ࡱ> ?B:;<=>Y bjbj[[ ?I9 \9 \$ XX8<\~lllll:&&: 2:}}}}}}}$ǀ}H}::T8f9::::}XXll} > > >::>XRll} >::} > >t"6z$<v6}}0~wŃ=ŃlzŃz:::: >::::::::::}} >::::::~::::::::Ń:::::::::::::::::: > :   BORANG PERMOHONAN PINJAMAN PERALATAN MASJID TARIKH : __________________ PEMOHON Nama : ___________________________________ No Telefon : _____________________ Alamat : ____________________________________________________________________ Tujuan Penggunaan : ____________________________________________________________________ Tarikh Pinjaman : __________________________ Tarikh Pemulangan : ________________________ PERALATAN YANG DIPERLUKAN PeralatanKuantiti DipohonKuantiti DiluluskanAl-QuranSurah YassinSejadahTikar Tandatangan : ______________________  SEWAAN/ CAGARAN Kadar sewaan/ cagaran adalah tertakluk kepada barang yang dipinjam. Sila bayar terus di Kaunter Pejabat Pentadbiran Pusat Islam ÿմapp.  PERHATIAN Peralatan hendaklah dipulangkan pada waktu pejabat dengan kuantiti yang cukup dan dalam keadaan baik.  UNTUK KEGUNAAN PEJABAT   Tarikh Pengambilan : __________________ Tarikh Pemulangan : ___________________        Pusat Islam Universiti Kebangsaan Malaysia, 43600 ÿմapp Bangi, Selangor Darul Ehsan Malaysia Telefon: +603-8921 5404 Faksimili: +603-8925 1513 E-mel: pusatislam@ukm.edu.my Laman Web: http://www.ukm.my/pusatislam  Pusat Islam Universiti Kebangsaan Malaysia, 43600 ÿմapp Bangi, Selangor Darul Ehsan Malaysia Telefon: +603-8921 5404 Faksimili: +603-8925 1513 E-mel: pusatislam@ukm.edu.my Laman Web: http://www.ukm.my/pusatislam   PENGARAH PUSAT ISLAM UNIVERSITI KEBANGSAAN MALAYSIA Tarikh : KELULUSAN Lulus Tidak Lulus (Sebab) ______________________________________ ______________________________________ Islamic Centre Pusat Islam   /01LMTU[\|} : ; @ ˻}mbTIAIAIAIAIAIAIhgOJQJh$hgOJQJh$hg5OJQJ\hg5OJQJ\h h25OJQJ\aJ4h h2OJQJh2OJQJ'h5CJOJQJ\aJmHnHu-hl6hl65CJOJQJ\aJmHnHuhl6hl65CJOJQJ\(jh2h2OJQJUmHnHu"jh2OJQJUmHnHuh2h25OJQJ\0MUP ~f !hdh]^h`gd< !h]^h`gd< !hd]^h`gdghd]^h`gdg & Fd]gd< Pd]^P`gd<$d^a$gdl6 $^a$gdYy @ A P Q a s x         $ ' ( ) * ? c d e f l źzjh;5OJQJ\mHnHu(jh$h<OJQJUmHnHuhgOJQJmHnHuh$hgOJQJmHnHu h ;hg h9fhgh9fhgOJQJh$hg5OJQJ\hg5OJQJ\jh$hgOJQJUh$hgOJQJhgOJQJ'  <kd$$IfTlF  i 0~    4 laytgT $$Ifa$gd $Ifgd $$Ifa$gdg & F !d]gdg       hkd$$IfTlF  i 0~    4 laytgT $Ifgd      qhhh $Ifgd kdH$$IfTlF  i 0~    4 laytgT  % & ' qhhh $Ifgd kd$$IfTlF  i 0~    4 laytgT' ( ) d f v qiXD0 & F !d]gd< !dh]^gdg !]^gd<dhgd<kd$$IfTlUF  i 0~    4 laytgTl v  D E m n p q r ϵϓσvmXM?h h5OJQJ\h5OJQJ\(jh5OJQJU\mHnHuh5OJQJhOJQJmHnHuhhOJQJmHnHuh"|%OJQJmHnHu(jh$hgOJQJUmHnHuhgOJQJmHnHuh ;OJQJmHnHuh$hgOJQJmHnHuh;OJQJmHnHu%h$hg5OJQJ\mHnHuv  o p q t vja]gd $^a$gd$]^a$gd .!]^gd$]`a$gd ]^gd & F !d]gd< !dh]^gd< !]^gd< !]^gdg               |xjYxUC"jh)CJUaJmHnHuh#:6 jh;Oh.UmHnHujh)UmHnHuhp j;h;Oh.UmHnHuh%jh%Uh[OJQJmHnHuj4h{D h%<UhOJQJmHnHu"jhOJQJUmHnHuh5OJQJ\h h5OJQJ\(jh5OJQJU\mHnHu         $ )]a$gd0 !%j]^jgd0gd) ]^gd 8]^8gd$]^a$gd    % t  U ^gd $d da$gd,]$a$gd,] $d da$gd + $d da$gdnN$a$gdnN  $ %   K T h l ij~o~~~~~bQ jh;Oh.UmHnHuhqhpCJOJQJhqhNRCJOJQJaJhqhpCJOJQJaJhlCJOJQJaJ"jh)CJUaJmHnHuh#:6hX@ j$h;Oh.UmHnHuhqhnNCJOJQJhqhnNCJOJQJaJhcUCJOJQJaJhHCJOJQJaJhnNCJaJ !"-/5IKaknpqstw۲s[Wh)/hvYhp56B*CJOJQJ^JaJph)hp56B*CJOJQJ^JaJph)h>56B*CJOJQJ^JaJphhJ(hOJQJ\hOJQJ\h h5OJQJ\hBUhRhOJQJ\hc}UhOJQJh5OJQJ\h%jh)UmHnHuh#:6hp  !"#-/5JKrsgdK`gd*^*gd ^`gd^gd & Fgd^gd dh^gdgd$a$gdh[OJQJmHnHuh%hp j/h;Oh.UmHnHuhnN jh;Oh.UmHnHuh),hvYhp5B*CJOJQJ^JaJph&h>5B*CJOJQJ^JaJph&hp5B*CJOJQJ^JaJph  ]^gdgdgdnN$a$gdK.:p {. 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