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U
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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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U
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MIS UMMUL QUR AN ANNURANI

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Jl. Perigi Raja Lr. Mahkota Raja Parit 15

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Kecamatan Tembilahan, Kabupaten Indragiri Hilir - Riau

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IDENTITAS PESERTA DIDIK

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1. Nama Peserta Didik : ALVI MUNIRAH

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*
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2. NIS : 111214040196230330

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Q
A

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Q
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3. NISN : 3161028512
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*
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4. Tempat Tanggal Lahir : TEMBILAHAN, 05 November 2016

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5. Jenis Kelamin : Perempuan

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IS
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Q

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A
U

6. Agama : Islam
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Q
A

*
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U
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A

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7. Status dalam Keluarga : Anak Kandung
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U
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U
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8. Anak ke : 3

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A

*
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9. Alamat Peserta Didik : Jl. Prof. M. Yamin, SH

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U
Q
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U
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10. Nomor Telepon Rumah/HP : 089516396526
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11. Sekolah Asal : YAYASAN UMMUL QUR`AN ANNURANI PAUD/KB

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UMMUL QUR`AN ANNURANI
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U
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A

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12. Diterima di sekolah ini :
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a. Di kelas : I

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b. Pada tanggal : 17 Juli 2023

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13. Nama Orang Tua :

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a. Ayah : HENDRA
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U
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b. Ibu : RISNA
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A
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Q
A

*
14. Alamat Orang Tua : JL. Prof. M. Yamin, SH
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U
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A

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15. Pekerjaan Orang Tua :

IS
U
Q
*

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M
U

IS

a. Ayah : Wiraswasta/Wirausaha
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*
IS

Q
A

b. Ibu : Tidak Bekerja

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U
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A

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16. Nama Wali Siswa :
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IS

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Pekerjaan Wali : -
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Alamat Wali Siswa :

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TEMBILAHAN, 17 Juli 2023

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Kepala Madrasah
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Foto
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3x4
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SYAHRUL RAHMAN, S.Pd

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NIP.
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Halaman 1
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. _ ALVI MUNIRAH _ 3161028512

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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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MIS UMMUL QUR AN ANNURANI

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Q

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Jl. Perigi Raja Lr. Mahkota Raja Parit 15

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Kecamatan Tembilahan, Kabupaten Indragiri Hilir - Riau

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IDENTITAS PESERTA DIDIK

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1. Nama Peserta Didik : ASIVA NUR AISYAH

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2. NIS : 111214040196230233

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Q
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3. NISN : 3169145765
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Q
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4. Tempat Tanggal Lahir : TEMBILAHAN, 22 Desember 2016

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5. Jenis Kelamin : Perempuan

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Q

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A
U

6. Agama : Islam
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7. Status dalam Keluarga : Anak Kandung
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IS
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8. Anak ke : 3

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9. Alamat Peserta Didik : Jl. Prof. M. Yamin, SH Lr. Ceri Ujung, Kel. TEMBILAHAN
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U
Q
A

*
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U
Q
A

HILIR, Kec. TEMBILAHAN, RIAU, 29211

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Q
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10. Nomor Telepon Rumah/HP : 082283211631

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Q
A

*
11. Sekolah Asal : Tidak Ada
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U
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12. Diterima di sekolah ini :
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a. Di kelas :I

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b. Pada tanggal : 17 Juli 2023

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13. Nama Orang Tua :

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a. Ayah : SAMSUDIN
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A

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U
Q

b. Ibu : SUSI SUSANTI

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A
U

IS

Q
A

*
14. Alamat Orang Tua : Jl. Prof. M. Yamin, SH Lr. Ceri Ujung, Kel. TEMBILAHAN
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U
Q
A

*
M

HILIR, Kec. TEMBILAHAN, RIAU, 29211

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Q
A

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U
Q
*

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M
15. Pekerjaan Orang Tua :
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IS

*
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Q
A

a. Ayah : Petani/Peternak
*
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U
Q
A

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U
Q
*

b. Ibu : Tidak Bekerja

IS

M
U

IS

*
16. Nama Wali Siswa :
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Q
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Pekerjaan Wali :-
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Alamat Wali Siswa :

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A
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TEMBILAHAN, 17 Juli 2023

