DAFTAR PEMILIH POTENSIAL NON KTP-elektronik
Mo'el A(%-KWK
PEMILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TENGAH TAHUN 2!" PRO#INSI KABUPATEN
No 1
No KK 2
$ JAWA TENGAH $ PATI
NIK
Nama
3
4
Tempat Lahir Tanggal Lahir Umur 5
6
7
Status
Jenis
Perkawin Perkawinan an !S!P
Kelamin Kelamin L!P
8
9
KE%AMATAN DESA&KELURAHAN
$ WEDARIJAKSA $ BANGSALREJO
TPS
$!
Alamat Jalan!Dukuh 10
Disa
"t
"w
11 11
12
bili tas 13
Ket *) 14
#
$$ $ $#%#&'(''%'$ $$#%#&+&'#'#'''$ AND,I-A KU"NIA.AN
PATI
+&/'#/+''#
# #
L
DK P0NT,UN1AN
''2 ''#
'
##
+ $
$$#%#&'&''%'#'' $$#%#&'%'('#'''+ A,3AD NU"-AKIN $$#%#&'&''%'#$2 $$#%#&+$''''''# D.I NA,UN ULIN NU,A
PATI PATI
'%/'(/+''# +$/'/+'''
# #
L L
AN1SAL"0J4 DK P0NTUN1AN
''2 ''# ''2 ''#
' '
## ##
(
$$#%#&'2'+'''' $$#%#&2+'''''2 SINTA "A3AD,ANISA PUT"I
PATI
+&/#+/+'''
#
P
DK P0NTUN1AN
''2 ''#
'
##
&
$$#%#&'''%'( $$#%#&+2'2'''''+ A,3AD SAI-UL
PATI
+2/'2/+'''
#%
L
AN1SAL"0J4
''2 ''#
'
##
2
$$ $ $#%#''&(+($ $$#%#&&$'$'#'''# 3A"LINA DA3A5ANTI
PATI
#$/'$/+''#
# #
P
DS AN1SAL"0J4
''2 ''#
'
##
%
$$ $$#%#&+&''%''#+ $$#%#&+%''''''# 6I4 D.I P"AS0T54 $$#%#&+2'&'%''+& $$#%#&(##'''''# LISTIN 5ULIANI
PATI PATI
+%/'/+''' '/##/+'''
# # #
L P
DK P0NTUN1AN DK P0NTUN1AN
''# ''# ''2 ''#
' '
## ##
#'
$$#%#&+2'2'%'(&+ $$#%#&++''''#( 3U,A33AD 5UDI $$#%#&+2'2'%'(&+ $$#%#&++''''#$ 3U,A33AD 5UDA
PATI PATI
+&/#+/+''' +&/#+/+'''
# #
L L
AN1SAL"0J4 AN1SAL"0J4
''# ''# ''# ''#
' '
## ##
## #+
$$#%#&'#'&'''#+ $$#%#&(#'$'+%$ SU3A"NI $$#%#&'+'##('''$ $('+'%22'+%'''+ ,A"DI5ANI
PATI ANTUL
'#/'/#$ +2/'+/#%
% +
P S
P P
DK P0NTUN1AN DK P0NTUN1AN
''& ''# ''2 ''#
' '
#+ #+
#$ #(
$$#%#&'+'##('''$ $$#%#&+2'&#'''# S0TI54 PUJI4N4 $$#%#&'$#+'%'''+ $$#%#&('+$'''# SA3INI
PATI PATI
+2/'&/## '/'/#+$
+ (
S S
L P
DK P0NTUN1AN DS AN1SAL"0J4
''2 ''# '' ''# ''#
' '
#+ #+
#&
$$#%#&'$#+''''( $$#%#&'&'$&'''$ DIAN ADI P"AT434
PATI
'&/'$/#&
+$ +$
L
DK P0NTUN1AN
''# ''#
'
#+
#2
$$#%#&'(''%'$ $$#%#&(#'$%'+% SU3A"SI,
PATI
'#/'/#
%$
P
P
DK P0NT,UN1AN
'' ''2 ''#
+
#+
#
$$#%#&'(''%'$ $$#%#'2'''# A3AN1 SUNA"DI
PATI
#2/'/#2
(% (%
S
L
DK P0NT,UN1AN
''2 ''#
'
#+
#% #
$$#%#&'&''%''( $$#%#&$'''''# A,3AD -ATI, A7I7I
PATI
$'/'/#
+' +'
L
AN1SAL"0J4
''2 ''#
'
$$#%#&'&''%''%2 $$#%#&(#'&$'$2# KA"TINI
PATI
'#/'/#&$
2(
P
P
AN1SAL"0J4
''2 ''#
'
#+ #+
+' +#
$$#%#&'&''%'#2$ $$#%#%'$#'''+ A1US SUP"I5ANT4
PATI
#%/'$/##
+
L
AN1SAL"0J4
''2 ''#
'
$$#%#&'&''%'#2$ $$#%#&+%'%('''+ A,3AD SU"4T4
PATI
+%/'%/#(
+$
L
AN1SAL"0J4
''2 ''#
'
++ +$
$$#%#&'''%'#2+ $$#%#&22'$$'''$ T"I 3UNTA"I
PATI
+2/'$/#$
+&
P
AN1SAL"0J4
''2 ''#
'
$$#%#&'''%'+$$ $$#%#&'#'(%'+' UNTUN1
PATI
'#/'/#(%
2
P
L
AN1SAL"0J4
''2 ''#
'
#+ #+
+(
$$#%#&'''%'$( $$#%#&+%'$%%'''+ SUT"ISN4
PATI
+%/'$/#%%
$'
L
AN1SAL"0J4
''2 ''#
'
#+
+&
$$#%#&'''%'( $$#%#&(#'$&'$+% PA"SINI
PATI
'#/'/#$&
%+
P
P
AN1SAL"0J4
''2 ''#
'
#+
+2
$$#%#&'##''''( $$#%#&+&'''''# A1UN1 3UL54N4
PATI
+&/'/#'
+ +
L
DK P0NTUN1AN
''2 ''#
'
#+
+
$$#%#+##'''+( $$#%#&(#'(''$$+ .A1INA,
PATI
'#/'/#('
S
P
DS AN1SAL"0J4
'' ' '& ''#
'
#+
+%
$$#%#$'$'''#' $$#%#&(#'&2'$2( SUKA"TINI
PATI
'#/'/#&2
2#
P
P
DK P0NTUN1AN
''2 ''#
'
#+
+
$$#%#$''''#+ $$#%#&'2#+%%'''# D0D5 SUKA"S4N4
PATI
'2/#+/#%%
+
L
AN1SAL"0J4
''& ''#
'
#+
$'
$$#%#&'(''''2 $$#%#&+#'22'''+ A5U P"ANATA
PATI
+#/'2/#2
++
L
AN1SAL"0J4
''& ''#
'
#+
$#
$$#%##'##'''( $$#%#&&'2%2''' 703I 5ULIANTI
KUL4NP"414 # #/'2/#%2
$+
S
P
AN1SAL"0J4
''# ''#
'
#+
$+
$$#%#%#+#'''#2 $$#%#&(#'(#'+(+ KA3I
PATI
'#/'/#(#
2
P
P
DS AN1SAL"0J4
'' ''2 ''#
'
#+
$$ $(
$$#%#'&'%''$# $$#%#&&&'#'''# S4-IATUN
PATI
#&/'#/#
+#
P
P
DK P0NTUN1AN
''& ''#
'
$$#%#&+#'##'''( $$#%#&'$'''# "UPI5ATI
PATI
##/'$/#
(#
S
P
DK P0NTUN1AN
''# ''#
'
#+ #+
$&
$$#%#&+#'##'''( $$#%#&'%%'''# A1US P"I5ANT4
PATI
#&/'%/#%
#
L
DK P0NTUN1AN
''# ''#
'
#+
$2
$$ $$#%#&+$'&'%'''( $$#%#&(&'%'''# S0PTIANA DINDA AN11"A0NI
PATI
'&/'/#%
#
P
DK P0NTUN1AN
''& ''#
'
#+
$
$$#%#&+$'2#''''( $$#%#('#'''( JASN4
PATI
#(/'#/#
(#
S
L
DK P0NTUN1AN
''# ''#
'
#+
%$$$#%#&+&'#'%'''& $$#%#&(2'$'''# JUNNATUL LAILI -IT"I5A
PATI
'2/'$/#
+#
P
DK P0NTUN1AN
''# ''#
'
#+ #+
#+
$
$$#%#&+##&'''# $$'(#%+'%'''$ A"4,3AN SUDI5AT
ANJA"N01A +/'/#%
+% +%
S
L
AN1SAL"0J4
''2 ''#
'
#+
('
$$#%#&+2'+''''( $$#%#&2&'2%#'''+ SITI ALI3A,
PATI
+&/'2/#%#
$
S
P
DS AN1SAL"0J4
''& ''#
'
#+
(# (+
$$#%#&+2'2'%'+# $$#%#&'#'(&'+#$ 3ADI4N4
PATI
'#/'/#(&
+
S
L
AN1SAL"0J4
''# ''#
+
$$#%#&+2'2'%'$(( $$#%#&&%'%%2'''+ S"I .A,5UNI
PATI
#%/'%/#%2
$# $#
P
DK P0NTUN1AN
''# ''#
'
#+ #+
($ ((
$$#%#&+2'2'%'(&+ $$#%#&'2&'''$ 5UNI D.I L0STA"I
PATI
##/'2/#&
+$
P
AN1SAL"0J4
''# ''#
'
$$#%#&+%'('%''' $$#%#&(#'2+'(#( PASI"A,
PATI
'#/'/#2+
&&
S
P
DK P0NTUN1AN
''& ''#
'
(& (2
$$#%#&+%'('%''' $$#%#&''%+'''# .A"SILAN
PATI
'/'%/#+
+&
L
DK P0NTUN1AN
''& ''#
'
(
$$#%#&+'&'%''#' $$#%#&&2#+%'''+ SA.INI $$#%#&+'&'%''#' $$#%#%'#2'''+ A1US .A,5UDI
PATI PATI
#2/#+/#% #%/'#/#2
+% ++
P L
DK P0NTUN1AN DK P0NTUN1AN
''& ''# ''& ''#
( '
#+
(%
$$#%#&+'&'%''#+ $$#%#&(#'$&'+2' SUKANA,
PATI
'#/'/#$&
%+
P
P
DK P0NTUN1AN
''2 ''#
'
#+
(
$$#%#&$#'$'%'''& $$#%#&(#'&2'+2( LAS3I
PATI
'#/'/#&2
2#
S
P
DK P0NTUN1AN
''# ''#
'
#+
&'
$$#%#&'&''%'' $$#%#&'#'(+'$'( ADUL "4,3AN
PATI
'#/'/#(+
& &
S
L
DK P0NTUN1AN
''2 ''#
'
U 8 #+
$$#%#&+('2#&'''% $$#%#&(#'$&'$( SA"A,
PATI
'#/'/#$&
%+
P
P
AN1SAL"0J4
''2 ''+
'
U 8 #+
&+
$$#%#&'''%'$$2 $$#%#&'#'$'''# N1A"IPIN
PATI
'#/'/#$
%
S
L
AN1SAL"0J4
''2 ''#
'
U 8 #+
&$ &(
$$#%##'#('''+ $$#%#&(#'$%'#% PAT03A, $$#%#&+2#+#+'''& $$#%#&&&'%&'''% "INA S4"A5A DLT
PATI 30DAN
'#/'/#$% #&/'/#%&
$$ $$
P S
P P
P0NTUN1AN AN1SAL"0J4
''# ''# ''# ''#
' '
U 8 #+ U 8 #+
&&
$$#%#'2#&'''( $$#%+#($#+$'''$ NU" ,IDA5A,
PATI
'$/#+/#$
+&
S
P
DK P0NTUN1AN
''# ''#
'
#+
&2
$$#%#&+%'%''''2 $$#%#'('''# 3A"JUKI PA3UN1KAS
PATI
#2/'(/#
# #
L
DK P0NTUN1AN
''# ''#
'
#+
&
$$ $$#%#&+##&'''# $$#%#&&+'$&'''+ ANI K 3AS"UKA,
PAT I
&%
$$#%#'##%'''+ $$#%'%&+#+2''+# ANIS K,4LISATUN
PATI
#+/'$/#& #+/#+/#2
++ ++
&
$$#%#&''##&'''( $$#%+##''('''+ ,0"U SI S. S.ANT4
PAT I
2'
$$#%#&+&'%#2'''+ $$#%'2'2'($'''+ DA".I
PATI
'2/'(/#$
$&
S
L
DK P0NTUN1AN
''2 ''#
'
#+
2#
$$#%#&'('$#&'''$ $$#%'%+('%'''+ SU,A"T4
PATI
+(/'/#%
('
P
L
DK P0NTUN1AN
''2 ''#
'
#+
#'/'/#(
+$ +(
S
P P L
DK P0NTUN1AN DK P0NTUN1AN DK P0NTUN1AN
''2 ''# ''2 ''#
' '
''2 ''#
'
#+ #+
#+ #+ #+
Ditetapkan 9i angsalre: o; Tanggal +' -ebruari +'#%
Keter)n*)n $ Laki - Laki
S S
#+ #+
30
Perempuan
31
TOTAL
+!
