Anda di halaman 1dari 99

JURNAL KEGIATAN SISWA

(Wirid & Agenda Ramdhan)

PEMERINTAH PROPINSI SUMATERA BARAT


DINAS PENDIDIKAN
SMA NEGERI 5 BUKITTINGGI
Jl. Nj. Dt. Mangkuto Ameh, Kel. Koto Selayan
Kec. Mandiangin Koto Selayan, Kota Bukittinggi

Nama siswa : .......................................


Kelas : .......................................
Alamat : .......................................

DINAS PENDIDIKAN PROVINSI SUMATERA 1


IDENTITAS SISWA

Nama Lengkap : ..............................................................................................


Panggilan : ..............................................................................................
Tempat / Tgl Lahir : ..............................................................................................
Kelas : ..............................................................................................
Sekolah : ..............................................................................................
Alamat : ..............................................................................................
..............................................................................................
Masjid / Mushalla : ..............................................................................................
Alamat : ..............................................................................................
..............................................................................................
Telepon / HP : ..............................................................................................

Orang Tua
Nama Ayah : ..............................................................................................
Tempat / Tgl Lahir : ..............................................................................................
Pekerjaan : ..............................................................................................
Nama Ibu : ..............................................................................................
Tempat / Tgl Lahir : ..............................................................................................
Pekerjaan : ..............................................................................................
Alamat : ..............................................................................................
Telepon / HP : ..............................................................................................

Mengetahui .............., ....................2023


Orang Tua / Wali Siswa

__________________________ __________________________

CATATAN APRESIASI

DINAS PENDIDIKAN PROVINSI SUMATERA 2


IBADAH SHALAT FARDHU DAN PUASA RAMADHAN 1444 H

Puasa Paraf
Shalat Fardhu
Hari/Tanggal Rmd Ramadhan Nilai
S Z A M I Ortu Guru
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
Total Nilai
Nilai Rata-Rata

Guru Penilai,

.............................................

CATATAN APRESIASI
IBADAH SUNNAH RAMADHAN 1444 H

Puasa Paraf
Shalat Fardhu

DINAS PENDIDIKAN PROVINSI SUMATERA 3


S Z A M I Ramadhan Ortu Guru
Hari/Tanggal Rmd Nilai
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
Total Nilai
Nilai Rata-Rata

Guru Penilai,

.............................................

CATATAN APRESIASI
IBADAH TADARUS DAN TAHFIDZ QUR’AN RAMADHAN 1444 H

Puasa Paraf
Shalat Fardhu
Hari/Tanggal Rmd Ramadhan Nilai
S Z A M I Ortu Guru
1

DINAS PENDIDIKAN PROVINSI SUMATERA 4


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
Total Nilai
Nilai Rata-Rata

Guru Penilai,

.............................................

DINAS PENDIDIKAN PROVINSI SUMATERA 5


CATATAN KEGIATAN
WIRID REMAJA

DINAS PENDIDIKAN PROVINSI SUMATERA 6


CATATAN KEGIATAN WIRID REMAJA
TAHUN PELAJARAN 20.. / 20...

DINAS PENDIDIKAN PROVINSI SUMATERA 7


Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................

DINAS PENDIDIKAN PROVINSI SUMATERA 8


Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 9


Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 10


ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN

DINAS PENDIDIKAN PROVINSI SUMATERA 11


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 12


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 13


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 14


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 15


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 16


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 17


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 18


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 19


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 20


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 21


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 22


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 23


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 24


...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 25


...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 26


Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu

DINAS PENDIDIKAN PROVINSI SUMATERA 27


Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

DINAS PENDIDIKAN PROVINSI SUMATERA 28


Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri
....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

PESANTREN
RAMADHAN
DINAS PENDIDIKAN PROVINSI SUMATERA 29
1444 H / 2023 M

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 30


Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu

DINAS PENDIDIKAN PROVINSI SUMATERA 31


Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

DINAS PENDIDIKAN PROVINSI SUMATERA 32


Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri
....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

DINAS PENDIDIKAN PROVINSI SUMATERA 33


Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri
....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri

DINAS PENDIDIKAN PROVINSI SUMATERA 34


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......

