| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 451 | - | SRI RAMA | 10 May 2012, Thursday | - | 0857 6778 2770 | 0 |
| 452 | - | KELVIN | 22 May 2012, Tuesday | JL TEUKU UMAR NO 227 | - | 0 |
| 453 | - | VICKY LUSIANA | 22 May 2012, Tuesday | CEMARA GARDEN BLOK R 8 | 0853 5646 3403 | 0 |
| 454 | - | MARIA AREQ | 22 May 2012, Tuesday | RULI GRIYA BATU AJI ASRI | 0821 7343 3831 | 0 |
| 455 | - | MARISKA LIAMTIUR | 09 Jun 2012, Saturday | BENGKONG MAHKOTA BLOK B 24 | 0856 6850 7135 | 0 |
| 456 | - | SEVIS TOLORIANI LASE | 17 Jun 2012, Sunday | RUKO TAMAN NIAGA BLOK M 2 | 0853 6304 3887 | 0 |
| 457 | - | HADRIANUS RICO | 20 Jun 2012, Wednesday | BENGKONG PERMAI 002/003 | 0813 7296 6660 | 0 |
| 458 | - | SUTINAH | 25 Jun 2012, Monday | SERAYA GARDEN | 0877 9125 8675 | 0 |
| 459 | - | DOMINIKA PANDIANGAN | 01 Jul 2012, Sunday | LEGENDA MALAKA NLIK 14 NO 5 | - | 0 |
| 460 | - | CI KIANG | 04 Jul 2012, Wednesday | JLN PENAGA | - | 0 |
| 461 | - | ROBERT JAMES PETT | 17 Jul 2012, Tuesday | 6736 WEST COASTRD SOORE CANADA | 0250 7321 699 | 0 |
| 462 | - | LUSIA LETO | 22 Jul 2012, Sunday | BENGKONG DALAM | 0812 8659 1339 | 0 |
| 463 | - | MUHARTIN | 25 Jul 2012, Wednesday | HAPPY GARDEN | - | 0 |
| 464 | - | JULI FRONIKA SIMANUNGKALIT | 26 Jul 2012, Thursday | JL. DR WAHIDIN KM 19 BINJAI | 0878 9438 9871 | 0 |
| 465 | - | SHELA | 28 Jul 2012, Saturday | KV NATA PERMATA | 0813 6467 4526 | 0 |