NPM NAMA JK Kumpul Formulir TMP_LHRTGL_LHR ALAMAT_ASANO_TLP_ASANO HP NO HP AyahNO HP IbuNO HP DaruratKOTA_ASALKET_AGAMA DBD Typhus Asma Kronis260110070002 Febrina Amelia Saputri P Bandung 2/19/1990 Jl.Aria Timur IX No.1 Aria Graha Regency022 - 75317560857-202632830815-63738390888-20976330815-3673839BandungIslam260110070003 Adam L Jakarta 12/28/1988 Pondok Cempaka Jl.Cisaladah Rt.04/07 Hegarmanah Jatinangor Sumedang022 - 7781963022-921907050878-80619516XXBandungIslam260110070004 Devi Agustian L Bogor 8/5/1988 Taman Pagelaran Blok G 13 No.12A Ciomas Bogor0251 - 634829022-926024900251-8634829X0251-8634829BogorIslam260110070005 Imam Adi Wicaksono L Bandung 7/21/1989 Jl.Senam I/7 Arcamanik Bandung022 - 707897070856-249882000811-8006700811-1000960812-1164626BandungIslam260110070006 Muhammad Gilang Dwi Ran L Cirebon 2/26/1989 Blok A No.37 BTN Cempaka Arum Cirebon Selatan0231 - 3216580819-114165490812-14813670819-098800700852-24118887CirebonIslam260110070007 Asep Nurrahman Yulianto L Cilacap 7/31/1989 Jl.Cempaka 21 Panimbang Cimanggu Cilacap0280 - 71011970856-279327890815-429302960815-429500380813-81444517CilacapIslam260110070008 Intan Febriane P Bekasi 2/27/1989 Jl.Gunung Gede 5 No.67C Bekasi021 - 8868139XXXXBekasiIslam260110070009 Laila Sahar Faridah P Tasikmalaya6/18/1989 Pst.Cintawana Rt.09/04 Ds.Cikunten Tasikmalaya0265 - 545538XXXXTasikmalayaIslam260110070010 Lia Amalia Ulfah P Tasikmalaya12/10/1988 Gunung Cupu No.143 Rt.03 Rw.02 Sindang Kasih Ciamis0265 - 3419710852-232160870265-3419710265-5830381021-95240829TasikmalayaIslam260110070011 Yusrina Nur Amalina P Bandung 8/27/1989 Jl.Cibangkong No.89B/117 Bandung022 - 73189180857-224454440857-22447444/022-695433120857-20004277XBandungIslam260110070012 Kristiani Kartika Ratri P Bandung 1/30/1989 Jl.Bojong Koneng Atas Rt.02/19 No.36 Bandung022 - 72166340853-20070012081320394025/022-72166340857-200598560853-20070055BandungKristen260110070013 Eva Kartika P Pandeglang 8/15/1989 Kp.Kadulawang No.28 Pandeglang0253 - 2028080899-96730050899-86474900899-96730060899-9673006PandeglangIslam260110070014 Rachma Rahayu Hidayati P Jakarta Komp.Pondok Kacang Prima D3 No.7 Rt.06/08021 - 73097810856-970907110812-8842444X0812-8842444DKI JakartaIslam260110070015 Ghesa Kalista P Sukabumi 9/26/1989 Jl.Taman Bahagia 23 Kel.Benteng Kec.Warudoyong0266 - 2280380856-933361610816-4219402/0266-2280380815-46313350856-59517171/081399357210SukabumiIslam260110070016 Lestari Rachmania Anggi P Jakarta 8/15/1989 Jl.Pasar Baru No.42 Rt.06/02 Subang0260 - 4132950899-78904730852-213156560260-91369460856-24943194SubangIslam260110070017 Aryo Genta L Bekasi 3/31/1990 Jl.Jatiluhur Raya Blok DD No.6021 - 88497190817-847128021-8849719021-8849719021-8849719DKI JakartaIslam260110070018 Julia Hermawati P 0818-416582X0818-1325030 Islam260110070019 Ratih Komalasari Pudja PutrP Tangerang 1/5/1990 Jl.Borneo