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BANGLADESH FORM NO. 1601 (Round Seal)	Volume No. 01 Serial No. 31	Attested FOR BRIDE/BRIDEGROOM  Sd/Illegible 25-08-16 Md. Ibrahim Hasan Nikah Registrar No. 07, Mohonpur Union,  Motlab, Chandpur
	NIKAH NAMA [Act 27(1) Kha Appendix]

Under Muslim Marriage & Divorce (Registration) Act of 2009 as per Section 28 (1)

1.	Name of Ward, Town, Tahsil, Union, P.S and District in which the marriage took place.		:		Nikah Register Office, No. 6 Kolakanda, & No. 07 Mohonpur Union Parisad, Thana-Motlab, District-Chandpur
2.	Name of the bridegroom and his father with their respective residence.		:		Md. Syed Hossain Prodhan, S/o Chan Mia, Village- Shankibangha, Post office-Aklaspur, Thana-Motlab, Dist-Chandpur
3.	Age of the bridegroom		:		25 Yeras
4.	Name of the bride and her father with their respective residence.		:		Mossammad Rokhsana Akter, D/o Late Abul Hossain Molla, Village-Fatuyakandi, Post office-Mohonpur, Thana-Motlab, Dist-Chandpur
5.	Whether the bride is maiden, widow or divorcee.		:		Maiden
6.	Age of the bride		:		27.08.1984 AD
7.	Name of the negotiator, if any, appointed by the bride with his father’s name & his residence.		:		Md. Nurul Islam, son of Late Ismail Hossain Simy, Village- Nadamdi, Post office-Aklaspur, Thana-Motlab, Dist-Chandpur
8.	The name of the witnesses to the appointment of the bride’s negotiator with their father’s name & their residences.		:				1) Md. Chanmiazi, son of Late Kadom Ali Miazi, Village- Fatuyakandi, Post office-Aklaspur, Thana-Motlab, Dist-Chandpur.
							2) Md. Gulam Hossain Molla, son of Late Abul Molla, Village- Midadpr, Post office-Mohonpur, Thana-Motlab, Dist-Chandpur
9.	Name of the negotiator, if any, appointed by the bridegroom, his father’s name & his residence.		:				//
10.	Name of the witnesses to the appointment of bridegroom’s negotiator with their father’s name & residences.		:				//
11.	Name of the witnesses to the marriage, their father’s name & residence.		:				1) Md. Guno Prodhan, son of Nurul Hoq Prodhan, Village- Shankibangha, Post office-Aklaspur, Thana-Motlab, Dist-Chandpur 2) Gulam Robbani, son of Md Gulam Mortuza Patuwari, Village- Shankibangha, Post office-Aklaspur, Thana-Motlab, Dist-Chandpur
12.	Date in which the marriage was contracted.		:		---
13.	Amount of dower.		:		1,20,000/- (One Lac Twenty Thousand) Taka only
14.	How much of the dower is Mu’ajjal (Prompt) & how much Mu’ojjal (Deferred)?		:		Half              / Half
15.		Whether any portion of the dower was paid at the time of marriage. If so, how much.		:		Cash 20,000/- (Twenty Thousand) Taka only

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	16.	Whether any property was given in lieu at the whole or any portion of the dower with specification of the name & its valuation agreed to between the parties.		:	Not
	17.	Special condition, if any		:	I shall keep my wife under the shelter of veil. I shall not be unjust to her. If I make her stay at her father's house without reason I shall provide expenses for her as per my capacity. I shall not resist her from going to her father's house.
	18.	Whether the husband delegated the power of divorce to the wife? If so under what conditions.		:	Yes, Delegated, if any of the terms mentioned in column 17 were to be violated for no valid reason.
	19.	Whether the husband’s right of divorce is in any way curtailed.		:	Not
	20.	Whether any document was furnished at the time of marriage related to dower, maintenance etc. If so, contents there of in brief.		:	/
	21.	Whether the bridegroom has any existing wife & if so whether he has secured permission of the arbitration council under the Muslim Family Laws ordinance, 1961 to contract another marriage.		:	1st Marriage
	22.	Number & date of communication conveying to the bridegroom the permission of arbitration council to contract another marriage.		:	Not
	23.	Name & addresses of the person by whom the marriage was solemnized & his father’s name.		:	Ha. Md. Anowar Hossain, son of Md. Aminul Haque Munshi, Village-+ Post office-Bazergoan, Thana-Hazigonj, District-Chandpur
	24.	Date of registration of marriage.		:	03.04.2002 AD
	25.	Registration fees paid.		:	Paid
Sd/ Md. Syed Hossain Signature of bridegroom or his negotiator							Sd/ Chan Mia Signature of the witnesses to the appointment of the bridegroom negotiator
Sd/ Rokhsana Akter Signature of bride			Sd/Nurul Islam Signature of the bride’s negotiator				Sd/.. Gulam Ho.. Signature of the witnesses to the appointment of the bride negotiator
Signature of the wedding witnesses: 1. Sd/Guno Mia 2. Sd/Gulam Rabbani			(Seal) Sd/Illegible 03.04.02 Md. Ibrahim Hasan Nikah Registrar No. 07, Mohonpur Union,  Motlab, Chandpur			Sd/Ha. Anowar Hossain Signature of the person who Solemnized the marriage.

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