| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 841 | - | ERICK PRASETYO MANURUNG | 02 Sep 2013, Monday | BENGKONG AL JABAR | 0831 9111 2705 | 0 |
| 842 | - | NURSATYO ADI WICAKSO | 14 Nov 2013, Thursday | BIDA ASRI1 D2/11 | 0811 7700 585 | 0 |
| 843 | - | HERMA WINDA HASIBUAN | 04 Mar 2013, Monday | PERMATA PURI E/15 | 0813 6403 7764 | 0 |
| 844 | - | NICKY WIRAWAN | 29 Dec 2013, Sunday | BUKIT BERUNTUNG J/16 | 0852 7848 445 | 0 |
| 845 | - | ANTONIUS | 27 Dec 2013, Friday | ANGGREK MAS B/6 | 0823 8756 1570 | 0 |
| 846 | - | CHEVRO | 01 Jul 2013, Monday | VILLA BUKIT INDAH 8 | - | 0 |
| 847 | - | SALLY CHEW | 13 Jul 2013, Saturday | HAPPY GARDEN B/67 | 0812 7791 219 | 0 |
| 848 | - | DESTI LIANA | 24 May 2013, Friday | MUKA KUNING PARADISEB2/5 | 0896 2308 8872 | 0 |
| 849 | - | FANI | 29 Sep 2013, Sunday | TG UMA | 0857 6566 8854 | 0 |
| 850 | - | ALVIN ZAGOTO | 27 Jul 2013, Saturday | KAV BUKIT PELITA INDAH C/51 | 0856 6824 0608 | 0 |
| 851 | - | NANCY | 29 Sep 2013, Sunday | SIMP KUDA C/12 | 0852 6256 9088 | 0 |
| 852 | - | HERYANTO | 28 Sep 2013, Saturday | BUKIT PALEM PERMAI 3/12B | 0823 2824 4248 | 0 |
| 853 | - | PERA SIMANUNGKALIT | 02 Aug 2013, Friday | MANGSANG PERMAI K/82 | 0827 2207 623 | 0 |
| 854 | - | FITRIA ANILAH ERO BESA | 07 Aug 2013, Wednesday | KAMPUNG AIR BATAM | 0812 6146 9985 | 0 |
| 855 | - | BERNADUS GHELE | 06 Aug 2013, Tuesday | TIBAN LAMA | 0821 7402 6851 | 0 |