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DAFTAR PESERTA BAKSOS SKI FAKULTAS KEDOKTERAN UNIVERSITAS WIJAYA KUSUMA SURABAYA TAHUN 2010
NO
NPM
NAMA
NO. HP
ALAMAT
L/P
JIL UKU BA RAN B BAJU
1
09700154 LELLY SETYOSARI
085732114169
Ds. Durung Banjar
P
X
M
2.
09700134 AHMAD UBAIDILLAH HARIS
085655099046
Ds. Sedangan mijen, SDA
L
X
M
3
09700124 LUCKY FITVITA EKA BRILLYANTI
081553501567
DK 18 NO 43 A, SBY
P
V
M
4
09700158 GITA MAYAPADA
085756688455
DK 17 NO 47, SBY
P
X
L
5
09700136 AYU PRATIWI
0857565515044
DK 32 NO 4, SBY
P
X
M
6
09700886 DANASTRI ADITYANINGSIH
085646221111
Town Surya Agung
P
X
L
7
09700166 INDAH CHUMAIDYAH
085731878999
Dukuh Pakis 96 C/90
P
V
M
8
09700140 OLIVINO GICA P
085645054353
VOLENSIA II A2/3
L
X
L
9
09700144 AHMAD KHOLIL
03170888303
SEMOLOWARU SELATAN B/43
L
X
L
10
09700112 BAYU TRI PRATAMA
085655262600
DK 20 NO 58, SBY
L
X
XL
11
09700048 WINDA DIAN P.
08563141020
DKB I NO 62, SBY
P
X
M
12
09700232 DWI SETIAWAN H.
08273031481
DK 10 NO 29, SBY
L
X
L
13
09700090 A.INDRAMAWAN M
081331562600
DK, SBY
L
X
L
14
09700142 WIWEKA SATHYA N.
03161014164
BOGEN 2/52-54
L
X
L
15
09700162 SITI JAMILAH
081330950800
DK 18 NO 35A, SBY
P
V
M
16
09700168 MEGA YULIA K.
085737156822
DK 18 NO 43A,SBY
P
X
M
17
09700102 VERAWATI
081330016222
DK 30 NO 51, SBY
P
X
M
18
09700250 DEWY RETNO WULANDARI
085251652229
DK 18, SBY
P
V
M
19
09700146 EKA OKTAVIANA
085732099991
DKB 15 NO 8A, SBY
P
X
M
20
09700070 DEVI RACHMAWATI A.
DKB 15 NO 8A, SBY
P
X
M
21
09700108 META ANDRASTI
DKB I NO 8A, SBY
P
X
L
22
09700188 WINARNI SRI LESTARI
KUPANG INDAH
P
X
M
23
09700110 IVA JAYA MARIA
081732863219
DKT 2 NO 47, SBY
P
V
S
24
09700042 ADE BRILLIAN
085648131991
DKT 11 NO 25, SBY
L
X
L
25
09700028 EMY KUSMIATI
085649473479
DK 32 NO 62, SBY
P
V
L
26
09700004 AJENG RAHARDYANI H.
085648763365
JL. Kuntisari selatan IX no 28, SBY
P
V
L
28
09700008 ITA NURHAZANAH
DKB 15 NO 1, SBY
P
V
M
29
09700164 MELLISA FAUZIAH
085733502458
CITRALAND Q3-11
P
V
M
30
09700084 DHICKY PRADITA CANDRA W
085733406256
DKB I /154 A
L
X
XL
31
09700264 NUR AIN TAHTARIN RA
085730734444
DK 25 / 50 A
P
V
M
32
09700296 SHOFIATUL LAILIA
087851895929
DK 25 / 50 A
P
X
XL
33
09700062 AGUS SAFIRUDDIN
085645676732
34
09700088 FAUZI I. E.
35
09700050 HASYIM HANAFI
08563298545
36
09700076 ENI NUR DIANA
37
WONOSARI WTN I/19 A
