KEC. LABAKKANG

ISIAN SURAT PERNYATAAN DUKUNGAN DAN DOKUMEN PENDAFTARAN PASANGAN CALON PERSEORANGAN (sebagai isian untuk Formulir Model B.1-KWK PERSEORANGAN)

1

INFORMASI WILAYAH a. Kelurahan/Desa b. Kecamatan

:

TARAWEANG : LABAKKANG

DATA PENDUKUNG No

Nama

NIK

Jns Kelamin

2

3

4

1

JUMALIA

7310074502910002

P

2

SUNGGU

7310074304750002

P

3

ERNAWATI

7310075304950001

P

4

SANIASA D

7310074502610002

L

5

IWAN

7310073012830004

L

ADI YANTI ABDULLAH SURIANI DANIAL UMAR NURLINDA MARWIAH M. ARAFAH NAAREATI NURLINA ARAFAH USMAN MUH. YUSUF NURSIA NURHAEDA BADA SUADA SUNARTI MULIATI MUSAKKIR RAMLI NURHAYATI RAMLAH RANO KARNO

7310071201900003 7310077112910008 7310073011700003 7310076006760002 7310070906940007 7310072302960001 7310076604980006 7310074306550001 7310070202590001 7310074710680001 7310075502840003 7310071705950002 7310073112750040 7310074051280003 7310074104970005 7310074304700001 7310077112590002 7310075009800001 7310074103880001 7310070702870004 7310072601580001 7310074507670002 7310074407880001 7310071904990001

L P L P L L P P L P P L L P P P P P P L L P P L

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 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

ILHAM AMIR KAN KASMAWATI HASNIA SAMAILA MUHAMMAD HASNA M SALAMA UMAR ABD. RAHMAN J ABDULLAH NURSIAH MASATI WAHYUNI HAMSIA SALWIAH CANDANG LOCONG ERNI SUKMAWATI KARTIA HALIMA RAHMAN MULIATI RISNAWATI LISMA AULIA NURHIKMA KASMAWATI SAMSIA NURWAHIDAH ASNI SUGIANA HASRA NURJANNAH SYAMSUDDIN NURTANG MEGAWATI HASNI PARLIADI SUADA SUKRIADI ST RAHMA ABD. RAHMAN HABIBA MARWAH RUMBUNG SIA

7310070303970001 7310070107830439 7310074202740005 7310076007050004 7310072104520002 7310070711510001 7310074112700002 7310071908780001 7310071103830001 7310070404840006 7310073012650007 7310075808710003 7310075511700004 7310071508850002 7310075406670001 7310074309860002 7310076012680002 7310074407850001 7310076305910002 7310074407760002 7310075702770002 7310070710910002 7310074804780001 7310077012930001 7310075708950003 7310075008930002 7310075011760001 7310075007880006 7310075012770001 7310075608690001 7310075910750003 7310074408780001 7310071507660001 7310076103850003 7310077005950001 7310074707700002 7310072008760001 7310074107770053 7100771104880001 7310074406700001 7310070808840001 2102094307670001 7310074505780015 7310070504430002 7310076311500001

L L P P L L P P L L L P P P P P P P P P P L P P P P P P P P P P L P P P L P L P L P P L P

75 76 77 78 79 80 81 82 83 84 85 86

SULAEMAN MARNIATI NABA KASMA SULAEMAN MUH SAID MIRANA BAHRA MULIANA PUJIANA MIRDA

7310072009660001 7310076805900001 7310070207720005 7310074607760007 7310076069700003 7310070112510001 7310074512600001 7310076109810004 7310075210850003 7310076004940001 7310076806980001

L P L P L L P P P P P

PENDAFTARAN

Kabupaten/Kota

:

Provinsi

PANGKEP SUL - SEL

Alamat

RT/RW

Tempat Lahir

5

6

7

KAMPUNG TEPPOE

002/006

TARAWEANG

KP MATTOANNGING

002/005

TARAWEANG

KP MATTOANNGING

002/005

TARAWEANG

KP BATU BATU

002/003

TARAWEANG

KP BATU BATU

002/003

TARAWEANG

KP BATU BATU KP BATU BATU GATTA GATTARENG GATTA GATTARENG GATTA GATTARENG GATTA GATTARENG GATTA GATTARENG GATTA GATTARENG KP TEPPOE KP TEPPOE KP TEPPOE KP TEPPOE KP BARU KP BARU KP BARU KP TEPPOE KP TABORA KP TABORA KP TABORA KP TABORA KP MASIGI KP MASIGI KP MASIGI KP MASIGI

002/003 002/003 001/004 001/004 001/004 001/004 001/004 001/004 002/006 002/006 002/006 002/006 002/006 002/006 002/006 001/006 003/005 003/005 003/005 003/005 002/002 002/002 002/002 002/002

