LAMPIRAN : Pengumuman KPU Kabupaten Magetan. Nomor. 444/PP.05.3-PU/3520/KPU-Kab/X/2017

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LAMPIRAN : Pengumuman KPU Kabupaten Magetan

Nomor. 444/PP.05.3-PU/3520/KPU-Kab/X/2017

Tentang Hasil Seleksi Administrasi Calon Anggota Panitia Pemilihan Umum Kecamatan (PPK)

Pemilihan Gubernur dan Wakil Gubernur, Bupati dan Wakil Bupati Magetan Tahun 2018

DAFTAR NAMA CALON ANGGOTA PPK

LOLOS ADMINISTRASI

Kecamatan : SUKOMORO

No NO PENDA FTARA N

NIK Nama Tempat Lahir Tanggal

Lahir

L /

P Usia Alamat No. HP Pekerjaan

Pendidi kan terakhir (sesuai Ijasah terlamp ir) 1 413 3520112803830003 PRIYADI MAGETAN 28/03/1983 L 34 DS. KEMBANGAN RT.03/04 SUKOMORO 085608220946 SWASTA D-2 2 396 3520095309940001 ANIF BINTI SHOLIKHATUN MAGETAN 19/09/1994 P 23 DS. KEMBANGAN T.01/02 SUKOMORO 085736452776 KARYAWAN SWASTA D-3

3 424 3520091309860001 BUDI SANTOSO MAGETAN 13/09/1986 L 31

DS. KENTANGAN RT.03/02 SUKOMORO 085708245101 WIRASWASTA D-1 4 425 3520091005880001 WAHYU BUDIYANTO ARIEYA MAGETAN 10/05/1988 L 29 DS. KENTANGAN RT.05/02 SUKOMORO 085735560049 KARYAWAN SWASTA SMA 5 367 3520095508790001 ROCHANA KUMALASARI SURABAYA 15/08/1979 P 38 DS. POJOKSARI RT.31/01

SUKOORO 085100330344 WIRASWASTA SMU

6 366 3578046806780006 TITIK WAHYUNI MAGETAN 28/06/1978 P 39

DS. PJPKSARI RT.35/04

SUKOMORO 085103034741

IBU RUMAH

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8 017 3520091101690001 SUMADI MAGETAN 11/01/1969 L 48 DS. TAMBAKMAS RT.01/02 082143369110 PNS S-1

9 385 3520096903860001 FARIDA PUSPITASARI SERANG 29/03/1986 P 31

KEDUNGGUWO BARAT RT.01/04 SUKOMORO 083815643388 SWASTA D-3 10 191 3520050912850001 SYAIFUDIN MAGETAN 09/12/1985 L 32 DS. KEDUNGGUWO RT.03/01 SUKOMORO 085645745453 WIRASWASTA S-1 11 393 3520092404850003 MUKHAMAD ALLATHIFI MAGETAN 24/04/1985 L 32 DS. KEDUNGGUWO RT.03/01 SUKOMORO 085645048102 PEGAWAI SWASTA S-1

12 010 3506040609660001 EDY SUGIARTO MAGETAN 06/09/1966 L 51

KEDUNGGUWO RT.02/01

SUKOMORO 082334575226 WIRASWASTA SMA

13 269 3520095308790001 ENY PURWANTI BLITAR 13/08/1979 P 38 TAMANAN RT.01/01 081331385404

IBU RUMAH

TANGGA D-3

14 185 3520091701940002 DIDIT SUWITO MAGETAN 17/01/1994 L 23 KENTANGAN RT.04/01 085859087090 MAHASISWA SMA

15 231 3520096809790003 SRI LESTARI MAGETAN 28/09/1979 P 38 DS. KALANGKETI RT.04.01 081217842661 GURU S-1

16 165 3519076808870003

AGMADA RESTU

DIANA SURAKARTA 18/08/1987 P 30 DS. BOGEM RT.04/01 SUKOMORO 082257869607

IBU RUMAH

TANGGA S-1

17 106 3520094907980001

DEFIRA AUDYA

GEOFANI EDI PUTRI MAGETAN 09/07/1998 P 19 DS. BANDAR RT.01/01 SUKOMORO 081358940805

BELUM

BEKERJA SMA

18 050 3520090301970001 KHOLID RIFAI MAGETAN 03/01/1997 L 20

DS. KEMBANGANRT.04/02

SUKOMORO 082228548240 MAHASISWA

MA/SM A

19 110 3520092609670002 PRATIK PRIHANTO MAGETAN 26/08/1967 L 50

DS. TRUNENG RT.06/02 SUKOMORO 085784722515 PERNGKAT DESA D-3 20 450 3520095508850001 DELTANIA CITRA

FINDY ORYZA PONOROGO 15/08/1985 P 32

DS. TAMANAN RT.04/03

SUKOMORO 081335446938 WIRASWASTA S-1

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22 161 3520096812900003 BINTI MAHMUDAH MAGETAN 28/12/1990 P 27 KEDUNGGUWO RT.03/03 085735985456 GURU S-1

23 160 3520094604860001 ERWIN SULISTIANI MAGETAN 06/04/1986 P 31

KEDUNGGUWO RT.03/03

SUKOMORO 081335922420 GURU S-1

24 353 3520096903750002 SRI MURTINI MAGETAN 29/03/1975 P 42

KEMBANGAN RT.03/06

SUKOMORO 085233996950 SWASTA S-1

25 460 3520091709970002 ANDRI FAHRUDIN MAGETAN 17/09/1997 L 20

DSN. TRUNENG RT.03/01

SUKOMORO 085856441940 MAHASISWA SMK

26 074 3520090610830001

DONI VIRLI

HERIYANTO MAGETAN 06/10/1983 L 34 JL. AYANI RT.01/02 KEL.TINAP 08563576161 SWASTA S-1

27 113 3520092208900001

PANDU AGUNG

NUGROHO MAGETAN 22/081990 L 27 DS. BULU RT.01.01 SUKOMORO 085790732306 SWASTA

MA/SM A

Magetan, 25 Oktober 2017

KETUA KOMISI PEMILIHAN UMUM KABUPATEN MAGETAN

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LOLOS ADMINISTRASI

Kecamatan : SIDOREJO

No NO PENDAF TARAN

Lahir

L /

Pendidikan terakhir (sesuai Ijasah terlampir) 1 171 3520184107970024 YULI

HADIYANTIELISCA PALEMBANG 01/07/1997 P 20 DS. SIDOKERTO RT.04/02 085808954621 HONORER SMK

2 170 3520186205970001

GIYANA ARINTA ARUM

SAPUTRI MAGETAN 22/05/1997 P 20 DS. CAMPURSARI RT.03/03 085704087665 SWASTA SMK

3 169 3520186104960001

FIRESTA IMROATUN

HALIMAH MAGETAN 21/04/1996 P 21 DS.KALANG RT.01/04 085732972147 SWASTA SMA

4 053 3520062702840002 DONI RIYANTO MAGETAN 27/02/1984 L 33

DK KWARIGAN DS.

SIDOREJO RT.01/01 082245805670 DESAINER SMA

5 013 3520182707780002 AHMAD RIDWAN CIMAHI 27/07/1978 L 39 DSN. WATUGARIT RT.15/03 085102873393 SWASTA SMK

6 179 3520184907960001 RISKA YULI NOVIANA MAGETAN 09/07/1996 P 21 DSN. WATUGARIT RT.16/03 081584332609 SWASTA SMK

7 306 3520184803920001 ERVIN ANGGI FERIANA MADIUN 08/03/1992 P 25 DK. KWARIGAN RT.02/01 085733688988 SWASTA S-1

8 021 3520181706850001 SUGENG RIADI MAGETAN 17/06/1985 L 32

DS. SAMBIROBYONG

RT.02/01 085645804064 SWASTA SMA

9 314 3520186601820002 YENI KURNIAWATI MAGETAN 26/01/1982 P 35 DS. DURENAN RT.18/04 085749270026 SWASTA S-1

10 173 3520181806880001

DEDY SETYO

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11 152 3520182106930001 ABDUL AZIZ MAGETAN 21/06/1993 L 24 DSN. KOPEK RT.20/04 085749145212 STAF TU SMA SMA

12 095 3520180403950001

ADIMAS PANJI

ARIADITAMA MADIUN 04/03/1995 L 22 DS. SIDOREJO RT.07/02 085856440648 SWASTA D-1

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LOLOS ADMINISTRASI

Kecamatan :

KARANGREJO

NIK Nama Tempat

Lahir

Tanggal Lahir

L /

Pendidikan terakhir (sesuai Ijasah terlampir) 1 124 352013271184 0001 HARI WIBOWO MAGET AN 27/11/1984 L 33 DS. GONDANG RT.05/02 081226 22828 SWASTA D-1 2 318 520113680394

0002 MUDRIKAH ULFA ZAHROTI

MAGET AN 28/03/1994 P 23 DS.GLODOG RT.03/02 081334 014325 MAHASISWA S-1 3 363 352013170186 0001

YUSTINUS TONY TRI KRISTANTO MAGET AN 17/01/1986 L 31 DS. PATIHAN RT.04/03 081335 774118 PEGAWAI BANK D-4 4 220 352013031188

0003 ARI DWI PRAMINATORO

MAGET AN 03/11/1988 L 29 DS. GEBYOG RT.01/01 085856 390591 GTT S-1 5 003 351507220471 0002 DIDIEK PRIYANTO JOMBA NG 22/04/1971 L 46 DS.PELEM RT.0/01 082131 600751 SWASTA S-1 6 052 352013040681

0001 SIGIT YUNI TRIANDI

MAGET AN 04/06/1981 L 36 DS. SAMBIREMBE RT.03/01 087858 370495 SWASTA SLTA 7 259 352016660384 0002 SUMIATI MAGET AN 26/03/1984 P 33 DS. BALUK RT.02/01 081347 382095 HONORER S-1 8 227 352013090482 0001 ALI MUSTOFA MAGET AN 09/04/1982 L 35 DS. BALUK RT.02/01 085649 851996 SWASTA S-1 9 467 352013420779

0001 ANDRIATINA YUSVA WARDANI

JAKART

A 02/07/1979 P 38 DS. KAUMAN RT.02/01 SWASTA SMU

10 126 352013230285 0001 NANANG SUDIRMANTO MAGET AN 23/02/1985 L 32 KARANGREJO RT.05/01 081234 322585 KARYAWAN SWASTA S-1

