P.U. (A) 142/87
KAEDAH-KAEDAH KELUARGA ISLAM (BORANG DAN FEE) 1987
Nama Saksi | No. Kad Pengenalan | Umur | Alamat |
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Tarikh: H/M .................................................... | ..................................................................... |
Tandatangan Pemohon |
Tarikh: H/M .................................................... | Tandatangan saksi (1)............................................ |
Tandatangan saksi (2)............................................ |
Tarikh: H/M .................................................... | ..................................................................... |
Tandatangan Pendaftar |
Tarikh: H/M .................................................... | ..................................................................... |
Tandatangan Pendaftar |