| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 376 | - | THOMAS MICHAEL | 30 Dec 2010, Thursday | NEW MEXICO | 0150 5850 5386 | 0 |
| 377 | - | KRISTON GULTOM | 17 Jun 2011, Friday | GMP 01/02 | 0813 7284 8896 | 0 |
| 378 | - | FITRYA MARISA SINAGA | 11 Mar 2011, Friday | RUSUN BUMI LANCANG KUNING | 0812 7716 6408 | 0 |
| 379 | - | AJMAD RITAHUDIN OROWALA | 20 Feb 2011, Sunday | GRIYA BATU AJI ASRI VI | 0813 7229 5193 | 0 |
| 380 | - | DEVIE ELISABETH SADIRUN | 29 Aug 2011, Monday | HANG TUAH A4/1 | 0819 2703 8694 | 0 |
| 381 | - | ERY SUGITO | 30 Nov -0001, Monday | MAITRI GARDEN 2 A/12A | 0813 6480 5406 | 0 |
| 382 | - | SANDI PRATAMA | 05 Nov 2011, Saturday | GREEN LAND D4/7 | 0856 6822 1870 | 0 |
| 383 | - | MERIKA SINAGA | 25 Oct 2011, Tuesday | BENGKONG HARAPAN 1 M/76 | 0813 6120 4631 | 0 |
| 384 | - | DIDIK SURYO WICAKSONO | 16 Oct 2011, Sunday | PENUIN CENTER C/3 | 0812 4567 2259 | 0 |
| 385 | - | BETASARI HOTMA ULINA TARIGAN | 22 Apr 2011, Friday | JAMBAK JALAR2 | 0821 7401 5874 | 0 |
| 386 | - | DIANA SETYAWATI | 10 Oct 2011, Monday | TANJUNG PINANG | - | 0 |
| 387 | - | HERI SUGIANTO | 10 Oct 2011, Monday | BANDUNG | - | 0 |
| 388 | - | NELI | 29 Sep 2011, Thursday | PENUIN CENTER | - | 0 |
| 389 | - | EL SANTI SWASTIKA | 06 Oct 2011, Thursday | BANYUWANGI JATIM | 0878 9432 2612 | 0 |
| 390 | - | CHRISTINA NATALIA SIBUEA | 18 Jul 2011, Monday | HANG TUAH | 0813 7015 4072 | 0 |