KEPOLISIAN NEGARA REPUBLIK INDONESIA DAERAH LAMPUNG . ae Nomor : 08 - 013279 di a1 ia te \T T POLICE RECORD Nomor: SKCK/YANMAS/ /5S / U/ /20169NTELKAM This i fo certify that: Nome denis Kelamin LAKI-LAKI Sex Kebanasaan INDONESIA Nationally Agama ISLAM. Religion BANDAR JAYA, 27 DESEMBER 1992 iaoe and date of bith Tempst tingaal sekarang vs LK. X YURYMJAVA RTRW 0571021 KEC.T BESAR KAB LAMTENG DESEMBER 1992 dling hisher stay Indonesia from somoel dencan sum ants © fl Ths cotificale is issued af the request fo the epplicant 7 MELAMAR PEKERIAAN For he purpose 30 UNI 2016 Val trom sateen | 30. NOVEMBER 2016 To Dikeluerkan di ©: GUNUNG SUGIH Issued in covet vana tidak ports