BORANG 7 (KAEDAH KELUARGA ISLAM (BORANG DAN BAYARAN) 1983

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

BORANG 7

BORANG 7
NEGERI KEDAH
ENAKMEN KELUARGA ISLAM, 1979
PERMOHONAN PENDAFTARAN PERNIKAHAN DALAM NEGERI MALAYSIA
(Seksyen 23)

Pendaftar
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PERMOHONAN

1. Saya ........................................................................................................................................
2. No. Kad Pengenalan ..................................................................................................................
3. Alamat .....................................................................................................................................
yang telah bernikah dengan -
4. Nama .......................................................................................................................................
5. No. Kad Pengenalan ..................................................................................................................
6. Alamat .....................................................................................................................................
7. Memohon bagi mendaftarkan pernikahan itu.
8. Bersama-sama ini disertakan salinan yang sah Sijil Pernikahan itu.
9. Disertakan bayaran yang ditetapkan.

Bertarikh ................................................. 19 ..............
Bersamaan ............................................. 14 ..............

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Tandatangan/ Cap Ibu Jari