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Q

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A
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Kepala Madrasah
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Q
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Foto
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3x4
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SYAHRUL RAHMAN, S.Pd

A

*
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Q
A

NIP.
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A
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Halaman 1
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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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MIS UMMUL QUR AN ANNURANI

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Jl. Perigi Raja Lr. Mahkota Raja Parit 15

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Kecamatan Tembilahan, Kabupaten Indragiri Hilir - Riau

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IDENTITAS PESERTA DIDIK

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1. Nama Peserta Didik : JIHAN AFNITA

*
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Q
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2. NIS : 111214040196230335

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Q
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Q
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IS
3. NISN : 3160494151
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IS

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IS

Q
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4. Tempat Tanggal Lahir : TEMBILAHAN, 02 Desember 2016

*
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U
Q
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5. Jenis Kelamin : Perempuan

*

IS
U
Q

IS

A
U

6. Agama : Islam
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Q
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U
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*
7. Status dalam Keluarga : Anak Kandung
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U
Q
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IS
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8. Anak ke : 2

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Q
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9. Alamat Peserta Didik : Jl. Prof. M. Yamin, SH Lr. Cerry Ujung, Kel. TEMBILAHAN
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U
Q
A

*
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U
Q
A

HILIR, Kec. TEMBILAHAN, RIAU, 29211

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Q
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10. Nomor Telepon Rumah/HP : 085262165785

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*
11. Sekolah Asal : YAYASAN UMMUL QUR`AN ANNURANI PAUD/KB
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U
Q
A

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Q

UMMUL QUR`AN ANNURANI

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IS

M
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*
12. Diterima di sekolah ini :
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Q
A

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U
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a. Di kelas :I
U
Q
A

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U
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b. Pada tanggal : 17 Juli 2023

A
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Q
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13. Nama Orang Tua :

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Q
A

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a. Ayah : SAMSUNI
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Q

IS

A
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b. Ibu : MASITA

Q
A

*
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U
Q
A

*
M

14. Alamat Orang Tua : Jl. Prof. M. Yamin, SH Lr. Cerry Ujung, Kel. TEMBILAHAN
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Q
A

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U
Q
*

IS

M
HILIR, Kec. TEMBILAHAN, RIAU, 29211
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IS

*
IS

15. Pekerjaan Orang Tua :

Q
A

*
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U
Q
A

IS
a. Ayah : Wiraswasta/Wirausaha
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Q
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IS

M
U

IS

b. Ibu : Tidak Bekerja

A

*
IS

Q
A

*
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U
Q

16. Nama Wali Siswa :

A

U
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A

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Pekerjaan Wali :-
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A
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Q
A

Alamat Wali Siswa :

M

U
Q
A

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A

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U
Q

IS

A
U

IS

TEMBILAHAN, 17 Juli 2023

M

Q
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*
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U
Q
A

Kepala Madrasah
M

U
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A

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Q
*

IS

M
U

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*
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U
Q
A

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Foto
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3x4
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Q
A

SYAHRUL RAHMAN, S.Pd

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U
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A

NIP.
IS
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A
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Halaman 1
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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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MIS UMMUL QUR AN ANNURANI

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Jl. Perigi Raja Lr. Mahkota Raja Parit 15

A
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Q
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*
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Kecamatan Tembilahan, Kabupaten Indragiri Hilir - Riau

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*
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IDENTITAS PESERTA DIDIK

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1. Nama Peserta Didik : JUNIRAL IHSAN

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Q
A

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2. NIS : 111214040196230234

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Q
A

U
Q
*

IS
3. NISN : 3178064047
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IS

*
IS

Q
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4. Tempat Tanggal Lahir : PALEMBANG, 18 Juni 2017

*
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U
Q
A

U
Q
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5. Jenis Kelamin : Laki-laki

*

IS
U
Q

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A
U

6. Agama : Islam
IS

Q
A

*
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U
Q
A

*
7. Status dalam Keluarga : Anak Kandung
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U
Q
A

IS
U
Q

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8. Anak ke : 3

A
U

IS

Q
A

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9. Alamat Peserta Didik : Jl. MAY ZEN Lr. Badai, Kel. SEI LAIS, Kec. KALIDONI,
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U
Q
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Q
A

SUMATERA SELATAN, 30119

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U
Q
*

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10. Nomor Telepon Rumah/HP : 083833207770

