Candiwates

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 290 ZAKARIYAH L 43 CANDIWATES 017 006 291 ZUHROTUL ILMIYAH P 22 CANDIWATES 019 006 ZAINUL FAIZIN DITETAPKAN DI, PASURUAN TANGGAL, 21 JUNI 2023 KPU KABUPATEN PASURUAN KETUA Halaman 12 dari 12

PROVINSI : JAWA TIMUR : PRIGEN KABUPATEN/KOTA : PASURUAN : CANDIWATES : 010 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 ABD. MANAP L 60 CANDIWATES 019 006 2 ABD. SALAM L 47 CANDIWATES 022 007 3 ABD.ROCHIM L 84 CANDIWATES 020 006 4 ABD.ROHIM L 46 CANDIWATES 019 006 5 ABDUL GONI L 53 CANDIWATES 020 006 6 ABDUL LATIF L 50 CANDIWATES 020 006 7 ABDUL ROCHMAN L 49 CANDIWATES 020 006 8 ABDUL ROHMAN L 37 CANDIWATES 020 006 9 ACH. NASICHUL CH L 20 CANDIWATES 019 008 10 ACHMAD FAJRUL FALAH L 21 CANDIWATES 021 007 11 ACHMAD NUAM L 52 CANDIWATES 022 007 12 ACHMAD SAFANI L 39 CANDIWATES 021 007 13 ADAM MAULANA L 19 CANDIWATES 022 007 14 AGUS SALIM L 55 CANDIWATES 021 007 15 AH. SYAFIQ MUDABBIR L 27 CANDIWATES 020 006 16 AHMAD RESTU KARNO L 22 CANDIWATES 019 006 17 AKHMAD NURUL L 42 CANDIWATES 021 007 18 ALFAN L 40 CANDIWATES 020 006 19 ALIYAH P 26 CANDIWATES 019 006 TPS MODEL A-KabKo Daftar Pemilih DPT PEMILIHAN UMUM TAHUN 2024 KECAMATAN DESA/KELURAHAN Halaman 1 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 20 AMAL L 67 CANDIWATES 020 006 21 AMMA P 69 CANDIWATES 022 007 22 ANIS AGUSTINA P 26 CANDIWATES 021 007 23 ANIS SOLICHAH, S.PD P 51 CANDIWATES 021 007 24 ANITA P 30 CANDIWATES 022 007 25 ARBAINAH P 62 CANDIWATES 020 006 26 ASFIANTOKO L 49 CANDIWATES 020 006 27 ASIYAH P 53 CANDIWATES 020 006 28 ASTRI MULYANI P 35 CANDIWATES 020 006 29 ASTRI SEPTIANI P 28 CANDIWATES 020 006 30 BADRIYAH P 45 CANDIWATES 021 007 31 BAINAH P 38 CANDIWATES 022 007 32 BAYU SUSANTO L 33 CANDIWATES 022 007 33 BETTY RETNO WULANDARI P 17 CANDIWATES 022 007 34 BUANG L 53 CANDIWATES 022 007 35 CHOIRON L 55 CANDIWATES 019 006 36 CHOLIK L 68 CANDIWATES 019 006 37 CHUNAFA'UR ROSYIDIN L 36 CANDIWATES 020 006 38 CHUSNATUL KARIMAH P 45 CANDIWATES 019 006 39 DAIMATUL A'DAWIYAH P 36 CANDIWATES 020 006 40 DAINA P 70 CANDIWATES 022 007 41 DAIYAH P 65 CANDIWATES 019 006 42 DANAH P 68 CANDIWATES 020 006 43 DARIYAH P 71 CANDIWATES 020 006 44 DARSINI P 26 CANDIWATES 020 006 45 DENY PRIYANTO L 38 CANDIWATES 022 007 46 DEWI APRILIA P 22 CANDIWATES 020 006 Halaman 2 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 47 DHOFIR HASAN L 41 CANDIWATES 020 006 48 DIAH AYU NUGROHO RINI P 19 CANDIWATES 022 007 49 DIRO ARMANDITO L 27 CANDIWATES 022 007 50 DJAENAB P 58 CANDIWATES 020 006 51 DJAENAL L 68 CANDIWATES 020 006 52 DODIK KRISTIANTO L 47 CANDIWATES 022 007 53 DRS.K.SULLAM TAUFIK, M.PD L 72 CANDIWATES 021 007 54 DURACHMAN L 61 CANDIWATES 022 007 55 DWI BAMBANG SETYAWAN L 21 CANDIWATES 022 007 56 EKA WULANDARI P 24 CANDIWATES 022 007 57 EKO SULISTYO L 36 CANDIWATES 020 006 58 ENDANG RETNO WIDYASTUTI P 51 CANDIWATES 022 007 59 FADIYA P 56 CANDIWATES 020 006 60 FENDY SETIAWAN L 39 CANDIWATES 022 007 61 FIDA AISYAH P 28 CANDIWATES 022 007 62 FINA AYSYAH P 24 CANDIWATES 022 007 63 GIANA P 49 CANDIWATES 022 007 64 HABIBATUL MAULIDAH P 22 CANDIWATES 020 006 65 HARTATIK P 41 CANDIWATES 021 007 66 HERI WIYONO L 54 CANDIWATES 022 007 67 HERU SUSANTO L 34 CANDIWATES 021 007 68 HOLILI L 40 CANDIWATES 021 007 69 ICHWAN L 42 CANDIWATES 020 006 70 IMAS DWI ARIANI P 31 CANDIWATES 022 007 71 IMRO`ATUL CHOIRO P 32 CANDIWATES 022 007 72 IMRON L 27 CANDIWATES 019 006 73 INDAH AFRIYANI P 41 CANDIWATES 022 007 Halaman 3 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 74 IQBAL MAHENDRA FITRIANTO L 19 CANDIWATES 022 007 75 IRA RAHMAWATI P 21 CANDIWATES 022 007 76 IRAWAN L 36 CANDIWATES 022 007 77 ISMAIL L 45 CANDIWATES 022 007 78 ISTIKOMA P 36 CANDIWATES 020 006 79 IVA YULI ASTUTIK P 40 CANDIWATES 020 006 80 JABIR L 63 CANDIWATES 020 006 81 JULAIKHA P 58 CANDIWATES 021 007 82 KAMI P 56 CANDIWATES 021 007 83 KAMILATUS SHOFIYAH AZZAHRO P 17 CANDIWATES 022 007 84 KANAH P 55 CANDIWATES 021 007 85 KANAPI L 58 CANDIWATES 022 007 86 KASIATI P 84 CANDIWATES 019 006 87 KASIATUN P 58 CANDIWATES 022 007 88 KASIONO L 43 CANDIWATES 020 006 89 KASITA P 73 CANDIWATES 020 006 90 KASMOLAN L 53 CANDIWATES 022 007 91 KHANIFAH P 20 CANDIWATES 020 006 92 KHANIPAH P 59 CANDIWATES 020 006 93 KHOILIL FITRIYA P 27 CANDIWATES 021 007 94 KHOIRIYAH P 42 CANDIWATES 020 006 95 KHOLIDA P 51 CANDIWATES 020 006 96 KHOLISAH P 40 CANDIWATES 019 006 97 KHOLISATUN NADHIROH P 35 CANDIWATES 021 007 98 KHOTIMAH P 57 CANDIWATES 021 007 99 KHUMAIYAH P 43 CANDIWATES 020 006 100 KHUSNAH P 36 CANDIWATES 021 007 Halaman 4 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 101 KHUSNUL KHOTIMAH P 43 CANDIWATES 022 007 102 KOJIM L 50 CANDIWATES 022 007 103 KOMARI L 60 CANDIWATES 020 006 104 KOSIM L 61 CANDIWATES 020 006 105 LAILATUL CHUSNIAH P 41 CANDIWATES 021 007 106 LAILATUL FITRIA P 36 CANDIWATES 020 006 107 LAMI ISROI L 48 CANDIWATES 021 007 108 LASIATI P 52 CANDIWATES 021 007 109 LATIF L 58 CANDIWATES 020 006 110 LINGGA HESTI LESTARI P 23 CANDIWATES 021 007 111 LISA UMAMI P 42 CANDIWATES 020 006 112 LULUK MA`RUFAH P 41 CANDIWATES 020 006 113 M. ARDI ISWA MAULANA L 19 CANDIWATES 020 010 114 M. FAIZ ILMANZAH L 19 CANDIWATES 020 006 115 M. NURHADI IRAWAN L 45 CANDIWATES 022 007 116 M. RIDWAN L 43 CANDIWATES 020 006 117 M. SAIKHUL MUARIF L 28 CANDIWATES 022 007 118 M. THOHA MUCHSAN L 60 CANDIWATES 020 006 119 M.YASIN L 52 CANDIWATES 020 006 120 MA'RUF KARRUCHI L 18 CANDIWATES 022 007 121 MAHMUDAH P 39 CANDIWATES 022 007 122 MARIA ULFA P 44 CANDIWATES 019 006 123 MARYATUL LIFDYA P 33 CANDIWATES 020 006 124 MAT NAIM L 70 CANDIWATES 021 007 125 MATKURI L 52 CANDIWATES 020 006 126 MAULIDHATUL KHASANAH P 21 CANDIWATES 019 006 127 MAULUT IDATUL FITRIAH P 40 CANDIWATES 022 007 Halaman 5 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 128 MEGA HIDAYANTI P 23 CANDIWATES 021 007 129 MELINA FEBRIANTI NINGSIH P 24 CANDIWATES 022 007 130 MINA P 63 CANDIWATES 021 007 131 MITA ADELIA IRMA P 21 CANDIWATES 022 007 132 MOCH. ACHMADI L 41 CANDIWATES 022 007 133 MOCH. ALFI SHOBIRIN L 19 CANDIWATES 021 007 134 MOCH. TAJRI L 44 CANDIWATES 020 006 135 MOCHAMAD JA'FAR SHODIQ L 23 CANDIWATES 020 006 136 MOCHAMMAD ANGGA SUGENG PRASTYO L 18 CANDIWATES 020 006 137 MOCHAMMAD WAHYU SANTOSO L 24 CANDIWATES 021 007 138 MOH. KHOIRI L 38 CANDIWATES 022 007 139 MOH. RUCHUL AMIN L 17 CANDIWATES 019 006 140 MOH. SULTONI L 52 CANDIWATES 021 007 141 MOH.TOYO L 61 CANDIWATES 021 007 142 MOHAMMAD KHOIRUL L 24 CANDIWATES 021 007 143 MUCHAMMAD WAHAB L 62 CANDIWATES 019 006 144 MUFIDATUL SYINTIA P 27 CANDIWATES 020 006 145 MUHAMAD FIRMAN ROMADHONI L 24 CANDIWATES 020 006 146 MUHAMAD MUSLIH L 56 CANDIWATES 019 006 