Candiwates

PROVINSI : JAWA TIMUR : PRIGEN KABUPATEN/KOTA : PASURUAN : CANDIWATES : 001 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 ABDUL KHOLIQ L 64 CANDIWATES 001 001 2 ABDUL MUCHID L 61 CANDIWATES 001 001 3 ACHMAD HUSEN L 35 CANDIWATES 001 001 4 AFDAN YUNUS FATKHURUKHI L 22 CANDIWATES 001 001 5 AGUS SANDIK ARMANSYAH L 28 CANDIWATES 002 001 6 AHMAD AZWAR ANAS L 35 CANDIWATES 002 001 7 AHMAD MISBAHUL L 53 CANDIWATES 002 001 8 AHMAD SUGIANTO L 59 CANDIWATES 001 001 9 ALFIA YUDHA MARDIATUL KHASANAH P 17 CANDIWATES 002 001 10 ALFIANTI INDRASARI P 47 CANDIWATES 002 001 11 AMELIA RIZKA OKTAVIANI P 22 CANDIWATES 001 001 12 ANDIN AFRIYANTI P 34 CANDIWATES 002 001 13 ANGGI PRADANA L 24 CANDIWATES 001 001 14 ANITA PUSPA P 51 CANDIWATES 002 001 15 APRILIYAH P 38 CANDIWATES 001 001 16 ARDIAN YONIANTO L 25 CANDIWATES 001 001 17 ARI DIAN SETIAWAN L 32 CANDIWATES 002 001 18 ARIEF WIBISONO L 27 CANDIWATES 002 001 19 ARIF MARDANI, SE L 42 CANDIWATES 002 001 TPS MODEL A-KabKo Daftar Pemilih DPT PEMILIHAN UMUM TAHUN 2024 KECAMATAN DESA/KELURAHAN Halaman 1 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 20 ARIFVANDI PUTRA L 31 CANDIWATES 004 001 21 ARMIATI P 42 CANDIWATES 001 001 22 ASPIYAH P 48 CANDIWATES 002 001 23 AULA NUR MASYITOH P 21 CANDIWATES 002 001 24 BINTI MUTIATUL HASANAH P 37 CANDIWATES 001 001 25 BISMOKO WIDYATNO L 33 CANDIWATES 001 001 26 CAHYANING MUSTIKA ASIH P 36 CANDIWATES 001 001 27 CATUR WULANDARI P 43 CANDIWATES 002 001 28 CHANDRA TONGGOREDJO L 59 CANDIWATES 002 001 29 CHOIRUL MUSLIMIN L 36 CANDIWATES 001 001 30 CUT TIA PUSPITA SARI P 24 CANDIWATES 001 001 31 DAI L 75 CANDIWATES 001 001 32 DARNI P 67 CANDIWATES 001 001 33 DENNY GITA WIJAYA L 37 CANDIWATES 002 001 34 DEVY AYU SEPTYANTI SUGIANTO P 28 CANDIWATES 001 001 35 DEWI UMI HANIK P 54 CANDIWATES 001 001 36 DEWI UMMAYDA ZAHRO P 20 CANDIWATES 002 001 37 DINNY DWI KHUSNUL KHOTIMAH P 18 CANDIWATES 002 001 38 DONAH P 52 CANDIWATES 002 001 39 DONI ISTIAWAN L 43 CANDIWATES 001 001 40 DONNY ARIES WIJAYA L 41 CANDIWATES 002 001 41 DWI BUDIYANTO L 57 CANDIWATES 002 001 42 DWI HARIAWAN L 49 CANDIWATES 001 001 43 EDWIN NOVARISNA ANDHIKA SUGIANTO L 20 CANDIWATES 001 001 44 EFENDI L 52 CANDIWATES 002 001 45 EKSAN L 64 CANDIWATES 002 001 46 EMIL WIDAYANTI P 38 CANDIWATES 001 001 Halaman 2 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 47 ENDANG DIANITA P 38 CANDIWATES 001 001 48 ENDANG NORMA SULISTIANINGSIH P 41 CANDIWATES 002 001 49 ENNY KUSUMA DEWI RUMONING P 41 CANDIWATES 002 001 50 ERNA WINARSIH P 48 CANDIWATES 002 001 51 ERNOWO L 44 CANDIWATES 001 001 52 ERSA CHAROLIN AGUSTIN P 21 CANDIWATES 002 001 53 ERVAN ZAINURI L 36 CANDIWATES 002 001 54 ERVIN FIRMANSYAH L 26 CANDIWATES 001 001 55 ETIK SUSANTI P 42 CANDIWATES 002 001 56 ETIK SUYANTI NINGSIH P 34 CANDIWATES 002 001 57 FARID FIDIONO L 36 CANDIWATES 001 001 58 FARIDA KUSUMADEWI P 31 CANDIWATES 001 001 59 FARIHA ISTIQOMAH P 20 CANDIWATES 002 001 60 FERDI FEBRIAN DEWANGGA L 19 CANDIWATES 001 001 61 FETTI MARINA SAPUTRI P 61 CANDIWATES 002 001 62 FIRGINIA RISKA AMELIA P 27 CANDIWATES 002 001 63 FITRIA PRASETYORINI P 37 CANDIWATES 002 001 64 FRANSISCA EKAWATI P 31 CANDIWATES 001 001 65 GADIZA APRILIANTI SUPRAMONO P 17 CANDIWATES 001 001 66 H. ABDUL FATTAH L 70 CANDIWATES 001 001 67 HADI SUPRAYITNO L 41 CANDIWATES 002 001 68 HAFILAH FARHANA P 24 CANDIWATES 002 001 69 HANIF RIDHO PRIYOKO L 29 CANDIWATES 002 001 70 HANIM FATMA ARISKI P 26 CANDIWATES 001 001 71 HANNY AYUSTINA KHINANTY P 20 CANDIWATES 001 001 72 HARNIK P 49 CANDIWATES 001 001 73 HELFINDA PUTRI PERMATASARI P 28 CANDIWATES 002 001 Halaman 3 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 74 HENDRA PUTISEPUTRO L 62 CANDIWATES 002 001 75 HENDRIK SUHARTONO L 42 CANDIWATES 001 001 76 HENY MUJIATI P 54 CANDIWATES 001 001 77 HERMANSYAH L 37 CANDIWATES 001 001 78 IKA PUTRI MAULIDA P 26 CANDIWATES 001 001 79 IMAM SYAFI`I L 45 CANDIWATES 002 001 80 INAYATUL FADILAH P 24 CANDIWATES 002 001 81 IR. JAROT SLAMET HARIANTO L 71 CANDIWATES 002 001 82 IRWAN ISWAHYUDI L 36 CANDIWATES 001 001 83 ISFANUL MIHARTUTIK P 46 CANDIWATES 001 001 84 ISMAIL EFENDI L 52 CANDIWATES 001 001 85 ISMANU L 73 CANDIWATES 001 001 86 ISMI RAHAYU RAMADHANI P 34 CANDIWATES 001 001 87 IWAN L 44 CANDIWATES 001 001 88 JEFRY YUDHA SUTRISNO SAPUTRA L 24 CANDIWATES 001 001 89 JOHAN PRAMANA PUTRA L 34 CANDIWATES 002 001 90 JOKO CAHYONO L 40 CANDIWATES 002 001 91 JOKO MULYANI SAPUTRO L 35 CANDIWATES 026 008 92 JOY STEVEN SOESANTO L 42 CANDIWATES 002 001 93 JULI PRIYONUGRA L 53 CANDIWATES 002 001 94 JUMAINAH SETYOWATI P 53 CANDIWATES 001 001 95 JUMINEM P 65 CANDIWATES 001 001 96 JUNAEDY ABDILLAH L 43 CANDIWATES 002 001 97 KARIONO L 41 CANDIWATES 002 001 98 KARNADI L 50 CANDIWATES 001 001 99 KARTO L 72 CANDIWATES 002 001 100 KASIONO L 50 CANDIWATES 002 001 Halaman 4 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 101 KASNADI L 70 CANDIWATES 001 001 102 KASTURI L 58 CANDIWATES 002 001 103 KETUT SANTIKA L 54 CANDIWATES 001 001 104 KHUROTI P 51 CANDIWATES 002 001 105 KOES BAMBANG HADI WIDJAJA L 72 CANDIWATES 002 001 106 KOKO INDRA PAMUNGKAS L 24 CANDIWATES 001 001 107 KRISTYOWANTO L 43 CANDIWATES 001 001 108 KUSRINI P 44 CANDIWATES 002 001 109 KUSTANTINAH P 79 CANDIWATES 002 001 110 KWEE MY VEN P 55 CANDIWATES 002 001 111 LILIK SOIMAH P 52 CANDIWATES 001 001 112 LUH SUARTINI P 48 CANDIWATES 001 001 113 LUKI EKO ARINDRA L 39 CANDIWATES 001 001 114 MARGI SUGIANTO L 51 CANDIWATES 002 001 115 MARIYATUL QIBTIYAH P 23 CANDIWATES 002 001 116 MARTIKA P 61 CANDIWATES 002 001 117 MAULIDATUS SOVIA P 23 CANDIWATES 001 001 118 MAYA ROSITA P 57 CANDIWATES 002 001 119 MAYKE YOLANDA P 64 CANDIWATES 002 001 120 MEGA DWI ARI SUSANTI P 33 CANDIWATES 001 001 121 MELODY ANGELIE TONGGOREDJO P 27 CANDIWATES 002 001 122 MEYLINDA NILASARI P 29 CANDIWATES 002 001 123 MIASAN L 82 CANDIWATES 001 001 124 MIRNAWATI P 39 CANDIWATES 009 003 125 MOCH. ADHITYA AHADIAN L 19 CANDIWATES 002 001 126 MOCHAMAD ZAENAL ABIDIN L 29 CANDIWATES 002 001 127 MOHAMMAD KHOLIQ L 40 CANDIWATES 002 001 Halaman 5 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 128 MUCHAMMAD NUR CHOLIS L 37 CANDIWATES 002 001 129 MUCHAMMAT SAIFUL ARIF PERMANA L 35 CANDIWATES 002 001 130 MUHAMMAD ABI FARIZKI L 23 CANDIWATES 001 001 131 MUHAMMAD HANDOKO L 55 CANDIWATES 001 001 132 MUHAMMAD HIKMAL IMANDA L 21 CANDIWATES 002 001 133 MUHAMMAD TAZUL KHILMI L 29 CANDIWATES 001 001 134 MUSIYANTO L 47 CANDIWATES 001 001 135 NA'ILAHTUL AMALIA P 25 CANDIWATES 001 001 136 NADI L 75 CANDIWATES 001 001 137 NAJI L 64 CANDIWATES 001 001 138 NAKIM L 55 CANDIWATES 001 001 139 NAROKIT L 66 CANDIWATES 001 001 140 NASIKAH P 63 CANDIWATES 001 001 141 NASRUL HARDIANSYAH AL AYUBI L 26 CANDIWATES 001 001 142 NDARU NURDIANTO L 23 CANDIWATES 002 001 143 NIRMALA WANDASARI P 36 CANDIWATES 001 001 144 NOVAN PRADANA PUTRA L 26 CANDIWATES 002 001 145 NUR HANIF P 40 CANDIWATES 001 001 146 NUR HIDAYATIN P 56 CANDIWATES 002 001 147 NUR INDAH NILA ASRI P 45 CANDIWATES 002 001 148 NUR MUFIDAH P 26 