| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 661 | - | NATALIA OCTAVIA | 13 Feb 2013, Wednesday | NAGOYA SQUER K/30-31 | 0812 7557 2219 | 0 |
| 662 | - | HENDRA PURNAMA | 23 Jul 2013, Tuesday | BATU AJI | 0813 6467 4526 | 0 |
| 663 | - | DEMAK MARIANI LUBIS | 25 Aug 2013, Sunday | KAMP NANAS TELUK BAKAU | 0812 6111 1591 | 0 |
| 664 | - | GRACE CLAUDYA CAPRIN | 20 May 2013, Monday | BALOI PERSERO 05/01 | 0877 9117 0819 | 0 |
| 665 | - | ETTI CRISTINA HUTABARAT | 18 Sep 2013, Wednesday | LEGENDA MALAKA J8/2 | 0823 9278 6753 | 0 |
| 666 | - | RIA YUNITA M | 08 Sep 2013, Sunday | BENGKONG INDAH G/13 | 0813 7243 1828 | 0 |
| 667 | - | MASRA SIMAMORA | 10 Jun 2013, Monday | KAMPUNG BELIAN | 0853 7682 9043 | 0 |
| 668 | - | IWAN CHANDRA SIAHAAN | 09 Jun 2013, Sunday | BUKIT PALEM PERMAI C2/11 | 0877 9116 6044 | 0 |
| 669 | - | SARIANI SITORUS | 19 Jun 2013, Wednesday | EDEN PARK D/21 | 0812 6144 3966 | 0 |
| 670 | - | MUHAMMAD YUSUF | 21 Feb 2013, Thursday | AMERIKA | 0821 6933 9840 | 0 |
| 671 | - | RICHARD MARTIN PHILIP BOWLES | 22 Jul 2013, Monday | 53 CAIRNHILL ROAD SPORE | 0US | 0 |
| 672 | - | ROBERT JOSEPH DONNELLY | 19 Aug 2013, Monday | 8-10 CITY WALK HARBOUR BAY | 0812 7058 283 | 0 |
| 673 | - | DEWI SARTIKA | 27 Apr 2013, Saturday | KARTINI 2/F7 SEKUPANG | 0812 8112 9250 | 0 |
| 674 | - | JANNE BIRE | 07 Jun 2013, Friday | KOP. NAGOYA CITY CENTER | 0852 6453 2008 | 0 |
| 675 | - | WAYLON JOHNSON | 04 Jul 2013, Thursday | VILLA PANBIL I/11 | 0812 7050 739 | 0 |