113 1271211602****** 1271210510****** KASIM P. SIANTAR 05|10|**** S L JL SEI BATUGINGGING PS X NO 29 C 000 000 0 0

114 1271211602****** 1271215606****** ROKAYAH MEDAN 16|06|**** S P JL SEI BATUGINGGING PS X NO 29 C 000 000 0 0

115 1271211602****** 1271210106****** M TAUFIQ HAFIZ MEDAN 01|06|**** B L JL SEI BATUGINGGING PS X NO 29 C 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-008 81 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271211603****** 1271213009****** R SEPTANU DANNU SUSILO PEMATANG SIANTAR 30|09|**** B L JL SEI BATU GINGGING PSR X NO 18 000 000 0 0

117 1271211604****** 1271217105****** YOPPY MEISKE DAMANIKDRA MEDAN 31|05|**** S P JLSEI BATUGINGGING PSX -56 B 000 000 0 0

118 1271211808****** 1271211303****** M ABDUL AZIS MEDAN 13|03|**** B L JL SEI BATU GINGGING PSR X N0 58A 000 000 0 0

119 1271211808****** 1173026006****** SRI WAHYUNI LHOKSEUMAWE 20|06|**** B P JL SEI BATU GINGGING PSR X N0 58A 000 000 0 0

120 1271211904****** 1271215102****** NOVA ROCELY SHINTA ULI,SP MEDAN 11|02|**** S P JL SEI BT GINGGING PS X no.34 C 000 000 0 0

121 1271211907****** 1271211107****** PRI HENDRA KARTONO GUNUNG PAMELA 11|07|**** S L JL SEI BT GINGGING PSR X NO 59 000 000 0 0

122 1271212003****** 1271211207****** RUDI HARTONO SAWIT HULU 12|07|**** S L JL SEI BT GINGING PS X NO 23 000 000 0 0

123 1271212003****** 1271214508****** SITI JULEHA PAYA KASIH 05|08|**** S P JL SEI BT GINGING PS X NO 23 000 000 0 0

124 1271212003****** 1271210907****** AZHARI MEDAN 09|07|**** B L JL SEI BT GINGGING PS X NO 25 000 000 0 0

125 1271212009****** 1271215809****** HOTDI SIRAIT DRA PARAPAT 18|09|**** P P JL SEI BT GINGING PS X 60-B 000 000 0 0

126 1271212009****** 1271213112****** LANDO AE SIMBOLON MEDAN 31|12|**** B L JL SEI BT GINGING PS X 60-B 000 000 0 0

127 1271212009****** 1271210607****** DANIEL T T SIMBOLON MEDAN 06|07|**** B L JL SEI BT GINGING PS X 60-B 000 000 0 0

128 1271212011****** 1271211909****** IPAN PRISTIWANTO MEDAN 19|09|**** S L JL SEI BATU GINGGING PS-X NO 35-A 000 000 0 0

129 1271212011****** 1271210610****** IMAM SATRIA MEDAN 06|10|**** B L JL SEI BATU GINGGING PS-X NO 35-A 000 000 0 0

130 1271212011****** 1271214411****** ANNISA SORAYA LUBIS MEDAN 04|10|**** B P JL SEI BATU GINGGING PS X NO 21 A 000 000 0 0

131 1271212012****** 1271216712****** SOFIA KASEBOOM MEDAN 27|12|**** B P JLSEI BATU GINGGING PS X-4 000 000 0 0

132 1271212102****** 1271215901****** B M PANGARIBUAN MEDAN 19|01|**** S P JL. SEI BATUGINGGING PSR X NO. 77 000 000 0 0

133 1271212105****** 1271210202****** SAUT MARULI TUA SAGALA MEDAN 02|02|**** S L JL SEI BATU GINGING PS X NO 34-A 000 000 0 0

134 1271212105****** 1271216703****** TETTY BR PURBA,SH TAPANULI TENGAH 27|03|**** S P JL SEI BATU GINGING PS X NO 34-A 000 000 0 0

135 1271212105****** 1271214107****** YEREMIA YOSEPHINA VAN SAGALA MEDAN 01|07|**** B P JL SEI BATU GINGING PS X NO 34-A 000 000 0 0

136 1271212210****** 1271215508****** IMELDA GUSTIA, SS MEDAN 15|08|**** S P JL SEI BATU GINGGING PSR X NO 26 000 000 0 0

137 1271212303****** 1271210204****** PUTRA BUULELE NIAS 02|04|**** B L JL SEI BTGINGGING PS X NO 44 A 000 000 0 0

138 1271212306****** 1271212202****** NORMANSYAH RIFANI SIMATUPANG MEDAN 22|02|**** S L JL SEI BT GINGGING PSR X NO 67-C 000 000 0 0

139 1271212408****** 1271215306****** SRI MURNI MEDAN 13|06|**** S P JL SEI BATUGINGGING GG BILAL 106 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-008 82 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212410****** 1210205505****** SRI MUNJIATI AJAMU 15|05|**** S P JL SEI BATUGINGGING PS X NO 23-C 000 000 0 0

141 1271212410****** 1271211004****** ARMAN SYAHPUTRA TANJUNG SARANG ELANG 10|04|**** S L JL SEI BATUGINGGING PS X NO 23-C 000 000 0 0

142 1271212501****** 1271216512****** NATALIA SOFA YANI MEDAN 25|12|**** S P JL SEI BATU GINGGING PSR X NO 27-A 000 000 0 0

143 1271212501****** 1271212105****** PAIMIN SUKOHARJO 21|05|**** S L JL SEI BATU GINGGING PS X NO 4 A 000 000 0 0

144 1271212501****** 1271216507****** SELLY SHOFIANA PUTRI SUKOHARJO 25|07|**** B P JL SEI BATU GINGGING PS X NO 4 A 000 000 0 0

145 1271212501****** 1271216309****** DESI ESTER SILITONGA KANDANGAN 23|09|**** B P JL. SEI BATUGINGGING PSR X NO. 14-A 000 000 0 0

146 1271212502****** 1271214711****** KATRIN FRIDASON BR SIBUEA TINJAUAN 07|11|**** S P JL SEI BATU GINGGING NO 4 000 000 0 0

147 1271212504****** 1271212912****** DAVID FIRNANDO GINTING MEDAN 29|12|**** B L JLSEI BT GINGGING PSR X-35 C 000 000 0 0

148 1271212504****** 1271175608****** ADRIANA LESTARI SINULINGGA BERASTAGI 16|08|**** S P JL SEI BT GINGGING PSR X-35 C 000 000 0 0

149 1271212505****** 1271212604****** ADIELI MENDROFA, SPI GUNUNG SITOLI 26|04|**** S L JL SEI BATUGINGGING PSR X NO 50 000 000 0 0

150 1271212505****** 1271216008****** IDA HUMINSA SIAHAAN MEDAN 20|08|**** S P JL SEI BATUGINGGING PSR X NO 50 000 000 0 0

151 1271212505****** 1271213110****** MARIO FATAR FERDY MENDROFA MEDAN 31|10|**** B L JL SEI BATUGINGGING PSR X NO 50 000 000 0 0

152 1271212505****** 1271213101****** RICKY RINALDO MENDROFA MEDAN 31|01|**** B L JL SEI BATUGINGGING PSR X NO 50 000 000 0 0

153 1271212609****** 1271216912****** BETI SIAHAAN MEDAN 29|12|**** P P JL SEI BATUGINGGING PS X NO 31 000 000 0 0

154 1271212704****** 1271210710****** H. SAMIDI MEDAN 07|10|**** S L JL SEI BATU GINGGING PS X NO.55 A 000 000 0 0

155 1271212704****** 1271217110****** LEGINEM TEBING TINGGI 31|10|**** S P JL SEI BATU GINGGING PS X NO.55 A 000 000 0 0

156 1271212709****** 1271210206****** B WASHINGTON NAPITUPULU BA TAPANULI UTARA 02|06|**** S L JL SEI BATUGINGGING PS X NO 82 000 000 0 0

157 1271212802****** 1271210906****** SAHAT BADIARAJA NAPITUPULU MEDAN 09|06|**** S L JL SEI BT GINGGING PSR X NO 29A 000 000 0 0

158 1271212802****** 1271211606****** HARRY ANANDA NAPITUPULU MEDAN 16|06|**** B L JL SEI BT GINGGING PSR X NO 29A 000 000 0 0

159 1271212809****** 1271211007****** IRMANTO MEDAN 10|07|**** S L JL SEI BATU GINGGING PS X NO 55 A 000 000 0 0

160 1271212809****** 1271216107****** TITIK MULIANI MEDAN 21|07|**** S P JL SEI BATU GINGGING PS X NO 55 A 000 000 0 0

161 1271212809****** 1271211602****** MUHAMMAD FAHRI IRMANTO MEDAN 16|02|**** B L JL SEI BATU GINGGING PS X NO 55 A 000 000 0 0

162 1271212811****** 1271210904****** REYMOND LINGGA KABAN MEDAN 09|04|**** B L JL SEI BATUGINGGING PS X NO 7 000 000 0 0

163 1271212812****** 1271215709****** FRANSISKA MARGARETHA WARELLA MEDAN 17|09|**** B P JL SEI BATUGINGGING PS X GG BILAL NO 81 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-008 83 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212812****** 1271034810****** ENDANG SAFITRI MEDAN 08|10|**** B P JL SEI BATU GINGGING PSR X NO 6 000 000 0 0

165 1271212812****** 1271190811****** LAMTO MEDAN 08|11|**** B L JL SEI BATU GINGGING PSR X NO 6 000 000 0 0

166 1271212905****** 1271210105****** JHONSON MAYMAN SIMANJUNTAK MEDAN 01|05|**** S L JL. SEI BATUT GINGGING PSR X.50.A 000 000 0 0

167 1271212905****** 1271215008****** DAME SIHALOHO MEDAN 10|08|**** S P JL. SEI BATUT GINGGING PSR X.50.A 000 000 0 0

168 1271212905****** 1271215107****** JESSICA SONDA BR SIMANJUNTAK MEDAN 11|07|**** B P JL. SEI BATUT GINGGING PSR X.50.A 000 000 0 0

169 1271212909****** 1271215003****** BESSINA HUTAJULU LAGUBOTI 10|03|**** S P JLSEI BT GINGGING PS X-37 B 000 000 0 0

170 1271212909****** 1271210810****** SOGAR PANJAITAN KOTA CANE 08|10|**** S L JLSEI BT GINGGING PS X-37 B 000 000 0 0

171 1271212910****** 1271212610****** EDWIN TAMBUN TEBING TINGGI 26|10|**** S L JL. SEI BT GINGGING PSR X NO. 37 000 000 0 0

172 1271212910****** 1271214504****** LOISA RENA ARITONANG MEDAN 05|04|**** S P JL. SEI BT GINGGING PSR X NO. 37 000 000 0 0

173 1271212910****** 1271212310****** SEBASTIAN OCTAVIANUS TAMBUN MEDAN 23|10|**** B L JL. SEI BT GINGGING PSR X NO. 37 000 000 0 0

174 1271212910****** 1271216008****** RUTH CHRISTINA TAMBUN MEDAN 20|08|**** B P JL. SEI BT GINGGING PSR X NO. 37 000 000 0 0

175 1271212911****** 1271216012****** SALMIA TEBING TINGGI 20|12|**** S P JL SEI BT GINGGING PS X-55 B 000 000 0 0

176 1271212911****** 1271212001****** DODI ARIANTO MEDAN 20|01|**** S L JL SEI BTGINGGING-BILAL NO 85 B 000 000 0 0

177 1271212912****** 1271211909****** MHD SODIKIN,ST PATUMBAK I 19|09|**** S L JL SEI BATUGINGGING PS X NO.23-C 000 000 0 0

178 1271212912****** 1271214304****** INDAH ARPITA,ST MEDAN 03|04|**** S P JL SEI BATUGINGGING PS X NO.23-C 000 000 0 0

179 1271212912****** 1271216601****** SUYANTI MEDAN 26|01|**** S P JL SEI BATU GINGGING PS X NO 29 C 000 000 0 0

180 1271212912****** 1271215506****** SYAFIRA MEDAN 15|06|**** B P JL SEI BATU GINGGING PS X NO 29 C 000 000 0 0

181 1271213003****** 1271211708****** MOHD HUTKRY TAMBUNAN SIBOLGA 17|08|**** S L JL. SEI BTGINGGING PSR X NO. 35-A 000 000 0 0

182 1271213003****** 1271216605****** FUMIKO SRI MEDAWATI MEDAN 26|05|**** S P JL. SEI BTGINGGING PSR X NO. 35-A 000 000 0 0

183 1271213012****** 1271211708****** JAFARUDDIN LHOKSUMAWE 17|08|**** S L JL SEI BATU GINGGING NO 54.A 000 000 0 0

184 1271213012****** 1271216809****** CUT MAWARNI ACEH UTARA 28|09|**** S P JL SEI BATU GINGGING NO 54.A 000 000 0 0

185 1271213103****** 1205112211****** MUHAMMAD FAJRUN KHAIR BINJAI 22|11|**** B L JL. SEI BATU GINGGING NO.53 B PASAR X 000 000 0 0

186 1271213103****** 1271216912****** DESI SARTIKA MEDAN 29|12|**** B P JL. SEI BATU GINGGING NO.53 B PASAR X 000 000 0 0

187 1271213105****** 1271211505****** LEGINO MEDAN 15|05|**** S L JL SEI BTGINGGING PS X NO 60 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-008 84 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271213105****** 1271217112****** MARIANA MEDAN 31|12|**** S P JL SEI BTGINGGING PS X NO 60 000 000 0 0

189 1271213105****** 1271211505****** ANDI MEDAN 15|05|**** B L JL SEI BTGINGGING PS X NO 60 000 000 0 0

190 1271213105****** 1271211909****** SATRIA MEDAN 19|09|**** B L JL SEI BTGINGGING PS X NO 60 000 000 0 0

191 1271213105****** 1271216805****** MELIANI MEDAN 28|05|**** B P JL SEI BTGINGGING PS X NO 60 000 000 0 0

192 1271211703****** 3671114112****** POPPY CHAIRANI JAKARTA 01|12|**** S P JL. SEI BATU GINGGING PASAR 10 NO. 15 003 000 0 0

193 1271211705****** 1271212611****** H. AMALUDDIN ADIL PASARIBU BARUS 26|11|**** S L JL SEI BATU GINGGING PSR X NO 39 A 000 003 0 0

194 1271211703****** 1271210304****** ARDIN SITUMORANG SIDIKALANG 03|04|**** S L JL. SEI BTGINGGING PSR X NO. 52 002 003 0 0

195 1271211703****** 1271216606****** HOTLAN BR MANULLANG LAE PARIRA 26|06|**** S P JL. SEI BTGINGGING PSR X NO. 52 002 003 0 0

196 1271211703****** 1271212107****** HEFRI SITUMORANG MEDAN 21|07|**** B L JL. SEI BTGINGGING PSR X NO. 52 002 003 0 0

197 1271212011****** 1271216209****** TRI RAMADHANI JAKARTA 22|09|**** S P JL SEI BATU GINGGING PS-X NO 35-A 002 003 0 0

198 1271210903****** 1271211604****** SAMIADI PANGKALAN SUSU 16|04|**** S L JLSEI BT GINGGING PS X-35 B 003 003 0 0

199 1271210903****** 1271216202****** ERNAWATI MEDAN 22|02|**** S P JLSEI BT GINGGING PS X-35 B 003 003 0 0

200 1271210903****** 1271212301****** M ADI ALFARIBI PANGKALAN SUSU 23|01|**** B L JLSEI BT GINGGING PS X-35 B 003 003 0 0

201 1271211705****** 1271214909****** WARNI BR SIMAMORA BARUS 09|09|**** S P JL SEI BATU GINGGING PSR X NO 39 A 003 003 0 0

202 1271211711****** 1271216905****** HERLIANA TINJOWAN 29|05|**** S P JL SEI BATU GINGGING PS X NO 55-A 003 003 0 0

203 1271211711****** 1271211008****** IRWANTO MEDAN 10|08|**** S L JL SEI BATU GINGGING PS X NO 55-A 003 003 0 0

204 1271211801****** 1271215510****** LYANA EPELISA BR SIAHAAN P. SIANTAR 15|10|**** S P JL SEI BATU GINGGING PS X NO 50 003 003 0 0

205 1271211801****** 1271212103****** VICTOR SIAGIAN SIDIKALANG 21|03|**** S L JL SEI BATU GINGGING PS X NO 50 003 003 0 0

206 1271211803****** 1271215008****** GUSTI DAMERIA DAMANIK MEDAN 10|08|**** S P JL SEI BATUGINGGING PS X 56-B 004 003 0 0

207 1271211808****** 1271215201****** JENNI ARIATY MEDAN 12|01|**** B P JL SEI BATU GINGGING PSR X N0 58A 004 003 0 0

208 1271211902****** 1271217112****** SIWOH MEDAN 31|12|**** P P JLSEI BT GINGGING PS X NO 53 004 003 0 0

209 1271211902****** 1271214109****** PAISAH MEDAN 01|09|**** B P JLSEI BT GINGGING PS X NO 53 004 003 0 0

210 1271212105****** 1271216409****** YOLANDA PATRICIA ANGELICKA S MEDAN 24|09|**** B P JL SEI BATU GINGING PS X NO 34-A 004 003 0 0

211 1271210906****** 1271211506****** ANTHONY MANULLANG,SP MEDAN 15|06|**** S L JL SEI BT GINGGING PS X- NO 88 005 003 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-008 85 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271210906****** 1271215912****** DEASY R S RUMAHORBO PONTIANAK 19|12|**** S P JL SEI BT GINGGING PS X- NO 88 005 003 0 0

213 1271211703****** 1271212106****** JOHANNES AGUNG G SIMANJUNTAK MEDAN 21|06|**** B L JL SEI BATUGINGGING NO 73 005 003 0 0

214 1271211904****** 1271214304****** THIODOR SIRAIT,DRA LUMBAN JULU 03|04|**** P P JL SEI BT GINGGING PS X no.34 C 005 003 0 0

215 1271211907****** 1271216004****** FARIDA MAKKI TANJUNG KARANG 20|04|**** S P JL SEI BT GINGGING PSR X NO 59 005 003 0 0

216 1271212009****** 1271215805****** ERVINNA L B SIMBOLON P. SIANTAR 18|05|**** S P JL SEI BT GINGING PS X 60-B 005 003 0 0

217 1271212106****** 1271211807****** REFORMASI BU'ULOLO DUSUN II HILISAWOTO 18|07|**** B L JL SEI BATUGINGGING PS X NO 44 MEDAN 005 003 0 0

218 1271212602****** 1271212002****** AHMAD ARFANDI NASUTION PABATU 20|02|**** S L JL SEI BATU GINGGING PS X NO 96 005 003 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 218 Jenis Kelamin = 218 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 85 L : Laki-Laki = 108 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 125 P : Perempuan = 110 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 8
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 113 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-008 86 / 276
MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 009
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271171703****** 1271175412****** ELFIATI NASUTION MEDAN 14|12|**** S P JL SEI BATUGINGGING PSR X NO. 104 MEDAN 000 000 0 0

2 1271171703****** 1271171407****** RAHMAD SUGENG MEDAN 14|07|**** S L JL SEI BATUGINGGING PSR X NO. 104 MEDAN 000 000 0 0

3 1271171703****** 1271170506****** REZA KURNIAWAN MEDAN 05|06|**** B L JL SEI BATUGINGGING PSR X NO. 104 MEDAN 000 000 0 0

4 1271210102****** 1271214311****** NADIA DWIYANTI MEDAN 03|11|**** B P JL. SEI BATU GINGGING PSR X NO. 22-C 000 000 0 0

5 1271210102****** 1271020808****** KAHARUDDIN MEDAN 08|08|**** S L JL. SEI BATU GINGGING PSR X NO. 55-B 000 000 0 0

6 1271210108****** 1271215607****** SARLIA DOLOK HILIR 16|07|**** S P JL SEI BT GINGGING PS X NO 67 C 000 000 0 0

7 1271210108****** 1271211408****** RAHARDI MEDAN 14|08|**** S L JL SEI BT GINGGING PS X NO 67 C 000 000 0 0

8 1271210109****** 1271212307****** JULI JUNAIDY MEDAN 23|07|**** B L JLSEI BT GIINGING-BILAL-85 B 000 000 0 0

9 1271210109****** 1222034508****** SENIWATI KOTA BATU 05|08|**** S P JL SEI BT GINGGING NO 85 B 000 000 0 0

10 1271210112****** 1271210212****** FAUZI IBSA TARIGAN, SKM MSI KABANJAHE 02|12|**** S L JL SEI BATU GINGGING PSR X NO 65 000 000 0 0

11 1271210112****** 1271215701****** SITI ADABIYAH KABANJAHE 17|01|**** S P JL SEI BATU GINGGING PS X NO 65 000 000 0 0

12 1271210112****** 1271211102****** YORIZA AFISA TARIGAN KABANJAHE 10|02|**** B L JL SEI BATU GINGGING PS X NO 65 000 000 0 0

13 1271210112****** 1271211709****** M FAISAL TARIGAN KABANJAHE 14|09|**** B L JL SEI BATU GINGGING PS X NO 65 000 000 0 0

14 1271210112****** 1271212111****** MHD WAHYUDI SIRAIT MEDAN 21|11|**** B L JL.SEI BATU GINGGING PS X NO.80 000 000 0 0

15 1271210205****** 1271212205****** SAMAUN H HASIBUAN MEDAN 22|05|**** S L JL SEI BATU GINGGING PSR X NO 56 000 000 0 0

16 1271210205****** 1271214603****** SUSI IRA SASMIKA MEDAN 06|03|**** S P JL SEI BATU GINGGING PSR X NO 56 000 000 0 0

17 1271210208****** 1271211903****** SAINAN MEDAN 19|03|**** S L JL SEI BATU GINGGING PSR X NO 56. 000 000 0 0

18 1271210208****** 1271214806****** HASIAH P. SIANTAR 08|06|**** S P JL SEI BATU GINGGING PSR X NO 56. 000 000 0 0

19 1271210208****** 1271212002****** AMRUL RAMADHAN MEDAN 20|02|**** B L JL SEI BATU GINGGING PSR X NO 56. 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-009 87 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210208****** 1271214611****** SITI FADILA MEDAN 06|11|**** B P JL SEI BATU GINGGING PSR X NO 56. 000 000 0 0

21 1271210211****** 1271035404****** ELLY ROMAULI MEDAN 14|04|**** S P JL SEI BATUGINGGING PS.X NO 64 000 000 0 0

22 1271210211****** 1271210707****** JULIO HUTAPEA MEDAN 07|07|**** S L JL SEI BATUGINGGING PS.X NO 64 000 000 0 0

23 1271210211****** 1271172303****** SAJADIN SEMBIRING, SSI DESA PERBULAN 23|03|**** S L JL SEI BATU GINGGING PSR X NO 58 000 000 0 0

24 1271210211****** 1271176506****** SITI SALEHATI RUMAH SUMBUL 25|06|**** S P JL SEI BATU GINGGING PSR X NO 58 000 000 0 0

25 1271210301****** 1271212304****** HARIS SINURAT SEI ALAM HASAK 23|04|**** S L JL SEI BATUGINGGING PS X NO 65 000 000 0 0

26 1271210301****** 1271215806****** YUNICA ROSSA TARIGAN KWALA SAWIT 18|06|**** S P JL SEI BATUGINGGING PS X NO 65 000 000 0 0

27 1271210403****** 1271212604****** FARY DWI SAFDIKA MEDAN 26|04|**** B L JL SEI BATU GINGGING PSR X NO 72 000 000 0 0

28 1271210403****** 1271210303****** IRWANTO MEDAN 03|03|**** S L JL SEI BT GINGGING GG BILAL 85 B 000 000 0 0

29 1271210403****** 1271214303****** SUYATIK P SIANTAR 03|03|**** S P JL SEI BT GINGGING NO 85 B 000 000 0 0

30 1271210403****** 1271214105****** MEIWANDA AFRA SIPKJEWAN MEDAN 01|05|**** B P JL SEI BT GINGGING NO 85 B 000 000 0 0

31 1271210404****** 1271215010****** LEBORA BR BUTAR-BUTAR SIBOLGA 10|10|**** P P JL SEI BATU GINGGING PSR X NO 46 000 000 0 0

32 1271210404****** 1271215307****** LISDA SIMANJUNTAK MEDAN 13|07|**** B P JL SEI BATU GINGGING PSR X NO 46 000 000 0 0

33 1271210404****** 1271114505****** RATIH WULAN SARI MEDAN 05|05|**** B P JL SEI BT GINGGING PERUM M BARU GARDEN BLOK B-7 000 000 0 0

34 1271210405****** 1271211107****** AMANSA SIPAYUNG DL.MANAMPANG 11|07|**** S L JL SEI BATUGINGGING PSR X NO 55-C 000 000 0 0

35 1271210405****** 1271214505****** ELLY SAGALA P. SIDEMPUAN 05|05|**** S P JL SEI BATUGINGGING PSR X NO 55-C 000 000 0 0

36 1271210407****** 1271211205****** M F MANULLANG, IR PORSEA 12|05|**** S L JL SEI BATU GINGGING PSR X NO 88 000 000 0 0

37 1271210407****** 1271216801****** T BR BUTAR-BUTAR PORSEA 28|01|**** S P JL SEI BATU GINGGING PSR X NO 88 000 000 0 0

38 1271210412****** 1271212807****** ZULFIKAR MEDAN 28|07|**** S L JL. BATU GINGGING PSR X NO. 53-A 000 000 0 0

39 1271210412****** 1271217011****** PAINI MEDAN 30|11|**** S P JL. BATU GINGGING PSR X NO. 53-A 000 000 0 0

40 1271210412****** 1271211001****** MUHAMMAD AIDIL AKBAR MEDAN 10|01|**** B L JL SEI BT GINGGING NO 53 000 000 0 0

41 1271210412****** 1271210512****** SUKARNO SOLO 05|12|**** S L JL SEI BATU GINGGING PS X-80 000 000 0 0

42 1271210412****** 1271215510****** SURIATI MEDAN 15|10|**** S P JL SEI BATU GINGGING PS X-80 000 000 0 0

43 1271210412****** 1271211607****** DIMAS ANDRIANSYAH MEDAN 16|07|**** B L JL SEI BATU GINGGING PS X-80 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-009 88 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210601****** 1271211112****** RAYO USMAN HARAHAP, DRS P.SIDEMPUAN 11|12|**** S L JL SEI BATU GINGGING GG BILAL NO 100 000 000 0 0

45 1271210604****** 1271210904****** IRMANSYAH MEDAN 09|04|**** S L JL SEI BATUGINGGING PSX NO 55 000 000 0 0

46 1271210604****** 1271216412****** MARINAH SEI RAME 24|12|**** S P JL SEI BATUGINGGING PSX NO 55 000 000 0 0

47 1271210606****** 1271213012****** DHAMIN JAFAR BANDUNG 30|12|**** P L JL SEI BTGINGGING PS X NO 65 000 000 0 0

48 1271210606****** 1271212805****** ABDUL MANAN PERCUT 28|05|**** B L JL SEI BTGINGGING PS X NO 65 000 000 0 0

49 1271210610****** 1271211001****** HASRIZAL GANDA PURA 10|01|**** P L JL SEI BT GINGGING GG BILAL NO.92-B 000 000 0 0

50 1271210610****** 1271211111****** NURUL ADHARI KURNIAWAN AMD KUBANG NAN DUO 11|11|**** B L JL SEI BT GINGGING GG BILAL NO.92-B 000 000 0 0

51 1271210611****** 1271217112****** SUMINI MEDAN 31|12|**** P P JL SEI BT GINGGING PSR X NO 80 000 000 0 0

52 1271210708****** 1271216810****** SAHARA NODILA MEDAN 28|10|**** B P JL. SEI BT GINGGING PSR X NO. 56 000 000 0 0

53 1271210803****** 1271211511****** AHMAD GUNAWAN SE ASAHAN 15|11|**** S L JLSEI BATU GINGGING PSR X NO.65 000 000 0 0

54 1271210803****** 1271214312****** HABIBAH HARAHAP PARGARUTAN 03|12|**** S P JLSEI BATU GINGGING PSR X NO.65 000 000 0 0

55 1271210803****** 1271214708****** SITI AGUSTINA SARI MEDAN 07|08|**** B P JLSEI BATU GINGGING PSR X NO.65 000 000 0 0

56 1271210805****** 1271213103****** M SUPRIANTO MEDAN 31|03|**** S L JL SEI BATU GINGGING PS X NO 67 B 000 000 0 0

57 1271210805****** 1271216912****** DEWI LESTARI MEDAN 29|12|**** S P JL SEI BATU GINGGING PS X NO 67 B 000 000 0 0

58 1271210805****** 1271214412****** RAIKEM TINJOWAN 04|12|**** P P JL SEI BT GINGING PS X NO 83 000 000 0 0

59 1271210805****** 1271212911****** BASUKI MEDAN 29|11|**** S L JL SEI BT GINGING PS X NO 83 000 000 0 0

60 1271210805****** 1271216501****** ERNA YUSNANI PEMATANG SIANTAR 25|01|**** S P JL SEI BT GINGING PS X NO 83 000 000 0 0

61 1271210901****** 1271211909****** BUDI WIBOWO MEDAN 19|09|**** S L JL SEI BT GINGGING PSR X NO 67 000 000 0 0

62 1271210901****** 1271214404****** NINING SUKESIH MEDAN 04|04|**** S P JL SEI BT GINGGING PSR X NO 67 000 000 0 0

63 1271210901****** 1271216402****** RISKA ANANDA ZUHRA MEDAN 24|02|**** B P JL SEI BT GINGGING PSR X NO 67 000 000 0 0

64 1271210905****** 1271211406****** LALU DIPAME PUTRADI, S.PdI DAREK 14|06|**** S L JL SEI BATU GINGGING PSR X NO 65 000 000 0 0

65 1271210905****** 1271214302****** RIZKY WAGINI SEI KAMAH 03|02|**** S P JL SEI BATU GINGGING PSR X NO 65 000 000 0 0

66 1271210905****** 1271216606****** SITI AMELIA AISYAH MEDAN 26|06|**** B P JL SEI BATU GINGGING PSR X NO 65 000 000 0 0

67 1271210911****** 1271212806****** RIDWAN MEDAN 28|06|**** S L JL SEI BATU GINGGING PS X NO 80 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-009 89 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210911****** 1271216408****** SARI GUSTINA MEDAN 24|08|**** B P JL SEI BATU GINGGING PS X NO 80 000 000 0 0

69 1271211005****** 1271212205****** MUHAMMAD DJELAS TARIGAN GUNUNG MERIAH 22|05|**** S L JL SEI BATU GINGGING GG BILAL NO 85 C 000 000 0 0

70 1271211005****** 1271214412****** NELWATI NOER MANINJAU 04|12|**** S P JL SEI BATU GINGGING GG BILAL NO 85 C 000 000 0 0

71 1271211005****** 1271210911****** INDRA SUKMA PADANG 09|11|**** B L JL SEI BATU GINGGING GG BILAL NO 85 C 000 000 0 0

72 1271211005****** 1271215702****** RAHAYU IRDA YANTI BR LINGGA PATUMBAK 17|02|**** S P PB SELAYANG I 000 000 0 0

73 1271211005****** 1271211910****** ROY ABDUL RAHMAN MEDAN 19|10|**** S L PB SELAYANG I 000 000 0 0

74 1271211005****** 1271211410****** TEGUH HERMAWAN LINGGA PATUMBAK 14|10|**** B L PB SELAYANG I 000 000 0 0

75 1271211101****** 1271213112****** MATROHALI SIRAIT TINJOAN 31|12|**** S L JL SEI BATU GINGGING PS X NO 80 000 000 0 0

76 1271211101****** 1271217112****** SUPRAPTI MEDAN 31|12|**** S P JL SEI BATU GINGGING PS X NO 80 000 000 0 0

77 1271211101****** 1271214111****** SITI MARDIYAH SIRAIT MEDAN 01|11|**** B P JL SEI BATU GINGGING PS X NO 80 000 000 0 0

78 1271211101****** 1271216310****** UMMI HABIBAH SIRAIT MEDAN 23|10|**** B P JL SEI BATU GINGGING PS X NO 80 000 000 0 0

79 1271211103****** 1271211508****** SUGIANTO MEDAN 15|08|**** S L JL SEI BT GINGGING GG BILAL NO 83 B 000 000 0 0

80 1271211103****** 1271211011****** SUGIANTO PERBAUNGAN 10|11|**** S L JL SEI BATUGINGGING PS X NO 80 000 000 0 0

81 1271211103****** 1271214909****** SURIANI BANDAR BETSI 09|09|**** S P JL SEI BATUGINGGING PS X NO 80 000 000 0 0

82 1271211206****** 1271215802****** LISTIANNI MEDAN 18|02|**** S P JL SEI BT GINGGING PS X N0 84 000 000 0 0

83 1271211206****** 1271211403****** SAWALUDDIN NASUTION AEKBANIR 14|03|**** S L JL SEI BT GINGGING PS X N0 84 000 000 0 0

84 1271211209****** 1271214404****** SAMINI MEDAN 04|04|**** S P JL SEI BATUGINGGING GG BILAL NO 85-A 000 000 0 0

85 1271211303****** 1271212010****** OKTOMING SAUT P BANJAR NAHOR MEDAN 20|10|**** S L JL SEI BTGINGGING PS X NO 73 000 000 0 0

86 1271211303****** 1271215205****** IRENE PASARIBU DRA MEDAN 12|05|**** S P JL SEI BTGINGGING PS X NO 73 000 000 0 0

87 1271211306****** 1271216908****** RENNY SINAGA NAINGGOLAN 29|08|**** S P JL SEI BATU GINGGING PS X-73 000 000 0 0

88 1271211307****** 1271215906****** YUNIAR MEDAN 19|06|**** S P JL SEI BATU GINGGING PSR X NO 67C 000 000 0 0

89 1271211307****** 1271211408****** SUGENG PRAYITNO PEMATANG SIANTAR 14|08|**** S L JL SEI BATU GINGGING PSR X NO 67C 000 000 0 0

90 1271211307****** 1271215205****** METALINA PEKANBARU 12|05|**** B P JL SEI BATUGINGGING GG BILAL NO 85-C 000 000 0 0

91 1271211307****** 1271210507****** DANI ARIFFANDY SIREGAR MEDAN 05|07|**** B L JL SEI BATUGINGGING GG BILAL NO 85-C 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-009 90 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271211309****** 1271214504****** INDAH SARI MEDAN 05|04|**** S P JL. SEI BATU GINGGING PS X / 67 000 000 0 0

93 1271211309****** 1271212112****** BUDI SANTOSO KLATEN 21|12|**** S L JL. SEI BATU GINGGING PS X / 67 000 000 0 0

94 1271211405****** 1271211305****** NURIAMAN SINURAT KISARAN 13|05|**** B L JLSEI BATUGINGGING PSX NO65 000 000 0 0

95 1271211405****** 1271210909****** MULYADI DALIMUNTHE P.SIDEMPUAN 09|09|**** B L JLSEI BATUGINGGING PSX NO65 000 000 0 0

96 1271211405****** 1271210909****** ANDREAS TARIGAN MEDAN 09|09|**** B L JLSEI BATUGINGGING PSX NO65 000 000 0 0

97 1271211405****** 1271212405****** SUPIANTO MEDAN 24|05|**** S L JL SEI BATU GINGGING GG BILAL NO 75A 000 000 0 0

98 1271211405****** 1271214504****** LINAWATI KISARAN 05|04|**** S P JL SEI BATU GINGGING GG BILAL NO 75A 000 000 0 0

99 1271211405****** 1271214712****** CHELLY MIRANDA MEDAN 07|12|**** B P JL SEI BATU GINGGING GG BILAL NO 75A 000 000 0 0

100 1271211405****** 1271211902****** BAGUS ARIYANTO MEDAN 19|02|**** B L JL SEI BATU GINGGING GG BILAL NO 75A 000 000 0 0

101 1271211405****** 1271216205****** YENNI INDRAWATI MEDAN 22|05|**** S P JL SEI BTGINGGING PSR X NO 80 000 000 0 0

102 1271211405****** 1271210807****** HARYO KUNCORO JATI Bukittinggi 08|07|**** B L JL SEI BTGINGGING PSR X NO 80 000 000 0 0

103 1271211408****** 1271182808****** DEDI ROPO SEMBIRING, SE TIGA BINANGA 28|08|**** S L JL SEI BATU GINGGING GG BILAL NO 85 000 000 0 0

104 1271211408****** 1271216406****** MUTHIA RAHMI PEKANBARU 24|06|**** S P JL SEI BATU GINGGING GG BILAL NO 85 000 000 0 0

105 1271211408****** 1271170807****** MUHAMMAD SOFIANDA ACEH 08|01|**** S L JL SEI BATUGINGGING GG BILAL NO 85-A 000 000 0 0

106 1271211408****** 1271216609****** CHINTYA MEDAN 26|09|**** S P JL SEI BATUGINGGING GG BILAL NO 85-A 000 000 0 0

107 1271211409****** 1271210608****** SUMARNO UMAR SANI PURWOREJO 06|08|**** S L JL SEI BATU GINGGING PS X NO 65 000 000 0 0

108 1271211409****** 1271216008****** RUMIATI ASAHAN 20|08|**** S P JL SEI BATU GINGGING PS X NO 65 000 000 0 0

109 1271211501****** 1271212511****** DEDI HANDOKO MEDAN 25|11|**** S L JL SEI BT GINGGING PSR X NO 83 000 000 0 0

110 1271211501****** 1271215111****** NURDIANA MARTEBING 11|11|**** S P JL SEI BT GINGGING PSR X NO 83 000 000 0 0

111 1271211504****** 1271211202****** RONI ARMANSYAH HARAHAP ST MEDAN 12|02|**** S L JL SEI BATUGINGGING GG BILAL NO 100 000 000 0 0

112 1271211504****** 1271217005****** DIAH LARENTARI DENRI CERIA BINJAI 30|05|**** S P JL SEI BATUGINGGING GG BILAL NO 100 000 000 0 0

113 1271211508****** 1271212706****** SUPRIADI AR MEDAN 27|06|**** S L JL. SEI BATU GINGGING PSR X NO. 75 A 000 000 0 0

114 1271211508****** 1271216201****** JULIA MEDAN 22|01|**** S P JL. SEI BATU GINGGING PSR X NO. 75 A 000 000 0 0

115 1271211601****** 1271212601****** MHD ALI MEDAN 26|01|**** S L JL SEI BT GINGGING GG BILAL NO 92 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-009 91 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271211601****** 1271216901****** ERVINA VERONICA SIREGAR TEBING TINGGI 29|01|**** S P JL SEI BT GINGGING GG BILAL NO 92 000 000 0 0

117 1271211605****** 1271211805****** ABDULLAH MEDAN 18|05|**** B L JLSEI BTGINGGING GGBILAL-92 000 000 0 0

118 1271211605****** 1271210306****** ARMAN MEDAN 03|06|**** S L JL SEI BATU GINGGING PS X NO 66 000 000 0 0

119 1271211605****** 1271215708****** AGNES PUTRI LESTARI MEDAN 17|08|**** B P JL SEI BATU GINGGING PS X NO 66 000 000 0 0

120 1271211606****** 1271070505****** ARYONDO KRISTO Y SINAGA MEDAN 05|05|**** B L JL SEI BT GINGGING NO 65 000 000 0 0

121 1271211609****** 1271215706****** ENYKE BR SITORUS PORSEA 17|06|**** P P JL. SEI BATU GINGGING PSR X NO. 37 000 000 0 0

122 1271211911****** 1271211111****** JUMADI JEFRY MEDAN 11|11|**** S L JL SEI BATU GINGGING PSR X NO 67 000 000 0 0

123 1271211911****** 1271215106****** NURZANAH MEDAN 11|06|**** S P JL SEI BATU GINGGING PSR X NO 67 000 000 0 0

124 1271211911****** 1271211310****** FADILAH ULFAN MEDAN 13|10|**** B L JL SEI BATU GINGGING PSR X NO 67 000 000 0 0

125 1271211911****** 1271216110****** FIDYA ANGGREINA MEDAN 21|10|**** B P JL SEI BATU GINGGING PSR X NO 67 000 000 0 0

126 1271211911****** 1271211712****** FAJAR FRASETYA MEDAN 17|12|**** B L JL SEI BATU GINGGING PSR X NO 67 000 000 0 0

127 1271211911****** 1271211008****** BAKHROWI SH JAMBI 10|08|**** S L JL SEI BATU GINGGING PS X NO.80 000 000 0 0

128 1271211911****** 1271217008****** TRI BINTARTI SH MEDAN 30|08|**** S P JL SEI BATU GINGGING PS X NO.80 000 000 0 0

129 1271212008****** 1271212303****** ZENO ISKANDAR DINATA MEDAN 23|03|**** S L JL SEI BT GINGGING GG BILAL NO 92 000 000 0 0

130 1271212008****** 1271216611****** CUT AISYAH AFDILAH MEDAN 26|11|**** S P JL SEI BT GINGGING GG BILAL NO 92 000 000 0 0

131 1271212008****** 1271212008****** ZILFIKRI MEDAN 20|08|**** B L JL SEI BT GINGGING GG BILAL NO 92 000 000 0 0

132 1271212009****** 1271214703****** MARTINA HUTAPEA MEDAN 07|03|**** B P JL SEI BATUGINGGING PS X NO 64 000 000 0 0

133 1271212009****** 1271211510****** GODLIF HUTAPEA MEDAN 15|10|**** B L JL SEI BATUGINGGING PS X NO 64 000 000 0 0

134 1271212102****** 1271210912****** TIOPAN MANUASI PARDEDE PARAPAT 09|12|**** S L JL. SEI BATUGINGGING PSR X NO. 77 000 000 0 0

135 1271212102****** 1271214203****** MAYLIANA SISKA PARDEDE MEDAN 02|03|**** B P JL. SEI BATUGINGGING PSR X NO. 77 000 000 0 0

136 1271212102****** 1271211005****** SALOMO MARADEN IVAN CHANDRA PARDEDE MEDAN 10|05|**** B L JL. SEI BATUGINGGING PSR X NO. 77 000 000 0 0

137 1271212102****** 1271210801****** PATAR BARON JULIUS PARDEDE MEDAN 08|01|**** B L JL. SEI BATUGINGGING PSR X NO. 77 000 000 0 0

138 1271212102****** 1271210606****** JORDAN PARDEDE MEDAN 06|06|**** B L JL. SEI BATUGINGGING PSR X NO. 77 000 000 0 0

139 1271212107****** 1271214408****** SUPINAH TEBING TINGGI 04|08|**** S P JL SEI BT GINGGING PSR X NO 67 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-009 92 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212107****** 1271210505****** SYAFRIZAL TEBING TINGGI 05|05|**** S L JLSEI BT GINGGING PS X NO 67 000 000 0 0

141 1271212107****** 1271210412****** FAISAL MEDAN 04|12|**** B L JL SEI BT GINGGING PSR X NO 67 000 000 0 0

142 1271212110****** 1271030809****** BAMBANG DWI RAHARJO SE MEDAN 08|09|**** S L JL SEI BATU GINGGING GG BILAL NO 100 000 000 0 0

143 1271212110****** 1271216408****** RINA GUSNITA HARAHAP MEDAN 24|08|**** S P JL SEI BATU GINGGING GG BILAL NO 100 000 000 0 0

144 1271212111****** 1223011307****** ISHAK SUGIANTO LONDUT 13|07|**** S L JL SEI BT GINGGING NO 75 000 000 0 0

145 1271212202****** 1271210312****** SUWITO KUALA SIMPANG 03|12|**** S L JL SEI BATU GINGGING PS X GG FAMILI NO.73 B 000 000 0 0

146 1271212202****** 1271216604****** ISVIANA PEURELAK 26|04|**** S P JL SEI BATU GINGGING PS X GG FAMILI NO.73 B 000 000 0 0

147 1271212202****** 1271216712****** AZARIEN AULIA L SEUMAWE 27|12|**** B P JL SEI BATU GINGGING PS X GG FAMILI NO.73 B 000 000 0 0

148 1271212212****** 1271217112****** SARIAH TEBING TINGGI 31|12|**** P P JL SEI BTGINGGING-BILAL-85 B 000 000 0 0

149 1271212212****** 1271216007****** SRI ANDRIYANI MEDAN 20|07|**** B P JL SEI BTGINGGING-BILAL-85 B 000 000 0 0

150 1271212212****** 1271210101****** ARDIANSYAH MEDAN 01|01|**** B L JL SEI BTGINGGING-BILAL-85 B 000 000 0 0

151 1271212303****** 1271211707****** SUPARMAN MEDAN 17|07|**** S L JL SEI BTGINGGING GG BILAL NO 75 000 000 0 0

152 1271212303****** 1271215304****** ENDAWATI MEDAN 13|04|**** S P JL SEI BTGINGGING GG BILAL NO 75 000 000 0 0

153 1271212303****** 1271216706****** TRI LARAS WATI MEDAN POLONIA 27|06|**** B P JL SEI BTGINGGING GG BILAL NO 75 000 000 0 0

154 1271212312****** 1271215111****** ROHANA MEDAN 11|11|**** P P JL SEI BT GINGGING PS X NO 67 C 000 000 0 0

155 1271212312****** 1271217101****** SRI HARDINI MEDAN 31|01|**** B P JL SEI BT GINGGING PS X NO 67 C 000 000 0 0

156 1271212312****** 1271215612****** SUNDARI MEDAN 16|12|**** B P JL SEI BT GINGGING PS X NO 67 C 000 000 0 0

157 1271212408****** 1271212210****** TONI ARIANSYAH AIR HAJI 22|10|**** S L JL SEI BATUGINGGING GG BILAL 106 000 000 0 0

158 1271212408****** 1271217012****** NURUL HALIZA NAWRAH MEDAN 30|12|**** B P JL SEI BATUGINGGING GG BILAL 106 000 000 0 0

159 1271212411****** 1271214706****** WAGIRAH MEDAN 07|06|**** S P JL SEI BT GINGGING PS X NO 67 000 000 0 0

160 1271212411****** 1271215509****** SEPTIANI SARAH MEDAN 15|09|**** B P JL SEI BT GINGGING PS X NO 67 000 000 0 0

161 1271212502****** 1271216909****** SITI KHAIRUNNISA KISARAN 29|09|**** S P JL SEI BATU GINGING PS X NO.65 000 000 0 0

162 1271212502****** 1271212501****** ARIF FADILLAH MEDAN 25|01|**** B L JL SEI BATU GINGING PS X NO.65 000 000 0 0

163 1271212502****** 1271211511****** IR NOVENDY ACHMAD HADIAWAN PURWAKARTA 15|11|**** S L JL SEI BATUGINGGING PS X NO 65 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-009 93 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212502****** 1271214806****** HASRAT SINURAT LABUHAN BATU 08|06|**** S P JL SEI BATUGINGGING PS X NO 65 000 000 0 0

165 1271212502****** 1271112311****** BOY BUDIANSYAH RANTAU PRAPAT 23|11|**** S L JL SEI BATUGINGGING PS X NO 80 000 000 0 0

166 1271212502****** 1271214407****** YURISTA ARINI, SH MEDAN 04|07|**** S P JL SEI BATUGINGGING PS X NO 80 000 000 0 0

167 1271212503****** 1271214805****** ANITA RAHMAN MEDAN 08|05|**** S P JL SEI BATUGINGGING NO.54 000 000 0 0

168 1271212612****** 1271211802****** KOKO FEBRIANSYAH PUTRA MEDAN 18|02|**** S L JL SEI BT GINGGING GG BILAL NO 83 B 000 000 0 0

169 1271212709****** 1271214502****** RITA NAPITUPULU MEDAN 05|02|**** B P JLSEI BATUGINGGING PSX NO82 000 000 0 0

170 1271212709****** 1271210409****** POLTAK NAPITUPULUIR MEDAN 04|09|**** B L JLSEI BATUGINGGING PSX NO82 000 000 0 0

171 1271212709****** 1271211201****** JAMES PARDOMUAN SITORUS AEK KANOPAN 12|01|**** B L JLSEI BATUGINGGING PSX NO82 000 000 0 0

172 1271212711****** 1271110505****** H SUPRIADI MEDAN 05|05|**** S L JL SEI BT GINGGING PERUM M BARU GARDEN BLOK B-7 000 000 0 0

173 1271212711****** 1271115601****** HJ FAHMI MUKHTAR MEDAN 16|01|**** S P JL SEI BT GINGGING PERUM M BARU GARDEN BLOK B-7 000 000 0 0

174 1271212803****** 1271213101****** WALDIGER PAKPAHAN DRS.M.M SAMOSIR 31|01|**** S L JL SEI BATU GINGGING NO 98 000 000 0 0

175 1271212803****** 1271216909****** HERTHA NAINGGOLAN MEDAN 29|09|**** S P JL SEI BATU GINGGING NO 98 000 000 0 0

176 1271212803****** 1271216904****** ELISABETH ADEP PUTRI MEDAN 29|04|**** B P JL SEI BATU GINGGING NO 98 000 000 0 0

177 1271212803****** 1271211210****** GERGINTO, SE BANDUNG 12|10|**** B L JL SEI BATU GINGGING NO 98 000 000 0 0

178 1271212803****** 1271215509****** DITHA TAMARA JAKARTA 15|09|**** B P JL SEI BATU GINGGING NO 98 000 000 0 0

179 1271212805****** 1271211602****** MHD RASYAFIE P AKBAR TANJUNG BATAM 16|02|**** B L JL SEI BTGINGGING GG BILAL-85 000 000 0 0

180 1271212901****** 1271212911****** SUDIBIYO MEDAN 29|11|**** S L JL SEI BT GINGGING PSR X NO 72 000 000 0 0

181 1271212901****** 1271214603****** JAMILAH MEDAN 06|03|**** S P JL SEI BT GINGGING PSR X NO 72 000 000 0 0

182 1271212901****** 1271216210****** SHAFIRA NABILLA MEDAN 22|10|**** B P JL SEI BT GINGGING PSR X NO 72 000 000 0 0

183 1271212901****** 1271215512****** TASYA AMALIA MEDAN 15|12|**** B P JL SEI BT GINGGING PSR X NO 72 000 000 0 0

184 1271212907****** 1271215705****** YENI WAHYU FITRI MEDAN 17|05|**** B P JL SEI BATU GINGGING PSR X NO 69A 000 000 0 0

185 1271212907****** 1271201001****** IBNU ARFAN TANJUNG MEDAN 10|01|**** B L JL SEI BATU GINGGING PSR X NO 69A 000 000 0 0

186 1271212908****** 1271211008****** IHUT MANGIRING DAMANIK HUTA RAJA 10|08|**** S L JL SEI BATU GINGGING PS X 56 B 000 000 0 0

187 1271212908****** 1271215101****** ELLEN MAGDALENA HUTAPEA TARUTUNG 11|01|**** S P JL SEI BATU GINGGING PS X 56 B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-009 94 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271212908****** 1271211901****** DAVID DAMANIK MEDAN 19|01|**** B L JL SEI BATU GINGGING PS X 56 B 000 000 0 0

189 1271212910****** 1271212610****** MUHAMMAD SUTEJO BONDOWOSO 26|10|**** S L JL SEI BATUGINGGING PS X NO 65 000 000 0 0

190 1271212910****** 1271216801****** SARTIKA MEDAN 28|01|**** S P JL SEI BATUGINGGING PS X NO 65 000 000 0 0

191 1271212911****** 1271214806****** MIMIN WULANDARI PERBAUNGAN 08|06|**** S P JL SEI BTGINGGING-BILAL NO 85 B 000 000 0 0

192 1271213107****** 1271210108****** SUYITNO MAGELANG 01|08|**** S L JL SEI BATU GINGGING PS X NO 72 000 000 0 0

193 1271213107****** 1271214303****** MARIATI MEDAN 03|03|**** S P JL SEI BATU GINGGING PS X NO 72 000 000 0 0

194 1271213107****** 1271212308****** SUNANDAR MEDAN 23|08|**** B L JL SEI BATU GINGGING PS X NO 72 000 000 0 0

195 1271211703****** 1271211210****** HERDINTO BANDUNG 12|10|**** B L JL SEI BATU GINGGING NO 98 003 000 0 0

196 1271211703****** 1271211303****** MARTIN H MAROLOP SIMANJUNTAK MEDAN 13|03|**** S L JL SEI BATUGINGGING NO 73 002 003 0 0

197 1271211703****** 1271214911****** UDUR ROHAYA O BANJARNAHOR, IR MEDAN 09|11|**** S P JL SEI BATUGINGGING NO 73 002 003 0 0

198 1271211712****** 1271216312****** SUGIANTI MEDAN 23|12|**** S P JL SEI BATU GINGGING PS X NO 67A 003 003 0 0

199 1271211712****** 1271212811****** BENNI AMIN HARAHAP MEDAN 28|11|**** S L JL SEI BATU GINGGING PS X NO 67A 003 003 0 0

200 1271211206****** 1271210201****** CHAINURMANSYAH AZHARI NASUTION MEDAN 02|01|**** B L JL SEI BT GINGGING PS X N0 84 004 003 0 0

201 1271211802****** 1271130711****** ZULHAMY MEDAN 07|11|**** S L JL SEI BATU GINGGING PS X NO 72 004 003 0 0

202 1271212502****** 1271216408****** RIZKA PUTRIANA MEDAN 24|08|**** B P JL SEI BATU GINGING PS X NO.65 004 003 0 0

203 1271211405****** 1271211303****** DJUMALI, SH MEDAN 13|03|**** S L JL SEI BTGINGGING PSR X NO 80 005 003 0 0

204 1271211703****** 1271210807****** DANIEL TOGI SIMANJUNTAK GORONTALO 08|07|**** B L JL SEI BATUGINGGING NO 73 005 003 0 0

205 1271211903****** 1271214512****** DESI PRIHATI WULANDARI SUKOHARJO 05|12|**** B P JL SEI BATUGINGGING GG BILAL LK 2 005 003 0 0

206 1271211906****** 1271210504****** SAIFUL NAZAR PROBOLINGGO 05|04|**** S L JL SEI BT GINGGING PSR X NO 65 005 003 0 0

207 1271211906****** 1271215505****** LENNY MEI LENA SARI PANGKALAN SUSU 15|05|**** S P JL SEI BT GINGGING PSR X NO 65 005 003 0 0

208 1271211907****** 1271215507****** RITA VERONICKA WARELLA BOGOR 15|07|**** S P JL SEI BATUGINGGING GG BILAL NO 81 005 003 0 0

209 1271211907****** 1271212806****** MAURITS MATHYS WARELLA MEDAN 28|06|**** S L JL SEI BATUGINGGING GG BILAL NO 81 005 003 0 0

210 1271211907****** 1271216102****** GRACIA ANASTASYA WARELLA MEDAN 21|02|**** B P JL SEI BATUGINGGING GG BILAL NO 81 005 003 0 0

211 1271212602****** 1271214204****** NURLIZA AMALIA NASUTION MEDAN 02|04|**** B P JL SEI BATU GINGGING PS X NO 96 005 003 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-009 95 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271211802****** 1271214404****** SRI WINARTI MEDAN 04|04|**** S P JL SEI BATU GINGGING PS X NO 72 003 004 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 212 Jenis Kelamin = 212 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 76 L : Laki-Laki = 108 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 128 P : Perempuan = 104 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 8
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 095 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-009 96 / 276
MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 010
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271210105****** 1271215202****** VIVIEN ZUBAIDAH MEDAN 12|02|**** P P JL SEI SILAU MELINTANG I NO 72-AB 000 000 0 0

2 1271210105****** 1271211307****** SYAFISTARA RAHMAD GINTING MEDAN 13|07|**** B L JL SEI SILAU MELINTANG I NO 72-AB 000 000 0 0

3 1271210111****** 1271210110****** JAHUAT SINAGA TIGA DOLOK 01|10|**** S L JL SEI SILAU PS XI NO 80 000 000 0 0

4 1271210111****** 1271210203****** SAOER MANIUR SINAGA MEDAN 02|03|**** B L JL SEI SILAU PS XI NO 80 000 000 0 0

5 1271210111****** 1271214411****** BEBI NOVIYANTI MEDAN 04|11|**** S P JL SEI SILAU PS XI NO 80 000 000 0 0

6 1271210111****** 1271215401****** SISKA LASTRIANY NAINGGOLAN TEBING TINGGI 14|01|**** S P JLSEI SILAU PS XI NO 102 B 000 000 0 0

7 1271210112****** 1271210312****** MUHAMMAD ARI SUBHAN HARAHAP, MT KISARAN 03|12|**** B L JL. SEI SILAU PSR XI NO. 72 000 000 0 0

8 1271210112****** 1271214502****** LAURA THERESIA HUTABARAT JAKARTA 05|02|**** B P JL SEI SILAU PS XI NO.78 000 000 0 0

9 1271210202****** 1271214705****** WINDA WIDYATARI MEDAN 07|05|**** B P JL SEI SILAU PSR XI NO 94 A 000 000 0 0

10 1271210205****** 1271211005****** SAUL FERY ABDY HUTAJULU MEDAN 10|05|**** B L JL SEI SILAU GG BENGKEL NO 52 B 000 000 0 0

11 1271210205****** 1271216107****** SRI PURWANTI MEDAN 21|07|**** B P JL SEI SILAU PS XI NO 83 MEDAN 000 000 0 0

12 1271210205****** 1271215804****** NURHAYATI MEDAN 18|04|**** B P JL SEI SILAU PS XI NO 83 MEDAN 000 000 0 0

13 1271210212****** 1271211303****** JHON FREDY SEMBIRING MEDAN 13|03|**** B L JL SEI SILAU PSR VI NO 81 A 000 000 0 0

14 1271210308****** 1271210505****** MANGARA TONGGO PARULIAN SILAEN MEDAN 05|05|**** B L JL SEI SILAU PS XI NO 76 000 000 0 0

15 1271210312****** 1271214203****** NURAINUN NAIBAHO MEDAN 02|03|**** B P JL SEI SILAU PASAR XI NO 110 000 000 0 0

16 1271210401****** 1271210706****** RUDI TALANO MEDAN 07|06|**** S L JL SEI SILAU PS XI NO 60 000 000 0 0

17 1271210401****** 1271214912****** DELIANA SEMBIRING MEDAN 09|12|**** S P JL SEI SILAU PS XI NO 60 000 000 0 0

18 1271210403****** 1271211111****** MADUIN MEDAN 11|11|**** S L JLSEI SILAU PSXI NO79 MEDAN 000 000 0 0

19 1271210405****** 1271210906****** MUHAMMAD SATAR SIREGAR, SH MEDAN 09|06|**** S L JL SEI SILAU PS XI NO 79-A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-010 97 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210407****** 1271214210****** ALYA MULYA SALAMATIN QADARYAH KEDIRI 02|10|**** S P JL SEI SILAU PSR XI NO 67 000 000 0 0

21 1271210505****** 1271214202****** HAMIDAH MEDAN 02|02|**** S P JL SEI SILAU PSR XI NO 83 MEDAN 000 000 0 0

22 1271210508****** 1271216710****** ENNY KERISTIANA SINAGA AEK NABARA 27|10|**** B P JL SEI SILAU NO 79-B 000 000 0 0

23 1271210511****** 1271214405****** SUMIYATI ACEH TIMUR 04|05|**** S P JL SEI SILAU PSR XI NO 83 000 000 0 0

24 1271210602****** 1271216604****** ELVITIORIA SINAGA AEK NABARA 26|04|**** B P JLSEI SILAU PSR XI NO 79 B 000 000 0 0

25 1271210602****** 1271215908****** BETTY MARLINA SINAGA AEK NABARA 19|08|**** B P JLSEI SILAU PSR XI NO 79 B 000 000 0 0

26 1271210608****** 1271215505****** NURHIDAYATI TANJUNG MULIA 15|05|**** S P JL SEI SILAU NO 60 MEDAN 000 000 0 0

27 1271210608****** 1271212404****** SERIADI SEMBIRING,SP MEDAN 24|04|**** S L JL SEI SILAU NO 60 MEDAN 000 000 0 0

28 1271210610****** 1271215610****** DRA RITA ANGGRAINI PADANG 16|10|**** P P JL SEI SILAU PSR XI NO 134 000 000 0 0

29 1271210611****** 1271216507****** NURIYANTI MEDAN 25|07|**** P P JL SEI SILAU PS XI NO 122 000 000 0 0

30 1271210611****** 1271216303****** YENTY RUMONDANG SIMANJUNTAK MEDAN 23|03|**** B P JL SEI SILAU PS XI NO 69 A 000 000 0 0

31 1271210611****** 1271210407****** HUMISAR TIOPAN SIMANJUNTAK SH PANE TONGA 04|07|**** B L JL SEI SILAU PS XI NO 69 A 000 000 0 0

32 1271210612****** 1271215312****** AMARNIATI GALANG 13|12|**** S P JLSEI SILAU NO65-A 000 000 0 0

33 1271210612****** 1271211011****** GERMAN SILAEN SILAEN 10|11|**** S L JL SEI SILAU PS XI NO 76 000 000 0 0

34 1271210612****** 1271214811****** H THERESIA BR SIHOMBING SIRIPRIP 08|11|**** S P JL SEI SILAU PS XI NO 76 000 000 0 0

35 1271210706****** 1271214808****** NURCAHAYA PADANG SIDEMPUAN 08|08|**** B P JL SEI SILAU NO 73 MEDAN 000 000 0 0

36 1271210801****** 1271211101****** UMUM MATIAS SEMBIRING SUKA 11|01|**** S L JL SEI SILAU NO 67 A MEDAN 000 000 0 0

37 1271210801****** 1271215401****** NGATUR TERESIA TIGA PANAH 14|01|**** S P JL SEI SILAU NO 67 A MEDAN 000 000 0 0

38 1271210801****** 1271215405****** EMMY YUSTINA MEDAN 14|05|**** B P JL SEI SILAU NO 67 A MEDAN 000 000 0 0

39 1271210801****** 1271215904****** ANGELIKARILY ANITA MEDAN 19|04|**** B P JL SEI SILAU NO 67 A MEDAN 000 000 0 0

40 1271210801****** 1271210201****** DAVID GORDON SIGALINGGING,SKM KISARAN 02|01|**** S L JL SEI SILAU PS XI NO 71 000 000 0 0

41 1271210801****** 1271215911****** NORMA PATTY NANDINI HUTAJULU JAKARTA 19|11|**** S P JL SEI SILAU PS XI NO 71 000 000 0 0

42 1271210802****** 1271214811****** ROTUA BR SILAEN SE MEDAN 08|11|**** S P JL SEI SILAU PS XI NO 76 B 000 000 0 0

43 1271210802****** 1271211407****** NIMROD JHON PITER PANJAITAN BINJAI 14|07|**** S L JL SEI SILAU PS XI NO 76 B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-010 98 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210803****** 1271217112****** SUTRIWATI MEDAN 31|12|**** S P JL SEI SILAU NO 73 MEDAN 000 000 0 0

45 1271210803****** 1271215201****** SRI SETIA WATI MEDAN 12|01|**** B P JL SEI SILAU NO 73 MEDAN 000 000 0 0

46 1271210804****** 1371010501****** ENDRICO MORIST PRADANA MEULABOH 05|01|**** B L KOMP WAHID HASYIM GARDEN BLOK A NO 6 000 000 0 0

47 1271210812****** 1271215812****** ASODA MEDAN 18|12|**** S P JL SEI SILAU PSR XI NO 79 000 000 0 0

48 1271210812****** 1271210209****** ANDY ARMADY MEDAN 02|09|**** S L JL SEI SILAU PSR XI NO 79 000 000 0 0

49 1271210812****** 1271214211****** SANGGITA DEWI MEDAN 02|11|**** B P JL SEI SILAU PSR XI NO 79 000 000 0 0

50 1271210901****** 1271214910****** GINAWATI MEDAN 09|10|**** S P JL SEI SILAU PSr XI NO 102-A 000 000 0 0

51 1271210901****** 1271216208****** INDA AFRILI MEDAN 22|08|**** B P JL SEI SILAU PSr XI NO 102-A 000 000 0 0

52 1271210901****** 1271216305****** MUTIA PRISTIWANTI MEDAN 23|05|**** B P JL SEI SILAU PS XI NO 94-B 000 000 0 0

53 1271210906****** 1271211011****** WAGIMAN SIGALINGGING SIDIKALANG 10|11|**** S L JL SEI SILAU PSR XI NO 71 000 000 0 0

54 1271210908****** 1271212604****** HAMDANI SEMBIRING MEDAN 26|04|**** S L JL SEI SILAU NO 60 MEDAN 000 000 0 0

55 1271210908****** 1271214401****** SRI YUNI MEDAN 04|01|**** S P JL SEI SILAU NO 60 MEDAN 000 000 0 0

56 1271211005****** 1271210603****** ANTON SINAGA TARUTUNG 06|03|**** S L JL SEI SILAU PS XI NO 67-C 000 000 0 0

57 1271211103****** 1271212602****** EDWARD POWER SIMATUPANG MEDAN 26|02|**** B L JL SEI SILAU PSR XI NO 51 000 000 0 0

58 1271211103****** 1271216512****** JUMIATIK LUBUK PAKAM 25|12|**** S P JL SEI SILAU PSR XI NO 112D 000 000 0 0

59 1271211103****** 1271216706****** EVAWATY MEDAN 27|06|**** S P JLSEI SILAU PS XI NO 128 000 000 0 0

60 1271211108****** 1271211904****** HARIONO MEDAN 19|04|**** S L JL. SEI SILAU GG. BENGKEL NO. 90-B 000 000 0 0

61 1271211108****** 1271216010****** AUDRI SAFANI MEDAN 20|10|**** S P JL. SEI SILAU GG. BENGKEL NO. 90-B 000 000 0 0

62 1271211109****** 1271214610****** ROSLINA MEDAN 06|10|**** S P JL SEI SILAU GG KELUARGA NO 8 000 000 0 0

63 1271211109****** 1271215601****** NURUL FITRIAH MEDAN 16|01|**** B P JL SEI SILAU GG KELUARGA NO 8 000 000 0 0

64 1271211112****** 1271215907****** ROSLIANA MEDAN 19|07|**** S P JL SEI SILAU PS XI NO 112-C 000 000 0 0

65 1271211202****** 1271187107****** ROSMAWATI SIREGAR TANJUNG PURA 31|07|**** B P JL SEI SILAU GG FAMILI NO 04 000 000 0 0

66 1271211303****** 1271212111****** HAMDANI MEDAN 21|11|**** S L JLSEI SILAU PS XI NO 74 B MEDAN 000 000 0 0

67 1271211303****** 1271216909****** YUSTINA LAURA SIHITE MEDAN 29|09|**** S P JLSEI SILAU PS XI NO 78 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-010 99 / 276
MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271211304****** 1271215603****** TUNEM MEDAN 16|03|**** P P JL SEI SILAU PSR XI NO 83 MEDAN 000 000 0 0

69 1271211304****** 1271211911****** JUNED MEDAN 19|11|**** S L JL SEI SILAU PSR XI NO 83 MEDAN 000 000 0 0

70 1271211306****** 1271210702****** FRANS RICHARD MAIS BANDA ACEH 07|02|**** S L JL SEI SILAU PSR XI NO 77 000 000 0 0

71 1271211306****** 1271214904****** SUNARTI P. SIANTAR 09|04|**** S P JL SEI SILAU PSR XI NO 77 000 000 0 0

72 1271211306****** 1271210808****** ARTHUR ROLAND MAIS MARJANDI 08|08|**** B L JL SEI SILAU PSR XI NO 77 000 000 0 0

73 1271211306****** 1271215611****** NOVA EVANS MAIS MEDAN 16|11|**** B P JL SEI SILAU PSR XI NO 77 000 000 0 0

74 1271211306****** 1271210101****** JANRY LEWIS HASAN SARMA SINAGA MEDAN 01|01|**** S L JL. SEI SILAU PSR XI NO. 47 000 000 0 0

75 1271211306****** 1271215609****** MYRNA RYANTIKA MALANG 16|09|**** S P JL. SEI SILAU PSR XI NO. 47 000 000 0 0

76 1271211401****** 1271215010****** MERLY MEDAN 10|10|**** S P JL SEI SILAU PSR XI NO 94 B 000 000 0 0

77 1271211403****** 1271216712****** UWAL SUKARNI MEDAN 27|12|**** S P JL SEI SILAU PSR XI NO 69-B 000 000 0 0

78 1271211404****** 1271164206****** MARINA TITI KUNING 02|06|**** S P JL SEI SILAU KOMP WAHID HASYIM GARDEN NO 5-A 000 000 0 0

79 1271211404****** 1271167012****** VERONIKA MEDAN 30|12|**** S P JL SEI SILAU KOMP WAHID HASYIM GARDEN NO 5-A 000 000 0 0

80 1271211404****** 1271161805****** MUJIONO MEDAN 18|05|**** S P JL.SEI SILAU 000 000 0 0

81 1271211408****** 1271216412****** NURJASMI BUKITTINGGI 24|12|**** S P JL SEI SILAU PS XI NO 128 000 000 0 0

82 1271211408****** 1271210905****** ARWINSYAH LUBIS MEDAN 09|05|**** B L JLSEI SILAU PSXI NO58 000 000 0 0

83 1271211504****** 1271215712****** DERTA NURLIANA PANJAITAN DRA MATIO 17|12|**** S P JL SEI SILAU PSR XI NO 86 000 000 0 0

84 1271211504****** 1271215907****** HERMIN PANJAITAN MATIO 19|07|**** B P JL SEI SILAU PSR XI NO 86 000 000 0 0

85 1271211504****** 1271216510****** LISARI YOHANA SIREGAR MEDAN 25|10|**** B P JL SEI SILAU PSR XI NO 86 000 000 0 0

86 1271211506****** 1271216508****** ARIHTA GINTING KIDUPEN 25|08|**** S P JL SEI SILAU PSR VI NO 81 A 000 000 0 0

87 1271211506****** 1271215807****** TENGKU UNIAH MEDAN 18|07|**** P P JLS EI SILAU PS XI NO 72 B 000 000 0 0

88 1271211506****** 1271215610****** ADE IRANY MEDAN 16|10|**** B P JLS EI SILAU PS XI NO 72 B 000 000 0 0

89 1271211506****** 1271217010****** LILY MEDAN 30|10|**** B P JLS EI SILAU PS XI NO 72 B 000 000 0 0

90 1271211509****** 1271214606****** TIMANUR TH LIMBONG TAPANULI UTARA 06|06|**** S P JL SEI SILAU PS XI NO 89 MEDAN 000 000 0 0

91 1271211509****** 1271216305****** NURSELY SAMOSIR TAPANULI UTARA 23|05|**** B P JL SEI SILAU PS XI NO 89 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-010 100 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271211509****** 1271215606****** RISMA SILALAHI SILALAHI 16|06|**** B P JL SEI SILAU PS XI NO 89 MEDAN 000 000 0 0

93 1271211509****** 1271216008****** ERIKA ELLY ROSMAULI BR SIAGIAN PORSEA 20|08|**** S P JL SEI SILAU PS XI NO 37 000 000 0 0

94 1271211510****** 1271210905****** MUHAMMAD SOFWAN Z MEDAN 09|05|**** S L JL SEI SILAU PS XI NO 74 MEDAN 000 000 0 0

95 1271211510****** 1271045410****** SHERLY NESIA SYOFIAN NST SS MEDAN 14|10|**** S P JL SEI SILAU PS XI NO 74 MEDAN 000 000 0 0

96 1271211511****** 1271217112****** HJ HIRAWATI PULUNGAN SIPIROK 31|12|**** P P JLSEI SILAU NO65 MEDAN 000 000 0 0

97 1271211511****** 1271214702****** HJ LATIFAH HANUM SIREGAR BATANG TORU 07|02|**** S P JLSEI SILAU NO65 MEDAN 000 000 0 0

98 1271211608****** 1271210806****** EDY RONI MAIS MARJANDI 08|06|**** S L JL SEI SILAU NO 77 MEDAN 000 000 0 0

99 1271211608****** 1271216403****** LINDA DAMANIK JORLANG HULUAN 24|03|**** S P JL SEI SILAU NO 77 MEDAN 000 000 0 0

100 1271211701****** 1271212812****** SOFULI ZALUKHU NIAS 28|12|**** S L JL SEI SILAU PS XI NO 52 B 000 000 0 0

101 1271211701****** 1271215803****** MYKE YUSNIAR HUTAJULU MEDAN 18|03|**** S P JL SEI SILAU PS XI NO 52 B 000 000 0 0

102 1271211701****** 1271214409****** LINA ZALUKHU NIAS 04|09|**** B P JL SEI SILAU PS XI NO 52 B 000 000 0 0

103 1271211701****** 1271212008****** ANDRE SALMON RIVALDO ZALUKHU MEDAN 20|08|**** B L JL SEI SILAU PS XI NO 52 B 000 000 0 0

104 1271211701****** 1271212904****** ANDRI SUBAELI ZALUKHU MEDAN 29|04|**** B L JL SEI SILAU PS XI NO 52 B 000 000 0 0

105 1271211707****** 1271210210****** IMRAN ARIADY MEDAN 02|10|**** S L JL SEI SILAU PSR XI NO 79 MEDAN 000 000 0 0

106 1271211707****** 1271216701****** UMIRA SANTI MEDAN 27|01|**** S P JL SEI SILAU PSR XI NO 79 MEDAN 000 000 0 0

107 1271211707****** 1271214304****** AYU RAHMADHANI MEDAN 03|04|**** B P JL SEI SILAU PSR XI NO 79 MEDAN 000 000 0 0

108 1271211707****** 1271211406****** MAMRI MEDAN 14|06|**** B L JL SEI SILAU PSR XI NO 79 MEDAN 000 000 0 0

109 1271211707****** 1271210607****** VICTOR SILAEN, DRS SILAEN 06|07|**** S L JL SILAU PSR XI NO 81 MEDAN 000 000 0 0

110 1271211707****** 1271214112****** ROHANI PARDEDE BALIGE 01|12|**** S P JL SILAU PSR XI NO 81 MEDAN 000 000 0 0

111 1271211804****** 1271215512****** RODIAH MEDAN 15|12|**** P P JL SEI SILAU PS XI NO 83 MEDAN 000 000 0 0

112 1271211804****** 1271214502****** EKA BANDUNG 05|02|**** S P JL SEI SILAU PS XI NO 83 MEDAN 000 000 0 0

113 1271211809****** 1271214210****** SUSWATI D.MELANGIR 02|10|**** S P JL. SEI SILAU PSR XI NO. 39 MEDAN 000 000 0 0

114 1271211810****** 1271214105****** SERLY TURNIP RAUT BOSI 01|05|**** S P JL SEI SILAU PSR XI NO 51 000 000 0 0

115 1271211903****** 1271214405****** LASMARIA BR HUTAPEA LAGUBOTI 04|05|**** P P JL SEI SILAU PS XI NO 78 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-010 101 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271211903****** 1271216011****** DEBBY ROSARIA MEDAN 20|11|**** B P JL SEI SILAU PS XI NO 78 000 000 0 0

117 1271211904****** 1271216207****** LEONY ASYAH MEDAN 22|07|**** B P JL SEI SILAU PSRXI NO 89.B 000 000 0 0

118 1271211909****** 1271210805****** ARLEN SIHOTANG PARLILITAN 08|05|**** S L JL SEI SILAU NO 73 MEDAN 000 000 0 0

119 1271211909****** 1271214311****** RISMA BR SITUMORANG JUMAH TENGAH 03|11|**** S P JL SEI SILAU NO 73 MEDAN 000 000 0 0

120 1271212006****** 1271210410****** M SAHARI SYAHRUDDIN MEDAN 04|10|**** B L JL SEI SILAU PSR XI NO 86 000 000 0 0

121 1271212008****** 1271215705****** WAGINI MEDAN 17|05|**** P P JLSEI SILAU PS XI NO 57 000 000 0 0

122 1271212008****** 1271210206****** IRWAN MEDAN 02|06|**** B L JLSEI SILAU PS XI NO 57 000 000 0 0

123 1271212008****** 1271214810****** ERNAWATI MEDAN 08|10|**** B P JLSEI SILAU PS XI NO 57 000 000 0 0

124 1271212008****** 1271210310****** JOKO WALUYO MEDAN 03|10|**** B L JLSEI SILAU PS XI NO 57 000 000 0 0

125 1271212008****** 1271210607****** ABDUL RAHIM MEDAN 06|07|**** S L JLSEI SILAU PS IX NO 53 MEDAN 000 000 0 0

126 1271212008****** 1271216009****** IFTI DARNI R PRAPAT 20|09|**** S P JLSEI SILAU PS IX NO 53 MEDAN 000 000 0 0

127 1271212008****** 1271214712****** ERA RIZKI UTAMI MEDAN 07|12|**** B P JLSEI SILAU PS IX NO 53 MEDAN 000 000 0 0

128 1271212012****** 1271211710****** H CHAIRUDDIN DRS MEDAN 17|10|**** S L JL SEI SILAU NO 76 B MEDAN 000 000 0 0

129 1271212012****** 1271215609****** HJ IRWANY PULUNGAN BINJAI 16|09|**** S P JL SEI SILAU NO 76 B MEDAN 000 000 0 0

130 1271212012****** 1271212403****** TIGOR VERY PARLINDUNGAN MEDAN 24|03|**** B L JL SEI SILAU NO 76 B MEDAN 000 000 0 0

131 1271212105****** 1271215105****** NURHAYATI SIMATUPANG SIPIROK 11|05|**** S P JL SEI SILAU PS XI NO 110 000 000 0 0

132 1271212106****** 1271210106****** SYAIFUL HADI MEDAN 01|06|**** S L JL SEI SILAU PS XI NO 74 MEDAN 000 000 0 0

133 1271212106****** 1271216705****** NUR AZIZAH MEDAN 27|05|**** S P JL SEI SILAU PS XI NO 74 MEDAN 000 000 0 0

134 1271212106****** 1271212309****** NECO YOMEXTRIS KALAM PADU 23|09|**** B L JL SEI SILAU PS XI NO 74 MEDAN 000 000 0 0

135 1271212106****** 1271216105****** FITRIANI Z MEDAN 21|05|**** P P JL SEI SILAU PS XI NO 74 000 000 0 0

136 1271212109****** 1271215011****** NURI WARIYANI DOLOK MALANGIR 10|11|**** S P JLSEI SILAU PS XI NO 89-B 000 000 0 0

137 1271212111****** 1271216802****** ERNAWATI SIBUEA MEDAN 28|02|**** S P JL.SEI SILAU 000 000 0 0

138 1271212301****** 1271210706****** HERMAN ABADI BINJAI 07|06|**** S L JL SEI SILAU MELINTANG I NO 72-AB 000 000 0 0

139 1271212301****** 1271214805****** YUNIAR MEDAN 08|05|**** S P JL SEI SILAU MELINTANG I NO 72-AB 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-010 102 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212301****** 1271216706****** SARAH MEDAN 27|06|**** B P JL SEI SILAU MELINTANG I NO 72-AB 000 000 0 0

141 1271212301****** 1271214108****** ELIJAH MEDAN 01|08|**** B P JL SEI SILAU MELINTANG I NO 72-AB 000 000 0 0

142 1271212304****** 1271213101****** JERRY TIMBUL LUMBAN TOBING MEDAN 31|01|**** S L JL SEI SILAU PSR XI NO 67C MEDAN 000 000 0 0

143 1271212304****** 1271015607****** YULITA SILITONGA MEDAN 16|07|**** S P JL SEI SILAU PSR XI NO 67C MEDAN 000 000 0 0

144 1271212306****** 1271210707****** UNGKAP PARULIAN HUTAJULU IR TAPANULI 07|07|**** S L JL SEI SILAU NO 69 MEDAN 000 000 0 0

145 1271212306****** 1271215208****** ANY ROSWITA MANURUNG TAPANULI 12|08|**** S P JL SEI SILAU NO 69 MEDAN 000 000 0 0

146 1271212306****** 1271217112****** IJAH LARAS 31|12|**** S P JL SEI SILAU PS XI NO 86-C 000 000 0 0

147 1271212502****** 1271214101****** MUHARMI PAYAKUMBUH 01|01|**** P P JLSEI SILAU PSXI NO74 MEDAN 000 000 0 0

148 1271212502****** 1271210904****** IRAWAN MEDAN 09|04|**** S L JL SEI SILAU NO 73 MEDAN 000 000 0 0

149 1271212502****** 1271217112****** LEGINA MEDAN 31|12|**** S P JL SEI SILAU NO 73 MEDAN 000 000 0 0

150 1271212504****** 1271214209****** WIDIASIH BUDIHARTI PK PINANG 02|09|**** S P JL SEI SILAU NO 73 MEDAN 000 000 0 0

151 1271212505****** 1271212611****** ROBERT HOTLAND MEDAN 26|11|**** S L JL SEI SILAU NO 69 MEDAN 000 000 0 0

152 1271212505****** 1271215102****** IMELDA BR SIMORANGKIR BINJAI 11|02|**** S P JL SEI SILAU NO 69 MEDAN 000 000 0 0

153 1271212507****** 1271212309****** WICKY RUBEN TUTUARYMA MEDAN 23|09|**** B L JL SEI ASAHAN PSR XII NO 47 000 000 0 0

154 1271212509****** 1271210702****** ABDUL MEDAN 07|02|**** P L JL SEI SILAU PSR XI NO 58 000 000 0 0

155 1271212509****** 1271211206****** AGUS SALIM MEDAN 12|06|**** B L JL SEI SILAU PSR XI NO 58 000 000 0 0

156 1271212509****** 1271210710****** FACHRUZI MEDAN 07|10|**** S L JL SEI SILAU PSR XI NO 58 000 000 0 0

157 1271212509****** 1271214803****** MARHAIDA MEDAN 08|03|**** B P JL SEI SILAU PSR XI NO 58 000 000 0 0

158 1271212509****** 1271212605****** HASAN BASRI MEDAN 26|05|**** B L JLSEI SILAU PSRXI NO58 000 000 0 0

159 1271212509****** 1271212807****** YOSE RIZAL, SE PARIAMAN 28|07|**** S L JL SEI SILAU NO 73 MEDAN 000 000 0 0

160 1271212509****** 1271214903****** WAHYULIANTI MEDAN 09|03|**** S P JL SEI SILAU NO 73 MEDAN 000 000 0 0

161 1271212509****** 1271210808****** M AL-FARIZI MEDAN 08|08|**** B L JL SEI SILAU NO 73 MEDAN 000 000 0 0

162 1271212606****** 1271213105****** SURYA DHARMA SEMBIRING MEDAN 31|05|**** S L JL SEI SILAU PSR XI NO 60 000 000 0 0

163 1271212701****** 1271213112****** RUSTAM SEI NAGALAWAN 31|12|**** S L JL. SEI SILAU PSR XI GG. KELUARGA NO. 10 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-010 103 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212701****** 1271216212****** SERIYANTI MEDAN 22|12|**** S P JL SEI SILAU XI NO 112 A 000 000 0 0

165 1271212702****** 1271211109****** DAVID BASTIAN PAKPAHAN MEDAN 11|09|**** S L JLSEI SILAU NO78 MEDAN 000 000 0 0

166 1271212704****** 1271215306****** THERESIA BR HUTASOIT SIBOLGA 13|06|**** S P JL SEI SILAU PSR XI NO 122 A 000 000 0 0

167 1271212704****** 1271216911****** ROSALINAULI BR PASARIBU MEDAN 29|11|**** B P JL SEI SILAU PSR XI NO 122 A 000 000 0 0

168 1271212704****** 1271215902****** FRIDAWATI PASARIBU MEDAN 19|02|**** B P JL SEI SILAU PSR XI NO 122 A 000 000 0 0

169 1271212711****** 1271214704****** SURYA NINGSIH AEK TARUM 07|04|**** B P JL SEI SILAU PS XI NO 89-B 000 000 0 0

170 1271212712****** 1271212012****** PALTI KRISTIAN TAMPUBOLON MEDAN 20|12|**** S L JLSEI SILAU PS XI NO 67-B 000 000 0 0

171 1271212803****** 1271217112****** PARNI P. SIANTAR 31|12|**** S P JL SEI SILAU PS XI NO 74 MEDAN 000 000 0 0

172 1271212803****** 1271210208****** SUHANDRI MEDAN 02|08|**** B L JL SEI SILAU PS XI NO 74 MEDAN 000 000 0 0

173 1271212803****** 1271211809****** SUHENDRO MEDAN 18|09|**** B L JL SEI SILAU PS XI NO 74 MEDAN 000 000 0 0

174 1271212901****** 1271214408****** NURAINI MEDAN 04|08|**** S P JL SEI SILAU PSR XI NO 82 MEDAN 000 000 0 0

175 1271212901****** 1271210310****** ISMANTO BINJAI 03|10|**** S L JL SEI SILAU PSR XI NO 82 MEDAN 000 000 0 0

176 1271212901****** 1271214701****** ANISA JANUARY MEDAN 07|01|**** B P JL SEI SILAU PSR XI NO 82 MEDAN 000 000 0 0

177 1271212901****** 1271216908****** KRISNAWENI MEDAN 29|08|**** S P JL SEI SILAU PS XI NO 120 000 000 0 0

178 1271212903****** 1271215512****** SURTINI MEDAN 15|12|**** P P JL SEI SILAU XI NO 69B 000 000 0 0

179 1271212903****** 1271214412****** SUKIRAWATI MEDAN 04|12|**** B P JL SEI SILAU XI NO 69B 000 000 0 0

180 1271212903****** 1271216609****** SUFIANA MEDAN 26|09|**** B P JL SEI SILAU XI NO 69B 000 000 0 0

181 1271212903****** 1271212510****** JULHAM NDOGO MEDAN 25|10|**** B L JL SEI SILAU XI NO 69B 000 000 0 0

182 1271212904****** 1271214706****** SALMIAH MEDAN 07|06|**** S P JL SEI SILAU PSR XI NO 110 000 000 0 0

183 1271212908****** 1271213008****** DEDY SYAHPUTRA P. SIANTAR 30|08|**** S L JL. SEI SILAU PSR XI NO. 74 000 000 0 0

184 1271212908****** 1271215707****** FITRIA MEDAN 17|07|**** S P JL. SEI SILAU PSR XI NO. 74 000 000 0 0

185 1271212910****** 1271211606****** ZUNAIDI MEDAN 16|06|**** S L JL. SEI SILAU NO. 73-A MEDAN 000 000 0 0

186 1271212910****** 1271216502****** YUSNANI PAYA LOMBANG 25|02|**** S P JL. SEI SILAU NO. 73-A MEDAN 000 000 0 0

187 1271212910****** 1271191109****** M REZA ADRIAN, SH MEDAN 11|09|**** B L JL SEI SILAU GG FAMILI NO 3 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-010 104 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271212911****** 1271210710****** CHALDUN Z MEDAN 07|10|**** S L JL SEI SILAU PS XI NO 74 000 000 0 0

189 1271212911****** 1271217112****** SRI HANDAYANI MEDAN 31|12|**** S P JL SEI SILAU PS XI NO 74 000 000 0 0

190 1271213001****** 1271216205****** SAUNDELA TEBING TINGGI 22|05|**** P P JL. SEI SILAU PSR XI NO. 79 000 000 0 0

191 1271213003****** 1271212410****** DAVID MULIA PARULIAN JAKARTA 24|10|**** S L JL SEI SILAU GG FAMILI NO 4 000 000 0 0

192 1271213003****** 1271215405****** MASRIA NATASSYA SINAGA P SIDEMPUAN 14|05|**** S P JL SEI SILAU GG FAMILI NO 4 000 000 0 0

193 1271213005****** 1271215006****** JUMINAH GALANG 10|06|**** S P JLSEI SILAU PS XI NO110-C 000 000 0 0

194 1271213010****** 1271215109****** SYOFRINA RAHMI GINTING MEDAN 11|09|**** S P JL.SEI SILAU NO.72-AB 000 000 0 0

195 1271213010****** 1271051606****** ADISYAH PUTRA MEDAN 16|06|**** S L JL.SEI SILAU NO.72-AB 000 000 0 0

196 1271213107****** 1271217112****** NURSANI LUBIS MEDAN 31|12|**** P P JL SEI SILAU PSR XI NO 86 MEDAN 000 000 0 0

197 1271211109****** 1271210307****** RICKY ALFIAN BANDA ACEH 03|07|**** S L JL SEI SILAU GG KELUARGA NO 8 004 000 0 0

198 1271212008****** 1271211005****** RICKY TEBING TINGGI 10|05|**** S L JLSEI SILAU PS XI NO 57 004 000 0 0

199 1271211404****** 1271166910****** RIRIN RENATA MEDAN 29|10|**** B P JL SEI SILAU KOMP WAHID HASYIM GARDEN NO 5-A 005 000 0 0

200 1271211707****** 1271212304****** PRESLY SILAEN MEDAN 23|04|**** B L JLSILAU PSR XI NO 8 MEDAN 001 004 0 0

201 1271211803****** 1271216310****** PRISTIWATI MEDAN 23|10|**** P P JLSEI SILAU PS XI NO 73 001 004 0 0

202 1271211803****** 1271214905****** RAHIMAH MEDAN 09|05|**** B P JLSEI SILAU PS XI NO 73 001 004 0 0

203 1271211905****** 1271213012****** RACHMAT TAUFIK SEMBIRING DELI SERDANG 30|12|**** S L JL SEI SILAU PSR XI NO 60 001 004 0 0

204 1271212106****** 1271215708****** AINAYYA FATHIEN NYAK DHIEN MEDAN 17|08|**** B P JL SEI SILAU PS XI NO 74 001 004 0 0

205 1271212304****** 1271215010****** PONIEM MEDAN 10|10|**** P P JL SEI SILAU GG BENGKEL NO 94-B 001 004 0 0

206 1271212612****** 1271214312****** NUR FADILAH AHMAD RANGKUTI MEDAN 03|12|**** B P JL SEI SILAU PS XI NO 80 A 001 004 0 0

207 1271212708****** 1271215404****** PUTRI SULUNG BR PANJAITAN TANJUNG BALAI 14|04|**** S P JL SEI SILAU PSR XI NO 94A 001 004 0 0

208 1271212711****** 1271215010****** PONILA MEDAN 10|10|**** S P JL SEI SILAU PS XI NO 89-B 001 004 0 0

209 1271210202****** 1271210502****** MHD RIO ALRASYID MEDAN 05|02|**** B L JL SEI SILAU PSR XI NO 94 A 002 004 0 0

210 1271212406****** 1271211808****** RAWADI MEDAN 18|08|**** B L JL SEI SILAU PSR XI NO 74B 002 004 0 0

211 1271210110****** 1271214601****** RIOLIN PAKPAHAN BALIGE 06|01|**** P P JL SEI SILAU PSR XI NO 78 004 004 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-010 105 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271210807****** 1271211411****** RICKY PARDAMAIAN MEDAN 14|11|**** S L JL SEI SILAU NO 76 B MEDAN 004 004 0 0

213 1271212406****** 1271215909****** RINI MEDAN 19|09|**** P P JL SEI SILAU PSR XI NO 74B 004 004 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 213 Jenis Kelamin = 213 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 74 L : Laki-Laki = 79 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 120 P : Perempuan = 134 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 19
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 121 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-010 106 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 011
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271022111****** 1271024203****** KIKY MARIA K SOROACO 02|03|**** S P JL SEI SILAU NO.100 000 000 0 0

2 1271050108****** 1271055609****** HJENDANG INDIYARTININGSIH SOLO 16|09|**** S P JL.SEI SILAU PS IX NO 37 000 000 0 0

3 1271073003****** 1271070611****** HENDRI SUMOKO MEDAN 06|11|**** S L JL SEI SILAU GG KELUARGA NO 10 000 000 0 0

4 1271073003****** 1271076005****** MAIYUSNI MEDAN 20|05|**** S P JL SEI SILAU GG KELUARGA NO 10 000 000 0 0

5 1271073003****** 1271072403****** MUHAMMAD ABI MUZAKI MEDAN 24|03|**** B L JL SEI SILAU GG KELUARGA NO 10 000 000 0 0

6 1271210104****** 1271216110****** YULIATI MEDAN 21|10|**** S P JL SEI SILAU PSR XI NO 2C 000 000 0 0

7 1271210104****** 1271214208****** SUTIAH MEDAN 02|08|**** P P JL SEI SILAU PSR XI NO 112C 000 000 0 0

8 1271210104****** 1271212809****** SUHENDRA LUBUK PAKAM 28|09|**** B L JL SEI SILAU PSR XI NO 112C 000 000 0 0

9 1271210104****** 1271215001****** TRI INDRIYATI MEDAN 10|01|**** B P JL SEI SILAU PSR XI NO 112C 000 000 0 0

10 1271210104****** 1271214407****** FORLYTA TIUR TAMPUBOLON SP MEDAN 04|07|**** S P JL SEI SILAU PS XI NO.67 B 000 000 0 0

