LAPORAN HASIL PENGAWASAN PENGAWASAN REKAPITULASI DPTHP-1 PEMILU 2019
Lamp Lampir iran an For Form m!i !ir r Mo"# Mo"#!! A $Lap $Lapor oran an H
PEMILIH TMS PEMILIH TMS DALAM DPTHP-1 NO
KA)*KOTA
KE+
DESA*KEL
MENINGGAL
TPS L
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG 3UMLAH
SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI
. Karyasari Karyasari Karyasari Karyasari Karyasari Karyasari Karyasari Karyasari …… …………………… …………………… …………………… …………………… …………………… …………………… …………………… …………………… …………………… ……………………
P
PINDAH TPS*DOMISILI
TOTAL
L
P
/ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 1
-
-
-
TOTAL 1
-
1
)ELUM 1 DAN )ELUM KAWIN
GANDA L
P
TOTAL
L
P
1 1
1 1
2
.
1
1
TOTAL
TMS LAIN L
P
1 1 /
1 1
1
-
9 1 1 1
1
1
-
KETERANGAN 4 1 &!r$a' i(i )i*#r+('+,a( %a-i P#$ii/ ya(- i)a, M#$#(+/i Syara' MS 2 P#(-isia( N!. Ka%+*a'#( K#a$a'a( K#a$a'a( D#sa )a( +$a/ PS #as 3 P#(-isisa( K!!$ 5 s.). 9 )iisi )#(-a( +$a/ *#$ii/ MS )is#'ia* D#saK#. )aa$ DPP1 4 MS Lai((ya : NIP;LRI P#$ii/ &i,'i< )a( Lai((ya )aa$ DPP1 5 +$a/ MS )i)a*a' )ari *#(+$a/a( *a)a K!!$ 5=6=7=8=9 5=6=7=8=9 )a( +$a/(ya i(+)# ,# S/##' A>AS DPP2 KE?AMAAN Pa)a +$a/ MS 6 K!!$ %#rar(a ,+(i(,+(i(- s+)a/ '#r)a*a' R+$+s 7 Pas'i,a( /a'i/a'i )aa$ $#(-isi *a)a K!!$ L )a( P 8 @y Na$# @y A))r#ss @N@A P#$ii/ MS +('+, )ia'a' )a( )iarsi*,a( )i Pa(asa$ Pa(asa$ s#%a-ai )a'a ya(- *#('i(- )a( )i%+'+/,a( 9 K!!$ ya(- )i%#ri ar(a ar(a s+)a/ '#r)a*a' r+$+s
MOHON UNTUK TIDAK MERU)AH*MENAM)AH FORMAT*KOLOM
Karyas P#(-a
SU)HI
%i! P#n&a'a%an(
3UMLAH TMS N,A N,A TOTAL 1 1
L
P
TOTAL
$/55559( 1 1 1 1 1 1 2 1 1 / /
2 1 1 1 1 1 10
ri 10 N!"#$%#r 2018 as P#$i+ D#sa Karyasari
LAPORAN HASIL PENGAWASAN REKAPITULASI DPTHP-1 PEMILU 2019 TANGGAL
Lampiran Form!ir Mo"
4 01 No6#m7#r 201 %8"8 0 No6#m7#r 201 PEMILIH DALAM DPTHP-1 3UMLAH DPTHP-1
NO
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
KA)*KOTA
2 PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG PANDEGLANG 3UMLAH
KE+
SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI SUKARESMI
DESA*KEL
. Karyasari Karyasari Karyasari Karyasari Karyasari Karyasari Karyasari Karyasari …………………. …………………. …………………. …………………. …………………. …………………. …………………. …………………. …………………. ………………….
L
P
132
116
133
109
105
108
115
123
139
143
113
118
137
142
136
147
TOTAL
L
P
/ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 1
U)AH*PER)AIKAN DATA
DISA)ILITAS
TPS
1010
100
TOTAL
L
P
0
1
0
1
0
1
1
0
0
0
0
0
0
0
0
0
2. 2.2 21 2 22 21 29 2 201
1 1 3 1
TOTAL
)ELUM KTP-EL
L
P
1 1 1
1
TMS
TOTAL
L
P
1 1 1 1 .
