| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 391 | - | ASOI RAIS | 29 Jul 2011, Friday | SUNGAI PANAS 02/02 | 0852 6499 3399 | 0 |
| 392 | - | TSHIN FUK KHIN | 27 Jul 2011, Wednesday | TIBAN HOUSING 05/08 | 0778 7238 138 | 0 |
| 393 | - | CAMELIA TESSA SIRINGORINGO | 21 Jul 2011, Thursday | KAMPUNG PERSADA 313 | 0856 6727 344 | 0 |
| 394 | - | NURNASANTI | 29 Oct 2011, Saturday | GOLDEN LAND 002/13 | 0813 6434 1870 | 0 |
| 395 | - | REZA TAMIA REZITA | 20 May 2011, Friday | CITRA INDAH CC/28 | 0812 7758 8508 | 0 |
| 396 | - | SATARIA SITUMORANG | 31 Jul 2011, Sunday | CITRA BATAM BLK D 192 | 0813 7248 2929 | 0 |
| 397 | - | KARAN SINGH | 28 Jan 2011, Friday | KABIL | 0812 7011 918 | 0 |
| 398 | - | IDA CHRISNAWATI | 26 Dec 2011, Monday | RULI BEVERLY 05/28 | 0821 7226 1216 | 0 |
| 399 | - | LINCHANI PANDIANGAN | 28 Mar 2011, Monday | SAGULUNG SENTOSA | 0813 6550 1240 | 0 |
| 400 | - | RONE SITOMPUL | 22 Feb 2011, Tuesday | TJ SENGKUANG E | 0812 7757 0710 | 0 |
| 401 | - | RINA | 05 Feb 2011, Saturday | BLOK 4 NAGOYA | 0778 6041 216 | 0 |
| 402 | - | DOUGLAS KURNIAWAN | 24 Jan 2011, Monday | BATU AJI ASRI K/1 | 0821 6922 9763 | 0 |
| 403 | - | AGNES IKA NIRMALASARI DEWI | 07 Mar 2011, Monday | CITRA BATAM C/165 | 0819 9103 78117 | 0 |
| 404 | - | FARID NGGERU | 20 Feb 2011, Sunday | PASAR MELAYU RAYA H/28 | 0821 6911 3569 | 0 |
| 405 | - | IGNATIUS DIDIT KURINTUS | 19 Aug 2011, Friday | BANDARSYAH 001/001 | 0813 6426 2684 | 0 |