Candiwates

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 123 LAILATUL MUFIDAH P 19 CANDIWATES 010 003 124 LANGGA FEBRIANO PRATAMA L 19 CANDIWATES 010 003 125 LIFIA RAMADHANI P 26 CANDIWATES 009 003 126 LIKAH P 42 CANDIWATES 010 003 127 LUTVI INDRIA SANDI P 32 CANDIWATES 010 003 128 M. KHOIRUL ANWAR L 42 CANDIWATES 010 003 129 M. SANTOSO L 32 CANDIWATES 010 003 130 M. SUBECHAN L 51 CANDIWATES 009 003 131 M. TRISNA WAHYU MAHARDINNATA L 28 CANDIWATES 009 003 132 M.KHOLIL L 42 CANDIWATES 010 003 133 M.SAIKHONI L 39 CANDIWATES 010 003 134 MAHA RENY CHAMIDAH P 32 CANDIWATES 010 003 135 MARIANI P 50 CANDIWATES 009 003 136 MARINA HIDAYATI P 21 CANDIWATES 009 003 137 MARIYAM P 51 CANDIWATES 009 003 138 MAS IDATUZ ZAHRO P 20 CANDIWATES 010 003 139 MAYVA AZ ZAHRA BUDIANTI P 17 CANDIWATES 009 003 140 MEGA YULIANA P 33 CANDIWATES 010 003 141 MILA NURAENY P 49 CANDIWATES 009 003 142 MISKAN L 65 CANDIWATES 009 003 143 MISNAH P 81 CANDIWATES 010 003 144 MISTIYAH P 67 CANDIWATES 010 003 145 MOCHAMAD SYAIFUL HUDA AINUL YAQIN L 19 CANDIWATES 010 003 146 MOCHAMAD YUDIS KURNIAWAN L 25 CANDIWATES 009 003 147 MOCHAMMAD FAUZUL ADZIM L 31 CANDIWATES 010 003 148 MOCHAMMAD SHOHIB L 45 CANDIWATES 010 003 Halaman 6 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 149 MOH. MUSTOFA L 46 CANDIWATES 010 003 150 MOHAMMAD RIFAI L 33 CANDIWATES 010 003 151 MUCHAMAD RIDHO L 32 CANDIWATES 010 003 152 MUCHAMAD ROUFUDDIN L 24 CANDIWATES 010 003 153 MUCHAMMAD BACHRUL ULUM L 27 CANDIWATES 010 003 154 MUFIDA P 51 CANDIWATES 009 003 155 MUHAMMAD NASIR AMRULLOH L 19 CANDIWATES 010 003 156 MUHAMMAD SHOLEH L 41 CANDIWATES 010 003 157 MUJIONO L 55 CANDIWATES 009 003 158 MUKHAMMAD DEDIK TRI SETIAWAN L 17 CANDIWATES 010 003 159 MUKHID L 56 CANDIWATES 010 003 160 MUSA ADAH P 53 CANDIWATES 010 003 161 MUSYAFAK L 42 CANDIWATES 009 003 162 NANANG SUBIANTORO L 47 CANDIWATES 010 003 163 NANANG SUPRIANTO L 32 CANDIWATES 010 003 164 NANIK YANTI P 44 CANDIWATES 010 003 165 NANING MEGASARI P 38 CANDIWATES 009 003 166 NAYAH P 70 CANDIWATES 010 003 167 NGUDI WALUYO L 33 CANDIWATES 010 003 168 NIKYAH P 56 CANDIWATES 009 003 169 NINIK WIDAYATI P 58 CANDIWATES 009 003 170 NISFUR RODLIYAH P 47 CANDIWATES 010 003 171 NOVAN PRASETYO L 32 CANDIWATES 010 003 172 NUR BA`IYAH P 51 CANDIWATES 010 003 173 NUR KASAN L 65 CANDIWATES 009 003 174 NUR KASANAH P 44 CANDIWATES 010 003 Halaman 7 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 175 NURALI L 66 CANDIWATES 009 003 176 NURJANADI L 40 CANDIWATES 010 003 177 NURUL KHASANAH P 37 CANDIWATES 010 003 178 OKIK CAHYA PUTRA L 23 CANDIWATES 010 003 179 OKTAVIA ARMALADITA P 24 CANDIWATES 009 003 180 PONCO HARIYONO L 63 CANDIWATES 009 003 181 PUJIATI P 48 CANDIWATES 010 003 182 PURWANTO L 51 CANDIWATES 009 003 183 PUTRA EKA PRASETYA L 29 CANDIWATES 010 003 184 RAMA ISMANTO L 23 CANDIWATES 009 003 185 RENDY SEPTIAN BAGASKARA L 22 CANDIWATES 010 003 186 RESA ANUGRAH SYAH PUTRA L 20 CANDIWATES 009 003 187 RETNO SEKAR KEDHATON P 22 CANDIWATES 009 003 188 RIF'ATUS SOLIKHAH P 36 CANDIWATES 010 003 189 RINI ISTIANA P 42 CANDIWATES 009 003 190 RIRIN KURNIAWATI P 42 CANDIWATES 010 003 191 ROCHMAD ANDRIYANTO L 45 CANDIWATES 010 003 192 ROY RODIMIN L 52 CANDIWATES 010 003 193 RUCHANAH P 70 CANDIWATES 010 003 194 RUKINI P 54 CANDIWATES 010 003 195 RUMIAH P 60 CANDIWATES 009 003 196 RUSLIN P 54 CANDIWATES 010 003 197 RYAN ARJIANTO L 19 CANDIWATES 009 003 198 SAFAK YUSUF L 42 CANDIWATES 010 003 199 SAFITRI P 22 CANDIWATES 010 003 200 SAIFUL ANWAR L 31 CANDIWATES 010 003 Halaman 8 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 201 SAMPENI L 66 CANDIWATES 010 003 202 SAMPURNO L 47 CANDIWATES 010 003 203 SAMSUL L 60 CANDIWATES 009 003 204 SAMSUL HUDA L 59 CANDIWATES 010 003 205 SANATUN P 65 CANDIWATES 010 003 206 SANDI NURAGA L 29 CANDIWATES 010 003 207 SANDRA BUNGA ALICIA REVA P 18 CANDIWATES 010 003 208 SANTO MAHALLI ADHA L 25 CANDIWATES 009 003 209 SAPTA INDRAWATI P 51 CANDIWATES 009 003 210 SARIJAN L 73 CANDIWATES 009 003 211 SILVIA ALVIONITA P 21 CANDIWATES 010 003 212 SITI QOMARIYAH P 47 CANDIWATES 010 003 213 SITI CHOLIMAH P 34 CANDIWATES 010 003 214 SITI CHOTIJAH P 41 CANDIWATES 009 003 215 SITI JULIANI P 29 CANDIWATES 010 003 216 SITI KOTIJAH P 46 CANDIWATES 009 003 217 SITI MAISYAROH P 49 CANDIWATES 010 003 218 SITI MUJAYANTI P 40 CANDIWATES 010 003 219 SITI ROMLAH P 48 CANDIWATES 009 003 220 SLAMET L 64 CANDIWATES 010 003 221 SODIQ L 55 CANDIWATES 009 003 222 SOLIKIN L 35 CANDIWATES 010 003 223 SOVIANSYAH YUDA WIJAYANTI P 29 CANDIWATES 010 003 224 SRI ANDAYANI P 45 CANDIWATES 010 003 225 SUCI MEININGSIH P 22 CANDIWATES 010 003 226 SUGENG L 58 CANDIWATES 010 003 Halaman 9 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 227 SUGI L 57 CANDIWATES 009 003 228 SUGIANTO L 50 CANDIWATES 010 003 229 SUGIARTO L 34 CANDIWATES 009 003 230 SUGIATI NINGSIH P 55 CANDIWATES 010 003 231 SUGIYATI P 41 CANDIWATES 010 003 232 SUHARMADI L 53 CANDIWATES 009 003 233 SUHERMIN P 38 CANDIWATES 010 003 234 SUKARDI L 50 CANDIWATES 009 003 235 SUKARLI L 37 CANDIWATES 009 003 236 SUKIRNO L 59 CANDIWATES 009 003 237 SULIKA P 65 CANDIWATES 009 003 238 SULIKAH P 55 CANDIWATES 010 003 239 SULIKAN L 55 CANDIWATES 009 003 240 SULISTRI P 57 CANDIWATES 009 003 241 SULIYATI P 35 CANDIWATES 010 003 242 SUMIATI P 60 CANDIWATES 010 003 243 SUMITRO L 57 CANDIWATES 010 003 244 SUNARSIH P 66 CANDIWATES 009 003 245 SUNTAMAH P 63 CANDIWATES 009 003 246 SUPARDI L 66 CANDIWATES 010 003 247 SUPARMI P 58 CANDIWATES 009 003 248 SUPARTI P 68 CANDIWATES 009 003 249 SUPARTO L 71 CANDIWATES 010 003 250 SUPARTO L 70 CANDIWATES 009 003 251 SUPENO HADI L 63 CANDIWATES 009 003 252 SUPRIADI L 57 CANDIWATES 010 003 Halaman 10 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 253 SUSIANI P 60 CANDIWATES 009 003 254 SUTAMAN L 81 CANDIWATES 010 003 255 SUTAMAT L 68 CANDIWATES 010 003 256 SUTINAH P 32 CANDIWATES 010 003 257 SUTO L 59 CANDIWATES 010 003 258 SUTRISNO L 54 CANDIWATES 009 003 259 SUTRISNO L 53 CANDIWATES 009 003 260 SUWADJI L 61 CANDIWATES 010 003 261 SUWAMI P 59 CANDIWATES 010 003 262 SUWANDOYO L 58 CANDIWATES 009 003 263 SYAMSUL ROKHMAN L 34 CANDIWATES 010 003 264 TAMU L 74 CANDIWATES 009 003 265 TAMUJI L 37 CANDIWATES 010 003 266 TASLIKAH P 58 CANDIWATES 010 003 267 TASMI P 63 CANDIWATES 010 003 268 TAYIB L 64 CANDIWATES 010 003 269 TIO WAHYU EZSA L 23 CANDIWATES 009 003 270 TITIK SULIANI P 42 CANDIWATES 009 003 271 TOMI FIRNANDA L 19 CANDIWATES 009 003 272 TUTIK WULANSARI P 32 CANDIWATES 010 003 273 UDING MASKUR L 46 CANDIWATES 010 003 274 URIFAH P 52 CANDIWATES 010 003 275 USNAINI P 36 CANDIWATES 010 003 276 VICKY MARIO MALIK L 17 CANDIWATES 010 003 277 WARIJAH P 69 CANDIWATES 009 003 278 WINDI MAULINDA P 19 CANDIWATES 010 003 Halaman 11 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 279 YANIK P 44 