Hifz Programme Child Details Form: Section I: Child Section
Hifz Programme Child Details Form: Section I: Child Section
Hifz Programme Child Details Form: Section I: Child Section
Criteria:
- Orphan, max 12 years old (birth certificate) - Orphan (father’s death certificate)
- Learning & memorizing Al qur’an (at least 1 juz) - Fakir/miskin (poor) family
Sex: M F
Date of Birth (dd/mm/yy):
Nationality:
Religion:.
Address Line 1:
Address Line 2: Picture
City/ District:
Country:
Is the child?
Orphan: Yes No Medical Information:
General health: Poor Good
Needy: Yes No If condition is poor, give details;
Kind of disability: -
Is the child receiving a sponsorship/ financial support from any other organisation?
Yes No
If yes, Name of organisation:
Full Address:
Name of Representative:
Tel no:
Amount of financial support per month/ year: N/A (in kind)
What does it cover? Education Health Food Clothes Other
School/Madrasa Information:
Name of school:
Full Address :
Tel No:
Type of School (ex: Government, Private): Private
Grade/ class Attending:
Does the family pay school fees? Yes No
If yes, what are the School Fees per month: IDR /month
1
Father’s Name:
Mother’s Name:
If Guardian,
Guardian’s name:
Guardian’s address
Do any of the sisters/ brothers receive any sponsorship from Muslim Aid/ any other organization?
Yes No
2
- The child’s school progress/Hifz progress (how many Juz completed/How many years remaining till
completion of Hifz?)
Signature
Date
Supporting documents (please tick in the box the documents that you attached to the CDF)