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Hal 1 dari 26

Daftar Rekanan Mitra Distribusi Independen Chubb

No. Nama Lokasi No. Sertifikat

1 Erlina Lisiani Balikpapan 20.181212.00.03.012850.2002

2 Istiqomah Balikpapan 20140814.A02.100018715

3 A Sujatniko Bandung 01.250613.00.02.013625.0101

4 Ade Taswin Bandung 02.161214.00.01.020021.0201

5 Adelina Juniyati Sihombing Bandung 20140123.A02.100015339

6 Agus Mulyana Bandung 01.310108.00.05.011499.0101

7 Angga Permana Putra Bandung 20181022.A01-000001721

8 Anton Agustian Bandung 20090717.A01.100000036

9 Arnanto Kartamihardja Bandung 02.250310.00.04.002801.0201

10 Asep Mangku Bandung 01.040909.00.04.000916.0101

11 Bachtiar Yusuf Bandung 02.250310.00.04.002802.0201

12 Batara Gamaliel Pardede Bandung 02.250310.00.04.002794.0201

13 Budi Heryanto Bandung 02.250310.00.04.002803.0201

14 Budi Sartono Bandung 20180629.A01-000000417

15 Buyung Haryanto Bandung 20190124.A01-000003863

16 Chandra Gumilar Bandung 20191023.A01-000000005

17 Charles Parluhutan Bandung 20090717.A01.100000304

18 Cucu Suryani Bandung 20191125.A02-000000007

19 Dade Iskandar Kurnaedi Bandung 01.291013.00.00.014556.0201

20 Danny Sutanto Bandung 20100325.A01-100002708

21 David Kwan Bandung 20181022.A01-000001728

22 Davy Irianto Sunarya Bandung 02.250310.00.03.002816.0201

23 Dharmawan Soetjipto Bandung 20190731.A01-000000017

24 Dodi Andria Bandung 20130423.A01-100013323

25 Dodo Suparman Bandung 02.250310.00.04.002702.0201

26 Elyane Yanwar Bandung 20140502.A02.100017213

27 Ernie Gunawan Bandung 20100325.A02.100002736

28 Erwin L Sihombing Bandung 01.170709.00.04.000280.0101

29 Fazar Fauzirahman Bandung 20110527.A01.100007896

30 Filimon Bandung 20110527.A01.100007885

31 Fitriansyah Bandung 20090904.A01-100000925

32 Funny Ratnawati Benwibowo Bandung 20080131.A02-100012571

33 George Johanes Budijanto Bandung 20190916.A01-000000004

Diterbitkan 01/20


Hal 2 dari 26

34 Hilmi Adriansyah Bandung 20191125.A01-000000003

35 Ikhwan Syah Bandung 20191021.A01-000000001

36 Indra Ramdhani Bandung 02.250310.00.04.002762.0201

37 Iskandar Santoso Bandung 20090904.A01-100000924

38 Jannie Herijani Bandung 20181022.A02-000001722

39 Joko Tri Hartanto Bandung 20191125.A01-000000005

40 Juliana Susanti Howan Bandung 20190923.A02-000000002

41 Kevin Ardi Juwono Bandung 02.250310.00.03.002818.0201

42 Lili Suparli Bandung 20190423.A01-000005598

43 Lilis Halim Bandung 20080131.A01-100011759

44 Lilis Maya Puspita Bandung 20140814.A02.100018516

45 Lim Ay (Lukas) Bandung 01.040909.00.03.000928.0101

46 Loekman Bandung 20191113.A01-000000016

47 Martadinata Ciungwanara Bandung 20100325.A01.100002739

48 Melia Agustine Tjio Bandung 20170309.A02-100027286

49 Mimi Maidawati Bandung 20191115.A02-000000010

50 Nuriani Krisnawati Damaske Bandung 20120315.A02-100010855

51 Pargiwa Bandung 20111110.A01.100010122

52 Paulus Bunawan Tjitra Bandung 02.250310.00.04.002725.0201

53 Rachmat Suwardi Bandung 02.160114.00.00.015276.0201

54 Rachmawaty Bandung 02.290910.00.03.004311.0201

55 Rahayu Bandung 20161018.A02-100025992

56 Ratna Kusuma Bandung 20150324.A02.100020990

57 RD Firman Syahrul Mulya Bandung 20190923.A01-000000005

58 Reisha Oktaviany P Bandung 20190820.A02-000000011

59 Rian Setiawan Anugrah Bandung 20190815.A01-000000024

60 Sahala Saut Pardomuan Sihombing Bandung 02.101111.00.03.010105.0201

61 Sansan Alamsyah Bandung 01.031213.00.02.014931.0201

62 Sarah Celvi Benjamin Bandung 20191125.A02-000000003

63 Senny Witanti Bandung 20191115.A02-000000012

64 Soni Timotius Gulo Bandung 20080131.A01-100011637

65 Sri Wulan Awalina Bandung 20190802.A02-000000015

66 Stevanus D Darsono Bandung 20090904.A01-100000911

67 Suharta Tirta Bandung 20140814.A02.100018715

68 Sumardiyatmo Bandung 20190923.A01-000000007

69 Themazaro Mendrofa Bandung 20191023.A01-000000004

70 Vity Rahdiani Bandung 20191125.A02-000000006

71 Walujo Setiono Bandung 02.250310.00.03.002767.0201

72 Winda Friyanti Bandung 01.110917.00.00.028744.0208



Hal 3 dari 26

73 Yayan Taryadi Bandung 20110527.A01.100007884

74 Yayat Ruhiyat Bandung 20080131.A01-100011758

75 Yen Hardi Bandung 20090904.A01.100000697

76 Yoshua Budijanto Bandung 01.040909.00.03.000693.0101

77 Yugo Jeheskel Wattimena Bandung 20190909.A01-000000003

78 Yunita Agustiantanti Bandung 20190906.A02-000000018

79 Agus Budiman Bogor 01.221215.00.01.023595.0101

80 Andi Pardianto Bogor 20181019.A01-000001714

81 Andy Kamajaya Bogor 20191206.A01-000000035

82 Antonius Effendi Bogor 20191108.A01-000000017

83 Devi Wahyudi Bogor 20120913.A01.100012042

84 Erlin Erliany Bogor 20110621.A02.100008603

85 Ferri Yanto Setiowibowo Bogor 20160322.A01.100024036

86 Hari Dipa Bogor 20130531.A01.100013592

87 Herbert Arifin Bogor 20090730.A01-100000629

88 Imam Muryono Bogor 20130625.A01.100013667

89 Indra Andriansyah Bogor 20110419.A01.100007244

90 Muchammad Sarwono Purwa Jayadi Bogor 20160317.A01.100024226

91 Rudi Hartanto Bogor 20130214.A01.100012980

92 Sapto Purwiantono Bogor 20190903.A01-000000022

93 Wiwin Tinawati Bogor 01.070317.00.00.027226.0101

94 Ari Mahardika Cirebon 06 11 000 8182

95 Brahmeka Praseptadie Cirebon 20190128.A01-000004004

96 Murniawati Cirebon 20190115.A02-000003565

97 Nevi Prasetyarini Cirebon 20190115.A02-000003563

98 Saelan Cirebon 20140522.A01.100017619

99 Yudi Jumaedi Cirebon 20190122.A01-000003747

100 Anak Agung Ketut Merta Denpasar 20140821.A01.100018819

101 Andre Rahardja Denpasar 20110514.A01.100007443

102 Edy Karman Denpasar 20110714.A01-100009081

103 Endi Maryadi Denpasar 20131112.A01-100014851

104 Eva Carolina Tio Denpasar 07.140711.00.03.009069.0701

105 Fransisco Redy Denpasar 20080131.A01.100020182

106 I Gst Ag PT Yasa Saputra Denpasar 07.020910.00.04.004054.0701

107 I Gusti Agung Dewi Darmapatni Denpasar 20100902.A02.100004005

108 I Gusti Ayu Ngurah Eva Intan Swandhewi Denpasar 20190215.A02-000004343

109 I Gusti Ayu Raka Sudani Denpasar 20120531.A02-100011589

110 I Gusti Bagus Mataram Pasimpangan Denpasar 20190215.A01-000004342

111 I Gusti Bagus Wiratmaja Denpasar 20131112.A01-100014853



Hal 4 dari 26

112 I Gusti Ngurah Abdi Wisatawan Denpasar 20100902.A01-100003924

113 I Gusti Putu Wahyu Pramana Denpasar 20190211.A01-000004229

114 I KD A Dharma Juni Astrawan Denpasar 20100902.A01.100003928

115 I Nyoman Suryawan Denpasar 07.020910.00.04.003977.0701

116 I Putu Gede Suthamaya Denpasar 07.020910.00.04.003927.0701

117 I Putu Suranaya Denpasar 20190824.A01-000000002

118 I Wayan Eva Ariana Denpasar 20140821.A01.100018822

119 I Wayan Sudiarta Denpasar 20150326.A01-100021085

120 Ida Dawiah Denpasar 20170510.A02.100027749

121 Kadek Ayu Suarningsih Denpasar 20190723.A02-000000012

