Model A-Daftar Perubahan Pemilih

DAFTAR PERUBAHAN PEMILIH UNTUK DPS

PEMILIHAN UMUM
TAHUN 2024
PROVINSI : SUMATERA UTARA KECAMATAN : …........................................
KABUPATEN : NIAS UTARA KELUARAHAN/DESA : …........................................
TPS : …........................................

Alamat Status
No DPID No KK NIK Nama Tempat Lahir Tanggal Lahir Status Jenis Kelamin Disabilitas Kepemilikan
Perkawinan B/S/P L/P KTP-el
Alamat/Dusun Rt Rw
1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 1204280109080002 1204280401900001 ROROGO HULU LAEHUWA 04|01|1990 B L HILIBADALU 005 003 0 S

2 2 1204280109080002 1204280706840001 SOKHINAFAO HULU HILIBADALU 07|06|1984 B L HILIBADALU 005 003 0 S
3 3 1204280109080002 1204284509770001 RENOWATI HULU HILIBADALU 05|09|1977 B P HILIBADALU 005 003 0 S
4 4 1204280109080002 1204284909920001 NIKE MARNIWATI ARDILA HULU LAEHUWA 09|09|1992 B P HILIBADALU 005 003 0 S
5 5 1204280109080002 1204287112440001 ADIRIA WARUWU BALOHILI 31|12|1944 S P HILIBADALU 005 003 0 S
6 6 1204280109080004 1204285103900001 JERNIHWATI MENDROFA HILIBADALU 11|03|1990 B P LAEHUWA 007 000 0 S
7 7 1204280109080004 1204286304610001 NURULINA HULU HILIBADALU 23|04|1961 S P LAEHUWA 007 000 0 S
8 8 1204280109080008 1204280903440001 DALIZATULO HULU HILIBADALU 09|03|1944 S L HILIBADALU 005 003 0 S
9 9 1204280607090002 1204280311830001 NOVERIAMAN GULO GUNUNGSITOLI 03|11|1983 B L LAEHUWA 007 000 0 S
10 10 1204280607090002 1204281502550001 SOZARO GULO LOLOMOYO 15|02|1955 S L LAEHUWA 007 000 0 S
11 11 1204280607090002 1204282509850001 SEPRIANUS GULO GUNUNGSITOLI 25|09|1985 B L LAEHUWA 007 000 0 S
12 12 1204280607090002 1204284904670002 OLIRIA HULU OMBOLATA ALASA 09|04|1967 S P LAEHUWA 007 000 0 S
13 13 1204280811070006 1204281110690001 SAMIRUDIN MENDROFA MIDA 11|10|1969 S L MIDA 009 004 0 S
14 14 1204280811070006 1204285001700001 YAKHIA ZEBUA MIDA 15|01|1970 S P MIDA 009 004 0 S
15 15 1204280811070006 1204285705900001 YARNIMAN MENDROFA LAEHUWA 17|05|1990 B P MIDA 009 004 0 S
16 16 1204280811070006 1224061808030001 FIDEL ARMAN BUDI MENDROFA LAEHUWA 18|08|2003 B L MIDA 009 004 0 S
17 17 1204280811070006 1224062606980001 HENDRIK YUSMAR MENDROFA LAEHUWA 26|06|1999 B L MIDA 009 004 0 S
18 18 1204280811070006 1224065707970001 YUPI ROSWITA MENDROFA LAEHUWA 17|07|1997 B P MIDA 009 004 0 S
19 19 1204280911070014 1204281707610001 DANIELI ZEBUA HOLI 17|07|1961 S L LOLOMOYO 007 000 0 S
20 20 1204280911070014 1204283004000001 ABID BERKAT SALEH ZEBUA LOLOMOYO 30|04|2000 B L LOLOMOYO 007 000 0 S
21 21 1204280911070014 1204285203630001 ADIRIA GULO LOLOMOYO 12|03|1963 S P LOLOMOYO 007 000 0 S
22 22 1204280911070014 1224061611930001 NOFERLIMAN ZEBUA LOLOMOYO 16|11|1993 B L LOLOMOYO 007 000 0 S
