| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 991 | - | TUNJUNG DWI SUBANDRIYO | 18 Feb 2015, Wednesday | ANGGREK MAS 1 H23 | 0819 9100 0492 | 0 |
| 992 | - | SANTO | 21 Feb 2015, Saturday | BUANA VISTA | 0853 6514 5155 | 0 |
| 993 | - | RITCHAD MARTUANI | 23 Feb 2015, Monday | RUSUN TANJUNG UNCANG | 0813 7249 6969 | 0 |
| 994 | - | JHOHANES | 24 Feb 2015, Tuesday | KAMPUNG TUA BELIAN 3/2 | 0812 6632 7006 | 0 |
| 995 | - | KATRIANA SEMAR | 25 Feb 2015, Wednesday | BIDA ASRI BLOK C1 48 | 0812 8906 8709 | 0 |
| 996 | - | NYAWAHI GULO | 26 Feb 2015, Thursday | DUSUN 1 AEK GAMBIR LUMUT | 0813 6240 3076 | 0 |
| 997 | - | JULIANA | 07 Mar 2015, Saturday | BUKIT MAS KAMBOJA D 10 | 0856 6566 678 | 0 |
| 998 | - | MARTHA MAGDALENA NENOHAIFETO | 19 Mar 2015, Thursday | SEI TERING MELCEM | 0813 7202 7006 | 0 |
| 999 | - | JOHNSON ALFONSO SIMANJUNTAK | 25 Mar 2015, Wednesday | KP TUA BELIAN | 0813 6287 4282 | 0 |
| 1000 | - | RICO LIOUS | 30 Mar 2015, Monday | BANDAR SRIMAS BLOK K | 0812 6157 3833 | 0 |
| 1001 | - | RAINOL HM | 12 Apr 2015, Sunday | BENGKONG HARAPAN BLOK A 12 | 0822 8331 9079 | 0 |
| 1002 | - | YANTO ALIAS HOK TIANG | 14 Apr 2015, Tuesday | BATU AJI MITRA MALL | 0812 7079 7957 | 0 |
| 1003 | - | BELASETA GINTING | 17 Apr 2015, Friday | TRISAKTI BLOOK J 1 SEI PANAS | 0823 8891 3300 | 0 |
| 1004 | - | MARIA DENSI TANADARITA | 18 Apr 2015, Saturday | BUKIT TIMUR | 0812 6806 6824 | 0 |
| 1005 | - | RAJESH ANAK ADVER JOSEPH | 24 Apr 2015, Friday | JOHOR BAHRU PANDAN | 0857 6369 9639 | 0 |