1. SIJIL PENGAJIAN AL-QURAN (SPQ)
AKADEMI PENGAJIAN ISLAM
UNIVERSITI MALAYA, NILAM PURI
BORANG PENDAFTARAN
NAMA:………………………………………………………………………………………….
NO. KAD PENGENALAN: ……………………………………
PEKERJAAN:………………………………………………….
ALAMAT:………………………………………………………………………………………
………………………………………………………………………………………………..…
…………………………………………………………………………………………………
KELULUSAN AKADEMIK:………………………………….................................................
NO.TEL:
(H/P)……………………………(R):……………………………(P)………………………..
*PILIHAN MODUL:
I(
)
II (
)
III(
)
IV(
)
V(
)
TANDATANGAN:……………………………………………….TARIKH:………………….
*SILA TANDAKAN ( X ) SATU SAHAJA