| A | B | C | D | E | F | G | H | I | J | K | L | M | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Penetapan Daftar Siswa Yang Dibebaskan dan/atau Dibantu Biaya sekolahnya | ||||||||||||
2 | Program BOS SMA Tahap II | ||||||||||||
3 | Nomor : SK : 422.5/ /Beasiswa | ||||||||||||
4 | |||||||||||||
5 | Nama Sekolah | : SMA Neegeri 1 Cikeusal | |||||||||||
6 | NPSN | : 20605228 | |||||||||||
7 | Total Jumlah Siswa | : 516 Siswa | |||||||||||
8 | Jumlah Dana BOS Tahap II | : Rp. 258.000.000,- | |||||||||||
9 | Jumlah Siswa Dibebaskan (fee waive) | : 40 | |||||||||||
10 | Jumlah Siswa Dibantu (discount fee) | : 476 | |||||||||||
11 | Alamat | : Jalan Raya Cilayang No.9 Kec. Cikeusal | |||||||||||
12 | Kabupaten | : Serang | |||||||||||
13 | |||||||||||||
14 | No. | Nama Siswa | NISN/ NIS | Jenis Kelamin (L/P) | Kelas (X/ XI/ XII) | Alamat Rumah Lengkap | Nama Orangtua/ Wali | Penghasilan Orangtua/Wali | Besar Iuran Per Bulan (Rp.) | Jumlah Iuran Siswa per 6 bulan dengan program BOS SMA | Tanda Tangan Siswa Penerima BOS SMA | ||
15 | |||||||||||||
16 | 1 | Adellia Gallint Utami | 9981464315 | L | X | Kp. Cirogol Rt.05/01 Ds./Kec. Cikeusal | Supriadi | 2,000,000 | 150,000 | 450,000 | 1. | ||
17 | 2 | Adi Darmaji | 1314 1002 | L | X | Kp. Rahong Rt. / Ds. Cilayang Cikeusal | Amin | 1,600,000 | 150,000 | 450,000 | 2 | ||
18 | 3 | Alni Sidqiyah Afrika | 9990865704 | P | X | Kp. Cirogol Rt.04/01 Ds./Kec. Cikeusal | H. Juned | 4,000,000 | 150,000 | 225,000 | 3 | ||
19 | 4 | Deasy Anggraeni | 9970246218 | L | X | Kp. Kadupugur Rt.07/02 Ds. Sukaratu Cikeusal | Anang Suryana | 1,700,000 | 150,000 | 450,000 | 4 | ||
20 | 5 | Dede Rosita | 1314 1005 | P | X | Kp. Pasir Rt.02/02 Ds. Sukamaju Cikeusal | Sanani | 1,900,000 | 150,000 | 450,000 | 5 | ||
21 | 6 | Dewi Wigarningsih | 1314 1006 | L | X | Kp. Pasir Rt.03/02 Ds. Sukamaju Cikeusal | Jasmani | 2,000,000 | 150,000 | 450,000 | 6 | ||
22 | 7 | Ernawati Dewi | 9980086161 | P | X | Kp. Pabuaran Rt. 08/02 Ds. Cilayang Cikeusal | Satria | 1,600,000 | 150,000 | 450,000 | 7 | ||
23 | 8 | Euis Eliawati Cahyani | 9981482891 | P | X | Kp. Katupang Jati Rt.04/01 Ds. Sukamaju Cikeusal | Eli Saparudin | 2,000,000 | 150,000 | 450,000 | 8 | ||
24 | 9 | Fachrinda | 9980085981 | L | X | Kp. Pasar Lama Rt.01/04 Ds. Sukaratu Cikeusal | Fahrudin | 1,100,000 | 150,000 | 675,000 | 9 | ||
25 | 10 | Hasan Basri | 9970245970 | P | X | Kp. Cibogo Rt.12/03 Ds. Cilayang Cikeusal | Sukirman | 1,700,000 | 150,000 | 450,000 | 10 | ||
26 | 11 | Helis Ermawati | 1314 1010 | L | X | Kp. Panembung Rt.11/02 Ds. Sukaraja Cikeusal | Amsari | 1,800,000 | 150,000 | 450,000 | 11 | ||
