Entitas 01680222-0001-20190413

DAFTAR PESERTA PER ENTITAS
CV. TIGA BINTANG SEJAHTERA

PERIODE BULAN-04-TAHUN-2019
NO. NOMOR KARTU NIK NPP

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NAMA HUB. KELUARGA TGL. LAHIR TMT
GANANG ABRAHAM SANUSI PESERTA 01/07/1993 01/03/2019
ALFIAN AJII NUGROHO PESERTA 04/12/1993 01/01/2019
DESY AMBAR WULAN PESERTA 03/08/1994 01/01/2017
FITRON DWI PRIYONO PESERTA 11/03/1994 01/02/2016
ELIN ENI KUSRINI PESERTA 23/12/1982 01/02/2016
tsabita izzatunnisa ANAK 07/03/2013 01/02/2016
VIAN PURWOKO PESERTA 16/02/1989 01/02/2018
GALIH RESMININGSIH ISTRI 19/10/1992 01/02/2018
AL AZAM NUR SYA'BAN ANAK 04/06/2015 01/02/2018
VIRGIAN MEIDI PESERTA 30/05/1995 01/12/2018
MUHAMAD RAMDAN ANAK 28/05/2016 01/12/2018
ACH. FAHRUDIN PESERTA 29/12/1988 01/10/2018
SUBAGYO PESERTA 11/04/1966 01/03/2018
SITI MUKHYATI ISTRI 17/06/1977 01/03/2018
WANDA FITRI NUR AMALINA ANAK 23/05/1999 01/03/2018
WILDAN AZIZ KURNIAWAN ANAK 02/08/2009 01/03/2018
MUHAMMAD FAHMI PESERTA 20/02/1997 01/03/2018
IBNU NGUMAR SIDIK PESERTA 31/10/1993 01/01/2019
SUKRON PESERTA 14/10/1991 01/06/2018
FIFI MUJIASIH PESERTA 26/08/1999 01/08/2018
AWAL DESIYANTO PESERTA 30/11/1981 01/10/2018
SUCI ENDAH SARI ISTRI 09/04/1989 01/10/2018
SALSYA ZAHRA NUR KAYLA ANAK 19/03/2009 01/10/2018
ARJUND SATYA PUTRA AWWALY ANAK 06/06/2014 01/10/2018
ATOK SUBAKTI PESERTA 24/06/1993 01/12/2018
YULISMA ISTRI 09/08/1991 01/12/2018
DARWATI PESERTA 11/02/1994 01/10/2018
RAUDHIA IZANI PESERTA 25/05/1998 01/01/2019
MOH. RIDLO PESERTA 11/04/1995 01/01/2019
MUHAMAD MUHDORUN PESERTA 06/10/1992 01/11/2018
AAN MULYANI ISTRI 16/08/1990 01/11/2018
MULYATI PESERTA 03/07/1995 01/11/2018
ODNIN DAITONARI PESERTA 16/08/1995 01/01/2019
ANIS YULEKHA ISTRI 23/06/1994 01/01/2019
ROHMAT TULLAH PESERTA 13/09/1995 01/11/2018
MOHAMAD NUROKHIM PESERTA 21/03/1992 01/11/2018
RIZKI ARIF ABDURAHMAN PESERTA 20/01/1992 01/12/2018
SUEB IJAD PESERTA 28/10/1982 01/11/2018
AKHMAD GUNAWAN PESERTA 16/09/1995 01/12/2018
KHABIBURROHMAN PESERTA 30/03/1996 01/09/2018
DENI SUNANTO PESERTA 21/06/1990 01/11/2018
ANINDITA KEYZA ZAHRA ANAK 31/08/2016 01/11/2018
ANDI APRIYADIN PESERTA 22/04/1994 01/11/2018
ACHMAD RIYANTO PESERTA 20/05/1985 01/12/2018
TUTUR SUDIMORO PESERTA 04/02/1982 01/11/2018
ERVANTI ROSADI PESERTA 23/10/1991 01/01/2019
IMAN SETIAWAN PESERTA 21/01/1996 01/06/2018
DIDIK PURWANTO PESERTA 14/03/1989 01/11/2018
YUDI HARTANTO PESERTA 19/07/1986 01/11/2018
SUJARWO PESERTA 24/08/1983 01/11/2018
MARYADI PESERTA 21/09/1980 01/11/2018
WILLY KURNIANTO PESERTA 22/01/1983 01/11/2018
CHOLIK MIFTAHUL MASLI PESERTA 09/10/1995 01/03/2019
MIKO PRASETYO PESERTA 14/06/1999 01/10/2018
ARI SETIAWAN PESERTA 29/02/2000 01/01/2019
NIRWANTO PESERTA 05/06/1991 01/03/2018
DWI YANTI ISTRI 07/01/1997 01/03/2018
NATHANIA ALDILLA RAMADHANI ANAK 06/06/2017 01/03/2018
IGNA SETIANINGSIH PESERTA 18/08/2000 01/10/2018
FEBRIANTO RAMADHAN PESERTA 15/02/1996 01/06/2018
AGUS KURNIAWAN PESERTA 15/10/1996 01/01/2019
MUHAMMAD WILDAN FAHLEVI PESERTA 31/05/1998 01/01/2019
ADI PRASETYO PESERTA 06/06/1996 01/12/2018
IKHSAN MISBAKHUL ATFAL PESERTA 06/03/1998 01/02/2019
JAMALUDIN PESERTA 19/11/1992 01/09/2018
MOH. NURMACHMUD PESERTA 27/03/1981 01/01/2019
NUR KHOLIPAH ISTRI 14/08/1990 01/01/2019
NUR ANNISA ANAK 04/07/2012 01/01/2019
DESI ANJELA PESERTA 26/06/1988 01/06/2018
ELIAS YOSEPH RASSY SUAMI 29/04/1978 01/06/2018
JOAO BAPTISTA JAVIER RASSY ANAK 14/01/2019 01/06/2018
SURATNO PESERTA 12/08/1967 01/11/2018
ISMAILAH ISTRI 31/12/1970 01/11/2018
