CONTOH LAPORAN CAPIL

INTEGRASI SIMKAH DAN DINDUK CAPIL
 PERMUDAH AKURASI
 DATA KEPENDUDUKAN

KEMENTERIAN AGAMA RI						LAPORAN CAPIL
KANTOR URUSAN AGAMA KEC. KALIBAGOR			PENCATATAN " NIKAH DAN RUJUK "
KAB. BANYUMAS			BULAN ; JANUARI 2016
SUAMI		ISTRI		TANGGAL	NOMOR	SERI dan NO
NAMA dan ALAMAT	NIK	NAMA dan ALAMAT	NIK	NIKAH	AKTA NIKAH	PORPORASI
HERI NURYANTO                 Alamat : Pajerukan RT.006/003	33021025039000001	ELIS RULIANA     Alamat : Sokaraja Kulon RT.001/007	3302196804880002	01/01/2016	0001/01/I/2016	JH	4399558
DHIAS PRASETYA RAMADHAN Alamat : Karangduren rt.004/002	3302192103920001	MARIKA KUSMIATI              Alamat : Kalibagor RT.004/004	3302104903920001	02/01/2016	0002/02/I/2016	JH	4399559
ADE SAPUTRA                     Alamat : Pagerbarang RT.007/006	3328053101900006	SUPARTI                             Alamat : Kalibagor RT.005/004	3302106908920001	02/01/2016	0003/03/I/2016	JH	4399560
PUPUT ENDAR SULISTIYO                 Alamat : Kalobagor RT.006/001	330210804910005	ISLACHACH              Alamat : Kalibagor RT.005/002	3302104903910001	03/01/2016	0004/04/I/2016	JH	4399561
BEKTI YULIANTO              Alamat : Karangmangu RT.005/002	3302220207770006	HELGA OKTAVIANA            Alamat : Petir RT. 003/002	3302104210880002	03/01/2016	0005/05/I/2016	JH	4399562
SUDIRO                            Alamat : Karangklesem RT.001/002	3302240305910001	DIANA SAFITRI                                                 Alamat : Pekaja RT.008/003	3302105402970002	04/01/2016	0006/06/I/2016	JH	4399563
HAERUDIN                            Alamat : Jatimulya RT.003/002	3216060612900010	DWI ERLY SUSANTI            Alamat : Kaliori RT.003/007	3302106608910002	05/01/2016	0007/07/I/2016	JH	4399564
KASWAN                               Alamat : Karangrau RT.003/007	3302112702840001	WARLISA                            Alamat : Kaliori RT.004/004	3302104109840001	05/01/2016	0008/08/I/2016	JH	4399565
SIDIN                                     Alamat : Karangsalam RT.005/001	3302062510880003	DEDE AYU PANGESTIKA   Alamat : Karangdadap RT.04/03	3302104803970002	05/01/2016	0009/09/I/2016	JH	4399566
AGUS WALUYO                    Alamat : Karanggintung RT.05/03	3302211808880004	PUJI LESTARI                     Alamat : Srowot RT.003/004	3302105612990004	07/01/2016	0010/10/I/2016	JH	4399567
WAHYU IRWANTO             Alamat : Suro RT.003/004	3302101704970001	SRI HIDAYATI                                                  Alamat : Suro RT.001/004	3302105011990004	07/01/2016	0011/11/I/2016	JH	4399568
PURNOMOSIDI                        Alamat : Sudakangen RT.006/003	3303060109840001	SUPRIYATIN                          Alamat : Kaliori RT.001/008	3302105608860004	08/01/2016	0012/12/I/2016	JH	4399569
WIDYA GUSTANTO               Alamat : Notog RT.002/001	3302120208860006	ANGRITA WULANDARI        Alamat : Pekaja RT.006/001	3302106711960001	08/01/2016	0013/13/I/2016	JH	4399570
TEGUH RIYANTO             Alamat : Karangdadap RT.001/001	3302101411670001	INDRIYATI                      Alamat : Pondok Kelapa RT.004/006	3175074902680004	09/01/2016	0014/14/I/2016	JH	4399571
JONI SETIAWAN                  Alamat : Srowot RT.002/001	3302100401940002	CHIKA TUSIWENINGSIH      Alamat : Srowot RT.006/004	3302107009940004	10/01/2016	0015/15/I/2016	JH	4399572
YULIAN BUDIARTO                    Alamat : Kanding RT.004/002	3302092007870002	MURNI HANDAYANI          Alamat : Pekaja RT.001/002	3302104506840001	10/01/2016	0016/16/I/2016	JH	4399573
ENDI RIZKIKO                       Alamat : Patikraja RT.001/009	3302122601920004	MARISCA SUBAGIYANTI      Alamat : Kalibagor RT.003/006	3302105309920002	13/01/2016	0017/17/I/2016	JH	4399574
