Address / Alamat :
Father Age
Bapak Umur
Mother Age
Ibu Umur
No Of Brother / Jlh. Abang Adik Lelaki
No. Of Sister / Jlh. Kakak Adik Perempuan
In the Family you're the / Anda anak yang ke- :
Working Esxperience / Pengalaman Bekerja :
FOTO
HITAM PUTIH
4x6
Speaken
Husband's Occ
Pekerjaan Suami :
Year Of Married
Bungsu : Lamanya Nikah :