*) Keterangan 9iisi<
< ,ak Pilih Di=abut
U< Ubah 9ata
#'< ukan Pen9u9uk
Pani>a Pemungutan Suara
#< #< 3eninggal +<1an9a
##< belum KTP8el #+< belum 9ipas>kan
Ketua
Keterangan Disabilitas <
$
# < Tuna Daksa
(< Pin9ah Domisili
Keterangan Status perkawinan <
+< Tuna Netra
&< Ti9ak Dikenal
< elum Kawin
$< Tuna "ungu!.i=ara
2< TNI
S < Kawin
(< Tuna 1rahita
< Polri
P < Pernah Kawin
&< Disabilitas lainn?a
%< ,ilang ingatan
, BADRI
DAFTAR PEMILIH POTENSIAL NON KTP-elektronik PEMILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TENGAH
Mo'el A(%-KWK
TAHUN 2!" PRO#INSI KABUPATEN
No 1
#
No KK 2
$ JAWA TENGAH $ PATI
NIK
Nama
3
4
Tempat Lahir Tanggal Lahir Umur 5
6
$$#%#&'#'('%''#& $$#%#&2+'$'#'''# "I-@I ,ANA 34NIA
PATI
++/'$/+''#
+
$$ $$#%#'+#&'''( $$#%#&&''$'''''% AS,A A"4LIN AUTISTA
PATI
$
$$#%#%'('%''#+ $$#%#&&2'2'#''' NU" 0KA S0T5A.ATI
PATI
(
$$#%#%'('%''#+ $$#%#'2'#'''+ NU" 0K4 P"AS0T54
&
7
Status
Jenis
Perkawin Perkawinan an
Kelamin Kelamin
!S!P
L!P
8
9
KE%AMATAN DESA&KELURAHAN
$ WEDARIJAKSA $ BANGSALREJO
TPS
$2
Alamat Jalan!Dukuh 10
Disa bili
"t
"w
11 11
12
Ket *)
tas 13
14
# #
P
DK P0NTUN1AN
''+ ''#
'
##
#'/'$/+'''
#%
P
DS AN1SAL"0J4
''+ ''#
'
##
#2/'2/+''#
# #
P
DK P0NTUN1AN
''( ''#
'
##
PATI
#2/'2/+''#
# #
L
DK P0NTUN1AN
''( ''#
'
##
$$#%#%'%'''#% $$#%#&(%#''''+ DI5ANI
PATI
'%/#'/#
#%
P
DS AN1SAL"0J4
'' ''$ ''#
'
##
2
$$#%#&+2'2'%''% $$#%#&('+'''''$ D.I "ISNA.ATI
PAT8
'/'+/+'''
#%
P
AN1SAL"0J4
''+ ''#
'
##
$$#%#&+'%'%'''& $$#%#&''%'''''$ "I5ANT4
PATI
'/'%/+'''
#
L
AN1SAL"0J4
''( ''#
'
##
%
$$#%#&+%'$'%''#' $$#%#&(&'$'#'''+ NU"UL AIDA
PATI
'&/'$/+''#
#
P
DK P0NTUN1AN
''& ''#
'
## ##
$$#%#&$''2'%'+2 $$#%#&(('&''' 3ITA SULISTI5ANI
PATI
'(/'&/#
#
P
AN1SAL"0J4
''& ''#
'
#'
$$#%#&$''2'%'$% $$#%#&22''''''# KIS.ATI
PATI
+2/'/+'''
#
S
P
DK P0NTUN1AN
''& ''#
'
##
##
$$#%#&'#'(#&'''2 $$#%#&'#'22'#( SUKI3AN
PATI
'#/'/#22
S
L
AN1SAL"0J4
''( ''#
'
#+ #+
#+
$$#%#&'#'(#&'''2 $$#%#&&&'$%+'''$ SUPA"TI
PATI
#&/'$/#%+
$2
S
P
AN1SAL"0J4
''( ''#
'
#$
$$#%#&'+#+#('''( $$#%#&(+#'%'''$ PU"5ATI
PATI
'+/#'/#%
+%
S
P
DK P0NTUN1AN
''& ''#
'
#+
#(
$$#%#&'&''%'''2 $$#%##'#'''# SU5AT34
S4L4
#/#'/##
(2
S
L
DK P0NTUN1AN
''( ''#
'
#+ #+
#&
$$#%#&'&''%'''2 $$#%#&&2'%#'''$ 3A"SI
PATI
#2/'%/##
(2
S
P
DK P0NTUN1AN
''( ''#
'
#2
$$#%#&'&''%'''2 $$#%#&'###'''# ,A"5ANT4
PATI
'/##/##
+2
L
DK P0NTUN1AN
''( ''#
'
#+
#
$$#%#&'&'''''( $$#%#&&'#'''+ 0KTI ASTUTI
PATI
#/'/##
+2
S
P
DK P0NTUN1AN
''$ ''#
'
#+
#%
$$#%#&'2'2'%''' $$#%#&'#'2%'''# SU"AJI
PATI
'#/'2/#%
+
S
L
AN1SAL"0J4
''( ''#
'
#+
#
$$#%#&''###''#% $$#%#&(%'2%('''( S"I L0STA"I
PATI
'%/'2/#%(
$(
S
P
DS AN1SAL"0J4
''+ ''#
'
#+
+'
$$#%#&'#+#&'''$ $$#%#&++$'''+ NU" D.I S0T54.A.AN
PATI
+&/#+/#$
+(
S
L
DK P0NTUN1AN
''( ''#
'
#+
+#
$$#%#&'#+#&'''$ $$#%'&''&%'''# TU3ILA SA"I
PATI
#'/'&/#%
+'
S
P
DK P0NTUN1AN
''( ''#
'
#+
++
$$#%#&''&'%''#$ $$#%#&'$'$#'''# SU10N1 KA"54
PATI
'$/'$/##
+ +
L
DK P0NTUN1AN
''$ ''#
'
#+
+$
$$#%#&''2'%'''2 $$#%##'+%'''# .INA"54
PATI
##/'+/#%
+
L
DK P0NTUN1AN
''( ''#
'
#+
+(
$$#%#&'#'#+'''# $$#%#&&%'%''''$ ALI- A1USTINA .ULANDA"I
"03AN1
#%/'%/#'
+
P
AN1SAL"0J4
''+ ''#
'
#+
+&
$$#%#&'#'#+'''# $$#%#''#('''2 6IT4"IA ,ANDI5AN PUT"A
PATI
#'/'#/#(
+(
L
AN1SAL"0J4
''+ ''#
'
#+
+2
$$#%##'('%''++ $$#%#&'%'&&'''( "ISKA D.I SAPUT"4
PATI
'%/'&/#&
+$ +$
L
DK P0NTUN1AN
''+ ''#
'
#+
+
$$#%##''''' $$#%#&(#'2''$( 3U"5ATI
PATI
'#/'/#2'
&
S
P
DS AN1SAL"0J4
''$ ''#
'
#+
+%
$$#%##''''' $$#%#&'#%('''& PUJI L0STA"I
PATI
#&/'#/#%(
$( $(
L
DS AN1SAL"0J4
''$ ''#
'
#+
+
$$#%##''''' $$#%#&'#'#%'''2 LULUS P"I5ADI
PATI
'#/'#/#%
+' +'
L
DS AN1SAL"0J4
''$ ''#
'
#+
$'
$$#%##''%'''& $$#%#&'&'&%#'''( 0K4 "US3ANT4
PATI
'&/'&/#%#
$
S
L
AN1SAL"0J4
''$ ''#
'
#+
$#
$$#%##''%'''& $$#%#&(%'%&'''( SUP"I,ATIN
PATI
'%/'/#%&
$+
S
P
AN1SAL"0J4
''$ ''#
'
#+
$+
$$#%#$##'''' $$#%#&&'#'''# DI5A, -IT"IANI
PATI
#/'#/#
#
P
AN1SAL"0J4
''$ ''#
'
#+
$$
$$#%#$#+'''#+ $$#%#&&'('''''# NIB3ATUN 3U5ASA"4,
PATI
#/'(/+'''
#% #%
P
DK P0NTUN1AN
''$ ''#
'
#+
$(
$$#%#&'%'''# $$#%#('%('''% D.I 3UL5A.AN
PATI
#(/'%/#(
+$
L
AN1SAL"0J4
''+ ''#
'
#+
$&
$$#%##+'''+# $$#%#&+''++'''# .A"I
PATI
+'/'+/#+
(2
S
L
P0NTUN1AN
''( ''#
'
#+
$2
$$#%##+'''+# $$#%#&(2#+%'''$ .ISI,
PATI
'2/#+/#%
$
S
P
P0NTUN1AN
''( ''#
'
#+
$
$$#%##+'''+# $$#%#&&%'2%'''# .A,5UNI ISTI NU" AIS5IA,
PATI
#%/'2/#%
+'
P
P0NTUN1AN
''( ''#
'
#+
%$$$#%#%'$'%''# $$#%#&'#'#'#$' SU3A"DI
PATI
'#/'/##
(2
S
L
DK P0NTUN1AN
''( ''#
'
#+
$
$$#%#%'('%''#& $$#%#&'#'2#'+'# 3UNADI
PATI
'#/'/#2#
&2
S
L
DK P0NTUN1AN
''$ ''#
'
#+
('
$$#%#%'('%''#& $$#%#&&+'$2'''# DA"3INI
PATI
#+/'$/#2
(
S
P
DK P0NTUN1AN
''$ ''#
'
#+
(#
$$#%#%'('%''#& $$#%#&+'%&'''& J4K4 SAPUT"4
PATI
+/'%/#&
++ ++
L
