Formulir akta kematian

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Tanggal dan Waktu Kematian
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Click or drag files to this area to upload. You can upload up to 2 files.
Click or drag files to this area to upload. You can upload up to 2 files.
(jika Akta hilang)
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Click or drag files to this area to upload. You can upload up to 2 files.
(jika meninggal di RS)
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jika meninggal di rumah, sertakan SPTJM Kematian dengan mengunduh file dibawah ini
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SURAT PERNYATAAN TANGGUNG JAWAB MUTLAK (SPTJM) KEBENARAN DATA KEMATIAN

Persyaratan Khusus dapat di Unduh di link dibawah ini

SPTJM Kebenaran Kematian

SPTJM Kebenaran Kemeatian (untuk kematian yang tidak memiliki Surat Keterangan Kelahiran RS / Bidan) bermaterai 10.000


Unduh dan isi formulir ini lalu upload di kolom lampiran tambahan
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