| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 496 | - | TROI GILANG NUARY | 01 Mar 2013, Friday | RUKO AKU TAHU SEI PANAS | 0897 0338 502 | 0 |
| 497 | - | POLMI PAKPAHAN | 10 Jun 2013, Monday | TEMBESI LESTARI | 0819 9118 7409 | 0 |
| 498 | - | ADE LIAND NALLE | 30 Aug 2013, Friday | BALOI KEBUN 8/11 | - | 0 |
| 499 | - | LUSIA ANDI | 24 Jun 2013, Monday | DEPAN OASIS BT AMPAR | - | 0 |
| 500 | - | MASJE | 22 Mar 2013, Friday | BATU MERAH | 0813 6465 0907 | 0 |
| 501 | - | ARINALDI DAULAY | 01 Apr 2013, Monday | TAMAN SERUNI INDAH | 0853 6234 7974 | 0 |
| 502 | - | SEVENTYNA HEROLYNA TAMBA | 07 Jun 2013, Friday | GOLDEN LAND | 0812 6824 3632 | 0 |
| 503 | - | SISKA NATALINA NAPITUPULU | 06 Apr 2013, Saturday | GOLDEN LAND | 0878 9438 1067 | 0 |
| 504 | - | MELAYANI SILALAHI | 12 Dec 2013, Thursday | BATU MERAH 02/08 N0 3 | 0857 6567 23704 | 0 |
| 505 | - | SURIANI | 18 Sep 2013, Wednesday | EMERALD RESIDEN E6/7 | 0813 9896 1113 | 0 |
| 506 | - | SARTIKA APRIDONA MANIK | 08 Oct 2013, Tuesday | BEBEK BALI | 0813 6406 8428 | 0 |
| 507 | - | WENDRI SUSANTO | 10 Oct 2011, Monday | TAMAN MEDITERANIA EE6/9 | 0857 6512 7480 | 0 |
| 508 | - | KAMELIA HUTAURUK | 14 Oct 2011, Friday | BENGKONG BARU C/35 | 0856 6888 4612 | 0 |
| 509 | - | SANNUR SIAGIAN | 18 Oct 2011, Tuesday | KAMPUNG BARU INDOSAT | 0821 7363 0948 | 0 |
| 510 | - | LIM SHUNG HEE | 22 Jul 2011, Friday | SEBERANG PERAI UTARA MALAYSIA | 0601 2996 7970 | 0 |