| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 916 | - | JEFFREY | 26 Mar 2014, Wednesday | CENTERN PARK BLOK J NO 11 | 0822 8407 0811 | 0 |
| 917 | - | AMRIN SIMAMORA | 20 Apr 2014, Sunday | KAV BUKIT SEROJA | 0857 6504 8725 | 0 |
| 918 | - | LULU ZANAZCA | 25 Apr 2014, Friday | MARINA CENTRAL BLOK F/3 | 0811 7000 209 | 0 |
| 919 | - | VENI TRIPUSPITAWATI HASAN | 04 May 2014, Sunday | BIDA ASRI 2 BLOK H2/17 | 0857 2279 992 | 0 |
| 920 | - | DEWI VERONICA SITOHANG | 06 May 2014, Tuesday | KAV NATO SAGULUNG | 0813 6231 7182 | 0 |
| 921 | - | SISKA SILAEN | 06 May 2014, Tuesday | KOMPLEK SMP | 0812 7767 7616 | 0 |
| 922 | - | DESTRIANA NARIYATI SIBURIAN | 09 May 2014, Friday | PERUM GRIYA BT AJI ASRI BLK Y/1 | 0859 5992 6463 | 0 |
| 923 | - | EFEDIANA BU'ULOLO | 13 May 2014, Tuesday | CIPTA PERSADA BLOK A NO6 BT AJI | 0822 8434 7989 | 0 |
| 924 | - | KRISNA ARLIANA GHOZALI | 16 May 2014, Friday | JODOH PERMAI | 0853 8202 4444 | 0 |
| 925 | - | NURPAIMA HUTAHURUK | 19 May 2014, Monday | TEMBESI LESTARI | 0852 7174 1804 | 0 |
| 926 | - | RISAMBO HUTABARAT | 21 May 2014, Wednesday | PARISA INDAH BLOK B2 /2 | 0822 8332 2322 | 0 |
| 927 | - | DAVID | 25 May 2014, Sunday | PENUIN PERMAI BLOK G/3 | 0821 7158 8208 | 0 |
| 928 | - | NURAFNY AIZAH MANALU | 28 May 2014, Wednesday | SIMPANG RAYA INDAH | 0812 7080 5522 | 0 |
| 929 | - | ALBERTUS MEDI SADO | 01 Jun 2014, Sunday | BATU BATAM VISTA NO 14 | 0813 7200 5424 | 0 |
| 930 | - | SUSI DOMARIS SINAGA | 06 Jun 2014, Friday | BENGKONG ABADI II | 0823 8674 5840 | 0 |