| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 406 | - | WENDRI SUSANTO | 10 Oct 2011, Monday | TAMAN MEDITERANIA EE6/9 | 0857 6512 7480 | 0 |
| 407 | - | KAMELIA HUTAURUK | 14 Oct 2011, Friday | BENGKONG BARU C/35 | 0856 6888 4612 | 0 |
| 408 | - | SANNUR SIAGIAN | 18 Oct 2011, Tuesday | KAMPUNG BARU INDOSAT | 0821 7363 0948 | 0 |
| 409 | - | LIM SHUNG HEE | 22 Jul 2011, Friday | SEBERANG PERAI UTARA MALAYSIA | 0601 2996 7970 | 0 |
| 410 | - | EKA MELIANA | 21 Jul 2011, Thursday | SIGALA GALA | - | 0 |
| 411 | - | VERRY PRAMUSETYONO | 10 Oct 2011, Monday | SURABAYA 2/69 | 0857 2572 7360 | 0 |
| 412 | - | YANTI SARTIKA BR SURBAKTI | 23 Oct 2011, Sunday | SEI PANAS | 0819 9090 7015 | 0 |
| 413 | - | LIDIA ESTER S | 24 Oct 2011, Monday | GRIYA BATU AJI ASRI 15 | 0812 7082 7451 | 0 |
| 414 | - | GINA RAMITRA SIMANJUNTAK | 19 Nov 2011, Saturday | TANJUNG BUNTUNG 03/2 | - | 0 |
| 415 | - | ENINA ENINTA THERESIA BR GINTING | 02 Nov 2011, Wednesday | BENGKONG INDAH | 0856 6817 0032 | 0 |
| 416 | - | SUSANTI SIBARANI | 30 May 2011, Monday | MEKAR WANGI 007/005 JODOH | 0852 7818 3141 | 0 |
| 417 | - | TIKA MENTARI ANGGRA KRISTIYANI | 21 May 2011, Saturday | PERMATA REGENCY E/20 | 0857 6558 7329 | 0 |
| 418 | - | SARLINA PASARIBU | 31 May 2011, Tuesday | KAMPUNG BARU CENDANA 2 | - | 0 |
| 419 | - | MELAWATI TIUR METOA | 08 Aug 2011, Monday | TJ UBAN SELATAN BINTAN UTARA | 0813 7280 1128 | 0 |
| 420 | - | SUSI MINARTI | 22 Apr 2011, Friday | YOS SUDARSO 002/001 TJ UBAN | 0856 6513 792 | 0 |