SCHEDULE 3 - FORM MS 4 (SYARIAH COURT CIVIL PROCEDURE (STATE OF PENANG) ENACTMENT 2004

Enactment 4
SYARIAH COURT CIVIL PROCEDURE (STATE OF PENANG) ENACTMENT 2004

SCHEDULE 3 - FORM MS 4

SYARIAH COURT CIVIL PROCEDURE
(STATE OF PENANG) ENACTMENT 2004

[Subsection 31(2)]

APPLICATION FOR LEAVE TO SUE/DEFEND AS A POOR PERSON

(General Title)

I ………………………………………………………………….. make oath and say—

1. I 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) I am a defendant in this action and have a good defence to this action on the following grounds (state concisely the grounds of defence). [I have a just counterclaim against the plaintiff for (state concisely the
counterclaim and all material facts relating thereto)]

(2) I 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,
Order,
Leave to sue/defend (and to bring counterclaim) as a poor person granted this …………… refused day of ………….............. 20 ………

……………………………
Judge

* Delete where not applicable.