The Pusat Latihan Dakwah Kudat application form provides a structured pathway for individuals aiming to pursue a foundational certificate in Islamic studies and Dakwah for a specific session under the guidance of JAKIM's branch in Sabah. Located at KM. 22, Jalan Sikuati, this center requires applicants to fill out detailed personal information, including full name, identification number, birth details, and contact information. Applicants must assert their marital status, nationality, and race. Moreover, the form extends to request educational history and anticipates enrollment by inquiring about previous courses, workshops, or seminars attended. Enclosures such as identification card copies, birth certificates, and equivalent academic qualifications are mandatory for the application's consideration. Applicants newly converted to Islam are asked to provide detailed information regarding their conversion. The second part of the form captures essential information about the applicant's parent, guardian, or next of kin, including their occupation, monthly income, and number of dependents, asserting the veracity of the provided information with a signature. The evaluation of the application is made based on the office's use, where the eligibility of the candidate will be assessed and documented with official remarks and signatures, concluding the application process with the determination of the interview date and the final decision of acceptance or rejection. This comprehensive form ensures that all relevant details are considered for the evaluation of candidates seeking to enrich their Islamic knowledge at Pusat Latihan Dakwah Kudat.
| Question | Answer |
|---|---|
| Form Name | Pusat Latihan Dakwah Kudat Form |
| Form Length | 4 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min |
| Other names | permohonan online ipdas 2021, pusat latihan dakwah kudat, pendaftaran pld 2019, pld kudat |
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BORANG PERMOHONAN
SIJIL ASAS PENGAJIAN ISLAM DAN DAKWAH
SESI _______
PUSAT LATIHAN DAKWAH KUDAT
JAKIM CAWANGAN SABAH
KM. 22, JALAN SIKUATI
PETI SURAT 406
89059 KUDATGambar
SABAH
No. tel.: 088 612 359 No. faks: 088 612 242
Daerah: ……………………………………
Perhatian:
1.Semua butiran diisi dengan HURUF BESAR
2.Sila lampirkan pengesahan salinan:
2.1Kad Pengenalan
2.2Sijil Lahir
2.3SPM atau yang setaraf
3.Hanya butiran yang lengkap/benar sahaja akan diproses/dipertimbangkan
A.Maklumat Pemohon
1.Nama penuh
2. No. Kad Pengenalan
3. Tarikh lahir: ____________________ 4. Tempat lahir: ___________________
5.Umur: ________________________ 6. Jantina: Lelaki/Perempuan
7.Status: Bujang/Berkahwin/Duda/Janda/Bertunang
8. No. telefon: ___________________ 9. Warganegara: ___________________
10. Bangsa: ________________________
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11. Alamat
12.Agama asal: ___________________________________ (Jika saudara baru)
13.Tarikh memeluk Agama Islam: _________________________________
14.Tempat memeluk Agama Islam: ___________________________________
15.No. Pendaftaran Pengislaman: _______________________________
16.Kursus/bengkel/seminar yang pernah dihadiri:
a.__________________________________________________________
b.__________________________________________________________
c.__________________________________________________________
17.Tahap pendidikan tertinggi yang telah diperolehi: ______________________
Tahun: ____________
18.Menunggu keputusan peperiksaan/tawaran kerja: Ya/Tidak
Saya mengaku semua maklumat di atas adalah BENAR.
_____________________________ |
Tarikh: __________________ |
Tandatangan pemohon |
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B.Maklumat Ibu/Bapa/Waris/Penjaga
1.Nama penuh
2. No. Kad Pengenalan
3.Hubungan dengan pemohon: _____________________
4.Pekerjaan: _______________________________________
5.Pendapatan bulanan: RM _______________
6.Jumlah tanggungan: __________________________
7.Warganegara: ________________________
8.Bangsa: ______________________
9.Alamat
10.No. telefon: _____________________________
Saya mengaku semua maklumat di atas adalah BENAR.
_________________________ |
Tarikh: __________________ |
Tandatangan ibu/bapa/waris/penjaga |
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a.
b.
c.
Untuk Kegunaan Pejabat
Amat layak/memenuhi syarat
Layak/memenuhi syarat
Tidak layak/tidak memenuhi syarat
Tandatangan: __________________
Nama: _______________________________________________________
Jawatan: ______________________________________________
Tarikh: _______________________
Cop Rasmi Jabatan:
Tarikh terima permohonan: ___________________
Tarikh temu duga: ____________________
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