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M
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NIP. -
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hl
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IS
Halaman 1
M
. _ ILHAM MAULANA _ 3115389669

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la
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M
th
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I
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l
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M
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*
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hl
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a
H
M
hl
ud
M
1. Nama Peserta Didik : MAULANA YUSUF FERDIANSYAH
l
at
a
ù
*
IS
ud
la
a
ul
M
2. NIS : 111236720014220163
ud
H
h
IS
a`
at
a
lH
M
hl
ud
3. NISN : 3127193832
M
at
a
u
*
IS
ud
a`
M
4. Tempat Tanggal Lahir : PANDEGLANG, 03 Februari 2012
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ul
hl
ud
H
IS
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at
H
ul
hl
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M
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l
at
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hl
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la
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at
M
H
h
IS
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*
l
hl
ù
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M
8. Anak ke :2
l
at
la
u
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IS
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h
9. Alamat Peserta Didik : LINK DELINGSENG KEBONSARI,
ul
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hl
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IS
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hl
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IS
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M
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at
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hl
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11. Sekolah Asal :
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at
a
H
M
IS
hl
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M
ul
at
M
*
IS
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M
*
a. Di kelas :I
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hl
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M
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H
M
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hl
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14. Alamat Orang Tua : LINK DELINGSENG KEBONSARI,
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ul
hl

ud
M
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hl
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hl
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M
hl
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M
h
ul
at

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hl
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IS
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at
a
*
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hl
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M
IS
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at
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H
M
IS
hl
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at
M
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IS
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M

a
*
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hl
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M
IS
at
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M
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h
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hl
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Foto
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M
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M
h
3x4
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hl
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IS
Ali Imron, S.Pd.I

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hl
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H
IS
Halaman 1
M
. _ MAULANA YUSUF FERDIANSYAH _ 3127193832

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la
*
ul
ud
M
th
IS
a`
a
a
I
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hl
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a
H
M
hl
ud
M
1. Nama Peserta Didik : MUHAMAD FAHRI
l
at
a
ù
*
IS
ud
la
a
ul
M
2. NIS : 111236720014220155
ud
H
h
IS
a`
at
a
lH
M
hl
ud
3. NISN : 3123938730
M
at
a
u
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IS
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M
a
ul
hl
ud
H
IS
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at
H
ul
hl
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M
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l
at
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IS
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la
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at
M
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h
IS
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M
at
a
*
l
hl
ù
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M
8. Anak ke :2
l
at
la
u
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IS
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a`
M
h
9. Alamat Peserta Didik : LINK. KAPUDENOK TOWER LEBAK
ul
at
hl
H
IS
a`
M
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a
DENOK, CITANGKIL, KOTA CILEGON,
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M
IS
hl
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ul
at
M
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IS
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M
*
ul
hl
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M
11. Sekolah Asal :
IS
a`
at
a
H
M
IS
hl
ud
M
ul
at
M
*
IS
a`
M
*
a. Di kelas :I
ul
hl
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IS
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at
a
H
M
hl
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ul
at
da
IS
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M
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ul
hl
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a
H
M
hl
ud
ul
at
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IS
ud
a`
M
a
ul
hl
ud
14. Alamat Orang Tua : LINK. KAPUDENOK TOWER LEBAK
H
IS
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at
a
H
ul
hl
DENOK, CITANGKIL, KOTA CILEGON,

ud
M
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l
at
a
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hl
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IS
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M
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at
M
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IS
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M

a
*
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hl
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M
IS
at
la
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M
IS
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M
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hl
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M
hl
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IS
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la
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IS
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Foto
*
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M
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M
h
3x4
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M
hl
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H
IS
Ali Imron, S.Pd.I

at
a
H
ul
hl
ud
NIP. -
l
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a
ù
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IS
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la
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hl
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a
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hl
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H
IS
Halaman 1
M
. _ MUHAMAD FAHRI _ 3123938730

