April 2022

Nama Puskesmas/Fasyankes/Pos
Kabupaten/Kota
No NIK
1 5302021101770001
2 5302020505800001
3 5302022305080001
4 5302025610840002
5 5302026002580001
6 5302020901850001
7 5302021512950001
8 5302023112820001
9 5302014712520001
10 5302025509310001
11 5302020405590001
12 5302025310540001
13 5302027007750001
14 5302025910550001
15 5302021506690001
16 5302025903720001
17 5302026004880001
18 5302026210620001
19 5302021506050004
20 5302220611790001
21 5302025606720003
22 5302021008030001
23 5302022302730001
24 5302021208030002
25 5302025506990001
26 5302044211940002
27 5302020306800001
28 5302020909830001
29 5302026105850001
30 5302026112930001
31 5302021903770001
32 5302020205850001
33 5302022310100002
34 5302026212130001
35 5302026402130001
36 5302025412090002
37 5302024212090002
38 5302022707100002
39 5302021511130001
40 5302024707110001
41 5302022208130001
42 5302025409120002
43 5302025710120001
44 5302024701090001
45 NIK BELUM ADA
46 5302026105870001
47 5371036109940002
48 5371036912070001
49 5302014612030002
50 3314175304950001
51 3272075809940900
52 5206066906971003
53 5302012905700001
54 5302016004790003
55 5303056907970001
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
: Puskesmas Siso / Aula BKPP
: Timor Tengah Selatan
Nama Penerima Vaksin
YUSARDAK TSE
DOMINGGUS NIFU
MADER FOMENI NENOMETA
LISNA ORANCE KASE
REGINA PAY
WELEM ELIAS LUKAS NEKEN

DEDI ERATUS KASE
SIMON P.TEIN
SUFIA TOB
FRANSINA TANONE
ELKANA PAY
DORKAS BOKIMNASI
JISKA YULIANA TOINENO
ASNAT SABA
YERMIAS OPAT
MARGARITA DORTIANA KASE
LODIANA PATRI TAMONOB
AFLIANA SANAM
LAFU YUNANDA KASE
NIMROT NAPULEON BOKIMNASI
YOHANA SANAM
ANSER OPAT
YUSUF TOB
DEKI DOMINGGUS BOKIMNASI
YUNI OPAT
NONCI SETTE
BERNABAS SANAM
SEFNAT KASE
MARTEDA UFI
MARTI BANA
AMROSIUS TOB
NIMROT PAY
ALESSANDRO JOHANES NENOMNANU
DETRI AMELIA PAY
GRESSYANI VIOREZITA
NENOMNANU
DESTHY FONY PITALNELA MELLA
FRETMI MELLA
KALVIN ADELINO BOKIMNASI

RENALDI T. MELLA
JULITA VENCI MERY NEKEN
ANDI JUNINO TSE
MARGARETA CASANOVA BOKIMNASI
GRACIA LAKE
IRENE ANGGELINA MELLA
NOVITA ARETA TEFLAEL
MELDRIANTY JUSANTRI SANAM

JENI LIUNOKAS
DESTI ALFIANCE NATALIA LASI
CHRISANDRA YOLENSI PUTRI

AMNIFU
INGGITA NANAWATAE WIBOWO
GARNIS SEPTIAWATY
MITAFAHRANY
AYUNIA RUSTANDIAH
MELKIAS M CH LUMBA
DEBBY A. BANI
KEZIA TRIZA NARAMESSAKH
Jenis Kelamin Pekerjaan*
L PELAYAN PUBLIK
L PELAYAN PUBLIK
L REMAJA
P MASYARAKAT
P LANSIA
L MASYARAKAT
L PELAYAN PUBLIK
L MASYARAKAT
P LANSIA
p LANSIA
L LANSIA
P LANSIA
P MASYARAKAT
P LANSIA
L PEL.PUBLIK
P MASYARAKAT
PELAYAN
P
PUBLIK
P PRA-LANSIA
L REMAJA
PELAYAN
L
PUBLIK
P MASYARAKAT
L TRANS PUBLIK
L PELAYAN PUBLIK
L MASYARAKAT
P MASYARAKAT
P MASYARAKAT
L MASYARAKAT
L MASYARAKAT
P MASYARAKAT
P MASYARAKAT
L PELAYAN PUBLIK
L PELAYAN PUBLIK
L ANAK
P ANAK
P ANAK
P REMAJA
P REMAJA
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P REMAJA
P ANAK
P TOKOH AGAMA
P PELAYAN PUBLIK
P MAS
P MASYARAKAT
PELAYAN
P
PUBLIK
PELAYAN
P
PUBLIK
PELAYAN
P
PUBLIK
PELAYAN
L
PUBLIK
PELAYAN
P
PUBLIK
PELAYAN
P
PUBLIK
Tanggal Lahir
1/16/1977
05/05/1980
5/23/2008
10/16/1984
2/20/1958
1/9/1985
12/15/1995
31/12/1982
12/7/1952
15-09-1931
5/4/1959
10/13/1954
7/30/1975
10/19/1955
6/15/1969
3/19/1972
4/20/1988
10/22/1962
6/29/2005
11/6/1977
6/16/1972
8/10/2003
2/23/1973
4/20/2004
6/15/1999
11/2/1993
6/3/1980
9/9/1983
5/21/1985
12/21/1993
3/19/1977
11/11/2008
10/23/2010
12/22/2013
2/24/2013
12/14/2009
12/2/2009
7/27/2010
11/15/2013
7/7/2011
8/22/2013
9/14/2012
10/17/2012
1/7/2010
11/23/2012
5/21/1987
9/21/1994
12/29/2007
12/6/2003
4/13/1995
8/2/1988
6/29/1997
5/29/1970
4/20/1979
7/29/1997
Alamat
BIKEKNENO RT 007/RW004
BIKEKNENO RT 005 RW 003
BIKEKNENO , RT 01 / RW 01
BISENE RT 005 RW 003
BIKENENO MOLSEL
BIKEKNNEO RT 002 RW 001
BIKENENO , RT 10 / RW 05 MOLLO
SELATAN
BILOTO, RT 20 / RW 09
KESETNANA , RT 06 / RW 03
BIKEKNENO RT 10/ RW 05
BIKEKNENO

MOLLO SELATAN
MOLLO SELATAN
BIKEKNENO RT 09/05
BILOTO RT 005 RW 003
BIOTO RT 004 RW 002

BIOTO RT 002 RW 001
KESETNANA RT 007 RW 004

OENUNUH MOLLO SELATAN
BILOTO MIOLLO SELATAN
NUNUMEU RT 014 RW 006
KOTA SOE
KOTA SOE
KOTA SOE
JL.IKAN LUMBA-LUMBA
CENDANA RT 014 RW 007

KOTA SOE
Kepesertaan BPJS (tulis
'Ya' pada kolom yang
No. Hp sesuai)
BPJS BPJS
PBI Non PBI
081239747433 YA
081353043844 YA
081283378637
081238017199
YA
082190534607 YA
082150287457
082128307114 YA
081353043844
082166783219 YA
YA
- YA
081239223674
81239223674 YA
81239747130 YA
082147250859 YA
081239032829 YA
081353081792 YA
082235537410
081338471821 YA
081246248343
081339002131
081239747433
08533851562
081353609611 YA
081353612856 YA
81353609611 YA
081236797678
081353609611 YA
081353609611
085238024742
081283378637
081238313584 YA
083335538154 YA
081238313584
082246187676 YA
0853368852567 YA
085338852567 YA
085338852567
082147625156 YA
081342313584 YA
085338852567 YA
081236286387
085338852567 YA
081362704981 YA
081337416698 YA
YA
082144942560
08113522010 YA
081339194176 YA
082134626618 YA
081392455664 YA
085320481595 YA
082359406345 YA
081239151212 YA
081353226745 YA
an BPJS (tulis
SUDAH DIVAKSIN DOSIS I , VAKSIN DOSIS 2
kolom yang
TANGGAL 02 FEBRUARI 2021
suai)
Non
ASAL SEKOLAH
Anggota
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
I , VAKSIN DOSIS 2
RUARI 2021
PENDIDIKAN JENIS VAKSIN
TERAKHIR
TIDAK
PF
TAMAT SD
SD PF
SD PF
SD PF
SD JJ
SD PF
SD PF
SMP PF
TIDAK
PF
TAMAT SD
SD PF
SD PF
TDK
PF
SEKOLAH
SD PF
TDK
PF
SEKOLAH
SD PF
SD PF
TDK TMT
PF
SKLH
SD PF
PTS SKLH PF
SD PF
SD PF
SMP PF
TIDAK
PF
TAMAT SD
PF
SMP PF
SMP PF
SD PF
SD PF
SD PF
SMP PF
SD PF
SD PF
TIDAK
CV
SEKOLAH
SMP CV
CV
SMA PF
SMA PF
SMP CV
SMA CV
CV
SD CV
CV
SD CV
TIDAK
PF
TAMAT SD
SD CV
S1 FM
SMA PF
DIII 1/2 PF
SMA 1/2 PF
S1 1/2 PF
S1 1/2 PF
S1 1/2 PF
1/2 PF
S1 1/2 PF
SMA 1/2 PF
DOSIS FASKES
2
2
2 BINAUS
2
2
2
2
2 BINAUS
2
2
1 V
1 V
1 III
1 VI
1 V
1 IV
1 2
1 IV
1 2
1 3
1 IV
1 3
2 KODIM
3 POLRES
3 OENINO
3 TETAF
3 SUKADONO
3 POLEN
3 POLEN
3 POLRES
3
Kabupaten/Kota
No NIK
1 5302022603150001
2 5302022307150001
3 5302026612140001
4 5302024304130001
5 5302025301140001
6 5302022409120002
7 5302026203130001
8 5302022906120002
9 5302025811110001
10 5302020810090001
11 5302021712090002
12 5302025812130001
13 5302141304110001
14 5302026511110001
15 5302024304140001
16 5302026608110002
17 5302027105100001
18 5302022512100001
19 5302021308120001
20 5302021306100001
21 5302021412110001
22 5302021612130002
23 5371035108090001
24 5302025412100001
25 5302020909120002
26 5302022005150001
27 5302023012100001
28 5302022107120002
29 5302025401130001
30 5302022506120001
31 5302025704100001
32 5302021111080001
33 5302022310100002
34 5302026212130001
35 5302026402130001
36 5302025412090002
37 5302024212090002
38 5302022707100002
39 5302021511130001
40 5302024707110001
41 5302022208130001
42 5302025409120002
43 5302025710120001
44 5302024701090001
45 NIK BELUM ADA
46 5302026105870001
47 5371036109940002
48 5371036912070001
49 5302044212020001
50 5302042409680001
51 5302022805110001
52 5302022412660001
53 5302026105140001
54 5302020605600001
55 5302010706120001
56 5302025011010002
57 5302074301030003
58 5302012608130001
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
MARLON NENOMETA
NAFTALI MICHAEL KEVIN
MESYA CHRITANTI MELLA
SAMU KORI APRILIA SANAM
SONYA MARISA KASE
ARJUN SARTA TASEKEB

MARNESTA L. BAHAN
JUNAEDHI ALBIN MELLA
RENATHA BRIA
RESA MATEOS ALLE
DEMAS SANAM
SELA OSAFINA BOKIMNASI
ANGWI A M TUKE
NOFRIANTI ESTI LASBOY

HILDA NENOMETA
AGNES ABIDA NENOMETA
WANDRI MELISA TABUN
CHRISTIAN MANUELA B. SONBAY
GUSTAF MARVEL LIUNIMA
SEMUEL MELLA
JOHANIS MARTHINUS MATIAS MADJEN
DYOFERMAN ANFIDAD NENABU

RINI AGRIANA LASI
ELSA I. BOKIMNASI
MILEMBER YOHANES PAY
MIGHEL ARIO LASBOY
STIFEN NORISME MELLA
ALGY JULIO RACARDO BOKIMNASI
JESIKA K BOKIMNASI
MESAK ALVINO NENOMETA

MILDA AYUL NENOMETA
NIMROT PAY
ALESSANDRO JOHANES NENOMNANU
DETRI AMELIA PAY
GRESSYANI VIOREZITA
NENOMNANU
DESTHY FONY PITALNELA
MELLA
FRETMI MELLA
KALVIN ADELINO BOKIMNASI

RENALDI T. MELLA
JULITA VENCI MERY NEKEN
ANDI JUNINO TSE
MARGARETA CASANOVA BOKIMNASI
GRACIA LAKE
IRENE ANGGELINA MELLA
NOVITA ARETA TEFLAEL
MELDRIANTY JUSANTRI SANAM

JENI LIUNOKAS
DESTI ALFIANCE NATALIA LASI
DESTI BOIMAU
SEFNAT TANEO
GIORALD HAMONAH KASE
OBED KOEHTAE
MELANY BOKIMNASI
ELIA BAUN
TUWAN CHRISTOFEL BENU
SALDI NOVITA NINEF
NETRI.N.TANIU
SAMUEL KEVIN YAN

L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
P ANAK
L REMAJA
L REMAJA
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P REMAJA
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P REMAJA
L ANAK
P ANAK
P ANAK
P REMAJA
P REMAJA
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P REMAJA
P ANAK
P TOKOH AGAMA
P PELAYAN PUBLIK
P MAS
P MAS
L MAS
L ANAK
L MAS
P ANAK
P LANSIA
L ANAK
PELAYAN
P
PUBLIK
P MAS
L ANAK
Tanggal Lahir
3/26/2015
23/07/2015
12/26/2014
4/3/2012
1/13/2014
9/24/2012
3/22/2013
29/06/2012
11/18/2011
10/8/2009
12/17/2009
12/18/2013
4/13/2011
11/25/2011
4/3/2012
8/26/2011
5/31/2010
12/25/2010
8/13/2012
6/13/2010
12/14/2011
12/16/2013
8/11/2009
12/14/2010
9/9/2012
5/20/2015
12/30/2010
7/21/2012
1/14/2013
6/25/2012
4/17/2010
11/11/2008
10/23/2010
12/22/2013
2/24/2013
12/14/2009
12/2/2009
7/27/2010
11/15/2013
7/7/2011
8/22/2013
9/14/2012
10/17/2012
1/7/2010
11/23/2012
5/21/1987
9/21/1994
12/29/2007
12/2/2002
9/24/1968
5/28/2011
12/24/1966
9/1/2014
5/6/1960
6/7/2012
11/10/2001
11/3/2001
8/26/2013
Alamat
BILOTO MOLLO SELATAN




BIOTO RT 004 RW 002

BIOTO RT 002 RW 001

OENUNUH MOLLO SELATAN
BILOTO MIOLLO SELATAN
KESETNANA MOLLO SELATAN
KESETNANA
OEKEFAN RT 001 RW 001
KOTA SOE
No. Hp sesuai)
BPJS BPJS
PBI Non PBI
081236070146
085338852567
085333491444
081339715486
081236489523
081339360366
081237021693
081338683903
081238690662
081238690662
082145171990
081237129578
081239438122
081236070146
081247811401
081247811401
081247811401
085338852567
085338852567
085338852567
085338852567
081281950315
081246033953
085338852567
082235538154
085338852567
082339757616
085338852567
085337072091
085338852567
085337072091
081283378637
081238313584
083335538154
081238313584
082246187676
0853368852567
085338852567
085338852567
082147625156
081342313584
085338852567
081236286387
085338852567
081362704981
081337416698 YA
082144942560 YA
081246033953
082235537410
081331672164
085338852567
085237569057
085338852567
085239427962 YA
081238378864
081338304717
082359573313 YA
an BPJS (tulis
kolom yang
suai)
Non
ASAL SEKOLAH
Anggota
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA
YA
YA
YA SD G BILOTO
YA
YA SD G BILOTO
YA
SD YASWARI
YA
YA
SD G 1 SOE
I , VAKSIN DOSIS 2
RUARI 2021
TERAKHIR
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
PF
PF
CV
CV
CV
CV
CV
CV
PF
CV
S1 FM
SMA PF
PF
SMP JJ
JJ
CV
PF
CV
PF
CV
SMA PF
SMA PF
CV
DOSIS FASKES
1 1
1 1
1 1
1 11
1 111
1 111
1 111
1 V
1 VI
1 VI
1 III
1 V
1 IV
1 2
1 IV
1 V
1 V
1 3
1 V
1 IV
1 II
1 V
1 VI
1 III
1 1
1 VI
1 III
1 III
1 III
1 VI
2 V
1 V
1 V
1 III
1 VI
1 V
1 IV
1 2
1 IV
1 2
1 3
1 IV
1 3
2
3 POLRES
2 POLRES
3 POLRES
2
1
2 KOTA SOE
Kabupaten/Kota
No NIK
1 5302010906880002
2 5302016006760001
3 5302010202780003
4 5302011507900003
5 5302011504760001
6 5302015609760001
7 5302016011660001
8 5302010804880002
9 5302016002980002
10 5302025903930001
11 5302011307850003
12 5302012307010001
13 5302013006820002
14 5302012102100001
15 5302015202030001
16 5302014809020002
17 5302014312020002
18 5302015911030002
19 5302071009010003
20 5302012603020001
21 5302071005010002
22 3603182509720011
23 3603184308760023
24 5302010404110005
25 5302012908140001
26 5302014803590001
27 5302012809770001
28 5302076803840002
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
JOHANES EVERSON PAH
YOLASRI O. NEKEN
DEFRIS A. OEMATAN
DJULIANRIS SEMUEL PAH
AGUSTINUS BEUKLIU
SELLY SUSANA CHRISTIANA SAEKOKO

ELISABETH SALAMBA
HENDRIK PINIS
FENNY FIRANTY SABAORA
MALINDA SONBAI
MIKAEL JONRY MANGNGI
JULIAN F. OEMATAN
VICTOR SURYA AGUNG SOETEKTJO
FAREL ROEL FILUS THON

CHRISLIFA D J APLOEGI
FLORIDA ERICHA SESFAO
LINDA C. BANAMTUAN
NORLINA TANIU
EPIVANIO GABRIEL AGUST INDU
DEWA MADE SURYANANTHA

BHAYANGKARA
SONITHO K. TLONAEN
I GEDE MADE OKA DHYANA

KONNY MARLENI THIO
ANDREW JOHANIS OEMATAN
MARVANS ANANDA VIRGORIO APLOEGI
GETREDA NAPPOE
BENYAMIN BORU
INCE N O BOIYANI
L PELPUB
P MASYARAKAT
L TRANSPUB
L PELPUB
L PELPUB
P MASYARAKAT
P MASYARAKAT
L MASYARAKAT
P MASYARAKAT
P HAMIL
L MASYARAKAT
L MASYARAKAT
L PEDAGANG
L REMAJA
p MASYARAKAT
p MASYARAKAT
p MASYARAKAT
P MASYARAKAT
L PELPUB
L PELPUB
L MASYARAKAT
L PELPUB
L PELPUB
L ANAK
L ANAK
P LANSIA
L PELPUB
p MASYARAKAT
Tanggal Lahir
6/9/1988
20/06/1976
2/2/1978
7/15/1990
4/15/1976
9/16/1976
11/20/1965
08/04/1988
2/20/1998
3/19/1993
7/13/1985
7/23/2001
6/30/1982
21/02/2010
2/12/2003
9/8/2002
12/3/2002
11/19/2003
9/10/2001
3/26/2002
10/8/1984
9/25/1972
8/3/1976
4/4/2011
8/29/2014
3/8/1959
9/28/1977
3/28/1984
Alamat
NONOHONIS RT 001 RW 001

KOTA SOE RT 002 RW 001
KAMPUNG ROTE RT 004 RW

002
JL.SOEHARTO NO.11
KAMPUNG ROTE , RT 004 / RW

002
MNELALETE RT 001 RW 001
KESETNANA RT 006 RW003
OEKAMUSA RT 006 RW 003
JL.AYANI NI 54
JL.AYANI NI 54
JLN.FLAMBOYAN KOTA SOE
tubuhue rt 001 rw 001

No. Hp sesuai)
BPJS BPJS
PBI Non PBI
082139366543
081236109233 YA
081237162504 YA
082144455828 YA
0821337162504
081236109233 YA
081239558126 YA
085333486789 YA
082146764859 YA
082147358994
082236728856 YA
085348225431 YA
08113823338 YA
082237939322 YA
082236044939
081236072218
085211854924
081238340984
081236073469 YA
082146112711 YA
081399647182
081389382550 YA
082220233291 YA
081239621848 YA
085253153016 YA
081339484034 YA
081239428098 YA
083847825071
an BPJS (tulis
kolom yang
suai)
Non
ASAL SEKOLAH
Anggota
YA
YA
YA
SDI NIFUBOKO
YA
YA
YA
YA
YA
SD NIFUBOKO
SD OENASI
ya
I , VAKSIN DOSIS 2
RUARI 2021
TERAKHIR
SMA JJ
SMA JJ
SMA JJ
SMA JJ
SD JJ
SMA 1/2 PF
D3 JJ
SMA JJ
S1 1/2 PF
SMA PF
SMA 1/2 PF
SMA PF
PF
PF
DSMA 1/2 PF
SMA 1/2 PF
SMA 1/2 PF
SMA PF
SMA 1/2 PF
SMA 1/2 PF
SMA JJ
S1 1/2 PF
S 1/2 PF
CV
CV
S1 1/2 PF
1/2 PF
SMP JJ
DOSIS FASKES
3 NOEBEBA
1
3 BINAUS
3 KIE
3 NOEBEBA
2
3 BINAUS
3 RSUD SOE
3 NULLE
2 POLRES
3 BINAUS
3 POLEN
3 NULLE
3 NULLE
3 NIKI
1
Kabupaten/Kota
No NIK
1 5302031202860001
2 5302024107940004
3 5302021704930002
4 5302022007460001
5 5302025705820001
6 5302024807980001
7 5302025305080001
8 5302026302660001
9 5302024808000003
10 5302024207010001
11 5302024602000001
12 5302021312870001
13 5302026711930001
14 3320051504880004
15 5301064305920002
16 5371031207900003
17 5304081409940001
18 3278026309950002
19 5302011211890004
20 5371030507920004
21 5302014202950001
22 5302016610790001
23 5302030403890001
24 5302010106920001
25 5302015502830001
26 5302015802100001
27 5302015612890001
28 5302021706940001
PITBEN D. KASE
YESTI TAMONOB
ATO ELKANA SANAM
YOSEPUS BAHAN
MARSALINA BANUNAEK
YUDIT YUBRITA NALLE
MA'AJA FOMENI BANOBE
PITRONELA ADOFINA MNANU
ANA HESLI MNANU
YUNI JENTRIANA BOKIMNASI
NERI D. BAHAN
CHARLES OPAT
SARAH OPAT
BAMBANG HERMANTO
LIBYE SUDINCE LIUFETTO
JORISTO M.SEKO
KORNELIS LAKO
SHABRINA NORA ZHAFIRAH
NOH DWI E JUNUS
MARSEL Y KOA
FEBY MELANDRI TANG

LILI E ZAINGO
MARSELUS P. P. OLLA
ARNOL L THEME
LEA DONUATA
MARSYA FEBRIANI AQURISTA APLOEGI
DHESY MARIA BETE ULUKH
TONCI ARISTO YUSRIANUS SAE

L TRANSPUBLIK
P MASYARAKAT
L MASYARAKAT
L LANSIA
P MASYARAKAT
L MASYARAKAT
P DISABILITAS
P MASYARAKAT
P MASYARAKAT
p PELPUB
P PELPUB
L TRANS.PUBLIK
P PEL.PUBLIK
L PEL.PUBLIK
P MASYARAKAT
L PEL.PUBLIK
L PEL.PUBLIK
P PEL.PUBLIK
L PEL.PUBLIK
L PEL.PUBLIK
P PEL.PUBLIK
P PEL.PUBLIK
L PEL.PUBLIK
L PEL.PUBLIK
P MASYARAKAT
P REMAJA
P MASYARAKAT
L TRANS PUB
Tanggal Lahir
2/12/1986
7/1/1994
4/17/1993
7/20/1946
5/17/1982
7/8/1998
5/13/2008
23/02/1968
8/8/2000
7/2/2001
12/6/2000
12/13/1987
11/27/1993
15/04/1988
5/3/1992
7/12/1990
9/14/1994
9/23/1995
11/12/1989
7/5/1992
2/2/1995
10/26/1979
3/4/1989
6/1/1992
2/15/1983
18/02/2010
16/12/1982
17/06/1994
Alamat
OINLASI RT 012 RW 006
BIKEKNENO

BIEKNENO RT 007 RW 004
BIKEKNENO RT 004 R W002
BIKEKNNEO RT 005 RW003
BIKEKNENO , RT 09/ RW 05
KOTA SOE , TTS
KAMPUNG ROTE.TTS
KOTA SOE , TTS
KOTA SOE , TTS
KOTA SOE , TTS
KOTA SOE , TTS
TUPAN , RT 03 / RW 01
KARANG SIRI
KOTA SOE , TTS
KOTA SOE , TTS
KOTA SOE , TTS
TAUBNENO , RT 10 / RW 04
KOTA SOE , TTS
KOTA SOE , TTS
KLANI , MOLLO SELATAN

No. Hp sesuai)
BPJS BPJS
PBI Non PBI
082236362101 YA
081353614894 YA
08217237294
081338304746 YA
081338304746 YA
081236797653 YA
081338304746
081236794188
081246247936 YA
082144874262 YA
081338748384 YA
081353612856
081368802987 YA
82237990012
082247041301
082146680014 YA
81337984557 YA
YA
YA
82340005838 YA
82147707768 YA
822360449339 YA
85253119190 YA
082266792604 YA
81238964340 YA
0822360449339
81237729204
081236286627
an BPJS (tulis
kolom yang
suai)
Non
ASAL SEKOLAH
Anggota
YA
YA
YA
YA
YA
YA
YA
YA
YA
I , VAKSIN DOSIS 2
RUARI 2021
JENIS VAKSIN
PENDIDIKAN
TERAKHIR
SD PF
SMA PF
PF
SR JJ
SD JJ
SMA JJ
TS PF
TS JJ
SMP JJ
SMA JJ
SMA JJ
SD PF
SD PF
SMA PF
SMA JJ
S1 PF
SI PF
SI PF
SI PF
SI PF
SI PF
SMA PF
SI PF
SI PF
SMA PF
SMP PF
SI PF
SMA JJ
DOSIS
1
1
2
3
3
3
I
Kabupaten/Kota
No NIK
1 5302024503740001
2 5302020507700002
3 5302027008000001
4 5302025303860002
5 5302024107990001
6 5302020704060001
7 5302025909900003
8 5302036611010001
9 5302025608850001
10 5302126808920001
11 5302020307060001
12 5302021106000001
13 5302027112700002
14 5302024507630001
15 5302025102720001
16 5302020912890002
17 5302023112590002
18 5302021405740001
19 5302020801870001
20 5301085006850006
21 5302021411090001
22 5302022102830001
23 5302020506770002
24 5302024804770001
25 5302020309010001
26 5302021509110001
27 5302021503090002
28 5302025604520001
29 5302021306000002
30 5302025301990001
31 5302025404010001
32 53020221403660001
33 5302024503690003
34 5302024610640001
35 5302025103620002
36 5302024902990001
37 5302026308860002
38 5302026012610001
39 5302020608010001
40 5302022505930002
41 5302020310020001
42 5302021904040001
43 5302026712770001
44 5302020104750002
45 5302024503670001
46 5302022802810001
47 5302016905920001
48 5302012209010001
49 5302010506730001
50 5302011303910001
51 5302016711900003
52 5302024511770001
53 5302014209800002
54 3175065805820002
55 5302014607820003
56 5302025912830001
57 5302011610900004
58 5302026201760001
59 5302012701760001
60 5319020107750014
61 5302012606680002
MARTINCE NITCAE
MELIANUS FELINTIS SANAM
ATNI ATRIANA KASE
MARTINCE APLONIA KASE
ERNI KASE
IMER ALMIADA KASE
SEPI S. BAHAN
MARLIS NOVITA TANESIB
YANE HARLENCI BOKIMNASI
BACI UFI
YUNCE ANTI TASEKEB
RIMON TASEKEB
BECI BANA
CORNALIA TAPENU
FERDERIKA MELLA
THOMAS TASEKEB
NITAEL NEKEN - B
MELKIAS KASE
YOJARIP KASE
YANTI HERLINCE LASSA
NORBI ARITWAN KASE
ROFUS YESKIAL OPAT
IWAN KASE
ETNI OPAT
EDUARDO KASE
SEFRIT IMENUEL BOKIMNASI
IMER FELIPUS NENOMETA

