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


JADUAL PERTAMA

BORANG 4/FORM 4

(Seksyen/Section 31 dan 33)

PERMOHONAN UNTUK MENDAFTAR PERKAHWINAN

Pendaftar,
................................
................................
................................

Saya ...........................................................................................................................................
(No. Kad Pengenalan .............................) di .................................................................................
....................................................................................................................................................
(Alamat rumah)
....................................................................................................................................................
(Alamat pejabat)
yang telah berkahwin mengikut Hukum Syarak dengan
....................................................................................................................................................
(Nama)
(No. Kad Pengenalan .............................) di .................................................................................
....................................................................................................................................................
(Alamat rumah)
....................................................................................................................................................
(Alamat pejabat)
pada ............................................................... di ........................................................................
memohon untuk mendaftarkan perkahwinan itu. Bersama-sama ini disertakan surat Perakuan Nikah yang diperakui sah.

Tarikh H/M ...............................
.....................................................
Tandatangan/Cap Jari Pemohon




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