DINAS PENDIDIKAN PROVINSI SUMATERA 35


Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

DINAS PENDIDIKAN PROVINSI SUMATERA 36


..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

DINAS PENDIDIKAN PROVINSI SUMATERA 37


..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

DINAS PENDIDIKAN PROVINSI SUMATERA 38


..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

DINAS PENDIDIKAN PROVINSI SUMATERA 39


..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

DINAS PENDIDIKAN PROVINSI SUMATERA 40


..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 41


CATATAN KEGIATAN WIRID REMAJA
TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 42


CATATAN KEGIATAN WIRID REMAJA
TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 43


CATATAN KEGIATAN WIRID REMAJA
TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 44


CATATAN KEGIATAN WIRID REMAJA
TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA

DINAS PENDIDIKAN PROVINSI SUMATERA 45


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...

DINAS PENDIDIKAN PROVINSI SUMATERA 46


Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................

DINAS PENDIDIKAN PROVINSI SUMATERA 47


Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 48


Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 49


ISI RINGKASAN MATERI/KEGIATAN
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

CATATAN KEGIATAN WIRID REMAJA


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Judul : ......................................................................................................
Masjid/Mushalla : ......................................................................................................
ISI RINGKASAN MATERI/KEGIATAN

DINAS PENDIDIKAN PROVINSI SUMATERA 50


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Penilaian Catatan Wirid Remaja Shalat Fardhu
Sangat Sesuai Cukup Sesuai Kurang Sesuai Shubuh Zhuhur Ashar Magrib Isya

Penilaian bersifat kuantitatif dengan rentang : 0 – 100 B : Berjamaah S : Sendiri


....................., .............................20......
Pemateri/Pengurus Masjid/Mushalla Guru Pembimbing/Kordinator

..................................................................... .....................................................................

REKAPITULASI PEROLEHAN NILAI


KEGIATAN PESANTREN RAMADHAN
Bulan : .............................. Tahun : .............................

No. Hari/Tanggal Nilai


1
2
3
4

DINAS PENDIDIKAN PROVINSI SUMATERA 51


5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Total Nilai
Nilai Rata-rata
.................., ..............................2023
Guru/Penilai

..............................

DINAS PENDIDIKAN PROVINSI SUMATERA 52


TAUSIAH RAMADHAN
1444 H / 2023 M

DINAS PENDIDIKAN PROVINSI SUMATERA 53


CATATAN TAUSIAH RAMADHAN 1444 H
TAHUN PELAJARAN 20.. / 20...

DINAS PENDIDIKAN PROVINSI SUMATERA 54


Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................

DINAS PENDIDIKAN PROVINSI SUMATERA 55


Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 56


ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 57


ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH

DINAS PENDIDIKAN PROVINSI SUMATERA 58


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 59


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 60


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 61


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 62


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 63


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 64


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 65


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 66


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 67


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 68


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 69


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 70


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 71


...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 72


...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 73


....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui

DINAS PENDIDIKAN PROVINSI SUMATERA 74


Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

DINAS PENDIDIKAN PROVINSI SUMATERA 75


..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

DINAS PENDIDIKAN PROVINSI SUMATERA 76


..................................................................... .................................................................

CATATAN TAUSIAH RAMADHAN 1444 H


TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 77


CATATAN TAUSIAH RAMADHAN 1444 H
TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 78


CATATAN TAUSIAH RAMADHAN 1444 H
TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 79


CATATAN TAUSIAH RAMADHAN 1444 H
TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 80


CATATAN TAUSIAH RAMADHAN 1444 H
TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 81


CATATAN TAUSIAH RAMADHAN 1444 H
TAHUN PELAJARAN 20.. / 20...
Hari dan Tanggal : ............................................
Narasumber : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN CERAMAH / TAUSIAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 82


REKAPITULASI PEROLEHAN NILAI

Bulan : .............................. Tahun : .............................

No. Hari/Tanggal Nilai


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Total Nilai
Nilai Rata-rata
.................., ..............................2023
Guru/Penilai

..............................

