IDENTITY CARD

JAWA BARAT PROVINCE
BEKASI
Serial Register Number: 324567000017
Name: ZAENAL ABIDIN
City/Date of Birth: Jakarta/ 08-07-1991
Sex: MALE Blood Type:B
Address: JL. IMAM BONJOL CIKARANG BARAT1, BEKASI
RT/RW: 002/004 NO 07
SUB-DISTRICT: CIBITUNG
COUNTRY: BEKASI
RELIGION: ISLAM
MARITAL STATUS: UNMARIED
OCCUPATION: STUDENT
NATIONALITY: INDONESIA
CARD EXPAIRES: 17-12-2013