MODEL A-Daftar Potensial Pemilih

DAFTAR PEMILIH
PEMILIHAN UMUM
TAHUN 2024

PROVINSI : NUSA TENGGARA TIMUR Kecamatan : ….....................................................

KABUPATEN : FLORES TIMUR Kelurahan/Desa : ….....................................................
TPS : ….....................................................
Status
Status Jenis
Alamat KTP-el Kepemilikan
No No NIK N Tempat Lahir Tanggal Lahir Perkawinan Kelamin Disabilita Keteran
KK a s KTP-el gan
B/S/P L/P Jalan/Dukuh Rt Rw
m S/B
a
1 2 3 4 5 6 7 8 9 10 11 1 13 1
2 4
1 5306131508170004 5306134712750001 Anastasia Ero Muli LEWORERE 07/12/1975 S P Bedalewun 009 004 S B
2 5306131211200001 5306124942890005 Saina Surat Mangu HSTL. Ratu Elisa 09/12/1989 S P Bedalewun 005 003 S B
3 5306131211200001 5306132412870002 Jeremias B. Johanes MUSMAN 24/12/1987 S L Bedalewun 005 003 S B
4 5306131301220002 5306136112920003 Hendrika Ina Deran NIAONE 21/12/1992 S P Bedalewun 007 003 S B
5 5306132909140001 5306134710680002 Paulina Lipa Ola LEWORERE 07/10/1968 S P Bedalewun 010 004 B B
6 5306130601200001 6408141604700001 Blasius Boli Igor LEWORERE 16/04/1970 S L Bedalewun 008 004 S B
7 5306132909140001 5306131003650001 Aloysius Ola Samon LEWORERE 10/03/1965 S P Bedalewun 010 004 B B
8 5306130912110001 5306135304900002 Paulina Duga Tada BEDALEWUN 13/04/1990 B P Bedalewun 008 004 S B
9 5306130912110001 5306135212720001 Maria Lipa Ola BEDALEWUN 12/12/1972 S P Bedalewun 008 004 S B
10 5306132103190002 5306136510820001 Ervina Samon Malaysia 25/10/1982 P P Bedalewun 010 004 S B
11 5306132904090002 5306131808940002 Adrianus KENINGAU 18/08/1994 B L Bedalewun 005 003 S B
12 5306131806120001 5306132403590001 Leonardus Beda Geroda LEWORERE 24/03/1962 S L Bedalewun 010 004 B B
13 5306131806120001 5306131607970001 Julius Daton Sengaji SABAH 16/07/1997 B L Bedalewun 010 004 B B
14 5306131806120001 5306135205660001 Petronela Adi LAMAHELAN 12/05/1966 S P Bedalewun 010 004 B B
15 5306131806120001 5306131902010001 Christianus Leo Beda SABAH 19/02/2001 B L Bedalewun 010 004 B B
16 5306131806120001 5306134105920001 Marselina Perada Beda SABAH 01/05/1992 B P Bedalewun 010 004 B B
17 5306131806120001 5306136310980001 Bernadeta Dai Samon Sabah 23/10/1998 B P Bedalewun 010 004 B B
18 5306131801190001 5306135605010001 Helena Lipat Adonara 04/01/1978 S P Bedalewun 006 003 B B
19 5306131806120001 5306131412930001 Yuventus Lagan Mangu Sabah 14/12/1993 B L Bedalewun 010 004 S B
20 5306131801190001 5306131801190001 Selviana Lipa Bumi Adonara 16/05/2001 B P Bedalewun 006 003 S B
21 5306131801190001 5306132810750001 Kornelis Hawan Dore Leworere 28/10/1975 S L Bedalewun 006 003 S B
22 5306131801190001 5306131911980001 Verdianus Geroda Ketir Sandakan 19/11/1998 B L Bedalewun 006 003 S B
23 Lambertus Geleuk S B
5306130908220001 5306131806840001 Keningau 18/06/1984 S L Bedalewun 006 003
Sengaji
24 5306130908220001 5306135211860002 Dewi Didimus Lahad Datu 12/11/1986 S P Bedalewun 006 003 S B
25 5306132108130004 5306130802590003 Lambertus Buri Rain Bedalewun 08/02/1959 S L Bedalewun 009 004 S B
26 5306132108130004 5306131811930002 Carlorus Mangu Tawau 18/11/1993 B L Bedalewun 009 004 S B
27 5306131702080073 5306134906970001 ERVINA TUTO GORAN Leworere 09/06/1997 B P Bedalewun 009 004 S B
 28 5306131702080058 5306132012970001 Yohanes Doni Pahon Leworere 20/12/1997 B L Bedalewun 009 004 S B
29 5306131702080058 5306132409950001 Geradus Beda Boge Lewat 24/09/1995 B L Bedalewun 009 004 S B
30 5306130610140025 5306130103670001 Mikael Beda Sabon Leworere 01/06/1967 B L Bedalewun 009 004 S B
31 5306133004090017 5306137103920002 Elisabet Barek Dore Leworere 31/03/1992 B P Bedalewun 008 004 S B
32 Veronika Yuliani Kewa S B
5306131602090031 5306135007030002 Leworere 07/10/2003 B P Bedalewun 008 004
Geroda
33 5306131702080061 5306131111690001 Thomas Payong Dosi Bedalewun 11/11/1969 S L Bedalewun 010 004 S B
34 5306131409200003 3674055407910002 Siti Rodiyah Tegal 14/07/1991 B P Bedalewun 010 004 S B
35 5306132904090001 5306136503040001 Agnes Anu Dosi Bedalewun 21/03/2004 B P Bedalewun 006 003 S B

