Pk. P.U. 17/88
KAEDAH-KAEDAH PERBICARAAN HAL EHWAL SUAMI ISTERI 1988
Jadual - BORANG 4
ENAKMEN UNDANG-UNDANG KELUARGA ISLAM 1984
SURAT PERAKUAN CERAI
(Seksyen 51 (5))
No. ...................................
No. Sijil Perakuan Nikah ...............................................
No. Permohonan Cerai ...................................................
Nama Suami ..................................................... No. Kad Pengenalan ...................................
Alamat .........................................................................
Umur ........................................... Pekerjaan ........................................
Nama Isteri ............................................................ No. Kad Pengenalan ..........................................
Alamat .........................................................
Umur .............................................. Pekerjaan ..........................................
Tarikh Perkahwinan H/M ..................................
Nama Saksi (1) .............................................
Nama Saksi (2) ...............................................
Cara bercerai .......................................... Talaq kali .....................................
Bayaran tebus talaq (jika ada) ................................................
Tempat bercerai ..................................... Tarikh bercerai H/M ..........................................
Cerai dalam suci / haidh / mengandung* ....................................
Nafkah dalam 'iddah ...........................................
Nafkah anak .....................................
Mut'ah ........................................
Penyelesaian harta, dsb .................................
Tarikh H/M ..............................
........................................
Tandatangan Ketua Pendaftar
Dibuat pada 6hb Julai 1988.
[JUPK / KEH / 065; PU Pk. 37/88.]
Dengan Titah Perintah,
DATO' SERI RAMLI BIN NGAN TALIB,
Menteri Besar,
Perak
Copyright © PNMB-LawNet. All rights reserved.