SCHEDULE - CERTIFICATE - Bharatiya Sakshya Adhiniyam, 2023

THE SCHEDULE [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 Flash Drive 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 Flash Drive 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: ____________