| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 976 | - | DESI NAINGGOLAN | 17 Nov 2014, Monday | BENGKONG INDAH II BLK F/64 | 0823 8722 0117 | 0 |
| 977 | - | PASKALIS MALAU | 19 Nov 2014, Wednesday | MEDITERANIA BLK JJ/20A | 0813 7866 7887 | 0 |
| 978 | - | NALIA | 20 Nov 2014, Thursday | TIBAN BERLIAN BLKK/2 | 0813 6428 6339 | 0 |
| 979 | - | JAKA GUNAWAN | 27 Nov 2014, Thursday | MEDITERANIA BLK JJ1/19 | 0853 1699 1799 | 0 |
| 980 | - | RISMA HOTMAULI HUTAPEA | 17 Dec 2014, Wednesday | KAMPUNG BARU NO 28 | 0812 7762 1035 | 0 |
| 981 | - | ROSNA LIDIA WATI | 24 Dec 2014, Wednesday | BALOI KEBUN RT 8/10 TMN BALOI | 0852 6321 6484 | 0 |
| 982 | - | KRISTINA INANG | 26 Dec 2014, Friday | SAGULUNG SUMBER JAYA BLK A/10 | 0823 8697 0548 | 0 |
| 983 | - | TJAI WAN | 30 Dec 2014, Tuesday | KOMP. AKU TAHU BLK D1/8 | 0812 7719 7881 | 0 |
| 984 | - | RUDY | 11 Jan 2015, Sunday | SERSAN ZURAIDA JAMBI | 0823 3422 1111 | 0 |
| 985 | - | DODI | 14 Jan 2015, Wednesday | VILLA BUKIT INDAH BLOK I NO 18 | 0821 6904 9922 | 0 |
| 986 | - | ALI MINARTO | 21 Jan 2015, Wednesday | BUKIT SENYUM | 0853 7412 6441 | 0 |
| 987 | - | MARIANA WORANG | 21 Jan 2015, Wednesday | TANJUNG UMA | 0831 9110 1292 | 0 |
| 988 | - | HERMAN | 29 Jan 2015, Thursday | PONTIANAK | 0878 9401 4458 | 0 |
| 989 | - | HERVANI ROSA PATTIASINA | 12 Feb 2015, Thursday | PURI LEGENDA BLOK B 12 | 0822 8395 5656 | 0 |
| 990 | - | NORMAWATI RERUNG | 15 Feb 2015, Sunday | BIDA ASRI 1 BATAM CENTER | 0896 9864 6701 | 0 |