| Nomor Induk | 4991 |  |
| Kelas | 13 | |
| Tempat/Tanggal Lahir | Medan, 1999-12-16 | |
| Jenis Kelamin | Perempuan | |
| Asal SMP | SMPN 1 SIDIKALANG | |
| Alamat | Kompl. KLK Blk D No.5 Panji Porsea Sitinjo Kab. Dairi |
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