You are on page 1of 1

DATA PEMILIH PEMILU LEGISLATIF FINAL

KECAMATAN KOPANG TAHUN 2024


No. 1 Ahmad Sukandi, M.Pd.I* No. 1 H. Moh. Akri, SH.I* No. 1 Dra. Hj. Ermalena, MHs*
Caleg Kabupaten Caleg Provinsi Caleg DPR RI

Koordinator (PPS)*/(PKD)*: ____________________________________


Nama (KPPS)*/(PTPS)* : __________________________ Dusun : ____________________________
No. TPS : __________________________ Desa : ____________________________
No Nama No. NIK Alamat TPS Paraf

Keterangan: (*) Coret yang tidak perlu!

Catatan:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
____________________________________________________

You might also like