| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1261 | - | ELPI DIANA | 09 Oct 2017, Monday | KAV, LAMA, PUNGGUR | 0812 7089 1921 | 0 |
| 1262 | - | RASMAN TARIGAN | 09 Oct 2017, Monday | KAV. SENJULUNG | 0812 7089 1921 | 0 |
| 1263 | - | JONE ANDREAS TARIGAN | 09 Oct 2017, Monday | KAV, LAMA, PUNGGUR | - | 0 |
| 1264 | - | ESTER | 16 Oct 2017, Monday | PERUM. WISMA BUANA INDAH BLOK D NO.07 | 0812 7069 9991 | 0 |
| 1265 | - | TEGUH KEMBARAN | 21 Oct 2017, Saturday | LEGENDA MALAKA, BLOK D-10, NO.6 | 0858 8134 7355 | 0 |
| 1266 | - | ANGELA FRANSISCA POLUAN | 23 Oct 2017, Monday | PERUM. ORIANA BLOK B-15 NO,20 | 0822 8886 1995 | 0 |
| 1267 | - | SUSI MEINIDAR GWO | 23 Oct 2017, Monday | PASIR PUTIH | 0812 6883 2188 | 0 |
| 1268 | - | ERWIN DACHI | 23 Oct 2017, Monday | PASIR PUTIH | 0812 6883 2188 | 0 |
| 1269 | - | RIAN IFRANIUS TARIHORAN | 24 Oct 2017, Tuesday | KAV. BUKIT MELATI, BLOK A NO.90 | 0856 6404 2529 | 0 |
| 1270 | - | FERDIANUS FREDOM | 03 Nov 2017, Friday | KAVLING BIDA KABIL | - | 0 |
| 1271 | - | PAULUS WAWORUNDENG | 07 Nov 2017, Tuesday | JL. CILIWUNG RAYA NO.3A, DEPOK TIMUR | 0852 8075 7501 | 0 |
| 1272 | - | LEWIC SUSENO S | 09 Nov 2017, Thursday | TAMAN RAYA, BLOK EJ, NO.24 | 0857 6537 5095 | 0 |
| 1273 | - | FREDY WISLI SINAGA | 15 Nov 2017, Wednesday | KAV. FLAMBOYAN, BLOK C, NO.100 | 0813 8082 2651 | 0 |
| 1274 | - | MARISI PASARIBU | 16 Nov 2017, Thursday | GG. NINDOMIYAH 22, JOMBANG | - | 0 |
| 1275 | - | LUCIA YUNITA | 17 Nov 2017, Friday | NGANDAGAN, KEC. PITURUH, KAB. PURWOREJO | 0878 9403 3093 | 0 |