Bangladesh form No.

1601 For Bride/Bridegrom

NIKAH NAMA
From of Nikah Nama as prescribed by Rule 9 of the
Bangladesh Muslim Marriage $Divorce (Registration)act-1974
01. Name of Word: 3 No Town/ Union: KHAZURA
Post $Thana: BAGHERPARA, Dist: JESSPRE IN BANGLADESH
In which the Marrige took place.
02. Name of bridegroom and his father, whit their respetive residecnces:
MD. RASHIDUL ISLAM,S/O- MD. SORAB ALI, MOTHERS NAME: MRS AYSHA, VILL:
SHAKERBATAN, POST: BAGHERPARA, Dist:
JESSORE BANGLADESH.
03. DATE OF BIRTH: 25-10-1978
04. The Name of the bride and his father, whit their respetive residecnces:
POLY AKTAR ,D/O- SOWKAT ALI, MOTHERS NAME: SALEHA KHATUN, VILL:
ANDULBAREYA, POST: DHOLGRAM,P.S-
BAGHERPARA ,Dist: JESSORE BANGLADESH.
05.Whether the bride is a maiden,a Widow or a Divorrcec: DIVORCEC
06. DATE OF BIRTH: 07-08-1992
07. Name of the Vakil if any, appointed by the bride, his fathers name and his residecnce:
MD.ABDUL LOTIF KHANDOKAR,S/O- KHANDOKAR ABDUR RAHAMAN, VILL:
KASOBPUR, POST: GOURONAGOR,P.S- BAGHERPARA,
Dist: JESSORE BANGLADESH.
08.The name of the witnesses to the appointment of the brides vakil anf thers fathers name, their
residences and their relationship
with the bride.
i)MD. NAZMUL HASSAN, S/O- LATE- RAHAMAN MOLLA, VILL: BALLAMUK, POST:
DHOLGRAM,P.S- BAGHERPARA ,Dist: JESSORE
BANGLADESH.
ii) MD. ISLAM, S/O- LATE- ABUL MUNSHI, VILL: SHAKERBATAN, POST: BAGHERPARA,
Dist: JESSORE BANGLADESH.
09. Name of the vakil,if any appointed by the of bridegroom his fathers name and his residecnce:
NO…………………………………………………………………………………………..
…………………………………………………………………
10. Name of the witnesses of the appointment of the bridegrooms ,vakil ,with their fathers name and
their residences:
NO………………………………………………………………………………………………………
………………………………………….………….
11. Names of the witnesses to the marriage,their fathers name and their residecnces:
i) MD. AL MAMUN, S/O- YOUSUF ALI MOLLA, VILL: SHAKERBATAN, POST:
BAGHERPARA, Dist: JESSORE BANGLADESH.
ii) MD.ABDAR HOSSAN, S/O- LATE- ALTAF MOLLA, VILL: SILUMPUR, POST: RAIPUR,
Dist: JESSORE BANGLADESH.
12. Date on which the marriage was contracted : 18-10-2013
13. Amount of dower : 1,50,000/=(ONE LUCK FIFTY THOUSEND TAKA ONLY)
14. How much of the dower is mujjal (prompt)and how much mu wajjal (Deferred)
NO
15. Whether any portion of the dower was paid at the time of marriage. If so how much :
NO
16. Whether any Property was given in lien of the wh*** or any portion of the dower,with
specification of the same and its valuation
agreed to between the parties:
NO
17. Special Conditions if any:
WIFE AND HUSBAND WILL LIVE WITH ACCORDING TO ISLAMIC LAW.
18. Whether the husband has delegsted the power of divorce to the wife. If so , under what
conditions:
YES, THE SAME POWER OF DIVORCE WIFE AND HUSBAND.
19. Whether the husbands right of divorce is any way curtailed:
NO
20. Whether any doc**ent was drawn up at the marriage relation to dower, maintenance, etc. if so
Contents there of in brief:
MONTHLY MAINTENANCE ACCORDING TO STATUS.
21. Whether bridegroom has any existent wife and if so, whether he has secured the permission of the
arbitration Council under the
Muslim Family Ordinance, 1961 to contract another marriage.
NO
22. Number and date of communication conveying to bridegroom the permission of Arbitration
Council to contract another
marriage:
NO
23. Name and addresses of the person by whom the marriage solemnized and his father:
MD. KUTUB UDDIN, S/O- ALLHAZ NURUL ISLAM,KAZI OFFICE KHAJURA BAZAR
24. Date of registration of Marriage. 18-10-2013
25. Registration fee paid 1,500/= (One Thousand Five Hundref taka Only) PAID
SIG-MD.RASHIUL ISLAM signature of witness to appointment
Signature of bridegroom or his Vakil bride s Vakil
SIG. MD. ABDUL LOTIF KHANDOKAR
SIG- POLY AKTHER Signature of witness to be SIG. MD NAZMUL HASSAN
Signature of bride Signature of the vakil of the bride
SIG. MD ISLAM
Signature of the witness to the Marriage Signature of person who solemnized the Marriage
1. SIG – ABDULLA AL MAMUN
2. SIG – ABDER
Signature and seal of the Nikah Registan
MD MAHMUDUR RASHID
MARRIAGE REGISTER
2 NO. BONDOBILA UNION
OFFICE KHAJURA BAZAR
POST OFFICE GOURONAGOR
BAGHERPARA, JESSORE
BANGLADESH