DINAS PENDIDIKAN PROVINSI SUMATERA 83


CATATAN KEGIATAN
KHUTBAH JUMAT
KHUTBAH IDUL FITRI
KHUTBAH IDUL ADHA

DINAS PENDIDIKAN PROVINSI SUMATERA 84


CATATAN KEGIATAN KHUTBAH JUMAT
Hari dan Tanggal : ............................................

DINAS PENDIDIKAN PROVINSI SUMATERA 85


Masjid : ......................................................................................................
Alamat : ......................................................................................................
Khatib : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN KHUTBAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN KEGIATAN KHUTBAH JUMAT


Hari dan Tanggal : ............................................
Masjid : ......................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 86


Alamat : ......................................................................................................
Khatib : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN KHUTBAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN KEGIATAN KHUTBAH JUMAT


Hari dan Tanggal : ............................................
Masjid : ......................................................................................................
Alamat : ......................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 87


Khatib : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN KHUTBAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN KEGIATAN KHUTBAH JUMAT


Hari dan Tanggal : ............................................
Masjid : ......................................................................................................
Alamat : ......................................................................................................
Khatib : ......................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 88


Judul : ......................................................................................................
ISI RINGKASAN KHUTBAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN KEGIATAN KHUTBAH JUMAT


Hari dan Tanggal : ............................................
Masjid : ......................................................................................................
Alamat : ......................................................................................................
Khatib : ......................................................................................................
Judul : ......................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 89


ISI RINGKASAN KHUTBAH
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN KEGIATAN KHUTBAH IDUL FITRI


Hari dan Tanggal : ............................................
Masjid : ......................................................................................................
Alamat : ......................................................................................................
Khatib : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN KHUTBAH

DINAS PENDIDIKAN PROVINSI SUMATERA 90


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

CATATAN KEGIATAN KHUTBAH IDUL ADHA


Hari dan Tanggal : ............................................
Masjid : ......................................................................................................
Alamat : ......................................................................................................
Khatib : ......................................................................................................
Judul : ......................................................................................................
ISI RINGKASAN KHUTBAH
...........................................................................................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 91


...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
....................., .............................20......
Diketahui
Narasumber/Pengurus Masjid/Mushalla, Guru/Instruktur,

..................................................................... .................................................................

DINAS PENDIDIKAN PROVINSI SUMATERA 92


FORMAT TAHFIDZ QUR’AN
JUZ 1,2,3 JUZ 28 dan 29
JUZ 30

FORMAT TAHFIDZ QUR’AN

DINAS PENDIDIKAN PROVINSI SUMATERA 93


JUZ 1,2,3 dan 4
Nama :
Kelas :
No Paraf**
No Juz Nama Surat Jml Ayat No Ayat* Tanggal Setoran***
Surat
Guru Ortu
1 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
41 42 43 44 45 46 47 48 49 50
51 52 53 54 55 56 57 58 59 60
61 62 63 64 65 66 67 68 69 70
1 141 71 72 73 74 75 76 77 78 79 80
81 82 83 84 85 86 87 88 89 90
91 92 93 94 95 96 97 98 99 100
101 102 103 104 105 106 107 108 109 110
111 112 113 114 115 116 117 118 119 120
121 122 123 124 125 126 127 128 129 130
131 132 133 134 135 136 137 138 139 140
141
2 Alabaqarah
142 143 144 145 146 147 148 149 150 151
152 162 163 164 165 166 167 168 169 170
171 172 173 174 175 176 177 178 179 180
181 182 183 184 185 186 187 188 189 190
191 192 193 194 195 196 197 198 199 200
2 112 201 202 203 204 205 206 207 208 209 210
211 212 213 214 215 216 217 218 219 220
221 222 223 224 225 226 227 228 229 230
231 232 233 234 235 236 237 238 239 240
241 242 243 244 245 246 247 248 249 250
251 252
253 254 255 256 257 258 259 260 261 262
263 264 265 266 267 268 269 270 271 272
273 274 275 276 277 278 279 280 281 282
283 284 285 286
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
127
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50
3
51 52 53 54 55 56 57 58 59 60
61 62 63 64 65 66 67 68 69 70
71 72 73 74 75 76 77 78 79 80
81 82 83 84 85 86 87 88 89 90
91

