| Nama | : | SUYITNO . |
| Tempat, Tanggal Lahir | : | [30], 24 Agustus 1973 |
| Nomor Sertifikat | : | 87843/SOU/T/III/2021 |
| Nomor STTPL | : | 1658 |
| Tahun Kelulusan | : | 2016 |
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