| Nama | : | HUSAINI . |
| Tempat, Tanggal Lahir | : | [30], 5 April 1974 |
| Nomor Sertifikat | : | 97249/SOU/III/2022 |
| Nomor STTPL | : | 3124 |
| Tahun Kelulusan | : | 2022 |
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