Ajuan BPJS

NO NO KARTU KELUARGA NIK NAMA HUB KEL TEMPAT TANGGAL LAHIR JK STATUS KAWIN BLOK
1 3209350601120000 32093557111910000 FANNY RAMA SARI 3 cirebon 29/01/1996 2 1 GONDANG

2 3209350401065030 3209351330881540 ALIKA 2 cirebon 10/28/1979 1 2 SOKA
3 3209352406080015 3209354706990003 USWATUN HASANAH 3 cirebon 6/7/1999 2 1 KARANG ANYAR
4 3209352209070246 3209355005120002 ZIDNA ILMA NAFI'A 3 cirebon 5/10/2012 2 1 KARANG ANYAR
5 3209352112110014 3209354409780004 YAYAH CHAERIYAH 2 cirebon O4/O9/1978 2 2 BLOK TIMUR
6 3209355031210007 3209355510420004 SARBO 1 cirebon 10/15/1942 1 2 SOKA
7 3209352309100025 320935709620001 TOTOS 1 cirebon 9/27/1962 1 2 SOKA
8 3209350206090004 320935121810002 ADBDUL WACHID 1 cirebon 11/12/1981 1 2 SOKA
9 3209350206090004 3209355107090001 INTAN MARATUS SOLEKHA 3 cirebon 11/07/2009 2 1 SOKA
10 3209351205080011 3209355510030001 FITRI YANI 3 cirebon 15/10/1003 2 2 SOKA
11 209350508110004 3209201510430001 BUKORI 1 cirebon 10/15/1943 1 2 CANGGONG
12 3209351003090011 3209355510490008 SAM IN 4 cirebon 15/10/1949 2 2 KARANG ANYAR
13 320935210608004 3209350302120004 RIZKY FIRMANSYAH 3 cirebon 03/02/2012 1 1 SOKA
14 3209352803077611 32093547107710989 SISRIYAH 2 cirebon 7/10/1977 2 2 GONDANG
15 3209352803077611 320935020501109900 RIZAL SODIK 3 cirebon 2/05/2001 1 2 GONDANG
16 3209352803077611 320935160707109900 FAJAR KHARIM 3 cirebon 7/16/2007 1 2 GONDANG
17 209202502061621 3209354110560000 KARSITI 2 cirebon 09/10/1956 2 2 KARANG ANYAR
18 3209350306100000 3209355407570000 TURI'AH 2 cirebon 14/10/1957 2 2 CANGGONG
19 3209352812120000 3209350410060000 SYARIF HIDAYAT 3 cirebon 10/4/2006 1 2 BABADAN TIMUR
20 3209352409070120 3209352703770001 PARNO 1 cirebon 27/03/1977 1 2 BABADAN TIMUR
21 3209352409070120 3209354906820001 KARTINI 2 cirebon 09/03/1982 2 2 BABADAN TIMUR
22 3209350712090008 3209354501100002 ALFIYA 3 cirebon 05/01/2010 2 1 KARANG ANYAR
23 320935232010009 3209355511830001 JAMILATUL LAILY 2 cirebon 11/15/1983 2 2 TIMUR
24 3209351911140001 3209355109840001 LOLITA 2 cirebon 11/09/1984 2 1 BLOK SOKA
25 3209351911140001 3209351310140001 GIO ALANSA 3 cirebon 13/10/2014 1 1 BLOK SOKA
26 3209351204080008 329355309040001 VERONICA 3 cirebon 13/09/2004 2 2 BLOK TIMUR
27 3209351201090050 3209355512990001 ASA BELLA SUKMA 3 cirebon 12/15/1999 2 2 PEJAGALAN LAMA
28 3209351201090050 3209364209050001 PUTRI ELYZA 3 cirebon 02/08/2006 2 2 PEJAGALAN LAMA
29 3209352803080003 3209350711070002 MUHAMMAD RAYHAN 3 cirebon 07/11/2007 1 2 PEJAGALAN BARU
30 3209352803080003 3209350205110001 AKHMAD RAFLI 3 cirebon 02/05/2011 1 2 PEJAGALAN BARU
31 3209352107080011 3209351010700004 ANDI SURYA 1 cirebon 10/10/1970 1 1 PEJAGALAN LAMA
32 3209352107080011 3209355203710002 WITRI 2 cirebon 12/03/1971 2 1 PEJAGALAN LAMA
33 3209352107080011 3209351219080001 YOGA ANDI SURYA 3 cirebon 06/10/1988 1 2 PEJAGALAN LAMA
34 320935080708026 3209355605670001 HJ. ASIH ASRI 1 cirebon 5/16/1967 2 1 BABADAN BARAT
35 320935080708026 3209350807900001 ABDUL RAHIM 3 cirebon 7/8/1960 1 2 BABADAN BARAT
36 320935080708026 3209351504920004 ACHMAD FAUZI 3 cirebon 4/15/1992 1 2 BABADAN BARAT
37 320935080708026 3209356103980003 NURJANAH 3 cirebon 3/21/1996 2 2 BABADAN BARAT
38 3209351201090056 3209355512990004 ASA BELLA SUKMA 1 cirebon 12/15/1999 2 1 PEJAGALAN LAMA
39 3209351201090056 3209351910030003 RIZKI NUGRAHA 3 cirebon 10/18/2003 1 2 PEJAGALAN LAMA
40 3209351201090056 3209354208060002 PUTRI ELIZA 3 cirebon 8/2/2006 2 2 PEJAGALAN LAMA
