Kamis, 01 Agustus 2013

Certificate of Birth

                                CIVIL REGISTRY
                      (INDONESIAN NATIONALITY)
                                    EXCERPT
                           BIRTH CERTIFICATE
                            No: 03/U/JB/2006
                                      General

Based on about birth register by virtue of State
Gazette 1995 No.80 Yo. 1940 No. 617 in Jakarta
it was recorded that in Jakarta on date twenty
nine September two thousand and four was
born:
“Saat Fajar"
As the second child to the married couple:
SUYANTO and PARSIEM
This extract is in accordance with the current
conditions.
Jakarta, on date the third day of October
In the year two thousand and six
                            Head of the Registry Office
                              Drs. H. DADANG SUBUH
                                       NIP. 010 009

Dimas Bayudira
4SA01
10609549

Certificate of Birth