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Town/Union
1. Name of the Ward ... Tehsil/Thana
........
in which the
and District......... marriage took
place.
2. Name of the bridegroom and
residence
residence.
the parties.
conditions:
19. Whether the husband right
curtailed:
20. Whether any document was
drawn up at the time of
marriage relating to dower
The signature of the bridegroom or his Vakil Signature of the witnesses to the appointment
of the bridegroom's Vakil
Signature of the Bridegroom Signature of 1.
the Vakil
of the 2
bridegroom
1.
2
Signature of witnesses of the marriage Signature and seal of the Nikah Registrar
1.
2