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BIODATA SISWA Nama Lengkap : Tempat Tanggal Lahir : Jenis Kelamin : Agama : Alamat : Nama Orang Tua : 1. Nama Ayah : 2. Nama Ibu : 3. No. Hp Ayah : 4. No. Hp Ibu : Pekerjaan Orang Tua : 1. Ayah : 2. Ibu :
Ainun Camelia Aran Sungguminasa, 11 Mei 2006 Wanita Islam BTN Taman Titra Je’ne Tallasa Ardi Adam Sahrani 085 399 847 761 082 347 275 747 Swasta Perawat