Form Migrasi 34

8/17/2019 Form Migrasi 34

1/78

FORMAT MIGRASI 34 KOLOM BPJS KESEHATAN

No No KK NIK/KITAS/KITAP Nama Lengkap

HUBKEL Tgl La!" Jen!# Kelam!n

%%/mm/''''

( ) 3 4 * + , - . (

Wajib di isi Wajib di isi Wajib di isi Wajib di isi Wajib di isi Wajib di isi Wajib d

1 7405020000000001 7405032909670001 Adi Suriyono 1 Parepare 31/12/1952 1 2 Bacukik

2 7405020000000001 740503450670001 #u% Su&ia'i 3 Parepare 12/05/195 2 2 Bacukik

3 7402020000000001 740503110160003 Supriya'no 4 Parepare 30/12/1990 1 1 Bacukik


HUBKEL Tgl La!" Jen!# Kelam!n

%%/mm/''''

( ) 3 4 * + , - . (

Wajib di isi Wajib di isi Wajib di isi Wajib di isi Wajib di isi Wajib di isi Wajib d

1 Peser'a A 1

2 )s'ri A 3

3 Anak A 4

4 Anak A 4

5 Peser'a B 1

6 )s'ri B 3

7 Anak B 4

Ke0e"angan Peng!#!an1

KOLOM KETERANGAN

*o+o& 2 Wajib di isi ,o *ar'u *e+uar-a

*o+o& 3 Wajib di isi ,o&or ,)*/*.P ,o&or ,)* ada ju-a pada *ar'u *e+uar-a

*o+o& 4 Wajib di isi ,a&a 'idak bo+e% &e&akai e+ar 'anda dan 'anda karak'er &aksi&a

*o+o& 5 Wajib di isi arus di isi den-an an-k ( Pe#e"0a 2P 1Angka (

) Sam! 2S 1 Angka )

3 I#0"! 2I 1 Angka 34 Anak 2A 1 Angka 4

* Tanggngan 2T1 Angka *

S0a0#)a5!n

AlamaTempT!ngg

( 8 P) 8 S3 8 I4 8 A* 8 T

Tempa0La!"

(8Lak!lak!)8Pe"empan

(8BK9)8K938:H948:M* 8 T&KTAU

Wajib diisi

Wajib diisi

S0a0#)a5!n

AlamaTempT!ngg

( 8 P) 8 S3 8 I

4 8 A* 8 T

Tempa0

La!"

(8Lak!lak!

)8Pe"empan

(8BK9)8K938:H9

48:M* 8 T&KTAU

Wajib diisi

Wajib diisi


2/78

*o+o& 6 Wajib di isi .idak bo+e% &e&akai 'anda dan 'anda

*o+o& 7 Wajib di isi 12/31/1990

*o+o& Wajib di isi arus di isi den-an an-ka

*o+o& 9 Wajib di isi arus di isi den-an an-k ( BK 1 Belm Ka5!n

) K 1 Ka5!n

3 :H 1 :e"a! H!%p

4 :M 1 :e"a! Ma0!

*o+o& 10 Wajib di isi i isi den-an a+a&a' +en-kap

*o+o& 11 Wajib di isi arus di isi den-an an-ka 3 di-i' 001

*o+o& 12 Wajib di isi arus di isi den-an an-ka 3 di-i' 001

*o+o& 14 Wajib di isi i isi sesuai den-an or&a' dari BP8S




*o+o& 1 Wajib di isi i isi sesuai den-an or&a' dari BP8S1 8ika Peser'a &e&i+i% *+inik a'au Puskes&a


*o+o& 20 Wajib di isi i isi sesuai den-an or&a' dari BP8S2 8ika Peser'a &e&i+i% ok'er *e+uar-a *o+


a'a peser'a diisi beruru'an : peser'a is'ri/sua&i anak 1 anak 2 anak 3 +a+u di+anju'kan dpeser'a +ain dan an--o'a ke+uar-anya dan se'erusnya


3/78

Ema!l NPP Ja;a0an S0a0#

(. ) )( )) )3 )4 )* )+ ), )- ). 3

!akessi

!akessi

!akessi

Ema!l NPP Ja;a0an

S0a0#

(. ) )( )) )3 )4 )* )+ ), )- ). 3

NamaFa#ke#

Tk7I

Ko%eFa#ke#&ok0e"

G!g!

NamaFa#ke#&ok0e"

G!g!

Nomo"TeleponPe#e"0a

Kela#Ra5a0

TMTKe"

Ga

Tn


4/78


5/78

FORM MIGRASI PESERTA

JENIS PESERTA

NAMA INSTANSI/BA&AN/PERUSAHAAN

KO&E ?IRTUAL A::OUNT

BANK TEMPAT PEMBA@ARAN IURAN

TANGGAl REGISTRASI

NOMOR PKS

KO&E PKS

MASA BERLAKU

KO&E TANGGUNGAN

KO&E K:

KO&E &ATI)


