Kn. P.U. 10/2000
PEGUAM SYARIE RULES 2000
Schedule - FORM C
(Rule 23 (3))
APPLICATION FOR RENEWAL OF CERTIFICATE
To,
The Chief Syariah Judge,
State of Kelantan.
I have the honour to apply for the renewal of my Sijil Peguam Syarie which expires on the ............... day of ............ 20 .......
2. The particulars relating thereto are as follows:
(a) Name:
(b) Identity Card Number:
(c) Address:
(d) Registration Number:
(e) Serial Number of Sijil Pegu3m Syarie to renewed:
3. I hereby affirm that no disciplinary action has been taken against me in relation to the said Sijil Peguam Syarie.
4. Enclosed herewith the sum of two hundred and fifty ringgit as the renewal fee.
| Date: ................................ | ...........................................
Signature of Applicant |
Made the 13 October 1999.
[D. 231/6/4; P.U. Kn. I/G/52.]
By Command,
RUSLI BIN YAACUB.
Secretary,
Majlis Agama Islam Dan Adat Istiadat Melayu,
Kelantan
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