N.S. P.U. 19/88
KAEDAH-KAEDAH UNDANG-UNDANG KELUARGA ISLAM (BORANG-BORANG DAN FEE) 1988



JADUAL PERTAMA - BORANG 14
BORANG 14

(Seksyen 54 (5))

PERAKUAN CERAI/PEMBATALAN*
(NO. ....................)

1. No. Permohonan Cerai ....................................

2. (a) Nama suami ...................................................................................
(b) No. Kad Pengenalan/Passport ....................................................
(c) Alamat ................................................................................................
(d) Tarikh lahir ..............................................................

3. (a) Nama isteri ...................................................................................
(b) No. Kad Pengenalan/Passport ....................................................
(c) Alamat ................................................................................................
(d) Tarikh lahir ..............................................................

4. Tarikh perkahwinan ......................................

5. No. Sijil Perkahwinan/No. Pendaftaran Perkahwinan*
.................................................................................................................

6. Tarikh perceraian .........................................

7. Tempat perceraian ................................................................................

8. Jenis perceraian ........................................... Talaq yang ke ...........................

9. Bayaran tebus talaq (jika ada) .............................................................

*10. Perceraian berlaku dalam keadaan berikut:



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