‫ﻗﻄﺎﻉ ﺍﻟﻤﺴﺎﻧﺪﺓ ﺍﻟﻘﻀﺎﺋﻴﺔ – ﺇﺩﺍﺭﺓ ﺍﻟﻜﺎﺗﺐ ﺍﻟﻌﺪﻝ ﻭﺍﻟﺘﻮﺛﻴﻖ‬

‫ﺇﻗﺮﺍﺭ ﺣﺎﻟﻪ‬

‫ﺍﻟﺤﻤﺪ ﻟﻠﻪ ﻭﺍﻟﺼﻼﺓ ﻭﺍﻟﺴﻼﻡ ﻋﻠﻰ ﺭﺳﻮﻝ ﺍﻟﻠﻪ ﻭﻋﻠﻰ ﺁﻟﻪ ﻭﺻﺤﺒﻪ ﻭﻣﻦ ﻭﺍﻻﻩ ﻭﺑﻌﺪ‪،‬‬
‫ﺃﻗﺮ ﻟﺪﻱ ﺃﻧﺎ ﺍﻟﻤﻮﺛﻖ ﻟﺪﻯ ﺩﺍﺋﺮﺓ ﺍﻟﻘﻀﺎﺀ ‪ -‬ﺃﺑﻮﻇﺒﻲ‪ ،‬ﺍﻟﻤﺬﻛﻮﺭﺓ ﺑﻴﻨﺎﺗﻪ ﺃﺩﻧﺎﻩ‪:‬‬

‫ﺭﻗﻢ ﺍﻟﻬﻮﻳﺔ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬ ‫ﺍﻻﺳﻢ‬

‫‪784197898150848‬‬ ‫ﺍﻹﻣﺎﺭﺍﺕ‬ ‫ﻋﻠﻰ ﻣﺤﻤﺪ ﻋﺒﻴﺪ ﺑﻮﺍﻟﺮﻛﻦ ﺍﻟﻌﻠﻲ‬

‫ﻭﺃﺷﻬﺪ ﻋﻠﻰ ﻧﻔﺴﻪ ﻭﻫﻮ ﻓﻲ ﺍﻟﺤﺎﻟﺔ ﺍﻟﻤﻌﺘﺒﺮﺓ ﺷﺮﻋﺎ ﻓﻲ ﺟﻮﺍﺯ ﺍﻹﻗﺮﺍﺭ ‪:‬‬
‫ﺍﻧﻪ ﻟﻢ ﻳﺘﺰﻭﺝ ﺣﺘﻰ ﺍﻟﻴﻮﻡ ﻭﻟﻢ ﻳﺴﺒﻖ ﻟﻪ ﺍﻟﺰﻭﺍﺝ ﻣﻦ ﻗﺒﻞ ‪---.‬‬

‫ﺗﻢ ﺗﻮﺛﻴﻖ ﺍﻟﻤﺴﺘﻨﺪ ﺑﻨﺎﺀ ﻋﻠﻰ ﺑﻴﺎﻧﺎﺕ ﻣﻘﺪﻡ ﺍﻟﻄﻠﺐ ﻟﺘﻘﺪﻳﻤﻬﺎ ﺍﻟﻰ ﺍﻟﻬﻴﺌﺔ ﺍﻹﺗﺤﺎﺩﻳﺔ ﻟﻠﻬﻮﻳﺔ ﻭﺍﻟﺠﻨﺴﻴﺔ ﻭﺍﻟﺠﻤﺎﺭﻙ ﻭﺃﻣﻦ ﺍﻟﻤﻨﺎﻓﺬ ﺩﻭﻥ ﺗﺤﻤﻞ ﺩﺍﺋﺮﺓ‬
‫ﺍﻟﻘﻀﺎﺀ ﺃﻳﺔ ﻣﺴﺆﻭﻟﻴﺔ ﺗﺠﺎﻩ ﺍﻟﻐﻴﺮ‬
‫ﻭﺻﻠﻰ ﺍﻟﻠﻪ ﻋﻠﻰ ﺳﻴﺪﻧﺎ ﻣﺤﻤﺪ ﻭﻋﻠﻰ ﺁﻟﻪ ﻭﺻﺤﺒﻪ ﺃﺟﻤﻌﻴﻦ‪،،‬‬

‫ﺗﻤــﺖ ﺍﻟﻤﺼـﺎﺩﻗـﺔ ﻋﻠﻰ ﻫﺬﺍ ﺍﻟﻤﺴـﺘـﻨـﺪ ﺭﻗﻤﻴــﺎ‬ ‫‪Attester‬‬ ‫ﺍﻟﻤﻮﺛﻖ‬

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‫‪2450EC5072E20DD6C0B9‬‬ ‫‪Document date‬‬ ‫‪ 27‬ﺷﻮﺍﻝ ‪2024/05/06 - 1445‬‬ ‫ﺗـﺎﺭﻳـﺦ ﺍﻟﺘﻮﺛﻴﻖ‬

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