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

contd....p/2

page – 2

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.