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B U P A T I B A T A N G P R O V I N S I J A W A T E N G A H

P E R A T U R A N B U P A T I B A T A N G N O M O R ^ 5 " T A H U N 2 0 1 5

T E N T A N G

T A T A C A R A P E M I L I H A N D A N P E M B E R H E N T I A N K E P A L A D E S A

D E N G A N R A H M A T T U H A N Y A N G M A H A E S A

B U P A T I B A T A N G ,

M e n i m b a n g : b a h w a u n t u k m e l a k s a n a k a n k e t e n t u a n P a s a l 4 6 , P a s a l 4 8 , d a n P a s a l 6 8 P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 T a h u n 2 0 1 5 t e n t a n g P e n y e l e n g g a r a a n P e m e r i n t a h a n D e s a , m a k a p e r l u m e n e t a p k a n P e r a t u r a n B u p a t i t e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a ;

M e n g i n g a t : 1 . P a s a l 1 8 a y a t ( 6 ) U n d a n g - U n d a n g D a s a r N e g a r a R e p u b l i k I n d o n e s i a T a h u n 1 9 4 5 ;

2 . U n d a n g - U n d a n g N o m o r 9 T a h u n 1 9 6 5 t e n t a n g P e m b e n t u k a n D a e r a h T i n g k a t I I B a t a n g ( L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a T a h u n 1 9 6 5 N o m o r 5 2 , T a m b a h a n L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a N o m o r 2 7 5 7 ) ;

3 . U n d a n g - U n d a n g N o m o r 6 T a h u n 2 0 1 4 T e n t a n g D e s a ( L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a T a h u n 2 0 1 4 N o m o r 7 , T a m b a h a n L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a N o m o r 5 4 9 5 ) ;

4 . U n d a n g - U n d a n g N o m o r 2 3 T a h u n 2 0 1 4 t e n t a n g P e m e r i n t a h a n D a e r a h ( L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a T a h u n 2 0 1 4 N o m o r 2 4 4 , T a m b a h a n L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a N o m o r 5 5 8 7 ) s e b a g a i m a n a t e l a h d i u b a h b e b e r a p a k a l i t e r a k h i r d e n g a n U n d a n g - U n d a n g N o m o r 9 T a h u n 2 0 1 5 t e n t a n g P e r u b a h a n K e d u a A t a s U n d a n g - U n d a n g N o m o r 2 3 T a h u n 2 0 1 4 t e n t a n g P e m e r i n t a h a n D a e r a h ( L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a T a h u n 2 0 1 5 N o m o r 5 8 , T a m b a h a n L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a N o m o r 5 6 7 9 ) ;

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5 . P e r a t u r a n P e m e r i n t a h N o m o r 2 1 T a h u n 1 9 8 8 t e n t a n g P e r u b a h a n B a t a s W i l a y a h K o t a m a d y a D a e r a h T i n g k a t 11 P e k a l o n g a n , K a b u p a t e n D a e r a h T i n g k a t 11 P e k a l o n g a n d a n K a b u p a t e n D a e r a h T i n g k a t I I B a t a n g ( L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a T a h u n 1 9 8 8 N o m o r 4 2 , T a m b a h a n L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a N o m o r 3 3 8 1 )

6 . P e r a t u r a n P e m e r i n t a h N o m o r 4 3 T a h u n 2 0 1 4 t e n t a n g P e r a t u r a n P e l a k s a n a a n U n d a n g - U n d a n g N o m o r 6 T a h u n 2 0 1 4 t e n t a n g D e s a ( L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a T a h u n 2 0 1 4 N o m o r 1 2 3 ) , T a m b a h a n L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a N o m o r 5 5 3 9 ) s e b a g a i m a n a t e l a h d i u b a h d e n g a n P e r a t u r a n P e m e r i n t a h N o m o r 4 7 T a h u n 2 0 1 5 t e n t a n g P e r u b a h a n A t a s P e r a t u r a n P e m e r i n t a h N o m o r 4 3 T a h u n 2 0 1 4 P e r a t u r a n P e l a k s a n a a n U n d a n g - U n d a n g N o m o r 6 T a h u n 2 0 1 4 t e n t a n g D e s a ( L e m b a r a n N e g a r a R e p u b h k I n d o n e s i a T a h u n 2 0 1 5 N o m o r 1 5 7 , T a m b a h a n L e m b a r a n N e g a r a R e p u b l i k I n d o n e s i a N o m o r 5 7 1 7 ) ;

7 . P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 T a h u n 2 0 1 5 t e n t a n g P e n y e l e n g g a r a a n P e m e r i n t a h a n D e s a ( L e m b a r a n D a e r a h K a b u p a t e n B a t a n g T a h u n 2 0 1 5 N o m o r 7 , T a m b a h a n L e m b a r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 ) .

M E M U T U S K A N :

M e n e t a p k a n ; P E R A T U R A N B U P A T I T E N T A N G T A T A C A R A P E M I L I H A N D A N P E M B E R H E N T I A N K E P A L A D E S A .

B A B I K E T E N T U A N U M U M

P a s a l 1 D a l a m P e r a t u r a n B u p a t i i n i y a n g d i m a k s u d d e n g a n : 1 . P e m e r i n t a h D a e r a h a d a l a h B u p a t i s e b a g a i u n s u r p e n y e l e n g g a r a P e m e r i n t a h a n

D a e r a h y a n g m e m i m p i n p e l a k s a n a a n u r u s a n p e m e r i n t a h a n y a n g m e n j a d i k e w e n a n g a n d a e r a h o t o n o m .

2 . B u p a t i a d a l a h B u p a t i B a t a n g . 3 . D e s a a d a l a h k e s a t u a n m a s y a r a k a t h u k u m y a n g m e m i l i k i b a t a s w i l a y a h y a n g

b e r w e n a n g u n t u k m e n g a t u r d a n m e n g u r u s u r u s a n p e m e r i n t a h a n , k e p e n t i n g a n m a s y a r a k a t s e t e m p a t b e r d a s a r k a n p r a k a r s a m a s y a r a k a t , h a k a s a l u s u l , d a n / a t a u h a k t r a d i s i o n a l y a n g d i a k u i d a n d i h o r m a t i d a l a m s i s t e m p e m e r i n t a h a n N e g a r a K e s a t u a n R e p u b l i k I n d o n e s i a d a n b e r a d a d i K a b u p a t e n B a t a n g .

4 . P e m e r i n t a h a n D e s a a d a l a h p e n y e l e n g g a r a a n u r u s a n p e m e r i n t a h a n d a n k e p e n t i n g a n m a s y a r a k a t s e t e m p a t d a l a m s i s t e m p e m e r i n t a h a n N e g a r a K e s a t u a n R e p u b l i k I n d o n e s i a .

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5 . P e m e r i n t a h D e s a a d a l a h K e p a l a D e s a d i b a n t u P e r a n g k a t D e s a s e b a g a i u n s u r p e n y e l e n g g a r a P e m e r i n t a h a n D e s a .

6 . K e p a l a D e s a a d a l a h P e j a b a t P e m e r i n t a h D e s a y a n g m e m p u n y a i w e w e n a n g , t u g a s d a n k e w a j i b a n u n t u k m e n y e l e n g g a r a k a n r u m a h t a n g g a D e s a n y a D a n m e l a k s a n a k a n t u g a s d a r i P e m e r i n t a h d a n P e m e r i n t a h D a e r a h .

7 . P e n j a b a t K e p a l a D e s a a d a l a h s e o r a n g p e j a b a t y a n g d i a n g k a t o l e h p e j a b a t y a n g b e r w e n a n g u n t u k m e l a k s a n a k a n t u g a s , h a k d a n w e w e n a n g s e r t a k e w a j i b a n K e p a l a D e s a d a l a m k u r u n w a k t u t e r t e n t u .

8 . B a d a n P e r m u s y a w a r a t a n D e s a y a n g s e l a n j u t n y a d i s i n g k a t B P D a d a l a h l e m b a g a y a n g m e l a k s a n a k a n f u n g s i p e m e r i n t a h a n y a n g a n g g o t a n y a m e r u p a k a n w a k i l d a r i p e n d u d u k d e s a b e r d a s a r k a n k e t e r w a k i l a n w i l a y a h d a n d i t e t a p k a n s e c a r a d e m o k r a t i s .

9 . T o k o h m a s y a r a k a t a d a l a h t o k o h k e a g a m a a n , t o k o h a d a t , t o k o h p e n d i d i k a n , t o k o h w a n i t a , t o k o h p e m u d a .

1 0 . P a n i t i a P e m i l i h a n K e p a l a D e s a y a n g s e l a n j u t n y a d i s e b u t P a n i t i a P e m i l i h a n a d a l a h P a n i t i a y a n g d i b e n t u k o l e h B P D u n t u k m e n y e l e n g g a r a k a n p r o s e s P e m i l i h a n K e p a l a D e s a .

1 1 . B a k a l C a l o n K e p a l a D e s a y a n g s e l a n j u t n y a d i s e b u t B a k a l C a l o n a d a l a h w a r g a m a s y a r a k a t D e s a s e t e m p a t y a n g m e n d a f t a r k a n d i r i p a d a P e m i l i h a n K e p a l a D e s a .

1 2 . C a l o n K e p a l a D e s a y a n g s e l a n j u t n y a d i s e b u t C a l o n a d a l a h B a k a l C a l o n y a n g t e l a h d i t e t a p k a n o l e h P a n i t i a P e m i l i h a n s e b a g a i C a l o n y a n g b e r h a k d i p i l i h m e n j a d i K e p a l a D e s a .

1 3 . C a l o n K e p a l a D e s a T e r p i l i h y a n g s e l a n j u t n y a d i s e b u t C a l o n T e r p i l i h a d a l a h C a l o n y a n g m e m p e r o l e h s u a r a t e r b a n y a k d a n d i t e t a p k a n P a n i t i a P e m i l i h a n .

1 4 . P e m i l i h a d a l a h p e n d u d u k d e s a y a n g b e r s a n g k u t a n d a n t e l a h m e m e n u h i p e r s y a r a t a n u n t u k m e n g g u n a k a n h a k p i l i h n y a .

1 5 . H a k P i l i h a d a l a h h a k y a n g d i m i l i k i p e m i l i h u n t u k m e n e n t u k a n s i k a p p i l i h a n n y a . 1 6 . D a f t a r P e m i l i h S e m e n t a r a y a n g s e l a n j u t n y a d i s i n g k a t D P S a d a l a h d a f t a r p e m i l i h

y a n g d i s u s u n b e r d a s a r k a n d a t a D a f t a r P e m i l i h T e t a p P e m i l i h a n U m u m t e r a k h i r y a n g t e l a h d i p e r b a h a r u i d a n d i c e k k e m b a l i a t a s k e b e n a r a n n y a s e r t a d i t a m b a h d e n g a n p e m i l i h b a r u .

1 7 . D a f t a r P e m i l i h T e t a p y a n g s e l a n j u t n y a d i s i n g k a t D P T a d a l a h d a f t a r p e m i l i h y a n g t e l a h d i t e t a p k a n o l e h P a n i t i a P e m i l i h a n s e b a g a i d a s a r p e n e n t u a n i d e n t i t a s p e m i l i h d a n j u m l a h p e m i l i h d a l a m P e m i l i h a n K e p a l a D e s a .

1 8 . D a f t a r P e m i l i h T a m b a h a n y a n g s e l a n j u t n y a d i s e b u t D P T a m a d a l a h d a f t a r p e m i l i h y a n g d i s u s u n b e r d a s a r k a n u s u l a n d a r i p e m i l i h , k a r e n a y a n g b e r s a n g k u t a n b e l u m t e r d a f t a r d a l a m D a f t a r P e m i l i h S e m e n t a r a .

1 9 . T e m p a t P e m u n g u t a n S u a r a y a n g s e l a n j u t n y a d i s i n g k a t T P S a d a l a h t e m p a t p e m i l i h m e n g g u n a k a n h a k p i l i h n y a d a n t e m p a t P a n i t i a P e m i l i h a n m e n g h i t u n g p e r o l e h a n s u a r a C a l o n .

2 0 . P e n j a r i n g a n a d a l a h k e g i a t a n y a n g d i l a k u k a n o l e h P a n i t i a P e m i l i h a n u n t u k m e n d a p a t k a n B a k a l C a l o n .

2 1 . P e n y a r i n g a n a d a l a h k e g i a t a n y a n g d i l a k u k a n o l e h P a n i t i a P e m i l i h a n u n t u k m e n d a p a t k a n C a l o n .

2 2 . H a r i a d a l a h h a r i k e r j a .

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2 3 . F a s i l i t a s i a d a l a h k e g i a t a n y a n g m e n c a k u p p e r e n c a n a a n , p e n g o r g a n i s a s i a n , p e l a k s a n a a n d a n p e n g a w a s a n .

B A B I I

P E M I L I H A N K E P A L A D E S A

P a s a l 2

P e m i l i h a n K e p a l a D e s a m e l i p u t i : a . P e m i l i h a n K e p a l a D e s a S e r e n t a k ; d a n b . P e m i l i h a n K e p a l a D e s a A n t a r w a k t u .

P a s a l 3 ( 1 ) P e m i l i h a n K e p a l a D e s a s e c a r a s e r e n t a k s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 2

h u r u f a a d a l a h P e m i l i h a n K e p a l a D e s a y a n g d i l a k s a n a k a n s e r e n t a k p a d a h a r i y a n g s a m a d i s e l u r u h w i l a y a h K a b u p a t e n B a t a n g .

( 2 ) P e m i l i h a n K e p a l a D e s a s e c a r a s e r e n t a k d a p a t d i l a k s a n a k a n b e r g e l o m b a n g p a l i n g b a n y a k 3 ( t i g a ) k a l i d a l a m j a n g k a w a k t u 6 ( e n a m ) t a h u n y a n g w a k t u n y a d i t e n t u k a n o l e h B u p a t i .

( 3 ) P e m i l i h a n K e p a l a D e s a b e r g e l o m b a n g s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) d i l a k u k a n d e n g a n i n t e r v a l w a k t u p a l i n g l a m a 2 ( d u a ) t a h u n .

P a s a l 4 P e m i l i h a n K e p a l a D e s a A n t a r w a k t u s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 2 h u r u f b , a d a l a h p e m i l i h a n K e p a l a D e s a y a n g d i l a k s a n a k a n d a l a m h a l s i s a m a s a j a b a t a n K e p a l a D e s a y a n g b e r h e n t i l e b i h d a r i 1 ( s a t u ) t a h u n .

B A B I I I P E M I L I H A N K E P A L A D E S A S E R E N T A K

B a g i a n K e s a t u T a h a p a n , J a d w a l , d a n P e n u n d a a n

P a r a g r a f 1 T a h a p a n

P a s a l 5 P e m i l i h a n k e p a l a D e s a d i l a k s a n a k a n m e l a l u i t a h a p a n : a . p e r s i a p a n ; b . p e n c a l o n a n ; c . p e m u n g u t a n s u a r a ; d a n d . p e n e t a p a n .

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P a r a g r a f 2 J a d w a l

P a s a l 6 J a d w a l d a r i t a h a p a n p e m i l i h a n k e p a l a d e s a s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 5 d i t e t a p k a n o l e h B u p a t i .

P a r a g r a f 3 P e n u n d a a n

P a s a l 7 ( 1 ) P e n u n d a a n p e l a k s a n a a n j a d w a l d a r i t a h a p a n p e m i l i h a n K e p a l a D e s a

s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 6 , d a p a t t e r j a d i k a r e n a s i t u a s i d a r u r a t . ( 2 ) S i t u a s i d a r u r a t s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) a n t a r a l a i n k a r e n a :

a . a d a n y a g a n g g u a n k e a m a n a n ; b . b e n c a n a a l a m ; a t a u c . g a n g g u a n l a i n y a n g m e n g a k i b a t k a n s e b a g i a n a t a u s e l u r u h t a h a p a n

p e m i l i h a n k e p a l a d e s a t i d a k d a p a t d i l a k s a n a k a n s e s u a i d e n g a n j a d w a l y a n g d i t e t a p k a n .

( 3 ) P e n u n d a a n p e l a k s a n a a n j a d w a l d a r i t a h a p a n p e m i l i h a n K e p a l a D e s a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i t e t a p k a n o l e h B u p a t i .

( 4 ) A p a b i l a t e r j a d i p e n u n d a a n p e l a k s a n a a n j a d w a l d a r i t a h a p a n p e m i l i h a n K e p a l a D e s a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 3 ) , B u p a t i m e n e t a p k a n k e m b a l i j a d w a l d a n t a h a p a n p e m i l i h a n K e p a l a D e s a .

B a g i a n K e d u a T a h a p a n P e r s i a p a n

P a r a g r a f 1 P e r s i a p a n

P a s a l 8 ( 1 ) T a h a p a n p e r s i a p a n t e r d i r i a t a s k e g i a t a n :

a . B P D m e m b e r i t a h u k a n s e c a r a t e r t u l i s k e p a d a K e p a l a D e s a t e n t a n g a k h i r m a s a j a b a t a n 6 ( e n a m ) b u l a n s e b e l u m b e r a k h i r m a s a j a b a t a n d a n d i s a m p a i k a n k e p a d a B u p a t i m e l a l u i C a m a t ;

b . B P D m e m b e n t u k P a n i t i a P e m i l i h a n y a n g d i t e t a p k a n d a l a m j a n g k a w a k t u 1 0 ( s e p u l u h ) h a r i s e t e l a h p e m b e r i t a h u a n a k h i r m a s a j a b a t a n ;

c . K e p a l a D e s a m e l a p o r k a n a k h i r m a s a j a b a t a n k e p a d a B u p a t i d a l a m j a n g k a w a k t u 3 0 ( t i g a p u l u h ) h a r i s e t e l a h p e m b e r i t a h u a n a k h i r m a s a j a b a t a n ;

d . P a n i t i a P e m i l i h a n m e n y u s u n r e n c a n a b i a y a p e m i l i h a n K e p a l a D e s a y a n g d i a j u k a n k e p a d a B u p a t i m e l a l u i C a m a t d a l a m j a n g k a w a k t u 3 0 ( t i g a p u l u h ) h a r i s e t e l a h t e r b e n t u k n y a P a n i t i a P e m i l i h a n ; d a n

e . B u p a t i m e m b e r i k a n p e r s e t u j u a n b i a y a p e m i l i h a n K e p a l a D e s a d a l a m j a n g k a w a k t u 3 0 ( t i g a p u l u h ) h a r i s e j a k d i a j u k a n o l e h P a n i t i a P e m i l i h a n ;

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( 2 ) D a l a m h a l K e p a l a D e s a d i j a b a t o l e h P e n j a b a t K e p a l a D e s a , m a k a t a h a p a n p e r s i a p a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) m e n g i k u t i p e n j a d w a l a n p e m i l i h a n K e p a l a D e s a s e r e n t a k y a n g d i t e t a p k a n d e n g a n K e p u t u s a n B u p a t i .

P a r a g r a f 2 P e m b e n t u k a n P a n i t i a P e m i l i h a n

P a s a l 9 ( 1 ) B P D m e m b e n t u k P a n i t i a P e m i l i h a n K e p a l a D e s a m e l a l u i M u s y a w a r a h . ( 2 ) P a n i t i a P e m i l i h a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) b e r s i f a t m a n d i r i d a n

t i d a k m e m i h a k . ( 3 ) P a n i t i a P e m i l i h a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) t e r d i r i a t a s u n s u r

P e r a n g k a t D e s a , L e m b a g a K e m a s y a r a k a t a n , d a n T o k o h M a s y a r a k a t D e s a . ( 4 ) P a n i t i a P e m i l i h a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i t e t a p k a n d e n g a n

K e p u t u s a n B P D d a n m e l a p o r k a n k e p a d a B u p a t i m e l a l u i C a m a t . ( 5 ) K e p a l a D e s a m e n y e d i a k a n S e k r e t a r i a t P a n i t i a P e m i l i h a n d i K a n t o r P e m e r i n t a h

D e s a a t a u t e m p a t l a i n y a n g d i t u n j u k . ( 6 ) P a n i t i a P e m i l i h a n d i l a n t i k d a n d i a m b i l s u m p a h o l e h B P D .

P a s a l 1 0 ( 1 ) P a n i t i a P e m i l i h a n s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 9 a y a t ( 3 ) , t e r d i r i d a r i :

a . K e t u a ; b . W a k i l K e t u a ; c . S e k r e t a r i s ; d . B e n d a h a r a ; e . S e k s i P e n d a f t a r a n d a n P e n e t a p a n P e m i l i h ; f . S e k s i P e n j a r i n g a n d a n P e n y a r i n g a n B a l o n ; g . S e k s i P e m u n g u t a n d a n P e n g h i t u n g a n S u a r a ; h . S e k s i A k o m o d a s i d a n P e r l e n g k a p a n ; i . S e k s i K e a m a n a n d a n K e t e r t i b a n ;

j . S e k s i P u b l i k a s i d a n D o k u m e n t a s i ; d a n k . S e k s i P e r t o l o n g a n P e r t a m a P a d a K e c e l a k a a n .

( 2 ) P e n e n t u a n k e d u d u k a n d a l a m P a n i t i a P e m i l i h a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i t e t a p k a n d e n g a n m u s y a w a r a h d a n / a t a u p e m u n g u t a n s u a r a .

P a s a l 1 1 ( 1 ) D a l a m h a l a n g g o t a P a n i t i a P e m i l i h a n b e r h e n t i , m a k a d a p a t d i g a n t i d a r i u n s u r

P e r a n g k a t D e s a , P e n g u r u s L e m b a g a K e m a s y a r a k a t a n a t a u T o k o h M a s y a r a k a t D e s a y a n g d i t e t a p k a n d e n g a n K e p u t u s a n B P D .

( 2 ) A n g g o t a P a n i t i a P e m i l i h a n b e r h e n t i s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) k a r e n a : a . m e n i n g g a l d u n i a ; b . a t a s p e m i n t a a n s e n d i r i ; c . d i b e r h e n t i k a n .

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( 3 ) A n g g o t a P a n i t i a P e m i l i h a n b e r h e n t i s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) h u r u f b h a r u s m e n d a p a t p e r s e t u j u a n d a r i B P D .

( 4 ) A n g g o t a P a n i t i a P e m i l i h a n d i b e r h e n t i k a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) h u r u f c k a r e n a : a . t i d a k d a p a t m e l a k s a n a k a n t u g a s s e c a r a b e r k e l a n j u t a n a t a u b e r h a l a n g a n

t e t a p ; b . b e r s t a t u s t e r s a n g k a d a l a m t i n d a k p i d a n a ; c . m e l a n g g a r t u g a s d a n k e w a j i b a n ; d a n d . m e n d a f t a r k a n d i r i s e b a g a i B a k a l C a l o n .

P a r a g r a f 3 T u g a s d a n K e w a j i b a n P a n i t i a P e m i l i h a n

P a s a l 1 2 ( 1 ) P a n i t i a P e m i l i h a n s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 9 a y a t ( 3 ) , b e r t u g a s :

a . m e r e n c a n a k a n , m e n g k o o r d i n a s i k a n , m e n y e l e n g g a r a k a n , m e n g a w a s i d a n m e n g e n d a l i k a n s e m u a t a h a p a n p e l a k s a n a a n p e m i l i h a n ;

b . m e r e n c a n a k a n d a n m e n g a j u k a n b i a y a p e m i l i h a n k e p a d a B u p a t i m e l a l u i c a m a t ;

c . m e l a k u k a n p e n d a f t a r a n d a n p e n e t a p a n p e m i l i h ; d . m e n g a d a k a n p e n j a r i n g a n d a n p e n y a r i n g a n b a k a l c a l o n ; e . m e n e t a p k a n c a l o n y a n g t e l a h m e m e n u h i p e r s y a r a t a n ; f . m e n e t a p k a n t a t a c a r a p e l a k s a n a a n p e m i l i h a n ; g . m e n e t a p k a n t a t a c a r a p e l a k s a n a a n k a m p a n y e ; h . m e m f a s i l i t a s i p e n y e d i a a n p e r a l a t a n , p e r l e n g k a p a n d a n t e m p a t p e m u n g u t a n

s u a r a ; i . m e l a k s a n a k a n p e m u n g u t a n s u a r a ;

j . m e n e t a p k a n h a s i l r e k a p i t u l a s i p e n g h i t u n g a n s u a r a d a n m e n g u m u m k a n h a s i l p e m i l i h a n ;

k . m e n e t a p k a n c a l o n K e p a l a D e s a t e r p i l i h ; d a n 1 . m e l a k u k a n e v a l u a s i d a n p e l a p o r a n p e l a k s a n a a n p e m i l i h a n .

( 2 ) P a n i t i a P e m i l i h a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) b e r k e w a j i b a n : a . m a n d i r i d a n t i d a k m e m i h a k , d i b u k t i k a n d e n g a n S u r a t P e n y a t a a n ; b . m e n y a m p a i k a n l a p o r a n s e t i a p t a h a p a n p e l a k s a n a a n P e m i l i h a n k e p a d a B P D

d a n C a m a t ; c . m e m p e r t a n g g u n g j a w a b k a n p e n g g u n a a n b i a y a P e m i l i h a n K e p a l a D e s a k e p a d a

B P D d a n d i s a m p a i k a n k e p a d a B u p a t i m e l a l u i C a m a t . ( 3 ) P a n i t i a P e m i l i h a n d a l a m m e l a k s a n a k a n t u g a s n y a b e r t a n g g u n g j a w a b k e p a d a

B P D .

P a r a g r a f 4 P e n d a f t a r a n P e m i l i h

P a s a l 1 3 ( 1 ) P e n d a f t a r a n p e m i l i h d i l a k s a n a k a n b e r d a s a r k a n d a e r a h p e m i l i h a n d u s u n .

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( 2 ) D u s u n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) a d a l a h d u s u n y a n g d i a k u i b e r d a s a r k a n a d a t i s t i a d a t s e t e m p a t a t a u w i l a y a h a d m i n i s t r a s i p e m e r i n t a h a n d e s a .

P a s a l 1 4 ( 1 ) P e n d a f t a r a n p e m i l i h d i l a k s a n a k a n o l e h P a n i t i a P e m i l i h a n m e l a l u i p e m u t a k h i r a n

d a n v a l i d a s i d a t a t e r h a d a p p e n d u d u k d e s a y a n g m e m e n u h i s y a r a t . ( 2 ) P e n d u d u k d e s a y a n g m e m e n u h i s y a r a t s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 )

y a i t u : a . p e n d u d u k D e s a y a n g p a d a h a r i p e m u n g u t a n s u a r a p e m i l i h a n K e p a l a D e s a

s u d a h b e r u m u r 1 7 ( t u j u h b e l a s ) t a h u n a t a u s u d a h / p e r n a h m e n i k a h ; b . t i d a k s e d a n g d i c a b u t h a k p i l i h n y a b e r d a s a r k a n p u t u s a n p e n g a d i l a n y a n g

t e l a h m e m p e r o l e h k e k u a t a n h u k u m t e t a p ; d a n c . b e r d o m i s i l i d i d e s a p a l i n g s i n g k a t 6 ( e n a m ) b u l a n s e b e l u m d i s a h k a n n y a d a f t a r

p e m i l i h s e m e n t a r a y a n g d i b u k t i k a n d e n g a n K a r t u T a n d a P e n d u d u k , K a r t u K e l u a r g a a t a u s u r a t k e t e r a n g a n p e n d u d u k y a n g d i k e l u a r k a n o l e h I n s t a n s i y a n g m e m b i d a n g i k e p e n d u d u k a n d a n p e n c a t a t a n s i p i l .

( 3 ) S e o r a n g p e m i l i h h a n y a d i d a f t a r 1 ( s a t u ) k a l i d a l a m d a f t a r p e m i l i h .

P a s a l 1 5 ( 1 ) P e n d a f t a r a n P e m i l i h d i l a k s a n a k a n s e l a m a 1 5 ( l i m a b e l a s ) h a r i . ( 2 ) H a s i l P e n d a f t a r a n P e m i l i h s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i s u s u n

b e r d a s a r d u s u n u n t u k s e l a n j u t n y a d i t e t a p k a n s e b a g a i D P S d e n g a n K e p u t u s a n P a n i t i a P e m i l i h a n .

( 3 ) D P S y a n g t e l a h d i t e t a p k a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) d i u m u m k a n d i K a n t o r / B a l a i D e s a d a n d i t e m p a t s t r a t e g i s l a i n n y a s e l a m a 3 ( t i g a ) h a r i , t e r h i t u n g m u l a i t a n g g a l d i t e t a p k a n n y a D P S .

( 4 ) D a l a m j a n g k a w a k t u p e n g u m u m a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 3 ) , p e m i l i h / m a s y a r a k a t d a p a t m e n g a j u k a n u s u l p e r b a i k a n k e p a d a P a n i t i a P e m i l i h a n m e n g e n a i : a . p e n u l i s a n n a m a d a n / a t a u i d e n t i t a s l a i n n y a ; b . P e m i l i h y a n g t e r d a f t a r s u d a h m e n i n g g a l d u n i a ; c . P e m i l i h y a n g s u d a h t e r d a f t a r t e t a p i s u d a h t i d a k m e m e n u h i s y a r a t s e b a g a i

p e m i l i h . ( 5 ) A p a b i l a u s u l p e r b a i k a n d a n i n f o r m a s i s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 4 )

d i t e r i m a , P a n i t i a P e m i l i h a n s e g e r a m e n g a d a k a n p e r b a i k a n D P S .

P a s a l 1 6 ( 1 ) P e m i l i h y a n g b e l u m t e r d a f t a r , s e c a r a a k t i f m e l a p o r k a n k e p a d a P a n i t i a

P e m i l i h a n . ( 2 ) P e n c a t a t a n d a t a p e m i l i h t a m b a h a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) ,

d i l a k s a n a k a n p a l i n g l a m b a t 3 ( t i g a ) h a r i s e j a k b e r a k h i r n y a w a k t u p e n g u m u m a n D P S .

( 3 ) P e m i l i h s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i d a f t a r s e b a g a i D P T a m .

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P a s a l 1 7 ( 1 ) D P T a m d i u m u m k a n o l e h P a n i t i a P e m i l i h a n d i K a n t o r / B a l a i D e s a d a n t e m p a t -

t e m p a t s t r a t e g i s l a i n n y a . ( 2 ) J a n g k a w a k t u p e n g u m u m a n D P T a m s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) ,

d i l a k s a n a k a n s e l a m a 3 ( t i g a ) h a r i s e j a k b e r a k h i r n y a j a n g k a w a k t u p e n y u s u n a n D P T a m .

P a r a g r a f 5 P e n e t a p a n D a f t a r P e m i l i h

P a s a l 1 8 ( 1 ) P a n i t i a p e m i l i h a n m e n e t a p k a n d a n m e n g u m u m k a n D P S y a n g s u d a h d i p e r b a i k i

d a n D P T a m s e b a g a i D P T d e n g a n k e p u t u s a n p a n i t i a . ( 2 ) P e n e t a p a n D P T s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i l a k u k a n d a l a m

m u s y a w a r a h y a n g d i h a d i r i o l e h p a r a c a l o n d a n s a k s i c a l o n , d a n d i t u a n g k a n d a l a m B e r i t a A c a r a .

( 3 ) B e r i t a A c a r a P e n e t a p a n D P T s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) d i t a n d a t a n g a n i o l e h P a n i t i a P e m i l i h a n , p a r a c a l o n d a n p a r a s a k s i .

( 4 ) D P T s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) d i u m u m k a n d i K a n t o r / B a l a i D e s a d a n d i t e m p a t s t r a t e g i s l a i n n y a d i d e s a u n t u k d i k e t a h u i o l e h m a s y a r a k a t .

( 5 ) J a n g k a w a k t u p e n g u m u m a n D P T s e l a m a 3 ( t i g a ) h a r i s e j a k b e r a k h i r n y a j a n g k a w a k t u p e n j o i s u n a n D P T .

