Translation of Kutipan Akta Nikah

(Marriage Certificate)

(Page 1) (Page 2)

Republic of Indonesia Day : Monday

Religion Affair Service Date, month, year : 05 September 2011
Hijri Calendar : 15 Jumadil Awal 1422
District : Cimahi Selatan (South Cimahi) Time : 08.00
City : Tangerang Selatan
Province : Jawa Barat (West Java) Hereby, is the marriage of

Page (3) 1. Name : www.siogie.com

2. Father : siogie
Witnessed by wali nikah 3. Place, Date of Birth : Jakarta, 09 June 1975
4. Nationality : Indonesia
1. Name : Bapaknya Luna Maya 5. Religion : Buddha
2. Place, Date of Birth : Zurich, 05 - 11 - 1966 6. Address : Jl. Cimanuk
3. Nationality : Indonesia 7. Marital Status : Not married
4. Religion : Buddha 8. Occupation : Civil Servant
5. Address : Sukowati
6. Occupation : Businessman with a woman, namely

Act as a family representative, with the marriage gift of 27.9 grams of 1. Name : Luna Maya
gold, and praying accessories, in cash. 2. Father : Bapaknya
3. Place, Date of Birth : Bali, 07 Juni 1974
Bandung, 06 September 2010 4. Nationality : Indonesia
Religious Affairs Service Office of South Cimahi 5. Religion : Buddha
6. Address : Sukowati
Signed 7. Marital Status : Not married
8. Occupation : Actress
I Gde Sekali