AFLIANA TEIN
YOZADRAK TOINENO
WANI DARIANA SANAM
SANKLIS AFRIDA SANAM
FELIPUS TAPENU
MARTHINCE MELLA
ORFINCE MNANU
MARIA BOKIMNASI
BATE PERI HERLINE SANAM
Amilda yuliana kase

NELCI NEKEN
ARKILAUS OPAT
YANRI UFI
IMO SILWANUS KASE
ROMANTI ESER TOB
DEBORA BOKIMNASI
ALEXSANDAR BOKIMNASI
MARTHA BOKIMNASI
THOMAS KASE
SOPHIA F. MAGE
YORAM B NAPPU
AKRIS FALLO
MACZORONY B. MEL B. MELLA
ESTER FLORENSA NOVITALIA DUKA
HARO CENWA LIEN KOELIMA
ANALISA HELEVARRA MAUBOY
DELVIANA ROSINTA WARUWU
RAFIKA JULIANA SETYAWATI NITBANI
MAGDALENA TOH
VIKTOR A.S. SON
ESTER WELMINCE OLLIN
YERMIAS N. LASFETO
YOHANES BELLO
JEFRIANUS LAU
P MASYARAKAT
L MASYARAKAT
P MASYARAKAT
P MENYUSUI
P LANSIA
L REMAJA
L TRANSPORTASI PUBLIK
P MASYARAKAT
P MASYARAKAT
L MASYARAKAT
P REMAJA
L PELAYAN PUBLIK
P LANSIA
P LANSIA
P PELAYAN PUBLIK
L MASYARAKAT
P LANSIA
L MASYARAKAT
L PELAYAN PUBLIK
P PELAYAN PUBLIK
L REMAJA
L PELAYAN PUBLIK
L PELAYAN PUBLIK
P MASYARAKAT
L TRANSPORTASI PUBLIK
L REMAJA
L REMAJA
P LANSIA
L PELAYAN PUBLIK
P MASYARAKAT/HAMIL
P MASYARAKAT
L LANSIA
P TOKOH AGAMA
P MASYARAKAT
P MASYARAKAT
P MASYARAKAT
P MASYARAKAT
P LANSIA
L MASYARAKAT
L MASYARAKAT
L MASYARAKAT
L REMAJA
P MASYARAKAT
L PELAYAN PUBLIK
p MASYARAKAT
L PELAYAN PUBLIK
P PELAYAN PUBLIK
L MASYARAKAT
L PELAYAN PUBLIK
L MASYARAKAT
P MENYUSUI
p PELAYAN PUBLIK
P MASYARAKAT
P MASYARAKAT
P PELAYAN PUBLIK
P PELAYAN PUBLIK
L PELAYAN PUBLIK
P MASYARAKAT
L PELAYAN PUBLIK
L MASYARAKAT
L PELAYAN PUBLIK
Tanggal Lahir
3/5/1974
5-7--1970
8/30/2000
3/13/1986
7/1/1999
4/7/2006
9/19/1990
11/26/2001
8/15/1985
8/28/1992
7/3/2006
6/11/2000
12/31/1970
05/07/1963
2/11/1972
12/9/1989
12/31/1959
5/14/1974
1/8/1987
6/10/1985
11/14/2009
2/21/1983
6/5/1977
4/8/1977
9/3/2001
15/09/2007
15/03/2009
16/04/1952
6/13/2000
1/13/1999
14/04/2001
14/03/1966
3/5/1969
06/10/1964
11/03/1962
09/02/1999
23/06/1986
20-12061
06/08/2001
25/05/1993
10/3/2002
4/19/2004
27/12/1977
4/1/1975
05/03/1967
2/28/1981
5/29/1992
9/22/2001
6/5/1973
3/13/1991
11/27/1990
11/5/1977
9/2/1980
18/05/1982
06/07/1982
19/12/1963
10/16/1990
28/02/1976
27/01/1976
01/07/1975
26/06/1986
Alamat
BOEN RT 05 RW 03

BIKENNEO RT 009 RW 005
BOEN RT 05 RW 03

BIKEKNENO , RT 10 / RW 05 MOLLO SELATAN
BIKKENENO RT 008 RW 004

BIKENENO , RT 04 / RW 02 MOLLO SELATAN
NEKEMUNIFETO

KOTA BARU RT 002 RW 002

KOTA SOE
KOTE SOE RT 003 RW 002
KOTA SOE
KOTA SOE
KESETNANA , RT 27/RW01
KOTA SOE
KOTA SOE
KOTA SOE
No. Hp sesuai)
BPJS BPJS
PBI Non PBI
081236793715 YA
082339981077 YA
5302027008000001
082359561121 YA
081339486348
081236793715
081338469650
'085253366082
082340444157 YA
081238287802 YA
081359561121 YA
'081337448420
085338851811 YA
82235537410
081238721807 YA
081339712280
085238979421 YA
081236793715 YA
081238017199 YA
081244883163
081353609611
081236288571 YA
085338851811 YA
085338851811 YA
082359454724
082235537410 YA
081335797681 YA
082235537410 YA
081337732308
081338189181
082145357370
081335797681 YA
082145579166
YA
081337732308 YA
081236040564
081246901503
081239558126
081339446155 YA
081353608400 YA
081339190622 YA
081236793715
085337227221
081353797682 YA
081353797681 YA
082340287019 YA
085217878477 YA
082235383003 YA
085217095631 YA
081338202423
'081236771130 YA
082165745192 YA
081353060364 YA
085237378999 YA
081239118746 YA
81246165912 YA
081339624781 YA
081236163735 YA
82145453369 YA
81246607676 YA
an BPJS (tulis
kolom yang
suai)
Non
ASAL SEKOLAH
Anggota
YA
YA
YA
YA
YA
YA
YA
ya
YA
YA SMPN SATAP PENMINA
YA
SMP KESETNANA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
I , VAKSIN DOSIS 2
RUARI 2021
JENIS VAKSIN
PENDIDIKAN
TERAKHIR
SD PF
SMP JJ
SMA PF
SD PF
PF
SD pf
SMA PF
PF
SD JJ
SD JJ
TIDAK TAMAT SD PF
SMK PF
BT JJ
SD JJ
SD JJ
SD JJ
BT JJ
SD JJ
SMP PF
SMA PF
PF
SD PF
SD PF
SD PF
SMA PF
SMP PF
PF
SD JJ
SD PF
SMA PF
SMA PF
BT JJ
SD PF
BT JJ
SD JJ
SMP JJ
SD JJ
BT JJ
SD JJ
SMA JJ
SMK PF
SMP PF
SD PF
SMA PF
BT JJ
PF
SMA PF
PF
S1 PF
SMA PF
SMA PF
S1 PF
PF
SMA PF
SI PF
PF
PF
JJ
PF
JJ
PF
DOSIS
2
2
I
I
I
I
2 RSUD
I DO
I DO
I
3
3
3 NIKI2
3 OENINO
3 BINAUS
3 TOBU
3 OENINO
3 TETAF
2
I
3 KIE
uskesmas/Fasyankes/Pos
Kabupaten/Kota
No NIK
1 530202010757000
2 5302021108580001
3 5302026105880001
4 5302021303990001
5 5302021802850002
6 5302024508940001
7 5302023001660001
8 5302025202810002
9 5302023112500001
10 5302031107770001
11 5302021703750001
12 5302020806740001
13 5302022605900002
14 5302016204720001
15 5302025101900002
16 5302022610830001
17 5371030701020002
18 5302027008800001
19 5302026404640001
20 5371030409740003
21 5302026502610001
22 5302021804840001
23 5302020111470001
24 5302025505600001
25 5302025108780001
26 5302026009680001
27 5302022702570001
28 5302024303800001
29 5302025410840001
30 5302144309890002
31 5302024104810001
32 5302154307970001
33 5302026801780002
34 5302022504000001
35 5302020801020001
36 5302026012820001
37 5302020906920001
38 5302022810740001
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
SOLEMAN SABA
SEMUEL TOABNANI
MARNI MARIANA BAUN
HAZAR MANWIT SABA
EBEN HAISER TOINENO
KODIANTI ITA HELLY
ELKANA SABA
DEMARIS ANTONETA TAPENU
FREDIK TAPENU
GERSON OEMATAN
SEFNAT PA'ANIA LAKE
YUSUF TOABNANI
NENO MELKISEDEK PAY
WELY AMELIA LAKE
YANDRI DRIANDI TEIN
BALTIS ORNIBAT PAY
JITRO JOSEP LAKE

MINCE PAY
MARSALINA TOINENO
SEFNAT O.D.LAKE
ANA MARIANA TOINENO
ARYANTO N LAKE
FRENGKI TONCI PAY
YUBLINA PAY
JENI NABEN
ANTONIA PAY
FREDIK HENDRIK PAY

MARIA TSE
YOHANA ORANCE LAKE
SERLI N.Y.FAOT
DINA S PAY
YULIANTI TLOIM
YERMI Y. PAY
ANDRI A PAY
MIKAEL Y UFI
LENCI DERINA TANONE
FRANS YULIUS HELLY

MATHEOS SABA
Jenis
Pekerjaan*
Kelamin
L LANSIA
L LANSIA
P MASYARAKAT
L PEL PUB
L MASYARAKAT
P MASYARAKAT
L MASYARAKAT
P MASYARAKAT
L LANSIA
L MASYARAKAT
L MASYARAKAT
L MASYARAKAT
L MASYARAKAT
P PEL PUB
P MASYARAKAT
L MASYARAKAT
L MASYARAKAT
P MASYARAKAT
P MASYARAKAT
L MASYARAKAT
P MASYARAKAT
L PEL PUB
L PEL PUB
P MASYARAKAT
P MASYARAKAT
P MASYARAKAT
L LANSIA
P MASYARAKAT
P MASYARAKAT
P MASYARAKAT
P MASYARAKAT
P MASYARAKAT
L PEL PUB
L MASYARAKAT
L PEL PUB
P MASYARAKAT
L PEL PUB
L PEL PUB
Tanggal Lahir
7/1/1957
8/11/1958
5/21/1988
3/13/1999
2/18/1995
8/5/1994
1/30/1966
2/12/1981
12/31/1950
7/11/1977
3/17/1975
6/8/1974
5/26/1990
4/22/1972
1/11/1990
10/26/1983
1/7/2003
8/30/1980
4/24/1964
9/4/1974
2/25/1961
4/18/1984
1/1/1997
5/15/1960
8/11/1978
9/20/1968
2/27/1957
3/3/1980
10/14/1984
9/3/1989
07/04/1981
03/07/1997
1/28/1978
25/04/2000
08/01/2002
20/12/1982
6/9/1992
MATHEOS SABA
Alamat
BISENE MOLLO SELATAN

BISENEE RT 008 RW 003
DESA LELOBATAN
BSIENE RT 005 RW 003
KEL.CENADANA SOE
BSIENE RT 008 RW 004


BISENE RT 001 RW 01

BISENE MOLLO SELATAN
No. Hp sesuai)
BPJS
BPJS
Non
PBI
PBI
081246858672 YA
81338994421 YA
082146558354 YA
082237173292 YA
085333446443 YA
082247496372 YA
085282051624 YA
082235537410 YA
082247671762 YA
'081237309773 YA
082247671762 YA
085333835659 YA
082342407934
081238347652 YA
081238733475 YA
082145151161 YA
082144870061 YA
081236078675
082247671762 YA
082144916744
082146673679 YA
081339315784 YA
082146673679 YA
082132475682
082247671762 YA
082247671762 YA
082146673679 YA
081236797432 YA
YA
082145151161 YA
081337739394 YA
082146673679 YA
YA
YA
082363329672 YA
YA
082144311553
081338421315
n BPJS (tulis
SUDAH DIVAKSIN DOSIS I , VAKSIN
kolom yang
DOSIS 2 TANGGAL 02 FEBRUARI 2021
uai)
Non
Anggot ASAL SEKOLAH
a
YA
SMK N 2 SOE
YA
DOSIS I , VAKSIN
2 FEBRUARI 2021
JENIS VAKSIN
PENDIDIKA
N TERAKHIR
TDK KSLH PF
SD PF
SD PF
SMP PF
PF
SD PF
TDK SKLH PF
SD JJ
SR JJ
PF
SMP JJ
SD PF
PF
PF
SD PF
PF
PF
PF
SD JJ
SD PF
PF
PF
PF
PF
PF
PF
SR PF
SMP PF
SD PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
DOSIS
2
1
2 KAPAN
2 BINAUS
2
2
3
3 OENINO
3 OENINO
2 ROTE
3
3
a Puskesmas/Fasyankes/Pos
Kabupaten/Kota
No NIK
1 5302015501110001
2 5302010307970004
3 5302062009920002
4 5302011302160001
5 5302024109140001
6 5302020408130001
7 5302020501120002
8 5302026710140001
9 5302024609130001
10 5302274911140001
11 5302026203100001
12 5302022905110002
13 5302027110080002
14 5302270405130001
15 5302025603110002
16 5302325411130001
17 5302024708130001
18 5302025506140001
19 5302024711130001
20 5302025701120001
21 5302025305850001
22 5302025002120001
23 5318101806110002
24 5302020801110001
25 5302021504140002
26 5302020801100001
27 5302025601130001
28 5302026704130001
29 5302023010090001
30 5302170304130001
31 5302021212090001
32 5302092609100001
33 5302016906100001
34 5302024209760001
35 5302027006130001
36 5302026705100001
37 5302015409100001
38 5302085707140001
39 5302026809100001
40 5302024203120001
41 5302025812120001
42 5302026104120001
43 5371035603100002
44 5302025106100001
45 5302025407090001
46 5302020904130001
47 5302020903120002
48 5302021210110001
49 5302025804090002
50 5302024511090001
51 5302020601100001
52 5302025605070001
53 5302021908800002
54 5302025312080001
55 5302024909090001
56 5302171210110002
57 5302026002940002
58 5302026009800001
59 5302114202760001
60 5302026907110001
61 5302026401110001
62 5302020711110001
63 5302022904100002
64 5302026711110002
65 5302021608110001
66 5302024104110001
67 5302026605110002
68 5302025206100001
69 5302025006100003
70 5302024203110001
71 5302035101060003
72 5302024104120001
73 5302024810800001
74 5302022303100001
75 5302025201110001
76 5302020112130001
77 5302011706150001
78 5302021710110002
79 5302116805110001
80 5302024110110001
81 5302025601150001
82 5302012601150001
83 5302010805110001
84 5302026705130001
85 5302024911120001
86 5302022405100001
87 5302102510080001
88 5302025803120001
89 5302022903140001
90 5302021303150001
91 5302022407120002
92 5302022704090001
93 5302021910140001
94 5302020505100003
95 5302174706110001
96 5302130202120001
97 5302023110140001
98 5302025202150001
99 5302012912080002
100 5302016303120002
101 5302015111140001
102 5302022803160001
103 5302021511090001
104 5302035503020001
105 5302036104410001
106 5302127101000003
107 5302036912990001
108 5302026609860001
109 5302024910630001
110 5302025302890001
111 5302034505550001
112 5302024904950001
113 5302025302950001
114 5302024805920001
115 5302026606740001
116 5302021205700001
117 5302024101670001
118 5302026802150001
119 5302026912790002
120 5302012703920004
121 5302016506130001
122 5302015204730001
123 5302014306980001
124 5302020901150001
125 5302016810080001
126 5302054504920001
127 5302010104940001
128 5302017107680003
129 5302011808550001
130 5302014507550003
131 5302110712040002
132 5302011402860003
133 5302016212910002
CLOUDYA EARLENE PASUMAIN
STEVANS HENDRY PASUMAIN
YITZHAK SEFRIANTO TENIS
FABASTIANO ABRAM THON
DEWI ALEXANDRA TAMELAB
VANCE OLANE SEO MISSA
ZAKARIAS TUALAKA
PUTRI ANGELJELITA BOUK
MUTIARA JOSEPHVIA BOUK
CLAUDITAU BOTA
CHRISTINE TAMPANI
ROLAND SELAN
KETI INDRIANI KASE
ERGIN BOTA
MERCY GRASHELLA TOH
CLARA LYLESTRI TONIS
ANITA SNAE
ERMINDA DE JESUS
SANTI MISSA
JEANNE MISSA
OMENCI TLONAEN
VARA VEBRIANTI TAHUN
GERSON TOMI LASI
JUNURIO CHOBAJA TAMELAB
ALAN GRACIO TAMPANI
YOSUA CRISTIAN TEFA
GISELA RINJANI BENU

AYU DAYANTRI LAKAPU
PAULUS BAITANU
PATRIS TUALAKA
VIKTOR IMANUEL MANAKA
SALDI ARIKI TOTO
VIANI JESLIANA MISSA
SOFIA NITTI
IMELDA TAMPANI
VENA MELANIE TUALAKA
BEADRIX KOLO NUBATONIS

GERAN ASTIKA TEFA
KLARISA TUALAKA
GABRIELA ELISABET SAEKOKO
DIRA CHRISTIN MISSA
YOHANA MANAKA
MARIA SAVIRA TAMONOB
STEFANIA TAEKAS
KESIA YUNIOS TON
ROMAN MISSA
SETIA CANU LAOME

RIVALDO AGUSTINUS NUBATONIS
ASTI ADRIANA TAMONOB
MUNI NENABU
GERALDO JUANDRI BILI RARAMATA
MARIA TILMAN
OSIAS MANU
GLORIA MARTINS
SECILIA ANETA MANU
ORGIN BANA
FEDIRINCE LAK'APU
SEFRINA TUALAKA
FERDERIKA ISU
CINDI SELAN
YANDRI AMELIANI BENU
FIDELIS JURIEL TOH
ANDO ALVARO TAMPANI
ANTONIA KOU
LUKAS INDRA LIUBANA
AYU AGRES LEKAMA
WINDA YOLANDA MISSA
MARIA MELANI KEFI
JENTRI S H FAY
RANI ANACI TAMELAB
ALFANI CINTIA KASE
VENNY A. TON
RINCE I R KAMLASI
YEHESKIAL BARCE P. NITBANI
RYTA TODE
TIMO KEVIANDE KASE
JUNE JULIANTO TUALAKA
OBHERLIN AYUB SANAM
CHERYEMA PINIS
TRIVENA TUALAKA
RENI JURANTI TOH
ARJAN TIMO ELIAS TON
DALIT MONLIF TON
MERISA SANAM
NANDA ENDEARLY EFRIANTI TEFA

GIDION TAMPANI
OLGA ENDRO ALWENDI NA'U
MARZELA OTU
MARTIN ROBERTO NINEF
OBERTUS MEKO
SAMUEL R. MANAKA
ARNOLDUS TAMPANI
JOSUA BENYAMIN SEKO
ANGGA MEIKLARENS THIUS
JUWITA MARLEN NUBATONIS
FENDY BENYAMIN BOSOIN
ORLANDO GIVARNEL NABUNOME
KESYA FERLIN DAMIANI BENU

WILIAN DAPATALU
MARYANA AGNESIA TAMEON
NOVITA EUNIKE TAMEON
DANIAL OTU
NOVREN FRANS
SUQNI RAHMAWATI SENI
NUNCI MATTA
YOSUA YUNUS WEWO
SITI ANISA NONCI
ESTER MARNI IRAWATI FAOT
MARIA OLIVIA BUI TAEK
FENIWATI INELCI TAMELAN
ITATI LUDJI
ASRI MATRET TUALAKA
SEBNI MISSA
MACE MARIA TUALAKA
JENI DORTIA TUALAK
MICHAEL MISSA
YOSAFINA TAMELAN
YULIANA BLEGUR BOLING
TUGIYANTI
YAKOB MELKISEDEK FAOT
JUWITA ENGGELIONI BAHAN
ELMY J.A. LAY
NUNGKI DIANA TALAN
JORGEN ARYANTO FAOT

JEANE SILVIA SIANTO
JUBLINA ABDONIA BENU
WARDY NUBATONIS
MARE RAGA LAWA
LAMBERTUS DUKA
YOSIANE MARSELINA MANAFE
DEBERTO SEOFETO
PIERE Y FOENALE
DESTY BOIYANI
P ANAK
L PELPUB
L MAS
L ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P REMAJA
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P MASYARAKAT
P ANAK
L ANAK
L ANAK
L ANAK
L REMAJA
P ANAK
P ANAK
L REMAJA
L ANAK
L REMAJA
L ANAK
p ANAK
P MAS
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P REMAJA
L ANAK
P ANAK
L ANAK
P REMAJA
P REMAJA
L REMAJA
P REMAJA
L MASYARAKAT
p REMAJA
P REMAJA
L ANAK
P MAS
P MAS
P MAS
P ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P REMAJA
P ANAK
P PENDIDIK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L REMAJA
P ANAK
L ANAK
L ANAK
L ANAK
L REMAJA
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L REMAJA
P ANAK
P ANAK
L ANAK
L REMAJA
P MAS
L LANSIA
L MAS
P MAS
P PENDIDIK
L PENDIDIK
P MAS
P LANSIA
P MAS
P MAS
P MAS
P PEDAGANG
L PEL PUB
P MASYARAKAT
P ANAK
P MAS
L MASYARAKAT
P ANAK
P PEDAGANG
P PEDAGANG
L ANAK
P ANAK
P MASYARAKAT
L PEL PUB
p PENDIDIK
L LANSIA
L LANSIA
L MAS
L MAS
P MAS
Tanggal Lahir
1/15/2011
7/3/1997
9/20/1992
2/13/2016
01/09/2014
04/08/2013
05/01/2012
10/27/2014
9/6/2013
11/9/2014
22/03/2010
5/29/2011
31/10/2008
04/05/2013
18/03/2011
11/14/2013
07/08/2013
6/15/2014
07/11/2013
17/01/2012
5/13/1985
2/10/2012
18/06/2011
1/9/2011
15/04/2014
08/01/2010
16/01/2013
27/04/2013
30/10/2009
03/04/2013
12/12/2009
26/09/2010
29/06/2010
9/2/1976
30/06/2013
5/27/2010
9/14/2010
17/07/2014
28/09/2010
02/03/2012
12/18/2011
21/04/2012
3/16/2010
11/06/2010
7/14/2009
4/9/2013
09/03/2012
10/12/2011
4/10/2009
11/5/2009
01/06/2010 00:00:00
16/06/2007
8/19/1980
13/05/2008
09/09/2009
12/10/2011
2/20/1994
20/09/1980
02/02/1976
7/29/2011
1/24/2011
07/11/2011
4/29/2010
27/11/2011
16/08/2011
4/1/2011
5/26/2011
12/06/2010
10/06/2010
3/2/2011
14/08/2006
4/1/2012
10/8/1980
23/03/2010
12/01/2011
01/12/2013
17/06/2015
17/10/2011
28/05/2011
01/10/2011
16/01/2015
26/01/2015
08/05/2011
27-05-2-13
09/11/2012
24/05/2010
25/10/2008
3/18/2012
3/29/2014
3/15/2015
24/07/2012
4/27/2009
10/19/2014
5/5/2010
07/06/2011
02/02/2012
31/10/2014
12/02/2015
29/12/2009
23/05/2012
11/11/2014
28/03/2016
15/11/2009
15/03/2002
21/04/1941
1/13/2000
19/12/1999
9/26/1986
10/9/1963
2/13/1989
4/9/1995
13/03/1995
08/05/1992
6/26/1974
5/12/1970
1/1/1967
2/28/2015
12/29/1979
3/27/1992
25/06/2013
4/12/1973
6/3/1999
09/01/2015
18/06/2015
4/5/1992
01/04/1994
18/08/1955
05/07/1955
12/7/2004
2/14/1986
22/12/1991
Alamat
CENDANA RT 012RW 009
KOTA SOE
KESETNANA RT 13RW 06

KESETNANA RT 013RW 007
KILOMETER 3, KOTA SOE

KESETNANA RT 013 WR 006

KESETNANA 12 RW 06
KOBELETE RT 006 RW 003

FAFINISIN RT 002 RW 002
JL.DAMAI NO 31
KESETNANA 06 RW 03

KESERNANA RT 016 RW 007


LOLI RT 001 RW 001

JL.MUH HATTA
JL.MUH HATTA
OBESI RT 008 R W003
OEBESI RT 002 WR 001
NENAS RT 006 RW 004
OEBESI RT 008 RW 003
OBESI RT 008 R W003

