Form 4 (MATRIMONIAL PROCEEDING RULES 1988

Pk. P.U. 17/1988
MATRIMONIAL PROCEEDING RULES 1988

Form 4

ISLAMIC FAMILY LAW ENACTMENT 1984

DIVORCE CERTIFICATES

(Section 51 (5))

No. ........................................................
Marriage Certificate No. .......................................................
Application for Divorce No. ..................................................................
Name of husband ................................................................................................................................................................. Identity Card No. ..................................................................................
Address ....................................................................................................................................................................................................................................................................................................
..................................................................................................Age........................................Occupation .............................................................................................................................................
Name of wife .......................................................................................................................................................................... Identity Card No. .................................................................................
Address ...................................................................................................................................................................................................................................................................................................
................................................................................................. Age ...................................... Occupation ............................................................................................................................................
Date of marriage A.H. / A.D. ....................................................................
Name of witness (1) ...............................................................................................................................................................................................
Name of witness (2) ...............................................................................................................................................................................................
Method of divorce .......................................................................................................................................................... No. of Talaq .........................................................................
Payment of tebus Talaq (if any) ........................................................................................................................ Place of divorce .....................................................................................................
............................................................................................................................................................................... Date of divorce .................................................................................... A.H. / A.D.
Divorce while free from menstruation / during pregnancy* ........................................................................................................... Maintenance during 'Iddah ..............................................
......................................... Maintenance for children ......................................................................................................................................... Mut'ah .....................................................................
................................................................... Settlement of property, etc .......................................................................................................... Dated A.H. / A.D. ......................................................

..........................................................
Signature of Chief Registrar

Made this 8th day of July 1988.
[JUPK / KEH/065; PU Pk. 37 / 88.]

By Command,

DATO' SERI RAMLI BIN NGAH TALIB,
Menteri Besar,
Perak