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