Usulan Sekolah

Format Usulan Siswa Penerima Bantuan Siswa Miskin (BSM) / Program Indonesia Pint
ar (PIP) Tahun 2015

<table border='0'>
<tr>
<td>Nama Sekolah</td><td>:</td><td>SMAN 1 SUMBERPUCUNG</td>
</tr>
<tr>
<td>Propinsi</td><td>:</td><td>Prop. Jawa Timur</td>
</tr>
<tr>
<td>Kabupaten</td><td>:</td><td>Kab. Malang</td>
</tr>
</table>
<table border='1'>
<tr>
<th>No.</th>
<th>NPSN</th>
<th>Nama Sekolah</th>
<th>Nama Siswa</th>
<th>NISN</th>
<th>Kelas</th>
<th>Jenis Kelamin</th>
<th>Tanggal Lahir</th>
<th>Nama Ibu Kandung</th>
<th>Nama Ayah</th>
<th>Nama Wali</th>
<th>Kriteria Penerima</th>
</tr>
<tr>
<td align='center'>1</td>
</tr><tr>
<td>1</td>
<td>20517735</td>
<td>SMAN 1 SUMBERPUCUNG</td>
<td>ANDIKA LUDY SETIAWAN</td>
<td>9984105516</td>
<td>11</td>
<td>L</td>
<td>1998-03-05</td>
<td>NGATEMI</td>
<td></td>
<td></td>
<td>Tidak Mampu</td>
</tr><tr>
<td>2</td>
<td>20517735</td>
<td>VARISHA MITHA NURLAILY</td>
<td>9998258125</td>
<td>11</td>
<td>P</td>
<td>1999-12-29</td>
<td>YENIARIANI</td>
<td>PURWANTO</td>
<td></td>
</tr><tr>
<td>3</td>
<td>20517735</td>
<td>AMELIA SYAHADATI</td>
<td>9990094140</td>
<td>11</td>
<td>P</td>
<td>1999-04-18</td>
<td>HADI SUCIPTO</td>
<td>HADI SUCIPTO</td>
<td></td>
</tr><tr>
<td>4</td>
<td>20517735</td>
<td>DIANA SAFITRI</td>
<td>9987957852</td>
<td>12</td>
<td>P</td>
<td>1998-01-20</td>
<td>SRINUK WAHYUNINGSIH</td>
<td>SISWANDI</td>
<td></td>
</tr><tr>
<td>5</td>
<td>20517735</td>
<td>PUTRI WULANDARI</td>
<td>9982460118</td>
<td>11</td>
<td>P</td>
<td>1998-10-16</td>
<td>RUSMIATI</td>
<td>SRIWANTO</td>
<td></td>
</tr><tr>
<td>6</td>
<td>20517735</td>
<td>NINDA NURFASIFA PRITA ANGGRAINI</td>
<td>9987952347</td>
<td>12</td>
<td>P</td>
<td>1998-08-09</td>
<td>NINIK FATMAWATI</td>
<td>SUPRIONO</td>
<td></td>
</tr><tr>
<td>7</td>
<td>20517735</td>
<td>AGUSTIN NILASARI</td>
<td>9987935308</td>
<td>11</td>
<td>P</td>
<td>1998-08-24</td>
<td>ISTIANA</td>
<td>PURWANTO</td>
<td></td>
</tr><tr>
<td>8</td>
<td>20517735</td>
<td>ALISA YULIA PUTRI</td>
<td>9998311718</td>
<td>11</td>
<td>P</td>
<td>1994-07-19</td>
<td>SULIYAH</td>
<td>SOLIKIN</td>
<td></td>
</tr><tr>
<td>9</td>
<td>20517735</td>
<td>NURINDAH RISKA PUTRI</td>
<td>9973700310</td>
<td>12</td>
<td>P</td>
<td>1997-11-26</td>
<td>JUMIATIK</td>
<td>SUTRISNO</td>
<td></td>
</tr><tr>
<td>10</td>
<td>20517735</td>
<td>SHERLY PERMATA SARI W.</td>
<td>9982921057</td>
<td>12</td>
<td>P</td>
<td>1998-04-14</td>
<td>ENI SRI ASTUTI</td>
<td>EKO WICAKSONO</td>
<td></td>
</tr><tr>
<td>11</td>
<td>20517735</td>
<td>ANGELINA PUTRI BESTARI</td>
