You are on page 1of 1

ja

di
jAN CA’

/
POLICE RECORD
Il /2021 / INTELKAM

jai
Nomor SKCK / YANMAS 6102

bersama
:

ini
is
This

Nama
to certify that
: YUDI HANDOKO
Name
Kelamin :Laki -laki
Sex
Kebangsaan : Indonesia
Nationality

tg).
Agama :tslam
Religion
: Pekanbaru, 20 Oktober 1996

tinggal
Place and date of birth
: Jl. Kulim RT 006 RW 002 Tampan
Current address Kec. Payung Sekaki, Kota Pekanbaru

Kartu
alenis
hahwa
berada
Tanda
Pekerjaan Mahasiswa

selama
:

Nomor
Rumus
Occupation

Lempat
‘Nomor
‘Sampai
1471142010960001

‘Tempat
sekarang
Citizens Card Number

Penduduk
Dilahirkan
Paspor/KITAS/KITAP* : Tidak Ada

sich
Dilerangkan
PasportiKITAS/KITAP Number
: BOSRULM
Fingerprints Formula H7ROIl
As of Screening through the issue hereof by virtue of :
a.
Existing Police record
i
b.
Information from local authorities

The bearer hereof Proves not to be involved in any criminal cases

dindonesia
/
during his her stay in Indonesia from
sampaidengan
dari:

20 Oktober 1996

116 Maret 2021


to

This certificate is issued at the request to the applicant


=
MENCARI KERJA
for the purpose
16 Maret 2021
iL

Valid from
dengan
To
216 September 2021

Dikeluarkan 2
Pekanbaru
Issued in
16 Maret 2021

You might also like