122 Ketut Sanda Denpasar 07.230114.00.02.015401.0701

123 Lina Aida Denpasar 20100902.A02-100003995

124 Made Dwi Perwana Denpasar 20130220.A02.100013026

125 Mairani Tanjung Denpasar 20100902.A02.100003993

126 Ni Ketut Sukaryaningsih Denpasar 20140123.A02.100015406

127 Ni Made Sutarini Denpasar 20100902.A02-100003981

128 Niluh Dewitika Gurry Denpasar 07.230114.00.02.015345.0701

129 Oktavianus DT Mara Denpasar 07.140711.00.03.009078.0701

130 Putu Sanji Widnyana Denpasar 20100902.A01-100003923

131 Raden Roro Diah Pratiwi Anggrawati Denpasar 20170510.A02.100027750

132 Ratna Wijayanti Denpasar 02.160114.00.02.015277.0701

133 Richard Fransilius Soegiardjo Denpasar 07.020910.00.03.003894.0701

134 Suwito Denpasar 20100902.A01-100004004

135 Takako Nakahara Denpasar 20150326.A02-100021079

136 Tjoe Yoseph Denpasar 20190722.A01-000000007

137 Tommy Setiana Denpasar 20160504.A01.100024674

138 Vinsensius Jehaut Denpasar 20120531.A01.100011656

139 Wahyu Eliya Sisnardiyanti Denpasar 07.230114.00.00.015399.0701

140 Wendy Ferdinand Denpasar 20080131.A01-100020179

141 Windy Novita Denpasar 20180518.A02-000000199

142 Abdul Barri Karim Jakarta 20190806.A01-000000013

143 Abdul Rohman Jakarta 20191004.A01-000000021

144 Ade Melvin Tanial Jakarta 01.190411.00.03.007185.0101

145 Adi Caroko Jakarta 20080131.A01.100011911

146 Adytia Hening Prasurya Jakarta 20170214.A01-100026885

147 Afni Porter Murtopo Jakarta 01.220316.00.00.024037.0101

148 Afrizal Jakarta 01.310108.00.05.011611.0101

149 Agoestini Yudawati Jakarta 01.280410.00.04.002924.0101

150 Agus Priady Jakarta 01.211009.00.04.001167.0101



Hal 5 dari 26

151 Agustiawan Boentoro Jakarta 20190514.A01-000005831

152 Agustina DR Simbolon Jakarta 20190829.A02-000000009

153 Ahok Jakarta 20080131.A01-100011945

154 Aji Indra Baskoro Jakarta 01.221215.00.01.023660.0101

155 Alexander Susanto Jakarta 01.130912.00.03.011947.0101

156 Alfons Iman Hardjasaputra Jakarta 01.280715.00.00.021944.0101

157 Amelia Dewi Pusparini Jakarta 20170124.A02.100026721

158 Anastasia Setyo Lestari Jakarta 06.061112.00.03.012334.0601

159 Anastasia Varani Daryati Jakarta 20190829.A02-000000012

160 Andi Dwirani Clara Sinta Jakarta 20190507.A01-000005731

161 Andrea Budi Dharma Laya Jakarta 20100928.A01-100004165

162 Andreas Marthinus Unu Jakarta 20100120.A01-100002341

163 Andreas Simorangkir Jakarta 20170411.A01.100027583

164 Andri Fendriani Jakarta 20190711.A01-000000006

165 Andri Radjab Jakarta 01.310108.00.05.015569.0101

166 Andriana Sulung R Jakarta 20190829.A02-000000011

167 Andrianus Irwan Tanudjaja Jakarta 01.230816.00.00.025738.0101

168 Andry Priyanto Jakarta 20110621.A01.100008796

169 Angger Khusnaidie Jakarta 20160426.A01.100024451

170 Anggreini Synthia Kereh Jakarta 20190917.A02-000000019

171 Anita Elisabeth Lolaen Jakarta 20190814.A02-000000006

172 Anni Sopannata Jakarta 20091118.A02.100001373

173 Anton Gunawan Jakarta 20191016.A01-000000019

174 Anton Sadana Jakarta 20080131.A01.100012285

175 Ardyan Widjokongko Jakarta 20120913.A01.100012027

176 Armen Sunarto Jakarta 01.310108.00.05.011461.0101

177 Arya Sushanggoro Jakarta 01.310108.00.05.011570.0101

178 Aspanih Jakarta 01.1309.12.00.03.012041.0105

179 Asrul Dani Jakarta 20101013.A01.100004429

180 Audi Ardito Sularso Jakarta 20180906.A01-000000998

181 Ayu Pipie Setiawati Jakarta 20100120.A02-100002227

182 Azidir Jakarta 20090717.A01.100000301

183 Bagus Pribadi Jakarta 01.220316.00.00.024038.0101

184 Bardono Triwibowo Jakarta 0709 000138

185 Basoeki Tantra Jakarta 01.171115.00.01.022970.0101

186 Basri Adhi Jakarta 20160823.A01.100025668

187 Bayu Ariyantoro Jakarta 20190905.A01-000000003

188 Benedictus Benny Susanto Jakarta 20091021.A01-100001173

189 Betty Toding Jakarta 01.211009.00.04.001174.0101



Hal 6 dari 26

190 Binardi Bachtiar Jakarta 20110120.A01-100006379

191 Bong Steven Jakarta 01.010318.00.00.033741.0101

192 Bonifacia Gesuriati S. Jakarta 01.191217.00.00.031840.0101

193 Boyke Chandra Kartiko Jakarta 01.161215.00.01.023294.0101

194 Brian Gigih Misionaris Jakarta 20190611.A01-000006054

195 Bucharman Widjanarko Jakarta 01.220316.00.01.024053.0101

196 Budi Prasetyo Jakarta 20100120.A01-100002204

197 Budy Santoso Jakarta 20190918.A01-000000015

198 Cecilia Amanda Gantini Jakarta 20110929.A02.100009757

199 Christine Yulianingsih Jakarta 20190731.A02-000000011

200 Cindy Laurensia Jakarta 01.300713.00.02.013880.0101

201 Cristine Rahardjo Jakarta 01.290911.00.03.009677.0101

202 Darmadji Sidik Jakarta 20190828.A01-000000007

203 David Sutoyo Jakarta 20190208.A01-000004185

204 Davita Athalia Jakarta 20191009.A02-000000018

205 Davy Elias Pribadi Jakarta 01.310108.00.05.011446.0101

206 Dendy Priandana Jakarta 20190830.A01-000000003

207 Deni Sapril Jakarta 01.210611.00.03.008737.0101

208 Dewani Jakarta 20191217.A02-000000010

209 Dewi Hariyati Jakarta 01.010318.00.00.033722.0101

210 Djati Jakarta 20090904.A02-100000882

211 Djoko Soerjanto Jakarta 20191226.A01-000000011

212 Dodi M Jakarta 20080131.A01.100011392

213 Dody Wijanarko Jakarta 20150224.A01.100020512

214 Doly Yerickho Sidebang Jakarta 01.030215.00.01.020309.0101

215 Donny Ariel Luanda Sipayung Jakarta 01.300709.00.04.000620.0101

216 Donny D Darmawan Jakarta 20110208.A01-100006502

217 Dwi Novanto Jakarta 20160223.A01.1000237.52

218 Dyah Nirmala Widhi Astuti Jakarta 20190917.A02-000000018

219 Eddy Sidik Jakarta 20120515.A01-100011211

220 Edison Jakarta 01.210611.00.03.008643.0101

221 Edwin Tanial Jakarta 01.030913.00.02.014227.0105

222 Edwin Wisantyo Jakarta 20110818.A01.100009467

223 Edyson Jakarta 20121129.A01.100012756

224 Effendy Robert M Jakarta 20140502.A01-100017133

225 Eka Djaja Jakarta 01.170709.00.04.000097.0101

226 Eldwen Hizkia Thomas Jakarta 20170411.A01.100027571

227 Elfrinal Jakarta 20091118.A01-100001424

228 Elis Aminah Jakarta 01.310108.00.05.011610.0101



Hal 7 dari 26

229 Elisa Soegiharto Jakarta 20100120.A02-100002233

230 Ellen Krisanti Rustandi Jakarta 20091118.A02.100001366

231 Elly Jakarta 01.210710.00.04.003354.0101

232 Emeliawati Sudharmadi Jakarta 01.010318.00.00.033723.0101

233 Endah Kurniasih Jakarta 20191112.A02-000000006

234 Erick Tjuatja Jakarta 20190716.A01-000000017

235 Ermawati Jakarta 01.170709.00.04.000275.0101

236 Ermince H Helena Siahaan Jakarta 01.230413.00.02.013339.0101

237 Ester Yanah Jakarta 01.190917.00.00.029327.0101

238 Esti Tunjungsirih Jakarta 01.170709.00.04.000042.01.01

239 Eugenius Lewidio Wibisono Jakarta 20190718.A01-000000009

240 Evendi Pandana Jakarta 20130625.A01.100013646

241 Faisal Rinaldi Jakarta 20190829.A01-000000024

242 Fajar Bagus Garnito Jakarta 01.121113.00.02.014889.0101

243 Farida Yahya Jakarta 01.260416.00.01.024454.0101