<td>9978099995</td>
<td>12</td>
<td>P</td>
<td>1997-09-15</td>
<td>-</td>
<td>-</td>
<td>-</td>
</tr><tr>
<td>12</td>
<td>20517735</td>
<td>RIZKY WIRA PRATAMA</td>
<td>9998955721</td>
<td>11</td>
<td>L</td>
<td>1999-07-22</td>
<td>NGATEMI</td>
<td></td>
<td></td>
</tr><tr>
<td>13</td>
<td>20517735</td>
<td>FINDINIA DHITA SARI</td>
<td>9987957871</td>
<td>12</td>
<td>P</td>
<td>1998-05-23</td>
<td>WINARTI</td>
<td>SUKARI</td>
<td></td>
</tr><tr>
<td>14</td>
<td>20517735</td>
<td>MAYFATUL FIRDAUSI DAHNIAR</td>
<td>9995220401</td>
<td>11</td>
<td>P</td>
<td>1999-06-16</td>
<td>CHOLISATUN CHOLIFAH</td>
<td>WAHYUDI GATOT PURNOMO</td>
<td>SUNARTIK</td>
</tr><tr>
<td>15</td>
<td>20517735</td>
<td>PETER CHRISTIAN SUTISTIO</td>
<td>9993265983</td>
<td>11</td>
<td>L</td>
<td>1999-05-10</td>
<td>RUTH TJAHJOWATI</td>
<td>DANIEL SUTISTIO</td>
<td></td>
</tr><tr>
<td>16</td>
<td>20517735</td>
<td>RICKY DIMAS ADITYA</td>
<td>9995220601</td>
<td>11</td>
<td>L</td>
<td>1999-04-09</td>
<td>YULIANIS FADILLAH</td>
<td>MUJIONO</td>
<td></td>
</tr><tr>
<td>17</td>
<td>20517735</td>
<td>DANISA FAJAR ZILDJIAN</td>
<td>9982460736</td>
<td>11</td>
<td>P</td>
<td>1998-08-23</td>
<td>DWI ASIH ANDAYANI</td>
<td>DASUKI</td>
<td></td>
</tr><tr>
<td>18</td>
<td>20517735</td>
<td>ELIA KHUSNUL KHOIRIYAH</td>
<td>9993320878</td>
<td>12</td>
<td>P</td>
<td>1998-06-23</td>
<td>SITI MAISYAROH</td>
<td>ABDUL MUNTHOLIB</td>
<td></td>
</tr><tr>
<td>19</td>
<td>20517735</td>
<td>DHINAR HAPPY OKTAVIA</td>
<td>9978111548</td>
<td>12</td>
<td>P</td>
<td>1997-10-22</td>
<td>SRI INDRAWATI</td>
<td>SOESILO JOEDOADI</td>
<td></td>
</tr><tr>
<td>20</td>
<td>20517735</td>
<td>ELOK KUSUMANINGRUM</td>
<td>9988235360</td>
<td>12</td>
<td>P</td>
<td>1998-02-20</td>
<td>INDAH KURNIAWATI</td>
<td>SISWOTO</td>
<td></td>
</tr><tr>
<td>21</td>
<td>20517735</td>
<td>HANNY FIANITA SANI</td>
<td>9988235725</td>
<td>12</td>
<td>P</td>
<td>1998-03-24</td>
<td>MARIATI</td>
<td>BUDI WIBOWO</td>
<td></td>
</tr><tr>
<td>22</td>
<td>20517735</td>
<td>IRA DWI ASTUTIK</td>
<td>9978098226</td>
<td>12</td>
<td>P</td>
<td>1997-07-22</td>
<td>SUMIATI</td>
<td>SUTRISNO</td>
<td></td>
</tr><tr>
<td>23</td>
<td>20517735</td>
<td>INTAN MAHARANI</td>
<td>9995220620</td>
<td>11</td>
<td>P</td>
<td>1999-04-10</td>
<td>YULIANA SRI UTAMI</td>
<td>SUTIONO HERMAWANTO</td>
<td></td>
</tr><tr>
<td>24</td>
<td>20517735</td>
<td>DINDA AYU YUTAN BATISTA</td>
<td>9978078036</td>
<td>12</td>
<td>P</td>
<td>1997-07-26</td>
<td>SUMARLIK</td>
<td>MISDIANTORO</td>
<td></td>
</tr><tr>