-
-
TOTAL
9 -
1 1 1 2 /
1 1 1 1 1 /
2 1 1 1 1 1 10
KETERANGAN 4 1 &!r$a' i(i )i*#r+('+,a( %a-i /asi R#,a*i'+asi DPP1 2 P#(-isia( N!. Ka%+*a'#( K#a$a'a( D#sa )a( +$a/ PS #as 3 +$a/ DPP1 Disa%ii'as U%a/P#r%ai,a( Da'a )a( @#+$ KPE )iisi )#(-a( /a'i/a'i )a( #as s#s+ai )#(-a( ,#%#(ara( )a'a 4 +$a/ MS i(+)# )ari +$a/ MS )i S/##' s#%#+$(ya S/##' MS 5 +$a/ P#$ii/ MS @#+$ #r)a<'ar Daa$ DPP1 )iisi s#'#a/ *#$ii/ '#rs#%+' )i"ai)asi )i#,)i"#r
MOHON UNTUK TIDAK MERU)AH*MENAM)AH FORMAT*KOLOM
#! A $Laporan Ha%i! P#n&a'a%an(
3UMLAH PEMILIH MS )ELUM TERDAFTAR DALAM DPTHP-1
L
P
5
5
3
1
12
15
TOTAL
3UMLAH DPTHP-2
L
10
10
8
0
0
15
23
9
11
5
10
/9
10 . 2 1 20 1/ 12
136 135 116 125 139 128 144 141 10.
P $/-9510( 120 110 123 130 142 141 152 156 10.
TOTAL
2/ 2./ 29 2// 21 29 29 29 21
Karyasari 3 N!"#$%#r 2018 P#(-aas P#$i+ D#sa Karyasari
SU)HI
PANWASCA BY NAME BY ADRES PEMILIH TMS DPTHP-1 TAHUN 2019
No 1
Provinsi
: BANTEN
Keama!an
: "#KA$E"%&
Ka'()a!en*Ko!a
: PANDE+,AN+
Kel(ra-an*Desa
: KA$.A"A$&
No KK 2
NIK
Nama
*
Tempat Lah!
+
,
Ta"##a$ Lah!
A$amat
Stat' %e" Pe!(a)"a" Ke$am" B&S&P L&P .
/
%a$a"&D'('h
Rt
R)
9
10
11
Da TPS $ta 12
1*
1
3601291705160001 3507232510880003 /E$& N&ANDA$T
%A,AN+
25101988
"
,
KP $ANA"A$&
009 001 0
001
2
3601290510150008 1171045308770001 &$&N $&"NAAT&
PANDE+,AN+
13081977
"
P
KP BE#N+BE#
007 004 0
007
3
3601290801082401 3601293011840001 &AN HE$%AAN
PANDE+,AN+
30111984
"
,
KP BE#N+BE# BA$AT
007 004 0
007
4
3601291907170006 3601074405980002 "#%&.AT&
PANDE+,AN+
04051998
"
P
KP $ANAN&N&
001 001 0
001
5
3601290801082452 3601294107020016 #,ANDA$&
PANDE+,AN+
01072002
"
P
KP BE#N+BE#
008 004 0
008
6
3601292305120014 3601296308020001 "&NTA N#$HA"ANAH
PANDE+,AN+
23032001
B
P
PA"&$ %#$#.
005 003 0
005
7
3601290801082160 3601295108030001 TAT&
PANDE+,AN+
16012001
B
P
KP $ANAA.A
003 002 0
004
8
3601290801082419 3601290101690002 "#K&$%AN
PANDE+,AN+
01011969
"
,
KP BE#N+BE# BA$AT
007 004 0
007
07011970
003 002 0
9
3601292509170006 3601070107700012 %#H&
PANDE+,AN+
10
3601290209160005 3601290107990007 DE$E/"&
PANDE+,AN+
11 12 13 14 15 16 18
05051999
"
,
KP $ANAA.A
B
,
KP $ANAN&N&
1
1
003 0
002
No 1
Provinsi
: BANTEN
Keama!an
: "#KA$E"%&
Ka'()a!en*Ko!a
: PANDE+,AN+
Kel(ra-an*Desa
: KA$.A"A$&
No KK 2
NIK *
Nama +
Tempat Lah! ,
Ta"##a$ Lah!