CANDIWATES 002 001 149 NURIYAH P 43 CANDIWATES 001 001 150 NURLAILI SEPTIANING DIAN P 29 CANDIWATES 026 008 151 NURUL HIDAYAH P 27 CANDIWATES 001 001 152 NURYATI P 49 CANDIWATES 002 001 153 NYONO L 66 CANDIWATES 001 001 154 OKTAVIANTI NASYFATHUL ALVI P 21 CANDIWATES 002 001 Halaman 6 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 155 PAIMAH P 95 CANDIWATES 001 001 156 PAIMIN L 75 CANDIWATES 001 001 157 PIATI P 62 CANDIWATES 001 001 158 PUGUH HARJANTO, SE L 47 CANDIWATES 001 001 159 PUJIONO L 37 CANDIWATES 001 001 160 PURWANTO L 43 CANDIWATES 001 001 161 PUTU WAHYU DHARMA SUARTIKA L 24 CANDIWATES 001 001 162 RAHEL AMELIA P 18 CANDIWATES 002 001 163 RAHMAD HARDDIAN L 47 CANDIWATES 002 001 164 RAHMAT HERJANA L 39 CANDIWATES 002 001 165 RANGGA IRNANDA PUTRA L 23 CANDIWATES 001 001 166 RATNA DEWIKURNIAWATI JOEWONO P 64 CANDIWATES 002 001 167 RETNO UTAMI P 35 CANDIWATES 002 001 168 RETNO UTAMI NINGSIH P 35 CANDIWATES 002 001 169 RETNO WAHYU WIDYAYANTI P 48 CANDIWATES 001 001 170 REVAN PRATAMA ARINDRA L 19 CANDIWATES 001 001 171 REZA GITA IRAWAN L 28 CANDIWATES 002 001 172 RINI P 66 CANDIWATES 002 001 173 RIQYAL ILHAM RAMADHAN L 19 CANDIWATES 001 001 174 RIRIN FIDIANA P 40 CANDIWATES 001 001 175 RIYA FATMAWATI P 29 CANDIWATES 001 001 176 RIZA INDRIA PRATIWI P 30 CANDIWATES 001 001 177 RIZAL RIZKI RAMDHANI L 26 CANDIWATES 002 001 178 ROCHMAD WAHYUDI L 40 CANDIWATES 001 001 179 ROKHMAN L 41 CANDIWATES 002 001 180 RONI INDRA PRATAMA L 41 CANDIWATES 001 001 181 RUDIANTO L 44 CANDIWATES 001 001 Halaman 7 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 182 RUDIANTO L 36 CANDIWATES 001 001 183 RUSDI AL KUSNADI L 72 CANDIWATES 001 001 184 SAFITRI P 40 CANDIWATES 002 001 185 SAID L 66 CANDIWATES 001 001 186 SAIFUDIN FARIS NURACHMAN L 22 CANDIWATES 002 001 187 SAIFUL ARIF L 37 CANDIWATES 001 001 188 SALMA MILANAISYA YASMIN HULIMA P 20 CANDIWATES 002 001 189 SALMAN SATYATMA AL-AYYUBI L 21 CANDIWATES 002 001 190 SAMSUL HUDA L 64 CANDIWATES 002 001 191 SAMUEL ARDIYANTO L 21 CANDIWATES 002 001 192 SARMIN L 75 CANDIWATES 002 001 193 SAWAL L 66 CANDIWATES 002 001 194 SETIYO PAMUNGKAS L 28 CANDIWATES 001 001 195 SHAFIRA REZA MAULIDYA P 18 CANDIWATES 001 001 196 SHEVA ANDY PRATAMA L 17 CANDIWATES 001 001 197 SHINTA ANDRIANA P 27 CANDIWATES 002 001 198 SIMPEN P 90 CANDIWATES 002 001 199 SITI AISYAH P 49 CANDIWATES 001 001 200 SITI AMINATUL MUKHAROMAH P 39 CANDIWATES 001 001 201 SITI FATIMAH P 79 CANDIWATES 001 001 202 SITI FATIMAH P 64 CANDIWATES 001 001 203 SITI SUTUNIK P 56 CANDIWATES 001 001 204 SLAMET L 43 CANDIWATES 002 001 205 SLAMET HARIYANTO L 43 CANDIWATES 001 001 206 SOFIATUL AZIZAH P 44 CANDIWATES 002 001 207 SOLEH L 56 CANDIWATES 002 001 208 SOLICHA P 33 CANDIWATES 001 001 Halaman 8 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 209 SOLIKAH P 59 CANDIWATES 001 001 210 SOLIKIN L 55 CANDIWATES 001 001 211 SRI SUKESI P 53 CANDIWATES 001 001 212 SRI RAHAYU P 60 CANDIWATES 002 001 213 SRI REJEKI P 50 CANDIWATES 001 001 214 SRI SUHERJENG, SH P 68 CANDIWATES 002 001 215 SRIANA FIDAINI P 49 CANDIWATES 002 001 216 SRIATI P 53 CANDIWATES 001 001 217 STEFANUS ANDIYANTO L 27 CANDIWATES 002 001 218 STEPHANIE SENJAYA P 34 CANDIWATES 002 001 219 SUANDOYO L 52 CANDIWATES 002 001 220 SUCIPTO L 53 CANDIWATES 002 001 221 SUDAYAT L 61 CANDIWATES 002 001 222 SUDIRMAN L 49 CANDIWATES 002 001 223 SUFERI ROMANDA L 35 CANDIWATES 001 001 224 SUGIANTO L 25 CANDIWATES 001 001 225 SUHERMANTO L 38 CANDIWATES 001 001 226 SUJITO L 50 CANDIWATES 002 001 227 SUKESI P 63 CANDIWATES 001 001 228 SULARTO L 54 CANDIWATES 002 001 229 SULISTIYO UTOMO L 34 CANDIWATES 001 001 230 SUMA'YAH P 68 CANDIWATES 001 001 231 SUMARNI P 58 CANDIWATES 002 001 232 SUMARNI P 62 CANDIWATES 002 001 233 SUMARTIN P 62 CANDIWATES 002 001 234 SUMIATI P 60 CANDIWATES 001 001 235 SUMINAH P 64 CANDIWATES 001 001 Halaman 9 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 236 SUNARJO L 86 CANDIWATES 002 001 237 SUPARMI P 61 CANDIWATES 001 001 238 SUPARMIN L 73 CANDIWATES 002 001 239 SUPARTI P 56 CANDIWATES 001 001 240 SUPIAMI P 65 CANDIWATES 002 001 241 SUTRISNO L 50 CANDIWATES 001 001 242 SUYADI L 45 CANDIWATES 002 001 243 TANAYA KURNIA IWAN YULIANTO L 46 CANDIWATES 002 001 244 TARNI P 85 CANDIWATES 001 001 245 TATIK PRANITA P 35 CANDIWATES 001 001 246 TIAMI P 68 CANDIWATES 001 001 247 TITIK HANDAYANI P 45 CANDIWATES 001 001 248 TITIM CIPTANING MAWARNI P 40 CANDIWATES 002 001 249 TITIN KARTINA P 35 CANDIWATES 002 001 250 TRI YUDHI ARTININGSIH P 48 CANDIWATES 001 001 251 TUMINAH P 72 CANDIWATES 001 001 252 UMI SHOLEKAH P 31 CANDIWATES 001 001 253 VERDHITO JEREMI SAPUTRA L 26 CANDIWATES 002 001 254 WALIMIN L 62 CANDIWATES 002 001 255 WARIONO L 39 CANDIWATES 002 001 256 WEEL SURYO PRAYOGO L 26 CANDIWATES 001 001 257 WIJIANTO L 45 CANDIWATES 001 001 258 WINARTI P 41 CANDIWATES 002 001 259 WINARTI P 42 CANDIWATES 002 001 260 WINDIARTIK P 53 CANDIWATES 002 001 261 WIWIK HARTUTIK P 42 CANDIWATES 001 001 262 YUDHA RAHMADHANI FAIS L 30 CANDIWATES 001 001 Halaman 10 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 263 YUDHONO WITANTO L 26 CANDIWATES 001 001 264 YUDO ANGGORO L 36 CANDIWATES 001 001 265 YULIANA P 34 CANDIWATES 002 001 266 YULIANI KUSUMAWATI P 44 CANDIWATES 001 001 267 YULIATI P 47 CANDIWATES 002 001 268 YUSTIANAH P 47 CANDIWATES 001 001 269 ZUHROTUL ILMI P 31 CANDIWATES 001 001 ZAINUL FAIZIN DITETAPKAN DI, PASURUAN TANGGAL, 21 JUNI 2023 KPU KABUPATEN PASURUAN KETUA Halaman 11 dari 11

PROVINSI : JAWA TIMUR : PRIGEN KABUPATEN/KOTA : PASURUAN : CANDIWATES : 002 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 A. SUPRIYADI L 60 CANDIWATES 004 001 2 ABD. HARIS L 41 CANDIWATES 003 001 3 ABD. JALIL L 66 CANDIWATES 003 001 4 ACHMAD AFFANDI L 28 CANDIWATES 003 001 5 ACHMAD FAIZAL L 29 CANDIWATES 004 001 6 ACHMAD MUJIB L 54 CANDIWATES 004 001 7 ACHMAD SOLI L 34 CANDIWATES 004 001 8 ADE IWAN HARIATMOKO L 28 CANDIWATES 003 001 9 ADI SUGIANTO L 46 CANDIWATES 007 002 10 AFIFAH SALSABILA P 18 CANDIWATES 007 002 11 AGUS PRAMONO L 53 CANDIWATES 004 001 12 AGUS SYAIFUDIN ZUHRI L 42 CANDIWATES 003 001 13 AGUSTINAWATI P 31 CANDIWATES 003 001 14 AGUSTININGSIH P 26 CANDIWATES 003 001 15 AGUSTIONO L 36 CANDIWATES 003 001 16 AHMAD HARMOKO L 37 CANDIWATES 003 001 17 AHMAD HUSNAN L 49 CANDIWATES 007 002 18 AHMAD RIFAI L 59 CANDIWATES 007 002 19 AINUR DIYANTO L 37 CANDIWATES 003 001 TPS MODEL A-KabKo Daftar Pemilih DPT PEMILIHAN UMUM TAHUN 2024 KECAMATAN DESA/KELURAHAN Halaman 1 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 20 AKHMAD DAFA MIFTAKHUL KHOIR L 23 CANDIWATES 003 001 21 ALDY IRAWAN L 24 CANDIWATES 004 001 22 ALI L 50 CANDIWATES 004 001 23 ALIPAH P 37 CANDIWATES 003 001 24 ALVIN SAIFUDIN L 26 CANDIWATES 003 001 25 AMANDA DWI APRILIA P 17 CANDIWATES 004 001 26 AMINI P 58 CANDIWATES 007 002 27 AMMAH P 53 CANDIWATES 003 001 28 ANANDA PERMANA PUTRA L 21 CANDIWATES 003 001 29 ANAS RIDHOI L 42 CANDIWATES 003 001 30 ANDIKA RAHMAT INDRA ABADI L 18 CANDIWATES 004 001 31 ANDY PRADANA L 27 CANDIWATES 