BIODATA PARTICIPANTS OF SCIENTIFIC WRITING BY 2017

LEVEL SENIOR ISLAMIC HIGH SCHOOL

Individual / Group

Registration Code (to be completed by the committee)

1. Student Biography:
Full Name : Hanum Mazidah Ilmi
NISN : 9995479061
Class : 1. X 2. XI 3. XII
Gender : 1. Male 2. Female
Place of birth : Sidoarjo
Date of Birth : 06th Oktober 1999
Mobile Phone Number : 089617363927
Home Phone Number : 081217231864
Name of Madrasah : Senior Islamic High School Superior Tulangan
Address : Highway Tlasih Tulangan Sidoarjo, Postal Code 61273
Province : East Java
Email : hanumazidah@gmail.com

2. Student's Biography (filled in group research):

Full Name : Riska Alfiyatus Kumairoh
NISN : 9995490802
Class : 1. X 2. XI 3. XII
Gender : 1. Male 2. Female
Place of birth : Sidoarjo
Date of Birth : 18th Agustus 1999
Mobile Phone Number : 085790494926
Home Phone Number : 085790494926
Name of Madrasah : Senior Islamic High School Superior Tulangan
Address : Highway Tlasih Tulangan Sidoarjo, Postal Code 61273
Province : Jawa Timur
Email : riska.kumairoh18@gmail.com
Field Competition that followed: 1. Science
2. Social
3. Religion

Research Competition that has been followed in the last 2 years:

Title :_
Organizer :_
The Place :_
Year :_
3. Teacher Advisor:
Full Name : Dra. Endang Mujiati, M.Si.
NIK : 196904071997032002
Gender : 1. Male 2. Female
Phone number : 085855193563
Teacher Subject : Biology
Institute : Education
Province : East Java
Name of Madrasah : Senior Islamic High School Superior Tulangan
Madrasah Number : Statistics number: 13123515006,
Principal number: 20584618
Madrasah Telephone Number : 085100478054 / 031-8856265

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