KODE VIRTUAL ACCOUNT BANK TEMPAT PEMBAYARAN IURAN TANGGAl REGISTRASI NOMOR PKS KODE PKS MASA BERLAKU KODE TANGGUNGAN KODE KC KODE DATI2
No
N) *P+S K,S,ATAN K,S,ATAN ."ka u(a puna
1
1
2
0001615501012 0001187957114 0001293721154 0001880429837 0001501872737 0001647730168 0002049620095 0002049620242 0001464831966 0001495448144 0001495448166 0001495448177 -
0405
No KK
NIK/KITAS/KITAP
Nama Lengkap
2
3
4
217103 217103240 240482 482001 0018 8 217110 217110031 031081 081900 9009 9 217110 217110680 680913 913000 0007 7 217111 217111151 151114 114000 0008 8 217112 217112291 291181 181900 9005 5 217112 217112280 280184 184900 9005 5 217112 217112690 690407 407900 9009 9 217111 217111190 190781 781000 0005 5 217112 217112520 520809 809000 0007 7 217111 217111040 040613 613000 0006 6 21710747 217107470691 06919004 9004 217111 217111661 661085 085900 9004 4 217111 217111431 431007 007900 9006 6 217111 217111550 550810 810000 0006 6 217111 217111081 081213 213000 0003 3 531305 531305670 670789 789000 0002 2 217112 217112150 150969 969900 9003 3 2172042010720004 217109 217109651 651184 184000 0002 2 2171031309780004
Tommi Sihombing Jonner Silaban Aerilyn Bellvania Silaban Doren Nicholas Silaban Rimhot Siahaan Cintya SarasiaSiahaan Desi Gracia Siahaan Aron Wal Games Simatupang Simatupang Hai D!i Satriyo Chris"any #evia Agellica Sihar Siregar Nesha Gavrila Siregar Harry $a%he! Siregar Yu!" Yu!"#a #a Lam$a% Lam$a% S"nam& S"nam&e'a e'a Timbunan &valina 'arhusip Tri ()tasari Situmeang Tania Grace A*ril ia Situmeang Je*ry Natanael Situmeang &lisabet &rin Ti*aona #ulius Dhanny 'arsaulian Simatupang Ime' Ime'(a (a Na"n Na"ngg ggo' o'an an Barlev Siabutar
217103 217103180 180707 707008 0087 7 217110 217110141 141212 212001 0011 1 217110 217110141 141212 212001 0011 1 217110 217110141 141212 212001 0011 1 2171120106100003 2171120106100003 2171120106100003 217112 217112260 260310 310001 0015 5 217112 217112231 231208 208006 0068 8 217112 217112231 231208 208006 0068 8 217111 217111130 130908 908008 0080 0 217111 217111130 130908 908008 0080 0 217111 217111130 130908 908008 0080 0 21710730 217107301111 11110030 0030 217111 217111160 160208 208176 1767 7 217111 217111160 160208 208176 1767 7 217111 217111160 160208 208176 1767 7 217111 217111160 160208 208176 1767 7 531305 531305290 290508 508001 0013 3 217112 217112300 300408 408000 0009 9 217103 217103240 240707 707001 0014 4 -
-
-
2171121510100003 2171124203150001
#uis"ra +uc)y Bram D Siabutar $aria Chelsea Siabutar
PISAT
Tgl Lahir
Pe.er"a 1 S/ai 2 I."ri3 !a" La #$$%%% A-a4 Taah a- &
,e-i. S"a"/. Kelai- Ka0i-
1L 2P
1Bel/ A'ama# Tempa# T"ngga' Ka0i-5 2Ka0i -5 3,a-# a$#/#a
T
Ko(e Ko(e Po Keama#a n
&
'
(
)
*
1+
11
12
13
14
2 2 4 4 2 4 4 2 2 4 2 4 4 1 3 4 4 4 3 2 2 1 2
Ta%u#ung Pa%u%ean *a#am *a#am u#a&a%u *a#am *a#am Lum&an P" a'ang a'ang Aek S"#ape *a#am *a#am u#ago(an u#a%aa *a#am *a#am *a#am a'a"a Ta%empa Te'uk A"% *engku'u Pa'"anaopa
24/04/1982 03/10/1981 28/09/2013 15/11/2014 22/05/1979 14/02/2012 20/12/2013 29/11/1981 28/01/1984 29/04/2007 19/07/1981 12/08/2009 04/06/2013 07/06/1991 26/10/1985 03/10/2007 15/08/2010 08/12/2013 27/07/1989 15/09/1969 0/10/1972 25/11/1984 13/09/1978
1 1 2 1 1 2 2 1 1 2 1 2 1 2 2 2 2 1 2 1 1 2 1
1 -
*"(a Au *' Pe%um K -
007 005 -
29437 29424 -
0726
2 -
003 001 -
4275 -
4 4
*a#am *a#am
15/10/2010 02/03/2015
1 2
-
-
-
-
-
-
Nama Ko(e Nama Keama#a Ke'u%aa Ke'u%aa n n n
1&
1'
*a#u A"
-
unga" *e(u
45650
*a#u A" -
74972 -
1( -
Ko(e ake TkI
Nama ake TkI
Ko(e ake ok#e% :"g"
Nama ake ok#e% :"g"
Nomo% Te'epon Pee%#a
,ma"'
NPP
1)
1*
2+
21
22
23
24
angang 0070*037 K'"n"k In#a 0070*037 K'"n"k In#a 13737251 *uk"# Temp 0070*037 K'"n"k In#a 0070*037 K'"n"k In#a 12613466 -
-
-
-
-
-
-
-
-
-
-
-
S#a#u
+a&a#an
2&
Ke'a a!a#
1
2'
Kewarg a Negaraa n
2(
TT Ke%a
2)
:a" Pokok ; Tun Te#ap
2*
1=WNI, 2=WNA
Au%an" La"nna
No Po'"
Nama Au%an"
31
32
3+
Pe%a!a#
1
2
3241126
1
A(m"n"#%a
1
1
3241126
1
-
-
No NPP
No Papo%#
33
34
-
-
-
-
-
-
