Kn. P.U. 29/2003
MARRIAGE AND DIVORCE (FEES AND FORMS) RULES 2003
Form 11
(Section 50)
APPLICATION FOR DIVORCE UNDER TA’LIQ
No: ...........................................................
To the Registrar of Syariah Court:
1. I, .............................................................................................................................. Identity Card No.: ................................................................ Age: ......................... Address: ................................................................................................................... Occupation: ............................................................................................. Income per month: ............................................................................................. apply to the Court to declare that a divorce has taken place because ................................................................................................. under ta’liq between my husband named ............................................................................................................... Identity Card No.: ........................................................... Age: ............................ Address: .................................................................................................................
Occupation: ............................................. Income per month: ............................. Date: ......................................................... Time: .................................................. At: ..........................................................................................................................
2. Witness/Evidence:
(1) .....................................................................................................................
(2) .....................................................................................................................
(3) .....................................................................................................................
3. We have/have not been divorce/ruju’* on .............................................................
No. of talaq ...........................................................................................................
Dated: A.H/A.D. ....................................... ................................................
(Applicant’s Signature)
(*) Delete whichever is not necessary.
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