Address: Blok Citalang Rt 04 Rw 04 Des. Gempol Kec. Gempol Kab. Cirebon. Indonesia.
Birth Place: Cirebon
Age: 39 years old
Birth Date: 05-08-1981
Issuance Date of Passport:-
Height: 155cm
Weight: 41kg
Religion: Muslim
Education: Senior High School
Marital Status: Married
Husband’s Name / Age: Ahmad Mustafid / 38 years old
Husband’s Occupation: Farmer
Father’s Name / Occupation: Abdul Iroki / 54 years old / Farmer
Mother’s Name / Occupation: Mutmainah / 50 years old / Farmer
No. of Sisters: 1
No. of Brothers: 2
Birth Order in Family: 1
If you have children:
Total Number of Children:3 / 8,3,10 years old
Total No. of boys: 2
Total No. of girls: 1