CIVIL
REGISTRY OFFICE
(INDONESIAN
NATIONALITY)
BIRTH
CERTIFICATE EXTRACT
Number: 2716/U/JB/1992
Based on
the general birth register by virtue of State Gazette 1920 number 751 in
Jakarta, it was recorded that in Jakarta on the twelve day of March in the year
nineteen ninety two the female child named “DINY SUSILAWATI” was born as the
second child to the married couple: SUHARYOTO and KOMARIYAH.
This
extract is in accordance with the current conditions.
Jakarta,
the nineteen day of March in the year nineteen ninety two.
Head of
the Registry Office
West
Jakarta
(Signed
and sealed)
RAMADON
SYUKRIE SH
NIP:
470017986