TARAWEANG TARAWEANG LEMBANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG LEMBANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG

KP MASIGI BALLA SIBATUA BALLA SIBATUA BALLA SIBATUA BALLA SIBATUA KP MASIGI KP MASIGI KP MASIGI KP MASIGI BEROANGIN KP PALU KP BATU BATU KP TEPPOE KP TEPPOE KP TEPPOE KP TEPPOE KP BATU BATU KP BATU BATU KP BATU BATU KP TEPPOE KP BATU BATU KP BATU BATU KP TEPPOE KP BATU BATU KP BATU BATU KP BATU BATU KP BATU BATU KP BATU BATU KP BATU BATU GATTA GATTARENG KP TEPPOE KP MATTOANNGING KP BARU KP TARAWEANG KP BATU BATU KP BATU BATU KP BATU BATU KP BATU BATU KP TEPPOE KP BATU BATU KP BARU KP BARU KP BATU BATU KP TARAWEANG KP TARAWEANG

002/002 002/004 002/004 002/004 002/004 002/002 002/002 002/002 002/002 001/006 004/002 001/003 002/006 002/006 002/006 002/006 001/006 002/003 001/003 002/006 001/003 001/003 002/006 001/003 001/003 001/003 001/003 001/005 001/003 001/004 002/006 002/006 002/006 001/001 001/003 001/003 001/003 001/003 002/006 001/003 002/006 002/006 002/003 001/001 001/001

TARAWEANG MAROS TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG BEROANGIN TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG ATTANG SALO TARAWEANG TARAWEANG TARAWEANG BANTIMURUNG KP BARU PASSIKKI TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG BULU SIPONG TARAWEANG TARAWEANG TARAWEANG TARAWEANG LABBAKKANG BUNGORO TARAWEANG TARAWEANG SIPANGAH TARAWEANG TARAWEANG TARAWEANG LABBAKKANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG

KP KP KP KP KP KP KP KP KP KP KP

TARAWEANG TARAWEANG MATTOANNGING MATTOANNGING MATTOANNGING BARU BARU BARU BARU BARU BARU

001/001 001/001 002/005 002/005 002/005 001/005 001/005 001/005 001/005 001/005 001/005

TARAWEANG TARAWEANG TARAWEANG BULU SIPONG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG TARAWEANG

Tanggal Lahir 8

Belum/Pernah/ Sudah Kawin 9

05/02/1991

B

08-04-1975

S

13-04-1995

B

05-02-1961

S

30-12-1983

B

12-01-1990 31-12-1991 30-11-1970 20-06-1976 09-06-1994 23-02-1996 15-04-1998 03-06-1955 02-02-1959 07-10-1968 16-02-1984 17-05-1995 31-12-1975 05-12-1980 01-04-1997 03-04-1970 31-12-1959 10-09-1980 01-03-1988 07-02-1987 26-01-1958 05-07-1967 04-07-1988 19-04-1990

B B S S B B B P S S B B S S B P P B B B S S S B

03-03-1997 01/07/1983 02-02-1974 20-07-2009 21-04-1952 07-11-1951 01-12-1970 19-08-1978 11-03-1983 04-04-1984 30-12-1965 18-08-1971 15-11-1970 15-08-2985 14-06-1967 03-09-1986 10-12-1968 06-06-1985 23-05-1991 04-07-1976 17-02-1977 17-10-1990 08-04-1978 30-12-1993 17-08-1995 10-08-1993 10-11-1976 10-07-1986 10-12-1977 16-08-1969 19-10-1975 04-08-1978 15-07-1966 21-03-1985 30-05-1995 07-07-1970 10-08-1976 01-07-1977 11-04-1988 04-06-1970 08-08-1984 03-06-1967 05-05-1978 05-04-1943 23-11-1950

B S S B P S B B B S S S S B S S P S B S S S S B S B S S S S S S S S S S S S B S S S S S S

20-09-1966 28-05-1990 02-07-1972 06-07-1976 26-06-1996 01-12-1951 05-12-1960 21-09-1981 12-05-1985 20-04-1993 28-06-1998

B B S S B S S P B B B


1


2

:

BARABATU : LABAKKANG

DATA PENDUKUNG No

Nama

NIK

Jns Kelamin

2

3

4

1

NISA

7310074506590003

P

2

SAENI PADE

7310071208750001

L

3

SUMIATI

7310074610840003

P

4

MIDA

7310076007500002

P

5

ANTO

7310070801890001

L

TAJUDDIN BURAHAN ABD. RAHMAN B IRA SRY WULANDARI SRY SUNDARI BADDOLO ROSI ERLIS ARJUN DULLAH KE'NANG NORMA TAHIR SITA MUHLIS MELLY CAMMA GANDI KAMARIA RAHMA AMBO TANG NURUNG ANDI

