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{"sheet":"FORM. PENGESAHAN ANAK","index":0,"n_rows":130,"n_cols":33,"rows_kept":130,"cut":false,"hidden":false,"merged":[[113,2,113,6],[116,2,116,6],[116,21,116,34],[1,32,1,35],[12,1,12,35],[111,2,111,6],[111,21,111,34],[112,2,112,6],[112,21,112,34]],"flags":["formulas_cached_only"]}
[]
[{"$nulls":32},"F-2.01"]
[null,"Provinsi",null,null,null,":",null,"KALIMANTAN BARAT"]
[]
[null,"Kabupaten/Kota",null,null,null,":",null,"SINTANG"]
[]
[null,"Kecamatan",null,null,null,":"]
[]
[null,"Desa/Kelurahan",null,null,null,":",{"$nulls":14},"Email**",null,null,":"]
[]
[null,"Kode Wilayah",null,null,null,":",{"$nulls":14},"No.Handphone**",{"$nulls":6},":"]
[]
[null,"FORMULIR PELAPORAN PENCATATAN SIPIL DI DALAM WILAYAH NKRI"]
[null,"Jenis Pelaporan Pencatatan Sipil"]
[]
[]
[null,null,"Kelahiran",{"$nulls":15},"Pengakuan Anak"]
[]
[null,null,"Lahir Mati",{"$nulls":14},"√","Pengesahan Anak"]
[]
[null,null,"Perkawinan",{"$nulls":15},"Perubahan Nama"]
[]
[null,null,"Pembatalan Perkawinan",{"$nulls":15},"Perubahan Status Kewarganegaraan"]
[]
[null,null,"Perceraian",{"$nulls":15},"Pencatatan Peristiwa Penting Lainnya"]
[]
[null,null,"Pembatalan Perceraian",{"$nulls":15},"Pembetulan Akta"]
[]
[null,null,"Kematian",{"$nulls":15},"Pembatalan Akta"]
[]
[null,null,"Pengangkatan Anak",{"$nulls":15},"Pelaporan Pencatatan Sipil dari Luar Wilayah NKRI"]
[]
[null,"DATA PELAPOR**"]
[]
[null,"Nama",null,null,null,":"]
[]
[null,"NIK",null,null,null,":"]
[]
[null,"Nomor Dokumen Perjalanan*",null,null,null,":"]
[]
[null,"Nomor Kartu Keluarga",null,null,null,":"]
[]
[null,"Kewarganegaraan",null,null,null,":"]
[]
[]
[null,"DATA SAKSI I**"]
[]
[null,"Nama",null,null,null,":"]
[]
[null,"NIK",null,null,null,":"]
[]
[null,"Nomor Kartu Keluarga",null,null,null,":"]
[]
[null,"Kewarganegaraan",null,null,null,":"]
[null,"DATA SAKSI II**"]
[]
[null,"Nama",null,null,null,":"]
[]
[null,"NIK",null,null,null,":"]
[]
[null,"Nomor Kartu Keluarga",null,null,null,":"]
[]
[null,"Kewarganegaraan",null,null,null,":"]
[]
[]
[null,"PENGESAHAN ANAK**"]
[]
[null,"1.","Nama Lengkap Anak"]
[]
[null,"2.","NIK"]
[]
[null,"3.","Nomor Akta Kelahiran",null,null,":"]
[]
[null,"4.","Tanggal/Bulan/Tahun",null,null,":",null,"Tgl :",{"$nulls":4},"Bln :",{"$nulls":4},"Thn:"]
[null,null,"Penerbitan Akta Kelahiran"]
[]
[]
[]
[]
[null,"5.","Dinas Kabupaten/Kota yang",null,null,":"]
[null,null,"Menerbitkan Akta Kelahiran"]
[]
[null,"6.","Tanggal/Bulan/Tahun",null,null,":",null,"Tgl :",{"$nulls":4},"Bln :",{"$nulls":4},"Thn:"]
[null,null,"Kelahiran Anak"]
[]
[null,"7.","Tanggal/Bulan/Tahun",null,null,":",null,"Tgl :",{"$nulls":4},"Bln :",{"$nulls":4},"Thn:"]
[null,null,"Perkawinan Agama"]
[]
[null,"8.","Nomor/Tanggal/Bulan/Tahun",null,null,":"]
[null,null,"Akta Perkawinan/Buku Nikah"]
[]
[null,"9.","Nama Ibu Kandung",null,null,":"]
[]
[null,"10.","NIK Ibu Kandung",null,null,":"]
[]
[null,"11.","Kewarganegaraan Ibu Kandung",null,null,":"]
[]
[null,"12.","Nama Ayah Kandung",null,null,":"]
[]
[null,"13.","NIK Ayah Kandung",null,null,":"]
[]
[null,"14.","Kewarganegaraan Ayah Kandung",null,null,":"]
[]
[null,"15.","Nomor Penetapan Pengadilan",null,null,":"]
[]
[null,"16.","Tanggal Penetapan Pengadilan",null,null,":"]
[]
[null,"17.","Nama Lembaga Pengadilan",null,null,":"]
[]
[]
[]
[null,null,"Mengetahui :",{"$nulls":18},"………………, ………………………. 20 …"]
[null,null,"Kepala Desa/Lurah",{"$nulls":18},"Pelapor,"]
[null,null,"Pejabat Dukcapil Yang Membidangi,"]
[]
[]
[null,null,"( ………………………………………………… )",{"$nulls":18},"( …………………………………………… )**"]
[]
[null,"*","Jika ada"]
[null,"**","Wajib diisi"]
[]
[null,"PERSYARATAN AKTA PENGESAHAN ANAK :"]
[]
[null,null,"Fotocopy Akta Kelahiran Anak di Legalisir (Bagi yang belum menggunakan barcode)"]
[]
[null,null,"Fotocopy Akta Perkawinan / Akta Nikah di Legalisir (Bagi yang belum menggunakan barcode)"]
[]
[null,null,"Fotocopy KTP-el dan KK Orang Tua"]
[]
[null,null,"Fotocopy KTP-el 2 (dua) Orang Saksi"]