Form Indentitas Kpps.docx
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FORM INDENTITAS KPPS KECAMATAN : INDRAJAYA NIK
:
1107075111830002
NAMA
:
RATNA HAFNI
TTL
:
DESA SUKON, 11-11-1983
ALAMAT
:
DESA SUKON ULEE GAMPONG
:
-
AGAMA
:
ISLAM
PENDIDIKAN TERKAHIR
:
S1 - PERTANIAN
NO. HP
:
0852 6218 1913
STATUS PERKAWINAN
:
KAWIN
JABATAN
:
-
NOTE : UNTUK PAS PHOTO NYA DI LAMPIRKAN PADA FORM IDENTITASNYA.
SUKON ULE GAMPONG, 25 MARET 2019
RATNA HAFNI Ketua KPPS Kecamatan Indrajaya
:
1107075111830002
NAMA
:
RATNA HAFNI
TTL
:
DESA SUKON, 11-11-1983
ALAMAT
:
DESA SUKON ULEE GAMPONG
:
-
AGAMA
:
ISLAM
PENDIDIKAN TERKAHIR
:
S1 - PERTANIAN
NO. HP
:
0852 6218 1913
STATUS PERKAWINAN
:
KAWIN
JABATAN
:
-
NOTE : UNTUK PAS PHOTO NYA DI LAMPIRKAN PADA FORM IDENTITASNYA.
SUKON ULE GAMPONG, 25 MARET 2019
RATNA HAFNI Ketua KPPS Kecamatan Indrajaya
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