Blayet Hossain

[Round seal]

[Monogram]

Government of the People’s Republic of Bangladesh

Office of the Muslim Marriage Registrar & Kazi

21, North Mogdapara, Sobujbagh, Dhaka-1214

Marriage Certificate

This is to certify that BlayetHossain, Son of Late TayibAliKazi, Mother’s Name: KaziJoharaTayib, of village: KaziZohuraVilla55/C,Nordda(Jogannathpur), Police station: Badda, District: Dhaka-1229, Date of Birth/Age: 10-10-1979, was married with TaniaParvin, Daughter of: AbdulJabber, Mother’s Name: BegumRokeya, of Village: Dasadi, Post Office: Shoformali, Police Station: Sadar, District- Chandpur, Date of birth/Age: 20-04-1989 and the marriage was solemnized on the 28-04-2011 and was registered in my office on the 28-04-2011 being serial number: 177, in volume number: 16/Ka, Page number: 60, in the year of 2011, date of issue 21-05-2011.

Signature/Illegible

(ShaNurMohammad)

21-05-2011

Marriage Registrar & Kazi

21, North Mogda Para Sobujbagh

Dhaka-1214

Nikahnama (Blank)

Bangladesh Form Number1 601

MARRIAGE DEED/NIKAH NAMA

attested copy  for bride/bridegroom

From of Marriage Deed as prescribed by rule 9 of the Bangladesh Muslim Marriage and Divorce

(Registration) Act. 1974.

1.   Name of the word, Town, Union Tahsil / Police Station and District in which the marriage took place.

     

2.   Name of bridegroom and his father, with their respective residence.

       

3.   Age date of birth of the Bridegroom:

4.   The names of the bride and her Father, with her respective residence.

5.   Whether the bride is a maiden A widow A Divorce–

6.   Age date of birth of the bride– 

7.   Name of the Advocate, if any appointed by the bride his father name and his residence:

8.   Name of the witnesses to the appointed of the bride’s advocate with their Father’s name their residence and their relationship with the bride.

      1)  

      2)  

9.   Name of the advocate, if any appointed by the bridegroom, his father’s name his residence:

       

10.  Name of the witnesses of the appointed of the bridegroom’s advocate with their father’s names and their residence:

      1)  

      2)  

11.  Name of the witnesses of the marriage, their father’s name and their residence:         

      1)    

      2)  

12.  Date on which the marriage was contracted:  

13.  Amount of dower:     

14. How much of the dower is Mujjal (prompt) and how much Mu-wajjal (deferred):

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15.  Whether any portion of the dower was paid at the time of marriage, if so how much:

16.  Whether any property was given in the lieu of the whole or any portion of the dower, with specification of the same and is valuation agreed to between the parties:

17.  Special condition if any:

18.  Whether the husband delegated the power of divorce to the wife. If so, under what conditions:

19.  Whether the husband’s right of divorce is in any curtailed:

20.  Whether any document was drawn up at the time of marriage relations to dower, maintenance etc, if so, contents there of bride:

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 and her marriage:

22.  Number and of the communication conveying to bridegroom the permission of the arbitration council of contract another marriage:

       

23.  Names and address of the person by home the marriage was solemnized and his father: 

24.  Date of registration of marriage: 

25.  Registration Fee paid:  

Signature/			Signature/
Signature of the bridegroom or his advocate			Signature of the witness to the appointment of the bridegroom’s advocate
Signature/  ---------------------------------	Signature/ ---------------------------------------			Signature/ ---------------------------------
Signature of the bride	Signature of the advocate of the bride			Signature of the witness to the appointment of the bride’s advocate ABDUL. KADER
Signature of the witness to the marriage 1) Signature/ 2) Signature/	Signature/ -------------------------- Signature and seal of the Marriage Registrar   Seal			Signature/ ------------------------- Signature of the person who Solemnized marriage.

md. salim khalasi

bangladesh form no. 1601

Book Number- 42/Ka Pageumber- 71 Serial Number- 71 Date- 22/09/2010

attested copy for bride/bridegroom

Marriage Deed (Nikahnama )

(form of nikah nama prescribed by muslim marriage and divorce registration u.s. 9 of 1974)