( ) 3 4

1 7311020701100004 7311020603380001 ABD RASUL

2 7311020701100004 7311024712430002 I DIMENG

3 7311021511100032 7311024308760002 YUSRIANI

4 7311021511100032 7311023107010003 MUH IKHSAN M

5 7311021511100032 7311026612020003 SUCI RAMADANI M

6 7311021511100032 7311024412120002 ADINDA BALQIS SYAM

7 7311020808150001 7311025810900001 NURUL AZIZAH8 7311022901052855 7311025209870005 RAFIKA

9 7311022901052855 7311027004060002 NAURA KEYZA ALSAHARA

10 7311021809100006 7311026311930001 EKA LESTARIY ANAR

11 7311020201120005 7311021506980002 SAIDUL

12 7311020412140003 7311024611660001 ST FATIMAH

13 7311020412140003 7311025305850003 ARFIAH YUNUS

14 7311021904110005 7311021108700001 AMIRUDDIN

15 7311021904110005 7311026512730002 SYAMSINAR ARSYAD

16 7311021904110005 7311022809990001 MUHAMMAD FADHIL

17 7311021904110005 7311020104010002 MUHAMMAD FARID

18 7311021904110005 7311021903080001 HAIRUL MUNZIL

19 7311022901055364 7311021212770006 AHMAD

20 7311022901055364 7311024707780001 RAHMAATI

21 7311022901055364 7311020510970002 ADE FAHRUL

22 7311022901055364 7311025508020001 !UTRI AULIA

23 7311022901055364 7311024308080001 NABILA ALZAHRA

24 7311021106120001 7311020107640001 K"MB"NG


6/78

25 7311021106120001 7311025508730002 RUSMIATI

26 7311021106120001 7311022505990002 ANUGRAHA EGI !RATAMA

27 7311022506120024 7311023112500045 ARSYAD

28 7311022506120024 7311027112560017 NASRI

29 7311022411140003 7311072608820001 SYAIFUDDIN

30 7311022411140003 7311026308800001 SADRIANI

31 7311022411140003 7311026107150001 SAMIRAH SA#IDAH

32 7311022907110005 7311025005470001 FATIMAH

33 7311022907110005 7311025703700001 #UHAENA

34 7311022907110005 7311020511810001 MASKUR

35 7311022907110005 7311024912900001 NURLINA

36 7311022907110005 7311024107560009 MASIA

37 7311022901055622 7311022707550001 LA D"L"

