ASSALAMUALAIKUM WR WB BERITA DUKA INNAH LILLAHI WAINNA ILAIHI ROJIUN Telah meninggal dunia pada hari....................................tanggal....................................... di.................................. Anggota PAK No........................... Nama
: ..............................................................................
Umur
: ..............................................................................
Alamat rumah
: ...............................................................................
Adapun jenazah akan dikebumikan pada hari ...............................Tanggal............... Pukul ...............................................................di Pemakaman ..................................
Perum TOP,.............................. Ketua PAK
Usman Bakar
ASSALAMUALAIKUM WR WB BERITA DUKA INNAH LILLAHI WAINNA ILAIHI ROJIUN Telah meninggal dunia pada hari....................................tanggal....................................... di.................................. Anggota PAK No........................... Nama
: ..............................................................................
Umur
: ..............................................................................
Alamat rumah
: ...............................................................................
Adapun jenazah akan dikebumikan pada hari ...............................Tanggal............... Pukul ...............................................................di Pemakaman ..................................
Perum TOP,.............................. Ketua PAK
Usman Bakar