KPU KAB.

SUMENEP
FORM. PEMILI

NO NKK NIK NAMA TEMPAT LAHIR

1 3529200812100141 3529200806860008 HAIRUL AMIN SUMENEP

2 3512130801080001 3512131707850001 FARHAN MUNIRI SITUBONDO
3 3512130801080000 3512134404830000 SITI HASANIYA SUMENEP
4 3529011201520006 MOH. ISHAK PAMEKASAN
 MODEL : A-KWK
FORM. PEMILIH BARU

STATUS LAKI- PEREM

TGL.LAHIR ALAMT Dusun RT
KAWIN LAKI PUAN

08/06/1986 B L GAYAM GAYAM 4

17/07/1985` S L GAYAM GAYAM 3
4/4/1983 S P GAYAM GAYAM 3
1/12/1950 S L GAYAM GAYAM 4
MODEL : A-KWK

DISABILI
RW
TAS

1
1
1
1
 KPU KAB.SUMENEP
FORM. PEMILI

NO NKK NIK NAMA TEMPAT LAHIR

1 3529200412940001 ABDUL HALIK SUMENEP

2 3529201501980002 FIRDA RAMADANI SUMENEP
3 3529201206980003 DHENY WIDIYANTOROPAMEKASAN
4 3529201210090003 3529204411760001 MASTURA SUMENEP
 MODEL : A-KWK
FORM. PEMILIH BARU

STATUS LAKI- PEREM

TGL.LAHIR ALAMT Dusun RT
KAWIN LAKI PUAN

04/12/1994 S L GAYAM GAYAM 2

15/01/1998 B P GAYAM GAYAM 5
6/12/1998 B L GAYAM GAYAM 6
11/4/1976 S P GAYAM GAYAM 7
MODEL : A-KWK

DISABILI
RW
TAS

1
1
1
1
 KPU KAB.SUMENEP
FORM. PEMILI

NO NKK NIK NAMA TEMPAT LAHIR

1 3529206612830001 USWATI SUMENEP

2 3529203010120004 3529206406770001 DIANA SUMENEP
3 3529204706830004 352920140569003 H.SAHIBUL BAHRI SUMENEP
4 352920201210045 3529204201700002 NURUL HASANAH SUMENEP
 MODEL : A-KWK
FORM. PEMILIH BARU

STATUS LAKI- PEREM

TGL.LAHIR ALAMT Dusun RT
KAWIN LAKI PUAN

26/12/1983 S P GAYAM GAYAM 8

24/06/1977 S P GAYAM GAYAM 8
5/14/1969 S L GAYAM GAYAM 9
1/2/1970 S P GAYAM GAYAM 9
MODEL : A-KWK

DISABILI
RW
TAS

1
1
1
1
 KPU KAB.SUMENEP
FORM. PEMILI

NO NKK NIK NAMA TEMPAT LAHIR

1 3529202004090003 3529205409750001 SURYA NINGSIH SUMENEP

2 3529200202090012 3529201310970002 TRIO OKTAFIAN DILLAH SUMENEP

3 3529201112080001 3529202705980001 RENDRAWAN SUMENEP
4 3529202207080033 3529203112980002 ADI WIRATNO SUMENEP
5 3529201112100046 3529206502980001 FERA KURNIASIH SUMENEP
6 3529200405090047 3529201512980002 DIDIK ISWANTO SUMENEP
7 3529201006150001 3528041210880005 MOH WAHID HIDAYAT PAMEKASAN
8 3529201306130002 3529203103740002 AGUS SETIAWAN SUMENEP
9 3529202506080001 3529205308980002 NUR HALIKIYAH SUMENEP
 MODEL : A-KWK
FORM. PEMILIH BARU

STATUS LAKI- PEREM

TGL.LAHIR ALAMT Dusun RT
KAWIN LAKI PUAN

14/09/1975 S P GAYAM GAYAM 10

P
13/10/1997 B GAYAM GAYAM 10
5/27/1998 B L GAYAM GAYAM 10
7/13/1998 B L GAYAM GAYAM 10
2/25/1998 B P GAYAM GAYAM 10
2/15/1998 B L GAYAM GAYAM 9
10/12/1989 S L GAYAM GAYAM 9
3/31/1974 S L GAYAM GAYAM 12
8/13/1998 B P GAYAM GAYAM 12
MODEL : A-KWK

