| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 121 | - | LISIN | 24 Aug 2006, Thursday | BENGKONG HARAPAN 1 C/51 | 0856 6823 0293 | 0 |
| 122 | - | HENDRICK BIN MAO | 28 Aug 2006, Monday | KAV LAMA BATU AJI | 0813 7262 2704 | 0 |
| 123 | - | YAMADA SINTA | 01 Sep 2006, Friday | MARCHELIA A/169 | 0813 7272 4523 | 0 |
| 124 | - | BASUKI EFENDI | 10 Sep 2006, Sunday | SEI PANAS KAMP MELAYU BLK 1 | 0856 6639 408 | 0 |
| 125 | - | MARIA IVONE LONDA | 16 Sep 2006, Saturday | WOLOGAE TIMUR | - | 0 |
| 126 | - | ALEX SIMAMORA | 18 Sep 2006, Monday | KAWASAN LIMINDO TRADE CENTER | - | 0 |
| 127 | - | THEODORE KRISTIN EVALINDA | 19 Sep 2006, Tuesday | PERUMNAS BATUAJI B/14 | 0812 7028 2889 | 0 |
| 128 | - | PRYCILIA ROOSYE EUGENIE | 23 Sep 2006, Saturday | BATAM PARK G/1 | 0856 6821 3333 | 0 |
| 129 | - | RONNY | 26 Sep 2006, Tuesday | VILLA PESONA ASRI C10/5 | 0856 6801 6161 | 0 |
| 130 | - | BUNGA LONGGE | 22 Oct 2006, Sunday | GOLDEN LAND | 0813 7267 7187 | 0 |
| 131 | - | HINCA MARTALENA SIAGIAN | 23 Nov 2006, Thursday | BENGKONG | 0813 7278 8488 | 0 |
| 132 | - | GUNAWAN | 01 Dec 2006, Friday | NAGOYA POINT A1 | 0813 7344 5588 | 0 |
| 133 | - | KIKI HAPSARI | 09 Dec 2006, Saturday | TAMAN RAYA BLK G5/15 | 0816 3606 709 | 0 |
| 134 | - | ARI NUGROHO | 15 Dec 2006, Friday | KAV NONGSA | 0852 6486 9611 | 0 |
| 135 | - | KEKEN HARDIANSYAH | 05 Jan 2007, Friday | APARTEMEN RAMAYANA A/221 | 0778 4255 55 | 0 |