P a s a l 1 9 R e k a p i t u l a s i j u m l a h D P T s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 1 8 a y a t ( 1 ) d i g u n a k a n s e b a g a i b a h a n p e n y x i s u n a n k e b u t u h a n s u r a t s u a r a d a n a l a t p e r l e n g k a p a n p e m i l i h a n .

P a s a l 2 0 ( 1 ) D P T y a n g s u d a h d i s a h k a n o l e h p a n i t i a p e m i l i h a n t i d a k d a p a t d i u b a h . ( 2 ) D a l a m h a l p e m i l i h m e n i n g g a l d u n i a , p a n i t i a p e m i l i h a n m e m b u b u h k a n c a t a t a n

d a l a m D P T p a d a k o l o m k e t e r a n g a n " m e n i n g g a l d u n i a " .

B a g i a n K e t i g a T a h a p a n P e n c a l o n a n

P a r a g r a f 1 P e r s y a r a t a n C a l o n

P a s a l 2 1 ( 1 ) P e r s y a r a t a n C a l o n a d a l a h s e b a g a i b e r i k u t :

a . w a r g a n e g a r a R e p u b l i k I n d o n e s i a ; b . b e r t a k w a k e p a d a T u h a n Y a n g M a h a E s a ;

9

c . m e m e g a n g t e g u h d a n m e n g a m a l k a n P a n c a s i l a , m e l a k s a n a k a n U n d a n g -U n d a n g D a s a r N e g a r a R e p u b l i k I n d o n e s i a T a h u n 1 9 4 5 , s e r t a m e m p e r t a h a n k a n d a n m e m e l i h a r a k e u t u h a n N e g a r a K e s a t u a n R e p u b l i k I n d o n e s i a d a n B h i n n e k a T u n g g a l I k a ;

d . b e r p e n d i d i k a n p a l i n g r e n d a h t a m a t s e k o l a h m e n e n g a h p e r t a m a a t a u s e d e r a j a t ;

e . b e r u s i a p a l i n g r e n d a h 2 5 ( d u a p u l u h l i m a ) t a h u n p a d a s a a t m e n d a f t a r ; f . b e r s e d i a d i c a l o n k a n m e n j a d i K e p a l a D e s a ; g . t e r d a f t a r s e b a g a i p e n d u d u k d a n b e r t e m p a t t i n g g a l d i D e s a s e t e m p a t p a l i n g

s i n g k a t 1 ( s a t u ) t a h u n s e b e l u m p e n d a f t a r a n ; h . t i d a k s e d a n g m e n j a l a n i h u k u m a n p i d a n a p e n j a r a ; i . t i d a k p e r n a h d i j a t u h i p i d a n a p e n j a r a b e r d a s a r k a n p u t u s a n p e n g a d i l a n y a n g

t e l a h m e m p u n y a i k e k u a t a n h u k u m t e t a p k a r e n a m e l a k u k a n t i n d a k p i d a n a y a n g d i a n c a m d e n g a n p i d a n a p e n j a r a p a l i n g s i n g k a t 5 ( l i m a ) t a h u n a t a u l e b i h , k e c u a l i 5 ( l i m a ) t a h u n s e t e l a h s e l e s a i m e n j a l a n i p i d a n a p e n j a r a d a n m e n g u m u m k a n s e c a r a j u j u r d a n t e r b u k a k e p a d a p u b l i k b a h w a y a n g b e r s a n g k u t a n p e r n a h d i p i d a n a s e r t a b u k a n s e b a g a i p e l a k u k e j a h a t a n b e r u l a n g - u l a n g ;

j . t i d a k s e d a n g d i c a b u t h a k p i l i h n y a s e s u a i d e n g a n p u t u s a n p e n g a d i l a n y a n g t e l a h m e m p u n y a i k e k u a t a n h u k u m t e t a p ;

k . s e h a t j a s m a n i d a n r o h a n i ; 1 . b e r k e l a k u a n b a i k ; d a n m . t i d a k p e r n a h s e b a g a i K e p a l a D e s a s e l a m a 3 ( t i g a ) k a l i m a s a j a b a t a n .

P a s a l 2 2 S e t i a p P e n d u d u k D e s a y a n g b e r m i n a t m e n j a d i B a k a l C a l o n , m e n g a j u k a n l a m a r a n s e c a r a t e r t u l i s b e r m a t e r a i c u k u p y a n g d i t u j u k a n k e p a d a P a n i t i a P e m i l i h a n d e n g a n m e l a m p i r k a n p e r s y a r a t a n a d m i n i s t r a t i f .

P a s a l 2 3 P e r s y a r a t a n a d m i n i s t r a t i f s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 2 2 , t e r d i r i a t a s : 1 . S u r a t k e t e r a n g a n s e b a g a i b u k t i s e b a g a i w a r g a n e g a r a I n d o n e s i a y a n g

d i k e l u a r k a n o l e h I n s t a n s i y a n g m e m b i d a n g i k e p e n d u d u k a n d a n p e n c a t a t a n s i p i l ;

2 . S u r a t p e r n y a t a a n b e r t a k w a k e p a d a T u h a n Y a n g M a h a E s a y a n g d i b u a t o l e h y a n g b e r s a n g k u t a n d i a t a s k e r t a s s e g e l a t a u b e r m e t e r a i c u k u p ;

3 . S u r a t p e r n y a t a a n m e m e g a n g t e g u h d a n m e n g a m a l k a n P a n c a s i l a , U n d a n g -U n d a n g D a s a r N e g a r a R e p u b l i k I n d o n e s i a T a h u n 1 9 4 5 , m e m p e r t a h a n k a n d a n m e m e l i h a r a k e u t u h a n N e g a r a K e s a t u a n R e p u b l i k I n d o n e s i a d a n B h i n n e k a T u n g g a l I k a , y a n g d i b u a t o l e h y a n g b e r s a n g k u t a n d i a t a s k e r t a s s e g e l a t a u b e r m e t e r a i c u k u p ;

4 . I j a z a h p e n d i d i k a n f o r m a l d a r i t i n g k a t d a s a r s a m p a i d e n g a n i j a z a h t e r a k h i r y a n g d i l e g a l i s a s i o l e h p e j a b a t b e r w e n a n g a t a u s u r a t p e r n y a t a a n d a r i p e j a b a t y a n g b e r w e n a n g ;

5 . A k t a k e l a h i r a n ;

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6 . S u r a t p e r n y a t a a n b e r s e d i a d i c a l o n k a n m e n j a d i k e p a l a D e s a y a n g d i b u a t o l e h y a n g b e r s a n g k u t a n d i a t a s k e r t a s s e g e l a t a u b e r m e t e r a i c u k u p ;

7 . K a r t u t a n d a p e n d u d u k d a n s u r a t k e t e r a n g a n b e r t e m p a t t i n g g a l p a l i n g s i n g k a t 1 ( s a t u ) t a h u n s e b e l u m p e n d a f t a r a n d a r i r u k u n t e t a n g g a / r u k u n w a r g a d a n k e p a l a D e s a s e t e m p a t ;

8 . S u r a t k e t e r a n g a n d a r i K e t u a P e n g a d i l a n N e g e r i b a h w a t i d a k p e r n a h d i j a t u h i p i d a n a p e n j a r a b e r d a s a r k a n p u t u s a n p e n g a d i l a n y a n g t e l a h m e m p u n y a i k e k u a t a n h u k u m t e t a p k a r e n a m e l a k u k a n t i n d a k p i d a n a y a n g d i a n c a m d e n g a n p i d a n a p e n j a r a p a l i n g s i n g k a t 5 ( l i m a ) t a h u n a t a u l e b i h ;

9 . S u r a t k e t e r a n g a n d a r i k e t u a p e n g a d i l a n n e g e r i b a h w a t i d a k s e d a n g d i c a b u t h a k p i l i h n y a s e s u a i d e n g a n p u t u s a n p e n g a d i l a n y a n g t e l a h m e m p u n y a i h u k u m t e t a p ;

1 0 . S u r a t k e t e r a n g a n b e r b a d a n s e h a t d a r i r u m a h s a k i t u m u m d a e r a h ; 1 1 . S u r a t k e t e r a n g a n b e r k e l a k u a n b a i k d a r i k e p o l i s i a n d a e r a h s e t e m p a t ; 1 2 . S u r a t k e t e r a n g a n d a r i P e m e r i n t a h D a e r a h d a n s u r a t p e r n y a t a a n b a h w a y a n g

b e r s a n g k u t a n t i d a k p e r n a h m e n j a d i k e p a l a D e s a s e l a m a 3 ( t i g a ) k a l i m a s a j a b a t a n ; d a n

1 3 . S u r a t p e r n y a t a a n a k a n m e n e r i m a h a s i l P e m i l i h a n K e p a l a D e s a .

P a s a l 2 4 ( 1 ) P e g a w a i N e g e r i S i p i l , A n g g o t a T e n t a r a N a s i o n a l I n d o n e s i a d a n P o l i s i R e p u b l i k

I n d o n e s i a y a n g a k a n m e n d a f t a r k a n d i r i s e b a g a i b a k a l c a l o n , s e l a i n h a r u s m e m e n u h i p e r s y a r a t a n a d m i n i s t r a s i s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 2 3 , h a r u s m e m i l i k i i z i n t e r t u l i s d a r i p i m p i n a n i n s t a n s i i n d u k n y a : a . P e g a w a i N e g e r i S i p i l d i l i n g k u n g a n P e m e r i n t a h K a b u p a t e n B a t a n g ,

m e l a m p i r k a n i z i n t e r t u l i s d a r i B u p a t i ; b . P e g a w a i N e g e r i S i p i l d i l u a r l i n g k u n g a n p e m e r i n t a h K a b u p a t e n B a t a n g

m e l a m p i r k a n i z i n t e r t u l i s d a r i p e j a b a t y a n g b e r w e n a n g d i l i n g k u n g a n k e r j a n y a ; a t a u

c . A n g g o t a T e n t a r a N a s i o n a l I n d o n e s i a d a n P o l i s i R e p u b l i k I n d o n e s i a i z i n d a r i p i m p i n a n y a n g b e r s a n g k u t a n .

( 2 ) A n g g o t a B P D y a n g a k a n m e n d a f t a r k a n d i r i s e b a g a i b a k a l c a l o n , s e l a i n p e r s y a r a t a n a d m i n i s t r a s i s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 2 3 , d i l e n g k a p i d e n g a n S u r a t P e r n y a t a a n M e n g u n d u r k a n D i r i .

( 3 ) K e p a l a D e s a y a n g a k a n m e n c a l o n k a n d i r i k e m b a l i , s e l a i n p e r s y a r a t a n a d m i n i s t r a s i s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 2 3 , m e l a m p i r k a n s u r a t i j i n c u t i d a r i B u p a t i .

( 4 ) P e n j a b a t K e p a l a D e s a y a n g a k a n m e n c a l o n k a n d i r i , s e l a i n p e r s y a r a t a n a d m i n i s t r a s i s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 2 3 , m e l a m p i r k a n i j i n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) h u r u f a , s e r t a s u r a t p e n g u n d u r a n d i r i d a r i P e n j a b a t K e p a l a D e s a

( 5 ) P e r a n g k a t d e s a y a n g a k a n m e n c a l o n k a n d i r i , s e l a i n p e r s y a r a t a n a d m i n i s t r a s i s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 2 3 , m e l a m p i r k a n s u r a t i j i n c u t i d a r i K e p a l a D e s a a t a u P e n j a b a t K e p a l a D e s a .

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P a s a l 2 5 ( 1 ) B e r k a s p e r s y a r a t a n s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 2 2 , P a s a l 2 3 d a n P a s a l

2 4 d i b u a t r a n g k a p 2 ( d u a ) . ( 2 ) P e r s y a r a t a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i l a m p i r k a n p a d a s a a t

m e n d a f t a r k a n d i r i k e p a d a P a n i t i a P e m i l i h a n .

P a r a g r a f 2 P e n j a r i n g a n

P a s a l 2 6 ( 1 ) P a n i t i a P e m i l i h a n m e l a k u k a n p e n j a r i n g a n m e l a l u i p e n g u m u m a n d a n

p e n d a f t a r a n b a k a l c a l o n d a l a m j a n g k a w a k t u 9 ( s e m b i l a n ) h a r i . ( 2 ) P a n i t i a P e m i l i h a n m e n g u m u m k a n j a d w a l t a h a p a n , s y a r a t d a n t a t a c a r a

p e n d a f t a r a n B a k a l C a l o n d i K a n t o r / B a l a i D e s a d a n t e m p a t s t r a t e g i s l a i n n y a .

P a s a l 2 7 ( 1 ) P a n i t i a P e m i l i h a n m e l a k s a n a k a n P e n d a f t a r a n B a k a l C a l o n d i S e k r e t a r i a t P a n i t i a

P e m i l i h a n . ( 2 ) P e n d a f t a r a n B a k a l C a l o n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i m u l a i p a d a

p u k u l 0 8 . 0 0 W I B s a m p a i d e n g a n p u k u l 1 4 . 3 0 W I B . ( 3 ) P e n d a f t a r a n B a k a l C a l o n t i d a k b o l e h d i w a k i l k a n . ( 4 ) P a n i t i a P e m i l i h a n m e n e r i m a d a n m e n e l i t i k e l e n g k a p a n b e r k a s a d m i n i t r a s i

l a m a r a n B a k a l C a l o n . ( 5 ) P a n i t i a P e m i U h a n m e m b e r i k a n t a n d a t e r i m a b e r k a s y a n g d i b u a t d a l a m r a n g k a p

2 ( d u a ) , 1 ( s a t u ) l e m b a r u n t u k y a n g b e r s a n g k u t a n d a n 1 ( s a t u ) l e m b a r u n t u k P a n i t i a P e m i l i h a n .

( 6 ) P a n i t i a P e m i l i h a n m e m b u a t B e r i t a A c a r a h a s i l p e n j a r i n g a n B a k a l C a l o n .

P a r a g r a f 3 P e n y a r i n g a n B a k a l C a l o n

P a s a l 2 8 ( 1 ) P a n i t i a p e m i l i h a n m e l a k u k a n p e n y a r i n g a n b a k a l c a l o n m e l a l u i p e n e l i t i a n

t e r h a d a p k e l e n g k a p a n d a n k e a b s a h a n p e r s y a r a t a n a d m i n i s t r a s i b a k a l c a l o n . ( 2 ) P e n e l i t i a n k e l e n g k a p a n d a n k e a b s a h a n a d m i n i s t r a s i s e b a g a i m a n a d i m a k s u d

p a d a a y a t ( 1 ) d i s e r t a i k l a r i f i k a s i p a d a i n s t a n s i y a n g b e r w e n a n g y a n g d i l e n g k a p i d e n g a n s u r a t k e t e r a n g a n d a r i y a n g b e r w e n a n g .

( 3 ) P a n i t i a p e m i l i h a n m e n g u m u m k a n h a s i l p e n e l i t i a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) , k e p a d a m a s y a r a k a t u n t u k m e m p e r o l e h m a s u k a n d a l a m j a n g k a w a k t u p a l i n g l a m a 3 ( t i g a ) h a r i s e j a k b e r a k h i r n y a b a t a s w a k t u p e m e n u h a n k e k u r a n g a n b e r k a s b a k a l c a l o n .

( 4 ) M a s u k a n m a s y a r a k a t s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 3 ) , w a j i b d i p r o s e s d a n d i t i n d a k l a n j u t i p a n i t i a p e m i l i h a n d a l a m j a n g k a w a k t u p a l i n g l a m a 3 ( t i g a ) h a r i .

1 2

P a s a l 2 9 ( 1 ) D a l a m h a l B a k a l C a l o n y a n g m e m e n u h i p e r s y a r a t a n s e b a g a i m a n a d i m a k s u d

d a l a m P a s a l 2 2 , P a s a l 2 3 , P a s a l 2 4 d a n P a s a l 2 5 b e r j u m l a h p a l i n g s e d i k i t 2 ( d u a ) o r a n g d a n p a l i n g b a n y a k 5 ( l i m a ) o r a n g , P a n i t i a P e m i l i h a n m e n e t a p k a n B a k a l C a l o n m e n j a d i C a l o n .

( 2 ) C a l o n y a n g d i t e t a p k a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i u m u m k a n k e p a d a m a s y a r a k a t .

P a s a l 3 0 ( 1 ) D a l a m h a l b a k a l c a l o n y a n g m e m e n u h i p e r s y a r a t a n s e b a g a i m a n a d i m a k s u d

d a l a m p a s a l 2 2 , p a s a l 2 3 , p a s a l 2 4 d a n p a s a l 2 5 k u r a n g d a r i 2 ( d u a ) o r a n g , P a n i t i a P e m i l i h a n m e m p e r p a n j a n g w a k t u p e n d a f t a r a n s e l a m a 2 0 ( d u a p u l u h ) h a r i . D a l a m h a l b a k a l c a l o n y a n g m e m e n u h i p e r s y a r a t a n t e t a p k u r a n g d a r i 2 ( d u a ) s e t e l a h p e r p a n j a n g a n w a k t u p e n d a f t a r a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) , B u p a t i m e n u n d a p e l a k s a n a a n p e m i l i h a n K e p a l a D e s a s a m p a i d e n g a n w a k t u y a n g d i t e t a p k a n k e m u d i a n .

( 2 ) A p a b i l a d a l a m t e n g g a n g w a k t u s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d a n m a s a j a b a t a n K e p a l a D e s a b e r a k h i r , B u p a t i m e n g a n g k a t p e n j a b a t K e p a l a D e s a d a r i P e g a w a i N e g e r i S i p i l d i l i n g k u n g a n p e m e r i n t a h D a e r a h .

P a s a l 3 1 ( 1 ) D a l a m h a l b a k a l c a l o n y a n g m e m e n u h i p e r s y a r a t a n s e b a g a i m a n a d i m a k s u d

d a l a m P a s a l 2 2 , P a s a l 2 3 , P a s a l 2 4 d a n P a s a l 2 5 , l e b i h d a r i 5 ( l i m a ) o r a n g , P a n i t i a P e m i l i h a n m e l a k u k a n s e l e k s i t a m b a h a n d e n g a n m e n g g u n a k a n k r i t e r i a p e n g a l a m a n b e k e r j a d i l e m b a g a p e m e r i n t a h a n , t i n g k a t p e n d i d i k a n , u s i a d a n u j i a n t e r t u l i s .

( 2 ) B a h a n u j i a n t e r t u l i s , k o r e k s i u j i a n t e r t u l i s d a n p e d o m a n p e n i l a i a n k r i t e r i a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) , d i s u s u n d a n d i l a k s a n a k a n o l e h T i m y a n g d i b e n t u k o l e h B u p a t i .

( 3 ) U j i a n t e r t u l i s s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i l a k s a n a k a n o l e h P a n i t i a P e m i l i h a n d i d e s a m a s i n g - m a s i n g a t a u t e m p a t l a i n y a n g d i t u n j u k .

P a s a l 3 2 ( 1 ) P e n e t a p a n C a l o n d i s e r t a i d e n g a n p e n e n t u a n n o m o r u r u t d a n t a n d a g a m b a r

m e l a l u i u n d i a n s e c a r a t e r b u k a o l e h P a n i t i a P e m i l i h a n . ( 2 ) T a n d a g a m b a r s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) b e r a s a l d a r i h a s i l b u m i

y a n g a d a d i d e s a a t a u s e k i t a r d e s a s e t e m p a t a n t a r a l a i n P a d i , K e t e l a , J a g u n g K e l a p a , d a n K a p a s .

( 3 ) U n d i a n n o m o r u r u t d a n t a n d a g a m b a r c a l o n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) , d i h a d i r i o l e h p a r a c a l o n .

( 4 ) N o m o r u r u t , t a n d a g a m b a r C a l o n y a n g t e l a h d i t e t a p k a n d i s u s u n d a l a m d a f t a r c a l o n d a n d i t u a n g k a n d a l a m b e r i t a a c a r a p e n e t a p a n C a l o n .

( 5 ) P a n i t i a P e m i l i h a n m e n e t a p k a n n o m o r u r u t d a n t a n d a g a m b a r C a l o n p a l i n g l a m b a t 7 ( t u j u h ) h a r i s e b e l u m k a m p a n y e .

1 3

( 6 ) P a n i t i a p e m i l i h a n m e n g u m u m k a n n o m o r u r u t d a n t a n d a g a m b a r C a l o n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 5 ) m e l a l u i m e d i a m a s a d a n / a t a u p a p a n p e n g u m u m a n t e n t a n g n a m a c a l o n y a n g t e l a h d i t e t a p k a n , p a l i n g l a m b a t 7 ( t u j u h ) h a r i s e j a k t a n g g a l d i t e t a p k a n .

( 7 ) P e n e t a p a n n o m o r u r u t d a n t a n d a g a m b a r C a l o n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 5 ) final d a n m e n g i k a t .

P a s a l 3 3 ( 1 ) P a n i t i a P e m i l i h a n m e n y a m p a i k a n K e p u t u s a n P a n i t i a P e m i l i h a n t e n t a n g

P e n e t a p a n C a l o n k e p a d a B P D u n t u k d i l a p o r k a n k e p a d a B u p a t i l e w a t C a m a t . ( 2 ) L a p o r a n B P D k e p a d a B u p a t i t e n t a n g P e n e t a p a n C a l o n K e p a l a D e s a s e b a g a i m a n a

d i m a k s u d p a d a a y a t ( 1 ) s e b a g a i d a s a r b a g i p e r e n c a n a a n K a r t u S u a r a .

B a g i a n K e t i g a S a k s i

P a s a l 3 4 ( 1 ) S e t i a p C a l o n b e r h a k m e n u g a s k a n 2 ( d u a ) s a k s i p a d a s a a t p e m u n g u t a n s u a r a

d a n p e n g h i t u n g a n s u a r a . ( 2 ) P a n i t i a P e m i l i h a n b e r k e w a j i b a n m e m b e r i k a n r u a n g k e p a d a s a k s i a g a r d a p a t

m e n j a l a n k a n t u g a s d e n g a n b a i k . ( 3 ) S a k s i y a n g d i t u g a s k a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) t e r c a t a t d a l a m

d a f t a r p e m i l i h . ( 4 ) S a k s i s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) m e m b a w a s u r a t t u g a s / m a n d a t d a r i

C a l o n . ( 5 ) S u r a t t u g a s / m a n d a t s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 4 ) d i s a m p a i k a n k e p a d a

P a n i t i a P e m i l i h a n p a d a s a a t m e l a k s a n a k a n t u g a s . ( 6 ) S a k s i s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) y a n g t i d a k h a d i r p a d a s a a t

p e m u n g u t a n s u a r a , p e n g h i t u n g a n s u a r a d a n / a t a u t i d a k m e n a n d a t a n g a n i b e r i t a a c a r a t i d a k m e m p e n g a r u h i k e a b s a h a n h a s i l P e m i l i h a n K e p a l a D e s a .

P a r a g r a f 5 K a m p a n y e

P a s a l 3 5 ( 1 ) C a l o n d a p a t m e l a k u k a n k a m p a n y e s e s u a i d e n g a n k o n d i s i s o s i a l b u d a y a

m a s y a r a k a t D e s a . ( 2 ) P e l a k s a n a a n k a m p a n y e s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d a l a m j a n g k a

w a k t u 3 ( t i g a ) h a r i s e b e l u m d i m u l a i n y a m a s a t e n a n g . ( 3 ) K a m p a n y e s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i l a k u k a n d e n g a n p r i n s i p

j u j u r , t e r b u k a , d i a l o g i s s e r t a b e r t a n g g u n g j a w a b .

P a s a l 3 6 . ( 1 ) K a m p a n y e s e b a g a i m a n a d i m a k s u d d a l a m p a s a l 3 5 a y a t ( 1 ) m e m u a t v i s i d a n m i s i

C a l o n .

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( 2 ) V i s i s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) m e r u p a k a n k e i n g i n a n y a n g i n g i n d i w u j u d k a n d a l a m j a n g k a w a k t u m a s a j a b a t a n k e p a l a d e s a .

( 3 ) M i s i s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) b e r i s i p r o g r a m y a n g a k a n d i l a k s a n a k a n d a l a m r a n g k a m e w u j u d k a n v i s i .

P a s a l 3 7 ( 1 ) K a m p a n y e s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 3 5 a y a t ( 1 ) d a p a t d i l a k s a n a k a n

m e l a l u i : a . p e r t e m u a n t e r b a t a s ; b . t a t a p m u k a ; c . d i a l o g ; d . p e n y e b a r a n b a h a n K a m p a n y e k e p a d a u m u m ; d a n e . p e m a s a n g a n a l a t p e r a g a d i t e m p a t K a m p a n y e d a n d i t e m p a t l a i n y a n g

d i t e n t u k a n o l e h p a n i t i a p e m i l i h a n ; ( 2 ) P a n i t i a P e m i l i h a n m e n g a t u r d a n m e n e t a p k a n t a t a t e r t i b , b e n t u k d a n j a d w a l

k a m p a n y e .

P a s a l 3 8 ( 1 ) K a m p a n y e d i l a r a n g :

a . m e m p e r s o a l k a n d a s a r n e g a r a P a n c a s i l a , P e m b u k a a n U n d a n g - U n d a n g D a s a r N e g a r a R e p u b l i k I n d o n e s i a T a h u n 1 9 4 5 , d a n b e n t u k N e g a r a K e s a t u a n R e p u b l i k I n d o n e s i a ;

b . m e l a k u k a n k e g i a t a n y a n g m e m b a h a y a k a n k e u t u h a n N e g a r a K e s a t u a n R e p u b l i k I n d o n e s i a ;

c . m e n g h i n a s e s e o r a n g , a g a m a , s u k u , r a s , g o l o n g a n , d a n / a t a u C a l o n l a i n ; d . m e n g h a s u t d a n m e n g a d u - d o m b a p e r s e o r a n g a n a t a u m a s y a r a k a t ; e . m e n g g a n g g u k e t e r t i b a n u m u m ; f . m e n g a n c a m d a n / a t a u m e l a k u k a n k e k e r a s a n a t a u m e n g a n j u r k a n p e n g g u n a a n

k e k e r a s a n k e p a d a s e s e o r a n g , s e k e l o m p o k a n g g o t a m a s y a r a k a t , d a n / a t a u C a l o n l a i n ;

g . m e r u s a k d a n / a t a u m e n g h i l a n g k a n a l a t p e r a g a K a m p a n y e C a l o n ; h . m e n g g u n a k a n f a s i l i t a s p e m e r i n t a h , t e m p a t i b a d a h , d a n t e m p a t p e n d i d i k a n ; i . m e m b a w a a t a u m e n g g u n a k a n g a m b a r d a n / a t a u a t r i b u t C a l o n l a i n s e l a i n d a r i

g a m b a r d a n / a t a u a t r i b u t C a l o n y a n g b e r s a n g k u t a n ; d a n j . m e n j a n j i k a n a t a u m e m b e r i k a n u a n g a t a u m a t e r i l a i n n y a k e p a d a p e s e r t a

K a m p a n y e . ( 2 ) K a m p a n y e d i l a r a n g m e n g i k u t s e r t a k a n :

a . k e p a l a d e s a ; b . p e r a n g k a t d e s a ; d a n c . a n g g o t a b a d a n p e r m u s y a r a t a n d e s a .

P a s a l 3 9 ( 1 ) P a n i t i a P e m i l i h a n m e m b e r i s a n k s i k e p a d a p e l a k s a n a k a m p a n y e y a n g m e l a n g g a r

l a r a n g a n k a m p a n y e s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 3 8 a y a t ( 1 ) b e r u p a : a . p e r i n g a t a n t e r t u l i s ;

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b . p e n g h e n t i a n k e g i a t a n K a m p a n y e d i t e m p a t t e r j a d i n y a p e l a n g g a r a n a t a u d i s u a t u w i l a y a h y a n g d a p a t m e n g a k i b a t k a n g a n g g u a n t e r h a d a p k e a m a n a n y a n g b e r p o t e n s i m e n y e b a r k e w i l a y a h l a i n ; d a n

c . p e n c o p o t a n t a n d a g a m b a r d a n / a t a u a t r i b u t k a m p a n y e y a n g d i p a s a n g p a d a t e m p a t y a n g t i d a k s e s u a i d e n g a n k e t e n t u a n .

P a r a g r a f 6 M a s a T e n a n g

P a s a l 4 0 ( 1 ) M a s a t e n a n g s e l a m a 3 ( t i g a ) h a r i s e b e l u m h a r i d a n t a n g g a l p e m u n g u t a n s u a r a

d i l a k s a n a k a n . ( 2 ) H a r i d a n t a n g g a l p e m u n g u t a n s u a r a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 )

d i t e t a p k a n d e n g a n K e p u t u s a n B u p a t i . ( 3 ) D a l a m m a s a t e n a n g s e m u a a l a t p e r a g a k a m p a n y e d i l e p a s d a n d i b e r s i h k a n d a r i

t e m p a t u m u m o l e h p a r a c a l o n d a n / a t a u p a n i t i a p e m i l i h a n .

B a g i a n K e e m p a t P e m u n g u t a n S u a r a d a n P e n g h i t u n g a n S u a r a

P a r a g r a f 1 P e r s i a p a n

P a s a l 4 1 ( 1 ) P a n i t i a P e m i l i h a n m e n y a m p a i k a n s u r a t u n d a n g a n k e p a d a p e m i l i h p a l i n g l a m a 7

( t u j u h ) h a r i s e b e l u m p e m u n g u t a n s u a r a . ( 2 ) S u r a t u n d a n g a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) m e n c a n t u m k a n n a m a

d a n a l a m a t p e m i l i h s e s u a i D P T , s e r t a h a r i , t a n g g a l , w a k t u , d a n t e m p a t p e m u n g u t a n s u a r a d i s e l e n g g a r a k a n .

( 3 ) P e m i l i h y a n g t e r c a n t u m d a l a m D P T , t e t a p i b e l u m m e n e r i m a s u r a t u n d a n g a n d a p a t m e m i n t a k e p a d a P a n i t i a P e m i l i h a n p a l i n g l a m b a t 1 ( s a t u ) h a r i s e b e l u m p e n y e l e n g g a r a a n p e m u n g u t a n s u a r a .

( 4 ) P e m i l i h s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 3 ) d i b e r i k a n h a k p i l i h d e n g a n m e n u n j u k k a n K a r t u T a n d a P e n d u d u k p a d a s a a t p e m u n g u t a n s u a r a .

P a s a l 4 2 ( 1 ) P a n i t i a P e m i l i h a n m e n e t a p k a n l o k a s i , b e n t u k , d a n t a t a l e t a k T P S ( 2 ) L o k a s i T P S s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i t e n t u k a n d i t e m p a t y a n g

m u d a h d i j a n g k a u , t e r m a s u k o l e h p e n y a n d a n g c a c a t , s e r t a m e n j a m i n s e t i a p p e m i l i h d a p a t m e m b e r i k a n s u a r a n y a s e c a r a l a n g s u n g , u m u m , b e b a s , r a h a s i a , j u j u r , d a n a d i l .

