| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1096 | - | RIKI SUSANTO | 10 Mar 2016, Thursday | TAMAN BT AJI INDAH II A6/5 | 0812 7593 6394 | 0 |
| 1097 | - | MARISTELLA JUSLINDA SEMBIRING | 11 Mar 2016, Friday | MUTIARA VIEW BLK B1/1 | 0812 6100 4877 | 0 |
| 1098 | - | FETRI DEWI PUJI ASTUTI | 15 Mar 2016, Tuesday | DORMITORY BLK N2 MUKAKUNING | 0857 6720 7977 | 0 |
| 1099 | - | ELLY DIANA | 21 Mar 2016, Monday | BENGKONG BARU | 0812 6707 1909 | 0 |
| 1100 | - | WINARDI | 22 Mar 2016, Tuesday | KAMPUNG MANGGA BATU BESAR | 0852 7232 2111 | 0 |
| 1101 | - | SHELLY W | 30 Mar 2016, Wednesday | KP BELIAN RT1/2 | 0812 7749 107 | 0 |
| 1102 | - | RINA OKTAVIANI | 30 Mar 2016, Wednesday | - | - | 0 |
| 1103 | - | JOSEPHINE TIRAJOH | 05 Apr 2016, Tuesday | BENGKONG BENGKEL | 0853 6515 0020 | 0 |
| 1104 | - | SINAR MITRALIUR SIMORANGKIR | 07 Apr 2016, Thursday | BENKONG PALAPA ATAS BLK J/7 | 0812 7516 1181 | 0 |
| 1105 | - | EDY PRIMZA KABAN | 20 Apr 2016, Wednesday | BIDA AYU BLK W/77 | 0819 2716 3424 | 0 |
| 1106 | - | MARINCE NAISOKO | 25 Apr 2016, Monday | BALOI PERMAI BATAM KOTA | 0852 7450 6550 | 0 |
| 1107 | - | AGUSTINUS NDRURU | 28 Apr 2016, Thursday | PUTRA JAYA CLUSTER D/F/26 | 0812 6840 927 | 0 |
| 1108 | - | KARTINI DEWI SIANTURI | 02 May 2016, Monday | BENGKONG HARAPAN II BLK M/184 | 0852 6443 1700 | 0 |
| 1109 | - | TJONG SOI FAT | 02 May 2016, Monday | JL NELAYAN TERUSAN/6 PEMANGKAT KALBAR | 0822 5554 1767 | 0 |
| 1110 | - | WILLY | 12 May 2015, Tuesday | ANGGREK SARI BLOK F1 25 | 0819 9112 1648 | 0 |