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NIKAH
NAMA
[ See Rule 27 (1) (Ka) ]
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Marriage form according to the Rule 28
(1) of Muslim Marriage & Divorce (registration) Act, 2009
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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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Village- Uttor Shaldhar, Ward no- 6, 3rd no Chithalia
Union, Pashuram, (Home of the bride)
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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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Md. Aslam, Father- Sale
Ahmed, Mother- Payera Khatun, Village- Derpara, Post Office- + Upazilla-
Fulgazi, Feni
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3.
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Age
of the bridegroom
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:
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30/11/1983 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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Lutfa Yasin , Father- Kamal Uddin, Mother- Rahima
Aktar, Village- Uttor Shaldhor, Post Office- Shaldhar Bazar, Pashuram, Feni
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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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21/08/1994 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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Golam Manir Ahmed, Father- Late Foez Ahmed, Mother-
Golbahar Begum, Vilage- Shaldhor, Pashuram, Feni
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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) Md. Iqubal Hossen Member, Father- Late Nurul
Islam, Village- Uttor Shaldhor, Pashuram, Feni (Uncle)
(2) Nur Nabi, Father- Late Anowar Ullah, Address as
above (Uncle)
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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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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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(Seal)
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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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(1) Nurul Islam, Father- Late Amir Hossen, Mother- Joki
Aktar, Village- Uttor Shaldhorm Pashuram, Feni
(2) Mulkutar Rahman, Father- Late Nubebar Nisha, Mother-
Mazu Aktar, Address- East Shaheb Nagar, Parshuram, Feni.
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12.
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Date
in which the marriage was contracted.
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:
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05/10/2012 AD
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13.
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Amount
of dower.
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:
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= 400000/= four Lakhs Taka Only
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14.
15.
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How
much of the dower is Muajjal (Prompt) &
how much Muajjal (Deferred)?
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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Half- Half
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Page:
2
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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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Not necessary
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17.
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Special condition, it any.
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1. I (husband) will opearte you (wife) as per Shariah.
2. I will not use your
jewelar as per my own need.
3. Whether in the country or
in aborad if not connection more than year then there will be divorced.
4. I will pay the monthly
maintenance charges timely & appropriately.
5. I will do good behavior
with you.
6. No dowry will be bale to
make
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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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If I am more than 6 month in disappered or beome
sense less or has become diprived as mentioned in column no- 17 then 3
divorces will make free from the marriage.
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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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Not
necessary
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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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As per the ability the
time appropriate monthly maintenance will be obliged to be given.
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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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Not necessary
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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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-
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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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Md. Majibur Rahman, Father- Late Hafez Herajul
Haque, Mother- Late Mohsana Khatun, Village- Uttor Shaldhor, Parshuram, Feni.
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24.
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Date of registration of marriage.
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:
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05/10/2012 AD
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25.
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Registration fees paid.
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5000/= In words (five Thousands) taka
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Sd/ Md. Aslam
Signature of bridegroom
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Signature
of the witnesses to the appointment
of the bride negotiator
1. Sd/ Iqubal Hossen
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Sd/ Lutfa Yasin
Signature of bride
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.......................................
Signature of the bride’s
negotiator
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2. Sd/ Nur Nabi
Signature of the witnesses
to the appointment
of the bridegroom
negotiator
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1)
Sd/ Nurul Islam
2) Sd/Mulketur Rahman
Signature
of the wedding witnesses
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Sd/ Illegible
Date- 05/10/2012 AD
Marriage Registrar & Kazi
Sher- e Bangla Nagar, Dhaka (Seal)
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Sd/Mafizur Rahman
Signature of the person
who Solemnized the marriage.
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