1

KEPOLISIAN NEGARA REPUBLIK INDONESIA

DAERAH JAWA TIMUR
RESOR MADIUN
KEPOLISIAN NEGARA REPUBLIK INDONESIA

DATA PENERIMA BTPKLW POLRES MADIUN

NO NIK NAMA JENIS KELAMIN ALAMAT JENIS USAHA ALAMAT USAHA NO HP

KESATUAN
1 2 3 4 5 6 7 8 9
1 IV. Polsek Wungu ‘3519074508570001 SUNARSIH BROJO RT 02 RW 01 DS. KRESEK PKL KRESEK, WUNGU 082335518063
2 ‘3519051904880003 KHOIRUL Z NGANDONG RT 12 RW 02 DS. KRE PKL KRESEK, WUNGU 085852058772
3 ‘3519077006610037 SUMI NGANDONG RT 13 RW 02 DS. KRE PKL KRESEK, WUNGU
4 ‘3519075311530001 SUPARTINI NGANDONG RT 15 RW 02 DS. KRE PKL KRESEK, WUNGU
5 ‘3519075202730003 JUWARIYAH NGANDONG RT 19 RW 02 DS. KRE PKL KRESEK, WUNGU 085755299843
6 ‘3519071311930001 EDI SETIAWAN DSN SEWU RT 41 RW 05 DS. KRES PKL KRESEK, WUNGU 081233736058
7 ‘3519074512820002 NANIK SUGIARTI DSN SEWU RT 46 RW 05 DS. KRES PKL KRESEK, WUNGU 088804861878
8 ‘3519074511790008 DIAN NOVITASARI BROJO RT 02 RW 01 DS. KRESEK PKL KRESEK, WUNGU 081335223179
9 ‘3577035811940001 SITI KHOLIFAH BROJO RT 02 RW 01 DS. KRESEK PKL KRESEK, WUNGU 081556768944
10 ‘3519073006720028 SUYATNO NGANDONG RT 12 RW 02 DS. KRE PKL KRESEK, WUNGU 081335112339
11 ‘3519074411480001 KATEMI NGANDONG RT 13 RW 02 DS. KRE PKL KRESEK, WUNGU
12 ‘3519075203520003 MUJI NGANDONG RT 16 RW 02 DS. KRE PKL KRESEK, WUNGU 081332382062
13 ‘3519072502740001 HADI PURNOMO NGANDONG RT 19 RW 02 DS. KRE PKL KRESEK, WUNGU 085708067576
14 ‘3519075009610003 MARTINI JATIROGO RT 28 RW 03 DS. KRESE WARUNG KRESEK, WUNGU 082133337264
15 ‘3519074406520001 TUMINAH JATIROGO RT 30 RW 03 DS. KRESE WARUNG KRESEK, WUNGU 085606805150
16 ‘3519075504700003 ANTIK SURYANINGSIH DSN KATREGAN RT 34 RW 04 DS. WARUNG KRESEK, WUNGU 085806935481
17 ‘3519075011720003 HARIYANI DSN SEWU RT 40 RW 05 DS. KRES WARUNG KRESEK, WUNGU 087776320840
18 ‘3519074305800001 WENI SUHARTI DSN SEWU RT 42 RW 05 DS. KRES WARUNG KRESEK, WUNGU 0859703326030
19 ‘3519074408570001 YATI DSN SEWU RT 43 RW 05 DS. KRES WARUNG KRESEK, WUNGU 0895411431339
20 ‘3519076402870001 FEBRIYANTI DS. MOJOPURNO RT. 001/001 PKL MOJOPURNO, WUNGU 085234718668
21 ‘3519071308520001 SUPRIYANTO DS. MOJOPURNO RT. 001/001 PKL MOJOPURNO, WUNGU 081235871150
22 ‘3519071512830007 EKA BUDIARTO SUMALI DS. MOJOPURNO RT. 007/001 PKL MOJOPURNO, WUNGU 081232028183
23 ‘3519074107610002 MARMI DS. MOJOPURNO RT. 035/004 PKL MOJOPURNO, WUNGU 08563676890
24 ‘3519075312770004 DESI NURHAYATI DS. MOJOPURNO RT. 006/001 PKL MOJOPURNO, WUNGU 085697130434
25 ‘3519074910710003 ISMIATI DS. MOJOPURNO 034/004 PKL MOJOPURNO, WUNGU 083857986059
26 ‘3519073006460005 SARNI DS. MOJOPURNO 034/004 PKL MOJOPURNO, WUNGU 081234294440
27 ‘3519070101570005 SUMADI DS. MOJOPURNO RT. 009/001 PKL MOJOPURNO, WUNGU 089686231850
 2

