Here is the text formatted neatly: --- 1. **Full Name of Student:** AZZAHRA FAYZA KAMILA 2. **Student Number / NISN:** 7692/0077708898 3. **Place and Date of Birth:** SURABAYA, 22-12-2007 4. **Gender:** FEMALE 5. **Religion:** ISLAM 6. **Status in the Family:** BIOLOGICAL 7. **Child Number:** 2 8. **Student's Address:** JL. BUMI MARINA EMAS BARAT 5/30 RT 001, RW 006 9. **Home Phone Number:** 081234050250 10. **Previous School:** [Not Provided] 11. **Admitted to This School:** [Not Provided] **Grade:** 7D **Date:** 13-07-2020 12. **Parent's Name:** Father: ARIK TRIONO, S.SOS Mother: NOORINGTYAS **Parent's Address:** [Not Provided] **Home Phone Number:** [Not Provided] 13. **Parent's Occupation:** Father: PRIVATE EMPLOYEE Mother: HOUSEWIFE 14. **Guardian's Name of Student:** [Not Provided] 15. **Guardian's Address of Student:** [Not Provided] **Home Phone Number:** [Not Provided] 16. **Guardian's Occupation of Student:** [Not Provided] --- the person who bullied me in middle school