| Nama | L | ![]() |
| NIS | I MADE ADI GUNA PUTRA WIB | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | 5102011106190001,BR DINAS BABAKA | |
| Agama | 0856512287 | |
| Kelas | 6.11.19 | |
| STTB | ||
| NEM | ||
| Orang tua | ||
| Alamat Rumah | 5102012702130001 Telp.517102530886000 |
| Nama | L | ![]() |
| NIS | I MADE ADI GUNA PUTRA WIB | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | 5102011106190001,BR DINAS BABAKA | |
| Agama | 0856512287 | |
| Kelas | 6.11.19 | |
| STTB | ||
| NEM | ||
| Orang tua | ||
| Alamat Rumah | 5102012702130001 Telp.517102530886000 |