Tugas Penerjemahan Dokumen Khusus

BIRTH CERTIFICATE

CIVIL REGISTRATION
(CITIZEN OF INDONESIA)
Jakarta
Excerpt of
BIRTH CERTIFICATE
No. 7680/JB/1990

By Virtue of Birth Certificate Number stbld 1920 no.750 Yo 1927 no.564 In accordance with state government gazette in Jakarta, that in JAKARTA on date twenty eigth of January on the year of Nineteen Ninety had been born a daughter, named : AFRIGUSTIANA Legitimate child of: spouse couple ZAFRIL DARA and YUDESNI

This quote in accordance with the state today.

Jakarta, on date four september nineteen ninety


Head of the Civil Registration Office
West Jakarta Regency

RAMADON SYUKRI SH
NIP 470017986

IDENTITY CARD


Province : DKI Jakarta
City : Jakarta


Serial Register Number : 09.5202.680890.5502
Name : Afrigustiana
Place / Date of Birth : Jakarta                                                 August 28^th, 1990
Sex : Female                                                                            Blood Type :
Address : Jl. Tawakal VA no. 23

RT/RW : 005/009
Village : Tomang

Sub-District : Grogol Petamburan
City : West Jakarta                                                                  Marital Status : Unmarried
Religion : Islam
Occupation : Student
Valid Until : August 28^th, 2012
Nationality : Indonesian

                                                                                                            Jakarta, October 2^nd 2007

                                                                                                                        a.n Camat

Headman

                                                                                                                                   

_____________________________                                                              SANTOSO. MSI
Sign / Thumb Print ID Card Holder                                                               NIP : 010254312

MEMBER CARD


UG Smart Card

LITERATURE

ENGLISH LITERATURE

AFRIGUSTIANA
10608152

1.     The identity card is valid for card holder is on duty and has status as a student at the University of Gunadarma.

2.     These cards are the property of Capital City Bank to be recovered or refunded if requested by the GUNADARMA UNIVERSITY and or Bank DKI.

3.     These cards are not transferable in any way.

4.     Use of this card is governed and subject to applicable regulations.

5.     If found this card please return to: Bureau of Public Administration (BAU) Gunadarma University, Jl. Margonda Raya 100, 16424th Depok Pondok China, tel. (021) 78881112 Ext. 206 or nearest Capital City Bank, tel. (021) 2354 5555

MEMBER CARD

Participant’s card
ASKES
Health Insurance Specialist


0000045283645
AFRIGUSTIANA
28/08/1990

President Director

Dr. I Gede Subawa, M. Kes

Always ask for DPHO Drug

1.     Participants card must be brought during treatment.

2.     If the card is misused, will be penalized.

3.     If there is a change of data or loss of card, immediately report to the office of PT Askes (Limited) around.

Toll Free 0800 11 27537 – 0800 11 ASKES
Call Center 500400
www.ptaskes.com

DIPLOMA

NATIONAL EDUCATION DEPARTMENT
REPUBLIC OF INDONESIA

DIPLOMA
SENIOR HIGH SCHOOL
STUDY PROGRAM : LANGUAGE
ACADEMIC YEAR 2007/2008

The undersigned, Head of "SENIOR HIGH SCHOOL 23 JAKARTA" states that :
Name : AFRIGUSTIANA
Place / date of birth : Jakarta / August 28^th, 1990
Name of Parent : Zafril Dara
Previous School : Senior High School 23 Jakarta
Register Number : 11369

PASSED

from the education units based on the results of National Examination and School Examination and has fulfilled all of the criteria in accordance with the legislation.

Jakarta, June 14^th 2008
Headmaster,


Drs. Rukiman Lumban Batu
NIP : 131 273 033