P.U. (A) 143/87
KAEDAH-KAEDAH PERBICARAAN HAL EHWAL SUAMI ISTERI 1987
JADUAL - Borang 6.
AKTA UNDANG-UNDANG KELUARGA ISLAM
(WILAYAH PERSEKUTUAN) 1984
(Seksyen 53)
SIJIL PERAKUAN ANGGAPAN MATI (MAFQUD)
OLEH TUAN ............................................................................................
HAKIM SYARIAH.
Adalah disahkan bahawa orang tersebut di bawah ini telah dianggap mati (Mafqud):
Nama Penuh ............................................................................................................................... No. Kad Pengenalan ................................................................ Jantina ........................................ Alamat terakhir ............................................................................................................................ ................................................................................................................................................... Sebab kematian .......................................................................................................................... Tempat kematian .........................................................................................................................
Saksi-saksi yang mengesahkan:
(1) ...................................................... No. Kad Pengenalan ..............................................
(2) ...................................................... No. Kad Pengenalan ..............................................
Keadaan kematian .......................................................................................................................
Tarikh: H/M .................................................................................................................................
........................................
Hakim Syariah
Diperbuat pada 16hb April 1987.
[JAWI (Sulit) 2130; PN. (PU2) 442/11.]
Dengan Titah Perintah,
DATO' ABU HASSAN BIN HAJI OMAR,
Menteri Wilayah Persekutuan
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