147 MUHAMMAD CHOSIIN L 29 CANDIWATES 020 006 148 MUHAMMAD DADANG ANDIKA L 26 CANDIWATES 020 006 149 MUHAMMAD FAIZ ALFIRDIANSYAH L 24 CANDIWATES 021 007 150 MUHAMMAD GHOZALI L 31 CANDIWATES 019 006 151 MUHAMMAD KHUSYAIRI L 38 CANDIWATES 020 006 152 MUHAMMAD LIHTIYA FIKRI L 25 CANDIWATES 022 007 153 MUHAMMAD SAICHUL ARIF L 32 CANDIWATES 020 006 154 MUHAMMAD SOLEH L 39 CANDIWATES 022 007 Halaman 6 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 155 MUHAMMAD YUSUF L 24 CANDIWATES 022 007 156 MUKHAMAD SYAIKHONI L 34 CANDIWATES 022 007 157 MUKHIBBAH P 51 CANDIWATES 020 006 158 MULIADI L 41 CANDIWATES 021 007 159 MUSRIFAH P 29 CANDIWATES 019 006 160 MUSTAKIM L 56 CANDIWATES 020 006 161 NANIK KARDILLAH P 31 CANDIWATES 020 006 162 NANIK SUMARNI P 49 CANDIWATES 022 007 163 NI'AH P 63 CANDIWATES 021 007 164 NORIYAH P 64 CANDIWATES 021 007 165 NUR KHASANAH P 45 CANDIWATES 020 006 166 NUR KHOLIFAH P 26 CANDIWATES 022 007 167 NUR ROCHMATUL HIDAYAH P 20 CANDIWATES 021 007 168 NURIL FAUZIYAH P 24 CANDIWATES 020 006 169 NURIL ISLAMIYAH P 38 CANDIWATES 022 007 170 NURUL BADRIYAH P 38 CANDIWATES 022 007 171 NURUL HIDAYATI P 39 CANDIWATES 022 007 172 NURUL KHOFIFAH P 23 CANDIWATES 020 006 173 PUJI ARLIS P 50 CANDIWATES 022 007 174 PUTRI MASRUFA P 31 CANDIWATES 021 007 175 QUANIDA ANGGRAINI P 22 CANDIWATES 022 007 176 RESTU ANGGONO L 52 CANDIWATES 019 006 177 RIDA P 30 CANDIWATES 020 006 178 RISTA NUR ILMI INDRIANI P 28 CANDIWATES 020 006 179 ROCHMAD L 38 CANDIWATES 022 007 180 ROHMAN L 30 CANDIWATES 021 007 181 ROKHIM L 30 CANDIWATES 021 007 Halaman 7 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 182 ROMLAH P 61 CANDIWATES 022 007 183 ROMLAH WIJAYANTI P 30 CANDIWATES 020 006 184 RUFI'AH P 41 CANDIWATES 020 006 185 RUWAIDA P 51 CANDIWATES 020 006 186 SABAR L 60 CANDIWATES 021 007 187 SAIFUL AMIN L 43 CANDIWATES 022 007 188 SALIMAH P 58 CANDIWATES 022 007 189 SALSABILLAH SARASEA P 22 CANDIWATES 021 007 190 SAMIASI P 57 CANDIWATES 020 006 191 SAMINA P 58 CANDIWATES 020 006 192 SAMUJI L 45 CANDIWATES 020 006 193 SARIKAH P 74 CANDIWATES 021 007 194 SARJI L 34 CANDIWATES 022 007 195 SATIPAH P 53 CANDIWATES 019 006 196 SEKAR WANGI AYU WANDIRA P 23 CANDIWATES 022 007 197 SHOHIBUL ANAS L 40 CANDIWATES 020 006 198 SHOLEH L 63 CANDIWATES 021 007 199 SHOLIHAH P 35 CANDIWATES 020 006 200 SHOLIKIN WIBOWO L 46 CANDIWATES 022 007 201 SIMATUL FALAKHIYAH P 25 CANDIWATES 020 006 202 SITI ASMAUL CHUSNAH P 42 CANDIWATES 020 006 203 SITI FIRDAUSI NUZILAH P 21 CANDIWATES 020 006 204 SITI KHALIMAH P 30 CANDIWATES 020 006 205 SITI KOMARIYAH P 50 CANDIWATES 021 007 206 SITI KURNIA P 23 CANDIWATES 020 006 207 SITI MAISAROH P 36 CANDIWATES 022 007 208 SITI MAISYAROH P 47 CANDIWATES 020 006 Halaman 8 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 209 SITI NADIROH P 46 CANDIWATES 021 007 210 SITI ROCHMA P 59 CANDIWATES 020 006 211 SITI ROMLAH P 44 CANDIWATES 022 007 212 SITI ZULAICHAH P 40 CANDIWATES 022 007 213 SLAMET L 52 CANDIWATES 019 006 214 SODIK L 62 CANDIWATES 020 006 215 SOLEH L 68 CANDIWATES 020 006 216 SOLICHIN L 50 CANDIWATES 020 006 217 SRI SUMARLIK INDAHYATI P 59 CANDIWATES 021 007 218 SRI UTAMI P 48 CANDIWATES 022 007 219 SRI WIDAYATI P 41 CANDIWATES 022 007 220 SU'AN L 68 CANDIWATES 021 007 221 SUDARTIK P 46 CANDIWATES 020 006 222 SUGENG HARIYONO L 45 CANDIWATES 020 006 223 SUGENG PRAYITNO L 36 CANDIWATES 020 006 224 SUGIANTO L 47 CANDIWATES 020 006 225 SUGIARTO L 64 CANDIWATES 022 007 226 SULAMA P 48 CANDIWATES 019 006 227 SULIATI P 48 CANDIWATES 022 007 228 SULIKAH P 64 CANDIWATES 020 006 229 SULIS P 62 CANDIWATES 022 007 230 SULIS SETYOWATI P 36 CANDIWATES 022 007 231 SUMINI P 45 CANDIWATES 019 006 232 SUNI`A P 58 CANDIWATES 020 006 233 SUNIK P 54 CANDIWATES 022 007 234 SUPARMI P 60 CANDIWATES 021 007 235 SUPENO L 63 CANDIWATES 022 007 Halaman 9 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 236 SURAJI AL NARI L 65 CANDIWATES 022 007 237 SURYANTO L 39 CANDIWATES 022 007 238 SUSMIATI P 40 CANDIWATES 020 006 239 SUTAJI L 53 CANDIWATES 021 007 240 SUTO L 65 CANDIWATES 022 007 241 SUTRI P 48 CANDIWATES 022 007 242 SUTRIS L 43 CANDIWATES 020 006 243 SUWADI L 43 CANDIWATES 020 006 244 SUWANDI L 43 CANDIWATES 022 007 245 SUWARNI P 41 CANDIWATES 022 007 246 SUWATI P 63 CANDIWATES 021 007 247 SYAFIKYAH P 53 CANDIWATES 021 007 248 SYAMSUL MAARIF L 27 CANDIWATES 020 006 249 SYUAIBATUL ISLAMIYAH P 29 CANDIWATES 021 007 250 TAKRIM L 67 CANDIWATES 022 007 251 TAMI P 65 CANDIWATES 020 006 252 TAMIN L 66 CANDIWATES 020 006 253 TANU L 84 CANDIWATES 022 007 254 TASLIMAH P 57 CANDIWATES 022 007 255 TASRIAH P 57 CANDIWATES 021 007 256 TIARA P 65 CANDIWATES 021 007 257 TIARI P 48 CANDIWATES 022 007 258 TIRTO HADI L 30 CANDIWATES 020 006 259 TOHA L 59 CANDIWATES 019 006 260 TOHIR L 62 CANDIWATES 021 007 261 TOHIR AFANDI L 63 CANDIWATES 021 007 262 TRI MARDIANTO L 34 CANDIWATES 021 007 Halaman 10 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 263 TRIAS YUNIAR TANTI P 17 CANDIWATES 022 007 264 TUKIATIN P 65 CANDIWATES 022 007 265 TURIKA P 61 CANDIWATES 020 006 266 TUSAMAH P 62 CANDIWATES 021 007 267 UKTIYAH TRI WINARTI P 39 CANDIWATES 022 007 268 UTOMO MULYO L 46 CANDIWATES 022 007 269 WAHYU EKA TRISTANTI P 27 CANDIWATES 022 007 270 WAHYU HIDAYAT L 25 CANDIWATES 020 006 271 WAHYUDI L 40 CANDIWATES 022 007 272 WANDOYO L 68 CANDIWATES 021 007 273 WIDIANTO L 37 CANDIWATES 020 006 274 WINARNI P 44 CANDIWATES 021 007 275 YAYUK KUSNIAWATI P 45 CANDIWATES 022 007 276 YOHANES SETIAWAN L 28 CANDIWATES 022 007 277 YULI PUSPITASARI P 20 CANDIWATES 022 007 278 YUSUF NURDIK ROMANSYAH L 27 CANDIWATES 021 007 279 ZAENAL ARIFIN L 30 CANDIWATES 020 006 280 ZAMAD L 63 CANDIWATES 020 006 ZAINUL FAIZIN DITETAPKAN DI, PASURUAN TANGGAL, 21 JUNI 2023 KPU KABUPATEN PASURUAN KETUA Halaman 11 dari 11

