daftar pemilih tetap pemilihan umum kepala daerah dan wakil ...

DAFTAR PEMILIH TETAP
PEMILIHAN UMUM KEPALA DAERAH DAN WAKIL KEPALA DAERAH
KABUPATEN GIANYAR TAHUN 2012
Model A3- KWK.KPU
TPS : 07 KABUPATEN : GIANYAR
DESA / KELURAHAN : TULIKUP PROVINSI : BALI
KECAMATAN : GIANYAR Halaman : …………………..
NO.
URUT
NOMOR PEMILIH NAMA PEMILIH
TEMPAT DAN TANGGAL
LAHIR
UMUR/
USIA
STATUS
PERKAWIN
AN
JENIS
KELAMIN
Lk Pr
ALAMAT/TEMPAT TINGGAL KETERANGAN 2)
1 2 3 4 5 6 7 8 9 10
1 5104037112240022 I GUSTI MADE NGENTEG TULIKUP, ,31-12-1924 87 P - Pr BR. MENAK
2 5104032306920004 I GUSTI NGURAH CATUR BUDI SAPUTRA GIANYAR, ,23-06-1992 19 B Lk - BR. MENAK
3 5104032502930001 I GUSTI NGURAH ARTA YASA GIANYAR, ,25-02-1993 19 B Lk - BR. MENAK
4 5104032812420001 I GUSTI NGURAH MADE GEDE GIANYAR, ,28-12-1942 69 S Lk - BR. MENAK
5 5104037112650320 I GUSTI AYU PUSPADINI GIANYAR, ,31-12-1965 46 S - Pr BR. MENAK
6 5104037112440130 I GUSTI AYU KUPIT GIANYAR, ,31-12-1944 67 S - Pr BR. MENAK
7 5104033112280054 I GUSTI NGURAH PICA TULIKUP, ,31-12-1928 83 S Lk - BR. MENAK
8 5104035002930002 I GUSTI AYU DARMA PATNI GIANYAR, ,10-02-1993 19 B - Pr BR. MENAK
9 5104031509630002 I GUSTI NGURAH MUDANA TULIKUP, ,15-09-1963 48 S Lk - BR. MENAK
10 5104035512290001 I GUSTI AYU LETOK TULIKUP, ,15-12-1929 82 S - Pr BR. MENAK
11 5104034411650003 I GUSTI AYU SRI MURDANI TULIKUP, ,04-11-1965 46 S - Pr BR. MENAK
12 5104034808860002 I GUSTI AYU SWASTIARI GIANYAR, ,08-08-1986 25 B - Pr BR. MENAK
13 5104030607720003 I GUSTI NGURAH ARKA TULIKUP, ,06-07-1972 39 S Lk - BR. MENAK
14 5104035003710004 NI WAYAN SUMERTI GIANYAR, ,10-03-1971 41 S - Pr BR. MENAK
15 5104037112800032 I GUSTI AYU EKA PUTRI MANGGASARI, ,31-12-1980 31 S - Pr BR. MENAK
16 5104033112760040 I GUSTI NGURAH ARKA TULIKUP, ,31-12-1976 35 S Lk - BR. MENAK

1 2 3 4 5 6 7 8 9 10
17 5104033112780032 I GUSTI NGURAH SOMA ARTA TULIKUP, ,31-12-1978 33 S Lk - BR. MENAK
18 5104037112790021 I GUSTI AYU TELAGA WATI TULIKUP, ,31-12-1979 32 S - Pr BR. MENAK
19 5104032912530003 I GUSTI NGURAH KARNATA GIANYAR, ,29-12-1953 58 S Lk - BR. MENAK
20 5104036912550009 NI MADE WENTEN GIANYAR, ,29-12-1955 56 S - Pr BR. MENAK
21 5104033112360091 I GUSTI NGURAH KETUT RAUH TULIKUP, ,31-12-1936 75 S Lk - BR. MENAK
22 5104037112420219 I GUSTI AYU LATI TULIKUP, ,31-12-1942 69 S - Pr BR. MENAK
23 5104030508700005 I GUSTI NGURAH MUDITA TULIKUP, ,05-08-1970 41 S Lk - BR. MENAK
24 5104031408730003 I GUSTI NGURAH SUARMIKA TULIKUP, ,14-08-1973 38 B Lk - BR. MENAK
25 5104037112320091 I GUSTI AYU GANTI GIANYAR, ,31-12-1932 79 B - Pr BR. MENAK
26 5104034809700004 I GUSTI AYU MULIATI TULIKUP, ,08-09-1970 41 S - Pr BR. MENAK
27 5104033112380145 I GUSTI NGURAH MADE TUNAS GIANYAR, ,31-12-1938 73 S Lk - BR. MENAK
28 5104037112400278 I GUSTI PUTU SASIH GIANYAR, ,31-12-1940 71 S - Pr BR. MENAK
29 5104037112610095 I GUSTI AYU ASTUTIASIH GIANYAR, ,31-12-1961 50 S - Pr BR. MENAK
30 5104037009710003 I GUSTI AYU PUSPADINI GIANYAR, ,30-09-1971 40 B - Pr BR. MENAK
31 5104036512870006 I GUSTI AYU YEZI KRISTIADI GIANYAR, ,25-12-1987 24 B - Pr BR. MENAK
32 5104033112580269 I GUSTI NGURAH PUTRA GIANYAR, ,31-12-1958 53 S Lk - BR. MENAK
33 5104031809530002 I GUSTI NGURAH LASIA GIANYAR, ,18-09-1953 58 S Lk - BR. MENAK
34 5104034911580001 I GUSTI AYU KOMPIANG GIANYAR, ,09-11-1958 53 S - Pr BR. MENAK
35 5104032803290002 I GUSTI NGURAH DEGENG GIANYAR, ,28-03-1929 82 S Lk - BR. MENAK
36 5104034107680126 5104034107680126 I GUSTI AYU SUARMINI GIANYAR GIANYAR, ,01-07-1968 01 07 1968 43 B - P Pr BR BR. MENAK
37 5104035203720005 GUSTI AYU KETUT NURAINI BELITANG, ,12-03-1972 39 S - Pr BR. MENAK
38 5104035101460001 I GUSTI AYU MUDUNG GIANYAR, ,11-01-1946 66 S - Pr BR. MENAK
39 5104031007480002 I GUSTI NGURAH SUDANA GIANYAR, ,10-07-1948 63 S Lk - BR. MENAK
40 5104035504440001 I GUSTI AYU MIRIB GIANYAR, ,15-04-1944 67 P - Pr BR. MENAK
41 5104037112470079 I GUSTI AYU MAYONI GIANYAR, ,31-12-1947 64 S - Pr BR. MENAK

1 2 3 4 5 6 7 8 9 10
42 5104035107790001 NI KETUT HANDAYANI GIANYAR, ,11-07-1979 32 S - Pr BR. MENAK
43 5104032801790002 I GUSTI NGURAH CHRISNA DIANA GIANYAR, ,28-01-1979 33 S Lk - BR. MENAK
44 5104030709670002 NGAKAN NYOMAN PATRA GIANYAR, ,07-09-1967 44 S Lk - BR. MENAK -
45 5104035210380001 SANG AYU NYOMAN ADA GIANYAR, ,12-10-1938 73 S - Pr BR. MENAK -
46 5104033112460071 NGAKAN KETUT MERGIG GIANYAR, ,31-12-1946 65 S Lk - BR. MENAK -
47 5104036502710001 NI KETUT SUARNI TABANAN, ,25-02-1971 41 S - Pr BR. MENAK -
48 5104033112230033 NGAKAN PUTU KENDUNG GIANYAR, ,31-12-1923 88 S Lk - BR. MENAK -
49 5104037112380152 SANG AYU NYOMAN SUPLIG GIANYAR, ,31-12-1938 73 S - Pr BR. MENAK -
50 5104033112530196 NGAKAN PUTU SUDIANA GIANYAR, ,31-12-1953 58 S Lk - BR. MENAK -
51 5104035110740001 SANG AYU NYOMAN SUMIATI GIANYAR, ,11-10-1974 37 B - Pr BR. MENAK -
52 5104030605830005 NGAKAN NYOMAN SUASTIKA TULIKUP, ,06-05-1983 28 B Lk - BR. MENAK -
53 5104032103670003 NGAKAN PUTU PUTRA GIANYAR, ,21-03-1967 44 B Lk - BR. MENAK -
54 5104032111850002 NGAKAN KETUT SUMARDIKA GIANYAR, ,21-11-1985 26 B Lk - BR. MENAK -
55 5104031104810002 NGAKAN MADE SUTAMA GIANYAR, ,11-04-1981 30 B Lk - BR. MENAK -
56 5104037112630247 SANG AYU PUTU MUDRI GIANYAR, ,31-12-1963 48 S - Pr BR. MENAK -
57 5104032711760002 ANAK AGUNG GDE ASMARA PUTRA GIANYAR, ,27-11-1976 35 S Lk - BR. MENAK -
58 5104034507770006 NI KADEK SUDANI KARANGASEM, ,05-07-1977 34 S - Pr BR. MENAK -
59 5104031112420004 ANAK AGUNG GDE OKA GIANYAR, ,11-12-1942 69 S Lk - BR. MENAK -
60 5104037112400296 DESAK MADE SUCI GIANYAR, ,31-12-1940 71 S - Pr BR. MENAK -
61 5104036909700003 5104036909700003 ANAK AGUNG KRISNATI DEWI GIANYAR GIANYAR, ,29-09-1970 29 09 1970 41 B - P Pr BR BR. MENAK -
62 5104036201690001 A A SRI MIRAH TISNAWATI GIANYAR, ,22-01-1969 43 S - Pr BR. MENAK -
63 5104032911650004 ANAK AGUNG GEDE ANDIKA GIANYAR, ,29-11-1965 46 S Lk - BR. MENAK -
64 5104030608590002 NGAKAN NYOMAN SUKADANA GIANYAR, ,06-08-1959 52 S Lk - BR. MENAK -
65 5104037112600302 SANG AYU PUTU KERTI GIANYAR, ,31-12-1960 51 S - Pr BR. MENAK -
66 5104035007860004 SANG AYU MADE SUGIANTARI GIANYAR, ,10-07-1986 25 B - Pr BR. MENAK -