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P a s a l 4 3 ( 1 ) P a n i t i a P e m i l i h a n m e n y i a p k a n a l a t d a n k e l e n g k a p a n y a n g d i b u t u h k a n d a l a m

p e m u n g u t a n s u a r a . ( 2 ) A l a t d a n k e l e n g k a p a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) a n t a r a l a i n :

a . s u r a t s u a r a ; b . k o t a k s u a r a ; c . b i l i k s u a r a y a n g m a s i n g - m a s i n g b i l i k d i p a s a n g n o m o r , n a m a , f o t o d a n t a n d a

g a m b a r c a l o n ; d . D P T m a s i n g - m a s i n g d u s u n ; e . a l a t p e n c o b l o s s u r a t s u a r a b e r u p a p a k u d a n b a n t a l a n ; f . p a n g g u n g u n t u k p a r a C a l o n ; g . m e j a d a n k u r s i u n t u k p a n i t i a p e m i l i h a n , t a m u u n d a n g a n d a n p e m i l i h ; h . s o u n d s y s t e m ; i . p a p a n p e n g h i t u n g a n s u a r a ;

j . f o r m a t p e r h i t u n g a n h a s i l p e r o l e h a n s u a r a ( s a h d a n t i d a k s a h ) ; k . s p i d o l b e s a r d a n k e c i l , s t e m p e l , k a r e t g e l a n g , k a n t o n g p l a s t i k / d u s ; 1 . b a n t a l a n b e r k a w a t u n t u k s u r a t u n d a n g a n ; m . t i n t a d i g u n a k a n u n t u k p e m b e r i t a n d a b a g i p e m i l i h y a n g s u d a h

m e n g g u n a k a n h a k p i l i h n y a ; n . t e n d a s e s u a i d e n g a n k e b u t u h a n ; o . j a m d i n d i n g ; p . a l a t d o k u m e n t a s i ; d a n q . l a m p u p e n e r a n g a n s e s u a i d e n g a n k e b u t u h a n ;

P a s a l 4 4 ( 1 ) S u r a t s u a r a s e b a g a i m a n a d i m a k s u d d a l a m p a s a l 4 3 a y a t ( 2 ) h u r u f a s e b a n y a k

j u m l a h D P T d i t a m b a h 2 , 5 % ( d u a k o m a l i m a p e r s e r a t u s ) s e b a g a i c a d a n g a n u n t u k p e n g g a n t i s u r a t s u a r a y a n g r u s a k .

( 2 ) S u r a t s u a r a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) s u d a h d i h i t u n g , d i t a n d a t a n g a n i d a n d i c a p o l e h K e t u a P a n i t i a P e m i l i h a n p a l i n g l a m b a t 1 ( s a t u ) h a r i s e b e l u m h a r i p e l a k s a n a a n p e m u n g u t a n s u a r a '

( 3 ) S u r a t S u a r a y a n g s u d a h d i h i t u n g , d i t a n d a t a n g a n i d a n d i c a p s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) d i t u a n g k a n d a l a m B e r i t a A c a r a , u n t u k s e l a n j u t n y a d i m a s u k k a n k e k o t a k s u a r a , d i s e g e l d a n d i s i m p a n d i t e m p a t y a n g d i t e t a p k a n o l e h P a n i t i a P e m i l i h a n .

( 4 ) S u r a t s u a r a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) p e n g a d a a n n y a d i f a s i l i t a s i o l e h T i m K a b u p a t e n .

P a s a l 4 5 ( 1 ) K o t a k s u a r a s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 4 3 a y a t ( 2 ) h u r u f b , h a r u s

m e m e n u h i k e t e n t u a n k e a m a n a n d a n k e r a h a s i a a n . ( 2 ) J u m l a h k o t a k s u a r a y a i t u s e j u m l a h b a n y a k n y a c a l o n d i t a m b a h j u m l a h

p e r b a n d i n g a n k a p a s i t a s k o t a k s u a r a d e n g a n j u m l a h D P T s e c a r a p r o p o r s i o n a l . ( 3 ) 1 ( s a t u ) k o t a k s u a r a s e b a n d i n g d e n g a n 1 0 0 0 ( s e r i b u ) s a m p a i d e n g a n 2 0 0 0 ( d u a

r i b u ) s u r a t s u a r a .

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( 4 ) K o t a k s u a r a s e b a g a i t e m p a t p e m u n g u t a n s u a r a b e r w a r n a p u t i h d a n k o t a k u n t u k m e n a m p u n g h a s i l p e n g h i t u n g a n s u a r a s e s u a i j u m l a h c a l o n b e r w a r n a m e r a h .

( 5 ) K o t a k s u a r a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 4 ) d e n g a n u k u r a n : a . P a n j a n g : 5 0 ( e n a m p u l u h ) c e n t i m e t e r ; b . L e b a r : 5 0 ( l i m a p u l u h ) c e n t i m e t e r ; c . T i n g g i : 6 5 ( e n a m p u l u h l i m a ) c e n t i m e t e r ;

P a s a l 4 6 ( 1 ) B i l i k s u a r a s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 4 3 a y a t ( 2 ) h u r u f c h a r u s

m e m e n u h i u n s u r k e a m a n a n , k e r a h a s i a a n , d a n j u m l a h s e s u a i d e n g a n j u m l a h D P T .

( 2 ) B i l i k s u a r a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) b e r u k u r a n : a . P a n j a n g : 2 0 0 ( d u a r a t u s ) c e n t i m e t e r ; b . L e b a r : 1 0 0 ( s e r a t u s ) c e n t i m e t e r ; c . T i n g g i : 2 0 0 ( d u a r a t u s ) c e n t i m e t e r ;

P a r a g r a f 2 P e m u n g u t a n S u a r a

P a s a l 4 7 ( 1 ) H a r i d a n t a n g g a l p e l a k s a n a a n p e m u n g u t a n s u a r a d i t e t a p k a n o l e h B u p a t i ; ( 2 ) P e m u n g u t a n S u a r a d i s e l e n g g a r a k a n p a d a h a r i l i b u r d a n d i m u l a i p a d a p u k u l

0 7 . 0 0 W I B s a m p a i d e n g a n p u k u l 1 3 . 0 0 W I B .

P a s a l 4 8 ( 1 ) P e m u n g u t a n s u a r a s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 4 7 a y a t ( 1 ) , d i l a k u k a n

d e n g a n m e m b e r i k a n s u a r a m e l a l u i s u r a t s u a r a y a n g b e r i s i n o m o r d a n t a n d a g a m b a r c a l o n .

( 2 ) P e m b e r i a n s u a r a u n t u k p e m i l i h a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i l a k u k a n d e n g a n m e n c o b l o s s a l a h s a t u t a n d a g a m b a r c a l o n d a l a m s u r a t s u a r a .

P a s a l 4 9 ( 1 ) P e m i l i h t u n a n e t r a , t u n a d a k s a , a t a u y a n g m e m p u n y a i h a l a n g a n f i s i k l a i n p a d a

s a a t m e m b e r i k a n s u a r a n y a d i T P S d a p a t d i b a n t u o l e h p a n i t i a a t a u o r a n g l a i n a t a s p e r m i n t a a n p e m i l i h .

( 2 ) A n g g o t a p a n i t i a a t a u o r a n g l a i n y a n g m e m b a n t u p e m i l i h s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) w a j i b m e r a h a s i a k a n p i l i h a n p e m i l i h y a n g b e r s a n g k u t a n .

P a s a l 5 0 ( 1 ) P e m u n g u t a n s u a r a d i p i m p i n o l e h K e t u a P a n i t i a P e m i l i h a n . ( 2 ) P a r a C a l o n h a d i r d i l o k a s i p a d a s a a t p e m u n g u t a n s u a r a . ( 3 ) D a l a m h a l C a l o n t i d a k d a p a t h a d i r p a d a s a a t p e m u n g u t a n s u a r a s e b a g a i m a n a

d i m a k s u d p a d a a y a t ( 2 ) d e n g a n a l a s a n d a n b u k t i y a n g d a p a t d i p e r t a n g g u n g j a w a b k a n s e p e r t i s a k i t d a n a t a u m e g a l a m i m u s i b a h l a i n n y a

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m a k a k e d u d u k a n s e b a g a i c a l o n k e p a l a d e s a y a n g b e r h a k m e n g i k u t i p e m i l i h a n t e t a p d i n y a t a k a n s a h .

( 4 ) S u a r a p e m i l i h k e p a d a C a l o n y a n g t i d a k h a d i r s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 3 ) d i n y a t a k a n s a h s e p a n j a n g m e m e n u h i s y a r a t - s y a r a t s a h n y a s u a r a .

( 5 ) P a n i t i a P e m i l i h a n m e n g u c a p k a n s u m p a h d a n K e t u a P a n i t i a m e m b u k a d a n m e n j e l a s k a n h a l - h a l s e b a g a i b e r i k u t : a . S y a r a t - s y a r a t y a n g b e r h a k m e m i l i h ; b . N a m a p a r a c a l o n d e n g a n p e n e g a s a n b a h w a c a l o n t e l a h m e m e n u h i s y a r a t ; c . T a n d a g a m b a r p a r a c a l o n ; d . S u r a t p e r n y a t a a n C a l o n a k a n m e n e r i m a h a s i l p e m i l i h a n k e p a l a d e s a ; d a n e . T a t a c a r a p e m b e r i a n s u a r a d a n s a h n y a p e m i l i h a n k e p a l a d e s a

( 6 ) K e t u a P a n i t i a P e m i l i h a n d i b a n t u 2 ( d u a ) o r a n g a n g g o t a m e m b u k a k o t a k s u a r a d a n m e n g e l u a r k a n s e m u a i s i n y a , m e n u n j u k k a n k e p a d a p a r a c a l o n d a n p e m i l i h b a h w a k o t a k s u a r a k o s o n g , k e m u d i a n m e n g u n c i d a n m e n e m p a t k a n k o t a k s u a r a d i t e m p a t y a n g t e l a h d i t e n t u k a n .

( 7 ) K e t u a p a n i t i a p e m i l i h a n m e n g i d e n t i f i k a s i a n j e n i s d o k u m e n d a n p e r a l a t a n y a n g t e l a h d i k e l u a r k a n d a r i k o t a k s u a r a d a n m e n g h i t u n g j u m l a h s e t i a p j e n i s d o k u m e n d a n p e r a l a t a n .

( 8 ) P a n i t i a P e m i l i h a n m e m b u a t B e r i t a A c a r a p e m b u k a a n k o t a k s u a r a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 6 ) y a n g d i t a n d a t a n g a n i K e t u a p a n i t i a d a n p a l i n g s e d i k i t 2 ( d u a ) o r a n g p a n i t i a s e r t a d a p a t d i t a n d a t a n g a n i o l e h s a k s i d a r i c a l o n .

P a s a l 5 1 ( 1 ) P e m i l i h m e n u n j u k k a n s u r a t u n d a n g a n u n t u k d i t e l i t i k e b e n a r a n d a n k e s e s u a i a n

u n d a n g a n d e n g a n D P T . ( 2 ) P e m i l i h m e n e r i m a 1 ( s a t u ) s u r a t s u a r a u n t u k m e m b e r i k a n s u a r a d i b i l i k s u a r a

y a n g t e l a h d i s e d i a k a n s e s u a i d e n g a n k o d e d a e r a h p e m i l i h a n . ( 3 ) P a n i t i a P e m i l i h a n m e m p e r h a t i k a n p r i n s i p u r u t a n k e h a d i r a n d a l a m p r o s e s

p e m b e r i a n s u a r a o l e h p e m i l i h . ( 4 ) A p a b i l a s u r a t s u a r a y a n g d i t e r i m a t e r n y a t a r u s a k , p e m i l i h d a p a t m e m i n t a s u r a t

s u a r a p e n g g a n t i k e p a d a P a n i t i a P e m i l i h a n , k e m u d i a n P a n i t i a P e m i l i h a n m e m b e r i k a n s u r a t s u a r a p e n g g a n t i h a n y a 1 ( s a t u ) k a l i .

( 5 ) A p a b i l a t e r d a p a t k e k e l i r u a n d a l a m c a r a m e m b e r i k a n s u a r a , p e m i l i h d a p a t m e m i n t a s u r a t s u a r a p e n g g a n t i k e p a d a p a n i t i a , p a n i t i a m e m b e r i k a n s u r a t s u a r a p e n g g a n t i h a n y a 1 ( s a t u ) k a l i .

P a s a l 5 2 ( 1 ) P e m i l i h m e m b e r i k a n s u a r a d e n g a n c a r a m e n c o b l o s s a l a h s a t u t a n d a g a m b a r

C a l o n d a l a m s u r a t s u a r a . ( 2 ) S e t e l a h m e n c o b l o s p e m i l i h m e l i p a t k e r t a s s u a r a s e p e r t i s e m u l a d a n

m e m a s u k k a n k e d a l a m k o t a k s u a r a . ( 3 ) P e m i l i h y a n g t e l a h s e l e s a i m e m b e r i k a n s u a r a m e n i n g g a l k a n l o k a s i p e m u n g u t a n

s u a r a d e n g a n m e n a n d a i s a l a h s a t u j a r i n y a d e n g a n t i n t a y a n g d i s e d i a k a n P a n i t i a P e m i l i h .

1 9

P a s a l 5 3 ( 1 ) P e m u n g u t a n s u a r a d i t u t u p p a d a w a k t u d a n / a t a u j a m y a n g t e l a h d i t e n t u k a n

o l e h P a n i t i a P e m i l i h a n .

( 2 ) A p a b i l a p a d a s a a t p e m u n g u t a n s u a r a d i t u t u p s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) m a s i h t e r d a p a t a n t r i a n p e n d a f t a r d a n m a s i h b e r a d a d i a r e a l l o k a s i p e n d a f t a r a n m a k a k e s e m p a t a n u n t u k m e n g g u n a k a n h a k p i l i h n y a d i p u t u s k a n o l e h P a n i t i a P e m i l i h a n d e n g a n m e m p e r h a t i k a n p e n d a p a t p a r a s a k s i d a r i c a l o n .

( 3 ) S e t e l a h P e m u n g u t a n S u a r a d i t u t u p s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) P a n i t i a P e m i l i h a n m e m b u a t B e r i t a A c a r a y a n g d i t a n d a t a n g a n i o l e h K e t u a P a n i t i a , d a n p a l i n g s e d i k i t 2 ( d u a ) a n g g o t a p a n i t i a s e r t a d a p a t d i t a n d a t a n g a n i o l e h s a k s i d a r i c a l o n .

P a r a g r a f 3 P e n g h i t u n g a n S u a r a

P a s a l 5 4 ( 1 ) K e t u a P a n i t i a m e n j e l a s k a n s u r a t s u a r a s a h d a n s u r a t s u a r a t i d a k s a h ( 2 ) S u r a t S u a r a s a h s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) y a i t u ;

a . s u r a t s u a r a d i t a n d a t a n g a n i o l e h k e t u a p a n i t i a ; b . h a n y a a d a 1 ( s a t u ) t a n d a c o b l o s p a d a 1 ( s a t u ) k o t a k s e g i 4 ( e m p a t ) y a n g

m e m u a t n o m o r d a n t a n d a g a m b a r C a l o n ; c . t a n d a c o b l o s l e b i h d a r i 1 ( s a t u ) , t e t a p i m a s i h d i d a l a m s a l a h s a t u k o t a k s e g i

e m p a t y a n g m e m u a t n o m o r d a n t a n d a g a m b a r c a l o n . d . t a n d a c o b l o s t e r d a p a t p a d a s a l a h 1 ( s a t u ) g a r i s k o t a k s e g i e m p a t y a n g

m e m u a t n o m o r d a n t a n d a g a m b a r c a l o n ; d a n e . T a n d a c o b l o s m e n g g u n a k a n a l a t p e n c o b l o s y a n g t e l a h d i s e d i a k a n .

( 2 ) S u r a t s u a r a t i d a k s a h s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) y a i t u ; a . t i d a k a d a t a n d a t a n g a n K e t u a P a n i t i a P e m i l i h a n ; b . t i d a k t e r d a p a t c o b l o s a n ; c . m e n c o b l o s t a n d a g a m b a r t i d a k m e m a k a i a l a t p e n c o b l o s y a n g t e l a h

d i s e d i a k a n ; d . m e n c o b l o s l e b i h d a r i 1 ( s a t u ) t a n d a g a m b a r ; e . m e n c o b l o s d i l u a r k o t a k t a n d a g a m b a r ; f . s u r a t s u a r a d i b e r i t a n d a / c a t a t a n ; g . d a l a m 1 ( s a t u ) t a n d a g a m b a r t e r d a p a t l e b i h d a r i 3 ( t i g a ) c o b l o s a n .

P a s a l 5 5 ( 1 ) P a n i t i a P e m i l i h a n m e n e U t i p e r s i a p a n p e n g h i t u n g a n s u a r a . ( 2 ) P e r s i a p a n p e n g h i t u n g a n s u a r a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) a d a l a h :

a . m e n g h i t u n g j u m l a h p e m i l i h d a r i m a s i n g - m a s i n g d a e r a h p e m i l i h a n d a n a t a u d u s u n y a n g m e m b e r i k a n s u a r a b e r d a s a r k a n s a l i n a n D P T ;

b . m e n g h i t u n g j u m l a h s u r a t s u a r a y a n g t i d a k t e r p a k a i ; d a n c . m e n g h i t u n g j u m l a h s u r a t s u a r a y a n g d i k e m b a l i k a n o l e h p e m i l i h k a r e n a

r u s a k .

2 0

P a s a l 5 6 ( 1 ) P a n i t i a P e m i l i h a n m e l a k s a n a k a n p e n g h i t u n g a n s u a r a . ( 2 ) P e n g h i t u n g a n s u a r a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d a p a t d i l a k s a n a k a n

d i 1 ( s a t u ) t e m p a t d a n / a t a u l e b i h d a l a m l o k a s i T P S .

P a s a l 5 7 ( 1 ) K e t u a P a n i t i a P e m i l i h a n d i b a n t u 2 ( d u a ) o r a n g a n g g o t a m e m b u k a k o t a k s u a r a . ( 2 ) S u r a t s u a r a s a t u p e r s a t u d i b u k a l a n g s u n g d a r i k o t a k s u a r a , d a n d i p e r l i h a t k a n

k e p a d a s a k s i - s a k s i u n t u k m e n u n j u k k a n k e a b s a h a n n y a d e n g a n m e n y e b u t k a n t a n d a g a m b a r y a n g d i c o b l o s .

( 3 ) S u r a t s u a r a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) y a n g s a h d i l i p a t k e m b a l i d a n d i m a s u k k a n k e d a l a m k o t a k s u a r a s e s u a i n a m a c a l o n m a s i n g - m a s i n g s e d a n g k a n y a n g t i d a k s a h d i p i s a h k a n .

( 4 ) A p a b i l a t e r j a d i k e r a g u a n a t a s s a h d a n t i d a k s a h n y a s u r a t s u a r a , m a k a K e t u a P a n i t i a P e m i l i h a n m e m u t u s k a n s a h a t a u t i d a k s a h n y a s u r a t s u a r a d e n g a n m e m p e r h a t i k a n p e r t i m b a n g a n d a r i A n g g o t a P a n i t i a P e m i l i h a n d a n S a k s i .

( 5 ) P a n i t i a P e m i l i h a n m e n c a t a t h a s i l p e n g h i t u n g a n s u a r a p a d a c a t a t a n p e n g h i t u n g a n s u a r a d a n p a p a n t u l i s u n t u k d i k e t a h u i p e r o l e h a n s u a r a .

( 6 ) D a l a m p e n g h i t u n g a n s u a r a , s u r a t s u a r a d i p i s a h k a n d a l a m k e l o m p o k : a . S u r a t s u a r a y a n g s a h , t i d a k s a h , r u s a k , b l a n g k o ; d a n b . S u r a t s u a r a y a n g s a h d i k e l o m p o k k a n m e n u r u t n o m o r d a n t a n d a g a m b a r

C a l o n . ( 7 ) H a s i l p e n g h i t u n g a n s u a r a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 5 ) d a n a y a t ( 6 )

d i r e k a p d a n d i j u m l a h u n t u k d i k e t a h u i h a s i l p e r o l e h a n s u a r a .

P a s a l 5 8 P a n i t i a P e m i l i h a n m e m b u a t B e r i t a A c a r a h a s i l p e n g h i t u n g a n s u a r a s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 5 7 a y a t ( 7 ) y a n g d i t a n d a t a n g a n i o l e h K e t u a d a n p a l i n g s e d i k i t 2 ( d u a ) o r a n g a n g g o t a p a n i t i a , s e r t a d a p a t d i t a n d a t a n g a n i o l e h s a k s i C a l o n .

P a s a l 5 9 ( 1 ) P a n i t i a P e m i l i h a n m e m b e r i k a n s a l i n a n B e r i t a A c a r a h a s i l p e n g h i t u n g a n s u a r a

s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 5 8 k e p a d a m a s i n g - m a s i n g s a k s i C a l o n y a n g h a d i r s e b a n y a k 1 ( s a t u ) e k s e m p l a r d a n m e n e m p e l k a n 1 ( s a t u ) e k s e m p l a r h a s i l p e n g h i t u n g a n s u a r a d i t e m p a t u m u m .

( 2 ) B e r i t a a c a r a b e s e r t a k e l e n g k a p a n n y a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) d i m a s u k k a n d a l a m s a m p u l k h u s u s y a n g d i s e d i a k a n d a n d i m a s u k k a n k e d a l a m k o t a k s u a r a y a n g p a d a b a g i a n l u a r d i t e m p e l l a b e l a t a u s e g e l .

( 3 ) P a n i t i a P e m i l i h a n m e n y e r a h k a n B e r i t a A c a r a h a s i l p e n g h i t u n g a n s u a r a , s u r a t s u a r a , d a n a l a t k e l e n g k a p a n a d m i n i s t r a s i p e m u n g u t a n d a n p e n g h i t u n g a n s u a r a k e p a d a B P D .

P a s a l 6 0 ( 1 ) D a l a m h a l p e n g h i t u n g a n s u a r a s e b a g a i m a n a d i m a k s u d p a d a p a s a l 5 7 a y a t ( 7 )

2 1

C a l o n y a n g m e m p e r o l e h s u a r a t e r b a n y a k l e b i h d a r i 1 ( s a t u ) o r a n g , C a l o n t e r p i l i h d i t e t a p k a n b e r d a s a r k a n w i l a y a h p e r o l e h a n s u a r a y a n g l e b i h l u a s .

( 2 ) W i l a y a h p e r o l e h a n s u a r a y a n g l e b i h l u a s s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i h i t u n g b e r d a s a r k a n b a n y a k n y a k u m u l a t i f k e m e n a n g a n c a l o n p a d a d u s u n -d u s u n y a n g a d a .

( 3 ) D a l a m h a l b e r d a s a r k a n b a n y a k n y a k u m u l a t i f k e m e n a n g a n c a l o n p a d a d u s u n -d u s u n y a n g a d a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) m a s i h t e r d a p a t C a l o n y a n g m e m p e r o l a h k e m e n a n g a n k u m u l a t i f d u s u n s a m a , m a k a c a l o n t e r p i l i h d i t e t a p k a n b e r d a s a r k a n b a n y a k n y a j u m l a h p e r o l e h a n s u a r a p a d a d u s u n d e n g a n j u m l a h p e m i l i h t e r b a n y a k .

( 4 ) H a s i l p e n g h i t u n g a n s u a r a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 3 ) d i t u a n g k a n d a l a m B e r i t a A c a r a y a n g d i t a n d a t a n g a n i o l e h K e t u a P a n i t i a d a n p a l i n g s e d i k i t 2 ( d u a ) o r a n g a n g g o t a p a n i t i a , s e r t a d a p a t d i t a n d a t a n g a n i o l e h s a k s i c a l o n .

P a s a l 6 1 P e r l e n g k a p a n p e m u n g u t a n s u a r a d a n p e n g h i t u n g a n s u a r a d i T P S , d i s i m p a n d i k a n t o r d e s a a t a u d i t e m p a t l a i n y a n g t e r j a m i n k e a m a n a n n y a .

P a s a l 6 2 F o r m a t f o r m u l i r t a h a p a n p e m i l i h a n k e p a l a d e s a s e r e n t a k t e r c a n t u m d a l a m L a m p i r a n y a n g m e r u p a k a n b a g i a n t a k t e r p i s a h k a n d a r i P e r a t u r a n B u p a t i i n i .

B a g i a n K e l i m a T a h a p a n P e n e t a p a n

P a r a g r a f 1 P e n e t a p a n

P a s a l 6 3 ( 1 ) P a n i t i a P e m i l i h a n m e l a p o r k a n s e c a r a t e r t u l i s h a s i l p e m i l i h a n k e p a l a d e s a

k e p a d a B P D d e n g a n d i l a m p i r i B e r i t a A c a r a P e m u n g u t a n S u a r a d a n B e r i t a A c a r a H a s i l P e n g h i t u n g a n S u a r a .

( 2 ) B e r d a s a r k a n l a p o r a n P a n i t i a P e m i l i h a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) B P D m e n e t a p k a n C a l o n y a n g m e n d a p a t s u a r a t e r b a n y a k s e b a g a i C a l o n T e r p i l i h d e n g a n K e p u t u s a n B P D .

( 3 ) P a l i n g l a m b a t 7 ( t u j u h ) h a r i s e t e l a h p e n e t a p a n c a l o n y a n g m e n d a p a t s u a r a t e r b a n y a k s e b a g a i C a l o n t e r p i l i h s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) B P D m e l a p o r k a n d a n m e n g u s u l k a n p e n e t a p a n C a l o n t e r p i l i h m e n j a d i K e p a l a D e s a k e p a d a B u p a t i m e l a l u i C a m a t .

( 4 ) L a p o r a n d a n u s u l a n p e n e t a p a n C a l o n o l e h B P D k e p a d a B u p a t i s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 3 ) d i l a m p i r i : a . a s l i d a n f o t o c o p y K e p u t u s a n B P D t e n t a n g P e n e t a p a n C a l o n T e r p i l i h ; b . a s l i d a n f o t o c o p y B e r i t a A c a r a P e m u n g u t a n S u a r a ; c . a s l i d a n f o t o c o p y B e r i t a A c a r a P e n g h i t u n g a n S u a r a ; d a n d . a s l i d a n f o t o c o p y b e r k a s p e r s y a r a t a n C a l o n T e r p i l i h .

2 2

( 5 ) B u p a t i m e n e t a p k a n p e n g e s a h a n d a n p e n g a n g k a t a n K e p a l a D e s a d e n g a n K e p u t u s a n B u p a t i p a l i n g l a m b a t 3 0 ( t i g a p u l u h ) h a r i s e j a k d i t e r i m a l a p o r a n d a r i B P D .

P a r a g r a f 2 P e n y e l e s a i a n P e r s e l i s i h a n

P a s a l 6 4 ( 1 ) P e r s e l i s i h a n h a s i l p e m i l i h a n K e p a l a D e s a d i s e l e s a i k a n d a l a m j a n g k a w a k t u 3 0

( t i g a p u l u h ) h a r i t e r h i t u n g s e j a k p e n e t a p a n C a l o n , d e n g a n t a h a p a n s e b a g a i b e r i k u t : a . 7 ( t u j u h ) h a r i d i t i n g k a t d e s a o l e h B P D ; b . 7 ( t u j u h ) h a r i d i t i n g k a t k e c a m a t a n o l e h P a n i t i a P e n g a w a s K e c a m a t a n ; c . 1 6 ( e n a m b e l a s ) h a r i d i t i n g k a t K a b u p a t e n o l e h P a n i t i a P e n g a r a h

K a b u p a t e n . ( 2 ) P e n y e l e s a i a n p e r s e l i s i h a n p a d a t i n g k a t K a b u p a t e n s e b a g a i m a n a d i m a k s u d

p a d a a y a t ( 1 ) h u r u f c b e r s i f a t final d a n m e n g i k a t .

P a r a g r a f 3 P e l a n t i k a n d a n S e r a h T e r i m a J a b a t a n

P a s a l 6 5 ( 1 ) B u p a t i a t a u P e j a b a t y a n g d i t u n j u k m e l a n t i k K e p a l a D e s a s e b a g a i m a n a

d i m a k s u d d a l a m P a s a l 6 3 a y a t ( 5 ) p a l i n g l a m a 3 0 ( t i g a p u l u h ) h a r i s e j a k t e t a p k a n n y a K e p u t u s a n B u p a t i t e n t a n g P e n g e s a h a n d a n P e n g a n g k a t a n K e p a l a D e s a .

( 2 ) P e j a b a t y a n g d i t u n j u k s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) y a i t u W a k i l B u p a t i a t a u C a m a t .

( 3 ) S e b e l u m m e m a n g k u j a b a t a n n y a , K e p a l a D e s a b e r s u m p a h / b e r j a n j i . ( 4 ) S u m p a h / j a n j i s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) s e b a g a i b e r i k u t :

" D e m i A l l a h / T u h a n , s a y a b e r s u m p a h / b e r j a n j i b a h w a s a y a a k a n m e m e n u h i k e w a j i b a n s a y a s e l a k u K e p a l a D e s a d e n g a n s e b a i k - b a i k n y a , s e j u j u r - j u j u r n y a , d a n s e a d i l - a d i l n y a ; b a h w a s a y a a k a n s e l a l u t a a t d a l a m m e n g a m a l k a n d a n m e m p e r t a h a n k a n P a n c a s i l a s e b a g a i d a s a r n e g a r a ; d a n b a h w a s a y a a k a n m e n e g a k k a n k e h i d u p a n d e m o k r a s i d a n U n d a n g - U n d a n g D a s a r N e g a r a R e p u b l i k I n d o n e s i a T a h u n 1 9 4 5 s e r t a m e l a k s a n a k a n s e g a l a p e r a t u r a n p e r u n d a n g - u n d a n g a n d e n g a n s e l u r u s - l u r u s n y a y a n g b e r l a k u b a g i D e s a , D a e r a h , d a n N e g a r a K e s a t u a n R e p u b l i k I n d o n e s i a " .

( 5 ) P e l a k s a n a a n p e l a n t i k a n d a n s u m p a h j a n j i K e p a l a D e s a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 3 ) d i l a k s a n a k a n d i t e m p a t y a n g d i t e t a p k a n o l e h B u p a t i .

( 6 ) S u s u n a n a c a r a p e l a n t i k a n d a n s u m p a h j a n j i K e p a l a D e s a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 3 ) a d a l a h s e b a g a i b e r i k u t : a . P e m b a c a a n K e p u t u s a n B u p a t i t e n t a n g P e n g e s a h a n P e n g a n g k t a n K e p a l a

D e s a . b . P e n g a m b i l a n S u m p a h / J a n j i J a b a t a n o l e h B u p a t i a t a u p e j a b a t y a n g

d i t u n j u k .

2 3

c . P e n a n d a t a n g a n a n b e r i t a a c a r a p e n g a m b i l a n s u m p a h / j a n j i . d . K a t a p e l a n t i k a n o l e h B u p a t i a t a u p e j a b a t y a n g d i t u n j u k . e . P e n y e m a t a n t a n d a j a b a t a n o l e h B u p a t i a t a u p e j a b a t y a n g d i t u n j u k . f . P e m b a c a a n A m a n a t B u p a t i . g . P e m b a c a a n d o a .

( 7 ) P a d a s a a t P e n g u c a p a n s u m p a h / j a n j i d a n p e l a n t i k a n K e p a l a D e s a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 4 ) , K e p a l a D e s a m e n g g u n a k a n P a k a i a n D i n a s U p a c a r a b e r w a r n a p u t i h l e n g k a p d e n g a n a t r i b u t a t a u s e s u a i d e n g a n k e t e n t u a n l a i n y a n g d i t e t a p k a n o l e h B u p a t i .

P a s a l 6 6 ( 1 ) S e r a h t e r i m a j a b a t a n d i l a k u k a n s e t e l a h p e l a n t i k a n C a l o n K e p a l a D e s a t e r p i l i h . ( 2 ) S e r a h t e r i m a j a b a t a n s e b a g i a m a n a d i m a k s u d p a d a a y a t ( 1 ) d i l a k s a n a k a n

d e n g a n p e n a n d a t a n g a n a n b e r i t a a c a r a s e r a h t e r i m a j a b a t a n . ( 3 ) P e n a n d a t a n g a n a n b e r i t a a c a r a s e r a h t e r i m a j a b a t a n s e b a g a i m a n a d i m a k s u d

p a d a a y a t ( 2 ) d i l a k s a n a k a n p a d a A c a r a P e n g a m b i l a n S u m p a h / J a n j i d a n P e l a n t i k a n G a l l o n K e p a l a D e s a T e r p i l i h s e t e l a h p e n y e m a t a n t a n d a j a b a t a n b e r s a m a a n d e n g a n m e n y e r a h k a n m e m o r i s e r a h t e r i m a j a b a t a n .

