Pateng.pemilih Baru Ktp Non Dpt_model a-2

Model A.2-KPU

DAFTAR PEMILIH DPTHP PERBAIKAN PEMILIHAN UMUM TAHUN 201 9 Provinsi Kabuaten!Kota

No

No KK

: SULAWESI TENGGARA : K"LAKA UTARA

NIK

Nama

Kecamatan #esa!Ke$urahan TPS Tempat Lah!

Ta$%%al Lah!

: Pakue Tengah : Pasamang :

'e$" &tat)" Pe!*a+$a$ Kelam$ B(&(P L(P

Alamat 'ala$(D)*)h

D"a#lta" Rt

Kete!a$%a$

TP&

R+

1

7408101706150001

7324030506880001

MANTO

PASAMPANG

05|06|1988

S

L

PASAMPANG

P% #ata& Nkk& Nik& Tg$& bu$an 'an Tahun Lahir

01

2 3 4 5 6 7 8 9 10 11

7408100205140003 7408102808140001 7408101202080484 7408101 7408101202 2020803 080331 31 7408101711160002 7408100506150002 7408103105110004 7408101503120001 7408101202080255 7408100108120001

7408102404880002 7324100511920001 7408101107760011 7408104 74081043107 3107500 50001 01 7373080107810005 7408104307970002 7408104209910001 7408105205830001 7408101005010001 7408075005880001

ISMAIL MARZ!I MSMAN

PASAMPANG MALA"SIA PNDO#O

S S S

L L L

DESA PASAMPANG PASAMPANG DESA PASAMPANG

P% #ata& Nkk& Nik& Tg$& bu$an 'an Tahun Lahir

()

RINA

TORA$A

S

P

DSN 1 DESA PASAMPANG PASAMPANG

RSDAN ROSDIANTI MSTI!A RSMIDA M#AMMAD 'A$RIL NILA ANDRIANI

MRANTE MA$APA#IT PASAMPANG PASAMPANG PASAMPANG PASAMPANG

24|04|1988 05|11|1992 11|07|1976 10%3%1975 18|05|1982 03|07|1997 02|09|1991 12|05|1983 18|05|2000 10|05|1988

S S & S & P

L P P P L P

DE D ESA PASAMPANG DESA PASAMPANG DESA PASAMPANG DESA PASAMPANG DESA PASAMPANG DESA PASAMPANG

12 13 14 15

7408100205140001 7408101202080362 7408101606130002 7408101810160002

7408106203990001 7408101406990001 7408105201820001 7371141308780011

MERS"ANA ARAS NRLAELI M#AMMAD ALI

PASAMPANG !OLA!A TARA PASAMPANG POLMAS

22|03|1999 14|06|1999 12|01|1982 13|08|1978

& & S S

P L L L

PA PASAMPANG PASAMPANG PA PASAMPANG DESA PASAMPANG

16 17 18 19 20

7408100805120002 7408102708130001 7408101810160002 7408101202080337 7408100605100002

7408101103930001 7408101005990001 7371144303820016 7408105902720001 7408101406820002

RADIT IR IR'AN MALANA ROSMINI (ARNA !AMARDDIN

MI!ASI GNNG SGI# MAROS MAROANGING LA&IPI

11|03|1993 10|05|1999 03|03|1982 23|08|1970 14|06|1982

& & S S S

L L P P L

PASAMPANG PASAMPANG DE D ESA PASAMPANG PA PASAMPANG PA PASAMPANG

21 22 23 24 25

7408103006110001 7408101102080411 7408101911110070 7408100605130001 7408100612170002

7408101907780001 7408105701900001 7408105004760002 7408104402710001 7408104811860002