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11 119

352013010694

0001 FITRANANDA MULIA RACHMANI MADIUN 01/06/1994 P 23

JL.A.YANI MANISREJO RT.02/03 081234 247727 KARYAWAN SWASTA S-1 12 120 352013420395

0001 RISCA FITRI NURCAHYANI

MAGET AN 02/03/1995 P 22 DS. PELEM RT.01/01 089505 419902 CS S-1 13 358 352013040790

0002 DODIK HENDRO PRASETIYO

MAGET AN 04/07/1990 L 27 DS. GEBYOG RT.02/02 085790 396691 SWASTA S-1 14 133 352013180592 0001 PRIA PURWANDANA MAGET AN 18/05/1992 L 25 DS. KAUMAN RT.01/03 085735 111200 SWASTA S-1 15 076 352013180967

0001 KHOIRI KEDIRI 18/09/1967 L 50 DS. KAUMAN RT.04/01

085856 438368 PERANGKAT DESA SMEA 16 075 352013040166 0001 SURADI MAGET AN 04/01/1966 L 51 DS. GONDANG RT.02/01 081335 764889 SWASTA SMA 17 089 352013420273

0001 FERI FUJI FAJARWATI

MAGET AN 02/021973 P 44 DS. MANTREN RT.05/02 085730 558804 SWASTA S-1 18 096 352034612930

001 ASTRI TIARA DEWI MADIUN 06/12/1993 P 24

JL.TRUNOJOYO MANISREJO RT.03/03 082257 995334 MAHASISWA SMK 19 098 352014033107 80001 HADI MUSTANGIN MAGET AN 03/10/1978 L 39 JL. IMAM BONJOL DS. GEBYOG RT.01/02 081259 812295 SWASTA S-1 20 141 352014460189 0003 EINI MUNAWAROH MAGET AN 06/01/1989 P 29 DS. PRAMPELAN RT.02/03 081357 825990 SWASTA SMA Magetan, 25 Oktober 2017 KETUA KOMISI PEMILIHAN UMUM

KABUPATEN MAGETAN ttd

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LOLOS ADMINISTRASI

Kecamatan : PONCOL

Lahir

L /

Pendidika n terakhir

(sesuai Ijasah terlampir)

1 421 1506131708910005 AGUS WIYONO SENYERANG 17/08/1997 L 25

DK. GALIH RT.01/01 DS.

GONGGANG 0852244949806 SWASTA SMA

2 024 3520012310860001 SYAMSUL WATHONI MAGETAN 23/10/1986 L 31 ALASTUWO RT.18/09 085649152808 SWASTA SLTA

3 212 3520012904850001 ANDIK KURNIAWAN MAGETAN 29/04/1985 L 32 DS. SOMBO RT.02/05 082230209990 HONORER S-1

4 213 3520013005810002 YUDI SURAHMAD MAGETAN 30/05/1981 L 36

DK. KOPEN DS.

GONGGANG 085732821722 SWASTA SMA

5 344 3520010601770002 LOSO MAGETAN 06/01/1977 L 40 DS. GENILANGIT 085785397282 SWASTA D-2

6 218 3520015206850001 SUNARMI MAGETAN 12/06/1985 P 32 DS. PLANGKRONGAN 085649468993 SWASTA SMA

7 041 3520010701910001 NANANG DWI FAHRUDIN MAGETAN 07/01/1991 L 26 KEL. ALASTUWO RT.15/03 082228518352 SWASTA S-1

8 278 3520011905910001 TIAR ANNAS FATHONY MAGETAN 19/05/1991 L 26 DALI RT.18/03 ALASTUWO 085732487777 SWASTA SMA

9 104 3520016804910001 TATIK SUGIARTI MAGETAN 28/04/1991 P 26 DS. PONCOL RT.02/01 085790449933 EX.PNPM S-1

10 225 3520011204880001

DIMAS APRIANGGALIH

NURDONO MAGETAN 12/04/1988 L 29 DS. GONGGANG RT.01/01 085815150967

HONORER

GURU S-1

11 296 3520011111910001 LANGGENG PRIYAMBODO MAGETAN 11/11/1991 L 25 GONDANG LOR RT.12/02 085655837900 SWASTA S-1

12 462 3520011907680001 SARMIN MAGETAN 19/07/1968 L 49 GENILANGIT RT.05/01 081335516800 GURU S-2

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14 159 3520012101910001 MARSAM MAGETAN 21/01/1991 L 26 DS. PONCOL RT.01/01 085724351522 SWASTA SMA

15 073 3520012111870001 SETYO HADI PRABOWO MAGETAN 21/11/1987 L 29 ALASTUWO RT.15/03 085643666910 SWASTA S-1

16 422 3520014805950001 ANA MASRULOH MAGETAN 08/05/1995 P 22 DK. GALIH RT.01/01 081357332087 GURU S-1

17 019 3201371512760001 EDI SUNARTO MAGETAN 12/12/1976 L 41 DS. JANGGAN RT.12/05 085280830467 SWASTA D-3

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LOLOS ADMINISTRASI

Kecamatan : KARTOHARJO

Lahir

L /

Pendidikan terakhir (sesuai Ijasah terlampir)

1 262 3520151008610001 SUKAMTO MAGETAN 10/08/1961 L 56 DS. KLURAHAN RT.09/02 085235957861 PNS S-1

2 336 3520151502780002 AHMAD FARID IKSAN MAGETAN 15/02/1978 L 39 BAYEMTAMAN RT.01/01 081556453637 PETANI S-1

3 335 3520115203870001 WIWIK PURNIAWATI MAGETAN 12/03/1987 P 30 DS. PENCOL RT.08/03` 085607495088 PAUD GURU S-1

4 379 3520156311860002

DHUCUNG DWI

BRAMASTI MAGETAN 23/11/1986 P 31 DS. JAJAR RT.06/02 082228209783 IRT SLTA

5 211 3520150111690001 DARNO MAGETAN 01/11/1969 L 48 DS. KARANGMOJO RT.13/04 085233937787 GTT S-1 6 193 3520155901870002 REDITA YUKE HARTANTI MAGETAN 19/01/1987 P 30 DS. KARANGMOJO RT.14/04 085264957819 HONORER GURU S-1

7 390 3520157101730002 NANIK SETYORINI NGAWI 31/01/1973 P 44 DS. JAJAR RT.01/01 085730971473 PETANI S-1

8 265 3520152711750001

WAHYU BUDI

SANTOSO MAGETAN 27/11/1975 L 42

DS. KARANGMOJO

RT.12/04 082257289899 SWASTA S-1

9 054 3520152301770001 ALIF WIJIANTO MAGETAN 23/01/1977 L 40 DS. KARTOHARJO RT.24/06 081335857802 SWASTA S-1

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11 236 3520156211880001

DWI PUTRI SETYO

UTAMI MAGETAN 22/11/1988 P 29 DS. PENCOL RT.06/03 081946047426 PENDIDIK SMA

12 237 3521180404880003 HERLI SISWANTO NGAWI 04/04/1988 L 29 DS. PENCOL RT.06/03 087788229087 SWASTA SMA

13 224 3520151507880001 NANANG KURNIAWAN MADIUN 15/07/1988 L 29 KARTOHARJO RT.22/06 085649011853 SWASTA D-3

14 158 3520151506910001 SUYONO MAGETAN 15/06/1991 L 26

KLURAHAN KARTOHARJO

RT.05/01 085735869489 SWASTA S-1

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LOLOS ADMINISTRASI

Kecamatan : LEMBEYAN

No NO PENDAFT ARAN

Lahir

L /

Pendidikan terakhir (sesuai Ijasah terlampir) 1 323 352004470193

0002 MUSTIKA WAHYUNGTYAS MAGETAN 07/01/19993 P 24 KEDUNGPANJI RT.05/06

0853316

22093 SWASTA S-1

2 202

352003560699

0001 YESI ARUNA SAPUTRI MAGETAN 16/06/1999 P 18 DS. TAPEN RT.01/05

0813369

47319 MAHASISWA SLTA

3 407

352003681289

0001 AZIZAH DIAN NOVITASARI MAGETAN 28/12/1980 P 28 PUPUS RT.01/12

0822284 47710 SWASTA S-1 4 408 352003070893 0002 AMIRULLAH NURMAHENDRA

GHANISWARA MAGETAN 07/08/1993 L 24 PUPUS RT.01/02

0857399

63995 SWASTA SMA

5 429

352003060895

0001 YUSRON KHOIRI MAGETAN 06/08/1995 L 22 DS. DUKU RT.04/02

0857319

20243 MAHASISWA SLTA

6 419

352003220388

0001 MUSTAFA ARIFIN MAGETAN 22/03/1988 L 25 JATIREJO RT.05/04

0856457

17404 SWASTA S-1

7 420

352002170490

0001 KHOIRUL EKO PRASETYO MAGETAN 17/04/1990 L 27

LINGK SETUGU 2 RT.02/02 0857903 66464 PENDIDIK S-1 8 189 352003480993

0001 SRI PURWANTI MAGETAN 08/09/1993 P 24

DS. LEMBEYAN EWATN RT.02/02 0822576 42693 SWASTA S-1 9 343 352003440990

005 DWI ETY PURNAMA SARI MAGETAN 04/09/1990 P 27 DS. KEDIREN RT.09/01

0878580

20681 SWASTA S-1

10 304

352003061093

0001 ZAHID SAPTO NUGROHO

KEFAMEN ANU 06/10/1993 L 24 SELOMPAK NGURI RT.01/07 0878381 05512 MAHASISWA S-1 11 345 352003220894

0001 SIGIT SUGIARTO MAGETAN 22/08/1994 L 23 DS. NGURI RT.02/10

0857847

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12 015

352003270788

0002 MOH MAHMUDIN MAGETAN 27/07/1988 L 29 KEDUNGPANJI RT.04/04

0856350

7938 SWASTA S-1

13 016

352003511279

0001 ARIK DWI RAHMAWATI MAGETAN 01/12/1979 P 38 PUPUS RT.01/12

0823368

57079 IRT S-1

14 234

352003261188

0002 FERRY KUKUH SUJATMIKO MAGETAN 16/11/1988 L 28 PUPUS RT.01/12

0857355

59777 SWASTA SLTA

15 107

351903231186

0001 MUHAMMAD HASYIM ASY'ARI MADIUN 23/11/1986 L 31

DS. KEDUNGPANJI RT.01/06 0813593 99801 PENDIDIK S-2 16 256 352003311263 0007 MUHADI MAGETAN 31/12/1963 L 53 DS. KEDUNGPANJI RT.04/02 0852350 04496 SWASTA S-1 17 135 352003210193