DK P0NTUN1AN
''$ ''#
'
#+
(+
$$#%#%'%'''#$ $$#%#+#+%$'''2 .ASI5AT
PATI
#+/#+/#%$
$(
S
L
DS AN1SAL"0J4
''( ''#
'
#+
($
$$#%#%'%'''#$ $$#%#&('%%%'''+ U3A".ATI
PATI
'/'%/#%%
+
S
P
DS AN1SAL"0J4
''( ''#
'
#+
((
$$#%#%'%'''$ $$#%#&&2'(2'''& 0NDA, AP"ILIANA
PATI
#2/'(/#2
++ ++
P
DS AN1SAL"0J4
''( ''#
'
#+
(&
$$#%#%'%'''$ $$#%#&(#'(#'+%( SUNTA"I
PATI
'#/'/#(#
2
P
P
DS AN1SAL"0J4
''( ''#
'
#+
(2
$$#%#%'%'''$ $$#%#&+##+2''''+ JAS3AN
PATI
+#/#+/#2'
&
S
L
DS AN1SAL"0J4
'' ' '( ''#
'
#+
(
$$#%#%'%'''(' $$#%#&'$'+('''$ AL-IAN T01U, P"ADANA
PATI
'$/'+/#(
+(
L
DS AN1SAL"0J4
''$ ''#
'
#+
(%
$$#%#%'%'''(' $$#%#&+$'%'''+ ANDIKA DA6ID KU"NIA.AN
PATI
+$/'/#%
#
L
DS AN1SAL"0J4
''$ ''#
'
#+
(
$$#%#%'%'''(( $$#%#&'#'$+'++& SU.A"DI
PATI
'#/'/#$+
%&
S
L
DS AN1SAL"0J4
''$ ''#
'
#+
&'
$$#%#%'%'''(2 $$#%#&+&'2'''+ SU.AJI
PATI
+&/'/#2
(%
S
L
DS AN1SAL"0J4
'' ' '( ''#
'
#+
$$#%#%'%'''(2 $$#%#&2$'+'''+ "US3IATI
PATI
+$/'/#+
(&
S
P
DS AN1SAL"0J4
'' ' '( ''#
'
#+
&+
$$#%#%##''''% $$#%#&'#'2('# KADA"
PATI
'#/'/#2(
&$
S
L
P0NTUN1AN
''$ ''#
'
#+
&$
$$#%#%##''''% $$#%#&(#'2'+% S"I AN11I,
PATI
'#/'/#2
&'
S
P
P0NTUN1AN
''$ ''#
'
#+
&(
$$#%#%##''''% $$#%#&+&'$%+'''# ,A"54N4
PATI
+&/'$/#%+
$2
S
L
P0NTUN1AN
''$ ''#
'
#+
&&
$$#%#%##''''% $$#%#('(&'''+ A3AN1 3UJI54N4
PATI
#(/'(/#&
+$ +$
L
P0NTUN1AN
''$ ''#
'
#+
&2
$$#%#'2#$'''# $$#%#'('''' SUNT4N4
PATI
#/'(/#'
+%
L
DK P0NTUN1AN
''+ ''#
'
#+
&
$$#%#''&(+'$ $$#%#&(#'(&'#% SUKANA,
PATI
'#/'/#(&
+
P
P
DS AN1SAL"0J4
'' ' '+ ''#
'
#+
&%
$$#%#''&(+'$ $$#%#'&''''$ AN11A UDI5ANT4
PATI
#2/'&/#'
+% +%
L
DS AN1SAL"0J4
''+ ''#
'
#+
&
$$#%#''&(+'$ $$#%#&''22'''# 5UNITA NU" A,5ANTI
PATI
$'/'2/#2
+# +#
S
P
AN1SAL"0J4
''+ ''#
'
#+
2'
$$#%#''&(++' $$#%#'$#'''+ SU.4N4 $$#%#''&(++' $$#%#&&''$('''( SUK0SI
PATI PATI
#/'$/## #'/'$/#(
( ((
S S
L P
DS AN1SAL"0J4 DS AN1SAL"0J4
''+ ''# '' ''+ ''#
' '
#+ #+
2# 2+
$$#%#''&(++' $$#%#'(''''2 SUP"I54N4
PATI
#/'(/#'
+%
L
DS AN1SAL"0J4
''+ ''#
'
#+
2$
$$#%#''&(++' $$#%#%#+$'''$ DIAN P"AS0T54
PATI
#%/#+/#$
+( +(
L
DS AN1SAL"0J4
''+ ''#
'
#+
2(
$$#%#''&+' $$#%#&2%'$2''''# KA".ATI
PATI
+%/'$/#2'
&%
S
P
DS AN1SAL"0J4
''& ''#
'
#+
2&
$$#%#''&+' $$#%#&&&'%'''$ .INA"TI
PATI
#&/'/#%
$'
P
P
DS AN1SAL"0J4
''& ''#
'
#+
22
$$#%#''&$& $$#%#&+$'(%%'''# .A,5U SUSIL4
PATI
+$/'(/#%%
$' $'
L
DS AN1SAL"0J4
''& ''#
'
#+
2
$$#%#''& $$#%#&'%'2'''# KA"NADI
PATI
'%/'/#2
(#
S
L
DS AN1SAL"0J4
''( ''#
'
#+
2%
$$#%#''& $$#%#&(%'$%''''+ "AS3I
PATI
'%/'$/#%'
%$S
P
DS AN1SAL"0J4
'' ''( ''#
'
#+
2
$$#%#''& $$#%#'''''# A,3AD NU" K,4LIS
PATI
#'/'/#
#%
L
DS AN1SAL"0J4
''( ''#
'
#+
'
$$#%#''&2''+ $$#%#&(2'#2'''# N1AT03I
PATI
'2/'#/#2
(+
S
P
DS AN1SAL"0J4
''$ ''#
'
#+
#
$$#%#''&2''$ $$#%#&++'+'''+ 7A,.AN AN.A"
PATI
++/'+/#
+# +#
L
DS AN1SAL"0J4
''$ ''#
'
#+
+
$$#%#''&2''& $$#%#('%'''$ AND"0AS SUT434
PATI
#(/'/#%
+% +%
L
DS AN1SAL"0J4
''$ ''#
'
#+
$
$$#%#''&2'' $$#%#&''&%'''# .A,.IK P"ATI.I
PATI
$'/'&/#%
+ +
P
DS AN1SAL"0J4
''$ ''#
'
#+
(
$$#%#&+''##('''+ $$#%#&2''(%&'''+ SU-IT"I
PATI
+'/'(/#%&
$$
S
P
DK P0NTUN1AN
''+ ''#
'
#+
&
$$#%#&+'''''%' $$#%#&'2#+&'''( 0K4 A"IS SUP"I5ANT4
PATI
'2/#+/#&
++
L
DK P0NTUN1AN
''+ ''#
'
#+
2
$$#%#&+'##'''+ $$#%#&'#'&2'++' L01I3AN
PATI
'#/'/#&2
2#
S
L
P0NTUN1AN
''$ ''#
'
#+
$$#%#&+#'&'%'''# $$#%#&2&'%&'''# AL-ATKA, 1ITA S0TIATIAS
PATI
+&/'%/#&
++
P
DK P0NTUN1AN
''( ''#
'
#+
%
$$#%#&+#'%'''+& $$#%#&'%'''+ "0TN4 A5U 50NTIANA
PATI
##/'%/#
#% #%
P
AN1SAL"0J4
''& ''#
'
#+
$$#%#&+##+#'''# $$#%#&(&'2'''$ NU" INDA, A5U JUNIATI
PATI
'&/'2/#
#
P
DS AN1SAL"0J4
''$ ''#
'
#+
%'
$$#%#&++''%''+# $$#%#''+2%'''# INDA"T4
PATI
#'/'+/#2%
&'
S
L
DK P0NTUN1AN
''$ ''#
'
#+
%#
$$#%#&++''%''+# $$#%#&&'%#'''# KA"T4NA,
PATI
#/'%/##
(2
S
P
DK P0NTUN1AN
''$ ''#
'
#+
%+
$$#%#&++''%''+# $$#%#&(%#'%'''$ PUT"I INDA, NU"5ANTI
PATI
'%/#'/#%
#
P
DK P0NTUN1AN
''$ ''#
'
#+
%$
$$#%#&++#'#2'''# $$#%#&(#'&'&& 3INA,
PATI
'#/'/#&
2'
S
P
DS AN1SAL"0J4
'' ''( ''#
'
#+
%(
$$#%#&++#'#2'''# $$#%#&+#'$'''2 SAS3IT4
PATI
+/#'/#$
+(
L
DS AN1SAL"0J4
''( ''#
'
#+
%&
$$#%#&++#'#2'''# $$#%#&+$##'''$ AND"IAN T"I ,IDA5AT
PATI
+$/##/#
#%
L
DS AN1SAL"0J4
''( ''#
'
#+
%2
$$#%#&+$'(##'''( $$#%#&'+'#$''' SUATN4
PATI
'+/'#/#$
(&
S
L
AN1SAL"0J4
''+ ''#
'
#+
%
$$#%#&+$'(##'''( $$#%#&(+'%#'''$ JU3IATUN
PATI
'+/'/#%#
$2
S
P
AN1SAL"0J4
''+ ''#
'
#+
%%
$$#%#&+&'2'''' $$#%#&(+'+%'''2 "0S.0NI
PATI
'+/'+/#%
('
S
P
DK P0NTUN1AN
''$ ''#
'
#+
%
$$#%#&+&'2'''' $$#%#&+'%%$'''+ SU5IKN4
PATI
+/'%/#%$
$(
S
L
DK P0NTUN1AN
''$ ''#
'
#+
'
$$#%#&+&'2'''' $$#%#&2&'&$'''+ DIA, I".ANTI
PATI
+&/'&/#$
+& +&
P
DK P0NTUN1AN
''$ ''#
'
#+
#
$$#%#&+2'2'%''% $$#%#&+('$('''( ADI PU".ANT4
PATI
+(/'$/#(
+(
L
AN1SAL"0J4
''+ ''#
'
#+
+
$$#%#&+2'2'%'#+ $$#%#&(#'+''% "UKA5A,