1.		name of the ward, town, union, tahsil, police station & district where the marriage took place	:		sadar badar kazi office
2.		name of the bridegroom, his father with their respective address	:		md. salim khalasi, son of md- hasan khalasi, address- kedarpur, police station- naria district- shariatpur.
3.		age of the bridegroom	:		26 years (5-09-1984 a.d)
4.		name of the bride, her father with their respective address	:		mosa. julia akter, daughter of.- late zabbar howlader, address- saleh nagar road, house no.-36, bandar, narayanganj.
5.		whether the bride is maiden, widow or divorcee	:		maiden
6.		age of the bride	:		19 years (01-07-1991a.d)
7.		name of the attorney if any appointed by the bride, his father’s name and address	:		alhaj samim ahmed, son of late nasir uddin ahmed address- 27/3 jitu vilah, khanpur,  police station and district narayanganj.
8.		names of the witnesses to the appointment of the brides attorney with their father’s names, address and their relationship with bride	:		1. md. saleh uddin ahmed, son of late tajuddin ahmed, address- saleh nagar road, bandar, narayanganj.  2. md. nasir, son of md. hasan, address- kedarpur, naria, shariatpur
9.		name, father’s name and address of the attorney if any, appointed by the bridegroom	:
10.		name, father’s name and residential addresses of the witnesses in case of appointment of attorney by the bridegroom	:
11.		names, father’s name, residential addresses of the  witnesses of the marriage	:		1.             md. sohel, s/o- md. hazarul islam, address- haziganj, fatullah, narayanganj. 2.   md. nurul haque, s/o- late zahirul pradhan, address- saleh nagar road, bandar, narayanganj.
12.		date on which marriage settled/contracted	:		22/09/2010 a.d
13.		amount of	:		200000/- two lac taka only.
14.		how much of the dower is muajjal (prompt) and how much mu’wajjal (deferred)	:		accrued 100000/- one lac taka
15.	whether any part of the dower was paid at the time of marriage. if so how much?		:	paid 100000/- one lac taka

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16.	whether any property has been given in lieu of whole or portion of the dower with specification of the same and its valuation agreed between the parties		:	-------------------------------------------------------------------------------------------------------4-----------------------------------------------------------------------------------------------------
17.	special condition if any		:
18.	whether the husband has delegated power of divorce to the wife, if so, under what condition		:	wife is given power to divorce her husband on three conditions, as follows: if husband becomes traceless, mad or impudent
19.	whether the husband’s right of divorce in anyway curtailed?		:
20.	whether any document was drawn up at the time of marriage relating to dower, maintenance etc. if so, contents thereof in brief		:
21.	whether the bridegroom has at present any wife? if so, whether he has obtained permission of the arbitration council under the muslim family act 1961 for another marriage?		:
22.	number and date of the letter of permission conveyed to the bridegroom by the arbitration council for another marriage		:
23.	name of the person and his father who has solemnized the marriage		:	mawlana md. mafizul islam, son of late hazi nurul haque, address- sahi mosque, bandar, narayanganj.
24.	date of marriage registration		:	22/09/2010 a.d
25.	paid registration fee		:	2000/- taka (in word: tow thousand taka only)
Signature/ md. salim khalasi ----------------------------------------------------- signature of  the bridegroom or his attorney					----------------------------------------------------- signature of  the witnesses to the  appointment of  bridegroom’s attorney
Signature/ mosa. julia akter -------------------------------------------------- signature of the bride		Signature/  alhaj samim ahmed.  ----------------------------------------- signature of  the brides attorney			Signature/ salah uddin Signature/ md. nasir.    ------------------------------------------------- signature of the witness to the appointment of bride  attorney
signature of the witnesses of the marriage 1. md. sohel 2. md. nurul haque		------------------------------------------------ signature and seal of the nikah registrar			Signature/ md. mafizul islam ------------------------------------------------------- signature of the person who solemnized the marriage

Bangladesh forms and the printing order of publication office no.26/99-2000, date 10-11-99 a.d.

government printing press-computer branch-631/2006-2007/(la)-16-01-2007-10,00,000 copy.