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la
*
ul
ud
M
th
IS
a`
a
a
I
u
l
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hl
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IS
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IS
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M
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IS
M
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M
M
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*
IS
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*
ul
hl
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IS
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a
H
M
hl
ud
M
1. Nama Peserta Didik : MUHAMMAD DAFFA AL KHAIRU
l
at
a
ù
*
IS
ud
la
a
ul
M
2. NIS : 111236720014220158
ud
H
h
IS
a`
at
a
lH
M
hl
ud
3. NISN : 3118252238
M
at
a
u
*
IS
ud
a`
M
4. Tempat Tanggal Lahir : PENENGAHAN, 15 Desember 2011
a
ul
hl
ud
H
IS
a`
at
H
ul
hl
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M
a`
l
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hl
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la
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at
M
H
h
IS
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a
*
l
hl
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M
8. Anak ke :2
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la
u
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IS
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M
h
9. Alamat Peserta Didik : KOMP. TWI WBA NO. 05 WARNASARI,
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at
hl
H
IS
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M
at
a
*
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hl
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M
IS
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42443, 42443 at
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M
IS
hl
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ul
at
M
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IS
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M
*
ul
hl
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M
11. Sekolah Asal :
IS
a`
at
a
H
M
IS
hl
ud
M
ul
at
M
*
IS
a`
M
*
a. Di kelas :I
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hl
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IS
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H
M
hl
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ul
at
da
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ul
hl
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IS
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a
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M
hl
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at
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M
a
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hl
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14. Alamat Orang Tua : KOMP. TWI WBA NO. 05 WARNASARI,
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IS
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at
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H
ul
hl

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M
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a
ù
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42443, 42443
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hl
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M
hl
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h
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hl
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IS
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M
at
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hl
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M
IS
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H
M
IS
hl
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Pekerjaan Wali :-
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at
M
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IS
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M

a
*
M
hl
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M
IS
at
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H
M
IS
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M
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ul
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hl
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a
H
M
hl
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IS
M
la
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M
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IS
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Foto
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M
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M
h
3x4
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M
hl
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IS
Ali Imron, S.Pd.I

at
a
H
ul
hl
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l
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a
ù
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la
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M
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H
IS
Halaman 1
M
. _ MUHAMMAD DAFFA AL KHAIRU _ 3118252238

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la
*
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ud
M
th
IS
a`
a
a
I
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M
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hl
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IS
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H
M
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M
M
u
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IS
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*
ul
hl
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IS
a`
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a
H
M
hl
ud
M
1. Nama Peserta Didik : MUHAMMAD JIBRIL NAHLA
l
at
a
ù
*
IS
ud
la
a
ul
M
2. NIS : 111236720014220166
ud
H
h
IS
a`
at
a
lH
M
hl
ud
3. NISN : 3113863754
M
at
a
u
*
IS
ud
a`
M
4. Tempat Tanggal Lahir : CILEGON, 10 Oktober 2011
a
ul
hl
ud
H
IS
a`
at
H
ul
hl
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M
a`
l
at
a
ù
6. Agama : Islam
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IS
hl
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la
ul
at
M
H
h
IS
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M
at
a
*
l
hl
ù
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M
8. Anak ke :1
l
at
la
u
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IS
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a`
M
h
9. Alamat Peserta Didik : LINK. JOMBANG WETAN RT/RW 004/006
ul
at
hl
H
IS
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M
at
a
JOMBANG WETAN, JOMBANG, KOTA
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hl
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IS
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at
a
H
M
IS
hl
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ul
at
M
*
IS
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M
*
ul
hl
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M
11. Sekolah Asal :
IS
a`
at
a
H
M
IS
hl
ud
M
ul
at
M
*
IS
a`
M
*
a. Di kelas :I
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hl
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IS
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at
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H
M
hl
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ul
at
da
IS
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M
a
ul
hl
ud
IS
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a. Ayah : UUS YUNUS at

a
H
M
hl
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ul
at
b. Ibu : LIA KOMALASARI

a
IS
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a`
M
a
ul
hl
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14. Alamat Orang Tua : LINK. JOMBANG WETAN RT/RW 004/006
H
IS
a`
at
a
H
ul
hl
JOMBANG WETAN, JOMBANG, KOTA

ud
M
a`
l
at
a
ù
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CILEGON, BANTEN, 42411,

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hl
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IS

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M
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M
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IS
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hl
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M
IS
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M
IS
hl
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Pekerjaan Wali :-
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at
M
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IS
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M

a
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M
hl
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M
IS
at
la
H
M
IS
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M
h
ul
at
M
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*
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hl
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IS
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a
H
M
hl
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l
at
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IS
M
la
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M
ù
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IS
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la
Foto
*
H
M
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M
h
3x4
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at
a
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IS
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M
a
M
hl
ù
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H
IS
Ali Imron, S.Pd.I

at
a
H
ul
hl
ud
NIP. -
l
at
a
ù
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IS
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la
a
ul
ud
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h
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M
hl
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M
at
a
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IS
hl
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M
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hl
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H
IS
Halaman 1
M
. _ MUHAMMAD JIBRIL NAHLA _ 3113863754

at
la
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M
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IS
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a
a
I
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1. Nama Peserta Didik : MUHAMMAD RIZKY PURNAMA
l
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a
ù
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IS
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la
a
RAMADHAN
ul
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h
IS
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4. Tempat Tanggal Lahir : CILEGON, 20 Juni 2012
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Alamat Wali Siswa :