41 3209351006080027 3209351710530001 TASMONO 1 cirebon 10/17/1953 1 1 BABADAN BARAT
42 3209351006080027 3209355811890001 USWATUN HASANAH 3 cirebon 11/18/1989 2 2 BABADAN BARAT
43 3209351006080027 3209355112900002 NYURBAETI 3 cirebon 12/11/1990 2 2 BABADAN BARAT
44 3209351006080027 3209352311940001 MASSAJIDIN 3 cirebon 3/27/1995 1 2 BABADAN BARAT
45 3209351006080027 3209356310970001 ILMIAMALIYAH 3 cirebon 10/23/1997 2 2 BABADAN BARAT
46 3209351006080027 3209354409030001 MIFTAHUL JANAH 3 cirebon 9/4/2003 2 2 BABADAN BARAT
47 3209352604110001 3209353004790006 AGUNG SUBEKI 1 cirebon 4/30/1979 1 1 CANGGONG
48 3209352604110001 3209354209840002 MASLIKA 2 cirebon 9/2/1984 2 1 CANGGONG
49 3209352604110001 3209353110110001 AHMAD ARI SUBEKI 3 cirebon 10/31/2011 1 2 CANGGONG
50 3209352803130006 3209352904900001 DIDIT ADITYA 1 cirebon 4/29/1990 1 1 BABADAN BARAT
51 3209352803130006 3209355608880002 NURAENI 2 cirebon 8/16/1988 2 1 BABADAN BARAT
52 3209352803130006 3209356206110002 TERI LIEBIE ADITYA 3 cirebon 6/22/2011 2 2 BABADAN BARAT
53 3209350712110005 3209351003730005 MOHAN 1 cirebon 3/10/1973 1 1 BABADAN BARAT
54 3209350712110005 3209354303750003 ROSIDA 2 cirebon 3/3/1975 2 1 BABADAN BARAT
55 3209350712110005 3209354603060003 ALIN WILANDA 3 cirebon 3/6/2006 2 2 BABADAN BARAT
56 3209352804100013 3209350301790003 DIDI RASIDI 1 cirebon 1/3/1979 1 1 BABADAN BARAT
57 3209352804100013 3209356606800002 QOKIATUN NISA 2 cirebon 6/26/1975 2 1 BABADAN BARAT
58 3209352804100013 3209350411110001 MUH NAUFAL KAFABY 3 cirebon 11/7/2011 1 2 BABADAN BARAT
59 3209352306100001 3209353005780003 TASIPAN 1 cirebon 5/30/1978 1 1 BABADAN BARAT
60 3209352306100001 3209354304780003 ALFIASYAH 2 cirebon 4/30/1978 1 1 BABADAN BARAT
61 3209352306100001 3209351002070003 M ARYA PRATAMA 3 cirebon 2/10/2007 1 2 BABADAN BARAT
62 3209352306100001 3209351506140001 AKHMAD MAHERINZA 3 cirebon 6/15/2014 1 2 BABADAN BARAT
63 3209350911110016 3209355206610006 KHUSNIYAH 1 cirebon 6/12/1961 2 1 BABADAN BARAT
64 3209350110130004 3209352609420001 MOH YUSUF 1 cirebon 9/26/1942 1 1 BABADAN BARAT
65 3209350110130004 3209356203680002 MARYAM URIPAH 3 cirebon 3/22/1968 2 2 BABADAN BARAT
66 3209352905080011 3209354086600002 KARJAN 1 cirebon 8/14/1966 1 1 BABADAN BARAT
67 3209352905080011 3209356306670001 SITI YUNARIYAH 2 cirebon 6/23/1967 2 1 BABADAN BARAT
68 3209352905080011 3209351606890002 PANJI ASMORO BANGUN 3 cirebon 6/16/1989 1 2 BABADAN BARAT
69 3209352905080011 3209350507930001 HADI HERMAWAN 3 cirebon 7/5/1993 1 2 BABADAN BARAT
70 3209350503100003 3209351702730001 ABDUL QODIR 1 cirebon 2/17/1973 1 1 BABADAN BARAT
71 3209350503100003 3209356208860001 SAODAH 2 cirebon 8/22/1986 2 1 BABADAN BARAT
72 3209350503100003 3209352511070003 ABDUL SYUKUR D 3 cirebon 11/25/2007 1 2 BABADAN BARAT
73 3209350503100003 3209355911120001 SYAKIRA NURFADILA 3 cirebon 11/19/2012 2 2 BABADAN BARAT
74 3209353010120006 3209350509600001 ABADI 1 cirebon 8/5/1960 1 1 BABADAN BARAT
75 3209353010120006 3209354604610002 ETI SUHERTI 2 cirebon 4/6/1961 2 1 BABADAN BARAT
76 3209352505090016 3209351002710001 SAMSUDIN 1 cirebon 2/10/1971 1 1 BABADAN BARAT
77 3209352505090016 3209356507810001 SUSILAWATI 2 cirebon 7/28/1981 2 1 BABADAN BARAT
78 3209352505090016 3209356507070001 NISA ADILLA 3 cirebon 7/25/2007 2 2 BABADAN BARAT
79 3209352409070350 3209350405730001 MUKMIN 1 cirebon 5/4/1973 1 1 BABADAN BARAT
80 3209352409070350 3209354208800001 MASIRI 2 cirebon 8/2/1980 2 1 BABADAN BARAT