CANDIWATES 010 003 280 YAYUK SRI RINAWATI P 35 CANDIWATES 010 003 281 YUDHI L 55 CANDIWATES 009 003 282 YULI MACHMUDAH P 19 CANDIWATES 010 003 283 YUNIAR WIDYASTI P 42 CANDIWATES 010 003 284 ZIADATUL ILMI P 30 CANDIWATES 010 003 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 : 006 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 A'YUNIATUZ ZAHRAH P 21 CANDIWATES 009 003 2 ABDUL CHAMID L 75 CANDIWATES 011 004 3 ABDUL GHOFUR L 51 CANDIWATES 012 004 4 ABDUL HADI L 67 CANDIWATES 012 004 5 ABDUL MANAF L 54 CANDIWATES 012 004 6 ABDUL MANAN L 46 CANDIWATES 012 004 7 ABDUL WAKHID L 41 CANDIWATES 012 004 8 ABDULLAH L 78 CANDIWATES 011 004 9 ACHMAD AINUR RIZKY L 17 CANDIWATES 012 004 10 ACHMAD FAHMI MUBAROK L 17 CANDIWATES 012 004 11 ACHMAD HARIANTO L 48 CANDIWATES 011 004 12 ACHMAD JAINURI L 50 CANDIWATES 011 004 13 ACHMAD KHUSEN L 33 CANDIWATES 009 003 14 ACHMAD MUSLIK L 35 CANDIWATES 011 004 15 ACHMAD NOVAL SAIFUDIN L 17 CANDIWATES 012 004 16 ACHMAD YOGA SAPUTRA L 18 CANDIWATES 012 004 17 ACHMAT HILDAN ARKHANI UBAIDILLAH L 18 CANDIWATES 009 003 18 ADE CITRA ANGGRAENI P 48 CANDIWATES 012 004 19 ADI SUPRAYITNO L 39 CANDIWATES 012 004 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. 20 AHMAD SUNARDI L 45 CANDIWATES 009 003 21 AIRIKA SARI P 23 CANDIWATES 012 004 22 AISAH P 63 CANDIWATES 012 004 23 AKHMAD IRFAN L 40 CANDIWATES 009 003 24 ALDI EKA PUTRA L 19 CANDIWATES 011 004 25 ALDI TAUFAN ROMANSYAH L 23 CANDIWATES 012 004 26 ALFAN JULIAN FADILAH L 25 CANDIWATES 012 004 27 ALFIANA P 51 CANDIWATES 012 004 28 AMAT L 55 CANDIWATES 009 003 29 AMBARWATI P 58 CANDIWATES 012 004 30 ANA ISWANTI P 43 CANDIWATES 012 004 31 ANDIN WAHYUNINGSIH P 19 CANDIWATES 009 003 32 ANIES SYUKRILLAH P 34 CANDIWATES 012 004 33 ANIK INDRAWATI P 39 CANDIWATES 009 003 34 ANINDA KEISHA ADELIA WIBOWO P 19 CANDIWATES 012 004 35 ANIS SHOLIKHAH P 43 CANDIWATES 012 004 36 ANZILI HERSA RAHMASARI P 18 CANDIWATES 011 004 37 AR RAFLY FIRMANSYAH L 21 CANDIWATES 012 004 38 ARI SHEVA AMIN L 18 CANDIWATES 009 003 39 ARIANI P 63 CANDIWATES 011 004 40 ARINI NOURA TSABITA P 22 CANDIWATES 011 004 41 ARIYANTO L 34 CANDIWATES 012 004 42 ASMAUL KHUSNAH P 23 CANDIWATES 012 004 43 ASROTUL ULAH P 33 CANDIWATES 011 004 44 AYU ANDIKA P 24 CANDIWATES 011 004 45 AZHIMATUL BARIRHA P 21 CANDIWATES 009 003 46 BUDI KARTIKAWATI P 53 CANDIWATES 012 004 Halaman 2 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 47 CHOIROTUS SA'ADAH P 26 CANDIWATES 009 003 48 CHOIRUM M. MUZAIDIN L 36 CANDIWATES 012 004 49 DA'IPAH P 59 CANDIWATES 012 004 50 DAMUN L 73 CANDIWATES 011 004 51 DANIKYA P 60 CANDIWATES 012 004 52 DENA ARFIAN L 34 CANDIWATES 011 004 53 DEVANI ARMANDA PUTRA L 22 CANDIWATES 011 004 54 DEVI SUSANTI P 24 CANDIWATES 011 004 55 DEVI WULANSARI P 31 CANDIWATES 009 003 56 DHEA PUTRI KURNIYAWATI P 22 CANDIWATES 011 004 57 DHIEMAS YAHYA MASHUDI L 36 CANDIWATES 012 004 58 DICKY ALVIAN WIDYANTO L 27 CANDIWATES 012 004 59 DUCHAYATIN P 52 CANDIWATES 011 004 60 DUWIYANTO SUSILO L 25 CANDIWATES 012 004 61 DWI KURNIAWATI P 26 CANDIWATES 012 004 62 DWI SUWIGNYO HADI L 45 CANDIWATES 012 004 63 EDY WIBOWO L 53 CANDIWATES 012 004 64 EFFENDY KURNIAWAN L 46 CANDIWATES 009 003 65 EKA YULIASTUTI P 38 CANDIWATES 012 004 66 EKO SUWANDI L 42 CANDIWATES 009 003 67 ERNI SETIYAWATI P 41 CANDIWATES 009 003 68 EVIE YULIANA RESTU. N P 19 CANDIWATES 012 004 69 FADHILAHIS SHOLIHIN L 40 CANDIWATES 009 003 70 FADLY ERWIN ADITIYA L 18 CANDIWATES 009 003 71 FARIANI P 75 CANDIWATES 011 004 72 FARIDA PANCASARI P 47 CANDIWATES 009 003 73 FARYANDY JAYA PRATAMA L 25 CANDIWATES 011 004 Halaman 3 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 74 FATAH BUARI L 52 CANDIWATES 009 003 75 FATHUR ROJI L 41 CANDIWATES 011 004 76 FIDIA TRI FIANTI P 42 CANDIWATES 009 003 77 GATOT SUWANTONO L 49 CANDIWATES 009 003 78 HAMIM SUHARIYANTO SAHARA L 44 CANDIWATES 011 004 79 HARI BUDIONO L 47 CANDIWATES 012 004 80 HARIANA P 36 CANDIWATES 011 004 81 HERI CAHYONO L 38 CANDIWATES 009 003 82 HERMAWAN L 42 CANDIWATES 011 004 83 HERU SISWANTO L 40 CANDIWATES 012 004 84 HJ.MINAWATI FATHONAH P 70 CANDIWATES 009 003 85 IKO MARIS DIAN L 39 CANDIWATES 009 003 86 IMAM FAUZI L 37 CANDIWATES 009 003 87 IMAM SHODIQ L 66 CANDIWATES 012 004 88 INAYAH DIAN PALUPI P 25 CANDIWATES 009 003 89 INDAH KUSMAYANTI P 49 CANDIWATES 012 004 90 INDAH SUSILOWATI P 38 CANDIWATES 009 003 91 ISMAIL L 55 CANDIWATES 012 004 92 ISMIATI P 43 CANDIWATES 011 004 93 ISMIATUS SHARDIYAH P 41 CANDIWATES 009 003 94 ISNAINI P 38 CANDIWATES 012 004 95 ISTIBSYAROTUL INSIYAH P 32 CANDIWATES 011 004 96 ISYA' ANSORI L 35 CANDIWATES 012 004 97 ITA NOVIA RISMAWATI P 42 CANDIWATES 009 003 98 ITA TRISNAWATI P 41 CANDIWATES 012 004 99 IZDIHAR ATSIROH FAHLAMBAG P 21 CANDIWATES 012 004 100 JAMALLUDIN L 61 CANDIWATES 011 004 Halaman 4 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 101 JOERDA DHANAR JATI L 18 CANDIWATES 009 003 102 JOERDA FOULHUDAN L 25 CANDIWATES 009 003 103 JUWARIYAH P 68 CANDIWATES 009 003 104 JUWITA P 46 CANDIWATES 009 003 105 KAMALI L 50 CANDIWATES 012 004 106 KASIANAH P 70 CANDIWATES 011 004 107 KAYA P 85 CANDIWATES 012 004 108 KEVIN ALFATHAN BUDIONO L 24 CANDIWATES 012 004 109 KHALIMAH P 55 CANDIWATES 012 004 110 KHUSEN L 52 CANDIWATES 012 004 111 KHUSNUL KHOTIMAH P 44 CANDIWATES 012 004 112 KUSRENI HIDAYAH P 38 CANDIWATES 012 004 113 LAILATUL MAGHFIROH P 41 CANDIWATES 012 004 114 LASIM L 42 CANDIWATES 012 004 115 LATIFAH P 58 CANDIWATES 012 004 116 LENI MEGAWATI P 35 CANDIWATES 012 004 117 LI'ANAH P 63 CANDIWATES 012 004 118 LILIK WINARSIH P 43 CANDIWATES 011 004 119 LINDA WULANSARI P 37 CANDIWATES 009 003 120 LISA KHUSNIA P 21 CANDIWATES 011 004 121 LUCKY INDAH NINGRUM P 22 CANDIWATES 009 003 122 LUKIYATI P 62 CANDIWATES 011 004 123 LULUK MAMUNAH P 47 CANDIWATES 012 004 124 LULUK WAHYU NINGSIH P 42 CANDIWATES 009 003 125 LUQMANUL HAKIM L 19 CANDIWATES 012 004 126 M. AFIEF YOGA FIRDAUS L 17 CANDIWATES 009 003 127 M. FARKHAN L 40 CANDIWATES 011 004 Halaman 5 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 128 M. RONI L 38 CANDIWATES 012 004 129 M.NANANG ARDIANSYAH L 23 CANDIWATES 012 004 130 MA'IN L 63 CANDIWATES 012 004 131 MACHFUD L 70 CANDIWATES 012 004 132 MARIYATI P 45 CANDIWATES 009 003 133 MASITA P 48 CANDIWATES 012 004 134 MASLIKHATUL JANNAH P 21 CANDIWATES 012 004 135 MASRIYAH P 43 CANDIWATES 009 003 136 MASYKUR NUR ROHMAN L 26 CANDIWATES 009 003 137 MINARNI P 52 CANDIWATES 011 004 138 MISERAN L 91 CANDIWATES 011 004 139 MISI'AH P 43 CANDIWATES 009 003 140 MISKAT L 82 CANDIWATES 012 004 141 MISLIKAH P 69 CANDIWATES 011 004 142 MITA WAHYUNIARTI P 17 CANDIWATES 009 003 143 MOCH.MUNIR L 46 CANDIWATES 011 004 144 MOCHAMAD ARIFIN L 32 CANDIWATES 009 003 145 MOCHAMMAD DIMAS ARIFIANSYAH L 32 CANDIWATES 009 003 146 MOH. CHOIRUM MUHAJIRIN L 42 CANDIWATES 012 004 147 MOH. SOFYAN RAMADHAN