| Nama | XI IPA 1 | ![]() |
| NIS | 9 | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | 19,19681110 199503 | |
| Agama | 32 | |
| Kelas | REPELITA, | |
| STTB | ||
| NEM | ||
| Orang tua | ||
| Alamat Rumah | Telp. |
| Nama | XI IPA 1 | ![]() |
| NIS | 9 | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | 19,19681110 199503 | |
| Agama | 32 | |
| Kelas | REPELITA, | |
| STTB | ||
| NEM | ||
| Orang tua | ||
| Alamat Rumah | Telp. |