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Divorce Registration

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FORM-D

(APPLICATION FORM FOR DIVORCEREGISTRATION)


UNIONADMINISTRATION (NO.)
TOWN I TEHSIL DISTRICT _

Mode of Divorce DTalaq DKhula D Other

Husband's Name: :rt~; 1.

CNIC No. :/.5/( (jf;:: 2.

Father's Name with CNIC No. :/.5A"(jf;::'rt(..JI, 3.

Address: :~ 4.

Wife's Name :rt((j'J:: 5.

CNIC No. :/.5)( (jf;:: 6.

Father's Name with CNIC No. :/.5)((jf;::'(t (..JI, 7.

Address: :~ 8.

Date & Place of Marriage: :~/b)rJ ~(j 9.

Total No. of Children from Wedlock:


______________ :)I);...fJU~,-tJI,Jjl;;) 10.

Date of Divorce Pronouncement/Notice: --------------- .jI))?J)/d~Ib)r 11.



Authority granting Divorce: :.j1))?,IbYLC~J)(JI 12.
Details Regarding the Divorce and
______________ :JV"..:Jtp(,.jI))?~~~ 13.

custody of the Children:

No. of previous divorces of Husband: :JI.;;iJujl))?_;;/J;,.; 14.


No. of pervious divorces of Wife: :JI..JJujl))?;;/J(j'J:: 15.

Details of Proceedings of the Arbitration --------------- :~JJIJj(JJi'Lfb' 16.


Council:

Conciliation Proceedings Failure Date: :Lfb'(j'(cb)r 17.


Date of Effectiveness of Divorce: :.jl))?;ybr 18.
Date of Registration: :~i)I.tlbr 19.
Verified By: :D~~~ 20.

THE ENTRY OF THE SAID DATE IS ACCORDING TO THE STATEMENTFURNISHED BY THE INFORMING PERSON I INSTITUTION
This extract to Mr. Mrs. __ -'- has been issued vide application dated _
Rs.--,- regardingfees for the registrationI extract has been receivedvide receipt No Book No. _
Entry No. Dated: _

Registrar (Signed)

Birth, Deaths Marriages and Divorces Checked By: ---::-:----:-:~---:-


(Name & Signatures)

Union Administration (No. __ ) District: _


CRMS No. _ Date of Issuance:-- __

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