SCHEDULE (PEGUAM SYARIE (PERAK) RULES 2003

PK P.U. 17/2003
PEGUAM SYARIE (PERAK) RULES 2003

SCHEDULE

ADMINISTRATION OF ISLAMIC LAW ENACTMENT 1992

PEGUAM SYARIE (PERAK) RULES 2003

FORM A

[Subrule 10(1)]

APPLICATION FOR ADMISSION AS A PEGUAM SYARIE

To,

The Secretary of the Committee
Peguam Syarie Admission Committee
State of Perak Darul Ridzuan.

i have the honour to apply to be admitted as a Peguam Syarie and my personal particulars are as follows:

(To be filled by the Applicant in Capital Letters)

1. Name:

2. Other Names (if any):

3. Identity Card Number:

4. Sex:

5. Date of Birth:

6. Place of Birth:

7. Marital Status:

8. Nationality:

9. Race:

10. Religion:

11. Name and address of firm:
(If applicant is an advocate and solicitor)

12. Postal Address:

13. Telephone Number:	(a) ...................... (O)

	(b) ........................ (H)

	(c) ........................ (H/P)

14. Address of Residence:

15. Qualification:

16. Experience:

7. Other particulars (if any):

I hereby affirm that I have never been convicted in Malaysia or in any other country on any criminal offence and I am not a bankrupt.

I affirm that the particulars stated above are true.

Dated: ......................................

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

REMINDER:

The Applicant shall submit certified true copies of certificates, testimonials, recommendations and other relevant documents to support his application.

____________________

ADMINISTRATION OF ISLAMIC LAW ENACTMENT 1992

PEGUAM SYARIE (PERAK) RULES 2003

FORM B

[Subrule 13(2)]

SIJIL PEGUAM SYARIE

WHEREAS it is hereby certified that ...................................................... Identity Card No. .................................................. Serial Register No. .......................................................... has been admitted as a Peguam Syarie under the Peguam SYarie (Perak) Rules 2003 on this ......................................... day of ............................... 20 ........ .

SEAL

Dated of issued	H ............................................
	M
	...................................................... President Majlis Agama Islam dan 'Adat Melayu Perak

__________________

ADMINISTRATION OF ISLAMIC LAW ENACTMENT 1992

PEGUAM SYARIE (PERAK) RULES 2003

FORM C

[Subrule 15(2)]

SIJIL AMALAN GUAMAN SYARIE

PEGUAM SYARIE ADMISSION COMMITTEE, THE STATE OF PERAK DARUL RIDZUAN hereby certify that:

Name: .............................................................

Identity Card No. ...........................................

Register Serial No. ..........................................

is at liberty to practice as a Peguam Syarie in the Syariah Court in the whole State of Perak Darul Ridzuan with effect from the ................................... day of ............................... 20 ........ to the .................................. day of ........................... 20 ............. .

SEAL

Dated of issued	H ............................................
	M
	...................................................... Chairman for and on behalf of the Peguam Syarie Admission Committee State of Perak Darul Ridzuan

___________________

ADMINISTRATION OF ISLAMIC LAW ENACTMENT 1992

PEGUAM SYARIE (PERAK) RULES 2003

FORM D

[Subrule 16(2)]

APPLICATION TO RENEW SIJIL AMALAN GUAMAN SYARIE

Chairman
Peguam Syarie Admission Committee
State of Perak Darul Ridzuan

I have the homour to apply for a renewal of the Sijil Amalan Guaman Syarie for a period of twelve months with effect from ............................................. until ....................................... and my personal particulars are as follows:

1. Name:

2. Identity Card No. :

3. Register Serial No. :

4. Sijil Peguam Syarie No. :

5. Date of Expiry of of Sijil:

6. Sijil Amalan Guaman Syarie No.:

7. Fax No. :

8. Name and Address of Firm:
(if applicant is an advocate and solicitor)

10. Postal address:

11. Telephone Number:	(a) ...................... (O)

	(b) ........................ (H)

	(c) ........................ (H/P)

12. Address of Residence:

13. Other particulars (if any):

I hereby affirm that I have never been convicted in Malaysia or in any other country on any criminal offence and I am not a bankrupt.

I affirm that all the particulars stated above are true.

Dated: ......................................

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

REMINDER:

The Applicant shall submit certified true copies of certificates, testimonials, recommendations and other relevant documents to support his application.

____________________

(FOR USE BY COMMITTEE)

Date of Receipt:

Amount of Fee:

Receipt No.:

Entered in the Peguam Syarie Register on:

Made 17 November 2003
[PSUK. PK. (BPK) 1A 355/525/907; PU. Pk. 70/2003]

.....................................................
President
Majlis Agama Islam dan 'Adat Melayu
Perak