11 1271210105****** 1271214301****** YUSRAH WARDANI MEDAN 03|01|**** B P JL SEI SILAU MELINTANG I NO 72-AB 000 000 0 0

12 1271210109****** 1271210110****** SATRIYONO MEDAN 01|10|**** S L JL SEI SILAU PS XI NO 120 000 000 0 0

13 1271210109****** 1271214801****** KARTIKA MEDAN 08|01|**** B P JL SEI SILAU PS XI NO 120 000 000 0 0

14 1271210109****** 1271215306****** TRIWASTI MEDAN 13|06|**** S P JL SEI SILAU PS XI NO 120 000 000 0 0

15 1271210109****** 1271211306****** ALAM MEDAN 13|06|**** B L JL SEI SILAU PS XI NO 120 000 000 0 0

16 1271210109****** 1271211202****** SAFRIZAL MEDAN 12|02|**** B L JL SEI SILAU PS XI NO 120 000 000 0 0

17 1271210109****** 1271215911****** PUPUT NOVIANTI MEDAN 19|11|**** B P JL SEI SILAU PS XI NO 120 000 000 0 0

18 1271210111****** 1271211111****** OLOAN P SILALAHI SP MEDAN 11|11|**** S L JLSEI SILAU PS XI NO 102 B 000 000 0 0

19 1271210112****** 1271216202****** Hj. ISTIA GUMALA SIREGAR PULAU SAMBU RIAU 22|02|**** P P JL. SEI SILAU PSR XI NO. 72 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-011 107 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210112****** 1271215411****** RINA SITI KAMALIA HARAHAP, dr KISARAN 14|11|**** S P JL. SEI SILAU PSR XI NO. 72 000 000 0 0

21 1271210202****** 1271212012****** HENDRIK BODAMER MEDAN 20|12|**** S L JLSEI SILAU PS XI NO 39 000 000 0 0

22 1271210202****** 1271216007****** JULIATI RIPASSA MEDAN 20|07|**** S P JLSEI SILAU PS XI NO 39 000 000 0 0

23 1271210202****** 1271216310****** THERESYA MAGDALENA BODAMER MEDAN 23|10|**** B P JLSEI SILAU PS XI NO 39 000 000 0 0

24 1271210202****** 1271211710****** JOSEPH FERNANDO BODAMER MEDAN 17|10|**** B L JLSEI SILAU PS XI NO 39 000 000 0 0

25 1271210202****** 1271213103****** MURYOTO MEDAN 31|03|**** S L JL SEI SILAU PSR XI NO 94 A 000 000 0 0

26 1271210202****** 1271215804****** AMURAH MEDAN 18|04|**** S P JL SEI SILAU PSR XI NO 94 A 000 000 0 0

27 1271210203****** 1271210701****** SAMMI IVAN LEE HUTABARAT IR PALEMBANG 07|01|**** S L JL SEI SILAU PS XI NO 87 MEDAN 000 000 0 0

28 1271210203****** 1271216710****** MELVA YETTY SITORUS IR MEDAN 27|10|**** S P JL SEI SILAU PS XI NO 87 MEDAN 000 000 0 0

29 1271210203****** 1271214312****** GRACE BASANI NATALEE HUTABARAT MEDAN 03|12|**** B P JL SEI SILAU PS XI NO 87 MEDAN 000 000 0 0

30 1271210204****** 1271210503****** MUHAMMAD ARIFIN MEDAN 05|03|**** S L JL SEI SILAU NO 138 MEDAN 000 000 0 0

31 1271210204****** 1271216506****** NOVIDA E ABIDIN MEDAN 25|06|**** S P JL SEI SILAU NO 138 MEDAN 000 000 0 0

32 1271210204****** 1271212905****** M AGNEZA ARIFIN MEDAN 29|05|**** B L JL SEI SILAU NO 138 MEDAN 000 000 0 0

33 1271210204****** 1271214709****** CHANTIKA Z ARIFIN MEDAN 07|09|**** B P JL SEI SILAU NO 138 MEDAN 000 000 0 0

34 1271210205****** 1271212410****** SUPARMAN MEDAN 24|10|**** S L JL SEI SILAU PS XI NO 83 MEDAN 000 000 0 0

35 1271210205****** 1271211904****** ARMANDO PUTRA MEDAN 19|04|**** B L JL SEI SILAU PS XI NO 83 MEDAN 000 000 0 0

36 1271210303****** 1271212911****** EDWARD PATTISINA BANGKA 29|11|**** S L JL SEI BATUGINGGING PS X NO 12-B 000 000 0 0

37 1271210303****** 1271213103****** MARCUS MASPAETELLA MEDAN 31|03|**** S L JL SEI BATUGINGGING PS X NO 2-B 000 000 0 0

38 1271210303****** 1271215512****** NURLELI MEDAN 15|12|**** S P JL SEI BATUGINGGING PS X NO 12-B 000 000 0 0

39 1271210303****** 1271210810****** EDLY FARIZ PATTISINA MEDAN 08|10|**** B L JL SEI BATUGINGGING PS X NO 12-B 000 000 0 0

40 1271210303****** 1271212612****** RAMIJAN MEDAN 26|12|**** S L JL SEI SILAU GG FAMILI NO 4 000 000 0 0

41 1271210303****** 1271215412****** ELLIANI MEDAN 14|12|**** S P JL SEI SILAU GG FAMILI NO 4 000 000 0 0

42 1271210303****** 1271211110****** REYNOLD AFANDI HARAHAP SIPIROK 11|10|**** S L JL SEI SILAU GG FAMILI NO 4 000 000 0 0

43 1271210303****** 1271214505****** APRIANI MEDAN 05|05|**** B P JL SEI SILAU GG FAMILI NO 4 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-011 108 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210303****** 1271216808****** TRIANA MEDAN 28|08|**** B P JL SEI SILAU GG FAMILI NO 4 000 000 0 0

45 1271210308****** 1212037011****** NOVALINA SITORUS SILAEN 30|11|**** B P JL SEI SILAU PS XI NO 76 000 000 0 0

46 1271210309****** 1271216910****** IDAWATI PEMATANG RAYA 29|10|**** B P JL SEI SILAU NO 35 000 000 0 0

47 1271210309****** 1271215907****** SUWARSEH MEDAN 19|07|**** S P JL SEI SILAU NO 110 MEDAN 000 000 0 0

48 1271210309****** 1271211703****** SUKASDI MEDAN 17|03|**** B L JL SEI SILAU NO 110 MEDAN 000 000 0 0

49 1271210401****** 1271211510****** HISAR SINAGA, DRS PUSUK 15|10|**** S L JL. SEI SILAU PSR XI NO. 47 000 000 0 0

50 1271210401****** 1271216106****** DAHLIA RUMONDANG LUMBANTOBING TARUTUNG 21|06|**** S P JL. SEI SILAU PSR XI NO. 47 000 000 0 0

51 1271210401****** 1271214411****** ESTER NOVIANTI JAKARTA 04|11|**** B P JL. SEI SILAU PSR XI NO. 47 000 000 0 0

52 1271210403****** 1271216109****** EVISATRI KASIK PUTIH 21|09|**** S P JL SEI SILAU PS IX NO 80-B MEDAN 000 000 0 0

53 1271210405****** 1271215408****** ADZRA FABIAN SIREGAR MEDAN 14|08|**** B P JL SEI SILAU PS XI NO 79-A 000 000 0 0

54 1271210406****** 1271021303****** CHAIRUDDIN MEDAN 13|03|**** S L JL SEI SILAU PS XI NO 53 000 000 0 0

55 1271210406****** 1271216109****** MARDIAH HANDAYANI MEDAN 21|09|**** S P JL SEI SILAU PS XI NO 53 000 000 0 0

56 1271210409****** 1271211708****** BUAMIN TEBING TINGGI 17|08|**** S L JL SEI SILAU NO 89 B MEDAN 000 000 0 0

57 1271210409****** 1271215604****** MASIDAH P. SIANTAR 16|04|**** S P JL SEI SILAU NO 89 B MEDAN 000 000 0 0

58 1271210409****** 1271216808****** LUSILAWATI MEDAN 28|08|**** S P JL SEI SILAU NO 89 B MEDAN 000 000 0 0

59 1271210409****** 1271212112****** DEDEK ARFANDI MEDAN 21|12|**** B L JL SEI SILAU NO 89 B MEDAN 000 000 0 0

60 1271210409****** 1271216811****** NOVA SHINTA DEVIANA MEDAN 28|11|**** B P JL SEI SILAU NO 89 B MEDAN 000 000 0 0

61 1271210409****** 1271212308****** EDI SUROSO MEDAN 23|08|**** S L JLSEI SILAU GG FAMILI NO 04 000 000 0 0

62 1271210409****** 1271216510****** KHADIJAH R MAYA SIPIROK 25|10|**** S P JLSEI SILAU GG FAMILI NO 04 000 000 0 0

63 1271210410****** 1271215111****** ROULI SITOMPUL SIGOMPULON 11|11|**** S P JL SEI SILAU PS XI NO 48-B 000 000 0 0

64 1271210410****** 1271211103****** HENRY ELFREDY SIMBOLON MEDAN 11|03|**** B L JL SEI SILAU PS XI NO 48-B 000 000 0 0

65 1271210410****** 1271210404****** SYAFRIL JOHANNES SIMBOLON MEDAN 04|04|**** B L JL SEI SILAU PS XI NO 48-B 000 000 0 0

66 1271210501****** 1271211001****** EDY RAHMAN MEDAN 10|01|**** S L JL SEI SILAU GG KELUARGA NO 8 000 000 0 0

67 1271210501****** 1271214508****** ELLYAWATI MEDAN 05|08|**** S P JL SEI SILAU GG KELUARGA NO 8 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-011 109 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210501****** 1271215407****** CHAIRUN NISA MEDAN 14|07|**** B P JL SEI SILAU GG KELUARGA NO 8 000 000 0 0

69 1271210505****** 1271211610****** ILHAM PRATAMA MEDAN 16|10|**** B L JL SEI SILAU PSR XI NO 83 MEDAN 000 000 0 0

70 1271210507****** 1271211104****** RUDI DARSONO MEDAN 11|04|**** S L JLSEI SILAU PSXI NO 89 000 000 0 0

71 1271210507****** 1271216409****** SUSI ANDRIANI MEDAN 24|09|**** S P JLSEI SILAU PSXI NO 89 000 000 0 0

72 1271210511****** 1271212407****** SUPARDAN MEDAN 24|07|**** S L JL SEI SILAU PSR XI NO 83 000 000 0 0

73 1271210511****** 1271210809****** MUHAMMAD HUSEN MEDAN 08|09|**** B L JL SEI SILAU PSR XI NO 83 000 000 0 0

74 1271210511****** 1271211310****** SYAHRIAL MEDAN 13|10|**** S L JL SEI SILAU PSR XI NO 58 000 000 0 0

75 1271210607****** 1271214505****** FATMAWATI MEDAN 05|05|**** P P JL SEI SILAU NO 89 MEDAN 000 000 0 0

76 1271210607****** 1271210804****** SUJADI MEDAN 08|04|**** S L JL SEI SILAU NO 89 MEDAN 000 000 0 0

77 1271210607****** 1271214706****** SAKINAH MEDAN 07|06|**** S P JL SEI SILAU NO 89 MEDAN 000 000 0 0

78 1271210609****** 1271215011****** SUNDRI MOJOKERTO 10|11|**** S P JL SEI SILAU NO 89 MEDAN 000 000 0 0

79 1271210609****** 1271213103****** SUJALI MEDAN 31|03|**** B L JL SEI SILAU NO 89 MEDAN 000 000 0 0

80 1271210610****** 1271211303****** IKHWAN SYUKRIA AHTA MEDAN 13|03|**** B L JL SEI SILAU PSR XI NO 134 000 000 0 0

81 1271210610****** 1271210808****** HADYAN TAMAM AHTA DAULAY MEDAN 08|08|**** B L JL SEI SILAU PSR XI NO 134 000 000 0 0

82 1271210611****** 1271215712****** SATRIYANI MEDAN 17|12|**** B P JL SEI SILAU PS XI NO 22 000 000 0 0

83 1271210611****** 1271210104****** RAMADHAN SYAHPUTRA MEDAN 01|04|**** B L JL SEI SILAU PS XI NO 122 000 000 0 0

84 1271210611****** 1271210908****** DIMAS ARISANDI SAPUTRA MEDAN 09|08|**** B L JL SEI SILAU PS XI NO 122 000 000 0 0

85 1271210611****** 1271212411****** ASBI DARIUS SYAHPUTRA MEDAN 24|11|**** B L JL SEI SILAU PS XI NO 122 000 000 0 0

86 1271210612****** 1271212712****** AHMAD YANI MEDAN 27|12|**** S L JL SEI SILAU GG FAMILI NO 5 000 000 0 0

87 1271210612****** 1271214308****** FITRIANI MEDAN 03|08|**** S P JL SEI SILAU GG FAMILI NO 5 000 000 0 0

88 1271210612****** 1271215904****** SUMIATI MEDAN 19|04|**** P P JLSEI SILAU GG FAMILI NO 4 000 000 0 0

89 1271210612****** 1271212803****** T BUCHARI JOHAN ARIFIN MEDAN 28|03|**** B L JLSEI SILAU GG FAMILI NO 4 000 000 0 0

90 1271210612****** 1271211110****** T FARIZ HATTA MEDAN 11|10|**** B L JLSEI SILAU GG FAMILI NO 4 000 000 0 0

91 1271210612****** 1271211704****** TM FARHAN ARIFIN MEDAN 17|04|**** B L JLSEI SILAU GG FAMILI NO 4 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-011 110 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271210808****** 1271217108****** EMMA MARPAUNG PORSEA 31|08|**** S P JL SEI SILAU NO 45 000 000 0 0

93 1271210808****** 1271210905****** IRVAN RH LUMBANTORUAN SE MEDAN 09|05|**** B L JL SEI SILAU NO 45 000 000 0 0

94 1271210808****** 1271212306****** SUTRISNO MEDAN 23|06|**** S L JLSEI SILAU MELINTANG I NO 28 000 000 0 0

95 1271210808****** 1271216409****** UMMINADRAH MEDAN 24|09|**** S P JLSEI SILAU MELINTANG I NO 28 000 000 0 0

96 1271210812****** 1271216712****** SUSANA FRANSISCA BODAMER MEDAN 27|12|**** B P JLSEI SILAU PS XI NO 39 000 000 0 0

97 1271210902****** 1271212701****** ALDI SOLEH PANDAWA MEDAN 27|01|**** B L JL SEI SILAU NO 85 000 000 0 0

98 1271210906****** 1271215111****** ESLI BR GULTOM TARUTUNG 11|11|**** S P JL SEI SILAU PSR XI NO 7 000 000 0 0

99 1271210906****** 1271215309****** ESPI NURBAYA SIGALINGGING BANGUN 13|09|**** B P JL SEI SILAU PSR XI NO 7 000 000 0 0

100 1271210906****** 1271215106****** JUNITA ARIANI SIANTURI SP MEDAN 11|06|**** S P JL SEI SILAU NO 114-A 000 000 0 0

101 1271210907****** 1271212801****** ARY STEFANO DWICAHYO PEMATANG SIANTAR 28|01|**** B L JLSEI SILAU PDR XI NO 35 MDN 000 000 0 0

102 1271210908****** 1271211505****** MARJONO MEDAN 15|05|**** S L JLSEISILAU PSXI NO53 MEDAN 000 000 0 0

103 1271211004****** 1271211209****** BARTJE BENNY SIGAR MANADO 12|09|**** S L JL SEI SILAU PS XI NO 37 000 000 0 0

104 1271211004****** 1271212003****** WENDI MARSUDI SIGAR MEDAN 20|03|**** B L JL SEI SILAU PS XI NO 37 000 000 0 0

105 1271211005****** 1271216903****** JUDIKA M HUTAGALUNGSH P. SIANTAR 29|03|**** S P JLSEI SILAU NO 45 000 000 0 0

106 1271211005****** 1271211710****** B ROBERT ALAMSYAH L TORUAN MEDAN 17|10|**** S L JLSEI SILAU NO 45 000 000 0 0

107 1271211008****** 1271217112****** LEGINAH MEDAN 31|12|**** P P JL SEI SILAU GG KELUARGA NO 8 000 000 0 0

108 1271211008****** 1271216302****** HALIMAH NASUTION KOTA CANE 23|02|**** P P JL SEI SILAU GG KELUARGA NO 10 000 000 0 0

109 1271211108****** 1271212307****** IRWIN BP LUMBANTORUAN, ST MEDAN 23|07|**** S L JL. SEI SILAU NO. 45 MEDAN 000 000 0 0

110 1271211108****** 1271215311****** NOVI KARTIKA TARIGAN MEDAN 13|11|**** S P JL. SEI SILAU NO. 45 MEDAN 000 000 0 0

111 1271211603****** 1271214712****** FAUZIAH A BAKAR TANJUNG CEUNGAI 07|12|**** S P JLSEI SILAU PSXI NO28 MEDAN 000 000 0 0

112 1271211612****** 1271212601****** ANDRI SUSANTO RIPASSA MEDAN 26|01|**** B L JL. SEI SILAU PSR XI NO. 39 MEDAN 000 000 0 0

113 1271211701****** 1271210510****** FAIZAL FERRYL BANDUNG 05|10|**** S L JL. SEI SILAU PSR XI NO. 88 000 000 0 0

114 1271211701****** 1271214907****** SRI WAHYUNINGSIH MEDAN 09|07|**** S P JL. SEI SILAU PSR XI NO. 88 000 000 0 0

115 1271211703****** 1271212702****** PERIYANDI TURNIP BT MARANDOR 27|02|**** B L JL SEI SILAU PS XI NO 104-B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-011 111 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271211804****** 1271212610****** DADANG SUKOCO PEKANBARU 26|10|**** S L JL SEI SILAU PS XI NO 53 000 000 0 0

117 1271211804****** 1271216412****** HARTIKA GUNA WITA MEDAN 24|12|**** S P JL SEI SILAU PS XI NO 53 000 000 0 0

118 1271211807****** 1271211104****** SOFYAN A SINAGA SIPIROK 11|04|**** S L JL SEI SILAU GG FAMILI NO 04 000 000 0 0

119 1271211807****** 1271216612****** LERIANA POHAN SPd BAGAS LOMBANG 26|12|**** B P JL SEI SILAU GG FAMILI NO 04 000 000 0 0

120 1271211807****** 1271211704****** HASUDUNGAN SINAGA DR SIMALUNGUN 17|04|**** B L JLSEISILAU GGFAMILI NO04 000 000 0 0

121 1271211807****** 1271210208****** RONNY SINAGA P SIDEMPUAN 02|08|**** B L JL SEI SILAU GG FAMILI NO 04 000 000 0 0

122 1271211807****** 1271211407****** ROY MARTUANI SINAGA SIPIROK 14|07|**** B L JL SEI SILAU GG FAMILI NO 04 000 000 0 0

123 1271211810****** 1271210607****** EBEN HAEZER S SIMATUPANG MEDAN 06|07|**** S L JL SEI SILAU PSR XI NO 51 000 000 0 0

124 1271211903****** 1271211708****** BAGUS RAMLI YOGYAKARTA 17|08|**** S L JL. SEI SILAU PSR XI NO. 52 000 000 0 0

125 1271211903****** 1271216302****** RUSLINA PATUMBAK I 23|02|**** S P JL. SEI SILAU PSR XI NO. 52 000 000 0 0

126 1271211907****** 1271212107****** SYAHRIAL RIPASSA MEDAN 21|07|**** S L JL SEI SILAU PS XI NO 39 MEDAN 000 000 0 0

127 1271211907****** 1271216405****** SUYATI P.SIDEMPUAN 24|05|**** S P JL SEI SILAU PS XI NO 39 MEDAN 000 000 0 0

128 1271211907****** 1271214104****** DEVI YOLANDA RIPASSA MEDAN 01|04|**** B P JL SEI SILAU PS XI NO 39 MEDAN 000 000 0 0

129 1271211907****** 1271214104****** TRISNA SYAHFITRI RIPASSA MEDAN 01|04|**** B P JL SEI SILAU PS XI NO 39 MEDAN 000 000 0 0

130 1271212003****** 1271213112****** OK ABDUL RASYD LUBUK PAKAM 31|12|**** S L JL SEI SILAU PSR XI 000 000 0 0

131 1271212003****** 1271215602****** IRMAWATI MEDAN 16|02|**** S P JL SEI SILAU PSR XI 000 000 0 0

132 1271212003****** 1271211201****** OK RIZKY HASIM LUBUK PAKAM 12|01|**** B L JL SEI SILAU PSR XI 000 000 0 0

133 1271212003****** 1271215104****** AFRI DAMA WULANDARI LUBUK PAKAM 11|04|**** B P JL SEI SILAU PSR XI 000 000 0 0

134 1271212004****** 1271216809****** DUMA PANGARIBUAN,IR P. SIANTAR 28|09|**** S P JL SEI SILAU NO 43 MEDAN 000 000 0 0

135 1271212004****** 1271214912****** GLORY NATALIMA MEDAN 09|12|**** B P JL SEI SILAU NO 43 MEDAN 000 000 0 0

136 1271212008****** 1271216803****** SITI NURHALIZAH MEDAN 28|03|**** B P JLSEI SILAU PS IX NO 53 MEDAN 000 000 0 0

137 1271212009****** 1271211311****** ENDRO SUSILO MEDAN 13|11|**** B L JLSEI SILAU GGKELUARGA NO 0 000 000 0 0

138 1271212010****** 1271024411****** NOVI LUKMAN BEKASI 04|11|**** B P JL SEI SILAU NO 53 000 000 0 0

139 1271212010****** 1271051810****** RINALDI AMRI MEDAN 18|10|**** B L JL SEI SILAU NO 53 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-011 112 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212010****** 1271055401****** PUTRI NURUL SASKIA MEDAN 14|01|**** B P JL SEI SILAU NO 53 000 000 0 0

141 1271212105****** 1271215509****** ESTER MARSAULINA PARDEDE MEDAN 15|09|**** B P JLSEI SILAU PS XI NO 24 000 000 0 0

142 1271212105****** 1271216112****** DESI TRIYANA RIPASSA MEDAN 21|12|**** B P JL. SEI SILAU PS XI NO.39 000 000 0 0

143 1271212106****** 1271217004****** HILDA AFRIDA T.PINANG 30|04|**** S P JLSEI SILAU PSXI NO 30-A 000 000 0 0

144 1271212106****** 1271210212****** MOHAMMAD OMAR GHAZALI MEDAN 02|12|**** B L JL SEI SILAU PS XI NO 74 MEDAN 000 000 0 0

145 1271212106****** 1271216608****** NANDA RIZKI FITRI AZZAHRO MEDAN 26|08|**** B P JL SEI SILAU PS XI NO 74 000 000 0 0

146 1271212111****** 1271210109****** ROYKE MH HUTAJULU MEDAN 01|09|**** S L JL SEI SILAU PS XI NO 52 B 000 000 0 0

147 1271212111****** 1271211604****** REYNALDI GABE HUTAJULU MEDAN 16|04|**** B L JL SEI SILAU PS XI NO 52 B 000 000 0 0

148 1271212111****** 1271216404****** AFRIDA MEDAN 24|04|**** S P JL SEI SILAU GG KELUARGA NO 8 000 000 0 0

149 1271212204****** 1271211002****** NAEMAN ERWIN PATAR SIMATUPANG MEDAN 10|02|**** S L JL SEI SILAU PS XI NO 51 MEDAN 000 000 0 0

150 1271212204****** 1271216909****** ESTER TUTY SUGIARTI KEDIRI 29|09|**** S P JL SEI SILAU PS XI NO 51 MEDAN 000 000 0 0

151 1271212209****** 1271213112****** ERWINSYAH RIPASSA MEDAN 31|12|**** S L JL SEI SILAU PSR XI NO 39 000 000 0 0

152 1271212304****** 1207261902****** SYAHRIAL FADLI MEDAN 19|02|**** S L JL SEI SILAU NO 53 000 000 0 0

153 1271212304****** 1207264707****** SRI AYU WANDIRA SAMPALI 07|07|**** S P JL SEI SILAU NO 53 000 000 0 0

154 1271212306****** 1271214506****** ARNELY NASUTION MEDAN 05|06|**** S P JL SEI SILAU PS XI NO 53 MEDAN 000 000 0 0

155 1271212306****** 1271210303****** KAMARUL ARIP DESA KELAMBIR 03|03|**** S L JL SEI SILAU PS XI NO 53 MEDAN 000 000 0 0

156 1271212306****** 1271214504****** JANI FITA LANI DESA KELAMBIR 05|04|**** B P JL SEI SILAU PS XI NO 53 MEDAN 000 000 0 0

157 1271212306****** 1271210805****** MUHAMMAD DAVID DESA KELAMBIR 08|05|**** B L JL SEI SILAU PS XI NO 53 MEDAN 000 000 0 0

158 1271212306****** 1271215903****** SITI ALIMAH UJUNG GADING 19|03|**** B P JL SEI SILAU PS XI NO 53 MEDAN 000 000 0 0

159 1271212408****** 1271211808****** JAPAN SAPUTRA SEMBIRING SEI MENCIRIM 18|08|**** S L JL SEI SILAU PS XI NO 53 MEDAN 000 000 0 0

160 1271212408****** 1271215010****** NURSOLEHATI MEDAN 10|10|**** S P JL SEI SILAU PS XI NO 53 MEDAN 000 000 0 0

161 1271212408****** 1271214709****** UMI DIN NURZANAH BR SEMBIRING MEDAN 07|09|**** B P JL SEI SILAU PS XI NO 53 MEDAN 000 000 0 0

162 1271212408****** 1271211410****** MALIK ALFATAH SEMBIRING MEDAN 14|10|**** B L JL SEI SILAU PS XI NO 53 MEDAN 000 000 0 0

163 1271212409****** 1271051111****** SUTRIONO MEDAN 11|11|**** S L JL SEI SILAU PSR XI NO 53 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-011 113 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212409****** 1271215405****** MAI SYARAH S MEDAN 14|05|**** S P JL SEI SILAU PSR XI NO 53 000 000 0 0

165 1271212410****** 1271215008****** MAGDALENA ROSDIANA PURBA KISARAN 10|08|**** S P JLSEI SILAU PS XI NO 6 000 000 0 0

166 1271212410****** 1271215708****** AGUSTIN RUMONOA JAKARTA 17|08|**** B P JLSEI SILAU PS XI NO 6 000 000 0 0

167 1271212410****** 1271210911****** DAVID MULIYADI PROKERTO 09|11|**** B L JLSEI SILAU PS XI NO 6 000 000 0 0

168 1271212601****** 1271212311****** M L SALAMUDDIN S MEDAN 23|11|**** S L JLSEI SILAU PS XI NO 53 000 000 0 0

169 1271212601****** 1271215712****** UPI HERLINA TG MORAWA 17|12|**** S P JLSEI SILAU PS XI NO 53 000 000 0 0

170 1271212601****** 1271216301****** TALITHA LUTHFIAH MEDAN 23|01|**** B P JLSEI SILAU PS XI NO 53 000 000 0 0

171 1271212607****** 1271211007****** TALIZAME LAIA HILITOTAO 10|07|**** S L JL SEI SILAU PS XI NO 39 000 000 0 0

172 1271212607****** 1271215212****** NANTIAMI BULELE NIAS 12|12|**** S P JL SEI SILAU PS XI NO 39 000 000 0 0

173 1271212607****** 1271211407****** AMUDIN LAIA NIAS 14|07|**** B L JL SEI SILAU PS XI NO 39 000 000 0 0

174 1271212607****** 1271211705****** DIKI LAIA HILITOTAO 17|05|**** B L JL SEI SILAU PS XI NO 39 000 000 0 0

175 1271212607****** 1271215101****** SINTA LAIA HILITOTAO 11|01|**** B P JL SEI SILAU PS XI NO 39 000 000 0 0

176 1271212706****** 1271216903****** ROSMAWATI BARUS DELI SERDANG 29|03|**** S P JL SEI SILAU NO 26 MEDAN 000 000 0 0

177 1271212706****** 1271210305****** ADIAN SITORUS TAPANULI UTARA 03|05|**** S L JL SEI SILAU NO 26 MEDAN 000 000 0 0

178 1271212707****** 1271215708****** RENTIANNA SITUMORANG TIGA DOLOK 17|08|**** S P JL SEI SILAU PS XI NO 116 000 000 0 0

179 1271212802****** 1271216011****** ROSMIATI MEDAN 20|11|**** S P JL SEI SILAU PS XI NO 39 000 000 0 0

180 1271212802****** 1271210609****** ANDI PUTRA LABERTA MEDAN 06|09|**** B L JL SEI SILAU PS XI NO 39 A 000 000 0 0

181 1271212802****** 1271214503****** KIKI VERONICA MEDAN 05|03|**** B P JL SEI SILAU PSR XI NO 39 000 000 0 0

182 1271212802****** 1271211005****** SUGONDO MEDAN 10|05|**** S L JLSEI SILAU MELINTANG I NO 28 000 000 0 0

183 1271212802****** 1271212809****** SUPRAYOGI MEDAN 28|09|**** B L JLSEI SILAU MELINTANG I NO 28 000 000 0 0

184 1271212802****** 1271210611****** FAHMI ANGGA PRATAMA MEDAN 06|11|**** B L JLSEI SILAU MELINTANG I NO 28 000 000 0 0

185 1271212807****** 1271214705****** PINKI PRANSISCA MEDAN 07|05|**** B P JL SEI SILAU PS XI NO 39 000 000 0 0

186 1271212901****** 1271210202****** KHAIRUL ANWAR MALIK MEDAN 02|02|**** S L JLSEI SILAU NO 53 LK III 000 000 0 0

187 1271212901****** 1271215209****** ROSMAWATI MEDAN 12|09|**** S P JLSEI SILAU NO 53 LK III 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-011 114 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271212901****** 1271217012****** MASTINA LUBUK PAKAM 30|12|**** B P JLSEI SILAU NO 53 LK III 000 000 0 0

189 1271212901****** 1271212201****** SYAHRUL RAHMAT ANWAR MEDAN 22|01|**** B L JLSEI SILAU NO 53 LK III 000 000 0 0

190 1271212901****** 1271216301****** VIDIANTI SITI RAHMAH MEDAN 23|01|**** B P JLSEI SILAU NO 53 LK III 000 000 0 0

191 1271212901****** 1271212910****** HAFIS ZAKARIA ANWAR MEDAN 29|10|**** B L JLSEI SILAU NO 53 LK III 000 000 0 0

192 1271212912****** 1271212612****** ALTUR KRISMAN MEDAN 26|12|**** S L JL SEI SILAU PS XI NO.67 B 000 000 0 0

193 1271212912****** 1271217012****** YANDRI UTARI SUKASARI 30|12|**** S P JL SEI SILAU PS XI NO.67 B 000 000 0 0

194 1271212912****** 1271215706****** A GLORIA LUMBAN TOBING BALIGE 17|06|**** P P JL SEI SILAU PS XI NO.67 B 000 000 0 0

195 1271213001****** 1271215109****** LINDA IDAMAWATI BR PANGARIBUAN MEDAN 11|09|**** B P JL SEI SILAU PS XI NO 4 B 000 000 0 0

196 1271213001****** 1271216304****** BERTA KARTINA BR SIANIPAR MEDAN 23|04|**** B P JL SEI SILAU PS XI NO 4 B 000 000 0 0

197 1271213001****** 1271216111****** NOVIKA TRIWATI BR SIANIPAR MEDAN 21|11|**** B P JL SEI SILAU PS XI NO 4 B 000 000 0 0

198 1271213005****** 1271212004****** PONDANG L TOBING TARUTUNG 20|04|**** S L JL SEI SILAU PS XI NO 67-C 000 000 0 0

199 1271213005****** 1271216006****** PARTUMPUAN BR LINGGA SIDIKALANG 20|06|**** S P JL SEI SILAU PS XI NO 67-C 000 000 0 0

200 1271213005****** 1271214405****** MELVA L TOBING MEDAN 04|05|**** S P JL SEI SILAU PS XI NO 67-C 000 000 0 0

201 1271213005****** 1271210409****** ISHAK L TOBING MEDAN 04|09|**** B L JL SEI SILAU PS XI NO 67-C 000 000 0 0

202 1271213103****** 1271215703****** SUSIANA SARAGIH HUTABAYU 17|03|**** S P JL SEI SILAU PS XI NO 43 MEDAN 000 000 0 0

203 1271213107****** 1271211604****** SELAMAT SITEPU RIMOBUNGA 16|04|**** S L JL SEI SILAU PSR XI NO 52 A 000 000 0 0

204 1271213107****** 1271216701****** SITI ZUBAIDAH MEDAN 27|01|**** S P JL SEI SILAU PSR XI NO 52 A 000 000 0 0

205 1271213107****** 1271214102****** NONI KUSUMA WARDHANI SITEPU MEDAN 01|02|**** B P JL SEI SILAU PSR XI NO 52 A 000 000 0 0

206 1271213107****** 1271214301****** NENI VIONA WULANDARI SITEPU MEDAN 03|01|**** B P JL SEI SILAU PSR XI NO 52 A 000 000 0 0

207 1271213107****** 1271212307****** MHD ZULFIKAR HANAFI SITEPU MEDAN 23|07|**** B L JL SEI SILAU PSR XI NO 52 A 000 000 0 0

208 1271213107****** 1271212910****** MHD ALFAN KHUSAIRI SITEPU MEDAN 29|10|**** B L JL SEI SILAU PSR XI NO 52 A 000 000 0 0

209 1271213110****** 1271212510****** GOGO SUYADI MEDAN 25|10|**** S L JL SEI SILAU MELINTANG I NO 28 000 000 0 0

210 1271211907****** 1271214907****** RICHI FARLINA RIPASSA MEDAN 09|07|**** B P JL SEI SILAU PS XI NO 39 MEDAN 004 000 0 0

211 1271210908****** 1271216905****** RAHMADANIAH MEDAN 29|05|**** S P JLSEISILAU PSXI NO53 MEDAN 002 004 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-011 115 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271211603****** 1271210302****** RAMLAN S MEDAN 03|02|**** B L JLSEI SILAU PSXI NO28 MEDAN 002 004 0 0

213 1271211907****** 1271216602****** NANDA FEBRYANI RIPASSA MEDAN 26|02|**** B P JL SEI SILAU PS XI NO 39 MEDAN 002 004 0 0

214 1271212111****** 1271210311****** MIKA PUTRA HUTAJULU MEDAN 03|11|**** B L JL SEI SILAU PS XI NO 52 B 002 004 0 0

215 1271210808****** 1271211904****** REZHA AFRIZAL MEDAN 19|04|**** B L JLSEI SILAU MELINTANG I NO 28 003 004 0 0

216 1271212009****** 1271215112****** RENDY MEDAN 11|12|**** B P JLSEI SILAU GGKELUARGA NO 0 003 004 0 0

217 1271213103****** 1271211211****** REYMOND YORDHAN GORGA LUMBANTORUAN MEDAN 12|11|**** S L JL SEI SILAU PS XI NO 43 MEDAN 003 004 0 0

218 1271212008****** 1271217101****** FITRI ANISAH MEDAN 31|01|**** B P JLSEI SILAU PS IX NO 53 MEDAN 004 004 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 218 Jenis Kelamin = 218 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 101 L : Laki-Laki = 104 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 110 P : Perempuan = 114 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 7
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 093 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-011 116 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 012
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271210103****** 1671076109****** MERLIN ESTHER LIMBONG SIDIKALANG 21|09|**** S P JL SEI SILAU PS XI NO 89 MEDAN 000 000 0 0

2 1271210210****** 1207230708****** ARIE ISKANDAR SARAGIH SEI SEMAYANG 07|08|**** S L JL SEI SILAU NO 53 000 000 0 0

3 1271210312****** 1206150708****** ARIS SUPARJI SERAPU 07|08|**** S L JL SEI SILAU PASAR XI NO 110 000 000 0 0

4 1271210508****** 1207200901****** PILEMON GINTING TIGA JUHAR 09|01|**** S L JL SEI SILAU NO 79-B 000 000 0 0

5 1271210703****** 1271213012****** OSMAR GUMANTI SINAGA, IR TAPANULI 30|12|**** S L JL SEI SILAU PS XI NO 89-A 000 000 0 0

6 1271210703****** 1271214108****** SUMARNI RITONGA KOTATUA 01|08|**** S P JL SEI SILAU PS XI NO 89-A 000 000 0 0

7 1271210703****** 1271215709****** CHRISTINA NAULI SINAGA LHOKSEUMAWE 17|09|**** B P JL SEI SILAU PS XI NO 89-A 000 000 0 0

8 1271210704****** 1271216504****** T BR TOMPUL T JAWA 25|04|**** P P JL SEI SILAU NO 114 A MEDAN 000 000 0 0

9 1271210704****** 1271210407****** DAVID R SIANTURI MEDAN 04|07|**** B L JL SEI SILAU NO 114 A MEDAN 000 000 0 0

10 1271210704****** 1271212810****** PAUL D OKTO S SIANTURI MEDAN 28|10|**** B L JL SEI SILAU NO 114 A MEDAN 000 000 0 0

11 1271210709****** 1116036602****** MAULIANA PAHLAWAN 26|02|**** S P JL SEI SILAU MELINTANG I NO 72-AB 000 000 0 0

12 1271210711****** 1271216404****** SONTY SIMANJUNTAK KOTACANE 24|04|**** S P JL SEI SILAU PASAR XI MEDAN 000 000 0 0

13 1271210801****** 1271212412****** ANTONY M ARUAN MEDAN 24|12|**** S L JL SEI SILAU PSR XI NO 06 000 000 0 0

14 1271210801****** 1271215505****** FRANCILIA MEDAN 15|05|**** S P JLSEI SILAU PS XI NO 106 000 000 0 0

15 1271210801****** 1271211911****** NICO ANDRI ARUAN MEDAN 19|11|**** B L JLSEI SILAU PS XI NO 106 000 000 0 0

16 1271210801****** 1271215112****** NIKI NATALIA JAKARTA 11|12|**** B P JLSEI SILAU PS XI NO 106 000 000 0 0

17 1271210801****** 1271211401****** JOHANES KEVIN IMMANUEL ARUAN MEDAN 14|01|**** B L JLSEI SILAU PS XI NO 106 000 000 0 0

18 1271210805****** 1271211212****** UMAR KARANG GADING 12|12|**** S L JL SEI SILAU PSR XI NO 96-C 000 000 0 0

19 1271210805****** 1271215703****** AYUNDRIATI MEDAN 17|03|**** S P JL SEI SILAU PSR XI NO 96-C 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-012 117 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210807****** 1207234105****** SYAF NIJAR KP.LALANG 01|05|**** S P JL SEI SILAU NO 76 B MEDAN 000 000 0 0

21 1271210808****** 1271214712****** MAYA TRISNAWATI MEDAN 07|12|**** B P JLSEI SILAU MELINTANG I NO 28 000 000 0 0

22 1271210812****** 1271215911****** ASA DEWI MEDAN 19|11|**** B P JL SEI SILAU PSR XI NO 79 000 000 0 0

23 1271210901****** 1271212010****** AMINUDDIN BINTANG BAYU 20|10|**** S L JL SEI SILAU PSr XI NO 102-A 000 000 0 0

24 1271210901****** 1271211405****** HERI SOPIAN LANGKAT 14|05|**** B L JL SEI SILAU PS XI NO 94-B 000 000 0 0

25 1271210906****** 1271212906****** RAFLES BUTAR BUTAR P SIANTAR 29|06|**** S L JL SEI SILAU NO 114-A 000 000 0 0

26 1271210906****** 1271211308****** DIAN MANUTURI SIANTURI MEDAN 13|08|**** B L JL SEI SILAU NO 114-A 000 000 0 0

27 1271210910****** 1271215305****** HJ NISMA LUBIS MEDAN 13|05|**** P P JL SEI SILAU NO 126A 000 000 0 0

28 1271210910****** 1271214102****** NORI FEBRIANTI HARAHAP MEDAN 01|02|**** B P JL SEI SILAU NO 126A 000 000 0 0

29 1271211002****** 1271214701****** DRU FATIMAH BANYUWANGI 07|01|**** P P JL SEI SILAU GG FAMILI NO 3 A 000 000 0 0

30 1271211005****** 1271215505****** DESY IDA TOBING MEDAN 15|05|**** S P JL SEI SILAU PS XI NO 67-C 000 000 0 0

31 1271211007****** 1271211212****** SUTARIO MEDAN 12|12|**** S L JL SEI SILAU NO 86 C MEDAN 000 000 0 0

32 1271211007****** 1271214705****** MISNI MEDAN 07|05|**** S P JL SEI SILAU NO 86 C MEDAN 000 000 0 0

33 1271211007****** 1271211708****** SARIADI MEDAN 17|08|**** S L JL SEI SILAU NO 86 C MEDAN 000 000 0 0

34 1271211007****** 1271216608****** SRI DARMI MEDAN 26|08|**** S P JL SEI SILAU NO 86 C MEDAN 000 000 0 0

35 1271211007****** 1271210409****** SUHERIANTO MEDAN 04|09|**** B L JL SEI SILAU NO 86 C MEDAN 000 000 0 0

36 1271211101****** 1271212311****** MENANTI SITUMEANG KOLANG 23|11|**** S L JL SEI SILAU PS XI NO 15 000 000 0 0

37 1271211101****** 1271216508****** RUKIAH SIGIAN NARUMONDA 25|08|**** S P JL SEI SILAU PS XI NO 15 000 000 0 0

38 1271211101****** 1271217004****** HOTMARIA SITUMEANG MEDAN 30|04|**** B P JL SEI SILAU PS XI NO 15 000 000 0 0

39 1271211101****** 1271210801****** HOTBARINGIN SITUMEANG MEDAN 08|01|**** B L JL SEI SILAU PS XI NO 15 000 000 0 0

40 1271211102****** 1271211501****** JOSBIKASA MANURUNG, ST PORSEA 15|01|**** S L JL. SEI SILAU NO. 81-B 000 000 0 0

41 1271211102****** 1271215207****** RIA SILAEN, SE SILAEN 12|07|**** S P JL. SEI SILAU NO. 81-B 000 000 0 0

42 1271211102****** 1271216503****** RAHEL MONALISA MANURUNG MEDAN 25|03|**** B P JL. SEI SILAU NO. 81-B 000 000 0 0

43 1271211102****** 1271212306****** FRANS DITO MARTUA MANURUNG PORSEA 23|06|**** B L JL. SEI SILAU NO. 81-B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-012 118 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271211103****** 1271212710****** DEY HERMANTOP TEBING TINGGI 27|10|**** B L JL SEI SILAU PSR XI NO 2D 000 000 0 0

45 1271211103****** 1271211010****** KURNIA MEDAN 10|10|**** S L JL SEI SILAU PSR XI NO 112D 000 000 0 0

46 1271211103****** 1271210412****** ZULKARNAEN MEDAN 04|12|**** S L JLSEI SILAU PS XI NO 128 000 000 0 0

47 1271211107****** 1271211907****** HARRISON M H SIREGAR MEDAN 19|07|**** S L JL SEI SILAU PASAR XI 000 000 0 0

48 1271211112****** 1271211804****** AMRAN MEDAN 18|04|**** B L JL SEI SILAU NO 94-A 000 000 0 0

49 1271211112****** 1271212610****** DEDY SYAHPUTRA MEDAN 26|10|**** S L JL SEI SILAU PS XI NO 112-C 000 000 0 0

50 1271211205****** 1271212306****** ANDI YUDHA MEDAN 23|06|**** B L JL SEI SILAU PSr XI NO 102-A 000 000 0 0

51 1271211205****** 1271216409****** DEWI PURNAMA SARI MEDAN 24|09|**** B P JL SEI SILAU PSr XI NO 102-A 000 000 0 0

52 1271211209****** 1271212201****** SANGKOT MEDAN 22|01|**** B L JL SEI SILAU PSR XI NO 106 000 000 0 0

53 1271211301****** 1271215606****** MAYARANI MEDAN 16|06|**** B P JLSEI SILAU GGFAMILY NO 4 000 000 0 0

54 1271211303****** 1271214704****** GADIS MEDAN 07|04|**** B P JLSEI SILAU PS XI NO 74 B MEDAN 000 000 0 0

55 1271211303****** 1271210703****** JHON BARITA PAKPAHAN MEDAN 07|03|**** S L JLSEI SILAU PS XI NO 78 000 000 0 0

56 1271211304****** 1271214805****** MARIANI MEDAN 08|05|**** S P JL SEI SILAU PS XI NO 83 MEDAN 000 000 0 0

57 1271211304****** 1271214712****** HAIRANI MEDAN 07|12|**** B P JL SEI SILAU PS XI NO 83 MEDAN 000 000 0 0

58 1271211304****** 1271217112****** SUARNI MEDAN 31|12|**** S P JL SEI SILAU GG FAMILY NO 4 000 000 0 0

59 1271211304****** 1271212810****** MARIONO MEDAN 28|10|**** B L JL SEI SILAU GG FAMILY NO 4 000 000 0 0

60 1271211310****** 1271216411****** ASNAH MEDAN 24|11|**** P P JL SEI SILAU GG BENGKEL NO 94-C 000 000 0 0

61 1271211310****** 1271215910****** TRI AYU TIFANNY MEDAN 19|10|**** B P JL SEI SILAU GG BENGKEL NO 94-C 000 000 0 0

62 1271211401****** 1271210104****** AFRUDDIN MEDAN 01|04|**** S L JL SEI SILAU PSR XI NO 94 B 000 000 0 0

63 1271211401****** 1271210804****** AKHIRUDDIN MEDAN 08|04|**** B L JL SEI SILAU PSR XI NO 94 B 000 000 0 0

64 1271211401****** 1271210504****** ILHAM ZULFIKAR MEDAN 05|04|**** B L JL SEI SILAU PSR XI NO 94 B 000 000 0 0

65 1271211403****** 3203281005****** ASEP SUHERMAN CIANJUR 10|05|**** S L JL SEI SILAU PSR XI NO 69-B 000 000 0 0

66 1271211404****** 1271096707****** SALMA HAYATI MEDAN 27|07|**** B P JL SEI SILAU NO 102 MEDAN 000 000 0 0

67 1271211406****** 1271211201****** SUKARDI LANGKAT 12|01|**** S L JL SEI SILAU PSR XI NO 106 A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-012 119 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271211406****** 1271215909****** SUJANA MEDAN 19|09|**** S P JL SEI SILAU PSR XI NO 106 A 000 000 0 0

69 1271211406****** 1271212609****** PUJI SETIADI MEDAN 26|09|**** B L JL SEI SILAU PSR XI NO 106 A 000 000 0 0

70 1271211406****** 1271216110****** DINA OKTIA MEDAN 21|10|**** B P JL SEI SILAU PSR XI NO 106 A 000 000 0 0

71 1271211406****** 1271214707****** PUTRI MAYORA PATRIOTISINA A MEDAN 07|07|**** B P JL SEI SILAU PSR XI NO 86 A 000 000 0 0

72 1271211504****** 1271215508****** ALICIA MARTHA SIREGAR MEDAN 15|08|**** B P JL SEI SILAU PSR XI NO 86 000 000 0 0

73 1271211508****** 1271212801****** ENDRO SUSILO MEDAN 28|01|**** S L JL SEI SILAU PSR IX NO 83 B 000 000 0 0

74 1271211508****** 1271215012****** RUNNAH LINDAWATI MEDAN 10|12|**** S P JL SEI SILAU PSR IX NO 83 B 000 000 0 0

75 1271211509****** 1271210812****** TOGI AGUSTINUS SAMOSIR MEDAN 08|12|**** S L JL SEI SILAU PS XI NO 89 MEDAN 000 000 0 0

76 1271211511****** 1271211304****** ARIFIN SINAGA IR MEDAN 13|04|**** S L JLSEI SILAU NO65 MEDAN 000 000 0 0

77 1271211511****** 1271216611****** ARIE PUTRI WIJAYANTI S TOBELO 26|11|**** B P JLSEI SILAU NO65 MEDAN 000 000 0 0

78 1271211612****** 1271205201****** RATNA SARI MEDAN 12|01|**** S P JL. SEI SILAU PSR XI NO. 39 MEDAN 000 000 0 0

79 1271211701****** 1271210804****** ARFAN INDRA MEDAN 08|04|**** S L JL SEI SILAU PSR XI NO 94-A 000 000 0 0

80 1271211701****** 1271214505****** MIRA NABILA MEDAN 05|05|**** B P JL SEI SILAU PSR XI NO 94-A 000 000 0 0

81 1271211701****** 1271212307****** IRFAN MEDAN 23|07|**** B L JL SEI SILAU PS XI NO 86-C 000 000 0 0

82 1271211704****** 1208302107****** ISWADI SINAGA AEK GERGER 21|07|**** S L JL. SEI SILAU GG. BAYANGKARI 000 000 0 0

83 1271211705****** 1271211407****** JH HUTAGALUNG, DR, MPH BALIGE 14|07|**** S L JL SEI SILAU PS XI NO 82 000 000 0 0

84 1271211705****** 1271214910****** A CAROLINE CLTOBING BANJARMASIN 09|10|**** S P JL SEI SILAU PS XI NO 82 000 000 0 0

85 1271211707****** 1271214506****** VIA FEBIYOLA MEDAN 05|06|**** B P JL SEI SILAU PSR XI NO 79 MEDAN 000 000 0 0

86 1271211707****** 1271215304****** JESSICA ANASTASIA SILAEN MEDAN 13|04|**** B P JL SILAU PSR XI NO 81 MEDAN 000 000 0 0

87 1271211802****** 1271031207****** IWAN KURNIAWAN MEDAN 12|07|**** S L JL SEI SILAU GG BENGKEL NO 94-C 000 000 0 0

88 1271211802****** 1271216608****** ANA FITRIANA MEDAN 26|08|**** S P JL SEI SILAU GG BENGKEL NO 94-C 000 000 0 0

89 1271211804****** 1271211012****** ABDUL RAHMAN MEDAN 10|12|**** S L JL SEI SILAU PS XI NO 83 MEDAN 000 000 0 0

90 1271211804****** 1271210212****** AHMAD SYAHRIL MEDAN 02|12|**** B L JL SEI SILAU PS XI NO 83 MEDAN 000 000 0 0

91 1271211804****** 1271211905****** ARMANSYAH MEDAN 19|05|**** B L JL SEI SILAU PS XI NO 83 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-012 120 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271211804****** 1271214312****** SULASTRI MEDAN 03|12|**** S P JL SEI SILAU NO 102 MEDAN 000 000 0 0

93 1271211804****** 1271210706****** EDI SUPRAPTO SAMBIREJO 07|06|**** S L JL SEI SILAU NO 102 MEDAN 000 000 0 0

94 1271211805****** 1271215002****** LUSI ASTUTI KWALA SIMPANG 10|02|**** B P JL SEI SILAU PS XI NO 94-C 000 000 0 0

95 1271211805****** 1271212806****** RISWAN P.BRANDAN 28|06|**** B L JL SEI SILAU PS XI NO 94-C 000 000 0 0

96 1271211807****** 1271212305****** AMAR MEDAN 23|05|**** S L JL SEI SILAU NO 94 MEDAN 000 000 0 0

97 1271211807****** 1271216112****** HAZRIAH MEDAN 21|12|**** S P JL SEI SILAU NO 94 MEDAN 000 000 0 0

98 1271211807****** 1271216106****** HARI YENI MEDAN 21|06|**** S P JL SEI SILAU NO 94 MEDAN 000 000 0 0

99 1271211807****** 1271214601****** DITA AMARA MEDAN 06|01|**** B P JL SEI SILAU NO 94 MEDAN 000 000 0 0

100 1271211807****** 1271210505****** EDI SUHARTONO MEDAN 05|05|**** S L JL. SEI SILAU PSt XI GG. FAMILI NO. 4 000 000 0 0

101 1271211807****** 1271215001****** RAHMIYANI SIMBOLON PEMATANG SIANTAR 10|01|**** S P JL. SEI SILAU PSt XI GG. FAMILI NO. 4 000 000 0 0

102 1271211807****** 1271212612****** TOMMY IRAWAN TANJUNG MORAWA 26|12|**** B L JL. SEI SILAU PSt XI GG. FAMILI NO. 4 000 000 0 0

103 1271211807****** 1271213007****** BINSAR SINAGA SH TAPANULI SEL. 30|07|**** P L JL SEI SILAU GG FAMILI NO 04 000 000 0 0

104 1271211809****** 1271215012****** NENGRESMI BR SAGALA TANGGIRING 10|12|**** S P JL SEI SILAU GG BENGKEL NO 48 000 000 0 0

105 1271211809****** 1271210608****** JONNER HALOHO SILANDO 06|08|**** S L JL SEI SILAU GG BENGKEL NO 48 000 000 0 0

106 1271211809****** 1271216512****** OLOAN MURNIATI SIMARMATA TIGARAJA 25|12|**** B P JL SEI SILAU GG BENGKEL NO 48 000 000 0 0

107 1271211809****** 1271214708****** DESMA SIHALOHO SIMALUNGUN 07|08|**** B P JL SEI SILAU GG BENGKEL NO 48 000 000 0 0

108 1271211809****** 1271215105****** RISTAULI OKTAVIA HALOHO MEDAN 11|05|**** B P JL SEI SILAU GG BENGKEL NO 48 000 000 0 0

109 1271211908****** 1271214904****** EGIDIA PUTRI BEKASI 09|04|**** B P JLSEI SILAU NO 89 MEDAN 000 000 0 0

110 1271212003****** 1271211011****** MISNAN MEDAN 10|11|**** S L JL SEI SILAU PS XI NO 106 000 000 0 0

111 1271212003****** 1271212704****** DAVID ALAMSYAH SAID BATU BARA 27|04|**** B L JL SEI SILAU PS XI NO 106 000 000 0 0

112 1271212004****** 1271212405****** JALALUDDIN,IR LANGKAT 24|05|**** S L JLSEI SILAU PS XI GG FAMILI NO.03 000 000 0 0

113 1271212004****** 1271216710****** MARHAENI GUSTARI MEDAN 27|10|**** S P JLSEI SILAU PS XI GG FAMILI NO.03 000 000 0 0

114 1271212004****** 1271213108****** TAUFIEK GANEIS HIDAYAT MEDAN 31|08|**** B L JLSEI SILAU PS XI GG FAMILI NO.03 000 000 0 0

115 1271212004****** 1271210105****** AHMAD FIDEL RIFKY LAHAT 01|05|**** B L JLSEI SILAU PS XI GG FAMILI NO.03 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-012 121 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271212006****** 1271211112****** YASRIL KADAR SAHRUDDIN TJ MORAWA 11|12|**** S L JL SEI SILAU PSR XI NO 86 000 000 0 0

117 1271212006****** 1271215606****** SA'ADIAH SAGALA MEDAN 16|06|**** S P JL SEI SILAU PSR XI NO 86 000 000 0 0

118 1271212006****** 1271212906****** DONI HERMAWAN MEDAN 29|06|**** B L JL SEI SILAU PSR XI NO 86 000 000 0 0

119 1271212012****** 1271212202****** DEDE TIMBUL PERDAMAIAN MEDAN 22|02|**** B L JL SEI SILAU NO 76 B MEDAN 000 000 0 0

120 1271212012****** 1271216707****** DHEA FAHDINI MEDAN 27|07|**** B P JL SEI SILAU NO 76 B MEDAN 000 000 0 0

121 1271212103****** 1271215808****** BEBY VERONICA MEDAN 18|08|**** B P JLSEI SILAU PS XI NO 39 000 000 0 0

122 1271212105****** 1271211702****** NALOM PARDEDE BALIGE 17|02|**** S L JLSEI SILAU PS XI NO 124 000 000 0 0

123 1271212105****** 1271215502****** ONTOM KLEMENTINA SILAEN SILAEN 15|02|**** S P JLSEI SILAU PS XI NO 124 000 000 0 0

124 1271212105****** 1271210406****** CHONDRAT MARASI PARDEDE MEDAN 04|06|**** B L JLSEI SILAU PS XI NO 124 000 000 0 0

125 1271212106****** 1271211609****** MOHAMMAD WILDAN HAFIDZ MEDAN 16|09|**** B L JL SEI SILAU PS XI NO 74 MEDAN 000 000 0 0

126 1271212106****** 1271215501****** ASRIDA MEDAN 15|01|**** S P JL SEI SILAU NO 94-A 000 000 5 0

127 1271212106****** 1271156206****** KIKI RAHMADONA MEDAN 22|06|**** S P JL SEI SILAU PS XI NO 89-B 000 000 0 0

128 1271212110****** 1271044101****** NINGSIH KARANG SARI 01|01|**** B P JL SEI SILAU PS XI NO 94-B MEDAN 000 000 0 0

129 1271212112****** 1271210904****** POLO ROSI MARBUN MEDAN 09|04|**** S L JL SEI SILAU PS XI NO 122-A MEDAN 000 000 0 0

130 1271212112****** 1271214307****** RUSTI VASTOR NURAYA PASARIBU KOTAMADYA MEDAN 03|07|**** S P JL SEI SILAU PS XI NO 122-A MEDAN 000 000 0 0

131 1271212209****** 1271210911****** FERMANDES RIPASSA SIMALUNGUN 09|11|**** B L JL SEI SILAU PSR XI NO 39 000 000 0 0

132 1271212210****** 1271210404****** MENANTI ARITONANG TARUTUNG 04|04|**** S L JL SEI SILAU PS XI NO 132 000 000 0 0

133 1271212210****** 1271214604****** LOISA YOHANA L TOBING TARUTUNG 06|04|**** S P JL SEI SILAU PS XI NO 132 000 000 0 0

134 1271212210****** 1271212905****** WILLIAM ARITONANG MEDAN 29|05|**** B L JL SEI SILAU PS XI NO 132 000 000 0 0

135 1271212210****** 1204014602****** ASMALINDA MANSYUR CANIAGO GUNUNGSITOLI 06|02|**** S P JL SEI SILAU XI NO 112-B 000 000 0 0

136 1271212210****** 1271212705****** DARWIN MEDAN 27|05|**** S L JL SEI SILAU XI NO 112-B 000 000 0 0

137 1271212301****** 1271210208****** ANWAR AHMAD ACEH UTARA 02|08|**** S L JL. SEI SILAU GG BAYANGKARI NO. 128-A 000 000 0 0

138 1271212301****** 1271215512****** SENIWATI MEDAN 15|12|**** S P JL. SEI SILAU GG BAYANGKARI NO. 128-A 000 000 0 0

139 1271212301****** 1271210712****** M IQBAL ANWAR MEDAN 07|12|**** B L JL. SEI SILAU GG BAYANGKARI NO. 128-A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-012 122 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212306****** 1271211509****** DEDY MEDAN 15|09|**** B L JL SEI SILAU PS XI NO 86-C 000 000 0 0

141 1271212306****** 1271212207****** IRDANI MEDAN 22|07|**** S L JL SEI SILAU PS XI NO 86-C 000 000 0 0

142 1271212501****** 1271210307****** HOTLAN SIHITE, SP MEDAN 03|07|**** S L JL SEI SILAU PS XI NO 80 MEDAN 000 000 0 0

143 1271212501****** 1271215403****** LUSIANA EVERITA SINAGA, SE MEDAN 14|03|**** S P JL SEI SILAU PS XI NO 80 MEDAN 000 000 0 0

144 1271212502****** 3275025004****** TIARMA HUTABARAT MEDAN 10|04|**** S P JL SEI SILAU PASAR XI NO 106 000 000 0 0

145 1271212504****** 1271212405****** THEO PENGARAPENTA SEMBIRING MALANG 24|05|**** B L JL SEI SILAU NO 73 MEDAN 000 000 0 0

146 1271212504****** 1271214310****** INGAN VANIA SEMBIRING MALANG 03|10|**** B P JL SEI SILAU NO 73 MEDAN 000 000 0 0

147 1271212504****** 1271210705****** PARLIN LINGGA MEDAN 07|05|**** B L JL SEI SILAU NO 110 000 000 0 0

148 1271212509****** 1271217105****** SYIFA HALIZA MEDAN 31|05|**** B P JL SEI SILAU NO 73 MEDAN 000 000 0 0

149 1271212511****** 1271216610****** SELPIYA MEDAN 26|10|**** B P JLSEI SILAU PSXI MEDAN 000 000 0 0

150 1271212607****** 1271213112****** BASYARUDDIN LUBIS MEDAN 31|12|**** P L JL SEI SILAU PSR XI NO 86 000 000 0 0

151 1271212701****** 1271212810****** M ABDA MEDAN 28|10|**** B L JL SEI SILAU XI NO 112 A 000 000 0 0

152 1271212701****** 1271215310****** PUTRI AYU DAMAYANTI MEDAN 13|10|**** B P JL SEI SILAU XI NO 112 A 000 000 0 0

153 1271212703****** 1271215404****** NURMA BR SIMANJUNTAK TARUTUNG 14|04|**** P P JL SEI SILAU PS XI NO 102 B 000 000 0 0

154 1271212703****** 1271216504****** SULASTRI SILALAHI MEDAN 25|04|**** B P JL SEI SILAU PS XI NO 02 B 000 000 0 0

155 1271212703****** 1271210807****** RADEN HUMISARI SILALAHI MEDAN 08|07|**** B L JL SEI SILAU PS XI NO 102 B 000 000 0 0

156 1271212703****** 1271215812****** SRI ULINA SILALAHI MEDAN 18|12|**** B P JL SEI SILAU PS XI NO 102 B 000 000 0 0

157 1271212703****** 1210096412****** YANTI NATALINA SITUMORANG AEK NABARA 24|12|**** S P JL. SEI SILAU KOMPLEK MEDAN BARU RESIDENT NO. 6 LK. III 000 000 0 0

158 1271212703****** 1209200308****** DANIEL SILAEN KISARAN 03|08|**** S L JL. SEI SILAU KOMPLEK MEDAN BARU RESIDENT NO. 6 LK. III 000 000 0 0

159 1271212704****** 1271215007****** LAMRIA BR PASARIBU MEDAN 10|07|**** B P JL SEI SILAU PSR XI NO 22 A 000 000 0 0

160 1271212704****** 1271211011****** POSMARAPINAULI PASARIBU MEDAN 10|11|**** B L JL SEI SILAU PSR XI NO 122 A 000 000 0 0

161 1271212704****** 1271215311****** DINA ROHANI BR PASARIBU MEDAN 13|11|**** B P JL SEI SILAU PSR XI NO 22 A 000 000 0 0

162 1271212707****** 1271210203****** BINTON HARIANJA ONAN RUNGGU 02|03|**** S L JL SEI SILAU PS XI NO 116 000 000 0 0

163 1271212708****** 1271211906****** HARRY ADI MEDAN 19|06|**** S L JL SEI SILAU PSR XI NO 94A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-012 123 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212709****** 1271211505****** AWALUDDIN NUR MEDAN 15|05|**** S L JLSEI SILAU PSR XI NO 98.A 000 000 0 0

165 1271212709****** 1271215506****** HELENTINA PASARIBU SIAHAAN TORUAN 15|06|**** S P JLSEI SILAU PSR XI NO 98.A 000 000 0 0

166 1271212709****** 1271214508****** KARIATUN NISYAH MEDAN 05|08|**** B P JLSEI SILAU PSR XI NO 98.A 000 000 0 0

167 1271212711****** 1271212112****** SUHARTO MEDAN 21|12|**** S L JL SEI SILAU PS XI NO 89-B 000 000 0 0

168 1271212712****** 1271214901****** MEDI LILIS WENNY BR NAINGGOLAN PARLILITAN 09|01|**** S P JLSEI SILAU PS XI NO 67-B 000 000 0 0

169 1271212812****** 1271216809****** ROSMIATI MEDAN 28|09|**** S P JL SEI SILAU PSR XI NO 110 000 000 0 0

170 1271212812****** 1271211509****** EKO SAPUTRA MEDAN 15|09|**** S L JL SEI SILAU PSR XI NO 110 000 000 0 0

171 1271212901****** 1271211005****** ARIANTO MEDAN 10|05|**** B L JL SEI SILAU PSR XI NO 82 MEDAN 000 000 0 0

172 1271212901****** 1271211705****** INDRA MEDAN 17|05|**** B L JL. SEI SILAU PSR XI NO. 82 MEDAN 000 000 0 0

173 1271212901****** 1271210701****** SAHRUL MEDAN 07|01|**** B L JL SEI SILAU PSR XI NO 82 MEDAN 000 000 0 0

174 1271212901****** 1271211112****** ISLANADI MEDAN 11|12|**** S L JL SEI SILAU PS XI NO 120 000 000 0 0

175 1271212903****** 1271216411****** SUPIAH MEDAN 24|11|**** B P JL SEI SILAU XI NO 69B 000 000 0 0

176 1271212903****** 1271211008****** MANAHAN SINAGA SIDIKALANG 10|08|**** S L JL. SEI SILAU PSR XI NO. 118 A 000 000 0 0

177 1271212903****** 1271214301****** BONTOR MARIA BUTAR-BUTAR MEDAN 03|01|**** S P JL. SEI SILAU PSR XI NO. 118 A 000 000 0 0

178 1271212903****** 1271216707****** SUSY MELISA MEDAN 27|07|**** B P JL. SEI SILAU PSR XI NO. 118 A 000 000 0 0

179 1271212903****** 1271210907****** ANDRI LAURENS MEDAN 09|07|**** B L JL. SEI SILAU PSR XI NO. 118 A 000 000 0 0

180 1271212904****** 1271213112****** WAGIMAN MEDAN 31|12|**** S L JL SEI SILAU PSR XI NO 110 000 000 0 0

181 1271212904****** 1271214507****** JULIANINGSIH MEDAN 05|07|**** B P JL SEI SILAU PSR XI NO 110 000 000 0 0

182 1271212910****** 1271196012****** ASNAH LUBUK PAKAM 20|12|**** S P JL SEI SILAU GG FAMILI NO 3 000 000 0 0

183 1271213005****** 1271214606****** NETHANYA NADYA JAKARTA 06|06|**** B P JL SEI SILAU PS XI NO 67-C 000 000 0 0

184 1271213005****** 1271212310****** SUPRIADI MEDAN 23|10|**** S L JLSEI SILAU PS XI NO110-C 000 000 0 0

185 1271213005****** 1271212408****** GUSTIAWAN WIBOWO MEDAN 24|08|**** B L JLSEI SILAU PS XI NO110-C 000 000 0 0

186 1271213005****** 1271210405****** MUHAMMAD YUSUF MEDAN 04|05|**** B L JLSEI SILAU PS XI NO110-C 000 000 0 0

187 1271213005****** 1271212610****** SANDYI FIRMANSYAH MEDAN 26|10|**** B L JLSEI SILAU PS XI NO110-C 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-012 124 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271213009****** 1271215508****** RAFIKA AGUSTINI HARAHAP MEDAN 15|08|**** S P JL SEI SILAU NO 126 000 000 0 0

189 1271213101****** 1271213001****** H.M JUHAENI.AR KUNINGAN 30|01|**** S L JL SEI SILAU PSR XI NO 112 B 000 000 0 0

190 1271213101****** 1271216909****** ADE AMIDAH HANUM KEMBAREN MEDAN 29|09|**** S P JL SEI SILAU PSR XI NO 112 B 000 000 0 0

191 1271213101****** 1271215002****** DEWI SARTIKA MEDAN 10|02|**** B P JL SEI SILAU PSR XI NO 112 B 000 000 0 0

192 1271213101****** 1271216106****** RIZKI WULAN MURJAINI MEDAN 21|06|**** B P JL SEI SILAU PSR XI NO 112 B 000 000 0 0

193 1271213105****** 1271211508****** RAIHAN ARVANSYAH NASUTION MEDAN 15|08|**** B L JL. SEI SILAU NO. 73 MEDAN 000 000 0 0

194 1271213107****** 1271210101****** AMIR HASAN SAGALA MEDAN 01|01|**** B L JL SEI SILAU PSR XI NO 86 MEDAN 000 000 0 0

195 1271213107****** 1271211404****** RAHMAT SAGALA MEDAN 14|04|**** B L JL SEI SILAU PSR XI NO 86 MEDAN 000 000 0 0

196 1271211809****** 1271210409****** FREDY CLINTON SIHALOHO MEDAN 04|09|**** B L JL SEI SILAU GG BENGKEL NO 48 001 001 0 0

197 1271212003****** 1271214807****** MINA MEDAN 08|07|**** B P JL SEI SILAU PS XI NO 106 002 003 0 0

198 1271212003****** 1271210504****** MUHAMMAD RIANDI MEDAN 05|04|**** B L JL SEI SILAU PS XI NO 106 002 003 0 0

199 1271212003****** 1271215407****** KIKI ANDAYANI MEDAN 14|07|**** B P JL SEI SILAU PS XI NO 106 002 003 0 0

200 1271211809****** 1271214906****** KRISTIN NATALIA HALOHO MEDAN 09|06|**** B P JL SEI SILAU GG BENGKEL NO 48 001 004 0 0

201 1271211809****** 1271210809****** JHONI PAKPAHAN SIBOLGA 08|09|**** S L JL SEI SILAU NO 97 001 004 0 0

202 1271211809****** 1271217008****** POIBE PASARIBU LINTONG 30|08|**** S P JL SEI SILAU NO 97 001 004 0 0

203 1271211809****** 1271215105****** TESSA NOVITAHOTMAULI PAKPAHAN MEDAN 11|05|**** B P JL SEI SILAU NO 97 001 004 0 0

204 1271211809****** 1271215410****** OCTAVIANA PAKPAHAN MEDAN 14|10|**** B P JL SEI SILAU NO 97 001 004 0 0

205 1271211901****** 1271214401****** CHRISTINA ROHANI PARDEDE MEDAN 04|01|**** S P JLSEI SILAU PS XI NO 124 002 004 0 0

206 1271211904****** 1271210504****** SYAHRIL SEI BIRUNG 05|04|**** S L JL SEI SILAU PSRXI NO 89.B 002 004 0 0

207 1271211904****** 1271211405****** M KHADAPI SEI BIRUNG 14|05|**** B L JL SEI SILAU PSRXI NO 89.B 002 004 0 0

208 1271212111****** 1271182309****** SUHERWIN MEDAN 23|09|**** S L JL SEI SILAU GG KELUARGA NO 8 002 004 0 0

209 1271212301****** 1271215108****** CUT WILDA ANWAR MEDAN 11|08|**** B P JL. SEI SILAU GG BAYANGKARI NO. 128-A 002 004 0 0

210 1271211701****** 1271212409****** FAREL AKBAR MEDAN 24|09|**** B L JL. SEI SILAU PSR XI NO. 88 003 004 0 0

211 1271211908****** 1271211008****** ANDY P KOESNO MEDAN 10|08|**** S L JLSEI SILAU NO 89 MEDAN 003 004 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-012 125 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271211908****** 1271217005****** TETI SUMARTI MEDAN 30|05|**** S P JLSEI SILAU NO 89 MEDAN 003 004 0 0

213 1271211908****** 1271211409****** RIZKY MAHENDRA MEDAN 14|09|**** B L JLSEI SILAU NO 89 MEDAN 003 004 0 0

214 1271212003****** 1271214404****** SURYANI MEDAN 04|04|**** S P JL SEI SILAU PS XI NO 106 004 004 0 0

215 1271212107****** 1271212811****** AIDIL IRSAN LUBIS MEDAN 28|11|**** S L JL SEI SILAU GG FAMILI NO 3 A 004 004 0 0

216 1271212306****** 1271211512****** SURIMAN MEDAN 15|12|**** S L JL SEI SILAU PS XI NO 86-C 011 012 1 0

Keterangan Disabilitas = 2 Keterangan Status perkawinan = 216 Jenis Kelamin = 216 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa = 1 B : Belum Kawin = 103 L : Laki-Laki = 114 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 106 P : Perempuan = 102 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 7
4: Tuna Grahita DTO
5: Disabilitas lainnya = 1
KK = 111 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-012 126 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 013
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271211411****** 1271214307****** MIRNAWATI MEDAN 03|07|**** S P JL SEI SILAU PSR XI NO 49 000 000 0 0

2 1271211411****** 1207194507****** UNTARY GALANG 05|07|**** S P JL. SEI ASAHAN NO 80 000 000 0 0

3 1271211411****** 1207193112****** MISGITO DAMANIK GALANG 31|12|**** S L JL. SEI ASAHAN NO 80 000 000 0 0

4 1271211412****** 1217071701****** ZANRISON NAIBAHO SIAGIAN 17|01|**** S L JL SEI ASAHAN GG PRIBADI NO 20 LK IV 000 000 0 0

5 1271211412****** 1271096808****** EVA MARIA MEDAN 29|08|**** S P JL SEI ASAHAN GG PRIBADI NO 20 LK IV 000 000 0 0

6 1271211503****** 1271212102****** DOLPHIN AM IBRAHIEM TEBING TINGGI 21|02|**** S L JL. SEI ASAHAN NO. 53 MEDAN 000 000 0 0

7 1271211503****** 1271215711****** ANISSA RIZQY MEDAN 17|11|**** B P JL. SEI ASAHAN NO. 53 MEDAN 000 000 0 0

8 1271211503****** 1271215010****** SITI AISYAH HARUM SARI 10|10|**** S P JL. SEI ASAHAN NO. 8-19 000 000 0 0

9 1271211503****** 1271214909****** MISTINA HARUM SARI 09|09|**** B P JL. SEI ASAHAN NO. 8-19 000 000 0 0

10 1271211503****** 1271212803****** SABANU HARUM SARI 28|03|**** B L JL. SEI ASAHAN NO. 8-19 000 000 0 0

11 1271211503****** 1271217010****** MIRANDA SARY MEDAN 01|11|**** B P JL. SEI ASAHAN NO. 8-19 000 000 0 0

12 1271211504****** 1271210701****** JONNES TUA SARAGIH MEDAN 07|01|**** S L JL SEI ASAHAN GG PERHUBUNGAN NO 6-B 000 000 0 0

13 1271211504****** 1271215308****** MARLINA SIAGIAN KAB KARO 13|08|**** S P JL SEI ASAHAN GG PERHUBUNGAN NO 6-B 000 000 0 0

14 1271211504****** 1271210105****** CHRISTIAN ALEXANDRO SARAGIH MEDAN 01|05|**** B L JL SEI ASAHAN GG PERHUBUNGAN NO 6-B 000 000 0 0

15 1271211508****** 1271215010****** SUMARNI MEDAN 10|10|**** P P JL SEI ASAHAN 000 000 0 0

16 1271211508****** 1271211010****** JUNAIDI MEDAN 10|10|**** B L JL SEI ASAHAN 000 000 0 0

17 1271211508****** 1271214505****** SRI RAHAYU PERBAUNGAN 05|05|**** B P JL SEI ASAHAN 000 000 0 0

18 1271211508****** 1271215301****** ELPIDAH MEDAN 13|01|**** B P JL SEI ASAHAN 000 000 0 0

19 1271211508****** 1271214410****** WARTA GINTING GURUKINAYAN 04|10|**** S P JLSEI ASAHAN GG ABDI SITEPU 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-013 127 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271211508****** 1271210110****** EFENDI SURBAKTI MEDAN 01|10|**** B L JLSEI ASAHAN GG ABDI SITEPU 000 000 0 0

21 1271211509****** 1271210404****** SUPRI HANDOKO MEDAN 04|04|**** B L JL SEIASAHAN GG ABDULLAH SITEPU 000 000 0 0

22 1271211509****** 1219074204****** SUSILAWATI KWALA SIKASIM 02|04|**** B P JL SEIASAHAN GG ABDULLAH SITEPU 000 000 0 0

23 1271211512****** 1271215310****** INGRIT RIA PESCH MEDAN 13|10|**** S P JLN. SEI ASAHAN NO. 40-A MEDAN 000 000 0 0

24 1271211512****** 1271216708****** ZIEVAH MARITZA LEOWARDY MEDAN 27|08|**** B P JLN. SEI ASAHAN NO. 40-A MEDAN 000 000 0 0

25 1271211603****** 1271211911****** SUDIRMAN MEDAN 19|11|**** S L JL SEI PADANG GG BUNTU NO 134 000 000 0 0

26 1271211603****** 1271214505****** RAWATI SIPAHUTAR TAPANULI UTARA 05|05|**** S P JL SEI PADANG GG BUNTU NO 134 000 000 0 0

27 1271211603****** 1271215108****** RENITA ANJASARI MEDAN 11|08|**** B P JL SEI PADANG GG BUNTU NO 134 000 000 0 0

28 1271211606****** 1271216102****** AYU AJENG SARI MEDAN 21|02|**** S P JL.SEI ASAHAN 000 000 0 0

29 1271211606****** 1271191208****** BAGUS GAHANA MEDAN 12|08|**** B L JL.SEI ASAHAN 000 000 0 0

30 1271211611****** 1271210703****** FAISAL EFFENDI LANGSA 07|03|**** S L JL SEI ASAHAN GG ABDULLAH SITEPU 000 000 0 0

31 1271211611****** 1271215505****** TIKA MEDAN 15|05|**** S P JL SEI ASAHAN GG ABDULLAH SITEPU 000 000 0 0

32 1271211701****** 1271210209****** SUGIONO MEDAN 02|09|**** B L JLSEI ASAHAN NO72 MEDAN 000 000 0 0

33 1271211701****** 1271210402****** TUGIMIN MEDAN 04|02|**** B L JLSEI ASAHAN NO72 MEDAN 000 000 0 0

34 1271211705****** 1271215103****** SALMI MEDAN 11|03|**** P P JL SEI ASAHAN GANG ABD SITEPU NO.11 000 000 0 0

35 1271211705****** 1271215002****** FIRDAYANI SYAFITRI LUBIS MEDAN 10|02|**** B P JL SEI ASAHAN GANG ABD SITEPU NO.11 000 000 0 0

36 1271211706****** 1271212708****** RUDY STANLEY DHARMAWAN JAKARTA 27|08|**** S L PERUM PARADISE GARDEN NO 25-C MEDAN 000 000 0 0

37 1271211706****** 1271216105****** SARI INDAH PRATAMA JAKARTA 21|05|**** S P PERUM PARADISE GARDEN NO 25-C MEDAN 000 000 0 0

38 1271211709****** 1271214812****** MASNARIA SARAGIH MEDAN 08|12|**** S P JL SEI ASAHAN GG PERHUBUNGAN NO 6B 000 000 0 0

39 1271211709****** 1271210704****** WERMANTO SARAGIH MEDAN 07|04|**** S L JL SEI ASAHAN GG PERHUBUNGAN NO 6B 000 000 0 0

40 1271211709****** 1271211706****** YUSRIZAL LUBIS MEDAN 17|06|**** S L JL. SEI ASAHAN NO. 80 000 000 0 0

41 1271211709****** 1271215506****** VERA MANDASARI MEDAN 15|06|**** S P JL. SEI ASAHAN NO. 80 000 000 0 0

42 1271211711****** 1271216408****** AGUS ARIANTI MEDAN 24|08|**** S P JL SEI ASAHAN NO 70 MEDAN 000 000 0 0

43 1271211805****** 1271210911****** HERMANSYAH KELAMBIR LIMA 09|11|**** S L JL SEI ASAHAN PSR XII NO 79.A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-013 128 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271211805****** 1271210411****** IRWANSYAH MEDAN 04|11|**** B L JL SEI ASAHAN PSR XII NO 79.A 000 000 0 0

45 1271211805****** 1271212003****** JUNAIDI MEDAN 20|03|**** B L JL SEI ASAHAN PSR XII NO 79.A 000 000 0 0

46 1271211809****** 1271215207****** ULFA RAZIAH DESA JIM 12|07|**** S P JL SEI ASAHAN PSR XII NO 79.A 000 000 0 0

47 1271211809****** 1271095907****** MURNIATI LANGSA 19|07|**** P P JL SEI ASAHAN NO 23 000 000 0 0

48 1271211809****** 1271095410****** SURYA FITRI LANGSA 14|10|**** B P JL SEI ASAHAN NO 23 000 000 0 0

49 1271211809****** 1271092702****** MUHAMMAD RAMADHAN SAPUTRA MEDAN 27|02|**** B L JL SEI ASAHAN NO 23 000 000 0 0

50 1271211902****** 1271211111****** SOLIHIN LANGKAT 11|11|**** S L JLSEI ASAHAN G ABDULAH SITEPU 000 000 0 0

51 1271211902****** 1271215209****** LIRAHMANI LANGKAT 12|09|**** S P JLSEI ASAHAN G ABDULAH SITEPU 000 000 0 0

52 1271211902****** 1271216705****** SUCI SALMANI MEDAN 27|05|**** B P JLSEI ASAHAN G ABDULAH SITEPU 000 000 0 0

53 1271211902****** 1206150509****** ZAKARIA ISMAIL, SP HINGALAMAMENGI 05|09|**** S L JL. SEI ASAHAN NO. 47 000 000 0 0

54 1271211902****** 1271214407****** SITI MASYITAH ANASTASIA GIRI MEDAN 04|07|**** S P JL. SEI ASAHAN NO. 47 000 000 0 0

55 1271211903****** 1271211105****** RUSTAM EFFENDI MEDAN 11|05|**** S L JL SEI ASAHAN GG ABD SITEPU NO 73 H 000 000 0 0

56 1271211903****** 1271214612****** RABISAH KUTA CANE 06|12|**** S P JL SEI ASAHAN GG ABD SITEPU NO 73 H 000 000 0 0

57 1271211903****** 1271214708****** WIDYA NARTI PEKANBARU 07|08|**** S P JLSEI ASAHAN GG ABDSITEPU 000 000 0 0

58 1271211903****** 1271211904****** BANGSAWAN HASIBUAN PARINGGONAN 19|04|**** S L JLSEI ASAHAN GG ABDSITEPU 000 000 0 0

59 1271211906****** 1271210505****** USMAN MEDAN 05|05|**** S L JL SEI ASAHAN NO 70 MEDAN 000 000 0 0

60 1271211906****** 1271215010****** SRI WINARTI KARO 10|10|**** S P JL SEI ASAHAN NO 70 MEDAN 000 000 0 0

61 1271212002****** 1271210302****** DARLAN BINJAI 03|02|**** S L JL SEI ASAHAN GG ABDULAH SITEPU 000 000 0 0

62 1271212002****** 1271217112****** ROSTIANA TARIGAN KISARAN 31|12|**** S P JL SEI ASAHAN GG ABDULAH SITEPU 000 000 0 0

63 1271212002****** 1271212901****** DUMA ALIANDU MEDAN 29|01|**** B L JL SEI ASAHAN GG ABDULAH SITEPU 000 000 0 0

64 1271212002****** 1271211408****** DARNA ALIANDU MEDAN 14|08|**** B L JL SEI ASAHAN GG ABDULAH SITEPU 000 000 0 0

65 1271212006****** 1271211103****** KASPIAN MEDAN 11|03|**** S L JL SEI ASAHAN GG KELUARGA NO 1 000 000 0 0

66 1271212008****** 1271211407****** MOHD NOR KARTANEGARA LABUHAN BILIK 14|07|**** S L JL SEI ASAHAN NO 51 MEDAN 000 000 0 0

67 1271212008****** 1271215208****** AQILLAH KARTANEGARA MEDAN 12|08|**** B P JL SEI ASAHAN NO 51 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-013 129 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271212008****** 1271210606****** MOHD MUAZ KARTANEGARA MEDAN 06|06|**** B L JL SEI ASAHAN NO 51 MEDAN 000 000 0 0

69 1271212008****** 1271210803****** MOHD MUSH AB KARTANEGARA MEDAN 08|03|**** B L JL SEI ASAHAN NO 51 MEDAN 000 000 0 0

70 1271212008****** 1271216304****** AZ ZAHRA KARTANEGARA MEDAN 23|04|**** B P JL SEI ASAHAN NO 51 MEDAN 000 000 0 0

71 1271212009****** 1207044811****** NETTY HERAWATI MEDAN 08|11|**** S P JLN SEI ASAHAN GG A SITEPU 000 000 0 0

72 1271212105****** 1271214602****** MARTINA WIJAYA SEMARANG 06|02|**** P P JLSEI ASAHAN NO 60 MEDAN 000 000 0 0

73 1271212105****** 1271211510****** MUHAMMAD SULISTIO SEMARANG 15|10|**** B L JLSEI ASAHAN NO 60 MEDAN 000 000 0 0

74 1271212105****** 1271211302****** FEBRIANTO MEDAN 13|02|**** B L JLSEI ASAHAN NO 60 MEDAN 000 000 0 0

75 1271212108****** 1271211609****** AZWAR AMRAN MEDAN 16|09|**** S L JLSEI ASAHAN NO.76-A 000 000 0 0

76 1271212108****** 1271216310****** TUTY MEDAN 23|10|**** S P JLSEI ASAHAN NO.76-A 000 000 0 0

77 1271212109****** 1271215105****** JENA MESIN PERIANGGA STABAT 11|05|**** B P JL SEI ASAHAN GG ABDULAH SITEPU 000 000 0 0

78 1271212111****** 1271211402****** IBNU HAJAR BEDAGEI 14|02|**** S L JL SEI ASAHAN GG PRIBADI NO 69 000 000 0 0

79 1271212111****** 1271215309****** NAFSIAH BEDAGAI 13|09|**** S P JL SEI ASAHAN GG PRIBADI NO 69 000 000 0 0

80 1271212111****** 1271212707****** RIDHO BEDAGAI 27|07|**** B L JL SEI ASAHAN GG PRIBADI NO 69 000 000 0 0

81 1271212111****** 1271215305****** UTAMI KURNIA LESTARI HARAHAP MEDAN 13|05|**** B P JL SEI ASAHAN NO 23 B 000 000 0 0

82 1271212112****** 1111071807****** MARWAZI BLANG KEUDE 18|07|**** B L JL SEI ASAHAN NO 25 000 000 0 0

83 1271212202****** 1271210909****** SYAIDINATIZA ACEH TIMUR 09|09|**** B L JL SEI ASAHAN GG ABD SITEPU NO 73 000 000 0 0

84 1271212203****** 1271212004****** HERBERT MARULITUA MUNTHE ST MEDAN 20|04|**** S L JL SEI ASAHAN GG PERHUBUNGAN NO 2 000 000 0 0

85 1271212203****** 1271135409****** TRI SUCI GRACE SONITA MEDAN 14|09|**** S P JL SEI ASAHAN GG PERHUBUNGAN NO 2 000 000 0 0

86 1271212210****** 1271214403****** HALIMATUSSADIYAH MEDAN 04|03|**** S P JL SEI ASAHAN NO 74 MEDAN 000 000 0 0

87 1271212210****** 1271172105****** SONI HUTAURUK MEDAN 21|05|**** S L JL SEI ASAHAN NO 74 MEDAN 000 000 0 0

88 1271212301****** 1271211211****** HANIBAL, SH TEBING TINGGI 12|11|**** S L JL SEI ASAHAN NO 53 000 000 0 0

89 1271212301****** 1271215905****** MELANIE TITALEY MEDAN 19|05|**** S P JL SEI ASAHAN NO 53 000 000 0 0

90 1271212302****** 1271211206****** H HASANUDDIN PURBA MEDAN 12|06|**** S L JLSEI ASAHAN NO72-84 MEDAN 000 000 0 0

91 1271212302****** 1271214211****** HJ SUMINI MEDAN 02|11|**** S P JLSEI ASAHAN NO72-84 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-013 130 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271212302****** 1271211312****** MUHAMMAD DAHLAN PURBA MEDAN 13|12|**** B L JLSEI ASAHAN NO72-84 MEDAN 000 000 0 0

93 1271212311****** 1271216012****** MISLIANA HASIBUAN MEDAN 20|12|**** P P JL SEI ASAHAN NO 79 MEDAN 000 000 0 0

94 1271212311****** 1271212607****** SANDY SAHPUTRA BAHRI BINJAI 26|07|**** B L JL SEI ASAHAN NO 79 MEDAN 000 000 0 0

95 1271212403****** 1271215910****** ELVI BUTAR-BUTAR PORSEA 19|10|**** S P JLN SEI ASAHAN NO 73-F MEDAN 000 000 0 0

96 1271212406****** 1271212109****** ANDI SATRIA PURBA MEDAN 21|09|**** S L JL SEI ASAHAN NO 72/-84 MEDAN 000 000 0 0

97 1271212406****** 1271214205****** SITI AISYAH MEDAN 02|05|**** S P JL SEI ASAHAN NO 72/-84 MEDAN 000 000 0 0

98 1271212411****** 1271212812****** H. ABDUL MURAD IBRAHIEM, IR TG MORAWA 28|12|**** S L JL. SEI ASAHAN NO. 53 000 000 0 0

99 1271212411****** 1271215710****** Hj. KEMALAWATY LUBUK PAKAM 17|10|**** S P JL. SEI ASAHAN NO. 53 000 000 0 0

100 1271212503****** 1271211610****** ALI WARDANA HASIBUAN SIBUHUAN 16|10|**** S L JL SEI ASAHAN NO 90 MEDAN 000 000 0 0

101 1271212503****** 1271216508****** ASNAWATI NASUTION MEDAN 25|08|**** S P JL SEI ASAHAN NO 90 MEDAN 000 000 0 0

102 1271212503****** 1271212008****** ASWAR HANAS SAPUTRA HASIBUAN MEDAN 20|08|**** B L JL SEI ASAHAN NO 90 MEDAN 000 000 0 0

103 1271212503****** 1271214612****** SITI KHADIJAH HASIBUAN MEDAN 06|12|**** B P JL SEI ASAHAN NO 90 MEDAN 000 000 0 0

104 1271212503****** 1271021402****** SARWAN TEBING TINGGI 14|02|**** S L JL SEI ASAHAN GG PRIBADI NO 1 E 000 000 0 0

105 1271212503****** 1271024303****** FITRI HERLINAWATI TEBING TINGGI 03|03|**** S P JL SEI ASAHAN GG PRIBADI NO 1 E 000 000 0 0

106 1271212503****** 1271022602****** RIFALDI AKBAR MEDAN 26|02|**** B L JL SEI ASAHAN GG PRIBADI NO 1 E 000 000 0 0

107 1271212504****** 1271176008****** BEBBY KARTIKA SUBANDI MEDAN 20|08|**** S P JL SEI ASAHAN KOMP PARADISE GARDEN NO 25 000 000 0 0

108 1271212505****** 1271216605****** ROSDAWATI LUBIS CUBADAK 26|05|**** S P JL SEI ASAHAN GG ABD SITEPU 000 000 0 0

109 1271212505****** 1271216605****** HARMAINI MEDAN 26|05|**** B P JL SEI ASAHAN GG ABD SITEPU 000 000 0 0

110 1271212505****** 1271212204****** MHD ANDRI MEDAN 22|04|**** B L JL SEI ASAHAN GG ABD SITEPU 000 000 0 0

111 1271212507****** 1271215504****** ALBERTINA TUTUARYMA MEDAN 15|04|**** P P JL SEI ASAHAN PSR XII NO 47 000 000 0 0

112 1271212507****** 1271216303****** SELVIANA TUTUARIMA MEDAN 23|03|**** P P JL SEI ASAHAN PSR XII NO 47 000 000 0 0

113 1271212507****** 1271214503****** MAGDALENA TUTUARYMA MEDAN 05|03|**** B P JL SEI ASAHAN PSR XII NO 47 000 000 0 0

114 1271212507****** 1271215112****** HAFNI BANGUN KISARAN 11|12|**** S P JLSEI ASAHAN NO 55 000 000 0 0

115 1271212507****** 1271216303****** WENNY RAHMAH YANI PAKPAHAN RANTAU PRAPAT 23|03|**** B P JLSEI ASAHAN NO 55 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-013 131 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271212507****** 1271214304****** ZULFA HARYANI, SE MEDAN 03|04|**** B P JL SEI ASAHAN NO 55 000 000 0 0

117 1271212511****** 1271215709****** SITI KARINA FADILLA MEDAN 17|09|**** B P JL.SEI ASAHAN NO.76 000 000 0 0

118 1271212601****** 1271214707****** IDAWATI MEDAN 07|07|**** S P JL SEI ASAHAN GG ABD SITEPU NO 73 000 000 0 0

119 1271212601****** 1271215504****** SRI RAMADHAN MEDAN 15|04|**** B P JL SEI ASAHAN GG ABD SITEPU NO 73 000 000 0 0

120 1271212601****** 1271210905****** MUHAMMAD NIZAM MEDAN 09|05|**** B L JL SEI ASAHAN GG ABD SITEPU NO 73 000 000 0 0

121 1271212601****** 1271212111****** SYAHRUL RAMADHAN P SIANTAR 21|11|**** B L JL SEI ASAHAN GG ABD SITEPU NO 73 000 000 0 0

