CIVIL REGISTERY OFFICE
(INDONESIAN NATIONALITY)
BIRTH
CERITICATE EXTRACT
Number:
1134/P.Rsa-93/2006
Based
on the Special Dispensation Birth Register by virtue State of Gazette 1922-781 jo.
1928-567 in Depok Municipalty, it was recorded that in Depok on the seven day
of December in the year nineteen ninety three afemale child named NIKITA ALEALE
was born as the first child to the married: ADRIAN ALEALE and SITY BADRIAH.
This
certificate is issued in accordance with Decree of Major of Depok Municipality
number 123.45-678 of 2006 dated 20th July 2006.
This
extract is in accordance with the current conditions.
Depok,
the twentieth of July in the year two thousand and six.
Head
of the Registry Office
Depok Municipality
Signed and sealed
SARDJONO SUHERMANTO, S.H.,M.Si.
Supervisor
NIP 6795 765 564
Signed and sealed
SARDJONO SUHERMANTO, S.H.,M.Si.
Supervisor
NIP 6795 765 564