PROVINSI : JAWA TIMUR : PRIGEN KABUPATEN/KOTA : PASURUAN : CANDIWATES : 011 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 A. SHOLICHUDDIN MUTTAQIN L 28 CANDIWATES 021 007 2 ABDUL MAJID L 28 CANDIWATES 024 007 3 ACH. DHANI MAULANA L 21 CANDIWATES 023 007 4 ACHMAD L 80 CANDIWATES 023 007 5 ACHMAD BAGAS ARDIANSYAH L 19 CANDIWATES 024 007 6 ACHMAD SHOFI'I L 27 CANDIWATES 024 007 7 ACHMAD SYAIFUL AHLAQ L 34 CANDIWATES 023 007 8 ADI KURNIAWAN L 29 CANDIWATES 023 007 9 AGUS ZAMRONI L 44 CANDIWATES 023 007 10 AINUL RODIYAH P 26 CANDIWATES 021 007 11 AKHMAD RENDI SETIAWAN L 20 CANDIWATES 024 007 12 AKHMAD SOIM L 42 CANDIWATES 023 007 13 AKHMAD SRIADI L 58 CANDIWATES 023 007 14 ANA WARSINI P 46 CANDIWATES 023 007 15 ANDIAN HUSSAINI L 27 CANDIWATES 023 007 16 ANDIKA FIRMANSYAH L 19 CANDIWATES 023 007 17 ANDRIANA P 30 CANDIWATES 021 007 18 ANIS LAILATUL BADRIYAH P 40 CANDIWATES 024 007 19 ASIYAH P 48 CANDIWATES 023 007 TPS MODEL A-KabKo Daftar Pemilih DPT PEMILIHAN UMUM TAHUN 2024 KECAMATAN DESA/KELURAHAN Halaman 1 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 20 ASNAMI P 62 CANDIWATES 024 007 21 CAHYO AJI PUTRO L 24 CANDIWATES 023 007 22 CHOIRUL ANAM L 53 CANDIWATES 023 007 23 CHOIRUN NISAK P 33 CANDIWATES 023 007 24 CHOLIK L 53 CANDIWATES 023 007 25 CICA ANAS TRI DEWI P 20 CANDIWATES 023 007 26 CITRA DEVI EKA ANDINI P 32 CANDIWATES 023 007 27 DAIPAH P 48 CANDIWATES 024 007 28 DARMAN L 64 CANDIWATES 023 007 29 DASUKI L 79 CANDIWATES 023 007 30 DAYASIN L 62 CANDIWATES 023 007 31 DENI LESMANA L 31 CANDIWATES 021 007 32 DENI PURWANTO L 30 CANDIWATES 023 007 33 DEWI AMINAH P 35 CANDIWATES 023 007 34 DIA MARIA ULFAH P 32 CANDIWATES 024 007 35 DJUARIJAH P 65 CANDIWATES 023 007 36 DWI NUR KHOLIFAH P 27 CANDIWATES 023 007 37 EDY PURWANTO L 23 CANDIWATES 023 007 38 ELLA RUSMALLA P 31 CANDIWATES 023 007 39 ENDRA TRY WIRANGGA L 33 CANDIWATES 024 007 40 ENI KHUSNAINI P 32 CANDIWATES 023 007 41 ENI KUSMIRAH P 42 CANDIWATES 023 007 42 ETI PURWANINGSIH P 44 CANDIWATES 023 007 43 EVA DWI HARTATIK P 22 CANDIWATES 023 007 44 FAIZAH HARDA SAVIRA P 21 CANDIWATES 024 007 45 FAIZAL DWI FATKHUR ROZAK L 17 CANDIWATES 023 007 46 FATEMI P 37 CANDIWATES 023 007 Halaman 2 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 47 FATMALAWATI P 26 CANDIWATES 021 007 48 FIRDA AYU EKA BUDIARTI P 28 CANDIWATES 023 007 49 FITRO AMALI L 46 CANDIWATES 023 007 50 GIANTI P 62 CANDIWATES 024 007 51 GILANG MIFTAHUL FAIZIN L 20 CANDIWATES 023 007 52 GIMIN L 83 CANDIWATES 023 007 53 HADITS L 46 CANDIWATES 023 007 54 HAMZAH ARFAH L 34 CANDIWATES 023 007 55 HANDINY EKA AGUSTINE P 26 CANDIWATES 023 007 56 HARY L 53 CANDIWATES 023 007 57 HERI MUSLIMIN L 56 CANDIWATES 023 007 58 HERMAWAN L 42 CANDIWATES 024 007 59 IDA LIDYA P 43 CANDIWATES 024 007 60 IIS KRISNAWATI P 32 CANDIWATES 024 007 61 IKROM PUTRA FATKHUR ROZAK L 22 CANDIWATES 023 007 62 ILYAS L 63 CANDIWATES 023 007 63 IMAM L 61 CANDIWATES 021 007 64 IMAM SUYUTI L 38 CANDIWATES 024 007 65 IMAMA LAILATUL FARIDA P 22 CANDIWATES 023 007 66 IMRON HAMZAH L 23 CANDIWATES 023 007 67 INDAHWATI P 37 CANDIWATES 024 007 68 IRWAN ALFANI LUTFI L 45 CANDIWATES 024 007 69 IRWAN ALFANU LUTFI L 33 CANDIWATES 023 007 70 ISMAIL FATKHUR ROZAK L 44 CANDIWATES 023 007 71 ITA ROSALI P 35 CANDIWATES 024 007 72 IVA KRISTANTI WIJAYA P 36 CANDIWATES 024 007 73 IZZUDDIN ALIL ASHAB L 24 CANDIWATES 024 007 Halaman 3 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 74 JAMIL L 53 CANDIWATES 023 007 75 JIHAN FAKHIROH P 17 CANDIWATES 023 007 76 JULAIKHA P 48 CANDIWATES 023 007 77 JUMAIN L 44 CANDIWATES 023 007 78 JUMAINA P 75 CANDIWATES 023 007 79 JUMIATI P 47 CANDIWATES 023 007 80 JUNAIDI L 41 CANDIWATES 023 007 81 JURI L 51 CANDIWATES 024 007 82 JUROH WIJAYATI P 32 CANDIWATES 023 007 83 KAMARI L 65 CANDIWATES 023 007 84 KASIM L 68 CANDIWATES 023 007 85 KASIT ISWANTO L 49 CANDIWATES 023 007 86 KHOLILAH P 36 CANDIWATES 024 007 87 KHOLIMAH P 52 CANDIWATES 024 007 88 KHOLISAH P 58 CANDIWATES 024 007 89 KHOMARIYAH P 49 CANDIWATES 023 007 90 KHOTIMAH P 33 CANDIWATES 023 007 91 KRISDI WIYANTORO L 43 CANDIWATES 024 007 92 KUSNADAH P 46 CANDIWATES 023 007 93 KUSNAN L 78 CANDIWATES 024 007 94 KUSTONO L 59 CANDIWATES 024 007 95 KUTIAH P 48 CANDIWATES 024 007 96 LAILATUL BADERIYA P 17 CANDIWATES 021 007 97 LIANA P 48 CANDIWATES 023 007 98 LIANI P 45 CANDIWATES 023 007 99 LIK'ATI P 69 CANDIWATES 023 007 100 LILIK SULISWATI P 65 CANDIWATES 022 007 Halaman 4 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 101 LILIS SURYANI P 51 CANDIWATES 023 007 102 LUCKY DWI SETYAWAN L 27 CANDIWATES 023 007 103 LULUK SUMIYATI P 44 CANDIWATES 021 007 104 LUVAN NUR KHOLIS L 33 CANDIWATES 024 007 105 M. CHOZIN L 35 CANDIWATES 024 007 106 M. MULYADI L 34 CANDIWATES 023 007 107 M. SUEB L 35 CANDIWATES 024 007 108 M. TAUFIK. H L 38 CANDIWATES 023 007 109 MACHFUDH L 58 CANDIWATES 023 007 110 MANSYUR L 53 CANDIWATES 021 007 111 MARIYAM P 73 CANDIWATES 023 007 112 MARIYAT L 63 CANDIWATES 023 007 113 MARSUDI L 65 CANDIWATES 024 007 114 MESTI P 44 CANDIWATES 023 007 115 MIFTAKHUL UMI HABIBA P 22 CANDIWATES 023 007 116 MOC. ROMLI L 68 CANDIWATES 024 007 117 MOCH JURI L 55 CANDIWATES 023 007 118 MOCH. CHOIRONI L 23 CANDIWATES 023 007 119 MOCHAMAD THOHA L 43 CANDIWATES 024 007 120 MOH. RUMLA L 36 CANDIWATES 023 007 121 MOH.SYAHRUL BAIHAQI L 17 CANDIWATES 023 007 122 MOHAMAD DAHLAN L 51 CANDIWATES 023 007 123 MOHAMMAD ANWAR JUNAIDI L 41 CANDIWATES 024 007 124 MOHAMMAD HUDA L 35 CANDIWATES 023 007 125 MOHAMMAD KHAMIM L 46 CANDIWATES 024 007 126 MOHAMMAD RIZAL L 17 CANDIWATES 023 007 127 MOHAMMAD ROQI FAHMI L 19 CANDIWATES 023 007 Halaman 5 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 128 MOHAMMAD SAFI'I L 28 CANDIWATES 024 007 129 MOHAMMAD YASIN L 55 CANDIWATES 024 007 130 MONA WIDYA KUSTINI P 22 CANDIWATES 024 007 131 MUCHAMAD HANAFI L 64 CANDIWATES 024 007 132 MUCHAMAD MUNIF L 50 CANDIWATES 024 007 133 MUCHAMMAD SAFARUDIN L 17 CANDIWATES 023 007 134 MUHAMAD ROHMAN MAULANA L 19 CANDIWATES 023 007 135 MUHAMAD SAIKHUL ARIF L 27 CANDIWATES 024 007 136 MUHAMMAD ALI L 42 CANDIWATES 023 007 137 MUHAMMAD ANWAR SADAT L 35 CANDIWATES 024 007 138 MUHAMMAD ARIFIN L 60 CANDIWATES 023 007 139 MUHAMMAD AZIZUN L 28 CANDIWATES 023 007 140 MUHAMMAD DIMAS SAPUTRA L 17 CANDIWATES 023 007 141 MUHAMMAD FAJAR PERMANA PUTRA L 18 CANDIWATES 023 007 142 MUHAMMAD HAVID L 49 CANDIWATES 024 007 143 MUHAMMAD IZAM ZAMZAMI L 20 CANDIWATES 023 007 144 MUHAMMAD SAID L 43 CANDIWATES 024 007 145 MUHAMMAD SAIFUL MUNIR L 24 CANDIWATES 023 007 146 MUHAMMAD SUBANDI L 32 CANDIWATES 024 007 147 MUHAMMAD SYAHRIL ARDIANSYAH L 20 CANDIWATES 023 007 148 MUJIATI P 65 CANDIWATES 023 007 149 MUJIONO L 47 CANDIWATES 024 007 150 MUSIATI P 69 CANDIWATES 021 007 151 MUSRIFAH P 44 CANDIWATES 023 007 152 MUSTOFAH L 40 CANDIWATES 023 007 153 NADILAH DWI SAPUTRI P 24 CANDIWATES 024 007 154 NAHROWI L 44 CANDIWATES 024 007 Halaman 6 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 155 NANDA SYAIRA SYAHARANI P 20 CANDIWATES 024 007 156 NAYAH P 58 CANDIWATES 024 007 157 NGATIPA P 73 CANDIWATES 023 007 158 NIK AMA P 45 CANDIWATES 023 007 159 NOVITASARI P 27 CANDIWATES 024 007 160 NUR AISYAH P 29 CANDIWATES 024 007 161 NUR CHASANAH P 30 CANDIWATES 023 007 162 NUR RIZKI SYAIFUDDIN L 26 CANDIWATES 023 007 163 NUR WAHYU PRIHATININGSIH P 60 CANDIWATES 023 007 164 NURUL LIA ERNAWATI P 30 CANDIWATES 023 007 165 PAKEH L 70 CANDIWATES 023 007 166 PAMUJI L 38 CANDIWATES 023 007 167 PIPIT KURNIAWAN L 41 CANDIWATES 023 007 168 PRIYO NUSANTORO L 40 CANDIWATES 023 007 169 PURWADI BAGUS IRIANTO L 28 CANDIWATES 024 007 170 