0001 TEGUH PRASETYA MAGETAN 21/01/1993 L 24

DS. KEDUNGPANJI RT.08/05 0857903 17157 SWASTA SLTA 18 137 357702690489

0001 NUR ZEKIYAH MADIUN 29/04/1989 P 28 DS. NGURI RT03/09

0857367

16824 SWASTA SLTA

19 067

352003450480

0001 ATIK RIDHOWATI MAGETAN 05/04/1980 P 37 LEMBEYAN RT.01/01

0812342

9160 IRT S-1

20 134

352003020993

0001 HASIM KUSYAINI MAGETAN 02/09/1993 L 24 NGURI RT.03/07

0857859 46990 STAF KAMPUS SMA 21 123 352003231076

0001 EDI SUWANTO MAGETAN 23/10/1976 L 41 PUPUS RT.01/12

0813357 83955 PERANGKAT DESA SLTA 22 122 352003070989

0001 SAIFUDIN MAGETAN 07/09/1989 L 28 PUPUS RT.04/12

0852337

11840 SWASTA S-1

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LOLOS ADMINISTRASI

Kecamatan : TAKERAN

Lahir

L / P

Usi

a Alamat No. HP Pekerjaan

Pendidikan terakhir

1 175 3520041208840001 YANI SUKAMTO MAGETAN 12/08/1984 L 33 KEL. TAKERAN RT.10/03

0896308043

31 SWASTA S-1

2 834 3520042806810002 AGUS BUDIONO MAGETAN 28/06/1981 L 36 KUWONHARJO RT.02/01

0857558036

37 SWASTA SLTA

3 174 3316044204850007 LAILY NURHAYATI BLORA 02/04/1985 P 32 DS. MADIGONDO RT.12/04

0858535352

39 SWASTA S-1

4 047 3520042605780002 MOH MUAMAR NASUKHA MAGETAN 26/05/1978 L 39 DS. MADIGONDO RT.15/05

0813350565

11 SWASTA S-1

5 048 3520041109850002 MAHMUD MAGETAN 11/09/1985 L 32 DS. WADUK RT.05/01

0856497886

38 SWASTA D-3

6 294 3520041108860003 ANDRI AGUS SUSANTO MADIUN 11/08/1986 L 31 DS. DUYUNGRT.04/01

0852367275

28 SWASTA D-3

7 186 3520046303870002 RINDA PUSPITANINGTYAS MAGETAN 23/03/1987 P 30 DSN NGAMPEL RT.12/04

0812173371

87 SWASTA S-1

8 277 3520040705860001 ADI KRISTANTO MAGETAN 07/05/1986 P 31 SAWOJAJAR RT.11/01

0856467819

22 GTT S-1

9 194 3520044705940001

WISE MEILA SALE HANSEN

IDA MAGETAN 07/05/1994 P 23 DS. KUWONHARJO RT.09/02

0821753494

56 WIRAUSAHA S-1

10 282 3520040609820002 BUDI SANTOSO MAGETAN 06/09/1982 L 35 DS. KUWONHARJO RT.03/01

0896792558

95 GTT S-1

11 217 3520042103850001 TANTOK DWI PRASETYO MAGETAN 21/03/1985 L 32 DS. KUWONHARJO RT.15/03

0853355995

99 SWASTA S-1

12 303 3520036512910001 AMANDA TIKHA SANTRIATI MAGETAN 25/12/1991 P 25 DS. WADUK RT.10/02

0821433859

89 PENYULUH S-2

13 342 3520041610790001 WAHYU SETIAWAN MADIUN 16/10/1979 L 38 DS. KERANG RT.05/02

0812340747

(16)

14 032 3520044611950001 AMANDA GRACILLIA

BANYUWAN

GI 06/11/1995 P 22 DS. MANGU RT.08/02

0812320225

87 SWASTA SMK

15 187 3520045910930002 GITA KASMITA MAGETAN 19/10/1993 P 24 DS. MADIGONDO RT.11/04

0823014800

90 SWASTA S-1

16 439 3520042403880001 MARIYANTO MAGETAN 24/03/1988 L 29 DS. WADUK RT.07/02 SWASTA SMK

17 364 3520041404870001 HABIB MURTATIK MAGETAN 14/04/1987 L 30 DS. MADIGONDO RT.15/05

0857362129

41 SWASTA S-1

18 327 7110046909920001 DEWINTA ASTUTI SAYANTO LIBERIA 29/09/1992 P 25 DS. JOMBLANG RT.08/03

0822273655

35 IRT D-3

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LOLOS ADMINISTRASI

Kecamatan : MAGETAN

NIK Nama Tempa

t Lahir

L /

1 315 3520066007810002 PUSPITA NUZULUL ROCHMA

MAGE TAN 20/07/1981 P 36 JL. KARYA DHARMA NO.86 0822574 43224 SWASTA D-3 2 398 3520060311890002 IAN KURIMA MAGE TAN 03/11/1989 L 28 RINGINAGUNG RT.04/04 0813301 61030 SWASTA SMA 3 316 3520065509910002 ANGGITAN PUTRI MAGE TAN 15/09/1991 P 26 JL. JERUK TAMBAKREJO RT.05/02 0896662 28224 GURU S-1

4 209 3520061608890003 ROCHMAN CATUR CAHYONO

MAGE

TAN 16/08/1989 L 28 JL. SRIKANDI NO.25

0857368

88923 GURU S-1

5 434 3520160205880003 EKO WAHYU SETIAWAN

MAGE

TAN 02/05/1988 L 29 JL. BILITON NO.19

0857844

84543 SWASTA S-1

6 328 3520061411710002 ARIS WIDODO

MAGE

TAN 14/11/1971 L 46 JL. KRESNO NO. 12

0857081 25928 SWASTA SMA 7 329 3520063009660002 HERI PUJIANTORO LOMB OK TIMUR 30/09/1966 L 51 JL. KALIMANTAN NO.6B 0857491 36455 SWASTA S-1

8 395 3520061611950003 AFAN ANA TINRAGA

MAGE TAN 16/11/1995 L 21 JL. BILITON 0857843 45172 SWASTA S-1 9 330 3520062308470001 BAKRUM MAGE

TAN 23/08/1947 L 70 JL. BROMO PENSIUNAN SLTA

10 374 3520061912930001 SANDY ARETA MAULANA

MAGE

TAN 19/12/1993 L 23 JL.P.SUDIRMAN

0896906

(18)

11 435 3313102901910002 DWI HANDOKO MAGE TAN 29/09/1991 L 26 JL.KALIMANTAN O.27 RT.03/01 0856490 05482 SWASTA S-1 12 409 3520062109930001 MOCHAMAMAD FACHRIL BACHTIAR MAGE TAN 21/09/1993 L 24 JL. IMAM BONJOL NO.8E 0812351 66453 SWASTA D-3 13 331 3520062006980001 KEVIN AFINANDA MAGE TAN 20/06/1998 L 19 JL. PURUBAYA II BLOK H NO.10 0888034 33833 SWASTA SLTA 14 206 3520073101900002 RIANGGA ANDRIAWAN MAGE TAN 31/01/1990 L 27 JL. DIPONEGORO RT.01/03 0858162 01083 SWASTA S-1

15 207 3520060204910001 WAHYU EKA BUDIANTO

MAGE

TAN 02/04/1991 L 26 JL. KELUD RT.07/01

0856490

00577 SWASTA S-1

16 381 3520066605940001 MELLASARI TIARA GUSTIYAN

MAGE

TAN 26/05/1994 P 23 JL. PATIMURA NO.49

0813346

34926 SWASTA S-1

17 401 3520061603970001 TONI ARIGA SAPUTRA

MAGE TAN 16/04/1997 L 20 JL. KIHAJAR DEWANTORO 0822300 08651 SWASTA SLTA

18 028 3520066302830001 ENDAH DWI ERNAWATI

MAGE TAN 23/02/1983 P 34 JL. KELUD RT.02/01 '0838456 53590 SWASTA D-3 19 340 3520064907890002 TANTRI PANGESTUTI BANJA RBAR U 09/07/1989 P 28 JL. BILITON NO.12 0856453 50208 SWASTA SMA

20 414 3520065903920002 NURUL HIDAYAH MUTTAQIN

MAGE TAN 19/03/1992 P 25 DS. RINGINAGUNG RT.01/01 0857306 15895 GURU S-1

21 386 3520060904880001 CAHYA HIRAWAN SETIANTO

MALAN G 09/04/1988 L 29 JL. MAWAR NO.28 0812304 79834 SWASTA S-1 22 391 3520062708870001 BAMBANG IRAWAN KANDA NGAN 27/08/1987 L 30 KPR ASABRI I NO.227 RT.06/05 0858954 92134 SWASTA S-1

23 264 352006580870004 YAYUK ENDANG SUGIHARTI

MAGE TAN 18/08/1970 P 47 DS. PURWOSARI RT.03/01 0813356 38657 SWASTA SLTA

24 268 3520064706780001 VERRINA SUKMA YUNITA

MAGE TAN 07/06/1978 P 39 JL. DR. SUTOMO NO.62 0853350 88665 DAO PUSKESMAS S-1 25 099 3520060702690002 SUTAYA MAGE TAN 07/02/1969 L 48 DS. BARON 0813323 33100 SWASTA SLTA

(19)

26 183 3520066811810003 RENY MUGI RAHAYU TAN 18/11/1981 P 36 NO.115 73943 SWASTA S-1 27 295 3520081911950002 MEGANTIAWAN GALANG PERSADA MAGE TAN 19/11/1995 L 21 DS. BARON RT.07/01 0812910 96768 SWASTA SMA

28 291 3520065106920001 RIFANNY ADHA DWI PUTRY

MADIU N 11/06/1992 P 25 KPR TAWANGANOM BLOK D NO.13 0821324 50051 SWASTA S-1 29 230 3520064810800001 TITIN HERLINAWATI PONO ROGO 08/10/1980 P 37 JL. SAMODRA 0815564 54466 SWASTA S-1 30 105 3175054609840005 NINIK ROHANI GUNU NG KIDUL 06/09/1984 P 33 DS. PURWOSARI RT.07/02 0823302 28699 IRT SLTA

31 051 3520066711840003 NOVITA PANCA ANDRIYANI

MADIU N 27/11/1984 P 33 DS. BARON 0813350 04849 PERANGKAT DESA SLTA 32 166 352006220580001 HENDRIX SUMARNO BAND

UNG 22/05/1980 L 37 JL. AHMAD YANI NO.93

0856365

1899 SWASTA SMU

33 446 3520063008830001 BAYU AGUNG PRASETIYA

MAGE TAN 30/08/1983 L 33 JL. MAWAR RT.02.02 0813187 58925 GURU S-1 34 254 3520061602750001 ARI WICAKSONO MAGE TAN 16/02/1975 L 42 JL. SENO 202B 0812332 45424 SWASTA S-1

35 109 3520060801580001 WAHYU EDY PRIONO

MAGE TAN 08/01/1958 L 59 JL. KIHAJAR DEWANTORO 0815561 4559 PENSIUNAN S-1 36 350 3520181811870001 DENI SUPRIANTO MAGE TAN 18/11/1987 L 29 JL. SADEWO 0857351 80358 SWASTA S-1

