FORM No.
II
(See Rule 3)
GOVERNMENT OF ODISHA
Office of the Tahasildar Athagarh
Miscellaneous Certificate Case No E-LHC/2022/174707
LEGAL HEIR CERTIFICATE
This is to certify that the person/persons specified below is/are the legal heir/heirs of late ShriRAJKISHORE
BEHERA son of Shri LATE ANADI BEHERA ,of village/town Ankula P.S. ATHAGARH Tahasil Athagarh in the district of
CUTTACK in the state of Odisha.
This certificate is being granted only for the purpose specified in the Odisha Miscellaneous Certificate Rules, 2019
S. No. Name Age Marital Status Relationship With Deceased
PURNA CHANDRA
1. 38 Married Son
BEHERA
dgSign2031LocnDyna
Signature of the Revenue Officer
11/10/2022
**** This is a Digitally Signed Document And Does Not Require Signature ****
NOTE: (i) It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
(ii) This Certificate is issued as per section 4, 5,& 6 of Information Technology Act 2000 and its subsequent amendments in 2008 and as per Revenue & Disaster
Management Department Notification number IMU-13/10-4251/R&DM.
(iii) For any Query or Verification , Agency /Department / Office may visit [Link]
(iv) Tampering of this Certificate will attract penal action.
Reference No: E-LHC/2022/174707 To View: [Link] Token No: B6616F18