1 2 3 4 5 6 7 8 9 10
67 5104030808850004 NGAKAN PUTU SUDIARTA GIANYAR, ,08-08-1985 26 B Lk - BR. MENAK -
68 5104031606670001 NGAKAN PUTU ALIT PURNABAWA GIANYAR, ,16-06-1967 44 S Lk - BR. MENAK -
69 5104037112300084 SANG AYU NYOMAN SUPLEG GIANYAR, ,31-12-1930 81 S - Pr BR. MENAK -
70 5104037112650167 I GUSTI AYU MURNIARI GIANYAR, ,31-12-1965 46 S - Pr BR. MENAK -
71 5104032012500004 ANAK AGUNG GEDE RAKA PARWITA KLUNGKUNG, ,20-12-1950 61 S Lk - BR. MENAK -
72 5104036703550002 DEWA AYU KAMINI KLUNGKUNG, ,27-03-1955 56 S - Pr BR. MENAK -
73 5104031805370001 NGAKAN MADE MARI GIANYAR, ,18-05-1937 74 P Lk - BR. MENAK -
74 5104030310950001 NGAKAN PUTU AGUNG NUARSA SURABAYA, ,03-10-1995 16 B Lk - BR. MENAK -
75 5104035809680001 NUNUK SUDJIATI SURABAYA, ,18-09-1968 43 S - Pr BR. MENAK -
76 5104033009650007 NGAKAN MADE JAPA GIANYAR, ,30-09-1965 46 S Lk - BR. MENAK -
77 5104032501900001 NGAKAN MADE SUGIANA GIANYAR, ,25-01-1990 22 B Lk - BR. MENAK -
78 5104037112580331 NI NYOMAN SARI GIANYAR, ,31-12-1958 53 S - Pr BR. MENAK -
79 5104037112430180 NI MADE RIBEK GIANYAR, ,31-12-1943 68 P - Pr BR. MENAK -
80 5104033003850002 NGAKAN PUTU SUWASTIKA GIANYAR, ,30-03-1985 26 B Lk - BR. MENAK -
81 5104033112560229 NGAKAN MADE DANA GIANYAR, ,31-12-1956 55 S Lk - BR. MENAK -
82 5104032205950005 NGAKAN NYOMAN SAMA GIANYAR, ,22-05-1995 16 B Lk - BR. MENAK -
83 5104030404720004 NGAKAN MADE GUNA GIANYAR, ,04-04-1972 39 S Lk - BR. MENAK -
84 5104034401730004 NI LUH ADNYANI BULELENG, ,04-01-1973 39 S - Pr BR. MENAK -
85 5104031802500001 NGAKAN MADE RAUH GIANYAR, ,18-02-1950 62 S Lk - BR. MENAK -
86 5104032301880003 5104032301880003 NGAKAN NGAKAN KETUT DANAYOGA GIANYAR GIANYAR, ,23-01-1988 23 01 1988 24 S Lk - BR BR. MENAK -
87 5104035903900006 NI LUH SUMARIANI GIANYAR, ,19-03-1990 21 S - Pr BR. MENAK -
88 5104035210550001 SANG AYU MADE KERTI GIANYAR, ,12-10-1955 56 S - Pr BR. MENAK -
89 5104033112370101 NGAKAN PUTU LANUS GIANYAR, ,31-12-1937 74 P Lk - BR. MENAK -
90 5104031111940003 NGAKAN PUTU ARIF SATRIA. P. GIANYAR, ,11-11-1994 17 B Lk - BR. MENAK -
91 5104034812640001 NI NYOMAN KASIHATI GIANYAR, ,08-12-1964 47 S - Pr BR. MENAK -

1 2 3 4 5 6 7 8 9 10
92 5104033112640133 NGAKAN PUTU SUMARYADI GIANYAR, ,31-12-1964 47 S Lk - BR. MENAK -
93 5104033112500163 NGAKAN MADE SUDARSANA GIANYAR, ,31-12-1950 61 S Lk - BR. MENAK -
94 5104033112930006 NGAKAN NYOMAN SUPARTA GIANYAR, ,31-12-1993 18 B Lk - BR. MENAK -
95 5104037112830019 SANG AYU PUTU SEKAR GIANYAR, ,31-12-1983 28 B - Pr BR. MENAK -
96 5104037112600190 SANG AYU SUKRI GIANYAR, ,31-12-1960 51 S - Pr BR. MENAK -
97 5104037112260024 SANG AYU PUTU SIMPEN GIANYAR, ,31-12-1926 85 S - Pr BR. MENAK -
98 5104034505590001 NI KETUT KERTI GIANYAR, ,05-05-1959 52 P - Pr BR. MENAK -
99 5104035703860005 DESAK NYOMAN HARI HENDRAYANI GIANYAR, ,17-03-1986 25 S - Pr BR. MENAK -
100 5104030407950004 I DEWA NGAKAN GEDE ANOM GIANYAR, ,04-07-1995 16 B Lk - BR. MENAK -
101 5104030405890003 I DEWA NGAKAN GEDE PEMAYUN GIANYAR, ,04-05-1989 22 B Lk - BR. MENAK -
102 5104032404820003 I DEWA NGAKAN GDE BAYU NEGARA GIANYAR, ,24-04-1982 29 S Lk - BR. MENAK -
103 5104035303660002 NI NYOMAN NURATNI DENPASAR, ,13-03-1966 45 S - Pr BR. MENAK -
104 5104035802820006 SANG AYU PUTU JUNIARI DENPASAR, ,18-02-1982 30 B - Pr BR. MENAK -
105 5104033012630026 NGAKAN NYOMAN SUDIARTA GIANYAR, ,30-12-1963 48 S Lk - BR. MENAK -
106 5104037112700083 WIWIK SOLO, ,31-12-1970 41 S - Pr BR. MENAK -
107 5104037112460097 I GUSTI PUTU RAI BADRI GIANYAR, ,31-12-1946 65 S - Pr BR. MENAK -
108 5104030909640003 ANAK AGUNG GEDE OKA GIANYAR, ,09-09-1964 47 S Lk - BR. MENAK -
109 5104036706910004 ANAK AGUNG PUTRI KESUMA DEWI GIANYAR, ,27-06-1991 20 B - Pr BR. MENAK -
110 5104032404930002 ANAK AGUNG GEDE KRISNA GIANYAR, ,24-04-1993 18 B Lk - BR. MENAK -
111 5104033012390010 5104033012390010 NGAKAN NYOMAN PATRA GIANYAR GIANYAR, ,30-12-1939 30 12 1939 72 S Lk - BR BR. MENAK -
112 5104031703920004 NGAKAN MADE ARI GIANYAR, ,17-03-1992 19 B Lk - BR. MENAK -
113 5104037012410008 SANG AYU PUTU MARA GIANYAR, ,30-12-1941 70 S - Pr BR. MENAK -
114 5104033012610026 NGAKAN MADE BRATA GIANYAR, ,30-12-1961 50 B Lk - BR. MENAK -
115 5104030505660002 NGAKAN NYOMAN RAKA GIANYAR, ,05-05-1966 45 S Lk - BR. MENAK -
116 5104034404600001 SANG AYU PUTU MURTINI GIANYAR, ,04-04-1960 51 S - Pr BR. MENAK -

