| Nama | Fahrizal Nanda Setya Ardhana |  |
| NIS | 0029785256 | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | Blitar,2002-04-10 | |
| Agama | Islam | |
| Kelas | XI-1-TPM | |
| STTB | ||
| NEM | ||
| Orang tua | Tri Yuli Wardani | |
| Alamat Rumah | Dsn. Karangrejo RT 1 RW 1 Karangrejo Kec. Garum 66182 |
| Nama | Fahrizal Nanda Setya Ardhana | |
| NIS | 0029785256 | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | Blitar,2002-04-10 | |
| Agama | Islam | |
| Kelas | XI-1-TPM | |
| STTB | ||
| NEM | ||
| Orang tua | Tri Yuli Wardani | |
| Alamat Rumah | Dsn. Karangrejo RT 1 RW 1 Karangrejo Kec. Garum 66182 |