| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1066 | - | NICODEMUS HENDRIKUS SIHURA | 04 Aug 2015, Tuesday | - | 0856 6707 398 | 0 |
| 1067 | - | SIMON BALI ANA MUDA | 05 Aug 2015, Wednesday | BATAM CENTER | 0821 4580 1941 | 0 |
| 1068 | - | FRISKILLA ANGELLIA | 09 Jul 2015, Thursday | BENGKONG HARAPAN | 0813 6466 0301 | 0 |
| 1069 | - | SAMI DAMARIS SITOMPUL | 12 Jan 2015, Monday | SOUTHLINK | 0812 7718 0768 | 0 |
| 1070 | - | LI HONG | 02 Jan 2015, Friday | PERUM OMA BLK H4/B12 | 0813 6321 7639 | 0 |
| 1071 | - | MARIA DENSI TANA DAFITA | 18 Apr 2015, Saturday | BUKIT TIMUR | 0812 8066 824 | 0 |
| 1072 | - | RONY BRAHMANA | 27 Mar 2015, Friday | BLK 2 WINDSOR | 0812 6830 0326 | 0 |
| 1073 | - | NANG NON | 15 May 2015, Friday | CITRA KOTA MAS B1/26 | 0822 4429 3209 | 0 |
| 1074 | - | YUGI FIRMANTA | 20 Jun 2015, Saturday | GRIYA BATU AHI BLKE/5 | 0821 2727 54219 | 0 |
| 1075 | - | DEASY ARISANDI MANIK | 03 Jun 2015, Wednesday | BOTANIA GATRDEN | 0823 6165 1848 | 0 |
| 1076 | - | HERI WAGUNG | 15 Jun 2015, Monday | SUNGAI TONGKANG | 0823 8933 0245 | 0 |
| 1077 | - | VAJAR SUNARDI SIAHAAN | 20 Jun 2015, Saturday | KP PELANDUK BT AJI | 0821 6905 1491 | 0 |
| 1078 | - | MARIANA SIMANJUNTAK | 05 Jan 2016, Tuesday | TJ PIAYU | - | 0 |
| 1079 | - | FRANCISCUS RUDI WAHYUDI | 05 Jan 2016, Tuesday | FAMILY DREAM BANDARA B3/2 | 0812 7753 0009 | 0 |
| 1080 | - | SANTIKA MARPAUNG | 05 Jan 2016, Tuesday | BENGKONG INDAH BLK E/22 | 0822 8550 7851 | 0 |