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SKCK

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40 views

SKCK

Uploaded by

Aldi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
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KEPOLISIAN NEGARA REPUBLIK INDONESIA DAERAH SUMATERA UTARA Nomor : 02 -0254364 RESOR KOTA BESAR MEDAN Ji H.M. Said No. 1 Medan - 20235, SURAT KETERANGAN CATATAN KEPOLISIAN POLICE RECORD NOMOR : SKCK/ YANMAS / 504/1/YAN.2.3./2024 / SAT INTELKAM Diterangkan bersama ini bahwa This is to certify that Nama CLARA SHINTA SIANIPAR Name Jenis Kelamin WANITA Sex Kebangsaan INDONESIA Nationality Agama KRISTEN Religion ‘Tempat dan tol ianir : MEDAN, 04 OKTOBER 1997 Place and date of birth ‘Tempat tinggal sekarang JL SETIA BUD! KEC. MEDAN HELVETIA Current Address: Pekerisan a ‘Occupation ‘Nomor Kartu Tanda Penduduik 61061044 10970001 Citizens card number Nomor Paspor/KITAS/KITAP* - Passpor/KITAS/KITAP Number Rumus sidik jeri 81246 W110 45 Fingerprints Formula 26 WM Setelah digdakan penelitian hinaga kel surat kelerangan ini yang di Nk ‘As of screening through the issue ere of by virtue of Catatan Kepolisian yang aria Existing Police Record Bahwa nama tersebut diatas tidak memiliki catatan atau keterlibatan dalam kegiatan kriminal apapun the bearer here of proves not fo be involved in any criminal cases ‘Selama ia berada ci ind ari 04 OKTOBER 1997 ‘During hisfner stay in Indonesia from ‘Sampai dengan 2 08 JANUAR! 2021 To This oertincae issued atthe request fo the epphcant Intuk keperiuan/menuju* MELAMAR PEKERJAAN For the purpose Berlaku dari tanggel 06 JANUAR! 2021 Valid fro Sampai dengan 08 JULI 2021 To Dikeluarkan di MEDAN Issued in Sombie: hentia bast Pada tangaal 08 JANUAR! 2021 ybs_terlibat_kejahatan: ee ‘tpelanonaren, SACK ny lan KERALA KEPOLISIN RESOR KOTA BESAR MEDAN ANA 1 the future is KAM concemed involved in the crimoMolations SKCK is deciared KKEPALABATUAN IN’ “™) coret yang tidak px

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