| No | No Samb | Nama | Alamat | Tarif Lama | Rekomendasi | Ket | Catatan | TTD | Foto |
|---|---|---|---|---|---|---|---|---|---|
| 1 | 030245 | ABDUL ROSYID | JL. DIPONEGORO RT 7 RW 1 | B1 | B1 | ![]() | |||
| 2 | 030265 | AULIA KALISTA | JL. TAWANGARGO GG KRAMAT RT 8 RW 11 | B1 | B1 | ![]() | |||
| 3 | 030287 | EDY SUJATMIKO | JL.IMAM BONJOL GG II RT 5 RW 1 | B1 | B1 | ![]() | |||
| 4 | 022114 | GATOT SUKADI | JL.MINSUWARSO 46 | B2 | B2 | ![]() | |||
| 5 | 030249 | IMAM SYAFEI | JL. DIRAN GANG I RT 4 RW 2 | B1 | B1 | ![]() | |||
| 6 | 021192 | IMAM WAHYUDI | JL.KELUT Gg,PUNDEN | B2 | B2 | ![]() | |||
| 7 | 030284 | INDAH MINARNI | JL.DIRAN GG II NO 10 RT 4 RW 2 | B1 | B1 | ![]() | |||
| 8 | 032916 | INDAH TRI SAPTORINI | JL IMAM BONJOL GG III RT.02/RW.01 | B2 | B2 | ![]() | |||
| 9 | 030269 | KUSTIYAH | JL. UTOMOREJO RT 3 RW 3 | B1 | B1 | ![]() | |||
| 10 | 030267 | MARLIKAH | JL. UTOMOREJO RT 3 RW 3 | B1 | B1 | ![]() | |||
| 11 | 026472 | MISTILAH UMAYANI | SEMERU GG 3 RT.5 RW.10 | B2 | B2 | ![]() | |||
| 12 | 030246 | MOCH. NASIR | JL. DIPONEGORO RT 7 RW 1 | B1 | B1 | ![]() | |||
| 13 | 030288 | MUHAMAD ILYAS | JL.IMAM BONJOL GG II RT 5 RW 1 | B1 | B1 | ![]() | |||
| 14 | 032863 | MUHAMAD JAFAR | JL. SEMERU GG I NO. 36 | B2 | B2 | ![]() | |||
| 15 | 004899 | MUSROATIN | JL.GAJAH MADA II/08 | B2 | B2 | ![]() | |||
| 16 | 030283 | MUTINEM | JL.DIPONEGORO GG 9 NO 1 RT 4 RW 2 | B1 | B1 | ![]() | |||
| 17 | 030296 | NUR INTAN W | JL.UTOMO REJO GG IB RT 2 RW 3 | B1 | B1 | ![]() | |||
| 18 | 026534 | SUKRI SUWANTORO | KELUD GG KRAMAT KALI, PUTIH RT.8 RW.11 | B2 | B2 | ![]() | |||
| 19 | 030248 | SUPRIONO | JL. DIPONEGORO V RT 7 RW 1 | B1 | B1 | ![]() | |||
| 20 | 030286 | SUPRIYANTO | JL.IMAM BONJOL GG II NO.91 RT 5 RW 1 | B1 | B1 | ![]() | |||
| 21 | 004061 | SUROTO BLANDUK | UTOMO REJO 58 | B2 | B2 | ![]() | |||
| 22 | 004248 | SUWARNI | UTARA STADION | B2 | B2 | ![]() | |||
| 23 | 003761 | T U T I K | SISIR | B2 | B2 | ![]() | |||
| 24 | 030228 | TUTIK NURAINI | JL. ANJASMORO RT 4 RW 11 | B1 | B1 | Layak | ![]() | ||
| 25 | 030219 | UMBAR SLAMET | JL DIPONEGORO GG 12 RT 1 RW 2 | B1 | B1 | ![]() |
Mengetahui,
Kabag Hublang & Pemasaran
Menyetujui,
Kabag Teknik