23 23 1204280911070015 1204281206570001 SOKHINIWA GULO LOLOMOYO 12|06|1957 B L LAEHUWA 008 003 0 S
24 24 1204280911070015 1204282810000001 FIRMAN PUTRA SEFNI GULO LOLOMOYO 28|10|2000 B L LAEHUWA 008 003 0 S
25 25 1204280911070015 1204284206030001 SUANI GULO LAEHUWA 20|06|1994 B P LAEHUWA 008 003 0 S
26 26 1204280911070015 1204284502680001 FATINIA HAREFA SISOBAHILI 05|02|1968 S P LAEHUWA 008 003 0 S
27 27 1204280911070015 1204285503950001 ASTINA YANTI GULO LAEHUWA 11|10|1996 B P LAEHUWA 008 003 0 S
28 28 1204280911070015 1204285610960001 SENI PUTRIANI GULO LOLOMOYO 16|10|1997 B P LAEHUWA 008 003 0 S
29 29 1204280911070016 1224064609480001 MASIA ZEBUA FAEKHU 06|09|1948 S P LOLOMOYO 008 004 0 S
30 30 1204280911070018 1204280304590001 YAADI GULO LOLOMOYO 03|04|1959 S L LOLOMOYO 007 000 0 S
31 31 1204280911070018 1204282909910001 IRFAN SUENDI GULO LAEHUWA 29|09|1992 B L LOLOMOYO 007 000 0 S
32 32 1204280911070018 1204286705670001 ADINIA ZALUKHU BITAYA 27|05|1967 S P LOLOMOYO 007 000 0 S
33 33 1204280911070018 1204286709970001 JURNAL HERMIN GULO LAEHUWA 27|09|1997 B P LOLOMOYO 007 000 0 S
34 34 1204280911070023 1204281309030001 RUKUN RUMPUN TURUNAN GULO LAEHUWA 13|09|2003 B L LOLOMOYO 007 004 0 S
35 35 1204280911070023 1204285904990001 APRILLIAN ANJELINA GULO LAEHUWA 19|04|1999 B P LOLOMOYO 007 004 0 S
36 36 1204280911070023 1204286406010001 IRENE CAROLINA GULO LAEHUWA 24|06|2001 B P LOLOMOYO 007 004 0 S
37 37 1204280911070023 1224062908680001 BUDIARO GULO LAEHUWA 29|08|1968 S L LOLOMOYO 007 004 0 S
38 38 1204280911070023 1224065503730001 MARNIATI MENDROFA FADORO YOU 15|03|1973 S P LOLOMOYO 007 004 0 S
39 39 1204281011070001 1204282910030001 ANUGERAH GULO LOLOMOYO 29|10|2003 B L LOLOMOYO 007 004 0 S
40 40 1204281011070001 1204284202050001 PRISKAYARNI GULO LOLOMOYO 02|02|2005 B P LOLOMOYO 007 004 0 S
41 41 1204281011070001 1204285608480001 MITANIA GULO LOLOMOYO 16|08|1948 B P LOLOMOYO 007 004 0 S
42 42 1204281011070001 1204285706750001 YUNIRIA HAREFA HILIGAWONI 17|06|1975 S P LOLOMOYO 007 004 0 S
43 43 1204281011070003 1204281307610001 YASOZARO ZALUKHU MAZINGO 13|07|1961 S L LOLOMOYO 007 004 0 S
44 44 1204281011070003 1204281906920001 EBTA WINARNDA ZALUKHU LAEHUWA 19|06|1992 B L LOLOMOYO 007 004 0 S
45 45 1204281011070003 1204282109960001 EFFENDI ZALUKHU LAEHUWA 21|09|1996 B L LOLOMOYO 007 004 0 S
46 48 1204281011070003 1204284410900001 ERNA MASA L. ZALUKHU LAEHUWA 04|10|1990 S P LOLOMOYO 007 004 0 S
48 49 1204281011070003 1204284903990001 ERTISNA ZALUKHU LAEHUWA 09|03|1999 B P LOLOMOYO 007 004 0 S
50 50 1204281011070003 1204286406650001 YUSTINA GULO LOLOMOYO 24|06|1965 S P LOLOMOYO 007 004 0 S

