‘Surmaters Biantations DATA PRIBADI PELAMAR PERSONAL DATA APPLICANT | Mma ena Gesual TE | Fu nome 0 Cora/Psspert) ens Kelamin | temoatZieliaic TRC Laki = taki Medan, 16 Juni 1958 t aw | a 4 wooo “eons a | Ts tain Rani | a a a [ki a aa (a Karang Barat Kata Sander Lampung, . ie Tense (0812 7968 2345 | ie _ — tal Rompokiregar6z@qmall.com ‘No, KTP dan NEWP '1871031606580003 as | (arom PWT Nonte 77. 679.606,3-322.000 1. Pendidicn Formal Formal edvcton _ Tt Taian ‘eae Mr face [Sora gh sce [ross P Sampaan ‘ADEM adem [oN Zones aT - naan TV riety 5) — 2 Panditan Nonformal Nomfomeleduoten 7 = Nama Kursus/Plaihen Renyelengrara | Termsercota | tame cfrannreouse Orpen ery Sea Wana fate Poe ‘Sembee Tae bPom SY a Talabuni abar 3 | Secapa Poin aber Pei Sokoban aber ul — ~Principal Agent (PA 2006) oan aes 5 | Principal Agent (PA 2008) | ] MabesPold ‘abes Poin Soreang Bandung | 22-01 ae) Soreang Sanding | 21-01 ____| 2008 ‘raion Tuga 1 Description ‘asa kel Erplopment period ‘Alan peneunduran i Reoson or Leong [ Fendopatan & benetcvane harplan/txpected sol & benefit Tama Perarahaan CompanyName ‘Bidang aha / Notre of busines Tabata sat aval erabng/ Poston oF ng Tabata re [arent Postion ‘elapor kepada Report directly | tram Postion | homis karyaman Total amber of cemobyees Status totus Pendopatan& bevel sry & Benet Urian Tug Jb Deseriion Tass kal Eriploment ped ‘Alsan pengundran de Reason for leavingONT] TTT CMa cn MIMPERUMATKAN BOSt DTT 2 tne Sami Spouse | Neca Lewy itr /Suami — ~] Mi Bora asoTION = a | Fullname spovse fo ann Tegal Ta Lair Medan, 08 Agustus 1963 Ploce ote of 6th — _ — Isami |stt~ —_ _ iar > sa She = | pwusran ananDa NaUU SiR | wnova sary Tou Rumah Tanga otabunl mpage | Seat ~ | Rotabaniiompe | Seat3 Family composition (ncuded yours) Poss ‘Noma leaks Le | Wile | endian Fullname mre | Age | Education | Sab a musummrsmecaR ft | Aim [SUT Father _ iy [PAT HARARAP Te [ain [Stra a | ner | ‘Sauda ‘WSARTISREGAR Tai Yat 5 yer (9), Sauda? HmapimnaccaR ptf oF | STR PHS Penson) ‘Brother(s/Sister (5) | The [ sosers Daw erENDISEGAR |e | 65 | Sadana PRS Penson) ‘rotnr(sV Ste) Th Souder ACTA REAR [TA | Se : ‘Brother(sSter) ‘Sauda: Dea NOROUSIEGAR P| 52 | Sarna Gorso Brother Ste) The ie [OTHER DESCRIPTION 1. satahanda gemah pemah drama rumah sit dalam satl tan trabie? Have you ever been hosptoized within the lost (one) years? Xan pernah/never pemanver Tinueor Lara ak Years ck Penyatt/ Osco Drama Pace ot 2 flecen Nama leneia we: i Paieiaan | tamatenat | tun Tutnane rot eaptone No. | Omupeten | Yeon tnonn | Retson 1 | ee wazanuonst sin 82759 ee ee > | roMPoL JOnANES HAL 2 7230300 Purowroh [307m | Retankers > | wera wio000 m2 16934809 ee ee ee 3 Sean ee rcohed nes of emergency wer ‘ma enckan Paces Tatoane “elephone ond Cel pane No — T[wenowacnsimecanse wm | os2u6so7 eer anpcany aarti 7 | wamansvans sacoan su | ons mznazos ‘Arak Kang stats ah “AS RAMADAN SREGAR Kn B 0 72491084 ‘Arak Kang Stats Nanae g | Rega andh emma okedaansmenae 2 ‘Dopo cored hove parte? a (nana can etal aoe? Where do you work ond describe your positon 7 aan a SECS? | eyo wang ower tf tow? | | Race Anta aA Shara? Walyou be wing tbe sctened ot of town? ‘etuton nama ota dara Dott the nome of he town andrea! ceca ash oe aba? Ti Should you be accepted, when will you be avaiable to commence work ?- Pee eerie | aia ipsa ere anda eiPerwsataan tami? Teaches | Boyes Bove on Feneeferences now Company? cron saya memstaan ba er keterrgn lon orm falhera dan sh, Abia rt oan hetero rset tak bear maka saya bese mengundurian I herety Seed tt efomotin sted is jar conect and tre, subsequent sown ta the fermen MESES, MT gree tren the company ened. TR snEcaR Nama lena tds targan/ Fullname &sigatrePROVINS! LANPUNG. KOTA BANOAR LAMPUNG wre « 4874033606580003ysrenaetonnoe is : AKTA NIKAH Ke \Li@ RORAT | PALEMBENG Memos)No-1671032503140003 en ee en sete, gy KARTU KELUARGA K 18710729479ie sus ets! 21s cst { PENCATATAN SIPIL « | (...YARGA NBGARA INDONESTA. ) a y KUTIPAN | } AKTA KELAHIRAN | A Nomor 47s 4, 2398eZ/30/ 2002 “if Kl =n Tetinena ——--~ a Pe Dari dat \920 No.751 joustend sti mens ar Honsgf mt . Kota bunt ee temnyata, bahwa di so dug bulan Jud womennwnnnn fe > nie wenn telah lahir - anak laki-laki @iberi nam t ss ANUGRAH ANANDA NAULI SIREGAR danish ceil ~ anak ke 2m dari sani jetri : Tr. Siremr dan Me My IR. Nasution, < Ketipan ini sesuai dengan Keadaan pada hari ini. i Nomor Induk Kependudukan Personne Reistrtion Number PENCATATAN SIPIL REGISTRY OFFICE WARGA NEGARA _ INDONESIA NATIONALITY KU N_AKTA KELAHIRAN EXCERPT OF BIRTH CERTIFICATE <>< Nomor _474+1/1686,10t-meva/i0/2000, iy virie of Birt Certificate Nu iment etl {920 No,751 JosStbla 1927 No.564 41 Kotabuat in ccordance with tte gacette bans Kotabumi, pada tanggel_delapan bulan Oktober that in onda tahun dua Fibu satu on year WIOYA SATIYA UPTAMA STREGAR a anak ke 0n@ perempuan dari suami istri : Tr, Siregar dan ¥, Br, Nasut ‘hal no Kutipan ini dikelvarkan Kotebumi The excerpt is iaeued =~ pada tanggal_ *488 Maret PEMenaot (285 Tod Oeang oF Teams Nosttenng — EDIE avenor4 iow? NARA SIREGAR tog on 2+P FOL Ga ea LH Re SEOALAM ‘errasiecessoncs y vale gees 2014 i 4 aca bd 19877209