KEPOLISIAN NEGARA REPUBLIK INDONESIA RESOR" tf ie Seton cma Nomor : 27 - 075478 mI CATATAN KEPOLI: RECORD Nomor : SKCK/YANMAS/478/ Vil / 2018 /INTELKAM : ENDANG KURNIAWAN, LAKILAKI Sex ‘Kebangsaan INDONESIA Nationality Agama ISLAM Religion ‘ahi PANDEGLANG, 26 FEBRUARI 1995 Place and date of birth ‘Tempat tinggal sekarang KP. CIGABUG RT/RW 002/001 DS. KADUMADANG Current adress Ke NUK KABUPATEN PANDEGLANG. Pekeriaan : ‘Occupation ‘Nomor Kartu Tanda Penduduk 360; Citizens card number ‘Nomor PasporiKITAS/KITAP* , Passport/KITAS/KITAP number Y This certificate is issued at the request to the applicant z f PERSYARATAN MELAMAR PEKERJAAN For the purpose 12 JULI 2018 Valid from 0 2 DESEMBER 2018 To Dikeluarkan di CIMANUK ‘Issued in 12 JULI 2018