PATI
'#/'/#+
%%
P
P
DK P0NTUN1AN
''+ ''#
#
#+
$
$$#%#&+2'2'%'#%+ $$#%#&(#'(2'++( 5A"SI,
PATI
'#/'/#(2
#
P
P
AN1SAL"0J4
''+ ''#
'
#+
(
$$#%#&+2'2'%'#( $$#%#&(#'&2'+% 1I3A,
PATI
'#/'/#&2
2#
S
P
AN1SAL"0J4
''+ ''#
'
#+
&
$$#%#&+'&''''$ $$#%#&(2'#'''+ LIA NU" SA-IT"I
PATI
'2/'#/#
# #
P
DK P0NTUN1AN
''$ ''#
'
#+
2
$$#%#&+'2'%''(& $$#%#&2'$%'''+ ,0NI SULISTI5ANIN1SI,
PATI
+/'$/#%
+' +'
P
AN1SAL"0J4
''$ ''#
'
#+
$$#%#&+'2'%'#+( $$#%#&'#'(''+( TASI3IN
PATI
'#/'/#('
S
L
AN1SAL"0J4
''$ ''#
'
#+
%
$$#%#&+'2'%'#+( $$#%#&(#'(('#%' SU.A"SI,
PATI
'#/'/#((
$
S
P
AN1SAL"0J4
''$ ''#
'
#+
#+
$$#%#&+'2'%'#$% $$#%##'&2'''( PA"3IN
PATI
##/'&/#2
(+
S
L
AN1SAL"0J4
''$ ''#
'
#'' $$#%#&+'2'%'#$% $$#%#&2&'%'''$ KA"TINI
PATI
+&/'%/#
%$S
P
AN1SAL"0J4
''$ ''#
'
#+
#'# $$#%#&+'2'%'#$% $$#%#&'('%'''''+ ALI 3A-TUK,IN
PATI
'(/'%/+'''
#
L
AN1SAL"0J4
''$ ''#
'
#+
#'+ $$#%#&+'2'%'#(2 $$#%#$'%+'''( LAPIN
PATI
#$/'/#%+
$&
S
L
AN1SAL"0J4
''$ ''#
'
#+
#'$ $$#%#&+'2'%'#&% $$#%#&'#'(+'+&% "0IN
PATI
'#/'/#(+
&
S
L
AN1SAL"0J4
''$ ''#
'
#+
#'( $$#%#&+'2'%'## $$#%#&&'2'''# NADI5A -IT"I5ANI
PATI
#/'/#2
+#
P
AN1SAL"0J4
''$ ''#
'
#+
#'& $$#%#&+'2'%'## $$#%#&'%'+''''' I@AL 3U,A33AD IL5AS
PATI
'%/'+/+'''
#% #%
L
AN1SAL"0J4
''$ ''#
'
#+
#'2 $$#%#&+'2'%'(+# $$#%#&+%'('''( SUT4.4 #' $$#%#&+'2'%'(+# $$#%#&&'#'%'''#' SUTA3I
PATI PATI
+%/'/#( #'/#'/#%'
($ $
S S
L P
AN1SAL"0J4 AN1SAL"0J4
''( ''# ''( ''#
' '
#+ #+
#'% $$#%#&+'2'%'(+# $$#%#&'#+'''# D0S5 "0TN4.ATI
PATI
$'/#+/#
+'
P
AN1SAL"0J4
''( ''#
'
#+
#' $$#%#&+'2'%'&$$ $$#%#&(#'2''&$( KA3I"A,
PATI
'#/'/#2'
&
S
P
AN1SAL"0J4
''( ''#
'
#+
##' $$#%#&+'2'%'&( $$#%#&(#'(+'('# SUI"A,
PATI
'#/'/#(+
&
S
P
AN1SAL"0J4
''( ''#
'
#+
### $$#%#&+'2'%'2'# $$#%##%''#' SUSANT4
PATI
#&/##/#%
$'
S
L
AN1SAL"0J4
''( ''#
'
#+
##+ $$#%#&+'2'%'2$# $$#%#&'#'('+#( SUKANT4
PATI
'#/'/#(
'
S
L
AN1SAL"0J4
''( ''#
'
#+
##$ $$#%#&+'2'%'2$# $$#%#&''$%'''# NU"SALI3
PATI
'/'$/#%
$#
S
L
AN1SAL"0J4
''( ''#
'
#+
##( $$#%#&+'2'%'2(' $$#%#&'+'(+'''( .A"DI
PATI
'+/'(/#+
(2
S
L
AN1SAL"0J4
''( ''#
'
#+
##& $$#%#&+'2'%'2(' $$#%#''2'''( N4K"IS 3ALIKI
PATI
#'/'/#2
+#
L
AN1SAL"0J4
''( ''#
'
#+
##2 $$#%#&+%'&'%'''& $$#%#&(#'$%'+#% SA4DA,
PATI
'#/'/#
%$
P
P
DK 3AN1SAL
''2 ''+
'
#+
## $$#%#&+%##'%'''# $$#%#'(%&'''# S4BI3
PATI
#/'(/#%&
$$
L
DK P0NTUN1AN
''( ''#
'
#+
##% $$#%#&+''''## $$#%#&(#'(2'+$ SUPAINI
PATI
'#/'/#(2
#
P
P
DK P0NTUN1AN
''( ''#
'
#+
## $$#%#&+''''#+ $$#%#&(&'+2''' -0"I5ANTI S"I "0J0KI
PATI
'&/'+/#2
++
P
DK P0NTUN1AN
''( ''#
'
#+
#+' $$#%#&+##'''#$ $$#%###'2&'''# "UKANI
PATI
##/#'/#2&
&+
S
L
AN1SAL"0J4
''$ ''#
'
#+
#+# $$#%#&+##'''#$ $$#%#&2&'#$'''# SUP"I5ANTI
PATI
+&/'#/#$
(&
S
P
AN1SAL"0J4
''$ ''#
'
#+
#++ $$#%#&+##'''#$ $$#%#&&%'#'''''# 30LINA D.I SA-IT"I
PATI
#%/'#/+'''
#% #%
P
AN1SAL"0J4
''$ ''#
'
#+
#+$ $$#%#&$''2'%'+$% $$#%#&++'(%$'''+ KASNADI
PATI
++/'(/#%$
$&
S
L
AN1SAL"0J4
''& ''#
'
#+
#+( $$#%#&$''2'%'+&& $$#%#&'$('''& SUKA.I
PATI
#&/'$/#(
+(
L
AN1SAL"0J4
''& ''#
'
#+
#+& $$#%#&$''2'%'+( $$#%#&'#'$'+% SU"4 SA"DI
PATI
'#/'/#$
%'
P
L
AN1SAL"0J4
''& ''#
'
#+
#+2 $$#%#&+%''''+& $$#%#&($'#'#'''+ SITI "4IATUN
PATI
'$/'#/+''#
# #
P
AN1SAL"0J4
''+ ''#
'
U 8 ##
#+ $$#%#&+'#'''& $$#%#&+%'%%%'''# NU" K4LIS
PATI
+%/'%/#%%
+ +
S
L
DK P0NTUN1AN
''$ ''#
'
U 8 #+
#+% $$#%#%'%'''(+ $$#%#&'#'$&'+' AST"4 SA"I3A,
PATI
'#/'/#$&
%+
P
L
DS AN1SAL"0J4
''& ''#
'
#+ $$#%#&+%#+#'''+( $$#%#&'#'(('#( A3I"KAN
PATI
'#/'/#((
%#
S
L
AN1SAL"0J4
''+ ''#
'
U 8 #+
#$' $$#%#&+%''''+& $$#%#'$'''# SUKA"N4
PATI
'/'(/#%
$
S
L
AN1SAL"0J4
''+ ''#
'
U 8 #+
U 8 #+
#$# $$#%#&+##'#''''+ $$#%#&&+#+%$''' AS3A"4,
PATI
#+/#+/#%$
$( $(
S
P
DK P0NTUN1AN
''( ''#
'
U 8 #+
#$+ $$#%#&+##'#''''+ $$#%#&+('#%(''' ,ADI ,0"3A.AN
1"441AN
+(/'#/#%(
$(
S
L
DK P0NTUN1AN
''( ''#
'
U 8 #+
#$$ $$#%#&$''%#'''( $$#%#&&&'%'''+ SU3I"A,
PATI
#&/'/#%
$
P
P
DK P0NTUN1AN
''( ''#
'
U 8 #+
#$( $$#%#&$''%#'''$ $$#%#&'#+2'''+ U3I 3UN7A"4A,
PATI
$'/#+/#2
+#
S
P
DK P0NTUN1AN
''( ''#
'
U 8 #+
#$& #$& $$# $$#%#& %#&++' ++'%# %#''' '''+ $$#% $#%'%' '%'$'( $'($' $''+# '+# A"IS A"IS SU1I SU1I5 5ANT4 NT4
PATI
#$2 $$#%#(###$'''$ $$#%+##2'2%('''+ SUT"ISN4
PATI
'$/'(/#$ #2/'2/#%(
+& $(
' '
#$ #$ $$#% $$#%#& # #' ''& '&2' 2'' ' $$#% $$#%#& #&+2 +2' '& &'' '''# '# IPT IPT4 4 ADI ADI .I4 .I4.4 .4
PATI
#(' $$#%#&$''2'%'+&& $$#%#&&+'$'''''+ PUJIATI
PATI
#+/'$/+'''
#%
P
AN1SAL"0J4
''& ''#
'
##
#(# $$#%#'2#$'''# $$#%'%(&'(%$'''# L0LI .IJA5ATI
PATI
'&/'(/#%$
$&
S
P
AN1SAL"0J4
''+ ''#
'
#+
+2/'/#&
+$
L
AN1SAL"0J4 AN1SAL"0J4
''$ ''#
' '
''$ ''#
'
#+ #+ #+
Ditetapkan 9i angsalre: o; Tanggal +' -ebruari +'#%
Keter)n*)n $ 72
*) Keterangan 9iisi<
< ,ak Pilih Di=abut
Perempuan
69
U< Ubah 9ata
#'< ukan Pen9u9uk
TOTAL
!.!