<td>25</td>
<td>20517735</td>
<td>RENDA KRIDAWISWA</td>
<td>9990092513</td>
<td>11</td>
<td>L</td>
<td>1997-07-18</td>
<td>HENY PURWIYAT UTAMI</td>
<td>GATOT SUDARSONO</td>
<td></td>
</tr><tr>
<td>26</td>
<td>20517735</td>
<td>OLGA UDI LIA TIAGO</td>
<td>9973899858</td>
<td>12</td>
<td>P</td>
<td>1997-07-17</td>
<td>LIATI </td>
<td>MAS'UDI</td>
<td></td>
</tr><tr>
<td>27</td>
<td>20517735</td>
<td>TAMAELLA</td>
<td>9970099847</td>
<td>12</td>
<td>P</td>
<td>1997-10-31</td>
<td>ERNI INDRA RAHAYU</td>
<td>SUKARNO</td>
<td></td>
</tr><tr>
<td>28</td>
<td>20517735</td>
<td>RIFKI MUHAMMAD RIZAL</td>
<td>9995220639</td>
<td>11</td>
<td>L</td>
<td>1999-11-01</td>
<td>USWATUTHUN CHASANAH</td>
<td>SUYANTO</td>
<td></td>
</tr><tr>
<td>29</td>
<td>20517735</td>
<td>ANDIKA KUSUMA WARDANA</td>
<td>9978098804</td>
<td>12</td>
<td>L</td>
<td>1997-11-04</td>
<td>IDA WAHYUNI</td>
<td>Ir.ADJI PURNOMO</td>
<td></td>
</tr><tr>
<td>30</td>
<td>20517735</td>
<td>EVI MAISYAROH</td>
<td>9974109628</td>
<td>11</td>
<td>P</td>
<td>1997-11-07</td>
<td>SAPARATIK</td>
<td>SAMSURI ABDULLAH</td>
<td></td>
</tr><tr>
<td>31</td>
<td>20517735</td>
<td>DESY LAILY RAMADHANI</td>
<td>9986237129</td>
<td>11</td>
<td>P</td>
<td>1998-12-25</td>
<td>FITRI NING RAHAYU</td>
<td>TRISNO HERU BOWO</td>
<td></td>
</tr><tr>
<td>32</td>
<td>20517735</td>
<td>DWI CANDRA SETIAWAN</td>
<td>9970110168</td>
<td>11</td>
<td>L</td>
<td>1997-12-26</td>
<td>NUNUNG PRISTIWANINGSIH</td>
<td>RIDWAN</td>
<td></td>
</tr><tr>
<td>33</td>
<td>20517735</td>
<td>AGIL MULYA SETYAWAN</td>
<td>9980602082</td>
<td>12</td>
<td>L</td>
<td>1998-05-28</td>
<td>AWANAH UTAMI</td>
<td>MULANI</td>
<td></td>
</tr><tr>
<td>34</td>
<td>20517735</td>
<td>BINTAMA KRISDIANSYAH HILDANI</td>
<td>9998957402</td>
<td>11</td>
<td>L</td>
<td>1998-08-08</td>
<td>SUNARMI</td>
<td></td>
<td></td>
</tr><tr>
<td>35</td>
<td>20517735</td>
<td>HANNA YULIA ROHMAH</td>
<td>9972826236</td>
<td>12</td>
<td>P</td>
<td>1997-07-02</td>
<td>EMY SETYO RAHAYU</td>
<td>WINARDI</td>
<td></td>
</tr><tr>
<td>36</td>
<td>20517735</td>
<td>NOER AVISTA FIANINGRUM</td>
<td>9987954475</td>
<td>12</td>
<td>P</td>
<td>1998-05-19</td>
<td>ANIK ALFIAH</td>
<td>RUSMAN</td>
<td></td>
</tr><tr>
<td>37</td>
<td>20517735</td>
<td>ADINDA AZIZAH DWINOVI CAHYONINGRATRI</td>
<td>9998955830</td>
<td>10</td>
<td>P</td>
<td>1999-11-16</td>
<td>DYAH AYU CANDRA RINI</td>
<td>MUSTOFA HADI (ALM)</td>
<td>TRANGGONO</td>
</tr><tr>
<td>38</td>
<td>20517735</td>
<td>MOHAMMED AL AQSHA BRYSOUL CESON</td>
<td>9998377591</td>
<td>11</td>
