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Bangladesh Form No. 1468 (Seal)		Volume No. (73) Union: Mohammadpur Date: 07/06/1983 AD	CERTIFIED TO BE TRUE COPY FOR BRIDE/BRIDEGROOM Md. Golam Kibria Chowdhury Date: 16/07/1983 AD Sd/ Illegible (Seal)
	NIKAH NAMA [ See Rule 17 (1) (Ka) ]

Marriage form according to the Rule 9 of Muslim Marriage & Divorce (registration) Act, 1974

1.	Name of Ward, Town, Tahsil, Union, P.S and District in which the marriage took place.	:	District police station- Mohammadpur, U.P- Mohammadpur, G/ 77, Sher- e Bangla Nagar Staff Quarter, Dhaka- 7
2.	Name of the bridegroom and his father with their respective residence.	:	Muhammad Imam Malek, Father- Late Abdul Bari, Village and police station- Veramara, Kushtia
3.	Age of the bridegroom	:	32 years
4.	Name of the bride and her father with their respective residence.	:	Mosammad Shahana Begum, Father- A. M Mahidul Islam, Village- Soyghoria, Shatkhira, Khulna
5.	Whether the bride is a maiden, a widow or a divorced.	:	Maiden
6.	Age of the bride.	:	18 years
7.	Name of the negotiator, if any, appointed by the bride with his father’s name & his residence.	:	Mr Md. Abul Khayer, Father- Late Md. Mozammel Hossen, Village- 11 no Kadamtala, Motijheel, Dhaka- 14 (Grandfather)
8	The name of the witnesses to the appointment of the bride’s negotiator with their father’s name.	:			(1) Mr Md. Abdul Mannan, Father- Mr Mobarack Ali Madbar, 135/3, Ahmedbag, Motijheel, Dhaka. (Uncle) (2) Mr Dr. Akber Hossen, Father- Late Saber Ali, Village- 50 no N. M Road, Kotoali, Kushtia Brother in law of the bride
9.	Name of the negotiator, if any, appointment of bridegroom, his father’s name & his residence.	:
10.	Name of the witnesses to the appointment of bridegroom’s negotiator with their father’s name & residence.	:
11.	Name of the witnesses to the marriage, their father’s name & residence.	:		Witnesses as mentioned above
12.	Date in which the marriage was contracted.	:	07/06/1983 AD
13.	Amount of dower.	:	= 40001/= Forty Thousands One Taka Only
14.	How much of the dower is Muajjal (Prompt) &  how much Muajjal (Deferred)?	:	Half - Half

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15.	Whether any portion of the dower was paid at the time of marriage if so, how much.	:	Paid as for dowry= 20,000/= Twenty Thousands Taka
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.	:	-
17.	Special condition, it any.	:	I will pay the monthly maintenance charges timely & appropriately.
18.	Whether the husband delegated the power of divorce to the wife? If so in what conditions.	:	There has been given. Whenever wanted she can give herself divorce if the maintenance or rest of the half of dowry is not given or not matched in mind.
19.	Whether the husband’s right of divorce is in any way curtailed.	:	-
20.	Whether any document was drown up 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.	:	-
22.	Number & date of communication conveying to the bridegroom the permission of arbitration council to contract another marriage.	:	-
23.	Name & addresses of the person by whom the marriage was solemnized & his father’s name.	:	Muhammad Imam Uddin, Father- Late Md. Washim Uddin, Regular Imam, Sher- e Bangla Nagar, Government Staff Quarter, Mosque.
24.	Date of registration of marriage.	:	07/06/1983 AD
25.	Registration fees paid.		Paid

Sd/ Muhammad Imam Malek Date: 7th June, 1983 AD Signature of bridegroom		Signature of the witnesses to the appointment of the bride negotiator Sd/ Abdul Mannan
............................... Signature of bride	Sd/ Md. Abul Khayer Date: 07/06/1983 AD Signature of the bride’s negotiator	Sd/ Dr Md. Akber Hossen Signature of the witnesses to the appointment of the bridegroom negotiator
1) Sd/ Md. Abdul Mannan 2) Sd/Dr Md. Akber Hossen Signature of the wedding witnesses	Sd/illegible 07/06/1983 AD Md. Golam Kibria Chowdhury Marriage Registrar & Kazi Sher- e Bangla Nagar, Dhaka (Seal)	Sd/Md. Imam Uddin Signature of the person who Solemnized the marriage.