| Nama | Chrisdian Putra Simbolon |  |
| NIS | 0101459343 | |
| Kelamin | Laki-laki | |
| Tmp/Tgl Lahir | Lumban Simbolon,06/21/2010 | |
| Agama | Kristen | |
| Kelas | IX-2 | |
| STTB | ||
| NEM | ||
| Orang tua | Nurmawati Norma Siburian, S.Pd. | |
| Alamat Rumah | Lumban Simbolon, Dolok Tolong, Kec.Sumbul Telp.082284469254 |