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NIKAH
NAMA
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Marriage form
according to the Rule 9 of Muslim Marriage & Divorce (registration) Act,
1974
1.
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Name of Ward, Town, Tahsil, Union, P.S and District
in which the marriage took place.
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:
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24, Shah Alibag, Mirpur, Dhaka- 1216.
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2.
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Name of the bridegroom and his father with their
respective residence.
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:
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Arif Rahman, Father- Md. Mashiur Rahman, Road o-
68, House no- 10, Gulshan Model Town, Gulshan, Dhaka- 1212
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3.
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Age of the bridegroom
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:
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24/11/1970 AD
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4.
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Name of the bride and her father with their
respective residence.
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:
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Sabiha
Naz, Father- Ahmed Maruf, 8/11- A, Pallabi, Mirpur, Police Station- Pallabi,
District- Dhaka- 1216
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5.
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Whether the bride is a maiden, a widow or a
divorced.
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:
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Maiden
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6.
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Age of the bride.
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:
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20/05/1980
AD
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7.
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Name of the negotiator, if any, appointed by the
bride with his father’s name & his residence.
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:
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Md.
Manirul Islam, Father- Md. Shariful Islam, 1/1 Ring Road, Hosnabad Street
Adabar, Mohammadpur, Dhaka.
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8
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The name of the witnesses to the appointment of the
bride’s negotiator with their father’s name.
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:
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(1) Salauddin
Ahmed, Father- Late M. Rahim Uddin, 8/ 11- A, Pallabi, Mirpur, Police
Station- Pallabi, District- Dhaka.
(2) Manzur
Ahmed Chowdhury, Father- Late Kamruzzaman Chowdhury, House no- 17, Road no-
126, Gulshan, Dhaka.
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9.
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Name of the negotiator, if any, appointment of
bridegroom, his father’s name & his residence.
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:
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No
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10.
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Name of the witnesses to the appointment of
bridegroom’s negotiator with their father’s name & residence.
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:
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(1) No
(2) No
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11.
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Name of the witnesses to the marriage, their
father’s name & residence.
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:
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Witnesses as mentioned above
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12.
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Date in which the marriage was contracted.
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:
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09/04/1999
AD
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13.
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Amount of dower.
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:
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= 10,00,001.00/=
Ten Lakhs One Taka Only
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14.
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How much of the dower is Muajjal (Prompt) & how much Muajjal
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:
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Half
- Half
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Page:
2
15.
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Whether
any portion of the dower was paid at the time of marriage if so, how much.
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:
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Dowry paid as for jewellary 5,00,000.00 Five Lakhs
Taka Only.
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16.
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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.
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:
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No
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17.
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Special
condition, it any.
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:
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I
will pay the monthly maintenance charges timely & appropriately.
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18.
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Whether
the husband delegated the power of divorce to the wife? If so in what
conditions.
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Yes. 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.
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19.
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Whether
the husband’s right of divorce is in any way curtailed.
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:
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No
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20.
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Whether
any document was drown up at the time of marriage related to dower,
maintenance etc. if so, contents there of in brief.
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:
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No
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21.
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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.
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:
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No
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22.
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Number
& date of communication conveying to the bridegroom the permission of
arbitration council to contract another marriage.
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:
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No
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23.
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Name
& addresses of the person by whom the marriage was solemnized & his
father’s name.
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:
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M.
R
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24.
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Date
of registration of marriage.
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:
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09/04/1999
AD
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25.
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Registration
fees paid.
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Paid
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Sd/ Arif Rahman
Date: 09/04/1999 AD
Signature of bridegroom
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Signature of the
witnesses to the appointment
of the bride
negotiator
Sd/ Salah Uddin
Ahmed
Sd/ Manzur Ahmed
Chowdhury
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SD/-
sABIHA nAZ
...............................
Signature of bride
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Sd/ Md. Monirul
Islam
Date: 09/04/1999
AD
Signature of the
bride’s negotiator
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Signature of the
witnesses to the appointment
of the
bridegroom negotiator
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1) Sd/ Salah Uddin Ahmed
2) Sd/ Manzur Ahmed Chowdhury
Signature of the wedding witnesses
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Sd/illegible
09/04/1999 AD
Marriage Registrar & Kazi
Dhaka City Corporatio
Ward no- 12
Mirpur, Dhaka- 1216
(Seal)
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Sd/ M. R
Signature of the
person who Solemnized the marriage.
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