Form 16 (ISLAMIC FAMILY LAW (FORMS AND FEES) RULES 2003

M.P.U. 20/2003
ISLAMIC FAMILY LAW (FORMS AND FEES) RULES 2003

Form 16

(Section 55)

CERTIFICATE OF DIVORCE

Registration of divorce no.: ...................................................................................................
Date of registration of divorce: ..............................................................................................
Date of divorce: ...................................... Place of divorce: ...................................................
Registration of marriage/ruju’ no.: ........................................................................................
Date of marriage/ruju’: .........................................................................................................

Name of husband: ..................................................................................................................
Identity Card/Passport no: ....................................................... Age:.....................................
Occupation: ...........................................................................................................................
Address of husband: ..............................................................................................................
..................................................................................................................................

Name of wife: ........................................................................................................................
Identity Card/Passport no: .......................................... Age: ..................................................
Occupation: ...........................................................................................................................
Address of wife: .....................................................................................................................
..................................................................................................................................

Name of witness (1): ............................................. Identity Card No.: ..................................
Name of witness (2): ............................................. Identity Card No.: ..................................

Method of divorce ............................. Number of talaq: .......................................................
Payment of Tebus Talaq (if any): ...........................................................................................
Divorce while free from menstruation/during menstruation/during pregnancy:
..................................................................................................................................

Maintenance during period of ‘Iddah: ...................................................................................
Maintenance for children: ......................................................................................................
Mut’ah: .................................................................................................................................
Settlement of property, etc: ....................................................................................................

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

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