RESERVASI/ UNDANGAN SAKSI PASLON & PARPOL PEMILU 24 WILAYAH KJRI HOUSTON
Hubungi ppln@indonesiahouston.net bila ada pertanyaan
Nomor Induk Kependudukan (KTP)
NIK 16 Digit
Nomor Paspor
*
Nama Lengkap Saksi
*
Nama sesuai dengan Paspor
Jenis Kelamin
*
Laki-Laki
Perempuan
Alamat Lengkap
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email Address
*
example@example.com
Nomor Telepon
*
Utusan Paslon/ Parpol
Area Tugas Saksi Pada:
*
TPS - HOUSTON, TX
KSK I - DALLAS, TX
KSK II - AUSTIN, TX
KSK III & IV - ATLANTA, GA
KSK V - ORLANDO, FL
KSK VI - Ft. LAUDERDALE, FL
KSK VII - BATON ROGUE, LA
KSK VIII - FAYETTEVILLE, AR
KSK IX -TULSA, OK
POS - HOUSTON, TX
Dokumen Surat Tugas/ Kuasa dari PASLON atau PARPOL (Dokumen Dibawa saat Menghadiri Undangan)
*
Submit
Should be Empty: