FORM 3 (MATRIMONIAL PROCEEDINGS RULES 1988

Phg. P.U. 9/1988
MATRIMONIAL PROCEEDINGS RULES 1988

FORM 3

ISLAMIC FAMILY LAW ENACfMENT 1987

(Section 52)

APPLICATION FOR FASAKH

No .....................................................

To the Registrar of Syariah Court.

1. I .......................................................................................................................................................................

Identity Card No .............................................................. Age ..........................................................................

Address . ............................................................................................................................................................

Occupation ....................................................................Income per month ......................................................

apply for an order for the dissolution of marriage (fasakh) with my husband named .......................................
..........................................................................................................................................................................

Address . ............................................................................................................................................................
Occupation ....................................................................Income per month ......................................................

2. Date of marriage A.H/A.D ................................................ Registration No ....................................................

Place of marriage ...............................................................................................................................................

Method of marriage .............................................................................................................................................

3. We have ........................................................................................................................................... children.

(1) ...................................................................................Age .....................................................male/female*
(2) ...................................................................................Age .....................................................male/female*
(3) ...................................................................................Age .....................................................male/female*
(4) .................................................................................. Age .....................................................male/female*
(5) .................................................................................. Age .....................................................male/female*

4. We have/have not* been divorced/ruju'* on .....................................................

No. of talaq .....................................................

5. Reasons for fasakh:
.......................................................................................................
.......................................................................................................
.......................................................................................................

6. State jointly earned property (harta sepencarian) to be given to/to be claimed by/ given to* the wife/husband *: .....................................................................................................................................................................

7. Provision as to the care and custody of the children: ......................................................................................................................................................................

................................................................
Applicant's signature

______________________________________________________________________________________
" Delete whichever is not applicable.