PEMERINTAH KOTA KEDIRI

KECAMATAN MOJOROTO - KELURAHAN MOJOROTO

RT. 28 RW. 09
Sekretariat : Jl. Mojoroto II No. 24-A Kota Kediri HP. 0852 3501 9705

Kediri, 22 Agustus 2022

Nomor : 730/RT.28/VIII2022 Kepada Yth,

Lampiran : 2 Lembar Ibu Kasi Kesos & Trantib
Perihal : Permohonan Bansos Kelurahan Mojoroto

Assalamualaikum Wr. Wb
Dalam upaya untuk membantu meringankan beban warga masyarakat di Lingkungan RT
28 RW 09 Kelurahan Mojoroto Kota Kediri, Maka kami atas nama ketua RT 28 Kel. Mojoroto
mengajukan permohonan Bantuan Sosial Kepada Rektor UNP Kediri c.q. Ibu Kasi Kesos &
Trantib Kel. Mojoroto.
Adapun sebagai bahan pertimbangan maka berikut ini kami lampirkan Dafta Nama
Warga RT 28 RW 09 sebagaimana terlampir.

Demikian permohonan ini kami sampaikan atas bantuannya sebelumya diucapkan terima kasih.
Wassalamualaikum Wr. Wb

Ketua RT 28

TOFIK HIDAYAT, SE, M.Si

 DATA USULAN PENERIMA BANSOS UNP KEDIRI
KELURAHAN MOJOROTO RT 28 RW 09
JENIS
NO NAMA KEPALA KELUARGA NIK KETERANGAN
KEL
1 AGUNG BAYU WICAKSONO L 3571010103750007 Mojoroto Gang 7 RT 28 RW 09
2 AGUS WIDODO L 3571011208830011 Mojoroto Gang 8 RT 28 RW 09
AGUSTINUS RENDI
3 HENDRAWAN L 3571012108810006 Jl. KH A Dahlan RT 28 RW 09
4 ANDI SULISTIONO L 3571012705780002 Mojoroto Gang 7 RT 28 RW 09
5 ARI YUDIANTO L 3516140104710004 Jl. KH A Dahlan RT 28 RW 09
6 ARIF PUJIWITONO L 3506093005810001 Mojoroto Gang 8 RT 28 RW 09
7 ARYOLANTA P 3571014907970008 Jl. KH A Dahlan RT 28 RW 09
8 BETTY PUSPA A P 3571016007630006 Mojoroto Gang 2 RT 28 RW 09
9 BOBY KRISTIAWAN L 3571011808880009 Mojoroto Gang 7 RT 28 RW 09
10 CAHYONO KRISTIANTORO L 3571012304980002 Mojoroto Gang 2 RT 28 RW 09
11 CUCUK KRISTIANTO L 3571011706770001 Mojoroto Gang 2 RT 28 RW 09
12 DANIEL FEBRIAN D L 3571012702890007 Jl. KH A Dahlan RT 28 RW 09
13 DARMIYANTA L 3571011209690007 Jl. KH A Dahlan RT 28 RW 09
14 DJOKO SLAMET WAHYUDI L 3571012002600005 Jl. KH A Dahlan RT 28 RW 09
15 DOMO HARJO MULYO L 3571013103790004 Mojoroto Gang 2 RT 28 RW 09
16 ENDRI BOWO S L 3571011108780006 Mojoroto Gang 2 RT 28 RW 09
17 FENNY DIAN ANDRYANTI P 3274015105800001 Mojoroto Gang 8 RT 28 RW 09
18 FERY DWI MARTANTO L 3571011303870004 Mojoroto Gang 8 RT 28 RW 09
19 GAGUK MUJIANTO L 3571012005640002 Mojoroto Gang 8 RT 28 RW 09
20 GUNTUR TRI KUNCORO L 3571010201580002 Mojoroto Gang 2 RT 28 RW 09
21 HADI MULYONO L 3571013008600001 Mojoroto Gang 8 RT 28 RW 09
22 HARIYANTO SAPUTRO L 3571012206770007 Mojoroto Gang 7 RT 28 RW 09
23 HARIYONO L 3571011903660003 Mojoroto Gang 2 RT 28 RW 09
24 HEDY SETYA DARMAWAN L 3571011912830013 Mojoroto Gang 7 RT 28 RW 09
25 JOKO ESTU L 3571010206770002 Mojoroto Gang 8 RT 28 RW 09
26 JOKO HARIYANTO L 3506260112690008 Mojoroto Gang 8 RT 28 RW 09
27 KRISTANTO SETIAWAN L 3571010305820015 Mojoroto Gang 2 RT 28 RW 09
28 KUSNADI L 9105010110590002 Mojoroto Gang 2 RT 28 RW 09
29 KUSWANTO L 3571010810630002 Mojoroto Gang 8 RT 28 RW 09
30 LASIRAN L 3571011302530001 Mojoroto Gang 8 RT 28 RW 09
31 LUGIANTO L 3571012411690001 Mojoroto Gang 2 RT 28 RW 09
32 MAGDALENA WIDIASTUTIK P 3571016005820005 Mojoroto Gang 7 RT 28 RW 09
33 NUNUK PUTIHATI P 3571016405610005 Mojoroto Gang 7 RT 28 RW 09
34 NURUL IKHWAN L 3571012506720004 Mojoroto Gang 7 RT 28 RW 09
35 PETRUS SUSANTO L 3507131309750002 Mojoroto Gang 8 RT 28 RW 09
36 PRIO SUDJALMO L 3571012305690002 Mojoroto Gang 2 RT 28 RW 09
37 RAMINAH P 3571014510460001 Mojoroto Gang 2 RT 28 RW 09
38 RESA APRILIANTO L 3571011004910002 Mojoroto Gang 8 RT 28 RW 09
39 RETNO WARNININGSIH P 3571015210540003 Mojoroto Gang 8 RT 28 RW 09
40 RIFA'I SAKSONO L 3571011209700003 Jl. KH A Dahlan RT 28 RW 09
41 ROBILIN P 3571014808610014 Mojoroto Gang 8 RT 28 RW 09
42 RORO INGGIT GANARSIH P 3571015208940005 Mojoroto Gang 7 RT 28 RW 09
43 RUDI SURYONO L 3571012810700001 Mojoroto Gang 2 RT 28 RW 09
44 SABTO EDY BASUKI L 3571010712760004 Mojoroto Gang 7 RT 28 RW 09
45 SAMIRAH BADRUS L 3571011210600002 Mojoroto Gang 8 RT 28 RW 09
46 SANTO HARMOKO L 3571010903830007 Mojoroto Gang 8 RT 28 RW 09
47 SITI BIKAH P 3571014107550076 Mojoroto Gang 7 RT 28 RW 09
48 SITI JAMIATUL M P 3571014712720003 Mojoroto Gang 7 RT 28 RW 09
49 SOEKARNO L 3571013107520001 Mojoroto Gang 7 RT 28 RW 09
Kediri, 22 Agustus 2022
Ketua RT 28

