Pg. P.U. 5/2000
MARRIAGE, DIVORCE AND RUJU' (STATE OF PENANG)
RULES 2000
FIRST SCHEDULE (Form 18)
FORM 18
(Rule 17)
APPLICATION FOR CERTIFIED TRUE COPY OF ENTRY IN
REGISTER OF MARRIAGE/DIVORCE/RUJU'
1. | Full name of Husband:
I/C No.: |
(New)
(Old) |
--
|
| Address: (When Solemnised) | ....................................................................... |
2. | Full Name of Wife:
I/C No.: |
(New)
(Old) |
--
|
| Address: (When Solemnised) | ....................................................................... |
4. | District:
(Solemnisation) | Bandaraya | [ | ] | B.Pulau | [ | ] | N.Tebal | [ | ] |
| | B.Mertajam | [ | ] | K.Batas | [ | ] | B'worth | [ | ] |
6. | Relationship With Applicant: | ............................................................. |
7. | Mail Address: | .............................................................
Tel. No. .............................................. |
8. | Grounds of Application: | ............................................................. |
............................................
Signature of Applicant
FOR OFFICE USE
Application No/Marriage Certificate No.: | | |
Amount paid: RM..................................... Receipt No. ..................................
Remarks: ................................................................
.............................................
Chief Registrar,
Marriage, Divorce and Ruju',
Penang
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