Hal 1 dari 14
 Alamat Status
No DPID No KK NIK Nama Tempat Lahir Tanggal Lahir Status Jenis Kelamin Disabilitas Kepemilikan
Perkawinan B/S/P L/P KTP-el
Alamat/Dusun Rt Rw
1 2 3 4 5 6 7 8 9 10 11 12 13 14
52 51 1204281011070006 1204280803030001 ELSAFAN GULO LAEHUWA 08|03|2003 B L LOLOMOYO 007 004 0 S
54 52 1204281011070006 1204283103960001 MARLIN PUTRA GULO LAEHUWA 31|03|1996 B L LOLOMOYO 007 004 0 S
56 53 1204281011070006 1204284409660001 ADINE ZEBUA NOUO 04|09|1966 S P LOLOMOYO 007 004 0 S
58 54 1204281011070006 1204286307010001 HEMI YANA GULO LAEHUWA 23|07|2001 B P LOLOMOYO 007 004 0 S
60 55 1204281011070006 1224060511660001 MESAKHI GULO LAEHUWA 05|11|1966 S L LOLOMOYO 007 004 0 S
62 56 1204281211090001 1204281210710001 IKHTIAR GULO LOLOMOYO 12|10|1971 S L LOLOMOYO 008 004 0 S
64 57 1204281211090001 1204281812000001 BEZISOKHI GULO LAEHUWA 18|12|2000 B L LOLOMOYO 008 004 0 S
66 58 1204281211090001 1204282308990001 AGUS SANDI GULO LOLOMOYO 23|08|1999 B L LOLOMOYO 008 004 0 S
68 59 1204281211090001 1204284105750001 MERISATI ZEBUA TETEHOSI 01|05|1975 S P LOLOMOYO 008 004 0 S
70 60 1204281211090001 1204284902020001 VEBRI CRISTIANI GULO LOLOMOYO 09|02|2002 B P LOLOMOYO 008 004 0 S
72 61 1204281305090001 1204280305710001 SOKHIZALULU HULU LAEHUWA 03|05|1971 S L DESA LAEHUWA 000 000 0 S
74 62 1204281305090001 1204282210060001 FAATULO HULU PORSE 22|10|2006 B L DESA LAEHUWA 000 000 0 S
76 63 1204281305090001 1204283105990001 ELISABAR HATI HULU PURWODANI 31|05|1999 B L DESA LAEHUWA 000 000 0 S
78 64 1204281305090001 1204285701970001 YANTI KRISTYANI HULU PURWODANI 17|01|1997 B P DESA LAEHUWA 000 000 0 S
80 65 1204281305090001 1204286010020001 LINDARIA HULU PURWODANI 20|10|2002 B P DESA LAEHUWA 000 000 0 S
82 66 1204281305090001 1204286510730001 DEIN LEIN BR. TAMPUBOLON TARUTUNG 25|10|1973 S P DESA LAEHUWA 000 000 0 S
84 67 1204281311070001 1204282006730001 YUNIMAN GULO LAEHUWA 20|06|1973 S L LOLOMOYO 007 004 0 S
86 68 1204281311070001 1204285507720001 YULIANI MENDROFA NIAS 15|07|1972 S P LOLOMOYO 007 004 0 S
88 69 1204281311070001 1224061010030001 BERKAT P JUANG HULU NIAS 10|10|2003 B L LOLOMOYO 007 004 0 S
90 70 1204281311070001 1224061010030002 BERKAT PUTRA JUANG HULU ALASA 10|10|2003 B L LOLOMOYO 007 004 0 S
92 71 1204281311070001 1224066312990001 DEMIWIYAN HULU ALASA 23|12|2000 B P LOLOMOYO 007 004 0 S
94 72 1204281311070002 1204281110990001 ELFAN NITOHU GULO LOLOMOYO 11|10|1998 B L LOLOMOYO 007 004 0 S
96 73 1204281311070002 1204282903040001 FEBRI RARADODO GULO LOLOMOYO 29|03|2004 B L LOLOMOYO 007 004 0 S
98 74 1204281311070002 1204285206780001 YULIRIA ZEBUA HILIKARE 12|06|1972 P P LOLOMOYO 007 004 0 S
100 75 1204281511070016 1204282901800001 YANUELI HULU HILIGODU 29|01|1980 S L HILIGODU 001 001 0 S
102 76 1204281511070016 1204286606660001 ENIATI ZEBUA HILIMBARUZO 26|06|1966 S P HILIGODU 001 001 0 S
104 77 1204281511070017 1204286310720001 SUCI MURNI LAIA TELUK DALAM 23|10|1972 S P HILIGODU 001 001 0 S