HENDI PURYANTO                 Alamat : Gemuruh RT.003/002	3304052802930003	SRI HARYATI                                                     Alamat : Pekaja RT.004/003	3302106002950002	14/01/2016	0018/18/I/2016	JH	4399575
NASLIM                             Alamat : Panerusan Wetan RT.002/004	3304011010950001	SRI YUNDARI                     Alamat : Kaliori RT.007/005	3302105006960002	15/01/2016	0019/19/I/2016	JH	4399576
HARDISA WIJANGKORO         Alamat : Padamara RT.001/002	3303152003930001	RINAH DWI ASTUTI               Alamat : Kalibagor  RT.007/001	3302105504920001	15/01/2016	0020/20/I/2016	JH	4399577
SUGIARTO                             Alamat : Kaliori RT.003/007	3302100410850002	RITA ARIANI TRIANA              Alamat : Kaliori RT.009/005	3302104808880001	16/01/2016	0021/21/I/2016	JH	4399578
SUYANTO                         Alamat : Sokaraja Kidul RT.007/003	3302193103790001	SRI HANDAYANI                Alamat : Pajerukan RT.004/002	3302104712880001	17/01/2016	0022/22/I/2016	JH	4399579
ARI PARYANTO                    Alamat : Karangduren RT.005/003	3302192308940002	SIFA FAUZIAH                                                   Alamat : Pekaja RT.008/002	3302106111960001	17/01/2016	0023/23/I/2016	JH	4399580
PARJO                                      Alamat : Pakunden RT.002/003	33021100601800001	YULI SUSILOWATI              Alamat : Kaliori RT.011/004	3302106101950001	18/01/2016	0024/24/I/2016	JH	4399581
WAIRUN                               Alamat : Kembaran RT.001/003	3302200108660004	SUDARNI                            Alamat : Suro RT.003/002	3302106803680001	18/01/2016	0025/25/I/2016	JH	4399582
WITARTO                         Alamat : Cipete Selatan RT.003/007	3174060908900001	NENI SURNIATI                  Alamat : Pajerukan RT.007/003	3302104607930002	18/01/2016	0026/26/I/2016	JH	4399583
RUSTIADI                             Alamat : Kober RT.004/002	3302250706570001	SANGIDAH                       Alamat : Wlaharwetan RT.003/001	3302105503660001	19/01/2016	0027/27/I/2016	JH	4399584
ANDRI SUTANTO                 Alamat : Suro RT.001/004	3302102112870001	SUSWANTI                         Alamat : Suro RT.005/002	3302104302920002	19/01/2016	0028/28/I/2016	JH	4399585
SIGIT PAMUNGKAS          Alamat : Sokaraaja Lor RT.003/002	3302191710890002	SULASMI                             Alamat : Pajerukan RT.007/001	3302105503980002	21/01/2016	0029/29/I/2016	JH	4399586
ROY RUSDIANA                Alamat : Wlahar Kulon RT.003/001	3302120505940001	TIAR DESI RAHAYU       Alamat : Karangdadap RT.005/001	3302105612960002	21/01/2016	0030/30/I/2016	JH	4399587
HERI PRIONO                       Alamat : Jepara Wetan RT.29/09	3301043001860004	MURIAH                              Alamat : Pekaja RT.003/003	3302106009840001	22/01/2016	0031/31/I/2016	JH	4399588
DWI BAYU SUKMA EDI       Alamat : Kalibagor RT.012/004	3302102006870002	ORI WINDU CASMITA              Alamat : Kalibagor RT.002/006	3302105902890001	25/01/2016	0032/32/I/2016	JH	4399589
TAUFIK UROHMAN                Alamat : Kalisube RT.001/002	3302112612870003	SUPRIYATI                                                       Alamat : Srowot RT.004/003	3302104307890001	26/01/2016	0033/33/I/2016	JH	4399590
SARNO                                    Alamat : Suro RT.005/003	3302101210870005	SUNARTI                                                          Alamat : Suro RT.003/003	3302105207870001	28/01/2016	0034/34/I/2016	JH	4399591
SARWONO                        Alamat : Pasinggangan RT.006/002	3302112705980001	MUDIARTI                           Alamat : Kaliori RT.003/005	-	28/01/2016	0035/35/I/2016	JH	4399592
SAMSI DIHARJO                Alamat : Pasinggangan RT.001/001	3302113112610030	SUNARSIH               Alamat : Wlahar Wetan RT.005/002	3302107112860019	29/01/2016	0036/36/I/2016	JH	4399593