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<html> <head> <link href="../../java/cetak/css/style.css" rel="stylesheet" type="text/css"/> <style type="text/css" media="print,screen"> @page{ size:A4 landscape; } table.renggang tr{ line-height: 0.3cm; } table.renggang1 tr{ line-height: 0.9cm; } table.renggang2 tr{ line-height: 0.3cm; } tr.renggang{ line-height: 0.3cm; } div.bordered{ border: 1px solid black; width:2cm; } table{ margin-left:13px; } .KK_MARGIN_ATAS{ height:mm; } </style> </head> <body> <table width="100%"> <tr class="KK_MARGIN_ATAS"> <td></td> </tr> </table> <table width="98%" class="tengah renggang1"> <tr> <td class="font28"><strong>KARTU KELUARGA (DRAFT)</strong></td> </tr> <tr> <td height="4px"></td> </tr> <tr> <td class="font25"><strong class="ocraext">No.3572012008070279</strong></td> </tr> </table> <table width="98%" class="renggang2"> <tr> <td width="11%"></td> <td width="13%">Nama Kepala Keluarga</td> <td>: </td> <td width="42%"><b>SOERATMAN </b></td> <td width="10%">Desa/Kelurahan</td> <td>: </td> <td width="24%">KEPANJENKIDUL</td> </tr> <tr> <td></td> <td>Alamat</td> <td>: </td> <td> JL VETERAN NO 105 </td> <td>Kecamatan</td> <td>:</td> <td>KEPANJEN KIDUL</td> </tr> <tr> <td></td> <td>RT/RW</td> <td>: </td> <td>002/009</td> <td>Kabupaten/Kota</td> <td>: </td> <td>KOTA BLITAR</td> </tr> <tr> <td></td> <td>Kode Pos</td> <td>: </td> <td>66111</td> <td>Provinsi</td> <td>: </td> <td>-</td> </tr> <tr> <td height="6"></td> </tr> </table> <table class="bordered font10" width="98%"> <tr class="tengah font12"> <td width="2%">No</td> <td width="23%">Nama Lengkap</td> <td width="8%">NIK</td> <td width="4%">Jenis<br />Kelamin</td> <td>Tempat Lahir</td> <td width="3%">Tanggal<br /> Lahir</td> <td width="3%">Agama</td> <td width="17%">Pendidikan</td> <td width="16%">Jenis Pekerjaan</td> </tr> <tr class="tengah font12"> <th></th> <th>(1)</th> <th>(2)</th> <th>(3)</th> <th>(4)</th> <th>(5)</th> <th>(6)</th> <th>(7)</th> <th>(8)</th> </tr> <tr class="atas"> <td class="tengah">1</td> <td> SOERATMAN </td> <td class="tengah font12">3572011203270003</td> <td>LAKI-LAKI</td> <td><span class="font10">BLITAR</span></td> <td>12-03-1927</td> <td>ISLAM</td> <td><span class="font10">SLTP/SEDERAJAT</span></td> <td><span class="font10">PENSIUNAN</span></td> </tr> <tr class="atas"> <td class="tengah">2</td> <td> SAMSIJAH </td> <td class="tengah font12">3572014107340099</td> <td>PEREMPUAN</td> <td><span class="font10">MADIUN</span></td> <td>01-07-1934</td> <td>ISLAM</td> <td><span class="font10">SLTP/SEDERAJAT</span></td> <td><span class="font9">MENGURUS RUMAH TANGGA</span></td> </tr> <tr class="atas"> <td class="tengah">3</td> <td> ASMONAH </td> <td class="tengah font12">3572016104170002</td> <td>PEREMPUAN</td> <td><span class="font10">MAGETAN</span></td> <td>21-04-1917</td> <td>ISLAM</td> <td><span class="font10">BELUM TAMAT SD/SEDERAJAT</span></td> <td><span class="font10">BELUM/TIDAK BEKERJA</span></td> </tr> <tr class="atas"> <td class="tengah">4</td> <td> -</td> <td class="tengah"><strong>-</strong></td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> <tr class="atas"> <td class="tengah">5</td> <td> -</td> <td class="tengah"><strong>-</strong></td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> <tr class="atas"> <td class="tengah">6</td> <td> -</td> <td class="tengah"><strong>-</strong></td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> <tr class="atas"> <td class="tengah">7</td> <td> -</td> <td class="tengah"><strong>-</strong></td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> <tr