| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1081 | - | ROSDIANA SINAGA | 10 Jan 2016, Sunday | LEGENDA MALAKA BLK H9/9 | 0813 0460 1021 | 0 |
| 1082 | - | SYAHPRIDA FITRI | 10 Jan 2016, Sunday | BELAKANG PADANG | 0812 7005 3600 | 0 |
| 1083 | - | R AGUNG KUNTADI HENDRAWAN | 11 Jan 2016, Monday | PULAU ABANG | 0812 6858 4323 | 0 |
| 1084 | - | FENDI SITUMEANG | 20 Jan 2016, Wednesday | WARTA KARSA FF6 | 0812 6841 2544 | 0 |
| 1085 | - | THANDAYUTHAM NEELAGHIRI | 25 Jan 2016, Monday | BLK 37 CICUIT ROAD SINGPORE | 0659 8953 100 | 0 |
| 1086 | - | INTAN | 31 Jan 2016, Sunday | PT DEWI KARTIKA INTI | 0821 7042 5040 | 0 |
| 1087 | - | ADRIAN SINAGA | 01 Feb 2016, Monday | ORCHID PARK BLK C1/52 | 0813 6464 4564 | 0 |
| 1088 | - | EASAH PRAKASH ABRAHAM LINCOLN | 07 Feb 2016, Sunday | MESS PT NEXELITE | 0812 7026 9646 | 0 |
| 1089 | - | NICOLAS WAHYU NUGROHO SUHADI | 09 Feb 2016, Tuesday | RUSUN LANCANG KUNING | 0819 0429 2338 | 0 |
| 1090 | - | LIP LIONG | 09 Feb 2016, Tuesday | WINDSOR CENTRAL BATAM KOTA | 0823 8888 8338 | 0 |
| 1091 | - | ADITYA SAPUTRA | 17 Feb 2016, Wednesday | ORCHID PARK | 0822 8550 9221 | 0 |
| 1092 | - | JULIATI ARITONANG | 21 Feb 2016, Sunday | BIDA ASRI I BLK C1/48 | 0813 7821 1121 | 0 |
| 1093 | - | MARIA KRISTINA SILALAHI | 22 Feb 2016, Monday | VILLA HANGLEKIR BLK CC/3 | 0813 7847 6455 | 0 |
| 1094 | - | JUNI PURWANDARI | 24 Feb 2016, Wednesday | LEGENDA MALAKA | 0812 9013 4106 | 0 |
| 1095 | - | RIMBUN SIHOTANG | 04 Mar 2016, Friday | CENTER PARK BLK K/8 | 0852 0728 6518 | 0 |