27 | 12 | Ihah Sutihat | 9978692934 | P | X | Kp. Cibuah Rt.06/01 Ds. Sukaratu Cikeusal | Iyus Murdipi | 1,700,000 | 150,000 | 450,000 | 12 | ||
28 | 13 | Jepri Habudin | 1314 1012 | L | X | Kp. Pasir Kakapa Rt. 16/ 03 Ds./ Kec. Cikeusal | Udin | 1,700,000 | 150,000 | 450,000 | 13 | ||
29 | 14 | Junaedi | 1314 1013 | P | X | Kp. Cikeusal Lor Rt.09/ 02 Ds./ Kec. Cikeusal | Hendi | 1,750,000 | 150,000 | 450,000 | 14 | ||
30 | 15 | Kamila Khairunisa | 1314 1014 | L | X | Kp. Pasar Lama Rt.01/05 Ds. Sukaratu Cikeusal | Tata Brata | 1,600,000 | 150,000 | 450,000 | 15 | ||
31 | 16 | Maesaroh | 9980086719 | P | X | Kp./ Ds. Mongpok Rt. 01/03 Kec. Cikeusal | Bohari | 1,900,000 | 150,000 | 450,000 | 16 | ||
32 | 17 | Masri | 1314 1016 | P | X | Kp. Seminar Rt.01/03 Ds. Sukamaju Cikeusal | Ahyadi | 1,700,000 | 150,000 | 450,000 | 17 | ||
33 | 18 | Meti Hartati | 1314 1017 | P | X | Kp. Cirogol Rt.05/01 Ds./Kec. Cikeusal | Misna Permana | 1,800,000 | 150,000 | 450,000 | 18 | ||
34 | 19 | Mohamad Ari Pranata | 9980085748 | P | X | Kp./ Ds Panosogan Rt.03/ 02 Kec. Cikeusal | Nawari | 1,600,000 | 150,000 | 450,000 | 19 | ||
35 | 20 | Muhamad Faisal | 9970247927 | L | X | Kp. Lembur Asem Rt.04/05 Ds. Sukaratu Cikeusal | Asdi | 700,000 | 150,000 | 900,000 | 20 | 900000 | |
36 | 21 | Muhamad Ihwani | 9970245850 | L | X | Kp./ Ds Panosogan Rt.05/02 Kec, Cikeusal | Buang Subhi | 1,600,000 | 150,000 | 450,000 | 21 | ||
37 | 22 | Muhammad Rifki Faisal | 9970246312 | L | X | Kp. Pabuaran Rt. 08/02 Ds. Cilayang Cikeusal | Barja | 1,700,000 | 150,000 | 450,000 | 22 | ||
38 | 23 | Muhammad Yasin | 9965899598 | L | X | Kp. Panembung Rt.02/01 Ds. Sukaraja Cikeusal | Nurkolis | 1,650,000 | 150,000 | 450,000 | 23 | ||
39 | 24 | Nugi Wahana | 9970247635 | L | X | Kp. Pasir Rt.06/ 02 Ds. Sukamaju Kec. Cikeusal | Kusnadi | 1,900,000 | 150,000 | 450,000 | 24 | ||
40 | 25 | Nur Fitri Damayati | 1314 1024 | P | X | Kp. Ktp. Teblongan Rt.05/02 Ds. Cilayang Cikeusal | Darsim | 1,600,000 | 150,000 | 450,000 | 25 | ||
41 | 26 | Ratna Safitri | 1314 1025 | P | X | Kp. Dahu Rt.02/ 01 Ds. Bantar Panjang Cikeusal | Zaenudin | 1,750,000 | 150,000 | 450,000 | 26 | ||
42 | 27 | Ririn | 1314 1026 | P | X | Kp. Cibogo Rt.12/03 Ds. Cilayang Cikeusal | Mahdiat | 1,600,000 | 150,000 | 450,000 | 27 | ||
43 | 28 | Rizki Chandra Bachtiar | 9980086289 | L | X | Kp. Cimaung Jalan Rt.10/06 Ds. Sukaraja Cikeusal | Bahrul Ulum | 1,900,000 | 150,000 | 450,000 | 28 | ||
44 | 29 | Saepul Bahri | 9970246001 | L | X | Kp. Cikasap Solear Rt.11/ 02 Ds. Suukarame Cikeusal | Ahmad Sayuti | 1,600,000 | 150,000 | 450,000 | 29 | ||