L 29 CANDIWATES 009 003 148 MOH. SOLIKIN L 45 CANDIWATES 011 004 149 MOH.ARIEF L 37 CANDIWATES 012 004 150 MOHAMMAD DENDRA RAKA SIWI L 17 CANDIWATES 009 003 151 MOHAMMAD ELYAS L 43 CANDIWATES 011 004 152 MOKHAMMAD YUNUS L 43 CANDIWATES 012 004 153 MUCHAMMAD YONO L 37 CANDIWATES 012 004 154 MUHAMMAD MUNIF L 48 CANDIWATES 012 004 Halaman 6 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 155 MUHAMMAD NABILLAH HARDIANSYAH L 21 CANDIWATES 012 004 156 MUHAMMAD SHOLEH L 42 CANDIWATES 011 004 157 MUHAMMAD SULTONI L 55 CANDIWATES 012 004 158 MUHAMMAD SYAHRIR ARDIANSYAH L 32 CANDIWATES 009 003 159 MUHAMMAD THOIB L 78 CANDIWATES 011 004 160 MUHAMMAD UWAYS HAIDAR MUSLIM L 26 CANDIWATES 011 004 161 MUHAMMAD YUSRIL AFFANDI L 18 CANDIWATES 012 004 162 MUHAMMAD ZAINURI L 21 CANDIWATES 012 004 163 MUKHAMMAD MULYATIM SYADDAN KHUSAIN L 22 CANDIWATES 012 004 164 MUNIF L 67 CANDIWATES 012 004 165 MUSHOLIN L 53 CANDIWATES 012 004 166 MUSLIKHAH P 38 CANDIWATES 009 003 167 MUSLIMAH P 46 CANDIWATES 011 004 168 MUTHOMIMAH P 31 CANDIWATES 011 004 169 NABILA ANISATUL WAFA P 30 CANDIWATES 009 003 170 NADI L 63 CANDIWATES 012 004 171 NADLIRIN L 43 CANDIWATES 009 003 172 NAKHWAN L 55 CANDIWATES 012 004 173 NANANG QOSIM L 57 CANDIWATES 012 004 174 NANDA CHUMAIRA CHURUL MA'WA P 20 CANDIWATES 012 004 175 NANDAR SUPRAYITNO L 44 CANDIWATES 009 003 176 NANIK SRI ASTUTIK P 51 CANDIWATES 012 004 177 NASAN L 61 CANDIWATES 009 003 178 NIKMATUL LAILIYAH P 21 CANDIWATES 012 004 179 NIKMATUL UMMAH P 44 CANDIWATES 012 004 180 NISWATIN P 48 CANDIWATES 012 004 181 NOMITA ARISKA FIRDAUS P 19 CANDIWATES 012 004 Halaman 7 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 182 NOVIANA PRATIWI P 26 CANDIWATES 012 004 183 NOVITA ROUDLOTUL JANNAH P 26 CANDIWATES 012 004 184 NUR AFIFAH FAUZIAH P 18 CANDIWATES 009 003 185 NUR KHOLIFAH P 34 CANDIWATES 011 004 186 NUR KOMARIYAH P 40 CANDIWATES 012 004 187 NUR MUHAMMAD ALFAN L 23 CANDIWATES 012 004 188 NURI ISMAIL L 33 CANDIWATES 009 003 189 NURUL MAISYAROH P 46 CANDIWATES 011 004 190 NURUL SOFIYAH P 39 CANDIWATES 011 004 191 NURWATI P 70 CANDIWATES 012 004 192 NYUNYUK SETIAWAN L 47 CANDIWATES 009 003 193 ONKY FERDIAN TRISFIDYANTONO L 29 CANDIWATES 009 003 194 PARIATI P 47 CANDIWATES 012 004 195 PONIAH P 68 CANDIWATES 012 004 196 PUJIANTO L 59 CANDIWATES 012 004 197 PUJIYONO L 60 CANDIWATES 011 004 198 RAKHMAWATI P 48 CANDIWATES 012 004 199 REZALDI AKBAR NANDASYAH L 19 CANDIWATES 009 003 200 RIFKY SYAFRIAN WIDYANTO L 24 CANDIWATES 012 004 201 RIYANTO L 37 CANDIWATES 009 003 202 RUFI'ATUL ERNI P 36 CANDIWATES 012 004 203 RUKMINI P 80 CANDIWATES 012 004 204 RUKUL AMIN L 42 CANDIWATES 009 003 205 RUPI'ATI P 58 CANDIWATES 012 004 206 RUPIATI ARIE WAHYUNI P 46 CANDIWATES 009 003 207 RUSMININGSIH P 64 CANDIWATES 011 004 208 RUSTIKA P 57 CANDIWATES 009 003 Halaman 8 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 209 SAIFUL ANAM L 50 CANDIWATES 012 004 210 SALSA UMU IMAROH P 18 CANDIWATES 012 004 211 SAMAI L 63 CANDIWATES 012 004 212 SAMSUL L 47 CANDIWATES 012 004 213 SAMSUL WAHYUDI L 43 CANDIWATES 009 003 214 SANUSI L 73 CANDIWATES 011 004 215 SARINAH P 73 CANDIWATES 009 003 216 SARMANI SUSILAWATI P 52 CANDIWATES 009 003 217 SETIAWAN L 19 CANDIWATES 012 004 218 SETIAWAN NURUDDIN FAHLAMBAG L 23 CANDIWATES 012 004 219 SHANDY FILLAH NANDASYAH L 22 CANDIWATES 009 003 220 SHEILA ANGELINA NUR LAILI P 23 CANDIWATES 012 004 221 SHOLIHAH P 38 CANDIWATES 011 004 222 SHOVY AFKARINA ADENIA P 25 CANDIWATES 012 004 223 SINDI NATASYA WIDIYANTI P 18 CANDIWATES 012 004 224 SISWANDI L 57 CANDIWATES 011 004 225 SITI AISAH P 41 CANDIWATES 009 003 226 SITI AISAH P 39 CANDIWATES 009 003 227 SITI ALIMAH P 24 CANDIWATES 012 004 228 SITI AMINAH P 49 CANDIWATES 012 004 229 SITI CHOLIFAH P 53 CANDIWATES 012 004 230 SITI KHOTIJAH P 46 CANDIWATES 012 004 231 SITI MAESAROH P 39 CANDIWATES 011 004 232 SITI NAMIATI P 68 CANDIWATES 009 003 233 SITI ROKHMATUL MAGHFIROH P 21 CANDIWATES 011 004 234 SRI ANITA SARI P 31 CANDIWATES 012 004 235 SRI ASTUTIK P 42 CANDIWATES 009 003 Halaman 9 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 236 SRIANI P 61 CANDIWATES 012 004 237 SUCIK EKA DWI NINGSIH P 43 CANDIWATES 012 004 238 SUDIBYO L 49 CANDIWATES 012 004 239 SUEB L 65 CANDIWATES 012 004 240 SUGIONO L 49 CANDIWATES 009 003 241 SUHERI SUDARTANTO L 49 CANDIWATES 011 004 242 SULIYAH P 59 CANDIWATES 012 004 243 SULIYATI P 47 CANDIWATES 012 004 244 SUMARTONO L 43 CANDIWATES 011 004 245 SUMILAH P 50 CANDIWATES 009 003 246 SUMTI P 63 CANDIWATES 009 003 247 SUNARTO L 41 CANDIWATES 012 004 248 SUPARNO L 45 CANDIWATES 009 003 249 SUPARTO L 44 CANDIWATES 011 004 250 SUPII L 73 CANDIWATES 012 004 251 SURAT L 63 CANDIWATES 011 004 252 SUTEJO L 53 CANDIWATES 009 003 253 SUTIPA P 73 CANDIWATES 011 004 254 SUTRISNO L 52 CANDIWATES 012 004 255 SUYANTO L 41 CANDIWATES 009 003 256 SYAIKHONI LUTHFI, S.PDI L 54 CANDIWATES 011 004 257 SYAMSUL HADI L 48 CANDIWATES 009 003 258 SYLVIANA REGINA K P 49 CANDIWATES 009 003 259 THOHIR L 50 CANDIWATES 012 004 260 TIAMI P 45 CANDIWATES 012 004 261 TIS'ATU ALFA ANI P 49 CANDIWATES 012 004 262 TITIK HERAWATI P 33 CANDIWATES 012 004 Halaman 10 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 263 TITIK PUSPITASARI P 38 CANDIWATES 009 003 264 TOHIR L 53 CANDIWATES 009 003 265 TUMI ARI P 51 CANDIWATES 011 004 266 TUMIAH P 57 CANDIWATES 012 004 267 TUTIK SRI WAHYUNI P 25 CANDIWATES 012 004 268 TYA MESTY LINDAR DIKA P 22 CANDIWATES 011 004 269 ULFA P 64 CANDIWATES 012 004 270 ULFI NUR AIDA P 26 CANDIWATES 012 004 271 UMI HANIK P 49 CANDIWATES 009 003 272 UMI KHABIBAH P 45 CANDIWATES 009 003 273 UMI MU'AMALAH P 35 CANDIWATES 009 003 274 WAHAB WIBISONO L 56 CANDIWATES 012 004 275 WAHYU ANGGORO L 23 CANDIWATES 011 004 276 WARIPAH P 49 CANDIWATES 012 004 277 WIDI SUKAMTONO L 48 CANDIWATES 011 004 278 WIJI NURASIH P 26 CANDIWATES 009 003 279 WILUJENG SARI NINGSIH P 42 CANDIWATES 009 003 280 WINARIYANTO L 41 CANDIWATES 009 003 281 WINARYATI P 58 CANDIWATES 009 003 282 WIWIK ANGGRAINI P 39 CANDIWATES 012 004 283 YASROTUL KASANAH P 32 CANDIWATES 009 003 284 YOHAN WAHYUDI L 45 CANDIWATES 012 004 285 YULI HARIYANTO L 34 CANDIWATES 012 004 286 YULI NURDIANA P 23 CANDIWATES 009 003 287 YULI RETNOWATI P 37 CANDIWATES 011 004 288 YULIANI RUKMANA P 27 CANDIWATES 009 003 289 ZAKKIYA DAMAYANTI, S.PDI P 48 CANDIWATES 011 004 Halaman 11 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 290 ZAYADI M.ARIF L 75 CANDIWATES 011 004 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 : 007 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 AAM HERLAMBANG L 40 CANDIWATES 013 005 2 ABD. ROCHIM L 48 CANDIWATES 014 005 3 ABD. ROSYID L 32 CANDIWATES 013 005 4 ABDUL HAMID L 41 CANDIWATES 013 005 5 ABDUL ROHMAN ILHAM FIRMANSYAH L 18 CANDIWATES 014 005 6 ACHMAD ABROR HILMANSYAH L 17 CANDIWATES 013 