| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 256 | - | JONSON S PANDIA | 19 Mar 2009, Thursday | TIBAN LAMA SEKUPANG | 0812 7712 51780 | 0 |
| 257 | - | ALFONSUS BUTAR-BUTAR | 19 Mar 2009, Thursday | JL MELATI BLK G/6 | 0812 7745 5350 | 0 |
| 258 | - | MARTIN | 19 Mar 2009, Thursday | WINDSOR PHASE | 0812 7739 0805 | 0 |
| 259 | - | MATHIAS JOCELYN JESSICA | 27 Mar 2009, Friday | MAYSEBA BUKIT MAS E/3 TIBAN | 0813 7221 0076 | 0 |
| 260 | - | N SANTHIRE SOBA | 29 Mar 2009, Sunday | BENGKONG SADAI | 0812 7702 9998 | 0 |
| 261 | - | HERKIANTI TURU' ALLO | 11 Apr 2009, Saturday | DORMITURI P16 MUKA KUNING | 0813 7230 4991 | 0 |
| 262 | - | TUTI ANNA | 19 Apr 2009, Sunday | BENGKONG PALAPA 2 C/58 | 0812 7730 2699 | 0 |
| 263 | - | KARTA WIDJAYA | 05 May 2009, Tuesday | CAHAYA GARDEN B/1 | 0813 7247 17651 | 0 |
| 264 | - | HENDRI WIDITYANTO | 07 May 2009, Thursday | BENGKONG SADAI | 0813 7288 7137 | 0 |
| 265 | - | JULIANA P | 19 May 2009, Tuesday | BENGKONG PERMAI B/35 | 0812 7506 5090 | 0 |
| 266 | - | FRANCIS KANG | 23 May 2009, Saturday | PALM SPRING | 0819 2709 7909 | 0 |
| 267 | - | TETTY NAPITUPULU | 28 May 2009, Thursday | BUMI SARANA INDAH I BLK G1/9 | 0812 7001 1930 | 0 |
| 268 | - | FARIDA ARIYANI SARAGIH | 01 Jun 2009, Monday | SERAYA ATAS | 0812 7619 3468 | 0 |
| 269 | - | ARTI BETUL DACHI | 01 Jun 2009, Monday | SERAYA ATAS | 0812 7619 368 | 0 |
| 270 | - | I NYIOMAN ARYA SURADI | 05 Jun 2009, Friday | ANGGREK MAS 1 H/85 | 0812 7051 4072 | 0 |