| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 526 | - | IGNASIUS WANGGE | 21 Nov 2011, Monday | PENGAIRAN LAMA 004/04 | 0821 7439 1611 | 0 |
| 527 | - | SURIANI SILALAHI | 07 Feb 2011, Monday | CENDANA 003/004 | 0813 6467 8113 | 0 |
| 528 | - | FILEMON BAYEN PEKA | 24 May 2011, Tuesday | KAMPUNG PANAU NONGSA | 0812 7755 2643 | 0 |
| 529 | - | DAVID DAUD SIREGAR | 14 Feb 2011, Monday | P SIDEMPUAN | - | 0 |
| 530 | - | CENDRA AGUSTINA | 06 Feb 2011, Sunday | NAGOYA CITY CENTER C10 | 0813 7228 5029 | 0 |
| 531 | - | DIEDERIK ALEXANDER (CYRIEL) PETER W | 06 Feb 2011, Sunday | APARTEMEN LAI LAI NAGOYA | 0081 3 64 81508 | 0 |
| 532 | - | ENY FARIDA SIHOMBING | 31 May 2011, Tuesday | KAV. BARU CENDANA 2 /1 KABIL | 0821 7131 5951 | 0 |
| 533 | - | THO LIANG | 11 Jan 2011, Tuesday | BUKIT JODOH 1/7B | 0819 9081 9494 | 0 |
| 534 | - | YENI LISTYOWATI | 31 Jan 2011, Monday | CIPTA EMERALD E/18 | 0812 7736 962 | 0 |
| 535 | - | YATI M SIMBOLON | 07 Apr 2011, Thursday | NUSA JAYA SEI PANAS | 0813 6464 0282 | 0 |
| 536 | - | DESI NATALIA KRISMAWATI | 18 Feb 2011, Friday | NGANJUKAN 03/04 KARANGSARI | 0856 6841 0282 | 0 |
| 537 | - | STEVEN WIJAYA | 22 Nov 2011, Tuesday | KAMPUNG SERAYA 003/001 | 0853 6456 8368 | 0 |
| 538 | - | GUSTI NENGAH EKA MUDIANSI | 22 Nov 2011, Tuesday | PASAR PELITA | 0812 7092 5561 | 0 |
| 539 | - | ELLY RIANATA HUTABARAT | 02 Jan 2012, Monday | TEMBESI CENTER BLOK A11 8 | 0813 7284 4784 | 0 |
| 540 | - | JUNI DARWATI LAOLY | 17 Jan 2012, Tuesday | TAMAN RAYA TAHAP II BLOK DP 3 | 0812 1737 61590 | 0 |