38 7311022901055622 7311027112550032 #UNAEDA

39 7311020109120021 7311020101460001 SA!!E

40 7311020109120021 7311026104560002 #AARIAH

41 7311020109120021 7311024510990001 SEL!IANA

42 7311020109120021 7311024508620002 MATAHARI

43 7311022901055626 7311023112270005 SAMADE

44 7311022901055626 7311027108300001 NAISA

45 7311022901055626 7311024107480019 I MASE

46 7311022901055626 7311026001700001 #UMAEDAH

47 7311022901055626 7311021112850002 BAHRI

48 7311022901053658 7311021504570001 ZAINUDDIN

49 7311022901053658 7311026005580001 ST RILLAH

50 7311022901053658 7311022610930002 IRHAMSYAH51 7311022209120029 7311023112550035 ABD KADIR

52 7311022209120029 7311025611620001 HALIMA

53 7311022209120029 7311025903910001 SALMIAH

54 7311022209120029 7311022110920001 ISMAIL

55 7311022901052225 7311023112580017 M KASIM

56 7311022901052225 7311027112680039 !AASIAH

57 7311022901052225 7311023112700038 AGUSTAN

58 7311022901052225 7311020102920002 KAMARUDDIN

59 7311022901052225 7311026004980002 MUSFIRA

60 7311022901052228 7311020112600001 MASSERE

61 7311022901052228 7311025710640001 ATI

62 7311022901052228 7311022308920004 AGUS

63 7311022901052228 7311022110050001 SAHRUL

64 7311022901052228 7311026108070001 II AGUSTINA

65 7311022901052228 7311023112450017 DALLU

66 7311020703120003 7311020507450002 ALIMIN

67 7311020703120003 7311026008120001 SAKINAH


7/78

68 7311022901053577 7311022112080003 SYAIFUL

69 7311021910150002 7311031603920005 SYAALUDDIN

70 7311021004120007 7311023012820001 HERMAN

71 7311021004120007 7311025010880005 NUR HIKMAH

72 7311021004120007 7311024207110002 HERMALIA !UTRI

73 7311021910150002 7311021009150001 AL FIRSYAH

74 7311021607140001 7311020505710008 AMIR

75 7311021607140001 7311024307830001 MASTURA

76 7311021607140001 7311021807020001 ASAR

77 7311021607140001 7311022403080002 RAYHAN

78 7311022812130005 7604040512880001 RISAL

79 7311022812130005 7311022004130001 MUHAMMAD RIFQI

80 7311020511100010 7311025801060002 RIKA

81 7311022906100020 7311024508700007 ARTATI

82 7311022901053081 7311023112660019 SYAMSUL

83 7311022901053081 7311027112650035 HABIBA

84 7311022901053081 7311020909920002 ERIN

85 7311022901053081 7311022911940001 SYAHRIL

86 7311021710110015 7311020201670005 ISMAIL

87 7311021710110015 7311024112740001 MARDIANA

88 7311021710110015 7311020112960001 ISHAK

89 7311021710110015 7311021903000001 ILHAM

90 7311021710110015 7311026307110001 ISYAHRINI

91 7311021711150005 7310090107940092 U!I

92 7311021105100005 7311023112120001 AHMAD GUNADI UMAR

93 7311022901056360 7311021807700001 MUH YAKUB94 7311022901056360 7311024808710001 HASNI

95 7311022901056360 7311020305030006 MUHAMMAD YUNUS YAKUB

96 7311022901056360 7311024406100002 YUSRIANI KUBY

97 7311022901056360 7311025507350004 ST HASNAH

98 7311022901054248 7311020105720002 ABD RAHMAN

99 7311022901054248 7311024307790003 SYAHRIAH

100 7311022901054248 7311024511970001 NI MAH

101 7311022901054248 7311024708030001 FA#ERIAH

102 7311022901054248 7311027112450025 HABIBAH

103 7311021104070225 7311021204780006 ISMAIL

104 7311021104070225 7311024110870002 MUSLINAH

105 7311021104070225 7311021107060006 SAHRUL MUIS

106 7311021104070225 7311025106130001 IIN ISMI

107 7311021109070005 7311021211510001 ISKANDAR

108 7311021109070005 7311024910400001 HASNAH ISKANDAR

109 7311021109070005 7311021407840001 UMAR ISKANDAR

110 7311021109070005 7311025710990003 NUR LELY


8/78

111 7311021508150004 7311020486000004 RUSDI R

112 7311021508150004 7311025705940002 YULIANI HA#ERATIA ASAD

113 7311021508150004 7311020705140001 MUHAMMAD FATHIR AL RA#AB

114 7311022901054640 7311021008710003 HANAFIN

115 7311022901054640 7311026211700001 HASNAH

116 7311022901054640 7311021601710001 ISMAIL

117 7311022901054640 7311021202810001 BURHAN

118 7311022901054640 7311022608020001 AL HAYAT

119 7311022901054640 7311025205050001 RAHMATAN

120 7311022901054640 7311024109920002 DARNA

121 7311023011090009 7311021312610002 MUH KASAU

122 7311023011090009 7311025105630001 SUHERA

123 7311023011090009 7311021504880001 SUKARDI

124 7311023011090009 7311025305950002 RISNAATI

125 7311023011090009 7311022804000001 AMRAN SA!UTRA

126 7311023011090009 7311021203070002 IMRAN SA!UTRA

127 7311020504140001 7311032410910001 MAS#IDIN

128 7311020504140001 7311025208930002 MIRNAATI

129 7311020504140001 7311021410130001 AIDIL

130 7311023011100003 7311025707810001 HASRIANITA

131 7311023011100003 7311022911100001 MUHAMMAD FATHIR MUARIFATULLAH

132 7311020705120038 7311024907550001 HASMAH RABA

133 7311020705120038 7311021005830002 RISMAN S

134 7311020705120038 7311021010890002 ASHAR S

135 7311021011070005 7311025103140001 NURUL AKYLA NUGRAHA

136 7311020405120022 7311020106040001 RUSTANG137 7311023107100002 7311022904540002 ASKA

138 7311023107100002 7311025307670008 I NETTI

139 7311021401120001 7311021012020005 SYAAL RIZKI

140 7311021401120001 7311024407040001 RISKA AMALIA

141 7311021401120001 7311021707080001 IMRATUL ASAL

142 7311021401120001 7311024107400011 H# KARTINI

143 7311021401120001 7311021303850002 ABD RAHMAN

144 7311020405120061 7311024509590002 MUNIRA

145 7311022711100001 7311020602730001 MUA!!IKE

146 7311022711100001 7311024108760002 NURLINA

147 7311022711100001 7311026404990003 IRIANTI

148 7311022711100001 7311020302050001 MUH AIDIL SA!UTRA

149 7311022711100001 7311021812130001 AHMAD IRSYAD MAULANA

150 7311021611130004 7311025404810003 MUNAHIRAH

151 7311021611130004 7311022504090001 REHAN

152 7311021609110004 7311026606970004 HARTINA

153 7311022306120003 7311025803150001 REZKY AMALIAH


9/78

154 7311022810130017 6471017112790036 SUMARNI

155 7311022810130017 6471040404020005 ARDIANSYAH

156 7311022810130017 6471043006100004 ILHAMSYAH

157 7311020612130001 7311022504800001 SYANSUDDIN

158 7311022901053149 7311021003750004 HASRIL

159 7311022901053149 7311024505830006 #UMIATI

160 7311022901053149 7311021603990002 #USRI

161 7311022901053149 7311025501010002 ASRIANTI

162 7311022901053149 7311020402060001 M AHYUDI

163 7311028807120004 7311023112480010 HAMSAH

164 7311022310100009 7311026808930001 RISKI AMELIA K

165 7311022310100009 7311021410010001 MULTHASYAM

166 7311022310100009 7311026008030001 MAGFIRA

167 7311020304120007 7311022504630001 UDIN

168 7311020304120007 7311025506650001 NUR ANA

169 7311020304120007 7311021505970002 ARHAM

170 7311020304120007 7311021111020001 ANSAR

171 7311022901053151 7311020804650001 MAKMUR

172 7311022901053151 7311027012700004 SUAEBAH

173 7311022901053151 7311022810920001 ASHAR

174 7311022901053151 7311021208940002 ADIL KURNIADI

175 7311022901053151 7311021212990003 ARDILLA

176 7311022901053151 7311022211100001 M AFDAL

177 7311022503100018 7311023009710002 MAKMUR

178 7311022503100018 7311020412140001 AKHDA ANSARI

179 7311022403140006 7311021004870002 #ADIRMAN180 7311022403140006 7311020910090001 FA#AR FITRAAN

181 7311022901053144 7311025512010003 SU!RIADI

182 7311022901053144 7311021403140001 SUARDI

183 7311022901053144 7311027112350012 ISAMI

184 7311021102110004 7311020505820006 #UMARDIN

185 7311021102110004 7311026309110001 KHALIFAH

186 7311022603100008 7311022103580002 ALE!U

187 7311022603100008 7311026006630001 NURE

188 7311022603100008 7311025508040001 NUR ALMUHLINDA

189 7311022603100008 7311025408080002 NUR ALISA

190 7311022901052396 7311023112690033 BAHRU

191 7311022901052396 7311024501700006 ARNA

192 7311022901052396 7311022101920001 HERMAN

193 7311022901052396 7311027005980001 HELIATI

194 7311022901052396 7311026006010001 HERTATI

195 7311022901052396 7311024710040001 HERMIATI

196 7311022901052396 7311027108400009 ISITTI


10/78

197 7311022205120009 7311024811090001 MUTIA MUTMAINNAH

198 7311022901056748 7311021207530001 MURSALIN

199 7311022901056748 7311027112580043 KARTINI

200 7311022901056748 7311025707940002 ULFIAH

201 7311022206120006 7311026406620001 H# ASNIATI

202 7311022206120006 7311024911910002 REZKY N"$ITASARI D#URANI

203 7311022206120006 7311024703400003 ST AISYAH

204 7311022206120006 7311025706660001 ARDIANA

205 7311022206120006 7311020301100001 MUHAMMAD ALIM

206 7311022412130001 7311024205820001 SU!IATI

207 7311022412130001 7311026911020002 FITRA

208 7311022412130001 7311026911020001 FITRI

209 7311022412130001 7311025111130001 KHALIFA !RATASYA

210 7311022901052700 7311020309490001 LA BAC"

211 7311022901052700 7311025704490001 ISATI

212 7311021104070190 7311024712530001 DALLE

213 7311021104070190 7311024708870003 NURLINA

214 7311021104070190 7311021911990001 FIRMAN

215 7311021607110005 7311021103830002 SU!RIYANT"

216 7311021607110005 7311025710880002 DEI SULASMI

217 7311021607110005 7311024807080001 ULAN FITRIANI

218 7311022203070004 7311025010820001 HASNIA HARIS

219 7311022102110005 7311026204980002 NUR AHIDA

7311022901052751 7311025507400005 DALIMA

7311022901052751 7311025303460001 IMESSA

7311022308120010 7311020112500005 ABD LATIF7311022308120010 7311024502560001 NURTATI

731102

731102

731102

731102

731102

731102

731102

731102

731102

731102

731102731102

731102

731102

731102

731102

731102

731102

731102

731102


11/78

731102

731102

731102

731102

731102

731102

731102

731102731102

731102

731102

731102

731102

731102

731102

731102

731102

731102

731102

731102731102

731102

731102

731102

731102

731102

731102

731102

731102

731102

731102

731102731102

731102

731102

731102


12/78

PISAT Tgl La!"

