K. P.U. 2/1984
KAEDAH KELUARGA ISLAM (BORANG DAN BAYARAN) 1983




BORANG 5
BORANG 5
NEGERI KEDAH
ENAKMEN KELUARGA ISLAM, TAHUN 1979
DAFTAR CERAI
(Seksyen 21)

Bil ..............................................
Nama lelaki dan bin .....................................................................................................................
Tarikh Lahir ..........................................................................................
No. Kad Pengenalan .............................................................................
Alamat .......................................................................................................................................
Nama perempuan dan binti ..........................................................................................................
Tarikh lahir ...........................................................................................
No. Kad Pengenalan .............................................................................
Alamat .......................................................................................................................................
Jenis cerai .................................................................... kali yang ..............................................
Nama penuh Saksi :
(1) ............................................................... No. K/P ................................................................
(2) ............................................................... No. K/P ................................................................
Tarikh Cerai ...........................................................................................
$15.00
MOHOR

Bertarikh ................................................. 19 .................
Bersamaan .............................................. 14 .................
..........................................
Pendaftar/Kadi

Kariah ......................................... Mukim ................................ Daerah .........................................




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