ASRURI AL MU'IZZ ANAK 30/11/2007 01/11/2018
ANDRIAWAN DWI SANTOSO PESERTA 25/07/1984 01/12/2018
SUTARNO PESERTA 16/12/1973 01/01/2014
ENDANG PURWATI ISTRI 19/12/1980 01/01/2014
HENI AFRIYANTI ANAK 30/04/2000 01/01/2014
WILY NURMALA ANAK 29/03/2008 01/01/2014
IS IRYANTO PESERTA 01/06/1978 01/01/2014
SUSI INDRIATI ISTRI 23/05/1983 01/01/2014
KELIK KUNCORO ANAK 23/07/2005 01/01/2014
NUR KHASANAH RAHMAWATI PESERTA 17/04/1979 01/01/2014
IMAM SUHAJI SUAMI 29/10/1981 01/01/2014
NAURA NADHIFA AZZAHRA ANAK 28/01/2013 01/01/2014
HIMATUL IVADAH PESERTA 22/05/1989 01/01/2014
ADHY PAMUNGKAS SUAMI 29/05/1988 01/01/2014
MUHAMMAD NAUFAL ADHY PRATAMA ANAK 31/12/2012 01/01/2014
KALITA FAILDZAH OKTAVIANI ANAK 11/10/2017 01/01/2014
IMAM MULYANTO PESERTA 10/07/1982 01/01/2014
ESTIRAHAYU ISTRI 16/11/1986 01/01/2014
FARANISA AQILLA AZZAHRA ANAK 25/06/2013 01/01/2014
SITI SUNDARI TAMBAHAN 05/07/1963 01/01/2014
tarmen TAMBAHAN 28/08/1960 01/01/2014
WARNO PESERTA 18/02/1976 01/01/2014
ROKHIMAH ISTRI 23/12/1988 01/01/2014
NAILA SILMI ANAK 28/03/2011 01/01/2014
NAIFA SILMI ANAK 28/03/2011 01/01/2014
CASMAH TAMBAHAN 01/07/1964 01/01/2014
SODIKIN PESERTA 26/11/1982 01/01/2014
ARDIYANTO PESERTA 01/01/1980 01/01/2014
MIRANTI ISTRI 10/08/1981 01/01/2014
DIVA AULIA ARDIYANTI ANAK 23/08/2005 01/01/2014
A KUSNADI PESERTA 15/06/1969 01/01/2014
WAWAN IRAWAN PESERTA 28/12/1983 01/01/2014
SETIOWATI ISTRI 23/01/1977 01/01/2014
MUHAMADRAYHANS ANAK 17/07/2009 01/01/2014
BY NY SETIOWATI ANAK 05/01/2018 01/01/2014
AZHAR RAYHAN SETIAWAN ANAK 05/01/2018 01/01/2014
MOHAMAD UDJER PESERTA 04/11/1985 01/01/2014
ANDREAS ISKARNADI HERMAWAN PESERTA 17/04/1977 01/11/2018
HENNY PURWANTI ISTRI 09/06/1982 01/11/2018
NICHOLAS ERLANGGA ANAK 29/09/2009 01/11/2018
MUHAMMAD RASJONI PESERTA 28/07/1977 01/01/2014
UMI ALFIYAH ISTRI 05/07/1983 01/01/2014
MUHAMMAD FAHMI ANAK 31/01/2004 01/01/2014
MUHAMMAD NUR KHAFID ANAK 27/03/2008 01/01/2014
NASRULLOH PESERTA 14/06/1989 01/01/2014
NURSANAH ISTRI 25/06/1990 01/01/2014
ALMIRA HASNA AABIDAH ANAK 07/10/2013 01/01/2014
RIEZA ADI ARIZONA PESERTA 10/03/1988 01/01/2014
AKHMAD DAEROBI PESERTA 02/10/1987 01/01/2019
ETIKA ISTRI 28/12/1988 01/01/2019
AULIA NISA ANAK 11/05/2013 01/01/2019
REVAN PRATAMA ANAK 17/12/2011 01/01/2019
WIDIYARTO PESERTA 26/05/1990 01/01/2014
ISTIANA ISTRI 03/07/1992 01/01/2014
mohamad rizki adinata ANAK 10/01/2016 01/01/2014
SAEFULOH PESERTA 06/07/1972 01/01/2014
PUJIWATI ISTRI 08/12/1974 01/01/2014
MUTIA FIRGINIA FEBRIYANTI ANAK 06/02/2000 01/01/2014
KHARISMA NUR KHASILA ANAK 18/10/2006 01/01/2014
ARIS SUSWANTO PESERTA 28/01/1987 01/01/2014
PUJI RATNAWATI ISTRI 10/02/1990 01/01/2014
FAIRUS SAPUTRI ANAK 01/02/2014 01/01/2014
BUDIYONO PESERTA 25/11/1991 01/01/2014
LIMAS AGUSTIN PESERTA 05/08/1990 01/01/2014
B. TRIAS ARDI KRESNA P. SUAMI 02/10/1984 01/01/2014
YAYA SUNARYA TAMBAHAN 05/08/1957 01/01/2014
ARI FITRIANTO PESERTA 14/04/1991 01/01/2014
SURURI PESERTA 01/01/1980 01/12/2018
ERNAWATI ISTRI 30/07/1982 01/12/2018
TITANIA ILMIRA RAMADHANI ANAK 08/09/2010 01/12/2018
EZAR ARUNA PRAYUDA ANAK 05/11/2012 01/12/2018
SAKUP RIYANTO PESERTA 17/07/1971 01/01/2014
RODHOTUN MUNAWAROH ISTRI 15/07/1974 01/01/2014
SANDI DIAS ALVAREZA ANAK 04/05/2005 01/01/2014
WILDAN ABDI PRIYANTO ANAK 23/06/2007 01/01/2014
ANGGA WIJAYA PUTRA PESERTA 10/06/1987 01/01/2014
DEVI NURAENI ISTRI 04/12/1990 01/01/2014
BINTANG RIZQA FEBRINA ANAK 15/02/2010 01/01/2014
RAFALDO ALFARO ANAK 01/09/2012 01/01/2014
DAVIN GALENO ANAK 17/09/2014 01/01/2014
NANANG SUPRIATNA PESERTA 22/12/1980 01/11/2018
