contoh surat kartu keluarga

..

                                                               KARTU KELUARGA

                                                                                                                                               NOMOR:  

                Nama Kepala Keluarga   :                                                                                                                                                                                                                KECAMATAN     :                         

                Alamat                               :                                                                                                                                                                                                     KABUPATEN        :                  

               RT  /  RW                               : 001/001                                                                                                                                                                                    Kode Pos             :

                Desa                                      :                                                                                                                                                                                 Provinsi                                :

NO	NAMA LENGKAP	NIK	JENIS KELAMIN	TEMPAT LAHIR	TANGGAL  LAHIR	AGAMA	PENDIDIKAN	PEKERJAAN
1
2
3		-
4
5
6
7
8
9
10

NO	STATUS PERKAWINAN	STATUS HUBUNGAN DALAM KELUARGA	KEWARGANEGARAAN	DOKUMEN IMIGRASI		NAMA ORANG TUA
				NO.PASPOR	NO.KITAS/KITAP	AYAH	IBU
1				-	-
2				-	-
3				-	-
4
5
6
7
8
9
10

    Kepala Desa Karassing                                                                                  KEPALA KELUARGA

            

    ................................