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Halaman 1
M
. _ MUHAMMAD RIZKY PURNAMA RAMADHAN _ 3123407162

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M
hl
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1. Nama Peserta Didik : MUHAMMAD SOLEH
l
at
a
ù
*
IS
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la
a
ul
M
2. NIS : 111236720014220162
ud
H
h
IS
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lH
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hl
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3. NISN : 3120375651
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9. Alamat Peserta Didik : LINK. KELELET
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11. Sekolah Asal :
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M
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h
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. _ MUHAMMAD SOLEH _ 3120375651

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1. Nama Peserta Didik : NADILA AZAHRA MUTIA
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M
2. NIS : 111236720014220159
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M
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. _ NADILA AZAHRA MUTIA _ 3128569711

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M
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1. Nama Peserta Didik : NAJMI IZZATI
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ù
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IS
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la
a
ul
M
2. NIS : 111236720014220150
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M
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3. NISN : 3128327700
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M
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Halaman 1
M
. _ NAJMI IZZATI _ 3128327700

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M
hl
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M
1. Nama Peserta Didik : NAJWAN REVAN SYAHPUTRA
l
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a
ù
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IS
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la
a
ul
M
2. NIS : 111236720014220165
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H
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IS
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lH
M
hl
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3. NISN : 3120581784
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4. Tempat Tanggal Lahir : CILEGON, 13 Januari 2012
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M
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hl
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ul
at
M
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ud
14. Alamat Orang Tua : LINK.KUBANG MENYAWAK
H
IS
a`
at
a
H
ul
hl
KEBONSARI, CITANGKIL, KOTA

ud
M
a`
l
at
a
ù
*

IS
hl
ud
a
ul
hl
lH
IS

a`
u
at
a
H
M
hl
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M
a. Ayah : Wiraswasta/Wirausaha
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at
la
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a`
M
h
ul
at

M
hl
H
IS
a`
M
at
a
*
ul
hl
ud

M
IS
a`
at
a
H
M
IS
hl
ud
Pekerjaan Wali :-
ul
at
M
lH
IS
a`
M

a
*
M
hl
ù
ud
M
IS
at
la
H
M
IS
ud
M
h
ul
at
M
*

IS
a`
M
*
ul
hl
ud
Kepala Madrasah
IS
a`
at
a
H
M
hl
ud
l
at
ù
*
lH
IS
M
la
*
M
ù
ud
h
IS
at
la
Foto
*
H
M
ud
M
h
3x4
ul
at
a
lH
IS
ud
a`
M
a
M
hl
ù
ud
H
IS
Ali Imron, S.Pd.I

at
a
H
ul
hl
ud
NIP. -
l
at
a
ù
*
IS
ud
la
a
ul
ud
H
h
IS
a`
at
a
H
ul
hl
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M
a`
ul
at
a
IS
hl
ud
a`
M
ul
at
hl
lH
IS
a`
M
at
a
*
M
hl
ù
ud
M
at
a
lH
IS
hl
ud
a`
M
at
hl
ù
H
IS
Halaman 1
M
. _ NAJWAN REVAN SYAHPUTRA _ 3120581784

