| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1216 | - | PUTRA TURNIP | 01 Jun 2016, Wednesday | TIBAN KOPERASI BLK U/21 | 0778 8323 345 | 0 |
| 1217 | - | LIBANORO LOREDANO | 03 Jun 2016, Friday | VIA GONELLA SANDONA01 PIAVE | 0393 3566 84428 | 0 |
| 1218 | - | APRINA | 05 Jun 2016, Sunday | SEI PANAS | 0811 7552 277 | 0 |
| 1219 | - | JIMMI ANTONI SIMANGUNSONG | 07 Jun 2016, Tuesday | ASTER RAYA BLK B4/12 | - | 0 |
| 1220 | - | TRI MURTI SINAGA | 11 Jun 2016, Saturday | BUKIT INDAH /25 BT AJI | 0813 6412 7213 | 0 |
| 1221 | - | SUPANDI | 14 Jun 2016, Tuesday | KAMPUNG TENGAH BATU BESAR | 0822 8536 4695 | 0 |
| 1222 | - | IKA DAMARIA MANIK | 25 Jun 2016, Saturday | BENGKONG HARAPAN BARU I | 0812 8588 0260 | 0 |
| 1223 | - | ELLYA BAGARIANG | 25 Jun 2016, Saturday | PERUM MKGR BT AJI | 0813 6409 9676 | 0 |
| 1224 | - | ERIYANTO | 30 Jun 2016, Thursday | BENGKONG JAYABLK C/6 | 0812 7040 3699 | 0 |
| 1225 | - | DAVID JIZAR LUKAS | 12 Jul 2016, Tuesday | TJ PINGGIR SEKUPANG | 0812 6151 6879 | 0 |
| 1226 | - | NOFERTIANUS SARUMAHA | 21 Feb 2017, Tuesday | PERUMAHAN GARDAN RAYA, BLOK GD8, NO.2 | 0895 2560 9287 | 0 |
| 1227 | - | ROY CHANDRA PARDEDE | 10 Mar 2017, Friday | PERUM EDEN PARK, BLOK Q, NO.9 | 0896 7875 7086 | 0 |
| 1228 | - | JACQUELINE ANGELINE JETNA | 13 Mar 2017, Monday | PALM BEACH BLOCK C N0.33 | 0812 8242 2164 | 0 |
| 1229 | - | YULIANA PENI KEBAN | 13 Mar 2017, Monday | PALM BEACH BLOCK C N0.33 | 0812 2426 9375 | 0 |
| 1230 | - | ENDANG SILFERLINA ZENDRATO | 15 Mar 2017, Wednesday | WINSOR | 0852 6184 7384 | 0 |