| Nama | IQBAL ADAM FUAD |  |
| NIS | 9998691694 | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | PASURUAN,09/18/1999 | |
| Agama | Islam | |
| Kelas | XI | |
| STTB | ||
| NEM | ||
| Orang tua | DENDI SUJATMOKO | |
| Alamat Rumah | Jl. Kapi Woro I No.19 RT:04 RW:11 Mangliawan Pakis 65154 Telp.85785124250 |
| Nama | IQBAL ADAM FUAD | |
| NIS | 9998691694 | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | PASURUAN,09/18/1999 | |
| Agama | Islam | |
| Kelas | XI | |
| STTB | ||
| NEM | ||
| Orang tua | DENDI SUJATMOKO | |
| Alamat Rumah | Jl. Kapi Woro I No.19 RT:04 RW:11 Mangliawan Pakis 65154 Telp.85785124250 |