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  • Form A1

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    msatriaadi292
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    1) Zakaria was monitoring the voting and vote counting as an election observer at polling station 181 on February 14, 2024. 2) He observed the voting process to fulfill his duty as a citizen of Indonesia and ensure fair elections for all citizens. 3) The report form details sections for describing observations, reporting any alleged violations, and provides spaces for key details like the incident location and time, perpetrators, witnesses, and evidence. However, the details are not filled in, suggesting no violations were observed.

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    form A1 panwas

    Original Title

    FORM A1

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    1) Zakaria was monitoring the voting and vote counting as an election observer at polling station 181 on February 14, 2024. 2) He observed the voting process to fulfill his duty as a citizen of Indonesia and ensure fair elections for all citizens. 3) The report form details sections for describing observations, reporting any alleged violations, and provides spaces for key details like the incident location and time, perpetrators, witnesses, and evidence. However, the details are not filled in, suggesting no violations were observed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views3 pages

    Form A1

    Uploaded by

    msatriaadi292
    1) Zakaria was monitoring the voting and vote counting as an election observer at polling station 181 on February 14, 2024. 2) He observed the voting process to fulfill his duty as a citizen of Indonesia and ensure fair elections for all citizens. 3) The report form details sections for describing observations, reporting any alleged violations, and provides spaces for key details like the incident location and time, perpetrators, witnesses, and evidence. However, the details are not filled in, suggesting no violations were observed.

    Copyright:

    © All Rights Reserved
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    of 3

    FORMULIR MODEL.

    A
    LAPORAN HASIL PENGAWASAN PEMILU
    Nomor: 001/LHP/PM.01.00/II/2024

    I. DATA PENGAWAS PEMILU


    1. Tahapan yang diawasi : Mengawasi pemungutan suara dan perhitungan
    suara
    2. Nama Pelaksana Tugas Pengawasan : Zakaria
    3. Jabatan : Panwaslu TPS 181
    4. Nomor Surat Perintah Tugas : 019/PM.00.02/K.JK-05.01.01/02/2024
    5. Alamat : Kp.Baru Gg. Pelajar RT 008/RW 009, Cakung
    barat,
    Cakung, Jakarta Timur
    II. KEGIATAN PENGAWASAN.
    1. Bentuk : Pemungutan suara
    2. Tujuan : Untuk menjalakan salah satu kewajiban kita
    sebagai anak bangsa
    3. Sasaran : Rakyat Indonesia
    4. Waktu dan Tempat : 14 Februari 2024
    III. URAIAN SINGKAT HASIL PENGAWASAN (UPAYA PENCEGAHAN, SARAN PERBAIKAN)
    …………………………………………………………………………………………………………
    …………………………………………………………………………………………………………
    …………………………………………………………………………………………………………
    …………………………………………………………………………………………………………
    …………………………………………………………………………………………………………
    …………………………………………………………………………………………………………
    IV. INFORMASI DUGAAN PELANGGARAN
    1. Peristiwa
    a. Peristiwa :
    ………………………………………………………………………..
    b. Tempat Kejadian :
    ………………………………………………………………………..
    c. Waktu Kejadian :
    ………………………………………………………………………..
    d. Pelaku :
    ………………………………………………………………………..
    e. Alamat :
    ………………………………………………………………………..
    2. Saksi-Saksi
    a. Nama :
    ………………………………………………………………………..
    b. Alamat :
    ………………………………………………………………………..
    c. Nama :
    ………………………………………………………………………..
    d. ALamat :
    ………………………………………………………………………..
    3. Alat Bukti
    a. :………………………………………………………………………..
    b. :………………………………………………………………………..
    c. :………………………………………………………………………..
    4. Barang Bukti
    a. :………………………………………………………………………..
    b. :………………………………………………………………………..
    c. :………………………………………………………………………..
    5. Uraian singkat dugaan pelanggaran.
    …………………………………………………………………………………………………
    …………………………………………………………………………………………………
    …………………………………………………………………………………………………
    …………………………………………………………………………………………………
    …………………………………………………………………………

    Jakarta,14 Februari 2024

    Zakaria

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