J -K JML DOKUMEN KEPENDUDUKAN

TEMPAT DAN TANGGAL ANGGT

NO NO KK NAMA KK NO NIK STTS KWIN
LAHIR UMUR L P KELUA KK KTP AKTE AKTE
RGA LAHIR KAWIN

RT 04/RW 02

1, 5306121509140010 Kadijah Deran Duli Balaweling,05-08-1965 55 1 5306124508650003 S 4 1 1 1 1

Lusia Tokan Balaweling,31-05-1984 36 1 5306127105840000 S 1 1 -
Fransiskus Tokan Kalimantan,14-08-1985 35 1 5306125808850000 B 1 1 -
Vinsensia Wae Raya Balaweling,09-09-2002 18 1 5306124610020000 B - 1 -

2 5306122002080070 Rosalia Boi Gede Balaweling,01-07-1943 77 1 5306124107430026 S 2 1 1 - -

Yohanes Demon Nama Balaweling,01-07-1980 40 1 5306120107800028 B 1 - -

3, 5306120608190000 Mikhael Latu Masan Balaweling,12-06-1967 53 1 5306121206670000 S 3 1 1

Imelda Novamalta Balaweling,19-11-1993 27 1 5306125911950003 B
Matias Tri Maltus Balaweling,18-05-2002 18 1 5306121805020001 B 1 - -

4, 5306122910190004 Fransiskus Dwi P Ola Bala Tawau,02-04-1993 27 1 5306120204930001 S 3 1 1 1 -

Maria Astiningsih M Boro Witihama,14-03-1992 28 1 5306125403920001 S 1
Paulina Deran Manuk Witihama,08-05-2019 1 1 5306124805190001 B 1

5, 5306122102110002 Theresia Benga Bala Lamaleka,01-07-1952 68 1 5306124107520039 S 2 1 1 - -

Wilhelmus Boi Ama Balaweling,24-03-1991 29 1 5306120107900045 B 1 - -

6, 5306122002080109 Ruben Bapa Duli Balaweling,15-09-1965 55 1 5306121509560001 S 2 1 1 - -

Monika Bulu Daen Lewonara,31-12-1974 46 1 5306107112740010 S 1 - -

7, 5306120703130001 Yohanes Seran Goran Balaweling,08-08-1967 53 1 5306120808670000 S 5 1 1 - -

Maria Relu Soga Rianghepat,30-05-1969 51 1 5306127005690000 S 1 - -
Alfrianus Blelen Sara Penampang,32-04-1999 21 1 5306122304990000 B 1 - -
Oktavianus Ola Rape Telepok,19-10-2000 20 1 5306121910000006 B 1 - -
 Petrus Kopong Boli Balaweling,16-02-2003 17 1 5306121602030000 B - - -

8, 5306120701090001 Yeremias Tubo ola Sumbw 5306120502620003 S 4 1 1 1 -

Maria fatima Ebo Horinara,21-08-1969 5306126108680001 S 1 - -
Ferdinand Rofinus Sabah,10-02-1998 5306121510980002 B 1 - -
Desti Gaudensia P Sari Horinara,14-12-1999 5306125309000002 B - - -

5306121206080004 Rafael Rugi Lela Balaweling,01-07-1934 5306120107340030 S 2 1 - - -

Elisabet Ebo Belan Balaweling,01-07-1936 5306124107360033 S 1 - -

10 Hermina Hala Tena Pepak,01-07-1943 5306124107430050 B 1 - -

11 5306122102080003 Firmina Benga Asan Pepak,01-07-1945 5306124107460051 S 4 1 1 - -

Adrianus Kalimantan,02-11-1988 5306120211880001 S - - -
Frederikus Paron Baga Sabah,05-03-1996 5306120503960001 B 1 - -
Lusia Bulu Kia Sabah,14-02-2001 5306125402020001 B 1 - -

12 530612030490034 Thomas Boi Ama Trakn 31/12/1971 5306123112710002 S 6 1 1 1

Theresia Benga Laga Balaweling,06/11/1969 5306124611690001 S 1 1
Nobertus Gawi Lewo Balaweling,21/03/1994 5306122103940001 B 1
Aloysius Blelen Sara Balaweling,16/06/1989 5306121504970002 B 1
Efransia Keneka Sanga Balaweling,20/02/2000 5306124807000002 B 1
Yohanes Goran Ama Balweling,31/01/2002 5306120912020001 B 1

13 5306122502080051 Bernadete Barek Keda Balaweling,17-07-1965 5306125707650001 S 2 1 - -

Thomas Geroda Penana Balaweling,05-10-1997 5306120510970001 B 1 - -

14 5306121509140014 Petrus Asan Kuma Balaweling,01-07-1946 5306120107460017 B 5 1

Lusia Abon Sugi Balaweling,01-07-1948 5306124107480037 B 1
Herin Tura Balaweling,01-07-1950 5306124107500087 B 1
Agnes Ose Wunga Balaweling,13-06-1956 5306125309560002 B 1
 Aloysius Tura Bada Balaweling,11-01-1963 5306121101630002 B 1

