Professional Documents
Culture Documents
ZZ 1
ZZ 1
e-
_<t-
PENCAI:{XIAN SIPIL
REGISTRY OFFICE
wA R G A N E G ARAiI. D.O. t{.E. S. 1.A.............
NA rroN4 LtrY
r N D orvEs t AN
Ifl.JTIPAN AI([A I(EIIIrIIBAN
EXCERPT OE BIRTH CERTIFICATE
menurut stbld
in accordance zoith state gazette
bahr.t,a di ..gAffUI pa4a tanggal ....$.Effifl6;
fhtt in on date N,NE
ffi
tiil
a*?f ke Lt . A, r-AKt Lru$ DAnr ryAlr. TAriilG fl uLy.AfiA.DAN. Fu .[ARy Af,*E
cnlta no ffi
FFTH, MALEFRaN FATHERTATN,to F*rJLy/lt,tAAl^tD rtorHER
T*ARYId'IATl
*l
lg
'Ls w
*$
E
\I
,d
I
=