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

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

Form 1A

(Section 23 (4))
PERMISSION TO POLYGAMY

1. Name:................................................ I/C No: ..................................... Age:.........

2. Address: .................................................................................................................

3. (a) Name of First Wife: ...................................... I/C No.: .................................. Address: ........................................................ Occupation:............................

(

)

Name of Second Wife: ..................................... I/C No.: .................................... Address: ........................................................ Occupation:............................

(

)

Name of Third Wife: ................................... I/C No.: ................................. Address: ........................................................ Occupation:...........................

4. Name of proposed Wife: .................................... I/C No.: ............................... Address: .............................................................. Occupation:............................

5. My Marriage With (name): .................................................................................... is necessary because .............................................................................................

6. Relationship with my existing wives: happy/unhappy.

7. I am working as/unemployed: .............................................................................

8. My monthly salary (Please attached latest pay slip) RM ..........................................

9. My other sources of income (if any) RM ..............................................................

10. My allocation to my wives:

(a)

First Wife : RM ..........................................

(b)

Second Wife : RM ..........................................

(c)

Third Wife : RM ..........................................

11. My allocation to my proposed wife: RM .............................................................

12. My allocation to children: RM ................................................................................

13. Place of abode of my wives:

(a)

First Wife: Rent House/Own House/Stay With.

(b)

Second Wife: Rent House/Own House/Stay With.

(c)

Third Wife: Rent House/Own House/Stay With.

14. Place of abode of my proposed wife: Rented House/Own House/Stay With.

15. I am willing to make arrangement between my wives:

(a)

First Wife: ............................................ night.

(b)

Second Wife: ........................................night.

(c)

Third Wife: .......................................... night.

16. I will make arrangement with my proposed wife ………………….. night.

AFFIRMATION

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 applicant)