122 1271212601****** 1271210303****** RUSLAN ABDUL GHANI, ST BOGOR 03|03|**** S L JL SEI ASAHAN NO 55 000 000 0 0

123 1271212601****** 1271214809****** TINNEKE MAYA SOPA PAKPAHAN, SS MEDAN 08|09|**** S P JL SEI ASAHAN NO 55 000 000 0 0

124 1271212603****** 1271214608****** MAULINA SARI PANE MEDAN 06|08|**** S P JL SEI ASAHAN NO 46 MEDAN 000 000 0 0

125 1271212603****** 1271210803****** SAID YUSUF KW.SIMPANG 08|03|**** S L JL SEI ASAHAN NO 46 MEDAN 000 000 0 0

126 1271212603****** 1271216203****** SYARIFAH FIANTI MALA JAKARTA 22|03|**** B P JL SEI ASAHAN NO 46 MEDAN 000 000 0 0

127 1271212603****** 1271212910****** ASRI NAUFAL PANE MEDAN 29|10|**** B L JL SEI ASAHAN NO 46 MEDAN 000 000 0 0

128 1271212603****** 1271210511****** SAID DAFFA YUMAUSAR MEDAN 05|11|**** B L JL SEI ASAHAN NO 46 MEDAN 000 000 0 0

129 1271212612****** 1271211607****** MULATUA PANDAPOTAN SILALAHI MEDAN 16|07|**** S L JL SEI ASAHAN NO 62 000 000 0 0

130 1271212612****** 1271215209****** RITA SYLVIA ROSELIN SIANIPAR JAKARTA 12|09|**** S P JL SEI ASAHAN NO 62 000 000 0 0

131 1271212612****** 1271216912****** NATASHA BEATRICE SILALAHI JAKARTA 29|12|**** B P JL SEI ASAHAN NO 62 000 000 0 0

132 1271212612****** 1271211305****** SAMUEL HAMONANGAN SILALAHI JAKARTA 13|05|**** B L JL SEI ASAHAN NO 62 000 000 0 0

133 1271212612****** 1271214405****** ANGELIA ROTUA SILALAHI MEDAN 04|05|**** B P JL SEI ASAHAN NO 62 000 000 0 0

134 1271212612****** 1271216105****** JOHANNA LIVIA SILALAHI MEDAN 21|05|**** B P JL SEI ASAHAN NO 62 000 000 0 0

135 1271212701****** 1271210412****** ALBER SIBORO MEDAN 04|12|**** S L JLN SEI ASAHAN GG ABD SITEPU NO.73 G 000 000 0 0

136 1271212701****** 1271216009****** RUMINIM BR SAGALA MEDAN 20|09|**** S P JLN SEI ASAHAN GG ABD SITEPU NO.73 G 000 000 0 0

137 1271212701****** 1271212710****** BONCEL PARULIAN SIBORO MEDAN 27|10|**** B L JLN SEI ASAHAN GG ABD SITEPU NO.73 G 000 000 0 0

138 1271212701****** 1271211806****** JULIANTO SIBORO MEDAN 18|06|**** B L JLN SEI ASAHAN GG ABD SITEPU NO.73 G 000 000 0 0

139 1271212701****** 1271215407****** HERLINA SIBORO MEDAN 14|07|**** B P JLN SEI ASAHAN GG ABD SITEPU NO.73 G 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-013 132 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212701****** 1271211801****** YURIKE FRANSISKA SIBORO MEDAN 18|01|**** B L JLN SEI ASAHAN GG ABD SITEPU NO.73 G 000 000 0 0

141 1271212701****** 1271176202****** SRI DEWI NINGRUM MEDAN 22|02|**** P P JL. SEI ASAHAN NO. 53 000 000 0 0

142 1271212703****** 1271212910****** DOKLES PASARIBU MEDAN 29|10|**** S L JL SEI ASAHAN GG ABD SITEPU NO 73.E 000 000 0 0

143 1271212703****** 1271216211****** MINARDA SIMANJUNTAK, DRA DOLOK ILIR 22|11|**** S P JL SEI ASAHAN GG ABD SITEPU NO 73.E 000 000 0 0

144 1271212703****** 1271211505****** REINHARD TUMBUR N PASARIBU MEDAN 15|05|**** B L JL SEI ASAHAN GG ABD SITEPU NO 73.E 000 000 0 0

145 1271212703****** 1271217010****** LAURA MONIKA AGNESIA PASARIBU MEDAN 30|10|**** B P JL SEI ASAHAN GG ABD SITEPU NO 73.E 000 000 0 0

146 1271212703****** 1271213005****** SIMON PETRUS PASARIBU MEDAN 30|05|**** B L JL SEI ASAHAN GG ABD SITEPU NO 73.E 000 000 0 0

147 1271212704****** 1271212404****** RUJI KURNIAWAN GAPERTA 24|04|**** S L JLSEI ASAHAN GGA SITEPU 000 000 0 0

148 1271212709****** 1271211210****** LARRY PRIANTA TANUJAYA SUKABUMI 12|10|**** S L JLSEI ASAHAN NO 52 MEDAN 000 000 0 0

149 1271212709****** 1271214308****** ALIANY ANASTASIA SUKABUMI 03|08|**** S P JLSEI ASAHAN NO 52 MEDAN 000 000 0 0

150 1271212712****** 1271212308****** ILHAM MUHAMMAD ISA MEDAN 23|08|**** S L JLSEI ASAHAN 76 B MEDAN 000 000 0 0

151 1271212712****** 1271126711****** NENI KUSRINI KARANG REJO 27|11|**** B P JLSEI ASAHAN 76 B MEDAN 000 000 0 0

152 1271212802****** 1271214506****** RATNA AURORA HAHOLONGAN M MEDAN 05|06|**** P P JL SEI ASAHAN GG ABD SITEPU NO 73E 000 000 0 0

153 1271212802****** 1271214710****** WALDA PAULINA P DUMAI 07|10|**** B P JL SEI ASAHAN GG ABD SITEPU NO 73E 000 000 0 0

154 1271212802****** 1271216103****** ARLINI AMRAN, SE, ST MEDAN 21|03|**** S P JL SEI ASAHAN NO 76 A 000 000 0 0

155 1271212802****** 1271212803****** FAHREZA, Amd MEDAN 28|03|**** S L JL SEI ASAHAN NO 76 A 000 000 0 0

156 1271212803****** 1271214507****** SARMAULI SIMAMORA MEDAN 05|07|**** S P JL SEI ASAHAN GG PERHUBUNGAN NO 6 B 000 000 0 0

157 1271212803****** 1271212008****** ARGENSIUS PARDOMUAN SIDAURUK MEDAN 20|08|**** S L JL SEI ASAHAN GG PERHUBUNGAN NO 6 B 000 000 0 0

158 1271212803****** 1271214812****** KRISNA MARTHA KORELYNA S MEDAN 08|12|**** B P JL SEI ASAHAN GG PERHUBUNGAN NO 6 B 000 000 0 0

159 1271212803****** 1211126408****** JESISKA SIMAMORA DOLOK SANGGUL 28|08|**** B P JL SEI ASAHAN GG PERHUBUNGAN NO 6 B 000 000 0 0

160 1271212803****** 1271210607****** DANIEL ANDIKA PUTRA SIDAURUK MEDAN 06|07|**** B L JL SEI ASAHAN GG PERHUBUNGAN NO 6 B 000 000 0 0

161 1271212805****** 1271030705****** SYAIFUL DAULAY HASAHATAN 07|05|**** B L JL. SEI ASAHAN NO.76-A 000 000 0 0

162 1271212806****** 1271212311****** HAMONANGAN GIRSANG SARIBU DOLOK 23|11|**** S L JLSEI ASAHAN NO 69 MEDAN 000 000 0 0

163 1271212806****** 1271215206****** TIOMINAR SILAEN BALIGE 12|06|**** P P JLNSEI ASAHAN 67-A MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-013 133 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212806****** 1271212208****** CHRISMAN SIAHAAN MEDAN 22|08|**** B L JLNSEI ASAHAN 67-A MEDAN 000 000 0 0

165 1271212806****** 1271217010****** ELFIDA SIAHAAN MEDAN 30|10|**** B P JLNSEI ASAHAN 67-A MEDAN 000 000 0 0

166 1271212808****** 1271212303****** SYAHRIAL A SIRAIT KISARAN 23|03|**** S L JL SEI ASAHAN PSR XII GG BUNTU NO 4 MEDAN 000 000 0 0

167 1271212808****** 1271216811****** TURIYEM GUNUNG BAYU 28|11|**** S P JL SEI ASAHAN PSR XII GG BUNTU NO 4 MEDAN 000 000 0 0

168 1271212808****** 1271215101****** SITI ZAHWA BAOETY SIRAIT MEDAN 11|01|**** B P JL SEI ASAHAN PSR XII GG BUNTU NO 4 MEDAN 000 000 0 0

169 1271212812****** 1207225306****** NAOMI EMMANUELLE DIATEIUPA SIDABUTAR TANGERANG 13|06|**** B P JL.SEI ASAHAN GG.ABD SITEPU NO.73 E 000 000 0 0

170 1271212902****** 1271211411****** SUPOMO YOGYAKARTA 14|11|**** S L JL SEI ASAHAN NO 80 000 000 0 0

171 1271212902****** 1271215212****** SURIANI KISARAN 12|12|**** S P JL SEI ASAHAN NO 80 000 000 0 0

172 1271212903****** 1271214209****** SONDANG.R SILALAHI. SE MEDAN 02|09|**** S P JL SEI ASAHAN NO 56 MEDAN 000 000 0 0

173 1271212903****** 1271212906****** STEFEN YOSAFAT HUTABARAT JAKARTA 29|06|**** B L JLSEI ASAHAN NO56 MEDAN 000 000 0 0

174 1271212903****** 1271212906****** DONA STEFAN YOSUA HUTABARAT JAKARTA 29|06|**** B L JL SEI ASAHAN NO 56 MEDAN 000 000 0 0

175 1271212903****** 1271213007****** ANDREAS EDWARD HUTABARAT MEDAN 30|07|**** B L JL SEI ASAHAN NO 56 MEDAN 000 000 0 0

176 1271212903****** 1271214911****** MAWAR BR TARIGAN KUBU SIMBELANG 09|11|**** S P JL SEI ASAHAN GG BUNTU 000 000 0 0

177 1271212903****** 1271211607****** SUDUNG PASARIBU MEDAN 16|07|**** S L JL SEI ASAHAN GG BUNTU 000 000 0 0

178 1271212903****** 1271211306****** PASTER MARCOPOLO PASARIBU MEDAN 13|06|**** B L JL SEI ASAHAN GG BUNTU 000 000 0 0

179 1271212904****** 1271217006****** JUNITA EVERIDA SILALAHI MEDAN 30|06|**** S P JL SEI ASAHAN NO 53 B 000 000 0 0

180 1271212906****** 1271210807****** AZHARI AL-AZIZI MEDAN 08|07|**** B L JL. SEI ASAHAN NO. 76-A 000 000 0 0

181 1271212909****** 1271211210****** SUKANDAR MEDAN 12|10|**** S L JL. SEI ASAHAN PERHUBUNGAN NO. 1 000 000 0 0

182 1271212909****** 1271065405****** JAIDAR HASTUTI TANJUNG MULIA 14|05|**** S P JL. SEI ASAHAN PERHUBUNGAN NO. 1 000 000 0 0

183 1271212910****** 1271212308****** SUPRAYOGI MEDAN 23|08|**** S L JL SEI ASAHAN-PERHUBUNGAN NO 1 000 000 0 0

184 1271212910****** 1271215202****** ANISAH MEDAN 12|02|**** S P JL SEI ASAHAN-PERHUBUNGAN NO 1 000 000 0 0

185 1271212910****** 1271216709****** AYUNDA KUSTIANINGRUM MEDAN 27|09|**** B P JL SEI ASAHAN-PERHUBUNGAN NO 1 000 000 0 0

186 1271212910****** 1271215611****** IRMA YANI SIROMANG 16|11|**** B P PB SELAYANG I 000 000 0 0

187 1271212910****** 1271210502****** JONFERI SURBAKTI MEDAN 05|02|**** S L JL SEI ASAHAN GG ABD SITEPU 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-013 134 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271212910****** 1271215803****** ASMINAR MEDAN 18|03|**** S P JL SEI ASAHAN GG ABD SITEPU 000 000 0 0

189 1271213001****** 1271211103****** ROYNALDO ILHAMSYAH GIRI MEDAN 11|03|**** S L JL SEI ASAHAN NO 47 MEDAN 000 000 0 0

190 1271213008****** 1271210608****** EFENDI TAMBUNAN P SIANTAR 06|08|**** S L JL. SEI ASAHAN NO. 71-F 000 000 0 0

191 1271213008****** 1271216405****** MASDALENA BUTAR-BUTAR MEDAN 24|05|**** S P JL. SEI ASAHAN NO. 71-F 000 000 0 0

192 1271213008****** 1271210403****** ALBERT A MANGATUR TAMBUNAN MEDAN 04|03|**** B L JL. SEI ASAHAN NO. 71-F 000 000 0 0

193 1271213008****** 1271210505****** YOHANES SEBASTIAN TAMBUNAN MEDAN 05|05|**** B L JL. SEI ASAHAN NO. 71-F 000 000 0 0

194 1271213011****** 1271215306****** SYAFRIDA MEDAN 13|06|**** S P JL SEI ASAHAN NO 76-E 000 000 0 0

195 1271213101****** 1271211105****** MULYONO MEDAN 11|05|**** S L JL SEI ASAHAN GG SITEPU NO 73 000 000 0 0

196 1271213101****** 1271216111****** SUPITRIANA MEDAN 21|11|**** S P JL SEI ASAHAN GG SITEPU NO 73 000 000 0 0

197 1271213101****** 1271211709****** ECHA PRA MULIA MEDAN 17|09|**** B L JL SEI ASAHAN GG SITEPU NO 73 000 000 0 0

198 1271211711****** 1271210101****** PUTRAMAN PADANG 01|01|**** S L JL SEI ASAHAN NO 70 MEDAN 001 005 0 0

199 1271211804****** 1271216809****** NOVIA VIVID VERONIKA PASARIBU PAHIEME 28|09|**** B P JL SEI ASAHAN GG PRIBADI 001 005 0 0

200 1271211805****** 1271216705****** NURSIYAH TEMBUNG 27|05|**** S P JL SEI ASAHAN PSR XII NO 79.A 001 005 0 0

201 1271211809****** 1271213011****** SANDY MEDAN 30|11|**** S L JL SEI ASAHAN PSR XII NO 79.A 001 005 0 0

202 1271212008****** 1271210709****** NURHARYONO KARTANEGARA PABATU 07|09|**** B L JL SEI ASAHAN NO 5 MEDAN 001 005 0 0

203 1271212202****** 1272017108****** PRANCISCA GUSLINA TG.GADING 31|08|**** B P JL SEI ASAHAN GG ABD SITEPU NO 73 001 005 0 0

204 1271212603****** 1271217007****** NURAINI P. SIANTAR 30|07|**** P P JL SEI ASAHAN NO 46 MEDAN 001 005 0 0

205 1271212703****** 1271217010****** NITA TRINE SILITONGA P. SIANTAR 30|10|**** P P JLSEI ASAHAN NO67 MEDAN 001 005 0 0

206 1271213008****** 1271214209****** TERESA TAMBUNAN MEDAN 02|09|**** B P JL. SEI ASAHAN NO. 71-F 001 005 0 0

207 1271213011****** 1271214603****** NUR ASIAH MEDAN 06|03|**** B P JL SEI ASAHAN GG ABD SITEPU 001 005 0 0

208 1271212105****** 1271214205****** NURVITA SARI MEDAN 02|05|**** B P JLSEI ASAHAN NO 60 MEDAN 002 005 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 208 Jenis Kelamin = 208 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 89 L : Laki-Laki = 97 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 107 P : Perempuan = 111 KETUA

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-013 135 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13
3: Tuna Rungu/Wicara P : Pernah Kawin = 12
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 087 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-013 136 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 014
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271173101****** 1271171803****** ROBINHOT HUTASOIT SORKAM 18|03|**** S L JL.SEI ASAHAN GG.PRIBADI NO 2 000 000 0 0

2 1271173101****** 1271172909****** SUARDI HUTASOIT SORKAM 29|09|**** S L JL.SEI ASAHAN GG.PRIBADI NO 2 000 000 0 0

3 1271173101****** 1271174211****** RISNARYA PASARIBU SIBOLGA 02|11|**** B P JL.SEI ASAHAN GG.PRIBADI NO 2 000 000 0 0

4 1271173101****** 1271175505****** ROIDA KRISANTY HUTASOIT MEDAN 15|05|**** B P JL.SEI ASAHAN GG.PRIBADI NO 2 000 000 0 0

5 1271173101****** 1271175111****** LASMAULI PASARIBU MEDAN 11|11|**** B P JL.SEI ASAHAN GG.PRIBADI NO 2 000 000 0 0

6 1271210102****** 1271212411****** DAFID SAOLOAN SARAGIH, SE MEDAN 24|11|**** S L JL SEI ASAHAN GG PERHUBUNGAN NO 6B 000 000 0 0

7 1271210102****** 1271114606****** DAMARIS LUMBAN TOBING TARUTUNG 06|06|**** S P JL SEI ASAHAN GG PERHUBUNGAN NO 6B 000 000 0 0

8 1271210104****** 1271217112****** MARYANI MEDAN 31|12|**** S P JL SEI ASAHAN GG KELUARGA NO 2-A 000 000 0 0

9 1271210104****** 1271213112****** KASIMIN P. SIANTAR 31|12|**** S L JL SEI ASAHAN GG KELUARGA NO 2-A 000 000 0 0

10 1271210104****** 1271212102****** SUHERI MEDAN 21|02|**** B L JLSEI ASAHAN GGKELUARGA-2-A 000 000 0 0

11 1271210105****** 1271212404****** HAJI RONNY SIMON MEDAN 24|04|**** S L JL SEI ASAHAN NO 34 (DALAM) 000 000 0 0

12 1271210105****** 1271216301****** HAJJAH SUPIAH BINJAI 23|01|**** S P JL SEI ASAHAN NO 34 (DALAM) 000 000 0 0

13 1271210105****** 1271212103****** RUDY, SE MEDAN 21|03|**** S L JL SEI ASAHAN NO 34 MEDAN 000 000 0 0

14 1271210105****** 1271216908****** SRI AGUSTINA HASIBUAN MEDAN 29|08|**** S P JL SEI ASAHAN NO 34 MEDAN 000 000 0 0

15 1271210105****** 1271212909****** M. DAFFA FARREL MEDAN 29|09|**** B L JL SEI ASAHAN NO 34 MEDAN 000 000 0 0

16 1271210105****** 1271214501****** MARIAM FARIZKA MEDAN 05|01|**** B P JL SEI ASAHAN GG ABD SITEPU 000 000 0 0

17 1271210110****** 1271212606****** HERI SUTOYO MEDAN 26|06|**** S L JL SEI PADANG GG PERJUANGAN NO 130 000 000 0 0

18 1271210110****** 1271216606****** RINI TEGAL 26|06|**** S P JL SEI PADANG GG PERJUANGAN NO 130 000 000 0 0

19 1271210111****** 1271212006****** HENDRI SE MEDAN 20|06|**** S L JL SEI ASAHAN NO 34 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-014 137 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210111****** 1271216302****** RISDA SARI MEDAN 23|02|**** S P JL SEI ASAHAN NO 34 000 000 0 0

21 1271210111****** 1271212203****** MUHAMMAD FERDI HANAN MEDAN 22|03|**** B L JL SEI ASAHAN NO 34 000 000 0 0

22 1271210112****** 1271210311****** JELUDDIN DAUD M.ENG,IR ACEH TENGGARA 03|11|**** S L JL SEI ASAHAN NO 76 A 000 000 0 0

23 1271210112****** 1271215208****** RITA ASTIMA PADANG 12|08|**** S P JL SEI ASAHAN NO 76 A 000 000 0 0

24 1271210112****** 1271216802****** WILRIDHA S SN MEDAN 28|02|**** B P JL SEI ASAHAN NO 76 A 000 000 0 0

25 1271210112****** 1271214106****** NINA AYULI,ST,MSI MEDAN 01|06|**** B P JL SEI ASAHAN NO 76 A 000 000 0 0

26 1271210112****** 1271214410****** ARI HAYATI MEDAN 04|10|**** B P JL SEI ASAHAN NO 76 A 000 000 0 0

27 1271210112****** 1271212009****** M IMAN INSARI MEDAN 20|09|**** B L JL SEI ASAHAN NO 76 A 000 000 0 0

28 1271210112****** 1271211808****** M ALIF AQIL AKBAR MEDAN 18|08|**** B L JL SEI ASAHAN NO 76 A 000 000 0 0

29 1271210203****** 1271192505****** ALAN MASLAN SH MEDAN 25|05|**** S L JL SEI ASAHAN NO 76 A 000 000 0 0

30 1271210203****** 1271215010****** AINUN MUTHIAH S S MEDAN 10|10|**** S P JL SEI ASAHAN NO 76 A 000 000 0 0

31 1271210211****** 1271212710****** PETRUS H S SITUMORANG, SE LONTUNG 27|10|**** S L JL SEI ASAHAN GG PERHUBUNGAN NO 6 000 000 0 0

32 1271210211****** 1271212111****** ABDON B SITUMORANG, SH MEDAN 21|11|**** B L JL SEI ASAHAN GG PERHUBUNGAN NO 6 000 000 0 0

33 1271210211****** 1271214107****** JULITA R SITUMORANG MEDAN 01|07|**** B P JL SEI ASAHAN GG PERHUBUNGAN NO 6 000 000 0 0

34 1271210304****** 1271212308****** AGUS SALIM MEDAN 23|08|**** S L JL SEI ASAHAN NO 69 000 000 0 0

35 1271210305****** 1271210908****** HENRY AFFANDI BINJAI 09|08|**** S L JL SEI ASAHAN NO 40-A 000 000 0 0

36 1271210305****** 1271115706****** YUNIE ADHI PUTRI BANDUNG 17|06|**** S P JL SEI ASAHAN NO 40-A 000 000 0 0

37 1271210305****** 1271210102****** FIRMANSYAH HASIBUAN MEDAN 01|02|**** S L JL SEI ASAHAN NO 90 000 000 0 0

38 1271210309****** 1271212110****** FAISAL SS TEBING TINGGI 21|10|**** P L JL. SEI ASAHAN NO. 53 000 000 0 0

39 1271210309****** 1271214306****** ANITA AULIA, SE MEDAN 03|06|**** P P JL. SEI ASAHAN NO. 53 000 000 0 0

40 1271210401****** 1271210812****** TURIMAN HALBAN 08|12|**** S L JL SEI ASAHAN PSR XII NO 79 A 000 000 0 0

41 1271210402****** 1271172501****** TOGI HASIAN SIMANJUNTAK JAKARTA 25|01|**** S L JL SEI ASAHAN NO 72 MEDAN 000 000 0 0

42 1271210402****** 1271116209****** SARMARIA BR TANGGANG BERASTAGI 22|09|**** S P JL SEI ASAHAN NO 72 MEDAN 000 000 0 0

43 1271210405****** 1271214110****** BELSERIA BR PURBA SERIBU DOLOK 01|10|**** P P JL SEI ASAHAN GG PERHUBUNGAN NO 2 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-014 138 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210406****** 1271216602****** CHINTYA MEDAN 26|02|**** B P JL SEI ASAHAN GG ABD SITEPU NO 72 000 000 0 0

45 1271210409****** 1271211708****** MUHAMMAD SUKAMTO DOLOK MASIHUL 17|08|**** P L JL SEI ASAHAN GG NAZIR NO76 A 000 000 0 0

46 1271210409****** 1271214705****** SITIMARYAM MEDAN 07|05|**** B P JL SEI ASAHAN GG NAZIR NO76 A 000 000 0 0

47 1271210409****** 1271216301****** SYAFITRIWULANSARI MEDAN 23|01|**** B P JL SEI ASAHAN GG NAZIR NO76 A 000 000 0 0

48 1271210409****** 1271210608****** MANIUR JANSEN TURNIP PANGURURAN 06|08|**** S L JL SEI ASAHAN NO 73 000 000 0 0

49 1271210409****** 1271215906****** MARIA BULAN PURNAMA NAINGGOLAN KABANJAHE 19|06|**** S P JL SEI ASAHAN NO 73 000 000 0 0

50 1271210409****** 1271211010****** FREDDY DAVID HASIHOLAN TURNIP JAKARTA 10|10|**** B L JL SEI ASAHAN NO 73 000 000 0 0

51 1271210501****** 1271215606****** SURYA NINGSIH MEDAN 16|06|**** S P JL SEI ASAHAN NO 92 000 000 0 0

52 1271210504****** 1271212003****** SYARIFUDDIN PURBA BEDAGEI 20|03|**** S L JL SEI ASAHAN GG NAJIR NO 76-D 000 000 0 0

53 1271210504****** 1271215007****** SUPRIANI BAHOROK 10|07|**** S P JL SEI ASAHAN GG NAJIR NO 76-D 000 000 0 0

54 1271210504****** 1271210303****** ADEPURNAMA BAHOROK 03|03|**** B L JL SEI ASAHAN GG NAJIR NO 76-D 000 000 0 0

55 1271210504****** 1271211401****** AHMAD FAUZI PURBA MEDAN 14|01|**** B L JL SEI ASAHAN GG NAJIR NO 76-D 000 000 0 0

56 1271210510****** 1271210509****** HANAFI MEDAN 05|09|**** S L JL SEI ASAHAN GG ABD SETEPU NO 73H 000 000 0 0

57 1271210510****** 1271216407****** MIDAH MARDIANA MEDAN 24|07|**** S P JL SEI ASAHAN GG ABD SETEPU NO 73H 000 000 0 0

58 1271210510****** 1271212410****** TONI MEDAN 24|10|**** B L JL SEI ASAHAN GG ABD SETEPU NO 73H 000 000 0 0

59 1271210512****** 1205200709****** RICO SEPTIANSYAH TJ KASAU 07|09|**** S L JLN SEI ASAHAN GG.KELUARGA NO 1 000 000 0 0

60 1271210603****** 1271211003****** MANGASA VICTOR TOBING DRS MA SIBAGANDING 10|03|**** S L JL SEI ASAHAN NO 73 B MEDAN 000 000 0 0

61 1271210603****** 1271214501****** ELLEN SIANIPAR P. SIANTAR 05|01|**** S P JL SEI ASAHAN NO 73 B MEDAN 000 000 0 0

62 1271210603****** 1271216604****** JOHANNA TOBING MEDAN 26|04|**** B P JL SEI ASAHAN NO 73 B MEDAN 000 000 0 0

63 1271210603****** 1271210102****** JIMMI L TOBING SIBAGANDING 01|02|**** B L JL SEI ASAHAN NO 73 B MEDAN 000 000 0 0

64 1271210603****** 1271212205****** JOSHUA TOBING MEDAN 22|05|**** B L JL SEI ASAHAN NO 73 B MEDAN 000 000 0 0

65 1271210603****** 1271211709****** JOHANSEN TOBING MEDAN 17|09|**** B L JL SEI ASAHAN NO 73 B MEDAN 000 000 0 0

66 1271210603****** 1271060310****** SUHENRI SARUMPAET,SH HUTA IMBARU 03|10|**** S L JL SEI ASAHAN GG. A SITEPU NO 73-H 000 000 0 0

67 1271210603****** 1271216703****** CICIK MASDIANTI MEDAN 27|03|**** S P JL SEI ASAHAN GG. A SITEPU NO 73-H 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-014 139 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210608****** 1271216312****** CHRISTINE SINAR YOSEPHINE SITANGGANG MEDAN 23|12|**** B P JL SEI ASAHAN NO 52 A MEDAN 000 000 0 0

69 1271210612****** 1271213112****** SUWONO DOLOK MALANGIR 31|12|**** S L JL SEI ASAHAN GG ABD SITEPU 000 000 0 0

70 1271210701****** 1271212312****** EDWARD SIAHAAN MEDAN 23|12|**** S L JL SEI ASAHAN NO 67 A 000 000 0 0

71 1271210701****** 1271215707****** INDARIA SARAGIH P. SIANTAR 17|07|**** S P JL SEI ASAHAN NO 67 A 000 000 0 0

72 1271210701****** 1271213101****** JOSUA ANDREAS SIAHAAN MEDAN 31|01|**** B L JL SEI ASAHAN NO 67 A 000 000 0 0

73 1271210701****** 1271216212****** DESI KARTIKA NATALIA SIAHAAN MEDAN 22|12|**** B P JL SEI ASAHAN NO 67 A 000 000 0 0

74 1271210703****** 1271217105****** EVA RAHMAYANI MEDAN 31|05|**** P P JL SEI ASAHAN NO 77-A MEDAN 000 000 0 0

75 1271210703****** 1271216411****** EGA WAYAKI MEDAN 24|11|**** B P JL SEI ASAHAN NO 77-A MEDAN 000 000 0 0

76 1271210703****** 1271212610****** TAGOR H SINURAT IR MSC RANTAU PRAPAT 26|10|**** S L JL SEI ASAHAN NO 71-E MEDAN 000 000 0 0

77 1271210703****** 1271216411****** LINDA MARIATY PEKANBARU 24|11|**** S P JL SEI ASAHAN NO 71-E MEDAN 000 000 0 0

78 1271210703****** 1271215809****** YOHANA ROTUA YOSEFIN MEDAN 18|09|**** B P JL SEI ASAHAN NO 71-E MEDAN 000 000 0 0

79 1271210703****** 1271210103****** SAHAT MARTIN PHILIP PEKANBARU 01|03|**** B L JL SEI ASAHAN NO 71-E MEDAN 000 000 0 0

80 1271210704****** 1271211208****** AGUNG JEPARA 12|08|**** S L JL SEI ASAHAN GG ABD SITEPU NO 73 H 000 000 0 0

81 1271210704****** 1271216709****** MAHANI MEDAN 27|09|**** S P JL SEI ASAHAN GG ABD SITEPU NO 73 H 000 000 0 0

82 1271210704****** 1271212911****** MUTALIF SURBAKTI MEDAN 29|11|**** S L JL. SEI ASAHAN GG. ABD SITEPU 000 000 0 0

83 1271210705****** 1271212008****** SUNARDI KOTACANE 20|08|**** S L JL. SEI ASAHAN GG ABD SITEPU 000 000 0 0

84 1271210705****** 1271216005****** SITI MARIA MEDAN 20|05|**** S P JL. SEI ASAHAN GG ABD SITEPU 000 000 0 0

85 1271210706****** 1207191712****** TARO PRATAMA DAMANIK GALANG 17|12|**** B L JL SEI ASAHAN NO. 78 MEDAN 000 000 0 0

86 1271210706****** 1271171905****** MONANG PASARIBU SIAHAAN TORUAN 19|05|**** S L JL SEI ASAHAN NO 70 C 000 000 0 0

87 1271210706****** 1271175608****** RISLEN MANURUNG HANAULY 16|08|**** S P JL SEI ASAHAN NO 70 C 000 000 0 0

88 1271210706****** 1271175302****** MONARIS PASARIBU MEDAN 13|02|**** B P JL SEI ASAHAN NO 70 C 000 000 0 0

89 1271210706****** 1271174404****** APRILCILLIA PASARIBU MEDAN 04|04|**** B P JL SEI ASAHAN NO 70 C 000 000 0 0

90 1271210801****** 1271210212****** HM SUJONO M MEDAN 02|12|**** S L JL SEI ASAHAN NO 76 B MEDAN 000 000 0 0

91 1271210801****** 1271215203****** HJ ARPINA MEDAN 12|03|**** S P JL SEI ASAHAN NO 76 B MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-014 140 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271210801****** 1271210703****** IMAN SETIAWAN MEDAN 07|03|**** B L JL SEI ASAHAN NO 76 B MEDAN 000 000 0 0

93 1271210801****** 1212012805****** RAMLI SIREGAR BALIGE 28|05|**** B L JLSEI SILAU PS XI NO 106 000 000 0 0

94 1271210803****** 1271214903****** NANI DAMAYANTI PERBAUNGAN 09|03|**** P P JL SEI ASAHAN NO 47 MEDAN 000 000 0 0

95 1271210803****** 1271212412****** ARNALDO RAHMADSYAH GIRI MEDAN 24|12|**** P L JL SEI ASAHAN NO 47 MEDAN 000 000 0 0

96 1271210803****** 1271211801****** ARMANDO JULYANSYAH GIRI MEDAN 18|01|**** B L JL SEI ASAHAN NO 47 MEDAN 000 000 0 0

97 1271210805****** 1271212310****** DARMA WIJAYA PEMATANG SIANTAR 23|10|**** S L JL SEI ASAHAN GG PERHUBUNGAN NO 1 000 000 0 0

98 1271210805****** 1271216606****** SITI SUMARNI MARIHAT BANDAR 26|06|**** S P JL SEI ASAHAN GG PERHUBUNGAN NO 1 000 000 0 0

99 1271210805****** 1271210506****** ERICK RAHMAT SITUMORANG ST MEDAN 05|06|**** S L JL SEI ASAHAN GG PERHUBUNGAN NO 6 000 000 0 0

100 1271210805****** 1271215105****** LUCIA SUCI CHRISTININGRUM JAKARTA 11|05|**** S P JL SEI ASAHAN GG PERHUBUNGAN NO 6 000 000 0 0

101 1271210808****** 1271212409****** MOHD SALEH MANAHAN PANE MEDAN 24|09|**** S L JL SEI ASAHAN NO 46 000 000 0 0

102 1271210808****** 1271216406****** RUNTINA BR TURNIP SALBE 24|06|**** P P JL SEI ASAHAN NO 53-B 000 000 0 0

103 1271210808****** 1271210411****** JHONRY HARTONO SILALAHI MEDAN 04|11|**** B L JL SEI ASAHAN NO 53-B 000 000 0 0

104 1271210809****** 1271211612****** RUDYHOT NATANAEL SILALAHI MEDAN 16|12|**** S L JL SEI ASAHAN NO 53B MEDAN 000 000 0 0

105 1271210809****** 1271214110****** RIOMAS SINAGA MEDAN 01|10|**** S P JL SEI ASAHAN NO 53B MEDAN 000 000 0 0

106 1271210901****** 1271216406****** WIEKE WINANGSIH SE BANDUNG 24|06|**** S P JL SEI ASAHAN NO 74 MEDAN 000 000 0 0

107 1271210901****** 1271212009****** JERRY ANDIKA WARDHIZA MEDAN 20|09|**** B L JL SEI ASAHAN NO 74 MEDAN 000 000 0 0

108 1271210902****** 1271216811****** WAMILDA SOLAFIDE TINAMBUNAN SIDIKALANG 28|11|**** P P JL SEI ASAHAN NO.63 000 000 0 0

109 1271210902****** 1271210712****** ANDREAS MANIMBUL SIMANJUNTAK P SIANTAR 07|12|**** B L JL SEI ASAHAN NO.63 000 000 0 0

110 1271210903****** 1271211411****** FERRY DIKA WARDHANA ERWAN MEDAN 14|11|**** B L JL SEI ASAHAN NO 74 MEDAN 000 000 0 0

111 1271210904****** 1271210503****** ABDUL MUHKAYAT JAWA TIMUR 05|03|**** S L JL SEIASAHAN GG ABDULLAH SITEPU 000 000 0 0

112 1271210904****** 1271215504****** ROSMINAH MEDAN 15|04|**** S P JL SEIASAHAN GG ABDULLAH SITEPU 000 000 0 0

113 1271210904****** 1271216311****** SUPRIONINGSIH MEDAN 23|11|**** B P JL SEIASAHAN GG ABDULLAH SITEPU 000 000 0 0

114 1271210904****** 1271213112****** SUPRI CAHYONO MEDAN 31|12|**** B L JL SEIASAHAN GG ABDULLAH SITEPU 000 000 0 0

115 1271210905****** 1271214907****** YATI MARDIANA, SE MEDAN 09|07|**** S P JL SEI ASAHAN NO 55 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-014 141 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271210905****** 1271212803****** DONNY IWANSYAH P PAKPAHAN, SP AEK NABARA 28|03|**** S L JL SEI ASAHAN NO 55 MEDAN 000 000 0 0

117 1271210905****** 1271216401****** AFRA ADILLA PAKPAHAN MEDAN 24|01|**** B P JL SEI ASAHAN NO 55 MEDAN 000 000 0 0

118 1271210908****** 1271212209****** MUHAMMAD NAZHAN, SE.MM MEDAN 22|09|**** S L JL SEI ASAHAN GG PERHUBUNGAN NO 1 000 000 0 0

119 1271210908****** 1271217101****** TUDIANA,AMD MEDAN 31|01|**** S P JL SEI ASAHAN GG PERHUBUNGAN NO 1 000 000 0 0

120 1271210908****** 1271216412****** NABILA SAFIRA MEDAN 24|12|**** B P JL SEI ASAHAN GG PERHUBUNGAN NO 1 000 000 0 0

121 1271210909****** 1271121502****** NASYA NIRMA SARI MEDAN 15|02|**** B P PERM. PARADISE GARDEN JL SAI ASAHAN NO.25 B 000 000 0 0

122 1271210909****** 1271120112****** FIKRY ADRIAL BINJAI 01|12|**** B L PERM. PARADISE GARDEN JL SAI ASAHAN NO.25 B 000 000 0 0

123 1271210910****** 1271210710****** MAHYUDDIN LUBIS BA UJUNG RAMBAI 07|10|**** S L JL SEI ASAHAN NO 8-19 000 000 0 0

124 1271210910****** 1271216001****** SUSILAWATI PANTAI CERMIN 20|01|**** S P JL SEI ASAHAN NO 8-19 000 000 0 0

125 1271210910****** 1271212907****** SUCHINDA MAHRUZAR LUBIS MEDAN 29|07|**** B L JL SEI ASAHAN NO 8-19 000 000 0 0

126 1271210910****** 1271214106****** SINTHIA MAHDALINA LUBIS MEDAN 01|06|**** B P JL SEI ASAHAN NO 8-19 000 000 0 0

127 1271210912****** 1271210303****** HABONARAN BAKARA MEDAN 03|03|**** S L JL SEI PADANG GG PERJUANGAN NO 5 000 000 0 0

128 1271210912****** 1271216005****** MAY DEBORA NAINGGOLAN MEDAN 20|05|**** B P JL SEI PADANG GG PERJUANGAN NO 5 000 000 0 0

129 1271210912****** 1271215811****** EVA NOVITA SARI NAINGGOLAN MEDAN 18|11|**** S P JL SEI PADANG GG PERJUANGAN NO 5 000 000 0 0

130 1271211002****** 1271216705****** MERY HELMINA SIAHAAN BALIGE 27|05|**** P P JL SEI ASAHAN GG PERHUBUNGAN NO 3 000 000 0 0

131 1271211002****** 1271212811****** JEREMI KRISTIADI MEDAN 28|11|**** B L JL SEI ASAHAN GG PERHUBUNGAN NO 3 000 000 0 0

132 1271211002****** 1271216204****** GABRIELLA PASYA IRIANTI MEDAN 22|04|**** B P JL SEI ASAHAN GG PERHUBUNGAN NO 3 000 000 0 0

133 1271211002****** 1271215508****** FLORA SILALAHI P SIANTAR 15|08|**** S P JL SEI ASAHAN NO 52 A MEDAN 000 000 0 0

134 1271211002****** 1271211406****** LINTONG SAMUELSON SITANGGANG MEDAN 14|06|**** B L JL SEI ASAHAN NO 52 A MEDAN 000 000 0 0

135 1271211002****** 1271212907****** WILLY BONA JANSEN SITANGGANG MEDAN 29|07|**** B L JL SEI ASAHAN NO 52 A MEDAN 000 000 0 0

136 1271211002****** 1271212305****** ALBERT REINALDO H SITANGGANG TJ BALAI 23|05|**** B L JL SEI ASAHAN NO 52 A MEDAN 000 000 0 0

137 1271211003****** 1271212908****** JONATHAN TOBING MEDAN 29|08|**** S L JL SEI ASAHAN GG PRIBADI NO 2-E 000 000 0 0

138 1271211003****** 1271214105****** HANNA MEILANI DAMANIK TARUTUNG 01|05|**** S P JL SEI ASAHAN GG PRIBADI NO 2-E 000 000 0 0

139 1271211003****** 1202052208****** RINALDI LUMBANTOBING SIBAGANDING 22|08|**** B L JL SEI ASAHAN GG PRIBADI NO 2-E 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-014 142 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271211003****** 1271010501****** SUKHWINDER SINGH MEDAN 05|01|**** S L JL SEI ASAHAN NO 25 KOMP PARADISE GERDEN UNIT M 000 000 0 0

141 1271211004****** 1271211102****** H HAKIM SADLY HUTASUHUT IR MEDAN 11|02|**** S L JL SEI ASAHAN NO 36 MEDAN 000 000 0 0

142 1271211004****** 1271214301****** HJ TINA DHARMAWATY LUBIS, SE PEMATANG SIANTAR 03|01|**** S P JL SEI ASAHAN NO 36 MEDAN 000 000 0 0

143 1271211004****** 1271216103****** SALLYNA KARALA PRATIWI H MEDAN 21|03|**** B P JL SEI ASAHAN NO 36 MEDAN 000 000 0 0

144 1271211006****** 1271216310****** SRI ROSMAYATI MEDAN 23|10|**** S P JL SEI ASAHAN GANG ABD SITEPU NO.11 000 000 0 0

145 1271211008****** 1271211905****** J PARDAMEAN SIDAURUK MEDAN 19|05|**** S L JLSEI ASAHAN GGPERHUB NO6B 000 000 0 0

146 1271211008****** 1271217008****** SUMIATI SIAHAAN MEDAN 30|08|**** S P JLSEI ASAHAN GGPERHUB NO6B 000 000 0 0

147 1271211008****** 1271211112****** DONALD SIAHAAN MEDAN 11|12|**** B L JLSEI ASAHAN GGPERHUB NO6B 000 000 0 0

148 1271211008****** 1271212901****** ELIAS CHANDRA SIDAURUK MEDAN 29|01|**** B L JLSEI ASAHAN GGPERHUB NO6B 000 000 0 0

149 1271211008****** 1271215705****** ERNI DAYANTI MEDAN 17|05|**** B P JL SEI ASAHAN NO 76 000 000 0 0

150 1271211008****** 1211062212****** BUDI KSATRIA GINTING KUTABULUH 22|12|**** B L JL. SEI ASAHAN GG ABD SITEPU 000 000 0 0

151 1271211008****** 1271215907****** JULIANI SURBAKTI MEDAN 19|07|**** B P JL. SEI ASAHAN GG ABD SITEPU 000 000 0 0

152 1271211008****** 1115034512****** HALIMATUSSAKDIAH SAWANG MANE 05|12|**** S P JL SEI ASAHAN NO 75 000 000 0 0

153 1271211008****** 1115031008****** FUADI CEUBREK 10|08|**** S L JL SEI ASAHAN NO 75 000 000 0 0

154 1271211008****** 3602184806****** HERLINA SIAHAAN JAKARTA 08|06|**** P P JL. SEI ASAHAN PASAR 12 NO 60 000 000 0 0

155 1271211008****** 3602180308****** RAFI PERMADIANA LEBAK 03|08|**** B L JL. SEI ASAHAN PASAR 12 NO 60 000 000 0 0

156 1271211009****** 1271210704****** ABDON BAKARA BAKKARA 07|04|**** S L JL SEI PADANG GG PERJUANGAN NO 5 000 000 0 0

157 1271211009****** 1271214204****** TIAREN HUTABARAT SIPIROK 02|04|**** S P JL SEI PADANG GG PERJUANGAN NO 5 000 000 0 0

158 1271211009****** 1271214503****** BONARMATIUS BAKARA MEDAN 05|03|**** S P JL SEI PADANG GG PERJUANGAN NO 5 000 000 0 0

159 1271211009****** 1271217001****** LASMAIDA BAKARA MEDAN 30|01|**** B P JL SEI PADANG GG PERJUANGAN NO 5 000 000 0 0

160 1271211009****** 1271211012****** HALASAN BAKARA MEDAN 10|12|**** B L JL SEI PADANG GG PERJUANGAN NO 5 000 000 0 0

161 1271211010****** 1271215202****** SRI EKA WAHYUNI MEDAN 12|02|**** S P JL SEI ASAHAN GG ASITEPU 000 000 0 0

162 1271211010****** 1271212303****** UNAN OLOAN HASIBUAN SIBUHUAN 23|03|**** S L JL SEI ASAHAN GG ASITEPU 000 000 0 0

163 1271211012****** 1271214404****** ELVI NIFDEWANI,BA BANDA ACEH 04|04|**** S P JL SEI ASAHAN NO 40 A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-014 143 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271211012****** 1271211006****** RIVAI DJAMIL DRS BINJAI 10|06|**** S L JL SEI ASAHAN NO 40 A 000 000 0 0

165 1271211012****** 1271214809****** HENNY ELRIANTISH MEDAN 08|09|**** S P JL SEI ASAHAN NO 40 A 000 000 0 0

166 1271211102****** 1271211107****** MHD REZA ZULFIKAR PAKPAHAN MEDAN 11|07|**** S L JL. SEI ASAHAN NO. 55 000 000 0 0

167 1271211102****** 1271056206****** NABILA ABDUL NASIR BAHAJJAD MEDAN 22|06|**** S P JL. SEI ASAHAN NO. 55 000 000 0 0

168 1271211107****** 1271210107****** DONI ALIANDU MEDAN 01|07|**** S L JL SEI ASAHAN GANG ABDULAH SITEPU 000 000 0 0

169 1271211107****** 1271035506****** MM RATIH SRIWARDANI DRA PURWOREJO 15|06|**** S P KOMPLEK PARADISE GARDEN JL SEI ASAHAN NO. 25F 000 000 0 0

170 1271211107****** 1271031908****** REZA GILANG NANGGALA KEBUMEN 19|08|**** B L KOMPLEK PARADISE GARDEN JL SEI ASAHAN NO. 25F 000 000 0 0

171 1271211201****** 1271212005****** SARDI SITANGGANG MEDAN 20|05|**** S L JL SEI PADANG GG SIPIROK NO 4C 000 000 0 0

172 1271211204****** 1271211502****** MHD ZULFIKAR SUMBER REJO 15|02|**** B L JL SEI ASAHAN NO 80 MEDAN 000 000 0 0

173 1271211205****** 1271215405****** SURTY MEDAN 14|05|**** B P JL SEI ASAHAN 000 000 0 0

174 1271211206****** 1271210607****** SAYUTI HARAHAP MEDAN 06|07|**** S L JL SEI ASAHAN NO 23 B 000 000 0 0

175 1271211206****** 1271215010****** SULASIKIN P. SIANTAR 10|10|**** S P JL SEI ASAHAN NO 23 B 000 000 0 0

176 1271211207****** 1271210107****** LIANTO MEDAN 01|07|**** S L JL SEI ASAHAN GG PERHUBUNGAN NO 1 000 000 0 0

177 1271211207****** 1271214512****** RAFNI KHAN MEDAN 05|12|**** S P JL SEI ASAHAN GG PERHUBUNGAN NO 1 000 000 0 0

178 1271211207****** 1271210306****** MARZUQ MUHAMMAD MEDAN 03|06|**** B L JL SEI ASAHAN GG PERHUBUNGAN NO 1 000 000 0 0

179 1271211302****** 1271214305****** WAHYUNI PERBAUNGAN 03|05|**** S P JL SEI. ASAHAN NO 8 / 19 000 000 0 0

180 1271211302****** 1271210601****** IMAM PRAHMANA TANAH RAJA 06|01|**** S L JL SEI. ASAHAN NO 8 / 19 000 000 0 0

181 1271211303****** 1271215205****** MARSINI KOTARI 12|05|**** S P JL SEI ASAHAN GG SPEKSI NO 21A 000 000 0 0

182 1271211303****** 1271217103****** ARIANI MEDAN 31|03|**** B P JL SEI ASAHAN GG SPEKSI NO 21A 000 000 0 0

183 1271211304****** 1271212903****** ALEXANDER LOUIS LEOWARDY MEDAN 29|03|**** S L JLN. SEI ASAHAN NO. 40-A MEDAN 000 000 0 0

184 1271211304****** 1271212004****** ADENAN MEDAN 20|04|**** S L JL SEI ASAHAN PS XII NO 97-A 000 000 0 0

185 1271211304****** 1271035010****** SUPRAPTI NGAWI 10|10|**** S P JL SEI ASAHAN PS XII NO 97-A 000 000 0 0

186 1271211307****** 1271217008****** Y RATNANINGSIH P SIANTURISH GORONTALO 30|08|**** S P JLSEI PADANG GGPRIBADI NO4 000 000 0 0

187 1271211307****** 1271215605****** DEVY MADYA MAGNOLYAP JAKARTA 16|05|**** B P JLSEI PADANG GGPRIBADI NO4 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-014 144 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271211307****** 1271216411****** FITRI YANI MEDAN 24|11|**** P P JLSEI ASAHAN NO53 MEDAN 000 000 0 0

189 1271211309****** 1271216012****** NILAWATI SIREGAR MEDAN 20|12|**** S P JL SEI ASAHA NO 46 MEDAN 000 000 0 0

190 1271211309****** 1271212810****** ADE SYAHPUTRA PANE MEDAN 28|10|**** B L JL SEI ASAHA NO 46 MEDAN 000 000 0 0

191 1271211309****** 1271215109****** BEBY SEFRIANI PANE MEDAN 11|09|**** B P JL SEI ASAHA NO 46 MEDAN 000 000 0 0

192 1271211401****** 1271214605****** ANI REZKI ARIDA,SH MEDAN 06|05|**** B P P BULAN SELAYANG I 000 000 0 0

193 1271211404****** 1271212812****** MUSTAFA MEDAN 28|12|**** S L JL SEI ASAHA NO 46 MEDAN 000 000 0 0

194 1271211404****** 1275014505****** IMELDA SUSANTI MEDAN 05|05|**** S P JL SEI ASAHA NO 46 MEDAN 000 000 0 0

195 1271211409****** 1271172606****** Z U L K A S I H MEDAN 26|06|**** S L JL SEI ASAHAN GG ABD SITEPU NO 73 000 000 0 0

196 1271211411****** 1271210506****** SURIP MEDAN 05|06|**** S L JL SEI ASAHAN MEDAN 000 000 0 0

197 1271211411****** 1271214202****** SUPRIANI MEDAN 02|02|**** S P JL SEI ASAHAN MEDAN 000 000 0 0

198 1271211411****** 1271215708****** HARTIKA PURNAMA SARI MEDAN 17|08|**** B P JL SEI ASAHAN MEDAN 000 000 0 0

199 1271211411****** 1271215511****** EKA SUSANTI MEDAN 15|11|**** B P JL SEI ASAHAN MEDAN 000 000 0 0

200 1271211411****** 1271213011****** HARSAD HASIBUAN MEDAN 30|11|**** S L JL SEI ASAHAN GG A SITEPU NO 73 H 000 000 0 0

201 1271211411****** 1271216301****** SITI MAHYUNI STABAT 23|01|**** S P JL SEI ASAHAN GG A SITEPU NO 73 H 000 000 0 0

202 1271211411****** 1271211701****** FIRMANSYAH HASIBUAN STABAT 17|01|**** B L JL SEI ASAHAN GG A SITEPU NO 73 H 000 000 0 0

203 1271211411****** 1207196103****** ENZI ANANDA DAMANIK MEDAN 21|03|**** B P JL SEI ASAHAN NO. 78 MEDAN 000 000 0 0

204 1271211411****** 1207195001****** DEVI ANANDA DAMANIK MEDAN 10|01|**** B P JL SEI ASAHAN NO. 78 MEDAN 000 000 0 0

205 1271212109****** 1271215112****** SRI MARIATUN BASILAM 11|12|**** S P JL SEI ASAHAN GG ABDULAH SITEPU 000 000 0 0

206 1271212112****** 1271100710****** SOFYAN ANDRI MEDAN 07|10|**** S L JL SEI ASAHAN NO 36 MEDAN 000 000 0 0

207 1271212209****** 1271215102****** ELITA PADANG TIJI 11|02|**** S P JL SEI ASAHAN GG ABDULLAH SITEPU 000 000 0 0

208 1271212209****** 1205112510****** M.TEDDY AKBAR TANJUNG PURA 25|10|**** B L JL SEI ASAHAN GG PRIBADI 000 000 0 0

209 1271212507****** 1271210807****** SOFYAN PAKPAHAN SIPIROK 08|07|**** S L JLSEI ASAHAN NO 55 000 000 0 0

210 1271212511****** 1213015605****** RITA HARAHAP SINGARAJA 16|05|**** S P JL.SEI ASAHAN NO.76 000 000 0 0

211 1271212610****** 1271212307****** ASEP SUKMARA BANDUNG 23|07|**** S L JL SEI ASAHAN NO 57 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-014 145 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271211309****** 1271212712****** PARLINDUNGAN P.BRANDAN 27|12|**** S L JL SEI ASAHA NO 46 MEDAN 005 000 0 0

213 1271210910****** 1271211408****** RIZKY MAHFUZAR LUBIS MEDAN 14|08|**** B L JL SEI ASAHAN NO 8-19 005 002 0 0

214 1271210105****** 1271215105****** NURSYAMSIAH TB T TIRAM 11|05|**** S P JL SEI ASAHAN GG ABD SITEPU 001 005 0 0

215 1271210305****** 1271216606****** NUR HOLILA DAULAY MATONDANG 26|06|**** S P JL SEI ASAHAN NO 90 001 005 0 0

216 1271210501****** 1271211603****** PARULIAN PERDAGANGAN 16|03|**** S L JL SEI ASAHAN NO 92 001 005 0 0

217 1271210510****** 1271215609****** NORA WULANSARI MEDAN 16|09|**** B P JL SEI ASAHAN GG ABD SETEPU NO 73H 001 005 0 0

218 1271210603****** 1271216407****** NORENSI LUMBANTOBING SIBAGANDING 24|07|**** B P JL SEI ASAHAN NO 73 B MEDAN 001 005 0 0

219 1271210603****** 1271210508****** NORBET KELAMBIR LIMA 05|08|**** S L JL SEI ASAHAN GG ABDULAH SITEPU 001 005 0 0

220 1271211001****** 1271215503****** NURUL IZZA AMRAN MEDAN 15|03|**** B P JL SEI ASAHAN NO 69 MEDAN 001 005 0 0

221 1271211002****** 1271215011****** NURMAIDA SITINJAK TOBASA 10|11|**** S P JL SEI ASAHAN GG PERHUBUNGAN NO 3 001 005 0 0

222 1271211107****** 1271217007****** NURHABIBAH LUBIS TARUTUNG JULU 30|07|**** S P JL SEI ASAHAN GANG ABDULAH SITEPU 001 005 0 0

223 1271211202****** 1271215101****** RUWINDA SYAHFITRI MEDAN 11|01|**** B P JL SEI ASAHAN NO 8-19 001 005 0 0

224 1271210703****** 1271216308****** OLIVIA DAME MASTERINA MEDAN 23|08|**** B P JL SEI ASAHAN NO 7 -E MEDAN 002 005 0 0

225 1271211004****** 1271215310****** OCTISA ALMIRA CHALIDA MEDAN 13|10|**** B P JL SEI ASAHAN NO 36 MEDAN 002 005 0 0

226 1271211303****** 1271210703****** PAIMAN KOTARI 07|03|**** S L JL SEI ASAHAN GG SPEKSI NO 21A 002 005 0 0

227 1271211307****** 1271216609****** OLIVIA VANYA PANGARIBUAN MEDAN 26|09|**** B P JLSEI PADANG GGPRIBADI NO4 002 005 0 0

228 1271211409****** 1271175402****** R O H A Y A BEKASI 14|02|**** S P JL SEI ASAHAN GG ABD SITEPU NO 73 002 005 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 228 Jenis Kelamin = 228 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 88 L : Laki-Laki = 112 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 128 P : Perempuan = 116 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 12
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 099 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-014 146 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 015
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271210102****** 3201070412****** MULIANTA SEMBIRING MEDAN 04|12|**** S L JL.SEI PADANG NO.115 000 000 0 0

2 1271210310****** 1271210703****** MUHAMMAD DICKY ABDULLAH MEDAN 07|03|**** B L JL SEI PADANG GG BUNTU NO 134 A 000 000 0 0

3 1271210310****** 1271217108****** AZIZAH MEDAN 31|08|**** B P JL SEI PADANG GG BUNTU NO 134 A 000 000 0 0

4 1271210409****** 1271171101****** DENNY PRANATA GINTING MEDAN 11|01|**** S L JL SEI PADANG NO 000 000 0 0

5 1271210409****** 1271205604****** ASTARI HIDAYAH MEDAN 16|04|**** S P JL SEI PADANG NO 000 000 0 0

6 1271210505****** 1271210506****** AMIRUDIN GALANG 05|06|**** S L JL SEI PADANG / SPEKSI NO 06 000 000 0 0

7 1271210510****** 1201162407****** ADISON MANALU AEK NADUA 26|07|**** S L JL.SEI PADANG NO 144 000 000 0 0

8 1271210510****** 1217085812****** BERLIANA GURNING SILUNDAK 18|12|**** S P JL.SEI PADANG NO 144 000 000 0 0

9 1271210801****** 1271215102****** TIRAULAN RAMBE B.PURBA 11|02|**** S P JL.SEI PADANG GG.SIPIROK NO 14 000 000 0 0

10 1271210907****** 1210203008****** PRENGKI ANTONI HUTAJULU SUNGAI SITORUS 30|10|**** B L JL SEI PADANG GG KELUARGA NO 4 000 000 0 0

11 1271210907****** 1223086409****** IMELDAWATI SILABAN,SPD TANJUNGAN 24|09|**** S P JL.SEI PADAMG GG.KELUARGA NO 4 000 000 0 0

12 1271211412****** 1271210908****** FERRY HARTLAND MEDAN 09|08|**** B L JL SEI PADANG GG PRIBADI NO 7 000 000 0 0

13 1271211412****** 1271210411****** JIMMY CARTER HUTAPEA MEDAN 04|11|**** S L JL SEI PADANG GG SIPIROK NO.1 000 000 0 0

14 1271211412****** 1271026006****** LINCE PAULINA MEDAN 20|06|**** S P JL SEI PADANG GG SIPIROK NO.1 000 000 0 0

15 1271211502****** 1271214203****** MOLLYTA MOCHTAR SE MEDAN 02|03|**** S P JLSEI PADANG 143 MEDAN 000 000 0 0

16 1271211504****** 1271211110****** PARSAULIAN HARAHAP MEDAN 11|10|**** S L JL.SEI PADANG GG SIPIROK NO 14 000 000 0 0

17 1271211504****** 1271211810****** ADI SAHPUTRA HARAHAP MEDAN 18|10|**** B L JL.SEI PADANG GG SIPIROK NO 14 000 000 0 0

18 1271211506****** 1271211303****** NORMAN LOUIS MANTHEY MEDAN 13|03|**** S L JL SEI PADANG NO 136 MEDAN 000 000 0 0

19 1271211506****** 1271215812****** CHRISTINA WIJAYA, SE MEDAN 18|12|**** S P JL SEI PADANG NO 136 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-015 147 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271211506****** 1271210905****** RIZKY ALFIAN MANTHEY MEDAN 09|05|**** B L JL SEI PADANG NO 136 MEDAN 000 000 0 0

21 1271211506****** 1271212701****** ARY RIZALDI MANTHEY MEDAN 27|01|**** B L JL SEI PADANG NO 136 MEDAN 000 000 0 0

22 1271211506****** 1271214301****** DARA TRIACHIKA MANTHEY MEDAN 03|01|**** B P JL SEI PADANG NO 136 MEDAN 000 000 0 0

23 1271211506****** 1271210107****** BUDI RAMANSYAH P MEDAN 01|07|**** B L JLSEI PADANG NO144 MEDAN 000 000 0 0

24 1271211506****** 1271212911****** HARIONO MEDAN 29|11|**** S L JL SEI PADANG GG DAMAI NO 1 000 000 0 0

25 1271211506****** 1271214503****** RASMIATI KISARAN 05|03|**** S P JL SEI PADANG GG DAMAI NO 1 000 000 0 0

26 1271211506****** 1271215207****** CINDI RAHAYU MEDAN 12|07|**** S P JL SEI PADANG GG DAMAI NO 1 000 000 0 0

27 1271211506****** 1271216101****** JUARNI ANITA MEDAN 21|01|**** B P JL SEI PADANG GG DAMAI NO 1 000 000 0 0

28 1271211506****** 1271211310****** KUSAERI TARMIN BANYUMAS 13|10|**** S L JL SEI PADANG GG DAME NO 4 000 000 0 0

29 1271211506****** 1271214711****** MARLYAH BANYUMAS 07|11|**** S P JL SEI PADANG GG DAME NO 4 000 000 0 0

30 1271211511****** 1271211303****** OSMAN ARITONANG PANCUR NATOLU 13|03|**** S L JL.SEI PADANG MEDAN 000 000 0 0

31 1271211511****** 1271215707****** RISNAIDA BR SILABAN PAHIEME 17|07|**** S P JL.SEI PADANG MEDAN 000 000 0 0

32 1271211512****** 1271214407****** DESNIDA SINABANG 04|07|**** S P JL SEI PADANG GG PRIBADI NO 3 000 000 0 0

33 1271211512****** 1271211105****** RIDWAN MEDAN 11|05|**** S L JL SEI PADANG GG PRIBADI NO 3 000 000 0 0

34 1271211512****** 1271211011****** DODI HARDIANTA MEDAN 10|11|**** S L JL SEI PADANG NO 132 A 000 000 0 0

35 1271211512****** 1271215809****** SITI ROHANI MEDAN 18|09|**** S P JL SEI PADANG NO 132 A 000 000 0 0

36 1271211603****** 1271211105****** ADI LIANTO G BAYU 11|05|**** S L JLSEI PADANG GDAME 000 000 0 0

37 1271211603****** 1271215305****** WAGIEM MEDAN 13|05|**** S P JLSEI PADANG GDAME 000 000 0 0

38 1271211603****** 1271211508****** AZIS ISMAIL MEDAN 15|08|**** B L JL SEI PADANG GG BUNTU NO 134 000 000 0 0

39 1271211702****** 1208231612****** PANDER HUTAHAEAN NAGORI BANDAR 16|12|**** B P JL SEI PADANG GG PERJUANGAN NO 7 000 000 0 0

40 1271211702****** 1271217007****** JULIANTI MEDAN 30|07|**** B P JL SEI PADANG GG PERJUANGAN NO 7 000 000 0 0

41 1271211704****** 7171056708****** NATASYA TESSALONIKA P MANADO 27|08|**** S P JL.SEI PADANG GG.SIPIROK NO.1 000 000 0 0

42 1271211704****** 1271212906****** ADE JULIUS TITALEY MEDAN 29|06|**** B L JL SEI PADANG GG SIPIROK NO 1 000 000 0 0

43 1271212102****** 1271210203****** SALMON SIREGAR SIMANDUMA 02|03|**** S L JL. SEI PADANG GG. BUNTU NO . 116 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-015 148 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271212102****** 1271215401****** LISBET LUMBANGAOL UJUNG PARIRA 14|01|**** S P JL. SEI PADANG GG. BUNTU NO . 116 000 000 0 0

45 1271212109****** 1271216405****** BEBY SENDY MEDAN 24|05|**** S P JL SEI PADANG GG LANGGAR NO 12 000 000 0 0

46 1271212109****** 1271212505****** RIMSON SIMANJUNTAK PADANG SIDEMPUAN 25|05|**** S L JL SEI PADANG NO 161 MEDAN 000 000 0 0

47 1271212111****** 1271210512****** RAHMAT TEBING TINGGI 05|12|**** S L JLSEI PADANG PRIBADI NO 5 A 000 000 0 0

48 1271212111****** 1271210704****** SATRIA NUR MEDAN 07|04|**** B L JLSEI PADANG PRIBADI NO 5 A 000 000 0 0

49 1271212201****** 1271210101****** SUWITO AR MEDAN 01|01|**** S L JL SEI PADANG NO 134-A 000 000 0 0

50 1271212201****** 1271214505****** MISINEM MEDAN 05|05|**** S P JL SEI PADANG NO 134-A 000 000 0 0

51 1271212201****** 1207220304****** APRISAL RAHMADAN MEDAN 03|04|**** B L JL SEI PADANG NO 134-A 000 000 0 0

52 1271212201****** 1271213101****** NASIBIN BANYUMAS 31|01|**** S L JLSEI PADANG GG PRIBADI NO 3 000 000 0 0

53 1271212201****** 1271216001****** SAENAH MEDAN 20|01|**** S P JLSEI PADANG GG PRIBADI NO 3 000 000 0 0

54 1271212201****** 1271215002****** NURHAMIDAH RANGKUTI MEDAN 10|02|**** B P JLSEI PADANG GG PRIBADI NO 3 000 000 0 0

55 1271212202****** 1271211909****** SUHEMI BINJAI 19|09|**** S L JLSEI PADANG NO 140 000 000 0 0

56 1271212202****** 1271215509****** SRI HARTUTI MEDAN 15|09|**** S P JLSEI PADANG NO 140 000 000 0 0

57 1271212202****** 1271216010****** LEDYA OCTAVIA PUTRI MEDAN 20|10|**** B P JLSEI PADANG NO 140 000 000 0 0

58 1271212202****** 1271212112****** PUTRA MAULANA SEGARA MEDAN 21|12|**** B L JLSEI PADANG NO 140 000 000 0 0

59 1271212203****** 1271211502****** TUTUR PEHULISA YOGYAKARTA 15|02|**** B L JL SEI PADANG NO 115 000 000 0 0

60 1271212203****** 1271210109****** HARAPAN BOANG MANALU SIBANDE 01|09|**** S L JL SEI PADANG GG SIPIROK NO 1 000 000 0 0

61 1271212203****** 1271215105****** SITI MAYSARAH HARAHAP MEDAN 11|05|**** S P JL SEI PADANG GG SIPIROK NO 1 000 000 0 0

62 1271212203****** 1271211702****** SAN FEBRIANUS GURU SINGA SPd MEDAN 17|02|**** S L JL SEI PADANG NO 113 000 000 0 0

63 1271212203****** 1271216304****** APRINA NASRANI GINTING PEMATANG SIANTAR 23|04|**** S P JL SEI PADANG NO 113 000 000 0 0

64 1271212203****** 1271210711****** HARIANTO MEDAN 07|11|**** S L JL SEI PADANG GG BUNTU NO 136 B 000 000 0 0

65 1271212203****** 1271214503****** SRI ENDANG ERKINALA SITEPU MEDAN 05|03|**** S P JL SEI PADANG GG BUNTU NO 136 B 000 000 0 0

66 1271212205****** 1271215012****** ASNI JARIAH SIALANG BUAH 10|12|**** S P JL. SEI PADANG NO. 110 MEDAN 000 000 0 0

67 1271212205****** 1271211104****** JENDA MULI TARIGAN MEDAN 11|04|**** S L JL. SEI PADANG NO. 110 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-015 149 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271212205****** 1271215301****** SARIPAH NOVIANTI TARIGAN MEDAN 13|01|**** B P JL. SEI PADANG NO. 110 MEDAN 000 000 0 0

69 1271212205****** 1271216611****** FITRI HANDAYANI TARIGAN SIALANG BUAH 26|11|**** B P JL. SEI PADANG NO. 110 MEDAN 000 000 0 0

70 1271212205****** 1271210808****** MUHAMMAD SUGANDHA TARIGAN MEDAN 08|08|**** B L JL. SEI PADANG NO. 110 MEDAN 000 000 0 0

71 1271212205****** 1271210808****** MUHAMMAD SUGANDHI TARIGAN MEDAN 08|08|**** B L JL. SEI PADANG NO. 110 MEDAN 000 000 0 0

72 1271212205****** 6371044704****** EVA ELITA MEDAN 07|04|**** S P JL SEI PADANG NO 110 000 000 0 0

73 1271212207****** 1271215401****** NORA, SE AK MEDAN 14|01|**** B P JL SEI PADANG NO 134 MEDAN 000 000 0 0

74 1271212207****** 1271214301****** AMANDA, SE MEDAN 03|01|**** B P JL SEI PADANG NO 134 MEDAN 000 000 0 0

75 1271212208****** 1271215303****** HUSNAH RANGKUTI BINJAI 13|03|**** P P JLSEI PADANG GG SIPIROK NO 2 000 000 0 0

76 1271212208****** 1271211605****** ADLIN RANGKUTI MEDAN 16|05|**** B L JLSEI PADANG GG SIPIROK NO 2 000 000 0 0

77 1271212208****** 1271210208****** NGATIMIN MEDAN 02|08|**** S L JL SEI PADANG NO 121 MEDAN 000 000 0 0

78 1271212208****** 1271216107****** SUMIATI MEDAN 21|07|**** S P JL SEI PADANG NO 121 MEDAN 000 000 0 0

79 1271212208****** 1271216503****** SHELVIANA ASYANTI MANTHEY MEDAN 25|03|**** S P JL SEI PADANG NO 136 MEDAN 000 000 0 0

80 1271212208****** 1271215209****** NATASHA SHAFIRA JIEMY MEDAN 12|09|**** B P JL SEI PADANG NO 136 MEDAN 000 000 0 0

81 1271212208****** 1271212312****** RAYHAN AULIA JIEMY MEDAN 23|12|**** B L JL SEI PADANG NO 136 MEDAN 000 000 0 0

82 1271212211****** 1271212410****** SYAHRUL SIMANJUNTAK AEK KANOPAN 24|10|**** S L JL SEI PADANG GG PERJUANGAN NO 7 000 000 0 0

83 1271212211****** 1271215605****** AMELIN BAKARA MEDAN 16|05|**** S P JL SEI PADANG GG PERJUANGAN NO 7 000 000 0 0

84 1271212211****** 1271211612****** JOHANNES PAULUS MEDAN 16|12|**** B L JL SEI PADANG GG PERJUANGAN NO 7 000 000 0 0

85 1271212211****** 1207054107****** LASMI MEDAN 01|07|**** S P JL. SEI PADANG GG.BUNTU NO.136 A 000 000 0 0

86 1271212211****** 1271212711****** AHMAD IBRAHIM MUDHANI MEDAN 27|11|**** B L JL SEI PADANG GG LANGGAR NO 4 000 000 0 0

87 1271212211****** 1209136103****** MAYA SOFI SEI DADAP 21|03|**** B P JL.SEI PADANG NO 4 000 000 0 0

88 1271212301****** 1271211611****** SYAFRUDDIN, MS P SIANTAR 16|11|**** S L JL SEI PADANG GG LANGGAR NO 4 000 000 0 0

89 1271212301****** 1271215212****** YUSNIAR, DRG P SIANTAR 12|12|**** S P JL SEI PADANG GG LANGGAR NO 4 000 000 0 0

90 1271212301****** 1271214609****** DEWI SHINTA MEDAN 06|09|**** B P JL SEI PADANG GG LANGGAR NO 4 000 000 0 0

91 1271212301****** 1271212512****** LAKSANA GINTING MEDAN 25|12|**** S L JL SEI PADANG NO 111 A MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-015 150 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271212301****** 1271215112****** SARINAH BR SEMBIRING DELI SERDANG 11|12|**** S P JL SEI PADANG NO 111 A MEDAN 000 000 0 0

93 1271212301****** 1271214503****** MARINA TIKA SARI BR GINTING MEDAN 05|03|**** B P JL SEI PADANG NO 111 A MEDAN 000 000 0 0

94 1271212301****** 1271210504****** JOSUA GINTING MEDAN 05|04|**** B L JL SEI PADANG NO 111 A MEDAN 000 000 0 0

95 1271212302****** 1271212202****** PROF ABDUL HAMID K MPD DR TAKENGON 22|02|**** P L JL SEI PADANG GG LANGGAR NO 3 000 000 0 0

96 1271212303****** 1271214506****** RUSTIANA SARAGIH HARANGGAOL 05|06|**** P P JL SEI PADANG GG SIPIROK NO 2 000 000 0 0

97 1271212303****** 1271215306****** NELLY DAMANIK BANGUN 13|06|**** B P JL SEI PADANG GG SIPIROK NO 2 000 000 0 0

98 1271212303****** 1271212811****** VECKY RICHARD DAMANIK PEMATANG SIANTAR 28|11|**** B L JL SEI PADANG GG SIPIROK NO 2 000 000 0 0

99 1271212307****** 1271215001****** ROSWITA PACITAN 10|01|**** S P JL SEI PADANG GG PERJUANGAN NO 130 000 000 0 0

100 1271212307****** 1271215004****** EFI MASRIATI MEDAN 10|04|**** B P JL SEI PADANG GG PERJUANGAN NO 30, LK V 000 000 0 0

101 1271212307****** 1271212810****** HAMDANI MEDAN 28|10|**** B L JL SEI PADANG GG PERJUANGAN NO 130 000 000 0 0

102 1271212307****** 1271210807****** SOFYAN MEDAN 08|07|**** S L JL S PADANG GG LANGGAR NO 6 B 000 000 0 0

103 1271212307****** 1271216102****** YUSNIATY MEDAN 21|02|**** S P JL S PADANG GG LANGGAR NO 6 B 000 000 0 0

104 1271212307****** 1271215704****** VINA IKHSANI MEDAN 17|04|**** B P JL S PADANG GG LANGGAR NO 6 B 000 000 0 0

105 1271212307****** 1271216404****** DZULI ASTUTI DEWI MEDAN 24|04|**** B P JL S PADANG GG LANGGAR NO 6 B 000 000 0 0

106 1271212307****** 1271216304****** IKA APRILIA PUTRI MEDAN 23|04|**** B P JL S PADANG GG LANGGAR NO 6 B 000 000 0 0

107 1271212311****** 1271211511****** PARIYONO MEDAN 15|11|**** S L JL SEI PADANG GANG LANGGAR NO 5-A 000 000 0 0

108 1271212311****** 1271217112****** SUKIYEM MEDAN 31|12|**** S P JL SEI PADANG GANG LANGGAR NO 5-A 000 000 0 0

109 1271212311****** 1271212711****** MAWARDI MEDAN 27|11|**** S L JL SEI PADANG GANG LANGGAR NO 5-A 000 000 0 0

110 1271212311****** 1271216411****** NURMALA SARI MEDAN 24|11|**** B P JL SEI PADANG GANG LANGGAR NO 5-A 000 000 0 0

111 1271212401****** 1271210910****** HAMZAH SARIF MEDAN 09|10|**** S L JLSEI PADANG GG DAMAI NO7 000 000 0 0

112 1271212401****** 1271214705****** PONIYEM MEDAN 07|05|**** S P JLSEI PADANG GG DAMAI NO7 000 000 0 0

113 1271212401****** 1271212912****** MUHAMMAD SATRIA MEDAN 29|12|**** B L JLSEI PADANG GG DAMAI NO7 000 000 0 0

114 1271212506****** 1271210803****** EISEN HOWER SITANGGANG MEDAN 08|03|**** B L JL S PADANG GG SIPIROK 000 000 0 0

115 1271212507****** 1271215208****** HEDDIANA BR MATONDANG KOTACANE 12|08|**** B P JLSEI PADANG GG BUNTU NO8 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-015 151 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271212507****** 1271212802****** SUARMAN IR MEDAN 28|02|**** S L JL SEI PADANG GG LANGGAR NO1 000 000 0 0

117 1271212507****** 1271216908****** SUFITRIANI MEDAN 29|08|**** S P JL SEI PADANG GG LANGGAR NO1 000 000 0 0

118 1271212510****** 1271212309****** DIYAN MEDAN 23|09|**** S L JL SEI PADANG NO 69 MEDAN 000 000 0 0

119 1271212510****** 1271215111****** HENNY MARLINA BR SITUMEANG SIBOLGA 11|11|**** S P JL SEI PADANG NO 69 MEDAN 000 000 0 0

120 1271212510****** 1271211705****** MUHAMMAD HADI NURCHOLIS MEDAN 17|05|**** B L JL SEI PADANG NO 69 MEDAN 000 000 0 0

121 1271212602****** 1271210211****** HANAFI MEDAN 02|11|**** S L JL SEI PADANG NO 132 A MEDAN 000 000 0 0

122 1271212602****** 1271214208****** PURNAMA SITEPU GURU KINAYAN 02|08|**** S P JL SEI PADANG NO 132 A MEDAN 000 000 0 0

123 1271212606****** 1271214809****** FADHILAH ILMI,Amd MEDAN 08|09|**** S P JLSEI. PADANG GG LANGGAR/TURI NO.01 MEDAN 000 000 0 0

124 1271212610****** 1271212106****** ZULFIKAR BUKIT BARISAN PINEM MEDAN 21|06|**** S L JL SEI PADANG GG LANGGAR NO 4 000 000 0 0

125 1271212610****** 1271215108****** ERA REJEKI, SE TANJUNG BALAI 11|08|**** S P JL SEI PADANG GG LANGGAR NO 4 000 000 0 0

126 1271212610****** 1271215206****** LADY AZURA PINEM MEDAN 12|06|**** B P JL SEI PADANG GG LANGGAR NO 4 000 000 0 0

127 1271212610****** 1271214905****** NURUL AZIZAH PINEM MEDAN 09|05|**** B P JL SEI PADANG GG LANGGAR NO 4 000 000 0 0

128 1271212610****** 1271170504****** BOY GABRIEL L TOBING MEDAN 05|04|**** B L JL SEI PADANG NO 110 000 000 0 0

129 1271212610****** 1271215008****** MIRANDA GUSTI TOFANI KABAN MEDAN 10|08|**** B P JL SEI PADANG NO 110 000 000 0 0

130 1271212701****** 1271214903****** JUMIATIK MEDAN 09|03|**** S P JL SEI PADANG NO 134-A 000 000 0 0

131 1271212701****** 1271212505****** JOKO SUMANTRI MEDAN 25|05|**** S L JL SEI PADANG NO 134-A 000 000 0 0

132 1271212702****** 1271215307****** KINANTI MAYANGSARI JAKARTA 13|07|**** B P JL SEI PADANG GG LANGGAR NO 3 000 000 0 0

133 1271212703****** 1271210208****** DWI HARI ERLAMBANG MEDAN 02|08|**** S L JL SEI PADANG NO 111 MEDAN 000 000 0 0

134 1271212703****** 1271216807****** SANTIYA MEDAN 28|07|**** S P JL SEI PADANG NO 111 MEDAN 000 000 0 0

135 1271212707****** 1271212907****** IR ARMANSYAH PUTRA TANJUNG PURA 29|07|**** S L JLSEI PADANG NO 143 000 000 0 0

136 1271212710****** 1271211004****** SYARIFUDDIN HARAHAP BINJAI 10|04|**** S L JL SEI PADANG NO 150 000 000 0 0

137 1271212710****** 1271215408****** SAHARA SIREGAR SIPIROK 14|08|**** S P JL SEI PADANG NO 150 000 000 0 0

138 1271212710****** 1271210911****** MARINGAN PAHALA SIREGAR, DRS MEDAN 09|11|**** S L JL SEI PADANG NO 118 000 000 0 0

139 1271212710****** 1271216812****** MAGDALENA SINAGA MEDAN 28|12|**** S P JL SEI PADANG NO 118 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-015 152 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212712****** 1271215304****** RUMIYATI MEDAN 13|04|**** P P JL SEI PADANG NO 130 MEDAN 000 000 0 0

141 1271212712****** 1401160103****** MARDENIS IQBAL MEDAN 01|03|**** B L JL SEI PADANG NO 130 MEDAN 000 000 0 0

142 1271212712****** 1271215510****** SITI RIEKA RUMINDRA LUBIS MEDAN 15|10|**** B P JL SEI PADANG NO 30 MEDAN 000 000 0 0

143 1271212712****** 1271214708****** PARIANAH MEDAN 07|08|**** B P JL SEI PADANG GG LANGGAR NO 5 000 000 0 0

144 1271212712****** 1271214807****** PARIATI MEDAN 08|07|**** P P JL SEI PADANG GG LANGGAR NO 5 000 000 0 0

145 1271212712****** 1271215305****** PERTIWI HANDAYANI MEDAN 13|05|**** B P JL SEI PADANG GG LANGGAR NO 5 000 000 0 0

146 1271212808****** 1271213108****** PARDOMUAN SIBURIAN MUARA 31|08|**** S L JL SEI PADANG GG KELUARGA NO 5 000 000 0 0

147 1271212808****** 1271216611****** RUSLINA BR SIANTURI MEDAN 26|11|**** S P JL SEI PADANG GG KELUARGA NO 5 000 000 0 0

148 1271212808****** 1271211005****** JHONTES SIBURIAN MEDAN 10|05|**** B L JL SEI PADANG GG KELUARGA NO 5 000 000 0 0

149 1271212808****** 1271211107****** EDIANTO SIBURIAN MEDAN 11|07|**** B L JL SEI PADANG GG KELUARGA NO 5 000 000 0 0

150 1271212808****** 1271215206****** ELSA JUNI MEDAN 12|06|**** B P JL SEI PADANG GG KELUARGA NO 5 000 000 0 0

151 1271212812****** 1271216306****** FERA YUNITA BR SEMBIRING MEDAN 23|06|**** B P JL SEI PADANG GG LANGGAR NO 11 000 000 0 0

152 1271212812****** 1271211309****** STEFAN ADEPUTRA SEMBIRING MEDAN 13|09|**** B L JL SEI PADANG GG LANGGAR NO 11 000 000 0 0

153 1271212903****** 1271210101****** ASMIN DESA ARAS 01|01|**** S L JL SEI PADANG GG LANGGAR NO 5.A 000 000 0 0

154 1271212903****** 1271215108****** RAHMADANI MEDAN 11|08|**** S P JL SEI PADANG GG LANGGAR NO 5.A 000 000 0 0

155 1271212904****** 1207051007****** SUHENDRA TUNTUNGAN 10|07|**** S L JL. SEI PADANG GG.BUNTU NO.7 000 000 0 0

156 1271212904****** 1271215801****** JENI NURAZIZAH MEDAN 18|01|**** S P JL. SEI PADANG GG.BUNTU NO.7 000 000 0 0

157 1271212905****** 1271212105****** ZAINAL ABIDIN BEDAGAI 21|05|**** S L JL SEI PADANG GG PRIBADI NO 3 000 000 0 0

158 1271212905****** 1271214112****** RAMADHANI MEDAN 01|12|**** B P JL SEI PADANG GG PRIBADI NO 3 000 000 0 0

159 1271212911****** 1271210611****** FERDINAND SITEPU MEDAN 06|11|**** P L JL SEI PADANG NO 135 MEDAN 000 000 0 0

160 1271213001****** 1271211704****** ANDO TOGATOROP MEDAN 17|04|**** S L JL SEI PADANG GG KELUARGA NO 3 000 000 0 0

161 1271213004****** 1271186512****** HJ SARIAH BURHAN KISARAN 25|12|**** P P JL SEI PADANG NO 149 000 000 0 0

162 1271213005****** 1271214604****** JAINAP TAMPUBOLON PEMATANG SIANTAR 06|04|**** S P JL SEI PADANG SPEKSI NO 106 000 000 0 0

163 1271213006****** 1271210705****** MATSYAH SEMBIRING BINJAI 07|05|**** S L JL SEI PADANG NO 132 A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-015 153 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271213006****** 1271216106****** FATIMAH BR SITEPU GURUKINAYAN 21|06|**** S P JL SEI PADANG NO 132 A 000 000 0 0

165 1271213101****** 1271211908****** AGUS ARIANTO MEDAN 19|08|**** S L JL SEI PADANG NO 130 MEDAN 000 000 0 0

166 1271213101****** 1271215005****** IIN RAHAYU MEDAN 10|05|**** S P JL SEI PADANG NO 130 MEDAN 000 000 0 0

167 1271213101****** 1271216702****** DHEA AYANG FARADILLAH MEDAN 27|02|**** B P JL SEI PADANG NO 130 MEDAN 000 000 0 0

168 1271213108****** 1271211006****** RUDI H SIMANJUNTAK BARINGIN 10|06|**** S L JL SEI PADANG GG KELUARGA NO. 000 000 0 0

169 1271213108****** 1271216010****** RAMLAWATI BR SIHOTANG TUMBA JAE 20|10|**** S P JL SEI PADANG GG KELUARGA NO. 000 000 0 0

170 1271212104****** 1271212707****** CANDRA SANJAYA MEDAN 27|07|**** B L JL SEI PADANG NO 130 005 000 0 0

171 1271212105****** 1271215707****** THEODORA CIMAHI 17|07|**** P P JL. SEI PADANG NO. 158 MEDAN 005 000 0 0

172 1271211605****** 1271211404****** ABDULLAH MEDAN 14|04|**** B L JL SEI PADANG NO 37 MEDAN 001 004 0 0

173 1271212111****** 1271215306****** SUCI KURNIATI MEDAN 13|06|**** B P JLSEI PADANG PRIBADI NO 5 A 006 004 0 0

174 1271211605****** 1271210502****** JHONY HENDRA SEMBIRING MEDAN 05|02|**** S L JL SEI PADANG NO 110 MEDAN 001 005 0 0

175 1271211605****** 1271215205****** RATNA SARI TARIGAN, SP MEDAN 12|05|**** S P JL SEI PADANG NO 110 MEDAN 001 005 0 0

176 1271211605****** 1271216202****** ANDREA VERONICA BR SEMBIRING MEDAN 22|02|**** B P JL SEI PADANG NO 110 MEDAN 001 005 0 0

177 1271211605****** 1271210105****** JEREMIA ARIEL NUGRAHA SEMBIRING MEDAN 01|05|**** B L JL SEI PADANG NO 110 MEDAN 001 005 0 0

178 1271211605****** 1271211508****** YEHESKIAL CHRISTIAN JORDAN SEMBIRING MEDAN 15|08|**** B L JL SEI PADANG NO 110 MEDAN 001 005 0 0

179 1271211608****** 1271212105****** DHANY PUTRA HARAHAP P.SIDEMPUAN 21|05|**** B L JL SEI PADANG NO 133 MEDAN 001 005 0 0

180 1271211608****** 1271215110****** HILDA RAFNI AULIA MEDAN 11|10|**** B P JL SEI PADANG NO 133 MEDAN 001 005 0 0

181 1271211611****** 1271214411****** JUWITA GILANG JAKARTA 04|11|**** S P JL SEI PADANG GG BUNTU NO 136 C 001 005 0 0

182 1271211703****** 1271215002****** TUKIEM MEDAN 10|02|**** P P JL SEI PADANG GG PRIBADI NO 3 002 005 0 0

183 1271211704****** 1271215503****** LYDIA S TITALEY MEDAN 15|03|**** S P JL SEI PADANG GG SIPIROK NO 1 002 005 0 0

184 1271211704****** 1271212108****** SYAFREDO GONZALLO MEDAN 21|08|**** B L JL SEI PADANG GG SIPIROK NO 1 002 005 0 0

185 1271211704****** 1271215608****** RIZKY HASANAH MEDAN 16|08|**** B P JL SEI PADANG GG SIPIROK NO 1 002 005 0 0

186 1271211705****** 1206024607****** AYATI B SANDRA PANDEGIANG 06|07|**** S P JL SEI PADANG NO 126 LK V 002 005 0 0

187 1271211706****** 1271211708****** HORMAT SEMBIRING IR TIGA PANAH 17|08|**** S L JL SEI PADANG GG SIPIROK NO 3 002 005 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-015 154 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271211706****** 1271214101****** NURLELA SITEPU MALEM LANGKAT 01|01|**** S P JL SEI PADANG GG SIPIROK NO 3 002 005 0 0

189 1271211706****** 1271212011****** ROBERTO SEMBIRING JAKARTA 20|11|**** B L JL SEI PADANG GG SIPIROK NO 3 002 005 0 0

190 1271211711****** 1271210904****** FRISKANA MEDAN 09|04|**** S L JL SEI PADANG GG BUNTU NO 136-C 002 005 0 0

191 1271211801****** 1271211103****** MUHAMMAD AFANDI AKBAR MEDAN 11|03|**** B L JL SEI PADANG GG LANGGAR NO 6 C 002 005 0 0

192 1271211802****** 1271212711****** WANA SILABAN HUTA GODANG 27|11|**** S L JL SEI PADANG NO 161 002 005 0 0

193 1271211802****** 1271216711****** ESIMA SARUKSUK SI PEA-PEA 27|11|**** S P JL SEI PADANG NO 161 002 005 0 0

194 1271211802****** 1271212010****** LAMHOT SILABAN PEMATANG SIANTAR 20|10|**** B L JL SEI PADANG NO 161 002 005 0 0

195 1271211802****** 1271212009****** LEONARDO SILABAN MEDAN 20|09|**** B L JL SEI PADANG NO 161 002 005 0 0

196 1271211803****** 1271212011****** KORPEN DAMANIK, DRS SIDAMANIK 20|11|**** S L JL SEI PADANG NO 145 MEDAN 002 005 0 0

197 1271212106****** 1271212311****** JULIUS CHARISMAN WARUWU MEDAN 23|11|**** B L JL SEI PADANG NO 111 002 005 0 0

198 1271212208****** 1271210311****** ERJAN NUGROHO MEDAN 03|11|**** B L JL SEI PADANG NO 121 MEDAN 002 005 0 0

199 1271212703****** 1271214404****** RADIA BR SITANGGANG SIRAU 04|04|**** S P JL SEI PADANG GG BUNTU NO.134.A 002 005 0 0

200 1271212703****** 1271211611****** PAITTE MARBUN HUTA TOMBAK 16|11|**** S L JL SEI PADANG GG BUNTU NO.134.A 002 005 0 0

201 1271212803****** 1271211010****** MARNO MARBUN PAHIEME 10|10|**** S L JL SEI PADANG GG BERSAMA NO 6 002 005 0 0

202 1271212803****** 1271214911****** TIMANUR BR HOMBING PAHIEME 09|11|**** S P JL SEI PADANG GG BERSAMA NO 6 002 005 0 0

203 1271210610****** 1271214901****** DARMA ULINA BR GINTING MEDAN 09|01|**** S P JL SEI PADANG LK V MEDAN 003 005 0 0

204 1271210610****** 1271210406****** YUDIANTO TARIGAN MEDAN 04|06|**** B L JL SEI PADANG LK V MEDAN 003 005 0 0

205 1271211907****** 1207237112****** BAHRAINI BATUBARA SORKAM KIRI 31|12|**** P P JL SEI PADANG GG LANGGAR/TURI NO 5 003 005 0 0

206 1271211907****** 1271214305****** KHAIRA ULFAH PASARIBU MEDAN 03|05|**** B P JL S PADANG GG LANGGAR-TURI NO 5 003 005 0 0

207 1271211910****** 1271216604****** FATIMAH DEVIANTI TARIGAN MEDAN 26|04|**** S P JL. SEI PADANG NO. 110 MEDAN 003 005 0 0

208 1271211911****** 1271022504****** M YAHYA GALANG/D.SERDANG 25|04|**** S L JL SEI PADANG NO 134-A MEDAN 003 005 0 0

209 1271211911****** 1271215104****** ENDANG PUSPITAYATI MEDAN 11|04|**** S P JL SEI PADANG NO 134-A MEDAN 003 005 0 0

210 1271211912****** 1271215111****** DEDNA SILABAN PAHEME 11|11|**** B P JL. SEI PADANG GG. BUNTU 003 005 0 0

211 1271212001****** 1271217009****** DONNA SILABAN PAHIEME 30|09|**** B P JL. SEI PADANG GG. BUNTU 003 005 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-015 155 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271212004****** 1271213112****** OLOAN LUBIS PADANG SIDEMPUAN 31|12|**** S L JL SEI PADANG GG SIPIROK 003 005 0 0

213 1271212004****** 1271216001****** JUNIKA TARIGAN MEDAN 20|01|**** S P JL SEI PADANG GG SIPIROK 003 005 0 0

214 1271212004****** 1271215210****** NUR HAYATI MEDAN 12|10|**** B P JL.SEI PADANG/SPEKSI NO.106 003 005 0 0

215 1271212006****** 1205105002****** TUTI MUZI LESTARI BATU MELENGGANG 10|02|**** S P JL SEI PADANG GG BUNTU NO 36 B 003 005 0 0

216 1271212102****** 1271214707****** TERANG BR SINGARIMBUN TEMBURUN 07|07|**** P P JL SEI PADANG GG PRIBADI NO 15 004 005 0 0

217 1271212102****** 1271210405****** ADITIA IMANUEL TARIGAN SE MEDAN 04|05|**** S L JL SEI PADANG GG PRIBADI NO 15 004 005 0 0

