008
RUKUN WARGA. 009
KELURAHAN CISARANTEN KIDUL KEC. GEDEBAGE
KOTA BANDUNG
SURAT KETERANGAN
Nomor : ..... / RT. 008/RW.009/....../20 .....
Pengurus RT 008 RW 009 Kelurahan Cisaranten Kidul Kecamatan Gedebage Kota Bandung
dengan ini menerangkan bahwa :
Nama : ..............................................................................................
Jenis Kelamin : ..............................................................................................
Tempat / Tgl Lahir : ..............................................................................................
Kewarganegaraan : ..............................................................................................
Status : ..............................................................................................
Pekerjaan : ..............................................................................................
NIK : ..............................................................................................
Alamat : ..............................................................................................
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