244 Fauzi Ahmad Jakarta 01.171115.00.01.022959.0101

245 Febriyanto Limas Jakarta 20101111.A01-100004957

246 Febryna Sari Jakarta 20190829.A02-000000010

247 Feelia Jakarta 01.200111.00.02.006382.0101

248 Felix Johan Suryajaya Jakarta 20191113.A01-000000014

249 Fendra Yunanda Jakarta 20190524.A01-000006012

250 Fenny Kusumawati Jakarta 01.181016.00.00.26050.101

251 Ferdi Muljadi Jakarta 01.191217.00.00.031838.0101

252 Firdianita Solikhati Jakarta 20190829.A02-000000008

253 Firmansyah Jakarta 01.211009.00.04.001245.0101

254 Fivil Ocwan Tianus Jakarta 20190822.A01-000000004

255 Fonica Chandra Koh Jakarta 01.291112.00.03.012733.0101

256 Fony Setyo Jakarta 20190917.A02-000000024

257 Frangky Christoffel Parengkuan Jakarta 20190910.A01-000000004

258 Frank Kusnadi Jakarta 20171107.A01.100030468

259 Fransisca M Sukawati Jakarta 01.180811.00.03.009595.0101

260 Fransisca Retna Jakarta 20190917.A02-000000016

261 Fransiskus Rasdi Jakarta 20120315.A01-100010734

262 Frenklin Henri Gultom Jakarta 20190918.A01-000000002

263 Friscelia Proventia Manurung Jakarta 20190711.A02-000000008

264 Friska Jakarta 01.040314.00.01.016074.0101

265 Golda Rouli Bunbunan P Jakarta 20080131.A01-100011576

266 Grace Nurdiansyah Jakarta 20190927.A02-000000004

267 Hadibowo Tjandra Jakarta 20111101.A01.100009956



Hal 8 dari 26

268 Han Han Jakarta 20131203.A01-100014967

269 Hanako Kairupan Jakarta 20080131.A02.100012472

270 Handojo Sutiono Jakarta 20180913.A01-000001044

271 Handy Boediman Jakarta 01.110616.00.00.021916.0101

272 Hari Murhadi Jakarta 20100928.A01.100004171

273 Hartono Sumardi Jakarta 20190909.A01-000000002

274 Hartuti Kusumadewi Jakarta 20080131.A02.100012726

275 Haryanto Heles Koe Jakarta 01.250214.00.02.015737.0101

276 Hasim N Jakarta 20180913.A01-000001043

277 Hendra Ginoto Jakarta 20090730.A01.100000450

278 Hendra J Merentek Jakarta 01.200111.00.02.006323.0101

279 Hendra Simca Halimun Jakarta 20110728.A01-100009436

280 Hendrik Tjandra Jakarta 01.101017.00.00.029703.01.01

281 Hendro Agung Sulistya Jakarta 20131112.A01.100014871

282 Hengdra Jakarta 20131203.A01-100014960

283 Henry Ismanto Jakarta 20190918.A01-000000027

284 Henry Junior Stephan Jakarta 01.030108.00.04.011708.0101

285 Henry Kristian M S Jakarta 20140206.A01-100015412

286 Herlina P Jakarta 20190528.A02-000006043

287 Hernawati Jakarta 01.220511.00.03.007702.0101

288 Herold Jakarta 01.131010.00.02.004439.0101

289 Hestiati Gunamidjaja Jakarta 20180920.A02-000001168

290 Hioe Pik Jun Jakarta 20090730.A02-100000630

291 Holil Rochman Jakarta 01.111110.00.03.004820.0101

292 Hoo Tjeng Liong Jakarta 20101013.A01.100004462

293 Husin Jakarta 20101208.A01-100005833

294 Husni Samida Jakarta 20130531.A01.100013533

295 Ika Listine Gunawan Jakarta 20190110.A02-000003451

296 Ike Christianto Jakarta 20190724.A01-000000007

297 Imelda Shierly Wibisono Jakarta 20181014.A02-000001613

298 Imelda Tirta Jakarta 20180920.A02-000001169

299 Intan Maria Jakarta 01.071117.00.00.030469.0101

300 IR Herawati Nurjono Jakarta 20100428.A02.100002971

301 Irawati Tanjung Jakarta 20180920.A02-000001171

302 Irnaria Jakarta 01.100518.00.00.024865.0101

303 Irwan Harjadi Jakarta 20190704.A01-000000007

304 Iswandi Irsad Jakarta 20091021.A01-100001186

305 Iwan Soesanto Jakarta 01.150512.00.02.011235.0101

306 Jajang Irwan Jakarta 01.300709.00.04.000635.0101



Hal 9 dari 26

307 Jan Suripatty Jakarta 20080131.A01-100011577

308 Jeffri Santoso Jakarta 01.220511.00.02.007717.0101

309 Jenih Herjeni Lunardy Jakarta 01.310108.00.04.012721.0101

310 Jenny Jakarta 20151117.A02.100022960

311 Jenny Yudihar Jakarta 01.210616.00.00.025295.0101

312 Jetty Muliawan Jakarta 01.170709.00.04.000050.0101

313 Jimie Jakarta 01.210314.00.02.016307.0101

314 John Rizal Damhuri Jakarta 01.310108.00.05.011711.0101

315 Joshua Halomoan Sihombing Jakarta 20090730.A01.100000545

316 Judith Hendrarti Jakarta 20180906.A02-000000999

317 Juliati Jakarta 01.131010.00.03.004397.0101

318 Juman Miharja Jakarta 20190513.A01-000005819

319 Justina Susianti Jakarta 20080131.A02-100010322

320 Jusuf Johannes Jakarta 25.161012.00.02.012168.2501

321 Kandika Lunardi Jakarta 01.310108.00.05.011575.0101

322 Kartikawati Jakarta 20080131.A02-100011469

323 Ken Sofira K W Jakarta 20181210.A02.000002796

324 Ketut Dika Cahya Prasetya Jakarta 20191128.A01-000000014

325 Krihartaty Jakarta 01.201015.00.01.022704.0101

326 Krisno Putranto Jakarta 20170124.A01.100026724

327 Kristiadi Atmodjo Jakarta 01.310108.00.05.011579.0101

328 Kumala Dewi Ayu Guntur Jakarta 20160621.A02.100025296

329 Kusmiati Jakarta 20180808.A02-000000691

330 Kwee Brendan Rinaldo Jakarta 20160728.A01-100025585

331 L Gat Murwijanto Jakarta 20190918.A01-000000008

332 Lavinia Indriani Pangestu Jakarta 20151020.A02.100022705

333 Lely Riani Ishar Jakarta 01.310108.00.05.011400.0101

334 Leonardi Jakarta 20090717.A01-100000056

335 Leony Soekarta Jakarta 20100928.A02-100004132

336 Lie Frederic Jonathan Alief Jakarta 20180808.A01-000000664

337 Lie Meiliana Jakarta 20080131.A02-100010241

338 Liely Darmawidjaja Jakarta 20080131.A02.100012715

339 Lilianna Jakarta 07.310512.00.03.011614.0701

340 Liliyanthi Jakarta 01.150512.00.00.011419.0101

341 Linda Seviana Jakarta 01.291112.00.00.012759.0101

342 Lisse Mardiati Jakarta 20190729.A02-000000007

343 Lucia Tjandrawati D Jakarta 20090730.A02.100000453

344 Lusia Sekar W Jakarta 01.310108.00.05.011592.0101

345 Lusina Tirtadharsana Jakarta 01.170709.00.04.000059.0101



Hal 10 dari 26

346 M Hasyim Jakarta 20180808.A01-000000672

347 Margaretha Susanti S Jakarta 20080131.A02.100011387

348 Maria Elisa Jakarta 20091021.A02.100001194

349 Maria Fatima Kristiono Jakarta 20150512.A02-100021546

350 Maria Mardiani Tjhai Jakarta 01.050917.00.00.028542.0101

351 Marianingsih Widjaja Jakarta 20091021.A02.100001195

352 Maringan Halomoan Siregar Jakarta 01.200510.00.03.003059.0101

353 Marintan Jakarta 20180913.A02-000001038

354 Mario Budi Dharma Jakarta 20161018.A01-100026102

355 Mario Edward Jakarta 20091118.A01-100001395

356 Martha Mardiana Tjhai Jakarta 01.140415.00.01.021362.0101

357 Martin Karim Jakarta 01.291112.00.03.012760.0101

358 Maya Nurwikaningsih Jakarta 01.230413.00.00.013365.0101

359 Megawati Sata Jakarta 01.110815.00.01.022126.0101

360 Meilina Siagian Jakarta 20161220.A02.100026528

361 Moeljono Prijosembodo Jakarta 20120913.A01-100012101

362 Mohammad Nurjamal Jakarta 01.250214.00.01.015636.0101

363 Monapril Suramin Jakarta 01.170709.00.04.000066.0101

364 Muhammad Khairun Ibnus Said Jakarta 01.071117.00.00.030470.0101

365 Muliawati Liento Lay Jakarta 01.150915.00.00.022470.0101

366 Mulyadi Riawan Jakarta 01.040909.00.04.000965.0101

