| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 856 | - | UKURTA KARO-KARO | 12 Aug 2013, Monday | BUANA VISTA 3/97 | 0813 6404 474 | 0 |
| 857 | - | SHOLVIANA | 16 Aug 2013, Friday | BENGKONG ABADI 2 | 0821 2622 05465 | 0 |
| 858 | - | LILIE SUHARTINI | 04 Sep 2013, Wednesday | REGATA B8/6 | 0812 6697 9889 | 0 |
| 859 | - | NELVRITA USDAWATI SINAGA | 30 Nov 2013, Saturday | BENGKONG HARAPAN | 0837 4305 978 | 0 |
| 860 | - | LAHE ROY SEMBIRING | 18 Feb 2013, Monday | MARCELIA | 0812 9471 0112 | 0 |
| 861 | - | HERAWATY SOFIANA SIANTURY | 10 Jan 2013, Thursday | KAV BUKIT SEROJA DAPUR 12 | 0856 6832 4111 | 0 |
| 862 | - | LINCE HUTABARAT | 25 Jan 2013, Friday | BIDA GARDEN/12 | 0812 7635 6044 | 0 |
| 863 | - | NATALIA OCTAVIA | 13 Feb 2013, Wednesday | NAGOYA SQUER K/30-31 | 0812 7557 2219 | 0 |
| 864 | - | HENDRA PURNAMA | 23 Jul 2013, Tuesday | BATU AJI | 0813 6467 4526 | 0 |
| 865 | - | DEMAK MARIANI LUBIS | 25 Aug 2013, Sunday | KAMP NANAS TELUK BAKAU | 0812 6111 1591 | 0 |
| 866 | - | GRACE CLAUDYA CAPRIN | 20 May 2013, Monday | BALOI PERSERO 05/01 | 0877 9117 0819 | 0 |
| 867 | - | ETTI CRISTINA HUTABARAT | 18 Sep 2013, Wednesday | LEGENDA MALAKA J8/2 | 0823 9278 6753 | 0 |
| 868 | - | RIA YUNITA M | 08 Sep 2013, Sunday | BENGKONG INDAH G/13 | 0813 7243 1828 | 0 |
| 869 | - | MASRA SIMAMORA | 10 Jun 2013, Monday | KAMPUNG BELIAN | 0853 7682 9043 | 0 |
| 870 | - | IWAN CHANDRA SIAHAAN | 09 Jun 2013, Sunday | BUKIT PALEM PERMAI C2/11 | 0877 9116 6044 | 0 |