106 78 1204282303090001 1204281303020001 TRISMAN ANDIKA HULU LAEHUWA 13|03|2002 B L HILIGODU 001 001 0 S
108 79 1204282303090001 1204282005680001 DALIZATULO HULU LAEHUWA 20|05|1968 S L HILIGODU 001 001 0 S
110 80 1204282303090001 1204284405980001 MEY TRISNAWATI HULU LAEHUWA 04|05|1998 B P HILIGODU 001 001 0 S
112 81 1204282303090001 1204285303960001 ROSJAMRUD HULU LAEHUWA 13|03|1996 B P HILIGODU 001 001 0 S
114 82 1204282303090001 1204285909990001 FRIDA MARGARETH HULU LAEHUWA 19|09|1999 B P HILIGODU 001 001 0 S
116 83 1204282303090001 1204286703610001 FRIANNA WARUWU SIANAA 27|03|1961 S P HILIGODU 001 001 0 S
118 84 1204282609080001 1204281701910001 YUSMAN MENDROFA MIDA 17|01|1991 B L MIDA 008 004 0 S
120 85 1204282609080001 1204281812890001 DELIANUS MENDROFA MIDA 18|12|1989 B L MIDA 008 004 0 S
122 86 1204282609080001 1204285102550001 RIMIDA MENDROFA MIDA 11|02|1955 S P MIDA 008 004 0 S
124 87 1204282609080001 1204286005830001 MEWATI MENDROFA MIDA 20|05|1983 B P MIDA 008 004 0 S
### 88 1224060308210006 1204284607430001 RAETA ZEBUA HILISEBUA 06|07|1943 P P MIDA 008 004 0 S
89 1224060308210006 1204284903780001 METIRIA MENDROFA MIDA 09|03|1978 B P MIDA 008 004 0 S
131 90 1224060308210007 1204282812800001 BEZISOKHI MENDROFA MIDA 28|12|1980 B L MIDA 008 004 0 S
133 91 1224060308210007 1204285212830002 DENIMA MENDROFA MIDA 12|12|1983 B P MIDA 008 004 0 S
135 92 1224060504120001 1224060506730001 MARIANUS GULO LOLOMOYO 05|06|1973 S L LOLOMOYO 000 000 0 S
137 93 1224060504120001 1224062402040001 FENDI SAPUTRA JAYA GULO MINAS 24|02|2004 B L LOLOMOYO 000 000 0 S
139 94 1224060504120001 1224064710820001 MARIANI WARUWU LOLOWA'U 07|10|1982 S P LOLOMOYO 000 000 0 S
141 95 1224060504120001 1224065711010001 NOVARIANTI GULO MINAS 17|11|2001 B P LOLOMOYO 000 000 0 S
143 96 1224060511150001 1204282606850001 YUSTINUS HULU HILIBADALU 26|06|1985 S L HILIBADALU 005 003 0 S
145 97 1224060511150001 1224065104890001 NIMAWATI HALAWA ARAMO I 11|04|1989 S P HILIBADALU 005 003 0 S
147 98 1224060604210002 1210094106440001 ADILA ZENDATO NIAS 01|06|1944 P P DUSUN HILIGODU 000 000 0 S
149 99 1224060609170001 1204280906040001 REFISI PUTRA JAYA MENDROFA MIDA 09|06|2004 B L MIDA 008 004 0 S
151 100 1224060609170001 1204285209620001 MERINA MENDROFA MIDA 12|09|1962 P P MIDA 008 004 0 S
153 101 1224060609170001 1204285804990001 WENI KRISTIANI MENDROFA MIDA 18|04|1999 B P MIDA 008 004 0 S
155 102 1224060708120001 1204054108800003 DESINIA NDRAHA LAURU 01|08|1980 S P LOLOMOYO 007 004 0 S
157 103 1224060708120001 1204281207880001 PIRINUS GULO LOLOMOYO 12|07|1988 S L LOLOMOYO 007 004 0 S
159 104 1224060802130001 1224061605840001 ASA'ARO MENDROFA MIDA 16|05|1984 S L LAEHUWA 010 003 0 S
161 105 1224060802130001 1224066312780001 DELIMA MENDROFA MIDA 23|12|1978 S P LAEHUWA 010 003 0 S
163 106 1224060809200001 1204281010940001 EDARMAN MENDROFA LAEHUWA 13|06|1994 B L MIDA 008 004 0 S
165 107 1224060809200001 1204284505720001 METISA LAHAGU HILIBANUA 05|05|1972 S P MIDA 008 004 0 S

