FORMASI JABATAN : TENAGA PELIPUTAN - UMUM

No Nama NIK Tanggal Lahir yyyy-mm-dd Jenis Kelamin Nomor Peserta Ujian 104 SAFITRI PUSPITANINGRUM 3319025704920002 1992-04-17 Wanita 40011221005271 105 SANDRA RATSJA PUTRI 3271046903900013 1990-03-29 Wanita 40011221005288 106 SARI MARTA 1371014903930004 1993-03-09 Wanita 40011221005322 107 SASTIA INAR VIANNY 3201065509920002 1992-09-15 Wanita 40011221005332 108 SENDI PERWITASARI 3311115005910001 1991-05-10 Wanita 40011221005372 109 SERIN ALIANI ZENA 3217066206920005 1992-06-22 Wanita 40011221005412 110 SISKA PRATIWI 1901024702930004 1993-02-07 Wanita 40011221005507 111 SITI WIDYA UTAMI 1271095805960004 1996-05-18 Wanita 40011221005558 112 SITI ZUBAIDAH AZZAHRA 3271046106940010 1994-06-21 Wanita 40011221005562 113 SURYA NUR HIDAYAT 3175030706900001 1990-06-07 Pria 40011121005660 114 SYIFA NURLITA HADIAN 3271056911960006 1996-11-29 Wanita 40011221005720 115 TIARA BAHARSYAM 3201106210950003 1995-10-22 Wanita 40011221005787 116 TRI ISMAWATI 3311044110900001 1990-10-01 Wanita 40011221005859 117 VIDA ERVINA 3175066506951003 1995-06-25 Wanita 40011221005981 118 VINKY ALISHA NURHAMIDIN 3275015201960020 1996-01-12 Wanita 40011221006000 119 WANDAN PUJI LESTARI 3318046102890001 1989-02-21 Wanita 40011221006061 120 WINARTIKA 3273055410880005 1988-10-14 Wanita 40011221006123 121 WYDIA PUSFASARY 3273255510930002 1993-10-15 Wanita 40011221006173 122 YANRI ADZANI 3201375601930005 1993-01-16 Wanita 40011221006187 123 YEKTI TRIANASARI 3216064110910017 1991-10-01 Wanita 40011221006207 124 YENNY KUSUMAWARDANI 3372056701940002 1994-01-27 Wanita 40011221006212 125 YESICA LENARIA MANURUNG 1209206005940001 1994-05-20 Wanita 40011221006217 126 YESSI SARASWATI 1802175001930003 1993-01-10 Wanita 40011221006220 127 YOHANA NOVA ADITYA 3313101108920004 1992-08-11 Pria 40011121006240 128 YUSNIWATI FEBRIKA 3275035102890005 1989-02-11 Wanita 40011221006383 129 YUSUF HAKIM 3674061506940011 1994-07-15 Pria 40011121006387 JUMLAH FORMASI : 5 No Nama NIK Tanggal Lahir yyyy-mm-dd Jenis Kelamin Nomor Peserta Ujian 1 A KUNCORO 3372030711870004 1987-11-07 Pria 40011121000002 2 ABDHU RACHMAN SALEH.S 1871131812910001 1991-12-18 Pria 40011121000014 3 ABDUL KARIM 1375010810900001 1990-10-08 Pria 40011121000018 4 ACHMAT SAPUTRA 3515183107950001 1995-07-31 Pria 40011121000049 5 ADE PERTIWI 3201016004920004 1992-04-20 Wanita 40011221000068 6 ADELIA TRI PRAMUDYA. M 3524055706940001 1994-06-17 Wanita 40011221000078 7 ADHARDHIKA ANDARIAWAN 3276053006900002 1990-06-30 Pria 40011121000084 8 ADINDA KARUNIA DEWI 3578065801950004 1995-01-18 Wanita 40011221000114 9 ADITYA MUSTAQIM 3604301201930001 1993-01-12 Pria 40011121000134 10 ADITYA PRASETYA 3275081206920011 1992-06-12 Pria 40011121000141 11 ADITYA YUNIAR 3172021706890001 1989-06-17 Pria 40011121000153 12 ADITYAS AGUNG PAMUNGKAS 3313101904880001 1988-04-19 Pria 40011121000156 13 AFIANZA PUTRA KADAMBA 3304020605960001 1996-05-06 