BUKU PENGEMBANGAN IBADAH

DAN BACA TULIS AL QURAN SISWA

MI AL FATTAH DUKUTALIT JUWANA
TAHUN PELAJARAN 2014-2015

YAYASAN BAITUL KHOLID

MADRASAH IBTIDAIYAH AL FATTAH
DUKUTALIT JUWANA PATI
Alamat : Jln. Ki Dukut Gang Merpati Ds. Dukutalit Kec. Juwana Kab. Pati
mialfattahjuwana.blogspot.com, alfattahdukutalit@ymail.com,
082 325 964 964

BIODATA SISWA
MI AL FATTAH DUKUTALIT JUWANA PATI
No. Induk
I. KETERANGAN TENTANG IDENTITAS ANAK
1

Nama Lengkap

Nama Panggilan

Jenis Kelamin

Tempat Tanggal Lahir

Alamat

TPQ

Jilid

: sudah/belum*
:

II. KETERANGAN TENTANG IDENTITAS ORANG TUA

A. Ayah kandung/tiri/angkat/atau wali
1 Nama
:
2

Pendidikan

Pekerjaan/Jabatan

:
:

Nomor Telepon

B. Ibu kandung/tiri/angkat/atau wali

1 Nama
:
2

Pendidikan

Pekerjaan/Jabatan

:
:

Nomor Telepon

Mengetahui,
Kepala MI Al Fattah

Waidi Ah. Halimi, S.Pd.I

No HP : 082325964964

Juwana,
Guru Pendamping,

( ... )
No HP : __________________
2

Kata Pengantar
Assalamualaikum warahmatullah wabarakatuh,
Puji syukur kita panjatkan kehadirat Allah SWT, shalawat dan salam
kepada Nabi Muhammad SAW, karena bimbingan-Nya Buku Pengembangan
Ibadah dan BTQ (Baca Tulis Al-Quran) Siswa Kelas VI MI AL FATTAH Dukutalit
Juwana Tahun Pelajaran 2014/2015 yang berisi tentang baca tulis Al-Quran,
pelaksanaan Shalat Lima Waktu, Bacaan Shalat, Hafalan Doa-Doa harian dan
Hafalan surat-surat pendek dalam Juz Amma, sekaligus berfungsi ganda sebagai
buku penghubung antara orang tua/wali di lingkungan rumah tangga dengan
pembimbing di madrasah, hal ini diterbitkan untuk mempermudah guru
pembimbing mengadakan kontrol di luar lingkungan madrasah.
Penyusun menyadari bahwa buku ini jauh dari kesempurnaan, baik
bentuk maupun sistematis isinya, oleh karena itu sumbangan saran dan
masukan dari semua pihak untuk perbaikan senantiasa kami nantikan.
Akhirnya kita berharap semoga Allah SWT, meridhoi usaha kita untuk
melahirkan generasi Islam yang rahmatan lil alamin, yang berguna di dunia dan
akhirat, Amin.
Wallahul muwaffiq ila aqwamit thoriq
Wassalamualaikum warahmatullah wabarakatuh.

Tim Penyusun

AL FATTAH CREATIVA
3

Daftar Isi

Sampul ...................................................................................................................................

Biodata Siswa ......................................................................................................................

Kata Pengantar ...................................................................................................................

Daftar Isi ...............................................................................................................................

Catatan Baca Tulis Al-Quran .......................................................................................

Catatan Pelaksanaan Ibadah Shalat 5 Waktu .......................................................

10

Catatan Hafalan Surat Pendek ......................................................................................

39

Catatan Hafalan Doa Harian .........................................................................................

40

Catatan Hafalan Bacaan dalam Sholat .......................................................................

41

Catatan Praktik Ibadah ....................................................................................................

42

Daftar Pendamping Pengamalan Ibadah dan BTQ ..............................................

43

Catatan Baca Tulis Al-Quran

NO

Tanggal

Jilid / Juz

Hal/Ayat

Nilai

Paraf

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
5

Catatan Baca Tulis Al-Quran

NO

Tanggal

Jilid / Juz

Hal/Ayat

Nilai

Paraf

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
6

Catatan Baca Tulis Al-Quran

NO

Tanggal

Jilid / Juz

Hal/Ayat

Nilai

Paraf

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
7

Catatan Baca Tulis Al-Quran

NO

Tanggal

Jilid / Juz

Hal/Ayat

Nilai

Paraf

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
8

Catatan Baca Tulis Al-Quran

NO

Tanggal

Jilid / Juz

Hal/Ayat

Nilai

Paraf

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
9

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
10

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
11

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
12

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
13

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
14

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
15

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
16

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
17

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
18

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
19

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
20

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
21

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
22

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
23

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
24

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
25

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
26

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
27

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
28

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
29

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
30

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
31

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
32

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
33

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
34

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
35

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
36

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
37

Catatan Pelaksanaan Ibadah Shalat 5 Waktu

Bulan : ...........................
Lingkarilah !
R = shalat di rumah
No. Hari/Tanggal

Ahad,

Senin,

Selasa,

Rabu,

Kamis,

Jumat,

Sabtu,

Minggu ke : .........
M = shalat di Masjid

S = shalat di Madrasah

Subuh

Dhuhur/
Jumat

Ashar

Magrib

Isya

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S
R
M
S

Catatan mengenai isi Khutbah Jumat :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
38

