Akta Cerai Ex Suami
Akta Cerai Ex Suami
Seri :D
No : 26830
AKTA CERAI
Nomor : ………………
1952 / AC / ……………..
2017 / PA / Msy.*) ……………
JU
Mup Tadi
................................................................................... 42
umur.................................tahun, Agama :Islam,
Karyawan Swasta
Pekerjaan............................................................
Klp. Cengkir BRT IV FK
Tempat tinggal di ...............................................
I/12A Rt.005 Rw.011
............................................................................
Kelurahan Kelapa Gading Timur
............................................................................
Kelapa Gading
Kecamatan..........................................................
Jakarta Utara
Kabupaten / Kota*)............................................
............................................................................
dengan
B. Octavia Indrawati
................................................................................... 44
umur.................................tahun, Agama :Islam,
Mengurus Rumah Tangga
Pekerjaan............................................................
Klp. Cengkir BRT IV FK
Tempat tinggal di ...............................................
I/12A Rt.005 Rw.011
............................................................................
Kelurahan Kelapa Gading Timur
............................................................................
Kelapa Gading
Kecamatan..........................................................
Jakarta Utara
Kabupaten / Kota*)............................................
............................................................................
Demikian akta cerai ini, ditandatangani oleh kami…………………………………………............…. Drs. Faizal Kamil, SH., M.H.
................................................................................Panitera Pengadilan Agama/Mahkamah Syariah*)
Jakarta Utara
………………….....................................................................................................................................