| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 706 | - | NAVI TAI | 25 Feb 2014, Tuesday | KP TUA BELIAN RT 02/02 | 0822 8375 1874 | 0 |
| 707 | - | DORIS SITEPU | 26 Feb 2014, Wednesday | CITRA LAGUNA TAHAP 3 F4/34 | 0813 9753 4523 | 0 |
| 708 | - | DAVID SYAPUTRA LASE | 02 Mar 2014, Sunday | GMP BLOK D NO 3 TJ PIAYU | 0857 6553 2470 | 0 |
| 709 | - | WENDRI SUSANTO | 10 Oct 2011, Monday | TAMAN MEDITERANIA EE6/9 | 0857 6512 7480 | 0 |
| 710 | - | KAMELIA HUTAURUK | 14 Oct 2011, Friday | BENGKONG BARU C/35 | 0856 6888 4612 | 0 |
| 711 | - | SANNUR SIAGIAN | 18 Oct 2011, Tuesday | KAMPUNG BARU INDOSAT | 0821 7363 0948 | 0 |
| 712 | - | LIM SHUNG HEE | 22 Jul 2011, Friday | SEBERANG PERAI UTARA MALAYSIA | 0601 2996 7970 | 0 |
| 713 | - | EKA MELIANA | 21 Jul 2011, Thursday | SIGALA GALA | - | 0 |
| 714 | - | VERRY PRAMUSETYONO | 10 Oct 2011, Monday | SURABAYA 2/69 | 0857 2572 7360 | 0 |
| 715 | - | YANTI SARTIKA BR SURBAKTI | 23 Oct 2011, Sunday | SEI PANAS | 0819 9090 7015 | 0 |
| 716 | - | LIDIA ESTER S | 24 Oct 2011, Monday | GRIYA BATU AJI ASRI 15 | 0812 7082 7451 | 0 |
| 717 | - | GINA RAMITRA SIMANJUNTAK | 19 Nov 2011, Saturday | TANJUNG BUNTUNG 03/2 | - | 0 |
| 718 | - | ENINA ENINTA THERESIA BR GINTING | 02 Nov 2011, Wednesday | BENGKONG INDAH | 0856 6817 0032 | 0 |
| 719 | - | SUSANTI SIBARANI | 30 May 2011, Monday | MEKAR WANGI 007/005 JODOH | 0852 7818 3141 | 0 |
| 720 | - | TIKA MENTARI ANGGRA KRISTIYANI | 21 May 2011, Saturday | PERMATA REGENCY E/20 | 0857 6558 7329 | 0 |