004 001 32 ANIA P 79 CANDIWATES 003 001 33 ANJARWATI P 28 CANDIWATES 003 001 34 APRILIA WULAN SARI P 24 CANDIWATES 003 001 35 ARDY IRMAWAN ATMADINATA L 33 CANDIWATES 003 001 36 ARIESTA ROSYANA SANTOSO P 28 CANDIWATES 004 001 37 ARIONO L 61 CANDIWATES 003 001 38 ARMAN YUSUFI ABDULLAH L 29 CANDIWATES 004 001 39 ARPIYAH P 63 CANDIWATES 004 001 40 AULIA RAHMA P 23 CANDIWATES 007 002 41 AULIA REZA SAFIRAH P 18 CANDIWATES 004 001 42 BAGAS DWI NUGROHO L 19 CANDIWATES 003 001 43 BAYU ROCHMANTO L 48 CANDIWATES 004 001 44 BIBIS SUSANTO L 49 CANDIWATES 003 001 45 CITRAWATI NURYATIM WINAYU P 23 CANDIWATES 003 001 46 DAIYAH P 58 CANDIWATES 004 001 Halaman 2 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 47 DEASFITARA HADKAR ARIZONA PANTA P 29 CANDIWATES 004 002 48 DENNISSA ALIVIANTY AMALIA P 22 CANDIWATES 007 002 49 DEWI ROCHMATUS SAFA'AH P 20 CANDIWATES 003 001 50 DIAH INDAHWATI P 24 CANDIWATES 003 001 51 DIAN NITASARI P 30 CANDIWATES 004 001 52 DIANA IRAWATI P 40 CANDIWATES 004 001 53 DIANA SAFITRI P 27 CANDIWATES 003 001 54 DIDIK SUPRIADI L 59 CANDIWATES 004 001 55 DIMAS EKA DARMANTO L 22 CANDIWATES 003 001 56 DJULAIKAH P 56 CANDIWATES 003 001 57 DWI CUNCUN HERAYANI P 43 CANDIWATES 004 001 58 EDI PENI L 46 CANDIWATES 003 001 59 EDY SUKAMTO L 46 CANDIWATES 003 001 60 EFENDY L 58 CANDIWATES 004 001 61 EKA VARIANTI P 31 CANDIWATES 004 001 62 EKO NOVIANTO L 32 CANDIWATES 004 001 63 ELI NURITA SARI P 31 CANDIWATES 003 001 64 ELY PANCAWATI P 41 CANDIWATES 004 001 65 ERI ERIAWAN L 25 CANDIWATES 004 001 66 EVA LUSIANA,SSI P 40 CANDIWATES 004 001 67 EVILLIA PRAWIRA ADITYAS P 22 CANDIWATES 004 001 68 FATHUR ROHMAN L 35 CANDIWATES 003 001 69 FATHURACHMAN ARIEF HARDIKA L 53 CANDIWATES 007 002 70 FERLINDA MAULIDIA PUTRI SASONGKO P 20 CANDIWATES 003 001 71 FIGO ERLANGGA RAMADHAN L 21 CANDIWATES 004 001 72 GESANG DWI HADI SAMPURNO L 25 CANDIWATES 003 001 73 GUNTUR RIZKY ADI PRASETYA L 28 CANDIWATES 003 001 Halaman 3 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 74 H. SLEMAN L 78 CANDIWATES 004 001 75 HADI SUSANTO L 41 CANDIWATES 003 001 76 HARDIAN SUTANTO L 17 CANDIWATES 003 001 77 HARUNA FAHTURRAHMAN ALIF L 19 CANDIWATES 004 001 78 HERU WAHYUDI L 37 CANDIWATES 003 001 79 HJ. SITI MARIYAM P 68 CANDIWATES 004 001 80 IKA SEPTIANI P 32 CANDIWATES 003 001 81 IMAM SUHERMAN L 25 CANDIWATES 004 001 82 INDRA YULIANTO L 30 CANDIWATES 003 001 83 INDRAWATI P 31 CANDIWATES 003 001 84 INNE YULIANTI P 41 CANDIWATES 004 001 85 INTAN VERONIKA P 25 CANDIWATES 004 001 86 IRFAN WIDODO L 46 CANDIWATES 007 002 87 ISNAINI ARJU FEBRIYANTI P 27 CANDIWATES 003 001 88 IVA RAHAYUNINGSIH P 33 CANDIWATES 004 001 89 JOKO PURNOMO L 30 CANDIWATES 004 001 90 JONI HENGKI GURNING L 20 CANDIWATES 003 001 91 JUMIATI P 47 CANDIWATES 007 002 92 JUMIATI P 45 CANDIWATES 007 002 93 JUWARAH P 59 CANDIWATES 004 001 94 KAEKSU ADI SUMASTO L 43 CANDIWATES 004 001 95 KAROMIN P 55 CANDIWATES 004 001 96 KARSONO L 51 CANDIWATES 004 001 97 KARTINI P 71 CANDIWATES 004 001 98 KARTININGSIH P 56 CANDIWATES 004 001 99 KASDI L 72 CANDIWATES 007 002 100 KASELIN P 70 CANDIWATES 003 001 Halaman 4 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 101 KASIATI P 83 CANDIWATES 004 001 102 KASIM L 73 CANDIWATES 004 001 103 KASUMI P 54 CANDIWATES 004 001 104 KHOIRUL ANAM L 28 CANDIWATES 003 001 105 KHOIRUL ARIVO ALDINO L 24 CANDIWATES 003 001 106 KHOIRUL ISTIANAH P 46 CANDIWATES 004 001 107 KHOLID MAWARDI,ST L 44 CANDIWATES 004 001 108 KHUSNAINI L.M P 46 CANDIWATES 003 001 109 KHUSNUL KHOTIMAH P 50 CANDIWATES 003 001 110 KUSMIATI P 33 CANDIWATES 003 001 111 KUSNA SUSANA P 42 CANDIWATES 004 001 112 KUSNADI L 69 CANDIWATES 007 002 113 LAMAT L 59 CANDIWATES 004 001 114 LASENI P 58 CANDIWATES 004 001 115 LI'ANAH P 58 CANDIWATES 003 001 116 LILA MAGHFIROH RAMADHANI P 17 CANDIWATES 004 001 117 LILIS SURIYANI P 43 CANDIWATES 004 001 118 LISTIYA NIRMALA P 18 CANDIWATES 003 001 119 LULUK MASLICHAH P 44 CANDIWATES 003 001 120 M. FARDAN WARI L 23 CANDIWATES 007 002 121 M. IMRON ROSYADI L 37 CANDIWATES 003 001 122 MAF'ULIA P 35 CANDIWATES 003 001 123 MAISAROH P 51 CANDIWATES 003 001 124 MASLIHIN L 37 CANDIWATES 004 001 125 MASRUFATUL LAILIAH P 45 CANDIWATES 007 002 126 MERTIARA RATIH TERRY LAKSANI P 31 CANDIWATES 004 002 127 MEYGA NUR VITASARI P 24 CANDIWATES 004 001 Halaman 5 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 128 MIFTAHUL ULUM L 51 CANDIWATES 003 001 129 MIFTAKHUL ULUM L 31 CANDIWATES 004 001 130 MISTIANI P 52 CANDIWATES 004 001 131 MOCH. WIYONO L 58 CANDIWATES 004 001 132 MOCHAMAD MIFTAH SURYA PUTRA L 23 CANDIWATES 004 001 133 MOCHAMAD RAFLY RAMADHAN L 18 CANDIWATES 004 001 134 MOH.ARIF L 41 CANDIWATES 007 002 135 MOHAMMAD SU`UD L 68 CANDIWATES 003 001 136 MOKHAMMAD RIAN ADAM PRATAMA L 24 CANDIWATES 003 001 137 MORENO FERDIAN PRAKOSO L 17 CANDIWATES 004 001 138 MUHAMAD NURUL HUDA L 43 CANDIWATES 003 001 139 MUHAMAD RENDY DWI KURNIAWAN L 18 CANDIWATES 003 001 140 MUHAMAD RIZKI KURNIYANTO L 29 CANDIWATES 004 001 141 MUHAMMAD AKBAR MAULANA BAIHAQI L 18 CANDIWATES 003 001 142 MUHAMMAD DAFID AULIA URROSYIDIN L 20 CANDIWATES 004 001 143 MUHAMMAD GIOFANY FACHRIZAL L 26 CANDIWATES 004 001 144 MUHAMMAD IDRIS FIRMANSYAH L 24 CANDIWATES 003 001 145 MUHAMMAD SAHRIEL AZMINANDA L 18 CANDIWATES 007 002 146 MUHAMMAD SAHRUL AZMINANTA L 18 CANDIWATES 007 002 147 MUHAMMAD TAZAKKA SABILILLAH L 18 CANDIWATES 003 001 148 MUHAMMAD WILDAN WARI L 27 CANDIWATES 007 002 149 MUJIANAH P 53 CANDIWATES 004 001 150 MUJIONO L 60 CANDIWATES 003 001 151 MUKANAH P 75 CANDIWATES 004 001 152 MUKHAMAD ILYAS MISBAKHUL AFIQ L 17 CANDIWATES 003 001 153 MUKHAMMAD IRCHAM L 46 CANDIWATES 007 002 154 MUSIDI L 63 CANDIWATES 003 001 Halaman 6 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 155 MUTMAINAH P 57 CANDIWATES 003 001 156 MUTMAINAH P 46 CANDIWATES 007 002 157 NALIK SUGIONO L 45 CANDIWATES 003 001 158 NANANG RIO NARSUDI L 35 CANDIWATES 004 001 159 NANANG SUNARYO L 37 CANDIWATES 004 001 160 NANIK CAHYO NINGSIH P 43 CANDIWATES 004 001 161 NAPIAH P 66 CANDIWATES 003 001 162 NARSONO L 60 CANDIWATES 003 001 163 NGADIONO L 58 CANDIWATES 004 001 164 NI'MATUL IZZAH ROHMATULLOH P 22 CANDIWATES 007 002 165 NICO BRILIAN RAMADHAN L 23 CANDIWATES 003 001 166 NOER SYAHID L 59 CANDIWATES 003 001 167 NOTO L 73 CANDIWATES 003 001 168 NUNUK MA'RIFAH P 35 CANDIWATES 003 001 169 NUNUK SUFIATI P 41 CANDIWATES 004 001 170 NUR HALIMAH P 37 CANDIWATES 003 001 171 NUR SALIM L 22 CANDIWATES 004 001 172 NUR SAMSI L 37 CANDIWATES 003 001 173 NUR SHOLIHAH P 45 CANDIWATES 003 001 174 NURAINI P 46 CANDIWATES 007 002 175 NURKAYATIN P 50 CANDIWATES 003 001 176 NURUL APRIA FATMAWATI P 44 CANDIWATES 003 001 177 NURUL HIDAYATI P 42 CANDIWATES 003 001 178 NURUL HIDAYATUN NOVITA P 32 CANDIWATES 003 001 179 OKY PRADANA SAPUTRA L 23 CANDIWATES 004 001 180 PAIMIN L 73 CANDIWATES 003 001 181 PAKSI L 35 CANDIWATES 003 001 Halaman 7 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 182 PANI L 61 CANDIWATES 003 001 183 PATRIAH P 60 CANDIWATES 007 002 184 PONISAH P 57 CANDIWATES 