at
la
*
ul
ud
M
th
IS
a`
a
a
I
u
l
at
hl
ù
H
IS
M
at
la
*
ul
ud
M
h
S
a`
at
a
lH
IS
hl
ud
M
a
at
hl
u
H
IS
a`
M
at
MIS MATHLA UL HUDA
*
ul
hl
ud
M
IS
a`
at
a
H
M
IS
hl
ud
l
at
M
ù
*
H
IS
M
la
*
l
M
ù
ud
h
IS
at
a
lH
M
hl
ud
M
M
u
*
IS
a`
M
*
ul
hl
ud
IS
a`
at
a
H
M
hl
ud
M
1. Nama Peserta Didik : NATASYA ADELIA
l
at
a
ù
*
IS
ud
la
a
ul
M
2. NIS : 111236720014220169
ud
H
h
IS
a`
at
a
lH
M
hl
ud
3. NISN :
M
at
a
u
*
IS
ud
a`
M
4. Tempat Tanggal Lahir : CILEGON, 27 November 2011
a
ul
hl
ud
H
IS
a`
at
H
ul
hl
ud
M
a`
l
at
a
ù
6. Agama : Islam
*
IS
hl
ud
la
ul
at
M
H
h
IS
a`
M
at
a
*
l
hl
ù
ud
M
8. Anak ke :2
l
at
la
u
*
IS
ud
a`
M
h
9. Alamat Peserta Didik : KAPUDENOK LEBAK DENOK,
ul
at
hl
H
IS
a`
M
at
a
*
ul
hl
ud
M
IS
a`
42442, 42442 at
a
H
M
IS
hl
ud
ul
at
M
*
IS
a`
M
*
ul
hl
ud
M
11. Sekolah Asal :
IS
a`
at
a
H
M
IS
hl
ud
M
ul
at
M
*
IS
a`
M
*
a. Di kelas :I
ul
hl
ud
IS
a`
at
a
H
M
hl
ud
ul
at
da
IS
a`
M
a
ul
hl
ud
IS
a`
a. Ayah : FATUROJI at
a
H
M
hl
ud
ul
at
b. Ibu : ERNA MULYASARI

a
IS
ud
a`
M
a
ul
hl
ud
14. Alamat Orang Tua : KAPUDENOK LEBAK DENOK,
H
IS
a`
at
a
H
ul
hl

ud
M
a`
l
at
a
ù
*
42442, 42442
IS
hl
ud
a
ul
hl
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IS

a`
u
at
a
H
M
hl
ù
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M
ul
at
la
IS
ud
a`
M
h
ul
at

M
hl
H
IS
a`
M
at
a
*
ul
hl
ud

M
IS
a`
at
a
H
M
IS
hl
ud
Pekerjaan Wali :-
ul
at
M
lH
IS
a`
M

a
*
M
hl
ù
ud
M
IS
at
la
H
M
IS
ud
M
h
ul
at
M
*

IS
a`
M
*
ul
hl
ud
Kepala Madrasah
IS
a`
at
a
H
M
hl
ud
l
at
ù
*
lH
IS
M
la
*
M
ù
ud
h
IS
at
la
Foto
*
H
M
ud
M
h
3x4
ul
at
a
lH
IS
ud
a`
M
a
M
hl
ù
ud
H
IS
Ali Imron, S.Pd.I

at
a
H
ul
hl
ud
NIP. -
l
at
a
ù
*
IS
ud
la
a
ul
ud
H
h
IS
a`
at
a
H
ul
hl
ud
M
a`
ul
at
a
IS
hl
ud
a`
M
ul
at
hl
lH
IS
a`
M
at
a
*
M
hl
ù
ud
M
at
a
lH
IS
hl
ud
a`
M
at
hl
ù
H
IS
Halaman 1
M
. _ NATASYA ADELIA _
at
la
*
ul
ud
M
th
IS
a`
a
M hl M H S
M ul
H IS a` da * at M
at M M hl ud
*
hl ud ul
H IS a` a M at
IS a` a * at M ul
M M h ud
* H IS
ul
H IS la
ù a M at
h ud M
at ud M lH IS la a * at
hl
a a * at M
ù M hl
ù M hl ud l H IS a`
a * at M ul
9.
8.
7.
6.
5.
4.
3.
2.
1.
lH IS a` M ud
M ul hl a * H
ud
a * at H IS a` M at
hl u
a` M h M ul
NIS
ud H IS a`
ul a *
b. Ibu
b. Ibu
NISN
IS la at M ul
H M
Agama
ù ud
a. Ayah
a. Ayah
hl H
Anak ke
ud M lH IS a` a * at
M
a. Di kelas
a * at M ul hl
a
ud
a
M ud
11. Sekolah Asal

hl * H IS ù
Jenis Kelamin
a at M
Pekerjaan Wali
b. Pada tanggal
IS a` M hl ud l H
*
13. Nama Orang Tua

