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KARTU KELUARGA
00.0000.000000.0000
NAMA KEPALA KELUARGA : xxxxxxxxxxxxxx
ALAMAT : xxxxxxxxxxxxxx
RT. / RW. : 000 / 000
DESA / KELURAHAN : xxxxxxxxxxxxxx
KECAMATAN : xxxxxxxxxxxxxx
KABUPATEN / KOTA : xxxxxxxxxxxxxx
KODE POS : xxxxxxxxxxxxxx
PROPINSI : xxxxxxxxxxxxxx
No Nama Lengkap NIK / NIKS
Jenis
Kelamin
Tempat
Lahir
Tanggal
Lahir
Agama Pendidikan Pekerjaan
1 2 3 4 5 6 7 8 9
1 XXXXXXXXXXXXXXXXXX 00000000000000 L xxxxxxxx 00-00-0000 ISLAM xxxxxxxxx / Sederajat xxxxxxxxxxxxxx
2 XXXXXXXXXXXXXXXXXX 00000000000000 P xxxxxxxx 00-00-0000 ISLAM xxxxxxxxx / Sederajat xxxxxxxxxxxxxx
3 XXXXXXXXXXXXXXXXXX 00000000000000 L xxxxxxxx 00-00-0000 ISLAM xxxxxxxxx / Sederajat xxxxxxxxxxxxxx
4
5
6
No Status Perkawinan
Status Hubungan
Dalam Keluarga
Kewarganegaraan
Dokumen Imigrasi Nama Orang Tua
No. Paspor No. KITAS / KITAP Ayah Ibu
10 11 12 13 14 15 16 17
1 Kawin Kepala Keluarga WNI - - XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX
2 Kawin Istri WNI - - XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX
3 Belum Kawin Anak WNI - - XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX
4
5
6
Dikeluarkan Tanggal :
UNTUK : I. KEPALA KELUARGA
II. RT / RW01
III. DESA / KELURAHAN
IV. KECAMATAN
MENGETAHUI
KEPALA DESA XXXXXXXXXX
XXXXXXXXXXXXXXXXXX
KEPALA KELUARGA
XXXXXXXXXXXXXXXXXX
Tanda Tangan / Cap Jempol
xxxxxxxxxxxxxxxxx

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Format Kartu Keluarga.doc

  • 1. KARTU KELUARGA 00.0000.000000.0000 NAMA KEPALA KELUARGA : xxxxxxxxxxxxxx ALAMAT : xxxxxxxxxxxxxx RT. / RW. : 000 / 000 DESA / KELURAHAN : xxxxxxxxxxxxxx KECAMATAN : xxxxxxxxxxxxxx KABUPATEN / KOTA : xxxxxxxxxxxxxx KODE POS : xxxxxxxxxxxxxx PROPINSI : xxxxxxxxxxxxxx No Nama Lengkap NIK / NIKS Jenis Kelamin Tempat Lahir Tanggal Lahir Agama Pendidikan Pekerjaan 1 2 3 4 5 6 7 8 9 1 XXXXXXXXXXXXXXXXXX 00000000000000 L xxxxxxxx 00-00-0000 ISLAM xxxxxxxxx / Sederajat xxxxxxxxxxxxxx 2 XXXXXXXXXXXXXXXXXX 00000000000000 P xxxxxxxx 00-00-0000 ISLAM xxxxxxxxx / Sederajat xxxxxxxxxxxxxx 3 XXXXXXXXXXXXXXXXXX 00000000000000 L xxxxxxxx 00-00-0000 ISLAM xxxxxxxxx / Sederajat xxxxxxxxxxxxxx 4 5 6 No Status Perkawinan Status Hubungan Dalam Keluarga Kewarganegaraan Dokumen Imigrasi Nama Orang Tua No. Paspor No. KITAS / KITAP Ayah Ibu 10 11 12 13 14 15 16 17 1 Kawin Kepala Keluarga WNI - - XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX 2 Kawin Istri WNI - - XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX 3 Belum Kawin Anak WNI - - XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX 4 5 6 Dikeluarkan Tanggal : UNTUK : I. KEPALA KELUARGA II. RT / RW01 III. DESA / KELURAHAN IV. KECAMATAN MENGETAHUI KEPALA DESA XXXXXXXXXX XXXXXXXXXXXXXXXXXX KEPALA KELUARGA XXXXXXXXXXXXXXXXXX Tanda Tangan / Cap Jempol xxxxxxxxxxxxxxxxx