Tempa0 La!" %%/mm/'''' (8L )8P

* + , - .

2 S"REANG 08%03%1938 1 2

3 S"REANG 07%12%1943 2 2

1 S"REANG 03%09%1976 2 2

4 MAKASSAR 31%07%2001 1 1

4 BARRU 26%12%2002 2 1

4 BARRU 04%12%2012 2 1

1 B"NTANG 18%10%1990 2 21 B"NTANG 12%09%1987 2 1

5 !ARE!ARE 30%04%2006 2 1

1 !ARE!ARE 23%11%1993 2 1

1 MARET" 15%06%1998 1 1

4 MARET" 06%11%1966 2 1

4 MARET" 13%05%1985 2 1

2 B"TT"E 11%08%1970 1 2

3 ATAM!"NE 25%12%1973 2 2

4 BEL"!A 28%09%1999 1 1

4 BARRU 01%04%2001 1 1

4 BARRU 19%03%2008 1 1

2 ANCE 12%12%1977 1 2

3 KALTIM 07%07%1978 2 2

4 KESSIE 05%10%1997 1 1

4 KESSIE 15%08%2002 2 1

4 ANCE 03%08%2008 2 1

2 !ANGKE! 01%07%1964 1 2

Jen!#Kelam!n

S0a0#Ka5!n

( 8 P) 8 S

3 8 I4 8 A* 8 T

(8BK9 )8K938:H9

48:M* 8 T&K TAU


13/78

3 AR"!!"E 15%08%1973 2 2

4 AR"!!"E 25%05%1999 1 1

2 RALLA 31%12%1950 1 2

3 BU#UNG A" 31%12%1956 2 2

2 TAKKALASI 26%08%1982 1 2

3 MATENE 23%08%1980 2 2

4 !ARE!ARE 21%07%2015 2 1

1 !ASSEDDE 10%05%1947 2 4

4 MATENE 17%03%1970 2 1

4 MATENE 05%11%1981 1 1

4 MATENE 09%12%1990 2 1

5 LURAE 01%07%1956 2 4

2 BUNGI 27%07%1955 1 2

3 !ASSEDDE 31%12%1955 2 2

2 RUM!IAE 01%01%1946 1 2

3 !ASSEDDE 21%04%1956 2 2

5 !ASSEDDE 05%10%1999 2 1

5 !ASSEDDE 05%08%1962 2 1

2 !ASSEDDE 31%12%1927 1 2

3 !ASSEDDE 31%08%1930 2 2

4 !ASSEDDE 01%07%1948 2 4

4 !ASSEDDE 20%01%1970 2 2

5 K"LAKA 11%12%1985 1 2

2 !ASSEDDE 15%04%1957 1 2

3 !ASSEDDE 20%05%1958 2 2

4 !ASSEDDE 26%10%1993 1 12 !ALANR" 31%12%1955 1 2

3 !EKKAE 16%11%1962 2 2

4 B"TT"E 19%03%1991 2 1

4 !ALANR" 21%10%1992 1 1

2 SARA!!" 31%12%1958 1 2

3 !"LE#IA 31%12%1968 2 2

4 !"LE#IA 31%12%1970 1 1

4 !"LE#IA 01%02%1992 1 1

4 !"LE#IA 20%04%1998 2 1

2 !ANGKE! 01%12%1960 1 2

3 !"LE#IA 17%10%1964 2 2

4 !"LE#IA 23%08%1992 1 1

4 !"LE#IA 21%10%2005 1 1

4 !"LE#IA 21%08%2007 2 1

5 !"LE#IA 31%12%1945 1 4

1 BURANCIE 05%07%1945 1 2

4 BARRU 20%06%2012 2 1


14/78

4 AR"!!"E 21%12%2008 1 1

1 TUUNG 16%03%1992 1 2

2 #U!!AI 30%12%1982 1 2

3 !ALANR" 10%10%1988 2 2

4 BARRU 07%02%2011 2 1

4 BARRU 10%09%2015 1 1

2 AR"!!"E 05%05%1971 1 2

3 BARRU 03%07%1983 2 2

4 BARRU 18%07%2002 1 1

4 AR"!!"E 24%03%2008 1 1

1 !"LEALI 05%12%1988 1 2

4 BARRU 20%04%2013 1 1

1 AR"!!"E 18%01%2006 2 1

1 AR"!!"E 05%08%1970 2 2

2 !INRANG 31%12%1966 1 2

3 AR"!!"E 31%12%1965 2 2

4 B"CC"CENGAH 02%09%1992 1 1

4 BURANCIE 29%11%1994 1 1

2 !ANCANA 02%01%1967 1 2

3 AR"!!"E 01%12%1974 2 2

4 AR"!!"E 01%12%1996 1 1

4 AR"!!"E 19%03%2000 1 1

4 BARRU 23%07%2011 2 1

2 !AKKANG 01%07%1994 1 2

4 BARRU 31%12%2012 2 1

2 !ADAEL" BARRU 18%07%1970 1 23 !EKKAE BARRU 08%08%1971 2 2

4 BARRU 03%05%2003 1 1

4 BARRU 14%06%2010 2 1

5 !ADAEL" 15%07%1935 2 4

2 #U!!AI 01%05%1972 1 2

3 MATENE 03%07%1979 2 2

4 MATENE 05%11%1997 2 1

4 MATENE 07%08%2003 2 1

5 TANETE RIA#A 31%12%1945 2 2

2 SULTENG 12%04%1978 1 2

3 #U!!AI BARRU 01%10%1987 2 2

4 !ALANR" 11%07%2006 1 1

4 BARRU 11%06%2013 2 1

2 #U!!AI 12%11%1951 1 2

3 #U!!AI 09%10%1960 2 2

4 BALIK !A!AN 14%07%1964 1 2

4 #U!!AI 17%10%1999 2 1


15/78

2 #U!!AI 02%04%1986 1 2

3 #U!!AI 17%05%1994 2 2

4 BARRU 07%5%2014 1 1

2 SAMATELLU 10%08%1971 1 2

3 SAMATELLU 22%11%1970 2 2

4 #U!!AI 16%01%1979 1 1

4 #U!!AI 12%2%1981 1 1

4 #U!!AI 26%08%2002 1 1

4 #U!!AI 12%05%2005 2 1

5 SAMATELLU 01%09%1992 2 4

1 #U!!AI 13%12%1961 1 2

2 !ANGKE! 11%5%1963 2 2

1 !ANGKE! 15%04%1988 1 1

2 #U!!AI 13%05%1995 2 1

1 #U!!AI 28%04%2000 1 1

1 BARRU 12%03%2007 1 1

2 SE!EE 24%10%1991 1 2

3 LI!UKASI 12%08%1993 2 2

4 BARRU 14%10%2013 1 1

2 !EKKA !A" 17%07%1981 2 2

3 BARRU 29%11%2010 1 1

1 BARRU 09%07%1955 2 4

4 LI!UKASI 10%05%1983 1 1

4 LI!UKASI 10%10%1989 1 1

