Yours Marriage Record Sample










Certified True Copy

For Bride/Bridegroom

Sd/- Illegible
12/02/2013
Khondaker Abdul Motin
Marriage Registrar  
4 No. Gazipur Municipality
Gazipur. 
 

A – 1
Volume – 4/2012
Page – 54
Date : 30/12/2012
 

 






Bangladesh form No. 1601

Rounded Rectangle: (Seal)MARRIAGE DEED

(NIKAH NAMA)

Form of NIKAH NAMA (Marriage Deed) As prescribed under Section. 9 of the Muslim Marriage and Divorce (Registration) Act, 1974.

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01.
Name of Ward, Town, Union, Tahsil, Thana and District in which the marriage took place.
:
4 No.  Ward, Gazipur Municipality, Gazipur Sadar, Gazipur, Trust Community Center.
02.
Name of the bridegroom and his father with their respective residence.
:
MD. SHAHJALAL SUMON, S/o. Haji Md. Shahjahan Ali, Mother: Rowshan Ara Bina  of  19 No. Rahmatgonj, P.O. Thakurgonj, Kotwali, Chittagong.
03.
Age of the bridegroom.
:
20-10-1987.
04.
The name of the bride and her father with their respective residence.
:
NAZNIN SULTANA NIPA, D/o. Md. Alamir Hossain, Mother: Mst. Mala of D – 147/1, Kazi Nazrul Sharani Road, Chayabithi, P.O. Gazipur – 1700, Gazipur Sadar, Gazipur.
05.
Whether the bride is a Maiden, a Widow or a Divorcee?
:
Maiden
06.
Age of the bride
:
 16-11-1994.
07.
Name of the Vakil, if any, appointed by the bride, his father's name and his residence.
:
Haji Md. Tofazzal Hossain, S/o. Late Haji Md. Monsu8r Ali Khalifa of Vill. Natun Bechakola, P.O. Nakalia, P.S. Bhera, Pabna.    
08.
The name of the witnesses to the appointed of the bride's Vakil with their fathers' name, their residences and their relationship with the bride.
: 1)

 2)
Md. Alamgir Hossain, S/o. Abdul Quddus of  D – 147/1, Kazi Nazrul Islam Road, South Chayabithi, (Father).

Kazi Alim Uddin, S/o. Late Kazi Siraj Uddin of  Vill. North Chayabithi, Gazipur Sadar, Gazipur – 1700.  
09.
Name of the Vakil, if any appointed by the bridegroom, his father's name and their residence.

X
10.
The names of the witnesses to the appointed of the bridegroom's vakil, with their father's name and their residences.
: 1)
  2)
X
11.
Name of the witnesses to the Marriage, their fathers' names and their residences.
: 1)

      2)
Haji Md. Shahjahan Ali, S/o. Late Kismot Ali of 19 No. Rahmatgonj.  (Father of the Bridegroom)
Haji Md. Asadullah, S/o. Late Kismot Ali of Vill. Natun Bechakola, P.O. Nakalia, P.S. Bhera, Pabna.   
12.
Date on which the marriage was contracted

30/12/2012.
13.
Amount of dower.
:
10,00,001/- Ten Lac one taka only.
14.
How much of the dower is Mu'jjal (prompt) and how much Mu'wajjal (Deferred)?
:
3,00,001/- Three Lac one Taka only is deferred.

Contd. P/2

Page/2

15.
Whether any portion of the dower was paid at the time of marriage, if so, how much?
:
Paid 7,00,000/- Seven Lac taka only on account of ornament.
16.
Whether any property was given in lieu of the whole or any portion of the dower with specification of the same and its valuation agreed to between the parties.
:
X
17.
Special condition, if any.
:
Monthly maintenance allowances to be paid as gentle status and as per prevailing market value.
18.
Whether the husband has delegated the power of divorce to the wife if so, under what conditions?
:

Yes, delegated, if the husband does mot pay the maintenance allowance or be maladjustment so, the wife shall have the right to divorce herself when she will wish.

19.
Whether the husband's right of divorce is any way curtailed ?
:
X
20.
Whether any document was drawn up at the time of marriage relating to dower, maintenance etc. if so, contents thereof in brief?
:
X

21.
Whether the bridegroom has any existing wife and, if so, whether he has secured the permission of the Arbitration Council under the Muslim Family Laws Ordinance. 1961 to contract another marriage.
:
The Bridegroom has no another wife.
22.
Number and date of communication conveying to the bridegroom about the permission of Arbitration Council to contract another marriage.
:
X
23.
Name and address of the person by whom the marriage was solemnized and his father
:
Abdur Razzak, S/o. Abdul Khaleque.
24.
Date of registration of marriage.
:
30/12/2012.
25.
Registration fee paid.
:
5600/- Five thousand six hundred Taka only.
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    Sd/-  Md. Shahjalal

     
Signature of the bridegroom or his vakil

                  --

   Sd/- Naznin Sultana (Nipa)

Signature of the witnesses to the appointed of bridegroom's vakil
Signature of the bride

Sd/- Md. Tofazzal Hossain      

 Sd/- Md. Alamgir Hossain  

Signature of bride's vakil
  Sd/- Kazi Alim Uddin

Sd/- Illegible
30/12/2012
Khondaker Abdul Motin
Marriage Registrar  
4 No. Gazipur Municipality
Gazipur. 


 
Signature of the witnesses to the marriage.

Signature of the witnesses to the appointment of the bride's vakil.
(1) Sd/- Haji Md. Shahjahan Ali


             Sd/-  Abdur Razzak
(2) Sd/- Haji Md. Asad Ullah  

Signature of the person who solemnized the marriage.

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