7310070107900365 7310070603920001 7310070301780001 7310074107800372 7310076303970002 7310075412980001 7310073112440007 7310076707600007 7310070702930001 7310072512973003 7310070156800002 7310074107750380 7310075709940002 7310071010770002 7310074703790001 7310070906950002 7310076807970302 7310077112390015 7310071211860002 7310074301900002 7310075710920001 7310071807690001 7310075708700001 7310070511940002

L L L P P P L P P L L P P L P L P P L P P L P L

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 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

BAHRI COLLE SIA MAJI ABDUL KADIR TAHYIB SYAMSUDDIN SYAMSINAR RIZAl TAHIR PAHA NAING INDO TANG PIASSE BOKO JUMRIAH DANA MARKUS SRIPUSPITA MARFIADI ASRIDEVI SANDY SAPUTRA SAMSIA A MULIADI ARIS BAKKA KAMU RISMAWATI SAPRI RAMALANG ABDUL MALIK MO'MI

7310071106730001 7310070306360001 7310074608600001 7310070709790001 7310071710850001 7310070602620010 7310070911900003 7310075510950004 7310073110970001 7310071010770002 7310070508580009 7310071210660001 7310075002670001 7310063112840026 7310070106670002 7310074606660032 7310077112890019 7310072802670001 7310077112750001 7310072107920003 7310074609940001 7310070503950032 7310074107760348 7310070505740007 7310070104350002 7310075207400002 7310076106750001 7310073112730047 7310074107810282 7310070608680020 7310074107710185

L L P L L L L P L L L L P L L P P L P L P L P L L P P L P L P

PENDAFTARAN

Kabupaten/Kota

:

Provinsi

PANGKEP SUL - SEL

Alamat

RT/RW

Tempat Lahir

5

6

7

KAMPUNG BARU

001/003

GATTA-GATTARENG

KAMPUNG BARU

001/003

KAMPUNG BARU

KAMPUNG BARU

001/003

KAMPUNG BARU

KAMPUNG BARU

001/002

KAMPUNG BARU

KAMPUNG BARU

001/002

BARA BATU

KAMPUNG BARU KAMPUNG BARU BARA BATU BARA BATU BARA BATU BARA BATU BULU SIPONG BULU SIPONG BULU SIPONG BULU SIPONG KALAMESUE KALAMESUE KALAMESUE KALAMESUE KALAMESUE BULU SIPONG BULU SIPONG BULU SIPONG BULU SIPONG BULU SIPONG BULU SIPONG KAMPUNG BARU KAMPUNG BARU KAMPUNG BARU

001/002 001/002 002/002 002/002 002/002 002/002 002/002 002/002 002/002 002/002 002/001 002/001 002/001 002/001 002/001 002/002 002/002 002/002 002/002 002/002 002/002 001/001 001/001 001/001

BARA BATU BARA BATU LABBAKANG JENNAE BULU SIPONG BULU SIPONG BULU SIPONG BULU SIPONG LABBAKANG LABBAKANG KALAMESUE TARAWEANG KALAMESUE TARAWEANG KALAMESUE BULU SIPONG BULU SIPONG LABBAKANG BULU SIPONG BULU SIPONG BULU SIPONG KAMPUNG BARU KAMPUNG BARU BARA BATU

KAMPUNG BARU BULU SIPONG BULU SIPONG BULU SIPONG BULU SIPONG BULU SIPONG BULU SIPONG BULU SIPONG BULU SIPONG KALAMESUE KAMPUNG BARU BARA BATU BARA BATU KAMPUNG BARU B. SIPONG DS BATU BATU B. SIPONG DS BATU BATU B. SIPONG DS BATU BATU KAMPUNG BARU KAMPUNG BARU KAMPUNG BARU KAMPUNG BARU KAMPUNG BARU BULU SIPONG BULU SIPONG BULU SIPONG BULU SIPONG BULU SIPONG KALAMESUE KALAMESUE BULU SIPONG BULU SIPONG

001/001 002/002 002/002 002/002 002/002 001/001 001/001 001/001 001/001 002/001 001/003 001/003 001/003 002/001 001/002 001/002 001/002 002/001 002/001 002/001 002/001 002/001 001/002 001/002 001/002 001/002 001/002 001/002 001/002 00/002 00/002

KAMP. BARU BARA BULU SIPONG BULU SIPONG BULU SIPONG LABBAKANG NUSA TENGGARA TIMUR NUSA TENGGARA TIMUR NUSA TENGGARA TIMUR NUSA TENGGARA TIMUR TARAWEANG BARA BATU MAROS BARA BATU SELA BULU SIPONG BULU SIPONG BULU SIPONG UJUNG PANDANG WAJO WAJO WAJO WAJO BULU SIPONG LABBAKANG TARAWEANG TARAWEANG TARAWEANG KALAMESUE TALAKA TEPPOE BULU SIPONG