MAYA MULANTI ISTRI 20/07/1983 01/11/2018
MUHAMMAD DHIYA ALQOLBY ANAK 01/01/2005 01/11/2018
DERBIE AYU KIRANA ANAK 26/02/2015 01/11/2018
AGUS SUKARDI PESERTA 12/08/1975 01/11/2018
INDARWATI ISTRI 06/11/1978 01/11/2018
MAMAT ROHIMAT PESERTA 21/08/1985 01/01/2019
ETI APRIANTI NURFITRIA ISTRI 30/04/1990 01/01/2019
ASSYIFATU HAIFA ANAK 11/06/2014 01/01/2019
AULIA IZZATUNISSA ANAK 28/06/2017 01/01/2019
MELIKA PERTIWI PESERTA 23/11/1992 01/09/2018
DARIKUN PESERTA 04/06/1982 01/10/2018
ANGGA PRASETIANTO PESERTA 10/01/1985 01/09/2018
LUKMAN HAKIM PESERTA 17/01/1991 01/01/2019
HARI DWI PRANOTO PESERTA 22/10/1987 01/01/2019
TRI NUR AINI ISTRI 26/11/1988 01/01/2019
MUHAMMAD FEBRIAN ADINATA ANAK 23/02/2013 01/01/2019
MUHAMMAD FERDIAN ADINATA ANAK 23/02/2013 01/01/2019
SIR PAMINTO PESERTA 06/05/1990 01/12/2018
ARI OKTAVIANA NIDIASTUTI ISTRI 07/10/1992 01/12/2018
DEWI ANGGARA PUSPITASARI ANAK 30/06/2015 01/12/2018
MURDIYONO PESERTA 16/06/1981 03/05/2014
SUNANDAR PESERTA 07/12/1972 03/05/2014
SANIJAH ISTRI 07/07/1973 03/05/2014
INNAFATUL FANI ANAK 31/05/2001 03/05/2014
ZAEN ASROR ANAK 24/12/2005 03/05/2014
JABIDI PESERTA 30/04/1976 01/09/2018
SUGIARTI ISTRI 19/02/1981 01/09/2018
NAZHWA NATHANIA AZZAHRA ANAK 12/08/2007 01/09/2018
ANINDITA KAISYA AZZAHRA ANAK 08/11/2014 01/09/2018
SOBRI PESERTA 19/03/1970 03/05/2014
SARNITI ISTRI 17/09/1972 03/05/2014
SALWA AS SYIFA ANAK 11/09/2005 03/05/2014
CHAERUL ADIANSYAH ANAK 24/05/2000 03/05/2014
BUDI SETIAWAN PESERTA 10/01/1971 03/05/2014
SUGIHARTINI ISTRI 07/01/1970 03/05/2014
NAUFAL RIZALDI ANAK 19/01/2002 03/05/2014
RADITYA ADANI SETIAWAN ANAK 22/11/2007 03/05/2014
MOCH ALFIAN PESERTA 09/11/1990 03/05/2014
FATHIMATUZZAHROH ISTRI 10/07/1995 03/05/2014
MOHAMMAD RAVA AL MAULANA ANAK 07/04/2013 03/05/2014
SUMARNO AGUNG WIYONO PESERTA 18/08/1977 03/05/2014
RENDI RIAWAN PESERTA 02/05/1990 03/05/2014
PURWANITI ISTRI 05/08/1990 03/05/2014
ENDRA SAPUTRA PESERTA 26/06/1991 03/05/2014
FENDI PESERTA 20/06/1982 01/03/2017
ALFATTUNNISA HUMAYRAH EFENDI ANAK 02/12/2014 01/03/2017
markus bima pranawa ANAK 13/08/2016 01/03/2017
ZAKARIA MAJAYA ZIKRILLAH ANAK 03/01/2019 01/03/2017
INDRIARSO PESERTA 04/01/1977 01/02/2018
novita setiyanti ISTRI 24/11/1980 01/02/2018
arsa rahman hidayatulloh ANAK 23/04/2006 01/02/2018
ENDANG SUHENDAR PESERTA 28/01/1980 01/03/2019
DETI SUSANA ISTRI 03/01/1983 01/03/2019
MUHAMAD ENDRI PRATAMA ANAK 27/08/2005 01/03/2019
FIKA SITI ANISA ANAK 22/07/2011 01/03/2019
BAMBANG HARYANTO PESERTA 03/09/1968 01/06/2014
CICI HASTUTI ISTRI 04/11/1980 01/06/2014
ARIANSYAH PRATAMA ANAK 09/10/2000 01/06/2014
BINTANG TRI PRASETIO ANAK 11/06/2006 01/06/2014
NURUL MAHDIYANA PESERTA 17/12/1994 01/11/2018
TEGUH NURHIDAYAT PESERTA 03/06/1995 01/01/2019
SALLY AGUSTINA PESERTA 25/08/1993 01/06/2018
TONI PESERTA 25/04/1978 01/11/2018
MUHAMMAD IMRON PESERTA 11/11/1978 01/12/2018
FIRDA OKTIYARINI ISTRI 12/10/1981 01/12/2018
MUHAMMAD FEBRIYAN ISNANTO ANAK 25/02/2012 01/12/2018
M. SYAKIRUL KHAQIMI ANAK 29/05/2008 01/12/2018
DEPI SULAEMAN PESERTA 10/11/1993 01/12/2018
DEDAH PESERTA 24/02/1984 01/12/2018
DIFVAN PUTRA NUGRAHA ANAK 05/10/2004 01/12/2018
MUHAMMAD YUSRIL IHZA PESERTA 05/06/1996 01/09/2018
MUHAMAD FADKUR PESERTA 04/09/1991 01/10/2018
ARDIANTO PESERTA 24/07/1983 01/04/2019
YULIYANTO PESERTA 18/04/1983 01/03/2019
HARIYANI ISTRI 27/09/1982 01/03/2019
ANNISA ARYA AZZAHRA ANAK 21/06/2006 01/03/2019
DZAKI ARYA AL RASHID ANAK 05/02/2014 01/03/2019
ADHYASTA FAHREZI RAHMAWAN PESERTA 13/08/2013 01/02/2019
