BORANG SEMINAR AL QURAN ANJURAN MASJID ASSYAKIRIN

SEMINAR AL-QURAN : Bersamamu Al-Quran PENDAFTARAN $25 seorang

BAH AGIAN A - Ke t e rang an p es e rt a :N ama p e nuh N ama p us at cawang an/ p e rt ub uhan/ k ump ulan

:NRIC No J uml ah Pe se rta

:Alamat

:Ho me :Pe jab at :Hp

BAH AGIAN B Saya i ngi n me nye rtai se mi nar Al -Q uran anj uran masj i d Assyak i ri n yang di .l ak sanak an pada 2 4 De c 2 01 1 dari j am 2 pe tang hi ngga 5 pe tang Be rsama i ni saya se rtk an w ang se banyak $ _________ bagi ____________ .pe se rta _________________ :Si gnature : _______________________________ Date

- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Ke g unaan p e jab at Tarik h Bayar an Re ce ipt N o Of f ice r' s N ame

$25

* Makanan disiapkan sebelum zohor.