Arab Republic of Egypt Ministry of Interior Civil Affairs Authority | This form to be written by the competent employee at the Civil Affairs Office. No any data should be entered by the citizen; otherwise it shall be null and void. |
Egyptian Divorce Entry Copy
Price: 5 piasters
Civil Registry: ___, Governorate: ____
Divorcer
Full Name Religion Nationality
Name I Father's Name I Grandfather's Name or Surname
Divorcee
Full Name Religion Nationality
Name I Father's Name I Grandfather's Name or Surname
Entry Statement at Civil Registry
City or Village I District or Shiyakha I No. I Civil Registration Office
Divorce Date in Words | Divorce Place |
Day: Date: ___ Month: ___ Year: ___ | Court verdict No. ___ , Lawsuit No. ___ of the year ___ |
Divorce Document: No.: ___, dated: ___, Issued by: ___ court
Divorce Type: ____
Notification of the Registry Secretary: No.: ___, Date: ____
The fact of the above mentioned divorce was entered at the facts registries of ___ Civil Registry, ___ Governorate, on __/__/____ under number ___, part ___ as per the above mentioned data.
Written on: __/__/____
Signature of the employee, signature of the Civil Registry Secretary and official seals.