| Nama | IMMA SALSABILA |  |
| NIS | 170047 | |
| Kelamin | Perempuan | |
| Tmp/Tgl Lahir | PATI,11.26.01 | |
| Agama | Islam | |
| Kelas | XII-MIA | |
| STTB | ||
| NEM | ||
| Orang tua | Zaenal Arifin | |
| Alamat Rumah | ALASDOWO RT 05/02-DUKUHSETI-PATI Telp.- |
| Nama | IMMA SALSABILA | |
| NIS | 170047 | |
| Kelamin | Perempuan | |
| Tmp/Tgl Lahir | PATI,11.26.01 | |
| Agama | Islam | |
| Kelas | XII-MIA | |
| STTB | ||
| NEM | ||
| Orang tua | Zaenal Arifin | |
| Alamat Rumah | ALASDOWO RT 05/02-DUKUHSETI-PATI Telp.- |