003 001 185 PUJI SETYOWATI P 56 CANDIWATES 003 001 186 PURNOMO L 48 CANDIWATES 003 001 187 PUTRI RAHAYU NINGSIH P 21 CANDIWATES 003 001 188 RADIONO L 44 CANDIWATES 004 001 189 RAKHMAWATI P 39 CANDIWATES 003 001 190 RANTO L 52 CANDIWATES 003 001 191 RATNA APRIYANTI P 36 CANDIWATES 003 001 192 RIAJI L 42 CANDIWATES 003 001 193 RIAMAH P 65 CANDIWATES 004 001 194 RIANI P 71 CANDIWATES 003 001 195 RICHO RACHMAT DIANSYAH L 21 CANDIWATES 004 001 196 RICKY RESANDY L 27 CANDIWATES 003 001 197 RIFKI PUTRA PRATAMA L 21 CANDIWATES 004 001 198 RINDE SUSILO WARDOYO L 51 CANDIWATES 004 001 199 RIRIN SUTRINI AFIYAH P 41 CANDIWATES 004 001 200 ROCHAYATI ALQUR'ANI P 33 CANDIWATES 004 001 201 ROKHIM L 51 CANDIWATES 003 001 202 ROLIYAH P 46 CANDIWATES 003 001 203 RUPIANI P 42 CANDIWATES 003 001 204 SAEFUL ROMADHONI L 43 CANDIWATES 003 001 205 SAIFUDDIN MUTAMMAM L 28 CANDIWATES 007 002 206 SAIKHUL ARIF L 23 CANDIWATES 004 001 207 SAMPE BUDIONO L 60 CANDIWATES 004 001 208 SANTOSO L 54 CANDIWATES 004 001 Halaman 8 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 209 SANTOSO L 50 CANDIWATES 004 001 210 SARAH P 68 CANDIWATES 003 001 211 SARIYATI P 65 CANDIWATES 003 001 212 SHEILA MONICA SANTOSO P 21 CANDIWATES 004 001 213 SHOFI'YAH P 60 CANDIWATES 003 001 214 SIGIT BAYU PRIANGGODHO L 20 CANDIWATES 004 001 215 SILFI MUSTIKA DWI IKE ANGGRAINI P 33 CANDIWATES 003 001 216 SILVANA WENNYASTI P 25 CANDIWATES 003 001 217 SILVIANDA MUSTIKA DWI ANGGUN T P 27 CANDIWATES 003 001 218 SISWANTO L 51 CANDIWATES 003 001 219 SISWANTOYO L 59 CANDIWATES 003 001 220 SITI AISYAH P 35 CANDIWATES 003 001 221 SITI FAUZIYAH P 34 CANDIWATES 003 001 222 SITI MUJAROH P 52 CANDIWATES 003 001 223 SODIKIN L 57 CANDIWATES 004 001 224 SOLEH SAIFUDIN L 32 CANDIWATES 003 001 225 SONIA SABELLA P 23 CANDIWATES 004 001 226 SRI WATI P 62 CANDIWATES 003 001 227 SRI WIDAYATI P 57 CANDIWATES 003 001 228 SUCI PRIHATIN P 42 CANDIWATES 004 001 229 SUDJINA L 68 CANDIWATES 003 001 230 SUDJOKO L 59 CANDIWATES 003 001 231 SUFIA DEVI ANGGRAINI P 19 CANDIWATES 004 001 232 SUGIANTORO L 56 CANDIWATES 004 001 233 SUGIATI P 43 CANDIWATES 003 001 234 SUJARIANTO L 46 CANDIWATES 004 001 235 SUJONO WARI L 55 CANDIWATES 007 002 Halaman 9 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 236 SUKI L 69 CANDIWATES 003 001 237 SULISTIYONO L 46 CANDIWATES 003 001 238 SULIYANI P 57 CANDIWATES 004 002 239 SUMARTI P 52 CANDIWATES 003 001 240 SUNARKO L 60 CANDIWATES 003 001 241 SUNARTI P 62 CANDIWATES 003 001 242 SUPARMAN L 73 CANDIWATES 003 001 243 SUPARTI P 41 CANDIWATES 004 001 244 SUPATMI P 64 CANDIWATES 003 001 245 SUPIAH P 56 CANDIWATES 004 001 246 SUPRIYADI L 55 CANDIWATES 003 001 247 SUSANAH P 53 CANDIWATES 004 001 248 SUSIATI P 52 CANDIWATES 003 001 249 SUTIKNO L 30 CANDIWATES 004 001 250 SUTRIN P 42 CANDIWATES 004 001 251 SYAMSUL ISLAM L 41 CANDIWATES 003 001 252 TAMANU L 67 CANDIWATES 007 002 253 TAMAT L 67 CANDIWATES 003 001 254 TARUWI L 68 CANDIWATES 003 001 255 TASENI P 75 CANDIWATES 007 002 256 TIAH P 63 CANDIWATES 007 002 257 TIKAM L 53 CANDIWATES 003 001 258 TUMILAH P 80 CANDIWATES 004 001 259 UTAMI P 58 CANDIWATES 003 001 260 WACHID L 63 CANDIWATES 004 001 261 WAHYUNI ISMAWATI P 40 CANDIWATES 003 001 262 WARDIONO L 40 CANDIWATES 003 001 Halaman 10 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 263 WARSITI P 53 CANDIWATES 004 001 264 WASI'AYAH P 54 CANDIWATES 003 001 265 WATIAH P 80 CANDIWATES 004 002 266 WAWAN BUDIANTO L 37 CANDIWATES 003 001 267 WIJI ASTUTIK P 47 CANDIWATES 004 001 268 WIJI ASTUTIK P 44 CANDIWATES 004 001 269 WINARSIH P 46 CANDIWATES 003 001 270 WIWIK WIDAYATI P 51 CANDIWATES 004 001 271 YAGINAH P 59 CANDIWATES 004 001 272 YARISUN P 48 CANDIWATES 004 001 273 YAYUK WINIARSIH P 49 CANDIWATES 007 002 274 YOGA KUSUMA WARDHANA PUTRA L 20 CANDIWATES 007 002 275 YULI WINARTI P 58 CANDIWATES 004 001 276 YUNI ASMARANI P 50 CANDIWATES 007 002 277 ZULAIKAH P 45 CANDIWATES 004 001 ZAINUL FAIZIN DITETAPKAN DI, PASURUAN TANGGAL, 21 JUNI 2023 KPU KABUPATEN PASURUAN KETUA Halaman 11 dari 11

PROVINSI : JAWA TIMUR : PRIGEN KABUPATEN/KOTA : PASURUAN : CANDIWATES : 003 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 ABD. MUNTOLIB L 37 CANDIWATES 005 002 2 ABDUL ADHIM L 60 CANDIWATES 005 002 3 ABDULLAH L 58 CANDIWATES 005 002 4 ACHMAD ACMAL AGIL FIROS L 20 CANDIWATES 006 002 5 ACHMAD ARDHI ARYA UTAMA L 25 CANDIWATES 006 002 6 ACHMAD RIDHO'I, S.E L 54 CANDIWATES 006 002 7 ACHMAD ROOFIIF A'ISY L 18 CANDIWATES 006 002 8 ACHMAT LUKMAN L 26 CANDIWATES 005 002 9 ADI PUTRA SANTOSO L 26 CANDIWATES 005 002 10 ADING DANI KUSBIANTORO L 33 CANDIWATES 008 002 11 ADRIAN NAUFAL AHMAD L 17 CANDIWATES 005 002 12 AGUS JATMIKO L 60 CANDIWATES 006 002 13 AGUS SETIAWAN L 48 CANDIWATES 006 002 14 AHMAD ARSY HARITSAH L 20 CANDIWATES 006 002 15 AIDA FITRI EDNISIA P 19 CANDIWATES 005 002 16 AINNURIZMA LUDFIANDINI P 24 CANDIWATES 005 002 17 AISYAH P 65 CANDIWATES 006 002 18 AJENG SRI WULANDARI P 25 CANDIWATES 005 002 TPS MODEL A-KabKo Daftar Pemilih DPT PEMILIHAN UMUM TAHUN 2024 KECAMATAN DESA/KELURAHAN Halaman 1 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 19 AKHMAD FATONI L 31 CANDIWATES 008 002 20 AKHMAD SOLEH L 42 CANDIWATES 008 002 21 ALDIO YUSREZA MARTHA L 29 CANDIWATES 006 002 22 ALFAZA PUTRI ISABELLA P 24 CANDIWATES 006 002 23 ALFIAN FERDYANA MARTHA L 33 CANDIWATES 006 002 24 ALI L 52 CANDIWATES 005 002 25 ALI SUYONO L 63 CANDIWATES 005 002 26 ALMAIDAH P 45 CANDIWATES 006 002 27 AMINAH P 54 CANDIWATES 005 002 28 AMINAH WAHYUNINGSIH P 54 CANDIWATES 005 002 29 ANA AULINA P 21 CANDIWATES 008 002 30 ANASTASIA LILIK SULASI P 48 CANDIWATES 006 002 31 ANDIK YANUAR KURNIAWANTO L 30 CANDIWATES 006 002 32 ANGELINE P 18 CANDIWATES 006 002 33 ANGGARA PRASTA IRWANSYAH L 22 CANDIWATES 006 002 34 ANGGI AULIA PARAMITA P 17 CANDIWATES 005 002 35 APRILIANO WAHYU SETIAWAN L 18 CANDIWATES 006 002 36 ARIES FADILAH L 46 CANDIWATES 006 002 37 ARIS SOESANTY P 47 CANDIWATES 005 002 38 ARISTA EMAWATI P 36 CANDIWATES 008 002 39 ARUM PUSPORINI P 26 CANDIWATES 005 002 40 ASROFAH P 48 CANDIWATES 008 002 41 BAKRI L 65 CANDIWATES 006 002 42 BANDOT SUKIRMAN L 59 CANDIWATES 005 002 43 BILLY WILLIAM BUDIYO SANTOSO L 22 CANDIWATES 005 002 44 CAHYA FAJAR KURNIAWAN L 25 CANDIWATES 005 002 Halaman 2 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 45 CAHYO MULYO HADI L 28 CANDIWATES 005 002 46 CAHYO SURYA RAMADAN L 18 CANDIWATES 006 002 47 CARISSA DWI PRAYUNA P 18 CANDIWATES 006 011 48 CHANDRA SETIAWAN L 31 CANDIWATES 005 002 49 CITRA WIDAYAKA L 28 CANDIWATES 008 002 50 DAMAH P 60 CANDIWATES 005 002 51 DANIS SWARA L 30 CANDIWATES 005 002 52 DANY HATTA PRAYOGA L 21 CANDIWATES 005 002 53 DARMAJI L 43 CANDIWATES 005 002 54 DAVA ALIFY NAJWAN L 17 CANDIWATES 006 002 55 DEDDI ROMANDA L 35 CANDIWATES 005 002 56 DEMES SRIKATON P 51 CANDIWATES 006 002 57 DENNY JULIANTO L 21 CANDIWATES 005 002 58 DERYL MISBAKHUL RIZAT L 25 CANDIWATES 005 002 59 DESI AYU WULAN SARI P 28 CANDIWATES 008 002 60 DEVI INDRIANI P 23 CANDIWATES 006 002 61 DEWA DWI