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Dokumen mencantumkan data kantor desa/kelurahan, kecamatan, serta kabupaten/kota, lalu memuat identitas anak lengkap dengan NIK, tempat dan tanggal lahir, kewarganegaraan, agama, pekerjaan, dan tempat tinggal. Surat juga memuat identitas ayah dan ibu beserta keterangan hubungan asal-usul, ditutup pernyataan dan tanda tangan Kepala Desa/Lurah serta nama lengkap penandatangan.",{"@graph":51,"@context":107},[52,68,90],{"@type":53,"itemListElement":54},"BreadcrumbList",[55,59,62,65],{"item":56,"name":57,"@type":58,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":60,"name":10,"@type":58,"position":61},"https://docshare.wps.com/id/template/",2,{"item":63,"name":35,"@type":58,"position":64},"https://docshare.wps.com/id/template/surat/",3,{"item":66,"name":47,"@type":58,"position":67},"https://docshare.wps.com/id/template/lampiran-7-kma-no-477-year-2004-model-n2-certificate-of-origin/237051/",4,{"url":66,"name":47,"@type":69,"image":70,"author":75,"headline":47,"publisher":78,"fileFormat":81,"inLanguage":45,"description":49,"dateModified":82,"datePublished":83,"encodingFormat":81,"isAccessibleForFree":84,"interactionStatistic":85},"DigitalDocument",{"url":71,"@type":72,"width":73,"height":74},"https://docshare.wps.com/thumbnails/lampiran-7-kma-no-477-year-2004-model-n2-certificate-of-origin/237051.png","ImageObject",442,249,{"name":76,"@type":77},"Quinn","Person",{"url":56,"name":79,"@type":80},"DocShare","Organization","application/pdf","2026-09-20","2026-09-11",true,{"@type":86,"interactionType":87,"userInteractionCount":89},"InteractionCounter",{"@type":88},"ViewAction",5,{"@type":91,"mainEntity":92},"FAQPage",[93,99,103],{"name":94,"@type":95,"acceptedAnswer":96},"Apa fungsi dan isi utama Surat Keterangan Asal-Usul Model N2?","Question",{"text":97,"@type":98},"Surat berfungsi sebagai pernyataan asal-usul yang memuat identitas anak serta keterangan hubungan orang tua. Dokumen disusun lengkap dengan NIK, tempat dan tanggal lahir, kewarganegaraan, agama, pekerjaan, dan tempat tinggal masing-masing pihak.","Answer",{"name":100,"@type":95,"acceptedAnswer":101},"Data apa saja yang harus diisi untuk bagian identitas anak?",{"text":102,"@type":98},"Bagian identitas anak memuat nama lengkap dan alias, NIK, tempat dan tanggal lahir, warga negara, agama, pekerjaan, serta tempat tinggal.",{"name":104,"@type":95,"acceptedAnswer":105},"Siapa yang menandatangani surat dan bagaimana bagian penutupnya?",{"text":106,"@type":98},"Surat ditandatangani oleh Kepala Desa/Lurah. Penutup mencantumkan keterangan bahwa surat dibuat dengan mengingat sumpah jabatan untuk dipergunakan seperlunya, disertai tanggal dan nama lengkap penandatangan.","https://schema.org",{"og:url":66,"og:type":109,"og:title":47,"og:site_name":79,"og:description":49},"article",{"robots":111,"canonical":66},"index,follow",{"doc_id":113,"site_id":44},237051,1789109257,{"code":4,"msg":5,"data":116},{"doc_id":113,"user_id":117,"nickname":76,"user_avatar":118,"doc_module":9,"category_id":34,"category_name":35,"doc_title":47,"doc_description":49,"doc_content":119,"file_id":120,"file_url":121,"file_type":122,"file_size":123,"view_count":89,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":124,"language_code":45,"site_id":44,"html_lang":45,"table_of_contents":125,"faqs":126,"seo_title":127,"seo_description":49,"update_tm":114,"read_time":4},962075114765,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Lampiran 7 KMA No. 477 tahun 2004  \n-Pasal 7 ayat (2) hurufb  \nModel N2  \nKANTOR DESA/KELURAHAN : .......................................................  \nKECAMATAN : .......................................................  \nKABUPATEN/KOTA : .......................................................  \nSURAT KETERANGAN ASAL-USUL  \nNomor :    \nYang bertandatangan di bawah ini menerangkan dengan sesungguhnya bahwa :  \n1. Nama lengkap dan alias : ................................................................................  \n2. NIK :    \n3. Tempat dan tanggal lahir : ........................................................ ........................  \n4. Warga Negara : ................................................................................  \n5. Agama : ................................................................................  \n6. Pekerjaan : ................................................................................  \n7. Tempat tinggal : ................................................................................ Adalah benar anak kandung dari pernikahan seorang pria :  \n1. Nama lengkap dan alias : ................................................................................  \n2. NIK :    \n3. Tempat dan tanggal lahir : ................................................ ................................  \n4. Warga Negara : ................................................................................  \n5. Agama : ................................................................................  \n6. Pekerjaan : .................. ..............................................................  \n7. Tempat tinggal : ................................................................................ Dengan seorang wanita :  \n1. Nama lengkap dan alias : ........................................... .....................................  \n2. NIK :    \n3. Tempat dan tanggal lahir : ................................................................................  \n4. Warga Negara : . ...............................................................................  \n5. Agama : ................................................................................  \n6. Pekerjaan : ..................................................................... ...........  \n7. Tempat tinggal : ................................................................................ Demikian surat keterangan ini dibuat dengan mengingat sumpahjabatan dan untuk dipergunakanseperlunya.  \n  ,   20    \nKepala Desa/Lurah .........................  \n.......................................................... *)  \n*) Nama lengkap","cbCaiem5osZEffDb","https://ap.wps.com/l/cbCaiem5osZEffDb","pdf",88145,"Indonesian","# Surat Keterangan Asal-Usul\n## Identitas Instansi (Kantor Desa/Kelurahan, Kecamatan, Kabupaten/Kota)\n## Identitas Anak\n## Identitas Ayah\n## Identitas Ibu\n## Penutup dan Tanda Tangan Kepala Desa/Lurah","[{\"question\":\"Apa fungsi dan isi utama Surat Keterangan Asal-Usul Model N2?\",\"answer\":\"Surat berfungsi sebagai pernyataan asal-usul yang memuat identitas anak serta keterangan hubungan orang tua. Dokumen disusun lengkap dengan NIK, tempat dan tanggal lahir, kewarganegaraan, agama, pekerjaan, dan tempat tinggal masing-masing pihak.\"},{\"question\":\"Data apa saja yang harus diisi untuk bagian identitas anak?\",\"answer\":\"Bagian identitas anak memuat nama lengkap dan alias, NIK, tempat dan tanggal lahir, warga negara, agama, pekerjaan, serta tempat tinggal.\"},{\"question\":\"Siapa yang menandatangani surat dan bagaimana bagian penutupnya?\",\"answer\":\"Surat ditandatangani oleh Kepala Desa/Lurah. Penutup mencantumkan keterangan bahwa surat dibuat dengan mengingat sumpah jabatan untuk dipergunakan seperlunya, disertai tanggal dan nama lengkap penandatangan.\"}]","Lampiran 7 KMA No. 477 tahun 2004 - Model N2 Surat Keterangan Asal-Usul | PDF"]