Format Lembar Biodata Peserta.docx
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LEMBAR DATA DIRI LOMBA
1.
Nama
: Nadhifah Raihani
2.
Tempat/Tanggal lahir
: Malang, 18 Maret 2000
3.
Nama Orang Tua
: Hari Prastowo Adi dan Sri Purwatiningsih
4.
Anak ke/dari
: 3 (tiga) dari 4 (empat) bersaudara
5.
Kebangsaan
: Indonesia
6.
Agama
: Islam
7.
Jenis kelamin
: Perempuan
8.
Alamat Rumah
: Jl. Pangeran Suryanata, Perumahan Graha Indah, Blok AF, nomor 3, Air Putih, Samarinda Ulu, Samarinda, Kalimantan Timur, 75124
9.
Email
10. No Telp/HP
: [email protected] : 085249121189 (WA) / 085388670609
1.
Nama
: Nadhifah Raihani
2.
Tempat/Tanggal lahir
: Malang, 18 Maret 2000
3.
Nama Orang Tua
: Hari Prastowo Adi dan Sri Purwatiningsih
4.
Anak ke/dari
: 3 (tiga) dari 4 (empat) bersaudara
5.
Kebangsaan
: Indonesia
6.
Agama
: Islam
7.
Jenis kelamin
: Perempuan
8.
Alamat Rumah
: Jl. Pangeran Suryanata, Perumahan Graha Indah, Blok AF, nomor 3, Air Putih, Samarinda Ulu, Samarinda, Kalimantan Timur, 75124
9.
10. No Telp/HP
: [email protected] : 085249121189 (WA) / 085388670609
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