Declaration for handover of the certificate and gold bangles

Mr.

Jayesh

Narendra

Shinde

residing

at

____________________________________________, Kolhapur do hereby confirm the

receipt of the following articles and documents from Mrs. Vidya Vijay Adsule:
1.___________________________________________________________________________;
2.___________________________________________________________________________;
3.___________________________________________________________________________;
4.___________________________________________________________________________;
5.___________________________________________________________________________;
6.___________________________________________________________________________;
7.____________________________________________________________________________
;
8____________________________________________________________________________
_9___________________________________________________________________________
_;
10___________________________________________________________________________
_
11___________________________________________________________________________
_12__________________________________________________________________________
_

I undertake not to raise any objections, dispute in respect of these items

from Mrs, Vidya Vijay Adsule and give her complete discharge from the
same;
Thanks,
Witnesses:
1.
2.

3.
4.
5.