4 BARRU 11%03%2014 2 1

1 BARRU 01%06%2004 1 12 !A" 29%04%1954 1 2

3 S"!!ENG 13%07%1967 2 2

4 #AYA !URA 10%12%2002 1 2

4 #AYA !URA 04%07%2004 2 2

4 #AYA !URA 17%07%2008 1 2

5 BARRU 01%07%1940 2 4

5 BARRU 13%03%1985 1 1

1 !EKKAE BARRU 05%09%1959 2 1

3 SARA!!" 6%2%1973 1 2

2 MADD" 1%8%1976 2 2

4 IRIAN #AYA 24%04%1999 2 2

4 MADD" 3%2%2005 1 1

4 BARRU 18%12%2013 1 1

2 AR"!!"E 14%04%1981 2 2

4 AR"!!"E 25%04%2009 1 1

5 !"LE#IA 26%06%1997 2 1

4 BARRU 18%03%2015 2 1


16/78

2 D"NGG" 31%12%1979 2 2

4 BARRU 4%4%2002 1 1

4 BALIK !A!AN 30%06%2010 2 1

3 B"NE 25%04%1980 1 2

3 AR"!!"E 10%3%1975 1 2

2 LAR"M!"NG 05%05%1983 2 2

4 LAR"M!"NG 16%03%1999 1 1

4 AR"!!"E 15%01%2001 2 1

4 AR"!!"E 4%2%2006 1 1

5 AR"!!"E 31%12%1948 2 3

4 AR"!!"E 28%08%1993 1 2

4 AR"!!"E 14%10%2001 2 1

4 AR"!!"E 20%08%2003 1 1

3 AR"!!"E 25%04%1963 1 2

2 SENGKAE 15%06%1965 2 2

4 SENGKAE 15%05%1997 1 1

4 AR"!!"E 11%11%2002 1 1

3 AR"!!"E 8%4%1965 1 2

2 B"TT"E 30%12%1970 2 2

4 B"TT"E 28%10%1992 1 1

4 AR"!!"E 12%12%1994 1 1

4 AR"!!"E 12%12%1999 1 1

4 AR"!!"E 22%11%2010 1 1

3 AR"!!"E 30%09%1971 1 2

4 AR"!!"E 4%12%2014 1 1

4 MADD" 10%4%1987 1 23 BARRU 9%10%2009 1 1

4 BARRU 25%12%2001 1 2

4 BARRU 14%03%2014 1 2

5 SA!!" BATU 31%12%1935 2 4

1 AR"!!"E 5%5%1982 1 4

4 BARRU 23%09%2011 2 1

3 AR"!!"E 21%03%1958 1 2

2 AR"!!"E 20%06%1963 2 2

5 BURANCIE 15%08%2004 2 1

5 BURANCIE 14%08%2008 2 1

3 SAL"M"NI 31%12%1969 1 2

2 SAL"M"NI 5%1%1970 2 2

4 SAL"M"NI 21%01%1992 1 1

4 SAL"M"NI 30%05%1998 2 1

4 BARRU 20%06%2001 2 1

4 BARRU 7%10%2004 2 1

5 SAL"M"NI 31%08%1940 2 1


17/78

4 BARRU 3%9%2014 2 1

3 BARRU 12%7%1953 1 2

2 BARRU 31%12%1958 2 2

3 B"TT"E 17%07%1994 2 2

1 BULUKUMBA 24%06%1962 2 2

2 !ARE !ARE 9%11%1991 2 1

5 B"TT"E 7%3%1940 2 4

5 B"TT"E 17%06%1966 2 4

5 BARRU 3%1%2010 1 1

1 !ALANR" 2%5%1982 2 2

4 !ARE !ARE 29%11%2002 2 1

4 !ARE !ARE 29%11%2002 2 1

5 !AL"!" 11%11%2013 2 1

2 !ALANR" 3%9%1949 1 2

3 S"REANG 17%04%1949 2 2

1 B"TT"E 7%12%1953 2 1

4 B"TT"E 7%8%1987 2 4

4 SERUI 19%11%1999 1 4

2 NGAI 11%3%1983 1 2

3 KARANGANYAR 17%10%1988 2 2

4 BARRU 8%7%2008 2 1

1 TARAKAN 10%10%1982 2 2

4 LA#ARI 22%04%1998 2 1

1 !ALANR" 15%07%1940 2 4

5 !ALANR" 13%03%1946 2 1

2 !ALANR" 1%12%1950 1 23 B"TT"E 5%2%1956 2 2


18/78


19/78

Alama0 Tempa0 T!nggal RT R$

( (( () (3 (4 (*

S"REANG 90761 4028 TANETE RILAU

S"REANG 90761 4028 TANETE RILAU

!A" 90761 4028 TANETE RILAU




!A" 90761 4028 TANETE RILAU!A" 90761 4028 TANETE RILAU


GARESSI 90761 4028 TANETE RILAU

LI!UKASI 90761 4028 TANETE RILAU

MARET" 003 003 90761 4028 TANETE RILAU

MARET" 003 003 90761 4028 TANETE RILAU

B"TT"E 90761 4028 TANETE RILAU





ANCE 90761 4028 TANETE RILAU





#L MUH AMIN LENGKE !ADAEL" 001 001 90761 4028 TANETE RILAU

Ko%ePo#

Ko%eKe6ama0an

NamaKe6ama0an


20/78



AR"!!"E 001 001 90761 4028 TANETE RILAU

AR"!!"E 001 001 90761 4028 TANETE RILAU

MATENE 90761 4028 TANETE RILAU








!ASSEDE 002 90761 4028 TANETE RILAU











B"TT"E 004 002 90761 4028 TANETE RILAU


B"TT"E 004 002 90761 4028 TANETE RILAU!ALANR" 003 90761 4028 TANETE RILAU

!ALANR" 003 90761 4028 TANETE RILAU



!"LE#IA 004 001 90761 4028 TANETE RILAU





!"LE#IA 004 90761 4028 TANETE RILAU






AR"!!"E 004 90761 4028 TANETE RILAU



21/78


BURANCIE 90761 4028 TANETE RILAU

#U!!AI 003 002 90761 4028 TANETE RILAU

#U!!AI 003 002 90761 4028 TANETE RILAU

#U!!AI 003 002 90761 4028 TANETE RILAU

BURANCIE 90761 4028 TANETE RILAU

AR"!!"E 90761 4028 TANETE RILAU








B"CC" CENGAH 004 90761 4028 TANETE RILAU











!ADAEL" 003 002 90761 4028 TANETE RILAU!ADAEL" 003 002 90761 4028 TANETE RILAU

