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VERIFIKASI DATA MAHASISWA BARU PROGRAM STUDI PENDIDIKAN PROFESI FISIOTERAPIS PROGRAM PROFESI JURUSAN FISIOTERAPI POLITEKNIK KESEHATAN KEMENKES SURAKARTA TAHUN AKADEMIK 2019/2020 KELAS "A" NO



NIM



NIK/CIF PASPOR



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29



P27226019191 P27226019192 P27226019193 P27226019194 P27226019195 P27226019196 P27226019197 P27226019198 P27226019199 P27226019200 P27226019201 P27226019202 P27226019203 P27226019204 P27226019205 P27226019206 P27226019207 P27226019208 P27226019209 P27226019210 P27226019211 P27226019212 P27226019213 P27226019214 P27226019215 P27226019216 P27226019217 P27226019218 P27226019219



3217011107910008 3311026305970001 3306095611830001 3671011405860002 3311114306970002 7306082201910002 3404124801710005 3313110710810002 3309136704969004 3175104303971001 3310195306950002 3314092903650001 3671124310640001 3275011402920026 3314085802870001 3578174310880001 19210109298 73151044110910001 3671102411680005 192101093 3305094606860003 3101016611890001 6101045901940003 3671070910700011 3210190404880141 7311022011680001 7371112103900005 5106025409900003 3175087011970002



NAMA LENGKAP



AGUNG ISMAIL KUSTIAWAN AISYAH NUR SALIMAH ANJASMILANI ARIEP MULAWARMAN ARLYSA DWI CAHYANI ASHABUL KAHFI CAECILIA DWI MAYASTUTI DARYANTO DENI HARTINAH DINA SARAH HANIFAH EKA LIA RAHMAWATI EKO HARMASTO ENDANG DWI RAHAYU RINI ASTUTI FEBRIAN HAMEED KUSTANTO FELITA ARDIATMI FRANSISKA HARUM OKTAVIANA HARTONO HASTIKA HERI SUSILO IGNASIUS HERI DWIANTO IKA WIJAYANTI KURNIA REFTA NOVIANTI MAS NURITA DEVI MOHAMMAD SJIFAA MUHAMAD WAWAN ANWARUDIN MUHAMMAD TAUFIQ YUNUS MUS RANDY, S.ST. FT NI PUTU DEVI SULISTYAWATI KARDHA NIDA QONITA ROFIFAH



TEMPAT LAHIR



TANGGAL LAHIR



JENIS KELAMIN



BANDUNG SUKOHARJO PURWOREJO TANGERANG SUKOHARJO SUNGGUMINASA KALIKOTES KLATEN KARANGANYAR BOYOLALI JAKARTA KLATEN KARANGANYAR SUKOHARJO BEKASI TEMANGGUNG SURABAYA YOGYAKARTA PARE-PARE SURAKARTA KEDIRI KEBUMEN JAKARTA SINGKAWANG KETANGGUNGAN MAJALENGKA MARETO MUTTIARA DENPASAR JAKARTA



11-07-1991 23-05-1997 16-11-1983 14-05-1986 03-06-1997 22-01-1991 08-01-1971 07-10-1981 27-04-1996 03-03-1997 13-06-1995 29-03-1965 03-10-1964 14-02-1992 18-02-1987 03-11-1988 12-05-1953 04-10-1991 24-11-1968 26-06-1961 06-06-1986 26-11-1989 19-01-1994 09-10-1970 04-04-1988 20-11-1988 21-03-1990 14-09-1990 30-11-1997



L P P L P L P L P P P L P L P P L P L L P P P L L L L P P



AGAMA



ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM KATHOLIK ISLAM ISLAM ISLAM ISLAM ISLAM KATHOLIK ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM KATHOLIK ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM HINDU ISLAM



NAMA IBU KANDUNG



TEJANINGSIH SITI RAHMAH LEGIRAH MULYANI WARSINI PATMAWATI YUSTINA NANIK SUKARNI SAMIYEM SUHARSIH NURHAYANI SITI KOMARIYAH S. HARTININGSIH SURATI KUSMIASIH SRI ATMINI MARIA ANNA R WAFAT JUMIATI JAFAR SRISUYATI (ALMARHUM ) SUTRINI KATIJAH SUSANA PUJI ANJARWANI (ALM) ASMINA MARYAM ENAH SITTI ROSTIAH MUDAHARI NI WAYAN SUWETRINI KHUSNUL KHOTIMAH



PARAF



NO



NIM



NIK/CIF PASPOR



NAMA LENGKAP



TEMPAT LAHIR



TANGGAL LAHIR



JENIS AGAMA



NAMA IBU KANDUNG



KELAMIN 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47



P27226019220 P27226019221 P27226019222 P27226019223 P27226019224 P27226019225 P27226019226 P27226019227 P27226019228 P27226019229 P27226019230 P27226019231 P27226019232 P27226019233 P27226019234 P27226019235 P27226019236 P27226019237



192101091 3313120510930001 3216060405720032 3505074402970003 3216076407970004 3602140702970012 6472065403930001 3172044106950005 3402035406970003 1802231008950002 192101099 3309066608880004 3173012810820017 3404121703970002 3277034908770011 3311125410950003 3519095106970002 3309115104950008



