| Nama | Chiko Adi D |  |
| NIS | 0086853192 | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | Tegal,26/04/2008 | |
| Agama | Advent | |
| Kelas | XI-IPS SMA | |
| STTB | ||
| NEM | ||
| Orang tua | Alm. Teguh Prakoso | |
| Alamat Rumah | DESA MARGASARI RT.001 RW.004 NO.88, MARGASARI 5246 BLOK STAS Telp. |
| Nama | Chiko Adi D | |
| NIS | 0086853192 | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | Tegal,26/04/2008 | |
| Agama | Advent | |
| Kelas | XI-IPS SMA | |
| STTB | ||
| NEM | ||
| Orang tua | Alm. Teguh Prakoso | |
| Alamat Rumah | DESA MARGASARI RT.001 RW.004 NO.88, MARGASARI 5246 BLOK STAS Telp. |