Number:
Letter:
Year:
Attestation
of revocable divorce (first divorce)
Record no.
Registration number Registered in the
civil registry no. on
27/11/2018
Attestation
of Revocable Divorce
First
Divorce
On this Tuesday, Corresponding to ………. A.D.,
corresponding to.. ……… 1440 A.H at ……….. p.m., at the
Cairo Registry Office, before and through me Rashwan Samir Rashwan,
Notary Public at said office,
and in the presence of:
1- Name:
Nationality
Religion:
Date of birth: Place of birth:
Job :
Residence:
With Personal ID: National ID issued from: Arab Republic of
Egypt on …… No. …………
2- Name:
Nationality:
Religion:
Date of birth:
Place of birth:
With Personal ID: National ID issued from: Arab Republic of
Egypt on ………No. …..
Being witness of legal age and legally eligible in
accordance with Article #8 of the Executive
Regulations implementing the Registration Law,
Appeared
First: Mr.
Nationality:
Egyptian, Religion: Muslim
Born on: …..
in …..
And singed
this contract on his behalf- ……. , Nationality: , Religion:, Date of birth:,
Work: , Place of birth: - Personal ID:
National ID issued from: Arab Republic of Egypt on ID No.
Second:
And after
exhaustion of arbitration methods mentioned in Article (10 repeated) of the Executive
Regulations implementing the Registration Law and for the admission of the husband
of executing divorce on ……………...
And after
the admission who has attended from the couple and the witness, we have proven
what follows:
Mr. …… has married Mrs. ….. by virtue of marriage contract
registered with the Personal Status Office, Cairo under no. (..)
letter (.) For the year (.) on …. and that he had
lawfully lived with her as husband and wife.
Divorce information
The husband now want to divorce her revocably for the first
time, and said: “My wife with whom I consummated marriage, Mrs. …. is divorced from me a first revocable divorce.” And he
mentioned that her current residence is ………
And for the
applicant admission that this is: The first divorce to happen between them,
Mrs. …. has become divorced from Mr…. one revocable divorce.
It’s also
mentioned that this attestation has been signed in one original and four
copies, one of them was handed to the divorcer and the second to divorcee and
the third to the civil registration office in Cairo and the fourth to the head
office in Cairo and the original attestation was kept in the office. And after
reading what is mentioned in the attestation on the attendees, all of them have
signed it,
Divorcer’s
attorney Divorcee Witnesses Authorizer
[signature] [signature] 1- [signature] [signature] /round seal/
2- [signature]
/finger
prints/
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