37 284 3520065301920002 MARTINA SRI CAHYANI

MAGE TAN 13/01/1992 P 26 TAMBAKREJO 0822327 61654 IRT S-1 38 283 3520065111760003 PUJIATI MAGE TAN 11/11/1976 P 40 JL. SARI DS. PURWOSARI 0858565 57933 SWASTA SMA 39 257 3520061111770003 DEDDY SETIAWAN MAGE TAN 11/11/1977 L 40 JL. SAMODRA 0857366 21138 SWASTA D-3

40 138 3520063006720001 HARJA TEDJA LAKSONO KEDIRI 30/06/1972 L 45

TAWANGANOM RT.09/06

0813590

95754 SWASTA S-1

41 226 3520064309870001 DIYAH SANTI MUHARRAHMA

MAGE TAN 03/09/1987 P 30 DS. RINGINAGUNG RT.04/04 0813301 60979 IRT D-3

(20)

42 139 3520065906810001 ENDANG PUJI PURWANI MAGE TAN 19/06/1981 P 36 KEL. TAWANGANOM RT.05/04 0821121 44459 BPS SLTA

43 154 3520062809930001 AMIRUDIN NUR MUHAMAD

SURAB

AYA 28/09/1993 L 24 JL. MANGGIS 1/99

0857353

08096 SWASTA MA

44 155 3520082706910002 DINAR WIRA SATRIYO

MAGE TAN 27/06/1991 L 26 KPR BUKIT SELOSARI PERMAI 0858542 61727 SWASTA SMA 45 247 3520061808760004 SETYO BUDIANTO MADIU N 18/08/1976 L 41 JL. KARYA DHARMA NO.89 0821398 42875 SWASTA S-1 46 466 3520060208670001 SUMARNO SUKO HARJO 02/08/1967 L 50 JL. YUDHISTIRO RT.02/01 0812340 76047 SWASTA SMA 47 071 3520064504820001 DIYAH SUSILOWATI MAGE TAN 05/04/1982 P 35 JL DR. SUTOMO 119 0813356 05400 GURU S-1 48 131 3520061906850001 ARFIAN HERLIYANTO MAGE TAN 19/06/1985 L 32 JL. MANGGIS RT01/02 0813344 56688 SWASTA SMA 49 132 3520061003860001 SAWUNG RANSETA MAGE

TAN 10/03/1986 L 31 JL. MANGGIS NO.24

0813575

40191 SWASTA SMA

50 097 3520063010750004 MAKHMUD BUDI SYAMHUDA

MAGE TAN 30/10/1975 L 42 JL. RAYA PANEKAN RT.01/08 0812592 2838 SWASTA D-3 Magetan, 25 Oktober 2017

ttd

(21)

LOLOS ADMINISTRASI

Kecamatan : PANEKAN

Lahir

L / P

Usi

a Alamat No. HP Pekerjaan

Pendidika n terakhir (sesuai Ijasah terlampir) 1 453 3520084909850002 WIDIYANI NURUL

ISLAMIHATI MAGETAN 09/09/1985 P 32 DSN. NGLEMI RT.03/05

0812316644

66 GURU S-1

2 438 3520081509840001 MUH RIFAI MAGETAN 15/09/1984 L 33 DS. TURI RT.04/01

0857310033

99 KARYAWAN S-1

3 362 3520087101870001 ISTIQOMAH MAGETAN 31/01/1987 P 30 DS. TURI RT.04/01

0857301636

47 KARYAWAN S-1

4 203 3520081910910002

HANDITIA

PRASETIAWAN MAGETAN 19/10/1991 L 26 DS. WATES RT.03/02

0857366262

16 GURU S-1

5 200 3520080910750001 ANWAR FATHONI MAGETAN 09/10/1975 L 42 DS. TERUNG RT. 04/02

0812326284

42 SWASTA S-1

6 026 3520086303660001 MARYANI YOGYAKARTA 23/06/1966 P 51 TANJUNGSARI RT.03/02

0812162834

40 PKK D-3

7 387 3520082804910001 ADHITIA IHSAN KUSUMA WAMENA 28/04/1991 L 26 KPR TAMAN ASRI RT.0704

0896497374

88 SWASTA SLTA

8 006 3520082108670002 SUWONO MAGETAN 21/08/1967 L 50 DS. MILANGASRI RT.05.02

0852200643

67 SWASTA SLTA

9 001 3520086307950005

WINDA KARINA

HANRIZKIA BIAK 23/07/1995 P 22 KPR TAMANASRI RT.05/04

0813301436

44 SWASTA D-3

10 197 3520082504970001 ILHAM WAHYU RESPATI MAGETAN 25/04/1997 L 20 KPR TAMAN ASRI RT.02/04

0857859972

(22)

11 182 3520080301820001 HARIYANTO MAGETAN 03/01/1982 L 35 DS. TERUNG RT.05.01

0857366222

69 SWASTA S-1

12 184 3520082601690001 ROQIB ISWAHYUDI MAGETAN 26/01/1969 L 48 DS. TURI RT.01/01

0813307566

69 SWASTA MA

13 042 3301224809880001 YUKA LATHIFA DINAR MAGETAN 08/09/1988 P 29 MILANGASRI RT.09/02

0857262719

25 SWASTA S-1

14 258 3520082410670001 SUNARNO MAGETAN 24/10/1967 L 50 MILANGASRI RT.098/01

0857363574

52 PEDAGANG D-3

15 249 35200800902760002 SUPRIYANTO MAGETAN 09/02/1976 L 41 DS. TURI RT.10/05

0858590097

77 HONORER SLTA

16 299 3506082401830002

AHMAD

TAUFIQURROHMAN KEDIRI 24/01/1983 L 34 DS. TURI RT.02/01

0857357442

52 SWASTA S-1

17 239 3520086003960002

LUTHFI LU'LUATUL

MAGHFIROH MAGETAN 20/03/1996 P 21 DS. MANJUNG RT.02/02

0812526181

31 SWASTA SMA

18 055 3520081306870005

DANANG AGUS

PRASETYO MAGETAN 13/06/1987 L 30 DS. BANJAREJO RT.12/05

0856556449

43 GURU S-1

19 228 3521041309910001 FERRY KURNIAWAN NGAWI 12/09/1991 L 26 NGILIRAN RT.03/01

0856009990

13 SWASTA S-1

20 080 3520085010730001 ROHMA SAFITRI MAGETAN 10/10/1973 P 44 KEL. PANEKAN RT.07/01

0857368037

18 SWASTA D-3

21 079 3521042403870001

MUHAMMAD AGUS

CHOIRI NGAWI 24/031987 L 30 DS. BANJAREJO RT. 10/04

0858542662

95 SWASTA S-1

22 068 3520080301920002

JETTA PUTRA ARDHI

WINATA MAGETAN 03/01/1992 L 25 MILANGASRI RT.01/03

0821342651

42 SWASTA S-1

23 465 3520080203940002

MUHAMMAD IRVAN

SOLIKHIN MAGETAN 03/02/1994 L 23 DS. TURI RT.02/01

0812354547

92 SWASTA S-1

24 145 3521091410830002

MOKHSON SHOLEH

EFENDY MAGETAN 14/10/1983 L 34 DS. MILANGASRI RT.01/03

0822571924

59 PNS S-1

25 144 3520084909810002 NUNUK PUJIASTUTI MAGETAN 09/09/1981 P 36 DS. MILANGASRI RT.02/01

0812336975

(23)

26 287 3520081903960002 HARRY SUSANTO JAKARTA 19/03/1996 L 21 KPR TAMAN ASRI RT.01/04 30 SWASTA SMK

27 286 3520081806840001 TOTOK WARDOYO MAGETAN 18/06/1984 L 33 DS. CEPOKO RT.01/01

0857841968

40 SWASTA S-1

ttd

(24)

DAFTAR NAMA CALON ANGGOTA PPK

LOLOS ADMINISTRASI

Kecamatan : PARANG

No NO PENDAFTAR AN

Lahir

L /

1 084 3520022703710001 KUNCORO MAGETAN 27/03/1971 L 46 NGLOPANG RT.05/03 082332277342 SWASTA S-1

2 081 3520025812850004 SUPINIATI MAGETAN 18/12/1985 P 31 DS. NGAGLIK RT.03/01 085649506309 SWASTA S-1

3 078 3520021005950005 AJI CHOIRUL AMIN SAMARINDA 10/05/1995 L 22 DS. KRAJAN RT.01/01 082244053386 SWASTA SMK

4 077 3520025611790003 SHOFI MUTIARASARI MAGETAN 16/11/1979 P 36 DS. KRAJAN RT.17/05 082234055211 SWASTA SLTA

5 072 3520026505850001 RINA TRI WAHYUNI MAGETAN 25/05/1985 P 31 DS. BUNGKUK RT.07/03 087858235906 GURU S-1

6 359 3520022204860001 SONNI YUDIASTOWO MAGETAN 22/04/1986 L 30 DS. JOKETRO RT.01/01 085731036922 SWASTA SMA

7 117 3520021708930004 AGUS SALIM MAGETAN 17/08/1993 L 24 DS. TAMANARUM RT.01.04 085736627768 SWASTA S-1

8 125 3520022711860002 MUHAMMAD SAFII MAGETAN 27/11/1987 L 31 DS. TAMANARUM RT.10/04 085646245404 SWASTA S-1

9 146 3520022709880002 AGUNG SETIYANA MAGETAN 27/09/1988 L 29 DS. NGLOPANG RT.03/02 081333967607 SWASTA SLTA

(25)