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Q
A

*
11. Sekolah Asal : Tidak Ada
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U
Q
A

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Q
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M
12. Diterima di sekolah ini :
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IS

*
IS

a. Di kelas :I

Q
A

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U
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A

b. Pada tanggal : 17 Juli 2023

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Q
A

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U
Q

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13. Nama Orang Tua :

A
U

IS

Q
A

*
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U
Q

a. Ayah : SAUDI
A

U
Q
A

IS
U
Q

b. Ibu : HARLINA
IS

A
U

IS

Q
A

*
14. Alamat Orang Tua : Jl. MAY ZEN Lr. Badai, Kel. SEI LAIS, Kec. KALIDONI,
IS

U
Q
A

*
M

SUMATERA SELATAN, 30119

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Q
A

IS
U
Q
*

IS

M
15. Pekerjaan Orang Tua :
U

IS

*
IS

Q
A

a. Ayah : Buruh
*
M

U
Q
A

IS
U
Q
*

b. Ibu : Tidak Bekerja

IS

M
U

IS

*
16. Nama Wali Siswa :
IS

Q
A

*
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U
Q
A

Pekerjaan Wali :-
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Q
A

IS
U
Q

IS

Alamat Wali Siswa :

M

A
U

IS

Q
A

*
M

U
Q
A

U
Q
A

IS

TEMBILAHAN, 17 Juli 2023

U
Q

IS

A
U

IS

Kepala Madrasah
M

Q
A

*
IS

U
Q
A

*
M

U
Q
A

IS
U
Q
*

IS

M
U

IS

*
IS

Foto
U
Q
A

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M

3x4
U
Q
A

IS
U
Q
*

IS

M
U

IS

SYAHRUL RAHMAN, S.Pd

A

*
IS

Q
A

NIP.
M

U
Q
A

U
Q
A

IS
U
Q

IS

A
IS

Q
A

*
M

U
Q
A

U
Q
A

IS
U
Q

IS

A
U

IS

Q
A

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IS

U
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A

*
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U
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U
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*

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*
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*
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Halaman 1
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 IS

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A

U
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A

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U

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A
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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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A

*
M

U
Q
A

*
MIS UMMUL QUR AN ANNURANI

U
Q
A

IS
U
Q

IS

M
Jl. Perigi Raja Lr. Mahkota Raja Parit 15

A
U

IS

Q
A

*
IS

Kecamatan Tembilahan, Kabupaten Indragiri Hilir - Riau

U
Q
A

*
M

U
Q
A

IS
U
Q

IS

M
U

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IDENTITAS PESERTA DIDIK

Q
A

*
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U
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A

*
M

U
Q
A

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U
Q
*

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M
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1. Nama Peserta Didik : M. AL FATIH AGUERO

*
IS

Q
A

*
M

2. NIS : 111214040196230328

U
Q
A

U
Q
*

IS
3. NISN : 3163384061
U

IS

*
IS

Q
A
4. Tempat Tanggal Lahir : PEKANBARU, 06 Oktober 2016

*
M

U
Q
A

U
Q
A

5. Jenis Kelamin : Laki-laki

*

IS
U
Q

IS

A
U

6. Agama : Islam
IS

Q
A

*
IS

U
Q
A

*
7. Status dalam Keluarga : Anak Kandung
M

U
Q
A

IS
U
Q

IS
8. Anak ke : 1

A
U

IS

Q
A

*
IS

9. Alamat Peserta Didik : TEMBILAHAN, Kel. TEMBILAHAN HILIR, Kec.

M

U
Q
A

*
M

U
Q
A

TEMBILAHAN, RIAU, 20213

IS
U
Q
*

IS

M
U

IS

10. Nomor Telepon Rumah/HP : 082286876820

*
IS

Q
A

*
11. Sekolah Asal : KB MIFTAHUL HUDA
M

U
Q
A

U
Q
*

IS

M
12. Diterima di sekolah ini :
U

IS

*
IS

a. Di kelas :I

Q
A

*
M

U
Q
A

b. Pada tanggal : 01 Agustus 2023

U
Q
A

IS
U
Q

IS

M
13. Nama Orang Tua :