Stat' %e" Pe!(a)"a" Ke$am" B&S&P L&P .
/
A$amat %a$a"&D'('h 9
Rt
R)
10
11
Da TPS $ta 12
1*
……………... ……. N! P#(-aas P#$i+
::::::::
-SUKARESMI
Kete!a"#a" 1+
+ana +ana +ana Pina- Domisili Di'aa- 17 Di'aa- 17 Di'aa- 17 +ana +ana Polri
Kete!a"#a" 1+
#$%#r 2018 #sa ……………..
PANWASC BY NAME BY ADRES PEMILIH PERBAIKAN DATA DAN TAMBAHAN DPTHP-1 TAHUN 2019
No 1
Provinsi
: BANTEN
Keama!an
: "#KA$E"%&
Ka'()a!en*Ko!a
: PANDE+,AN+
Kel(ra-an*Desa
: KA$.A"A$&
No KK 2
NIK
Nama
*
+
Tempat Lah! ,
Ta"##a$ Lah!
A$amat
Stat' %e" Pe!(a)"a" Ke$am" B&S&P L&P .
/
Da TPS $ta
%a$a"&D'('h
Rt
R)
9
10
11
12
1*
1
3601290801082064 3601291304870001 A+#"
PANDE+,AN+
17081987
B
,
KP $ANAN&N&
1
1
0
001
2
3601293101180002 3601291607940003 .AD& AH.AD&NATA
PANDE+,AN+
16071994
B
,
KP $ANAN&N&
1
1
0
001
3
3601293108170015 3601291311990001 ABD#, $H%AN
PANDE+,AN+
13111995
B
,
KP $ANA"A$&
9
1
0
001
4
3601293108170015 3601291503990007 %E%ED
PANDE+,AN+
15031999
B
,
KP $ANA"A$&
9
1
0
001
5
3601290801082560 3601292001950005 P#D&N "A$&P#D&N
PANDE+,AN+
20011995
B
,
KP $ANA"A$&
9
1
0
001
6
3601292503150004 3601294808740001 "&T& %A"&TH
PANDE+,AN+
08081974
P
P
KP $ANA"A$&
9
1
0
001
7
3601291701180003 3601294107820018 A$AT&
PANDE+,AN+
13091985
P
P
KP $ANA"A$&
9
4
0
001
8
3601292410170001 3674054705880003 KA$&NAH
PANDE+,AN+
07051988
P
P
KP $ANA"A$&
9
1
0
001
9
3601291109130005 3601294305830006 "&T& A&".AH
PANDE+,AN+
03051983
"
P
KP $ANA"A$&
9
1
0
001
10
3601291002160001 3601296801910002 #%&AT&
PANDE+,AN+
27051990
"
P
KP $ANA"A$&
9
1
0
001
11
3601292205150011 3601295109980004 HAE$&.AH
PANDE+,AN+
11091998
"
P
KP $ANAN&N&
1
1
0
002
12
3601292205150011 3601076104910002 "AND$A K&NATA
PANDE+,AN+
12061988
"
,
KP $ANAN&N&
1
1
0
002
13
3601292809150004 3601290107800005 .AD& A.AD&
PANDE+,AN+
16061980
"
,
KP $ANAN&N&
1
1
0
002
14
3601291801130003 3601290807780001 A&D D#,%A&D
PANDE+,AN+
08071978
"
,
KP $ANAN&N&
1
1
0
002
15
3601290309170002 3601292207960002 N#$AN".AH
PANDE+,AN+
22071996
B
,
KP $ANAH&DE#N+
2
2
0
003
16
3601290801082100 3601291412980002 $&A, $A%DAN&
PANDE+,AN+
14121998
B
,
KP $ANAH&DE#N+
2
2
0
003
17
3601293103180009 3601290305840004 &AN "ET&AAN
PANDE+,AN+
03051984
P
,
KP $ANAH&DE#N+
2
2
0
003
Provinsi Ka'()a!en*Ko!a
No 1
No KK 2
: BANTEN : PANDE+,AN+
NIK
Keama!an Kel(ra-an*Desa
Nama
*
+
Tempat Lah! ,
Ta"##a$ Lah!
