|
01
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Serial No.
|
:
|
1 No.
|
||
02.
|
Name of the husband &
his father and their address
|
:
|
MOHAMMAD ESHAQUE MIAH S/o. Mohammad Sheraj
Uddin of Vill. Natun Bandura, P.O. Hashnabad, P.S. Nawabgonj, Dist. Dhaka.
|
||
03.
|
Name of the wife & her
father and their address
|
:
|
ZINAT ARA EARFAT, D/o. Md. Abul Kalam Azad
of Vill. & P.O. Ghior, P.S. Ghior,
Dist. Manikgonj.
|
||
04.
|
Date of Khola, should be
written according to English Calendar and the year prevailing in the district
|
:
|
02/9/2001.
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||
05.
|
Dower
|
:
|
50,000/- (Fifty thousand Taka
only).
|
||
06.
|
Has the wife accepted the
Khola herself before the Muslim Registrar or not.
|
:
|
Yes, the wife has appeared
before the Muslim Registrar herself and accepted this Khola leaving the
claims regarding dower & feeding & maint. of the prescribed period.
|
||
07.
|
Name of the Village, Town,
Police Station and District in which the Talaq took place
|
:
|
Md. Abdur Razzak, S/O.
Abdur Rahman of Vill & P.O. Ghior P.S. Ghior, Dist. Manikgonj (Uncle).
|
||
08.
|
Name of person & his
father belongs to the residence wherein divorce is applied
|
:
|
//
|
||
09.
|
Name of the witnesses and
their father's with address (if any)
|
:
|
//
|
||
10.
|
The name of identifier who
identified the husband before the Muslim Registrar and his father's and his
address
|
:
|
Dist. Dhaka,
P.S. Nawabgonj, Mokam Shikaripara.
|
||
11.
|
Date of registration, will
be written according English Calendar
|
:
|
At the office
|
||
12.
|
Name of the witnesses of
Khola, their father's name and address:
|
:
|
//
|
||
13.
|
Signature of the
identifier who identified the person who divorced
|
:
|
Abdul Hakim, S/O. Montaz
Uddin of Vill. Natun Bandura, P.O. Hashanabad, P.S. Nawabgonj, Dist. Dhaka.
|
||
|
Date of Registration,
should be written according to English Calendar.
|
:
|
02/09/2001
|
Signature of the husband :
Sd/- Mohammad Eshaque Miah
Signature of the wife :
Sd/- Zinat Ara Earfat
Sd/-
Kazi Sharfuddin Mahfuz
Muslim
Registrar & Kazi
Shikaripara
02/09/2001.
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