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Program Agro Inovasi Super Tani Indonesia Petani KEREN Kab. Mamuju
Permohonan Polis Asurasi JAMIN

NO. NIK
Alamat TTL/CONTAK PERSON/AHLI WARIS
No Nama
KTP KARTU KELUARGA
Desa Kecamatan TEMPAT LAHIR TANGGAL BL/THN NO.HP NAMA AHLI WARIS JAMIN
1 BATU AMPA PAPALANG RISAL SAPUTRA 7602071712970002 7602074046180002 BATU AMPA 12/17/1997 082398729055 Hj. MASA 50000
2 BATU AMPA PAPALANG HUSEN 7604023112750315 7602070602180003 P0LMAS 12/31/1997 082114801635 UMMA
3 BATU AMPA PAPALANG ISRAIL 7602071203830001 7602070203100004 POLMAS 3/12/1983 082195264802 RAHMATIA
4 BATU AMPA PAPALANG KARIM 7602073112720095 7602071600110001 KAMBE 12/31/1972 082194895193 ST NURBAYA
5 BATU AMPA PAPALANG RAJAB 7602073112720098 76020724120020005 BUTTU 12/31/1972 082216364305 Hj. AMINA
6 BATU AMPA PAPALANG BAHARUDDIN 7602073112880049 7602070507120003 POLMAS 12/31/1988 082211383269 ANA
7 BATU AMPA PAPALANG AHMAD. B 7604103112850161 7602071309170003 TOLI TOLI 12/31/1985 082344967801 ASTUTIA
8 BATU AMPA PAPALANG NURSIA 7602077112790038 7602072506080009 POLMAS 12/31/1970 085398069702 NURMADINA S
9 BODA-BODA PAPALANG YESAYA 7602070306690002 7602072803052126 LEPO 6/3/1969 082277089215 ASMAWATI
10 BODA-BODA PAPALANG YUSUF P 7602071812800003 7602072203130003 SALUDENGEN 12/18/1980 085398299300 ARRUAN BUSU
11 BODA-BODA PAPALANG BERNARD E 7602073105770001 7602070312090008 RANTE 5/31/1977 082349432708 NUR HAYATI
12 BODA-BODA PAPALANG LIMPRITS 7602070108950003 7602070611190001 MAMASA 8/1/1995 082316299505 LENNI KUSMAWATI
13 BODA-BODA PAPALANG ARIS 7602071705600001 7602072803052138 POLMAS 5/17/1960 082341705375 AGUSTINA
14 BODA-BODA PAPALANG HENDRA ARDIANSYAH 7602072010960001 760207260718003 BODA BODA 10/20/1996 082298997235 MAYA WINDA SOFIANA
15 SUKADAMAI PAPALANG MUKHLIS 7602071005850001 7602071209120004 POLMAS 5/10/1985 085242486993 IRMA
SUKADAMAI PAPALANG ANSAR M 7601050803860001 7601052801110040 PINRANG 3/8/1986 082133619454 SAHARIA
17 SUKADAMAI PAPALANG M. YAKUB 7314071709830001 7314071709830000 SIDRAP 9/17/1983 085282429873 SAHRA
18 BONDA PAPALANG MUHAMMAD K 7602073112730069 7602070510090002 POLMAS 12/31/1973 085256089834 HUSNAINI
19 BONDA PAPALANG MUSLIADI 7602070107920131 7602071409170001 MAMUJU 7/1/1992 085342588140 HARMAWATI
20 BONDA PAPALANG HAMMA 7602073112650016 7602072105070001 POLMAS 12/31/1972 081336623448 SINAR
21 BONDA PAPALANG SUHRAH 7602075510880001 7315110508092333 PINRANG 1/1/1972 082187404577 ANWAR
22 BONDA PAPALANG AMBAS 7602073112640038 7602071706080008 POLMAS 9/18/1963 082292447850 BAHARIA
23 BONDA PAPALANG JABIR 7602070203710001 7602070607110004 POLMAS 3/2/1971 081356512217 SITI RAHMAH
24 BONDA PAPALANG HASRI 7602070308920002 7602072110200005 KAPAS 8/3/1992 085340233470 ASRA
25 BONDA PAPALANG SAPRI 7602071506790002 7602071105080003 KALUKKU 6/15/1970 081244133994 BAHIRA
26 BONDA PAPALANG SAHARUNA 7602071003810002 7602071509110001 POLMAS 3/10/1981 082213594635 HIDRAWATI
27 BONDA PAPALANG ANDI PARENRENGI 7602070107710039 7602070501090005 MAMUJU 7/1/1971 082347786561 ERNI
28 TOPORE PAPALANG SUKARDI 7602070102820001 7602072511070009 POLMAS 2/1/1982 085240346854 WATI
29 TOPORE PAPALANG USMAN 7602072501800001 7602070612120007 KAPAS 1/25/1980 085395574471 MARMADI
30 TOPORE PAPALANG SARKAWI 7602071709900001 7602070908160006 PANIKI 9/17/1990 082297303347 JULIANTI
31 TOPORE PAPALANG HASRI 7602070308920002 7602070308920002 KAPAS 8/3/1992 085340233470 ASRA
32 PAPALANG PAPALANG HARMUA 7602074506890003 7602071901170002 KIRA 8/31/1962 085283574713 HARMAWATI
33 SALUBARANA SAMPAGA MUDI YASIN 7602083112640027 7602081011080003 POLMAS 31/112/1964 085333027751 MUNISA
34 SALUBARANA SAMPAGA DARLAN D 7602081711880001 7604102006170006 POLMAS 11/17/1988 082332553156 FATMAWATI
35 SALUBARANA SAMPAGA SAWAL 7604042709750001 7602080412170001 MANDING 9/27/1975 082394388031 NURSIA
36 SALUBARANA SAMPAGA NURDIN 7602083112730044 7602080910120002 POLMAS 12/31/1973 082330374528 SALMIAH
37 SALUBARANA SAMPAGA BAHARUDDIN 7602083112710042 7602080106080004 PAKKAMISAN 12/31/1971 081350500919 JAMIAH
38 SALUBARANA SAMPAGA BADDUAMANG 7602080601690001 7602080801160001 MANDING 1/6/1969 082352190400 MANASIA
39 TANAMBUAH SAMPAGA H SAINI 7602083112630025 SOPENG 12/31/1963 085240817343 Hj. YEMMA
40 TANAMBUAH SAMPAGA MASJIDI 7602081903720001 SOPENG 3/19/1972 085397593589 RUSNAN
41 TANAMBUAH SAMPAGA MUH NASRULLAH 7602081305690002 PEKKABATA 5/13/1969 085226738888 SOHORA
42 TANAMBUAH SAMPAGA ALIMIN J 7311040708780004 085248585579 NAIDA
43 TARAILU SAMPAGA H HENDRA 7602072010960001 7602083010080005 SOPPENG 8/17/1967 085242737979 ARSAUDI