PUSVITASARI P 38 CANDIWATES 023 007 171 PUTRI NUR LAILY PURNAMA SARI P 21 CANDIWATES 023 007 172 R.RACHMAD SOENARTO L 76 CANDIWATES 022 007 173 RAFI SETIAWAN L 24 CANDIWATES 023 007 174 RAHMATULLOH L 24 CANDIWATES 023 007 175 REZA MIFTAKHUL HADI L 24 CANDIWATES 023 007 176 RIBUDI L 55 CANDIWATES 023 007 177 RIDUWAN L 48 CANDIWATES 023 007 178 RIFKA CHORIYAH P 29 CANDIWATES 023 007 179 RINA MARDIANA P 24 CANDIWATES 023 007 180 RIRIN P 42 CANDIWATES 023 007 181 RIYANTO L 59 CANDIWATES 024 007 Halaman 7 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 182 RIYANTO L 47 CANDIWATES 024 007 183 ROBIYANTO L 51 CANDIWATES 021 007 184 ROFIQ PUJIANTORO L 27 CANDIWATES 023 007 185 ROHMAT PUJI SLAMET L 45 CANDIWATES 023 007 186 ROKIT L 64 CANDIWATES 024 007 187 RONI FAISAL L 23 CANDIWATES 023 007 188 ROVIQ MAULANA L 22 CANDIWATES 024 007 189 RUKANI P 64 CANDIWATES 024 007 190 RUSTIN P 48 CANDIWATES 023 007 191 RYAN BINTANG RAMADHANI L 22 CANDIWATES 024 007 192 SAIMIN L 41 CANDIWATES 023 007 193 SALSABILLA LAZUARDINA P 17 CANDIWATES 023 007 194 SANDI WIRA DILAGA L 34 CANDIWATES 021 007 195 SANDY BAGAS SAPUTRA L 17 CANDIWATES 023 007 196 SARI ROCHAYATI P 43 CANDIWATES 023 007 197 SARIANI P 34 CANDIWATES 023 007 198 SHOLIKHAH P 38 CANDIWATES 023 007 199 SITI JAENAB P 29 CANDIWATES 023 007 200 SITI KHOLIFAH P 46 CANDIWATES 023 007 201 SITI KOIRIYA P 60 CANDIWATES 023 007 202 SITI MAISYAROH P 43 CANDIWATES 023 007 203 SITI MASRUROH P 27 CANDIWATES 024 007 204 SITI QOMARIYAH P 39 CANDIWATES 023 007 205 SITI ROCHMA P 42 CANDIWATES 023 007 206 SITI ROMLAH P 51 CANDIWATES 023 007 207 SITI ROMLAH P 47 CANDIWATES 024 007 208 SITI SEPTIANI P 27 CANDIWATES 024 007 Halaman 8 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 209 SLAMET L 53 CANDIWATES 023 007 210 SLAMET ANSORI L 24 CANDIWATES 023 007 211 SODIK L 61 CANDIWATES 023 007 212 SODIK L 74 CANDIWATES 023 007 213 SOLIKAH P 56 CANDIWATES 022 007 214 SOLIKAH P 27 CANDIWATES 024 007 215 SOLIKATI P 49 CANDIWATES 024 007 216 SUBANDI L 34 CANDIWATES 024 007 217 SUBKHAN SUYUTI L 25 CANDIWATES 023 007 218 SULASTRI P 49 CANDIWATES 023 007 219 SULIKHA P 36 CANDIWATES 024 007 220 SULIMAH P 38 CANDIWATES 023 007 221 SULIYAH P 40 CANDIWATES 024 007 222 SULKAN L 50 CANDIWATES 023 007 223 SUMA'IYAH P 34 CANDIWATES 023 007 224 SUMIATI P 48 CANDIWATES 023 007 225 SUMITA ASRIR RACHMAWATI P 18 CANDIWATES 023 007 226 SUNARMO L 53 CANDIWATES 023 007 227 SUNDARI P 76 CANDIWATES 023 007 228 SUNTAMA P 65 CANDIWATES 024 007 229 SUPARDI L 66 CANDIWATES 024 007 230 SUPARKO L 64 CANDIWATES 022 007 231 SUPARMI P 75 CANDIWATES 023 007 232 SUPIKATI P 63 CANDIWATES 024 007 233 SUPINAH P 68 CANDIWATES 023 007 234 SUPIYAH P 68 CANDIWATES 021 007 235 SUPRIADI L 50 CANDIWATES 023 007 Halaman 9 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 236 SUPRIYANTO L 43 CANDIWATES 023 007 237 SURATIN P 46 CANDIWATES 023 007 238 SUSIANTO L 55 CANDIWATES 024 007 239 SUSIATI P 41 CANDIWATES 023 007 240 SUSTRIANIK P 42 CANDIWATES 024 007 241 SUTOMO L 42 CANDIWATES 023 007 242 SUTRI P 63 CANDIWATES 023 007 243 SYAHRUL SHOBIRIN L 19 CANDIWATES 023 007 244 SYAICHUL ANAS L 55 CANDIWATES 023 007 245 TAJAB L 61 CANDIWATES 024 007 246 TAKIM L 73 CANDIWATES 024 007 247 TASEMI P 64 CANDIWATES 023 007 248 TASNI P 61 CANDIWATES 024 007 249 TAUKID L 52 CANDIWATES 023 007 250 TIKAMAH P 43 CANDIWATES 023 007 251 TISAH P 68 CANDIWATES 024 007 252 TITIN MASRUROTIN P 31 CANDIWATES 023 007 253 TJUKUP L 87 CANDIWATES 023 007 254 TRIA ERVINA WAHYU PANGESTI P 21 CANDIWATES 023 007 255 TUKINEM P 61 CANDIWATES 024 007 256 UMI HANIK P 38 CANDIWATES 024 007 257 URIFAH P 47 CANDIWATES 023 007 258 USMAN L 58 CANDIWATES 023 007 259 VINDI CITRA DEVI P 19 CANDIWATES 024 007 260 WAHYU PERMANA L 34 CANDIWATES 024 007 261 WAHYUDI NUR ROCHMAD L 20 CANDIWATES 023 007 262 WARIADI L 42 CANDIWATES 023 007 Halaman 10 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 263 WARMIASIH P 58 CANDIWATES 024 007 264 WASILAH P 58 CANDIWATES 023 007 265 WIWIK KUSMIATI P 49 CANDIWATES 023 007 266 WURIATI P 69 CANDIWATES 024 007 267 YUDI ISMAIL L 31 CANDIWATES 023 007 268 YULIANA P 34 CANDIWATES 023 007 269 YUNI ARTI NINGSIH P 41 CANDIWATES 024 007 270 YUSUF SAPUTRA L 20 CANDIWATES 023 007 271 ZAINAL ABIDIN L 37 CANDIWATES 023 007 272 ZUHRIYAH P 52 CANDIWATES 023 007 ZAINUL FAIZIN DITETAPKAN DI, PASURUAN TANGGAL, 21 JUNI 2023 KPU KABUPATEN PASURUAN KETUA Halaman 11 dari 11

PROVINSI : JAWA TIMUR : PRIGEN KABUPATEN/KOTA : PASURUAN : CANDIWATES : 012 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 A CHOIRUL FADHOLI L 54 CANDIWATES 026 008 2 ABD. QODIR JAILANI L 46 CANDIWATES 027 008 3 ABDILLAH L 37 CANDIWATES 026 008 4 ABDUL ROIS L 35 CANDIWATES 026 008 5 ABDUL SHOMAD L 41 CANDIWATES 026 008 6 ABDURRACHMAN L 48 CANDIWATES 027 008 7 ACHADIYAH RAHMAH SARI P 27 CANDIWATES 026 008 8 ACHMAD ANWARUDDIN L 31 CANDIWATES 026 008 9 ACHMAD ENGGAL SETIAWAN L 20 CANDIWATES 027 008 10 ADI ARIYANTO L 31 CANDIWATES 026 008 11 ADI SUJONO L 42 CANDIWATES 026 008 12 ADINDA AYU WULANDARI P 20 CANDIWATES 027 008 13 AGIL DWI BACHTIAR L 20 CANDIWATES 027 008 14 AGUS SUBANDI L 48 CANDIWATES 026 008 15 AGUS SUSANTO L 50 CANDIWATES 027 008 16 AGUSTIAN HIDAYAT L 44 CANDIWATES 027 008 17 AHMAD MUHAJIR WAHID L 18 CANDIWATES 026 008 18 AHMAD NURIL ANWAR L 27 CANDIWATES 027 008 TPS MODEL A-KabKo Daftar Pemilih DPT PEMILIHAN UMUM TAHUN 2024 KECAMATAN DESA/KELURAHAN Halaman 1 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 19 AHMAD WAHIDIN L 49 CANDIWATES 026 008 20 AINAH P 36 CANDIWATES 026 008 21 AINUL RIZAL UMAROH L 30 CANDIWATES 026 008 22 AKHMAD NANDA FIRMANSYAH L 21 CANDIWATES 026 008 23 AKHMAD TISNO L 49 CANDIWATES 026 008 24 ALFI LAILATIN P 43 CANDIWATES 027 008 25 ANDIK SUGENG PRIYANTO L 34 CANDIWATES 027 008 26 ANDRIAS SAPUTERO L 33 CANDIWATES 026 008 27 ANDY HARIANTO L 23 CANDIWATES 027 008 28 ANIK MASRUROH P 39 CANDIWATES 026 008 29 ARIEF SETIAWAN L 24 CANDIWATES 027 008 30 ARIFIN EKO NOVIANDI L 33 CANDIWATES 026 008 31 ASEP SUNARJI L 52 CANDIWATES 026 008 32 ASMAUL KHUSNAH P 39 CANDIWATES 027 008 33 ASMUNIR L 44 CANDIWATES 027 008 34 ATIK SALMAH P 54 CANDIWATES 026 008 35 ATIM P 67 CANDIWATES 026 008 36 AULIYAH NUR SHOLIKHAH P 25 CANDIWATES 026 008 37 BADRUS SHOLEH L 26 CANDIWATES 026 008 38 BAKERI L 63 CANDIWATES 026 008 39 BAYU ANGGA ARDI PRAYOGA L 23 CANDIWATES 027 008 40 DANIAH P 51 CANDIWATES 026 008 41 DARNI P 78 CANDIWATES 027 008 42 DAUMI P 54 CANDIWATES 026 008 43 DAVID ADIT . M L 19 CANDIWATES 026 008 44 DEBBIE FATIMA MAYANGSARI TANAMAL P 30 CANDIWATES 026 008 Halaman 2 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 45 DENNY SUDIONO L 45 CANDIWATES 027 008 46 DHONI HIDHAYATUL