ENACTMENT NO. 10 OF 2004 SYARIAH CIVIL PROCEDURE ENACTMENT 2004
THIRD SCHEDULE - FORM 4
FORM MS 4 SYARIAH COURT CIVIL PROCEDURE ENACTMENT 2004 (Subsection 31(2)) APPLICATION FOR LEAVE TO SUE/DEFEND AS A POOR PERSON (General Title)
I ............................................................................................................................. make oath and say –
I. l….....................................................................................................................................reside at ........................................................and am a.................................................................................
(State occupation)
*2.(1) I have a just claim against ....................................................................................................of ..........................................................................................................................................................for (here state concisely the claim and cause of action and all the material facts of the case).
(2) I desire to bring an action against the said ............................................................................................................... but am unable to pay the Court fees therefor because (state the reason why applicant is unable to pay the Court fees).
*3.(1)l am a defendant in this action and have a good defence to this action on the following grounds (state concisely the grounds of defence).
[l have a just counterclaim against the plaintiff for (state concisely the counterclaim and all material facts relating thereto)]
(2) l am unable to pay the Court fees for my defence (or counterclaim) because (state the reason why applicant is unable to pay the Court fees).
4. I apply for leave to *sue the said ....................................................................... /defend (and bring a counterclaim in) this action as a poor person.
Sworn at ......................................................... this .................. day of ........................... 20.............
………………………………………. Signature of applicant
Before me,
………………………………………. Judge/Registrar
Order,
Leave to sue/defend (and to bring counterclaim) as a poor person granted this ........................................................ refused day of ............................................................. 20...................