| Nama | Mario Herlino Nusantoro |  |
| NIS | 0077899049 | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | Demak,20/08/2007 | |
| Agama | Advent | |
| Kelas | XII-IPA SM | |
| STTB | ||
| NEM | ||
| Orang tua | Agtus Hefriantoro | |
| Alamat Rumah | JL. PLAMONGAN INDAH BLOK D2 NO. 14, RT.005 RW.027, BATURSARI Telp.0823-2420-3872 |