81 3209352409070350 3209350801000001 KHOLILUROCHMAN 3 cirebon 1/8/2000 1 2 BABADAN BARAT
82 3209352409070350 3209352904050002 PATKHULLAH 3 cirebon 4/29/2005 1 2 BABADAN BARAT
83 3209352409070350 3209350104120001 BURHANUDDIN HANIF 3 cirebon 4/1/2012 1 2 BABADAN BARAT
84 3209350809080023 3209350708620002 ROKMAT 1 cirebon 5/4/1973 1 1 BABADAN BARAT
85 3209350809080023 3209355505730003 KUSTIN 2 cirebon 8/2/1980 2 1 BABADAN BARAT
86 3209350809080023 3209355210900003 ANI ANGGRAENI 3 cirebon 1/8/2000 2 2 BABADAN BARAT
87 3209350809080023 3209355911930001 KUSWATUN HASANAH 3 cirebon 4/29/2005 2 2 BABADAN BARAT
88 3203952601120017 3209352402750001 JUJU 1 cirebon 2/24/1975 1 1 PEJAGALAN LAMA
89 3203952601120017 3209354206700002 JUBAEDAH 2 cirebon 6/2/1970 2 1 PEJAGALAN LAMA
90 3209351308080101 3209351001790001 ROCHMAN 1 cirebon 1/10/1978 1 1 PEJAGALAN LAMA
91 3209351308080101 3209356310870001 SITI JULAEHA 2 cirebon 10/23/1987 2 1 PEJAGALAN LAMA
92 3209351308080101 3209354403700001 SAFA NURWULAN 3 cirebon 3/4/2007 2 2 PEJAGALAN LAMA
93 3209351308080101 3209352710140001 DAMAR PRASETYA 3 cirebon 10/27/2011 1 2 PEJAGALAN LAMA
94 3209352603130002 3209351408860006 MAWADI 1 cirebon 8/14/1986 1 1 PEJAGALAN LAMA
95 3209352603130002 3209357003900001 NOUR FITRIYANI 2 cirebon 3/30/1990 2 1 PEJAGALAN LAMA
96 3209352603130002 3209366102110002 NAYLA NURFEBRIAN 3 cirebon 2/21/2011 2 2 PEJAGALAN LAMA
97 3209350601120005 3209356905610001 PONIYA 1 cirebon 5/29/1961 2 1 GONDANG
98 3209350601120005 3209350704740001 HARI 3 cirebon 4/7/1974 1 2 GONDANG
99 3209350601120005 3209350912820001 HERI 3 cirebon 12/9/1982 1 2 GONDANG
100 3209350601120005 3209350805860001 ASORI 3 cirebon 5/8/1986 1 2 GONDANG
101 3209350601120005 3209354311870002 KURNIYA 3 cirebon 11/3/1987 2 2 GONDANG
102 3209352706050989 3209351510480352 NASIDI 1 cirebon 10/15/1948 1 1 KARANG ANYAR
103 3209352706050989 3209355510500353 DATU 2 cirebon 10/15/1950 2 1 KARANG ANYAR
104 3209352706050989 3209355304770353 HANIYAH 3 cirebon 4/13/1977 2 2 KARANG ANYAR
105 3209352706050989 3209351802820354 PUTRI OCTA ARDIANI 3 cirebon 10/23/2011 2 2 KARANG ANYAR
106 3209351003090011 3209356903090002 SAMINO 1 cirebon 10/15/1949 1 1 KARANG ANYAR
107 3209353107120006 3209351109840003 ANGGA WAHYUDIN 1 cirebon 9/11/1984 1 1 GONDANG
108 3209353107120006 3209355501860001 NOVA RIANA SARI 2 cirebon 1/15/1986 2 1 GONDANG
109 3209353107120006 3209354207120001 ROUDATUL ZAHRA 3 cirebon 7/2/2012 2 2 GONDANG
110 3209353006080050 3209351610770001 SONO 1 cirebon 10/15/1977 1 2 canggong
111 3209353006080050 3209354305780003 EMA ERMAWATI 2 cirebon 5/3/1978 2 2 canggong
112 3209353006080050 3209350104010002 FIKRI ERSANO 3 cirebon 4/1/2001 1 1 canggong
113 3209353006080050 3209356007070002 DESI ERSANTI 3 cirebon 7/20/2007 2 1 canggong
114 3209353006080050 3209350807110002 AGI ERSA WIJAYA 3 cirebon 7/8/2011 1 1 canggong
115 3209352302110001 3209361510620011 MASHADI 1 cirebon 10/15/1952 1 2 Karang anyar
116 3209352302110001 3209355510570007 RO'AENI 2 cirebon 10/15/1957 2 2 Karang anyar
117 3209352307150001 3209350212130001 ALWI MUSTAIN 3 cirebon 12/2/2013 1 1 Timur
118 3209350504100015 3209352304620001 SUKANA 1 cirebon 4/23/1962 1 2 Soka
119 3209350504100015 3209355010650003 ROKILA 2 cirebon 10/10/1965 2 2 Soka
120 3209351210100003 3209351109110001 MUHAMMADZAKI ANAM 3 cirebon 9/11/2011 1 1 Soka
121 3209352309070671 3209352311110002 DHIKA ARAFAH 3 cirebon 11/23/2011 1 1 Soka
122 3209352004110006 3209351307750001 TURSITA 1 cirebon 7/13/1975 1 2 Karang anyar
