Address: Dsn Tegalopang Rt. 02 Rw. 01 Ds. Tegalurung Kec. Legonkulon Kab. Subang Prop. Jawa Barat. Indonesia.
Birth Place: Subang
Age: 33 years old
Birth Date: 07-11-1987
Issuance Date of Passport:-
Height: 147cm
Weight: 40kg
Religion: Muslim
Education:Junior High School
Marital Status: Married
Husband’s Name / Age: Mulyana Sidik
Husband’s Occupation: Farmer
Father’s Name / Occupation: Tarlim / 50 years old / Farmer
Mother’s Name / Occupation: Fatonah / 48 years old / Farmer
No. of Sisters: 1
No. of Brothers: –
Birth Order in Family: 1
If you have children:
Total Number of Children: 1 / 3 years old
Total No. of boys: –
Total No. of girls: –