| Nama | P | ![]() |
| NIS | NI MADE SINTA PURNAMA YAN | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | 5102014106150001,BR DINAS BABAKA | |
| Agama | 0877874181 | |
| Kelas | 2015-06-01 | |
| STTB | ||
| NEM | ||
| Orang tua | ||
| Alamat Rumah | 5102011111100004 Telp.510201410184000 |
| Nama | P | ![]() |
| NIS | NI MADE SINTA PURNAMA YAN | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | 5102014106150001,BR DINAS BABAKA | |
| Agama | 0877874181 | |
| Kelas | 2015-06-01 | |
| STTB | ||
| NEM | ||
| Orang tua | ||
| Alamat Rumah | 5102011111100004 Telp.510201410184000 |