15 0536121206080035 Markus Mangu Sabon Balaweling,28-02-1962 5306122802620002 S 7 1 1 - -

Petronela Perada Teron Balaweling,21-03-1963 5306126103630002 S 1 - -
Atria Blelen Sara Balaweling,19-08-1992 5306121908920002 B - - - -
Yuliana Barek Tena, Balaweling,06-11-1998 5306124611980002 B - - - -
Yulius Paron Lanan Balaweling,02-06-2001 5306120206010003 B - - - -
Valentinus Suban Raya Balaweling,17-07-2006 5306121707060002 B - - - -
Yohanes Seran Goran Balaweling,21-07-1999 5306122107100001 B - - - -

16 5306122002080090 Monika Bulu Penana Balaweling,01-07-1942 S 1 1 - -

17 5306122203170000 Paulina Diana Novitasari Batam,08-11-1993 5306125205950002 B 3 1 1 - -

Christian Oscar Ola Ama Batam,07-12-1997 5306120712670001 B - 1 - -
Lusia Susana Dai Lanan Batam,14-09-2002 5306125409020002 B - - -

18 5306122402080320 Donatus sangari sabon Balaweling,01-07-1953 5306120107530016 S 5 1 1

Maria sili Beda Balaweling,03-09-1959 5306124309590001 S 1
Paskalia Prada Kopon Balaweling,30-03-1986 5306127003860002 B 1
Agustina Balaweling B
Adrianus Sanga Wara Balaweling,24-11-1994 5306122411940003 B

18 5306120203160001 Bonefasius Kia Goran Balaweling,19-09-1978 5306121909780001 S 4 1 1

Rosalia Pulo Raran Oringbele,04-09-1984 5306124409840003 S 1
Agnes Fasilia Balaweling Watoone,20-03-2015 5306126003150001 B
Yohanes verel L birsara Watoone,06-08-2018 5306120608180001 B

19 5306120606180002 Berta Murin Boro Honihama,01-07-1961 5306124107610045 S 1 1 1

20 5306122806180003 Thomas Kristianto B. Ama Balaweling,19-10-1989 5306121910890003 S 5 1

 Marselina Surat Tupen Harubala,12-04-1988 5306125204880001 S 1
Kristianus Blelen Sara Balaweling,03-01-2011 5306120301110001 B 1
Yordanus Sabon Mehen Balaweling,22-02-2013 5306122202130001 B 1
Avriliana Rara Tadon witihama 09-04-2018 5306124904180001 B 1
Jumlah 19 47 10 3 1

DOKUMEN KEPENDUDUKAN
RT/005 Nika NAMA TTL NIK stts Jml aggKK KTP AKTE AKTE
LAHIR

22 5306122002080095 Antonius Magi Boli Sumbawa 19-09-1961 5306121909610001 S 2 1 1

, Rofinus Nama Harek Tawau,10-12-1990 5306123112910004 B 1

23 5306120901140001 Maria Robertina R. Wara Balaweling,15-08-1985 5306125508850001 S 4 1 1 -

Denis Sebastian B W Balaweling,24-01-2007 5306122401070001 B 1 -
Yakop Agustinus B W Balaweling,08-08-2012 5306120808120001 B 1 -
Kristina Somi Bolen Balaweling,01-07-1956 5306126103560001 S 1 - -

24 5306122002080106 Yudit Tuto Wara Balaweling,01-07-1954 5306124107540024 B 1 - 1 - -

25 5306121509140001 Genoveva Gehak Duli Balaweling,01-06-1953 5306124106530001 S 2 1 1 - -

Nobertus Tura Bada Sabah,02-11-1993 5306120211930002 B 1 - -

26 5306122502080001 Viktor Boro Penana Balaweling,11-12-1961 5306121112610001 S 3 1 1

Hironimus Andre S,Wara Balaweling.30-19-1916 5306121005960002 B 1 1
Marselina Juniati B,Laot Balaweling,02-06-2000 5306125601000001 B 1 1

27 5306120004190008 Karolus Kopong Mangu Balaweling,08-05-1960 5306120805600001 S 4 1 1 - -

Maria Sedo Ola Nobo,01-06-1963 5306124106630001 S 1 - -
Jefri Paron Baga Balaweling,01-03-1993 5306120103930003 B 1 - -
Mariana Lipat Wewan Waikuba,20-04-2004 5306126004040002 B - - -
28 5306122112090000 Andreas Paron Baga Balaweling,21-04-1981 5306122104810001 S 4 1 1 1 1
Veronika Kau Meol Fatuneno,15-04-1980 5306125504800001 S 1 1 1
Novrianto Belo Boli Balaweling,21-11-2009 530612211109000 B - 1 -
Claris Bahi Watoone,07-11-2013 6306120711130001 B - 1 -

29 5306120304090023 Hamid Boi Ama Balaweling,07-07-1960 5306120707600003 S 3 1 1 - -

