JADUAL PERTAMA (KAEDAH-KAEDAH UNDANG-UNDANG KELUARGA ISLAM (BORANG DAN FEE) 1988

Phg. P.U. 8/1988
KAEDAH-KAEDAH UNDANG-UNDANG KELUARGA ISLAM (BORANG DAN FEE) 1988

JADUAL PERTAMA

Borang 8

ENAKMEN UNDANG-UNDANG KELUARGA ISLAM 1987

(Seksyen 51(1))

SURAT PERAKUAN RUJU'

Nombor Pendaftaran Perceraian ............................................................................ Tarikh H/M ...........................

Nama Suami .................................................................... No.Kad Pengenalan .....................................................

Umur ..................................... Perkerjaan ...............................................................................

Nama Isteri ........................................................................ No.Kad Pengenalan .....................................................

Umur ..................................... Perkerjaan ...............................................................................

Alamat suami ..............................................................................................................................

Alamat isteri .................................................................................................................................

Adalah saya ................................................................................................................................. (Nama Pendaftar)

memperakui bahawa-

Nama ................................................................ meruju' isterinya (nama) .................................................................

setelah mendapat persetujuan dari isterinya dengan lafaz

"Saya ruju' akan isteri saya (nama) ............................................................................. kepada nikah saya yang dahulu...................................".

Nombor Pendaftaran Nikah...........................................................

Tarikh perkahwinan H/M..................................Tarikh ruju' H/M........................................

Lain-lain kenyataan...............................................................................................................

Nombor Daftar Ruju'..............................................................................................................

......................................
Tandatangan Suami

...................................
Tandatangan Isteri

.......................................
Tandatangan Pendaftar