Professional Documents
Culture Documents
5-KWK
SURAT PEMBERITAHUAN
(DAFTAR PEMILIH PINDAHAN)
PEMILIHAN ……………………………………………..
TAHUN ……
NO. KK : ......................................
NIK/ No.Paspor : ......................................
Nama : ......................................
Jenis Kelamin : ......................................
Alamat : ......................................
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Alasan Pindah : ......................................
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Model A.5-KWK
SURAT PEMBERITAHUAN
(DAFTAR PEMILIH PINDAHAN) PEMILIHAN
…………………………………………….. TAHUN ……
NO. KK : ......................................
NIK/ No.Paspor : ......................................
Nama : ......................................
Jenis Kelamin : ......................................
Alamat : ......................................
......................................
Alasan Pindah : ......................................
......................................