| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 691 | - | LASTIAR SIMANUNGKALIT | 12 Jan 2014, Sunday | KAMPUNG AGAS RT 7/3 SEKUPANG | 0813 6410 0489 | 0 |
| 692 | - | JAMIE LEE HOFF | 03 Feb 2014, Monday | 1810 CANDLESTICK DRIVE OHIO | 0813 6418 3575 | 0 |
| 693 | - | HIE SIU ING | 03 Feb 2014, Monday | GREEN LAND BLOK E2 NO 22 | 0821 2110 0073 | 0 |
| 694 | - | FERAWATI | 07 Feb 2014, Friday | JL PAKUBUWONO LRG REMAJA JAMBI TIMUR | 0821 6967 9803 | 0 |
| 695 | - | JURINI PANDIANGAN | 08 Feb 2014, Saturday | RUSUN BIDA AMPAR BLOK A1 LT 4/8 | 0813 6413 5597 | 0 |
| 696 | - | SURYA | 09 Feb 2014, Sunday | JL A NANING PAKUAN BARU JAMBI | 0823 7552 4108 | 0 |
| 697 | - | YUNITA KRISTINA | 11 Feb 2014, Tuesday | MEKAR WANGINO 29 SEI JODOH | 0852 6402 3504 | 0 |
| 698 | - | FRANS SETIADI SARUMPAET | 11 Feb 2014, Tuesday | TIBAN III BLOK B2/55 | 0811 6303 31 | 0 |
| 699 | - | RIANTA PANJAITAN | 13 Feb 2014, Thursday | PURNA YUDHA INDAH BLOK T 20 | - | 0 |
| 700 | - | LEO ARITONANG | 13 Feb 2014, Thursday | BALOI KOLAM | - | 0 |
| 701 | - | LESTARI DAMAYANTI SITORUS | 14 Feb 2014, Friday | JL KARTINI IV BLOK I/6 SEKUPANG | 0813 6426 9245 | 0 |
| 702 | - | DINARSIN NUARI SINAGA | 16 Feb 2014, Sunday | MAITRI GARDEN BLOK D/12 | 0812 7502 0427 | 0 |
| 703 | - | FEBRINA SITUMEANG | 18 Feb 2014, Tuesday | TAMAN CARINA NLOK 32 NO 19 | 0812 6757 9224 | 0 |
| 704 | - | PHIPUS PULO RURON | 18 Feb 2014, Tuesday | PONDOK ASRI BLOK D1 NO 1 | 0822 8348 328 | 0 |
| 705 | - | DAVID SAHPUTRA LASE | 25 Feb 2014, Tuesday | PANCUR BTM LESTARI II BLK D/14 | 0821 6951 1225 | 0 |