Panjau TPS 15

MODEL A1 - KWK.KPU DAFTAR PEMILIH SEMENTARA PEMILIHAN GUBERNUR DAN WAKIL GUBERNUR JAWA BARAT TAHUN 2013 TPS DESA/KELUARAHAN 1) KECAMATAN NO. URUT 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

: 015 : PANJALU : PANJALU

NOMOR PEMILIH PEMILIH KARTU KELUARGA 2

0 0 3207082005720001 3207086910750001 3207082607860001 3207085210900002 3207082307820004 3207084708840008 3207081306640004 3207084205660002 3207085901930001 3207080508810004 3207085410850002 3207081006700002 3207084707830005 3207081804450001 3207084107540046 3207080909870001 3207084502550001

3207080501100005 3207080501100005 3207080908100002 3207080908100002 3207081008090002 3207081008090002 3207081012080002 3207081012080002 3207081012080002 3207081211080013 3207081211080013 3207081305080036 3207081305080036 3207082708070583 3207082708070583 3207082808070221 3207082808070221

NAMA PEMILIH 3 IMAS OKTAVIANI JUJUN JUNARA DENI AIDA DWI WAHYUNI ENJANG RUKMANA NURJAENA KURNIATI JULIANTO HENI HERLINA OCID TITI MIRA SULASTRI NANA SUPRIATNA NENI SUNAENI IWAN WISMAYADANI OOM KOMALASARI UMUD UMIN IMAT RUHIMAT CAHYATI

KAB/KOTA 1) PROVINSI Halaman

: CIAMIS : JAWA BARAT : ...

TEMPAT DAN TANGGAL LAHIR JENIS KELAMIN ALAMAT/TEMPAT TINGGAL UMUR/USIA STATUS PERKAWINAN (B/S/P) KETERANGAN 2) TEMPAT TANGGAL L P ALAMAT RT RW DUSUN 4 9 5 6 7 8 10 CIAMIS 01-10-1991 21 S P BANJARWARU 048 022 BANJARWARU CIAMIS 17-03-1988 24 S L BANJARWARU 048 022 BANJARWARU CIAMIS 20-05-1972 40 S L BANJARWARU 048 022 BANJARWARU LAMPUNG 29-10-1975 37 S P BANJARWARU 048 022 BANJARWARU CIAMIS 26-07-1986 26 S L BANJARWARU 048 022 BANJARWARU BANDUNG 12-10-1990 22 S P BANJARWARU 048 022 BANJARWARU JAKARTA 23-07-1982 30 S L BANJARWARU 048 022 BANJARWARU CIAMIS 07-08-1984 28 S P BANJARWARU 048 022 BANJARWARU CIAMIS 13-06-1964 48 S L BANJARWARU 048 022 BANJARWARU CIAMIS 02-05-1966 46 S P BANJARWARU 048 022 BANJARWARU CIAMIS 19-01-1993 20 B P BANJARWARU 048 022 BANJARWARU CIAMIS 05-08-1981 31 S L BANJARWARU 048 022 BANJARWARU CIAMIS 14-10-1985 27 S P BANJARWARU 048 022 BANJARWARU CIAMIS 10-06-1970 42 S L BANJARWARU 048 022 BANJARWARU CIAMIS 07-07-1983 29 S P BANJARWARU 048 022 BANJARWARU CIAMIS 18-04-1945 67 S L BANJARWARU 048 022 BANJARWARU CIAMIS 01-07-1954 58 S P BANJARWARU 048 022 BANJARWARU CIAMIS 09-09-1987 25 B L BANJARWARU 048 022 BANJARWARU CIAMIS 05-02-1955 58 S P BANJARWARU 048 022 BANJARWARU

20 21 22 23 24 25 26 27 28 29

3207085001920001 3207085707950001 3207082601770001 3207086212780001 3207084107430020 3207080102580003 3207080503930003 3207082107910001 3207085207600003 3207080607600003

3207082808070221 3207082808070221 3207082808070232 3207082808070232 3207082808070239 3207082808070243 3207082808070243 3207082808070243 3207082808070243 3207082808070252

