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AFFIDAVIT I, Charu Dutt Mehta son of late Shri Bal Krishan Mehta resident of BJ-62, West Shalimar Bagh,

Delhi-88, do hereby solemnly affirm and declare as under; 1. That my father Shri Bal Krishan Mehta (B.K. Mehta) expired on 25/06/2007 at Vinayak Hospital, Plot No. 2, Main Road Derawal Nagar, Delhi-110009. 2. That in the Death Certificate issued by MCD, the name of my father is shown as B.K. Mehta in place of full name i.e. Bal Krishan Mehta. 3. That Sh. B.K. Mehta and Shri Bal Krishan Mehta was one and the same persion. 4. That it is my true and correct statement. Deponent Verification : Verified on this 28th day of May, 2008 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed there from. Deponent

AFFIDAVIT I, Rajesh Kumar R/o 475/3A, Kishan Ganj New Delhi-7, do hereby solemnly affirm and declare as under; 1. That my wife was delivered a female baby dated 03/11/2006 in Vinayak Hospital, Plot No. 2, Main Road Derawal Nagar, Delhi110009. 2. That in the Birth Certificate issued by MCD, the date of birth is shown as 03/10/2006 instead of 03/11/2006. 3. That the date of birth in actual is 03/11/2006 ( a copy of the correction letter of the Vinayak Hospital is attached for your kind consideration and information.). 4. That it is my true and correct statement. Deponent Verification : Verified on this 28th day of May, 2008 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed therefrom. Deponent

AFFIDAVIT I, Dr. Nikhil Sharma S/o Late Shri Subhash Chand Sharma R/o 1742, Lal Kuan, Delhi-110006 do solemnly affirm and declare as under :1. That I am responsible for operating the Nursing Home named DEL NURSING HOME at 1742, Lal Kuan, Delhi-110006. 2. That I, Dr. Nikhil Sharma (Director) authorized to sign the authorization application form and the other enclosure with the application. 3. That the number of Bed are 10 ( Ten ). 4. That all the Conditions mentioned in the previous authorization for compliance of various provisions of the Bio-Medical Waste (Management & Handling) Rules, 1998 have been complied. 5. That the agreement with operator of facility/ transporter of the BioMedical Waste had been completed. (if applicable). 6. That the Bio-Medical Waste generated is managed effectively in accordance with the handling and disposal methods mentioned in Bio-Medical Waste ( Management & Handling) Rules, 1998. Contd2

7. That in case of any change in the location or information provided above, a fresh application for authorization shall be submitted. 8. An application for renewal of authorization shall be submitted to DPCC one month in advance of the date of expiry the authorization granted by the DPCC. 9. .That annual report in Form No. II shall be submitted on or before 31 January of every year indicating the waste quantity details of previous year. 10.That is copy of agreement with operator of facility shall be submitted within 15 days of entering into agreement wherever applicable.

DEPONENT Verification : Verified at Delhi on this 29th day of May, 2008 that the above contents of this affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed therefrom.

DEPONENT

AFFIDAVIT I, Shrikant Gupta R/o 7-B, 2nd Floor Jungpura, New Delhi, do hereby solemnly affirm and declare as under; 1. That my wife Nidhi Gutpa was delivered a female baby dated 02/08/2005 in Vinayak Hospital, Plot No. 2, Main Road Derawal Nagar, Delhi-110009. 2. That in the Birth Certificate issued by MCD, the name of the father is shown as SHRIVANT GUPTA instead of SHRIKANT GUPTA . 3. That the name of the father of baby in actual is SHRIKANT GUPTA. ( a copy of the correction letter of the Vinayak Hospital is attached for your kind consideration and information.). 4. That it is my true and correct statement. Deponent Verification : Verified on this 16th day of Oct, 2008 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed therefrom. Deponent

AFFIDAVIT I, Manjeet Singh Behl R/o H.No. 120, Ground Floor, Gujranwala Town, Delhi -9, do hereby solemnly affirm and declare as under; 1. That my wife was delivered a male baby dated 24/08/2008 in Vinayak Hospital, Plot No. 2, Main Road Derawal Nagar, Delhi110009. 2. That in the Birth Certificate issued by MCD, the name of the Mother is shown as CHARNDEEP KAUR instead of CHANDANDEEP KAUR . 3. That the name of the mother of baby in actual is CHANDANDEEP KAUR . ( a copy of the correction letter of the Vinayak Hospital is attached for your kind consideration and information.). 4. That it is my true and correct statement. Deponent Verification : Verified on this 28th day of May, 2008 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed therefrom. Deponent