L
X
L
L
X
L
DKB II No. 30
L
X
M
085746739036
Dsn. Sambiroto RT10 RW3
P
V
L
09700074 MEILIA GISKA
085730777590
DK 32 / 62
P
V
M
38
09700304 M. FAHMI
085730777589
DK 30/ 30
L
X
L
39
09700020 RENITA SIWI
08883055121
DKT 13 / 48
P
X
L
40
09700288 SRI KINANAH
085733104535
SIMOMULYO BARU 6B/I
P
V
M
41
09700054 HENY HIDAYATI
085731986937
Tembok Dukuh V/87 I
P
V
M
42
09700080 PRAMITA INDAH SURYANI
081331066004
MOJO IV / 18
P
V
M
43
09700292 AMELIA ERNINA
085731599798
Kencanasari Timur IX/23
P
V
M
44
09700294 WISMAYA EKA LIDYAH
081331051966
DK 29 / 51
P
V
L
45
09700208 NUR HAMIDAH
085649770050
DK 32 / 62
P
V
M
46
09700206 NUR ZAKIAH
085749144343
DK 32 /62
P
V
M
47
09700238 RISKY MAIFURO
085749406838
DKB 9 / 27
P
V
M
48
09700192 NUR HASANAH
08981292282
DKB 9/27
P
V
S
49
09700204 DEWITA R.
085730012812
Bronggalan Sawah V/72
P
V
XL
50
09700308 AGUNG PANDU W
085646772465
JEMBER
L
X
M
51
09700350 BAYU WICAKSONO
085655255375
MALANG
L
X
L
52
09700082 NURIL SUDIATMA
08563433303
MADURA
L
X
L
53
09700310 REFA PRIMADANI YUSUF 085730400058
DK 30/30
L
X
L
54
09700272 M. RISKY AMIR
085730827877
DK 30/30
L
X
L
55
09700072 WAHYU ANNE P.M.
085733209094
MENGANTI, GRESIK P
V
M
56
09700056 KUSUMA TRI W.
08563203377
SURABAYA
P
X
XL
57
09700132 DEWI NAYYIROH
085648898780
SURABAYA
P
V
L
58
09700340 M. SEPTIAN RERRY
081938668976
PROBOLINGGO
L
X
XL
59
09700300 DISTAMA L HIDAYAT
GRESIK
L
X
L
60
09700038 M. HARYADI K.
JEMBER
L
X
L
61
09700364 FITRIA FEBRITA S
SEMARANG
P
X
M
62
09700060 MANDA DARMAWAN
SURABAYA
L
X
M
63
09700218 VENDY DWI PRASETYO
SURABAYA
L
X
XL
64
09700184 TAMAM MUBAROK
DK 11 / 9-11
L
X
XL
65
09700058 GILANG IWANOSKI
DKB/ 30
L
X
XL
66
09700178 LALU GALIH PRATAMA
DK /11
L
X
L
67
09700268 RIKO APRIANTO S
DKT / IV
L
X
L
085232113282
68
09700286 ERTA SELFA OKTARIA
087850522970
Darmo Satelit No.9
P
X
M
69
09700220 INKE NIMAS
081330331231
DK 18 No. 44
P
X
L
70
09700282 ARLIA S.A
081335689682
Sidoarjo
P
X
M
71
09700328 NUR AINI
085731316013
DK 27 / 4
P
X
M
72
09700012 M. CHOIRUL ANWAR
085655233662
MKA 3/5
L
X
L
73
09700284 ROLAN HARABITI
L
X
L
74
09700236 KARLINAWATI AMALA
DK 32 / 62
P
V
L
75
09700202 YANKI
DK 17
L
X
M
76
09700
L
X
L
77
09700036 AYU RACHMASARI
08977433026
DK 29 / 51
P
X
L
78
09700063 NUR ILMA
085735366603
DKB I / 158
P
V
085730702221
RISKY UMAR
79
