FIRST SCHEDULE (Form 14) (MARRIAGE, DIVORCE AND RUJU' (STATE OF PENANG)

Pg. P.U. 5/2000
MARRIAGE, DIVORCE AND RUJU' (STATE OF PENANG)
RULES 2000

FIRST SCHEDULE (Form 14)

FORM 14

(Rule 14)

APPLICATION FOR REGISTRATION OF RUJU'

Registrar
Of Marriage, Divorce and Ruju'

District .............................................................
State of Penang

Nikah Registration No. ......................................................

Date of Marriage ...................................................................

I ........................................................................................................ I.C. No. ....................................................

Age ...................................................................... Occupation ............................................................................

Address ................................................................................................................................................................
apply to register a Ruju' to:

Name of Wife ................................................................................... I.C. No. ..................................................

Age ...................................................................... Occupation ............................................................................

Address of Wife ...................................................................................................................................................

with the pronounciation of "I ruju' with my wife ............................................................................................
on my previous solemnisation"

Other remarks .....................................................................................................................................................

..................................................................
Signature of Husband