Pria 40011121000177 14 AGIE KUSPRIHANDIKA 3175082001930005 1993-01-20 Pria 40011121000197 15 AHLAN FIRDAUS 3374150204910001 1991-04-02 Pria 40011121000253 16 AHMAD IZUDDIN.MA 3276051804960010 1996-04-18 Pria 40011121000266 17 AKHMAD SUGIARTO 3271050909960008 1996-09-09 Pria 40011121000304 18 ALDINI SARI PURNAMA 3515166806960001 1996-06-28 Wanita 40011221000326 19 ALFIAH INDIRA 3674065207920015 1992-07-12 Wanita 40011221000337 20 ALFIRA RIZKY AYU PUTRI 3578045007960002 1996-07-10 Wanita 40011221000342 21 ALI MUHAMMAD HISBULLAH 3311102410900001 1990-10-24 Pria 40011121000347 22 ALIFA MAULIDINA DEWI RAHMAYANTI 3201115101960002 1996-01-11 Wanita 40011221000355 23 ALIFIA ATIKA FIRDAUS 3578096312950001 1995-12-23 Wanita 40011221000359 24 ALIYUS PRATAMA 1871021109940008 1994-09-11 Pria 40011121000368 25 AMADA GALIH FEBRIANTO 3374110102910002 1991-02-01 Pria 40011121000384 26 AMANAHIKA HULAMA 3603285311940001 1994-11-13 Wanita 40011221000393 27 ANASTASIA ARDYANNE LOUIS OVELLITA PUT 3310116810960001 1996-10-28 Wanita 40011221000429 28 ANGEL AMADHIA SABRINA 3275035101960018 1996-01-11 Wanita 40011221000508 29 ANISA NURFADILLAH ESTIA 3204286709950007 1995-09-27 Wanita 40011221000595 30 ANJUAN ALDO LUBIS 3173061001890005 1989-01-10 Pria 40011121000618 31 ANNISA DWI PUTRI 3201254503950004 1995-03-05 Wanita 40011221000635 32 ARIF RAHMAN ALFIAN 3674012905960001 1996-05-29 Pria 40011121000783 33 ARINI RIENZANI 3273105801890001 1989-01-18 Wanita 40011221000794 34 ARISTA MUSTIKA UTAMI 3276014510940009 1994-10-05 Wanita 40011221000802 35 ARISTIRA SUCININGRUM 3276025604940005 1994-04-16 Wanita 40011221000803 36 ARLAN AZIZ 3201072802910005 1991-02-28 Pria 40011121000810

31. FORMASI JABATAN : TENAGA PELIPUTAN - UMUM

halaman 50101 No Nama NIK Tanggal Lahir yyyy-mm-dd Jenis Kelamin Nomor Peserta Ujian 37 ASRI AYU NURYANI 3275114709970005 1997-09-07 Wanita 40011221000869 38 ASRIKA VITAWATI 3273256209930001 1993-09-22 Wanita 40011221000877 39 ASTI ULFIANA ZUHROH 3305144610950002 1995-10-06 Wanita 40011221000884 40 AURA AULIA IRIANA PUTRI 3201314209950001 1995-09-02 Wanita 40011221000932 41 AVI TRI HIDAYATI 3306076812940004 1994-12-28 Wanita 40011221000935 42 AWAN PRADITYA WAHYU TOMO 3310161901950001 1995-01-19 Pria 40011121000938 43 BAGOES CAHJADI 3174091903910004 1991-03-19 Pria 40011121001014 44 BAYU ADHI WIRYA 3275011709890013 1989-09-17 Pria 40011121001043 45 BAYU AGUNG NUGROHO 3211141502960010 1996-02-15 Pria 40011121001044 46 BIBO SHAFWAN 3277032101890003 1989-01-21 Pria 40011121001103 47 BURHAN KUSPRIANANDA 3514111610930001 1993-10-16 Pria 40011121001154 48 BURHANUDIN 3603172112910002 1991-12-21 Pria 40011121001155 49 CHANDRA GAUTAMA SH.CK 1801062509920002 1992-09-25 Pria 40011121001195 50 CHASBI CHUSNA MULIA 3201132104900003 1990-04-21 Pria 40011121001200 51 CHINDRA AYU DESTRIANA 3276026412910005 1991-12-24 Wanita 40011221001205 52 CONNY BINTARI 3271055605940012 1994-05-16 