123 3209352004110006 3209354101790007 NURMAYA 2 cirebon 1/1/1979 2 2 Karang anyar
124 3209352004110006 3209355810110001 CITRA LESTARI DEWI 3 cirebon 10/18/2011 2 1 Karang anyar
125 3209352004110014 3209352605820001 HERMANSAH 1 cirebon 5/26/1982 1 2 Karang anyar
126 3209352004110014 3209355205850002 TIMAYA 2 cirebon 5/12/1985 2 2 Karang anyar
127 3209352004110014 3209351307110001 MUHAMMAD ILHAM 3 cirebon 7/13/2011 1 1 Karang anyar
128 3209352309070139 3209354405850001 URIPAH 1 cirebon 5/4/1985 2 2 Karang anyar
129 3209352309070139 3209356503080001 MAULIDIYAH AZZAHRO 3 cirebon 3/25/2008 2 1 Karang anyar
130 3209350605080013 3209352810110001 MUHAMMAD ZIDANE AL RIZQI 1 cirebon 10/28/2011 1 1 Karang anyar
131 3209352009100013 3209352308500001 SOBARI 3 cirebon 8/23/1950 1 2 Karang anyar
132 3209352009100013 3209355204630001 DANYI 3 cirebon 12/041963 2 2 Karang anyar
133 3209352506080110 3209351803550001 SUKIRMAN 1 cirebon 3/18/1955 1 2 Karang anyar
134 3209352506080110 3209355510600004 ROKIYAT 2 cirebon 10/15/1960 2 2 Karang anyar
135 3209352506080110 3209354404830001 DEWI YANA 3 cirebon 4/4/1983 2 1 Karang anyar
136 3209352506080110 3209350107870008 ARIF HARDIANSYAH 3 cirebon 7/1/1987 1 1 Karang anyar
137 3209352604110015 3209350103900001 DONI AGUNA 1 cirebon 3/1/1990 1 1 Soka
138 3209352604110015 3209356808930003 NURSANTI 2 cirebon 8/28/1993 2 2 Soka
139 3209352604110015 3209351408110001 SATRIA RAMADHAN 3 cirebon 8/14/2011 1 1 Soka
140 3209352302110001 3209351510520011 MASHADI 1 cirebon 10/15/1952 1 2 Karang anyar
141 3209352302110001 3209355510570007 RO'AENI 2 cirebon 10/15/1957 2 2 Karang anyar
142 3209350705140004 3209201502910007 MUSA HARIP 1 cirebon 11/25/1991 1 2 Soka
143 3209350705140004 3209204405890003 ICIH UTAMI 2 cirebon 1/23/1989 2 2 Soka
144 3209350705140004 3209354409140002 SYAFIAH AL MAIRA 3 cirebon 9/4/2014 2 1 Soka
145 3209351308080095 3209352202770001 LEMAN 1 cirebon 2/22/1977 2 1 Soka
146 3209351308080095 3209355704860001 ANI 2 cirebon 4/17/1986 2 2 Soka
147 3209351308080095 3209355911080001 TUTI WIDYA NINGSIH 3 cirebon 11/19/2008 1 2 Soka
148 3209351308080095 3209354602120001 NADYA INTAN AULIYANI 3 cirebon 2/6/2012 1 2 Soka
149
RT RW KODE POS NAM KECAMATAN NAMA DESA
1 1 45174 TENGAH TANI BATTEMBAT

45174 TENGAH TANI BATTEMBAT
NO NO KARTU KELUARGA NIK NAMA HUB KEL TEMPAT TANGGAL LAHIR JK STATUS KAWIN BLOK
1 3209352004120021 3209355903460001 SAMI RUNASIH 1 CIREBON 3/19/1946 2 2 TIMUR

2 3209351106150002 3209354207030001 YULI SUGESTI 1 CIREBON 7/2/1983 2 2 TIMUR
3 3209351106150002 32093506022090002 M WILDANIZA ABDILA 3 CIREBON 2/6/2009 1 1 TIMUR
4 3209351106150002 3209355611560001 ETI 1 CIREBON 11/16/1956 2 1 TIMUR
5 3209351201090053 3209352709700001 BACHRUL MUCHIT 1 CIREBON 9/27/1970 1 2 CANGGONG
6 3209351201090053 3209356708730001 ARIPAH AFIYANTI 2 CIREBON 8/27/1973 2 2 CANGGONG
7 3209351201090053 3209351401000001 MUHAMMAD MUFTI PASYAH 3 CIREBON 1/14/2000 1 1 CANGGONG
8 3209352212090010 3209350811870002 MULYADI 1 CIREBON 11/8/1987 1 2 CANGGONG
9 3209352212090010 3209356909860001 LELY AFFRIYANTI 2 CIREBON 9/29/1986 2 2 CANGGONG
10 3209352212090010 3209351312090001 RIZKY NURFADILA 3 CIREBON 12/13/2009 1 1 CANGGONG
11 3209352508150010 3209350906930001 AGUNG SAPUTRA 1 CIREBON 6/9/1993 1 2 SOKA
12 3209352508150010 3209355111150001 NEVA HANIFIYYAH 3 CIREBON 11/11/2015 2 1 SOKA
13 3209352907100007 3209354207020001 NADILA 3 CIREBON 7/2/2002 2 1 SOKA
14 3209352907100007 3209354908100002 AUREL 3 CIREBON 8/9/2010 2 1 SOKA