class="atas"> <td class="tengah">8</td> <td> -</td> <td class="tengah"><strong>-</strong></td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> <tr class="atas"> <td class="tengah">9</td> <td> -</td> <td class="tengah"><strong>-</strong></td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> <tr class="atas"> <td class="tengah">10</td> <td> -</td> <td class="tengah"><strong>-</strong></td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> </table> <table> <tr> <td height="7"></td> </tr> </table> <table class="bordered font10" width="98%"> <tr class="tengah font12"> <td rowspan="2" width="2%">No.</td> <td width="8%" rowspan="2">Status<br />Perkawinan</td> <td width="11%" rowspan="2">Status Hubungan Dalam Keluarga</td> <td width="8%" rowspan="2">Kewarganegaraan</td> <td colspan="2">Dokumen Imigrasi</td> <td colspan="2">Nama Orang Tua</td> </tr> <tr class="tengah font12"> <td width="9%">No. Paspor</td> <td width="9%">No. KITAP</td> <td width="28%">Ayah</td> <td width="28%">Ibu</td> </tr> <tr class="tengah font12"> <th></th> <th>(9)</th> <th>(10)</th> <th>(11)</th> <th>(12)</th> <th>(13)</th> <th>(14)</th> <th>(15)</th> </tr> <tr> <td class="tengah">1</td> <td>KAWIN</td> <td>KEPALA KELUARGA</td> <td>WNI</td> <td> -</td> <td> -</td> <td>DARMO PRAWIRO</td> <td>DALIDJEM</td> </tr> <tr> <td class="tengah">2</td> <td>KAWIN</td> <td>ISTERI</td> <td>WNI</td> <td> -</td> <td> -</td> <td>SALAMOEN</td> <td>HARMINAH</td> </tr> <tr> <td class="tengah">3</td> <td>KAWIN</td> <td>FAMILI LAIN</td> <td>WNI</td> <td> -</td> <td> -</td> <td>SALAMOEN</td> <td>HARMINAH</td> </tr> <tr> <td class="tengah">4</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> <tr> <td class="tengah">5</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> <tr> <td class="tengah">6</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> <tr> <td class="tengah">7</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> <tr> <td class="tengah">8</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> <tr> <td class="tengah">9</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> <tr> <td class="tengah">10</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> <td> -</td> </tr> </table> <table width="98%"> <tr> <td colspan="9" height="10" class="kanan"></td> </tr> <tr> <td width="1%"></td> <td width="11%">Dikeluarkan Tanggal </td> <td width="1%">:</td> <td width="2%"></td> <td width="13%"><div class="bordered tengah">20-09-2017</div></td> <td width="1%"></td> <td width="43%"></td> <td width="0%"></td> </tr> <tr class="atas"> <td></td> <td>LEMBAR</td> <td>:</td> <td>I.</td> <td>Kepala Keluarga</td> <td></td> <td class="tengah">KEPALA KELUARGA</td> <td></td> <td width="28%" class="tengah" rowspan="3">Kepala DINAS KEPENDUDUKAN DAN PENCATATAN SIPIL</td> </tr> <tr> <td></td> <td></td> <td></td> <td>II.</td><td>RT</td> <td></td> <td></td> <td></td> </tr> <tr> <td></td> <td></td> <td></td> <td>III.</td> <td>Desa/Kelurahan</td> <td></td> <td></td> <td></td> </tr> <tr> <td></td> <td></td> <td></td> <td>IV.</td> <td>Kecamatan</td> <td></td> <td></td> <td></td> <td></td> </tr> <tr style="line-height:5px;"> <td colspan="6" class="kiri"></td> <td class="tengah"><u>SOERATMAN</u></td> <td></td> <td class="tengah"><u>Ir. Toto Supriyoto</u></td> </tr> <tr class="atas" style="line-height:20px;"> <td colspan="6"></td> <td class="tengah">Tanda Tangan/Cap Jempol</td> <td></td> <td class="tengah">NIP. 196105021987101002</td> </tr> </table> </body> </html>
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