Tanggal Lahir 8


05-06-1959

S

12-08-1975

B

06-10-1984

P

20-07-1950

P

08-01-1989

B

01-07-1990 06-03-1992 03-01-1976 01-07-1980 23-03-1997 14-12-1998 31-12-1944 27-07-1960 07-02-1993 25-12-1997 01-06-1968 01-07-1975 17-09-1994 10-10-1977 07-03-1979 09-06-1995 28-07-1997 31-12-1939 12-11-1986 03-01-1990 07-10-1992 18-07-1969 17-08-1970 05-11-1994

B B S S B B S S B B S S B S S B B P B B B S S B

11-06-1973 03-06-1963 06-08-1960 07-09-1979 17-10-1985 06-02-1962 09-11-1990 15-10-1995 31-10-1997 10-10-1977 05-08-1958 12-10-1966 10-02-1967 31-12-1984 01-06-1967 06-06-1966 31-12-1989 28-03-1967 31-12-1975 21-07-1992 06-09-1994 05-03-1995 01-07-1976 05-05-1974 01-04-1935 12-07-1940 21-06-1975 31-12-1973 01-07-1981 06-06-1968 01-07-1971

B S S S B S B B B S S S S S S S B S S B B B B S S S S S S S S


1


2

:

PUNDATA BAJI : LABAKKANG

DATA PENDUKUNG No

Nama

NIK

Jns Kelamin

2

3

4

1

KURYADI

7310071010870008

L

2

ANDI M. ZATRIA AP

7310070308940001

L

3

AHMAD SANTA

7310071004710001

L

4

ST. RAHMA

7310075705620001

P

5

M. ARIF

7310070505580005

L

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

MURNI

7310076105850001

P

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

PENDAFTARAN

Kabupaten/Kota

:

Provinsi

PANGKEP SUL - SEL

Alamat

RT/RW

Tempat Lahir

5

6

7

ERASA

002/001

PALOPO

MACCINI BAJI

003/004`

BAU BAU

ERASA

001/001

BATTO

MACCINI BAJI

003/004

BAU BAU

MACCINI BAJI

003/004

LABAKKANG

MARICAYYA

001/002

PUNDATA

Tanggal Lahir 8


10-10-1987

S

03-08-1994

B

10-04-1971

S

17-05-1962

S

05-05-1958

S

21-05-1985

S


1

INFORMASI WILAYAH a. Kelurahan/Desa

:

b. Kecamatan

2

BONTOMANAI :

LABAKKANG

DATA PENDUKUNG No

Nama

NIK

Jns Kelamin

2

3

4

1

MUHAMMAD JOHAN

7310071502910003

L

2

NURDIN

7310073112600045

L

3

RUGAYYA

7310073112600045

L

4

MUH. SYARIEF

7310071905920001

L

5

SANGKALA

7310070704930001

L

AGUSTINA RAMLI RATNA HASBIAH RIDWAN TAMRIN ERNI M. ILHAM DG TEPPO ASHARI ABD. RAHMAN MUSO IDA WAHYUNI MARWAH AMIRUDDIN KAMARUDDIN HR RISNAWATI M. DG. MILE SAMUNA HAYATI TOLA MATIA JUMANIA HUSBA SIRA MUH. YUSUF

7310075708980004 7310073112760052 7310074606800006 7310074309610001 7310070306920001 7310070109740005 7310074508940006 7310070304770003 7310076807850001 7310072509790004 7310075711830001 7310074112620002 7310072510880001 7310071708800007 7310074107900383 7310073007600001 7310074107590077 7310074107840290 7310070107900371 7310074117920359 7310074107940335 7310072912580002 7310077112640026 7310070507780003

P L P P L L P L P L P P L L P L P P L P P L P P

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 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

ILMAYANI NUR LINA FITRIANI HALWANI HJ NAJO PAISAL SUNGGU P DG. KANANG ABD KADIR HASNA MAHMUD Y MANNENG AMIR M FATMAWATI H. DH. SIALA H DG BOLLO ROHANA KAHARUDDIN UMAR DG LAJA MARAWA SYAMSUL RIJAL SYAMSUL RISAL NONGKO RUGA JUMA JAMILA HASMAWATI

7310075306870001 7310075501920006 7310076110970002 7310074099750002 7310074107330268 7310071601680001 7310074107710184 7310076106550001 7310071808790003 7310075906810004 7310071507650006 7310077112700041 7310071910850004 7310074706900003 7310070106610015 7310077112630046 7310075212920005 7310070503930002 7310070607700001 7310075312770001 7310070906920001 7310073107970001 7310073112580009 7310074508750006 7310073112500032 7310074112600003 7310077110900001

