A.
Identity Card
DKI
JAKARTA PROVINCE
|
Name :
Date and Place of Birth :
Sex :
Blood Type :
Address :
RT/ RW :
Village :
Sub-district :
Regency/ City :
Religion : Marital
Status :
Occupation :
Nationality :
Valid Until :
City,
Date
Head
of Sub-district
Stamp
and Signature
Name
Signature/ Thumb Print of the ID
holder Official Main Number
B.
Driver License
THE
PUBLIC OF INDONESIAN STATE POLICE
Driving License
A
Province
Sex :
Name :
Address :
|
|
Tall :
Occupation :
Driving License
Serial Number :
Expiry Date :
City,
Date
The
Head of City Sub Regional Police
Stamp
and Signature Signature
Name
Adjudant
of City Territorial Police, The Number of Registration
C. Birth Certificate
C I V I L R E G I S T R A T I O N
CITIZEN : ..................
JAKARTA
E X C E R P T
B I R T H C E R T I F I C A T E
No. 2247/JS/1994
From
the list of ------------------------------------- G e n e r a l
-------------------------------------- of birth by Stbld. 1920 No.751
Yo. 1927 No. 564_________________________
in Jakarta, that in Jakarta on ------------------------------------ (month,
date) ----------------------------------- (year)----- ------------------------------------------
(year) ------------------------------------------- was born :
--------------------------------------------------- (the name of the child) ----------------------------------------the
daughter/ son of the married couple : (father’s name) and -----------------------------
(mother’s name). ---------------------------------------------------------------------------------------------------
--==oo00oo==--
This
excerpt is suitable with the situation today.
City, Month, Date -------------------------------------Year.
Particular
Employee of Civil Registration, Head of Civil Registration Office
City,
Stamp
and Signature
Name
Official
Main Number
Witness to declare the signature above
of (the name of the Civil Registration
Head) the Head of Civil Registration
Office, Particular Employee of Civil Registration in Jakarta, South
Jakarta.
|
Judge
of South Jakarta Country Court
Stamp and Signature
Name
Official Main Number
D.
NPWP Card
|
Directorate General of Tax
Main Number of Duty Tax : (................................)
NAME :
Address :
Registered : ( Date )
Pay off your
Taxes, Watch the Users
E. Medical Card
General and
Childbirth Clinic
THE NAME OF THE CLINIC
Address of
the Clinic
Telephone
PATIENT
CARD No. (The Number of Registration)
The Name of Patient : Sex :
Address :
Save this card and bring it everytime
you want to come to the clinic