II No.10 Rt.03/13 Perumnas II Tangerang021 - 59160740856-16117650815-82858420857-0808997021-5916074TangerangIslam260110070020 Esti Friska Tarigan P Medan 2/23/1989 Jl.Letjen.Jamin Ginting Pasar 7 Gg.Bunga Kantil XXV No.5 Medan061 - 82167630813-754090090813-613438620813-3611399660813-22515062MedanKatholik260110070021 Dwi Wahyuni Hapsari P Jakarta 6/4/1989 Perum Bumi Nasio Indah C2/8 Jatimekar Bekasi021 - 84761750856-13166730813-314167920812-805055108128050551/021-8476175DKI JakartaIslam260110070022 Kusuma Mutiasari P Malang 5/29/1989 Jl.Robusta III Blok 59 No.5 Pondok Kopi Jakarta0819325148980819-325148980818-9829850818-081178060818-982985DKI JakartaIslam260110070023 Rika Jayanti Putri P Pekan Baru 1/23/1990 Jl.Ir.Sutami Gg.Suka Berenang No.95 Tanjung Pinang0771 - 3136570856-241661410812-70700640819-285257890812-7070064Tanjung PinangIslam260110070024 Restu Anggraeni Dwiningru P Bandung 8/19/1989 Jl.Riung Arum Raya No.25 Komp.Riung Bandung Permai022 - 75635120856-24483057/0813-121921010812-14741280817-227623022-7563512BandungIslam260110070025 Rosa Apriana P Toboali 4/26/1989 Jl.Jend.Sudirman No.63 Toboali Bangka0718 - 412180856-59173181 (BIBI)X0813-67338010/0718-412180878-81686900ToboaliIslam260110070026 Safrina Ratna Hapsari P Purwekerto 9/16/1989 Perum Griya Karang Indah Blok M No.4 Karang Pucung Purwekerto0281 - 6246880857-200212320812-27045700813-2753000XPurwekertoIslam260110070027 Kartika Mustofa P Jambi 10/16/1989 Jl.Sunan Kalijaga No.37 Kota jambi0741 - 6672210852-670031240812-7895750XXJambiIslam260110070028 Fitria Farhatin Nisa P Ciamis 4/25/1988 Jl.KH.Ahmad Fadil No.82 Rt.19/06 Ciamis0265 - 27522450857-931578010852-234566810812-20996770856-94305583CiamisIslam260110070029 Indah Septiana Dewi P Bandar Lampung9/7/1989 Jl.Raya Natar Gg.Merpati No.209 Natar Lampung Selatan0721 - 911840856-588828790813-69119745/0858-408774100858-400528000813-95158089/022-70950292LampungIslam260110070030 Sofa Dewi Alfian P Tasikmalaya7/27/1988 Perum Pondok Tandala Jl.Anggur No.198 Tasikmalaya0265 - 3299850857-59465370/0813-23-632770813-221721600852-230836240813-22172160TasikmalayaIslam260110070031 Puspita Sri Rahayu P Sumedang 3/24/1989 J0852-220542720813-228109850813-24126167XSumedangIslam260110070032 Nurul Safitri P Bandung 1/7/1990 Komp.Baranangsiang Indah H2/16 Ciparay Bandung022 - 59600260857-225286880853-200946220813-22262886022-5960026/0813-2226286BandungIslam260110070033 Puji Astuti Ayuningtias SudaP 08131988151908128020176081287545890 Islam260110070034 Ajeng Ninda Mutiara P Kuningan 3/16/1989 Ds.Kadandayan Rt.07/04 Kec.Ciawi Gebang0232 - 878370085224200140085224322155(0232)878370081320549941KuninganIslam260110070035 Yeyi Mawardiastuti P Wonogiri 3/19/1989 Pondok Ungu Permai KK2 No.21 Bekasi Utara021 - 8897517008569426290108571954192702188975170/085710968617085719541927 (ayah)/ 02188975170 (ibu)BekasiIslam