Wanita 40011221001266 53 DAHLIA 3276056406910005 1991-06-24 Wanita 40011221001289 54 DAMIA RIZKITA 3276055805920006 1992-05-18 Wanita 40011221001294 55 DANDY ADITYA ARI SADEWA 3578152208960004 1996-08-22 Pria 40011121001305 56 DANU WIDIASMORO YOGYARTO 1771022704880004 1988-04-27 Pria 40011121001320 57 DARA AZYURA EDWAR 1371026401940004 1994-01-24 Wanita 40011221001324 58 DEDDY UTAMA 3578100303890004 1989-03-03 Pria 40011121001361 59 DESITA PURNAMA SARI 1871064312900005 1990-12-03 Wanita 40011221001433 60 DEVI RATNASARI 3524114612930002 1993-12-06 Wanita 40011221001465 61 DEVI RISDIANA SARI 3316084206950002 1995-06-02 Wanita 40011221001466 62 DEVIANA FAUZIAH 3275114412960001 1996-12-04 Wanita 40011221001469 63 DEWI ANJANI FEDILIA TOYANG 3372046201950001 1995-01-22 Wanita 40011221001482 64 DHEA MEGANTARA 3374151402910002 1991-02-14 Pria 40011121001523 65 DHIMAS HAPPY MAULANA 3374062408920004 1992-08-24 Pria 40011121001527 66 DICKY DWI SEPTIAN 1371020809950006 1995-09-08 Pria 40011121001588 67 DINA REZKY NURILAWATI 3275114112960002 1996-12-01 Wanita 40011221001643 68 DINAR LUPITA ELVANDARI 3374106610910002 1991-10-26 Wanita 40011221001646 69 DIO ANUGRAH S 3515101809950003 1995-09-18 Pria 40011121001678 70 DWI AMBAR SEKARWATI 3175074304940003 1994-04-03 Wanita 40011221001728 71 DWI KURNIAWAN 1271142507940001 1994-07-25 Pria 40011121001744 72 DWI YULIANDINI 3175076807900005 1990-07-28 Wanita 40011221001765 73 EDWIN RAMADI 3174060206920002 1992-06-02 Pria 40011121001802 74 EGA KHANSA ALIFA 3515076703960001 1996-03-27 Wanita 40011221001817 75 EGAWATI 3328047005880004 1992-03-30 Wanita 40011221001818 76 EGGY SYAWAL AFRIYAN 3273292804900001 1990-04-28 Pria 40011121001819 77 EKO WAHYU PRASETYO 3216062303920023 1992-03-23 Pria 40011121001864 78 ELINDA 3275035511920005 1992-11-15 Wanita 40011221001873 79 ENDAH LESTARI 3173014207890005 1989-07-02 Wanita 40011221001913 80 ERIZA RAHMI 1272035712960001 1996-12-17 Wanita 40011221001945 81 EUIS SULASTRI 3213084311890003 1989-11-03 Wanita 40011221001988 82 EVA SAFITRI 3172046412950001 1995-12-24 Wanita 40011221001997 83 FADLY REZKY AULIA 3201290509900004 1990-09-05 Pria 40011121002044 84 FAJAR HARDIPRADANA 3276052707960003 1996-07-27 Pria 40011121002078 85 FAJAR SAPUTRA 3174091909870001 1987-09-19 Pria 40011121002086 86 FAQIH PRAMUDITO 3306030211940001 1994-11-02 Pria 40011121002120 87 FARAH MAULIFTYA DIANNE.A 3201016504960009 1996-04-25 Wanita 40011221002128 88 FARHANAH 3276026012940011 1994-12-20 Wanita 40011221002139 89 FAUZAN WAHID AL GHANI 1374010910940001 1994-10-09 Pria 40011121002167 90 FAUZI ACHMAD 3271063009920001 1992-09-30 Pria 40011121002168 91 FEBIYUKO SETYO ANGGORO 3216062002960017 1996-02-20 Pria 40011121002181 92 FERI SUMINAR 3305121202890001 1989-02-12 Pria 40011121002222 93 FIDHIA HAYATI HERMAWAN 3204166706950014 1995-06-27 Wanita 40011221002231 94 FIJAR ALAMANDA EDISON 1671142008910012 1991-08-20 Pria 40011121002241 