Daftar Rekanan Mitra Distribusi Independen Chubb...PT Chubb General Insurance Indonesia terdaftar...

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Hal 1 dari 26

Daftar Rekanan Mitra Distribusi Independen Chubb

No. Nama Lokasi No. Sertifikat

1 A Sujatniko Bandung 01.250613.00.02.013625.0101

2 Ade Taswin Bandung 02.161214.00.01.020021.0201

3 Ade Yusmar Herman Bandung 20191226.A01-000000005

4 Adelina Juniyati Sihombing Bandung 20140123.A02-100015339

5 Agus Mulyana Bandung 01.310108.00.05.011499.0101

6 Andy Dharma Putra Bandung 20191226.A01-000000008

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 05/20


Hal 2 dari 26

34 Hilmi Adriansyah Bandung 20191125.A01-000000003

35 Ika Christian Bandung 20200221.A02-000000010

36 Ikhwan Syah Bandung 20191021.A01-000000001

37 Indra Ramdhani Bandung 02.250310.00.04.002762.0201

38 Indry Windyance Bandung 20200221.A02-000000001

39 Iskandar Santoso Bandung 20090904.A01-100000924

40 Jannie Herijani Bandung 20181022.A01-000001722

41 Joko Tri Hartanto Bandung 20191125.A01-000000005

42 Juliana Susanti Howan Bandung 20190923.A02-000000002

43 Kevin Ardi Juwono Bandung 02.250310.00.03.002818.0201

44 Liesye Herlyna Sugiono Bandung 20200404.A02-000000002

45 Lili Suparli Bandung 20190423.A01-000005598

46 Lilis Halim Bandung 20080131.A01-100011759

47 Lilis Maya Puspita Bandung 20140814.A02.100018516

48 Lim Ay (Lukas) Bandung 01.040909.00.03.000928.0101

49 Loekman Bandung 20191113.A01-000000016

50 Martadinata Ciungwanara Bandung 20100325.A01.100002739

51 Melia Agustine Tjio Bandung 20170309.A02-100027286

52 Mimi Maidawati Bandung 20191115.A02-000000010

53 Muhamad Khairul Fajar Al Syidik Bandung 20200221.A01-000000013

54 Nuriani Krisnawati Damaske Bandung 20120315.A02-100010855

55 Pargiwa Bandung 20111110.A01.100010122

56 Paulus Bunawan Tjitra Bandung 02.250310.00.04.002725.0201

57 Rachmat Suwardi Bandung 02.160114.00.00.015276.0201

58 Rachmawaty Bandung 02.290910.00.03.004311.0201

59 Rahayu Bandung 20161018.A02-100025992

60 Ratna Kusuma Bandung 20150324.A02.100020990

61 RD Firman Syahrul Mulya Bandung 20190923.A01-000000005

62 Reisha Oktaviany P Bandung 20190820.A02-000000011

63 Reni Hafriani Hafid Bandung 20200404.A02-000000001

64 Rian Setiawan Anugrah Bandung 20190815.A01-000000024

65 Sahala Saut Pardomuan Sihombing Bandung 02.101111.00.03.010105.0201

66 Sansan Alamsyah Bandung 01.031213.00.02.014931.0201

67 Sarah Celvi Benjamin Bandung 20191125.A02-000000003

68 Senny Witanti Bandung 20191115.A02-000000012

69 Soni Timotius Gulo Bandung 20080131.A01-100011637

70 Sri Wulan Awalina Bandung 20190820.A02-000000015

71 Stevanus D Darsono Bandung 20090904.A01-100000911

72 Suharta Tirta Bandung 20140814.A02.100018715



Hal 3 dari 26

73 Sumardiyatmo Bandung 20190923.A01-000000007

74 Sumarni Bandung 20200221.A02-000000011

75 Themazaro Mendrofa Bandung 20191023.A01-000000004

76 Vity Rahdiani Bandung 20191125.A02-000000006

77 Walujo Setiono Bandung 02.250310.00.03.002767.0201

78 Winda Friyanti Bandung 01.110917.00.00.028744.0208

79 Yayan Taryadi Bandung 20110527.A01.100007884

80 Yayat Ruhiyat Bandung 20080131.A01-100011758

81 Yen Hardi Bandung 20090904.A01.100000697

82 Yoshua Budijanto Bandung 01.040909.00.03.000693.0101

83 Yugo Jeheskel Wattimena Bandung 20190909.A01-000000003

84 Yunita Agustiantanti Bandung 20190906.A02-000000018

85 Agus Budiman Bogor 01.221215.00.01.023595.0101

86 Andi Pardianto Bogor 20181019.A01-000001714

87 Andy Kamajaya Bogor 20191206.A01-000000035

88 Antonius Effendi Bogor 20191108.A01-000000017

89 Devi Wahyudi Bogor 20120913.A01.100012042

90 Hari Dipa Bogor 20130531.A01.100013592

91 Herbert Arifin Bogor 20090730.A01-100000629

92 Indra Andriansyah Bogor 20110419.A01.100007244

93 Sapto Purwiantono Bogor 20190903.A01-000000022

94 Brahmeka Praseptadie Cirebon 20190128.A01-000004004

95 Murniawati Cirebon 20190115.A02-000003565

96 Nevi Prasetyarini Cirebon 20190115.A02-000003563

97 Yudi Jumaedi Cirebon 20190122.A01-000003747

98 Anak Agung Ketut Merta Denpasar 20140821.A01.100018819

99 Andre Rahardja Denpasar 20110514.A01.100007443

100 Dean Vini Annisa Denpasar 20200422.A02-000000001

101 Edy Karman Denpasar 20110714.A01-100009081

102 Endi Maryadi Denpasar 20131112.A01-100014851

103 Eva Carolina Tio Denpasar 07.140711.00.03.009069.0701

104 Fransisco Redy Denpasar 20080131.A01.100020182

105 I Gst Ag PT Yasa Saputra Denpasar 07.020910.00.04.004054.0701

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

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

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

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

110 I Gusti Bagus Wiratmaja Denpasar 20131112.A01-100014853

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



Hal 4 dari 26

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

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

114 I Nyoman Suryawan Denpasar 07.020910.00.04.003977.0701

115 I Putu Gede Suthamaya Denpasar 07.020910.00.04.003927.0701

116 I Putu Suranaya Denpasar 20190824.A01-000000002

117 I Wayan Eva Ariana Denpasar 20140821.A01.100018822

118 I Wayan Sudiarta Denpasar 20150326.A01-100021085

119 Ida Dawiah Denpasar 20170510.A02.100027749

120 Kadek Ayu Suarningsih Denpasar 20190723.A02-000000012

121 Ketut Sanda Denpasar 07.230114.00.02.015401.0701

122 Lina Aida Denpasar 20100902.A02-100003995

123 Made Dwi Perwana Denpasar 20130220.A02.100013026

124 Mairani Tanjung Denpasar 20100902.A02.100003993

125 Ni Ketut Sukaryaningsih Denpasar 20140123.A02.100015406

126 Ni Made Sutarini Denpasar 20100902.A02-100003981

127 Ni Nyoman Ardani Denpasar 20191104.A02-000000003

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 Agustiawan Boentoro Jakarta 20190514.A01-000005831

150 Agustina DR Simbolon Jakarta 20190829.A02-00000009



Hal 5 dari 26

151 Ahok Jakarta 20080131.A01-100011945

152 Aji Indra Baskoro Jakarta 20200213.A01-000000007

153 Alexander Susanto Jakarta 01.130912.00.03.011947.0101

154 Alfons Iman Hardjasaputra Jakarta 01.280715.00.00.021944.0101

155 Aluizaro Waruwu Jakarta 20191023.A01-000000025

156 Amelia Dewi Pusparini Jakarta 20170124.A02.100026721

157 Anastasia Setyo Lestari Jakarta 06.061112.00.03.012334.0601

158 Anastasia Varani Daryati Jakarta 20190829.A02-000000012

159 Andi Dwirani Clara Sinta Jakarta 20190507.A01-000005731

160 Andrea Budi Dharma Laya Jakarta 20100928.A01-100004165

161 Andreas Marthinus Unu Jakarta 20100120.A01-100002341

162 Andreas Simorangkir Jakarta 20170411.A01.100027583

163 Andrew Lianto Jakarta 20190717.A01-000000017

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 Andayani Jakarta 20200304.A02-000000006

