| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 676 | - | RUPIDA SIMBOLON | 16 Dec 2013, Monday | BENGKONG BENGKEL 001/008 | 0853 7688 4325 | 0 |
| 677 | - | ABED DEGO ARYA KRISMANA | 01 Oct 2013, Tuesday | AKU TAHU 2 B6 SEI PANAS | 0815 5659 6517 | 0 |
| 678 | - | LAMBERTUS LABA | 31 Oct 2013, Thursday | PULAU LINGKA 021/006 | - | 0 |
| 679 | - | RIAMA SORMIN | 17 Oct 2013, Thursday | BAMBU KUNING C8/9 | 0813 7100 7820 | 0 |
| 680 | - | RICKY ANANDA SIMANJUNTAK | 11 Oct 2013, Friday | PERMATA PURI H/7 | 0878 9416 3263 | 0 |
| 681 | - | NIA ANGGRAINI | 28 Mar 2013, Thursday | BALOI VIEW B/15 | 0856 7400 404 | 0 |
| 682 | - | LIMSEP DICKY OU ENANG | 21 Mar 2013, Thursday | TIBAN INDAH 004/001 | 0831 8385 8958 | 0 |
| 683 | - | SYLVIA FRANSANDI CHRISTINE | 16 Apr 2013, Tuesday | BUKIT INDAH SUKAJADI NIRWANA/10 | 0857 6537 6964 | 0 |
| 684 | - | PUJI LESTARI | 15 Apr 2013, Monday | GRAND BSI | 0857 4703 7466 | 0 |
| 685 | - | PASKALIS HALA | 08 Apr 2013, Monday | PELITA | 0821 7214 8422 | 0 |
| 686 | - | ASIH YUNIATI | 25 May 2013, Saturday | GENDONG SELATAN | 0778 4568 21 | 0 |
| 687 | - | RAMINTA RIA BERUTU | 08 Apr 2013, Monday | KAMPUNG AIR | 0812 7532 0841 | 0 |
| 688 | - | CAMELIA LS | 03 Jan 2014, Friday | RUKO PANBILBLK D NO6 | 0812 7048 1971 | 0 |
| 689 | - | ROSADALIMA INA SIDUK TUKAN | 04 Jan 2014, Saturday | SEI PANAS | 0812 3915 0865 | 0 |
| 690 | - | ANWAR SANUSI BARUS | 08 Jan 2014, Wednesday | MEDITERANIA | 0821 7377 83985 | 0 |