| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1036 | - | IIN SULAINI | 24 Oct 2015, Saturday | ARMENDO RAYA D NO 3 | 0822 8434 8881 | 0 |
| 1037 | - | LISDA MARIDA SIHOTANG | 03 Nov 2015, Tuesday | BENGKONG SARMEN G 27 | 0852 7217 1498 | 0 |
| 1038 | - | ANNA SISILIA SIREGAR | 05 Nov 2015, Thursday | GREENLAND BLOK F1 NO 10 | 0852 1881 4691 | 0 |
| 1039 | - | JHONIANTO PASARIBU | 07 Dec 2015, Monday | MARINDAL | 0812 7032 2869 | 0 |
| 1040 | - | PATHIPATI LOKESH | 08 Dec 2015, Tuesday | DUTAMASVICTORIA CLUSTER 2 | 0812 6829 0433 | 0 |
| 1041 | - | AGUSTINUS | 10 Dec 2015, Thursday | VALENSIA BLOK I 21 | 0856 6840 0340 | 0 |
| 1042 | - | ARMEN SEMBIRING | 15 Dec 2015, Tuesday | MEDITERANIA KK1/33 | 0812 6111 1975 | 0 |
| 1043 | - | ROBERT | 20 Oct 2015, Tuesday | - | 0899 5978 171 | 0 |
| 1044 | - | FRANCISKO SIHALOHO | 13 Jul 2015, Monday | KP BELIAN BATAM CENTER | 0852 7813 5834 | 0 |
| 1045 | - | YOANN MIKR BUCHE | 27 Apr 2015, Monday | 6 RUE SAN GILLEN | 0813 7216 6274 | 0 |
| 1046 | - | HARYANTO | 22 Sep 2015, Tuesday | CENTRAL LEGENDA POINT | 0912 7720 5309 | 0 |
| 1047 | - | UCIK KUSWARAWATI | 23 Feb 2015, Monday | RUSUN TANJUNG UNCANG | 0823 8217 4344 | 0 |
| 1048 | - | NASIP TARIGAN | 12 Oct 2015, Monday | RUSUN SEKUPANG | 0852 7203 570 | 0 |
| 1049 | - | LIFDA K SIMANJUNTAK | 12 Oct 2015, Monday | KAV. SUMBER MULIA | 0812 6143 6033 | 0 |
| 1050 | - | APRILDA ZEBUA | 24 Sep 2015, Thursday | TUNAS REGENCY BLK K/12A | 0822 8829 41134 | 0 |