Translation of Kartu Tanda Penduduk (Indonesian Identity Card) Province City
: Banten : Tangerang Selatan (South Tangerang)
NIK (Citizen Number) : xxxxxxxxxxxxxxxxxxxxx Name : Zerosugar. Place, Date of Birth : Jakarta, 09 June 1975 Sex : Male Address : Jl. Peluru Blok E-35 / 26 Neighborhood Ward : 005 / 007 Village istrative Unit : Benda Baru District : Pamulang City : South Tangerang Religion : Moslem Occupation : Civil Servant Valid thru : 09 June 2015 On behalf of City Mayor District Head Signed H. Abu Hurairah
Blood Type : Marital Status : Married
Translation of KARTU KELUARGA (Family s) No. 3603252505090022 Name of Head of Family Address Neighborhood Ward Village istrative Unit
: Zerosugar : Jl. Peluru Blok E-35 / 26 : 005 / 007 : Benda Baru
District City Postal Code Province
No
Full Name
Citizen Number
Sex
1 1 2 3 4 5
2
3
4
No
Marital Status
Relation
Nationality
10 1 2 3 4 5
11
12
13
Issued on 25-05-2009 Copy I. Head of Family II. RT (Neighborhood Ward) III. Sub District IV. District
Place of Birth 5
: Pamulang : South Tangerang : 15416 : Banten
Date of Birth
Religion
Education
Occupation
6
7
8
9
Immigration Document port Number KITA/KITAP 14 15
Parents Father 16
Mother 17
Head of Family
District Head
signed
signed
Zerosugar.
H. Abu Hurairah
Translation of Kutipan Akta Nikah (Marriage Certificate) (Page 1)
(Page 2)
Republic of Indonesia Religion Affair Service
Day Date, month, year Hijri Calendar Time
District : Cimahi Selatan (South Cimahi) City : Tangerang Selatan Province : Jawa Barat (West Java) Page (3) Witnessed by wali nikah 1. 2. 3. 4. 5. 6.
Name Place, Date of Birth Nationality Religion Address Occupation
: Bapaknya Luna Maya : Zurich, 05 - 11 - 1966 : Indonesia : Islam : Sukowati : Businessman
Act as a family representative, with the marriage gift of 27.9 grams of gold, and praying accessories, in cash. Bandung, 06 September 2010 Religious Affairs Service Office of South Cimahi Signed I Gde Sekali
: Monday : 05 September 2011 : 15 Jumadil Awal 1422 : 08.00
Hereby, is the marriage of 1. 2. 3. 4. 5. 6. 7. 8.
Name Father Place, Date of Birth Nationality Religion Address Marital Status Occupation
: Zerosugar : H. Zerosin : Jakarta, 09 June 1975 : Indonesia : Islam : Jl. Cimanuk : Not married : Civil Servant
with a woman, namely 1. 2. 3. 4. 5. 6. 7. 8.
Name : Luna Maya Father : Bapaknya Place, Date of Birth : Bali, 07 Juni 1974 Nationality : Indonesia Religion : Islam Address : Sukowati Marital Status : Not married Occupation : Actress