FATONI AMBAR IRAWAN PESERTA 28/04/1982 01/11/2018
SRI PURWANINGSIH ISTRI 06/07/1985 01/11/2018
JOKO RAHARDI PESERTA 27/11/1987 01/11/2018
ARIQA FATINA NURJANAH ANAK 01/02/2014 01/11/2018
DESTA PURNAMA SIDIK PESERTA 20/12/1993 01/11/2018
ROFI MUFLIKHIN PESERTA 17/02/1993 01/04/2019
ERWIN PESERTA 13/08/1978 01/09/2018
ELA MAY SAROH ISTRI 10/05/1984 01/09/2018
AKHMAD RIFAI PESERTA 25/07/1994 01/01/2019
JOHAN IRAWAN PESERTA 22/04/1988 01/04/2019
HARYANTO PESERTA 10/05/1986 01/11/2018
IKA NUR'AENI ISTRI 01/09/1996 01/11/2018
RAYA RAMBU RABBANI ANAK 04/07/2016 01/11/2018
JUNAEDI PESERTA 06/06/1975 01/01/2019
ROKI ALI SUPRATMAN PESERTA 03/04/1987 01/11/2018
SUSI NURHAYATI ISTRI 29/02/1988 01/11/2018
KENZIE NABIL AZZHAFRAN ANAK 18/01/2015 01/11/2018
ANDIKA BAKTI KUSUMA PESERTA 16/08/1990 01/01/2019
DEDE MULYANA PESERTA 05/04/1984 01/11/2018
TUTI WAHYUNI ISTRI 03/09/1986 01/11/2018
SHAKILA DETI KHANSA MULYA ANAK 30/01/2013 01/11/2018
NATHA RAFANIA MULYANA ANAK 23/03/2018 01/11/2018
HADIANSYAH PESERTA 27/01/1980 01/12/2018
SRI WAHYUNI ISTRI 21/04/1981 01/12/2018
RIZKY PUTRA HADIANSYAH ANAK 06/02/2011 01/12/2018
ASSYIFA PUTRI SRI HADIYANTI ANAK 14/03/2015 01/12/2018
TOTO SUPRAPTO PESERTA 17/02/1969 01/12/2018
IYAH HALIYAH ISTRI 11/07/1975 01/12/2018
AGUS BUDIANTO PESERTA 09/08/1989 01/03/2018
ROHAYATI ISTRI 22/12/1987 01/03/2018
suryana ANAK 30/04/2005 01/03/2018
suhaila ilma nafia ANAK 22/10/2014 01/03/2018
SULISTIONO DWI SAPUTRO PESERTA 01/05/1993 01/02/2019
EDI PURWANTA PESERTA 18/05/1976 01/11/2018
RUSMILAH ISTRI 01/06/1980 01/11/2018
HESTI NURSYA'BANI ANAK 16/09/2005 01/11/2018
HASNA LAILATUN NISFI ANAK 31/05/2015 01/11/2018
RINO SURYADI PESERTA 16/06/1995 01/11/2018
RIZKY DIAN PANUNTUN PESERTA 23/01/1984 01/03/2019
HIDAYAH ISTRI 26/03/1982 01/03/2019
MUHAMMAD ABIZARD ADZKHAN ANAK 01/10/2016 01/03/2019
BAYI IBU HIDAYAH ANAK 02/11/2018 01/03/2019
KUWAT SANTOSO PESERTA 10/06/1992 01/01/2019
CATUR SAEFUDIN PESERTA 09/03/1989 01/12/2018
AZALINA IRIANTI ISTRI 27/03/1991 01/12/2018
AZKA RAMA SAEFUDIN ANAK 06/12/2014 01/12/2018
SHELLA NUR HALIMAH PESERTA 04/07/1996 01/10/2018
WARIKHIN PESERTA 21/04/1979 01/01/2015
BINTANG HATI ANAK 17/10/2007 01/01/2015
SODIKIN PESERTA 13/05/1970 01/02/2015
WIWID MARIYANI ISTRI 06/10/1973 01/02/2015
NAHLA HANIFA ANAK 25/12/2000 01/02/2015
panji setiawan ANAK 28/09/2009 01/02/2015
RISCA CHINTIYA PUNGKI PESERTA 08/10/1993 01/02/2015
KODIRUN PESERTA 03/02/1985 01/03/2015
ALISSA NUR FITRIYAH ANAK 01/04/2015 01/03/2015
SAEFUDDIN BADRUZAMAN PESERTA 23/03/1971 01/12/2018
IIM SUTARSIH ISTRI 22/12/1973 01/12/2018
RYAN ALFARIZY ANAK 08/06/1998 01/12/2018
RAIHAN AL HAFIZH ANAK 14/01/2003 01/12/2018
RAFFAIZYA ALHAZH ANAK 22/01/2008 01/12/2018
HAIDIN PESERTA 20/03/1987 01/09/2018
SWASTIKA ARIESTANTI ISTRI 28/03/1988 01/09/2018
ALESHA SILMI FARZANA ANAK 04/01/2016 01/09/2018
ANGGIT DWI PRASETIYO PESERTA 12/12/1986 01/06/2018
YULIA NUR MALAYANTI ISTRI 08/07/1990 01/06/2018
RITA ARIANI TRIANA PESERTA 08/08/1988 01/04/2019
DHELILLA DHINI WIDYADANA ANAK 17/11/2006 01/04/2019
MARTIKA ISLAEnY PESERTA 08/03/1981 01/04/2015
MOH. MABRUR SUAMI 20/07/1978 01/04/2015
ANIS AVI HAMADI ANAK 03/07/2005 01/04/2015
keenar hanna nailatul izzah ANAK 14/06/2012 01/04/2015
JOKO SUSILO PESERTA 05/01/1976 01/05/2017
ASYLA OPIE MAKAILA ANAK 01/10/2016 01/05/2017
ROSJIQ AWWALY PESERTA 21/10/1969 01/05/2015
SRI MULYATI ISTRI 12/12/1968 01/05/2015
NUJAEMAH LUTHFIAH ROSJIQ ANAK 03/03/1999 01/05/2015
ANDI PRASETYO PESERTA 18/03/1998 01/06/2018
SOLIKHUN PESERTA 07/07/1979 01/07/2015
