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  • Data Pribadi

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    Dean Rizky Pratama
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    ASASDSA

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    8 views1 page

    Data Pribadi

    Uploaded by

    Dean Rizky Pratama
    ASASDSA

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    DATA PRIBADI

    1. Nama Anak : VIENNA DWI NOV


    2. Tempat Tanggal Lahir : OKU Timur, 02 November 2006
    3. Nama Orang Tua :
    Ayah : Bambang Irawan
    Ibu : Elly Lindha
    4. Agama : Islam
    5. Alamat : Bedilan RT 006 RW 003 Kec. Belitang
    Kab. OKU Timur

    Gumawang, 19 Oktober 2017

    Yang Memberi Pernyataan

    BAMBANG IRAWAN

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