AFFIDAVIT I, Dr. Mashhad H. Rizvi R/o H.No. 8894, 2nd Floor, Naya Mohalla, Pulbangash, Delhi, do hereby solemnly affirm and declare as under; 1. That my wife was delivered a male baby dated 15/07/2008 in Vinayak Hospital, Plot No. 2, Main Road Derawal Nagar, Delhi110009. 2. That in the Birth Certificate issued by MCD, the name of the Father is shown as NASHHAD H. RIZVI instead of DR. MASHHAD H. RIZVI. 3. That the name of the Father of Male baby in actual is DR. MASHHAD H. RIZVI.. (A copy of the correction letter of the Vinayak Hospital is attached for your kind consideration and information). 4. That it is my true and correct statement. Deponent Verification : Verified on this 24th day of Nov, 2008 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed therefrom. Deponent

AFFIDAVIT I, Jagdish Arora Son of late Shri Arjun Dev resident of C-449, Street No. 10 Majlis Park, Delhi, do hereby solemnly affirm and declare as under; 1. That my Mother Late Smt. Promila Arora expired on 20/01/2009 at Vinayak Hospital, Plot No. 2, Main Road Derawal Nagar, Delhi110009. 2. That in the Death Certificate issued by MCD, the date of Death is shown as 21/01/2009 instead of 20/01/2009. 3. That the date of birth in actual is 20/01/2009 ( a copy of the correction letter of the Vinayak Hospital is attached for your kind consideration and information.). 4. That it is my true and correct statement. Deponent Verification : Verified on this 16th day of Jan, 2009 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed there from. Deponent

AFFIDAVIT I, Somender Singh R/o H.No. 78, 2nd Floor, Bhai Parmanand Colony, Delhi-9, do hereby solemnly affirm and declare as under; 1. That my wife was delivered a female baby dated 04/12/2008 in Vinayak Hospital, Plot No. 2, Main Road Derawal Nagar, Delhi110009. 2. That the Birth Certificate registration could not submit by the Vinayak Hospital due some clerical mistake (A copy of the correction letter of the Vinayak Hospital is attached for your kind consideration and information.). 3. That the date of birth in actual is 04/12/2008. 4. That it is my true and correct statement. Deponent Verification : Verified on this 16th day of Jan, 2009 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed there from. Deponent

AFFIDAVIT I, Bittoo R/o H.No. 5496/14, New Chandrawal, Jawahar Nagar, Delhi, do hereby solemnly affirm and declare as under; 1 That my wife was delivered a female baby dated 28/11/2008 in Vinayak Hospital, Plot No. 2, Main Road Derawal Nagar, Delhi110009. 2. That the Birth Certificate registration could not submit by the Vinayak Hospital due some clerical mistake (A copy of the correction letter of the Vinayak Hospital is attached for your kind consideration and information.). 3. That the date of birth in actual is 28/11/2008. 4. That it is my true and correct statement. Deponent Verification : Verified on this 16th day of Jan, 2009 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed there from. Deponent

AFFIDAVIT I, Monika W/o Mr. Harjeet Singh R/o 7968, Roshanara Road, Kariya Mohalla, Delhi, do hereby solemnly affirm and declare as under; 1. That I am a Citizen of India. 2. That my Female child ( Baby of Monika) was born on date 23/02/2008 at Vinayak Hospital, Plot No. 2, Main Road Derawal Nagar, Delhi-110009. 3. That the Birth Certificate could not registered in the office of M.C.D. due to some unavoidable circumstances by the Hospital . (A copy of the letter of Vinayak Hospital is attached for your kind consideration and information.). 3. That now I want to register said birth in the office of M.C.D. 4. That it is my true and correct statement. Deponent Verification : Verified on this 21st day of Jan, 2009 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed there from. Deponent

AFFIDAVIT I, Subesh Kumar R/o L-2/12, Phase I, Budh Vihar Delhi, do hereby solemnly affirm and declare as under; 1. That my wife Manju Rani was delivered a Male baby dated 05/11/2007 in Vinayak Hospital, Plot No. 2, Main Road Derawal Nagar, Delhi-110009. 2. That in the Birth Certificate issued by MCD, the name of the father is shown as SUDESH KUMAR instead of SUBESH KUMAR. 3. That the name of the father of baby in actual is SUBESH KUMAR. (a copy of the correction letter of the Vinayak Hospital is attached for your kind consideration and information.). 4. That it is my true and correct statement. Deponent Verification : Verified on this 22th day of March, 2009 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed therefrom. Deponent

AFFIDAVIT I, Ashish R/o C-118, Gali No. 7, Majlis Park, Delhi do hereby solemnly affirm and declare as under; 1. That my wife Radhika was delivered a male baby dated 21/03/2009 in Vinayak Hospital, Plot No. 2, Main Road Derawal Nagar, Delhi110009. 2. That the Birth Certificate registration could not submit by the Vinayak Hospital due some clerical mistake (A copy of the correction letter of the Vinayak Hospital is attached for your kind consideration and information.). 3. That the date of birth in actual is 21/03/2009. 4. That it is my true and correct statement. Deponent Verification : Verified on this 14th day of May, 2009 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed there from. Deponent