172 Anita Elisabeth Lolaen Jakarta 20190814.A02-000000006

173 Anni Sopannata Jakarta 20091118.A02.100001373

174 Anton Gunawan Jakarta 20191016.A01-000000019

175 Anton Sadana Jakarta 20080131.A01.100012285

176 Ardyan Widjokongko Jakarta 20120913.A01.100012027

177 Arie Febrianto Jakarta 20200210.A01-000000005

178 Armen Sunarto Jakarta 01.310108.00.05.011461.0101

179 Arya Sushanggoro Jakarta 01.310108.00.05.011570.0101

180 Aspanih Jakarta 01.1309.12.00.03.012041.0105

181 Asrul Dani Jakarta 20101013.A01.100004429

182 Audi Ardito Sularso Jakarta 20180906.A01-000000998

183 Ayu Pipie Setiawati Jakarta 20100120.A02-100002227

184 Azidir Jakarta 20090717.A01.100000301

185 Bagus Pribadi Jakarta 01.220316.00.00.024038.0101

186 Bardono Triwibowo Jakarta 0709 000138

187 Basoeki Tantra Jakarta 01.171115.00.01.022970.0101

188 Basri Adhi Jakarta 20160823.A01.100025668

189 Bayu Ariyantoro Jakarta 20190905.A01-000000003



Hal 6 dari 26

190 Benedictus Benny Susanto Jakarta 20091021.A01-100001173

191 Betty Toding Jakarta 01.211009.00.04.001174.0101

192 Binardi Bachtiar Jakarta 20110120.A01-100006379

193 Bonifacia Gesuriati S. Jakarta 01.191217.00.00.031840.0101

194 Boyke Chandra Kartiko Jakarta 01.161215.00.01.023294.0101

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 Cristine Rahardjo Jakarta 01.290911.00.03.009677.0101

201 Danny Pratama Jakarta 20200312.A01-000000013

202 Darmadji Sidik Jakarta 20190828.A01-000000007

203 Davita Athalia Jakarta 20191009.A02-000000018

204 Davy Elias Pribadi Jakarta 01.310108.00.05.011446.0101

205 Dendy Priandana Jakarta 20190830.A01-000000003

206 Deni Sapril Jakarta 01.210611.00.03.008737.0101

207 Desso Bintoro Suryo Jakarta 20200310.A01-000000005

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 Hariyono Jakarta 20200217.A01-000000020

220 Eddy Sidik Jakarta 20120515.A01-100011211

221 Edison Jakarta 01.210611.00.03.008643.0101

222 Edwin Tanial Jakarta 01.030913.00.02.014227.0105

223 Edwin Wisantyo Jakarta 20110818.A01.100009467

224 Edyson Jakarta 20121129.A01.100012756

225 Effendy Robert M Jakarta 20140502.A01-100017133

226 Eka Djaja Jakarta 01.170709.00.04.000097.0101

227 Eldwen Hizkia Thomas Jakarta 20170411.A01.100027571

228 Elfrinal Jakarta 20091118.A01-100001424



Hal 7 dari 26

229 Elis Aminah Jakarta 01.310108.00.05.011610.0101

230 Elisa Soegiharto Jakarta 20100120.A02-100002233

231 Ellen Krisanti Rustandi Jakarta 20091118.A02.100001366

232 Elly Jakarta 01.210710.00.04.003354.0101

233 Emeliawati Sudharmadi Jakarta 01.010318.00.00.033723.0101

234 Endah Kurniasih Jakarta 20191112.A02-000000006

235 Erick Tjuatja Jakarta 20190716.A01-000000017

236 Ermawati Jakarta 01.170709.00.04.000275.0101

237 Ermince H Helena Siahaan Jakarta 01.230413.00.02.013339.0101

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 20191025.A02-000000019

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 Retna Jakarta 20190917.A02-000000016