KESETNANA RT 013 TW 006
OEBESA RT 017 RW 006
NEOMETO RT 014 RW 007

KOTA BARU RT 001 RW 001
KESETNANA , MOLLO SELATAN
KOTA SOE
CENDANA RT 010 R W005
KAMPUNG SABU
KOTA SOE
KOTA SOE
Kepesertaan BPJS (tulis 'Ya'
pada kolom yang sesuai)
No. Hp
BPJS Non
BPJS PBI
PBI
085337390822 YA
081339296063 YA
082337554558
085337298346 YA
085333478099 YA
82147366193
082341226736
085210679449
085210679449
081353807336 YA
085237853755
82144873188
85294112612 YA
081353807336
082320142811
85337253450
082359407340
081237982600
085339334727
085339334727
085339334727
082266465059
081236896366 YA
081353288937
81328706480
082235071044
081253553437
81253553437
82237939322
081339205514
82236372143
82144870478
081386886531
082246188633 YA
08123806480
085205460804
082359561203
082235537410
082144048761
082144048761
081236091011
082236372143
082359561203
082236372143
085205460804
081339527175
081339370331
082147276831
082359561203
81236079642
82111955054
82246188633
085236195514
081386886531
082235537410
82235071044
08135003570 YA
081394883649
081394883649
085333432729
081337977567
082123798408
082266465059
081339527175
081339370331
082339516138
081339527175
085238979770
085283047131
082237512060
082235537410
081339539972
081339527175 YA
082246188633
081353386252
082237939322
085253765456
082248616649 YA
082333106399 YA
085253765456 YA
081239221962 YA
81339079005
81339079005
082248616649 YA
082235071044
082145988253
082359560618
81236489936
085337512835 YA
081339034308
082236372143
081235124473
082235071044
082237032205
082333106399 YA
081339216683 YA
081339216683 YA
082333106399
0821145260306 YA
081335162815
081335162815
081236489936
082235537410
085339312529
082339837589
082236375047
081339807646
'085280724456 YA
085237763953
082237032205
YA
081381850394
081236091011
082237489153
081236091011
082237489153
81237998521 YA
085333503877
085216707659
085338850207
082235537410
081339191910
082237902163
085253765456
085248667893
082339070463
YA
082247270231
082145808844 YA
081339478288 YA
081339450458 YA
082341664364
081339433433
082146583416
BPJS (tulis 'Ya' SUDAH DIVAKSIN DOSIS I , VAKSIN DOSIS 2 TANGGAL
yang sesuai) 02 FEBRUARI 2021
Non
ASAL SEKOLAH
Anggota
SD MALESET
YA
TK OEBESA
SD BAKITBA
SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
SD BAKITBA
YA SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
YA
YA SD BAKITBA
SD BAKITBA
YA SD BAKITBA
SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
YA
YA SD BAKITBA
YA SD BAKITBA
SD BAKITBA
YA
YA
YA SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
SD BAKITBA
SD BAKITBA
YA SD BAKITBA
SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
SD BAKITBA
YA SD BAKITBA
SD BAKITBA
YA SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
YA SD BAKITBA
SD BAKITBA
SD BAKITBA
YA SD BAKITBA
SD BAKITBA
SD BAKITBA
YA SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
YA SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
SD BAKITBA
YA
YA
SD BAKITBA
YA
SD BAKITBA
YA SD BAKITBA
SD 1 SOE
YA
YA
YA
YA
YA
AKSIN DOSIS 2 TANGGAL
I 2021
JENIS VAKSIN
PENDIDIKAN
TERAKHIR
CV
SMAA 1/2 PF
SMA PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
SMA PF
CV
CV
CV
CV
PF
CV
CV
PF
CV
PF
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
PF
PF
PF
PF
SD PF
PF
PF
CV
PF
SD JJ
SD JJ
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
S1 PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
PF
1/2 PF
1/2 PF
1/2 PF
1/2 PF
SMA PF
PF
PF
PF
JJ
JJ
PF
SD PF
PF
TDK TMT SD PF
CV
1/2 PF
SMP PF
CV
PF
PF
CV
CV
SMA PF
S1 PF
S1 PF
S1 PF
S1 PF
SMA PF
PF
SMA PF
DOSIS
2
2
2
2
2
2
2
1
2S
2
2
3 LONG IKIS
1
1
2
2 KLS V
2
2
2
2
2
2 KLS IV
2
1
1
3 FATUMNUTU
3 FATUMNUTU
3 FATUMNUTU
3 FATUMNUTU
2 POLRES
2 POLRES
3 BINAUS
3 FATUMNUTU
1 DO
1 DO
2
3 BINAUS
2
3 KOTA
3 KOTA
2
1
3
a Puskesmas/Fasyankes/Pos
Kabupaten/Kota
No NIK
1 5302022412120003
2 5302020608120001
3 5302025902150001
4 5302020507110001
5 5302025610100001
6 5302014110100001
7 5302200503120001
8 6209032708140001
9 5301282109130001
10 5302025304140001
11 5302025111100001
12 5302022210090001
13 5302015712130003
14 5302022510150001
15 5302022310090001
16 5302021507100001
17 5302022106130001
18 5302014611150001
19 5302020612130001
20 5302024106100001
21 5302027012090001
22 5302021011120001
23 5302020505090002
24 5302025806100001
25 5302020508140001
26 5302024212100001
27 5302021812100001
28 5302024907140001
29 5302015709100001
30 5302013006120003
31 5302011402090003
32 5302021711110001
34 5302021603130001
35 5302041011110002
36 5302146101130001
37 5302024612120002
38 5302022702120002
39 5302025107120002
40 5302011108100002
41 5302074311090001
42 5302014208150001
43 5302021409130001
44 5302010606090001
45 5302023001140003
46 5316014506990002
47 5302024505930001
48 5302020505820003
49 5302014510130003
50 5302011101110002
51 5302262004090001
52 5302024704100001
53 5302026010120002
54 5302022606080002
55 5302015512110001
56 5302161407100002
57 5371022502120003
58 5302026109100001
59 5302012108650001
60 5302025012120001
61 5302025711100001
62 5301137003870001
63 5302130908060001
64 5302085206710001
65 5302014808970001
66 5302021104130002
67 5302026409100001
68 5171025509100001
69 5302023110100002
70 5302025209090003
71 5302020908130002
72 5302010305150001
73 5302025508090001
74 5302020201150001
75 5302020707100002
76 5302024104110002
77 5302024608100001
78 5302024806120001
79 5302022804070002
80 5302020405110001
81 5302013012140003
82 5302023006110001
83 5302021909100001
84 5302024511100001
85 5302026909140002
86 5302012403150004
87 3276101508140007
88 5318034109100003
89 5302020810100001
90 5302020406090001
91 5302021904150001
92 5302012911110003
93 5302024807100001
94 5302010502150003
95 5302025507110001
96 6209036706130003
97 5302011211140001
98 5302024211110001
99 5302024302150001
100 5302025809110001
101 5302021509140001
102 5301246007090001
103 5302181411120001
104 5302024204100001
105 5302025106120001
106 5302026107100003
107 5302012610100002
108 5302016308150001
109 5302130307140001
110 5302010102090001
111 5302026011100004
112 5302022702130001
113 5302024705150001
114 5302021811130001
115 5302026906120002
116 5302012911930001
117 5302015601160002
118 3275121309120004
119 5302024705970001
120 5302025101970001
121 5302021311130001
122 5302011601100001
123 5302014409120001
124 5171011911080001
125 5304045701800001
126 5302022807830001
127 5302012412590002
128 5302014912130002
129
130
131
132
133
DOMINGGUS IMANUEL KASE
ABDEN WELSONBOY KASE
HANIRA ASRIANTI OPAT
JULISTO ARYANDI ALLE
GRACE GLORIA CECILIA MELLA
YUMILA OLIVIA FATU
MARGIANTO TOBIAS NOMLENI

ARJEN ROBEN SAMUEL KAMLASI
THIMOTHIUS BANU
AJEN MELAN TASEKEB
NONCI NENOMNANU
STIFEN GERALD TAMPANI
DENATHALIA ANGELA ISA
ANUGERAH ELISABET TEIN
NEGRINUS NENOMNANU
FELIX PULO
SATRIA JUNTIKA NUBAN

NOVA VIKTARIANA SNAE
WILSON PULO
YETI ROSELA UFI
VIORESA AGINTAN SAETBAN
KENZHO VERNANDO WANDRO MISSA
MIGER SARDISONA POLLY
DESI MARSYELA SIO
ARIKO UTKON KOEBANU
DESTI MARGARITA TASEKEB
DELTO KASE
YOLLIN THERSIA MODOK
RISMA LIEM
GASPER LIEM
SATBER DILAN SESFAO
NOVEN RENALDI LUDJI PAU
JIFARSA SURIO MONE
DONI OBALDI NUFETO
SOFIA SELAN
DINA TASEKEB
GUSTY RANGGA OPAT

YANCE GRESIA TASEKEB
ANDRI TEFA
NOVITA HERLINA LIUNESI
ALFIANI BANU
SANDI IMANUEL ALIK
RIFEN TUNIS
ALDIN OTNIAL TASEKEB
REGINA LODA
NENCI ALIK
HABEL NUBATONIS
TERSALSA TASUIB
JEKI TASUIB
RIKI JOSUA NAKLUY
SELARINA OPAT
SELVI ANTONETA TLONAEN
JENIRSA BOIMAU
DEWANTI WANA SELAN
RANDI KEFIN NABUASA

GIVON RIZAT ISU
JENI CRISNA MELLA
AGUSTINUS TUNIS
ACERIA BAHAN
SEMAYA BAHAN
MARGAREDA S. BOYMAU
ANDRE THEOFILUS LASSI
MARIA TAMONOB
WALTI Y. BANAMTUAN
ALDIANTHO APRILIO MISSA
SESI YOSINA KOEBANU
INTAN NAIN ZARI TASEKEB
OFRIANTO ARWADI MISSA
SELVI TOB
BENEDICTUS MARCELL KASE
SONNY LIEM
FRISKA A. NUBAN
JANUARVININ PAULUS TAMESES
ALFAN ROMEO NUBAN
NENSYA APRILIYANI TAMESES
ASTI MBATU
JESIKA Y. HADEN
DUDE APRIANUS SANAM
MEIRINTO SAMUEL KAMLASI
DARWIN SAEFATU
RECARDO FERNANDES DE JESUS
ISAK IDO KASE
NOFALINDA BETTY
SERLINA MIRYANI OPAT
MARDIN HERYANTO TEFA
JAKEV ALFA BISAN
SAPUTRI ANGRYFA TSE
ORLANDO BAKO
RICHARD THE LANNO BAKO
ARVYODA LIU
NONGKI ARIANTO TEFA
YULIANA SELAN
MARGENDI FAOT
DJULEAH DHYANA TAMPANI
VANNI CHINTYA TASEKEB
NOVEN YUSIMPIO DETHAN
YULEN NATU MELLA
CHARLI BOYMAU
MARIA VERONIKA SANMUSUS
ZEIN FADTRY TAPENU
BERLIAN MANNO
NALDI TASOIN
ARFINDA ANGGELINA TAMPANI
VENI AMELIA LAPE
JESIKA ANASTASIA LAPE
DION TAMELAN
YULEN ANGGRAINI TAMELAN
JOSHUA HENDRICUS TASUIB
FINSEN A. BANAMTUAN
NONI YUNITA MARGARETA MONE
YUVEN ABERSIUS MONE
TERA RIDA SARON MONE
ALVREDO CHRISTIANTO LUDJI PAU
IRENIA BONIVASIA
YUNGHUN CALVIN SNAE
GISELLE ALEXANDREA PUAY TANTRI
CHRISTIAN JONATHAN PUAY TANTRI
JORIANA NABUNOME
MEKRIS NABUNOME
GEOFFREY BENETT NATHANAEL
MOOY
GILRANDY TARUPAY
SERLINA SESFAO
DESMAN FREDIK IMANUEL ANIN
YORKI DERMUN FOBIA
HARSCHEL MOOY
KAREL TANESIA
RENITA ARNIATY KANUK

L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L REMAJA
P ANAK
P ANAK
L REMAJA
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P REMAJA
L ANAK
L REMAJA
P ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L REMAJA
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
P REMAJA
P ANAK
L ANAK
L REMAJA
L ANAK
P MASYARAKAT
P MASYARAKAT
L PEL PUB
P ANAK
L ANAK
L REMAJA
P ANAK
P ANAK
P REMAJA
P ANAK
L ANAK
L ANAK
P ANAK
L PEL PUB
P ANAK
P REMAJA
P PENDIDIK
L REMAJA
P MASYARAKAT
P MASYARAKAT
L ANAK
P ANAK
P ANAK
L ANAJ
P REMAJA
L ANAK
L ANAK
P REMAJA
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L REMAJA
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L REMAJA
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P REMAJA
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
P REMAJA
P ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P MASYARAKAT
P ANAK
L ANAK
P MASYARAKAT
P MASYARAKAT
L ANAK
L ANA
P ANAK
L ANAK
P MASYARAKAT
L POLRI
L PEL PUB
P ANAK
Tanggal Lahir
12/24/2012
06/08/2012
19/02/2015
05/07/2011
16/10/2010
01/10/2010
05-03-2012
27/08/2014
21/09/2013
13/04/2014
11/11/2010
22/10/2009
17/12/2013
25/10/2015
23/10/2009
15/07/2010
21/06/2013
06/11/2015
06/12/2013
01/06/2010
12/30/2009
10/11/2012
05/05/2009
18/06/2010
05/08/2014
02/12/2010
18/11/2010
09/07/2014
17/09/2010
30/06/2012
14/12/2009
17/11/2011
16/03/2013
10/11/2011
21/01/2013
06/12/2012
27/02/2012
11/07/2012
11/08/2010
11/03/2009 00:00:00
02/08/2015
14/09/2013
06/06/2009
1/30/2014
6/5/1999
5/5/1993
5/5/1982
05/10/2013
11/01/2011
20/04/2009
07/04/2010
20/10/2012
6/26/2008
15/12/2011
14/07/2010
25/02/2012
21/09/2011
8/21/1965
8/10/2012
1/17/2010
3/30/1987
8/9/2006
6/12/1971
08/08/1999
11/04/2013
24/09/2010
15/09/2010
31/10/2010
9/12/2009
09/08/2013
03/05/2015
15/08/2009
1/2/2015
07/07/2010
01/04/2011
06/08/2010
08/06/2012
4/28/2007
5/4/2011
30/12/2014
6/30/2011
9/19/2010
05/11/2010
29/09/2014
3/24/2015
15/08/2014
01/09/2010
08/10/2010
04/06/2009
19/04/2015
11/29/2011
08/07/2010
05/02/2015
15/07/2011
27/06/2013
12/11/2014
02/11/2011
03/02/2015
18/09/2011
9/15/2014
7/20/2009
14/11/2012
02/04/2010
6/11/2012
7/21/2010
10/26/2010
8/23/2015
7/3/2014
01/02/2009
20/11/2010
27/02/2013
07/05/2015
18/11/2013
6/29/2012
11/29/1993
16/01/2016
9/13/2012
07/05/1997
1/11/1997
11/13/2013
16-01-1-
04/09/2012
11/19/2008
1/17/1980
7/28/1983
12/24/1959
12/9/2013
Alamat
BISUAF , RT 24 / RW 11
NOINBILA MOLSEL
NOINBILA MOLLO SELATAN
NOINBILA RT 015 WR 008

NOINBILA RT 013 RW 006
BIPOLO RT 10 RW 05
BISUAF RT 11 RW 05
NOEMETA RT 006 RW 003
BISUAF RT 15 RW 08
KARANG SIRI RT 19 RW 08
EOBULA RT 14 RW 07
BISUAF MOLLO SELATAN

KAMPUNG SABU KOTA SOE
TUPAN RT 002 RW 001
BISUAF RT 09 RW 06
KARANG SIRI RT 18B RW 08
BUAT KOTA SOE
BISUAF RT 05 RW 05
KESETNANA , RT 28/ RW 11
OINLASI , RT 28 / RW 13
KESTENANA RT 028 RW 013

KAMPUNG SIRIH RT 18 RW 08
KARANG SIRIH RT 018 RW 008
BISUAF RT 13 RW 08

KARANG SITI RT 18 RW 03
NOINBILA , RT 13 / RW 04
NOINBILA , RT 13 / RW 04
KESETNNANNA RT 029 RW 014
BILOTO , RT 002 / RW 001
MOLLO SELATAN
BISUAF RT 12 RW 06
81238574190
OEBOLA , RT 14 / RW 06
NOINBIAL RT 016 RW 008
KAMPUNG SABU RT 10 RW 04
RT 018//008 PENMINA DS NOINBILA
OEBOLA RT 15 RW 08
NOOINBILA RT 015 RW 008
OEBULA , RT 12 / RW 06
BU'AT RT 018 RW 008
KARANG SIRI , RT 17 / RW 08
BUAT RT 018 RW 008
BISUAF RT 13 RW 06
NOENONI RT 011 RW 008
KESETNANA , RT 30
OENUNUH RT 28 RW 13
OENUNUH RT 28 RW 13
BISUAF RT 13 RW 06
KEC.KARANG SIRI
JLAN DIPONEGORO
JLN.DIPONEGORO NO.60
BILOTO RT 06 RW 03
BILOTO RT 006 R W004
NOINBILA RT015 RW 007
KOTA SOE
KOTA SOE
KOTA SOE
Kepesertaan BPJS (tulis 'Ya'
pada kolom yang sesuai)
No. Hp
BPJS Non
BPJS PBI
PBI
085337390822
081236081565
81236339591
081256496926
081292874916
081338435225
082144070924
081236078103
82147682434
81246245020
81239494414
081238510860
082275928958
081239494414
81239494414
081339469211
081337439743
85333433165
0813394469211
82339770259
085238979421 YA
082147246384
082237939322
082147679409
082359268282
081238965145
82236341286
082144657834
081230916198
081236916198
081239981572
081236462796
082145988279
081331035024
081238285596
82236240508
81256496926
081342006616
085333828301
85333433165
081319729645
81246824942
081237488500
081238965145
082144657834
082145185030
081353385997
081339570227
081339570227
081246855730
81246824942
082119445791
082237939322
081236945273
082147170545
081239344418
082146921941
081236488500 YA
081337448609
81337448609
082144895931
81353802652
081299963294
082235773491
081246245020
082359268282
081238574190
081238524599
081338987215
081353910836
081236916198
082237939322
82144895931
085253122334
08214763110
082237939322
082237730163
081338992365
081246223548
081238140677
82144657834
85253091245
082236346287
81256496926
85333828301
081284383942
82340380281
081238354632
081238354632
082359479150
85333828301
081246049909
081338633688
085253392698
081351904793
082147682434
81342006616
81939996566
82237939422
085333353316
082144699404
081238662556
085253392698
82247857029
82247857029
81246817407
81246817407
082146823358
082341603637
0813397886392
81349786392
081339786392
81236462796
082146993257
085337228414
081337495899 YA
081337495899 YA
085333828805 YA
081246820380 YA
081337649511 YA
081241665944 YA
082147682434
82237748984
082146993257
081339079658 YA
082236049014
082247270231
YA
BPJS (tulis 'Ya' SUDAH DIVAKSIN DOSIS I , VAKSIN DOSIS 2 TANGGAL
yang sesuai) 02 FEBRUARI 2021
Non
ASAL SEKOLAH
Anggota
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA
YA TIDAK SEKOLA
YA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA
YA SMA KRISTEN KSETNANA
YA
YA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YAS SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD N KESETNANA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD KESETNANA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA SD PENMINA
YA
SDI SISO
SDK 5 SOE
SDI SISO
SDI SISO
YA SD PENMINA
YA SMP PENMINA
YA
YA
SD G I SOE
AKSIN DOSIS 2 TANGGAL
I 2021
JENIS VAKSIN
PENDIDIKAN
TERAKHIR
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
PF
CV
CV
CV
CV
CV
PF
CV
PF
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
PF
CV
SD PF
TIDAK SEKOLAH PF
SD PF
CV
CV
PF
CV
CV
PF
CV
CV
CV
CV
SD PF
CV
PF
S1 JJ
PFIZER
PF
SMA JJ
CV
CV
CV
CV
PF
CV
CV
PF
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
PF
CV
CV
SMP PF
SD JJ
CV
PF
CV
CV
PF
PF
PF
CV
DOSIS
2
2
2
2
2
1
2
2
2
2
1
2
2
2
2
2
1 DO
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
I
I
2
2
2
2
2
2
2
2
I
2
2
2
2
2
2
2
2
2
2
2
2
I
I
I
I
2
2
2
2
2
2
2
3
2
2
2
1
2
1
2
2
3
3
3
2
NO NIK
1 5302024810840001
2 5302022605810002
3 5302021003530001
4 5302024407710001
5 5302022811520001
6 5371014702710001
7 5302024107480006
8 5302021207630001
9 5302025602830002
10 5302024604790001
11 5302026309850002
12 5302024508790001
13 5302024603540002
14 5302021611970003
15 5302020709700003
16 5302022008050003
17 5302025006820001
18 5302024606550001
19 5302020107460002
20 5302025707900002
21 5302025703690003
22 5302026612670001
23 5302026404720002
24 5302027003850001
25 5302026709020001
26 5302025912800002
27 5302022801650001
28 5304125005870001
29 5302035402760001
30 5302026307610001
31 5302020909760001
32 5302026305650001
33 5302026611930003
34 5302025312970001
35 5302024609790001
36 5302024208670001
37 5302025011600001
38
39
40
41
42
43
44
45
46
47
48
49
50
ORANCE G NDAONG
yevial f tapenu
ENOS POLY
YULIANA BAHAN
NIKOLAS MAU
MINA ARIANTJE LAILANG
maria pay
JOHAN LANGGA
EUFRASIA PEREIRA PIRES

YENTRIANA ERIANI ADELINA
BOKIMNASI
SELFIANTI UFI
APLONIA BAHAN
WELHELMINA LAKE
NERMAN YONISIUS TAMELAN
DOMINGGUS Y.S. KUNE
BRURY YUDARGO MANU
DOMINGGAS PEREIRA
YUMINA TSE
BOAS BOKIMNASI
MARYA ADELHELTI HIGA
KAHO
MARIANCE R .BOKIMNASI
DEBORA HAUTANI
ROSALIAWATI MUDA
ELFIANA MANU
RIKHA SUMYATI SANAM

YORITA DESTURA BETTY
YAPPY S ELUAMA
ANGELA MARIANCE LEU
VERONICA CH. PRASO
HENDERINA RASA
BENI SEPRIANUS FERNANDES
UFI
WELHELMINA MARSALINA
MELIA BACEBA LEIMANI
ADELINA WELMINCE NABEN
DIANA NATALIA KONES
SUSANA BANAMTUAN
KATARINA ITA
NAOMI BENU
Jenis
Kelamin Pekerjaan*
p mas
l pel
l lansia
p mas
l lansia
p toga
p lansia
l pel
p mas
p mas
p msd
p mas
l lansia
l pel
l lansia
l remaja
p mas
p lansia
l lansia
p mas
p mas
p mas
p mas
p mas
p mas
p mas
l pelpub
p nakes
p pelpub
p mas
l pel
p mas
p pelpub
p pelpub
p mas
p mas
p mas
Tanggal
Lahir
8/10/1984
26-5-81
4/7/1977
28-11-1952
7/2/1971
1/7/1948
12/7/1963
16-02-1983
6/4/1979
23-09-1985
5/8/1979
6/3/1954
16-11-1997
7/9/1970
20-08-2005
10/6/1982
6/6/1955
1/7/1946
17-07-1990
17-03-1969
26-12-1967
1/4/1972
30-03-1985
27-09-2002
19-12-1980
28-01-1965
10/5/1987
14-02-1976
23-07-1961
9/9/1976
23-05-1965
26-11-1993
13-12-1997
6/9/1979
2/8/1967
10/11/1960
Alamat
biloto rt 008 rw 004

kesetnana
biloto rt 011
kesetnana
tuasene rt 007 rw 004
kesetnana

kesetnana
biloto
kesetnana rt 022 rw 010

biloto rt 007 r w004
ajaobaki rt 001 rw 001

Kepesertaan BPJS
(tulis 'Ya' pada kolom
yang sesuai)
BPJS Non
BPJS Non Anggot
No. Hp PBI PBI a
081338463938
10-03-1953
081339794265
08
085325714887
081283378637
082235537410 ya
081232040238
082341686424
081287748344
085237853741
081332684127 ya
081352502390
081283378637
081338986772
081236069980
081338384544 ya
085337128932
085294012701
085333494089
082145295950
081339115852
081338490919
082236688909
081239618758
081315747581 ya
082326946764 ya
085239074908 ya
081238728331
085237806304
081278233819
085338380091
082145818982
081338471824
082145512316
081246954002
PENDIDIKA
N
ASAL SEKOLAH TERAKHIR
tdk tmy
s1
s1
JENIS
VAKSIN DOSIS
pf 3
pf 2
pf 2
pf 3
pf 3
pf 3
pf 2
jj 1
pf 2
pf 3
pf 3
pf 3
pf 2
pf 2
pf 3
pf 2
pf 3
pf 3
pf 2
pf 3
pf 3
pf 3
pf 3
pf 2
pf 2
pf 2
pf 3
pf 3
pf 3
pf 3
pf 3
pf 3
pf 3
pf 3
pf 3
pf 3
pf 3
polres
batuputih
fatumnutu
NO NIK
1 5302022702150001
2 5302024607150001
3 5302021511140002
4 5302025001150001
5
5302025307140001
6 5302025401140001
7
5302026205150001
9 5302022703140001
10 5302021410140001
11 5302302701150001
12
5302026504150001
13 5302021207130
14 5302026712130001
15 5302021702120003
16 5302021207130002
17 5302026601130001
18 5302026611130001
19
5302022405150002
20 5302025406140001
21 5302021503140001
22 5302021101130001
23
5302021002140002
24 5302022904110001
25 NIK BELUM ADA

26 5302021301130001
27 5302025112140001
28 5302026903120001
29 5302025807120002
30 5302021104130001
31 5302024907130001
32 5302021503120001
33
34 5302027105130003
35
5371031404130001
36 5371032009150002
37 NIK BELUM ADA
38 5302026310110001
39 5302073003120001
40 5302026110110001
41 5302024608110001
42 5302020609100001
43 5302025512090001
44 5302021305100001
45 NIK BELUM ADA

46 NIK BELUM ADA
47 5302025503110001
48 5302026511110002
49 5302026206110001
50 5302024609110001
51 5302021202110001
52 NIK BELUM ADA
53 5302022612130001
54 5302020702120001
55 5302024902160001
56 TIDAK ADA
57 5302020710110001
58 5302022908100001
59 TIDAK ADA
60 5302021810140001
61 5302022011110001
62 5302021805130002
63 5302021805130001
64
5302026105120001
65
5302026101150001
66 5302026306150003
67 5302025702160002
68
5302020310120001
69 5302024910100001
70 5302026106990001
71 5302024609910001
72 5302224802970001
73 5302024405870001
74 5302021309650002
75 5302022711070001
76 5302026509840001
77 5302021705830001
78 5302021103020001
79 5301106311810001
80 9202126304880003
81 5302025103040001
82 5302026012090002
83 TIDAK ADA
84 5302146101100002
85 5302026605100002
86 5371046910940005
87 5302025509090001
88 5302024904090001
89 5302022805060001
90 5302027001110001
91 5302026802100001
92 5302074701830002
93 5302024111110001
94 5302025508100001
95 5302021710080001
96 5302075505100001
97
98 5302026905080001
99 5302022005140001
100 5302024712100001
101 5302021503150001
102 5302020807100001
103 5302024712090001
104 NIK BELUM MASUK
105 NIK BELUM ADA

106 5302021504080001
107 5302022810080001
108 5302026709100001
109 5302025109080001
110 5302023101100001
111 NIK BELUM ADA
112 NIK BELUM ADA
113 NIK BELUM ADA
114 5302020309430002
115 5302025506710001
116 5302024505100001
117 NUK BELUM ADA
118 NIK BELUM ADA
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
RAVA PRASETYO SALLE

ANUGRANI BELVANIA TOY
GELO FERNANDO APRIANUS TODE
GRENADA PRESYA MESSAH
JENIFER MARIANA DAMI
JACHINDA ONE
MEYCHELL EPPHY CHRISTIANI KADJA
KRIS DANIEL MOOY SELLY
IRFAN NDOLU
FERDINAN SAPUTRA OKTOVIANUS FOEH
JHASEN DENIL LOASANA
PUTRI ANGRIANI HANO
JERICHO DANIL UDAK

ARJENI RESTI NDUN
FRENDI MBADO
JEREMY GERSON UDAK
VELIX ANWAR FIA
CLARA YUNIATI LANI
RISKY FAHIK
THESA J E SALLE
GLENOMARCH OKNIEL LANI
RHEYNO YOHANIS BERNADUS AMALO
RIANDRO FALENTINO FIA
AVRILAND ARYANDES LANI
YUNITA FERENA MBAU

JITRON HENUKH
GRAFIELA DESLIANA MESSAH
IMELDA DAMI
SUSI SURYATI MOOY
KENZO JUNANDA NALLE
RIANA PUTRI SANAM
GUSTI GERSON HANO
YOLANDA LUBALU
MELANI LIBERTY PANDIE
UMBU PAULUS FRANS YEDHIJA PANDIE
UMBU DANIEL F. Y. PANDIE

REGINA MOOY
GLEYDIS WULANDAYANA TOY

ADEPUTRA TASILAUS SCOWLIMTRI ADU
QIOZHY MARINA NALLE
LESTHY AGESTHYN ONE
MOSES JEWINDA LANI
DIRA ESA HANO
MAY CHRIST MAN SA'U
FENY CHRISTIN TAPATAP

