| Nama | L | ![]() |
| NIS | I PUTU YOGI ANANDA WISESA | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | 5102010612180001,BR DINAS BABAKA | |
| Agama | 0857396999 | |
| Kelas | 12.6.18 | |
| STTB | ||
| NEM | ||
| Orang tua | ||
| Alamat Rumah | 5102012405170003 Telp.510201500192000 |
| Nama | L | ![]() |
| NIS | I PUTU YOGI ANANDA WISESA | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | 5102010612180001,BR DINAS BABAKA | |
| Agama | 0857396999 | |
| Kelas | 12.6.18 | |
| STTB | ||
| NEM | ||
| Orang tua | ||
| Alamat Rumah | 5102012405170003 Telp.510201500192000 |