218 1271212102****** 1271215006****** THERESIA SERTA RIAHNA TARIGAN MEDAN 10|06|**** B P JL SEI PADANG GG PRIBADI NO 15 004 005 0 0

219 1271210308****** 1271211312****** JONTUA SITUMEANG SIBOLGA 13|12|**** S L JL SEI PADANG GG BUNTU NO 134 A 005 005 0 0

220 1271210308****** 1271214410****** ROSMIDA BR MANALU SIBOLGA 04|10|**** S P JL SEI PADANG GG BUNTU NO 134 A 005 005 0 0

221 1271212105****** 1271211905****** RISWARD BANDA ACEH 19|05|**** B L JL. SEI PADANG NO. 158 MEDAN 005 005 0 0

222 1271212703****** 1271212402****** DENY ERLANGGA MEDAN 24|02|**** B L JL SEI PADANG NO 111 MEDAN 005 005 0 0

223 1271212111****** 1271216311****** YULITA HIKMAH MEDAN 23|11|**** B P JLSEI PADANG PRIBADI NO 5 A 001 006 0 0

224 1271211411****** 1271212904****** KARIA BUDI BANGUN, SE KABANJAHE 29|04|**** S L JL SEI PADANG GG SIPIROK NO 3D 002 006 0 0

225 1271211411****** 1271214810****** PITRA WATI TARIGAN, DRA MEDAN 08|10|**** S P JL SEI PADANG GG SIPIROK NO 3D 002 006 0 0

226 1271211803****** 1271216907****** RACHEL ANGGUNITA MOWISU, BSc BAU-BAU 29|07|**** S P JL SEI PADANG NO 145 MEDAN 002 006 0 0

227 1271211803****** 1271215301****** ANGGITA GLORIA DAMANIK KENDARI 13|01|**** B P JL SEI PADANG NO 145 MEDAN 002 006 0 0

228 1271211811****** 1271211610****** SHAUKAT OSMANI DR LHOK SUKON 16|10|**** S L JL SEI PADANG NO 147 002 006 0 0

229 1271211811****** 1271214708****** SRI BANUN BURHAN MEDAN 07|08|**** S P JL SEI PADANG NO 147 002 006 0 0

230 1271212104****** 1271210301****** SAGIMAN MEDAN 03|01|**** S L JL SEI PADANG NO 130 004 006 0 0

231 1271212104****** 1271214512****** ROSNAWATI BANDA ACEH 05|12|**** S P JL SEI PADANG NO 130 004 006 0 0

232 1271211904****** 1271216404****** RISMA BR SIHOMBING KOTACANE 24|04|**** S P JL SEI PADANG GG BUNTU / 116 A 002 007 0 0

233 1271211904****** 1271211911****** JUARA NAINGGOLAN PARHUSIP MEDAN 19|11|**** S L JL SEI PADANG GG BUNTU / 116 A 002 007 0 0

234 1271211904****** 1471072303****** REMON BUDI DARMA MEDAN 23|03|**** B L JL SEI PADANG NO 145 002 007 0 0

235 1271212109****** 1271210510****** ABDUL KADIR HASYMI DRS TEBING TINGGI 05|10|**** S L JL SEI PADANG GG LANGGAR NO 12 002 007 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-015 156 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

236 1271211605****** 1271217112****** UMIDAH SITEPU SERIBU DOLOK 31|12|**** P P JL SEI PADANG NO 37 MEDAN 000 074 0 0

237 1271211605****** 1271215010****** FRANSISKA BOGOR 10|10|**** B P JL SEI PADANG NO 37 MEDAN 000 259 0 0

238 1271211605****** 1271211201****** MUHAMMAD SALIM MEDAN 12|01|**** B L JL SEI PADANG NO 37 MEDAN 000 263 0 0

239 1271211605****** 1271216405****** SITI NURMALA MEDAN 24|05|**** B P JL SEI PADANG NO 37 MEDAN 000 264 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 239 Jenis Kelamin = 239 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 93 L : Laki-Laki = 113 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 134 P : Perempuan = 126 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 12
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 111 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-015 157 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 016
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271011204****** 1271015907****** IDA POSMA SIBARANI LAGUBOTI 19|07|**** S P JL SEI PADANG NO 46 LK V 000 000 0 0

2 1271210102****** 1271215609****** NOVIA SUSANTI RIAU 16|09|**** S P JL SEI PADANG GG SIPIROK 000 000 0 0

3 1271210106****** 1271214912****** SUGIANI MEDAN 09|12|**** S P JL SEI PADANG GG SIPIROK NO 2 000 000 0 0

4 1271210111****** 1271212503****** MOH SYAFII PATI 25|03|**** S L JL SEI PADANG GG LANGGAR NO 5-A 000 000 0 0

5 1271210111****** 1271215610****** MAWARNI MEDAN 16|10|**** S P JL SEI PADANG GG LANGGAR NO 5-A 000 000 0 0

6 1271210112****** 1271215112****** ANNISYA HANNUR BATUBARA P SIDEMPUAN 11|12|**** S P JL SEI PADANG GG LANGGAR NO 6 D 000 000 0 0

7 1271210112****** 1271211512****** SYAFRIADI MEDAN 15|12|**** S L JL SEI PADANG GG LANGGAR NO 6 D 000 000 0 0

8 1271210112****** 1271216911****** SUCI FADHILAH MEDAN 29|11|**** B P JL SEI PADANG GG LANGGAR NO 6 D 000 000 0 0

9 1271210204****** 1271217012****** EDWINA SARI MEDAN 30|12|**** B P JL SEI PADANG GG BUNTU LK V 000 000 0 0

10 1271210205****** 1210090404****** HERDI SUSILO MEDAN 04|04|**** S L JL. SEI PADANG NO. 130 000 000 0 0

11 1271210205****** 1210096912****** HASMARANI AEK NABARA 29|12|**** S P JL. SEI PADANG NO. 130 000 000 0 0

12 1271210205****** 1210092109****** MUHAMMAD ALFATH RANTAUPRAPAT 21|09|**** B L JL. SEI PADANG NO. 130 000 000 0 0

13 1271210210****** 1271217012****** DESIANA MEDAN 30|12|**** S P JL SEI PADANG GG BUNTU NO 136-A 000 000 0 0

14 1271210210****** 1271210411****** NANDA PRADANA TARIGAN MEDAN 04|11|**** B L JL SEI PADANG GG BUNTU NO 136-A 000 000 0 0

15 1271210210****** 1271211009****** SYAFRIZAL INDRA WANTO MEDAN 10|09|**** S L JL SEI PADANG GG LANGGAR NO 6 000 000 0 0

16 1271210210****** 1271215811****** RAHMAWATI MEDAN 18|11|**** S P JL SEI PADANG GG LANGGAR NO 6 000 000 0 0

17 1271210303****** 1271216505****** PAINEM MEDAN 25|05|**** S P JLSEI PADANG NO 130 B MEDAN 000 000 0 0

18 1271210306****** 1271215902****** DEVI NURAINI SANTI MEDAN 19|02|**** S P JL SEI PADANG NO 135 / G 7 000 000 0 0

19 1271210306****** 1271212402****** M ALDO AL FIKRI MEDAN 24|02|**** B L JL SEI PADANG NO 135 / G 7 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-016 158 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210306****** 1271215903****** DIAJENG PUTRI DEWANTI MEDAN 19|03|**** B P JL SEI PADANG NO 135 / G 7 000 000 0 0

21 1271210307****** 1271210812****** ARIFIN M TEMBUNG 08|12|**** S L JL SEI PADANG NO 161 MEDAN 000 000 0 0

22 1271210307****** 1271217112****** SITI HAWANI SER BELAWAN 31|12|**** S P JL SEI PADANG NO 161 MEDAN 000 000 0 0

23 1271210307****** 1271212912****** M AYUB MEDAN 22|09|**** B L JL SEI PADANG NO 161 MEDAN 000 000 0 0

24 1271210310****** 1271210309****** SUHARDIONO MEDAN 03|09|**** S L JL SEI PADANG GG BUNTU NO 134 A 000 000 0 0

25 1271210310****** 1271215312****** KHAIRIAH SUNGGAL 13|12|**** S P JL SEI PADANG GG BUNTU NO 134 A 000 000 0 0

26 1271210401****** 1271214312****** MAURA SHAFA NASUTION MEDAN 03|12|**** B P JL SEI PADANG GG TURI NO.1 000 000 0 0

27 1271210403****** 1271215012****** NOPITA MEDAN 10|12|**** S P JLSEI PADANG GG PRIBADI NO3 000 000 0 0

28 1271210404****** 1271216201****** BERYL MEDAN 22|01|**** B P JL SEI PADANG NO 134 MEDAN 000 000 0 0

29 1271210405****** 1271216912****** SRI INDAYANI MEDAN 29|12|**** S P JL SEI PADANG GG LANGGAR NO 6B 000 000 0 0

30 1271210405****** 1271215811****** AULIA MARK MEDAN 18|11|**** B P JL SEI PADANG GG LANGGAR NO 6B 000 000 0 0

31 1271210405****** 1271214508****** SURESTI GURU KINAYAN 05|08|**** S P JL SEI PADANG GG BUNTU NO 36 B 000 000 0 0

32 1271210405****** 1271212304****** ARIEF SANTOSO MEDAN 23|04|**** S L JL SEI PADANG GG BUNTU NO 36 B 000 000 0 0

33 1271210405****** 1271212808****** MUHAMMAD RIENALDI SANTOSO MEDAN 28|08|**** B L JL SEI PADANG GG BUNTU NO 36 B 000 000 0 0

34 1271210409****** 1271212101****** MUSTAMAN SITUMEANG SIBOLGA 21|01|**** S L JL SEI PADANG GG BUNTU NO 164 000 000 0 0

35 1271210409****** 1271214706****** RONNY BR HUTAGALUNG KOTACANE 07|06|**** S P JL SEI PADANG GG BUNTU NO 164 000 000 0 0

36 1271210409****** 1271210606****** FRANSISCO SITUMEANG MEDAN 06|06|**** B L JL SEI PADANG GG BUNTU NO 164 000 000 0 0

37 1271210410****** 1271216109****** RUKIYAH PERBAUNGAN 21|09|**** S P JLSEI PADANG GG SIPIROK NO2 000 000 0 0

38 1271210410****** 1271215011****** NIA SINTIA MEDAN 10|11|**** B P JLSEI PADANG GG SIPIROK NO2 000 000 0 0

39 1271210412****** 1271214609****** ERIKA MOCHTAR,STP MEDAN 06|09|**** S P JL SEI PADANG NO 143 MEDAN 000 000 0 0

40 1271210502****** 1271085909****** JAHRA MARISHA BELAWAN 19|09|**** B P JLS PADANG GGLANGGAR NO5 000 000 0 0

41 1271210503****** 1271213112****** RAMEUDIN SEI KARANG 31|12|**** S L JLSEI PADANG NO 130 000 000 0 0

42 1271210503****** 1271217112****** MUDJIATI MEDAN 31|12|**** S P JLSEI PADANG NO 130 000 000 0 0

43 1271210503****** 1271212904****** MULYADI MEDAN 29|04|**** B L JLSEI PADANG NO 130 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-016 159 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210504****** 1271211202****** SUPRIADI MEDAN 12|02|**** S L JLS PADANG GGLANGGAR NO5 000 000 0 0

45 1271210504****** 1271217012****** PARIANI MEDAN 30|12|**** S P JLS PADANG GGLANGGAR NO5 000 000 0 0

46 1271210504****** 1271215802****** WINDA HERIYATI MEDAN 18|02|**** B P JLS PADANG GGLANGGAR NO5 000 000 0 0

47 1271210505****** 1271213006****** LAMHOT PANGGABEAN TARUTUNG 30|06|**** S L JL SEI PADANG NO. 60 000 000 0 0

48 1271210505****** 1271216406****** LISBET SIMATUPANG SIBOLGA 24|06|**** S P JL SEI PADANG NO. 60 000 000 0 0

49 1271210505****** 1271215806****** CRYSNA WANTY PANGGABEAN MEDAN 18|06|**** B P JL SEI PADANG NO.160 000 000 0 0

50 1271210505****** 1271211702****** DANIEL SAPUTRA PANGGABEAN MEDAN 17|02|**** B L JL SEI PADANG NO.160 000 000 0 0

51 1271210508****** 1271215607****** KASINEM MEDAN 16|07|**** P P JLSEI PADANG NO 130 A 000 000 0 0

52 1271210508****** 1271210312****** HERI KOKO MEDAN 03|12|**** B L JLSEI PADANG NO 130 A 000 000 0 0

53 1271210510****** 1271215511****** NOPIKA SARI MEDAN 15|11|**** B P JL SEI PADANG GG LANGGAR NO 6 B 000 000 0 0

54 1271210606****** 1271211909****** RONALD TITALEY MEDAN 19|09|**** S L JL SEI PADANG GG SIPIROK NO 1 000 000 0 0

55 1271210606****** 1271214210****** OCTOSIANA TUTUARIMA MEDAN 02|10|**** S P JL SEI PADANG GG SIPIROK NO 1 000 000 0 0

56 1271210606****** 1271212104****** ANDRO ADE TITALEY MEDAN 21|04|**** B L JL SEI PADANG GG SIPIROK NO 1 000 000 0 0

57 1271210606****** 1271212012****** AFREDO ADE TITALEY MEDAN 20|12|**** B L JL SEI PADANG GG SIPIROK NO 1 000 000 0 0

58 1271210608****** 1271216807****** SRIYANI BANDAR MASILAM 28|07|**** S P JL SEI PADANG GG LANGGAR NO 5 000 000 0 0

59 1271210608****** 1271210605****** AHMAT NUH MEDAN 06|05|**** S L JL SEI PADANG GG LANGGAR NO 5 000 000 0 0

60 1271210608****** 1271210302****** ILHAM PRATAMA MEDAN 03|02|**** B L JL SEI PADANG GG LANGGAR NO 5 000 000 0 0

61 1271210608****** 1271214504****** INDA APRIANI MEDAN 05|04|**** B P JL SEI PADANG GG LANGGAR NO 5 000 000 0 0

62 1271210609****** 1271215403****** ROSMIN MARBUN PANCUR GODANG 14|03|**** S P JLSEI PADANG GGBUNTU MEDAN 000 000 0 0

63 1271210609****** 1271212505****** ROBINSON HUTAGALUNG PANGAMBATAN 25|05|**** S L JLSEI PADANG GGBUNTU MEDAN 000 000 0 0

64 1271210609****** 1271216309****** SRIMARINI RENTAULINA HT GALUNG SIBOLGA 23|09|**** B P JLSEI PADANG GGBUNTU MEDAN 000 000 0 0

65 1271210609****** 1271215310****** DISGORIA HUTAGALUNG PANGAMBATAN 13|10|**** S P JLSEI PADANG GGBUNTU MEDAN 000 000 0 0

66 1271210609****** 1271211008****** TAUFAN AGUNG GINTING IR MEDAN 10|08|**** S L JL SEI PADANG KOMP PERJUANGAN NO.1 000 000 0 0

67 1271210609****** 1271217105****** ALEMINA BR BANGUN SPD BRASTAGI 31|05|**** S P JL SEI PADANG KOMP PERJUANGAN NO.1 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-016 160 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210609****** 1271216406****** SRIKANDI MEGASARI BR GINTING JAKARTA 24|06|**** B P JL SEI PADANG KOMP PERJUANGAN NO.1 000 000 0 0

69 1271210609****** 1271212908****** RODI DAMANIK IR BANDAR BETSY 29|08|**** S L JL SEI PADANG GG SIPIROK NO 2 000 000 0 0

70 1271210609****** 1271215303****** AMEYTA REBEKKA MUNTHE MEDAN 13|03|**** S P JL SEI PADANG GG SIPIROK NO 2 000 000 0 0

71 1271210611****** 1271210610****** IMRON SIMANUNGKALIT P SIDEMPUAN 06|10|**** S L JL SEI PADANG GG GEREJA NO 8 MEDAN 000 000 0 0

72 1271210611****** 1271217107****** SARINA TAMPUBOLON P SIDEMPUAN 31|07|**** S P JL SEI PADANG GG GEREJA NO 8 MEDAN 000 000 0 0

73 1271210611****** 1271211102****** RIO ZULKARNAIN SIMANUNGKALIT P SIDEMPUAN 11|02|**** B L JL SEI PADANG GG GEREJA NO 8 MEDAN 000 000 0 0

74 1271210611****** 1271211810****** DARWIN SIMANUNGKALIT MEDAN 18|10|**** B L JL SEI PADANG GG GEREJA NO 8 MEDAN 000 000 0 0

75 1271210611****** 1271210406****** PERNANDO SIMANUNGKALIT MEDAN 04|06|**** B L JL SEI PADANG GG GEREJA NO 8 MEDAN 000 000 0 0

76 1271210611****** 1271212309****** INDRA GUNAWAN MEDAN 23|09|**** S L JL SEI PADANG NO 130 MEDAN 000 000 0 0

77 1271210611****** 1271215608****** ANDRI PRAWITA SARI P SIANTAR 16|08|**** S P JL SEI PADANG NO 130 MEDAN 000 000 0 0

78 1271210611****** 1271190612****** MUHAMMAD ALIAMSYAH BATUBARA P. SIDEMPUAN 06|12|**** B L JL SEI PADANG NO 130 MEDAN 000 000 0 0

79 1271210611****** 1271193003****** MUHAMMAD TEGUH ANANDA BATUBARA MEDAN 30|03|**** B L JL SEI PADANG NO 130 MEDAN 000 000 0 0

80 1271210701****** 1271211701****** TIMBUL PARDOSI P. SIANTAR 17|01|**** S L JLSEI PADANG GGLANGGAR NO6 000 000 0 0

81 1271210702****** 1271215312****** Hj. RAYATI RAMAYANA, dr MEDAN 13|12|**** P P JL. SEI PADANG NO. 131 MEDAN 000 000 0 0

82 1271210702****** 1271216911****** ERA MAHARANI MEDAN 29|11|**** B P JL. SEI PADANG NO. 131 MEDAN 000 000 0 0

83 1271210704****** 1271210612****** ROLLY SAMBUAGA MANADO 06|12|**** S L JL SEI PADANG GG SPEKSI NO 3-E 000 000 0 0

84 1271210704****** 1271216203****** ERNAWATI TARIGAN PAYUNG 22|03|**** S P JL SEI PADANG GG SPEKSI NO 3-E 000 000 0 0

85 1271210704****** 1271212501****** JEFFRY EDWARD SAMBUAGA PANGKALAN SUSU 25|01|**** B L JL SEI PADANG GG SPEKSI NO 3-E 000 000 0 0

86 1271210704****** 1271211302****** FERRY IVANNO T SAMBUAGA PANGKALAN SUSU 13|02|**** B L JL SEI PADANG GG SPEKSI NO 3-E 000 000 0 0

87 1271210704****** 1271212304****** ARNOLD PETRUS I SAMBUAGA PANGKALAN SUSU 23|04|**** B L JL SEI PADANG GG SPEKSI NO 3-E 000 000 0 0

88 1271210704****** 1271216804****** ICHE KAROLINE SAMBUAGA PANGKALAN BRANDAN 28|04|**** B P JL SEI PADANG GG SPEKSI NO 3-E 000 000 0 0

89 1271210704****** 1207262402****** MUHAMMAD IHSAN MEDAN 24|02|**** B L JL. SEI PADANG GG. DAME NO. 13 000 000 0 0

90 1271210704****** 1271216908****** IRA NOVITA SUSILO MEDAN 29|08|**** S P JL. SEI PADANG GG. DAME NO. 13 000 000 0 0

91 1271210709****** 1271215505****** RISTAWARNI MATONDANG SIBOLGA 15|05|**** S P JL. S PADANG GG. BUNTU NO. 8 MDN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-016 161 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271210709****** 1271210806****** RIOS J H TINAMBUNAN MEDAN 08|06|**** B L JL. S PADANG GG. BUNTU NO. 8 MDN 000 000 0 0

93 1271210709****** 1271210101****** KARDIMAN ALEKSUS TINAMBUNAN MEDAN 30|01|**** B L JL. S PADANG GG. BUNTU NO. 8 MDN 000 000 0 0

94 1271210711****** 1271210909****** BUYUNG ARIFIN P. SIANTAR 09|09|**** P L JL SEI PADANG GG LANGGAR NO 1 000 000 0 0

95 1271210801****** 1207257008****** NILA PUTRI HELVETIA 30|08|**** B P JL SEI PADANG GG LANGAR-TURI NO 5 000 000 0 0

96 1271210802****** 1271015110****** ENNY IRIANTI JAMBAK MEDAN 11|10|**** S P JL SEI SILAU NO 91 MEDAN 000 000 0 0

97 1271210804****** 1271210202****** EDU SYAH PUTRA MEDAN 02|02|**** S L JL SEI PADANG NO 121 MEDAN 000 000 0 0

98 1271210804****** 1271215703****** MISRIANI SEI BULUH 17|03|**** S P JL SEI PADANG NO 121 MEDAN 000 000 0 0

99 1271210807****** 1271210808****** ASRUL MARBUN SIBOLGA 08|08|**** S L JL SEI PADANG NO 161 MEDAN 000 000 0 0

100 1271210807****** 1271214607****** TASIANNA PANJAITAN HUTATOMBAK 06|07|**** S P JL SEI PADANG NO 161 MEDAN 000 000 0 0

101 1271210807****** 1271214706****** JESICA MARBUN MEDAN 07|06|**** B P JL SEI PADANG NO 161 MEDAN 000 000 0 0

102 1271210807****** 1271214911****** TETI NOPIATI MEDAN 09|11|**** S P JL SEI PADANG NO 130 MEDAN 000 000 0 0

103 1271210807****** 1271210707****** JUMINGAN LAU BUNTU 07|07|**** S L JL SEI PADANG NO 130 MEDAN 000 000 0 0

104 1271210807****** 1271212110****** VAN ARLE FAHLEVI MEDAN 21|10|**** B L JL SEI PADANG NO 130 MEDAN 000 000 0 0

105 1271210807****** 1271216408****** VANNY AMELYA FERNANDA MEDAN 24|08|**** B P JL SEI PADANG NO 130 MEDAN 000 000 0 0

106 1271210902****** 1271211012****** ZUL FADLI MEUNASAH 10|12|**** S L JL SEI PADANG GG BUNTU 000 000 0 0

107 1271210902****** 1271215010****** MARINI STABAT 10|10|**** S P JL SEI PADANG GG BUNTU 000 000 0 0

108 1271210902****** 1271214205****** AISYAH FHADLUNA ACEH TIMUR 02|05|**** B P JL SEI PADANG GG BUNTU 000 000 0 0

109 1271210906****** 1271210606****** BAMBANG HERMANTO MEDAN 06|06|**** S L JL SEI PADANG GG BUNTU NO 134.A 000 000 0 0

110 1271210906****** 1271216104****** SUSILAWATI PERDAMAIN 21|04|**** S P JL SEI PADANG GG BUNTU NO 134.A 000 000 0 0

111 1271210906****** 1271216507****** LIONNI JASMINE MEDAN 25|07|**** B P JL SEI PADANG GG BUNTU NO 134.A 000 000 0 0

112 1271210906****** 1271216310****** SUWANA WR MEDAN 23|10|**** S P JL SEI PADANG NO 125 MEDAN 000 000 0 0

113 1271210906****** 1271214403****** LILA KISARAN 04|03|**** S P JL SEI PADANG GG DAMAI NO 7 000 000 0 0

114 1271210906****** 1271211709****** FRANKY WIJAYA MANTHEY MEDAN 17|09|**** S L JL SEI PADANG GG DAMAI NO 7 000 000 0 0

115 1271210906****** 1271216411****** KARINE WIJAYA MANTHEY MEDAN 24|11|**** B P JL SEI PADANG GG DAMAI NO 7 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-016 162 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271210907****** 1271210607****** YESWEN TANJUNG SUKA MENANTI 06|07|**** S L JL. SEI PADANG NO 144 MEDAN 000 000 0 0

117 1271210907****** 1271216511****** MAWANI HUTAGALUNG MEDAN 25|11|**** S P JL. SEI PADANG NO 144 MEDAN 000 000 0 0

118 1271210907****** 1271212701****** SABDA TANJUNG MEDAN 27|01|**** B L JL. SEI PADANG NO 144 MEDAN 000 000 0 0

119 1271210907****** 1271214502****** WENI ANISA TANJUNG MEDAN 05|02|**** B P JL. SEI PADANG NO 144 MEDAN 000 000 0 0

120 1271210911****** 1271115911****** TIFANI SARI MEDAN 19|11|**** B P JL SEI PADANG GG LANGGAR NO 6 D 000 000 0 0

121 1271210911****** 1271212506****** ANANDA REZKI MEDAN 25|06|**** B L JL SEI PADANG GG LANGGAR NO 6 D 000 000 0 0

122 1271210912****** 1271212805****** SAMUEL ZEVANYA BAKARA MEDAN 28|05|**** B L JL SEI PADANG GG PERJUANGAN NO 5 000 000 0 0

123 1271210912****** 1271211005****** MICHAEL ANDRIAN BAKARA MEDAN 10|05|**** B L JL SEI PADANG GG PERJUANGAN NO 5 000 000 0 0

124 1271211004****** 1271211905****** IMAM PONTIANAK 19|05|**** S L JL SEI PADANG NO 126 LK V 000 000 0 0

125 1271211004****** 1271215512****** DEWI LESTARI MEDAN 15|12|**** S P JL SEI PADANG NO 126 LK V 000 000 0 0

126 1271211005****** 1271215604****** LISMA BUKIT TINGGI 16|04|**** S P JL SEI PADANG GG SIPIROK 000 000 0 0

127 1271211005****** 1271210701****** KARSINO SOLO 07|01|**** S L JL SEI PADANG GG SIPIROK 000 000 0 0

128 1271211005****** 1271212612****** MARIADI MEDAN 26|12|**** B L JL SEI PADANG GG SIPIROK 000 000 0 0

129 1271211005****** 1271214106****** LISTIANI MEDAN 01|06|**** B P JL SEI PADANG GG SIPIROK 000 000 0 0

130 1271211009****** 1271215611****** MISRAWATI DUSUN BARU 16|11|**** S P JL SEI PADANG GG LANGGAR NO 6-A 000 000 0 0

131 1271211011****** 1271210510****** JIPSON H TAMPUBOLON MEDAN 05|10|**** S L JL SEI PADANG NO 142 000 000 0 0

132 1271211011****** 1271216905****** LAMBOK BR SIANTURI DAIRI 29|05|**** S P JL SEI PADANG NO 142 000 000 0 0

133 1271211012****** 1271212010****** POLIN MANGARA TUA TOBING P. SIANTAR 20|10|**** B L JL SEI PADANG NO 107 000 000 0 0

134 1271211012****** 1271035204****** APRIDINA SIANIPAR SIDIKALANG 12|04|**** S P JL SEI PADANG NO 107 000 000 0 0

135 1271211107****** 1271210109****** JOHAN J IBRAHIM TARUTUNG 01|09|**** S L JL SEI PADANG GG LANGGAR NO 2 000 000 0 0

136 1271211107****** 1271215904****** CHAIRANI MEDAN 19|04|**** S P JL SEI PADANG GG LANGGAR NO 2 000 000 0 0

137 1271211107****** 1271212003****** DANIEL JANPAGAN PUTRA MEDAN 20|03|**** B L JL SEI PADANG GG LANGGAR NO 2 000 000 0 0

138 1271211110****** 1271211510****** M ANWAR HARAHAP, SP P. SIANTAR 15|10|**** S L JL SEI PADANG NO 150 MEDAN 000 000 0 0

139 1271211110****** 1271216507****** MAHDALENA SIREGAR LANGSA 25|07|**** S P JL SEI PADANG NO 150 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-016 163 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271211204****** 1271216210****** SAPTIAH GOHOR STABAT 22|10|**** S P JL SEI PADANG LK V MEDAN 000 000 0 0

141 1271211206****** 1271210906****** PARLUHUTAN HUTAGALUNG P. SIANTAR 09|06|**** S L JL SEI PADANG GG BUNTU 000 000 0 0

142 1271211206****** 1271214106****** SONDANG SIMANJUNTAK P. SIANTAR 01|06|**** S P JL SEI PADANG GG BUNTU 000 000 0 0

143 1271211206****** 1271212008****** HORAS LEO A HUTAGALUNG MEDAN 20|08|**** B L JL SEI PADANG GG BUNTU 000 000 0 0

144 1271211206****** 1271215405****** MELDA DESY HUTAGALUNG MEDAN 14|05|**** B P JL SEI PADANG GG BUNTU 000 000 0 0

145 1271211206****** 1271216207****** THERESIA JULIANA HUTAGALUNG MEDAN 22|07|**** B P JL SEI PADANG GG BUNTU 000 000 0 0

146 1271211206****** 1271085802****** SANTI AUDRA SIMANJUNTAK BELAWAN 18|02|**** B P JL SEI PADANG GG BUNTU 000 000 0 0

147 1271211211****** 1271211701****** TIMBUL PARDOSI P SIANTAR 17|01|**** S L JL. SEI PADANG GG. LANGGAR NO. 6 MEDAN 000 000 0 0

148 1271211211****** 1271216701****** YANI N D SIMANJUNTAK PULAU RAJA 27|01|**** S P JL. SEI PADANG GG. LANGGAR NO. 6 MEDAN 000 000 0 0

149 1271211211****** 1271216707****** FRISILIA VINI JULIANTI PARDOSI NGABANG 27|07|**** B P JL. SEI PADANG GG. LANGGAR NO. 6 MEDAN 000 000 0 0

150 1271211211****** 1271216704****** GRACE DEBORA APRINI PARDOSI NGABANG 27|04|**** B P JL. SEI PADANG GG. LANGGAR NO. 6 MEDAN 000 000 0 0

151 1271211211****** 1271210404****** ANDRE YOHANES V PARDOSI LARAS 04|04|**** B L JL. SEI PADANG GG. LANGGAR NO. 6 MEDAN 000 000 0 0

152 1271211212****** 1271211105****** SEHAT HIDAYAT SEMBIRING GURU KINAYAN 11|05|**** S L JL SEI PADANG NO 132 A 000 000 0 0

153 1271211212****** 1271214101****** NILAWATI MEDAN 01|01|**** S P JL SEI PADANG NO 132 A 000 000 0 0

154 1271211212****** 1271214309****** NABILA HIDAYATI BINJAI 03|09|**** B P JL SEI PADANG NO 132 A 000 000 0 0

155 1271211212****** 1271214304****** NATASYA PUTRI BINJAI 03|04|**** B P JL SEI PADANG NO 132 A 000 000 0 0

156 1271211302****** 1271211302****** JHONNY MARUHUM SIHOTANG MEDAN 13|02|**** S L JL SEI PADANG GG PRIBADI NO 9 000 000 0 0

157 1271211302****** 1271145708****** AGUSTINA BR SILALAHI MEDAN 17|08|**** S P JL SEI PADANG GG PRIBADI NO 9 000 000 0 0

158 1271211303****** 1271212802****** OSMAR HARRY TAMPUBOLON P TANAH JAWA 28|02|**** S L JL SEI PADANG NO 142 000 000 0 0

159 1271211303****** 1271216401****** TIODOR SANNARIA MANURUNG JANGGA 24|01|**** S P JL SEI PADANG NO 142 000 000 0 0

160 1271211306****** 1271215511****** MARNIWATI TARIGAN MEDAN 15|11|**** P P JL SEI PADANG GG BUNTU NO 3 000 000 0 0

161 1271211306****** 1271214601****** ADELINA CHAHAR JAKARTA 06|01|**** B P JL SEI PADANG GG BUNTU NO 3 000 000 0 0

162 1271211306****** 1271215612****** LYDIA EGIANINA MEDAN 16|12|**** B P JL SEI PADANG GG BUNTU NO 3 000 000 0 0

163 1271211306****** 1271212603****** TUAN KHINALANG MEDAN 26|03|**** B L JL SEI PADANG GG BUNTU NO 3 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-016 164 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271211306****** 1271217112****** JUNITA BR TARIGAN MEDAN 31|12|**** S P JL SEI PADANG NO 110 000 000 0 0

165 1271211306****** 1271212504****** EDYSON TARIGAN MEDAN 25|04|**** B L JL SEI PADANG NO 110 000 000 0 0

166 1271211308****** 1271213110****** NGGELUH KARO-KARO SITEPU BARUS JAHE 31|10|**** P L JL SEI PADANG GG DAMAI NO 5 000 000 0 0

167 1271211311****** 1271212110****** OBERLIN SIHOTANG MEDAN 21|10|**** S L JL SEI PADANG GG PRIBADI NO 9 000 000 0 0

168 1271211311****** 1271216107****** SANDRA J PANGARIBUAN PEKANBARU 21|07|**** S P JL SEI PADANG GG PRIBADI NO 9 000 000 0 0

169 1271211312****** 1271210804****** ADEK HENDRIK MEDAN 08|04|**** B L JL SEI PADANG NO 111 A 000 000 0 0

170 1271211312****** 1271104109****** SITI AZIZAH MEDAN 01|09|**** S P JL SEI PADANG NO 111 A 000 000 0 0

171 1271211401****** 1271211904****** FERRY A SURANTA MEDAN 19|04|**** S L JLSEI PADANG NO 26 000 000 0 0

172 1271211402****** 1271024608****** KINANTI KARANG TENGAH 06|08|**** B P JL SEI PADANG NO 135 B 000 000 0 0

173 1271211405****** 1271214704****** SUSITI CHIUMAN MEDAN 07|04|**** S P JL SEI PADANG NO 158 MEDAN 000 000 0 0

174 1271211405****** 1271211604****** RIZAL MEDAN 16|04|**** S L JL SEI PADANG NO 158 MEDAN 000 000 0 0

175 1271211405****** 1271215610****** CYNTHIA MEDAN 16|10|**** B P JL SEI PADANG NO 158 MEDAN 000 000 0 0

176 1271211405****** 1271213005****** RANDY MEDAN 30|05|**** B L JL SEI PADANG NO 158 MEDAN 000 000 0 0

177 1271211408****** 1271210807****** BABAN PANGALENGAN 08|07|**** S L JL SEI PADANG GG BUNTU NO 7 000 000 0 0

178 1271211408****** 1271215707****** RASMULYANI SITEPU GURU KINAYAN 17|07|**** S P JL SEI PADANG GG BUNTU NO 7 000 000 0 0

179 1271211408****** 1271214205****** AMELYA ANZANI MEDAN 02|05|**** B P JL SEI PADANG GG BUNTU NO 7 000 000 0 0

180 1271211412****** 1271211612****** M BACHTIAR P. SIANTAR 16|12|**** S L JL SEI PADANG GG PRIBADI NO 7 000 000 0 0

181 1271211412****** 1271216503****** AISYAH K CANE 25|03|**** S P JL SEI PADANG GG PRIBADI NO 7 000 000 0 0

182 1271211412****** 1271211508****** AFANDY WILIK K CANE 15|08|**** B L JL SEI PADANG GG PRIBADI NO 7 000 000 0 0

183 1271211412****** 1271211105****** DICKY ARFAND MEDAN 11|05|**** B L JL SEI PADANG GG PRIBADI NO 7 000 000 0 0

184 1271211412****** 1271211306****** RYAN FAUZI MEDAN 13|06|**** B L JL SEI PADANG GG PRIBADI NO 7 000 000 0 0

185 1271211412****** 1271215402****** CUT MAYA ELISA MEDAN 14|02|**** B P JL SEI PADANG GG PRIBADI NO 7 000 000 0 0

186 1271210308****** 1271212002****** ANDRIANUS SITUMEANG MEDAN 20|02|**** B L JL SEI PADANG GG BUNTU NO 134 A 005 005 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-016 165 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13
Keterangan Disabilitas : Keterangan Status perkawinan = 186 Jenis Kelamin = 186 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 79 L : Laki-Laki = 85 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 102 P : Perempuan = 101 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 5
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 076 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-016 166 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 017
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271211606****** 1271212103****** SYAWAL HUTASUHUT, SH, MSI SIPIROK 21|03|**** S L JL DR MANSYUR GG SIPIROK NO 000 000 0 0

2 1271211606****** 1271216509****** ANNA LELY POHAN MEDAN 25|09|**** S P JL DR MANSYUR GG SIPIROK NO 11 000 000 0 0

3 1271211606****** 1271216111****** NURHAYANI BR SIREGAR SIPIROK 21|11|**** P P JL SUKA BARU NO 12 000 000 0 0

4 1271211606****** 1271211403****** AHMAD NASIR SIREGAR MEDAN 14|03|**** B L JL SUKA BARU NO 12 000 000 0 0

5 1271211607****** 1271211207****** SISWANTO MEDAN 12|07|**** S L JL S PADANG GG LANGGAR / TURI NO 5 000 000 0 0

6 1271211607****** 1271217112****** NURHAIDA MEDAN 31|12|**** S P JL S PADANG GG LANGGAR / TURI NO 5 000 000 0 0

7 1271211607****** 1271210406****** AFTAHLANA RIZKY HARAHAP MEDAN 04|06|**** B L JL SUKA BARU NO 7 000 000 0 0

8 1271211609****** 1271211706****** FAHRUROJI BAH JAMBI 17|06|**** B L JL SUKABARU NO 17 000 000 0 0

9 1271211609****** 1271215312****** MIKE ANGRI MARDONA SOLOK 13|12|**** B P JL SUKABARU NO 17 000 000 0 0

10 1271211609****** 1271216207****** ZUL FATIMAH MEDAN 22|07|**** S P JLSUKA BARU NO 5 B 000 000 0 0

11 1271211701****** 1271211212****** MOCH UNTUNG MEDAN 12|12|**** S L JL SUKA BARU NO 9 000 000 0 0

12 1271211701****** 1271215207****** SUMIATI SEMARANG 12|07|**** S P JL SUKA BARU NO 9 000 000 0 0

13 1271211701****** 1271216109****** INGGIT IWANI BAGANBATU 21|09|**** B P JL SUKA BARU NO 9 000 000 0 0

14 1271211703****** 1271215111****** RASYDAH BR SIREGAR DOLOK HILIR 11|11|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

15 1271211703****** 1271215803****** SINTA MARITO POHAN, SP MEDAN 18|03|**** S P JL DR MANSYUR GG SIPIROK NO 3 000 000 0 0

16 1271211703****** 1271216402****** DEWI SARTIKA P. SIANTAR 24|02|**** B P JL SUKA BARU NO 11 MEDAN 000 000 0 0

17 1271211704****** 1271210804****** ZAKARIA SIMATUPANG BATANG TORU 08|04|**** B L JLDRMANSYUR GG SIPIROK NO2 000 000 0 0

18 1271211707****** 1271213107****** SUPRAPTO MEDAN 31|07|**** S L JL SEI PADANG GG SIPIROK NO 6B 000 000 0 0

19 1271211707****** 1271211903****** WIRA PRANA MEDAN 19|03|**** B L JL SEI PADANG GG SIPIROK NO 6B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-017 167 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271211707****** 1271211103****** WIRA DWI ARDIA MEDAN 11|03|**** B L JL SEI PADANG GG SIPIROK NO 6B 000 000 0 0

21 1271211707****** 1271210710****** WIBI AMDIKA MEDAN 07|10|**** B L JL SEI PADANG GG SIPIROK NO 6B 000 000 0 0

22 1271211707****** 1271214109****** WIRNA VATRINA MEDAN 01|09|**** B P JL SEI PADANG GG SIPIROK NO 6B 000 000 0 0

23 1271211707****** 1271211407****** LEGINO MEDAN 14|07|**** S L JL SEI PADANG GG LANGGAR NO 15 000 000 0 0

24 1271211707****** 1271215106****** SUMANTI FRANSISKA MEDAN 11|06|**** S P JL SEI PADANG GG LANGGAR NO 15 000 000 0 0

25 1271211707****** 1271211207****** JULIANTO MARUDUT TAMBUNAN MEDAN 12|07|**** S L JL SUKABARU NO 7 MEDAN 000 000 0 0

26 1271211711****** 1271211606****** ISMAIL SULAIMAN NAINGGOLAN SIPIROK 16|06|**** B L JL SUKA BARU NO 02 MEDAN 000 000 0 0

27 1271211711****** 1271210706****** ARMAN SALEH NAINGGOLAN SIPIROK 07|06|**** B L JL SUKA BARU NO 02 MEDAN 000 000 0 0

28 1271211803****** 1271211908****** BRAJA SAKTI SINGARIMBUN MEDAN 19|08|**** S L JL. DR MANSYUR GG. BERDIKARI NO. 9 000 000 0 0

29 1271211803****** 1271215805****** SYARIFAH SYAHBAN BATUBARA MEDAN 18|05|**** S P JL. DR MANSYUR GG. BERDIKARI NO. 9 000 000 0 0

30 1271211803****** 1271216301****** HENDA DESTI SAPUTRI P SIDEMPUAN 23|01|**** S P JL. SUKA BARU NO. 12 000 000 0 0

31 1271211803****** 1271210712****** NAZARUDDIN SIREGAR MEDAN 07|12|**** S L JL. SUKA BARU NO. 12 000 000 0 0

32 1271211805****** 1271210205****** DARWIN KEMBAREN MEDAN 02|05|**** S L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

33 1271211805****** 1271215112****** SURIANA BR GINTING KINEPEN 11|12|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

34 1271211805****** 1271217101****** ROSANTA EVALINA BR PURBA KABANJAHE 31|01|**** B P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

35 1271211805****** 1271216107****** YULIA ROSALIA BR SITEPU KABANJAHE 21|07|**** B P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

36 1271211805****** 1271211507****** ANDAR DODYTHA KEMBAREN KABANJAHE 15|07|**** B L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

37 1271211805****** 1271214801****** YANIWINA ERLYKASNA BR KEMBAREN MEDAN 08|01|**** B P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

38 1271211806****** 1271211805****** SUMILAN MEDAN 18|05|**** S L JL. SUKA BARU NO. 2 000 000 0 0

39 1271211806****** 1271215511****** PARINA MEDAN 15|11|**** S P JL. SUKA BARU NO. 2 000 000 0 0

40 1271211806****** 1271211606****** DEDE SUWANDA MEDAN 16|06|**** B L JL. SUKA BARU NO. 2 000 000 0 0

41 1271211806****** 1271210101****** ODI PURNOMO MEDAN 01|01|**** B L JL. SUKA BARU NO. 2 000 000 0 0

42 1271211806****** 1271210711****** M FUAD SYADZALI LUBIS MEDAN 07|11|**** S L JL DR MANSYUR GG BERDIKARI NO 19 000 000 0 0

43 1271211807****** 1271215703****** DEWINDA MEDAN 17|03|**** S P JL SUKA BARU NO 17-B 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-017 168 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271211812****** 1271215903****** MISTIJAH MEDAN 19|03|**** P P JL SUKA BARU NO 12 000 000 0 0

45 1271211812****** 1271215408****** RITA FERINA SIREGAR MEDAN 14|08|**** B P JL SUKA BARU NO 12 000 000 0 0

46 1271211904****** 1271214101****** LIS EMMI HERTATI SIDEMPUAN 01|01|**** S P JL DR MANSYUR GG SIPIROK NO 2 000 000 0 0

47 1271211904****** 1271211208****** JULHAM SIREGAR MEDAN 12|08|**** B L JL DR MANSYUR GG SIPIROK NO 2 000 000 0 0

48 1271211904****** 1271215311****** NURUL HIDAYAH SIREGAR MEDAN 13|11|**** B P JL DR MANSYUR GG SIPIROK NO 2 000 000 0 0

49 1271211906****** 1271213112****** SUMINO MEDAN 31|12|**** S L JL SUKA BARU NO 5-A 000 000 0 0

50 1271211906****** 1271212409****** SEPTIAN HARMIKO MEDAN 24|09|**** B L JL SUKA BARU NO 5-A 000 000 0 0

51 1271211907****** 1271210504****** BASRI PASARIBU SORKAM KIRI 05|04|**** S L JL SEI PADANG GG LANGGAR/TURI NO 5 000 000 0 0

52 1271211907****** 1271216903****** SURIANI MEDAN 29|03|**** S P JL SEI PADANG GG LANGGAR/TURI NO 5 000 000 0 0

53 1271211907****** 1271210305****** KHAIRUL KAMIL PASARIBU MEDAN 03|05|**** B L JL SEI PADANG GG LANGGAR/TURI NO 5 000 000 0 0

54 1271211911****** 1271214808****** SAMSIAH MEDAN 08|08|**** P P JL SEI PADANG GG LANGGAR TURI NO 9 000 000 0 0

55 1271211911****** 1271212805****** AMAT ISAL MEDAN 28|05|**** B L JL SEI PADANG GG LANGGAR TURI NO 9 000 000 0 0

56 1271211911****** 1271210907****** SYAIFUL RAHMADHAN MEDAN 09|07|**** B L JL SEI PADANG GG LANGGAR TURI NO 9 000 000 0 0

57 1271211912****** 1271212903****** TRI SETIA BUDI UTOMO PONOROGO 29|03|**** S L JL DR MANSYUR GG SIPIROK NO 1 000 000 0 0

58 1271211912****** 1271216804****** SANTI AFRINA HARAHAP MEDAN 28|04|**** S P JL DR MANSYUR GG SIPIROK NO 1 000 000 0 0

59 1271211912****** 1271215302****** SYAHFITRI MEDAN 13|02|**** B P JL SEI PADANG GG TURI NO 3 000 000 0 0

60 1271211912****** 1271210606****** CORNELIS GINTING UJUNG PANDANG 06|06|**** S L JL DR MANSYUR GG SIPIROK NO 5 000 000 0 0

61 1271211912****** 1271216411****** SITI ZUBAIDAH S RAKYAT 24|11|**** S P JL DR MANSYUR GG SIPIROK NO 5 000 000 0 0

62 1271211912****** 1271211704****** ARIFIN GINTING MEDAN 17|04|**** B L JL DR MANSYUR GG SIPIROK NO 5 000 000 0 0

63 1271211912****** 1271212712****** GUNAWAN MEDAN 27|12|**** B L JL DR MANSYUR GG SIPIROK NO 5 000 000 0 0

64 1271211912****** 1271216311****** NOVAYANTI MEDAN 23|11|**** B P JL DR MANSYUR GG SIPIROK NO 5 000 000 0 0

65 1271211912****** 1271211504****** IR EM NOFRI BUKIT TINGGI 15|04|**** S L JL SUKA BARU NO 17 000 000 0 0

66 1271211912****** 1271214509****** SAFRIDA HARAHAP SEI MERANTI 05|09|**** B P JL SUKA BARU NO 7 000 000 0 0

67 1271212001****** 1271210710****** SUWEDI MEDAN 07|10|**** S L JLSUKA BARU NO 3 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-017 169 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271212001****** 1271215303****** SUKESIH MEDAN 13|03|**** S P JLSUKA BARU NO 3 MEDAN 000 000 0 0

69 1271212004****** 1271211205****** SAMIUN ARITONANG SIPIROK 12|05|**** S L JL SEI PADANG GG SIPIROK NO 14-B MEDAN 000 000 0 0

70 1271212004****** 1271216005****** ROSNI BULAN RAMBE SIPIROK 20|05|**** S P JL SEI PADANG GG SIPIROK NO 14-B MEDAN 000 000 0 0

71 1271212004****** 1271212804****** MUHAMMAD AFRIANDI MEDAN 28|04|**** B L JL.SEI PADANG/SPEKSI NO.106 000 000 0 0

72 1271212006****** 1271211802****** MULYADI CILACAP 18|02|**** S L JLSEI. PADANG GG LANGGAR/TURI NO.01 MEDAN 000 000 0 0

73 1271212006****** 1271214501****** NANI WAHYUNI MEDAN 05|01|**** S P JL SEI PADANG GG LANGGAR NO 15 000 000 0 0

74 1271212006****** 1271211406****** HERI SAPUTRA MEDAN 14|06|**** S L JL SEI PADANG GG LANGGAR NO 15 000 000 0 0

75 1271212006****** 1271195812****** NURJANNAH LUBIS MEDAN 18|12|**** S P JL SEI PADANG GG LANGGAR TURI NO 5B 000 000 0 0

76 1271212006****** 1271210810****** YUDI NOPIADI MEDAN 08|10|**** S L JL SEI PADANG GG LANGGAR TURI NO 5B 000 000 0 0

77 1271212007****** 1271211006****** SUHENDRA MEDAN 10|06|**** S L JLSUKA BARU NO17-A MEDAN 000 000 0 0

78 1271212007****** 1271214511****** SURIANI TEBING TINGGI 05|11|**** S P JLSUKA BARU NO17-A MEDAN 000 000 0 0

79 1271212008****** 1271215408****** E D AGUSTINA PURBA MEDAN 14|08|**** P P JL SUKA BARU NO 26 MEDAN 000 000 0 0

80 1271212008****** 1271211604****** HARRYKE FRANSISCO SIMANJUNTAK MEDAN 16|04|**** B L JL SUKA BARU NO 26 MEDAN 000 000 0 0

81 1271212008****** 1271210307****** HENDRIK FERNANDO SIMANJUNTAK MEDAN 03|07|**** B L JL SUKA BARU NO 26 MEDAN 000 000 0 0

82 1271212106****** 1271210505****** LEMBO GINTING,BA MUNTHE 05|05|**** S L JL SEI PADANG GG LANGGAR NO 9 000 000 0 0

83 1271212106****** 1271217112****** CINTA UKUR TARIGAN KERIAHEN 31|12|**** S P JL SEI PADANG GG LANGGAR NO 9 000 000 0 0

84 1271212106****** 1271215906****** REHNAWATI GINTING.S.SI MUNTHE 19|06|**** B P JL SEI PADANG GG LANGGAR NO 9 000 000 0 0

85 1271212106****** 1271215902****** SERI IDAH BR GINTING MEDAN 19|02|**** B P JL SEI PADANG GG LANGGAR NO 9 000 000 0 0

86 1271212106****** 1271211010****** JHON ELIOT SITUMEANG, SE, MM SIBOLGA 10|10|**** S L JL SEI PADANG GG LANGGAR TURI NO 2 000 000 0 0

87 1271212106****** 1271214105****** ROSELINE BR SIANIPAR,BA TARUTUNG 01|05|**** S P JL SEI PADANG GG LANGGAR TURI NO.2 000 000 0 0

88 1271212106****** 1271210810****** OCTAVIANDY SITUMEANG MEDAN 08|10|**** B L JL SEI PADANG GG LANGGAR TURI NO.2 000 000 0 0

89 1271212106****** 1271212807****** LEONARD SITUMEANG MEDAN 28|07|**** B L JL SEI PADANG GG LANGGAR TURI NO.2 000 000 0 0

90 1271212107****** 1271010201****** M SYAFII TANJUNG BALAI 02|01|**** S L JL SUKA BARU 000 000 0 0

91 1271212109****** 1271073012****** ABDUL HALIM HASIBUAN TAPANULI SEL. 30|12|**** S L JL DR MANSYUR GG SIPIROK NO 9 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-017 170 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271212109****** 1271074510****** NURCAHAYA HARAHAP SIPIROK 05|10|**** S P JL DR MANSYUR GG SIPIROK NO 9 000 000 0 0

93 1271212202****** 1271210909****** POSMAN MANGASI SIAHAAN MEDAN 09|09|**** S L JL SUKA BARU NO 3 LK VI MEDAN 000 000 0 0

94 1271212202****** 1271215904****** ROSINTA SITUMEANG LOBUHARAMBIR 19|04|**** S P JL SUKA BARU NO 13 LK VI MEDAN 000 000 0 0

95 1271212202****** 1271211002****** ADIEL P SIAHAAN P BATAM 10|02|**** B L JL SUKA BARU NO 13 LK VI MEDAN 000 000 0 0

96 1271212203****** 1271210502****** MUIS MEDAN 05|02|**** S L JLSUKA BARU NO 5 B 000 000 0 0

97 1271212203****** 1271213001****** HARI SUWENDI SUKARAYA 30|01|**** B L JL. SUKA BARU NO. 2 000 000 0 0

98 1271212206****** 1271211306****** JHONI HALINTAR PENGAPUL TRG,IR GUNUNG MONAKO 13|06|**** S L JL SEI PADANG GG SIPIROK NO 12 A 000 000 0 0

99 1271212206****** 1271215202****** INGANTARAS PERANGIN-ANGIN, DRA TANAH ITAM ULU 12|02|**** S P JL SEI PADANG GG SIPIROK NO 12 A 000 000 0 0

100 1271212206****** 1271213004****** TEGUH CHRISTIAN TARIGAN MEDAN 30|04|**** B L JL SEI PADANG GG SIPIROK NO 12 A 000 000 0 0

101 1271212206****** 1271212006****** HIZKIA FIGO ARIHTA TARIGAN MEDAN 20|06|**** B L JL SEI PADANG GG SIPIROK NO 12 A 000 000 0 0

102 1271212206****** 1271214804****** HOTNIDA DEWI HARAHAP MEDAN 08|04|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

103 1271212206****** 1271210602****** FERI AGUSMARA SUKADAMAI 06|02|**** S L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

104 1271212208****** 1271076410****** ROIKA MEDAN 24|10|**** B P JL.SEI PADANG GG.SIPIROK NO.4B 000 000 0 0

105 1271212210****** 1271212103****** MUHAMMAD IQBAL BATUBARA MEDAN 21|03|**** S L JL SUKA BARU NO 16 MEDAN 000 000 0 0

106 1271212210****** 1271026606****** ENDANG DWI LESTARI MEDAN 26|06|**** S P JL SUKA BARU NO 16 MEDAN 000 000 0 0

107 1271212211****** 1271210505****** SUPARJO MEDAN 05|05|**** S L JL SUKA BARU NO 5 LK VI 000 000 0 0

108 1271212211****** 1271214704****** HARIANI MEDAN 07|04|**** S P JL SUKA BARU NO 5 LK VI 000 000 0 0

109 1271212302****** 1209090106****** M. ASWIN DESA BANJAR 01|06|**** B L JL. SEI PADANG GANG SIPIROK NO.14 000 000 0 0

110 1271212302****** 1271214212****** ANNISA HARAHAP MEDAN 02|12|**** B P JL. SEI PADANG GANG SIPIROK NO.14 000 000 0 0

111 1271212304****** 1271211404****** JOSE RYNALDO HAMONANGAN SIANTURI MEDAN 14|04|**** S L JL DR MANSYUR GG BERDIKARI NO 1 000 000 0 0

112 1271212304****** 1271216805****** FITRI KUSUMANINGRUM CIREBON 28|05|**** S P JL DR MANSYUR GG BERDIKARI NO 1 000 000 0 0

113 1271212307****** 1271215707****** NURSITI SIHOMBING P. SIANTAR 17|07|**** S P JL SUKABARU NO 7 MEDAN 000 000 0 0

114 1271212307****** 1271210504****** RUBEN TAMBUNAN MEDAN 05|04|**** B L JL SUKABARU NO 7 MEDAN 000 000 0 0

115 1271212309****** 1271211001****** RIDWAN SIREGAR MEDAN 10|01|**** S L JL. SUKA BARU NO. 12 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-017 171 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271212309****** 1271216403****** VIVI ANDRIANI MEDAN 24|03|**** S P JL. SUKA BARU NO. 12 000 000 0 0

117 1271212312****** 1271215708****** MUNAWARAH PEKAN GEBANG 17|08|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

118 1271212401****** 1271211608****** M SIDIK TARIGAN, IR TIGA BINANGA 16|08|**** S L JL SEI PADANG GG TURI NO 10 000 000 0 0

119 1271212401****** 1271214212****** DIAH PRAMAYANTI GINTING MEDAN 02|12|**** S P JL SEI PADANG GG TURI NO 10 000 000 0 0

120 1271212401****** 1271212511****** M DICKY RANDI PRATAMA TARIGAN MEDAN 25|11|**** B L JL SEI PADANG GG TURI NO 10 000 000 0 0

121 1271212401****** 1271214101****** SOVIE AMIRA REHGITA TARIGAN MEDAN 01|01|**** B P JL SEI PADANG GG TURI NO 10 000 000 0 0

122 1271212402****** 1271211101****** EDWARD ROBERT SIAHAAN MEDAN 11|01|**** B L JL SUKA BARU NO 13 000 000 0 0

123 1271212402****** 1271211809****** LEO MANGAPUL SIAHAAN MEDAN 18|09|**** B L JL SUKA BARU NO 13 000 000 0 0

124 1271212403****** 1271214802****** DRA IDA REZEKI MEDAN 08|02|**** P P JL SUKA BARU NO 16 MEDAN 000 000 0 0

125 1271212404****** 1271210702****** ANDRI ARIADI MEDAN 07|02|**** S L JL SEI PADANG GG LANGGAR/ TURI NO 5B 000 000 0 0

126 1271212501****** 1271210912****** MAHMUDIN BATUBARA,IR SIPIROK 09|12|**** S L JL SUKA BARU NO 16 MEDAN 000 000 0 0

127 1271212501****** 1271210110****** BURHANUDDIN HARAHAP SH SIMALUNGUN 01|10|**** S L JL DRMANSYUR GG SIPIROK NO 1 000 000 0 0

128 1271212501****** 1271215708****** ZUBAIDAH HASIBUAN BINANGA 17|08|**** S P JL DRMANSYUR GG SIPIROK NO 1 000 000 0 0

129 1271212501****** 1271212507****** IRFAN ADITYA HARAHAP MEDAN 25|07|**** B L JL DRMANSYUR GG SIPIROK NO 1 000 000 0 0

130 1271212501****** 1271216604****** NIAN ASRI HARAHAP MEDAN 26|04|**** B P JL DRMANSYUR GG SIPIROK NO 1 000 000 0 0

131 1271212503****** 1271217112****** SYAMSINAR BR NAMBELA MEDAN 31|12|**** S P JL SUKA BARU NO 12 000 000 0 0

132 1271212507****** 1271217005****** HJ OTJE MUDO TANJUNG PINANG 30|05|**** P P JL. SEI PADANG GG. LANGGAR TURI NO. 7 000 000 0 0

133 1271212507****** 1271215402****** FEVRIANA VALENTINE DAMIRI, SS JAKARTA 14|02|**** P P JL. SEI PADANG GG. LANGGAR TURI NO. 7 000 000 0 0

134 1271212509****** 1271210909****** ABDUL AZIS HARAHAP MEDAN 09|09|**** S L JL DR MANSYUR GG SIPIROK NO 1 000 000 0 0

135 1271212509****** 1271215108****** DEWI NASUTION SIPIROK 11|08|**** S P JL DR MANSYUR GG SIPIROK NO 1 000 000 0 0

136 1271212509****** 1271213105****** ZULKARNAIN SALEH HARAHAP MEDAN 31|05|**** B L JL DR MANSYUR GG SIPIROK NO 1 000 000 0 0

137 1271212509****** 1271212706****** SASTRA SEMBIRING KARO 27|06|**** S L JL. SEI PADANG GG. SIPIROK NO. 18 000 000 0 0

138 1271212509****** 1271217112****** KARONDA BR GINTING KARO 31|12|**** S P JL. SEI PADANG GG. SIPIROK NO. 18 000 000 0 0

139 1271212509****** 1271214505****** SERLI EVANTINA SEMBIRING KABANJAHE 05|05|**** B P JL. SEI PADANG GG. SIPIROK NO. 18 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-017 172 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212509****** 1271212004****** ENOS SEMBIRING KABANJAHE 20|04|**** B L JL. SEI PADANG GG. SIPIROK NO. 18 000 000 0 0

141 1271212509****** 1271211911****** ROBBY SEMBIRING MEDAN 19|11|**** B L JL. SEI PADANG GG. SIPIROK NO. 18 000 000 0 0

142 1271212510****** 1271212110****** DIDIK SULAIMAN PAYA GELI 21|10|**** S L JL SUKA BARU GG SIPIROK NO 14 000 000 0 0

143 1271212510****** 1271210510****** EKO NOVRIADI MEDAN 05|10|**** B L JL SUKA BARU GG SIPIROK NO 14 000 000 0 0

144 1271212510****** 1271216704****** ZULIYANA KJUL MEDAN 27|04|**** B P JL SUKA BARU GG SIPIROK NO 14 000 000 0 0

145 1271212511****** 1207054111****** INNDA SYAHIDA TUNTUNGAN 01|11|**** S P JL SEI PADANG GG LANGGAR/TURI NO 5 000 000 0 0

146 1271212511****** 1271212110****** HARUN MALIKI PASARIBU, SE MEDAN 21|10|**** B L JL SEI PADANG GG LANGGAR/TURI NO 5 000 000 0 0

147 1271212511****** 1271214504****** APRILA WAHYUNI PARDEDE R PRAPAT 05|04|**** B P JL. SUKA BARU NO.19 A 000 000 0 0

148 1271212602****** 1271216911****** YUSRIATI MEDAN 29|11|**** S P JL SEI PADANG GG LANGGAR/GG TURI NO 5 000 000 0 0

149 1271212604****** 1271211102****** RAHMAD BAHARI MEDAN 11|02|**** B L JL SUKA BARU NO 17-A MEDAN 000 000 0 0

150 1271212606****** 1271213112****** JARWADI PONOROGO 31|12|**** S L JL DR MANSYUR GG SIPIROK NO 7 000 000 0 0

151 1271212606****** 1271215702****** MURNIATI GULTOM SIBOLGA 17|02|**** S P JL DR MANSYUR GG SIPIROK NO 7 000 000 0 0

152 1271212607****** 1271215006****** CHATUN LABUHAN RUKU 10|06|**** S P JL SEI PADANG GG LANGGAR NO 12 000 000 0 0

153 1271212607****** 1271210108****** RICKY HAMDANI PAYA GELI 01|08|**** S L JL SUKABARU GG SIPIROK NO 14 000 000 0 0

154 1271212607****** 1275015208****** RIDA NUR MEDAN 12|08|**** S P JL SUKABARU GG SIPIROK NO 14 000 000 0 0

155 1271212608****** 1271211510****** MONANG PAKPAHAN MEDAN 15|10|**** S L JL. SUKA BARU NO. 13 000 000 0 0

156 1271212608****** 1271214507****** JULIANA BR SITEPU KUALA 05|07|**** S P JL. SUKA BARU NO. 13 000 000 0 0

157 1271212609****** 1271217103****** MUTIARA BR SEMBIRINGSE RUMAMIS 31|03|**** B P JLSEI PADANG GGSIPIROK NO 4 000 000 0 0

158 1271212611****** 1271214412****** SYARIFAH NURAINI MEDAN 04|12|**** P P JL DR MANSYUR GG SIPIROK NO 5 000 000 0 0

159 1271212612****** 1271215204****** MERI BR PURBA PEMATANG SIANTAR 12|04|**** S P JL. SEI PADANG GG. SIPIROK NO. 18-A 000 000 0 0

160 1271212612****** 1271212012****** MARALOBAT HUTABARAT MEDAN 20|12|**** S L JL. SEI PADANG GG. SIPIROK NO. 18-A 000 000 0 0

161 1271212702****** 1271212712****** RIDWAN SIAGIAN, S. IP TANJUNG BALAI 27|12|**** S L JL. SEI PADANG GG. PRIBADI NO. 13 000 000 0 0

162 1271212702****** 1271214210****** NORITA HUTAGALUNG TARUTUNG 02|10|**** S P JL. SEI PADANG GG. PRIBADI NO. 13 000 000 0 0

163 1271212702****** 1271211603****** LUCAS PATAR ANDRY SIAGIAN MEDAN 16|03|**** B L JL. SEI PADANG GG. PRIBADI NO. 13 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-017 173 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212702****** 1271212610****** KEVIN IMMANUEL REXY SIAGIAN MEDAN 26|10|**** B L JL. SEI PADANG GG. PRIBADI NO. 13 000 000 0 0

165 1271212704****** 1271213112****** PARI ADI MEDAN 31|12|**** S L JL SEI PADANG GG LANGGAR NO 7 000 000 0 0

166 1271212704****** 1271215203****** SURI YANI MEDAN 12|03|**** S P JL SEI PADANG GG LANGGAR NO 7 000 000 0 0

167 1271212704****** 1271215010****** AISYAH MEDAN 10|10|**** B P JL SEI PADANG GG LANGGAR NO 7 000 000 0 0

168 1271212704****** 1271211204****** MHD SAFRIZAL MEDAN 12|04|**** B L JL SEI PADANG GG LANGGAR NO 7 000 000 0 0

169 1271211904****** 1271213112****** ABSALOM HUTASOIT SIBOLGA 31|12|**** S L JL SEI PADANG GG SIPIROK NO 7C 002 000 0 0

170 1271211707****** 1271214606****** MESYATI KISARAN 06|06|**** S P JL SEI PADANG GG SIPIROK NO 6B 001 006 0 0

171 1271211807****** 1271211107****** ABDUL KARIM DOLOK MARANGIR 11|07|**** S L JL SUKA BARU NO 17-B 001 006 0 0

172 1271211904****** 1271215805****** HENNI SIREGAR P.SIDEMPUAN 18|05|**** B P JL DR MANSYUR GG SIPIROK NO 2 001 006 0 0

173 1271211904****** 1271211110****** ADI SAHPUTRA SIREGAR P.SIDEMPUAN 11|10|**** B L JL DR MANSYUR GG SIPIROK NO 2 001 006 0 0

174 1271211911****** 1271212909****** HADI SEPTIA MEDAN 29|09|**** B L JL SEI PADANG GG LANGGAR TURI NO 9 001 006 0 0

175 1271212006****** 1271216710****** WINARNI MEDAN 27|10|**** S P JLSEI. PADANG GG LANGGAR/TURI NO.01 MEDAN 001 006 0 0

176 1271212008****** 1271214608****** FLOMA BR SIAHAAN BALATA 06|08|**** P P JL SUKA BARU NO 26 MEDAN 001 006 0 0

177 1271212201****** 1271214310****** SARTIKA RAHMAWATI HARAHAP SIPIROK 03|10|**** B P JL.DR.MANSYUR GG.SIPIROK NO.1 001 006 0 0

178 1271212203****** 1271217112****** UMI MEDAN 31|12|**** B P JLSUKA BARU NO 5 B 001 006 0 0

179 1271212501****** 1271214907****** SITI CHAIRIYAH BATUBARA MEDAN 09|07|**** B P JL SUKA BARU NO 16 MEDAN 001 006 0 0

180 1271212506****** 1271215708****** GUSTINA SIANTURI P. SIANTAR 17|08|**** P P JL S PADANG GG SIPIROK 001 006 0 0

181 1271211608****** 1207054602****** PURWATI TANJUNG ANOM 06|02|**** B P JL. SUKA BARU NO.16 A 002 006 0 0

182 1271211711****** 1271217112****** ROSLIANA HARAHAP MEDAN 31|12|**** P P JL SUKA BARU NO 02 MEDAN 002 006 0 0

183 1271211812****** 1271210709****** DARWIN SIREGAR MEDAN 07|09|**** B L JL SUKA BARU NO 12 002 006 0 0

184 1271211906****** 1271217112****** SAMINEM MEDAN 31|12|**** S P JL SUKA BARU NO 5-A 002 006 0 0

185 1271211912****** 1271210612****** ADELAN SUGIARTO, SH MEDAN 06|12|**** S L JL SEI PADANG GG TURI NO 3 002 006 0 0

186 1271211912****** 1271211204****** ADI SYAHPUTRA MEDAN 12|04|**** B L JL SEI PADANG GG TURI NO 3 002 006 0 0

187 1271212004****** 1271215204****** NUR SITTA HRP MEDAN 12|04|**** S P JL SEI PADANG GG SIPIROK NO 14-A MEDAN 002 006 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-017 174 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271212106****** 1271216711****** SONDANG N SITUMEANG MEDAN 27|11|**** B P JL SEI PADANG GG LANGGAR TURI NO.2 002 006 0 0

189 1271212402****** 1271211401****** MARUDUT M SIAHAAN MEDAN 14|01|**** B L JL SUKA BARU NO 13 002 006 0 0

190 1271212602****** 1271216508****** SELLA ASNITA MEDAN 25|08|**** B P JL SEI PADANG GG LANGGAR/GG TURI NO 5 002 006 0 0

191 1271212702****** 1271215601****** WELLIYANI IVANA FLORA SIAGIAN MEDAN 16|01|**** B P JL. SEI PADANG GG. PRIBADI NO. 13 002 006 0 0

192 1271212312****** 1271211702****** SAH RIAL HARAHAP MEDAN 17|02|**** S L JL SEI PADANG GG SIPIROK NO 14 004 006 0 0

193 1271212107****** 1271216606****** ROSMITA SINGKIL 26|06|**** S P JL SUKA BARU 006 010 0 0

194 1271211806****** 1271044402****** RINA HAFNI LUBIS P.SIDEMPUAN 04|02|**** S P JL DR MANSYUR GG BERDIKARI NO 19 005 019 0 0

195 1271211707****** 1271114611****** NOVITA FARIDA SITOMPUL MEDAN 06|11|**** S P JL SUKABARU NO 7 MEDAN 006 024 0 0

196 1271212503****** 1271214608****** LILI SILVIANI SIREGAR MEDAN 06|08|**** B P JL SUKA BARU NO 12 000 040 0 0

197 1271212503****** 1271214605****** LELI FITRIYANI MEDAN 06|05|**** B P JL SUKA BARU NO 2 000 054 0 0

198 1271211703****** 1271212509****** ADI ARYANTO, SP LANGKAT 25|09|**** S L JL DR MANSYUR GG SIPIROK NO 3 000 069 0 0

199 1271212404****** 1271214605****** YUNIZAR HANUM MEDAN 06|05|**** S P JL SEI PADANG GG LANGGAR/ TURI NO 5B 000 135 0 0

200 1271212606****** 1271212111****** TRI WIYONO MEDAN 21|11|**** S L JLSEI. PADANG GG LANGGAR/TURI NO.01 MEDAN 000 147 0 0

201 1271211904****** 1271216412****** TIAYUR SITUMEANG SIBOLGA 24|12|**** S P JL SEI PADANG GG SIPIROK NO 7C 000 149 0 0

202 1271212208****** 3276082103****** SABAR DEDET JAKARTA 21|03|**** B L JL.SEI PADANG GG.SIPIROK NO.4B 000 205 0 0

203 1271211703****** 1271211307****** RAMADHAN HARAHAP MEDAN 13|07|**** S L JL SEI PADANG GG SIPIROK NO 14 000 242 0 0

204 1271212404****** 1271214610****** SUKARNI MEDAN 06|10|**** S P JL SEI PADANG GG LANGGAR/ TURI NO 5B 000 329 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 204 Jenis Kelamin = 204 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 82 L : Laki-Laki = 103 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 111 P : Perempuan = 101 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 11
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 086 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-017 175 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 018
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271052802****** 1271055509****** HJ CHAIRIDA ASHARI DAULAY JAKARTA 15|09|**** S P JL SEI PADANG GG LANGGAR NO 12 000 000 0 0

2 1271052802****** 1271052311****** AHMAD KHAIDIR TEBING TINGGI 23|11|**** S L JL SEI PADANG GG LANGGAR NO 12 000 000 0 0

3 1271052802****** 1271053010****** MUHAMMAD REZA MAULANA MEDAN 30|10|**** B L JL SEI PADANG GG LANGGAR NO 12 000 000 0 0

4 1271162212****** 1271165210****** VERANITA PURBA, SH MEDAN 12|10|**** S P JL DR MANSYUR GG BERDIKARI NO 5B 000 000 0 0

5 1271162212****** 1271162512****** IR JHONSON D N SIHOTANG MEDAN 25|12|**** S L JL DR MANSYUR GG BERDIKARI NO 5B 000 000 0 0

6 1271162212****** 1271162109****** JOSHUA MAELSON SIHOTANG MEDAN 21|09|**** B L JL DR MANSYUR GG BERDIKARI NO 5B 000 000 0 0

7 1271210106****** 1271216710****** LUKYTA PERMATASARI MEDAN 27|10|**** B P JL SEI PADANG GG SIPIROK NO 2 000 000 0 0

8 1271210106****** 1271213005****** INDRA KESUMA MEDAN 30|05|**** S L JL SUKA BARU NO 2 000 000 0 0

9 1271210106****** 1271215411****** YUNA YULISTIKA MEDAN 14|11|**** S P JL SUKA BARU NO 2 000 000 0 0

10 1271210109****** 1271210508****** RAHMADANY MEDAN 05|08|**** S L JL SEI PADANG GG LANGGAR NO 7 B 000 000 0 0

11 1271210109****** 1271215909****** RIZSKA RABAYANI MEDAN 19|09|**** S P JL SEI PADANG GG LANGGAR NO 7 B 000 000 0 0

12 1271210109****** 1271211608****** SAHBUDI RIZKI HARPAN HARAHAP MEDAN 16|08|**** B L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

13 1271210109****** 1271196203****** ENDANG WAHYUNI MEDAN 22|03|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

14 1271210205****** 1271210404****** MUHAMMAD SYAFRIZAL MEDAN 04|04|**** B L JLSUKA BARU MEDAN 000 000 0 0

15 1271210205****** 1271212101****** AMIRUDDIN SIREGAR MEDAN 21|01|**** S L JL SUKABARU NO 12 MEDAN 000 000 0 0

16 1271210205****** 1271214310****** SITI RAHMAH HARAHAP SIMALUNGUN 03|10|**** S P JL SUKABARU NO 12 MEDAN 000 000 0 0

17 1271210207****** 1271212005****** ERWIN P PANGGABEAN KANOPAN ULU 20|05|**** S L JL SUKA BARU NO 4-A MEDAN 000 000 0 0

18 1271210207****** 1271216006****** JUNITA NELLY PANJAITAN PEMATANG SIANTAR 20|06|**** S P JL SUKA BARU NO 4-A MEDAN 000 000 0 0

19 1271210208****** 1271216505****** FATHIMAH KARANG BARU 25|05|**** S P JL DR MANSYUR GG SIPIROK NO 2 A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-018 176 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210208****** 1271210707****** MHD RUSLI HARAHAP MEDAN 07|07|**** S L JL DR MANSYUR GG SIPIROK NO 2 A 000 000 0 0

21 1271210208****** 1271212504****** RICKI RAHMADANI HARAHAP MEDAN 25|04|**** B L JL DR MANSYUR GG SIPIROK NO 2 A 000 000 0 0

22 1271210209****** 1271212802****** WARWAN SYAHPUTRA PERBAUNGAN 28|02|**** S L JL SUKA BARU NO 12 MEDAN 000 000 0 0

23 1271210209****** 1271215009****** NINA MARDIANA SIREGAR MEDAN 10|09|**** S P JL SUKA BARU NO 12 MEDAN 000 000 0 0

24 1271210303****** 1271215312****** SYAWALYATY HARAHAP MEDAN 13|12|**** B P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

25 1271210303****** 1271041110****** SUKRY GHOZALI POHAN SINUNUKAN 11|10|**** B L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

26 1271210303****** 1271215012****** SYAWALY SYAHFITRI HARAHAP MEDAN 10|12|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

27 1271210304****** 1271217112****** SALBIYAH SIREGAR TANJUNG BALAI 31|12|**** P P JL SUKA BARU NO 10 MEDAN 000 000 0 0

28 1271210304****** 1271215212****** RAMADINA HARAHAP MEDAN 12|12|**** B P JL SUKA BARU NO 10 MEDAN 000 000 0 0

29 1271210304****** 1271212505****** INDRA GUNAWAN HARAHAP MEDAN 25|05|**** B L JL SUKA BARU NO 10 MEDAN 000 000 0 0

30 1271210309****** 1271212412****** SAFARI LANGKAT 24|12|**** S L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

31 1271210309****** 1271216108****** SAH RAMADHANI HARAHAP MEDAN 21|08|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

32 1271210309****** 1271212010****** ROBERD MEDAN 20|10|**** B L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

33 1271210309****** 1271211107****** FERDINAND MARADONA ARITONANG MEDAN 11|07|**** B L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

34 1271210309****** 1271217011****** NURHOTIMA HUTABARAT P.SIDEMPUAN 30|11|**** P P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

35 1271210309****** 1271210609****** M TAUFIK HARAHAP MEDAN 06|09|**** B L JL SEI PADANG GG SIPIROK NO 4 000 000 0 0

36 1271210310****** 1271215803****** BASYARIA BATU BARA MEDAN 18|03|**** P P JL SUKA BARU NO 19A 000 000 0 0

37 1271210310****** 1271214205****** MEI HARYANTI PARDEDE MEDAN 02|05|**** B P JL SUKA BARU NO 19A 000 000 0 0

38 1271210310****** 1203290708****** JUMADI SIREGAR BULU MARIO 07|08|**** S L JL SUKA BARU NO 2 MEDAN 000 000 0 0

39 1271210401****** 1271215312****** TUTUT WIJAYANTI MEDAN 13|12|**** S P JL SEI PADANG GG TURI NO.1 000 000 0 0

40 1271210405****** 1271210701****** DENY HINDARTO SH JAKARTA 07|01|**** S L JL DR MANSYUR NO 83 MEDAN 000 000 0 0

41 1271210408****** 1271210112****** MISLAN PEMATANG SIANTAR 01|12|**** S L JL SEI PADANG GG LANGGAR-TURI NO 11 000 000 0 0

42 1271210408****** 1271215610****** ALLI YANI MEDAN 16|10|**** B P JL SEI PADANG GG LANGGAR-TURI NO 11 000 000 0 0

43 1271210408****** 1271216010****** DEFI NOVITA MEDAN 20|10|**** B P JL SEI PADANG GG LANGGAR-TURI NO 11 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-018 177 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210408****** 1271210312****** RIKI SAPUTRA MEDAN 03|12|**** B L JL SEI PADANG GG LANGGAR-TURI NO 11 000 000 0 0

45 1271210410****** 1271215411****** ASNIAR BR SIREGAR LUBUK PAKAM 14|11|**** S P JL SUKABARU GG SIPIROK NO 14 000 000 0 0

46 1271210506****** 1271212101****** BAGINDA MALIM HARAHAP MEDAN 21|01|**** S L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

47 1271210506****** 1271216110****** MARNI RAMBE SIPIROK 21|10|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

48 1271210506****** 1271216003****** NURHAYATI BR HARAHAP MEDAN 20|03|**** B P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

49 1271210506****** 1271215802****** SUNDARIANI HARAHAP MEDAN 18|02|**** B P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

50 1271210506****** 1271216704****** ELIZABETH SIAHAAN MANOKWARI 27|04|**** B P JL SUKABARU GG SIPIROK-RELA NO 11 000 000 0 0

51 1271210506****** 1271211506****** YUSUF KARUNIA SIAHAAN MANOKWARI 15|06|**** B L JL SUKABARU GG SIPIROK-RELA NO 11 000 000 0 0

52 1271210506****** 1271210202****** ADE PRIADI TANJUNG MORAWA 02|02|**** S L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

53 1271210506****** 1271215401****** SAH RINA HARAHAP MEDAN 14|01|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

54 1271210506****** 1271210706****** MUSA NOOR MEDAN 07|06|**** S L JLSUKA BARU NO03 MEDAN 000 000 0 0

55 1271210506****** 1206125711****** SERLI JUMA TOMBAK 17|11|**** S P JLSUKA BARU NO03 MEDAN 000 000 0 0

56 1271210508****** 1271214802****** MENIK HANDAYANI PURBALINGGA 08|02|**** S P JL SEI PADANG GG LANGGAR NO 12 000 000 0 0

57 1271210508****** 1271210812****** ABDUL GAFUR DURI 08|12|**** B L JL SEI PADANG GG LANGGAR NO 12 000 000 0 0

58 1271210601****** 1271210908****** DJAKARIA POHAN SIPIROK 09|08|**** S L JL DR MANSYUR GG SIPIROK NO 3 000 000 0 0

59 1271210601****** 1271215810****** MASITA ROMAULI POHAN MEDAN 18|10|**** B P JL DR MANSYUR GG SIPIROK NO 3 000 000 0 0

60 1271210601****** 1271215511****** HALIMATUSSADIAH POHAN MEDAN 15|11|**** B P JL DR MANSYUR GG SIPIROK NO 3 000 000 0 0

61 1271210602****** 1271210202****** AMRAN PERBAUNGAN 02|02|**** S L JL DR MANSYUR GG SIPIROK NO 16-A 000 000 0 0

62 1271210602****** 1271216311****** MASNUN PERBAUNGAN 23|11|**** S P JL DR MANSYUR GG SIPIROK NO 16-A 000 000 0 0

63 1271210602****** 1271215011****** ARFINA MEDAN 10|11|**** B P JL DR MANSYUR GG SIPIROK NO 16-A 000 000 0 0

64 1271210602****** 1271210508****** AGUS ARDIANTO MEDAN 05|08|**** B L JL DR MANSYUR GG SIPIROK NO 16-A 000 000 0 0

65 1271210602****** 1271212711****** KARDONI SINAGA HUTA NAGODANG 27|11|**** B L JL SUKA BARU NO 04 MEDAN 000 000 0 0

66 1271210602****** 1218020501****** JUMADI PERBAUNGAN 05|01|**** S L JL SEI PADANG GG LANGGAR/ TURI NO 8 000 000 0 0

67 1271210602****** 1218025701****** SULASTRI MEDAN 17|01|**** S P JL SEI PADANG GG LANGGAR/ TURI NO 8 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-018 178 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210603****** 1271210805****** BUSRAN MEDAN 08|05|**** S L JL SUKA BARU GG SIPIROK NO 2 000 000 0 0

69 1271210606****** 1271210910****** SYAIFUDDIN ZUHRI PERBAUNGAN 09|10|**** S L JL DR MANSYUR GG SIPIROK NO 14 000 000 0 0

70 1271210606****** 1271214709****** DELISMA HARAHAP MEDAN 07|09|**** S P JL DR MANSYUR GG SIPIROK NO 14 000 000 0 0

71 1271210607****** 1271212802****** MUHAMMAD ATTIR MIDZI MEDAN 28|02|**** B L JL SUKA BARU NO 2 000 000 0 0

72 1271210608****** 1271214408****** SRI LAMSARI PANTAI CERMIN 04|08|**** P P JL SUKA BARU NO 6 000 000 0 0

73 1271210610****** 1271214812****** RABIYAH LIDAH TANAH 08|12|**** S P JL SUKA BARU GG SIPIROK NO 2 000 000 0 0

74 1271210612****** 1271216009****** ROSMA WATI P. SIANTAR 20|09|**** S P JL SUKA BARU NO 11 MEDAN 000 000 0 0

75 1271210612****** 1271216001****** RAHMA WATI BR TAMPUBOLON P. SIANTAR 20|01|**** B P JL SUKA BARU NO 11 MEDAN 000 000 0 0

76 1271210612****** 1271210611****** ANDI NOPRIANTO SIPIROK 06|11|**** B L JL SUKA BARU NO 11 MEDAN 000 000 0 0

77 1271210612****** 1271212404****** ABDUL CHOIR TAMPUBOLON P. SIANTAR 24|04|**** B L JL SUKA BARU NO 11 MEDAN 000 000 0 0

78 1271210612****** 1271216802****** SRI RAMA DHANI TAMPUBOLON MEDAN 28|02|**** B P JL SUKA BARU NO 11 MEDAN 000 000 0 0

79 1271210612****** 1271213012****** DANU SYAHPUTRA TAMPUBOLON MEDAN 30|12|**** B L JL SUKA BARU NO 11 MEDAN 000 000 0 0

80 1271210702****** 1271211902****** FERRI ICHSAN MEDAN 19|02|**** S L JL SUKA BARU NO 5 MEDAN 000 000 0 0

81 1271210703****** 1271217112****** SAKIYEM KUTOARJO 31|12|**** P P JL SEI PADANG GG LANGGAR/TURI NO 8 000 000 0 0

82 1271210704****** 1271211008****** NANGKET GINTING LAU LINGGA 10|08|**** S L JL SEI PADANG GG LANGGAR NO 11 000 000 0 0

83 1271210704****** 1271215207****** BAGENGENA BR KARO LAU LINGGA 12|07|**** S P JL SEI PADANG GG LANGGAR NO 11 000 000 0 0

84 1271210706****** 1271216608****** SAITINA MEDAN 26|08|**** S P JL. SUKA BARU NO. 9 000 000 0 0

85 1271210709****** 1271210309****** EBEN EZER SITANGGANG MEDAN 03|09|**** S L JL SEI PADANG GG SIPIROK NO 7 000 000 0 0

86 1271210709****** 1271214808****** YOHANITA AGNESIA SITANGGANG MEDAN 08|08|**** B P JL SEI PADANG GG SIPIROK NO 7 000 000 0 0

87 1271210710****** 1271211403****** NASRUL ABDI MEDAN 14|03|**** S L JL SUKA BARU NO 12 MEDAN 000 000 0 0

88 1271210710****** 1271214712****** LINDA ZULFIDA SIREGAR MEDAN 07|12|**** S P JL SUKA BARU NO 12 MEDAN 000 000 0 0

89 1271210710****** 1271211806****** EDWARD ATHUR BENARDO SEMBIRING MEDAN 18|06|**** S L JL SEI PADANG GG SIPIROK NO 7 MEDAN 000 000 0 0

90 1271210710****** 1271215106****** GERHANA RIA ERNAWATI PANDIANGAN SIPEA-PEA 11|06|**** S P JL SEI PADANG GG SIPIROK NO 7 MEDAN 000 000 0 0

91 1271210712****** 1271212011****** MULIADI MEDAN 20|11|**** B L JL SEI PADANG GG SIPIROK GG RELA 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-018 179 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271210712****** 1271215809****** NURAZAHNI MEDAN 18|09|**** S P JL SEI PADANG GG SIPIROK GG RELA 000 000 0 0

93 1271210712****** 1271211404****** MUHAMMAD SEMPURNA MEDAN 14|04|**** B L JL SEI PADANG GG SIPIROK GG RELA 000 000 0 0

94 1271210801****** 1271210909****** HERI SUSANTO MEDAN 09|09|**** B L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

95 1271210802****** 1271210404****** RAHMAD SUYOTO B KALIFAH 04|04|**** S L JL SUKA BARU NO 2 000 000 0 0

96 1271210802****** 1271216808****** IDA CHAIRANI KOTASAN 28|08|**** S P JL SUKA BARU NO 2 000 000 0 0

97 1271210806****** 1271212007****** SYAHPUTRA PRATAMA MEDAN 20|07|**** B L JL SUKA BARU NO 2 MEDAN 000 000 0 0

98 1271210806****** 1271216707****** SYAHFITRI PRATIWI MEDAN 27|07|**** B P JL SUKA BARU NO 2 MEDAN 000 000 0 0

99 1271210806****** 1271210606****** ZAINAL ARIFIN MEDAN 06|06|**** S L JL SEI PADANG GANG LANGGAR-TURI NO 5 000 000 0 0

100 1271210806****** 1271216711****** EKA HERAWATI MEDAN 27|11|**** S P JL SEI PADANG GANG LANGGAR-TURI NO 5 000 000 0 0

101 1271210807****** 1271211602****** ADE IRAWAN MEDAN 16|02|**** B L JL SEI PADANG GG LANGGAR NO 7 A 000 000 0 0

102 1271210811****** 1271215212****** FANISARA MADANI MEDAN 12|12|**** B P JL DR MANSYUR GG SIPIROK NO.2 000 000 0 0

103 1271210811****** 1271212701****** HASAN BASRI DUMAI 27|01|**** B L JLSUKA BARU NO 2 F 000 000 0 0

104 1271210811****** 1271210306****** PAJAR SIDDIK MEDAN 03|06|**** B L JL SUKA BARU NO 9 000 000 0 0

105 1271210812****** 1271211310****** MUHAMMAD RASYID HALIM MEDAN 13|10|**** S L JL. SEI PADANG GG. LANGGAR/TURI NO. 5 000 000 0 0

106 1271210812****** 1271216606****** WIWIN DWI WINARNI REMBANG 26|06|**** S P JL SEI PADANG GG LANGGAR/ TURI NO 1 000 000 0 0

107 1271210901****** 1271212911****** DARMAN NAINGGOLAN BAHRAJA 29|11|**** S L JL SUKA BARU NO 11 000 000 0 0

108 1271210901****** 1271214212****** LENNA BR SIMANJUNTAK SIBOLGA 02|12|**** S P JL SUKA BARU NO 11 000 000 0 0

109 1271210901****** 1271215012****** ELLY EPIPHANA BR NAINGGOLAN MEDAN 10|12|**** B P JL SUKA BARU NO 000 000 0 0

110 1271210901****** 1271216212****** NANY RYANI GOKMAULI NAINGGOLAN MEDAN 22|12|**** B P JL SUKA BARU NO 11 000 000 0 0

111 1271210901****** 1271216010****** PETRO NELLA VIDELIA SIDABUTAR PARAPAT 20|10|**** B P JL SUKA BARU NO 11 000 000 0 0

112 1271210901****** 1271217112****** LAMSYARI RAMBE SIPIROK 31|12|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

113 1271210901****** 1271211712****** PARLINDUNGAN HARAHAP MEDAN 17|12|**** B L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

114 1271210901****** 1271210512****** SYAHRIADY HARAHAP MEDAN 05|12|**** B L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

115 1271210902****** 1209271908****** SELAMET SETIA JANJI 19|08|**** S L JL. SUKA BARU NO. 6 A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-018 180 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271210904****** 1271211505****** M DJEIN BATUBARA MEDAN 15|05|**** S L JL SUKA BARU NO 16 000 000 0 0

117 1271210904****** 1271214110****** MASLIANA BANDA ACEH 01|10|**** S P JL SUKA BARU NO 16 000 000 0 0

118 1271210906****** 1271215509****** DERMI SITANGGANG GALANG 15|09|**** P P JL SEI PADANG GG SIPIROK NO 7 000 000 0 0

119 1271210906****** 1271215903****** LAMRIA MARGARETHA MEDAN 19|03|**** B P JL SEI PADANG GG SIPIROK NO 7 000 000 0 0

120 1271210906****** 1271214707****** DEVI JULIANTI MEDAN 07|07|**** B P JL SEI PADANG GG SIPIROK NO 7 000 000 0 0

121 1271210906****** 1271210805****** MAHMUD SAAT SIREGAR MEDAN 08|05|**** S L JL SUKA BARU NO 14 000 000 0 0

122 1271210908****** 1271211711****** ERWIN NASUTION KOTANOPAN 17|11|**** S L JL SUKA BARU NO 2 000 000 0 0

123 1271210908****** 1271211208****** SULAIMAN TAMBANGAN TONGA 12|08|**** B L JL SUKA BARU NO 2 000 000 0 0

124 1271210908****** 1271216404****** SARI KARTIKA MEDAN 24|04|**** B P JL SUKA BARU NO 2 000 000 0 0

125 1271210911****** 1271214204****** BUNGKRING GLUGUR RIMBUN 02|04|**** P P JL SEI PADANG GG LANGAR-TURI NO 5 000 000 0 0

126 1271210911****** 1271212805****** MUHAMAD SALIM BANDA ACEH 28|05|**** S L JL SEI PADANG GG LANGAR-TURI NO 5 000 000 0 0

127 1271210911****** 1271217112****** PAINEM MEDAN 31|12|**** S P JL SEI PADANG GG LANGAR-TURI NO 5 000 000 0 0

128 1271210911****** 1271210704****** ISMAIL SIREGAR MEDAN 07|04|**** S L JL SUKABARU NO 12 000 000 0 0

129 1271210911****** 1271216708****** SARIANA HASIBUAN KOTA RANTANG 27|08|**** S P JL SUKABARU NO 12 000 000 0 0

130 1271210911****** 1271216303****** NITA ELFINA SARI SIREGAR MEDAN 23|03|**** B P JLSUKABARU NO 2 000 000 0 0

131 1271210911****** 1271211702****** SULAIMAN SIREGAR MEDAN 17|02|**** B L JL SUKABARU NO 12 000 000 0 0

132 1271210911****** 1271212802****** FERDINAND SIHOTANG PEMATANG SIANTAR 28|02|**** S L JLSEI PADANG GG PRIBADI NO 9 000 000 0 0

133 1271210911****** 1271214206****** CATHRINE TANTYA FEBIOLA S MEDAN 02|06|**** B P JLSEI PADANG GG PRIBADI NO 9 000 000 0 0

134 1271210911****** 1271214504****** ITA YANI MEDAN 05|04|**** B P JL SEI PADANG GG LANGGAR NO 7 A 000 000 0 0

135 1271210912****** 1271210905****** MUHAMMAD SYAFII HARAHAP TEBING TINGGI 09|05|**** S L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

136 1271210912****** 1271216009****** SANGKOT PARIDA HASIBUAN RUMBIO 20|09|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