NO NIK NAMA JENIS KELAMIN ALAMAT JENIS USAHA ALAMAT USAHA NO HP

KESATUAN
1 2 3 4 5 6 7 8 9
28 ‘3519075102800001 LILIS SETIYANINGRUM DS. MOJOPURNO RT. 001/001 PKL MOJOPURNO, WUNGU 085348063939
29 ‘3519070509730001 CAHYO WISUDO DS. MOJOPURNO RT. 001/001 PKL MOJOPURNO, WUNGU 085335368734
30 ‘3519075311690002 KASMIATI DS. MOJOPURNO RT. 001/001 PKL MOJOPURNO, WUNGU 082143093595
31 ‘3519076209910001 PITRI SETIYORINI DS. MOJOPURNO RT. 006/001 PKL MOJOPURNO, WUNGU
32 ‘3519075005580003 TUKINAH DS. MOJOPURNO RT. 009/001 PKL MOJOPURNO, WUNGU 081231190422
33 ‘3519074709660006 SUPARMI DS. MOJOPURNO RT. 009/001 PKL MOJOPURNO, WUNGU 082231227838
34 ‘3501105212900012 SUPARMI DS. MOJOPURNO RT. 009/001 PKL MOJOPURNO, WUNGU 085257129832
35 ‘3519074701520001 MUJIATI DS. MOJOPURNO RT. 010/001 PKL MOJOPURNO, WUNGU 081259233896
36 ‘6471055708890002 SITI FATIMAH DS. MOJOPURNO RT. 010/001 PKL MOJOPURNO, WUNGU
37 ‘3519075206790002 HARIANIK DS. MOJOPURNO RT. 012/002 PKL MOJOPURNO, WUNGU 081217243981
38 ‘3518187006870005 SRININGSIH DS. MOJOPURNO RT. 012/002 PKL MOJOPURNO, WUNGU 082232020738
39 ‘3519076111770003 TUMINI DS. MOJOPURNO RT. 035/004 WARUNG MOJOPURNO, WUNGU 081232388778
40 ‘3519076605810003 ROBIATUL ADAWIYAH DS. MOJOPURNO RT. 023/002 WARUNG MOJOPURNO, WUNGU 085708269230
41 ‘3519076607710002 JARWATI DS. MOJOPURNO RT. 031/003 WARUNG MOJOPURNO, WUNGU 085881394762
42 ‘3577036405870002 MEI MEGAWATI DS. MOJOPURNO RT. 009/001 WARUNG MOJOPURNO, WUNGU 0895411437524
43 ‘3519075207840008 SRI DARWANTI DS. MOJOPURNO RT. 010/001 WARUNG MOJOPURNO, WUNGU 081259233896
44 ‘3519071206540002 KUSMIN DS. MOJOPURNO RT. 005/001 WARUNG MOJOPURNO, WUNGU
45 ‘3519074310690001 SUKI DS. MOJOPURNO RT. 006/001 WARUNG MOJOPURNO, WUNGU
46 ‘3519077012670003 SUPRIHATIN DS. MOJOPURNO RT. 008/001 WARUNG MOJOPURNO, WUNGU 089508969664
47 ‘3519075003790003 RISTANTI DS. MOJOPURNO RT. 006/001 WARUNG MOJOPURNO, WUNGU
48 ‘3519076607740002 SUTINI DS. MOJOPURNO RT. 007/001 WARUNG MOJOPURNO, WUNGU 081235903895
49 ‘3519077006560032 NARTI DS. MOJOPURNO RT. 010/001 WARUNG MOJOPURNO, WUNGU 082338200544
50 ‘3519076507720002 SUTIYEM DS. MOJOPURNO RT. 016/002 WARUNG MOJOPURNO, WUNGU 085784705367
51 ‘3519075106700001 KAMINEM DS. MOJOPURNO RT. 017/002 WARUNG MOJOPURNO, WUNGU 089679443927
52 ‘‘3519070505790005 EKO BUDIYONO DS. MOJOPURNO RT.09/01 WARUNG MOJOPURNO, WUNGU
53 ‘3519075703680002 WIWIK ISWIDYA SURYANDARI DS. MOJOPURNO RT. 037/002 WARUNG DS. MOJOPURNO, WUNGU
54 ‘3174045907750011 SRI HASTUTI YULIARNI DS. MOJOPURNO RT. 006/001 WARUNG MOJOPURNO, WUNGU
55 ‘3519072506690003 JALU KUSMONO DS. MOJOPURNO RT. 002/001 WARUNG MOJOPURNO, WUNGU
56 ‘3519074404640002 ENI SUPRIYANTI DS. MOJOPURNO RT. 002/001 WARUNG MOJOPURNO, WUNGU
57  ’3519072001650001 JAMIN DS. MOJORAYUNG RT. 002 RW. 00 PKL MOJORAYUNG, WUNGU
58  ’1871035509760001 SUNARTI EKAWATI DS. MOJORAYUNG RT. 003 RW. 00 PKL MOJORAYUNG, WUNGU
59  ’3519072001670001 RUBADI/RUSMINI DS. MOJORAYUNG RT. 003 RW. 00 PKL MOJORAYUNG, WUNGU
60  ’3577030809820002 NANANG SULISTIYAWAN DS. MOJORAYUNG RT. 005 RW. 00 PKL MOJORAYUNG, WUNGU
 3

