SCHEDULE - FORM 6 (SYARIAH CRIMINAL PROCEDURE (STATE OF PENANG) ENACTMENT 1996

ENACTMENT NO. 4 OF 1996
SYARIAH CRIMINAL PROCEDURE (STATE OF PENANG) ENACTMENT 1996

SCHEDULE - FORM 6

SYARIAH CRIMINAL PROCEDURE (STATE OF PENANG) ENACTMENT 1996

(Subsection 74(2))

INFORMATION TO JUDGE

No : ..................................................................

Dated H/M ............................................................... o'clock ............................................................... a.m/p.m.

Name .................................................................................................................................................................
I.C. No .................................. Age .......................................... Occupation ........................................................
Address ..............................................................................................................................................................

I hereby given the following information :

.....................................................................................................................................................................

I hereby solemly declare that the above information is true and nothing but the truth.

............................................................
Signature of Informant

In my presence,

............................................................
Signature and Seal of Judge

Dated this H/M ................................................................ day of ................................................................. 19

Passed in the State Legislative Assembly on the 4th day of December, 1996.

(AHMAD JAMIL BIN HASHIM)
Clerk of Legislative Assembly,
Penang.

[PSUK/PP/007.1.5 JLD.IV.]