ABCDEFGHIJKLMNOPQRSTUVWXYZAAACADAEAFALAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBMBNBOBPBQBRBS
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NAMA SATUAN PENDIDIKAN
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KELAS
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KAB/KOTA
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PROVINSI:
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TAHUN AJARAN:
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NoNamaJenis KelaminJenjangKelasNISNNIKTempat Lahir Tgl LahirUsia (Ulang tahun terakhir)AlamatNo. HPDisabilitasHasil Pemeriksaan FisikKesimpulanIMUNISASIIMUNISASI MRIMUNISASI DT
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Resiko Gula Darah AnakResiko MalariaGejala Cemas RemajaKesehatan Reproduksi PutriKelayakan Tes KebugaranPerilaku Merokok Resiko HepatitisResiko TBPenyakit Kusta Anak SekolahPenyakit SkabiesGiziTekanan DarahTelingaMataGigiKebugaran (Kelas 4-6)
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BB (kg)TB (cm)Indeks Massa Tubuh (kg/m2)IMT/U (SD)mmHgTajam PendengaranSerumenInfeksi (cairan)Mata LuarTajam PenglihatanPenggunaan KacamataWaktuKlasifikasi
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PLYaTidakYa (1/2/3/4/5)Ya (1/2/3/4)Ya (1/2/3)Ya (1/2/3)Ya (1/2/3/4)Ya (1/2)Ya (1/2/3/4)Ya (1/2/3/4)YaTidakYaTidakDapat mengulang kata lebih dari 80% (minimal 4 dari 5)Tidak dapat mengulang kata lebih dari 80% (kurang dari 4 dari 5)YaTidakYaTidakMata sehatMata tidak sehat/julingNormal: Visus 6/6 - 6/12Gangguan Penglihatan (visus <6/12)YaTidakNormalKaries 1/2/3/4/5Baik sekali/ BaikCukupKurang/Kurang sekaliRujukTidak RujukImunisasi Yang di TerimaTanggal ImunisasiNo. BatchImunisasi Yang di TerimaTanggal ImunisasiNo. BatchImunisasi Yang di TerimaTanggal ImunisasiNo. Batch
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1ABDUL FAHREZA IDRISSDI31837621163276093108180001DEPOK8/31/20188JALAN H JAERAN85883792018v0000200vv2012113.66101/59vvvvvv2
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2Adam AlbykharSDI31936190583305180302190003Kebumen2/3/20197Jl.Masjid 185920572245v00000000vv19.611514.82105/70vvvvvv2
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3Adzkiya HumairaSDI31812970913276096502180001Depok2/25/20188Jl.H.Rosyid89505607673V00000000VV23.712914.24106/64VVVVVV3
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4AGHNIYATUL LAELISDI31808995833327145210180001pemalang10/12/20188mawar85819331648v00000000002012512.8074/69vvvvvvv
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5AGYA LAILATUL AYUDIA INARASDI3276097105190001DEPOK5/31/20197JALAN H JIDI82113413134V1,2,3,50000000VV1812411.71110/84VVVVVV2
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6AISYAH SEPTIANASDI31886359683173054409180001Jakarta9/4/20188JALAN PERSATUAN GG BANGKU82122348331v00000000vv4213921.74110/87vvvvvvv
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7AJENG KHANZA AZALIASDI31871268453276096007180003JAKARTA7/20/20188JL. PERSAHABATAN NO.2782112568702#DIV/0!
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8Alaric Azzahidi AriefSDI31854803953276090910180001Jakarta10/9/20188Jl. PLN Gg. H.Niang No.32-A85780163782v00000000vv23.612016.39108/79vvvvvv1
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9ALDI FIRMANSYAHSDI31844675543276091012180002Depok12/10/20188JALAN PLN GANDUL88299718759V00000000VV2012213.4489/67VVVVVV5
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10Alesha Naila PutriSDI31991429793276094103190001Depok3/1/20197Jl. PLN Gg. Tower89698268459v00000000vv2112114.34107/77vvvvvv3
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11Alesha Nawaliya KamilaSDI31924051723276095409180004Jakarta9/14/20188Jl. Masjid 187769158276v00000000vv20.512513.12104/88vvvvvv2
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12Almira Virlana PutriSDI31856929943304045110180001Banjarnegara10/11/20188Jl. Bulak Gantung RT.13 RW.03 82298830826V00010000VV2012113.66102/88VVVVVV2
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13ALULA AZKADINA MAHESWARISDI31852086543276095612180002JAKARTA12/16/20188JALAN PERSAHABATAN85694443435v00020001,2vv20.412213.71104/82vvvvvvv
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14ALZAEDAN SYAZANISDI31828260543276091312180001JAKARTA12/13/20188JALAN MADURA GG MUSHOLLAV00000000VV1811014.88108/67VVVVVV5
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15ANDRA RAMADHANSDI31881871783276090906180001Jakarta6/9/20188JALAN MASJID NURUL AMIN#DIV/0!