260110070036 Mita Olivina P Medan 4/28/1989 Jl.Bango IV Rt.10/03 No.48 Pondok Labu Jakarta Selatan021 - 7693536085715890086(021)7693536/ 08138764237102195218093081387642371 (ayah)DKI JakartaKristen260110070037 Arie Ryan Saputra L Pangkal Pinang1/2/1990 Jl.Kayu Manis Gg.Perkutut No.183 Pangkal Pinang Bangka071Pangkal PinangIslam260110070038 Maritsa Nurfatwa P Bandung 9/4/1988 Jl.Bojong Soang No.85 Kec.Bojong Soang Kab.Bandung022 - 750909808996851746/ 022-76272996022-7509098022-7509098022-7509098BandungIslam260110070039 Willianto Abdityariadi L Jakarta 5/6/1989 Jl.Mangga IV Blok F 40/14 Kp.Cerewed Duren Jaya Bekasi Timur021 - 88352922085720010252/ 08986034664081299759600817019730308129975960 (ayah)/ 08170197303 (ibu)BekasiIslam260110070040 Tengku Vannesa Rilviena P Jakarta 6/11/1989 Bumi Karang Indah Jl.Bumi Asih V Blok A5/13 Jakarta Selatan021 - 76555100857203094300818920916081808670999021-7655510DKI JakartaIslam260110070041 Neng Tina Purwantina P Bandung 5/31/1989 Solokan Garut Solokan Jeruk Majalaya Bandung022 - 595487608132057626708156025730081395353849022-5954876BandungIslam260110070042 Andini Nur Fatimah P Cianjur 4/9/1989 Margahayu Raya Barat L II No.148 Bandung022 - 7568426085624760842081320717315085624645909085624645909 (ibu)BandungIslam260110070043 Fajar Budiman L Bandung 12/16/1989 Jl.Nangka I No.12 Rt.03/08 Utan Kayu Jakarta Timur021 - 856685208561517259021-8566852/ 081317261818081519331886021-856685DKI JakartaIslam260110070044 Marina Witari Kencana Putri P Serang 8/19/1989 Jl.Kuricang Raya 6D-9 Sek 3A Bintaro Jaya Tangerang021 - 73725010856221142408119704010812879338808128793388TangerangIslam260110070045 Muhammad Akbar Emberik L Bandung 7/2/1989 Kp.Babakan Ciranjang No.110 Rt.03/08 Desa Marga Mulya022 - 914937670081394057775081394057775 (ibu)BandungIslam260110070046 Siti Anisa Husnu P Garut 9/17/1988 Perum PT.Pupuk Kujang Jl.Dahlia C38 Cikampek Karawang0264 - 315241085624468849081281509730815605532008128150973 (ayah)KarawangIslam260110070047 Irin Intiani P Bandung 2/20/1989 Komp.Batan Indah Blok M-66 Serpong Tangerang021 - 7564017085697620297021-7564017/ 08128736758081310434827021-7564017/ 08128736758 (ayah)TangerangIslam260110070048 Riestya Dwi Permata P Bandung 4/17/1989 Komp.Bumi Panyileukan Blok C22/2 Bandung0856599466760857107131080812235040108132241426208122350401 (ayah)BandungIslam260110070049 Marina Susanti P Bandung 3/17/1989 Jl.H.Yasin 8 N0.571 Rt.10/02 Bandung022 - 2039895081322100032/ 085659302009085262790943085221828900085221828900 (ibu)/ 022-2039895BandungKristen260110070050 Eka Perceka Kinayungan P Bandung 1/5/1989 Jl.Arbey No.7 Kec.Lemah Mekar Kab.Indramayu0234 - 273357022-922785460812149773208121497734022-7504171IndramayuIslam260110070051 Khoziah Ahmad P Subang 8/5/1990 Dsn.Suka Enok Rt.27/04 No.15 Karang Anyar Subang0812230194108997918509081223019410 SubangIslam260110070052 Dita Damayanti P Bogor 6/9/1989 Jl.Abiyasa Raya No.75 Indraprasta Bogor0251 - 319474085697051559081211068190812898127508121106819 (ayah)BogorIslam260110070053 Mellyza Yuliana Firdausy P Surabaya 7/27/1989 Jl.SLJJ No.11 Komp.Telkom Balikpapan0542 - 87232508986008717/ 022-760971930542-70313700542-7021012022-2502460BalikpapanIslam260110070054 Sylvia Tiassetiana Suwondo P Bandung 5/20/1989 Komp.Bumi Panyilekan Blok G 14 No.9 Bandung022 - 7809069081802080436/ 08997924991081560063000812146999108156006300 (ayah)/ 08121469991 (ibu)BandungKristen260110070055 Viny Alief Hardiana P Bandung 3/6/1989 Jl.Dakota V No.45 Sulaiman Bandung022 - 7049947508572120040408122440032081321781780022-85874666BandungIslam260110070056 Devita Fauzia P Bandung 6/20/1989 Komp.Taman Kopo Indah 2 Blok 3B No.21022 - 541346208562186828022-54134620811222804022-5413462 (ayah)/ 081220091180 (evi sofiati)BandungIslam260110070057 Sastaviyana Dea Meisa P Bandung 5/26/1989 Jl.Bbk Priangan I Rt.06 Rw.01 No.4A Bandung081802101225085624938204022-5222396/ 08813001814081802101225022-5222396/ 081802101225 (ibu)BandungIslam260110070058 Annisa Fitriani P Bandung 4/20/1989 Jl.Kol.Masturi No.37 Parongpong Cisarua Bandung022 - 2787838085720164989022-2787838022-2787838022-2787838BandungIslam260110070059 Puti Lenggogeni P Jakarta 2/10/1989 Jl.Hibiskus 3 Blok B2 No.9 Kemang Pratama 3 Bekasi08138448909908996829849081222003500811135715085719192659BekasiIslam260110070060 Cynthia Sethya Sari P Karawang 4/2/1989 Perumahan Sukaseuri Jl.Rambutan N-3 Kota Baru Karawang0264 - 3166710856593647340812801717008138308670808128017170KarawangIslam260110070061 Theresia Noviana Natallia D P Cirebon 9/15/1989 Jl.Parujakan Gg.Kamar No.17 Cirebon0231 - 237891089960093920231-237891/ 081224684520 Cirebon260110070062 Arta Yulianti Hutagaol P Pontianak 7/24/1988 Jl.Imam Bonjol Gg.Peniti I No.15 Pontianak Kalimantan Barat0561 - 7647030857202074660813450779850 PontianakKristen260110070063 Spica Arumning Ardhi Gusti P ######### 0 Islam260110070064 Salshabilla Firdaus NugrahaP Serang 1/25/1990 Jl.Lap.Sukarela Rt.01/XI No.10 Kab.Pandeglang0253 - 201509###### 0253 - 201509PandeglangIslam260110070065 Uray Camila Insani P Bandung 1/2/1990 Jl.Veteran III Kp.Cukanggaleuh Rt01/01 Jambuluwuk Ciawi Bogor0251 - 248245### 0251 - 8248245/0813227916890251-8248245/08128558106### BogorIslam260110070066 Dianty Mustika Humaira P Tangerang 4/22/1990 Komp.Taman Permata Cipondoh Blok C No.15021 - 5541239############ TangerangIslam260110070067 Hikmah Titi P Cirebon 12/28/1989 J08996951705/085224466795K### CirebonIslam260110070068 Wianti Aisyah P Riau 1/19/1990 Ds.Luwung Blok Bulak No.3 Rt.02/07 Kec.Mundu Kab.Cirebon0231 - 510809081564692008/08997748868###### 085718122710/08164203648CirebonIslam260110070069 Tya Nur Salma Zafirah P Bandung 1/1/1990 Jl.Raya Cirata No.127 Rt.03/01 Ciroyom Cipadung Bandung022 - 6973750### 022 - 6973750/08172320440022 - 6973750/081721076608174877374/085659306367BandungIslam260110070070 Amelia Ika Mildayuliana P Bogor 7/29/1989 Jl.Palem Raja II No.23 Taman Yasmin 5 Bogor0251 - 8431451######### 8129684096/08129684096BogorIslam

