PRAYER AFTER MARRIAGE CONTRACT

(Verses in Arabic letters)

REPUBLIC OF INDONESIA
Oh God Almighty, give this couple a life full of happiness. EXCERPT OF
MARRIAGE CERTIFICATE
Oh, God Almighty, give this couple faithful children devoted to You and
OFFICE OF RELIGIOUS AFFAIRS
obedient to their parents as well as being useful to the Religion, Nation
and Country.
District : Koto Tangah………….

Oh, God Almighty, give us all a happy life, on earth as it is ultimately in Regency/City : Padang ….. ..
heaven and deliver us from eternal hell.

Photograph of Photograph of
the bridegroom the
bride
(Verses in Arabic letters)
Seal of the
Office of
Religious
Affairs

I hereby certify that this is a true and correct translation of

the original marriage book in Indonesian by me, ANDI
SUPRIANTO, duly authorized and sworn translator pursuant
to Decree No. 2228/2001 of the Governor, Special District of
Jakarta dd July 31, 2001. ----
 to a woman
SERIAL: IM
V. 1. Full name and alias : H. Mairita SMAK…………….
EXCERPT OF MARRIAGE CERTIFICATE 2. Daughter of : H. Kasim Rangkuti………….
Number : 579 / 110 -A / II/III/ 1985
3. Date of birth (age) : August 30, 1961 …. ........
Arabic letters denoting: 4. Place of birth :
“...and you should not treat your wife with harshness“ (Surah An-Nisa, Verse 19)
Sei Lareh Padang .
5. Religion : Muslim ………………………
On Friday, 21 Rajab 1405 H or April 12, 1985 AD at 18.00 hours was 6. Occupation : Former student………………....
performed a marriage contract of :
7. Address : .RT II Sei Lareh………...............
A MAN 8. Special marks : …………….-- …………………
9. Virgin or widow : Virgin…………………………….
II 1. Full name and alias : Ir. Zulkarnain………………….
2. Son of : Drs. KAMARUZZAMAN….……..
3. Date of birth (age) : December 30, 1958 ........ Wedding guardian
4. Place of birth : Padang .
VII. 1. Full name and alias : H. Kasim Rangkuti
5. Religion : Muslim ………………………… 2. Son of : -
3. Date of birth (age) : 65 years
6. Occupation : Employee, Faculty of Agriculture.... 4. Occupation : Retiree
7. Address : .Bd. Purus no. 65 Padang............... 5. Religion : Muslim
6. Address : RT II Sei Lareh
8. Special marks : …………….-- ……………………… 7. Relationship : Natural father
9. Single, widower or : Single……………………………….
married As guardian judge
a. name :
b. position/title :
c. cause :

With dowry :
VIII. 1. in the form of : a quran translation
2. In cash / indebted : cash

IX. Thereafter the husband : yes

pronounces/ reads and signs
the Sigat Ta’lik : Yes / No*)
X. If there are other agreements
of the Sigat Ta’lik mention

Tabing, April 22, 1985

Certified copy
Office of the Religious Affairs
District of Koto Tangah
Marriage Registrar *)
Signed on
stamp duty of
Rp 100 by

……………………………… (Tolong isi)

Reg. No. 150032328

Marriage registration fee of Rp ……………………

has been paid.