95 FIKA ARFA PUTRI 3174014211950001 1995-11-02 Wanita 40011221002243 96 FIRMANDA EBTA NUGRAHA 3404052005920001 1992-05-20 Pria 40011121002273 97 FITRI FRI UTAMI 3328104605880003 1988-05-06 Wanita 40011221002291 98 FREZA NISFI ROMADLON 3302011502960004 1996-02-15 Pria 40011121002329 99 FRIDA KARTIKANINGRUM 3372056707920004 1992-07-27 Wanita 40011221002330 100 GALIH VANGGA DINATA 3313131303940003 1994-03-13 Pria 40011121002361 101 GEBYAR WILANTIKA 3375042506900002 1990-06-25 Pria 40011121002384 102 GETTA GIANA FASHA PRADINI 3310266305960001 1996-05-23 Wanita 40011221002404 103 GIBRAN 1673060112950001 1995-12-01 Pria 40011121002416 104 GOLDI SENNA PRABOWO 3507242108960003 1996-08-21 Pria 40011121002455 105 HAMIDAH AHMAD 3271024301930001 1993-01-03 Wanita 40011221002516 106 HARDIANTY 3172034912910005 1991-12-09 Wanita 40011221002561 halaman 51101 No Nama NIK Tanggal Lahir yyyy-mm-dd Jenis Kelamin Nomor Peserta Ujian 107 HARNISYAH 3175096406940011 1994-06-24 Wanita 40011221002573 108 HARNUM AIDA RIZKY 3515186609950001 1995-09-26 Wanita 40011221002574 109 HEDY SARTIKA PRIASTIWI 3578154812950001 1995-12-08 Wanita 40011221002608 110 HENDRIYASTUTI MAWARDI 3674034906890002 1989-06-09 Wanita 40011221002628 111 HERMAWAN 3201132611920011 1992-11-26 Pria 40011121002656 112 HERNASARI AYU SATITI 3276055107940002 1994-07-11 Wanita 40011221002659 113 HIMAWAN WAHYU TRIADI 3504110310920001 1992-10-03 Pria 40011121002694 114 IKHSAN IMAM HARTAWAN 3374062201950002 1995-01-22 Pria 40011121002765 115 INDRIANA WINIARTI 3202295410930001 1994-10-14 Wanita 40011221002841 116 INTAN DWI ARTIKAWATI 3312125404960002 1996-04-14 Wanita 40011221002861 117 INTAN PERMATASARI PUTRI MARHAR 3374075108930002 1993-08-11 Wanita 40011221002872 118 INTAN PUTRI LESTARI 3209174212960004 1996-12-02 Wanita 40011221002876 119 IRA DZAKIRA DEWI 3174024207930001 1993-07-02 Wanita 40011221002895 120 IRSAN MULIAWAN 3674031503880002 1988-03-15 Pria 40011121002932 121 IRVAN FAHREZY ADITYA SUYONO 3372051807960007 1996-07-18 Pria 40011121002935 122 IVAN SETIAWAN 3271061501900001 1990-01-15 Pria 40011121002966 123 JATAYU HADI PRAKOSO 3671122001890003 1989-01-20 Pria 40011121002986 124 JAYADI MAULANA 3275112007900005 1990-07-20 Pria 40011121002990 125 JENNIFER FRISCA RESILOWI 3271044503960012 1996-03-05 Wanita 40011221003004 126 JESY SAVERA HERNANDA 3372056804930005 1993-04-28 Wanita 40011221003010 127 JOHANES PHILIPUS HENDIANA 3276010911910003 1991-11-09 Pria 40011121003021 128 JUFFERSON BERNADSHE 3276101810930002 1993-10-18 Pria 40011121003032 129 JULI KRISTIANTO 3171072207890004 1989-07-22 Pria 40011121003037 130 KARINA NATALIANI 3276085912930003 1993-12-19 Wanita 40011221003077 131 KATON PRAWOTO 3174091702900002 1990-02-17 Pria 40011121003106 132 KELLINA MAHADEWI 3518115804970003 1997-04-18 Wanita 40011221003109 133 KHALIDA 3175096003930004 1993-03-20 Wanita 40011221003130 134 KRIS SAPUTRI 1201036308940001 1994-08-23 