On September 13, 2010, Tengku Muhammad Faris Petra was proclaimed the 29th Sultan of Kelantan, in accordance with the State Constitution. He took the regnal name Sultan Muhammad V.
His younger brother, Tengku Muhammad Fa'iz Petra was made as Tengku Mahkota of Kelantan and become the heir to the throne of Kelantan.
Sultan Muhammad V attended the 222nd meeting of the Conference of Rulers for the first time as a full member in October 2010. This marked the recognition of his accession as Sultan by other rulers.
He was married to Kangsadal Pipitpakdee,was known as Tengku Zubaidah Tengku Norudin after the marriage. However it ended in divorce. They did not have any children.
Sultan Muhammad V was appointed as the Deputy Yang di-Pertuan Agong on 13th December 2011 succeeding Tuanku Abdul Halim Muadzam Shah who was proclaimed as Yang di-Pertuan Agong.