1 2 3 4 5 6 7 8 9 10
117 5104033008650002 NGAKAN GEDE ALIT SUTAMA GIANYAR, ,30-08-1965 46 S Lk - BR. MENAK -
118 5104034302710002 SANG AYU PUTU RUSMIANI GIANYAR, ,03-02-1971 41 S - Pr BR. MENAK -
119 5104031410640001 I DEWA GEDE SIDAN WIDNYANA GIANYAR, ,14-10-1964 47 P Lk - BR. MENAK -
120 5104037112270029 SANG AYU PUTU BONA GIANYAR, ,31-12-1927 84 P - Pr BR. MENAK -
121 5104032201670001 NGAKAN KETUT RAI SUDIKSA GIANYAR, ,22-01-1967 45 S Lk - BR. MENAK -
122 5104032603900002 NGAKAN PUTU SUADI SEMARAJAYA GIANYAR, ,26-03-1990 21 B Lk - BR. MENAK -
123 5104032912940003 NGAKAN MADE DWI SAPUTRA GIANYAR, ,29-12-1994 17 B Lk - BR. MENAK -
124 5104034306680002 SANG AYU MADE RAI SETYAWATI GIANYAR, ,03-06-1968 43 S - Pr BR. MENAK -
125 5104034505870005 IDA AYU GEDE KARWISTI SULAHAN, ,05-05-1987 24 S - Pr BR. MENAK -
126 5104031309820001 I WAYAN PARNAYASA KLUNGKUNG, ,13-09-1982 29 B Lk - BR. MENAK -
127 5104031605850002 IDA BAGUS MADE WIDNYANA BANGLI, ,16-05-1985 26 B Lk - BR. MENAK -
128 5104033010730002 IDA BAGUS NYOMAN UMBARA PUTRA BR. BERAHMANA BUKIT, ,30-10-1973 38 S Lk - BR. MENAK -
129 5104035908650001 IDA AYU AGUNG AGUSTINI DENPASAR, ,19-08-1965 46 S - Pr BR. MENAK -
130 5104036904950002 SANG AYU PUTU ARI PURNITHI GIANYAR, ,29-04-1995 16 B - Pr BR. MENAK -
131 5104035107860003 SANG AYU PUTU SRI SADIYANI GIANYAR, ,11-07-1986 25 B - Pr BR. MENAK -
132 5104033112350072 NGAKAN MADE ARKA GIANYAR, ,31-12-1935 76 S Lk - BR. MENAK -
133 5104037112370070 SANG AYU PUTU SAYANG GIANYAR, ,31-12-1937 74 S - Pr BR. MENAK -
134 5104032611740001 NGAKAN PUTU ALIT SUARCANA DENPASAR, ,26-11-1974 37 S Lk - BR. MENAK -
135 5104037112500206 DESAK KETUT KERTI GIANYAR, ,31-12-1950 61 P - Pr BR. MENAK -
136 5104035910760002 5104035910760002 NI LUH MADE DIANA SUPRABAWATI JAKARTA PUSAT PUSAT, ,19-10-1976 19 10 1976 35 S - P Pr BR BR. MENAK -
137 5104030408950003 NGAKAN PUTU ALDI SURYA PERMANA DENPASAR, ,04-08-1995 16 B Lk - BR. MENAK -
138 5104031212770003 NGAKAN MADE ADI GUNAWAN DENPASAR, ,12-12-1977 34 S Lk - BR. MENAK -
139 5104034902800003 NI LUH PUTU SRI GINARTI GIANYAR, ,09-02-1980 32 S - Pr BR. MENAK -
140 5104037112110003 SANG AYU PUGLIG GIANYAR, ,31-12-1911 100 S - Pr BR. MENAK -
141 5104037112360042 SANG AYU MADE ARTI GIANYAR, ,31-12-1936 75 S - Pr BR. MENAK -

1 2 3 4 5 6 7 8 9 10
142 5104037112720075 SANG AYU KADEK PADMAWATI GIANYAR, ,31-12-1972 39 B - Pr BR. MENAK -
143 5104030107450081 NGAKAN MADE RENA GIANYAR, ,01-07-1945 66 S Lk - BR. MENAK -
144 5104034107460055 DESAK PUTU SURUNG GIANYAR, ,01-07-1946 65 S - Pr BR. MENAK -
145 5104036306930002 SANG AYU NYOMAN SANTIA DEWI GIANYAR, ,23-06-1993 18 B - Pr BR. MENAK -
146 5104035501890003 SANG AYU MADE MURIANI GIANYAR, ,15-01-1989 23 B - Pr BR. MENAK -
147 5104033012490016 I DEWA NGAKAN PUTU RAUH GIANYAR, ,30-12-1949 62 P Lk - BR. MENAK -
148 5104032303940001 I DEWA NGAKAN PUTU SUASTIKA GIANYAR, ,23-03-1994 17 B Lk - BR. MENAK -
149 5104037112420101 IDA AYU PUTU RAI GIANYAR, ,31-12-1942 69 S - Pr BR. MENAK -
150 5104033112500164 IDA BAGUS PUTU SUTEJA GIANYAR, ,31-12-1950 61 B Lk - BR. MENAK -
151 5104033112160003 NGAKAN NYOMAN LATRA GIANYAR, ,31-12-1916 95 S Lk - BR. MENAK -
152 5104037112560125 SANG AYU KETUT PUJI GIANYAR, ,31-12-1956 55 S - Pr BR. MENAK -
153 5104037112650305 SANG AYU NYOMAN SRIANI GIANYAR, ,31-12-1965 46 B - Pr BR. MENAK -
154 5104037112660095 PARIDA SURABAYA, ,31-12-1966 45 S - Pr BR. MENAK -
155 5104037112500173 NI KETUT GAGA GIANYAR, ,31-12-1950 61 S - Pr BR. MENAK -
156 5104037112620250 SANG AYU PUTU TAMAN GIANYAR, ,31-12-1962 49 B - Pr BR. MENAK -
157 5104033112530138 NGAKAN MADE PINEH GIANYAR, ,31-12-1953 58 S Lk - BR. MENAK -
158 5104037112160005 SANG AYU KOTI GIANYAR, ,31-12-1916 95 S - Pr BR. MENAK -
159 5104035111710004 NI MADE SUKRIANI DENPASAR, ,11-11-1971 40 S - Pr BR. MENAK -
160 5104032011670002 NGAKAN KETUT RAI GIANYAR, ,20-11-1967 44 S Lk - BR. MENAK -
161 5104031504920003 5104031504920003 NGAKAN PUTU DEDI SATRIAWAN GIANYAR GIANYAR, ,15-04-1992 15 04 1992 19 B Lk - BR BR. MENAK -
162 5104037112300137 SANG AYU PUTU KEPREG BANGLI, ,31-12-1930 81 B - Pr BR. MENAK -
163 5104037112330079 SANG AYU PUTU KOMPIANG LAS GIANYAR, ,31-12-1933 78 P - Pr BR. MENAK -
164 5104033112460072 NGAKAN PUTU CEDUR GIANYAR, ,31-12-1946 65 B Lk - BR. MENAK -
165 5104034108690002 SINORINA FATIMA AMARAL DILI, ,01-08-1969 42 S - Pr BR. MENAK -
166 5104032310890001 NGAKAN MADE LUENJI KARJON TIMBAL PUTRA DILI, ,23-10-1989 22 B Lk - BR. MENAK -

1 2 3 4 5 6 7 8 9 10
167 5104034807860005 SANG AYU PUTU ANJELIKA SAMEATI SAME, ,08-07-1986 25 S - Pr BR. MENAK -
168 5104033112300078 NGAKAN PUTU ARTADANA GIANYAR, ,31-12-1930 81 P Lk - BR. MENAK -
169 5104030508720002 NGAKAN MADE JAYA GIANYAR, ,05-08-1972 39 S Lk - BR. MENAK -
170 5104034504800001 DESAK PUTU SEKAR GIANYAR, ,05-04-1980 31 S - Pr BR. MENAK -
171 5104036212770004 SANG AYU SRIASIH GIANYAR, ,22-12-1977 34 B - Pr BR. MENAK -
172 5104031610590001 ANAK AGUNG GEDE PUTRA RAMA GIANYAR, ,16-10-1959 52 S Lk - BR. MENAK -
173 5104036709880005 ANAK AGUNG ISTRI AGUNG CANDRA DEWI GIANYAR, ,27-09-1988 23 B - Pr BR. MENAK -
174 5104036101650002 ANAK AGUNG SRI MIRAH GIANYAR, ,21-01-1965 47 B - Pr BR. MENAK -
175 5104033112250025 ANAK AGUNG GEDE AGUNG GIANYAR, ,31-12-1925 86 S Lk - BR. MENAK -
176 5104036608620002 ANAK AGUNG SRI AGUNG UDIANI GIANYAR, ,26-08-1962 49 S - Pr BR. MENAK -
177 5104031212860003 ANAK AGUNG GEDE AGUNG GIANYAR, ,12-12-1986 25 B Lk - BR. MENAK -
178 5104033112360046 ANAK AGUNG GEDE RAI GIANYAR, ,31-12-1936 75 S Lk - BR. MENAK -
179 5104037112390059 ANAK AGUNG OKA MUDRI GIANYAR, ,31-12-1939 72 S - Pr BR. MENAK -
180 5104031008300001 ANAK AGUNG GEDE RAKA GIANYAR, ,10-08-1930 81 S Lk - BR. MENAK -
181 5104037112580315 DESAK NYOMAN MURTINI GIANYAR, ,31-12-1958 53 S - Pr BR. MENAK -
182 5104034107850032 ANAK AGUNG ISTRI APSARI DEWI GIANYAR, ,01-07-1985 26 S - Pr BR. MENAK -
183 5104032909380001 ANAK AGUNG GEDE OKA GIANYAR, ,29-09-1938 73 S Lk - BR. MENAK -
184 5104037112780034 DESAK NYOMAN MURTINI GIANYAR, ,31-12-1978 33 S - Pr BR. MENAK -
185 5104032503850003 ANAK AGUNG GEDE MAYUN GIANYAR, ,25-03-1985 26 B Lk - BR. MENAK -
186 5104030111800002 5104030111800002 ANAK AGUNG AGUNG GEDE ALIT GIANYAR GIANYAR, ,01-11-1980 01 11 1980 31 B Lk - BR BR. MENAK -
187 5104033009760002 ANAK AGUNG GEDE PUTRA GIANYAR, ,30-09-1976 35 S Lk - BR. MENAK -
188 5104033112340027 A A GDE PUTRA DJAJA GIANYAR, ,31-12-1934 77 S Lk - BR. MENAK -
189 5104036511660001 A A SRI MAS DWIYANI GIANYAR, ,25-11-1966 45 B - Pr BR. MENAK -
190 5104031705720002 A A GDE PUTRA KARTIKA GIANYAR, ,17-05-1972 39 S Lk - BR. MENAK -
191 5104036206720003 A A SRI PERTAMI YUNIWATI GIANYAR, ,22-06-1972 39 S - Pr BR. MENAK -

