| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 541 | - | SEBASTIAN LOBI | 30 Jan 2012, Monday | SIMPANG DAM | - | 0 |
| 542 | - | THOMAS | 13 Feb 2012, Monday | BUKIT TEMPAYAN BATUAJI | - | 0 |
| 543 | - | TUTIANA | 23 Feb 2012, Thursday | PONDOK AWAL INDAH BLOK C 10 | 0813 6467 1110 | 0 |
| 544 | - | SARIMAN | 23 Feb 2012, Thursday | BATAM CENTER PARK BLOK F 8 | 0813 9227 5776 | 0 |
| 545 | - | DEASY RATNA SARI | 28 Feb 2012, Tuesday | JODOH SQUARE BLOK E 61 | 0857 3037 7785 | 0 |
| 546 | - | HERMAN ZEBUA | 29 Feb 2012, Wednesday | DIAMOND PALACE BLOK D NO 6 | 0812 7016 6580 | 0 |
| 547 | - | ADIMAS DAMAR PRADITYA | 29 Feb 2012, Wednesday | KAMPUNG P ELITA LUBUK BAJA | 0856 6844 5542 | 0 |
| 548 | - | HILDA DAME ULINA PANGARIBUAN | 20 Mar 2012, Tuesday | PERUM PENDAWA ASRI BLOK F1 15 | 0857 6127 7919 | 0 |
| 549 | - | ERICH LYNN HORN | 06 Apr 2012, Friday | 530 24TH #110 OAKLAND USA | - | 0 |
| 550 | - | SITI NURBAYA | 07 Apr 2012, Saturday | BENGKONG | 0821 6967 6833 | 0 |
| 551 | - | MONIKA MONE | 10 May 2012, Thursday | TANJUNG UMA 05/06 | 0812 6644 7382 | 0 |
| 552 | - | SRI RAMA | 10 May 2012, Thursday | - | 0857 6778 2770 | 0 |
| 553 | - | KELVIN | 22 May 2012, Tuesday | JL TEUKU UMAR NO 227 | - | 0 |
| 554 | - | VICKY LUSIANA | 22 May 2012, Tuesday | CEMARA GARDEN BLOK R 8 | 0853 5646 3403 | 0 |
| 555 | - | MARIA AREQ | 22 May 2012, Tuesday | RULI GRIYA BATU AJI ASRI | 0821 7343 3831 | 0 |