ARIMURTI L 27 CANDIWATES 005 002 62 DEWI ANGGRAENI P 41 CANDIWATES 006 002 63 DEWI MALIHAH P 40 CANDIWATES 005 002 64 DHENIA LIZARIANY HAFSHA P 19 CANDIWATES 006 002 65 DIDIK SUWANDI L 42 CANDIWATES 008 002 66 DIMAS TEGAR AL FAROKH L 17 CANDIWATES 005 002 67 DINIYAH P 34 CANDIWATES 005 002 68 DITA PUTRI ISMADZIYAH P 21 CANDIWATES 005 002 69 DWI ERNAWATI P 38 CANDIWATES 008 002 70 DWI PUJI LESTARI P 29 CANDIWATES 008 002 Halaman 3 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 71 DWI SANTOSO L 52 CANDIWATES 005 002 72 EDDY SUHARTONO L 59 CANDIWATES 005 002 73 EDY SETIYAWAN L 38 CANDIWATES 006 002 74 ELI ADI SAPUTRO L 28 CANDIWATES 006 002 75 ENDAH BUDIARTI P 30 CANDIWATES 005 002 76 ENDIK WAHYU HIDAYAT L 43 CANDIWATES 005 002 77 ENI USNAINY P 49 CANDIWATES 005 002 78 ERMA TRI WAHYUNI P 54 CANDIWATES 006 002 79 ERNA FITRIA ANDRIYANTI P 36 CANDIWATES 005 002 80 FAHMI HASIB MUSTOFA L 23 CANDIWATES 005 002 81 FARIDA AL MUNAWAROH P 28 CANDIWATES 008 002 82 FARIDAH P 42 CANDIWATES 005 002 83 FARIZA ANIZARINI P 26 CANDIWATES 005 002 84 FATHIR MICKY FAHREZA L 19 CANDIWATES 005 002 85 FIKRI ERDIANSYAH UTOMO L 21 CANDIWATES 005 002 86 FIRDAUSI NUZULA P 28 CANDIWATES 008 002 87 FIRDINA RACHMA YUNITA P 26 CANDIWATES 006 002 88 FIRNA KHUSNIA RAMADHANI P 18 CANDIWATES 006 002 89 FRANSISCA VINDA NATALIA SUNG P 24 CANDIWATES 005 002 90 GATOT SANTOSO L 67 CANDIWATES 006 002 91 GAYATRI TATA ATMA P 19 CANDIWATES 006 002 92 GIAN PERDANA SAKA ISWARA L 26 CANDIWATES 005 002 93 GUNTORO L 39 CANDIWATES 008 002 94 HADI ASMORO L 39 CANDIWATES 008 002 95 HAIDAR AHMAD L 22 CANDIWATES 005 002 96 HAJI L 31 CANDIWATES 006 002 Halaman 4 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 97 HANIFAH P 53 CANDIWATES 005 002 98 HARIYANTO L 61 CANDIWATES 005 002 99 HARIYANTO L 41 CANDIWATES 005 002 100 HARTINI P 32 CANDIWATES 008 002 101 HETTY OCTAVIA P 36 CANDIWATES 006 002 102 HJ. TUTY SURYENI P 70 CANDIWATES 005 002 103 IKA DWI ANGGRAENI P 41 CANDIWATES 006 002 104 IKBAR ARAZAK DJAJA KUSUMAH L 22 CANDIWATES 008 002 105 ILHAM WAHYUDI L 29 CANDIWATES 008 002 106 IMAM SYARIFFUDIN L 56 CANDIWATES 005 002 107 INDRA SANJAYA L 45 CANDIWATES 008 002 108 INSAN DARMAWAN L 60 CANDIWATES 006 002 109 INTAN FEBIKARINA P 26 CANDIWATES 005 002 110 ISNAINI KHUSNIA P 37 CANDIWATES 008 002 111 ISTI QOMARIYAH P 52 CANDIWATES 005 002 112 ISTIADAH P 50 CANDIWATES 006 002 113 ISTIANA, SE P 52 CANDIWATES 005 002 114 ITA NARULITA P 51 CANDIWATES 005 002 115 IVAN SULISTIYO L 31 CANDIWATES 006 002 116 JAYADI L 56 CANDIWATES 006 002 117 JOKO PURWANTO L 47 CANDIWATES 008 002 118 JUARIYAH P 54 CANDIWATES 006 002 119 JULIA ANANTA DEWI ISWARA P 19 CANDIWATES 005 002 120 JUMADI L 37 CANDIWATES 006 002 121 JUMADI SETIAWAN L 30 CANDIWATES 008 002 122 JUMIATI P 43 CANDIWATES 008 002 Halaman 5 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 123 KAICE P 58 CANDIWATES 008 002 124 KARDI L 69 CANDIWATES 005 002 125 KARNO L 61 CANDIWATES 005 002 126 KARSONO L 58 CANDIWATES 005 002 127 KASIYAH P 59 CANDIWATES 008 002 128 KASIYANTO L 49 CANDIWATES 005 002 129 KHIKMAWATI P 28 CANDIWATES 008 002 130 KHOIRUL ANWAR L 37 CANDIWATES 006 002 131 KHOLIFAH P 48 CANDIWATES 006 011 132 KHUSNUL KHOTIMAH P 51 CANDIWATES 005 002 133 KUSMIATI P 60 CANDIWATES 005 002 134 KUSNAN L 61 CANDIWATES 005 002 135 LAILI IDA SAFARINA P 35 CANDIWATES 005 002 136 LANGGENG RIZKI ANANDA L 23 CANDIWATES 005 002 137 LANGGENG WICAKSONO L 44 CANDIWATES 005 002 138 LIKAH P 60 CANDIWATES 006 002 139 LILIK SUNARMI P 51 CANDIWATES 006 002 140 LUCKY AL HAFZY L 27 CANDIWATES 006 002 141 LULUK SALAMAH P 37 CANDIWATES 006 002 142 M. MUKMIN KURDIANTO L 31 CANDIWATES 005 002 143 M. ZAINUL L 47 CANDIWATES 006 002 144 M.EKO AGUS SUKAMTO L 43 CANDIWATES 006 002 145 MA'RUFAH P 33 CANDIWATES 006 002 146 MADA WIRABAYA L 43 CANDIWATES 006 002 147 MADKURI L 35 CANDIWATES 006 002 148 MAMIK ERNAWATI P 46 CANDIWATES 005 002 Halaman 6 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 149 MARDIANTO L 45 CANDIWATES 005 002 150 MARSUCIK P 39 CANDIWATES 005 002 151 MARTA ARI PRASETYO L 34 CANDIWATES 005 002 152 MAS'UD EFENDI L 40 CANDIWATES 005 002 153 MAULIDYA SALSABILA P 23 CANDIWATES 008 002 154 MEUTIA AZ-ZAHRA ALIFIYA DEWANDI P 18 CANDIWATES 006 002 155 MIFTAKHUL ULUM L 22 CANDIWATES 005 002 156 MIKO INDRAWAN DANANJAYA L 21 CANDIWATES 005 002 157 MISKAT L 70 CANDIWATES 005 002 158 MOCH SAIFUL MUNIR L 35 CANDIWATES 008 002 159 MOCHAMAD CALVIN FERDYAN SAPUTRA L 19 CANDIWATES 005 002 160 MOCHAMAD ZISLAM L 25 CANDIWATES 005 002 161 MOCHAMMAD BUDI RAHARJO L 33 CANDIWATES 008 002 162 MOH SYAMSUL HADI L 50 CANDIWATES 006 002 163 MOH. GHUFRON L 47 CANDIWATES 005 002 164 MOHAMMAD ASYIK JUFRI L 46 CANDIWATES 006 002 165 MOKHAMAD IRAWAN L 31 CANDIWATES 005 002 166 MONICA SALSABILLA P 24 CANDIWATES 006 002 167 MUANI P 62 CANDIWATES 005 002 168 MUCHAMMAD AJI PANGESTU DWI. P L 17 CANDIWATES 008 002 169 MUH. MACHFUD L 40 CANDIWATES 006 002 170 MUHAMMAD CHOIRUSSYAMSUDIN L 38 CANDIWATES 005 002 171 MUHAMMAD DAVIS DWI KARTIKO L 23 CANDIWATES 006 002 172 MUHAMMAD FARREL FAHRIZZY L 24 CANDIWATES 006 002 173 MUHAMMAD HAFIDZ SYARIFFUDDIN L 21 CANDIWATES 005 002 174 MUHAMMAD NAJIB L 41 CANDIWATES 005 002 Halaman 7 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 175 MUHAMMAD RIDWAN ATHOLANI L 19 CANDIWATES 006 002 176 MUHAMMAD YUSRIL IHZA L 26 CANDIWATES 006 011 177 MUJIATI P 67 CANDIWATES 006 002 178 MUKHAMAD SUFIAN SAUFA L 33 CANDIWATES 005 002 179 MUKHAMAD YUNUS L 53 CANDIWATES 005 002 180 MULYADI L 56 CANDIWATES 006 002 181 MUSLIKAH P 58 CANDIWATES 006 002 182 NADI L 57 CANDIWATES 005 002 183 NANIK HIDAYATI P 28 CANDIWATES 006 002 184 NAWANGSIH KUS INDRATMI P 41 CANDIWATES 005 002 185 NENENG DEDEH ASNONI P 52 CANDIWATES 005 002 186 NGEMBANG MULYO MANGESTIONO L 43 CANDIWATES 005 002 187 NI'AMI P 51 CANDIWATES 006 002 188 NINIK ANDAYANI P 38 CANDIWATES 005 002 189 NINIK SUGIARTI P 39 CANDIWATES 006 002 190 NINING KUSMININGRUM, SE P 48 CANDIWATES 005 002 191 NINIS WIJIATI P 43 CANDIWATES 005 002 192 NISA' ARNIANTI P 19 CANDIWATES 008 002 193 NJOO AY YIEN P 62 CANDIWATES 005 002 194 NOVAN WIBISONO L 24 CANDIWATES 005 002 195 NOVI TRIYANTI P 42 CANDIWATES 005 002 196 NUR KHAMID L 49 CANDIWATES 006 002 197 NUR KHOMARIAH P 45 CANDIWATES 005 002 198 NURBOGI L 26 CANDIWATES 005 002 199 NURHAYATI P 50 CANDIWATES 005 002 200 NURIL ANAM L 38 CANDIWATES 008 002 Halaman 8 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 201 NURPAI L 53 CANDIWATES 005 002 202 NURUL KUSNIAWATI P 43 CANDIWATES 005 002 203 NURUL YATIM P 71 CANDIWATES 006 002 204 OCTAVIA BELLA ANGELIA SUNG P 17 CANDIWATES 005 002 205 PAITO L 66 CANDIWATES 005 002 206 PARIASIH P 47 CANDIWATES 005 002 207 PARIYATI P 43 CANDIWATES 008 002 208 PONIMAN L 74 CANDIWATES 006 002 209 PUJIANTO, S.PD L 58 CANDIWATES 005 002 210 PUTRI CAHYANING TYAS P 19 CANDIWATES 005 002 211 PUTRI MIRZA CHANDRA DITYA P 27 CANDIWATES 005 002 212 RAINALIHSAN RAMADHAN L 17 CANDIWATES 008 002 213 RATNA SARI KHOIRIAH P 37 CANDIWATES 008 002 214 