| NAMA | LENI LARASATI |
| JENIS KELAMIN | PEREMPUAN |
| NIS | 2640 |
| NISN | - ? |
| NIK | - |
| TMP, TGL LAHIR | TEGAL, 01 - 03 - 2000 |
| NAMA IBU | LILIS SURYANI |
| NAMA AYAH | SAKRONI |
| WALI SISWA | - |
| AGAMA | ISLAM |
| ALAMAT | DUKUH TENGAH |
*DINYATAKAN VALID SESUAI DATA AKTA KELAHIRAN
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