137 1271211002****** 1271215712****** ROSMIDA SIMATUPANG SARULLA 17|12|**** P P JLSEI PADANG GG PRIBADI NO 9 000 000 0 0

138 1271211002****** 1271212810****** RONALD SIHOTANG MEDAN 28|10|**** B L JLSEI PADANG GG PRIBADI NO 9 000 000 0 0

139 1271211007****** 1271212002****** HAIRUL ROMI MEDAN 20|02|**** S L JL SEI PADANG GG LANGGAR-TURI NO 6 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-018 181 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271211007****** 1271210101****** ZULKIRAM HUSIN TUALANG 01|01|**** S L JL DR MANSYUR GG SIPIROK NO 1 000 000 0 0

141 1271211009****** 1271216810****** RATNA YUITA SIREGAR SIPIROK 28|10|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

142 1271211009****** 1271212501****** MUHAMMAD SAH BANA HARAHAP MEDAN 25|01|**** B L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

143 1271211102****** 1271215107****** AISYAH NOOR MEDAN 11|07|**** S P JLSUKA BARU NO03 MEDAN 000 000 0 0

144 1271211102****** 1271212307****** ADAM NOOR MEDAN 23|07|**** B L JLSUKA BARU NO03 MEDAN 000 000 0 0

145 1271211102****** 1271216001****** AMINAH NOOR MEDAN 20|01|**** B P JLSUKA BARU NO03 MEDAN 000 000 0 0

146 1271211102****** 1271210302****** MUHAMMAD RAMADAN PRATAMA MEDAN 03|02|**** B L JL SUKA BARU NO 03 MEDAN 000 000 0 0

147 1271211102****** 1271214910****** RUWIKA YULAN DARI MEDAN 09|10|**** B P JL SUKA BARU NO 03 MEDAN 000 000 0 0

148 1271211103****** 1271212412****** RISNAN DALIMUNTHE MEDAN 24|12|**** S L JL SEI PADANG GG SIPIROK NO 18 000 000 0 0

149 1271211103****** 1271215011****** REZEKIA HUTABARAT MEDAN 10|11|**** S P JL SEI PADANG GG SIPIROK NO 18 000 000 0 0

150 1271211103****** 1271212109****** RIKI DALIMUNTHE MEDAN 21|09|**** B L JL SEI PADANG GG SIPIROK NO 8 000 000 0 0

151 1271211103****** 1271212908****** ARDIAN DALIMUNTHE MEDAN 29|08|**** B L JL SEI PADANG GG SIPIROK NO 8 000 000 0 0

152 1271211202****** 1216066909****** MASDALIFAH HARAHAP MEDAN 29|09|**** S P JLN. DR.MANSUR GANG SIPIROK NO.9 000 000 0 0

153 1271211204****** 1271215604****** ROSNY TARIGAN KABANJAHE 16|04|**** P P JL SUKA BARU NO 17 MEDAN 000 000 0 0

154 1271211205****** 2171100507****** SUSANTO MEDAN 05|07|**** S L JL SUKA BARU NO 03 000 000 0 0

155 1271211212****** 1271215006****** JUNIAR ADELINA TOGATOROP SIBORONG-BORONG 10|06|**** S P JL SUKA BARU NO 13 000 000 0 0

156 1271211212****** 1271216211****** ROSITA HERLINAWATI TOGATOROP SIDIKALANG 22|11|**** B P JL SUKA BARU NO 3 000 000 0 0

157 1271211212****** 1271216907****** OLIVIA STEPHANIE SIAHAAN MEDAN 29|07|**** B P JL SUKA BARU NO 13 000 000 0 0

158 1271211212****** 1271210112****** SAMUEL ALFREDO MEDAN 01|12|**** B L JL SUKA BARU NO 13 000 000 0 0

159 1271211302****** 1271214506****** IRMAWATY HARAHAP MEDAN 05|06|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

160 1271211302****** 1271211012****** DESYANKI ANTURMANGAN 10|12|**** S L JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

161 1271211302****** 1271216909****** RINDAYANI MEDAN 29|09|**** P P JL SEI PADANG GG LANGGAR-TURI- NO 8 000 000 0 0

162 1271211302****** 1271211604****** PONIMAN MEDAN 16|04|**** S L JL SUKA BARU NO 9 MEDAN 000 000 0 0

163 1271211302****** 1271217112****** PONITIK KERASAAN 31|12|**** S P JL SUKA BARU NO 9 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-018 182 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271211303****** 1271210512****** SATRIA ATMAJA MEDAN 05|12|**** S L JL SUKA BARU NO 18 C MEDAN 000 000 0 0

165 1271211303****** 1271210112****** SUHARTO P. SIANTAR 01|12|**** S L JL S PADANG GG LANGGAR NO 15 000 000 0 0

166 1271211303****** 1271210706****** MUHAMMAD SURYA MEDAN 07|06|**** S L JL S PADANG GG LANGGAR NO 15 000 000 0 0

167 1271211303****** 1271215610****** SUCI CAHAYA NINGSIH MEDAN 16|10|**** B P JL S PADANG GG LANGGAR NO 15 000 000 0 0

168 1271211303****** 1271212708****** MUJIONO PERBAUNGAN 27|08|**** S L JL SUKA BARU NO 2 MEDAN 000 000 0 0

169 1271211303****** 1271217103****** AINUN MARDIA MEDAN 31|03|**** B P JL SUKA BARU NO 2 MEDAN 000 000 0 0

170 1271211303****** 1271216701****** NABILLA PUTRI MEDAN 27|01|**** B P JL SUKA BARU NO 2 MEDAN 000 000 0 0

171 1271212209****** 1271211308****** ARIFADILLAH NASUTION MEDAN 13|08|**** B L JL SEI PADANG GG LANGGAR-TURI NO 8 000 000 0 0

172 1271211303****** 1271214206****** SURIANI P BRAYAN 02|06|**** S P JL S PADANG GG LANGGAR NO 15 002 000 0 0

173 1271210106****** 1271210903****** RAHMAD HIDAYAT MEDAN 09|03|**** B L JL SEI PADANG GG SIPIROK NO 2 006 004 0 0

174 1271210309****** 1271215707****** GUSTARIA BR TAMBUNAN BALIGE 17|07|**** P P JL SEI PADANG GG SIPIROK NO 14 006 004 0 0

175 1271210205****** 1271210202****** SLAMAT RAHARJO MEDAN 02|02|**** S L JLSUKA BARU MEDAN 001 006 0 0

176 1271210208****** 1271210104****** ARIF DIAN SAPUTRA HARAHAP MEDAN 01|04|**** B L JL DR MANSYUR GG SIPIROK NO 2 A 001 006 0 0

177 1271210401****** 1271210612****** MUHAMMAD ILHAM SYAPUTRA NST MEDAN 06|12|**** S L JL SEI PADANG GG TURI NO.1 001 006 0 0

178 1271210412****** 1271211109****** SAMSUL BAHRI SIREGAR SIPIROK 11|09|**** S L JL SUKA BARU NO 12 MEDAN 001 006 0 0

179 1271210709****** 1271216102****** MONALISA HARAHAP SENTAGI 21|02|**** S P JL SEI PADANG GG SIPIROK NO 7 001 006 0 0

180 1271211212****** 1271216609****** NAOMI CLAUDYA SIAHAAN MEDAN 26|09|**** B P JL SUKA BARU NO 13 001 006 0 0

181 1271052802****** 1271051207****** MUHAMMAD FARQI MEDAN 12|07|**** B L JL SEI PADANG GG LANGGAR NO 12 002 006 0 0

182 1271210205****** 1271214102****** DALILAH RAHMADANI SIREGAR MEDAN 01|02|**** B P JL SUKABARU NO 12 MEDAN 002 006 0 0

183 1271210207****** 1271212412****** ROLAND H PANJAITAN PEMATANG SIANTAR 24|12|**** B L JL SUKA BARU NO 4-A MEDAN 002 006 0 0

184 1271210311****** 1271217112****** SITI MASRIANA SIREGAR MEDAN 31|12|**** P P JL SUKA BARU NO 12 002 006 0 0

185 1271210405****** 1271216501****** FIRZA TINA NAIFA KARDENAYA JAKARTA 25|01|**** B P JL DR MANSYUR NO 83 MEDAN 002 006 0 0

186 1271210408****** 1271214503****** ERPA MEDAN 05|03|**** S P JL SEI PADANG GG LANGGAR-TURI NO 11 002 006 0 0

187 1271210602****** 1271217004****** AFRIDAYANI MEDAN 30|04|**** B P JL DR MANSYUR GG SIPIROK NO 16-A 002 006 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-018 183 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271210801****** 1271212607****** MUHAMMAD ARIF MEDAN 26|07|**** B L JL SEI PADANG GG LANGAR-TURI NO 5 002 006 0 0

189 1271210802****** 1271216603****** PUJI RAHAYU MEDAN 26|03|**** B P JL SUKA BARU NO 2 002 006 0 0

190 1271210901****** 1271214203****** TIAMAS BR RITONGA TAPANULI SEL. 02|03|**** P P JL SUKA BARU NO 19-A MEDAN 002 006 0 0

191 1271211012****** 1271217112****** SUYATI TEBING TINGGI 31|12|**** P P JLSUKA BARU NO14 MEDAN 002 006 0 0

192 1271211102****** 1271210310****** MUHAMMAD NOOR MEDAN 03|10|**** S L JL SUKA BARU NO 03 MEDAN 002 006 0 0

193 1271211103****** 1271210406****** ANDRI DALIMUNTHE MEDAN 04|06|**** B L JL SEI PADANG GG SIPIROK NO 18 002 006 0 0

194 1271211212****** 1271212707****** MELANTON SIAHAAN MEDAN 27|07|**** S L JL SUKA BARU NO 13 002 006 0 0

195 1271211303****** 1271216707****** SRI UTAMI MEDAN 27|07|**** S P JL SUKA BARU NO 18 C MEDAN 002 006 0 0

196 1271211303****** 1271214812****** SITI NURHAYATI TANJUNG LANGKAT 08|12|**** S P JL SUKA BARU NO 2 MEDAN 002 006 0 0

197 1271211007****** 1271210708****** FANDI FATTHURACHMAN LUBIS MEDAN 07|08|**** B L JL DR MANSYUR GG BERDIKARI NO 19 004 006 0 0

198 1271210702****** 1271216005****** LIZA MARINI MEDAN 20|05|**** S P JL SUKA BARU NO 5 MEDAN 005 018 0 0

199 1271210309****** 1271211111****** SUHARDI HARAHAP MEDAN 11|11|**** B L JL SEI PADANG GG SIPIROK NO 14 006 077 0 0

200 1271210911****** 1271215706****** RITA WAHYUNI SIREGAR MEDAN 17|06|**** B P JL SUKABARU NO 12 000 081 0 0

201 1271210205****** 1271212407****** ILHAM AKBAR SIREGAR MEDAN 24|07|**** B L JL SUKABARU NO 12 MEDAN 000 132 0 0

202 1271210506****** 1271216309****** SHINTA LUBIS SIBOLGA 23|09|**** P P JL SUKABARU GG SIPIROK-RELA NO 11 000 146 0 0

203 1271210912****** 1271165906****** TRI SILVIA SUNDARI MEDAN 19|06|**** S P JL SUKABARU NO 12 000 204 0 0

204 1271210310****** 1203044607****** SARIAH SIAGIAN BULU PAYUNG 06|07|**** S P JL SUKA BARU NO 2 MEDAN 000 229 0 0

205 1271211212****** 1271214904****** ERNI IDA WATI SIREGAR PINTULANGIT ZAE 09|04|**** S P JLSUKA BARU NO2 MEDAN 000 277 0 0

206 1271210908****** 1271216511****** NISMA RANGKUTI KOTA NOPAN 25|11|**** S P JL SUKA BARU NO 2 000 293 0 0

207 1271210810****** 1271212004****** PARULIAN BISUK B NAINGGOLAN MEDAN 20|04|**** B L JL SUKA BARU NO 11 000 319 0 0

208 1271210412****** 1271215811****** DWI ASTUTI SIREGAR MEDAN 18|11|**** B P JL SUKA BARU NO 12 MEDAN 000 331 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 208 Jenis Kelamin = 208 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 88 L : Laki-Laki = 100 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 105 P : Perempuan = 108 KETUA

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-018 184 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13
3: Tuna Rungu/Wicara P : Pernah Kawin = 15
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 095 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-018 185 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 019
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271162212****** 1271164907****** AGITHA ELVIYANTI SIHOTANG MEDAN 09|07|**** B P JL DR MANSYUR GG BERDIKARI NO 5B 000 000 0 0

2 1271210306****** 1271212003****** AHDAN KHAYOGA MEDAN 20|03|**** B L JL SEI PADANG GG LANGGAR NO 2 000 000 0 0

3 1271210309****** 1271211805****** ARMEI SYAHPUTRA SIREGAR SIPIROK 18|05|**** B L JLSUKA BARU NO 2 MEDAN 000 000 0 0

4 1271210310****** 1271211312****** ZAINUDDIN,SE MEDAN 13|12|**** B L JL.SUKA BARU 2 F 000 000 0 0

5 1271210506****** 1271210505****** DAMRON HUTASUHUT SIPIROK 05|05|**** S L JLSUKA BARU NO2 MEDAN 000 000 0 0

6 1271210506****** 1271216303****** ERNILA WATI NAINGGOLAN SIPIROK 23|03|**** S P JLSUKA BARU NO2 MEDAN 000 000 0 0

7 1271210509****** 1273015603****** THERESIA ROGATE HUTAURUK SIBOLGA 16|03|**** S P JL. SEI PADANG GG SIPIROK / RELA 000 000 0 0

8 1271210612****** 1271212109****** M RIFAI SAPUTRA MEDAN 21|09|**** B L JL SUKA BARU NO 11 MEDAN 000 000 0 0

9 1271210705****** 1271212903****** IBRAHIM P. SIANTAR 29|03|**** S L JL DR MANSYUR GANG SIPIROK NO I 000 000 0 0

10 1271210705****** 1271215401****** ADELINA POHAN SIPIROK 14|01|**** S P JL DR MANSYUR GANG SIPIROK NO I 000 000 0 0

11 1271210705****** 1271212410****** MUHAMMAD INAMUL HASAN HARAHAP MEDAN 24|10|**** B L JL DR MANSYUR GANG SIPIROK NO I 000 000 0 0

12 1271210705****** 1271210512****** RAHMAT BUSTAMAN HARAHAP MEDAN 05|12|**** B L JL DR MANSYUR GANG SIPIROK NO I 000 000 0 0

13 1271210806****** 1271216409****** FIYAH KISARAN 24|09|**** S P JL SUKA BARU NO 2 MEDAN 000 000 0 0

14 1271210811****** 1271216309****** WINDY RAMADINI MEDAN 23|09|**** B P JL DR MANSYUR GG SIPIROK NO.2 000 000 0 0

15 1271210812****** 1271211809****** SYAIFUL ARIEF MEDAN 18|09|**** S L JL SEI PADANG GG LANGGAR/ TURI NO 1 000 000 0 0

16 1271210908****** 1271212607****** ILHAM PRAYOGI RS MEDAN 26|07|**** B L JL SUKA BARU NO 2 000 000 0 0

17 1271211006****** 1271180503****** ZULKIPLI POHAN JAMBI 05|03|**** S L JL SEI PADANG GG LANGGAR TURI NO 09 000 000 0 0

18 1271211006****** 1271214806****** JUNIANI MEDAN 08|06|**** S P JL SEI PADANG GG LANGGAR TURI NO 09 000 000 0 0

19 1271211102****** 1271216109****** MUTIARA WITRI SAKILA MEDAN 21|09|**** B P JL SUKA BARU NO 03 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-019 186 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271211103****** 1271210110****** ASRUL RITONGA MEDAN 01|10|**** S L JL SUKA BARU NO 6 000 000 0 0

21 1271211103****** 1271214209****** ANYTHA RINANSI PURBA MEDAN 02|09|**** S P JL SUKA BARU NO 6 000 000 0 0

22 1271211103****** 1271212608****** SOFIAN RITONGA MEDAN 26|08|**** B L JL SUKA BARU NO 6 000 000 0 0

23 1271211107****** 1271216006****** JIHAN HANY JANPAGAN PUTRI MEDAN 20|06|**** B P JL SEI PADANG GG LANGGAR NO 2 000 000 0 0

24 1271211109****** 1210081709****** JHON PATAR SINURAT BANGUN SARI 17|09|**** B L JL SUKA BARU GG RELA 000 000 0 0

25 1271211303****** 1271211506****** RANGGA BAYU BASUKI KISARAN 15|06|**** S L JL SEI PADANG GG LANGGAR NO 13 000 000 0 0

26 1271211304****** 1271211408****** ALIP S P BRAYAN 14|08|**** S L JL. SEI PADANG GG. LANGGAR NO. 15 000 000 0 0

27 1271211304****** 1271215112****** LANIYEM JAWA 11|12|**** S P JL. SEI PADANG GG. LANGGAR NO. 15 000 000 0 0

28 1271211304****** 1271211801****** RAHMAT RAZALI, SP MEDAN 18|01|**** S L JL SUKA BARU NO 5 MEDAN 000 000 0 0

29 1271211304****** 1271215006****** ISRO WIYATUN DAIYAH KULON PROGO 10|06|**** S P JL SUKA BARU NO 5 MEDAN 000 000 0 0

30 1271211307****** 1271215310****** TETA MARIANI D MEDAN 13|10|**** S P JL SUKA BARU NO 12 MEDAN 000 000 0 0

31 1271211307****** 1271211207****** RAJES MEDAN 12|07|**** S L JL SUKA BARU NO 12 MEDAN 000 000 0 0

32 1271211307****** 1271215802****** BELLA RIZKY RAMADHAN MEDAN 18|02|**** B P JL SUKA BARU NO 12 MEDAN 000 000 0 0

33 1271211309****** 1271212508****** AGUSTONO MEDAN 25|08|**** S L JL SUKA BARU NO 9 MEDAN 000 000 0 0

34 1271211309****** 1271216303****** ALRIDHA SUMARSIH MEDAN 23|03|**** S P JL SUKA BARU NO 9 MEDAN 000 000 0 0

35 1271211309****** 1271212711****** SOFIAN YUSUF MEDAN 27|11|**** B L JL SUKA BARU NO 9 MEDAN 000 000 0 0

36 1271211311****** 1271216104****** MAINEM BESITANG 21|04|**** S P JL DR MANSYUR GG SIPIROK NO 5 000 000 0 0

37 1271211311****** 1271210405****** ERWIN BESITANG 04|05|**** B L JL DR MANSYUR GG SIPIROK NO 5 000 000 0 0

38 1271211311****** 1271211904****** MAJA GUNAWAN BESITANG 19|04|**** B L JL DR MANSYUR GG SIPIROK NO 5 000 000 0 0

39 1271211312****** 1271212508****** AGUS PARLUHUTAN SIREGAR ST MEDAN 25|08|**** S L JL DR MANSYUR GG SIPIROK NO 10 000 000 0 0

40 1271211312****** 1271214201****** ZAIRA MEDAN 02|01|**** S P JL DR MANSYUR GG SIPIROK NO 10 000 000 0 0

41 1271211312****** 1271216803****** SITI PUTRI HANDAYANI MEDAN 28|03|**** B P JL SEI PADANG GG LANGGAR / TURI NO 12 000 000 0 0

42 1271211312****** 1271211503****** ABDUL HALIM MEDAN 15|03|**** B L JL SEI PADANG GG LANGGAR / TURI NO 12 000 000 0 0

43 1271211312****** 1271215811****** NURHAYATI MEDAN 18|11|**** B P JL DR MANSYUR GG BERDIKARI NO 8 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-019 187 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271211401****** 1271211602****** FAUZI WIJAYA SIBARANI SEI PADANG 16|02|**** B L JL SUKA BARU NO.04 MEDAN 000 000 0 0

45 1271211402****** 1271212402****** MANJADI MANALU SIBOLGA 24|02|**** S L JL SUKA BARU LK VI 000 000 0 0

46 1271211402****** 1271214203****** RELLI BR SILITONGA SIBOLGA 02|03|**** S P JL SUKA BARU LK VI 000 000 0 0

47 1271211402****** 1271211710****** HOT PARLINDUNGAN MANALU MEDAN 17|10|**** B L JL SUKA BARU LK VI 000 000 0 0

48 1271211402****** 1213043008****** IYAN SUHDI KAYULAUT 30|08|**** B L JLN SEI PADANG NO 2A 000 000 0 0

49 1271211404****** 1271024303****** RABIATURRAHMAH MEDAN 03|03|**** S P JL. SUKA BARU NO. 12 000 000 0 0

50 1271211404****** 1271211212****** MUHAMMAD RUDI SIREGAR MEDAN 12|12|**** S L JL. SUKA BARU NO. 12 000 000 0 0

51 1271211405****** 1271210305****** PELITA HATI, AMd LUBUK PAKAM 03|05|**** S L JL DR MANSYUR GG SIPIROK NO.1 000 000 0 0

52 1271211405****** 1271215708****** HERNA GUSRINI HARAHAP SIPIROK 17|08|**** S P JL DR MANSYUR GG SIPIROK NO.1 000 000 0 0

53 1271211405****** 1271211304****** EVODIUS TARIGAN SE MEDAN 13|04|**** S L JLSEI PADANG GG PRIBADI NO10 000 000 0 0

54 1271211405****** 1271215504****** KLARA SITI HAWA LINA MEDAN 15|04|**** S P JLSEI PADANG GG PRIBADI NO10 000 000 0 0

55 1271211406****** 1271212010****** RUBENSI GINTING, STP MEDAN 20|10|**** S L JL SEI PADANG GG LANGGAR NO 11 000 000 0 0

56 1271211406****** 1271215306****** EVI ESALY J KABAN PEMATANG SIANTAR 13|06|**** S P JL SEI PADANG GG LANGGAR NO 11 000 000 0 0

57 1271211411****** 1271211611****** ABRAHAM MULIA SINULINGGA JAKARTA 16|11|**** B L JL DR MANSYUR NO 88 MEDAN 000 000 0 0

58 1271211411****** 1271210511****** MAHYUDIN MEDAN 05|11|**** S L JL SUKA BARU NO 20-B 000 000 0 0

59 1271211411****** 1271213101****** RIZKY RAMADHAN MEDAN 31|01|**** B L JL SUKA BARU NO 20-B 000 000 0 0

60 1271211411****** 1271215909****** NURUL SYAKILA MEDAN 19|09|**** B P JL SUKA BARU NO 20-B 000 000 0 0

61 1271211411****** 1271215804****** RENATA APRILIA BANGUN MEDAN 18|04|**** B P JL SEI PADANG GG SIPIROK NO 3D 000 000 0 0

62 1271211412****** 1271212804****** ABDUL GANI RANGKUTI TAPANULI SEL. 28|04|**** S L JL DR MANSYUR GG BERDIKARI NO 8 000 000 0 0

63 1271211412****** 1271211412****** PILIAN SABAM SIMANGUNSONG, IR R.PRAPAT 14|12|**** S L JL DR MANSYUR-BERDIKARI-PLN NO 4 000 000 0 0

64 1271211412****** 1271214908****** EVA AGUSTINA TAMPUBOLON MEDAN 09|08|**** S P JL DR MANSYUR-BERDIKARI-PLN NO 4 000 000 0 0

65 1271211412****** 1271211203****** RUDY IRIANTO SIMANGUNSONG MEDAN 12|03|**** B L JL DR MANSYUR-BERDIKARI-PLN NO 4 000 000 0 0

66 1271211412****** 1271216205****** RUTH ELGIANA ESTER SIMANGUNSONG MEDAN 22|05|**** B P JL DR MANSYUR-BERDIKARI-PLN NO 4 000 000 0 0

67 1271211412****** 1271217108****** RHAQEL TRIANA PATRICIA SIMANGUNSONG MEDAN 31|08|**** B P JL DR MANSYUR-BERDIKARI-PLN NO 4 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-019 188 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271211502****** 1271211006****** SYARIFUDDIN HRP,IR MEDAN 10|06|**** S L JL.SUKA BARU NO 16 000 000 0 0

69 1271211503****** 1271024110****** NANY ADELFINA MEDAN 01|10|**** S P JL DR MANSYUR GG SIPIROK NO 10 000 000 0 0

70 1271211503****** 1271212705****** MUHAMMAD DAME TUA MEDAN 27|05|**** S L JL DR MANSYUR GG SIPIROK NO 0 000 000 0 0

71 1271211503****** 1271214302****** MUTIARA SIREGAR MEDAN 03|02|**** B P JL DR MANSYUR GG SIPIROK NO 10 000 000 0 0

72 1271211504****** 1271214907****** SUALMI KISARAN 09|07|**** S P JL.SEI PADANG GG SIPIROK NO 14 000 000 0 0

73 1271211504****** 1271215405****** MARIANCE BR HARAHAP MEDAN 14|05|**** B P JL.SEI PADANG GG SIPIROK NO 14 000 000 0 0

74 1271211504****** 1271216902****** PEBRI SRI UTAMI BR HARAHAP MEDAN 29|02|**** B P JL.SEI PADANG GG SIPIROK NO 14 000 000 0 0

75 1271211504****** 1271211209****** TORKIS MATUA SIREGAR SIPIROK 12|09|**** S L JL SUKA BARU NO 2 MEDAN 000 000 0 0

76 1271211504****** 1271214605****** RAHMA WATI POHAN PARAU SORAT 06|05|**** S P JL SUKA BARU NO 2 MEDAN 000 000 0 0

77 1271211504****** 1271216105****** FITRIANI POHAN SIPIROK 21|05|**** S P JL DR MANSYUR GG SIPIROK NO 1 000 000 0 0

78 1271211601****** 1223014903****** MARIA F SIAHAAN HUTABATU 09|03|**** S P JL.SUKA BARU NO 2 F 000 000 0 0

79 1271211601****** 1223014903****** MARIA FRANSISKA SIAHAAN HUTA BARU 09|03|**** S P JLSUKA BARU NO 2 F 000 000 0 0

80 1271211602****** 1271215006****** SRIYUNIATI MAHDALENA S MEDAN 10|06|**** S P JL SUKA BARU NO 17 MEDAN 000 000 0 0

81 1271211604****** 1271210605****** MAULIDIN MEDAN 06|05|**** S L JL SUKA BARU NO 5 B 000 000 0 0

82 1271211604****** 1271215306****** ROMAINI PANGKALAN DODEK 13|06|**** S P JL SUKA BARU NO 5 B 000 000 0 0

83 1271211605****** 1271215008****** HALIDAH SIREGAR MEDAN 10|08|**** S P JL DR MANSYUR GG SIPIROK NO 10 000 000 0 0

84 1271211605****** 1271091306****** JUNAIDI RAMBE BANGUN PURBA 13|06|**** S L JL DR MANSYUR GG SIPIROK NO 10 000 000 0 0

85 1271211701****** 1271212001****** SAJARI KLATEN 20|01|**** S L JL SEI PADANG GG LANGGAR TURI 9 000 000 0 0

86 1271211701****** 1271215808****** SRI ROYANI MEDAN 18|08|**** S P JL SEI PADANG GG LANGGAR TURI 9 000 000 0 0

87 1271211710****** 1271212912****** EDWARD SITUMEANG MEDAN 29|12|**** B L JL SEI PADANG GG LANGGAR-TURI NO 02 000 000 0 0

88 1271211910****** 3578152401****** TAMA ANGGARA NAULI HARAHAP MEDAN 24|01|**** S L JL SUKA BARU NO. 12 000 000 0 0

89 1271211912****** 1271214507****** YULINDA SARI SIREGAR MEDAN 05|07|**** S P JL SUKA BARU NO 17 000 000 0 0

90 1271212001****** 1271214912****** DINI RAHMADHANI MEDAN 09|12|**** B P JLSUKA BARU NO 3 MEDAN 000 000 0 0

91 1271212106****** 1403090606****** MUHAMMAD JOKO PRIONO MEDAN 06|06|**** B L JL.SUKABARU GG.SIPIROK NO.14 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-019 189 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271212111****** 1207051803****** AWALUDDIN MEDAN 18|03|**** S L JL SUKA BARU NO 19 A 000 000 0 0

93 1271212202****** 1271214902****** YOLANDA S SIAHAAN P BATAM 09|02|**** B P JL SUKA BARU NO 13 LK VI MEDAN 000 000 0 0

94 1271212307****** 1271210712****** RAJIN ALLER TAMBUNAN TARUTUNG 07|12|**** S L JL SUKABARU NO 7 MEDAN 000 000 0 0

95 1271212307****** 1271214208****** AGUSTINA TAMBUNAN MEDAN 02|08|**** B P JL SUKABARU NO 7 MEDAN 000 000 0 0

96 1271212403****** 1271215404****** SHAHNAZ SHAFITRI HARAHAP MEDAN 14|04|**** B P JL SUKA BARU NO 16 MEDAN 000 000 0 0

97 1271212405****** 1271212910****** GEOFANNY SITEPU MEDAN 29|10|**** B L JL DR MANSUR GG BERKAT NO 7 000 000 0 0

98 1271212501****** 1271214908****** SITI ZURAIDAH MEDAN 09|08|**** S P JL SUKA BARU NO 16 MEDAN 000 000 0 0

99 1271212503****** 1271216010****** SITI FATIMAH SIREGAR MEDAN 20|10|**** B P JL SUKA BARU NO 12 000 000 0 0

100 1271212507****** 1271216411****** NADHILA YASMIN QAISHUM ALIM JAKARTA 24|11|**** B P JL. SEI PADANG GG. LANGGAR TURI NO. 7 000 000 0 0

101 1271212508****** 1674060204****** APRIANDY HARAHAP PRABUMULIH 02|04|**** S L JL.SUKA BARU NO 16 000 000 0 0

102 1271212508****** 1271217008****** ENNI SARI RITONGA PARANJULU 30|08|**** S P JL.SUKA BARU NO 16 000 000 0 0

103 1271212510****** 1271216402****** RATNAWATI SIBARANI MEDAN 24|02|**** B P JL SUKA BARU NO 04 MEDAN 000 000 0 0

104 1271212510****** 1271212101****** BOBER SINAGA HUTA NAGODANG 21|01|**** B L JL SUKA BARU NO 04 MEDAN 000 000 0 0

105 1271212609****** 3172032906****** YUDI RAHMAWAN JAKARTA 29|06|**** B L JL S PADANG GG LANGGAR NO 5 000 000 0 0

106 1271212704****** 1271210105****** M SYAHFITRA BINJAI 01|05|**** B L JLSUKA BARU NO 2 000 000 0 0

107 1271212704****** 1271210701****** M SIDDIK BINJAI 07|01|**** B L JLSUKA BARU NO 2 000 000 0 0

108 1271212708****** 1271212708****** RIDUAN, S.Pd P GEMI 27|08|**** S L JL SAI PADANG GG LANGGAR TURI NO 1 000 000 0 0

109 1271212708****** 1271214206****** MAYASARI SORAYAH MEDAN 02|06|**** B P JL SAI PADANG GG LANGGAR TURI NO 1 000 000 0 0

110 1271212708****** 1271213008****** BAYU AKBAR MEDAN 30|08|**** B L JL SAI PADANG GG LANGGAR TURI NO 1 000 000 0 0

111 1271212708****** 1271210808****** NASRUL SYAKUR CHANIAGO SIBOLGA 08|08|**** S L JL SUKA BARU NO 16-H MEDAN 000 000 0 0

112 1271212708****** 1271214709****** EKA WULAN CEMPAKA P.SIANTAR 07|09|**** S P JL SUKA BARU NO 16-H MEDAN 000 000 0 0

113 1271212709****** 1271210310****** MUHAMMAD ARIEF POHAN MEDAN 03|10|**** S L JL DR MANSYUR GG SIPIROK NO 3 000 000 0 0

114 1271212709****** 1271215108****** FITRI LIANI SIREGAR MEDAN 11|08|**** S P JL DR MANSYUR GG SIPIROK NO 3 000 000 0 0

115 1271212710****** 1271211212****** HOTMA SITUMEANG SIBOLGA 12|12|**** S L JL SEI PADANG GG LANGGAR-TURI NO 02 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-019 190 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271212710****** 1271217007****** MINNARIA BR HUTABARAT SIBOLGA 30|07|**** S P JL SEI PADANG GG LANGGAR-TURI NO 02 000 000 0 0

117 1271212710****** 1271217112****** HJ NURPAIYAH PANE SIPIROK 31|12|**** P P JL DR MANSYUR GG SIPIROK NO 10 000 000 0 0

118 1271212710****** 1271215306****** YUNIDAR SIREGAR MEDAN 13|06|**** B P JL DR MANSYUR GG SIPIROK NO 10 000 000 0 0

119 1271212711****** 1271210702****** KARLAN P.MERBAU 07|02|**** S L JL DR MANSYUR GG SIPIROK NO 2 000 000 0 0

120 1271212711****** 1271214606****** PAINAH P.MERBAU 06|06|**** S P JL DR MANSYUR GG SIPIROK NO 2 000 000 0 0

121 1271212711****** 1271214905****** LEGINI MEDAN 09|05|**** B P JL DR MANSYUR GG SIPIROK NO 2 000 000 0 0

122 1271212711****** 1271212609****** SAMSUL MEDAN 26|09|**** B L JL DR MANSYUR GG SIPIROK NO 2 000 000 0 0

123 1271212711****** 1271211202****** SUWANDI MEDAN 12|02|**** B L JL DR MANSYUR GG SIPIROK NO 2 000 000 0 0

124 1271212711****** 1271214907****** KARLIA MEDAN 09|07|**** B P JL DR MANSYUR GG SIPIROK NO 2 000 000 0 0

125 1271212802****** 1271217112****** DAHLIA PERBAUNGAN 31|12|**** P P JL SUKA BARU NO 2 000 000 0 0

126 1271212803****** 1271022912****** ARIO INDARTO MEDAN 29|12|**** S L JL DR MANSYUR GG BERDIKARI NO 19 000 000 0 0

127 1271212803****** 1271215008****** FINA ICHSANI LUBIS MEDAN 10|08|**** S P JL DR MANSYUR GG BERDIKARI NO 19 000 000 0 0

128 1271212804****** 1271214610****** RAWATI BARABUNG 06|10|**** S P JL SUKA BARU NO 13 000 000 0 0

129 1271212804****** 1271211404****** M SYAMSIR YUDHA BIREUEN 14|04|**** S L JL SUKA BARU NO 13 000 000 0 0

130 1271212809****** 1271215704****** SARI ASNA SIMAMORA SIBOLGA 17|04|**** P P JLSEI PADANG G LANGGAR-TURI 2 000 000 0 0

131 1271212811****** 1271211409****** SUKIMAN MEDAN 14|09|**** S L JL SUKA BARU NO 6 MEDAN 000 000 0 0

132 1271212812****** 1271210108****** IR MISDEM SEMBIRING, S.KOM KUTAGUGUNG 01|08|**** S L JL. SEI PADANG GG. LANGGAR NO. 000 000 0 0

133 1271212812****** 1271214404****** AFRIDA GINTING MEDAN 04|04|**** S P JL SEI PADANG GG LANGGAR NO 11 000 000 0 0

134 1271212812****** 1271214909****** MIA ANGELIA BR SEMBIRING MEDAN 09|09|**** B P JL SEI PADANG GG LANGGAR NO 11 000 000 0 0

135 1271212901****** 1271213005****** ARDIANSYAH MEDAN 30|05|**** B L JL S PADANG GG LANGGAR / TURI NO 5 000 000 0 0

136 1271212908****** 1271214808****** HARIATI MEDAN 08|08|**** P P JL SEI PADANG GG TURI NO 3 000 000 0 0

137 1271212908****** 1271217101****** ATIKA MEDAN 31|01|**** B P JL SEI PADANG GG TURI NO 3 000 000 0 0

138 1271212908****** 1271211003****** FAJAR RIDHO MEDAN 10|03|**** B L JL SEI PADANG GG TURI NO 3 000 000 0 0

139 1271212908****** 1271196003****** MARIANA SITORUS BUNUT 20|03|**** S P JL DR MANSYUR GG SIPIROK NO 2 A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-019 191 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212908****** 1271211708****** AGUS HARYANTO SIBARANI RIMBO BUJANG 17|08|**** S L JL SUKA BARU NO 04 MEDAN 000 000 0 0

141 1271212908****** 1271015410****** RISMA ULI TUA SITOHANG MEDAN 14|10|**** S P JL SUKA BARU NO 04 MEDAN 000 000 0 0

142 1271212911****** 1271210308****** IMMANUEL J.V.W.P MEDAN 03|08|**** S L GG.LANGGAR TURI 4 000 000 0 0

143 1271212911****** 1271214710****** OKTARIA LIBRATA P TARUTUNG 07|10|**** S P JL.SUKA BARU NO 13 000 000 0 0

144 1271212912****** 1271214103****** JUMINI MEDAN 01|03|**** P P JL SUKA BARU NO 4 MEDAN 000 000 0 0

145 1271212912****** 1271215001****** JUNITA SITEPU MEDAN 10|01|**** S P JL SUKA BARU NO 4 MEDAN 000 000 0 0

146 1271212912****** 1271210205****** ANDI SOCE SIANIPAR MEDAN 02|05|**** S L JL SUKA BARU NO 4 MEDAN 000 000 0 0

147 1271212912****** 1271211402****** PRENGKI MEDAN 14|02|**** B L JL SUKA BARU NO 4 MEDAN 000 000 0 0

148 1271212912****** 1271212401****** REZA PUTRA PRATAMA SIANIPAR MEDAN 24|01|**** B L JL SUKA BARU NO 4 MEDAN 000 000 0 0

149 1271213001****** 1271210609****** LUKMAN HAKIM SIREGAR SIPIROK 06|09|**** S L JLSUKA BARU NO 2 MEDAN 000 000 0 0

150 1271213001****** 1271215209****** DARLIA SIREGAR MEDAN 12|09|**** S P JLSUKA BARU NO 2 MEDAN 000 000 0 0

151 1271213001****** 1271212007****** RIKI ARDIANSYAH SIREGAR SIPIROK 20|07|**** B L JLSUKA BARU NO 2 MEDAN 000 000 0 0

152 1271213003****** 1271210807****** ABDULLAH HUSIN HARAHAP MEDAN 08|07|**** S L JL DR MANSYUR GG SIPIROK NO 1 000 000 0 0

153 1271213005****** 1271212805****** BASRUN HARAHAP P.SIDEMPUAN 28|05|**** S L JL.DR.MANSUR GG.SIPIROK/RELA NO 8 000 000 0 0

154 1271213005****** 1271216907****** ASRIA SIREGAR MEDAN 29|07|**** S P JL.DR.MANSUR GG.SIPIROK/RELA NO 8 000 000 0 0

155 1271213005****** 1271216010****** NADIA ANGGINA HARAHAP MEDAN 20|10|**** B P JL.DR.MANSUR GG.SIPIROK/RELA NO 8 000 000 0 0

156 1271213007****** 1271215010****** MURNIATI MEDAN 10|10|**** S P JL SEI PADANG GG PRIBADI 000 000 0 0

157 1271213007****** 1271214710****** SITI HALIMAH MEDAN 07|10|**** B P JL SEI PADANG GG PRIBADI 000 000 0 0

158 1271213007****** 1271180210****** MHD SUPRIANTO, SE MEDAN 02|10|**** S L JL SUKA BARU NO 16 000 000 0 0

159 1271213007****** 1271216406****** ANA UZLA BATUBARA M.SI MEDAN 24|06|**** S P JL SUKA BARU NO 16 000 000 0 0

160 1271213008****** 1271211705****** ANTHONYUS S TARIGAN TEBING TINGGI 17|05|**** S L JL SEI PADANG GG SIPIROK NO 12 A 000 000 0 0

161 1271213010****** 1271213110****** RAZAB SIREGAR, SH PORSEA 31|10|**** S L JL. SEI PADANG GG. SIPIROK NO. 5-A 000 000 0 0

162 1271213010****** 1271216810****** RAHMAIDA M SIMANJUNTAK PORSEA 28|10|**** S P JL. SEI PADANG GG. SIPIROK NO. 5-A 000 000 0 0

163 1271213010****** 1271214112****** YESSY PARAMITHA SIREGAR PORSEA 01|12|**** B P JL. SEI PADANG GG. SIPIROK NO. 5-A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-019 192 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271213010****** 1271216802****** FEBRYNA RAMADHANI SIREGAR MEDAN 28|02|**** B P JL. SEI PADANG GG. SIPIROK NO. 5-A 000 000 0 0

165 1271213010****** 1271211406****** ANGGI PARLINDUNGAN SIREGAR MEDAN 14|06|**** B L JL. SEI PADANG GG. SIPIROK NO. 5-A 000 000 0 0

166 1271213011****** 1271183112****** DEDI RISMADI LUBIS PERTUMBUKAN 31|12|**** S L JL SEI PADANG GG SIPIROK NO 19 000 000 0 0

167 1271213012****** 1271215511****** NURMINNI RAMBE SIPIROK 15|11|**** S P JL DRMANSYUR GG SIPIROK 000 000 0 0

168 1271213107****** 1271211108****** SUMITRO DOLOK MASIHUL 11|08|**** S L JL SUKA BARU NO 19 MEDAN 000 000 0 0

169 1271213107****** 1271214906****** KAMSINI MEDAN 09|06|**** S P JL SUKA BARU NO 19 MEDAN 000 000 0 0

170 1271213107****** 1271210309****** MUHAMMAD RIZKY HADITIA MEDAN 03|09|**** B L JL SUKA BARU NO 19 MEDAN 000 000 0 0

171 1271213108****** 1271215305****** SRI JUWITA KEBUN BALOK 13|05|**** S P JL SEI PADANG GG SIPIROK NO 14 000 000 0 0

172 1271213112****** 1271210402****** SAHIDIN TUMANGGOR LAE MEANG 04|02|**** S L JL DR MANSYUR GG SIPIROK NO 1 000 000 0 0

173 1271213112****** 1271217112****** DARMASYIAH BABAH NIPAH 31|12|**** S P JL DR MANSYUR GG SIPIROK NO 1 000 000 0 0

174 1271213112****** 1271210512****** HENRY IRIANTA SIAHAAN MANOKWARI 05|12|**** S L JL SUKABARU GG SIPIROK-RELA NO 11 000 000 0 0

175 1271213112****** 1271216808****** MARDIANA SIANTURI GIRSANG 28|08|**** S P JL SUKABARU GG SIPIROK-RELA NO 11 000 000 0 0

176 1271211502****** 1271114803****** ROSMIDAH MEDAN 08|03|**** S P J. SEI PADANG GG. SIPIROK NO. 14 006 004 0 0

177 1271211504****** 1271210411****** SALMAN HAFIS HARAHAP MEDAN 04|11|**** S L JL DR MANSYUR GG SIPIROK NO 1 006 004 0 0

178 1271213108****** 1271217112****** NGADIRAH ASAHAN 31|12|**** S P JL SUKA BARU NO 3 006 004 0 0

179 1271211312****** 1271210510****** H AZIRDIN ARSIL MEDAN 05|10|**** S L JL SEI PADANG GG LANGGAR / TURI NO 12 001 006 0 0

180 1271211502****** 1271210204****** RAJA DARMA SAKTI HARAHAP MEDAN 02|04|**** S L J. SEI PADANG GG. SIPIROK NO. 14 001 006 0 0

181 1271212104****** 1271214611****** DAHLIYANI BR HARAHAP PADANG 06|11|**** S P JL DR MANSYUR GG SIPIROK NO 1 001 006 0 0

182 1271212501****** 1271215904****** DESI INDAH NYIUR HARAHAP MEDAN 19|04|**** B P JL DRMANSYUR GG SIPIROK NO 1 001 006 0 0

183 1271212708****** 1271216507****** RAFIQOH LUBIS SH M HUM TEBING TINGGI 25|07|**** B P JL DR MANSYUR GG SIPIROK NO 11 001 006 0 0

184 1271212803****** 1271212810****** H ZAINAL ARIFIN DARZA DRS MM MATUR 28|10|**** S L JL SUKA BARU NO 5 MEDAN 001 006 0 0

185 1271212911****** 1271210302****** MICHAEL MOSES LINTONG PAKPAHAN MEDAN 03|02|**** B L JL SEI PADANG GG LANGGAR-TURI NO 4 001 006 0 0

186 1271213001****** 1271210511****** ZAINAL ABIDIN SIREGAR SIPIROK 05|11|**** B L JLSUKA BARU NO 2 MEDAN 001 006 0 0

187 1271213003****** 1271210806****** IMANUDDIN HARAHAP MEDAN 08|06|**** B L JL DR MANSYUR GG SIPIROK NO 1 001 006 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-019 193 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271210310****** 1271216106****** SRY MARYATI TEBING TINGGI 21|06|**** S P JL SUKA BARU NO 2 F 002 006 0 0

189 1271210607****** 1271210206****** ZULPAN MEDAN 02|06|**** S L JL SUKA BARU NO 2 002 006 0 0

190 1271210607****** 1271215908****** DIAH LARA SARI PADANG 19|08|**** S P JL SUKA BARU NO 2 002 006 0 0

191 1271210912****** 1271210405****** KALI BONAR SIREGAR MEDAN 04|05|**** B L JL SUKABARU NO 12 002 006 0 0

192 1271211105****** 1271210205****** M KHAIRUL AKRAM PEKANBARU 02|05|**** S L JL SUKA BARU NO 20 002 006 0 0

193 1271211105****** 1271216707****** SITI SUNDARI MEDAN 27|07|**** B P JL SUKA BARU NO 20 002 006 0 0

194 1271211307****** 1271210106****** FEBI DRIYAN CLARA MEDAN 01|06|**** B L JL SUKA BARU NO 12 MEDAN 002 006 0 0

195 1271211309****** 1271210706****** DWIKI WIBOWO MEDAN 07|06|**** B L JL SUKA BARU NO 9 MEDAN 002 006 0 0

196 1271211402****** 1271214309****** ENNERIA BR MANALU MEDAN 03|09|**** B P JL SUKA BARU LK VI 002 006 0 0

197 1271211411****** 1271215901****** PUJIATI DOLOK ULU 19|01|**** S P JL SUKA BARU NO 20-B 002 006 0 0

198 1271211412****** 1271215212****** RIEKE PUSPALINA MAGDALENA SIMANGUNSONG JAKARTA 12|12|**** B P JL DR MANSYUR-BERDIKARI-PLN NO 4 002 006 0 0

199 1271211602****** 1271212612****** NATANAEL SITEPU TEBING TINGGI 26|12|**** B L JL SUKA BARU NO 17 MEDAN 002 006 0 0

200 1271212106****** 1271215207****** RATNA VIVIAN SARI S MEDAN 12|07|**** S P JL SEI PADANG GG SIPIROK/ GG RELA NO 3 002 006 0 0

201 1271212708****** 1271216207****** SALBIAH MEDAN 22|07|**** S P JL SAI PADANG GG LANGGAR TURI NO 1 002 006 0 0

202 1271212803****** 1271214402****** NURMALY MALISIE MEDAN 04|02|**** S P JL SUKA BARU NO 5 MEDAN 002 006 0 0

203 1271212811****** 1271215102****** RAHMA WATI RITONGA MEDAN 11|02|**** S P JL SUKA BARU NO 6 MEDAN 002 006 0 0

204 1271212811****** 1271215404****** ANNISA APRILIA MEDAN 14|04|**** B P JL SUKA BARU NO 6 MEDAN 002 006 0 0

205 1271212908****** 1271212101****** IRFANSYAH HARAHAP MEDAN 21|01|**** S L JL DR MANSYUR GG SIPIROK NO 2 A 002 006 0 0

206 1271213003****** 1271216612****** DEWANI POHAN GALANG 26|12|**** S P JL DR MANSYUR GG SIPIROK NO 1 002 006 0 0

207 1271213012****** 1271213012****** MISWAR HARAHAP SIPIROK 30|12|**** S L JL DRMANSYUR GG SIPIROK 002 006 0 0

208 1271213103****** 1271212510****** MUHAMMAD ARIEF BUDIMAN MEDAN 25|10|**** S L JLSUKA BARU NO17-A MEDAN 002 006 0 0

209 1271211312****** 1271216001****** TITIN SUWARNI MEDAN 20|01|**** S P JL SEI PADANG GG LANGGAR / TURI NO 12 000 148 0 0

210 1271211411****** 1271214206****** THESSALONICA AVIGAIL SINULINGGA JAKARTA 02|06|**** B P JL DR MANSYUR NO 88 MEDAN 000 198 0 0

211 1271211602****** 1271210701****** DEDEK PETRUS S P. SIANTAR 07|01|**** B L JL SUKA BARU NO 17 MEDAN 000 320 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-019 194 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271213007****** 1271211210****** EKO SURYA MEDAN 12|10|**** B L JL SEI PADANG GG PRIBADI 000 327 0 0

213 1271213107****** 1271212305****** MUHAMMAD FADLI MEDAN 23|05|**** B L JL SUKA BARU NO 19 MEDAN 000 354 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 213 Jenis Kelamin = 213 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 84 L : Laki-Laki = 106 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 124 P : Perempuan = 107 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 5
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 107 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-019 195 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 020
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271112206****** 1271144606****** ANIFAH FAUZIAH MEDAN 06|06|**** S P JL DR MANSYUR DALAM NO 49-C 000 000 0 0

2 1271210102****** 1271212309****** MUHAMMAD SYAH TARIGAN MEDAN 23|09|**** S L JL. DR MANSYUR GG. CITRA NO. 1-C 000 000 0 0

3 1271210102****** 1271215202****** SUPIAH MEDAN 12|02|**** S P JL. DR MANSYUR GG. CITRA NO. 1-C 000 000 0 0

4 1271210102****** 3175072007****** HELIM MULIANTA RAS.S.P KABAN JAHE 20|07|**** S L JL. DR MANSUR NO 23 000 000 0 0

5 1271210109****** 1271211202****** SUSANDI MEDAN 12|02|**** B L JL DR MANSYUR GG ABADI NO 1 A 000 000 0 0

6 1271210112****** 1271214804****** NURA AFRIANI MEDAN 08|04|**** S P JL DRMANSYUR III NO 2A BLOK-C 000 000 0 0

7 1271210207****** 1271211604****** M ALFID KARO-KARO MEDAN 16|04|**** S L JL DR MANSYUR NO 31 MEDAN 000 000 0 0

8 1271210304****** 1271212605****** KIERAN ABRAHAM NUGROHO GANI MEDAN 26|05|**** B L JL DR MANSYUR-SMTK NO 17 MEDAN 000 000 0 0

9 1271210304****** 1271211901****** KALEB BENEDICT OMAR GANI MEDAN 19|01|**** B L JL DR MANSYUR-SMTK NO 17 MEDAN 000 000 0 0

10 1271210404****** 1271166603****** ELLYSA REYNA MEDAN 26|03|**** S P JL DR MANSYUR GG SEHAT NO 12 000 000 0 0

11 1271210404****** 1271215305****** SELLY MAYRESANTA TARIGAN MEDAN 13|05|**** B P JL DR MANSYUR GG SEHAT NO 12 000 000 0 0

12 1271210501****** 1671042308****** IR ZAINUL HALIM TEBING TINGGI 23|08|**** S L JL. DR. MANSUR KOMP. MANSYUR VILLAGE BLOK B-19 000 000 0 0

13 1271210501****** 1671041509****** M RIFAI HALIM PALEMBANG 15|09|**** B L JL. DR. MANSUR KOMP. MANSYUR VILLAGE BLOK B-19 000 000 0 0

14 1271210601****** 1271217112****** NURISYAM SIREGAR SIPIROK 31|12|**** S P JL DR MANSYUR GG SIPIROK NO 3 000 000 0 0

15 1271210602****** 1271211211****** WILSON PINEM MEDAN 12|11|**** B L JL DR MANSYUR NO 55 MEDAN 000 000 0 0

16 1271210602****** 1271216010****** SABRI BR PINEM MEDAN 20|10|**** B P JL DR MANSYUR NO 55 MEDAN 000 000 0 0

17 1271210602****** 1271214711****** HJ JERNIWATI SITUMORANG P SIDEMPUAN 07|11|**** P P JL DR MANSYUR III NO 4 000 000 0 0

18 1271210603****** 1271212712****** JOHAN MANGASI TAMBUNAN BALIGE 27|12|**** S L JL DR MANSYUR NO 65 000 000 0 0

19 1271210603****** 1271214711****** RATNA TARUTUNG 07|11|**** S P JL DR MANSYUR NO 65 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-020 196 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210604****** 1271212101****** T AZWAR AZIZ MEDAN 21|01|**** S L JL SMTK NO. 08 000 000 0 0

21 1271210608****** 1271170605****** ARIE IRAWAN,SE.AK MEDAN 06|05|**** S L JL SMTK NO 1 MEDAN 000 000 0 0

22 1271210707****** 1271215512****** CHRISTINA BR GINTING KABANJAHE 15|12|**** S P JL DR MANSYUR GG SEHAT NO 11 000 000 0 0

23 1271210707****** 1271210112****** WERY SABATO BASTOTO TARIGAN MEDAN 01|12|**** B L JL DR MANSYUR GG SEHAT NO 11 000 000 0 0

24 1271210712****** 1211014109****** THERESIA ELISABETH SEPTIANA SITUMORANG SIDIKALANG 01|09|**** B P JL. DR.MANSYUR GG.IDRIS AHMAD NO.1 000 000 0 0

25 1271210803****** 1271211303****** PENERANGAN GINTING, DRS JUHAR 13|03|**** S L JL DR MANSYUR NO 65 MEDAN 000 000 0 0

26 1271210803****** 1271216901****** ERLYNA PELEGIA BR TAMBUNAN TAMBUNAN 29|01|**** S P JL DR MANSYUR NO 65 MEDAN 000 000 0 0

27 1271210808****** 1271210106****** YOSHUA JUNIAR KENCANA TANGERANG 01|06|**** S L JL.SMTK NO-Z MEDAN 000 000 0 0

28 1271210808****** 1271214111****** ROSELYNE TANGERANG 01|11|**** S P JL.SMTK NO-Z MEDAN 000 000 0 0

29 1271210808****** 1117035009****** LISTIA QOMARIA TAKENGON 10|09|**** S P JL DR MANSYUR GG ABADI BARU NO.128-C 000 000 0 0

30 1271211007****** 1271211202****** M TAUFIK LUBIS T.BALAI 12|02|**** S L JL DR MANSYUR GG BERDIKARI NO 19 000 000 0 0

31 1271211012****** 1271211011****** JUSAK OCTAVIANUS GINTING MEDAN 10|11|**** S L JL. DR MANSYUR NO. 65 MEDAN 000 000 0 0

32 1271211012****** 1271215911****** NOVA ALPRIDA BR PINEM PERBULAN 19|11|**** S P JL. DR MANSYUR NO. 65 MEDAN 000 000 0 0

33 1271211111****** 1271211103****** HERY ANDREAS MEDAN 11|03|**** B L JL DR MANSYUR GG KENARI NO 3 000 000 0 0

34 1271211202****** 1271212406****** SUSANTO MEDAN 24|06|**** S L JL DR MANSYUR GG ABADI NO 1 A 000 000 0 0

35 1271211202****** 1271214211****** SRI NOVRIZA LESTARI MEDAN 02|11|**** S P JL DR MANSYUR GG ABADI NO 1 A 000 000 0 0

36 1271211210****** 1271210710****** SETIAWAN WIJAYA, SE MEDAN 07|10|**** S L JL. DR MANSYUR DALAM NO. 51-C 000 000 0 0

37 1271211210****** 1271215703****** LINNY SH MEDAN 17|03|**** S P JL. DR MANSYUR DALAM NO. 51-C 000 000 0 0

38 1271211310****** 1206094604****** YOHANNA BR TARIGAN PERGENDANGEN 06|04|**** S P JL. BERDIKARI GG. KELUARGA NO. 120 000 000 0 0

39 1271211310****** 1206090607****** ADILTA PERANGIN-ANGIN MEDAN 06|07|**** S L JL. BERDIKARI GG. KELUARGA NO. 120 000 000 0 0

40 1271211402****** 1271211607****** JOSUA GINTING TANJUNG BARUS 16|07|**** S L JL DR MANSYUR GG KENARI NO 5 000 000 0 0

41 1271211402****** 1271216512****** ROSITA BR SEMBIRING SH KABANJAHE 25|12|**** S P JL DR MANSYUR GG KENARI NO 5 000 000 0 0

42 1271211402****** 1271213009****** YONAS FERDINAND GINTING MEDAN 30|09|**** B L JL DR MANSYUR GG KENARI NO 5 000 000 0 0

43 1271211402****** 1271211012****** RAYAT TERULIN SINUHAJI BRASTAGI 10|12|**** S L JL DR MANSUR NO 76 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-020 197 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271211402****** 1271215109****** RISMAWATI BR SEMBIRING KABANJAHE 11|09|**** S P JL DR MANSUR NO 76 000 000 0 0

45 1271211402****** 1271211403****** THEOPILUS SABRA SINUHAJI MEDAN 14|03|**** B L JL DR MANSUR NO 76 000 000 0 0

46 1271211402****** 1271212706****** YOGIE BRAVETA SINUHAJI MEDAN 27|06|**** B L JL DR MANSUR NO 76 000 000 0 0

47 1271211405****** 1271215501****** NY MARIA ASTRIA BR SEMBIRING JUHAR 15|01|**** P P JL DRMANSYUR NO 37 MEDAN 000 000 0 0

48 1271211405****** 1271214911****** LINA BR SEMBIRING DRA KABANJAHE 09|11|**** S P JL DR MANSYUR GG SEHAT NO 25 000 000 0 0

49 1271211407****** 1271213005****** H ZULKIFLI SURBAKTI MEDAN 30|05|**** S L JLDRMANSYUR NO 41 A MEDAN 000 000 0 0

50 1271211407****** 1271114408****** DEBBY IMELDA GINTING KABANJAHE 04|08|**** S P JLDRMANSYUR NO 41 A MEDAN 000 000 0 0

51 1271211408****** 1271172103****** DOLLAR BUKIT DRS KABANJAHE 21|03|**** S L JL DR MANSYUR GG SEHAT NO 1 000 000 0 0

52 1271211408****** 1271176106****** ERLINA TARIGAN JUHAR 21|06|**** S P JL DR MANSYUR GG SEHAT NO 1 000 000 0 0

53 1271211410****** 1271214505****** LYDIA RASMALEM PINEM JUHAR 05|05|**** S P JL DR MANSYUR NO 71 MEDAN 000 000 0 0

54 1271211411****** 1271212404****** BINA MULIA SINULINGGA BERASTAGI 24|04|**** S L JL DR MANSYUR NO 88 MEDAN 000 000 0 0

55 1271211411****** 1271215909****** SRI SATRIANA SEBAYANG MEDAN 19|09|**** S P JL DR MANSYUR NO 88 MEDAN 000 000 0 0

56 1271211501****** 1271211709****** SUGIANTO P.BRANDAN 17|09|**** S L JL DR MANSYUR DALAM NO 49-A 000 000 0 0

57 1271211501****** 1271214511****** DINNI WIDIASTY GINTING LHOKSEUMAWE 05|11|**** S P JL DR MANSYUR DALAM NO 49-A 000 000 0 0

58 1271211504****** 1271217010****** KARYAWATI BR GINTING, SE JUHAR 30|10|**** S P JL DR MANSYUR NO 63 MEDAN 000 000 0 0

59 1271211509****** 1271215410****** HJ DEWI ANGGRENI MEDAN 14|10|**** S P JL DR MANSYUR III BLOK C NO 25 000 000 0 0

60 1271211512****** 1271184503****** RAMLAH GUNUNG BAYU 05|03|**** S P JL DR MANSYUR GG ABDI NO.1-A 000 000 0 0

61 1271211512****** 1271187008****** SAMSIAR B KASIH 30|08|**** B P JL DR MANSYUR GG ABDI NO. -A 000 000 0 0

62 1271211512****** 1271212907****** SUMARNO MEDAN 29|07|**** S L JL DR MANSYUR GG ABDI NO.1-A 000 000 0 0

63 1271211602****** 1271216507****** MAYA DEWI MEDAN 25|07|**** S P JL DR MANSYUR III NO 8 MEDAN 000 000 0 0

64 1271211602****** 1271214904****** MATHAVI MEDAN 09|04|**** B P JL DR MANSYUR III NO 8 MEDAN 000 000 0 0

65 1271211603****** 1271172505****** IR,H.EFENDI HARAHAP,MP PEMATANG SIANTAR 25|05|**** S L JL.SMTK DALAM NO 5 000 000 0 0

66 1271211603****** 1271174211****** RABIAH LUBIS PADANG SIDIMPUAN 02|11|**** S P JL.SMTK DALAM NO 5 000 000 0 0

67 1271211603****** 1271175602****** INDRI VESALINA HARAHAP,STP PEKANBARU 16|02|**** B P JL.SMTK DALAM NO 5 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-020 198 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271211603****** 1271211709****** IRFAN SANDRA HARAHAP PEKAN BARU 17|09|**** B L JL.SMTK DALAM NO 5 000 000 0 0

69 1271211604****** 1271191007****** ROBERT DAMANIK P. SIANTAR 10|07|**** S L JL DR MANSUR/SMTK NO 3 000 000 0 0

70 1271211604****** 1271195308****** SRI DAHLIA SARAGIH MEDAN 13|08|**** S P JL DR MANSUR/SMTK NO 3 000 000 0 0

71 1271211604****** 1271195210****** SONIA ESTER BONITA DAMANIK MEDAN 12|10|**** B P JL DR MANSUR/SMTK NO 3 000 000 0 0

72 1271211604****** 1271190409****** HARRY YACOB SEPTIAN DAMANIK MEDAN 04|09|**** B L JL DR MANSUR/SMTK NO 3 000 000 0 0

73 1271211606****** 1271210107****** ADAT TARIGAN JANDI 01|07|**** S L JL. DR MANSYUR GG. KENARI NO. 2 000 000 0 0

74 1271211606****** 1271216512****** MULI UKUR BR SINURAYA JUHAR 25|12|**** S P JL. DR MANSYUR GG. KENARI NO. 2 000 000 0 0

75 1271211606****** 1271210405****** DWIMASMAN MEDAN 04|05|**** S L JLDRMANSYUR GGKENARI NO 7 000 000 0 0

76 1271211606****** 1271215603****** KRISTINA ASIMA D SITANGGANG MEDAN 16|03|**** S P JLDRMANSYUR GGKENARI NO 7 000 000 0 0

77 1271211607****** 1271211205****** JOPPI ERNALEM BARUS P. SIANTAR 12|05|**** S L JL DR MANSYUR GG SEHAT NO 16 A 000 000 0 0

78 1271211607****** 1271214506****** MUTIA SUSANTY DESKY KARO 05|06|**** S P JL DR MANSYUR GG SEHAT NO 16 A 000 000 0 0

79 1271211609****** 1271214501****** MBERAMALEM BARUS MEDAN 05|01|**** S P JL DR MANSYUR GG DAME NO 1 000 000 0 0

80 1271211609****** 1211046612****** NARPIDA SINAMBELA AMBORGANG 26|12|**** S P JL DR MANSYUR GG DAME NO 1 000 000 0 0

81 1271211611****** 1271182811****** H.ZULFAN EFFENDI NST MEDAN 28|11|**** S L JL DR MANSYUR III BLOK C NO 04 000 000 0 0

82 1271211611****** 1271175702****** DESI DELAMORI SIREGAR MEDAN 17|12|**** S P JL DR MANSYUR III BLOK C NO 04 000 000 0 0

83 1271211701****** 1271212711****** NELSON PARAPAT, SH TARUTUNG 27|11|**** P L JL DR MANSYUR DALAM NO.49 B 000 000 0 0

84 1271211704****** 1271215905****** ROSMAWATI SEMANGAT BR GINTING BATU MAMAK 19|05|**** P P JL DR MANSYUR NO 57 000 000 0 0

85 1271211711****** 1271211404****** SOLIHIN CIAMIS 14|04|**** S L JL DR MANSYUR GG ABADI NO 1 000 000 0 0

86 1271211711****** 1271215307****** DEBY JULIANA MEDAN 13|07|**** S P JL DR MANSYUR GG ABADI NO 1 000 000 0 0

87 1271211806****** 1271215612****** ROHANI BR GINTING PEMATANG SIANTAR 16|12|**** S P JL. DR MANSYUR GG. KENARI NO. 15-C 000 000 0 0

88 1271211806****** 1271212206****** SEMPURNA PINEM SEI MENCIRIM 22|06|**** S L JL. DR MANSYUR GG. KENARI NO. 15-C 000 000 0 0

89 1271211808****** 1205176901****** ASTRI KRISNA DEWI PURWOREJO 27|01|**** S P JL DR MANSYUR NO 41 A 000 000 0 0

90 1271211809****** 1271212609****** WAHYUDI GANI MEDAN 26|09|**** S L JLDRMANSYUR NO 77 MEDAN 000 000 0 0

91 1271211809****** 1271215301****** JESSY CHRESTELLA MEDAN 13|01|**** S P JLDRMANSYUR NO 77 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-020 199 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271211810****** 1271214910****** BUDIARTI MUNTHE LAU BALANG 09|10|**** P P JLN DR MANSYUR GG SEHAT NO 16 000 000 0 0

93 1271211810****** 1271212911****** ERA GLORY PERANGIN-ANGIN MEDAN 29|11|**** B L JLN DR MANSYUR GG SEHAT NO 16 000 000 0 0

94 1271211810****** 1271216901****** MELLY BUKIT BULUHAWAR 29|01|**** B P JLN DR MANSYUR GG SEHAT NO 16 000 000 0 0

95 1271211810****** 1271214804****** MEREKITA BR GINTING PERNANTIN 08|04|**** S P JL DR MANSYUR NO 59 MEDAN 000 000 0 0

96 1271211810****** 1271210907****** ABEL PACINUR KABAN MEDAN 09|07|**** S L JL DR MANSYUR NO 59 MEDAN 000 000 0 0

97 1271211810****** 1271217108****** ELISTY DAYANA BR KABAN MEDAN 31|08|**** B P JL DR MANSYUR NO 59 MEDAN 000 000 0 0

98 1271211810****** 1271214111****** ENDA NINA YORENTA BR KABAN MEDAN 01|11|**** B P JL DR MANSYUR NO 59 MEDAN 000 000 0 0

99 1271211810****** 1271211010****** PERSADAAN GINTING MEDAN 10|10|**** S L JLDRMANSYUR NO 15 000 000 0 0

100 1271211810****** 1271216011****** MERIAHNA BR SEMBIRING TJ.LANGKAT 20|11|**** S P JLDRMANSYUR NO 15 000 000 0 0

101 1271211810****** 1271215805****** LIDYA MELISA BR GINTING MEDAN 18|05|**** B P JLDRMANSYUR NO 15 000 000 0 0

102 1271211810****** 1271213101****** MARTIN GINTING MEDAN 31|01|**** B L JLDRMANSYUR NO 15 000 000 0 0

103 1271211810****** 1271210909****** STEVANUS BOBBY GINTING MEDAN 09|09|**** B L JLDRMANSYUR NO 15 000 000 0 0

104 1271211903****** 1271217108****** LYDIA ELISABETH NUSALIM TANGERANG 31|08|**** P P JLSMTK NO 7 MEDAN 000 000 0 0

105 1271211904****** 1271216907****** T JUNITA KESUMA SE RANTAU PRAPAT 29|07|**** S P JL DR MANSYUR GG SEHAT NO 0-A MEDAN 000 000 0 0

106 1271211904****** 1271210105****** AHMAD HAIKAL MEDAN 01|05|**** S L JL DR MANSYUR III NO 2A MEDAN 000 000 0 0

107 1271211904****** 1271165801****** EVI ANDRIANTY LHOKSEUMAWE 18|01|**** S P JL DR MANSYUR III NO 2A MEDAN 000 000 0 0

108 1271211904****** 1271216411****** DONNA KRISTI MEDAN 24|11|**** B P JL DR MANSYUR NO 110 MEDAN 000 000 0 0

109 1271211904****** 1271210502****** NICI ANDELA KABAN MEDAN 05|02|**** B L JL DR MANSYUR NO 104 MEDAN 000 000 0 0

110 1271211905****** 1271030205****** ADE KRISNAWAN KISARAN 02|05|**** S L JL DR MANSYUR GG SEHATI NO 2 000 000 0 0

111 1271211905****** 1271215702****** ROSYANTI MEDAN 17|02|**** S P JL DR MANSYUR GG SEHATI NO 2 000 000 0 0

112 1271211906****** 1271210306****** TAUFIQ,SE.AK MEDAN 03|06|**** S L JL DR MANSYUR GG ABADI NO 2 000 000 0 0

113 1271211906****** 1271216903****** MARIANY A SINAGA,SE PEMATANG SIANTAR 29|03|**** S P JL DR MANSYUR GG ABADI NO 2 000 000 0 0

114 1271211906****** 1271218903****** MARIANY A SINAGA, SE PEMATANG SIANTAR 29|03|**** S P JL. DR. MANSYUR GG. ABADI NO. 2 000 000 0 0

115 1271211908****** 1271210210****** AMIRUDDIN DALIMUNTHE, IR KWALA SIMPANG 02|10|**** S L JL DR MANSYUR III NO 4 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-020 200 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271211908****** 1271216611****** MAYURITA SITUMORANG P.SIDEMPUAN 26|11|**** S P JL DR MANSYUR III NO 4 MEDAN 000 000 0 0

117 1271212002****** 1271212603****** H HASRUL ARHHARA HARAHAP P. SIANTAR 26|03|**** S L JL DR MANSYUR GG ABADI BARU NO 129 000 000 0 0

118 1271212002****** 1271215511****** HJ BETTY SIREGAR TINJOWAN 15|11|**** S P JL DR MANSYUR GG ABADI BARU NO 129 000 000 0 0

119 1271212006****** 1271210111****** ABDUL RAHIM DAHLAN MEDAN 01|11|**** S L JL DR MANSYUR III NO 2 A MEDAN 000 000 0 0

120 1271212006****** 1271216502****** KHAIRANI LUBUK PAKAM 25|02|**** S P JL DR MANSYUR III NO 2 A MEDAN 000 000 0 0

121 1271212006****** 1271214107****** ZUHRA IWANI, S.PD MEDAN 01|07|**** S P JL DR MANSYUR III NO 2 A MEDAN 000 000 0 0

122 1271212006****** 1271212903****** KHAIRUL ZAIN MEDAN 29|03|**** S L JL DR MANSYUR III NO 2 A MEDAN 000 000 0 0

123 1271212006****** 1271211210****** M HAMMAM MEDAN 12|10|**** B L JL DR MANSYUR III NO 2 A MEDAN 000 000 0 0

124 1271212009****** 1271213005****** T ADLY HAMZAH ALHAJ DRS BINJAI 30|05|**** S L JL DR MANSYUR-SMTK NO 5 MEDAN 000 000 0 0

125 1271212009****** 1271215405****** NUR SYAMSIAR, DRA P SIDEMPUAN 14|05|**** S P JL DR MANSYUR-SMTK NO 5 MEDAN 000 000 0 0

126 1271212009****** 1271211802****** T ADYL YUSHAN, IR MEDAN 18|02|**** B L JL DR MANSYUR-SMTK NO 5 MEDAN 000 000 0 0

127 1271212009****** 1271212509****** DULISTA TARIGAN MEDAN 25|09|**** S L JLN DR MANSYUR NO 67 MEDAN 000 000 0 0

128 1271212009****** 1271210612****** MORIS PANE TARIGAN MEDAN 06|12|**** B L JLN DR MANSYUR NO 67 MEDAN 000 000 0 0

129 1271212011****** 1271213012****** TAMBI GINTING JUHAR 30|12|**** S L JL DR MANSYUR NO 118 000 000 0 0

130 1271212011****** 1271215711****** ROSLIANA BR PINEM JUHAR 17|11|**** S P JL DR MANSYUR NO 118 000 000 0 0

131 1271212011****** 1271210109****** ANDREAS GINTING MEDAN 01|09|**** B L JL DR MANSYUR NO 8 000 000 0 0

132 1271212012****** 1271215202****** PENTA SK HUTABARAT MEDAN 12|02|**** B P JL DR MANSYUR GG RUKUN NO 5 000 000 0 0

133 1271212012****** 1271211702****** RENO HARDIMAN BANGUN MEDAN 17|02|**** S L JL DR MANSYUR GG SEHAT NO 2 000 000 0 0

134 1271212012****** 1209156107****** ATIN PRAYITNI BANDAR PULAU 01|07|**** S P JL DR MANSYUR GG SEHAT NO 2 000 000 0 0

135 1271212108****** 1271211004****** TINAR HASIBUAN HUTABARAT SIPIROK 10|04|**** S L JL DR MANSYUR GG RUKUN NO 7 000 000 0 0

136 1271212108****** 1271217112****** MEHAMAT BR SEMBIRING G.MERLAWAN 31|12|**** S P JL DR MANSYUR GG RUKUN NO 7 000 000 0 0

137 1271212109****** 1271215409****** BASALENA BR GINTING SERIBU DOLOK 14|09|**** P P JL DR MANSYUR GG DAME NO 1 000 000 0 0

138 1271212109****** 1271210507****** RIJANTO SUWO ALIAS PAULUS RIANTA, IR TANGERANG 05|07|**** S L JL SMTK DALAM NO 24 MEDAN 000 000 0 0

139 1271212109****** 1271210708****** NICHOLAUS GINTING MEDAN 07|08|**** S L JL DR MANSYUR NO 118 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-020 201 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212109****** 1271215107****** ROSARIANNA BR KABAN BERTAH 11|07|**** S P JL DR MANSYUR NO 118 000 000 0 0

141 1271212109****** 1271214812****** PRATI DINA S MAHA MEDAN 08|12|**** S P JLDRMANSYUR SMTK NO 1 A 000 000 0 0

142 1271212109****** 1271210101****** GREYGRIO ABRAHAM SINGARIMBUN MEDAN 01|01|**** B L JLDRMANSYUR SMTK NO 1 A 000 000 0 0

143 1271212203****** 1271212003****** ANDRI MULIA SEBAYANG, SE BINJAI 20|03|**** S L JL DR MANSYUR NO132 000 000 0 0

144 1271212203****** 1271215601****** YANTI WIKARTIKA, AMD GALANG 16|01|**** S P JL DR MANSYUR NO132 000 000 0 0

145 1271212207****** 1271216901****** MARGARETHA MAHARANI SINURAYA MEDAN 29|01|**** S P JL DR MANSYUR NO 57 000 000 0 0

146 1271212211****** 1271211111****** PEDOMAN BANGUN KUTA GALUH 11|11|**** S L JL DR MANSYUR GG KENARI NO 7 000 000 0 0

147 1271212211****** 1271216011****** SOPAN SESILIA BR KABAN BINTANG MERIAH 20|11|**** S P JL DR MANSYUR GG KENARI NO 7 000 000 0 0

148 1271212211****** 1271214706****** JUNITA BERNADETTA BANGUN MEDAN 07|06|**** B P JL DR MANSYUR GG KENARI NO 7 000 000 0 0

149 1271212211****** 1271211706****** JOHANNES MILALA KUTAGALUH 17|06|**** B L JL DR MANSYUR GG KENARI NO 7 000 000 0 0

150 1271212301****** 1271216801****** SITI AISYAH DAULAY RAMBUNG SIALANG 28|01|**** P P JL DR MANSYUR GG SATRIA NO 15 000 000 0 0

151 1271212301****** 1271211805****** RIO RAHMAN MATONDANG TEBING TINGGI 18|05|**** B L JL DR MANSYUR GG SATRIA NO 5 000 000 0 0

152 1271212303****** 1271210611****** IMAT SYAFRI BANGUN BATU KARANG 06|11|**** S L JL DR MANSYUR GG SEHAT NO 2 000 000 0 0

153 1271212303****** 1271215811****** SUGINI MEDAN 18|11|**** S P JL DR MANSYUR GG SEHAT NO 2 000 000 0 0

154 1271212303****** 1271212504****** MALATUA HUTAGALUNG MEDAN 25|04|**** S L JL DR MANSYUR GG RUKUN NO 3 000 000 0 0

155 1271212303****** 1207264102****** PERSADELA MANALU MEDAN 01|02|**** S P JL DR MANSYUR GG RUKUN NO 3 000 000 0 0

156 1271212304****** 1271216505****** CALLISTA ANDREA EMILY SIANTURI JAKARTA 25|05|**** B P JL DR MANSYUR GG BERDIKARI NO 1 000 000 0 0

157 1271212307****** 1271216807****** ENDANG HARYANTI GANI DR TEGAL 28|07|**** P P JL DR MANSYUR NO 77 MEDAN 000 000 0 0

158 1271212308****** 1205131606****** DIAN GINTING MEDAN 16|06|**** S L JL. DR. MANSUR NO. 75 000 000 0 0

159 1271212308****** 1205136612****** NATALIA BR SEMBIRING SIBOLANGIT 26|12|**** S P JL. DR. MANSUR NO. 75 000 000 0 0

160 1271212312****** 1271215004****** CHAMSIAR ACEH 10|04|**** P P JL DR MANSYUR GG ABADI NO 2 000 000 0 0

161 1271212312****** 1271211410****** NURJULISMAN,IR MEDAN 14|10|**** S L JL DR MANSYUR GG ABADI NO 2 000 000 0 0

162 1271212312****** 1271215407****** CHAINUL MAHNI,IR ACEH 14|07|**** S P JL DR MANSYUR GG ABADI NO 2 000 000 0 0

163 1271212312****** 1271214605****** MEIHANNI,ST MEDAN 06|05|**** B P JL DR MANSYUR GG ABADI NO 2 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-020 202 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212312****** 1271210610****** DINAR GINTING,DRS MEDAN 06|10|**** P L JL DR MANSYUR NO 33 000 000 0 0

165 1271212312****** 1271217010****** DISA OKTAVERINA BR GINTING MEDAN 30|10|**** B P JL DR MANSYUR NO 33 000 000 0 0

166 1271212312****** 1271214610****** CHRISTINA OKTAVIANI KABAN MEDAN 06|10|**** B P JLN DR MANSUR NO 104 000 000 0 0

167 1271212403****** 1271211206****** IRFAN ADAN 12|06|**** S L JLDRMANSYUR III NO 2-A MEDAN 000 000 0 0

168 1271212403****** 1271215711****** KHAIRUNNISA MEDAN 17|11|**** S P JLDRMANSYUR III NO 2-A MEDAN 000 000 0 0

169 1271212404****** 1271211108****** ARJUNA GINTING JUHAR 11|08|**** B L JL DR MANSYUR GG KENARI NO 15 000 000 0 0

170 1271212405****** 1271215705****** ESTHER KATAMANIS BR BANGUN BEKIUN 17|05|**** S P JL DR MANSUR GG BERKAT NO 7 000 000 0 0

171 1271212407****** 1271210202****** VERMONA BARUS MEDAN 02|02|**** S L JL DR MANSYUR GG KENARI NO 3 000 000 0 0

172 1271212407****** 1271216801****** YANTI MALA BR SEMBIRING MEDAN 28|01|**** S P JL DR MANSYUR GG KENARI NO 3 000 000 0 0

173 1271212409****** 1271214412****** HJ CHAIRANI NASUTION KOTANOPAN 04|12|**** P P JL DR MANSYUR III NO 7 000 000 0 0

174 1271212410****** 1271212509****** DENNY SWADAYA PUTRA SEBAYANG PABATU.T.TINGGI DELI 25|09|**** S L JL DR MANSYUR NO 132 000 000 0 0

175 1271212410****** 1271216104****** KARTINI APRINA T PANE MEDAN 21|04|**** S P JL DR MANSYUR NO 132 000 000 0 0

176 1271212411****** 1271215601****** DEVI ARI SUSANTI MEDAN 16|01|**** S P JL DR MANSYUR GG ABADI NO 000 000 0 0

177 1271212411****** 1271212309****** MANGIRING SIMALANGO LIMBONG 23|09|**** S L JL DR MANSYUR GG RUKUN NO 1 000 000 0 0

178 1271212411****** 1271215812****** BERTY REFELINA SIMATUPANG MEDAN 18|12|**** S P JL DR MANSYUR GG RUKUN NO 1 000 000 0 0

179 1271212503****** 1271215911****** SEHAT BR GINTING SIBOLANGIT 19|11|**** S P JL DR MANSYUR NO 78 MEDAN 000 000 0 0

180 1271212504****** 1271212304****** MUHAMMAD AFRI AULIA T MORAWA 23|04|**** S L JL DR MANSYUR III NO 4 MEDAN 000 000 0 0

181 1271212504****** 1271215201****** AURORA ADRIANY MEDAN 12|01|**** S P JL DR MANSYUR III NO 4 MEDAN 000 000 0 0

182 1271212505****** 1271212102****** EDI PRIANA SEMBIRING MEDAN 21|02|**** S L JL DR MANSYUR III BLOK-C NO 1 000 000 0 0

183 1271212505****** 1271215408****** NELLY BR BARUS KABANJAHE 14|08|**** S P JL DR MANSYUR III BLOK-C NO 1 000 000 0 0

184 1271212505****** 1271215907****** SARAH YEMIMA CLAUDIA S MEDAN 19|07|**** B P JL DR MANSYUR III BLOK-C NO 1 000 000 0 0

185 1271212507****** 1271210608****** KOSMAS LUBIS SIMALUNGUN 06|08|**** S L JL DR MANSYUR GG KENARI NO 2 000 000 0 0

186 1271212507****** 1271216001****** ELISABETH J M TARIGAN MEDAN 20|01|**** S P JL DR MANSYUR GG KENARI NO 2 000 000 0 0

187 1271212507****** 1271214709****** MONICA ULI LUBIS MEDAN 07|09|**** B P JL DR MANSYUR GG KENARI NO 2 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-020 203 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271212509****** 1271215111****** RUSTANIJA BR SIREGAR MUARA 11|11|**** P P JL DRMANSYUR III BLOK-C NO 07 000 000 0 0

189 1271212509****** 1271212502****** HARRY TRUMAN H PARDEDE MEDAN 25|02|**** B L JL DRMANSYUR III BLOK-C NO 07 000 000 0 0

190 1271212509****** 1271217003****** MARGARETHA HASIANNI BR PARDEDE MEDAN 30|03|**** B P JL DRMANSYUR III BLOK-C NO 07 000 000 0 0

191 1271212510****** 3671054905****** RASMITA SEMBIRING MUNTE 09|05|**** P P JL DR MANSYUR GG KENARI NO 4 000 000 0 0

192 1271212510****** 3571055204****** LIDIA CLARANTO PUTRI BARUS TONGRANG 22|04|**** B P JL. DR. MANSYUR GG. KENARI NO. 4 000 000 0 0

193 1271212510****** 3671056204****** LYDIA CLARANTA PUTRI BARUS TANGERANG 22|04|**** B P JL DR MANSYUR GG KENARI NO 4 000 000 0 0

194 1271212510****** 3671055809****** LAURA STEPANI REJEKINTA BARUS JAKARTA 18|09|**** B P JL DR MANSYUR GG KENARI NO 4 000 000 0 0

195 1271212510****** 3671052809****** YOSEP BARUS TANGERANG 28|09|**** B L JL DR MANSYUR GG KENARI NO 4 000 000 0 0

196 1271212602****** 1271211001****** HAMDAN MEDAN 10|01|**** B L JL.BERDIKARI 000 000 0 0

197 1271212602****** 1271181507****** HERY MEDAN 15|07|**** S L JL SMTK DALAM KOMP MANSUR VILLAGE BLOK B NO 1 000 000 0 0

198 1271212602****** 1274016405****** MELY TANJUNGBALAI 24|05|**** S P JL SMTK DALAM KOMP MANSUR VILLAGE BLOK B NO 1 000 000 0 0

199 1271212610****** 1271211408****** MUNDUR SEMBIRING BATU MAMAK 14|08|**** S L JL DR MANSYUR GG KENARI NO 3 000 000 0 0

200 1271212610****** 1271214907****** REMBAK MALEM BR GINTING BATU MAMAK 09|07|**** S P JL DR MANSYUR GG KENARI NO 3 000 000 0 0

201 1271212611****** 1271214411****** SUSI YANTI BARUS JAKARTA 04|11|**** S P JL DR MANSYUR NO 120 MEDAN 000 000 0 0

202 1271212611****** 1271212708****** GERARDO RAMBAN BREMANA PINEM JAKARTA 27|08|**** B L JL DR MANSYUR NO 120 MEDAN 000 000 0 0

203 1271212611****** 1271214702****** VALLERYN MILLENIA BR PINEM MEDAN 07|02|**** B P JL DR MANSYUR NO 120 MEDAN 000 000 0 0

204 1271212707****** 1271210207****** JULFIAN TARIGAN MEDAN 02|07|**** P L JL DR MANSYUR NO 67 MEDAN 000 000 0 0

205 1271212707****** 1271215806****** JOHARA GINTING, DRA BELAWAN 18|06|**** S P JL DR MANSYUR NO 116 MEDAN 000 000 0 0

206 1271212707****** 1271216409****** RICKA SEPRINA SARI JAKARTA 24|09|**** B P JL DR MANSYUR NO 116 MEDAN 000 000 0 0

207 1271212707****** 1271211704****** ALI FACHRI PASARIBU SIBULUAN 17|04|**** S L JL DR MANSYUR III BLOK C NO 6 000 000 0 0

208 1271212707****** 1271216712****** MISNAH BULUCINA 27|12|**** S P JL DR MANSYUR III BLOK C NO 6 000 000 0 0

209 1271212707****** 1271211812****** MUHAMMAD QADARULLAH PASARIBU BULU CINA 18|12|**** B L JL DR MANSYUR III BLOK C NO 6 000 000 0 0

210 1271212707****** 1271210210****** IBNUL MUKHLIS PASARIBU MEDAN 02|10|**** B L JL DR MANSYUR III BLOK C NO 6 000 000 0 0

211 1271212709****** 1271215603****** SARINAH LUISAH SINAGA KAMPUNG MESJID 16|03|**** S P JL DR MANSYUR III BLOK-C NO 7 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-020 204 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271212709****** 1271213011****** HASOLOAN SINAGA KAMPUNG MESJID 30|11|**** B L JL DR MANSYUR III BLOK-C NO 7 000 000 0 0

213 1271212709****** 1271214510****** TIAMANUR HUTABARAT TAPANULI UTARA 05|10|**** P P JL DR MANSYUR GG RUKUN NO 3 000 000 0 0

214 1271212709****** 1271210311****** NELSON HUTAGALUNG MEDAN 03|11|**** B L JL DR MANSYUR GG RUKUN NO 3 000 000 0 0

215 1271212710****** 1271210101****** ABDUL RAHIM PERANGIN-ANGIN, SH ZINABUN 01|01|**** S L JL DR MANSYUR GG SEHAT NO 6 000 000 0 0

216 1271212710****** 1271215210****** SALAM SEMBIRING KABANJAHE 12|10|**** S P JL DR MANSYUR GG SEHAT NO 6 000 000 0 0

217 1271212710****** 1271211311****** ABDUL WAHID, SH MEDAN 13|11|**** B L JL DR MANSYUR GG SEHAT NO 6 000 000 0 0

218 1271212710****** 1271212110****** H LUTFI ABDULLAH SST LABUHAN BATU 21|10|**** S L JL. SMTK DALAM PERUMAHAN MANSUR VILLAGE BLOK B 16 000 000 0 0

219 1271212710****** 1271206806****** CUT YUNITA N MEDAN 28|06|**** S P JL. SMTK DALAM PERUMAHAN MANSUR VILLAGE BLOK B 16 000 000 0 0

220 1271212803****** 1271210303****** HOTMAN SIMANJUNTAK, IR SIBOLGA 03|03|**** S L JL DR MANSYUR III BLOK B NO 1 000 000 0 0

221 1271212803****** 1271216811****** ESTHER NIRWANI SIREGAR PABATU 28|11|**** S P JL DR MANSYUR III BLOK B NO 1 000 000 0 0

222 1271212803****** 1271215611****** SUSAN ROSITA SIMANJUNTAK MEDAN 16|11|**** B P JL DR MANSYUR III BLOK B NO 000 000 0 0

223 1271212803****** 1271210405****** JOHANES FREDERIK P SIMANJUNTAK MEDAN 04|05|**** B L JL DR MANSYUR III BLOK B NO 1 000 000 0 0

224 1271212803****** 1271216104****** MARIA RUCHMINI NATASIA S MEDAN 21|04|**** B P JL DR MANSYUR III BLOK B NO 1 000 000 0 0

225 1271212803****** 1206065207****** CITRA VERONIKA BR SURBAKTI SARINEMBAH 12|07|**** S P JL DR MANSYUR NO 120 MEDAN 000 000 0 0

226 1271212805****** 1271211504****** ERICH PERDAMEN BARUS MEDAN 15|04|**** S L JL DR MANSYUR GG DAME NO 1 000 000 0 0

227 1271212805****** 1271215208****** TRISNA SUGIYANTI PEMATANG SIANTAR 12|08|**** S P JL DR MANSYUR GG DAME NO 1 000 000 0 0

228 1271212806****** 1271210104****** MBERGUH SEMBIRING, DRS, SH UJUNG PAYUNG 01|04|**** S L JL DR MANSYUR GG SEHAT NO 9 000 000 0 0

229 1271212806****** 1271214506****** LEMTA TARIGAN DRA, SH SILIMA KUTA 05|06|**** S P JL DR MANSYUR GG SEHAT NO 9 000 000 0 0

230 1271212806****** 1271212001****** JAN HARRY PUTRA SEMBIRING IR MEDAN 20|01|**** B L JL. DR. MANSYUR GG. SEHAT NO. 9 000 000 0 0

231 1271212806****** 1271216303****** MARDIANA SEMBIRINGDRA MEDAN 23|03|**** B P JL. DR. MANSYUR GG. SEHAT NO. 9 000 000 0 0

232 1271212808****** 1271212112****** DJONATHAN SINUKABAN PERNANTIN 21|12|**** S L JL DR MANSYUR NO 59 MEDAN 000 000 0 0

233 1271212808****** 1271217112****** RAKUT BR GINTING GURUBENUA 31|12|**** S P JL DR MANSYUR NO 59 MEDAN 000 000 0 0

234 1271212810****** 1271212312****** JOHANES ANASTASIO SINGARIMBUN MEDAN 23|12|**** S L JL DR MANSYUR SMTK NO 1 A MEDAN 000 000 0 0

235 1271212810****** 1271215211****** DENISMAWATI TELAUMBANUA TELUK DALAM 12|11|**** S P JL DR MANSYUR SMTK NO 1 A MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-020 205 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

236 1271212811****** 1206170401****** EDY JAKARIA BANGUN TANJUNG MBELANG 04|01|**** S L JL DR MANSUR NO 59 000 000 0 0

237 1271212901****** 1271214906****** ROSLIANA BR TARIGAN LAU SIGALA 09|06|**** P P JL DR MANSYUR GG SEHAT NO 4 000 000 0 0

238 1271212901****** 1271214905****** LESTARI SEMBIRING MEDAN 09|05|**** B P JL DR MANSYUR GG SEHAT NO 4 000 000 0 0

239 1271212901****** 1271210610****** SUSENO SEMBIRING MEDAN 06|10|**** B L JL DR MANSYUR GG SEHAT NO 4 000 000 0 0

240 1271212903****** 1271214908****** REPINA MANIK AMBARISAN 09|08|**** S P JL DR MANSYUR NO 72 000 000 0 0

241 1271212903****** 1271216501****** THERESIA JAKARTA 25|01|**** B P JL DR MANSYUR NO 72 000 000 0 0

242 1271212909****** 1271215212****** DEBORA POHAN SIDIKALANG 12|12|**** S P JL DR MANSYUR GG RUKUN NO 1 000 000 0 0

243 1271212909****** 1271216910****** MURNIATI PERANGIN-ANGIN SUKATENDEL 29|10|**** S P JL DR MANSYUR GG DAME NO 6 000 000 0 0

244 1271212911****** 1271212711****** MENGKET BARUS KABANJAHE 27|11|**** S L JL DR MANSYUR GG SEHAT NO 24 000 000 0 0

245 1271212911****** 1271215906****** ELISABETH ESTERLINA WATTIMENA GLEMORE BANYUWANGI 19|06|**** S P JL DR MANSYUR GG SEHAT NO 24 000 000 0 0

246 1271213001****** 1271210106****** ZULKARNAIN SEMBIRING SIDIKALANG 01|06|**** S L JL DR MANSYUR GG SEHAT NO 4-B 000 000 0 0

247 1271213001****** 1271216705****** KARINA CINDY LOSA SEMBIRING MEDAN 27|05|**** B P JL DR MANSYUR GG SEHAT NO 4-B 000 000 0 0

248 1271213004****** 1271071406****** SIARKANSYAH MEDAN 14|06|**** S L JL DR MANSYUR NO 134 C 000 000 0 0

249 1271213008****** 1271211508****** AGUSTINUS KEMBAREN GURU BENUA 15|08|**** S L JL DR MANSYUR GG SEHAT NO 15 000 000 0 0