ELA JUARIAH NITA SUCIATI NANA ROSANA EEM HENDARTI IRAH UDIN JAKA SAEFUDIN AJAT SUDRAJAT TITIN ERUS DARSONO

CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS

10-01-1992 17-07-1995 26-01-1977 22-12-1978 01-07-1943 01-02-1958 05-03-1993 21-07-1991 12-07-1960 06-07-1960

21 17 36 34 69 55 19 21 52 52

B B S S S S B B S S

31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53

3207086303910002 3207081705820001 3207084109890001 3207081405940002 3207081709520001 3207085602700001 3207080107560031 3207084311940001 3207085104610001 3207081707790001 3207085610860001 3207081711760002 3207085501830001 3207081306780001 3207084108780003 3207081804480001 3207084107530029 3207085906580001 3207081209370001 3207084107450039 3207082112770003 3207085307850001 3207081809820001

3207082808070252 3207082808070258 3207082808070258 3207082808070263 3207082808070263 3207082808070263 3207082808070272 3207082808070272 3207082808070272 3207082808070319 3207082808070319 3207082808070326 3207082808070326 3207082808070333 3207082808070333 3207082808070343 3207082808070343 3207082808070348 3207082808070354 3207082808070354 3207082808070365 3207082808070365 3207082808070375

RISKA YUNITA SOHIBUL HIDAYAT YANI MULYANI INDRA YANI WARIA SUARYA KARNAWATI MAMAT RAHMAT YENI RAHMAWATI WATI RUSILAWATI ABDUL SUKUR NENI JUNAESIH HARSONO ASRI YANTI IHIN SOLIHIN JUWARIAH SAMSU EDOH YUYUN SUHARTA RUBIAH IRPAN GUSTIRA TINTIN WARTINI SANDY SENJAYANI

CIAMIS CIAMIS GARUT CIAMIS CIAMIS BANTEN CIAMIS CIAMIS CIAMIS KUNINGAN CIAMIS CIAMIS BANDUNG CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS BANDUNG

23-03-1991 17-05-1982 01-09-1989 14-05-1994 17-09-1952 16-02-1970 01-07-1956 03-11-1994 11-04-1961 17-07-1979 16-10-1986 17-11-1976 15-01-1983 13-06-1978 01-08-1978 18-04-1948 01-07-1953 19-06-1958 12-09-1937 01-07-1945 21-12-1977 13-07-1985 18-09-1982

21 30 23 18 60 43 56 18 51 33 26 36 30 34 34 64 59 54 75 67 35 27 30

B S S B S S S B S S S S S S S S S S S S S S S

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

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

048 048 048 048 048 048 048 048 048 048

022 022 022 022 022 022 022 022 022 022

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048

022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87

3207086109830001 3207081205780001 3207082509860001 3207084107530030 3207082312700001 3207085508730002 3207080107350023 3207081802880001 3207083004900002 3207080908480001 3207082412940001 3207086507720001 3207082801700001 3207084107710031 3207080107370044 3207081308770002 3207082205800001 3207084107570047 3207081707740001 3207085609730002 3207081811690002 3207084107590037 3207084504930002 3207082411650002 3207085308780003 3207084603630003 3207084705940002 3207085308920002 3207081311690001 3207085012280001 3207085208740002 3207081709740002 3207085006830003 3207080201630001

3207082808070375 3207082808070554 3207082808070554 3207082808070554 3207082808070556 3207082808070556 3207082808070562 3207082808070562 3207082808070562 3207082808070569 3207082808070569 3207082808070569 3207082808070575 3207082808070575 3207082808070590 3207082808070590 3207082808070590 3207082808070590 3207082808070600 3207082808070600 3207082808070612 3207082808070612 3207082808070612 3207082808070616 3207082808070616 3207082808070625 3207082808070625 3207082808070625 3207082808070640 3207082808070640 3207082808070640 3207082808070648 3207082808070648 3207082901090022