CHRISTIN SERITA ADU
MANJA NALLE
DIANA MARGARITA MOOY
FEREN JULITA DAMA

WERNIANTI KLAU
VALENTINO MBADO
ARFAN FOEH
DAVIN ARNOLUS MESAH
ALFACHRI MUHAMMAD HUSNA

FIRAMITHA SOFIANI MESAH
OKSI PANDIE
STIFEN OKTAVIAN SALLE
ARLAN RINALDI LANI
YUNITA BENGGU
ALLIF SAPUTRA NALLE
ARFANO ABRAHAM AMALO
MARWAN G OEMATAN
MERTO N.OEMATAN
SCOLASTIKA OLIVIA MA'U MBAU
GILVIANI VIKTORIA DATOK
MELANI ONNE
FELISTA VALERIE PUARAJA
SYALOMITHA YUANITA UDAK
JENIFER K.O. NALLE

JUBLINA BETTI
ANITA NARU
FINCE ERNI TEFA
ELEN FERAWATI LOASANA
IMANUEL SNAE
ALFAN JEKTRIS NDUN
SELFINA SOINBALA
YAFET BENYAMIN NDUN
IVANDER LANGGA
norma allo
ADRIANA HELLO
ANGLI PANDIE
DESMI AMELIA HENUKH
ESTI ELSINA MOOY
DELLY ANJELINA NENOBAIS
GRESENSIA H.ONE
JANE M FOR A
FEBRI YOLANDA NARU
IREN IRIANTI MBADO
DION FIA
JESICHA YUNASUSANTI UDAK
CELINA NIDIA LANI
YUNITA S.D. BENU
LANI G. M NARU DAMI
THERESIA MARGARET TRIFENA MBAU

OKTOFIANUS AFRY MOOY
MELANTON BENGGU
RANI MELANI SUSANA MOOY
IMELDA SUSANTI MESSAKH
CHRISTIAN Y.HENUKH
CANTICA M.S.MESSAH
PERSY MARIO ADOE

JEVAN.O.PANDIE
DESRI YANTI SELAN
ROGEL M.NAHAK
RESTI MONIKA ADU

ALDI SEMUEL NDOLU
REVHAN BERNAD FIA
SUSAN ORANCE NARA

SERTI AGRIPA LANI
JOANDRIMUS ALIF MOOY
FAUZAN RAMADAN
ANGGA.R.PANDIE
INTO JUANDRO BAY
THOMAS NDUN
GETREDA NAPPOE
KEYLA A.MOOY
ARJUNA FIA
YOLFIN IMEL MESSAKH ALEU'T
Jenis
Pekerjaan*
Kelamin
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
ANAK
P
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
p REMAJA
L ANAK
P REMAJA
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
ANAK
L
P ANAK
P ANAK
P ANAK
P ANAK
ANAK
P
P ANAK
P MASY
P MASY
P MASY
P MASYARAKAT
L MASYARAKAT
L REMAJA
P MASYARAKAT
L MASYARAKAT
L masyarakat
P MENYUSUI
P MAS
P PELAYAN PUBLIK
P REMAJA
P REMAJA
P REMAJA
P ANAK
P PELAYAN PUBLIK
P REMAJA
P REMAJA
L REMAJA
P ANAK
P REMAJA
P MASYARAKAT
P ANAK
P ANAK
L REMAJA
L ANAK
P ANAK
P REMAJA
L ANAK
P ANAK
L ANAK
L ANAK
P REMAJA
L ANAK
P ANAK
L REMAJA
L REMAJA
P ANAK
P REMAJA
L REMAJA
L REMAJA
L ANAK
L ANAK
L LANSIA
P MASYARAKAT
P ANAK
L ANAK
P ANAK
Tanggal Lahir
27/02/2015
06/07/2015
15/11/2014
1/10/2015
13/07/2014
14/01/2014
22/05/2015
26/12/2014
3/27/2014
14/10/2014
27/01/2015
25/04/2015
12/07/2013
27/12/2013
17/02/2012
12/07/2013
1/26/2013
26/11/2013
24/05/2015
14/06/2014
15/03/2014
11/01/2013
02/10/2014 00:00:00
29/04/2011
22/06/2013
1/13/2013
11/12/2014
29/03/2012
18/07/2012
11/04/2013
09/07/2013
15/03/2012
26/04/2013
31/05/2013
24/02/2014
20/09/2015
28/10/2010
23/10/2011
30/03/2012
21/10/2011
06/08/2011
06/09/2010
15/12/2009
13/05/2010
28/12/2008
03/03/2011
15/03/2011
25/11/2011
22/06/2011
06/09/2011
12/02/2011
01/08/2011
26/12/2013
07/02/2012
09/02/2016
20/10/2012
07/10/2011
29/08/2010
30/06/2010
18/10/2014
20/11/2011
18/05/2013
18/05/2013
21/05/2012
21/01/2015
6/23/2015
17/02/2016
03/10/2012
09/10/2010
6/21/1999
9/6/1991
2/18/1997
5/4/1987
9/13/1965
11/27/2007
9/25/1984
5/17/1983
3/11/2002
23/11/1981
3/24/1988
4/11/2004
20/12/2009
6/2/2008
21/01/2010
5/26/2010
1/29/1994
15/09/2009
4/9/2009
5/28/2006
30/01/2011
28/02/2010
1/7/1983
01/11/2011
15/08/2010
17/10/2008
15/05/2010
01/06/2010
5/29/2008
5/20/2014
07/12/2010
15/03/2015
08/07/2010
17/12/2009
18/03/2015
29/03/2015
15/04/2008
28/10/2008
27/09/2010
11/09/2008
31/01/2010
23/08/2009
15/05/2011
7/25/2014
03/09/1943
6/15/1971
05/05/2010
24/04/2011
01/07/2015
Alamat
TUASENE RT 008 RW 004

TUASENE RT 08 RW 04
TUASENE RT 10 RW 05
TUASENE RT 07 RW 04
TUASENE RT 05 RW 03
TAUSENE RT 009 RW 005
TUASENE RT 09 RW 05

TUASENE RT 008 RW 0
TUASENE RT 21 RW 01
TUASENE RT 10 RW 01
TUASENE RT 09 RW 05
TUASENE RT 07

TUASENE RT 04 RW 03
TUASENE RT 07
TUASENE RT 03
TUASENE RT 10
TUASENE RT 007 RW003
TUASENE RT 10 RW 01
TUASENE RT 04 RW 02

TUASENE RT 08 RW 04
TUASENE RT 05
RT 10 DESA TUASENE
TUASENE RT 10 RW 05

TUASENE RT 10 RW 05
TUASENE RT 08 RW 04
TUASENE RT 14 RW 08
TUASENE RT 04
TUASENE RT 09 RW 05
TUASENE RT 03 RW 01
TUASENE RT009 RW 005
TUASENE RT 09 RW 05
TUASENE RT 03 RW 01
TUASENE RT 17 RW 03
TUASNENE RT 004 RW 002
TUASENE RT 10

TUASENE , RT 04 / RW 02
TUASENE , RT 08 / RW 04 MOLLO SELATAN
TUASENE , MOLLO SELATAN

TUASENE , MOLLO SELATAN
TUASENE RT 07 RW 04
TUASENE RT 04 RW 02

TUASENE RT 02 RW 01
TUASENE RT 10 RW 05
TUPPAN RT 002 RW 001

TUASENE RT 08

TUASENE RT 04 RW 02
TUASENE RT 08
TUASNENE RT 003 RW 002



TUASENE RT 05
TUASENE RT 02 RW 01

TUASNEEN RT 013 RW 007
TUASENE , RT 04 / RW 02

TUASENEE RT 004 RW 002
Kepesertaan BPJS
yang sesuai)
No. Hp
BPJS Non
BPJS
Non Anggot
PBI
PBI a
081236082713 YA
082146872140 YA
082358835089 YA
081236274955 YA
082146872140 YA
085237458443 YA
082145357979 YA
082119239359 YA
081347439485 YA
082116157811 YA
085333988085 YA
081238286112 YA
082124310755 YA
81350427967 YA
81239246704 YA
082124310755 YA
081236095125 YA
081256779622 YA
085310094483 YA
082214502312 YA
082229201218 YA
081229511799 YA
82295227557 YA
082187592589 YA
082145417292 YA
082346908179 YA
085339191655 YA
81337715272 YA
081236139755 YA
82295227557 YA
082228669751 YA
81238286112 YA
081339116188 YA
081354567335 YA
8180439302 YA
YA
081280439302
085237372342 YA
82146872140 YA
81338601223 YA
82295227557 YA
081338266260 YA
81256779622 YA
081238286112 ya
081353943818 YA
81353614505 YA
081339457352 YA
082116526382 YA
81236076193 YA
81237086676 YA
082214502312 YA
081239246704 YA
081338244586 YA
082194333368 YA
8124650553 YA
082194333368 YA
082141363390 YA
082145175942 YA
081337349155 YA
081338792619 YA
082116526386 YA
081353614505 YA
081238286112 YA
081238286112 YA
81246415387 YA
085310094483 YA
085237104075 YA
082233017723 YA
81339714466 YA
082116526382 YA
081338987091 YA
81338244586 YA
082144538011 YA
085333988085 YA
8247495722 YA
082350427967 YA
082313727998 YA
082313727998 YA
YA
82214502312 YA
081236351367 YA
082331615711 YA
81337219643 YA
82359469241 YA
081347439488 YA
081236250030 YA
085739749921 YA
81338244586 YA
081339395302 YA
081236095125 YA
082124310755 YA
081256779622 YA
081339694155 YA
081287740761 YA
81252003339 YA
081337219643 YA
82148995860 YA
082359469241 YA
085237104075 YA
082144872789 YA
081338266760 YA
081338304922 YA
081246247869 YA
081337715272 YA
082145144677 YA
082145144677 YA
081347439844 YA
081236095125 YA
82229068193 YA
81256779662 YA
81337219643 YA
081338266760 YA
082144295584 YA
082144295584 YA
082147181933 YQ
082313727998 YA
081338266760 YA
081236082713 YA
085237104075 YA
PENDIDIKA
ASAL SEKOLAH N
TERAKHIR
SD N TUASENE
SDN TUASENE
SDN TUASENE
SD N TUASENE
SDN TUASENE
SD N TUASENE
SDN TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SDN TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SDN TUASENE
SD N TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SDN TUASENE
SDN TUASENE
SD N TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SD N TUASENE
SDN TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SDN TUASENE
SDN TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SD N TUASENE
SD N TUASENE
SDN TUASENE
SD N TUASENE
SD N TUASENE
SD N TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
TK PAULAUS TUASENE
SDN TUASENE
SD N TUASENE
SD
SD
SD
SD
SMA
SMP N I MOLLO SELATAN
SMP
SD
SMA
SMP
SMA
SDN TUASENE
SDN TUASENE
SD N TUASENE
SD N TUASENE
D3
SD N TUASENE
SD N TUASENE
SD
SD N TUASENE
SD N TUASENE
SMA
SD N TUASENE
SDN TUASENE
SD N TUASENE
SDN TUASENE
SD N TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SD N TUASENE
SD N TUASENE
SDN TUASENE
SD N TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SDN TUASENE
SD
SDN TUASENE
SDN TUASENE
SDN TUASENE
JENIS
DOSIS
VAKSIN
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
PF 2
CV 2
PF 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
cv 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 1
CV 2
CV 2
CV 2
PF 2
PF 2
PF 2
PF 2
PF 2
PF 2
PF 2
PF 2
PF 2
PF 2
PF 3
PF 3
PF 2
PF 2
PF 2
CV 2
JJ 2
PF 2
PF 2
PF 2
CV 2
PF 2
PF 2
CV 2
CV 2
PF 2
CV 2
CV 2
PF 1
CV 1
CV 1
CV 1
CV 1
PF 1
CV 1
CV 1
PF 2
PF 2
CV 2
PF 2
PF 2
PF 1
CV 1
CV 1
JJ 1
PF 2
CV 1
CV 1
CV 1
NIK BLM MASUK KK
NIK BELUM ADA

DO
NO NIK
1 5302024805110001
2 5302026204130002
3 5302020308110001
4 5302025105100001
5 5302025707110001
6 5302020501120001
7 5302020405150001
8 5302021102140001
9 5302022806110001
10 5302022206110001
11 5302190301150001
12 5371030509120001
13 5302021706120001
14 5302026312130001
15 5302010301140001
16 5302141506080001
17 5302026808120001
18 5302011402100002
19 5302014411130002
20 5302022006100003
21 5302026401110002
22 TIDAK ADA
23 5302022304110001
24 5302012202110003
25 5302014607150002
26 TIDAK ADA
27 TIDAK ADA
28 TIDAK ADA
29 5302025808110002
30 5302024503130001
31 5302324905130001
32 5302022312110001
33 5302020906100001
34 TIDAK ADA
35 5302022207130001
36 5302021301110001
37 5302023110110002
38 5302022503110002
39 5302012911090001
40 5302025502130001
41 5302020808120001
42 5302024703110001
43 5302026811100001
44 NIK TIDAK ADA
45 NIK TIDAK ADA

46 5304221307140002
47 5302026505110001
48 5302025804140001
49 5302026609100001
50 5302021107070002
51 5302026007130002
52 5302015906140001
53 5302022310120001
54 5302022503100001
55 5302026703130001
56 5302027007110001
57 5302021001110001
58 5302024409140001
59 5302026910130001
60 5302012001130005
61 TIDAK ADA
62 5302200908690001
63 5302025505120002
64 530201111110002
65 5302025505100002
66 5302021507080007
67 5302022206090001
68 5302026509140001
69 5302022808900002
70 5302016210120001
71 5302015502110002
72 5302026710110001
73 5302014202720003
74 5302021306440001
75 5302024808690001
76 5302027105920001
77 5302021805770002
78 5302021908500001
79 5302020303820003
80 5302010509770001
81 5302025809900002
82 5302025003510001
83 5302025012090003
84 5302016802160001
85 5302012608130002
86 5302010911110001
87 5302012611970002
88 5302012901960002
89 5302011902000002
90 5302010910960001
91 5302011708760002
92 5371042702020001
93 5302010502030002
94 5371032106980002
95 5302016403950001
96 5302020507020001
97 5371020111910003
98 5371022405020005
99 5301061404150002
100 5302010905140001
101 5302024102130001
102 5302021608130001
103 5302010406130001
104 5302025111110001
105 5302024608140001
106 5302021510140002
107 5302025505150002
108 5302025204150001
109 5302025404100001
110 5302024806110001
111 5302026809110001
112 5302024308130001
113 5302025910140001
114 5302020202140001
115 5302026409110001
116 5302026908110001
117 5302020801120003
118 5302020507090001
119 5302026302120003
120 5302022108110001
121 5302024901110001
122 5302026209140002
123 5302025505140001
124 5302020210120002
125 5302021412120001
126 5302172009140001
127 5302020401120001
128 5302021608100003
129 5302025012100002
130 5302023108100001
131 5302061506140001
132 5302025601120001
133 5302024204130002
134 5302026101130001
135 5302020402130002
136 5302024408140001
137 5302024105120001
138 5302020712130001
139 5302020403130002
140 5302020707120001
141 5302026203110001
142 5302021903100001
143 5302021601100002
144 5302021704100001
145 5302025309090001
146 5302020503100001
147 5302021404100001
148 5302011512580001
149 5302016807890002
150 5302017011590002
151 5302014807720002
152 5302010910720002
153 5302012701130002
154 5302014104120001
155 5302024507100002
156
5302024507100001
157
5302020507100001
158
5302014105670001
159 5302016505580001
160
5302011205000002
161 5371042403980001
162 5301056412920001
163 5302011701660001
164 5313051005770003
165 5302011006630001
METRI FENTIANI NINEF

ANGRAENI SULASTRYD MATAU
ALVINO BUTJE TIMO
MESRI KEBKOLE
RITNA FLORENSIA BAKO
JUAN DENIL DELLAPUTRA MELLA
ADRIANUS RICKY ROBINSON METAN
FRELING YOSYERIN BENU
AIMUNDUS EDWARDUS RIVALDO MISSA
ALOSIUS L.MARGIAN ATTY
JANWARDUS LIU
VICENT THEODORA SASI TPOY
FRANSISKUS ALAN J. TAMONOB

ERNA SUFIANTI MONE
GABRIEL DEAN TAHUN
JENSEN ANTONIUS NIFU
CRISTIN MILANRI AMELIA YUNITA FEO
VALENTINO TANAEM
MESYA NARNIA TAHUN
SILIVERIUS ARYANTO TAMPANI
ANGELA RIANI TAMPANI
OMA MARIA AYU SITI SOARES
ARMAN YAKRIS KOEBANU
RISKI SAFINDRO NAITBOHO

JULLANTRI INDRIWATI
NAITBOHO
ERWIN TEFLAEL
ONA SIPORA KOEBANU
AGNES IRMAWATI SOARES
ANJELA TRISNA TAMONOB
MIRNA DESINCE MELLA
MERLIN SELFIANI BAITANU
DEMEIRANDUS DALVEN FEO
EFRON Y. POLLI
NOVIANTI BECI ENA
VANCO KOA
TARSISIUS YUVENTUS MISSA

CORNELIS RANDIANTUS
TAMPANI
HERMAN ALFINO SABA
NOFRIANTO KASE
KLAUDIA GRESNA OLIDIA MISSA
ELSI ANGELA KOA
BANDEKA SALIMARNESTA
PASU
ESRI AMELLA NUBATONIS
YANER ENA
REGORIUS MISSA
EFAN GABRIEL SELAN
WALDE SUFRIATI MISSA
ANGELINDA ADIKTA TUALAKA
FIANTI TUALAKA
DENDI SABU
ENGRA MUNITA PASU
KAYLA TAMARISCA KASE
ADI MARSEL UKY
RANDI SABU
APRINDA NENOMEL
YATI YOLANDA MONE
TOMY FALDO TUNIS
AYU APRIATI MONE

OTE UFI
SATRIA KRISTIAN NAITBOHO
INE CLARITA MELLA
IBRAHIM KEBKOLE
ELSI MARTEDA TABITA LASSA
ERENSTO VALENCIA MELLA
AJENG ANDRIANI MISSA
MEDAIRSON RIVALDO BENU
DEMATRIUS SNAE
STENDI AYUNTA NENOMEL
YAKOBUS TAMPANI
OCHA BIEN
MARIA F. DUPA
MARIA DA SILVA METAN
YOKA MANAFE
MUSA I. MELLA BA
AGUSTINA LIUBANA
SERLI BIAF
JEMS JEFFERSON NAISANU
ISTEFANUS ATTI
MELKIOR TAMPANI
JOHANIS PAU
SELCI S. BANAMTUAN
MARIA MEGDALENA MELLA-
K
ANTHONIA KAIL MARYANDA
NADINE MONIQUE SUSIANTO
DIEGO FLYNN ANTHONY
SUSIANTO
JADEN ANTONIO SUSIANTO
CARLOS RATU PE
JORAIMIONDRA SAEKOKO
BILLY R V LUMBA
ALBERT DAVID MENGGA
AGUS BANAW EHAD
SUKARNO HATTA NENOBAIS
LEONARDO AGUSTO TOMBOY

SAUBAKI
PATRICK ALFALOR PROBUR
KARHOM
RICARDO KASEMETAN
MARIA MARYANTI RUPILU
JUAN REINARD SAU
NELSON E SELAN
BENYAMIN AWANG BILI
GUSTAF PATOLA BALLO
ELYFANCHA LEXA TAHUN
ANGELA MERICI TANEO
CELVIN NATONIS
GABRIEL JELO SERAN
YOLANDA V BANUNAEK
ANITA TAROTCI KABNANI
OMRI SAPUS
CITRA MELANDINA G. TAMONOB
APRILIA TANESIB
APRIANTI TAMPANI
LALA TAMONOB
ANITA SOLLE
GRES SARA OLLA
TITIN BEBY YUNITA TEIN
ANTO KABNANI
NESSA OTTU
TESA AGRESHA BANUNAEK
YEDERIAL ARNALDO FALLO
YUFANTO BANUNAEK
FIOLI BANUNAEK
ALFRIGO J. BANUNU
NOVA ORIANTI TAMONOB
SANTRI MENCI BEIS
TRESNA KABNANI
DESTRO SAMJIK BEIS
GIOFANI BANA
TOSI DURCELON LIUFETO
JUNARDI TLOIM
EKI NIKOLAS OLLA
DENSTRY YULISTA BEIS
RIKI ALDAT NATONIS
MIKAEL GERALDI BAOK
LIDYA AGUSTINA FAOT
VENTI AURALIA TOFETO
MARIA JANUARTI NATONIS
VALENTINO NATONIS
SINTA YEMIMA TAMONOB
MEBI SILSA ANIAN TALAN
DENY NENOSABAN
MARDIAN SAPUTRA TAMONOB
GILBERT SISWO YADI MISA
DEPRISMA BLANDINA TALAN
MARDJESEN ATTI
ERIK AMBO KABNANI
ABDON ELIASAR FALLO
AGNES MISSA
GERASIMUS JUANRI MAUBOI
ALDOTER TAMONOB
MICHAEL MISSA
ROSSY A BANI
NORLINA SONLAY
YULIANA KALIKU
JOSEPH TUTFAUT
DJUAN ZEM BANUNU
SERENA YNDY MARGARETH
LUMBA
NIKITA CHONIYA HELENA LA'A
NADYA DELYSIA ELISABETH LA'A
GARLAND HENDRIK ALEXANDER
LA'A
MERYANTI ERLY YUSUF
MELSIN H SUKKY
MEYZO REGY EWALDO LEAMSY
KAMLASI
REONALDI ALTOFIANUS
NUBATONIS
DESY NATALIA BALSOMANG
YOSEP Y KOLOBUNGA
WEMPY WILLIAM JAMES DUKA
IBRAHIM RASYID
Jenis
Kelamin Pekerjaan*
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L REMAJA
P ANAK
L REMAJA
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L ANAK
P REMAJA
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L REMAJA
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L REMAJA
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L PELAYAN PUBLIK
P ANAK
L ANAK
L ANAK
L MAS
L REMAJA
P ANAK
L MAS
P ANAK
P ANAK
P ANAK
p PENDIDIK
L LANISA
P MASYARAKAT
P MAS
L PELAYAN PUBLIK
L MAS
L TRANS
L PELAYAN PUBLIK
P PENDIDIK
P LANISA
P REMAJA
P ANAK
L ANAK
L ANAK
L MAS
L MAS
L MAS
L MAS
L PELAYAN PUBLIK
L PELAYAN PUBLIK
L PELAYAN PUBLIK
L PELAYAN PUBLIK
P PELAYAN PUBLIK
L MAS
L MAS
L MAS
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L REMAJA
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L REMAJA
L ANAK
P REMAJA
L REMAJA
L ANAK
L LANSIA
P MASYARAKAT
P LANSIA
P PENDIDIK
L PEL.PUBLIK
L ANAK
P ANAK
p ANAK
P ANAK
L ANAK
P PENDIDIK
p LANSIA
L MAS
L MAS
P PENDIDIK
L PENDIDIK
L PEL
L MAS
Tanggal Lahir
08/05/2011
22/04/2013
03/08/2011
###
17/07/2011
05/01/2012
04/05/2015
11/02/2013
28/06/2011
22/06/2011
03/01/2015
05/09/2012
17/06/2012
23/12/2013
03/01/2014
15/06/2008
28/08/2012
14/02/2010
04/11/2013
20/06/2010
24/01/2011
10/11/2011
23/04/2011
22/02/2011
06/07/2015
11/26/2014
11/10/2008
8/29/2013
8/18/2011
05/03/2013
09/05/2013
23/12/2011
09/06/2010
11/1/2012
22/07/2013
13/01/2011
31/10/2011
25/03/2011
29/11/2009
15/02/2013
8/8/2012
07/03/2011
11/28/2010
6/17/2014
15/06/2014
13/07/2014
25/05/2011
18/04/2014
26/09/2010
11/07/2007
20/07/2013
19/06/2014
23/10/2012
25/03/2010
27/03/2013
30/07/2011
10/01/2011
9/4/2014
29/10/2013
20/01/2013
11/18/2015
09/08/1969
6/15/2012
11/11/2011
6/4/2010
5/30/2008
5/25/2009
9/25/2014
8/28/1984
10/22/2012
2/15/2011
10/27/2011
7/2/1972
6/13/1944
8/8/1969
5/31/1992
5/18/1977
8/19/1990
3/19/1982
9/5/1977
9/18/1990
3/10/1951
12/10/2009
2/28/2016
8/26/2013
11/9/2011
11/26/1997
1/29/1996
2/19/2000
10/9/1996
8/17/1976
2/27/2002
2/5/2003
6/21/1998
3/24/1995
6/4/2002
11/1/1991
5/29/2002
4/14/2015
09/05/2014
01/02/2013
16/08/2013
04/06/2013
11/11/2011
06/08/2014
15/10/2014
15/05/2015
12/04/2015
14/04/2010
8/8/2011
28/09/2011
03/08/2013
10/19/2014
02/02/2014
24/11/2011
29/08/2011
08/01/2012
05/07/2009
23/03/2012
21/08/2011
1/9/2011
22/09/2014
15/05/2014
02/10/2012
14/12/2012
20/09/2014
04/01/2012
16/08/2010
10/12/2010
31/08/2010
15/06/2014
16/01/2012
02/04/2013
21/01/2013
04/02/2013
04/08/2014
01/05/2012
07/12/2013
04/03/2013
07/07/2012
3/22/2011
3/19/2010
1/16/2010
4/17/2010
9/13/2009
3/5/2010
14/04/2010
12/15/1958
7/28/1989
11/30/1959
7/8/1972
10/9/1983
4/1/2012
5-7-1-
7/5/2010
7/5/2010
5/1/1967
5/25/1958
5/12/2000
3/24/1998
12/24/1992
1/17/1966
5/10/1977
6/10/1963
Alamat
OINLASI RT 05 RW 03
OINLASI RT 05 RW 03
OINLASI RT 12 RW 03
OINLASI RT 05 RW 03
OINLASI RT 02 RW 01
OINLASI RT 06 RW 03
OINLASI 08/04
OINLASI RT 12 RW 03
OINLASI RT 08 RW 04
OINLASI RT 14 RW 04
OENASI RT 07 RW 02
OINLASI RT 13 RW 04
BESKELO RT 08 RW 04
OINLASI RT 07 RW 03
OINLASI RT 06 RW 03
OINLASI RT 07 RW 03
OINLASI RT 08 RW 04
OINLASI RT 08 RW 04
OINLASI RT 11 RW 02
OINLASI MOLLO TENGAH

OINLASI RT 11 RW 02
OINLASI RT 11 RW 02
BESKELO RT 13 RW 04
OINLASI RT05 RW 03
OINLASI RT 04 RW 03
OINLASI RT 07 RW 04
KOFO RT 05 RW 02
OINLASI RT 05 RW 03
BESKELO RT 14 RW 04
OINLASI RT 07 RW 04
OINLASI RT 01 RW 01
NONOHONIS RT 20/06
BESKELO 14 RW 04
OINLASI RT 06 RW 03
OEFAU RT 01 RW 01


KLOFO RT 05 RW 02
PUPUT RT 13 RW 04
BESKELO RT 07 RW 04
BESKELO RT 07 RW 04
KLOFO RT 08 RW 03
OEFAU RT 01 RW 01
OEFAU RT 05 RW 03
KLOFO RT 06 RW 03
BESKELO RT 13 RW 04
BESKELO RT 08 RW 04
OINLASI RT 07 RW 04
BESKELO RT 08 RW 04
OINLASI RT 01 RW 01
OINLASI RT 05 RW 03

