CALON MAHASISWA INTERNATIONAL ANGKATAN 2017/2018 Yang diblok kuning sudah dapat KTM NO
NAME
ADDRESS
ZIP CODE
BIRTHDAY
SEX
RELIGIO N
1
Gede Rukma Wira Hartama
Jalan Ratna No. 32
80239
05-09-1998
Male
Hindu
2
Axel Natashia Jaya
Jalan Ken Arok No. 17
80116
30-12-1998
Female
Hindu
I Putu Senna Hakkinanda I Putu Handryan Pratama Rivaldo Bagus Soepardhy Luh Wulandari Maharani I Made Priandana Gerdian
Jl. MH Thamrin No. 89 Kediri Br. Kedungu, Ds. Belalang, Kediri BTN Dalung Permai Blok D45 Jalan badak No. 3 Renon
82121
07-05-1999
Male
Hindu
82121
15-09-1999
Male
Hindu
80361
25-07-1999
Male
Protesta n
80226
14-12-1998
Female
Hindu
80237
05-04-1999
Male
Hindu
085739125 554
-
80361
04-07-1999
Female
Hindu
081237406 999
deaf2notes@g mail.com
82123
25-07-1999
Male
Budha
081236313 329
-
80239
09-04-1999
Male
Budha
80361
19-01-1999
Male
Islam
80225
17-06-1999
Female
Katolik
81119
01-12-1999
Male
Hindu
081933042 000 089629794 145 081247569 013 081238912 614
Ivan.triananda @icloud.com Alfathahbara3
[email protected] 1717sherly@g mail.com Candrabrata8 @gmail.com
3 4 5 6 7
8
Ni Putu Adriana Pertiwi
9
Kevin Andarezta Saputra
10 11 12 13
Ivan Triananda Kurniawan Alfath Akbar Avianto Yeusy Sherly Tania Istanto Dewa Candraditya
Jln. Akasia XV No IIA Perum Dalung Permai Blok DD No. 30 Perum Tanah Bang Permai C No. 35 Tabanan Jln. Ganetri No. 22 Gatsu Timur Puri Sambandha Canggu Blok B12A Jl. Tukad Petanu Gg. Murai No. 9 C Jalan Pulau Talaud No. 3 Penarukan
PHONE NUMBER
EMAIL
082144482 710 081236708 418/ 036141826 6 085738186 863 085792887 476 082146931 611 081999053 798
hartamawira @gmail.com axelnatashiaja
[email protected] om senna7599@g mail.com handp237@g mail.com aldobagus@h otmail.com luhwulandari @gmail.com
PAS PHOTO
APP FORM
IJAZAH1 IJAZAH1
IJAZAH 2
NO
NAME
ADDRESS
ZIP CODE
BIRTHDAY
SEX
RELIGIO N
PHONE NUMBER
EMAIL
80223
03-02-1999
Female
Hindu
081558188 011 081138900 22
Febrilia74@g mail.com rickoismyfrien
[email protected]
80237
21-09-1999
Male
Hindu
80351
20-03-1999
Male
Hindu
087861770 660
krisnayanatar
[email protected]
82123
06-07-1999
Male
Hindu
085858681 652
Manusmerti10 @gmail.com
82121
12-12-1999
Male
Hindu
085238931 969
80235
08-05-1999
Male
Hindu
082237819 059
81154
11-06-1999
Male
Hindu
087762201 335
geogeabulan @gmail.com
80221
29-05-1998
Male
Hindu
089631478 189
Yogaera29@g mail.com
Brata
14 15 16
17
18
Febrilia Eka Putri Ricko Putranda Pandit I Putu Krisna Yanata Ardi Kusuma Made Adi Manusmerti Satari I Nengah Wahyudi Setiawan
Jalan Pulau Biak 1 No. 29 Jalan Siulan 3 No. 28 Denpasar Jl. Raya Negara No 41 Sading Jl. Kartini Blok A4 Taman Sekar Br. Anyar Kediri Br. Laing, Pandak Bandung Kediri, Tabanan Bali
19
I Putu Putra Narayana
20
I Putu Geo Rama B.
21
Putu Yoga Era Subakti
22
Dewa Made Widya Kusuma
Jl. Kenyeri Gg. Anggrek 1A No. 7
80239
11-09-1999
Male
Hindu
081558284 371
Nathania Lawrence Widjaja Pande Putu Rama Pratama Putra Fattazura Isa Arlingga
Jl. By Pass Ngurah Rai No. 107 Suwung Kauh
80361
26-09-1999
Female
Protestan
087861420 088
Jl. Tegal Sari Gg. Jempiring
80237
30-08-1999
Male
087860390 010
Jl. Krisna 1 Villa Joglo canggu
80361
18-09-1997
Male
089654241 397
23
24 25
Jl. Anyelir 69 Rama Sari No. 2A Ds. Pelapuan Kec. Busungbiu, Buleleng Jl. Pulau Galang Gg. Penataran Sari IV No 12B
Nengahwahyu
[email protected] om Putranarayana
[email protected] m
Widyakusuma
[email protected] om Nathanialawre nce99@gmail. com Ramapratama
[email protected] m fattazura@gm ail.com
PAS PHOTO
APP FORM
IJAZAH1
IJAZAH 2
NO
26 27
NAME
ADDRESS
I Gusti Ngurah Yoghi Oka Putra I Kadek Bagus Paradhita Utama
permai Br. Panca Yasa Pupuan Mengwi Dusun/Br. Beng Utara Desa Tunjuk Kec. Tabanan
ZIP CODE
BIRTHDAY
SEX
80351
24-02-1999
Male
82115
30-01-1999
Male
RELIGIO N
PHONE NUMBER
EMAIL
087861020 064 087861784 777
Okaputraa4@ gmail.com
28
I Made Gede Arya Widnyana Adiputra
Jl. Subak Dalem Gg. VIII No. 18A
80239
14-11-1998
Male
082339240 153
Aryagegede19
[email protected] m
29
Meylita A. Wijayanto
Jl. Drupadi XIV A No 3A Renon Denpasar
80112
28-05-2000
Female
082238988 86
30
Aldio Ahimsa Juano
Jl. Gunung Sari 1, Perum Megasari No 5 Padangsambian
80117
8-06-1999
Male
082247365 548
31
Ida Bagus Gde Genta Sankara
Jl. Kenari No 17 Renon
80226
20-11-1996
Male
082247026 162
32
Cledwin Johanis Pandanga
Jl. Umbu Tipuk Marisi No 40 Waingapu NTT
87111
13-03-1999
Male
082144050 745
cledwinp@gm ail.com
33
Putu Aryanata Kusuma
Jl. Raya Sanggingan Ubud Gianyar
80571
11-09-1999
Male
082237613 270
Narakusuma3
[email protected]
34
Ida Ayu Putu Nanda Dewi Pradnyani
Jl. Batuyang gg. Angsa No 1
80582
31-10-1999
Female
087887578 801
Nnda.tsubomi
[email protected] m
meylitaadesya @gmail.com
ahimsaaldio@ gmail.com idabagugenta @gmail.com
PAS PHOTO
APP FORM
IJAZAH1
IJAZAH 2
NO
NAME
ADDRESS
35
Rania Maulida Maulicia
Jl. Siligita Perum Nusa Dua Highland No 9 Badung
ZIP CODE
BIRTHDAY
SEX
80361
26-06-1999
Female
RELIGIO N
PHONE NUMBER
EMAIL
087787090 155
mauliciarania @gmail.com
PAS PHOTO
APP FORM
IJAZAH1
IJAZAH 2