45 | 30 | Sanah | 1314 1029 | P | X | Kp. Talun Rt.12/ 04 Ds. Cirangkong Kec. Petir | Udi | 1,600,000 | 150,000 | 450,000 | 30 | ||
46 | 31 | Siti Aminah | 1314 1030 | P | X | Kp. Ktp. Pagedangan Rt.02/07 Ds. Cilayang Cikeusal | Ramil | 1,900,000 | 150,000 | 450,000 | 31 | ||
47 | 32 | Siti Patimah | 9970247625 | P | X | Kp.Pasir Rt. 05/ 02 Ds. Sukamaju Kec. Cikeusal | Arnasim | 1,600,000 | 150,000 | 450,000 | 32 | ||
48 | 33 | Siti Sopiyah | 9970246732 | P | X | Kp. Munjul Rt. / Ds. Harundang Kec. Cikeusal | Subur | 1,600,000 | 150,000 | 450,000 | 33 | ||
49 | 34 | Sri Widiastuti | 9980085991 | P | X | Kp. Cimaung Jalan Rt.10/06 Ds. Sukaraja Cikeusal | H. Dulkapni | 3,500,000 | 150,000 | 225,000 | 34 | ||
50 | 35 | Suwandi Hatta | 9970247001 | L | X | Kp. Turun Bales Rt.07/ 02 Ds. Katulisan Cikeusal | Suradi | 1,600,000 | 150,000 | 450,000 | 35 | ||
51 | 36 | Tuti Liawati | 1314 1035 | P | X | Kp. Baru Rt. 17/ 04 Ds. Mongpok Kec. Cikeusal | Sanwani | 1,800,000 | 150,000 | 450,000 | 36 | ||
52 | 37 | Agung Rohman | 9980086278 | L | X | Kp. Panembung Rt.03/02 Ds. Sukaraja Cikeusal | Sardani | 1,200,000 | 150,000 | 675,000 | 37 | ||
53 | 38 | Ainun Nurmulyati | 9981685912 | P | X | Kp. Sempu Nusa Indah Rt.05/ 18 Kel. Cipare Kota Serang | Jajang Mulyadi | 1,600,000 | 150,000 | 450,000 | 38 | ||
54 | 39 | Alimah | 1314 1038 | P | X | Kp. Bangkong Rt.02/ 01 Ds. Sukarame Cikeusal | Arsaliu | 1,750,000 | 150,000 | 450,000 | 39 | ||
55 | 40 | Ardiyanto | 9980087149 | L | X | Kp. Seba Rt.18/ 03 Ds./ Kec. Cikeusal | Sastra | 1,100,000 | 150,000 | 675,000 | 40 | ||
56 | 41 | Asep Syahputra | 1314 1040 | L | X | Kp. Ktp. Pura Rt.04/ 01 Ds. Cilayang Cikeusal | Slamet | 1,000,000 | 150,000 | 675,000 | 41 | ||
57 | 42 | Ayuni Arohmawati | 9980088759 | P | X | Kp./ Ds. Mongpok Rt. 03/02 Kec. Cikeusal | Asikin | 1,600,000 | 150,000 | 450,000 | 42 | ||
58 | 43 | Dede Yunasih | 9980085737 | P | X | Kp. Bojong Neros Rt.01/02 Ds. Panosogan Cikeusal | Taufan Barat | 4,500,000 | 150,000 | 225,000 | 43 | ||
59 | 44 | Dewi Alawiyah | 1314 1043 | P | X | Kp. Curug Dulang Rt. 12/ 06 Ds. Sukaraja Cikeusal | Siman | 1,200,000 | 150,000 | 675,000 | 44 | ||
60 | 45 | Diki Hamdani | 9970245965 | L | X | Kp. Cibogo Rt.04/01 Ds. Cilayang Cikeusal | Dani | 1,000,000 | 150,000 | 675,000 | 45 | ||
61 | 46 | Ela Komala | 9980085982 | P | X | Kp. Cihui Rt.05/ 01 Ds. Sukaratu Cikeusal | Babay Kurtubi | 1,600,000 | 150,000 | 450,000 | 46 | ||
62 | 47 | Eneng Via Losita | 9986376889 | P | X | Kp. Panenjoan Rt. 08/ 02 Ds./ Kec. Cikeusal | Uci | 1,600,000 | 150,000 | 450,000 | 47 | ||
63 | 48 | Entus | 1314 1051 | L | X | Kp. Seba tengah Rt.03/ 02 Ds./ Kec. Cikeusal | Naim | 1,900,000 | 150,000 | 450,000 | 48 | ||