M ul a
16. Nama Wali Siswa

IS at
14. Alamat Orang Tua

* H a` M
Alamat Wali Siswa

a ud
Nama Peserta Didik
at M ul hl a
M
15. Pekerjaan Orang Tua

h
Alamat Peserta Didik

ud H IS a`
Tempat Tanggal Lahir
Status dalam Keluarga

*
12. Diterima di sekolah ini

IS la
ù a M at ud M ul
M hl a * H
. _ RAIHANAH SYAKIRAH PRIYATNA _ 3122328412

IS a` at
3x4
lH
10. Nomor Telepon Rumah/HP

M
Foto
* at M ul hl ud
a *
M hl ud
* H IS a` M
IS a ù a M at ud M ul IS
M hl a * H
:
:
:
:
:
:
:
:
:
:
:
lH IS a` M at
:-
:-
:-
:-
hl ud
M at ud M ul
H IS a` a *
hl a * at M M
: Islam
IS a` M ud ul IS
M ul hl a * at H
H IS a` M hl ud M
at M ul a *
: Perempuan
: CILEGON,
ud H IS a` M at
: 3122328412
hl h
NIP. -
a *
42442, 42442
a` M at M ul la
Cilegon,
hl ud H IS
ul
H IS a` a * at M
ù
l
M ud
: CUCU SULASMI
th ud M ul hl a * at
* H IS a` M
: AAT SUPRIYATNA
la a hl
: 111236720014220156
ù M at ud M ul IS a`
Kepala Madrasah
hl * H u
Ali Imron, S.Pd.I

lH IS a` a M at
hl ud M lH
ud M ul
H IS a` a * at
a * at M M h ud
M hl ud ul
H IS la a
IS a` a * at M
ù
l
M
IDENTITAS PESERTA DIDIK
ud H
hl
MIS MATHLA UL HUDA
M ul a * at
: LINK.DELINGSENG KEBONSARI,
ud H IS a` M
a * at hl ud
: RAIHANAH SYAKIRAH PRIYATNA
M h ud M ul
H IS a` a
IS la a * at M u
M
ù hl ud lH
*
M
l H IS a` a M at
h
* at M ul la
ud
a *
M hl ud
* H IS ù M
IS a` a M at ud M l I
M ul IS
hl
a` a * at H
* at H M hl ud
*
M h ud M ul
H IS a` a M
IS la a * at M u
M
ù M hl ud
*
lH IS
l H IS a ù a M at
h ud M
at ud M l H IS la a * at
hl a * at M
ù M hl
a` M l a
Halaman 1
hl ud H IS
M ul
H IS a` a * at M
at M M hl ud
*
hl ud ul
H IS a` a M at
a` a * at u M u l
hl
a
a
I
u
l
at
hl
ù
H
IS
M
at
la
*
ul
ud
M
h
S
a`
at
a
lH
IS
hl
ud
M
a
at
hl
u
H
IS
a`
M
at
MIS MATHLA UL HUDA
*
ul
hl
ud
M
IS
a`
at
a
H
M
IS
hl
ud
l
at
M
ù
*
H
IS
M
la
*
l
M
ù
ud
h
IS
at
a
lH
M
hl
ud
M
M
u
*
IS
a`
M
*
ul
hl
ud
IS
a`
at
a
H
M
hl
ud
M
1. Nama Peserta Didik : RIFQI ARIF
l
at
a
ù
*
IS
ud
la
a
ul
M
2. NIS : 111236720014220152
ud
H
h
IS
a`
at
a
lH
M
hl
ud
3. NISN : 3126822524
M
at
a
u
*
IS
ud
a`
M
4. Tempat Tanggal Lahir : SERANG, 05 September 2012
a
ul
hl
ud
H
IS
a`
at
H
ul
hl
ud
M
a`
l
at
a
ù
6. Agama : Islam
*
IS
hl
ud
la
ul
at
M
H
h
IS
a`
M
at
a
*
l
hl
ù
ud
M
8. Anak ke :2
l
at
la
u
*
IS
ud
a`
M
h
9. Alamat Peserta Didik : LINK.KUBANG MENYAWAK
ul
at
hl
H
IS
a`
M
at
a
*
ul
hl
ud
M
IS
a`
at
a
H
M
IS
hl
ud
ul
at
M
*
IS
a`
M
*
ul
hl
ud
M
11. Sekolah Asal :
IS
a`
at
a
H
M
IS
hl
ud
M
ul
at
M
*
IS
a`
M
*
a. Di kelas :I
ul
hl
ud
IS
a`
at
a
H
M
hl
ud
ul
at
da
IS
a`
M
a
ul
hl
ud
IS
a`
a. Ayah : SULEMAN at
a
H
M
hl
ud
ul
at
b. Ibu : SUTIÀH
a
IS
ud
a`
M
a
ul
hl
ud
14. Alamat Orang Tua : LINK.KUBANG MENYAWAK
H
IS
a`
at
a
H
ul
hl

