| NO | NAMA LENGKAP | ALAMAT | RW | RT | TEMPAT ASAL | MASA BERLAKU |
|---|---|---|---|---|---|---|
| 1 | MATIUS MARKUS MANUPUTTY | POTROAGUNG 2/33-D | 003 | 002 | HALMAHERA UTARA | 01-10-2015 |
| 2 | TAJI | POTRO AGUNG 2/27 | 003 | 002 | BANGKALAN | 08-01-2015 |
| 3 | MARIYAH | POTRO AGUNG 2/27 | 003 | 002 | BANGKALAN | 08-01-2015 |
| 4 | LULIK IRMAWATI | RANGKAH 5/21 | 004 | 005 | MAGETAN | 21-03-2015 |