M) TALI& RISMA MMI !ALSM SRIANI DE,IANTI

PALOPO *AM&A MANG!TANA &A!!E+E PASAMPANG

19|07|1978 17|01|1990 10|04|1976 04|02|1971 08|11|1986

S S S S &

L P P P P

DESA PASAMPANG PASAMPANG PASAMPANG PASAMPANG DESA PASAMPANG

26 27 28 29

7408102807150001 7408102708130001 7408101202080403 7408101102080373

7408060203900001 7408106104810001 7408106707630001 7408104205620001

M#) ARIS RATI #IDA"A# $MIATI

TETENONA PASAMPANG PALOPO PASAMPANG

02|03|1990 21|04|1981 27|07|1963 02|05|1962

S S S S

L P P P

DESA PASAMPANG PASAMPANG DE D ESA PASAMPANG DESA PASAMPANG

30

7408100710170001

7326112010890005

O&ET NEGO

PASAMPANG

20|10|1989

&

L

DESA PASAMPANG

P%KK&Nik& 'an Tahun Lahir

31 32 33 34

7408100603120007 7408101202080462 7408101102080418 7408102604170002

7408104901900001 7408105910550001 7408107107910001 7309100607900001

IDA(ATI #ASNA SRIANTI M#A$IR

PASAMPANG *AM&A PASAMPANG MON*ONG$AI

09|01|1990 19|10|1955 31|07|1991 06|07|1990

S S & &

P P P L

PASAMPANG DE DESA PASAMPANG DESA PASAMPANG PA PASAMPANG

35 36 37

7408100308180001 7408101102080277 7408102206110008

7408100109650001 7373035001920001 7408100106740001

AM&OT TANG NORMA $NI

SI(A PASAMPANG LOM&O!

01|09|1965 10|01|1992 01|06|1974

P & S

L P L

PA PASAMPANG PA PASAMPANG PASAMPANG

 

P% NIK& Nama 'an Temat Lahir P% Nik 'an *u$an Lahir Pemi$ih *aru Pemi$ih *aru Pemi$ih *aru Pemi$ih *aru Pemi$ih *aru Pemi$ih *aru Pemi$ih *aru

() ()

002 002 002 002 002 002 002

Pemi$ih *aru

(+

Pemi$ih *aru Pemi$ih *aru

002 002 02

Pemi$ih *aru

(+

Pemi$ih *aru

(+

Pemi$ih *aru

P% #ata& Nkk& Nik& Temat Lahir 'an Tahun Lahir

02

P% #ata Nik

(+

P% #ata Nik

(+

P% KK KK&& NIK NIK 'a 'an n Nam Nama! a! S' S'h h P% 'i 'i tng tngg g ,as ,as-a -ara raka katt

(+

P% Nik& Tg$& *u$an& 'an Tahun Lahir

(+

P% Tg$ Lahir

(+

P% KK& Nik& nama 'an Tahun Lahir

(+

P% KK& Tg$& 'an *u$an Lahir

(+

P% Nik

(+

P% Nik

(+

P% KK& Nik Temat Lahir& tg$& 'an Tahun ahir

(+

Pemi$ih *aru

(+ (.

Pemi$ih *aru

03

Pemi$ih *aru

(.

Pemi$ih *aru

(.

Pemi$ih *aru

(.

Pemi$ih *aru! Tggn ,s-rkt

(.

P% Nik & Tg$ 'an *u$an

(.

P% Nik& Tg$& *$n& 'an Tahun Lahir

(.

38

7408100304120001

7408104904840001

RISMA(ATI RAS"ID

PASAMPANG

09|04|1984

P

P

DESA PASAMPANG

P% KK& NIK& nama& Tg$& 'an bu$n

39

7408101102080224

7408100205640001

MSTARIM

TOLALA

02|05|1964

S

L

PASAMPANG

P%#ata KK&NIK Nama& Tg$& *u$an 'an Tahun Lahir

(.

40

7408101102080224

7408104703690001

#I$ERIA

PASAMPANG

07|03|1969

S

P

PASAMPANG

P%#ata KK&NIK Nama& Tg$& 'an *u$an $ahir

(.

