1. Name of student: Barry Soetoro
2. Place, DOB: Honolulu, 4-8-'61 (dd/mm/yy)
3. Nation:
a. Citizenship: Indonesia
b. Foreign ancestry: ___
c. Suku bangsa: ___It's difficult to translate because it's a specific Indonesian word. Indonesia comprises of many different cultures, and suku bangsa refers to those specific cultures inside Indonesia, e.g., Javanese, Acehnese, and so on.
4. Religion: Islam
5. Address of student: Menteng Dalam R007/RW03
6. From what school (transfered or continued) and what grade: Kindergarten Taman Strada Asisi
7. a. Accepted to this school: 1-1-1968
b. Placed in Grade: I
8.
a. Parents name:
Father: L. Soetoro m.a. (I suspect m.a. refers to Master of Arts)
Mother: ____ (blank)
b. Employment (please fill in with mother's name in the case of the student's father has deceased): Staff at the Office of Geography/ Directorate of Topography, Army
c. Address: Menteng Dalam RT007/RW03
9.
a. Name of Guardian (only if student does not have parents, deceased or other reason): ___
b. Employment: ___
c. Address: ___
10. Leaving this school: ____
A. Not yet finished ___ Reason: Move
B. Finished, received diploma, date___ No. ___
C. Continue study to _____
11. Other information: _____
Thank you very much.