P P P P P L P P L P L P L P L P P L L P L L L P L P P

Kabupaten/Kota

:

Provinsi

PANGKEP SUL - SEL

Alamat

RT/RW

Tempat Lahir

5

6

7

KP CAMPAGA

002/004

CAMPAGA

KP SEKOA

2/1

SEKOA

KP SEKOA

2/1

TEKO

KP SEKOA

2/1

LABAKKANG

KP SEKOA

2/1

SEKOA

KP SEKOA KP DERA KP DERA TANARAJAE TANARAJAE BINANGATOA BINANGATOA KP MATTOANGIN KP MATTOANGIN BINANGATOA BINANGATOA KP MATTOANGIN KP MATTOANGIN KP DERA KP DERA TANARAJAE BANGKALA BANGKALA BANGKALA BANGKALA BANGKALA KP MATTOANGIN KP MATTOANGIN KP MATTOANGIN

2/1 005/001 005/001 003/005 003/005 001/005 001/005 004/002 004/002 002/005 002/005 002/003 002/003 001/003 001/003 003/005 001/002 001/002 001/002 001/002 001/002 001/004 001/004 001/004

TEKO DERA MANDALLE TANARAJAE PAMMENREKANG TANARAJAE PANJAMMA KALUKUA MATTOANGIN LABAKKANG LABAKKANG MATTOANGIN LABAKKANG LABAKKANG MAROS PULAU SAKUALA BANGKALA BANGKALA BANGKALA BANGKALA BANGKALA MATTOANGIN MATTOANGIN MATTOANGIN

KP MATTOANGIN KP MATTOANGIN KP MATTOANGIN KP DERA KP SEKOA KP MATTOANGIN KP MATTOANGIN TANARAJAE TANARAJAE TANARAJAE BINANGATOA BINANGATOA BINANGATOA BINANGATOA DERA DERA DERA DERA KP MATTOANGIN KP MATTOANGIN KP MATTOANGIN KP MATTOANGIN BANGKALA BANGKALA BONTO MANAI BONTO MANAI BONTO MANAI

001/004 001/004 001/004 001/003 003/001 001/004 001/004 003/005 003/005 003/005 002/005 002/005 002/005 002/005 001/003 001/003 001/003 001/003 002/003 002/003 002/003 002/003 002/002 002/002 002/004 002/004 002/004

LABAKKANG LABAKKANG LABAKKANG DERA DERA PANGKEP DERA PULAU SAKUALA TANARAJAE TANARAJAE BINANGATOA BINANGATOA LABAKKANG LABAKKANG DERA DERA DERA DERA PANGKEP BONTOWA BONTOWA BONTOWA BONTO SUNGGU BANGKALA BONTO MANAI PANGKEP LABAKKANG

Tanggal Lahir 8


04-01-1940

S

31-12-1960

S

03-05-1966

S

19-05-1992

B

07-04-1993

B

17-08-1998 31-12-1976 05-05-1980 03-09-1961 03-06-1992 01-09-1974 05-06-1994 03-04-1977 28-07-1985 25-09-1979 17-11-1983 01-12-1962 25-10-1988 17-08-1980 01-07-1990 30-07-1950 01-07-1959 01-07-1984 01-07-1990 01-07-1992 01-07-1994 29-12-1958 31-12-1964 05-07-1978

B S S P B S S S S S S S S S S S S B B B B S S B

13-06-1987 15-01-1992 11-10-1997 09-09-1975 01-07-1933 16-01-1968 01-07-1971 21-06-1955 18-08-1979 19-06-1981 15-07-1965 31-12-1970 19-10-1985 07-06-1990 01-06-1961 31-12-1963 12-12-1992 05-03-1993 06-07-1970 13-12-1977 09-061992 31-07-1997 31-12-1958 05-06-1975 31-12-1950 01-12-1960 31-10-1990

S B B P P S S S S S S S B B S S B B S S B B S S S S B


1


2

:

MANAKKU :

LABAKKANG

DATA PENDUKUNG No

Nama

NIK

Jns Kelamin

2

3

4

1

YULIANTI

7310076507850001

P

2

JAYA ANTON

7310070108820003

L

3

TASMI

7310076312870003

P

4

MUH IDRIS

7310070811860006

L

5

MAHMUD

7310070708450004

L

JUMRIAH KUDSIAH RISNAWATI H. DG SUJI S DG SANGING N DG LABBI J DG TANGGNGA YUPO LAKADI NURSIA KAMARUDDIN NURHAYATI YUDU ISMAIL RITA SITTI NURBAYA JUMA NURBAYA MIHANI H M DG TEPPO HJ P DG SUNGGU J DG PUJI M N DG LIBU

