NO

NO. PESERTA

NAMA

L/P

ALAMAT

1

013

MOCH. KHOIRUL ANWAR

L

Ds. Trenggulunan RT/RW : 01/01 Ngasem

2

015

BULAN BINTANG SATRIO

L

Ds. Palemban RT/RW : 003/002 Kanor

3

051

AHMAD YUSUF

L

DS. Malo RT/RW : 05/02 Malo

4

052

YAUMITDIN SUGIANTO

L

Ds. Glagahan RT/RW : 013/07 Sugihwaras

5

077

DWI HARTONO

L

Ds. Sugihwaras RT/RW : 15/01 Sugihwaras

6

078

FARIDA OKTARINI

P

Ds. Kunci RT/RW : 18/02 Dander

7

079

IKA NANTI NUR HIDAYATI

P

Ds. Mojokampung RT/RW : 02/01 Bojonegoro

8

094

DWI ARIANTI

P

Ds. Tulungrejo, Trucuk

9

191

AHMAD KHUSNUL MAKIN

L

Ds. Cendana RT/RW : 07/02 Padangan

10

200

M. HERI IRAWAN

L

Ds. Bulu RT.08.02 Kec. Balen

11

202

M. SHOLIKIN

L

Ds. Kuncen Kec. Padangan

12

209

AGUS SUCAHYONO

L

Dsn. Sumur Pandan RT.08/05 Sukosewu

13

210

REVANSIA MISSI PERDANA

P

Ds. Ngasem RT.18/06 Kec. Ngasem

14

212

M. YASIN

L

Ds. Pilanggede Kec. Balen

15

229

ABDUL GHOFUR

L

DS. Rendeng 06/03 Malo

16

231

HENDRO PRIYO UTOMO

L

DS. Malo 02/01 Malo

17

233

SRI UTAMININGSIH

P

Ds. Tondomulyo RT/RW ; 04/01 Kedungadem

18

275

UMAR AL ATAS

L

Ds. Trate, Sugihwaras

19

294

ABDUL KHOLIK MUTAHAR

L

Ds. Panjang 10/04 Kedungadem

20

303

RUPTAMADJI

L

Ds. Tambakrejo

21

304

TEGUH SETIYONO

L

DS. Pengkol Tambakrejo

22

305

AHMAD SHOHID

L

Ds. Katur, Gayam

23

317

MIFTAKHUL HUDA

L

Ds. Ngablak 11/02 Dander

24

318

MUHAMMAD NUR ABIDIN

L

Ds. Cangakan 03/02 Kanor

25

321

AKHMAD MUGNI

L

DS. Semambung 01/01 Kanor

26

324

MUNAWAR

L

Ds. Kalirejo RT.08/02 Bojonegoro

27

333

M. KHOIRUL ROSIDIN

L

Ds. Samberan RT.08/01 Kanor

28

353

ZAINAL YUNIA ABIDIN

L

Ds. Trucuk RT.10/01 Kec. Trucuk

29

386

ARIFIN

L

Ds. Katur, Gayam

30

403

SUWATI

P

DS. Pejok, Kepohbaru

31

428

DYAH TRIBARA WASPANINGSIH

P

Jl Mahoni Selatan 7 no.19 perumnas mojoranu

32

446

NOVI NOSTALGIANTI

P

Ds. Kepoh Kidul 09/03 Kedungadem

33

452

MOH. RIDWAN

L

Jl. RA Kartini 02/01 Kemamang, Balen

34

474

AHMAD MASHUDA

L

DS. Ngujung 05/01 Temayang

35

435

MUHAMMAD WARNADI

L

Ds. Jumput 01/01 Sukosewu

36

469

ABDUL AZIS

L

Ds. Sidomukti 23/06 Kepohbaru

37

486

ROZI

L

Dsn.Trajan 14/02 Ds.Trate Sugihwaras

38

402

TRIANA AYU K

P

Ds. Papringan, Temayang

39

062

NYAMIDI

L

Ds. Sarirejo RT/RW : 12/03 Balen

40

472

M. NUR HIDAYAT

L

Ds. Padangmentoyo 03/01 Kapas

41

183

NU'MAN ANSORI

L

Ds. Mulyorejo RT/RW : 02/01 Balen

42

128

NUR LAILANI

P

DS. Bulaklo Rt/RW : 11/02 Balen

43

493

SONY SUHARSONO

