Pengumuman Kelulusan Hasil Akhir CPNS Basarnas Tahun 2017

RESCUER PEMULA
NO. NOPES NAMA
HASIL INTEGRASI NILAI SKD DAN SKB
SELEKSI CPNS TAHUN 2017
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530001 -
PANITIA SELEKSI NASIONAL CPNS 2017
Jl. Jend. Sudirman Kav. 69
Jakarta Selatan - 12190 Indonesia
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS A LAMPUNG
Badan Nasional Pencarian dan Pertolongan
PENDIDIKAN : Id: 28189 (F=10)
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
AKHIRNILAI 60 %100 %
40531120000098 MOH MUSTOPA 317 63.400 25.3601 77.5003001000 77.500 77.500 L71.86046.500
40531120000898 ARI WIRANATA 325 65.000 26.0002 72.5603001000 72.563 72.563 L69.53843.538
40531120001134 FEBRINALDO 276 55.200 22.0803 72.1303101500 72.125 72.125 L65.35543.275
40531120002042 GIVARI FAJRIN 328 65.600 26.2404 64.7503101500 64.750 64.750 L65.09038.850
40531120001128 GILANG ROBY ISMOYO.ST 327 65.400 26.1605 64.4403001000 64.438 64.438 L64.82338.663
40531120001082 MULDI SAPTONO 314 62.800 25.1206 65.8103001000 65.813 65.813 L64.60839.488
40531120001100 DEDI PRANATA 289 57.800 23.1207 69.0603001000 69.063 69.063 L64.55841.438
40531120000115 ANDRESYAH FRANDIKA 322 64.400 25.7608 64.5003001000 64.500 64.500 L64.46038.700
40531120001138 ZAMU HARADIN TAJIRA 256 51.200 20.4809 72.7503001000 72.750 72.750 L64.13043.650
40531120001056 AGUNG PRATAMA 243 48.600 19.44010 74.4403001000 74.438 74.438 L64.10344.663
40531120001906 BUDI HARTO 219 43.800 17.52011 76.5603001000 76.563 76.563 63.45845.938
40531120000117 FURQON 292 58.400 23.36012 66.0003001000 66.000 66.000 62.96039.600
40531120001125 WAHYU SAPUTRA. BM 288 57.600 23.04013 66.3803001000 66.375 66.375 62.86539.825
40531120001142 KHAMDANI YAHYA 251 50.200 20.08014 70.0003001000 70.000 70.000 62.08042.000
40531120000228 DESMIKA TRIAWAN 258 51.600 20.64015 68.3803001000 68.375 68.375 61.66541.025
40531120001062 AHMAD SAKURI HARAHAP 241 48.200 19.28016 70.6303001000 70.625 70.625 61.65542.375
40531120002243 YOGA SAPUTRA 280 56.000 22.40017 64.6303001000 64.625 64.625 61.17538.775
40531120002006 RIZAL SAPUTRA 303 60.600 24.24018 61.3803001000 61.375 61.375 61.06536.825
40531120001140 MUHAMAD ABID PRAYOGA 258 51.600 20.64019 67.2503101500 67.250 67.250 60.99040.350
40531120001137 RIZKY RAMADHAN ADI WIJAYA 288 57.600 23.04020 63.2503001000 63.250 63.250 60.99037.950
40531120001141 JEFRI CATUR JUNAIDI 246 49.200 19.68021 68.7503001000 68.750 68.750 60.93041.250
40531120001117 FERLI YANSAH 244 48.800 19.52022 68.8803101500 68.875 68.875 60.84541.325
40531120000910 ROBI YANSYAH 230 46.000 18.40023 69.5603001000 69.563 69.563 60.13841.738
40531120001086 AFIF 254 50.800 20.32024 66.2503001000 66.250 66.250 60.07039.750
40531120000314 ISNAN ROSYADI 255 51.000 20.40025 65.8803001000 65.875 65.875 59.92539.525
40531120001927 FAJAR FITRIYANTO 257 51.400 20.56026 64.3803101500 64.375 64.375 59.18538.625
40531120000887 MUHAMMAD FERIYANTO 277 55.400 22.16027 60.8103101500 60.813 60.813 58.64836.488
40531120001187 A. INDRA PERMANA PUTRA 255 51.000 20.40028 63.5003001000 63.500 63.500 58.50038.100
40531120000234 ISRA JULIO AKBAR 205 41.000 16.40029 70.0003001000 70.000 70.000 58.40042.000
40531120000227 ANDRIAS PRILIANTONI 242 48.400 19.36030 64.8803001000 64.875 64.875 58.28538.925
1 / 44SELEKSI NASIONAL CPNS 2017

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530001 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120002005 CHARLES GITO 295 59.000 23.60031 57.5003001000 57.500 57.500 58.10034.500
40531120000157 REZA YOLANDA 308 61.600 24.64032 55.5603101500 55.563 55.563 57.97833.338
40531120001054 RIO ARBIAN 220 44.000 17.60033 67.2503001000 67.250 67.250 57.95040.350
40531120001126 WAHYU PRATAMA 331 66.200 26.48034 52.2503101500 52.250 52.250 57.83031.350
40531120002037 RENDRA JULIANSYAH 294 58.800 23.52035 57.1303101500 57.125 57.125 57.79534.275
40531120001095 AHMAD PERDANA 247 49.400 19.76036 63.3103001000 63.313 63.313 57.74837.988
40531120001139 YUDHA PRIMADONA 242 48.400 19.36037 62.5003001000 62.500 62.500 56.86037.500
40531120000890 FERO JULIAWAN 189 37.800 15.12038 68.8803001000 68.875 68.875 56.44541.325
40531120000015 EGI MAULANA 259 51.800 20.72039 59.1303001000 59.125 59.125 56.19535.475
40531120000309 KURNIA ADE BINTARA 273 54.600 21.84040 57.1303101500 57.125 57.125 56.11534.275
40531120002219 AZHAR ABDUL FATTAH PURNOMO 265 53.000 21.20041 56.3803101500 56.375 56.375 55.02533.825
40531120000892 ADE VIO PRAJAYA 293 58.600 23.44042 50.5003101500 50.500 50.500 53.74030.300
40531120000908 NIZA SUWANDA 253 50.600 20.24043 55.7503001000 55.750 55.750 53.69033.450
40531120002029 MUHAMMAD ZULPIKAR 178 35.600 14.24044 63.7503101500 63.750 63.750 52.49038.250
40531120001999 PEBRI SETIAWAN 267 53.400 21.36045 49.7503001000 49.750 49.750 51.21029.850
40531120001920 WAHYU SAPUTRA 235 47.000 18.80046 53.9403101500 53.938 53.938 51.16332.363
40531120001918 SIGIT KURNIADI 235 47.000 18.80047 49.8103101500 49.813 49.813 48.68829.888
40531120000976 ILHAM IBRAHIM 270 54.000 21.60048 44.6303001000 44.625 44.625 48.37526.775
40531220001928 FEBRISA ABRIYA VALENTINA 255 51.000 20.40049 45.5003001000 45.500 45.500 47.70027.300
40531220001664 PRESTI RATNA SAPUTRI 277 55.400 22.16050 41.4403101500 41.438 41.438 47.02324.863
40531220001098 MAYA SEPTIKA 193 38.600 15.44051 47.5603001000 47.563 47.563 43.97828.538

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530002 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS A JAKARTA
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001907 KETUT AGUS ADI SAPUTRA 316 63.200 25.2801 68.6903001000 68.688 68.688 L66.49341.213
40531120000689 RIFAN GUSRIANTO 294 58.800 23.5202 71.5603001000 71.563 71.563 L66.45842.938
40531120001846 PRAYOGA NURBIYANTO 352 70.400 28.1603 62.6903001000 62.688 62.688 L65.77337.613
40531120001914 PAMBUDI NURWIDJAYA 342 68.400 27.3604 63.2503001000 63.250 63.250 L65.31037.950
40531120001375 CIGRA APTA LABAN PONJOT 248 49.600 19.8405 74.6903101500 74.688 74.688 L64.65344.813
40531120000755 FANDU FAISAL 325 65.000 26.0006 64.1303001000 64.125 64.125 L64.47538.475
40531120000768 LINTANG AFI YUDHISTIRA 274 54.800 21.9207 70.8803101500 70.875 70.875 L64.44542.525
40531120001935 MUHAMMAD RIZALDYFITRAH 341 68.200 27.2808 61.2503001000 61.250 61.250 L64.03036.750
40531120000760 DHINAR CAHYO PUTRA 319 63.800 25.5209 64.0603001000 64.063 64.063 L63.95838.438
40531120000750 SURYA ANGGA TIRTA SRIDARMAWAN 311 62.200 24.88010 64.5003001000 64.500 64.500 L63.58038.700
40531120001948 MUHAMMAD MUHAJJIR 251 50.200 20.08011 71.3803101500 71.375 71.375 62.90542.825
40531120000771 MUHAMMAD ASEP AWALUDDIN 279 55.800 22.32012 64.2503001000 64.250 64.250 60.87038.550
40531120000765 DENDY NOEGRAHA 253 50.600 20.24013 66.7503001000 66.750 66.750 60.29040.050
40531120002135 M. ALVIAN MUZAKHI AL KALILI 268 53.600 21.44014 64.4403001000 64.438 64.438 60.10338.663
40531120001340 M FADLION RIZALDY 223 44.600 17.84015 70.2503001000 70.250 70.250 59.99042.150
40531220001251 JENNEFER BMM 280 56.000 22.40016 61.5003101500 61.500 61.500 59.30036.900
40531120001243 RUDY SETYAWAN 281 56.200 22.48017 61.0003001000 61.000 61.000 59.08036.600
40531220000754 RENDI NUR INDAH SARI 300 60.000 24.00018 58.3803101500 58.375 58.375 59.02535.025
40531120001819 I WAYAN THESA LEO MAHARDIKA 252 50.400 20.16019 64.3803001000 64.375 64.375 58.78538.625
40531220001317 SASKIA NURFAIZA BALQIS 280 56.000 22.40020 60.1903001000 60.188 60.188 58.51336.113
40531120001345 YOPI ANDRIANSYAH.K. 304 60.800 24.32021 55.6303001000 55.625 55.625 57.69533.375
40531120002137 FEBBY RAMADIANSYAH 255 51.000 20.40022 60.5603001000 60.563 60.563 56.73836.338
40531120000881 ESA ASEP SAEPUDIN 216 43.200 17.28023 65.1903101500 65.188 65.188 56.39339.113
40531120001824 CAHYA SUTISNA 251 50.200 20.08024 59.8103001000 59.813 59.813 55.96835.888
40531120001319 M FARHAN MAULANA 209 41.800 16.72025 62.6303001000 62.625 62.625 54.29537.575
40531120001845 HENRIE KARINGGA PUTRA 231 46.200 18.48026 50.4403001000 50.438 50.438 48.74330.263