NO NIK NAMA JENIS KELAMIN ALAMAT JENIS USAHA ALAMAT USAHA NO HP

KESATUAN
1 2 3 4 5 6 7 8 9
61  ’3519071011790007 SUHADI DS. MOJORAYUNG RT. 010 RW. 00 PKL MOJORAYUNG, WUNGU
62  ’3519074602650002 PAERAH DS. MOJORAYUNG RT. 031 RW. 00 PKL MOJORAYUNG, WUNGU
63  ’3519076503610002 SUKINEM DS. MOJORAYUNG RT. 032 RW. 00 PKL MOJORAYUNG, WUNGU
64  ’3519070706860002 MUTOHARI DS. MOJORAYUNG RT. 001 RW. 00 PKL MOJORAYUNG, WUNGU
65  ’3519074706620002 SUKARNI DS. MOJORAYUNG RT. 002 RW. 00 PKL MOJORAYUNG, WUNGU
66  ’3519075210740002 SULASIH DS. MOJORAYUNG RT. 002 RW. 00 PKL MOJORAYUNG, WUNGU
67  ’3519076309630001 SAMILAH DS. MOJORAYUNG RT. 003 RW. 00 PKL MOJORAYUNG, WUNGU
68  ’3519070701740003 SLAMET DS. MOJORAYUNG RT. 003 RW. 00 PKL MOJORAYUNG, WUNGU
69  ’3519074307540003 TUMINEM DS. MOJORAYUNG RT. 003 RW. 00 PKL MOJORAYUNG, WUNGU
70  ’3519075507750004 FATIMAH DS. MOJORAYUNG RT. 003 RW. 00 PKL MOJORAYUNG, WUNGU
71  ’3519074805830001 SITI RUKAYAH DS. MOJORAYUNG RT. 003 RW. 00 PKL MOJORAYUNG, WUNGU
72  ’3519075111730002 UMI SHOLAWATIN DS. MOJORAYUNG RT. 003 RW. 00 PKL MOJORAYUNG, WUNGU
73  ’3519074508590004 SUMIRAH DS. MOJORAYUNG RT. 001 RW. 00 WARUNG MOJORAYUNG, WUNGU
74  ’3519071901530001 KASIMUN DS. MOJORAYUNG RT. 006 RW. 00 WARUNG MOJORAYUNG, WUNGU
75  ’3519074411680002 SRI SUMARNI DS. MOJORAYUNG RT. 025 RW. 00 WARUNG MOJORAYUNG, WUNGU
76  ’3519075209850001 WAGINAH DS. MOJORAYUNG RT. 029 RW. 00 WARUNG MOJORAYUNG, WUNGU
77  ’3519075109670004 SUPARMI DS. MOJORAYUNG RT. 008 RW. 00 WARUNG MOJORAYUNG, WUNGU
78  ’3519070710700001 SUGENG HARIONO DS. MOJORAYUNG RT. 009 RW. 00 WARUNG MOJORAYUNG, WUNGU
79  ’3519075005850004 SUSIANA DS. MOJORAYUNG RT. 010 RW. 00 WARUNG MOJORAYUNG, WUNGU
80  ’3519075203620004 PAMINI DS. MOJORAYUNG RT. 013 RW. 00 WARUNG MOJORAYUNG, WUNGU
81 ‘3519075905710004 YASMINI DS. MOJORAYUNG RT. 016 RW. 00 WARUNG MOJORAYUNG, WUNGU
82  ’3519074707820003 WAHYUNINGSIH DS. MOJORAYUNG RT. 024 RW. 00 WARUNG MOJORAYUNG, WUNGU
83  ’3519074805840004 SUKASIH DS. MOJORAYUNG RT. 024 RW. 00 WARUNG MOJORAYUNG, WUNGU
84 ‘3519074602800004 PURWATI DS. MOJORAYUNG RT. 036/010 WARUNG MOJORAYUNG, WUNGU
85 ‘3519075902470002 TANEM DS. MOJORAYUNG RT. 002/001 WARUNG MOJORAYUNG, WUNGU
86 ‘3519076205770010 WATINI KEL. WUNGU RT 11 RW 01 PKL WUNGU, WUNGU
87 ‘3519075008730001 ENI SUMARSIH KEL. WUNGU RT 11 RW 01 PKL WUNGU, WUNGU
88 ‘3519070808630002 RUSDI KEL. WUNGU RT 14 RW 01 PKL WUNGU, WUNGU
89 ‘3519075203670002 MIATI KEL. WUNGU RT 16 RW 02 PKL WUNGU, WUNGU
90 ‘3519071510580002 TONO KEL. WUNGU RT 10 RW 01 PKL WUNGU, WUNGU
91 ‘3519074507750004 PAMUJIAH KEL. WUNGU RT 11 RW 01 PKL WUNGU, WUNGU
92 ‘3519074305590001 SAMITOEN KEL. WUNGU RT 11 RW 01 PKL WUNGU, WUNGU
93 ‘3519075802770001 SUTINI KEL. WUNGU RT 12 RW 01 PKL WUNGU, WUNGU 085816242390
 4

