Address: Dsn Kertajaya Rt 12 Rw 03 Des. Jaya Mukti Kec. Blanakan Kab. Subang. Indonesia.
Birth Place: Subang
Age: 34 years old
Birth Date: 17-01-1986
Issuance Date of Passport:-
Height: 145cm
Weight: 54kg
Religion: Muslim
Education:Junior High School
Marital Status: Married
Husband’s Name / Age: Tarjuki / 28 years old
Husband’s Occupation: Farmer
Father’s Name / Occupation: Dahuri / 54 years old / Farmer
Mother’s Name / Occupation: Linah / 50 years old / Farmer
No. of Sisters: 4
No. of Brothers:
Birth Order in Family: 1
If you have children:
Total Number of Children: 1 / 9 years old
Total No. of boys: 1
Total No. of girls: –