| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 511 | - | EKA MELIANA | 21 Jul 2011, Thursday | SIGALA GALA | - | 0 |
| 512 | - | VERRY PRAMUSETYONO | 10 Oct 2011, Monday | SURABAYA 2/69 | 0857 2572 7360 | 0 |
| 513 | - | YANTI SARTIKA BR SURBAKTI | 23 Oct 2011, Sunday | SEI PANAS | 0819 9090 7015 | 0 |
| 514 | - | LIDIA ESTER S | 24 Oct 2011, Monday | GRIYA BATU AJI ASRI 15 | 0812 7082 7451 | 0 |
| 515 | - | GINA RAMITRA SIMANJUNTAK | 19 Nov 2011, Saturday | TANJUNG BUNTUNG 03/2 | - | 0 |
| 516 | - | ENINA ENINTA THERESIA BR GINTING | 02 Nov 2011, Wednesday | BENGKONG INDAH | 0856 6817 0032 | 0 |
| 517 | - | SUSANTI SIBARANI | 30 May 2011, Monday | MEKAR WANGI 007/005 JODOH | 0852 7818 3141 | 0 |
| 518 | - | TIKA MENTARI ANGGRA KRISTIYANI | 21 May 2011, Saturday | PERMATA REGENCY E/20 | 0857 6558 7329 | 0 |
| 519 | - | SARLINA PASARIBU | 31 May 2011, Tuesday | KAMPUNG BARU CENDANA 2 | - | 0 |
| 520 | - | MELAWATI TIUR METOA | 08 Aug 2011, Monday | TJ UBAN SELATAN BINTAN UTARA | 0813 7280 1128 | 0 |
| 521 | - | SUSI MINARTI | 22 Apr 2011, Friday | YOS SUDARSO 002/001 TJ UBAN | 0856 6513 792 | 0 |
| 522 | - | LISMAWATI SIAGIAN | 21 Mar 2011, Monday | BALOI DITPAM | 0813 6425 8134 | 0 |
| 523 | - | SUSANT MANDUAPESSY | 13 May 2011, Friday | SAPARUA MALUKU TENGAH | 0821 7123 1528 | 0 |
| 524 | - | ANDY WILLIAM | 14 Aug 2011, Sunday | VILLA PESONA ASRI A10/12 | 0831 8426 0594 | 0 |
| 525 | - | MELANI SURANTO | 17 Aug 2011, Wednesday | SUNGAI PANCUR E/35 | 0821 7156 3205 | 0 |