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    Contoh KK Inggris Terbaru

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    adelinaafni
    This document is a family card for Junianto M. and his family. It lists personal details for Junianto M., his wife Yenny Chandra, and their two children, Axel Lucian Fong and Adlyn Licia Fong. Details include name, identity number, date of birth, religion, occupation, marital status, and relationship to the head of family.

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

    Contoh KK Inggris Terbaru

    Uploaded by

    adelinaafni
    93 views2 pages
    This document is a family card for Junianto M. and his family. It lists personal details for Junianto M., his wife Yenny Chandra, and their two children, Axel Lucian Fong and Adlyn Licia Fong. Details include name, identity number, date of birth, religion, occupation, marital status, and relationship to the head of family.

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    contoh KK inggris terbaru

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    This document is a family card for Junianto M. and his family. It lists personal details for Junianto M., his wife Yenny Chandra, and their two children, Axel Lucian Fong and Adlyn Licia Fong. Details include name, identity number, date of birth, religion, occupation, marital status, and relationship to the head of family.

    Copyright:

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

    Contoh KK Inggris Terbaru

    Uploaded by

    adelinaafni
    This document is a family card for Junianto M. and his family. It lists personal details for Junianto M., his wife Yenny Chandra, and their two children, Axel Lucian Fong and Adlyn Licia Fong. Details include name, identity number, date of birth, religion, occupation, marital status, and relationship to the head of family.

    Copyright:

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

    FAMILY CARD

    No. 3671120901090010

    Head of Family Name : JUNIANTO M. Village : PONDOK PUCUNG


    Address : METRO PERMATA I O.2/9 Sub-district : KARANG TENGAH
    Neighborhood/Hamlet : 006/007 Regency/City : TANGERANG CITY
    Postal Code : 15159 Province : BANTEN

    National Place of Date of Blood


    No Full Name Sex Religion Education Occupation
    Identity Number Birth Birth Type
    (1) (2) (3) (4) (5) (6) (7) (8) (9)
    1 JUNIANTO M. 3671121406810001 MALE PALEMBANG 14-06-1981 BUDDHIST BACHELOR DEGREE PRIVATE EMPLOYEE B
    2 YENNY CHANDRA 3671124507800008 FEMALE KUALA TUNGKAL 05-07-1980 BUDDHIST BACHELOR DEGREE PRIVATE EMPLOYEE UNKNOWN
    3 AXEL LUCIAN FONG 3671121012090001 MALE JAKARTA 10-12-2009 BUDDHIST NOT YET IN SCHOOL NOT WORKING YET UNKNOWN
    4 ADLYN LICIA FONG 3671126810120002 FEMALE JAKARTA 28-10-2012 BUDDHIST NOT YET IN SCHOOL NOT WORKING YET UNKNOWN
    5 - - - - - - - - -

    Marriage/ Relationship Immigration Documents Name of Parent


    No Marital Status Nationality
    Divorce Date Status in Family Passport No. Stay Permit No. Father Mother
    (10) (11) (12) (13) (14) (15) (16) (17)
    1 REGISTERED MARRIED 10-09-2008 FAMILY HEAD INDONESIAN - - DJOKO FONG MARLIANI
    2 REGISTERED MARRIED 11-09-2008 WIFE INDONESIAN - - KUSNAN TANDO SUMIATI
    3 SINGLE - CHILD INDONESIAN - - JUNIANTO M. YENNY CHANDRA
    4 SINGLE - CHILD INDONESIAN - - JUNIANTO M. YENNY CHANDRA
    5 - - - - - - - -

    Issued on : 25-09-2020 HEAD OF POPULATION AND CIVIL REGISTRATION OFFICE OF


    FAMILY HEAD TANGERANG CITY

    (signed) (QR Code)


    JUNIANTO M. RADEN RINA HERNANINGSIH, SH, MH
    Signature Employee Identity Number
    196206141989032003

    This document has been electronically signed by using the electronic certificate that issued by Electronic Certification Center
    (BSrE), BSSN

    hi
    PERNYATAAN PENERJEMAH TERSUMPAH

    Saya, ANANG FAHKCRUDIN, Penerjemah Tersumpah di Republik Indonesia


    berdasarkan peraturan perundang-undangan yang berlaku di Republik Indonesia,
    dengan ini menerangkan dan menyatakan, sesuai dengan sumpah jabatan saya,
    bahwa dokumen ini merupakan terjemahan yang benar, setia dan lengkap dari
    dokumen sumber yang diberikan kepada saya.

    I, ANANG FAHKCRUDIN, a Sworn Translator in the Republic of Indonesia by


    virtue of the applicable laws and regulations in the Republic of Indonesia, hereby
    state and declare, under my oath of office, that the foregoing document is a true,
    faithful and correct English translation of the source document in Indonesian
    presented to me.

    Jakarta, 9 Mei 2023

    ANANG FAHKCRUDIN
    Penerjemah Tersumpah [Bahasa Indonesia ke Bahasa Inggris dan Bahasa
    Inggris ke Bahasa Indonesia]
    Surat Keputusan Menteri Hukum dan Hak Asasi Manusia Republik Indonesia
    No. AHU-18 AH.03.07.2022 tanggal 5 Oktober 2022
    Alamat : Jl. Kalibata Timur Raya No. 12 RT. 011 RW. 008, Kalibata,
    Jakarta Selatan 12740
    Telepon : 0811953700
    E-mail : anangf@gmail.com
    No. Register : A&P/V/2023/0498

    hi

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