15 3209352705130001 3209356010100004 DITA VIONA 3 CIREBON 9/20/2010 2 1 SOKA
16 3209352705130001 3209355809120002 TIARA ANGELITA 3 CIREBON 9/18/2012 2 1 SOKA
17 3209352811110017 3209350302120002 FERDI FRIYOGA 3 CIREBON 2/3/2012 1 1 SOKA
18 3209352401120004 3209351201120002 FARISKA PUTRI 3 CIREBON 9/16/2015 2 1 SOKA
19 3209351308080095 3209352202770001 LEMAN 1 CIREBON 2/22/1977 1 2 SOKA
20 3209351308080095 3209355704860001 ANI 2 CIREBON 4/17/1986 2 2 SOKA
21 3209351308080095 3209355911080001 TUTI WIDYA NINGSIH 3 CIREBON 11/19/2008 2 1 SOKA
22 3209351308080095 3209354602120001 NADYA INTAN AULIYANI 3 CIREBON 2/6/2012 2 1 SOKA
23 3209352408110006 3209356910890002 IRMA 2 CIREBON 10/29/1989 2 1 TENGAH
24 3209352408110006 3209352105120001 IBRAHIM FARIS 3 CIREBON 6/21/2012 1 1 TENGAH
25 3209352308110010 3209350807750001 SOEBANDI 1 CIREBON 7/8/1975 2 2 TENGAH
26 3209352308110010 3209355004820004 SUTINI 2 CIREBON 4/10/1982 2 2 TENGAH
27 3209352308110010 3209354307070002 ICCHA AZZAHRA AYUNING CHISTI 3 CIREBON 7/3/2007 2 1 TENGAH
28 3209352308110010 3209356311120001 ANDINI NOVIA PUTRI 3 CIREBON 11/23/2012 2 1 TENGAH
29 3209351008100001 3209351705510001 SURIP 1 CIREBON 5/17/1951 1 2 TENGAH
30 3209351008100001 3209351008100001 SALI'AH 2 CIREBON 5/3/1955 2 2 TENGAH
31 3209351008100001 3209354810790002 NINING ROHANA 3 CIREBON 10/8/1979 2 1 TENGAH
32 3209351804120028 3209351011760002 SAMSU 1 CIREBON 11/19/1976 1 2 TENGAH
33 3209351804120028 3209355401630001 ULIYA 2 CIREBON 1/24/1982 2 2 TENGAH
34 3209351804120028 3209354101150001 VIRDAN MAULANA 3 CIREBON 1/1/2015 1 1 TENGAH
35 3209351207130005 3209350210860005 SOFYAN HADI 1 CIREBON 10/2/1986 1 2 TENGAH
36 3209351207130005 3209352008880002 NUR KHOLIFAH 2 CIREBON 8/20/1988 2 2 TENGAH
37 3209351207130005 3209354107130001 IRENE JULIA LESTARI 2 CIREBON 7/1/2013 2 1 TENGAH
38 3209353006080008 3209350611870002 KHUSAERI 1 CIREBON 11/5/1987 1 2 TENGAH
39 3209353006080008 3209354203880001 RENI NUR MARTINI 2 BANDUNG 3/2/1988 2 2 TENGAH
40 3209353006080008 3209354607070002 TITANIANTRI AL ZAHWA 3 CIREBON 7/6/2007 2 1 TENGAH
41 3209353006080008 3209354301120002 NATASYA ALAIDA ZAHWA 3 CIREBON 1/3/2012 2 1 TENGAH
42 3209352309070134 3209356612830001 LIRA FAMELA 1 CIREBON 12/26/1983 2 1 KARANG ANYAR
43 3209352309070134 3209352012070001 M AIDIL PANDU ALVARA 3 CIREBON 12/20/2007 1 1 KARANG ANYAR
44 3209352309070134 3209356101110003 LIVIA ALQIERA 3 CIREBON 1/21/2011 2 1 KARANG ANYAR
45 3209352705150001 3209351903960002 EGGI AWAI 3 CIREBON 3/19/1995 1 1 KARANG ANYAR
46 3209352705150001 3209354605150002 ADINDA DEVI MEYDITA 3 CIREBON 5/6/2015 2 1 KARANG ANYAR
47 3209352708080045 3209351707670002 SUPARMAN 1 CIREBON 7/17/1967 1 2 KARANG ANYAR
48 3209352708080045 3209354912700001 SUSANTI 2 CIREBON 12/9/1970 2 2 KARANG ANYAR
49 3209352708080045 3209351805880001 ASEP FITRA YITNO 3 CIREBON 5/18/1988 1 1 KARANG ANYAR
50 3209352708080045 3209354306930001 AYU PURWANINGSIH 3 CIREBON 6/3/1993 2 1 KARANG ANYAR
51 3209352708080045 3209352609940002 ANGGA PERMANA 3 CIREBON 9/26/1994 1 1 KARANG ANYAR
52 3209352708080045 3209355512000001 FITRIYANA 3 CIREBON 12/15/2000 2 1 KARANG ANYAR
53 3209352708080045 3209352010040005 FIRMANSYAH 3 CIREBON 10/20/2004 1 1 KARANG ANYAR
54 3209351912140003 3209353004130002 MUHAMMAD FAJAR MULYA 3 CIREBON 4/30/2013 1 1 KARANG ANYAR
55 3209202502061767 3209352009720002 NONO SUPRIYONO 1 CIREBON 9/20/1972 1 2 KARANG ANYAR
56 3209202502061767 3209356802790004 DEDE CARINI 2 CIREBON 2/28/1979 2 2 KARANG ANYAR