FADILLAH P 28 CANDIWATES 027 008 47 DIMAS ADITYA PUTRA L 19 CANDIWATES 026 008 48 DIMAS ARDIANSAH L 19 CANDIWATES 027 008 49 DINA NUR ANGGRAENI P 27 CANDIWATES 026 008 50 DINDA SINTYA AYUNDA P 17 CANDIWATES 026 008 51 DIVANO PURNARENDRA RAMAHDANI L 18 CANDIWATES 027 008 52 DJENAB P 57 CANDIWATES 027 008 53 DODIK ARDIANSYAH L 30 CANDIWATES 027 008 54 DWI WINARNI PURBAWATI P 56 CANDIWATES 026 008 55 EDI RIO ISTANTO L 21 CANDIWATES 026 008 56 EKO MARGONO L 49 CANDIWATES 027 008 57 EKO RAHMAN ARIF L 19 CANDIWATES 027 008 58 ENDANG SUWARNI P 59 CANDIWATES 027 008 59 ENIK P 44 CANDIWATES 026 008 60 ENIK WULANSARI P 45 CANDIWATES 026 008 61 ERIKA DWI HERFIANTI P 17 CANDIWATES 027 008 62 FAHMI KURNIAWAN L 25 CANDIWATES 026 008 63 FATIMATUS ZAHRO P 18 CANDIWATES 027 008 64 FEFI IKA LESTARI P 41 CANDIWATES 026 008 65 FIRDAUZI NUZULA P 18 CANDIWATES 027 008 66 FITRIAH INDAH PRATIWI P 17 CANDIWATES 027 008 67 FITRIANA EKA SUSANTI P 20 CANDIWATES 027 008 68 FITRIANI DWI SUSANTI P 20 CANDIWATES 027 008 69 FITRIYAH P 35 CANDIWATES 026 008 70 FUTRO AZHANTA L 24 CANDIWATES 026 008 Halaman 3 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 71 HADI PRAYUGA L 45 CANDIWATES 027 008 72 HARLIN L 40 CANDIWATES 026 008 73 HASIM EFENDI L 57 CANDIWATES 026 008 74 HERI PURWANTO L 54 CANDIWATES 027 008 75 IFA SOVIA P 51 CANDIWATES 026 008 76 IHWATIN P 43 CANDIWATES 027 008 77 IIS KHAVIDAH P 37 CANDIWATES 027 008 78 IMAM. S L 37 CANDIWATES 027 008 79 INTAN APRILIANA TANAMAL P 20 CANDIWATES 026 008 80 IRMA DWI SETYOWATI P 23 CANDIWATES 026 008 81 IVAN ARDIYANSYAH L 38 CANDIWATES 026 008 82 JAMIL L 53 CANDIWATES 027 008 83 JOKO MURJITO L 34 CANDIWATES 027 008 84 JUARI L 52 CANDIWATES 027 008 85 JUMAIYAH P 60 CANDIWATES 026 008 86 JUWARIYAH P 55 CANDIWATES 026 008 87 KARIM L 61 CANDIWATES 027 008 88 KARIYATI P 39 CANDIWATES 026 008 89 KASAMAH P 55 CANDIWATES 027 008 90 KASIATUN SALEH P 58 CANDIWATES 026 008 91 KATUMAN L 65 CANDIWATES 027 008 92 KHOIRUL ANAM L 34 CANDIWATES 026 008 93 KHUSNAWATIN P 39 CANDIWATES 027 008 94 KUSNO AFANANI L 52 CANDIWATES 027 008 95 KUSWANTO L 36 CANDIWATES 026 008 96 LAHURI L 45 CANDIWATES 027 008 Halaman 4 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 97 LAMBANG PRATAMA HERFIANTO L 23 CANDIWATES 027 008 98 LEGIMIN L 67 CANDIWATES 026 008 99 LINDA WIDIA ASTUTIK P 36 CANDIWATES 027 008 100 LULUK MAISYAROH P 20 CANDIWATES 027 008 101 M. AUDIE FAJAR L 19 CANDIWATES 026 008 102 M. DZIKRU UBAIDILLAH L 19 CANDIWATES 027 008 103 M. MAKSUM H L 25 CANDIWATES 027 008 104 M. NUR HIDAYAT L 25 CANDIWATES 027 008 105 M. WAWAN L 30 CANDIWATES 026 008 106 MALUKI L 73 CANDIWATES 026 008 107 MARIA ULFA P 34 CANDIWATES 026 008 108 MARIANI P 46 CANDIWATES 027 008 109 MARIYAM P 65 CANDIWATES 026 008 110 MARIYAM P 55 CANDIWATES 027 008 111 MARTA BAYU SYAHPUTRA L 24 CANDIWATES 027 008 112 MAT SOLEH L 49 CANDIWATES 026 008 113 MAT TOLIB L 63 CANDIWATES 026 008 114 MIMING SUPRIATI P 47 CANDIWATES 026 008 115 MINARSIH P 47 CANDIWATES 027 008 116 MITIYA LESTARI P 58 CANDIWATES 027 008 117 MOCH ARIPAN NURHAKIM L 17 CANDIWATES 027 008 118 MOCHAMAD SAYIDI L 57 CANDIWATES 026 008 119 MOCHAMMAD DAKAN L 58 CANDIWATES 026 008 120 MOCHAMMAD HENDRA PRASETYO L 27 CANDIWATES 026 008 121 MOCHAMMAD SAFI'I L 29 CANDIWATES 027 008 122 MOCHAMMAD ZAKARIYAH L 25 CANDIWATES 027 008 Halaman 5 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 123 MOH YAHYA RIMO L 57 CANDIWATES 027 008 124 MOH. ARIF L 37 CANDIWATES 026 008 125 MOH. SUEB EFFENDY L 51 CANDIWATES 027 008 126 MOKHAMAD RIFAI L 41 CANDIWATES 027 008 127 MUASIK L 53 CANDIWATES 027 008 128 MUCHAMAD SOCHEH L 32 CANDIWATES 027 008 129 MUDRIKA P 67 CANDIWATES 027 008 130 MUHADI L 54 CANDIWATES 026 008 131 MUHAMMAD FAUZAN PRAYOGA L 21 CANDIWATES 027 008 132 MUHAMMAD JUPRI L 36 CANDIWATES 026 008 133 MUHAMMAD NUR CHOLIS L 29 CANDIWATES 027 008 134 MUHAMMAD RAGIL ADITYA L 19 CANDIWATES 027 008 135 MUHAMMAD RENDRA L 28 CANDIWATES 027 008 136 MUHAMMAD REVALDI FERDIANSYAH L 18 CANDIWATES 026 008 137 MUHAMMAD RIZAL ASFANI L 20 CANDIWATES 027 008 138 MUHAMMAD RUDI YANSYAH L 24 CANDIWATES 027 008 139 MUHAMMAD SHOLACHUDDIN L 30 CANDIWATES 027 008 140 MUHDORI L 36 CANDIWATES 027 008 141 MUJIB RIDWAN L 42 CANDIWATES 026 008 142 MUKHAMAD SOFYAN L 34 CANDIWATES 026 008 143 MULIKAH P 54 CANDIWATES 026 008 144 MULYADI L 41 CANDIWATES 026 008 145 MULYONO L 39 CANDIWATES 027 008 146 MUSOFA L 59 CANDIWATES 027 008 147 NAQSYA VIDIE ULUWIYA L 21 CANDIWATES 026 008 148 NASLIKAH P 59 CANDIWATES 026 008 Halaman 6 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 149 NUNUK YULIANTI P 45 CANDIWATES 026 008 150 NUR AZIZAH P 23 CANDIWATES 027 008 151 NUR CAHYA L 58 CANDIWATES 026 008 152 NUR DANISA RAHMADANI P 23 CANDIWATES 026 008 153 NUR KHABIBAH P 24 CANDIWATES 027 008 154 NUR KHASANAH P 48 CANDIWATES 027 008 155 NUR LAILATUL MAGHFIROH P 22 CANDIWATES 026 008 156 NUR LAILY ISLAMIYAH P 24 CANDIWATES 027 008 157 NUR MUHAMMAD MAULANA HASANUDIN L 23 CANDIWATES 026 008 158 NUR QOSIDATUL JANNAH P 47 CANDIWATES 026 008 159 NUR SALIMIN L 28 CANDIWATES 026 008 160 NUR SRI WAHYUNI P 29 CANDIWATES 026 008 161 NURIL LISA'ATUL LAILI P 25 CANDIWATES 027 008 162 NURUL HIDAYATI P 20 CANDIWATES 027 008 163 NURUL KHAYATIN P 31 CANDIWATES 026 008 164 NUZUL NUR LAILATUS SANIA P 25 CANDIWATES 026 008 165 PRAYONO L 43 CANDIWATES 027 008 166 PURNOMO L 49 CANDIWATES 027 008 167 PURWATININGSIH P 30 CANDIWATES 026 008 168 PUSPITA CHANDRA HANANSIH P 31 CANDIWATES 027 008 169 PUTRI NILAM SARI P 20 CANDIWATES 027 008 170 RAHMAT ARIFIANTO L 30 CANDIWATES 026 008 171 RIDUWAN L 58 CANDIWATES 027 008 172 RIDWAN L 50 CANDIWATES 026 008 173 RIDWAN L 61 CANDIWATES 026 008 174 RIFO ANANTA L 17 CANDIWATES 027 008 Halaman 7 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 175 RINAWATI P 41 CANDIWATES 027 008 176 RINI SUSANTI P 40 CANDIWATES 026 008 177 RIONO L 60 CANDIWATES 026 008 178 RIRIN SRI WAHYUNI P 41 CANDIWATES 027 008 179 RIZKY ALFIE NURFAUZI L 27 CANDIWATES 026 008 180 ROCH. WAHYU UTAMI L 18 CANDIWATES 027 008 181 RODIYAH P 39 CANDIWATES 026 008 182 RUSTINIK P 39 CANDIWATES 026 008 183 RYSSA SETYA ARYNY P 26 CANDIWATES 026 008 184 SAICHONI L 51 CANDIWATES 027 008 185 SAMIATI NUR RANI P 32 CANDIWATES 027 008 186 SAMSUL ARIF L 35 CANDIWATES 027 008 187 SANTI MEGA PRATIWI P 26 CANDIWATES 026 008 188 SANTOSO L 42 CANDIWATES 026 008 189 SARIYAH P 69 CANDIWATES 027 008 190 SARPIAH P 56 CANDIWATES 026 008 191 SAWITRI EKASARI P 28 CANDIWATES 026 008 192 SENDI ARISANTI P 17 CANDIWATES 027 008 193 SHOLICHA P 49 CANDIWATES 027 008 194 SISWATI P 54 CANDIWATES 026 008 195 SITI AMINAH P 54 CANDIWATES 026 008 196 SITI MAHMUDAH P 27 CANDIWATES 026 008 197 SITI NUR AZIZAH