#< 3eninggal
##< belum KTP8el
+<1an9a
#+< belum 9ipas>kan
Laki - Laki
P
''( ''#
#+ #+
JA5 JA5APU" APU"A A
S
AN1SAL"0J4
''( ''# ''( ''#
PATI
+ +
L
AN1SAL"0J4 AN1SAL"0J4
#$% $$#%#&+'#'''& $$#%#22'###'''+ 0NDA, .ULANSA"I
+'/##/##
S
L L
#$ #$ $$#% $$#%#& #' #'## ### #'' '''# '# $$#% $$#%+# +#+% +%'( '(& &'' '''+ '+ I3A3 I3A3 AP"I AP"ILI LIAN ANT T4
+%/'(/#&
+$
S S
Keterangan Disabilitas <
$
# < Tuna Daksa
(< Pin9ah Domisili
Keterangan Status perkawinan <
+< Tuna Netra
&< Ti9ak Dikenal
< elum Kawin
$< Tuna "ungu!.i=ara
2< TNI
S < Kawin
(< Tuna 1rahita &< Disabilitas lainn?a
< Polri %< ,ilang ingatan
P < Pernah Kawin
Pani>a Pemungutan Suara Ketua
, BADRI
DAFTAR PEMILIH POTENSIAL NON KTP-elektronik PEMILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TENGAH
Mo'el A(%-KWK
TAHUN 2!" PRO#INSI KABUPATEN
No 1
No KK 2
$ JAWA TENGAH $ PATI
NIK
Nama
3
4
Tempat Lahir Tanggal Lahir Umur 5
PATI
6
#$/'+/+''#
7
#
Status
Jenis
Perkawina Perkawinan n
Kelamin Kelamin
!S!P
L!P
8
9
P
KE%AMATAN DESA&KELURAHAN
$ WEDARIJAKSA $ BANGSALREJO
TPS
$/
Alamat Jalan!Dukuh 10
AN1SAL"0J4
Disa bili
"t
"w
11 11
12
''# ''+
Ket *)
tas 13
#
$$#%#&+%###''''( $$#%#&&$'+'#'''( ,0STI S0TIANIN1"U3
+
$$#%#&'(#'#('''& $$#%'%(&'&'#''+# SULISTI5ANA
PATI
'&/'&/+''#
#
P
AN1SAL"0J4
$
$$#%#&''(#''''$ $$#%#&(#'%'''2 ANN5 LUT -IA,
PATI
'#/'/#%
# #
P
DS AN1SAL"0J4
(
$$ $$#%#&''+'%''## $$#%#&+$'+'''# A,3AD S,4LIKUN
PATI
+$/'+/#
+# +#
L
DK 3AN1SAL
''( ''+
'
PATI
+$/'$/#$
+& +&
S
L
AN1SAL"0J4
''& ''+
'
J0PA"A
'/#+/+'''
#
P
AN1SAL"0J4
''# ''+
'
14
'
##
''& ''+
'
##
''( ''+
'
## ##
&
$$#%#&''%#('''2 $$#%'%+$'+$'''2 S0TI5ANT4 T"IP"AS4J4
2
$$#%#''%#2''' $$+''(#+'''''& D06I PUSPITASA"I
##
$$#%#'&'%''# $$#%#&'%'&%$'''$ 3UJI4N4
PATI
'%/'&/#%$
$&
L
DK 3AN1SAL
''& ''+
'
##
%
$$#%#''%''#& $$#%#&++'%%+'''+ A1US 3UJIANT4
PATI
++/'%/#%+
$&
L
DK 3AN1SAL
''& ''+
'
##
##
$$#%#&+('''''# $$#%#&(+'%'''''+ I"A A1ISTI5ANI
PATI
'+/'%/+'''
#
P
DS AN1SAL"0J4
''( ''+
'
##
#'
$$#%#&+'###''(& $$#%#&&+''''''# DIAN NU" SA-IT"I
PATI
#+/'/+'''
#
P
AN1SAL"0J4
''& ''+
'
##
##
$$#%#&+'(#&''#2 $$#%#&+2#''''''+ "0AND"4 "0STU AJI
PATI
+2/#'/+'''
# #
L
DS AN1SAL"0J4
''# ''+
'
##
#+
$$#%#&+%'(#''''# $$#%#&(('&'#'''& .ID5A K,4I"UNNISA
PATI
'(/'&/+''#
# #
P
DS AN1SAL"0J4
''& ''+
'
## #+
#$
$$#%'%#%'$'%''' $$#%'%'#'22#2#( N1ANI
PATI
'#/'/#22
S
L
AN1SAL"0J4
''# ''+
'
#(
$$#%'%#%'$'%''' $$#%'%(#'22++%2 5ATI3A,
PATI
'#/'/#22
S
P
AN1SAL"0J4
''# ''+
'
#&
$$#%'%#%'$'%''' $$#%'%#('2(''2$ A1US .INATN4
PATI
#(/'2/#(
+(
L
AN1SAL"0J4
''# ''+
'
#2
$$#%'%#%'$'%''' $$#%'%&2'2''++ L0LI NU" ,A7IJA,
PATI
#2/'2/#
# #
P
AN1SAL"0J4
''# ''+
'
#
$$#%'%+2##'&''$% $$#%'%#+'(%''(# SUT"ISN4
PATI
#+/'(/#%
('
S
L
AN1SAL"0J4
''# ''+
'
#%
$$#%'%+2##'&''$% $$#%#&&+'('''+ JU3IATI
PATI
#+/'(/#
$
P
P
AN1SAL"0J4
''# ''+
'
#
$$#%#(#'#'%''' $$#%#(&$'2%2'''% S"I ,A"TINI
PATI
#$/'2/#%2
$+
S
P
AN1SAL"0J4
''# ''+
'
#+ #+ #+ #+ #+ #+
+'
$$#%#&'#''%'+&( $$#%##'+'''# PAIDIN
PATI
##/'/#+
%%
S
L
AN1SAL"0J4
''# ''+
'
+#
$$#%#&'#''%'+&( $$#%#&&''2$#'''# PAT"I
PATI
#'/'2/#$#
%
S
P
AN1SAL"0J4
''# ''+
'
#+
#+ #+
++
$$#%#&'#''%'+2( $$#%#'(2+'''# SU.A"DI
PATI
#2/'(/#2+
&2
S
L
AN1SAL"0J4
''# ''+
'
+$
$$#%#&'#''%'$$( $$#%#&(2'#(('''# SUJI
PATI
'2/'#/#((
(
P
P
AN1SAL"0J4
''# ''+
'
+(
$$#%#&'+'$#'''+' $$#%#&&&'&2'''+ 3IA SUI5ANTI
PATI
#&/'&/#2
++
P
DS AN1SAL"0J4
''( ''+
'
+&
$$#%#&'+#''2+$& $$#%#'+$'''$ KA"SI3AN
PATI
#/'+/#$
(&
S
L
AN1SAL"0J4
''( ''+
'
#+
+2
$$#%#&'+#''''' $$#%#&(#'('$#( 1A"I
PATI
'#/'/#(
2%
S
P
DS AN1SAL"0J4
'' ''# ''+
'
#+
+
$$#%#&'+#''''' $$#%#'%#'''$ A1US SANT4
PATI
#2/'%/##
+2 +2
L
DS AN1SAL"0J4
''# ''+
'
+%
$$#%#&'('##''''+ $$#%#&'#+('''( ,A-IT "ID,4
PATI
'/#+/#(
+$
L
DS AN1SAL"0J4
''( ''+
'
+
$$#%#&'&'('%'''2 $$#%#&++'%'''+ S5A3SUL A"I-IN
PATI
++/'&/#%
+' +'
L
DK 3AN1SAL
''( ''+
'
$'
$$#%#&'&'%'%'''% $$#%#'%'''+ SU1I,A"T4
PATI
#2/'/#%
+%
L
DK 3AN1SAL
''# ''+
'
#+ #+
#+ #+ #+ #+
$#
$$#%#&'&'%'%'''% $$#%#&2%#'+'''+ S"I ,ANDA5ANI
PATI
+%/#'/#+
+& +&
P
DK 3AN1SAL
''# ''+
'
$+
$$#%#&'&'%'%'''% $$#%#&+&'2(2'''$ A,54 .I4.4
PATI
+&/'2/#2
++
L
AN1SAL"0J4
''# ''+
'
#+
$$
$$#%#&'&'%'%'''% $$#%#&'&'#'''''+ 3U,A33AD 5USU-
PATI
'&/'#/+'''
#% #%
L
DK 3AN1SAL
''# ''+
'
$(
$$#%#&'+'''+( $$#%#''2+'''# SUTAJI
PATI
#'/'/#2+
&&
S
L
AN1SAL"0J4
''( ''+
'
#+
$&
$$#%#&'2'$''''( $$#%#'%%&'''& SU30" .ASIS
PATI
#/'%/#%&
$+
L
DK 3AN1SAL
''( ''+
'
#+
#+ #+
$2
$$#%#&'2###('''# $$#%##'%&'''# A,3AD TAU-IK
$
$$#%#&'2###('''# $$'2#+('(''''% AP"IANI
%$$$#%#&''%'''+# $$#%#&('(%'''# KUSTI
PATI
$
$$#%#&'%'%'''' $$#%#&''2&%'''# SUPI5A,
PATI
PATI
#+
##/'/#%&
$+
S
L
AN1SAL"0J4
''( ''+
'
PU".4"0J4 '/'(/#'
+%
S
P
AN1SAL"0J4
''( ''+
'
'/'/#(%
2
P
P
DS AN1SAL
''& ''+
'
#+
$'/'2/#&%
&
S
P
DK AN1SAL
''& ''+
'
#+ #+
('
$$#%#&'%'%'''' $$#%#&+&'%&%'''# SUDA"