Hal 2 dari 14
 Alamat Status
No DPID No KK NIK Nama Tempat Lahir Tanggal Lahir Status Jenis Kelamin Disabilitas Kepemilikan
Perkawinan B/S/P L/P KTP-el
Alamat/Dusun Rt Rw
1 2 3 4 5 6 7 8 9 10 11 12 13 14
167 108 1224060809200001 1204284507920001 RUT NOVITA MENDROFA LAEHUWA 01|11|1992 B P MIDA 008 004 0 S
169 109 1224060809200001 1204285012980001 YANIDAR MENDROFA LAEHUWA 04|04|1996 B P MIDA 008 004 0 S
171 110 1224060809200001 1224061011010001 EMANUEL MENDROFA LAEHUWA 10|11|2002 B L MIDA 008 004 0 S
173 111 1224060812140001 1204280712690001 ANGERAGO MENDROFA MIDA 07|12|1969 S L MIDA 008 004 0 S
175 112 1224060812140001 1204285009780001 YURISMAN ZEBUA KARE 10|09|1978 S P MIDA 008 004 0 S
177 113 1224060812140001 1224065501990001 YARNI MENDROFA MIDA 15|01|1999 B P MIDA 008 004 0 S
179 114 1224060907180001 1224060906860001 IMAN JAYA MENDROFA LAEHUWA 29|06|1986 P L MIDA 008 004 0 S
181 115 1224061009120001 1204280206870001 DARMAN SUADI MENDROFA LAEHUWA 02|06|1987 S L MIDA 008 004 0 S
183 116 1224061009120001 1224065806860001 ERLINDA LUAHAMBOWO ORAHILI 18|06|1986 S P MIDA 008 004 0 S
185 117 1224061102220001 1204281504950001 JEFREY JENIMAN SAMATOHU GULOOMBOLATA 15|04|1995 B L LOLOMOYO 008 000 0 S
187 118 1224061102220001 1204284401710001 MURNIWATI LAIA TUHEMBERUA 04|01|1971 P P LOLOMOYO 008 000 0 S
189 119 1224061102220001 1204286604980001 LINESA NO'OFAERI GULO LAEHUWA 26|04|1998 B P LOLOMOYO 008 000 0 S
191 120 1224061102220001 1224060405010001 JOHANES BERKAT ONONOTA GULO LOLOMOYO 04|05|2001 B L LOLOMOYO 008 000 0 S
193 121 1224061102220001 1224065608020001 LANI FAERINIA GULO LOLOMOYO 16|08|2002 B P LOLOMOYO 008 000 0 S
195 122 1224061102220001 1224066604980001 LILIS SRI NIFAERI GULO LOLOMOYO 26|04|1998 B P LOLOMOYO 008 000 0 S
197 123 1224061111210001 1204124305680001 MENIATI ZEBUA TUMORI SOWU 03|05|1968 S P HILIBADALU 005 003 0 S
199 124 1224061111210001 1204286006990001 JUNIAMAN HULU HILIBADALU 20|06|1999 B L HILIBADALU 005 003 0 S
201 125 1224061309210001 1204284304520001 NORIA LASE FULOLO BUAKHE 15|11|1957 S P LAEHUWA 009 000 0 S
203 126 1224061309210001 1224061103910001 SUDIRMAN GULO LOLOMOYO 11|03|1991 B L LAEHUWA 009 000 0 S
205 127 1224061309210001 1224062302890001 HIBURAN GULO LOLOMOYO 23|02|1989 B L LAEHUWA 009 000 0 S
207 128 1224061309210001 1224062410870002 AMONI'O GULO LOLOMOYO 24|10|1987 B L LAEHUWA 009 000 0 S
209 129 1224061309210001 1224065804020001 IFINNIAT HATI GULO LOLOMOYO 18|04|2002 B P LAEHUWA 009 000 0 S
211 130 1224061401150004 1224062409890001 YUSRAN PUTRA GULO LAEHUWA 24|09|1989 S L LOLOMOYO 007 000 0 S
213 131 1224061401150004 1405085708880001 GUNIATI LASE NIAS 17|08|1988 S P LOLOMOYO 007 000 0 S
215 132 1224061406130001 1224062005910001 YASMAN MENDROFA MIDA 20|05|1991 S L LAEHUWA 010 003 0 S
217 133 1224061406130001 1224065711900001 EMILIA HULU LOLOANA'A 17|11|1990 S P LAEHUWA 010 003 0 S
219 134 1224061406130004 1204124204930002 POLINA LAHAGU HILIBANUA 02|04|1993 S P MIDA 008 000 0 S
221 135 1224061406130004 1204282408840001 ABADI MENDROFA MIDA 24|08|1984 S L MIDA 008 000 0 S
