Registation Data

Name : PUTRI MAHARDIKA Nationality Status : WNI

Place, Date of : lamongan, 2006-10-04 Street : bsd city
Birth
Sex :P Village/Dusun : rawa buntu
National Identity : 3674014410060004 Village/Kelurahan : rawa buntu
Number /NIK
NISN : 0068759067 Address : SERPONG, KOTA TANGERANG SELATAN,
BANTEN
Mother Name : amelia melinda RT/RW : 010 / 014
Postal Code : 15318

Contact and History of Education

Telephone : 085281907921 Elementary School : mi islamiyah
Email : putrimahardika410@gmail.com Junior High School : pondok modern darussalam gontor putri 2
HP (Whatsapp : Senior High School : pondok modern darussalam gontor putri 2
Number)
Pesantren : Ya Name of Pesantren : pondok modern darussalam gontor putri 2
Graduates
Year of graduation : 2024 Length of Study in : 6
pesantren
Takhassus / :
Speciality

Parents
Father Mother
Name : m ali makrus Name : m amelia melinda
Date of Birth : 1976-09-29 Date of Birth : 1984-12-15
NIK/ National : 3578102709760002 NIK/ National : 6472085512840001
Identity Number Identity Number
Education : TAMAT SMA Education : TAMAT SMA
Occupation : WIRASWASTA Occupation : TIDAK BEKERJA
Average Monthly : Rp 5.000.000 – Rp 20.000.00 Average Monthly : Rp 500.000 – Rp 999.999
Income Income

Registration Information
Department 1 : Kedokteran KMI Gontor : Yes
graduates
Department 2 : Kedokteran Duration to study : 4 Year (Bachelor/S1)
in Universitas
Darussalam
Gontor
Department 3 : Kedokteran Campus to study : Siman
Accepted in : Belum ada pengumuman/keputusan (There
is no announcement yet)

Powered by TCPDF (www.tcpdf.org)