ENAKMEN 1 TAHUN 1983
ENAKMEN KELUARGA ISLAM 1983
JADUAL KELIMA - BORANG 5F.
BORANG 5F
NEGERI KELANTAN
ENAKMEN KELUARGA ISLAM 1983
(
Seksyen 41(1)
)
SIJIL CERAI MATI
Bilangan ...............................................
Nama Isteri .................................................. Nombor Kad Pengenalan ..........................................
Umur ............ Pekerjaan ............................. Alamat .....................................................................
Kariah ............................ Daerah .................................... Negeri ..................................................
Nama suami .................................................... Nombor Kad Pengenalan .......................................
Tarikh akad nikah ............................................ Bilangan Daftar ......................................................
Mukim ..................................... Jajahan..............................................
Tarikh mati ............................... Tempat mati ......................................
Nama saksi (1) ..............................................................................................................................
Nama saksi (2) ..............................................................................................................................
Lain-Lain kenyataan ........................................................................................................................
......................................................................................................................................................
......................................................................................................................................................
(Meteri)
Tarikh .....................................
............................................
Tandatangan Qadhi/Pendaftar
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