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16Angelica ElizabethSDI31798487813276095912170002Jakarta12/19/20179Jalan rotan no.94 limo82110920491v00000200vv3513519.20108/70vvvvvv2
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17ANINDITA KEISHA ZAHRASDI31992353023276095101190002JAKARTA1/11/20197JALAN MASJID 1#DIV/0!
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18Annasya Mahira SyafitriSDI31846090613276095506180001Depok6/15/20188Jl. Sengon Gg. H. Naim81289874482v0000020vv1612510.2492/67vvvvvv5
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19Aqueena Hanin DhiyaSDI31873713623304034711180001
JAKARTA SELATAN
11/7/20188Jalan Puncak Pesanggrahan IV No.5 RT.01 RW.1488808581189v0000020vv1711014.0566/54vvvvvvv
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20ARISHA MAFAZA ALAMSHAHSDI31805192853276097010180003JAKARTA10/30/20188JALAN ANGGREK#DIV/0!
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21ARKAN KHALIF ALFARIZISDI31822873323276097010180003Tangerang Selatan2/12/20188JALAN MASJID87824256527V00000000VV3513519.20110/73vvvvvv1
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22ARSYAD SA'IDAN ZIERASDI31814653263276090809180001JAKARTA9/8/20188JALAN PERSAHABATANV00000000VV1812311.9091/59VVVVVV3
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23Arsyila Adreena LestariSDI31818645743276096808180002Jakarta8/28/20188Jl. Persahabatan No 24 Rt 05 Rw 01 Cinere Depok89664398298v0000020vv2712218.1481/66vvvvvvv
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24Arsyila Umaira FutriSDI31939604293276094501190001Depok1/5/20197Jl. PLN GG. H. Saman No. 568131794918v00000000vv2212514.0891/74vvvvvvv
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25ARUMI KHAMIRA HAMZAHSDI31865674093276095609180001DEPOK9/16/20188JALAN SUMATRA UJUNG85795158505v40000202vv1812711.16102/74vvvvvvv
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26Azriel Safiq SaputraSDI31887766593304031010180003Banjarnegara10/10/20188Jl.H.jidi882007471056V0000000VV20.211016.6989/52VVVVVVV
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27AZRIL RAHANDIKA AL FARIDSDI31869856503276090211180001Depok11/2/20188JALAN H MUHAJIRv000000vv91/72vvvvvv2
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28Bening Aura RiyantiSDI31994097843309194401190001Depok1/4/20197Jl. Persatuan8978802765v00000000vv2312015.9796/82vvvvvvv
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29DAFFA KHOIRUL AZZAMSDI31831996983174061010180003Jakarta10/10/20188JALAN PERTANIAN85890283597v0000000vv1912312.56102/84vvvvvv2
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30Dirga Tri PamungkasSDI31811814543313100212180001Sragen12/2/20188Jl.Masjid 188985278432V00000000VV19.411115.7586/62VVVVVV3
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31Elvina Apriliana ZahranSDI31954569763302235604190002Depok4/16/20197Jl.masjid 18568522169v00000000vv1912512.16108/76vvvvvv3
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EZEKIEL KENZO HAKIM SIMORANGKIR
SDI31889805963171042512180004JAKARTA12/25/20188JALAN KRAMAT PULO81290460513v00000200vv1812212.09101/84vvvvvv4
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33Fathar Yusuf RaffasyaSDI31881490753171030705180005Jakarta5/7/20188Jl. PLN Raya Gang H. Joan895332993149v0000000vv19.712113.4677/62vvvvvv2
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34Fathia Firqotun Najiyah PrameswariSDI31856279693276095508180002Jakarta8/15/20188Jl. H Riman No.72 Limo-Depok81380306869V00000000VV1812212.09109/80VVVVVV5
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35Gregorius Reno Andoni NainggolanSDI31943198863276092801190002Jakarta1/28/20197Jl. Bukit Cinere 1 no. 26C CINERE81318678621v00000000vv2112413.66105/63vvvvvv1
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36Hammam AdrianSDI31877796173276092909180003Depok9/29/20188jl h kado85711120775v02,3000000vv2312315.2099/51vvvvvv4
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37HILYA ALESYA MOFIQSDI31941872123276015101190001Jakarta1/11/20197KP LIO8561349190v00000000vv4012525.60106/72vvvvvv2
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38HITOSHI RENJIRO SANGGA PUTRASDI31704956513276090307170002DEPOK7/3/20179
MENTAWAI NO 219A BLOK G KOMPLEK MEGA POLITAN
82123255998v00000000vv2513014.79105/86vvvvvvv