Wanita 40011221003182 135 LARAS SHINTA ANDARI PUTRI 3313114309940001 1994-09-03 Wanita 40011221003237 136 LESI SETIAWATI 3602184104920001 1992-04-01 Wanita 40011221003266 137 LIANTY FEBRIANA 3273155502880004 1988-02-15 Wanita 40011221003280 138 LINTANG PURWO AYUNINGTYAS 3276064806890004 1989-06-08 Wanita 40011221003313 139 LISTYO AGUNG NUGROHO 3273230306880010 1988-06-03 Pria 40011121003321 140 LUCKY KURNIANTO 3275041110900016 1990-10-11 Pria 40011121003331 141 M MARDHAN ASWIR 3275090703940010 1994-03-07 Pria 40011121003369 142 M N DIAN SAPUTRA 3175102504920008 1992-04-25 Pria 40011121003371 143 M. AINUL ATHO 3375020710900008 1990-10-07 Pria 40011121003380 144 M.ALIMUKTI AKBARI 3201300907960003 1996-07-09 Pria 40011121003395 145 MAHENDRA FAJAR CHRYSSETIAWAN 3372052204870004 1987-04-22 Pria 40011121003421 146 MARTIN DIPPOS SIMON 3276051403930001 1993-03-14 Pria 40011121003477 147 MEILANIZA FAZZIRA 3509016705950003 1995-05-27 Wanita 40011221003559 148 MHD FAHRIZAL LBS 1271122111930004 1993-11-21 Pria 40011121003627 149 MILA HARYATI 3603194109950001 1995-09-01 Wanita 40011221003646 150 MOCH. MUCHLIS 3573040310890005 1989-10-03 Pria 40011121003679 151 MOCH.RIZAL KRISWANTORO 3578220205910002 1991-05-02 Pria 40011121003683 152 MOCHAMAD RIZKY BUDIMAN 3275121707920005 1992-07-17 Pria 40011121003686 153 MOHAMMAD ARESY ELHA RAHMADANI 3671060410950005 1995-10-04 Pria 40011121003702 154 MOJANG KAYLA ROSSA 3204284510960006 1996-10-05 Wanita 40011221003712 155 MUCHAMAD NUR HAMID 3271052109910014 1991-09-21 Pria 40011121003725 156 MUHAMAD AGUNG AL FARIZI 3215260604960003 1996-04-06 Pria 40011121003746 157 MUHAMAD ZULFIKAR ARISTIANTO 3323080907900006 1990-07-09 Pria 40011121003775 158 MUHAMMAD BIMA FAQIH 3174090907960002 1996-07-09 Pria 40011121003805 159 MUHAMMAD FIRDAUS 3216012902880002 1988-12-29 Pria 40011121003822 160 MUHAMMAD HAFIDZ AL FARIZY 3372050408960003 1996-08-04 Pria 40011121003825 161 MUHAMMAD ULIL AZMI 3174081503911001 1991-03-15 Pria 40011121003893 162 MUHAMMAD YUSUF 3275030910940014 1994-10-09 Pria 40011121003897 163 MULYADI BUDI UTOMO 3374092207900002 1990-07-22 Pria 40011121003911 164 MUTIA SEKAR WANGI 3275035006950019 1995-06-10 Wanita 40011221003935 165 NABILA PUTRI ANDIRA 3276064402970004 1997-02-04 Wanita 40011221003956 166 NADIA CHIKITA 3374116205920001 1992-05-22 Wanita 40011221003966 167 NADYA LUKITASARI 3321016609910007 1991-09-26 Wanita 40011221003981 168 NATASYA FAUZIA 3211154603940007 1994-03-06 Wanita 40011221004021 169 NICKITA MAUREEN TIODORA 3175066111890008 1989-11-21 Wanita 40011221004062 170 NOVA NOVRIANA 3175076006920011 1992-06-20 Wanita 40011221004156 171 NOVIA HANDAYANI 1371045511940004 1994-11-15 Wanita 40011221004176 172 NOVIANA 3171084811960002 1996-11-08 Wanita 40011221004182 173 NUR FITRI AFRIYANI 3404076805890001 1989-05-28 Wanita 40011221004239 174 OKKY DIANPRADIKA 3519082810940001 1994-10-28 Pria 40011121004354 175 OKTA FERI CHRISTIANTO 