( 4 ) M e m o r i s e r a h t e r i m a j a b a t a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 3 ) t e r d i r i a t a s : a . P e n d a h u l u a n b . M o n o g r a f i D e s a c . P e l a k s a n a a n p r o g r a m k e r j a t a h u n l a l u d . R e n c a n a p r o g r a m y a n g a k a n d a t a n g e . K e g i a t a n y a n g t e l a h d i s e l e s a i k a n , s e d a n g d i l a k s a n a k a n , d a n r e n c a n a

k e g i a t a n s e t a h u n t e r a k h i r . f . H a m b a t a n y a n g d i h a d a p i g . D a f t a r i n v e n t a r i s a s i d a n k e k a y a a n d e s a .

P a r a g r a f 4 P e m b u b a r a n P a n i t i a

P a s a l 6 7 ( 1 ) P a n i t i a P e m i l i h a n d i b u b a r k a n o l e h B P D s e t e l a h B u p a t i m e l a k s a n a k a n

p e l a n t i k a n K e p a l a D e s a . ( 2 ) P e m b u b a r a n P a n i t i a P e m i l i h a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) ,

d i t e t a p k a n d e n g a n K e p u t u s a n B P D d a n d i l a p o r k a n s e c a r a t e r t u l i s K e p a d a B u p a t i m e l a l u i C a m a t .

P a r a g r a f 5 P e n i n g k a t a n K a p a s i t a s K e p a l a D e s a

P a s a l 6 8 ( 1 ) C a l o n K e p a l a D e s a t e r p i l i h y a n g t e l a h d i l a n t i k w a j i b m e g i k u t i p e l a t i h a n a w a l

m a s a j a b a t a n y a n g d i l a k s a n a k a n o l e h P e m e r i n t a h D a e r a h .

2 4

( 2 ) B i a y a p e l a t i h a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i b e b a n k a n p a d a A P B D K a b u p a t e n , P r o p i n s i d a n A P B N .

B A B I V B I A Y A P E M I L I H A N

P a s a l 6 9 ( 1 ) B i a y a p e m i l i h a n K e p a l a D e s a d i b e b a n k a n p a d a A P B D . ( 2 ) B i a y a y a n g b e r a s a l d a r i A P B D s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 )

d i u t a m a k a n u n t u k : a . p e n g a d a a n S u r a t S u a r a ; b . p e n g a d a a n K o t a k S u a r a ; c . p e n g a d a a n k e l e n g k a p a n d a n p e r a l a t a n l a i n y a n g d i p e r l u k a n ; d . h o n o r a r i u m P a n i t i a P e m i l i h a n K e p a l a D e s a ; d a n e . b i a y a p e l a n t i k a n K e p a l a D e s a .

( 3 ) A p a b i l a b i a y a y a n g b e r a s a l d a r i A P B D t i d a k m e m e n u h i k e b u t u h a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) t a m b a h a n b i a y a b e r a s a l d a r i A P B D e s a .

( 4 ) T a m b a h a n b i a y a y a n g b e r a s a l d a r i A P B D e s a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 3 ) d i g u n a k a n u n t u k k e b u t u h a n p a d a p e l a k s a n a a n p e m u n g u t a n s u a r a .

B A B V M A S A J A B A T A N

P a s a l 7 0 ( 1 ) M a s a j a b a t a n K e p a l a D e s a s e l a m a 6 ( e n a m ) t a h u n t e r h i t u n g s e j a k t a n g g a l

p e l a n t i k a n . ( 2 ) K e p a l a D e s a s e b a g a i m a n a d i m a k s u d a y a t ( 1 ) d a p a t m e n j a b a t p a l i n g l a m a 3

( t i g a ) k a l i m a s a j a b a t a n s e c a r a b e r t u r u t - t u r u t a t a u t i d a k b e r t u r u t - t u r u t . ( 3 ) K e t e n t u a n p e r i o d i s a s i m a s a j a b a t a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 )

t e r m a s u k j a b a t a n K e p a l a D e s a m e l a l u i m u s y a w a r a h d e s a . ( 4 ) D a l a m h a l K e p a l a D e s a m e n g u n d u r k a n d i r i s e b e l u m h a b i s m a s a j a b a t a n n y a

a t a u d i b e r h e n t i k a n , K e p a l a D e s a t e l a h d i a n g g a p m e n j a b a t 1 ( s a t u ) p e r i o d e m a s a j a b a t a n .

B A B V I P E M B E R H E N T I A N K E P A L A D E S A

B a g i a n K e s a t u P e m b e r h e n t i a n d a n P e m b e r h e n t i a n S e m e n t a r a

P a s a l 7 1 ( 1 ) K e p a l a D e s a b e r h e n t i , k a r e n a :

a . m e n i n g g a l d u n i a ; b . p e m i n t a a n s e n d i r i ; c . d i b e r h e n t i k a n .

2 5

( 2 ) K e p a l a D e s a d i b e r h e n t i k a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) h u r u f c k a r e n a : a . b e r a k h i r m a s a j a b a t a n n y a ; b . t i d a k d a p a t m e l a k s a n a k a n t u g a s s e c a r a b e r k e l a n j u t a n a t a u b e r h a l a n g a n

t e t a p s e c a r a b e r t u r u t - t u r u t s e l a m a 6 ( e n a m ) b u l a n ; c . t i d a k l a g i m e m e n u h i s y a r a t s e b a g a i K e p a l a D e s a ; d . m e l a n g g a r l a r a n g a n s e b a g a i K e p a l a D e s a ; e . a d a n y a p e r u b a h a n s t a t u s D e s a m e n j a d i k e l u r a h a n , p e n g g a b u n g a n 2 ( d u a )

D e s a a t a u l e b i h m e n j a d i 1 ( s a t u ) D e s a b a r u , a t a u p e n g h a p u s a n D e s a ; f . t i d a k m e l a k s a n a k a n k e w a j i b a n s e b a g a i K e p a l a D e s a ; a t a u g . d i n y a t a k a n s e b a g a i t e r p i d a n a b e r d a s a r k a n p u t u s a n p e n g a d i l a n y a n g t e l a h

m e m p u n y a i k e k u a t a n h u k u m t e t a p . ( 3 ) A p a b i l a K e p a l a D e s a b e r h e n t i s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) , B P D

m e l a p o r k a n d a n m e n g u s u l k a n p e m b e r h e n t i a n k e p a d a B u p a t i m e l a l u i C a m a t . ( 4 ) P e m b e r h e n t i a n K e p a l a D e s a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 3 ) d i t e t a p k a n

d e n g a n K e p u t u s a n B u p a t i .

P a s a l 7 2 ( 5 ) K e p a l a D e s a d i b e r h e n t i k a n s e m e n t a r a o l e h B u p a t i k a r e n a :

a . d i n y a t a k a n s e b a g a i t e r d a k w a y a n g d i a n c a m d e n g a n p i d a n a p e n j a r a p a l i n g s i n g k a t 5 ( l i m a ) t a h u n b e r d a s a r k a n r e g i s t e r p e r k a r a d i p e n g a d i l a n .

b . d i t e t a p k a n s e b a g a i t e r s a n g k a d a l a m t i n d a k p i d a n a k o r u p s i , t e r o r i s m e , m a k a r , d a n / a t a u t i n d a k p i d a n a t e r h a d a p k e a m a n a n n e g a r a .

c . d i t e t a p k a n s e b a g a i t e r p i d a n a b e r d a s a r k a n p u t u s a n p e n g a d i l a n y a n g t e l a h m e m p u n y a i k e k u a t a n h u k u m t e t a p .

P a s a l 7 3 ( 1 ) K e p a l a D e s a y a n g d i b e r h e n t i k a n s e m e n t a r a s e b a g a i m a n a d i m a k s u d d a l a m P a s a l

7 2 s e t e l a h m e l a l u i p r o s e s p e r a d i l a n t e r n y a t a t e r b u k t i t i d a k b e r s a l a h b e r d a s a r k a n p u t u s a n p e n g a d i l a n y a n g t e l a h m e m p u n y a i k e k u a t a n h u k u m t e t a p , p a l i n g l a m a 3 0 ( t i g a p u l u h ) h a r i s e j a k p e n e t a p a n p u t u s a n p e n g a d i l a n d i t e r i m a o l e h K e p a l a D e s a , B u p a t i m e r e h a b i l i t a s i d a n m e n g a k t i f k a n k e m b a l i K e p a l a D e s a y a n g b e r s a n g k u t a n s e b a g a i K e p a l a D e s a s a m p a i d e n g a n a k h i r m a s a j a b a t a n n y a .

( 2 ) A p a b i l a K e p a l a D e s a y a n g d i b e r h e n t i k a n s e m e n t a r a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) t e l a h b e r a k h i r m a s a j a b a t a n n y a , B u p a t i h a r u s m e r e h a b i l i t a s i n a m a b a i k K e p a l a D e s a y a n g b e r s a n g k u t a n .

P a s a l 7 4 D a l a m h a l K e p a l a D e s a d i b e r h e n t i k a n s e m e n t a r a s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 7 2 S e k r e t a r i s D e s a m e l a k s a n a k a n t u g a s d a n k e w a j i b a n K e p a l a D e s a s a m p a i d e n g a n a d a n y a p u t u s a n p e n g a d i l a n y a n g t e l a h m e m p u n y a i k e k u a t a n h u k u m t e t a p .

2 6

P a s a l 7 5 ( 1 ) K e p a l a D e s a y a n g m e l a n g g a r l a r a n g a n d a n / a t a u t i d a k m e l a k s a n a k a n

k e w a j i b a n s e b a g a i m a n a d i m a k s u d d a l a m p a s a l 7 1 a y a t ( 2 ) h u r u f d d a n h u r u f f d i k e n a k a n s a n k s i a d m i n i s t r a t i f b e r u p a t e g u r a n l i s a n d a n / a t a u t e g u r a n t e r t u l i s o l e h C a m a t a t a s n a m a B u p a t i .

( 2 ) A p a b i l a t e g u r a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) , t e l a h d i b e r i k a n 3 ( t i g a ) k a l i s e c a r a b e r t u r u t - t u r u t d a l a m t e n g g a n g w a k t u m a s i n g - m a s i n g 1 ( s a t u ) b u l a n t i d a k d i i n d a h k a n , d i b e r h e n t i k a n s e m e n t a r a o l e h B u p a t i d a n d a p a t d i l a n j u t k a n d e n g a n p e m b e r h e n t i a n .

( 3 ) S a n k s i p e m b e r h e n t i a n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 2 ) o l e h B u p a t i b e r d a s a r k a n p e m e r i k s a a n y a n g d i l a k u k a n o l e h A p a r a t P e n g a w a s I n t e r n P e m e r i n t a h a t a s l a p o r a n c a m a t .

P a s a l 7 6 D a l a m h a l K e p a l a D e s a d i b e r h e n t i k a n s e m e n t a r a s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 7 5 a y a t ( 2 ) , S e k r e t a r i s D e s a m e l a k s a n a k a n t u g a s d a n k e w a j i b a n K e p a l a D e s a s a m p a i d e n g a n b e r a k h i r n y a K e p u t u s a n B u p a t i t e n t a n g p e m b e r h e n t i a n s e m e n t a r a K e p a l a D e s a .

P a s a l 7 7 D a l a m h a l K e p a l a D e s a d i b e r h e n t i k a n s e m e n t a r a s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 7 2 , P a s a l 7 3 , d a n P a s a l 7 5 a y a t ( 2 ) , m a k a p e n g h a s i l a n t e t a p d a n t u n j a n g a n j a b a t a n y a n g d i t e r i m a h a n y a 5 0 % d a r i s e b e l u m n y a .

B a g i a n K e d u a P e n g a n g k a t a n P e n j a b a t K e p a l a D e s a

P a s a l 7 8

( 1 ) D a l a m h a l t e r j a d i k e k o s o n g a n j a b a t a n K e p a l a D e s a d a l a m p e n y e l e n g g a r a a n P e m i l i h a n K e p a l a D e s a s e c a r a S e r e n t a k , B u p a t i m e n u n j u k P e n j a b a t K e p a l a D e s a .

( 2 ) P e n j a b a t K e p a l a D e s a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) b e r a s a l d a r i P e g a w a i N e g e r i S i p i l d i l i n g k u n g a n P e m e r i n t a h K a b u p a t e n .

P a s a l 7 9 ( 1 ) D a l a m h a l s i s a m a s a j a b a t a n K e p a l a D e s a y a n g b e r h e n t i t i d a k l e b i h d a r i 1

( s a t u ) t a h u n , B u p a t i m e n g a n g k a t P e g a w a i N e g e r i S i p i l d a r i P e m e r i n t a h K a b u p a t e n s e b a g a i P e n j a b a t K e p a l a D e s a s a m p a i t e r p i l i h n y a K e p a l a D e s a y a n g b a r u .

( 2 ) D a l a m h a l s i s a m a s a j a b a t a n K e p a l a D e s a y a n g b e r h e n t i l e b i h d a r i 1 ( s a t u ) t a h u n , B u p a t i m e n g a n g k a t P e g a w a i N e g e r i S i p i l d a r i P e m e r i n t a h K a b u p a t e n s e b a g a i p e n j a b a t K e p a l a D e s a s a m p a i t e r p i l i h n y a K e p a l a D e s a y a n g b a r u m e l a l u i h a s i l M u s y a w a r a h D e s a .

2 7

( 3 ) D a l a m h a l t e r j a d i k e b i j a k a n p e n u n d a a n p e l a k s a n a a n p e m i l i h a n k e p a l a d e s a , K e p a l a D e s a y a n g h a b i s m a s a j a b a t a n n y a t e t a p d i b e r h e n t i k a n d a n s e l a n j u t n y a B u p a t i m e n g a n g k a t P e g a w a i N e g e r i S i p i l d a r i L i n g k u n g a n P e m e r i n t a h K a b u p a t e n s e b a g a i P e n j a b a t K e p a l a D e s a .

P a s a l 8 0 ( 1 ) P e g a w a i N e g e r i S i p i l y a n g d i a n g k a t s e b a g a i P e n j a b a t K e p a l a D e s a p a l i n g s e d i k i t

h a r u s m e m a h a m i b i d a n g k e p e m i m p i n a n d a n t e k n i s p e m e r i n t a h a n . ( 2 ) P e n j a b a t K e p a l a D e s a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) m e l a k s a n a k a n

t u g a s , w e w e n a n g d a n k e w a j i b a n s e r t a m e m p e r o l e h h a k y a n g s a m a d e n g a n K e p a l a D e s a .

B A B V I I

P E M I L I H A N K E P A L A D E S A A N T A R W A K T U

P a s a l 8 1

( 1 ) P e m i l i h a n K e p a l a D e s a A n t a r w a k t u s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 4 d i l a k s a n a k a n m e l a l u i m u s y a w a r a h D e s a .

( 2 ) M u s y a w a r a h D e s a s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i l a k s a n a k a n p a l i n g l a m a p a l i n g l a m a 6 ( e n a m ) b u l a n t e r h i t u n g s e j a k K e p a l a D e s a d i b e r h e n t i k a n .

( 3 ) T a h a p a n P e m i l i h a n K e p a l a D e s a A n t a r w a k t u s e b a g a i m a n a d i m a k s u d p a d a a y a t ( I ) a n t a r a l a i n : a . P e r s i a p a n ; b . M u s y a w a r a h D e s a ; d a n c . P e l a p o r a n .

P a s a l 8 2 T a h a p a n P e r s i a p a n P e m i l i h a n K e p a l a D e s a A n t a r w a k t u s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 8 1 a y a t ( 3 ) h u r u f a m e l i p u t i : a . B P D m e m b e n t u k P a n i t i a P e m i l i h a n K e p a l a D e s a A n t a r w a k t u p a l i n g l a m a 1 5

( l i m a b e l a s ) h a r i t e r h i t u n g s e j a k K e p a l a D e s a d i b e r h e n t i k a n ; b . P e n g a j u a n b i a y a p e m i l i h a n d e n g a n b e b a n A P B D e s a o l e h P a n i t i a P e m i l i h a n

k e p a d a P e n j a b a t K e p a l a D e s a p a l i n g l a m b a t 3 0 ( t i g a p u l u h ) h a r i t e r h i t u n g s e j a k P a n i t i a P e m i l i h a n t e r b e n t u k ;

c . P e m b e r i a n p e r s e t u j u a n b i a y a p e m i l i h a n o l e h P e n j a b a t K e p a l a D e s a p a l i n g l a m a 3 0 ( t i g a p u l u h ) H a r i t e r h i t u n g s e j a k d i a j u k a n o l e h P a n i t i a P e m i l i h a n ;

d . P e n g u m u m a n d a n p e n d a f t a r a n B a k a l C a l o n o l e h P a n i t i a P e m i l i h a n K e p a l a D e s a A n t a r w a k t u d a l a m j a n g k a w a k t u 1 5 ( l i m a b e l a s ) H a r i ;

e . C a l o n K e p a l a D e s a A n t a r w a k t u h a r u s m e m e n u h i s y a r a t : 1 ) w a r g a n e g a r a R e p u b l i k I n d o n e s i a ; 2 ) b e r t a k w a k e p a d a T u h a n Y a n g M a h a E s a ; 3 ) m e m e g a n g t e g u h d a n m e n g a m a l k a n P a n c a s i l a , m e l a k s a n a k a n U n d a n g -

U n d a n g D a s a r N e g a r a R e p u b l i k I n d o n e s i a T a h u n 1 9 4 5 , s e r t a m e m p e r t a h a n k a n d a n m e m e l i h a r a k e u t u h a n N e g a r a K e s a t u a n R e p u b l i k I n d o n e s i a d a n B h i n n e k a T u n g g a l I k a ;

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4 ) b e r p e n d i d i k a n p a l i n g r e n d a h t a m a t s e k o l a h m e n e n g a h p e r t a m a a t a u s e d e r a j a t ;

5 ) b e r u s i a p a l i n g r e n d a h 2 5 ( d u a p u l u h l i m a ) t a h u n p a d a s a a t m e n d a f t a r ; 6 ) b e r s e d i a d i c a l o n k a n m e n j a d i K e p a l a D e s a ; 7 ) t e r d a f t a r s e b a g a i p e n d u d u k d a n b e r t e m p a t t i n g g a l d i D e s a s e t e m p a t p a l i n g

s i n g k a t 1 ( s a t u ) t a h u n s e b e l u m p e n d a f t a r a n ; 8 ) t i d a k s e d a n g m e n j a l a n i h u k u m a n p i d a n a p e n j a r a ; 9 ) t i d a k p e r n a h d i j a t u h i p i d a n a p e n j a r a b e r d a s a r k a n p u t u s a n p e n g a d i l a n

y a n g t e l a h m e m p u n y a i k e k u a t a n h u k u m t e t a p k a r e n a m e l a k u k a n t i n d a k p i d a n a y a n g d i a n c a m d e n g a n p i d a n a p e n j a r a p a l i n g s i n g k a t 5 ( l i m a ) t a h u n a t a u l e b i h , k e c u a l i 5 ( l i m a ) t a h u n s e t e l a h s e l e s a i m e n j a l a n i p i d a n a p e n j a r a d a n m e n g u m u m k a n s e c a r a j u j u r d a n t e r b u k a k e p a d a p u b l i k b a h w a y a n g b e r s a n g k u t a n p e r n a h d i p i d a n a s e r t a b u k a n s e b a g a i p e l a k u k e j a h a t a n b e r u l a n g - u l a n g ;

1 0 ) t i d a k s e d a n g d i c a b u t h a k p i l i h n y a s e s u a i d e n g a n p u t u s a n p e n g a d i l a n y a n g t e l a h m e m p u n y a i k e k u a t a n h u k u m t e t a p ;

1 1 ) s e h a t j a s m a n i d a n r o h a n i ; d a n 1 2 ) b e r k e l a k u a n b a i k ;

f . P a n i t i a P e m i l i h a n K e p a l a D e s a A n t a r w a k t u m e n e l i t i k e l e n g k a p a n p e r s y a r a t a n a d m i n i s t r a s i B a k a l C a l o n o l e h d a l a m j a n g k a w a k t u 7 ( t u j u h ) H a r i ;

g . P e n e t a p a n C a l o n o l e h P a n i t i a P e m i l i h a n p a l i n g s e d i k i t 2 ( d u a ) o r a n g d a n p a l i n g b a n y a k 3 ( t i g a ) o r a n g y a n g d i m i n t a k a n p e n g e s a h a n M u s y a w a r a h D e s a u n t u k d i t e t a p k a n s e b a g a i C a l o n y a n g b e r h a k d i p i l i h d a l a m m u s y a w a r a h D e s a .

P a s a l 8 3 T a h a p a n M u s y a w a r a h D e s a P e m i l i h a n K e p a l a D e s a A n t a r w a k t u s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 8 1 a y a t ( 3 ) h u r u f b m e l i p u t i :

a . B P D m e n y e l e n g g a r a k a n M u s y a w a r a h D e s a y a n g d i p i m p i n o l e h K e t u a B P D . b . M u s y a w a r a h D e s a d i h a d i r i o l e h u n s u r m a s y a r a k a t . c . T e k n i s p e l a k s a n a a n p e m i l i h a n K e p a l a D e s a A n t a r w a k t u d i l a k u k a n o l e h P a n i t i a

P e m i l i h a n A n t a r w a k t u ; d . P a n i t i a P e m i l i h a n K e p a l a D e s a A n t a r w a k t u m e l a k s a n a k a n p e m i l i h a n C a l o n

K e p a l a D e s a A n t a r w a k t u y a n g t e l a h d i t e t a p k a n s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 8 3 h u r u f f m e l a l u i m u s y a w a r a h m u f a k a t a t a u p e m u n g u t a n s u a r a .

e . P a n i t i a P e m i l i h a n K e p a l a D e s a A n t a r w a k t u m e n e t a p k a n C a l o n K e p a l a D e s a A n t a r w a k t u t e r p i l i h .

f . P a n i t i a P e m i l i h a n K e p a l a D e s a A n t a r w a k t u m e n y a m p a i k a n h a s i l p e m i l i h a n C a l o n K e p a l a D e s a A n t a r w a k t u t e r p i l i h k e p a d a M u s y a w a r a h D e s a ;

g . M u s y a w a r a h D e s a m e n g e s a h k a n C a l o n K e p a l a D e s a A n t a r w a k t u t e r p i l i h ;

P a s a l 8 4 T a h a p a n P e l a p o r a n P e m i l i h a n K e p a l a D e s a A n t a r w a k t u s e b a g a i m a n a d i m a k s u d d a l a m P a s a l 8 0 a y a t ( 3 ) h u r u f c m e l i p u t i :

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a . P a n i t i a P e m i l i h a n K e p a l a D e s a A n t a r w a k t u m e l a p o r k a n h a s i l p e m i l i h a n C a l o n K e p a l a D e s a A n t a r w a k t u t e r p i l i h m e l a l u i M u s y a w a r a h D e s a k e p a d a B P D d a l a m

j a n g k a w a k t u 7 ( t u j u h ) h a r i ; b . B P D m e l a p o r k a n h a s i l p e m i l i h a n C a l o n K e p a l a D e s a A n t a r w a k t u t e r p i l i h

s e b a g a i m a n a d i m a k s u d p a d a h u r u f a k e p a d a B u p a t i p a l i n g l a m b a t 7 ( t u j u h ) h a r i s e t e l a h m e n e r i m a l a p o r a n d a r i P a n i t i a P e m i l i h a n ;

P a s a l 8 5 ( 1 ) B u p a t i m e n e t a p k a n P e n g e s a h a n P e n g a n g k a t a n K e p a l a D e s a A n t a r w a k t u

t e r p i l i h p a l i n g l a m b a t 3 0 ( t i g a p u l u h ) h a r i s e j a k d i t e r i m a n y a l a p o r a n d a r i B P D . ( 2 ) B u p a t i m e l a n t i k K e p a l a D e s a A n t a r w a k t u t e r p i l i h p a l i n g l a m a 3 0 ( t i g a p u l u h )

h a r i s e j a k d i t e r b i t k a n k e p u t u s a n B u p a t i t e n t a n g p e n g e s a h a n p e n g a n g k a t a n C a l o n T e r p i l i h .

P a s a l 8 6 K e t e n t u a n y a n g m e n g a t u r P e m b e n t u k a n d a n P e m b u b a r a n P a n i t i a P e m i l i h a n A n t a r w a k t u , P e r s y a r a t a n a d m i n i s t r a t i f B a k a l C a l o n d a n P e n g e s a h a n d a n P e l a n t i k a n m e n g a c u d a l a m k e t e n t u a n P e m i l i h a n K e p a l a D e s a S e r e n t a k .

B A B V I I I F A S I L I T A S I D A N P E N G A W A S A N

P a s a l 8 7 ( 1 ) B u p a t i m e m b e n t u k p a n i t i a p e m i l i h a n d i K a b u p a t e n u n t u k m e m f a s i l i t a s i

p e l a k s a n a a n p e m i l i h a n K e p a l a D e s a s e r e n t a k . ( 2 ) P a n i t i a P e m i l i h a n d i K a b u p a t e n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) t e r d i r i

d a r i P a n i t i a P e n g a r a h d i t i n g k a t K a b u p a t e n d a n P a n i t i a P e n g a w a s d i t i n g k a t K e c a m a t a n .

( 3 ) P a n i t i a P e m i l i h a n d i K a b u p a t e n s e b a g a i m a n a d i m a k s u d p a d a a y a t ( 1 ) d i t e t a p k a n d e n g a n K e p u t u s a n B u p a t i .

B A B I X K E T E N T U A N P E N U T U P

P a s a l 8 8 P a d a s a a t P e r a t u r a n B u p a t i i n i m u l a i b e r l a k u , P e r a t u r a n B u p a t i B a t a n g N o m o r 1 4 T a h u n 2 0 0 7 t e n t a n g P e t u n j u k P e l a k s a n a a n P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 6 T a h u n 2 0 0 7 t e n t a n g T a t a C a r a P e m i l i h a n , P e n c a l o n a n , P e n g a n g k a t a n , P e l a n t i k a n d a n P e m b e r h e n t i a n K e p a l a D e s a ( B e r i t a D a e r a h K a b u p a t e n B a t a n g T a h u n 2 0 0 7 N o m o r 1 4 S e r i E N o m o r 9 ) d i c a b u t d a n d i n y a t a k a n t i d a k b e r l a k u .

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P a s a l 8 9 P e r a t u r a n B u p a t i i n i m u l a i b e r l a k u p a d a t a n g g a l d i u n d a n g k a n . A g a r s e t i a p o r a n g m e n g e t a h u i , m e m e r i n t a h k a n p e n g u n d a n g a n P e r a t u r a n B u p a t i i n i d e n g a n p e n e m p a t a n n y a d a l a m B e r i t a D a e r a h K a b u p a t e n B a t a n g .

D i t e t a p k a n d i B a t a n g

p a d a t a n g g a l S I ! D E h m TB^I^ 20

B U P A T I B A T A N G ,

/ Y O Y O K R I Y O S U D I B Y O

D i u n d a n g k a n d i B a t a n g p a d a t a n g g a l c5) 'Des&FrTber

S E K R E T A R I S D A E K A H K A B U P A t e N B A T A N G ,

N A S I K H I N

B E R I T A D A E R A H K A B U P A T E N B A T A N G T A H U N 2 0 1 5 N O M O R

3 1

Salinan sesuai dengan aslinya,KEPALA BAGIAN HUKUM,

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AGUS JAELANI MURSIDI, SH.,M.HumPembina Tingkat I

NIP 19650803 199210 1 001

santoso

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31 Desember 2015

santoso

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santoso

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31 Desember 2015

santoso

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SEKRETARIS DAERAH KABUPATEN BATANG, ttd NASIKHIN

santoso

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75

L A M P I R A N P E R A T U R A N B U P A T I B A T A N G N O M O R T A H U N 2 0 1 5 T E N T A N G T A T A C A R A P E M I L I H A N D A N P E M B E R H E N T I A N K E P A L A D E S A

F O R M A T F O R M U L I R T A H A P A N P E M I L I H A N K E P A L A D E S A S E R E N T A K

FORMAT la

B A D A N P E R M U S Y A W A R A T A N D E S A D E S A KECAMATAN

KABUPATEN BATANG A i a m a t

N o m o r L a m p i r a n P e r i h a l

1 4 1 . 1 / / B P D l ( s a h j ) b e r k a s

U n d a n g a n Y t h .

B a t a n g ,

B a t a n g K e p a d a : 1 . A n g g o t a B P D 2 . K a d e s / P e n j a b a t 3 . P e r a n g k a t d e s a 4 . T o k o h m a s y a r a k a t D e s a 5 . A n g g o t a L P M D 6 . A n g g o t a K a r a n g t a r u n a d e s a . 7 . K e h i a R T / R W s e 8 . T P P K K D e s a d i

B e r d a s a r k a n P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 T a h u n 2 0 1 5 t e n t a n g P e n y e l e n g g a r a a n P e m e r i n t a h a n D e s a D e s a , P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 T e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a d i K a b u p a t e n B a t a n g d a n K e p u t u s a n B u p a t i B a t a n g N o m o r 1 4 1 . 1 / / t a n g g a l b u l a n t a h u n t e n t a n g J a d w a l d a n T a h a p a n P e m i l i h a n K e p a l a D e s a S e r e n t a k G e l o m b a n g

T a h u n , m a k a d e n g a n i n i k a m i m e n g h a r a p k e h a d i r a n B a p a k / I b u / S a u d a r a b e s o k p a d a : H A R I J A N G G A L : P U K U L : T E M P A T : A C A R A M u s y a w a r a h P e m b e n t u k a n P a n i t i a P e m i l i h a n K e p a l a

D e s a K e c a m a t a n D e m i k i a n , a t a s k e h a d i r a n B a p a k / I b u / S d r . K a m i s a m p a i k a n t e r i m a k a s i h .

