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Kartu Keluarga Yogi Irfan Rosyadi

1. This document is a family card for the household of Yogi Irfan Rosyadis.Pd.I living in Margalaksana village, Cilawu sub-district, Garut regency. 2. It lists the five members of the family - Yogi Irfan Rosyadis.Pd.I, his wife Widya Lestari, and their three children Muhammad Abdilah Rosyadi, Muhammad Zikri, and Mayra Berliana. 3. It provides details for each family member such as name, gender, date of birth, religion, education level, occupation, citizenship status, and relationship to the head of household.

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3K views7 pages

Kartu Keluarga Yogi Irfan Rosyadi

1. This document is a family card for the household of Yogi Irfan Rosyadis.Pd.I living in Margalaksana village, Cilawu sub-district, Garut regency. 2. It lists the five members of the family - Yogi Irfan Rosyadis.Pd.I, his wife Widya Lestari, and their three children Muhammad Abdilah Rosyadi, Muhammad Zikri, and Mayra Berliana. 3. It provides details for each family member such as name, gender, date of birth, religion, education level, occupation, citizenship status, and relationship to the head of household.

Uploaded by

mekarjaya group
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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KARTU KELUARGA

Nama Kepala Keluarga


No. 3205192003170011
: YOGI IRFAN ROSYADIS.Pd.I Desa/Kelurahan : MARGALAKSANA
Alamat : KP. CIKANCUNG Kecamatan : CILAWU
RT/RW : 001/003 Kabupaten/Kota : GARUT
Kode Pos : 44181 Provinsi : JAWA BARAT
Jenis Tanggal Golongan
No Nama Lengkap NIK Tempat Lahir Agama Pendidikan Jenis Pekerjaan
Kelamin Lahir Darah
(1) (2) (3) (4) (5) (6) (7) (8) (9)
1 YOGI IRFAN ROSYADIS.Pd.I 3205192301880001 LAKI-LAKI GARUT 23-01-1988 ISLAM DIPLOMA IV/STRATA I WIRASWASTA TIDAK TAHU
2 WIDIYA LESTARI 3205051103920002 PEREMPUAN GARUT 12-05-1992 ISLAM DIPLOMA IV/STRATA I WIRASWASTA TIDAK TAHU
3 MUHAMMAD ABDILAH ROSYADI 3205190911170004 LAKI-LAKI GARUT 09-11-2017 ISLAM TIDAK/BLM SEKOLAH BELUM/TIDAK BEKERJA TIDAK TAHU
4 MUHAMMAD ZIKRI 3205191011190002 LAKI-LAKI GARUT 10-11-2019 ISLAM TIDAK/BLM SEKOLAH BELUM/TIDAK BEKERJA TIDAK TAHU
5 MAYRA BERLIANA 3205195611210001 PEREMPUAN GARUT 16-11-2021 ISLAM TIDAK/BLM SEKOLAH BELUM/TIDAK BEKERJA TIDAK TAHU
6 - - - - - - - - -
7 - - - - - - - - -
8 - - - - - - - - -
9 - - - - - - - - -
10 - - - - - - - - -

Status Tanggal Status Hubungan Dokumen Imigrasi Nama Orang Tua


No Perkawinan Perkawinan Dalam Keluarga Kewarganegaraan
No. Paspor No. KITAP Ayah Ibu
(10) (11) (12) (13) (14) (15) (16) (17)
1 KAWIN TERCATAT 08-10-2016 KEPALA KELUARGA WNI - Drs ACUN GUNADI MM Pd ATIK RUSTIKA
2 KAWIN TERCATAT 08-10-2016 ISTERI WNI - SAMIDI YANTO ADE SUKAESIH
3 BELUM KAWIN - ANAK WNI - YOGI IRFAN ROSYADI WIDIYA LESTARI
4 BELUM KAWIN - ANAK WNI - YOGI IRFAN ROSYADI WIDIYA LESTARI
5 BELUM KAWIN - ANAK WNI - YOGI IRFAN ROSYADI WIDIYA LESTARI
6 - - - - - - - -
7 - - - - - - - -
8 - - - - - - - -
9 - - - - - - - -
10 - - - - - - - -
KEPALA KELUARGA PLT KEPALA DINAS KEPENDUDUKAN DAN
Dikeluarkan Tanggal: 17-05-2022
PENCATATAN SIPIL KABUPATEN GARUT

YOGI IRFAN ROSYADIS.Pd.I Drs. H. JAJAT DARAJAT,M.Si


Tanda Tangan/Cap Jempol NIP. 196409071996011001

Dokumen ini telah ditandatangani secara elektronik menggunakan sertifikat elektronik yang diterbitkan oleh Balai Sertifikasi Elektronik (BSrE), BSSN

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