36 5306132502100003 5306137012720001 Veronika Perada Sanga Jakarta 30/12/1972 S P Bedaleeun 006 003 S B
37 5306131802080002 5306136012040001 Sofia Palang Bewar Larantuka 30/04/1995 B P Bedalewun 006 003 S B
38 5306131102110044 5306135812740002 Philomena Memen Raya Bungalawan 18/12/1974 S P Bedalewun 006 003 S B
39 5306131102110044 5306136404990002 Yovita Ina Peni B. Y Keningau 24/04/1999 B P Bedalewun 006 003 S B
40 5306131102110044 5306135509000001 Olivia Gita Muli B. Y Keningau 15/09/2000 B P Bedalewun 006 003 S B
41 5306130810190006 5306131608950002 Stefanus Wule Ulun Bedalewun 16/08/1995 S L Bedalewun 005 003 S B
42 5306131102110039 5306131206600001 Yohanes Pati Ola Leworere 12/06/1960 S L Bedalewun 005 003 S B
43 5306131102110039 5306131308950001 Raimundus Laot Eban Keningau 13/08/1995 B L Bedalewun 005 003 S B
44 HERMANUS OLA S B
5306130303810001 5306133011200002 Lewoleba 20/04/2072 S L Bedalewun 009 004
PEDULI
45 5306131512220001 5306136201960001 Margareta Peni Bolen Lewopao 23/02/1996 S P Bedalewun 008 004 S B
46 5306130110200001 6408145507840001 ACELINA SILI DONI Flores timur 15/07/1984 S P Bedalewun 009 004 S B
47 5306130110200001 6408142004720001 Silvester Nama Ama Tuawolo 20/04/1972 S L Bedalewun 009 004 S B
48 5306132603190001 5306134708950002 Serli Kristi Kota Marudu 07/08/1995 B P Bedalewun 006 003 S B
49 5306130302200001 5306035003960003 Marselina Herin Ola Nisakarang 10/03/1996 S P Bedalreun 005 003 S B
50 5306131602090031 5306131303050002 Aleksander Sugi Leworere 13/03/2005 B L Bedalewun 008 004 B B
51 Sixtus Griano Tupen B B
5306130405090002 5306130102030002 Leworere 01/02/2003 B L Bedalewun 009 004
Samon
52 5306132009210001 6503094906020001 Selvi Usen Tawau 09/06/2002 B P Bedalewun 009 004 B B

Keterangan Status Kolom Disabilitas (12) : Kolom Keterangan Status

Perkawinan (7) : 1 : Disabilitas Fisik
B : Belum Kawin 2 : Disabilitas Intelektual
S : Sudah Kawin 3 : Disabilitas Mental
P : Pernah Kawin 4 : Disabilitas Sensorik Wicara
5 : Disabilitas Sensorik Rungu
: Disabilitas Sensorik Netra
Kepemilikan KTP-el (13) :
Ditetapkan di............................................., Tanggal
S : Sudah memiliki KTP-el
................., …................................, …....................
B : Belum memiliki KTP-el
PANTARLIH
Kolom Keterangan (14) : 6
B : Pemilih Baru
Roinaldo BerenB.Y
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