DINAS PENDIDIKAN PROVINSI SUMATERA 94


92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
3 Ali-Imran 109 142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
4
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200
1 2 3 4 5 6 7 8 9 10
4 An-Nisa' 22 11 12 13 14 15 16 17 18 19 20
4 21 22 23
JUMLAH AYAT 511

Keterangan :
* : Nomor ayat yang sudah hafal
** : Setiap satu surat hafal harus
*** : Setoran hafalan minimal
Masing-masing kelas atau Orang tua atau wali

Penguji Tahfidz

...........................................
Kepala Sekolah Koordinator Tahfidz

.......................................... ...........................................
NIP. NIP.

FORMAT TAHFIDZ QUR’AN


JUZ 28 dan 29
Nama :

DINAS PENDIDIKAN PROVINSI SUMATERA 95


Kelas :

Paraf**
Tanggal
No Juz No Surat Nama Surat Jml Ayat No Ayat*
Orang Setoran***
Guru
Tua
1 2 3 4 5 6 7 8 9 10
58 Al-Mujadilah 22 11 12 13 14 15 16 17 18 19 20
1 21 22
1 2 3 4 5 6 7 8 9 10
Al-Hasyar 24 11 12 13 14 15 16 17 18 19 20
2 59 21 22 23 24
1 2 3 4 5 6 7 8 9 10
Al-Mumtahanah 13
3 60 11 12 13
1 2 3 4 5 6 7 8 9 10
Ash-Shaf 14
4 61 11 12 13 14
28
1 2 3 4 5 6 7 8 9 10
Al-Jumuah 11
5 62 11
1 2 3 4 5 6 7 8 9 10
Al-Munafikun 11
6 63 11
1 2 3 4 5 6 7 8 9 10
Ath-Taaghabun 11
7 64 11 12 13 14 15 16 17 18
1 2 3 4 5 6 7 8 9 10
Ath-Thalaq 12
8 65 11 12
1 2 3 4 5 6 7 8 9 10
Ath-Thahrim 12
9 66 11 12
1 2 3 4 5 6 7 8 9 10
Al-Mulk 30 11 12 13 14 15 16 17 18 19 20
10 67 21 22 23 24 25 26 27 28 29 30
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
Al-Qalam 52
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50
11 68 51 52
1 2 3 4 5 6 7 8 9 10
29
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
Al-Haqqa 52
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50
12 69 51 52
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
Al-Maarij 44 21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
13 70 41 42 43 44

DINAS PENDIDIKAN PROVINSI SUMATERA 96


1 2 3 4 5 6 7 8 9 10
Nuh 28 11 12 13 14 15 16 17 18 19 20
14 71 21 22 23 24 25 26 27 28
1 2 3 4 5 6 7 8 9 10
Al-Jin 28 11 12 13 14 15 16 17 18 19 20
15 72 21 22 23 24 25 26 27 28
1 2 3 4 5 6 7 8 9 10
Al-Muzamil 20
16 73 11 12 13 14 15 16 17 18 19 20
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
Al-Muddasir 56
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50
17 74 51 52 53 54 55 56
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
Al-Qiyammah 40
21 22 23 24 25 26 27 28 29 30
18 75 31 32 33 34 35 36 37 38 39 40
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
Adh-Dhar 31
21 22 23 24 25 26 27 28 29 30
19 76 31
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
Al-Mursalat 50 21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
20 77 41 42 43 44 45 46 47 48 49 50
JUMLAH AYAT 1657
Keterangan
* : No ayat yang sudah hafal diarsir/Diparaf
** : Setiap satu surat yang dihapal harus diparah baik guru maupun orang tua
*** : Setoran hafalan minimal satu hari satu ayat (setoran setiap minggu) kepada tim
penguji tahfidz masing-masing kelas atau Orang tua atau wali

Kepala Sekolah ...................., ...........................


