| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1141 | - | AGUSTINUS | 10 Dec 2015, Thursday | VALENSIA BLOK I 21 | 0856 6840 0340 | 0 |
| 1142 | - | ARMEN SEMBIRING | 15 Dec 2015, Tuesday | MEDITERANIA KK1/33 | 0812 6111 1975 | 0 |
| 1143 | - | ROBERT | 20 Oct 2015, Tuesday | - | 0899 5978 171 | 0 |
| 1144 | - | FRANCISKO SIHALOHO | 13 Jul 2015, Monday | KP BELIAN BATAM CENTER | 0852 7813 5834 | 0 |
| 1145 | - | YOANN MIKR BUCHE | 27 Apr 2015, Monday | 6 RUE SAN GILLEN | 0813 7216 6274 | 0 |
| 1146 | - | HARYANTO | 22 Sep 2015, Tuesday | CENTRAL LEGENDA POINT | 0912 7720 5309 | 0 |
| 1147 | - | UCIK KUSWARAWATI | 23 Feb 2015, Monday | RUSUN TANJUNG UNCANG | 0823 8217 4344 | 0 |
| 1148 | - | NASIP TARIGAN | 12 Oct 2015, Monday | RUSUN SEKUPANG | 0852 7203 570 | 0 |
| 1149 | - | LIFDA K SIMANJUNTAK | 12 Oct 2015, Monday | KAV. SUMBER MULIA | 0812 6143 6033 | 0 |
| 1150 | - | APRILDA ZEBUA | 24 Sep 2015, Thursday | TUNAS REGENCY BLK K/12A | 0822 8829 41134 | 0 |
| 1151 | - | RIANA LIU | 18 Jun 2015, Thursday | CITY GARDEN BLK RAYA /12-14 | - | 0 |
| 1152 | - | JHON CLINTON JUDE DE SILVA | 16 Oct 2015, Friday | KAMP. KAMBOJA TG UBAN | 0812 6163 2900 | 0 |
| 1153 | - | SRI VERA SAODAH | 12 Mar 2015, Thursday | BALOI DITPAM | 0821 7043 3226 | 0 |
| 1154 | - | EVA WATI TAMPUBOLON | 12 Apr 2015, Sunday | BATU AJI | 0856 6586 514 | 0 |
| 1155 | - | FRANS JHONATAN MARPAUNG | 14 Aug 2015, Friday | JL MELUR | 0812 6862 8854 | 0 |