Tofik Hidayat, SE, M.Si

 DATA USULAN PENERIMA BANSOS UNP KEDIRI
KELURAHAN MOJOROTO RT 28 RW 09

JENIS
NO NAMA KEPALA KELUARGA NIK KETERANGAN
KEL
50 SRI PUJI RAHAYU P 3571016006670006 Mojoroto Gang 8 RT 28 RW 09
51 SUDARMANI P 3571016212510001 Mojoroto Gang 2 RT 28 RW 09
52 SUDARSONO L 3571011205500003 Mojoroto Gang 8 RT 28 RW 09
53 SUHARDJITO L 3571012912550002 Mojoroto Gang 7 RT 28 RW 09
54 SUHARIYANTO L 3571013011640006 Mojoroto Gang 8 RT 28 RW 09
55 SUHARTATIK P 3571014808550009 Mojoroto Gang 7 RT 28 RW 09
56 SUHARTO L 3571011911490001 Mojoroto Gang 2 RT 28 RW 09
57 SULIS ERNAWATI P 3571014912800006 Mojoroto Gang 8 RT 28 RW 09
58 SUMARLIN P 3571014805550004 Mojoroto Gang 7 RT 28 RW 09
59 SUNARYO L 3571011305500001 Mojoroto Gang 8 RT 28 RW 09
60 SUNARYO L 3571011009650002 Jl. KH A Dahlan RT 28 RW 09
61 SUSANTO L 3571010202800013 Mojoroto Gang 7 RT 28 RW 09
62 SUTRISNO L 3571012103870004 Mojoroto Gang 7 RT 28 RW 09
63 SUTRISNO, SE L 3571011205610006 Mojoroto Gang 7 RT 28 RW 09
64 SUWITO L 3571010601600002 Jl. KH A Dahlan RT 28 RW 09
65 TINCE PATTY P 3571015601680003 Mojoroto Gang 7 RT 28 RW 09
66 TOFIK HIDAYAT L 3571012606740009 Mojoroto Gang 2 RT 28 RW 09
67 TONI TRI ENDRAWANTO L 3571012601780006 Mojoroto Gang 2 RT 28 RW 09
68 UMI WINARTI P 3571014105710004 Mojoroto Gang 2 RT 28 RW 09
69 VM. NANIK SUNARMI P 3571016706490002 Mojoroto Gang 8 RT 28 RW 09
70 WAHONO L 3571010110330002 Mojoroto Gang 2 RT 28 RW 09
71 WARINI P 3571015606540003 Mojoroto Gang 2 RT 28 RW 09
72 WARTONO L 3517141903770001 Mojoroto Gang 8 RT 28 RW 09
73 YESI PRIHARTINI P 3571014106830009 Mojoroto Gang 7 RT 28 RW 09
74 YOVIE WIDIANTO L 3506241802940002 Mojoroto Gang 2 RT 28 RW 09
75 YUDI ERMA WIJAYA L 3571012004750003 Mojoroto Gang 7 RT 28 RW 09
76 YULI SETIAWAN L 3571021307740004 Mojoroto Gang 7 RT 28 RW 09
77 YULIANIK P 3571015707570003 Mojoroto Gang 7 RT 28 RW 09
78 YUSA FAJAR KUSUMA L 3571030705920003 Mojoroto Gang 2 RT 28 RW 09
79 AGUS CAHYONO L 3571011208850005 Mojoroto Gang 2 RT 28 RW 09
80 SUDARWATI P 3571015003620004 Mojoroto Gang 7 RT 28 RW 09

Kediri, 22 Agustus 2022

Ketua RT 28

Tofik Hidayat, SE, M.Si