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39Ilyas Dwi RizkySDI31831182933276090308180004Jakarta8/3/20188
JL.PERSAHABATAN RT 005/001 NO.39 CINERE-DEPOK
8997811329V0000000VV3012020.83105/74VVVVVV3
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40KAHLA SAKYLA KALYLASDI3276096107180002JAKARTA7/21/20188JALAN CINERE RAYA856693999557V00000000VV2012013.8992/74VVVVVV2
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41Kenzie Yafiq HamizanSDI31858374033276090711180001Jakarta11/7/20188jln.hj Rosyid85691165836v00000000vv1911913.4292/60vvvvvv5
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42Keyra Adreena ShaqinaSDI31847220353276094211180001Jakarta11/2/20188JL RAYA PLN82111861743V0000000VV1912013.1994/67VVVVVV2
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43KHANZA JULIA FARADILASDI31833988513276095107180002JAKARTA7/11/20188JALAN ANGGREK ATAS83877467268v00000004vv1912013.19104/80vvvvvvv
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44Khiara Aisyah PutriSDI31899448823276095009180001Depok9/10/20188Jl. MadrasahV00000000VV2211018.18102/68VVVVVV2
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45KYRA AQILLAHSDI31816978443276094209180001Depok9/2/20188JALAN MASJID NURUL AMIN85892793836V00000000VV1911813.6599/70VVVVVV5
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46Lintang RamadhanySDI31808501673276064406180002JAKARTA6/4/20188KEMIRIMUKA RT 2 RW 1681311446196v0000000vv29.7129,5#VALUE!94/63vvvvvv2
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47M. Shakeer ArrayahSDI31828611753276090602180002Jakarta2/6/20188Jl.masjid 181336231829v00200200vv3813321.48107/78vvvvvv2
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48MARSYA AISY SOFEASDI31813029123174024308180002JAKARTA8/3/20188JALAN PERSAHABATAN81213130357v00000000vv2511020.66101/72vvvvvvv
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49Mikhayla Hanindya KhairSDI31992859633276096201190003Depok1/22/20197Jl.PLN895337566536V00000000VV2312514.7293/71VVVVVV2
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50Mohammad Haziq AlfarizkiSDI31865872813276090904180003Depok4/9/20188Jl. H. Rosyid Rt 004 Rw 001 No. 38A8568683720v2000000vv32.513717.3282/65vvvvvv3
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51Muhamad Arya SaputraSDI31893102683302200605180001Depok5/6/20188Jl. PLN Gandul Gg. Baru81310309771v00000000vv2011714.6196/68vvvvvv5
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52Muhammad abyan Farish HidayatSDI31840118923276092806180001Jakarta6/28/20188Jl H rosyid no 88988765574V00000000VV2512516.0090/64VVVVVVV
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53MUHAMMAD AKHMAL FHAZARSDI31864869913276090907180002DEPOK7/9/20188JALAN MADRASAHV00000000VV2512516.0094/57VVVVVV5
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54MUHAMMAD ALI AKBARSDI31839888523276091907180001Depok7/19/20188JALAN PLN GG JARAK89526659761v00000000vv2212514.08116/74vvvvvv4
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55MUHAMMAD DZIKRI HAMIZANSDI31833416743276092604180001Jakarta4/26/20188JALAN MASJID NURUL AMIN85714975242V0000000VV3812524.32106/72VVVVVV1
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56MUHAMMAD FARIZ AL GHIFARISDI31844160543276090407180002DEPOK7/4/20188JALAN PERSAHABATAN81513279353v0000000vv2111515.8896/61vvvvvv5
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57Muhammad Farrel Al-FurqonSDI31850060683276092702180001Jakarta2/27/20188
Jl. Masjid 1 No.7 RT.05 RW.01 Kel.Cinere Kec.Cinere kota depok
895412024056v0000000vv1810815.4388/72vvvvvvv
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58Muhammad Kenzie HaryantoSDI31835795643276092008180002Depok8/20/20188Jl.H.jidi81250102855v00000200vv35.512622.36108/86vvvvvv4
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59MUHAMMAD MAHTUM HANANSDI31833074273327142706180001Pemalang6/27/20188MERENG DUSUN85810022320v00000000vv3013217.22102/78vvvvvvv
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60MUHAMMAD ZACKY SETIAWANSDI31819480323276092609180003DEPOK9/26/20188JALAN H JAERAN8158386756V000000VV2813415.5990/60VVVVVVV
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61Mutiara Amoreiza SiahaanSDI31891365313276094807180001Depok7/8/20188Jl. H jaeran Cinere82123077828V00000000VV1813210.3384/76VVVVVVV