ROSI LITA ARIA NANA JUMENA IYAN SOPIAN MINI OTONG MUSTONA MIMIN AMAN SASMITA KOMALA SAHIDIN OMAN ROHMAN SANI DIANSYAH SARININGSIH ANJAR RAHMAN TUTI TARJO NANA SUKARNA KOMARUDIN ANAH TOTONG HIDAYAT MAESAROH DIDI MUHADI JAENAH SUHANAH DEWI MULYATI SOLEH FUDIN AI SRI KURNIATI SITI AMINAH SOFA MARWATI IZHA SITI CHODIJAH IWAN KARTIWAN AAH ETI ROHAETI YUSEP KAMALUDIN IIN NURJANAH GUNAWAN WIBISONO

CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS KUNINGAN CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS SUMEDANG CIAMIS CIAMIS BREBES CIAMIS BEREBES JAKARTA JAKARTA CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS BANDUNG

21-09-1983 12-05-1978 25-09-1986 01-07-1953 23-12-1970 15-08-1973 01-07-1935 18-02-1988 30-04-1990 09-08-1948 24-12-1994 25-07-1972 28-01-1970 01-07-1971 01-07-1937 13-08-1977 22-05-1980 01-07-1957 17-07-1974 16-09-1973 18-11-1969 01-07-1959 05-04-1993 24-11-1965 13-08-1978 06-03-1963 07-05-1994 13-08-1992 13-11-1969 10-12-1928 12-08-1974 17-09-1974 10-06-1983 02-01-1963

29 34 26 59 42 39 77 25 22 64 18 40 43 41 75 35 32 55 38 39 43 53 19 47 34 49 18 20 43 84 38 38 29 50

S B B P S S P B B S B S S S S B S S S S S S B S S P B B S P S S S S

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

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048 048

022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

88 3207085307680003 89 3207086306940001 3207086002780000 90 0 91 0 92 0 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120

3207081508770002 3207084107770041 3207080107380016 3207084107430021 3207081106950001 3207082501690001 3207085809740002 3207082203910002 3207086812920004 3207085210800002 3207084507520003 3207084107300045 3207082110720001 3207086104880002 3207080302870001 3207086510880003 3207081210820001 3207086704890001 3207085806840001 3207080803810002 3207086909840001 3207081512770001 3207085002830004 3207080111560001 3207080403940002 3207084309900001 3207081804530001

3207082901090022 3207082901090022 3207082508070523

3207080112080014 3207080112080014 3207080312080001 3207080312080001 3207080509070080 3207080509070080 3207080509070080 3207081111110001 3207081111110001 3207081211080008 3207081310090003 3207081611090002 3207081704120002 3207082202110055 3207082302090006 3207082302090006 3207082302110033 3207082302110033 3207082406110002 3207082510070213 3207082510070213 3207082608070145 3207082608070145 3207082808070618 3207082808070618 3207082808070618 3207082808070669

NUNUNG SUMINAR PUTRI TIARA SARIWIBISONO HJ. DEDE ONAH OMAN SURYANA MANSYUR BAGJA SETIADI ETI ROHAETI

BANDUNG CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS

13-07-1968 23-06-1994 20-02-1978 05-08-1973 03-03-1952 07-06-1966

44 18

S B 34 S 39 P 60 S 46 S

YANA RUDIANA OONG SA`ADAH GANDA UKI AA HAMDANI NANDANG JUANDA NUNUNG NURHAYATI JUNANDA WIDA WIDANINGSIH SITI MARIAM IYAH I`AH YAYA SUNARYA DEUIS KARTINI LACENG SUGANDI LASTRI SULASTRI AROM SETIAWAN TINI SANTINI IMA JUNIE HANYDAH YADI MULYADI ENOK DEDE KUSNAENI IPAH SITI NURBADRIAH ANWAR JUNAEDI JOANSAH HERLI HERLINA ODET

CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS BANDUNG CIAMIS CIAMIS CIAMIS CIAMIS GARUT CIAMIS CIAMIS CIAMIS CIAMIS GARUT TASIKMALAYA CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS

15-08-1977 01-07-1977 01-07-1938 01-07-1943 11-06-1995 25-01-1969 18-09-1974 22-03-1991 28-12-1992 12-10-1980 05-07-1952 01-07-1930 21-10-1972 21-04-1988 03-02-1987 25-10-1988 12-10-1982 27-04-1989 18-06-1984 08-03-1981 29-09-1984 15-12-1977 10-02-1983 01-11-1956 04-03-1994 03-09-1990 18-04-1953