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530003 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS A BANDUNG
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001769 MUHAMMAD ALAMZAH 287 57.400 22.9601 89.7503001000 89.750 89.750 L76.81053.850
40531220000086 ERLIN INTAN DAMAYANTI 331 66.200 26.4802 78.2503001000 78.250 78.250 L73.43046.950
40531120000766 ERIK ICHWANA 351 70.200 28.0803 75.3803001000 75.375 75.375 L73.30545.225
40531120001600 MUHAMMAD HAMGARI 270 54.000 21.6004 85.8103001000 85.813 85.813 L73.08851.488
40531120000692 LAODE ANDRI 275 55.000 22.0005 82.5003001000 82.500 82.500 L71.50049.500
40531120001609 DEDI SAPUTRA 294 58.800 23.5206 77.5003001000 77.500 77.500 L70.02046.500
40531120001583 EGA PRASUTIA 316 63.200 25.2807 73.0003001000 73.000 73.000 L69.08043.800
40531120000144 YUDI ARIANTO 320 64.000 25.6008 72.4403101500 72.438 72.438 L69.06343.463
40531120000741 MOCH DZIKRI FATAN 289 57.800 23.1209 75.6303001000 75.625 75.625 L68.49545.375
40531120001495 RESTU RIZKY INDRAYANA 292 58.400 23.36010 75.1303101500 75.125 75.125 L68.43545.075
40531120000809 AHMAD RIFKI HIDAYAT 268 53.600 21.44011 78.0003001000 78.000 78.000 68.24046.800
40531120000031 ADI TRIANA PUTRA 293 58.600 23.44012 74.0003101500 74.000 74.000 67.84044.400
40531120001736 DENDY PRATAMA MUHARAM 340 68.000 27.20013 66.6303001000 66.625 66.625 67.17539.975
40531120000717 ALBERT RIDWAN BANJARNAHOR 305 61.000 24.40014 71.0003001000 71.000 71.000 67.00042.600
40531120001500 KHAERUDIN 317 63.400 25.36015 69.3803001000 69.375 69.375 66.98541.625
40531220000220 ZULFATUS SURAYA 276 55.200 22.08016 74.6303001000 74.625 74.625 66.85544.775
40531120001660 IMAN TRI SUHARYANA 322 64.400 25.76017 68.3803001000 68.375 68.375 66.78541.025
40531120001014 PANJI NURRAKHMAN 336 67.200 26.88018 66.4403101500 66.438 66.438 66.74339.863
40531120001682 MUHAMMAD AFIF KHOIRUL ANAM 304 60.800 24.32019 70.3803001000 70.375 70.375 66.54542.225
40531220000699 SELA MARLINA 279 55.800 22.32020 72.9403101500 72.938 72.938 66.08343.763
40531120001858 REZA MAULANA 301 60.200 24.08021 69.8803001000 69.875 69.875 66.00541.925
40531220000329 RESTI FADILLAH 293 58.600 23.44022 70.0003001000 70.000 70.000 65.44042.000
40531120000292 INDRA YOGA SAMODRA 255 51.000 20.40023 75.0003101500 75.000 75.000 65.40045.000
40531120002309 ANGGA WIBISONO 327 65.400 26.16024 65.1903001000 65.188 65.188 65.27339.113
40531120002273 RULI RUGHIANTO 282 56.400 22.56025 70.8803001000 70.875 70.875 65.08542.525
40531120000715 TRI MOEKTI KUNCORO 281 56.200 22.48026 71.0003001000 71.000 71.000 65.08042.600
40531120000289 ASTHA TRI SWASTIKA WIJAYA 318 63.600 25.44027 66.0003001000 66.000 66.000 65.04039.600
40531220001738 SUCI AUDINA RAMADHANI 335 67.000 26.80028 62.8103001000 62.813 62.813 64.48837.688
40531120000096 FACHRI ACHSAN 295 59.000 23.60029 67.9403101500 67.938 67.938 64.36340.763
40531120000769 IRSHA AJI MAYDIFA 253 50.600 20.24030 73.1303001000 73.125 73.125 64.11543.875

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530003 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531220001849 VEGA YULISTIANI 311 62.200 24.88031 65.3103001000 65.313 65.313 64.06839.188
40531220000806 INDRIANI INDAH SARI 297 59.400 23.76032 67.0003001000 67.000 67.000 63.96040.200
40531120001555 WIRA ARDYNANTA S PELAWI 337 67.400 26.96033 61.5603101500 61.563 61.563 63.89836.938
40531220002299 ELLI ROSEMIATI 280 56.000 22.40034 67.1303001000 67.125 67.125 62.67540.275
40531120001657 MERDI ARJAWI 262 52.400 20.96035 69.4403001000 69.438 69.438 62.62341.663
40531120000083 RASYID IQBAL MAULANA 282 56.400 22.56036 66.2503101500 66.250 66.250 62.31039.750
40531120000221 RANDY SEPTIANDY 219 43.800 17.52037 74.4403001000 74.438 74.438 62.18344.663
40531120000704 REZA PRATAMA 280 56.000 22.40038 66.1303001000 66.125 66.125 62.07539.675
40531120001895 RIFKY AKBAR SYAHLEVI 307 61.400 24.56039 62.3803101500 62.375 62.375 61.98537.425
40531220000082 NESYA SAFIRA 298 59.600 23.84040 63.0603101500 63.063 63.063 61.67837.838
40531120000213 YANA NURDIANA 271 54.200 21.68041 66.6303001000 66.625 66.625 61.65539.975
40531120001567 HARI PRASOJO 302 60.400 24.16042 62.4403101500 62.438 62.438 61.62337.463
40531120001746 GHOFAR RAMADON 281 56.200 22.48043 65.0603101500 65.063 65.063 61.51839.038
40531120000080 ALEXANDER BADAI M 279 55.800 22.32044 65.0003001000 65.000 65.000 61.32039.000
40531120001893 CECEP FIRMANSYAH 276 55.200 22.08045 64.8103001000 64.813 64.813 60.96838.888
40531120001943 SLAMET EFENDI 302 60.400 24.16046 60.7503101500 60.750 60.750 60.61036.450
40531120000693 MUHAMMAD ILHAM 228 45.600 18.24047 70.5603001000 70.563 70.563 60.57842.338
40531220001019 KARINA RAHARDINI GUNAWAN 275 55.000 22.00048 63.9403101500 63.938 63.938 60.36338.363
40531120001862 MOHAMAD NUR FAIZI 284 56.800 22.72049 62.6903001000 62.688 62.688 60.33337.613
40531120001571 ZAENALUDIN 311 62.200 24.88050 58.6303001000 58.625 58.625 60.05535.175
40531120001855 ADI DARMAWAN 264 52.800 21.12051 63.6303101500 63.625 63.625 59.29538.175
40531220001863 RITA SORAYA 239 47.800 19.12052 66.3803001000 66.375 66.375 58.94539.825
40531120001594 DIAN HERMAWAN 287 57.400 22.96053 59.8803101500 59.875 59.875 58.88535.925
40531220000005 IRMA INDRIYANI MULYADI 233 46.600 18.64054 67.0603101500 67.063 67.063 58.87840.238
40531120000209 MUHAMAD NURKHOLIS 267 53.400 21.36055 61.3103001000 61.313 61.313 58.14836.788
40531120000797 RIDHO ROBBY SUTARYA 279 55.800 22.32056 59.0603101500 59.063 59.063 57.75835.438
40531120002390 BAGAS TYA RELA PRASAJA 257 51.400 20.56057 61.8103001000 61.813 61.813 57.64837.088
40531220001902 ERLINA SRI RAHAYU PS 264 52.800 21.12058 60.8103001000 60.813 60.813 57.60836.488
40531120000094 RINDAM NUR APRIYADI 236 47.200 18.88059 64.3803001000 64.375 64.375 57.50538.625
40531120001642 ADI NATA MIHARJA 214 42.800 17.12060 66.0603001000 66.063 66.063 56.75839.638

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530003 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000739 SERIEF NANDA NURYA WIGRHA 301 60.200 24.08061 54.4403001000 54.438 54.438 56.74332.663
40531120000282 RENDI REPALDI 253 50.600 20.24062 60.5003101500 60.500 60.500 56.54036.300
40531120000100 ANGGRI WAHYU ANGGORO 288 57.600 23.04063 54.3803001000 54.375 54.375 55.66532.625
40531120000728 ARIS FIRMANSYAH 204 40.800 16.32064 58.6303001000 58.625 58.625 51.49535.175
40531220000716 ANITA KURNIA PUTRI 230 46.000 18.40065 54.0603001000 54.063 54.063 50.83832.438
40531120001560 DEDI SAPUTRA 220 44.000 17.60066 54.3803101500 54.375 54.375 50.22532.625
40531220000743 DYAH AIDILLA 300 60.000 24.00067 43.6903001000 43.688 43.688 50.21326.213
40531120000746 ANDREAN RAHMAD SETIAWAN 252 50.400 20.16068 49.1903101500 49.188 49.188 49.67329.513
40531220001847 TENYA NURFATIMA 274 54.800 21.92069 44.0003001000 44.000 44.000 48.32026.400

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530004 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B JAMBI
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001501 RIZKI ARDIANSYAH 335 67.000 26.8001 82.0603101500 82.063 82.063 L76.03849.238
40531220002177 AYU MASTURA S 356 71.200 28.4802 73.1303001000 73.125 73.125 L72.35543.875
40531120001998 AAN SETIAWAN 301 60.200 24.0803 80.2503001000 80.250 80.250 L72.23048.150
40531120000984 TRI SUTRISNO 301 60.200 24.0804 76.3803001000 76.375 76.375 L69.90545.825
40531120000307 TOMY PRANDONO HERMAWAN 271 54.200 21.6805 77.6903101500 77.688 77.688 L68.29346.613
40531120000049 EVREN LEGES PINO 245 49.000 19.6006 79.5003001000 79.500 79.500 L67.30047.700
40531120000090 MUHAMMAD AGUS FAHRUZI 242 48.400 19.3607 77.8103001000 77.813 77.813 L66.04846.688
40531120000186 APRI AZHAR 257 51.400 20.5608 74.0603001000 74.063 74.063 L64.99844.438
40531120000986 ROY FISMAL TANJUNG 304 60.800 24.3209 67.1303001000 67.125 67.125 L64.59540.275
40531120000301 ROBBY KURNIAWAN 311 62.200 24.88010 65.6903001000 65.688 65.688 L64.29339.413
40531120000187 EDO IRIANSYAH SAPUTRA 246 49.200 19.68011 73.7503001000 73.750 73.750 63.93044.250
40531120001271 ANDRI SAPUTRA 242 48.400 19.36012 72.4403001000 72.438 72.438 62.82343.463
40531120001466 ABDUL RAHMAN SYAPUTRA 259 51.800 20.72013 69.8103001000 69.813 69.813 62.60841.888
40531120000424 ILHAM 283 56.600 22.64014 66.3803001000 66.375 66.375 62.46539.825
40531120000089 RINDI RINEALDI 287 57.400 22.96015 65.5003001000 65.500 65.500 62.26039.300
40531120000414 DADANG SETIAWAN 307 61.400 24.56016 62.5603001000 62.563 62.563 62.09837.538
40531120000445 RANJES AGUSTI 260 52.000 20.80017 68.6903001000 68.688 68.688 62.01341.213
40531120000118 MARYULIS HENDRA 240 48.000 19.20018 71.3103001000 71.313 71.313 61.98842.788
40531120001306 JOVIKA RAHMAN 184 36.800 14.72019 77.8103101500 77.813 77.813 61.40846.688
40531120001458 M. SEPTIYAN AWALIA 278 55.600 22.24020 64.8103001000 64.813 64.813 61.12838.888
40531120000421 FAISAL 253 50.600 20.24021 68.0003001000 68.000 68.000 61.04040.800
40531120000433 GILANG RAHMADAN 279 55.800 22.32022 64.3803001000 64.375 64.375 60.94538.625
40531220000185 FUSPITA EFDIYATI 332 66.400 26.56023 56.8803001000 56.875 56.875 60.68534.125
40531120000463 RANDHY ASTIRA LATUCON SINA 280 56.000 22.40024 63.1303001000 63.125 63.125 60.27537.875
40531120001763 TRI NUR RIDWAN 296 59.200 23.68025 60.8803001000 60.875 60.875 60.20536.525
40531120001259 ALDI SEPRI ANDRA 229 45.800 18.32026 68.7503001000 68.750 68.750 59.57041.250
40531120001506 DUWEL TANJUNG 221 44.200 17.68027 69.3803001000 69.375 69.375 59.30541.625
40531120000449 AHMAD RASYIDI 183 36.600 14.64028 73.8803001000 73.875 73.875 58.96544.325
40531120000272 MUHAMMAD AMRI SUANDIKA 219 43.800 17.52029 67.3803001000 67.375 67.375 57.94540.425
40531120000410 DODDY WAHYUDI SYAHPUTRA 250 50.000 20.00030 62.0603101500 62.063 62.063 57.23837.238