<td>L</td>
<td>1999-10-02</td>
<td>AINATUL MARDIYYAH</td>
<td>BAMBANG EKO MAXY EST</td>
<td>HADI SANTOSA</td>
</tr><tr>
<td>39</td>
<td>20517735</td>
<td>DWI AYU LARASATI</td>
<td>9974104200</td>
<td>11</td>
<td>P</td>
<td>1998-11-02</td>
<td>SOFYA LOREN</td>
<td>AGOENG SOEHARTO</td>
<td>AGUS WAHYUDI</td>
</tr><tr>
<td>40</td>
<td>20517735</td>
<td>DELA AYU FERDIANTIKA</td>
<td>9979866607</td>
<td>12</td>
<td>P</td>
<td>1997-12-07</td>
<td>ANIK PURNA WATI</td>
<td>SUGITA</td>
<td></td>
</tr><tr>
<td>41</td>
<td>20517735</td>
<td>FARIDA NUR AINI</td>
<td>9987990987</td>
<td>12</td>
<td>P</td>
<td>1998-03-21</td>
<td>EKO SURYANAH</td>
<td>-</td>
<td>SUTAJI</td>
</tr><tr>
<td>42</td>
<td>20517735</td>
<td>AFIRA CAHYANING ATI</td>
<td>9998938251</td>
<td>12</td>
<td>P</td>
<td>1999-08-13</td>
<td>MUSTAFIROH</td>
<td>AGUS AMIN</td>
<td></td>
</tr><tr>
<td>43</td>
<td>20517735</td>
<td>ILHAM MASYOZAKH</td>
<td>9983040216</td>
<td>12</td>
<td>L</td>
<td>1998-02-13</td>
<td>SRI WAHYU BUDI ASTUTI</td>

<td>VICTORI</td>
<td></td>
</tr><tr>
<td>44</td>
<td>20517735</td>
<td>TRIDA ULAMAH</td>
<td>9961060702</td>
<td>11</td>
<td>P</td>
<td>1999-06-30</td>
<td>RIATUN</td>
<td>DAMIN</td>
<td></td>
</tr><tr>
<td>45</td>
<td>20517735</td>
<td>NANDA VIVI VALENCIA</td>
<td>9998256825</td>
<td>11</td>
<td>P</td>
<td>1999-09-07</td>
<td>IRAWATI</td>
<td>ANDRI OKTAVIANTO</td>
<td></td>
</tr><tr>
<td>46</td>
<td>20517735</td>
<td>HAPPY MARTHA INTANSARI</td>
<td>9987935092</td>
<td>12</td>
<td>P</td>
<td>1998-03-20</td>
<td>MUDASIH SULISTYANI</td>
<td>AGUS WAHONO</td>
<td></td>
</tr><tr>
<td>47</td>
<td>20517735</td>
<td>FARIDATUL AMINAH</td>
<td>9987952565</td>
<td>12</td>
<td>P</td>
<td>1997-11-03</td>
<td>SURIATI</td>
<td>PAIMIN</td>
<td></td>
</tr><tr>
<td>48</td>
<td>20517735</td>
<td>AANG KUNAEVI</td>
<td>9980096537</td>
<td>12</td>
<td>P</td>
<td>1998-01-05</td>
<td>ROFI'ATI</td>
<td>SUTRISNO</td>
<td></td>
</tr><tr>
<td>49</td>
<td>20517735</td>
<td>M. QOIDUL QHURRIL MUCHAJJALIN</td>
<td>9995635621</td>
<td>11</td>
<td>L</td>
<td>1999-08-22</td>
<td>CHAFSOH</td>
<td>M. AMINUDIN ZUHRI</td>
<td></td>
</tr><tr>
<td>50</td>
<td>20517735</td>
<td>LINDA YANA RAHMAN</td>
<td>9970096422</td>
<td>12</td>
<td>P</td>
<td>1997-09-20</td>
<td>SUMIATI</td>
<td>KHOIRUL ROHMAN</td>
<td></td>
</tr><tr>
<td>51</td>
<td>20517735</td>
<td>FARANDY ALVIAN DEWANDA</td>
<td>9993268533</td>
<td>11</td>
<td>L</td>
<td>1999-04-07</td>
<td>SRI AGUSTIN</td>
<td>DJOKO HARTOYO</td>
<td></td>
</tr><tr>
<td>52</td>
<td>20517735</td>
<td>DEVIA PUTRI WULANDARI</td>
