J. P.U. 32/86
KAEDAH-KAEDAH NIKAH LEBIH DARI SATU 1986.
JADUAL - BORANG A.
JATA JABATAN AGAMA
BORANG PERMOHONAN NIKAH LEBIH DARI SATU.
Kadi Daerah .................................................
Adalah saya .................................................................................................................................
Nombor Kad Pengalaman ........................................................ Berumur ................................ Tahun
Warganegara ............................................................. Tarikh Lahir .................................................
Tinggal di Mukim ....................................................... Daerah ........................................................
Negeri ............................................................ memohon Borang B kerana hendak menikah dengan seorang perempuan yang tersebut di bawah ini :
Nama ............................................................................................................................................
Nombor Kad Pengenalan ................................................................................................................
Dara/Janda ....................................................................................................................................
Bilangan Daftar Cerai .....................................................................................................................
Umur .............................................................................................................................................
Tarikh Lahir ...................................................................................................................................
Bangsa .........................................................................................................................................
Tinggal di Mukim ...........................................................................................................................
Daerah ...........................................................................................................................................
Negeri ............................................................................................................................................
Warganegara .................................................................................................................................
Tandatangan pemohon .....................................................................
Tarikh .............................................................................................
______________________________________________________________________________________
KEGUNAAN PEJABAT
(Untuk Kerani Pejabat)
Permohonan yang tersebut diterima, jemput ambil tindakan selanjutnya.
........................................
(Pendaftar Nikah Daerah)
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