Kartu Tanda Penduduk.pdf

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  • Words: 65
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PROVINSI SUMATERA UTARA KABUPATEN HUMBANG HASUNDUTAN

NIK Nama

:

TerpayTgl Lahir Jenis

kelamrn

Ala mat

RTiRW

KeUDesa

Kecamatan

l,Pl,L0L l,8l,a95OE0f SAPUTRA KHISTO PUBBA : SlMPAlt{G EMPAT, 18-12-1995 ; LAKI-LAKI Gol. Darah :: JL.LURUS SIMPANG EMPAT :

:00O/O@ : LUMBAN PURM : DOLOKSANGGUI

Aqama :KFISTEN Status Perkawinan: Belum Ka!Yin Pekeriaan : PELAIAR/MAHASISWA Kewa196neqaraan : WNI Berlaku Hingga : SEUMUH HIDUP

HUMBANG HASUNDUTAN

TASD{ REPT:BLIK INDO

19-O3-2018

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