// Certified True Copy //

I, Bikram Malik, aged about 39 years, Son of Kulamani Malik, residing at the village Napang,
District Kendrapara in the State of Orissa India 754211, do hereby solemnly affirm and declare
as under -

That my First Information Report issued from Maharashtra Home land Security Vakola
3RJX+22P Anand Sangam Chs Building No 1 Nehru Road Behind Western Express Highway
Anand Nagar Vakola Santacruz East Bombay 400055 has been misplaced.

That my Fir was in year 2012-13.

That I request the Concerned authorities to issue a duplicate copy of my Fir Certificate.

That in case of said original receipt is found, I shall immediately return the duplicate
certificate to the concern authorities.

That my above statements are true and correct.

Deponent

Verification

I, the above mentioned deponent deponent do hereby solemnly affirm and that the above
contents are true and correct to the best of my knowledge and belief and nothing has been
concealed therefrom .

Verified at Orissa Kendrapara on day 12 of October 2023.

Depinent