| Nama | MUHAMMAD FAUZAN DZAKI DARUSSALAM |  |
| NIS | 121135780004230049 | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | Surabaya,6.16.2011 | |
| Agama | ISLAM | |
| Kelas | 9B | |
| STTB | ||
| NEM | ||
| Orang tua | Heru Purwanto | |
| Alamat Rumah | Jl. Tenggilis Mulya Gang 1B No. 10D Telp.082231023093 |
| Nama | MUHAMMAD FAUZAN DZAKI DARUSSALAM | |
| NIS | 121135780004230049 | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | Surabaya,6.16.2011 | |
| Agama | ISLAM | |
| Kelas | 9B | |
| STTB | ||
| NEM | ||
| Orang tua | Heru Purwanto | |
| Alamat Rumah | Jl. Tenggilis Mulya Gang 1B No. 10D Telp.082231023093 |