FAMILY REGISTERS

No. 3328122102086725

Name of Head of Family : AYUNG SUWANDI District : TALANG

Address : TEGALWANGI City : TEGAL
Neighborhood Ward : 006 / 002 Postal Code : 52193
Village Administrative Unit : TEGALWANGI Province : JAWA TENGAH

Place of
No Full Name Citizen Number Sex Date of Birth Religion Education Occupation
Birth
(1) (2) (3) (4) (5) (6) (7) (8)
1 AYUNG SUWANDI 3328120207630004 MALE TEGAL 02-07-1963 MOSLEM SENIOR HIGH SCHOOL ENTREPRENEUR
2 PUJI RAHAYU 3328125901660001 FEMALE TEGAL 19-01-1966 MOSLEM SENIOR HIGH SCHOOL HOUSEWIFE
3 ANNIKE PUTRI SUWANDI 3328126008920003 FEMALE TEGAL 20-08-1992 MOSLEM ACADEMY/DIPLOMAIII PRIVATE EMPLOYEES
4 TRI EMILDA OKTAVIANI 3328125810940001 FEMALE TEGAL 18-10-1994 MOSLEM SENIOR HIGH SCHOOL STUDENT
5 VIRA SHINTA YUNIAR 3328125406000002 FEMALE TEGAL 14-06-2000 MOSLEM ELEMENTARY SCHOOL STUDENT

Immigration Document Parents

No Marital Status Relation Nationality
Passport Number KITAS/KITAP Father Mother
(9) (10) (11) (12) (13) (14) (15)
1 MARRIED HEAD OF FAMILY WNI - - ABDUL JALIL RIJAH
2 MARRIED WIFE WNI - - RUSTAM DAEMAH
3 SINGLE CHILD WNI - - AYUNG SUWANDI PUJI RAHAYU
4 SINGLE CHILD WNI - - AYUNG SUWANDI PUJI RAHAYU
5 SINGLE CHILD WNI - - AYUNG SUWANDI PUJI RAHAYU

Issued on 16-10-2014 HEAD OF FAMILY The Head Office of Tegal Civil and Population Affairs
Copy I. Head of Family
II. RT (Neighborhood Ward)
III. Sub District
IV. District AYUNG SUWANDI MOH. NOR MA’MUN, SH., M.HUM.
NIP. 19620816 198703 1 009