ud
M
a`
l
at
a
ù
*

IS
hl
ud
a
ul
hl
lH
IS

a`
u
at
a
H
M
hl
ù
ud
M
ul
at
la
IS
ud
a`
M
h
ul
at

M
hl
H
IS
a`
M
at
a
*
ul
hl
ud

M
IS
a`
at
a
H
M
IS
hl
ud
Pekerjaan Wali :-
ul
at
M
lH
IS
a`
M

a
*
M
hl
ù
ud
M
IS
at
la
H
M
IS
ud
M
h
ul
at
M
*

IS
a`
M
*
ul
hl
ud
Kepala Madrasah
IS
a`
at
a
H
M
hl
ud
l
at
ù
*
lH
IS
M
la
*
M
ù
ud
h
IS
at
la
Foto
*
H
M
ud
M
h
3x4
ul
at
a
lH
IS
ud
a`
M
a
M
hl
ù
ud
H
IS
Ali Imron, S.Pd.I

at
a
H
ul
hl
ud
NIP. -
l
at
a
ù
*
IS
ud
la
a
ul
ud
H
h
IS
a`
at
a
H
ul
hl
ud
M
a`
ul
at
a
IS
hl
ud
a`
M
ul
at
hl
lH
IS
a`
M
at
a
*
M
hl
ù
ud
M
at
a
lH
IS
hl
ud
a`
M
at
hl
ù
H
IS
Halaman 1
M
. _ RIFQI ARIF _ 3126822524

at
la
*
ul
ud
M
th
IS
a`
a
a
I
u
l
at
hl
ù
H
IS
M
at
la
*
ul
ud
M
h
S
a`
at
a
lH
IS
hl
ud
M
a
at
hl
u
H
IS
a`
M
at
MIS MATHLA UL HUDA
*
ul
hl
ud
M
IS
a`
at
a
H
M
IS
hl
ud
l
at
M
ù
*
H
IS
M
la
*
l
M
ù
ud
h
IS
at
a
lH
M
hl
ud
M
M
u
*
IS
a`
M
*
ul
hl
ud
IS
a`
at
a
H
M
hl
ud
M
1. Nama Peserta Didik : RINA DEWI SEPTIANI
l
at
a
ù
*
IS
ud
la
a
ul
M
2. NIS : 111236720014220151
ud
H
h
IS
a`
at
a
lH
M
hl
ud
3. NISN : 3127208485
M
at
a
u
*
IS
ud
a`
M
4. Tempat Tanggal Lahir : CILEGON, 20 September 2012
a
ul
hl
ud
H
IS
a`
at
H
ul
hl
ud
M
a`
l
at
a
ù
6. Agama : Islam
*
IS
hl
ud
la
ul
at
M
H
h
IS
a`
M
at
a
*
l
hl
ù
ud
M
8. Anak ke :4
l
at
la
u
*
IS
ud
a`
M
h
9. Alamat Peserta Didik : LINK. KAPUDENOK LEBAK DENOK,
ul
at
hl
H
IS
a`
M
at
a
*
ul
hl
ud
M
IS
a`
42442, 42442 at
a
H
M
IS
hl
ud
ul
at
M
*
IS
a`
M
*
ul
hl
ud
M
11. Sekolah Asal :
IS
a`
at
a
H
M
IS
hl
ud
M
ul
at
M
*
IS
a`
M
*
a. Di kelas :I
ul
hl
ud
IS
a`
at
a
H
M
hl
ud
ul
at
da
IS
a`
M
a
ul
hl
ud
IS
a`
a. Ayah : RINO ILHAM MAULANA at

a
H
M
hl
ud
ul
at
b. Ibu : HERLINDA SARI

a
IS
ud
a`
M
a
ul
hl
ud
14. Alamat Orang Tua : LINK. KAPUDENOK LEBAK DENOK,
H
IS
a`
at
a
H
ul
hl

ud
M
a`
l
at
a
ù
*
42442, 42442
IS
hl
ud
a
ul
hl
lH
IS

a`
u
at
a
H
M
hl
ù
ud
M
ul
at
la
IS
ud
a`
M
h
ul
at

M
hl
H
IS
a`
M
at
a
*
ul
hl
ud

M
IS
a`
at
a
H
M
IS
hl
ud
Pekerjaan Wali :-
ul
at
M
lH
IS
a`
M

a
*
M
hl
ù
ud
M
IS
at
la
H
M
IS
ud
M
h
ul
at
M
*

IS
a`
M
*
ul
hl
ud
Kepala Madrasah
IS
a`
at
a
H
M
hl
ud
l
at
ù
*
lH
IS
M
la
*
M
ù
ud
h
IS
at
la
Foto
*
H
M
ud
M
h
3x4
ul
at
a
lH
IS
ud
a`
M
a
M
hl
ù
ud
H
IS
Ali Imron, S.Pd.I