367 Murniaty Siregar Jakarta 20190917.A02-000000021

368 Nancy Tanadi Jakarta 01.140415.00.01.021363.0101

369 Natalya Tjoeng Jakarta 20150414.A02.100021375

370 Neryana Jakarta 20190704.A02-000000004

371 Netty Indahwaty Jakarta 20190711.A02-000000011

372 Ng Nurainy Jakarta 01.170311.00.03.006959.0101

373 Nike Krisna Bertha Jakarta 20190704.A02-000000003

374 Novita Nur Aini Jakarta 20190801.A02-000000006

375 Nurjanti Jakarta 20190717.A02-000000003

376 Nurjati Delima Jakarta 01.120515.00.01.021519.0101

377 Nuryanti Jakarta 01.150512.00.03.011461.0101

378 Oddie Wingchen Siewira Jakarta 20120315.A01-100010761

379 Oey Widyawaty Jakarta 20100721.A02-100003359

380 Olivia Leman Jakarta 20190917.A02-000000020

381 Ong Kian Sen Jakarta 20141104.A01.100019460

382 Otjen Suparta Jakarta 20080131.A02-100011716

383 Otto Nasri Jakarta 20190909.A01-000000009

384 Pancahyo Untung Lestari Jakarta 20190612.A01-000006062

385 Parlindungan Parapat Jakarta 01.310108.00.05.011585.0101



Hal 11 dari 26

386 Paulus Gunawan Tirtadihardja Jakarta 01.310108.00.05.012586.0101

387 Paulus Jayadi Jakarta 01.111110.00.03.005035.0101

388 Prita Aryanti Jakarta 01.201216.00.00.026529.0101

389 Pudjo Laksono Jakarta 01.310108.00.05.011597.0101

390 Purnamawaty Hartawan Jakarta 01.211009.00.04.001201.0101

391 Purwanto Jakarta 20080131.A02-100011390

392 Rachmat Hidayat Jakarta 01.310108.00.05.012603.0101

393 Rangga Riyangga Jakarta 20160621.A01-100025315

394 Ratna Sari Jakarta 20190614.A02-000006089

395 Ratna Sari Dewi Jakarta 01.111214.00.01.019907.0101

396 Retno Dwisanti Jakarta 20161018.A02.100025993

397 Ria Ernawati Jakarta 20150224.A02.100020568

398 Ricko Jakarta 01.201015.00.01.022707.0101

399 Risa Jakarta 20110728.A02-100009360

400 Rita Clara H Jakarta 20190917.A02-000000025

401 Rita Maria Ms Jakarta 20190325.A02-000005043

402 Rizal Jakarta 01.310108.00.05.011389.0101

403 Rizqi Noviarini Jakarta 20190909.A02-000000006

404 Roben Chen Niago Jakarta 20100928.A01-100004139

405 Robert David Jakarta 01.170709.00.04.000370.0101

406 Robert Wiharja Jakarta 20101111.A01-100004924

407 Ronald Jakarta 20190524.A01-000006013

408 Rosari Jakarta 01.221215.00.01.023602.0101

409 Rudiman Wiraatmadja Jakarta 01.180511.00.03.007647.0101

410 Rudolf Kurniawan S Jakarta 20091021.A01-100001217

411 Ryan Edrick Suharso Jakarta 01.110815.00.01.022127.0101

412 San Djun Tjin Jakarta 20101013.A02.100004447

413 Sandra Onibala Jakarta 01.150915.00.00.022471.0101

414 Santy Jakarta 20190917.A02-000000015

415 Santy Arifin Jakarta 01.300709.00.04.000649.0101

416 Sari Widiyawati Bunjamin Jakarta 20101013.A02.100004448

417 Sata Suliani Jakarta 01.310108.00.05.011912.0101

418 Selly Tiurmaida Marpaung Jakarta 20080131.A02.100011367

419 Septo Adyguna Jakarta 20190717.A01-000000005

420 Sesilia Kusuma Jakarta 20180713.A02-000000466

421 Sheila Suryanto Jakarta 20190812.A02-000000002

422 Sherly Jakarta 20191128.A02-000000009

423 Sinta Adzilla Mona Jakarta 20190905.A02-000000026

424 Siska Chairudin Jakarta 20190716.A01-000000016



Hal 12 dari 26

425 Siti Solikha Jakarta 20170124.A02.100026725

426 Smita Mirsyad W Jakarta 20180906.A01-000000997

427 Sr Florentina Jakarta 01.170709.00.04.000344.0101

428 Sri Ambarwati Jakarta 01.300709.00.04.000650.0101

429 Sri Yanti Jakarta 01.310.108.00.05.010440.0101

430 Sufianti Jakarta 20190110.A02-000003450

431 Sugeng Malikan Faozi Jakarta 20191115.A01-000000003

432 Sukandi Martina Jakarta 01.310108.00.05.012477.0101

433 Sunny Octavia Wawis Jakarta 20190415.A02-000005500

434 Suryadi Jakarta 01.010318.00.00.033724.0101

435 Suryawan Siladjaja Jakarta 20170124.A01.100026726

436 Susanna Pranoto Jakarta 20080131.A02.100011386

437 Susanti Setyawati Jakarta 01.310108.00.05.011383.0101

438 Suwanti Tjahjono Jakarta 20080131.A01-100011382

439 Suwito Bunardi Jakarta 01.130912.00.03.012048.0105

440 Syahrul Alamsyah Lubis Jakarta 01.120712.00.03.011788.0101

441 Syamsul Bahri Jakarta 27.251110.00.03.005208.2701

442 Tam Tjoi Kuang Jakarta 20150811.A01.100022130

443 Tambi Jakarta 01.300709.00.03.000482.0101

444 Tan Lian Hwa Nio Jakarta 01.131010.00.03.004450.0101

445 Tanor Tonny Francis Jakarta 33.031116.00.00.026293.0101

446 Tatik Puspasari Jakarta 01.070317.00.00.027225.0101

447 Teguh Sulistio Jakarta 01.310108.00.05.011494.0101

448 TH Yuniawati K Jakarta 20091021.A02.100001211

449 The Leny Jakarta 01.210616.00.00.025299.0101

450 Then Andreas Aboemardhika Jakarta 01.190411.00.00.007232.0101

451 Thresia Titiliany Uisan Jakarta 20120913.A02.100012103

452 Tjiong Dede Setya Ali Nugraha Jakarta 01.310108.00.05.010679.0101

453 Tjong Shirley Sanjaya Jakarta 20091021.A02.100001214

454 Tommy Sarbono Putra Jakarta 20101111.A01-100005054

455 Toto Wijayanto Jakarta 20191217.A01-000000015

456 Vincentius Simeon Weo Budhyanto Jakarta 20190815.A01-000000014

457 Virgianto Siman Jakarta 01.170709.00.04.000081.0101

458 Wahyu Djatmiko Jakarta 01.110815.00.00.022133.0101

459 Wardjono Wartomo Jakarta 20101111.A01-100004934

460 Wihartono Jakarta 20100721.A01.100003305

461 William Jatmiko Louis Jakarta 20190917.A02-000000022

462 Winda Angelina Jakarta 01.070611.00.03.008325.0101

463 Winston Mh Siagian Jakarta 20180824.A01-000000813



Hal 13 dari 26

464 Witra Haryani Jakarta 01.310108.00.05.011598.0101

465 Wiwit Raharjanti Jakarta 01.230816.00.00.025745.0101

466 Yenny Ernawati Jakarta 01.110615.00.01.021830.0101

467 Yerry Paulus Piter Pelo Jakarta 20170725.A01.100028216

468 Yessika Eraviana Jakarta 20190116.A02-000003608

469 Yin Ay Jakarta 20190719.A02-000000001

470 Yoeny Widjaya Jakarta 01.150312.00.03.010772.0101

471 Yohan Poniman Jakarta 01.170709.00.04.000190.0101

472 Yohan Widyatmoko Jakarta 20190918.A01-000000019

473 Yossy Nensy Jakarta 20140826.A02.100018935

474 Yulia Raviki Jakarta 20190918.A02-000000018

475 Yunanto Andi Sulistyo Jakarta 20190918.A01-000000020

476 Yunismar Jakarta 20170124.A02.100026717

477 Yus Tjahyadi Jakarta 20191004.A01-000000023

478 Yustina Novita Syakuntala Jakarta 20190822.A02-000000008

479 Yuswandy Halim Jakarta 01.171115.00.01.022963.0101

480 Abraham Gunawan Santoso Jember 05.201211.00.03.010607.0501

481 Agus Pristiwanto Jember 05.241109.00.04.001451.0501

482 Budiono Sutanto Jember 20130220.A01-100013001

483 Linda Hidayat Aziz Jember 20190116.A01-000003627

484 Sri Mulyani Jember 05.280411.00.03.007269.0510

485 Sugiarto Chandra Gunawan Jember 20101201.A01.100005417

486 Ahmad Khamim Kediri 20170420.A01-100027641

487 Christanti Kediri 05.260611.00.03.008919.0501

488 Faridis Mra Kediri 01.310108.00.05.020114.0101

489 Haris Nurcahyo Kediri 20180605.A01-000000352

490 Rining Sutarti Kediri 20190527.A02-000006031