OINLASI
OINLASI RT 009 RW004
OINALSI RT 008 RW 004

OINLASO
JL.CENDANA RT 006 RW 003
OINLASI RT 008 R W004
OINLASI
KOTA SOE
OINLLASI
JL.HAYAM WURUK 003 002
KOBELETE RT 007 RW 003
KOTA SOE RT 011 RW W006
KOTA BARU
TAUBNENI RT 002 RW 001
OEBOBO
NUNUMEU
KUPANG
NETENAUS
FATUKOA
NUNUMEU , RT 20 / RW 10
NUNUMEU , RT 20 / RW 10
OINLASI , MOLLO SELATAN
OINLASI ,RT 15 / RW 05
OINLASI , RT 11/ RW 11
OINLASI, RT 06 / RW 02
KOTA SOE , RT 05 / RW 02
KOTA SOE
KOBELETE
NUNUMEU , KOTA SOE
NUNUMEU, KOTA SOE
JLN EL TARI 05 / 04 KOTA SOE
JL.IKAN LUMBA-LUMBA
KESETNANA
KESETNANA
KESETNANA
KAMPUNG BARU RT 002 RW
002
KOTA SOE
KOTA SOE
BAKUNASE RT 015 RW 005

CENDANA
KAMPUNG BARU RT 002 RW
002
KOTA SOE
Kepesertaan BPJS
yang sesuai)
BPJS Non
BPJS Non Anggot
No. Hp PBI PBI a
81324610806 YA
0813398181618 YA
81378253372
81338469625 YA
85253000850 YA
082144006782 YA
81236964282 YA
81935950009
81237600853 YA
081236964282 YA
085239106927
85333860717
85333828664 YA
81238533895
82144067334
082339434328 YA
082340798176
81339563356 YA
82144067334
081238533895 YA
81238533895 YA
81239221753 YA
0812391221753 YA
082236441542 YA
82236441543 YA
082147259092 YA
81239221753 YA
82147630787 YA
082339071379
082147629654 YA
81339313653 YA
082340798176 YA
082147627708
81246134492 YA
081236070622 YA
82339071379
081315427677 YA
081338469625 YA
81339563356
82339071379
081378253372 YA
82339217661
081257631514 YA
081246134492 YA
081328706471 YA
81246134442
81237280668
81328706471
81328706471
085238008200
082339217661
81339563356
085238972110
85238008200
81339256646
81238533895
081236094230
81238533895
081337843611
81236964282 YA
82147629654 YA
081338469625 YA
081339171779 YA
0821440006782 YA
081237897178 YA
081339406020 YA
085239048783 YA
081339261836 YA
082339406020 YA
081238661817 YA
081238661817 YA
081380762729 YA
082144067334 YA
081249860723 YA
082339778472 YA
081246134442 YA
081338987314 YA
081380762729 YA
081236793781 YA
081337182699 YA
081378253372 YA
081337572534 YA
081230620502 YA
082217329798
085197078973
082217329789
082146284598 YA
081339527066 YA
082247082901 YA
082235550951 YA
085215659559 YA
085217044416 YA
082352022537 YA
082266562552 YA
081262889559 YA
081236342830 YA
082316993435
082235114012 YA
085239015639 YA
82235493495 YA
085239015639 YA
85239015639 YA
081339348691 YA
81359464927 YA
82235493495 YA
082116999035 YA
081339397339 YA
81385444925 YA
082235493495 YA
081246251225 YA
82311921470 YA
082145176804 YA
85237369429 YA
82235493495 YA
### YA
082235493495 YA
82146557898 YA
82144032739 YA
82144032739 YA
082235493495 YA
81246008544 YA
82339224246 YA
82246192415 YA
82339224246 YA
085274959416 YA
85214939416 YA
82341227209 YA
082145176804 YA
082339224246 YA
081338456278 YA
81338838974 YA
81236680553 YA
81244883730 YA
82235493495 YA
82235493495 YA
82128307094 YA
82235493495 YA
85314556456 YA
81246008544 YA
82235493495 YA
82339224246 YA
82235493495 YA
82235493495 YA
82235493495 YA
82235493495 YA
81244287833 YA
81246008544 YA
85333829799
YA
82340629505 YA
081246341072 YA
85338292799 YA
085338095483 YA
081236260208 YA
81236260208
081339123111
081338724667 YA
085205597005 YA
082147766441
082145249825
85253317195
082247811070
081354101477 YA
081339215666 YA
PENDIDIKA
N
ASAL SEKOLAH TERAKHIR
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SMA
SDI KLOFO
SDI KLOFO
SDI KLOFO
SMP N 2
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SDI KLOFO
SD
S1
SD
SMP VIANEY
S1
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SD OEKLANI
SI
SI
SI
SDG SOE I
SD SEQIP
JENIS
VAKSIN DOSIS
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
PF 2
CV 2
PF 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
PF 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
PF 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
PF 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
PF 2
CV 1
CV 1
CV 1
PF 2
PF 1
CV 1
PF 2
CV 1
CV 1
CV 1
PF 3
PF 3
PF 2
PF 3
PF 3
JJ 1
PF 2
PF 3
PF 3
PF 3
PF 2
CV 1
CV 2
CV 1
PF 3
PF 3
PF 3
PF 3
PF 3
PF 3
PF 3
PF 3
PF 3
PF 2
PF 3
PF 3
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
PF 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV I
CV I
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV 2
CV I
CV 2
PF 2
CV 2
PF 2
PF 2
CV 2
PF 3
PF 2
PF 3
PF 3
PF 3
CV I
CV 2
CV 2
CV 2
CV 2
PF 3
PF 3
PF 3
PF 3
PF 3
PF 3
PF 3
PF 3
NIK TIDAK ADA
K BELUM TERDAFTAR
POLRES
NIKI2
POLRES
MANUTAPEN
POLRES
KOTASOE
FATUMNASI
KOTASOE
POLEN
RS MAMMAMI
NULLE
Klinik Medika Wirasakti
BLM AKTIF
NIK TIDAK
EMA MATELDA
AKTIF TAMONOB
NO NIK
1 5302021911130001
2 5302020310130001
3 5302023003130001
4 5302012705130002
5 5302023006130001
6 5302036110140001
7 5302022410130001
8 5302024401140001
9 5302020302100001
10 5302021601130001
11 5302025301150002
12 5371044308130001
13 5302022811110002
14 5302023001150001
15 5302026309120001
16 5302025711120001
17 5302025010130001
18 5302026612120001
19 5302026411140001
20 5302324611140001
21 5302026111110001
22 5302021007130001
23 5302020105140001
24 5302020501140001
25 5302024109140002
26 5302024904130002
27 5302027011130001
28 5302024508130001
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30 5302024702140002
31 5302020803140001
32 5302016504110003
33 5302225707140001
34 5302020203150001
35 5302026610140001
36 5302035409120001
37 5302026105110001
38 5302026107150001
39 5302025008120001
40 5302021212140001
41 5302022107150001
42 5302026009130001
43 5302025207140001
44 5302021207140001
45 5302020505140002
46 5302026906130002
47 5302150206140001
48 5302015602150001
49 5302020605130001
50 5302020806150001
51 5302021105100001
52 5302021709140001
53 5302025008140001
54 5302020705090002
55 5371034807140004
56 5302025811090001
57 5371022906140001
58 5302020901160001
59 5302026904140001
60 5302025908140001
61 5302023012140001
62 5302025602120001
63 5302024501150003
64 5302024501150002
65 5302026403130002
66 5302021408120001
67 5302020402150001
68 5302024802120002
69 5302015409130003
70 5302192110140001
71 5302021106130001
72 5302026710140002
73 5302026711140001
74 5302316812120002
75 5371044406130002
76 5302021302130001
77 5302020805150001
78 5302024801140001
79 5302024510120002
80 5302060902130001
81 5302024903150001
82 5302022606140001
83 5302012502100002
84 5302026904150001
85 5302023005140002
86 5302021910140002
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88 5302024501100001
89 5302020302120001
90 5302022405150001
91 5302022602150001
92 5302025810140001
93 5302020412110002
94 5302022101120001
95 5302022402100001
96 5302022810140001
97 5302020809090001
98 5302026011100002
99 5302025911090001
100 5302021012090001
101 5302020503100002
102 5302022302100001
103 5302020103130001
104 5302014907140001
105 5302224511900001
106 5302022801150002
107 5302022811110001
108 5302022106140002
109 5302025504130001
110 5302024612120001
111 5302025706130002
112 5302072201150001
113 5302071708130001
114 5302020204110001
115 5302015406110001
116 5302024104130001
117 5302025506140002
118 5302025801130001
119 5302024305140001
120 5302021309110001
121 5302021002140001
122 5302015708130002
123 5302020101140001
124 5302025806140001
125 5302025005130001
126 5302032212140002
127 5302014406130003
128 5302025612130001
129 5302025904130001
130 5302132302140003
131 5302020309090001
132 5302055608130001
133 5302025202150002
134 5302020604000001
135 5302041307000001
136 5302045305750002
137 5302015510090001
138 5302044512030002
139 5302074701850002
140 5302026202160002
141 5302072106640002
142 5302030903940001
143 5302020612840001
144 5302035605880001
145 5302012801630001
146 5301056602960001
147 5302012004670001
148 5302022609140001
149 5302311812040001
150 5302012102100004
151 5302261509110002
152 TIDAK ADA NIK
153 5302026712820001
154 5302026710630001
155 5302020704070001
156 5302025301620002
157 5302011410700001
158 5302072609860001
159 5304075707960001
160 5302010612150001
161 5302010410850003
162 5302016704850001
5302020908130003
163
164 5302024209140001
165 5302020704130001
166 5302076204110001
167 5302020509790002
168 5371043004750003
169 5371044505790010
ANSEL GEOFANI LAKAPU

TRYSTAN NARARYA OLLA
GREVINO NUBE BABU
ANDREAS BENTIMOTIYUS BENU
JACK ABEL STEVANO LIBU
OSNNY YUSANNY BANOET
ONAL JESTER LIUNOKAS
ANA MARIA NEONANE
FAREL CHRISTIANO ONLANI
JUAN PEDRO DA COSTA MUZHINO
GISELE TUNE
IRENE MARIANI BENDELINA
PANDIE
LIONNEL MESSI ABANAT
RYAN WILLIAM JONATHAN
LIU
SERLINDA MANU
NOVA OLIVIA KABNANI
DELASTRI ABIGAIL MABILANI

DEWY FANIA ENJELINA
LIUBANA
MARIA ANGELINA MAMOH
YAMI NOVELIA BENAT
AGNES TILMAN
GREGORIUS TILMAN
BRIAN MEINALDY LAK'APU
OLIVIO VAN MARKHES TALAN
NOLLY ANTHANIA BAITANU

NOVA IGEL APRILIANI
BEUKLIU
YOLANDI TEFA
MARIA AVISAFIRA SEKO
VENIRANDA ISABELA NITSAE
GEYLEND SILO BENETA
SONBAI
MARTIN FENOILIS KUNE
PUTRI ANGGUN PANGESTI
SONJA VANYA DA COSTA
MARLON INJILIO NOMLENI
NAYA OVIMARIANTI TEFU
SELDY LUDJI
RATUH MEILISA LEIMANY

JULIANI KARTIKA NAUTANI
LAURA SOARES MARTINS

NORLANDES BENYAMIN
KAUSE
JULIAN ANUGRAH NAUTANI
FIONA M. FAOT
JERILA MISSA
JERIKO MISSA
RAFAEL BENU
PAULINA LAKE
FILISTAN TEFA
FEBRIANI PANDIE
DOMINIKUS RIANSON
TANESAN
ALVARO JUNIOR POLLY
ALDENIEL BESSIE
RANDI OBAJA KOEHTAE
GABRIELLA DEBY TITANIA BESSIE

MIKRI IMANUEL KAUSE
JUWITA CLARITHA NENOBAIS
ERNY MARSALINA LAE

MATEUS DELYO MALIK
SARMENTO
HENGKI YANDRES KOEHTAE
AURELIA CRISTIANI
MUSKANAN
SORAYA KASE
INGGO DESFIAWIN KASE
FEBRIANTI FANISA KASSE
MARIA ENJELIKA DO SANTOS
MARIA ENJELITA DO SANTOS
MARLENY TAMELAB MELLA
DILON GRADI RATU RIWU
VALENTINO OEMATAN
IVONI VIVILIA FALLO

SEPTYZHA PETRONOVA KAUSE
DANIEL TELNONI
LEONARD AYUB MISSA
ZANDRA OLIVIA BENU
WULAN SARY HENUK
LADY M. OEMATAN
CICILIA JUANITA
MARCEHEYLLA KEWA
LEO SOARES FERNANDES
RIANO ALEXSANDER
FERNANDES
LUSIA VANNYA F SARMENTO
WANDA E. A. BEES
RIFANTO SAEFATU
TANIA GRISWELDA NINU
VIKY SHAKARIA NOMLENI

FARTHIN NGUN
APRILI MARTINI KASE
LEWINSKY UMBU DINGU
TEDA
REFAL OKLIF LOPO
REACHELLA AMORAISA
AELGYTHA SELAN
MONIKA TILMAN
RICARDO LOPES MASAN
ANDRE KEVIN LOPES
RESKY RIFALDO SANAM

IRENA TASRIANI OME
STEAGY GIORGINO SELAN
JUANREY MARIO MALAFU
FESTU ARLI IMANUEL LOPO

OKTOVIANUS DA COSTA
RINGO VALDY TAMELAB MELLA
NOVELA A TANESI
METILDI SOARES MARTINS

ANTONIUS DORANDO TAPATAB
PITER PETRUS MISSA
JOSEPH FILBERD LODOWIK MELLA
MARNUS JOSHUA FRIDHO MELLA

NICANZA WEGERCILHEINA
LOEBALOE
NOVINCE LIUBANA
ORIAN ADMON LASSA
JOHN ALEXANDER LIU
LANTO NIKBERD NEKEN
JOANA WELHELMINA RUTH MONA LIU
HENDERINA MARTA FALLO

GEYATRI DALEINA BENU
JIDRO ALVIANTO TLOIM
DIRGAVIANTO TALOIM
ANDREAS MARCHELLO
ANDERSON LANGNGI
KHEREN HAPUKH SHIREN PAYON
PASKARINA SUJANA
YUNIE AMELIA SANAM
VIOLETA DELLARI HOTTY
ELEN M NATI
HERY SEFRIT NATI
MANTO FERDIANES LIUNOKAS

SYAHMIAR SEORAHAYU
LOVARINKA TENIS
JANUARI OBAJA OPAT
TRACY GRACYELTA BENU
ANTONIA FLORENSA BAY
DERITSON LUDJI
LIDIA TAHUN
REINATA CHRISTABEL NAUTU
NINGSI ALFIANA LIUNOKAS
JEFANO WILLIAM FAOT

PATRA ALFA MELLA
JESINDA KARMELIA LEO
FRANCHEZA TESALONIKA SELVINE
LOLOK
SANTO KRESENSIUS DIRU
YORDI YORAM NUBATONIS
MARTHA TEFI
GRECELIA RISMASITA BENU
DIANA ADELFINA NUBATONIS
JIZRIELI ATTO
NESYA ALEXANDRIA POLLY

MARCAL SOARES
SEMY MAKLON BANOET
YONAD REGEN E T MAMOH

MEDIAYANA BA'UN
YUSUF PINAT
ELVANIA SOFECI ADOE
MAXI FANGGIDAE
YOSEPH ARTHA SOMARSE
JEBIR ARIATEL NEKAN
DARREL CHRYSWELL TAEK
STIFEN REVANTO TSE
PRISELA M BELL
DELFINCE TAMONOB
DORTIA FAOT
RISAL SONBAI
YULIANA MEKO
NIGER O NOMENI
SOLEMAN TEFI
BRIGITHA DALUT KOLI

KEVIN DOMINICK KASE
SUTANTO JEFRY KASE
KRISNA APRILINA
BENEDIKTA DELNANSYA DO SANTOS
SISILIA ANASTASYA DA COSTA

WIRA IMANUEL HALEK
WIWIN AFRILLIA NOMLENI
YEFTA AGUSTONI NOMLENI
JOHN STEVEN THIO
FENNY
Jenis
Pekerjaan*
Kelamin
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
L REMAJA
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L REMAJA
L ANAK
P ANAK
L REMAJA
P ANAK
P REMAJA
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
p ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
L REMAJA
P ANAK
L ANAK
L ANAK
P ANAK
P REMAJA
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L REMAJA
L ANAK
L REMAJA
P ANAK
P REMAJA
L REMAJA
L REMAJA
L REMAJA
L ANAK
P ANAK
P MAS
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L REMAJA
P ANAK
P ANAK
L PELPUB
L MAS
P MAS
P REMAJA
P MASYARAKAT
L MAS
P ANAK
L MASYARAKAT
L PEL.PUB
L PELAYAN PUBLIK
P MASYARAKAT
L MAS
P MASYARAKAT
l pelPUB
L ANAK
L PELPUB
L REMAJA
L ANAK
P ANAK
P MASYARAKAT UMUM
P MAS
L REMAJA
P MAS
L PELPUU
L MAS
P MAS
L ANAK
P PEL
P PEL
P ANAK
P ANAK
L ANAK
P ANAK
L NAKES
L PEDAGANG
L PEDAGANG
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22/01/2015
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4/2/2011
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4/1/2013
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1/1/2014
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2/12/2015
4/6/2000
7/13/2000
13-575-
10/15/2009
12/5/2003
1/7/1985
2/22/2016
6/21/1964
3/9/1995
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12/6/2015
1/2/1991
4/27/1985
8/9/2013
9/2/2014
4/7/2013
4/22/2011
9/5/1979
4/30/1975
5/5/1979
Alamat
KESETNANA , MOLLO
SELATAN

KESETNANA MOLLO
SELATAN
KESETNANA , RT 20/ RW 09
KESETNANA.MOLLO SELATAN

KESETNANA MOLLO
SELATAN
JL.SAM RATULANGI RT 002
RW 001


KESETNANA MOLLO
SELATAN

KESETNANA , MOLLO
SELATAN

JLN A YANI RT 01 / RW 01

KESETNANA , RT 22

KESETNANA , RT 05

KOTA SOE
KESETNANA RT OOW RW 002

MOLLO SELATAN


KESETNANA

KESETNANA TTS

NULLE RT 16 RW 07
DESA KESETNANA , RT 29 / RW
13 MOLLO SELATAN
KEL CENDANA RT 010 RW 05
HAUTALAN R 003 RW 002
KESETNANA, RT 05/ RW 2

MNELALETE RT 014 RW 009

JL.DIPONEGORO SOE
JL.DIPONEGORO SOE
JL.DIPONEGORO SOE
TUBUHUE
TUBUHUE
JL.A.YANI NO 54
JL.A.YANI NO 54
Kepesertaan BPJS
yang sesuai)
No. Hp
BPJS
BPJS
Non
PBI
PBI
081339251413
085239146935 YA
085239330844
081353623133
082144872133
081352502886
085253706598
085205703028 YA
081236089431
081236455402 YA
081238152322
082147236805
082144863091
081237064738
085236195514
081246354117
082147291069
082146374721
082144259440
081253987550
081246986126
081246986126 YA
085333354036 YA
082236100595
082145922476
081236458369
081246151355
082237735737
082339251413 YA
082219034130
082145358132
081246549508
081246986126
081238966183
081236116358
085253840505
082144846775
081339984301
085237092119
081253987550
081339984301
085315262629 YA
081214009755
081214009755 YA
085330988554
082187044518
082143865911
082147242428 YA
081339396884
085253301616
08236100595
082339071280
082340550800 YA
085239317509
082247689880
085942943757
08124635674
082339071280
082147626096
085942943757
082359354317
082147501422
081337377823
081337377823
081227018151
081353893939
085954667983
0852535354576
081339399197
082340533515
081238017288
081338457978
081237973494
081386966179
081353609378
081246986126
082266572155
081338456639
085337832286
085282252858
081236239829
081236680991
081338734447
081353046286
082359268265
081337883397
081353804308
081246986126
085237092119
081238508523
082144299070
082147741144
081353804308
082359543340
081337883397 YA
082333106399
082237939322
082144863091
081247986126
081246336282
082236100595
081237757887
081237757887 YA
082247877959
082144420671
081337763117
081237064738
081337739117
081237064738
085339161012
085253840505
082144781886
082144781886
082214875866
081238108776
081339074648
081239494393
85333003848
081247474457
081247474457
082236050029
081246061966
081238512846 YA
081238493698
085220806523
085253840505
081238285585
085237959234
085239113326 YA
085338380091
08236100595
082147682813 YA
082333106399
082237734223
081339193640
081239225394
081353623133
81353388363
082144781886
81337609304
85337390822
082253537410
085237375170
081352052086
081353609378
08144259440 YA
081338734447
081337360564
085738935814
085239292601
085239292601
0852399322682
082235537410 YA
082236100595
081337460559
082145035303 YA
082247495583
081211279959 YA
081331377613
082250225527
081331377613
081337377823
081337377823
082147419782 YA
085239322682 YA
082199869556 YA
082237751307 YA
081236960888 YA
taan BPJS
pada kolom
sesuai)
Non
Anggot ASAL SEKOLAH
a
YA SD KESETNANA
SD N KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
SD N KESETNANA
YA SD N KESETNANA
SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
SD N KESETNANA
SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SDN KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SDN KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
SD N KESETNANA
YA SD KESETNANA
SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
Ya SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD G SOE I
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SDN KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
SD N KESETNANA
YA SD KESETNANA
YA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
SD N KESETNANA
YA SD N 1
YA
YA
YA
YA SD N KESETNANA
YA
YA
YA SD N KESETNANA
YA
YA
YA
YA
YA
YA SD KESETNANA
YA
YA SMPN 3 SOE
YA SD N KESETNANA
YA SD KESETNANA
YA
YA SD N KESETNANA
YA
YA
YA
YA SD N KESETNANA
YA SD KESETNANA
SD N KESETNANA
SD N 1 SOE
JENIS
PENDIDIKA VAKSIN
N
TERAKHIR
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
PF
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
PF
CV
PF
CV
PF
PF
PF
PF
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
SMA PF
PF
PF
PF
SD PF
PF
CV
SD PF
SD PF
SMA PF
SD PF
PF
SMP PF
PF
CV
SD JJ
PF
CV
CV
SD PFIZER
SD JJ
PF
PF
S1 JJ
PF
SMA PF
CV
PF
PF
CV
CV
CV
CV
D3 PF
PF
PF
DOSIS
2
2 KELAS 3
2 KELAS 3B
2 KELAS 3B
2
2
2 KLS 2C
2 KELAS 2B
2 KLS 2 A
2
2
2
2
2 KELAS 3A
2
2 KLS IC
2
1
2 KLS IA
2 KLS 2 B
2
2 KLS 2B
2
2
2
2
2
2
2
2
2
2
2 KELAS 3A
2 KLS IA
2 KLS IA
2
2 KELAS 3A
2 KELAS 3B
2
2 KELAS 2B
1
2
2 kls IB
2
2
2
2
2
1
2
2
2
2
2
2
3 BATUPUTIH
2
2
2
2
2
2
2
2
2
2
2
2 KELAS 3B
2
2
2
2
2
2
2
2
2
2
2
2
3
2
3
2
1
2
2
2
2
1
3
3
2S
2
2
2
3
3
3
NO NIK
1 530202524160002
2 5302025011150001
3 5302023011150001
4 5302024110140001
5 5302022204140001
6 5302021705150001
7 5302026212120001
8 5302020107140001
9 5302021006140001
10 5302025905130001
11 5302021907120001
12 5302020211120001
13 5302022108150001
14 5302021010120001
15 5302021611120001
16 5302216004130001
17 5302027008110002
18 5302022809120001
19 5302024209100002
20 5302023109130001
21 5302024204130001
22 5302021910110001
23 5302024909110001
24 5302021511140001
25 5302021202120001
26 5302020108100002
27 530202411120001
28 5371032910120001
29 5302024709090001
30 5302022111120001
31 5302025805140001
32 5302023110100004
33 5302021706110001
34 TIDAK ADA
35 5302020904150001
36 5302025802120001
37 5302026604140001
38 tidak ada
39 5302026006120001
40 5302021805100001
41 TIDAK ADA
42 5371041202100003
43 5302021501100001
44 5302022006110002
45 5302020304090001
46 5302300608100001
47 5302022901100001
48 5302023007100001
49 5302025709130001
50 BELUM ADA
51 tidak ada
52 5302020902650001
53 5302020205600001
54 5302025504140001
55 BELUM ADA NIK
56 5302026306150003
57 5302116411780002
58 5302015804140001
59 5302010606950004
60 5302026605900004
61 5302010911850003
62 5302024303100001
63 5302027107130001
64 5302021208130001
65 5302021603120003
66 5302024606090001
67 5302025205130001
68 5302026605150001
69 5302025509120001
70 5302025006120001
71 5302024408100002
72 5302026209120001
73 5302025610140001
74 5302026609130001
75 5302024411150001
77 5302025102130001
78 5302020607150001
79 5302024610130001
80 5302025404110002
81 5302025004130001
82 5302026805110001
83 5302021610140001
84 5302301409140001
85 5302306204130001
86 5302025009100001
87 5302024905120001
88 5302020910110001
89 5302026703140001
90 5302020810470001
91 5302027112500006
92 5302021702560001
93 5302025711590001
94 5302020806990002
95 5302020104500001
96 5302030608700001
97 5302021310090001
98 5302026412070001
99 5371025304830001
100 5302025309950001
101 5302027006860002
102 5302022911080001
103 5302020210130002
104 5302020505130001
105 5302026306150002
106 5302025602130001
107 TIDAK ADA NIK
108 5302026802110001
109 5302024312120002
110 3275126811510007
111 5302201306050002
STELA APRININGSI NIFU

NOVELLA NADIA NENOMETA
NOVEN MICKAEL BOKIMNASI
ORLINA A. MANAFE
APRILIANO A. KASE
MELKIOR NEKEN
DENCI BOKIMNASI
JONDRI NENOMETA
MELTO LAASAR BOKIMNASI
JUITA MELANTRI MANAFE
RISKI GIFANDI BAHAN
DETLI BOKIMNASI
MIZCRIS NEKEN
SEPRI ARYANTO TASEKEB
RETLI N. MNANU
INRI TANEO
AIDA L. TASEKEB
REVINALDI BAHAN
SINDI NURANI BOKOMNASI
APRIS EDISON PENTAU
KRISTI A,. SANAM
ADIN BONOPARTI SANAM
APIO ELSIA SANAM
ALDO ARYANTO TEIN
FEBRIDO SANAM
ANGGA AGRUNA TEIN
ALDI ABRINO TEIN
TAWARIK C.NEKEN
WIWIN S. BOKIMNASI
SEFRIT N. NENOMETA
ANJEL SRIANING NEKEN
GLEEN ARISKI MESAH
DIMAS A. BAHAN
TASYA MIRANI BOKIMNASI
NICHY HAYDEN BAHAN
YULIN F. BAHAN
RESLI PERTIANA BAHAN
AISAH A.M. NEKEN
YEDRI L NEKEN
HENGKI M. SANAM
ORNI BAHAN
FARISION F. BOKIMNASI
DINO M. SANAM
YUFEN STEVEN NEKEN
ARWING G. PENTAU
ARJO ARIFIN SANAM
JEFRI JUANTO NENIOMETA
VALDO R. NEKEN
FERGIA L. BOKIMNASI
SIFA YUNARTI MANAFE
SIMRI E. MELLA
FERDINAN SANAM
GODLIF H.NENOMETA
AGRIANI FERDERIKA TEIN
YECI FUNARTI SNAE
RAYA MESAH
SALOMI BOIMAU
INRIANI GRACIA FRANSINA LUMBA
RYCHARDUS AGUSTO BRIA
WASTI EMELIA A. HANING
THEODORUS NAIMNULE
MEVI DEFIRJIN SNAE
YUNRI NUBE SANAM
SEFRIT YOHANIS TSE
BOAS KOLLO MARTINES TEIN
YOHANA ONI TCE
MIRJAM DEBORA OEMATAN