<td>9978111839</td>
<td>12</td>
<td>P</td>
<td>1997-07-11</td>
<td>TITIK SUPRIATI</td>
<td>BUDIONO</td>
<td></td>
</tr><tr>
<td>53</td>
<td>20517735</td>
<td>BIMO ARYO SUTEJO</td>
<td>9988512897</td>
<td>11</td>
<td>L</td>
<td>1998-11-02</td>
<td>ANIES JUBAIDAH</td>
<td>MAHMUD SUTEJO</td>
<td></td>
</tr><tr>
<td>54</td>
<td>20517735</td>
<td>HENDRA AGUNG WICAKSONO</td>
<td>9987892483</td>
<td>12</td>
<td>L</td>
<td>1998-04-28</td>
<td>YUNI WIDAYATI</td>
<td>IMAM DAROINI</td>
<td></td>
</tr><tr>
<td>55</td>
<td>20517735</td>
<td>LIA LISTANTI</td>
<td>9987080365</td>
<td>12</td>
<td>P</td>
<td>1998-04-11</td>
<td>SIAH</td>
<td>SADI</td>
<td></td>
</tr><tr>
<td>56</td>
<td>20517735</td>
<td>ANGGI ANISA PUTRI</td>
<td>9987957875</td>
<td>11</td>
<td>P</td>
<td>1998-06-18</td>
<td>SUKATI</td>
<td>SLAMET SUGIANTO</td>
<td></td>
</tr><tr>
<td>57</td>
<td>20517735</td>
<td>NURUL IKFATIN</td>
<td>9991128561</td>
<td>12</td>
<td>P</td>
<td>1999-03-12</td>
<td>SITI SULAIMAH</td>
<td>LASYADI</td>
<td></td>
</tr><tr>
<td>58</td>
<td>20517735</td>
<td>FADILLAH ARTHA KUMALA RHAPSODY</td>
<td>9978670335</td>
<td>12</td>
<td>P</td>
<td>1997-10-23</td>
<td>AGUS TRI WULANINGSIH</td>
<td>SUDJITO</td>
<td></td>
</tr><tr>
<td>59</td>
<td>20517735</td>
<td>AGUSTIN ROSANALIA</td>
<td>9987933824</td>
<td>11</td>
<td>P</td>
<td>1998-08-07</td>
<td>WINARSIH</td>
<td>SUMARDI</td>
<td></td>
</tr><tr>
<td>60</td>
<td>20517735</td>
<td>WIJI NUR ATIKA FIRNANDA</td>
<td>9978076748</td>
<td>12</td>
<td>P</td>
<td>1997-09-21</td>
<td>LILIK UNTARI</td>
<td>SUPRAYITNO</td>
<td></td>
</tr><tr>
<td>61</td>
<td>20517735</td>
<td>DWI ANGGERA PUTRA</td>
<td>9978393041</td>
<td>12</td>
<td>L</td>
<td>1997-11-01</td>
<td>SAMIANI</td>
<td>SUMADI</td>
<td></td>
</tr><tr>
<td>62</td>
<td>20517735</td>
<td>ISTIQOMAH SOFWI ANNISA</td>
<td>9990091377</td>
<td>11</td>
<td>P</td>
<td>1999-03-27</td>
<td>WIWIK CHOLIFAH</td>
<td>M. TEGUH WIYONO</td>
<td></td>
</tr><tr>
<td>63</td>
<td>20517735</td>
<td>KEVIN DWI ARYANTO</td>
<td>9980625800</td>
<td>11</td>
<td>L</td>
<td>1998-11-16</td>
<td>SUHARTATIK</td>
<td>KUATNO</td>
<td>SUTIANI</td>
</tr><tr>
<td>64</td>
<td>20517735</td>
<td>TITIK SUMANING TYAS</td>
<td>9983187679</td>
<td>12</td>
<td>P</td>
<td>1998-08-13</td>
<td>MARDIYAH</td>
<td>ABDUL MUKTI</td>
<td></td>
</tr><tr>
<td>65</td>
<td>20517735</td>
<td>ARTANING LIDIAWATI</td>
<td>9987953064</td>
<td>11</td>
<td>P</td>
<td>1998-08-15</td>
<td>MINARNING TYAS WINENGKU</td>
<td>JOKO INTIARTO</td>
<td></td>
</tr><tr>
<td>66</td>
<td>20517735</td>