1 2 3 4 5 6 7 8 9 10
192 5104035809630003 A A PUTRI ANOM GIRIADI GIANYAR, ,18-09-1963 48 B - Pr BR. MENAK -
193 5104037112400153 GUSTI NYOMAN RAI SITI KLUNGKUNG, ,31-12-1940 71 S - Pr BR. MENAK -
194 5104031605790002 A A GDE ALIT MAGACITA GIANYAR, ,16-05-1979 32 S Lk - BR. MENAK -
195 5104035012810002 GUSTI KETUT TRISTINA DEWI GIANYAR, ,10-12-1981 30 S - Pr BR. MENAK -
196 5104035312350001 ANAK AGUNG PUTRI ASMARI GIANYAR, ,13-12-1935 76 S - Pr BR. MENAK -
197 5104034501370001 ANAK AGUNG ANOM GIANYAR, ,05-01-1937 75 P - Pr BR. MENAK -
198 5104030112420001 ANAK AGUNG GEDE OKA SANJAYA GIANYAR, ,01-12-1942 69 S Lk - BR. MENAK -
199 5104034405850002 ANAK AGUNG ISTRI RATNA SETYA DEWI GIANYAR, ,04-05-1985 26 B - Pr BR. MENAK -
200 5104035012580002 RADEN AYU SEKARINI YOGYAKARTA, ,10-12-1958 53 S - Pr BR. MENAK -
201 5104036512250001 SANG AYU PUTU RAI GIANYAR, ,25-12-1925 86 S - Pr BR. MENAK -
202 5104037012170001 ANAK AGUNG GIANYAR, ,30-12-1917 94 S - Pr BR. MENAK -
203 5104033112520148 NGAKAN NYOMAN RAKA S. GIANYAR, ,31-12-1952 59 S Lk - BR. MENAK -
204 5104034209570002 SANG AYU PUTU ANOM SOMIADI TULIKUP-GIANYAR, ,02-09-1957 54 S - Pr BR. MENAK -
205 5104035706850004 I DEWA AYU EKA YUNIARI AAN, ,17-06-1985 26 S - Pr BR. MENAK -
206 5104037112720076 SANG AYU PUTU SUMIASIH BADUNG, ,31-12-1972 39 S - Pr BR. MENAK -
207 5104032103670002 NGAKAN PUTU PUTRA GIANYAR, ,21-03-1967 44 S Lk - BR. MENAK -
208 5104033112500218 GUSTI NGURAH ARKA GIANYAR, ,31-12-1950 61 S Lk - BR. MENAK -
209 5104037112550221 GUSTI AYU ASTINI GIANYAR, ,31-12-1955 56 S - Pr BR. MENAK -
210 5104035203850003 GUSTI AYU MANIK MARAWATI GIANYAR, ,12-03-1985 26 B - Pr BR. MENAK -
211 5104033112130005 5104033112130005 GUSTI NGURAH SUWECA GIANYAR GIANYAR, ,31-12-1913 31 12 1913 98 P Lk - BR BR. MENAK -
212 5104035404800005 NI KETUT SURIANI KARANGASEM, ,14-04-1980 31 S - Pr BR. MENAK -
213 5104031010910005 GUSTI NGURAH GUNAWAN GIANYAR, ,10-10-1991 20 B Lk - BR. MENAK -
214 5104030908760003 I GUSTI NGURAH DWI PUTRA TULIKUP, ,09-08-1976 35 S Lk - BR. MENAK -
215 5104032110740002 I GUSTI NGURAH MAS ARIPUTRA,SE TULIKUP, ,21-10-1974 37 S Lk - BR. MENAK -
216 5104036504820001 NI GUSTI AYU ALIT DIOLINDA ASTITI DILI, ,25-04-1982 29 S - Pr BR. MENAK -

1 2 3 4 5 6 7 8 9 10
217 5104030403480002 IDA DALEM MANGGIS DHARMAKERTI GIANYAR, ,04-03-1948 64 S Lk - BR. MENAK -
218 5104030608720008 ANAK AGUNG GDE ARINTA KAMESWARA GIANYAR, ,06-08-1972 39 B Lk - BR. MENAK -
219 5104035507750006 IDA AYU KOMANG DAESY MAYUNI PUTRI GIANYAR, ,15-07-1975 36 S - Pr BR. MENAK -
220 5104034303930007 ANAK AGUNG ISTRI RATIH GAYATRI JAKARTA, ,03-03-1993 19 B - Pr BR. MENAK -
221 5104030312690004 ANAK AGUNG GDE AGUNG NARAKRISNA GIANYAR, ,03-12-1969 42 S Lk - BR. MENAK -
222 5104035011510003 IDA DALEM ISTRI DHARMAPATNI DENPASAR, ,10-11-1951 60 S - Pr BR. MENAK -
223 5104031611680003 DEWA MADE MUKAJANA GIANYAR, ,16-11-1968 43 S Lk - BR. MENAK -
224 5104034103790004 NI MADE SUDARMI TABANAN, ,01-03-1979 33 S - Pr BR. MENAK -
225 5104033103720001 NGAKAN NYOMAN OKA ASMARA GIANYAR, ,31-03-1972 39 S Lk - BR. MENAK -
226 5104034304760003 GUSTI KETUT OKA GIANYAR, ,03-04-1976 35 S - Pr BR. MENAK -
227 5104030112420002 ANAK AGUNG GDE OKA GIANYAR, ,01-12-1942 69 S Lk - BR. MENAK
228 5104036904810003 A A SRI AGUNG ARDANINGRUM K GIANYAR, ,29-04-1981 30 B - Pr BR. MENAK -
229 5104037012170002 ANAK AGUNG BIANG AGUNG GIANYAR, ,30-12-1917 94 P - Pr BR. MENAK -
230 5104035012580005 R NGT MAS AYU SEKARINI SEMARANG, ,10-12-1958 53 S - Pr BR. MENAK -
231 5104036512250002 SANG AYU RAI GIANYAR, ,25-12-1925 86 P - Pr BR. MENAK -
232 5104036107580003 MELI YANTI BENGKALIS, ,21-07-1958 53 S - Pr BR. MENAK -
233 5104036904800003 I GUSTI AYU EKA NURWITI GIANYAR, ,29-04-1980 31 S - Pr BR. MENAK -
234 5104032110800004 G. NGURAH ADE PURNAMA BENGKALIS, ,21-10-1980 31 S Lk - BR. MENAK -
235 5104030602910003 G. NGURAH FEBBI PANTAGON BENGKALIS, ,06-02-1991 21 B Lk - BR. MENAK -
236 5104030905830003 5104030905830003 I GUSTI GUSTI NGURAH WIDYA ADNYANA TULIKUP TULIKUP, ,09-05-1983 09 05 1983 28 S Lk - BR BR. MENAK -
237 5104037105910004 I GUSTI AYU MEINDRAWATI TULIKUP, ,31-05-1991 20 S - Pr BR. MENAK -
238 5104033012690009 NGAKAN PUTU RAKA GIANYAR, ,30-12-1969 42 S Lk - BR. MENAK -
239 5104036401810003 MADE SRI SINGARAJA, ,24-01-1981 31 S - Pr BR. MENAK -
240 5104031612940003 NGAKAN PUTU BAGUS WIRA SASTRA DENPASAR, ,16-12-1994 17 B Lk - BR. MENAK -
241 5104036808830008 PUTU LILI KRISNAWATI GIANYAR, ,28-08-1983 28 S - Pr BR. MENAK -

1 2 3 4 5 6 7 8 9 10
242 5104036004770001 KETUT IRA ARIANI SINGARAJA, ,20-04-1977 34 S - Pr BR. MENAK -
243 5104030601760003 I GUSTI NGURAH SOMAARTA TULIKUP, ,06-01-1976 36 S Lk - BR. MENAK -
244 5104036005740006 I GUSTI AYU TELAGAWATI GIANYAR, ,20-05-1974 37 S - Pr BR. MENAK -
245 5104032903690002 I GUSTI NGURAH SUDIARTA GIANYAR, ,29-03-1969 42 S Lk - BR. MENAK -
246 5104035704680002 I GUSTI AYU SRINADI GIANYAR, ,17-04-1968 43 S - Pr BR. MENAK -
247 5104037112500336 I GUSTI AYU KASNI GIANYAR, ,31-12-1950 61 P - Pr BR. MENAK -
248 5104037112360100 I GUSTI MADE GANDRI GIANYAR, ,31-12-1936 75 B - Pr BR. MENAK -
249 5104030207650006 I GUSTI NGURAH PINATIH GIANYAR, ,02-07-1965 46 S Lk - BR. MENAK -
250 5104035712760003 I GUSTI AYU AGUNG PADMAWATI GIANYAR, ,17-12-1976 35 S - Pr BR. MENAK -
251 5104033112420100 I GUSTI NGURAH RUBIG TULIKUP, ,31-12-1942 69 S Lk - BR. MENAK -
252 5104037112390054 I GUSTI AYU MARI TULIKUP, ,31-12-1939 72 S - Pr BR. MENAK -
253 5104032210760001 I GUSTI NGURAH SUARNATA GIANYAR, ,22-10-1976 35 S Lk - BR. MENAK -
254 5104036106760004 I GUSTI AYU KARTIKA KLUNGKUNG, ,21-06-1976 35 S - Pr BR. MENAK -
255 5104030107630153 I GUSTI NGURAH GATRA TULIKUP, ,01-07-1963 48 S Lk - BR. MENAK -
256 5104031506910004 I GUSTI NGURAH JUNIADI GIANYAR, ,15-06-1991 20 B Lk - BR. MENAK -
257 5104033112480107 NGAKAN NYOMAN SAMPIANG GIANYAR, ,31-12-1948 63 S Lk - BR. MENAK -
258 5104037112500172 NI WAYAN RETI GIANYAR, ,31-12-1950 61 S - Pr BR. MENAK -
259 5104037112210012 SANG AYU MADE KOTI GIANYAR, ,31-12-1921 90 S - Pr BR. MENAK -
260 5104032507730002 NGAKAN NYOMAN RAKA GIANYAR, ,25-07-1973 38 S Lk - BR. MENAK -
261 5104034201760004 5104034201760004 SANG AYU PUTU EKA EKA SETIAWATI GIANYAR GIANYAR, ,02-01-1976 02 01 1976 36 S - P Pr BR BR. MENAK -
262 5104032303690002 NGAKAN NYOMAN RAKA GIANYAR, ,23-03-1969 42 S Lk - BR. MENAK -
263 5104034107640092 I GUSTI AYU KASNI TULIKUP, ,01-07-1964 47 S - Pr BR. MENAK -
264 I GUSTI NGURAH AGUS DWIJAYA GIANYAR, 12/08/1991 21 S Lk - BR. MENAK -
265 NI KOMANG ANYAWATI TULIKUP, 28/12/1992 20 S - Pr BR. MENAK -
266 I GUSTI AYU KARTINI KLUNGKUNG, 05/03/1976 36 S - Pr BR. MENAK -