260 Frenklin Henri Gultom Jakarta 20190918.A01-000000002

261 Friscelia Proventia Manurung Jakarta 20190711.A02-000000008

262 Friska Jakarta 01.040314.00.01.016074.0101

263 Golda Rouli Bunbunan P Jakarta 20080131.A01-100011576

264 Grace Nurdiansyah Jakarta 20190927.A02-000000004

265 Hadibowo Tjandra Jakarta 20111101.A01.100009956

266 Han Han Jakarta 20131203.A01-100014967

267 Hanako Kairupan Jakarta 20080131.A02.100012472



Hal 8 dari 26

268 Handy Boediman Jakarta 01.110616.00.00.021916.0101

269 Hari Murhadi Jakarta 20100928.A01.100004171

270 Hartono Sumardi Jakarta 20190909.A01-000000002

271 Hartuti Kusumadewi Jakarta 20080131.A02.100012726

272 Haryanto Heles Koe Jakarta 01.250214.00.02.015737.0101

273 Hasim N Jakarta 20180913.A01-000001043

274 Hendra J Merentek Jakarta 01.200111.00.02.006323.0101

275 Hendra Simca Halimun Jakarta 20110728.A01-100009436

276 Hengdra Jakarta 20131203.A01-100014960

277 Henry Ismanto Jakarta 20190918.A01-000000027

278 Henry Kristian M S Jakarta 20140206.A01-100015412

279 Herlina P Jakarta 20190528.A02-000006043

280 Hernawati Jakarta 01.220511.00.03.007702.0101

281 Herold Jakarta 01.131010.00.02.004439.0101

282 Hioe Pik Jun Jakarta 20090730.A02-100000630

283 Holil Rochman Jakarta 01.111110.00.03.004820.0101

284 Hoo Tjeng Liong Jakarta 20101013.A01.100004462

285 Husin Jakarta 20101208.A01-100005833

286 Husni Samida Jakarta 20130531.A01.100013533

287 Ika Wulandari Jakarta 20200219.A02-000000003

288 Ike Christianto Jakarta 20190724.A01-000000007

289 Imelda Shierly Wibisono Jakarta 20181014.A02-000001613

290 Imelda Tirta Jakarta 20180920.A02-000001169

291 IR Herawati Nurjono Jakarta 20100428.A02.100002971

292 Irawati Tanjung Jakarta 20180920.A02-000001171

293 Irnaria Jakarta 01.100518.00.00.024865.0101

294 Irwan Harjadi Jakarta 20190704.A01-000000007

295 Iswandi Irsad Jakarta 20091021.A01-100001186

296 Iwan Soesanto Jakarta 01.150512.00.02.011235.0101

297 Jajang Irwan Jakarta 01.300709.00.04.000635.0101

298 Jan Suripatty Jakarta 20080131.A01-100011577

299 Jeffri Santoso Jakarta 01.220511.00.02.007717.0101

300 Jenih Herjeni Lunardy Jakarta 01.310108.00.04.012721.0101

301 Jenny Jakarta 20151117.A02.100022960

302 Jenny Yudihar Jakarta 01.210616.00.00.025295.0101

303 Jetty Muliawan Jakarta 01.170709.00.04.000050.0101

304 Jimie Jakarta 01.210314.00.02.016307.0101

305 John Rizal Damhuri Jakarta 01.310108.00.05.011711.0101

306 Jonhardi Terihardjo Jakarta 20200331.A01-000000017



Hal 9 dari 26

307 Joshua Halomoan Sihombing Jakarta 20090730.A01.100000545

308 Juliati Jakarta 01.131010.00.03.004397.0101

309 Juman Miharja Jakarta 20190513.A01-000005819

310 Justina Susianti Jakarta 20080131.A02-100010322

311 Kandika Lunardi Jakarta 01.310108.00.05.011575.0101

312 Kartikawati Jakarta 20080131.A02-100011469

313 Ken Sofira K W Jakarta 20181210.A02.000002796

314 Ketut Dika Cahya Prasetya Jakarta 20191128.A01-000000014

315 Koes Hadi Saputra Jakarta 20191121.A01-000000024

316 Krihartaty Jakarta 01.201015.00.01.022704.0101

317 Krisno Putranto Jakarta 20170124.A01.100026724

318 Kristiadi Atmodjo Jakarta 01.310108.00.05.011579.0101

319 Kumala Dewi Ayu Guntur Jakarta 20160621.A02.100025296

320 Kusmiati Jakarta 20180808.A02-000000691

321 Kwee Brendan Rinaldo Jakarta 20160728.A01-100025585

322 L Gat Murwijanto Jakarta 20190918.A01-000000008

323 Lavinia Indriani Pangestu Jakarta 20151020.A02.100022705

324 Lely Riani Ishar Jakarta 01.310108.00.05.011400.0101

325 Leonardi Jakarta 20090717.A01-100000056

326 Leony Soekarta Jakarta 20100928.A02-100004132

327 Lestari Jakarta 20190829.A02-000000013

328 Lie Frederic Jonathan Alief Jakarta 20180808.A01-000000664

329 Liely Darmawidjaja Jakarta 20080131.A02.100012715

330 Lilianna Jakarta 07.310512.00.03.011614.0701

331 Liliyanthi Jakarta 01.150512.00.00.011419.0101

332 Linda Seviana Jakarta 01.291112.00.00.012759.0101

333 Lisse Mardiati Jakarta 20190729.A02-000000007

334 Lucia Tjandrawati D Jakarta 20090730.A02.100000453

335 Lucy Media Jakarta 20200214.A02-000000020

336 Lusia Sekar W Jakarta 01.310108.00.05.011592.0101

337 Lusina Tirtadharsana Jakarta 01.170709.00.04.000059.0101

338 M Hasyim Jakarta 20180808.A01-000000672

339 Margaretha Susanti S Jakarta 20080131.A02.100011387

340 Maria Elisa Jakarta 20091021.A02.100001194

341 Maria Fatima Kristiono Jakarta 20150512.A02-100021546

342 Maria Mardiani Tjhai Jakarta 20200406.A02-000000002

343 Marianingsih Widjaja Jakarta 20091021.A02.100001195

344 Maringan Halomoan Siregar Jakarta 20200212.A01-000000008

345 Marintan Jakarta 20180913.A02-000001038



Hal 10 dari 26

346 Mario Budi Dharma Jakarta 20161018.A01-100026102

347 Mario Edward Jakarta 20091118.A01-100001395

348 Martha Mardiana Tjhai Jakarta 01.140415.00.01.021362.0101

349 Martin Karim Jakarta 01.291112.00.03.012760.0101

350 Maya Nurwikaningsih Jakarta 01.230413.00.00.013365.0101

351 Mega Airani Jakarta 20200219.A02-000000005

352 Megawati Sata Jakarta 01.110815.00.01.022126.0101

353 Meilina Siagian Jakarta 20161220.A02.100026528

354 Michelle Aprilia Jakarta 20200226.A02-000000004

355 Moeljono Prijosembodo Jakarta 20120913.A01-100012101

356 Moh Naufal Jakarta 20200219.A01-000000007

357 Monapril Suramin Jakarta 01.170709.00.04.000066.0101

358 Muhammad Khairun Ibnus Said Jakarta 01.071117.00.00.030470.0101

359 Muliawati Liento Lay Jakarta 01.150915.00.00.022470.0101

360 Mulyadi Riawan Jakarta 01.040909.00.04.000965.0101

361 Murniaty Siregar Jakarta 20190917.A02-000000021

362 Natalya Tjoeng Jakarta 20150414.A02.100021375

363 Nayemy Jakarta 20180906.A02-000000995

364 Nenden Alice St Fatimah Jakarta 20190919.A02-000000005

365 Neryana Jakarta 20190704.A02-000000004

366 Netty Indahwaty Jakarta 20190711.A02-000000011

367 Ng Nurainy Jakarta 01.170311.00.03.006959.0101

368 Nicodemus Manalu Jakarta 20200330.A01-000000001

369 Nike Krisna Bertha Jakarta 20190704.A02-000000003

370 Novita Nur Aini Jakarta 20190801.A02-000000006

371 Nurbaiti Jakarta 20200319.A02-000000010

372 Nurjanti Jakarta 20190717.A02-000000003

373 Nurjati Delima Jakarta 01.120515.00.01.021519.0101

374 Nuryanti Jakarta 01.150512.00.03.011461.0101

375 Oddie Wingchen Siewira Jakarta 20120315.A01-100010761

376 Olivia Leman Jakarta 20190917.A02-000000020

377 Ong Kian Sen Jakarta 20141104.A01.100019460

378 Otjen Suparta Jakarta 20080131.A02-100011716

379 Otto Nasri Jakarta 20190909.A01-000000009

380 Pancahyo Untung Lestari Jakarta 20190612.A01-000006062

381 Paulus Gunawan Tirtadihardja Jakarta 01.310108.00.05.012586.0101

382 Paulus Jayadi Jakarta 01.111110.00.03.005035.0101

383 Prita Aryanti Jakarta 01.201216.00.00.026529.0101

384 Pudjo Laksono Jakarta 01.310108.00.05.011597.0101

385 Purnamawaty Hartawan Jakarta 01.211009.00.04.001201.0101



Hal 11 dari 26

386 Purwanto Jakarta 20080131.A02-100011390

387 Rachmat Hidayat Jakarta 01.310108.00.05.012603.0101

388 Ratna Sari Jakarta 20190614.A02-000006089

389 Ratna Sari Dewi Jakarta 20200210.A02-000000013

390 Retno Dwisanti Jakarta 20161018.A02.100025993

391 Ria Ernawati Jakarta 20150224.A02.100020568

