| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1201 | - | SHELLY W | 30 Mar 2016, Wednesday | KP BELIAN RT1/2 | 0812 7749 107 | 0 |
| 1202 | - | RINA OKTAVIANI | 30 Mar 2016, Wednesday | - | - | 0 |
| 1203 | - | JOSEPHINE TIRAJOH | 05 Apr 2016, Tuesday | BENGKONG BENGKEL | 0853 6515 0020 | 0 |
| 1204 | - | SINAR MITRALIUR SIMORANGKIR | 07 Apr 2016, Thursday | BENKONG PALAPA ATAS BLK J/7 | 0812 7516 1181 | 0 |
| 1205 | - | EDY PRIMZA KABAN | 20 Apr 2016, Wednesday | BIDA AYU BLK W/77 | 0819 2716 3424 | 0 |
| 1206 | - | MARINCE NAISOKO | 25 Apr 2016, Monday | BALOI PERMAI BATAM KOTA | 0852 7450 6550 | 0 |
| 1207 | - | AGUSTINUS NDRURU | 28 Apr 2016, Thursday | PUTRA JAYA CLUSTER D/F/26 | 0812 6840 927 | 0 |
| 1208 | - | KARTINI DEWI SIANTURI | 02 May 2016, Monday | BENGKONG HARAPAN II BLK M/184 | 0852 6443 1700 | 0 |
| 1209 | - | TJONG SOI FAT | 02 May 2016, Monday | JL NELAYAN TERUSAN/6 PEMANGKAT KALBAR | 0822 5554 1767 | 0 |
| 1210 | - | KERIZMAN YAIZ | 03 May 2016, Tuesday | JODOH CENTER | 0823 8513 8412 | 0 |
| 1211 | - | ANDI | 11 May 2016, Wednesday | JL RAMBUTAN/1 BLKII LBK BAJA | 0813 0604 2496 | 0 |
| 1212 | - | NAKATSUMA YUJI | 15 May 2016, Sunday | OSAKA | 0909 8621 266 | 0 |
| 1213 | - | LIE SHIAU KIE | 23 May 2016, Monday | BUKIT PALEM PERMAI | 0813 6468 6095 | 0 |
| 1214 | - | ANCELINA DANGA KOIN | 29 May 2016, Sunday | BT AJI | - | 0 |
| 1215 | - | ROSIANTI LIMBONG | 31 May 2016, Tuesday | BENGKONG INDAH II BLK B/39 | 0823 8603 0487 | 0 |