| Baris | A | B | C | D | E | F |
|---|---|---|---|---|---|---|
| 1 | Jalan | RT/RW | Kelurahan | Kota | Alamat lengkap | |
| 2 | Jl. Cihampelas No. 12 | RT 03/RW 05 | Cipaganti | Bandung | ||
| 3 | Jl. Diponegoro No. 7 | Citarum | Bandung | |||
| 4 | Perum Griya Asri Blok C2 | RT 01/RW 09 | Cimahi | |||
| 5 | Jl. Merdeka No. 45 | Garut | ||||
| 6 | Jl. Braga No. 8 | RT 02/RW 01 | Braga | Bandung | ||
| 7 | ||||||
| 8 | ||||||
| 9 | ||||||
| 10 | ||||||
| 11 | ||||||
| 12 | ||||||
| 13 | ||||||
| 14 |
Isi sel yang diminta, lalu tekan Cek jawaban.