7310077012590005 7310074810690003 7310074904980004 7310076104460002 7310075002790003 7310074302760002 7310070303760003 7310075008460001 7310070503440001 7310077112800007 7310072105780003 7310077112890011 7310070111620001 7310071404960002 7310075507850007 7310075127450001 7310076105930002 7310072503430002 7310074911590001 7310070307660001 7310073112400032 7310077103840001 7310075109810002 7310070607760002

P P P P P P P P L P L P L L P L P L P P L P P L

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 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

HABIBIA SIA ITENG DG TENE H DG SIGA FIRMAN NAJHA MUH IDRIS BALIANA MUSDALIFA IDRIS BAHARUDDIN RAMLAH LINA MASO BOLLENG HJ SAHARI SYAMSUDDIN NASRUL HJ KATI MASATI NUR'AIDA RUKMINI MUSTAFA JUMRIA ZAENAL IDO HASNIATI ROHATI BAHRA NURDIN JAMALUDDIN HASAN SYAMRIANI M DG ROLA HADI MALIAS DG TOBO HAMSIAH H SAING HJ SANGNGING SAKKA MAEGA HJ HASNAH AGUSTIA HALUA DEDDY KAINUDDIN

7310075708450003 7310070505490001 7310077112530033 7310071011730002 7310070306810002 7310076109800002 7310070607760003 7310073112800038 7310070510595003 7310072911820001 7310075503860003 7310074211600001 7310076109750001 7310073112550027 7310077112570021 7310073112880046 7310071210930002 7310074809620002 7310075210650005 7310076504690001 7310075103910005 7310072009560001 7310075711520001 7310071801930001 7310073012820009 7310075510880006 7310074903720001 7310074708730001 7310071510790003 7310070810830004 7310072301930001 7310076809750002 7310070506750008 7310074202820005 7310073112810029 7310074908870001 7310071505250001 7310075108360001 7310077112660040 7310075010730002 7310074504540010 7310076302870002 7310074611600001 7310070107880411 7310071112580001

P L L P L P L P P L P P L L P L L P P P P L P L L P P L L L L P L P L P L P P P P P P L L

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

RUKIAH BAHARUDDIN ROSNA ABBAS DG NGEWA HASBIAH DG NILLANG RIMANG KULLE HJ DG NOTTA Y DG TENE BADA NAJO CORA HAERUDDIN HASMIATI ILYAS HESNIATI GAPPA SINGARA KALLANG TANCU SAHARUDDIN BAHARUDDIN SALARUDDIN MARUDDANI NABA PAJJA ATOM DG BETA

7310076708590001 7310073112790052 7310077112810033 7310070907700003 7310075206750003 7310075410370001 7310071611660001 7310075008540001 7310070278460001 7310075308310001 7310071125510002 7310077112570003 7310078056750003 7310076227770001 7310073112780031 7310074709760002 7310071011660005 7310074905730001 7310077112490017 7310070307800002 7310071305800005 7310073001820001 7310071712750002 7310071007870005 7310071208870001 7310075212880005 7310071007670001

P L P L P P L P P P L P L P L P L P P L L L L L L P L

NDAFTARAN

Kabupaten/Kota

:

Provinsi

PANGKEP SUL - SEL

Alamat

RT/RW

Tempat Lahir

5

6

7

KP TEKO

001/002

KANAUNGAN

KP TEKO

001/002

LABAKKANG

KP TOGGOLO

001/002

TAMANG ROJA

KP TOGGOLO

001/002

LABAKKANG

KP PAMMENREKANG

001/001

LABAKKANG

KP PAMMENREKANG KP TONASA KP TONASA TONASA TONASA KP TONASA KP TONASA LASSANG LASSANG KP PAMMENREKANG KP PAMMENREKANG KP TONASA KP TONASA KP TONASA KP PAMMENREKANG KP RONGGOLO KP KOKOA KP KOKOA KP TOGGOLO KP TOGGOLO KP BONTO ALI KP BONTO ALI KP PAMMENREKANG KP PAMMENREKANG

001/001 001/002 001/002 001/002 001/002 002/001 002/001 001/001 001/001 002/002 002/002 002/001 002/001 002/001 001/001 001/002 001/002 001/002 001/002 001/002 001/002 001/002 001/001 001/001

LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG BONTO BONTO LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG PANGKEP

KP KOKOA KP KOKOA TONASA TONASA PAMMEREKANG PAMMEREKANG KP KOKOA KP KOKOA KP KOKOA TONASA KP KOKOA KOKCA KOKCA LASSANG LASSANG LASSANG LASSANG KP TEKO KP TEKO KP TEKO KP TEKO TEKO TEKO TEKO KP KOKOA KP KOKOA KP SAPPAYYA KP SAPPAYYA KP SAPPAYYA KP SAPPAYYA KP SAPPAYYA KP TEKO TEKO TEKO KP TONASA KP TONASA KP BULOA KP BULOA KP KOKOA KP KOKOA KP TEKO KP TEKO KP PAMMENREKANG KP PAMMENREKANG KP TONASA