005 7 ACHMAD NASRI ROSYADI L 35 CANDIWATES 014 005 8 ACHMAD RIDHOI L 57 CANDIWATES 014 005 9 ACHMAD TOSIN L 49 CANDIWATES 014 005 10 AFITASARI P 24 CANDIWATES 014 005 11 AGUS RIZKY SETYO BUDI L 20 CANDIWATES 014 005 12 AGUS WIRDIANTO L 41 CANDIWATES 014 005 13 AHMAD HASYIM ASY'ARI L 19 CANDIWATES 014 005 14 AHMAD NUR BADAWI L 21 CANDIWATES 013 005 15 AKHMAD YANI L 28 CANDIWATES 014 005 16 ALFA CHOIRUN NISA' P 41 CANDIWATES 014 005 17 ALFIAN YUDHA PRASSETYO L 27 CANDIWATES 013 005 18 AMALIA YENNI PURWANTI P 35 CANDIWATES 013 005 19 AMELIA KHAMIDAH P 22 CANDIWATES 014 005 TPS MODEL A-KabKo Daftar Pemilih DPT PEMILIHAN UMUM TAHUN 2024 KECAMATAN DESA/KELURAHAN Halaman 1 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 20 AMELIA NOVITASARI P 33 CANDIWATES 014 005 21 AMIATI P 43 CANDIWATES 013 005 22 AMILIA MUSYAROFAH P 32 CANDIWATES 014 005 23 AMINTO L 65 CANDIWATES 013 005 24 ANANG RUKMINTO L 51 CANDIWATES 013 005 25 ANI WAHYUNINGSIH P 49 CANDIWATES 014 005 26 ANIK P 69 CANDIWATES 014 005 27 ANIK RAHMAWATI P 46 CANDIWATES 013 005 28 ARIEF SUBCHAN L 52 CANDIWATES 013 005 29 ARIES ARDIANTO L 25 CANDIWATES 014 005 30 ARIF SUPRIADI L 31 CANDIWATES 014 005 31 ATIM L 68 CANDIWATES 014 005 32 ATIM MAKSUM L 44 CANDIWATES 014 005 33 BAYU SULAIMAN L 28 CANDIWATES 014 005 34 BUSTOMY ANWAR HADI L 17 CANDIWATES 013 005 35 CHOLIFATUL AGUSTIN ANZANI P 18 CANDIWATES 014 005 36 CHUJAIMAH P 63 CANDIWATES 014 005 37 CITRA KAFITA SANTI P 23 CANDIWATES 013 005 38 DA'LIK MUNIFAH P 46 CANDIWATES 014 005 39 DAIYA P 54 CANDIWATES 014 005 40 DAKLAN MA'RUF L 29 CANDIWATES 014 005 41 DANI ANDRIAN LASMANA L 17 CANDIWATES 014 005 42 DASUM L 83 CANDIWATES 013 005 43 DEDE AGUS UMBORO L 37 CANDIWATES 014 005 44 DELLA RIZQY FAUZIAH P 19 CANDIWATES 013 005 45 DELLY ARIANDINI ZAR KASIH P 32 CANDIWATES 014 005 46 DENY RIZAL SUGIARTO L 29 CANDIWATES 013 005 Halaman 2 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 47 DEWI RAHAYU P 26 CANDIWATES 014 005 48 DEWI YULIATI P 38 CANDIWATES 014 005 49 DHARMA PUTRA L 23 CANDIWATES 014 005 50 DIKRON L 57 CANDIWATES 013 005 51 DIMYATI FAUZI L 32 CANDIWATES 014 005 52 DURROTUN NASIKHIN L 38 CANDIWATES 013 005 53 EFRIL MAULIDY P S P 18 CANDIWATES 014 005 54 EKO BUDI SETYOWATI P 59 CANDIWATES 013 005 55 EKO HADI SISWANTO L 38 CANDIWATES 014 005 56 ELANG HERMANTO L 66 CANDIWATES 013 005 57 ERLI OKTAVIANI PUTRI P 21 CANDIWATES 014 005 58 ERWIN SETIAWAN L 49 CANDIWATES 014 005 59 FAISAL RAMADHAN L 25 CANDIWATES 014 005 60 FANITIANI P 49 CANDIWATES 013 005 61 FATIMAH P 50 CANDIWATES 014 005 62 FEBRINA EKA KRISTINA P 36 CANDIWATES 013 005 63 FEBRIYANTI KUSUMA DEWI P 24 CANDIWATES 014 005 64 FENDRA ADI PRANATA L 31 CANDIWATES 013 005 65 FIKA AYU RAHMAWATI P 31 CANDIWATES 013 005 66 FITRIA P 32 CANDIWATES 014 005 67 FRIDA KUSUMA DEWI VINDI A P 40 CANDIWATES 014 005 68 FRISKA MERLYTA WARDANY P 19 CANDIWATES 013 005 69 GITA SOFIA P 21 CANDIWATES 014 005 70 HAMZAH L 30 CANDIWATES 013 005 71 HANY NURHANDAJANI P 50 CANDIWATES 014 005 72 HARIANA P 46 CANDIWATES 013 005 73 HARIANTO L 49 CANDIWATES 014 005 Halaman 3 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 74 HENDRA SUHARTANTO L 39 CANDIWATES 013 005 75 HERLAMBANG ARYA PRADANA L 24 CANDIWATES 014 005 76 HOLIDAH P 33 CANDIWATES 014 005 77 ILHAM RAHMANA FIRDAUSY L 33 CANDIWATES 013 005 78 JAURI L 45 CANDIWATES 013 005 79 JAYANTI TRI ASTUTIK P 27 CANDIWATES 013 005 80 JULITA ADE AVIANI P 24 CANDIWATES 014 005 81 JUWITA PUSPITASARI P 28 CANDIWATES 014 005 82 KANDA SANDI WAHYU PRADANA L 26 CANDIWATES 013 005 83 KARINA BUDIHARTI P 53 CANDIWATES 014 005 84 KASENI P 62 CANDIWATES 013 005 85 KASIAN L 54 CANDIWATES 014 005 86 KASIDIN SISWANTO L 63 CANDIWATES 014 005 87 KASUWAN L 45 CANDIWATES 014 005 88 KELANA ZIDANE PAHLAWAN L 23 CANDIWATES 014 005 89 KHOYUM P 58 CANDIWATES 014 005 90 KIKI KURNIAWAN L 35 CANDIWATES 013 005 91 KOMARIYAH P 55 CANDIWATES 013 005 92 KOMARIYAH P 49 CANDIWATES 013 005 93 KOMARIYAH P 54 CANDIWATES 014 005 94 KUSMAN HADI L 61 CANDIWATES 014 005 95 LAILATUL BADRIYAH P 23 CANDIWATES 013 005 96 LAILATUL RIF'AH P 36 CANDIWATES 014 005 97 LAILIA SEPTIANI P 29 CANDIWATES 013 005 98 LASNI P 82 CANDIWATES 013 005 99 LEVI KRISDAYANTI P 25 CANDIWATES 013 005 100 LILIK FAIKOTUL HIMMAH P 55 CANDIWATES 013 005 Halaman 4 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 101 LILIK KHOFIFAH P 39 CANDIWATES 013 005 102 MACHFUD L 54 CANDIWATES 013 005 103 MARIANA P 34 CANDIWATES 013 005 104 MARIANA AUDY RUKMINTO P 17 CANDIWATES 013 005 105 MARYONO L 42 CANDIWATES 014 005 106 MASTI SUMIATI P 52 CANDIWATES 014 005 107 MAULANA BAGUS SOLAKHUDIN L 18 CANDIWATES 013 005 108 MAULIDA RAHMAWATI P 24 CANDIWATES 013 005 109 MISDI L 54 CANDIWATES 014 005 110 MISKAN L 65 CANDIWATES 013 005 111 MISWATIK P 46 CANDIWATES 014 005 112 MOCH.AMIN L 57 CANDIWATES 013 005 113 MOCHAMMAD CHOIRUL ANAM L 29 CANDIWATES 014 005 114 MOH. ISHAQ L 59 CANDIWATES 013 005 115 MOHAMMAD EVAN ADHIMAS SATRIA L 17 CANDIWATES 013 005 116 MOHAMMAD WACHID L 35 CANDIWATES 014 005 117 MUCHAMMAD FERRY FAUZI L 35 CANDIWATES 013 005 118 MUCHAMMAD RIFALDI L 19 CANDIWATES 013 005 119 MUH. FAISOL L 57 CANDIWATES 014 005 120 MUH. QOSIM L 66 CANDIWATES 014 005 121 MUHAMMAD ARIF NUR WACHID L 20 CANDIWATES 013 005 122 MUHAMMAD IFAN SETIAWAN L 18 CANDIWATES 013 005 123 MUHAMMAD KONI L 37 CANDIWATES 014 005 124 MUHAMMAD SIROJUDDIN L 29 CANDIWATES 013 005 125 MUJIONO L 75 CANDIWATES 014 005 126 MUKHAMAD GHOFAR L 31 CANDIWATES 014 005 127 MUKHAMAD ROMADHON L 48 CANDIWATES 013 005 Halaman 5 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 128 MUSLIMAH P 42 CANDIWATES 013 005 129 MUSLIMIN L 37 CANDIWATES 014 005 130 NAFISAH SUHARTINI P 55 CANDIWATES 014 005 131 NARIPAH P 64 CANDIWATES 014 005 132 NARNI P 63 CANDIWATES 013 005 133 NGALIM L 46 CANDIWATES 013 005 134 NING MINUR HIDAYAH P 41 CANDIWATES 014 005 135 NOVITA RANI P 30 CANDIWATES 013 005 136 NUNING CAHYANTI P 36 CANDIWATES 013 005 137 NUR LAILA AGUSTINA P 29 CANDIWATES 014 005 138 NUR SASI AYU P 19 CANDIWATES 013 005 139 NUR SITI KHOLIFA P 28 CANDIWATES 013 005 140 NURUL AININ P 48 CANDIWATES 014 005 141 NURWIJI L 64 CANDIWATES 014 005 142 PARMI P 57 CANDIWATES 014 005 143 PITOYO L 58 CANDIWATES 013 005 144 PUJIARI L 58 CANDIWATES 013 005 145 PURWATI P 54 CANDIWATES 013 005 146 QOMARUDDIN L 30 CANDIWATES 014 005 147 R.BAGUS SUCAHYO L 44 CANDIWATES 014 005 148 RAHAYU NOVIRIKO P 28 CANDIWATES 014 005 149 RASID L 60 CANDIWATES 013 005 150 REDI PRASETYO L 21 CANDIWATES 014 005 151 RIDHO INDRA L 41 CANDIWATES 013 005 152 RIONO L 39 CANDIWATES 013 005 153 RIRIN NINING SETYOWATI P 31 CANDIWATES 013 005 154 RIYAMAH P 65 CANDIWATES 014 005 Halaman 6 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 155 ROKAYAH P 61 CANDIWATES 013 005 156 ROMELAN L 49 CANDIWATES 013 005 157 ROSIATI P 29 CANDIWATES 013 005 