57 3209202502061767 3209351112070003 DENO PRAKOSO AL TUPAN 3 CIREBON 12/11/2007 1 1 KARANG ANYAR
58 3209202502061767 3209352801110001 HABIB AL TUPAN 3 CIREBON 1/28/2011 1 1 KARANG ANYAR
59 3209350605080007 3209351704700002 ANTO RIANTO 1 CIREBON 4/17/1970 1 2 KARANG ANYAR
60 3209350605080007 3209355010770002 SULIYAH 2 CIREBON 10/10/1977 2 2 KARANG ANYAR
61 3209350605080007 3209355811990003 NADYA PITALOKA 2 CIREBON 11/18/1999 2 1 KARANG ANYAR
62 3209350605080007 3209350403060003 ARYA SULISTIO 1 CIREBON 3/4/2005 1 1 KARANG ANYAR
63 3209353010150006 3209350707880006 SUHANDI 1 CIREBON 7/7/1988 1 2 KARANG ANYAR
64 3209353010150006 3209355505860002 SITI AISYAH 2 CIREBON 5/15/1986 2 2 KARANG ANYAR
65 3209353010150006 3209352907120002 ALIF IBRAHIM 3 CIREBON 7/29/2012 1 1 KARANG ANYAR
66 3209353010150006 3209350310160002 FARID MAULANA 3 CIREBON 10/3/2015 1 1 KARANG ANYAR
67 3209202502060242 3209201510690008 MASRUDIN 1 CIREBON 10/15/1969 1 2 PEJAGALAN LAMA
68 3209202502060242 3209355207740003 ROSWENAH 2 CIREBON 7/12/1974 2 2 PEJAGALAN LAMA
69 3209202502060242 3209204212960002 INDAH SILVIANA 3 CIREBON 12/2/1996 2 1 PEJAGALAN LAMA
70 3209202502060242 3209355111010001 PUTRI ARNETA 3 CIREBON 11/11/2001 2 1 PEJAGALAN LAMA
3209351511100001 3209352912860001 MOHAMMAD TOHA 1 CIREBON 12/29/1986 1 2 PEJAGALAN LAMA
3209351511100001 3209350303890003 SUGIARTI 2 CIREBON 3/23/1989 2 2 PEJAGALAN LAMA
3209351511100001 3209353110100001 ALFARISSY 3 CIREBON 10/31/2010 1 1 PEJAGALAN LAMA
71 3209350907150001 3209361112710002 AKADI 1 CIREBON 12/11/1971 1 2 BABADAN BARAT
72 3209350907150001 3209365010710002 NURHASANAH 2 CIREBON 10/10/1971 2 2 BABADAN BARAT
73 3209350907150001 3209361309110002 DAVID AKSAN 1 CIREBON 9/13/2011 1 1 BABADAN BARAT
74 3209350907150001 3209361901150004 MAULANA ZUHRI 1 CIREBON 1/19/2015 1 1 BABADAN BARAT
75 3209352107080014 3209354912870001 MENI 2 CIREBON 12/9/1967 2 1 BABADAN BARAT
76 3209351910100017 3209351510600010 U.RUKMAN 1 CIREBON 10/15/1960 1 2 BABADAN BARAT
77 3209351910100017 3209355208620002 UUN KUNAENAH 2 CIREBON 8/12/1962 2 2 BABADAN BARAT
78 3209351910100017 3209352708890002 AGUS SUSANTO 3 CIREBON 6/27/1989 1 1 BABADAN BARAT
79 3209351910100017 3209352108920002 SUNENDRA 3 CIREBON 8/21/1992 1 1 BABADAN BARAT
80 3209351910100017 3209354908990001 RAHAYU 3 CIREBON 8/9/1999 2 1 BABADAN BARAT
81 3209352306080078 3209351610660001 MAWARDI 1 CIREBON 10/15/1955 1 2 CANGGONG
82 3209352306080078 3209354610660001 KENI 2 CIREBON 10/5/1966 2 2 CANGGONG
83 3209352306080078 3209351204840001 SHOLIKIN 3 CIREBON 4/12/1984 1 1 CANGGONG
84 3209352306080078 3209351202890001 ANDI 3 CIREBON 2/12/1989 1 1 CANGGONG
85 3209352306080078 3209354810930002 OLIYA 3 CIREBON 8/10/1993 2 1 CANGGONG
86 3209351205100013 3209350104690001 NANDI 1 CIREBON 4/1/1969 1 2 CANGGONG
87 3209351205100013 3209356706730003 RODIYAH 2 CIREBON 6/27/1973 2 2 CANGGONG
88 3209351205100013 3209352703960002 SYUKRON 3 CIREBON 3/27/1996 1 1 CANGGONG
89 3209351205100013 3209352912690001 ERLANGGA 3 CIREBON 12/23/1998 1 1 CANGGONG
90 3209351205100013 3209355703020004 AYUNAH 3 CIREBON 3/17/2002 2 1 CANGGONG
91 3209351209130004 3209220405860001 KADNAN 1 CIREBON 5/4/1986 1 2 CANGGONG
92 3209351209130004 3209205212870006 TRIYANA 2 CIREBON 12/12/1987 2 2 CANGGONG
93 3209351209130004 3209355408130002 SYAFITRI 3 CIREBON 8/14/2013 2 1 CANGGONG
94 3209351704080029 3209351207430001 SUWANDI 1 CIREBON 7/12/1943 1 1 CANGGONG
95 3209351704080029 3209350205810001 SUGENG SUGIANTO 3 CIREBON 5/2/1981 1 1 CANGGONG