1 2 3 4 5 6 7 8 9 10
267 JULIKNA HAREFA ACEH, 17/07/1985 27 S - Pr BR. MENAK -
268 LUH KOMANG SRI ASTINI APUAN, 23/17/1985 27 S - Pr BR. MENAK -
269 DESAK NYOMAN ARI HENDRAYANI PEJENG, 25/05/1986 26 S - Pr BR. MENAK -
270 DESAK MADE SRI SARASWATI TABANAN, 14/04/1984 28 S - Pr BR. MENAK -
271 5104033112490132 I MADE KARYA GIANYAR, ,31-12-1949 62 S Lk - BR. KAJA KAUH -
272 5104032112730001 I WAYAN RUSNADA GIANYAR, ,21-12-1973 38 S Lk - BR. KAJA KAUH -
273 5104037112500225 NI MADE DENI GIANYAR, ,31-12-1950 61 S - Pr BR. KAJA KAUH -
274 5104033112780024 KOMANG BUDIANA GIANYAR, ,03-12-1978 33 S Lk - BR. KAJA KAUH -
275 5104036412830008 NI PUTU SRI UTAMI DEWI SIKKA, ,24-12-1983 28 S - Pr BR. KAJA KAUH -
276 5104032108810002 I KADEK WINTENTANA GIANYAR, ,21-08-1981 30 S Lk - BR. KAJA KAUH -
277 5104035512820004 NI WAYAN PASEK MARHENI GIANYAR, ,15-12-1982 29 S - Pr BR. KAJA KAUH -
278 5104031803820007 I KADEK WIRANATA GIANYAR, ,18-03-1982 29 S Lk - BR. KAJA KAUH -
279 5104035403840002 NI MADE MARTINI GIANYAR, ,14-03-1984 27 S - Pr BR. KAJA KAUH -
280 5104031502810005 I MADE BUDIARSA GIANYAR, ,15-02-1981 31 S Lk - BR. KAJA KAUH -
281 5104036103830003 NI MADE ARIANI GIANYAR, ,21-03-1983 28 S - Pr BR. KAJA KAUH -
282 5104030803860002 I KETUT NGURAH DARMAWAN TULIKUP, ,08-03-1986 25 S Lk - BR. KAJA KAUH -
283 5104034202850007 NI KETUT MELI SUTA GIANYAR, ,02-02-1985 27 S - Pr BR. KAJA KAUH -
284 5104032706710003 ANAK AGUNG GDE ALIT ASTAWA GIANYAR, ,27-06-1971 40 S Lk - BR.KAJA KAUH -
285 5104036802700003 NI PUTU MEGAWATI DENPASAR, ,28-02-1970 42 S - Pr BR.KAJA KAUH -
286 5104034405650008 5104034405650008 JERO WAYAN SIKI GIANYAR GIANYAR, ,04-05-1965 04 05 1965 46 S - P Pr BR BR. KAJA KAUH -
287 5104032606730006 NGAKAN PUTU ADNYANA GIANYAR, ,26-06-1973 38 S Lk - BR. KAJA KAUH -
288 5104034504810003 SANG AYU PUTU SURATNAWATI GIANYAR, ,05-04-1981 30 B - Pr BR. KAJA KAUH -
289 5104031210520005 NGAKAN PUTU DHARMA GIANYAR, ,12-10-1952 59 S Lk - BR. KAJA KAUH -
290 5104031508850004 NGAKAN NYOMAN AGUS WIBAWA GIANYAR, ,15-08-1985 26 B Lk - BR. KAJA KAUH -
291 5104035507820007 JERO NYOMAN YULIARI KLUNGKUNG, ,15-07-1982 29 S - Pr BR. KAJA KAUH -

1 2 3 4 5 6 7 8 9 10
292 5104030601490001 I NYOMAN SUARSA GIANYAR, ,06-01-1949 63 P Lk - BR. KAJA KAUH -
293 5104031012730004 I KETUT ARTA GIANYAR, ,10-12-1973 38 S Lk - BR. KAJA KAUH -
294 5104035201700005 NI KETUT CANDIARI GIANYAR, ,12-01-1970 42 S - Pr BR. KAJA KAUH -
295 5104032805830004 I NYOMAN PUSTAKA GIANYAR, ,28-05-1983 28 S Lk - BR. KAJA KAUH -
296 5104034406840002 NI LUH PUTU SRIWAHYUNI GIANYAR, ,04-06-1984 27 S - Pr BR. KAJA KAUH -
297 5104031003790004 I KADEK DWIPA YANA GIANYAR, ,10-03-1979 32 S Lk - BR.KAJA KAUH -
298 5104036711850003 NI KETUT SURIANI GIANYAR, ,27-11-1985 26 S - Pr BR.KAJA KAUH -
299 5104030308830005 I WAYAN SUARTIKA GIANYAR, ,03-08-1983 28 S Lk - BR. KAJA KAUH. -
300 5104034404810005 GUSTI AYU RAKA PARTINI BANGLI, ,04-04-1981 30 S - Pr BR. KAJA KAUH. -
301 5104031611740002 GERTRUDIS DEWA PUTU EKANOV SURABAYA, ,16-11-1974 37 S Lk - BR. KAJA KAUH -
302 5104036203740004 SANG AYU MADE DWI ANTARI GIANYAR, ,22-03-1979 32 S - Pr BR. KAJA KAUH -
303 5104037010860002 KADEK TUTI IRAYANTI PEGESANGAN, ,30-10-1986 25 S - Pr BR. KAJA KAUH -
304 5104036406750002 KETUT KARTINI BAYUNING, ,24-06-1975 36 S - Pr BR. KAJA KAUH -
305 5104037112380183 SANG AYU KETUT PURI TULIKUP, ,31-12-1938 73 P - Pr BR. KAJA KAUH -
306 5104033112690120 NGAKAN PUTU MAJA GIANYAR, ,31-12-1969 42 B Lk - BR. KAJA KAUH -
307 5104031110590002 WAYAN GEDE SUCI GIANYAR, ,11-10-1959 52 S Lk - BR. KAJA KAUH -
308 5104031203790001 I KETUT WARKA GIANYAR, ,12-03-1979 32 B Lk - BR. KAJA KAUH -
309 5104034402790003 NI KETUT MUSNI TULIKUP, ,04-02-1979 33 S - Pr BR. KAJA KAUH -
310 5104030506810006 NGAKAN MADE WITNYANA GIANYAR, ,05-06-1981 30 S Lk - BR. KAJA KAUH -
311 5104036907700001 5104036907700001 SANG AYU MADE CENDRAWATI CENDRAWATI KLUNGKUNG KLUNGKUNG, ,29-07-1970 29 07 1970 41 S - P Pr BR BR. KAJA KAUH -
312 5104030304760004 I KETUT RAMIA GIANYAR, ,03-04-1976 35 S Lk - BR.KAJA KAUH -
313 5104035308810004 NI WAYAN SUMIATI GIANYAR, ,13-08-1981 30 S - Pr BR.KAJA KAUH -
314 5104032104850005 I WAYAN WIDIANTARA GIANYAR, ,21-04-1985 26 S Lk - BR.KAJA KAUH -
315 5104036701860006 MADE KARTINI GIANYAR, ,27-01-1986 26 S - Pr BR.KAJA KAUH -
316 5104030107420063 I MADE GOTRA GIANYAR, ,01-07-1942 69 P Lk - BR. KAJA KAUH -