<td>WIDYA LIS MARGARET PUTANTI</td>
<td>9988235308</td>
<td>11</td>
<td>P</td>
<td>1998-09-11</td>
<td>SRI UTAMI</td>
<td>SUGENG SANTOSO</td>
<td></td>
</tr><tr>
<td>67</td>
<td>20517735</td>
<td>BELA SAFITRI</td>
<td>9987933711</td>
<td>12</td>
<td>P</td>
<td>1998-01-30</td>
<td>KASMIATIN</td>
<td>SUPRIYONO</td>
<td></td>
</tr><tr>
<td>68</td>
<td>20517735</td>
<td>FARAH NUR AFIFAH</td>
<td>9998333083</td>
<td>11</td>
<td>P</td>
<td>1999-06-12</td>
<td>WIWIK ASNAH</td>
<td>PUTRA AGUNG WICAKSONO</td>
<td></td>
</tr><tr>
<td>69</td>
<td>20517735</td>
<td>ALDA ENIK SUTRISNI</td>
<td>9977827707</td>
<td>12</td>
<td>P</td>
<td>1997-10-10</td>
<td>MARIATIN</td>
<td>SUTRISNO</td>
<td></td>
</tr><tr>
<td>70</td>
<td>20517735</td>
<td>SYNTIA NUR AZIZAH</td>
<td>9995220499</td>
<td>11</td>
<td>P</td>
<td>1999-06-17</td>
<td>SITI AMINAH</td>
<td>RAMELAN</td>
<td></td>
</tr><tr>
<td>71</td>
<td>20517735</td>
<td>SITI MARIYAH ULFAH</td>
<td>9974516743</td>
<td>12</td>
<td>P</td>
<td>1997-09-04</td>
<td>SUMIARSIH</td>
<td>WAHID</td>
<td></td>
</tr><tr>
<td>72</td>
<td>20517735</td>
<td>TAZKYA RAHMA TSANI</td>
<td>9998359843</td>
<td>11</td>
<td>P</td>
<td>1999-08-21</td>
<td>NGATEMI</td>
<td></td>
<td></td>
</tr><tr>
<td>73</td>
<td>20517735</td>
<td>INDRI ALDINA</td>
<td>9968297377</td>
<td>12</td>
<td>P</td>
<td>1996-12-12</td>
<td>SRIATI</td>
<td>SUTRISNO</td>
<td></td>
</tr><tr>
<td>74</td>
<td>20517735</td>
<td>INA NURHIDAYATUN NAHARIN</td>
<td>9970789285</td>
<td>12</td>
<td>P</td>
<td>1997-05-26</td>
<td>SUAIBAH S</td>
<td>IMAM NURKAYAT</td>
<td>-</td>
</tr><tr>
<td>75</td>
<td>20517735</td>
<td>DELLA FITRI RAHAYU</td>
<td>9998938151</td>
<td>11</td>
<td>P</td>
<td>1999-01-22</td>
<td>NARMIASIH</td>
<td>MOCH BUAMAN BUANG</td>
<td></td>
</tr><tr>
<td>76</td>
<td>20517735</td>
<td>RISMA ANGGRAENI DEWI</td>
<td>9975537026</td>
<td>12</td>
<td>P</td>
<td>1997-10-06</td>
<td>SUSINI</td>
<td>SUWINTO</td>
<td></td>
</tr><tr>
<td>77</td>
<td>20517735</td>
<td>MUHAMMAD VICKY DENBY SYAIFUDIN</td>
<td>9996685927</td>
<td>11</td>
<td>L</td>
<td>1999-08-12</td>
<td>DEWI ARTANTI</td>
<td>ASEP SAEPUDIN</td>
<td></td>
</tr><tr>
<td>78</td>
<td>20517735</td>
<td>ADINDA VERONIKA</td>
<td>9993265976</td>
<td>11</td>
<td>P</td>
<td>1999-02-14</td>
<td>SUPRIHATIN</td>
<td>DAREL SAMBUDI</td>
<td>SUGIYONO</td>
</tr><tr>
<td>79</td>
<td>20517735</td>
<td>WAHYU KRISTI RAMADHAN</td>
<td>9987972688</td>
<td>12</td>
<td>L</td>
<td>1998-04-15</td>
<td>SUPARTI</td>
<td>KRISWANTO</td>
<td></td>
</tr><tr>
<td>80</td>
<td>20517735</td>
