Ketika Tugas Menyeruak

CIVIL REGISTER

(INDONESIAN CITIZEN)

JAKARTA

EXCERPT OF

BIRTH CERTIFICATE

No.1100887/1991.-

From GENERAL  Register of Civil Registration for Indonesia Citizen about births pursuant to the State Gazatte in Tangerang, that in Tangerang on date fourth of September nineteen ninety one was born: IBNU MARTANTO son of married couple : KASIMUN and MARMI

This expert conforms to the condition on this day

Tangerang, dated fourth of September

Nineteen ninety one,

Head of Civil Registration Office.




IBNU MARTANTO
11609392
4SA02