| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 481 | - | MARGARETH CAROLINE DEBORAH NATALIE | 19 Oct 2012, Friday | BALOI MAS INDAH L 5A | 0812 7720 8588 | 0 |
| 482 | - | MICHAEL DANIEL NENDRA | 06 Nov 2012, Tuesday | SUNGAI PANAS NO 36 | 0856 6842 5894 | 0 |
| 483 | - | KETUT PRIYANTO | 16 Nov 2012, Friday | REJOMULYO SUGIWARAS JATIM | 0812 5924 4458 | 0 |
| 484 | - | SANDRATAN | 27 Nov 2012, Tuesday | JL. PENGARAM NO 4 SLT PANJANG | 0813 7210 8129 | 0 |
| 485 | - | IMANUEL SUENAUNG | 04 Dec 2012, Tuesday | BUANA IMPIAN II BLOK G18 | 0812 7077 9117 | 0 |
| 486 | - | WIDYATIKA RINI | 08 Dec 2012, Saturday | KP BELIAN RT2/2 | 0813 7271 6319 | 0 |
| 487 | - | STEPHANIE | 12 Dec 2012, Wednesday | BALOI MAS INDAH BLOK B 15 | 0812 7079 0257 | 0 |
| 488 | - | JOJOR ZENDRATO | 14 Dec 2012, Friday | SP RUKO BATUAJI | 0823 8982 2323 | 0 |
| 489 | - | RESTON DAVID | 20 Dec 2012, Thursday | MANGSANG PERMAI BLOK E 1/2 | 0856 6545 198 | 0 |
| 490 | - | STEPHANUS ANDY HERMAWAN | 22 Dec 2012, Saturday | CIKITSU BLOK B1 BATAM CENTER | 0877 9122 9322 | 0 |
| 491 | - | WENS LAUS WATU | 23 Dec 2012, Sunday | KAMPUNG NANAS | 0821 7158 2131 | 0 |
| 492 | - | GABRIEL AUDYA CITRA | 08 Jul 2013, Monday | BENGKONG HARAPAN | 0856 6829 2003 | 0 |
| 493 | - | IMELDA SELVINA NAPITUPULU | 05 Jul 2013, Friday | BENGKONG ABADI BARU | 0831 8432 0813 | 0 |
| 494 | - | SARMAULI SINAGA | 08 Jul 2013, Monday | BALOI KOLAM | 0819 2707 7025 | 0 |
| 495 | - | MARTA LIPAT | 20 Jul 2013, Saturday | BENGKONG PERMAI | 0878 9419 5336 | 0 |