NURTATIK HARIMURNI OKTAVIA ABRIANTO PARMO RADEN RORO INTEN PURWANDARI RIANA HARMA KHAIRANI POHAN RINALDI RIZKI TIARSONO RISKI EXCAVANI AMALIA,S.TR.FT SARAH NUR ILLAHI SITI KHAJAR QONAAH SLAMET RIYANTO SOFFIL YUDHA MULYADI SRIHARTATI SUNARTO TAUFIQ ARDIANSYAH TETRININGRUM WIDYASTUTI VERNANDA OKTAVIANI WANDA PRESSILIA PUTRI APRIMURTI WIWIED RATNA UTAMI



KLATEN KARANGANYAR BOYOLALI KOTABARU BEKASI LEBAK BANTUL JAKARTA BANTUL KOTAGAJAH BONTANG BOYOLALI KARANGANYAR KARAWANG KARANGANYAR SUKOHARJO MADIUN SLEMAN



12-11-1984 05-10-1993 04-05-1972 04-02-1997 24-07-1997 27-02-1997 14-03-1993 01-06-1995 14-06-1997 10-08-1995 09-06-1992 26-08-1988 28-10-1982 17-03-1997 09-08-1977 14-10-1995 11-06-1977 11-04-1995



P L L P P L P P P L L P L L P P P P



ISLAM PROTESTAN ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM ISLAM



WAJINI TRI HASTUTI CRUBUS (ALM)/NGATMI SRI SUBEKTI SERI HARTATI YETI MULYATI PARTINI NOVIAWATI SUBINAH DARYATIN SARWITRI WARTINI SUMIYATI MARSINAH WARSINAH SRI HANDAYANI EKO MURYANTI RATMINI



PARAF



VERIFIKASI DATA MAHASISWA BARU PROGRAM STUDI PENDIDIKAN PROFESI FISIOTERAPIS PROGRAM PROFESI JURUSAN FISIOTERAPI POLITEKNIK KESEHATAN KEMENKES SURAKARTA TAHUN AKADEMIK 2019/2020 KELAS "B" TANGGAL LAHIR



