Certificate [See section 63(4)(c)] (electronic/digital records)

[See section 63(4)(c)]

CERTIFICATE PART A (To be filled by the Party)

I, _________ (Name), Son/daughter/spouse of _______________ residing/employed at _____________ do hereby solemnly affirm and sincerely state and submit as follows:—

I have produced electronic record/output of the digital record taken from the following device/digital record source (tick mark):— Computer / Storage Media DVR Mobile FlashDrive CD/DVD Server Cloud Other Other: __________________ Make & Model:__________ Color:_____________ Serial Number:___________________ IMEI/UIN/UID/MAC/Cloud ID _____________ (as applicable) and any other relevant information, if any, about the device/digital record _________________ (specify). The digital device or the digital record source was under the lawful control for regularly creating, storing or processing information for the purposes of carrying out regular activities and during this period, the computer or the communication device was working properly and the relevant information was regularly fed into the computer during the ordinary course of business. If the computer/digital device at any point of time was not working properly or out of operation, then it has not affected the electronic/digital record or its accuracy. The digital device or the source of the digital record is:- Owned Maintained Managed Operated by me (select as applicable). I state that the HASH value/s of the electronic/digital record/s is _______________, obtained through the following algorithm:— SHA1: SHA256 : MD5: Other:______________________(Legally acceptable standard) (Hash report to be enclosed with the certificate)

(Name and signature) Date (DD/MM/YYYY): Time (IST):___________hours (In 24 hours format) Place:

PART B (To be filled by the Expert)

I,____________ (Name), Son/daughter/spouse of_________ residing/employed at ______________ do hereby solemnly affirm and sincerely state and submit as follows:—

The produced electronic record/output of the digital record are obtained from the following device/digital record source (tick mark): Computer / Storage Media DVR Mobile FlashDrive CD/DVD Server Cloud Other Other:________ Make & Model:___________ Color:___________ Serial Number:______________ IMEI/UIN/UID/MAC/Cloud ID______________________(as applicable) and any other relevant information, if any, about the device/digital record_______________________________________________________________(specify). I state that the HASH value/s of the electronic/digital record/s is , obtained through the following algorithm:— SHA1: SHA256 : MD5: Other:______________________(Legally acceptable standard) (Hash report to be enclosed with the certificate)

(Name, designation and signature) Date (DD/MM/YYYY):___________ Time (IST):_____________hours (In 24 hours format) Place:______________________

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Note: For Reference only.

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