Example of Marriage Record from Goran Kazi Office

(Translated true Copy)

Bangladesh Form No. 1601	Attest Copy Page: 45 Vol: 04 Year : 04	Attest Copy For Bridegroom /Bride Sd/ Illegible (Kazi Md. Anowar Hossain) Muslim Marriage Registerar Gouran Kazi Office Khilgaon, Dhaka
	NIKAH NAMA (MARRIAGE DEED)
[FORM OF NIKAH NAMA PRESCRIBED UNDER POLICE STATION & DIST. OF THE MUSLIM MARRIAGE REGISTRATION ACT.

1.	Name of the ward,Town/Union , Tahshi/Thana and District in which the Marriage took place: Muslim Registrar Office , Khilgaon, Dhaka
2.	Name of the bridegroom & his father with respective residences. ASHRAFUZ ZAMAN , son of Late Azizul Rahman, Mother : Ambarun Nessa, Address-House No-H-9, Fayaz Plaza, F.B. Area, Block-16, Water Pump, Karachi.
3.	Age of Bridegroom :  Date of birth 26/07/1958 AD
4.	Name of Bride & her father with respective residences. : FATEMA SIDDQUE daughter of Md. Nurul Islam, Mother : Sukrun Nessa , Village-Nowapur, Ward No-3, P/O- Kalikapur, P/S- Fulgazi  , Dist- Feni.
5.	Whether the bride is Maiden, Widow or Divorcee? Maiden
6.	Age of the Bride/ Date of birth : 26/04/1983 Ad
7.	Name of the Vakil any appointed the bride, his father’s name and residence:   Jashim , son of Anowar Hossain , Village + P/O- Kalikapur , P/S- Fulgazi  , Dist- Feni.
8.	The Name of the witness to the appointment of the bride’s Vakil with their father’s name their residences and their relationship with the bride.  : (1) Faruk , son of Noor Nabi , Village- Gorapur , P/O- Bandarhat , P/S- Sadar  , Dist- Noakhali.     (2)Tobarak , son of Mohiuddin ,Village- 318/1, Khilgaon , Tilpapara. P.S- Khilgaon, Dist-Dhaka .
9.	Name of the Vakil if any appointed by the bridegroom, his father’s name and residence : ---------------------------------Not----------------------------------------------------------------------------
10.	Name of witnesses including father’s name & residence reg. appointment of Bridegroom’s Vkil/negotiator. : --------------------------------------- Not ----------------------------------------------------------------------
11.	Name of the witnesses of marriage with their father’s name and residences: (1) Above Mentioned witnesses of Column No-8 (2)
12.	The date on which the marriage was contracted/ Marriage date : 15-10-2009
13.	Amount of dower                    :  1,00,000 (One  lac) taka only
14.	How much of the dower is muwajjal (prompt) and how much muwajjal (deferred) : Half   Half
15.	Whether any portion of the dower was paid at the time of marriage. If so, how much  : Not
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16.	Particular description & whether any property including determined value in the contract bond was given among the parties instead of full dower of portion of the same :                                                  Not
17.	Special Conditions If Any  :  Monthly Maintenance  shall be provided in gently and socially and Islamic law.
18.	Whether the husband has delegated the power of divorce to the wife? If so, under which conditions : Yes, have been delivered, if not pay the maintenance or there is no understanding between the two, the wife can be talake Tafawj .
19.	Whether the right of husband in divorcing in any way is curtailed?  : Not
20.	Whether any document was furnished at the time of marriage Relating to dower, maintenance, etc, If so, contents there of brief : Not
21.	Whether the bridegroom has any existing wife & if so, Whether he has secured the permission of the arbitration council under the Muslim Family Laws Ordinance 1961 to contract another Marriage. Not
22.	Number and date of the communication conveying to the Bridegroom the permission of the arbitration council to Contract another Marriage. Nil
23.	Name and address of the person and his father’s name the marriage was solemnized.: Kazi Himself
24.	Date of Registration of Marriage  : 15-10-2009 Ad
25.	Registration fee paid. paid
Sd/ ASHRAFUZ ZAMAN Signature of bridegroom or his negotiator							Sd/ Faruk Signature of the witnesses to the appointment of bridegroom’s negotiator
Sd/ Fatema Siddque Signature of the bride		Sd/ Md. Shahedur Rahman Siddique Signature of bride’s negotiator						Sd/ Tonarak
							Signature of the witnesses to the appointment of bride’s negotiator
Signature of the witnesses to the marriage (1) Sd/ Faruk (2) Sd/ Tobarak				Sd/ Kazi Md. Anowar    Signature of the person who solemnized the marriage
Sd/ Illegible (Kazi Md. Anowar Hossain) Muslim Marriage Registerar Gouran Kazi Office Khilgaon, Dhaka  Signature of the Marriage Registrar Seal   Seal
Publication of Office printing No. 26/99-2000, Date : 10-/11/99
Government of Press Printing- Computer Section- 1377(Law)2004-2005 ,15,00,000 Copy

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