A$amat
Stat' %e" Pe!(a)"a" Ke$am" B&S&P L&P .
/
: "#KA$E"%& : KA$.A"A$&
Da TPS $ta
%a$a"&D'('h
Rt
R)
9
10
11
12
1*
18 3601291208130002 3601290907580001 KA%"&N
PANDE+,AN+
09071938
P
,
KP $ANAA.A
3
2
0
003
19 3601290312150007 3601351811950001 DAN&" PE$%ANA
PANDE+,AN+
18111995
"
,
KP $ANAA.A
3
2
0
003
20 3601293009170001 3601291004680003 ,AT&P
PANDE+,AN+
10041968
"
,
KP $ANAA.A
3
2
0
003
21 3601290706170006 3601290707780002 A#,&
PANDE+,AN+
07071978
"
,
KP $ANAA.A
3
2
0
003
22 3601292301150005 3601292103920001 KA"%AN
PANDE+,AN+
14081990
"
,
KP $ANAA.A
3
2
0
003
23 3601290409170014 3601060107680126 BA%BAN+
PANDE+,AN+
27071968
"
,
KP $ANAA.A
3
2
0
003
24 3601291001180002 3601292607860002 DA&"
PANDE+,AN+
26071986
"
,
KP $ANAA.A
3
2
0
003
25 3601292103180004 3601291010770002 "#HEND$A
PANDE+,AN+
10101977
"
,
KP $ANAA.A
3
2
0
003
26 3601290309170002 3601296809990005 /&T$& A%E,&A
PANDE+,AN+
28091999
B
P
KP $ANAH&DE#N+
2
2
0
003
27 3601290510160001 3601295806000002 &NAH "A$&NAH
PANDE+,AN+
18062000
B
P
KP $ANAA.A
3
2
0
003
28 3601292802080006 3601296911980001 N/A N#$#, ,AT&/A
PANDE+,AN+
29111998
B
P
KP $ANAA.A
3
2
0
003
29 3601291304180001 3601294311860001 ANAH
PANDE+,AN+
03111986
B
P
KP $ANAA.A
3
2
0
003
30 3601290801082096 3601294107880004 #$P&AH
PANDE+,AN+
17081987
P
P
KP $ANAH&DE#N+
2
2
0
003
31 3601290309170002 3601294502800003 .AT&
PANDE+,AN+
05021980
P
P
KP $ANAH&DE#N+
2
2
0
003
32 3601293105170009 3601294110830003 .EN&
PANDE+,AN+
01101983
P
P
KP $ANAA.A
3
2
0
003
33 3601290801082087 3601294107690001 HAP&PAH
PANDE+,AN+
22041966
"
P
KP $ANAH&DE#N+
2
2
0
003
34 3601292301150005 3601294108940001 T&T&N A+#"T&N
PANDE+,AN+
14081993
"
P
KP $ANAA.A
3
2
0
003
35 3601291305150002 3601294308850001 K#AH
PANDE+,AN+
06031987
"
P
KP $ANAA.A
3
2
0
003
36 3601293009130006 3601294506820001 ENE
PANDE+,AN+
05061982
"
P
KP $ANAA.A
3
2
0
003
37 3601292304160005 3601296208800001 "#P&AH
PANDE+,AN+
22081980
"
P
KP $ANAA.A
3
2
0
003
Provinsi Ka'()a!en*Ko!a
No 1
No KK 2
: BANTEN : PANDE+,AN+
NIK *
Keama!an Kel(ra-an*Desa
Nama +
Tempat Lah! ,
Ta"##a$ Lah!
A$amat
Stat' %e" Pe!(a)"a" Ke$am" B&S&P L&P .