MIDIAM OEMATAN
PITRONIKE FRANSILA OLLA
JUWITA ERMAWATI BANUSU
AMRIANA OLLA
SEFANDI OLLA
ONALFINA OLLA
SERLY FRANSISKA TEIN
TAROCI TEIN
SECELIA NONA KASE

ALIN TAFLAEL
MENCI YOAHANA KASE
VIOLYN IRENE NENOMNANU
VENI APRIANTI SANAM
NONI MEDI SANAM
SEMUEL SANO BANA
SEFRI EDUARD KASE
ALIN MELIANTI KASE
NURSINCE OPAT
MEHYATI KENTRI MANANE

DEFANRI JUANDIKA SANAM
MARIS NENO SANAM

HARUN TEIN
NAOMI NEKEN
RUBEN KASE
DORKAS TAPATAB
JITRON SANAM
NIKOLAS OPAT
ALEXSANDER TAPATAB
: IMANUEL SANAM
DELSI MARIANA SANAM
PRILESTIO TEMORETI BANI

SRI WASTI NUBAN
ERNI MASAHITA SANAM

NOPRIANUS SANAM
ARINO DUKTO ALSEKRI NEKEN
MAKLON M. KASE
ORANCE BANA
VERONIKA PENTAU
julista nikil neken
NOFRIANI SANAM
DENSI SANAM
SUSANTY WIDIADI
SENGLI NAIMNUIKFETO
Jenis
Pekerjaan*
Kelamin
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
P ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P REMAJA
L ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
LK REMAJA
L REMAJA
L ANAK
L REMAJA
L ANAK
L REMAJA
L ANAK
P ANAK
P ANAK
P ANAK
L PEL.PUB
L MAS
P ANAK
P ANAK
P ANAK
P MAS
P ANAK
L PEL.PUB
P PENDIDIK
L PELAYANAN PUBLIK
P REMAJA
P ANAK
L ANAK
L ANAK
P REMAJA
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L LANSIA
P LANSIA
L LANSIA
P LANSIA
L MASYARAKAT UMUM
L LANSIA
L MASYARAKAT UMUM
L REMAJA
P REMAJA
P PENDIDIK
P MASYARAKAT UMUM
P MASYARAKAT UMUM
L REMAJA
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
p LANSIA
P PELAYANAN PUBLIK
Tanggal Lahir
12-004-2016
11/10/2015
11/30/2015
10/1/2014
4/22/2014
5/17/2015
12/22/2012
7/1/2014
5/10/2014
5/19/2013
7/19/2012
11/2/2012
6/21/2016
10/10/2012
11/16/2011
4/20/2013
8/30/2011
9/28/2012
9/2/2010
8/31/2013
4/2/2013
10/19/2011
9/9/2011
11/15/2014
2/12/2012
8/1/2010
11/24/2012
10/29/2012
07-98-2009
11/21/2012
5/18/2014
10/31/2010
6/12/2011
06-0302015
4/9/2015
2/18/2012
25-04=2014
3/28/2014
6/20/2012
5/18/2010
10/17/2011
2/12/2010
1/15/2010
6/20/2012
4/3/2009
8/6/2010
1/29/2010
7/30/2010
9/17/2013
1/5/2014
12/7/2011
09-0201965
5/2/1960
4/16/2014
6/14/2012
12/26/2015
11/24/1978
18/04/2014
8/6/1995
5/26/1990
11/9/1987
3/3/2010
7/31/2013
8/12/2013
3/16/2012
6/6/2009
5/12/2013
5/26/2015
9/15/2012
6/10/2012
8/4/2010
9/22/2012
10/16/2014
9/26/2013
11/4/2015
2/11/2013
7/6/2015
10/6/2013
4/14/2011
4/10/2013
5/28/2011
10/16/2014
9/14/2014
4/22/2013
18-11-2010
9/5/2012
9/10/2011
27-03-2014
8/10/1947
31-12-1950
17-02-1956
17-11-1959
8/6/1999
1/4/1950
6/8/1970
13-10-2009
24-12-2007
13-04-1983
13-09-1995
30-06-1986
29-11-2008
2/10/2013
5/5/2013
23-06-2015
16-02-2013
29-07-2015
28-02-2011
3/12/2012
11/28/1951
6/13/2005
Alamat
BIKEKNENO RT 05/03
BIKEKNENO
BIKEKNENO
OELNEKE RT 2 RW 1
TUBUBESA
KONO RT 7 RW 4
BIKEKNENO
PENE RT 07 RW 04
OELNEKE 06/03
BOEN 5/3
BIKEKNENO RT 3/2
BIKEKNENO
BOEN 5/3
ASAIPTUNTUKA 3/2
TOINEKE 13/6
ASAEPTUNTUKA RT 03 RW 02
BOEN RT 05/ RW 03
BIKEKNENO
BIKEKNENO 5/2
BIKEKNENO RT 5 RW 6
BOEN 5/6
AJAUBAKI
BIKEKNENO 7/4
AJAOBAKI
BIKEKNENO
BIKEKNENO
TUBUBESA
TUBUBESA
BIKEKNENO
ASAPTUNTUKA
BOEN 5/3
BIKEKNENO
BIKEKNENO
BIKEKNENO
BIKEKNENO
BIKEKNENO
BILOTO RT 6/3
OELNEKE 2/1
BIKEKNENO
BIKEKNENO 6/3
BIKEKNENO
BILOTO RT 6/3
OELOEBEM
BIKEKNENO
BILOTO RT 6/3
BIKEKNENO
TUBUBESA
TUBUBESA
OELNEKE RT 02 RW 01
BIEKKENENO RT 006 RW 003
BIKEKNENO RT 7/3
BIEKKNENO RT 007 R W003
JL.IKAN LUMBA-LUMBA
KOTA SOE
KESETNANA, RT/RW 006/003,

DESA KESETNANA, KECAMATAN
MOLLO SELATAN
KESETNANA, RT/RW 006/003,

DESA KESETNANA, KECAMATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
MOLLO SELATAN
rt 10/05 bikekneno
rt 10/05 bikekneno
rt 10/05 bikekneno
RT 09/05 BIKEKNENO
RT 09/05 BIKEKNENO
rt 10/05 bikekneno
BIKEKNENO
rt 10/05 bikekneno
RT 08/05 BIKEKNENO
KARANG SIRI KOTA SOE

RT 09/05 BIKEKNENO
NEKEMUNIFETO MOLTENG
rt 10/05 bikekneno
RT 009/005 BIKEKNENO
rt 08/05 bikekneno
RT 02/001 OINLASI
rt 08/05 bikekneno
RT 07/04 BIKEKNENO
rt 10/05 bikekneno
rt 10/05 bikekneno
KOTA SOE
BIKEKNENO
Kepesertaan BPJS
yang sesuai)
No. Hp
BPJS
BPJS
Non
PBI
PBI
081353043844
81239370807
082247564533
82147766275
81237275281
081235124451
81239150443
82147766275
082147766275
81338771528
82340550804
0812355124451
82359561121
81246247936
081328706470
081238662986
81239150442
081338995462 YA
081353043844
082264535092
081235124451
81236431416
081235124451
0812355124451
082247564533
81295961931
081235124451
085239666659
082340550804
081337645518
081238515462
81337645518
85338852573
081338771528
082145354526
081338304746
082147630117
081338995462
081337372274
081246791176
081339180157
81338995462
081338771528
081339180052
081338507946
081332684127 YA
08533820080
81237275281
081338467416
085338095483 YA
081239556195 YA
082340907712 YA
082340907712 YA
085338850070 YA
082238177914
082238177914
082359046035
082238177914
081337738651
081337738651
081236935649
082359046035
082359046035
082359046035
082359046035
082247033601
082247033601
082359046035
082359046035
082359046035
082359046035
082339222898
082339222898
082339222898
082359046035
082359046035
082340444157
082359046035
082359046035
082359046035
081239558126 YA
081239558126 YA
081239558126 YA
081239558126 YA
081239558126
081239558126
081239154201
081239558126 YA
085237782808
081237912918 YA
081282360875
081239154201
081239558126
081239558126
081239558126 YA
081239558126 YA
081239558126 YA
081351882344 YA
081239558126
081239558126 YA
081281210862
081351654046
taan BPJS
pada kolom
sesuai)
Non
Anggot ASAL SEKOLAH
a
YA SDI BIJOBA
YA SDI BIJOBA
YA TK
YA SDI BIJOBA
YA SDI BIJOBA
YAA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
Y SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
Y SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
YA SDI BIJOBA
SDI BIJOBA
YS TK
SD SEQIP
SDI NEKMESE BIKEKNENO
YA SDI NEKMESE BIKEKNENO



YA
YA
YA
YA
YA
YA
YA
YA
ya
YA
JENIS
PENDIDIKA VAKSIN
N
TERAKHIR
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
PF
CV
PF
CV
PF
CV
CV
CV
CV
SD PF
PF
CV
CV
CV
PF
CV
S1 PF
SI PF
SI PF
PF
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
JJ
JJ
JJ
JJ
JJ
PF
PF
pf
PF
jj
PF
PF
PF
CV
CV
CV
CV
CV
CV
CV
pf
JJ
DOSIS
1 BLMNNTI
CUKUPBARU ENTRU DOSIS
UMUR
2
2
2
2
2
2
2
GANTI 2JENIS VAKSIN KARNA SDG REMAJA
2
2
2 SLH BACDATE TNGGL
2
2
2
2

2
2
2
2
2
2
2
2
2
2
1
1
2
2
3 KOTA SOE
2
2
2
2
2
2
2
1
1
1
1
1
1
1 DO
2
2
1
1
1
1
1
1
1
1
3
1
TRU DOSIS KEDUA
DG REMAJA
DG REMAJA
DG REMAJA
DG REMAJA
NO NIK
5302026109140002
1
5302142906150001
2
5302020210130001
3
5302020402140001
4
5302024605140001
5
5302146303150001
6
5302141503140001
7
5302141404140001
8
5302024107140001
9
5302021406140001
10
5304014904140001
11
5302142710130001
12
5302024601140002
13
5302024711120001
14
5304014202120001
15
NIK TIDAK
16 SESUAI/'5302022410110001
5302140502100001
17
5302022206120001
18
5302141911110001
19
5302022610120001
20
5302022304090001
21
5302020412100001
22
5302142308110001
23
5302022109100002
24
5302144203110001
25
26 5301062009090002
27 5302021101080002
5301062406110001NIK TDK
28 SESUAI
29 5302144301100001
30 5302021011090001
5302021304100001
31
5302020104100001
32
5302022308120001
33
NIK TIDAK ADA
34
35 5302143011090002
NIK TIDAK
SESUAI/'5302140512100001
36
37 5302142102100001
38 5302022501090001
39 5302020901100003
5302025311100001
40
41 5302026511090001
42 5302020209060002
43 5302026709100002
44 NIK BELUM ADA
45 5302012204100001
46 5302146712090001
47 NIK TIDAK ADA
48 5371044107100001
49 5302020802090001
50 5302140411100001
51 5302144506120004
52 NIK TIDAK ADA
53 5302141406690002
54 5302026802890003
55 5302025107840001
56 5302024205090001
57 5302020910830001
58 5302026808870001
59 NIK TIDAK ADA
60 5302020810720001
61 3578124205780002
62 5302064711010002
63 5302012105000004
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
SHESY DONELLA MELLA

ANTON APRIS TUNU
JEVAN RAYMUNDO KASE
FRIDO SANRO AMORIS TABUN
MARANTIKA FIDELA POLLY

MARIA RENALDA EMILIANA
KEFI
ALEJANDRO AGISTYA NEOLAKA
CHARLES ALEXANDER GASPAR KEFI
SANRA JUNIARTI TAMONOB
YUANRE SAPUTRA POLLY
MARIA MAGDALENA N.TAE
AGUNG RAINARDIX MARTIN TUNU
JISKI NELCI SELAN

NORMA ENTELINA TALAN
MARIA GRATIA AIRASI TAE
NADIRA LUSIANA TALAN
FRIT NUBATONIS
JUVENTUS TLONAEN
YUNTHAM B.M.SAMARA
AMOS EVENTUS NENOMNANU
ATO ALIK
DELON ARNOL S. ABI
YOHANIS DONISIUS BRIA
FALDI TANESAB
ALSANDRA MARGARETH
NEOLAKA
FRANSISICO JOAN DOS REIS
JERMIAS TEFA
'LAMBERTO JOAN DOS REIS

IMELDA NEOLAKA
STENGKI MELLA
ALDO NAKLUI
ALDO YOHANIS MELON
AFRET FANDO TABUN
ERWIN PETER TALAN
ANTONIUS SAEKOKO
DERICHO M.M.TUNU
MARTINUS A. BOYKOPE
JEFRI NENOMEL
YEFTA TALAN
NIGELA NINDI KRISTIN BIEN
TOTO
MERLIANI VENTI TANESIB
RIO FANDI ALIK

SEFRIANA LIUKAE
RUDIANDUS OEMATAN
VICTOR ROBINSON BOIMAU
YOHANA M.K KEFI
ANITA KASE DOSREIS
WELMINTJE LUDJI MENGI
YONATAN SAUL POLLY
HARRY NIGER TUNU

FRIDOLIANA JULIANTI TUNU
JUWITA OEMATAN
GREGORIUS KEFII
FELPINA NUBATONIS
YUSTIN TELLU
METRI TLONAEN
PATRIS OKTOFIANUS KASE
ANITA TELLU
CHERIL NUBATONIS
DALIZANOLO NDRURU
YULIANA SELAKAT
YUNCE A. TAOSU
SHAYLIWA MUHAYIS TANOF

`
Jenis
Pekerjaan*
Kelamin
P ANAK
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L REMAJA
L ANAK
L ANAK
L ANAK
L REMAJA
L ANAK
L ANAK
L ANAK
P ANAK
L REMAJA
L REMAJA
L ANAK
P REMAJA
L REMAJA
L ANAK
L ANAK
L ANAK
L ANAK
L REMAJA
L ANAK
L REMAJA
L MASYARAKAT
L REMAJA
P ANK
P REMAJA
L REMAJA
P ANAK
L REMAJA
L REMAJA
P REMAJA
P ANAK
P ANAK
L REMAJA
L ANAK
P ANAK
P ANAK
L MASYARAKAT
P MASYARAKAT
P PENDIDIK
P REMAJA
L MASYARAKAT
P PENDIDIK
L ANAK
L PELPUB
P MASYARAKAT
P MASYARAKAT
P PELPUB
`````````
`````
Tanggal Lahir
9/21/2014
6/29/2015
10/2/2013
2/4/2014
5/6/2014
3/23/2015
1503-14
4/14/2014
7/1/2014
6/14/2014
4/9/2014
10/27/2013
1/6/2014
11/7/2012
5/2/2012
4/29/2012
2/5/2010
6/22/2012
11/19/2011
10/26/2012
4/29/2009
12/4/2010
8/23/2011
9/21/2010
3/2/2011
6/20/2009
1/11/2008
5/24/2011
1/3/2010
11/10/2009
4/13/2010
4/1/2010
8/23/2012
9/7/2015
11/30/2009
12/5/2010
2/21/2010
1/25/2009
1/9/2010
11/13/2010
11/25/2009
02/09/2006
9/27/2010
1/31/2007
4/22/2010
12/27/2009
4/14/2004
7/1/2010
2/8/2009
11/4/2010
6/5/2012
6/30/2011
6/14/1969
2/28/1989
7/11/1984
5/2/2009
09/10/1983
8/28/1987
1/30/2012
10/8/1972
5/2/1978
11/7/2001
5/21/2000
Alamat
BILOTO RTT 014 RW 006

BOENTUKA RT 016 RW 008
BILOTO MOLLOSELATAN
BOENTUKA RT16/08

NOENTUKA RT 018

BILOTO
BILOTO
BOENTUKA 016 RW 009

BATUPUTIH
BULOTO RT 013 RW 006
BILOTO, 14 / 07
BILOTO
BILOTO MOLLOSELATAN
BILOTO RT 013 RW006
BOENTUKA RT 004 R W002
BILOTO
NBILOTO RT 014 RW 006
NONOHONIS,MOLLO SELATAN
MIO RT 011 RW 007
KOTA SEO
Kepesertaan BPJS
yang sesuai)
No. Hp
BPJS
BPJS
Non
PBI
PBI
085338702928
081283378637
085238376648
081283378637
082144325466
081238724486
082145577915
081239666947
0822144875047
081324319684
081236463695
085238376648
082144220996
081236914659
081339489324
085353972939
085353972939
081353944094
085353972939
081217809592
081283378637
081238964930
082235537410
085353972939
081283378637
081239666947
085238376648
081283378637
081283378637
081238964930
081352509731
081283378637
081353855105
081283378637
082237988611
081283378637
082266143551 YA
081283378637
085353972939
081283378637
0812833786632 YA
081353387005
081283378637
085353972939
YA
YA
YA
081283378637 YA
081283378637
082147692391
081231145446
081333657248
081283222258
taan BPJS
pada kolom
sesuai)
Non
Anggot ASAL SEKOLAH
a
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SDI ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SDI ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SDI ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SDI ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA TK ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
YA SD I ENOBESA
SD I ENOBESA
YA SD I ENOBESA
YA
JENIS
PENDIDIKA VAKSIN
N
TERAKHIR
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
PF
CV
CV
CV
CV
PF
PF
CV
PF
PF
CV
CV
CV
CV
PF
CV
PF
SD PF
PF
CV
PF
PF
CV
PF
PF
PF
CV
CV
PF
CV
CV
CV
SMA PF
S1 PF
PF
PF
PF
PF
CV
PF
PF
PF
PF
DOSIS
2
2
2 BONTUKA
2
1 NIK TIDAK SESUIA
2 BATUPUTIH
2 BATUPUTIH
2 BATUPATIH
2 BATUPUTIH
2
1
2
1
2
1
2
2
2
2
2
2
2
2
2
2
1
1
2
2
2
2
2
2
2
2 BATUPUTIH
2
3
2
3
3
2
3
NO NIK
1 5302025612120002
2 5302021401160001
3 5302026703840001
4 5302112411860001
5 5302020412130001
6 5302021811110001
7 5302026007950001
8 5302025007140001
9 5321015911120002
10 5302027101150001
11 5302020504150001
12 5302025010110001
13 5302022501120001
14 5302020503120001
15 5302024210120002
16 5302025608140001
17 5302025305130001
18 5302021604150001
19 5302026908130003
20 5321015409140003
21 5302024701130001
22 5302022302130001
23 5302224311150001
24 5302021510130001
25 5302022411120003
26 5302025502120001
27 5302130208120001
28 5302020602130001
29 5302021504140001
30 5302022103140001
31 5302021610140002
32 5302026106130001
33 5302021112120001
34 6408092303130004
35 6209035004130002
36 5302024412140001
37 5371061412880001
38 5302024208130001
39 5302022607150002
40 5302021801140001
41 5302026801140001
42 5302024112130001
43 5302021812130002
44 5302025406140002
45 5302021712130002
46 5302020610110001
47 5302026512890001
48 5302024305120001
49 5302024806150001
50 5302024304120001
51 5302026804120001
52 5302020404120002
53 5302022204120001
54 5302020602110002
55 5302021209110001
56 5302024501140001
57 5302020505140001
58 5302085212920002
59 5302025507670004
60 5302087008050001
61 6408020612110002
62 5302020202130001
63 5302026809110002
64 5302020202130002
65 5302022110110001
66 5302021606140002
67 5302020102130001
68 5371035401140001
69 5302026202110001
70 5302022006090001
71 5302026507090001
72 5302026602100001
73 5302022012090001
74 5302025001100001
75 5302022802110001
76 5302025906150001
77 5302022601110001
78 5302024406110001
79 5302022307140001
80 5302024709010001
81 5302025412770001
82 5302221701100001
83 5302324301840001
84 5302025002100001
85 5302022505100001
86 5302021502110001
87 5302021211020002
88 5302024107680001
89 TIIDAK ADA NIK
90 5302180604040001
91 5302214206060001
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
DEWINI DIANRA MANAFE

ELISA SELAN
MASNI PARSISKA NAU
SIUTER NUBATONIS
ABRAHAM SELAN
YERMIA YERIKHO SELAN
YULIANA TUAN
YUKZISA AMELIA TUAN
FALENSIA YESRI MANEK
NADYA WELI SELAN
ARYO VIKARDI TALAN
ETLIN NUBATONIS
JEMRISTO FALLO
ARGIO ALEKSANDER OTTU
KESYA OTU
DHEA CHRISTINE TAMELAB
MIRWANSA KASE
APRIS ABSALOM TABUN
MARIA M. NUBATONIS
STEVANIA DESI MANEK
YEDISKA KOFI BETEL TANO
MARSILUS VIKTOR MISSA
VELISIA EVELIN TAMELAB
DAVID DAGOBERTO SAEKOKO
MIKHAEL LEKAMA
LILY JUSANTRI BOKIMNASI
FHILIPO MARCO ALEXANDER
MEKO
MATEOS MAUNINO
ARNOL DAVEN TALAN
MAYORDEN LEKAMA
RAMA MAHARAIM NGURU
JUNISA REFI NONI SONBAI
DESWANDY TABUN
MIKI SAPUTRA TEFLAEL
SILFIA BOYMAU
DELNA NATALIA PAY
DOMINGGUS DJARI
KETRIN ADONIA PAY
KRISTIAN TABUN
FIKRI TAWARIK TABUN
JESHIKA YUSRI TUAN
DELMA NATASIA NGURU
OBAJA SAMUEL PAY

ANASTASIA TALOIM
DESMUN PAY
NENO HESRON PAY
YANCE MISSA
MESIA ANACI TEFLAEL
FANESA ANACI SONBAI
ONCI APRILIANI NEKEN
ANANDA APRILIA PAY
KELVIN ELISNO NGURU
JOSEP WILTO SIKI
VALDI FALLO
STANIS RICKI MISSA
SISILIA J.A.MNUNE
MARTEN ROBINSON TEFLAEL
GELDA EPYFANI KORNELIA MISSA
MARIA MISSA
ADRIS AGINA MISSA
DELON RIONALDI BOKIMNASI
SARCI ADOLFINA TALAN
DEWI ARNELITA TAMELAB
GOMER BENITO PENU
JUNELRIS ANDRE TAEK
TIBERIAS TOABNANI
ALVIN GABRIEL TAMELAB
YUMIMA JESIKA PUTRI MISSA
D'SARI JELITA MAUNINO
TOSANTO YONATHAN TAEK
JUWITA LENAMAH
VERO YULIANA OEMATAN
EKO ERIKSON KASE

JINASTI SANAM
VITODION TUAN
IMEL HATITA LOE

BO'Y TOABNANI
JULIANTI LOE
GILBRED TAMELAB
SERLI ANTONETA KIKHAU
DEBRINA BOKIMNASI
RICHARDO CELVIN TAMELAB
RODI ANIN
PRIMA SANYA OME
SIMSON ELIFAS POENAMO
DEYFAN AROFAI BOKIMNASI
VIKTORY OEMATAN
KATARINA SABA
FRANSISKO ANGGA NABU
JUSUF KHENY NA'U LIEM
IMEL Y.BOIMAU
`
Jenis
Pekerjaan*
Kelamin
P ANAK
P ANAK
P MASYARAKAT
L MASYARAKAT
L ANAK
L ANAK
L MASYARAKAT
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
l ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L PEDAGANG
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
L ANAK
P MASYARAKAT
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
P MASYARAKAT UMUM
MASYARAKAT
P
UMUM
L MASYA
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L REMAJA
P REMAJA
P REMAJA
L REMAJA
P REMAJA
L ANAK
P ANAK
L ANAK
P ANAK
L ANAK
P MAS
P MASYARAKAT
L REMAJA
P MASYARAKAT
P REMAJA
L ANAK
L ANAK
L TRANSPUB
P MASYARAKAT
L ANAK
L MAS
P MAS
`````````
`````
Tanggal Lahir
12/16/2012
1/14/2016
3/27/1984
11/24/1986
12/4/2013
11/18/2011
7/27/1995
7/10/2014
11/19/2012
1/31/2015
4/5/2015
10/10/2011
1/25/2015
3/5/2012
10/2/2012
8/16/2014
5/13/2013
4/16/2015
8/29/2013
9/14/2014
1/7/2013
2/23/2013
11/3/2015
10/15/2013
11/24/2012
7/23/2012
6/2/2012
6/6/2013
4/15/2014
3/21/2014
10/16/2014
6/21/2013
12/11/2012
3/24/2013
4/10/2013
12/4/2014
12/14/1988
8/2/2013
7/26/2015
1/18/2014
1/28/2014
12/1/2013
12/18/2013
6/14/2014
12/17/2013
10/6/2011
12/25/1989
5/3/2012
6/8/2015
4/3/2012
4/28/2012
4/4/2012
4/22/2012
06/02/2011
9/12/2011
1/5/2014
5/5/2014
3/1/1993
7/15/1967
8/30/2005
12/6/2011
2/2/2013
28/09/2011
2/2/2013
10/21/2011
6/16/2014
2/1/2013
1/14/2014
2/22/2011
6/20/2009
7/25/2009
2/26/2010
12/20/2009
1/10/2009
2/20/2011
6/19/2015
1/26/2011
6/4/2011
7/23/2014
9/7/2001
12/14/1977
17/01/2016
1/3/1984
2/10/2010
5/25/2010
2/15/2011
11/12/2002
7/1/1968
10/4/2014
4/6/2004
6/2/2006
Alamat

