- 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. Ijazah
(Graduation Certificate)
MINISTRY
OF NATIONAL EDUCATION
REPUBLIC
OF INDONESIA
CERTIFICATE
SENIOR
HIGH SCHOOL
SCIENCE PROGRAM
ACADEMIC
YEAR 2014/2015
The
undersigned, The headmaster of Budi
Mulia Senior High School Tangerang explained that:
Name :
Ans Prisaty
Place and date of birth : Jakarta,
22 August 1997
Name of parent : Ispriyanto
Registration number of national
student : 123456789
Registration number of national
test : 12345678900
Origin school : Budi Mulia Senior High School
GRADUATED
from the educational unit based on
the result of the National Test and School Test and in compliance all the
criteria in accordance with statutory regulations.
Tangerang,
15 Mei 2015
Headmaster,