A
U

IS

Q
A

*
S

U
Q

a. Ayah : YANDI SAPUTRA

A

U
Q
A

IS
U
Q

b. Ibu : MIRA ARIANTI

IS

A
U

IS

Q
A

*
14. Alamat Orang Tua : TEMBILAHAN, Kel. TEMBILAHAN HILIR, Kec.
IS

U
Q
A

*
M

TEMBILAHAN, RIAU, 20213

U
Q
A

IS
U
Q
*

IS

M
15. Pekerjaan Orang Tua :
U

IS

*
IS

Q
A

a. Ayah : Pegawai Swasta

*
M

U
Q
A

IS
U
Q
*

b. Ibu : Lainnya
IS

M
U

IS

*
16. Nama Wali Siswa :
IS

Q
A

*
M

U
Q
A

Pekerjaan Wali :-
U
Q
A

IS
U
Q

IS

Alamat Wali Siswa :

M

A
U

IS

Q
A

*
M

U
Q
A

U
Q
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TEMBILAHAN, 01 Agustus 2023

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Halaman 1
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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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MIS UMMUL QUR AN ANNURANI

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Jl. Perigi Raja Lr. Mahkota Raja Parit 15

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Kecamatan Tembilahan, Kabupaten Indragiri Hilir - Riau

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IDENTITAS PESERTA DIDIK

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1. Nama Peserta Didik : MARIA NAZWA FITRIA SUCI

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2. NIS : 111214040196230229

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3. NISN : 3179422664
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4. Tempat Tanggal Lahir : TEMBILAHAN, 23 Maret 2017

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5. Jenis Kelamin : Perempuan

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8. Anak ke : 3

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9. Alamat Peserta Didik : LR TG JATI RT 003/, Kel. SUNGAIBERINGIN, Kec.

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TEMBILAHAN, RIAU, 29214

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10. Nomor Telepon Rumah/HP : 082384677583

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12. Diterima di sekolah ini :
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b. Pada tanggal : 17 Juli 2023

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13. Nama Orang Tua :

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a. Ayah : HASAN
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b. Ibu : SARIYANI
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14. Alamat Orang Tua : LR TG JATI RT 003/, Kel. SUNGAIBERINGIN, Kec.
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TEMBILAHAN, RIAU, 29214

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15. Pekerjaan Orang Tua :
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a. Ayah : Petani/Peternak
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b. Ibu : Tidak Bekerja

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Pekerjaan Wali :-
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Alamat Wali Siswa :

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TEMBILAHAN, 17 Juli 2023

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Kepala Madrasah
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Halaman 1
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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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Jl. Perigi Raja Lr. Mahkota Raja Parit 15

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Kecamatan Tembilahan, Kabupaten Indragiri Hilir - Riau

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1. Nama Peserta Didik : MIE KAYLA NUR AULIA

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2. NIS : 111214040196230332

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3. NISN : 3164611370
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4. Tempat Tanggal Lahir : TEMBILAHAN, 11 Maret 2016

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5. Jenis Kelamin : Perempuan

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6. Agama : Islam
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8. Anak ke : 1

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9. Alamat Peserta Didik : Jl. Prof. M. Yamin.SH, Kel. TEMBILAHAN HILIR, Kec.
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TEMBILAHAN, RIAU, 29211

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10. Nomor Telepon Rumah/HP : 082388355228

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13. Nama Orang Tua :

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a. Ayah : MISLIYANSYAH
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b. Ibu : KARMILA
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14. Alamat Orang Tua : Jl. Prof. M. Yamin.SH, Kel. TEMBILAHAN HILIR, Kec.
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TEMBILAHAN, RIAU, 29211

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15. Pekerjaan Orang Tua :
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a. Ayah : Wiraswasta/Wirausaha
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b. Ibu : Tidak Bekerja

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Pekerjaan Wali :-
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Alamat Wali Siswa :

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TEMBILAHAN, 11 Maret 2023

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Kepala Madrasah
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Halaman 1
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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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Jl. Perigi Raja Lr. Mahkota Raja Parit 15

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Kecamatan Tembilahan, Kabupaten Indragiri Hilir - Riau

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1. Nama Peserta Didik : MUHAMMAD FIKRI MUSTAQIM

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2. NIS : 111214040196230237

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3. NISN : 3165704723
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4. Tempat Tanggal Lahir : BATAM, 03 September 2016

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5. Jenis Kelamin : Laki-laki

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6. Agama : Islam
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8. Anak ke : 1

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9. Alamat Peserta Didik : Tembilahan, Kel. TEMBILAHAN HILIR, Kec.