223 136 1224061407140001 1224061003040001 SERTA HATI TELAUMBANUA FULOLO TUMORI 10|03|2004 B L LAEHUWA 010 003 0 S
225 137 1224061407140001 1224061309020002 BIJASANA TELAUMBANUA FULOLO TUMORI 13|09|2002 B L LAEHUWA 010 003 0 S
227 138 1224061407140001 1224062205810001 YOSUA TELAUMBANUA FULOLO TUMORI 22|05|1981 S L LAEHUWA 010 003 0 S
229 139 1224061407140001 1224062302060001 YUBKARIAMAN TELAUMBANUA FULOLO TUMORI 23|02|2006 B L LAEHUWA 010 003 0 S
231 140 1224061407140001 1224065501810001 YANIATI MENDROFA MIDA 15|01|1981 S P LAEHUWA 010 003 0 S
233 141 1224061410160001 1204050106870002 YURDIN NIATMAN MENDROFA LASARA TANOSEO 01|06|1987 S L LAEHUWA ALASA TALUMUZOI 000 000 0 S
235 142 1224061410160002 1204012803900008 MARNIUS ZEBUA MADULA 28|03|1990 S L LAEHUWA 000 000 0 S
237 143 1224061412210001 1204285903670001 ASALIA HULU HILIBADALU 19|03|1967 B P HILIBADALU 000 000 0 S
239 144 1224061502220001 1204124804010001 AFERLINA TELAUMBANUA MEGANA 08|04|2001 S P LAEHUWA 007 000 0 S
241 145 1224061502220001 1204282712960001 AGUSTRI DERMAWAN HULU LAEHUWA 25|05|1998 S L LAEHUWA 007 000 0 S
243 146 1224061603220001 1224062003960001 FATIELI LAIA MARAO 20|03|1996 B L LOLOMOYO 008 000 0 S
245 147 1224061604200001 1204282309920002 ERLISMAN HULU LAEHUWA 23|09|1992 B L DESA LAEHUWA 008 000 0 S
247 148 1224061604200001 1204284211660002 NIATI GULO LOLOMOYO 02|11|1966 P P DESA LAEHUWA 008 000 0 S
251 150 1224061604200001 1204284603490001 FATILINA MENDROFA HILIDUHO 15|07|1938 P P DESA LAEHUWA 008 000 0 S
253 151 1224061604200001 1204285412930002 ERWITA HULU LAEHUWA 14|12|1993 B P DESA LAEHUWA 008 000 0 S
255 152 1224061604200001 1204285602000001 ERDIWINA HULU LAEHUWA 16|02|2000 B P DESA LAEHUWA 008 000 0 S
257 153 1224061604200001 1204286709960001 ERTAMARNI HULU LAEHUWA 27|09|1996 B P DESA LAEHUWA 008 000 0 S
259 154 1224061604200001 1224062101980001 ERTANTO HULU LAEHUWA 21|01|1998 B L DESA LAEHUWA 008 000 0 S
261 155 1224061703140001 1204280107780001 FEBERTINUS GULO BITAYA 16|02|1978 S L LOLOMOYO 007 004 0 S
263 156 1224061703140001 1204284502050001 SILVI JULIANTI GULO LOLOMOYO 10|07|2005 B P LOLOMOYO 007 004 0 S
265 157 1224061703140001 1204284508780001 DESIWATI ZEBUA TETEHOSI 05|08|1978 S P LOLOMOYO 007 004 0 S
267 158 1224061903210003 3204370810060001 YONATHAN RAMADHAN MENDROPBANDUNG 08|10|2006 B L LAEHUWA 009 004 0 S
269 159 1224061903210003 3204371812790002 YARLIUS MENDROFA NIAS LAEHUWA 18|12|1979 P L LAEHUWA 009 004 0 S
271 160 1224061903210003 3204372404040008 YOSUA PUTRA MENDROPA BANDUNG 24|04|2004 B L LAEHUWA 009 004 0 S
273 161 1224061912170001 1204167108920001 ERVINA RONAULI HAREFA FAEKHU 31|08|1992 S P LAEHUWA 005 007 0 S
275 162 1224061912170001 1204280712870001 FIRMAN HULU LAEHUWA 07|12|1987 S L LAEHUWA 005 007 0 S
277 163 1224062008150001 1204056903900001 PAULINA DEWISRIA GEA ONOWAEMBO 29|03|1990 S P LAEHUWA 000 000 0 S
279 164 1224062008190001 1204286311710001 NONIADA HULU LAEHUWA 23|11|1971 P P HILIBADALU 007 003 0 S
281 165 1224062008190001 1224060507050001 BOBI DARLIS HULU LASARA 05|07|2005 B L HILIBADALU 007 003 0 S