96 3209351704080029 3209351205890001 ARIS RESTANTIONO 3 CIREBON 5/12/1989 1 1 CANGGONG
97 3209351005130005 3209352910810002 AGUSTIANTO 1 CIREBON 10/29/1981 1 2 CANGGONG
98 3209351005130005 3209356907890001 LUSI LUTRIANA 2 CIREBON 7/29/1989 2 2 CANGGONG
99 3209351005130005 3209354302130001 MARWAH MUTIARA GUSLI 3 CIREBON 2/3/2013 2 1 CANGGONG
100 3209350110100004 3209350303780005 NURAKHIM 1 CIREBON 3/3/1978 1 2 CANGGONG
101 3209350110100004 3209354205840003 RUSLIANA 2 CIREBON 5/2/1984 2 2 CANGGONG
102 3209350110100004 3209354509100001 ANIDAYANTI 3 CIREBON 9/5/2010 2 1 CANGGONG
103 3209352807080010 3209351501600001 KOHARUDIN 1 CIREBON 1/15/1960 1 2 CANGGONG
104 3209352807080010 3209355604630002 HANIA 2 CIREBON 4/16/1963 2 2 CANGGONG
105 3209352807080010 3209355101920001 ELOK WILDAN 3 CIREBON 1/11/1992 2 1 CANGGONG
106 3209352807080010 3209351211940001 ABI DARDA 3 CIREBON 11/12/1994 1 1 CANGGONG
107 3209352807080015 3209350212770001 JUNAEDI 1 CIREBON 12/2/1977 1 2 CANGGONG
108 3209352807080015 3209355005860001 MUTIA 2 CIREBON 5/10/1986 2 2 CANGGONG
109 3209352807080015 3209353009100005 BAGUS MAULANA FATURAHMAN 3 CIREBON 9/30/2010 1 1 CANGGONG
110 3209352807080015 3209354204690002 ROHANA 1 CIREBON 4/2/1969 2 1 CANGGONG
111 3209351011140001 3209352210990001 ADE KOSASIH 1 CIREBON 10/22/1989 1 2 CANGGONG
112 3209351011140001 3209355204920002 FATONA 2 CIREBON 4/12/1992 2 2 CANGGONG
113 3209351011140001 3209354210140001 DEDE FADILA 3 CIREBON 10/2/2014 2 1 CANGGONG
114 3209350804100005 3209351006630001 KARNEN 1 CIREBON 6/10/1963 1 2 CANGGONG
115 3209350804100005 3209356004690001 DANIYAH 2 CIREBON 4/20/1969 2 2 CANGGONG
116 3209350804100005 3209352004660002 EKA KOMARUDIN 3 CIREBON 4/20/1966 2 1 CANGGONG
117 3209350804100005 3209356008950001 AGUSTINA 3 CIREBON 8/20/1995 2 1 CANGGONG
118 3209352305130001 3209350811770002 RATIMA 1 CIREBON 11/8/1977 1 2 CANGGONG
119 3209352305130001 3209356802900001 TRISNA DEWI 2 CIREBON 2/28/1990 2 2 CANGGONG
120 3209352305130001 3209354204130001 NADIATUL ZAHRO 3 CIREBON 4/2/2013 2 1 CANGGONG
121 3209353103080001 3209351203760001 YATNO 1 CIREBON 3/13/1975 1 2 CANGGONG
122 3209353103080001 3209357101760001 NURAISAH 2 CIREBON 1/31/1975 2 2 CANGGONG
123 3209353103080001 3209355211950001 NOVI SAFITRI 3 CIREBON 11/12/1995 2 1 CANGGONG
124 3209353103080001 3209356301980002 FITRI SA'DIYAH 3 CIREBON 1/23/1998 2 1 CANGGONG
125 3209350402090045 3209351510600005 UDIN 1 CIREBON 10/15/1960 1 1 CANGGONG
126 3209350402090045 3209351502830002 AGUS SALIM 3 CIREBON 2/15/1983 1 1 CANGGONG
127 3209350402090045 3209355410900001 LATIFA 3 CIREBON 10/14/1990 2 1 CANGGONG
128 3209350402090045 3209355707960001 SITI KHODIJAH 3 CIREBON 10/17/1995 2 1 CANGGONG
129 3209350106090015 3209351308830004 ZAKARIA 1 CIREBON 8/13/1983 1 2 CANGGONG
130 3209350106090015 3209354107900011 MAEDA 2 CIREBON 7/1/1990 2 2 CANGGONG
131 3209350106090015 3209354404090002 APRIL MAULIDIYAH 3 CIREBON 4/4/2009 2 2 CANGGONG
132 3209350106090015 3209354404090002 TIARA LIVI 3 CIREBON 5/2/2010 2 1 CANGGONG
133 3209353012140004 3274020808930006 PRANOTO 1 CIREBON 8/8/1993 1 2 CANGGONG
134 3209353012140004 3209354107930002 KHOMARIAH 2 CIREBON 7/1/1993 2 2 CANGGONG
135 3209353012140004 3209354102150001 REYSA PUTRI OKTAVIA 3 CIREBON 2/1/2015 2 1 CANGGONG
136 3209350303100011 3209350404540001 MASKARI 1 CIREBON 4/4/1954 1 2 CANGGONG
137 3209350303100011 3209356309600002 NAIMAH 2 CIREBON 9/23/1960 2 2 CANGGONG