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530004 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B JAMBI
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000308 THIO ARDIMAS 253 50.600 20.24031 61.0003001000 61.000 61.000 56.84036.600
40531120000051 M.REZA AULIA 216 43.200 17.28032 65.2503001000 65.250 65.250 56.43039.150
40531120001499 NAZMI ALWAHDI 277 55.400 22.16033 56.3103001000 56.313 56.313 55.94833.788
40531120002011 DANI DANESWARA 238 47.600 19.04034 61.4403101500 61.438 61.438 55.90336.863
40531120001462 AGUS SALIM 251 50.200 20.08035 58.6903001000 58.688 58.688 55.29335.213
40531220002013 DEVIANITA H 286 57.200 22.88036 53.3803001000 53.375 53.375 54.90532.025
40531120000184 MUHAMMAD RIZKI. S 204 40.800 16.32037 62.3103001000 62.313 62.313 53.70837.388
40531120002184 ABDUL MALIK GOZI 263 52.600 21.04038 54.1303001000 54.125 54.125 53.51532.475
40531120001518 YOGI AHMAD YUNIZEN 203 40.600 16.24039 60.6303101500 60.625 60.625 52.61536.375
40531220001457 WENI GEMASIH MICO 195 39.000 15.60040 61.0003001000 61.000 61.000 52.20036.600
40531120001519 RIDHO FADDILAH AKBAR 240 48.000 19.20041 51.9403101500 51.938 51.938 50.36331.163

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530005 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B PANGKAL PINANG
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531220000244 RENI 267 53.400 21.3601 96.6903101500 96.688 96.688 L79.37358.013
40531220000249 DETRI JULIANTI 288 57.600 23.0402 86.0003101500 86.000 86.000 L74.64051.600
40531120001631 SANDY PURNOMO 292 58.400 23.3603 83.6303001000 83.625 83.625 L73.53550.175
40531120001436 IMAM TRY GUSTAV 269 53.800 21.5204 84.7503101500 84.750 84.750 L72.37050.850
40531120000609 SURYA ADITAMA 290 58.000 23.2005 79.4403001000 79.438 79.438 L70.86347.663
40531220000245 SITI YUMNA P 299 59.800 23.9206 78.1903001000 78.188 78.188 L70.83346.913
40531120000197 SANDY NURIANSYAH 213 42.600 17.0407 84.7503001000 84.750 84.750 L67.89050.850
40531120000239 EFRI MAULIDO 250 50.000 20.0008 79.6903001000 79.688 79.688 L67.81347.813
40531120002204 RIZKI SASTIAN SYAPUTRA 309 61.800 24.7209 71.5603101500 71.563 71.563 L67.65842.938
40531120001362 ANDRE ADESTA 243 48.600 19.44010 79.5003101500 79.500 79.500 L67.14047.700
40531120000555 OKTA EFRIANSYA 284 56.800 22.72011 73.6903101500 73.688 73.688 66.93344.213
40531120000241 RAHADIAN FITRAH M. 289 57.800 23.12012 71.8803101500 71.875 71.875 66.24543.125
40531220001446 UMMU RAHMA NADIA 282 56.400 22.56013 66.0003001000 66.000 66.000 62.16039.600
40531120000611 APRIANSAH PUTRA SETIAWAN 237 47.400 18.96014 70.7503101500 70.750 70.750 61.41042.450
40531120001229 RIFALDY PRATAMA PUTRA 215 43.000 17.20015 73.6303001000 73.625 73.625 61.37544.175
40531120000243 SURYADI 279 55.800 22.32016 65.0003001000 65.000 65.000 61.32039.000
40531120000598 YOGI PRATAMA 321 64.200 25.68017 59.3803101500 59.375 59.375 61.30535.625
40531120000566 RIDWAN BOY HARIANJA 323 64.600 25.84018 58.3103101500 58.313 58.313 60.82834.988
40531120000252 RIZKY TRI BELLI 280 56.000 22.40019 62.6903101500 62.688 62.688 60.01337.613
40531120000547 ARFINANDO SAPUTRA 261 52.200 20.88020 65.0003001000 65.000 65.000 59.88039.000
40531120002213 PRASSETIYO 320 64.000 25.60021 56.8103001000 56.813 56.813 59.68834.088
40531120002202 BAGAS ADHIM ROUDHO AGMA 307 61.400 24.56022 58.3103001000 58.313 58.313 59.54834.988
40531120000588 MUHAMMAD ALFI HIDAYAT 254 50.800 20.32023 64.3103001000 64.313 64.313 58.90838.588
40531120000642 JAMALUDDIN MUTTALIB 264 52.800 21.12024 60.5603001000 60.563 60.563 57.45836.338
40531120001621 DWI NUR PRASETYO 264 52.800 21.12025 60.5603001000 60.563 60.563 57.45836.338
40531120000240 SEPTIAN HARYADI 269 53.800 21.52026 59.3803001000 59.375 59.375 57.14535.625
40531120001237 MUHAMMAD HAMSON SIREGAR 224 44.800 17.92027 64.3103001000 64.313 64.313 56.50838.588
40531120001366 KUSUMA PAMUNGKAS 278 55.600 22.24028 56.1903001000 56.188 56.188 55.95333.713
40531120000604 LAODE HADI ISMAIL 219 43.800 17.52029 59.3803101500 59.375 59.375 53.14535.625
40531220000652 APRILIA 337 67.400 26.96030 43.3103001000 43.313 43.313 52.94825.988

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530005 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B PANGKAL PINANG
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120002224 DIAN NOVIZARI 100 20.000 8.00031 71.8803101500 71.875 71.875 51.12543.125
40531120002206 SUTRIYA PIKAR 236 47.200 18.88032 52.9403101500 52.938 52.938 50.64331.763
40531220001624 SABDA PUTRIA 286 57.200 22.88033 41.5603001000 41.563 41.563 47.81824.938
40531120000637 WELLY DHARMA PRATAMA ARITONANG 212 42.400 16.96034 51.0603101500 51.063 51.063 47.59830.638

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530006 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B BENGKULU
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000859 SEBASTIAN TITO 266 53.200 21.2801 89.2503001000 89.250 89.250 L74.83053.550
40531220000907 DEBI GEO FANNY 330 66.000 26.4002 79.8803001000 79.880 79.880 L74.32847.928
40531120000861 ANJU WILFRID MARULITUA SINURAT 314 62.800 25.1203 79.2503001000 79.250 79.250 L72.67047.550
40531120000479 MUHAMMAD KHALIQ FARIZAN 342 68.400 27.3604 70.6303001000 70.630 70.630 L69.73842.378
40531120000874 TRI ADMOJO 322 64.400 25.7605 71.3803101500 71.380 71.380 L68.58842.828
40531120000476 HENDRA 254 50.800 20.3206 78.8803101500 78.880 78.880 L67.64847.328
40531120000832 DAENDLES NOVICO PUTRA 310 62.000 24.8007 70.6903101500 70.690 70.690 L67.21442.414
40531120001160 ANDRE ADI SAPUTRA 298 59.600 23.8408 71.6903001000 71.690 71.690 L66.85443.014
40531120002262 MUHAMAD KORI 272 54.400 21.7609 75.1303101500 75.130 75.130 L66.83845.078
40531120000914 PARISTANTO 286 57.200 22.88010 73.2503101500 73.250 73.250 L66.83043.950
40531120002106 A. YAHYA KARDINANDO 267 53.400 21.36011 75.3803001000 75.380 75.380 66.58845.228
40531120000852 BAGUS PUTRA WIJAKSANA 288 57.600 23.04012 71.7503101500 71.750 71.750 66.09043.050
40531120002110 RANALDO SAPUTRA 240 48.000 19.20013 78.0003001000 78.000 78.000 66.00046.800
40531120000883 MUHAMMAD WAHYU RAMADAN 285 57.000 22.80014 71.3803001000 71.380 71.380 65.62842.828
40531120000473 ARIOOS NORMANSYAH 322 64.400 25.76015 66.3803001000 66.380 66.380 65.58839.828
40531120000833 HENDRA DWI SAPUTRA 255 51.000 20.40016 74.8103001000 74.810 74.810 65.28644.886
40531120001892 ANDRIANTO 303 60.600 24.24017 68.1903001000 68.190 68.190 65.15440.914
40531120000872 ANDI PRANATA 326 65.200 26.08018 65.0003001000 65.000 65.000 65.08039.000
40531120001582 ANDRE ARDIANTO 321 64.200 25.68019 65.3803001000 65.380 65.380 64.90839.228
40531120000267 JAMIN GUSDIONO TANJUNG 269 53.800 21.52020 72.3103001000 72.310 72.310 64.90643.386
40531120002084 ARDIANTA TARIGAN 279 55.800 22.32021 70.6903001000 70.690 70.690 64.73442.414
40531120000870 JOHENDI SAPUTRA 290 58.000 23.20022 69.1303001000 69.130 69.130 64.67841.478
40531120002120 ADAM DWI KAMBELA 292 58.400 23.36023 68.3103001000 68.310 68.310 64.34640.986
40531120000059 PEBRA FIZAMIL 287 57.400 22.96024 68.7503101500 68.750 68.750 64.21041.250
40531120001661 WANDA PUTRA 287 57.400 22.96025 68.6903101500 68.690 68.690 64.17441.214
40531120001578 MUHAMMAD ROFIQ AKBAR 312 62.400 24.96026 64.8103001000 64.810 64.810 63.84638.886
40531120000896 MEKI SANJAYA 273 54.600 21.84027 70.0003101500 70.000 70.000 63.84042.000
40531120002126 WIRA HADINATA 265 53.000 21.20028 70.3103101500 70.310 70.310 63.38642.186
40531120002127 ADITIA SAPUTRA 272 54.400 21.76029 69.1903001000 69.190 69.190 63.27441.514
40531120000493 FEBRI RAMAYOGI 285 57.000 22.80030 67.4403101500 67.440 67.440 63.26440.464