at
a
H
ul
hl
ud
NIP. -
l
at
a
ù
*
IS
ud
la
a
ul
ud
H
h
IS
a`
at
a
H
ul
hl
ud
M
a`
ul
at
a
IS
hl
ud
a`
M
ul
at
hl
lH
IS
a`
M
at
a
*
M
hl
ù
ud
M
at
a
lH
IS
hl
ud
a`
M
at
hl
ù
H
IS
Halaman 1
M
. _ RINA DEWI SEPTIANI _ 3127208485

at
la
*
ul
ud
M
th
IS
a`
a
a
I
u
l
at
hl
ù
H
IS
M
at
la
*
ul
ud
M
h
S
a`
at
a
lH
IS
hl
ud
M
a
at
hl
u
H
IS
a`
M
at
MIS MATHLA UL HUDA
*
ul
hl
ud
M
IS
a`
at
a
H
M
IS
hl
ud
l
at
M
ù
*
H
IS
M
la
*
l
M
ù
ud
h
IS
at
a
lH
M
hl
ud
M
M
u
*
IS
a`
M
*
ul
hl
ud
IS
a`
at
a
H
M
hl
ud
M
1. Nama Peserta Didik : SALMA SYAKIRA
l
at
a
ù
*
IS
ud
la
a
ul
M
2. NIS : 111236720014220154
ud
H
h
IS
a`
at
a
lH
M
hl
ud
3. NISN : 3120618377
M
at
a
u
*
IS
ud
a`
M
a
ul
hl
ud
H
IS
a`
at
H
ul
hl
ud
M
a`
l
at
a
ù
6. Agama : Islam
*
IS
hl
ud
la
ul
at
M
H
h
IS
a`
M
at
a
*
l
hl
ù
ud
M
8. Anak ke :5
l
at
la
u
*
IS
ud
a`
M
h
9. Alamat Peserta Didik : LINK LUWUNG SAWO KEBONSARI,
ul
at
hl
H
IS
a`
M
at
a
*
ul
hl
ud
M
IS
a`
42442, 42442 at
a
H
M
IS
hl
ud
ul
at
M
*
IS
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11. Sekolah Asal :
IS
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at
a
H
M
IS
hl
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M
ul
at
M
*
IS
a`
M
*
a. Di kelas :I
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hl
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IS
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at
a
H
M
hl
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ul
at
da
IS
a`
M
a
ul
hl
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IS
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a. Ayah : ABDUH at
a
H
M
hl
ud
ul
at
b. Ibu : FARIDA
a
IS
ud
a`
M
a
ul
hl
ud
14. Alamat Orang Tua : LINK LUWUNG SAWO KEBONSARI,
H
IS
a`
at
a
H
ul
hl

ud
M
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ù
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42442, 42442
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IS

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ul
at

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H
IS
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M
at
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ul
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M
IS
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H
M
IS
hl
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Pekerjaan Wali :-
ul
at
M
lH
IS
a`
M

a
*
M
hl
ù
ud
M
IS
at
la
H
M
IS
ud
M
h
ul
at
M
*

IS
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M
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ul
hl
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Kepala Madrasah
IS
a`
at
a
H
M
hl
ud
l
at
ù
*
lH
IS
M
la
*
M
ù
ud
h
IS
at
la
Foto
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M
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M
h
3x4
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M
a
M
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Ali Imron, S.Pd.I

at
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NIP. -
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ul
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M
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Halaman 1
M
. _ SALMA SYAKIRA _ 3120618377

at
la
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M
th
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I
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l
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M
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MIS MATHLA UL HUDA
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M
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H
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1. Nama Peserta Didik : YUNISA ELFANI
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la
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ul
M
2. NIS : 111236720014220168
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3. NISN :
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H
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H
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8. Anak ke :5
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9. Alamat Peserta Didik : LINK KRENCENG KEBONSARI,
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IS
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ul
hl
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IS
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42442, 42442 at
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M
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hl
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IS
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M
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hl
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M
11. Sekolah Asal :
IS
a`
at
a
H
M
IS
hl
ud
M
ul
at
M
*
IS
a`
M
*
a. Di kelas :I
ul
hl
ud
IS
a`
at
a
H
M
hl
ud
ul
at
da
IS
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M
a
ul
hl
ud
IS
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a. Ayah : WAHYUDIN at
a
H
M
hl
ud
ul
at
b. Ibu : SITI FATIMAH