35 35 74 69 17 44 38 21 20 32 60 82 40 24 26 24 30 23 28 31 28 35 30 56 18 22 59

S S S S B S S S S P S P P B S S S S P S S S S S B B S

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

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

048 048 048 049 049 049

022 022 022 022 022 022

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049

022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154

3207084308640001 3207085705940002 3207086108900001 3207081807740003 3207085507770002 3207080109770002 3207086503910002 3207080107580030 3207084107620033 3207085706900001 3207086002940001 3207083009930004 3207084107550041 3207080107410017 3207081810870001 3207084107450042 3207081706480002 3207087108560004 3207081006590001 3207082202960002 3207084204750001 3207080107660028 3207080902920001 3207082907930001 3207084107710033 3207086811890002 3207084107370042 3207080107400047 3207084107450044 3207081502800003 3207085207820002 3207080603620001 3207086412770001 3207084107380024

3207082808070669 3207082808070669 3207082808070669 3207082808070677 3207082808070677 3207082808070681 3207082808070681 3207082808070689 3207082808070689 3207082808070689 3207082808070703 3207082808070717 3207082808070717 3207082808070722 3207082808070722 3207082808070722 3207082808070727 3207082808070727 3207082908070011 3207082908070011 3207082908070011 3207082908070037 3207082908070037 3207082908070037 3207082908070037 3207082908070037 3207082908070044 3207082908070049 3207082908070049 3207082908070053 3207082908070053 3207082908070057 3207082908070057 3207082908070059

EEN YUNIA NINGSIH IROS SUHERTI HENDAR SUDARISMAN NUNUY NURAENI CUCU KOMARUDIN WATI KUSMAWATI YAYA KARNI SRI KURNIAWATI KURNIA SUSANTI VIRMAN SEPTA KURNIA IRAH RASID DACE SUJANA IKAH SAID UJU JUHAELAH YANTO RONI KURNIAWAN APONG SULAEMAN REDI MULYADI NURDIN MASRI LISNAWATI EMUS KARYA ISO UDIN SUPRIYADIN INING OYON UPIN PITRI

CIAMIS CIAMIS CIAMIS CIAMIS CIANJUR CIAMIS TASIKMALAYA CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS TASIKMALAYA CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS TASIKMALAYA CIAMIS CIAMIS CIAMIS CIAMIS

03-08-1964 17-05-1994 21-08-1990 18-07-1974 15-07-1977 01-09-1977 25-03-1991 01-07-1958 01-07-1962 17-06-1990 20-02-1994 30-09-1993 01-07-1955 01-07-1941 18-10-1987 01-07-1945 17-06-1948 31-08-1956 10-06-1959 22-02-1996 02-04-1975 01-07-1966 09-02-1992 29-07-1993 01-07-1971 28-11-1989 01-07-1937 01-07-1940 01-07-1945 15-02-1980 12-07-1982 06-03-1962 24-12-1977 01-07-1938

48 18 22 38 35 35 21 54 50 22 19 19 57 71 25 67 64 56 53 17 37 46 21 19 41 23 75 72 67 33 30 50 35 74

S B B S S S S S S B B B P S B S S S S B S S B B S B P S S S S S S S

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

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049

022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188

3207080107570036 3207082712890002 3207084406660003 3207086603930002 3207082802940003 3207082804710001 3207084507760002 3207080503690003 3207085003920001 3207085707720001 3207080107900024 3207080505940003 3207080505940006 3207080606640002 3207084107730021 3207080107490030 3207080306840002 3207083007910001 3207084107510020 3207085603940001 3207080109690002 3207086009810001 3207084905810001 3207080805700001 3207084409940001 3207085010760001 3207080401700002 3207084207950002 3207086904720001 3207080107310021 3207080107540032 3207082005940004 3207082203910003 3207085412620001

