| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 616 | - | USRIANI | 06 Oct 2013, Sunday | TAMAN MARCELIA A/70 | 0862 7217 8383 | 0 |
| 617 | - | MARIA VIANINGSIH VINI | 03 Jul 2013, Wednesday | NONGSA BATU BESAR | 0857 6561 1785 | 0 |
| 618 | - | LELI PRIANTI | 27 Jun 2013, Thursday | PERUM OMA G/12A | 0812 1533 3628 | 0 |
| 619 | - | HALIMAH PATRICIA | 05 Jun 2013, Wednesday | LEGENDA BALI | 0819 1491 0485 | 0 |
| 620 | - | RUMONA SIMANJUNTAK | 08 Jul 2013, Monday | KAMPUNG AIR BATAM | 0812 7015 6262 | 0 |
| 621 | - | YENDI TUKO | 26 Aug 2013, Monday | BIDA AYU/27 | 0819 3361 1726 | 0 |
| 622 | - | ROMATON SITUMORANG | 18 Apr 2013, Thursday | SAGULUNG SUMBER JADI | 0853 6768 235 | 0 |
| 623 | - | PARAMITHA SUSANDY TAN | 16 Apr 2013, Tuesday | TJ UMA | - | 0 |
| 624 | - | ANTHONY LIM | 29 Jul 2013, Monday | CENTER PARK | 0896 6996 0766 | 0 |
| 625 | - | SELA | 19 Apr 2013, Friday | APARTEMEN NAGOYA INDAH | 0857 6559 4110 | 0 |
| 626 | - | NON MANANA | 18 Dec 2013, Wednesday | KP SERAYA 03/02 | 0853 7535 0286 | 0 |
| 627 | - | YAYUK ENDARWATI | 26 Dec 2013, Thursday | LAMONGAN | 0812 4747 61 | 0 |
| 628 | - | SUNIR PARLINDUNGAN MANULLANG | 20 Dec 2013, Friday | TEMBESI LESTARI | 0812 5630 3556 | 0 |
| 629 | - | NARWASTU MANGGAR WANGI | 24 Dec 2013, Tuesday | GENTA 2 B8 | 0857 2504 3656 | 0 |
| 630 | - | HASAN FERI | 05 Apr 2013, Friday | BALOI PERSERO | 0819 5852 9898 | 0 |