260110070071 Nadia Putri Utami Dikti P Padang 8/8/1989 Jl.Ngagel Jaya Selatan Gg.III No.37 Surabaya031 - 5025015############ SurabayaIslam260110070072 Arrum Dyah Kartikawati P Purwekerto10/11/1989 Jl.Jend.Sutoyo I/09 Rt.02/08 Purwekerto0281 - 637768######### PurwekertoIslam260110070073 Rinisantia Rangga P Bandar lampung7/30/1989 Jl.M.Saleh No.18 Kota Baru Bandar Lampung0721 - 251003### 0721 - 251003/081272678120721 - 251003### Bandar LampungIslam260110070074 Rizky Hady Turrahman L Bandung 5/7/1990 Jl.Sanggar Kencana IX No.9 Komp.Sanggar Hurip Bandung022 - 7322133### 022 - 7322133022 - 7322133085720355253/022-7322133BandungIslam260110070075 Rendi Bramantoro L Bandung 12/4/1989 Jl.Riung Tineung No.23 Bandung022 - 75124450###### BandungIslam260110070076 Hari Nurdin Prakoso L Serang 6/8/1989 Jl.Kota Sari No.25 Cilegon Banten025CilegonIslam260110070077 Lisa Adriana P P Cirebon 5/4/1989 Jl.Samadikun No.4 Cirebon0231 - 201125############ CirebonIslam260110070078 Rina Reza Chairani P Pekan Baru 9/8/1988 Jl.Kakap IV Gg.Juar No.1 Pekan Baru0761 - 37006############ Pekan BaruIslam260110070079 Sisca Seftiani Putri P ############ Islam260110070080 Mufki Ardi Wibowo L Cimahi 7/16/1989 Jl.Suparmin Gg.Merpati V No.1 Bandung022 - 6020458############ BandungIslam260110070081 Diatri Mariana Heryana P Sumedang 7/10/1990 Lingk.Ragadiem No.26 Rt.01/07 KotaKulon Sumedang0261 - 204980######### SumedangIslam260110070082 Nadia Windyaningrum P Sumedang 6/20/1989 Jl.Lembang 2 No.119 Sudimara Barat Ciledug Tangerang021 - 7337824############ TangerangIslam260110070083 Elis Ronasih P Sumedang 11/6/1989 Dsn.Sukakarya No.365 Rt.03/04 Ds.Cibeureum Kulon0261 - 212817############ SumedangIslam260110070084 Asri Trisnawaty P Bandung 8/6/1989 Jl.Anggar No.9 BTN Lama Indramayu0234 - 276188######### IndramayuIslam260110070085 Annisa Nur Utami Paulain P Ada di erik Bandung 1/23/1989 Komp.Cibogo Permai Rt.08/14 No.2 Cimahi022BandungI data ada di erik260110070086 Muhammad Husni Zein L Bandung 10/11/1988 Jl.Indramayu 2 No.36 Antapani Bandung022 - 7232893######### 022 - 7232893BandungIslam260110070087 Petrus Topaga L Gunung Tua10/17/1989 Jl.M.Nawi HRP Blok E 1 Medan061 - 7871871############ MedanKristen260110070088 Mita Maryam Marhamah P Bandung 5/23/1989 022 - 7321164### 02BandungIslam260110070089 Dea Gilang Kancanawatie P Bandung 12/5/1989 Jl.Fak-fak 17 Antapani Bandung022 - 7203234######### BandungIslam260110070090 Rachmi Sugiarti P Jakarta 3/20/1989 Perum Villa Indah Permai Blok D9/9 Rt.04/03 Jl.Poso Bekasi Utara021 - 88971917######### BekasiIslam260110070091 Ayu Soffi Cholifati P Pandeglang12/21/1988 Kp.Soreang Rt.03/05 Cimanying Menes Pandeglang0253 - 501932############ PandeglangIslam260110070092 Muchammad Reza Ghozaly L Yogyakarta 9/5/1988 GSI C10-4 Keramat Watu Serang Banten0254 - 383173### 081314153546/08881965278### 021-7987359/081314153546SerangIslam260110070093 Reynaldi Firmansyah L Purwakarta11/11/1989 Buana Indah Blok C9 Rt.18/06 Purwakarta0264 - 202108############ PurwakartaIslam260110070094 Astri Sriyadi Sagitaria P Bandung 11/22/1988 Tegallega Barat No.243/95 Bandung022 - 5200742######### BandungIslam260110070095 Yola Desnera Putri P Payakumbuh12/3/1989 Jl.PGRI No.32 Bunian Payakumbuh0752 - 9085008996112920/085217574764###### 081395446347/081288792421PayakumbuhIslam260110070096 Enricko Mohammad Rizaldy L Cirebon 6/5/1989 Jl.Setia Budi No.321 A Bandung022 - 2016884############ BandungIslam260110070097 Madonna Allan Giel T R P BELUM Ende 7/29/1987 Jl.Khatedral No.9 Rt.02/01 Patolando Ende Selatan038EndeKristen260110070098 Rizki Amelia P Cirebon 2/24/1990 J085295896304085294001164085224955737085695811760/085691847120/087878318025/081584074102/021-94765441CirebonIslam260110070099 Derry Susanti P Bandung 12/31/1989 Jl.Saluyu 14 C No.344 Riung Bandung022 - 7566542085624011569081122202220 BandungIslam260110070100 Cristine Dwi Octaviani P Bandar Lampung10/10/1989 Jl.Teluk Bone II No.10 LK 3 Bandar Lampung0721 - 480103089960819310819771701880721-997010308179202599LampungKristen260110070101 Fitry Aprilyanty P Cihaurbeuti 4/20/1988 Kp.Depok Rt.04 Rw.04 Pada Mulya Cihaurbeuti Ciamis0265 - 426422085624207983081323013774sama dengan nomor ayahCiamisIslam260110070102 Eva Susanty Br Tarigan P Pancur Batu 9/28/1988 Jl.Bunga Rampai Raya No.25 Simalingkar B Medan08126482979081264829790 081310195344MedanKatholik − − −260110070103 Megasari Mandarana P Palangkaraya12/9/1988 Jl.Cilik Riwut No.3 Kuala Kurun Kab.Gunung Kal Teng0537 - 3102108152826605208125140993081251409920 Kristen − − −260110070104 Hartanto L Karawang 5/29/1989 Dusun Karajan Timur Rt.07/02 Karawang0856911076560857202877970 0818163257KarawangKristen − − −260110070105 Fitria Mustika P 085620738000 s Islam − − −