491 Asep Saputra Lampung 34.051017.00.00.029577.3401

492 Betty Andriani Sitompul Lampung 20190329.A02-000005202

493 David Atmaja Lampung 20190731.A01-000000006

494 DragonCipto Rudico Lampung 34.051017.00.00.029574.3401

495 Eko Apriadi Lampung 20140513.A01.100017493

496 Endro Sudiarto Lampung 20190925.A01-000000013

497 Frengky Bambang Sugianto Lampung 34.051017.00.00.029575.3401

498 G Kusuma Lampung 0611.000.8799

499 M Haidir YS Lampung 20191017.A01-000000017

500 Siroftul Nasiin Lampung 20190703.A01-000000017

501 Siti Rukayah Lampung 20190329.A02-000005201

502 Wiwik Lampung 20191015.A02-000000002



Hal 14 dari 26

503 Yulia Lampung 20190329.A02-000005197

504 Ade Siti Sobariyah Makassar 20181017.A02-000001657

505 Agus Sugiarto Makassar 20180531.A01-000000339

506 Alfred Adryan Rontisulu Makassar 20190506.A01-000005720

507 Allen Kondoy Makassar 20160728.A01-100025585

508 Andi Sanapati Makassar 20160728.A01.100025586

509 Andi Tenri Nangnga Makassar 20170713.A02.100028120

510 Arnas Ifiana Makassar 20190509.A02-000005780

511 Artian Dasa Wijaya Makassar 20190523.A01-000005994

512 Bernard Rombe Layuk Makassar 20181003.A01-000001431

513 Billy P Selintung Makassar 20190429.A01-000005661

514 Charles Pinontoan Makassar 20190829.A01-000000009

515 Disya Aprillah Yauryka Makassar 20191209.A02-000000010

516 Effie Tesman Makassar 20191014.A02-000000006

517 Erick Sutanto Makassar 19.270314.00.02.016507.1901

518 Erlina Ed Silaen Makassar 20190731.A02-000000003

519 Femmy Mandagi Makassar 20170713.A02.100028122

520 Fitriani Syahidah Nur Makassar 20191113.A02-000000007

521 Franky Sutanto Makassar 20180521.A01-000000240

522 George Junianto Andries Makassar 20191011.A01-000000008

523 Go Tjun Tju Makassar 20191112.A01-000000007

524 Harlinda Abbas Makassar 20180521.A02-000000238

525 Hasmiaty Makassar 19.060815.00.00.022080.1901

526 Hendra Gunawan Makassar 20190829.A01-000000011

527 Ignatius Sigit Antoro Makassar 20190729.A01-000000010

528 Jerly Alling Makassar 20190911.A01-000000002

529 Johny Tangko Makassar 20180521.A01-000000239

530 Junarto Sindra Makassar 20191023.A01-000000046

531 Lauw Jong Tjeang Makassar 20180518.A01-000000230

532 Lie Fung Lokman Makassar 20160728.A02-100025588

533 Marlina Makassar 20191002.A02-000000010

534 Marni Juwita Sundalangi Makassar 20190828.A02-000000004

535 Meivi Ingri Makassar 20180520.A02-000000234

536 Naici Effendy Makassar 20190821.A02-000000010

537 Natalia Makassar 20190729.A02-000000012

538 Rani Rifani Arifuddin Makassar 20170713.A02.100028139

539 Robert Santoso Makassar 20190807.A01-000000002

540 Ronald Chendra Makassar 20190802.A01-000000006

541 Rosalina Pia Pony Makassar 20190731.A02-000000002



Hal 15 dari 26

542 Rudy Santosa Walalangi Makassar 20180731.A01-000000587

543 Sitti Komariah Makmur Makassar 20191105.A02-000000001

544 Syahrir Makassar 20190509.A01-000005779

545 Sylvia Suciady Makassar 20190506.A02-000005719

546 Wijaya Suwono Makassar 20190510.A01-000005789

547 Wike Adeleida Makassar 20160728.A02.100025589

548 William Makassar 20160728.A01.100025535

549 Yongkie Gunawan Makassar 20160728.A01-100025590

550 Yuliana Indriyawati Darsono Makassar 20160728.A02.100025591

551 Yuliani Saleng Makassar 20190829.A02-000000003

552 Adryan Yusdi Renaldi Malang 20190806.A01-000000014

553 Banju Adji Nogo Putro Malang 20191206.A01-000000028

554 Cut Nur Meini Jayawati Malang 20190725.A02-000000004

555 Daizy Florentina Laisina Malang 20190827.A02-000000005

556 Eko Wahyuhadi Malang 20180417.A01.0000000058

557 Fajar Hadi Malang 20190827.A01-000000007

558 Herdiawan Kustantyo Malang 20190712.A01-000000011

559 Ketut Perbowo Malang 05.120215.00.01.020486.0515

560 Nadia Arlini Tjahjadi Malang 20191104.A02-000000006

561 Nindiasti Meyrawati Malang 20190826.A02-000000003

562 Noertitah Nafsiani Malang 20190827.A02-000000004

563 Novita Arisanti Malang 20191004.A02-000000005

564 Ratna Triastuti Malang 05.050614.00.02.018216.0501

565 Robiatul Adawiyah Malang 20181025.A02-000001783

566 Silvia Pusparini Malang 20190708.A02-000000007

567 Siska Agustina Malang 20190719.A02-000000005

568 Soendoro Malang 05.281117.00.00.030845.0515

569 Sony Winarko Malang 05.271112.00.03.012581.0501

570 Sriyoto Malang 05.241109.00.04.001477.0501

571 Stevanus Gunawan Malang 20191004.A01-000000010

572 Yuli Prihati Malang 20190711.A02-000000001

573 Yvonne Christiana Damayanti Malang 20191206.A02-000000023

574 Abdul Mahfuzh Zulfiqar Putra Hamid Manado 14.280917.00.00.029429.1401

575 Betty Yusuf Manado 14.280917.00.00.029431.1401

576 Edgar G Lumanto Manado 14.280917.00.00.029433.1401

577 Go Eric Manado 20160225.A01.100023865

578 Ivana Esteer Taroreh Manado 20150604.A02.100021707

579 Lilis Suryadi Manado 01.170714.00.02.018669.0101

580 Nita Julistyawati Kartika Manado 06.171215.00.01.023494.0501



Hal 16 dari 26

581 Novel E Porajow Manado 14.280917.00.00.029434.1401

582 Octavianus Tawalujan Manado 14.280917.00.00.029435.1401

583 Pertiwi Jeinifer Lampus Manado 14.040615.00.01.021708.1401

584 Sanny Oscar Manado 14.280917.00.00.029436.1401

585 Septyviana Stefanny Yuliana Manado 14.280917.00.00.029437.1401

586 Soentje K Tilung Manado 14.240311.00.03.007044.1401

587 Victor Daeng Manado 14.240311.00.03.007001.1401

588 Alamria Asmardy H Medan 20191111.A01-000000015

589 Alexander Medan 25.060514.00.01.017394.2501

590 Amir Medan 20121016.A01-100012139

591 An Nie Medan 25.240610.00.03.003261.2501

592 Andri Wijaya Medan 20191029.A01-000000013

593 Ang Huai Cie Medan 25.221117.00.00.030760.2501

594 Anthony Medan 20100624.A01-100003229

595 Arfin Witarsa Medan 20150409.A01.100021288

596 Billy Dave Trey Medan 20140506.A01.100017421

597 Budiman Medan 20091217.A01.100002166

598 Budiman Medan 20190813.A01-000000010

599 Charles Desem Yusap Medan 25.060514.00.02.017407.2501

600 Daniel Wijaya Medan 20110407.A01-100007067

601 Deasy Natalia Aritonang Medan 20191213.A02-000000022

602 Djoni Medan 20191213.A01-000000030

603 Djunaidy Tehnika Medan 05.241109.00.02.001661.0501

604 Edy Sarwono Medan 20091217.A01.100001995

605 Edy Susanto Medan 20191023.A01-000000040

606 Elis Medan 20191118.A02-000000004

607 Elizabeth Willibrodus Tjia Medan 20140506.A02-100017384

608 Eryana Medan 20191024.A02-000000004

609 Eva Oktoria Sinaga Medan 20191115.A02-000000015

610 Eva Varida JL Tobing Medan 20191023.A02-000000018

611 Evan Carlin Medan 20191119.A01-000000011

612 Evy Chou Medan 20191024.A02-000000007

613 Fenny Wijaya Medan 25.241110.00.04.005172.2501

614 Feriwaty Medan 20190731.A02-000000022

615 Hapollo Loka Medan 25.241109.00.04.002084.2501

616 Harjito Medan 20091217.A01-100002057

617 Hartono Poinah Medan 25.241109.00.04.002072.2501

