| Nama | L | ![]() |
| NIS | I KADEK FERGIE NUGRAHA GI | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | 5102012602150002,BR DINAS WANAGI | |
| Agama | 0858901869 | |
| Kelas | 2015-02-26 | |
| STTB | ||
| NEM | ||
| Orang tua | ||
| Alamat Rumah | 5102011711100018 Telp.510201440288000 |
| Nama | L | ![]() |
| NIS | I KADEK FERGIE NUGRAHA GI | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | 5102012602150002,BR DINAS WANAGI | |
| Agama | 0858901869 | |
| Kelas | 2015-02-26 | |
| STTB | ||
| NEM | ||
| Orang tua | ||
| Alamat Rumah | 5102011711100018 Telp.510201440288000 |