NO NIK NAMA JENIS KELAMIN ALAMAT JENIS USAHA ALAMAT USAHA NO HP

KESATUAN
1 2 3 4 5 6 7 8 9
94 ‘3519071911850001 PUTUT KEL. WUNGU RT 03 RW 01 PKL WUNGU, WUNGU 085336956422
95 ‘3519075703630002 PAINEM KEL. WUNGU RT 26 RW 02 WARUNG WUNGU, WUNGU
96 ‘3519076205620001 SUPRIYANI KEL. WUNGU RT 06 RW 01 WARUNG WUNGU, WUNGU
97 ‘3519076808830002 TITIK SETIYORINI KEL. WUNGU RT 02 RW 01 WARUNG WUNGU, WUNGU
98 ‘3519075505830008 SRI UTAMI KEL. WUNGU RT 16 RW 02 WARUNG WUNGU, WUNGU
99 ‘3519074912670003 ESTI HANDAYANI KEL. WUNGU RT 26 RW 02 WARUNG WUNGU, WUNGU
100 ‘3519071606820006 DWI ENDRA JADMIKO KEL. WUNGU RT 26 RW 02 WARUNG WUNGU, WUNGU
101 ‘3519075006830004 MURTIASRI KEL. WUNGU RT 09 RW 01 WARUNG WUNGU, WUNGU 085606604788
102 ‘3519074303800006 HARTATIK EKA KEL. WUNGU RT 10 RW 01 WARUNG WUNGU, WUNGU 081359842495
103 ‘3519075607790005 SUYATI KEL. WUNGURT 06 RW 01 WARUNG WUNGU, WUNGU
104 ‘3519075009570002 TANEM KEL. WUNGU RT 06 RW 01 WARUNG WUNGU, WUNGU 085816242390
105 ‘3519072211910001 MUHAMAD GHOFUR DS. BRUMBUN RT. '04/01 PKL BRUMBUN, WUNGU
106 ‘3519070806860003 WIJI SANTOSO DS. BRUMBUN RT. '06/01 PKL BRUMBUN, WUNGU
107 ‘3519070806860003 WIJI SANTOSO DS. BRUMBUN RT. '06/01 PKL BRUMBUN, WUNGU
108 ‘3519070806860003 WIJI SANTOSO DS. BRUMBUN RT. '06/01 PKL BRUMBUN, WUNGU
109 ‘3519074304750005 MINFIATI DS. BRUMBUN RT. '04/01 WARUNG BRUMBUN, WUNGU 08989719755
110 ‘3519074306780003 SRIANI DS. BRUMBUN RT. '06/01 WARUNG BRUMBUN, WUNGU 085733397066
111 ‘3519075412550001 SUMINEM DS. BRUMBUN RT. '07/01 WARUNG BRUMBUN, WUNGU 082397931202
112 ‘3519075505810012 TITIK ISMOYOWATI DS. KARANGREJO RT 010/ RW 002 PKL KARANGREJO, WUNGU 085735900004
113 ‘3519075102580003 SUNARTI DS. KARANGREJO RT 008/ RW 001 PKL KARANGREJO, WUNGU 082232599585
114 ‘3519074401920004 YENI DIANAWATI DS. KARANGREJO RT 003 /RW 001 PKL KARANGREJO, WUNGU 085736642198
115 ‘3519075907950002 YAYANG ALVITA AMANDA DS. KARANGREJO RT 003/RW 001 PKL KARANGREJO, WUNGU 083850258506
116 ‘3519072103760003 JUMADI DS. KARANGREJO RT 014/RW 002 PKL KARANGREJO, WUNGU 082337315072
117 ‘3519071604910001 SUGENG ARIYADI DS. KARANGREJO RT 002/RW 001 PKL KARANGREJO, WUNGU 085735851285
118 ‘3519074410820006 ENDANG SUPINI DS. KARANGREJO RT 016 /RW 002 PKL KARANGREJO, WUNGU 085235717661
119 ‘3519076309710003 MARSI DSN KARANGREJO RT 010 / RW 0 WARUNG KARANGREJO, WUNGU 082132613181
120 ‘3519073112570004 SUMILAN DSN KARANGREJO RT 014 / RW 0 WARUNG KARANGREJO, WUNGU 081216600383
121 ‘3519076411920001 ENDANG DSN WATUTUMPENG RT 003 / RW WARUNG KARANGREJO, WUNGU 085784371980
122 ‘3519077006550084 SUNARTI /IMAM PAMUJI DSN WATUTUMPENG RT 009 / RW WARUNG KARANGREJO, WUNGU 082281340879
123 ‘3519074501630001 SINEM DSN KARANGREJO RT 010 / RW WARUNG KARANGREJO, WUNGU 081372077567
124 ‘3519074509720001 RUSMIATUN DEWO DSN KARANGREJO RT 015 / RW WARUNG KARANGREJO, WUNGU 085648707038
125 ‘3519074202750002 SULASTRI YANTO DSN KARANGREJO RT 015 / RW WARUNG KARANGREJO, WUNGU 082338343820
126 ‘3519077006390033 PON POYO DSN KARANGSEMI RT 023 / RW WARUNG KARANGREJO, WUNGU 081259945755
 5