SARI ATIKA ISTRI 28/01/1979 01/07/2015
EKA AMALIA RAKHMA SARITA ANAK 07/06/2012 01/07/2015
riyanto PESERTA 25/08/1985 01/07/2015
sawini ISTRI 06/10/1981 01/07/2015
daffa febrianto ANAK 20/02/2012 01/07/2015
gangsar tri prasetyo PESERTA 24/04/1993 01/07/2015
SUGENG RIYADI PESERTA 16/07/1968 01/07/2015
kurniawan dwi astowo ANAK 02/05/1999 01/07/2015
jein tri azizah ANAK 25/06/2005 01/07/2015
TEGUH ARIEF HERRYANTO PESERTA 04/06/1981 01/08/2015
IRMA SANTOSO ISTRI 29/06/1986 01/08/2015
FELICIA MIKAELA HERRYANTO ANAK 18/09/2014 01/08/2015
MIKAEL LIONEL HERRYANTO ANAK 23/02/2019 01/08/2015
AGUS SAPUAN PESERTA 28/10/1982 01/11/2018
NUR EZA ASTARI PESERTA 23/12/1985 01/09/2018
SYAEFUDIN PESERTA 25/07/1995 01/10/2015
SITI NURHAMIDAH ISTRI 27/05/1995 01/10/2015
MUHAMMAD ARGA SYAEFUDIN ANAK 15/12/2018 01/10/2015
MISKAM aziz sabarudin PESERTA 11/09/1976 01/11/2015
NURJANAH ISTRI 08/07/1977 01/11/2015
AULIYA FARKHATI SABELA ANAK 08/02/2007 01/11/2015
ASYAFA AMELIA MADELINE ANAK 18/11/2015 01/11/2015
ARIS YULANDA PESERTA 31/07/1981 01/10/2018
KUSUMARINI ISTRI 01/09/1983 01/10/2018
MARSHELLY SABRINA PUTRI KUSUMA ANAK 19/01/2008 01/10/2018
ZAFINA YARA PUTRI KUSUMA ANAK 19/09/2016 01/10/2018
AJI DWI SETIAWAN PESERTA 14/03/1995 01/12/2015
NOVIANTI PESERTA 01/07/1995 01/11/2018
DWI FEBRI ANTINI PESERTA 27/02/1991 01/02/2016
SOVIANA PESERTA 05/09/1992 01/02/2016
dian tri utomo PESERTA 11/03/1989 01/04/2016
farihin PESERTA 13/09/1991 01/04/2016
PEGGI NUR 'AZIZAH PESERTA 29/07/1996 01/06/2018
DICKY INDRA WIBOWO PESERTA 26/09/1990 01/04/2019
EKA KURNIA RIZKI PESERTA 18/08/1993 01/10/2018
PURWANTO PESERTA 12/08/1972 01/07/2016
ENDANG SUPRAPTI ISTRI 01/07/1978 01/07/2016
MOHAMMAD REZA SAPUTRA ANAK 18/01/2002 01/07/2016
ADAM DWI ANDHIKA ANAK 15/06/2008 01/07/2016
MUSA RADITYA ANAK 10/01/2017 01/07/2016
DANI SEPTIAJI PESERTA 01/09/1991 01/02/2019
ERNA RIANA ISTRI 26/01/1991 01/02/2019
NUR FIRMAN PESERTA 20/12/1989 01/09/2016
ANISA AMALIA ISTRI 10/11/1996 01/09/2016
ELA MELANI PESERTA 18/02/1990 01/09/2016
AYU MARASMITA PESERTA 25/08/1994 01/09/2016
ADE BUDI MULYANA PESERTA 06/01/1980 01/11/2018
LILIS LINAWATI ISTRI 21/11/1980 01/11/2018
ERLANGGA ADE SAPUTRA ANAK 12/05/2004 01/11/2018
JOKO YULIANTO PESERTA 24/07/1985 01/10/2016
IWAN SANTOSO PESERTA 14/04/1981 01/01/2019
GHOFAR ISMAIL PESERTA 20/12/1986 01/11/2016
RINCE TRISNAWATI ISTRI 01/10/1986 01/11/2016
ACHMAD ZIDNI DLIYAULCHAQ ANAK 09/10/2011 01/11/2016
VINDI NOVIANTO PESERTA 27/11/1997 01/10/2018
ROHMAD WALUYO PESERTA 17/04/1989 01/12/2018
FAJAR KHAQIQI PESERTA 30/05/1994 01/03/2019
SUWIRTO PESERTA 05/05/1986 01/03/2019
NURUL CHAERANI ISTRI 02/01/1993 01/03/2019
MUHAMMAD FAISHAL AL FARIZKY ANAK 09/11/2013 01/03/2019
MUHAMMAD FAHMI EL FATIH ANAK 09/11/2016 01/03/2019
DRAJAT PESERTA 28/11/1980 01/01/2017
SILVIA LARAS TANTI PESERTA 05/12/1996 01/11/2018
DEDI PRATOMO PESERTA 05/03/1993 01/11/2018
MAHLUL SIDIQ PESERTA 15/11/1991 01/03/2019
OKTO WIRYANTONO PESERTA 11/10/1988 01/12/2018
EVI LISTIANI ISTRI 17/04/1989 01/12/2018
FAVIAN ALVINO PRADHANA ANAK 10/09/2013 01/12/2018
CIPTO TRIASTOWO PESERTA 01/07/1990 01/03/2019
NANANG KURNIAWAN PESERTA 07/06/1982 01/11/2018
AMIN RATNA WIJAYA PESERTA 11/06/1984 01/11/2018
AMBAR WAHYU NOVITASARI ISTRI 11/11/1984 01/11/2018
ZAHIRAH LUBNA NUR HASNA ANAK 02/02/2013 01/11/2018
TEDI SUSANTO PESERTA 01/07/1987 01/01/2019
ENDRY PESERTA 19/01/1979 01/12/2017
ANI ASTUTI ISTRI 06/01/1992 01/12/2017
SYIFA NUR INDRIYANI ANAK 11/09/2011 01/12/2017