618 Hasdi Putra Medan 25.241109.00.04.002085.2501

619 Helen Medan 20191025.A02-000000017



Hal 17 dari 26

620 Hendy Medan 20191025.A01-000000025

621 Husin Sanjaya Medan 25.061211.00.02.010345.2501

622 Imam Abdi Medan 20091217.A01-100001997

623 Immanuel Japar Medan 25.241110.00.04.005123.2501

624 Irene Ngadikun Medan 25.060514.00.02.017272.2501

625 Irwan Efendi Medan 20191023.A01-000000022

626 Jhon Siswanti Medan 25.061211.00.03.010339.2501

627 John Liem Medan 20091217.A01.100002073

628 Joni Medan 20091217.A01.100002042

629 Jusly Tjandra Medan 20191023.A02-000000034

630 Jusuf Ngatimin Medan 25.061211.00.03.010324.2501

631 Kang Hang Ui Medan 25.171209.00.04.002169.2501

632 Karsono Medan 25.070411.00.03.007108.2501

633 Lasti Fransika Tampubolon Medan 20191023.A02-000000019

634 Lauw Yoe Kwan Medan 25.241110.00.04.005122.2501

635 Lie Koen Seng Medan 20100624.A01.100003224

636 Lili Heleni Medan 20191118.A02-000000005

637 Lilie Medan 01.030913.00.02.014242.2501

638 Lily Medan 20150409.A02-100021265

639 Livon Medan 20160714.A02.100025351

640 Martha Cony Elisabeth Sitorus Medan 20191017.A02-000000009

641 Matsen Tjandra Medan 20111206.A01-100010326

642 MHD Arie Al Ridho Medan 20191011.A01-000000013

643 Minto Medan 20110407.A01.100007086

644 Muhammad Syamsuri Siregar Medan 25.221117.00.00.030774.25.01

645 Nana Mariana Medan 20191023.A02-000000033

646 Nikki Alexandra Kalinggo Medan 20161027.A02.100026149

647 Olivia Medan 20191115.A02-000000019

648 Paryono Chong Medan 20111206.A01-100010285

649 Pinpinwati Lowis Medan 20110407.A02-100007062

650 Posman Sitorus Medan 20091217.A01-100002003

651 Ruby Medan 20191213.A01-000000039

652 Ruslan Medan 20091217.A01-100001976

653 Santo Medan 20190516.A01-000005882

654 Siegfried Medan 20091217.A01.100001977

655 Simon Kalinggo Medan 20091217.A01.100002074

656 Sirait Eng Bin Medan 25.241109.00.04.002127.2501

657 Sirfia Medan 20190924.A02-000000022

658 Siti Maria Medan 20170523.A02.100028033



Hal 18 dari 26

659 Sri Rita Masli Medan 20150409.A02-100021242

660 Suanni Medan 20191114.A02-000000009

661 Sufany Medan 20190809.A02-000000005

662 Sugianto Medan 25.241109.00.04.001978.2501

663 Sugianto Lim Medan 25.221117.00.00.030761.2501

664 Sugito Jansen Medan 25.171209.00.04.002044.2501

665 Suhardy Medan 20140506.A01.100017381

666 Suharno Taniwan Medan 01.211009.00.04.001206.0101

667 Sunarko Widjaja Medan 20111206.A01.100010344

668 Suparman Medan 20191024.A01-000000008

669 Sutrisno Medan 20091217.A01-100001979

670 Suyono Medan 20191119.A01-000000014

671 Tan Kok Hoei Medan 20150409.A01-100021243

672 Tang Wai Pan Medan 20091217.A01-100002060

673 Thioe Peng Seng Medan 20080131.A01-100020149

674 Tio Elina Medan 20191120.A02-000000003

675 Tio Hang Tjoh Medan 20091217.A01.100002069

676 Tjek Liefang Medan 20091217.A01.100001981

677 Tjeng Huat Basirin Medan 20091217.A01-100001989

678 Tjong Nyuaw Sen (Amiau) Medan 20121016.A01.100012193

679 Tobeng Tukiman Medan 20091217.A01-100002094

680 Toni Medan 20191023.A01-000000038

681 Tonny Tiona Medan 20091217.A01-100001982

682 Triady Herminto Medan 20191111.A01-000000016

683 Vera Agustina Medan 25.241109.00.04.002070.2501

684 Yenmina Medan 20091217.A02-100002039

685 Yoe Mei Lie Medan 25.171209.00.04.002096.2501

686 Yola Amara Chistin Medan 20190813.A02-000000009

687 Yudhi Surya APK Medan 05.280411.00.00.007329.0501

688 A Azharie Palembang 20190924.A01-000000014

689 A Azis Herman Palembang 20190621.A01-000006229

690 Ade Sukmana Palembang 20190710.A01-000000003

691 Alex Wijaya Palembang 33.261010.00.03.004640.3301

692 Ali Masad Palembang 20190626.A01-000000005

693 Amrah Rozali Palembang 20190626.A01-000000002

694 Andi Chayadi Palembang 33.270214.00.01.015983.3301

695 Antonny Sudarwi Palembang 20190318.A01-000004841

696 Anwar Samsu Palembang 33.231117.00.00.030811.3301

697 Betty Palembang 20190924.A02-000000014



Hal 19 dari 26

698 Darmawati Asro Palembang 20190618.A02-000006124

699 Dewi Ratnasari Palembang 20190808.A02-000000012

700 Dwi Kuncorojati Palembang 33.231117.00.00.030812.3301

701 Dwi Septiana Palembang 20190626.A02-000000005

702 Eddy Muzakkir Palembang 20190404.A01-000005273

703 Emilda Agustina Palembang 20190426.A02-000005646

704 Emiyati Palembang 20190716.A02-000000012

705 Ermandra Palembang 20140227.A01.100015894

706 Handy Lianto Palembang 20161103.A01.100026186

707 Hayuna Palembang 20190621.A02-000006231

708 Hendra Ali Palembang 20190517.A01-000005909

709 Hera Rebiani Palembang 20190808.A02-000000009

710 Jap Fui Fang Palembang 33.261010.00.03.004644.3301

711 Jhamal Achmadi Palembang 20190320.A01-000004893

712 Kartika Sari Palembang 20190808.A02-000000003

713 Kgs Yerry Husairy Palembang 20140227.A01-100016026

714 Letsuarti Palembang 20190328.A02-000005131

715 Lukman Hakim Palembang 20190722.A01-000000004

716 Mardalena Palembang 20190626.A02-000000004

717 Marhawati Palembang 20190621.A02-000006235

718 Marsyana Septiani Pratiwi Palembang 20190909.A02-000000008

719 Maryam Yusniharti Palembang 20190912.A02-000000001

720 Masitoh Palembang 20190703.A02-000000008

721 Milis Palembang 20190308.A01-000004670

722 Mira Palembang 20190808.A02-000000010

723 Muhammad Firdaus Palembang 20181108.A01-000002163

724 Muhammad Ikhsan Palembang 20190710.A01-000000006

725 Nelson Palembang 20190405.A01-000005277

726 Nuniek Rindharwaty Palembang 20190328.A02-000005129

727 Nurmelly Setiawati Palembang 20190621.A02-000006239

728 Osna Juni Wati Palembang 20190703.A02-000000009

729 Pasihar Simorangkir Palembang 20190521.A01-000005939

730 Rifky Haryanto Palembang 20190221.A01-000004444

731 RM Hasyim Palembang 20190621.A01-000006243

732 Rochmi Imaniyah Palembang 20190814.A02-000000005

733 Roni Kesuma Lie Palembang 20161103.A01.100026217

734 Rosmawaty Palembang 20190626.A02-000000003

735 Rudiono Palembang 20190703.A01-000000006

736 Rusnelly Heryati Palembang 20190621.A02-000006227



Hal 20 dari 26

737 Sri Gusni Arti Palembang 20190328.A02-000005139

738 Sri Widayati Palembang 20190808.A02-000000011

739 Subroto Palembang 20190626.A01-000000006

740 Sunaryoto Palembang 20190508.A01-000005750

741 Supiah Palembang 20190415.A02-000005517

742 Surniyati Palembang 20190626.A02-000000002

743 Susilahandariyani Palembang 20190426.A02-000005645

744 Suyadi Palembang 20190328.A01-000005160

745 Tan Tjie In Tjieina Tanty Palembang 20190322.A02-000004977

746 Tedi Hindra Palembang 20190917.A01-000000023

747 Tomi Sarizal Palembang 20190318.A01-000004830

748 Tuty Fani Palembang 20190221.A02-000004442

749 Yuliana Palembang 20190315.A02-000004801

750 Adiyat Pontianak 20131205.A01.100014984

751 Ainani Pontianak 20170216.A02.100026920

