| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 211 | - | MEILIN KAMELLIA SUAK | 31 Jul 2008, Thursday | PURI LOKA 2 BLK B/18 | 0813 7219 3111 | 0 |
| 212 | - | SUSI YENI | 03 Aug 2008, Sunday | BENGKONG MAHKOTA BLK G/62 | 0856 6826 5506 | 0 |
| 213 | - | SU MIE DJIE | 06 Aug 2008, Wednesday | TJ BATU HARAPAN SEDAU KALBAR | 0778 7311 307 | 0 |
| 214 | - | BUDDY CHANDRA | 10 Aug 2008, Sunday | LEGENDA MALAKA BLK G4/7A | 0857 6231 7269 | 0 |
| 215 | - | MARIANAI MAGI DIALA | 27 Aug 2008, Wednesday | SUNGAI PANCUR | - | 0 |
| 216 | - | ENDY TANTO | 28 Aug 2008, Thursday | JL MERPATI PASAR LIMA BLK IV/16 | 0856 6873 5500 | 0 |
| 217 | - | ADI | 07 Sep 2008, Sunday | ORCHID PARK C/142 | 0778 7297 938 | 0 |
| 218 | - | JULIANA PENI | 07 Sep 2008, Sunday | BENGKONG PERMAI BLK B/53 | 0812 7054 009 | 0 |
| 219 | - | TONY | 10 Sep 2008, Wednesday | BENGKALIS | 0812 7096 4666 | 0 |
| 220 | - | EKA DASMALA MALAU | 26 Sep 2008, Friday | MARCELIA BLK A/206 | - | 0 |
| 221 | - | FRANS HASAK PMPUSUNGGU | 10 Oct 2008, Friday | NAGOYA BISNIS CENTER | 0812 7707 6642 | 0 |
| 222 | - | THEODORA ELVANDA LEVI | 14 Oct 2008, Tuesday | TAMAN KOTA BALOI F4/2A | 0857 6603 2116 | 0 |
| 223 | - | NURMALAVIANTI | 20 Oct 2008, Monday | MEDITERANIA NLK LL4/2 | 0813 6473 3280 | 0 |
| 224 | - | MUTIARA HAN WEN | 21 Oct 2008, Tuesday | TAMAN RAYA BLK D6/2 | 0778 9118 679 | 0 |
| 225 | - | MULYADI TELAUMBAUNA | 23 Oct 2008, Thursday | BUKIT KAMBOJA | 0812 7701 0858 | 0 |