Form Pendaftaran.docx
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FORMULIR PENDAFTARAN TAHFIDZ QUR’AN Nama Lengkap
:
………………………………………………………….
Tempat Tgl Lahir
:
………………………………………………………….
Alamat Lengkap
:
…………………………………………………………. …………………………………………………………. ………………………………………………………….
Jenis Kelamin
:
Laki-laki / Perempuan *)
Nomor HP
:
…………………………………………………………..
Motivasi menghafal Qur’an :…………………………………………………………. …………………………………………………………..
Pernyataan : Dengan ini saya siap / tidak*) mengikuti program Tahfidz Qur’an, dan mentaati arahan dan tata tertib program Tahfidz Qur’an.
Jakarta, ……………………. 2018
3x4
(…………………………………)
:
………………………………………………………….
Tempat Tgl Lahir
:
………………………………………………………….
Alamat Lengkap
:
…………………………………………………………. …………………………………………………………. ………………………………………………………….
Jenis Kelamin
:
Laki-laki / Perempuan *)
Nomor HP
:
…………………………………………………………..
Motivasi menghafal Qur’an :…………………………………………………………. …………………………………………………………..
Pernyataan : Dengan ini saya siap / tidak*) mengikuti program Tahfidz Qur’an, dan mentaati arahan dan tata tertib program Tahfidz Qur’an.
Jakarta, ……………………. 2018
3x4
(…………………………………)
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