KESETNANA RT 025 R T 009
KESETNAN RT 019 RW 009

KESETNANA RT 016 RT 007



FAE

JL.MAHONI RT 023 RW 011
KOTA SOE


KESETNANA TTS

BISENE RT 04/ RW 02
TUASENE
TUAFANU
Kepesertaan BPJS
yang sesuai)
No. Hp
BPJS
BPJS
Non
PBI
PBI
081237292568
082247875712
082247924342 YA
082236109726
082247875712 YA
082247875712
082167793376 YA
082167793376
081253601384
081238662650
082247875712
081237110789
081237110789
081237636091
0812245628846
081237110789
081236070335
081339725084 YA
081237110789
081353601384
081339789246
082247875712
082247595363
085239128983
082339516138
081236946901
085337456502
081353804311
081337462353
082339516138
081236070335
081236694464
081339725084
08523814714
082145784575
085237374493
081238990458
085237374493
081237286347
081237286347
081239074323
082157005332
082339797238
0812388690662
081353805648
085237374493
081238990458 YA
081246667760
081236694464
082247416112
081253378696
081236070335
081337284105
081237110789
082144546169
081246667760
081246667760
081245628846
081245628846
081237082403
081244287897
082247875712
081237110789
082144748569
082236362315 YA
082260667068
081287203818
082398457763
082333106399 YA
081353804311
082145784575
082237470360
082235537410
081244287897
082146922193
081353776463
082260667068
081353776463
081238971252
085333090479
082146993930 YA
082247595365
082339761265
082247416112
085239109979
081236946901
082339797238
81246537774 YA
081337284105
082110881779 YA
081351654046
taan BPJS
pada kolom
sesuai)
Non
Anggot ASAL SEKOLAH
a
YA SD OEBEKO
YA TK
YA
SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
SD OEBEKO
YA SD OEBEKO
Ya SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA
YA
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA
YA SD OEBEKO
YA SD OEBEKO
YA SD OEBEKO
YA
YA SD OEBEKO
JENIS
PENDIDIKA VAKSIN
N
TERAKHIR
CV
CV
SMA PF
SD PF
CV
CV
SMP PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
TDK SKLH PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
TDK TMT SD PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
SD PF
TDK SKLH PF
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
PF
PF
PF
PF
CV
CV
CV
CV
CV
PF
TDK TMT SD PF
PF
SMA PF
PF
CV
CV
SMP JJ
TIDAK SEKOLAH PF
CV
PF
JJ
DOSIS
2
2
2 KELAS IV
2 BONTUKA
2
2 KELAS III
2 KELAS III
2 KELAS III
2 KELAS III
2 KELAS III
2 KELAS 3
2 KELAS 2
2 KELAS 2
2 KELAS II
2 KELAS 1
2 KELAS III
2 KELAS II
2 KELAS 1
2 KELASII
2 KELAS 1
2
2 KELAS IIS
2 KELAS 1
2 KELAS II
2 KELAS II
2 KELAS II
2 KELAS II
2 KELAS II
2 KELAS II
2 KELAS IV
2
2 KELAS III
2 KELAS 1
2 KELAS IV
2 KELAS IV
2 KELAS IV
2 KELAS IV
2 KELAS IV
2 KELAS IV
2 KELAS NAMAIITDAK SESUAI
2 KELAS 11
2
2
2 KELAS IV
2 KELAS III
2 KELAS IV
1 KELAS III
2 KELAS II
2 KELAS III
1 KELAS I
1 KELAS 5
2 KELAS V
2 KELAS V
2 KELAS V
2
2 KELAS V
2 KELAS 1
2 KELAS V
2 KELAS V
2 KELAS II
2 POLRES
3
2 KELAS V
2
2 KELAS V
2
2 KELAS V
1
3
2 KELAS 1 NUSA
1
DAK SESUAI
NO NIK
1 5302026906120001
2 5302021406110001
3 5302025604150001
4 5302020903120001
5 5302022411120002
6 5302024408100003
7 5302020202150001
8 5302025103150001
9 5302023101150002
10 5302024811140001
11 5302022003140001
12 5302025703140001
13 5302022009130001
14 5302026908130002
15 5302021712130001
16 '5302021309130001
17 5302021008110003
18 5302022904140002
19 5302020201130001
20 5302021410130001
21 5302020807120001
22 5302020710120001
23 5302020509120001
24 5302022811120001
25 5302026009110002
26 5302024510120003
27 TIDAK ADA NIK
28 TIDAK ADA NIK
29 530202207110001
30 5302024709110001
31 5302025905120001
32 5302020602110001
33 5302025808110001
34 5302025404120001
35 5302025603100001
36 5371036612100001
37 5302025804120001
38 5302022505100002
39 5302021407110001
40 5302020901120001
41 5302021101150001
42 5302025709100001
43 5302026011100003
44 5302026702110001
45 5302026905100001
46 5302022711100001
47 5302024910100002
48 5302021311150001
49 TIDAK ADA NIK
50 5307150106120003
51 5302020809100002
52 5302020104120001
53 5302020903630001
54 5302024107660002
55 5302026406660001
56 5302026006570001
57 53020206117000001
58 5302024107680001
59 5302025203520001
60 5302020202160001
61 5302023001140002
62 5302021903140001
63 5302021706140001
64 5302026411150001
65 5302020403150001
66 5302021910120001
67 5302026406130001
68 5302024404120002
69 5302022104130001
70 5302020401130001
71 5302191804130002
72 5302025205130002
73 5302024112130002
74 5302225704140001
75 5302026512140001
76 5302025412120001
77 5302021009130001
78 5302024202110001
79 5302022908120002
80 5302026212100001
81 5302026805110002
82 5302021004140002
83 5302026210100001
84 5302025107110001
85 5302172401160001
86 5302020102140001
IRMA S. SANAM
JAMENS A. LOLOMSAIT
ENJELINA TOINENO
ADVEN RIVALDI TOINENO

MILAN NOVANTO SANAM
FIONA EGAFANI TOINENO
ERDI ARODI HELLY
SUPRI MARINA LAKE
ALDO YUDIFEN LAKE
NEWI SRIYANI HELLY
SOLAIMAN KRISMANTO LAKE
MARCANDA PRINLI LAKE
ARIS SEPRIANTO SABA
ANGGI YUSARIANI LAKE
DEWARDI TOABNANI
PRIADIN DEVANTO BAUN
MARSELUS IRWAN BOUK

RENAL SABA
ARJUN TANONE
RISAL EWILTA HELLY
JELINO LAKE
ERWIN ODIVER HELLY
SEPLIM JURIO SABA
NOARGEL O. PAY
SESILYA KASE
OVIANTI OEMATAN
SOFIA B OEMATAN
VAUSTIN OLAH INA OEMATAN
YONER FOAN PAY
YOVICE B. LAKE
INTAN YUMITRA TABOEN
FRIDO ARYANTO TUALAKA
ANGEL KARA MOY
AGEL APRIANI SABA
OLGA MARLENI LAKE
DIANA SIPORA LAKE
RENI SATRIANA LAKE
HARLINTO YOSAFAT LAKE
IDEL JULITO SANAM
ARI SUPIANDI PAY
JEMRIS YOHANIS TOABNANI
SMIRNA SADINA HELLY
NOFITA H. LAKE
FEBRIANI S. SABA
MISEL ANITA ANLIK
YOKSAN B. MEAK
WELDI K TOABNANI
OKHY NOVANTO SABA
RENDI H KASE
ALEXANDRO ADITYA SERAF RAGA
STENLI YULEXTEN/LAKE
ERON LASFETO
LEFINUS PAY
SELFINA SABA
YUMINA SANAM
ELISABET OEMATAN
YONATAN TOINENO
KATARINA SABA
ENGGELINA OEMATAN
DODI YOHANIS YOLSIOR TANONE
YANDRI M.J. MISSA
MARKO ESAU BOKIMNASI
PAULUS VICTOR SERGIO KASEH
MUTHYA ERIN BABU
NYEMAR MARSELO TAOSU
ARTHO KOKO MNANU
FITRA DORINCE NENOBAIS
EMI APRIYETI KRISTIANA TOINENO
JEFRI ARITNO SANAM

JUANRA D. KASE
ARIL NENOHAIFETO
MEYJEN MELATI UFI
AMALDA DESMI ANISA TOINENO
ANJELINA DEMARTHI SEKO
ELISABET NENOMEL
DESI PUTRI LOLOMSAIT
SEMRI DERTO MEOL
FETRIYANA PAY
AGLES CANDRA TSE
RINDY DHANISA CARISTY ASBANU
MARIA RISKA RIFA TOINENO
SEPRIANUS LAKUSABA
AFLIANA TAROCI SABA
MILDA ELISA YOLANTRI OEMATAN
JUMER CHRIST A TAMPANI
IMANUEL NENOMEL
P ANAK
Lk ANAK
P ANAK
Lk ANAK
Lk ANAK
Pr ANAK
L ANAK
P ANAK
L ANAK
P ANAK
Lk ANAK
P ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
Lk ANAK
Lk ANAK
L ANAK
Lk ANAK
Lk ANAK
Lk ANAK
Pr ANAK
Pr ANAK
Pr ANAK
Pr ANAK
L ANAK
Pr ANAK
Pr ANAK
Lk ANAK
Pr ANAK
Pr ANAK
Pr ANAK
Pr ANAK
Pr ANAK
Lk ANAK
Lk ANAK
Lk ANAK
L ANAK
Pr ANAK
Pr ANAK
Pr ANAK
Pr ANAK
Lk ANAK
Pr ANAK
L ANAK
L ANAK
L ANAK
Lk ANAK
Lk ANAK
Lk MASYARAKAT
P MASYARAKAT
P MASYARAKAT
P LANSIA
L MASYARAKAT
P MASYARAKAT
P MASYARAKAT
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L REMAJA
Tanggal Lahir
29/06/2012
14/06/2011
16/04/2015
09/03/2012
24/11/2012
04/08/2010
02/02/2015
11/03/2015
31/01/2015
08/11/2014
20-03-2-14
17/03/2014
20/09/2013
29/08/2013
17/12/2013
13/09/2013
11/09/2012
28/04/2014
03/01/2013
14/10/2013
08/07/2012
07/10/2012
05/09/2012
28/11/2012
20/09/2012
05/10/2012
6/16/2015
8/3/2013
22/07/2011
07/09/2011
19/05/2012
06/02/2011
18/08/2011
14/04/2012
16/03/2010
26/12/2010
18/04/2012
25/05/2010
14/07/2011
09/01/2012
1/11/2015
17/09/2010
20/11/2010
22/02/2011
29/05/2010
27/11/2010
09/01/2010
13/11/2015
10/15/2011
01-06-2-12
08/09/2010
04/01/2012
3/9/1963
7/1/1966
6/24/1966
6/20/1957
11/6/1970
7/1/1968
3/1/1952
2/2/2016
30/01/2014
3/19/2014
6/17/2014
11/24/2015
3/4/2015
10/19/2012
6/24/2013
4/4/2012
4/21/2013
1/4/2013
4/18/2013
5/12/2013
12/1/2013
4/17/2014
12/25/2014
12/14/2012
9/10/2013
2/2/2011
8/29/2012
12/22/2010
5/28/2011
4/10/2014
10/22/2010
5/25/2011
22-04-2022
2/1/2010
Alamat
BISENE RT 06 RW 03
BISENE RT 04 RW 02
BISENE RT 08
BISENE RT 02 RW 01
BISENE RT 03 RW 02
BISENE RT 08 RW 04
BISENE RT 05
BISENE RT 04
BISENE RT 07 RW 04
BISENE RT 07 RW 04
BISENE RT 03 RW 02
BISENE RT 07 RW 04
BISENE RT 06 RW 03
BISENE
BISENE RT 03 RW 02
BISENE RT 04 RW 02
BISENE RT 01 RW 01
BISENE RT 09 RW 03
BISENE RT 03 RW 02
BISENE RT 07 RW 04
BISENE RT 02 RW 01
BISENE RT 02 RW 01
BISENE RT 01 RW 01
BISENE RT 02 RW 01
BISENE , RT 03 RW 02
BISENE , RT 03 RW 02
BISENE RT 06 RW 03
BISENE RT 06 RW 03
BISENE RT 06 RW 03
BISENE RT 02 RW 01
BISENE RT 07 RW 04
BISENE RT 03 RW 02
BISENE RT 04 RW 02
BISENE RT 03 RW 02
BISENE RT 04 RW 02
BISENE RT 07 RW 04
BISENE RT 03 RW 02
BISENE RT 07 RW 04
BISENE , RT 06 / RW 03
BISENE RT 09 RW 03
BISENE RT 06 RW 03
BISENE RT 06 RW 03
BISENE RT 06 RW 03
BISENE RT 05 RW 03
BISENE RT 02 RW 01
BISENE RT 08 RW 02
BISENE RT 07 RW 04
BISENE RT 01 RW 01
BISENE
BISENE RT 04/ RW 02
BISENE, RT 01/ RW RW01
BILOTO, RT 08 / RW 04
BILOTO , MOLLO SELATAN
MAINIKIN DESA BILOTO
No. Hp sesuai)
BPJS BPJS
PBI Non PBI
081339370784
082143217993
085333446443
081339370784
081339370784
085333446443
081339370784
081339370784
81339370784
081238017099
085339667528
81338463844
081359370784
081238291672
81339370784
81338463844
81339370784
81338463844
081333435016
081339370784
082144870061
081339370784
81323458322
82145151161
81339370784
081339370784
081339370784
081339370784
852327249
082246186017
082246186017
082146751237
082146751237
081339370784
082143217993
082144890061
082444293998
081238721899
085333446443
82145255003
081343568436
085238877136
082123611975
082123611975
0812146751237
081238721899 YA
082246186017
082392903865
082144426799
082143217993
082145255003
85333493484
81239352236
0823663329671
082144311553 YA
082144311553
082235537410
81246537774 YA
81246632915 YA
081353040825
081235297293
82144317542
082144317542
085253911479
82147468570
82235996224
82235996224
82235996224
82235996224
082147468570
081353803841
82235996224
082216875991
081337413081
82235996224
82235996224
82235996224
82235996224
82235996224
82235996224
081236126218
82235996224
82235996225
085253370172
082145181450
82235996224
an BPJS (tulis
kolom yang
suai)
Non
ASAL SEKOLAH
Anggota
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
SDN BISENE
YA SDN BISENE
YA TK BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA SDN BISENE
YA
YA
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
YA SD NEKMESE
ya SD NEKMESE
YA SD NEKMESE
JENIS VAKSIN
PENDIDIKAN
TERAKHIR
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
PF
SD PF
PF
PF
TIDAK SEKOLAH PF
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
sd cv
PF
DOSIS
2
2
2
2
2
2
2
2
3
3
3 belum cukup umur vaksin
2
2
2
2
2
NO NIK
1 5371010802600001
2 5302014305630001
3 5302010705680002
4 5302015509790005
5 5302011105740001
6 5302070301590001
7 5302104902120001
8 KK TIDAK JELAS
9 5302085512130001
10 5302023006150001
11 5302022308130001
12 AKSAMINA LAKE
13 5302022506110002
14 5302020108130001
15 5302023006090001
16 5302010409150001
17 5302022707100001
18 5302026907140001
19
20 '5302011807840006
21 5302064307940001
22 5302012108710001
23 5302011310860001
24 5302011802980002
25 5302011709930001
SOLEMAN SEU
WELMIENTJE H.M SONLAY
OKTOVIANUS KONO
ONY SHERLY ELISABETH BANOET
MELKI UNBANUNAEK
JAN PIETER HEDE
FEBRINA BANUNAEK
DERISTO TAMSEIN
RIFALDO BANUNU
JEFANDI TAMPANI
WIDEN MANASYE KAFONI
MARIA LAKE
YASON ERIK YAKOB BANFATIN
RIGES ANGGA BANUNAEK
YUNIDIN KABNANI
GERALDHY B. NOMLENI
JOLEN KORNELIS MELLA
CHIKA YOMARTI TAMONOB
BRENDEN L UNBANUNAEK
ELIMON FOBIA
LOULY LAMADIRI
NERMAN L LASSA
FATHAN ALWI
YUSRAWIYU SOMADYO TANOF
SIRUN LAMADIRI
L LANSIA
P PENDIDIK
L PEDAGANG
P PEL.PUB
L PEL.PUB
L LANSIA
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L REMAJA
L ANAK
L ANAK
P ANAK
L ANAK
L PEL.PUB
P NAKES
L MASYARAKAT
L PEL.PUB
L TRANS PUBLIK
L TRANS PUBLIK
Tanggal Lahir
08/02/1960
03/05/1963
07/05/1968
15/09/1979
11/05/1974
03/01/1959
09/02/2012
29/12/2012
16/12/2010
30/08/2015
23/08/2013
13/06/2013
25/06/2011
01/08/2013
5/30/2009
04/09/2015
27/07/2010
29/07/2014
8/8/2011
7/18/1984
7/3/1994
8/21/1971
10/13/1986
2/18/1998
9/17/1993
Alamat
KOTA SOE TTS
NUNUMEU KOTA SOE
NUNUMEU KOTA SOE

NONOHONIS , KOTA SOE
NONOHONIS , KOTA SOE
BOEANA
NUNUMEU , RT 12 / RW 07 KOTA SOE

NUNUMEU
NIFUBOKO
NIFUBOKO
TAUBENENO
KOTA SOE
KOTA SOE
KOTA SOE
No. Hp sesuai)
BPJS BPJS
PBI Non PBI
081353733759 YA
081386886901 YA
081236138823 YA
81339878893 YA
081212202626 YA
81238661821
82235493495
082235493495
0812476113097
082235493495
82235493495
82237939322
082144632739
08523817919
082145649165 YA
081338466180
82235493495
081339878893 YA
YA
YA
81385519399
85238699925
an BPJS (tulis
kolom yang
suai)
Non
ASAL SEKOLAH
Anggota
YA
YA SD OEKLANI
YA SD OEKLANI
YA SD OEKLANI
YA SD OEKLANI
YA SD OEKLANI
YA SD OEKLANI
YA SD OEKLANI
YA SD OEKLANI
YA SD OEKLANI
TK PEMBINA OEBESA
YA SD OEKLANI
YA SD OEKLANI
SD 5 SOE
YA
YA
YA
YA
JENIS VAKSIN
PENDIDIKAN
TERAKHIR
SI PF
SI PF
SMA PF
SMA PF
SMA PF
JJ
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
SI PF
SI PF
JJ
PF
PF
PF
DOSIS
3 160/100 36.4
3 160/100 36.5
3 140/80 36.3
3 100/60 36.2
3 110/70 36.5
I 140/80 36.4
2 90/60 36.3 9.18
2 90/50 36.4 9.19
2 80/60 36.5 9.20
2 80/50 36.4 9.22
I 90/60 36.5 9.23
2 90/60 36.3 9.24
2 100/60 36.2 9.25
2 90/50 36.2 9.26
2 90/60 36.3 9.28
I 90/60 36.5 9.30

2 100/60 36.5 10.00
2 80/60 36.4 11.20
3
NIK BERMASALAH
NIK BERMASALAH
NIK BERMASALAH
NO NIK
1 5302222301150001
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58 NIK BELUM ADA
59 NIK BELUM ADA
60 5302022012100002
61 NIK BELUM ADA
62 5302025901110001
63 NIK BELUM ADA
64 5302026712140001
65 5302022611110001
66 5302021610110002
67 NIK BELUM ADA
68 5302021903110001
69 5302024602110001
70 NIK BELUM ADA
71 NIK BELUM ADA

72 5371067010100004
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80 5302022904130001
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82 5302024612120003
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84 NIK BELUM ADA
85 6310051409100001
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88 5302022408080001
89 5371062409090001
90 5302026702100001
91 5302026211090001
92 5302026008100001
93 5302020201110001
94 5302026809100002
95 5302022409110001
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97 NIK BELUM ADA
98 5302221502100002
99 NIK BELUM ADA

100 5302026307100001
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102 5302026309100001
103 5302101706110001
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120 '5371040310120001
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124 5302026712120002
125 5302023003120002
126 5302024809110001
127 5302020909120003
128 5302021005120002
129 5302021310110001
130 5302024708110001
131 5302020801120001
132 NIK BELUM ADA
133 5302025708090002
134 5302022505110001
135 5302021912100001
136 5302025807120001
137 5302024210120001
138 5302025806110001
139 5302023110110001
140 5314051303120001
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143 6104044203110001
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147 5302027008110001
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149 5302021205110001
150 5302016007110001
151 5302023012100003
152 5302021106110001
153 5302022303110001
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155 5302025206130001
156 5302024507150001
157 5302026208120001
158 5302026809120001
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160 5302025212090001
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162 5302075912110001
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168 5302024404120001
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174 1606102411110001
175 5302025408120001
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177 5302026312130002
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190 5302025907130002
191 5302026212100002
192 5302022212100002
193 5302022508110001
194 5302024103120002
195 5371030309110005
196 5302022012110003
197 5302020506120001
198 5302025608120002
199 5302025905130003
200 5302026008130001
201 5302021304120001
202 5302281602140001
203 5311012504100001
204 5302020508130002
205 5302024404150001
206 5302027006100001
207 5302020210120001
208 5302025212120001
209 5302022912120001
210 5302021005100001
211 5302026407120001
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215 5302027012110001
216 5302022112100001
217 5302024808120001
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222 5302021406100001
223 5302024209130001
224 5302022904100001
225 5302022108100001
226 5302025604100001
227 5302021611080001
228 5302020109080001
229 NIK BELUM ADA
230 5302020611110001
231 5302025006100002
232 5302020608140002
233 5371035410110001
234 5302014605150001
235 5302025606150001
236 5302014709100002
237 5302025006100001
238 5302026306670001
239 5302225709900001
240 5302026906100001
241 5302025701100001
242 5302026107100004
243 NIK BELUM ADA
244 5302045509100001
245 5302025807100001
246 5302017110100001
247 5301064909890007
248 5302025611100001
249 5371016703110004
250 5302025007100001
251 5302024407100001
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253 5302025305100002
254 5302072604700001
255 5302013005750001
256 5302052911790001
257 5302021201780001
258 5302012811650001
259 5302011101910001
260 5302012109910003
261 5371021511000001
262 5104032407930002
263 5302011306660001
264 5302017011980003
265 5302011011970002
266 5302015211030002
267 5302015007970003
268 5302014110600001
269 5371042307820002
270 5371035204920006
271 5302174602960001
272 5302016302870001
273 5302011209890002
274 5302016407020001
275 5302015901830002
276 5302011706660001
277 '5302012109900001
278 5302020810090001
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280 5302021206090001
281 5302024312090001
282 5302026709080001
283 5302021701100001
284 5371035108090001
285 5371026006660001
286 5302010101580001
287 5302015201990001
288 5302010609930001
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294 5302012911890001
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297 5371034809810008
298 5302017108830001
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300 5302013011700002
301 5302014104850001
302 5302010509970002
JEFRIANTO YUNUS TEFA

OFAN OTNIAL TANESAB
LISA EUNIKE TANEO
JELA MARIANA KASE
JOSUA JULIO LIFERE
ZETH ARDINO KONKASE
ADI YOHANIS UFI
ARQILAUSARLANDO MISSA
YURNIA ANA MARIA NENOMETA
ALVARO GAVRIEL HAMBA DUNDANG RIHIMBANI
VIDENTUS PASKHALIS OTU
ALVARO DOMINGGUS KARMANI
FEBRITA MARIA KONKASE
MARIA BLANDINA BABYS
JOSHUA GHAVIGO TOHANA

MARIA OLIVIA KAISUHENI
GERRY ANDERSON LASFETO
KEVIN YERIKHO NATU TASEKEB
HENDERINA MARIA BANOBE
MARDHIN ALEXANDRO MNUNE
IRWAN SEBRI ARIEL BOKIMNASI
ADELIO ORLANDO UMBU RADAOLU RIHIMBANI
GERALDHINO ALFONS KEFI
RIKI SAMUEL PAY
ELIM MANUEL KONKASE
YURETA SARAH PAY
CHARLY RIVANDO TOHANA
TOMMY NOFIANUS LASFETO
KEYSIA ALFRIANI KABNANI

YURNA ANICIN TASEKEB
SALA PUTRA IMANUEL SANAM
MARTHA SHARYANTI NENOTEK
SIMEON TASUIB
DENCI HAWA DERIKA PAY
JOSE COLOROSO
RISKI YOHANES TANAEM
HAGAR YOLANDA BANU
ANDREAS KELVIN NGONGO RITI
CAROLUS RIONALDO OTTU
JENUARIO ALFA ALDRINO NABEN
NEYMAR JUNIOR MONE
ARIEL FRENGKI SAEKOKO
BENE DORA GRACIA SANAM

GREIS ANGRIANI PAY
FERENDINA ELISA MARTINA MEOL
JESSICA K N KARMANI
VIKTORIANUS MISSA
MARVIN NIMROT YOHANIS UFII
FREDI NUMBERI BETI
SANTO ALOSIUS TUALAKA
ANDI IMANUEL FAOT
APNELDI TRIDIUS YONATAN SANAM
CHRISTIN NATALIA TAMPANI
ARDIN STAVINA KARMANI
MAYCHEL AGUNG TASEKEB
ELROY GASPER SANAM
FERDI AMINZET TOINENO

FERDI TASEKEB
YOSUA KRISTIANI OUT
KRISTIAN DIEGO DEDEN ATI
FANDI MISA
MEDRI YAKOMINA UNBANU
STIVEN SANAM
STEFANI ATOK TOH
GERMANUS IFENDI KAISUHENI
MATIAS JUAN LIFERE
ASRIANTI KABNANI
MARVEN GIDEON TASEKEB
INCE WASTI TAMPANI
HERI MISA
MARCE JESIKA BOUK

MARIA OCTAVIANI OTTU
YUDIT SEMUEL TANESAB
JITRON FERDINAN BABYS
REDEMPTUS REGINARID MISSA
ARDENO MAYCHEL ANONE
RONDI NARWASTU TOB
YOSAFAT JHOFIN TALAN
MARTEN LUTHER AFRIDO SANAM
ABRAHAM MARTINUS KASE
ALFA RIKARDO TEFA
DEBORA NALLE
MARGARITA NEONSAET
MARIA DEWI ITA
FRANSISKO ZAFARIO MISSA

MELFAN RICARDO MELYANTO FEO
RIVONIUS YASINTUS OTU
MIKHAEL ARIANTO TUALAKA
FRANSISKUS RICARDO OTTU
YORISMAN AFI
BANUVESIA NINDI KAISUHENI
RUT ASTI NIUFLAPU
YOHANE ROGER RISE MEOL
YUNIARTI EUNIKE TOINENO
ROMANO SARMEN ATI
PIT'AY SAMUEL TASEKEB
JENI ITAMAR METILDA KASE
RIVAN YERMIA NENOMETA
MARVEL MARTINO FEO

ARIANA OTTU
QIMART TRIPOSA KALEPAO
RINCE MARIA ASBANU
OKTOVIANUS PENU
TITIN TOKUAN
TIATIRA PAULINA NEKEN
RIDWAN ALEHANDRIK ASBANU
WELFINCE S. F. SANAM
SOFIA H. BUNGA
ARIEL J TANEO
SHALLY ARVANI LETUNA
JOSHUA BENU
JOANA ESTHER BENU
MAGTELDA BETSINCE MUNI

ISABELLA PAULINA MONES
CARMELIA NABILA MONES
CEFANY SOMASUKSANA
TERECIA AYULENI SOLO
KRISTIAN AGUSTINUS YOHANIS LAKE
JUWINDA SUSANA LIUNOKAS
RICHARD BOY POLLY
JERY CHOSTAN TANESI
ALBERT YOHANIS LIUNOKAS
ARNOL LIUNOKAS
YOHANA DELLANIA FREITAS MENDONCA
SIMON BABU DE ARAUJO
SISILIA MARIA DA SILVA
ENGGEK BERTUS SELAN

NONITO BAITANU
PUTRA JOSUA BIONOME
QUENSHA NESTGAT BAY
JERICHO CONSTANTINO TAHUN
YARDI SELAN
AGUSTINA KATARINA DE JESUS
KRISTIAN MOLLO LASSA
DONATUS RONAL TAPATAB
ASTRI JULIA SILLA
OGARIANI BAITANU
YARINDY KUBA MUTI NURANI SIRAH
ALFONSUS BHRIAN R. SEKO
RADITZ SUKI
YUNINGSIH AYRIN KASE

ADELIA TEODORA ATTY
ZEVANYA ANUGRAH SELAN
ANGELINE TUAN
KEZIA KAUSE
FIRGO ERIK JULIANO KAUSE
FANESA ATALYA RATUDJARA
AYU SHANDRA OME
JEVONSHANO EMANUELA SELAN
JIONA ALLE
EVEN BERNADEX SELAN
TRISNO RIDWAN JUNEDI SELAN
KASALLDI KASE
CORINUS SELAN
JESIKA DEBORA ATTY

CRISTINE GISELA MISSA
FITRI INDRI IRIANI POLLY
KESYA NENOHALAN
EXZEL ADY DAUD TAMELAB
DENIA KRISTINA SNAE

CECILIA DEOLINDA DOUTEL SARMENTO DOS
REIS
DESRIANY IMELDA KAUSE
ANGGA NENO BEUKLIU
SISILIA JUWITA MATGARETA LOPES
GEBRINA NOMLENI
KETY ISABELA LAKMAU
ALLIN QUEEN NOVALIZA AMNIFU
ANISA RISA TEFU
SHESILIA ISABELA MASAYU NABUNOME

