Sel. P.U. 12/89
KAEDAH-KAEDAH PERKAHWINAN, CERAI DAN RUJU' (BORANG DAN FEE) 1989
JADUAL PERTAMA
BORANG 3A/FORM 3A
(Seksyen/Section 26)
SURAT PERAKUAN NIKAH
1. Bilangan Kes ...........................................................................................................................
2. Tarikh Akad Nikah H/M .............................................................................................................
3. No. Kebenaran Berkahwin .........................................................................................................
4. Tarikh didaftarkan pada H/M .......................................................................................................
5. Nama Suami .............................................................................................................................
(No. Kad Pengenalan ....................................................................) Tarikh Lahir .............................
Alamat .........................................................................................................................................
6. Nama Isteri ...............................................................................................................................
(No. Kad Pengenalan ....................................................................) Tarikh Lahir .............................
Alamat .........................................................................................................................................
7. Nama Wali ...............................................................................................................................
(No. Kad Pengenalan ....................................................................) Tarikh Lahir .............................
Alamat .........................................................................................................................................
Perhubungan ................................................................................................................................
8. Nama Saksi-
(i) .......................................................................................................................................
(No. Kad Pengenalan ...............................................) Tarikh Lahir ........................................
Alamat ...............................................................................................................................
(ii) ......................................................................................................................................
(No. Kad Pengenalan ...............................................) Tarikh Lahir ........................................
Alamat ...............................................................................................................................
Mas Kahwin ....................................................................................... *ringgit/tunai/hutang.
Belanja hantaran ..................................................................................................... ringgit.
Pemberian lain (jika ada) ..........................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
| ....................................................
Tandatangan Pendaftar |
SURAT PERAKUAN TALIQ
Pengantin lelaki telah bertaliq seperti berikut:
"Saya mengaku apabila saya tinggalkan isteri saya ........................................................
.........................................................................................................................................(Nama)
selama empat bulan Hijrah berturut-turut atau lebih dengan sengaja atau paksaan, dan saya atau wakil saya tiada memberi nafkah kepadanya selama tempoh masa yang tersebut pada hal ia taatkan saya atau saya melakukan sebarang mudarat kepada tubuh badannya, kemudian ia mengadu kepada Mahkamah Syariah dan apabila sabit aduannya di sisi Mahkamah syariah, dan ia memberi kepada Mahkamah Syariah, yang menerima bagi pihak saya satu ringgit maka pada ketika itu tertalaq ia dengan cara talaq khul."
| ....................................................
Tandatangan Suami |
Di hadapan saya,
................................................
Tandatangan Pendaftar | |
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*Potong mana yang tidak berkenaan
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