JENIS KELAMIN



SURAKARTA



08-08-1969



L



PROTESTAN



SUPARNI



SRAGEN



13-07-1981



L



ISLAM



MISRIWIJATI



AMALIA SEPTIYANI



BRAJA HARJOSARI



19-09-1990



P



ISLAM



SUPIYATI



3310104604970003



APRILLITA ASMARA NUR RAHMAWATI



KLATEN



06-04-1997



P



ISLAM



KARTINING RAHAYU



3314101109880001



ASEF GOWANDA



SRAGEN



11-09-1988



L



ISLAM



TUNJUNG WULANDARI



P27226019243



3175075707780015



DEDE SUSIANA



CIAMIS



17-07-1978



P



ISLAM



MUNAWAROH



7



P27226019244



3502074312970001



DEVITA VERDA YUSHIKA



PONOROGO



03-12-1997



P



ISLAM



NUR HASANAH



8



P27226019245



3372040803970002



DHEMAR INGGA HUNTARA



SURAKARTA



08-03-1997



L



PROTESTAN



NINING UNTARI



9



P27226019246



3303152210950001



DODI OKTAFIANDANU



PURBALINGGA



22-10-1995



L



ISLAM



RUDI MULYATININGSIH



10



P27226019247



3372045806800003



DWI YUNINGSIH



SURAKARTA



18-06-1980



P



ISLAM



SUTIYAH



NO



NIM



NIK/CIF PASPOR



NAMA LENGKAP



1



P27226019238



3173080808690008



AGUS BUDI RAHARJO



2



P27226019239



3314171307810002



AGUS SISWOYO



3



P27226019240



1807225909900001



4



P27226019241



5



P27226019242



6



TEMPAT LAHIR



AGAMA



NAMA IBU KANDUNG



11



P27226019248



3308195105770001



DYAH WAHYU UTAMI



MAGELANG



11-05-1977



P



ISLAM



SRI SUBEKTI



12



P27226019249



1571021907820041



EKO SEDYO UTOMO



DEMAK



19-07-1982



L



PROTESTAN



SUKAYATI



13



P27226019250



3372014206740005



ENDAH WAHYUNINGSIH



SURAKARTA



02-06-1974



P



KATHOLIK



THERESIA MURSIATI



14



P27226019251



3172042604710006



FACHMY RASYAD



JAKARTA



26-04-1971



L



ISLAM



NUR EMMY



15



P27226019252



3314036602920001



FEBRY LASANTI PURBANTANTIA



PURWAKARTA



26-02-1992



P



ISLAM



SRI SULASTRI



16



P27226019253



1605014202980002



FITRI NUR ANNISA



B.SRIKATON



02-02-1998



P



ISLAM



EKA WAHYU INDARMIATI



17



P27226019254



3520085106960001



GANIS YOHANITA



MAGETAN



11-06-1996



P



ISLAM



TATIK SUMARGIYATI



18



P27226019255



3314105501860001



HARYATMI WULANDARI



SRAGEN



15-01-1986



P



ISLAM



KUSDARYATMI



19



P27226019256



32705012812850030



HIDAYAT WAHYU SAPUTRO



JAKARTA



28-12-1985



L



ISLAM



SRI KLIWATI



20



P27226019257



5171026810900001



KOMANG TRI ADI SUPARWATI



DENPASAR



28-10-1990



P



HINDU



NI MADE SUDIASIH



21



P27226019258



3173055109890003



MAKMURIYAH



JAKARTA



11-09-1989



P



ISLAM



HJ. SRI TUTIYAH



22



P27226019259



3521020603720001



MIFTAH ROSYID FATHIN



NGOMPAK CEPOKO



27-09-1997



L



ISLAM



SITI FITRIYAH



23



P27226019260



3309102810970001



MUH PAMUNGKAS ADI SURYA



BOYOLALI



28-10-1997



L



ISLAM



SITI SUPRIHATIN



24



P27226019261



6409011002760005



MUHAMMAD IDHANG, SST.FT



MASAGO



10-02-1976



L



ISLAM



ALM. HJ. RAMLAH



25



P27226019262



3314111103900002



MUHAMMAD WAHID NASRUDIN



SRAGEN



11-03-1990



L



ISLAM



YULIYARTI



26



P27226019263



3314106610970001



NADHIFAH AQVI TUFFAHATY



SRAGEN



26-10-1997



P



ISLAM



ENDANG WARSININGSIH



PARAF



TANGGAL LAHIR



JENIS KELAMIN



KLUNGKUNG



23-04-1994



P



HINDU



NI MADE SUTARNI



NINDI YANTIKA DELYUZIR



PADANG



27-09-1986



P



ISLAM



ZARNI YANTI



PRIMASUCI AGUSTI



SOLOK



01-08-1989



P



ISLAM



ROZETTA



9171024403830001



RETNANINGSIH TYASWATI



JAYAPURA



04-03-1983



P



KATHOLIK



DEBORA SUHARSIH



P27226019268



3374103105970001



RYAN BAGAS SETYANTO



SEMARANG



31-05-1997



L



ISLAM



SETYA UTAMI



P27226019269



6403056706780003



SALTRI PAEMBONAN



PALOPO



27-06-1978



P



PROTESTAN



JULIANA RANGGA SULU



33



P27226019270



191031921010987



SANDY SEFTIAN



JAKARTA SELATAN



02-09-1989



L



ISLAM



MARTINI



34



P27226019271



6107063006970001



SHODIQ HENDARTA



SINGKAWANG



30-06-1997



L



ISLAM



SUWARNI



35



P27226019272



3216065903660008



SITI PURWANINGSIH



NGAWI



19-03-1966



P



PROTESTAN



SUMILAH



36



P27226019273



3674071901750001



SLAMET RIYONO



SALATIGA



19-01-1975



L



PROTESTAN



DASMI



37



P27226019274



3275081506600080



SUGENG SUPRIONO



SOLO



15-06-1960



L



PROTESTAN



YATMINI



38



P27226019275



35180952017000008



SUJATMIKOWATI



NGANJUK



12-01-1970



P



ISLAM



MENIK



39



P27226019276



3276031001800011



SUKAMTO



WONOGIRI



10-01-1980



L



ISLAM



SURATMI



40



P27226019277



3175090706870001



SYAEPUDIN



JAKARTA



07-06-1987



L



ISLAM



INI BINTI DAUD



41



P27226019278



3174062103880001



TEGUH SUGIARTO



JAKARTA



21-03-1988



L



ISLAM



MURTAMAH



42



P27226019279



3404076612650004



TITIK SETYANINGSIH



SUKOHARJO



26-12-1965



P



ISLAM



SUKIYEM



43



P27226019280



6472061405970001



TITO DWI MEIARDY



SAMARINDA



14-05-1997



L



ISLAM



DETI DAHNIAR



44



P27226019281



3604016806800558



TRI WAHYU WIDHIASIH



YOGYAKARTA



28-06-1980



P



ISLAM



MARSIYAH



45



P27226019282



3506254909900001



VINA SEPTI WULANDARI



KEDIRI



09-09-1990



P



ISLAM



JUMAROH



46



P27226019283



3271025611940003



WINA WIDIATUL HIKMAH



BOGOR



16-11-1994



P



ISLAM



IROH ROHAYATI



47



P27226019284



3321114407970003



YOSI NUR FADHILAH



DEMAK



04-07-1997



P



ISLAM



SITI HALIMAH



48



P27226019285



3571015911960004



ZULFA FADHILA DJAMIL



KEDIRI



19-11-1996



P



ISLAM



SRI YULIARTI



NO



NIM



NIK/CIF PASPOR



NAMA LENGKAP



27



P27226019264



5105026304940001



NI PUTU INDAH SURYANDARI



28



P27226019265



3603286709860004



29



P27226019266



192101098



30



P27226019267



31 32



TEMPAT LAHIR



AGAMA



NAMA IBU KANDUNG



PARAF