!ADAEL" 003 002 90761 4028 TANETE RILAU



#U!!AI 001 90761 4028 TANETE RILAU





#U!!AI 001 002 90761 4028 TANETE RILAU

#U!!AI 001 002 90761 4028 TANETE RILAU

#U!!AI 001 002 90761 4028 TANETE RILAU

#U!!AI 001 002 90761 4028 TANETE RILAU






22/78




#U!!AI 001 002 90761 4028 TANETE RILAU

#U!!AI 001 002 90761 4028 TANETE RILAU

#U!!AI 001 002 90761 4028 TANETE RILAU

#U!!AI 001 002 90761 4028 TANETE RILAU

#U!!AI 001 002 90761 4028 TANETE RILAU

#U!!AI 001 002 90761 4028 TANETE RILAU

#U!!AI 001 002 90761 4028 TANETE RILAU

#U!!AI 003 002 90761 4028 TANETE RILAU

#U!!AI 003 002 90761 4028 TANETE RILAU

#U!!AI 003 002 90761 4028 TANETE RILAU

#U!!AI 003 002 90761 4028 TANETE RILAU

#U!!AI 003 002 90761 4028 TANETE RILAU

#U!!AI 003 002 90761 4028 TANETE RILAU

!EKKA !A" 90761 4028 TANETE RILAU





LI!UKASI 003 90761 4028 TANETE RILAU



!A" 002 001 90761 4028 TANETE RILAU

!A" 002 90761 4028 TANETE RILAU!A" 002 001 90761 4028 TANETE RILAU

!A" 002 001 90761 4028 TANETE RILAU

!ALANR" 002 003 90761 4028 TANETE RILAU





!ADAEL" KEL LAL"LANG 001 002 90761 4028 TANETE RILAU

MADD" 002 90761 4028 TANETE RILAU







!"LE#IA 90761 4028 TANETE RILAU



23/78


























MADD" 002 90761 4028 TANETE RILAUMADD" 002 90761 4028 TANETE RILAU

SA!!" BATU 002 90761 4028 TANETE RILAU









SAL"M"NI 001 90761 4028 TANETE RILAU








24/78

B"TT"E 001 90761 4028 TANETE RILAU

#L KH MAULANA 004 002 90761 4028 TANETE RILAU








#L ABD& KADIR #AELANI 003 003 90761 4028 TANETE RILAU




!ALANR" 90761 4028 TANETE RILAU








LA#ARI 001 003 90761 4028 TANETE RILAU

LA#ARI 001 003 90761 4028 TANETE RILAU



#L ABD RAZAK SULAEMAN LING 003 001 90761 4028 TANETE RILAU#L ABD RAZAK SULAEMAN LING 003 001 90761 4028 TANETE RILAU


25/78


26/78

Ko%e &e#a Nama &e#a Nama Fa#ke# Tk7I

(+ (, (- (. ) )(

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30273 GARESSI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*65074 LAL"LANG 1060101 !'()*(+,( !*)),*

30269 CARAALI 1060101 !'()*(+,( !*)),*

30269 CARAALI 1060101 !'()*(+,( !*)),*

30269 CARAALI 1060101 !'()*(+,( !*)),*

30269 CARAALI 1060101 !'()*(+,( !*)),*

30269 CARAALI 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

Ko%eFa#ke# Tk7I

Ko%eFa#ke#&ok0e"

G!g!

NamaFa#ke#&ok0e"

G!g!


27/78

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*


28/78

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*


30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*65075 LAL"LANG 1060101 !'()*(+,( !*)),*

65076 LAL"LANG 1060101 !'()*(+,( !*)),*

65077 LAL"LANG 1060101 !'()*(+,( !*)),*

65078 LAL"LANG 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*


29/78

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*


30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*


30/78

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*


30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*


30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*

30272 LI!UKASI 1060101 !'()*(+,( !*)),*


31/78

74032 TANETE 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

74032 TANETE 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30271 TELLUM!ANUA 1060101 !'()*(+,( !*)),*

30273 GARESSI 1060101 !'()*(+,( !*)),*

30273 GARESSI 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*

65074 LAL"LANG 1060101 !'()*(+,( !*)),*65074 LAL"LANG 1060101 !'()*(+,( !*)),*


32/78


33/78

Ema!l NPP

S0a0#

)) )3 )4 )* )+ ), )-

Nomo"Telepo

n

Pe#e"0a

Ja;a0an

Kela#Ra5a0

TMT Ke"


34/78


35/78


36/78


37/78


38/78


39/78


40/78

#"an#! La!nn'

o7 Pol!