B A D A N P E R M U S Y A W A R A T A N D E S A ( B P D ) D e s a K e c a m a t a n

K e t u a ,

T e m b u s a n : K e p a d a Y t h . : 1 . C a m a t s e l a k u K e t u a P a n i t i a P e n g a w a s P i l k a d e s T i n g k a t K e c a m a t a n 2 . A r s i p

3 2

FORMAT lb

D A F T A R H A D I R

H A R I T A N G G A L W A K T U T E M P A T A C A R A M U S Y A W A R A H P E M B E N T U K A N P A N I T I A P E M I L I H A N K E P A L A

D E S A

N O . N A M A J A B A T A N T A N D A T A N G A N

B a t a n g , B A D A N P E R M U S Y A W A R A T A N D E S A

M e n g e t a h u i : D e s a K e c a m a t a n K e t u a , S e k r e t a r i s ,

3 3

FORMAT Ic


KABUPATEN BATANG A l a m a t :

N O T U L E N R A P A T H A R I : T A N G G A L : W A K T U : T E M P A T : A C A R A : M U S Y A W A R A H P E M B E N T U K A N P A N I T I A P I L K A D E S S I F A T : T E R B U K A

P E L A K S A N A A N R A P A T

• P e m i m p i n R a p a t : • S e k r e t a r i s R a p a t • J u m l a h P e s e r t a R a p a t :

• P e m b u k a a n : • P e n y a m p a i a n M a t e r i R a p a t :

• P e m b a h a s a n

• K e s i m p u l a n : M e n e t a p k a n P a n i t i a P e m i l i h a n K e p a l a D e s a , d e n g a n s u s u n a n k e a n g g o t a a n s e b a g a i b e r i k u t : a . K e t u a : b . W a k i l K e t u a : c. S e k r e t a r i s d . B e n d a h a r a : e . S e k s i :

1 . S e k s i P e n d a f t a r a n d a n P e n e t a p a n P e m i l i h : 2 . S e k s i P e n j a r i n g a n d a n P e n y a r i n g a n B a k a l C a l o n : 3 . S e k s i P e m u n g u t a n d a n P e n g h i t u n g a n S u a r a : 4 . S e k s i A k o m o d a s i d a n P e r l e n g k a p a n : 5 . S e k s i K e a m a n a n d a n K e t e r t i b a n : 6 . S e k s i P u b l i k a s i d a n D e k o m e n t a s i : 7 . S e k s i P e r t o l o n g a n P e r t a m a p a d a K e c e l a k a a n :

B a t a n g , 2 0 1 5 B A D A N P E R M U S Y A W A R A T A N D E S

M e n g e t a h u i : D e s a K e c a m a t a n K e t u a , S e k r e t a r i s ,

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FORMAT Id



BERITA ACARA MUSYAWARAH PEMBENTUKAN PANITIA PEMILIHAN KEPALA DESA

KECAMATAN KABUPATEN BATANG

P a d a h a r i i n i T a n g g a l b u l a n t a h u n B e r t e m p a t d i k a m i B a d a n P e r m u s y a w a r a t a n D e s a ( B P D ) K e c a m a t a n K a b u p a t e n B a t a n g t e l a h m e n y e l e n g g a r a k a n m u s y a w a r a h P e m b e n t u k a n P a n i t i a P e m i l i h a n K e p a l a D e s a , d e n g a n h a s i l s b b . :

1 . M e m b e n t u k p a n i t i a p e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g , d e n g a n s u s u n a n k e a n g g o t a a n :

A . K e t u a : B . S e k r e t a r i s : C . D . S e k s i :

1 . S e k s i P e n d a f t a r a n d a n P e n e t a p a n P e m i l i h 2 . S e k s i P e n j a r i n g a n d a n P e n y a r i n g a n B a k a l a C a l o n 3 . S e k s i P e m u n g u t a n d a n P e n g h i t u n g a n S u a r a 4 . S e k s i A k o m o d a s i d a n P e r l e n g k a p a n 5 . S e k s i K e a m a n a n d a n K e t e r t i b a n 6 . S e k s i P u b l i k a s i d a n D e k o m e n t a s i 7 . S e k s i P e r t o l o n g a n P e r t a p a d a K e c e l a k a a n

2 . S u s u n a n K e a n g g o t a a n P a n i t i a P e m i l i h a n K e p a l a D e s a s e b a g a i m a n a t e r s e b u t d i a t a s , s e l a n j u t n y a d i t e t a p k a n d e n g a n K e p u t u s a n B a d a n P e r m u s y a w a r a t a n D e s a .

D e m i k i a n b e r i t a a c a r a i n i d i b u a t d e n g a n s e b e n a r - b e n a m y a .

B A D A N P E R M U S Y A W A R A T A N D E S A D e s a K e c a m a t a n

K a b u p a t e n B a t a n g

K e t u a , S e k r e t a r i s

M e n g e t a h u i ,

N o . N a m a J a b a t a n T a n d a - T a n g a n

1 . U n s u r K e c a m a t a n 1 .

2 . U n s u r P e m e r i n t a h D e s a 2 .

3 . U n s u r A n g g o t a B P D 3 .

4 . U n s u r L e m b a g a K e m a s y . 4 .

5 . T o k o h M a s y a r a k a t 5 .

3 5

FORMAT 2al



K E P U T U S A N B A D A N P E R M U S Y A W A R A T A N D E S A D E S A K E C A M A T A N

K A B U P A T E N B A T A N G N O M O R : 1 4 1 . 1 / / K E P . - B P D / 2 0 1 6

T E N T A N G P E M B E N T U K A N P A N I T I A P E M I U H A N K E P A L A D E S A

D E S A K E C A M A T A N K A B U P A T E N B A T A N G

B A D A N P E R M U S Y A W A R A T A N D E S A ,

M e n i m b a n g : a . b a h w a d a l a m r a n g k a m e l a k s a n a k a n k e t e n t u a n P a s a l 9 a y a t ( 1 ) P e r a t m r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a d i K a b u p a t e n B a t a n g , p e r l u m e m b e n t u k P a n i t i a P e m i l i h a n K e p a l a D e s a ; .

b . p e m b e n t u k a n P a n i t i a P e m i l i h a n K e p a l a D e s a s e b a g a i m a n a d i m a k s u d p a d a h u r u f a d i t e t a p k a n d e n g a n K e p u t u s a n B a d a n P e r m u s y a w a r a t a n D e s a .

M e n g i n g a t : 1 . U n d a n g - u n d a n g n o m o r 6 t a h i m 2 0 1 4 t e n t a n g d e s a ; 2 . P e r a t u r a n P e m e r i n t a h n o m o r 4 3 T a h u n 2 0 1 4 t e n t a n g P e r a t u r a n P e l a k s a n a a n

U n d a n g - U n d a n g N o m o r 6 T a h u n 2 0 1 4 T e n t a n g D e s a ; 3 . P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 T a h u n 2 0 1 5 T e n t g i n g

P e n y e l e n g g a r a a n P e m e r i n t a h a n D e s a ; 4 . P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a P e m i l i h a n

D a n P e m b e r h e n t i a n K e p a l a D e s a D i K a b u p a t e n B a t a n g . M e m p e r h a t i k a n : B e r i t a A c a r a M u s y a w a r a h B P D t a n g g a l p e r i h a l P e m b e n t u k a n P a n i t i a

P e m i l i h a n K e p a l a D e s a

MEMUTUSKAN:

M e n e t a p k a n K E S A T U

K E D U A

K E T I G A

K E E M P A T

P a n i h a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g , d e n g a n s u s u n a n k e a n g g o t a a n s e b a g a i m a n a t e r c a n t u m d a l a m L a m p i r a n K e p u t u s a n i n i . P a n i t i a s e b a g a i m a n a d i m a k s u d d i k t u m K E S A T U , d a l a m m e l a k s a n a k a n t u g a s d a l a m P e m i l i h a n K e p a l a D e s a b e r p e d o m a n k e p a d a P e r a t u r a n P e r u n d a n g -U n d a n g a n y a n g b e r l a k u . M a s a k e r j a p a n i t i a s e b a g a i m a n a d i m a k s u d d i k t u m K E S A T U t e r h i t u n g s e j a k p e m b e n t u k a n s a m p a i d e n g a n p e l a k s a n a e i n p e l a n t i k a n k e p a l a d e s a t e r p i l i h . K e p u t u s a n i n i m u l a i b e r l a k u s e j a k t a n g g a l d i t e t a p k a n .

D i t e t a p k a n d i : P a d a T a n g g a l : B A D A N P E R M U S Y A W A R A T A N D E S A .

K e t u a ,

T e m b u s a n : K e p a d a Y t h . 1 . B u p a t i B a t a n g ; 2 . C a m a t ; 3 . K e p a l a D e s a / P e n j a b a t K e p a l a D e s a 4 . Y a n g B e r s a n g k u t a n ; 5 . A r s i p .

3 6

FORMAT 2a2

L a m p i r a n : K e p u t u s a n B a d a n P e r m u s y a w a r a t a n D e s a N o m o r : 1 4 1 . 1 / / K e p . - B P D / 2 0 1 6 T a n g g a l :

S U S U N A N K E A N G G O T A A N P A N I T I A P E M I L I H A N K E P A L A D E S A


a . K e t u a

b . W a k i l K e t u a :

c . S e k r e t a r i s :

d . B e n d a h a r a :

e . S e k s i :

1 . S e k s i P e n d a f t a r a n d a n P e n e t a p a n P e m i l i h ;

2 . S e k s i P e n j a r i n g a n d a n P e n y a r i n g a n B a k a l a C a l o n :

3 . S e k s i P e m u n g u t a n d a n P e n g h i t u n g a n S u a r a

4 . S e k s i A k o m o d a s i d a n P e r l e n g k a p a n :

5 . S e k s i K e a m a n a n d a n K e t e r t i b a n :

6 . S e k s i P u b l i k a s i d a n D e k o m e n t a s i ;

7 . S e k s i P e r t o l o n g a n P e r t a p a d a K e c e l a k a a n :

B A D A N P E R M U S Y A W A R A T A N D E S A D e s a K e c a m a t a n

K A B U P A T E N B A T A N G K e t u a ,

3 7

FORMATS BERITA ACARA

P E L A N T I K A N D A N P E N G A M B I L A N S U M P A H / J A N J I P A N I T I A P E M I L I H A N K E P A L A D E S A


P a d a h a r i i n i T a n g g a l b u l a n t a h u n d u a r i b u e n a m b e l a s b e r t e m p a t d i , k a m i y a n g b e r t a n d a t a n g a n d i b a w a h i n i : A . Y a n g d i l a n t i k d a n m e n g u c a p k a n s u m p a h / j a n j i p a n i t i a p e m i l i h a n k e p a l a d e s a :

1 . N a m a : A l a m a t : 2 . N a m a : A l a m a t : 3 . N a m a : A l a m a t : 4 . N a m a : A l a m a t : 5 . N a m a : A l a m a t : 6 . N a m a A l a m a t ; 7 . N a m a : A l a m a t : 8 . N a m a : A l a m a t : 9 . N a m a ; A l a m a t : 1 0 . N a m a : A l a m a t : 1 1 . N a m a : A l a m a t :

B . Y a n g m e l a n t i k d a n m e n g a m b i l s u m p a h / j a n j i p a n i t i a p e m i l i h a n k e p a l a d e s a : N A M A : J A B A T A N : K e t u a B P D

C . S a k s i - s a k s i : 1 . N A M A : J A B A T A N : 2 . N A M A : J A B A T A N :

D . R o h a n i a w a n : N A M A : A L A M A T :

T e l a h m e l a k s a n a k a n p r o s e s i p e l a n t i k a n d a n p e n g a m b i l a n s u m p a h / j a n j i P a n i t i a P e m i l i h a n K e p a l a D e s a K e c a m a t a n d e n g a n k a l i m a t s u m p a h / j a n j i P a n i t i a P e m i l i h a n K e p a l a D e s a , S e b a g a i B e r i k u t : " D E M I A L L A H / T U H A N , S A Y A B E R S U M P A H / B E R J A N J I B A H W A S A Y A A K A N M E M E N U H I T U G A S S A Y A S E L A K U P A N I T I A P E M I L I H A N K E P A L A D E S A K E C A M A T A N D E N G A N S E B A I K - B A I K N Y A , S E J U J U R - J U J U R N Y A , D A N S E A D I L - A D I L N Y A ; D A N B A H W A S A Y A S E L A K U P A N I T I A P E M I L I H A N K E P A L A D E S A A K A N S E L A L U M E L A K S A N A K A N S E G A L A P E R A T U R A N P E R U N D A N G - U N D A N G A N Y A N G B E R L A K U D E N G A N S E L U R U S - L U R U S N Y A " .

Y a n g d i l a n t i k / m e n g u c a p k a n s u m p a h . 1 ( ) 2 ( ) 3 ( ) 4 ( ) 5 ( ) 6 ( ) 7 ( ) 8 ( ) 9 ( ) 1 0 ( ) 1 1 ( )

Y a n g m e l a n t i k / m e n g a m b i l s u m p a h .

s a k s i - s a k s i : 1 ( ) 2 ( )

R O H A N I A W A N

3 8

FORMAT 4

S U R A T P E R N Y A T A A N P A N I T I A U N T U K M E N S U K S E S K A N P E M I L I H A N K E P A L A D E S A

Y a n g b e r t a n d a t a n g a n d i b a w a h i n i :

1 ) N a m a : , A l a m a t : 2 ) N a m a : A l a m a t : 3 ) N a m a ; A l a m a t : 4 ) N a m a : A l a m a t : 5 ) N a m a : A l a m a t : 6 ) N a m a : A l a m a t : 7 ) N a m a : A l a m a t : 8 ) N a m a : A l a m a t : 9 ) N a m a : A l a m a t : 1 0 ) N a m a : A l a m a t : 1 1 ) N a m a ; A l a m a t :

M a s i n g - m a s i n g a d a l a h s e b a g a i P a n i t i a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g , d e n g a n i n i m e n y a t a k a n s e s u n g g u h n y a b a h w a :

1 . K a m i s i a p d a n b e r s e d i a m e n s u k s e s k a n P e l a k s a n a a n P e m i l i h a n K e p a l a D e s a s e s u a i j a d w a l d a n t a h a p a n y a n g t e l a h d i t e t a p k a n o l e h B u p a t i B a t a n g ;

2 . K a m i s i a p d a n b e r s e d i a u n t u k t i d a k m e m i h a k , m e n g u n t u n g k a n d a n a t a u m e r u g i k a n p a d a s a l a h s a t u B a k a l C a l o n D a n C a l o n K e p a l a D e s a t e r t e n t u ;

3 . K a m i b e r s e d i a t i d a k a k a n m e n c a l o n k a n d i r i s e b a g a i K e p a l a D e s a ; 4 . K a m i a k a n m e n j a g a k e t e r t i b a n D e s a b a i k s e l a m a m a u p u n s e t e l a h P e m i l i h a n K e p a l a D e s a .

D e m i k i a n , p e r n y a t a a n i n i k a m i b u a t d a l a m k e a d a a n s e h a t d a n t i d a k a d a p a k s a a n d a r i p i h a k m a n a p u n j u g a , d e n g a n p e n u h k e s a d a r a n , k e i k h l a s a n d a n p e n u h r a s a t a n g g u n g j a w a b s e r t a a p a b i l a d i k e m u d i a n h a r i t e r d a p a t p e n y i m p a n g a n d a r i p e r n y a t a a n t e r s e b u t , s a n g g u p d i t u n t u t s e s u a i d e n g a n h u k u m d a n p e r a t u r a n p e r u n d a n g - u n d a n g a n y a n g b e r l a k u .

Y a n g m e m b u a t p e r n y a t a a n ,

P A N I T I A P E M I L I H A N

1 ) (• 2 ) ( . 3 ) ( . 4 ) ( .

5 ) ( .

6 ) ( . 7 ) ( .

8 ) ( . 9 ) ( .

1 0 ) { .

H ) (.

3 9

F O R M A T S

B A D A N P E R M U S Y A W A R A T A N D E S A D E S A . KECAMATAN

KABUPATEN BATANG A i a m a t

N o m o r S i f a t L a m p i r a n P e r i h a l

1 4 1 . 1 / / B P D . b i a s a . 1 ( s a t u ) b e r k a s . L a p o r a n P e m b e n t u k a n P a n i t i a P e m i l i h a n K e p a l a D e s a K e c a m a t a n

B a t a n g ,

K e p a d a : Y t h , B u p a t i B a t a n g M e l a l u i : C a m a t

d i

B A T A N G

B a h w a b e r d a s a r k a n P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 T a h u n 2 0 1 5 T e n t a n g P e n y e l e n g g a r a a n P e m e e r i n t a h a n D e s a , P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a d i K a b u p a t e n B a t a n g d a n K e p u t u s a n B u p a t i B a t a n g N o m o r : 1 4 1 . 1 / / t a n g g a l

b u l a n t a h u n p e r i h a l J a d w a l d a n T a h a p a n P e m i l i h a n K e p a l a D e s a S e r e t a k G e l o m b a n g T a h u n

A t a s d a s a r t e r s e b u t d i a t a s , m a k a b e r s a m a i n i k a m i l a p o r k a n d e n g a n h o r m a t P e m b e n t u k a n P a n i t i a P e m i l i h a n K e p a l a D e s a K e c a m a t a n , s e b a g a i b e r i k u t ; a . P e m b e n t u k a n P a n i t i a P e m i l i h a n K e p a l a D e s a d i l a k s a n a k a n p a d a t a n g g a l

b u l a n t a h u n b e r t e m p a t d i b . M u s y a w a r a h p e m b e n t u k a n p a n i t i a t e r s e b u t d i h a d i r i o l e h A n g g o t a B P D ,

P e m e r i n t a h D e s a , A n g g o t a L e m b a g a K e m a s y a r a k a t a n D e s a D a n T o k o h M a s y a r a k a t D e s a .

c . S u s u n a n P a n i t i a P e m i l i h a n K e p a l a D e s a t e r s e b u t b e r a n g g o t a k a n u n s u r P e r a n g k a t D e s a , L e m b a g a K e m a s y a r a k a t a n d a n T o k o h M a s y a r a k a t , y a n g s e l a n j u t n y a t e l a h d i t e t a p k a n d e n g a n K e p u t u s a n B a d a n P e r m u s y a w a r a t a n D e s a ( B P D ) ,

d . B e r i k u t i n i k a m i l a m p i r k a n K e p u t u s a n B P D s e b a g a i m a n a d i m a k s u d , B e r i t a A c a r a M u s y a w a r a h , N o t u l e n / R i s a l a h R a p a t , D a f t a r H a d i r s e r t a B e r i t a A c a r a P e l a n t i k a n P a n i t i a P e m i l i h a n K e p a l a D e s a .

D e m i k i a n u n t u k m e n j a d i k a n p e r i k s a .

B A D A N P E R M U S Y A W A R A T A N D E S A D E S A K E C A M A T A N

K A B U P A T E N B A T A N G

K e t u a ,

T e m b u s a n : 1 . A s i s t e n P e m e r i n t a h S e t d a . K a b . B a t a n g ; 2 . K e p a l a B a g i a n P e m e r i n t a h a n D e s a S e t d a K a b u p a t e n B a t a n g ; 3 . K e p a l a D e s a / P e n j a b a t K e p a l a D e s a

4 0

FORMAT 6 B A D A N P E R M U S Y A W A R A T A N D E S A

D E S A KECAMATAN KABUPATEN BATANG

A l a m a t :


K A B U P A T E N B A T A N G N O M O R : 1 4 1 . 1 / / K e p . - B P D / 2 0 1 6

T E N T A N G P E M B E R H E N T I A N D A N P E N G A N G K A T A N A N G G O T A P E N G G A N T I

P A N I T I A P E M I L I H A N K E P A L A D E S A D E S A K E C A M A T A N



M e n i m b a n g : a . b a h w a d a l a m r a n g k a m e l a k s a n a k a n k e t e n t u a n P a s a l 9 a y a t ( 1 ) d a n P a s a l 1 1 P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a d i K a b u p a t e n B a t a n g , p e r l u m e m b e n t u k P a n i t i a P e m i l i h a n K e p a l a D e s a ; .

b . p e m t i e n t u k a n P a n i t i a P e m i l i h a n K e p a l a D e s a s e b a g a i m a n a d i m a k s u d p a d a h u r u f a d i t e t a p k a n d e n g a n K e p u t u s a n B a d a n P e r m u s y a w a r a t a n D e s a .

M e n g i r \ g a t : 1 . U n d a n g - u n d a n g n o m o r 6 t a h u n 2 0 1 4 t e n t a n g d e s a ; 5 . P e r a t u r a n P e m e r i n t a h n o m o r 4 3 T a h u n 2 0 1 4 t e n t a n g P e r a t u r a n P e l a k s a n a a n

U n d a n g - U n d a n g N o m o r 6 T a h u n 2 0 1 4 T e n t a n g D e s a ; 6 . P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 T a h u n 2 0 1 5 T e n t a n g

P e n y e l e n g g a r a a n P e m e r i n t a h a n D e s a ; 7 . P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a P e m i l i h a n

D a n P e m b e r h e n t i a n K e p a l a D e s a D i K a b u p a t e n B a t a n g . M e m p e r h a t i k a n : B e r i t a A c a r a M u s y a w a r a h B P D p e r i h a l P e r s e t u j u a n P e m b e r h e n t i a n d a n

P e n g a n g k a t a n A n g g o t a P e n g g a n t i P a n i t i a P e m i l i h a n K e p a l a D e s a


M e m b e r h e n t i k a n d e n g a n h o r m a t S d r d a r i k e a n g g t o t a a n d a n j a b a t a n p a d a P a n i t i a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g , M e n g a n g k a t S d r s e b a g a i A n g g o t a P e n g g a n t i P a i u t i a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g , d e n g a n j a b a t a n M a s a k e r j a p a n i t i a s e b a g a i m a n a d i m a k s u d d i k t u m K E D U A t e r h i t u n g s e j a k d i a n g k a t s a m p a i d e n g a n p e l a k s a n a a n p e l a n t i k a n k e p a l a d e s a t e r p i l i h . K e p u t u s a n i n i m u l a i b e r l a k u s e j a k t a n g g a l d i t e t a p k a n .

D i t e t a p k a n d i : P a d a T a n g g a l :



T e m b u s a n : K e p a d a Y t h . 1 . B u p a t i B a t a n g ; 2 . C a m a t ; 3 . K e p a l a D e s a / P e n j a b a t K e p a l a D e s a 4 . Y a n g B e r s a n g k u t a n ; 5 . A r s i p .

M e n e t a p k a n K E S A T U

K E D U A

K E T I G A

K E E M P A T

4 1

FORMAT 6a


KABUPATEN BATANG A l a m a t ;

N o m o r : 1 4 1 . 1 / / B P D L a m p i r a n : l ( s a t u ) b e r k a s P e r i h a l : U n d a n g a n

B a t a n g ,

B a t a n g K e p a d a :

Y t h . 1 . A n g g o t a B P D 2 . K a d e s / P e n j a b a t 3 . P e r a n g k a t D e s a 4 . L e m b a g a K e m a s y a r a k a t a n D e s a 5 . T o k o h M a s y r a k a t 6 . P a n i t i a P e m i l i h a n K e p a l a D e s a d i

B e r d a s a r k a n P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 T e n t a n g T a t a

C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a d i K a b u p a t e n B a t a n g , P a s a l 1 1

t e n t a n g p e m b e r h e n t i a n d a n p e n g a n g k a t a n p a n i t i a p e n g g a n t i m a k a d e n g a n i n i

k a m i m e n g h a r a p k e h a d i r a n B a p a k / I b u / S a u d a r a b e s o k p a d a :

H A R I , T A N G G A L :

P U K U L

T E M P A T

A C A R A M u s y a w a r a h P e s e t u j u a n P e m b e r h e n t i a n d a n

P e n g a n g k a t a n A n g o t a P e n g g a n t i P a n i t i a P e m i l i h a n

K e p a l a D e s a K e c a m a t a n

D e m i k i a n , a t a s k e h a d i r a n B a p a k / I b u / S d r . K a m i s a m p a i k a n t e r i m a k a s i h .

B A D A N P E R M U S Y A W A R A T A N D E S A ( B P D ) D E S A K E C A M A T A N


T e m b u s a n : K e p a d a Y t h . : 1 . C a m a t s e l a k u K e t u a P a n i t i a P e n g a w a s T i n g k a t K e c a m a t a n 2 . A r s i p

4 2

D A F T A R H A D I R FORMAT 6b

H A R I : T A N G G A L : W A K T U : T E M P A T : A C A R A M U S Y A W A R A H P E R S E T U J U A N P E M B E R H E N T I A N D A N

P E N G A N G K A T A N A N G G O T A P E N G G A N T I P A N I T I A P A N I T I A P E M I L I H A N K E P A L A D E S A


B a t a n g , 2 0 1 5 B A D A N P E R M U S Y A W A R A T A N D E S A

M e n g e t a h u i : D E S A K E C A M A T A N Ketua, K A B U P A T E B A T A N G

Sekretaris,

4 3

FORMAT 6c



N O T U L E N RAPAT H A R I T A N G G A L W A K T U T E M P A T A C A R A : M U S Y A W A R A H P E R S E T U J U A N P E M B E R H E N T I A N D A N

P E N G A N G K A T A N A N G G O T A P E N G G A N T I P A N I T I A P E M I L I H A N K E P A L A D E S A

: T E R B U K A S I F A T


• P e m i m p i n R a p a t • S e k r e t a r i s R a p a t • J u m l a h P e s e r t a R a p a t

• P e m b u k a a n • P e n y a m p a i a n M a t e r i R a p a t

• P e m b a h a s a n

K e s i m p u l a n M e n y e t u j u i p e m b e r h e n t i a n s d r d a r i j a b a t a n n y a s e b a g a i

d a n s e l a n j u t n y a m e n g a n g k a t S d r . p a d a P a n i t i a P e m i l i h a n K e p a l a D e s a ,

s e b a g a i p a d a P a n i t i a P e m i l i h a n K e p a l a

D e s a .

D E S A


K E C A M A T A N K A B U P A T E N B A T A N G

K e t u a , S e k r e t a r i s ,

4 4

FORMAT 6d


KABUPATEN BATANG A l a m a t

B E R I T A A C A R A M U S Y A W A R A H P E R S E T U J U A N P E M B E R H E N T I A N D A N

P E N G A N G K A T A N A N G G O T A P E N G G A N T I P A N I T I A P E M I U H A N K E P A L A D E S A D E S A K E C A M A T A N K A B U P A T E N B A T A N G

P a d a h a r i i n i t a n g g a l b u l a n t a h u n b e r t e m p a t d i , k a m i B a d a n P e r m u s y a w a r a t a n D e s a ( B P D ) K e c a m a t a n K a b u p a t e n B a t a n g t e l a h m e n y e l e n g g a r a k a n m u s y a w z u r a h P e s e t u j u a n P e m b e r h e n t i a n a t a s n a m a S d r , d a r i J a b a t a n p a d a P a n i t i a P e m i l i h a n K e p a l a D e s a , d a n s e l a n j u t n y a m e n g a n g k a t S d r s e b a g a i p a d a P a n i t i a P e m i l i h a n K e p a l a D e s a K e c a m a t a n

D e m i k i a n b e r i t a a c a r a i n i d i b u a t d e n g a n s e b e n a r - b e n a r n y a .




M e n g e t a h u i ,

N o . N a m a J a b a t a n T a n d a - T a n g a n

1 . U n s u r K e c a m a t a n 1 . 2 . U n s u r P e m e r i n t a h D e s a 2 . 3 . U n s u r A n g g o t a B P D 3 . 4 . U n s u r L e m b a g a K e m a s y . 4 . 5 . T o k o h M a s y a r a k a t 5 .

4 5

FORMAT? PANITIA PEMILIHAN KEPALA D E S A


A l a m a t S e k r e t a r i a t :

T A N D A T E R I M A P E N D A F T A R A N B A K A L C A L O N K E P A L A D E S A


B a h w a p a d a : H A R L T A N G G A L : B E R T E M P A T D I ; S e k r e t a r i a t P a n i t i a p U k a d e s Y a n g t e r s e b u t d i b a w a h i n i : N A M A : T E M P A T / T G L . L A H I R : A L A M A T : T e l a h m e n d a f t a r k a n d i r i s e b a g a i B a k a l C a l o n K e p a l a D e s a K e c a m a t a n d e n g a n b e r k a s p e r s y a r a t a n a d m i n i s t r a s i , s e b a g a i b e r i k u t ;

N O D A F T A R B E R K A S A D A B E L U M 1 . S u r a t k e t e r a n g a n s e b a g a i w a r g a n e g a r a I n d o n e s i a ; 2 . S u r a t p e r n y a t a a n b e r t a k w a k e p a d a t u h a n y a n g m a h a e s a ; 3 . S u r a t p e r n y a t a a n m e m e g a n g t e g u h d a n m e n g a m a l k a n

p a n c a s i l a , U U D N e g a r a R I T a h u n l 9 4 5 , m e m p e r t a h a n k a n d a n m e m e l i h a r a k e u t u h a n N K R I d a n B h i n n e k a T u n g g a l I k a

4 . L e g a l i s a s i i j a z a h d a r i t i n g k a t d a s a r s a m p a i d e n g a n i j a z a h t e r a k h i r

5 . L e g a l i s a s i a k t a k e l a h i r a n a t a u s u r a t k e t e r a n g a n k e n a l l a h i r 6 . S u r a t p e r n y a t a a n b e r s e d i a d i c a l o n k a n m e n j a d i k e p a l a d e s a 7. L e g a l i s a s i K a r t u T a n d a P e n d u d u k 8 . S u r a t k e t e r a n g a n d a r i K e t u a P e n g a d i l a n b a h w a t i d a k p e r n a h

d i j a t u h i p i d a n a p e n j a r a y a n g b e r k e k u a t a n h u k u m t e t a p k a r e n a t i n d a k p i d a n a y a n g d i a n c a m p a l i n g s i n g k a t 5 ( l i m a ) t a h u n

9 . S u r a t k e t e r a n g a n d a r i K e t u a P e n g a d i l a n b a h w a t i d a k s e d a n g d i c a b u t h a k p i l i h n y a

1 0 . S u r a t k e t e r a n g a n b e r b a d a n s e h a t d a r i R S U D 1 1 . S u r a t k e t e r a n g a n b e r k e l a k u k a n b a i k d a r i k e p o l i s i a n d a e r a h 1 2 . S u r a t k e t e r a n g a n t i d a k p e r n a h m e n j a b a t s e b a g a i k e p a l a d e s a

s e l a m a 3 { t i g a ) k a l i m a s a j a b a t a n 1 3 . S u r a t p e r n y a t a a n t i d a k p e r n a h m e n j a b a t s e b a g a i k e p a l a d e s a

s e l a m a 3 ( t i g a ) k a l i j a b a t a n 1 4 . S u r a t p e r n y a t a a n a k a n m e n e r i m a h a s i l p e m i l i h a n d a n t i d a k

a k a n m e m b u a t g a n g g u a n k e a m a n a n d a n k e t e r t i b a n m a s y a r a k a t y a n g d i k e t a h u i K e p a l a D e s a .

1 5 . S u r a t i j i n t e r t u l i s b a g i b a k a l c a l o n y a n g b e r a s a l d a r i P N S , T N I , P O L R I

1 6 S u r a t c u t i b a g i K e p a l a D e s a a t a u P e r a n g k a t D e s a 1 7 S u r a t M e n g u n d u r k a n D i r i b a g i a n g g o t a B P D 1 8 . S u r a t p e r m o h o n a n m e n j a d i b a k a l c a l o n k e p a l a d e s a

B a t a n g , P A N I T I A P E M I L I H A N K E P A L A D E S A

K E C A M A T A N K e t u a ,

P a s F o t o

4 x 6

4 6

FORMATS

C H E C H L I S T P E N E L I T I A B E R K A S P E R S Y A R A T A N A D M I N I S T R A S I

C A L O N K E P A L A D E S A

N a m a D e s a K e c a m a t a n

N O D A F T A R B E R K A S A D A B L M K E T . 1 . S u r a t k e t e r a n g a n s e b a g a i w a r g a n e g a r a I n d o n e s i a ; 2 . S u r a t p e r n y a t a a n b e r t a k w a k e p a d a t u h a n y a n g m a h a e s a ; 3 . S u r a t p e r n y a t a a n m e m e g a n g t e g u h d a n m e n g a m a l k a n

p a n c a s i I a , U U D N e g a r a R I T a h u n l 9 4 5 , m e m p e r t a h a n k a n d a n m e m e l i h a r a k e u t u h a n N K R I d a n B h i n n e k a T u n g g a l I k a


5 . L e g a l i s a s i a k t a k e l a h i r a n a t a u s u r a t k e t e r a n g a n k e n a l l a h i r 6 . S u r a t p e r n y a t a a n b e r s e d i a d i c a l o n k a n m e n j a d i k e p a l a d e s a 7 . L e g a l i s a s i K a r t u T a n d a P e n d u d u k 8 . S u r a t k e t e r a n g a n d a r i K e t u a P e n g a d i l a n b a h w a t i d a k p e r n a h

d i j a t u h i p i d a n a p e n j a r a y a n g b e r k e k u a t a n h u k u m t e t a p k a r e n a t i n d a k p i d a n a y a n g d i a n c a m p a l i n g s i n g k a t 5 ( l i m a ) t a h u n

9 . S u r a t k e t e r a n g a n d a r i K e t u a P e n g a d i l a n b a h w a t i d a k s e d a n g d i c a b u t h a k p i l i h n y a

1 0 . S u r a t k e t e r a n g a n b e r b a d a n s e h a t d a r i R S U D 1 1 . S u r a t k e t e r a n g a n b e r k e l a k u k a n b a i k d a r i k e p o l i s i a n d a e r a h 1 2 . S u r a t k e t e r a n g a n t i d a k p e r n a h m e n j a b a t s e b a g a i k e p a l a d e s a

s e l a m a 3 ( t i g a ) k a l i m a s a j a b a t a n 1 3 . S u r a t p e r n y a t a a n t i d a k p e r n a h m e n j a b a t s e b a g a i k e p a l a d e s a

s e l a m a 3 ( t i g a ) k a l i j a b a t a n 1 4 . S u r a t p e r n y a t a a n a k a n m e n e r i m a h a s i l p e m i l i h a n d a n t i d a k

a k a n m e m b u a t g a n g g u a n k e a m a n a n d a n k e t e r t i b a n m a s y a r a k a t y a n g d i k e t a h u i K e p a l a D e s a .

