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  • rETER$re Il n480: ! (Erpusnil

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    Yakob
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    This document is a police record certificate for Yakob Kayukatui from Indonesia. It certifies that he has no criminal record in Indonesia from his arrival on August 29, 1970 until the date of issuance on November 7, 2016. The certificate was issued at the request of the applicant to assist with fulfilling requirements for employment. It is valid from June 7, 2016 until November 7, 2016.

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    This document is a police record certificate for Yakob Kayukatui from Indonesia. It certifies that he has no criminal record in Indonesia from his arrival on August 29, 1970 until the date of issuance on November 7, 2016. The certificate was issued at the request of the applicant to assist with fulfilling requirements for employment. It is valid from June 7, 2016 until November 7, 2016.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views1 page

    rETER$re Il n480: ! (Erpusnil

    Uploaded by

    Yakob
    This document is a police record certificate for Yakob Kayukatui from Indonesia. It certifies that he has no criminal record in Indonesia from his arrival on August 29, 1970 until the date of issuance on November 7, 2016. The certificate was issued at the request of the applicant to assist with fulfilling requirements for employment. It is valid from June 7, 2016 until November 7, 2016.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    $unAr rETER$re*il cArArAr{ !

    {Erpusnil
    POLICE RECORD
    NOMOR.: SKCK/yANMtNt n480 / Vt /2016flNTELKAM
    Diterarqkan b€rsama inibahwa :

    this is b cert'fyfiat tirc porcon

    Nama YAKOBKAYUKATUI
    Nane
    "Qnip.Kplamin
    IJAKI- tAKl
    Sex
    Kebmqrean INDOnIESIA
    Natio*dity
    &rnoallql Dihhirkan WASIOR,29 AGUSTUS 1g7O
    Placo and ffi
    ofbirtr
    TenpFttirggd selwryu $frrlPXYPK FANINDI MANOlftr{ARl
    Prmentaddress
    Pekeiean sekarpno : BELUMADA
    pre*nt
    Occupalion at
    NomorlQtu Tadq Pendqtuk 9207012W7m1
    khntity Nurnber
    BffiggrlNu{nber
    llonmrPmpor
    BuntusSikJ*i 31 ilt
    fingryirtsFonrula oo 1g

    Setd$ dilakukat perdilianjinqoa saat dikdurykff $lrd tGhrfiFn ini yano didagdan kepsda :

    Afur having inveetgatior until fie issuffice d fiis based on


    a. Cahhn Kdminalyang atla.
    &iminalRecord
    b. $urd kehraqm ddi Kepala Dega / Lur#.
    The sHementof tn viiage/suburb dminietralilm head/
    c. Dffiar pdaku, eqgota oryarisasi dan atau gerakff terluang.
    Utt of rrernhr of banned organization or movernont

    Here $h re&drethepwn menlftned Sove


    No rcmrd of te persot conhnt hare inwlvetl in ary oimind m{ivity or in ary bamed orgadzations/mov$n€mt,
    ...(Belum diHnukm catah tsrkait deilqil *tivih kriminah)..,.

    Sdsna h berada di lndo@sia dafi taugal : 29AGUSTUS1970


    dring his/her shy in lndonesia fiom
    tamoa{denqan : O7JUN| 2016
    unlil
    Kobrangan inidilxrikan berlWhno dengar oermohonan yarq
    This Car0llica{ion lettsr is made at ilre rc$rast of the 4plhcant

    Egqgukutan untuk : MELENGIGPI PERSYARATAII MEIjI\,|AR PEKER|AAI{


    of taveling to
    Forhe purpose
    Bedekqd{ittrr@ : O7JUN| 2016
    Vdiltfrtrn
    Sanpaidengan : O7NOVEIItsER 20{6
    Until
    DIKELUARKAN 0l : MAI'lOlCIYARl

    r* {l }{:*#

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