158 RULY DWI SUSILOWATI P 50 CANDIWATES 014 005 159 RUMIATI P 35 CANDIWATES 013 005 160 RUSIONO L 58 CANDIWATES 013 005 161 RUSTINIK P 42 CANDIWATES 014 005 162 RUSWANDI L 47 CANDIWATES 014 005 163 SAFI'ATIN P 54 CANDIWATES 013 005 164 SAISKA ININDYAH P 25 CANDIWATES 013 005 165 SALMA P 46 CANDIWATES 014 005 166 SALWA RAHMANIA P 18 CANDIWATES 014 005 167 SANAH P 60 CANDIWATES 013 005 168 SELLA AYU LESTARI P 26 CANDIWATES 013 005 169 SEPTYAN NOVIARDI L 22 CANDIWATES 013 005 170 SHEFIRA TRI ROSANDA P 21 CANDIWATES 013 005 171 SHODIQ L 57 CANDIWATES 014 005 172 SISWANTO L 44 CANDIWATES 014 005 173 SITI A'ISYAH P 44 CANDIWATES 014 005 174 SITI AISYAH P 39 CANDIWATES 013 005 175 SITI FATIMAH P 54 CANDIWATES 013 005 176 SITI FATIMATUL ZAROH P 32 CANDIWATES 014 005 177 SITI MUTOMIMA P 42 CANDIWATES 014 005 178 SITI WAHYUNI P 47 CANDIWATES 014 005 179 SIYAMI P 41 CANDIWATES 014 005 180 SLAMET HIDAYAT L 19 CANDIWATES 013 005 181 SRI EKOWATI P 56 CANDIWATES 014 005 Halaman 7 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 182 SRI HANDAYATI P 58 CANDIWATES 013 005 183 SRI WAHYUNI P 45 CANDIWATES 013 005 184 SRI WAHYUNI P 34 CANDIWATES 014 005 185 SUBEKHAN L 45 CANDIWATES 014 005 186 SUCIPTO L 53 CANDIWATES 014 005 187 SUDARMAJI L 41 CANDIWATES 014 005 188 SUGENG PRASETYO L 31 CANDIWATES 014 005 189 SUGIANTO L 44 CANDIWATES 014 005 190 SUGIYANTO L 33 CANDIWATES 014 005 191 SUHARMINI P 54 CANDIWATES 013 005 192 SUKARDIONO L 53 CANDIWATES 014 005 193 SUKARSIH P 40 CANDIWATES 014 005 194 SUMARNI P 53 CANDIWATES 013 005 195 SUMARTO L 58 CANDIWATES 013 005 196 SUMIYATI P 58 CANDIWATES 014 005 197 SUPAAT L 60 CANDIWATES 013 005 198 SUPIATI P 50 CANDIWATES 013 005 199 SUSIATI P 35 CANDIWATES 013 005 200 SUSIATI P 57 CANDIWATES 014 005 201 SUSILOWATI MAHARANI P 37 CANDIWATES 013 005 202 SUTIYAM P 43 CANDIWATES 014 005 203 SUTRISNO L 51 CANDIWATES 014 005 204 SUWANDI L 47 CANDIWATES 013 005 205 SUWANDI L 56 CANDIWATES 014 005 206 SUWARTO L 52 CANDIWATES 014 005 207 SUWITO L 54 CANDIWATES 014 005 208 SYAFIRATUL MASRUROH P 23 CANDIWATES 014 005 Halaman 8 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 209 TA'IN L 54 CANDIWATES 014 005 210 TARIYEM P 55 CANDIWATES 013 005 211 TARMUJI L 38 CANDIWATES 013 005 212 TASLICHAH P 55 CANDIWATES 014 005 213 TASLIKAH P 52 CANDIWATES 013 005 214 TASMI P 72 CANDIWATES 014 005 215 TEGUH SETIYO BUDI L 27 CANDIWATES 013 005 216 TINTA AGUS SUSANTI P 39 CANDIWATES 013 005 217 TIRTO L 63 CANDIWATES 013 005 218 TISNO L 65 CANDIWATES 014 005 219 TITIK MUKAWANAH P 55 CANDIWATES 013 005 220 TITIN ASTINI P 35 CANDIWATES 014 005 221 TITIN HARYANI P 31 CANDIWATES 013 005 222 TOKO L 74 CANDIWATES 013 005 223 TRAMIAJI L 33 CANDIWATES 013 005 224 TRI WAHYUDI SUSANTO L 55 CANDIWATES 014 005 225 TRI KUSMARIANTO L 58 CANDIWATES 014 005 226 UMAR FAUJI L 42 CANDIWATES 014 005 227 UMAR HAFANA L 53 CANDIWATES 013 005 228 VAZHILISA AUDY RUKMINTO P 24 CANDIWATES 013 005 229 VIRYO FEBRIAN TRI KUSUMA WARDHANA L 30 CANDIWATES 013 005 230 WAHYU DIARINA P 35 CANDIWATES 013 005 231 WAHYU KUSNANTI P 63 CANDIWATES 013 005 232 WAHYU NUGROHO L 33 CANDIWATES 013 005 233 WAHYU UTAMI P 40 CANDIWATES 014 005 234 WAHYUDIYANTO L 38 CANDIWATES 013 005 235 WAHYUNING AJENG SHOUMIA P 17 CANDIWATES 014 005 Halaman 9 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 236 WARDANI BUDI MULYO L 36 CANDIWATES 013 005 237 WIDOYO L 42 CANDIWATES 013 005 238 WIRYO UTOMO L 70 CANDIWATES 013 005 239 WIWIK MARTINA P 46 CANDIWATES 014 005 240 YANITA FITRI ALIFIANI P 24 CANDIWATES 014 005 241 YANTO L 35 CANDIWATES 014 005 242 YANZA BILLA FAHRIKAFARA P 20 CANDIWATES 014 005 243 YOGA MAYTHENRI MAHATVA PUTRI P 31 CANDIWATES 013 005 244 YULIANA P 45 CANDIWATES 014 005 245 YULIATI P 43 CANDIWATES 014 005 246 ZAINAL ARIFIN L 47 CANDIWATES 013 005 247 ZAINAL ILMI L 18 CANDIWATES 013 005 248 ZULLYANA LUTFIANINGSIH P 32 CANDIWATES 013 005 ZAINUL FAIZIN DITETAPKAN DI, PASURUAN TANGGAL, 21 JUNI 2023 KPU KABUPATEN PASURUAN KETUA Halaman 10 dari 10

PROVINSI : JAWA TIMUR : PRIGEN KABUPATEN/KOTA : PASURUAN : CANDIWATES : 008 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 AAN MUJIASTATIK P 34 CANDIWATES 015 005 2 AAS ASMAN ASWARI L 40 CANDIWATES 016 005 3 ABDUL GHOFUR L 44 CANDIWATES 015 005 4 ABDUL HADI L 40 CANDIWATES 015 005 5 ABDUL KHAMID L 69 CANDIWATES 015 005 6 ACH. SOLEH L 48 CANDIWATES 016 005 7 ACHMAD FAUZI L 30 CANDIWATES 015 005 8 ACHMAD JAHIDIN L 24 CANDIWATES 015 005 9 ACHMAD YUSAK L 46 CANDIWATES 015 005 10 ACHMAD ZAINURI L 31 CANDIWATES 015 005 11 ADE KRISNA SUSANTO L 22 CANDIWATES 016 005 12 ADI KUSMAYADI L 38 CANDIWATES 016 005 13 ADI WARDONO L 34 CANDIWATES 015 005 14 AGUS HARIYANTO L 31 CANDIWATES 015 005 15 AHMAD WILDAN AFANDI L 19 CANDIWATES 015 005 16 AISAH P 25 CANDIWATES 016 005 17 AISYA BELLA JASMINE METEORA P 18 CANDIWATES 015 005 18 AKHMAD DAVIN SABINTORO L 18 CANDIWATES 016 005 19 ALIPA P 48 CANDIWATES 016 005 TPS MODEL A-KabKo Daftar Pemilih DPT PEMILIHAN UMUM TAHUN 2024 KECAMATAN DESA/KELURAHAN Halaman 1 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 20 AMINI P 52 CANDIWATES 016 005 21 ANGGA AGUSTIYAN FIRMANSYAH L 22 CANDIWATES 015 005 22 ANIPA P 54 CANDIWATES 015 005 23 ANIS MEGA PURNAMA P 29 CANDIWATES 016 005 24 ANITA PUSPITA SARI P 30 CANDIWATES 016 005 25 ANJAS YEWANTORO L 21 CANDIWATES 016 005 26 ANNAS SUDRAJAT L 35 CANDIWATES 015 005 27 ANOM PANDULANGI WIBOWO L 35 CANDIWATES 015 005 28 ARDIANSYAH DWI PRASETYO L 27 CANDIWATES 015 005 29 ARI SUSANTO L 31 CANDIWATES 015 005 30 ARIFIANTO L 34 CANDIWATES 016 005 31 ARISFANDI DICKY DARMAWAN L 24 CANDIWATES 015 005 32 ASARI L 50 CANDIWATES 016 005 33 ASMAUL HUSNAH P 48 CANDIWATES 015 005 34 ATIM L 57 CANDIWATES 016 005 35 BAGUS SADEWO L 22 CANDIWATES 015 005 36 BUDI SANTOSA L 38 CANDIWATES 015 005 37 CAHYONO HADI L 42 CANDIWATES 015 005 38 CHAVID L 40 CANDIWATES 015 005 39 CHOTIB L 53 CANDIWATES 015 005 40 CICIK INDRAWATI P 40 CANDIWATES 016 005 41 CINDY PUSPITA SARI P 21 CANDIWATES 015 005 42 CINTAMI RUKHOIYA P 54 CANDIWATES 015 005 43 DAIPAH P 41 CANDIWATES 015 005 44 DAMAH P 61 CANDIWATES 016 007 45 DANIATIN P 36 CANDIWATES 015 005 46 DASUKI L 64 CANDIWATES 015 006 Halaman 2 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 47 DEDY HIDAYAT L 24 CANDIWATES 015 005 48 DIAN ALVIASARI P 32 CANDIWATES 015 005 49 DIMAS SYARIFUDIN HIDAYATULLOH L 22 CANDIWATES 016 005 50 DINA KRESDIANA P 20 CANDIWATES 015 005 51 DONNY ADITYA PRAMONO L 22 CANDIWATES 016 005 52 DUCHA IMAM ROSYADI L 26 CANDIWATES 015 005 53 DWI APRIYONO YUDI SUSANTO L 56 CANDIWATES 016 005 54 DWI AYU SUSANTI P 23 CANDIWATES 015 005 55 DWI KUSNO GIO PUTRA L 31 CANDIWATES 016 005 56 DWI SURYANTI P 37 CANDIWATES 015 005 57 DWI YULIONO L 56 CANDIWATES 016 005 58 ENDAH SEKARSARI P 30 CANDIWATES 015 005 59 ERVI ERNAWATI P 38 CANDIWATES 016 005 60 FADILA