Kn. P.U. 29/2003 MARRIAGE AND DIVORCE (FEES AND FORMS) RULES 2003
Form 12
(Section 52) CERTIFICATE OF RUJU’
Registration of Divorce No.: ................................................... Date: ...........................
Date of Divorce AH/AD: ................................................................................................
Name of husband: .......................................................................................................... Identity Card/Passport No.: .................................................... Age: ........................... Occupation: ......................................................................................................................
Address of husband: ...................................................................................................... Name of wife: ...............................................................................................................
Identity Card/Passport No.: .................................................... Age: ............................. Occupation: ....................................................................................................................
Address of wife: .................................................................................................................. .....................................................................................................................................
I .................................................................................................................................... (Name of Registrar) certify that—
(name of husband): ............................................................. ruju’ ................................. his wife (name): ............................................................................................. within the period of iddah and having obtained permission from his wife with a declaration “I ruju’ my wife (name) ................................................................................................ of my previous marriage”.
Registration of marriage No.: ..........................................................................................
Date of Ruju’: ..............................................................................................................
Ruju’ Registration No.: ...............................................................................................
Other remarks: ..............................................................................................................
Witness of Ruju’ (if any)
Name of Withness (1): .......................................... Identity Card No.: ........................... Occupation: ............................... Address: ..........................................................................................................................................................................................................
Name of Withness (2): .......................................... Identity Card No.: ........................... Occupation: ............................... Address: ..........................................................................................................................................................................................................
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(Signature of Husband)
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(Signature of Wife)
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(Signature of Registrar)
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(Signature of Witness (1))
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(Signature of Witness (2))