41 42

7408102309160002 7408101202080372

7308234107750365 7408101705640002

SNAR L) S!ARDI

&A$OE SOPPENG

01|07|1975 17|05|1964

S S

P L

PASAMPANG PASAMPANG

P% #ata NIK 'an Nama

(.

P% #ata NIK& Tg$& *u$an 'an Taun Lahir

(.

43

7408101102080178

7471015705900004

NRMA"ANTI

PASAMPANG

17|05|1990

&

P

PASAMPANG

P% NIK

(.

44 45

7408102008130001 7408101802130002

7 371051610960001 7408104312650001

*#AIRL I!RAM &ASMAN !ANANG

$NG PANDANG SOPPENG

16|10|1996 03|12|1965

& S

L L

DESA PASAMPANG PASAMPANG

46 47

7408101911110060 7408102309130001

7408105706820001 7312020409780001

MARLINA &A#ARDDIN LA!!

PANE!I *ANGADI

17|06|1982 04|09|1978

S &

P L

DESA PASAMPANG PASAMPANG

P% NIK % a a& & & ema a r& g & u an an Lahir P% #ata NIK 'an *$n Lahir Pemi$ih *aru

(/

48 49

7408101202080435 7408102911160002

7408101103890001 7408102210890001

ASIS ARDI

PANG!EP PALOPO

11|03|1989 22|10|1989

& S

L L

PASAMPANG DESA PASAMPANG

Pemi$ih *aru

(/

Pemi$ih *aru

(/

50 51

7408101412170001 7408101711160003

7308174510930003 7314050303970001

"ASTIN #ERMAN

LEA RAPPANG

05|10|1993 03|03|1997

S &

P L

PASAMPANG PASAMPANG

Pemi$ih *aru

(/

Pemi$ih *aru

(/

52

7408102909110004

7408105105980001

(A#"NI

MAROS

30|12|1999

&

P

DESA PASAMPANG

Pemi$ih *aru

(/

53

7408100710110014

7408101107980001

RI,EN "LIANO TMANE#A!

