Address: Dusun Pangadangan Rt 014 Rw 006 Desa Rancasari Kec. Pamanukan Kab. Subang Jawa Barat Indonesia.
Birth Place: Subang
Age: 27 years old
Birth Date: 27-5-1992
Issuance Date of Passport:-
Height: 150cm
Weight: 65kg
Religion: Muslim
Education:Junior High School
Marital Status: Married
Husband’s Name / Age: Veri Yanto / 33 years old
Husband’s Occupation: Farmer
Father’s Name / Occupation: Samnah / Farmer
Mother’s Name / Occupation: Gocing / Farmer
No. of Sisters: 4
No. of Brothers: 1
Birth Order in Family: 3
If you have children:
Total Number of Children:2
Total No. of boys: –
Total No. of girls: 2 / 6 , 1 years old