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مؤسسة الألفة الإسلامى لخدمة الحجاج
والمعتمرين
KELOMPOK BIMBINGAN IBADAH HAJI
KBIH AL-ULFAH
Akta Notaris Perubahan : Yayasan
Islam Al Ulfah Lewo
Enok Siti
Kodariah Adawiah, S.H. Nomor 02 Tanggal 06 Februari 2013
SK Pengesahan
MENKUMHAM RI Nomor AHU-1061.AH.01.04 Tanggal 07 Maret 2013
Ijin
Operasional KBIH SK. Kepala Kanwil Kementerian Agama Provinsi Jawa Barat
Nomor 0896 Tanggal 14 Maret 2014
Sekretariat
: Komplek Yayasan Islam Al Ulfah Lewo Neglasari RT. 001/RW. 006 Lewobaru
Malangbong Garut 44188 contact Center 085861998191-082219241333 Provinsi Jawa Barat
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FORMULIR PENDAFTARAN CALON JAMA’AH HAJI
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NAMA LENGKAP
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BIN/BINTI
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TEMPAT LAHIR
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TANGGAL
LAHIR
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PEKERJAAN
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PENDIDIKAN
TERAKHIR
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ALAMAT
LENGKAP
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NOMOR TLP/HP
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NOMOR PORSI
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NOMOR SPPH
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NOMOR PASPOR
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NOMOR KTP
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GOLONGAN
DARAH
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BANK
PENERIMA SETORAN
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PROYEKSI
TAHUN PEMBERANGKATAN
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Menyatakan ikut Bimbingan Manasik Haji dan Umroh
di KBIH Al Ulfah Neglasari-Lewobaru-Malangbong-Garut
Provinsi Jawa Barat, dan sebagai persyaratan berikut saya sampaikan :
1.
Pas
Foto Haji 2x3 dan 3x4, masing-masing sebanyak 2 lembar
2.
Photo
Copy KTP sebanyak 2 lembar
3.
Photo
Copy Kartu Keluarga sebanyak 2 lembar
4.
Photo
Copy Akta Kelahiran sebanyak 2 lembar
5.
Photo
Copy Ijazah sebanyak 2 lembar
6.
Photo
Copy SPPH
7.
Photo
Copy Buku Tabungan sebanyak 2 lembar
8.
Bukti
Setoran Awal BPIH dari BPS
9.
Biaya
Pendaftaran
10.
Biaya
Bimbingan Manasik
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Pengurus KBIH
Register,
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Garut, ..........................................
Saya,
Calon Jama’ah Haji
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posting by H. Sobarul Hakim, S.Pd.I
Ketua KBIH Al Ulfah Garut JABAR
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