752 Erina Pontianak 20191206.A02-000000033

753 Fitriani Pontianak 20191017.A02-000000004

754 Lufiyati Pontianak 22.230415.00.01.021445.2201

755 Orges Dianto Pontianak 22.160217.00.00.026922.2201

756 Rendy Irvandi Idrus Pontianak 20170216.A01.100026923

757 Sally Oktavia Pontianak 20170216.A02.100026924

758 Sandy Tjandranoto Pontianak 20150423.A01-100021456

759 Setiadi Tjandera Pontianak 20191016.A01-000000011

760 Silvianie Pontianak 20191206.A02-000000030

761 Stevanus Pontianak 20101216.A01.100006179

762 Susanti Pontianak 20190924.A02-000000019

763 Aditya Maruf Nata Abdullah Purwokerto 20190527.A01.000006033

764 Muhammad Fadlan Hery Kurniawan Purwokerto 20140522.A01.100017700

765 Budiarto Samarinda 20.140917.00.00.029152.2001

766 Christian Yohanes Melato Samarinda 05.311013.00.02.014772.2001

767 Agoes Koswadi Semarang 04.220514.00.00.017609.0401

768 Agus Suranto Semarang 20190701.A01-000000010

769 Amelia Kurniawati Santoso Semarang 20180704.A02-000000439

770 Andreas Soesetijo Boedi Semarang 04.250210.00.03.002472.0401

771 Bambang Prasetyo Semarang 20101202.A01-100005662

772 Bambang Yanuarto Semarang 20180704.A01-000000437

773 Benediktus Tri Sarwoko Adhi Semarang 20140522.A01.100017726

774 Budi Wahono Semarang 20190812.A01-000000001

775 Coyo Yuwono Semarang 20091125.A01-100001766



Hal 21 dari 26

776 David Chandra Semarang 20190122.A01-000003757

777 Endah Dewi Utami Semarang 04.240316.00.01.024299.0401

778 Fransisca Dyah Paramita HT Semarang 20120426.A02.100011134

779 Ganefianto Semarang 20091125.A01-100001768

780 Gunarto Hadiwidjaya Semarang 20091125.A01-100001769

781 Hanitiyo Satria Putra Semarang 06.171215.00.01.023513.0401

782 Happy Oscar Pakpahan Semarang 20101202.A01.100005687

783 Hariyanto Semarang 20100805.A01.100003571

784 Harry Rinaldi Bianto Semarang 01.310108.00.05.030017.0101

785 Hulda Gracia Santoso Semarang 04.260516.00.01.024964.0401

786 Ibnu Sapto Adi Semarang 20110601.A01.100008160

787 Iendrawati Semarang 20091125.A02-100001827

788 Imanuel Basuki Semarang 01.310108.00.05.012604.0101

789 Indiyoko Narusiyanto Semarang 20191217.A01-000000014

790 Joko Priyanto Semarang 20191107.A01-000000010

791 Kho Siok Djien Semarang 20161222.A02.100026620

792 Lie Yuliana Gracely Semarang 20100805.A02-100003629

793 Liem Wey Lie Semarang 20080131.A01.100030005

794 Lisawati Soewito Semarang 01.220211.00.03.006657.0101

795 Mualim Semarang 04.230317.00.00.027394.0401

796 Mulyanto Semarang 01.310108.00.04.030030.0101

797 Partu Semarang 20101202.A01.100005681

798 Phan Fendy Kurniawan Semarang 04.290813.00.02.014056.0401

799 Philemon P Pramudita Semarang 06.251109.00.04.001819.0601

800 Ratna Wulan Semarang 20150312.A02.100020870

801 Renny Setiawan FC Semarang 20110601.A02-100008059

802 Risaseti Eka Prasetia Semarang 04.010611.00.03.008095.0401

803 Ruddy Handoko Semarang 01.310108.00.05.030021.0101

804 Rudy Eko Susanto Semarang 20100225.A01-100002536

805 Ruli Made Pramusinta Semarang 20161222.A02.100026573

806 Rus Budihartono Semarang 20140522.A01.100017756

807 Sia Kwie Hwa Semarang 04.010011.00.03.008154.0401

808 Soedianto Semarang 04.240316.00.00.024227.0401

809 Sri Redjeki Semarang 20190218.A02-000004367

810 Stefanus Oentoro Semarang 06.251109.00.02.001777.0601

811 Subiyanto Semarang 06.251109.00.04.001901.0601

812 Sunanto Semarang 20140522.A01-100017621

813 Suratno Semarang 20080131.A01-100012657

814 Tjioe Bie Ling Semarang 20080131.A02-100020031



Hal 22 dari 26

815 Tony Temandja Surjadi Semarang 06.251109.00.04.001781.0601

816 Widayat Honggo Prasongko Semarang 20101202.A01-100005679

817 Wong Siek An Semarang 01.310108.00.05.030002.0101

818 Yoseph Agustinus Hartono A Semarang 20180704.A01-000000440

819 Yunicko Inderasakti Semarang 04.070917.00.00.028611.0401

820 Ari Setiawan Solo 20150528.A01.100021629

821 Fauzi Solo 01.250414.00.01.016964.0101

822 Fefi Ariyani Lucida Solo 20100805.A02.100003668

823 Hadi Sunaryo Solo 20151020.A01-100022745

824 Suhartini Solo 04.250210.00.04.002551.0401

825 V Ariestyanto Harry P Solo 04.250210.00.04.002469.0401

826 Agus Dwi Arifin Surabaya 05.011210.00.01.005536.0501

827 Agus Nugroho Surabaya 20160225.A01.100023947

828 Agustine Monika Tjandra Surabaya 20190805.A02-000000013

829 Aida Budianto Surabaya 20190620.A02-000006168

830 Albert Julian Gunawan Surabaya 20180523.A01.000000262

831 Ali Didy Surabaya 20121127.A01.100012557

832 Alwi Lokman Jaya Surabaya 20190829.A01-000000006

833 Amelinda Gozali Surabaya 20191107.A02-000000079

834 Anastasiana Elvi Teping Surabaya 20190627.A02-000000017

835 Baidi Montana Surabaya 05.260611.00.03.008845.0501

836 Bambang Kurniawan Surabaya 20190708.A01-000000011

837 Bert Gautama Sufrendy Surabaya 20191211.A01-000000016

838 Billy Hermanto Surabaya 20190708.A01-000000007

839 Budi Setiawan Surabaya 20191029.A01-000000015

840 Budy Purnomo Surabaya 20181004.A01-000001476

841 Cahyo Dwi Riyanto Surabaya 20191008.A01-000000009

842 Chandra Sigit Surabaya 20190617.A01-000006107

843 Charmant Mulyanto Surabaya 20190611.A01-000006058

844 Christin Soetiono Surabaya 20190827.A02-000000011

845 Christy Yulia Salim Surabaya 20170223.A02.100027036

846 Citra Dewi Gunawan Surabaya 20190326.A02-000005087

847 Dam Diana Kusuma Wardani Surabaya 05.271112.00.02.012545.0501

848 Daniel Wahyudi Tanzil Surabaya 20130625.A01.100013710

849 David Pramono Surabaya 20190313.A01-000004749

850 David Suwarno Surabaya 20190926.A01-000000013

851 Debby Limantoro Lie Surabaya 20181023.A02-000001734

852 Debora Boeditjahjono Surabaya 20190827.A02-000000012

853 Denno Yuartnovan Surabaya 20181026.A01-000001861



Hal 23 dari 26

854 Devid Dwi Cahyono Surabaya 20170223.A01.100027044

855 Dewanto Prajogo Surabaya 05.241109.00.04.001546.0501

856 Didit Adhitya Surabaya 20091125.A01.100001822

857 Dwi Suhartono Surabaya 20190823.A01-000000020

858 Eka Christianto Handojo Surabaya 20111220.A01.100010572

859 Elo Yuliana Surabaya 20110428.A02.100007329

860 Endang Sriningsih Surabaya 05.011210.00.03.005473.0501

861 Fareza Aditya Nugraha Surabaya 20191008.A01-000000012

862 Feby Wardana Surabaya 20190409.A02-000005365

863 Felix Hardjosoemarto Surabaya 05.270510.00.03.003165.0501

864 Fenny Sanjaya Surabaya 20190930.A02-000000002

865 Feny Wailola Surabaya 20191122.A02-000000003

866 Ferri Handoko Surabaya 20190610.A01-000006038

867 Fonny Kristina Surabaya 20190724.A02-000000010

868 Frans Soedjono Jodianto Surabaya 20080131.A01-100020057

869 Fu Min Surabaya 20101201.A01-100005432

870 Fudyana Surabaya 20190926.A02-000000004

871 Hera Kolina Prasetyo Surabaya 20110428.A02.100007253

872 Herlina Ratna Wiweko Surabaya 20190919.A02-000000007

873 Herry Kurniawan Surabaya 20080131.A01-100020055

