Tr. P.U.10/87
KAEDAH-KAEDAH UNDANG-UNDANG PENTADBIRAN KELUARGA ISLAM (BORANG DAN FEE) 1987
JADUAL PERTAMA (Borang 11)
BORANG 11
ENAKMEN UNDANG-UNDANG PENTADBIRAN KELUARGA ISLAM 1985
(Seksyen 49)
PERMOHONAN UNTUK FASAKH
Bil .................................................................................
Kepada Pendaftar Mahkamah Syar'iah.
1. Saya ................................................................................. No. Kad Pengenalan .......................................... Umur .............................................
Alamat ............................................................................... Pekerjaan ................................................ Pendapatan sebulan .................................
memohon perintah untuk membubarkan perkahwinan (fasakh) dengan suami saya yang bernama ......................................................
No.Kad Pengenalan ............................................ Umur ............................... Alamat .......................................
Pekerjaan ........................................................................ Pendapatan sebulan ..........................................
2. Tarikh berkahwin H/M .......................................................
Bilangan Pendaftaran ...........................................................
Tempat kahwin .......................................................... Cara berkahwin ........................................................
3. Kami mempunyai anak seramai ............................................................. orang.
(1) .................................................................................................
Umur ................................................................... lelaki/perempuan*.
(2) .................................................................................................
Umur ................................................................... lelaki/perempuan*.
(3) .................................................................................................
Umur ................................................................... lelaki/perempuan*.
(4) .................................................................................................
Umur ................................................................... lelaki/perempuan*.
(5) .................................................................................................
Umur ................................................................... lelaki/perempuan*.
4. Kami pernah bercerai/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 :
...................................................................................................................................................................
Tandatangan Pemohon
_______________________________________________
* Potong mana yang tidak berkenaan.
Copyright © PNMB-LawNet. All rights reserved.