1 5 . S u r a t i j i n t e r t u l i s b a g i b a k a l c a l o n y a n g b e r a s a l d a r i P N S J N I P O L R I

1 6 S u r a t c u t i b a g i K e p a l a D e s a a t a u P e r a n g k a t D e s a 1 7 S u r a t M e n g u n d u r k a n D i r i b a g i a n g g o t a B P D 1 8 . S u r a t p e r m o h o n a n m e n j a d i b a k a l c a l o n k e p a l a d e s a

P A N I T I A P E M I L I H A N K E P A L A D E S A

D E S A

K E T U A ,

4 7

FORMAT 9a

PANITIA PEMILIHAN KEPALA D E S A D E S A KECAMATAN

KABUPATEN BATANG A l a m a t S e k r e t a r i a t :

B a t a n g ,

N o m o r : 1 4 1 . 1 / / P A N . P e r i h a l : P e m e n u h a n B e r k a s P e r s y a r a t a n

A d m i n i s t r a s i B a k a l C a l o n K e p a l a D e s a

B a t a n g , K e p a d a : Y t h . K e p a l a B a d a n K e p e g a w a i a n D a e r a h K a b u p a t e n B a t a n g D i

B A T A N G .

S U R A T P E N G A N T A R

D e n g a n H o r m a t ,

B a h w a y a n g t e r s e b u t d i b a w a h i n i :

N A M A ;

T E M P A T / T A N G G A L L A H I R :

A L A M A T :

T e l a h t e r d a f t a r s e b a g a i ;

B A K A L C A L O N K A D E S :

K E C A M A T A N ;

B e r m a k s u d u n t u k m e m e n u h i k e l e n g k a p a n b e r k a s p e r s y a r a t a n b a k a l c a l o n k e p a l a d e s a :

N O . U R A I A N K E T

1 . S u r a t i j i n t e r t u l i s d a r i P e m b i n a K e p e g a w a i a n b a g i b a k a l c a l o n y a n g b e r a s a l d a r i P N S

D e m i k i a n m o h o n m a k l u m .


K e t u a ,

4 8

FORMAT 9b





B a t a n g ,

B a t a n g , K e p a d a : Y t h . K e p a l a B a g i a n P e m e r i n t a h a n D e s a S e k r e t a r i a t D a e r a h K a b u p a t e n B a t a n g D i

B A T A N G .




N A M A ;

T E M P A T / T A N G G A L L A H I R ;

A L A M A T :



K E C A M A T A N ;

B e r m a k s u d u n t u k m e m e n u h i k e l e n g k a p a n b e r k a s p e r s y a r a t a n b a k a l c a l o n k e p a l a d e s a ;


1 . S u r a t k e t e r a n g a n t i d a k p e r n a h m e n j a b a t s e b a g a i K e p a l a D e s a s e l a m a 3 ( t i g a ) k a l i m a s a j a b a t a n b a i k s e c a r a b e r t u r u t - t u r u t a t a u t i d a k s e c a r a b e r t u r u t - t u r u t



K e t u a ,

4 9

FORMAT 9c

PANITIA PEMILIHAN KEPALA D E S A D E S A . KECAMATAN


B a t a n g ,

N o m o r : 1 4 1 . 1 / / P A N . P e r i h a l ; P e m e n t i h a n B e r k a s P e r s y a r a t a n


B a t a n g , K e p a d a : Y t h . K e p a l a D i n a s K e p e n d u d u k a n d a n C a t a t a n S i p i l K a b u p a t e n B a t a n g D i

B A T A N G .




N A M A ;


A L A M A T :

T e l a h t e r d a f t a r s e b a g a i :

B A K A L C A L O N K A D E S

K E C A M A T A N ;

B e r m a k s u d u n t u k m e m e n u h i k e l e n g k a p a n b e r k a s p e r s y a r a t a n b a k a l c a l o n k e p a l a d e s a ,

y a i t u :

N O . U R A I A N K E T 1 . S u r a t k e t e r a n g a n s e b a g a i w a r g a n e g a r a I n d o n e s i a 2 . L e g a l i s a s i a k t a k e l a h i r a n a t a u s u r a t k e t e r a n g a n k e n a l l a h i r 3 . L e g a l i s a s i k a r t u t a n d a p e n d u d u k


P A N I T I A P E M I L I H A N K E P A L A D E S A K E C A M A T A N

K e t u a ,

5 0

FORMAT 9d


KABUPATEN BATANG Alamat Sekretariat:



B a t a n g ,

B a t a n g , K e p a d a : Y t h . K e p a l a D i n a s K e s e h a t a n K a b u p a t e n B a t a n g D i

B A T A N G .




N A M A ;


A L A M A T



K E C A M A T A N ;

B e r m a k s u d u n t u k m e m e n u h i k e l e n g k a p a n b e r k a s p e r s y a r a t a n b a k a l c a l o n k e p a l a d e s a , y a i t u :


1 . S u r a t k e t e r a n g a n b e r b a d a n s e h a t



K E C A M A T A N

K e t u a ,

5 1

FORMAT 9 e



B a t a n g ,



B a t a n g , K e p a d a : Y t h . K e p a l a D i n a s P e n d i d i k a n P e m u d a d a n O l a h R a g a K a b u p a t e n B a t a n g D i

B A T A N G .




N A M A ;


A L A M A T :


B A K A L C A L O N K A D E S

K E C A M A T A N ;






K e t u a ,

5 2

FORMATS/





B a t a n g ,

B a t a n g , K e p a d a : Y t h . K e p a l a K a n t o r K e m e n t e r i a n A g a m a K a b u p a t e n B a t a n g D i

B A T A N G .




N A M A ;


A L A M A T :



K E C A M A T A N ;






K E C A M A T A N

K e t u a ,

5 3

FORMAT 9g


KABUPATEN BATANG Alamat Sekretariat:

B a t a n g ,



B a t a n g , K e p a d a : Y t h . K e t u a P e n g a d i l a n K a b u p a t e n B a t a n g D i

B A T A N G .

N e g e r i




N A M A ; T E M P A T / T A N G G A L L A H I R : A L A M A T ; T e l a h t e r d a f t a r s e b a g a i ; B A K A L C A L O N K A D E S K E C A M A T A N ; B e r m a k s u d u n t u k m e m e n u h i k e l e n g k a p a n b e r k a s p e r s y a r a t a n b a k a l c a l o n k e p a l a d e s a , y a i t u :


1 . S u r a t k e t e r a n g a n b a h w a t i d a k p e r n a h d i j a t u h i p i d a n a p e n j a r a b e r d a s a r k a n p u t u s a n p e n g a d i l a n y a n g b e r k e k u a t a n h u k u m t e t a p k a r e n a t i n d a k p i d a n a y a n g d i a n c a m d e n g a n p e n j a r a p a l i n g s i n g k a t 5 ( l i m a ) t a h u n a t a u l e b i h

2 . S u r a t K e t e r a n g a n b a h w a t i d a k s e d a n g d i c a b u t h a k p i l i h n y a s e s u a i d e n g a n p u t u s a n p e n g a d i l a n y a n g t e l a h m e m p u n y a i k e k u a t a n h u k u m t e t a p



K E C A M A T A N

K e t u a ,

5 4

FORMAT 9h


KABUPATEN BATANG A l a m a t S e k r e t a r i a t ;



B a t a n g ,

B a t a n g , K e p a d a : Y t h . K e p a l a K e p o l i s i a n R e s o r t B a t a n g D i

B A T A N G .




N A M A ;


A L A M A T :



K E C A M A T A N



1 . S u r a t K e t e r a n g a n C a t a t a n K e p o l i s i a n ( S K C K )



K E C A M A T A N

K e t u a ,

5 5

F O R M A T 1 0



B E R I T A A C A R A H A S I L P E N E L I T I A N B E R K A S P E R S Y A R A T A N A D M I N I S T R A S I

B A K A L C A L O N K E P A L A D E S A

P a d a h a r i i n i t a n g g a l b u l a n t a h u n , b e r t e m p a t d i k a m i s e l a k u P a n i t i a P e m i l i h a n K e p c d a D e s a t e l a h m e l a k s a n a k a n p e n e l i t i a n b e r k a s p e r s y a r a t a n a d m i r u s t r a s i b a k a l c a l o n k e p a l a d e s a a t a s n a m a B a h w a s e s u a i k e t e n t u a n p a s a l 2 3 , 2 4 , 2 5 , d a n 2 6 . P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a d i K a b u p a t e n Bat£ing m a k a d a r i h a s i l p e n e l i t i a n t e r s e b u t d i p e r o l e h h a s i l s b b . : 1 . N a m a : A l a m a t : 2 . N a m a : A l a m a t ; 3 . N a m a : A l a m a t : 4 . N a m a : A l a m a t : 5 . N a m a : A l a m a t 6 . N a m a : A l a m a t : M e r u p a k a n B a k a l C a l o n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g y a n g M E M E N U H I P E R S Y A R A T A N A D M I N I S T R A S I . D e m i k i a n b e r i t a a c a r a i n i d i b u a t u n t u k d i p e r g u n a k a n s e b a g a i m a n a m e s t i n y a .



1 ( )

2 ( )

3 ( )

4 ( )

5 ( )

6 ( )

7 ( )

8 ( )

9 ( )

1 0 ( )

1 1 ( )

5 6

FORMATlla




1 4 1 . 1 / / P A N . 1 ( s a t u ) b e r k a s . P e l a k s a n a a n S e l e k s i u j i a n t e r t u l i s / l i s a n

B a t a n g , . K e p a d a Y t h , D i

B e r d a s a r k a n P a s a l 3 2 a y a t ( 1 ) P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a D i K a b u p a t e n B a t a n g d a n K e p u t u s a n B u p a t i B a t a n g N o m o r : 1 4 1 . 1 / t a n g g a l

t e n t a n g J a d w a l d a n T a h a p a n P e m i l i h a n K e p a l a D e s a s e r t a K e p u t u s a n P a n i t i a P e m i l i h a n K e p a l a D e s a N o m o r t a n g g a l t e n t a n g b a k a l C a l o n K e p a l a D e s a y a n g m e m e n u h i p e r s y a r a t a n a d m i n i s t r a s i , m a k a d e n g a n k a m i m e n g h a r a p d e n g a n h o r m a t a t a s k e h a d i r a n B a p a k / i b u / s a u d a r a ( i ) u n t u k h a d i r p a d a :

H A R 1 , T A N G G A L :

P U K U L :

T E M P A T :

A C A R A P e l a k s a n a a n s e l e k s i u j i a n t e r t u l i s / l i s a n b a g i b k a l c a l o n k e p a l a d e s a y a n g m e m e n u h i p e r s y a r a t a n a d m i n i s t r a t i f .

K E T E R A N G A N M e n g i n g a t p e n t i n g n y a a c a r a d i m a k s u d , a g a r d a p a t h a d i r 3 0 ( t i g a p u l u h ) m e n i t s e b e l u m a c a r a d i m u l a i .

D e m i k i a n a g a r m e n j a d i m a k l u m .


K e t u a / S e k r e t a r i s ,

T e m b u s a n : 1 . K e t u a B P D 2 . K e p a l a D e s a / P e n j a b a t K e p a l a D e s a 3 . A r s i p .

5 7

FORMAT lib PANITIA PEMILIHAN KEPALA D E S A



N o m o r : 1 4 1 . 1 / / P A N L a m p i r a n : 1 ( s a t u ) b e r k a s P e r i h a l : P e r m o h o n a n F a s i l i t a s i P e l a k s a n a a n

T e s T e r t u l i s B a k a l C a l o n K e p a l a D e s a K e c a m a t a n

B a t a n g , 2 0 1 5

K e p a d a : Y t h . K e t u a P a n i t i a P e n g a r a h T i n g k a t K a b u p a t e n B a t a n g D i

B A T A N G

B a h w a b e r d a s a r k a n P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7

T a h u n 2 0 1 5 t e n t a n g P e n y e l e n g g a r a a n P e m e r i n t a h a n D e s a , P e r a t u r a n B u p a t i

B a t a n g N o m o r T a h u n 2 0 1 5 T e n t a n g T a t a C a r a P e m i l i h a n d a n

P e m b e r h e n t i a n K e p a l a D e s a d i K a b u p a t e n B a t a n g d a n K e p u t u s a n B u p a t i

B a t a n g N o m o r : 1 4 1 . 1 / / t a n g g a l P e r i h a l J a d w a l d a n

T a h a p a n P e m i l i h a n K e p a l a D e s a , m a k a b e r s a m a i n i k a m i s a m p a i k a n

p e r m o h o n a n f a s i l i t a s i p e l a k s a n a a n t e s t e r t u l i s B a k a l C a l o n K e p a l a D e s a y a n g

m e m e n u h i p e r s y a r a t a n D e s a K e c a m a t a n

A d a p u n d a t a B a k a l C a l o n K e p a l a D e s a s e b a g a i m a n a t e l a m p i r .



K e t u a ,

T e m b u s a n : 1 . K e t u a B P D ; 2 . K e p a l a D e s a / P e n j a b a t K e p a l a D e s a ; 3 . A r s i p .

5 8

FORMAT 11c

PANITIA PEMILIHAN KEPALA D E S A D E S A . KECAMATAN


BERITA A C A R A RAPAT P E M B A H A S A N H A S I L P E L A K S A N A A N S E L E K S I UJIAN T E R T U L I S D A N , /

A T A U L I S A N B A G I B A K A L C A L O N K E P A L A D E S A Y A N G M E M E N U H I P E R S Y A R A T A N A D M I N I S T R A S I

P a d a h a r i i n i t a n g g a l b u l a n t a h u n , b e r t e m p a t d i k a m i s e l a k u P a n i t i a P e m i l i h a n K e p a l a D e s a t e l a h m e l a k s a n a k a n R a p a t P e m b a h a s a n H a s i l P e l a k s a n a a n S e l e k s i U j i a n T e r t u l i s b a k a l c a l o n k e p a l a d e s a y a n g m e m e n u h i p e r s y a r a t a n a d m i n i s t r a s i . D e n g a n m e m p e r h a t i k a n s u r a t K e t u a T i m P e n g u j i S e l e k s i U j i a n T e r t u l i s T i n g k a t K a b u p a t e n B a t a n g , n o m o r t a n g g a l p e r i h a l , r a p a t s e l a n j u t n y a m e n y i m p u l k a n b a h w a b a k a l c a l o n k e p a l a d e s a y a n g t e r s e b u t d i b a w a h i n i : 1 . N a m a : A l a m a t : 2 . N a m a : A l a m a t : 3 . N a m a : A l a m a t 4 . N a m a : A l a m a t : 5 . N a m a : A l a m a t : D i n y a t a k a n L U L U S s e l e k s i u j i a n t e r t u l i s d a n / a t a u l i s a n d a n b e r h a k m e n g i k u t i t a h a p a n b e r i k u t n y a , b e r u p a P e n e t a p a n C a l o n K e p a l a D e s a . D e m i k i a n B e r i t a a c a r a i n i d i b u a t u n t u k d i p e r g u n a k a n s e b a g a i m a n a m e s t i n y a .



1 . 2 . 3 . 4 . 5 . 6 . 7 . 8 . 9 . 1 0 . 1 1 .

5 9

FORMAT 12a PANITIA PEMILIHAN KEPALA D E S A



K E P U T U S A N P A N I T I A P E M I U H A N K E P A L A D E S A D E S A K E C A M A T A N K A B U P A T E N B A T A N G

N O M O R : 1 4 1 . 1 / / K E P - P A N / 2 0 1 6

T E N T A N G P E N E T A P A N C A L O N K E P A L A D E S A


M e n i m b a n g b a h w a u n t u k m e l a k s a n a k a n k e t e n t u a n P a s a l 3 0 a y a t ( 1 ) P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 T e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a D i K a b u p a t e n B a t a n g , p e r l u m e n e t a p k a n C a l o n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g .

M e n g i n g a t 1 . P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 T a h u n 2 0 1 5 t e n t a n g P e n y e l e n g g a r a a n P e m e r i n t a h a n D e s a ;

2 . P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a d i K a b u p a t e n B a t a n g .

M e m p e r h a t i k a n : 1 . B e r i t a A c a r a H a s i l P e n e l i t i a n B e r k a s P e r s y a r a t a n A d m i r u s t r a s i B a k a l C a l o n K e p a l a D e s a , P a n i t i a P e m i l i h a n K e p a l a D e s a

2 . B e r i t a A c a r a R a p a t P e m b a h a s a n H a s i l P e l a k s a n a a n S e l e k s i U j i a n T e r t u l i s d a n a t a u L i s a n B a g i B a k a l C a l o n K e p a l a D e s a y a n g M e m e n u h i P e r s y a r a t a n A d m i n i s t r a s i , P a n i t i a P e m i l i h a n K e p a l a D e s a

M e n e t a p k a n ; K E S A T U

K E D U A

K E T I G A


C a l o n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g , d e n g a n d a f t a r n a m a s e b a g a i m a n a t e r c a n t u m p a d a L a m p i r a n K e p u t u s a n i n i . C a l o n K e p a l a D e s a s e b a g a i m a n a d i m a k s u d d i k t u m K E S A T U , a d a l a h C a l o n K e p a l a D e s a y a n g b e r h a k d i p i l i h p a d a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e B a t a n g t a h u n 2 0 1 6 . K e p u t u s a n i n i m u l a i b e r l a k u s e j a k t a n g g a l d i t e t a p k a n .

D i t e t a p k a n P a d a t a n g g a l


K e t u a ,

T e m b u s a n : 1 . C a m a t s e l a k u k e t u a p a n i t i a p e n e l i t i d a n p e n g u j i p i l k a d e s T k K e c a m a t a n ; 2 . K e t u a B P D 3 . K e p a l a D e s a / P e n j a b a t K e p a l a D e s a 4 . y a n g B e r s a n g k u t a n ; 5 . A r s i p .

6 0

L a m p i r a n : K e p u t u s a n P a n i t i a P i l k a d e s N o m o r : 1 4 1 . 1 / / K E P - P A N / T a n g g a l :

D A F T A R C A L O N K E P A L A D E S A K E C A M A T A N K A B U P A T E N B A T A N G

T A H U N 2 0 1 6

N O . N A M A K E T E R A N G A N


K e t u a ,

6 1


FORMAT 12 b

H A R I : T A N G G A L : W A K T U : T E M P A T : A C A R A : R A P A T P A N I T I A P I L K A D E S P E R I H A L P E N E T A P A N C A L O N K E P A L A

D E S A .


1

2

3

4

5

6

7

8

9

1 0

1 1

B a t a n g , M e n g e t a h u i : P A N I T I A P E M I L I H A N K E P A L A D E S A .

K E C A M A T A N K e t u a S e k r e t a r i s ,

6 2

FORMAT 13b



B E R I T A A C A R A H A S I L P E N G U N D I A N

N O M O R U R U T D A N T A N D A G A M B A R C A L O N K E P A L A D E S A

Y a n g b e r t a n d a t a n g a n d i b a w a h i n i , k a m i P a n i t i a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g , m e n y a t a k a n H a s i l P e n g u n d i a i n N o m o r U r u t d a n T a n d a G a m b a r C a l o n K e p a l a D e s a d a l a m P e m i l i h a n K e p a l a D e s a y a n g d i l a k s a n a k a n p a d a h a r i j a m W I B s . d W I B b e r t e m p a t d e n g a n h a s i l s e b a g a i b e r i k u t ;

N O . N A M A C A L O N N O M O R U R U T T A N D A G A M B A R 1 . 1 P a d i 2 . 2 K e t e l a 3 . 3 J a g u n g 4 . 4 K e l a p a 5 . 5 K a p a s

D e m i k i a n B e r i t a a c a r a i n i k a m i b u a t u n t u k m e n u n j a n g k e l a n c a r a n p e l a k s a n a a n P e m i l i h a n K e p a l a D e s a .


) 7

) 8

) 9

) 1 0

) n

C A L O N K E P A L A D E S A

•••) 4

•••) 5

. . . )

6 3




K E P U T U S A N P A N I T I A P E M I U H A N K E P A L A D E S A D E S A K E C A M A T A N K A B U P A T E N B A T A N G

N O M O R : 1 4 1 . 1 / / K E P - P A N / 2 0 1 6

T E N T A N G P E N E T A P A N N O M O R U R U T D A N T A N D A G A M B A R C A L O N K E P A L A D E S A


M e n i m b a n g : b a h w a u n t u k m e l a k s a n a k a n k e t e n t u a n P a s a l 3 3 a y a t ( 1 ) P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 T e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a D i K a b u p a t e n B a t a n g , p e r l u m e n e t a p k a n N o m o r U r u t d a n T a n d a G a m b a r C a l o n K e p a l a D e s a .

M e n g i n g a t : 1 . P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 T a h u n 2 0 1 5 t e n t a n g P e n y e l e n g g a r a a n P e m e r i n t a h a n D e s a ;


M e m p e r h a t i k a n : B e r i t a A c a r a H a s i l P e n g u n d i a n N o m o r U r u t d a n T a n d a G a m b a r C a l o n K e p a l a D e s a

M E M U T U S K A N : M e n e t a p k a n : K E S A T U : N o m o r U r u t d a n T a n d a G a m b a r C a l o n K e p a l a D e s a K e c a m a t a n

K a b u p a t e n B a t a n g , s e b a g a i m a n a t e r c a n t u m p a d a L a m p i r a n K e p u t u s a n i n i .

K E D U A N o m o r U r u t d a n T a n d a G a m b a r C a l o n K e p a l a D e s a s e b a g a i m a r i a d i m a k s u d d i k t u m K E S A T U , a d a l a h N o m o r U r u t d a n T a n d a G a m b a r y a n g a k a n d i p i l i h p a d a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e B a t a n g t a h u n

K E T I G A : K e p u t u s a n i n i m u l a i b e r l a k u s e j a k t a n g g a l d i t e t a p k a n .



K e t u a ,

T e m b u s a n : 1 . C a m a t s e l a k u k e t u a p a n i t i a p e n e l i t i d a n p e n g u j i p i l k a d e s T k K e c a m a t a n ; 2 . K e t u a B P D 3 . K e p a l a D e s a / P e n j a b a t K e p a l a D e s a 4 . y a n g B e r s a n g k u t a n ; 5 . A r s i p .

6 4

L a m p i r a n : K e p u t u s a n P a n i t i a P i l k a d e s N o m o r : 1 4 1 . 1 / / K E P - P A N / T a n g g a l :

D A F T A R N A M A C A L O N , N O M O R U R U T D A N T A N D A G A M B A R

C A L O N K E P A L A D E S A K E C A M A T A N K A B U P A T E N B A T A N G

T A H U N

N O . N A M A C A L O N N O M O R U R U T T A N D A G A M B A R

1 . 1 P a d i

2 . 2 K e t e l a

3 . 3 J a g u n g

4 . 4 K e l a p a

5 . 5 K a p a s



6 5

FORMAT 13c

PAKTA INTEGRITAS C A L O N K E P A L A DESA

K a m i y a n g b e r t a n d a t a n g a n d i b a w a h i n i , C a l o n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g : N a m a : T e m p a t / T g l . L a h i r : A l a m a t : N o . U r u t : T a n d a G a m b a r :

M e n y a t a k a n b a h w a k a m i s i a p d a n b e r s e d i a : 1 . M e n j a g a k e a m a n a n , k e t e n t r a m a n d a n k e t e r t i b a n m a s y a r a k a t D e s a s e l a m a d a n s e t e l a h

p e l a k s a n a a n P e m i l i h a n K e p a l a D e s a ; 2 . T i d a k a k a n m e l a k u k a n p r a k t e k p o l i t i k u a n g ( money politic ) a t a u m e m p e n g a r u h i

p e m i l i h / c a l o n p e m i l i h d e n g a n c a r a m e m b e r i s e j u m l a h u a n g a t a u m e m b e r i d a l a m b e n t u k l a i n n y a ;

3 . B e r s e d i a m e w u j u d k a n p e l a k s a n a a n p e n y e l e n g g a r a a n p e m e r i n t a h a n D e s a y a n g b e r s i h d a n b e r w i b a w a s e r t a b e b a s K o r u p s i , K o l u s i d a n N e p o t i s m e ( K K N ) a p a b i l a t e r p i l i h s e b a g a i K e p a l a D e s a

4 . A k a n b e k e r j a d e n g a n s e b a i k - b a i k n y a , s e l u r u s - l u r u s n y a , d a n s e j u j u r - j u j u r n y a s e s u a i k e t e n t u a n p e r a t u r a n p e r u n d a n g - u n d a n g a n y a n g b e r l a k u d e n g a n t i d a k m e m b e d a -b e d a k a n m a s y a r a k a t D e s a t e r t e n t u a p a b i l a t e r p i l i h s e b a g a i k e p a l a d e s a ;

5 . B e r s e d i a b e k e r j a s a m a d a n m e n d u k u n g p r o g r a m k e r j a K e p a l a D e s a t e r p i l i h a t a s d a s a r k e p e n t i n g a n D e s a d a n m a s y a r a k a t D e s a a p a b i l a t i d a k t e r p i l i h s e b a g a i K e p a l a D e s a .

D e m i k i a n P e r n y a t a a n i n i k a m i b u a t d e n g a n s e s u n g g u h n y a .

B a t a n g C A L O N K E P A L A D E S A

M E N G E T A H U I : P A N I T I A P E M I L I H A N K E P A L A D E S A

D E S A K e t u a ,

N I P .

P A N I T I A P E N G A W A S P I L K A D E S T I N G K A T K E C A M A T A N

K e t u a ,

6 6

FORMAT 13d

SURAT MANDAT SAKSI

Y a n g b e r t a n d a t a n g a n d i b a w a h i n i :

I . N a m a : T e m p a t / T g l . L a h i r : P e k e r j a a n : K e w a r g a n e g a r a a n : I n d o n e s i a A g a m a : A l a m a t

S e l a n j u t n y a d i s e b u t P I H A K K E S A T U

I I . 1 ) N a m a T e m p a t / T g l . L a h i r ; P e k e r j a a n K e w a r g a n e g a r a a n : I n d o n e s i a A g a m a : A l a m a t

2 ) N a m a : T e m p a t / T g l . L a h i r : P e k e r j a a n K e w a r g a n e g a r a a n : I n d o n e s i a A g a m a A l a m a t

S e l a n j u t n y a d i s e b u t P I H A K K E D U A

P I H A K K E S A T U d e n g a n P I H A K K E D U A t e l a h m e n g a d a k a n k e s e p a k a t a n s e b a g a i b e r i k u t : 1 . P I H A K K E S A T U m e m b e r i k a n m a n d a t s e p e n u h n y a k e p a d a P I H A K K E D U A u n t u k

m e w a k i l i m e n j a d i s a k s i d a l a m T a h a p a n P e l a k s a n a a n P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g ;

2 . P I H A K K E D U A m e n e r i m a d a r i P I H A K K E S A T U m a n d a t s e p e n u h n y a u n t u k m e w a k i l i d a n m e n j a d i s a k s i d a l a m T a h a p a n P e l a k s a n a a n P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g d e n g a n p e n u h r a s a t a n g g u n g j a w a b .

D e m i k i a n S U R A T M A N D A T i n i d i b u a t d a l a m k e a d a a n s e h a t r o h a n i d a n j a s m a n i s e r t a d i t a n d a t a n g a n i o l e h k e d u a b e l a h p i h a k d a n d i k e t a h u i o l e h K e p a l a D e s a

B a t a n g ,

T a n d a T a n g a n P I H A K K E D U A T a n d a T a n g a n P I H A K K E S A T U

(Meterai 6000)

M e n g e t a h u i : P A N I T I A P E M I L I H A N K E P A L A D E S A


6 7

FORMAT 14h



B E R I T A A C A R A R A P A T P E N E T A P A N D A F T A R P E M I L I H S E M E N T A R A

P a d a h a r i i n i t a n g g a l b u l a n t a h u n , b e r t e m p a t d i k a m i s e l a k u P a n i t i a P e m i l i h a n K e p a l a D e s a t e l a h m e l a k s a n a k a n R a p a t m e m b a h a s P e n e t a p a n D a f t a r P e m i l i h S e m e n t a r a p a d a p e m i l i h a n K e p a l a D e s a K e c a m a t a n t a h u n 2 0 1 6 .

R a p a t m e n y i m p u l k a n d a n m e n y e p a k a t i b a h w a j u m l a h p e m i l i h s e m e n t a r a a d a l a h s b b :

J U M L A H P E M I L I H S E M E N T A R A ( D P S )

N o D u s u n J u m l a h P e m i l i K e t e r a n g a n N o D u s u n L a k i - L a k i P e r e m p u a n J u m l a h

K e t e r a n g a n

1 . 2 . 3 . 4 . 5 .

J u m l a h

T e r d i r i d a r i : a . J u m l a h P e m i l i h l a k i - L a k i b . J u m l a h P e m i l i h P e r e m p u a n c. J u m l a h s e l u r u h n y a :

D e m i k i a n B e r i t a a c a r a i n i d i b u a t u n t u k d i p e r g u n a k a n s e b a g a i m a n a m e s t i n y a .



1 ( ) 7 (

2 ( ) 8 (

3 ( ) 9 (

4 ( ) 1 0 (

5 ( ) 1 1 (

6 8

FORMAT Ua



K E P U T U S A N P A N I T I A P E M I L I H A N K E P A L A D E S A D E S A K E C A M A T A N K A B U P A T E N B A T A N G

N O M O R : 1 4 1 . 1 / / K E P - P A N / 2 0 1 6

T E N T A N G P E N E T A P A N D A F T A R P E M I L I H S E M E N T A R A ( D P S )

P A N I T I A P E M E L I H A N K E P A L A D E S A

M e n i m b a n g

M e n g i n g a t

M e m p e r h a t i k a n

b a h w a u n t u k m e l a k s a n a k a n k e t e n t u a n P a s a l 1 5 P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 T e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a D i K a b u p a t e n B a t a n g , p e r l u m e n e t a p k a n D a f t a r P e m i l i h S e m e n t a r a ( D P S ) p a d a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g .

1 . P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 T a h u n 2 0 1 5 t e n t a n g P e n y e l e n g g a r a a n P e m e r i n t a h a n D e s a ;


B e r i t a A c a r a R a p a t P e n e t a p a n D a f t a r P e m i l i h S e m e n t a r a ( D P S ) p a d a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g T a h u n 2 0 1 6 .

M E M U T U S K A N : M e n e t a p k a n : K E S A T U : D a f t a r P e m i l i h T e t a p ( D P T ) p a d a P e m i l i h a n K e p a l a

D e s a K e c a m a t a n K a b u p a t e n B a t a n g T a h u n 2 0 1 6 , d e n g a n d a f t a r s e b a g a i m a n a t e r c a n t u m p a d a L a m p i r a n K e p u t u s a n i n i .

K E D U A K e p u t u s a n i n i m u l a i b e r l a k u s e j a k t a n g g a l d i t e t a p k a n .


