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Page 1: IMG_20150811_0022

DAERAH BENGKULURESOR I}ENGKUI,U UTARA

.Il. Pnol'. M. Yanrin No, 418 Arga Maktnur

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SULAT KE IERANGAN CATATAN KEPOLIEI;tN. -' -

lli ul:rr: t' :

Diterangkan bersama irli !r!1v'r17-hi.s i.s to cartify thol the ltarsttn

Naqre

J"_!ti! !.:!a.!lrru,trt't'

SLrLdKqL)alr3ld-a!Rus/N ttlionulily

AgauaI!,:itgion

!- cr l{141 lqlrgga.!-d llalMh4lll'iti,,'e tt,:.1 ilute of birtlt

-!'.:rriuiil ti ttggal sekarall g(lurrent uLldress

!gkeriaan(.)<'tttlttttiott

Nrruqr-@( t[!:i)i].\ t.'i;iii .\\lLmbAf

N o lr.rllaipsd K Llaslldla P

POLICI| RECORDSKCK / YANMAS / {(r3 I lll 12015 , I\1 ?a,1,KAM

P o,s',t prtr ! / K ITAS,/ K I 7,4 P ;\i t t m h cr: lii O : Ii i.)()i 16

&u,rul.idik jariFingerprinls/itrnttrlci L 'l'1::' ii' ii )1

Setclah diadakan pent:1r1iar 1ilir1:;311,,1at dikeLLililq!!!l'tlL i,-t:1erir:'1.'qrt irtilulil:',!i,.lilrritr-l'.ail l;epada .

AJiar ol screening througlt rJi,: i';stti hrtre of fu vir't;'t ':fa. ea@qL\ct ,',ii:ii,ri Ya-!]B 39a.

Er i s / i tt5 i:' tii ;'-:l rL t:or d :b. Surat ketQi';u1gar ilrrr !-'4epala !2s:iq./ L.uiah'

I nJ r.t r ru u t i' t n ..,i' t t n i h t t' itl,4 it I h c' r li it"s'

lir,.: itcttri't' hcra of'pt,ttves not lo be ittt'r.tit'tri rtt aiiy crinintti cu'vi:s

.lelarna berada iillncionesia dari ; i 5 AGLiS l'LlS lgi l!)irt'ittg his ,' her slqt in Incloncsicr.fionr

)iI]-iLrr!-dQ!l$ll1{ ,,

I{At lAI)lAN (iLl S'l'l DtTWAI'J'l o

I,Ai(I - i-AKI

l{h.lAN(i / lN t)ON LISIr\

ISI,AM

AIt(;A V!,1rh.:.,'!lJR. I-5 A(iliS'IliS lq92

J L. i] ;T. Ii I,I K I i{,{ I-I M A.f K Ei,. G UN TJ N C AI-AN,T

KELI. ;l.R{in, Iv{AKMLIR l(AB. BENGKULI-J UTARA

s\r/Al;]-A

\I t: itt1I 508qli)iiti4

: 17 MAI{ll't' l0l5

: 1l .IUNI 2015

K9fe1.Uggfff1i-el-bqll'.11', i1-'r.!rrri-rufgS! i!c!g-41] ilgllll-idlll!!i!l!Ttti'i ctertificute.s is trude ul ihc rultra'sl lrt thc uytltlit'unt

UrLlUt-lW-qIlilLlJIelLLUtl ; PITRSYARA'I'AN lvlLll'ANIAR PHKEI{lr\AN

/br thc purpose

flerlaku clari tariggall'olitl.li.trtSiiirtprr lblg4rl

i\R(i,\ VtAKNllli<Dikql_uerliol,ilils.sued irt

ARt:T 20i5

Lil'Lili i R BKL UTARA