<td>FERNANDA NIKITA SETYAWAN</td>
<td>9993267077</td>
<td>11</td>
<td>P</td>
<td>1999-10-21</td>
<td>SRI SETYOWATI</td>
<td>RIDUWAN</td>
<td></td>
</tr><tr>
<td>81</td>
<td>20517735</td>
<td>KHARISMA SHETYANINGSIH SUGIARTA</td>
<td>9982449934</td>
<td>12</td>
<td>P</td>
<td>1998-03-15</td>
<td>KARTIKA DEWI</td>
<td>ANG SUGIARTA ANGKA SUBRATA</td>
<td></td>
</tr><tr>
<td>82</td>
<td>20517735</td>
<td>ASCHAR ALFI SAHRI</td>
<td>9983040414</td>
<td>11</td>
<td>L</td>
<td>1998-01-24</td>
<td>NGATEMI</td>
<td></td>
<td></td>
</tr><tr>
<td>83</td>
<td>20517735</td>
<td>RISKI ROHMAWATI</td>
<td>9988235714</td>
<td>11</td>
<td>P</td>
<td>1998-09-03</td>
<td>WALIK MUJI REZEKI</td>
<td>AS'ARI</td>
<td></td>
</tr><tr>
<td>84</td>
<td>20517735</td>
<td>KRISMONITA AMBARWATI</td>
<td>9996543324</td>
<td>11</td>
<td>P</td>
<td>1999-02-11</td>
<td>MARIYAM</td>
<td>MUSTAKIM</td>
<td></td>
</tr><tr>
<td>85</td>
<td>20517735</td>
<td>YUSFAN ADI IRWANSYAH</td>
<td>9987957856</td>
<td>12</td>
<td>L</td>
<td>1998-02-10</td>
<td>NANIK MINAYU</td>
<td>ALM MUDJIADI</td>
<td></td>
</tr><tr>
<td>86</td>
<td>20517735</td>
<td>INDAH ILMI MUFIDA</td>
<td>9984104202</td>
<td>11</td>
<td>P</td>
<td>1998-11-07</td>
<td>MAS UDAH</td>
<td>SALIN</td>
<td></td>
</tr><tr>
<td>87</td>
<td>20517735</td>
<td>DEDY KURNIAWAN</td>
<td>9991128570</td>
<td>11</td>
<td>L</td>
<td>1999-06-30</td>
<td>TATIK SUGISTINAH</td>
<td>SUTRISNO</td>
<td></td>
</tr><tr>
<td>88</td>
<td>20517735</td>
<td>DEVI ERLINA MANDASARI</td>
<td>9987933716</td>
<td>12</td>
<td>P</td>
<td>1998-07-01</td>
<td>MARLI'AH</td>
<td>HERISUROSO</td>
<td></td>
</tr><tr>
<td>89</td>
<td>20517735</td>
<td>NADILLA FAZROTUL AFIFAH</td>
<td>9978315834</td>
<td>12</td>
<td>P</td>
<td>1997-12-13</td>
<td>ISTIARI</td>
<td>KUSEN BAMBANG SUTEJO</td>
<td></td>
</tr><tr>
<td>90</td>
<td>20517735</td>
<td>SARI RIMAYANTI</td>
<td>9996607586</td>
<td>11</td>
<td>P</td>
<td>1999-09-25</td>
<td>ISTI CHOIRIYAH</td>
<td>SUGENG RIYADI</td>
<td></td>
</tr><tr>
<td>91</td>
<td>20517735</td>
<td>LAYLYA NOOR ARIEN HALEEZA ZUR'AIN</td>
<td>9987935375</td>
<td>12</td>
<td>P</td>
<td>1998-06-16</td>
<td>LINDA SARIWATI</td>
<td>KUKUH HASTOMD YUWONO</td>
<td></td>
</tr><tr>
<td>92</td>
<td>20517735</td>
<td>ANA NURDITA</td>
<td>9998310690</td>
<td>11</td>
<td>P</td>
<td>1999-03-11</td>
<td>TATIK ISMIATI NING TYAS</td>
<td>SODIKIN</td>
<td></td>
</tr><tr>
<td>93</td>
<td>20517735</td>
<td>DITA AINUN NADWA</td>
<td>9978679245</td>
<td>12</td>
<td>P</td>
<td>1997-09-28</td>
<td>YEYEN SUGIARTI</td>