L 67 CANDIWATES 016 005 61 FAHMI ARDIANSYAH L 20 CANDIWATES 015 005 62 FATKHUR RAHMAN L 17 CANDIWATES 016 005 63 FITRI NUR HAYATI P 41 CANDIWATES 016 005 64 FITRIYATUL SADINIYAH P 28 CANDIWATES 015 005 65 GALANG SASTRA WIJAYA L 17 CANDIWATES 016 005 66 GAYATRI LUVITA SARI P 22 CANDIWATES 016 005 67 HADI KRISBIANTORO L 44 CANDIWATES 016 005 68 HAJAR FITRIYANI P 24 CANDIWATES 015 005 69 HANIF L 50 CANDIWATES 015 005 70 HARI L 70 CANDIWATES 015 005 71 HASIM ASYARI L 50 CANDIWATES 015 005 72 HERRI SUGIARTO L 26 CANDIWATES 015 005 73 HYLDA FILANJANY P 17 CANDIWATES 016 005 Halaman 3 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 74 I'IN ANDINI PUTRI P 20 CANDIWATES 015 005 75 IDA APRILIA P 29 CANDIWATES 015 005 76 IMAM SUWANTO L 40 CANDIWATES 015 005 77 IMRON DARMANTO EP L 50 CANDIWATES 015 005 78 INDAH APRILIA P 22 CANDIWATES 015 005 79 INDAH DWI MEIDAYANTI RAHMAH P 22 CANDIWATES 016 005 80 INDRA SYAHRU SYIFANA L 17 CANDIWATES 015 005 81 INNAYAH P 60 CANDIWATES 015 005 82 ISMIATI P 35 CANDIWATES 016 005 83 ISNAINI P 35 CANDIWATES 015 005 84 ISWATIN P 43 CANDIWATES 015 005 85 JOKO SUPRIONO L 35 CANDIWATES 015 005 86 JORGY ARYA DWI PRAMONO L 20 CANDIWATES 016 005 87 JUNAEDI L 43 CANDIWATES 015 005 88 JUNAIDI L 60 CANDIWATES 015 005 89 KANAN L 63 CANDIWATES 015 005 90 KARNOTO L 63 CANDIWATES 016 005 91 KASAN SUBANDI L 68 CANDIWATES 016 005 92 KASIANAH P 65 CANDIWATES 015 005 93 KASINTEN P 73 CANDIWATES 015 005 94 KASTURI L 73 CANDIWATES 016 005 95 KHAMIM L 44 CANDIWATES 016 005 96 KHOLIAH P 82 CANDIWATES 016 005 97 KUSEN L 57 CANDIWATES 016 005 98 KUSMIATI P 48 CANDIWATES 016 005 99 KUSNADI L 42 CANDIWATES 015 005 100 KUSTONO L 83 CANDIWATES 015 005 Halaman 4 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 101 LASIANAH P 42 CANDIWATES 015 005 102 LILIK JUMIATI P 43 CANDIWATES 015 005 103 LISWATI P 63 CANDIWATES 016 005 104 LUCKY TRIO SAPUTRO L 21 CANDIWATES 016 005 105 LULUK IRAWATI P 44 CANDIWATES 016 005 106 M. ANWAR L 24 CANDIWATES 015 005 107 M. NUR AKMAL ARIFUDIN L 21 CANDIWATES 016 005 108 M. USANTORO L 42 CANDIWATES 016 005 109 MAKSUM L 60 CANDIWATES 015 005 110 MASYITA P 40 CANDIWATES 015 005 111 MAZALATUR ROCHMAH P 18 CANDIWATES 015 005 112 MISBAKHUL MUNIR L 22 CANDIWATES 015 005 113 MOCH. KHOLIL L 45 CANDIWATES 015 005 114 MOCHAMAD CAHYONO L 34 CANDIWATES 015 005 115 MOCHAMAD DWI SANI L 32 CANDIWATES 016 005 116 MOCHAMAD SURYA DWI SAPUTRA L 21 CANDIWATES 016 005 117 MOCHAMMAD FAIZ JAMALUDDIN L 22 CANDIWATES 016 005 118 MOCHAMMAD SYAFIUDIN L 36 CANDIWATES 015 005 119 MOH. KHAMDI L 42 CANDIWATES 016 005 120 MOH. NIZAR L 39 CANDIWATES 015 005 121 MOH. ZULFI IVAN L 32 CANDIWATES 015 005 122 MUCHAMAD MUKLIS L 22 CANDIWATES 015 005 123 MUCHAMMAD FATCHUR ROZY L 27 CANDIWATES 016 005 124 MUHAMMAD ASVIN MUZAKI L 18 CANDIWATES 015 005 125 MULYONO L 66 CANDIWATES 016 005 126 MUNANDAR L 48 CANDIWATES 015 005 127 MUNIF L 49 CANDIWATES 015 005 Halaman 5 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 128 MUNTIA FARIDA P 43 CANDIWATES 015 005 129 MUSAFAAH P 55 CANDIWATES 015 005 130 MUSLIATI P 53 CANDIWATES 016 005 131 MUSTINA P 57 CANDIWATES 015 005 132 NA`IM L 64 CANDIWATES 015 005 133 NADYA SALSABILA ARIFANY P 19 CANDIWATES 015 005 134 NANI FIDIA P 37 CANDIWATES 015 005 135 NANIK P 52 CANDIWATES 015 005 136 NANIK KURNIAWATI P 44 CANDIWATES 016 005 137 NARAH P 59 CANDIWATES 016 005 138 NARTO L 53 CANDIWATES 016 005 139 NIA PUSPITASARI P 23 CANDIWATES 016 005 140 NICKY DWI SAPUTRA L 25 CANDIWATES 016 005 141 NINGSIH SUSILOWATI P 21 CANDIWATES 016 005 142 NUNUK ANISAH P 39 CANDIWATES 016 005 143 NUNUK MUSLIKHUN P 54 CANDIWATES 015 005 144 NUR AINI P 36 CANDIWATES 015 005 145 NUR CHAMID L 47 CANDIWATES 016 005 146 NUR HAYATI P 40 CANDIWATES 015 005 147 NUR ROHMAN L 35 CANDIWATES 016 005 148 NURUL HARTINI P 42 CANDIWATES 015 005 149 NURUL HIDAYATI P 37 CANDIWATES 015 005 150 NURUL MARWIYAH P 33 CANDIWATES 016 005 151 PONIYEM P 60 CANDIWATES 015 005 152 PUDJI PURNOMO L 51 CANDIWATES 016 005 153 PUTRI LAILATUL ZUHROH P 23 CANDIWATES 015 005 154 RAHMA AMALIA P 24 CANDIWATES 015 005 Halaman 6 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 155 RATIH NUR CAHYATI P 20 CANDIWATES 015 005 156 RAUB L 69 CANDIWATES 015 005 157 RIATI P 60 CANDIWATES 016 005 158 RIKI SUGIARTO L 34 CANDIWATES 015 005 159 RINI INDRAYANI P 48 CANDIWATES 016 005 160 RISMA PUTRI ISNAINI P 17 CANDIWATES 016 005 161 ROBIN ADI SAPUTRO L 36 CANDIWATES 016 005 162 ROCHMAH P 73 CANDIWATES 015 005 163 RODIYAH P 47 CANDIWATES 015 005 164 ROIKHATUL JANNAH P 27 CANDIWATES 016 005 165 ROKHMAD L 37 CANDIWATES 016 005 166 ROKIT L 45 CANDIWATES 015 005 167 ROPI'I ANDIKA L 51 CANDIWATES 015 005 168 ROVIQ L 47 CANDIWATES 015 005 169 RUDI HARTONO L 47 CANDIWATES 015 005 170 RUKANI P 66 CANDIWATES 015 005 171 RUMAILAH P 54 CANDIWATES 016 005 172 RUSMANTO L 43 CANDIWATES 016 005 173 RUSMINI P 77 CANDIWATES 016 005 174 SALIM SAIFUDIN L 54 CANDIWATES 016 005 175 SAMSUL KUSNOMO L 38 CANDIWATES 015 005 176 SANDI NAYOWAN L 29 CANDIWATES 014 005 177 SANTI UTAMI P 38 CANDIWATES 015 005 178 SATUNAH P 54 CANDIWATES 016 005 179 SEPTIA WULANDARI P 29 CANDIWATES 015 005 180 SETIYAWAN L 37 CANDIWATES 015 005 181 SIJUHROTUL UMMAH P 29 CANDIWATES 016 005 Halaman 7 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 182 SITI P 60 CANDIWATES 015 005 183 SITI ALISA P 68 CANDIWATES 015 005 184 SITI FATIMAH P 47 CANDIWATES 015 005 185 SITI KHOTIJAH P 35 CANDIWATES 016 005 186 SITI MUAWANAH P 35 CANDIWATES 015 005 187 SITI NURHAMIDAH P 28 CANDIWATES 015 005 188 SITI ZAINAB P 61 CANDIWATES 015 005 189 SOFYAN TRIANTORO L 18 CANDIWATES 015 005 190 SRI ULFAH P 32 CANDIWATES 016 005 191 SUCIPTO L 56 CANDIWATES 015 005 192 SUGIYANTO L 66 CANDIWATES 016 005 193 SUHERMIN P 48 CANDIWATES 016 005 194 SUJARWO L 62 CANDIWATES 015 005 195 SUJIATI P 50 CANDIWATES 015 005 196 SUJUT WIJAYANTO L 39 CANDIWATES 015 005 197 SUKOYO L 44 CANDIWATES 015 005 198 SULASTRI P 52 CANDIWATES 015 005 199 SULIS HANDAYANI P 29 CANDIWATES 015 005 200 SULIS PUJIAWATI P 41 CANDIWATES 015 005 201 SULIWAR L 56 CANDIWATES 016 005 202 SULTONI L 51 CANDIWATES 015 005 203 SUMANIK P 54 CANDIWATES 016 005 204 SUMIATI P 47 CANDIWATES 015 005 205 SUMIATI P 51 CANDIWATES 015 005 206 SUMINI P 43 CANDIWATES 015 005 207 SUNARTI P 55 CANDIWATES 016 005 208 SUPARTO L 55 CANDIWATES 016 005 Halaman 8 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 209 SUPRIHATIN P 30 CANDIWATES 016 005 210 SURYA NINGSIH P 42 CANDIWATES 015 005 211 SUSI SUGIARTI P 40 CANDIWATES 015 005 212 SUTAMI P 57 CANDIWATES 015 005 213 SUWANTO L 40 CANDIWATES 015 005 214 SYAIFUL ARIF L 27 CANDIWATES 015 005 215 SYARIFUDIN FIRMANSYAH L 29 CANDIWATES 015 005 216 TAHAN L 55 CANDIWATES 016 005 217 TAUFIQ HIDAYAT L 27 CANDIWATES 015 005 218 TAYIB L 61 CANDIWATES 015 005 219 TIANAH P 61 CANDIWATES 016 