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PEMBINAAN IMAN & TAQWA
(PANGKAT)
Student’s Name :
Grade : Tenth Eleventh Twelfth
Selected Activity : (please choose only one)
Learning Quran
Teaching Quran
Studying Islam
Name of Institution :
Address :
Name of Supervisor :
Contact :
Name of Teachers* :
(other than
supervisor)
Number of
participants
:
QURAN RECITAL (TAHSIN JILID 1) DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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EVALUATION Score
Punctuality (Kedisiplinan)
Mastery (Penguasaan Materi)
Jember, ……………………………
Supervisor
_____________
QURAN RECITAL (TAHSIN JILID 2)
DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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EVALUATION Score
Punctuality (Kedisiplinan)
Mastery (Penguasaan Materi)
Jember, ……………………………
Supervisor
_____________
QURAN RECITAL (TAHSIN JILID 3)
DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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EVALUATION Score
Punctuality (Kedisiplinan)
Mastery (Penguasaan Materi)
Jember, ……………………………
Supervisor
_____________
QURAN RECITAL (AL-QUR’AN, TAJDWID, GHORIB)
DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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DATE PAGE NOTE SIGN
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EVALUATION Score
Punctuality (Kedisiplinan)
Mastery (Penguasaan Materi)
Jember, ……………………………
Supervisor
_____________
QURAN MEMORIZING (TAHFIDZ)
SURAH DATE NOTE SIGN
1. Al-Fâtihah
114. An Nâs
113. Al-Falaq
112. Al-Ikhlas
111. Al-Lahab
110. An-Nashr
109. Al-Kâfirûn
108. Al-Kautsar
107. Al-Mâ’ûn
106. Quroisy
105. Al-Fîl
104. Al-Humazah
103. Al-Ashr
SURAH DATE NOTE SIGN
102. At-Takâtsur
101. Al-Qôri’ah
100. Al-‘Adiyât
99. Al-Zalzalah
98. Al-Bayyinah
97. Al-Qodr
96. Al-‘Alaq
95. At-Tîn
94. Asy-Syarh
93. Adh-Dhuhâ
92. Al-Lail
91. Asy-Syams
90. Al-Balad
89. Al-Fajr
88. Al-Ghosyiyah
87. Al-A’la
SURAH DATE NOTE SIGN
86. Ath-Thôriq
85. Al-Burûj
84. Al-Insyiqôq
83. Al-Muthoffifin
82. Al-Infithôr
81. At-Takwîr
80. ‘Abasa
79. An-Nazi’at
78. An-Naba’
EVALUATION Score
Punctuality (Kedisiplinan)
Mastery (Penguasaan Materi)
Jember, ……………………………
Supervisor
_____________
Selected Ayat
Al-Baqoroh 1-7
Al-Baqoroh 255-257
Ali Imron 102-105
Ali Imron 110-111
Alli-Imron 190-194
Al-Kahfi 1-10
Selected Hadith
Aqidah
Sholat
Zakat
Puasa
Haji
Dakwah
Jihad
Bid’ah
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