250 1271213008****** 1271216404****** SRI ULI GINTING, AMD LABUHAN BATU 24|04|**** S P JL DR MANSYUR GG SEHAT NO 15 000 000 0 0

251 1271213008****** 1271212501****** SURYA DHARMA SITEPU, SE P. SIANTAR 25|01|**** S L JL DR MANSYUR GG BERDIKARI NO 20 A 000 000 0 0

252 1271213008****** 1271217006****** YUNIAR ASWITA MEDAN 30|06|**** S P JL DR MANSYUR GG BERDIKARI NO 20 A 000 000 0 0

253 1271213008****** 1271212810****** OKTO DHANIANSYAH MEDAN 28|10|**** B L JL DR MANSYUR GG BERDIKARI NO 20 A 000 000 0 0

254 1271213011****** 1271215412****** DESY LIANA HUTABARAT MEDAN 14|12|**** S P JLDRMANSYUR G RUKUN NO 7 A 000 000 0 0

255 1271213011****** 1271212406****** MANGERBANG MARPAUNG PORSEA 24|06|**** S L JLDRMANSYUR G RUKUN NO 7 A 000 000 0 0

256 1271213103****** 1271211505****** EPI CHANDRA PADANG 15|05|**** B L JL DR MANSYUR NO 15 LK VII 000 000 0 0

257 1271213103****** 1271211011****** EDY PADANG 10|11|**** B L JL DR MANSYUR NO 15 LK VII 000 000 0 0

258 1271213103****** 1271210507****** HENDRA PADANG 05|07|**** B L JL DR MANSYUR NO 15 LK VII 000 000 0 0

259 0****** 1271212205****** WAYA RAMADHAN MEDAN 22|05|**** S P JL.DR.MANSYUR GG.BERDIKARI NO 20 A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-020 206 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

260 1271213107****** 1271211204****** SINARTA GINTING MEDAN 12|04|**** B L JL DR MANSYUR NO 80 MEDAN 003 007 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 260 Jenis Kelamin = 260 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 73 L : Laki-Laki = 120 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 170 P : Perempuan = 140 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 17
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 132 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-020 207 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 021
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271121804****** 1271120111****** RUBEN SIMANGUNSONG, IR PEMATANG SIANTAR 01|11|**** S L JL. DR MANSYUR NO. 128 000 000 0 0

2 1271121804****** 1271126809****** MAWAR NAULI, IR SIBOLGA 28|09|**** S P JL. DR MANSYUR NO. 128 000 000 0 0

3 1271202206****** 1271201001****** HERMAN,SH MEDAN 10|01|**** S L JL DR MANSYUR GG SEHAT NO.14-A 000 000 0 0

4 1271202206****** 1271204502****** ISYE ROZATI SAWAH LUNTO 05|02|**** S P JL DR MANSYUR GG SEHAT NO.14-A 000 000 0 0

5 1271210102****** 1271211512****** RIZKY RAMADHAN MEDAN 15|12|**** B L JL. DR MANSYUR GG. CITRA NO. 1-C 000 000 0 0

6 1271210102****** 1271210802****** EDDY KABAN MEDAN 08|02|**** S L JL DR MANSYUR NO 104 MEDAN 000 000 0 0

7 1271210102****** 1271215212****** JENDAMIN BR TARIGAN PAYUNG 12|12|**** S P JL DR MANSYUR NO 104 MEDAN 000 000 0 0

8 1271210102****** 1271211208****** PETRUS KASANOVA KABAN MEDAN 12|08|**** B L JL DR MANSYUR NO 104 MEDAN 000 000 0 0

9 1271210102****** 1271214605****** MEKAROS BR KABAN MEDAN 06|05|**** S P JL DR MANSYUR NO 104 MEDAN 000 000 0 0

10 1271210102****** 1271210502****** NICOLAUS KABAN MEDAN 05|02|**** B L JL DR MANSYUR NO 104 MEDAN 000 000 0 0

11 1271210103****** 1271210510****** MUHAMMAD SYAIFUL JAKARTA 05|10|**** P L JL DR MANSYUR GG ABADI BARU NO.128-C 000 000 0 0

12 1271210105****** 1271215008****** TIARA BR TARIGAN JUHAR 10|08|**** S P JL DR MANSYUR GG KENARI NO 11 000 000 0 0

13 1271210105****** 1271212010****** SARTANA GINTING S MEDAN 20|10|**** B L JL DR MANSYUR GG KENARI NO 11 000 000 0 0

14 1271210105****** 1271211101****** SURANTO GINTING MEDAN 11|01|**** B L JL DR MANSYUR GG KENARI NO 11 000 000 0 0

15 1271210106****** 1271211503****** AMAN GINTING MEDAN 15|03|**** S L JL DR MANSYUR GG RUKUN NO 2 000 000 0 0

16 1271210106****** 1271211708****** ABDI N PERANGIN-ANGIN PERBESI 17|08|**** S L JL DR MANSYUR NO 80 MEDAN 000 000 0 0

17 1271210106****** 1271216505****** MARIA GINTING SE MEDAN 25|05|**** S P JL DR MANSYUR NO 80 MEDAN 000 000 0 0

18 1271210107****** 1271210505****** MUHAMMAD SYUKRI SURBAKTI TEBING TINGGI 05|05|**** S L JLDRMANSYUR NO 4 A MEDAN 000 000 0 0

19 1271210110****** 1271212009****** PETRUS PINTAREH TARIGAN MEDAN 20|09|**** S L JL DR MANSYUR NO 69 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-021 208 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210110****** 1271216709****** TAWANITA BRAHMANA,DR PALEMBANG 27|09|**** S P JL DR MANSYUR NO 69 MEDAN 000 000 0 0

21 1271210201****** 1271210207****** AMRAN PANTAI GEMI 02|07|**** S L JL DR MANSYUR GG SEHAT NO 2 000 000 0 0

22 1271210201****** 1271216111****** MURLINA MEDAN 21|11|**** S P JL DR MANSYUR GG SEHAT NO 2 000 000 0 0

23 1271210201****** 1271211611****** MUHAMMAD RIZKY RANDINA MEDAN 16|11|**** B L JL DR MANSYUR GG SEHAT NO 2 000 000 0 0

24 1271210201****** 1271211211****** ADHE RACHMAN BIRULLAH MEDAN 12|11|**** B L JL DR MANSYUR GG SEHAT NO 2 000 000 0 0

25 1271210201****** 1271216611****** DHEA KHAIRUNNISA AMRAN MEDAN 26|11|**** B P JL DR MANSYUR GG SEHAT NO 2 000 000 0 0

26 1271210202****** 1271215205****** MERYFA ALANS BULU CINA 12|05|**** S P JL DR MANSYUR NO 106 MEDAN 000 000 0 0

27 1271210202****** 1271212204****** ARFIAL JOSIA KABAN AJAMU 22|04|**** S L JL DR MANSYUR NO 106 MEDAN 000 000 0 0

28 1271210202****** 1271215107****** GHEANINA PRISILIA KABAN MEDAN 11|07|**** B P JL DR MANSYUR NO 106 MEDAN 000 000 0 0

29 1271210202****** 1271212510****** YORI SAMUEL KABAN MEDAN 25|10|**** B L JL DR MANSYUR NO 106 MEDAN 000 000 0 0

30 1271210202****** 1271215004****** FITRI HANDAYANI MEDAN 10|04|**** B P JL DR MANSYUR NO 78 000 000 0 0

31 1271210202****** 1271210810****** KURNIADI MEDAN 08|10|**** B L JL DR MANSYUR NO 78 000 000 0 0

32 1271210202****** 1271216303****** ELVINA BR BANGUN BATU KARANG 23|03|**** S P JL DR MANSYUR NO 108 000 000 0 0

33 1271210202****** 1271211905****** NUSA KACARIBU MEDAN 19|05|**** S L JL DR MANSYUR NO 108 000 000 0 0

34 1271210204****** 1271212504****** BASTIAN SITEPU MEDAN 25|04|**** S L JL DR MANSYUR GG SEHAT NO 12 000 000 0 0

35 1271210204****** 1271214201****** KATARINA BR TARIGAN MEDAN 02|01|**** S P JL DR MANSYUR GG SEHAT NO 12 000 000 0 0

36 1271210204****** 1271215002****** EVI MARLINA BR TARIGAN JAKARTA 10|02|**** B P JL DR MANSYUR GG SEHAT NO 12 000 000 0 0

37 1271210204****** 1271211707****** CHRISTIAN GUNG PINTO SITEPU MEDAN 17|07|**** B L JL DR MANSYUR GG SEHAT NO 12 000 000 0 0

38 1271210205****** 1271217112****** KERARIN BR SEBAYANG GUNUNG 31|12|**** P P JL DR MANSYUR NO 110 000 000 0 0

39 1271210205****** 1271160802****** WASINTON SIMARMATA TEBING TINGGI 08|02|**** S L JL DR MANSYUR NO 43 MEDAN 000 000 0 0

40 1271210205****** 1271164306****** ETNA JUNI ANI SITUMEANG MEDAN 03|06|**** S P JL DR MANSYUR NO 43 MEDAN 000 000 0 0

41 1271210205****** 1271160707****** ANDRIAN KEVIN SIMARMATA TANGERANG 07|07|**** B L JL DR MANSYUR NO 43 MEDAN 000 000 0 0

42 1271210207****** 1271216006****** RISNAWATI MEDAN 20|06|**** S P JL DR MANSYUR NO 31 MEDAN 000 000 0 0

43 1271210207****** 1271216204****** ROSMIAH KARO-KARO MEDAN 22|04|**** B P JL DR MANSYUR NO 31 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-021 209 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210207****** 1271216103****** SABARIAH MEDAN 21|03|**** B P JL DR MANSYUR NO 31 MEDAN 000 000 0 0

45 1271210207****** 1271212102****** ABDUL RAUF MEDAN 21|02|**** B L JL DR MANSYUR NO 31 MEDAN 000 000 0 0

46 1271210207****** 1271210909****** SYAIFUL SALEH KS MEDAN 09|09|**** B L JL DR MANSYUR NO 31 MEDAN 000 000 0 0

47 1271210207****** 1271211910****** ARDI SHAH KHAIR HAMPARAN PERAK 19|10|**** B L JL DR MANSYUR NO 31 MEDAN 000 000 0 0

48 1271210208****** 1271211202****** HENDRA TARIGAN, SSI KERIAHEN 12|02|**** S L JL DR MANSYUR NO 61 000 000 0 0

49 1271210208****** 1271054111****** MONA KURNIATY SSI MEDAN 01|11|**** S P JL DR MANSYUR NO 61 000 000 0 0

50 1271210211****** 1271210810****** BENYAMIN PINEM MEDAN 08|10|**** S L JL DRMANSYUR NO 120 MEDAN 000 000 0 0

51 1271210211****** 1271214110****** EMALIA GINTING JUHAR 01|10|**** S P JL DRMANSYUR NO 120 MEDAN 000 000 0 0

52 1271210304****** 1271212203****** SOEGIARTO GANI,DR BANDUNG 22|03|**** S L JL DR MANSYUR-SMTK NO 17 MEDAN 000 000 0 0

53 1271210304****** 1271216610****** JOYCE NOVITA, SE MEDAN 26|10|**** S P JL DR MANSYUR-SMTK NO 17 MEDAN 000 000 0 0

54 1271210306****** 1271217004****** DINA ARDAINI LUBIS TEBING TINGGI 30|04|**** P P JL DR MANSYUR GG ABADI BARU NO.128-C 000 000 0 0

55 1271210306****** 1271211003****** MUHAMMAD YOGI ANDIZA MEDAN 10|03|**** B L JL DR MANSYUR GG ABADI BARU NO.128-C 000 000 0 0

56 1271210306****** 1271214503****** SITI FATIMAH P.SUSU 05|03|**** B P JL DR MANSYUR GG ABADI BARU NO.128-C 000 000 0 0

57 1271210306****** 1271215106****** VINKA ZALINA MEDAN 11|06|**** B P JL DR MANSYUR GG ABADI BARU NO.128-C 000 000 0 0

58 1271210308****** 1271210208****** DENNI KABAN MEDAN 02|08|**** S L JL DRMANSYUR NO 104 000 000 0 0

59 1271210308****** 1271216302****** MALEM KRINA BR GINTING JUHAR 23|02|**** S P JL DRMANSYUR NO 104 000 000 0 0

60 1271210309****** 1271212602****** ALEXANDRI ERWIN MEDAN 26|02|**** S L JL DR MANSYUR NO 110 000 000 0 0

61 1271210309****** 1271212212****** SALMAN ALFARISI ST MEDAN 22|12|**** B L JL DR MANSYUR GG ABADI NO 2 000 000 0 0

62 1271210311****** 1271214206****** SARIMAWATY SIREGAR P SIDEMPUAN 02|06|**** S P JL DR MANSYUR DALAM NO 49 A 000 000 0 0

63 1271210311****** 1271215401****** NURDIANA SARI GINTING LHOKSEUMAWE 14|01|**** B P JL DR MANSYUR DALAM NO 49 A 000 000 0 0

64 1271210402****** 1401151908****** RUDI TARIGAN JUHAR 19|08|**** S L JL. DR. MANSYUR 61 000 000 0 0

65 1271210403****** 1271212409****** MUFTI HUSNI LHOK SEUMAWE 24|09|**** S L JL DR MANSYUR SMTK DALAM NO 1 000 000 0 0

66 1271210403****** 1271214709****** AMALIA MEDAN 07|09|**** S P JL DR MANSYUR SMTK DALAM NO 1 000 000 0 0

67 1271210403****** 1271217107****** MERRY JULIA SEMBIRING MEDAN 31|07|**** S P JL DR MANSYUR GG SEHAT NO 9 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-021 210 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210404****** 1271214508****** ELISABETH TARIGAN, BA MEDAN 05|08|**** S P JL DR MANSYUR GG SEHAT NO 12 000 000 0 0

69 1271210405****** 1271214809****** SEPRINA PANDURATIH PASARIBU MEDAN 08|09|**** B P JL. DR. MANSYUR III BLOK C NO.6 000 000 0 0

70 1271210407****** 1271210407****** PROF DR H PAUL SIRAIT, SKM, MM, MKES PORSEA 04|07|**** S L JL SMTK NO I MEDAN 000 000 0 0

71 1271210410****** 1271216106****** MAIMUNAH SURBAKTI MEDAN 21|06|**** P P JLDRMANSYUR NO 41 A MEDAN 000 000 0 0

72 1271210411****** 1271212911****** IRVINO RANGKUTI, SH MEDAN 29|11|**** S L JL DR MANSUR SMTK 8 DALAM PERUM MANSUR VILLAGE B 9 000 000 0 0

73 1271210411****** 1271204302****** CUT MEUTIA FEBRIANTY MEDAN 03|02|**** S P JL DR MANSUR SMTK 8 DALAM PERUM MANSUR VILLAGE B 9 000 000 0 0

74 1271210503****** 1271215504****** PRIASIH MALANG 15|04|**** P P JL DR MANSYUR GG SEHAT NO 2 000 000 0 0

75 1271210511****** 1271215909****** KORAN ROSMAWATY BR KARO MANIK MEDAN 19|09|**** P P JL. DR MANSYUR NO. 88 000 000 0 0

76 1271210511****** 1271214308****** MULIATI DEWI SEBAYANG MEDAN 03|08|**** S P JL. DR MANSYUR NO. 88 000 000 0 0

77 1271210511****** 1271212205****** IMMANUEL EDY SURANTA SEBAYANG SE MM MEDAN 22|05|**** S L JL. DR MANSYUR NO. 88 000 000 0 0

78 1271210511****** 1271211507****** RANGGA PRAYUGA MANIK JAKARTA 15|07|**** B L JL. DR MANSYUR NO. 88 000 000 0 0

79 1271210511****** 1271216405****** RETA PUJI ULINA MANIK JAKARTA 24|05|**** B P JL. DR MANSYUR NO. 88 000 000 0 0

80 1271210511****** 1271211005****** RIDWAN SYAHPUTRA MEDAN 10|05|**** S L JL DR MANSYUR III BLOK C NO 5 000 000 0 0

81 1271210511****** 1271215007****** I D A BANDAR SETIA 10|07|**** S P JL DR MANSYUR III BLOK C NO 5 000 000 0 0

82 1271210602****** 1271210211****** ASMOKO EDY SURBAKTI TANAH RAJA 02|11|**** S L JL DR MANSYUR NO 7 MEDAN 000 000 0 0

83 1271210602****** 1271216303****** SRI ENDAH RIAHTA GINTING MEDAN 23|03|**** S P JL DR MANSYUR NO 71 MEDAN 000 000 0 0

84 1271210604****** 1271210506****** MALEM GINTING TIGA BINANGA 05|06|**** S L JL DR MANSYUR NO 114 MEDAN 000 000 0 0

85 1271210604****** 1271215101****** BINARAYA BR SEMBIRING TIGABINANGA 11|01|**** S P JL DR MANSYUR NO 114 MEDAN 000 000 0 0

86 1271210604****** 1271210710****** DASMANTA PUTRA JAKARTA 07|10|**** B L JL DR MANSYUR NO 114 MEDAN 000 000 0 0

87 1271210604****** 1271212702****** AGINTA PRAMANA JAKARTA 27|02|**** B L JL DR MANSYUR NO 114 MEDAN 000 000 0 0

88 1271210608****** 1271212103****** SYAMSUL BAHRI SURBAKTI MEDAN 21|03|**** S L JL DR MANSYUR NO 4 A MEDAN 000 000 0 0

89 1271210608****** 1271216512****** SULISTYOWATI, SE SUKOHARJO 25|12|**** S P JL DR MANSYUR NO 41A MEDAN 000 000 0 0

90 1271210608****** 1271210204****** ABDIEL KELIAT KABANJAHE 02|04|**** S L JL DR MANSYUR GG KENARI NO 9 000 000 0 0

91 1271210608****** 1271216111****** NOMI BR SINULINGGA KABANJAHE 21|11|**** S P JL DR MANSYUR GG KENARI NO 9 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-021 211 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271210608****** 1271216109****** DMITRI YUANITA KIRANA SIRAIT MEDAN 21|09|**** B P JL SMTK NO 1 MEDAN 000 000 0 0

93 1271210611****** 1271212310****** RAHMAT SHAH, DR PERDAGANGAN SIMALUNGUN 23|10|**** S L JL. DR MANSYUR NO. 24 000 000 0 0

94 1271210611****** 1271211105****** ROLLIN MAHAPUTRA RAHMAT SHAH JAKARTA 11|05|**** B L JL. DR MANSYUR NO. 124 MEDAN 000 000 0 0

95 1271210611****** 1271212211****** ROLLAN PARANI SHAH RAHMAT SINGAPORE 22|11|**** B L JL. DR MANSYUR NO. 124 MEDAN 000 000 0 0

96 1271210611****** 1271212511****** H SUTAN MULA SONTANG SIREGAR, SE MEDAN 25|11|**** S L JL SMTK DALAM NO 31 MEDAN 000 000 0 0

97 1271210611****** 1271216403****** HJ AMALIASARI MARYATI NST, SPSI MEDAN 24|03|**** S P JL SMTK DALAM NO 3 MEDAN 000 000 0 0

98 1271210701****** 1271216908****** TARA AKBAR DRG MEDAN 29|08|**** S P JLDR MANSYUR BARU NO 000 000 0 0

99 1271210703****** 1271211903****** GUNAWAN IMANUEL MEDAN 19|03|**** S L JL DR MANSYUR GG DAME NO 6 000 000 0 0

100 1271210706****** 1271213008****** HENDRA PUTRA AE SINUHAJI KABANJAHE 30|08|**** B L JL DR MANSYUR BARU II NO 2 000 000 0 0

101 1271210711****** 1271214804****** SARI BAGANTI PARIAMAN 08|04|**** S P JL DR MANSYUR NO 15 LK VII 000 000 0 0

102 1271210711****** 1271213112****** HERI GUCI ALIAS RIDWAN PADANG 31|12|**** S L JL DR MANSYUR NO 15 LK VII 000 000 0 0

103 1271210711****** 1271212006****** ALEK SUWANDI MEDAN 20|06|**** B L JL DR MANSYUR NO 15 LK VII 000 000 0 0

104 1271210711****** 1271216912****** DELINA PUTRI MEDAN 29|12|**** B P JL DR MANSYUR NO 15 LK VII 000 000 0 0

105 1271210711****** 1271215907****** DELINA FITRIA MEDAN 19|07|**** B P JL DR MANSYUR NO 15 LK VII 000 000 0 0

106 1271210711****** 1271214306****** RISA SUSANTI MEDAN 03|06|**** B P JL DR MANSYUR NO 15 LK VII 000 000 0 0

107 1271210801****** 1271215503****** EKARISTINA BR GINTING KABANJAHE 15|03|**** S P JL DR MANSYUR NO 100 000 000 0 0

108 1271210801****** 1271213012****** IVANTO SEMBIRING KABANJAHE 30|12|**** S L JL DR MANSYUR NO 100 000 000 0 0

109 1271210801****** 1271216107****** NARA GRACE BR GINTING SUKA 21|07|**** B P JL DR MANSYUR NO 00 000 000 0 0

110 1271210803****** 1271211307****** WILSON KABAN LAU LINGGA 13|07|**** S L JL DR MANSYUR NO 102 MEDAN 000 000 0 0

111 1271210803****** 1271216809****** SALAWATY BR GINTING SUKA 28|09|**** S P JL DR MANSYUR NO 102 MEDAN 000 000 0 0

112 1271210803****** 1271215701****** SRI ENDARIAH, SH MEDAN 17|01|**** S P JL.DR MANSYUR GG.SEHAT NO.5 000 000 0 0

113 1271210803****** 1271210612****** BAHTERA TARIGAN, DRS,MT CINGKES 06|12|**** S L JL.DR MANSYUR GG.SEHAT NO.5 000 000 0 0

114 1271210803****** 1271215406****** FRISILIA TETAMALEM TARIGAN MEDAN 14|06|**** B P JL.DR MANSYUR GG.SEHAT NO.5 000 000 0 0

115 1271210803****** 1271211204****** ROBERT ANTONIUS SINURAYA SE MEDAN 12|04|**** S L JL DR MANSYUR NO 57 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-021 212 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271210803****** 1271215904****** LAMARIA SURIANI SITUMORANG BAHAIL 19|04|**** S P JL DR MANSYUR NO 57 MEDAN 000 000 0 0

117 1271210806****** 1271210403****** BUDI GINTING, SE LABUHAN BATU 04|03|**** S L JL DR MANSYUR GG SEHAT NO 15 000 000 0 0

118 1271210806****** 1271104811****** NOVA TARIGAN ,SH MEDAN 08|11|**** S P JL DR MANSYUR GG SEHAT NO 15 000 000 0 0

119 1271210807****** 1271175406****** THERESIA LESTARI TARIGAN MEDAN 14|06|**** S P JL DRMANSYUR NO 118 000 000 0 0

120 1271210807****** 1271210909****** FALENTINUS GINTING MEDAN 09|09|**** S L JL DRMANSYUR NO 118 000 000 0 0

121 1271210808****** 1271211005****** IVAN FERDIAZ KENCANA MEDAN 10|05|**** B L JL SMTK NO-7 MEDAN 000 000 0 0

122 1271210808****** 1271212110****** AMER SHARIF S.SI.M.KOM OAKLAND,AS 21|10|**** S L JL DR MANSYUR-SMTK DALAM NO 6 000 000 0 0

123 1271210808****** 1271215011****** DR LIDYA MISRA MAGELANG 10|11|**** S P JL DR MANSYUR-SMTK DALAM NO 6 000 000 0 0

124 1271210808****** 1271214701****** SELINA AMELIA SAVITTRI BEKASI 07|01|**** B P JL DR MANSYUR-SMTK DALAM NO 6 000 000 0 0

125 1271210808****** 1271214204****** SHANIA ADHALIA SHARIF BEKASI 02|04|**** B P JL DR MANSYUR-SMTK DALAM NO 6 000 000 0 0

126 1271210901****** 1271216004****** HJ RAFIAH SIREGAR TEBING TINGGI 20|04|**** P P JLDRMANSYUR NO132 000 000 0 0

127 1271210903****** 1271210611****** SALAM GINTING, BA BATU MAMAK 06|11|**** S L JL DR MANSYUR GG SEHAT NO 15 000 000 0 0

128 1271210903****** 1271215010****** LITNA TARIGAN JARANGUDA 10|10|**** S P JL DR MANSYUR GG SEHAT NO 15 000 000 0 0

129 1271210903****** 1271212906****** RUBEN GINTING TEBING TINGGI 29|06|**** B L JL DR MANSYUR GG SEHAT NO 5 000 000 0 0

130 1271210903****** 1271215408****** HERRYTA NOOR MEDAN 14|08|**** S P JL DR MANSYUR III BLOK B NO 8 000 000 0 0

131 1271210903****** 1271210802****** YUSUF SOFIAN MEDAN 08|02|**** S L JL DR MANSYUR III BLOK B NO 8 000 000 0 0

132 1271210903****** 1271211001****** MISTAM CILACAP 10|01|**** B L JL DR MANSYUR III BLOK B NO 8 000 000 0 0

133 1271210903****** 1271214311****** SHOFIYA ATHIFAH SINGAPORE 03|11|**** B P JL DR MANSYUR III BLOK B NO 8 000 000 0 0

134 1271210906****** 1271055305****** MONA RIA SILALAHI TIGA RAS 13|05|**** S P JL DR MANSYUR NO 67-A MEDAN 000 000 0 0

135 1271210910****** 1271214608****** MUSFIRA,SE BANDUNG 06|08|**** S P JL DR MANSYUR III NO 27 000 000 0 0

136 1271210910****** 1271212110****** INDRA LUBIS,MBA MEDAN 21|10|**** S L JL DR MANSYUR III NO 27 000 000 0 0

137 1271210910****** 1271215505****** SYAFIQAH MEDINA LUBIS MEDAN 15|05|**** B P JL DR MANSYUR III NO 27 000 000 0 0

138 1271210910****** 1271211708****** MUHAMMAD ALI SATI LUBIS MEDAN 17|08|**** B L JL DR MANSYUR III NO 27 000 000 0 0

139 1271210911****** 1271210202****** SONI KURNIADI MEDAN 02|02|**** S L JL DR MANSYUR GG ABADI NO 1 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-021 213 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271210911****** 1271024903****** RAHMADHANI MEDAN 09|03|**** S P JL DR MANSYUR GG ABADI NO 1 000 000 0 0

141 1271211003****** 1271210906****** HENDRIKO SEMBIRING KABANJAHE 09|06|**** S L JL. DR MANSYUR NO. 86 MEDAN 000 000 0 0

142 1271211003****** 1271216106****** ROSA MINI BR BANGUN MEDAN 21|06|**** S P JL. DR MANSYUR NO. 86 MEDAN 000 000 0 0

143 1271211006****** 1271210205****** NANGKASI KELIAT PDT TIGANDERKET 02|05|**** S L JL DR MANSYUR GG KENARI NO 9 000 000 0 0

144 1271211006****** 1271216008****** WALLIA LIMAN JAKARTA 20|08|**** S P JL DR MANSYUR GG KENARI NO 9 000 000 0 0

145 1271211007****** 1271172509****** LEO SIMANJUNTAK, DR SIPAHUTAR 25|09|**** S L JL DR MANSYUR / SMTK PERUMAHAN MANSYUR VILLAGE A-4 000 000 0 0

146 1271211007****** 1271174704****** MARIA S F YANTI TAMPUBOLON, DR MEDAN 07|04|**** S P JL DR MANSYUR / SMTK PERUMAHAN MANSYUR VILLAGE A-4 000 000 0 0

147 1271211007****** 1271172012****** PATRICK ANANDO SIMANJUNTAK MEDAN 20|12|**** B L JL DR MANSYUR / SMTK PERUMAHAN MANSYUR VILLAGE A-4 000 000 0 0

148 1271211008****** 1671044105****** MEUTIA TAURUSIA BANDAR LAMPUNG 01|05|**** S P JL DR MANSUR KOMP MANSYUR VILLAGE BLOK B-19 000 000 0 0

149 1271211008****** 1671040709****** M FAIZ AR HALIM PALEMBANG 07|09|**** B L JL DR MANSUR KOMP MANSYUR VILLAGE BLOK B-19 000 000 0 0

150 1271211008****** 1271021411****** JOHANNES APUL SIMARMATA P. SIANTAR 14|11|**** S L JL SMTK KOMP MANSYUR VILLAGE BLOK B NO 3 000 000 0 0

151 1271211008****** 1271027008****** NORA BR SITOHANG BINJAI 30|08|**** S P JL SMTK KOMP MANSYUR VILLAGE BLOK B NO 3 000 000 0 0

152 1271211008****** 7302021305****** MANAHAN SAMPE SAHAT SINAGA KAJANG 13|05|**** B L JL SMTK KOMP MANSYUR VILLAGE BLOK B NO 3 000 000 0 0

153 1271211008****** 1271026308****** THEODORA STEFANY MEDAN 23|08|**** B P JL SMTK KOMP MANSYUR VILLAGE BLOK B NO 3 000 000 0 0

154 1271211008****** 1271072511****** ERICK JONATHAN SIMARMATA MEDAN 25|11|**** B L JL SMTK KOMP MANSYUR VILLAGE BLOK B NO 3 000 000 0 0

155 1271211008****** 1407026511****** FEMI BR SITOMPUL TANJUNG LEDONG 25|11|**** B P JL. DR. MANSYUR GG.SEHAT NO.3 PADANG 000 000 0 0

156 1271211012****** 1271214205****** IRA MAYA BR SEMBIRING MEDAN 02|05|**** B P JL DR MANSYUR GG KENARI NO 11 A 000 000 0 0

157 1271211012****** 1271212611****** ELIESER SURANTA SEMBIRING MEDAN 26|11|**** B L JL DR MANSYUR GG KENARI NO 11 A 000 000 0 0

158 1271211012****** 1271212610****** EBEN HEZER MEDAN 26|10|**** S L JL DR MANSYUR NO 110 MEDAN 000 000 0 0

159 1271211012****** 1271205701****** MARYCE HERAWATI BR HUTABARAT P. SIANTAR 17|01|**** S P JL DR MANSYUR NO 110 MEDAN 000 000 0 0

160 1271211012****** 1271212110****** AMER SYAREF DJAMIN KALIFORNIA 21|10|**** B L JLDRMANSYUR-SMTK NO 6 MEDAN 000 000 0 0

161 1271211012****** 1271216803****** MARIEL CHANTIKA AUDRIANTHIE HUTAGALUNG MEDAN 28|03|**** B P JL DR MANSYUR NO 41 MEDAN 000 000 0 0

162 1271211101****** 1271210701****** ZULKARNAIN,IR MEDAN 07|01|**** S L JLDR MANSYUR GGSEHAT NO 6 000 000 0 0

163 1271211101****** 1271215902****** VERA IDAWATI IR MEDAN 19|02|**** S P JLDR MANSYUR GGSEHAT NO 6 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-021 214 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271211101****** 1271216109****** ZYLVIA ARISNA VERZ MEDAN 21|09|**** B P JLDR MANSYUR GGSEHAT NO 6 000 000 0 0

165 1271211101****** 1271211309****** VIZQY RAKHIL MAURIZA MEDAN 13|09|**** B L JLDR MANSYUR GGSEHAT NO 6 000 000 0 0

166 1271211102****** 1271211011****** R HARYONO ROESHADI DR MEDAN 10|11|**** S L JL SMTK NO 4 MEDAN 000 000 0 0

167 1271211102****** 1271214610****** YURITNA HARYONO DR SALATIGA 06|10|**** S P JL SMTK NO 4 MEDAN 000 000 0 0

168 1271211102****** 1271215401****** HAYU LESTARI HARYONO,DR MEDAN 14|01|**** B P JL SMTK NO 4 MEDAN 000 000 0 0

169 1271211102****** 1271210403****** MAKDIN ARFAH SEBAYANG KISARAN 04|03|**** S L JL DR MANSYUR NO 132 000 000 0 0

170 1271211102****** 1271214510****** IMELDA MEGA SARI LUBIS MEDAN 05|10|**** S P JL DR MANSYUR NO 132 000 000 0 0

171 1271211103****** 1271194711****** TIO LIAN TIE SUNGGAL 07|11|**** S P JL SMTK KOMP MANSYUR VILLAGE B 15 000 000 0 0

172 1271211103****** 1271192807****** LEO CHANDRA MEDAN 28|07|**** B L JL SMTK KOMP MANSYUR VILLAGE B 15 000 000 0 0

173 1271211103****** 1271206205****** GRACIA STEFANI WIJAYA MEDAN 22|05|**** B P JL SMTK KOMP MANSYUR VILLAGE B 15 000 000 0 0

174 1271211104****** 1271211704****** M FADHIL HIDAYATULLAH HARAHAP MEDAN 17|04|**** S L JL DR MANSYUR GG ABADI BARU NO 129 000 000 0 0

175 1271211104****** 1271165809****** TENGKU DIAN PERMATASARI MEDAN 18|09|**** S P JL DR MANSYUR GG ABADI BARU NO 129 000 000 0 0

176 1271211109****** 1271216812****** SARTIKA SEMBIRING MEDAN 28|12|**** S P JL DR MANSYUR GG SEHAT NO 04 000 000 0 0

177 1271211109****** 1205041008****** AGUSWANTA NAMU UKUR 10|08|**** S L JL DR MANSYUR GG SEHAT NO 04 000 000 0 0

178 1271211201****** 1271172807****** A N W A R TJ.MORAWA 28|07|**** S L JL SMTK KOMP VILLAGE BLOK B NO 22 000 000 0 0

179 1271211201****** 1271206306****** CHAIRENY MEDAN 23|06|**** S P JL SMTK KOMP VILLAGE BLOK B NO 22 000 000 0 0

180 1271211204****** 1271214504****** MARYAM LUBIS, Dr KOTANOPAN 05|04|**** S P JL SMTK DALAM NO 31 000 000 0 0

181 1271211204****** 1271216008****** ELLEN AGNESIA PERANGIN-ANGIN MEDAN 20|08|**** S P JLN DR MANSYUR GG SEHAT NO 16 000 000 0 0

182 1271211210****** 1271212104****** RAGA MICHAEL NEVADA MOESA MEDAN 21|04|**** B L JL DR MANSYUR/SMTK DALAM NO 1 000 000 0 0

183 1271211210****** 1271216701****** SAKIA LUNAIFA BATAM 27|01|**** B P JLDRMANSYUR GG ABADI NO1 000 000 0 0

184 1271211301****** 1271214607****** PUJIN D GINTING JUHAR 06|07|**** P P JL DR MANSYUR NO 45 MEDAN 000 000 0 0

185 1271211302****** 1271210308****** HERLAN JAYA SEMBIRING AJIBUHARA 03|08|**** S L JL. DR MANSYUR GG. KENARI NO. 1 000 000 0 0

186 1271211302****** 1271216906****** ROSPIDA BR SITEPU TAMBUNAN 29|06|**** S P JL. DR MANSYUR GG. KENARI NO. 1 000 000 0 0

187 1271211303****** 1271211712****** ADVENT PINEM MEDAN 17|12|**** S L JL DR MANSYUR NO 120 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-021 215 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271211303****** 1271215809****** ELITA BR GINTING LAWE DISKI 18|09|**** S P JL DR MANSYUR NO 20 MEDAN 000 000 0 0

189 1271211303****** 1271211501****** HENDRA M PINEM MEDAN 15|01|**** B L JL DR MANSYUR NO 120 MEDAN 000 000 0 0

190 1271211303****** 1271211602****** HIZKIA PINEM MEDAN 16|02|**** B L JL DR MANSYUR NO 120 MEDAN 000 000 0 0

191 1271211303****** 1271211207****** EBENEZER PINEM MEDAN 12|07|**** B L JL DR MANSYUR NO 120 MEDAN 000 000 0 0

192 1271211306****** 1271216506****** MURNIHATI TARIGAN KABANJAHE 25|06|**** P P JL DR MANSYUR-ABADI BARU NO 130 000 000 0 0

193 1271211306****** 1271214508****** ERLYNA RISMAWATY BR SURBAKTI TARAKAN 05|08|**** B P JL DR MANSYUR-ABADI BARU NO 130 000 000 0 0

194 1271211306****** 1271210104****** FRANS ERWIN SURBAKTI BALIKPAPAN 01|04|**** B L JL DR MANSYUR-ABADI BARU NO 130 000 000 0 0

195 1271211308****** 1271216601****** EVALINA PERANGIN-ANGIN,DR MEDAN 26|01|**** S P JL DR MANSYUR GG SEHAT NO 16 000 000 0 0

196 1271211308****** 1271215010****** STEFFIE OKTAVIA TARIGAN MEDAN 10|10|**** B P JL DR MANSYUR GG SEHAT NO 16 000 000 0 0

197 1271211309****** 1271210609****** SAMUSO P. SIANTAR 06|09|**** S L JL DR MANSYUR GG ABADI NO 1 000 000 0 0

198 1271211309****** 1271215404****** KASMINI MEDAN 14|04|**** S P JL DR MANSYUR GG ABADI NO 1 000 000 0 0

199 1271211312****** 1271213012****** LOLE SAMSON GINTING LAWE DISKY 30|12|**** S L JL DR MANSYUR NO 51 MEDAN 000 000 0 0

200 1271211312****** 1271216605****** SRI SUPARNI SRAGEN 26|05|**** S P JL DR MANSYUR NO 51 MEDAN 000 000 0 0

201 1271211312****** 1271210603****** MAX ANTONIO GINTING MEDAN 06|03|**** B L JL DR MANSYUR NO 51 MEDAN 000 000 0 0

202 1271211401****** 1271215111****** HJ MASYITHAH SEMBIRING K PAYUNG 11|11|**** P P JLDRMANSYUR NO 41 A MEDAN 000 000 0 0

203 1271211401****** 1271210101****** SUDIRO MEDAN 01|01|**** S L JLDRMANSYUR NO 4 A MEDAN 000 000 0 0

204 1271211401****** 1271212401****** FAJAR SYAHFUDDINSYAH SURBAKTI MEDAN 24|01|**** S L JLDRMANSYUR NO 4 A MEDAN 000 000 0 0

205 1271211509****** 1271214911****** VILANY LAFIZA YUSUF MEDAN 09|11|**** B P JL DR MANSYUR III BLOK C NO 25 000 000 0 0

206 1271211904****** 1271210605****** ACHMAD AFFANDI HASIBUAN MEDAN 06|05|**** S L JL DR MANSYUR GG SEHAT NO 10-A MEDAN 000 000 0 0

207 1271211905****** 1271210107****** JUNAIDI IR IDI 01|07|**** P L JL DRMANSYUR NO 80 A 000 000 0 0

208 1271211905****** 1271211101****** YOVIAL RUMBAT 11|01|**** S L JL DRMANSYUR NO 80 A 000 000 0 0

209 1271211910****** 1271210902****** YESAYA YAN ARCHILOREN SARAGIH MEDAN 09|02|**** B L JL DR MANSYUR GG KENARI NO 5 A 000 000 0 0

210 1271212107****** 1271211706****** RAJA ATMAJA GINTING PADANG 17|06|**** B L JL DR MANSYUR GG SEHAT NO 4 000 000 0 0

211 1271212108****** 1206045708****** ESMIATI BR TARIGAN SUKADAME 17|08|**** S P JL DR MANSYUR GG DAME NO 6 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-021 216 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271212109****** 1271212104****** FRANSISCUS LANMARD SINGARIMBUN MEDAN 21|04|**** B L JLDRMANSYUR SMTK NO 1 A 000 000 0 0

213 1271212208****** 1206045201****** SULASTRI BR KARO KABANJAHE 12|01|**** S P JLN DR MANSUR NO 8 000 000 0 0

214 1271212401****** 1271211102****** FEBERTA SIBERO, SE KABANJAHE 11|02|**** S L JL DR MANSYUR GG SEHAT NO 8 000 000 0 0

215 1271212401****** 1271215308****** ELVINA BR BUKIT, SE MEDAN 13|08|**** S P JL DR MANSYUR GG SEHAT NO 8 000 000 0 0

216 1271212401****** 1271215501****** KATHRYN LIZA MENTARI SIBERO MEDAN 15|01|**** B P JL DR MANSYUR GG SEHAT NO 8 000 000 0 0

217 1271212411****** 1271170502****** HENDAR HARAHAP,SST,MT MEDAN 05|02|**** S L JL.SMTK DALAM NO 5 000 000 0 0

218 1271212604****** 1271214202****** KUMALA LUBIS AEK KANOPAN 02|02|**** S P JL DRMANSYUR NO 84 B 000 000 0 0

219 1271212604****** 1271211011****** M ALIYASER FAHRAN HARAHAP MEDAN 10|11|**** B L JL DRMANSYUR NO 84 B 000 000 0 0

220 1271212604****** 1271214211****** SARAH ADINDA HARAHAP L BARAT 02|11|**** B P JL DRMANSYUR NO 84 B 000 000 0 0

221 1271212707****** 1271217112****** FLORA AMAN PURBA KABANJAHE 31|12|**** S P JLDRMANSYUR NO 69 MEDAN 000 000 0 0

222 1271212707****** 1271211202****** KORSI TARIGAN JUHAR 12|02|**** S L JLDRMANSYUR NO 69 MEDAN 000 000 0 0

223 1271212709****** 1271215103****** DORLINA BR SIREGAR TAPANULI UTARA 11|03|**** S P JL DR MANSYUR III BLOK-C NO 7 000 000 0 0

224 1271212709****** 1271211506****** BENSON RICARDO SIMANJUNTAK MEDAN 15|06|**** S L JL DR MANSYUR III BLOK-C NO 7 000 000 0 0

225 1271213001****** 1271216402****** LENI BENEDIKTA BR BARUS MEDAN 24|02|**** S P JL DR MANSYUR NO 78 MEDAN 000 000 0 0

226 1271213001****** 1271212803****** ARWANDA GINTING SUKA 28|03|**** S L JL DR MANSYUR NO 78 MEDAN 000 000 0 0

227 1271213011****** 1271216406****** MISDAWATY RALIB KUALA SIMPANG 24|06|**** S P JL DR MANSYUR SMTK DALAM NO 1 000 000 0 0

228 1271213107****** 1271216001****** LISNA MALEM BR GINTING MEDAN 20|01|**** B P JL DR MANSYUR NO 80 MEDAN 000 000 0 0

229 1271210106****** 1271211501****** CARLO MANUEL PERANGIN-ANGIN MEDAN 15|01|**** B L JL DR MANSYUR NO 80 MEDAN 001 007 0 0

230 1271211209****** 1271215603****** YENY RIA HIA MEDAN 16|03|**** B P JLSMK 8-IKADIM NO110 001 008 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 230 Jenis Kelamin = 230 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 82 L : Laki-Laki = 114 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 137 P : Perempuan = 116 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 11
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 108 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-021 217 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 022
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271210909****** 1271091301****** ASLAN ANWAR DAULAY,SE,AK MEDAN 13|01|**** S L JL JL DR MANSYUR SMTK DALAM KOMP CASA ORIZA NO 5 000 000 0 0

2 1271210909****** 1271195108****** MAHARANI UMAYA PASARIBU,SE MEDAN 11|08|**** S P JL JL DR MANSYUR SMTK DALAM KOMP CASA ORIZA NO 5 000 000 0 0

3 1271211104****** 1271214209****** ASRI NCUKUPI BARUS MEDAN 02|09|**** B P JL PEMBANGUNAN GG MERDEKA NO 160 A MEDAN 000 000 0 0

4 1271211203****** 1271216305****** LAYLA MAYSAROH MEDAN 23|05|**** B P JL PEMBANGUNAN NO 22 MEDAN 000 000 0 0

5 1271211203****** 1271216304****** LILY MARISNA MEDAN 23|04|**** B P JL PEMBANGUNAN NO 22 MEDAN 000 000 0 0

6 1271211204****** 1206016309****** GEMPITARIA BR SINULINGGA KABANJAHE 23|09|**** S P JL. PEMBANGUNAN GG. REJELI GG. BUNTU 000 000 0 0

7 1271211504****** 1271217008****** ROSMAWATY PALEMBANG 30|08|**** P P JL PEMBANGUNAN GG PRIBADI NO 2 000 000 0 0

8 1271211508****** 1271210108****** MALEM UKUR SITEPU DRS UJUNG TERAN 01|08|**** S L JLPEMBANGUNAN NO 08 000 000 0 0

9 1271211508****** 1271216810****** MARTALENA BR GINTING MEDAN 28|10|**** S P JLPEMBANGUNAN NO 08 000 000 0 0

10 1271211508****** 1271210112****** BERLINUS SITEPU MEDAN 01|12|**** B L JLPEMBANGUNAN NO 08 000 000 0 0

11 1271211508****** 1271215809****** MAYARANI BR SITEPU MEDAN 18|09|**** S P JLPEMBANGUNAN NO 08 000 000 0 0

12 1271211510****** 1271211707****** FRANSISKUS ARNALDO PINEM MEDAN 17|07|**** S L JL PEMBANGUNAN USU NO 48 MEDAN 000 000 0 0

13 1271211510****** 1271215708****** NENI MELDA GINTING PAMAH 17|08|**** S P JL PEMBANGUNAN USU NO 48 MEDAN 000 000 0 0

14 1271211601****** 1271216011****** SRI DATEN M BR BARUS MEDAN 20|11|**** B P JL PEMBANGUNAN GG KARYA NO 3 000 000 0 0

15 1271211601****** 1271216011****** SARI MENA M BR BARUS MEDAN 20|11|**** B P JL PEMBANGUNAN GG KARYA NO 3 000 000 0 0

16 1271211601****** 1271214902****** ROSIANTA FLORENTINA BR PINEM JUHAR 09|02|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 10 000 000 0 0

17 1271211601****** 1271213011****** LIVINUS HENDRA ADYANTA GINTING MEDAN 30|11|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 10 000 000 0 0

18 1271211601****** 1271211101****** ADIL TARIGAN MEDAN 11|01|**** S L JL PEMBANGUNAN NO 38 000 000 0 0

19 1271211601****** 1271217007****** SIANGNA BR SINURAYA SIGENDERANG 30|07|**** S P JL PEMBANGUNAN NO 38 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-022 218 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271211601****** 1271215112****** DESI Y ANGELINA BR TARIGAN MEDAN 11|12|**** B P JL PEMBANGUNAN NO 38 000 000 0 0

21 1271211601****** 1271216410****** NIA EGI O TARIGAN MEDAN 24|10|**** B P JL PEMBANGUNAN NO 38 000 000 0 0

22 1271212003****** 1271211101****** ATANSAH SEMBIRING IR TANAH KARO 11|01|**** S L JL PEMBANGUNAN NO 62 MEDAN 000 000 0 0

23 1271212003****** 1271214201****** LINDA MARIATY GINTING MANIK ,SPd KABANJAHE 02|01|**** S P JL PEMBANGUNAN NO 62 MEDAN 000 000 0 0

24 1271212003****** 1271216006****** TANIA ZEFANYA BR SEMBIRING MEDAN 20|06|**** B P JL PEMBANGUNAN NO 62 MEDAN 000 000 0 0

25 1271212003****** 1271215602****** THESA VALERI BR SEMBIRING MEDAN 16|02|**** B P JL PEMBANGUNAN NO 62 MEDAN 000 000 0 0

26 1271212003****** 1405044905****** MAY SRI WAHYUNI MEDAN 09|05|**** S P JL SEI BELUTU PS IX GG.AMAL NO 38 C 000 000 0 0

27 1271212104****** 3174054509****** SAFIRA AURALIA JAKARTA 05|09|**** B P JL PEMBANGUNAN GG PRIBADI NO 3 000 000 0 0

28 1271212109****** 1271213005****** MEHAMAT SITEPU MEDAN 30|05|**** B L JL PEMBANGUNAN GG KARYA NO 6 B 000 000 0 0

29 1271212109****** 1271214708****** ELNA KAROLINA BR SITEPU MEDAN 07|08|**** B P JL PEMBANGUNAN GG KARYA NO 16 B 000 000 0 0

30 1271212110****** 1271210505****** SETIAWAN SUTANDAR JAKARTA 05|05|**** S L JL PEMBANGUNAN GG MERDEKA NO 12-B MEDAN 000 000 0 0

31 1271212110****** 1271216606****** LILIS JUNIARTA SIBUEA TARUTUNG 26|06|**** S P JL PEMBANGUNAN GG MERDEKA NO 12-B MEDAN 000 000 0 0

32 1271212110****** 1271211812****** SENJATA REPLITA GINTING MEDAN 18|12|**** S L JL PEMBANGUNAN LR KABUNG NO 7 000 000 0 0

33 1271212202****** 1271212501****** ANTO JANS TERNALEM SITEPU MEDAN 25|01|**** S L JL PEMBANGUNAN LR KABUNG NO.13 000 000 0 0

34 1271212202****** 1271216404****** PAGIT EVALINDA MEDAN 24|04|**** S P JL PEMBANGUNAN LR KABUNG NO.13 000 000 0 0

35 1271212203****** 1271214212****** KRISTINA BR AMD MEDAN 02|12|**** S P JL PEMBANGUNAN LR KABUNG NO 24 MEDAN 000 000 0 0

36 1271212203****** 1271211902****** FERDINAN TARIGAN MEDAN 19|02|**** S L JL PEMBANGUNAN LR KABUNG NO 24 MEDAN 000 000 0 0

37 1271212204****** 1271211003****** JOSUA SINGARIMBUN TIGANDERKET 10|03|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 06 000 000 0 0

38 1271212204****** 1271215009****** SEVRI YANTI TIGA PANAH 10|09|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 06 000 000 0 0

39 1271212208****** 1271214505****** MULIANA PURBA MEDAN 05|05|**** B P JLDRMANSYUR GPENDIDIKAN-4 000 000 0 0

40 1271212208****** 1271215007****** MASITAH PURBA SPD MEDAN 10|07|**** B P JLDRMANSYUR GPENDIDIKAN-4 000 000 0 0

41 1271212209****** 1271215612****** ALINDA HARAHAP MEDAN 16|12|**** S P JL PEMBANGUNAN USU-IKAHI II NO 2 000 000 0 0

42 1271212209****** 1271215804****** FITRI AYUDISTIRA SIREGAR PADANG SIDEMPUAN 18|04|**** B P JL PEMBANGUNAN USU-IKAHI II NO 2 000 000 0 0

43 1271212209****** 1271216707****** JULIANTA BERU GINTING MEDAN 27|07|**** S P JL PEMBANGUNAN GG SITEPU NO 60 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-022 219 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271212209****** 1271216802****** DELIANA R TELAUMBANUA SP MEDAN 28|02|**** S P JL PEMBANGUNAN GG KARYA NO 20 000 000 0 0

45 1271212209****** 1271215807****** SURYANI AMELIA TELAUMBANVA MEDAN 18|07|**** B P JL PEMBANGUNAN GG KARYA NO 20 000 000 0 0

46 1271212210****** 1271214907****** KUASA BARUS DESA SIBERTENG 09|07|**** P P JL PEMBANGUNAN GG KARYA NO 10 000 000 0 0

47 1271212212****** 1271214609****** AMAN BR SINGARIMBUN TIGANDERKET 06|09|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 6 000 000 0 0

48 1271212212****** 1271212212****** TEGUH SITEPU TANJUNG MERAWA 22|12|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 6 000 000 0 0

49 1271212301****** 1271210502****** WARTA KABAN PERNANTIN 05|02|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 5 A 000 000 0 0

50 1271212301****** 1271214512****** SUKMASARI BR SEMBIRING JUHAR 05|12|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 5 A 000 000 0 0

51 1271212301****** 1271211701****** JULIEDY SEMBIRING JUHAR 17|01|**** B L JL PEMBANGUNAN GG PENDIDIKAN NO 5 A 000 000 0 0

52 1271212301****** 1271216704****** ASTARIA BR TARIGAN JUHAR 27|04|**** B P JL PEMBANGUNAN GG PENDIDIKAN NO 5 A 000 000 0 0

53 1271212301****** 1271212108****** ABEDNEGO KABAN MEDAN 21|08|**** B L JL PEMBANGUNAN GG PENDIDIKAN NO 5 A 000 000 0 0

54 1271212301****** 1271211907****** CHRISTO MICHAEL KABAN MEDAN 19|07|**** B L JL PEMBANGUNAN GG PENDIDIKAN NO 5 A 000 000 0 0

55 1271212306****** 1271217112****** SENANG BR BARUS MEDAN 31|12|**** P P JLPEMBANGUNAN LR KABUNG-19 000 000 0 0

56 1271212306****** 1271213112****** AMIR BARUS MEDAN 31|12|**** S L JLPEMBANGUNAN LR KABUNG-19 000 000 0 0

57 1271212306****** 1271215109****** NETTY HERAWATI MEDAN 11|09|**** S P JLPEMBANGUNAN LR KABUNG-19 000 000 0 0

58 1271212306****** 1271210907****** ZULKARNAEN BARUS MEDAN 09|07|**** B L JLPEMBANGUNAN LR KABUNG-19 000 000 0 0

59 1271212311****** 1271212802****** KASMAN GINTING KUTAMBARU 28|02|**** P L JL PEMBANGUNAN GG KARYA NO 11 000 000 0 0

60 1271212404****** 1271212502****** MAJEK SEMBIRING PANCUR BATU 25|02|**** S L JL PEMBANGUNAN GG PENDIDIKAN-1 000 000 0 0

61 1271212404****** 1271216008****** PATRISIA SEMBIRING MEDAN 20|08|**** B P JL PEMBANGUNAN GG PENDIDIKAN-1 000 000 0 0

62 1271212405****** 1271215005****** SRI EXA MARIA TINAMBUNAN MEDAN 10|05|**** S P JLPEMBANGUNAN GG KARYA NO 70 000 000 0 0

63 1271212405****** 1271176701****** SUMIAH BR GINTING MEDAN 27|01|**** P P JL PEMBANGUNAN NO 12 000 000 0 0

64 1271212406****** 1271210206****** TRUNA LISMANA TARIGAN MEDAN 02|06|**** S L JL PEMBANGUNAN GG KARYA NO 13 000 000 0 0

65 1271212406****** 1271215005****** MAYRINA SARI GINTING MEDAN 10|05|**** S P JL PEMBANGUNAN GG KARYA NO 13 000 000 0 0

66 1271212406****** 1271214407****** AYUNDA PURNAMA SARI MEDAN 04|07|**** S P JL PEMBANGUNAN NO 42 MEDAN 000 000 0 0

67 1271212406****** 1271112711****** BAHTIAR MEDAN 27|11|**** B L JL PEMBANGUNAN NO 42 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-022 220 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271212408****** 6271014306****** ISTIANAH CHOIRIYAH MAGELANG 03|06|**** S P JL PEMBANGUNAN LR KABUNG NO 45 000 000 0 0

69 1271212408****** 6271010205****** ALEXANDER MAHAPUTRA SIMANJUNTAK MAGELANG 02|05|**** B L JL PEMBANGUNAN LR KABUNG NO 45 000 000 0 0

70 1271212409****** 1271214602****** KARMILA SEMBIRING KOTACANE 06|02|**** S P JL PEMBANGUNAN GG MERDEKA NO 14 000 000 0 0

71 1271212410****** 1271214912****** NATALIA BR SEMBIRING AMK MEDAN 09|12|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 9 000 000 0 0

72 1271212501****** 1271210501****** ADLIN SE TANJUNG BALAI 05|01|**** S L JL PEMBANGUNAN-JL IKAHI II NO 4 000 000 0 0

73 1271212501****** 1271212712****** M IMAN MEDAN 27|12|**** B L JL PEMBANGUNAN-JL IKAHI II NO 4 000 000 0 0

74 1271212501****** 1271211906****** RYAN JUNIANDA MEDAN 19|06|**** B L JL PEMBANGUNAN-JL IKAHI II NO 4 000 000 0 0

75 1271212501****** 1271215906****** RYANI JUNISHA AYULIN MEDAN 19|06|**** B P JL PEMBANGUNAN-JL IKAHI II NO 4 000 000 0 0

76 1271212501****** 1271212805****** THONDI P MEDAN 28|05|**** B L JL PEMBANGUNAN-JL IKAHI II NO 4 000 000 0 0

77 1271212501****** 1271210502****** DARWIN HARAHAP PADANG SIOPAL 05|02|**** S L JL PEMBANGUNAN USU-LR KABUNG IKAHI 2 NO 2 000 000 0 0

78 1271212501****** 1271216712****** NURAINUN SIREGAR SIALA GUNDI 27|12|**** S P JL PEMBANGUNAN USU-LR KABUNG IKAHI 2 NO 2 000 000 0 0

79 1271212501****** 1271210704****** SYARIF MAHENDRA HARAHAP PADANG SIHOPAL 07|04|**** B L JL PEMBANGUNAN USU-LR KABUNG IKAHI 2 NO 2 000 000 0 0

80 1271212501****** 1271210707****** YAKOBUS JEFFRI TINGSRERO, SE DELI TUA 07|07|**** S L JL PEMBANGUNAN NO 46 000 000 0 0

81 1271212501****** 1271216710****** ALEMINA ROSALIA PINEM BINJAI 27|10|**** S P JL PEMBANGUNAN NO 46 000 000 0 0

82 1271212501****** 1271211703****** KRIS RASTA CAKTI GINTING MEDAN 17|03|**** B L JL PEMBANGUNAN NO 46 000 000 0 0

83 1271212501****** 1271215510****** DITA MARIA TZARINA GINTING MEDAN 15|10|**** B P JL PEMBANGUNAN NO 46 000 000 0 0

84 1271212501****** 1271215301****** LUNA GRACIA KRISTA GINTING MEDAN 13|01|**** B P JL PEMBANGUNAN NO 46 000 000 0 0

85 1271212501****** 1271211407****** WILLEM H SEMBIRING TIGA PANAH 14|07|**** S L JL PEMBANGUNAN GG KARYA NO 9 000 000 0 0

86 1271212501****** 1271214804****** DEWI CHRISTY GURUSINGA MEDAN 08|04|**** S P JL PEMBANGUNAN GG KARYA NO 9 000 000 0 0

87 1271212503****** 1271214411****** MONIKA RUTH BR SEMBIRING P. SIANTAR 04|11|**** B P JL PEMBANGUNAN GG KARYA NO 4 000 000 0 0

88 1271212503****** 1271210603****** BERNARD SISALANA SEMBIRING P. SIANTAR 06|03|**** B L JL PEMBANGUNAN GG KARYA NO 4 000 000 0 0

89 1271212503****** 1271212802****** ADITHYA EMKANANTA PURBA MEDAN 28|02|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 3 000 000 0 0

90 1271212503****** 1271214503****** ULINA BR GINTING DELI TUA 05|03|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 3 000 000 0 0

91 1271212505****** 1271215708****** NGENA UKUR BR GINTING JUHAR 17|08|**** P P JLPEMBANGUNAN NO 46 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-022 221 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271212505****** 1271212211****** SEHAT TARIGAN PANCUR BATU 22|11|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 7 000 000 0 0

93 1271212505****** 1271215806****** MONUMEN AMORAWATY BR GINTING KABANJAHE 18|06|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 7 000 000 0 0

94 1271212505****** 1271210508****** TERRY HERIANTA TARIGAN MEDAN 05|08|**** B L JL PEMBANGUNAN GG PENDIDIKAN NO 7 000 000 0 0

95 1271212505****** 1271216207****** SELVIA VERONIKA BR TARIGAN KABANJAHE 22|07|**** B P JL PEMBANGUNAN GG PENDIDIKAN NO 7 000 000 0 0

96 1271212603****** 1205040503****** ROMAS KUTAMBARU 05|03|**** S L JL PEMBANGUNAN GG KARYA NO 16-A 000 000 0 0

97 1271212603****** 1271217009****** HELENA VALENTINA MEDAN 30|09|**** B P JL. PEMBANGUNAN GG KARYA NO 16-A 000 000 0 0

98 1271212604****** 1271215402****** EVALINA BR GINTING MEDAN 14|02|**** S P JL PEMBANGUNAN LR KABUNG NO 16 000 000 0 0

99 1271212604****** 1271210408****** AMOS SITEPU BERASTEPU 04|08|**** S L JL PEMBANGUNAN LR KABUNG NO 6 000 000 0 0

100 1271212605****** 1271215510****** ELLEN BARUS BERASTAGI 15|10|**** P P JL PEMBANGUNAN GG PENDIDIKAN NO 9 000 000 0 0

101 1271212606****** 1271217101****** ERMIN S M ZEBUA GUNUNG SITOLI 31|01|**** P P JLPEMBANGUNAN GG KARYA NO 22 000 000 0 0

102 1271212606****** 1271216704****** FESTILAWATY ZEBUA MEDAN 27|04|**** B P JLPEMBANGUNAN GG KARYA NO 22 000 000 0 0

103 1271212606****** 1271212610****** ERWIN SUSANTO ZEBUA MEDAN 26|10|**** B L JLPEMBANGUNAN GG KARYA NO 22 000 000 0 0

104 1271212608****** 1271214107****** FATIMAH BR BANGUN KABANJAHE 01|07|**** S P JL PEMBANGUNAN USU NO 42 A 000 000 0 0

105 1271212608****** 1271215611****** ZULFIDAR BIREUEN 16|11|**** B P JL PEMBANGUNAN USU NO 42 A 000 000 0 0

106 1271212608****** 1271216612****** ELLY ZULFITRI BIREUEN 26|12|**** B P JL PEMBANGUNAN USU NO 42 A 000 000 0 0

107 1271212608****** 1271211111****** FAKHRIZAL KARO-KARO BIREUEN 11|11|**** S L JL PEMBANGUNAN USU NO 42 A 000 000 0 0

108 1271212609****** 1271211006****** JAPARIS SIREGAR KOTACANE 10|06|**** S L JL PEMBANGUNAN LR KABUNG NO 30 000 000 0 0

109 1271212609****** 1271216207****** TIASA BR SIMBOLON KOTACANE 22|07|**** S P JL PEMBANGUNAN LR KABUNG NO 30 000 000 0 0

110 1271212611****** 1271216110****** ELISABET BR TARIGAN MEDAN 21|10|**** S P JL PEMBANGUNAN GG REZEKI-10 000 000 0 0

111 1271212611****** 1271211606****** SURYA G MUNTHE KABANJAHE 16|06|**** S L JL PEMBANGUNAN GG REZEKI-10 000 000 0 0

112 1271212611****** 1271215801****** DEVITHA VINCENSIA ARBINA BR GINTING MEDAN 22|01|**** B P JL PEMBANGUNAN GG REZEKI-10 000 000 0 0

113 1271212705****** 1271211912****** NATAL NAIN GINTING SUKA MEDAN 19|12|**** B L JL PEMBANGUNAN GG KABUNG NO 7 000 000 0 0

114 1271212705****** 1271074505****** REHULINA LUSIA BR SINULINGGA MEDAN 05|05|**** B P JL PEMBANGUNAN GG KABUNG NO 7 000 000 0 0

115 1271212708****** 1271210308****** BANGKIT SITEPU JINABUN 03|08|**** S L JL PEMBANGUNAN GG SITEPU NO 56-A MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-022 222 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271212708****** 1271214211****** DEWI SUSANTI PANCUR BATU 02|11|**** S P JL PEMBANGUNAN GG SITEPU NO 56-A MEDAN 000 000 0 0

117 1271212708****** 1271215408****** LIA N SITEPU MEDAN 14|08|**** B P JL PEMBANGUNAN GG SITEPU NO 56-A MEDAN 000 000 0 0

118 1271212708****** 1271211801****** M JOINTA SITEPU JINABUN 18|01|**** B L JL PEMBANGUNAN GG SITEPU NO 56-A MEDAN 000 000 0 0

119 1271212708****** 1271216701****** VANESA RIMADANI BR SITEPU MEDAN 27|01|**** B P JL PEMBANGUNAN GG SITEPU NO 56-A MEDAN 000 000 0 0

120 1271212708****** 1271212612****** M BERRY RAFSANJANY SITEPU MEDAN 26|12|**** B L JL PEMBANGUNAN GG SITEPU NO 56-A MEDAN 000 000 0 0

121 1271212806****** 1271215506****** JUNITA TARIGAN MEDAN 15|06|**** P P JL PEMBANGUNAN NO 34 MEDAN 000 000 0 0

122 1271212806****** 1271211308****** JUNAN JEREMIA GINTING SUKA MEDAN 13|08|**** B L JL PEMBANGUNAN NO 34 MEDAN 000 000 0 0

123 1271212808****** 1271217112****** JOTTO BR GINTING T BARUS 31|12|**** S P JL PEMBANGUNAN GG KARYA NO 5 000 000 0 0

124 1271212808****** 1271211505****** TOLEN BARUS KABUNG 15|05|**** S L JL PEMBANGUNAN GG KARYA NO 5 000 000 0 0

125 1271212905****** 1271211410****** EDWARD JENDAKAMI TARIGAN JUHAR 14|10|**** S L JL PEMBANGUNAN GG REJEKI NO 9 000 000 0 0

126 1271212905****** 1271214906****** RIMNA K BR TARIGAN MEDAN 09|06|**** B P JL PEMBANGUNAN GG REJEKI NO 9 000 000 0 0

127 1271212906****** 1271210604****** ARISTON TARIGAN MEDAN 06|04|**** S L JL PEMBANGUNAN NO 38 000 000 0 0

128 1271212906****** 1271216604****** MULIA GINTING NAGERI 26|04|**** S P JL PEMBANGUNAN NO 38 000 000 0 0

129 1271212906****** 1271210211****** DARIUS IRVAN TARIGAN MEDAN 02|11|**** B L JL PEMBANGUNAN NO 38 000 000 0 0

130 1271212906****** 1271211401****** FRANSISKUS FERNANDO TARIGAN MEDAN 14|01|**** B L JL PEMBANGUNAN NO 38 000 000 0 0

131 1271212906****** 1271212803****** SWANTRA BARUS MEDAN 28|03|**** S L JL PEMBANGUNAN LR KABUNG NO 17 000 000 0 0

132 1271212906****** 1271216302****** HERLINA TIURMALINDA HUTABARAT P. SIANTAR 23|02|**** S P JL PEMBANGUNAN LR KABUNG NO 17 000 000 0 0

133 1271212906****** 1271210303****** JEFRI PERMANA BARUS MEDAN 03|03|**** B L JL PEMBANGUNAN LR KABUNG NO 17 000 000 0 0

134 1271212906****** 1271210602****** ARYA SAKRAMEN BARUS MEDAN 06|02|**** B L JL PEMBANGUNAN LR KABUNG NO 17 000 000 0 0

135 1271212909****** 1271214902****** SRI SONYALITA BR PURBA MEDAN 09|02|**** S P JLPEMB GGPENDIDIKAN NO 3 000 000 0 0

136 1271212910****** 1271214308****** TRIA SYAH FITRI GT MEDAN 03|08|**** B P JLPEMBANGUNAN LRKABUNG NO 8 000 000 0 0

137 1271212910****** 1271216903****** PASKAWANI SIREGAR,DR RANTAU PRAPAT 29|03|**** S P JL IKADIN NO115 MEDAN 000 000 0 0

138 1271212910****** 1271210103****** HANS MARUAHAL HUTASOIT MEDAN 01|03|**** B L JLIKADIN NO 5 MEDAN 000 000 0 0

139 1271212910****** 1271212110****** SAMUEL DIOKTORO HUTASOIT MEDAN 21|10|**** B L JL IKADIN NO115 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-022 223 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271213003****** 1271216510****** SRI BACA BR SEMBIRING KIDUPEN 25|10|**** P P JL PEMBANGUNAN USU NO 44 000 000 0 0

141 1271213003****** 1271214711****** RAKHEL KANDALIA GINTING MEDAN 07|11|**** B P JL PEMBANGUNAN USU NO 44 000 000 0 0

142 1271213003****** 1271214112****** DESY MONICA GINTING MEDAN 01|12|**** B P JL PEMBANGUNAN USU NO 44 000 000 0 0

143 1271213003****** 1271215405****** MELISA REHNACORNELA BR GINTING MEDAN 14|05|**** B P JL PEMBANGUNAN USU NO 44 000 000 0 0

144 1271213004****** 1271216811****** NABERI BR TARIGAN TANAH KARO 28|11|**** P P JL PEMBANGUNAN GG KARYA NO 15 000 000 0 0

145 1271213004****** 1271210202****** PEBRI SUJANA SITEPU MEDAN 02|02|**** B L JL PEMBANGUNAN GG KARYA NO 15 000 000 0 0

146 1271213004****** 1271210101****** NICO WIJAYA SITEPU MEDAN 01|01|**** B L JL PEMBANGUNAN GG KARYA NO 15 000 000 0 0

147 1271213008****** 1271211808****** H. ABD KARIMUDDIN SIREGAR, dr KWALA SIMPANG 18|08|**** S L JL PEMBANGUNAN USU NO 24 000 000 0 0

148 1271213008****** 1271216909****** Hj. HARTATI SIRAIT NARUMONDA 29|09|**** S P JL PEMBANGUNAN USU NO 24 000 000 0 0

149 1271213008****** 1271214608****** TITIN AGUSTINA SIREGAR S, Sos P. SIANTAR 06|08|**** B P JL PEMBANGUNAN USU NO 24 000 000 0 0

150 1271213008****** 1271217107****** JULIA MALIKAH BALQISH MEDAN 31|07|**** B P JL PEMBANGUNAN USU NO 24 000 000 0 0

151 1271213108****** 1271171001****** MICHAEL AP GINTING KABANJAHE 10|01|**** S L JL PEMBANGUNAN LR KABUNG NO 8 000 000 0 0

152 1271213108****** 1271165212****** LISBETH NATALIA S PADANG SIDEMPUAN 12|12|**** S P JL PEMBANGUNAN LR KABUNG NO 8 000 000 0 0

153 1271215101****** 1271211107****** RUMAN BR SEMBIRING LINGGA MUDA 11|01|**** S P JL PEMBANGUNAN NO 120 000 000 0 0

154 1271212105****** 1271210102****** ADE CHANDRA TARIGAN MEDAN 01|02|**** S L JL PEMBANGUNAN LR KABUNG NO 10 007 000 0 0

155 1271212105****** 1271215009****** ROSMAWATI BR SITEPU NAMAN 10|09|**** S P JL PEMBANGUNAN LR KABUNG NO 10 007 000 0 0

156 1271212106****** 1271212104****** JIMMI EDWARD R M PANGGABEAN, ST PEKANBARU 21|04|**** S L JL PEMBANGUNAN LR KABUNG NO 17 008 000 0 0

157 1271212106****** 1271215404****** LUSIANA BR GULTOM SST,M.Kes LIMA PULUH 14|04|**** S P JL PEMBANGUNAN LR KABUNG NO 17 008 000 0 0

158 1271212106****** 1271215308****** FELICIA IVANA BR PANGGABEAN MEDAN 13|08|**** B P JL PEMBANGUNAN LR KABUNG NO 17 008 000 0 0

159 1271212106****** 1271215206****** ANNA KADARINA ZEBUA SEI BEJANGKAR 12|06|**** S P JL PEMBANGUNAN NO 74 MEDAN 008 000 0 0

160 1271212106****** 1271217006****** PUTRI SYARI AISYAH JAK-SEL 30|06|**** B P JL PEMBANGUNAN NO 74 MEDAN 008 000 0 0

161 1271212106****** 1271215405****** KUMALA PUTRI NURSUFI MEDAN 14|05|**** B P JL PEMBANGUNAN NO 74 MEDAN 008 000 0 0

162 1271212109****** 1271216003****** SIPAT BR TARIGAN MEDAN 20|03|**** S P JL PEMBANGUNAN GG KARYA NO 16 B 008 000 0 0

163 1271212109****** 1271212210****** ASNAH SITEPU MARDINDING 22|10|**** S L JL PEMBANGUNAN GG KARYA NO 16 B 008 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-022 224 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212009****** 1271215311****** NOPTIANI SITEPU MEDAN 13|11|**** B P JL PEMBANGUNAN GG KARYA NO 19 003 007 0 0

165 1271212009****** 1271211901****** YUNUSTA SITEPU MEDAN 19|01|**** B L JL PEMBANGUNAN GG KARYA NO 19 003 007 0 0

166 1271212011****** 1271212011****** JIWA TARIGAN KABANJAHE 20|11|**** S L JL PEMBANGUNAN LR KABUNG NO 10 003 007 0 0

167 1271212011****** 1271215210****** SEMANGAT BR BARUS KABANJAHE 12|10|**** S P JL PEMBANGUNAN LR KABUNG NO 10 003 007 0 0

168 1271212102****** 1271210502****** PENGARAPEN SITEPU MEDAN 05|02|**** B L JL PEMBANGUNAN 003 007 0 0

169 1271212102****** 1271212711****** THOMAS SITEPU MEDAN 27|11|**** B L JL PEMBANGUNAN 003 007 0 0

170 1271212102****** 1271215210****** MUTIARA BR SITEPU MEDAN 12|10|**** B P JL PEMBANGUNAN 003 007 0 0

171 1271212104****** 3174050110****** MUHAMMAD INDRA SH MEDAN 01|10|**** S L JL PEMBANGUNAN GG PRIBADI NO 3 003 007 0 0

172 1271212104****** 3174054107****** ELISABET GINTING JUHAR 01|07|**** S P JL PEMBANGUNAN GG PRIBADI NO 3 003 007 0 0

173 1271212104****** 3174055004****** YOGITA APRILYANI. T MEDAN 10|04|**** B P JL PEMBANGUNAN GG PRIBADI NO 3 003 007 0 0

174 1271212104****** 3174052601****** ANDIKA MEHAGA JAKARTA 26|01|**** B L JL PEMBANGUNAN GG PRIBADI NO 3 003 007 0 0

175 1271212105****** 1271217112****** RAKUT BR GINTING NAGERI 31|12|**** S P JL PEMBANGUNAN NO 34 MEDAN 003 007 0 0

176 1271211601****** 1271212506****** JOHANNES LINGGA MEDAN 25|06|**** B L JLPEMBANGUNAN NO 72 001 008 0 0

177 1271211601****** 1271212404****** JULIATER LINGGA MEDAN 24|04|**** B L JLPEMBANGUNAN NO 72 001 008 0 0

178 1271211601****** 1271212106****** EDDY SOPHANDY H T MEDAN 21|06|**** S L JL IKAHI II LORONG KABUNG 001 008 0 0

179 1271211601****** 1271214206****** MONA YOLANDA VALENTINA PADANG 02|06|**** S P JL IKAHI II LORONG KABUNG 001 008 0 0

180 1271211602****** 1271211401****** DARWIN TARIGAN MEDAN 14|01|**** S L JL PEMBANGUNAN GG REJEKI NO 3.A 001 008 0 0

181 1271211602****** 1271214505****** SAHARA BARUS BELAWAN 05|05|**** S P JL PEMBANGUNAN GG REJEKI NO 3.A 001 008 0 0

182 1271211602****** 1271216910****** ASTRI RIANASARI MEDAN 29|10|**** B P JL PEMBANGUNAN GG REJEKI NO 3.A 001 008 0 0

183 1271211602****** 1271211108****** ARIANDI BARUS BARUSJAHE 11|08|**** S L JL PEMBANGUNAN GG REJEKI NO.9 001 008 0 0

184 1271211602****** 1271216809****** MAHALITA BR GINTING MEDAN 28|09|**** S P JL PEMBANGUNAN GG REJEKI NO.9 001 008 0 0

185 1271211605****** 1271215608****** ASTARIA BR TARIGAN MEDAN 16|08|**** S P JL PEMBANGUNAN GG REJEKI NO 2A 001 008 0 0

186 1271211605****** 1271215202****** MARIA DEWINA BR GINTING MEDAN 12|02|**** B P JL PEMBANGUNAN GG REJEKI NO 2A 001 008 0 0

187 1271211609****** 1218156408****** FADILAH DALIMUNTE SEI BAMBAN 24|08|**** S P JLPEMBANGUNAN GG KARYA NO 22 001 008 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-022 225 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271211609****** 1271212305****** YOSAFAT MELKI KURNIAWAN ZEBUA MEDAN 23|05|**** S L JLPEMBANGUNAN GG KARYA NO 22 001 008 0 0

189 1271211609****** 1271211510****** FATHI AHMAD LUBIS MEDAN 15|11|**** B L JLPEMBANGUNAN GG KARYA NO 22 001 008 0 0

190 1271211611****** 1271210611****** ARMANSYAH NASUTION MEDAN 06|11|**** S L JL PEMBANGUNAN JL IKAHI-I NO 6 001 008 0 0

191 1271211611****** 1271216010****** DARMAWATI RUSLI MON KEULAYU 20|10|**** S P JL PEMBANGUNAN JL IKAHI-I NO 6 001 008 0 0

192 1271211612****** 1271211312****** PENGGURUN SEMBIRING MEDAN 13|12|**** S L JL PEMBANGUNAN LR KABUNG NO 1 001 008 0 0

193 1271211612****** 1271215908****** DAHLIA BR TARIGAN KABANJAHE 19|08|**** S P JL PEMBANGUNAN LR KABUNG NO 1 001 008 0 0

194 1271211612****** 1271212012****** CHRISNA YOGA SEMBIRING MEDAN 20|12|**** B L JL PEMBANGUNAN LR KABUNG NO 1 001 008 0 0

195 1271211612****** 1271212706****** ARYA HARTANTA SEMBIRING MEDAN 27|06|**** B L JL PEMBANGUNAN LR KABUNG NO 1 001 008 0 0

196 1271211705****** 1271214812****** TJARIMALEM BR SINULINGGA BATUKARANG 08|12|**** P P JLPEMBANGUNAN GPENDIDIKAN-15 001 008 0 0

197 1271211707****** 1271211904****** BAJIGAR SEMBIRING KOTA CANE 19|04|**** S L JL PEMBANGUNAN GG MERDEKA NO 14 001 008 0 0

198 1271211707****** 1271214806****** BIWA SEMBIRING, SE KOTA CANE 08|06|**** S P JL PEMBANGUNAN GG MERDEKA NO 14 001 008 0 0

199 1271211709****** 1271213103****** BOY FADLIN AMRY RITONGA MEDAN 31|03|**** S L JL DR MANSYUR-IKADIN NO 1-A 001 008 0 0

200 1271211709****** 1271215605****** QORI ROHAIWANI MARINDAL I 16|05|**** S P JL DR MANSYUR-IKADIN NO 1-A 001 008 0 0

201 1271211711****** 1271170108****** SIMSON ANDAR MAROLOP SINAMBELA MEDAN 01|08|**** B L JL PEMBANGUNAN GG SITEPU NO 56 001 008 0 0

202 1271211711****** 1271214105****** VIVIOLETTA SITEPU MEDAN 01|05|**** B P JL PEMBANGUNAN GG SITEPU NO 56 001 008 0 0

203 1271211812****** 1271211305****** MODAL GINTING DR SUKAMAJU 13|05|**** S L JL PEMBANGUNAN LR KABUNG NO 11 001 008 0 0

204 1271211812****** 1271215901****** RUDIATI SEMBIRING MEDAN 19|01|**** S P JL PEMBANGUNAN LR KABUNG NO 11 001 008 0 0

205 1271211812****** 1271210906****** SANJETHRO GINTING MEDAN 09|06|**** B L JLPEMBANGUNAN LR KABUNG NO 001 008 0 0

206 1271211812****** 1271213005****** SAN HADI AGUNG MEDAN 30|05|**** B L JL PEMBANGUNAN LR KABUNG NO 11 001 008 0 0

207 1271211812****** 1271214505****** LAKSA PINEM JUHAR 05|05|**** S P JL DR MANSYUR-PEMBANGUNAN-28 001 008 0 0

208 1271211903****** 1271212808****** MELIGAI SEMBIRING CINTA RAKYAT 28|08|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 12 001 008 0 0

209 1271211903****** 1271216901****** MELDARIA SINGARIMBUN MEDAN 29|01|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 12 001 008 0 0

210 1271211903****** 1271211611****** ANUGERAHEDINI SURA PANDIA MEDAN 16|11|**** B L JL PEMBANGUNAN GG PENDIDIKAN NO 12 001 008 0 0

211 1271211903****** 1271210206****** HIZKIA HAGATA PANDIA MEDAN 02|06|**** B L JL PEMBANGUNAN GG PENDIDIKAN NO 12 001 008 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-022 226 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271211903****** 1271215705****** MERIANI SIBUEA,SPD TARUTUNG 17|05|**** S P JL PEMBANGUNAN NO 64 001 008 0 0

213 1271211903****** 1271212707****** JURAGAN Z GINTING SE MEDAN 27|07|**** S L JL PEMBANGUNAN NO 64 001 008 0 0

214 1271211903****** 1271210406****** JUANDA IRVANDINATA S KISARAN 04|06|**** B L JL PEMBANGUNAN NO 64 001 008 0 0

215 1271211903****** 1271212108****** LEO FIETER REYNALDO GINTING MEDAN 21|08|**** B L JL PEMBANGUNAN NO 64 001 008 0 0

216 1271211903****** 1271216004****** GEO FANI IMALIA ARISANDI G M MEDAN 20|04|**** B P JL PEMBANGUNAN NO 64 001 008 0 0

217 1271211903****** 1271211111****** FIO JOSUA RICARDO GINTING MEDAN 11|11|**** B L JL PEMBANGUNAN NO 64 001 008 0 0

218 1271211903****** 1271210308****** ABDI GUNA TARIGAN, IR JUHAR 03|08|**** S L JL PEMBANGUNAN NO 28 001 008 0 0

219 1271211903****** 1271215605****** JENNI SARPITA BR PINEM JUHAR 16|05|**** S P JL PEMBANGUNAN NO 28 001 008 0 0

220 1271211903****** 1271216107****** GABRIELLA ADITA TARIGAN MEDAN 21|07|**** B P JL PEMBANGUNAN NO 28 001 008 0 0

221 1271211903****** 1271214205****** YOSEPHINE MAYAGITA TARIGAN MEDAN 02|05|**** B P JL PEMBANGUNAN NO 28 001 008 0 0

222 1271211904****** 1271216603****** KETRIN GABRIELLA BR SINULINGGA MEDAN 26|03|**** B P JL PEMBANGUNAN GG KARYA NO 1 001 008 0 0

223 1271211907****** 1271213112****** BUYUNG BANGUN KABANJAHE 31|12|**** S L JL PEMBANGUNAN GG KABUNG NO 22 001 008 0 0

224 1271211907****** 1271217112****** INTAN BR GINTING BATUKARANG 31|12|**** S P JL PEMBANGUNAN GG KABUNG NO 22 001 008 0 0

225 1271211907****** 1271214608****** SRI METHA ULINA BR BANGUN KABANJAHE 06|08|**** S P JL PEMBANGUNAN GG KABUNG NO 22 001 008 0 0

226 1271211907****** 1271211903****** RAJBIR SINGH MEDAN 19|03|**** B L JLPEMBGGPENDIDIKAN 28 001 008 0 0

227 1271211910****** 1271215201****** SARI DEVRIOSA BARUS MEDAN 12|01|**** S P JL PEMBANGUNAN NO 40 001 008 0 0

228 1271211910****** 1271211610****** SAN HARRY TERUNA GINTING MEDAN 16|10|**** S L JL PEMBANGUNAN NO 40 001 008 0 0

229 1271212110****** 1271215004****** EVOTANTI BR SINULINGGA SURBAKTI 10|04|**** S P JL PEMBANGUNAN LR KABUNG NO 7 001 008 0 0

230 1271212306****** 1271210202****** GUNAWAN BARUS MEDAN 02|02|**** B L JLPEMBANGUNAN LR KABUNG-19 001 008 0 0

231 1271212306****** 1271214806****** LISA TRI ANDINI BR BARUS MEDAN 08|06|**** B P JLPEMBANGUNAN LR KABUNG-19 001 008 0 0

232 1271212401****** 1271212708****** TIRTA FAHRI TARIGAN MEDAN 27|08|**** B L JL PEMBANGUNAN LR KABUNG-8 001 008 0 0

233 1271212405****** 1271210708****** FANDI MARTOPO MEDAN 07|08|**** S L JLPEMBANGUNAN GG KARYA NO 70 001 008 0 0

234 1271212410****** 1271216305****** SARIATE BR BANGUN TALIMBARU 23|05|**** S P JL PEMBANGUNAN LORONG KABUNG NO 3 001 008 0 0

235 1271212410****** 1271212702****** BAREL DWI ARTHA GINTING MEDAN 27|02|**** B L JL PEMBANGUNAN LORONG KABUNG NO 3 001 008 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-022 227 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

236 1271212501****** 1271215708****** YUDI AGUSTINI SH YOGYAKARTA 17|08|**** S P JL PEMBANGUNAN-JL IKAHI II NO 4 001 008 0 0

237 1271212004****** 1271215010****** SOBAT BR GINTING KABUNG 10|10|**** P P JL PEMBANGUNAN GG MERDEKA NO 26 002 008 0 0

238 1271212004****** 1271215712****** KONGSI ROLINA GINTING KABUNG 17|12|**** P P JL PEMBANGUNAN GG KARYA NO 3 002 008 0 0

239 1271212004****** 1271210106****** EDIANSYAH BANTA MEDAN 01|06|**** B L JL PEMBANGUNAN GG KARYA NO 3 002 008 0 0

240 1271212009****** 1271214312****** ELLI ROSANNA PURBA P. SIANTAR 03|12|**** S P JL PEMBANGUNAN GG KARYA NO 19 002 008 0 0

241 1271212410****** 1271211108****** HENDRA TARIGAN MEDAN 11|08|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 9 002 008 0 0

242 1271212105****** 1271210305****** SALVIUS SASTRA IR MEDAN 03|05|**** S L JL PEMBANGUNAN NO 34 MEDAN 003 008 0 0

243 1271212105****** 1271214505****** MARIETTA MONICHA BR GINTING MEDAN 05|05|**** S P JL PEMBANGUNAN NO 34 MEDAN 003 008 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 243 Jenis Kelamin = 243 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 101 L : Laki-Laki = 107 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 128 P : Perempuan = 136 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 14
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 098 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-022 228 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 023
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271030803****** 1271035501****** RIRIEN TIURMA RIANA HUTAPEA TJ.KARANG 15|01|**** S P SUSUK IX NO 8 000 000 0 0

2 1271111712****** 1271112707****** SULPENSIUS ARITONANG BATU RONGGANG 27|07|**** S L JL PEMBANGUNAN NO.64 MEDAN 000 000 0 0

3 1271111712****** 1271115708****** MAKDALENA HABEAHAN PARLABIAN 17|08|**** S P JL PEMBANGUNAN NO.64 MEDAN 000 000 0 0

4 1271111712****** 1271114402****** MIKA IGNASIA ARITONANG MEDAN 04|02|**** B P JL PEMBANGUNAN NO.64 MEDAN 000 000 0 0

5 1271111712****** 1271112508****** YOEL SANDY ARITONANG MEDAN 25|08|**** B L JL PEMBANGUNAN NO.64 MEDAN 000 000 0 0

6 1271210102****** 1207021110****** RIDARTA DEBATARAJA SIJARANGO 11|10|**** S L JL. PEMBANGUNAN USU GG.REZEKI NO.7 000 000 0 0

7 1271210107****** 1271211210****** M ZAILANI BATANGPANE SIREGAR MEDAN 12|10|**** B L JLN.PEMBANGUNAN-IKAHI II NO.2 MEDAN 000 000 0 0

8 1271210109****** 1271211908****** H BAHAUDDIN ZEBUA P.RAMBUNG 19|08|**** S L JL PEMBANGUNAN NO 74 MEDAN 000 000 0 0

9 1271210109****** 1271217110****** HJ CHAIRUNNISYA JAKARTA 31|10|**** S P JL PEMBANGUNAN NO 74 MEDAN 000 000 0 0

10 1271210111****** 1271212507****** AMSTRONG APOLLO SIAHAAN BALIGE 25|07|**** S L JL PEMBANGUNAN LORONG KABUNG IKAHI 2 NO 1 000 000 0 0

11 1271210111****** 1271215909****** NORMA BARIMBING MEDAN 19|09|**** S P JL PEMBANGUNAN LORONG KABUNG IKAHI 2 NO 1 000 000 0 0

12 1271210111****** 1271216510****** TAMARA JEMIMA SIAHAAN JAKARTA 25|10|**** B P JL PEMBANGUNAN LORONG KABUNG IKAHI 2 NO 1 000 000 0 0

13 1271210111****** 1271215903****** FEBIOLA FLORENTINA SIAHAAN MEDAN 19|03|**** B P JL PEMBANGUNAN LORONG KABUNG IKAHI 2 NO 1 000 000 0 0

14 1271210111****** 1271211012****** KEVIN HARRY JEREMIA SIAHAAN MEDAN 10|12|**** B L JL PEMBANGUNAN LORONG KABUNG IKAHI 2 NO 1 000 000 0 0

15 1271210204****** 1271216112****** PERDEMUN MANIK KABANJAHE 21|12|**** S P JL PEMBANGUNAN USU GG PENDIDIKAN NO 3 000 000 0 0

16 1271210204****** 1271212208****** AGUS DUNANTO PURBA MEDAN 22|08|**** B L JL PEMBANGUNAN USU GG PENDIDIKAN NO 3 000 000 0 0

17 1271210206****** 5320025803****** ROSALIN DODO T JAWA 13|02|**** S P SUSUK 8 NO 53 000 000 0 0

18 1271210206****** 1271040508****** KRISTON SEHOL PURNAMA LABONDA TOMATA 05|08|**** S L JL . PEMBANGUNAN GG. PENDIDIKAN NO. 26 000 000 0 0

19 1271210206****** 1271044106****** ERVINA VIVI SUMANTY SIMANGUNSONG MEDAN 01|06|**** S P JL . PEMBANGUNAN GG. PENDIDIKAN NO. 26 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-023 229 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210302****** 1271210711****** NOVA SURYA TARIGAN KABANJAHE 07|11|**** S L JL PEMBANGUNAN NO 46 000 000 0 0

21 1271210302****** 1271215504****** HELENA APRIYANTI BINJAI 15|04|**** S P JL PEMBANGUNAN NO 46 000 000 0 0

22 1271210303****** 1271212604****** TAMA SITEPU SIDIKALANG 26|04|**** S L JLPEMBANGUNAN GG KARYA NO 70 000 000 0 0

23 1271210303****** 1271216004****** MAULINA BR TARIGAN P KINALANG 20|04|**** S P JLPEMBANGUNAN GG KARYA NO 70 000 000 0 0

24 1271210303****** 1271214801****** TETTY SRI DEWI SITEPU MEDAN 08|01|**** B P JLPEMBANGUNAN GG KARYA NO 70 000 000 0 0

25 1271210303****** 1271216408****** MUTIARA TRISYANTI SITEPU MEDAN 24|08|**** B P JLPEMBANGUNAN GG KARYA NO 70 000 000 0 0

26 1271210303****** 1271214605****** MEI DIANA MARIA SITEPU MEDAN 06|05|**** B P JLPEMBANGUNAN GG KARYA NO 70 000 000 0 0

27 1271210303****** 1271215107****** SONIA ANGGRENI SITEPU MEDAN 11|07|**** B P JLPEMBANGUNAN GG KARYA NO 70 000 000 0 0

28 1271210303****** 1207065808****** MARSELA AURORA AGUSTIN BATAM 18|08|**** B P JLPEMBANGUNAN GG KARYA NO 70 000 000 0 0

29 1271210303****** 1271210508****** LEO NARDI BARUS MEDAN 05|08|**** S L JL PEMBANGUNAN GG KARYA NO 5 000 000 0 0

30 1271210303****** 1207265202****** CHRISTINA NATHALIA SITOMPUL MEDAN 12|02|**** S P JL PEMBANGUNAN GG KARYA NO 5 000 000 0 0

31 1271210304****** 1271217112****** REHNGENANA BR SEMBIRING BEGANDING 31|12|**** S P JL PEMBANGUNAN LR KABUNG NO 20 000 000 0 0

32 1271210305****** 1271211804****** RACHMAD SITEPU,DRS KABANJAHE 18|04|**** S L JL PEMBANGUNAN GG REJEKI NO 1 000 000 0 0

33 1271210305****** 1271215005****** NURLELA BR BANGUN KABANJAHE 10|05|**** S P JL PEMBANGUNAN GG REJEKI NO 1 000 000 0 0

34 1271210305****** 1271216512****** SELVIANI NATALITA SITEPU MEDAN 25|12|**** B P JL PEMBANGUNAN GG REJEKI NO 1 000 000 0 0

35 1271210305****** 1271215009****** LENNY VALENTINA SITEPU MEDAN 10|09|**** B P JL PEMBANGUNAN GG REJEKI NO 1 000 000 0 0

