JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
REGISTRASI BNQ APP-LPQN
(Aktifasi, Pemanfaatan, & Pemberdayaan Lembaga Pendidikan Qur'an Nusantara)
https://bnq.anamfalpesantren.com
*Sebelum mengisi silahkan membaca contoh MOU BNQ APP-LPQN dan menyetujui.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Bersama-Sama Mewujudkan Visi 90% Muslim Indonesia Bisa Ngaji Qur'an.
Nama Lembaga/Perusahaan
*
Your answer
Jabatan di Lembaga/Perusahaan
*
Your answer
No. MOU Kerjasama
*
Your answer
Nama Lengkap
*
Your answer
NIK (KTP)
*
Your answer
Tempat, Tanggal Lahir (TTL)
*
Your answer
No. HP (WA)
*
Your answer
Alamat Email
*
Your answer
Alamat Tinggal
*
Your answer
Nama Rumah Qur'an BNQ Yang Diinginkan
*
*Menambah 1 / 2 kata diakhir kalimat "Rumah Qur'an BNQ". Ex: Rumah Qur'an BNQ Bintaro / Rumah Tahfiz BNQ Sudirman
Your answer
Motto Rumah Qur'an / Tahfiz
*
Your answer
Fokus Layanan Rumah Qur'an
*
Qiro'ah (Membaca)
Tahfiz (Menghafal)
Tilawatil Qur'an (Seni Lagu)
Qiro'ah & Tahfiz
Required
Sasaran Peserta Ngaji
*
Anak-Anak (TK-SD/Sederajat)
Remaja-Pemuda (SMP-MA-Kuliah/Sederajat)
Umum/Dewasa
Anak - Dewasa
Required
Alamat Tempat Mengaji
*
Your answer
Infaq Pilihan Per-Pertemuan
*
*Dibayarkan per-bulan tanggal 25
Choose
Rp 200.000
Rp 300.000
Rp 500.000
Rp 750.000
Rp 1.000.000
Catatan Tambahan
Your answer
Apapun Cita-Citamu, Al-Qur'an Dasar Hidup Kita Semua.
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report