12 451 3520024806910001 INA AZRIYA YUPITA MAGETAN 08/06/1991 P 26 DS. SAYUTAN RT.24/08 082143132954 SWASTA S-1

13 452 3520021808940001

MAHMUD ADIK

ROBILLAL MAGETAN 18/08/1994 L 23 DS. MATEGAL RT.01/01 081252654145 SWASTA S-1

14 352 3520022803700001 SURATNO MAGETAN 28/03/1970 L 47 DS. NGUNUT RT.03.02 085334749944 SWASTA SMA

15 448 3520021006790001 ASRUR ROJI MAGETAN 10/06/1979 L 38 DS. SAYUTAN RT.20/07 081234401787 SWASTA S-1

16 150 3520022011840003 AGUS SUCAHYO MAGETAN 20/11/1984 L 33 KEL. WADUNG RT.07/03 085655619628 GTT S-1

17 298 3520026006810006 SUKARTINI MAGETAN 20/06/1981 P 36 DS. MATEGAL RT.05/03 081331805334 SWASTA S-1

18 281 3520025911900001 DWI PURWANTI MAGETAN 19/11/1990 P 27 DS. MATEGAL RT.03/02 085708691518 GURU S-1

19 103 3520025302790002 INDAH SETYANINGSIH MAGETAN 13/02/1979 P 38 DS. TROSONO RT.05/03 081359961702 GURU S-1

20 288 3520020805890001 GALYH WASITO ADI MAGETAN 08/05/1989 L 28 DS. JOKETRO RT.03/01 085648480407 STAF TU SMK S-1

21 039 3520022606890003 DEDI TANTOMO KAPUAS 26/06/1989 L 28 DS. NGLOPANG RT.14/07 083845311774 SWASTA SLTA

22 007 3520020903880001 AANG ISA ALMASIH MAGETAN 09/03/1988 L 29 DS. PARANG RT.10/04 082250724235 GURU S-1

23 216 3520020703800002 ARIS SETIAWAN SEMARANG 07/03/1980 L 37 DS. NGAGLIK RT.RT.02/01 081335579929 SWASTA SLTA

24 215 3520020808790001 AGUS FATONI MAGETAN 08/08/1979 L 38 KEL. PARANG RT.09/03 085746042109 SWASTA S-1

(26)

26 033 3520024312870001 MARISA KRISTIANI MAGETAN 03/12/1987 P 30 DS. KRAJAN RT.08/02 08113040935 SWASTA S-1

27 389 3520022612900001

ACHMAD HENDRO

PRATAMA MAGETAN 26/12/1990 L 27 LINGK. NGEPEH RT.20/07 081336303881 SWASTA S-1

28 208 3520022801650002 SUWARNO MAGETAN 28/01/1965 L 53 DS. JOKETRO RT.09/03 081359059001 SWASTA SMEA

29 365 3520025305830001 LINDA BUDIYANTINI MAGETAN 13/05/1983 P 34 DS. TAMANARUM RT.01/01 08563680896 SWASTA S-1

ttd

(27)

LOLOS ADMINISTRASI

Kecamatan : BENDO

Lahir Tanggal Lahir L /

1 30 3520106308930001 RONNA VINDY ROSSHITA Magetan 27/08/1993 L 24 Ds. Pingkuk RT.01/RW.01 085730851224 Mahasiswa S1

2 31 6402022308880001 RENDRA KURNIAWAN Tenggarong 23/08/1988 L 29 Ds. Pingkuk RT.26/RW.06 082139367567 Wiraswasta SMA

3 9 3520102510690001 SUNARDI Magetan 25/10/1969 L 48 Ds. Tanjung RT.27/RW.07 082140219829 Tani SLTA

4 37 3520104704850002 DEWI PUSPITASARI Jember 07/04/1985 P 32 Ds. Belotan RT.10/RW.04 081219644777 Swasta S1

5 35 3520105321850001 ENDANG SRI WAHYUNI Magetan 13/12/1985 P 31 Ds. Bendo RT.19/RW.08 085749152002 Wiraswasta SMA

6 34 3520054512850001 RIRIN MARIYANI Magetan 05/12/1985 P 31 Ds. Belotan RT.49/RW.17 082245781485 Swasta SMA

7 61 3520104206830001 ERNITA CAHYORINI Magetan 02/06/1983 P 34 Ds. Pingkuk RT.01/RW.01 082257076020 Swasta S1

8 45 3520101004880001 NIESZAR OKKY KAMARGA Magetan 10/04/1988 L 29

Ds. Lemahbang

RT.04/RW.02 085645840791 Swasta SMA

9 102 3520102601940001 ADI PRIYO UTOMO Madiun 26/01/1994 L 23

Ds. Tegalarum

RT.10/RW.02 08563634701 Swasta S1

10 221 3520101504910002

RAHMAT AGUNG

SAPUTRA Magetan 15/04/1991 L 26 Ds. Carikan RT.08/RW.03 085649175207

Guru

(28)

11 111 6310046607900004

EMILIA TRI YULIANTI

SUHARTO Cimahi 26/07/1990 P 21 Ds. Bendo RT.21/RW.09 085222155554 Swasta SMA

12 167 3520105909860001 YHENI DWI LESTARI Magetan 19/09/1986 P 31

Ds. Bulugledeg

RT.03/RW.01 085235386797

Kary.

Honorer S1

13 240 3520106512780002 NANIK YASIROH Jombang 25/12/1978 P 38

Ds. Kledokan

RT.11/RW.09 082233979677 Guru S1

14 222 3215262612920002

DEWANGGA ARIK

SUSANTO Magetan 26/12/1992 L 24 Ds. Carikan RT.13/RW.04 081554592223

Guru

Honorer S1

15 266 3520102809900001 TRIYONO Magetan 28/09/1990 L 27 Ds. Pingkuk RT.09/RW.02 085749188977 Mahasiswa S1

16 270 3520100308870003 ARIS DWI KRISTIANTO Magetan 03/08/1987 L 30 Ds. Dukuh RT.14/RW.02 085733322208 Wiraswasta SMA

17 280 3520100405910002 INDRA SETYO NUGROHO Magetan 04/05/1991 L 26 Ds. Pingkuk RT.17/RW.04 081231781791

Guru

Honorer S1

18 285 3520100709820001 ANDIK MAKRUF Magetan 07/09/1982 L 35

Ds. Bulugledeg

RT.08/RT.03 085108284443 Wiraswasta S1

19 319 3520101210790001 EDI PURYANTO Magetan 12/10/1979 L 38

Ds. Lemahbang

RT.02/RW.01 081259961919

Perangkat

Desa SMA

20 357 3520106202920001 YUNI RIDANING WAHYU Magetan 22/02/1992 P 25 Ds. Pingkuk RT.11/RW.01 085749083935 Swasta D IV

21 292 3520102409890001 ARI BUDI UTOMO Magetan 24/09/1989 L 28

Ds. Tegalarum

RT.10/RW.02 082231157598 Swasta SMK

22 372 3520101706720001 SUTASLIN Magetan 17/06/1972 L 45 Ds. Belotan RT.03/RW.01 085233951332 Swasta SMA

23 377 3520102307950002 WAHID HASYIM SUYATNO Magetan 23/07/1995 L 22

Ds. Bulugledeg

RT.02/RW.01 085732371258 Swasta S1

24 383 3520102108790001 HADI CHRISTIANTO Magetan 21/08/1979 L 38 Ds. Setren RT.023/RW.08 085655601834 Wiraswasta SMA

25 397 3520102405950001 MEI NOVAISA ALMAFUT Magetan 24/05/1995 L 22 Ds. Belotan RT.22/RW.09 081249397195

Perangkat

(29)

26 400 3520106912750005 SULASTRI Magetan 29/12/1975 P 41 RT.16/RW.03 085608913773 Swasta SMA

27 404 3520106905960001 PUJI ASTUTIK Magetan 29/05/1996 P 21 Ds. Soco RT.06/RW.02 085895170768 Mahasiswi SMA

28 444 3520101312730001 RUSWANTO Ngawi 13/12/1973 L 44 Ds. Belotan Rt.26/RW.10 081217537043 Honorer D III

29 454 3520102403710002 FAHRUDIN Wonogiri 29/03/1971 L 46

Ds. Kledokan

RT.05/RW.02 081556526878 Swasta S1

ttd

(30)

DAFTAR NAMA CALON ANGGOTA PPK

LOLOS ADMINISTRASI

Kecamatan : NGUNTORONADI

No NO PENDAFTA RAN

1 136 3520175307830001 ANIF SRIWATI Tuban 13/07/1983 P 34

Ds. Petungrejo

RT.06/RW.03 085234662133 Swasta SMA

2 36 3520171404680001 SARMIN Magetan 14/04/1968 L 49

Ds. Gorang-gareng

RT.06/RW.02 08125900686 Swasta SMA

3 38 3520174609800003 RIRIN HARIYATI Magetan 06/09/1980 P 37

Ds. Simbatan Wetan

RT.04/RW.01 085607985289 Swasta SMA

4 164 3520170703760001 DODY YUDIANTO Magetan 07/03/1976 L 41

Ds. Gorang Gareng

RT.07/RW.02 08123436707 Swasta S1

5 168 3520175412890002 FITRIA ASTUTI Magetan 14/12/1989 P 27

Ds. Petungrejo

RT.06/RW.03 085746125504 Swasta S1

6 180 3520174506930001 RISMA NUGRAHENI Magetan 05/06/1993 P 24

Ds. Gorang Gareng

RT.01/RW.01 085655490505 Swasta S1

7 241 3520176405870001 RIRIN PUJIANINGSIH Magetan 24/05/1987 P 30 Ds. Purworejo RT.01/RW.01 085645807306

Guru Honorer S1 8 245 3520171901660001 PURWOKO Magetan 19/01/1966 L 51 Ds. Nguntoronadi RT.21/RW.03 085101846851 Swasta S1 9 267 3520100903900003

HEGAR IKA BAGUS

SANTOSO Magetan 09/03/1990 L 27 Ds. Purworejo RT.09/RW.03 082140965177 Swasta SMA

10 302 3520174210940001 EVI WAHYU KURNIAWATI Magetan 02/10/1994 P 23

Ds. Petungrejo

RT.05/RW.03 085735452576 Swasta S1

11 307 3520175307910001 CICIK SETIYOWATI Magetan 13/07/1991 P 26

Ds. Nguntoronadi

RT.21/RW.03 081335459993 Swasta S1

12 308 3520052210910001 LADZY FAJARYANTO Magetan 22/10/1991 L 26

Ds. Nguntoronadi

RT.21/RW.03 085708013135 Swasta S1

(31)

15 355 3520176601870001 FARIDA EMA UTAMI Magetan 26/01/1987 P 30

Ds. Kenongomulyo

RT.07/RW.02 085230538376 Swasta S1

16 368 3520174912950001 TRI WULANDARI Magetan 09/12/1995 P 21

Ds. Nguntoronadi

RT.22/RW.03 085790400085 Swasta SMA

17 370 3520175509750001 ANIK SURYANI Magetan 15/09/1975 P 42 Ds. Purworejo RT.02/RW.01 08563144209 Swasta S1

18 441 3212081206870005 AMIRULLAH Indramayu 12/06/1987 L 30

Ds. Nguntoronadi

RT.14/RW.02 081334012813 Swasta S1

ttd

(32)

DAFTAR NAMA CALON ANGGOTA PPK

LOLOS ADMINISTRASI

Kecamatan : BARAT

1 121 3520120811830001 ERWIN PUJI RAHMAN Madiun 08/11/1983 L 33 Ds. Mangge Rt.07/RW.03 081946075859 Swasta SLTA