NO NIK NAMA JENIS KELAMIN ALAMAT JENIS USAHA ALAMAT USAHA NO HP

KESATUAN
1 2 3 4 5 6 7 8 9
127 ‘3519077006590091 JAYEM DSN KARANGSEMI RT 028 / RW WARUNG KARANGREJO, WUNGU 085648877203
128 ‘3519074909750002 SUSANTI DS. TEMPURSARI RT.7 RW.2 PKL TEMPURSARI, WUNGU
129 ‘3519071404650002 NGABDUR ROHMAN DS. TEMPURSARI RT.8 RW.2 PKL TEMPURSARI, WUNGU
130 ‘3519076504750001 MUJI ASIH DS. TEMPURSARI RT.8 RW.2 PKL TEMPURSARI, WUNGU
131 ‘3519071612740004 SINGGIH SUKAMTA DS. TEMPURSARI RT.18 / 04 PKL TEMPURSARI, WUNGU 0895710159955
132 ‘3519072601690001 AMIN DS. TEMPURSARI RT.21 / 04 PKL TEMPURSARI, WUNGU 085856195167
133 ‘3519074803630002 SUJATI DS. TEMPURSARI RT 12/03 PKL TEMPURSARI, WUNGU 082231813270
134 ‘3519070206740006 SUKARDI DS. TEMPURSARI RT.9 RW.2 PKL TEMPURSARI, WUNGU 085646855043
135 ‘3519074708890002 WULAN PRASTYANTARI DS. TEMPURSARI RT.7 RW.2 PKL TEMPURSARI, WUNGU 082140780593
136 ‘3519076406870006 TITIN SETYANINGSIH DS. TEMPURSARI RT.7 RW.2 PKL TEMPURSARI, WUNGU 081335851983
137 ‘3519075107890006 ASIH KURNIAYU DS. TEMPURSARI RT.8 RW.2 PKL TEMPURSARI, WUNGU
138 ‘3519077006650015 SUNARSIH DS. TEMPURSARI RT.8 RW.2 PKL TEMPURSARI, WUNGU
139 ‘3519075002670004 SITI MARKAMAH DS. TEMPURSARI RT.8 RW.2 PKL TEMPURSARI, WUNGU
140 ‘3519074407770002 TATIK DS. TEMPURSARI RT.8 RW.2 PKL TEMPURSARI, WUNGU
141 ‘3519076404630001 ISTIMUR DS. TEMPURSARI RT.10 RW.2 PKL TEMPURSARI, WUNGU 082228089884
142 ‘3519070210940002 DANANG SURYA PATMANA DS. TEMPURSARI RT.10 RW.2 PKL TEMPURSARI, WUNGU 08999278727
143 ‘3519071304920002 RUSDIANTO DS. TEMPURSARI RT.10 RW.2 PKL TEMPURSARI, WUNGU 085859253330
144 ‘3519075407850001 NENI ARINDYA LARAS DS. TEMPURSARI RT.10 RW.2 PKL TEMPURSARI, WUNGU 085933213509
145 ‘3519074111740001 EVA SRI LESTARI DS. TEMPURSARI RT.18 / 04 WARUNG TEMPURSARI, WUNGU 085815579665
146 ‘3519074108800008 FITRIYAH DS. TEMPURSARI RT 14 /03 WARUNG TEMPURSARI, WUNGU 083845340914
147 ‘3519075308710001 SUMIYATI DS. TEMPURSARI RT 13/03 WARUNG TEMPURSARI, WUNGU
148 ‘3519076102780002 HARI UTAMI DS. TEMPURSARI RT 13/03 WARUNG TEMPURSARI, WUNGU 085746994223
149 ‘3519090710910002 MUH YUSUF CHAUSAR DS. TEMPURSARI RT 13/03 WARUNG TEMPURSARI, WUNGU 08563009708
150 ‘3519073112690005 SUGENG DS. TEMPURSARI RT.21 / 04 WARUNG TEMPURSARI, WUNGU 082334416318
151 ‘3519072403650001 DWI INDAH SUPRIHATIN DS. TEMPURSARI RT.6 RW.2 WARUNG TEMPURSARI, WUNGU 089648793261
152 ‘3519076609830001 DIAN KUSNAWATI DS. TEMPURSARI RT.9 RW.2 WARUNG TEMPURSARI, WUNGU 087787965645
153 ‘3519070709800006 SUPARLAN DS. TEMPURSARI RT.21 / 04 WARUNG TEMPURSARI, WUNGU 085011100308
154 ‘3519077112650005 SUKATINEM DS. TEMPURSARI RT.21 / 04 WARUNG TEMPURSARI, WUNGU 0857791132904
155 ‘3519071405640001 SAWIJI DS. TEMPURSARI RT.18 / 04 WARUNG TEMPURSARI, WUNGU 089621659920
156 ‘3519076208880006 SUS PROBOWATI DS. TEMPURSARI RT 14 /03 WARUNG TEMPURSARI, WUNGU 08973347819
157 ‘3519075712760006 SITI RUKAYAH DS. TEMPURSARI RT 15/03 WARUNG TEMPURSARI, WUNGU 085233656948
158 ‘3519077006590047 TANEM DS. TEMPURSARI RT.04 RW.1 WARUNG TEMPURSARI, WUNGU
159 ‘3519084905800002 SUTINI DS. SOBRAH RT. 02 RW 01 PKL SOBRAH, WUNGU 085755664326
 6

NO NIK NAMA JENIS KELAMIN ALAMAT JENIS USAHA ALAMAT USAHA NO HP

KESATUAN
1 2 3 4 5 6 7 8 9
160 ‘3519074508740002 SUPARMI DS. SOBRAH RT 05 RW 01 PKL SOBRAH, WUNGU 082231817741
161 ‘3519072207650001 MIDI DS. SOBRAH RT 07 RW 02 PKL SOBRAH, WUNGU 081553412085
162 ‘3519070510810004 SUWAJI DS. SOBRAH RT 09 RW 02 PKL SOBRAH, WUNGU 081615294331
163 ‘3519072003820005 SUKARDI DS. SOBRAH RT 10 RW 03 PKL SOBRAH, WUNGU 085706459385
164 ‘3519075610570002 SUMINI DS. SOBRAH RT 03 RW 01 PKL SOBRAH, WUNGU 081262240738
165 ‘3517045207660001 SUPARSIH DS. SOBRAH RT 08 RW 02 PKL SOBRAH, WUNGU 082264031104
166 ‘3519076105620004 SUMARMI DS. SOBRAH RT 09 RW 02 PKL SOBRAH, WUNGU 081553644980
167 ‘3519071007670003 JIMAN DS. SOBRAH RT 10 RW 03 PKL SOBRAH, WUNGU 085648697484
168 ‘3519075801840002 SULASTRI DS. SOBRAH RT 10 RW 03 PKL SOBRAH, WUNGU 081332029710
169 ‘3519074807650003 KAMINAH DS. SOBRAH RT 10 RW 03 PKL SOBRAH, WUNGU 085791416079
170 ‘3519072306760003 PURWANTO DS. SOBRAH RT 12 RW 03 PKL SOBRAH, WUNGU 085804460168
171 ‘3526081607710003 SUMONO DS. SOBRAH RT 12 RW 03 PKL SOBRAH, WUNGU 085852020343
172 ‘3519071609740002 SARMADI DS. SOBRAH RT 13 RW 03 PKL SOBRAH, WUNGU 081234866201
173 ‘3519074807680002 SIMPEN DS. SOBRAH RT 03 RW 01 WARUNG SOBRAH, WUNGU 085733363421
174 ‘3519075708670004 SUGIARTI DS. SOBRAH RT 04 RW 01 WARUNG SOBRAH, WUNGU 083851027175
175 ‘3519075901700002 DARTINI DS. SOBRAH RT 09 RW 02 WARUNG SOBRAH, WUNGU 081555494889
176 ‘3519074311650002 TAMINI DS. SOBRAH RT 05 RW 01 WARUNG SOBRAH, WUNGU 085739618995
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186 ‘3519074606750004 SUPARTI DS. NGLAMBANGAN RT. 04/01 PKL NGLAMBANGAN, WUNGU
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190 ‘3519070403770002 PARNO DS. NGLAMBANGAN RT. 01/01 PKL NGLAMBANGAN, WUNGU
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 7

