FIRST SCHEDULE (Form 17) (MARRIAGE, DIVORCE AND RUJU' (STATE OF PENANG)

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

FIRST SCHEDULE (Form 17)

FORM 17

(Rule 17)

APPLICATION FOR CORRECTION OF ERRORS IN
MARRIAGE CERTIFICATE

Chief Registrar/Registrar,

..............................................................

..............................................................

..............................................................

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

I.C./Passport No. ................................................................................................................................................

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

whose marriage in accordance with Hukum Syara' to (name) ...............................................................

................................................................................................................................................................................

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

I.C./Passport No. ................................................................................................................................................

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

on ....................................................................... at ..............................................................................................
apply to correct the following errors:

(i) ................................................................................ substitute to ............................................................

(ii) ............................................................................... substitute to ............................................................

(iii) .............................................................................. substitute to ............................................................

Enclosed herewith is the true copy of the Marriage Certificate.

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

..................................................................
Signature of Applicant

FOR OFFICE USE

Application is * granted/not granted

I certified that I have corrected the following errors:

(i) ................................................................................ substitute to ............................................................

(ii) ............................................................................... substitute to ............................................................

(iii) .............................................................................. substitute to ............................................................

..................................................................
Chief Registrar/Register