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530006 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B BENGKULU
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001584 ARDANDA MANJUTO 320 64.000 25.60031 62.6303001000 62.630 62.630 63.17837.578
40531120001865 HARRY RAMADHAN 311 62.200 24.88032 63.4403001000 63.440 63.440 62.94438.064
40531120000829 M. YUSUF ALFAEZI 256 51.200 20.48033 69.8103101500 69.810 69.810 62.36641.886
40531120000831 YOGO ADI SAPUTRA 279 55.800 22.32034 65.7503001000 65.750 65.750 61.77039.450
40531120000505 LOBI ISKANDAR 236 47.200 18.88035 71.4403101500 71.440 71.440 61.74442.864
40531120000386 BEGI SETIAWAN 252 50.400 20.16036 68.8103101500 68.810 68.810 61.44641.286
40531120000823 KARESA NOVTA KIADI 264 52.800 21.12037 65.9403001000 65.940 65.940 60.68439.564
40531120002104 ALFIAN NUR BADRA 265 53.000 21.20038 65.3103001000 65.310 65.310 60.38639.186
40531120000316 LURI MIKEL SAPUTRA 239 47.800 19.12039 68.1903001000 68.190 68.190 60.03440.914
40531220000825 MEILIANA DWI PUSPITA 216 43.200 17.28040 70.3803001000 70.380 70.380 59.50842.228
40531120000878 AFIF ALFATHI CAHYEDI SADEWA 269 53.800 21.52041 63.0603001000 63.060 63.060 59.35637.836
40531220000835 EKA SEPTI RAHMAWATI 315 63.000 25.20042 56.3103001000 56.310 56.310 58.98633.786
40531120000834 TADHO BIMANDIKA 258 51.600 20.64043 62.7503001000 62.750 62.750 58.29037.650
40531120000824 BENI DERA WIJAYA 263 52.600 21.04044 62.0603001000 62.060 62.060 58.27637.236
40531120000830 ARYA MUHAMMAD ABIZARDINATA 236 47.200 18.88045 65.3803101500 65.380 65.380 58.10839.228
40531120000398 EEN ANDRIANSYAH 229 45.800 18.32046 66.3103001000 66.310 66.310 58.10639.786
40531120000399 KEVIN KEDINDANI 180 36.000 14.40047 72.0603001000 72.060 72.060 57.63643.236
40531120000126 IMAM AHMAD RIYADI 240 48.000 19.20048 64.0603101500 64.060 64.060 57.63638.436
40531220000058 GUSTIA FEBRIANI 263 52.600 21.04049 60.7503101500 60.750 60.750 57.49036.450
40531120000903 GUSTIAN 249 49.800 19.92050 61.1903001000 61.190 61.190 56.63436.714
40531120002103 BAGUS AJI RAMADHAN 233 46.600 18.64051 62.6903101500 62.690 62.690 56.25437.614
40531120002101 DIYO LAWANO 227 45.400 18.16052 62.6903101500 62.690 62.690 55.77437.614
40531220000889 SILVY DWI NURHANIFAH 231 46.200 18.48053 59.5603101500 59.560 59.560 54.21635.736
40531120000866 KEMAS MUHAMAD BANU HUSADDIN 182 36.400 14.56054 64.3803001000 64.380 64.380 53.18838.628
40531220001873 YESSY FERNANDA 272 54.400 21.76055 50.5003001000 50.500 50.500 52.06030.300
40531220001890 ELDA MALA SARI 276 55.200 22.08056 48.5003001000 48.500 48.500 51.18029.100
40531120000492 ARIFIN MILER SAHALA SIHOMBING 200 40.000 16.00057 58.5603001000 58.560 58.560 51.13635.136
40531220001818 BUNGA FANNI FERTIWI 292 58.400 23.36058 44.5003101500 44.500 44.500 50.06026.700
40531220000905 HESTRIN SASTRIA 175 35.000 14.00059 55.1903101500 55.190 55.190 47.11433.114

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530007 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B PALEMBANG
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000323 HIMAWAN SULISTIYA KUSUMA 352 70.400 28.1601 69.6303101500 69.625 69.625 L69.93541.775
40531220000526 MERY ANDINI 334 66.800 26.7202 68.8103001000 68.813 68.813 L68.00841.288
40531220001030 ATHIRAH GHASSANI 314 62.800 25.1203 70.7503001000 70.750 70.750 L67.57042.450
40531120001619 AHMAD RISKY APRIYANSAH 246 49.200 19.6804 78.2503001000 78.250 78.250 L66.63046.950
40531220000199 IRA MONICA 354 70.800 28.3205 63.3103001000 63.313 63.313 L66.30837.988
40531120000142 IQBAL RANDA MAULANA 270 54.000 21.6006 74.4403001000 74.438 74.438 L66.26344.663
40531120000805 YOGA PRATAMA 297 59.400 23.7607 70.6303001000 70.625 70.625 L66.13542.375
40531120001001 MUHAMAD HARIS 261 52.200 20.8808 74.1303101500 74.125 74.125 L65.35544.475
40531220000620 FITRI 321 64.200 25.6809 65.6303101500 65.625 65.625 L65.05539.375
40531120000136 RICO LUMBAN TORUAN 237 47.400 18.96010 75.6303001000 75.625 75.625 L64.33545.375
40531220000138 NADYA PUTRI AFRIZA 287 57.400 22.96011 68.7503001000 68.750 68.750 64.21041.250
40531120000544 M. PREEL GUMEI MUSHOWWIR 307 61.400 24.56012 65.5003001000 65.500 65.500 63.86039.300
40531220000546 FERINA ARISANDA 287 57.400 22.96013 68.0603001000 68.063 68.063 63.79840.838
40531120000560 ABIZAR ASMAUL 270 54.000 21.60014 69.0003101500 69.000 69.000 63.00041.400
40531120000792 IMAM INDRATNO 274 54.800 21.92015 68.3103001000 68.313 68.313 62.90840.988
40531220000042 AYU DYA INTAN PRATIWI 310 62.000 24.80016 61.8803001000 61.875 61.875 61.92537.125
40531120000565 NIRMANSYAH 259 51.800 20.72017 68.0003101500 68.000 68.000 61.52040.800
40531120000532 CARLOS FERNANDEZ 282 56.400 22.56018 64.8803001000 64.875 64.875 61.48538.925
40531120002125 ALDIANSYAH 263 52.600 21.04019 66.8803001000 66.875 66.875 61.16540.125
40531220000778 IPA PUJI ASTUTI 287 57.400 22.96020 63.1903101500 63.188 63.188 60.87337.913
40531220002384 DWI NURFITRIA NINGSIH 293 58.600 23.44021 62.0603101500 62.063 62.063 60.67837.238
40531120000583 LIWON SAPUTRA 207 41.400 16.56022 73.3103101500 73.313 73.313 60.54843.988
40531120000135 M. RIZAL 257 51.400 20.56023 66.0003001000 66.000 66.000 60.16039.600
40531120000627 HERNANDA SUZASMAN 228 45.600 18.24024 68.8103001000 68.813 68.813 59.52841.288
40531120000595 NUR AFNI 255 51.000 20.40025 65.1303001000 65.125 65.125 59.47539.075
40531120002074 RIANSYAH 257 51.400 20.56026 64.6903101500 64.688 64.688 59.37338.813
40531120000326 YOGA FANHALEND 231 46.200 18.48027 67.3803001000 67.375 67.375 58.90540.425
40531220000808 NOVA RISKA 244 48.800 19.52028 65.1903001000 65.188 65.188 58.63339.113
40531120000064 RADI ALPIAN 220 44.000 17.60029 68.3103101500 68.313 68.313 58.58840.988
40531120000641 HARIES KURNIANTO 293 58.600 23.44030 58.4403001000 58.438 58.438 58.50335.063

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530007 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B PALEMBANG
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000327 WINDRA DINATA 244 48.800 19.52031 64.6303001000 64.625 64.625 58.29538.775
40531120001034 PANGKI NOPENDES 182 36.400 14.56032 72.8803001000 72.875 72.875 58.28543.725
40531120000563 RIZADHA APRIANSAH 265 53.000 21.20033 60.5603001000 60.563 60.563 57.53836.338
40531120000134 DERIANTO 232 46.400 18.56034 64.8803101500 64.875 64.875 57.48538.925
40531220000519 FITRIANI 250 50.000 20.00035 62.3103001000 62.313 62.313 57.38837.388
40531120002066 FANDY AHMAD UTOMO 239 47.800 19.12036 63.6903001000 63.688 63.688 57.33338.213
40531120001722 TRIO DEBI SYAHPUTRA 278 55.600 22.24037 57.6903001000 57.688 57.688 56.85334.613
40531220000638 VERA DWI PUTRI 284 56.800 22.72038 56.7503001000 56.750 56.750 56.77034.050
40531220001026 ADE AGUSTRIANI 237 47.400 18.96039 61.5603001000 61.563 61.563 55.89836.938
40531120002078 PERI BOGIANTO 199 39.800 15.92040 65.6303001000 65.625 65.625 55.29539.375
40531120000633 JAKA PRATAMA ANGGIYAWAN 217 43.400 17.36041 60.8103001000 60.813 60.813 53.84836.488
40531120000201 MARLIN SURYADI 199 39.800 15.92042 61.5003001000 61.500 61.500 52.82036.900
40531120000140 FACHRI ALFAZANI 210 42.000 16.80043 58.8803001000 58.875 58.875 52.12535.325

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530008 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B GORONTALO
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000355 MUHAMMAD ZAIN HUNOWU 307 61.400 24.5601 85.3803001000 85.375 85.375 L75.78551.225
40531120001174 AQUN TRIPINTARA MARALI 302 60.400 24.1602 84.4403001000 84.438 84.438 L74.82350.663
40531120000055 IKO JUNTORO 304 60.800 24.3203 82.5003101500 82.500 82.500 L73.82049.500
40531120000407 ANDIKA 301 60.200 24.0804 82.5603001000 82.563 82.563 L73.61849.538
40531120000382 MUHAMMAD RIFAN R 305 61.000 24.4005 81.9403101500 81.938 81.938 L73.56349.163
40531120001419 MUAMMAR KURNIAWAN DWI HUTOMO 339 67.800 27.1206 77.3803001000 77.375 77.375 L73.54546.425
40531120000373 DJUMAEDI 292 58.400 23.3607 81.8803001000 81.875 81.875 L72.48549.125
40531120000130 NURI FAUJI 286 57.200 22.8808 81.2503101500 81.250 81.250 L71.63048.750
40531120000370 AZHAR MOHUNE 271 54.200 21.6809 82.1903001000 82.188 82.188 L70.99349.313
40531120001218 RUSTAN 285 57.000 22.80010 79.9403101500 79.938 79.938 L70.76347.963
40531120001171 RAHMAT KONI 280 56.000 22.40011 79.8803001000 79.875 79.875 70.32547.925
40531120000270 HERMAN HAMZAH 255 51.000 20.40012 82.5003001000 82.500 82.500 69.90049.500
40531120000379 MOHAMAD AZHARI ASWAN 267 53.400 21.36013 80.7503001000 80.750 80.750 69.81048.450
40531120000348 ZAINUL MUTTAQUIN 274 54.800 21.92014 79.4403001000 79.438 79.438 69.58347.663
40531120000131 FAIZAL MUBAROK 244 48.800 19.52015 83.1303001000 83.125 83.125 69.39549.875
40531120001215 MOHAMAD CAHYO UTORO 319 63.800 25.52016 71.8103001000 71.813 71.813 68.60843.088
40531120000053 MOCH SHOHIH 264 52.800 21.12017 77.6903101500 77.688 77.688 67.73346.613
40531120000377 ALFATH DJ IBRAHIM 318 63.600 25.44018 69.8803001000 69.875 69.875 67.36541.925
40531120001486 SYAHRUL BAFADAL 240 48.000 19.20019 79.6903001000 79.688 79.688 67.01347.813
40531120000362 YUNAN KALAKA 291 58.200 23.28020 71.8103001000 71.813 71.813 66.36843.088
40531120000364 MAHMUD HAMID 253 50.600 20.24021 76.3103101500 76.313 76.313 66.02845.788
40531120000353 RAMIN SUAIB 214 42.800 17.12022 81.4403101500 81.438 81.438 65.98348.863
40531120001393 ABD MUIN ARDIANSYAH DAUD 265 53.000 21.20023 74.0003001000 74.000 74.000 65.60044.400
40531120001210 MOH. FAHRI ROHZI PRATAMA 268 53.600 21.44024 72.7503001000 72.750 72.750 65.09043.650
40531120002227 ZULJIBRAN J. SAMALAM 248 49.600 19.84025 75.0003001000 75.000 75.000 64.84045.000
40531120000365 AGUS KASIM 251 50.200 20.08026 73.8803001000 73.875 73.875 64.40544.325
40531120000369 ARDIANSYAH 265 53.000 21.20027 71.8803101500 71.875 71.875 64.32543.125
40531120000054 ZULKIFLI DAUD 229 45.800 18.32028 76.5003001000 76.500 76.500 64.22045.900
40531120001179 ROMI ADITYA BUHELI 232 46.400 18.56029 75.6303001000 75.625 75.625 63.93545.375
40531120001382 MUHAMMAD ADRIANSYAH ABD. SANI 264 52.800 21.12030 70.5003001000 70.500 70.500 63.42042.300

