FORM KIRIM DOA

2020/1442 H

Nama : ...............................................................................................
Alamat : ...............................................................................................
Telp : ...............................................................................................

Kirim doa untuk keluarga yang meninggal, almarhum/almarhumah :

NO NAMA KETERANGAN
1.
2.
3.
4.
5.

Hajat yang lain :

1. ................................................................................................
2. ................................................................................................
3. ................................................................................................