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BIODATA PESERTA LOMBA MAPSI TAHUN 2023 SEKOLAH DASAR

TINGKAT KECAMATAN PEKUNCEN

CABANG LOMBA : .......................................................................................................

NAMA SD : .......................................................................................................

NAMA PESERTA : ......................................................................................................

TEMPAT, TGL LHR : .....................................................................................................

NISN/NIS : .....................................................................................................

KELAS : .....................................................................................................

JENIS KELAMIN : .....................................................................................................

.............................................., 2023

Kepala Sekolah

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NIP. ..........................................................

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