Minggu, 31 Maret 2013

KTP

WEST JAVA PROVINCE
DEPOK CITY

Identification Number: 3276055612910006
Name: Khairunnisa
City/Date of Birth: Jakarta/December 16th, 1991
Sex: Female
Address: Kp. Cikumpa
     Rt/Rw: 006/010
     Country: Sukmajaya
     Subdistrict: Sukmajaya
Religion: Islam
Occupation: Student
Blood Type : -
Marital Status : Unmarried
Nationality: Indonesia
Expiry : December, 16th 2014

Signature/Fingerprint     Head of Sub-District/ Head of Village


Khairunnisa