| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 871 | - | SARIANI SITORUS | 19 Jun 2013, Wednesday | EDEN PARK D/21 | 0812 6144 3966 | 0 |
| 872 | - | MUHAMMAD YUSUF | 21 Feb 2013, Thursday | AMERIKA | 0821 6933 9840 | 0 |
| 873 | - | RICHARD MARTIN PHILIP BOWLES | 22 Jul 2013, Monday | 53 CAIRNHILL ROAD SPORE | 0US | 0 |
| 874 | - | ROBERT JOSEPH DONNELLY | 19 Aug 2013, Monday | 8-10 CITY WALK HARBOUR BAY | 0812 7058 283 | 0 |
| 875 | - | DEWI SARTIKA | 27 Apr 2013, Saturday | KARTINI 2/F7 SEKUPANG | 0812 8112 9250 | 0 |
| 876 | - | JANNE BIRE | 07 Jun 2013, Friday | KOP. NAGOYA CITY CENTER | 0852 6453 2008 | 0 |
| 877 | - | WAYLON JOHNSON | 04 Jul 2013, Thursday | VILLA PANBIL I/11 | 0812 7050 739 | 0 |
| 878 | - | RUPIDA SIMBOLON | 16 Dec 2013, Monday | BENGKONG BENGKEL 001/008 | 0853 7688 4325 | 0 |
| 879 | - | ABED DEGO ARYA KRISMANA | 01 Oct 2013, Tuesday | AKU TAHU 2 B6 SEI PANAS | 0815 5659 6517 | 0 |
| 880 | - | LAMBERTUS LABA | 31 Oct 2013, Thursday | PULAU LINGKA 021/006 | - | 0 |
| 881 | - | RIAMA SORMIN | 17 Oct 2013, Thursday | BAMBU KUNING C8/9 | 0813 7100 7820 | 0 |
| 882 | - | RICKY ANANDA SIMANJUNTAK | 11 Oct 2013, Friday | PERMATA PURI H/7 | 0878 9416 3263 | 0 |
| 883 | - | NIA ANGGRAINI | 28 Mar 2013, Thursday | BALOI VIEW B/15 | 0856 7400 404 | 0 |
| 884 | - | LIMSEP DICKY OU ENANG | 21 Mar 2013, Thursday | TIBAN INDAH 004/001 | 0831 8385 8958 | 0 |
| 885 | - | SYLVIA FRANSANDI CHRISTINE | 16 Apr 2013, Tuesday | BUKIT INDAH SUKAJADI NIRWANA/10 | 0857 6537 6964 | 0 |