AFFIDAVIT I, Mahboob Khan R/o A-213, Weavers Colony, Ashok Vihar, Phase IV, Delhi, do hereby solemnly affirm and declare as under; 1. That my wife was delivered a female baby dated 05/04/2009 in Vinayak Hospital, Plot No. 2, Main Road Derawal Nagar, Delhi110009. 2. That the Birth Certificate registration could not submit by the Vinayak Hospital due some clerical mistake (A copy of the correction letter of the Vinayak Hospital is attached for your kind consideration and information.). 3. That the date of birth in actual is 05/04/2009. 4. That it is my true and correct statement. Deponent Verification : Verified on this 16th day of July, 2009 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed there from. Deponent

AFFIDAVIT I, Sunita W/o Late Shri Khem Chand resident of 1021, Gali Rajan, Farash Khana, Delhi-6, do hereby solemnly affirm and declare as under; 1. That my Husband Late Shri Khem Chand S/o Shri Murari Lal was expired on 30/09/2009 at Jeevan Mala Hospital at 67/1, New Rohtak Road, New Delhi- 110005. 2. That in the Death Certificate issued by MCD, the names of my husband and Father-In-law were shown as Late Shri Khem Chand Saxsensa S/o Shri Murari Lal Saxsena in place of full names i.e. Late Shri Khem Chand S/o Shri Murari Lal. 3. That Late Shri Khem Chand Saxsena was one and the same person. and Late Shri Khem Chand

4. That it is my true and correct statement. Deponent Verification : Verified on this 13th day of Nov , 2009 that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing had been concealed there from. Deponent

To, The Office of MCD KB Zone Anand Parbat New Delhi-110005 l

Date : 13/11/2009.

Sub : Regarding Correction of Name in Death Certificate. Late Shri Khem Chand S/o Shri Murari Lal Dear Sir, It is to inform you that the above mentioned subject, I would request you to kindly correct the names in Death Certificate due to my husband and Father- in-Law names were wrongly entered in death certificate as Late Shri Khem Chand Saxsena S/o Shri Murari Lal Saxsena instead of Late Shri Khem Chand S/o Shri Murari Lal. Therefore, you are requested to kindly correct the names in your record and also issue a New Death Certificate. With regards

Sunita 1021, Gali Rajan Farash Khanna, Delhi-6

Encl : 1. 2. 3. 2. 3.

A Copy of the Death Certificate. A Copy of Correction letter of Jeewan Mala Hospital A Copy of the Affidavit. A Copy of the Rashan Card A Copy of the ID Proof.

To, The Administrative Officer Jeevan Mala Hosptial 67/1, New Rohtak Road, New Delhi- 110005

Date : 06/11/2009.

Sub : Regarding Correction of Name in Death Certificate. Late Shri Khem Chand S/o Shri Murari Lal Dear Sir, It is to inform you that my brother Late Shri Khem Chand S/o Shri Murari Lal was expired in your hospital dated 30/09/2009, but at the time of admission my brother and Father names was wrongly entered in your record as Khem Chand Saxsena S/o Shri Murari Lal Saxsena instead of Khem Chand S/o Shri Murari Lal. Therefore, you are requested kindly correct the names in your record and also issue a correction letter for MCD record. With regards

Pankaj Kumar 1021, Gali Rajan Farash Khanna, Delhi-6 Encl : 1. 2. A Copy of the Death Certificate. A Copy of the Rashan Card

3.

A Copy of the ID Proof.

Specimen of Indemnity letter Regarding Payment of Balance of Account of a Deceased Account Holder. Name Address Date To Bank of India, Hamdard Branch Dear Sirs, Re: Payment of Balance of Rs. in the account of Late Shri Khem Chand 1. Mr. Khem Chand had the Current Account No. . / Savings Bank Account No. / Fixed Short /Monthly Income Certificate/ Double Benefit Deposit Account No. / Recurring Deposit Account No. .. with your Bank. 2. Mr. Khem Chand had expired on 30/09/2009 at Jeewan Mala Hospital leaving at the time of his death the credit balance (s) in his respective account (s) as under : (a) Current Account No. Rs.. (b) Saving Bank Account No. Rs.. (c) Fixed /Short/Monthly Income Certificate / Double Benefit Deposit Account No.. Rs.. (d) Recurring Deposit Account No. Rs.. Total -------------------------------: : : Sunita 1021, Gali Rajan, Farash Khanna, Delhi-6 20/11/2009

=================== ....Contd2. 3. I/We have represented to you : (a) that the deceased died without leaving a will and I/We the undersigned. (i) (ii) (iii) etc. 2 -

am the only heir(s) of the deceased according to the law of intestate succession applicable to him. Would have been the heirs of the deceased according to the personal law of intestate succession applicable to him. (b) that we do not intend to obtain any grant of legal representative to the estate of the deceased .

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