(Translated true Copy)
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Bangladesh
Form No. 1601
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Attest Copy
Page: 45
Vol: 04
Year : 04
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Attest Copy
For
Bridegroom /Bride
Sd/ Illegible
(Kazi Md.
Anowar Hossain)
Muslim
Marriage Registerar
Gouran
Kazi Office
Khilgaon,
Dhaka
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NIKAH NAMA
(MARRIAGE DEED)
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[FORM OF NIKAH NAMA PRESCRIBED UNDER POLICE
STATION & DIST. OF THE MUSLIM MARRIAGE REGISTRATION ACT.
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1.
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Name of the ward,Town/Union , Tahshi/Thana and District
in which the Marriage took place: Muslim
Registrar Office , Khilgaon, Dhaka
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2.
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Name of the
bridegroom & his father with respective residences.
ASHRAFUZ ZAMAN ,
son of Late Azizul Rahman, Mother : Ambarun Nessa, Address-House No-H-9,
Fayaz Plaza, F.B. Area, Block-16, Water Pump, Karachi.
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3.
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Age of Bridegroom
: Date of birth 26/07/1958 AD
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4.
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Name of Bride
& her father with respective residences. :
FATEMA SIDDQUE daughter
of Md. Nurul Islam, Mother : Sukrun Nessa , Village-Nowapur, Ward No-3, P/O- Kalikapur,
P/S- Fulgazi , Dist- Feni.
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5.
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Whether
the bride is Maiden, Widow or Divorcee? Maiden
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6.
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Age of the Bride/
Date of birth : 26/04/1983
Ad
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7.
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Name
of the Vakil any appointed the bride, his father’s name and residence:
Jashim , son of Anowar
Hossain , Village + P/O- Kalikapur , P/S- Fulgazi , Dist- Feni.
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8.
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The Name of the
witness to the appointment of the bride’s Vakil with their father’s name
their residences and their relationship with the bride. :
(1) Faruk , son of Noor Nabi , Village-
Gorapur , P/O- Bandarhat , P/S- Sadar , Dist- Noakhali.
(2)Tobarak
, son of Mohiuddin ,Village- 318/1, Khilgaon , Tilpapara. P.S- Khilgaon,
Dist-Dhaka .
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9.
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Name of the Vakil
if any appointed by the bridegroom, his father’s name and residence :
---------------------------------Not----------------------------------------------------------------------------
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10.
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Name of witnesses
including father’s name & residence reg. appointment of Bridegroom’s
Vkil/negotiator. :
---------------------------------------
Not ----------------------------------------------------------------------
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11.
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Name of the
witnesses of marriage with their father’s name and residences:
(1)
Above Mentioned witnesses of Column
No-8
(2)
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12.
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The date on which
the marriage was contracted/ Marriage date : 15-10-2009
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13.
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Amount of dower : 1,00,000 (One lac) taka only
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14.
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How much of the
dower is muwajjal (prompt) and how much muwajjal (deferred) :
Half Half
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15.
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Whether any
portion of the dower was paid at the time of marriage. If so, how much :
Not
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Continued
Page-2
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Page-2
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16.
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Particular
description & whether any property including determined value in the
contract bond was given among the parties instead of full dower of portion of
the same : Not
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17.
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Special
Conditions If Any :
Monthly
Maintenance shall be provided in
gently and socially and Islamic law.
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18.
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Whether the
husband has delegated the power of divorce to the wife? If so, under which
conditions :
Yes, have been delivered, if
not pay the maintenance or there is no understanding between the two, the
wife can be talake Tafawj .
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19.
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Whether the right
of husband in divorcing in any way is curtailed? :
Not
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20.
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Whether any
document was furnished at the time of marriage Relating to dower, maintenance,
etc, If so, contents there of brief :
Not
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21.
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Whether the bridegroom has any existing wife & if so,
Whether he has secured the permission of the arbitration council under the
Muslim Family Laws Ordinance 1961 to contract another Marriage.
Not
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22.
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Number and date
of the communication conveying to the Bridegroom the permission of the
arbitration council to Contract another Marriage. Nil
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23.
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Name and address
of the person and his father’s name the marriage was solemnized.:
Kazi Himself
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24.
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Date of
Registration of Marriage : 15-10-2009 Ad
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25.
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Registration fee
paid. paid
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Sd/
ASHRAFUZ ZAMAN
Signature of
bridegroom or his negotiator
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Sd/
Faruk
Signature
of the witnesses to the appointment of bridegroom’s negotiator
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Sd/
Fatema Siddque
Signature
of the bride
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Sd/
Md.
Shahedur Rahman Siddique
Signature
of bride’s negotiator
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Sd/ Tonarak
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Signature of the
witnesses to the appointment of bride’s negotiator
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Signature of the witnesses to the marriage
(1) Sd/ Faruk
(2) Sd/ Tobarak
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Sd/ Kazi Md. Anowar
Signature
of the person who solemnized the marriage
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Sd/ Illegible
(Kazi Md.
Anowar Hossain)
Muslim
Marriage Registerar
Gouran
Kazi Office
Khilgaon,
Dhaka
Signature
of the Marriage Registrar Seal
Seal
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Publication of Office printing No. 26/99-2000,
Date : 10-/11/99
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Government of Press Printing- Computer
Section- 1377(Law)2004-2005 ,15,00,000 Copy
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