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Halaman 1
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. _ SYLVIA FITRI MAULINA _ 3118597773


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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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JL. IR. SUTAMI LINK. KEPUDENOK TOWER RT 017 RW 003

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Kecamatan Citangkil, Kota Cilegon - Banten

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1. Nama Peserta Didik : THALITA LATIFAH

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2. NIS : 111236720014220215

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3. NISN : 3128504745

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4. Tempat Tanggal Lahir : CILEGON, 08 Juni 2012

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5. Jenis Kelamin : Perempuan

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6. Agama : Islam
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7. Status dalam Keluarga : Anak Kandung
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8. Anak ke :1

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9. Alamat Peserta Didik : PERUM WARNASARI II BLOK DS 19

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NO.03 DRINGO, CITANGKIL, KOTA

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10. Nomor Telepon Rumah/HP :
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11. Sekolah Asal :
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12. Diterima di sekolah ini :

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b. Pada tanggal : 17 Juli 2018
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13. Nama Orang Tua :

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a. Ayah : IKHSAN at
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b. Ibu : WINDA IRIYANI


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14. Alamat Orang Tua : PERUM WARNASARI II BLOK DS 19
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NO.03 DRINGO, CITANGKIL, KOTA


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CILEGON, BANTEN, 42444


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15. Pekerjaan Orang Tua :


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a. Ayah : Pegawai Swasta

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b. Ibu : Tidak Bekerja


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Pekerjaan Wali :-
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Alamat Wali Siswa : at


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Cilegon, 17 Juli 2018


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Kepala Madrasah
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Ali Imron, S.Pd.I


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Halaman 1
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. _ THALITA LATIFAH _ 3128504745


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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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JL. IR. SUTAMI LINK. KEPUDENOK TOWER RT 017 RW 003

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Kecamatan Citangkil, Kota Cilegon - Banten

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1. Nama Peserta Didik : VITA ISMATUL HAWA

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2. NIS : 111236720014220220

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3. NISN : 3123598226

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4. Tempat Tanggal Lahir : CILEGON, 06 Juli 2012

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5. Jenis Kelamin : Perempuan

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6. Agama : Islam
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7. Status dalam Keluarga : Anak Kandung
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8. Anak ke :1

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9. Alamat Peserta Didik : LINK. LUWUNG SAWO, KEBONSARI,

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CITANGKIL, KOTA CILEGON, BANTEN,

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42441 at
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10. Nomor Telepon Rumah/HP :
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11. Sekolah Asal :
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12. Diterima di sekolah ini :

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13. Nama Orang Tua :

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a. Ayah : HENDRA GUNAWAN at


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b. Ibu : NUR HADIJAH


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14. Alamat Orang Tua : LINK. LUWUNG SAWO, KEBONSARI,
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CITANGKIL, KOTA CILEGON, BANTEN,


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15. Pekerjaan Orang Tua :


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a. Ayah : Buruh

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b. Ibu : Tidak Bekerja


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Pekerjaan Wali :-
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Alamat Wali Siswa : at


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Halaman 1
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. _ VITA ISMATUL HAWA _ 3123598226


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KEMENTERIAN AGAMA REPUBLIK INDONESIA

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JL. IR. SUTAMI LINK. KEPUDENOK TOWER RT 017 RW 003

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Kecamatan Citangkil, Kota Cilegon - Banten

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1. Nama Peserta Didik : ZIDNI ROIHAN

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2. NIS : 111236720014220224

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3. NISN : 0113056872

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4. Tempat Tanggal Lahir : CILEGON, 12 Juli 2011

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5. Jenis Kelamin : Laki-laki

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6. Agama : Islam
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7. Status dalam Keluarga : Anak Kandung
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8. Anak ke :3

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9. Alamat Peserta Didik : link.delingseng CITANGKIL, CITANGKIL,

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KOTA CILEGON, BANTEN, 42442

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10. Nomor Telepon Rumah/HP :
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11. Sekolah Asal :

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12. Diterima di sekolah ini :


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a. Di kelas :I
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13. Nama Orang Tua :

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a. Ayah : wahyul kabir

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b. Ibu : FITRIAH at
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14. Alamat Orang Tua : link.delingseng CITANGKIL, CITANGKIL,


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KOTA CILEGON, BANTEN, 42442
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15. Pekerjaan Orang Tua :
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a. Ayah : Pegawai Swasta

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b. Ibu : Tidak Bekerja


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16. Nama Wali Siswa :


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Pekerjaan Wali :-
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Alamat Wali Siswa :


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*
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Cilegon, 17 Juli 2018


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Kepala Madrasah
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3x4
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Ali Imron, S.Pd.I


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Halaman 1
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. _ ZIDNI ROIHAN _ 0113056872


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