<td>UJANG RUSYANA</td>
<td></td>
</tr><tr>
<td>94</td>
<td>20517735</td>
<td>DYAH PITALOKA ALFAYANTI</td>
<td>9998335393</td>
<td>11</td>
<td>P</td>
<td>1999-05-19</td>
<td>RIYA AGUSTINA</td>
<td>MUJI HARI CAHYONO</td>
<td></td>
</tr><tr>
<td>95</td>
<td>20517735</td>
<td>SAYYIDAH UMIKULSUM</td>
<td>9978215483</td>
<td>12</td>
<td>P</td>
<td>1997-12-20</td>
<td>MISTIARI</td>
<td>SUPRAPTO</td>
<td></td>
</tr><tr>
<td>96</td>
<td>20517735</td>
<td>MUHAMAD BINTANG PUTRA NICOLAS LENGKONG</td>
<td>9987935551</td>
<td>11</td>
<td>L</td>
<td>1998-11-14</td>
<td>ANITA KHURNIASIH</td>
<td>ANDRIES GUSTAF LENGKONG</td>
<td></td>
</tr><tr>
<td>97</td>
<td>20517735</td>
<td>ERIN TIANA PUTRI</td>
<td>9982920988</td>
<td>12</td>
<td>P</td>
<td>1998-02-18</td>
<td>MUSLIMAH</td>
<td>JUWITO</td>
<td></td>
</tr><tr>
<td>98</td>
<td>20517735</td>
<td>RANI ZALSA HASNANI</td>
<td>9980602077</td>
<td>12</td>
<td>P</td>
<td>1998-03-17</td>
<td>ALWIYAH UTARI</td>
<td>MARHEN SWASONO ADI</td>
<td></td>
</tr><tr>
<td>99</td>
<td>20517735</td>
<td>NAILA VANIA APRIANDRASARI</td>
<td>9994533600</td>
<td>11</td>
<td>P</td>
<td>1999-04-20</td>
<td>YAYUK ARIYANTI</td>
<td>HENDRA SEMEDY Z</td>
<td></td>
</tr><tr>
<td>100</td>
<td>20517735</td>
<td>REKY FITRIANI</td>
<td>9984104421</td>
<td>11</td>
<td>P</td>
<td>1998-01-30</td>
<td>YUSMINI</td>
<td>PITONO</td>
<td></td>
</tr><tr>
<td>101</td>
<td>20517735</td>
<td>DITA ARINTYA</td>
<td>9991128546</td>
<td>11</td>
<td>P</td>
<td>1999-05-20</td>
<td>DARSUTIK</td>
<td>SUPARMAN</td>
<td>SUPARMAN</td>
</tr><tr>
<td>102</td>
<td>20517735</td>
<td>MAYA EMILIA PRATAMA</td>
<td>9982460092</td>
<td>12</td>
<td>P</td>
<td>1998-07-07</td>
<td>SUCI SAUFA</td>
<td>GATOT SUSANTO</td>
<td></td>
</tr><tr>
<td>103</td>
<td>20517735</td>
<td>ADITYA IKHSANNUL FAJRI</td>
<td>9990500609</td>
<td>11</td>
<td>L</td>
<td>1999-09-29</td>
<td>SUMIARNI</td>
<td>ALI ARIFIN</td>
<td></td>
</tr>
</table>
<table>
<tr>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td>Mengetahui,</td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td>Kepala Dinas Pendidikan</td>
<td> </td>
<td> </td>
<td>Kepala Sekolah</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td>Kab. Malang</td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td>..............................</td>
<td> </td>
<td> </td>
<td>SAHADI</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td> </td>
<td>..............................</td>
<td> </td>
<td> </td>
<td>'195802121984011002</td>
</tr>
</table>

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