SOE

11|07|1998

&

L

PASAMPANG

Pemi$ih *aru

54 55

7408101711160003 7408102909110004

7314051511780001 7309104410630001

&ENGNGA SITI ARA

RAPPANG !AMPALA

15|11|1978 04|10|1963

S S

L P

PASAMPANG DESA PASAMPANG

P% NIK 'an Nama P% NIK& Temat Lahir & Tg$& *u$an 'an Tahun Lahir

(/

56

7408102604170001

7305036512850001

N R"ATI DG !ENNA

&ONTO &ILA

25|12|1985

S

P

LIMA PNDO#A

P% Nik

(/

57 58

7408100607150006 7408100607150006

7309101509750001 7309107112800009

#ARIS NASRA#

!AMPALA !AMPALA

15|09|1975 31|12|1980

S S

L P

PASAMPANG PASAMPANG

P% KK& Nik 'an Temat Lahir

(/

P% KK& Nik& Nama& Temat Lahir Tg$& bu$an 'an tahun

(/

59

7408101608160003

7408100106840002

&A#ARDDIN

MALA!A

01|06|1984

S

L

DESA PASAMPANG

P% KK

(/

60 61

7408100207130001 7408101202080414

7408107112760005 7408100302720001

RSNI SANG!ALA

!AMPALA *AM&A

31|12|1976 03|02|1972

S S

P L

PASAMPANG DESA PASAMPANG

P% KK& Nik& Temat Lahir& Tg$&bu$an 'an Tahun Lahir

(/

P% KK&Nik& Tg$ 'an Tahun Lahir

(/

62

7408103005110010

7408104102780001

RA#MA

&ONE

01|02|1978

S

P

PASAMPANG

P% KK& Nik& Nama& Tg$& *$n 'an Tahun Lahit

(/

63

7408101811110002

7408107112770003

(ATI

SOPPENG

31|12|1977

S

P

SOPPENG

P% KK& Nik & *u$an 'an Tahun $ahir

(/

64 65

7408100607150009 7408101202080537

7309101204800001 7408104107720006

A&D A!I& $EME

&ONTO PANNO MAROS

12|04|1980 01|07|1972

S S

L P

PASAMPANG PASAMPANG

P% KK& Nik& Temat Lahir& Tg$&bu$an 'an Thn Lahir

(/

P%KK&Nik&Nama& Temat Lahir& Tg$&*u$n& Thn Lahir

(/

66 67

7408100603120014 7408100607150007

7408102211910001 7309104106890003

RISAL SRI (A#"NI

*AM&A MA**INI

22|11|1991 01|06|1989

& S

L P

PASAMPANG PASAMPANG

P% KK&Nik&Tg$&*u$an 'an Tahun Lahir

(/

P% KK& NIK& Tg$& *u$an 'an Tahun Lahir

(/

68

7408101608160005

7408101108980001

RSDI

&ONTO PANNO

11|08|1998

S

L

DESA PASAMPANG

P% KK&Nik& Tg$&*u$an 'an Tahun Lahir

(/

(.

n

(.

03 (.

(/ (/

Model A.2-KPU

DAFTAR PEMILIH BARU KTP N,N DPT PEMILIHAN UMUM TAHUN 2019 Provinsi

: SULAWESI TENGGARA

Kabuaten!Kota

: K"LAKA UTARA

Kecamatan

Pakue Tengah

#esa!Ke$urahan

Labii

TPS No 1

No KK 2

0/(1)(+2(+)2((() + 0/(1)().)+)(((() . 0/(1)()+(+(1()2( / 0/(1)(++)+)0((() 7 0/(1)((0)+))((() 2 0/(1)((1(7)1((() 0 0/(1)((1()).((). 1 0/(1)()4))))((70 4 0/(1)())(+(1()(. )( 0/(1)()+(+(1((/7 )) 0/(1)((+)()0((() )+ 0/(1)()+(+(1(+01 )

NIK 

0.)0(++()(2+((() 0/(1)(+7(/4+((() 0 .).(+/)(01)((1+ 0/(1(/+7(+1.((() 0/(1)(+2(/1/((() 0/(1)()4)(02(((. 0/(1(+7+(.4.((() 0/(1)(/+(722((() 0/(1()20(012(((+ 0/0)(0+())4.(((. 0/(1)(+()+1(((() 0+(2(1)4(/10((()

Nama 

A% WARIS 6ASRIA#I *ESSE ,ARLINA SAI8UL A% RU#I 6A,SA NURAE#A ,ARTAWAN LIS#A ARLIANA ANSAR ISRAIL AN#I PANGERANG A*#ULLA6 ,U6% IRWAN

Tempat Lah!

Ta$%%al Lah!

'e$" &tat)" Pe!*a+$a$ Kelam$ B(&(P L(P

Alamat D"a#lta" 'ala$(D)*)h

/







*"NE LA*IPI T"*AKK" RANTE ANGIN PASA,PANG LA*IPI

.)3)+3)420 +73(/3)44+ ()3(03)41) +(3(73)41+ +23(/3)41/ )43)(3)402 )+3(.3)44. (+3(73)422 +03(03)412 +(3))3)44. +(3)+3)41( )4!()!)410

S * S S S * S S S * S S

L LA*IPI L LA*IPI P LA*IPI L #USUN I L LA*IPI L #USUN I W"L"6A P   DSN I, LA&IPI P DSN I P L   DSN II L LA*IPI L   DSN III

DSN I,

LA*IPI LA*IPI LA*IPI SA,PAN" LA*IPI

Rt

9

10

Kete!a$%a$

TP&

R+ 11

12

( ( ( ( ( (

( 5N 5N 5N 5N 5N

5N 5N 5N 5N 5N (

000

000

0

000

000

0

000

000

0

000

000

0

(

(

(

000

000

0

1

PE,ILI6 *ARU PE,ILI6 *ARU PE,ILI6 *ARU PE,ILI6 *ARU PE,ILI6 *ARU PE,ILI6 *ARU PER*AIKAN NIK #AN TANGGAL LA6IR PER*AIKAN NIK #AN TANGGAL LA6IR PER*AIKAN NIK #AN NA,A PER*AIKAN NIK PE,ILI6 *ARU PER*AIKAN NIK #AN NA,A

