| Nama | L | ![]() |
| NIS | Ivan Maulana | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | Tegal, 01/10/2001,20/81/1984 | |
| Agama | Samsi | |
| Kelas | 0028949200 | |
| STTB | ||
| NEM | ||
| Orang tua | ||
| Alamat Rumah | Jl. Kembang Kerep Rt 3/2 Telp. |
| Nama | L | ![]() |
| NIS | Ivan Maulana | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | Tegal, 01/10/2001,20/81/1984 | |
| Agama | Samsi | |
| Kelas | 0028949200 | |
| STTB | ||
| NEM | ||
| Orang tua | ||
| Alamat Rumah | Jl. Kembang Kerep Rt 3/2 Telp. |