Attested true Copy For
Year: 2015, Balam No: 14/03 Bride/Bridegroom.
Bangladesh from No. 1601 Page No: 25
Regi : 08/15
Nikah Nama
[Rule 27 (1) (Kha)]
From of Nikah Nama Prescribed by Rule 28 (1) (Kha) of the Bangladesh Muslim Marriage/
Divorece (Registration) act 2009.
01. Name of the ward, Town, Union, Tahsil, P.S. & district in where the marriage took place:
Marriage Registry Bride’s Birthplace Is : Dakhin Kalabaria, kazi Office, Chhoto
Dorgarhat, Shitakunda, Chittagong.
02. Name’s of the bridegroom and his Father, with their respective residences: MD MAHBUBUR
RAHMAN AL MINHAJ, S/O: MD ABDUL KAYUM, Mother’s: SAHANARA AKTHER
SANU of Village: Banglabazar, P.O: Banglabazar, P.S: Nabiganj, Dist: Habiganj.
03. Age of the bridegroom: 25-10-1999 AD
04. The name of the bride and her Father with their respective residences: SHAFIA KHATUN
MILY D/O: NUR MOHAMMAD, Mothers Name: HASAN BANU of Vilage: Dakhin
Kalabaria, P.O: Chhoto Dorgarhat , P.S: Shitakunda, Dist: Chittagong.
05. Whether the bride is a Maiden/ Widow/ Divorced Woman & matured: Maiden (Divorced)
06. Age of the bride: 03-01-1977 A.D
07. Name of the Vakil, if any, appointed by the bride, his Father’s Name and his residences: MD
ANWAR HUSSAN, S/O: LATE SAMAN KHAN, Mother: MAYA KHANOM of Village:
Chhoto Dorgarhat ------------------------------------SAME
08. The names of the witnesses to the appointment of the bride’s bakil with their father’s name and
their residences and their relationship with the bride.
i) NURUL HUSSAN KHAN, S/O: LATE ABDUS SOTTAR KHAN, Village: Dakhin
Kalabaria ------------------------------------SAME (Uncle).
ii) MOTOBBIR HUSSAN KHAN, S/O: HAZI ABDUR RAHMAN KHAN, Village:
Dakhin Kalabaria ------------------------------------SAME (Uncle).
09. Name of the vakil, if any appointed by the bridegroom with his father and her
residences:
..............................................................................X........................................................................
10. The name of the witnesses to the appointment of the bridegroom’s vakil with their father’s
name and their residences:
i) ........................................................................X...........................................................................
ii) .......................................................................X..........................................................................
11. The name of the witnesses to the marriage, their father’s name and addresses:
i) Musharaf Hussan, S/O: Moshraf Ullah, Village: Dakhin Kalabaria, P.O: Chhoto
Dorgarhat, P.S: Shitakunda, Dist: Chittagong.
ii) Sarong Miah, S/O: Alkas Miah, Village: Chhoto Dorgarhat -----------------SAME
12. Date on which the discussion of Marriage was held: 10/11/2020 A.D.
13. Amount of dower: TK. 4,50,000/- Four Lac Fifty Thousand Taka Only.
14. How much of the dower Mu’ajjal (prompt) and how much Muajjal (deferred) Prompt (Muajjal)
……………………………………………..X……………………………………………………
15. Whether any portion of dower was paid at the time of marriage. If so, How much:
……………………………………………X…………………………………………………….
16. Whether any property was give in like 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 conditions, if any : Four Conditions of Mohammadi
18. Whether husband has delegated the power of divorce to the wife 200 le. If so, under what
condition:
..................................................................X....................................................................................
19. Whether the husband’s right of divorce is in anyway curtailed:
..................................................................X....................................................................................
20. Whether any document was drawn up at the time of marriage relating to tower, maintenance,
etc, if so contents their of in brief
:................................................................. X...................................................................................
21. Whether any bridegroom has any existing wife if so whether he has secured the permission of
the arbitration council under the Muslim family laws ofdinance, 1961, to contract another
marriage: ...................................................X..................................................................................
22. Number and the date of the communication conveying to the bridegroom the permission of the
arbitration council to contract another
marriage: :...................................................................X..................................................................
................
23. Name and address of the person by whom the marriage was solemnized and his father: Maw
Abdul Ahad,S/O: Late Maw Altafur rahman.
24. Date of registration of marriage : 10/11/2020 A.D.
25. Registration of fee paid: Paid
Sign: MD MAHBUBUR .. ..................................X.................................
RAHMAN AL MINHAJ ...............X.......................
Signature of the bridegroom Signature of the witness to the appointment
Signature of bridegroom Vakil of bridegroom Vakil
Sign: HABIBA KHANOM MILY Sign: 1. Nurul Hussan Khan
Sign: ANWAR HUSSAN
Sign: 2. Motobbir Hussan KHAN
Signature of the bride Signature of bride Vakil
Signature of the witness to the appointment
of bride Vakil
Signature of the witnesses
To the Marriage: Sign: Maw Abdul Ahad
......................................................
1) Musharaf Hussan ................................................................... Signature of the Person Whom
2) Sarong Miah Signature of the Nikah Register & Seal Solemnized the Marriage.