44 BONDA PAPALANG HATIM 7602070111780001 7602072011120001 TOANSANG 12/31/1977 082192304730 ATI

45 BONDA PAPALANG ABD RAJAB 7602071707970001 7602073010120002 JARAMELE 7/17/1997 082188593259 MINA
46 BONDA PAPALANG SYAMSUL 7602070607860002 7602071709120005 POLMAS 7/6/1986 082196360912 HIJRANA
47 BONDA PAPALANG SELENG 7602073112630041 7602070910080001 POLMAS 12/31/1963 082190032698 BADDA
48 PAPALANG PAPALANG BURHANG 7602073112680067 7602071903190001 TASIU 12/31/1968 085298130522 HASNIA
49 PAPALANG PAPALANG DIRWANSYA 7602073112960036 7602070611200001 MAMUJU 31/12/19998 085319553622 NUR INDAH
50 TOPORE PAPALANG HARTONO 7602073112730015 7602072803050601 POLMAS 12/31/1973 082347226964

51 BELANG-BELANG KALUKKU AULIA REZKY HASBI 7602032309960002 7602031401090007 MAMUJU 9/23/1996 0852558883372 Muh Sibli Hasbi
52 BONDA PAPALANG ABD WAHAB 7602010304870003 7602012206100007 KAPAS 4/3/1987 085284264231 Prapti Sunyi Hartini
53 CAMPALOGA TOMMO DIAN AYU PANDA SARI 7602115111940003 7602010309200010 TOMMO IV 11/11/1994 0822293750698 Asyiptar Pradipta
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