02.54
Inayah Dreamer
Personnel Registration Number :
3328046408940003 No.
AL 677.0259244
R
E G I S T R Y O F F I C E
NATIONALITY INDONESIAN
EXCERPT
OF BIRTH CERTIFICATE
By virtue of Birth
Certificate Number 2.415/1992...............................
in accordance with
state gazette 1920 No. 751 Jo 1927 No. 564
that
in. TEGAL on
date the
twenty fourth of August on
year nineteen ninety four was born :
———————————————: NUR
INAYAH :—————————————
Child no
fourth -,
female, of the couple:
———————————————-: WASNADI :—————————————
And
———————————————-:
CHOMISAH :—————————————
This excerpt is issued in Slawi
on date the fifth of September……
Nineteen ninety four…………………
Head of Population and Civil Registration Department of Tegal
O. MOELJATI,
SH.
NIP. 010 076 952
Posted in: Bahasa Inggris
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