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




FORM 5
ISLAMIC FAMILY LAW ENACTMENT 1987

(Section 54)

APPLICATION FOR CERTIFICATE OF PRESUMPTION OF DEATH
(MAFQUD)

To the Registrar of Syariah Court

I ..........................................................................................................................................................................

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

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

who is already married to: .................................................................................................................................. (Name)

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

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

Marriage Certificate No ...............................................................
apply for a certificate of presumption of death (mafqud) of my husband .......................................................... .............................................................................................................................................................................
(Name)

Enclosed herewith is a certified copy of the Marriage Certificate. The grounds of application are as follows:
.............................................................................................................................................................................
.............................................................................................................................................................................
.............................................................................................................................................................................

Date: A.H/A.D .............................................
................................................................
Applicant's signature




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