392 Risa Jakarta 20110728.A02-100009360

393 Rita Clara H Jakarta 20190917.A02-000000025

394 Rita Maria Ms Jakarta 20190325.A02-000005043

395 Rizal Jakarta 01.310108.00.05.011389.0101

396 Rizqi Noviarini Jakarta 20190909.A02-000000006

397 Roben Chen Niago Jakarta 20100928.A01-100004139

398 Robert David Jakarta 01.170709.00.04.000370.0101

399 Robert Wiharja Jakarta 20101111.A01-100004924

400 Rosari Jakarta 01.221215.00.01.023602.0101

401 Rosnila Jakarta 20200319.A02-000000009

402 Rudiman Wiraatmadja Jakarta 01.180511.00.03.007647.0101

403 Rudolf Kurniawan S Jakarta 20091021.A01-100001217

404 Ryan Edrick Suharso Jakarta 01.110815.00.01.022127.0101

405 San Djun Tjin Jakarta 20101013.A02.100004447

406 Sandra Onibala Jakarta 01.150915.00.00.022471.0101

407 Santy Jakarta 20190917.A02-000000015

408 Santy Arifin Jakarta 01.300709.00.04.000649.0101

409 Sapar Jakarta 20200110.A01-000000009

410 Sari Widiyawati Bunjamin Jakarta 20101013.A02.100004448

411 Sata Suliani Jakarta 01.310108.00.05.011912.0101

412 Selly Tiurmaida Marpaung Jakarta 20080131.A02.100011367

413 Selma Salome Simbolon Jakarta 20200205.A02-000000006

414 Septo Adyguna Jakarta 20190717.A01-000000005

415 Sesilia Kusuma Jakarta 20180713.A02-000000466

416 Sheila Suryanto Jakarta 20190812.A02-000000002

417 Sherly Jakarta 20191128.A02-000000009

418 Shinta Dewi Ansi Setiawan Jakarta 20200212.A02-000000004

419 Sinta Adzilla Mona Jakarta 20190905.A02-000000026

420 Siska Chairudin Jakarta 20190716.A01-000000016

421 Siti Solikha Jakarta 20170124.A02.100026725

422 Smita Mirsyad W Jakarta 20180906.A01-000000997

423 Sr Florentina Jakarta 01.170709.00.04.000344.0101

424 Sri Yanti Jakarta 01.310.108.00.05.010440.0101



Hal 12 dari 26

425 Sufianti Jakarta 20190110.A02-000003450

426 Sugeng Malikan Faozi Jakarta 20191115.A01-000000003

427 Sugiharjani Sugandi Jakarta 20200226.A02-000000008

428 Sukandi Martina Jakarta 01.310108.00.05.012477.0101

429 Sunny Octavia Wawis Jakarta 20190415.A02-000005500

430 Suryadi Jakarta 01.010318.00.00.033724.0101

431 Suryawan Siladjaja Jakarta 20170124.A01.100026726

432 Susanna Pranoto Jakarta 20080131.A02.100011386

433 Susanti Setyawati Jakarta 01.310108.00.05.011383.0101

434 Suwanti Tjahjono Jakarta 20080131.A01-100011382

435 Suwito Bunardi Jakarta 01.130912.00.03.012048.0105

436 Syahrul Alamsyah Lubis Jakarta 01.120712.00.03.011788.0101

437 Syamsul Bahri Jakarta 27.251110.00.03.005208.2701

438 Sylfia Tanumihardja Jakarta 20200213.A02-000000003

439 Tam Tjoi Kuang Jakarta 20150811.A01.100022130

440 Tambi Jakarta 01.300709.00.03.000482.0101

441 Tan Lian Hwa Nio Jakarta 01.131010.00.03.004450.0101

442 Tanor Tonny Francis Jakarta 33.031116.00.00.026293.0101

443 Tatik Puspasari Jakarta 01.070317.00.00.027225.0101

444 Teguh Sulistio Jakarta 01.310108.00.05.011494.0101

445 TH Yuniawati K Jakarta 20091021.A02.100001211

446 The Leny Jakarta 01.210616.00.00.025299.0101

447 Then Andreas Aboemardhika Jakarta 01.190411.00.00.007232.0101

448 Thresia Titiliany Uisan Jakarta 20120913.A02.100012103

449 Tjiong Dede Setya Ali Nugraha Jakarta 01.310108.00.05.010679.0101

450 Tjong Shirley Sanjaya Jakarta 20091021.A02.100001214

451 Tommy Sarbono Putra Jakarta 20101111.A01-100005054

452 Toto Wijayanto Jakarta 20191217.A01-000000015

453 Vincentius Simeon Weo Budhyanto Jakarta 20190815.A01-000000014

454 Virgianto Siman Jakarta 01.170709.00.04.000081.0101

455 Wahyu Djatmiko Jakarta 01.110815.00.00.022133.0101

456 Wardjono Wartomo Jakarta 20101111.A01-100004934

457 Wihartono Jakarta 20100721.A01.100003305

458 William Jatmiko Louis Jakarta 20190917.A02-000000022

459 Winda Angelina Jakarta 01.070611.00.03.008325.0101

460 Winston Mh Siagian Jakarta 20180824.A01-000000813

461 Witra Haryani Jakarta 01.310108.00.05.011598.0101

462 Wiwit Raharjanti Jakarta 01.230816.00.00.025745.0101

463 Yenny Ernawati Jakarta 01.110615.00.01.021830.0101



Hal 13 dari 26

464 Yerry Paulus Piter Pelo Jakarta 20170725.A01.100028216

465 Yessika Eraviana Jakarta 20190116.A02-000003608

466 Yoeny Widjaya Jakarta 01.150312.00.03.010772.0101

467 Yohan Poniman Jakarta 01.170709.00.04.000190.0101

468 Yohan Widyatmoko Jakarta 20190918.A01-000000019

469 Yulia Raviki Jakarta 20190918.A02-000000018

470 Yunanto Andi Sulistyo Jakarta 20190918.A01-000000020

471 Yus Tjahyadi Jakarta 20191004.A01-000000023

472 Yustina Novita Syakuntala Jakarta 20190822.A02-000000008

473 Yuswandy Halim Jakarta 01.171115.00.01.022963.0101

474 Agus Pristiwanto Jember 05.241109.00.04.001451.0501

475 Linda Hidayat Aziz Jember 20190116.A01-000003627

476 Sri Mulyani Jember 05.280411.00.03.007269.0510

477 Sugiarto Chandra Gunawan Jember 20101201.A01.100005417

478 Ahmad Khamim Kediri 20170420.A01-100027641

479 Faridis Mra Kediri 01.310108.00.05.020114.0101

480 Gatot Limantoro Kediri 20200403.A01-000000005

481 Haris Nurcahyo Kediri 20180605.A01-000000352

482 Rining Sutarti Kediri 20190527.A02-000006031

483 Betty Andriani Sitompul Lampung 20190329.A02-000005202

484 David Atmaja Lampung 20190731.A01-000000006

485 DragonCipto Rudico Lampung 34.051017.00.00.029574.3401

486 Eko Apriadi Lampung 20140513.A01-100017493

487 Endro Sudiarto Lampung 20190925.A01-000000013

488 Frengky Bambang Sugianto Lampung 34.051017.00.00.029575.3401

489 M Haidir YS Lampung 20191017.A01-000000017

490 Siroftul Nasiin Lampung 20190703.A01-000000017

491 Siti Rukayah Lampung 20190329.A02-000005201

492 Yulia Lampung 20190329.A02-000005197

493 Abd Rahman Alamsyah Makassar 20200127.A01-000000011

494 Ade Indrayani Makassar 20200302.A02-000000006

495 Ade Siti Sobariyah Makassar 20181017.A02-000001657

496 Agus Sugiarto Makassar 20180531.A01-00000339

497 Alfred Adryan Rontisulu Makassar 20190506.A01-000005720

498 Alfredo Makassar 20200108.A01-000000005

499 Allen Kondoy Makassar 20160728.A01-100025585

500 Andi Sanapati Makassar 20160728.A01.100025586

501 Andi Tenri Nangnga Makassar 20170713.A02.100028120

502 Arnas Ifiana Makassar 20190509.A02-000005780



Hal 14 dari 26

503 Artian Dasa Wijaya Makassar 20190523.A01-000005994

504 Bernard Rombe Layuk Makassar 20181003.A01-000001431

505 Billy P Selintung Makassar 20190429.A01-000005661

506 Charles Pinontoan Makassar 20190829.A01-000000009

507 Disya Aprillah Yauryka Makassar 20191209.A02-000000010

508 Effie Tesman Makassar 20191014.A02-000000006

509 Erick Sutanto Makassar 19.270314.00.02.016507.1901

510 Erlina Ed Silaen Makassar 20190731.A02-000000003

511 Exel Chandra Makassar 20191128.A01-000000011

512 Femmy Mandagi Makassar 20170713.A02.100028122

513 Fitriani Syahidah Nur Makassar 20191113.A02-000000007

514 Franky Sutanto Makassar 20180521.A01-000000240

515 George Junianto Andries Makassar 20191011.A01-000000008

516 Go Tjun Tju Makassar 20191112.A01-0000000007

517 Harlinda Abbas Makassar 20180521.A01-000000238

518 Hendra Gunawan Makassar 20190829.A01-000000011

519 Ignatius Sigit Antoro Makassar 20190729.A01-000000010

520 Jerly Alling Makassar 20190911.A01-000000002

521 Johny Tangko Makassar 20180521.A01-000000239