001/002 001/002 001/001 001/001 002/001 002/001 001/002 001/002 001/002 001/002 001/002 001/002 001/002 001/001 001/001 001/001 001/001 002/001 002/001 001/002 001/002 002/001 002/001 002/001 001/002 001/002 001/002 001/002 001/002 001/002 001/002 001/002 001/002 001/002 001/002 001/002 001/001 001/001 001/001 001/001 001/002 001/002 002/002 002/002 005/003

KOKOA KOKOA LABAKKANG LABAKKANG PUNDATA PUNDATA LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG PANGKEP LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG TEKO LABAKKANG BATILING KAJUJAWAYYA LABAKKANG LABAKKANG LABAKKANG KOKOA KOKOA LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG

KP TONASA PAMMEREKANG PAMMEREKANG LASSANG LASSANG KP SAPPAYYA KP PAUKIRI KP TONASA TONASA BONTOLALI KP PAMMENREKANG KP PAMMENREKANG KP SAPPAYYA KP SAPPAYYA KP PAMMENREKANG KP PAMMENREKANG KP PAMMENREKANG KP PAMMENREKANG PAMMEREKANG PAMMEREKANG PAMMEREKANG PAMMEREKANG PAMMEREKANG PAMMEREKANG KP KOKOA KP KOKOA PAMMEREKANG

005/003 003/002 003/002 1/1 1/1 001/002 001/002 001/002 001/002 002/001 002/002 002/002 001/001 001/001 002/002 002/002 002/001 002/001 002/002 002/002 002/002 002/002 002/002 002/002 001/002 001/002 2/1

LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG MACINNA LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG LABAKKANG KOKOA KOKOA LABAKKANG

Tanggal Lahir 8


25-07-1985

S

01-03-1983

S

23-12-1987

S

08-11-1985

S

07-08-1945

S

30-12-1959 08-10-1969 09-04-1998 21-04-1946 10-01-1979 03-02-1976 03-03-1976 10-06-1946 05-03-1944 31-12-1980 21-05-1978 31-12-1989 01-11-1962 14-04-1996 15-07-1985 12-07-1946 21-05-1993 25-03-1943 09-11-1959 23-07-1966 31-12-1940 31-03-1984 10-09-1981 06-07-1976

S B B P P S S S S S S S S B S P B P B B S S S S

17-08-1945 25-05-1940 31-12-1953 10-11-1973 03-05-1981 11-09-1980 06-07-1976 31-12-1980 10-05-1995 29-11-1982 15-03-1986 15-04-1951 21-09-1975 31-12-1955 31-12-1957 31-12-1988 12-10-1993 08-09-1962 12-10-1965 15-04-1969 11-03-1991 20-09-1956 17-11-1962 18-11-1993 30-12-1982 15-10-1988 09-03-1972 07-08-1973 15-10-1979 08-10-1983 23-01-1993 28-09-1975 05-06-1975 02-02-1982 31-12-1981 09-08-1987 15-05-1952 11-08-1930 31-12-1966 10-07-1930 05-04-1954 23-02-1987 06-11-1960 01-07-1988 11-12-1958

S S S S S S S S B B B S B B B B B B B P B S S B S S B B B B B S S S S S S S B B P B P B S

27-08-1959 31-12-1979 31-12-1981 09-07-1970 12-06-1975 14-10-1937 16-11-1966 10-08-1954 27-08-1946 13-08-1931 01-12-1951 31-12-1957 05-06-1975 22-07-1977 13-12-1978 07-09-1976 10-11-1966 05-05-1973 31-12-1949 03-02-1978 13-05-1980 30-01-1982 17-12-1985 10-07-1987 12-08-1987 12-12-1988 10-07-1967

S S S S S S S P S P S S S S S S S S P B B B B B S S S


1


2

:

MANGALEKANA : LABAKKANG

DATA PENDUKUNG No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

Nama

NIK

Jns Kelamin

2

3

4

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

PENDAFTARAN

Kabupaten/Kota

:

Provinsi

PANGKEP SUL - SEL

Alamat

RT/RW

Tempat Lahir

5

6

7

Tanggal Lahir 8


2

DATA PENDUKUNG No

Nama

NIK

Jns Kelamin

2

3

4

1

MARDIANTO1

1234567890123456

L

2

MARDIANTO2

1234567890123456

L

3

MARDIANTO3

1234567890123456

L

4

MARDIANTO4

1234567890123456

L

5

MARDIANTO5

1234567890123456

L

MARDIANTO6 MARDIANTO7 MARDIANTO8 MARDIANTO9 MARDIANTO10 MARDIANTO MARDIANTO MARDIANTO MARDIANTO MARDIANTO

1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456

L L L L L L L L L L

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 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