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62Nadhia Azmi FalishaSDI31878176521602207007180002Sumber Mulya7/30/20188Bumi Daya Atas85777282438V00000000VV22.4#DIV/0!66/54VVVVVVV
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63Nadia Saila MeccaSDI31890230903276094906180001Depok6/9/20188Jl.H.Rosyid Rt 02 Rw 01 Cinere , Depok85882713448v00000000vv1812411.7172/68vvvvvvv
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64NAFISHA PUTRI AZZAHRASDI31847386173312154804180003
TANGERANG SELATAN
4/8/20188DUREN LOR81326940198v00000200vv2112313.88102/67vvvvvv1
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65NAJIB MAULANASDI31858329473276092908180001JAKARTA8/29/20188JL. H. JAERAN83189331808v0000000vv16.711013.8082/56vvvvvv5
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66Nathan AlfarizkySDI31869887703327092102180001Pemalang2/21/20188Jalan Cinere Raya no 9a81933191995v00000000vv2312514.7292/68vvvvvv5
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67QIANA ALNETTA SYAQUILASDI31834064603276095910180001DEPOK10/19/20188JL. H. JAERAN NO.4885770008644v00000000vv3013017.7593/168vvvvvvv
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68Queenara AleshaSDI31854606373276044207180004Jakarta7/2/20188Jl, Pinang 2 Kp. Lebong No. 123 B85162611718v00000000vv22.512514.40102/84vvvvvvv
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69QYURA SAHNAZ JULIANASDI31889292473276095907180002DEPOK7/19/20188JL MASJID AL MUHAJAHIDIN NO 3881299714838v00000000vv2012413.0186/62vvvvvvv
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70Rafif Zico AlfareziSDI31861573463174051408180005Jakarta8/14/20188Jln.haji Rosyid no.12 A81382199445v00000000vv1711812.2188/72vvvvvvv
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71RAIHAN DWI SAPUTRASDI31840991053276092506180001DEPOK6/25/20188PLN GG H NIANv0000000vv23#DIV/0!93/66vvvvvv4
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72RAYAN ALFARIZZISDI3276090501190003DEPOK1/5/20197JALAN MASJIDv200000vv3213018.9386/62vvvvvvv
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73RAYHAN PUTRA INDARTOSDI31856251313276092103180002Jakarta3/21/20188JALAN PUNCAK PESANGGGRAHANv2,3,500000vv6814333.2566/67vvvvvvv
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74RAYYAN ALBI PUTRA ALGHIFARISDI31895149133276092609180001DEPOK9/26/20188JALAN MASJID85921662018v0233201,2,3vv2012812.2187/64vvvvvvv
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75Rifat HakimiSDI31891528983276093001180001Jakarta1/30/20188Jl. H. Rosid No. 185695593480V000000VV2012612.60103/64VVVVVVV
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76Rizky Ramadhan Al FahrySDI31863725243276090506180001Depok6/5/20188Jl.Mesjid85691345981v2012612.60110/67vvvvvvv
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77SAFA NUR ANIENDIASDI31947977563602064701190003LEBAK1/7/20197KP BULAKAN85716199909v30000204vv2013211.48178/84vvvvvvv
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78Sakina RamadanSDI31880792063674066205180007Tangerang Selatan5/22/20188Jl.Masjid Jami Nurul Amin89509799675v00000000vv17.311114.04105/82vvvvvv1
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79SALWA ZAINASDI31855827303276096301180001Depok1/23/20188JALAN H JIDI82130203417V2,331,2,330201,2,3,4VV18.511115.0298/66VVVVVV2
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80SAZKARA ZEVANOSDI31836043873276091811180001Depok11/18/20188JALAN PLN GANDUL83210242226v00000004vv2012512.80110/65vvvvvvv
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81WAHYU ANANDASDI31899630723521180204180002Jakarta4/2/20188JALAN MASJID NURUL AMIN85820769225V00000000VV218529.0793/67VVVVV1
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82Yafi alifudin setiawanSDI31876548303276090203180001Depok3/2/20188Jln.H.jaeran RT.03 RW.01 no.238990697433V00000000VV2312514.7297/67VVV
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83YUSUF MAULANA YAHYASDI31861156013276092606180002DEPOK6/26/20188JALAN PERSATUAN#DIV/0!VVV2
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M. ELVANO PUTRA ALFIANVSDI320244300119000130/01/2019GG MADRASAH NO 37 RT 006 RW 002 CINERE85718846066V0000000VV2012512.80104/60VVVVVV2
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