522 Julia Wijaya Makassar 20191220.A02-000000013

523 Junarto Sindra Makassar 20191023.A01-000000046

524 Lauw Jong Tjeang Makassar 20180518.A01-000000230

525 Lie Fung Lokman Makassar 20160728.A02-100025588

526 Marlina Makassar 20191002.A02-000000010

527 Marni Juwita Sundalangi Makassar 20190828.A02-000000004

528 Meivi Ingri Makassar 20180520.A01-000000234

529 Naici Effendy Makassar 20190821.A02-000000010

530 Natalia Makassar 20190729.A02-000000012

531 Rani Rifani Arifuddin Makassar 20170713.A02.100028139

532 Riyalamuara Makassar 20200310.A01-000000002

533 Robert Santoso Makassar 20190807.A01-000000002

534 Ronald Chendra Makassar 20190802.A01-000000006

535 Rosalina Pia Pony Makassar 20190731.A02-000000002

536 Rudy Santosa Walalangi Makassar 20180731.A01-000000587

537 Sitti Komariah Makmur Makassar 20191105.A02-000000001

538 Syahrir Makassar 20190509.A01-000005779

539 Syahrul Aswar Makassar 20200211.A01-000000011

540 Sylvia Suciady Makassar 20190506.A02-000005719

541 Wijaya Suwono Makassar 20190510.A01-000005789



Hal 15 dari 26

542 Wike Adeleida Makassar 20160728.A02.100025589

543 Yongkie Gunawan Makassar 20160728.A01-100025590

544 Yuliana Indriyawati Darsono Makassar 20160728.A02.100025591

545 Yuliani Saleng Makassar 20190829.A02-000000003

546 Adryan Yusdi Renaldi Malang 20190806.A01-000000014

547 Banju Adji Nogo Putro Malang 20191206.A01-000000028

548 Bhadrika G Nandiwardhana Malang 20191004.A01-000000006

549 Cut Nur Meini Jayawati Malang 20190725.A02-000000004

550 Daizy Florentina Laisina Malang 20190827.A02-000000005

551 Eko Wahyuhadi Malang 20180417.A01.0000000058

552 Fajar Hadi Malang 20190827.A01-000000007

553 Herdiawan Kustantyo Malang 20190712.A01-000000011

554 Ketut Perbowo Malang 05.120215.00.01.020486.0515

555 Mulyaningtyas Malang 20200120.A02-000000012

556 Nadia Arlini Tjahjadi Malang 20191104.A02-000000006

557 Nindiasti Meyrawati Malang 20190826.A02-000000003

558 Noertitah Nafsiani Malang 20190827.A02-000000004

559 Novita Arisanti Malang 20191004.A02-000000005

560 Renny Kusuma Wardhani Indarto Malang 20200122.A02-000000001

561 Robiatul Adawiyah Malang 20181025.A02-000001783

562 Samsuliadi Malang 20200122.A01-000000003

563 Silvia Pusparini Malang 20190708.A02-000000007

564 Siska Agustina Malang 20190719.A02-000000005

565 Soendoro Malang 05.281117.00.00.030845.0515

566 Sony Winarko Malang 05.271112.00.03.012581.0501

567 Sriyoto Malang 05.241109.00.04.001477.0501

568 Stevanus Gunawan Malang 20191004.A01-000000010

569 Tjipto Loekito Tutughamiarsa Malang 20191017.A02-000000006

570 Yuli Prihati Malang 20190711.A02-000000001

571 Yvonne Christiana Damayanti Malang 20191206.A02-000000023

572 Abdul Mahfuzh Zulfiqar Putra Hamid Manado 14.280917.00.00.029429.1401

573 Betty Yusuf Manado 14.280917.00.00.029431.1401

574 Lilis Suryadi Manado 01.170714.00.02.018669.0101

575 Nita Julistyawati Kartika Manado 06.171215.00.01.023494.0501

576 Novel E Porajow Manado 14.280917.00.00.029434.1401

577 Octavianus Tawalujan Manado 14.280917.00.00.029435.1401

578 Pertiwi Jeinifer Lampus Manado 14.040615.00.01.021708.1401

579 Sanny Oscar Manado 14.280917.00.00.029436.1401

580 Septyviana Stefanny Yuliana Manado 14.280917.00.00.029437.1401



Hal 16 dari 26

581 Victor Daeng Manado 14.240311.00.03.007001.1401

582 Adil Anwar Medan 20191024.A01-000000012

583 Alamria Asmardy H Medan 20191111.A01-000000015

584 Alexander Medan 25.060514.00.01.017394.2501

585 Alfian Chiuman Medan 20200408.A01-000000006

586 Amir Medan 20121016.A01-100012139

587 An Nie Medan 25.240610.00.03.003261.2501

588 Andri Wijaya Medan 20191029.A01-000000013

589 Ang Huai Cie Medan 25.221117.00.00.030760.2501

590 Anthony Medan 20100624.A01-100003229

591 Arfin Witarsa Medan 20150409.A01.100021288

592 Budiman Medan 20190813.A01-000000010

593 Charles Desem Yusap Medan 25.060514.00.02.017407.2501

594 Daniel Wijaya Medan 20110407.A01-100007067

595 Deasy Natalia Aritonang Medan 20191213.A02-000000022

596 Delima R Batubara Medan 20200324.A02-000000013

597 Desi Loena Medan 20200107.A02-000000005

598 Djoni Medan 20191213.A01-000000030

599 Djunaidy Tehnika Medan 05.241109.00.02.001661.0501

600 Edy Susanto Medan 20191023.A01-000000040

601 Elis Medan 20191118.A02-000000004

602 Elizabeth Willibrodus Tjia Medan 20140506.A02-100017384

603 Emelda Siregar Medan 20200228.A02.000000007

604 Erwin Mdn Medan 20200326.A01-000000005

605 Eryana Medan 20191024.A02-000000004

606 Eva Oktoria Sinaga Medan 20191115.A02-000000015

607 Eva Varida JL Tobing Medan 20191023.A02-000000018

608 Evan Carlin Medan 20191119.A01-000000011

609 Evy Chou Medan 20191024.A02-000000007

610 Felisia Wenny Liestary Medan 20200330.A02-000000008

611 Feriwaty Medan 20190731.A02-000000022

612 Hapollo Loka Medan 25.241109.00.04.002084.2501

613 Hartono Poinah Medan 25.241109.00.04.002072.2501

614 Helen Medan 20191025.A02-000000017

615 Hendy Medan 20191025.A01-000000025

616 Imam Abdi Medan 20091217.A01-100001997

617 Immanuel Japar Medan 20200330.A01-000000008

618 Irene Ngadikun Medan 20200312.A02-000000018

619 Irwan Efendi Medan 20191023.A01-000000022



Hal 17 dari 26

620 Jhon Siswanti Medan 20200303.A02-000000016

621 John Liem Medan 20200407.A01-000000007

622 Jusly Tjandra Medan 20191023.A02-000000034

623 Jusuf J Medan 20200306.A01-000000022

624 Jusuf Ngatimin Medan 25.061211.00.03.010324.2501

625 Kamran S Medan 20200130.A01-000000009

626 Kang Hang Ui Medan 25.171209.00.04.002169.2501

627 Karsono Medan 20200312.A01-000000009

628 Lasti Fransika Tampubolon Medan 20191023.A02-000000019

629 Lauw Yoe Kwan Medan 25.241110.00.04.005122.2501

630 Leny Sima Medan 20200129.A02-000000009

631 Lie Koen Seng Medan 20100624.A01.100003224

632 Lili Heleni Medan 20191118.A02-000000005

633 Lily Medan 20150409.A02-100021265

634 Livon Medan 20160714.A02.100025351

635 Mariani Medan 20191115.A02-000000022

636 Martha Cony Elisabeth Sitorus Medan 20191017.A02-000000009

637 Merahni Medan 20200128.A02-000000007

638 MHD Arie Al Ridho Medan 20191011.A01-000000013

639 Minto Medan 20110407.A01.100007086

640 Muhammad Syamsuri Siregar Medan 20200407.A01-000000010

641 Nana Mariana Medan 20191023.A02-000000033

642 Nikki Alexandra Kalinggo Medan 20161027.A02.100026149

643 Olivia Medan 20191115.A02-000000019

644 Paryono Chong Medan 20111206.A01-100010285

645 Pinpinwati Lowis Medan 20110407.A02-100007062

646 Posman Sitorus Medan 20091217.A01-100002003

647 Rose Medan 20191119.A02-000000011

648 Ruby Medan 20191213.A01-000000039

649 Rudi Swanto Butar Butar Medan 20200407.A01-000000014

650 Salomo Sudianto Turnip Medan 20200122.A01-000000008

651 Sanny Wijaya SE Medan 20191025.A01-000000030

652 Santo Medan 20190516.A01-000005882

653 Siegfried Medan 20091217.A01.100001977

654 Simon Kalinggo Medan 20091217.A01.100002074

655 Sirait Eng Bin Medan 25.241109.00.04.002127.2501

656 Sirfia Medan 20190924.A02-000000022

657 Siti Maria Medan 20170523.A02.100028033

658 Sondang Herlina Medan 20200313.A02-000000010



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 Sugito Jansen Medan 25.171209.00.04.002044.2501