3374102010950004 1995-10-20 Pria 40011121004356 176 OKTA ROCHMAT PUTRA 3217021710930001 1993-10-17 Pria 40011121004359 halaman 52101 No Nama NIK Tanggal Lahir yyyy-mm-dd Jenis Kelamin Nomor Peserta Ujian 177 OKTA WIJAYA JATI KUSUMA 3313122710880002 1988-10-27 Pria 40011121004360 178 POPPY ROSARI GITAPRAWASTI 3201296408950005 1995-08-24 Wanita 40011221004443 179 PRAMITA IRIYANI A.MD 3275017005900013 1990-05-30 Wanita 40011221004452 180 PRAMUDIA KUKUH MAHENDRA 3518030905940003 1994-05-09 Pria 40011121004455 181 PUNGKY ASTANTO 3372020906950002 1995-06-09 Pria 40011121004502 182 PURUHITA WARIH DEWANTI 3375015203890002 1989-03-12 Wanita 40011221004509 183 PUTI AINI YASMIN 5171026309960001 1996-09-23 Wanita 40011221004517 184 PUTRI WULANDARI 1307056405940001 1994-05-28 Wanita 40011221004569 185 RADEN AJENG MEGATRI 3171056104880001 1988-04-21 Wanita 40011221004609 186 RAHMAT MEGAH KHOIRUL ALWAN 3519150501960002 1996-01-05 Pria 40011121004653 187 RAKHMAD KEBENARAN 1871052610860004 1986-10-26 Pria 40011121004678 188 RAKHMIARTI 3276016501910003 1991-01-25 Wanita 40011221004681 189 RANGGA SATRYA DEVIANDRA P 3174011212950005 1995-12-12 Pria 40011121004704 190 RATNA SETIYAWATI 3502075603940002 1994-03-16 Wanita 40011221004736 191 RAYHAN SWASONO 3175011312920006 1992-12-13 Pria 40011121004747 192 REDA WARITSUNAL FIRDAUS SUKANDAR 3273140808940007 1994-08-08 Pria 40011121004758 193 RENI INDAH PRATIWI 3175026907940002 1994-07-29 Wanita 40011221004799 194 RENO ETRI PRABOWO 3519101710940001 1994-10-17 Pria 40011121004810 195 RETNO CAHYANINGRUM 3311095807960003 1996-07-18 Wanita 40011221004839 196 RHESA KURNIA SUGANDA 6472032508960004 1996-08-25 Pria 40011121004877 197 RIFKA OKTAVIANA 3175024510920002 1992-10-05 Wanita 40011221004938 198 RIFKY MAULIDIN ALFIEN 3573031809930005 1993-09-18 Pria 40011121004944 199 RIKA FEBRIYANTI 3201156402900005 1990-02-24 Wanita 40011221004950 200 RINALDI SETIADI 3277012003870011 1987-03-20 Pria 40011121004992 201 RINDA DWI HANDAYANI 3275015511900021 1990-11-15 Wanita 40011221004999 202 RISA OKTAVIANIZA PUTRI 3273026910940006 1994-10-29 Wanita 40011221005037 203 RIZAL BAGUS PRAKOSO 3571033108940003 1994-08-31 Pria 40011121005097 204 RIZKY AYU NANDA 1302106804940001 1994-04-28 Wanita 40011221005145 205 ROMANO BIYAN ANDESA TENGKER 3276041305910004 1991-05-13 Pria 40011121005194 206 RR. KARTIKA CANDRA 3313096712920002 1992-12-27 Wanita 40011221005218 207 SARA AGUSTRIANA 3275024108920008 1992-08-01 Wanita 40011221005309 208 SATRIA DARMAPUTRA 3273022310930008 1993-10-23 Pria 40011121005335 209 SATRIA HADINATA 3204310411900001 1992-11-04 Pria 40011121005337 210 SEPTIAN NUGRAHA 3275042809890021 1988-09-28 Pria 40011121005400 211 SHELLA 3201205905890001 1989-05-19 Wanita 40011221005449 212 SITI MARDIYAH 3175095206920001 1992-06-12 Wanita 40011221005536 213 SITI NUR RACHMAWATI 3471105805940001 1994-05-18 Wanita 40011221005544 214 SITI PATONAH 3211225310960004 