P A N I T I A P E M I L I H A N K E P A L A D E S A K E C

K e t u a ,

T e m b u s a n : 1 . C a m a t ; 2 . K e t u a B P D 3 . K e p a l a D e s a / P e n j a b a t K e p a l a D e s a 4 . y a n g B e r s a n g k u t a n ; 5 . A r s i p .

6 9

L a m p i r a n : K e p u t u s a n P a n i t i a P i l k a d e s N o m o r : 1 4 1 . 1 / / K E P - P A N / 2 0 1 6 T a n g g a l :

J U M L A H P E M I L I H S E M E N T A R A ( D P S ) P E M I L I H A N K E P A L A D E S A


N o D u s u n J u m l a h P e m i l i 1 K e t e r a n g a n N o D u s u n L a k i - L a k i P e r e m p u a n J u m l a h J

K e t e r a n g a n

1 . D u s u n

2 . D u s u n

3 . D u s u n

4 . D u s u n

5 . D s t

J u m l a h

T e r d i r i d a r i : a . J u m l a h P e m i l i h l a k i - L a k i b . J u m l a h P e m i l i h P e r e m p u a n c. J u m l a h s e l u r u h n y a


K e t u a ,

7 0


F O R M A T 3 5 c

H A R I : T A N G G A L : W A K T U : T E M P A T : A C A R A : R A P A T P E N E T A P A N D A F T A R P E M I L I H T E T A P ( D P T )

N O N A M A J A B A T A N T A N D A T A N G A N

1 .

2 .

3 .

4 .

5 .

6 .

7 .

8 .

9 .

1 0 .

1 1 .

1 2 .

1 3 .

1 4 .

1 5 .

1 6 .

1 7 .

1 8 .

1 9 .

2 0 .



7 1

FORMAT 15b



B E R I T A A C A R A R A P A T P E N E T A P A N D A F T A R P E M I L I H T E T A P

P a d a h a r i i n i t a n g g a l b u l a n t a h u n , b e r t e m p a t d i k a m i s e l a k u P a n i t i a P e m i l i h a n K e p a l a D e s a t e l a h m e l a k s a n a k a n R a p a t m e m b a h a s P e n e t a p a n D a f t a r P e m i l i h T e t a p p a d a p e m i l i h a n K e p a l a D e s a K e c a m a t a n t a h u n 2 0 1 6 .

R a p a t m e n y i m p u l k a n d a n m e n y e p a k a t i b a h w a :

A . l U M L A H P E M I L I H S E M E N T A R A N o D u s u n J u m l a h P e m i l i 1 K e t e r a n g a n N o D u s u n

L a k i - L a k i P e r e m p u a n J u n d a h K e t e r a n g a n

J u m l a h

U M L A H P E M I L I H T A M B A H A N N o D u s u n J u m l a h P e m i l i K e t e r a n g a n N o D u s u n

L a k i - L a k i P e r e m p u a n J u m l a h K e t e r a n g a n

J u m l a h

C . J U M L A H P E M I L I H T E T A P : J U M L A H P E M I L I H S E M E N T A R A ( A ) + J U M L A H P E M I L I H T A M B A H A N ( B )

N o D u s u n J u n t l a h P e m i l i h K e t e r a n g a n N o D u s u n L a k i - L a k i P e r e m p u a n J u m l a h

K e t e r a n g a n

J u m l a h

T e r d i r i d a r i : d . J u m l a h P e m i l i h l a k i - L a k i e . J u m l a h P e m i l i h P e r e m p u a n f . J u m l a h s e l u r u h n y a

7 2

D e m i k i a n B e r i t a a c a r a i n i d i b u a t u n t u k d i p e r g u n a k a n s e b a g a i m a n a m e s t i n y a .




7

8

9

1 0

1 1

M e n g a t a h u i d a n M e n y e t u j u i

1 . K a d e s / P e n j a b a t K a d e s

2 . C a l o n K a d e s N o . U r u t 1








K E P U T U S A N P A N I T I A P E M I L I H A N K E P A L A D E S A D E S A K E C A M A T A N K A B U P A T E N B A T A N G

N O M O R : 1 4 L 1 / / K E P - P A N / 2 1 0 6

T E N T A N G P E N E T A P A N D A F T A R P E M I L I H T E T A P

P A N I T I A P E M E L I H A N K E P A L A D E S A

M e n i m b a n g

M e n g i n g a t

M e m p e r h a t i k a n

M e n e t a p k a n : K E S A T U

K E D U A

b a h w a u n t u k m e l a k s a n a k a n k e t e n t u a n P a s a l 1 8 P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 T e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a D i K a b u p a t e n B a t a n g , p e r l u m e n e t a p k a n D a f t a r P e m i l i h T e t a p ( D P T ) p a d a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g .

1 . P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 T a h u n 2 0 1 5 t e n t a n g P e n y e l e n g g a r a a n P e m e r i n t a h a n D e s a ;


B e r i t a A c a r a R a p a t P e n e t a p a n D a f t a r P e m i l i h T e t a p ( D P T ) p a d a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g T a h u n 2 0 1 6 .


D a f t a r P e m i l i h T e t a p ( D P T ) p a d a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g T a h u n 2 0 1 6 , d e n g a n d a f t a r s e b a g a i m a n a t e r c a n t u m p a d a L a m p i r a n K e p u t u s a n i r t i . K e p u t u s a n i n i m u l a i b e r l a k u s e j a k t a n g g a l d i t e t a p k a n .


P A N I T I A P E M I L I H A N K E P A L A D E S A K E C

K e t u a ,

T e m b u s a n : 1 . C a m a t ; 2 . K e t u a B P D 3 . K e p a l a D e s a / P e n j a b a t K e p a l a D e s a 4 . y a n g B e r s a n g k u t a n ; 5 . A r s i p .

7 4

L a m p i r a n : K e p u t u s a n P a n i t i a P i l k a d e s N o m o r : 1 4 1 . 1 / / K E P - P A N / 2 0 1 6 T a n g g a l :

J U M L A H P E M I L I H T E T A P ( D P T ) P E M I L I H A N K E P A L A D E S A

K E C A M A T A N K A B U [ A T E N B A T A N G

N o D u s u n J u m l a h P e m i l i 1 K e t e r a n g a n N o D u s u n L a k i - L a k i P e r e m p u a n J u m l a h

K e t e r a n g a n

1 . D u s u n 2 . D u s u n 3 . D u s u n 4 . D u s u n 5 . D s t

J u m l a h

T e r d i r i d a r i : d . J u m l a h P e m i l i h l a k i - L a k i e . J u m l a h P e m i l i h P e r e m p u a n f . J u m l a h s e l u r u h n y a


K e t u a ,


FORMAT 15c

H A R I : T A N G G A L : W A K T U : T E M P A T : A C A R A : R A P A T P E N E T A P A N D A F T A R P E M I L I H T E T A P ( D P T )


1 .

2 .

3 .

4 .

5 .

6 .

7 .

8 .

9 .

1 0 .

1 1 .

1 2 .

1 3 .

1 4 .

1 5 .

1 6 .

1 7 .

1 8 .

1 9 .

2 0 .



7 6

FORMAT 16

BERITA ACARA S E R A H T E R I M A S U R A T S U A R A

P a d a h a r i i n i t a n g g a l b u l a n t a h u n D u a R i b u E n a m B e l a s , k a m i y a n g b e r t a n d a t a n g a n d i b a w a h i n i ; I . N a m a :

N I P ; J a b a t a n : T i m P e n g a r a h T i n g k a t K a b u p a t e n B a t a n g A l a m a t : K e c a m a t a n K a b . B a t a n g S e l a n j u t n y a d i s e b u t P I H A K K E S A T U

I I . N a m a J a b a t a n : K e t u a P a n i t i a P e m i l i h a n A l a m a t : D e s a K e c a m a t a n S e l a n j u t n y a d i s e b u t P I H A K K E D U A

D e n g a n i n i m e n y a t a k a n b a h w a : 1 . P I H A K K E S A T U m e n y e r a h s u r a t s u a r a s e b a n y a k l e m b a r s e s u a i d e n g a n D a f t a r

p e m i l i h T e t a p , d i t a m b a h c a d a n g a n s e b a n y a k l e m b a r ( 2 , 5 % d a r i D P T ) d a l a m k e a d a a n b a i k k e p a d a P I H A K K E D U A .

2 . P I H A K K E D U A t e l a h m e n e r i m a s u r a t s u a r a s e b a n y a k l e m b a r s e s u a i d e n g a n D a f t a r P e m i l i h T e t a p , d i t a m b a h c a d a n g a n s e b a n y a k l e m b a r ( 2 , 5 % d a r i D P T ) d a l a m k e a d a a n b a i k d a r i P I H A K S A T U .

3 . P I H A K K E D U A a k a n m e n g g u n a k a n s u r a t s u a r a p a d a P e m i l i h a n K e p a l a D e s a d i D e s a K e c a m a t a n K a b u p a t e n B a t a n g , d e n g a n j u n U a h c a l o n s e b a g a i b e r i k u t :

N O . N A M A C A L O N N O M O R U R U T T A N D A G A M B A R 1 . 1 P a d i 2 . 2 K e t e l a 3 . 3 J a g u n g 4 . 4 K e l a p a 5 . 5 K a p a s

4 . S u r a t s u a r a c a d a n g a n s e b a n y a k l e m b a r s e b a g a i m a n a d i m a k s u d , s e b a g a i c a d a n g a n d a n a n t i s i p a s i ; a . S u r a t s u a r a r u s a k / c a c a t / g a g a i c e t a k ; b . S u r a t s u a r a k e l i r u d i c o b l o s ; d a n c . H a l l a i n s e h i n g g a s u r a t s u a r a t i d a k d a p a t d i g u n a k a n .

D e m i k i a n b e r i t a a c a r a i n i d i b u a t u n t u k d i g u n a k a n s e b a g a i m a n a m e s t i n y a .

B a t a n g ,

P I H A K K E D U A P I H A K K E S A T U

N I P

7 7

FORMAT 17 PANITIA PEMILIHAN KEPALA D E S A




1 4 1 . 1 / / P A N 1 ( s a t u ) b e r k a s U N D A N G A N

B a t a n g ,

K e p a d a , Y t h d i

B a h w a b e r d a s a r k a n P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a d a n K e p u t u s a n B u p a t i B a t a n g N o m o r : 1 4 1 . 1 / / / t a n g g a l P e r i h a l J a d w a l d a n T a h a p a n P e m i l i h a n K e p a l a D e s a , m a k a m e n g h a r a p d e n g a n h o r m a t a t a s k e h a d i r a n B a p a k / I b u / S a u d a r a ( i ) u n t u k h a d i r p a d a : H A R I , T A N G G A L : P U K U L ; T E M P A T : A C A R A : P E M U N G U T A N S U A R A P I L K A D E S T A H U N 2 0 1 6 C A T A T A N 1 . U n d a n g a n i n i a g a r d i b a w a y a n g b e r s a n g k u t a n

p a d a w a k t u p e l a k s a n a a n P e m u n g u t a n S u a r a P i l k a d e s .

2 . T i d a k b o l e h d i p h o t o c o p y / d i g a n d a k a n d a l a m b e n t u k a p a p u n .

D e m i k i a n a g a r m a k l u m


K e t u a ,

T A N D A T E R I M A T e l a h d i t e r i m a d e n g a n k e a d a a n b a i k , S u r a t U n d a n g a n M e m i l i h d a l a m P e m i l i h a n K e p a l a D e s a ( P I L K A D E S ) :

N o m o r D P T : N a m a P e m i l i h : P i n t u M a s u k : R T / R W :

P a n i t i a / P e t u g a s . P e m i l i h

( ) ( )

S a k s i - S a k s i , 1 ( ) 2 . 3 ( )

7 8

FORMAT 18



B E R I T A A C A R A P E N A N D A T A N G A N A N S U R A T S U A R A

P a d a h a r i i n i T a n g g a l B u l a n t a h u n ^ b e r t e m p a t d i k a m i s e l a k u P a n i t i a p e m i l i h a n k e p a l a d e s a . . . t e l a h d i l a k s a n a k a n p e n a n d a t a n g a n a n s u r a t s u a r a y a n g a k a n d i g u n a k a n p a d a P e m u n g u t a n S u a r a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g T a h u n 2 0 1 6 P e n a n d a t a n g a n a n S u r a t S u a r a d i l a k u k a n o l e h S d r S e l a k u K e t u a P a n i t i a P e m i l i h a n b e r d a s a r k a n k e w e n a n g a n n y a s e s u a i d e n g a n P a s a l 4 5 a y a t ( 2 ) P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a D i K a b u p a t e n B a t a n g . P e n a n d a t a n g a n a n d i l a k u k a n d i h a d a p a n a n g g o t a P a n i t i a P e m i l i h a n d a n d i s a k s i k a n o l e h P a n i t i a P e n g a w a s T i n g k a t K e c a m a t a n . S u r a t S u a r a y a n g d i t a n d a t a n g a n i s e b a n y a k ( ) s e s u a i d e n g a n j u m l a h p e m i l i h y a n g t e r d a f t a r d a l a m d a f t a r P e m i l i h T e t a p ( D P T ) d a n t i d a k t e r m a s u k s u r a t s u a r a c a d a n g a n . D a n s e t e l a h S u r a t S u a r a d i t a n d a t a n g a n i s e l u r u h n y a ( t e r m a s u k s u r a t s u a r a c a d a n g a n d i m a s u k k a n k e d a l a m k o t a k s u a r a d a l a m k e a d a a n d i s e g e l . D e m i k i a n B e r i t a A c a r a i n i d i b u a t a t a s k e s e p a k a t a n d a n d i t a n d a t a n g a n i b e r s a m a d e n g a n p e n u h t a n g g u n g j a w a b .

P A N I T I A P E M I L I H A N K E P A L A D E S A 1 ( ) 7 ( ) 2 ( ) 8 ( ) 3 ( ) 9 ( ) 4 ( ) 1 0 ( ) 5 ( ) 1 1 ( ) 6 ( ) 1 2 ( )

P A N I T I A P E N G A W A S T I N G K A T K E C A M A T A N K e t u a / S e k r e t a r i s / A n g g o t a ,

M E N G E T A H U I D A N M E N Y E T U J U I 1 . K a d e s / P e n j a b a t K a d e s ( ) 2 . C a l o n K a d e s N o . U r u t 1 ( ) 3 . C a l o n K a d e s N o . U r u t 2 ( ) 4 . C a l o n K a d e s N o . U r u t 3 ( ) 5 . C a l o n K a d e s N o . U r u t 4 ( ) 6 . C a l o n K a d e s N o . U r u t 5 ( )

7 9




B E R I T A A C A R A P E L A K S A N A A N K E G I A T A N S E B E L U M P E M U N G U T A N S U A R A

P a d a h a r i i n i t a n g g a l b u l a n t a h u n , b e r t e m p a t d i k a m i s e l a k u P a n i t i a P e m i l i h a n K e p a l a D e s a K e c a m a t a n , K a b u p a t e n B a t a n g , s e b e l u m p e l a k s a n a a n p e m u n g u t a n s u a r a , t e l a h m e l a k s c m a k a n k e g i a t a n : 1 . M e m b u k a K o t a k S u a r a y a n g d a l a m k e a d a a n t e r s e g e l / t e r k u n c i ; 2 . M e n g e l u a r k a n s e l u r u h i s i k o t a k s u a r a d a n m e n g i d e n t i f i k a s i j e n i s d a n j u m l a h d o k u m e n

d a n p e r a l a t a n s b b . : a . S u r a t S u a r a D P T : b . S u r a t S u a r a C a d a n g a n : c . D a f t a r S a l i n a n D P T : d . B a k d a n S t e m p e l T a n d a D a p i l / D u s u n :

3 . M e m p e r l i h a t k a n k e p a d a p e m i l i h , c a l o n d a n s a k s i c a l o n b a h w a k o t a k s u a r a b e n a r - b e n a r t e l a h k o s o n g , m e n u t u p k e m b a l i , m e n g u n c i / m e n y e g e l d a n m e l e t a k k a r m y a d i t e m p a t y a n g t e l a h d i t e n t u k a n ;

4 . M e n d a m p i n g i C a l o n K e p a l a D e s a d a l a m m e l a k u k a n p e m e r i k s a a n b i l i k s u a r a d a n k e l e n g k a p a n a l a t p e n c o b l o s a n ;

5 . M e n d i s t r i b u s i k a n s u r a t s u a r a k e p a d a p e t u g a s p o r t i r / p i n t u m a s u k s e b a n y a k : a S u r a t S u a r a , u n t u k p o r t i r / p i n t u m a s u k b S u r a t S u a r a , u n t u k p o r t i r / p i n t u m a s u k c S u r a t S u a r a , u n t u k p o r t i r / p i n t u m a s u k

6 . M e n y i a p a k a n S u r a t S u a r a C a d a n g a n d i M e j a P a r u t i a . D e m i k i a n B e r i t a A c a r a i n i d i b u a t d a n d i t a n d a t a n g a n i u n t u k d i p e r g u n a k a n s e b a g a i m a n a m e s t i n y a .



. 1 ( ) 2 ( ) 3 ( )

S A K S I C A L O N K E P A L A D E S A 1 ( ) 2 ( ) 3 ( ) 4 ( ) 5 ( )

8 0




B E R I T A A C A R A P E M U N G U T A N S U A R A

N o m o r : 1 4 1 . 1 / / B A - P A N / 2 0 1 6

P a d a h a r i i n i t a n g g a l b u l a n t a h u n , t e l a h d i l a k s a n a k a n p e m u n g u t a n s u a r a , p a d a p e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g T a h u n 2 0 1 6 .

P e m u n g u t a n S u a r a d i m u l a i p a d a j a m : W I B .

A t a s k e s e p a k a t a n p a r a S a k s i C a l o n , P e m u n g u t a n S u a r a d i t u t u p p a d a j a m : W I B .

D e m i k i a n B e r i t a a c a r a i n i d i b u a t a t a s k e s e p a k a t a n d a n d i t a n d a t a n g a n i b e r s a m a d e n g a n p e n u h t a n g g u n g j a w a b .


1 ( ) 7 ( )

2 { ) 8 ( )

3 . ( ) 9 ( )

4 ( ) 1 0 ( )

5 ( ) 1 1 ( )

6 ( ) 1 2 ( )

S A K S I - S A K S I C A L O N

1 ( ) 4 ( )

2 ( ) 5 ( )

3 ( )

M E N G E T A H U I : T I M P E N G A W A S T I N G K A T K E C A M A T A N

N I R

8 1

FORMAT 21

D A F T A R R E K A P I T U L A S I K E H A D I R A N D A N P E N G G U N A A N S U R A T S U A R A

P E M I L I H A N K E P A L A D E S A T A H U N

A . D a t a P e m i l i h

N O U R A I A N K E T E R A N G A N

N O U R A I A N L A K I - L A K I P E R E M P U A N J U M L A H ( 3 + 4 )

1 2 3 4 5 1 . J u m l a h p e m i l i h d a l a m s a l i n a n d a f t a r

p e m i l i h t e t a p ( D P T ) 2 J u m l a h p e m i l i h ( D P T ) y a n g h a d i r

m e m b a w a u n d a n g a n m e m i l i h 3 J u m l a h p e m i l i h ( D P T ) y a n g h a d i r

m e m b a w a / b e r d a s a r k a n K T P 4 T o t a l j u m l a h p e m i l i h ( D P T )

m e m b a w a U n d a n g a n + K T P

B . P e n e r i m a a n D a n P e n g g u n a a n S u r a t S u a r a

N O U R A I A N J U M L A H

1 2 3

1 . S u r a t S u a r a Y a n g D i t e r i m a

2 S u r a t s u a r a y a n g t e r p a k a i

3 S u r a t s u a r a y a n g d i k e m b a l i k a n o l e h p e m i l i h k a r e n a

r u s a k a t a u k e l i r u d i c o b l o s

4 S u r a t s u a r a y a n g t i d a k t e r p a k a i

S i e P e n d a f t a r a n d a n P e n e t a p a n P e m i l i h

8 2




B E R I T A A C A R A P E N G H I T U N G A N S U A R A

N o m o r : 1 4 1 . 1 / / B A - P A N / 2 0 1 6

P a d a h a r i i n i t a n g g a l b u l a n t a h u n , k a m i P a n i t i a P e m i l i h a n K e p a l a D e s a , D e s a K e c a m a t a n K a b u p a t e n B a t a n g , t e l a h m e n g a d a k a n P e n g h i t u n g a n S u a r a p a d a P e m i l i h a n K e p a l a D e s a S e r e n t a k , D e s a K e c a m a t a n K a b u p a t e n B a t a n g T a h u n 2 0 1 6 .

P e l a k s a n a a n k e g i a t a n P e n g h i t u n g a n S u a r a d i l a k s a n a k a n d i h a d a p a n p a r a S a k s i C a l o n d a n m a s y a r a k a t y a n g h a d i r , d i m u l a i p a d a j a m s / d j a m

A d a p u n h a s i l P e n g h i t u n g a n S u a r a u n t u k m a s i n g - m a s i n g c a l o n K e p a l a D e s a a d a l a h s e b a g a i b e r i k u t :

1 . S d r d e n g a n t a n d a g a m b a r m e m p e r l e h s u a r a s a h 2 . S d r d e n g a n t a n d a g a m b a r m e m p e r l e h s u a r a s a h 3 . S d r d e n g a n t a n d a g a m b a r m e m p e r l e h s u a r a s a h 4 . S d r d e n g a n t a n d a g a m b a r m e m p e r l e h s u a r a s a h 5 . S d r d e n g a n t a n d a g a m b a r m e m p e r l e h s u a r a s a h S e d a n g s u a r a t i d a k s a h a d a l a h s e b a n y a k

B e r d a s a r k a n h a s i l P e n g h i t u n g a n S u a r a t e r s e b u t d i a a t a s , m a k a S d r d e n g a n t a n d a g a m b a r t e l a h m e m p e r o l e h s u a r a t e r b a n y a k , s e h i n g g a t e l a h m e m e n u h i s y a r a t u n t u k d i a j u k a n k e p a d a B a d a n P e r m u s y a w a r a t a n D e s a , D e s a K e c a m a t a n K a b u p a t e n B a t a n g , u n t u k d i t e t a p k a n s e b a g a i C a l o n K e p a l a D e s a T e r p i l i h .

D e m i k i a n B e r i t a A c a r a P e n g h i t u n g a n S u a r a i n i d i b u a t d e n g a n s e b e n a r - b e n a r n y a u n t u k d a p a t d i p e r g u n k a n s e b a g a i m a n a m e s t i n y a .


D E S A K E C A M A T A N



S e k s i P e m u n g u t a n d a n P e n g h i t u n g a n S u a r a

P a r a S a k a s i C a l o n S a k s i C a l o n 1 S a k a s i C a l o n 2 S a k s i C a l o n 3 S a k s i C a l o n 4 S a k s i C a l o n 5

8 3

FORMAT 23

R E K A P I T U L A S I H A S I L P E N G H I T U N G A N S U A R A C A L O N K E P A L A D E S A

P A D A P E M I L I H A N K E P A L A D E S A T A H U N

A . S U A R A S A H N O .

U R U T N A M A C A L O N P E R O L E H A N S U A R A S A H

C A L O N K E P A L A D E S A 1 2 3

1 .

2 .

3 .

4 .

5 . J u m l a h P e r o l e h a n S u a r a S a h U n t u k S e l u r u h C a l o n

S U A R A T I D A K S A H

N O . U R A I A N J U M L A H S U A R A T I D A K S A H

1 2 3

S U A R A T I D A K S A H

J U M L A H S U A R A S A H D A N T I D A K S A H

N O . U R A I A N J U M L A H S U A R A T I D A K S A H

1 2 3

A .

B .

J

J U M L A H S U A R A S A H

J U M L A H S U A R A T I D A K S A H

A .

B .

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A .

B .

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J U M L A H J U M L A H

P A N I T I A P E M I L I H A N K E P A L A D E S A 1 ( ) 7 . . 2 ( ) 8 . . 3 ( ) 9 . , 4 ( ) m 5 ( ) 1 1 . 6 ( ) 1 2 .

8 4




B a t a n g N o m o r : 1 4 1 . 1 / / P A N . K e p a d a L a m p i r a n : 1 ( s a t u ) b e r k a s . K e t u a B P D D e s a , P e r i h a l : L a p o r a n H a s i l P e m i l i h a n K e p a l a D e s a D i

K e c a m a t a n K a b u p a t e n B a t a n g .

B e r d a s a r k a n P a s a l 6 5 a y a t 1 ( s a t u ) P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a D i K a b u p a t e n , m a k a b e r s a m a i n i k a m i l a p o r a k a n H a s i l P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g s e b a g a i b e r i k u t ; e . B a h w a P e m i l i h a n K e p a l a D e s a K e c a m a t a n

K a b u p a t e n B a t a n g , t e l a h d i l a k s a n a k a n d e n g a n b a i k , l a n c a r d a n k o n d u s i f , s e r t a s e s u a i d e n g a n p e r a t u r a n p e r u n d a n g - u n d a n g a n y a n g b e r l a k u .

f . B a h w a P e m i l i h a n K e p a l a D e s a t e r s e b u t d i i k u t i o l e h C a l o n K e p a l a D e s a .

g . B a h w a b e r d a s a r k a n k e g i a t a n P e m u n g u t a n S u a r a d a n P e n g h i t u n g a n S u a r a y a n g d i l a k s a n a k a n p a d a h a r i m i n g g u , 2 2 M e i 2 0 1 6 , d i p e r o l e h h a s i l s b b . :

N O . N A M A C A L O N N O . U R U T P E R O L E H A N T A N D A G A M B A R S U A R A S A H

1 . ( 1 ) P a d i 2 . ( 2 ) K e t e l a 3 . ( 3 ) J a g u n g 4 . ( 4 ) K e l a p a 5 . ( 5 ) K a p a s

h . B e r d a s a r k a n p e r o l e h a n s u a r a t e r s e b u t m a k a c a l o n k e p a l a d e s a y a n g m e m p e r o l e h s u a r a t e r b a n y a k a d a l a h : N a m a N o m o r d a n T a n d a G a m b a r : J u m l a h P e r o l e h a n S u a r a

i . S e h u b u n g a n d e n g a n h a s i l p e r o l e h a n s u a r a t e r b a n y a k t e r s e b u t , P a n i t i a P e m i l i h a n s e l a n j u t n y a m e n g u s u l k a n k e p a d a B P D a g a r k e p a d a y a n g b e r s a n g k u t a n d i t e t a p k a n s e b a g a i C a l o n K e p a l a D e s a T e r p i l i h d e n g a n K e p u t u s a n B P D .

j . S e b a g a i k e l e n g k a p a n u s u l a n m a k a b e r s a m a i n i k a m i l a m p i r k a n B e r i t a A c a r a P e m u n g u t a n S u a r a , B e r i t a A c a r a P e n g h i t u n g a n S u a r a d a n R i s a l a h K e g i a t a n P e m u n g u t a n d a n P e n g h i t u n g a n S u a r a .

D e m i k i a n u n t u k m e n j a d i k a n p e r i k s a .


K e t u a ,

8 5




R I S A L A H P E L A K S A N A A N K E G I A T A N

P E M U N G U T A N S U A R A D A N P E N G H I T U N G A N S U A R A P A N I T I A N P E M I L I H A N K E P A L A D E S A


I . K E G I A T A N P E M U N G U T A N S U A R A a . B a h w a k e g i a t a n p e m i l i h a n K e p a l a D e s a K e c a m a t a n

K a b u p a t e n B a t a n g , d i l a k s a n a k a n p a d a h a r i M i n g g u , t a n g g a l 2 2 M e i 2 0 1 6 , d i

b . K e g i a t a n p e m i l i h a n K e p a l a D e s a i n i d i l a k s a n a k a n o l e h P a n i t i a P e m i l i h a n K e p a l a D e s a . c . K e g i a t a n P e m u n g u t a n S u a r a d i h a d i r i l a n g s u n g o l e h d a r i C a l o n K e p a l a

D e s a . d . N a m a , n o m o r d a n t a n d a g a m b a r c a l o n K e p a l a D e s a y a n g b e r h a k d i p i l i h d a l a m

p e m i l i h a n k e p a l a d e s a i n i a d a l a h :

N o . N a m a C a l o n N o m o r U r u t d a n T a n d a G a m b a r

1 P a d i

2 K e t e l a

3 J a g u n g

4 K e l a p a

5 K a p a s

e . K e g i a t a n P e m u n g u t a n S u a r a d i l a k a s a n a k a n p a d a p u k u l 0 7 . 0 0 W I B s / d 1 3 . 0 0 W I B , y a n g d i a w a l i d e n g a n k e g i a t a n p e m b u k a a n s e b a g a i b e r i k u t : 1 . K a t a p e m b u k a a n o l e h K e t u a P a n i t i a P e m i l i h a n 2 . P e n g u c a p a n S u m p a h o l e h s e l u r u h P a n i t i a P e m i U h a n 3 . P e n j e l a s a n - p e n j e l a s a n o l e h K e t u a P a n i t i a , y a n g m e l i p u t i :

• S y a r a t - s y a r a t y a n g b e r h a k m e m i l i h • J u m l a h p e m i l i h b e r d a s a r D P T . • N a m a p a r a c a l o n K e p a l a D e s a • N o m o r d a n T a n d a G a m b a r P a r a C a l o n • P e m b a c a a n S u r a t P e r n y a t a a n C a l o n a k a n m e n e r i m a h a s i l p e m i l i h a n K e p a l a • T a t a c a r a p e m b e r i a n s u a r a • S u r a t s u a r a s a h d a n t i d a k s a h • H a l - h a l l a i n y a n g d i p a n d a n g p e r l u

f . P a n i t i a s e l a n j u t n y a m e m b u k a k o t a k s u a r a d a n m e n g e l u a r k a n s e l u r u h i s i K o t a k S u a r a s u a r a y a n g d i s a k s i k a n p a r a C a l o n k e m u d i a n m e n g u n c i n y a k e m b a l i d a n d i t e m p a t k a n d i t e m p a t y a n g t e l a h d i t e n t u k a n .

g . P a n i t i a P e m i l i h a n m e n e l i t i , m e n g h i t u n g d a n m e n c a t a t j e n i s d a n j u m l a h d o k u m e n d a n p e r a l a t a n y a n g d i k e l u a r k a n d a r i k o t a k s u a r a .

8 6

h . P e m i l i h a n d i l a k s a n a k a n d e n g a n c a r a L a n g s u n g , U m u m , B e b a s d a n R a h a s i a s e r t a J u j u r d a n A d i l , d e n g a n r a n g k a i a n k e g i a t a n s e b a g a i b e r i k u t : • P e m i l i h m e n u n j u k k a n d a n m e n y e r a h k a n S u r a t U n d a n g a n k e p a d a P a n i t i a

P e m i l i h a n , u n t u k m e m p e r o l e h 1 ( s a t u ) S u r a t S u a r a s e s u a i K o d e D a e r a h P e m i l i h a n D u s u n P e m i l i h . A d a s e b a n y a k p e m i l i h y a n g d a p a t m e n u j u k k a n u n d a n g a n u n t u k m e m i l i h .

• D a l a m k e a d a a n y a n g d a p a t d i b e n a r k a n , P a n i t i a P e n u l i h a n m e m b e r i k a n k e s e m p a t a n k e p a d a s e b a n y a k p e m i l i h y a n g m e n g g u n a k a n K T P u n t u k d a p a t m e m b e r i k a n h a k s u a r a n y a .

• P a r a P e m i l i h b e r d e r e t m e n g a n t r i m e n u n g g u g i l i r a n m a s u k k e b i l i k s u a r a u n t u k m e n c o b l o s s a l a h s a t u t a n d a g a m b a r c a l o n d a l a m s u r a t s u a r a , k e m u d i a n m e m a s u k a n n y a k e d a l a m k o t a k s u a r a .

