Authorized Translation

REGISTRY OFFICE
SUKABUMI
-------------
CIVIL REGISTRATION FOR CHINA GROUP
-------------------
BIRTH CERTIFICATE
Number: Ninety nine.-

---------- From the general register concerning Birth for China Group in the year of
one thousand nine hundred and forty eight in Sukabumi it appears, that in
Sukabumi -----------------------------------------------------------------------------------------------
on the fourteenth day of August ------------------------------------------------------------------
one thousand nine hundred and forty eight, was born:

--------------------------------------------- TJOEY HWA ---------------------------------------------

a daughter of the marriage between:

--------------------------------------------- Oei Kim Pwe ---------------------------------------------
and
------------------------------------------- Jap Heng Liang -------------------------------------------

This excerpt conforms to the situation of today.

Sukabumi, on the twenty eighth of April one thousand
nine hundred and fifty two.-------------------------------------
The Extraordinary Civil Registrar for China Group in
Sukabumi.----------------------------------------------------------

[signed & stamped above seal]

---------------- Certifies to legalize the above signature of Raden Adang Sadikin,

the Extraordinary Civil Registrar in Sukabumi.-

Sukabumi, 30th April 1952

Head of Sukabumi District Court,

[signed]
Legalization Rp. 1.50
( G. A. Maengkom )
 Authorized Translation

1248.576.

ACKNOWLEDGE: REGNO.0282/UM/WN/86
The person concerned has revoked
The Letter of Dokim in BOGOR
Regno 186/K-VII-C-71
On 20 – 10 – 1971

Jakarta, 29th MAY 1986

Kasi Dahus,

[signed & stamped]

H. RUSTAM CH STAIP
NIP. 040017235

HAS BEEN PROVIDED PASSPORT OF R,I,

No.: B-434 390 / JKT./DATE: 13-/6-90
FILE No.: …………………………..

IMMIGRATION OFFICIAL

[signed]

Harnie Netty S.H.

NIP. 040032705

HAS BEEN PROVIDED PASSPORT OF R,I,

No.: A560 338 / JKT./DATE: 07 JUNE 86
FILE No.: HS/06/86/12022

IMMIGRATION OFFICIAL

[signed]

DADDY SURYADY
NIP. 040037007

AFFIDAVIT
This is to certify that have translated the foregoing from Indonesian to English, that
is true and complete, and I am competent in both languages.
Jakarta, 5TH September 2019

Drs. Sularno Popomaruto

Sworn Translator by virtue SK.Gub.KDKI Jkt.No.1715/2000