NO NIK NAMA JENIS KELAMIN ALAMAT JENIS USAHA ALAMAT USAHA NO HP

KESATUAN
1 2 3 4 5 6 7 8 9
193 ‘3519070107770001 SUPRIARSO DS. NGLAMBANGAN RT. 02/01 PKL NGLAMBANGAN, WUNGU
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197 ‘3519077006620059 SUMINI DS. NGLAMBANGAN RT. 02/01 WARUNG NGLAMBANGAN, WUNGU
198 ‘3519077011750001 SRI LESTARI DS. NGLAMBANGAN RT. 12/02 WARUNG NGLAMBANGAN, WUNGU
199 ‘3519076207740002 LAMIRAH DS. NGLAMBANGAN RT. 18/03 WARUNG NGLAMBANGAN, WUNGU
200 ‘3519075810550001 SANIJEM DS. NGLAMBANGAN RT. 02/01 WARUNG NGLAMBANGAN, WUNGU
201 ‘3519077006700028 SULASTRI DS. NGLAMBANGAN RT. 12/02 WARUNG NGLAMBANGAN, WUNGU
202 ‘3519076108750002 SURATI DS. NGLAMBANGAN RT. 03/01 WARUNG NGLAMBANGAN, WUNGU
203 ‘3519071411880001 SULIONO DS. NGLAMBANGAN RT.09/02 WARUNG NGLAMBANGAN, WUNGU
204 ‘3519076804600002 HARSILAH DS. NGLAMBANGAN RT.11/02 WARUNG NGLAMBANGAN, WUNGU
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208 ‘3519076606550001 NYAINEM DS. NGLAMBANGAN RT.17/02 WARUNG NGLAMBANGAN, WUNGU
209 ‘3519074409720006 YANA MARDIYANA DS. NGLAMBANGAN RT.21/03 WARUNG NGLAMBANGAN, WUNGU
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216 ‘3519076909710001 SUTINAH DS. NGLANDUK RT. 08/03 PKL NGLANDUK, WUNGU 085851249611
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 8

NO NIK NAMA JENIS KELAMIN ALAMAT JENIS USAHA ALAMAT USAHA NO HP

KESATUAN
1 2 3 4 5 6 7 8 9
226 ‘3519075811650001 PARMI DS. NGLANDUK RT. 03/01 WARUNG NGLANDUK, WUNGU 085335667727
227 ‘3519077006570078 MURMINI DS. NGLANDUK RT. 10/04 WARUNG NGLANDUK, WUNGU
228 ‘3519074305750001 WINARSIH DS. NGLANDUK RT. 10/04 WARUNG NGLANDUK, WUNGU 081217302867
229 ‘3519075811650001 PARMI DS. NGLANDUK 12/05 WARUNG NGLANDUK, WUNGU 0821217526403
230 ‘3519071303940004 ALI MUTOHAR DS. NGLANDUK 12/05 WARUNG NGLANDUK, WUNGU 085790422925
231 ‘3519071208790004 AGUS SAMIONO DS. NGLANDUK 14/05 WARUNG NGLANDUK, WUNGU 085735672220
232 ‘3519155008820004 UMI RUBIYAH DS. NGLANDUK RT 10/04 WARUNG NGLANDUK, WUNGU 081335190485
233 ‘3519076002790004 SULASTRI DS. NGLANDUK RT 11/04 WARUNG NGLANDUK, WUNGU
234 ‘3519074112600002 SITI AMINAH DS. NGLANDUK RT 14/05 WARUNG NGLANDUK, WUNGU
235 ‘3507156204790004 MUNAZILAH DS. NGLANDUK RT 05/02 WARUNG NGLANDUK, WUNGU
236 3519072607750004 ISMADIANTO DS. NGLANDUK 12/05 WARUNG NGLANDUK, WUNGU 085856831463
237 ‘6202051212790007 MARIYONO DS. NGLANDUK 13/05 WARUNG NGLANDUK, WUNGU 085748501569
238 ‘3519070409890001 AKHMAD ZAKARIA DS. NGLANDUK 10/04 WARUNG NGLANDUK, WUNGU 085649736182
239 ‘3519070103720003 SUPARNO DS. NGLANDUK 05/02 WARUNG NGLANDUK, WUNGU 085233934771
240 ‘3519072102730001 PRAYETNO DS. BANTENGAN RT. 09/03 PKL BANTENGAN, WUNGU 08990406040
241 ‘3519077006520002 KATIYEM DS. BANTENGAN RT. 001/001 PKL BANTENGAN, WUNGU 085739658736
242 ‘3519071007690001 SUKIMIN DS. BANTENGAN RT. 10/04 PKL BANTENGAN, WUNGU 085854088259
243 ‘3519074107650002 YULIATI DS. BANTENGAN RT. 014/006 PKL BANTENGAN, WUNGU 082152041395
244 ‘3519074407790009 SUCI RAHAYU DS. BANTENGAN RT. 001/001 PKL BANTENGAN, WUNGU 085739658736
245 ‘‘3519075711600002 MISINEM DS. BANTENGAN RT. 04/02 WARUNG BANTENGAN, WUNGU 087766996601
246 ‘3577034207700001 WULANDARI DS. BANTENGAN RT. 014/006 WARUNG BANTENGAN, WUNGU 081216103559
247 ‘3519073006600075 SUKARDI DS. BANTENGAN RT. 14/06 WARUNG BANTENGAN, WUNGU 085755292988
248 ‘3519075506650005 SARMI DS. BANTENGAN RT. 018/008 WARUNG BANTENGAN, WUNGU 085791513564
249 ‘3519072005570001 PARNO DS. BANTENGAN RT. 014/006 WARUNG BANTENGAN, WUNGU
250 ‘3519074706950002 DEWI SETTIYANINGRUM DS. BANTENGAN RT. 014/006 WARUNG BANTENGAN, WUNGU 085784016646
251 ‘3519073006860009 SUSANTO PRASETYO DS. BANTENGAN RT. 011/004 WARUNG BANTENGAN, WUNGU 085259724555
252 ‘3519075008830006 SUTINAH AYUNINGSARI DS. BANTENGAN RT. 007/003 WARUNG BANTENGAN, WUNGU 085607403532
253 ‘3519074710590002 KATIRAH DS. BANTENGAN RT. 010/004 PKL BANTENGAN, WUNGU
254 ‘3519074708610002 YATEMI DS. Nglambangan RT. 01/01 PKL NGLAMBANGAN, WUNGU
255 ‘3519077006690048 WARSIH DS. Nglambangan RT. 06/01 PKL NGLAMBANGAN, WUNGU
256 ‘3519034506800003 SRI SUBANGUN DS. Nglambangan RT. 07/01 PKL NGLAMBANGAN, WUNGU
257 ‘3519072211910001 Muhamad Ghofur DS. BRUMBUN RT. '04/01 PKL BRUMBUN, WUNGU 08819144891
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 9