3207082908070086 3207082908070086 3207082908070086 3207082908070086 3207082908070092 3207082908070092 3207082908070092 3207082908070099 3207082908070099 3207082908070099 3207082908070103 3207082908070103 3207082908070103 3207082908070103 3207082908070103 3207082908070110 3207082908070110 3207082908070110 3207082908070110 3207082908070110 3207082908070118 3207082908070118 3207082908070141 3207082908070149 3207082908070149 3207082908070149 3207082908070163 3207082908070163 3207082908070163 3207082908070176 3207082908070176 3207082908070176 3207082908070176 3207082908070176

MAMAN SUGIH SUGINI RINA SITI RUKOYAH PITRIYA SUSANTI RISMANTO MUHTAR RISWANTO NURHERA YOYO NURHOLIS YIYIS SULASTRI DEDE YANA YULIANA JAJANG SARIPUDIN ADE DANI RAMDANI AGUS HUSAN TARYONO OOM MARYATI SAMSUDIN YAMIN YAYA SUNARYA KONIAH ADE ROSLINA MUMU MUHAEMIN SRI RAHAYU NINING YUNINGSIH DIDIN OGI DITA NATANIA NENI SURYANI ATO HERMANTO SITI HAYATI KAMILAH MIMIN MINARNI WARYO UJU GUGUN GUMELAR JUNANDI HALIMAH

CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIKAMPEK CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS GARUT GARUT CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS

01-07-1957 27-12-1989 04-06-1966 26-03-1993 28-02-1994 28-04-1971 05-07-1976 05-03-1969 10-03-1992 17-07-1972 01-07-1990 05-05-1994 05-05-1994 06-06-1964 01-07-1973 01-07-1949 03-06-1984 30-07-1991 01-07-1951 16-03-1994 01-09-1969 20-09-1981 09-05-1981 08-05-1970 04-09-1994 10-10-1976 04-01-1970 02-07-1995 29-04-1972 01-07-1931 01-07-1954 20-05-1994 22-03-1991 14-12-1962

55 23 46 19 18 41 36 43 20 40 22 18 18 48 39 63 28 21 61 18 43 31 31 42 18 36 43 17 40 81 58 18 21 50

S B S B B S S S B S S B B S S S B B S B S S S S B S S B S P S B B S

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

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049

022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222

3207081010660001 3207084909610002 3207080107620038 3207084107650036 3207084312940001 3207086612920003 3207083011720002 3207087006720001 3207080107350026 3207080311690001 3207081203920001 3207080605680001 3207084406720001 3207080504640001 3207084502710003 3207086509930001 3207084107530036 3207080505690003 3207086607700001 3207082208760002 3207086807770002 3207080101850003 3207084107900032 3207082212900001 3207085904600001 3207086904890002 3207082110580001 3207085109590001 3207081505600003 3207085207640001 3207080204840004 3207086003860001 3207084205620002

3207082908070194 3207082908070194 3207082908070226 3207082908070226 3207082908070226 3207082908070226 3207082908070232 3207082908070232 3207082908070236 3207082908070236 3207082908070236 3207082908070247 3207082908070247 3207082908070255 3207082908070255 3207082908070255 3207083008070094 3207083008070102 3207083008070102 3207083008070109 3207083008070109 3207083008070117 3207083008070117 3207083008070123 3207083008070123 3207083008070123 3207083008070143 3207083008070143 3207083008070149 3207083008070149 3207083008070158 3207083008070158 3207083008070167

AHMAD SUHENDI IMIK ROHIMAH ELON EDAH SUHAEDAH YUSI YUSNIANTI TITA SUCIYATI SUKARTONO ASIH DJUANGSIH EMIN DADANG ANDRI ENDIT DEDE SUMIATI NUR AHMAD HALIM ETI SUHAETI SETIA NURHAYATI INOH JUARSIH ARA SUHARA EBAH ENDANG JAHONI ENIN NINA ARIP SRI RAHMAWATI RIDA SURJANA JUBAEDAH STEVI RAHMA GALUH ADE SUPRIYADI ANIH OMAN ROHMAN JUHATI NANANG ALIN SUKMAWAN ILAH ROHILAH JUJU JUWARIYAH

TASIKMALAYA CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS BOGOR CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS KEDIRI CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS

