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
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