1996-10-13 Wanita 40011221005546 215 SITI RAHAYU PERMATASARI 3175054708910002 1991-08-07 Wanita 40011221005549 216 SUBANDI 3308060607900001 1990-07-06 Pria 40011121005621 217 SUHERLINA MEIFI TRILESTARI 3328154605910003 1991-05-06 Wanita 40011221005641 218 SYAHNA RIA MENTARI 3174014108930004 1993-08-01 Wanita 40011221005692 219 SYIFA SARTIKA 3216065507960013 1996-07-15 Wanita 40011221005721 220 TIARA AYU 1306095512930002 1993-12-15 Wanita 40011221005786 221 TIARA WAHYUNINGRUM 3277035309940013 1994-09-13 Wanita 40011221005793 222 TOFA 3275012908900015 1990-08-29 Pria 40011121005833 223 TOMMY HARTONO PANJAITAN 3275030701920030 1992-01-07 Pria 40011121005837 224 TRIARNADA SAMPURIZKIA 3204081207900005 1990-07-12 Pria 40011121005889 225 TRIAS WIDYA APRILIANI 3327086604950081 1995-04-26 Wanita 40011221005891 226 TRIPONI HENDRA 1304110106880001 1988-06-01 Pria 40011121005896 227 TRISA RAHMI MADENISA 3273064701940001 1994-01-07 Wanita 40011221005897 228 UMAR SHAUFY 3174061008900002 1990-08-10 Pria 40011121005933 229 UNTUNG WIDODO YUWONO P. 3276022810890013 1989-10-28 Pria 40011121005941 230 UYUN RABIYANTI 3174106901920009 1992-01-29 Wanita 40011221005951 231 WALUYO SUTOMO 3374112905960004 1996-05-29 Pria 40011121006059 232 WINDA NOVITA 3276024211940006 1994-11-02 Wanita 40011221006132 233 WIWIT LARASSATI 3211075106940006 1994-06-11 Wanita 40011221006156 234 WULAN MARTYA DAARA 3201016103940004 1994-03-21 Wanita 40011221006161 235 YASMIN MEGARINI 3525164709930121 1993-09-07 Wanita 40011221006194 236 YAYAH SUGIANTO 3175031304950001 1995-04-13 Pria 40011121006199 237 YOGA SETYO UTOMO. 3578011904950003 1995-04-19 Pria 40011121006231 238 YOGI PRASTIYO 3175073004880010 1988-04-30 Pria 40011121006235 239 YOHANNES SIMANULLANG 1211021812880001 1988-12-18 Pria 40011121006249 240 YOLANDITA FATMA LAFONDA 3316094201970002 1997-01-02 Wanita 40011221006254 241 YONATHAN CHRISTANTO 3275060412930012 1993-12-04 Pria 40011121006255 242 YUNIKE LUSI DAHLIA 3276064706930005 1993-06-07 Wanita 40011221006362 243 YUNITA SARI 3173045706910005 1991-06-17 Wanita 40011221006370 244 ZAENAL ABIDIN 3174042501920007 1992-01-25 Pria 40011121006396 245 ZAKIAH HIDAYATI 3175096607960004 1996-07-26 Wanita 40011221006402 246 ZULVAN MAULANA AKBAR 3374100204960005 1996-04-02 Pria 40011121006426 halaman 53101 No Nama NIK Tanggal Lahir yyyy-mm-dd Jenis Kelamin Nomor Peserta Ujian JUMLAH FORMASI : 1 No Nama NIK Tanggal Lahir yyyy-mm-dd Jenis Kelamin Nomor Peserta Ujian 1 ARDI NUGRAHA PRANASETIA 3302242404860004 1986-04-24 Pria 40011131000719 2 BAYU AJI ADI NUGROHO 3315031207920001 1992-07-12 Pria 40011131001045 3 DIANA MUSTIKA AYU 1871016206900008 1990-06-22 Wanita 40011231001580 4 DR. MUHAMMAD RIZQI NASUTION 1207261206890020 1989-06-12 Pria 40011131001721 5 EGY PRATAMA SETIAWAN 3278080701900006 1990-01-07 Pria 40011131001822 6 ENSAN GALUH PERTIWI 3404136606910002 1991-06-26 Wanita 40011231001932 7 FATIA AYU