DAVIYELA FRANSISCA GISEL TILMAN
DIONISIUS ROHELIO ROSA
LIDIA BIRGITA SOARES
CATHERINA MANUELA NUNES KERONG EBAN
GABRIELLO ANDREAS SARMENTO
MARLISON RAFAEL JOSEPH MANAO
GOLANDER YUBERLAN YOSEPH MANAO
FRIES KARINDI KAUSE
DELSANIJUD LASA
PASKAL ASBANAU
KOKO DIEGO ASBANU
GILBERT F FALLO
CRISTIAN NGUN
WINDA N SELAN
LOVELY PETRA NOVEMBRIANO KONES
JEAN CLARISA TAHUN
KRISTIN NATALIA NEKEN
OLIVIA ROSALINA PAULINA
RIFKI A TANESI
THOMAS LEONARD LIUBANA
JUWITA GARADIN LASSA
DESTI TEFA
DERSI TEFA
AGUSTA SURYA RAMADANI NAUTANI
AGNESYA FERNANDES MOTTA
GIRSAN YOGA PRATAMA TAPENU
GEORGE FERDINAN KUNE
JOSHEP PRATAMA NEONANE

MAGDALENA LOLITA PEREIRA
TALITA SALLU
ANACI SONIA LIUNIMA
ARIEL AHASHYWEROS ATAUPAH
MARIO SESFAO
UMBU MEHANG KUNDA
MARCO RYAN MELLA
AGNES APRILIANA DE DEUS
THERESIA ENJEL DE JESUS CALDERA
REYHANDA WYLIAM TENIS
GABRIELLA INTAN CRISTINE FALLO
FRITS ANDRIAN STEVANUS PRIANGU
MARVINCEN OVAYIL OPAT
GRACE ANAMARIA SELAN

MARTHEN KONO TANEO SA,U
OLIVANI JOICELYN LIU OEMATFETO
GISHELA ABIGAIL NEKEN
KURNIA DEBORA SAETBAN
DIVAN G.C. SELAN
CHERIL NAJWA TANAEM
AGATA ASTUTI
MULTY F.I.MANU
DEBORA KAUSE
OCTOVIANA M I NAUTANI
ADRIANO WILLIAM SONBAI
JEANE SARAH BEATRIX FALLO
ANSELMUS ANISETUS ATIE
JUSACK THOBIAS LIBU

MAGDALENA SOARES MOTA
FRANSISCO BARBOSA
GLEN MARSEL DASILVA
ELFIRA BANUNAEK
KRISTIAN RIVANTO TEFA
CHEWI ANGJUANI OLLA
RINALDY GUSTO LIUNOKAS
GREENFICHA KEYSIA NENOBAIS
CHESHYE BENAYA KLAU
CASINTA BARBOSA LOPES
YEMIMA Y. HELLY
CHENY ANGJUANA OLLA
FRANSINA LIEM
MARIANA VICENTE DA COSTA

YUMITA ARYUNA CORTE REAL
JANIASTI MERLINCE LIUNOKAS
THANIA JUDITIA LIUBANA
JAKHASON BAUN
SARIANI SOINBALA
JOLAN DALEXA MISSA
GRECIANI ADOLFINA NENOBAIS
YANE DOKO
REGINA FALLO
NICKYTHA GEFYANA TOTO
JESICA ANGELINA TANESIB
JULIANTRI FAOT
YENDRO TRIOLAN LIUNOKAS
HONI KRISTIANI BENU

MARTHEN TEFA
KRISTINUS BOIMAU
BIL CHARLES NOPE
SEMUEL BANUNU
JEFTA M B JAN
ALEKSANDER ABRAHAM CORNELIS MEO
RYAN F PASUMAIN
NIFROM TALOIM
SULNANDAR
POLCE KANUK
NOVIATI HARTUTI IVANTRY DAMA
NAZIRAN LAMADIRI
NOFERLY LILISANTI ELISABET DAMA
YULI WINTRY WATY WIDARTY DAMA

MARLYN TAROCE ELISABET LASFETO
YAKOB ALPIUS NINO
OLFI ROSALINA LADA
PULMAYA RIWANI ABANAT
JUBLINA KANUK
KRISTIAN KANUK
FARIDA RAHMAH WATI

HERYATI M.MEO
HENDRIK TEFA
RAHMAN RASID
RESA MATEOS ALLE
RIAN KASE
BOAS BOKIMNASI
DINI MARIA AMINARTI LAU
SALTI DAMARIS PAY

ERVAN KEDOH
RINI AGRIANA LASI

YULIANA BUTA RANDE
JOHANIS PETRUS KOLLO
YUYUN M Y DAMA
UNY E. BANUNAEK
YUMERTI LESTARI KOLLO
DENDYMAN H. DAMA
MEILAN
NOVI N.TAEK-TEFA
SUARDI
ADRIANUS MONI
DESTHY FONY PITALNELA MELLA

DEMAS SANAM
YULIANA TEFA
CHORIYANI NURSI AKA
ANGRIANITA SONYAWATI DAMA
SULTAN CINGKRU
IRMA K.A.RASID
MUHAMMAD IRSANDI SAPUTRA
L ANAK
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P ANAK
L ANAK
L ANAK
L REMAJA
L ANAK
P ANAK
L ANAK
P ANAK
P REMAJA
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P PELAYAN PUBLIK
P MASYARAKAT
P MASYARAKAT
P PELAYAN PUBLIK
L ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L REMAJA
L REMAJA
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
p ANAK
P MASYARAKAT
P MASYARAKAT
P ANAK
P REMAJA
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P MASYARAKAT
P ANAK
P ANAK
P ANAK
P ANAK
L REMAJA
P ANAK
L PELAYAN PUBLIK
L PELAYAN PUBLIK
L PELAYAN PUBLIK
L PELAYAN PUBLIK
L PEGAWAI PEMERINTAHAN
L PELAYAN PUBLIK
L PELAYAN PUBLIK
L TRANSPUBLIK
L TNI
L PELAYAN PUBLIK
P MAS
L MAS
P MAS
P MAS
P LANSIA
L PELAYAN PUBLIK
P MAS
P MAS
P MAS
L MAS
P PELAYAN PUBLIK
P PELAYAN PUBLIK
L TRANSPUBLIK
L PELAYAN PUBLIK
L REMAJA
L REMAJA
L REMAJA
P REMAJA
P REMAJA
L REMAJA
P REMAJA
P PELAYAN PUBLIK
L LANSIA
P MAS
P NAKES
P MAS
L MAS
P MAS
P MAS
L MAS
L MAS
P REMAJA
L REMAJA
P MAS
l mas
P MAS
L PELAYAN PUBLIK
P PELAYAN PUBLIK
L PELAYAN PUBLIK
Tanggal Lahir
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25/03/2012
7/23/2010
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18/05/2009
30/01/2010
8/28/2003
9/2/1979
5/7/1977
27/04/2010
8/31/1997
8/6/2010
8/5/2013
3/10/1977
11/26/2003
7/3/2009
4/9/2015
17/07/2012
3/14/2011
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10/3/2012
6/8/2012
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5/8/2011
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8/17/2009
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18-7-112
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8/22/2012
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6/12/2015
12/12/2009
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2/16/2014
4/25/2010
8/5/2013
14/04/2015
6/30/2010
10/2/2012
12/12/2012
12/29/2012
5/10/2010
7/24/2012
02/05/2011
10/11/2012
4/20/2014
30/12/2011
12/21/2010
8/9/2009
12/25/1979
5/1/1961
12/5/1968
10/5/1975
6/14/2010
9/2/2013
4/29/2010
8/21/2010
4/16/2010
4/16/2008
9/1/2008
4/21/2011
11/6/2011
6/10/2010
8/6/2014
11/24/2011
06/05/2015
6/16/2015
9/7/2010
6/10/2010
6/23/1967
9/17/1999
6/29/2010
1/17/2010
7/21/2010
1/19/2013
9/15/2010
7/18/2010
10/31/2010
9/9/1989
11/16/2010
4/27/2011
7/10/2010
7/4/2010
9/10/2009
5/13/2010
4/26/1970
5/30/1975
11/29/1979
1/12/1978
11/28/1965
1/11/1991
9/21/1991
11/15/2000
7/24/1993
6/13/1966
11/30/1998
11/10/1997
11/12/2003
7/10/1997
10/1/1960
7/13/1982
4/12/1992
2/6/1996
2/23/1987
9/12/1989
7/24/2002
1/19/1983
6/17/1986
9/21/1990
10/8/2009
5/2/2009
6/12/2009
12/3/2009
9/27/2008
1/17/2010
8/11/2009
6/20/1966
12/14/2009
12/17/2009
9/8/1981
8/4/1994
11/30/1970
4/1/1985
11/29/1989
Alamat


NOINBILA TTS


NIONBILA RT 09 RW 05
NOIINBILA RT 002 RW 001

KOTA SOE
KOTA SOE
KOBELETE
KOBELETE
karang siri RT 001 RW 001

KESETANANA RT 006 RW 003
KESETNANA ,RT 05 / RW 03

KESETNANA MOLSEL
KESETNANA

KESETNANA MOLSEL
NONOHONIS , RT 03 / RW 01
OENUNUH , RT 24 / RW 11



KESETNANA RT 00E4 RW 002

OENUNUH , RT 23 / RW 11
NIFUBOKO RT 015 RW 007
PALELO RT 10 RW 10
KESETNANA
KESETNANA MOLSEL
KARANG SIRI

KOTA SOE
KOTA SOE
KOTA SOE
KOTA SOE
KELURAHAN CENDANA, KECAMATAN
KOTA SOE
CENDANA
CENDANA
HOEBETI , RT 10 / RS 04
KOTA SOE
CENDANA , RT 14 / RW 07 KOTA SOE
KARANG SIRI
KARANG SIIR
KARANG SIRI

KUANFATU RT 002 RW 001
OEPUAH
KOTA SOE
KOTA SOE
KOTA SOE
CENDANA
KOTA SOE
KOTA SOE
BILOTO , RT 10 / RW 05 MOLLO SELATAN


KOTA SOE

KOTA SOE
KOTA SOE
KOTA SOE
KOTA S
sesuai)
No. Hp
BPJS BPJS
PBI Non PBI
082147043686
082359454727
082145771321
082147166800
082339216983
081338411105 YA
082147452587
081239172023
081333174206
082266163960 YA
085274679087 YA
081238340221 YA
082135372357 YA
082147764830
085238344579 YA
081246853461 YA
085238344579
081266004525
0852238411377
085239789343 YA
081337955275
082266163960
081237160112
082235537410
82135372357
81238662809
085238344579 YA
085238344579
081339769004
081338838214
082145771321 YA
81339769004
81338458403
82135372357
81339190493
82116140927
82116140927
85212281109
'081338190332
82247560826
082339643382
082147764830
085230704211
082237748984
081352512895
081238340221
081239179023
081339489286
081238970784
082237939322
082157272374
085238805385
085211820406
081238340221 YA
081338310344
085238339425
085232909809
081338440417
082235537410
81353383011
81246853461
81339216983
081239225793
81266004525
081339715423
081339313245
82166140927
081228190732
82359454737
082116140927
081239751644
82145515779
082147680712
082147604155
082339570533
082147166800 YA
081256108235
082147256047
081246363045
081338440417
081339313245
81239752293
085274679087
81237160112
081338190732
85338851330
082116140927
82339222924
81352512895
081214060142
81237160112
81338310344
82311918096
082237939322
81239752293
081246866741
081237160112
82116140927
81339329522
082145417902
082144930129 YA
085237125803
: 08223599622
081386886439
081386886439
085294570980
085333163506
081353060364
082146094912
0813525208883
082146094902
85239540870
085237829331
085220806523
082342437685
081236074961
082266411238
081280440728
081280448728
082144008707
085237401712
082216876094
081337492527
085139080175
081339617080
085220806523
085238716474
081278287529
085339862702
081246336282
081246251229
082235537410
081368825790
082237735737
085281135944
081353046286
085253545183
082235537410
085337535879
0852353618978
082236100595
081236340104
081339399479 YA
085237943244
082358883431
085238104790
081239092910
082236488183
082235537410
085235545183
085205597066
085253222323
081353383122
085253223601
081338252207
081339116183
085239163907
081236458369
082146872169
085282252858
081236910746
085238546147
081236116358
085333090159
081236794203
081236794203
081339563431
081232048238
081232040238
081238727210
081238727210
082213078324
081239347622
081213790263
081213790263
85253534576
081338734447
08133764911
082145818982
085238716474
081338456141
081237783655
082144863091
082339067735
082339862073
081237285011
081237285011
081339984301
081339563413
081337492527
082145358132
082147170213
082145820991
081353944134
082235537410
085253840505
081239623427
082235537410
085333825851 YA
081236351640
081236351640
082235537410 YA
081338961753
085253260008
081353609056
085333354043
81246497203
081238723431
085339334614
081353287532
081239092910
085339811088 YA
81314507610
081339397040
081339984301 YA
082219035130
082147671648
081299068403
082144872133
082147766416
082333106399
082147057622
085792336028
081337631099
085239146935
081339306884
081232040238
082295227217
081236351640
081246245585
085239146935
085337549090 YA
081246137031
081338713758
082247364130
085338062865
081239623427
081346486723
081238017288
082146278101
081236978963
081353888382
085253222323
085253243119
082333106399
081339306884
085338062865
081241766031 YA
085285836592 YA
YA
YA
081239494463 YA
082144316373
081339008368
81239771624 YA
81339412960 YA
081353444822
082147431073
082219949901
81338611919
082147075813
082340254369
081246337841
081353363542
81237166137
081353086868
085333828853
81395458303
81239986356
081339215666
081238690662
082217723588
081246902175
082221723588
085338148452
082145821015
081246033953
082246187676
082145171990
081246033953
082147250852
081339284422
082236981498
082145004032
an BPJS (tulis
kolom yang
suai)
Non
ASAL SEKOLAH
Anggota
YA SD INPRES NENONAHEUN
SD INPRES NENONAHEUN
YA TK PACUAN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
YA SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
YA SD NENONAHEUN
SD NENONAHEUN
YA SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
TK CENDANA
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
YA SD NENONAHEUN
YA SD NENONAHEUN
SD NENONAHEUN
YA SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
SD NENONAHEUN
YA
YA
SD KESETNANA
SD KESETNANA
YA SD N KESETNANA
SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YS SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
SD KESETNANA
YA SD N KESETNANA
SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
SD KESETNANA
YA SD KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA
SD KESETNANA
YA
YA
YA
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA
YA SMPN 3 SOE
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA
YA SD N KESETNANA
YA SD N KESETNANA
YA SD N KESETNANA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA
YA SD G BILOTO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
YA SD G BILOTO
YA SD G BILOTO
YA SD G BILOTO
YA
YA
JENIS VAKSIN
PENDIDIKAN
TERAKHIR
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
PF
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
PF
PF
PF
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
PF
PF
PF
PF
PF
CV
PF
CV
CV
PF
PF
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
PF
CV
CV
CV
CV
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
SMA JJ
JJ
JJ
PF
CV
CV
CV
CV
CV
PF
PF
CV
CV
CV
CV
CV
CV
CV
CV
CV
SMP PF
SMA PF
CV
PF
CV
CV
CV
CV
CV
SMP CV
CV
CV
CV
CV
PF
CV
PF
PF
PF
PF
S1 PF
PF
PF
PF
PF
SMA PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
PF
JJ
DOSIS
2 KLS 1 36.5
2 KLS 1 36.1
2 KLS 1 36.2
2 KLS 1 36
2 KLS 11
2 KLS 1
I
2 KLS 1
2 KLS 11
2 KLS 11
2 KLS 1
2 KLS 11
2 KLS 11
2
2 KLS 1
2 KLS 1
2 KLS 1
2 KLS 1
2 KLS 11
2 KLS 11
2 KLS 3
I TK PACUAN
2 KLS 11
I
2
2 KLS 3
2 KLS 3
2
2 KLS 3
2
2 KLS 3
I
2 KLS 3
2
I YARNI LASFETO
DAUD UFI
2
2 TK KECIL
2 KLS 3
2
2
I YESAYA TASEKEB
OSINA PAY
2
I MARNI SNAE
JEFRIADI MISSA
2
I NONCI MELLA
HERIMIXEL SANAM
I
2
2
2 KLS 3
2 KLS 3
2 KLS 3
2 KLS 3
2 KLS 3
2 KLS 3S
2 KLS 3
2
2
2
2
2
2
2
2 IV
2
2 IV
2
2 IV
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
3
3
2
3
2
3
3
2 VI
2
90/60
2
90/60
2
90/60
2
90/60
2
90/60
2 90/60
3 110/80
3 120/90
3 110/80
3 110/70
3 120/80
3 120/70
2 120/80
3 110/80
3 120/80
2 120/80
2 90/60
2 90/60
3 90/60
3 100/70
3 120/90
2
3
1
80/90 202111223F
100/60
80/60
90/60
ASFETO ANAK KANDUNG 1 1
A PAY
SNAE
MELLA
NO NIK
1 5302024708140001
2 5302020402120001
3 6301075709140002
4 5302024703150001
5 5302025602140001
6 5302024611140001
7 5302026205140001
8 5302025210130001
9 5302022304130001
10 5302021004140003
11 5302021109150001
12 5302226312120001
13 5302026209100001
14 5302026704140001
15 5302025911130001
16 5302020806100001
17 5302026111140001
18 5302021106130002
19 5302024703130001
20 5302024702130001
21 5302026510100001
22 5302024812140001
23 5302022805140001
24 5302025403140001
25 5103015608120001
26 5302025903110001
27 5302020706130001
28 5302024106140001
29 5302026009140002
30 5302015205150001
31 5302020404130001
32 5302022707130001
33 5302025603110001
34 5302024701110001
35 5302024909100001
36 5302147008110001
37 5302022011100001
38 5302141801120001
39 5302023011130001
40 5302025506100001
41 5302021811100001
42 5302022706100001
43 5302020107100002
44 5302020605100001
45 5302020106100002
46 5302020211100001
47 5302145706100001
48 5302145004100001
49 5302020312110001
50 5302025007110001
51 5302024312110001
52 5302024501130001
53 5302020707110002
54 5302025504120001
55 5302020606110001
56 5302021209100001
57 5302022906120003
58 5302021702120001
59 5302020511130001
60 5302021708110001
61 5302022303120001
62 5302140505120002
63 5302021110110001
64 5302026203020001
65 5302022303110002
66 5302016502130001
67 5302026210150001
68 5302022506150001
69 5302025207150001
70 5302025107140001
71 5302020402120001
72 5302020712140001
73 5302026804160001
74 5302016510120002
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
AMANDA MUTIARA WISONA NALLE

BILLA OKI TASEKEB
KORNELIA MELLA
RILLYANI OKI
GIOVANNY TARUPAY
SARA SARLINA BOKIMNASI
CARLA MARSELA KABA
EVANGELIA MARIA CHALLYSTA ANG
ADITIO ALVIANO BOKIMNASI
YOKSAN EDISON KASE
TRYSTAN BRATADIKARA NEKEN
DESRI REGINA BABIS
AURA SEPTORIA RABEKHA BAY
AGRITA MARSELA BOKIMNASI
NOVRYANA SERAN
ARVAN LIU
DEVITRYANI DWI PUTRI TEFA
JIMLI ROCKY GERALDINO TEFA
MERLIN INDRIWATI TAEMNANU
FEBRIANTI NORLINA NAKLUI
CHRISTIN A. BOKIMNASI
DERCI YUNITA NEONANE
MAYZELIANO GRADYASON BANTAIKA
MARLEN BACEBA CENDI RAO
REGINA ADELIA ARKIAN LEIN
MONA SANIA SABATH
JEMSON Y. BAOK
JUNINGSI CHARLINI LEO
ZASKIA MESILIFLEN OLLA

CAHYANI SALSABILLA BANI
SAMYERIL A. SNAE
JUANTO O. KASE
MARVELIA KRISNA BAHAN
ICHA SENITA OKI
RIBKA SELVIANTI BENU
NUNUNG LASTRIANI ANGELLY KAUSE
YANDRES KABA
YEDIJA HARIDAI BAINEO
ARDI NIFU
KESIA J. SNAE
GALANG ZAM KAMUHLUT
GLENWARD VIRGIO ISU
RIZKY SAPUTRA NENOTEK

RODRIGO MEYSAC OLLA
RIDO DEVANRID HIGAKAHO
ZAKRIS N. SANAM
NATHANIA FELLYCIA TJUNG
ATHINDO HALENA TALAN
WILIAM DESTRIAN SYAPUTRA HIGA KAHO
JULIEN GIZELA WIDYA HIGA KAHO
OLGA BACEBA JURANI MAU
JERIA BACEBA ABIGAIL TABUN
CRISTOFEL PAUL MELA
GRENSI A.S. SERAN
KONO KORNELIS BOKIMNASI
BANU SEPRIANUS NAKLUI
YUDHA MARINTHO NENO LENAMA

GEFRIANGKY WILLI ISU
KEVIN NOFANTO MELLA
DILON ARNOLUS REYNALDI SANAM
YOHANIS R.I. NRESIMNASI
ALVANDRI BIAF
ORDIN KASE
MARIA ERI SUVIANTI KASE
FETRIO MARIKO BAKO
FANDA TRIMUTIARA TSE

GRACE YOHBETH TABUN
ALDO JULIUS BOKIMNASI
ESTERINA FERNINGSI FAOT
JULIA NAKLUI
BILLA OKI TASEKEB

KRISNANDO ARKILES TAFUI
AGRIPA JESIKA TEIN
KAREN JULIANHARD SAUDALE

P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
P ANAK
P ANAK
P ANAK
L ANAK
L ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
P ANAK
L ANAK
P ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L ANAK
L ANA
L ANAK
L ANAK
L ANAK
P MASYARAKAT
L ANAK
P ANAK
P ANAK
L ANAK
P ANAK
P ANAK
L ANAK
L ANAK
P ANAK
L ANAK
Tanggal Lahir
8/7/2014
2/4/2012
9/17/2014
3/7/2015
16/02/2014
11/6/2014
5/22/2014
10/12/2013
4/23/2013
4/10/2014
9/11/2015
12/23/2012
9/22/2010
4/27/2014
11/19/2013
6/8/2010
11/21/2014
6/11/2013
3/7/2013
2/7/2013
10/25/2010
12/6/2014
6/28/2014
3/14/2014
6/16/2012
3/10/2011
6/7/2013
6/1/2014
9/20/2014
6/12/2015
4/4/2013
7/27/2013
3/16/2011
1/7/2011
9/9/2010
6/30/2011
11/20/2010
1/18/2012
11/30/2013
6/15/2010
11/18/2010
6/27/2010
7/1/2010
5/6/2010
6/1/2010
11/2/2010
6/17/2010
4/10/2010
12/3/2011
7/10/2011
12/3/2011
1/5/2013
7/7/2011
4/15/2012
6/6/2011
9/12/2010
6/29/2012
2/17/2012
11/5/2013
8/17/2011
3/23/2012
05/05/2012
10/11/2021
22/03/2002
3/23/2011
2/25/2013
6/25/2015
7/12/2016
7/11/2014
2/4/2012
12/7/2014
28/04/2016
10/25/2012
Alamat

BILOTO , MOLLO SELATAN

KESETNANA , RT 18 / RW 09 MOLLO
SELATAN

BENLUTU , RT 01 / RW 01

BENLUTU RT 011 RW 005
JL.KAMBOJA KM 4
BILOTO , RT 10 / RW 05 MOLLO
SELATAN

KOTA SOE
sesuai)
No. Hp
BPJS BPJS
PBI Non PBI
0821999944324
082340385610
081236909816
085333494089
081241665944
081246902175
082147194077
085228959220
085214997465
085337390822
082147237786
081238871175
081353295224
081238871175
082217723588
081238871175
081338126163
082235071024
081236909770
082236099212
085237853741
085239012603
081238721900
081246884770
082116140926
082340002724
082144651397
085338148452
082147640748
082126014447
081287748344
082217723588
081338463942
085333494089
081246139173
082144016588
082147194077
085253024229
82235996224
081287748344
082340944401
082144008776
081236089574
082147407740
082188695672
0852377980063
082247675387
082144016588
085294012701
085294012701
082217593327
082144494000
081236909816
082217593327
081246902175
085338148452
082339084533
082144008776
081236651200
081339084535
082147237786
082147985383
081337010255
081337649511
085338463952
081339173466 YA
82145295950
081246608406
082340388393
082236044212
082340385610
085337390822
081239558126
081339439727
an BPJS (tulis
kolom yang
suai)
Non
ASAL SEKOLAH
Anggota
YA SD SISO
SD SISO
SD SISO
YA SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
YA
SD SISO
SD SISO
YA
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
YA
SD SISO
SD SISO
YA SD NEKMESE
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
SD SISO
YA
SD SISO
SD N 1
YA SD SISO
YA SD SISO
YA SD SISO
YA SD SISO
SD SISO
SD SISO
SD G 2
JENIS VAKSIN
PENDIDIKAN
TERAKHIR
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
sma JJ
CV
CV
CV
CV
CV
CV
CV
CV
CV
CV
DOSIS
2
2
2
2
2
2
2
2
2
2
2
2
1
1 1

April 2022

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April 2022

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Nama Puskesmas/Fasyankes/Pos

45 NIK BELUM ADA

Nama Penerima Vaksin

MADER FOMENI NENOMETA

LISNA ORANCE KASE

WELEM ELIAS LUKAS NEKEN

JISKA YULIANA TOINENO

MARGARITA DORTIANA KASE

LODIANA PATRI TAMONOB

LAFU YUNANDA KASE

NIMROT NAPULEON BOKIMNASI

DEKI DOMINGGUS BOKIMNASI

ALESSANDRO JOHANES NENOMNANU

DETRI AMELIA PAY

DESTHY FONY PITALNELA MELLA

KALVIN ADELINO BOKIMNASI

JULITA VENCI MERY NEKEN

ANDI JUNINO TSE

MARGARETA CASANOVA BOKIMNASI

IRENE ANGGELINA MELLA

NOVITA ARETA TEFLAEL

MELDRIANTY JUSANTRI SANAM

DESTI ALFIANCE NATALIA LASI

CHRISANDRA YOLENSI PUTRI

INGGITA NANAWATAE WIBOWO

BIKEKNENO RT 005 RW 003

BIKEKNENO RT 005 RW 003

BIKEKNENO RT 001 RW 001

BIKEKNENO RT 007 RW 004

BISENE RT 005 RW 003

BIKEKNNEO RT 002 RW 001

BIKEKNENO RT 008 RW 004

BIKEKNENO RT 001 RW 001

BIKEKNENO RT 007 RW 004

BIKEKNENO , RT 009 / RW 005

BILOTO RT 005 RW 003

BILOTO RT 004 RW 002

BIOTO RT 004 RW 002

BILOTO RT 004 RW 002

BILOTO RT 002 RW 001

BILOTO RT 003 RW 002

BILOTO RT 004 RW 002

BIOTO RT 002 RW 001

BILOTO RT 003 RW 002

KESETNANA RT 007 RW 004

BILOTO RT 003 RW 002

BILOTO RT 003 RW 002

BILOTO RT 001 RW 001

BILOTO RT 003 RW 002

BILOTO MIOLLO SELATAN

NUNUMEU RT 014 RW 006

CENDANA RT 014 RW 007

45 NIK BELUM ADA

Nama Penerima Vaksin

NAFTALI MICHAEL KEVIN

MESYA CHRITANTI MELLA

SAMU KORI APRILIA SANAM

SONYA MARISA KASE

ARJUN SARTA TASEKEB

JUNAEDHI ALBIN MELLA

RESA MATEOS ALLE

SELA OSAFINA BOKIMNASI

NOFRIANTI ESTI LASBOY