1 (() (() (() (() (() (() (() (() (()

(() ((+ ((+

DAFTAR PEMILIH DPTHP PERBAIKAN PEMILIHAN UMUM TAHUN 2019

No

Provinsi

: SULAWESI TENGGARA

Kecamatan

Kabuaten!Kota

: K"LAKA UTARA

#esa!Ke$urahan

: T"9LE,"

TPS

:

No KK

NIK

Nama

Tempat Lah!

Ta$%%al Lah!

: Pakue Tengah

'e$" &tat)" Pe!*a+$a Kelam$ $ B(&(P L(P

Alamat D"a#lta" 'ala$(D)*)h

Rt

Kete!a$%a$

TP&

R+

5 7408101309130001 7408100507660001

$MA

PALADI!DINGAN

5%7%1980

S

L

DSN II TO+LEMO

000 000

0

PER&AI!AN TGL LA#IR)

6 7408101012100014 7408105107760001

ERNI

*AM&A

7%11%1976

S

P

DSN I

000 000

0

PER) NI!-TGL LA#IR)

01 01

7 7408100310120001 7408105010820003

NISMA(ATI

MAROS

10%10%1982

S

P

DESA TOLEMO

000 000

0

PER)NI!-TMPT -TGL L#IR

01

8 7408100306130006 7408104305720003

MAR(A#

*AM&A

5%3%1972

S

P

DSN I

000 000

0

PER)NI!- TEMPAT LA#IR

01

4 7408100306130002 7408101108750003

$MANAI

MALINO

6%4%1984

S

L

DSN II

000 000

0

PER&AI!AN TGL LA#IR)

01

11 7408102211110019 7408102010000001

PIAN

*AM&A

10%20%2000

S

L

DSN I TO+LEMO

000 000

0

PER)NI!-NAMA-TGL L#IR

01

10 7408100306130005 7408103123300001 PATA#DDIN

*AM&A

12%31%1933

S

L

DSN III

000 000

0

PER)NI!-TEMPAT LA#IR

02

12 7408101002080015 7408106111500001

RA#MATIA

*AM&A

11%21%1950

S

P

DSN III

000 000

0

PER)NI!- TGL LA#IR)

02

1 7408102602180002 7308014107850148

TIA

&ATENNING

7%1%1968

&

P

DSN I, &ARNG LANDO 000 000

0

PER)NI!- TGL LA#IR)

02

2 7408101002080032 7408104607960002

SAR(INA

MA$APA#IT

7%6%1996

&

P

DSN III

000 000

0

PER)NI!-TGL LA#IR)

02

3 7408101002080015 7408101104890001

M#LIS

*AM&A

4%11%1989

&

L

DSN III

000 000

0

PER)NI!-TGL LA#IR)

02

4 7408100306130005 7408104706530001

*A**E

*AM&A

9%7%1935

S

P

DSN III

000 000

0

PER)NI!-TGL LA#IR)

02

Model A.2-KPU

DAFTAR PEMILIH DPTHP PERBAIKAN PEMILIHAN UMUM TAHUN 2019 Provinsi Kabuaten!Kota

No

1 2 3 4 5 6 7 8 4

No KK

7408101102080030

: SULAWESI TENGGARA : K"LAKA UTARA

NIK

7408106308630001

Nama

MASRA

Kecamatan #esa!Ke$urahan TPS Tempat Lah!

LATO(

Ta$%%al Lah!