DISABILI
RW
TAS

1
2
2
1
1
1
1
2
 KPU KAB.SUMENEP
FORM. PEMILI

NO NKK NIK NAMA TEMPAT LAHIR

1 3527031811720003 ABD RAUF SUMENEP

2 3527034407790004 SUAIDA,SE SAMPIT
3 3512134106940005 ZAIMA SITUBONDO
4 3529205301970008 LAILATUL ISNIANI SUMENEP
5 3529200603820002 SAHIBUL BAHRI SUMENEP
6 3172040101821004 TAUFIK AIRADA BANYUWANGI
7 3529201210820001 MISNAWAN SUMENEP
8 3529201112840001 SURIYANTO SUMENEP
9 3529204507950003 EVA VIRAWATI SUMENEP
10 3529202305930001 SALIMUR RAHMAN SUMENEP
11 3529204810930002 RITA NINDI ALISA SUMENEP
12 3529200512950001 FRENDI SUCIANTO SUMENEP
13 3512071404870003 MOH FERI SUMENEP
14 3529207112750005 JUHARNI SUMENEP
15 3529087007790001 RISDINA YULIANTI BLITAR
16 3529203005980002 GIO FANNI ALBARRIL W SUMENEP
17 3529201702080008 KUSNADI SUMENEP
18 3529205708810002 KUSTIANI SUMENEP
 MODEL : A-KWK
FORM. PEMILIH BARU

STATUS LAKI- PEREM

TGL.LAHIR ALAMT Dusun RT
KAWIN LAKI PUAN

18/11/1972 S L GAYAM GAYAM 6

04/07/1979 S P GAYAM GAYAM 6
6/1/1994 S P GAYAM GAYAM 6
1/13/1997 B P GAYAM GAYAM 13
1/6/1982 S L GAYAM GAYAM 13
1/1/1982 S L GAYAM GAYAM 13
10/12/1982 S L GAYAM GAYAM 13
12/11/1984 S L GAYAM GAYAM 12
3/20/1994 S P GAYAM GAYAM 12
5/23/1993 S L GAYAM GAYAM 12
10/8/1993 B P GAYAM GAYAM 12
12/5/1995 B L GAYAM GAYAM 12
4/14/1987 S L GAYAM GAYAM 12
12/31/1975 S P GAYAM GAYAM 12
7/30/1979 S P GAYAM GAYAM 13
8/20/1998 B L GAYAM GAYAM 12
3/1/1978 S L GAYAM GAYAM 10
8/17/1981 S P GAYAM GAYAM 10
MODEL : A-KWK

DISABILI
RW
TAS

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
 KPU KAB.SUMENEP
FORM. PEMILI

NO NKK NIK NAMA TEMPAT LAHIR

1 3529201312100161 3529205406980003 ASRIANI SUMENEP

2 3529200905068573 3529204411590002 MONAWIYA SUMENEP
3 3529200812091000813529201205900006 FATHOR RASYIDI SUMENEP
4 3529200812091000813529205208870003 BELI SANDORIA SUMENEP
5 35292008110001191 3529201212820003 NORAHMAN SUMENEP
6 35292007110800032 3529204107430293 H. SAMIYA SUMENEP
 MODEL : A-KWK
FORM. PEMILIH BARU

STATUS LAKI- PEREM

TGL.LAHIR ALAMT Dusun RT
KAWIN LAKI PUAN

14/06/1998 B P BANSANIK BANSANIK 2

04/11/1959 S P BANSANIK BANSANIK 2
5/12/1990 S L BANSANIK BANSANIK 3
8/12/1987 S P BANSANIK BANSANIK 3
12/12/1982 B L BANSANIK BANSANIK 4
7/1/1943 P P BANSANIK BANSANIK 4
MODEL : A-KWK

DISABILI
RW
TAS

2
2
2
2
2
2
 KPU KAB.SUMENEP
FORM. PEMILI

NO NKK NIK NAMA TEMPAT LAHIR

1 3529200607090006 3529206712970001 LAILATUTTAUFIQIYAH SUMENEP

2 3529200905068522 6302080107870110 MESENO BLITAR
3 3529202012300053 3529202012300053 RAHMATILLAH SUMENEP
4 3529200812320023 3529202012300043 SULAIHA SUMENEP
 MODEL : A-KWK
FORM. PEMILIH BARU

STATUS LAKI- PEREM

TGL.LAHIR ALAMT Dusun RT
KAWIN LAKI PUAN

P
07-12-1997 B BANSANIK BANSANIK 1
01/07/1987 S L BANSANIK BANSANIK 1
12/20/1930 S P BANSANIK BANSANIK 1
12/20/1930 S P BANSANIK BANSANIK 1
MODEL : A-KWK

DISABILI
RW
TAS

2
2
2
2
 KPU KAB.SUMENEP
FORM. PEMILI

NO NKK NIK NAMA TEMPAT LAHIR

1 3529200809100007 3529206704910002 ARTILLA SUMENEP

2 3529201908130001 3529200604880002 ENCUNG SUMENEP
3 3529201908130001 3529204509940003 NURHASIDAH SUMENEP
4 3529200406120001 3529204107710212 UMMATUN SUMENEP
5 352920290909020 352920451910001 SUTIYA SUMENEP
 MODEL : A-KWK
FORM. PEMILIH BARU