RAKA AL HUDA ANAK 11/12/2013 01/12/2017
M. RIFQI ANNUR PESERTA 09/12/1995 01/02/2018
MOHAMAD MULTAZAM PESERTA 21/09/1997 18/07/2018
ANDRI PRATAMA PESERTA 15/06/1991 01/08/2018
PRAMAISSY DWI VIVIANI PESERTA 01/12/1997 01/09/2018
TRIYANA PESERTA 22/10/1980 01/09/2018
RAIS MAHARDIKA PUTRA ANAK 10/11/2008 01/09/2018
LISA PUJI LESTARI PESERTA 19/09/1999 01/10/2018
MOHAMAD TANZIL RAKHSANZANI PESERTA 15/03/1993 01/11/2018
ERNADIANI PUJI NERMASARI PESERTA 23/05/1997 01/11/2018
NISA MARIANA PESERTA 08/03/1998 01/11/2018
NANANG WAHYUDIN PESERTA 07/03/1977 01/11/2018
SITI ROSIDAH ISTRI 15/03/1991 01/11/2018
ABDUL HARRIST ARASID ANAK 01/09/2018 01/11/2018
SYAHEER ABDUL JAMIL ANAK 22/04/2016 01/11/2018
DWIKI NUR ILYASA PESERTA 26/10/1997 01/11/2018
MUSCAHYUDI PESERTA 26/01/1981 01/11/2018
ANISA AMELIA ANAK 13/02/2008 01/11/2018
RIYAN ADIE PERMANA PESERTA 31/01/1994 01/11/2018
WAHYUDIN PESERTA 05/06/1988 01/11/2018
ELYA WIDI ASTUTI PESERTA 09/11/1996 01/11/2018
ALI IMRON PESERTA 03/09/1980 01/12/2018
MUHAMMAD ISMAIL PESERTA 25/02/1993 01/12/2018
MUHAMMAD MUQOYIM PESERTA 17/03/1988 01/12/2018
RASMOKO PESERTA 19/08/1985 01/12/2018
EKO SUBADIYO PESERTA 24/06/1976 01/12/2018
EKO PRASETYO PESERTA 13/03/1976 01/12/2018
DEDI SUPARDI PESERTA 25/02/1994 01/12/2018
BAMBANG HADI KUNCORO PESERTA 13/03/1979 01/01/2019
EMAN HERMANSYAH PESERTA 01/01/1996 01/03/2018
EKO WAHYU WIDIANTO PESERTA 07/09/1994 01/03/2018
LUJENG DENI NUROCHMAN PESERTA 25/06/1991 01/03/2018
WIWIT TRI WAHYUNI PESERTA 13/01/1999 01/09/2018
PUJI RAHMANTO PESERTA 12/06/1972 01/01/2019
SRI MULYATI ISTRI 01/02/1976 01/01/2019
AZIS NUGROHO PESERTA 04/09/2000 01/10/2018
HARIS MAKHASIN PESERTA 02/10/1996 01/10/2018
FAJAR ISNAENI PESERTA 01/06/1998 01/10/2018
RIYANTO PESERTA 20/04/1983 01/02/2019
YUSEF MUCKSIN PESERTA 19/02/1971 01/02/2019
RANI HARDIYANTI ISTRI 28/02/1991 01/02/2019
ANJALI WIDIYANI ANAK 03/01/2000 01/02/2019
MUHAMMAD RAIHANDRA YUNUS ANAK 12/11/2012 01/02/2019
BAMBANG PRASETYO WIBOWO PESERTA 06/09/1977 01/03/2019
AMELIA SAPITRI PESERTA 06/05/1994 01/04/2019
DANANG EKA SAPUTRA PESERTA 07/05/1999 01/04/2019
endra setiabudi PESERTA 14/12/1984 01/01/2019
DEWI PRASETYANINGRUM ISTRI 10/01/1987 01/01/2019
MUHAMMAD DESTA ARUNDRA PRASETYA ANAK 11/03/2011 01/01/2019
MUHAMMAD DAFFA'UL ABRORR ANAK 31/03/2015 01/01/2019
LUKMAN MAULANA PESERTA 24/04/1991 01/01/2019
FRANSISCA FARAH DYBA ISTRI 15/02/1995 01/01/2019
RUDI HARTONO PESERTA 10/07/1985 01/01/2019
DEDEH KURAESIN ISTRI 23/02/1986 01/01/2019
ALMIRA AYANA AZARIA ANAK 04/10/2013 01/01/2019
FARSYA ADITYA AKBAR ANAK 26/11/2009 01/01/2019
Nama Faskes Tingkat I Nama Faskes Gigi STATUS PESERTA IURAN
dr. Ida Susilaksmi AKTIF 87350
dr. Sri Nurdijah Kasbollah drg. Winny Wulandari AKTIF 87350
Tegal Timur AKTIF 87350
Klinik IDI Klinik Gigi Vira Medika AKTIF 87350
dr. Tangguh Budi Prasetyo AKTIF 87350
dr. Sinta Wulan Sari drg. Wahyu Molariawan AKTIF 87350
CIKALONG WETAN AKTIF 154567
CIKALONG WETAN AKTIF 0
I Baturraden AKTIF 87350
I Kembaran AKTIF 87350
I Kembaran AKTIF 0
I Kembaran AKTIF 0
I Kembaran AKTIF 0
Klinik Vira Medica AKTIF 87350
dr. Otty Widjanarko AKTIF 87350
Klinik Rawat Jalan Amanda AKTIF 150000
Salaman I AKTIF 87350
Salaman I AKTIF 0
dr. Moh. Hasyim Purwadi AKTIF 93750
Wiradesa I AKTIF 87350
dr. Immawan Helmy Amrullah AKTIF 87350
Klinik Mitra Sehat (JST) AKTIF 87350
Petarukan AKTIF 0
Pangkah AKTIF 87350
Pangkah AKTIF 87350
Pangkah AKTIF 0
Kupu AKTIF 87350
Pagiyanten AKTIF 87350
Tarub AKTIF 87350
Tarub AKTIF 87350
Bangungalih AKTIF 87350
dr. Faila Shofa AKTIF 87350