09700081 RIA FIKDAWATI
081331222142
DKB IX / 27
P
V
80
09700111 IMADINI RAHMASARI
081331983816
DKB XV / 9A
P
X
81
09700153 VIA YULIA ARDINI
0857851531738
DKB XV / 9A
P
X
82
09700077 ISMI FATIMAH
085232121125
DKB XV / 8
P
V
83
09700161 YUSRIMATUR RIZQA
087850727273
Jl. NGAGLIK III / 8
P
X
84
09700351 QURROTU AINI
087750937710
DK XVII/40A
P
V
85
09700229 FATIMATUS ZAHROH
085645255555
DK XVII/47
P
V
86
09700073 JIHAN MAULUDINA
085655929091
DK XVII/47
P
X
87
09700231 ROUDHOTUL JANNAH
085655031739
DK XVII/47
P
V
88
09700173 NURUL FUROIDATUR R
085746443418
DK XV/8A
P
V
89
09700007 RAHMAWATI
081357738847
DK XXX/64
P
V
M
90
09700177 HESTI KAMTIKAWATI
-
DK XXX/64
P
V
M
91
09700303 ANIS TRISNAWATI PUTRI 03160510698
Jl. Kendung Jaya V/34
P
X
M
92
09700047 WIWIT WULANDARI
085731316060
DK XXIX/39-41
P
V
M
93
09700191 NIKITA TRIAGIE T. D.
03160699277
Jl. Abdul Karim 27B
P
X
L
94
09700195 FALAUDDIN D. L.
085736210026
Jl. Manukan Wasono 123A No.14
L
X
M
95
09700135 A. HARISSUL I.
031897620
KRIAN
L
X
M
96
09700207 M. IHWANUL MUSLIMIN
085736959770
DK XVII/35
L
X
L
97
09700319 DWI KARTIKA P.
08563037731
DK XXXII/62
P
X
M
98
09700301 DEWI AMALIA
08563495415
DK XXXII/62
P
V
M
99
09700305 FARAH DIANA AGUSTINA
085645323199
DK XVIII/32
P
V
M
100 09700285 ADINDA A. FARA M.
085231201752
DK XXXII/62
P
V
M
101 09700271 RIMA TITAHNING V.
086746688676
DKB XIX/23-25
P
X
L
102 09700349 IRENNE N. K.
081703420996
DIS 11-27
P
X
M
103 09700211 KANTI SARI SALAPUTA
085648143255
DK XXXII/34
P
V
104 09700357 ASZHAMIL RAMADHAN
085648033363
Jl. Letjen Soeprapto 8
L
X
S
105 09700321 RISQI ANDHITA P. S.
081259619191
DKB XIX/16
P
X
M
106 09700295 RENI ENDRIYAWATI
085258780407
DK XXV/50A
P
V
S
107 09700045 NIA HERDIANA P.
085735173333
DKT VII/45
P
V
S
108 09700051 PRIMA HAFIZH Y.
085645260496
Tman Hayam Wuruk 9
P
V
M
109 09700089 MONICA AYU R.
08563045218
Manukan Tengah 9J/20 P
V
S
110 09700171 CAROLLINE PUTRI M.
085645044415
Pondok Rosan 8
P
X
S
111 09700091 NURMAKIYAH MIA LIANA
08993685317
DK XXVII/40A
P
V
L
112 09700241 YOLALITA PUTRYADI
085252645511
DK XXV/50A
P
X
L
113 09700139 SITI AISYAH
085746479191
DKB IX/27
P
V
M
114 09700115 RUHYA GALIH PARAMITA
085646374657
Jl. Manyar Jaya VIII/53
P
V
L
115 09700277 HUDA AL FAUZI
085236896980
DKB II/18
L
X
L
116 09700291 WINIE LYSCANDISA S.
-
DK XXII/21-23
P
X
M