L

Jl. MH. Thamrin Gg. Tegal Luwung

44

130

AHMAD NAJIBULLAH

L

Ds. Sendangagung RT/RW : 01/01 Sumberrejo

45

406

INAWAROH

P

Ds. Sumbergede, Kepohbaru

46

378

MASNUA YUNIATIN

P

Ds. Wedi 7/1 Kapas

47

098

MOCH SHOKHIB

L

Ds. Balenrejo RT/RW : 12/02 Balen

48

319

MUTAQIN

L

Jl. Kyai Hasyim 07 Padangan

49

131

NAZARUDDIN LATIEF

L

Ds. Malo RT/RW : 02/01 Malo

50

182

NOWO HERIYONO

L

Ds. Tanjungharjo RT/RW : 17/03 Kapas

51

496

SIDIK SUDARSONO

L

Ds. Buntalan Kec. Temayang

52

320

FAHRUDIN

L

Jl. Meliwis No. 1173 Sumberrejo

53

214

DONNY TAUFIK WIJAYA

L

Jl. Lisman Gg. Baru I No.16 Bojonegoro

54

206

MOCH. SYARIF

L

Ds. Duyungan RT.01/02 Kec. Sukosewu

55

468

ARIF WAHYUDI

L

Jl. Sonorejo 141 Banjarjo 04/04, Padangan

56

022

ABDUL KHOLIQ

L

Ds. Tlogoagung RT/RW :01/01, Baureno

57

467

PANCA NOVA ERI EMANIAR

P

Ds. Banjarjo 04./01 Padangan

58

019

DANI KRISNA HERMANSYAH

L

Ds. Mojoranu RT/RW : 09/03, Dander

59

514

EKA ARIF SUDARMAWAN

L

Ds. Tlogorejo Kec. Kepohbaru

60

441

FATYA RAHMAWATI

P

Ds. Terate 14/02 Sugihwaras

61

103

AHMAD RIFAI

L

Ds. Tanggungan RT/RW : 03/02 Ngraho

62

408

EKO YULIESTIYONO

L

Ds. Kebonagung, Padangan

63

034

PESICA DINAR YURISTINA

P

Jl. Panglima Sudirman  RT. 003 RW. 001 Klangon

64

141

DJONI ISWANTO

L

Jl. KH. Mansyur Gg. Slamet No. 28 Bojonegoro

65

110

M. SHIDKON

L

Ds. Sumbertlaseh RT.10/01 Kec. Dander

66

204

AGUS SUGIYANTO

L

Ds. Jumput RT.04/01 Kec. Sukosewu

67

172

TAUFAN ARIA NUGROHO A.

L

Rumah Dinas PUSKESMAS Sugihwaras

68

301

DIDIK MARDIYONO

L

Ds. Tambakrejo RT/RW: 06/02

69

261

ENJANG DIAN

P

Ds. Clebung RT/RW : 03/01 Bubulan

70

498

AINUR ROFIQ

L

Ds. Plesungan RT/RW : 013/002, Kapas

71

519

MASLUHAN

L

Ds. Tanjungharjo Kec. Kapas

72

520

AHMAD IKSAN

L

Ds. Katur RT.05/02 Kec. Gayam

73

492

SATRIA IKE INTAN K

P

Jl. Lettu Suyitno -Mulyoagung

74

487

DODIK KURNIAWAN

L

Dsn.Tugu Ds.Pilang 04/01 Kanor

75

220

IKA NURUL SHOFIYAH

P

Dsn.Sumur Pandan RT.08/05 Sukosewu

76

063

ARI SUJATMIKO

L

Ds. Bayemgede RT/RW : 03/01 Kepohbaru

77

405

SYAIFUDDIN ZUHRI

L

DS. Mojosari, Kepohbaru

78

311

LILIK AHMAWATI

P

Jl. Pemuda 74 Ngrowo

79

497

ADI SOFIA HIDAYAT

L

Ds. Sembung Kec. Kapas

80

189

MOH. ABDUL ROHIM

L

Ds. Gapluk, Purwosari

81

135

M. SYAIFUL ANWAR

L

Ds. Senganten RT/RW: 04/01 Gondang

82

122

ABDUL JALIL AFIFUDIN

L

Ds. Pasinan RT/RW : 06/03 Baureno

83

507

AHYARUDDIN

L

Ds. Talun Kec. Sumberrejo