| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 901 | - | RIANTA PANJAITAN | 13 Feb 2014, Thursday | PURNA YUDHA INDAH BLOK T 20 | - | 0 |
| 902 | - | LEO ARITONANG | 13 Feb 2014, Thursday | BALOI KOLAM | - | 0 |
| 903 | - | LESTARI DAMAYANTI SITORUS | 14 Feb 2014, Friday | JL KARTINI IV BLOK I/6 SEKUPANG | 0813 6426 9245 | 0 |
| 904 | - | DINARSIN NUARI SINAGA | 16 Feb 2014, Sunday | MAITRI GARDEN BLOK D/12 | 0812 7502 0427 | 0 |
| 905 | - | FEBRINA SITUMEANG | 18 Feb 2014, Tuesday | TAMAN CARINA NLOK 32 NO 19 | 0812 6757 9224 | 0 |
| 906 | - | PHIPUS PULO RURON | 18 Feb 2014, Tuesday | PONDOK ASRI BLOK D1 NO 1 | 0822 8348 328 | 0 |
| 907 | - | DAVID SAHPUTRA LASE | 25 Feb 2014, Tuesday | PANCUR BTM LESTARI II BLK D/14 | 0821 6951 1225 | 0 |
| 908 | - | NAVI TAI | 25 Feb 2014, Tuesday | KP TUA BELIAN RT 02/02 | 0822 8375 1874 | 0 |
| 909 | - | DORIS SITEPU | 26 Feb 2014, Wednesday | CITRA LAGUNA TAHAP 3 F4/34 | 0813 9753 4523 | 0 |
| 910 | - | DAVID SYAPUTRA LASE | 02 Mar 2014, Sunday | GMP BLOK D NO 3 TJ PIAYU | 0857 6553 2470 | 0 |
| 911 | - | SUNARTO | 04 Mar 2014, Tuesday | CIPTA PERSADA BLOK A NO9 BT AJI | - | 0 |
| 912 | - | SELTI BR SEMBIRING | 04 Mar 2014, Tuesday | KAMPUNG TUA BELIAN RT 1/2 | 0877 4878 5895 | 0 |
| 913 | - | SUSI SUSILOWATI | 12 Mar 2014, Wednesday | BIDA ASRI 1 B2 /28 | 0818 0716 5886 | 0 |
| 914 | - | YUNITA LEMA SABON | 23 Mar 2014, Sunday | TIBAN SEKUPANG | 0821 7167 4307 | 0 |
| 915 | - | YOHANA MANTI | 23 Mar 2014, Sunday | PANCUR TOWER1 DURIANGKANG | - | 0 |