TUGAS PENERJEMAHAN TEKS KHUSUS

DKI JAKARTA PROVINCE

                                     

SERIAL REGISTER NUMBER :  3173056707910006

NAME                                      :  AYU MAWARDIKA

CITY/DATE OF BIRTH           :  PURBALINGGA / JULY 27^th , 1991

SEX                                          :  FEMALE
PHOTO                                    :            -

ADDRESS                                   :   JL.H.DAUD                                                               

            RT/RW                            :   010/003

            COUNTRY                      :   SUKABUMI SELATAN

            SUB-DISTRICT               :   KEBON JERUK

            REGENCY                       :   WEST JAKARTA

RELIGION                                   :   ISLAM

OCCUPATION                            :   STUDENT

BLOOD TYPE                             :    A

MARITAL STATUS                     :  UNMARRIED

NATIONALITY                           :  INDONESIA

EXPIRY                                       :   JULY 27^th , 2017

SIGNATURE/FINGERPRINT                                         

      ( AYU MAWARDIKA)          
                                                                             
HEAD OF SUB-DISTRICT / HEAD OF VILLAGE

           (SUBAGYO)