M.P.U. 20/2003 KAEDAH-KAEDAH UNDANG-UNDANG KELUARGA ISLAM (BORANG DAN FI) 2003
JADUAL PERTAMA - Borang 9
Borang 9
ENAKMEN UNDANG-UNDANG KELUARGA ISLAM
(NEGERI MELAKA) 2002
(Seksyen 31)
SALINAN SAH CATATAN DALAM DAFTAR PERKAHWINAN YANG DIPERAKUI BAGI PERKAHWINAN LUAR NEGERI
Bilangan Perakuan Nikah Yang Asal: ................... No. pendaftaran: ....................................
Tarikh pendaftaran: ...............................................................................................................
Tempat pendaftaran: ............................................. Negara: ...................................................
Nama pengantin lelaki: .................................................................................................
No. Kad Pengenalan/Pasport: ................................................................ Umur: ....................
Ras: ........................ Kewarganegaraan: ................................................................................
Tarikh lahir: .................. Tempat lahir: ..................... Pekerjaan: ..........................................
Alamat asal: ...........................................................................................................................
Alamat sekarang: ...................................................................................................................
Nama pengantin perempuan: ............................. No. Kad Pengenalan/Pasport: ....................
Umur: ................ Ras: ........................ Kewarganegaraan: ....................................................
Tarikh lahir: ................ Tempat lahir: ................................... Pekerjaan:...............................
Alamat asal: ...........................................................................................................................
Alamat sekarang: ...................................................................................................................
Nama Wali: ........................................ No. Kad Pengenalan/Pasport: .................. Umur:......
Hubungan Wali dengan pengantin perempuan: .....................................................................
Alamat sekarang: ...................................................................................................................
Nama Saksi (1): .....................................................................................................................
No. Kad Pengenalan/Pasport: .......................................................... Umur: ..........................
Alamat: .................................................................................................................................
Nama Saksi (2): .....................................................................................................................
No.Kad Pengenalan/Pasport: .......................................................... Umur: ...........................
Alamat: .................................................................................................................................
Tarikh akad nikah: ........................Tempat akad nikah: .........................................................
Nama Jurunikah: ....................................................................................................................
Mas kahwin: .........................Tunai/Hutang* ...........................................................
Hantaran: ...............................................................................................................................
Pemberian lain (jika ada): ....................................................................................................
Cabutan lafaz Ta’liq (jika suami telah berlafaz ta’liq) seperti yang berikut:..........................
Tarikh: H/M .........................
................................
(Nama dan Tandatangan Pendaftar)