SKCK Nurtika

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KEPOLISIAN NEGARA REPUBLIK INt]ONES!

i\
I]AEFIAH SUMATERA SELA-TAN M ENGE"TAHTJI
SI^ DEIiOAN ASLitll'^
ITESOR MT]ARA ENI[/ PHOIO eoPYl:{r tnriA D,irl
S

..,t -BaDbar)q-Ulovs Na--ZlMuaraEornl .j'1 1 1i t{0M0R I ]LEG I

TANGGA!
T ILlGiil

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SURAT KETERANGAN CATATAN.KEP]oIISIAN


POLICE RECORD
Nomor : SKCKIYANN,lAS/1 5281 /Xl/2022ilNTELKANn
Diterano kan bers a0:!3-lt 1bahwa l
fhls ls ro ceftify thal .

Narna Nt-,RI IKA


Nante
Jerr.is-Kelam,tl PEREIVPIJANI
Sex
llebargsaau INTJON ES IA
Nationaiity
Asa0a ISLAM
Religion
Temoat dan Tgl lahil PRABUMULIH, 27 Mei 1997
Place and date of bitlh
Temoat tinooal sekaranq DUSUN II RT 1 RW 2 DS,A|R KERTJH KEC,RAMBANG KAB,N4UARA
C urrent Address ENIM

Pekeriaan
Occupation
: BELUM BEKERJA
mor T P
Citizens card NLtnber
: 16031567C5970001

N'olrolEaaaparyq9&W -
Passp€*lK+FAS/l(ITAP
Blmls Srdrk Jari 6 C 15, U IiC, t1__
Fingerprints Fonttuta O20WOOO
Selelabdradaka-l.pcnelltia!l hingga saal gik(.r-lua-Ikar -su La-tl'lig ran!t1rr Inr v'rli'l Ilrdasarkillr ktip;r(l'l
As of screening through tt,{' iss/re /lere of b',' r'iittt: ol
e a1a1a0 l(gppirsrnli Jonil. ar i;I
Extsting Police Record
b u t-,JtataSlrctaX-ff:em-lrkL,eaiafa n a!.!l-lGleill a1i]ll-. a-La]I1 l.9gl?1a !l I nril.r
balrwa nama terse I rl).llrrLi
the bearet hereof proves not to be invoi'tarl in any criminal cases
selama id peraoa di lndonesra cjari 27 l,llei 1gg7
during his/her stay in lndonesia
samoai denqan 8 November 2022
to
Ket eranoan diheflkan berhub IJ II {t 3ll de ngan oel[loha!!!
I

This ceftificate is isst/ed at the reqlle-s tto the applicatiott


*
untuk keDerluan/rn e nuiu PERSYARATAN MELAMAR PEKERJAAN
For the Purpose
Berlaku dari Tanggal B Novemuer 2022
Valid from
Samoai denoan I Mei 2023
To
Dileluarkan d.i lu4ua ra Eninr
/ssued rn
Pe-dLTangSal Il Novt:rnbe. 202?
On

a.n. KEPALA KEPOLISIAN RESUR MUARA ENIM


KASAT INTEI-KAM
A!abllir dkerludrarr iar
yhllElriral
r
Lqiahalaolq.JarrJgala,
$(eK rlidrlviluha!
xd4t- bedal!.
I tte luture is co)icerned

c.!no/volalrctts SKCK i.)

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