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  1. DATA PRIBADI

Nama     : Siti
Tempat, tanggal lahir : Jakarta , 18 Januari 191
Jenis kelamin : Perempuan
Status : belum menikah
Agama : Islam
Kewarganegaraan : Indonesia
Alamat : Jl. Kebon Jeruk X No.75
Jakarta Barat 17345
Telepon : 021 75590344

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