REINKA DIBA PRAMESTI P 22 CANDIWATES 005 002 215 RETNO INDAHNINGSIH P 45 CANDIWATES 006 002 216 REVITA CAHYA PRAMESTI P 21 CANDIWATES 005 002 217 RIEN ANAH P 65 CANDIWATES 006 002 218 RINA LISTIANA P 42 CANDIWATES 008 002 219 RUMILAH P 78 CANDIWATES 005 002 220 SABRINA AURELIA ANANDA P 18 CANDIWATES 006 002 221 SAIKHU L 53 CANDIWATES 005 002 222 SHOLIHAH P 57 CANDIWATES 005 002 223 SISWANDI L 44 CANDIWATES 006 002 224 SITI WARTIAH P 72 CANDIWATES 006 002 225 SITI MAISAROH P 48 CANDIWATES 006 002 226 SRI UTAMI P 51 CANDIWATES 006 002 Halaman 9 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 227 SRIADA P 53 CANDIWATES 005 002 228 SRIADI L 54 CANDIWATES 006 011 229 SUBANDI L 53 CANDIWATES 006 002 230 SUCI NUR INDAH SARI P 41 CANDIWATES 008 002 231 SUDARMO L 53 CANDIWATES 005 002 232 SUDARSONO L 56 CANDIWATES 006 002 233 SUGI HARTONO L 52 CANDIWATES 006 002 234 SUHANUNG SIKUNTORO L 56 CANDIWATES 005 002 235 SUJONO L 46 CANDIWATES 005 002 236 SUKASTONO L 58 CANDIWATES 006 002 237 SUKIRYANTO L 43 CANDIWATES 005 002 238 SULIATI P 57 CANDIWATES 006 002 239 SULUSYATI NINGSIH P 27 CANDIWATES 006 002 240 SUMARNI WIJAYATI P 55 CANDIWATES 006 002 241 SUMARTO L 64 CANDIWATES 006 002 242 SUMIATI P 72 CANDIWATES 005 002 243 SUNAMAH P 52 CANDIWATES 008 002 244 SUNARTI P 50 CANDIWATES 005 002 245 SUNARTO L 55 CANDIWATES 005 002 246 SUPRAPTININGSIH P 47 CANDIWATES 005 002 247 SUPRAPTO L 45 CANDIWATES 005 002 248 SUPRIYONO L 38 CANDIWATES 008 002 249 SURIADI L 63 CANDIWATES 006 002 250 SUSANTI P 28 CANDIWATES 006 002 251 SUSANTO L 40 CANDIWATES 006 002 252 SUSEN NOERYASARI CAPRIWATI P 52 CANDIWATES 008 002 Halaman 10 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 253 SUTARTI P 60 CANDIWATES 005 002 254 SUTOPO L 52 CANDIWATES 005 002 255 SUTRISNO L 45 CANDIWATES 005 002 256 SUWARNI P 64 CANDIWATES 005 002 257 SYAIKHU ROZI L 42 CANDIWATES 006 002 258 TATIK ANGGRAENI P 29 CANDIWATES 008 002 259 TERRY ANDI WANDONO L 33 CANDIWATES 008 002 260 TIFANI DEMAYANTI P 25 CANDIWATES 005 002 261 TINI P 47 CANDIWATES 005 002 262 TITIN RAHAYU P 54 CANDIWATES 006 002 263 TITIN IKAWINDRADINI P 42 CANDIWATES 006 002 264 TRAMI P 61 CANDIWATES 006 002 265 TUBI L 63 CANDIWATES 005 002 266 USMAN HADI CAHYONO L 41 CANDIWATES 008 002 267 VALEXA HAFSAH GHAISANI P 17 CANDIWATES 006 002 268 VITRIA YUNITA P 38 CANDIWATES 006 002 269 WAHYU HIDAYATI P 30 CANDIWATES 005 002 270 WAHYU TYA NINGSIH P 25 CANDIWATES 006 002 271 WAHYUNI P 46 CANDIWATES 005 002 272 WARAS TOMPO MULYO L 76 CANDIWATES 005 002 273 WARDIONO L 58 CANDIWATES 005 002 274 WARIAH P 46 CANDIWATES 005 002 275 WAWAN HERMANTO L 45 CANDIWATES 005 002 276 WIDAYATI P 47 CANDIWATES 005 002 277 WIWIT ANDRIANINGSIH P 40 CANDIWATES 005 002 278 YATMANIKYAH P 56 CANDIWATES 005 002 Halaman 11 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 279 YUNIATI KARMILA SARI P 37 CANDIWATES 005 002 280 YUNITA SARI P 39 CANDIWATES 006 002 281 YUNUS PRIAMBODO, DRS L 58 CANDIWATES 005 002 282 YUSAK AL MUKHLAS L 42 CANDIWATES 006 002 283 ZAKIAH DURAZAK P 48 CANDIWATES 005 002 284 ZALZABILA ARIZKA PUTRI P 23 CANDIWATES 006 002 ZAINUL FAIZIN DITETAPKAN DI, PASURUAN TANGGAL, 21 JUNI 2023 KPU KABUPATEN PASURUAN KETUA Halaman 12 dari 12

PROVINSI : JAWA TIMUR : PRIGEN KABUPATEN/KOTA : PASURUAN : CANDIWATES : 004 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 ABD. ROCHMAN L 64 CANDIWATES 007 002 2 ABDUL MAJID L 57 CANDIWATES 008 002 3 ABEL FARRELL MARCELINO L 20 CANDIWATES 007 002 4 ABU THOLIB L 41 CANDIWATES 007 002 5 ADI SANTOSO L 29 CANDIWATES 008 002 6 ADIK NOFALIANTO L 40 CANDIWATES 008 002 7 AFLACH AMRULLOH L 24 CANDIWATES 008 002 8 AGHISTA BILGIS WARDHANIAR P 20 CANDIWATES 007 002 9 AGUS DWI PRATAMA L 25 CANDIWATES 008 002 10 AGUS RIYANTO L 31 CANDIWATES 008 002 11 AGUS WIDODO L 54 CANDIWATES 008 002 12 AHMAD DARMADI L 32 CANDIWATES 008 002 13 AHMAD VIKY SUHENDRA L 36 CANDIWATES 007 002 14 AIDA ROBBIATUL ADDAWIYAH P 29 CANDIWATES 007 002 15 AKHMAD LUDIN L 46 CANDIWATES 008 002 16 AKHMAD MUSLIK L 49 CANDIWATES 008 002 17 AKHSANUL MUKHLISIN L 24 CANDIWATES 007 002 18 ALIMAH P 47 CANDIWATES 008 002 19 ALIMAH P 63 CANDIWATES 008 002 TPS MODEL A-KabKo Daftar Pemilih DPT PEMILIHAN UMUM TAHUN 2024 KECAMATAN DESA/KELURAHAN Halaman 1 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 20 ALWAN MUSLICH L 52 CANDIWATES 007 002 21 AMINAH TUZAHRO P 51 CANDIWATES 008 002 22 ANANG MUIN L 64 CANDIWATES 007 002 23 ANDINI EKA PRAMESTI P 18 CANDIWATES 007 002 24 ANGGI DWI ILHAM NURSUGIYANTO L 29 CANDIWATES 007 002 25 ANIK P 48 CANDIWATES 007 002 26 ANIN MAULA HANDINI P 17 CANDIWATES 008 002 27 ANISATUL MAULA P 25 CANDIWATES 007 002 28 ANITA MAHA PURNASARI P 43 CANDIWATES 008 002 29 ARDHITO ALAN DARMASAPUTRA L 25 CANDIWATES 007 002 30 ARI MULYA PRATAMA L 27 CANDIWATES 008 002 31 ARIEF LUKMANTO L 44 CANDIWATES 007 002 32 ARIF NUR HADI L 32 CANDIWATES 008 002 33 ARIMBA NUR ALTHORIQ L 19 CANDIWATES 008 002 34 ARINI RIHADATUL AISY P 18 CANDIWATES 007 002 35 ASTERANTI NURCAHYANI P 49 CANDIWATES 008 002 36 ATIK SUGIARTI P 52 CANDIWATES 008 002 37 ATIM SOLIKHIN L 52 CANDIWATES 008 002 38 AURA ADISTY P 20 CANDIWATES 008 002 39 AYU DEWI FITRIA P 19 CANDIWATES 008 002 40 AZKA AMALIA P 19 CANDIWATES 007 005 41 BAGUS DWI PRASETYO L 34 CANDIWATES 008 002 42 BILLY NEHEMIA SUGITANTOEI L 25 CANDIWATES 008 002 43 BOY SAMUEL SUGITANTOEI L 22 CANDIWATES 008 002 44 BUSONO L 67 CANDIWATES 008 002 45 DAMAH P 76 CANDIWATES 007 002 46 DANANG ASMORO MULYO L 46 CANDIWATES 008 002 Halaman 2 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 47 DARIAH P 60 CANDIWATES 008 002 48 DARMINA P 68 CANDIWATES 008 002 49 DAVID PRASETYO L 20 CANDIWATES 007 002 50 DEVI AYU RATNA ANGSARI P 32 CANDIWATES 008 002 51 DIAN PRITA FERNAWATI P 40 CANDIWATES 008 002 52 DIDIK EKO WAHYUDI L 44 CANDIWATES 007 002 53 DIMAS DWI ARDIANSYAH L 20 CANDIWATES 007 002 54 DJUMADI L 64 CANDIWATES 008 002 55 DODIK SUGIANTO L 39 CANDIWATES 008 002 56 DWI RAHAYU P 19 CANDIWATES 008 002 57 DWIANI P 43 CANDIWATES 008 002 58 EKA NURCHOLIS L 20 CANDIWATES 008 002 59 EKO ADI SAPUTRO L 26 CANDIWATES 007 002 60 EMI P 57 CANDIWATES 008 002 61 EMY SUYATMI P 78 CANDIWATES 008 002 62 ENDANG KUSTINI P 58 CANDIWATES 008 002 63 ENI KUSRINI P 41 CANDIWATES 008 002 64 ERNA DWY WAHYUNI P 23 CANDIWATES 007 002 65 ERNI PURWATI P 43 CANDIWATES 007 002 66 FADILLAH AL FATAH L 45 CANDIWATES 008 002 67 FAIZAH P 28 CANDIWATES 008 002 68 FAWZIYAH ROSANTI P 22 CANDIWATES 008 002 69 FIRNANDA DWI KUSUMA P 19 CANDIWATES 007 002 70 FITRIYANI P 28 CANDIWATES 008 003 71 FUAD JAUHARI L 28 CANDIWATES 007 002 72 GIMUN L 62 CANDIWATES 008 002 73 GINI P 71 CANDIWATES 008 002 Halaman 3 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 74 GUNAWAN L 39 CANDIWATES 008 002 75 GUNAWAN SETYO ADE L 39 CANDIWATES 007 002 76 HAMDAN L 28 CANDIWATES 007 002 77 HAMIDAH MEYLIA SUKMA P 22 CANDIWATES 007 002 78 HANDOKO L 43 CANDIWATES 008 002 79 HARIYANTO L 46 CANDIWATES 007 002 80 HARIYANTO L 42 CANDIWATES 007 002 81 HARMADI L 36 CANDIWATES 008 002 82 