36 1271210305****** 1472011606****** ADEO PRIMAWINTA SITEPU MEDAN 16|06|**** B L JL PEMBANGUNAN GG REJEKI NO 1 000 000 0 0

37 1271210307****** 1271214705****** SITI TIURMA BR GINTING MEDAN 07|05|**** S P JL PEMBANGUNAN NO 19 000 000 0 0

38 1271210307****** 1271212903****** PETERUS SEMBIRING KABANJAHE 29|03|**** S L JL PEMBANGUNAN NO 19 000 000 0 0

39 1271210307****** 1271215305****** SYARINA KARINA BR PELAWI MEDAN 13|05|**** B P JL PEMBANGUNAN NO 19 000 000 0 0

40 1271210308****** 1271214706****** SURIATI MEDAN 07|06|**** S P JL PEMBANGUNAN LRG KABUNG NO 3 000 000 0 0

41 1271210308****** 1271212301****** RANDI YAN ALEX MEDAN 23|01|**** B L JL PEMBANGUNAN LRG KABUNG NO 3 000 000 0 0

42 1271210308****** 1271210210****** REZA FIRMAN DWIARTHA MEDAN 02|10|**** B L JL PEMBANGUNAN LRG KABUNG NO 3 000 000 0 0

43 1271210405****** 1271217112****** MARLINA BR TARIGAN JUHAR 31|12|**** S P JLPEMBANGUNAN NO 06 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-023 230 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210405****** 1271215001****** MERITA BR GINTING JUHAR 10|01|**** B P JLPEMBANGUNAN NO 06 MEDAN 000 000 0 0

45 1271210405****** 1271211001****** DEKENG GINTING SIGENDRENG 10|01|**** S L JLPEMBANGUNAN NO 06 MEDAN 000 000 0 0

46 1271210405****** 1271215801****** PERTALIAN BR GINTING SIGENDERANG 18|01|**** B P JLPEMBANGUNAN NO 06 MEDAN 000 000 0 0

47 1271210411****** 1271210710****** DATKITA BARUS MEDAN 07|10|**** S L JL PEMBANGUNAN GG KARYA NO 7 MEDAN 000 000 0 0

48 1271210411****** 1271216807****** HEMARINI TARIGAN SUKANALU 28|07|**** S P JL PEMBANGUNAN GG KARYA NO 7 MEDAN 000 000 0 0

49 1271210412****** 1207264409****** ENITA F MANIK T.REJO 04|09|**** S P SUSUK IV NO 1 000 000 0 0

50 1271210412****** 1271110301****** FREDDY TURNIP H CINCANG 03|01|**** S L SUSUK IV NO 1 000 000 0 0

51 1271210501****** 1271214204****** M MERY SELLY SITEPU MEDAN 02|04|**** S P JLPEMBANGUNAN NO56-A MEDAN 000 000 0 0

52 1271210502****** 1271214601****** SAFIAH BR GINTING MEDAN 06|01|**** P P JL PEMBANGUNAN LR KABUNG NO 12 MEDAN 000 000 0 0

53 1271210502****** 1271210604****** RIWANDA WASIS SEMBIRING KARO 06|04|**** S L JL PEMBANGUNAN LR KABUNG NO 12 MEDAN 000 000 0 0

54 1271210502****** 1271215907****** HASNY BR TARIGAN,SST MEDAN 19|07|**** S P JL PEMBANGUNAN LR KABUNG NO 12 MEDAN 000 000 0 0

55 1271210502****** 1271210904****** M. AZHARI ANANDA SEMBIRING MEDAN 09|04|**** B L JL PEMBANGUNAN LR KABUNG NO 12 MEDAN 000 000 0 0

56 1271210502****** 1271212502****** SAMUEL TENANG UKUR ARDIANTA GINTING SE MM MEDAN 25|02|**** S L JL PEMBANGUNAN GG REJEKI NO.06 000 000 0 0

57 1271210502****** 1271217003****** INDRIYA APULINA PURBA,SE MEDAN 30|03|**** S P JL PEMBANGUNAN GG REJEKI NO.06 000 000 0 0

58 1271210503****** 1271216212****** ELSA PERANGIN-ANGIN MEDAN 22|12|**** S P JL PEMBANGUNAN GG KARYA NO 23 000 000 0 0

59 1271210503****** 1207090306****** HERRY GILBERD OLOAN SINAGA BANGUN PURBA 03|06|**** S L JL PEMBANGUNAN GG KARYA NO 23 000 000 0 0

60 1271210505****** 1271021307****** ASRIL MEDAN 13|07|**** B L JL PEMBANGUNAN GG KARYA NO 10 000 000 0 0

61 1271210505****** 1271216507****** NOVITA SARI BR GINTING MEDAN 25|07|**** B P JL PEMBANGUNAN GG KARYA NO 10 000 000 0 0

62 1271210506****** 1271215702****** LUCKYTA ELISEBA MELIALA GUNG PINTO 17|02|**** S P JL PEMBANGUNAN NO 56 A 000 000 0 0

63 1271210506****** 3175013010****** GURUH VICKY BALIGE 30|10|**** S L JL PEMBANGUNAN GG REZEKI NO 16 000 000 0 0

64 1271210507****** 1271211201****** JAN HENDRA S DEPARI MEDAN 12|01|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 19 000 000 0 0

65 1271210507****** 1271214708****** BERNADETA SRIULINA BR KABAN YOGYAKARTA 07|08|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 19 000 000 0 0

66 1271210510****** 1271213112****** BUKU TARIGAN UJUNG BANDAR 31|12|**** S L JL PEMBANGUNAN LR KABUNG NO 24 000 000 0 0

67 1271210510****** 1271215708****** JAMAN BR SITEPU GURISEN 17|08|**** S P JL PEMBANGUNAN LR KABUNG NO 24 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-023 231 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210510****** 1271216711****** LUCIANA TARIGAN MEDAN 27|11|**** B P JL PEMBANGUNAN LR KABUNG NO 24 000 000 0 0

69 1271210510****** 1271211610****** SELAMAT GINTING BATUKARANG 16|10|**** S L JL PEMBANGUNAN GG REJEKI NO 6 000 000 0 0

70 1271210510****** 1271214107****** RUSMINI SINGARIMBUN KABANJAHE 01|07|**** S P JL PEMBANGUNAN GG REJEKI NO 6 000 000 0 0

71 1271210510****** 1271216108****** HANNA DAMAYANTI GINTING MEDAN 21|08|**** B P JL PEMBANGUNAN GG REJEKI NO 6 000 000 0 0

72 1271210511****** 1271215510****** NIMAH BR TARIGAN MEDAN 15|10|**** P P JL PEMBANGUNAN GG KARYA NO 17 000 000 0 0

73 1271210511****** 1271211210****** HARUNTA SITEPU MEDAN 12|10|**** B L JL PEMBANGUNAN GG KARYA NO 17 000 000 0 0

74 1271210511****** 1271214205****** HJ SRI MURNI ZEBUA, DRA BAGERPANG 02|05|**** P P JL PEMBANGUNAN NO 74 MEDAN 000 000 0 0

75 1271210511****** 1271214601****** SRI HUSNAYATI ZEBUA BAHLIAS 06|01|**** S P JL PEMBANGUNAN NO 74 MEDAN 000 000 0 0

76 1271210511****** 1271216911****** HALIMATUSSA ADIAH ZEBUA MEDAN 29|11|**** S P JL PEMBANGUNAN NO 74 MEDAN 000 000 0 0

77 1271210511****** 1271211207****** ACHMAD RIZAL PUTRA MEDAN 12|07|**** B L JL PEMBANGUNAN NO 74 MEDAN 000 000 0 0

78 1271210511****** 1271211801****** ABDUL RACHMAN MEDAN 18|01|**** B L JL PEMBANGUNAN NO 74 000 000 0 0

79 1271210511****** 1271217112****** ASRI ANNISA ARSYA MEDAN 31|12|**** B P JL PEMBANGUNAN NO 74 MEDAN 000 000 0 0

80 1271210601****** 1206134502****** MIHELMINA BR SEMBIRING TIGANDERKET 05|02|**** S P JL PEMBANGUNAN GG KARYA NO 17 000 000 0 0

81 1271210601****** 1271211906****** JEN SITEPU MEDAN 19|06|**** S L JL PEMBANGUNAN GG KARYA NO 17 000 000 0 0

82 1271210602****** 1271210306****** TRIMOON SIXTA GINTING MEDAN 03|06|**** S L JL PEMBANGUNAN GG KARYA NO 11 000 000 0 0

83 1271210602****** 1271215205****** RISMAWATI BR BARUS NEGERI 12|05|**** S P JL PEMBANGUNAN GG KARYA NO 11 000 000 0 0

84 1271210602****** 1271212108****** KARIMTA TARIGAN BULUH NAMAN 21|08|**** S L JL PEMBANGUNAN GG KARYA NO 16A 000 000 0 0

85 1271210602****** 1271216210****** RATNAWATY BR SEMBIRING MUNTHE 22|10|**** S P JL PEMBANGUNAN GG KARYA NO 16A 000 000 0 0

86 1271210602****** 1271215511****** NOVALINA TARIGAN MEDAN 15|11|**** S P JL PEMBANGUNAN GG KARYA NO 16A 000 000 0 0

87 1271210604****** 1271215012****** HJ INTAN BR BANGUN KABANJAHE 10|12|**** P P JL PEMBANGUNAN NO 42 000 000 0 0

88 1271210609****** 1271214711****** LISA NOVIRA MEDAN 07|11|**** B P JL DR MANSYUR GG IKADIN NO 8 000 000 0 0

89 1271210609****** 1271211005****** SAMSUDIN RAJIN TARIGAN P BRANDAN 10|05|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 8 000 000 0 0

90 1271210609****** 1271216403****** ERIKA KONNY GINTING MEDAN 24|03|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 8 000 000 0 0

91 1271210609****** 1271210205****** GERALDI ATMA RAE TARIGAN MEDAN 02|05|**** B L JL PEMBANGUNAN GG PENDIDIKAN NO 8 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-023 232 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271210610****** 1271214202****** KELASTIANA PARIBUN 02|02|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 11 000 000 0 0

93 1271210610****** 1271215708****** AGUSTIANA BARUS LHOKSUKON 17|08|**** B P JL PEMBANGUNAN GG PENDIDIKAN NO 11 000 000 0 0

94 1271210610****** 1271215209****** SEPRYANI BARUS LHOKSUKON 12|09|**** B P JL PEMBANGUNAN GG PENDIDIKAN NO 11 000 000 0 0

95 1271210610****** 1271214104****** SERI ULINA BARUS LHOKSUKON 01|04|**** B P JL PEMBANGUNAN GG PENDIDIKAN NO 11 000 000 0 0

96 1271210611****** 1271211206****** MAYOR GINTING MEDAN 12|06|**** S L JL PEMBANGUNAN GG KARYA NO 10 000 000 0 0

97 1271210611****** 1271214101****** SRIWATI BR KARO TEBING TINGGI 01|01|**** S P JL PEMBANGUNAN GG KARYA NO 10 000 000 0 0

98 1271210611****** 1271215307****** RIA ANGGRENI BR GINTING MEDAN 13|07|**** B P JL PEMBANGUNAN GG KARYA NO 0 000 000 0 0

99 1271210611****** 1271216804****** AYU LESTARI BR GINTING MEDAN 28|04|**** B P JL PEMBANGUNAN GG KARYA NO 10 000 000 0 0

100 1271210611****** 1271211904****** RIZKI KURNIAWAN GINTING MEDAN 19|04|**** B L JL PEMBANGUNAN GG KARYA NO 10 000 000 0 0

101 1271210611****** 1271216303****** INDAH MUSTIKA BR GINTING MEDAN 23|03|**** B P JL PEMBANGUNAN GG KARYA NO 10 000 000 0 0

102 1271210611****** 1271210405****** SAUL SYAH RULI BARUS MEDAN 04|05|**** S L JL PEMBANGUNAN LORONG KABUNG NO 17 000 000 0 0

103 1271210611****** 1206074607****** ELSA NOVITA BR GINTING MEDAN 06|07|**** S P JL PEMBANGUNAN LORONG KABUNG NO 17 000 000 0 0

104 1271210612****** 1271210312****** PILMON KUTALIMBARU 03|12|**** S L JL PEMBANGUNAN GG REJEKI NO 2 000 000 0 0

105 1271210612****** 1271214609****** EVA REHULINA, SPD KABANJAHE 06|09|**** S P JL PEMBANGUNAN GG REJEKI NO 2 000 000 0 0

106 1271210612****** 1271212804****** FELIX PILEVA S GINTING MEDAN 28|04|**** B L JL PEMBANGUNAN GG REJEKI NO 2 000 000 0 0

107 1271210612****** 1271010803****** VIZA FANDHANA, SE MEDAN 08|03|**** S L JL STMK DLM COMP CASA ORYZA A 2 000 000 0 0

108 1271210612****** 1271095511****** PRATIWI WINANDA MEDAN 15|11|**** S P JL STMK DLM COMP CASA ORYZA A 2 000 000 0 0

109 1271210703****** 1271213010****** BARIONA ZEBUA NIAS 30|10|**** S L JL PEMBANGUNAN GG KARYA NO 16 000 000 0 0

110 1271210703****** 1271214303****** DELI TARIGAN MEDAN 03|03|**** S P JL PEMBANGUNAN GG KARYA NO 16 000 000 0 0

111 1271210703****** 1271210908****** RIJAL EFFENDY ZEBUA MEDAN 09|08|**** B L JL PEMBANGUNAN GG KARYA NO 16 000 000 0 0

112 1271210703****** 1271213101****** RENDY SYAHPUTRA ZEBUA MEDAN 31|01|**** B L JL PEMBANGUNAN GG KARYA NO 6 000 000 0 0

113 1271210703****** 1271215109****** MARIA PUTRIANI ZEBUA MEDAN 11|09|**** B P JL PEMBANGUNAN GG KARYA NO 6 000 000 0 0

114 1271210703****** 1271214902****** MUTIARA VERONIKHA MEDAN 09|02|**** B P JL PEMBANGUNAN GG KARYA NO 16 000 000 0 0

115 1271210703****** 1271210304****** HENDRA SITEPU MEDAN 03|04|**** B L JL PEMBANGUNAN GG KARYA NO 15 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-023 233 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271210703****** 1211036704****** APRILDA GINTING KABANJAHE 27|04|**** B P JL PEMBANGUNAN GG KARYA NO 15 000 000 0 0

117 1271210804****** 1371014106****** CHINTIA DEVANA MEDAN 01|06|**** B P KOMP WAHID HASYIM GARDEN BLOK A NO 6 000 000 0 0

118 1271210806****** 1271212507****** SABAR MARULI HUTAURUK SEI LAMA 25|07|**** S L JL PEMBANGUNAN GG KARYA NO 19 000 000 0 0

119 1271210806****** 1271215511****** PINONDANG MANURUNG PERAPEN 15|11|**** S P JL PEMBANGUNAN GG KARYA NO 19 000 000 0 0

120 1271210806****** 1271212205****** SANDY PRATAMA HUTAURUK LANGSA 22|05|**** B L JL PEMBANGUNAN GG KARYA NO 19 000 000 0 0

121 1271210806****** 1271211909****** JOHANNES HUTAURUK BATAM 19|09|**** B L JL PEMBANGUNAN GG KARYA NO 19 000 000 0 0

122 1271210903****** 1271210902****** SAPRI SITEPU MEDAN 09|02|**** S L JL PEMBANGUNAN GG SITEPU NO 58 000 000 0 0

123 1271210903****** 1271216808****** LASMA BR SIMANGUNSONG PORSEA 28|08|**** S P JL PEMBANGUNAN GG SITEPU NO 58 000 000 0 0

124 1271210903****** 1271214907****** ASNI SIMANGUNSONG PORSEA 09|07|**** B P JL PEMBANGUNAN GG SITEPU NO 58 000 000 0 0

125 1271210903****** 1271210711****** ADE CHANDRA KARO-KARO MEDAN 07|11|**** B L JL PEMBANGUNAN GG SITEPU NO 58 000 000 0 0

126 1271210903****** 1271211107****** SAHRIL SITEPU MEDAN 11|07|**** B L JL PEMBANGUNAN GG SITEPU NO 58 000 000 0 0

127 1271210903****** 1271215512****** LINA WATI BR SITEPU MEDAN 15|12|**** B P JL PEMBANGUNAN GG SITEPU NO 58 000 000 0 0

128 1271210903****** 1271210507****** DAVID SITEPU MEDAN 05|07|**** B L JL PEMBANGUNAN GG SITEPU NO 58 000 000 0 0

129 1271210903****** 1271214602****** RUTH KRISTIANNA BR SURBAKTI MEDAN 06|02|**** S P JLABDHAKIM GGSUSUK V 000 000 0 0

130 1271210904****** 1272062709****** ANDRIANSON BANGUN PEMATANGSIANTAR 27|09|**** S L JLN.PEMBANGUNAN NO.34 B USU 000 000 0 0

131 1271210905****** 1271211905****** IRAMADI IMMANUEL BARUS MEDAN 19|05|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 18 000 000 0 0

132 1271210905****** 1271215511****** ARMINA SEMBIRING T KARO 15|11|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 18 000 000 0 0

133 1271210905****** 1271215406****** MIRAWATI BARUS MEDAN 14|06|**** B P JL PEMBANGUNAN GG PENDIDIKAN NO 18 000 000 0 0

134 1271210905****** 1271215404****** DIAN NITA BARUS MEDAN 14|04|**** B P JL PEMBANGUNAN GG PENDIDIKAN NO 18 000 000 0 0

135 1271210905****** 1271215706****** YUSRAINI STELLA BR. BARUS MEDAN 17|06|**** B P JL PEMBANGUNAN GG PENDIDIKAN NO 18 000 000 0 0

136 1271210911****** 1271210209****** RAJA SAMUDRA DAMAI TARIGAN MEDAN 02|09|**** S L JL PEMBANGUNAN USU NO 99 000 000 0 0

137 1271210911****** 1271216003****** SUSAN HERAWATY SRI A SILALAHI MEDAN 20|03|**** S P JL PEMBANGUNAN USU NO 99 000 000 0 0

138 1271210911****** 1271211804****** YAFET BUDIARO ZEBUA MEDAN 18|04|**** S L JLPEMBANGUNAN GG KARYA NO 22 000 000 0 0

139 1271210911****** 1271214707****** ZULY HASLINDA SAMPAN GETEK 07|07|**** S P JLPEMBANGUNAN GG KARYA NO 22 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-023 234 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271210911****** 1271214509****** VINDA WIDYARTIKA ZEBUA SAMPAN GETEK 05|09|**** B P JLPEMBANGUNAN GG KARYA NO 22 000 000 0 0

141 1271210911****** 1271214301****** ADINDA DWI PRISKILA ZEBUA SAMPAN GETEK 03|01|**** B P JLPEMBANGUNAN GG KARYA NO 22 000 000 0 0

142 1271211001****** 1271211710****** ODODOGO TELAUMBANUA GUNUNG SITOLI 17|10|**** S L JL PEMBANGUNAN USU GG KARYA NO 20 000 000 0 0

143 1271211001****** 1271214801****** YAMIMAN ZEGA GUNUNG SITOLI 08|01|**** S P JL PEMBANGUNAN USU GG KARYA NO 20 000 000 0 0

144 1271211001****** 1271212008****** ERWIN SAMUEL TELAUMBANUA RIAU 20|08|**** B L JL PEMBANGUNAN USU GG KARYA NO 20 000 000 0 0

145 1271211005****** 1271215603****** MARIA ENGELINA RUMINTJAP JAKARTA 16|03|**** S P JL DR MANSYUR-SMTK DALAM NO 21 000 000 0 0

146 1271211005****** 1271215303****** SITI DERMAWAN SIREGAR MEDAN 13|03|**** B P JLDRMANSYUR-SMTK DALAM NO2 000 000 0 0

147 1271211005****** 1271211407****** JAMES RICHARD PARLINDUNGAN SRG JAKARTA 14|07|**** B L JL DR MANSYUR-SMTK DALAM NO 21 000 000 0 0

148 1271211005****** 1271216411****** NOVIANA SHINTAWATY SIREGAR JAKARTA 24|11|**** B P JLDRMANSYUR-SMTK DALAM NO2 000 000 0 0

149 1271211005****** 1271217006****** LUCYANA DEWIYANTI SIREGAR MEDAN 30|06|**** S P JLDRMANSYUR-SMTK DALAM NO2 000 000 0 0

150 1271211005****** 1271215006****** JUANITA FRIDA D SIMANUNGKALIT MEDAN 10|06|**** B P JL DR MANSYUR-SMTK DALAM NO 21 000 000 0 0

151 1271211005****** 1271216109****** NIKITA WIDYA N SIMANUNGKALIT MEDAN 21|09|**** B P JLDRMANSYUR-SMTK DALAM NO2 000 000 0 0

152 1271211005****** 1271215704****** LIDYA BR SURBAKTI, SE TIGA NDERKET 17|04|**** S P JL PEMBANGUNAN USU GG REJEKI NO 5 000 000 0 0

153 1271211005****** 1271212603****** ANTONIUS GINTING, SE KABANJAHE 26|03|**** S L JL PEMBANGUNAN USU GG REJEKI NO 5 000 000 0 0

154 1271211005****** 1271211804****** EPINALDY INGANTA PRATAMA G MEDAN 18|04|**** B L JL PEMBANGUNAN USU GG REJEKI NO 5 000 000 0 0

155 1271211005****** 1271210106****** FERNANDO AURIEL TUAHTA GINTING MEDAN 01|06|**** B L JL PEMBANGUNAN USU GG REJEKI NO 5 000 000 0 0

156 1271211007****** 1271212301****** NABUDI HAREFA NIAS 23|01|**** S L JL PEMBANGUNAN GG MERDEKA NO 22 000 000 0 0

157 1271211007****** 1271215801****** SONDANG SIMANJUNTAK PEMATANG SIANTAR 18|01|**** S P JL PEMBANGUNAN GG MERDEKA NO 22 000 000 0 0

158 1271211007****** 1271212306****** JEFRI IMANUEL HAREFA PEMATANG SIANTAR 23|06|**** B L JL PEMBANGUNAN GG MERDEKA NO 22 000 000 0 0

159 1271211007****** 1271211804****** ALFIAN AROSA HAREFA MEDAN 18|04|**** B L JL PEMBANGUNAN GG MERDEKA NO 22 000 000 0 0

160 1271211007****** 1219020408****** ERWIN C M GINTING MEDAN 04|08|**** S L SUSUK V NO 5 000 000 0 0

161 1271211008****** 1271215205****** MEILIANNA TARIGAN MEDAN 12|05|**** S P JL PEMBANGUNAN GG KARYA NO 13 000 000 0 0

162 1271211009****** 1271090604****** ARIASTA SEMBIRING KABANJAHE 06|04|**** S L JL PEMBANGUNAN USU NO 38 MEDAN 000 000 0 0

163 1271211009****** 1271215206****** ERMINA TARIGAN MEDAN 12|06|**** S P JL PEMBANGUNAN USU NO 38 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-023 235 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271211009****** 1271217007****** SAMSIYAH LINGGA KOTACANE 30|07|**** S P JL PEMBANGUNAN-JL IKAHI I NO 6 000 000 0 0

165 1271211009****** 1271212811****** MUHAMMAD IRWANSYAH NASUTION MEDAN 28|11|**** S L JL PEMBANGUNAN-JL IKAHI I NO 6 000 000 0 0

166 1271211012****** 1271211704****** FERDINAN TUAH MALEM BANGUN KABANJAHE 17|04|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 15 000 000 0 0

167 1271211012****** 1271216012****** MERY BR GINTING KABANJAHE 20|12|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 15 000 000 0 0

168 1271211012****** 1271210409****** HENRIKSON PURBA MEDAN 04|09|**** S L JL PEMBANGUNAN NO 46 MEDAN 000 000 0 0

169 1271211012****** 1271215902****** HERA HAYATI BR PINEM BINJAI 19|02|**** S P JL PEMBANGUNAN NO 46 MEDAN 000 000 0 0

170 1271211012****** 1271215506****** NGUKURKEN BR BARUS BARUS JAHE 15|06|**** P P JL PEMBANGUNAN GG PENDIDIKAN NO 3-A 000 000 0 0

171 1271211012****** 1271216910****** KUSMIATI BR GINTING MEDAN 29|10|**** P P JL PEMBANGUNAN GG KARYA NO 13 000 000 0 0

172 1271211012****** 1271216201****** ELVINA TARIGAN MEDAN 22|01|**** B P JL PEMBANGUNAN GG KARYA NO 13 000 000 0 0

173 1271211101****** 1271211010****** ALEXANDER BARUS KABANJAHE 10|10|**** S L JL PEMBANGUNAN GG REJEKI NO 6 000 000 0 0

174 1271211101****** 1271215810****** RAHELINA GINTING MEDAN 18|10|**** S P JL PEMBANGUNAN GG REJEKI NO 6 000 000 0 0

175 1271211102****** 1271214109****** HANNA BR TARIGAN KABANJAHE 01|09|**** S P JL PEMBANGUNAN GG KARYA NO 1 000 000 0 0

176 1271211102****** 1271211210****** KORNELIUS GINTING MEDAN 12|10|**** S L JL PEMBANGUNAN GG KARYA NO 1 000 000 0 0

177 1271211102****** 1271210601****** IKA DIANTA GINTING MEDAN 06|01|**** B L JL PEMBANGUNAN GG KARYA NO 1 000 000 0 0

178 1271211102****** 1271212106****** ROBERTHO GINTING MEDAN 21|06|**** B L JL PEMBANGUNAN GG KARYA NO 1 000 000 0 0

179 1271211102****** 1271212602****** AGUM SETIAWAN GINTING MEDAN 26|02|**** B L JL PEMBANGUNAN GG KARYA NO 1 000 000 0 0

180 1271211103****** 1271214601****** ERNAWATI BR GINTING IR KIDUPEN 06|01|**** S P JL PEMBANGUNAN GG MERDEKA NO I-B 000 000 0 0

181 1271211103****** 1271212105****** NGAPUL SITEPU MEDAN 21|05|**** S L JL PEMBANGUNAN GG MERDEKA NO I-B 000 000 0 0

182 1271211103****** 1271212708****** NAEL DAS PRANATA SITEPU MEDAN 27|08|**** B L JL PEMBANGUNAN GG MERDEKA NO I-B 000 000 0 0

183 1271211103****** 1271215512****** ELUYA DANI YANTI BR SITEPU MEDAN 15|12|**** B P JL PEMBANGUNAN GG MERDEKA NO I-B 000 000 0 0

184 1271211104****** 1271215510****** MULIA BR TARIGAN SIBOLANGIT 15|10|**** P P JL PEMBANGUNAN GG MERDEKA NO 160 A MEDAN 000 000 0 0

185 1271211104****** 1271212409****** FABIAN BARUS MEDAN 24|09|**** B L JL PEMBANGUNAN GG MERDEKA NO 160 A MEDAN 000 000 0 0

186 1271211104****** 1271211512****** AIDIL PINEM DRS JUHAR 15|12|**** S L JLPEMBANGUNAN USU NO48 MEDAN 000 000 0 0

187 1271211104****** 1271214206****** TERBIT BR GINTING JUHAR 02|06|**** S P JLPEMBANGUNAN USU NO48 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-023 236 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271211104****** 1271210511****** VALENTINUS PINEM MEDAN 05|11|**** B L JLPEMBANGUNAN USU NO48 MEDAN 000 000 0 0

189 1271211104****** 1271211408****** LEONARDI TARIGAN BERASTAGI 14|08|**** B L JLPEMBANGUNAN USU NO48 MEDAN 000 000 0 0

190 1271211105****** 1271214905****** ERLIATI FLORYANA TARIGAN JUHAR 09|05|**** P P JL PEMBANGUNAN GG PENDIDIKAN NO 10 000 000 0 0

191 1271211105****** 1271216502****** YOVITA BERTALINA GINTING KLUMPANG 25|02|**** B P JL PEMBANGUNAN GG PENDIDIKAN NO 10 000 000 0 0

192 1271211105****** 1271214906****** IRMINA EMA JUNITA GINTING KELUMPANG 09|06|**** B P JL PEMBANGUNAN GG PENDIDIKAN NO 10 000 000 0 0

193 1271211106****** 1271211608****** RUMAH JAHE SINGARIMBUN MARDINGDING 16|08|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 12 000 000 0 0

194 1271211106****** 1271215008****** BAGEMIN BR GINTING MUNTHE 10|08|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 12 000 000 0 0

195 1271211106****** 1271212503****** BAZIDUHU LAIA, SE NIAS 25|03|**** S L JL SMTK-IKADIN NO 0 MEDAN 000 000 0 0

196 1271211106****** 1271216404****** SATIANI CICILIA HALAWA BALIGE 24|04|**** S P JL SMTK-IKADIN NO 110 MEDAN 000 000 0 0

197 1271211106****** 1271210301****** STEPHEN SOERA ERA LAIA MEDAN 03|01|**** B L JL SMTK-IKADIN NO 110 MEDAN 000 000 0 0

198 1271211106****** 1271210405****** VINCENT SOZANOLO LAIA MEDAN 04|05|**** B L JL SMTK-IKADIN NO 110 MEDAN 000 000 0 0

199 1271211106****** 1271212709****** ADARMAN SOMASI LAIYA MEDAN 27|09|**** B L JL SMTK-IKADIN NO 110 MEDAN 000 000 0 0

200 1271211107****** 1271212604****** ASMAN R KARO-KARO,AMK,MM,DRS KABANJAHE 26|04|**** S L JL PEMBANGUNAN NO 120 000 000 0 0

201 1271211107****** 1271216306****** FLORA ARMANTI BR KARO KABANJAHE 23|06|**** S P JL PEMBANGUNAN NO 120 000 000 0 0

202 1271211107****** 1271212808****** FADLI ARMANTO KARO-KARO KABANJAHE 28|08|**** S L JLPEMBANGUNAN LRG KABUNG- 7 B 000 000 0 0

203 1271211107****** 1271212603****** HARIKO TARIGAN MEDAN 26|03|**** S L JL PEMBANGUNAN GG REJEKI NO 9 000 000 0 0

204 1271211107****** 1271216903****** SRI EFRIATI GEBANG 29|03|**** S P JL PEMBANGUNAN GG REJEKI NO 9 000 000 0 0

205 1271211109****** 1271215102****** MARIA FR TARIGAN,SH BINJAI 11|02|**** S P JL PERUM ICG BLOK-C NO 17 000 000 0 0

206 1271211110****** 1271212703****** YA' ATULO WARUWU NIAS 27|03|**** S L JL PEMBANGUNAN GG KARYA NO 22 000 000 0 0

207 1271211110****** 1271214404****** RAWATI HURA NIAS 04|04|**** S P JL PEMBANGUNAN GG KARYA NO 22 000 000 0 0

208 1271211110****** 1271216807****** ERLINA YANTI WARUWU SIANTAR 28|07|**** B P JL PEMBANGUNAN GG KARYA NO 22 000 000 0 0

209 1271211110****** 1271215006****** JUNI ASTUTI WARUWU NIAS 10|06|**** B P JL PEMBANGUNAN GG KARYA NO 22 000 000 0 0

210 1271211110****** 1271212908****** AGUST DANIEL WARUWU MEDAN 29|08|**** B L JL PEMBANGUNAN GG KARYA NO 22 000 000 0 0

211 1271211111****** 3671095507****** NURSIAH LOKSEUMAWE 15|07|**** S P TAMAN KAMPUS INDAH NO 8 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-023 237 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271211202****** 1271210201****** RIZALDI SINGARIMBUN MEDAN 02|01|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 12 000 000 0 0

213 1271211202****** 1271216212****** RITA NATALIA TARIGAN MEDAN 22|12|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 12 000 000 0 0

214 1271211202****** 1271212006****** YOSAFAT THARUMTA SINGARIMBUN MEDAN 20|06|**** B L JL PEMBANGUNAN GG PENDIDIKAN NO 12 000 000 0 0

215 1271211204****** 1271212911****** ALFREDY GINTING MANIK,DRS BERASTAGI 29|11|**** S L JL PEMBANGUNAN LR KABUNG NO 06 000 000 0 0

216 1271211204****** 1271214303****** ESNI NURLIANA HUTASOIT DRA KABANJAHE 03|03|**** S P JL PEMBANGUNAN LR KABUNG NO 06 000 000 0 0

217 1271211204****** 1206010512****** DICKY RAMADHAN JAKARTA 05|12|**** B L JL. PEMBANGUNAN GG. REJELI GG. BUNTU 000 000 0 0

218 1271211206****** 1206015103****** MARCELINA WAANG TONTE 11|03|**** S P SUSUK IV NO 09 000 000 0 0

219 1271211206****** 1206012106****** YUSTUS KAY DANTAR 21|06|**** S L SUSUK IV NO 09 000 000 0 0

220 1271211211****** 1271211910****** MUHSIN NASUTION MEDAN 19|10|**** S L JL PEMBANGUNAN/IKAHI I NO.08 000 000 0 0

221 1271211211****** 1271214404****** YATIK MANGGA DUA 04|04|**** S P JL PEMBANGUNAN/IKAHI I NO.08 000 000 0 0

222 1271211211****** 1271213103****** IKRAM SYAHPUTRA NASUTION MEDAN 31|03|**** B L JL PEMBANGUNAN/IKAHI I NO.08 000 000 0 0

223 1271211212****** 1271211709****** JAKUP SEMBIRING,DRS SEBERAYA 17|09|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 19 000 000 0 0

224 1271211212****** 1271214302****** SALAM BR BARUS BARUSJAHE 03|02|**** S P JL PEMBANGUNAN GG PENDIDIKAN NO 19 000 000 0 0

225 1271211212****** 1271210505****** JASAPUTRA S DEPARI MEDAN 05|05|**** S L JL PEMBANGUNAN GG PENDIDIKAN NO 19 000 000 0 0

226 1271211212****** 1271215801****** GEOVANNI DEPARI MEDAN 18|01|**** B P JL PEMBANGUNAN GG PENDIDIKAN NO 9 000 000 0 0

227 1271211212****** 1271217112****** CUKAI BR SEMBIRING PENAMPEN 31|12|**** P P JL PEMBANGUNAN NO 12 MEDAN 000 000 0 0

228 1271211212****** 1271212505****** RAHMAD ALWY SYAHPUTRA SAGALA MEDAN 25|05|**** B L JL PASAR II KOMP ICG NO BB-11 000 000 0 0

229 1271211302****** 1206070207****** DANA AGANTA GINTING JUHAR 16|10|**** S L JLN. PEMBANGUNAN GG. PENDIDIKAN NO. 10 000 000 0 0

230 1271211305****** 1271211908****** KELOR PERANGIN-ANGIN DRS KUTAMBARU 19|08|**** S L JL PEMBANGUNAN GG KARYA NO 23 000 000 0 0

231 1271211305****** 1271215111****** SITI BERLIAN DRA MEDAN 11|11|**** S P JL PEMBANGUNAN GG KARYA NO 23 000 000 0 0

232 1271211310****** 1271211602****** HEMAN ERWINTON TARIGAN MEDAN 16|02|**** B L JL PEMBANGUNAN GG KARYA NO 13 000 000 0 0

233 1271211312****** 1271213112****** ALI AMRIL MEDAN 31|12|**** S L JL. ABDHAKIM NO. 19 MEDAN 000 000 0 0

234 1271211312****** 1271215212****** SITI RAMANI PADANG 12|12|**** S P JL. ABDHAKIM NO. 19 MEDAN 000 000 0 0

235 1271211402****** 1271212502****** FERI BARUS MEDAN 25|02|**** B L JL PEMBANGUNAN GG SITEPU NO 60 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-023 238 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

236 1271211402****** 1271216409****** SRI MURNIATI SEMBIRING MEDAN 24|09|**** S P JLPEMBANGUNAN GG REJEKI NO2A 000 000 0 0

237 1271211402****** 1271150506****** KOK LIONG HWA ALS DARWO MEDAN 05|06|**** P L JL SMTK DALAM KOMP MANSYUR VILLAGE B 10 000 000 0 0

238 1271211402****** 1271157003****** VERAYANI KUSTI MEDAN 30|03|**** B P JL SMTK DALAM KOMP MANSYUR VILLAGE B 10 000 000 0 0

239 1271211402****** 1271154810****** DEVINA MEDAN 08|10|**** B P JL SMTK DALAM KOMP MANSYUR VILLAGE B 10 000 000 0 0

240 1271211406****** 1271214612****** SUSI YANTI BR BARUS MEDAN 06|12|**** S P JLPEMBANGUNAN GGKARYA NO 8 000 000 0 0

241 1271211406****** 1271211002****** ASPOL GINTING GURUKINAYAN 10|02|**** S L JLPEMBANGUNAN GGKARYA NO 8 000 000 0 0

242 1271211406****** 1271216012****** YOLANDA BR GINTING MEDAN 29|12|**** B P JLPEMBANGUNAN GGKARYA NO 8 000 000 0 0

243 1271211408****** 1271214204****** INDAHSARI SEMBIRING TIGA JUMPA 02|04|**** P P JL PEMBANGUNAN GG REJEKI NO 7 000 000 0 0

244 1271211408****** 1271210707****** BENNIS GINTING BOGOR 07|07|**** B L JL PEMBANGUNAN GG REJEKI NO 7 000 000 0 0

245 1271211410****** 1271216507****** SRY ULINA BR GINTING MEDAN 25|07|**** B P JLPEMBANGUNAN LR KABUNG NO16 000 000 0 0

246 1271211410****** 1271214704****** CHRISTI NELLA BR TARIGAN MEDAN 07|04|**** B P JL PEMBANGUNAN LR KABUNG NO 3 000 000 0 0

247 1271211410****** 1271211912****** CHRISTIAN HADINATA TARIGAN MEDAN 19|12|**** B L JL PEMBANGUNAN LR KABUNG NO 3 000 000 0 0

248 1271211503****** 1271210810****** RAHMAT KARYA GT TANJUNG MBELANG 08|10|**** S L JLPEMBANGUN GG SITEPU USU-56 000 000 0 0

249 1271211503****** 1271217009****** RIAH UKURTA SITEPU MEDAN 30|09|**** S P JLPEMBANGUN GG SITEPU USU-56 000 000 0 0

250 1271211503****** 1271215807****** JULIDA BR LINGGA MEDAN 18|07|**** S P JLPEMBANGUNAN NO 72 D 000 000 0 0

251 1271211503****** 1271211605****** PAIYAN TUMANGGOR ALAHAN LEBOH 16|05|**** S L JLPEMBANGUNAN NO 72 D 000 000 0 0

252 1271211503****** 1271214108****** ANANDA BR TUMANGGOR MEDAN 01|08|**** B P JLPEMBANGUNAN NO 72 D 000 000 0 0

253 1271211504****** 1271055306****** RASMI GINTING KMP.JUHAR 13|06|**** P P JL PEMBANGUNAN GG PRIBADI NO 3 000 000 0 0

254 1271211504****** 1271050110****** MUHAMMAD INDRA MEDAN 01|10|**** S L JL PEMBANGUNAN GG PRIBADI NO 3 000 000 0 0

255 1271211504****** 1271055706****** ELISABETH LIDIA TARIGAN KMP.MBETUNG 17|06|**** B P JL PEMBANGUNAN GG PRIBADI NO 3 000 000 0 0

256 1271211504****** 1271055004****** YOGITA APRILYANI MEDAN 10|04|**** B P JL PEMBANGUNAN GG PRIBADI NO 3 000 000 0 0

257 1271211508****** 1271210708****** HOTMATUA HUTAPEA, SE, MSi MEDAN 07|08|**** S L JL SUSUK II KOMP GERYA KAMPUS BLOK A NO 7 000 000 0 0

258 1271211508****** 1271210606****** LOUISE HANS NATHANAEL HUTAPEA MEDAN 06|06|**** B L JL SUSUK II KOMP GERYA KAMPUS BLOK A NO 7 000 000 0 0

259 1271211607****** 1271217112****** NAWARI BR GINTING KIDUPEN 31|12|**** P P JL PEMBANGUNAN NO 36 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-023 239 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

260 1271211701****** 1204016210****** ANGELICA SAFIRA NAZARA GUNUNG SITOLI 22|10|**** B P JLN ABDUL HAKIM PERUM ICON NO A 3 A 000 000 0 0

261 1271211707****** 1271215411****** MASIMAH BR SEBAYANG KARO 14|11|**** P P JL PEMBANGUNAN GG MERDEKA NO 14 000 000 0 0

262 1271211902****** 1271212610****** LAMBAS SIPAHUTAR SIPOHOLON 26|10|**** S L JL PEMBANGUNAN GG REJEKI NO.3 000 000 0 0

263 1271211902****** 1271214206****** MINAR BR SIRAIT PARAPAT 02|06|**** S P JL PEMBANGUNAN GG REJEKI NO.3 000 000 0 0

264 1271211904****** 1271177101****** HOTNITA DEBORA SIMBOLON PEMATANG BANGUN 31|01|**** B P JL.ABD HAKIM NO.23 000 000 0 0

265 1271212004****** 1271216909****** Ir. IDA ROYANI RANTAU PRAPAT 29|09|**** S P JL. ABDUL HAKIM GG. SUSUK XII NO. 51 000 000 0 0

266 1271212107****** 1208230906****** JUVENTIUS TANU JAYA MEDAN 09|06|**** B L JL. ABDUL HAKIM GG SUSUK NO. 5 000 000 0 0

267 1271212110****** 1271217112****** AKOR ASMITA BR TARIGAN SUSUK 31|12|**** S P SUSUK IV NO 7 A 000 000 0 0

268 1271212503****** 1271215206****** VICTORIA MAGDALENA BR GINTING BERASTAGI 12|06|**** P P JL PEMBANGUNAN GG KARYA NO 4 000 000 0 0

269 1271212509****** 1206032309****** ADE ANDREUS OLIMPY BANGUN TANJUNG BARUS 23|09|**** S L JL PEMBANGUNAN GG KARYA NO. 16 B 000 000 0 0

270 1271212708****** 1271104412****** TENGKU SALSABILLA RAHMADANI MEDAN 04|12|**** S P JL PEMBANGUNAN GG SITEPU NO 56-A MEDAN 000 000 0 0

271 1271212901****** 1272040905****** IRENO L D SIAHAAN SIANTAR 08|05|**** S L SUSUK 8 NO 10 000 000 0 0

272 1271212901****** 1271212509****** ABET NEGO S TARIGAN MEDAN 25|09|**** S L SUSUK IV NO 11 000 000 0 0

273 1271213008****** 1271214509****** RUSMALA DEWI S MEDAN 05|09|**** S P SUSUK IV 7-B 000 000 0 0

274 1271210606****** 1271211901****** PERWIRA PRAMANA BANGUN MEDAN 19|01|**** S L JL. ABD HAKIM GG. SUSUK V NO. 20 003 008 0 0

275 1271211512****** 1271215407****** ANNISA MAULIDA MEDAN 14|07|**** B P PERM INSAN CITA GRIYA BLOK- B NO. 2 004 008 0 0

276 1271212501****** 1271217007****** ELBINA DEBORA MEDAN 30|07|**** B P JL SUSUK GG SUSUK I NO 6 008 008 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 276 Jenis Kelamin = 276 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 108 L : Laki-Laki = 123 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 153 P : Perempuan = 153 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 15
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 118 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-023 240 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 024
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271071703****** 1271076412****** KARMILA WATI BR KARO MEDAN 24|12|**** B P JL ABDUL HAKIM NO 25 000 000 0 0

2 1271071703****** 1271076412****** KARNILA WATI MEDAN 24|12|**** B P JL ABDUL HAKIM NO 25 000 000 0 0

3 1271072910****** 1271072709****** ADELIN SYAHPUTRA KISARAN 27|09|**** S L JL ABD. HAKIM GG FAMILI NO 20 000 000 0 0

4 1271072910****** 1271077009****** HAIDANNUR NATAL 30|09|**** S P JL ABD. HAKIM GG FAMILI NO 20 000 000 0 0

5 1271092709****** 1271094411****** HILYAH HASYYATI RIZKY MEDAN 04|11|**** B P JL ABDUL HAKIM SUSUK IX NO 8 000 000 0 0

6 1271170805****** 1271171505****** WALBERT NAINGGOLAN TIGA BALATA 15|05|**** S L JL.ABDUL HAKIM SUSUK II NO.22 MEDAN 000 000 0 0

7 1271170805****** 1271174101****** SONDANG SITORUS PORSEA 01|01|**** S P JL.ABDUL HAKIM SUSUK II NO.22 MEDAN 000 000 0 0

8 1271210102****** 1271211804****** ISKANDAR TARIGAN CINGKES 18|04|**** S L JL BERDIKARI GG KELUARGA NO 9 000 000 0 0

9 1271210102****** 1271214108****** PELESTINA BR BARUS KABANJAHE 01|08|**** S P JL BERDIKARI GG KELUARGA NO 9 000 000 0 0

10 1271210102****** 1271212009****** EDY HARJONO GINTING S KABANJAHE 20|09|**** B L JL BERDIKARI GG KELUARGA NO 9 000 000 0 0

11 1271210102****** 1271210905****** MEISERA HARDINATA PUTRA TARIGAN MEDAN 09|05|**** B L JL BERDIKARI GG KELUARGA NO 9 000 000 0 0

12 1271210103****** 1271216610****** NURLINA TARIGAN, DRA KARO 26|10|**** P P JL ABDUL HAKIM GG SUSUK III NO 2 000 000 0 0

13 1271210103****** 1271211310****** RIO OKTAKARI SURBAKTI MEDAN 13|10|**** B L JL ABDUL HAKIM GG SUSUK III NO 2 000 000 0 0

14 1271210109****** 1271216301****** SURIATI BR SITEPU MEDAN 23|01|**** S P JL ABD HAKIM GG SUSUK IV NO 5 A 000 000 0 0

15 1271210110****** 1271210202****** PAHAM SEMBIRING TIGANDERKET 02|02|**** S L JL ABD HAKIM GG SUSUK V NO 6 000 000 0 0

16 1271210110****** 1271211501****** UJAK SAPUTRA SEMBIRING MEDAN 15|01|**** B L JL ABD HAKIM GG SUSUK V NO 6 000 000 0 0

17 1271210110****** 1271211009****** EKA SURANTA GINTING JAMBUR KARET 10|09|**** S L JL ABDUL HAKIM GG SUSUK V NO 35 000 000 0 0

18 1271210203****** 1271210302****** SETH SEMBIRING MUHAM KARO 03|02|**** S L JL ABD HAKIM GG SUSUK V NO 31 000 000 0 0

19 1271210203****** 1271214912****** SABAR MIN BANGUN MEDAN 09|12|**** S P JL ABD HAKIM GG SUSUK V NO 31 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-024 241 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210204****** 1271214706****** HOTMA ULY SIHITE SE MEDAN 07|06|**** S P JL ABDUL HAKIM GGSUSUK II NO 10 000 000 0 0

21 1271210204****** 1271210504****** SAPTA PRIGALI MEDAN 05|04|**** S L JL ABDUL HAKIM GGSUSUK II NO 10 000 000 0 0

22 1271210204****** 1271215504****** ROBIAH BR SURBAKTI MEDAN 15|04|**** S P JL.BERDIKARI GG KELUARGA NO.120 000 000 0 0

23 1271210204****** 1271210607****** LATDUN PERANGIN-ANGIN PERBULAN 06|07|**** S L JL.BERDIKARI GG KELUARGA NO.120 000 000 0 0

24 1271210205****** 1271211904****** PASANG SEMBIRING KARO 19|04|**** S L JLBERDIKARI PS I NO119 000 000 0 0

25 1271210206****** 1271217112****** JADIATE BR SITEPU MEDAN 31|12|**** P P JL SUSUK GG SUSUK V NO 33 000 000 0 0

26 1271210206****** 1271210702****** ARYANDY PUTRA PURBA MEDAN 07|02|**** B L JL SUSUK GG SUSUK V NO 33 000 000 0 0

27 1271210206****** 1271210203****** ROBINSON PURBA MEDAN 02|03|**** B L JL SUSUK GG SUSUK V NO 33 000 000 0 0

28 1271210206****** 1271214303****** ELISABETH MEDAN 03|03|**** B P JL SUSUK GG SUSUK V NO 33 000 000 0 0

29 1271210206****** 1271214704****** EMMA KRISTINA BR PURBA MEDAN 07|02|**** B P JL SUSUK GGSUSUK V NO 33 000 000 0 0

30 1271210206****** 1271215106****** JUWITA MARIA BR GINTING MEDAN 11|06|**** S P JL ABDUL HAKIM GG SUSUK V-26 000 000 0 0

31 1271210206****** 1271210211****** SABDA SENJA SURBAKTI MEDAN 02|11|**** S L JL ABDUL HAKIM GG SUSUK V-26 000 000 0 0

32 1271210206****** 1271211108****** SAMUEL ADITIA MAHANAIM S MEDAN 11|08|**** B L JL ABDUL HAKIM GG SUSUK V-26 000 000 0 0

33 1271210206****** 1271212510****** MIKHAEL KRISTIAN HAGANTA S MEDAN 25|10|**** B L JL ABDUL HAKIM GG SUSUK V-26 000 000 0 0

34 1271210207****** 1271211202****** JULIUS TARIGAN MEDAN 12|02|**** S L JL ABD HAKIM GG SUSUK V NO 23 000 000 0 0

35 1271210207****** 1271216003****** SURYANINGSIH BAHOROK 20|03|**** S P JL ABD HAKIM GG SUSUK V NO 23 000 000 0 0

36 1271210209****** 1271211602****** MANASE TARIGAN MEDAN 16|02|**** S L JL ABD HAKIM GG SUSUK I NO 8 000 000 0 0

37 1271210209****** 1271214804****** IDA ROS MERY BR SEMBIRING MEDAN 08|04|**** S P JL ABD HAKIM GG SUSUK I NO 8 000 000 0 0

38 1271210302****** 1271213008****** BERRY MAMANDA TARIGAN MEDAN 30|08|**** B L JL ABD HAKIM GG SUSUK IV NO 5 000 000 0 0

39 1271210303****** 1271217112****** KORAN BR TARIGAN T KARO 31|12|**** B P JL SUSUK GG SUSUK IV NO 7 000 000 0 0

40 1271210303****** 1271214508****** VIKHA PUTI MADANI MEDAN 05|08|**** B P PERUMAHAN INSAN CITA GRIYA BLOK-B3 000 000 0 0

41 1271210303****** 1271214911****** KARINA PUTI ADINI MEDAN 09|11|**** B P PERUMAHAN INSAN CITA GRIYA BLOK-B3 000 000 0 0

42 1271210304****** 1271211606****** BARNES DUMA L TOBING, ST MEDAN 16|06|**** S L JL ABD HAKIM GG SUSUK III NO 3 000 000 0 0

43 1271210304****** 1271216312****** SRI NATALIA SIBUEA, AMD MEDAN 23|12|**** S P JL ABD HAKIM GG SUSUK III NO 3 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-024 242 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210310****** 1217062804****** RONITAN M SINAGA LBN. NAHOT 28|04|**** B L JL. ABDUL HAKIM PSR I KOMPLEK ICG BLOK CG 000 000 0 0

45 1271210405****** 1271215502****** NENY ANGELINA BOGOR 15|02|**** S P JL BERDIKARI GG FAMILY NO 9 000 000 0 0

46 1271210405****** 1271211705****** DEDY HENDRA HUTABARAT SIPOHOLON 17|05|**** B L JL BERDIKARI GG FAMILY NO 9 000 000 0 0

47 1271210405****** 1271210707****** SAMION TARIGAN SE MEDAN 07|07|**** S L JL ABD HAKIM GG SUSUK V NO 5 000 000 0 0

48 1271210411****** 1271215904****** MARISA GINTING SUKATENDEL 19|04|**** S P JLN ABDUL HAKIM GG SUSUK V NO 4 000 000 0 0

49 1271210505****** 1271216904****** APLIDA E SINAGA TAMPOK KITE 29|04|**** B P JL ABD HAKIM KOMP INSAN CITA GRIYA BLOK-C NO 6 000 000 0 0

50 1271210508****** 1207230304****** JONATAN NOEL TARIGAN,SE MEDAN 03|04|**** S L JL.ABDUL HAKIM NO.17 MEDAN 000 000 0 0

51 1271210508****** 1207234511****** NOVERA LIMORIA,IR MEDAN 05|11|**** S P JL.ABDUL HAKIM NO.17 MEDAN 000 000 0 0

52 1271210508****** 1102024606****** MEGA SARTIKA PAKPAHAN TANAH BARU 06|06|**** B P JL.ABDUL HAKIM NO.17 MEDAN 000 000 0 0

53 1271210508****** 1207236707****** KRISTIN MUTIARA TARIGAN MEDAN 27|07|**** B P JL.ABDUL HAKIM NO.17 MEDAN 000 000 0 0

54 1271210510****** 1271212805****** MARUBA SIPAYUNG IR SILALAHI 28|05|**** S L JLABDUL HAKIM GSUSUK IX NO7 000 000 0 0

55 1271210510****** 1271214708****** RETINAH SARI SIRINGO-RINGO MEDAN 07|08|**** S P JLABDUL HAKIM GSUSUK IX NO7 000 000 0 0

56 1271210510****** 1271212608****** NICHOLAS ALFRED IRENIUS SIPAYUNG MEDAN 26|08|**** B L JLABDUL HAKIM GSUSUK IX NO7 000 000 0 0

57 1271210510****** 1271215104****** IMELDA MARIA ANGELA SIPAYUNG MEDAN 11|04|**** S P JLABDUL HAKIM GSUSUK IX NO7 000 000 0 0

58 1271210510****** 1271216209****** IRA VINCENTIA CYPRIANAS MEDAN 22|09|**** B P JL. ABDUL HAKIM GG. SUSUK IX NO. 7 000 000 0 0

59 1271210510****** 1271212411****** ANDREW NARO MARIO SIPAYUNG MEDAN 24|11|**** B L JLABDUL HAKIM GSUSUK IX NO7 000 000 0 0

60 1271210511****** 1271216003****** MALEM KERINA PANDIA MEDAN 20|03|**** S P JL ABD HAKIM GG SUSUK V NO 8 000 000 0 0

61 1271210511****** 1271212210****** SALMON SURBAKTI MEDAN 22|10|**** S L JL ABD HAKIM GG SUSUK V NO 8 000 000 0 0

62 1271210511****** 1218091708****** BENY MANDALA PUTRA HASIBUAN GALANG 17|08|**** B L JL ABDUL HAKIM GG SUSUK V NO 03 000 000 0 0

63 1271210512****** 1271213112****** SENTER SURBAKTI TANAH KARO 31|12|**** P L JL ABD HAKIM GG SUSUK V NO 15 000 000 0 0

64 1271210512****** 1271210803****** JAPET SURBAKTI MEDAN 08|03|**** S L JL ABD HAKIM GG SUSUK V NO 15 000 000 0 0

65 1271210512****** 1271215403****** BETTI REHULINA BR GINTING MEDAN 14|03|**** S P JL ABD HAKIM GG SUSUK V NO 15 000 000 0 0

66 1271210606****** 1271214811****** ROSLINA BR SITEPU, SE MEDAN 08|11|**** S P JL. ABD HAKIM GG. SUSUK V NO. 20 000 000 0 0

67 1271210608****** 1271215307****** DARNI BR SEMBIRING MEDAN 13|07|**** S P JL ABDUL HAKIM NO 21 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-024 243 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210611****** 1271212008****** VICTOR HOTMAN SIANIPAR, SE, AK, M.SAC. BINJAI 20|08|**** S L JL. ABD HAKIM GG. SUSUK III NO. 9 000 000 0 0

69 1271210611****** 1271215912****** SRI UKUR DEWANTI MEDAN 19|12|**** S P JL. ABD HAKIM GG. SUSUK III NO. 9 000 000 0 0

70 1271210611****** 1271216109****** RIMNA REGINA MEDAN 21|09|**** B P JL. ABD HAKIM GG. SUSUK III NO. 9 000 000 0 0

71 1271210611****** 1271216407****** CAROLINE MAWANTI MEDAN 24|07|**** B P JL. ABD HAKIM GG. SUSUK III NO. 9 000 000 0 0

72 1271210611****** 1271214906****** LITMULI BR GINTING KUTA GUGUNG 09|06|**** S P JL ABD HAKIM N0 5 MEDAN 000 000 0 0

73 1271210611****** 1271211706****** RAMSAI PURBA MEDAN 17|06|**** S L JL ABD HAKIM N0 5 MEDAN 000 000 0 0

74 1271210611****** 1271210907****** DYMAS FREPIAN PURBA MEDAN 09|07|**** B L JL ABD HAKIM N0 5 MEDAN 000 000 0 0

75 1271210611****** 1271212903****** PUTRA PURBA MEDAN 29|03|**** S L JL ABDUL HAKIM NO 5 000 000 0 0

76 1271210611****** 1271215706****** IRA SOFA TARIGAN SUGIHEN 17|06|**** S P JL ABDUL HAKIM NO 5 000 000 0 0

77 1271210612****** 1271216102****** SONDANG BR HUTAGAOL PEMATANG SIANTAR 21|02|**** S P JL BERDIKARI GG BERDIKARI BARU 000 000 0 0

78 1271210612****** 1271211401****** JHON PANDAPOTAN SIRINGO RINGO PEMATANG SIANTAR 14|01|**** B L JLBERDIKARI GG BERDIKARI BARU 000 000 0 0

79 1271210612****** 1271215201****** MELISA NURLIANA SIRINGO RINGO PEMATANG SIANTAR 12|01|**** B P JL BERDIKARI GG BERDIKARI BARU 000 000 0 0

80 1271210612****** 1271213107****** JOHANNES SIRINGO-RINGO PEMATANG SIANTAR 31|07|**** B L JL BERDIKARI GG BERDIKARI BARU 000 000 0 0

81 1271210612****** 1271214507****** VILLYA BUSYRA FICTIA LHOKSEUMAWE 05|07|**** B P PERUM ICG BLOK BB 6 000 000 0 0

82 1271210612****** 1271214105****** INTAN MEILIANA PUTRI LHOKSEUMAWE 01|05|**** B P PERUM ICG BLOK BB 6 000 000 0 0

83 1271210612****** 1271212210****** SARDIONTOM SILALAHI PANGURURAN 22|10|**** S L JL ABD HAKIM SUSUK II NO 14 000 000 0 0

84 1271210612****** 1271215508****** RINA SIMBOLON PANGURURAN 15|08|**** S P JL ABD HAKIM SUSUK II NO 14 000 000 0 0

85 1271210612****** 1271215306****** TETTY J C SIMBOLON SAMOSIR 13|06|**** B P JL ABD HAKIM SUSUK II NO 14 000 000 0 0

86 1271210612****** 1271212803****** KELVIN DANIEL SILALAHI MEDAN 28|03|**** B L JL ABD HAKIM SUSUK II NO 14 000 000 0 0

87 1271210702****** 1271215912****** MARIA MAGDALENA BR PURBA MEDAN 19|12|**** S P JL SUSUK GG SUSUK V NO 35 000 000 0 0

88 1271210704****** 1271214202****** RUMONDANG TOBING MEDAN 02|02|**** B P JL ABD HAKIM GG SUSUK III NO 3 000 000 0 0

89 1271210704****** 1271210806****** YESAYA SURBAKTI MEDAN 08|06|**** B L JL ABDUL HAKIM GG SUSUK V MEDAN 000 000 0 0

90 1271210704****** 1271211402****** PERDI PERNANDA SURBAKTI MEDAN 14|02|**** B L JL ABDUL HAKIM GG SUSUK V MEDAN 000 000 0 0

91 1271210706****** 1271214103****** PININTA LUMBAN TOBING TARUTUNG 01|03|**** P P JLABDUL HAKIM GG SUSUK 3 NO 1 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-024 244 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271210706****** 1271213009****** BOYMA DELVINO HUTAPEA MEDAN 30|09|**** B L JLABDUL HAKIM GG SUSUK 3 NO 1 000 000 0 0

93 1271210707****** 1271217112****** MAHDALENA BR TARIGAN SARAN PADANG 31|12|**** S P JL ABD HAKIM GG SUSUK V MEDAN 000 000 0 0

94 1271210707****** 1218142407****** IR.HULMAN HUTABARAT P.SIANTAR 24|07|**** S L ICON 3 NO 7-B 000 000 0 0

95 1271210707****** 1218146212****** VITRIANI NATALIA SIMATUPANG, SH SIANTAR 22|12|**** S P ICON 3 NO 7-B 000 000 0 0

96 1271210708****** 1271211005****** EFENDI SITEPU SUSUK 10|05|**** S L JL ABD HAKIM UJUNG NO 19 000 000 0 0

97 1271210708****** 1271217005****** HERLINA BR SEMBIRING MEDAN 30|05|**** S P JL ABD HAKIM UJUNG NO 19 000 000 0 0

98 1271210712****** 1271213110****** OCTA PRAMANA TARIGAN MEDAN 31|10|**** B L JL ABD HAKIM GG SUSUK V NO 24 000 000 0 0

99 1271210803****** 1271214506****** DRG HARIANI HELENA PURBA KABANJAHE 05|06|**** S P JL BERDIKARI BARU NO 4 MEDAN 000 000 0 0

100 1271210803****** 1271211507****** JOY ULUNA BANGUN MEDAN 15|07|**** B L JL BERDIKARI BARU NO 4 MEDAN 000 000 0 0

101 1271210808****** 1271215404****** FAULINA, SE, M.Si MEMBANG MUDA 14|04|**** S P PERM INSAN CITA GRIYA BLOK D 8 000 000 0 0

102 1271210810****** 1271212102****** JOSE ARMANDO BASTITUSTA PAKPAHAN MEDAN 21|02|**** B L ICG BLOK BB 14 000 000 0 0

103 1271210811****** 1271216812****** NURHAYATI BR BARUS MEDAN 28|12|**** P P JL ABDUL HAKIM GG SUSUK V NO 10 000 000 0 0

104 1271210811****** 1271212105****** EDI YUSAK SEMBIRING MEDAN 21|05|**** B L JL ABDUL HAKIM GG SUSUK V NO 10 000 000 0 0

105 1271210811****** 1271215812****** DESI NATALEA SEMBIRING MEDAN 18|12|**** B P JL ABDUL HAKIM GG SUSUK V NO 10 000 000 0 0

106 1271210811****** 1271214606****** JUWITA BR SURBAKTI MEDAN 06|06|**** S P JL ABDUL HAKIM GG SUSUK MEDAN 000 000 0 0

107 1271210811****** 1271212606****** BUDIMAN SEMBIRING MEDAN 26|06|**** S L JL ABDUL HAKIM GG SUSUK MEDAN 000 000 0 0

108 1271210811****** 1271210604****** JANSEN SURAPANA PUTRA SEMBIRING MEDAN 06|04|**** B L JL ABDUL HAKIM GG SUSUK MEDAN 000 000 0 0

109 1271210903****** 1271217112****** DJENDANGENA BR BANGUN TIGANDERKET 31|12|**** P P JL ABD HAKIM GG SUSUK V NO 5 000 000 0 0

110 1271210905****** 1271215206****** HEMAT SINULINGGA PARAPAT 12|06|**** P P JL ABDUL HAKIM GG SUSUK V NO 18 000 000 0 0

111 1271210908****** 1271215002****** BAIK BR TARIGAN TIGA NDERKET 10|02|**** S P JL ABDUL HAKIM GG SUSUK IV NO 7-B 000 000 0 0

112 1271210910****** 1271211610****** IDAMAN BANGUN MEDAN 16|10|**** S L JL ABDUL HAKIM SUSUK V NO 1 000 000 0 0

113 1271210910****** 1271214503****** ERNAWATY BR SURBAKTI TJ BELANG 05|03|**** S P JL ABDUL HAKIM SUSUK V NO 1 000 000 0 0

114 1271210910****** 1271211010****** IAN PRATAMA BANGUN MEDAN 10|10|**** B L JL ABDUL HAKIM SUSUK V NO 1 000 000 0 0

115 1271210910****** 1271210304****** HISKIA BANGUN MEDAN 03|04|**** B L JL ABDUL HAKIM SUSUK V NO 1 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-024 245 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271210910****** 1271214110****** CLAUDIA ANASTASYA BR BANGUN MEDAN 01|10|**** B P JL ABDUL HAKIM SUSUK V NO 1 000 000 0 0

117 1271210911****** 1271215110****** IDA MASRIKA TARIGAN MEDAN 11|10|**** B P JL ABD HAKIM GG SUSUK IV NO 11 000 000 0 0

118 1271211004****** 1271021403****** FRANS TOGI GULTOM BANDUNG 14|03|**** B L JL ABD HAKIM KOMP GRAND MADALINE NO 25 000 000 0 0

119 1271211004****** 1271114709****** BETTY PRATIWI SAMSIA HUTAPEA MEDAN 07|09|**** B P JL ABD HAKIM KOMP GRAND MADALINE NO 25 000 000 0 0

120 1271211007****** 1271217112****** LAPOSI BR SEMBIRING SUSUK 31|12|**** P P JL ABD HAKIM UJUNG NO 3 MEDAN 000 000 0 0

121 1271211007****** 1271213105****** RIOSA SURBAKTI MEDAN 31|05|**** B L JL ABD HAKIM UJUNG NO 3 MEDAN 000 000 0 0

122 1271211007****** 1271215303****** NONIWATI BR SURBAKTI MEDAN 13|03|**** B P JL ABD HAKIM UJUNG NO 3 MEDAN 000 000 0 0

123 1271211007****** 1271210907****** DEKING LIBRA SURBAKTI MEDAN 09|07|**** B L JL ABD HAKIM UJUNG NO 3 MEDAN 000 000 0 0

124 1271211007****** 1271210107****** SATRIONO PEMATANG SIANTAR 01|07|**** S L JL ABDUL HAKIM NO 2 MEDAN 000 000 0 0

125 1271211007****** 1271214408****** SUPIATI BAHUNG KAHEAN 04|08|**** S P JL ABDUL HAKIM NO 2 MEDAN 000 000 0 0

126 1271211007****** 1271214103****** PERHATIAN BR SURBAKTI SUKAMERIAH 01|03|**** S P JL ABD HAKIM GG SUSUK IV NO 7A 000 000 0 0

127 1271211011****** 1271210108****** ISMETSYAH SINULINGGA,SE TIGANDERKET 01|08|**** S L JL ABDUL HAKIM GG SUSUK V-37 000 000 0 0

128 1271211011****** 1271216110****** EMMY TRANG ULINA BR PERANGIN ANGIN BINJAI 21|10|**** S P JL ABDUL HAKIM GG SUSUK V-37 000 000 0 0

129 1271211012****** 1271215508****** TENGET KELIAT KARO 15|08|**** P P JL ABDUL HAKIM SUSUK II NO 2 000 000 0 0

130 1271211012****** 1271212801****** EBENNEZER BARUS MEDAN 28|01|**** B L JLSUSUK RAYA NO 29 000 000 0 0

131 1271211103****** 1271214601****** SESILIA TAMARA PUTRI BR BANGUN MEDAN 06|01|**** B P JL ABD HAKIM NO 7 000 000 0 0

132 1271211103****** 1207054804****** REHULINA BR SEMBIRING PANCUR BATU 08|04|**** B P JL ABDUL HAKIM NO 3-A 000 000 0 0

133 1271211104****** 1271210501****** SAMSAMI SEMBIRING PADANG 05|01|**** S L JL ABD HAKIM NO 2 KP SUSUK 000 000 0 0

134 1271211104****** 1271214109****** SAHARA BR SURBAKTI MEDAN 01|09|**** S P JL ABD HAKIM NO 2 KP SUSUK 000 000 0 0

135 1271211107****** 1271212404****** DINGIN SURBAKTI DRS MSI RIMOKAYU 24|04|**** S L JL ABD HAKIM GG SUSUK III NO 14 000 000 0 0

136 1271211107****** 1271214608****** ROSMITA BR SEMBIRING JUHAR 06|08|**** S P JL ABD HAKIM GG SUSUK III NO 14 000 000 0 0

137 1271211107****** 1271217112****** JABATAN BR TARIGAN BULUH NAMAN 31|12|**** S P JL BERDIKARI 000 000 0 0

138 1271211107****** 1271213112****** TON SURBAKTI GURU KINAYAN 31|12|**** S L JL BERDIKARI 000 000 0 0

139 1271211112****** 1271210407****** SAHMULIA TARIGAN MEDAN 04|07|**** S L JL ABD HAKIM GG SUSUK V NO 23 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-024 246 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271211112****** 1271211804****** YUDI PRAMANA TARIGAN MEDAN 18|04|**** B L JL ABD HAKIM GG SUSUK V NO 23 000 000 0 0

141 1271211201****** 1271215609****** CHANDRA AGNES GULTOM NIAS 16|09|**** B P KOMPLEK ICG BLOK CC NO 4 000 000 0 0

142 1271211201****** 1271072108****** ALFAN PRANATA PUTRA JAKARTA 21|08|**** B L JL ABD. HAKIM GG FAMILI NO 20 000 000 0 0

143 1271211201****** 1271075005****** ANANDA DONA MEILINDA MEDAN 10|05|**** B P JL ABD. HAKIM GG FAMILI NO 20 000 000 0 0

144 1271211202****** 1271212509****** SYAHPUTRA SEMBIRING MEDAN 25|09|**** S L JL ABDUL HAKIM GG SUSUK V NO 10 000 000 0 0

145 1271211205****** 1271212004****** FRANZ S H SITOMPUL, SH MEDAN 20|04|**** S L JL ABD HAKIM GG SUSUK II NO 16 000 000 0 0

146 1271211205****** 1271217101****** YETTI WILDAH MUNTHE MATITI HUTATUA 31|01|**** S P JL ABD HAKIM GG SUSUK II NO 16 000 000 0 0

147 1271211211****** 1271212312****** ALFI SYAHRIN RAMADHAN SIREGAR MEDAN 23|12|**** B L JL ABD HAKIM SUSUK IX NO 5 000 000 0 0

148 1271211301****** 1271214104****** BESTHERLINA BR MUNTHE MEREK 01|04|**** S P JL SUSUK IX NO 3 MEDAN 000 000 0 0

149 1271211302****** 1271211908****** FRORAMA GINTING BABO MEDAN 19|08|**** S L JL ABD HAKIM GG SUSUK IV NO 3 000 000 0 0

150 1271211302****** 1271216601****** IMELDA SIMANJUNTAK SIGUMPAR JULU 26|01|**** S P JL ABD HAKIM GG SUSUK IV NO 3 000 000 0 0

151 1271211304****** 1206085904****** AMENDA BR SEBAYANG KABANJAHE 19|04|**** B P JL ABD HAKIM GG SUSUK V NO 24 000 000 0 0

152 1271211304****** 1271212806****** RICO PRATAMA TARIGAN MEDAN 28|06|**** B L JL ABD HAKIM GG SUSUK V NO 24 000 000 0 0

153 1271211308****** 1271211909****** TERIP KABAN PAMAH 19|09|**** S L JL ABD HAKIM GG SUSUK V NO 36 MEDAN 000 000 0 0

154 1271211308****** 1271212408****** AGUSTINUS PURBA SH MEDAN 24|08|**** S L JL ABDUL HAKIM GG.SUSUK V 35 000 000 0 0

155 1271211308****** 1271217005****** MORINA BR GINTING JAMBUR KARET 30|05|**** S P JL ABDUL HAKIM GG.SUSUK V 35 000 000 0 0

156 1271211311****** 1271214805****** BUDIARI ESTER SIMATUPANG MEDAN 08|05|**** B P JL BERDIKARI BARU NO 4 MEDAN 000 000 0 0

157 1271211402****** 1271211508****** MISTAM TARIGAN PURWOJOYO 15|08|**** S L JL ABD HAKIM GG SUSUK V NO 24 000 000 0 0

158 1271211402****** 1271217112****** EMMY CRISTHYNA BR SEMBIRING MEDAN 31|12|**** S P JL ABD HAKIM GG SUSUK V NO 24 000 000 0 0

159 1271211411****** 1271211407****** PAULUS TARIGAN S, DRS KISARAN 14|07|**** S L JL ABDUL HAKIM GG SUSUK IV NO 2 000 000 0 0

160 1271211411****** 1271214412****** ESTER BR PURBA DAULU 04|12|**** S P JL ABDUL HAKIM GG SUSUK IV NO 2 000 000 0 0

161 1271211411****** 1271211011****** NICO ADONIA TARIGAN MEDAN 10|11|**** B L JL ABDUL HAKIM GG SUSUK IV NO 2 000 000 0 0

162 1271211501****** 1271211101****** JOHN FREDDY MEDAN 11|01|**** S L JL ABDUL HAKIM N0 21 MEDAN 000 000 0 0

163 1271211501****** 1271216407****** DANI RIMTA TARIGAN SE DELI TUA 24|07|**** S P JL ABDUL HAKIM N0 21 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-024 247 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271211503****** 1271215106****** PUTRI BR SIANTURI BUKIT KARO 11|06|**** S P JL BERDIKARI GG SAUDARA NO 5 000 000 0 0

165 1271211503****** 1271210304****** RICHARDO ROCHA GINTING BERASTAGI 03|04|**** B L JL BERDIKARI GG SAUDARA NO 5 000 000 0 0

166 1271211503****** 1271210711****** LEONARDO ROCHA GINTING BERASTAGI 07|11|**** B L JL BERDIKARI GG SAUDARA NO 5 000 000 0 0

167 1271211506****** 1271210309****** OTNIEL C D MEDAN 03|09|**** B L JLAHAKIM SUSUK II NO4 MEDAN 000 000 0 0

168 1271211507****** 1271216708****** IRAWATI BR GINTING MEDAN 27|08|**** S P JL ABDUL HAKIM GG. SUSUK NO. 33 000 000 0 0

169 1271211508****** 1271216303****** NELLY MENTINORA SINAMBELA, SH PEMATANG SIANTAR 23|03|**** S P JL SUSUK II KOMP GERYA KAMPUS BLOK A NO 7 000 000 0 0

170 1271211508****** 1271211810****** SISWANTO M T SINAMBELA, SH PEMATANG SIANTAR 18|10|**** B L JL SUSUK II KOMP GERYA KAMPUS BLOK A NO 7 000 000 0 0

171 1271211606****** 1271215003****** VICTORIA WULANDARI BR SIMARMATA MEDAN 10|03|**** B P JL ABD.HAKIM NO 29 MEDAN 000 000 0 0

172 1271211701****** 1204014704****** JUANGI K ZEBUA KUTARAJA 07|04|**** S P ICON A3A 000 000 0 0

173 1271211804****** 1206020210****** TEOPILUS GURUSINGA KABANJAHE 02|10|**** S L GG.SUSUK IV NO 5 000 000 0 0

174 1271211912****** 1271215211****** EVA ROSMAWATI LUMBAN TOBING MEDAN 12|11|**** S P JL ABD HAKIM GG SUSUK V NO 5 000 000 0 0

175 1271212004****** 1271211904****** PAHALA PARDOSI PEMATANG SIANTAR 19|04|**** S L JL. ABDUL HAKIM GG. SUSUK XII NO. 51 000 000 0 0

176 1271212006****** 1271210506****** HARLES LUMBANTOBING SIMANAMPANG 05|06|**** S L JL ABD HAKIM GG SUSUK IV NO 12 000 000 0 0

177 1271212006****** 1271214905****** NONA NAINGGOLAN BINTUNI 09|05|**** S P JL ABD HAKIM GG SUSUK IV NO 12 000 000 0 0

178 1271212007****** 1271216005****** PEHULIKEN BR GINTING SUGIHEN 20|05|**** S P JL ABD HAKIM GG SUSUK IV NO 11 000 000 0 0

179 1271212007****** 1271216503****** SERTA LINTA TARIGAN MEDAN 25|03|**** B P JL ABD HAKIM GG SUSUK IV NO 11 000 000 0 0

180 1271212007****** 1271213007****** SYEELWEM WILTON SEMBIRING KABANJAHE 30|07|**** B L JL ABD HAKIM GG SUSUK IV NO 11 000 000 0 0

181 1271212007****** 1271212408****** HENDRIK JHUHARTA TARIGAN MEDAN 24|08|**** B L JL ABD HAKIM GG SUSUK IV NO 11 000 000 0 0

182 1271212007****** 1271214601****** DHEA ALISHA MEDAN 06|01|**** B P JL ABD HAKIM PERUM ICG NO C 2 000 000 0 0

183 1271212009****** 1271215105****** PENDAPETTEN BR KARO, SE KUTA KEPAR 11|05|**** S P JL ABDUL HAKIM SUSUK IV NO 3 000 000 0 0

184 1271212009****** 1271212305****** ROMANTA SEMBIRING PELAWI MEDAN 23|05|**** S L JL ABDUL HAKIM SUSUK IV NO 3 000 000 0 0

185 1271212102****** 1271214303****** OSTER ELITA SURBAKTI MEDAN 03|03|**** S P JL ABDUL HAKIM GG SUSUK III 000 000 0 0

186 1271212104****** 1271214204****** ROSMIDA BANDAR 02|04|**** S P JL ABD HAKIM GG SUSUK VI NO 43 000 000 0 0

187 1271212104****** 1271210503****** EKO MENDRIS MALAU SERBELAWAN 05|03|**** B L JL ABD HAKIM GG SUSUK VI NO 43 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-024 248 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271212104****** 1271212705****** RENDY MALAU MEDAN 27|05|**** B L JL ABD HAKIM GG SUSUK VI NO 43 000 000 0 0

189 1271212105****** 1271211511****** RISJON KABAN PERNANTIN 15|11|**** S L JL.ABD HAKIM NO 23 000 000 0 0

190 1271212105****** 1271215804****** MARINA M KABAN MEDAN 18|04|**** B P JL.ABD HAKIM NO 23 000 000 0 0

191 1271212105****** 1271212212****** PRIANTA GINTING MEDAN 22|12|**** S L JL ABDUL HAKIM UJUNG SUSUK V NO 7 000 000 0 0

192 1271212105****** 1271217112****** OLLIVIA TRIANY SITEPU PALEMBANG 31|12|**** S P JL ABDUL HAKIM UJUNG SUSUK V NO 7 000 000 0 0

193 1271212108****** 1271211307****** JULIANUS BANGUN DRS MEDAN 13|07|**** S L JL ABD HAKIM GG SUSUK II NO 01 000 000 0 0

194 1271212108****** 1271214806****** REHMULIANA BR GINTING KIDUPEN 08|06|**** S P JL ABD HAKIM GG SUSUK II NO 01 000 000 0 0

195 1271212108****** 1271210107****** ENRICO FERMI ARAPENTA BANGUN MEDAN 01|07|**** B L JL ABD HAKIM GG SUSUK II NO 01 000 000 0 0

196 1271212111****** 1271210510****** LAMBOK SIAHAAN, dr BELAWAN 05|10|**** S L PRUMAHAN INSAN CITA GRIYA BLOK-D NO. 6 000 000 0 0

197 1271212112****** 1271022912****** DRS TOBAT KARO KARO LAU BALENG 29|12|**** S L JL ABDUL HAKIM NO 4 000 000 0 0

198 1271212112****** 1271026912****** EMELIA PELDIANI MEDAN 29|12|**** S P JL ABDUL HAKIM NO 4 000 000 0 0

199 1271212202****** 1271215505****** SITI MINUR BR SITOMPUL TARUTUNG 15|05|**** P P JL ABD HAKIM UJUNG GG GLORIA NO 5 000 000 0 0

200 1271212202****** 1271215511****** TETTY HUTAGALUNG MEDAN 15|11|**** B P JL ABD HAKIM UJUNG GG GLORIA NO 5 000 000 0 0

201 1271212202****** 1271024108****** HELGA THERESA TANJUNG PURA 01|08|**** B P JL ABD HAKIM KOMP GRAND MADALINE NO 25 000 000 0 0

202 1271212203****** 1271212706****** WANNER SIANTURI SIBOLGA 27|06|**** S L JL ABD HAKIM PERUM TAMAN KAMPUS INDAH NO 14 000 000 0 0

203 1271212203****** 1271211606****** DENY PUTRA SIANTURI MAYANG 16|06|**** B L JL ABD HAKIM PERUM TAMAN KAMPUS INDAH NO 14 000 000 0 0

204 1271212205****** 1271212303****** R PARADA HADI SIMATUPANG,SH MEDAN 23|03|**** S L JL BERDIKARI BARU NO 4 MEDAN 000 000 0 0

205 1271212205****** 1271214702****** BERTHA BOANG MANALU,IR TIGALINGGA 07|02|**** S P JL BERDIKARI BARU NO 4 MEDAN 000 000 0 0

206 1271212212****** 1271210412****** PROF SAID ABDULLAH ALWI ,MD.MSC MEDAN 04|12|**** S L JL ABD HAKIM GG SUSUK IX NO 2 000 000 0 0

207 1271212212****** 1218150503****** NASRUN SIREGAR SEI BELUTU 05|03|**** S L GRAND MEDALINE NO 5 000 000 0 0

208 1271212410****** 1271211010****** TURAH MALEM TARIGAN, SE PENAMPEN 10|10|**** S L JL ABD HAKIM NO 15 MEDAN 000 000 0 0

209 1271212410****** 1271215707****** SRI REJEKI BR PERANGINANGIN P. SIANTAR 17|07|**** S P JL ABD HAKIM NO 15 MEDAN 000 000 0 0

210 1271212502****** 1271214205****** DIANA BR SURBAKTI KARO 02|05|**** P P JL ABD HAKIM GG SUSUK V NO 6 000 000 0 0

211 1271212604****** 1271210603****** SUHANDI SEMBIRING MEDAN 06|03|**** S L JL ABD HAKIM GG SUSUK V NO 4 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-024 249 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271212809****** 1271151112****** SLAMET MULYANA DOMPU 11|12|**** S L ICG BLOK A/3 000 000 0 0

213 1271212903****** 1271053007****** JULIUS W SILITONGA PALEMBANG 30|07|**** S L JL.ABD HAKIM SUSUK 7 NO 1 000 000 0 0

214 0****** 1271215202****** ANISA SAFITRI MEDAN 12|02|**** B P JL.ABD HAKIM NO 19 000 000 0 0

215 1271211912****** 1271211412****** BENGET TUA SIMARMATA P SIANTAR 14|12|**** S L JL ABD HAKIM GG SUSUK V NO 5 008 000 0 0

216 1271211508****** 1271214507****** DEBORA IMELDA VALENTINA S PEMATANG SIANTAR 05|07|**** B P JL SUSUK II KOMP GERYA KAMPUS BLOK A NO 7 001 001 0 0

217 1271211605****** 1271215102****** HARIANI BENAMALEM BR GINTING MEDAN 11|02|**** S P JL ABDUL HAKIM UJUNG NO 9 003 002 0 0

218 1271211605****** 1271216905****** MONIKA TIARA BR KARO KABANJAHE 29|05|**** B P JL ABDUL HAKIM UJUNG NO 9 003 002 0 0

219 1271211603****** 1271217112****** ANNA BR PERANGIN-ANGIN TANAH KARO 31|12|**** P P JL ABD HAKIM GG SUSUK V NO.37 002 008 0 0

220 1271211603****** 1271211803****** SAMSUL BAHRI LUBIS, IR MEDAN 18|03|**** S L JL ABD HAKIM GG SUSUK V NO 37 002 008 0 0

221 1271211603****** 1271214106****** JUNIDA SINULINGGA, DR KABANJAHE 01|06|**** S P JL ABD HAKIM GG SUSUK V NO 37 002 008 0 0

222 1271211603****** 1271215004****** DHIYANISA NADHIRA LUBIS MEDAN 10|04|**** B P JL ABD HAKIM GG SUSUK V NO 37 002 008 0 0

223 1271211603****** 1271216510****** MAHRANISA MARAYA LUBIS MEDAN 25|10|**** B P JL ABD HAKIM GG SUSUK V NO 37 002 008 0 0

224 1271211603****** 1271210806****** HARTONDY S GUNAWAN P SIDEMPUAN 08|06|**** S L JL ABDUL HAKIM SUSUK IX NO 5 002 008 0 0

225 1271211603****** 1271214306****** TRI SETIYANI BANYUMAS 03|06|**** S P JL ABDUL HAKIM SUSUK IX NO 5 002 008 0 0

226 1271211604****** 1271215111****** KENAL BR BANGUN KARO 11|11|**** P P JL ABDUL HAKIM GG SUSUK IV NO 13 002 008 0 0

227 1271211605****** 1271211512****** MARTIN KARO KARO, SE MEDAN 15|12|**** S L JL ABDUL HAKIM UJUNG NO 9 002 008 0 0

228 1271212106****** 1271217112****** PEHULIKEN BR KELIAT TANAH KARO 31|12|**** P P JL ABDUL HAKIM NO 17 MEDAN 002 008 0 0

229 1271211606****** 1271215101****** RIPKA BR SEMBIRING MEDAN 11|01|**** S P JL ABD.HAKIM NO 29 MEDAN 003 008 0 0

230 1271211606****** 1271212405****** TIMBUL SIMARMATA TONGGING 24|05|**** S L JL ABD.HAKIM NO 29 MEDAN 003 008 0 0

231 1271211606****** 1271215805****** MEY RANI MEDAN 18|05|**** S P JL ABDUL HAKIM GG SUSUK V NO 3 003 008 0 0

232 1271211702****** 1271210107****** RUBEN HUTAGALUNG MEDAN 01|07|**** S L JL ABD HAKIM UJUNG GG GLORIA NO 5 003 008 0 0

233 1271211703****** 1271212307****** RIDWAN MANIK BRASTAGI 23|07|**** S L JL BERDIKARI GG FAMILI NO 131 003 008 0 0

234 1271211703****** 1271215112****** NAYVA BR GINTING TIGA BINANGA 11|12|**** S P JL BERDIKARI GG FAMILI NO 131 003 008 0 0

235 1271211711****** 1271216310****** OLYVIA MIARISA S PELAWI MEDAN 23|10|**** B P JL ABDUL HAKIM NO 27 MEDAN 003 008 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-024 250 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

236 1271211711****** 1271216409****** RATNI BR SURBAKTI MEDAN 24|09|**** P P JL ABD HAKIM GG SUSUK II NO 2 003 008 0 0

237 1271211711****** 1271210804****** FRANSIUS SEMBIRING MEDAN 08|04|**** B L JL ABD HAKIM GG SUSUK II NO 2 003 008 0 0

238 1271211711****** 1271212811****** FIRDAUS SEMBIRING MEDAN 28|11|**** B L JL ABD HAKIM GG SUSUK II NO 2 003 008 0 0

239 1271211711****** 1271215609****** UNGGUNITA SEMBIRING MEDAN 16|09|**** S P JL ABDUL HAKIM UJUNG NO 29 003 008 0 0

240 1271211711****** 1271210710****** JAMERSON SARAGIH BAYO TONGAH 07|10|**** S L JL ABDUL HAKIM UJUNG NO 29 003 008 0 0

241 1271211711****** 1271212901****** LUCKY IMANUEL SIANTURI MAYANG 29|01|**** B L JL ABD HAKIM PERUM TAMAN KAMPUS INDAH NO 14 003 008 0 0

242 1271211802****** 1271215610****** BASINGAN SURBAKTI TANAH KARO 16|10|**** P P JL. ABD HAKIM GG. SUSUK V NO. 3 003 008 0 0

243 1271211803****** 1271212103****** FRANANTA SEMBIRING MEDAN 21|03|**** B L JL ABD HAKIM GG SUSUK II NO 2 003 008 0 0

244 1271211804****** 1271212703****** REYGERY SWARSEAGA S DEPARI MEDAN 27|03|**** B L JL ABDUL HAKIM GG SUSUK II NO 18 003 008 0 0

245 1271211804****** 1271216608****** FRISCA NATALINA BR TARIGAN MEDAN 26|08|**** B P JL ABDUL HAKIM GG SUSUK IV NO 05 003 008 0 0

246 1271211810****** 1271217110****** HERLINA HERAWATI SEMBIRING P.SIDEMPUAN 31|10|**** S P JLN ABD HAKIM GG SUSUK V NO 8 003 008 0 0

247 1271212004****** 1271210110****** JUSTINUS LIASTA PINEMIR P.BRANDAN 01|10|**** B L JL BERDIKARI III NO 120 MEDAN 003 008 0 0

248 1271212007****** 1271212106****** NELSON TARIGAN SUGIHEN 21|06|**** S L JL ABD HAKIM GG SUSUK IV NO 11 003 008 0 0

249 1271211902****** 1271217112****** REMPAH BR TARIGAN KARO 31|12|**** P P JL ABD HAKIM GG SUSUK V NO 27 004 008 0 0

250 1271211903****** 1271211002****** JAPET BANGUN SH MEDAN 10|02|**** S L JL ABD HAKIM KP SUSUK V NO 1 004 008 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 250 Jenis Kelamin = 250 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 96 L : Laki-Laki = 121 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 137 P : Perempuan = 129 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 17
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 136 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-024 251 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 025
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271210305****** 1271212308****** AGUSTINUS BRANDAN PINEM P.BRANDAN 23|08|**** S L JL BERDIKARI III NO 120 MEDAN 000 000 0 0

2 1271210511****** 1271216907****** SRI REHULINA MEDAN 29|07|**** B P JL ABDUL HAKIM GG SUSUK V NO 03 000 000 0 0

3 1271210607****** 1271056207****** NURUL HAJ VANY SITEPU TG.GADING 22|07|**** B P JL ABDUL HAKIM NO 61 000 000 0 0

4 1271210607****** 1271170101****** MUHAMMAD REZA MEDAN 01|01|**** B L JL ABDUL HAKIM NO 61 000 000 0 0

5 1271210703****** 1271210812****** MARDAUS PURBA SINGA 08|12|**** S L JL ABDUL HAKIM GG SUSUK I NO 10 000 000 0 0

6 1271210703****** 1271215809****** LENNARIA L TARIGAN SARAN PADANG 18|09|**** S P JL ABDUL HAKIM GG SUSUK I NO 10 000 000 0 0

7 1271210806****** 1271171002****** REZEKI HUTABARAT SILANGKITANG 10|02|**** S L JL BERDIKARI GG FAMILY NO 19 000 000 0 0

8 1271210806****** 1271214609****** MASRIA CAROLINA TAMPUBOLON SAIT NIHUTA 06|09|**** S P JL BERDIKARI GG FAMILY NO 19 000 000 0 0

9 1271210808****** 1271211208****** BOTTOR PASARIBU, MM MEDAN 12|08|**** S L JL BERDIKARI KOMP GRIYA KAMPUS BLOK C-3 000 000 0 0

10 1271210808****** 1271215302****** EVELINA BRUTU,SH TEBING TINGGI 13|02|**** S P JL BERDIKARI KOMP GRIYA KAMPUS BLOK C-3 000 000 0 0

11 1271211401****** 1271215002****** AYU MONAWIT SIBUEA PEMATANG SIANTAR 10|02|**** B P JL BERDIKARI GG FAMILI NO 163 000 000 0 0

12 1271212003****** 1271215004****** PUTRI AFRISKA MEDAN 10|04|**** S P JL ABDUL HAKIM GG SUSUK V NO 22 000 000 0 0

13 1271212004****** 1271216109****** DHARMA MARTINA TARIGAN JUHAR 21|09|**** S P JL BERDIKARI III NO 120 MEDAN 000 000 0 0

14 1271212008****** 1271211209****** ERWIN SINAGA SP TOBASA 12|09|**** S L KOMP ICG BLOK-CC NO 8 MEDAN 000 000 0 0

15 1271212008****** 1271046707****** JULIANA MARGARETA SIDABUTAR MEDAN 27|07|**** S P KOMP ICG BLOK-CC NO 8 MEDAN 000 000 0 0

16 1271212008****** 1271053008****** DEDDY PRATAMA PUTRA MEDAN 30|08|**** B L KOMP TAMAN KAMPUS INDAH NO 6 000 000 0 0

17 1271212009****** 1271171464****** GEMBIRA TARIGAN BUNGA BARU 14|04|**** S L JL BERDIKARI NO 119 000 000 0 0

18 1271212009****** 1271173802****** LISA BR TARIGAN MEDAN 18|02|**** S P JL BERDIKARI NO 119 000 000 0 0

19 1271212009****** 1271175704****** GITA KARINA MEDAN 17|04|**** B P JL BERDIKARI NO 119 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-025 252 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271212009****** 1271171007****** ARYANDI TARIGAN MEDAN 10|07|**** B L JL BERDIKARI NO 119 000 000 0 0

21 1271212012****** 1271210309****** ALDO MORO SIMBOLON LUMBANRAJA I 03|09|**** S L JL ABD HAKIM SUSUK II NO 14 000 000 0 0

