Nikah Form English Blank Bangla
Nikah Form English Blank Bangla
1601
NIKAH NAMA
Form of NIKAH NAMA as prescribed under section 9 of the Muslim
Marriages and Divorces (Registration) Act 1974 (LII of 1974).
1. Name of ward, town, union, Tahsil,Thana and district in which the marriage took place:
District - Chittagong, P.S./ Upazila- Sandwip, Village and Union Haramiah.
2. Name of the Groom and his father’s name with their respective residence:
Abu Taher s/o. Munshi Nazmul Huda of Village Haramiah.
3. Age of the groom/ Date of birth: 30 Years 9 Months.
4. Name of the bride and her father’s name with their respective residence:
Mosammat Josnara Begum d/o. Hajee Asadul Hoque. Vill. Azimpur.
5. Whether the bride is a maiden, a widow or a divorcee: Divorced.
6. Age of the bride: 28 Years 2 months.
7. Name of the Wakil, if appointed by the bride, his father’s name and his residence:
Hajee Asadul Hoque s/o. Late Ragbat Village Azimpur.
8. The names of the witnesses to the appointment of the bride’s Wakil with their father’s names,
their residences and their relationship with bride:
(I) Mohd. Ibrahim s/o. Hajee Asadul Hoque Vill. Azimpur, Brother.
(II) Dr. Rabiul Alam s/o. Late Master Mostafizur Rahman, Vill. Azimpur, Brother-in-law.
9. Name of the Wakil, if any, appointed by the bridegroom, his father’s name and his residence:
X
10. The Names of the witnesses to the appointment of the bridegroom’s Wakil with their father’s
name and their residence:
(I) X
(II) X
11. Names of the witnesses to the marriage, their father’s names and their residences: :
(I) Nazmul Huda S/o Late Mvi. Nurullah of Vill. Haramiah.
(II)Wahidur Rahman S/o Late Mvi. Nurullah of village Haramiah.
12. Date on which the marriage was contracted (Marriage date): X
13. Amount of dower : Tk. 1,50,000.00 (Taka one lac and fifty thousand) Only.
14. How much of the dower is mujjal (Prompt) and how much mu wajjal (deferred)
Prompt dower: Tk 50,000.00 (Taka fifty thousand ) Only.
Deferred dower : Tk 50,000.00 (Taka fifty thousand ) Only.
15. Whether any portion of the dower was paid at the time of marriage. If so, how much:
By Ornaments worth Tk. 50,000.00 (Taka fifty thousand) Only.
16. Whether any property was given in lieu 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 condition, if any: If the ornaments given to you by I are decayed, lost or in any
way misappropriated, I must make the Loss good within 3(three) months, else, the same
will be deemed as prompt dower.
18. Whether the husband has delegated the power of divorce to the wife. If so, under what
conditions?
: - If I do not take care of you 3 three months within the country, in one year while
staying abroad. I do any work against sariat, if do not come round from the state of
being eunuch and lunacy and I and not released from the imprisonment within two
years I delegate my power of pronouncing three talaks to you henceforth.
Seal