0265-42

260110070106 Angga Prayoga Pramanaditi L BELUM Cianjur 7/18/1989 Perum Graha Pratama Blok N No.14 Cilaku Cianjur026CianjurIslam − − −260110070107 Detria Wulandari P Bandung 12/10/1990 Jl.Petanang No.2 Komp.Pusri Palembang0711 - 71222208566927287108163283344/0711-712222 ext.23220819681134/0711-712222 ext.2322sama dengan nomor ayahPalembangIslam − − −260110070108 Khaerul Adnan L BELUM Karawang 4/6/1989 Jl.STM Taruna Karya No.9 Karawang026KarawangIslam − − −260110070109 Nico Arianto Suyatna L Karawang 1/29/1989 Perum Bumi Taruna Permai Blok D9 No.2 Karawang0267 - 40527708996944769081281448280899723054108122021891KarawangBudha √ √ −260110070110 Yesi Haerunisa P Garut 1/22/1989 Jl.Jend.Ahmad Yani No.239 Garut0262 - 238431085620759890 08122155362GarutIslam − − −260110070111 Rahmatia P Kuala Tungkal6/2/1989 Jl.Pelabuhan No.17 Kuala Tungkal0742 - 215160852223127550724-21516081366651062sama dengan nomor ayahKuala TungkalIslam − − −260110070112 Niken Danastri P Palembang 5/30/1989 J085273868868081977844562087897766647021-98190746Palembang − √ −260110070113 Mawanti Tambunan P BELUM Kristen − − −260110070114 Alam Jenuin Dipratama L Tanjung Pinang12/12/1989 Pesona Anggrek Harapan Blok C5 No.3 Bekasi021 - 887080808119644220811847063021-70294334sama dengan no hpBekasiIslam − − −260110070115 Yang Aryani Arvin P Tasikmalaya12/25/1989 Jl.Pratista Raya No.53 Antapani Bandung022 - 7207376085624916126/0811225596008112357980 BandungIslam − − −260110070116 Lisma Hardiyanti P Sibolga 9/11/1988 Jl.Pluto Raya A-15 Margahayu Raya Bandung022 - 7561880085624898499081322501953022-7561880sama dengan nomor ayahBandungIslam √ −260110070117 Hilda Shinta Lestari P Bandung 6/11/1989 Jl.Bumi Kiara No.6 Bandung022 - 7308837085622310800 sama dengan nomor ayahBandungKristen √ √ −260110070118 Fani Rizkiana P Pemalang 1/24/1990 Jl.Rancasawo No.52 Rt.04/20 Ciwastra Bandung0817206202085722030880022-9349099808986464205sama dengan nomor ayahBandungIslam − √ −260110070119 Dini Febriani P Bandung 2/16/1989 Komp.Panyileukan Blok B7 No.20 Rt.04/02 Cibiru022 - 78113080856592988660 sama dengan nomor ayahBandungIslam − √ −260110070120 Yayu Wahyuni Pujiastuty P Bandung 8/11/1989 Jl.Cijambe Kosar Baru Rt.06/05 Bandung022BandungIslam260110070121 Mahardika Aditya Putri P Purwekerto 8/17/1989 Jl.Tanjung V No.8 Uranggan Permai Bekasi021 - 844370308567834968081807781268085694196409sama dengan nomor ayahDKI JakartaIslam − √ −260110070122 Bhakti Artha Magdalena P Jakarta 6/19/1989 Jl.Surtikanti No.663 Dirg.3 Halim Perdana Kusuma Jakarta Timur021 - 8007208081219068880081382949355021-98757925/081289023193sama dengan nomor ayahDKI - JakartaKristen − √ −260110070123 Lamora Tamba P Pematang Siantar10/5/1989 Jl.Sipahutar Kec.Siantar Marihat P.Siantar Sumut0622 - 70279470857224374020813963333770 MedanKatholik − − −260110070124 Yoga Yudhistira L Majalengka 7/24/1989 Jl.Puspa Indah III No.36 Kec.Cigasong Kab.Majalengka0233 - 82851570857234562350233-8285157/08122199061081320376249sama dengan nomor ayahMajalengkaIslam260110070125 Yulia Charoline P Tenggarong 7/22/1990 J081220007005081347570000/0541-6666222081253279700 Kristen260110070126 Dwi Meida Fitri P Turan Lalang 5/2/1990 D08572240483008117359640813738911840 Islam260110070127 Melinda Lusiana P Kuningan 5/24/1989 Kamp.Puhun Ds.Windu Janten Kec.Kadu Gede Kab.Kuningan0232 - 88806150852247211700 sama dengan nomor ayahKuninganIslam260110070128 Ayu Putri Kusuma WardhaniP Jakarta 6/13/1989 Jl.Swasembada Timur IV No.17 tanjung Priok Jakarta021 - 4355750085682250000 sama dengan nomor ayahDKI JakartaIslam260110070129 Deny Sudarno L Jakarta 3/19/1988 Jl.Bukit Dago A4 Perum Sari Gaperi Bekasi021 - 847053308569775402608128027486108886185066081280274861BekasiIslam260110070130 Nining P Bandung 11/28/1988 Jl.Inhoftank No.50 Rt.04/04 Bandung0852211768500857210112700852214623390229160789508193273647/021-424730BandungIslam260110070131 Septia Virgianti P Bandung 9/1/1989 Jl.Mars Selatan XIV No.1 Margahayu Raya Bandung022 - 7530519085659006056085220088277081320126884085220088277BandungIslam260110070132 Meiliana Thamrin P Tangerang 5/26/1989 Jl.Beringin Raya No.20 Blok 35 Perumnas I Tangerang021 - 5525221085220123040021-557999582081383692532021-5525221TangerangBudha260110070133 Zulfikar Gazali Sastra L Islam260110070134 Fitria Dewi Putri P Jakarta 6/17/1989 Duta Bintaro D15 No.1 Kunciran Tangerang Banten021 - 934446020856976766120812951679908138392670908129516799TangerangIslam260110070135 Arman Hidayat L Jakarta 11/2/1988 J085721248784021-97389550085283241447021-55753502TangerangIslam260110070136 Rahma Fajariasari Suharma P Jember 11/29/1987 J08 BandungIslam260110070138 Dina Hafizah P Pangkalpinang2/15/1990 Jl.Melati No.501 Rt.03/01 Bukit Merapin0717 - 422785085721520050/085267753598081367672149/0717-42278508127308434081311015227/081377624645Bukit MerapinIslam260110070139 Dewi Fitriana P Jakarta 5/15/1989 Jl.Masjid Al Munir Rt.01/03 No.56 Jakarta Timur021 - 800792908569547686708176527057021-33708659021-8007929DKI JakartaIslam260110070140 Gita Susanti P Palembang 6/2/1990 Jl.Kutilang No.259 B Komperta Plaju Palembang0711 - 595959085720017006081373427444081994863574081373427444PalembangIslam260110070141 Berti Efrianti P Batu Raja 4/20/1989 J0856244041230 08127383742Batu RajaIslam

