| NO. | FORMULIR | NAMA LENGKAP | TANGGAL MASUK ISLAM | ALAMAT | TELEPON | SURAT KETERANGAN |
|---|---|---|---|---|---|---|
| 1351 | - | NATALIA HUTAGAOL | 24 Jan 2019, Thursday | PERUMAHAN PANTAI GADING, BENGKONG LAUT | 0812 6167 1334 | 0 |
| 1352 | - | DELIMA RINI BR SIMBOLON | 25 Jan 2019, Friday | DUSUN TAPIAN NAULI | 0853 8652 6642 | 0 |
| 1353 | - | LITA GULTOM | 25 Jan 2019, Friday | NAGOYA INDAH BLOK D1 N0.5-6 | 0812 6875 8316 | 0 |
| 1354 | - | SUYANTO | 25 Jan 2019, Friday | JL.KAKTUS TING NO.45, PRUMAHAN BUKIT INDAH SUKAJADI | 0812 7013 066 | 0 |
| 1355 | - | FITRI RIANA | 26 Jan 2019, Saturday | KP. SIDOMUKTI, KEL. PINANG KENCANA, KEC. TJ. PINANG | 0813 6399 9627 | 0 |
| 1356 | - | YUSTA SABARSIA HALAWA | 28 Jan 2019, Monday | HILIWETO IDANOI | 0813 7818 5518 | 0 |
| 1357 | - | R THIAGESAN | 04 Feb 2019, Monday | BLK 219, PASIR RIS ST 21#02-162 | 9125 1214 | 0 |
| 1358 | - | LAY SANTI / JIE SIH HAK | 05 Feb 2020, Wednesday | TAMAN RAYA TAHAP 1 | 0813 6404 7384 | 0 |
| 1359 | - | KAREN | 11 Feb 2019, Monday | APARTEMEN QUEEN VICTORIA | 0812 7661 0197 | 0 |
| 1360 | - | KEVIN FERNANDO | 11 Feb 2019, Monday | TAMAN SERUNI INDAH. BLOK B-3A | 0858 3482 3004 | 0 |
| 1361 | - | DAHLIA FENNY VALENTINE SABAYANG | 14 Feb 2019, Thursday | KOMP. SD NEGERI 09, SAGULUNG | 0812 7767 1016 | 0 |
| 1362 | - | MARIETTA GALUH AYU PITALOKA | 25 Feb 2019, Monday | SURAKARTA, TEGALREJO RT.02/02, JEBRES | 0821 7057 6638 | 0 |
| 1363 | - | TOROZATULO HAREFA | 26 Feb 2019, Tuesday | CIKITSU C1 NO-16 | 0822 2766 3555 | 0 |
| 1364 | - | PAULINA ASTI BAREK BURA | 26 Feb 2019, Tuesday | TANJUNG UMA | 0812 7544 6631 | 0 |
| 1365 | - | FINA ERFINA | 01 Mar 2019, Friday | GOLDEN LAND BLOK B 53 | 0822 8395 6207 | 0 |