HASANAH P 54 CANDIWATES 008 002 83 HAYANI P 72 CANDIWATES 008 002 84 HENDRA SUNARIYADI L 31 CANDIWATES 007 002 85 HERU PURNOMO L 41 CANDIWATES 008 002 86 HINDUN P 54 CANDIWATES 008 002 87 ICHWAN MAGHFIRO HIDAYAT L 29 CANDIWATES 008 002 88 IDA PURWATI P 44 CANDIWATES 008 002 89 IFFAT MUHAMMAD TSAQIF L 22 CANDIWATES 008 002 90 INDAH HARIYATI P 46 CANDIWATES 008 002 91 INDAH PURWANTININGSIH P 39 CANDIWATES 007 002 92 IPAH P 46 CANDIWATES 008 002 93 ISMIATININGSIH P 42 CANDIWATES 008 002 94 ISWANTONI L 43 CANDIWATES 008 002 95 IVAN ANGGARA L 31 CANDIWATES 008 002 96 JAKA SETIA PERMANA L 29 CANDIWATES 008 004 97 JAMI'ATUL ANDRIANI P 33 CANDIWATES 008 002 98 JAMIL L 65 CANDIWATES 008 002 99 JANATUL LAILIYAH P 27 CANDIWATES 007 002 100 JEFRY ADI JUNIANTO L 32 CANDIWATES 008 002 Halaman 4 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 101 JONO L 49 CANDIWATES 008 002 102 JUWARIYAH P 49 CANDIWATES 008 002 103 KARTO AJI L 60 CANDIWATES 008 002 104 KASIANTO L 46 CANDIWATES 007 002 105 KHOIRUNNISA' P 60 CANDIWATES 007 002 106 KHUSRIFAH P 41 CANDIWATES 007 002 107 KIKI AMELIA P 29 CANDIWATES 008 002 108 KUSMAN L 53 CANDIWATES 007 002 109 KUSMIATI P 52 CANDIWATES 008 002 110 KUSNO L 48 CANDIWATES 007 002 111 KUSRIRIN P 41 CANDIWATES 007 002 112 KUSTIAH P 54 CANDIWATES 007 002 113 LAILATUL JURIYAH P 50 CANDIWATES 007 002 114 LASIANAH P 51 CANDIWATES 008 002 115 LIA NUR JANAH P 28 CANDIWATES 007 002 116 LILIK KHURNIA P 29 CANDIWATES 008 002 117 LULUK KUSUMA HERMININGSIH P 56 CANDIWATES 008 002 118 LULUK NURNANINGSIH P 53 CANDIWATES 007 002 119 LUSY AYUNINGTIYAS P 35 CANDIWATES 008 002 120 LUTFIATUL KHAKIMAH P 41 CANDIWATES 008 002 121 LYA PURWANTI P 43 CANDIWATES 007 002 122 M. ALI IMRON L 46 CANDIWATES 007 002 123 M. NASRIP L 74 CANDIWATES 007 002 124 M. SHOCHIB L 52 CANDIWATES 007 002 125 M.SUBCHI L 27 CANDIWATES 008 002 126 MAGDALENA YULIATI P 56 CANDIWATES 007 002 127 MANIKAH P 73 CANDIWATES 007 002 Halaman 5 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 128 MARDIONO L 65 CANDIWATES 007 002 129 MARIONO L 61 CANDIWATES 008 002 130 MAT MUQNI L 52 CANDIWATES 007 002 131 MI'ATUN P 64 CANDIWATES 007 002 132 MISNAH P 78 CANDIWATES 007 002 133 MOCH. ALI RODZIKI L 41 CANDIWATES 008 002 134 MOCHAMAD FAISAL L 28 CANDIWATES 007 002 135 MOH. ROSUL L 45 CANDIWATES 007 002 136 MOH.SHOLEHUDDIN L 35 CANDIWATES 007 002 137 MOHAMMAD LUTFI L 56 CANDIWATES 008 002 138 MOHAMMAD ZAINUDDIN L 43 CANDIWATES 007 002 139 MUHAMMAD ALVIN LUBBIL AQIL L 32 CANDIWATES 007 002 140 MUHAMMAD AZAM HAFID SAIFULLAH L 17 CANDIWATES 008 002 141 MUHAMMAD FARIZHAL L 34 CANDIWATES 008 002 142 MUHAMMAD HIDAYATULLOH L 22 CANDIWATES 008 002 143 MUHAMMAD HILMI ZUHDI L 19 CANDIWATES 008 002 144 MUHAMMAD KURNIAWAN AJI L 26 CANDIWATES 007 002 145 MUHAMMAD KUSAIRI L 57 CANDIWATES 007 002 146 MUHAMMAD MU'IS NURHIDAYAT L 19 CANDIWATES 008 002 147 MUHAMMAD MUCLISH L 24 CANDIWATES 008 002 148 MUHAMMAD NABIL L 25 CANDIWATES 008 002 149 MUHAMMAD PRIYANTONO L 20 CANDIWATES 008 002 150 MUHAMMAD YUSUF ALFARIDZI L 23 CANDIWATES 008 002 151 MUJIONO L 70 CANDIWATES 008 002 152 MUKAYATUN P 46 CANDIWATES 007 002 153 MUKHAMAD RISKI L 22 CANDIWATES 008 002 154 MUKHAMMAD MUKHLIS L 25 CANDIWATES 007 002 Halaman 6 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 155 MUNARSIH P 44 CANDIWATES 008 002 156 MUNASIR L 64 CANDIWATES 008 002 157 MUSTOFAH L 52 CANDIWATES 007 002 158 MUTIAH P 53 CANDIWATES 007 002 159 MUTIARA SANDI P 26 CANDIWATES 007 002 160 MUTMAINAH HENI ROHAENI P 50 CANDIWATES 008 002 161 NADIA FILZARAHMA P 17 CANDIWATES 008 002 162 NALIK L 64 CANDIWATES 007 002 163 NANDANA WISNU BASUKI L 20 CANDIWATES 008 002 164 NAPIAH P 63 CANDIWATES 008 002 165 NARIYONO L 38 CANDIWATES 008 002 166 NARTO MULYONO L 52 CANDIWATES 008 002 167 NASIAMI P 68 CANDIWATES 008 002 168 NASLIK P 65 CANDIWATES 007 002 169 NAUFAL AZMY HIBRIZY L 18 CANDIWATES 008 002 170 NGATINAH P 56 CANDIWATES 008 002 171 NIDA AYU RIZKIYAH RAHMAH P 24 CANDIWATES 008 002 172 NINGGAR P 63 CANDIWATES 008 002 173 NINING SETYAWATI P 44 CANDIWATES 008 002 174 NOVI PRIHARTINI P 42 CANDIWATES 007 002 175 NUNING FARIDA P 30 CANDIWATES 008 002 176 NUR BASRI L 53 CANDIWATES 008 002 177 NUR FITRI YANTI P 41 CANDIWATES 008 002 178 NUR LAILA APRILINA P 29 CANDIWATES 008 002 179 NUR RUKMINI P 26 CANDIWATES 008 002 180 NUR WAHYUNI P 50 CANDIWATES 008 002 181 NURIL ILMI P 34 CANDIWATES 008 002 Halaman 7 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 182 NURKOLIS L 53 CANDIWATES 008 002 183 NURUL JAHRIYAH P 54 CANDIWATES 007 002 184 NYARIMI P 71 CANDIWATES 008 002 185 PANJI HARYASMORO MULYONING PAKERTI L 21 CANDIWATES 008 002 186 PARIMAN L 68 CANDIWATES 008 002 187 PIPIT AFIDAH P 58 CANDIWATES 008 002 188 RAHAYU PUTRI P 32 CANDIWATES 007 002 189 RAHMA EZA LUKMANTO P 19 CANDIWATES 007 002 190 RAWI ISMANTO L 70 CANDIWATES 008 002 191 RENALDY ARYA GHARNETA L 18 CANDIWATES 008 002 192 RINI TIKA SARI P 31 CANDIWATES 007 002 193 RIYANG FRANMISTYA L 31 CANDIWATES 007 002 194 ROFI'I L 67 CANDIWATES 007 002 195 ROKHAYATIN P 44 CANDIWATES 008 002 196 ROKHMATUL FAWAIZ P 32 CANDIWATES 008 002 197 ROZANAH ALIMATUS SYA'DIYAH P 26 CANDIWATES 007 002 198 RUDIANTO L 42 CANDIWATES 007 002 199 RUMIATI P 50 CANDIWATES 007 002 200 SAAT L 66 CANDIWATES 008 002 201 SAKIRI L 59 CANDIWATES 008 002 202 SAMAT L 71 CANDIWATES 007 002 203 SAMSUL ANDRIANTO L 40 CANDIWATES 008 002 204 SANAH P 90 CANDIWATES 007 002 205 SANTUNI P 69 CANDIWATES 008 002 206 SAPUK P 52 CANDIWATES 008 002 207 SAYYIDAH ZULFA ALIYAH ROMADHONI P 18 CANDIWATES 007 002 208 SEPTIANA PUTRI CAHAYA PERDANA P 31 CANDIWATES 007 002 Halaman 8 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 209 SHINTIA ANDINI P 20 CANDIWATES 008 002 210 SILVI ADELIA PUTRI P 19 CANDIWATES 008 002 211 SILVIA DWI LESTARI P 23 CANDIWATES 007 002 212 SINGGIH ADI PRATAMA L 21 CANDIWATES 008 002 213 SISYLLIA FAIZATUL ULUWIYAH P 19 CANDIWATES 007 002 214 SITI AMINAH P 39 CANDIWATES 007 002 215 SITI AYUNAH P 46 CANDIWATES 008 002 216 SITI AZIZAH P 39 CANDIWATES 007 002 217 SITI KOMARIYAH P 48 CANDIWATES 007 002 218 SITI MUJAYANA P 38 CANDIWATES 007 002 219 SITI ROMLAH P 54 CANDIWATES 007 002 220 SOFII L 44 CANDIWATES 008 002 221 SONY FIRMANSYAH L 29 CANDIWATES 008 002 222 SUBANDRIO L 35 CANDIWATES 008 002 223 SUDAR NOTO L 45 CANDIWATES 008 002 224 SUDIRMAN L 51 CANDIWATES 008 002 225 SUGIANTO L 53 CANDIWATES 008 002 226 SUKADI L 56 CANDIWATES 008 002 227 SUKARIDWAN L 82 CANDIWATES 008 002 228 SUKESI P 54 CANDIWATES 008 002 229 SULKAN L 79 CANDIWATES 008 002 230 SUMADI L 59 CANDIWATES 008 002 231 SUMARNI P 59 CANDIWATES 008 002 232 SUMARNO L 54 CANDIWATES 008 002 233 SUMARTO L 53 CANDIWATES 007 002 234 SUMI'ANAH P 56 CANDIWATES 007 002 235 SUNARDI L 71 CANDIWATES 008 002 Halaman 9 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 236 SUNARSIH P 46 CANDIWATES 008 002 237 SUNDARI P 64 CANDIWATES 008 002 238 SUPARMAN L 62 CANDIWATES 008 002 239 SUPIYAH P 70 CANDIWATES 007 002 240 SUPRIYADI L 76 CANDIWATES 007 002 241 SURYA IRAWAN