10-10-1966 09-09-1961 01-07-1962 01-07-1965 03-12-1994 26-12-1992 30-11-1972 30-06-1972 01-07-1935 03-11-1969 12-03-1992 06-05-1968 04-06-1972 05-04-1964 05-02-1971 25-09-1993 01-07-1953 05-05-1969 26-07-1970 22-08-1976 28-07-1977 01-01-1985 01-07-1990 22-12-1990 19-04-1960 29-04-1989 21-10-1958 11-09-1959 15-05-1960 12-07-1964 02-04-1984 20-03-1986 02-05-1962

46 51 50 47 18 20 40 40 77 43 20 44 40 48 42 19 59 43 42 36 35 28 22 22 52 23 54 53 52 48 28 26 50

S S S S B B S S P P B S S S S B P S S S S B S B P B S S S S S S P

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

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049 049

022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU

223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250

3207085205930001 3207080808620002 3207081107830003 3207084107400088 3207080401960001 3207080709590001 3207084107670043 3207086410940001 0 0 3207082602740001 3207084212800001 3207080706830004 3207086005900003 3207084107800056 3207080411580002 3207081409890003 3207084107680047 3207081108800003 3207086703870002 3207082106850001 3207085210920002 3207082501760002 3207084904760001 3207084107770022 3207080707510002 3207084508620002 3207072507820002

3207083008070167 3207083008070183 3207083008070183 3207083008070183 3207083008070186 3207083008070186 3207083008070186 3207083008070186

3207080202090016 3207080202090016 3207080211110004 3207080211110004 3207080709070005 3207080810090005 3207080810090005 3207080810090005 3207081007080003 3207081007080003 3207081512100004 3207081512100004 3207081703090003 3207081703090003 3207082302110042 3207082307080001 3207082307080001 3207082401110008

RENA ASTUTIK IWAN YANTO SUPRIYANTO IRUS SAEFUL MILAH AAM AMINUDIN EHA JULAEHA DEDE MUNAWAROH SENI MARLINA FITER PERNANDO SWANDI ADE RUDI SITI MAEMUNAH NURHASANAH YAYA SUNARYA SUTIAWATI NANI SURYANI ACENG KOHAR DANI NENEN ANIRAH JAJA FITRI NURLAWATI ANDRI SRI SULASTRI ADENG ENCIH YETI SUMIATI DIDI ROSADI NUNUNG APUNG

CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS SUKABUMI CIAMIS MAJALENGKA MAJALENGKA CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS GARUT CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS

12-05-1993 08-08-1962 11-07-1983 01-07-1940 04-01-1996 07-09-1959 01-07-1967 24-10-1994 01-07-1996 30-07-1995 26-02-1974 02-12-1980 07-06-1983 20-05-1990 01-07-1980 04-11-1958 14-09-1989 01-07-1968 11-08-1980 27-03-1987 21-06-1985 12-10-1992 25-01-1976 09-04-1976 01-07-1977 07-07-1951 05-08-1962 25-07-1982

19 50 29 72 17 53 45 18 16 17 38 32 29 22 32 54 23 44 32 25 27 20 37 36 35 61 50 30

B P B P B S S B P B S S S S P S B S S S S S S S P S S S

252 253 254 255 256

3207086009950002 3207081508760001 3207086512850004 3207081002850003 3207085007900002

3207082510070076 3207082812090002 3207082812090002 3207082812090003 3207082812090003

RENI JUNARA ROSMIATI KUSTIWA ENUR NURHAYATI

CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS

20-09-1995 15-08-1976 25-12-1985 10-02-1985 10-07-1990

17 36 27 28 22

B S S S S

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

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR

049 049 049 049 049 049 049 049 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062

022 022 022 022 022 022 022 022 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027

BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU BANJARWARU SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR

SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR

062 062 062 062 062

027 027 027 027 027

SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR

257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274

3207082604820002 3207086010880003 3207081304810002 3207085209830011 3207080107600046 3207084107650040 3207080403790003 3207084504840001 3207081004710001 3207086010820003 3207080107540034 3207084107560040 3207081502670002 3207085706700001 3207086509930002 3207080107660033 3207083011930004 3207084107670042