260110070142 Toni Fatoni L Cianjur 10/25/1988 Jl.Dr.Muwardi Gg.Perjuangan Rt.01/19 Cianjur0263 - 2713210856599560200858634129940263-2862770263-271321CianjurIslam260110070143 Dewi Puspitasari P Medan 3/3/1990 Jl.Murai II C6 Pasar Minggu Jakarta Selatan021 - 78065540857205335050811128541081792428720811128541DKI JakartaIslam260110070144 Sheila Febriana P Pandeglang 2/10/1989 Jl.Raya Labuan KM 9 Kp.Cihideung Pandeglang Banten085684190420856242309011081911265656081906094551085624067733PandeglangIslam260110070145 Dwaya Agnesia Putri P Jakarta 8/1/1989 Perum Kiara Sari Asri Jl.Kiara Sari VII No.40 Bandung022 - 753107008568593258081220210690817430050081381058838/08567104554BandungIslam260110070146 Priska Primandini P Bandung 9/1/1989 Jl.Taman Anggrek No.12 Komp.Bumi Rancaekek Kencana022 - 77944000856220626708157147402081573760602022-7794400BandungIslam260110070147 Desliyani Tri Wandita P KotaBumi 12/2/1989 Jl.Diponegoro Gg.Sirsak No.18 Enggal Bandar Lampung08 LampungIslam260110070148 Rifna Wibisana P 08565925861208122334508081221753380 Islam260110070149 Winda Ramadhanti P Padang 4/8/1989 Komp.Polda B1/17 Balai Baru Padang0751 - 4992710813639367570751-4992710 PadangIslam260110070150 Wening Galih P Tasikmalaya10/7/1989 Perum Abdi Negara A1 Tasikmalaya0265 - 328203085723939034081912156870088145846320265 - 328203TasikmalayaIslam260110070151 Defertha Ayudia Paramita P Jakarta 8/8/1988 Pondok Pekayon Indah D10/34 Bekasi Selatan08138212416608179830380021-33330350021-92679142Hubungi orang TuaBekasiIslam260110070152 Arif Satria Wira Kusuma L Lumajang 4/19/1990 K0818093939910818095600200818217189081809560020BandungIslam260110070153 Randi Hari Putra L Jambi 1/14/1990 Jl.Bhayangkara Rt.12/04 No.67 Talang Bnjar0852 - 66189596085620646260813661499100852662937290817803008Talang BanjarIslam260110070154 Zelika Mega Ramadhania P Bandung 4/9/1989 Jl.Dago Pojok Komp.BATAN No.66 Bandung022 - 250528308122024383081220243860812202438508122024384BandungIslam260110070155 Friska Wiyunin Mudiyasari P Bekasi 11/27/1989 Jl.Sarimanis No.99 Blok 17 Komplek Sarijadi Bandung0856817089208571711505008122186055708180224290008568170894BandungIslam260110070156 Aris Permana L 081771875308179137645021943021190 Islam260110070157 Era Marisha P Sei Kambut 3/24/1989 N081374192600081277287466081266518798021-92335157/081385417679PadangIslam260110070158 Hafshah Nurul Afifah P Bandung P08996921481/022-920108110818091657980 SumedangIslam260110070159 Rano Kurnia Sinuraya L Medan 11/16/1988 Jl.Cemara Gg.Pame No.63 Medan061 - 663343708126010837/085793851869061-6633437/081264078500811643058021-5928501MedanKristen260110070160 Anggi Dwi Lestari P Sukabumi 12/23/1989 K085620611250816486028108156312905008562036601SukabumiIslam260110070161 Apriyanti Kamaludin P Cianjur 7/12/1989 K0856594008800263-267012/0813217242520 CianjurIslam