005 220 TITIK DWI SATIYA P 40 CANDIWATES 015 005 221 TOTOK SUBIANTORO L 44 CANDIWATES 016 005 222 TOYIB L 37 CANDIWATES 015 005 223 TOYIB L 52 CANDIWATES 016 005 224 URIFAH P 57 CANDIWATES 016 005 225 USMAN L 58 CANDIWATES 016 005 226 WAHYU ABADI L 35 CANDIWATES 016 005 227 WAHYU HUDA L 51 CANDIWATES 015 005 228 WAHYU IRFAN L 31 CANDIWATES 015 005 229 WAHYU NURIYANAH P 37 CANDIWATES 015 005 230 WAHYU SIDIQ SANTOSO L 20 CANDIWATES 015 005 231 WAHYU SUSANTO L 48 CANDIWATES 015 005 232 WAL ASRI AMIN L 37 CANDIWATES 015 005 233 WARIYAH P 63 CANDIWATES 016 005 234 WIDIA PRATIWI P 28 CANDIWATES 015 005 235 WIJI WANTOYO L 42 CANDIWATES 016 005 Halaman 9 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 236 WIWIK INDRAWATI P 49 CANDIWATES 016 005 237 WIWIK SETIYONO L 46 CANDIWATES 015 005 238 WUDIAH P 45 CANDIWATES 015 005 239 YATELAN L 72 CANDIWATES 015 005 240 YENI P 48 CANDIWATES 016 005 241 YENI ASMAWATI P 40 CANDIWATES 016 005 242 YOGA PRATAMA L 34 CANDIWATES 015 005 243 YOPI RIZKY SETIAWAN L 32 CANDIWATES 015 005 244 YUSRIFAH NI'MATUS ZAHRO P 21 CANDIWATES 015 005 245 ZAINUL ARIFIN L 43 CANDIWATES 015 005 246 ZID MUTTAKIN L 38 CANDIWATES 016 005 ZAINUL FAIZIN DITETAPKAN DI, PASURUAN TANGGAL, 21 JUNI 2023 KPU KABUPATEN PASURUAN KETUA Halaman 10 dari 10

PROVINSI : JAWA TIMUR : PRIGEN KABUPATEN/KOTA : PASURUAN : CANDIWATES : 009 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 ABD. WAHAB L 58 CANDIWATES 017 006 2 ABD.GHOFUR L 43 CANDIWATES 018 006 3 ABDUL MU'IN L 50 CANDIWATES 018 006 4 ABDUL WACHID L 49 CANDIWATES 017 006 5 ABU AMAR L 59 CANDIWATES 017 006 6 ACHMAD AFINDRA L 19 CANDIWATES 018 006 7 ACHMAD HASAN L 49 CANDIWATES 017 006 8 AINUR ROSYIDAH P 34 CANDIWATES 019 006 9 AJIE BANDI SURYO L 29 CANDIWATES 017 006 10 AKHMAD FATRUS KHOIRUL ANWAR L 30 CANDIWATES 017 006 11 ALIEF FERRY RAMADANI P 17 CANDIWATES 017 006 12 ALIYAH P 27 CANDIWATES 019 006 13 AMANDA AYU CHRISTYANTI P 27 CANDIWATES 019 006 14 AMIRUL MUKMININ L 38 CANDIWATES 018 006 15 ANIK P 42 CANDIWATES 019 006 16 ASHAR CHOLIL L 31 CANDIWATES 018 006 17 ASLICHA P 21 CANDIWATES 019 006 18 BANI L 78 CANDIWATES 018 006 19 BASORI L 55 CANDIWATES 018 006 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. 20 BIMA SURYA SAPUTRA L 22 CANDIWATES 018 006 21 BUKHORI L 54 CANDIWATES 018 006 22 CHANDRA HERMAWAN L 32 CANDIWATES 018 006 23 CHIFTIYAH P 64 CANDIWATES 017 006 24 CHOIRUN NISA P 24 CANDIWATES 018 006 25 CHOLIK L 52 CANDIWATES 019 006 26 CHOTIMAH P 74 CANDIWATES 017 006 27 CHOZIN L 56 CANDIWATES 019 006 28 CHUSNUL CHOTIMAH P 43 CANDIWATES 018 006 29 DAI'PAH P 66 CANDIWATES 017 006 30 DAIMAH P 81 CANDIWATES 017 006 31 DANI L 83 CANDIWATES 018 006 32 DARIM L 59 CANDIWATES 017 006 33 DARMAJI L 60 CANDIWATES 017 006 34 DAUMI P 64 CANDIWATES 019 006 35 DIDIK ANDRIANTO L 37 CANDIWATES 017 006 36 DUCHA P 61 CANDIWATES 017 006 37 DULKARIM L 45 CANDIWATES 018 006 38 DWI AGUNG NOVIAN L 22 CANDIWATES 017 006 39 EDI SAMPURNO L 49 CANDIWATES 017 006 40 EKA NUR DANI L 28 CANDIWATES 017 006 41 EKA NUR HIDAYATUS SHOLIHAH P 27 CANDIWATES 018 006 42 EKA NUR ROCHMAH P 18 CANDIWATES 017 006 43 EKA PRAYOGA FIRMANSYAH L 22 CANDIWATES 017 006 44 ELIS IMAWATI P 37 CANDIWATES 018 006 45 ENI ASTUTIK P 32 CANDIWATES 019 006 46 EVI LINDAWATI P 27 CANDIWATES 017 006 Halaman 2 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 47 FAISAL AKSAR L 19 CANDIWATES 018 006 48 FAIZ YATIS SUROYAH P 29 CANDIWATES 018 006 49 FATAWI L 68 CANDIWATES 019 006 50 FATKHUL ALIM L 24 CANDIWATES 019 006 51 FATKHUROZI L 31 CANDIWATES 018 006 52 FENDIK ARDIANSYAH L 30 CANDIWATES 017 006 53 FIKA DWI ANDRIANI P 18 CANDIWATES 019 009 54 FITRIA P 26 CANDIWATES 019 006 55 FITRIYA P 35 CANDIWATES 018 006 56 GATOT WIDODO L 43 CANDIWATES 017 006 57 H.SULAIMAN L 69 CANDIWATES 017 006 58 HANI'AM MARI'AH P 20 CANDIWATES 017 006 59 HENDRA PRAHASTA PURWANTO L 37 CANDIWATES 019 006 60 HENI TASLIMA P 37 CANDIWATES 018 006 61 HIDAYASIN L 32 CANDIWATES 017 006 62 HIMMATUS SA'ADAH P 25 CANDIWATES 019 006 63 HINDUN JUARIAH P 54 CANDIWATES 017 006 64 IDA LIATI P 60 CANDIWATES 017 006 65 IMTIHANAH P 63 CANDIWATES 018 006 66 INDY ZULFA SHOLIKHA P 17 CANDIWATES 019 006 67 IRFA`I L 41 CANDIWATES 017 006 68 IRKHAM FAJARUL MAHFUDHOH P 23 CANDIWATES 017 006 69 ISKANDAR L 49 CANDIWATES 017 006 70 ISMAIL L 59 CANDIWATES 017 006 71 ISMAUL FAUZIYAH P 30 CANDIWATES 017 006 72 ISNAINI P 50 CANDIWATES 018 006 73 ISTIANAH P 50 CANDIWATES 018 006 Halaman 3 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 74 JAMILAH P 50 CANDIWATES 017 006 75 JASMIN P 63 CANDIWATES 017 006 76 JOKO TRIONO L 30 CANDIWATES 018 006 77 JUMILAH P 47 CANDIWATES 018 006 78 JUMROTIN P 62 CANDIWATES 018 006 79 JUNIAH P 61 CANDIWATES 019 006 80 KALIMAH P 66 CANDIWATES 017 006 81 KAMAL L 73 CANDIWATES 017 006 82 KAMILATUL FITRIYAH P 21 CANDIWATES 019 006 83 KANI L 68 CANDIWATES 019 006 84 KANIPAH P 73 CANDIWATES 018 006 85 KARIYONO L 67 CANDIWATES 017 006 86 KARMIJAN L 44 CANDIWATES 017 006 87 KARSULIN L 39 CANDIWATES 018 006 88 KASAN L 56 CANDIWATES 017 006 89 KASIATI P 60 CANDIWATES 017 006 90 KASIATI P 57 CANDIWATES 018 006 91 KASIYAH P 61 CANDIWATES 018 006 92 KAYATIN P 57 CANDIWATES 019 006 93 KHAUDI ABDUL ROKHIM L 32 CANDIWATES 019 006 94 KHOIRIL BASYAR L 30 CANDIWATES 019 006 95 KHOIRUL AMIN L 32 CANDIWATES 017 006 96 KHUSNUL KHOTIMAH P 22 CANDIWATES 017 006 97 KHUSNUL KHOTIMAH P 28 CANDIWATES 017 006 98 KUSNATUL P 35 CANDIWATES 019 006 99 LAILIYAH NADIROH P 25 CANDIWATES 017 006 100 LATIPA P 73 CANDIWATES 018 006 Halaman 4 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 101 LILA ISMAWATI P 33 CANDIWATES 018 006 102 LILIK UNAISA P 47 CANDIWATES 018 006 103 LILIS MASRIFAH P 37 CANDIWATES 018 006 104 M BAHRUL ILMI L 29 CANDIWATES 017 006 105 M. ARIF HIDAYAT L 24 CANDIWATES 018 006 106 M. HASIM L 48 CANDIWATES 017 006 107 M. JOKO SISWANTO L 39 CANDIWATES 019 006 108 M. JURI L 39 CANDIWATES 019 006 109 M. KHOLILI L 35 CANDIWATES 019 006 110 M. MUSLIMIN L 27 CANDIWATES 018 006 111 M. RIZKY SAPUTRA L 21 CANDIWATES 018 006 112 M. ROSADI L 25 CANDIWATES 018 006 113 M. SA'RONI L 24 CANDIWATES 018 006 114 M. SUEB ZAKARIYA L 47 CANDIWATES 017 006 115 M.AKHSANUL KHOLIQIN L 28 CANDIWATES 019 006 116 M.KHARISUN AZIZ L 22 CANDIWATES 018 006 117 M.ROIHUL FIRDAUS L 18 CANDIWATES 019 006 118 M.SIDIK L 66 CANDIWATES 017 006 119 M.SUHUDI L 40 CANDIWATES 018 006 120 MAHRUS ALI L 35 CANDIWATES 018 006 121 MAKHFIYAH P 55 CANDIWATES 017 006 122 MALIKHAH P 44 CANDIWATES 017 006 123 MAMBAUL HIKMAH P 26 CANDIWATES 018 006 124 MARIYADI L 41 CANDIWATES 017 006 125 MASLUCHAH P 47 CANDIWATES 019 006 126 MASRUROH P 31 CANDIWATES 018 006 127 MAT. SARONI L 56 CANDIWATES 018 006 Halaman 5 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 128 MAULIDATUL KHASANAH P 18 CANDIWATES 018 006 129 MAULIDI VINA P 18 CANDIWATES 