| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 286 | - | SUSANTI | 07 Sep 2009, Monday | KAMP. SALAK MUKA KUNING | 0819 8135 18 | 0 |
| 287 | - | NI KETUT WIANTARI | 10 Sep 2009, Thursday | TIBAN LAMA 006/007 | - | 0 |
| 288 | - | LISTIANNA NAINGGOLAN | 16 Sep 2009, Wednesday | SEI JODOH001/004 | 0813 7258 2712 | 0 |
| 289 | - | ROSNITA ROSMIAH TAMPUBULON | 30 Sep 2009, Wednesday | NUSA JAYA 002/005 | 0812 7721 064 | 0 |
| 290 | - | ROMI SIAHAAN | 05 Oct 2009, Monday | TAMAN RAYA 11 DC/10 | 0852 6402 4678 | 0 |
| 291 | - | BESTUI NIRAWANI ROHANI LUMBAN TOBIN | 06 Oct 2009, Tuesday | MKGR BT AJI | - | 0 |
| 292 | - | AYU LESTARI SIMANJUNTAK | 19 Oct 2009, Monday | KAV NONGSA | 0813 6441 8735 | 0 |
| 293 | - | MARIKE GULTOM | 23 Oct 2009, Friday | HAPPY VALLEY GARDEN | 0812 7715 0662 | 0 |
| 294 | - | ROHANI SIMANJUNTAK | 26 Oct 2009, Monday | BENGKONG ASRAMA E2/2 | 0812 7075 4920 | 0 |
| 295 | - | OKTAVIA ULI PANGGABEAN | 26 Oct 2009, Monday | BENGKONG HARAPAN 1 D/29 | 0812 7759 1968 | 0 |
| 296 | - | LINCE LIMBONG | 29 Oct 2009, Thursday | RUKO SERUNI INDAH 1/12 | 0812 7741 4243 | 0 |
| 297 | - | RUSPI LUMBAN GAOL | 01 Nov 2009, Sunday | BIDA AYU D3/2 | 0813 9607 1790 | 0 |
| 298 | - | AGUS WIBOWO | 17 Nov 2009, Tuesday | BENGKONG DALAM JL BALI/14 | 0813 5720 3230 | 0 |
| 299 | - | DONNA WATI BR MANULLANG | 07 Dec 2009, Monday | TELUK TERING BATAM | 0813 7290 7490 | 0 |
| 300 | - | LIA MAWAR MARBUN | 20 Dec 2009, Sunday | BALOI KOLAM 05/03 | 0778 5179 035 | 0 |