PROCESSING FORM DATA
Serial Number | Name | Phone No/ WA | Passport No. | Address | Place of Birth | Date of Birth | Gender | Passport Issues Date | Passport Place of Issues | Marital Status |
---|---|---|---|---|---|---|---|---|---|---|
20 | I NYOMAN YONG SUDITANAYA | 089605278630 | C6915959 | JL. ZAMBRUD II/7 DENPASAR UTARA, JL. INDRAJAYA/DENPASAR UTARA, DENPASAR, INDONESIA, 80116, Indonesia | DENPASAR | 31/12/1976 | Male | 25/10/2020 | DENPASAR | Married |
19 | I Kadek Agus Mertayasa | 087752891679 | C8232038 | Br.cengolo DS Sudimara tabanan, Be.cengolo ds Sudimara tabanan, Tabanan, Indonesia, Indonesia | Be.cengolo | 26/11/1996 | Male | 05/11/2021 | Ngurah ray | Single |
18 | Kadek yudi Yudastra | 085646979062 | C7560069 | Banjar pande kelod tulikup gianyar, Gianyar, Indonesia, 80511, Indonesia | Tulikup gianyar | 25/07/1996 | Male | 12/07/2021 | Denpasar | Married |
17 | I Wayan Gaca | 081338567442 | C5771289 | Dusun Adegan, Desa Ped, Kec. Nusa, Penida, Kab. Klungkung, Bali, Klungkung, Bali, 80771, Indonesia | Klungkung | 05/03/1985 | Male | 17/01/2020 | Denpasar | Single |
16 | I nengah Punia | 085858931300/081236156060 | C2034440 | Br Dina's kertabuana, Karangasem, Denpasar, 80853, Indonesia | Kertabuana | 14/04/1989 | Male | 09/01/2019 | Denpasar | Single |
15 | Dewa putu Andriana | 087893633666 | C3251411 | Desa kelating dukuh kecamatan kerambitan kabupaten tabanan, Tabanan, Indonesia, 82161, Indonesia | Kelating | 13/03/1989 | Male | 24/04/2019 | Ngurah rai | Married |
14 | I Made Agus Indrawan | 087811355610 | C4353972 | Dusun Minggir Desa Gelgel, Klungkung, Klungkung, 80716, Indonesia | Gelgel | 10/08/1994 | Male | 19/08/2019 | Denpasar | Single |
13 | I nengah Punia | 085858931300 | C2034440 | Br Dina's kertabuana, Indonesia | Kertabuana | 14/04/1989 | Male | 09/01/2019 | Denpasar | |
12 | I WAYAN NARKO PRATAMA PUTRA | 085717824062 | C4623893 | BR.BUKIAN, BUKIAN, GIANYAR, GIANYAR, 80511, Indonesia | PAYANGAN | 25/01/2022 | Male | 19/01/2022 | DENPASAR | Single |
11 | I Made Agus Indrawan | 087811355610 | C4353972 | Dusun Minggir Desa Gelgel Klungkung, Semarapura, Klungkung, 80716, Indonesia | Gelgel | 10/08/1994 | Male | 19/08/2019 | Denpasar | Single |
10 | Ngakan Ketut Antara Yadnya | +6282247319991 | C3160992 | Jln gunungsari br tojan blahbatuh, Gianyar, Bali, 80518, Indonesia | Lampung | 26/07/1980 | Male | 03/05/2019 | Denpasar | Married |
9 | i putu wijana | 081239712686 | B8821499 | br padangaling,caubelayu,marga, tabanan, tabanan, tabanan, 82111, Indonesia | tabanan | 06/05/1981 | Male | 03/01/2018 | denpasar | Married |
8 | I Komang Alit Saputra | 081337738882 | C8251754 | Dusun Lekok, desa Sampalan Kelod,kec Dawan, Jln Ratna III no.10, Kemoning, Klungkung, Indonesia, 80716, Indonesia | Klungkung | 13/01/1982 | Male | 19/01/2022 | Denpasar | Single |
7 | I WAYAN WIRA UTAMAYASA | 087757761458 | C1782850 | Be.kubur.ketewel.sukawati.gianyar bali, Be.kubur, ketewel, Sukawati, Gianyar, Gianyar, Jl.nusa indah no 88 ketewel, 80582, Indonesia | Gianyar | 25/11/1987 | Male | 22/11/2018 | Denpasar | Married |
6 | I Putu Wahyu Eka Nanda | 08563887005 | C8317710 | Br. Kubur, Ketewel, Sukawati, Gianyar, Bali, Indonesia, Gianyar, Indonesia, 80582, Indonesia | Denpasar | 21/06/1998 | Male | 20/01/2022 | Ngurah Rai | Single |
5 | I Gusti Ngurah Ketut Sukawidana | +6281236317695 | C8388687 | Gang subali, Banjar rangdu desa pohsanten kec.mendoyo, Jembrana, Bali, 82261, Indonesia | Dusun tengah | 11/03/1987 | Male | 19/01/2022 | Singaraja | Married |
4 | I nyoman Muliawan | 081338725306 | C0909192 | Jalan cermai, lingkungan roban, Bitera, gianyar, Bali, Indonesia, 80511, Indonesia | Gianyar | 30/11/1972 | Male | 17/07/2018 | Denpasar | Married |
3 | I putu Gunarta | 082146078400 | C8251725 | Br.batulantang,Ds.sulangai,Kc.petang,Badung, Denpasar,bali, Indonesia, 80353, Indonesia | Badung | 29/09/1992 | Male | 19/01/2022 | Denpasar | Married |
2 | Ni nyoman sri Wahyuni | 085253405942 | C2498037 | Br dinas munti desa timur,tianyar tengah kec kubu,kab karangasem, Jln raya dalung gang dam indah 2 no 5, Denpasar, Indonesia, 80111, Indonesia | Karangasem | 27/07/1985 | Female | 01/03/2019 | Denpasar | Single |
1 | Ni made Pitriani | 081946449815 | C0501034 | Tabanan, Indonesia | Lingk.jadi desa tabanan | 06/08/1985 | Female | 21/06/2018 | Denpasar | Single |