64 | 49 | Fauzi Saputra | 9970246198 | L | X | Kp. Kubang asem Rt. 07/02 Ds./ Kec. Cikeusal | Kasad | 1,750,000 | 150,000 | 450,000 | 49 | ||
65 | 50 | Hayuni | 9970245897 | P | X | Kp. Pelampitan Rt. 14/ 02 Ds. Sukamenak Cikeusal | Sayuti | 1,750,000 | 150,000 | 450,000 | 50 | ||
66 | 51 | Homsiah | 9970246175 | P | X | Kp. Kubang asem Rt. 07/02 Ds./ Kec. Cikeusal | Idris | 1,750,000 | 150,000 | 450,000 | 51 | ||
67 | 52 | Irwan | 9970245863 | L | X | Kp./ Ds. Panosogan Rt.02/ 02 Kec. Cikeusal | Muhdi | 1,750,000 | 150,000 | 450,000 | 52 | ||
68 | 53 | Kukuh | 9970245951 | L | X | Kp. Cibogo Rt.13/03 Ds. Cilayang Cikeusal | Juharsa | 1,000,000 | 150,000 | 675,000 | 53 | ||
69 | 54 | Maesuri | 9970247989 | P | X | Kp. Pasir Ampo Rt. 02/ 01 Ds. Katulisan Cikeusal | Sahari | 1,750,000 | 150,000 | 450,000 | 54 | ||
70 | 55 | Maftuhani | 1314 1054 | L | X | Kp./ Ds. Panosogan Rt.03/ 02 Kec. Cikeusal | Nurkaman | 1,900,000 | 150,000 | 450,000 | 55 | ||
71 | 56 | Mamay | 9980086273 | L | X | Kp. Cimaung Kadu Rt.16/ Ds. Sukaraja Cikeusal | Mamat | 1,750,000 | 150,000 | 450,000 | 56 | ||
72 | 57 | Mardiansyah | 1314 1056 | L | X | Kp. Cikasap Rt.04/ 02 Ds. Suukarame Cikeusal | Durahman | 1,600,000 | 150,000 | 450,000 | 57 | ||
73 | 58 | Megawati | 1314 1216 | P | X | Kp. Kapol Rt. 03/ 01 Ds. Katulisan Cikeusal | Jarian | 1,750,000 | 150,000 | 450,000 | 58 | ||
74 | 59 | Minah | 9980086643 | P | X | Kp. Panenjoan Rt. 08/ 02 Ds./ Kec. Cikeusal | Mista | 1,100,000 | 150,000 | 675,000 | 59 | ||
75 | 60 | Mindia Sapitri | 1314 1058 | P | X | Kp. Cirogol Rt. 05/ 01 Ds, / Kec. Cikeusal | Sapari | 1,750,000 | 150,000 | 450,000 | 60 | ||
76 | 61 | Mitha Devita | 9980085798 | P | X | Kp. Cibogo Rt 11/ 03 Ds. Cilayang Kec. Cikeusal | Tarmin | 1,750,000 | 150,000 | 450,000 | 61 | ||
77 | 62 | Murkajat | 9980086370 | L | X | Kp. Panembung Rt. 02/ 02 Ds. Sukaraja Cikeusal | Damiri | 1,750,000 | 150,000 | 450,000 | 62 | ||
78 | 63 | Mustagisin | 1314 1061 | L | X | Kp. Cikeusal Lor Rt.09/ 02 Ds./ Kec. Cikeusal | Mukti | 1,750,000 | 150,000 | 450,000 | 63 | ||
79 | 64 | Nurhayati | 1314 1062 | P | X | Kp. Pasir Belod Rt. 10/ 01 Ds. Harundang Cikeusal | Sarja | 1,750,000 | 150,000 | 450,000 | 64 | ||
80 | 65 | Nuryati | 1314 1063 | P | X | Kp. Panembung Dukuh Rt. 04/ 03 Ds. Sukaraja Cikeusal | Sarnaka | 1,750,000 | 150,000 | 450,000 | 65 | ||
81 | 66 | Popon Nurhayati | 1314 1064 | P | X | Kp. Pasir Wuni Rt. / Ds. Harundang Cikeusal | H. Misna | 500,000 | 150,000 | 900,000 | 66 | 53 | |
82 | 67 | Rodiyah | 1314 1065 | P | X | Kp. Ktp Pagedangan RT. 02/ 01 Ds. Cilayang Cikeusal | Rasim | 1,200,000 | 150,000 | 675,000 | 67 | ||