PATI
+&/'%/#&%
&
S
L
DK AN1SAL
''& ''+
'
(#
$$#%#&'%##'''#( $$#%##+&'''& S4.A3 A"4-I
PATI
#/#+/#&
++
L
AN1SAL"0J4
''( ''+
'
(+
$$#%#&''&'%''#& $$#%#&(#''+$ L01I
PATI
'#/'/#
22
P
DK 3AN1SAL
''& ''+
'
($
$$#%#&''&'%''#& $$#%#&('(('''+ S"I NIN1SI,
PATI
'/'(/#(
+(
P
DK 3AN1SAL
''& ''+
'
((
$$#%##'$'''#' $$#%#&+#'2$'''( K,4I"UL A A7IS
PATI
+#/'2/#$
+& +&
L
DK 3AN1SAL
''& ''+
'
(&
$$#%###''''' $$#%#'$$'''# ,0N"I A".AN
PATI
#/'$/#$
+&
L
AN1SAL"0J4
''( ''+
'
(2
$$#%#+'%#('''# $$#%#'#&'+%$''' U3A"
PATI
#&/'+/#%$
$&
S
L
D0SA AN1SAL"0J4 ''& ''+
'
#+
#+ #+ #+ #+ #+ #+
(
$$#%#+'%#(''' #&'+#'+'#+2''''# JANA.I
PATI
'#/'/#2+
&&
S
L
AN1SAL"0J4
''& ''+
'
(%
$$#%#+#'''''2 $$#%#&(#'&'$+ DA".ATI
PATI
'#/'/#&
&%
S
P
DS AN1SAL"0J4
'' ' '& ''+
'
#+
(
$$#%#+#'''''2 $$#%#&&&'#'''& SULIKA,
PATI
#&/'#/#
+#
P
DKC AN1SAL"0J4
''& ''+
'
#+
&'
$$#%#+#+'%'''# $$#%#&'&'+$'''# .ANADI
PATI
'&/'+/#$
(&
S
L
DK 3AN1SAL
''( ''+
'
#+
#+
$$#%#$'$#&'''# $$#%#&22'(#'''# KA"SINA,
PATI
+2/'/#(#
2
P
P
AN1SAL"0J4
''# ''+
'
&+
$$#%#''''#2 $$#%#&+%'+#'''( A3AN1 S
PATI
+%/'+/##
(
S
L
DS AN1SAL"0J4
''# ''+
'
#+
&$
$$#%#''''#2 $$#%#&&$'&%'''$ S"I SUNDA"I
PATI
#$/'&/#%
+'
P
DS AN1SAL"0J4
''# ''+
'
#+
&(
$$#%#%'%'''( $$#%#&(#'&'$%% N1ATINI
PATI
'#/'/#&
&%
S
P
DS AN1SAL"0J4
'' ' '& ''+
+
#+
&&
$$#%#%'%'''( $$#%#&$'#+2%'''( PA"LAN
PATI
$'/#+/#2%
(
S
L
DS AN1SAL"0J4
'' ''& ''+
'
#+
&2
$$#%#''&$+$( $$#%#&('&#'''( "U3I5ATI
PATI
'/'&/##
(
S
P
AN1SAL"0J4
''# ''+
'
#+
&
$$#%#''&$+(' $$#%#''%2'''# S4-5ANT4
PATI
#'/'%/#2
+#
L
AN1SAL"0J4
''# ''+
'
#+
&%
$$#%#''&$+(' $$#%#&&''%2'''$ S4-5ANTI
PATI
#'/'%/#2
+#
P
AN1SAL"0J4
''# ''+
'
&
$$#%#''&(++ $$#%#&&$'&%$'''# S"I NU"AINI
PATI
#$/'&/#%$
$&
P
P
DK 3AN1SAL
''# ''+
'
#+
2'
$$#%#''&(++ $$#%#&(%'2%2'''( ISTIANA $$#%#''&(+$+ $$#%#&(#'(''2'( SUK0NI
PATI PATI
'%/'2/#%2 '#/'/#('
$+
P
P P
DK 3AN1SAL DS AN1SAL"0J4
''# ''+ '' ''# ''+
' '
#+
2# 2+
$$#%#''&2'#% $$#%#&(+#'2'''# 50NI .ULANSA"I
PATI
'+/#'/#2
+#
P
AN1SAL"0J4
''& ''+
'
2$
$$#%#''&2'# $$#%#&'#'(#'#% ,ADI
PATI
'#/'/#(#
2
S
L
AN1SAL"0J4
''& ''+
'
#+
#+ #+ #+ #+
2(
$$#%#''&2'+% $$#%###+$'''+ 3UNAJI
PATI
##/#+/#$
+(
L
DK 3AN1SAL
''& ''+
'
2&
$$#%#''&2'$# $$#%#&'&'&'''# SA3IJAN
PATI
'&/'/#&
2'
S
L
DS AN1SAL"0J4
'' ' '& ''+
'
#+
22
$$#%#''&2'$# $$#%#&($'&2%'''# SUNA"TI
PATI
'$/'&/#2%
&'
S
P
DS AN1SAL"0J4
'' ' '& ''+
'
#+
2
$$#%#''&2'(2 $$#%#&+#'$2$'''# SU"4S4
PATI
+#/'$/#2$
&&
S
L
DK 3AN1SAL
''& ''+
'
#+
2%
$$#%#''&2'(2 $$#%#&&%'2'''# D0.I "4,3A.ATI
PATI
#%/'2/#
+#
P
DK 3AN1SAL
''& ''+
'
#+
2
$$#%#''&2'( $$#%#&&$'(('''# SA.ILA,
PATI
#$/'/#((
$
P
P
AN1SAL"0J4
''& ''+
'
#+
'
$$#%#''&2'( $$#%#&&$#+'''# UL-A A5NA5A
PATI
#$/#+/#
+'
P
AN1SAL"0J4
''& ''+
'
#+
#+
#
$$#%#''&2%( $$#%#&'#'&'''# SA"JAN
PATI
'/#'/#&
2'
S
L
DK 3AN1SAL
''( ''+
'
+
$$#%#''&2%( $$#%#&&%'2#'''# LAS3I
PATI
#%/'/#2#
&2
S
P
DK 3AN1SAL
''( ''+
'
#+
$
$$#%#''&2%( $$#%#&''('''+ AK,3AD SA0"47I
PATI
'/'(/#
$
L
DK 3AN1SAL
''( ''+
'
#+
(
$$#%#''&2%&( $$#%#&'&'222'''+ SUKA"DI U"IP
PATI
'&/'2/#22
&+
S
L
DS AN1SAL"0J4
''( ''+
'
#+
&
$$#%#&++'##$'''+ $$#%'%+(##%''2# D0D5 K"ISTIA.AN
PATI
+(/##/#%
$' $'
S
L
DS AN1SAL"0J4
''( ''+
'
2
$$#%#&++'$'%''#$ $$#%#&&2'2'''# DIANA A5U L0STA"I
PATI
'2/'2/#
# #
P
DK 3AN1SAL
''# ''+
'
$$#%#&++'&'%'''% $$#%#''('''# N1A"IPIN
PATI
#'/'/#(
'
S
L
DS AN1SAL"0J4
''( ''+
'
%
$$#%#&++'%''''$ $$#%#&'+'%$&'''# S4I"I
PATI
'+/'%/#$&
%+
S
L
DS AN1SAL"0J4
'' ''( ''+
'
$$#%#&+$'$#'''#$ $$#%#&+$'+'''+ SUNA"T4
PATI
+$/'+/#
(#
S
L
AN1SAL"0J4
''& ''+
'
%'
$$#%#&+$''''(+ $$#%#&'#'2#'$#( PA".I
PATI
'#/'/#2#
&2
S
L
3AN1SAL
''& ''+
'
%#
$$#%#&+$''''(+ $$#%#&(#'2+'&%+ "A3I
PATI
'#/'/#2+
&&
P
3AN1SAL
''& ''+
'
#+
#+ #+ #+ #+ #+ #+ #+
%+
$$#%#&+$''''(+ $$#%#&(#'2$'&&& DA"3INI
PATI
'#/'/#2$
&(
S
P
3AN1SAL
''& ''+
'
%$
$$#%#&+('$#&'''$ $$#%#&'#+#'''+ SUDA"34N4
PATI
'/#+/##
+2
S
L
DK 3AN1SAL
''( ''+
'
#+
%(
$$#%#&+('(#''''$ $$#%##'#$'''& A"IS 3UNANDA"
PATI
##/'#/#$
+& +&
L
DS AN1SAL"0J4
''# ''+
'
#+
%&
$$#%#&+('%''''# $$#%#&'2$'''+ 3A"DI5A,
PATI
##/'/#2$
&(
P
P
DS AN1SAL"0J4
'' ' '& ''+
'
#+
%2
$$#%#&+('%''''# $$#%#&&2'#'''# D0.I 3UK4DILA,
PATI
#2/'/##
+2 +2
S
P
DS AN1SAL"0J4
''& ''+
'
#+
%
$$#%#&+(##'''#' $$#%#&&&'$2'''# SUTA"NI
PATI
#&/'/#$2
%#
S
P
AN1SAL"0J4
''& ''+
'
%%
$$#%#&+&'&'''#& $$#%#&'#'&'(&( SU.4N4
PATI
'#/'/#&
2'
S
L
AN1SAL"0J4
''( ''+
'
%
$$#%#&+&'&'''#& $$#%#&'%'+2$'''+ KANA.I
PATI
'%/'+/#2$
&&
S
L
AN1SAL"0J4
''( ''+
'
'
$$#%#&+2''%''' $$#%#&(#'$%'$#& SU3INI
PATI
'#/'/#
%$
S
P
DK 3AN1SAL
''( ''+
'
#
$$#%#&+2''%''' $$#%#&+('2+'''( .A"SIT4
PATI
+(/'2/#+
(2
L
DK 3AN1SAL
''( ''+
'
+
$$#%#&+'###''+# $$#%#&(#'$'''# DI5A, "ISKI
PATI
'#/'$/#
+#
P
D0SA AN1SAL"0J4 ''( ''+
'
#+
#+ #+ #+ #+ #+ #+
$
$$#%#&+'###''(( $$#%#&(#'&&'(%' "UKANI
PATI
'#/'/#&&
2+
S
P
AN1SAL"0J4
