FORM 5 (ISLAMIC FAMILY LAW (FORMS AND FEES) RULES 1988

Phg. P.U. 8/1988
ISLAMIC FAMILY LAW (FORMS AND FEES) RULES 1988

FORM 5

ISLAMIC FAMILY LAW ENACTMENT 1987

(Section 26)

MARRIAGE CERTIFICATE

No ............................................... Date of Solemnization of Marriage A.H/A.D ..................................................
Permission to Marry No .......................................................

Registered on A.H/A.D .......................................................

Name of bridegroom .................................................................................... Age ..............................................
Identity Card No ............................................. Address ...................................................................................... .............................................................................................................................................................................

Name of bride .............................................................................................. Age ..............................................
Identity Card No ............................................. Address ...................................................................................... .............................................................................................................................................................................

Name of wali .............................................................................................. Age ..............................................
Identity Card No ............................................. Address ...................................................................................... .............................................................................................................................................................................
Relationship ..............................................................................................

Name of witnesses-

(1) .............................................................................................................................................................. Identity Card No ........................................................................... Age ....................................................... Address .......................................................................................................................................................

(2) .............................................................................................................................................................. Identity Card No ........................................................................... Age ....................................................... Address .......................................................................................................................................................

Mas kahwin ........................................................................... ringgit cash/credit*.

Belanja hantaran ........................................................................... ringgit.

Other pemberian (If any) ....................................................................................................................................

................................................................
Signature of Registrar

The bridegroom has made a declaration of the ta'liq as follows:

I do solemnly declare, whenever I leave my wife ............................................................................................... (Name)for a period of four months Hijrah continuously or more,voluntarily or with force, and I or may representative do not give her maintenance for such period whereas she is obedient to me or I cause hurt to her person, then she makes a complaint to the Syariah Court and if it is found by the Syariah Court to be true, and gives to the Syariah Court which receivers on my behalf a sum of one ringgit, then she is divorced by a talaq khul'.

................................................................
Signature of Registrar

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Delete whichever is not applicable.