). 3 3( 3) 33 34

Ga Tn


41/78


42/78


43/78


44/78


45/78


46/78


47/78

NO NAMA PROVINSI KODE DATI NAMA DATI 2 KODE KECAMATAN

1 SULAESI SELATAN 329 KAB& BARRU 898






7 SULAESI SELATAN 329 KAB& BARRU 40278 SULAESI SELATAN 329 KAB& BARRU 4027











































48/78

























79 SULAESI SELATAN 333 KAB& SIDENRENG RA!!ANG 900




83 SULAESI SELATAN 333 KAB& SIDENRENG RA!!ANG 90084 SULAESI SELATAN 333 KAB& SIDENRENG RA!!ANG 900





















49/78



















































50/78



















































51/78










































255 SULAESI SELATAN 334 KAB& !INRANG 3780









52/78








270 SULAESI SELATAN 334 KAB& !INRANG 4084271 SULAESI SELATAN 334 KAB& !INRANG 4084











































53/78



















































54/78













































417 SULAESI SELATAN 335 KAB& ENREKANG 899





55/78








428 SULAESI SELATAN 335 KAB& ENREKANG 4092429 SULAESI SELATAN 335 KAB& ENREKANG 4092











































56/78



















































57/78



















































58/78

580 SULAESI SELATAN 344 KAB& !ARE !ARE 4173






586 SULAESI SELATAN 344 KAB& !ARE !ARE 4173587 SULAESI SELATAN 344 KAB& !ARE !ARE 4173











598 SULAESI SELATAN 344 KAB& !ARE !ARE 4174599 SULAESI SELATAN 344 KAB& !ARE !ARE 4175











59/78

NAMA KECAMATAN KODE DESA NAMA DESA

CENDANA 16508 MACCIRINNA

TANETE RIA#A 04027 DESA LAINNYA

TANETE RIA#A 19443 L"M!" RIA#A

TANETE RIA#A 30261 HARA!AN

TANETE RIA#A 30263 KADING

TANETE RIA#A 30264 LUBURENG

TANETE RIA#A 30265 MATTIR"ALIETANETE RIA#A 30266 LEM!ANG

TANETE RIA#A 36684 MADELL"

TANETE RIA#A 55655 L"M!" TENGAH

TANETE RIA#A 94200 L"M!" RIA#A

TANETE RILAU 04028 DESA LAINNYA

TANETE RILAU 30267 !ANCANA

TANETE RILAU 30268 LALA BATA

TANETE RILAU 30269 CARAALI

TANETE RILAU 30270 !A"!A"

TANETE RILAU 30271 TELLUM!ANUA

TANETE RILAU 30272 LI!UKASI

TANETE RILAU 30273 GARESSITANETE RILAU 30274 LASITAE

TANETE RILAU 55657 !ADAEL"

TANETE RILAU 65074 LAL"LANG

TANETE RILAU 74032 TANETE

TANETE RILAU 94224 !A"S

TANETE RILAU B4284 LALABATA

BARRU 04029 DESA LAINNYA

BARRU 30275 !ALAKKA

BARRU 30276 T"M!"

BARRU 30277 ANABANUA

BARRU 30278 GALUNG

BARRU 30279 SIAUNGBARRU 36980 SUM!ANG BINANGAE

BARRU 55264 MANGEM!ANG

BARRU 55658 TUUNG

BARRU 74029 BINUANG

BARRU 94190 BATU BESSI

BARRU 94194 C"!!"

BARRU 94195 SE!E E

BARRU B4285 SE!EE

S"!!ENG RIA#A 04030 DESA LAINNYA

S"!!ENG RIA#A 26173 KIRU-KIRU

S"!!ENG RIA#A 30280 LAALLU

S"!!ENG RIA#A 30281 !ACEKKES"!!ENG RIA#A 30282 A##AKKANG

S"!!ENG RIA#A 30283 SID"

S"!!ENG RIA#A 30284 BATU !UTE

S"!!ENG RIA#A 94202 KERU-KERU

S"!!ENG RIA#A 94203 MANGK"S"

S"!!ENG RIA#A B4286 A#AKKANG

S"!!ENG RIA#A B4287 BATU!UTE

S"!!ENG RIA#A B4288 !ACCEKKE

MALLUSETASI 04031 DESA LAINNYA


60/78

MALLUSETASI 30285 CILELLANG

MALLUSETASI 30286 MANUBA

MALLUSETASI 30287 NE!"

MALLUSETASI 30288 KU!A

MALLUSETASI 30289 B"#"

MALLUSETASI 53245 MALLAA

MALLUSETASI 55648 !ALANR"

MALLUSETASI 94196 MALLAAMALLUSETASI 94197 !ALANR"

MALLUSETASI 94205 B"#" BARU

!U#ANANTING 30290 !U#ANANTING

!U#ANANTING 30291 GATTARENG

!U#ANANTING 30292 !ATA!!A

!U#ANANTING 30293 #ANGAN #ANGAN

!U#ANANTING 30294 BUL" BUL"

!U#ANANTING 30295 BACU BACU

!U#ANANTING B4289 BACU-BACU

!U#ANANTING B4290 #ANGAN-#ANGAN

!U#ANANTING B4291 !ATTA!!A

BALUSU 30296 BALUSUBALUSU 30297 LAM!"K"

BALUSU 30298 KAMIRI

BALUSU 30299 MADELL"

BALUSU 30300 BINUANG

BALUSU 55654 TAKKALASI

BALUSU 94198 TAKKALASI

T&SIDENRENG 31997 DAMAI

T&SIDENRENG 50385 KANYUARA

T&SIDENRENG 55667 EM!AGAE

T&SIDENRENG 68035 M"#"NG

T&SIDENRENG 74779 TALUMAET&SIDENRENG B4292 SIDENRENG

!ANCA LAUTANG 04076 DESA LAINNYA

!ANCA LAUTANG 88806 BIL"KKA

!ANCA LAUTANG 88807 ETTEE

!ANCA LAUTANG 88808 LA#"NGA

!ANCA LAUTANG 88809 ANI"

!ANCA LAUTANG 88810 ANI" TIM"RENG

!ANCA LAUTANG 88811 C"RAALI

!ANCA LAUTANG 88812 LISE

!ANCA LAUTANG 88813 BA!ANGI

!ANCA LAUTANG 88814 ALESSALE"

!ANCA LAUTANG 88815 CENRANA!ANCA LAUTANG B4293 ALLESALE"E

TELLULIM!" E 04077 DESA LAINNYA

TELLULIM!" E 88816 AM!ARITA

TELLULIM!" E 88817 MASSE!E

TELLULIM!" E 88818 T"DDANG !ULU

TELLULIM!" E 88819 !A#ALELE

TELLULIM!" E 88820 BAULA

TELLULIM!" E 88821 ARATENG

TELLULIM!" E 88822 TETEA#I


61/78

TELLULIM!" E 88823 !"LEALI

TELLULIM!" E 88824 TE!!"

