- KTP (Indonesian
Identitiy Card)
Province of West Jakarta
Jakarta City
Number of ID :
1234567892010010
Name :
Ans Prisaty
Place/Date of Birth :
Jakarta/ 22-08-1997
Sex :
Female
Address :
Jl. Jelambar Utama vii no.45
RT/RW :
004/004
Village Unit :
Jelambar
District :
Jelambar Lama
City :
Jakarta Barat
Marital Status :
Single
Blood Type :
A
Religion :
Moslem
Occupation :
Student
Valid Thru :
Lifetime
2. Akte
Lahir (Birth Certificate)
BIRTH CERTIFICATE
CSL
CIVIL REGISTRATION
(INDONESIAN CITIZEN)
EXCERPT OF
BIRTH CERTIFICATE
No. 3836/TP/2000
From the................................................GENERAL...............................................registry
of births according to State Gazzette 1920 No. 751 Jo. 1927 No. 564 in Jakarta
office states that in.............................................Jakarta...........................................................
On the twenty second of August nineteen ninty seven was born:
---------------------------------------:ANS PRISATY:----------------------------------------
a daughter from the husband and wife : Ispriyanto and Yeni
Sumiati-------------------------
This excerpt is in accord to the condition this day.
Jakarta.................dated on the Fourth May
two thousands.--------------------------------------