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530008 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B GORONTALO
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000350 AKBAR ZAINAL BUSURA 244 48.800 19.52031 73.0603001000 73.063 73.063 63.35843.838
40531120000376 NOVLIANTO R. DJAFAR 256 51.200 20.48032 71.4403101500 71.438 71.438 63.34342.863
40531120002223 RINTO TOHOPI 255 51.000 20.40033 71.1303001000 71.125 71.125 63.07542.675
40531120000343 ZIAD MOHAMAD 219 43.800 17.52034 75.2503001000 75.250 75.250 62.67045.150
40531120001199 RAHMAT NAPU 200 40.000 16.00035 77.2503001000 77.250 77.250 62.35046.350
40531120002196 BAMBANG SATRIO PRATIDINA 293 58.600 23.44036 64.1903001000 64.188 64.188 61.95338.513
40531120001426 HASYIM PAKAYA 207 41.400 16.56037 75.1903101500 75.188 75.188 61.67345.113
40531120001184 KRISTANTO APIKA MAGOR PUTRA 238 47.600 19.04038 71.0003001000 71.000 71.000 61.64042.600
40531120001221 ARLAN MASAGUNI 242 48.400 19.36039 70.4403001000 70.438 70.438 61.62342.263
40531120002233 JERLINTO OLII 265 53.000 21.20040 67.2503101500 67.250 67.250 61.55040.350
40531220001230 WAHYUNI SAMALAM 259 51.800 20.72041 66.6903001000 66.688 66.688 60.73340.013
40531220000346 SITI NURLELA SARI 239 47.800 19.12042 69.3103101500 69.313 69.313 60.70841.588
40531120000372 HARTANTO BONE 195 39.000 15.60043 75.0603001000 75.063 75.063 60.63845.038
40531120002205 DJAMALUDIN ABDULLAH 216 43.200 17.28044 70.9403001000 70.938 70.938 59.84342.563
40531220000384 ARIATI DEWI 249 49.800 19.92045 65.8803001000 65.875 65.875 59.44539.525
40531120001192 HARI NURHONEY 236 47.200 18.88046 67.5003001000 67.500 67.500 59.38040.500
40531220001206 FATRIYANI IBRAHIM 252 50.400 20.16047 63.5003101500 63.500 63.500 58.26038.100
40531120001173 YAYAN PAKAYA 231 46.200 18.48048 65.8803101500 65.875 65.875 58.00539.525
40531120002211 ADJID DWIPRASTIO TRISNO 233 46.600 18.64049 63.9403101500 63.938 63.938 57.00338.363
40531120001406 VICKRY ANDRIAN TUMBOL 189 37.800 15.12050 69.0003001000 69.000 69.000 56.52041.400
40531120001225 ABDUL MUZAKIR DJOU 262 52.400 20.96051 58.5003101500 58.500 58.500 56.06035.100
40531220000468 DINDA MUSTIKA THALIB 248 49.600 19.84052 54.0003101500 54.000 54.000 52.24032.400
40531120000361 FAHRIL ARIF 80 16.000 6.40053 67.0003101500 67.000 67.000 46.60040.200

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530009 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B PALU
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000612 TAHRIZAL A. RAMADANI 270 54.000 21.6001 81.5003001000 81.500 81.500 L70.50048.900
40531120001650 IRVAN RAHARJAN 312 62.400 24.9602 71.8103101500 71.813 71.813 L68.04843.088
40531120001415 SYAHRUL JAPARUDDIN 312 62.400 24.9603 71.6903101500 71.688 71.688 L67.97343.013
40531120000651 ALI FAJAR ZODIK 233 46.600 18.6404 81.3803001000 81.375 81.375 L67.46548.825
40531120002085 FAHREZA RAY RAMADHANA 269 53.800 21.5205 76.0003101500 76.000 76.000 L67.12045.600
40531120001536 RIJAL ADE FRANATA R 307 61.400 24.5606 70.6303101500 70.625 70.625 L66.93542.375
40531120002092 ERDIANSYAH 265 53.000 21.2007 75.3803001000 75.375 75.375 L66.42545.225
40531120001545 MUH. FIKRI 279 55.800 22.3208 73.4403001000 73.438 73.438 L66.38344.063
40531120000957 AMAR MA'RUF 279 55.800 22.3209 72.5603101500 72.563 72.563 L65.85843.538
40531120000067 MUH. RIVAI 265 53.000 21.20010 74.2503101500 74.250 74.250 L65.75044.550
40531120000631 MUH. GHALIB ANSAR 257 51.400 20.56011 75.0003001000 75.000 75.000 65.56045.000
40531120001414 AZMIR ARIF ARAFLAN 308 61.600 24.64012 68.1903001000 68.188 68.188 65.55340.913
40531120001378 YOPIN SISWANTO 237 47.400 18.96013 76.1303001000 76.125 76.125 64.63545.675
40531120001680 NURUL AKRAM 301 60.200 24.08014 67.3103101500 67.313 67.313 64.46840.388
40531120000630 REZY MALTA 264 52.800 21.12015 71.7503001000 71.750 71.750 64.17043.050
40531120001149 ROZAT ZAIN 246 49.200 19.68016 73.0603001000 73.063 73.063 63.51843.838
40531120000203 QIAT GUSTAMA 240 48.000 19.20017 73.5603001000 73.563 73.563 63.33844.138
40531120001561 MUH ZULKIFLI 259 51.800 20.72018 71.0003001000 71.000 71.000 63.32042.600
40531120001400 MOHAMAD AGUS BUDIMAN 292 58.400 23.36019 66.3803101500 66.375 66.375 63.18539.825
40531120000941 LUKMAN 299 59.800 23.92020 65.4403001000 65.438 65.438 63.18339.263
40531120001559 TRY JULIAWAN MENTARUK 272 54.400 21.76021 68.8803001000 68.875 68.875 63.08541.325
40531220001777 INDRI POGOA 267 53.400 21.36022 69.3803001000 69.375 69.375 62.98541.625
40531120001525 I GUSTI ABDI SABDANA 256 51.200 20.48023 70.1903001000 70.188 70.188 62.59342.113
40531120002088 MUHAMMAD GUNTUR 282 56.400 22.56024 66.4403001000 66.438 66.438 62.42339.863
40531120001403 MUHAMAD SYABDAH ALAMSYAH 286 57.200 22.88025 65.4403001000 65.438 65.438 62.14339.263
40531120001167 RADINAL 250 50.000 20.00026 70.0003101500 70.000 70.000 62.00042.000
40531120000540 ASPA. S 235 47.000 18.80027 70.5603101500 70.563 70.563 61.13842.338
40531120001774 ADITIA LUKMAN 297 59.400 23.76028 61.5003001000 61.500 61.500 60.66036.900
40531120001164 SUPRIADI 223 44.600 17.84029 71.2503001000 71.250 71.250 60.59042.750
40531120001972 RAHMAT 240 48.000 19.20030 68.6903101500 68.688 68.688 60.41341.213

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530009 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001165 NUR FAJAR 249 49.800 19.92031 67.2503001000 67.250 67.250 60.27040.350
40531120002107 SUDARMIN 241 48.200 19.28032 67.8103001000 67.813 67.813 59.96840.688
40531120000558 ERWIN ANDREAS BALANDA 241 48.200 19.28033 67.6303101500 67.625 67.625 59.85540.575
40531120000569 ANDI MUHAMMAD RIDHO ANANDA ISMAN 256 51.200 20.48034 65.1303001000 65.125 65.125 59.55539.075
40531120001161 ASWANDY 280 56.000 22.40035 61.8803001000 61.875 61.875 59.52537.125
40531120001971 RAHMAT TAUFIQ R 243 48.600 19.44036 66.6903101500 66.688 66.688 59.45340.013
40531120000025 HERMANSAH ARDI SANTAWI 277 55.400 22.16037 61.9403101500 61.938 61.938 59.32337.163
40531120001373 ANCO BASRI 178 35.600 14.24038 73.5603001000 73.563 73.563 58.37844.138
40531220001566 NUR FACHIRA ALTIN PATURUSI 309 61.800 24.72039 55.1303001000 55.125 55.125 57.79533.075
40531120000600 ANGGA NOVIANTO PRATAMA 269 53.800 21.52040 60.4403001000 60.438 60.438 57.78336.263
40531120001540 ZULHIJJAS 206 41.200 16.48041 68.4403001000 68.438 68.438 57.54341.063
40531120001665 RUSAIMAN 231 46.200 18.48042 64.6903101500 64.688 64.688 57.29338.813
40531220000554 SITTI HASNAH 301 60.200 24.08043 55.1903101500 55.188 55.188 57.19333.113
40531120001776 YUSRI ANTO 192 38.400 15.36044 68.9403001000 68.938 68.938 56.72341.363
40531120000531 RENDI ADRIAWAN 231 46.200 18.48045 63.5603001000 63.563 63.563 56.61838.138
40531220002091 ASRIANINGSIH 245 49.000 19.60046 61.5603001000 61.563 61.563 56.53836.938
40531120000635 MUH. IYAN ADHA QANAAH 220 44.000 17.60047 63.8803001000 63.875 63.875 55.92538.325
40531120002081 AGUSLAN 219 43.800 17.52048 63.8103001000 63.813 63.813 55.80838.288
40531220001398 NURUL ANNISA 255 51.000 20.40049 58.4403001000 58.438 58.438 55.46335.063
40531120000591 RISWAN KADIR 223 44.600 17.84050 62.5003001000 62.500 62.500 55.34037.500
40531120001806 MUH. SYAWAL 223 44.600 17.84051 62.1303001000 62.125 62.125 55.11537.275
40531120000205 MUH. ISHAK SUKRILLAH 255 51.000 20.40052 57.7503001000 57.750 57.750 55.05034.650
40531120000024 LA ODE RIO 163 32.600 13.04053 68.0003101500 68.000 68.000 53.84040.800
40531220000956 ERNI 225 45.000 18.00054 59.4403101500 59.438 59.438 53.66335.663
40531120001550 REZA DWI HOKI 230 46.000 18.40055 58.7503001000 58.750 58.750 53.65035.250
40531120000106 MOH. ISROILAHI 296 59.200 23.68056 49.3803001000 49.375 49.375 53.30529.625
40531120001564 WARDIMAN 201 40.200 16.08057 61.7503101500 61.750 61.750 53.13037.050
40531120000966 ARIADI 135 27.000 10.80058 69.5003101500 69.500 69.500 52.50041.700
40531120000574 MUH. FAKHRUDDIN 235 47.000 18.80059 56.0003001000 56.000 56.000 52.40033.600
40531120000959 HARIS SANDI 278 55.600 22.24060 48.6303101500 48.625 48.625 51.41529.175

