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  • SKCK

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    Rahmawaty Mansur
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    This police record certificate summarizes information about Murtin Ismail. It states that she is a female citizen of Indonesia from Gorontalo, born on November 27, 1994. Her current address is on Jl. Durian in Rahanto Mulabutao Seiatan Kecamatan, Gorontalo City. The certificate declares that she has no criminal record during her time in Indonesia from January 16, 2017 until July 16, 2017. It was issued on January 16, 2017 in Gorontalo for the purpose of finding work abroad.

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    This police record certificate summarizes information about Murtin Ismail. It states that she is a female citizen of Indonesia from Gorontalo, born on November 27, 1994. Her current address is on Jl. Durian in Rahanto Mulabutao Seiatan Kecamatan, Gorontalo City. The certificate declares that she has no criminal record during her time in Indonesia from January 16, 2017 until July 16, 2017. It was issued on January 16, 2017 in Gorontalo for the purpose of finding work abroad.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    37 views1 page

    SKCK

    Uploaded by

    Rahmawaty Mansur
    This police record certificate summarizes information about Murtin Ismail. It states that she is a female citizen of Indonesia from Gorontalo, born on November 27, 1994. Her current address is on Jl. Durian in Rahanto Mulabutao Seiatan Kecamatan, Gorontalo City. The certificate declares that she has no criminal record during her time in Indonesia from January 16, 2017 until July 16, 2017. It was issued on January 16, 2017 in Gorontalo for the purpose of finding work abroad.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    AA'

    POLICE
    'AF
    RECORD
    ^-;;^^

    Nomor : SKCK/Yanmin I
    94 tlt2O17 / lntelkam / Res Gtlo Kota

    Piteranohan bersama ini bahws


    This is to certify that the person
    Narna MURTIN ISMAIL
    Name
    Jenis Kelamin PEREMPUAN
    Sex
    Kebangsaan INDONESIA
    Nationality
    ASama ISLAM
    Religion
    Temoat tqlDilahirkan GORONTALO, 27 NOVEMBER 1994
    Place and date of birthl
    T_ emoat tinooal sekarang JL, DURIAN, RAHAN TOMULABUTAO SEIATAN
    Present addres KECAI,IA , KOTA GORONTALO
    Pekeriaan TIiADA
    Occupation
    Nomor Kartu Tanda Penduduk
    Citizens card number
    Nomor Pasoor/KITA$/KITAP
    PassporUKlTAS/KITAP N umber
    Rumus sidik iari
    Fingerprints Formula

    After having investigation


    a.
    Police record.
    b.
    The statement

    Here with declare that


    No record of the person

    During his/her stay in indonesia from


    Sampai dengqn : 16 JANUARI 2017
    Until
    Keteranoan ini diberikan FrhubHngan dengan permqhonqn
    This certificate is made at the request to the applicant

    untuk keperluan/menuju* : MELAIIAR PEKERJAAN


    for the purpose

    Berlaku daritanoqal : 16 JANUARI 2017


    Valid from
    Samoai denqan : 16 JULI 2017
    Until
    Dikeluarkan di : Gorontalo
    E$laI : 16 JANUARI

    .d.:',
    RESOR GORONTALO KOTA
    T INTEL KAM

    RRY METENG, SE
    POLtSt NRP 67010529
    Gataten :
    *Coret yang tidak perlu

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