EPOLISAN NEGARA REPUBLIKINOONESIA Z DAERAH KALIMANTAN SELATAN Nomor:18-0064374 ReSOReANANR ans ve 4 wh N CATATAN K\ POLICE RECORD NOMOR : SKCK/277 /1/ YAN23 /2022 / SAT INTELKAM 2 . This sf crtly that Nema. ROJA AHMAD HAFIZH Nome lenis Kelgmin LAKLLAK Ser Kebanasaan INDONESIA Navonaity Agama sua Religon “Tempat dan tal laie BANJARBARU, 23 AGUSTUS 2000 Place and date of bith ‘Tempat nga sekarang CCINDAL ALUS RT. 004 RW. 002 Curent accross KEC, MARTAPURA KAB. BANJA Pekeriaan. : Occupation is 16303052308000013 Gizens card number ‘Nomor PasporKITASIKITAP= . PassporvKITASIKITAP numbor ums i Fre Fongerprnts Forma 16 Wit 0 n 0k ‘As of srworing rough the issue Perea! by vive of . id Exsing Polce record ‘a Dooe hereof proves not to be inated in any criminal cases Seimmaiaberda cidonesiocen 23 AGUSTUS 2000 Somwaraerean aun 2022 oa rik in ‘iene soot ae equate apport nsec ELENGKAPI PERSYARATAN PEMDERKASAN CPNS KABUPATEN feat di AMAR 2022 ‘Sampai dengan. 1 suu2002