SMP NEGERI 4 CIMAHI
Jl. Melong Raya No.06 Kota Cimahi
Nama : ....aditsuryaputra.........................................
Alamat Rumah : ..melong asri regensi nio 42............................................
Kelas : ......9I.......................................
No. Absen Kelas : ..1...............................................