/
: "#KA$E"%& : KA$.A"A$&
Da TPS $ta
%a$a"&D'('h
Rt
R)
9
10
11
12
1*
38
3601291305150003 3601296001000001 "#%.AT&
PANDE+,AN+
07051986
"
P
KP $ANAA.A
3
2
0
003
39
3601291001180002 3601295102860004 "#"&
PANDE+,AN+
11021986
"
P
KP $ANAA.A
3
2
0
003
40
3601292802080015 3601290405950002 DEDE "AND&
PANDE+,AN+
04051995
B
,
KP TA$A#
5
3
0
004
41
3601292802080015 3601290109870001 TA$.ANA
PANDE+,AN+
01091987
B
,
KP TA$A#
5
3
0
004
42
3601292802080014 3601290107720063 A$D&%
PANDE+,AN+
01071972
"
,
KP TA$A#
4
2
0
004
43
3601290801082227 3601290702600001 #&
PANDE+,AN+
07021960
"
,
KP TA$A#
4
2
0
004
44
3601291604100174 3601290107830098 NANA
PANDE+,AN+
01071983
"
,
KP TA$A#
4
2
0
004
45
3601290711170009 3601152801890003 %#,.AD&
PANDE+,AN+
12081989
"
,
KP TA$A#
4
2
0
004
46
3601291710150002 3601290107910172 $A"&%
PANDE+,AN+
01071991
B
,
KP TA$A#
4
2
0
004
47
3601291404180007 3601291808930004 AN++A %E&.ANA $&KA
PANDE+,AN+
17101979
"
,
KP TA$A#
4
2
0
004
48
3601290801082194 3601292601010001 .AD&
PANDE+,AN+
26012001
B
,
KP TA$A#
4
2
0
004
49
3601292802080014 3601294107760117 %A$NAH
PANDE+,AN+
01071976
"
P
KP TA$A#
4
2
0
004
50
3601291604100205 3601294107500029 A"T&
PANDE+,AN+
01071950
P
P
KP TA$A#
4
2
0
004
51
3601290801082224 3601295505820001 P&P&T
PANDE+,AN+
15051982
"
P
KP TA$A#
4
2
0
004
52
3601291207170007 3601294107930010 "#P&NAH
PANDE+,AN+
01071993
B
P
KP TA$A#
4
2
0
004
53
3601291604100174 3601294107890100 "#HE$N&
PANDE+,AN+
12071986
"
P
KP TA$A#
4
2
0
004
54
3601290801082201 3601295008000004 T&N& ,E"TA$&
PANDE+,AN+
10082000
B
P
KP TA$A#
4
2
0
004
55
3601291907170001 3601295705890004 "&T& PA$&DA
PANDE+,AN+
17051989
"
P
KP TA$A#
4
2
0
004
56
3601292007160002 3601294406830006 E,&"
PANDE+,AN+
04061983
"
P
KP TA$A#
4
2
0
004
57
3601290211170003 3601290702940004 DAN&
PANDE+,AN+
07021994
B
,
KP PA"&$ %#$#.
5
3
0
006
Provinsi Ka'()a!en*Ko!a
No 1
No KK 2
: BANTEN : PANDE+,AN+
NIK
Keama!an Kel(ra-an*Desa
Nama
*
Tempat Lah!
+
,
Ta"##a$ Lah!
Stat' %e" Pe!(a)"a" Ke$am" B&S&P L&P .
/
: "#KA$E"%& : KA$.A"A$& A$amat
Da TPS $ta
%a$a"&D'('h
Rt
R)
9
10
11
12
1*
58 3601290404160005 3604011604850991 A+#" %
PANDE+,AN+
16041985
"
,
KP BABAKAN KA.#N
10
3
0
006
59 3601290409170005 3601292111720001 "AH,AN&
PANDE+,AN+
24121981
"
,
KP BABAKAN KA.#N
10
3
0
006
60 3601290706170002 3601292107940001 "#TA$N
PANDE+,AN+
21071994
B
,
KP PA"&$ %#$#.
5
3
0
006
61 3601290711170003 3601290807820001 #%$&
PANDE+,AN+
08071982
B
,
KP PA"&$ %#$#.
5
3
0
006
62 3601290801082287 3601290107480006 "#AND&
PANDE+,AN+
01071948
"
,
KP PA"&$ %#$#.
5
3
0
006
63 3601290801082301 3601290107920013 D#,BA$&
PANDE+,AN+
01071992
B
,
KP PA"&$ %#$#.
5
3
0
006
64 3601290801082316 3601291602990002 "#P$&ATNA
PANDE+,AN+
16021999
B
,
KP BABAKAN KA.#N
5
3
0
006
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9
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9
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9
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9
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11
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7 8 9 10 11 12 13 14 15 16 18
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