Margadana AKTIF 87350
Margadana AKTIF 0
Klinik Perintis AKTIF 87350
Tegal Barat AKTIF 87350
dr. Silvia AKTIF 87350
Jetis II AKTIF 87350
Mantrijeron AKTIF 87350
Klinik Gading (JST) AKTIF 87350
Klinik Gading (JST) AKTIF 87350
Klinik Mitra Sehat (JST) AKTIF 87350
Rawalo AKTIF 87350
dr. Sinta Wulan Sari AKTIF 87350
I Sokaraja AKTIF 87350
Sragi I AKTIF 87350
Wonokerto AKTIF 154567
Pagiyanten AKTIF 87350
Pagiyanten AKTIF 0
Pagiyanten AKTIF 0
dr. Otty Widjanarko drg. Ully AKTIF 155000
dr. Otty Widjanarko drg. Ully AKTIF 0
Tegal Timur AKTIF 0
Tegal Timur AKTIF 0
Kasihan II AKTIF 87350
KLINIK AZZIQA Klinik Medicall Gigi AKTIF 87350
Klinik As-Syifa AKTIF 202500
BP Aisyiyah Siti Hajar AKTIF 150000
Debong Lor drg. Rahayu Sri Rejeki AKTIF 89350
Debong Lor AKTIF 0
Klinik Syifa Ar-Rachmi Klinik Maxilla Gigi AKTIF 217500
Klinik Syifa Ar-Rachmi AKTIF 0
Klinik Syifa Ar-Rachmi AKTIF 0
KLINIK AZZIQA AKTIF 43500
dr. Suhardjo AKTIF 43500
Klinik Werkudoro drg. Rahayu Sri Rejeki AKTIF 87350
Klinik Werkudoro drg. Rahayu Sri Rejeki AKTIF 0
Klinik Werkudoro AKTIF 0
Klinik Medicall AKTIF 87350
Bantul II AKTIF 87350
Bantul II AKTIF 0
Bantul II AKTIF 0
Bendan AKTIF 87350
Bendan AKTIF 0
Bendan AKTIF 0
Bendan AKTIF 0
Klinik Aisyiyah Hj. Mafroh AKTIF 87350
dr. Johana Jonosewojo Klinik Medicall Gigi AKTIF 87350
dr. Munirul Anam Klinik Medicall Gigi AKTIF 87350
dr. Munirul Anam AKTIF 0
dr. Catur Yuni Muliatsih, MM AKTIF 87350
dr. Johana Jonosewojo drg. Rahayu Sri Rejeki AKTIF 107500
dr. Johana Jonosewojo drg. Rahayu Sri Rejeki AKTIF 0
Tarub AKTIF 0
dr. M. Sokekhun Klinik Medicall Gigi AKTIF 87350
Klinik Citra Pratama Pkl AKTIF 112500
PKM CIPUNAGARA AKTIF 154567
Klinik Matahari AKTIF 87350
Klinik Matahari AKTIF 0
KLINIK MEDIKA PRATAMA II AKTIF 154567
Noyontaan AKTIF 87350
Bendan AKTIF 87350
Bendan AKTIF 0
Bendan AKTIF 0
Bendan AKTIF 0
Kajen I AKTIF 87350
Kajen I AKTIF 0
Kajen I AKTIF 0
dr. Rosnelina drg. Rahayu Sri Rejeki AKTIF 162500
dr. Rosnelina AKTIF 0
dr. Johana Jonosewojo drg. Bambang Alinudin AKTIF 87350
dr. Retno Tri P AKTIF 87350
dr. Dwi Putraningsih drg. Dian Wardaningrum AKTIF 87350
Klinik Tanjung drg. Sulistyowati AKTIF 87350
Klinik Tanjung AKTIF 0
II Kemranjen AKTIF 87350
Klinik Sartika 36 AKTIF 192139
BOGOR SELATAN AKTIF 0
Debong Lor AKTIF 155850
Debong Lor AKTIF 0
Debong Lor AKTIF 0
Debong Lor AKTIF 0
dr. Wahidin drg. Jenny Adjiwati AKTIF 87350
Mranggen III drg. Sia Tedy Kurniawan AKTIF 87350
dr. Johana Jonosewojo AKTIF 87350
KLINIK SAFIRA MEDIKA AKTIF 154567
dr. Moh. Hasyim Purwadi drg. Eli Nurmawati AKTIF 87350
CIBOLERANG AKTIF 154567
PASIRLUYU AKTIF 154567
PASIRLUYU AKTIF 0
Klinik IDI AKTIF 87350
Klinik Kartika Husada AKTIF 87350
Klinik Asty drg. Ika Kiromin B AKTIF 87350
Klinik Sarodja drg. Ernawati Ratih Dewanti AKTIF 87350
Klinik Sarodja drg. Ernawati Ratih Dewanti AKTIF 0
dr. Astrid ermastuti drg. Rizqi Kiranawati AKTIF 87350
dr. Astrid ermastuti drg. Rizqi Kiranawati AKTIF 0
Pleret AKTIF 87350
Tirto AKTIF 87350
KLARI AKTIF 87350
KLARI AKTIF 0
KLINIK HUSADA AKTIF 87350
Klinik Mutiara Husada AKTIF 87350
Kedungbanteng AKTIF 87350
EKO DEWANTORO, DR AKTIF 94669
Dukuhturi AKTIF 87350
Dukuhturi AKTIF 0
Dukuhturi AKTIF 0
dr. Tri Handoko, M.Kes AKTIF 87350
PASIRKALIKI AKTIF 87350
PASIRKALIKI AKTIF 0
PASIRKALIKI AKTIF 0
PASIRKALIKI AKTIF 0
CIMAREME AKTIF 154567
MELONGASIH AKTIF 154567
MELONGASIH AKTIF 30913
Klinik Patalan AKTIF 87350
II Kembaran AKTIF 87350
dr. Christine Yuyanti T Klinik Medicall Gigi AKTIF 87350
dr. Christine Yuyanti T AKTIF 0
