Form 1 (MARRIAGE AND DIVORCE (FEES AND FORMS) RULES 2003

Kn. P.U. 29/2003
MARRIAGE AND DIVORCE (FEES AND FORMS) RULES 2003

Form 1

Form 1
ISLAMIC FAMILY LAW ENACTMENT 2002
(Section 16)

APPLICATION FOR PERMISSION OF MARRIAGE

A. PARTICULARS OF APPLICANT (MALE/FEMALE*)

1. Name: ..............................................................................................................
2. Identity Card/ Passport No: .................................................................................
3. Date of Birth: ........................................... 4. Age:...........................................
5. Address: ............................................................................................................... ........................................................................................................................
6. Race:.......................................................... 7. Nationality: ..................................
8. Academic Qualification: ......................................................................................
9. Occupation: ......................................... 10. Income: .....................................
11. Date of Convertion to Islam (if applicable): ...................................................

B. PARTICULARS OF PARTNER (MALE/FEMALE*)

1. Name: ..............................................................................................................
2. Identity Card/ Passport No: .................................................................................
3. Date of Birth: ........................................... 4. Age:...........................................
5. Address: ............................................................................................................... ........................................................................................................................
6. Race:.......................................................... 7. Nationality: ..................................
8. Academic Qualification: ......................................................................................
9. Occupation: ......................................... 10. Income: .....................................
11. Date of Convertion to Islam (if applicable): ...................................................

C. PARTICULARS OF WALI ( FOR FEMALE*)

1. Name: ..............................................................................................................
2. Identity Card/ Passport No: .................................................................................
3. Date of Birth: ........................................... 4. Age:...........................................
5. Address: ................................................................................................................. .....................................................................................................................
6. Relationship of Wali to the Applicant: ...........................................................
7. I do hereby solemnly affirm that all the particulars contained in this Application are true and if any of the particulars is false I have committed an offence punishable under Section 38 of the Islamic Family Law Enactment 2002.

Dated: A.H /A.D ...................................

..............................................
(Signature of Wali)

D. PARTICULARS OF MARRIAGE

The proposed marriage will be held on ............................................ A.H./A.D. at (address) ................................................................................................................. ............................................................................................................................... (mukim) .................................................................................................................

E. AFFIRMATION OF APPLICANT

1. I do hereby solemnly affirm that I am a bachelor/widower/married ................................................... /anak dara/janda/widow/thayyib*.

2. Divorce Certificate/Death Certificate No. (if widower/widow): ..............................................................................................................................................

3. I do hereby solemnly affirm that all the above particulars are true and of any of the particulars is false I have committed an offence punishable under
Section 38 of the Islamic Family Law Enactment 2002.

Dated: A.H/A.D ...................................

...............................................
(Signature of Applicant)

F. AFFIRMATION OF STATUS OF APPLICANT

Affirmation by the Assistant Registrar of Muslim Marriages, Divorces and Ruju’ of the State of Kelantan.

I do hereby, affirm that based on the information and documents given by the applicant, the applicant is a bachelor/widower/married .................................. /anak dara/janda/widow/thayyib* and her wali ...............................................................

Dated: A.H/A.D ...................................

.....................................................
(Name and Signature of Assistant Registrar)

FOR OFFICE USE (to be filled by the Registrar)

Application to marriage from .......................................................................................... (Name of Applicant)

APPROVED/NOT APPROVED*

Dated: A.H/A.D ...................................

..................................................
(Name and Signature of Registrar)

(*) Delete whichever is not necessary.