WEST
JAVA PROVINCE
BOGOR
CITY
Serial
Register Number : 3201012812890007
Name :
REZA DESTRI ARDHIKA
City/date
of birth : JAKARTA/28 DECEMBER 1989
Sex :
MALE
Blood Type : A
Address :
KP.BEDAHAN
RT/RW :
10/01
Subdistrict :
PABUARAN
Country :
CIBINONG
Regency :
BOGOR 16916
Religion :
ISLAM
Marital Status : UNMARRIED
Occupation :
STUDENT UNIVERSITY
Expiry :
28-12-2013
BOGOR,06-04-2008
Village
Head
H.S.
ZAINAL, SIP , MSI
Signature/Fingers
Print
NIP. 010165847
Official Serial
Number
DEPARTMENT
OF
NATIONAL EDUCATION
REPUBLIC OF INDONESIA
REPUBLIC OF INDONESIA
CERTIFICATE
THE
JUNIOR HIGH
SCHOOL
LESSONS
YEAR
2004-2005
The
undersigned,
Head
of
School
NEGERI 1 CIBINONG KABUPATEN BOGOR explained
that :
Name
: REZA DESTRI ARDHIKA
Place
and
Date of birth :
JAKARTA, 28 DECEMBER 1989
Name
of parent : H. MOH. SYAHLI SIFAT
Register
number : 02031083
Number
of participants: :
SMP NEGERI 1 CIBINONG
Graduate
education
units based
on the results of
National Examination
and
Exam
School
And then
meet all the criteria
in accordance
with
statutory regulations head
master bogor number : 421.1/140/kpts/HUK/2005
date 14 April 2005
BOGOR, 30 JUNE
2005
HEAD MASTER,
Drs. H.
Muhammad MT, M.pd
NIP .
130934833
NO. DN. 02 DI
0143687
Birth
Certificate
Registration
Number : DCS 0053674
Registry
Office : 7.999/DISP/JT/2002/.-
Nationality :
INDONESIA
Excerpt
of Birth Certificate : 3 JUNI 2002
By
Virtue of Birth Certificate Number : 1920 NO. 751 YO.1927 NO.564
In
accordance with state government gazette JAKARTA That in BOGOR on
date 28 male .. SURYATI and MOHAMMAD SYAHLI SIFAT
This
excerpt issued in JAKARTA on date 03 June 2002
Head
of Department
Drs.
H. Elzarman, Msi
NIP.
470032996
Civil
Registration and population
|
NAME :
REZA DESTRI ARDHIKA
ADDRESS :
KP.PABUARAN RT 10/01
CIBINONG-BOGOR
Place
and
Date
of birth : JAKARTA, 28-12-1989
Height : 167 CM
Occupation :
STUDENT UNIVERSITY
Number
SIM : 891213250205
Valid
up to : 28-12-2012
BOGOR,
25-08-2007
KAPOLRES
Drs.
ARIEF ONTOWORYO, Msi
AKBP
NRP. 64120865
CIBINONG,
28 JULY 2011
POLICE
OF THE
REPUBLIC OF
INDONESIA.
COUNTY NO. :
0905/JB/2011
WEST JAVA
LETTER
NUMBER
OF
MOTOR VEHICLES.
REGISTRATION
NUMBER :
F 5548 NO NEW
VEHICLE
NAME
OF
OWNER :
SURYATI
ADDRESS :
BEDAHAN RT 10/01 PABUARAN CIBINONG
KAB. BOGOR
MERK :
HONDA COLOR : BLACK
TYPE :
NC11A3CBA/T FUEL : BENSIN
KIND :
MOTORCYCLE COLOR
TNKB : HITAM
MODEL :
MOTORCYCLE OF
REGISTRATION :
2011
IN
MAKING : 2011 NUMBER BPKB : I-0 1322284
CYLINDER
CONTENT : 110 CC
ORDER
NUMBER : MH1JF711XBK127469
ENGINE
NUMBER : JF71E1126878
