ABCDEFGHIJKLMNOPQRSTUVWXYZ
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NoNama Lengkap*
Pendaftaran
No Peserta
Tempat Lahir*
Tgl. Lahir*
Nomor Identitas*
No. HPUpah* JKM (0.3%)
JKK (0,54%)
Total Iuran BPJS
3
1Budi Santoso08-202424120046222Malang23/03/1988
3507212303880002
 Rp 4.000.000 Rp 12.000,00 Rp 21.600,00 Rp 33.600,00
4
2Dona Fauji08-202424120046172Malang25/12/1989
3507212512890002
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
5
3Suwandi08-202424120046180Malang07/12/1981
3507210712810005
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
6
4Anggara Hasim08-202424120046198Malang26/04/1994
3507212604940002
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
7
5Suliadi08-202424120046206Blitar25/05/1995
3505152605950001
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
8
6Supriadi08-202424120046214Malang02/11/1983
3507210211830002
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
9
Total Rp 170.867,59
10
11
7Nurul Amin08-202424120046248Malang04/08/1984
3507070404840002
 Rp 3.500.000 Rp 10.500,00 Rp 18.900,00 Rp 29.400,00
12
8Agustin Safaatul Hanifah
Poncokusumo
24/04/2001
3507076404010003
0821-4212-2063
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
13
Total Rp 56.853,52
14
15
16
9Muhamad Nazarudin01-2025Blitar21-03-1988
3505122103880001
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
17
10Muchamad Adi01-2025Malang02-08-1982
3507080208820001
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
18
11Edi Selamet01-2025Malang01-01-1988
3507140101880006
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
19
12Siswanto01-2025Malang13-12-1983
3507081312830002
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
20
13Muhamad Syamsul01-2025Malang21-08-1975
3507072108750002
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
21
14MH Saiful Anwar01-2025Malang11-07-1978
3507081107780005
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
22
15Ahmad Dardak01-2025Malang22-04-1991
3507082204910004
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
23
16Muhammad Fatchurrohman01-2025Malang20-01-1999
3507142001990004
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
24
17Nur Kholis01-2025Malang27-05-1990
3507082705900001
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
25
18Muhamad Abrori01-2025Malang25-10-1978
3507072510780002
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
26
19Rohmat Syaifuddin01-2025Malang16-04-1975
3507081604750005
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
27
20Iswandianto01-2025Probolinggo11-09-1979
3507081109790005
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
28
21Muhammad Ghufron01-2025Malang19-07-1975
3507071907750001
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
29
22Muhammad Said01-2025Malang20-07-1978
3507082007780001
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
30
23Hanifulloh01-2025Malang18-08-1995
3507261808950002
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
31
24Junaidi Abdillah01-2025Malang27-04-1979
3507082704790001
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
32
25Bagus Setiawan01-2025Malang17-08-1989
3507151708890001
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
33
34
35
26Muhamad Mahrus Ali01-2025Malang10-04-1980
3507081004800003
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
36
27Adip Santoso01-2025Malang26-04-1987
3507072604870001
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
37
 Rp 54.907,04
38
39
28Mohammad Erfan Setiawan01-2025Malang21-08-1983
3507142108830002
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
40
29Reki Andrianto01-2025Malang03-05-1997
3507140305970003
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
41
30Nurohman01-2025Malang07-02-1998
3507080702980002
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
42
 Rp 82.360,56
43
44
31Ihdal Umam01-2025Malang14-07-1982
3507081407820002
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
45
32Alfin Andea Angga Rena01-2025Malang29-01-2000
3507082901000001
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
46
 Rp 54.907,04
47
48
33Heri Purnomo01-2025Pasuruan13-06-1971
3507081306710003
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
49
34Frendi Pratama01-2025Malang17-07-2002
3507071707020001
 Rp 3.268.276 Rp 9.804,83 Rp 17.648,69 Rp 27.453,52
50
 Rp 54.907,04
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