| 1 |
Ward No:
Town/Union:
Police Station:
District:
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| 2 | Names of the bridegroom and his father along with their residence: |
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| 3 | Age of the bridegroom: | |
| 4 | Names of the bride and her father along with their residence: | |
| 5 | Whether the bride is a virgin, a widow or divorced: |
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| 6 | Age of the bride: | |
| 7 | Name of an attorney, if appointed on behalf of the bride, along with his father's name and residence: | |
| 8 | Names of the witnesses to the appointment of the bride's attorney, with their fathers' names, their residences and their relationship with the bride: | |
| 9 | Name of the attorney, if appointed on behalf of the bridegroom, along with his father's name and residence: | |
| 10 | Names of the witnesses to the appointment of bridegroom's attorney with their fathers' names and residences: |
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| 11 | Names of the witnesses to the marriage along with their fathers' names and residences: | |
| 12 | Date when the marriage was celebrated: |
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| 13 | Amount of Mahar (dower): | |
| 14 | How much of the Mahar (dower) is Mu'ajjal (prompt) and how much non-Mu'ajjal (deferred)?: | |
| 15 | Whether any portion of the Mahar (dower) was paid at the time of the marriage? If so, how much?: | |
| 16 | Whether any property is given in lieu of the full dower or part of it? If so, details of the property and its price agreed upon by the two sides: | |
| 17 | Special conditions, if any: |
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| 18 | Whether the husband has delegated the right of divorce to the wife. If so, under what conditions: | |
| 19 | Whether any restriction has been imposed on the husband's right of divorce: |
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| 20 | Whether any document regarding dower and maintenance, etc., of the bride was prepared at the time of the marriage. If so, its contents in brief: | |
| 21 | Whether the bridegroom has a wife already? If so, has he obtained the permission for second marriage from the Arbitration Council under Muslim Family Laws Ordinance 1961: | |
| 22 | No. and date of the letter of the Arbitration Council permitting the bridegroom to marry for the second time: |
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| 23 | Name, father's name and address of the person who solemnized the marriage: | |
| 24 | Date of registration of marriage: |
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| 25 | Registration fee paid: | |
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