| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1231 | - | HELENA LETEK ARANG | 17 Mar 2017, Friday | LIWO, RT.007, RW.003 | 0821 7257 9215 | 0 |
| 1232 | - | SAYENTI WAU | 21 Mar 2017, Tuesday | HAPPY GARDEN BLOK E NO.95 | - | 0 |
| 1233 | - | MENSILIANA SERO | 31 Mar 2017, Friday | KP. BARU, GG.MELATI, TANJUNG RIAU | 0822 8411 1788 | 0 |
| 1234 | - | RUSSEL JOHN SMITH | 04 Apr 2017, Tuesday | 1 HOPETOWN ST, KEMESEY, NSW | 0438 6651 80 | 0 |
| 1235 | - | HARTATI DENNI SIMANGUNSONG | 11 Apr 2017, Tuesday | BENGKONG PALAPA 2, SWADAYA FF/11 | 0 | |
| 1236 | - | MARTINUS MANO TUKAN | 18 Apr 2017, Tuesday | TAMAN RAYA TAHAP 3, BLOK GU 11 | 0 | |
| 1237 | - | SUGANDI | 19 Apr 2017, Wednesday | KOMPLEK ANGGREK PERMAI, BLOK L NO.12B | 0823 1177 1313 | 0 |
| 1238 | - | NURAISYAH NAPITUPULU | 11 May 2017, Thursday | KOMP. BUNGA SETANGKAI, TELUK TERING | 0812 6933 6544 | 0 |
| 1239 | - | DIAH PRIHARTINI | 15 May 2017, Monday | JLN. UNTUNG SUROPATI SEL II/30, MALANG | 0823 8845 7884 | 0 |
| 1240 | - | MARIA FRANSISKA | 18 May 2017, Thursday | KAV. SENJULUNG, BLOK C, NO.240 | 0856 6831 5620 | 0 |
| 1241 | - | SWASTI MURNI GEA | 22 May 2017, Monday | KAMPUNG MELAYU, BUKIT JODOH, BLOK I, NO.15 | 0852 6599 9451 | 0 |
| 1242 | - | SRI ASTOETI | 08 Jun 2017, Thursday | KAMPUNG DALAM, RT.01 RW.04 | 0812 7712 781 | 0 |
| 1243 | - | MAY SALSABILA TAMPUBOLON | 08 Jun 2017, Thursday | KAMPUNG DALAM, RT.01 RW.04 | - | 0 |
| 1244 | - | LILIS KARLINA HASUGIAN | 14 Jun 2017, Wednesday | TELUK BAKAU | 0823 6940 8828 | 0 |
| 1245 | - | DESI YUSNIAR SIMATUPANG | 18 Jun 2017, Sunday | PERUM CITRA INDOMAS TAHAP2, BLOK C2 NO.6 | 0815 3355 4964 | 0 |