3207082812090004 3207082812090004 3207083001090003 3207083001090003 3207083008070128 3207083008070128 3207083008070135 3207083008070135 3207083008070141 3207083008070141 3207083008070144 3207083008070144 3207083008070151 3207083008070151 3207083008070151 3207083008070160 3207083008070160 3207083008070160

HANDI SITI MAESAROH ASEP SUPRIADI RITA ROSITA SARTA WATI SAHIDIN YUNI IIM IMRON SRI MARYATI UUS AAH IPIN SARIPIN TITI SURYATI SITI SOLIHAH DEDE AHIDI CAHYU ESIH

CIAMIS CIAMIS BANDUNG CIAMIS CIAMIS CIAMIS MAJALENGKA CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS

26-04-1982 20-10-1988 13-04-1981 12-09-1983 01-07-1960 01-07-1965 04-03-1979 05-04-1984 10-04-1971 20-10-1982 01-07-1954 01-07-1956 15-02-1967 17-06-1970 25-09-1993 01-07-1966 30-11-1993 01-07-1967

30 24 31 29 52 47 33 28 41 30 58 56 46 42 19 46 19 45

S S S S S S S S S S S S S S B S B S

L

276 277 278 279 280 281 282 283 284 285 286 287 288 289 290

3207080701770003 3207086407830004 3207080107600048 3207080612940001 3207084608640001 3207080107620043 3207084107700049 3207086808940001 3207084608430002 3207081604610001 3207081702890001 3207085912700001 3207086807950001 3207080107870036 3207080207620003

3207083008070189 3207083008070189 3207083008070192 3207083008070192 3207083008070192 3207083008070198 3207083008070198 3207083008070198 3207083008070208 3207083008070211 3207083008070211 3207083008070211 3207083008070211 3207083008070228 3207083008070228

TABIIN NONENG HANDAYANI MAMAN SUPARMAN SONI YANI ROYANI ENDENG YATI YENI MUNAWAROH ITI OMA MUHAMMAD SOLIHIN AMAH MARYAMAH ADE AAT SOLIHAT JUANDA LILI

TEGAL CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS

07-01-1977 24-07-1983 01-07-1960 06-12-1994 06-08-1964 01-07-1962 01-07-1970 28-08-1994 06-08-1943 16-04-1961 17-02-1989 19-12-1970 28-07-1995 01-07-1987 02-07-1962

36 29 52 18 48 50 42 18 69 51 24 42 17 25 50

S S S B S S S B P S B S B B S

L

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

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

SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR

062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062

027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027

SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR

SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR

062 062 062 062 062 062 062 062 062 062 062 062 062 062 062

027 027 027 027 027 027 027 027 027 027 027 027 027 027 027

SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR

291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324

3207084107640054 3207080704700004 3207084105750001 3207082408660002 3207084912720001 3207086511940002 3207081705600001 3207081808910002 3207085011600005 3207080603440001 3207081412940002 3207082411720001 3207086701740001 3207084409470001 3207083004680001 3207086008620003 3207086707810002 3207081002740002 3207086508730002 3207080107650036 3207081202950002 3207085207740002 3207080101900005 3207080107620044 3207082912890001 3207084107640055 3207080107480027 3207082911940002 3207084802930001 3207085310590001 3207080608540002 3207081106910002 3207081709950002 3207085011850003

3207083008070228 3207083008070236 3207083008070236 3207083008070241 3207083008070241 3207083008070241 3207083008070251 3207083008070251 3207083008070251 3207083008070259 3207083008070263 3207083008070263 3207083008070263 3207083008070270 3207083008070276 3207083008070276 3207083008070276 3207083008070288 3207083008070288 3207083008070294 3207083008070294 3207083008070294 3207083008070310 3207083008070310 3207083008070310 3207083008070310 3207083008070325 3207083008070325 3207083008070325 3207083008070325 3207083008070334 3207083008070334 3207083008070334 3207083008070334