L 38 CANDIWATES 008 002 242 SUSIYATI P 42 CANDIWATES 007 002 243 SUTOMO L 71 CANDIWATES 008 002 244 SWAIDATUL FATKHURIYAH P 28 CANDIWATES 008 002 245 SYAFIQOTUZZAHRO P 20 CANDIWATES 007 002 246 SYAIFUL BAHRI L 21 CANDIWATES 008 002 247 TAMAH P 83 CANDIWATES 008 002 248 TANTI AYU PRATIWI P 47 CANDIWATES 008 002 249 TEDI SUSANTO L 40 CANDIWATES 008 002 250 THOYYIBATUL ASLAMIYAH P 23 CANDIWATES 007 002 251 TITIK INDAWATI P 34 CANDIWATES 007 002 252 TOLIK ASMAWATI P 52 CANDIWATES 007 002 253 TONY WUKIR YUDHAYANA L 42 CANDIWATES 008 002 254 TRI FAJAR HARYANTO L 36 CANDIWATES 007 002 255 TRIANI P 51 CANDIWATES 007 002 256 TUMI P 62 CANDIWATES 007 002 257 TUNIATI P 35 CANDIWATES 008 002 258 TUTIK HERMINI P 64 CANDIWATES 007 002 259 ULFAH WATI P 39 CANDIWATES 008 002 260 UMAMI P 57 CANDIWATES 008 002 261 UMAR USMAN L 54 CANDIWATES 008 002 262 VINDA AYU MARITA PUTRI P 31 CANDIWATES 007 002 Halaman 10 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 263 WAHYU IZZUDIN L 35 CANDIWATES 007 002 264 WARDATUL JANNAH P 35 CANDIWATES 007 002 265 WILLY WP L 39 CANDIWATES 008 002 266 WINTORO L 57 CANDIWATES 008 002 267 YASRI MININGSIH P 43 CANDIWATES 007 002 268 YATUMI P 58 CANDIWATES 008 002 269 YAYUK QOMARIYAH P 44 CANDIWATES 008 002 270 YENI WULAN DESY P 34 CANDIWATES 008 002 271 YESI ADI PRATIWI P 32 CANDIWATES 008 002 272 ZAENAL ARIFIN L 36 CANDIWATES 007 002 ZAINUL FAIZIN DITETAPKAN DI, PASURUAN TANGGAL, 21 JUNI 2023 KPU KABUPATEN PASURUAN KETUA Halaman 11 dari 11

PROVINSI : JAWA TIMUR : PRIGEN KABUPATEN/KOTA : PASURUAN : CANDIWATES : 005 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 AAN KRISTIAN L 37 CANDIWATES 010 003 2 ABD HUDA L 50 CANDIWATES 010 003 3 ABDUL HADI L 75 CANDIWATES 010 003 4 ABDULLAH L 71 CANDIWATES 009 003 5 ACEP RIONO L 62 CANDIWATES 010 003 6 ACHM.ASROFI ABROR L 40 CANDIWATES 009 003 7 ACHMAD ANWAR L 50 CANDIWATES 010 003 8 ACHMAD JAINUL MACHFUDIN L 25 CANDIWATES 010 003 9 ACHMAD MUDHAKIR L 26 CANDIWATES 010 003 10 ACHMAD RAMLI L 39 CANDIWATES 010 003 11 ACHMAD SAHLAN L 50 CANDIWATES 010 003 12 ACHMAD YANI L 49 CANDIWATES 010 003 13 ADJIE MAS PRIYAMBODO L 21 CANDIWATES 009 003 14 AGUS SETIAWAN L 42 CANDIWATES 010 003 15 AHMAD NURKHOLIS L 33 CANDIWATES 010 003 16 AININ P 49 CANDIWATES 010 003 17 AINUN JARIYAH P 26 CANDIWATES 010 003 18 AKHMAD GOZALI L 41 CANDIWATES 010 003 TPS MODEL A-KabKo Daftar Pemilih DPT PEMILIHAN UMUM TAHUN 2024 KECAMATAN DESA/KELURAHAN Halaman 1 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 19 AKHMAD SHOLEH L 42 CANDIWATES 010 003 20 ALICIA LADY SELVI P 35 CANDIWATES 010 003 21 ALIYAH P 63 CANDIWATES 010 003 22 ALMAIDAH P 45 CANDIWATES 010 003 23 AMINATUL QIBTIYAH P 35 CANDIWATES 010 003 24 ANDRIK CAHYONO L 41 CANDIWATES 009 003 25 ANDRIK SETIAWAN L 35 CANDIWATES 010 003 26 ANIK SA'IDAH P 35 CANDIWATES 010 003 27 ANIS FADHILAH P 39 CANDIWATES 010 003 28 ANTIK DWI INDARTI P 47 CANDIWATES 009 003 29 ARDI BUTUH SUSANTO L 38 CANDIWATES 009 003 30 ARIFIN L 42 CANDIWATES 009 003 31 ARIYANTI P 40 CANDIWATES 009 003 32 ARYA PRASENA L 17 CANDIWATES 009 003 33 ASMAUL HUSNAH P 29 CANDIWATES 010 003 34 ATIM L 73 CANDIWATES 009 003 35 AULIA WIDYA KIRANA P 22 CANDIWATES 009 003 36 AYU KRISTANTI P 24 CANDIWATES 009 003 37 BAMBANG SUDIRMAN L 34 CANDIWATES 010 003 38 BAMBANG WIDARTONO L 52 CANDIWATES 009 003 39 BASIT NOVIANTO L 43 CANDIWATES 010 003 40 BAYU SUSANTO L 30 CANDIWATES 009 003 41 BENY KASIM L 56 CANDIWATES 009 003 42 BUDI SANTOSO L 43 CANDIWATES 009 003 43 CHOIRUL AMIN L 27 CANDIWATES 010 003 44 CHOIRUL ISMA P 27 CANDIWATES 010 003 Halaman 2 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 45 CHOLIFAH P 56 CANDIWATES 010 003 46 CHOLISOTIN P 52 CANDIWATES 010 003 47 CIANI P 55 CANDIWATES 010 003 48 CIPTO BAYU IRAWAN L 27 CANDIWATES 009 003 49 DAFIR MARFIYANTO L 20 CANDIWATES 010 003 50 DALI USMAN L 56 CANDIWATES 010 003 51 DARMANI P 53 CANDIWATES 010 003 52 DAVID FINO JULIANZAH L 20 CANDIWATES 009 003 53 DEASY ANGGRAENI P 30 CANDIWATES 010 003 54 DEWA ADITYA RENALDI L 27 CANDIWATES 010 003 55 DEWI MAYASARI P 29 CANDIWATES 009 003 56 DHARU SUKMONO AJI L 42 CANDIWATES 010 003 57 DHEA HARDIANA NATASA P 17 CANDIWATES 009 003 58 DIAN NENDEN P 31 CANDIWATES 010 003 59 DIAN TITI ROHMANINGTIAS P 34 CANDIWATES 010 003 60 DIDIK PRASETYO L 29 CANDIWATES 009 003 61 DINI APRILIA SARI P 27 CANDIWATES 010 003 62 DJAFAR L 44 CANDIWATES 010 003 63 DOLLAH L 85 CANDIWATES 009 003 64 DRIAN GEMA MULYA L 40 CANDIWATES 010 003 65 DWI ARINDRA WARDHANI P 38 CANDIWATES 009 003 66 DWI SEPTIANI PUTRI P 19 CANDIWATES 010 003 67 DYAWATI NINGSIH P 33 CANDIWATES 010 003 68 DZILATUL LAILIYA P 22 CANDIWATES 010 003 69 EDI SUPRIANTO L 36 CANDIWATES 010 003 70 EFENDI SETIYAWAN L 48 CANDIWATES 010 003 Halaman 3 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 71 EKA SULFIYATI P 32 CANDIWATES 010 003 72 ERIKA DEWI KUSUMAWATI P 23 CANDIWATES 010 003 73 FADIAN P 33 CANDIWATES 010 003 74 FATIMAH P 43 CANDIWATES 010 003 75 FATIMAS RUROH P 36 CANDIWATES 009 003 76 FENDI RENDI KURNIAWAN L 33 CANDIWATES 010 003 77 FERDINAN JANTE RAKASIWI L 25 CANDIWATES 009 003 78 FILIAN BAGUS PERASETIYO L 26 CANDIWATES 010 003 79 FITRI HARDIKA JAYANTI P 25 CANDIWATES 009 003 80 GAGUK SUWITO L 51 CANDIWATES 010 003 81 HADI PRAYUGO L 47 CANDIWATES 010 003 82 HARI NOERDI L 45 CANDIWATES 010 003 83 HARIANI P 45 CANDIWATES 009 003 84 HEGI FIRMANSYAH L 23 CANDIWATES 009 003 85 HENDRO DWI RACHMADHANI L 21 CANDIWATES 010 003 86 HENIK ISTIADAH P 51 CANDIWATES 009 003 87 HEPY ERMANTO L 56 CANDIWATES 009 003 88 HERNANIK P 42 CANDIWATES 010 003 89 HUDI HIDAYAT L 54 CANDIWATES 009 003 90 IKA PUSPIKA SARI P 27 CANDIWATES 010 003 91 IMAM SAFI'I L 41 CANDIWATES 010 003 92 INDAH LUDIANA P 20 CANDIWATES 009 003 93 INDRA DEWI WULANSARI P 32 CANDIWATES 010 003 94 INDRIANI P 37 CANDIWATES 010 003 95 IRFAN HANAFI L 39 CANDIWATES 010 003 96 IRVAN ARIFIANTO L 39 CANDIWATES 009 003 Halaman 4 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 97 IRWAN SETIABUDI L 39 CANDIWATES 010 003 98 ISTIANATUL WAHIBAH P 34 CANDIWATES 010 003 99 ISTIKOMAH P 50 CANDIWATES 009 003 100 JAJANG SUJARWADI L 46 CANDIWATES 010 003 101 JAKRI L 78 CANDIWATES 009 003 102 JUADI L 54 CANDIWATES 010 003 103 JUMA'IN L 44 CANDIWATES 009 003 104 JUMANI P 54 CANDIWATES 010 003 105 JUNAIDI L 65 CANDIWATES 009 003 106 JUNANIK P 62 CANDIWATES 010 003 107 KAMINAH P 52 CANDIWATES 009 003 108 KARIYONO L 55 CANDIWATES 010 003 109 KARTOLO L 43 CANDIWATES 009 003 110 KASIAMIN L 58 CANDIWATES 010 003 111 KASIMUN L 65 CANDIWATES 010 003 112 KASNO L 46 CANDIWATES 010 003 113 KATIRIN L 58 CANDIWATES 010 003 114 KHALIMATUS SA'DIYAH P 46 CANDIWATES 009 003 115 KHARISMA ECHA ALIFIYA P 20 CANDIWATES 009 003 116 KHOSIFATUL AINI P 45 CANDIWATES 010 003 117 KHUROTIN P 59 CANDIWATES 010 003 118 KHUSNUL KHOTIMAH P 44 CANDIWATES 010 003 119 KUNAMAH LISTYOWATI P 52 CANDIWATES 009 003 120 KUSAERI L 40 CANDIWATES 010 003 121 KUSTINAH P 48 CANDIWATES 010 003 122 L. SATUNAH AL SATINAH P 69 CANDIWATES 010 003 Halaman 5 dari 12