| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 46 | - | RIA SUSANTI | 02 Apr 2005, Saturday | BLOK V 27 | 0813 6433 0893 | 0 |
| 47 | - | EMMA HOTNAULI SINAGA | 11 Apr 2005, Monday | RUSUN LANCANG KUNING BLK BULAN #302 | 0813 6450 7590 | 0 |
| 48 | - | WAYAN SHINTA | 14 Apr 2005, Thursday | ANGGREK PERMAI P/10 | 0813 6439 8446 | 0 |
| 49 | - | SAURMA SIAGIAN | 24 Apr 2005, Sunday | CENTER PARK BATAM CENTER | - | 0 |
| 50 | - | MARIKSON RONI MARPAUNG | 29 Apr 2005, Friday | CENDANA BATAM CENTER | - | 0 |
| 51 | - | MERRYANA NDULLA RATU | 03 May 2005, Tuesday | SERUNI INDAH BLK E/6 | 0778 4631 81 | 0 |
| 52 | - | LINCE MELDAWATI S | 03 May 2005, Tuesday | BENGKONG ABADI 04/1 | 0813 6464 310 | 0 |
| 53 | - | LISNAWATI LALA | 11 May 2005, Wednesday | NAGOYA CENTER A/3 | 0778 4223 75 | 0 |
| 54 | - | JESY | 02 Jul 2005, Saturday | BUSINESS CENTER IV/9 | 0852 6409 7990 | 0 |
| 55 | - | ERVINA DHAMAYANTI NABABAN | 02 Jul 2005, Saturday | BENGKONG INDAH 1 C/16 | - | 0 |
| 56 | - | ENGLE ANGRAYANI TANGKA | 06 Jul 2005, Wednesday | BENGKONG HARAPAN 1 02/18 | 0778 4216 19 | 0 |
| 57 | - | DELPI MANURUNG | 11 Jul 2005, Monday | PULAU BULUK | 0813 6401 0281 | 0 |
| 58 | - | RUSUDI LAOLI | 18 Jul 2005, Monday | SERAYA GARDEN 1/4 N0 2 | 0813 6427 3926 | 0 |
| 59 | - | SORTA ARITONANG | 22 Jul 2005, Friday | BLOK 3 /65 NAGOYA | 0812 6134 096 | 0 |
| 60 | - | ROSALYN HUTAPEA | 27 Jul 2005, Wednesday | DUTA MAS B8/10 | 0811 6963 13 | 0 |