JADUAL PERTAMA (KAEDAH-KAEDAH PERKAHWINAN, CERAI DAN RUJU' (BORANG DAN FEE) 1989

Sel. P.U. 12/89
KAEDAH-KAEDAH PERKAHWINAN, CERAI DAN RUJU' (BORANG DAN FEE) 1989

JADUAL PERTAMA

BORANG 8/FORM 8

(Seksyen/Section 52)

PERMOHONAN UNTUK FASAKH

Bil. ....................................................
Kepada Pendaftar Mahkamah Syariah,

1. Saya .....................................................................................................................................
No. Kad Pengenalan .................................................. Tarikh Lahir ..............................................
Alamat Rumah ...........................................................................................................................
Alamat Pejabat ...........................................................................................................................
Pekerjaan ................................................................ Pendapatan sebulan ....................................
memohon perintah untuk membubarkan perkahwinan (fasakh) dengan saya yang bernama .....................................................................................................................................
No. Kad Pengenalan .................................................. Tarikh Lahir ..............................................
Alamat Rumah ...........................................................................................................................
Alamat Pejabat ...........................................................................................................................
Pekerjaan ................................................................ Pendapatan sebulan ....................................

2. Tarikh H/M ............................................. Bilangan Pendaftaran ..............................................
Tempat Kahwin ..........................................................................................................................
Cara Perkahwinan .....................................................................................................................

3. Kami ada mempunyai anak seramai ................................................................................... orang
(1) ................................................................. Tarikh Lahir ................................ *lelaki/perempuan
(2) ................................................................. Tarikh Lahir ................................ *lelaki/perempuan
(3) ................................................................. Tarikh Lahir ................................ *lelaki/perempuan
(4) ................................................................. Tarikh Lahir ................................ *lelaki/perempuan
(5) ................................................................. Tarikh Lahir ................................ *lelaki/perempuan

4. Kami *pernah/belum pernah bercerai/ruju' pada ............................................................................
Talaq kali ......................................................................................................................................

5. Alasan-alasan Fasakh:
.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................

6. Nyatakan hartabenda sepencarian yang akan dituntut oleh/diserahkan kepada *isteri/suami:
.....................................................................................................................................................
.....................................................................................................................................................

7. Peruntukan bagi pemeliharaan dan penjagaan anak-anak:
.....................................................................................................................................................
.....................................................................................................................................................

Tarikh H/M .........................

....................................................
Tandatangan/Cap Jari pemohon

PERAKUAN PEMOHON

Saya mengaku segala butir-butir yang terkandung di dalam borang ini adalah benar dan sekiranya butir-butir itu palsu maka saya melakukan satu kesalahan dan boleh dikenakan hukuman mengikut seksyen 58A Enakmen Undang-Undang Keluarga Islam, 1984.

Tarikh H/M .........................

....................................................
Tandatangan/Cap Jari pemohon

________________________________________________________________________________________
*Potong mana yang tidak berkenaan