''& ''+
'
(
$$#%#&+'('''#( $$#%#&+('%2+'''# .A1I3AN
PATI
+(/'%/#2+
&&
S
L
DS AN1SAL"0J4
''& ''+
'
#+
&
$$#%#&+'('''#( $$#%#&(#'#2%'''# "AS3INI
PATI
'#/'#/#2%
&'
S
P
DS AN1SAL"0J4
'' ' '& ''+
'
#+
2
$$#%#&+'%'%''#' $$#%#&'&'2%$'''$ SU"4S4
PATI
'&/'2/#%$
$&
S
L
DS AN1SAL"0J4
'' ''( ''+
'
#+
#+
$$#%#&+#+#'''$ $$#%#&22'#%'''# N4-ITASA"I
PATI
+2/'#/#%
+'
P
AN1SAL"0J4
''( ''+
'
%
$$#%#&+%'('''% $$#%'+++%2'''+ UDI A,54N4
PATI
+&/#+/#%2
$#
S
L
AN1SAL"0J4
''# ''+
'
$$#%#&+%'%#''''+ $$#%#&'('(%'''( SUNA"54
PATI
'(/'(/#%
('
S
L
DS AN1SAL"0J4
'' ' '( ''+
'
#+
#'' $$#%#&+%'#'''' $$#%#&(#'&2'('' NA"IDA,
PATI
'#/'/#&2
2#
P
P
DS AN1SAL"0J4
''( ''+
'
#+
#'# $$#%#&+%#'#2'''$ $$#%#&&&'''''$ ANI0S SULISTIA.ATI
#+ #+
ATAN1
#&/'/#'
+ +
P
DK 3AN1SAL
''& ''+
'
#+
#'+ $$#%#&+#''''' $$#%#&(#'(''&%( SA"3I
PATI
'#/'/#('
P
P
DS AN1SAL"0J4
'' ''& ''+
'
#+
#'$ $$#%#&+#''''' $$#%#&+2'(+'''$ JAS3ADI
PATI
+2/'(/#+
(2
S
L
DS AN1SAL"0J4
''& ''+
'
#+
#'(
PATI
#/'2/#$&
%$
S
L
AN1SAL"0J4
''# ''+
'
#'& $$#%#&$#'#'''' $$#%#&2#'(('''+ ANU" A"IKA
PATI
+#/'(/#(
+(
P
AN1SAL"0J4
''( ''+
'
#+
#'2
PATI PATI
++/'$/#&( +/'/#%'
2( $
S S
L P
AN1SAL"0J4 DK 3AN1SAL
''# ''+ ''# ''+
' '
U 8 #+
$$#%#&+##'''#& $$#%#'2$&'''# SU.IT4 JA3IN
$$#%#&$#'&'%''#% $$#%#&++'$&('''# "UKANI #' $$#%#&+%'('''% $$#%#&2'%'''+' JU.A"I5A,
#'%
$$#%#&'#''%'++ $$#%#&(('&2%'''& N5A3I
#' $$#%#''###''#$ $$#%#&&$#'($'''# N1AT0NI ##'
$$#%#''###''#$ $$#%#'##(2'''# S0NA.I
PATI
'(/'&/#2%
&'
S
P
AN1SAL"0J4
''# ''+
'
PATI
#$/#'/#($
(
S
P
AN1SAL"0J4
''# ''+
'
#+ #+ U 8 #+ U 8 #+ U 8 #+
PATI
#'/##/#(2
#
S
L
AN1SAL"0J4
''# ''+
'
### $$#%#&+$'(##'''$ $$#%#&(#'(2'$'& SILA,
PATI
'#/'/#(2
#
P
P
DS AN1SAL"0J4
''& ''+
'
U 8 #+
##+ $$#%#&$'#'#$'''% $$#%#&(#'2$'&%$ SA.IT
PATI
'#/'/#2$
&(
P
DS AN1SAL"0J4
''( ''+
'
U 8 #+
Ditetapkan 9i angsalre:o; angsal re:o; Tanggal +' -ebruari +'#%
Keter)n*)n $ 55
*) Keterangan 9iisi<
< ,ak Pilih Di=abut
Perempuan
57
U< Ubah 9ata
#'< ukan Pen9u9uk
TOTAL
!!2
#< 3eninggal
##< belum KTP8el
+<1an9a
#+< belum 9ipas>kan
Laki - Laki
Keterangan Disabilitas <
$
# < Tuna Daksa
(< Pin9ah Domisili
Keterangan Status perkawinan <
+< Tuna Netra
&< Ti9ak Dikenal
< elum Kawin
$< Tuna "ungu!.i=ara
2< TNI
S < Kawin
(< Tuna 1rahita
< Polri
P < Pernah Kawin
&< Disabilitas lainn?a
%< ,ilang ingatan
Pani>a Pemungutan Suara Ketua
, BADRI
DAFTAR PEMILIH POTENSIAL NON KTP-elektronik
Mo'el A(%-KWK
PEMILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TENGAH TAHUN 2!" PRO#INSI KABUPATEN
No 1
No KK 2
$ JAWA TENGAH $ PATI
NIK
Nama
3
4
Tempat Lahir Tanggal Lahir 5
6
Umur 7
Status
Jenis
Perkawin Perkawinan an
Kelamin Kelamin
!S!P
L!P
8
KE%AMATAN DESA&KELURAHAN
$ WEDARIJAKSA $ BANGSALREJO
TP S
$.
Alamat Jalan!Dukuh
9
10
Disa bili
"t
"w
11 11
12
Ket *)
tas 13
14
#
$$#%#&'$'#'%'''2 $$#%#'('''# A1US AP"IANT4
PATI
#2/'(/#
+# +#
L
AN1SAL"0J4
''+ ''+
'
##
+
$$#%#&'('+'%'''+ $$#%#&'%''''''# A1AS S0T5A.AN
PATI
'%/'/+'''
#
L
DK 3AN1SAL
''$ ''+
'
##
$
$$#%#&'%''%''+ $$#%##'''+ ADI .A,5U
PATI
#&/##/#
#% #%
L
AN1SAL"0J4
''+ ''+
'
##
(
$$#%#&'%''%'$#+ $$#%#&2'#'#'''# SISKA K"ISTIANIN1SI,
PATI
+/'#/+''#
#
P
AN1SAL"0J4
''+ ''+
'
##
&
$$#%#(#+''''% $$#%#&''&'''''# "INA S0T54.ATI
PATI
$'/'&/+'''
#%
P
DS AN1SAL"0J4
''+ ''+
'
##
2
$$#%#'+''''% $$#%#&2('$'''''( 0LLA LISTIANA
PATI
+(/'$/+'''
#%
P
DS AN1SAL"0J4
''$ ''+
'
##
$$#%#&+'###''$$ $$#%#&&&'&'#''#' 30ILINDA
PATI
#&/'&/+''#
#
P
AN1SAL"0J4
''2 ''+
'
##
%
$$#%#&$''#'%'''( $$#%#&'2'#'#'''# 1UNA.AN SAPUT"4
PATI
'2/'#/+''#
#
L
DK AN1SAL
''2 ''+
'
## #+
$$#%'%++'$'''+' $$#%'%&2'2''+# S"I SU"5ANI
PATI
#2/'/#2
&' &'
S
P
AN1SAL"0J4
''2 ''+
'
#'
$$#%#&'#'#('''$ $$#%#&(#'(('+(( 1I3A,
PATI
'#/'/#((
$
P
P
angsalre:o
''$ ''+
'
#+
##
$$#%#&'+'$#'''# $$#%#&&'&'''( SUP"0,ATUN
PATI
#/'/#&
++
P
DS AN1SAL"0J4
''$ ''+
'
#+
#+
$$#%#&'+'('%'''% $$#%#&'+'(2'''# A3S0 T43I
#$
$$#%#&'+#'#+'''$ $$#%'%''2%(''+# SUPA"N4
AN1KALAN
'+/'(/#2
(
S
L
DK 3AN1SAL
''2 ''+
'
#+
PATI
'/'2/#%(
$( $(
S
L
DS AN1SAL"0J4
'' ' '$ ''+
'
#+
#(
$$#%#&'+#+#('''# $$#%#(#'%'''+ .A"JI
PATI
#(/#'/#%
$ $
S
L
DS AN1SAL"0J4
'' ''$ ''+
'
#+
#&
$$#%#&'+#+#('''# $$#%'%2''2%$'''# DA"TI
PATI
+'/'2/#%$
$& $&
S
P
DS AN1SAL"0J4
'' ''$ ''+
'
#+
TASIK3ALA5A ##/##/#%2
$#
S
L
DK AN1SAL
''$ ''+
'
#+
&% &%
S
P
DK 3AN1SAL
''$ ''+
'
#+
#2
$$#%#&'('(#2''' $+'2$%####%2''' DIKI T"IANA
#
$$#%#&'(''%'$% $$#%#&(#'&'$# SULA.I
PATI
'#/'/#&
#%
$$#%#&'(''%'$% $$#%#&+#'%'''+ A3AN1 PU"N434
PATI
+#/'%/#
+'
L
DK 3AN1SAL
''$ ''+
'
#+
#
$$#%#&'(#''%'''& $$#%#&2#'&&'''$ IIS PULANI
PATI
+#/'&/#&
+$ +$
P
DK 3AN1SAL
''$ ''+
'
#+
+'
$$#%#&'(###$'''$ $$#%'%(#'++''2+ SUKI5AT
PATI
'#/'+/#+
(2
S
P
AN1SAL"0J4
''+ ''+
'
#+
+#
$$#%#&'&'##''''$ $$#%#&(&'#(%'''# "UPI
PATI
'&/'#/#(%
' '
S
P
DS AN1SAL"0J4
'' ''$ ''+
'
#+
++