P 31 CANDIWATES 027 008 198 SITI ROMELAH P 43 CANDIWATES 027 008 199 SITI RUKOIYAH P 42 CANDIWATES 027 008 200 SUDARMAN L 68 CANDIWATES 027 008 Halaman 8 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 201 SUGENG WIYONO L 48 CANDIWATES 026 008 202 SUGIO PRAWOTO L 45 CANDIWATES 027 008 203 SUGITO L 50 CANDIWATES 027 008 204 SUHARI L 62 CANDIWATES 026 008 205 SUHARIYANI P 43 CANDIWATES 026 008 206 SUHARTATIK P 37 CANDIWATES 026 008 207 SULAIMAN L 52 CANDIWATES 026 008 208 SULASTRI P 55 CANDIWATES 027 008 209 SULIMAH P 47 CANDIWATES 026 008 210 SULISWANTO L 37 CANDIWATES 026 008 211 SULIYATI P 56 CANDIWATES 026 008 212 SULTHONI L 56 CANDIWATES 027 008 213 SUMAMI P 53 CANDIWATES 027 008 214 SUMIATI P 66 CANDIWATES 027 008 215 SUMILAH P 48 CANDIWATES 026 008 216 SUNAMI P 37 CANDIWATES 027 008 217 SUPA HARTATIK P 43 CANDIWATES 027 008 218 SUPAAT L 48 CANDIWATES 026 008 219 SUPARMI P 35 CANDIWATES 027 008 220 SUPRIHATIN P 57 CANDIWATES 026 008 221 SUPRIHATIN P 43 CANDIWATES 027 008 222 SURONO L 53 CANDIWATES 026 008 223 SUSI ISTANTI P 34 CANDIWATES 026 008 224 SUSIATI P 39 CANDIWATES 026 008 225 SUSONIK P 51 CANDIWATES 026 008 226 SUTIHAH P 44 CANDIWATES 027 008 Halaman 9 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 227 SUTJIPTO L 57 CANDIWATES 026 008 228 SUTRISNO L 52 CANDIWATES 026 008 229 SUWARNI P 61 CANDIWATES 027 008 230 SUWONO L 53 CANDIWATES 026 008 231 TARAMIASIH P 45 CANDIWATES 027 008 232 TASENI P 77 CANDIWATES 026 008 233 THOLIB L 64 CANDIWATES 026 008 234 TIAYAH P 59 CANDIWATES 026 008 235 TINAYAH WIDIYAWATI P 53 CANDIWATES 027 008 236 TITA DEAH PRATIWI TANAMAL P 25 CANDIWATES 026 008 237 TRI WAHYUNI P 37 CANDIWATES 026 008 238 TRISWANTO HARY PRASETYA L 32 CANDIWATES 026 008 239 TUMIK P 64 CANDIWATES 026 008 240 TUMINAH P 57 CANDIWATES 027 008 241 TUMINI P 51 CANDIWATES 027 008 242 URIFA P 26 CANDIWATES 027 008 243 URIFAH P 54 CANDIWATES 027 008 244 VIA MARTHA PURNAMASARI P 25 CANDIWATES 027 008 245 WAHYU EKO SAPUTRO L 27 CANDIWATES 026 008 246 WAHYU HENI TRIMARTIN P 34 CANDIWATES 027 008 247 WAHYUDI L 43 CANDIWATES 026 008 248 WALIDATUL NIKMAH P 33 CANDIWATES 026 008 249 WIDYA PUTRI RATNASARI P 26 CANDIWATES 026 008 250 WILDAN AZIZUN MAULUDI AGUSTIN L 21 CANDIWATES 026 008 251 WINARSIH P 37 CANDIWATES 026 008 252 WINDI ASTUTI P 26 CANDIWATES 026 008 Halaman 10 dari 11

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 253 WUJUD L 46 CANDIWATES 027 008 254 YANTO L 59 CANDIWATES 026 008 255 YOGI PURBA KUSUMA L 58 CANDIWATES 027 008 256 YURIDA KHOIR P 28 CANDIWATES 026 008 257 ZAENAL ARIFIN L 50 CANDIWATES 026 008 258 ZUZUN SRIWAHYUNI P 40 CANDIWATES 026 008 ZAINUL FAIZIN DITETAPKAN DI, PASURUAN TANGGAL, 21 JUNI 2023 KPU KABUPATEN PASURUAN KETUA Halaman 11 dari 11

PROVINSI : JAWA TIMUR : PRIGEN KABUPATEN/KOTA : PASURUAN : CANDIWATES : 013 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 ABD. KAMIK L 47 CANDIWATES 028 009 2 ABD. KARIM L 48 CANDIWATES 028 009 3 ABD. ROHMAN L 40 CANDIWATES 025 008 4 ABDUL KASAN L 55 CANDIWATES 025 008 5 ABDUL MUIN L 52 CANDIWATES 026 008 6 ABDUL SAMA` L 64 CANDIWATES 025 008 7 ACHMAD HIDAYAT L 26 CANDIWATES 028 009 8 ACHMAD FAIZIN L 19 CANDIWATES 028 009 9 ACHMAD SHOLEH L 64 CANDIWATES 025 008 10 ACHMAD ZIDAN ARDAVA MAULANA L 19 CANDIWATES 029 009 11 ACHMAT L 65 CANDIWATES 028 009 12 AGUNG CAHYONO L 32 CANDIWATES 028 009 13 AHMAD NUR HUDA L 34 CANDIWATES 025 008 14 AISYAH P 40 CANDIWATES 025 008 15 ALFIAN PRIMA SAMBERA L 18 CANDIWATES 028 009 16 ALFIATUL ISLAMIA P 24 CANDIWATES 025 008 17 ALIMAH P 63 CANDIWATES 025 008 18 ALIMAH HANDAYANI P 61 CANDIWATES 025 008 TPS MODEL A-KabKo Daftar Pemilih DPT PEMILIHAN UMUM TAHUN 2024 KECAMATAN DESA/KELURAHAN Halaman 1 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 19 ANANDA OKY ALVA RIZKY L 17 CANDIWATES 025 008 20 ANDIK SETIAWAN L 40 CANDIWATES 025 008 21 ANDIKA KUSUMANINGRUM P 26 CANDIWATES 028 009 22 ANIK MUJIATI P 50 CANDIWATES 025 008 23 ARIS MAWANTO L 30 CANDIWATES 029 009 24 ASTUTIK P 60 CANDIWATES 025 008 25 BAMBANG NONO L 53 CANDIWATES 025 008 26 CHOIRUN NISA P 37 CANDIWATES 025 008 27 DARIAH P 66 CANDIWATES 025 008 28 DEDIK PRAMANA L 31 CANDIWATES 029 009 29 DELLA MASYTOH P 24 CANDIWATES 028 009 30 DEWI AISYAH P 43 CANDIWATES 028 009 31 DEWI NURHAYATIN P 41 CANDIWATES 029 009 32 DIDIT KRISYADI L 31 CANDIWATES 028 009 33 DULADI L 58 CANDIWATES 028 009 34 DULAMAT L 49 CANDIWATES 029 009 35 DURAHMAN L 50 CANDIWATES 025 008 36 EDY SUYANTO L 49 CANDIWATES 028 009 37 EKO ADI SUSANTO L 35 CANDIWATES 025 008 38 EKO ANDIANTO L 43 CANDIWATES 029 009 39 ELVI NUR VARIDA P 48 CANDIWATES 025 008 40 FENDIK PRASETYO L 31 CANDIWATES 025 008 41 FENDIK PRIYANTO L 29 CANDIWATES 028 009 42 FIRMAN ADITYA L 19 CANDIWATES 025 008 43 GATOT PUDJIONO L 71 CANDIWATES 028 009 44 HARIYANTO L 50 CANDIWATES 030 008 Halaman 2 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 45 IMAM SUYUTI MUSTOFA L 24 CANDIWATES 025 008 46 INTAN MASRURO AGUSTIN P 21 CANDIWATES 025 008 47 IRFAN HANDOKO L 42 CANDIWATES 025 008 48 ISHAQ L 38 CANDIWATES 025 008 49 JARI L 74 CANDIWATES 026 008 50 JODIK EKO PRAWITO L 25 CANDIWATES 028 009 51 JONO L 69 CANDIWATES 025 008 52 JUJUK EKO WIBOWO L 33 CANDIWATES 025 008 53 JUMISIH P 50 CANDIWATES 025 008 54 KAMIATI P 58 CANDIWATES 025 008 55 KAMINAH P 63 CANDIWATES 028 009 56 KANAH P 66 CANDIWATES 029 009 57 KARIADI L 50 CANDIWATES 025 008 58 KARSIONO L 61 CANDIWATES 025 008 59 KARTONO L 46 CANDIWATES 028 009 60 KARYATI P 49 CANDIWATES 025 008 61 KASDI L 93 CANDIWATES 025 008 62 KASIATI P 63 CANDIWATES 028 009 63 KATIN P 57 CANDIWATES 028 009 64 KAYAH P 60 CANDIWATES 029 009 65 KHANIN L 47 CANDIWATES 025 008 66 KHOSIM L 58 CANDIWATES 028 009 67 KOLIK L 56 CANDIWATES 028 009 68 KUSEN L 55 CANDIWATES 025 008 69 KUSNATI P 64 CANDIWATES 025 008 70 KUSNUL KHOTIMAH P 44 CANDIWATES 025 008 Halaman 3 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 71 KUSWANTO L 41 CANDIWATES 025 008 72 LAILATUL MUFARRIHAH P 29 CANDIWATES 025 008 73 LAILATUL SOLIKHAH P 28 CANDIWATES 025 008 74 LASIMO L 83 CANDIWATES 029 009 75 LEGIMIN L 69 CANDIWATES 029 009 76 LELY LINDYAWATI P 23 CANDIWATES 028 009 77 LILIK SUHARTINI P 43 CANDIWATES 028 009 78 LINA INDARTI P 43 CANDIWATES 025 008 79 M.TAUFIK L 23 CANDIWATES 029 009 80 MAHBUBY FIRMANSYAH L 35 CANDIWATES 025 008 81 MARDLIYAH P 53 CANDIWATES 025 008 82 MARIADI L 69 CANDIWATES 029 009 83 MIFTAHUL LATIF L 24 CANDIWATES 028 009 84 MISNO L 76 CANDIWATES 029 009 85 MOCHAMAD ANSOR L 32 CANDIWATES 028 009 86 MOCHAMMAD CHUSNUL CHULUQ L 32 CANDIWATES 025 008 87 MOCHAMMAD FAHRUL FALAH RAMADHAN L 17 CANDIWATES 025 008 88 MOCHAMMAD HUSEIN SAID L 67 CANDIWATES 025 008 89 MOKH. KANIF L 48 CANDIWATES 028 009 