NO NIK NAMA JENIS KELAMIN ALAMAT JENIS USAHA ALAMAT USAHA NO HP

KESATUAN
1 2 3 4 5 6 7 8 9
259 ‘3519073006680020 Mariyono DS. BRUMBUN RT. '05/01 PKL BRUMBUN, WUNGU
260 ‘3519071911710001 Mesdi DS. Brumbun RT. '04/01 PKL BRUMBUN, WUNGU
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262 ‘3519077006630015 Kaminem DS. Brumbun RT. '10/01 PKL BRUMBUN, WUNGU
263 ‘3519080811820001 SUNAWAN DS. Sobrah RT 12 RW 03 PKL SOBRAH, WUNGU 089619664850
264 ‘3519076402870001 FEBRIYANTI DS. MOJOPURNO RT. 001/001 PKL MOJOPURNO, WUNGU
265 ‘3519071308520001 SUPRIYANTO DS. MOJOPURNO RT. 001/001 PKL MOJOPURNO, WUNGU
266 ‘3519071512830007 EKA BUDIARTO SUMALI DS. MOJOPURNO RT. 007/001 PKL MOJOPURNO, WUNGU
267 ‘3519074107610002 MARMI DS. MOJOPURNO RT. 035/004 PKL MOJOPURNO, WUNGU
268 ‘3519075203520003 MUJI Ngandong RT 16 RW 02 DS. Krese PKL KRESEK, WUNGU
269 ‘3519075509930002 DWI DANTI ARIANI KEL. WUNGU RT 21 RW 02 PKL WUNGU, WUNGU 089505286466
270 ‘3519075806930001 PONA DAYUNG SUTRA KEL. WUNGU RT 16 RW 02 PKL WUNGU, WUNGU
271 ‘3519075206010003 SITI FATMA SARI KEL. Wungu RT 28 RW 02 PKL WUNGU, WUNGU
272 ‘3519076901970003 ERIKE RAMADHANI KEL. WunguRT 28 RW 02 PKL WUNGU, WUNGU
273 ‘3519075007900001 RITA YULIANA KEL. Wungu 'RT. '20/02 PKL WUNGU, WUNGU
274 ‘3519070305670007 SYATORI KEL. Wungu 'RT. '20/02 PKL WUNGU, WUNGU
275 ‘3519072504500002 MUDZAKIR KEL. Wungu RT 16 RW 02 PKL WUNGU, WUNGU
276 ‘3519076205790004 Sumiati DS. BRUMBUN RT. '08/01 WARUNG BRUMBUN, WUNGU 081615411019
277 ‘3519076804750001 Nining Enindya Sutiyah DS. BRUMBUN RT. '09/01 WARUNG BRUMBUN, WUNGU
278 ‘3519072508650002 Purwadi DS. Brumbun RT. '01/01 WARUNG BRUMBUN, WUNGU
279 ‘3519077006550101 Sulami DS. Brumbun RT. '06/01 WARUNG BRUMBUN, WUNGU
280 ‘3519073112680008 SLAMET DS. SOBRAH RT 06 RW 02 WARUNG SOBRAH, WUNGU 08567662639
281 ‘3519075009710001 SUPRIATI KEL. WUNGU RT 17 RW 02 WARUNG WUNGU, WUNGU
282 ‘3519074806900001 PIPIT PUSPITASARI KEL. WUNGU RT 23 RW 02 WARUNG WUNGU, WUNGU
283 ‘3519077006690048 WARSIH DS. Nglambangan RT. 06/01 PKL NGLAMBANGAN, WUNGU