STATUS LAKI- PEREM

TGL.LAHIR ALAMT Dusun RT
KAWIN LAKI PUAN

27/04/1991 P L BANASEM BANASEM 3

06/04/1997 S P BANASEM BANASEM 1
9/5/1994 S P BANASEM BANASEM 1
7/1/1971 S P BANASEM BANASEM 1
5/5/1991 B P BANASEM BANASEM 4
MODEL : A-KWK

DISABILI
RW
TAS

3
3
3
3
3
 KPU KAB.SUMENEP
FORM. PEMILI

NO NKK NIK NAMA TEMPAT LAHIR

1 3529201005063530 3529201312640001 H.SU'EB SUMENEP

2 3529204111720001 HJ. SITI FATIMAH SUMENEP
3 35292004506890001 IKA AGUSTINA SUMENEP
4 3529202504650001 MUNTAHA SUMENEP
5 3529204401700004 HJ INDRAWATI SUMENEP
6 3529200406120018 3529201502860001 BUZAIRI SUMENEP
7 3529200905061157 3529203001590001 JAMALUDDIN SUMENEP
8 3529201912480002 SAMAWIYA SUMENEP
9 3529200412120001 3529200906860001 TOELAK SLAMET SUMENEP
10 3529200412120000 3529200410950001KRISTIA AKHIR NINGSIH SUMENEP
11 3529201112100155 3529202511650001 AKSAN SUMENEP
 MODEL : A-KWK
FORM. PEMILIH BARU

STATUS LAKI- PEREM

TGL.LAHIR ALAMT Dusun RT
KAWIN LAKI PUAN

13-12-1964 S L BANASEM BANASEM 1

01/11/1972 S P BANASEM BANASEM 1
6/5/1988 S P BANASEM BANASEM 1
4/25/1965 S L BANASEM BANASEM 1
1/4/1970 S P BANASEM BANASEM 1
4/15/1986 S L BANASEM BANASEM 1
1/3/1955 S L BANASEM BANASEM 1
12/19/1948 S P BANASEM BANASEM 1
6/9/1986 S L BANASEM BANASEM 1
10/24/1995 S P BANASEM BANASEM 4
11/25/1965 S L BANASEM BANASEM 4
MODEL : A-KWK

DISABILI
RW
TAS

3
3
3
3
3
3
3
3
3
3
3
 KPU KAB.SUMENEP
FORM. PEMILI

NO NKK NIK NAMA TEMPAT LAHIR

1 3529201206940002 SALMAN AL FARISI SUMENEP

2 3529201507660001 MASNAWAN SUMENEP
3 3529201709900001 ARIFIN SUMENEP
4 3529200511850001 USMAN SUMENEP
5 3529201408940002 MARYAM SUMENEP
6 3529201412100033 3529201408680002 SURAWI SUMENEP
7 3529201412100033 3529207008720002 AHWA SUMENEP
8 3529201312100390 3529200107340019 SUMAHWE SUMENEP
9 3529201012340001 MISNATI SUMENEP
10 3529201402520001 SUYANI SUMENEP
11 352920708070001 3529201605610002 ABDUR RASYID SUMENEP
12 352920708070001 3529204305680001 NURHAYATI SUMENEP
13 3529201603090003 3529204107480487 SUWARNI SUMENEP
14 3529201604940002 YUSI SUMENEP
 MODEL : A-KWK
FORM. PEMILIH BARU

STATUS LAKI- PEREM

TGL.LAHIR ALAMT Dusun RT
KAWIN LAKI PUAN

12/06/1994 B L BANSANIK BANSANIK 5

15/07/1966 S L BANSANIK BANSANIK 5
9/17/1990 S L BANSANIK BANSANIK 5
11/5/1985 S L BANSANIK BANSANIK 5
8/14/1994 S P BANSANIK BANSANIK 5
8/14/1968 S L BANSANIK BANSANIK 5
8/30/1968 S P BANSANIK BANSANIK 5
7/1/1934 S P BANSANIK BANSANIK 5
12/10/1950 S P BANSANIK BANSANIK 5
2/14/1952 S P BANSANIK BANSANIK 5
5/16/1961 S P GAYAM GAYAM 14
5/3/1968 S P GAYAM GAYAM 14
7/3/1948 S P GAYAM GAYAM 14
4/16/1994 B P GAYAM GAYAM 14
MODEL : A-KWK

DISABILI
RW
TAS

2
2
2
2
2
2
2
2
2
2
1
1
1
1