SECOND SCHEDULE - FORM 5 (SYARIAH CRIMINAL PROCEDURE ENACTMENT 2004

ENACTMENT NO. 9 OF 2004
SYARIAH CRIMINAL PROCEDURE ENACTMENT 2004

SECOND SCHEDULE - FORM 5

FORM 5
SYARIAH CRIMINAL PROCEDURE ENACTMENT 2004
(Subsection 54(2))
INFORMATION TO RELIGIOUS
ENFORCEMENT OFFICER

No.. ...................................................................
Date: .............................................................. Time: ...................................... a.m./p.m.
Name: .............................................................................................................................................................................................................. Identity Card No.: ....................................................... Age: ........................... Occupation: .......................................................................... Address: .............................................................................................................................................................. .......................................................

I hereby give the following information:
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Signature of Informant

The above information is given in writing/orally and was written and signed by the officer below and read over to the informant.

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Signature of Religious
Enforcement Officer

Dated this ..................................... day of ............................. 20...........