FORMULIR PENDAFTARAN SANTRI BAITUL QURRA' AL-MUTTAQIN
Pondok Pesantren Al-Muttaqin Cirebon
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Nama Lengkap *
Tempat, Tanggal Lahir (cth : Cirebon, 5 April 2002)
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Alamat Lengkap *
No. WhatsApp Aktif
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Akun Instagram, Fb
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Pilihan Program Pembelajaran
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Jumlah Hafalan & Mutqin (cnth ; Jumlah 5, Mutqin 3)
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Riwayat Sekolah Formal (SD,SMP,SMA,KULIAH) *
Riwayat Pembelajaran Non. Formal (karantina/pelatihan,dll) jika ada
Ijazah Sanad, Prestasi (jika ada) *
Riwayat Penyakit* *
Alasan & Tujuan Belajar di Baitul Qurra' Al-Muttaqin
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