TELLULIM!" E 94219 TELLU LIM!"E

TELLULIM!" E B4294 T"DANG !ULU

ATANG !ULU 04078 DESA LAINNYA

ATANG !ULU 74655 B"LA E!!AE

ATANG !ULU 74982 DATAE

ATANG !ULU 88825 LAA"IATANG !ULU 88826 ARAA

ATANG !ULU 88827 BANGKAI

ATANG !ULU 88828 ULUALE

ATANG !ULU 88829 BATULA!!A

ATANG !ULU 88830 LAINUNGAN

ATANG !ULU 88831 CARAALI

ATANG !ULU 88832 BUAE

ATANG !ULU 88833 MATTIR"TASI

ATANG !ULU 88834 CIR"-CIR"E

BARANTI 04079 DESA LAINNYA

BARANTI 55664 MANISA

BARANTI 64142 SIMAEBARANTI 88835 BARANTI

BARANTI 88836 DUAM!ANUA

BARANTI 88837 BENTENG

BARANTI 88838 MAMMINASAE

BARANTI 88839 BENTENG UTAMA

BARANTI 88840 !ASSEN"

BARANTI 88841 SI!"DECENG

BARANTI 88842 T"NR"NGE

BARANTI 94182 T"NR"NG RI#ANG

BARANTI 94206 MANISA

BARANTI 94207 !ANRENG

!ANCA RI#ANG 04080 DESA LAINNYA!ANCA RI#ANG 88843 RA!!ANG

!ANCA RI#ANG 88844 LELEBATA

!ANCA RI#ANG 88845 MACC"RAALIE

!ANCA RI#ANG 88846 KADIDI

!ANCA RI#ANG 88847 TIM"RENG !ANUA

!ANCA RI#ANG 88848 BUL" ATTANG

!ANCA RI#ANG 88849 BUL"

!ANCA RI#ANG 94069 CI!" TAKARI

!ANCA RI#ANG B4295 CI!"TAKARI

!ANCA RI#ANG B4296 MAC"RAALIE

MARITENGNGAE 04081 DESA LAINNYA

MARITENGNGAE 26174 A L AMARITENGNGAE 35889 RI#ANG !ITU

MARITENGNGAE 36978 !ANGKA#ENE

MARITENGNGAE 50384 MA##ELLING

MARITENGNGAE 55691 KANIE

MARITENGNGAE 65076 LAKESSI

MARITENGNGAE 74334 ALLAKUANG

MARITENGNGAE 74676 TANETE

MARITENGNGAE 74988 TAKKALASI

MARITENGNGAE 81151 SEREANG


62/78

MARITENGNGAE 81152 KANIE

MARITENGNGAE 81153 ALA

MARITENGNGAE 81154 LAUTANG BENTENG

MARITENGNGAE B4297 MA#ELLING ATANG

MARITENGNGAE B4298 RI#ANG !ITTU

!ITU RIAA 04082 DESA LAINNYA

!ITU RIAA 38060 A#UBISSUE

!ITU RIAA 55663 BULU CENRANA!ITU RIAA 55692 LANCIRANG

!ITU RIAA 74781 BELAAE

!ITU RIAA 94094 LANCIRANG

!ITU RIAA 94095 !"NRANGE

!ITU RIAA 94096 A#UBISSUE

!ITU RIAA 94097 "TTING

!ITU RIAA 94098 BULUCENRANA

!ITU RIAA 94099 BETA"

!ITU RIAA 94100 ANABANNAE

!ITU RIAA 94101 BETA" RIASE

!ITU RIAA 94102 D"NGI

!ITU RIAA 94103 LASIALA!ITU RIAA 94104 SUM!ANG MANG"

!ITU RIAA 94220 KALE!!ANG

!ITU RIAA B9490 ANA BANNA

!ITU RIAA B9491 KALEM!ANG

!ITU RIAA B9492 !"NRANGAE

DUA!ITUE 04083 DESA LAINNYA

DUA!ITUE 26172 TANRU TED"NG

DUA!ITUE 50378 SAL" BUKKANG

DUA!ITUE 55662 KAL"SI

DUA!ITUE 83438 KAM!ALE

DUA!ITUE 94071 TANRU TED"NG

DUA!ITUE 94072 SAL"MALL"RIDUA!ITUE 94073 KAL"SI

DUA!ITUE 94074 !ADANG L"ANG

DUA!ITUE 94075 KAL"SI ALAU

DUA!ITUE 94076 B I L A

DUA!ITUE 94077 !ADANGL"ANG ALAU

DUA!ITUE 94078 SAL"BUKKANG

DUA!ITUE 94079 TACCIM!"

DUA!ITUE 94184 LE!!ANGENG

DUA!ITUE B4299 !ADANGL"ANG

DUA!ITUE B4300 SAL" MALL"RI

DUA!ITUE B4301 TANRUTED"NG

SIDENRENG 94087 EM!AGAESIDENRENG 94088 ATANG SIDENRENG

SIDENRENG 94089 KANYUARA

SIDENRENG 94090 M"#"NG

SIDENRENG 94091 DAMAI

SIDENRENG 94092 TALUMAE

SIDENRENG 94093 AKA-AKAE

SIDENRENG 94183 TALAE

SIDENRENG 94221 BENTENG RIAA

!ITURIASE 74382 BULU CENRANA


63/78

!ITURIASE 94105 BATU

!ITURIASE 94106 C"M!"NG

!ITURIASE 94107 BELAAE

!ITURIASE 94108 B"TT"

!ITURIASE 94109 BILA RIASE

!ITURIASE 94110 B"LA BULU

!ITURIASE 94111 TANAT"R"

!ITURIASE 94112 L"MB"!ITURIASE 94113 LAGADING

!ITURIASE 94114 DENGENG-DENGENG

!ITURIASE 94115 BUNTU ANGING

!ITURIASE 94222 LE!!ANG

KUL" 55668 RI#ANG !ANUA

KUL" 55669 KUL"

KUL" 55670 MADDENRA

KUL" 55672 MARI"

KUL" 55673 ABB"K"NGENG

KUL" 55674 KAM!UNG BARU

KUL" 55675 T"NR"NG RI#ANG

KUL" B4302 ABB"

Form Migrasi 34

Documents