019 007 130 MEILINDA SALSABILA MAWADDAH P 17 CANDIWATES 017 006 131 MIFTAKHUL JANNAH P 18 CANDIWATES 019 006 132 MILA ROSA ANGGRAENI P 23 CANDIWATES 017 006 133 MISBAKHUL MUNIR L 44 CANDIWATES 018 006 134 MISTINAH P 56 CANDIWATES 017 006 135 MOCHAMAT ALI RIDLO L 29 CANDIWATES 017 006 136 MOCHAMMAD ARIF L 38 CANDIWATES 017 006 137 MOH IKHLAS L 34 CANDIWATES 018 006 138 MOH. CHUSEN L 62 CANDIWATES 018 006 139 MOH. IKHROM L 40 CANDIWATES 018 006 140 MOHAMMAD DHOUIL L 52 CANDIWATES 018 006 141 MOHAMMAD ILYAS L 71 CANDIWATES 018 006 142 MOHAMMAD LUKMAN HAKIM L 25 CANDIWATES 017 006 143 MOHAMMAD MUDDAKKIR L 24 CANDIWATES 017 006 144 MOKHAMMAD FARID VARDANA L 18 CANDIWATES 017 006 145 MUCHAMAD L 64 CANDIWATES 017 006 146 MUCHIBBATUR ROHMANIYAH P 17 CANDIWATES 017 006 147 MUFARIJUL IHWAN L 30 CANDIWATES 019 006 148 MUHAMAD AFANDI L 30 CANDIWATES 019 006 149 MUHAMMAD ADI SAPUTRA L 20 CANDIWATES 017 006 150 MUHAMMAD ADJITIYA L 28 CANDIWATES 019 006 151 MUHAMMAD AGUS NUR HIDAYAT L 17 CANDIWATES 017 006 152 MUHAMMAD ANAS L 45 CANDIWATES 019 006 153 MUHAMMAD FAIDZ ZIDNI L 25 CANDIWATES 017 006 154 MUHAMMAD IKHWAN L 24 CANDIWATES 018 006 Halaman 6 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 155 MUHAMMAD IMRON L 54 CANDIWATES 018 006 156 MUHAMMAD KHASANI L 33 CANDIWATES 019 006 157 MUHAMMAD LUTVI L 20 CANDIWATES 017 006 158 MUHAMMAD MUJIB L 41 CANDIWATES 017 006 159 MUHAMMAD NUR CHOLIS L 20 CANDIWATES 017 006 160 MUHAMMAD ZAIRUDIN L 25 CANDIWATES 017 006 161 MUKHAMMAD FATKHUL AMIN L 26 CANDIWATES 017 006 162 MUSINEM P 47 CANDIWATES 017 006 163 MUSTOFA L 63 CANDIWATES 017 006 164 MUZDALIFA P 58 CANDIWATES 019 006 165 NABILA P 18 CANDIWATES 017 006 166 NAFI`U ROSYADI L 39 CANDIWATES 019 006 167 NANING SUGIARTI P 38 CANDIWATES 019 007 168 NENGAMA P 39 CANDIWATES 018 006 169 NIKMATUL HUSNIA P 47 CANDIWATES 017 006 170 NINIK MURDIATI P 53 CANDIWATES 019 006 171 NISSAN L 49 CANDIWATES 016 005 172 NOVIA OKTAVIA P 23 CANDIWATES 018 006 173 NUR CAHYONO L 40 CANDIWATES 017 006 174 NUR HAYATI P 23 CANDIWATES 017 006 175 NUR KHAKIM L 37 CANDIWATES 019 006 176 NUR KHASANAH P 57 CANDIWATES 017 006 177 NUR KHOLIFAH P 29 CANDIWATES 017 006 178 NUR KRISTINA P 23 CANDIWATES 017 006 179 NUR WATIROH P 25 CANDIWATES 017 006 180 NURIL AJIZAH P 37 CANDIWATES 017 006 181 NURTOSIYAH P 48 CANDIWATES 016 005 Halaman 7 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 182 NURUL FADILAH P 35 CANDIWATES 017 006 183 NURUL QOMARIA P 52 CANDIWATES 017 006 184 PAIMAN L 92 CANDIWATES 017 006 185 PARINI P 73 CANDIWATES 018 006 186 PARIYEM P 83 CANDIWATES 017 006 187 PARTO L 56 CANDIWATES 019 006 188 PRIYO SUSILO L 33 CANDIWATES 019 006 189 PUGUH HADI SATRIAWAN L 28 CANDIWATES 017 006 190 PUJIANTO L 52 CANDIWATES 018 006 191 QOMARIYAH P 50 CANDIWATES 017 006 192 REPI P 73 CANDIWATES 018 006 193 RIATI P 46 CANDIWATES 017 006 194 RIDWAN L 74 CANDIWATES 017 006 195 RIFA`I L 29 CANDIWATES 018 006 196 RIFAI L 48 CANDIWATES 019 006 197 RIKA ARIANI P 29 CANDIWATES 019 006 198 RIYONO L 40 CANDIWATES 019 006 199 ROBI'ATUL ADAWIYAH P 29 CANDIWATES 018 006 200 ROBIATUL ADAWIYAH P 35 CANDIWATES 017 006 201 ROBIATUL ADAWIYAH P 28 CANDIWATES 019 006 202 ROCHIMAH P 54 CANDIWATES 017 006 203 ROCHMAT L 42 CANDIWATES 018 006 204 RU'A P 62 CANDIWATES 017 006 205 RUDI YUSUF L 26 CANDIWATES 017 006 206 RUMAKYA P 56 CANDIWATES 019 006 207 SAFAAH P 51 CANDIWATES 018 006 208 SAIFUL L 44 CANDIWATES 017 006 Halaman 8 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 209 SAIFUL ANWAR L 21 CANDIWATES 018 006 210 SAIFUL ARIF L 29 CANDIWATES 017 006 211 SAKUR L 54 CANDIWATES 019 006 212 SAMIATIN P 46 CANDIWATES 018 006 213 SAMSUL L 30 CANDIWATES 017 006 214 SAMSUL ARIFIN L 48 CANDIWATES 018 006 215 SAMSUL HUDA L 54 CANDIWATES 018 006 216 SHOFIYAH P 32 CANDIWATES 018 006 217 SILVIA EKA MAULIDAH P 19 CANDIWATES 018 006 218 SITI AMINAH P 28 CANDIWATES 019 006 219 SITI ANIK ZURIAH P 28 CANDIWATES 017 006 220 SITI CHALIMAH P 54 CANDIWATES 019 006 221 SITI CHAMIDAH P 22 CANDIWATES 019 006 222 SITI DAIMAH P 62 CANDIWATES 017 006 223 SITI FATHONAH P 38 CANDIWATES 017 006 224 SITI FATIMAH P 43 CANDIWATES 017 006 225 SITI MUFLICHA P 21 CANDIWATES 018 006 226 SITI NUR AZIZAH P 26 CANDIWATES 017 006 227 SITI ROCHMA P 29 CANDIWATES 018 006 228 SITI ROMLAH P 41 CANDIWATES 017 006 229 SITI ROMLAH P 38 CANDIWATES 018 006 230 SITI THOWILA P 37 CANDIWATES 017 006 231 SODIK L 62 CANDIWATES 017 006 232 SOLIKHATUN NISA' P 41 CANDIWATES 017 006 233 SONIA FATMAWATI P 24 CANDIWATES 017 006 234 SRIPA P 60 CANDIWATES 018 006 235 SUBANDI L 53 CANDIWATES 017 006 Halaman 9 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 236 SUCIATI P 48 CANDIWATES 017 006 237 SUGIANTO L 36 CANDIWATES 019 006 238 SUHARTATIK P 65 CANDIWATES 017 006 239 SUHARTINI P 50 CANDIWATES 019 006 240 SULIKA RIMA P 28 CANDIWATES 018 006 241 SULIYAH P 50 CANDIWATES 018 006 242 SULTONI L 53 CANDIWATES 019 006 243 SUMINI P 73 CANDIWATES 018 006 244 SUNADI L 51 CANDIWATES 018 006 245 SUNARTI P 60 CANDIWATES 018 006 246 SUPI'A P 74 CANDIWATES 018 006 247 SUPIATI P 44 CANDIWATES 017 006 248 SUPRIHATIN P 43 CANDIWATES 017 006 249 SURADI L 75 CANDIWATES 016 005 250 SURONO L 62 CANDIWATES 018 006 251 SUROSO L 50 CANDIWATES 017 006 252 SUSIANTO L 38 CANDIWATES 018 006 253 SUSWATI P 77 CANDIWATES 017 006 254 SUTIANI P 47 CANDIWATES 017 006 255 SUTIK P 59 CANDIWATES 018 006 256 SUTRISNO L 59 CANDIWATES 018 006 257 SUWARNI P 61 CANDIWATES 017 006 258 SUYANTI P 43 CANDIWATES 017 006 259 SUYUTI L 30 CANDIWATES 018 006 260 SYAMSUL AHMADIYAH L 51 CANDIWATES 017 006 261 SYAWALUDDIN SY L 42 CANDIWATES 017 006 262 TARIYAH P 54 CANDIWATES 019 006 Halaman 10 dari 12

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 263 TEDY SIAMTORO L 32 CANDIWATES 018 006 264 THOBAGUS SURUR L 37 CANDIWATES 018 006 265 TUPA P 78 CANDIWATES 019 006 266 TURKAN L 64 CANDIWATES 018 006 267 TUTIK AMALIYAH P 42 CANDIWATES 019 006 268 TYAS NINGSIH P 37 CANDIWATES 017 006 269 UMI KARTIKA SARI P 34 CANDIWATES 019 006 270 UMI KHOIRUNNISA' P 36 CANDIWATES 018 006 271 UMI KULSUM P 44 CANDIWATES 017 006 272 UMIATI P 36 CANDIWATES 017 006 273 WADILAH HIDAYATI P 28 CANDIWATES 018 006 274 WAHYU DIANA P 40 CANDIWATES 017 006 275 WAHYU SANTOSO L 22 CANDIWATES 017 006 276 WAHYUDI L 39 CANDIWATES 017 006 277 WAHYUDI HARI SUSANTO L 44 CANDIWATES 019 006 278 WAKI'AH P 46 CANDIWATES 018 006 279 WARDI L 62 CANDIWATES 018 006 280 WINARTI P 53 CANDIWATES 017 006 281 WINARTO L 38 CANDIWATES 018 006 282 WIWIN DARI P 35 CANDIWATES 017 006 283 YANTO L 44 CANDIWATES 019 007 284 YAUMIL MAGHFIROH P 20 CANDIWATES 018 006 285 YULI INDAWATI P 42 CANDIWATES 019 006 286 YULIANA WATI P 50 CANDIWATES 018 006 287 YULIATI P 44 CANDIWATES 019 006 288 YUNITA PUSPASARI P 23 CANDIWATES 017 006 289 YUSUF IBRAHIM L 38 CANDIWATES 019 006 Halaman 11 dari 12