REGISTRY OFFICE

(NATIONALITY INDONESIAN)

EXCERT OF BIRTH CERTIFICATE

No. 4369/1998

From the ………………………………… .general…………………….……………………... list about

birth according to state gazette ….1920 No. 751 Jo. 1927 No. 564…….. in……. Sragen……………….

That in …………………………………….Sragen………………………………………………………..
on……………………… the fifteenth day of August...…………………………………………………..
on year one thousand nine…………………………. hundred ninety eight…………………… was born :

A daughter named :

-------------------------------CYNTIA MAHARDHIKA KUSUMANINGSIH----------------------

From the couple ……….GIYANTO…….. and …….THERESIA SRI SUSETYANINGSIH…………..

This quote is in accordance with the situation

In Sragen on the fifteenth day of August-

One thousand nine hundred ninety eight.

Translated from Indonesian Language, Surakarta December 19 2018 Head of The Civil Registry Office

Authotized and Sworn Translator Sragen districts

CYNTIA MAHARDHIKA Dra. MG. Sri Sunarti

 MINISTRY OF EDUCATION

REPUBLIC OF INDONESIA

DIPLOMA

ELEMENTARY SCHOOL

YEAR 2009/2010

The undersigned below, The Head Master of Elementary School of 3 Sragen explain that :

Name : CYNTIA MAHARDHIKA KUSUMANINGSIH

Place and Date of Birth : Sragen, August 15 1998

Name of Parent : Giyanto

School of origin : Sragen 3 Sragen Elementary School

Registration Number : 9980792842

Participant Number : 1-10-03-19-314-044-5

GRADUATED
From the educational unit based on the result of the National Test and School Test and in compliance all
the criteria in accordance with statutory regulations.

Translated from Indonesian Language,

Surakarta December 19 2018 Sragen, June 12 2010

Photo 3x4
Authotized and Sworn Translator Headmaster,
Signed,
Stamped,
fingerprint

CYNTIA MAHARDHIKA JOKO TRI LEKSONO, S.Pd

 MINISTRY OF EDUCATION

REPUBLIC OF INDONESIA

DIPLOMA

JUNIOR HIGH SCHOOL

YEAR 2012/2013

The undersigned below, The Head Master of Junior High School of 1 Sragen explain that :

Name : CYNTIA MAHARDHIKA KUSUMANINGSIH

Place and Date of Birth : Sragen, August 15 1998

Name of Parent : Giyanto

Registration Number : 13282

Participant Number : 2-13-03-19-030-079-2

GRADUATED
From the educational unit based on the result of the National Test and School Test and in compliance all
the criteria in accordance with statutory regulations.

Translated from Indonesian Language, Sragen, June 1 2013

Photo 3x4
Surakarta, December 19 2018 Headmaster,

Authotized and Sworn Translator Signed,

Stamped,
fingerprint

CYNTIA MAHARDHIKA Dr. Sri Handayani, M.Hum

 MINISTRY OF EDUCATION

REPUBLIC OF INDONESIA

DIPLOMA

SENIOR HIGH SCHOOL

YEAR 2015/2016

The undersigned below, The Head Master of Senior High School of 3 Sragen explain that :

Name : CYNTIA MAHARDHIKA KUSUMANINGSIH

Place and Date of Birth : Sragen, August 15 1998

Name of Parent : Giyanto

Registration Number : 7213

Registration National Number : 9980792842

Participant Number : 3-16-03-19-006-071-6

School of Origin : SENIOR HIGH SCHOOL 3 SRAGEN

GRADUATED
From the educational unit based on the result of the National Test and School Test and in compliance all
the criteria in accordance with statutory regulations.

Surakarta, May 7 2016

Translated from Indonesian Language, Photo 3x4 Headmaster,

Surakarta December 19 2018 Signed,

Stamped,
Authotized and Sworn Translator
fingerprint

CYNTIA MAHARDHIKA . Beti Marga Sulistyawati, M.Pd