Bangladesh Form No: 1601
ATTESTED COPY
(For Bride & Bridegroom)
Page No- 87
Serial No- 136/2025
Date- 01.08.2025
NIKHA NAMA
[Form of Nikah Nama Prescribed By Muslim Marriage &
Divorce Registration U/S, 28(1) of Act 2009]
1. Name of The Ward, Union, Town, Tafsil, Police Station and district in which the marriage took place----
House of Bride, Vill: Goplaray, Kakina, Ward No: 04, P.O: Kakina, Sub-District: Kaliganj,
District: Lalmonirhat.
2. Name of the bridegroom and his father with their respective residence------------------------------------------
GOLAM SAKIB INTISHER PROCHSAD, SON OF MR. GOLAM SARWAR E ALAM, MRS.
MST SABIRA BEGUM, VILL: UTTAR GHANASHYAM, WARD NO: 05, P.O: TUSHVANDER,
SUB-DISTRICT: KALIGANJ, DISTRICT: LALMONIRHAT, BANGLADESH.
3. Age of the bridgroom- 27 YEARS (26 JULY, 1998)
4. The name of the Bride and her father with their respective residence-------------------------------------------
MST MUNIAIT JUNURAIN, DAUGHTER OF MR. MD. MOFAJJAL HOSEN, MRS. MST
UMME HABEBA JAMIL KHONDKHER, VILL: GOPLARAY, KAKINA, WARD NO: 04, P.O:
KAKINA, SUB-DISTRICT: KALIGANJ, DISTRICT: LALMONIRHAT, BANGLADESH
5. Whether bride is maiden, widow or divorced----MAIDEN.
6. Age of the Bride-------20 YEARS (25 MARCH, 2005)
7. Name of the pleader, if any appointed by the bride, his father’s name & residence----------------------------
MD NIJAUR RAHMAN, SON OF MD. JALILUR RAHMAN, MRS. NILUFAR YASMIN,
VILLAGE: UTTAR MUSRAT MODATI, SUB-DISTRICT: KALIGANJ, DISTRICT:
LALMONIRHAT, BANGLADESH.
8. The name of witness to the appointed bride’s pleader with their father’s name, their
residence--------------------------------------------------------------------------------------------------
(a) MD SOHEL RANA, SON OF MD BODIAR RAHMAN, LOCATION: CHANDRAPUR, SUB-
DISTRICT: KALIGANJ, DISTRICT: LALMONIRHAT, BANGLADESH
(b) MD ASADUL ASEKIN, SON OF GOLAM RABBANI, LOCATION: DHAP SHADAR
DISTRICT: RANGPUR, BANGLADESH
9. Name of the pleader, if any appointed by the bridegroom his father’s name of residence---------------------
GROOM HIMSELF
10. The name of Witnesses to the appointment if bridegroom’s pleader with their father’s name & residence
(a)
---------------------------------------------------------------N/A---------------------------------------------------------------
----------------
11. Name of the witnesses to the Marriage their father’s name & their residence-----------------------------------
(a) GOLAM MARUF HASAN, SON OF LATE: GOLAM SOBAHAN, LATE: GOLAPJAN
NESA, LOCATION: UTTAR GHANASHYAM, WARD NO: 05, P.O: TUSHVANDER, SUB-
DISTRICT: KALIGANJ, DISTRICT: LALMONIRHAT, BANGLADESH.
(b) MD. JOBAYER AL MAMUN, SON OF MOKHLESUR RAHMAN, SHAHIDA AKHTAR
BANU, LOCATION: SHAHIPARA, SADAR DISTRICT: RANGPUR, BANGLADESH.
12. Date of which the marriage was contacted. 01/08/2025.
13. Amount of dower-TK. 620,101/= (SIX HUNDRED TWENTY THOUSAND ONE HUNDRED ONE
TAKA ONLY).
14. How much of dower is prompt and how much is deferred----------------------N/A------------------------------
15. Whether portion of the dower was paid at the time of marriage if so, how much?
TK. 358,171/= (THREE HUNDRED FIFTY-EIGHT THOUSAND ONE HUNDRED SEVENTY-
ONE TAKA ONLY)
16. Special terms, if any give in lice of whole or any portion of dower with specification of the dower---------
Valuation agreed to between the parties---------------------------------------N/A-----------------------------------
17. Special conditions, if any----------------------------------------N/A---------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------
18. Whether the husband has delegated power of divorce to the wife, if so, under what condition? -------------
YES, ACCORDING TO THE MUSLIM FAMILY LAW ORDINANCE.
19. Whether the husband’s right of divorce is any curtailed------------------------------------------------------------
NO
20. Whether any documents were drawn up at the time of marriage, rearing to dower, maintenance, etc. if so
and contents therefore in brief------------------------------------------------------------------------------------------
N/A
21. Whether the bridegroom has any existing wife and if so, whether he has secured permission of the --------
Arbitration council under the Muslim family laws ordinance, 1961to contract another marriage------------
N/A
22. Number of date communication conveying to the bridegroom the permission arbitration council to
Contract another marriage----------------------------------------------------------------------N/A
23. Name of address of the person by whom the marriage was solemnized and his father------------------------
MD HUJAIFA, SON OF ABU BAKKAR SIDDIQ, NURUNNAHR KHATUN VILL: GOPLARAY,
KAKINA, WARD NO: 04, P.O: KAKINA, SUB-DISTRICT: KALIGANJ, DISTRICT:
LALMONIRHAT, BANGLADESH 24.
Date of Registration of Marriage: 01/08/2015.
25. Amount of registration fee paid, if any-TK. 7,200/= (SEVEN THOUSAND FOUR HUNDRED TAKA
ONLY).
Sd- GOLAM MARUF
Sd- GOLAM SAKIB INTISHER PROCHSAD Date: 01/08/2015 Sd- MD. JOBAYER
Signature of the bridegroom or pleader Signature of witness
Appointment of Bridegroom.
Sd- MD SOHEL RANA
Sd- MST MUNIAIT JUNURAIN Sd MD NIJAUR RAHMAN Sd – MD ASADUL Sd- MD HUJAIFA
Signature of the Bride. Signature of pleader Signature of witness Signature of the person who
Appointed by Bride. Appointment of Bride. Solemnized the marriage
Witness of Marriage
1. Sd- GOLAM MARUF HASAN
2. Sd- MD. JOBAYER AL MAMUN
A B M GOLAM FARUK
Muslim Marriage Register
8 no. Kakina Union, Kaligonj, Lalmonirhat