1 2 3 4 5 6 7 8 9 10
317 5104032605820002 KADEK YOGA PRAMANA GIANYAR, ,26-05-1982 29 S Lk - BR. KAJA KAUH -
318 5104034609820002 NI KETUT TUNJUNG BLAHBATUH, ,06-09-1982 29 S - Pr BR. KAJA KAUH -
319 5104032112610003 I KETUT MERTA GIANYAR, ,21-12-1961 50 S Lk - BR. KAJA KAUH -
320 5104032405820001 I KADEK EDI SAPUTRA GIANYAR, ,24-05-1982 29 S Lk - BR. KAJA KAUH -
321 5104036712610001 NI NYOMAN MUTRI GIANYAR, ,27-12-1961 50 S - Pr BR. KAJA KAUH -
322 5104036008800005 NI WAYAN SANTRIYANI GIANYAR, ,20-08-1980 31 S - Pr BR. KAJA KAUH -
323 5104033112400101 I MADE SUKA ARTA GIANYAR, ,31-12-1940 71 S Lk - BR. KAJA KAUH -
324 5104037112450116 NI MADE RIBIK GIANYAR, ,31-12-1945 66 S - Pr BR. KAJA KAUH -
325 5104031207650005 I WAYAN BUDIARTA GIANYAR, ,12-07-1965 46 B Lk - BR. KAJA KAUH -
326 5104031501710001 I NYOMAN ADI ANTARA GIANYAR, ,15-01-1971 41 B Lk - BR. KAJA KAUH -
327 5104030105730003 I KETUT SWASTIKA GIANYAR, ,01-05-1973 38 S Lk - BR. KAJA KAUH -
328 5104037112790015 NI WAYAN SUPARDI BANGLI, ,31-12-1979 32 S - Pr BR. KAJA KAUH -
329 5104034910810003 NI PUTU RIMAWATI GIANYAR, ,09-10-1981 30 S - Pr BR. KAJA KAUH -
330 5104030209740001 I WAYAN ARTIKA GIANYAR, ,02-09-1974 37 S Lk - BR. KAJA KAUH -
331 5104031603440001 I NYOMAN KISID GIANYAR, ,16-03-1944 68 S Lk - BR. KAJA KAUH -
332 5104035806540001 NI KETUT RUMRUM GIANYAR, ,18-06-1954 57 S - Pr BR. KAJA KAUH -
333 5104032001800001 I NYOMAN PUTRA GIANYAR, ,20-01-1980 32 B Lk - BR. KAJA KAUH -
334 5104036012930002 YULIANA DESY RATNA SARI HELMON MAUMERE, ,20-12-1993 18 B - Pr BR. KAJA KAUH -
335 5104030912870001 I KOMANG DHARMA SAPUTRA MAUMERE, ,09-12-1987 24 B Lk - BR. KAJA KAUH -
336 5104035604630001 5104035604630001 MERRY YAP MEME MAUMERE MAUMERE, ,16-04-1963 16 04 1963 48 S - P Pr BR BR. KAJA KAUH -
337 5104037010910004 OKTA LILANTI WAKE DANIEL MAUMERE, ,30-10-1991 20 B - Pr BR. KAJA KAUH -
338 5104034112300002 NI KETUT RESTI GIANYAR, ,01-12-1930 81 S - Pr BR. KAJA KAUH -
339 5104030304720002 I MADE BUDIANA GIANYAR, ,03-04-1972 39 S Lk - BR. KAJA KAUH -
340 5104031901950002 I PUTU DIANTARA PUTRA GIANYAR, ,19-01-1995 17 B Lk - BR. KAJA KAUH -
341 5104035606720002 NI WAYAN SEKARINI BADUNG, ,16-06-1972 39 S - Pr BR. KAJA KAUH -

1 2 3 4 5 6 7 8 9 10
342 5104036408910001 NI KETUT TRISNA WATI GIANYAR, ,24-08-1991 20 B - Pr BR. KAJA KAUH -
343 5104037112590068 NI WAYAN SINAH GIANYAR, ,31-12-1959 52 S - Pr BR. KAJA KAUH -
344 5104036312790001 NI KETUT ARIA WATI GIANYAR, ,23-12-1979 32 S - Pr BR. KAJA KAUH -
345 5104031004800002 I WAYAN SUDIARTA GIANYAR, ,10-04-1980 31 S Lk - BR. KAJA KAUH -
346 5104033112560086 I MADE BERATA GIANYAR, ,31-12-1956 55 S Lk - BR. KAJA KAUH -
347 5104033112470069 I WAYAN TAMA GIANAYR, ,31-12-1947 64 S Lk - BR. KAJA KAUH -
348 5104032305900004 GEDE AGUS ARTAWAN GIANYAR, ,23-05-1990 21 B Lk - BR. KAJA KAUH -
349 5104037112570093 LUH NYOMAN SUDIASIH GIANYAR, ,31-12-1957 54 S - Pr BR. KAJA KAUH -
350 5104031007780002 GEDE AGUS GOSA JULIA GIANYAR, ,10-07-1978 33 S Lk - BR. KAJA KAUH -
351 5104034506800004 NI WAYAN JUNIARTI DENPASAR, ,05-06-1980 31 S - Pr BR. KAJA KAUH -
352 5104035404810002 NI WAYAN ARTINI GIANYAR, ,14-04-1981 30 S - Pr BR. KAJA KAUH -
353 5104030803800001 KADEK AGUS SASTRA GEDY GIANYAR, ,08-03-1980 31 S Lk - BR. KAJA KAUH -
354 5104037112550133 NI WAYAN KASTI GIANYAR, ,31-12-1955 56 S - Pr BR. KAJA KAUH -
355 5104031204720003 I MADE SUKADANA GIANYAR, ,12-04-1972 39 B Lk - BR. KAJA KAUH -
356 5104036101900001 NI WAYAN PURNAMA DEWI GIANYAR, ,21-01-1990 22 B - Pr BR. KAJA KAUH -
357 5104032008850003 I KADEK SUWASTIKA GIANYAR, ,20-08-1985 26 B Lk - BR. KAJA KAUH -
358 5104034303420001 NI WAYAN KERTI GIANYAR, ,03-03-1942 70 B - Pr BR. KAJA KAUH -
359 5104036604430001 NI MADE URIP GIANYAR, ,26-04-1943 68 S - Pr BR. KAJA KAUH -
360 5104032604630001 I NYOMAN PARTA GIANYAR, ,26-04-1963 48 S Lk - BR. KAJA KAUH -
361 5104036503640001 5104036503640001 NI MADE KARTI GIANYAR GIANYAR, ,25-03-1964 25 03 1964 47 S - P Pr BR BR. KAJA KAUH -
362 5104031310750003 I KETUT PAGEH YASA GIANYAR, ,13-10-1975 36 B Lk - BR. KAJA KAUH -
363 5104036002740002 NI NYOMAN SUKERTI GIANYAR, ,20-02-1974 38 B - Pr BR. KAJA KAUH -
364 5104032708420001 I WAYAN CEKUG GIANYAR, ,27-08-1942 69 S Lk - BR. KAJA KAUH -
365 5104030101350001 I MADE MEPET GIANYAR, ,01-01-1935 77 S Lk - BR. KAJA KAUH -
366 5104033112550119 I MADE KARSANA GIANYAR, ,31-12-1955 56 S Lk - BR. KAJA KAUH -

1 2 3 4 5 6 7 8 9 10
367 5104035101860004 NI KOMANG HERNAWATI GIANYAR, ,11-01-1986 26 B - Pr BR. KAJA KAUH -
368 5104035102820002 NI KETUT KARIASIH GIANYAR, ,11-02-1982 30 S - Pr BR. KAJA KAUH -
369 5104031303800003 I WAYAN MARTANA GIANYAR, ,13-03-1980 31 S Lk - BR. KAJA KAUH -
370 5104034101500003 NI NYOMAN RUSNI GIANYAR, ,01-01-1950 62 S - Pr BR. KAJA KAUH -
371 5104031004600003 I NYOMAN PATRA GIANYAR, ,10-04-1960 51 S Lk - BR. KAJA KAUH -
372 5104032012800006 KADEK SEMADI GIANYAR, ,20-12-1980 31 S Lk - BR. KAJA KAUH -
373 5104035503620001 NI WAYAN NARTI GIANYAR, ,15-03-1962 49 S - Pr BR. KAJA KAUH -
374 5104034304830001 NI WAYAN TUTI ASMINI GIANYAR, ,03-04-1983 28 S - Pr BR. KAJA KAUH -
375 5104030209730002 I MADE SUKERADA GIANYAR, ,02-09-1973 38 S Lk - BR. KAJA KAUH -
376 5104035707760002 NI KADEK PICA WATI GIANYAR, ,17-07-1976 35 S - Pr BR. KAJA KAUH -
377 5104032404590002 I MADE SETIABUDI GIANYAR, ,24-04-1959 52 S Lk - BR. KAJA KAUH -
378 5104032611890002 PUTU EDY SANTIKA GIANYAR, ,26-11-1989 22 B Lk - BR. KAJA KAUH -
379 5104034608670002 NI NYOMAN SARIKAWATI GIANYAR, ,06-08-1967 44 S - Pr BR. KAJA KAUH -
380 5104037112420081 NI MADE KANIS GIANYAR, ,31-12-1942 69 P - Pr BR. KAJA KAUH -
381 5104030510630001 I MADE SASTRAWAN GIANYAR, ,05-10-1963 48 S Lk - BR. KAJA KAUH -
382 5104035704450003 NI MADE SARI GIANYAR, ,17-04-1945 66 S - Pr BR. KAJA KAUH -
383 5104032803540001 I MADE MENDRA GIANYAR, ,28-03-1954 57 S Lk - BR. KAJA KAUH -
384 5104037112670171 NI WAYAN LODRI GIANYAR, ,31-12-1967 44 S - Pr BR. KAJA KAUH -
385 5104034509930003 NI KADEK MEGANTARI GIANYAR, ,05-09-1993 18 B - Pr BR. KAJA KAUH -
386 5104030701690004 5104030701690004 I WAYAN MUSTIKA GIANYAR GIANYAR, ,07-01-1969 07 01 1969 43 S Lk - BR BR. KAJA KAUH -
387 5104036101740001 NI WAYAN CANDRI GIANYAR, ,21-01-1974 38 S - Pr BR. KAJA KAUH -
388 5104031708580001 I MADE LATRA GIANYAR, ,17-08-1958 53 S Lk - BR. KAJA KAUH -
389 5104031702890001 I KOMANG SUWITRA GIANYAR, ,17-02-1989 23 B Lk - BR. KAJA KAUH -
390 5104031706840001 I MADE BUDIANA GIANYAR, ,17-06-1984 27 B Lk - BR. KAJA KAUH -
391 5104034809630001 NI MADE BUDARANIS GIANYAR, ,08-09-1963 48 S - Pr BR. KAJA KAUH -