874 Herry Poernomo Surabaya 05.201211.00.03.010631.0501

875 Ho Swa Nio Surabaya 20181026.A02-000001862

876 Ian Himawan Surabaya 20170223.A01-100027089

877 Ida Kumala Sari Pranowo Surabaya 20101201.A02.100005464

878 Indarto Satyanugroho Surabaya 20091124.A01-100001500

879 Iswanto Surabaya 20170223.A01.100027038

880 Ivan Santoso Yudi Yo Surabaya 01.170709.00.04.000020.0101

881 Jihan Rana Ayunda Dewana Surabaya 20191203.A02-000000010

882 Johanes Surabaya 20190502.A01-000005698

883 Johanes Kurnia W Surabaya 20121127.A01-100012573

884 Juhairiyah Surabaya 20190827.A02-000000010

885 Junita Prasetyo Surabaya 20191108.A01-000000004

886 Kwok Emmy Megawati Surabaya 20150212.A02.100020449

887 Lamono Pekanto Surabaya 20080131.A01-100020127

888 Leo Supriando Bramasto Surabaya 20170124.A01.100026638

889 Leonardo Santosa Imanto Surabaya 20091124.A01.100001722

890 Lie Djiaw Surabaya 20190827.A02-000000001

891 Liem Hok Sin Surabaya 20131031.A01.100014782

892 Lina Mangunsong Surabaya 01.310108.00.05.012477.0501



Hal 24 dari 26

893 Liong Kuong Tjen Surabaya 01.310108.00.04.020071.0101

894 Lorensia Audrey Siswanto Surabaya 20190614.A02.000006090

895 Lukas Bidjtan Surabaya 20190708.A01-000000006

896 Lukito Hardjono Surabaya 20170223.A01.100026962

897 Maria Surabaya 20181101.A02-000001940

898 Maria Lucia Dewayani Surabaya 05.241109.00.04.001469.0501

899 Marlen Mariana Pattipeilohy Surabaya 20190819.A02-000000001

900 Melanie S Surabaya 20190826.A02-000000004

901 Mochammad Rizal Chamdi Surabaya 20190822.A01-000000015

902 Moh. Idris Unang Surabaya 20090717.A01.100000024

903 Nita Afiyani Surabaya 20111220.A02-100010664

904 Panji Sugiarto Surabaya 20191202.A01-000000009

905 Purnomo Hadi Surabaya 20190924.A01-000000019

906 Putu Rangga Jayaprana Surabaya 20190502.A01-000005695

907 Ramini Surabaya 20190805.A02-000000015

908 Rinzana Nuranggraeni Surabaya 20191128.A02-000000006

909 Robby Daniel Umboh Surabaya 20190627.A01-000000500

910 Robin Widoyo Surabaya 20190627.A01-000000489

911 Rona Mentari Surabaya 20191004.A02-000000011

912 Ronny Koestanto Surabaya 20080131.A02.100020041

913 Roy Purnomo Djojo Surabaya 01.310108.00.05.020134.0101

914 Rudy Kurniawan Surabaya 20101201.A01.100005416

915 Rusly Tjan Surabaya 01.310108.00.05.020074.0101

916 Rut Novi Widawati Surabaya 05.281217.00.00.032530.0501

917 Samuel Adi Nugroho Surabaya 20190506.A01-000005724

918 Sandy Gharna Surabaya 20121127.A01.100012595

919 Selvani Lianto Surabaya 20170223.A02.100027040

920 Sigit Gita Tanazal Surabaya 20131031.A01.100014787

921 Slamet Hadi Susanto Surabaya 05.050614.00.02.017963.0501

922 Sri Rochani Inayah Surabaya 20190918.A02-000000010

923 Sudjono Sutjioprawiro Surabaya 01.310108.00.05.02.0078.0101

924 Sukarjono Surabaya 20181019.A01-000001698

925 Sukron Makmun Surabaya 20191008.A01-000000010

926 Tan Kong Joe Surabaya 05.311013.00.02.014754.0501

927 Tan Ling Ling Surabaya 20190620.A02-000006174

928 Tan Sandy Yonathan Surabaya 20101201.A01-100005531

929 Theresia Amelia Istanto Surabaya 20191023.A02-000000032

930 Thimotius Andrianto Surabaya 20150226.A01.100020660

931 Tin Ay Lie Surabaya 20190708.A02-000000006



Hal 25 dari 26

932 Tio Hosea Prasetyo Surabaya 20080131.A01-100011640

933 Tjan Marvin Martinus Surabaya 20190517.A01-000005904

934 Tommy Andrianto Surabaya 20190923.A01-000000017

935 Tony Surabaya 05.201211.00.03.010629.0501

936 Tony Kustiawan Surabaya 20190924.A01-000000021

937 Trias Agoestyarini Surabaya 20190903.A02-000000012

938 Vincent Tanaka Surabaya 20190905.A01-000000002

939 Widyawati Alimwidjaja Surabaya 20191210.A02-000000003

940 Wiwiek Widowati Surabaya 05.260215.00.01.020702.0501

941 Yuliani Kurniawati Surabaya 20191101.A02-000000009

942 Yuniar Indhiyanto Ersta A Surabaya 20121127.A01.100012562

943 Yustinus Arief S Surabaya 05.241109.00.04.001637.0501

944 Yusuf Gunawan Surabaya 20190703.A01-000000002

945 Harry Mudjiyanto Tegal 04.050810.00.03.003670.0431

946 Iman Sutanto Tegal 20100805.A01-100003557

947 Maudy Putri Lestari Tegal 20190701.A02-000000021

948 Tjia Tjeng Bok Tegal 04.050810.00.03.003570.0431

949 Achmad Mardianto Yogyakarta 20091125.A01.100001762

950 Afandi Setyo Nugroho Yogyakarta 20180523.A01-000000266

951 Aga Kurnia Ardiawan Yogyakarta 20180801.A01-000000610

952 Agus Kalteng Nugroho Yogyakarta 20180801.A01-000000609

953 Agus Widodo Yogyakarta 20170518.A01.100027989

954 Amirrudin Yogyakarta 20151217.A01.100023535

955 Andy Kusuma Putra Yogyakarta 20191011.A01-000000014

956 Danang Hartanto Yogyakarta 20180807.A01-000000643

957 Dedi Nugroho Yogyakarta 20161222.A01.100026599

958 Dian Ardianti Fatimah Yogyakarta 20180702.A02-000000422

959 Dian Wijayanto Yogyakarta 06.231214.00.00.020129.0601

960 Diant Khuzaidicka Alambara Yogyakarta 20180712.A01-000000458

961 Effendi Budi Santoso Yogyakarta 06.061112.00.02.012375.0601

962 Endah Bayu Artini Yogyakarta 04.260412.00.00.011077.0601

963 Endah Putriani Yogyakarta 04.070917.00.00.028610.0431

964 Enoch Anugerah Setiawan Yogyakarta 20080131.A01-100012674

965 G Agung Rendra Prasastyo Yogyakarta 20191010.A01-000000003

966 Henricus Budiraharjo Yogyakarta 06.251109.00.04.001737.0601

967 Heru Prabowo Yogyakarta 20180716.A01-000000443

968 Ina Setyawati Yogyakarta 04.021210.00.03.005647.0401

969 Joko Budi Priyono Yogyakarta 20091125.A01.100001829

970 Kristanto Yogyakarta 20181004.A01-000001474



Hal 26 dari 26

971 Kristina Wisnu Wardani Yogyakarta 06.191213.00.02.015063.0601

972 Lensy Fera Adhista Enjelika Yogyakarta 20180925.A02-000001241

973 M Sunaryo Yogyakarta 06.180517.00.00.027990.0601

974 Muhamad Jauzi Duqi Yogyakarta 20180921.A01-000001194

975 Muhammad Andhi Hidayat Yogyakarta 20161222.A01.100026600

976 Muhammad Nasrul Amin Yogyakarta 20191010.A01-000000005

977 Nifita Chandrawati Yogyakarta 20191009.A02-000000017

978 Noorlaksmiati Yogyakarta 04.021210.00.03.005651.0401

979 Novie Susantie Yogyakarta 20120426.A02-100011098

980 Rasito Moyo Utomo Yogyakarta 20160526.A01.100024987

981 Rebeca Henyjati Yogyakarta 20101202.A02-100005653

982 Sentot W Yogyakarta 20180808.A01-000000682

983 Sinta Maha Dewi Yogyakarta 20191009.A02-000000007

984 Subiakto Yogyakarta 01.170709.00.04.000076.0101

985 Suryadi Santoso Yogyakarta 20121106.A01.100012381

986 Tarji Yogyakarta 20180809.A01-000000693

987 Wilma Prasetya Yogyakarta 20180604.A01-000000350

988 Windarti Yogyakarta 20181010.A02-000001522

989 Yofani Wahyu Perdana Yogyakarta 20181115.A01-000002310

990 Yoshua Ardi Purnomo Yogyakarta 04.280515.00.01.021651.0601

991 Yudi S Yogyakarta 20180921.A01-000001187

992 Yudy Harsono Yogyakarta 20141223.A01.100020164

993 Yuris Sutanto Yogyakarta 20191009.A01-000000005

Chubb. Insured.SM