664 Suhardy Medan 20200407.A01-000000015

665 Suharno Taniwan Medan 01.211009.00.04.001206.0101

666 Sunarko Widjaja Medan 20111206.A01.100010344

667 Suparman Medan 20191024.A01-000000008

668 Sutrisno Medan 20091217.A01-100001979

669 Suyono Medan 20191119.A01-000000014

670 Tan Kok Hoei Medan 20150409.A01-100021243

671 Thioe Peng Seng Medan 20080131.A01-100020149

672 Tio Elina Medan 20191120.A02-000000003

673 Tio Hang Tjoh Medan 20091217.A01.100002069

674 Tjek Liefang Medan 20091217.A01.100001981

675 Tjeng Huat Basirin Medan 20091217.A01-100001989

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

677 Tobeng Tukiman Medan 20091217.A01-100002094

678 Toni Medan 20191023.A01-000000038

679 Tonny Tiona Medan 20091217.A01-100001982

680 Triady Herminto Medan 20191111.A01-000000016

681 Vera Agustina Medan 20200303.A02-000000015

682 Verawati Butar Butar Medan 20200225.A02-000000007

683 Willy Medan 20200304.A01-000000016

684 Yoe Mei Lie Medan 20200121.A02-000000021

685 Yola Amara Chistin Medan 20190813.A02-000000009

686 Yosef Agustinus Medan 20200409.A01-000000016

687 Yudhi Surya APK Medan 20200414.A01-000000010

688 A Azharie Palembang 20190924.A01-000000014

689 A Azis Herman Palembang 20190621.A01-000006229

690 A Muhammad Ridho Palembang 20200206.A01-000000012

691 Ade Sukmana Palembang 20190710.A01-000000003

692 Agus Setiawan Palembang 20200221.A01-000000002

693 Alex Wijaya Palembang 33.261010.00.03.004640.3301

694 Ali Masad Palembang 20190626.A01-000000005

695 Amrah Rozali Palembang 20190626.A01-000000002

696 Andi Chayadi Palembang 33.270214.00.01.015983.3301

697 Antonny Sudarwi Palembang 20190318.A01-000004841



Hal 19 dari 26

698 Anwar Samsu Palembang 33.231117.00.00.030811.3301

699 Betty Palembang 20190924.A02-000000014

700 Darmawati Asro Palembang 20190618.A02-000006124

701 Dewi Ratnasari Palembang 20190808.A02-000000012

702 Dwi Kuncorojati Palembang 33.231117.00.00.030812.3301

703 Dwi Septiana Palembang 20190626.A02-000000005

704 Eddy Muzakkir Palembang 20190404.A01-000005273

705 Emilda Agustina Palembang 20190426.A02-000005646

706 Emiyati Palembang 20190716.A02-000000012

707 Ermandra Palembang 20140227.A01.100015894

708 Fatmalidia Palembang 20200417.A02-000000012

709 Gunawan L Palembang 20200226.A01-000000009

710 Handy Lianto Palembang 20161103.A01.100026186

711 Hayuna Palembang 20190621.A02-000006231

712 Hendra Ali Palembang 20190517.A01-000005909

713 Hera Rebiani Palembang 20190808.A02-000000009

714 Jap Fui Fang Palembang 33.261010.00.03.004644.3301

715 Jhamal Achmadi Palembang 20190320.A01-000004893

716 Kartika Sari Palembang 20190808.A02-000000003

717 Kgs Yerry Husairy Palembang 20140227.A01-100016026

718 Letsuarti Palembang 20190328.A02-000005131

719 Lie Siau Ching Palembang 20200122.A02-000000007

720 Lukman Hakim Palembang 20190722.A01-000000004

721 Mardalena Palembang 20190626.A02-000000004

722 Marhawati Palembang 20190621.A02-000006235

723 Marsyana Septiani Pratiwi Palembang 20190909.A02-000000008

724 Maryam Yusniharti Palembang 20190912.A02-000000001

725 Masitoh Palembang 20190703.A02-000000008

726 Milis Palembang 20190308.A01-000004670

727 Mira Palembang 20190808.A02-000000010

728 Muhammad Firdaus Palembang 20181108.A01-000002163

729 Muhammad Ikhsan Palembang 20190710.A01-000000006

730 Nelson Palembang 20190405.A01-000005277

731 Nuniek Rindharwaty Palembang 20190328.A02-000005129

732 Nurmelly Setiawati Palembang 20190621.A02-000006239

733 Osna Juni Wati Palembang 20190703.A02-000000009

734 Pasihar Simorangkir Palembang 20190521.A01-000005939

735 Peter Augie Palembang 20200121.A01-000000020

736 Rifky Haryanto Palembang 20190221.A01-000004444



Hal 20 dari 26

737 RM Hasyim Palembang 20190621.A01-000006243

738 Rochmi Imaniyah Palembang 20190814.A02-000000005

739 Roni Kesuma Lie Palembang 20161103.A01.100026217

740 Rosmawaty Palembang 20190626.A02-000000003

741 Rudiono Palembang 20190703.A01-000000006

742 Rusnelly Heryati Palembang 20190621.A02-000006227

743 Sri Gusni Arti Palembang 20190328.A02-000005139

744 Sri Widayati Palembang 20190808.A02-000000011

745 Subroto Palembang 20190626.A01-000000006

746 Sunaryoto Palembang 20190508.A01-000005750

747 Supiah Palembang 20190415.A02-000005517

748 Surniyati Palembang 20190626.A02-000000002

749 Susilahandariyani Palembang 20190426.A02-000005645

750 Suyadi Palembang 20190328.A01-000005160

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

752 Taufik Adikusuma Palembang 20200323.A01-000000003

753 Tedi Hindra Palembang 20190917.A01-000000023

754 Tomi Sarizal Palembang 20190318.A01-000004830

755 Tuty Fani Palembang 20190221.A02-000004442

756 Widia Astuti Palembang 20200417.A02-000000007

757 Yuliana Palembang 20190315.A02-000004801

758 Yusnaini Palembang 20200417.A02-000000011

759 Adiyat Pontianak 20131205.A01.100014984

760 Ainani Pontianak 20170216.A02.100026920

761 Erina Pontianak 20191206.A02-000000033

762 Fitriani Pontianak 20191017.A02-000000004

763 Hermanto Cinta Pontianak 20200419.A01-000000002

764 Janto Pontianak 20200422.A01-000000003

765 Lufiyati Pontianak 22.230415.00.01.021445.2201

766 Orges Dianto Pontianak 22.160217.00.00.026922.2201

767 Rendy Irvandi Idrus Pontianak 20170216.A01.100026923

768 Sandy Tjandranoto Pontianak 20150423.A01-100021456

769 Setiadi Tjandera Pontianak 20191016.A01-000000011

770 Silvianie Pontianak 20191206.A02-000000030

771 Stevanus Pontianak 20101216.A01.100006179

772 Susanti Pontianak 20190924.A02-000000019

773 Agoes Koswadi Semarang 04.220514.00.00.017609.0401

774 Agus Suranto Semarang 20190701.A01-000000010

775 Amelia Kurniawati Santoso Semarang 20180704.A01-000000439



Hal 21 dari 26

776 Andreas Soesetijo Boedi Semarang 04.250210.00.03.002472.0401

777 Bambang Prasetyo Semarang 20101202.A01-100005662

778 Bambang Yanuarto Semarang 20180704.A01-000000437

779 Benediktus Tri Sarwoko Adhi Semarang 20140522.A01.100017726

780 Budi Wahono Semarang 20190812.A01-000000001

781 Coyo Yuwono Semarang 20091125.A01-100001766

782 David Chandra Semarang 20190122.A01-000003757