138 3209350303100011 3209351405860002 ABDUL ROSYID 3 CIREBON 5/14/1986 1 1 CANGGONG
139 3209350303100011 3209352304880001 MACHRUS 3 CIREBON 4/23/1988 1 1 CANGGONG
140 3209352006130004 3209192607900001 SARNADI 1 CIREBON 7/26/1990 1 2 CANGGONG
141 3209352006130004 3209356008950001 AGUSTINA 2 CIREBON 8/20/1995 2 2 CANGGONG
142 3209352006130004 3209350302120003 WIRDA PRATAMA 3 CIREBON 2/3/2012 1 1 CANGGONG
143 3209352006130004 32093562004130003 MUHAMMAD REZA ADITYA 3 CIREBON 4/20/2013 1 1 CANGGONG
144 3209350405090041 3209350611640002 SUYONO 1 CIREBON 11/5/1964 1 2 CANGGONG
145 3209350405090041 3209355510640002 RUMINTA 2 CIREBON 10/15/1964 2 2 CANGGONG
146 3209350405090041 3209350606870002 FATKHUROHMAN 3 CIREBON 6/6/1987 1 1 CANGGONG
147 3209350405090041 3209351509890002 FENDI FRADANA 3 CIREBON 9/15/1989 1 1 CANGGONG
148 3209351201090052 3209351210700004 MINO 1 CIREBON 10/12/1970 1 2 CANGGONG
149 3209351201090052 3209354608820001 TITIN SUPRIATIN 2 CIREBON 8/6/1982 2 2 CANGGONG
150 3209351201090052 3209355808010002 ALFITRI AYANI 3 CIREBON 8/18/2001 2 1 CANGGONG
151 3209351201090052 3209351310060001 MOH RIJKI JAMALI 3 CIREBON 10/13/2006 1 1 CANGGONG
152 3209351201090052 3209352602100002 ABDUL MUGNI 3 CIREBON 2/26/2010 1 1 CANGGONG
153 3209352409070213 3209351303810001 AHMAD ZAENUDIN 1 CIREBON 3/13/1981 1 2 CANGGONG
154 3209352409070213 3209354603780001 SITI MA'RIFAH 2 CIREBON 3/6/1978 2 2 CANGGONG
155 3209352409070213 3209355509060002 ZAHFIRA NURSYA'BANI 3 CIREBON 9/15/2006 2 1 CANGGONG
156 3209352411110010 3209351412720002 KUSLANI 1 CIREBON 12/14/1972 1 2 CANGGONG
157 3209352411110010 3209355410740001 DAILAH 2 CIREBON 10/14/1974 2 2 CANGGONG
158 3209352411110010 3209356905050004 NILAM NURYATI 3 CIREBON 6/29/2005 2 1 CANGGONG
159 3209350606110011 3209352508720003 UUNG SUGIANTO 1 CIREBON 8/25/1972 1 2 CANGGONG
160 3209350606110011 3209355801690001 ROBIATUL ADAWIYAH 2 CIREBON 1/18/1969 2 2 CANGGONG
161 3209353006080068 3209350509800001 SUPANI 1 CIREBON 9/5/1980 1 2 CANGGONG
162 3209353006080068 3209356608730002 KUSRIJAH 2 CIREBON 8/26/1973 2 2 CANGGONG
163 3209353006080068 3209356807080001 NAILA ZAHRA INDURASMI 3 CIREBON 7/28/2008 2 1 CANGGONG
164 3209353006080068 3209356807140002 AQILLA PERMATA ANJANI 3 CIREBON 7/28/2014 2 1 CANGGONG
165 3209350309090003 3209354510720001 NURHASANAH 1 CIREBON 10/5/1972 2 1 CANGGONG
166 3209350309090003 3209352406000001 MOHAMAD NOER ALAMSYAH 3 CIREBON 6/24/2000 1 1 CANGGONG
167 3209350309090003 3209350502020001 AINUL YAKIN 3 CIREBON 2/5/2002 1 1 CANGGONG
168 3209350309090003 3209356910040001 AULIYAH FUTRI RAMADANI 3 CIREBON 10/29/2004 2 1 CANGGONG
169 3209350411160004 3209352510770002 HERAWAN SYAH 1 CIREBON 10/25/1977 1 2 CANGGONG
170 3209350411160004 3209355503810003 MIMIN RATMINI 2 CIREBON 3/15/1981 2 2 CANGGONG
171 3209350411160004 3209355703100002 ZAHIRA MAULIDIA ZATTY 3 CIREBON 3/17/2010 2 1 CANGGONG
172 3209350411160004 3209351010150001 ARDHAN ABIYASA 3 CIREBON 10/10/2015 1 1 CANGGONG
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RT RW KODE POS NAM KECAMATAN NAMA DESA

3 4
3 4
3 4

Ajuan BPJS

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NO NO KARTU KELUARGA NIK NAMA HUB KEL TEMPAT TANGGAL LAHIR JK STATUS KAWIN BLOK

1 3209350601120000 32093557111910000 FANNY RAMA SARI 3 cirebon 29/01/1996 2 1 GONDANG

1 1 45174 TENGAH TANI BATTEMBAT

1 3209352004120021 3209355903460001 SAMI RUNASIH 1 CIREBON 3/19/1946 2 2 TIMUR

1 3 45174 TENGAH TANI BATTEMBAT

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