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TEMBILAHAN, RIAU, 29212

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10. Nomor Telepon Rumah/HP : 082173037820

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11. Sekolah Asal : RAUDHATUL ATHFAL
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b. Pada tanggal : 17 Juli 2023

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13. Nama Orang Tua :

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a. Ayah : NASRIN
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b. Ibu : BAKTIS SETIYARINI

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14. Alamat Orang Tua : Tembilahan, Kel. TEMBILAHAN HILIR, Kec.
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TEMBILAHAN, RIAU, 29212

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15. Pekerjaan Orang Tua :
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a. Ayah : Wiraswasta/Wirausaha
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b. Ibu : Wiraswasta/Wirausaha
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Pekerjaan Wali :-
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Alamat Wali Siswa :

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TEMBILAHAN, 17 Juli 2023

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Kepala Madrasah
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Halaman 1
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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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Jl. Perigi Raja Lr. Mahkota Raja Parit 15

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Kecamatan Tembilahan, Kabupaten Indragiri Hilir - Riau

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IDENTITAS PESERTA DIDIK

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1. Nama Peserta Didik : SHAKEERA ROMEESA HERIANTO

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2. NIS : 111214040196230236

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3. NISN : 3165295208
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4. Tempat Tanggal Lahir : TEMBILAHAN, 27 November 2016

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5. Jenis Kelamin : Perempuan

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6. Agama : Islam
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8. Anak ke : 1

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9. Alamat Peserta Didik : Jl Prof. M. Yamin. SH No 51, Kel. TEMBILAHAN HILIR,

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Kec. TEMBILAHAN, RIAU, 29211

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10. Nomor Telepon Rumah/HP : 085374444441

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11. Sekolah Asal : TK PEMBINA
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b. Pada tanggal : 17 Juli 2023

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13. Nama Orang Tua :

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a. Ayah : BAMBANG HERIANTO

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b. Ibu : YULIA CITRA

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14. Alamat Orang Tua : Jl Prof. M. Yamin. SH No 51, Kel. TEMBILAHAN HILIR,
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Kec. TEMBILAHAN, RIAU, 29211

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15. Pekerjaan Orang Tua :
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a. Ayah : Pegawai Swasta

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b. Ibu : Tidak Bekerja

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Pekerjaan Wali :-
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Alamat Wali Siswa :

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TEMBILAHAN, 17 Juli 2023

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Kepala Madrasah
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SYAHRUL RAHMAN, S.Pd

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Halaman 1
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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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MIS UMMUL QUR AN ANNURANI

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Jl. Perigi Raja Lr. Mahkota Raja Parit 15

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Kecamatan Tembilahan, Kabupaten Indragiri Hilir - Riau

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IDENTITAS PESERTA DIDIK

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1. Nama Peserta Didik : ZEO APRILIANDO

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2. NIS : 111214040196230231

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3. NISN : 3172237416
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4. Tempat Tanggal Lahir : Sungai Baung, 12 April 2017

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5. Jenis Kelamin : Laki-laki

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6. Agama : Islam
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7. Status dalam Keluarga : Anak Kandung
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8. Anak ke : 2

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9. Alamat Peserta Didik : Sungai Baung II

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10. Nomor Telepon Rumah/HP : 081276759900
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11. Sekolah Asal : YAYASAN UMMUL QUR`AN ANNURANI PAUD/KB

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12. Diterima di sekolah ini :
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b. Pada tanggal : 17 Juli 2023

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13. Nama Orang Tua :

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a. Ayah : RAVI ERNANDO

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b. Ibu : RINI AFRIANI

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14. Alamat Orang Tua : Sungai Baung II
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15. Pekerjaan Orang Tua :

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a. Ayah : Wiraswasta/Wirausaha
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b. Ibu : Wiraswasta/Wirausaha
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16. Nama Wali Siswa :
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Pekerjaan Wali : -
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Alamat Wali Siswa :

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TEMBILAHAN, 17 Juli 2023

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Kepala Madrasah
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Foto
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3x4
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SYAHRUL RAHMAN, S.Pd

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NIP.
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Halaman 1
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. _ ZEO APRILIANDO _ 3172237416

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