2 471 3520126109910001 KHOIRUNNISYAK IFADHA Magetan 21/09/1991 P 26 Ds. Panggung RT.09/RW,02 085736402582 Swasta SMA

3 470 3520123006870001 MUKHLIS HERWIN MUALIF Magetan 30/06/1987 L 30 Ds. Panggung RT.09/RW.02 085781289025 Swasta SMA

4 127 3520122904800001 EMZEM ARYO WIBOWO Magetan 29/04/1980 L 37 Ds. Mangge RT.09/RW.03 081234048918 Swasta SLTA

5 66 3520124302920001 MONICA FEBRYTIA PUSPA Magetan 03/02/1992 P 25 Ds. Panggung RT.09/RW.02 085895517928 Swasta DIII

6 246 3503101712700002 NANANG WAHYONO Magetan 17/12/1970 L 46 Ds. Panggung RT.04/RW.01 085735901781 Swasta S1

7 238 3520120301740001 AMIN RAHMAT Mojokerto 03/01/1974 L 43 Ds. Mangge RT.10/RW.03 081235591001 Swasta S1

8 279 3520122010890002 BAGAS MUKTI NASROWI Madiun 02/10/1989 L 28 Ds. Panggung RT.13/RW.03 085645775062 Dosen S1

9 198 3520121309630001 DIDIK SUNARTO Magetan 13/09/1963 L 54 Kel. Tebon RT.06/RW.03 085785113930 Swasta SMA

(33)

11 322 3520121304930001 KUSUMA Magetan 13/04/1993 L 24 Kel. Mangge RT.06/RW.02 085736629276 Swasta SMA

12 415 3520151610800001 EKO SARDJONO Magetan 16/10/1980 L 37 Ds. Klagen RT.03/RW.01 085649109041

Kary.

Honorer S1

13 436 3520120109940003 ALIF WIJAYA Magetan 01/09/1994 L 23 Kel. Tebon RT.08/RW.03 085749042796 Swasta DIII

14 410 3404133012760002 AFFAN ROSIDI SEJATI Magetan 30/12/1976 L 40 Kel. Tebon RT.02/RW.01 081328427066 Swasta DIII

15 375 3520121901610002 MARMANTO HARIMULYO Madiun 19/01/1961 L 56 Ds. Purwodadi RT.03/RW.01 081556470379 Swasta SMA

16 412 3520124709950001 SEPTY WAHYUNINGTYAS Magetan 26/10/1995 P 21 Ds. Bogorejo RT.10/RW.02 08993517301 Mahasiswa SMA

17 320 3520121102880001 RANDI ARIEF NUGROHO Magetan 11/02/1988 L 29 Ds. Mangge RT.09/RW.03 082231211664 Swasta SMA

18 380 3520125605840004 TIA ANDRIANI Magetan 16/05/1984 P 33 Ds. Manjung RT.10/RW.03 085655762636 Swasta SMU

19 205 3520120906570001

HERNAWAN MOCHAMAD

ZAIN Magetan 09/06/1957 L 60 Kel. Mangge RT.10/RW.03 085232894174 Pensiunan SMA

20 382 3520125411960001 NOVI AINUR RAHMAN Magetan 14/11/1996 P 20 Ds. Blaran Rt.06/RW.01 085735991358 Mahasiswa SMK

21 188 3520120609830002 ZIA ADI CHANDRA Magetan 06/09/1983 L 34 Kel. Mangge RT.09/RW.03 081296121902 Swasta SMU

22 388 3520121604910001 FITRI MASHUDI Magetan 16/04/1991 L 26 Kel. Tebon RT.05/RW.02 085259707987 Mahasiswa S1

23 62 3316090401750002 TITUS ARI OETOMO Magetan 04/01/1975 L 42 Kel. Tebon RT.07/RW.03 082325341771 Wiraswasta SMA

24 263 3520121307740002 SUNARTO Magetan 13/07/1974 L 43 Ds. Ngunpul RT.08/RW.02 081332920936 Wiraswasta Paket C

(34)

26 70 3520121202560001 AMBIYO Magetan 12/02/1956 L 61 Ds. Manjung RT.05/RW.02 087858150386 Pens. Guru S2

ttd

(35)

LOLOS ADMINISTRASI

Kecamatan : KAWEDANAN

1 22 3520050105860004 GALIH KARTIKA DEWAJI Magetan 01/05/1986 L 31 Ds. Tulung RT.02/RW.01 08817145038

Kary.

Swasta SMA

2 326 3520054109950001 DHANY SUKMAWATI Magetan 01/09/1995 P 22

Ds. Genengan

RT.05/RW.02 08994635099 Mahasiswa DIII

3 325 3520056502870001 ASRI WULANSARI Magetan 25/02/1987 P 30

Ds. Jambangan

RT.08/RW.02 081334005424

Kary.

Swasta DIII

4 313 3520051406730001 GATOT MULYONO Magetan 14/06/1973 L 44 Ds. Rejosari Rt.02/RW.01 085230340009

Kary.

PDAM SMEA

5 432 3520055808870002 ANI PURWANINGSIH Magetan 18/08/1987 P 30 Ds. Tulung RT.05/RW.01 085736624739 Swasta S1

6 378 3520056008860001 TITIN ANGGRAINI Magetan 20/08/1986 P 31 Ds. Sampung RT.04/RW.01 081253616704

Wiraswast

a S1

7 376 3520056404820001 HAPPY CATUR WULANDARI Magetan 24/04/1982 P 35 Ds. Sampung RT.03/RW.02 081359000101

Wiraswast

a DII PGSD

8 440 3519080404790006 ANITO Madiun 04/04/1979 L 38 Ds. Pojok RT.07/RW.02 085707450352

Guru

Swasta SMU

9 417 3520056404960002 TRI NUROHMAH Magetan 24/04/1996 P 21

Ds. Mangunrejo

RT.17/RW.05 085732402134 Mahasiswa SMA

10 402 3520050408830001 AGUS TRIMONO Madiun 04/08/1983 L 34 Ds. Rejosari Rt.02/RW.01 082245071007

Wiraswast

(36)

11 27 3520053107560002 PARMAN Magetan 31/07/1956 L 61 Ds. Pojok RT.05/RW.02 081234141919 Pens. PNS S2

12 12 3520056912700001 SUNARSIH Magetan 29/12/1970 P 46

Kel. Kawedanan

RT.10/RW.02 085235273822 PNS SMA

13 310 3520055809760001 NUNING WORO PRIHATIN Magetan 18/09/1976 P 41 Ds. Selorejo RT.10/RW.02 085230120476

Guru

Swasta S1

14 289 3520056306830005 PUJI RAHAYU MARDIATI Magetan 23/06/1983 P 34 Ds. Tladan RT.04/RW.01 085853642730

Wiraswast

a S1

15 101 3520054503810002 TATIK DWININGSIH Magetan 05/03/1981 P 36 Ds. Sampung RT.03/RW.03 081336797549

Tentor Primagam

a S1

16 290 3520060406710002 RUDI SISWANTO Magetan 04/06/1971 L 46 Ds. Ngadirejo RT.04/RW.01 082244044546

Kary.

Swasta SMA

17 261 3520054106800001 YUYUN WIDYANINGSIH Magetan 01/06/1980 P 37 Ds. Sampung RT.02/RW.02 081259001903 Swasta S1

18 49 3520053012650003 SUPRANGADI Magetan 30/12/1965 L 51 Kel. Rejosari RT.01/RW.01 082141580351 Swasta SMA

19 449 3520052302870001 TRI BUDIWARSENO Magetan 23/02/1987 L 30 Ds. Selorejo RT.10/RW.02 085709462666

Tenaga

Honorer S1

20 255 3520052003940001 ZAINAL FAIZIN Magetan 23/03/1994 L 23 Ds. Giripurno RT.17/RW.06 082334853818

Ass.

Advokat S1

21 148 3520052305910002 HERIYANTO Magetan 23/05/1991 L 26 Ds. Sugihrejo RT.08/RW.02 085735030529 Swasta SMA

22 112 352005190890000 RICHO YUGER PRADANA Magetan 19/08/1990 L 27 Ds. Giripurno RT.06/RW.03 085736414775 Swasta S1

23 461 3520051409940003 JUVAN SEPTANIGA Magetan 14/09/1994 L 23 Ds. Mojorejo RT.09/RW.02 089653149377 Swasta S1

24 116 3520051112900001 AGIL KARTIKA Magetan 11/12/1990 L 26 Ds. Tulung RT.02/RW.01 088216708226 Swasta SMA

25 130 3520052402950001

BINTANG UCI RIZKI

(37)

27 360 3520063005590002 ESTU SUDIBYO Magetan 30/05/1959 L 58 Ds. Rejosari RT.04/RW.01 081235876559 Pensiunan S1

28 92 3520050506870002 CHOIRUL ANAS Magetan 05/06/1987 L 30 Ds. Bogem RT.06/RW.02 085731627021

Guru

Swasta S1

ttd

(38)

DAFTAR NAMA CALON ANGGOTA PPK

LOLOS ADMINISTRASI

Kecamatan : KARAS

Pendidika n terakhir

1 87 3520146601920001 HALLA AL HARTIK Magetan 26/01/1992 P 25 Ds. Taji RT.02/RW.03 085736782782 Guru S1

2 86 3520144909790001 DELFIA Kijang 09/09/1979 P 38 Ds. Taji RT.03/RW.02 081359949862 Swasta S1

3 118 3520141807920001 RIZKI ADE PRAYOGA Magetan 18/07/1993 L 24

Ds. Temenggungan

RT.02/RW.02 083845058418 Swasta S1

4 115 3520142102920001 RIFKI WAHYU WICAKSONO Magetan 21/02/1992 L 25

Ds. Temenggungan

RT.01/RW.02 081336666090 Swasta S1

5 114 3520140406600002 UMAR Magetan 04/06/1960 L 57 Ds. Ginuk RT.06/RW.01 081359041306 Guru S1

6 69 3520140205910001 CHOLID NUR ROZAQ ARIFIN Magetan 02/05/1991 L 26 Ds. Karas RT.05/RW.03 081333969664 Swasta KMI/SMA

7 157 3502172808790007 AGUS MAFTUH Magetan 28/08/1979 L 38 Ds. Temboro RT.06/RW.03 08563518400 Swasta S1

8 293 3520142510630001 TONI ROMDONI Tasikmalaya 25/10/1963 L 54 Ds. Kuwon RT.05/RW.01 082228211098 Swasta S1

9 142 3520146006950001 NOVI PUSPITANINGTYAS Magetan 20/06/1995 P 22 Ds. Sobontoro RT.01/RW.01 081332695796 Mahasiswa SMA

(39)