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530009 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531220002096 ASRIDA RATRIASEKA RUSMANA 274 54.800 21.92061 48.3103001000 48.313 48.313 50.90828.988
40531120001801 MOH. WAHYU ANUGRAH 275 55.000 22.00062 45.6903001000 45.688 45.688 49.41327.413
40531120001793 RIFKI 247 49.400 19.76063 48.5003101500 48.500 48.500 48.86029.100
40531120000615 MOHAMMAD YUSUF 210 42.000 16.80064 49.8803101500 49.875 49.875 46.72529.925
40531120001808 AGUS LIANDI 118 23.600 9.44065 52.6903001000 52.688 52.688 41.05331.613

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530010 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B TERNATE
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120002020 RIDWAN ANDA 270 54.000 21.6001 75.8103001000 75.813 75.813 L67.08845.488
40531120002139 FAUJI JUFRI 274 54.800 21.9202 74.7503001000 74.750 74.750 L66.77044.850
40531120001318 HIDAYAT D. HATARI 252 50.400 20.1603 75.7503001000 75.750 75.750 L65.61045.450
40531120002012 FANDI ANDRIYAN 293 58.600 23.4404 66.7503101500 66.750 66.750 L63.49040.050
40531120002306 SAMUD SERGI 273 54.600 21.8405 68.6903001000 68.688 68.688 L63.05341.213
40531120000111 DARMANTO RAUF 220 44.000 17.6006 75.4403001000 75.438 75.438 L62.86345.263
40531120002148 RYAN AZUR SAKTI ALI 214 42.800 17.1207 75.1303101500 75.125 75.125 L62.19545.075
40531120001993 FITRA ANANTA BUDIONO 269 53.800 21.5208 67.4403001000 67.438 67.438 L61.98340.463
40531120002024 HAMJA DJIRUN 214 42.800 17.1209 74.1903101500 74.188 74.188 L61.63344.513
40531120001813 SAFRIL M KASIM 235 47.000 18.80010 71.1303001000 71.125 71.125 L61.47542.675
40531120000112 MUHAMMAD LINGKUNGAN 225 45.000 18.00011 72.1303001000 72.125 72.125 61.27543.275
40531120002163 MUHD FADHEL 233 46.600 18.64012 70.1303001000 70.125 70.125 60.71542.075
40531120002158 RAMADHAN TAMRIN ADI WIJAYA 234 46.800 18.72013 69.6303001000 69.625 69.625 60.49541.775
40531120002062 YUSMIN YAKUB 209 41.800 16.72014 72.9403001000 72.938 72.938 60.48343.763
40531120000992 IRIADI 311 62.200 24.88015 59.0603001000 59.063 59.063 60.31835.438
40531120000110 DEVA VIJAI YUSUF 239 47.800 19.12016 68.1903001000 68.188 68.188 60.03340.913
40531120000113 HERBY ERNANTO 291 58.200 23.28017 60.6303001000 60.625 60.625 59.65536.375
40531120002142 M ISRA FAKAUBUN 233 46.600 18.64018 67.8803001000 67.875 67.875 59.36540.725
40531120001821 INDRAYANTO HASANUDDIN 219 43.800 17.52019 69.6303101500 69.625 69.625 59.29541.775
40531120001877 RAHMAT HIDAYAT 225 45.000 18.00020 68.8103001000 68.813 68.813 59.28841.288
40531120001996 SUHENDRIAWAN UMALEKHOA 222 44.400 17.76021 68.3103101500 68.313 68.313 58.74840.988
40531120002302 KAMAL M. SOAMOLE 237 47.400 18.96022 66.0003001000 66.000 66.000 58.56039.600
40531120002335 SARDI SALIM 218 43.600 17.44023 67.3103101500 67.313 67.313 57.82840.388
40531120002297 ABDUL WAHID 245 49.000 19.60024 62.8803001000 62.875 62.875 57.32537.725
40531120002155 SARJUDIN JAMRUD 194 38.800 15.52025 68.3103001000 68.313 68.313 56.50840.988
40531120001874 FARDAN SAHAR 159 31.800 12.72026 72.9403001000 72.938 72.938 56.48343.763
40531120002152 MIRDAT B. HI. AJID 183 36.600 14.64027 69.5603001000 69.563 69.563 56.37841.738
40531120001825 FIRMAN WAHYUDIN BASIR 222 44.400 17.76028 63.5603001000 63.563 63.563 55.89838.138
40531120002032 DOLFIN TJODI 201 40.200 16.08029 65.6903101500 65.688 65.688 55.49339.413
40531220001490 DWI PUJI PUTRI MARLINA 171 34.200 13.68030 68.6903101500 68.688 68.688 54.89341.213

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530010 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B TERNATE
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001799 M. HASDI HASAN 193 38.600 15.44031 65.0603101500 65.063 65.063 54.47839.038
40531120000333 RIJALDI HASAN 234 46.800 18.72032 58.8803001000 58.875 58.875 54.04535.325
40531220002016 NOVIANTI 230 46.000 18.40033 58.6903001000 58.688 58.688 53.61335.213
40531120002058 PABELAN M JASRODJI 245 49.000 19.60034 56.6303101500 56.625 56.625 53.57533.975
40531120002031 JUNAIDI A. YUSUP 169 33.800 13.52035 58.2503001000 58.250 58.250 48.47034.950
40531220000345 MIRSA YUSMIN 272 54.400 21.76036 43.3803001000 43.375 43.375 47.78526.025

RESCUER PEMULA
NO. NOPES NAMA
4236507 -
3001000/ 3101500
INSTANSI :
UNIT :
FORMASI JABATAN :
40530011 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B MANOKWARI
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001649 AGUSTINUS TANGGAHMA 285 57.000 22.8001 78.5603001000 78.563 78.563 L69.93847.138
40531120000170 LUKMAN DWI FANANI 314 62.800 25.1202 71.9403001000 71.938 71.938 L68.28343.163
40531120000513 MARSELINUS HERLARIUS DALHOSENT 289 57.800 23.1203 70.3803101500 70.375 70.375 L65.34542.225
40531120000072 HENDRIK MANSBAWAR 215 43.000 17.2004 79.1903101500 79.188 79.188 L64.71347.513
40531120000514 MULIADI MUCHTAR 329 65.800 26.3205 62.8803101500 62.875 62.875 L64.04537.725
40531120000658 JHONVRI ARYANTO PIAN 259 51.800 20.7206 69.7503001000 69.750 69.750 L62.57041.850
40531120000663 IRFAN KELIREY 211 42.200 16.8807 74.5003101500 74.500 74.500 L61.58044.700
40531120001267 MUHAMMAD IBNU AKBAR 295 59.000 23.6008 63.0003001000 63.000 63.000 L61.40037.800
40531120000173 INDRA MINANDA TANJUNG 272 54.400 21.7609 65.9403001000 65.938 65.938 L61.32339.563
40531120000171 MIFTHA HEGAR RIANDA RUSLIANA 276 55.200 22.08010 65.2503101500 65.250 65.250 L61.23039.150
40531120001676 RYCLOV CLAUDIO UKTOLSEYA 312 62.400 24.96011 59.5003001000 59.500 59.500 60.66035.700
40531220001269 RETTA PUSPITA SARI 265 53.000 21.20012 64.5603001000 64.563 64.563 59.93838.738
40531120000290 YOHOSUA MANUTUNE 211 42.200 16.88013 70.1303001000 70.125 70.125 58.95542.075
40531220000509 RUTH SEPTIA MATINI 220 44.000 17.60014 68.7503001000 68.750 68.750 58.85041.250
40531120000172 ALI MUSTOFA HABIBI 288 57.600 23.04015 59.0003001000 59.000 59.000 58.44035.400
40531120001282 YOHANES OTTOW GEISSLER. M. 278 55.600 22.24016 59.5003001000 59.500 59.500 57.94035.700
40531220001691 KARTIKA APRIYANI TIMANG 261 52.200 20.88017 60.0603101500 60.063 60.063 56.91836.038
40531120001280 SANDY WICAKSONO 261 52.200 20.88018 59.1903101500 59.188 59.188 56.39335.513
40531120000506 LA ODE MUHAMAD NUR 223 44.600 17.84019 63.0603101500 63.063 63.063 55.67837.838
40531120002276 ALEXANDER TATUHEY 231 46.200 18.48020 60.5603101500 60.563 60.563 54.81836.338
40531120000174 BARRY PASCAL SILANO 254 50.800 20.32021 55.3803001000 55.375 55.375 53.54533.225
40531120000516 YANDRI KURNIAWAN MILIN 243 48.600 19.44022 55.9403001000 55.938 55.938 53.00333.563
40531120000484 ERENS KALEP SAWAKI 190 38.000 15.20023 62.1303001000 62.125 62.125 52.47537.275
40531220000490 OGI ASTRI SEPTRIANA WATI 239 47.800 19.12024 48.5003001000 48.500 48.500 48.22029.100
40531220001668 SEPTINA PALENKAHU 253 50.600 20.24025 45.5603101500 45.563 45.563 47.57827.338
40531220001288 MIRNA 279 55.800 22.32026 42.0603001000 42.063 42.063 47.55825.238
40531120000503 YOSEP HERMANSYAH 273 54.600 21.84027 41.3103101500 41.313 41.313 46.62824.788
40531220000069 RETNO DWI PRATIWI 238 47.600 19.04028 44.5003001000 44.500 44.500 45.74026.700
40531120001279 DIMAS YOGI SATRIA 256 51.200 20.48029 41.5603001000 41.563 41.563 45.41824.938

MASINIS (KELAS II)
NO. NOPES NAMA
4236614 -
3100099
INSTANSI :
UNIT :
FORMASI JABATAN :
40530013 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B KENDARI
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000165 HARDIMAN 230 46.000 18.4001 60.5003100099 60.500 60.500 L54.70036.300

MASINIS (KELAS II)
NO. NOPES NAMA
4236614 -
3100099
INSTANSI :
UNIT :
FORMASI JABATAN :
40530001 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000879 GIOVANNI REYNALDO SIHITE 317 63.400 25.3601 58.5603100099 58.563 58.563 L60.49835.138
40531120001627 INDRA SUBAGJA 183 36.600 14.6402 56.6903100099 56.688 56.688 L48.65334.013

