Jumat, 26 Juli 2013

BIRTH CERTIFICATE



CIVIL REGISTRY
(INDONESIAN NATIONALITY)

EXCERPT OF BIRTH CERTIFICATE
No. 999_1/1774-Cs/1992
Based on ------------------------------------GENERAL---------------------------------birth register by virtue of Indonesia ---------------------------1920--------------------------- in –Jakarta--it was recorded that in --------------------Jakarta------------------------------------------------- on date     the twenty ninth day of June,  at 12.15 WIB ------------------------------------------in the year nineteen -----------------------------------ninety three--------------------------------- was born:

------------------------------JUDHISTIRA ABRAHAM FERNANDES----------------------------------

As the second child to the married couple:
-------------------------------------------KELVIN ANDA CEVA-------------------------------------------
And
-----------------------------------VANESSA MARSHELLA-----------------------------------

This extract is in accordance with the current conditions.
Jakarta., on date the second day of July
In the year nineteen ninety three

Head of the Registry Office

                                                                                                      Samudra Aliffandi
-----------------------------------
                                                                                                          NIP. 0800 877 123

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