Identity Card in English - Assignment

Jawa Barat Province

Depok City

Identification Number            : 327605450xxxxx

Name                                       : Andrea Amanda Christianto

City/Date of Birth                   : Jakarta, 5 July 1991

Sex                                        : Female                                                                                 Blood Type : B

Address                                 : Griya Depok Asri Block xxxxxx

            Village                        : Mekarjaya

            Sub-district                : Sukmajaya

            City                            : Depok City

Religion                                   : Islam                                                                    Marital Status : Unmaried

Occupation                              : College Student

Validity Period                       : 05-07-2013

                                   

                                                                                                                            Depok City, 28-07-2008

Headman of Mekarjaya

Signature / Fingerprint Identity Card Holder                                      H. Sarmili