Sel. P.U. 12/89
KAEDAH-KAEDAH PERKAHWINAN, CERAI DAN RUJU' (BORANG DAN FEE) 1989
JADUAL PERTAMA
BORANG 9/FORM 9
(Seksyen/Section 54 (5))
SURAT PERAKUAN CERAI
No ...................................
No. Sijil Perakuan Nikah ..................................................
No. Permohonan Cerai .....................................................
Nama Suami ................................................................................................................
(No. Kad Pengenalan ....................................................................) Tarikh Lahir ..............
Pekerjaan ......................................................................................................................
Alamat .........................................................................................................................
Nama Isteri ..................................................................................................................
(No. Kad Pengenalan ....................................................................) Tarikh Lahir ..............
Pekerjaan ......................................................................................................................
Alamat ..........................................................................................................................
Tarikh Perkahwinan H/M .........................................................................................................
(1) Nama Saksi .....................................................................................................................
(2) Naka Saksi .......................................................................................................................
Cara bercerai ........................................................ Talaq Kali ................................................
Bayaran tebus talaq (jika ada) ...................................................................................................
Tempat bercerai .................................................... Tarikh bercerai H/M ....................................
Cerai dalam *suci/haidh/mengandung ........................................................................................
Nafkah dalam iddah ..................................................................................................................
Mut'ah .....................................................................................................................................
Penyelesaian harta, dsb ...........................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
| Tarikh H/M ......................... | ......................................
Tandatangan Pendaftar |
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*Potong mana yang tidak berkenaan
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