描述Surat Bukti Kewarganegaraan Indonesia from 1973, reverse.jpg
English: Surat Bukti Kewarganegaraan Indonesia from 1973, reverse. Translation:
Government of the Republic of Indonesia
Department of Domestic Affairs
Clarifies that the holder of this certificate of proof
Name: Mrs. Yuliyati
Place/Date of Birth: Date 24-9-1933
in PURWAKARTA
Address: 39 Wates St.
Yogyakarta
Is a Citizen of Indonesia based on Form II
from the STATE COURT OF YOGYAKARTA
Dated 24-11-1961, No. 2371/1961 and
Name Change from the Municipality of Yogyakarta
No. K. 1599, Dated 21-7-1967.
Issued in Yogyakarta on 19-12-1973
Valid until 19-12-1978
In the name of the Minister of Domestic Affairs
The Regional Leader of
The Special Administrative Region of Yogyakarta
in his name
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