PANITIA ZAKAT 1435 H PANITIA ZAKAT 1435 H

MASJID RADEN RAHMAT - RUMAH SAKIT ISLAM MALANG MASJID RADEN RAHMAT - RUMAH SAKIT ISLAM MALANG

FORMULIR PENYERAHAN ZAKAT, INFAQ & SHADAQOH FORMULIR PENYERAHAN ZAKAT, INFAQ & SHADAQOH

Nama/Keluarga : .................................................................................................... Nama/Keluarga : ....................................................................................................

Beras/Uang Sebesar: ..................................liter /Rp............................................ Beras/Uang Sebesar: ..................................liter /Rp............................................
(...................................................................................................................................) (...................................................................................................................................)

Untuk Pembayaran : Untuk Pembayaran :

Zakat Fitrah : .......................(..................................................................................) Zakat Fitrah : .......................(..................................................................................)
Zakat Mal : .......................(..................................................................................) Zakat Mal : .......................(..................................................................................)
Sadaqah : .......................(..................................................................................) Sadaqah : .......................(..................................................................................)
Infaq : .......................(..................................................................................) Infaq : .......................(..................................................................................)
Fidyah :.........;.......hari (.................................................................................) Fidyah :.........;.......hari (.................................................................................)
Dari sejumlah.................(jiwa), yaitu: Dari sejumlah.................(jiwa), yaitu:
1............................................................. 2........................................................... 1............................................................. 2...........................................................
3............................................................. 4........................................................... 3............................................................. 4...........................................................
5............................................................. 6........................................................... 5............................................................. 6...........................................................
7............................................................. 8........................................................... 7............................................................. 8...........................................................

Malang, ............................ 2014. Malang, ............................ 2014.

Panitia Zakat Fitrah 1435 H Panitia Zakat Fitrah 1435 H
Yang menyerahkan, Yang menerima, Yang menyerahkan, Yang menerima,

(………………………………..) (………………………………..) (………………………………..) (………………………………..)

NB: Formulir bisa diperbanyak sendiri. NB: Formulir bisa diperbanyak sendiri.