Form 02sn Kab Ciamis Kecamatan Baregbeg

7/24/2019 Form 02sn Kab Ciamis Kecamatan Baregbeg

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KELENGKAPAN PERSYARATAN KONTINGEN KECAMATAN BAREGBEG

OLIMPIADE OLAHRAGA SISWA SD KABUPATEN CIAMIS TAHUN 2016

No Nama Pesera Tem!a T"# La$%r Asa# Se&o#a$ K#s L'P Ca(or )a(aa*Ra!or

As#% +

1 A%-%# +%r%a* C%am%s. 16/11/200 SDN 1 Sa"#%*" I L A#e%& A#e 3 3

2 Sae4# M$amma- Ro5%%* C%am%s. 10/02/200 SDN 2 Sa"#%*" L A#e%& A#e 3 3

7 Des% C%am%s. 08/01/200 SDN 1 )e#a P A#e%& A#e 3 3

L%#%s Sr9a*% C%am%s. 1:/0/200 SDN 1 )e#a P A#e%& A#e 3 3

8 / / / / L Se*am A#e 3 3

6 / / / / P Se*am A#e 3 3

: / / / / L Re*a*" A#e 3 3

; +as9a Nr +a5%9a$ C%am%s. 02/01/2008 SDN 2 Me&ar9 Tr%9a*a C%am%s. 27/12/200 SDN 7 S&am#9a P Bo#a>o#% M%*% A#e 3 3

22 +%-a No>%a C%am%s. 11/07/200 SDN 1 Sa"#%*" P Bo#a>o#% M%*% A#e 3 3

27 A#%4a Na-%#a Pr% )a&ara. 0=/12/200 SDN 1 Sa"#%*" P Bo#a>o#% M%*% A#e 3 3

2 N%ssa Nr La5ar-% C%am%s. 0/12/200 SDN 1 Me&aro#% M%*% A#e 3 3

28 / / / / L Pe*,a& S%#a A#e 3 3

26 / / / / P Pe*,a& S%#a A#e 3 3

2: Use! Tr%a*a C%am%s. 07/0=/200 SDN 2 Bare"(e" L Se!a&(o#a m%*% A#e 3 3

Daa C$e%s Pesera A#e @3


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2; Ase! )a*-a S(a*". 10/01/2008 SDN 7 Bare"(e" L Se!a&(o#a m%*% A#e 3 3

2= Wa$%- +am%# C%am%s. 12/0/200 SDN 7 Bare"(e" L Se!a&(o#a m%*% A#e 3 3

70 Ro*% Kr*%a?a* C%am%s. 2/06/200 SDN Psa&a*a"a L Se!a&(o#a m%*% A#e 3 3

71 +a% Am%**##o$ C%am%s. 1;/10/200 SDN Psa&a*a"a L Se!a&(o#a m%*% A#e 3 3

72 )


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KET : Dibuat Ra!"a# 2 $dua%

S&'t() da*a+ btu" -D da dibuat da*a+ '&+at E/-E


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SraB%o-aa

Ke Se& Se$a

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 33 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3


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3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

3 3 3

2016

EN

F


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DATAR KNTINEN KE-AMATAN 4

IMPIADE ARAA SISA SD KA4PATEN

N NAMA PESERTA NISNIP TEMPAT T AIR

1 2 3 4

1 A%-%# +%r%a* 121701076 C%am%s. 16/11/2002 Sae4# M$amma- Ro5%%* 111201018 C%am%s. 10/02/200

7 Des% 11120100; C%am%s. 08/01/200

L%#%s Sr9a*% 11120102 C%am%s. 1:/0/200

8 / / /

6 / / /

: / / /

; +as9a Nr +a5%9a$ 11120100; C%am%s. 02/01/2008

= A*-r% 111201006 C%am%s. 22/0=/200

10 A9 Nr$%-a9a$ 11120100: C%am%s. 02/02/2008

11 Res )a9a R$-%a 11120102 C%am%s. 2/0=/200

12 A-e N%a A*""rae*% 111201002 C%am%s. 2;/06/200

17 D%a* A-% T%ar#% 11120107 C%am%s. 1=/06/200

1 Per% Kr*%a?a* 111201018 C%am%s. 06/02/2008

18 Ra% Res Pra*aa 111201027 C%am%s. 20/0;/2008

16 Has(% Nr?a$%- As$ S$%--%e9 11120101: C%am%s. 21/0=/200

1: R%a* Pe*r%a*o 111201026 Tas%&ma#a9a. 2=/02/200

1; +%r-% Ram-$a*% 111201016 C%am%s. 0:/11/200

1= W#a* Ra$ma-%a$ 111201028 C%am%s. 18/10/200

20 Merr9 Tr% M%arasar% 11120101; Ma


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88 / / /

86Mm

8: Ya9a H%-a9a. SFP-F 1=620=1: 1=;10 1 007 C%am%s. 1:/0=/1=62

8; Se!%a* Se%a-%. SFP-F / C%am%s. 0/0=/1=;6

KET : Dibuat Ra!"a# 2 $dua%

S&'t() da*a+ btu" -D da dibuat da*a+ '&+at E/-E


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ARE4E

-IAMIS TAN 2016

NIT KERJAASA SEKA KS P -A4R JA4ATAN

5 6 7 8 9

SDN 1 Sa"#%*" I L A#e%& A#eSDN 2 Sa"#%*" L A#e%& A#e

SDN 1 )e#a P A#e%& A#e

SDN 1 )e#a P A#e%& A#e

/ / L Se*am A#e

/ / P Se*am A#e

/ / L Re*a*" A#e

SDN 2 Me&aro#% M%*% Pe#a%$

SDN 1 Sa"#%*" / L Bo#a>o#% M%*% Pe#a%$/ / / Pe*,a& S%#a Pe#a%$

SDN 1 Sa"#%*" / L Se!a&(o#a m%*% Pe#a%$


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/ / / Te*%s La!a*" Pe#a%$

SDN 1 S&ama


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Form 02sn Kab Ciamis Kecamatan Baregbeg

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