RAMADHANA 3276025303930001 1993-03-13 Wanita 40011231002156 8 FIBRA MILITA 3172046002890006 1989-02-20 Wanita 40011231002230 9 FRISKA DWI ANGGRAINI 1871114903900004 1990-03-09 Wanita 40011231002334 10 IKA SARTIKA 1571036411890001 1989-11-24 Wanita 40011231002754 11 NOVIE NURIDASARI 3671054911890002 1989-11-09 Wanita 40011231004193 12 PANDU WIRANATA 1871060401900005 1990-01-04 Pria 40011131004399 13 R A ALEXIA KUSUMA EDITHA 3174014609870004 1987-09-06 Wanita 40011231004580 14 RAHMAWATI 3216066406860017 1986-06-24 Wanita 40011231004657 15 RAKHMA ASIH PRIMADYAH 3275114607880003 1988-07-06 Wanita 40011231004677 16 RHIDA SARLY AMALIA 1671044103910002 1991-03-01 Wanita 40011231004878 17 SHABRINA HERDIANA PUTRI 3276066812910004 1991-12-28 Wanita 40011231005431 18 SORAYA MUCHLISA 3175074405920004 1992-05-04 Wanita 40011231005583 19 UMCHUDLOH 3577036008890001 1989-08-20 Wanita 40011231005934 20 YESICHA ALFATH 3672085511890001 1989-11-15 Wanita 40011231006218 JUMLAH FORMASI : 1 No Nama NIK Tanggal Lahir yyyy-mm-dd Jenis Kelamin Nomor Peserta Ujian 1 ADI SETIAWAN 3216063108870007 1987-08-31 Pria 40011131000107 2 AGUNG WAHYU PRASETYO 3174091504930002 1993-04-15 Pria 40011131000232 3 ANDARI PERMATASARI 3274036107930012 1993-07-21 Wanita 40011231000435 4 ARUM DRAJAT GAYATRI 6474025310910004 1991-10-13 Wanita 40011231000831 5 ASRI YULIANTI 3175077007920002 1992-07-30 Wanita 40011231000876 6 CIPTA KHARISMADANIL GULAM 3175032204900002 1990-04-22 Pria 40011131001243 7 DYANTI 3173054410850005 1985-10-04 Wanita 40011231001787 8 ELVA N PINONTOAN 8171024704870013 1987-04-07 Wanita 40011231001893 9 ESTY YULINDA HASIBUAN 3275036107860029 1986-07-21 Wanita 40011231001985 10 FADILLA ANDITA HERNOWO 3174064504950001 1995-04-05 Wanita 40011231002039 11 FAHMI FAISAL ZUBAIDI 1271030206900004 1990-06-02 Pria 40011131002046 12 FAISHAL AULIA DARMAWAN 1271111910940002 1994-10-19 Pria 40011131002069 13 FARADINA KHOIRUNNISA FAUZIYAH 3305106308930004 1993-08-23 Wanita 40011231002123 14 KARINA ALFISAH UTAMI 7371076203940003 1994-03-22 Wanita 40011231003073 15 MIRACLE ELIZABETH 3674026506940004 1994-06-25 Wanita 40011231003659 16 MITA NURIANA 3578095501950003 1995-01-15 Wanita 40011231003672 17 N. SYAPUTRA SONIWAO TELAUMBANUA 1271020712920002 1992-12-07 Pria 40011131003948 18 NURIN NUSRATINA 3173076704950004 1995-04-27 Wanita 40011231004286 19 RINA TRIWARDHANY 3174084911890007 1989-11-09 Wanita 40011231004986 20 RINI NURHIDAYATI 3674025104860001 1986-04-11 Wanita 40011231005012 21 RIZKY NOVIARDIANA 3374054411920004 1992-11-04 Wanita 40011231005158 22 SETIA CHANDRA WIATI 3201116805910006 1991-05-28 Wanita 40011231005416 23 TABIKA MARLIANA SINAGA 1674025402930002 1993-02-14 Wanita 40011231005728 24 WAHYU SELFIANA HARTA 1371096409930005 1993-09-24 Wanita 40011231006049 JUMLAH FORMASI : 1 No Nama NIK Tanggal Lahir yyyy-mm-dd Jenis Kelamin Nomor Peserta Ujian

32. FORMASI JABATAN : DOKTER UMUM AHLI PERTAMA - UMUM