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Lows: _____________ (B) Nothing has been paid yet and I will pay it. This is my first NIKAH The former wife is dead This is my second NIKAH I have divorced (Pronounced TALAQ to) the former wife The first wife is present The former wife has obtained KHULA Signature of the Bridegroom Date Page 3 WITNESS I Name S/o Address Signature Date WITNESS II Name S/o Address Signature Date In case of second marriage the documents pertaining to the permission by the first wife / TALAQ .

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