Alamat

RT/RW

Tempat Lahir

5

6

7

KURIPAN RAYA

01/02

BOYOLALI

KURIPAN RAYA

01/02

BOYOLALI

KURIPAN RAYA

01/02

BOYOLALI

KURIPAN RAYA

01/02

BOYOLALI

KURIPAN RAYA

01/02

BOYOLALI

KURIPAN KURIPAN KURIPAN KURIPAN KURIPAN KURIPAN KURIPAN KURIPAN KURIPAN KURIPAN

01/02 01/02 01/02 01/02 01/02 01/02 01/02 01/02 01/02 01/02

BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI

RAYA RAYA RAYA RAYA RAYA RAYA RAYA RAYA RAYA RAYA

Tanggal Lahir 8


28/12/1988

B

28/12/1988

B

28/12/1988

B

28/12/1988

B

28/12/1988

B

28/12/1988 28/12/1988 28/12/1988 28/12/1988 28/12/1988 28/12/1988 28/12/1988 28/12/1988 28/12/1988 28/12/1988

B B B B B B B B B B

aba abb abc abd abe abf abg abh abi No

Nama

1

MARDIANTO1

2

MARDIANTO2

3

MARDIANTO3

4

MARDIANTO4

5

MARDIANTO5

6 7 8 9 10 11 12 13 14 15

MARDIANTO6 MARDIANTO7 MARDIANTO8 MARDIANTO9 MARDIANTO10 MARDIANTO MARDIANTO MARDIANTO MARDIANTO MARDIANTO

NIK

Jns Kelamin Alamat

RT/RW

1234567890123456

L

KURIPAN RA

01/02

1234567890123456

L

KURIPAN RA

01/02

1234567890123456

L

KURIPAN RA

01/02

1234567890123456

L

KURIPAN RA

01/02

1234567890123456

L

KURIPAN RA

01/02

1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456

L L L L L L L L L L

KURIPAN KURIPAN KURIPAN KURIPAN KURIPAN KURIPAN KURIPAN KURIPAN KURIPAN KURIPAN

01/02 01/02 01/02 01/02 01/02 01/02 01/02 01/02 01/02 01/02

RA RA RA RA RA RA RA RA RA RA

Tempat Lahir

Tanggal Lahir

Belum/Pernah/ Sudah Kawin

BOYOLALI

28/12/1988

B

BOYOLALI

28/12/1988

B

BOYOLALI

28/12/1988

B

BOYOLALI

28/12/1988

B

BOYOLALI

28/12/1988

B

BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI

28/12/1988 28/12/1988 28/12/1988 28/12/1988 28/12/1988 28/12/1988 28/12/1988 28/12/1988 28/12/1988 28/12/1988

B B B B B B B B B B

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

NAMA BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI BUDI

NIK 122222 122222 122222 122222 122222 122222 122222 122222 122222 122222 122222 122222 122222 122222 122222 122222 122222 122222 122222 122222 122222

JNSKELAMI L L L L L L L L L L L L L L L L L L L L L

ALAMAT MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN MARSIAN

RTRW 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan 2-Jan

TPTLAHIR BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG BOJONG

TGLLAHIR STATUS 28/12/1961B 28/12/1961B 28/12/1961B 28/12/1961B 28/12/1961B 28/12/1961B 28/12/1961B 28/12/1961 28/12/1961 28/12/1961 28/12/1961 28/12/1961 28/12/1961 28/12/1961 28/12/1961 28/12/1961 28/12/1961 28/12/1961 28/12/1961 28/12/1961 28/12/1961

No

Nama

1 2 3 4 5 6 7 8 9 10

2 MARDIANTO1 MARDIANTO2 MARDIANTO3 MARDIANTO4 MARDIANTO5 MARDIANTO6 MARDIANTO7 MARDIANTO8 MARDIANTO9 MARDIANTO10

NIK 3 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456 1234567890123456

Jns Kelamin 4 L L L L L L L L L L

Alamat 5 KURIPAN RAYA KURIPAN RAYA KURIPAN RAYA KURIPAN RAYA KURIPAN RAYA KURIPAN RAYA KURIPAN RAYA KURIPAN RAYA KURIPAN RAYA KURIPAN RAYA

RT/RW Tempat Lahir Tanggal Lahir 6 01/02 01/02 01/02 01/02 01/02 01/02 01/02 01/02 01/02 01/02

7 BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI BOYOLALI

8 28/12/1988 28/12/1988 28-12-1988 28-12-1988 28-12-1988 28-12-1988 12/28/1998 12/28/1998 1998/12/28 1998/12/28

Belum/Perna h/ Sudah9Kawin B B B B B B B B B B

KEC. LABAKKANG

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