$$#%#&'&'%#''''# $$#%#&(#''#% S"I KA"TINI
PATI
'#/'/#
%$
P
AN1SAL
''2 ''+
'
#+
+$
$$#%#&'''%'2(+ $$#%#&(#'(&'$+2 KA".ATI
PATI
'#/'/#(&
+
P
P
AN1SAL"0J4
''+ ''+
'
#+
+(
$$#%#&'%''%'(&+ $$#%#&'+'&2'''( SUKA
PATI
'+/'&/#2
(+
S
L
AN1SAL"0J4
''$ ''+
'
#+
+&
$$#%#&'%''%'(&+ $$#%#&2&'#%'''# ,A"I5ATI
PATI
+&/'#/#%
('
S
P
AN1SAL"0J4
''$ ''+
'
#+
+2
$$#%#'''''$ $$#%'%+'#+'''''# A5AN K,A3I3 @4I"I
PATI
+'/#+/+'''
#
L
AN1SAL"0J4
''2 ''+
'
#+ #+
+
$$#%#''2'%''+' $$#%#&&'2&'''# SU3IATI
"03AN1
#/'2/#&
& &
S
P
DK 3AN1SAL
''+ ''+
'
+%
$$#%#'#'##'''2 $$#%#&&'2&2'''# KA"NI
PATI
#/'2/#&2
2+ 2+
P
DK 3AN1SAL
''+ ''+
'
#+
+
$$#%##'###'''+ $$#%#&'&'&#'''& ADUL 3ANA-
PATI
'&/'&/##
+
L
DS AN1SAL"0J4
''$ ''+
'
#+ #+
$'
$$#%##'''''+ $$#%#&&('&2'''( IS3I "A,A5U S0T5ANIN1SI,
PATI
#(/'&/#2
++
P
DS AN1SAL"0J4
''+ ''+
'
$#
$$#%##'#$'''2 $$#%#&+''$%%'''& J4K4 PIT4N4
PATI
+'/'$/#%%
$' $'
S
L
angsalre:o
''2 ''+
'
#+
$+
$$#%#(#+''''% $$#%#&''&2''' SUP0N4
PATI
'/'&/#2
(+ (+
S
L
DS AN1SAL"0J4
'' ''+ ''+
'
#+
$$
$$#%#'('%'''& $$#%#&+&'+2'''# A1US SUNA"54
PATI
+&/'+/#2
++
L
AN1SAL"0J4
''+ ''+
'
#+
$(
$$#%#''%'''+ $$#%##'#$'''2 AS,A"UDIN
PATI
##/'#/#$
+& +&
L
DS AN1SAL"0J4
''$ ''+
'
#+
$&
$$#%#'$'%''# $$#%#&(#'22'+$ ,A"TI
PATI
'#/'/#22
S
P
DK 3AN1SAL
''+ ''+
'
#+
$2
$$#%#'''''% $$#%#''%%('''% KUNA"S4
PATI
#'/'%/#%(
$$ $$
L
DS AN1SAL"0J4
'' ' '2 ''+
(
#+ #+
$
$$#%#%'(#$'''+ $$#%#+'+%+''' 0K4 S"I .ID4D4
"03AN1
#+/'+/#%+
$2
S
L
angsalre:o
''+ ''+
'
%$$$#%#%'''''+ $$#%#&2'+2'''+ D06ITA ,0.ID TIANA
PATI
+/'+/#2
++
P
DK 3AN1SAL
''$ ''+
'
#+
$
$$#%#''&$+%( $$#%#&(#'('('# SA.I
PATI
'#/'/#(
'
S
P
AN1SAL"0J4
''+ ''+
'
#+
('
$$#%#''&$+%2 $$#%#&'2'2%''''# SU30" P"AN4T4
PATI
'2/'2/#%'
%$S
L
AN1SAL"0J4
''+ ''+
'
#+
(#
$$#%#''&$+%2 $$#%#&&$'$'#'''$ PUJI SUKA.ATI
PATI
#$/'$/+''#
#
P
AN1SAL"0J4
''+ ''+
'
#+
(+
$$#%#&+'#''''#+ $$#%#&(#'&''+%$ P4NA,
PATI
'#/'/#&'
2
P
P
3AN1SAL
''$ ''+
'
#+
($
$$#%#&+'#''''#+ $$#%#''2+'''( T"I34
PATI
#'/'2/#+
(2
L
3AN1SAL
''$ ''+
'
((
$$#%#&+'#''''#+ $$#%#+'(('''% PUJI
PATI
#+/'(/#(
((
L
3AN1SAL
''$ ''+
'
#+ #+
(&
$$#%#&+##'#$'''+ $$#%'%('#'''+ S"I L0STA"I
PATI
'/'/##
+2 +2
P
AN1SAL"0J4
''2 ''+
'
#+
(2
$$#%#&++'2''''# $$#%#&+2'2'''+ D7IA"T4 S,4LI,UL ,UDA
PATI
+2/'2/#
+#
L
DS AN1SAL"0J4
''2 ''+
'
#+
(
$$#%#&+('(''''$ $$#%#&$#'&'#''' A3I"UDDIN KA"I3
PATI
$#/'&/+''#
#
L
DK AN1SAL
''$ ''+
'
#+
(%
$$#%#&+2'%'%''#' $$#%#&(#'(&'$$ S"I PAN11I,
PATI
'#/'/#(&
+ +
P
P
DK 3AN1SAL
''$ ''+
'
#+
(
$$#%#&+2'%'%''#$ $$#%#&'(%'''% SU,A"N4
PATI
#&/'(/#%
(' ('
L
DK 3AN1SAL
''$ ''+
'
#+
&'
$$#%#&+'###''' $$#%#&&%'$%$'''$ SITI
PATI
#%/'$/#%$
$&
P
AN1SAL"0J4
''+ ''+
(
#+
$$#%#&+'###''+& $$#%#&2'##&''''# .A"SINI
PATI
+'/##/#&'
2
S
P
AN1SAL"0J4
''2 ''+
'
#+
&+
$$#%#&+'###''+% $$#%#&'2'#'''''$ -0"I S0TIA.AN
PATI
'2/'#/+'''
#%
L
AN1SAL"0J4
''2 ''+
'
#+
&$
$$#%#&+###('''# $$#%#&'2#+''' DIAN P"A5414
PATI
'2/#+/#
+' +'
L
AN1SAL"0J4
''$ ''+
'
#+
&(
$$#%#&$''2#&'''+ $$#%#2&''%+'''$ 5ULI.ATI
PATI
#'/'/#%+
$&
S
P
AN1SAL"0J4
''2 ''+
'
#+
&&
$$#%#&'%'#&'''% $$#%#&+'%('''# ,A"I SUSIL4
PATI
+/'/#%(
$(
S
L
AN1SAL"0J4
''# ''+
'
U 8 #+
&2
$$#%#%'%'''&' $$#%#&(+'(%(''#& IKA S"I JU3IBATI
PATI
'+/'(/#%(
$$
S
P
DS AN1SAL"0J4
''2 ''+
'
U 8 #+
&
$$#%#%'(#$'''+ $$#%#&+%'$'''''$ D0DI L0 KS KS4N4
&%
$$#%#&'2'##%'''& $$##2+'2'''+ LIST54"INI
&
$$#%#&+&'+#+''#' $$#%#&&('('#'''# 5UNI A-"IKA
PATI
2'
$$#%#&+'2'%''+ $$#%#&'#'+'#2 SAA"
PATI
"03AN1 +%/'$/+''' 1"441AN
++/'/#2 #(/'(/+''# '#/'/#+
Keter)n*)n $
++ ++ # (&
S S
L P P L
AN1SAL"0J4 AN1SAL"0J4 AN1SAL"0J4 AN1SAL"0J4
''+ ''+ ''$ ''+ ''2 ''+ ''$ ''#
' ' ' '
## #+ #+ #+
Ditetapkan 9i angsalre: o; Tanggal +' -ebruari +'#% 29
*) Keterangan 9iisi<
< ,ak Pilih Di=abut
Perempuan
31
U< Ubah 9ata
#'< ukan Pen9u9uk
TOTAL
+
#< 3eninggal
##< belum KTP8el
+<1an9a
#+< belum 9ipas>kan
Laki - Laki
#
Keterangan Disabilitas <
$
# < Tuna Daksa
(< Pin9ah Domisili
Keterangan Status perkawinan <
+< Tuna Netra
&< Ti9ak Dikenal
< elum Kawin
$< Tuna "ungu!.i=ara
2< TNI
S < Kawin
(< Tuna 1rahita
< Polri
P < Pernah Kawin
&< Disabilitas lainn?a
%< ,ilang ingatan
Pani>a Pemungutan Suara Ketua
, BADRI
A(%(! - KWK
REKAPITULASI DAFTAR DAFTAR PEMILIH POTENSIAL NON KTP-elektronik DESA&KELURAHAN PEMILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA TENGAH TAHUN 2!" OLEH PPS DESA&KELU ELURAHAN KE%AMATAN KABUPATEN PRO#INSI
$ BANG BANGS SALREJO EJO $ WEDARIJAKSA $ PATI $ JAWA TENGAH J10l) Pe0ili
No
No0or TPS
#
!
$'
$#
+!
+
2
+
2
!.!
$
/
&&
&
!!2
(
.
+
$#
+
!"+
!""
/4.
Tot)l
L
P
Keter)n*)n
L3P
angsalre:o; +' -ebruari +'#% Disahkan 9alam rapat pleno PPS Tanggal +' -ebruari +'#% PANITIA PEMUNGUTAN SUARA Nama #C
Ketua
AD"I
+C
Anggota
SUKA".I
$C
Anggota
N44" ,4LIS
Tan9a Tangan CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC