| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1156 | - | ERNAWATI BR SITORUS | 16 Aug 2015, Sunday | DUSUN SAPTA MARGA | 0813 7572 6017 | 0 |
| 1157 | - | WIDI ASTUTI | 07 Aug 2015, Friday | BIDA KABIL | 0852 6840 1978 | 0 |
| 1158 | - | SARMIAH | 06 Aug 2015, Thursday | BLOK 2 | 0822 8551 0985 | 0 |
| 1159 | - | HERLINA SARI DEWI PASARIBU | 11 Aug 2015, Tuesday | BATAM CENTER | 0813 7249 7439 | 0 |
| 1160 | - | WIWIK KARTINA | 18 Dec 2015, Friday | KAMPUNG SERAYA 004/002 | 0895 3304 86657 | 0 |
| 1161 | - | SINTA | 12 Oct 2015, Monday | JL CEMARA PALUA | 0812 9050 2000 | 0 |
| 1162 | - | ANGELINA DEWI | 13 Jul 2015, Monday | LEGENDA MALAKA | 0812 6193 2899 | 0 |
| 1163 | - | MICHAEL | 24 Jul 2015, Friday | JL DANAU JEMPANG | 0853 5977 1514 | 0 |
| 1164 | - | YUSTINUS DEWANTORO | 13 Jul 2015, Monday | LEGENDA MALAKA | 0852 8041 094 | 0 |
| 1165 | - | LIZA DINI ESTER | 13 Aug 2015, Thursday | PEMDA 2 PERUM SAWANGAN PERMAI | 0822 3632 0334 | 0 |
| 1166 | - | NICODEMUS HENDRIKUS SIHURA | 04 Aug 2015, Tuesday | - | 0856 6707 398 | 0 |
| 1167 | - | SIMON BALI ANA MUDA | 05 Aug 2015, Wednesday | BATAM CENTER | 0821 4580 1941 | 0 |
| 1168 | - | FRISKILLA ANGELLIA | 09 Jul 2015, Thursday | BENGKONG HARAPAN | 0813 6466 0301 | 0 |
| 1169 | - | SAMI DAMARIS SITOMPUL | 12 Jan 2015, Monday | SOUTHLINK | 0812 7718 0768 | 0 |
| 1170 | - | LI HONG | 02 Jan 2015, Friday | PERUM OMA BLK H4/B12 | 0813 6321 7639 | 0 |