260110073001 Nurul Fatihah Binti Mohd Yu P Johor Bahru J 60137447234Islam

087883460051

60197598222,

(Ayah)60197598222,

260110073002 Liyana Hamiza Binti Abdul KP Malaysia 2/16/1988 5 60193705388Islam

087821198489

60122020484,

(Ayah)60122020484,

260110073003 Zetty Faeza Anuar P Perak Malaysia9/26/1988 1 017-5277159Islam

081912741083

019-9515992,

019-9515992,

260110073004 Thiloshini D/O Asukumar P Idoh 12/8/1986 1 6025769352Islam

081910657186

08179200120, 60125263491,

08179200120, (Ayah) 60125263491,

260110073005 Rabiatul Adawiyah Binti Ad P Kelantan Malaysia3/16/1988 7 60145016794Islam

087827902232

60199719008,

(Ayah) 60199719008

260110073006 Nur Syazwani Binti Mohd NaP Kualalumpur8/18/1987 N 6012-2067614Islam

0817204748

8179200120, 60

8179200120, (A

260110073007 Nurul Syazabilla Huda Bint P Kuala Terenggawu8/8/1989 L 60139331888Islam

0817438035

60199345273,

60199345273,

260110073008 Amir Harith Bin Ali L Johor 9/13/1989 J 60197237740Islam

081912748198

60137973460,

(Ayah) 60137973460,

260110073009 Mohd Fariq Aiman Bin Rusl L Tawan Sabah1/22/1989 019-8836121Islam

087821112001

089-882050,

089-882050,

260110073010 Kalidahsan A/L Ramamoort L Johor Baru 1/6/1987 8 0167836409Islam

08179226903

60127716098,

(Ayah) 60127716098,

260110073011 Annuysia Mageswaran P Kualalumpur1/31/1986 B 60129423999Islam

081809751314

60129116309,

(Ayah) 60129116309,

260110073012 Shobhana A/P Vijayakumar P Penang Malaysia8/29/1989 J 019-4723681Islam

087827916690

019-4780523,

(Ayah) 019-4780523,

260110073013 Mohd Zulhilmi Bin Abdul HasL 60125151924Islam

081912748191

60143838947, 60125263774,

60143838947, (Ayah) 60125263774,

260110073014 Ilmir Anas Bin Ismail L 603-78037741

087821412905

60122872339 ,

(Ayah)60122872339 ,

260110073015 Kameni A/p Kalaiselvan P N 60122315660

087821111732

81910354893, 60123090312,

81910354893, (Ayah) 60123090312,

260110073016 Muhammad Qaliff Bin Moha L 5 60122101709

087827547393

81210302932,

81210302932,

260110073017 Abirami Karunanedy 60165080490

087827606940

81931281118, 6055982281,

81931281118, (ayah) 6055982281,

260110073018 Nurul Balqis Riza Binti Bakri 1 60192341519

08179283956

081931348864, 601239964

081931348864, (Ayah) 60

260110073019 Teo Xue Er260110073020 Amirudin Bin Mohamed260110077001 Wiwien Sustyaningrum P Jayapura 9/18/1989 Jl.SPG Asrama Korem 172 No.17 Jayapura0967 - 573897############ PapuaIslam260110077002 Jessy Selfia Rumpaisum P Jayapura Jl.Ardipura I/Polima I Jayapura096PapuaKristen

087827911873

08179200120, 60199427

08179200120, (Ayah) 6

260110077003 Wanto L BELUM Anjakan 11/14/1987 Ds. IndramayuIslamD1E053068 Delvi Tri Apriantini P Belum Foto Bandung 4/10/1989 P085759291129/081321166864022-5928010/0813214409070 BandungIslam

BandungIslamIslam

KETERANGAN:WARNA MERAH (KELUAR DARI FAKULTAS FARMASI)Hijau= ga ikut kulap tahun iniBiru= belum jelas NPMPJ Pj bis

2 sampai 32Vane 1 bram indah33 sampai 64Uti 2 arman vane65 sampai 96Lia 3 rey yeyi97 sampai 128Indah 4lia- uti- vani129 sampai 161 FaniMalay Yeyi

Jantung Anemia Migrain/verTekanan DHepatiti Patah T Epilepsi Maag Diabetes Lain-lain Alergi Dingi Alergi Debu Alergi Obat Alergi MakaPhobia

− √ − √ − − − √ − − − − −− − √ √ − − − √ − − − −− − − − − − − − − − − −− − − − − − − − − − √ −

− − − − − − − − − − − −− − − − − − − − − − √ −− − − − − − − − − − − −− − − √ √− − − − − − − − − − − Tempat kotor,aneh,bau,makanan tidak enak− − − − − − − − − − −− − − √ − − − − − − −− − − − − − − √ − − −− − − − − − − − − − −− − − − − − − − − − udang− − − − − − − √ − − − −− − − − − − − − − − √− √ − Tinggi − − − − − − − −− − − − − − − √ −

− √ − − − − − − MSG Binatang melata− − − √ − √ − − − udang,cumi-cumi− − √ √ − − − √ − − − − − −

Keterangan Obat

promag

Mylanta,CTMTempat kotor,aneh,bau,makanan tidak enak

ciprofloksasin,fixef 100

Promag,sangobionPromag

Binatang melata−Promag,mylanta