Koordinator Tahfidz

.............................................. ..................................................
NIP. NIP.

FORMAT TAHFIDZ QUR’AN

DINAS PENDIDIKAN PROVINSI SUMATERA 97


JUZ 28 dan 29
Nama :
Kelas :

Paraf**
No Tanggal
No Juz Nama Surat Jml Ayat No Ayat*
Surat Orang Setoran***
Guru
Tua
1 114 An-naas 6 1 2 3 4 5 6
2 113 Al-Falaq 5 1 2 3 4 5
3 112 Al-Ikhlas 4 1 2 3 4
4 111 Al-Lahab 5 1 2 3 4 5
5 110 An-Nashr 3 1 2 3
6 109 Al-Kaafiruun 6 1 2 3 4 5 6
7 108 Al-Kautsar 3 1 2 3
8 107 Al-Maa'un 7 1 2 3 4 5 6 7
9 106 Al-Quraisy 4 1 2 3 4
10 105 Al-Fiil 5 1 2 3 4 5
11 104 Al-Humazah 9 1 2 3 4 5 6 7 8 9
12 103 Al-'Ashir 3 1 2 3
13 102 At-Takatsur 8 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 10
14 101 Al-Qaari'ah 11
11
1 2 3 4 5 6 7 8 9 10
15 100 Al-Aadiyaat 11
11
16 99 Al-Zalzalah 8 1 2 3 4 5 6 7 8
17 98 Al-Bayyinah 8 1 2 3 4 5 6 7 8
18 97 Al-Qadar 5 1 2 3 4 5
1 2 3 4 5 6 7 8 9 10
19 96 Al-Alaq 19
11 12 13 14 15 16 17 18 19
20 95 At Tiin 8 1 2 3 4 5 6 7 8
21 94 Asy Syarh 8 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 10
22 93 Adh Dhuhaa 11
11
1 2 3 4 5 6 7 8 9 10
23 92 Al Lail 21 11 12 13 14 15 16 17 18 19 20
21
1 2 3 4 5 6 7 8 9 10
24 91 Asy Syams 15
11 12 13 14 15
1 2 3 4 5 6 7 8 9 10
25 90 Al Balad 20
11 12 13 14 15 16 17 18 19 20
1 2 3 4 5 6 7 8 9 10
26 89 Al Fajr 30 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
1 2 3 4 5 6 7 8 9 10
27 88 Al-Ghaasyiyah 26 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26
1 2 3 4 5 6 7 8 9 10
28 87 Al-A'laa 19
11 12 13 14 15 16 17 18 19
1 2 3 4 5 6 7 8 9 10
29 86 Ath-Thaariq 17
30 11 12 13 14 15 16 17 18 19

DINAS PENDIDIKAN PROVINSI SUMATERA 98


1 2 3 4 5 6 7 8 9 10
30 85 Al-Buruuj 22 11 12 13 14 15 16 17 18 19 20
21 22
1 2 3 4 5 6 7 8 9 10
31 84 Al-Insyiqaaq 25 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
32 83 Al-Muthaffi fiin 36
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36
1 2 3 4 5 6 7 8 9 10
33 82 Al-Infithar 19
11 12 13 14 15 16 17 18 19
1 2 3 4 5 6 7 8 9 10
34 81 Al-Takwir 29 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
35 80 Abasa 42 21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
41 42
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
36 79 An-Naazi'aat 46 21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
37 78 An-Naba 40
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
JUMLAH AYAT 564

Keterangan :
* : No ayat yang sudah hafal diarsir/diparaf
** : Setiap satu surat hafal harus diparaf baik guru maupun orang tua
*** : Setoran hafalan minimal satu hari satu ayat (setoran setiap minggu) kepada tim
penguji tahfidz masing-masing kelas atau orang tua atau wali

Kepala Sekolah ...................., ...........................


Koordinator Tahfidz

.............................................. ..................................................
NIP. NIP.

DINAS PENDIDIKAN PROVINSI SUMATERA 99

Anda mungkin juga menyukai