Madiun, september 2021

KEPALA KEPOLISIAN RESOR MADIUN
 10

NO NIK NAMA JENIS KELAMIN ALAMAT JENIS USAHA ALAMAT USAHA NO HP

KESATUAN
1 2 3 4 5 6 7 8 9
JURY LEONARD SIAHAAN, S.I.K., M.H.
AJUN KOMISARIS BESAR POLISI NRP 76071043
11

NIK

2
3519074508570000
3519051904880000
3519077006610030
3519075311530000
3519075202730000
3519071311930000
3519074512820000
3519074511790000
3577035811940000
3519073006720020
3519074411480000
3519075203520000
3519072502740000
3519075009610000
3519074406520000
3519075504700000
3519075011720000
3519074305800000
3519074408570000
3519076402870000
3519071308520000
3519071512830000
3519074107610000
3519075312770000
3519074910710000
3519073006460000
3519070101570000
12

NIK

2
3519075102800000
3519070509730000
3519075311690000
3519076209910000
3519075005580000
3519074709660000
3501105212900010
3519074701520000
6471055708890000
3519075206790000
3518187006870000
3519076111770000
3519076605810000
3519076607710000
3577036405870000
3519075207840000
3519071206540000
3519074310690000
3519077012670000
3519075003790000
3519076607740000
3519077006560030
3519076507720000
3519075106700000
3519070505790000
3519075703680000
3174045907750010
3519072506690000
3519074404640000
 3519072001650001
 1871035509760001
 3519072001670001
 3577030809820002
13

NIK

2
 3519071011790007
 3519074602650002
 3519076503610002
 3519070706860002
 3519074706620002
 3519075210740002
 3519076309630001
 3519070701740003
 3519074307540003
 3519075507750004
 3519074805830001
 3519075111730002
 3519074508590004
 3519071901530001
 3519074411680002
 3519075209850001
 3519075109670004
 3519070710700001
 3519075005850004
 3519075203620004
3519075905710000
 3519074707820003
 3519074805840004
3519074602800000
3519075902470000
3519076205770010
3519075008730000
3519070808630000
3519075203670000
3519071510580000
3519074507750000
3519074305590000
3519075802770000
14

NIK

2
3519071911850000
3519075703630000
3519076205620000
3519076808830000
3519075505830000
3519074912670000
3519071606820000
3519075006830000
3519074303800000
3519075607790000
3519075009570000
3519072211910000
3519070806860000
3519070806860000
3519070806860000
3519074304750000
3519074306780000
3519075412550000
3519075505810010
3519075102580000
3519074401920000
3519075907950000
3519072103760000
3519071604910000
3519074410820000
3519076309710000
3519073112570000
3519076411920000
3519077006550080
3519074501630000
3519074509720000
3519074202750000
3519077006390030
15

NIK

2
3519077006590090
3519074909750000
3519071404650000
3519076504750000
3519071612740000
3519072601690000
3519074803630000
3519070206740000
3519074708890000
3519076406870000
3519075107890000
3519077006650010
3519075002670000
3519074407770000
3519076404630000
3519070210940000
3519071304920000
3519075407850000
3519074111740000
3519074108800000
3519075308710000
3519076102780000
3519090710910000
3519073112690000
3519072403650000
3519076609830000
3519070709800000
3519077112650000
3519071405640000
3519076208880000
3519075712760000
3519077006590040
3519084905800000
16

NIK

2
3519074508740000
3519072207650000
3519070510810000
3519072003820000
3519075610570000
3517045207660000
3519076105620000
3519071007670000
3519075801840000
3519074807650000
3519072306760000
3526081607710000
3519071609740000
3519074807680000
3519075708670000
3519075901700000
3519074311650000
3519076109810000
3519075012540000
3519074308610000
3519075108630000
3519075108770000
3519076804730000
3519076302560000
3519076808800000
3519076605510000
3519074606750000
3519071006770000
3519077006780010
3519075004870000
3519070403770000
3519073006600030
3519083006700020
17

NIK

2
3519070107770000
3519077001490000
3318015110910000
3519077112580000
3519077006620050
3519077011750000
3519076207740000
3519075810550000
3519077006700020
3519076108750000
3519071411880000
3519076804600000
3519075912750000
3519070809590000
3519077006550110
3519076606550000
3519074409720000
3519070301720000
3519071809730000
3519071011820010
3519075803760000
3519075207740000
3519072106570000
3519076909710000
3519074401660000
3519074406680000
3519071207820000
3519077112580000
3519076712670000
3519074706750000
3519074803560000
3519074505700000
3519072408920000
18

NIK

2
3519075811650000
3519077006570070
3519074305750000
3519075811650000
3519071303940000
3519071208790000
3519155008820000
3519076002790000
3519074112600000
3507156204790000
35190726607750000
6202051212790000
3519070409890000
3519070103720000
3519072102730000
3519077006520000
3519071007690000
3519074107650000
3519074407790000
3519075711600000
3577034207700000
3519073006600070
3519075506650000
3519072005570000
3519074706950000
3519073006860000
3519075008830000
3519074710590000
19

NIK

2
NO POLSEK JML BTPKLW
1 POLSEK BALEREJO 375
2 POLSEK NGLAMES 200
3 POLSEK WUNGU 283
4 POLSEK GEMARANG 136
5 POLSEK KARE 133
6 POLSEK MEJAYAN 264
7 POLSEK PILANGKENCENG 391
8 POLSEK SARADAN 290
9 POLSEK GEGER 389
10 POLSEK DOLOPO 216
11 POLSEK KEBONSARI 301
12 POLSEK DAGANGAN 317
13 POLSEK WONOASRI 198
TOTAL 3,493 1,500,000
5,239,500,000
3,493
0
DATA AWAL
375 0
200 0
253 -30
136 0
135 2
264 0
391 0
301 11
398 9
216 0
295 -6
317 0
199 1
3,480 -13