PANCHKYAS

I, undersigned Panchas Resi.TERSA Ta.SINOR Dist.VADODARA

Sr. Name Age Occupation Resident

No. (approx.)
1 VIPINCHANDRA 55 YEARS SERVICE D-121, PAVITRA
HARMANDAS T.SHIP, MANEJA
PATEL CROSSING,
MANEJA,
VADODARA
2 KETAN 42 YEARS Agriculture D-120, PAVITRA
ASHOKBHAI T.SHIP, MANEJA
PATEL CROSSING,
MANEJA,
VADODARA
3

I, undersigned do present in person to write that we

Panchs guaranteed that heirs in Pedigree are correct, no
legitimate heirs are being left to written and no false
heirs are shown in it. Writing false Pedigree, becomes
criminal crimes. While making this Pedigree, there is no
substantial evidence to ascertain the heirs so that this
Pedigree will not be considered as conclusive evidence and
whether present in any Office, the officer in the office
should be required to ensure the need of this Pedigree, if
the applicant or our Panchayats will hide any fact to this
Pedigree. This Pedigree will be automatically canceled,
which is Correct. Writing a false fact or concealing a
true fact becomes a criminal crime. That's what we
understand. We acknowledges, obliged and binding, We read,
understood, in consciousness and signed.
This Pedigree is prepared by according to Applicant
present Affidavit on Rs.20 Stamp paper which notarized by
Shri M.G.GARIBAWAL Register No. 2642 Dt.03/03/19.
Place : Tersa
Date :06/03/2019

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PHOTO

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In person
Talati cum Mantri

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Talati Cum Mantri
TERSA GRAM PANCHAYAT
TA.SINOR, DIS.

REMARKS:
(1) Aforesaid Pedigree that inheritance illegible
(2) Aforesaid Pedigree is fact that the applicant has been
submitted on the affidavit before Notary Shri
M.G.GARIBAWALA and accepted fact by the trusted and
familiar witness of the applicant.
(3) In case of transfer of property / money transaction /
court work, the appropriate competent authority or the
hono. court Applicant will have the obligation to
 obtain the certificate of inheritance. Take note of
it.

PEEDIGREE - D

O.NO……………/…………/Pedigree/Vashi/20

Date:06/03/2019

I, undersigned below PIYUSHBHAI ASHOKBHAI PATEL, Aged 40

years, Occupation: SERVICE Resi. MANEJA TA.VADODARA
DIST.VADODARA remain present today dictate that my
father/husband/grandfather MAGANBHAI JESANGBHAI PATEL
died/alive on Dt.14/12/2005. I need Pedigree for VISA
work therefore I have filed this application. In said
case today I dictate and declare that Pedigree of Heirs of
decreased/alive is as under.
 Above is our Pedigree which is true as per dictated by
Applicant. No false heir and no true heir is hidden. Also
no heirs are left. That I assured. Writing false Pedigree
and hiding any fact becomes criminal crimes. That We,
heirs have understood it. On this matter Talati is not
responsible in any cause. The above mentioned Pedigree has
been prepared according to the written papers by the
applicant's reply in person to this work. In which Talati
is not responsible or in this matter Talati is not
responsible. We are pure and true according to the pure
wisdom, intelligently, cleverly, any kind of pressure or
greed is written apart from the temptation. We have read,
understood, heard, thinking and signing down.

(Name and sign of Executor of Pedigree)

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in person
Photo
Talati

Date: 06/03/2019 Sd/ - Illegible

Talati Cum Mantri
Tersa Panchayat
Ta.Sinor, Dist.