Sel. P.U. 5/2001
KAEDAH-KAEDAH PENTADBIRAN WAKAF (BORANG-BORANG WAKAF) 2001
JADUAL
BORANG A
BORANG PERMOHONAN MEWUJUDKAN WAKAF
Kepada,
Pendaftar Wakaf,
Majlis Agama Islam Selangor,
Tingkat 2, Kompleks MAIS,
Persimpangan Kapar/Meru,
41050 Klang
BAHAGIAN 1 (Harta tak alih)
Saya...................................................................................No. KP.............................................................................yang beralamat di ................................................................................
............................................................................................................................................... tuan punya tanah berikut:
Bandar/Pekan/Mukim * ....................................................................................................... Lot No: ........................................................................................................................................
Jenis dan No. Hakmilik ...................................................................................................... Luas: ............................................................................................................................................
dengan ini memohon untuk mewakafkan harta yang dinyatakan di bawah ini.
JADUAL HARTANAH DAN KEPENTINGAN
Bandar/ Pekan/ Mukim | No. Lot/ Petak/ P.T. | Jenis dan No. Hakmilik | Bahagian Tanah (jika ada) | No Berdaftar Pajak/ Pajak Kecil (jika ada) | No. Berdaftar Gadaian (jika ada) |
(1) | (2) | (3) | (4) | (5) | (6)
|
* Potong sebahagianmana yang sesuai
BAHAGIAN II (Harta alih)
Saya................................................................................................................. No. KP...........................................................yang beralamat di .................................................................................
...................................................................................................................................................................................... dengan ini memohon untuk mewakafkan harta saya seperti di bawah ini:
(i) Jenis harta: ......................................................................................................................................................
(ii) Kedudukan: ......................................................................................................................................................
Bersama-sama ini disertakan:
(i) Salinan Kad Pengenalan;
(ii) Salinan Geran/Suratan Hakmilik;
(iii) Salinan Cukai Tanah Terbaru;
(iv) Salinan Pelan Tanah yang menunjukkan luas bahagian/kawasan dan lokasi tanah wakaf yang dicadangkan; dan
(v) Lain-lain dokumen berkaitan (jika ada):
............................................................................................................................................................................................
.............................................................................................................................................................................................
BAHAGIAN III (Lafaz Wakaf)
Saya ...............................................................................dengan ini mewakafkan harta/tanah* saya, seperti yang tersebut di atas, kepada..................................................................... beralamat di ........................................................................................................................................................................................................................................................................................
bagi tujuan ...........................................................................................................................................................................................................................................................................................
Sekian terima kasih.
Bertarikh ....................................................
......................................................
(Tandatangan Waqif)
Permohonan wakaf dan lafaz wakaf di atas telah dibuat di hadapan dua orang saksi seperti berikut:
Nama Saksi (1) : ......................................................................................................................................................................................................
No. Kad Pengenalan: ....................................................................................... Alamat:.......................................................................................
.....................................................................................................................................................................................................................................
Poskod: .......................................................................................... Negeri: ............................................................................................................
Tadatangan Saksi (1): ............................................................................................................................................................................................
Nama Saksi (2): .......................................................................................................................................................................................................
No. Kad Pengenalan: ................................................................................ Alamat:..................................................................................................
.........................................................................................................................................................................................................................................
Poskod: ............................................................................ Negeri: ...............................................................................................................................
Tadatangan Saksi (2): .................................................................................................................................................................................................
BAHAGIAN IV (Ulasan Pendaftar Wakaf)
Bahawa saya ................................................................................................... No. KP: .................................................... Pendaftar Wakaf Majlis Agama Islam Selangor, telah menyiasat permohonan tersebut pada ............................................................... dan mendapatinya benar/tidak benar* dan saya menyokong/ tidak menyokong* permohonan itu dengan alasan yang berikut:
.........................................................................................................................................................................................................................................
.........................................................................................................................................................................................................................................
.........................................................................................................................................................................................................................................
Ditandatangani oleh:
....................................................................
Pendaftar Wakaf
bagi dan atas nama
Majlis Agama Islam Selangor
Bertarikh: .................................................
[Gan. Sel.Pu. 138/2013]
BORANG B2
BORANG PERSETUJUAN WAKAF
Diperbuat surat persetujuan wakaf ini di ...........................................................................................................................................................................................
Pada hari........................................................................... haribulan ...................................................... tahun ....................................................................... Hijrah
Bersamaan ...................................................................... haribulan ...................................................... tahun ..................................................................... Masehi
Di hadapan
1. ......................................................................................................
2. ......................................................................................................
Bahawa adalah saya .........................................................................................................................................................................................................................................................................
No. Kad Pengenalan .................................................................... Alamat .......................................................................................................................................................................................
.................................................................................................................................................................................................................................................................................................................
adalah tuan punya saham wakaf Majlis Agama Islam Selangor (MAIS) No. .................................................... bernilai RM ................................................................................ (Ringgit
....................................................................................................................... sahaja).
Bahawa sesungguhnya pada hari ini dan tarikh tersebut, dengan akal fikiran yang sempurna, sihat tubuh badan, dengan redha dan suka hati berlafaz dengan lafaz yang sarih, iaitu, saya wakafkan saham saya No. Sijil ........................................................ tersebut atas hujah maslahah dan kebajikan Agama Islam kerana Allah Ta’ala selama-lamanya.
Dengan ini saya serahkan Sijil Saham Wakaf saya bagi amanah dan tadbir Majlis Agama Islam Selangor (MAIS). Maka dari hari dan tarikh ini terlepaslah ia dari milik saya, menjadi mawquf dan pada hukum milik Allah S.W.T. selama-lamanya.
Di atas betul dan benar, sah dan nyatanya, maka saya turunkan tandatangan saya di bawah ini di hadapan saksi-saksi yang hadir.
Tandatangan Saksi
1st .............................................................
2nd ............................................................ | Tandatangan Pewakaf
.............................................................. |
_____________________________________________________________________________________________________________________________________Untuk Kegunaan Pejabat
Daftar bilangan ................................................................................................................................................................
Tarikh: ....................................... Tandatangan Pengerusi: .........................................................................................
BORANG B3
SIJIL SAHAM WAKAF
MAJLIS AGAMA ISLAM SELANGOR
(MAIS)Dengan ini disahkan
bahawa ....................................................................................................................................................................................................................................................................................................
No. Kad Pengenalan: ...........................................................................................................................................................................................................................................................................
Adalah pemilik saham-saham yang bernilai sebanyak ....................................................................................................................... unit saham yang tiap-tiap satu berharga RM.................................................................................................................. dibayar penuh kepada:
Majlis Agama Islam Selangor
(MAIS)
Dimeterikan di bawah Mohor
Majlis Agama Islam Selangor (MAIS)
Pada .............................................................
.........................................................
Pengarah
Jabatan Agama Islam Selangor
........................................................
Mufti Negeri Selangor
Bertarikh 2000.
[JAI. Sel. 6977; PU. Sel. AGM 0026]
DATO’ HAJI AMBRIN BUANG,
Pengerusi,
Majlis Agama Islam,
Selangor
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