MASINIS (KELAS III)
NO. NOPES NAMA
4236615 -
3100100
INSTANSI :
UNIT :
FORMASI JABATAN :
40530013 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001172 AFI BAISI 267 53.400 21.3601 63.8103100100 63.813 63.813 L59.64838.288
40531120000426 BAMBANG 207 41.400 16.5602 60.5603100100 60.563 60.563 52.89836.338
40531120001601 ANDIK INUR RIYADI 271 54.200 21.6803 49.0003100100 49.000 49.000 51.08029.400
40531120001599 SUKIMAN 250 50.000 20.0004 50.5603100100 50.563 50.563 50.33830.338
40531120001593 AMIRUDDIN 228 45.600 18.2405 47.9403100100 47.938 47.938 47.00328.763

MARKONIS (KELAS II)
NO. NOPES NAMA
4236616 -
3109998
INSTANSI :
UNIT :
FORMASI JABATAN :
40530012 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KANTOR SAR KELAS B TANJUNG PINANG
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001716 WAHYU 297 59.400 23.7601 69.7503109998 69.750 69.750 L65.61041.850
40531120000927 FERRY RAMADHAN 338 67.600 27.0402 60.6903109998 60.688 60.688 L63.45336.413
40531120001717 FAJAR SURYANTOYO 304 60.800 24.3203 63.4403109998 63.438 63.438 62.38338.063
40531120001711 MOCH. FADLI 223 44.600 17.8404 70.8803109998 70.875 70.875 60.36542.525
40531120002073 RIZKI ALI SYAFA'AT 295 59.000 23.6005 58.0603109998 58.063 58.063 58.43834.838
40531120000075 KEVIN CHERIS HONDRO 164 32.800 13.1206 70.7503109998 70.750 70.750 55.57042.450
40531120000923 RAVITO CHOLIF R 243 48.600 19.4407 58.6303109998 58.625 58.625 54.61535.175
40531120000294 HAMDANI 201 40.200 16.0808 60.6903109998 60.688 60.688 52.49336.413

MARKONIS (KELAS II)
NO. NOPES NAMA
4236616 -
3109998
INSTANSI :
UNIT :
FORMASI JABATAN :
40530003 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000471 SIGIT PRASETYO 287 57.400 22.9601 68.1303109998 68.125 68.125 L63.83540.875
40531120002322 AZIS SOPIAN 211 42.200 16.8802 53.0603109998 53.063 53.063 L48.71831.838
40531120001581 ATO SUPRIANTO 248 49.600 19.8403 74.9403109998 74.938 74.938 MD64.80344.963

MARKONIS (KELAS II)
NO. NOPES NAMA
4236616 -
3109998
INSTANSI :
UNIT :
FORMASI JABATAN :
40530013 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001200 MUHAMMAD ANDRI ASHARI 287 57.400 22.9601 57.9403109998 57.938 57.938 L57.72334.763
40531120001180 RAHMAT WAHYUDI 270 54.000 21.6002 52.6903109998 52.688 52.688 53.21331.613

MARKONIS (KELAS III)
NO. NOPES NAMA
4236617 -
3109998
INSTANSI :
UNIT :
FORMASI JABATAN :
40530013 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000460 RIZAL RASYID RIGAY 252 50.400 20.1601 71.0003109998 71.000 71.000 L62.76042.600

SERANG/BOSUN (KELAS II)
NO. NOPES NAMA
4236618 -
3100095
INSTANSI :
UNIT :
FORMASI JABATAN :
40530012 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000919 RONKY. S 236 47.200 18.8801 71.1303100095 71.125 71.125 L61.55542.675
40531120000685 ZULFIAN SAPUTRA 241 48.200 19.2802 64.8803100095 64.875 64.875 58.20538.925

SERANG/BOSUN (KELAS II)
NO. NOPES NAMA
4236618 -
3100095
INSTANSI :
UNIT :
FORMASI JABATAN :
40530003 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000287 LISTIYANA AGUNG WIDAYANTO 310 62.000 24.8001 53.3803100095 53.375 53.375 L56.82532.025

JENANG/KELASI KAPAL (KELAS II)
NO. NOPES NAMA
4236619 -
3100095
INSTANSI :
UNIT :
FORMASI JABATAN :
40530012 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001694 LAMHOT HANGOLUAN SARAGI 238 47.600 19.0401 62.3103100095 62.313 62.313 L56.42837.388
40531120001712 MUHAMMAD AFRIZAL 279 55.800 22.3202 54.0003100095 54.000 54.000 L54.72032.400
40531120001718 MUHAMMAD FAZRYN ARNUR 218 43.600 17.4403 60.5603100095 60.563 60.563 L53.77836.338

JENANG/KELASI KAPAL (KELAS II)
NO. NOPES NAMA
4236619 -
3100095
INSTANSI :
UNIT :
FORMASI JABATAN :
40530003 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000288 SIGIT PURNOMO 314 62.800 25.1201 64.3103100095 64.313 64.313 L63.70838.588
40531120001045 MISWANTO 218 43.600 17.4402 67.3803100095 67.375 67.375 L57.86540.425

JURU MUDI (KELAS II)
NO. NOPES NAMA
4236620 -
3100095
INSTANSI :
UNIT :
FORMASI JABATAN :
40530012 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001708 MUSLIADI 286 57.200 22.8801 66.1903100095 66.188 66.188 L62.59339.713
40531120000684 ROY LUASMAN SARAGIH 269 53.800 21.5202 65.8103100095 65.813 65.813 L61.00839.488
40531120001710 ALPONSO SIMARE MARE 302 60.400 24.1603 58.9403100095 58.938 58.938 L59.52335.363
40531120000295 NUVA WIDIYANTO 280 56.000 22.4004 61.0603100095 61.063 61.063 L59.03836.638
40531120000690 MUHAMMAD FAUZAN 252 50.400 20.1605 60.9403100095 60.938 60.938 56.72336.563
40531120000012 ABDULLAH SYAFEI 249 49.800 19.9206 61.3103100095 61.313 61.313 56.70836.788

JURU MUDI (KELAS II)
NO. NOPES NAMA
4236620 -
3100095
INSTANSI :
UNIT :
FORMASI JABATAN :
40530001 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001089 ANANG JAZIM SUBHAN 284 56.800 22.7201 71.0003100095 71.000 71.000 L65.32042.600
40531120001135 ANDRI 229 45.800 18.3202 75.3103100095 75.313 75.313 L63.50845.188
40531120001053 RUDI FIRMANSYAH 172 34.400 13.7603 69.1303100095 69.125 69.125 L55.23541.475
40531120000877 MUHYIYI 282 56.400 22.5604 42.6903100095 42.688 42.688 48.17325.613

JURU MUDI (KELAS III)
NO. NOPES NAMA
4236621 -
3100095
INSTANSI :
UNIT :
FORMASI JABATAN :
40530013 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000158 IRSAN RAHMAN 271 54.200 21.6801 81.2503100095 81.250 81.250 L70.43048.750
40531120002337 NASWIN 248 49.600 19.8402 72.2503100095 72.250 72.250 L63.19043.350
40531120001181 FERY VASTIAN 318 63.600 25.4403 57.5003100095 57.500 57.500 59.94034.500
40531120001193 SYAIFUDDIN ILHAM PANGANTA 302 60.400 24.1604 59.3803100095 59.375 59.375 59.78535.625
40531120002339 ANDI GAGARIN FAIDDIN MALAODE 222 44.400 17.7605 66.0003100095 66.000 66.000 57.36039.600
40531120000472 MUHAMMAD RACHLIANCHA 271 54.200 21.6806 59.1903100095 59.188 59.188 57.19335.513
40531120001585 MUH. RISAL 254 50.800 20.3207 58.7503100095 58.750 58.750 55.57035.250
40531120001610 SAHARULLAH 226 45.200 18.0808 60.5003100095 60.500 60.500 54.38036.300
40531120001183 ADI HARIADIN 243 48.600 19.4409 58.1303100095 58.125 58.125 54.31534.875
40531120001615 SULYAH ARIN DIJAYA 205 41.000 16.40010 62.1903100095 62.188 62.188 53.71337.313
40531120002146 HERMANSYAH 226 45.200 18.08011 57.9403100095 57.938 57.938 52.84334.763
40531120001596 IZAR BEY KAMARULLAH 201 40.200 16.08012 57.1903100095 57.188 57.188 50.39334.313
40531120001603 RISWANTO 221 44.200 17.68013 52.0003100095 52.000 52.000 48.88031.200
40531120000507 ELFIANUS 266 53.200 21.28014 44.3803100095 44.375 44.375 47.90526.625

TEKNISI LISTRIK (KELAS II)
NO. NOPES NAMA
4236622 -
3109998
INSTANSI :
UNIT :
FORMASI JABATAN :
40530012 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001714 ASRIZAL ADITYA SITOHANG 205 41.000 16.4001 46.7503109998 46.750 46.750 L44.45028.050

JURU MASAK (KELAS II)
NO. NOPES NAMA
4236623 -
3109998
INSTANSI :
UNIT :
FORMASI JABATAN :
40530012 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000676 DZAKY HAIDAR 230 46.000 18.4001 60.2503109998 60.250 60.250 L54.55036.150
40531120001715 FARID GARWAN 95 19.000 7.6002 59.5003109998 59.500 59.500 43.30035.700

JURU MINYAK (KELAS II)
NO. NOPES NAMA
4236624 -
3109998
INSTANSI :
UNIT :
FORMASI JABATAN :
40530001 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000014 FIRMANSYAH POLUAN 280 56.000 22.4001 75.8803109998 75.875 75.875 L67.92545.525
40531120002004 LEONARDUS HARDIAN WIBOWO 294 58.800 23.5202 71.1903109998 71.188 71.188 L66.23342.713
40531120001093 RAHMAT ILAHI 316 63.200 25.2803 65.8103109998 65.813 65.813 64.76839.488
40531120001059 MAIZARLI 231 46.200 18.4804 73.3803109998 73.375 73.375 62.50544.025
40531120000873 ERVIN RIDHO HEDIYANTO 252 50.400 20.1605 65.0603109998 65.063 65.063 59.19839.038
40531120000904 SASTRA AMIRUDIN 230 46.000 18.4006 61.1303109998 61.125 61.125 55.07536.675
40531120001630 SUHARTO 217 43.400 17.3607 58.5603109998 58.563 58.563 52.49835.138

JURU MINYAK (KELAS II)
NO. NOPES NAMA
4236624 -
3109998
INSTANSI :
UNIT :
FORMASI JABATAN :
40530003 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000030 MUHAMMAD ALVINDRA HUSSEN 323 64.600 25.8401 70.3803109998 70.375 70.375 L68.06542.225
40531120000149 SUMARNA 254 50.800 20.3202 63.3103109998 63.313 63.313 L58.30837.988

JURU MINYAK (KELAS III)
NO. NOPES NAMA
4236625 -
3100098
INSTANSI :
UNIT :
FORMASI JABATAN :
40530013 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001217 ASIS MAHUDA 232 46.400 18.5601 67.1303100098 67.125 67.125 L58.83540.275
40531120001209 INCE HASAN 218 43.600 17.4402 63.8803100098 63.875 63.875 L55.76538.325
40531120001612 ABD. RAJAB SUSYANTO 229 45.800 18.3203 62.2503100098 62.250 62.250 55.67037.350
40531120001207 BAMBANG TRI 248 49.600 19.8404 58.0603100098 58.063 58.063 54.67834.838
40531120002340 ABDUL RAHMAN 216 43.200 17.2805 48.5003100098 48.500 48.500 46.38029.100
40531120001190 MUH AMRI KARIM 202 40.400 16.1606 43.6903100098 43.688 43.688 42.37326.213