783 Edwin Wahyudi Semarang 20200219.A01-000000016

784 Endah Dewi Utami Semarang 04.240316.00.01.024299.0401

785 Fransisca Dyah Paramita HT Semarang 20120426.A02.100011134

786 Ganefianto Semarang 20091125.A01-100001768

787 Hanitiyo Satria Putra Semarang 06.171215.00.01.023513.0401

788 Happy Oscar Pakpahan Semarang 20101202.A01.100005687

789 Hariyanto Semarang 20100805.A01.100003571

790 Harry Rinaldi Bianto Semarang 01.310108.00.05.030017.0101

791 Hulda Gracia Santoso Semarang 04.260516.00.01.024964.0401

792 Ibnu Sapto Adi Semarang 20110601.A01.100008160

793 Iendrawati Semarang 20091125.A02-100001827

794 Imanuel Basuki Semarang 01.310108.00.05.012604.0101

795 Indiyoko Narusiyanto Semarang 20191217.A01-000000014

796 Joko Priyanto Semarang 20191107.A01-000000010

797 Kho Siok Djien Semarang 20161222.A02.100026620

798 Lie Yuliana Gracely Semarang 20100805.A02-100003629

799 Liem Wey Lie Semarang 20080131.A01.100030005

800 Lisawati Soewito Semarang 01.220211.00.03.006657.0101

801 Mualim Semarang 04.230317.00.00.027394.0401

802 Mulyanto Semarang 01.310108.00.04.030030.0101

803 Partu Semarang 20101202.A01.100005681

804 Phan Fendy Kurniawan Semarang 04.290813.00.02.014056.0401

805 Philemon P Pramudita Semarang 06.251109.00.04.001819.0601

806 Ratna Wulan Semarang 20150312.A02.100020870

807 Renny Setiawan FC Semarang 20110601.A02-100008059

808 Risaseti Eka Prasetia Semarang 04.010611.00.03.008095.0401

809 Ruddy Handoko Semarang 01.310108.00.05.030021.0101

810 Rudy Eko Susanto Semarang 20100225.A01-100002536

811 Ruli Made Pramusinta Semarang 20161222.A02.100026573

812 Rus Budihartono Semarang 20140522.A01.100017756

813 Sia Kwie Hwa Semarang 04.010011.00.03.008154.0401

814 Soedianto Semarang 04.240316.00.00.024227.0401



Hal 22 dari 26

815 Sri Redjeki Semarang 20190218.A02-000004367

816 Stefanus Oentoro Semarang 06.251109.00.02.001777.0601

817 Subiyanto Semarang 06.251109.00.04.001901.0601

818 Sunanto Semarang 20140522.A01-100017621

819 Suratno Semarang 20080131.A01-100012657

820 Tjioe Bie Ling Semarang 20080131.A02-100020031

821 Tony Temandja Surjadi Semarang 06.251109.00.04.001781.0601

822 Widayat Honggo Prasongko Semarang 20101202.A01-100005679

823 Wong Siek An Semarang 01.310108.00.05.030002.0101

824 Yoseph Agustinus Hartono A Semarang 20180704.A01-000000440

825 Yunicko Inderasakti Semarang 04.070917.00.00.028611.0401

826 Ari Setiawan Solo 20150528.A01.100021629

827 Hadi Sunaryo Solo 20151020.A01-100022745

828 Agus Dwi Arifin Surabaya 05.011210.00.01.005536.0501

829 Agus Nugroho Surabaya 20160225.A01.100023947

830 Agustine Monika Tjandra Surabaya 20190825.A02-000000013

831 Aida Budianto Surabaya 20190620.A02-000006168

832 Albert Julian Gunawan Surabaya 20180523.A01.000000262

833 Ali Didy Surabaya 20121127.A01.100012557

834 Alwi Lokman Jaya Surabaya 20190829.A01-000000006

835 Amelinda Gozali Surabaya 20191107.A02-000000079

836 Anastasiana Elvi Teping Surabaya 20190627.A02-000000017

837 Baidi Montana Surabaya 05.260611.00.03.008845.0501

838 Bambang Kurniawan Surabaya 20190708.A01-000000011

839 Bert Gautama Sufrendy Surabaya 20191211.A01-000000016

840 Billy Hermanto Surabaya 20190708.A01-000000007

841 Budi Setiawan Surabaya 20191029.A01-000000015

842 Budy Purnomo Surabaya 20181004.A01-000001476

843 Cahyo Dwi Riyanto Surabaya 20191008.A01-000000009

844 Chandra Hidayat Surabaya 20200319.A01-000000004

845 Chandra Sigit Surabaya 20190617.A01-000006107

846 Charmant Mulyanto Surabaya 20190611.A01-000006058

847 Christin Soetiono Surabaya 20190827.A01-000000011

848 Christy Yulia Salim Surabaya 20170223.A02.100027036

849 Citra Dewi Gunawan Surabaya 20190326.A02-000005087

850 Dam Diana Kusuma Wardani Surabaya 05.271112.00.02.012545.0501

851 Daniel Wahyudi Tanzil Surabaya 20130625.A01.100013710

852 David Pramono Surabaya 20190313.A01-000004749

853 David Suwarno Surabaya 20190926.A01-000000013



Hal 23 dari 26

854 Debby Limantoro Lie Surabaya 20181023.A02-000001734

855 Debora Boeditjahjono Surabaya 20190827.A02-000000012

856 Denno Yuartnovan Surabaya 20181026.A01-000001861

857 Devid Dwi Cahyono Surabaya 20170223.A01.100027044

858 Dewanto Prajogo Surabaya 05.241109.00.04.001546.0501

859 Didit Adhitya Surabaya 20091125.A01.100001822

860 Dwi Suhartono Surabaya 20190823.A01-000000020

861 Eka Christianto Handojo Surabaya 20111220.A01.100010572

862 Elo Yuliana Surabaya 20110428.A02.100007329

863 Elsje Donaria Surabaya 20191206.A02-000000035

864 Endang Sriningsih Surabaya 05.011210.00.03.005473.0501

865 Erlyn Santoso Surabaya 20200312.A02-000000001

866 Evelin Sentosa Surabaya 20200309.A02-000000001

867 Fareza Aditya Nugraha Surabaya 20191008.A01-000000012

868 Feby Wardana Surabaya 20190409.A02-000005365

869 Felix Hardjosoemarto Surabaya 05.270510.00.03.003165.0501

870 Fenny Sanjaya Surabaya 20190930.A02-000000002

871 Feny Wailola Surabaya 20191122.A02-000000003

872 Ferri Handoko Surabaya 20190610.A01-000006038

873 Fonny Kristina Surabaya 20190724.A02-000000010

874 Frans Soedjono Jodianto Surabaya 20080131.A01-100020057

875 Fu Min Surabaya 20101201.A01-100005432

876 Fudyana Surabaya 20190926.A02-000000004

877 Hera Kolina Prasetyo Surabaya 20110428.A02.100007253

878 Herlina Ratna Wiweko Surabaya 20190919.A02-000000007

879 Herry Kurniawan Surabaya 20080131.A01-100020055

880 Herry Poernomo Surabaya 05.201211.00.03.010631.0501

881 Ho Swa Nio Surabaya 20181026.A02-000001862

882 Ian Himawan Surabaya 20170223.A01-100027089

883 Ida Kumala Sari Pranowo Surabaya 20101201.A02.100005464

884 Indarto Satyanugroho Surabaya 20091124.A01-100001500

885 Iswanto Surabaya 20170223.A01.100027038

886 Ivan Santoso Yudi Yo Surabaya 01.170709.00.04.000020.0101

887 Jihan Rana Ayunda Dewana Surabaya 20191203.A02-000000010

888 Johanes Surabaya 20190502.A01-000005698

889 Johanes Kurnia W Surabaya 20121127.A01-100012573

890 Juhairiyah Surabaya 20190827.A02-000000010

891 Junita Prasetyo Surabaya 20191108.A02-000000014

892 Ko Pie Tiak Surabaya 20200323.A01-000000002



Hal 24 dari 26

893 Kwok Emmy Megawati Surabaya 20150212.A02.100020449

894 Lamono Pekanto Surabaya 20080131.A01-100020127