Siti Mardiah Deran Asan Suku Tokan,01-07-1965 5306124107650057 S 1 - -
Jamaludin Gawi Lewo Balaweling,19-02-2001 5306121902010001 B - - -

30 5306121303130001 Lukas Kopong Bebe Balaweling,01-12-1965 5306120112560002 S 3 1 1 - -

Agnes Deran Duli Balaweling,05-06-1964 5306124605640001 S 1 - -
Yohana Daen Sabon Balaweling,31-12-1939 5306127112390010 S - -

31 5306122709160003 Antonius Balaweling Balaweling,02-06-1988 5306120206880004 S 3 1 1 1 1

Astuti Palan Tupen lamablawa,08-04-1988 5306124904880002 S 1 1 1
Yohanes Aston M,Sanga Larantuka,30-03-2016, 5306123003160001 B - 1

32 5306121705190002 Abraham Nue Brahan Balaweling,08-07-1977 5306120807770002 S 7 1 1 1

Kristina Kabo Geon Loga,27-01-1978 5306126701780002 S 1 1
Martinus Rara Kopon Batam,01-06-2001 5306120105010002 B 1
Marselinus Lebu Raya, Batam,12-05-2003 5306121205030004 B 1
Apriliana Bulu Lawe Batam,06-04-2004 5306124604060002 B 1
Amelia Lipat Hali Batam,12-07-2008 5306125207080001 B 1
Veronika daen sabon Balaweling S

33 5306122006120001 B,Weling Groda W,Brnd Balaweling,31-12-1949 5306123112490011 S 2 1 1 - -

felixsia Balaweling balaweling,01-11-1990 5306124111900001 B 1 - -

34 5306122409100013 Simon Kopong bebe Balaweling,31-12-1960 5306123112600009 S 5 1 1 1 1

 Klara Kaneke Bolen Lamablawa,06-06-1963 5306124606630002 S 1 1
Amandus Ama B,Weling Tobi,07-03-1988 5308120703880001 B 1 1
Yulita Roswita Wora,DRN Witihama,27-07-1992 5306126707920001 B 1 1
Fimianus Sabon B,weling Witihama,16-09-1996 5306121609960001 B 1 1

35 5306133004180001 Christianus Balaweling Leworere,08-05-1991 5306130805910001 S 3 1 1 1 1

Veronika Lipat Ola Sukutokan,12-04-1990 5306125204900003 S 1 - 1
Silveston Balaweling Laratuka,12-09-2017 5306121209170001 B - - -

JUMLAH/RT 005 46 14 33 17 11

JUMLAH DUSUN 2 NIKA 65 61 43 20 12

EN KEPENDUDUKAN BPJS PELAJAR
PENDIDIKAN UMUR
TANI IRT BELM BURU PNS SWAST 17-
AKTE KERJA A
KIS KIP PAUT SD SMP SMA MHS 0-17 ATAS
MATI

- 1 - 1 1
- - - 1 1
- - - 1 1 1
- - - 1

- 1 - 1 1
- - - 1 1

1 1
1 1
- - - 1 1

- - - 1 1
1 1
1 1

- - - 1 1
- - - 1 1

- - - 1 1
- - - 1 1

- 1 - 1 1
- - - 1 1
- - - 1 1
- - - 1 1
 - - - 1 1

- 1 - 1 1
- 1 - 1 1
- 1 - 1
- - - 1

- - 1 1
- - 1 1

- - 1 1

- 1 1 1
- 1 1
- 1 1 1
- 1 1 1

1 1
1 1
1 1
1 1
1 1
1 1 1

- - 1 1
- - 1 1

1 1
1 1
1 1
1 1 1
 1 1

- - 1 1
- 1 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1
- - 1 1

- - 1 1

- - 1 1
- - 1 1
- - 1 1

1 1
1 1
1 1
1 1
1 1

1 1 1
1 1 1
1 1
1 1

1 1

1 1
 1 1
1 1
1 1
1 1
13 0 19 16 7 13 1 0 2 5 1 3 3 3 59 0

BPJS PEKERJAAN PENDIDIKAN UMUR

AKTE
KIS KIP TANI IRT BLM K BURU PNS SWAST PAUD SD SMP SMA MHS 0-17 17-ats
MATI

1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1

- - 1 1

- - 1 1
- - 1 1

1 1
- 1 1
- 1 1

- - - 1 1
- - - 1 1
- - - 1 1
- - - 1 1
- 1 - 1 1
- 1 - 1 1
- 1 - 1 1
- - - 1 1

- - - 1 1
1 - - 1 1
- - - 1 1

- - - 1 1
- - - 1 1
- - - 1 1

- 1 - 1 1
- 1 - 1 1
- 1 - 1 1

1 1
1 1
1 1
1 1
1 1
1 1
1 1

- - - 1 1
- - - 1 1

1 1
 1 1
1 1
1 1
1 1

1 1
1 1
1 1 1

1 13 0 13 7 2 2 1 7 2 3 4 2 3 10 36

14 13 19 29 14 15 3 1 9 7 4 7 5 6 69 36