90 MUADI L 60 CANDIWATES 028 009 91 MUCHAMMAD ZAINURI L 46 CANDIWATES 025 008 92 MUHAMAD THOYIB L 34 CANDIWATES 025 008 93 MUHAMMAD ADI SETIAWAN L 17 CANDIWATES 028 009 94 MUHAMMAD ANDRIAN ASFARI L 24 CANDIWATES 025 008 95 MUHAMMAD ILHAM FIKRI ILAFI L 19 CANDIWATES 025 008 96 MUHAMMAD MIFTAHUL FAIZIN L 37 CANDIWATES 025 008 Halaman 4 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 97 MUHAMMAD NUR KHAMDI L 20 CANDIWATES 029 009 98 MUHAMMAD SAIFUL ANWAR L 24 CANDIWATES 028 009 99 MUKHAMMAD NUR HIDAYAT L 26 CANDIWATES 029 009 100 MUNTIARA AUDI P 17 CANDIWATES 028 009 101 MUSRIFAH P 32 CANDIWATES 025 008 102 MUTMAINNAH P 55 CANDIWATES 028 009 103 NANANG ROSYADI L 36 CANDIWATES 028 009 104 NAPIK P 63 CANDIWATES 025 008 105 NAQWAN SETIAWAN L 18 CANDIWATES 025 008 106 NASTAIN L 44 CANDIWATES 025 008 107 NGARIONO L 65 CANDIWATES 028 009 108 NIA YUNITA SARI P 27 CANDIWATES 025 008 109 NUR AZIZAH P 38 CANDIWATES 025 008 110 NUR LAILI P 55 CANDIWATES 025 008 111 NURIYATI P 51 CANDIWATES 025 008 112 NURUL HUDA PRASETIYO L 26 CANDIWATES 025 008 113 NURUL IMAM L 32 CANDIWATES 029 009 114 NURUL ISWATIN P 43 CANDIWATES 025 008 115 NURUL KOMARIYAH P 43 CANDIWATES 029 009 116 NURUL WAHYU PURWANTI P 33 CANDIWATES 025 008 117 NURYATI RAGEL SAPUTRI P 48 CANDIWATES 030 008 118 NUZULUN NIKMAH P 30 CANDIWATES 025 008 119 PIPIT CHOIRON L 35 CANDIWATES 025 008 120 PONIMIN L 73 CANDIWATES 025 008 121 RAHAYU NINGSIH P 54 CANDIWATES 029 009 122 RAHAYU NINGSIH P 29 CANDIWATES 029 009 Halaman 5 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 123 RAMLI L 73 CANDIWATES 025 008 124 RANI NOVIANA DWI P 24 CANDIWATES 028 009 125 RANTI NURHAYANI P 20 CANDIWATES 025 008 126 REINA KUSUMA WARDANI P 19 CANDIWATES 028 009 127 RENI PURWATI P 37 CANDIWATES 028 009 128 RHOZY MUCHAMMAD NUR YASIN L 22 CANDIWATES 028 009 129 RIAN HIDAYAT L 26 CANDIWATES 028 009 130 RIDUWAN L 41 CANDIWATES 028 009 131 RIDUWAN L 48 CANDIWATES 029 009 132 RINA INDRAWATI P 40 CANDIWATES 028 009 133 RINI AGUSTINA P 30 CANDIWATES 028 009 134 RINTA NURHAYATI P 20 CANDIWATES 025 008 135 RIONO L 68 CANDIWATES 029 009 136 RIVALDO DAFFAA BRAMASTA L 19 CANDIWATES 025 008 137 ROHMAT HIDAYAT L 18 CANDIWATES 025 008 138 ROKIT L 49 CANDIWATES 029 009 139 ROSIDA P 26 CANDIWATES 029 009 140 RUHYATI P 50 CANDIWATES 028 009 141 RUKAYAH P 63 CANDIWATES 029 009 142 RUKMINI P 35 CANDIWATES 028 009 143 RUSTIN P 51 CANDIWATES 028 009 144 SAFINATUL CHOIRIYAH P 31 CANDIWATES 025 008 145 SAFITRI ALDINA PUTRI P 20 CANDIWATES 028 009 146 SAIFUL ANAM L 42 CANDIWATES 025 008 147 SAMAN L 80 CANDIWATES 029 009 148 SAMIATUN P 67 CANDIWATES 028 009 Halaman 6 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 149 SARIATI P 65 CANDIWATES 028 009 150 SARIYONO L 54 CANDIWATES 025 008 151 SELAMET L 50 CANDIWATES 028 009 152 SHINTIA ANGGI PRATIWI P 23 CANDIWATES 025 008 153 SHOFIYAH P 45 CANDIWATES 025 008 154 SHOLEH L 48 CANDIWATES 025 008 155 SHOLEH L 67 CANDIWATES 026 008 156 SIFA FAUZIYAH AINUR FITRI P 18 CANDIWATES 029 009 157 SITI CHUSNUL MUFTIAN... P 35 CANDIWATES 027 008 158 SITI MAISYAROH P 22 CANDIWATES 028 009 159 SITI MALIKHAH P 53 CANDIWATES 025 008 160 SITI MARYAM P 62 CANDIWATES 025 008 161 SITI NUR AIDA P 40 CANDIWATES 025 008 162 SITI PATEMI P 55 CANDIWATES 028 009 163 SITI ROMLAH P 46 CANDIWATES 025 008 164 SITI ROMLAH P 26 CANDIWATES 028 009 165 SLAMET SUHARI L 54 CANDIWATES 028 009 166 SLAMET HARIONO L 49 CANDIWATES 028 009 167 SODIQ L 65 CANDIWATES 029 009 168 SOLICHATIN P 36 CANDIWATES 025 008 169 SOLIKIN L 57 CANDIWATES 025 008 170 SRI ENDAH RIZKI P 49 CANDIWATES 025 008 171 SRI HARTATIK P 50 CANDIWATES 025 008 172 SRI NINGSIH P 49 CANDIWATES 028 009 173 SRI ROMIATI P 51 CANDIWATES 029 009 174 SRIAMAH P 53 CANDIWATES 029 009 Halaman 7 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 175 SRIATI P 49 CANDIWATES 028 009 176 SUCIPTO L 46 CANDIWATES 025 008 177 SUCIPTO L 60 CANDIWATES 028 009 178 SUHARTINI P 26 CANDIWATES 028 009 179 SUHARTO L 66 CANDIWATES 025 008 180 SUHARTO L 58 CANDIWATES 029 009 181 SUJONO L 57 CANDIWATES 028 009 182 SUKARTI P 71 CANDIWATES 025 008 183 SUKARTO L 67 CANDIWATES 025 008 184 SUKESIH P 46 CANDIWATES 025 008 185 SULIANAH P 51 CANDIWATES 028 009 186 SULIASIH P 54 CANDIWATES 025 008 187 SULIATI P 61 CANDIWATES 025 008 188 SULIS SETIAWATI P 37 CANDIWATES 025 008 189 SULISTIA NINGSIH P 37 CANDIWATES 025 008 190 SUMANING P 45 CANDIWATES 028 009 191 SUMIASIH P 62 CANDIWATES 025 008 192 SUMITO L 59 CANDIWATES 028 009 193 SUNARTI P 79 CANDIWATES 028 009 194 SUPA`AT L 58 CANDIWATES 029 009 195 SUSIANA P 68 CANDIWATES 028 009 196 SUTARMAN L 29 CANDIWATES 028 009 197 SUTARMI P 55 CANDIWATES 025 008 198 SUTOYO L 51 CANDIWATES 025 008 199 SUTOYO L 43 CANDIWATES 028 009 200 SUTRISNO L 39 CANDIWATES 028 009 Halaman 8 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 201 SUYATI NINGSIH P 34 CANDIWATES 025 008 202 SUYATNO L 53 CANDIWATES 025 008 203 SYA'RONI L 62 CANDIWATES 025 008 204 SYAMSUL ARIFIN L 42 CANDIWATES 025 008 205 TAMAN L 48 CANDIWATES 025 008 206 TAMAR L 55 CANDIWATES 028 009 207 TAMIATI P 53 CANDIWATES 029 009 208 TAMUJI L 42 CANDIWATES 008 024 209 TITI PRIHNAWATI P 61 CANDIWATES 028 009 210 TITIS SUMARNI P 44 CANDIWATES 028 009 211 TOLIAH P 59 CANDIWATES 028 009 212 TOLIPAH P 59 CANDIWATES 029 009 213 TOSIM L 71 CANDIWATES 025 008 214 ULFIATUL FITRIAH P 45 CANDIWATES 025 008 215 UMAR SAID L 55 CANDIWATES 029 009 216 UMIATI P 60 CANDIWATES 029 009 217 USMAN HADI L 64 CANDIWATES 025 008 218 USWATUN KHASANAH P 43 CANDIWATES 029 009 219 VIVI LARASANTI P 33 CANDIWATES 025 008 220 WAHYU ADI K L 17 CANDIWATES 025 008 221 WAHYU OKTA WIJAYA L 34 CANDIWATES 025 008 222 WAHYUDI L 48 CANDIWATES 028 009 223 WAMISBACHU CHOIRIA P 32 CANDIWATES 028 009 224 WARTI P 67 CANDIWATES 025 008 225 WARTINI P 48 CANDIWATES 028 009 226 WATINI P 54 CANDIWATES 028 009 Halaman 9 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 227 YANI HARIYANTO L 82 CANDIWATES 025 008 228 YANTI P 44 CANDIWATES 025 008 229 YULIANTI AGUSTIN P 41 CANDIWATES 028 009 230 YULIANTO L 45 CANDIWATES 028 009 231 YUSWANTI P 41 CANDIWATES 029 009 232 ZAHROTUL WARDAH P 33 CANDIWATES 025 008 233 ZAINA DEWI P 46 CANDIWATES 025 008 234 ZUBDATUL ILMIYAH P 50 CANDIWATES 025 008 ZAINUL FAIZIN DITETAPKAN DI, PASURUAN TANGGAL, 21 JUNI 2023 KPU KABUPATEN PASURUAN KETUA Halaman 10 dari 10