11 354 3520141203900001 NANANG NUR CAHYO Ponorogo 12/03/1990 L 27 RT.01/RW.04 082245783012 Swasta SMA

12 58 3520145405890001 RIANA PURWANINGTYAS Magetan 14/05/1989 P 28 Ds. Taji RT.02/RW.02 08563264922 Swasta S1

13 140 3520144504880001

NUNUNG NINGTYAS

KARTIKASARI Magetan 05/04/1988 P 29 Ds, Sobontoro RT.03/RW.01 081235063602 Swasta SMA

14 57 3520145007850002 MAS'IDAH ARIESTYANI Magetan 10/07/1985 P 32 Ds. Temboro RT.05/RW.03 085707362771 Guru S1

15 56 3520140910770001 SUPRIYANTO Magetan 09/10/1977 L 40 Ds. Jungke RT.12/RW.02 085655770910 Swasta SLTA

16 297 3520140610850003 ILHAM SYAIFUDIN Magetan 06/10/1985 L 32

Ds. Sumursongo

RT.04/RW.01 085233893746 Swasta S1

17 163 3520114502920002

STEMMA TIEARA PRATAMA

PRADITA Madiun 05/02/1992 P 25 Ds, Karas RW.07/RW.01 081230061366 Swasta SMA

18 162 3520131109890001 USLUDIN GHONI Magetan 11/09/1989 L 28 Ds. Karas RT.02/RW.04 082328227643 Swasta S1

19 272 3520141904910001 MOHAMMAD SIGIT S Magetan 19/04/1991 L 26 Ds. Sobontoro RT.01/RW.01 0857360470005 Swasta SLTA

20 233 3520140512790001 SASMIANTO Magetan 05/12/1979 L 37

Ds. Temenggungan

RT.01/RW.04 085736633540 Swasta SMA

21 100 3520140504900001 FATHONI AFFAN APRIANDI Magetan 05/04/1990 L 27 Ds. Sobontoro RT.06/RW.03 085232113595 Swasta S1

22 309 3520141210970001 JAMALUDDIN Magetan 07/11/1997 L 19

Ds. Sobontoro

23 195 3520142608930001

MOHAMMAD KHOTIBUL

UMAM Magetan 26/08/1993 L 24 Ds. Sobontoro RT.01/RW.01 085702026853 Swasta S1

24 178 3520140803580001 SUMALI Magetan 08/03/1958 L 59 Ds. Ginuk Rt.03/RW.03 081359763298 Pens. PNS S1

25 394 3520144504870004 PUJI ASTUTI Magetan 05/04/1987 P 30

Ds, Temenggungan

(40)

26 65 3520141806890001 WAHYUDI M Magetan 18/06/1989 L 28 Ds. Kuwon RT.07/RW.01 085645946317 Swasta SMA

27 190 3520146305950001 TATIK ISTIQOMAH Magetan 23/05/1995 P 22 Ds. Kuwon RT.03/RW.01 083845441505 Mahasiswa SMA

28 418 3524146903850002 HUSNUL HIDAYATI Lamongan 29/03/1985 P 32 Ds. Sobontoro RT.03/RW.01 085648374828 Swasta S1

29 23 3520145710680003 SURATMI Magetan 17/10/1968 P 49 Ds. Ginuk RT.03/RW.01 082139290058 Swasta SMA

30 88 3520145504930001 RIRIN DWI SETYANINGSIH Magetan 15/04/1993 P 24 Ds. Taji RT.02/RW.03 085736547815 Guru S1

ttd

(41)

LOLOS ADMINISTRASI

Kecamatan : MAOSPATI

1 411 3520111801780001 I YUDHIANTO SOETOPO Jember 18/01/1978 L 39 Ds. Ngujung RT.08/RW.03 085204709000 PNS SMA

2 403 3520112706810001 TAUFIK HIDAYAT Magetan 27/06/1981 L 36

Ds. Klagen Gambiran

RT.06/RW.01 085706756757 Swasta

3 405 3520112312930001 SHANDY SHEKTI PRADANA Magetan 23/12/1993 L 23 Ds. Sempol RT.11/RW.03 0895395424525 Mahasiswa SMA

4 373 3520116102740001 SRI MURTINI Magetan 21/02/1974 P 43

Ds.Sugihwaras

RT.08/RW.02 081250392558 Swasta SMA

5 423 3520110402670001 LIES SUNARTO Madiun 04/02/1967 L 50

Ds. Suratmajan

RT.02/RW.01 085784216787 Swasta S1

6 437 3519094712770001 SULI ROHAYATI Madiun 07/12/1977 P 39 Ds. Kraton RT.03/RW.01 081234470378 Swasta D II

7 399 3520116709760001 ANCE RUSMULYANI Madiun 26/09/1976 P 41

Ds. Klagengambiran

RT.03/RW.01 085235854810 Swasta SMA

8 210 3520110403840002 SIGIT PRASETIYO Magetan 04/03/1984 L 33 Ds. Pesu RT.08/RW.02 085781442250

Kary.

Honorer S1

9 341 3520111802680001 PIET RACHMANSYAH Jakarta 18/02/1968 L 49

Ds. Suratmajan

RT.01/RW.01 082336855565 Swasta SMA

(42)

11 181 3520112512730001 FIRMAN KUN WARDHANA Malang 25/12/1973 L 43 Ds. Mranggen RT.05/RW.01 085236884444 Swasta S1

12 311 3520112002790001 ARIS IRIANTO Magetan 20/02/1979 L 38 Ds. Kraton RT.12/RW.03 085334505435 Swasta S1

13 274 3520115903840001 LESTARI WANASITA Pamekasan 19/03/1984 P 33

Ds. Klagen Gambiran

RT.06/RW.01 081331777009 Swasta S1

14 44 3520011470492001 FITRIA WIDYA H Maros 07/04/1992 P 25

Ds. Suratmajan

15 275 3520115608920002 ARDENA NUR HANDAYANI Magetan 16/08/1992 P 25 Ds. Kraton RT.07/RW.02 081336944871 Swasta DIII

16 293 3602146705790004 MAMAY MAESYAROH Lebak 27/05/1979 P 38 Ds. Gulun RT.06/RW.01 08533674227 Swasta SMA

17 108 3520115512830001 ENY SUSILOWATI Magetan 15/12/1983 P 33 Ds. Gulun RT.06/RW.01 085895416489

Perangkat

Desa S1

18 251 3520116502940001 YUSMANITA AFIFAH NUR Magetan 25/02/1994 P 23

Ds. Suratmajan

RT.04/RW.01 082231323646 Advokat S1

19 442 3520116810880001 YOHANNA MEGARANI S Magetan 28/10/1988 P 28 Ds. Pesu RT.09/RW.02 085735106420

Kary.

Honorer S1

20 443 3520110205640003 Drs. EC RUDIK MURJIANTO Magetan 02/05/1964 L 53

Ds. Klagen gambiran

RT.16/RW.03 085312877764 Swasta S1

21 60 3520110609820001 GALIH SLAMET PRATAMA Magetan 06/09/1982 L 35 Kel. Maospati RT.13/RW.03 085649999329 Guru S1

22 143 3520110307840002 ATOK DWI PRASETO Magetan 03/07/1984 L 33 Ds. Gulun RT.12/RW.02 085854281420 Swasta S1

23 456 3520114504940002 ADELLA FATMA R Magetan 05/04/1994 P 23 Ds. Ngujung RT.14/RW.05 081337563534 UPTD SMK

24 458 3520110102630002 ENDY SULISTYO Ponorogo 01/02/1963 L 54 Ds. Malang RT.02/RW.01 08125963143 Swasta SMA

25 63 3520112209850001 ANDIKA HARDIANTO Magetan 22/09/1985 L 32

Ds. Suratmajan

(43)

ttd

(44)

DAFTAR NAMA CALON ANGGOTA PPK

LOLOS ADMINISTRASI

Kecamatan : PLAOSAN

1 2 3520077107700001 ENDANG ISMIATI MADIUN 31/07/1970 P 47 Ds. NITIKAN RT.07/RW.02 085790265201 SWASTA S1

2 8 3520070608950002 WAHYU MUHAIMIN IKHSAN MAGETAN 06/08/1995 L 22 Ds. SUMBERAGUNG RT.08/RW.02 085648710040 WIRASWASTA SMK 3 11 3520071811790002 BUDIONO MAGETAN 18/11/1979 L 37 Ds. PUNTUKDORO RT.05/RW.01 085735711811 WIRASWASTA SMU

4 18 3520076911810001 ATIK SUNARTI MAGETAN 29/11/1981 P 35

Ds. PACALAN RT.35/RW.03 085735026603 GURU HONORER S1 5 20 3520075607920001 JOHARLIAN WAHYUNANDA MAGETAN 16/07/1992 P 25 Ds. PACALAN RT.52/RW.04 085730440452 WIRASWASTA S1 6 25 3520072306740001 SUDARDI MAGETAN 23/06/1974 L 43 Ds. SARANGAN RT.02/RW.01 085233790130 SWASTA DIII 7 40 3520071606870001 SUGIARTO MAGETAN 16/06/1987 L 30 Ds. SENDANGAGUNG RT.09/RW.02 085607650036 SWASTA SMA

8 85 3520075907960001 LINTIANA NURMAISAH MAGETAN 19/07/1996 P 21

Ds. PUNTUKDORO

RT.20/RW.05 085649151134 MAHASISWA SMK

9 93 3520072701790002 SUPRIANTO MAGETAN 27/01/1979 L 38 Ds. NITIKAN RT.02/RW.01 085736574869 GURU S1

10 128 3520074201920001 YULIANA MAGETAN 02/01/1992 P 25

Ds. PACALAN

RT.40/RW.03 085236435153 MAHASISWA S1

11 147 3520071401860002 RIZA ABIDIN MAGETAN 14/01/1986 L 31

Ds. PACALAN

RT.54/RW.04 085735376163

KARY.