Hal 3 dari 14
 Alamat Status
No DPID No KK NIK Nama Tempat Lahir Tanggal Lahir Status Jenis Kelamin Disabilitas Kepemilikan
Perkawinan B/S/P L/P KTP-el
Alamat/Dusun Rt Rw
1 2 3 4 5 6 7 8 9 10 11 12 13 14
283 166 1224062008190001 1224061412010001 SELVIN DARWIN HULU LAEHUWA 14|12|2001 B L HILIBADALU 007 003 0 S
285 167 1224062109150001 1204045111790004 DENIMAWATI HULU FULOLO 22|12|1984 S P MIDA 000 000 0 S
287 168 1224062109150001 1224061610770001 YAMONAHA MENDROFA MIDA 16|10|1977 S L MIDA 000 000 0 S
289 169 1224062110190001 1204144107910033 ATINIA HULU SIFAORO'ASI 20|09|1991 S P DUSUN III MIDA 011 003 0 S
291 170 1224062110190001 1224063011910001 SABAR MARKUS MENDROFA LAEHUWA 30|11|1991 S L DUSUN III MIDA 011 003 0 S
293 171 1224062112160001 1224064810810001 IMAN WATI WARUWU FADORO HUNOGOA 08|10|1981 S P LAEHUWA 007 000 0 S
295 172 1224062205190001 1204282504960001 WELMAN KRISTIAWAN HULU LAEHUWA 25|04|1996 B L LAEHUWA 007 000 0 S
297 173 1224062205190001 1204283108000001 SANTO CRISTIYANTO HULU LAEHUWA 31|08|2000 B L LAEHUWA 007 000 0 S
299 174 1224062205190001 1204285007780001 YADIMANI ZEBUA HILINA'A 10|07|1978 P P LAEHUWA 007 000 0 S
301 175 1224062205190001 1204286110740001 YUNIDAR HULU HILIBADALU 21|10|1974 B P LAEHUWA 007 000 0 S
303 176 1224062205190001 1204286701980001 WINING CITRA FIYANA HULU HILIBADALU 27|01|1998 B P LAEHUWA 007 000 0 S
305 177 1224062205190001 1204286811020001 PINTA CEKIA HULU HILIBADALU 28|11|2002 B P LAEHUWA 007 000 0 S
307 178 1224062211210001 1204284203980001 YUNIMAN ZEBUA HILIMBOWO KARE 23|06|1998 S P LAEHUWA 008 004 0 S
309 179 1224062211210001 1224062911950001 NOF KRISTIAMAN JAYA MENDROFAMIDA 29|11|1995 S L LAEHUWA 008 004 0 S
311 180 1224062303210001 1224095311970001 MARGARETHA YEFINIAT ZALUKHU LOLOFAOSO 13|11|1997 S P MIDA 009 004 0 S
313 181 1224062303210001 3204441308880002 AGUSKU JAYA MENDROFA NIAS 13|08|1988 S L MIDA 009 004 0 S
315 182 1224062505210001 1204282203720001 FATIELI MENDROFA MIDA 22|03|1972 S L MIDA 008 004 0 S
317 183 1224062505210001 1214015603960002 MURNIDA LAIA TUHEMBERUA 26|03|1995 S P MIDA 008 004 0 S
319 184 1224062505210002 1204284203580001 SARIFA MENDROFA HILIGODU 02|03|1958 S P LAEHUWA 003 002 0 S
321 185 1224062506150002 1224060707840001 MELIZARO HULU HILIBADALU 07|07|1984 S L LAEHUWA 007 003 0 S
323 186 1224062508150001 1204066711890002 CHRISANTA NOVITA GULO LEWA-LEWA 27|11|1989 S P HILIGODU 000 000 0 S
325 187 1224062508150001 1224062302860001 HIBURAN HULU LAEHUWA 23|02|1986 S L HILIGODU 000 000 0 S
327 188 1224062902160001 1204281707960001 ROBIN VIKTORIUS GULO LOLOMOYO 17|07|1996 B L LOLOMOYO 007 004 0 S
329 189 1224062902160001 1204284404990001 LELI ARNILA GULO LOLOMOYO 04|04|1999 B P LOLOMOYO 007 004 0 S
331 190 1224062902160001 1204285209000001 FIRDAYANTI GULO LOLOMOYO 12|09|2000 B P LOLOMOYO 007 004 0 S
333 191 1224062902160001 1204286011730001 ENIRIA ZEGA HILI GAWONO 20|11|1973 P P LOLOMOYO 007 004 0 S
335 192 1224063004120004 1204285812650001 KASIZIDUHU HULU HILIBADALU 15|02|1964 S L LAEHUWA 007 000 0 S
337 193 1224063004120004 1224061502640001 BUDIRIA TELAUMBANUA SIMANDAOLO 14|03|1965 S P LAEHUWA 007 000 0 S
339 194 1224063004120004 1224061806000001 HENDIMAS JAYA HULU LAEHUWA 13|08|2000 B L LAEHUWA 007 000 0 S
341 195 1224063004120004 1224063101060001 HENDRA SETIMAN HULU HILIBADALU 31|01|2006 B L LAEHUWA 007 000 0 S
343 196 1224063004120004 1224065403990001 NISKARIA HULU HILIBADALU 14|03|1999 B P LAEHUWA 007 000 0 S
345 197 1224063004120004 1224066906030001 AYUTRIFANI HULU HILIBADALU 29|06|2003 B P LAEHUWA 007 000 0 S
347 198 1224063004150003 1204124907710002 LIATI ZEBUA TUMORI SOWU 09|07|1971 S P LAEHUWA 001 001 0 S
349 199 1224063004150003 1224061804670001 AMONI WARUWU SIANA'A 18|04|1967 S L LAEHUWA 001 001 0 S
351 200 1224063004200001 1204026307900001 MERSI JULIANI HULU TUHEMBERUA 23|07|1990 S P LOLOMOYO 007 004 0 S
353 201 1224063004200001 1204283103890001 TRY EFRIWAN ZALUKHU LAEHUWA 31|03|1989 S L LOLOMOYO 007 004 0 S
355 202 1224063005220001 1204014806000007 ESTER ZENDRATO DELAFIGA 08|06|2000 S P HILIBADALU DUSUN II 000 000 0 S
357 203 1224063007200001 1204284106510001 SARIFATI GULO LOLOMOYO 01|06|1951 B P LAEHUWA 007 000 0 S
359 204 1224063108220001 3521105905960001 NURUL MELIYANI NGAWI 19|05|1996 S P LAEHUWA 007 000 0 S
361 205 1224071003200001 1224065202690001 ARTINILAM HULU LAEHUWA 12|02|1969 P P LAEHUWA 000 000 0 S
363 206 1224071003200001 1224071510860001 BOBI EL ARBITER HULU TETEHOSI 15|10|1986 B L LAEHUWA 000 000 0 S
365 207 1409062303210001 1203060609790005 ELISAMA HULU GUNUNG SITOLI 06|09|1979 S L LAEHUWA 006 003 0 S
367 208 1409062303210001 1203062703060002 FIRMAN HULU BATANG TORU 27|03|2006 B L LAEHUWA 006 003 0 S
369 209 1409062303210001 1203064708820003 YUSINA GIAWA GUNUNG SITOLI 07|08|1982 S P LAEHUWA 006 003 0 S
371 210 1409062303210001 1203066211000005 DARIANTI HULU BATANG TORU 22|11|2000 B P LAEHUWA 006 003 0 S
373 211 1409062303210001 1203066401010001 JERNIWATI HULU BATANG TORU 24|01|2001 B P LAEHUWA 006 003 0 S
374
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 Alamat Status
No DPID No KK NIK Nama Tempat Lahir Tanggal Lahir Status Jenis Kelamin Disabilitas Kepemilikan
Perkawinan B/S/P L/P KTP-el
Alamat/Dusun Rt Rw
1 2 3 4 5 6 7 8 9 10 11 12 13 14
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
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426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441

