| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 961 | - | LIM LISA | 20 Sep 2014, Saturday | TAMAN YASMIN BLK U/28 | 0822 8381 6661 | 0 |
| 962 | - | PETRUS DEA | 27 Sep 2014, Saturday | RUSUNAWA TJ UNCANG | 0822 8550 2765 | 0 |
| 963 | - | BAUTISTA VOSE JR II F | 28 Sep 2014, Sunday | VILLA PANBILL #01 | 0812 7027 448 | 0 |
| 964 | - | SENYAWA DAKHI | 30 Sep 2014, Tuesday | KAMPUNG SERAYA | 0878 9457 7773 | 0 |
| 965 | - | ROSAR RIYANDA SUPIT | 08 Oct 2014, Wednesday | BUANA IMPIAN 2 BLK WISH 1/36 | - | 0 |
| 966 | - | GEORGE COLE CLARK | 15 Oct 2014, Wednesday | APARTEMEN LAI LAI | 0821 7231 1988 | 0 |
| 967 | - | FERDINAN | 16 Oct 2014, Thursday | BENGKONG DALAM BLK B/10 | 0853 1292 8886 | 0 |
| 968 | - | FASSA RELLA WORDO SAF MANURUNG | 23 Oct 2014, Thursday | TJ SENGKUANG | 0813 7272 9263 | 0 |
| 969 | - | ADE VICTOR IMANUEL | 28 Oct 2014, Tuesday | NONGSA | 0878 9421 7082 | 0 |
| 970 | - | MATIUS HARSON SAGAKA | 31 Oct 2014, Friday | KOMP. WIJAYA BLKP/9 | 0821 7050 3048 | 0 |
| 971 | - | TOURISA BR SIAHAAN | 02 Nov 2014, Sunday | TEMBESI RAYABLK F/11 | 0857 6546 4709 | 0 |
| 972 | - | MARIA NOGO PAYONG | 03 Nov 2014, Monday | BIDAASRI 1 BLK A2/40 | 0812 6828 2031 | 0 |
| 973 | - | SUSANA | 10 Nov 2014, Monday | QUEEN VICTORIA APARTMENT | 0877 9107 2566 | 0 |
| 974 | - | ELISA MARIANA SIHOMBING | 12 Nov 2014, Wednesday | TAMAN HANG TUAH BLK C5/17 | 0821 7455 5708 | 0 |
| 975 | - | SATOSHI YAMADA | 15 Nov 2014, Saturday | SAKURA GARDEN LT 5 NO1 | 0819 9088 3155 | 0 |