FIRST SCHEDULE (Form 16) (MARRIAGE, DIVORCE AND RUJU' (STATE OF PENANG)

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

FIRST SCHEDULE (Form 16)

FORM 16

(Rule 16)

CERTIFICATE OF PRESUMPTION OF DEATH (MAFQUD)

BEFORE THE HONOURABLE .........................................................

SYARIAH JUDGE,

This is to certify that the person mentioned below is persumed dead (Mafqud)

Full Name ............................................................................................................................................................

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

Last Address .......................................................................................................................................................

Cause of Death ...................................................................................................................................................

Date of Death .......................................................................................................................................................

Witnesses certifying:

(1) ................................................................................ I/C No. .....................................................................

(2) ................................................................................ I/C No. .....................................................................

Date .........................................................

..................................................................
Syariah Judge