Selasa, 30 April 2013

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

IJAZAH

DEPARTMENT OF NATIONAL EDUCATION
THE REPUBLIC OF INDONESIA
CERTIFICATE OF
SENIOR HIGH SCHOOL
School Year: 2008/2009
The undersigned, Headmaster of The Private Senior High School “SMA Negeri Sejahtera Sentosa” certifies that:
Name : Rulli Renaldy
Place and date of birth : Jakarta, February 31th 1991
Name of parent : Musdalipah binti Markum
Name of senior high school : SMA Negeri Sejahtera Sentosa
Student registration number : 9917445674
Participant number : 03-032-474-4
HAS GRADUATED
from the senior high school based on the results of the School and National Examinations and has fulfilled all criteria pursuant to the applicable regulations.
Depok, 16 Juni 2009
Headmaster,
[stamped & signed ]
Dra. Tukulkuli, S.Pd
NIP. –