1 2 3 4 5 6 7 8 9 10
392 5104031209750001 I WAYAN MUSTAWAN GIANYAR, ,12-09-1975 36 S Lk - BR. KAJA KAUH -
393 5104034701780002 NI KETUT SANTI GIANYAR, ,07-01-1978 34 S - Pr BR. KAJA KAUH -
394 5104033112580243 PANDE MADE NANA GIANYAR, ,31-12-1958 53 S Lk - BR. KAJA KAUH -
395 5104030807800003 PANDE PUTU SUMAWA GIANYAR, ,08-07-1980 31 S Lk - BR. KAJA KAUH -
396 5104036409860001 NI KOMANG BUDI MARTINI GIANYAR, ,24-09-1986 25 B - Pr BR. KAJA KAUH -
397 5104036412890001 NI MADE PURNI TABANAN, ,24-12-1989 22 S - Pr BR. KAJA KAUH -
398 5104030903890001 PANDE KETUT SUASTIKA GIANYAR, ,09-03-1989 22 B Lk - BR. KAJA KAUH -
399 5104037112560217 NI NYOMAN ROJI GIANYAR, ,31-12-1956 55 S - Pr BR. KAJA KAUH -
400 5104035411580002 NI NYOMAN SUKERTI GIANYAR, ,14-11-1958 53 P - Pr BR. KAJA KAUH -
401 5104036707920001 NI KETUT WIDYA JULI ASTIANI GIANYAR, ,27-07-1992 19 B - Pr BR. KAJA KAUH -
402 5104032311810002 I KADEK WIDYA ASTA DARMA BIMA, ,23-11-1981 30 S Lk - BR. KAJA KAUH -
403 5104036404880004 NI KETUT DESI KERTIYANTI NYALIAN, ,24-04-1988 23 S - Pr BR. KAJA KAUH -
404 5104032810870001 I KOMANG WIDYA ASTRIANA BIMA, ,28-10-1987 24 B Lk - BR. KAJA KAUH -
405 5104037112660070 NI NYOMAN KARTINI GIANYAR, ,31-12-1966 45 P - Pr BR. KAJA KAUH -
406 5104032705880003 KADEK ARTA MEI ARSANA GIANYAR, ,27-05-1988 23 B Lk - BR. KAJA KAUH -
407 5104035704860002 PUTU ARI ARTIAWATI GIANYAR, ,17-04-1986 25 B - Pr BR. KAJA KAUH -
408 5104033112540102 I WAYAN JUWITA GIANYAR, ,31-12-1954 57 S Lk - BR. KAJA KAUH -
409 5104037112560160 NI WAYAN JENDRI GIANYAR, ,31-12-1956 55 S - Pr BR. KAJA KAUH -
410 5104037103830004 NI WAYAN RASMINI GIANYAR, ,31-03-1983 28 B - Pr BR. KAJA KAUH -
411 5104031905850002 5104031905850002 I KADEK DWI ANTARA GIANYAR GIANYAR, ,19-05-1985 19 05 1985 26 B Lk - BR BR. KAJA KAUH -
412 5104030307650003 I NYOMAN SUANDA GIANYAR, ,03-07-1965 46 S Lk - BR. KAJA KAUH -
413 5104031203940005 I KADEK MARIANA GIANYAR, ,12-03-1994 17 B Lk - BR. KAJA KAUH -
414 5104036003900001 NI MADE SULASTINI KLUNGKUNG, ,20-03-1990 21 S - Pr BR. KAJA KAUH -
415 5104034107650100 NI WAYAN GAMBIR ARIANI KLUNGKUNG, ,01-07-1965 46 S - Pr BR. KAJA KAUH -
416 5104035203450001 NI NYOMAN MUKLEN GIANYAR, ,12-03-1945 67 S - Pr BR. KAJA KAUH -

1 2 3 4 5 6 7 8 9 10
417 5104035303800003 NI WAYAN BUDI WARTINI GIANYAR, ,13-03-1980 31 S - Pr BR. KAJA KAUH -
418 5104031105740002 I KETUT LASIA GIANYAR, ,11-05-1974 37 B Lk - BR. KAJA KAUH -
419 5104035502940002 NI WAYAN TRESNAYANTI GIANYAR, ,15-02-1994 18 B - Pr BR. KAJA KAUH -
420 5104035504680003 NI KETUT ARTINI GIANYAR, ,15-04-1968 43 S - Pr BR. KAJA KAUH -
421 5104031003670002 I MADE ARDANA GIANYAR, ,10-03-1967 45 S Lk - BR. KAJA KAUH -
422 5104031507680004 I WAYAN MAWA GIANYAR, ,15-07-1968 43 S Lk - BR. KAJA KAUH -
423 5104035808700003 MADE PADRI GIANYAR, ,18-08-1970 41 B - Pr BR. KAJA KAUH -
424 5104034407810001 NI KADEK SRI WATI GIANYAR, ,04-07-1981 30 S - Pr BR. KAJA KAUH -
425 5104030511730002 I WAYAN MUDITA GIANYAR, ,05-11-1973 38 S Lk - BR. KAJA KAUH -
426 5104034511780005 NI WAYAN WIARTI GIANYAR, ,05-11-1978 33 S - Pr BR. KAJA KAUH -
427 5104036312920003 NI WAYAN ANTARI DEWI GIANYAR, ,23-12-1992 19 B - Pr BR. KAJA KAUH -
428 5104034607650002 NI WAYAN CINDRAWATI GIANYAR, ,06-07-1965 46 S - Pr BR. KAJA KAUH -
429 5104033112540103 I MADE SUARTHA GIANYAR, ,31-12-1954 57 S Lk - BR. KAJA KAUH -
430 5104033112570091 I MADE SELAMET DARSANA GIANYAR, ,31-12-1957 54 S Lk - BR. KAJA KAUH -
431 5104034804880008 I GUSTI AYU SRI OKA GIANYAR, ,08-04-1988 23 S - Pr BR. KAJA KAUH -
432 5104035703340001 NI WAYAN RASTI GIANYAR, ,17-03-1934 78 P - Pr BR. KAJA KAUH -
433 5104037012620015 DESAK KETUT MUDIASIH GIANYAR, ,30-12-1962 49 S - Pr BR. KAJA KAUH -
434 5104030406790001 I WAYAN SETIADI GIANYAR, ,04-06-1979 32 S Lk - BR. KAJA KAUH -
435 5104035803550002 NI NYOMAN SADRI GIANYAR, ,18-03-1955 56 P - Pr BR. KAJA KAUH -
436 5104032803800001 5104032803800001 I WAYAN WAYAN EKA EKA PUTRA GIANYAR GIANYAR, ,28-03-1980 28 03 1980 31 S Lk - BR BR. KAJA KAUH -
437 5104034310830006 NI WAYAN DARTINI GIANYAR, ,03-10-1983 28 S - Pr BR. KAJA KAUH -
438 5104031803860002 KOMANG TRI ARTANA GIANYAR, ,18-03-1986 25 B Lk - BR. KAJA KAUH -
439 5104033112550120 I NYOMAN PUJA S. GIANYAR, ,31-12-1955 56 S Lk - BR. KAJA KAUH -
440 5104035201870002 NI KADEK PUSPA JATINI TULIKUP, ,12-01-1987 25 B - Pr BR. KAJA KAUH -
441 5104037112630114 NI KETUT JATI GIANYAR, ,31-12-1963 48 S - Pr BR. KAJA KAUH -