83 | 68 | Siti Muflihat | 9980086294 | P | X | Kp. Cimaung Jalan Rt.10/06 Ds. Sukaraja Cikeusal | Sukri | 1,800,000 | 150,000 | 450,000 | 68 | ||
84 | 69 | Siti Murtasiah | 9980086536 | P | X | Kp. Munjul Rt.09 / 03 Ds. Harundang Kec. Cikeusal | Munir | 1,750,000 | 150,000 | 450,000 | 69 | ||
85 | 70 | Suci Daniawati | 9985653546 | P | X | Kp. Panembung Rt. 11/ 05 Ds. Sukaraja Cikeusal | Dadang | 1,600,000 | 150,000 | 450,000 | 70 | ||
86 | 71 | Supriah | 9980085996 | P | X | Kp. katupang Sinyar Rt.03/01 Ds. Sukamaju Cikeusal | Saripin | 1,600,000 | 150,000 | 450,000 | 71 | ||
87 | 72 | Suryadi | 9980086311 | L | X | Kp. Curug Dulang Rt. 12/ 06 Ds. Sukaraja Cikeusal | Sukanta | 1,750,000 | 150,000 | 450,000 | 72 | ||
88 | 73 | Adinda Aprilia | 1314 1071 | P | X | Kp. bangkong Rt.01/ 01 Ds. Sukarame Cikeusal | Sufri | 1,750,000 | 150,000 | 450,000 | 73 | ||
89 | 74 | Aisyah Sofiana | 9970247633 | P | X | Kp. Pasir Rt. 06/ 02 Ds. Sukamaju Cikeusal | M. Sopian | 1,900,000 | 150,000 | 450,000 | 74 | ||
90 | 75 | Ami Utami | 9970246491 | P | X | Kp. Panembung Rt. 03/ 02 Ds. Sukaraja Cikeusal | Ali | 1,750,000 | 150,000 | 450,000 | 75 | ||
91 | 76 | Bachtiar Eka Saputra | 9970246196 | L | X | Kp. Cipacung Rt. 02/ 01 Ds./ Kec. Cikeusal | Ali Mustaqim | 1,750,000 | 150,000 | 450,000 | 76 | ||
92 | 77 | Elis Lisianti | 9980086070 | P | X | Kp. Cipacung Rt. 02/ 01 Ds./ Kec. Cikeusal | Nursidi | 1,800,000 | 150,000 | 450,000 | 77 | ||
93 | 78 | Empud Mahpudin | 9983144616 | L | X | Kp. / Ds. Cilayang Guha Rt. 16/ 04 Cikeusal | Imam Sutopo | 1,750,000 | 150,000 | 450,000 | 78 | ||
94 | 79 | Engkus Suhartiningsih | 1314 1077 | P | X | Kp. Cikasap Rt.01/ 02 Ds. Suukarame Cikeusal | Jasim | 1,700,000 | 150,000 | 450,000 | 79 | ||
95 | 80 | Gigin Prihatini | 9980086059 | P | X | Kp. Kubang asem Rt. 07/02 Ds./ Kec. Cikeusal | Mohamad Isa | 1,750,000 | 150,000 | 450,000 | 80 | ||
96 | 81 | Ida Laela | 1314 1079 | P | X | Kp. Cibogo RT. 11/ 03 Ds. Cilayang Cikeusal | Jiman | 1,750,000 | 150,000 | 450,000 | 81 | ||
97 | 82 | Ikeu Nurjanah | 9970246952 | P | X | Kp./ Ds. Mongpok RT. 10/ 03 Cikeusal | Jaenudin | 1,600,000 | 150,000 | 450,000 | 82 | ||
98 | 83 | Imas Masriah | 9980085802 | P | X | Kp. Cibogo Sabrang Rt. 11/ 03 Ds. Cilayang Cikeusal | Marsim | 1,600,000 | 150,000 | 450,000 | 83 | ||
99 | 84 | Juhdi | 1314 1082 | L | X | Kp. Seba Tengah Rt. 17/ 03 Ds./ Kec. Cikeusal | Midi | 1,600,000 | 150,000 | 450,000 | 84 | ||
100 | 85 | Muhamad | 1314 1083 | L | X | Kp. Seba Rt. 15/ 03 Ds./ Kec. Cikeusal | Rahman | 1,600,000 | 150,000 | 450,000 | 85 | ||