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I(UTIPAN AI([A' IfE LArIII3AN


TXCERPT OF BIRTH CERTIFICATE

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Berdasarkan Akta Kelahiran Nomor 3272.LT.0S06e*1?.0035


By airtue of Birth Certificate Number
menurut stbld
rn accordaflce with state gazette
'bahwa
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irl-J:;-- suKABUMt pada tanecal
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sEcorvD DAUG,HTER FRoiM Ferxea AJ0b'iiib'ii:oikE:i Nii;ii'iiiFi,uAui

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=::--:==::== Kutipan ini dikeluarkan DTKOTA SUKABUMT


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pada tanggal
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on date i'HE tiiiilii'oi'*Av
p.ua .Rt Hu .T.u.J.uH .HEIA$
AND SEIIENTEEN
.NAN.
KOTA SUKABUMI

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NlP.l 1004

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