1 2 3 4 5 6 7 8 9 10
442 5104030706840002 I WAYAN PUJA ANTARA TULIKUP, ,07-06-1984 27 B Lk - BR. KAJA KAUH -
443 5104031008630001 I WAYAN JENDRA PUSTAKA GIANYAR, ,10-08-1963 48 S Lk - BR. KAJA KAUH -
444 5104035408630001 NI KETUT SUJANI KLUNGKUNG, ,14-08-1963 48 S - Pr BR. KAJA KAUH -
445 5104031308940001 MADE DWI LESMANA TULIKUP, ,13-08-1994 17 B Lk - BR. KAJA KAUH -
446 5104037112370035 NI WAYAN KENTEL BANGLI, ,31-12-1937 74 P - Pr BR. KAJA KAUH -
447 5104035012720004 LUH KADEK MAHENDRAWATI GIANYAR, ,10-12-1972 39 B - Pr BR. KAJA KAUH Cacat Mental/Jiwa
448 5104030310900001 GEDE RAMADITA UTAMA KLUNGKUNG, ,03-10-1990 21 B Lk - BR. KAJA KAUH -
449 5104030101710002 I KETUT ADI ASTIKA GIANYAR, ,01-01-1971 41 S Lk - BR. KAJA KAUH -
450 5104035203720001 NI KETUT ARTI GIANYAR, ,12-03-1972 39 S - Pr BR. KAJA KAUH -
451 5104030705910002 I WAYAN ARTIKA KLUNGKUNG, ,07-05-1991 20 B Lk - BR. KAJA KAUH -
452 5104035712820001 TRI GITA LESTARI SARTIKA BANGLI, ,17-12-1982 29 S - Pr BR. KAJA KAUH -
453 5104034512530001 I GUSTI AYU RATNI GIANYAR, ,05-12-1953 58 P - Pr BR. KAJA KAUH -
454 5104034106770003 NI KADEK MARTINI GIANYAR, ,01-06-1977 34 B - Pr BR. KAJA KAUH -
455 5104031210790003 I NYOMAN AGUS WISENA GIANYAR, ,12-10-1979 32 S Lk - BR. KAJA KAUH -
456 5104034711440001 NI KETUT GUMLENG GIANYAR, ,07-11-1944 67 P - Pr BR. KAJA KAUH -
457 5104034905550001 MG ISTIRAHATI YOGYAKARTA, ,09-05-1955 56 S - Pr BR. KAJA KAUH -
458 5104031407780004 EKO JULI SASTRANTO MATARAM, ,14-07-1978 33 S Lk - BR. KAJA KAUH -
459 5104034406860002 NI KOMANG JUNIARI BANGLI, ,04-06-1986 25 S - Pr BR. KAJA KAUH -
460 5104033112540104 I WAYAN PARTHA GIANYAR, ,31-12-1954 57 S Lk - BR. KAJA KAUH -
461 5104033112420182 5104033112420182 I MADE NADIA TULIKUP TULIKUP, ,31-12-1942 31 12 1942 69 S Lk - BR BR. KAJA KAUH -
462 5104037112430144 NI MADE KARNASIH TULIKUP, ,31-12-1943 68 S - Pr BR. KAJA KAUH -
463 5104031206670003 I NYOMAN BALIK ASTAWA GIANYAR, ,12-06-1967 44 S Lk - BR. KAJA KAUH -
464 5104035208720002 NI KETUT SARINI GIANYAR, ,12-08-1972 39 S - Pr BR. KAJA KAUH -
465 5104035006920001 NI WAYAN SRI BALIK EKA PUTRI GIANYAR, ,10-06-1992 19 B - Pr BR. KAJA KAUH -
466 5104030606670003 I WAYAN SAMA GIANYAR, ,06-06-1967 44 S Lk - BR. KAJA KAUH -

1 2 3 4 5 6 7 8 9 10
467 5104034303690002 NI NYOMAN ARIANI GIANYAR, ,03-03-1969 43 S - Pr BR. KAJA KAUH -
468 5104032004930001 I GDE WIDNYANA PUTRA KLUNGKUNG, ,20-04-1993 18 B Lk - BR. KAJA KAUH -
469 5104031701680001 I MADE SUTIKA GIANYAR, ,17-01-1968 44 S Lk - BR. KAJA KAUH -
470 5104036608930002 NI LUH PUTU CITRA ARYANTI GIANYAR, ,26-08-1993 18 B - Pr BR. KAJA KAUH -
471 5104035304730003 I GUSTI AYU MIRAHWATI GIANYAR, ,13-04-1973 38 S - Pr BR. KAJA KAUH -
472 5104030303700005 I WAYAN SUDIARTA GIANYAR, ,03-03-1970 42 S Lk - BR. KAJA KAUH -
473 5104036111740001 NI WAYAN MELATI GIANYAR, ,21-11-1974 37 S - Pr BR. KAJA KAUH -
474 5104030510580001 I MADE BUDIARTA GIANYAR, ,05-10-1958 53 S Lk - BR. KAJA KAUH -
475 5104036906930005 NI WAYAN ARTA NINGSIH GIANYAR, ,29-06-1993 18 B - Pr BR. KAJA KAUH -
476 5104034105580001 NI WAYAN MANIS GIANYAR, ,01-05-1958 53 S - Pr BR. KAJA KAUH -
477 5104030308730002 I WAYAN ARNATA GIANYAR, ,03-08-1973 38 S Lk - BR. KAJA KAUH -
478 5104037108940003 NI LUH SANTIKA DEWI GIANYAR, ,31-08-1994 17 B - Pr BR. KAJA KAUH -
479 5104034107730078 NI WAYAN MURIANI GIANYAR, ,01-07-1973 38 S - Pr BR. KAJA KAUH -
480 5104030201740002 I MADE WINADA GIANYAR, ,02-01-1974 38 S Lk - BR. KAJA KAUH -
481 5104032707950001 I WAYAN MERTHA YASA GIANYAR, ,27-07-1995 17 B Lk - BR. KAJA KAUH -
482 5104034101750007 NI NYOMAN MENUH GIANYAR, ,01-01-1975 37 S - Pr BR. KAJA KAUH -
483 5104030909720005 I WAYAN MARUTI GIANYAR, ,09-09-1972 39 S Lk - BR. KAJA KAUH -
484 5104035004740001 NI KOMANG MARGIANI GIANYAR, ,10-04-1974 37 S - Pr BR. KAJA KAUH -
485 5104033112690044 I KETUT SUKERTA GIANYAR, ,31-12-1969 42 S Lk - BR. KAJA KAUH -
486 5104032510940002 5104032510940002 I WAYAN SUARTAMA GIANYAR GIANYAR, ,25-10-1994 25 10 1994 17 B Lk - BR BR. KAJA KAUH -
487 5104037112740041 NI KOMANG RENCANI BULELENG, ,31-12-1974 37 S - Pr BR. KAJA KAUH -
488 5104030208660002 I NYOMAN ARNAWA GIANYAR, ,02-08-1966 45 S Lk - BR. KAJA KAUH -
489 5104034506740005 DESAK NYOMAN ALIT GIANYAR, ,05-06-1974 37 S - Pr BR. KAJA KAUH -
490 5104030101660004 I KETUT KARNATA GIANYAR, ,01-01-1966 46 S Lk - BR. KAJA KAUH -
491 5104035201660001 TATIANA SRI REJEKI JAWA TENGAH, ,12-01-1966 46 S - Pr BR. KAJA KAUH -

1 2 3 4 5 6 7 8 9 10
492 5104033008680001 I MADE TERIMA YASA GIANYAR, ,30-08-1968 43 S Lk - BR. KAJA KAUH -
493 5104034710700003 LUH GEDE SRI WIDARSIH GIANYAR, ,07-10-1970 41 S - Pr BR. KAJA KAUH -
494 5104036104700005 NI MADE KARTINI KOTAMABAGU, ,21-04-1970 41 B - Pr BR. KAJA KAUH -
495 5104031703730002 I KOMANG WIJAYA GIANYAR, ,17-03-1973 38 S Lk - BR. KAJA KAUH -
496 5104034804700002 NI MADE NARIYANI GIANYAR, ,08-04-1970 41 S - Pr BR. KAJA KAUH -
497 5104036206720002 SANG AYU KOMPIANG WARNI BANGLI, ,22-06-1972 39 S - Pr BR. KAJA KAUH -
498 5104032802740002 I MADE SUMERTHAYANA GIANYAR, ,28-02-1974 38 S Lk - BR. KAJA KAUH -
499 5104034803740004 NI KADEK SARNI GIANYAR, ,08-03-1974 38 S - Pr BR. KAJA KAUH -
500 5104032807710002 I NYOMAN KARTA GIANYAR, ,28-07-1971 40 S Lk - BR. KAJA KAUH -
501 5104032107770003 I WAYAN REKEN GIANYAR, ,21-07-1977 34 B Lk - BR. KAJA KAUH -
502 5104037112430157 GUSTI NYOMAN SARI GIANYAR, ,31-12-1943 68 P - Pr BR. KAJA KAUH -
503 5104034209760001 WAYAN SRINI GIANYAR, ,02-09-1976 35 S - Pr BR. KAJA KAUH -
504 5104033112480082 I KETUT RAUH TUSAN GIANYAR, ,31-12-1948 63 P Lk - BR. KAJA KAUH -
505 5104030606760007 I WAYAN JATI GIANYAR, ,06-06-1976 35 S Lk - BR. KAJA KAUH -
506 5104037006770003 NI KOMANG JUNIARI KLUNGKUNG, ,30-06-1977 34 S - Pr BR. KAJA KAUH -
507 5104032608800002 I KOMANG SUKRA GIANYAR, ,26-08-1980 31 B Lk - BR. KAJA KAUH -
508 5104031205460001 I WAYAN DIPA TULIKUP, ,12-05-1946 65 S Lk - BR. KAJA KAUH -
509 5104034707520002 SUHARTI SEMARANG, ,07-07-1952 59 S - Pr BR. KAJA KAUH -
510 5104030705760003 NYOMAN BAYU PASUPATI DENPASAR, ,07-05-1976 35 S Lk - BR. KAJA KAUH -
511 5104037001850005 5104037001850005 RACHELLE R WIJAYA JAKARTA JAKARTA, ,30-01-1985 30 01 1985 27 S - P Pr BR BR. KAJA KAUH -

1 2 3 4 5 6 7 8 9 10
512 5104031304740002 MADE TEJA BUANA YOGYAKARTA, ,13-04-1974 37 B Lk - BR. KAJA KAUH -
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Catatan : Tulikup,………………………………... 2012
Status Perkawinan Disahkan dalam Pleno PPS tanggal ………………………….2012
B = Belum nikah PANITIA PEMUNGUTAN SUARA
S = Sudah nikah
P = Pernah Nikah Nama Tanda tangan
Jenis Kelamin :
Lk = Laki - laki
1. Ketua ………………………………………………………. …………………………
Pr = Perempuan
1) = Coret yang tidak perlu
2. Anggota ………………………………………………………. …………………………
2) = Cacat yang disandang pemilih kalau ada 3. Anggota ………………………………………………………. …………………………
JUMLAH