JADUAL. (KAEDAH-KAEDAH PEGUAM SYAR'I 1987

Tr. P.U. 11/87
KAEDAH-KAEDAH PEGUAM SYAR'I 1987

JADUAL.

Borang 3

Kaedah-kaedah Peguam Syar'i 1987

(Kaedah 10 (iv))

Permohonan Pembaharuan

1. Nama Penuh: .................................................................................
No. Kad Pengenalan: ..........................................................................

2. Alamat Tetap/Baru: .........................................................................
No. Telefon: ........................................................................................

3. Tempat dan tarikh Lahir: ..................................................................
Jantina: ..............................................................................................

4. Pekerjaan: ......................................................................................

5. No. Sijil Yang Lama (jika ada): ..........................................................

Tarikh: ...................................

Fee: $100.00

.................................
Tandatangan Pemohon

____________________________________________________________________________________

(Untuk Kegunaan Pejabat Sahaja)

1. Sokongan oleh Qadi Besar: .....................................................

2. Pendapat Penal: .....................................................................

3. Keputusan Majlis: ...................................................................

Tarikh: ...........................

........................................
Yang Di Pertua,
Majlis Agama Islam dan Adat Melayu,
Terengganu

______________________________________________________________________________

Bertarikh 1 lulai 1987.

[SUK.TR. (S)771; PUN.TR. (S)142/2]

Dengan Titah Perintah,

DATO' SERI AMAR DI RAJA,
Menteri Besar,
Terengganu