895 Leo Supriando Bramasto Surabaya 20170124.A01.100026638

896 Lie Djiaw Surabaya 20190827.A02-000000001

897 Liem Hok Sin Surabaya 20131031.A01.100014782

898 Lina Mangunsong Surabaya 20200417.A02-00000000

899 Liong Kuong Tjen Surabaya 01.310108.00.04.020071.0101

900 Lorensia Audrey Siswanto Surabaya 20190614.A02-000006090

901 Lukas Bidjtan Surabaya 20190708.A01-000000006

902 Lukito Hardjono Surabaya 20170223.A01.100026962

903 Maria Lucia Dewayani Surabaya 05.241109.00.04.001469.0501

904 Marlen Mariana Pattipeilohy Surabaya 20190819.A02-000000001

905 Melanie S Surabaya 20190826.A02-000000004

906 Michelle Vincentia Surabaya 20200210.A02-000000014

907 Mochammad Rizal Chamdi Surabaya 20190822.A01-000000015

908 Moh. Idris Unang Surabaya 20090717.A01.100000024

909 Nita Afiyani Surabaya 20111220.A02-100010664

910 Ong Martha Magdalena Surabaya 20191203.A02-000000011

911 Panji Sugiarto Surabaya 20191202.A01-000000009

912 Purnomo Hadi Surabaya 20190924.A01-000000019

913 Putu Rangga Jayaprana Surabaya 20190502.A01-000005695

914 Ramini Surabaya 20190805.A02-000000015

915 Rinzana Nuranggraeni Surabaya 20191128.A02-000000006

916 Robby Daniel Umboh Surabaya 20190627.A01-000000500

917 Robin Widoyo Surabaya 20190627.A01-000000489

918 Rona Mentari Surabaya 20191004.A02-000000011

919 Roy Purnomo Djojo Surabaya 01.310108.00.05.020134.0101

920 Rudy Kurniawan Surabaya 20101201.A01.100005416

921 Rut Novi Widawati Surabaya 05.281217.00.00.032530.0501

922 Samuel Adi Nugroho Surabaya 20190506.A01-000005724

923 Samuel Anthony Iskandar Surabaya 20170223.A01-100026947

924 Sandy Gharna Surabaya 20121127.A01.100012595

925 Selvani Lianto Surabaya 20170223.A02.100027040

926 Sie Junaedi Sidharta Surabaya 20200130.A01-000000015

927 Sigit Gita Tanazal Surabaya 20131031.A01.100014787

928 Slamet Hadi Susanto Surabaya 05.050614.00.02.017963.0501

929 Sri Rochani Inayah Surabaya 20190918.A02-000000010

930 Sudjono Sutjioprawiro Surabaya 01.310108.00.05.02.0078.0101

931 Sukarjono Surabaya 20181019.A01-000001698



Hal 25 dari 26

932 Sukron Makmun Surabaya 20191008.A01-000000010

933 Tan Joe Lie Surabaya 20200313.A02-000000011

934 Tan Kong Joe Surabaya 05.311013.00.02.014754.0501

935 Tan Ling Ling Surabaya 20190620.A02-000006174

936 Tan Sandy Yonathan Surabaya 20101201.A01-100005531

937 Theresia Amelia Istanto Surabaya 20191023.A02-000000032

938 Thimotius Andrianto Surabaya 20150226.A01.100020660

939 Tin Ay Lie Surabaya 20190708.A02-000000006

940 Tio Hosea Prasetyo Surabaya 20080131.A01-100011640

941 Tjan Marvin Martinus Surabaya 20190517.A01-000005904

942 Tommy Andrianto Surabaya 20190923.A01-000000017

943 Tony Kustiawan Surabaya 20190924.A01-000000021

944 Trias Agoestyarini Surabaya 20190903.A02-000000012

945 Vincent Tanaka Surabaya 20190905.A01-000000002

946 Widyawati Alimwidjaja Surabaya 20191210.A02-000000003

947 Yuliani Kurniawati Surabaya 20191101.A02-000000009

948 Yuniar Indhiyanto Ersta A Surabaya 20121127.A01.100012562

949 Yusuf Gunawan Surabaya 20190703.A01-000000002

950 Iman Sutanto Tegal 20100805.A01-100003557

951 Maudy Putri Lestari Tegal 20190701.A02-000000021

952 Tjia Tjeng Bok Tegal 04.050810.00.03.003570.0431

953 Achmad Mardianto Yogyakarta 20091125.A01.100001762

954 Afandi Setyo Nugroho Yogyakarta 20180523.A01-000000266

955 Aga Kurnia Ardiawan Yogyakarta 20180801.A01-000000610

956 Agus Kalteng Nugroho Yogyakarta 20180801.A01-000000609

957 Agus Widodo Yogyakarta 20170518.A01.100027989

958 Amelia Listiyani Singopranoto Yogyakarta 20200409.A02-000000009

959 Amirrudin Yogyakarta 20151217.A01.100023535

960 Andy Kusuma Putra Yogyakarta 20191011.A01-000000014

961 Danang Hartanto Yogyakarta 20180807.A01-000000643

962 Dedi Nugroho Yogyakarta 20161222.A01.100026599

963 Dian Ardianti Fatimah Yogyakarta 20180702.A01-000000422

964 Dian Wijayanto Yogyakarta 06.231214.00.00.020129.0601

965 Diant Khuzaidicka Alambara Yogyakarta 20180712.A01-000000458

966 Effendi Budi Santoso Yogyakarta 06.061112.00.02.012375.0601

967 Endah Bayu Artini Yogyakarta 04.260412.00.00.011077.0601

968 Endah Putriani Yogyakarta 04.070917.00.00.028610.0431

969 Eni Wahyuningsih Yogyakarta 20200330.A02-000000001

970 Enoch Anugerah Setiawan Yogyakarta 20080131.A01-100012674



Hal 26 dari 26

971 G Agung Rendra Prasastyo Yogyakarta 20191010.A01-000000003

972 Henricus Budiraharjo Yogyakarta 06.251109.00.04.001737.0601

973 Heru Prabowo Yogyakarta 20180716.A01-000000443

974 Ina Setyawati Yogyakarta 04.021210.00.03.005647.0401

975 Joko Budi Priyono Yogyakarta 20091125.A01.100001829

976 Kristanto Yogyakarta 20181004.A01-000001474

977 Kristina Wisnu Wardani Yogyakarta 06.191213.00.02.015063.0601

978 Lensy Fera Adhista Enjelika Yogyakarta 20180925.A02-000001241

979 M Sunaryo Yogyakarta 06.180517.00.00.027990.0601

980 Muhamad Jauzi Duqi Yogyakarta 20180921.A01-000001194

981 Muhammad Andhi Hidayat Yogyakarta 20161222.A01.100026600

982 Muhammad Nasrul Amin Yogyakarta 20191010.A01-000000005

983 Nifita Chandrawati Yogyakarta 20191009.A02-000000017

984 Noorlaksmiati Yogyakarta 04.021210.00.03.005651.0401

985 Novie Susantie Yogyakarta 20120426.A02-100011098

986 Rasito Moyo Utomo Yogyakarta 20160526.A01.100024987

987 Rebeca Henyjati Yogyakarta 20101202.A02-100005653

988 Sentot W Yogyakarta 20180808.A01-000000682

989 Sinta Maha Dewi Yogyakarta 20191009.A02-000000007

990 Subiakto Yogyakarta 20200115.A01-000000001

991 Suryadi Santoso Yogyakarta 20121106.A01.100012381

992 Suyanto Ygy Yogyakarta 20200415.A01-000000001

993 Tarji Yogyakarta 20180809.A01-000000693

994 Wilma Prasetya Yogyakarta 20180604.A01-000000350

995 Windarti Yogyakarta 20181010.A02-000001522

996 Yanuar Ridho Nur Ainu Yudho Prabowo Yogyakarta 20191007.A01-000000008

997 Yofani Wahyu Perdana Yogyakarta 20181115.A01-000002310

998 Yoshua Ardi Purnomo Yogyakarta 04.280515.00.01.021651.0601

999 Yudi S Yogyakarta 20180921.A01-000001187

1000 Yudy Harsono Yogyakarta 20141223.A01.100020164

1001 Yuris Sutanto Yogyakarta 20191009.A01-000000005


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