a
IS
ud
a`
M
a
ul
hl
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14. Alamat Orang Tua : LINK KRENCENG KEBONSARI,
H
IS
a`
at
a
H
ul
hl

ud
M
a`
l
at
a
ù
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42442, 42442
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hl
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a
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lH
IS

a`
u
at
a
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M
a. Ayah : Buruh
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M
h
ul
at

M
hl
H
IS
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M
at
a
*
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M
IS
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at
a
H
M
IS
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Pekerjaan Wali :-
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Alamat Wali Siswa : LINK LUWUNG SAWO KEBONSARI, at

a
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M
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M
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M
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M
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Kepala Madrasah
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la
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M
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Foto
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hl
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IS
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3x4
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ul
hl
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Ali Imron, S.Pd.I

la
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Halaman 1
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. _ YUNISA ELFANI _
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Identitas Kelas V.D

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a

JL. IR. SUTAMI LINK. KEPUDENOK TOWER RT 017 RW 003

9. Alamat Peserta Didik : LINK. KALENTEMU BARAT

13. Nama Orang Tua :

SAMANGRAYA, CITANGKIL, KOTA

CILEGON, BANTEN, 42443, 42443

15. Pekerjaan Orang Tua :

b. Ibu : Tidak Bekerja

16. Nama Wali Siswa :

Alamat Wali Siswa : at

Cilegon, 17 Juli 2018

Ali Imron, S.Pd.I

. _ AHMAD LUTFI _ 3127366635

JL. IR. SUTAMI LINK. KEPUDENOK TOWER RT 017 RW 003

9. Alamat Peserta Didik : LINK. KELELET SAMANGRAYA,

13. Nama Orang Tua :

a. Ayah : ALI USMAN at

CITANGKIL, KOTA CILEGON, BANTEN,

15. Pekerjaan Orang Tua :

b. Ibu : Tidak Bekerja

16. Nama Wali Siswa :

Alamat Wali Siswa : at

Cilegon, 17 Juli 2018

Ali Imron, S.Pd.I

. _ AZ ZAHROTUNNISA QURUN _ 0125970372

JL. IR. SUTAMI LINK. KEPUDENOK TOWER RT 017 RW 003

9. Alamat Peserta Didik : LINK. SUKAJAYA KEBONSARI,

13. Nama Orang Tua :

a. Ayah : FATAH ALI RUSTANDI at

b. Ibu : IRA DARMAYANTI

CITANGKIL, KOTA CILEGON, BANTEN,

15. Pekerjaan Orang Tua :

b. Ibu : Tidak Bekerja

16. Nama Wali Siswa :

Alamat Wali Siswa : at

Cilegon, 17 Juli 2018

Ali Imron, S.Pd.I

. _ FATHIR DZIKRIL AL FARIJI _ 3125120192

JL. IR. SUTAMI LINK. KEPUDENOK TOWER RT 017 RW 003

9. Alamat Peserta Didik : KOMP. TWI FWA 38 NO. 5 WARNASARI,

13. Nama Orang Tua :

a. Ayah : MUCHAMAD FAODJI at

b. Ibu : EUIS CUT NAYAH

CITANGKIL, KOTA CILEGON, BANTEN,

15. Pekerjaan Orang Tua :

b. Ibu : Tidak Bekerja

16. Nama Wali Siswa : EUIS CUT NAYAH

Pekerjaan Wali : Tidak Bekerja

Alamat Wali Siswa : at

Cilegon, 17 Juli 2018

Ali Imron, S.Pd.I

. _ HAFIZ IRSYAD ABRAR _ 3124323577

JL. IR. SUTAMI LINK. KEPUDENOK TOWER RT 017 RW 003

9. Alamat Peserta Didik : LINK MEKARSARI, CITANGKIL, KOTA

11. Sekolah Asal :

12. Diterima di sekolah ini :

a. Ayah : ZAENAL ABIDIN

14. Alamat Orang Tua : LINK MEKARSARI, CITANGKIL, KOTA

a. Ayah : Pegawai Swasta

b. Ibu : Tidak Bekerja

16. Nama Wali Siswa :

Alamat Wali Siswa :