Divorce Attestation Issued by a Notary

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Register No
Registered under No .. ( Divorce )

Form No . ( Justice )
Page No . ..
On .

On .. " Hijra" , Corresponding to at ..,

in my presence and by me , I am , Notary of . ,
adjunct to .. Court of Civil Status . I have present by me : .. .. - .. and his mother's name is . , he is an adult , born in
, A.R.E , on ., residing in No . ,
..St district , bearing ID Card No .. , issued on
. He was escorted by his wife . , not virgin , adult
, and her mother's name is . Born on in
.. A.R.E , residing in .. St . .. bearing ID card No
issued from on . .
After confirming their identities as per the following :
1- .. of Egyptian nationality , born on . In ..,
residing with the wife , bearing ID Card No .. , issued from ..
on .
2- 1- .. of Egyptian nationality , born on . In ..,
residing with the husband , bearing ID Card No .. , issued from
.. on .
The mentioned wife declared to her husband : I exempt you my husband . , from my delayed sum of the dowry and I also exempt you from
my expense of the after marriage period , until it is legally terminated , I also
exempt you from all my rights of marriage , and I ask you to divorce me
accordingly .
The husband immediately answer her : You are divorced from me and this is the
first time .
So , I , the Notary , made it clear to her that she is now forbidden from him and not
to be otherwise except by conducting a new marriage contract , receiving a new
dowry and after her approval-of-and acceptance of re-marrying him .
This terminated marriage was conducted on by Notary
.., . district , and fees were delivered to me .
Witnesses

Divorcee

Divorced

Notary