KOTA TUAL
t{IK
:81,?a0aq?1,08?0004
Nahr
Tempattfgl L8hir
Kslamin
Alamat
. RT/RrLt
KeUOs&
Jenis
:oo'l
:
0O2
LODAR EL
KEEMAIAN, :P
DULLAH SELATAN
: KRISTEN
AgEma
Statr PdtffiBn: KAWIN
P.h&lilt
iPEoAlvAI IEGER
lafrIljr3.iliisil :07-1Gm1E
BrbhrHStggP
KOTA TUAL
ePtL
(ro)
1346.2013 ^
rfta
'+,''|r
'l