SWASTA SMA

12 149 3520074201830002 TITIN KUSTINI MAGETAN 02/01/1983 P 34

Ds. BULUHARJO

(45)

13 156 3520072908940001 KHABIB MUTA ALI MAGETAN 29/08/1994 L 23 RT.03/RW.01 083114622989 MAHASISWA S1

14 172 3520072304930002 CATUR HARIANTO MAGETAN 23/04/1993 L 24

Ds. SENDANGAGUNG RT.09/RW.02 085736465812 SWASTA SLTA 15 192 3520072512940001 FAHRUR NUR WICAKSONO MAGETAN 25/12/1994 L 22 Ds. BOGOARUM RT.03/RW.01 083846602911 MAHASISWA SLTA 16 223 3520070202750004 SUNARKO MAGETAN 02/02/1975 L 42 Ds. BULUHARJO RT.31/RW.05 085334684916 WIRASWASTA SLTA 17 229 3520070112660001 MARNO MAGETAN 01/02/1966 L 51 Ds. PUNTUKDORO RT.05/RW.01 085710060918 PERANGKAT DESA SMEA

18 232 3520161604870001 ANTON SUSENO MAGETAN 16/04/1987 L 30

Ds. SUMBERAGUNG RT.04/RW.01 081216074181 WIRASWASTA S1 19 235 5306108610850001 RENY ROYATUL KHOLIDAH WAIRIANG 28/10/1985 P 31 Ds. PLAOSAN RT.05/RW.01 081238568988 GURU AKTA IV

20 248 3520022703870003 KOMSIN MURSYIDDIN MAGETAN 27/03/1987 L 30

Ds. SIDOMUKTI RT.24/RW.04 085852661982 SWASTA S1 21 250 3520076812920001 ANITA PUTRI KUSUMAWATI MAGETAN 28/12/1992 P 24 Ds. PLAOSAN RT.17/RW.02 085895163951 KARY. HONORER S1

22 253 3520070502950001 FEBRI DWI SAPUTRA MAGETAN 05/02/1995 L 22

Ds. PLAOSAN

RT.17/RW,02 08983586249 MAHASISWA S1

23 273 3573020904670006 PITOYO MAGETAN 09/04/1967 L 50

Ds. BULUHARJO

RT.02/RW.01 085259903863 WIRASWASTA SMA

24 312 3519043012860001 BAYU TRI NUGROHO MADIUN 30/12/1986 L 30

Ds. PLAOSAN RT.08/RW.01 081559543440 GURU S1 25 334 3520070306820002 SAMSUDIN MAGETAN 03/06/1982 L 35 Ds. BULUGUNUNG RT.07/RW.01 087876839313 WIRASWASTA 26 337 3520071612940001 FATHUL MUJADDIDI ARUM MAGETAN 16/12/1994 L 22 Ds. PLAOSAN RT.11/RW.02 085852272800 WIRASWASTA MAN

27 338 3520071605920002 VIKI ALVI DIANTORO MAGETAN 16/05/1992 L 25 Ds. DADI RT.21/RW.11 085780886005 MAHASISWA S1

28 348 3520072404850002 SUYANTO MAGETAN 24/04/1985 L 32 Ds. PLUMPUNG RT.13/RW.02 085790446171 WIRASWASTA S1 29 349 3520075301920001 AYUSTIN MAGETAN 13/01/1992 P 25 Ds. BULUGUNUNG RT.21/RW.02 082820045910 WIRASWASTA S1

30 361 3520072706910001 HERU PRASETYO MAGETAN 27/06/1991 L 26

Ds. RANDUGEDE

(46)

31 369 3520071611870002 NURKOLIS MAGETAN 16/11/1987 L 29

Ds. SIDOMUKTI

RT.12/RW.02 085735916323 WIRASWASTA SMK

32 384 3520071405790001 SIGIT WASKITO MAGETAN 14/05/1979 L 38

Ds. SIDOMUKTI

RT.10/RW.02 081336413829 SWASTA

33 416 3521091211830008 SUDARTO MAGETAN 12/11/1983 L 33

Ds. SARANGAN

RT.14/RW.03 085790282800 SWASTA S1

34 426 3520075307940002 ASIH PRAWITI MAGETAN 13/07/1994 P 23

Ds. PLAOSAN

RT.12/RW.02 085736779494 SWASTA

35 427 3520070707930001 ANAM MUSTOFA MAGETAN 07/07/1993 L 24

Ds. SIDOMUKTI

RT.04/RW.01 085234979445 MAHASISWA MA

36 428 3520076905960002 ANITA DWIYANA MAGETAN 29/05/1996 P 21

Ds. PLAOSAN

RT.12/RW.02 085645795448 MAHASISWI MA

37 447 3520071002800003 BOWO SISWANTO MAGETAN 10/02/1980 L 37 Ds. NITIKAN RT.01/RW.01 085784425065 SWASTA S1

38 455 3520185207870001

PARAMITA

ANGGUNINGTYAS MAGETAN 12/07/1987 P 30

Ds. PLAOSAN

RT.05/RW.01 085854736508 WIRASWASTA SMA

39 457 3520071911850001 EKO LISTIYO MAGETAN 19/11/1985 L 31

Ds. SIDOMUKTI

RT.19/RW.03 085645772833 WIRASWASTA S1

40 459 3520072605900001

BAYU AGUNG DWI

CAHYONO MAGETAN 26/05/1990 L 27 Ds. BOGOARUM RT.11/RW.03 082338899899 MAHASISWA S1 41 463 3520071708820002 SUHARTOTOK MAGETAN 17/08/1982 L 35 Ds. SARANGAN RT.15/RW.03 082234333745 WIRASWASTA S1 42 464 3520077110930001 KHUSNUL AYU

SHOFARIYAH MAGETAN 31/10/1993 P 23 Ds. DADI RT.13/RW.07 085643225997 MAHASISWI S1

Magetan, 25 Oktober 2017 KETUA KOMISI

PEMILIHAN UMUM KABUPATEN MAGETAN

ttd

(47)

LOLOS ADMINISTRASI

Kecamatan : NGARIBOYO

No NO

PENDAFTARAN NIK Nama

Tempat Lahir

L /

1 321 3520161602940002 MAHMUD SYAIFUDIN MAGETAN 16/02/1994 L 23 BANYUDONO RT.01/02 085790455770 SWASTA SMA

2 199 3520163010760001 PRIYO PRASOJO MAGETAN 20/10/1976 L 41

SUMBERDUKUN

RT.02/02 081235219619 SWASTA S-1

3 406 3520164107950018 RISA HERLINA MAGETAN 01/07/1995 P 22

DS. SELOPANGGUNG

RT.01/02 085735348871 MAHASISWI SMK

4 204 3520162205790002 SAJI HANTORO BATANG 22/05/1979 L 38 NGARIBOYO RT.04/02 081333447957 SWASTA S-1

5 431 3520161012740005 AMIR NURSIDI MAGETAN 10/12/1974 L 43 NGARIBOYO RT.01/01 082335181975 GTT SLTA

6 201 3520164910750002 DIAN RAKHMAWATI MAGETAN 09/10/1975 P 42 NGARIBOYO RT.06/03 081259273733 SWASTA SLTA

7 232 3520162710820003 MUKHLIS HANAFI MAGETAN 27/10/1982 L 34 MOJOPURNO RT.01/04 085228036611 SWASTA S-1

8 333 3520164404870001 LANY KUSUMAWATI PONOROGO 04/04/1987 L 30 BANJAREJO RT.01/09 085236216547 SWASTA SLTA

9 430 3520164110750002

MURNI

PUSPITONINGDYAH NGAWI 01/10/1975 P 42 NGARIBOYO RT.01/01 085854261281 IRT SLTA

(48)

11 339 3520160204940002

MUSHTHAFA

BASUNDARA MAGETAN 02/04/1994 L 23

DS. SELOTINATAH

RT.01/01 085735355828 SWASTA SMA

12 392 3520162007760001 SUMARNO MAGETAN 20/07/1976 L 41 BANJAREJO RT.18/04 081335222709 KARYAWAN STM

13 214 3520166707710001 SITI WAHYUNI MAGETAN 27/07/1971 P 46 BALEASRI RT.03/01 081335166507 DAGANG S-1

14 014 3522106507880003 ROHMAWATI FAJERIN MAGETAN 25/07/1988 P 29 NAKAH RT.09/02 085645539710 SWASTA S-1

15 305 3520077006820002 HENDRIK SEPTIANI MAGETAN 30/06/1982 P 35

DS. SELOPANGGUNG

RT.01/01 085645834588 GURU S-1

16 177 3520161212650004 SYAIM MAGETAN 12/12/1965 L 51

DS. BALEGONDO

RT.03/02 0816598264 STAF KELURAHAN SLTA

17 346 3520164607740001 SITI RUKAYAH MAGETAN 06/07/1974 P 43 BALEASRI RT.07/04 082334493356 GTT S-1

18 119 3520166911920001

SUCI RAHMATUL

MUKMIN MAGETAN 29/11/1992 P 25

DS. MOJOPURNO

RT.07/04 085649003091 HONORER S-1

19 004 3520160203700005 SUGIONO MAGETAN 02/03/1970 L 47 DS. BALEASRI RT.01/01 081389747689 SWASTA SLTA

20 271 3520161305780001 MIFTAKHUL HUDA MAGETAN 13/05/1978 L 39

DS. SUMBERDUKUN

RT.02/02 082244782800 PERANGKAT DESA SLTA

21 043 3520165905890001 ENDANG WINDARSIH MAGETAN 19/05/1989 P 28 BALEASRI RT.03/01 082234183315 HONORER S-1

22 445 3520164407750003 SRI RAHAYU MAGETAN 04/07/1975 P 42 DS. PENDEM RT.01/01 081335039558 IRT SMA

23 252 3520161503790003 PANIRAN MAGETAN 15/03/1979 L 38 NGARIBOYO RT.03/02 081335578111 SWASTA S-1

24 300 3520162210890001 RIYAN DWI WIDODO MAGETAN 22/10/1989 L 28

DS. NGARIBOYO RT.

03/02 081335106356 SWASTA S-1

(49)

27 260 3520022812780001 HENDRIX MAGETAN 28/12/1978 L 39

DS. BANYUDONO

RT.03/02 081216729979 GURU S-1

28 244 3520166806910001

PUPUT TRI

ANJANISARI MAGETAN 28/06/1991 P 26 DS. PENDEM RT. 08/03 085733547417 GURU S-1

29 468 327525003980023

ANGGI NUR EKA

SAFITRI MAGETAN 08/12/1998 P 18

DS. SUMBER DUKUN

RT.01/01 085850629155 PELAJAR S-1

30 129 3520164102900003 FAJAR RIANA MAGETAN 01/02/1990 P 27

DS. NGARIBOYO

RT.01/03 08563651900 SWASTA D-3

31 083 3520161503910001 MUHAMAD TAMYIS MAGETAN 15/03/1991 L 26 SELOTINATAH RT.20/04 085235171175 HONORER S-1

32 082 331081606810001 ARIF PURNOMO CILACAP 16/06/1981 L 36 DS. BANGSRI RT.07/01 081280437681 SWASTA S-1

33 090 3520165909790001

VARIA

RUSTYANINGSIH MAGETAN 19/09/1979 P 38 DS. BANGSRI RT. 02/01 081554105994 SWASTA S-1

34 094 352018410860001 MYTA ARIE WIJAYANTI MAGETAN 09/10/1986 P 31

DS. BALEGONDO

RT.06/04 085735173261 SWASTA SMA

ttd