| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1276 | - | CHATARINA NURAK NELA NOVENTA | 22 Nov 2017, Wednesday | NAGOYA CITY WALK, BLOK F, NO.206 | 0823 1372 1177 | 0 |
| 1277 | - | HENNY AGUSTINA STEPANI | 24 Nov 2017, Friday | KOMP. WISMA BUANA INDAH, BLOK E, NO.06 | 0821 6990 0822 | 0 |
| 1278 | - | RUSMINI | 25 Nov 2017, Saturday | JL. GUDANG MINYAK NO.35, TG. UNGGAT | 0822 8397 1531 | 0 |
| 1279 | - | ABI | 25 Nov 2017, Saturday | KRABAT RT.002 RW.001 | 0812 7712 863 | 0 |
| 1280 | - | RAMLIA ESE | 27 Nov 2017, Monday | KAV. BUKIT MAKMUR BLOK Q/94 | 0813 4969 8885 | 0 |
| 1281 | - | ROSMAINI | 27 Nov 2017, Monday | BUKIT SENYUM, NO. 10 | - | 0 |
| 1282 | - | MARGARETTAJULIANA PANJAITAN | 07 Dec 2017, Thursday | PERUM. BUANA GARDEN 2, BLOK E-7 | 0813 7259 0032 | 0 |
| 1283 | - | KEVIN WAYNE WRIGHT | 15 Dec 2017, Friday | 78 CAMBERDALE, PL LONDON, CANADA | 0815 3664 6860 | 0 |
| 1284 | - | NAMAN | 29 Dec 2017, Friday | PERUMAHAN JODOH PERMAI, BLOK D, NO.24 | 0812 7787 878 | 0 |
| 1285 | - | FREDY JOHANNES MARPAUNG | 08 Feb 2018, Thursday | JLN. PERJUANGAN GG. SUMBA NO.10 | 0812 6292 2682 | 0 |
| 1286 | - | MARGARETHA PASKALIA HENI | 23 Feb 2018, Friday | PERUM MUTIARA VIEW, TIBAN SEKUPANG | 0813 6497 8420 | 0 |
| 1287 | - | BRETT CICCOTOSTO | 27 Feb 2018, Tuesday | SL 73, PEPAYA, BLOK III, BALOI BATAM | 0853 7642 0747 | 0 |
| 1288 | - | RICHARD KIM WOOSTER | 02 Mar 2018, Friday | - | - | 0 |
| 1289 | - | MARDIANA NATALIA ZANGGA | 06 Mar 2018, Tuesday | MITRA RAYA | 0821 7223 0385 | 0 |
| 1290 | - | HARTANTO | 09 Mar 2018, Friday | PERUM NUSA JAYA BLOK B4/14 | 0813 7211 7738 | 0 |