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    Family Card

    Uploaded by

    Asian Translation Services
    This document is a family card for a family head named [NAME]. It lists 8 members of the family, providing details like full name, ID number, gender, date of birth, religion, education level, occupation, marital status, citizenship, and parents' names. It was issued by the head of the population and civil registration department, and includes the family head's signature.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Family Card

    Uploaded by

    Asian Translation Services
    2K views2 pages
    This document is a family card for a family head named [NAME]. It lists 8 members of the family, providing details like full name, ID number, gender, date of birth, religion, education level, occupation, marital status, citizenship, and parents' names. It was issued by the head of the population and civil registration department, and includes the family head's signature.

    Original Description:

    English translation of Indonesian Family Card

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    This document is a family card for a family head named [NAME]. It lists 8 members of the family, providing details like full name, ID number, gender, date of birth, religion, education level, occupation, marital status, citizenship, and parents' names. It was issued by the head of the population and civil registration department, and includes the family head's signature.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views2 pages

    Family Card

    Uploaded by

    Asian Translation Services
    This document is a family card for a family head named [NAME]. It lists 8 members of the family, providing details like full name, ID number, gender, date of birth, religion, education level, occupation, marital status, citizenship, and parents' names. It was issued by the head of the population and civil registration department, and includes the family head's signature.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    K.

    XXXXXXXXX
    FAMILY CARD
    No. XXXXXXXXXX
    Name of Family Head : District :
    Address : Regency/Municipality :
    Neighborhood/Hamlet : Postal Code :
    Village/Urban Village : Province :

    No Full Name NIK Sex Place of Birth Date of Birth Religion Education Occupation

    (1) (2) (3) (4) (5) (6) (7) (8)


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    Immigration Documents Name of Parents


    No Marital Status Family Relationship Citizenship
    Passport No. KITAS/KITAP No. Father Mother
    (9) (10) (11) (12) (13) (14) (15)
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    Issued on : FAMILY HEAD HEAD OF THE POPULATION AND CIVIL


    Sheet : I Family Head REGISTRATION DEPARTMENT
    : II Neighborhood
    : III Village/Urban Village Signed Signed and Stamped
    : IV District xxxxxxxxxxxxxx XXXXXXXX
    Signature/Thumb Imprint NIP. XXXXXXXX
    K. XXXXXXXXX
    KARTU KELUARGA
    No. XXXXXXXXXX
    Name Kepala Keluarga : Kecamatan :
    Alamat : Kabupaten/Kota :
    RT/RW : Kode Pos :
    Desa/Kelurahan : Provinsi :

    No Nama Lengkap NIK Jenis Kelamin Tempat Lahir Tanggal Lahir Agama Pendidikan Jenis Pekerjaan

    (1) (2) (3) (4) (5) (6) (7) (8)


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    Dokumen Imigrasi Name Orang Tua


    No Status Perkawinan Status Hubungan Dalam Keluarga Kewarganegaraan
    No. Paspor No. KITAS/KITAP Ayah Ibu
    (9) (10) (11) (12) (13) (14) (15)
    1
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    Dikeluarkan : KEPALA KELUARGA Kepala Dinas Kependudukan dan Catatan Sipil


    Tanggal
    LEMBAR : I Kepala Keluarga Tanda Tangan dan Cap
    : II RT Signed XXXXXXXX
    : III Desa/Kelurahan xxxxxxxxxxxxxx NIP. XXXXXXXX
    : IV Kecamatan Tanda Tangan/Cap Jempol

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