• P a r a C a l o n K e p a l a D e s a d u d u k b e r d e r e t m e n g h a d a p p a r a p e m i l i h , s e s u a i n o m o r u r u t d a n t a n d a g a m b a r h a s i l u n d i a n . K e p a d a p a r a c a l o n d i b e r i k a n k e s e m p a t a n t e r a k h i r u n t u k m e n c o b l o s s u r a t s u a r a .

• B i l i k s u a r a d a n k o t a k s u a r a d i j a g a d a n d i a w a s i o l e h p a r a p e t u g a s k e a m a n a n d a n d i a t u r s e d e m i k i a n r u p a s e h i n g g a d i d a l a m t e m p a t - t e m p a t i n i k e a d a a n n y a a m a n , b e b a s d a n r a h a s i a .

• B a g i p a r a p e m i l i h y a n g c a c a t b a d a n ( t u n a h a s t a , t u n a n e t r a ) d a n j o m p o d i b a n t u o l e h o r a n g l a i n a t a u a n g g o t a p a n i t i a d a l a m m e m b e r i k a n s u a r a d a n m e m a s u k a r m y a k e d a l a m k o t a k s u a r a .

IL K E G I A T A N P E N G H I T U N G A N S U A R A

a . S e b e l u m p e n g h i t u n a n s u a r a d i l a k s a n a k a n , P a n i t i a m e n g h i t u n g d a n m e n c o c o k k a n j u m l a h p e m i l i h y a n g t e l a h t e r d a f t a r d a l a m D P T , y a n g m e m b a w a U n d a n g a n M e m i l i h d a n b e r d a s a r k a n K T P s e b a g a i b e r i k u t : 1 . B a n y a k n y a p e m i l i h m e n u r u t d a f t a r p e m i l i h t e t a p ( D P T ) :

• l a k i - l a k i o r a n g • p e r e m p u a n : o r a n g • j u m l a h o r a n g

2 . J u m l a h y a n g h a d i r : • M e m b a w a u n d a n g a n m e m i l i h ;

• L a k i - l a k i : o r a n g • P e r e m p u a n o r a n g • J u m l a h o r a n g

• B e r d a s a r k a n m e m b a w a K T P : • L a k i - l a k i o r a n g • P e r e m p u a n : o r a n g • J u m l a h o r a n g

• T o t a l j u m l a h p e m i l i h y a n g h a d i r b e r d a s a r k a n U n d a n g n + K T P : • L a k i - l a k i o r a n g • P e r e m p u a n o r a n g • J u m l a h ; o r a n g

b . D e n g a n p e r s e t u j u a n p a r a s a k s i c a l o n y a n g d i t e t a p k a n d a l a m b e r i t a A c a r a , P a n i t i a P e m i l i h a n m e n u t u p p e l a k s a n a a n P e m u n g u t a n S u a r a p a d a j a m W I B u n t u k s e l a n j u t n y a d i a d a k a n P e n g h i t u n g a n S u a r a .

8 7

P e n g h i t u n g a n s u a r a d i l a k u k a n o l e h P a n i t i a P e m i l i h a d e n g a n d i s a k s i k a n p a r a s a k s i d a r i m a s i n g - m a s i n g C a l o n , P a n i t i a P e n g a w a s T i n g k a t K e c a m a t a n s e r t a m a s y a r a k a t D e s a s e t e m p a t . S e d a n g k a n p a r a c a l o n p a d a s a a t d i m u l a i n y a p e r h i t u n g a n s u a r a t e l a h d i p e r s i l a h k a n k e m b a l i k e r u m a h m a s i n g - m a s i n g d e n g a n d i d a m p i n g i o l e h p e t u g a s k e a m a n a n . S u r a t s u a r a s a t u p e r s a t u d i a m b i l l a n g s u n g d a r i k o t a k s u a r a u n t u k d i t u n j u k k a n k e a b s a h a n n y a d a n d i b a c a k a n n o m o r u r u t d a n t a n d a g a m b a r y a n g d i c o b l o s . P a n i t i a s e l a n j u t n y a m e n c a t a t p a d a p a p a n t a b u l a s i u k u r a n b e s a r y a n g d i p a s a n g d a n d a p a t t e r l i h a t o l e h s a k s i S e t e l a h t a t a c a r a t e r s e b u t d i a t a s s e l e s a i d i l a k u k a n , m a k a d a p a t d i p e r o l e h h a s i l s e b a g a i b e r i k u t : 1 . S U A R A S A H :

N o . U r u t

N a m a c a l o n P e r o l e h a n s u a r a s a h

1 . T u l i s d e n g a n a n g k a : T u l i s d e n g a n h u r u f : '

2 . T u l i s d e n g a n a n g k a : T u l i s d e n g a n h u r u f :

3 .

4 . T u l i s d e n g a n a n g k a ; T u l i s d e n g a n h u r u f ;

5 .

J u m l a h p e r o l e h a n s u a r a s a h u n t u k s e l u r u h c a l o n :

T u l i s d e n g a n a n g k a : T u l i s d e n g a n h u r u f ;

2 . S U A R A T I D A K S A H

N o . U r a i a n J u m l a h s u a r a t i d a k s a h

S u a r a t i d a k s a h : T u l i s d e n g a n h u r u f :

8 8

3 . J U M L A H S U A R A S A H d a n T I D A K S A H N o . U r a i a n J u m l a h s u a r a t i d a k s a h

J u m l a h S u a r a s a h d a n S u a r a t i d a k s a h :

T u l i s d e n g a n a n g k a : T u l i s d e n g a n h u r u f :

4 . P E N G G U N A A N S U R A T S U A R A C A D A N G A N N o . U r a i a n J u m l a h s u a r a t i d a k s a h

1 . J u m l a h s u a r a c a d a n g a n s e l u r u h n y a

T u l i s d e n g a n a n g k a : T u l i s d e n g a n h u r u f ; '

2 . J u m l a h s u a r a c a d a n g a n y a n g t e r p a k a i

T u l i s d e n g a n a n g k a : T u l i s d e n g a n h u r u f :

3 . J u n d a h s u a r a c a d a n g a n y a n g t i d a k t e r p a k a i : T u l i s d e n g a n h u r u f :

111. H A S I L P E M I L I H A N

a . D a r i p e r o l e h a n s u a r a s a h s e b a g a i m a n a t e r s e b u t d i a t a s , c a l o n K e p a l a D e s a y a n g m e m p e r o l e h s u a r a t e r b a n y a k , y a i t u : N a m a : N o m o r u r u t d a n t a n d a g a m b a r : P e r o l e h a n s u a r a :

b . D a r i p e r o l e h a n s u a r a s a h s e b a g a i m a n a t e r s e b u t d i a t a s , t e r d a p a t c a l o n k e p a l a d e s a y a n g m e m p e r o l e h s u a r a t e r b a n y a k l e b i h d a r i 1 ( s a t u ) m a k a c a l o n t e r p i l i h d i t e t a p k a n b e r d a s a r k a n p a d a b a n y a k n y a k u m u l a t i f k e m e n a n g a n p a d a d u s u n - d u s u n y a n g a d a . D a r i p e n g h i t u n g a n t e r s e b u t d i k e t a h u i b a h w a : 1 . N a m a :

N o m o r U r u t d a n T a n d a G a m b a r : P e r o l e h a n K u m u l a t i f K e m e n a n g a n D u s u n

2 . N a m a : N o m o r U r u t d a n T a n d a G a m b a r P e r o l e h a n K u m u l a t i f K e m e n a n g a n D u s u n :

D a r i p e n g h i t u n g a n b a n y a k n y a k u m u l a t i f k e m e n a n g a n p a d a d u s u n - d u s u n y a n g a d a s e l a n j u t n y a d a p a t d i t e t a p k a n b a h w a C a l o n K e p a l a D e s a T e p i l i h a d a l a h : N a m a : N o m o r U r u t d a n T a n d a G a m b a r P e r o l e h a n K u m u l a t i f K e m e n a n g a n D u s u n

8 9

c. D a r i p e r o l e h a n s u a r a t e r b a n y a k y a n g s a m a t e r n y a t a c a l o n - c a l o n t e r s e b u t m e m i l i k i b a n y a k n y a k u m u l a t i f k e m e n a n g a n p a d a d u s u n - d u s u n , j u g a s a m a , m a k a c a l o n k e p a l a d e s a t e r p i l i h d i t e t a p k a n b e r d a s a r k a n j u m l a h s u a r a p a d a d u s u n d e n g a n j u m l a h p e m i l i h t e r b a n y a k .

1 . N a m a : N o m o r U r u t d a n T a n d a G a m b a r : P e r o l e h a n j u m l a h s u a r a : p a d a D u s u n d e n g a n p e m i l i h t e r b a n y a k

2 . N a m a : N o m o r U r u t d a n T a n d a G a m b a r P e r o l e h a n j u m l a h s u a r a P a d a D u s u n d e n g a n p e m i l i h t e r b a n y a k

D a r i p e r o l e h a n j u m l a h s u a r a p a d a D u s u n d e n g a n p e m i l i h t e r b a n y a k s e b a g a i m a n a d i a t a s , s e l a n j u t n y a d a p a t d i t e t a p k a n b a h w a C a l o n K e p a l a D e s a T e p i l i h a d a l a h : N a m a : N o m o r U r u t d a n T a n d a G a m b a r : P e r o l e h a n K u m u l a t i f K e m e n a n g a n D u s u n :

I V . P E N D A P A T P A N I T I A P E M I L I H A N

S e s u a i d e n g a n P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 T a h u n 2 0 1 5 t e n t a n g P e n y e l e n g g a r a a n P e m e r i n t a h a n D e s a d a n P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a d i K a b u p a t e n B a t a n g , P a n i t i a P e m i l h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g , s e l a n j u t n y a b e r p e n d a p a t b a h w a :

1 . P e m i l i h a n k e p a l a d e s a t e l a h d i l a k s a n a k a n a . B e r d a s a r k a n a z a s L a n g s u n g , u m u m , b e b a s , r a h a s i a , j u j u r d a n a d i l ; b . B e r l a n g s u n g d e n g a n a m a n , t e r t i b , d a n l a n c a r ; d a n c . T e l a h s e s u a i d e n g a n t a h a p a n d a n p r o s e d u r y a n g b e r l a k u .

2 . C a l o n y a n g t e r p i l i h s e b a g a i K e p a l a d e s a h a s i l p e m i l i h a n i n i a d a l a h : N a m a : N o m o r U r u t d a n T a n d a G a m b a r : M e n d a p a t s u a r a :

3 . D a r i h a l - h a l t e r s e b u t d i a t a s s e l a n j u t n y a P a n i t i a P e m i l i h a n m e l a p o r k a n s e c a r a t r t u l i s k e p a d a B P D h a s i l p e m i l i h a n K e p a l a D e s a .

4 . B e r d a s a r k a n l a p o r a n i n i , B P D m e l a p o r k a n k e p a d a B u p a t i m e l a u i C a m a t t e n t a n g K e p a l a D e s a T e r p i l i h u n t u k m e m p e r o l e h p e n e t a p a n P e n g e s a h a n d a n P e n g a n g k a t a n s e r t a m e l a n t i k n y a s e s u i k e t e n t u a n y a n g b e r l a k u .

V . P E N U T U P

D e m i k i a n r i s a l a h j a l a n y a p e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g , d e n g a n h a s i l s e b a g a i m a n a t e r u r a i d i a t a s u n t u k d i t a n d a t a n g a n i o l e h P a n i t i a P e m i l i h a n d e n g a n m e n g i n g a t s u m p a h j a b a t a n . B e r i t a a c a r a i n i d i b u a t d a l a m r a n g k a p 5 ( l i m a ) d i l a m p i r i d o k u m e n - d o k u m e n t e r k a i t . L e m b a r k e s a t u L e m b a r k e d u a L e m b a r K e t i g a L e m b a r K e e m p a t L e m b a r k e l i m a

D i s a m p a i k a n k e p a d a B a d a n P e r m u s y a w a r a t a n D e s a ( B P D ) D i s a m p a i k a n k e p a d a C a m a t . D i s a m p a i k a n k e p a d a B u p a t i B a t a n g D i s a m p a i k a n k e p a d a P e m e r i n t a h D e s a A r s i p P a n i t i a P e m i l i h a n

9 0

P A N I T I A P E M I L I H A N K E P A L A D E S A K E C A M A T A N K A B U P A T E N B A T A N G

1 K e t u a 1 . . 2 S e k r e t a r i s 2 . . 3 B e n d a h a r a 3 . . 4 A n g g o t a 4 . . 5 A n g g o t a 5 . . 6 A n g g o t a 6 . . 7 A n g g o t a 7 . . 8 A n g g o t a 8 . . 9 A n g g o t a 9 . . 1 0 A n g g o t a 1 0 1 1 A n g g o t a 1 1

9 1

FORMAT 2 6




K A B U P A T E N B A T A N G N O M O R : 1 4 1 . 1 / / K E P - B P D / 2 0 1 6

T E N T A N G P E N E T A P A N S d r

S E B A G A I C A L O N K E P A L A D E S A T E R P I L I H D E S A K E C A M A T A N



M e n i m b a n g : a . b a h w a b e r d a s a r k a n k e t e n t u a n P a s a l 6 4 a y a t ( 1 ) d a n P a s a l 6 5 a y a t ( 2 ) P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a D e s a d i K a b u p a t e n B a t a n g , c a l o n K e p a l a D e s a y a n g m e m p e r o l e h s u a r a t e r b a n y a k d a r i j u m l a h s u a r a s a h d i t e t a p k a n s e b a g a i C a l o n K e p a l a D e s a T e r p i l i h o l e h B P D .

b . b a h w a b e r d a s a r k a n B e r i t a A c a r a P e n g h i t u n g a n S u a r a P a n i t i a P e m i l i h a n K e p a l a D e s a N o m o r t a n g g a l 2 2 M e i 2 0 1 6 , S d r m e m p e r o l e h s u a r a t e r b a n y a k d a l a m p e m i l i h a n K e p a l a D e s a , D e s a K e c a m a t a n K a b u p a t e n B a t a n g .

c . b a h w a b e r d a s a r k a n p e r t i m b a n g a n s e b a g a i m a n a d i m a k s u d d a l a m h u r u f a d a n h u r u f b d i a t a s , p e r l u m e n e t a p k a n S d r , s e b a g a i C a l o n K e p a l a D e s a T e r p i l i h , D e s a K e c a m a t a n K a b u p a t e n B a t a n g .

M e n g i n g a t : 1 . U n d a n g - u n d a n g n o m o r 6 t a h u n 2 0 1 4 t e n t a n g d e s a ; 2 . P e r a t u r a n P e m e r i n t a h n o m o r 4 3 T a h u n 2 0 1 4 t e n t a n g P e r a t u r a n

P e l a k s a n a a n U n d a n g - U n d a n g N o m o r 6 T a h u n 2 0 1 4 T e n t a n g D e s a ; 3 . P e r a t u r a n D a e r a h K a b u p a t e n B a t a n g N o m o r 7 T a h u n 2 0 1 5 T e n t a n g

P e n y e l e n g g a r a a n P e m e r i n t a h a n D e s a ; 4 . P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a

P e m i l i h a n D a n P e m b e r h e n t i a n K e p a l a D e s a D i K a b u p a t e n B a t a n g .


M e n e t a p k a n : P E R T A M A : M e n e t a p k a n

N a m a T e m p a t / T g l . L a h i r : J e n i s K e l a m i n P e n d i d i k a n A g a m a A l a m a t S e b a g a i C a l o n K e p a l a D e s a T e r p i l i h , D e s a K e c a m a t a n K a b u p a t e n B a t a n g .

9 2

K E D U A : C a l o n K e p a l a D e s a T e r p i l i h s e b a g a i m a n a d i m a k s u d p a d a d i k t u m P E R T A M A , s e t e l a h d i t e t a p k a n P e n g e s a h a n d a n P e n g a n g k a t a n n y a s e r t a d i a m b i l s u m p a h / j a n j i d a n d i l a n t i k s e b a g a i K e p a l a D e s a o l e h B u p a t i a t a u P e j a b a t y a n g d i t u n j u k , d i b e r i k a n p e n g h a s i l a n t e t a p d a n t u n j a n g a n s e s u a i k e t e n t u a n y a n g b e r l a k u .

K E T I G A M a s a j a b a t a n K e p a l a D e s a s e b a g a i m a n a d i m a k s u d d i k t u m P E R T A M A K e p u t u s a n i n i a d a l a h 6 ( e n a m ) t a h u n t e r h i t u n g s e j a k t a n g g a l p e l a n t i k a n .

K E E M P A T ; K e p u t u s a n i n i m u l a i b e r l a k u s e j a k t a n g g a l d i t e t a p k a n .

D i t e t a p k a n d i : P a d a T a n g g a l :



T E M B U S A N : K e p u t u s a n i n i d i s a m p a i k a n k e p a d a Y t h . 1 . B u p a t i B a t a n g ; 2 . A s i s t e n P e m e r i n t a h a n S e k r e t a r i s D a e r a h K a b u p a t e n B a t a n g ; 3 . K e p a l a B a g i a n P e m e r i n t a h a n D e s a S e k r e t a r i a t D a e r a h K a b u p a t e n B a t a n g ; 4 . C a m a t 5 . A r s i p

9 3

FORMAT 27



B a t a n g , N o m o r : 1 4 1 . 1 / B P D . K e p a d a L a m p i r a n : 1 ( s a t u ) b e r k a s . B u p a t i B a t a n g P e r i h a l : L a p o r a n H a s i l P e m i l i h a n K e p a l a D e s a M e l a l u i

K e c a m a t a n C a m a t K a b u p a t e n B a t a n g . D i

B A T A N G

B e r d a s a r k a n P a s a l 6 5 a y a t 3 ( t i g a ) P e r a t u r a n B u p a t i B a t a n g N o m o r T a h u n 2 0 1 5 t e n t a n g T a t a C a r a P e m i l i h a n d a n P e m b e r h e n t i a n K e p a l a

D e s a d i K a b u p a t e n d a n l a p o r a n P a n i t i a P e m i l i h a n K e p a l a D e s a t e n t a n g H a s i l P e l a k s a n a a n P e m u n g u t a n S u a r a d a n P e n g h i t u n g a n S u a r a , m a k a b e r s a m a i n i k a m i l a p o r a n d e n g a n h o r m a t h a s i l P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g , s e b a g a i b e r i k u t : a . B a h w a P e m i l i h a n K e p a l a D e s a K e c a m a t a n

K a b u p a t e n B a t a n g t e l a h t e r l a k s a n a d e n g a n b a i k , a m a n , l a n c a r d a n k o n d u s i f , s e r t a s e s u a i d e n g a n p e r a t u r a n p e r u n d a n g - u n d a n g a n .

b . B a h w a P e m i l i h a n K e p a l a D e s a K e c a m a t a n K a b u p a t e n B a t a n g , d i i k u t i o l e h C a l o n

K e p a l a D e s a . c . B a h w a b e r d a s a r k a n k e g i a t a n P e m u n g u t a n S u a r a d a n P e n g h i t u n g a n S u a r a

y a n g d i l a k s a n a k a n p a d a h a r i m i n g g u , 2 2 M e i 2 0 1 6 , y a n g d i b u k a p a d a j a m 0 7 . 0 0 W I B d a n d i t u t u p p a d a j a m 1 3 . 0 0 W I B d i p e r o l e h h a s i l s b b . :

N O . N A M A C A L O N N O . U R U T T A N D A G A M B A R

P E R O L E H A N S U A R A S A H

1 . ( 1 ) P a d i 2 . ( 2 ) K e t e l a 3 . ( 3 ) J a g u n g 4 . ( 4 ) K e l a p a 5 . ( 5 ) K a p a s

c . B e r d a s a r k a n p e r o l e h a n s u a r a s e b a g a i m a n a t e r s e b u t d i a t a s , B P D s e l a n j u t n y a t e l a h m e n e t a p k a n C a l o n K e p a l a T E R P I L I H , y a i t u : N a m a : N o m o r d a n T a n d a G a m b a r : J u m l a h P e r o l e h a n S u a r a :

d . S e h u b u n g a n d e n g a n h a l t e r s e b u t , s e l a n j u t n y a m o h o n b e r k e n a n k i r a n y a B a p a k B u p a t i m e n e r b i t k a n K e p u t u s a n B u p a t i t e n t a n g P e n g e s a h a n d a n P e n g a n g k a t a n K e p a l a D e s a , s e r t a m e l a n t i k K e p a l a D e s a T e r p i l i h t e r s e b u t .

e . S e b a g a i k e l e n g k a p a n u s u l a n , m a k a b e r s a m a i n i k a m i l a m p i r k a n : 1 . A s l i d a n F o t o C o p y B e r i t a A c a r a P e m u n g u t a n S u a r a

9 4

2 . A s l i d a n F o t o C o p y B e r i t a A c a r a P e n g h i t u n g a n S u a r a .

3 . A s l i d a n F o t o C o y K e p u t u s a n B P D t e t a n g P e n e t a p a n K e p a l a D e s a T e r p i l i h

4 . A s l i d a n F o t o C o p y b e r k a s p e r s y a r a t a n C a l o n K e p a l a D e s a T e r p i l i h D e m i k i a n u n t u k m e n j a d i k a n p e r i k s a d a n t e r i m a k a s i h .


K e t u a ,

T e m b u s a n : 1 . A s i s t e n P e m e r i n t a h S e t d a K a b u p a t e n B a t a n g ; 2 . K a b a g P e m d e s S e t d a K a b u p a t e n B a t a n g ; d a n 3 . K e p a l a D e s a / P e n j a b a t K e p a l a D e s a 4 . A r s i p

9 5

FORMAT 28



R I S A L A H R A P A T P E M B A H A S A N L A P O R A N H A S I L P E M I L I H A N K E P A L A D E S A T E R P I L I H D A R I P A N I T I A P E M I L I H A N K E P A L A D E S A

H A R I T A N G G A L P U K U L T E M P A T A C A R A : L A P O R A N H A S I L P E M I L I H A N K E P A L A D E S A T E R P I L I H

D A R I P A N I T I A P E M I L I H A N K E P A L A D E S A J E N I S R A P A T : R A P A T P A R I P U R N A S I F A T R A P A T : T E R B U K A


P E M B U K A A N L A P O R A N

P E N G U S U L A N

P E M B A H A S A N P E N E T A P A N A K H I R

P E R S E T U J U A N P E N E T A P A N P E N A N D A T A N G A N A N P I M P I N A N R A P A T S E K R E T A R I S J U M L A H A N G G O T A Y A N G H A D I R J U M L A H A N G G O T A T I D A K H A D I R K E S I M P U L A N

O l e h K e t u a B P D O l e h S e k r e t a r i s B P D t e n t a n g L a p o r a n P a n i t i a P e m i l i h a n K e p a l a D e s a a t a s H a s i l P e m i l i h a n K e p a l a D e s a K e t u a B P D s e l a n j u t n y a m e n g u s u l k a n u n t u k m e n e t a p k a n h a s i l p e m i l i h a n k e p a l a d e s a d a l a m K e p u t u s a n B P D t e n t a n g P e n e t a p a n K e p a l a D e s a T e r p i l i h A n g g o t a B P D m e m b a h a s u s u l a n K e t u a B P D P i m p i n a n d a n A n g g o t a s e p a k a t u n t u k m e l a n j u t k a n d e n g a n m e l a k u k a n p e n e t a p a n a t a s h a s i l p e m i l i h a n d e n g a n K e p u t u s a n B P D t e n t a n g P e n e t a p a n K e p a l a D e s a T e r p i l i h

K e t u a B P D S e k r e t a r i s B P D

o r a n g o r a n g

T e l a h t e r p i l i h K e p a l a D e s a H a s i l P e m i l i h a n K e p a l a D e s a K e c a m a t a n a t a s n a m a S d r s e l a n j u t n y a d i t e t a p k a n d e n g a n K e u p u t u s a n B P D t e n t a n g C a l o n K e p a l a D e s a T e r p i l i h , u n t u k s e l a n j u t n y a d i a j u k a n k e p a d a B u p a t i m e l a l u i C a m a t g u n a d i s y a h k a n s e b a g a i K e p a l a D e s a

M e n g e t a h u i : K e t u a , S e k r e t a r i s ,

9 6


H A R I T A N G G A L P U K U L T E M P A T A C A R A P E M B A H A S A N L A P O R A N H A S I L P E N E T A P A N C A L O N

T E R P I L I H H A S I L P E M I L I H A N K E P A L A D E S A O L E H P A N I T I A P E M I L I H A N

N O N A M A J A B A T A N T A N D A T A N G A N

1 .

2 .

3 .

4 .

5 .

6 .

7 .

8 .

9 .

1 0 .

1 1 .

1 2 .

1 3 .

M e n g a t a h u i : K e t u a , S e k r e t a r i s ,

1

9 7

FORMAT 29

C O N T O H B E N T U K U R U T A N T A N D A G A M B A R C A L O N D A L A M S U R A T S U A R A

PANITIA PEMILIHAN KEPALA DESA DESA : KECAMATAN : KABUPATEN : BATANG

KETUA.

NO. 1 NO. 2

C o n t o h S u r a t S u a r a 2 ( d u a ) C a l o n

PANITIA PEMILIHAN KEPALA DESA DESA KECAMATAN ; KABUPATEN : BATANG

KETUA,

NO. 1 N0.2 NO. 3

C o n t o h S u r a t S u a r a 3 ( t i g a ) C a l o n

9 8

PANITIA PEMILIHAN KEPALA DESA DESA KECAMATAN : KABUPATEN : BATANG

KETUA,

NO. 2 NO. 3 NO. 4

KFTFI A lAGIING KFI APA

C o n t o h S u r a t S u a r a 4 ( e m p a t ) C a l o n


KETUA,

N0.2 NO. 3 NO. 4 NO. 5

KFTFI A IAr;UNG KFI APA KAPA<;

C o n t o h S u r a t S u a r a 5 ( l i m a ) C a l o n

9 9

C O N T O H S U R A T S U A R A T I D A K S A H

FORMAT 30


KETUA,

NO. 1

SFMANfiKA

N0.2

MFION

NO. 3

MANGGA

S u r a t S u a r a T i d a k D i t a n d a t a n g a n i K e t u a P a n i t i a


KETUA,

NO. 1

SFMANnKA

N0.2

MFION

NO. 3

MANr;r;A

T i d a k T e r d a p a t C o b l o s a n


1 0 0

KETUA,

N0.2

MFION

NO. 3

MANC^GA

M e n c o b l o s T i d a k M e m a k a i A l a t P e n c o b l o s y a n g T e l a h D i t e n t u k a n


KETUA,

N0.2

0 MELON

NO. 3

MANGGA

M e n c o b l o s L e b i h d a r i 1 ( s a t u ) T a n d a G a m b a r

1 0 1


KETUA.

NO. 1

SFMANGKA

N0.2

MFION

NO. 3

MANGGA

M e n c o b l o s B e r a d a d i L u a r K o t a T a n d a G a m b a r


KETUA.

NO. 1

SFM ANGKA

N0.2

MFION

NO. 3

MANGGA

S u r a t S u a r a d i b e r i T a n d a / C a t a t a n

102

FORMAT 31

D E S A : K E C A M A T A N : K A B U P A T E N : B A T A N G

D A F T A R P E M I L I H S E M E N T A R A

D U S U N

N O . U R U T

N A M A L E N G K A P J E N I S K E L A M I N

T E M P A T . T G L . L A H I R S A T U S ( K / T K / J / D )

N O M O R N I K / K T P P E K E R J A A N A L A M A T K E T

L K P R


N O M O R N I K / K T P P E K E R J A A N

D U S U N R T R W 1 2 3 4 5 6 7 8 9 1 0

103

J U M L A H

PANITIA PEMILIHAN KEPALA DESA


1 K e t u a ( )

2 S e k r e t a r i s ( )

3 A n g g o t a ( )

4 A n g g o t a ( )

104

5 A n g g o t a (

6 A n g g o t a (

7 A n g g o t a (

8 . A n g g o t a (

9 A n g g o t a (

1 0 A n g g o t a (

1 1 A n g g o t a (

FORMAT 32


P E R B A I K A N D A F T A R P E M I L I H S E M E N T A R A

D U S U N

N O . U R U T

N A M A L E N G K A P J E N I S K E L A M I N T E M P A T . T G L . L A H I R S A T U S ( K / T K / J / D )

N O M O R N I K / K T P

P E K E R J A A N A L A M A T K E T

L K P R



P E K E R J A A N

D U S U N

R T R W

1 2 3 4 5 6 7 8 9 1 0

106

J U M L A H



1

2

3

4

5

6

7

8

9

1 0

1 1 .

K e t u a .,

S e k r e t a r i s

A n g g o t a .

A n g g o t a

A n g g o t a ..

A n g g o t a .

A n g g o t a .

A n g g o t a .

A n g g o t a . .

A n g g o t a .

A n g g o t a . .

107

FORMAT 3 3

D E S A K E C A M A T A N : K A B U P A T E N : B A T A N G

D A F T A R P E M I L I H T A M B A H A N

D U S U N

N O . U R U T

N A M A L E N G K A P J E N I S K E L A M I N T E M P A T . T G L . L A H I R

S A T U S ( K / T K / J / D )

N O M O R N I K / K T P P E K E R J A A N A L A M A T K E T

L K P R

T E M P A T . T G L . L A H I R

S A T U S ( K / T K / J / D )

N O M O R N I K / K T P P E K E R J A A N

D U S U N R T R W 1 2 3 4 5 6 7 8 9 1 0

108

J U M L A H



1 K e t u a ( )

2 ( )

3 A n g g o t a ( )

4 A n g g o t a ( )

5 A n g g o t a ( )

6 A n g g o t a ( )

7 A n g g o t a ( )

8 A n g g o t a ( )

9 A n g g o t a ( )

1 0 A n g g o t a ( )

1 1 . A n g g o t a ( )

109

FORMAT 34


D A F T A R P E M I L I H T E T A P

D U S U N

N O . U R U T


S A T U S ( K / T K / J / D )


P E K E R J A A N A L A M A T K E T

L K P R


S A T U S ( K / T K / J / D )


P E K E R J A A N

D U S U N R T R W 1 2 3 4 5 6 7 8 9 1 0

J U M L A H

110

1 .

2 .

3 .

4.

5 .

6 .

7 .

8 .

9 .

10.

1 1 .

Mengetahui,

Para Calon/Saksi Calon

PANITIA PEMILIHAN K E P A L A DESA

1 .

2.

3 .

4.

5 .

6 .

7 .

8 .

9 .

1 0 .

1 1 .

I l l

FORMAT 35


S A L I N A N D A F T A R P E M I L I H T E T A P D U S U N :

N O . U R U T


N O M O R N I K . K T P

A L A M A T H A D I R M E M B A W A S U R A T U N D A N G A N

H A D I R M E M B A W A K T P L K P R


N O M O R N I K . K T P

D U S U N R T R W

H A D I R M E M B A W A S U R A T U N D A N G A N

H A D I R M E M B A W A K T P

1 2 3 4 5 6 7 • 8 9 1 0 1 1

J U M L A H

PETUGAS 1 ( ) 2 ( ) 3 ( ) 4 ( )

112

F O R M U L I R K H U S U S B A G I P E M I L I H Y A N G M E M E B A W A K T P

FORMAT 36

NO NAMA NOMOR URUT DALAM DPT

NO PORTIR ALAMAT NO KTP TTD YANG BERSANGKUTAN

TTD PANITIA PEMILIHAN

TTD PETUGAS PORTIR

1 2 3 4 5 6 7 8 9

1

2

3

4

5

6

7

8

9

1 0

1 1 D a n s e t e m s n y a

113

FORMAT 37 (Ukuran Plano/Besar)

TABULASI MANUAL

P E N G H I T U N G A N S U A R A

N O U R U T

T A N D A G A M B A R

PEROLEHAN SUARA J U M L A H

J U M L A H T O T A L

P A N I T I A P I L K A D E S

K E T U A ,

114

santoso

Typewritten text

ttd

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