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PERATURAN KOMISI PEMILIHAN UMUM NOMOR 18 TAHUN 2008 ...

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CONTOH<br />

DAFTAR CALON SEMENTARA<br />

ANGGOTA DEWAN PERWAKILAN RAKYAT DAERAH PROVINSI DALAM <strong>PEMILIHAN</strong> <strong>UMUM</strong> <strong>TAHUN</strong> 2009<br />

MODEL BD<br />

PROVINSI : ........................................................................<br />

DAERAH <strong>PEMILIHAN</strong> : ........................................................................<br />

<strong>NOMOR</strong> ....................................................<br />

PARTAI ......................................................<br />

Tanda<br />

Gambar<br />

Partai Politik<br />

(5 cm x 5 cm)<br />

<strong>NOMOR</strong> ....................................................<br />

PARTAI ......................................................<br />

Tanda<br />

Gambar<br />

Partai Politik<br />

(5 cm x 5 cm)<br />

<strong>NOMOR</strong><br />

URUT<br />

PAS FOTO<br />

NAMA LENGKAP<br />

JENIS<br />

KELAMIN<br />

(L/P)<br />

KABUPATEN/KOTA *)<br />

(TEMPAT TINGGAL CALON)<br />

<strong>NOMOR</strong><br />

URUT<br />

PAS FOTO<br />

NAMA LENGKAP<br />

JENIS<br />

KELAMIN<br />

(L/P)<br />

KABUPATEN/KOTA *)<br />

(TEMPAT TINGGAL CALON)<br />

1 2 3 4 5 1 2 3 4 5<br />

1. 1.<br />

Pas<br />

Foto<br />

2 cm x 3 cm<br />

Pas<br />

Foto<br />

2 cm x 3 cm<br />

2. 2.<br />

Pas<br />

Foto<br />

2 cm x 3 cm<br />

Pas<br />

Foto<br />

2 cm x 3 cm<br />

3. Dst. 3. Dst.<br />

C A P<br />

Ditetapkan di ………………<br />

pada tanggal ..............................................<br />

Keterangan :<br />

*) Coret yang tidak diperlukan.<br />

<strong>KOMISI</strong> <strong>PEMILIHAN</strong> <strong>UMUM</strong> PROVINSI ..........................................<br />

1. KETUA ........................................................................................... ..........................................<br />

2. ANGGOTA ........................................................................................... ..........................................<br />

3. ANGGOTA ........................................................................................... ..........................................<br />

4. ANGGOTA ........................................................................................... ..........................................<br />

5. ANGGOTA ........................................................................................... ..........................................

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