Catatan Hafalan Surat Pendek

No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23

Tanggal

Surat

Nilai

Paraf

Al-Fatihah
An-Nas
Al-Falaq
Al-Ikhlas
Al-Lahab
An-Nashr
Al-Kafirun
Al-Kautsar
Al-Maun
Al-Quraisy
Al-Fiil
Al-Humazah
Al-Ashar
Al-Takatsur
Al-Qariah
Al-Adiyat
Az-ZalzAlalah
Al-Bayyinah
Al-Qadr
Al-Alaq
At-Tiin
Al-Insyirah
Adh-Dhuha

Catatan :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
39

Catatan Hafalan Doa Harian

No

Tanggal

Doa

Dunia Akhirat

Untuk Orang Tua

Akan Tidur

Bangun Tidur

Keluar Rumah

Akan Makan

Sesudah Makan

Masuk WC

Keluar WC

10

Akan Wudhu

11

Niat Wudhu

12

Sesudah Wudhu

13

Masuk Masjid

14

Keluar Masjid

15

Naik Kendaraan

16

Niat Puasa

17

Buka Puasa

18

Tahlil

Nilai

Paraf

19
20
Catatan :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
40

Catatan Hafalan Bacaan dalam Sholat

No

Tanggal

Doa

Takbiratul Ikhram

Doa Iftitah

Doa Ruku

Doa Itidal

Doa Sujud

Doa duduk diantara 2 Sujud

Tahiyat Awal

Doa Tahiyat Awal

Tahiyat Akhir

10

Doa Tahiyat Akhir

11

Doa Qunut

12

Wirid/Doa Sesudah Shalat

Nilai

Paraf

Catatan :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )
41

Catatan Praktik Ibadah

No

Tanggal

1
2
3
4
5
6
7
8
9
10

Amalan

Nilai

Paraf

Wudhu
Tayamum
Adzan
Iqamah
Sholat Subuh
Sholat Jenazah
Sholat Dhuha

Catatan :

Mengetahui,
Orang Tua/Wali Murid

Telah diperiksa,
Guru Pendamping

( ........................................ )

( ........................................ )

42

DAFTAR PENDAMPING PENGAMALAN IBADAH DAN BTQ

TAHUN PELAJARAN 2014/2015
NO
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9

10

NO.
NAMA
INDUK
278
SALSABILA MAYRA
279
SARLA NANTA DEWI
SHEILA KUSUMA
281
ARDANY
SHOFWATUL
282
MAHMUDAH
283
TRI NUR ALFIANI
230
BAYU KURNIAWAN
231
BIMA DEWANTARA
339
CHICHIK YUNI ARTHI
DANY WAHYU
260
SAPUTRA
232
DICKY NUGROHO
FATIMATUS ZAHRO
262
SALSABELA
234
FAZA MANITTAQO
FIRDATUL
263
MAGFIROTUNNISA
264
FITRIA ZAHRONIA
236
GINA LUSIANA
KHALISA YUNAINA
240
SALSABILA
267
KHOIRUN NINZAR
270
M. ZAINUDDIN
MARETHA AMANDA
285
SARI
241
NANDA YULIANA AP.
252
ADAM SURYANATA
253
ADINDA TALIA PUTRI
223
AHMAD AJI RIFKI
AHMAD ANDIKA
254
PUTRA
AHMAD KHOIRUL
224
RISKI
SALWA NUR
246
FAUZIYAH
SAYYIDATI MAULIA
280
ASYFA
SITI ULFIATUN
247
ZUMAIROH
248
TIARA HERTIKA SARI

249

UMMI SALAMAH

GURU
PENDAMPING

IBU SITI
MUHAJAROH

BAPAK AHMAD
HALIMI

BAPAK IRHAM
SHODIQ

NO.
NO INDUK
1

243

2
3
4

190
244
245

276

255

257

258

259

10

261

1
2

235
237

238

266

414

265

239

271

268

10

269

272

2
3

273
277

274

275

6
7
8

222
225
226

174

10

284

NAMA
NOFAL AFRIYANTO
FIRMANSYAH
NOVIANA DIANA FITRI
NURLILA ANGGITA S.
RIZKI AMALIA
RIZKI BAGUS
PRAKOSO
AHMAD SHOLIHUL
FARUQ
AMALIAN FAFA
RIZKIYANTO
ANESA NUR ROHMAH
BIMA PUTRA
PRATIDINA
FADILLAH NUR
SAADATUL HIKMAH
FITA MARIANI
HANA UMI FADHILAH
HARIS SYIFAUL QOLBI
SYAHRIR RAMADHAN
IZZATUL MONA
JACKY JAWAD
LUKMAN H.
IRVAN AHMAD
MAHMUDI
ISMA NUR FADILLAH
MEIDIANA DWI
HUTAMI
MUHAMMAD ABDUL
BASITH
MUHAMMAD SYIFA
FUADI
MUSLIMATIN
KHOFIFAH
NIHAYA NUR JANAH
RHOFIATUS LATIFA A.
RIDWAN ZAHID
ABDULLAH
RISKA APREY
VITASARI
ADITYA BASKARA
AHMAD NUR FAIZ
ALDO RIVALDO
ANANDA PUTRA
FADILA

GURU
PENDAMPING

BAPAK
AHSANUL
UMAM

IBU SITI
MAESAROH

BAPAK
MUCHTAR
CHUNDORI

ANDRI ABDUL WAHAB

43

Catatan:
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44

Catatan:
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45