MUALIM (KELAS II)
NO. NOPES NAMA
4236626 -
3100096
INSTANSI :
UNIT :
FORMASI JABATAN :
40530013 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000160 ARSAD IFA 282 56.400 22.5601 62.7503100096 62.750 62.750 L60.21037.650
40531120000088 BASRUM 226 45.200 18.0802 66.0603100096 66.063 66.063 L57.71839.638
40531120000487 JOKO SUSILO 228 45.600 18.2403 54.1303100096 54.125 54.125 50.71532.475
40531220000447 NURDALINA 252 50.400 20.1604 47.1303100096 47.125 47.125 48.43528.275
40531220001197 SRI MARETNOWATI 262 52.400 20.9605 41.1303100096 41.125 41.125 45.63524.675

MUALIM (KELAS III)
NO. NOPES NAMA
4236627 -
3100097
INSTANSI :
UNIT :
FORMASI JABATAN :
40530013 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120001204 MAN ARVA FAIDDIN MALAODE, A.MD.PELY 284 56.800 22.7201 63.0603100097 63.063 63.063 L60.55837.838
40531120001185 RONALD YULIUS WIYONO 238 47.600 19.0402 61.5003100097 61.500 61.500 55.94036.900
40531120001194 MUSTAMIN 245 49.000 19.6003 57.9403100097 57.938 57.938 54.36334.763
40531120001169 HARDIARTO 227 45.400 18.1604 55.3103100097 55.313 55.313 51.34833.188
40531120002151 MUHAMMAD KASRI 230 46.000 18.4005 52.4403100097 52.438 52.438 49.86331.463
40531120001607 ASLAN SAPUTRA 204 40.800 16.3206 47.0003100097 47.000 47.000 44.52028.200

KEPALA KAMAR MESIN (KELAS III)
NO. NOPES NAMA
4236628 -
3100099
INSTANSI :
UNIT :
FORMASI JABATAN :
40530013 -
Telp. (+6221) 739 83 81 - 89
4053 -
KODE
PDDK
KET
NILAI SKD
SKOR NILAI NILAI
SKB 1
40 %
TOTAL SKB
JENIS FORMASI: UMUM
NILAI
40531120000497 MUNARWI ATFAN 271 54.200 21.6801 62.7503100099 62.750 62.750 L59.33037.650
Jakarta, 20 November 2017Jenis Tes
1. SKB 1 : Tes Kesehatan Dasar, Tes Kesamaptaan Jasmani A dan B, Tes Ketangkasan dan
Tes Fobia Ketinggian (khusus pelamar RescuerPemula)
Keterangan
1. MD : Mengundurkan Diri

ANAK LAMPIRAN 1-C KEPUTUSAN KEPALA BADAN
KEPEGAWAIAN NEGARA
NOMOR : 11 TAHUN 2002
TANGGAL : 17 JUNI 2002
DAFTAR RIWAYAT HIDUP
I. KETERANGAN PERORANGAN
1. Nama Lengkap
2. NIP
3. Pangkat dan Golongan/Ruang
4. Tempat Lahir/Tanggal Lahir
5. Jenis Kelamin Pria/ Wanita *)
6. Agama
7. Status Perkawinan Belum Kawin/ Kawin/ Janda Duda *)
8. Alamat Rumah
a. Jalan
b. Kelurahan/Desa
c. Kecamatan
d. Kabupaten/Kota
e. Propinsi
9. Keterangan Badan
a. Tinggi (cm)
b. Berat Badan (Kg)
c. Rambut
d. Bentuk muka
e. Warna Kulit
f. Ciri-ciri khas
g. Cacat tubuh
10. Kegemaran (Hobby)
*) Coret yang tidak perlu
PAS
PHOTO
3 X 4

2
II. PENDIDIKAN
1. Pendidikan di Dalam dan Luar Negeri
NO TINGKAT
NAMA
PENDIDIKAN
JURUSAN
STTB/TANDA
LULUS/IJAZAH
TAHUN/
TEMPAT
NAMA KEPALA
SEKOLAH/
DIREKTUR/
DEKAN
PROMOTOR
1 2 3 4 5 7 8
1. SD
2. SLTP
3. SLTA
4. D I
5. D II
6. D III/ AKADEMI
7. D IV
8. S 1
9. S 2
10. S 3
11. Spesialis I
12. Spesialis II
13.
Profesi
.....................
2. Kursus/Latihan di Dalam dan Luar Negeri
NO
.
NAMA/KURSUS/LATIHAN
LAMANYA/TGL/
BLN/THN/S/D/
TGL/BLN/THN
IJAZAH/TANDA
LULUH/SURAT
KETERANGAN
TAHUN
TEMPAT KETERANGAN
1 2 3 4 5 6

3
III. RIWAYAT PEKERJAAN
1. Riwayat Kepangkatan Golongan/Ruang Penggajian
NO PANGKAT
GOL/RUANG
PENGGAJIAN
BERLAKU
TERHITUNG
MULAI
TANGGAL
GAJI
POKOK
SURAT KEPUTUSAN
PERATURAN
YANG
DIJADIKAN
DASARPEJABAT NOMOR TANGGAL
1 2 3 4 5 6 7 8 9
2. Pengalaman jabatan/pekerjaan
NO JABATAN/PEKERJAAN
MULAI
DAN
SAMPAI
GOL/RUANG
PENGGAJIA
N
GAJI
POKOK
SURAT KEPUTUSAN
PEJABAT NOMOR TANGGAL
1 2 3 4 5 6 7 8

4
IV. TANDA JASA/PENGHARGAAN
NO
NAMA BINTANG/SATYA LENCANA
PENGHARGAAN
TAHUN PEROLEHAN
NAMA NEGARA/INSTANSI YANG
MEMBERI
1 2 3 4
V. PENGALAMAN KELUAR NEGERI
NO NEGARA TUJUAN KUNJUNGAN LAMANYA YANG MEMBIAYAI
1 2 3 4 5
VI. KETERANGAN KELUARGA
1. Istri/Suami
NO NAMA
TEMPAT
LAHIR
TANGGAL
LAHIR
TANGGAL
NIKAH
PEKERJAAN KETERANGAN
1 2 3 4 5 6 7

5
2. Anak
NO NAMA
JENIS
KELAMIN
TEMPAT
LAHIR
TANGGAL
LAHIR
1 2 3 4 5 6 7
3. Bapak dan Ibu Kandung
NO NAMA
TANGGAL
LAHIR/UMUR
1 2 3 4 5
4. Bapak dan Ibu Mertua
NO NAMA
TANGGAL
LAHIR/UMUR
1 2 3 4 5
5. Saudara Kandung
NO NAMA
JENIS
KELAMIN
TANGGAL
LAHIR/UMUR
1 2 3 4 5 6

6
VII. KETERANGAN ORGANISASI
1. Semasa mengikuti pendidikan pada SLTA ke bawah
NO NAMA ORGANISASI
KEDUDUKAN
DALAM ORGANISASI
DALAM THN
S/D THN
TEMPAT
NAMA PIMPINAN
ORGANISASI
1 2 3 4 5 6
2. Semasa mengikkuti pendidikan pada Perguruan Tinggi
NO NAMA ORGANISASI
KEDUDUKAN
DALAM ORGANISASI
DALAM THN
S/D THN
TEMPAT
NAMA PIMPINAN
ORGANISASI
1 2 3 4 5 6
3. Sesudah selesai pendidikan dan atau selama menjadi Pegawai Negeri Sipil
NO NAMA ORGANISASI
KEDUDUKAN DALAM
ORGANISASI
DALAM THN
S/D THN
TEMPAT
NAMA PIMPINAN
ORGANISASI
1 2 3 4 5 6

7
VIII. KETERANGAN LAIN-LAIN
NO NAMA KETERANGAN
SURAT KETERANGAN
TANGGAL
PEJABAT NOMOR
1 2 3 4 5
1. KETERANGAN BERKELAKUAN BAIK
2. KETERANGAN BERBADAN SEHAT
3. KETERANGAN YANG DIANGGAP PERLU
- SURAT NARKOBA
- KARTU PENCARI KERJA
Demikian daftar riwayat hidup ini saya buat dengan sesungguhnya, dan apabila
dikemudian hari terdapat keterangan yang tidak benar, saya bersedia dituntut di muka
Pengadilan serta bersedia menerima segala tindakan yang diambil oleh Pemerintah.
...............................,.............................................
.
Yang membuat
Materai 6000
( ............................................... )
PERHATIAN :
1. Harus ditulis dengan tangan sendiri, menggunakan huruf kapital/balok dan tinta hitam.
2. Jika ada yang salah harus dicoret,yang dicoret tersebut tetap terbaca kemudian yang benar
dituliskan diatas atau dibawahnya dan paraf.
3. Kolom yang kosong diberi tanda z.

ANAK LAMPIRAN 1-d KEPUTUSAN KEPALA BADAN
KEPEGAWAIAN NEGARA
NOMOR : 11 TAHUN 2002
TANGGAL : 17 JUNI 2002
SURAT PERNYATAAN
Yang bertanda tangan dibawah ini :
Nama :
Tempat dan tanggal lahir :
Agama :
Alamat :
dengan ini menyatakan dengan sesungguhnya, bahwa saya :
1. Tidak pernah dihukum penjara atau kurungan berdasarkan keputusan pengadilan
yang sudah mempunyai kekuatan hukum yang tetap, karena melakukan sesuatu
tindak pidana kejahatan.
2. Tidak pernah diberhentikan dengan hormat tidak atas permintaan sendiri atau tidak
dengan hormat sebagai Pegawai Negeri, atau diberhentikan tidak dengan hormat
sebagai pegawai swasta.
3. Tidak berkedudukan sebagai Calon Pegawai Negeri/ Pegawai Negeri.
4. Tidak menjadi pengurus dan atau anggota partai politik.
5. Bersedia ditempatkan di seluruh Wilayah Negara Republik Indonesia atau negara lain
yang ditentukan oleh pemerintah.
Demikian pernyataan ini saya buat dengan sesungguhnya, dan saya bersedia dituntut
dimuka pengadilan serta bersedia menerima segala tindakan yang diambil oleh
Pemerintah, apabila dikemudian hari terbukti pernyataan saya ini tidak benar.
................., ..................................
Yang membuat pernyataan
Materai Rp.6000,-
(....................................................)

ANAK LAMPIRAN 1-
SURAT PERNYATAAN
Nama :
Pendidikan :
Jabatan yang dilamar :
Agama :
Alamat :
Bersedia ditempatkan pada unit kerja sesuai dengan pilihan pada pendaftaran on line.
................., ..................................
Materai Rp.6000,-
(....................................................)

ANAK LAMPIRAN 1-
SURAT PERNYATAAN
Nama :
Pendidikan :
Jabatan yang dilamar :
Agama :
Alamat :
Bersedia tidak menikah selama 2 (dua) tahun sejak diangkat sebagai CPNS.
................., ..................................
Materai Rp.6000,-
(....................................................)

Pengumuman Kelulusan Hasil Akhir CPNS Basarnas Tahun 2017

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