| NAMA | KHUJAENI BANI IBNU UMAYAN |
| JENIS KELAMIN | LAKI -LAKI |
| NIS | 2541 |
| NISN | 0012417196 |
| NIK | - |
| TMP, TGL LAHIR | TEGAL, 28 - 04 - 2001 |
| NAMA IBU | WASTUTI |
| NAMA AYAH | RASWANTO |
| WALI SISWA | - |
| AGAMA | ISLAM |
| ALAMAT | DUKUH TENGAH |
*DINYATAKAN VALID SESUAI DATA AKTA KELAHIRAN
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