Home > Uncategorized > formulir pendaftaran santri ma’had manarul qur’an

formulir pendaftaran santri ma’had manarul qur’an

FORMULIR PENDAFTARAN

SANTRI MA’HAD MANARUL QUR’AN

TAHUN AJARAN 20… / 20…

 

 
   

 

 

 

Nama Lengkap            : ________________________________________________________________

Nama Panggilan          : ________________________________________________________________

Temp. Tgl Lahir          : ________________________________________________________________

Alamat                        : ________________________________________________________________

Jenis Kelamin              : ________________________________________________________________

Asal Sekolah               : ________________________________________________________________

Prestasi yang diraih     : ________________________________________________________________

Jumlah Saudara           : ________________________________________________________________

Anak Ke                      : ________________________________________________________________

 

Nama Ayah                 : ________________________________________________________________

Alamat                        : ________________________________________________________________

Pekerjaan                     : ________________________________________________________________

Pendidikan Terakhir    : ________________________________________________________________

No. Telp. / HP             : ________________________________________________________________

 

Nama Ibu                    : ________________________________________________________________

Alamat                        : ________________________________________________________________

Pekerjaan                     : ________________________________________________________________

Pendidikan Terakhir    : ________________________________________________________________

No. Telp. / HP             : ________________________________________________________________

 

Nama Wali                  : ________________________________________________________________

Alamat                        : ________________________________________________________________

Pekerjaan                     : ________________________________________________________________

Pendidikan Terakhir    : ________________________________________________________________

No. Telp. / HP             : ________________________________________________________________

 

Tujuan dan harapan masuk Ma’had Manarul Qur’an

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                                                Paciran, ____, ____________ 20…

 

             Wali Santri                                                                                         Yang Mendaftar,

 

 

 

( ____________________ )                                                                ( ____________________ )

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