CIVIL REGISTRATION

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birth according to Stbld ... 1920 No. 751.J9. S.1927.No.564... in ... Pamekasan...

Apparently, in PAMEKASAN. $$$$qquad\qquad ...

on 1 August 26.

The year two thousand and six $$$$qquad\qquad was born:

A BOY named: $$$$qquad\qquad DANENDRA TSAQIF PRATAMA : the FIRST child of husband and wife $$$$qquad\qquad

-: CAHYA WIRATAMA,SE with AWALINA KADARISMAN,ST :Quote noodles according to today's situation

Pamekasan..., date-September +...

Year two thousand six $$$$qquad\qquad .