| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 31 | - | MARIA NGATINEM | 22 Dec 2004, Wednesday | MUKAKUNING | - | 0 |
| 32 | - | NURITA MARPAUNG | 10 Jan 2005, Monday | ORCHID PARK C2/117 | 0852 6411 0417 | 0 |
| 33 | - | YULIANA | 15 Jan 2005, Saturday | BATU AJI | - | 0 |
| 34 | - | HIU MEN FUI | 25 Jan 2005, Tuesday | BENGKONG INDAH 2 C/93 | 0813 6448 3447 | 0 |
| 35 | - | NITA | 31 Jan 2005, Monday | GREEN LAND F2/20 | 0852 6404 7516 | 0 |
| 36 | - | YUNNI SUGIHARTI | 31 Jan 2005, Monday | KANAAN INDAH B/14 | - | 0 |
| 37 | - | SUBARAMANIYAM S/O TANGARAJU | 07 Feb 2005, Monday | YISHUN RING ROAD #04-1055 | 0936 7949 1 | 0 |
| 38 | - | YANITA | 10 Feb 2005, Thursday | PONDOK ASRI INDAH H/4 | 0813 6444 8906 | 0 |
| 39 | - | HONITA ROI HATI SIAHAAN | 14 Feb 2005, Monday | TIBAN BUKIT PERMAI 1/6 | 0815 3318 9667 | 0 |
| 40 | - | LIMELDA SIRAIT | 14 Feb 2005, Monday | LUBUK BAJA | 0852 6408 3258 | 0 |
| 41 | - | JOKTHAN JORRY M | 21 Feb 2005, Monday | DURIANGKANG | 0778 7023 030 | 0 |
| 42 | - | RAMINA | 21 Feb 2005, Monday | BATAM CENTER | - | 0 |
| 43 | - | TAN CHAI SEN | 01 Mar 2005, Tuesday | - | - | 0 |
| 44 | - | ROSMARIA TIODORUS | 04 Mar 2005, Friday | KALI MALANG JAKARTA TIMUR | 0821 4221 759 | 0 |
| 45 | - | ALEX | 14 Mar 2005, Monday | TAMAN PUTRI INDAH B/9 | 0859 7784 1512 | 0 |