&tat)" Pe!*a+$a$ B(&(P

23|08|1963

S

: Pakue Tengah : Lania :

'e$" Kelam$ L(P

P

Alamat D"a#lta" 'ala$(D)*)h

LANIPA

Rt

R+

(

(

0

Kete!a$%a$ PER*AIKAN NIK& TGL LA6IR

TP&

001

Model A.2-KPU

DAFTAR PEMILIH DPTHP PERBAIKAN PEMILIHAN UMUM TAHUN 2019 Provinsi Kabuaten!Kota

No

No KK

: SULAWESI TENGGARA : K"LAKA UTARA

NIK

Nama

Kecamatan #esa!Ke$urahan TPS Tempat Lah!

: Pakue Tengah : Tarengga :

Ta$%%al Lah!

&tat)" Pe!*a+$a$ B(&(P

'e$" Kelam$ L(P

Alamat 'ala$(D)*)h

Rt

D"a#lta"

Kete!a$%a$

TP&

R+

1

7408101612150001

7310056006990001

ASNI A"LIA

&A$ENG

20|06|1999

S

P

#USUN II

(((

(((

0

P% NIK

001

2

7408102805130002

7408101210720001

TA$DDIN

PATAN"AMANG

)73))3)401

S

L

DSN I

(((

(((

0

P% NIK

001

3 4 5 6 7 8 4

Model A.2-KPU

DAFTAR PEMILIH DPTHP PERBAIKAN PEMILIHAN UMUM TAHUN 2019 Provinsi Kabuaten!Kota

No

No KK

: SULAWESI TENGGARA : K"LAKA UTARA

NIK

Nama

Kecamatan #esa!Ke$urahan TPS Ta$%%al Lah!

Tempat Lah!

: Pakue Tengah : :

'e$" &tat)" Pe!*a+$a$ Kelam$ B(&(P L(P

Alamat D"a#lta" 'ala$(D)*)h

Rt

Kete!a$%a$

TP&

R+

1   7408101212170002   7317036012930004

#ISDAR

&NT SIAPA

20|12|1993

S

P

LATALI

S./ P) . aggaa M

)

2   7408101803160001   7408127112850002

#A(AIDA TIRA (ATI

ATATOR ATTA!!A

31|12|1985 18|08|1990

S &

P P

LATALI LATALI

PER&AI!AN NI! PER&AI!AN NI!

)

!EPPE MA$APA#IT

02|01|1987 22|10|1985

S S

P P

LATALI LATALI

PER&AI!AN NI! PER&AI!AN NI!

)

/   7408102511110008   7408106210850001

#ASMA NR#ANA

   7408100603150001   7324045512790001

$MADI

!ARE&&E

15|12|1979

S

L

LATALI

PER&AI!AN NI!

)

   7408103009160001   7324064107810022

#ASTI"A AL!ADR"

(OT

01|07|1981

S

P

LATALI

PER&AI!AN NI!

)

   7408100212140003   7408125208810001

$NATI

LATALI

12|08|1981

S

P

LATALI

PER&AI!AN NI!

)

MA$APA#IT LATALI

25|06|1984 04|10|1987

S &

P P

LATALI LATALI

PEMILI# &AR PER&AI!AN NI!-TTL

2

BONE

17|02|1962

S

L

DSN II

PER&AI!AN NI!-TTL

+

MRA#

TO&A!

25|02|1985

S

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(( (( (( ((

(( (( (( ((

12

0 0 0 0

1

PEMILIH BARU P. NAMA8 TEMPAT LAHIR PEMILIH BARU P. NIK

(() (() ((+ ((+

Model A.2-KPU

DAFTAR PEMILIH DPTHP PERBAIKAN PEMILIHAN UMUM TAHUN 2019 Provinsi Kabuaten!Kota

No 1

) + . / 7 2 0 1 4 )( )) )+ ). )/ )7 )2 )0

Id DPTHP 2

)((72+ ))2210 )((1(0 )((1(( )((1(/ )((00. )((1+0 )((00+ )((210 )((04+ ))224+ )((7/(

