| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1246 | - | NURYANA ROMAULI SIRAIT | 20 Jun 2017, Tuesday | TIBAN MC DERMOTT, BLOK F NO.10 | 0819 9103 2999 | 0 |
| 1247 | - | SARCE SUMIATI NUSA | 05 Jul 2017, Wednesday | KOPKAR PLN, BLOK G 2 | 0812 9797 8940 | 0 |
| 1248 | - | YANSENUS LENTINO | 20 Jul 2017, Thursday | SIJANTUNG | 0812 6601 7431 | 0 |
| 1249 | - | EFENDY MANGIHUT TUA SITINJAK | 25 Jul 2017, Tuesday | BATU AJI, BATAM | 0813 8183 0219 | 0 |
| 1250 | - | LEO MARTHIN | 31 Jul 2017, Monday | DAPUR 12 | - | 0 |
| 1251 | - | HAGAI MARDI ESVE PELAWI | 04 Aug 2017, Friday | TANJUNG UMA RT.004 RW.004 | 0812 7777 8714 | 0 |
| 1252 | - | PRAWIRA SURA ATMAJA HUTAHAEN | 08 Aug 2017, Tuesday | JL. JAHE 8, NO.4, P SIMALINGKAR | 0812 8535 6114 | 0 |
| 1253 | - | PAUL LANCE PALMER | 08 Aug 2017, Tuesday | FREEBIRD, WERSTERN RISW, ENGLAND | 813 6464 0016 | 0 |
| 1254 | - | IMANUEL RIO PERSADA REGAR | 14 Aug 2017, Monday | SAGULUNG BERSERI, BLOK A/28 | 0812 7088 1675 | 0 |
| 1255 | - | SOEYANDI | 21 Aug 2017, Monday | KAMPUNG PISANG | 0812 6771 7103 | 0 |
| 1256 | - | NURLI A SIAHAAN | 22 Aug 2017, Tuesday | PERUM. GOLDEN LAND BLOK F, NO.35 | 0823 8782 6213 | 0 |
| 1257 | - | DJAM SENG | 25 Aug 2017, Friday | KOMP. RUKO TRIKARSA EKUALITA BLOK I, NO.12 | 0821 5254 1125 | 0 |
| 1258 | - | ANGELA JANUARY SALIM | 06 Sep 2017, Wednesday | VILLA PANBIL BLOK R NO.22 | 0812 7069 1118 | 0 |
| 1259 | - | MELPITA SIBARANI | 02 Oct 2020, Friday | BALOI KOLAM | 0813 3536 5489 | 0 |
| 1260 | - | NATALIA SIMANUNGKALIT | 06 Oct 2017, Friday | KAV. BUKIT KAMBOJA | 0812 7738 2541 | 0 |