PROVINSI : JAWA TIMUR : PRIGEN KABUPATEN/KOTA : PASURUAN : CANDIWATES : 014 NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 1 2 3 4 5 6 7 8 1 ABD ROSID L 62 CANDIWATES 030 009 2 ABDUL ROKHIM L 54 CANDIWATES 030 009 3 ACHMAD SYABIBUL JAUHARIL QOLBI L 20 CANDIWATES 030 009 4 AGUNG PRAWITO L 38 CANDIWATES 030 009 5 AGUS BAKTIONO L 49 CANDIWATES 029 009 6 AGUS SETIAWAN L 39 CANDIWATES 029 009 7 AGUS SUHENDRA L 33 CANDIWATES 030 009 8 AKHMAD ZAINURI L 35 CANDIWATES 029 009 9 AMILIA DWI LISMAWATI P 25 CANDIWATES 030 009 10 ANDY LISMAWAN L 31 CANDIWATES 030 009 11 ANIK ANDRIANI P 52 CANDIWATES 030 009 12 ANNISA P 24 CANDIWATES 029 009 13 ARIF ZAINUL ABIDIN L 32 CANDIWATES 029 009 14 ARIN KUSTIANI P 48 CANDIWATES 031 009 15 ARLINA CHRISTIN DARMAWATI P 41 CANDIWATES 030 009 16 ATIM L 48 CANDIWATES 030 009 17 BAMBANG YULIANTO L 43 CANDIWATES 030 009 18 BASORI L 52 CANDIWATES 031 009 19 CAHYATI NINGSIH P 20 CANDIWATES 031 009 TPS MODEL A-KabKo Daftar Pemilih DPT PEMILIHAN UMUM TAHUN 2024 KECAMATAN DESA/KELURAHAN Halaman 1 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 20 CHELSEA NAURA AURELLIA P 17 CANDIWATES 030 009 21 CITRA AMEILIZA ERIJANTO P 19 CANDIWATES 031 009 22 DARIAH P 64 CANDIWATES 030 009 23 DARMAJI L 43 CANDIWATES 029 009 24 DARMANTO L 41 CANDIWATES 029 009 25 DARMAWAN L 37 CANDIWATES 029 009 26 DARMI P 80 CANDIWATES 030 009 27 DEA INTAN PRATIWI P 17 CANDIWATES 030 009 28 DENDI NORCAHYO L 19 CANDIWATES 030 009 29 DEVI PUSPITA RAHMADANI P 19 CANDIWATES 030 009 30 DEWI PUSPITA P 28 CANDIWATES 030 009 31 DIDIK ISMANTO L 41 CANDIWATES 030 009 32 DIMAS RUSTAMTO L 22 CANDIWATES 030 009 33 DIRJO ANGGORO L 30 CANDIWATES 030 009 34 DULASAN L 51 CANDIWATES 030 009 35 DWI GITA OCTAVIA AMBARWATI P 29 CANDIWATES 030 009 36 DWI UTARI P 44 CANDIWATES 029 009 37 EDI WIBOWO L 32 CANDIWATES 030 009 38 EDY HERIYANTO L 53 CANDIWATES 029 009 39 EKA SETYO PUTRI AYUASIH P 32 CANDIWATES 030 009 40 EKO SUHARIYANTO L 61 CANDIWATES 030 009 41 ENNY SUNAMI P 46 CANDIWATES 031 009 42 ERVENDY VERRY EKA ARIFINANSYAH L 29 CANDIWATES 030 009 43 EVI ARDIYANTI P 44 CANDIWATES 029 009 44 FAKHRUR ROZI L 35 CANDIWATES 029 009 45 FATCHUR ROCHIM L 28 CANDIWATES 030 009 46 FATIMATUZ ZAHROUDDIN P 19 CANDIWATES 029 009 Halaman 2 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 47 FENI FEBRIANTI P 20 CANDIWATES 030 009 48 FRENGKY DWI PRASETIYO L 24 CANDIWATES 029 009 49 GARDING RAHMADI NAUFALUL UMAM L 18 CANDIWATES 030 009 50 GIMAH P 64 CANDIWATES 030 009 51 HARI L 70 CANDIWATES 030 009 52 HARTATIK NINGSIH P 34 CANDIWATES 029 009 53 HARTI P 54 CANDIWATES 030 009 54 HERI YULIANTO L 35 CANDIWATES 029 009 55 HERMIN YULIA ASTUTIK P 42 CANDIWATES 029 009 56 HERU FIRMANSYAH L 32 CANDIWATES 030 009 57 IDA WAHYUNI P 50 CANDIWATES 029 009 58 IKA FAUZIA NURAINI P 21 CANDIWATES 031 009 59 IKA HADI FITRIA P 32 CANDIWATES 030 009 60 IKHWAN HADI L 55 CANDIWATES 030 009 61 IMAM SYAFI'I L 63 CANDIWATES 030 009 62 INDAHYATI P 39 CANDIWATES 029 009 63 INDRI DAMAYANTI P 33 CANDIWATES 029 009 64 IS MULYONO L 50 CANDIWATES 030 009 65 ISMAWAN L 34 CANDIWATES 030 009 66 ISTIQOMAH P 53 CANDIWATES 029 009 67 IZZAHTUL FATHIMAH P 23 CANDIWATES 029 009 68 JAINUL ARIFIN, SH L 44 CANDIWATES 029 009 69 JALAL L 60 CANDIWATES 030 006 70 KADAR L 39 CANDIWATES 031 009 71 KALIMAH P 59 CANDIWATES 031 009 72 KARIATI P 74 CANDIWATES 030 009 73 KASIATI P 69 CANDIWATES 029 009 Halaman 3 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 74 KASIH P 88 CANDIWATES 030 009 75 KASNO L 70 CANDIWATES 030 009 76 KEVIN AGUS SURYA PRATAMA L 18 CANDIWATES 030 009 77 KHAMDI SUGIONO L 18 CANDIWATES 030 009 78 KHOIRUL ANWAR L 23 CANDIWATES 030 009 79 KHOIRUL FATIHIN L 45 CANDIWATES 030 009 80 KHOIRUM MUNAWATI AYU HARDIANA P 33 CANDIWATES 030 009 81 KHOLIS L 42 CANDIWATES 028 009 82 KHUSNUL KHOTIMAH P 39 CANDIWATES 030 009 83 KUSTONO L 39 CANDIWATES 029 009 84 LAILATUL KHAROMAH P 36 CANDIWATES 029 009 85 LAILATUL MUSYAROFATID TOYIBA P 23 CANDIWATES 029 009 86 LIANAH P 50 CANDIWATES 031 009 87 LIKANAH P 46 CANDIWATES 030 009 88 LIKANAH P 47 CANDIWATES 030 009 89 LINA BUDIARTI P 43 CANDIWATES 029 009 90 LINDA GUSTARI P 33 CANDIWATES 029 009 91 LULUK HAMIDA P 36 CANDIWATES 030 009 92 LUSI ANGGRAENI P 31 CANDIWATES 029 009 93 LUTFIYANTO L 40 CANDIWATES 029 009 94 MAHDA ERNI YUSNITA P 51 CANDIWATES 031 009 95 MAS RANGGA DWI SAIFULLOH L 18 CANDIWATES 030 009 96 MAS'ULAH P 35 CANDIWATES 029 009 97 MAYA SARI P 25 CANDIWATES 030 009 98 MILA NIA SHOVA P 34 CANDIWATES 028 009 99 MOCHAMAD SAIKHU L 49 CANDIWATES 029 009 100 MOH. IQBAL ARRABANI L 21 CANDIWATES 031 009 Halaman 4 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 101 MOHAMAD YANI L 41 CANDIWATES 029 009 102 MUCHAMMAD EVAN ARDIYANSAH L 18 CANDIWATES 029 009 103 MUHAMMAD DHANY BURHANUDDIN L 19 CANDIWATES 029 009 104 MUHAMMAD HANDOKO L 29 CANDIWATES 030 009 105 MUHAMMAD NAFI' ABDILLAH BAGUS PERMADI L 30 CANDIWATES 030 009 106 MUHAMMAD VICKY SETIAWAN L 23 CANDIWATES 029 009 107 MUHAMMAD YUSUF L 42 CANDIWATES 029 009 108 MUJIATI P 36 CANDIWATES 029 009 109 MUSTOFA AMIN L 17 CANDIWATES 029 009 110 NANANG SUPRAYITNO L 39 CANDIWATES 030 009 111 NASIKA P 65 CANDIWATES 030 009 112 NENENG RAHAYU P 24 CANDIWATES 031 009 113 NINIK HARIYATI P 44 CANDIWATES 028 009 114 NOER VANESSA ARIANTY P 23 CANDIWATES 031 009 115 NUNUNG SHINTOWATI P 48 CANDIWATES 030 009 116 NUR FIANAWATI P 39 CANDIWATES 030 009 117 NUR HALIMAH P 31 CANDIWATES 030 009 118 NUR LAILA P 40 CANDIWATES 030 009 119 NURAINI P 47 CANDIWATES 031 009 120 NURHAYATI P 49 CANDIWATES 029 009 121 NURIADI L 34 CANDIWATES 028 009 122 NURIYATI P 69 CANDIWATES 030 009 123 NURUL AILIYATIT THOYYIBAH P 29 CANDIWATES 030 006 124 PARAMITA SARI P 31 CANDIWATES 029 009 125 PARAMITHA SETYOWATI P 32 CANDIWATES 030 009 126 PRAWOTO L 34 CANDIWATES 029 009 127 PRAYOGA SETIO ADI L 19 CANDIWATES 029 009 Halaman 5 dari 10

NO NAMA JENIS KELAMIN USIA DESA/KELURAHAN RT RW KET. 128 PRIMA PUJI KURNIAWATI P 30 CANDIWATES 029 009 129 PUJIANTO L 46 CANDIWATES 031 009 130 PURWANTI P 35 CANDIWATES 030 009 131 PUTRI LISWATIN P 18 CANDIWATES 030 009 132 PUTRI NURLAILI SUSANTI P 22 CANDIWATES 031 009 133 RANDY IRAWAN L 33 CANDIWATES 030 006 134 RAPIAH P 72 CANDIWATES 029 009 135 RENDY DWI ARDIYANTO L 20 CANDIWATES 030 009 136 RIANTO L 50 CANDIWATES 031 009 137 RICKY YUDHA ERIJANTO L 22 CANDIWATES 031 009 138 RIKHA MIRA SASTIA P 22 CANDIWATES 030 009 139 ROCHMAT L 42 CANDIWATES 029 009 140 ROSIANA KHARISMA P 22 CANDIWATES 030 009 141 RUKAYAH P 54 CANDIWATES 030 009 142 RUPI'AH P 55 CANDIWATES 030 009 143 SAGI L 81 CANDIWATES 030 009 144 SAIFUDIN ABI SURYO L 30 CANDIWATES 031 009 145 SALIMAH P 80 CANDIWATES 030 009 146 SAMUJI L 55 CANDIWATES 031 009 147 SANALI L 80 CANDIWATES 029 009 148 SANDI FACHRUDIN L 32 CANDIWATES 030 006 149 SANDY KAHURIPAN L 26 CANDIWATES 031 009 150 SARI PURNAMANING WULAN P 37 CANDIWATES 030 009 151 SATINAH P 74 CANDIWATES 030 009 152 SATUKI L 66 CANDIWATES 030 009 153 SHOBIRIN SAID L 31 CANDIWATES 029 009 154 SIDATIN P 72 CANDIWATES 029 009 Halaman 6 dari 10