JADUAL - Borang 2. (KAEDAH-KAEDAH PERBICARAAN HAL EHWAL SUAMI ISTERI 1987

P.U. (A) 143/87
KAEDAH-KAEDAH PERBICARAAN HAL EHWAL SUAMI ISTERI 1987

JADUAL - Borang 2.

AKTA UNDANG-UNDANG KELUARGA ISLAM
(WILAYAH PERSEKUTUAN) 1984

(Seksyen 50)

PERMOHONAN UNTUK CERAI DI BAWAH TA'LIQ

Bil .................................................

Kepada Pendaftar Mahkamah Syariah.

1. Saya, ..................................................................................................................................... No. Kad Pengenalan........................................................................ Umur.................................... Alamat ....................................................................................................................................... Pekerjaan................................................................. Pendapatan sebulan.................................... memohon kepada Mahkamah untuk mengisytiharkan cerai di bawah ta'liq telah berlaku antara suami saya yang bernama .................................................................................................................... No. Kad Pengenalan........................................................................ Umur................................... Alamat ....................................................................................................................................... Pekerjaan................................................................. Pendapatan sebulan....................................

2. Tarikh kahwin H/M ................................................ Bilangan Pendaftaran ................................. Tempat berkahwin.......................................................................................................................
Cara perkahwinan........................................................................................................................

3. Kami mempunyai anak seramai ...........................................................

(1) ........................................................................................ Umur ......................... lelaki/perempuan.*

(2) ........................................................................................ Umur ......................... lelaki/perempuan.*

(3) ........................................................................................ Umur ......................... lelaki/perempuan.*

(4) ........................................................................................ Umur ......................... lelaki/perempuan.*

(5) ........................................................................................ Umur ......................... lelaki/perempuan.*

4. Kami pernah/belum pernah bercerai/ruju' pada............................................................................. Talaq kali.....................................................................................................................................

5. Alasan-alasan untuk mengisytiharkan cerai di bawah ta'liq:
................................................................................................................................................... ...................................................................................................................................................

6. Nyatakan hartabenda sepencarian yang akan dituntut oleh/diserahkan kepada isteri/suami*:
...................................................................................................................................................
...................................................................................................................................................

7. Peruntukan bagi pemeliharaan dan penjagaan anak-anak:
...................................................................................................................................................
...................................................................................................................................................

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Tandatangan pemohon

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* Potong mana yang tidak berkenaan.