22 1271212012****** 1271216203****** DAMEWATI JAKARTA 22|03|**** S P JL ABD HAKIM SUSUK II NO 14 000 000 0 0

23 1271212102****** 1271211905****** PAHAM GINTING, PROF, DR, MS KABANJAHE 19|05|**** S L PERUM ICG BLOK CC NO 2 000 000 0 0

24 1271212102****** 1271214412****** ROSDAMENTA BR BANGUN,SH MEDAN 04|12|**** S P PERUM ICG BLOK CC NO 2 000 000 0 0

25 1271212102****** 1271211507****** FELIX PERMANA GINTING,SE KABANJAHE 15|07|**** B L PERUM ICG BLOK CC NO 2 000 000 0 0

26 1271212104****** 1271211811****** H AL IKHSAN NASUTION SH PADANG SIDEMPUAN 18|11|**** P L KOMP TAMAN KAMPUS INDAH NO 6 000 000 0 0

27 1271212104****** 1271196411****** HJ INANTA AIDA LUBIS,DRA KUALA 24|11|**** S P KOMP TAMAN KAMPUS INDAH NO 6 000 000 0 0

28 1271212108****** 1271216409****** NINA AMELYA BANGUN SE TIGA BINANGA 24|09|**** B P JL ABD HAKIM GG SUSUK II NO 01 000 000 0 0

29 1271212108****** 1271216311****** KAREN REYOLIANDA BANGUN INDRAPURA 23|11|**** B P JL ABD HAKIM GG SUSUK II NO 01 000 000 0 0

30 1271212108****** 1271214305****** HERATANIA BANGUN NAMO TRASI 03|05|**** B P JL ABD HAKIM GG SUSUK II NO 01 000 000 0 0

31 1271212110****** 1271210407****** R STEPANUS SURBAKTI KABANJAHE 04|07|**** S L JL SUSUK GG SUSUK IV NO 7 A 000 000 0 0

32 1271212202****** 1271021603****** MANGASA TUA GULTOM LUMBANRI 16|03|**** S L JL ABD HAKIM KOMP GRAND MADALINE NO 25 000 000 0 0

33 1271212202****** 1271024701****** POIBE SIJABAT TIGA DOLOK 07|01|**** S P JL ABD HAKIM KOMP GRAND MADALINE NO 25 000 000 0 0

34 1271212205****** 1271211511****** MAHADI DANIEL SIMATUPANG MEDAN 15|11|**** B L JL BERDIKARI BARU NO 4 MEDAN 000 000 0 0

35 1271212205****** 1271210401****** MAHAGILANG AGUNGLOT SIMATUPANG MEDAN 04|01|**** B L JL BERDIKARI BARU NO 4 MEDAN 000 000 0 0

36 1271212208****** 1271211908****** JUNAIDI SEMBIRING MEDAN 19|08|**** S L JL ABDUL HAKIM NO 29 000 000 0 0

37 1271212208****** 1271217012****** LISKEN MARPAUNG P. SIANTAR 30|12|**** S P JL ABDUL HAKIM NO 29 000 000 0 0

38 1271212208****** 1271211111****** JUAN FRANS NATANAEL BEKASI 11|11|**** B L JL ABDUL HAKIM NO 29 000 000 0 0

39 1271212208****** 1271212807****** YAHYA BAPTIS SAHPUTRA KETAREN TALUN KENAS 28|07|**** S L JL ABD HAKIM GG SUSUK V NO 27 000 000 0 0

40 1271212208****** 1271217112****** ERNI SRI ULINA SEMBIRING MEDAN 31|12|**** S P JL ABD HAKIM GG SUSUK V NO 27 000 000 0 0

41 1271212208****** 1271021210****** WIDO WARSONO MEDAN 12|10|**** S L JL ABDUL HAKIM GG SUSUK II NO B 9 000 000 0 0

42 1271212208****** 1271024903****** HASNAH MAGDALENA VAU P. SIANTAR 09|03|**** S P JL ABDUL HAKIM GG SUSUK II NO B 9 000 000 0 0

43 1271212208****** 1271024108****** HENING KINASIH P. SIANTAR 01|08|**** B P JL ABDUL HAKIM GG SUSUK II NO B 9 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-025 253 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271212212****** 1271210509****** SAID MASYHUR JAK-PUS 05|09|**** B L JL ABD HAKIM GG SUSUK IX NO 2 000 000 0 0

45 1271212212****** 1271210501****** LIMJAN B SILALAHI PALIPI 05|01|**** S L JL ABD HAKIM SUSUK II NO 14 000 000 0 0

46 1271212212****** 1271174504****** CHRISTINA CAROLINA SIANTURI BANDAR SELAMAT 05|04|**** S P JL ABD HAKIM SUSUK II NO 14 000 000 0 0

47 1271212212****** 1207284408****** SUSANTI AUGUSTINA TAMBUNAN LUBUK PAKAM 04|08|**** B P JL ABD HAKIM GG SUSUK 13 PRUM GRAND MEDALINE NO 5 000 000 0 0

48 1271212301****** 1271023108****** AMAL SEMBIRING SUKABABO 31|08|**** S L JL ABDUL HAKIM NO 4 000 000 0 0

49 1271212301****** 1271214205****** DINA ERBINA BANGUN MEDAN 02|05|**** S P JL ABDUL HAKIM NO 4 000 000 0 0

50 1271212303****** 1271211002****** NASIB PANJAITAN PINTUBATU 10|02|**** S L JL ABDUL HAKIM GG FAMILI NO 16 000 000 0 0

51 1271212303****** 1271215012****** TIURMAULI NATALINA HUTABARAT MEDAN 10|12|**** S P JL ABDUL HAKIM GG FAMILI NO 16 000 000 0 0

52 1271212304****** 1271211211****** NOVA GINTING T.MBELANG 12|11|**** S L JL ABD HAKIM SUSUK III NO 14 000 000 0 0

53 1271212304****** 1271216811****** DIANOVA SURBAKTI, SE, SPd MEDAN 28|11|**** S P JL ABD HAKIM SUSUK III NO 14 000 000 0 0

54 1271212304****** 1271020604****** SYIRIL ERWIN MEDAN 06|04|**** S L KOMP ICON 3 NO B-05 MEDAN 000 000 0 0

55 1271212304****** 1271174109****** PUTRI CHAIRANI EYANOER MEDAN 01|09|**** S P KOMP ICON 3 NO B-05 MEDAN 000 000 0 0

56 1271212312****** 1271211012****** HELMI SIGLI 10|12|**** S L PERINSAN CITA GRIYA BLOK E- 000 000 0 0

57 1271212402****** 1271215605****** SUMITA INDAYANI SIHOMBING DRA P. SIANTAR 16|05|**** P P JL BERDIKARI BARU NO 1 MEDAN 000 000 0 0

58 1271212405****** 1271217112****** AMINAH MARIAM BR SITEPU KABANJAHE 31|12|**** P P JL. BERDIKARI NO. 124 000 000 0 0

59 1271212408****** 1271214906****** HANA WINDA SARAGIH MEDAN 09|06|**** B P JL ABD HAKIM GG SUSUK V no.39 MEDAN 000 000 0 0

60 1271212408****** 1271214503****** ELVI HADRIANY, SP P.BRANDAN 05|03|**** B P JL PERUMAHAN ICG BLOK BB- 8 000 000 0 0

61 1271212409****** 1271216812****** ERNITA SURBAKTI MEDAN 28|12|**** S P JL ABDUL HAKIM GANG SUSUK II NO 2 000 000 0 0

62 1271212409****** 1271210408****** LEOGUSTIN S DEPARI MEDAN 04|08|**** S L JL ABDUL HAKIM GANG SUSUK II NO 2 000 000 0 0

63 1271212410****** 1271216303****** REGINA PINDONTA BR TARIGAN P. SIANTAR 23|03|**** B P JL ABD HAKIM NO 15 MEDAN 000 000 0 0

64 1271212411****** 1271212503****** TUMPANULI MARBUN SH MH PARBOTIHAN 25|03|**** S L JL ABDUL HAKIM GG SUSUK VIII NO 4 MEDAN 000 000 0 0

65 1271212411****** 1271216307****** ROSTINA MANURUNG SH SIMALUNGUN 23|07|**** S P JL ABDUL HAKIM GG SUSUK VIII NO 4 MEDAN 000 000 0 0

66 1271212411****** 1271210406****** ANJU GOLDMOREASI M TIMTIM 04|06|**** B L JL ABDUL HAKIM GG SUSUK VIII NO 4 MEDAN 000 000 0 0

67 1271212411****** 1271215501****** LUYA INDRI ROMAULI M TRNGGALEK 15|01|**** B P JL ABDUL HAKIM GG SUSUK VIII NO 4 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-025 254 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271212504****** 1271212903****** YUSUP SEMBIRING PENAMPEN 29|03|**** S L JL ABDUL HAKIM UJUNG NO 29 000 000 0 0

69 1271212504****** 1271214506****** ERLINAWATI PARU KEUDE 05|06|**** S P JL BERDIKARI GG FAMILI NO 11 000 000 0 0

70 1271212504****** 1271215009****** PUTRI MAULIZA FONNA BEUREUNEN 10|09|**** B P JL BERDIKARI GG FAMILI NO 11 000 000 0 0

71 1271212504****** 1271210403****** DANIELTA SEMBIRING MEDAN 04|03|**** S L JL ABD HAKIM GG SUSUK V NO 18 000 000 0 0

72 1271212504****** 1271134404****** RATNA SARI BR SITEPU BELAWAN 04|04|**** S P JL ABD HAKIM GG SUSUK V NO 18 000 000 0 0

73 1271212505****** 1271210505****** JEREMIA SEMBIRING SH MEDAN 05|05|**** S L JL ABDUL HAKIM GG SUSUK IV-17 000 000 0 0

74 1271212505****** 1271216702****** RIBKA NURSERI BR TARIGAN MEDAN 27|02|**** S P JL ABDUL HAKIM GG SUSUK IV-17 000 000 0 0

75 1271212505****** 1271216612****** EVI DESFAUZA SOLOK 26|12|**** P P PERUM TAMAN KAMPUS INDAH NO3 000 000 0 0

76 1271212505****** 1271215502****** DINA SILVIA ROZA MEDAN 15|02|**** B P PERUM TAMAN KAMPUS INDAH NO3 000 000 0 0

77 1271212505****** 1271211705****** DELFI ANDRE EDDY PUTRA MEDAN 17|05|**** B L PERUM TAMAN KAMPUS INDAH NO3 000 000 0 0

78 1271212505****** 1271214801****** FANNY AULIA PUTRI MEDAN 08|01|**** B P PERUM TAMAN KAMPUS INDAH NO3 000 000 0 0

79 1271212507****** 1271210406****** DASARTA SEMBIRING, BA MEDAN 04|06|**** S L JL ABDUL HAKIM GG SUSUK V NO.30 000 000 0 0

80 1271212507****** 1271215911****** MAGDALENA BR SURBAKTI KARO 19|11|**** S P JL ABDUL HAKIM GG SUSUK V NO.30 000 000 0 0

81 1271212507****** 1271216709****** NOVITA SEPTRIANI BR SEMBIRING MEDAN 27|09|**** B P JL ABDUL HAKIM GG SUSUK V NO.30 000 000 0 0

82 1271212507****** 1271213009****** NOVRIZAL ADITYA SEMBIRING MEDAN 30|09|**** B L JL ABDUL HAKIM GG SUSUK V NO.30 000 000 0 0

83 1271212507****** 1271212903****** R A IRMA GERRY MEDAN 29|03|**** B L JL ABDUL HAKIM GG SUSUK V NO.30 000 000 0 0

84 1271212507****** 1271215802****** MAGDALENA F SISCA L TOBING MEDAN 18|02|**** S P JLAHAKIM GGSUSUK III NO3-A 000 000 0 0

85 1271212508****** 1271211706****** YAKIN SELAMAT PURBA MEDAN 17|06|**** S L JL SUSUK RAYA NO 3 A 000 000 0 0

86 1271212508****** 1271214302****** FERYANITA BR BANGUN MEDAN 03|02|**** S P JL SUSUK RAYA NO 3 A 000 000 0 0

87 1271212509****** 1271216611****** DAMERIA HUTAPEA BALIGE 26|11|**** P P JL ABDUL HAKIM SUSUK 6 NO 3 000 000 0 0

88 1271212510****** 1271216010****** UKURMIN BR BANGUN MEDAN 20|10|**** S P JLNABDUL HAKIM GG SUSUK V-4 000 000 0 0

89 1271212510****** 1271211012****** HERDIANUS SURBAKTI MEDAN 10|12|**** B L JLNABDUL HAKIM GG SUSUK V-4 000 000 0 0

90 1271212510****** 1271217108****** HENITHA SURBAKTI, SPd MEDAN 31|08|**** B P JLNABDUL HAKIM GG SUSUK V-4 000 000 0 0

91 1271212510****** 1271214206****** HELLARIA SURBAKTI, AMd MEDAN 02|06|**** B P JLNABDUL HAKIM GG SUSUK V-4 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-025 255 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271212510****** 1271211204****** RONDANG TAMBUN TARUTUNG 12|04|**** S L JL ABDUL HAKIM GG SUSUK III NO 10 000 000 0 0

93 1271212510****** 1271216610****** YANTI TOBERIA HUTAPEA, SH SIBOLGA 26|10|**** S P JL ABDUL HAKIM GG SUSUK III NO 10 000 000 0 0

94 1271212510****** 1271212005****** RENCANA PINEM JUHAR 20|05|**** S L JL BERDIKARI NO 126 MEDAN 000 000 0 0

95 1271212510****** 1271214708****** ROSMERITA BR GINTING JUHAR 07|08|**** S P JL BERDIKARI NO 126 MEDAN 000 000 0 0

96 1271212510****** 1271216404****** RIZAREVITA BR PINEM MEDAN 24|04|**** B P JL BERDIKARI NO 126 MEDAN 000 000 0 0

97 1271212511****** 1271216605****** NAOMI GINTING MEDAN 26|05|**** S P JL ABD HAKIM GG SUSUK II NO 8 000 000 0 0

98 1271212601****** 1271210304****** M IWAN HARAHAP MEDAN 03|04|**** B L COMP ICG NO 9 MEDAN 000 000 0 0

99 1271212601****** 1271211603****** LENIN BARUS BSC KABANJAHE 16|03|**** S L PERUM ICG BLOK CC NO 19 000 000 0 0

100 1271212601****** 1271214112****** NURLIANI HUTAGALUNG AEK TOLANG 01|12|**** S P PERUM ICG BLOK CC NO 19 000 000 0 0

101 1271212601****** 1271216501****** LYDIA ESTERLITA BARUS PEMATANG SIANTAR 25|01|**** B P PERUM ICG BLOK CC NO 19 000 000 0 0

102 1271212602****** 1271214908****** AGUSMAWATY NDRURU NIAS 09|08|**** B P JL.ABD.HAKIM GG SUSUK III 000 000 0 0

103 1271212602****** 1271216510****** ROBIANTA SURBAKTI T.KARO 25|10|**** B L JL.ABD.HAKIM GG SUSUK V NO. 7 000 000 0 0

104 1271212603****** 1271212909****** LEKET TARIGAN MEDAN 29|09|**** S L JL ABD HAKIM GG SUSUK I NO 8 000 000 0 0

105 1271212603****** 1271214209****** BUNGARIA BR SEMBIRING PENAMPEN 02|09|**** S P JL ABD HAKIM GG SUSUK I NO 8 000 000 0 0

106 1271212603****** 1271210504****** ELIEZER TARIGAN MEDAN 05|04|**** B L JL ABD HAKIM GG SUSUK I NO 8 000 000 0 0

107 1271212603****** 1271212706****** KEVIN MENSAH TARIGAN MEDAN 27|06|**** B L JL ABD HAKIM GG SUSUK I NO 8 000 000 0 0

108 1271212603****** 1271212902****** YUNUS EGIA PUTRA TARIGAN MEDAN 29|02|**** B L JL ABD HAKIM GG SUSUK I NO 8 000 000 0 0

109 1271212603****** 1271215312****** DIENCE KALESARAN PABATU 13|12|**** S P JL ABDUL HAKIM PERUM TAMAN KAMPUS INDAH NO 13 000 000 0 0

110 1271212603****** 1271211505****** MEGGY RENALDO DUMAIS MEDAN 15|05|**** B L JL ABDUL HAKIM PERUM TAMAN KAMPUS INDAH NO 13 000 000 0 0

111 1271212603****** 1271213010****** RENDI OKTAVIANUS D. MEDAN 30|10|**** B L Jl. Abdul Hakim No 3 000 000 0 0

112 1271212603****** 7106093010****** RENDY OCTAVIANUS DUMAIS MEDAN 30|10|**** B L JL ABDUL HAKIM PERUM TAMAN KAMPUS INDAH NO 13 000 000 0 0

113 1271212603****** 1271215112****** DEISY CHRISTINE DUMAIS MEDAN 11|12|**** B P JL ABDUL HAKIM PERUM TAMAN KAMPUS INDAH NO 13 000 000 0 0

114 1271212603****** 1271212305****** RUDYWAN SARAGIH MEDAN 23|05|**** S L JL ABD HAKIM GG SUSUK V MEDAN 000 000 0 0

115 1271212603****** 1271215705****** SERUPA BR SEMBIRING LAU BALENG 17|05|**** S P JL ABD HAKIM GG SUSUK V MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-025 256 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271212603****** 1271214106****** HENNY NATALI BR SARAGIH MEDAN 01|06|**** B P JL ABD HAKIM GG SUSUK V MEDAN 000 000 0 0

117 1271212604****** 1271213012****** RAJIN SEMBIRING MEDAN 30|12|**** S L JL ABD HAKIM GG SUSUK V NO 3 000 000 0 0

118 1271212604****** 1271216006****** TERINGANI BR BARUS BANDAR BARU 20|06|**** S P JL ABD HAKIM GG SUSUK V NO 3 000 000 0 0

119 1271212604****** 1271215101****** GINAH KERAWANG 11|01|**** S P JL ABDUL HAKIM GG SUSUK V NO 4 000 000 0 0

120 1271212604****** 1271211604****** WELDISON BANGUN MEDAN 16|04|**** S L JL ABDUL HAKIM GG SUSUK V NO 4 000 000 0 0

121 1271212604****** 1271212306****** SAKEUS PURBA MUNTHE 23|06|**** S L JL BERDIKARI 000 000 0 0

122 1271212604****** 1271216303****** EMMA BR TARIGAN KISARAN 23|03|**** S P JL BERDIKARI 000 000 0 0

123 1271212604****** 1271212507****** TONI SURBAKTI MEDAN 25|07|**** S L JL ABDUL HAKIM GG SUSUK V NO 13 000 000 0 0

124 1271212604****** 1271214412****** DEASY ARIANNA BR PURBA MEDAN 04|12|**** S P JL ABD HAKIM GG SUSUK V NO 4 000 000 0 0

125 1271212606****** 1207235203****** MARTHALINA PURBA BOGOR 12|03|**** S P JL BERDIKARI GG SUSUK V NO 130 000 000 0 0

126 1271212606****** 1207237004****** PRANSISKA MAYA SARI KARO-KARO LARAS 30|04|**** B P JL BERDIKARI GG SUSUK V NO 130 000 000 0 0

127 1271212608****** 1271212504****** KALPIN TINUS MEDAN 25|04|**** S L JL ABDUL HAKIM GG SUSUK V NO 28 000 000 0 0

128 1271212608****** 1271215606****** SRI REZEKI SITUMORANG TIGAURAT 16|06|**** S P JL ABDUL HAKIM GG SUSUK V NO 28 000 000 0 0

129 1271212609****** 1271211703****** MERE SITEPU KARO 17|03|**** S L JL ABDUL HAKIM GG SUSUK V NO 29 000 000 0 0

130 1271212609****** 1271215108****** RATA BR TARIGAN KARO 11|08|**** S P JL ABDUL HAKIM GG SUSUK V NO 29 000 000 0 0

131 1271212609****** 1271212306****** TERJUN TARIGAN MEDAN 23|06|**** S L JL ABD HAKIM GG SUSUK V NO 23 000 000 0 0

132 1271212609****** 1271214201****** MULIATI BR KETAREN MEDAN 02|01|**** S P JL ABD HAKIM GG SUSUK V NO 23 000 000 0 0

133 1271212609****** 1271210203****** PERRY FERNANDO TARIGAN MEDAN 02|03|**** B L JL ABD HAKIM GG SUSUK V NO 23 000 000 0 0

134 1271212609****** 1271210510****** DONGAN TARIGAN MEDAN 05|10|**** B L JL ABD HAKIM GG SUSUK V NO 23 000 000 0 0

135 1271212609****** 1271214402****** FEBRI YANI SANTARIS BR TARIGAN MEDAN 04|02|**** B P JL ABD HAKIM GG SUSUK V NO 23 000 000 0 0

136 1271212609****** 1271212707****** ANDRE NIDAHTA TARIGAN MEDAN 27|07|**** B L JL ABD HAKIM GG SUSUK V NO 23 000 000 0 0

137 1271212610****** 1271214405****** DELIMA BERAHMENI PANCURBATU 04|05|**** P P JL ABD HAKIM NO 3 MEDAN 000 000 0 0

138 1271212610****** 1271216201****** REBEKA ARTI RANI BR SURBAKTI PANCUR BATU 22|01|**** B P JL ABD HAKIM NO 3 MEDAN 000 000 0 0

139 1271212610****** 1271211411****** PHILEMON SURBAKTI PANCUR BATU 14|11|**** B L JL ABD HAKIM NO 3 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-025 257 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271212610****** 1271213006****** EVENSUS SURBAKTI MEDAN 30|06|**** B L JL ABD HAKIM NO 3 MEDAN 000 000 0 0

141 1271212610****** 1271216308****** HENA RIA SURBAKTI MEDAN 23|08|**** B P JL ABD HAKIM NO 3 MEDAN 000 000 0 0

142 1271212612****** 1271211507****** JAYA BAKTI SITEPU MEDAN 15|07|**** S L JL ABD HAKIM GG SUSUK-V NO 36 000 000 0 0

143 1271212612****** 1271216306****** SANTA MARIA BR SILITONGA PEMATANG SIANTAR 23|06|**** S P JL ABD HAKIM GG SUSUK-V NO 36 000 000 0 0

144 1271212701****** 1271217112****** ANDEL GINTING TANAH KARO 31|12|**** P P JL ABDUL HAKIM NO 5 MEDAN 000 000 0 0

145 1271212701****** 3201130404****** IR.HARLI HUTAPEA LAGUBOTI 04|04|**** S L JL.ABDUL HAKIM GG.SUSUK IV /10 000 000 0 0

146 1271212704****** 1271210304****** HARISMAN, SH.MH P SIDEMPUAN 03|04|**** S L JL ABD HAKIM GG SUSUK IX NO 5 000 000 0 0

147 1271212704****** 1271214602****** SITI AISYAH, SE MEDAN 06|02|**** S P JL ABD HAKIM GG SUSUK IX NO 5 000 000 0 0

148 1271212704****** 1271215610****** PUTRI BR SURBAKTI MEDAN 16|10|**** B P JL ABD HAKIM GG SUSUK II 000 000 0 0

149 1271212704****** 1271215509****** BUTET BR SURBAKTI MEDAN 15|09|**** B P JL ABD HAKIM GG SUSUK II 000 000 0 0

150 1271212704****** 1271211008****** IRWANSYAH DAMANIK P.SIANTAR 10|08|**** S L JL BERDIKARI NO 124 MEDAN 000 000 0 0

151 1271212704****** 1271214302****** ITA SUSANTI MEDAN 03|02|**** S P JL BERDIKARI NO 124 MEDAN 000 000 0 0

152 1271212704****** 1271216505****** ERNA WATI T.TINGGI 25|05|**** S P JL BERDIKARI NO 124 MEDAN 000 000 0 0

153 1271212704****** 1271213010****** RIDWAN SIHOMBING LAU BALENG 30|10|**** S L JL BERDIKARI NO 124 MEDAN 000 000 0 0

154 1271212704****** 1271211011****** SAFRUDIN SIHOMBING T TINGGI 10|11|**** B L JL BERDIKARI NO 124 MEDAN 000 000 0 0

155 1271212704****** 1271216306****** SOFRIDA SIHOMBING T TINGGI 23|06|**** B P JL BERDIKARI NO 124 MEDAN 000 000 0 0

156 1271212704****** 1271212412****** HERI SYAHPUTRA TEBING TINGGI 24|12|**** B L JL BERDIKARI NO 124 MEDAN 000 000 0 0

157 1271212704****** 1271214505****** SYAFRIDA BR SIHOMBING TEBING 05|05|**** S P JL BERDIKARI NO 124 MEDAN 000 000 0 0

158 1271212704****** 1271211102****** DASAR SEMBIRING PELAWI MEDAN 11|02|**** S L JL BERDIKARI UJUNG NO 124 MEDAN 000 000 0 0

159 1271212704****** 1271215608****** SARIPA BR KARO MEDAN 16|08|**** S P JL BERDIKARI UJUNG NO 124 MEDAN 000 000 0 0

160 1271212704****** 1271215708****** KARTINI GALANG 17|08|**** S P JL BERDIKARI NO 124 MEDAN 000 000 0 0

161 1271212704****** 1271214808****** SUMARNI MEDAN 08|08|**** S P JL BERDIKARI NO 24 MEDAN 000 000 0 0

162 1271212704****** 1271214302****** TIA SUSANTI MEDAN 03|02|**** S P JL BERDIKARI NO 124 MEDAN 000 000 0 0

163 1271212704****** 1271214212****** DESSY ARSATY MEDAN 02|12|**** S P JL BERDIKARI NO 124 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-025 258 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271212803****** 1271210504****** ROBINSON SURBAKTI MEDAN 05|04|**** B L JL ABDUL HAKIM GG SUSUK V-26 000 000 0 0

165 1271212803****** 1271217112****** MEGA BR SEMBIRING T KARO 31|12|**** P P JL ABD HAKIM GG SUSUK V NO 8 000 000 0 0

166 1271212805****** 1271216001****** SERSER BR SURBAKTI GURU KINAYAH 20|01|**** P P JL ABDUL HAKIM UJUNG SUSUK V NO 7 000 000 0 0

167 1271212805****** 1206112710****** ROBYANTA SURBAKTI GURUKINAYAN 27|10|**** B L JL ABDUL HAKIM UJUNG SUSUK V NO 7 000 000 0 0

168 1271212805****** 1206054101****** TRISNAWATI BR GINTING DOKAN 01|06|**** S P JL ABDUL HAKIM GG SUSUK III NO 2 000 000 0 0

169 1271212805****** 1271211801****** IAN BASTANTA SURBAKTI MEDAN 18|01|**** S L JL ABDUL HAKIM GG SUSUK III NO 2 000 000 0 0

170 1271212812****** 1271212712****** SAKTI BANGUN, DRS BRASTANGI 27|12|**** S L JL ABD HAKIM GG SUSUK V NO 20 000 000 0 0

171 1271212812****** 1271214808****** KIRA BR SITEPU KARO 08|08|**** S P JL ABD HAKIM GG SUSUK V NO 20 000 000 0 0

172 1271212812****** 1271210501****** REJEKI MEDAN 05|01|**** B L JL ABD HAKIM GG SUSUK V NO 20 000 000 0 0

173 1271212901****** 1272046003****** IRA L.D. SIAHAAN PEMATANGSIANTAR 20|03|**** B P JL. ABDUL HAKIM GG. SUSUK VIII NO.10 000 000 0 0

174 1271212901****** 3175075908****** HELENA ANGGREANI WIDIAWATI JAKARTA 19|08|**** S P JL. ABDUL HAKIM GG. SUSUK VIII NO.10 000 000 0 0

175 1271212903****** 1271210406****** JUNIFER SINAMBELA TARUTUNG 04|06|**** S L JL ABD HAKIM NO 39 MEDAN 000 000 0 0

176 1271212903****** 1271216912****** RISMA SURBAKTI MEDAN 29|12|**** S P JL ABD HAKIM NO 39 MEDAN 000 000 0 0

177 1271212903****** 1271211509****** BONA BREMA SINAMBELA MEDAN 15|09|**** B L JL ABD HAKIM NO 39 MEDAN 000 000 0 0

178 1271212903****** 1271216808****** NADIA KATALINA BR SINAMBELA MEDAN 28|08|**** B P JL ABD HAKIM NO 39 MEDAN 000 000 0 0

179 1271212908****** 1271216503****** ROLE PERANGIN ANGIN KARO 25|03|**** P P JL ABDUL HAKIM NO 13 MEDAN 000 000 0 0

180 1271212908****** 1271212811****** ISMAIL SEMBIRING MEDAN 28|11|**** S L JL ABD HAKIM GG SUSUK V NO 3 000 000 0 0

181 1271212908****** 1271215104****** LIANTARIA BR SITANGGANG MEDAN 11|04|**** S P JL ABD HAKIM GG SUSUK V NO 3 000 000 0 0

182 1271212908****** 1271212602****** EKI RAJALIT SEMBIRING MEDAN 26|02|**** B L JL ABD HAKIM GG SUSUK V NO 3 000 000 0 0

183 1271212908****** 1271215206****** ITA REHULINA BR SEMBIRING MEDAN 12|06|**** B P JL SUSUK GG SUSUK V NO 35 000 000 0 0

184 1271212908****** 1271215901****** LUSICA DEWI FRANSISKA S MEDAN 19|01|**** B P JL SUSUK GG SUSUK V NO 35 000 000 0 0

185 1271212909****** 1271215703****** INEZ ALINA PASARIBU MEDAN 17|03|**** S P JL ABDUL HAKIM KOMP ICON 3 NO A 7 000 000 0 0

186 1271212909****** 1271210707****** DAVID SIMON PANDAPOTAN S SIDIKALANG 07|07|**** S L JL ABDUL HAKIM KOMP ICON 3 NO A 7 000 000 0 0

187 1271212909****** 1271211106****** HOTASI REGGIE JEREMY MUDAS MEDAN 11|06|**** B L JL ABDUL HAKIM KOMP ICON 3 NO A 7 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-025 259 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271212909****** 1271215809****** LADYSSA MONICA PATRESIA S MEDAN 18|09|**** B P JL ABDUL HAKIM KOMP ICON 3 NO A 7 000 000 0 0

189 1271213001****** 1271211911****** ELIA SENANGTA SEMBIRING, IR MEDAN 19|11|**** S L JL. ABD HAKIM GG. SUSUK V NO. 27 000 000 0 0

190 1271213001****** 1271216812****** SHINTA BR KELIAT MEDAN 28|12|**** S P JL. ABD HAKIM GG. SUSUK V NO. 27 000 000 0 0

191 1271213001****** 1271213012****** WAHYU YONIVAN SEMBIRING MEDAN 30|12|**** B L JL. ABD HAKIM GG. SUSUK V NO. 27 000 000 0 0

192 1271213001****** 1271215008****** ALICIA ISABELLA BR SEMBIRING MEDAN 10|08|**** B P JL. ABD HAKIM GG. SUSUK V NO. 27 000 000 0 0

193 1271213001****** 1271212710****** SEVEN PULUNGAN SIREGAR PEMATANG RAYA 27|10|**** S L JL ABDUL HAKIM NO 43 MEDAN 000 000 0 0

194 1271213001****** 1271216310****** DEWI SEMBIRING MEDAN 23|10|**** S P JL ABDUL HAKIM NO 43 MEDAN 000 000 0 0

195 1271213001****** 3603124103****** MARGARETHA YOHANNA LAHAT 01|03|**** B P JL.ABDUL HAKIM PERUMAHAN GRAND MEDALINE NO.40 000 000 0 0

196 1271213001****** 3273231707****** RIMKY MANDALA PUTRA SIMANJUNTAK MEDAN 17|07|**** B L JL.ABDUL HAKIM PERUMAHAN GRAND MEDALINE NO.40 000 000 0 0

197 1271213003****** 1271217112****** MENAM SINGARIMBUN SUSUK 31|12|**** P P JL SUSUK RAYA NO 3 A 000 000 0 0

198 1271213003****** 1271214903****** NORMA HELPERIDA SIPAHUTAR SILANGKITANG 09|03|**** S P JL BERDIKARI GG FAMILY NO 9 000 000 0 0

199 1271213004****** 1271210812****** M SALEH KHALID IR MM MEDAN 08|12|**** S L PERUM INSAN CITA GRIYA BLOK-BB NO 18 000 000 0 0

200 1271213004****** 1271214808****** ROSDANELLI HASIBUAN PKL BRANDAN 08|08|**** S P PERUM INSAN CITA GRIYA BLOK-BB NO 18 000 000 0 0

201 1271213004****** 1271212805****** ZULFI RAHMAN HAKIM MEDAN 28|05|**** B L PERUM INSAN CITA GRIYA BLOK-BB NO 8 000 000 0 0

202 1271213004****** 1271215809****** ZAUZA HAWA ZAHARA MEDAN 18|09|**** B P PERUM INSAN CITA GRIYA BLOK-BB NO 18 000 000 0 0

203 1271213004****** 1271212310****** MUHAMMAD AFDHALUL ICHSAN MALAYSIA 23|10|**** B L PERUM INSAN CITA GRIYA BLOK-BB NO 18 000 000 0 0

204 1271213005****** 1271212708****** AGUSTINUS SILABAN SIBOLGA 27|08|**** S L PERUM INSAN CITA GRIYA BLOK-BB NO 1 000 000 0 0

205 1271213005****** 1271214411****** CHIGIKU RUMINTANG MEDAN 04|11|**** S P PERUM INSAN CITA GRIYA BLOK-BB NO 1 000 000 0 0

206 1271213005****** 1271215303****** CYNTHIA AMANDA SILABAN MEDAN 13|03|**** B P PERUM INSAN CITA GRIYA BLOK-BB NO 1 000 000 0 0

207 1271213005****** 1271212305****** KENJIRO ADRIANO SILABAN MEDAN 23|05|**** B L PERUM INSAN CITA GRIYA BLOK-BB NO 1 000 000 0 0

208 1271213005****** 1271212505****** DASAR PERANGIN-ANGIN DOKAN 25|05|**** S L JL SUSUK GG SUSUK V NO 11 000 000 0 0

209 1271213005****** 1271216711****** TERANG MALEM GINTING MEDAN 27|11|**** S P JL SUSUK GG SUSUK V NO 11 000 000 0 0

210 1271213005****** 1271210705****** JIMMY ARNOLD PERANGIN-ANGIN MEDAN 07|05|**** B L JL SUSUK GG SUSUK V NO 11 000 000 0 0

211 1271213005****** 1271214109****** CINDY MONICA BR PERANGIN ANGIN MEDAN 01|09|**** B P JL SUSUK GG SUSUK V NO 11 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-025 260 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271213008****** 1271211406****** MUSLIM TARIGAN BATU MINJAH 14|06|**** S L JL ABDUL HAKIM GG SUSUK IV NO 7-B 000 000 0 0

213 1271213009****** 1271216005****** MAHERA BR SINGARIMBUN MEDAN 20|05|**** B P JL ABD HAKIM GG SUSUK II NO 8 000 000 0 0

214 1271213101****** 1271212401****** ISMAN HARIANDA TEBING TINGGI 24|01|**** S L PER INSAN CITA GRIYA BLOK D NO 9 000 000 0 0

215 1271213101****** 1271215608****** CUT NIZMA BIREUN 16|08|**** S P PER INSAN CITA GRIYA BLOK D NO 9 000 000 0 0

216 1271213101****** 1271211105****** MUHAMMAD FAUZAN MEDAN 11|05|**** B L PER INSAN CITA GRIYA BLOK D NO 9 000 000 0 0

217 1271213101****** 1271214803****** RIFQAH AFIFAH FITRI MEDAN 08|03|**** B P PER INSAN CITA GRIYA BLOK D NO 9 000 000 0 0

218 1271213103****** 1271215510****** ROSDIANA SITEPU KABANJAHE 15|10|**** P P JL. ABDUL HAKIM GG. SUSUK NO.14 000 000 0 0

219 1271213107****** 1271212705****** YASONNA H LAOLY,DR,SH,MSC SORKAM 27|05|**** S L JL ABDUL HAKIM G SUSUK VII-1 000 000 0 0

220 1271213107****** 1271216412****** ELISYE W KETAREN KISARAN 24|12|**** S P JL ABDUL HAKIM G SUSUK VII-1 000 000 0 0

221 1271213107****** 1271215511****** NOVRIDA ISABELLA LAOLY MEDAN 15|11|**** B P JL ABDUL HAKIM G SUSUK VII-1 000 000 0 0

222 1271213107****** 1271210512****** YAMITEMA T LAOLY MEDAN 05|12|**** B L JL ABDUL HAKIM G SUSUK VII-1 000 000 0 0

223 1271213107****** 1271212201****** JONATHAN ROMY LAOLY RELEIGH 22|01|**** B L JL ABDUL HAKIM G SUSUK VII-1 000 000 0 0

224 1271213108****** 1271215702****** NUR AZIMAH SITOMPUL EMPLASMENT 17|02|**** B P JLABDUL HAKIM GGSUSUK I- 0 000 000 0 0

225 1271213108****** 1271216001****** ROULINTA Y SINAGA TAMPOK KITE 20|01|**** B P JL ABD HAKIM PSR I KOMP INSAN CITA GRIYA BLOK C NO 6 000 000 0 0

226 1271213108****** 1271216802****** RONAULI SINAGA TAMPOK KITE 28|02|**** B P JL ABD HAKIM PSR I KOMP INSAN CITA GRIYA BLOK C NO 6 000 000 0 0

227 1271213110****** 1271214910****** MARINNA TARIGAN PERTUMBUKEN 09|10|**** S P KOMP INSAN CITA GRYA BLOK D-5 MEDAN 000 000 0 0

228 1271213110****** 1271214609****** OCTHA LYDIA SARAGIH BERASTAGI 06|09|**** B P KOMP INSAN CITA GRYA BLOK D-5 MEDAN 000 000 0 0

229 3372020303****** 3372023012****** SONDRALY NDRURU NIAS 10|10|**** S L JL.ABD.HAKIM GG SUSUK III 000 000 0 0

230 1271212504****** 1271212902****** M HAFIDZ MAULANA SIGLI 29|02|**** B L JL BERDIKARI GG FAMILI NO 11 003 002 0 0

231 1271212504****** 1271214106****** MERY FRIDAWATI BR PURBA BADURSA 01|06|**** S P JL ABDUL HAKIM UJUNG NO 29 000 008 0 0

232 1271213009****** 1271211104****** KASIR SINGARIMBUN TANJUNG 11|04|**** S L JL ABD HAKIM GG SUSUK II NO 8 001 008 0 0

233 1271213009****** 1271215306****** ROSINTA BR GINTING TANJUNG 13|06|**** S P JL ABD HAKIM GG SUSUK II NO 8 001 008 0 0

234 1271213009****** 1271212004****** ZEFRI SINGARIMBUN TANJUNG 20|04|**** B L JL ABD HAKIM GG SUSUK II NO 8 001 008 0 0

235 1271213009****** 1271211411****** PINISTA SINGARIMBUN TANJUNG 14|11|**** B L JL ABD HAKIM GG SUSUK II NO 8 001 008 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-025 261 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

236 1271212105****** 1271215006****** ROSIANA KP.LALANG 10|06|**** S P JL ABDUL HAKIM NO 23-B MEDAN 002 008 0 0

237 1271212105****** 1271215806****** SOFIA DELFIANA KABAN MEDAN 18|06|**** B P JL ABDUL HAKIM NO 23-B MEDAN 002 008 0 0

238 1271212208****** 1271214209****** YOVANI NISSI MADANI JAKARTA 02|09|**** B P JL ABD HAKIM GG SUSUK V NO 27 002 008 0 0

239 1271212007****** 1271212603****** H AIDIL TRIANA MEDAN 26|03|**** S L JL ABD HAKIM PERUM ICG NO C 2 003 008 0 0

240 1271212007****** 1271216508****** DEVI ROZANA BIREUEN 25|08|**** S P JL ABD HAKIM PERUM ICG NO C 2 003 008 0 0

241 1271212007****** 1271211411****** IMAM AL MUKHTADI MEDAN 14|11|**** B L JL ABD HAKIM PERUM ICG NO C 2 003 008 0 0

242 1271212007****** 1271216409****** NABILA MAULIDA MEDAN 24|09|**** B P JL ABD HAKIM PERUM ICG NO C 2 003 008 0 0

243 1271212403****** 1271211303****** MARTHIN SEMBIRING MEDAN 13|03|**** P L JL. SUSUK RAYA NO. 41 MEDAN 003 008 0 0

244 1271212403****** 1271211002****** IMMANUEL SEMBIRING JAKARTA 10|02|**** B L JL. SUSUK RAYA NO. 41 MEDAN 003 008 0 0

245 1271212403****** 1271214905****** PRISKA KARENINA S.PELAWI MEDAN 09|05|**** B P JL. SUSUK RAYA NO. 41 MEDAN 003 008 0 0

246 1271212408****** 1271210902****** HERYSON SARAGIH MEDAN 09|02|**** S L JL ABD HAKIM GG SUSUK V no.39 MEDAN 003 008 0 0

247 1271212408****** 1271215409****** IDAROYANI BR KABAN PERNANTIN 14|09|**** S P JL ABD HAKIM GG SUSUK V no.39 MEDAN 003 008 0 0

248 1271213001****** 1271214112****** MISHELA NATALIE SIREGAR MEDAN 01|12|**** B P JL ABDUL HAKIM NO 43 MEDAN 003 008 0 0

249 1271212111****** 1271214101****** MERCYRENE SIMANJUNTAK, STP SIBOLGA 01|01|**** S P PRUMAHAN INSAN CITA GRIYA BLOK-D NO. 6 004 008 0 0

250 1271212111****** 1271214609****** TINE EMMA SIMANJUNTAK SIBOLGA 06|09|**** B P PRUMAHAN INSAN CITA GRIYA BLOK-D NO. 6 004 008 0 0

251 1271212501****** 1271212401****** LUKAS SEMBIRING MEDAN 24|01|**** S L JL SUSUK GG SUSUK I NO 6 008 008 0 0

252 1271212501****** 1271215712****** ERLINDA BR PINEM DISKI 17|12|**** S P JL SUSUK GG SUSUK I NO 6 008 008 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 252 Jenis Kelamin = 252 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 102 L : Laki-Laki = 112 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 137 P : Perempuan = 140 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 13
4: Tuna Grahita DTO
5: Disabilitas lainnya
KK = 110 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-025 262 / 276


MODEL A.3-KPU

MODEL A.3-KPU
DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM
TAHUN 2019
Provinsi : SUMATERA UTARA Kecamatan : MEDAN SELAYANG
Kota : MEDAN Desa/Kelurahan : PB SELAYANG I
TPS : 026
TANGGAL STATUS JENIS ALAMAT
NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

1 1271030803****** 1271031203****** ABANG ABDI MEDAN 12|03|**** S L JL. ABDUL HAKIM XI NO. 8 000 000 0 0

2 1271030803****** 1271031202****** IRFAN RASYID MEDAN 12|02|**** B L JL. ABDUL HAKIM XI NO. 8 000 000 0 0

3 1271071703****** 1271071010****** GEMBIRA KARO-KARO TANJUNG PAMAH 10|10|**** S L JL ABDUL HAKIM NO 25 000 000 0 0

4 1271071703****** 1271070801****** JANDRI KARO-KARO MEDAN 08|01|**** B L JL ABDUL HAKIM NO 25 000 000 0 0

5 1271071703****** 1271075503****** FITRIYANI BR KARO MEDAN 15|03|**** B P JL ABDUL HAKIM NO 25 000 000 0 0

6 1271090301****** 1271090310****** MAHFUD, SST, AK SURAKARTA 03|10|**** S L JL ABDUL HAKIM PSR I KOMP ICG BB 9 000 000 0 0

7 1271092709****** 1271092104****** HARDI RIANTO, IR MEDAN 21|04|**** S L JL ABDUL HAKIM SUSUK IX NO 8 000 000 0 0

8 1271092709****** 1271094604****** HARDIANA SRIYATI, SE P.SIDEMPUAN 06|04|**** S P JL ABDUL HAKIM SUSUK IX NO 8 000 000 0 0

9 1271092709****** 1271090706****** HADYAN HAWALI RASYID MEDAN 07|06|**** B L JL ABDUL HAKIM SUSUK IX NO 8 000 000 0 0

10 1271093105****** 1271092505****** LOSINTEN TUMANGGOR TAPUT 25|05|**** S L JL ABDUL HAKIM NO 35 000 000 0 0

11 1271093105****** 1271095606****** ERLITA SIREGAR TAPUT 16|06|**** S P JL ABDUL HAKIM NO 35 000 000 0 0

12 1271093105****** 1271091505****** JOHN SEPRI MEDAN 15|05|**** B L JL ABDUL HAKIM NO.35 000 000 0 0

13 1271093105****** 1271094202****** FEBRI ANJELINA MEDAN 02|02|**** B P JL ABDUL HAKIM NO.35 000 000 0 0

14 1271093105****** 1271092311****** ANDI STEPANUS MEDAN 23|11|**** B L JL ABDUL HAKIM NO.35 000 000 0 0

15 1271131812****** 1271131103****** NOSINEMA TELAMBANUA NIAS 11|03|**** S L KAMPUNG SUSUK V KOMP USU 000 000 0 0

16 1271131812****** 1271136203****** LINDARIA TINAMBUNAN MEDAN 22|03|**** S P KAMPUNG SUSUK V KOMP USU 000 000 0 0

17 1271131812****** 1271135206****** JUNI PRANSISKA TELAUMBENUA MEDAN 12|06|**** B P KAMPUNG SUSUK V. KOMP USU 000 000 0 0

18 1271210102****** 1206171203****** RESIAMAN ZEGA LOLOMOYO 12|03|**** S L JL. ABDUL HAKIM SUSUK VIII NO. 2 000 000 0 0

19 1271210102****** 1206174410****** DARMINA BR GINTING SUSUK 04|10|**** S P JL. ABDUL HAKIM SUSUK VIII NO. 2 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-026 263 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

20 1271210102****** 1206170612****** RIO KURNIAWAN ZEGA MEDAN 06|12|**** B L JL. ABDUL HAKIM SUSUK VIII NO. 2 000 000 0 0

21 1271210110****** 1271211008****** LEONARD SIMANJUNTAK MEDAN 10|08|**** S L JL ABD HAKIM GG SUSUK XIV NO 50 000 000 0 0

22 1271210110****** 1271214602****** NETTY ELFRIDA HUTAJULU MEDAN 06|02|**** S P JL ABD HAKIM GG SUSUK XIV NO 50 000 000 0 0

23 1271210110****** 1271210312****** JOHANNES SP SIMANJUNTAK MEDAN 03|12|**** B L JL ABD HAKIM GG SUSUK XIV NO 50 000 000 0 0

24 1271210110****** 1271211412****** NICOLAS CORNELIUS SIMANJUNTAK MEDAN 14|12|**** B L JL ABD HAKIM GG SUSUK XIV NO 50 000 000 0 0

25 1271210110****** 1205134603****** MARLINA BR SURBAKTI SECURAI 06|03|**** S P JL ABDUL HAKIM GG SUSUK V NO 35 000 000 0 0

26 1271210205****** 1271214202****** ELISABETH BR SEMBIRING RUMAH GALOH 02|02|**** B P JL ABDUL HAKIM GG SUSUK IV NO 7-B 000 000 0 0

27 1271210205****** 1271214911****** KASIHANI BR SEMBIRING MEDAN 09|11|**** S P JL ABDUL HAKIM GG SUSUK IV NO 7-B 000 000 0 0

28 1271210206****** 1271215902****** ANGEL ALOYNA MAHARANI S MEDAN 19|02|**** B P JL ABDUL HAKIM GG SUSUK V-26 000 000 0 0

29 1271210209****** 1271171502****** LEOPATTRA BERTUAH BARUS JAKARTA 15|02|**** P L JL ABD HAKIM GG SUSUK V NO 8 000 000 0 0

30 1271210303****** 1271212709****** KAHARUDDIN IR MEDAN 27|09|**** S L PERUMAHAN INSAN CITA GRIYA BLOK-B3 000 000 0 0

31 1271210303****** 1271215810****** YUVINA, ST, MT ASAHAN 18|10|**** S P PERUMAHAN INSAN CITA GRIYA BLOK-B3 000 000 0 0

32 1271210305****** 1271215902****** EVA TRISANTI TARIGAN MEDAN 19|02|**** S P JL BERDIKARI III NO 120 MEDAN 000 000 0 0

33 1271210308****** 1274026903****** JUSTRI PASKAH TAMBUNAN TANJUNGBALAI 29|04|**** S P JL.ABDUL HAKIM PERUM MASNIDA ESTATE NO.B-01 000 000 0 0

34 1271210312****** 1271210307****** JOHAN PUTRA LANGSA 03|07|**** S L KOMPTAMAN KAMPUS INDAH NO 6 000 000 0 0

35 1271210312****** 1271214806****** MACHDALENA JOHAN MEDAN 08|06|**** S P KOMPTAMAN KAMPUS INDAH NO 6 000 000 0 0

36 1271210312****** 1271215011****** CYNTHIA AYULIA JAKARTA 10|11|**** B P KOMPTAMAN KAMPUS INDAH NO 6 000 000 0 0

37 1271210405****** 1271215104****** LINDAWATI BR SITEPU S.Si SUKADAME 11|04|**** S P JL ABD HAKIM GG SUSUK V NO 5 000 000 0 0

38 1271210410****** 1271216606****** CAROLINA MASTIUR BR SINAGA MEDAN 26|06|**** P P JL SUSUK GG SUSUK II NO 16 000 000 0 0

39 1271210410****** 1271210802****** PAUL M SITOMPUL MEDAN 08|02|**** S L JL SUSUK GG SUSUK II NO 16 000 000 0 0

40 1271210411****** 1271217112****** RANTILIT BR BANGUN TANJUNG SELAMAT 31|12|**** P P JLSUSUK RAYA NO 7 MEDAN 000 000 0 0

41 1271210411****** 1271214801****** INDAH ELISABET BR SEMBIRING MEDAN 08|01|**** B P JLSUSUK RAYA NO 7 MEDAN 000 000 0 0

42 1271210411****** 1271211805****** JHONI HERISON SURBAKTI MEDAN 18|05|**** S L JLN ABDUL HAKIM GG SUSUK V NO 4 000 000 0 0

43 1271210411****** 1271211206****** ADI SOKHI HAREFA MANJINBO 12|06|**** S L JL ABDUL HAKIM GG SUSUK VIII 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-026 264 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

44 1271210411****** 1271215406****** MARDINA LAFAU DAHANA 14|06|**** S P JL ABDUL HAKIM GG SUSUK VIII 000 000 0 0

45 1271210412****** 1271110301****** FREDDY TURNIP HUTA GINJANG 03|01|**** S L JL ABDUL HAKIM GG SUSUK IV NO 1 000 000 0 0

46 1271210412****** 1207264409****** ENITA FRIDAYANTI MANIK TANJUNG REJO 04|09|**** S P JL ABDUL HAKIM GG SUSUK IV NO 1 000 000 0 0

47 1271210502****** 1223042303****** EJI HOTMIAN HUTAURUK TORGANDA 23|03|**** B L JLN. ABDUL HAKIM KAMPUNG SUSUK IV NO.3A 000 000 0 0

48 1271210504****** 1271214503****** MAURINA SITOMPUL MEDAN 05|03|**** S P JL ABD HAKIM KOMP ICG BLOK-CC NO 6 000 000 0 0

49 1271210504****** 1271212512****** RICHARD SIMORANGKIR MEDAN 25|12|**** S L JL ABD HAKIM KOMP ICG BLOK-CC NO 6 000 000 0 0

50 1271210504****** 1271212204****** ANDREAS HERBERT HASUDUNGAN SIMORANGKIR MEDAN 22|04|**** B L JL ABD HAKIM KOMP ICG BLOK-CC NO 6 000 000 0 0

51 1271210506****** 1271212604****** RANDY ERTANTA S DEPARI MEDAN 26|04|**** S L JL ABDUL HAKIM GG SUSUK II NO 8 000 000 0 0

52 1271210507****** 1271212712****** HARDIANSYAH SORI MULIA SE P. SIANTAR 27|12|**** S L JL ABD HAKIM SUSUK IX NO 5 000 000 0 0

53 1271210507****** 1271216006****** CUT KEMALA SARI SE BINJAI 20|06|**** S P JL ABD HAKIM SUSUK IX NO 5 000 000 0 0

54 1271210508****** 1207236301****** PUTRI SION BR TARIGAN MEDAN 24|01|**** B P JL ABDUL HAKIM NO 17 MEDAN 000 000 0 0

55 1271210512****** 1271214707****** CHRISTIANI NATALIA BR SURBAKTI MEDAN 07|07|**** B P JL ABD HAKIM GG SUSUK V NO 15 000 000 0 0

56 1271210512****** 1204101101****** EMANUEL HALAWA AWONI LAUSO 11|01|**** S L JL ABDUL HAKIM GG SUSUK 7 NO 1 000 000 0 0

57 1271210512****** 1271025601****** MENILIA WARUWU NIAS 16|01|**** S P JL ABDUL HAKIM GG SUSUK 7 NO 1 000 000 0 0

58 1271210512****** 1271022504****** ALBERT SETIAWAN HALAWA NIAS 25|04|**** B L JL ABDUL HAKIM GG SUSUK 7 NO 1 000 000 0 0

59 1271210512****** 1271026906****** BERTHA DEWI AYU FARISTA HALAWA AWONI LAUSO 29|06|**** B P JL ABDUL HAKIM GG SUSUK 7 NO 1 000 000 0 0

60 1271210512****** 1271021105****** CANDRA WIRAWAN HALAWA NIAS 11|05|**** B L JL ABDUL HAKIM GG SUSUK 7 NO 1 000 000 0 0

61 1271210608****** 1271212008****** RUDI CHANDRAWANTO MANIK, IR MADIUN 20|08|**** S L JL ABDUL HAKIM GG SUSUK II NO 24 000 000 0 0

62 1271210608****** 1271214112****** ENRIS NORMA R BR SIMARMATA SSI AEK LOBA 01|12|**** S P JL ABDUL HAKIM GG SUSUK II NO 24 000 000 0 0

63 1271210609****** 1271046312****** NATALIA MANURUNG PASARBARU 23|12|**** S P JL ABD HAKIM GG SUSUK XIII PERUM MEDALINE II NO. 7 000 000 0 0

64 1271210610****** 1271172912****** IR. IRWAN M SIREGAR MEDAN 29|12|**** S L CLUSTER IMAN SEGAR NO.1 JL ABDUL HAKIM PSR I 000 000 0 0

65 1271210610****** 1271174504****** NURSANI DELIANA RITONGA KEBON BALOK 05|04|**** S P CLUSTER IMAN SEGAR NO.1 JL ABDUL HAKIM PSR I 000 000 0 0

66 1271210610****** 1271174703****** MARIA ROSALINA KRISTA HUTABARAT MEDAN 07|03|**** S P CLUSTER IMAN SEGAR NO.1 JL ABDUL HAKIM PSR I 000 000 0 0

67 1271210611****** 1271211506****** ANDRE WIRANDO PRATAMA PURBA MEDAN 15|06|**** B L JL ABD HAKIM N0 5 MEDAN 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-026 265 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

68 1271210612****** 1271211709****** S SIRINGO-RINGO PERDAGANGAN 17|09|**** S L JL BERDIKARI GG BERDIKARI BARU 000 000 0 0

69 1271210612****** 1271210110****** TAUFIK A MANAF TAPAK TUAN 01|10|**** S L PERUM ICG BLOK BB 6 000 000 0 0

70 1271210612****** 1271214707****** CUT KEUMALA MEUTIA BAYU 07|07|**** S P PERUM ICG BLOK BB 6 000 000 0 0

71 1271210612****** 1271211808****** ERIKSON SIMBOLON SAMOSIR 18|08|**** B L JL ABD HAKIM SUSUK II NO 4 000 000 0 0

72 1271210704****** 1271216308****** ROSIANNA PURBA MEDAN 23|08|**** S P JL SUSUK RAYA NO 3-A MEDAN 000 000 0 0

73 1271210704****** 1271210107****** MUHAMMAD YUSUF MAHMUD DESA PAYA 01|07|**** S L JL SUSUK RAYA NO 3-A MEDAN 000 000 0 0

74 1271210704****** 1271216409****** MISNEM PAGAR MANIK 24|09|**** S P JL ABDUL HAKIM GG SUSUK MEDAN 000 000 0 0

75 1271210704****** 1271211111****** RAHMAD NST MEDAN 11|11|**** S L JL ABDUL HAKIM GG SUSUK MEDAN 000 000 0 0

76 1271210704****** 1271211307****** ROHADI KARO KARO LAU MULGAP 13|07|**** B L JL BERDIKARI NO 119 MEDAN 000 000 0 0

77 1271210704****** 1271214201****** ROSMITA BR SARAGIH MEDAN 02|01|**** P P JL ABDUL HAKIM GG SUSUK V MEDAN 000 000 0 0

78 1271210704****** 1271212911****** ANDY YEREMIA SURBAKTI MEDAN 29|11|**** B L JL ABDUL HAKIM GG SUSUK V MEDAN 000 000 0 0

79 1271210706****** 1271212901****** CHARLES MARUDUT HUTAPEASE SIBOLGA 29|01|**** P L JLABDUL HAKIM GG SUSUK 3 NO 1 000 000 0 0

80 1271210706****** 1205214910****** SUSILAWATI BR MUNTHE MEDAN 09|10|**** S P JL ABD HAKIM G SUSUK V NO 28 000 000 0 0

81 1271210706****** 1271210201****** JOIS M BANGUN MEDAN 02|01|**** S L JL ABD HAKIM G SUSUK V NO 28 000 000 0 0

82 1271210707****** 1271217001****** ZAIDAR SALO 30|01|**** P P PERUM TAMAN KAMPUS INDAH NO 1 000 000 0 0

83 1271210707****** 1271215007****** ELIZAWARDA SKM M KES SALO 10|07|**** S P PERUM TAMAN KAMPUS INDAH NO 1 000 000 0 0

84 1271210707****** 1271210507****** MOHD JONY GINTING KABANJAHE 05|07|**** S L PERUM TAMAN KAMPUS INDAH NO 1 000 000 0 0

85 1271210707****** 1218142407****** HULMAN HUTABARAT PEMATANG SIANTAR 24|07|**** S L JL ABD HAKIM PERUM ICON 000 000 0 0

86 1271210708****** 1271212812****** ROYANDI GINTING LAWE DESKY 28|12|**** B L JL ABD HAKIM UJUNG NO 19 000 000 0 0

87 1271210708****** 1271211410****** DUTA SYAHPUTRA SEMBIRING KUTACANE 14|10|**** B L JL ABD HAKIM UJUNG NO 19 000 000 0 0

88 1271210710****** 1271211308****** FILIZARO LASE TUHEMBERUA OMBOLATA 13|08|**** S L JL SUSUK RAYA GG SUSUK VIII NO 2 000 000 0 0

89 1271210710****** 1271215807****** MASTAWATI ZAI HILINAA TAFUO 18|07|**** S P JL SUSUK RAYA GG SUSUK VIII NO 2 000 000 0 0

90 1271210710****** 1271211410****** RONALD SINUHAJI ST MEDAN 14|10|**** S L JL BERDIKARI GG KELUARGA NO 13 000 000 0 0

91 1271210712****** 1271216001****** HERNITA BR GINTING MEDAN 20|01|**** S P JL ABDUL HAKIM GG SUSUK V NO 35 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-026 266 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

92 1271210803****** 1271213003****** HARRYSON BANGUN SE, SH,M.Hum KABANJAHE 30|03|**** S L JL BERDIKARI BARU NO 4 MEDAN 000 000 0 0

93 1271210803****** 1271211611****** STEVANUS DEO BANGUN MEDAN 16|11|**** B L JL BERDIKARI BARU NO 4 MEDAN 000 000 0 0

94 1271210803****** 1271211811****** JERNAIL SINGH TANJUNG MORAWA 18|11|**** S L JL ABDUL HAKIM KOMP ICON 3 NO 8-B 000 000 0 0

95 1271210803****** 1271215004****** JASWANT KAUR KABANJAHE 10|04|**** S P JL ABDUL HAKIM KOMP ICON 3 NO 8-B 000 000 0 0

96 1271210805****** 1271210807****** PAULUS SITEPU MEDAN 08|07|**** S L JL ABDUL HAKIM SUSUK V NO 29 000 000 0 0

97 1271210805****** 1271215912****** NIRMALASARI BR TARIGAN KABANJAHE 19|12|**** S P JL ABDUL HAKIM SUSUK V NO 29 000 000 0 0

98 1271210808****** 1271210803****** RAFAEL SAMULIA PASARIBU MEDAN 08|03|**** B L JL BERDIKARI KOMP GRIYA KAMPUS BLOK C-3 000 000 0 0

99 1271210808****** 1271215612****** RACHEL GABRIELLE AURELLIAP MEDAN 16|12|**** B P JL BERDIKARI KOMP GRIYA KAMPUS BLOK C-3 000 000 0 0

100 1271210810****** 1271210503****** MARIHOT PARULIAN PAKPAHAN PEMATANG SIANTAR 05|03|**** S L PERUM ICG BLOK BB 14 000 000 0 0

101 1271210810****** 1271214606****** DONNA MORINA TIMORIA SIHOMBING DOLOK SINUMBAH 06|06|**** S P PERUM ICG BLOK BB 14 000 000 0 0

102 1271210810****** 1271211107****** BENY JUDA HIRAS H PAKPAHAN MEDAN 11|07|**** B L PERUM ICG BLOK BB 4 000 000 0 0

103 1271210810****** 1271212102****** JOSE ARMANDO BASTITUSTA PAKPAHAN MEDAN 21|02|**** B L PERUM ICG BLOK BB 14 000 000 0 0

104 1271210811****** 1271210310****** ELIA HAMID TARIGAN CINGKES 03|10|**** S L JL BERDIKARI GG KELUARGA 000 000 0 0

105 1271210811****** 1271215506****** JULIANTI BR GINTING TG BALAI KARIMUN 15|06|**** S P JL BERDIKARI GG KELUARGA 000 000 0 0

106 1271210811****** 1271211806****** RENDY ELNATA TARIGAN MEDAN 18|06|**** B L JL BERDIKARI GG KELUARGA 000 000 0 0

107 1271210811****** 1271212208****** PRIYA OLANDANI SEMBIRING MEDAN 22|08|**** B L JL ABDUL HAKIM GG SUSUK MEDAN 000 000 0 0

108 1271210811****** 1271215711****** SETIA BR TARIGAN SUSUK 17|11|**** S P JL ABD HAKIM G SUSUK V NO 28 000 000 0 0

109 1271210811****** 1271212010****** NAMPEKEN BANGUN BRASATAGI 20|10|**** S L JL ABD HAKIM G SUSUK V NO 28 000 000 0 0

110 1271210811****** 1271171402****** EKA FAJAR PUTRA DAELI LAHEWA 14|02|**** B L JL. SUSUK V NO. 42 MEDAN 000 000 0 0

111 1271210903****** 1271216606****** NURPIDA SRI SULASTRI TARIGAN MEDAN 26|06|**** B P JL ABD HAKIM GG SUSUK V NO 5 000 000 0 0

112 1271210904****** 1271214611****** NOVITAYANI LHOKSEUMAWE 06|11|**** B P JLABDHAKIM KOMPTAMAN KI-8 000 000 0 0

113 1271210909****** 6371015411****** SYALOMITA KARINA GURUSINGA MEDAN 14|11|**** B P JL. ABDUL HAKIM GG SUSUK 13 000 000 0 0

114 1271211001****** 1271210810****** DRS SRI MULIYADI KUALA LANGKAT 08|10|**** S L TAMAN KAMPUS INDAH NO 4 JL ABD HAKIM KP SUSUK 000 000 0 0

115 1271211001****** 1271216503****** HJ IRMAWATI KESUMA, SH SIBUHUAN 25|03|**** S P TAMAN KAMPUS INDAH NO 4 JL ABD HAKIM KP SUSUK 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-026 267 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

116 1271211001****** 1271216504****** HJ IRENE PUTRI KARTIKA SARI SIREGAR MEDAN 25|04|**** B P TAMAN KAMPUS INDAH NO 4 JL ABD HAKIM KP SUSUK 000 000 0 0

117 1271211001****** 1223064505****** MASTIAR MENDOFA NIAS 05|05|**** B P JL ABDUL HAKIM GG SUSUK VII 000 000 0 0

118 1271211002****** 3173055708****** AVE MARIA SIHOMBING SH MEDAN 17|08|**** P P JL BERDIKARI BARU NO 1 000 000 0 0

119 1271211007****** 1271212909****** AFRIGHIS FALAA PEMATANG SIANTAR 29|09|**** B L JL ABDUL HAKIM NO 2 MEDAN 000 000 0 0

120 1271211008****** 1271216301****** STELLA AUGY BIRAHY MEDAN 23|01|**** B P KOMP ICG BLOK-CC NO 5 000 000 0 0

121 1271211008****** 1271212309****** DINO MATHIS BIRAHY MEDAN 23|09|**** B L KOMP ICG BLOK-CC NO 5 000 000 0 0

122 1271211008****** 1271216901****** JESSICA MELIZA BIRAHY P.BRANDAN 29|01|**** B P KOMP ICG BLOK-CC NO 5 000 000 0 0

123 1271211012****** 1271216412****** NY TIAMAN BR BAKO DAIRI 24|12|**** P P JL BERDIKARI BARU NO 1 MEDAN 000 000 0 0

124 1271211103****** 1271211411****** SENTOSA BANGUN MEDAN 14|11|**** S L JL ABD HAKIM NO 7 000 000 0 0

125 1271211103****** 1271216802****** TIARMA MANIK SALAK 28|02|**** S P JL ABD HAKIM NO 7 000 000 0 0

126 1271211103****** 1271211809****** ANDIKA SYAHPUTRA MEDAN 18|09|**** S L JL ABDUL HAKIM NO 3-A 000 000 0 0

127 1271211104****** 1271210304****** SINTONG MANGATUR HUTASOIT IR TAPANULI UTARA 03|04|**** S L JLSUSUK GG SUSUK II NO 6 000 000 0 0

128 1271211104****** 1271215801****** GRACE MASRIA SITOMPUL DRG MEDAN 18|01|**** S P JLSUSUK GG SUSUK II NO 6 000 000 0 0

129 1271211104****** 1271211506****** MUHAMMAD ALI ZAKARIA LHOKSEUMAWE 15|06|**** S L JLABDHAKIM KOMPTAMAN KI-8 000 000 0 0

130 1271211104****** 1271216805****** ELVINA BR GINTING RUMAH GERAT 28|05|**** S P JL BERDIKARI UJUNG NO 119 MEDAN 000 000 0 0

131 1271211104****** 1271211808****** RIKY SEMBIRING MEDAN 18|08|**** S L JL BERDIKARI UJUNG NO 119 MEDAN 000 000 0 0

132 1271211104****** 1271212312****** JURI PRANATA T.MORAWA 23|12|**** S L JL BERDIKARI NO 124 MEDAN 000 000 0 0

133 1271211104****** 1271214208****** EVA CHRIATINA S MEDAN 02|08|**** S P JL BERDIKARI NO 124 MEDAN 000 000 0 0

134 1271211104****** 1271215604****** JAMILAH TANJUNG MEDAN 16|04|**** B P JL. BERDIKARI NO 124 PSR I MEDAN 000 000 0 0

135 1271211104****** 1271210704****** SUHERMAN P.SIANTAR 07|04|**** S L JL ABDUL HAKIM GG SUSUK V 000 000 0 0

136 1271211104****** 1271215702****** SUPARTY T.TINGGI 17|02|**** S P JL ABDUL HAKIM GG SUSUK V 000 000 0 0

137 1271211108****** 1271211212****** CHARLES EDWIN SIPAYUNG PURBA TUA BARUNG 12|12|**** S L JL ABDUL HAKIM GG SUSUK V NO.8 000 000 0 0

138 1271211108****** 1271216501****** ERIKA VERAWATI BR SURBAKTI MEDAN 25|01|**** S P JL ABDUL HAKIM GG SUSUK V NO.8 000 000 0 0

139 1271211111****** 3671091506****** DRS HM ALI ZAKARIA LHOKSEUMAWE 15|06|**** S L JL ABDUL HAKIM KP SUSUK TAMAN KAMPUS INDAH NO 8 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-026 268 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

140 1271211111****** 3671090512****** MAULANA KURNIAWAN LHOKSEUMAWE 05|12|**** B P JL ABDUL HAKIM KP SUSUK TAMAN KAMPUS INDAH NO 8 000 000 0 0

141 1271211201****** 1271210607****** PARLIN GULTOM TOBASA 06|07|**** S L KOMPLEK ICG BLOK CC NO 4 000 000 0 0

142 1271211201****** 1271215105****** IMELDA SINAGA TOBASA 11|05|**** S P KOMPLEK ICG BLOK CC NO 4 000 000 0 0

143 1271211201****** 1271213012****** PAHALA GULTOM TOBASA 30|12|**** B L KOMPLEK ICG BLOK CC NO 4 000 000 0 0

144 1271211201****** 1271213004****** PUTRA P S SINAGA TOBASA 30|04|**** B L KOMPLEK ICG BLOK CC NO 4 000 000 0 0

145 1271211201****** 1271210509****** TONY DAVID GULTOM NIAS 05|09|**** B L KOMPLEK ICG BLOK CC NO 4 000 000 0 0

146 1271211203****** 1271212702****** MORIX EBENTAUS SIMANJUNTAK TANAH JAWA 27|02|**** P L JL SUSUK GG SUSUK XIII NO 50 000 000 0 0

147 1271211203****** 1271211506****** ERROL SIMANJUNTAKIR P. SIANTAR 15|06|**** S L JL SUSUK GG SUSUK XIII NO 50 000 000 0 0

148 1271211203****** 1271215701****** ROSMERI BUTAR-BUTAR JANJI MARIA 17|01|**** B P JL SUSUK GG SUSUK XIII NO 50 000 000 0 0

149 1271211205****** 1204111010****** SONDRALI NDRURU HILIMBOWO 10|10|**** P L JL ABDUL HAKIM GG SUSUK III NO 15 000 000 0 0

150 1271211205****** 1204216402****** FELINA ZENDRATO FADORO AWA'AI 24|02|**** B P JL ABDUL HAKIM GG SUSUK III NO 15 000 000 0 0

151 1271211205****** 1204114908****** AGUSMAWATI NDRURU HILIMBOWO 09|08|**** B P JL ABDUL HAKIM GG SUSUK III NO 15 000 000 0 0

152 1271211209****** 1271182808****** IMMANUEL SILITONGA MEDAN 28|08|**** S L PERM ICG BLOK-CC NO 19 MEDAN 000 000 0 0

153 1271211209****** 1271217010****** RASITA MAGDALENA BARUS TANJUNG GADING 30|10|**** S P PERM ICG BLOK-CC NO 19 MEDAN 000 000 0 0

154 1271211209****** 1271216301****** PURBA TRI INGRID FERNANDUS BOGOR 23|01|**** B P JL BERDIKARI UJUNG GG FAMILY NO 09 000 000 0 0

155 1271211212****** 1271216005****** RAMANI,DRA MEDAN 20|05|**** P P JL PASAR II KOMP ICG NO BB-11 000 000 0 0

156 1271211212****** 1271215111****** WINDY CHINTYA SARI MEDAN 11|11|**** B P JL PASAR II KOMP ICG NO BB- 000 000 0 0

157 1271211301****** 1271210701****** BUDIMAN SIAGIAN PARSOBURAN 07|01|**** S L JL SUSUK IX NO 3 MEDAN 000 000 0 0

158 1271211301****** 1271217010****** DEBORA SIAGIAN MEDAN 30|10|**** B P JL SUSUK IX NO 3 MEDAN 000 000 0 0

159 1271211302****** 1208211610****** FRANSISKUS TARUTUNG 16|10|**** S L JL ABD HAKIM PERUM ICON III BLOK B6 000 000 0 0

160 1271211302****** 1208215710****** LINDA SIMANJUNTAK TARUTUNG 17|10|**** S P JL ABD HAKIM PERUM ICON III BLOK B6 000 000 0 0

161 1271211302****** 1208217003****** FRISKA MARSELINA TARUTUNG 30|03|**** B P JL ABD HAKIM PERUM ICON III BLOK B6 000 000 0 0

162 1271211304****** 1271215410****** RESPI OCTA SARI MEDAN 14|10|**** B P JL ABD HAKIM GG SUSUK V NO 2 000 000 0 0

163 1271211307****** 1271211404****** DR,AFANDI AL AMIN TARIGAN BERASTAGI 14|04|**** S L PERUM ICG BLOK CC NO 2 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-026 269 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

164 1271211307****** 1271216907****** ELVIRA DEWI BR GINTING,SH,M.HUM KABANJAHE 29|07|**** S P PERUM ICG BLOK CC NO 2 000 000 0 0

165 1271211311****** 1271215011****** OLWINE SIMATUPANG,SSOS MEDAN 10|11|**** B P JL BERDIKARI BARU NO 4 MEDAN 000 000 0 0

166 1271211312****** 1271210408****** MULIADI AHMAT KOTO MEDAN 04|08|**** B L JL. ABDHAKIM NO. 19 MEDAN 000 000 0 0

167 1271211401****** 1271211908****** AZMER NAIBAHOSE SAMOSIR 19|08|**** S L JLSUSUK 2 COMGRIYA KAMPUSB8 000 000 0 0

168 1271211401****** 1271217105****** RATNA LINA LIMBONG JAKARTA PUSAT 31|05|**** S P JLSUSUK 2 COMGRIYA KAMPUSB8 000 000 0 0

169 1271211401****** 1271212101****** JOGI SAUT H NAIBAHO JAKARTA PUSAT 21|01|**** B L JLSUSUK 2 COMGRIYA KAMPUSB8 000 000 0 0

170 1271211401****** 1271212807****** VILFREDO M NAIBAHO UJUNG PANDANG 28|07|**** B L JLSUSUK 2 COMGRIYA KAMPUSB8 000 000 0 0

171 1271211401****** 1271217009****** YOSEPHINE C NAIBAHO JAKARTA PUSAT 30|09|**** B P JLSUSUK 2 COMGRIYA KAMPUSB8 000 000 0 0

172 1271211401****** 1271214601****** HANNA LUMBAN TOBING TARUTUNG 06|01|**** S P JL BERDIKARI GG FAMILI NO 163 000 000 0 0

173 1271211401****** 1271211409****** RIDELSON SIBUEA BERASTAGI 14|09|**** S L JL BERDIKARI GG FAMILI NO 163 000 000 0 0

174 1271211401****** 1271215703****** HARTATI SIBUEA SIBOLGA 17|03|**** B P JL BERDIKARI GG FAMILI NO 163 000 000 0 0

175 1271211401****** 1271214708****** NETOVA SIBUEA SIBOLGA 07|08|**** B P JL BERDIKARI GG FAMILI NO 163 000 000 0 0

176 1271211402****** 1271212401****** DAMENTA TARIGAN MEDAN 24|01|**** B L JL ABD HAKIM GG SUSUK V NO 24 000 000 0 0

177 1271211409****** 1271046408****** SURI PURNAMI SE MA HELVETIA 24|08|**** S P KOMP INSAN CITA GRIYA BLOK-B NO 0 MEDAN 000 000 0 0

178 1271211409****** 1271041705****** RIADI TANJUNG KELILING 17|05|**** S L KOMP INSAN CITA GRIYA BLOK-B NO 10 MEDAN 000 000 0 0

179 1271211501****** 1272012106****** LAMBOK TUMPAL PARULIAN SIAHAAN P SIANTAR 21|06|**** S L JL ABDUL HAKIM GG SUSUK XIII PERUM MEDILINE 000 000 0 0

180 1271211501****** 1906035912****** HELEN CHRISTINA GULTOM TANJUNG BALAI 19|12|**** S P JL ABDUL HAKIM GG SUSUK XIII PERUM MEDILINE 000 000 0 0

181 1271211503****** 1271211109****** SERAH RUSLI TARIGAN PANCUR BATU 11|09|**** S L JL ABDUL HAKIM UJUNG NO 19 000 000 0 0

182 1271211503****** 1271215607****** IMELDA BR SITEPU MEDAN 16|07|**** S P JL ABDUL HAKIM UJUNG NO 19 000 000 0 0

183 1271211509****** 1271212209****** JUSTA TARIGAN LAU GUNUNG 22|09|**** S L JL ABDUL HAKIM NO 27 MEDAN 000 000 0 0

184 1271211509****** 1271214208****** ROSI PUSPALIA PERANGIN-ANGIN MEDAN 02|08|**** S P JL ABDUL HAKIM NO 27 MEDAN 000 000 0 0

185 1271211606****** 1271212506****** KARUNIA MARBUN MEDAN 25|06|**** S L JL ABDUL HAKIM GG SUSUK V NO 3 000 000 0 0

186 1271211701****** 1271215612****** SALINA ALS MASNI PERDAGANGAN 16|12|**** P P JL ABD HAKIM SUSUK IX NO 5 000 000 0 0

187 1271211701****** 1207281709****** FAUDUARO NAZARA TUGALA LAURU 17|09|**** S L JL ABDUL HAKIM PERUM ICON NO.A3 A 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-026 270 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

188 1271211701****** 1204011610****** ROSAMA NAZARA TUHENAKHE LAHEWA 16|10|**** S L JL. ABDUL HAKIM PERUM ICON NO. A3 A 000 000 0 0

189 1271211701****** 1207285501****** YASNIDAR GULO LOLOFAOSO 15|01|**** S P JL ABDUL HAKIM PERUM ICON NO.A3 A 000 000 0 0

190 1271211703****** 1271011201****** ALEX DIONYSIUS JONATAN TARUTUNG 12|01|**** S L JL ABD HAKIM PERUM ICON BLOK B-6 000 000 0 0

191 1271211703****** 3175024105****** MARCELLA TRIVIANI JAKARTA 01|05|**** S P JL ABD HAKIM PERUM ICON BLOK B-6 000 000 0 0

192 1271211705****** 1271211205****** LIKAS GINTING KARO 12|05|**** S L JL ABD HAKIM GG SUSUK II NO.6 000 000 0 0

193 1271211705****** 1271215002****** GONDO BR SEMBIRING KARO 10|02|**** S P JL ABD HAKIM GG SUSUK II NO.6 000 000 0 0

194 1271211802****** 1271216511****** RATNA BR SEMBIRING MEDAN 25|11|**** S P JL. ABD HAKIM GG. SUSUK V NO. 3 000 000 0 0

195 1271211802****** 1271210412****** MARULI S SEMBIRING MEDAN 04|12|**** B L JL. ABD HAKIM GG. SUSUK V NO. 3 000 000 0 0

196 1271211802****** 1207056006****** ILE ASIH BRAHMANA MEDAN 20|06|**** S P JLN.ABDUL HAKIM GG.SUSUK 2 NO.A9 000 000 0 0

197 1271211803****** 1271214202****** DIANA PERONIKA BR SEBAYANG TIGABINANGA 02|02|**** S P JL BERDIKARI GG KELUARGA NO 11 000 000 0 0

198 1271211803****** 1271210508****** WAHYU SET BARANA MEDAN 05|08|**** S L JL BERDIKARI GG KELUARGA NO 11 000 000 0 0

199 1271211803****** 1211035207****** HERMINA PINEM PERTUMBUNGEN 12|07|**** B P JL ABD HAKIM GG SUSUK II NO 2 000 000 0 0

200 1271211804****** 1271211805****** SUKARIA S DEPARI,SE KABANJAHE 18|05|**** S L JL ABDUL HAKIM GG SUSUK II NO 18 000 000 0 0

201 1271211804****** 1271215106****** JUNIATI BR KABAN MEDAN 11|06|**** S P JL ABDUL HAKIM GG SUSUK II NO 18 000 000 0 0

202 1271211804****** 1271216705****** RENYA CLARA TETAMIA BR DEPARI MEDAN 27|05|**** B P JL ABDUL HAKIM GG SUSUK II NO 18 000 000 0 0

203 1271211805****** 1271212807****** BUDIANTA TARIGAN MEDAN 28|07|**** S L JL. ABD HAKIM GG. SUSUK VIII NO. 41 000 000 0 0

204 1271211805****** 1271216109****** NGIKUTEN BR SEMBIRING KISARAN 21|09|**** S P JL. ABD HAKIM GG. SUSUK VIII NO. 41 000 000 0 0

205 1271211805****** 1271010307****** BILLY YAKHIN CHANDRA SIMANJUNTAK MEDAN 03|07|**** B L JL ABDUL HAKIM PERUM GRAND MEDALINE 000 000 0 0

206 1271211810****** 1271211610****** SIMSON SURBAKTI SPd MEDAN 16|10|**** S L JLN ABD HAKIM GG SUSUK V NO 8 000 000 0 0

207 1271211810****** 1271216103****** THEODORA ALOINA BR SURBAKTI MEDAN 21|03|**** B P JLN ABD HAKIM GG SUSUK V NO 8 000 000 0 0

208 1271211902****** 1271211012****** JAKTI SITEPU MEDAN 10|12|**** S L JL ABDUL HAKIM GG SUSUK V NO 31 000 000 0 0

209 1271211902****** 1271215005****** ROSARINA BR SEMBIRING BATU SANGGEHEN 10|05|**** S P JL ABDUL HAKIM GG SUSUK V NO 31 000 000 0 0

210 1271211902****** 1271212303****** FRANS SINATRA SITEPU BANDAR BARU 23|03|**** B L JL ABDUL HAKIM GG SUSUK V NO 31 000 000 0 0

211 1271211902****** 1271216511****** NIRVA DELPYANA BR SITEPU BANDAR BARU 25|11|**** B P JL ABDUL HAKIM GG SUSUK V NO 31 000 000 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-026 271 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

212 1271211903****** 1271175509****** EFRATA BR SEMBIRING KABANJAHE 15|09|**** S P JL ABD HAKIM KP SUSUK V NO 1 000 000 0 0

213 1271211908****** 1271210306****** ARNOLDUS SIMANJUNTAK MEDAN 03|06|**** S L JL ABD HAKIM GG SUSUK XIII NO 50 000 000 0 0

214 1271211908****** 1271217012****** DIANA ANNA KODOATIE MANADO 30|12|**** S P JL ABD HAKIM GG SUSUK XIII NO 50 000 000 0 0

215 1271211908****** 1271215311****** CLARITA TIARMA SIMANJUNTAK UJUNG PANDANG 13|11|**** B P JL ABD HAKIM GG SUSUK XIII NO 50 000 000 0 0

216 1271211908****** 1271213007****** CARLOS JULIO SIMANJUNTAK MEDAN 30|07|**** B L JL ABD HAKIM GG SUSUK XIII NO 50 000 000 0 0

217 1271211912****** 1271216210****** CHIRISTIANI R SIREGAR PEKANBARU 22|10|**** S P PERUMI CITA G BLOK CC NO 8 000 000 0 0

218 1271211912****** 1271215312****** RUTH SUNARTI TAMBUNAN CILACAP 13|12|**** B P PERUMI CITA G BLOK CC NO 8 000 000 0 0

219 1271211912****** 1271215704****** CHATERING PASKANAULI JAKARTA 17|04|**** B P PERUMI CITA G BLOK CC NO 8 000 000 0 0

220 1271211912****** 1271211904****** ASIANDO LUKAS M MUDA BEKASI 19|04|**** B L PERUMI CITA G BLOK CC NO 8 000 000 0 0

221 1271212001****** 1271174209****** CHRESBINA TARIGAN MEDAN 02|09|**** S P JL ABD HAKIM GG SUSUK V NO 31 000 000 0 0

222 1271212002****** 1271045710****** TIURMA ROSTINI MEDAN 17|10|**** S P JL ABD HAKIM GG SUSUK II NO 2 000 000 0 0

223 1271212003****** 1271210409****** LEGIANTO BULUCINA 04|09|**** S L JL ABDUL HAKIM GG SUSUK V NO 22 000 000 0 0

224 1271212003****** 1271211204****** FRANDIKA CHRISMANTO MEDAN 12|04|**** B L JL ABDUL HAKIM GG SUSUK V NO 22 000 000 0 0

225 1271212004****** 1271210512****** RASMIN HARIYADI, SSN MEDAN 05|12|**** B L JL ABD HAKIM GG SUSUK V NO 11 000 000 0 0

226 1271212004****** 1202136511****** ESTER ROSMAWATI SIHOMBING LUMBAN TANJUNG 25|11|**** B P JL ABD HAKIM GG SUSUK V NO 11 000 000 0 0

227 1271212109****** 1271212809****** FRANKLIN TARIGAN MEDAN 28|09|**** S L JL.ABDUL HAKIM GG SUSUK IV NO 2 000 000 0 0

228 1271212109****** 1271214110****** LISMONA RISDA BR SEMBIRING BUNGA BARU 01|10|**** S P JL.ABDUL HAKIM GG SUSUK IV NO 2 000 000 0 0

229 1271212510****** 1271216808****** ALEMEN BR TARIGAN TANAH KARO 28|08|**** S P JLABD HAKIM GG SUSUK NO 33 000 000 0 0

230 1271212708****** 1506066208****** EVINA BR. LAPAO P. SIANTAR 22|08|**** S P JL ABDUL HAKIM GANG SUSUK 7 000 000 0 0

231 1271212708****** 1506060202****** HEPRON SAMOSIR MEDAN 02|02|**** S L JL ABDUL HAKIM GANG SUSUK 7 000 000 0 0

232 1271212901****** 1206101101****** ROY ANDREAS SEMBIRING PANDIA DEPOK 11|01|**** B L JLN. BERDIKARI GG. KELUARGA NO. 3 000 000 0 0

233 1271210406****** 1206010203****** SUHARIYADI GINTING MEDAN 02|03|**** S L P BULAN SELAYANG I 001 001 0 0

234 1271210808****** 1271211107****** P MAULANA YUSUF HARAHAP SERANG 11|07|**** S L PERM INSAN CITA GRIYA BLOK D 8 000 008 0 0

235 1271210808****** 1271212008****** FAUZAN MAULANA HARAHAP MEDAN 20|08|**** B L PERM INSAN CITA GRIYA BLOK D 8 000 008 0 0

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-026 272 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13

236 1271210808****** 1271216001****** ULFAH AZZAHRA HARAHAP MEDAN 20|01|**** B P PERM INSAN CITA GRIYA BLOK D 8 000 008 0 0

237 1271211011****** 1271212608****** RUSLAN SURBAKTI T.MERAH 26|08|**** S L JL ABD HAKIM GG SUSUK IV NO 3 A 001 008 0 0

238 1271211011****** 1271217009****** LUDYA KANNYA BR SURBAKTI MEDAN 30|09|**** B P JL ABD HAKIM GG SUSUK IV NO 3 A 001 008 0 0

239 1271210102****** 1271215909****** WENI FLORENCIA BR TARIGAN MEDAN 19|09|**** B P JL BERDIKARI GG KELUARGA NO 9 003 008 0 0

240 1271210506****** 1271211401****** DANIEL SITEPU MEDAN 14|01|**** B L JL SUSUK RAYA NO 29 MEDAN 003 008 0 0

241 1271211004****** 1271215807****** MARTHALENA BR MELIALA MEDAN 18|07|**** P P JL SUSUK RAYA NO.29 MEDAN 003 008 0 0

242 1271211211****** 1271210310****** HARMADANSYAH SORI MUDA, SH P SIDEMPUAN 03|10|**** S L JL ABD HAKIM SUSUK IX NO 5 003 008 0 0

243 1271211211****** 1271214408****** LINTARINA DAMANIK PEMATANG SIANTAR 04|08|**** S P JL ABD HAKIM SUSUK IX NO 5 003 008 0 0

244 1271211711****** 1271210808****** BERLIN SEMBIRING PELAWI MEDAN 08|08|**** S L JL ABDUL HAKIM NO 27 MEDAN 003 008 0 0

245 1271211711****** 1271215006****** MARTHA REHULINA BR BARUS MEDAN 10|06|**** S P JL ABDUL HAKIM NO 27 MEDAN 003 008 0 0

246 1271211711****** 1271211504****** DENDY BREMANA S PELAWI MEDAN 15|04|**** B L JL ABDUL HAKIM NO 27 MEDAN 003 008 0 0

247 1271211512****** 1271212611****** BUDI INDRA SYAHDEWA, DRS MEDAN 26|11|**** S L PERM INSAN CITA GRIYA BLOK- B NO. 2 004 008 0 0

248 1271211512****** 1271215904****** MAZLEINI MEDAN 19|04|**** S P PERM INSAN CITA GRIYA BLOK- B NO. 2 004 008 0 0

249 1271211512****** 1271212304****** IMAM IRHAMSYAH MEDAN 23|04|**** B L PERM INSAN CITA GRIYA BLOK- B NO. 2 004 008 0 0

250 1271211512****** 1271212208****** MUHAMMAD ADIMAZ PUTRA MEDAN 22|08|**** B L PERM INSAN CITA GRIYA BLOK- B NO. 2 004 008 0 0

251 1271211901****** 1271211611****** DOMAN SEMBIRING KIDUPEN 16|11|**** S L JL ABD HAKIM GG SUSUK VI-A NO 2 004 008 0 0

252 1271211901****** 1271215508****** MARIANI MEDAN 15|08|**** S P JL ABD HAKIM GG SUSUK VI-A NO 2 004 008 0 0

253 1271211901****** 1271216401****** SASMITA PRATIWI SEMBIRING PABATU 24|01|**** B P JL ABD HAKIM GG SUSUK VI-A NO 2 004 008 0 0

254 1271211901****** 1271216112****** WIDYA KAROLINA SEMBIRING PABATU 21|12|**** B P JL ABD HAKIM GG SUSUK VI-A NO 2 004 008 0 0

255 1271211901****** 1271216606****** RINA YUNITA SEMBIRING PABATU 26|06|**** B P JL ABD HAKIM GG SUSUK VI-A NO 2 004 008 0 0

Keterangan Disabilitas : Keterangan Status perkawinan = 255 Jenis Kelamin = 255 Ditetapkan di MEDAN, Tanggal 12 November 2018
1: Tuna Daksa B : Belum Kawin = 93 L : Laki-Laki = 129 KPU KOTA MEDAN
2: Tuna Netra S : Kawin = 149 P : Perempuan = 126 KETUA
3: Tuna Rungu/Wicara P : Pernah Kawin = 13
4: Tuna Grahita DTO

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-026 273 / 276


MODEL A.3-KPU

TANGGAL STATUS JENIS ALAMAT


NO NO KK NIK NAMA TEMPAT LAHIR LAHIR
PERKAWINAN KELAMIN DISABILITAS Keterangan *)
B/S/P L/P JALAN/DUKUH RT RW
1 2 3 4 5 6 7 8 9 10 11 12 13
5: Disabilitas lainnya
KK = 131 AGUSSYAH R DAMANIK

Kd10-SUMATERA_UTARA-MEDAN-MEDAN_SELAYANG-PB_SELAYANG_I-026 274 / 276


REKAPITULASI DAFTAR PEMILIH TETAP HASIL PERBAIKAN II
PEMILIHAN UMUM TAHUN 2019
OLEH ..................................

Desa/Kelurahan : PB SELAYANG I Kabupaten/Kota : MEDAN


Kecamatan : MEDAN SELAYANG Provinsi : SUMATERA UTARA

JUMLAH JUMLAH PEMILIH


NO KECAMATAN DESA / KELURAHAN TPS KETERANGAN *)
L P L+P
1 2 3 2 3 4 5 12
1 MEDAN SELAYANG PB SELAYANG I 001 108 135 243

2 002 99 104 203

3 003 132 135 267

4 004 118 114 232

5 005 121 109 230

6 006 111 110 221

7 007 135 149 284

8 008 108 110 218

9 009 108 104 212

10 010 79 134 213

11 011 104 114 218

12 012 114 102 216

13 013 97 111 208

14 014 112 116 228

15 015 113 126 239

16 016 85 101 186

17 017 103 101 204

18 018 100 108 208

19 019 106 107 213

20 020 120 140 260

21 021 114 116 230

22 022 107 136 243

23 023 123 153 276

24 024 121 129 250

25 025 112 140 252

26 026 129 126 255

JUMLAH 0 2,879 3,130 6,009

Ditetapkan di MEDAN, Tanggal 12 November 2018


DISAHKAN DALAM RAPAT PLENO
...........................................................
JUMLAH JUMLAH PEMILIH
NO KECAMATAN DESA / KELURAHAN KETERANGAN *)
TPS L P L+P
1 2 3 2 3 4 5 12

Nama Tanda Tangan

1. Ketua ............................................ .................................................

2. Anggota ............................................ .................................................

3. Anggota ............................................ .................................................

4. Anggota ............................................ .................................................

5. Anggota ............................................ .................................................

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