Birth Certificate

CIVIL REGISTRY

(INDONESIAN NATIONALITY)

EXCERPT OF BIRTH CERTIFICATE

NO. 123_4/1775_Cs/1990

Based on                                 GENERAL                             birth register by virtue of State Gazette                                 1920                            in –Bandung- it was recorded that in                                    Bandung                                 on date the twenty day of April, at 02.00 WIB in the year              nineteen ninety                        was born:

                                    CITRA KARINA                              

As the first child to the married couple:

                                                TAUFIK HIDAYAT                                                

And

                                                FATIMAH KARLINA                                   

This extract is in accordance with the current condition.

Bandung, on date the twenty day of May

In the year nineteen ninety

Head of the Registry office

Drs. H. Rahmat Iskandar

                                                           

NIP. 010 234 567

Yuli Octavia/15609745/4SA02