No KK 

0/(1)(.()))2(((7 0/(1)())(+(1(/(7 0/(1)()4(2)0((() 0/(1)(.)(0)1((() 0/(1)(.)(0)1((() 0/(1)()4))))((.2 0/(1)(+((4)0((() 0/(1)()+(+(1((+4 0/(1)()0(2)/((() 0/(1)()+(+(1())( 0/(1)((7(.).(((+ 0/(1)(.()))2(((/ 0/(1)(+.())0(((+ 0/(1)(+1)+)0(((. 0/(1)()+(+(1()+0 0/(1)(+1(/)0((() 0/(1)()2)+).((()

: SULAWESI TENGGARA : K"LAKA UTARA

NIK 

0/(1(+(.(.1.(((+ 0/(1)((4)+42((() 0/(1(++7(41)((() 0/(1)(/)(04+(()+ 0/(1)((2(111((() 0/(1)()1(01.(((+ 0+(1(421(+40(((+ 0/(1)(+)))2.((() 0/(1(+(+(724(((+ 0/(1)(/0(11((((+ 0/(1(+)7(14/((() 0/(1(+20(144((() 0.(2()//(/1((((. 0/(1)(77(+0(((() 0/(1)((0(444((() 0/(1(+/2(21/(((/ 0/(1(+(4(042((()

Nama /

6ASRUL 6ASRAT RA6,ATIA IS,A RUPI ,% IL>AS RA8IKA NUR  ALWI SA6A*U##IN URNIA U,AR#I WIS#A>ANI S>A,SIA6  ASIA  ANRI ,US6AR R"SNENI ,AS6AR ,AS9U#

Kecamatan #esa!Ke$urahan TPS Tempat Lah! 

SUNGGU,INASA LA*IPI *"NE *"NE LAI>A6 SA,ARIN#A *EL"PA T"A6A ,AR"S T"A6A LA*IPI K"SALI *"NT"SALLANG WA" P"WALAA PINRANG "L"@"L"6"

Ta$%%al Lah! 

(.3(.3)41. (43))3)440 +73(43)41) ()3(03)44+ (23(13)411 )13(03)41. +13(+3)440 +)3))3)42. (+3(73)424 (03(13)41( )73(13)44/ +03(13)444 (/3(/3)41( )73(+3)40( (03(43)444 (23(23)41/ (43(03)442

&tat)" Pe!*a+$a$ B(&(P

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Rt

R+

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9

10

11

12

S * S S S S S S * S * * P S * S *

L L L P L L P L L P L P P P L P L

P"WALAA P"WALAA #ESA P"WALAA P"WALAA P"WALAA #USUN II #USUN I #USUN II #USUN I #USUN III #USUN II #USUN II #USUN I #USUN I #USUN III #ESA P"WALAA #USUN I LE",*U

((( ((( ((( ((( ((( ((( ((( ((( ((( ((( ((( ((( ((( ((( ((( ((( (((

((( ((( ((( ((( ((( ((( ((( ((( ((( ((( ((( ((( ((( ((( ((( ((( (((

Alamat

: PAKUE TENGA6 : P"WALAA :

D"a#lta" 1

( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (

Kete!a$%a$ 1 Pemi$ih *aru Pemi$ih *aru Pemi$ih *aru Pemi$ih *aru Pemi$ih *aru Perbaikan No% KK& NIK& Nama& Tangga$ Lahir 

Perbaikan NIK Perbaikan No% KK& NIK& Tangga$ Lahir   Perbaikan No% KK& NIK Perbaikan NIK& Tangga$ Lahir& A$amat Perbaikan No% KK& NIK& Tangga$ Lahir   Perbaikan NIK Perbaikan No% KK& NIK& Nama& Temat Lahir& Tangga$ Lahir   Perbaikan No% KK& NIK& Tangga$ Lahir   Perbaikan No% KK& NIK& Nama #anTangga$ Lahir   Perbaikan NIK& Tangga$ Lahir   Perbaikan NIK& Tangga$ Lahir  

TP& 1/

(() (() (() ((+ ((+ (() (() (() (() (() (() (() (() (() (() (() ((+