Hal 5 dari 14
 Alamat Status
No DPID No KK NIK Nama Tempat Lahir Tanggal Lahir Status Jenis Kelamin Disabilitas Kepemilikan
Perkawinan B/S/P L/P KTP-el
Alamat/Dusun Rt Rw
1 2 3 4 5 6 7 8 9 10 11 12 13 14
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483

484

485

486

487

488

489

490

491

492

493

494

Hal 6 dari 14
 Alamat Status
No DPID No KK NIK Nama Tempat Lahir Tanggal Lahir Status Jenis Kelamin Disabilitas Kepemilikan
Perkawinan B/S/P L/P KTP-el
Alamat/Dusun Rt Rw
1 2 3 4 5 6 7 8 9 10 11 12 13 14
495

496

497

498

499

500

Keterangan Status Perkawinan (7) Kolom Disabilitas (12)
B : Belum Kawin 1 : Disabilitas Fisik
S : Sudah Kawin 2 : Disabilitas Intelektual
P : Pernah Kawin 3 : Disabilitas Mental
4 : Disabilitas Sensorik Wicara
5 : Disabilitas Sensorik Rungu
6 : Disabilitas Sensorik Netra
Kolom Keterangan Status Keterangan (14) :
Kepemilikan KTP-el (13) B : Pemilih Baru
S : Sudah memiliki KTP-el U : Ubah Elemen Data
B : Belum memiliki KTP-el 1 : Meninggal
2 : Ganda
3 : Dibawah Umur
4 : Pindah Domisili
Ditetapkan di ….................................................,
Tanggal …........................................... 2023
6 : TNI PPS Desa/Kel ……………. / PPK Kecamatan ……………………
7 : Polri
8 : Salah Penempatan TPS
( …..............................................................)

Hal 7 dari 14
bahan Pemilih

...................................
...................................
...................................

Keterangan

15

Hal 8 dari 14
Keterangan

15

90280

Hal 9 dari 14
Keterangan

15

Hal 10 dari 14
Keterangan

15

Hal 11 dari 14
Keterangan

15

Hal 12 dari 14
Keterangan

15

Hal 13 dari 14
 Keterangan

15

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

……………………

Hal 14 dari 14