ELIH ORI SUHAERI SUKAENAH DADANG KOSWARA LENI RIANI KUSMADAYANTI SOPIAN AGI GINANJAR IIN KARTINAH AJA RIKI HERMAWAN RIDWAN SETIAWAN SITI HAYATI IYAH IKIN SODIKIN JUJU JUARIAH HANI HANJANI YAYAT RUHIYAT AKOY ENGKUS TENI HIDAYAT SITI SOLIHAH RIRI TANDI JEJE JUHRIYA RIKI SETIAWAN SRI TETI ACENG TAHRONI HENDRA LESMANA MIRAWATI MARYATI DADANG PERMANA ARI SANDI KARNO PURWA CIPTA NURANI DINDA

CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS BANDUNG BANDUNG CIAMIS CIAMIS CIAMIS BANDUNG CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS

01-07-1964 07-04-1970 01-05-1975 24-08-1966 09-12-1972 25-11-1994 17-05-1960 18-08-1991 10-11-1960 06-03-1944 14-12-1994 24-11-1972 27-01-1974 04-09-1947 30-04-1968 20-08-1962 27-07-1981 10-02-1974 25-08-1973 01-07-1965 12-02-1995 12-07-1974 01-01-1990 01-07-1962 29-12-1989 01-07-1964 01-07-1948 29-11-1994 08-02-1993 13-10-1959 06-08-1954 11-06-1991 17-09-1995 10-11-1985

48 42 37 46 40 18 52 21 52 68 18 40 39 65 44 50 31 39 39 47 18 38 23 50 23 48 64 18 20 53 58 21 17 27

S S S S S B S B S S B S S P S P S S S S B S B S B S S B B S S B B S

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

SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR

062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062

027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027

SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR

325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346

3207086708740001 3207081605750002 3207086908770001 3207084107600056 3207084601960001 3207084107570057 3207080107950036 3207081001470002 3207084210570001 3207081406830001 3207085002840001 3207080107310012 3207080305930001 3207084107580035 3207084107420053 3207084107380028 3207085508480001 3207080206540001 3207084607570001 3207081007590001 3207081203920002 3207084201610002 3207081112870002 3207084701900002

3207083008070334 3207083008070349 3207083008070349 3207083008070362 3207083008070362 3207083008070370 3207083008070377 3207083008070377 3207083008070377 3207083008070396 3207083008070396 3207083008070400 3207083008070400 3207083008070400 3207083008070405 3207083008070408 3207083008070408 3207083008070421 3207083008070421 3207083101110002 3207083101110002 3207083101110002 3207080309070145 3207080309070145

YATI ROHAYATI ENGKOS KOSWARA DADAH SITI SAADAH ADE RINA SOPHIA DEWI IJAH AJI SUBARKAH ABAS TARMEDI TATI NADIRIN TITOH WASITOH SUHANDA RUDI HAMDAN UNAH ENGKAT UHIN NONOH TEDI RUSIDAH MEMED HERMAN PATONAH ELI NUGRAHA SILVIA SUWANDI

CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS CIAMIS MAJALENGKA MAJALENGKA CIAMIS CIAMIS

27-08-1974 16-05-1975 29-08-1977 01-07-1960 06-01-1996 01-07-1957 01-07-1995 10-01-1947 02-10-1957 14-06-1983 10-02-1984 01-07-1931 03-05-1993 01-07-1958 01-07-1942 01-07-1938 15-08-1948 02-06-1954 06-07-1957 10-07-1959 12-03-1992 02-01-1961 11-12-1987 07-01-1990

38 37 35 52 17 55 17 66 55 29 29 81 19 54 70 74 64 58 55 53 20 52

S S S P B P B S S S S S B S P S P S S S B S 25 S 22 S

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

SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR

062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062 062

027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027 027

SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR SIMPAR

............., ...............

Catatan: Status Perkainan: B = Belum nikah S = Sudah nikah P = Pernah nikah

Disahkan dalam Rapat Pleno PPS Tanggal ......

PANITIA PEMUNGUTAN SUARA

1. Ketua

Nama

Tanda Tangan

ENDEH SUKAJAT

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Jenis Kelamin: Lk = Laki-laki Pr = Perempuan 1) = Coret yang tidak perlu 2) = Cacat yang disandang pemilih kalau ada

2. Anggota

MOHAMAD SAMSA

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3. Anggota

RINA ROHAETI

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