| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 736 | - | YENI LISTYOWATI | 31 Jan 2011, Monday | CIPTA EMERALD E/18 | 0812 7736 962 | 0 |
| 737 | - | YATI M SIMBOLON | 07 Apr 2011, Thursday | NUSA JAYA SEI PANAS | 0813 6464 0282 | 0 |
| 738 | - | DESI NATALIA KRISMAWATI | 18 Feb 2011, Friday | NGANJUKAN 03/04 KARANGSARI | 0856 6841 0282 | 0 |
| 739 | - | STEVEN WIJAYA | 22 Nov 2011, Tuesday | KAMPUNG SERAYA 003/001 | 0853 6456 8368 | 0 |
| 740 | - | GUSTI NENGAH EKA MUDIANSI | 22 Nov 2011, Tuesday | PASAR PELITA | 0812 7092 5561 | 0 |
| 741 | - | ELLY RIANATA HUTABARAT | 02 Jan 2012, Monday | TEMBESI CENTER BLOK A11 8 | 0813 7284 4784 | 0 |
| 742 | - | JUNI DARWATI LAOLY | 17 Jan 2012, Tuesday | TAMAN RAYA TAHAP II BLOK DP 3 | 0812 1737 61590 | 0 |
| 743 | - | SEBASTIAN LOBI | 30 Jan 2012, Monday | SIMPANG DAM | - | 0 |
| 744 | - | THOMAS | 13 Feb 2012, Monday | BUKIT TEMPAYAN BATUAJI | - | 0 |
| 745 | - | TUTIANA | 23 Feb 2012, Thursday | PONDOK AWAL INDAH BLOK C 10 | 0813 6467 1110 | 0 |
| 746 | - | SARIMAN | 23 Feb 2012, Thursday | BATAM CENTER PARK BLOK F 8 | 0813 9227 5776 | 0 |
| 747 | - | DEASY RATNA SARI | 28 Feb 2012, Tuesday | JODOH SQUARE BLOK E 61 | 0857 3037 7785 | 0 |
| 748 | - | HERMAN ZEBUA | 29 Feb 2012, Wednesday | DIAMOND PALACE BLOK D NO 6 | 0812 7016 6580 | 0 |
| 749 | - | ADIMAS DAMAR PRADITYA | 29 Feb 2012, Wednesday | KAMPUNG P ELITA LUBUK BAJA | 0856 6844 5542 | 0 |
| 750 | - | HILDA DAME ULINA PANGARIBUAN | 20 Mar 2012, Tuesday | PERUM PENDAWA ASRI BLOK F1 15 | 0857 6127 7919 | 0 |