dr. Endang Ataswati AKTIF 87350
dr. Sutanto S Mkes AKTIF 87350
Warurejo AKTIF 87350
Warurejo AKTIF 0
CIBEBER AKTIF 154567
CIBEBER AKTIF 0
CIBEBER AKTIF 0
CIBEBER AKTIF 0
CIBEBER AKTIF 0
Karanglewas AKTIF 100000
Karanglewas AKTIF 0
Karanglewas AKTIF 0
dr. Tri Okmawati Handini drg. Titien Erosiati AKTIF 87350
dr. Tri Okmawati Handini AKTIF 0
dr. Tri Handoko, M.Kes drg. Eltanin Kumala Dewi AKTIF 132500
II Sokaraja AKTIF 87350
II Sokaraja AKTIF 0
II Sokaraja AKTIF 0
I Sokaraja AKTIF 0
I Sokaraja AKTIF 0
I Sokaraja AKTIF 0
I Sokaraja AKTIF 0
Klinik IDI AKTIF 0
Klinik IDI AKTIF 0
Klinik IDI AKTIF 0
dr. Agus Nawawi AKTIF 87350
dr. Hendro Harjito drg. Wahyu Molariawan AKTIF 87350
dr. Wahidin AKTIF 87350
dr. Wahidin AKTIF 0
dr. Wahidin AKTIF 0
II Kembaran AKTIF 87350
MUARA JAWA AKTIF 87350
dr. Esti Haryati drg. Titien Erosiati AKTIF 87350
dr. Tuti Widayanti drg. Winny Wulandari AKTIF 87350
dr. Isriyati AKTIF 87350
dr. Isriyati AKTIF 0
dr. Faila Shofa AKTIF 87350
dr. Christine Yuyanti T drg. Rahayu Sri Rejeki AKTIF 91850
KLINIK SEHAT BUDI LUHUR AKTIF 154567
dr. Bambang Kuswanto AKTIF 92500
Tegal Barat AKTIF 87350
dr. Meliyansori drg. Silvia Yulianti AKTIF 87350
Talang drg. Silvia Yulianti AKTIF 0
dr. Meliyansori drg. Silvia Yulianti AKTIF 0
Semin I AKTIF 87350
Tarub AKTIF 87350
Tarub AKTIF 17470
Tarub AKTIF 17470
Tarub AKTIF 17470
Tarub drg. Silvia Yulianti AKTIF 87350
KLINIK AVIATI AKTIF 154567
Debong Lor AKTIF 87350
Poliklinik PMI Kota Pekalongan AKTIF 87350
dr. Sewoyo Hadi drg. Anisah Camelia AKTIF 87350
Klinik 24 Jam Firdaus AKTIF 87350
Kotagede I AKTIF 87350
Kotagede I AKTIF 0
Kotagede I AKTIF 0
Klinik IDI AKTIF 0
Klinik IDI AKTIF 0
Klinik IDI AKTIF 0
dr. Wahidin AKTIF 88350
Siwuluh AKTIF 87350
Klinik YONIF 407 AKTIF 87350
dr. Sri Nurdijah Kasbollah AKTIF 87350
dr. Maskuri drg. Ririen Herviantari AKTIF 87350
dr. Dyah Elly drg. Dian Wardaningrum AKTIF 87350
Klinik Yonif 403 AKTIF 87350
Manisrenggo AKTIF 87350
dr. M. Sokekhun drg. Dian Wardaningrum AKTIF 87350
dr. M. Sokekhun AKTIF 0
dr. Ida Hadiyati drg. Diah Aswati Tjahjaningsih AKTIF 154567
KLINIK CIKALONG SEHAT AKTIF 154567
KLINIK CIKALONG SEHAT AKTIF 0
dr Fahruroji drg. HARYOSENO (jst) AKTIF 154567
dr Fahruroji drg. HARYOSENO (jst) AKTIF 154567
dr. Rois Imron Amrullah AKTIF 154567
Rowosari AKTIF 87350
Wonokerto AKTIF 87350
Petarukan AKTIF 87350
dr. Ida Susilaksmi drg. Imani Teguh Rahayu AKTIF 87350
dr. Faila Shofa drg. Dian Wardaningrum AKTIF 87350
dr. Vera Asnita drg. HARYOSENO (jst) AKTIF 154567
Kroya II AKTIF 87350
Krapyak Kidul AKTIF 87350
Krapyak Kidul AKTIF 0
Klinik Hakasari Medika AKTIF 87350
dr. Esti Haryati AKTIF 87350
Bendan AKTIF 87350
KLINIK PRATAMA SEHAT SENTOSA AKTIF 102271
dr. Broto Rahardjo drg. Imani Teguh Rahayu AKTIF 87350
dr. Tri Suprapti Handajani drg. Angela Monica Hendrata AKTIF 197049
Klinik PMI Purbalingga AKTIF 87350
dr. Titis Cahyaningsih drg. Dian Wardaningrum AKTIF 87350
dr. Tuti Widayanti AKTIF 87350
dr. Tuti Widayanti drg. Tri Rahayu Ningsih AKTIF 0
AHMAD YANI AKTIF 154552
AHMAD YANI AKTIF 0
AHMAD YANI AKTIF 0
AHMAD YANI AKTIF 0
TGL.REGISTRASI NAMA SUB INSTANSI NAMA INSTANSI
21/02/2019 16:31:50 CV. TIGA BINTANG SEJAHTERA CV. TIGA BINTANG SEJAHTERA
KETERANGAN
- NIK Harus Diisi
- NIK Harus Diisi
- Bayi Harus Menginformasikan Data Nama Bayi (Bukan Bayi Nyonya)
- NIK Harus Diisi

- NIK Harus Diisi
- NIK Harus Diisi
- Bayi Harus Menginformasikan Data Nama Bayi (Bukan Bayi Nyonya)

Entitas 01680222-0001-20190413

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