The Bharatiya Sakshya Adhiniyam, 2023

The Schedule

[See section 63(4)(c)]

Certificate

Part A

(To be filled by the Party)

I, _______________ (Name), Son/daughter/spouse of ____________ residing/employed at _______________ do hereby solemnly affirm and sincerely state and submit as follows:-

I have produced electronic record/output of the digital record taken from the following device/digital record source (tick mark):-

Computer / Storage Media ☐ DVR ☐ Mobile ☐ Flash Drive ☐

CD/DVD ☐   Server ☐   Cloud ☐   Other ☐

Other: ___________________

Make & Model: ___________ Color: __________
Serial Number: ___________
IMEI/UIN/UID/MAC/Cloud ID____________ (as applicable) and any other relevant information, if any, about the device/digital record____(specify).

The digital device or the digital record source was under the lawful control for regularly creating, storing or processing information for the purposes of carrying out regular activities and during this period, the computer or the communication device was working properly and the relevant information was regularly fed into the computer during the ordinary course of business.

If the computer/digital device at any point of time was not working properly or out of operation, then it has not affected the electronic/digital record or its accuracy. The digital device or the source of the digital record is:-

Owned ☐   Maintained ☐   Managed ☐   Operated ☐
by me (select as applicable).

I state that the HASH value/s of the electronic/digital record/s is ___________, obtained through the following algorithm:-

☐ SHA1:
☐ SHA256:
☐ MD5:
☐ Other______________ (Legally acceptable standard)
(Hash report to be enclosed with the certificate)

(Name and signature)

Date (DD/MM/YYYY): _______
Time (IST): ________hours (In 24 hours format)
Place: ____________

Part B

(To be filled by the Expert)

I, ____________ (Name), Son/daughter/spouse of _____________ residing/employed at _____________ do hereby solemnly affirm and sincerely state and submit as follows:-

The produced electronic record/output of the digital record are obtained from the following device/digital record source (tick mark):-

Computer / Storage Media ☐ DVR ☐ Mobile ☐ Flash Drive ☐

CD/DVD ☐   Server ☐   Cloud ☐   Other ☐

Other: ___________________

Make & Model: ___________ Color: ___________
Serial Number: _____________
IMEI/UIN/UID/MAC/Cloud ID____________ (as applicable) and any other relevant information, if any, about the device/digital record_______(specify).

I state that the HASH value/s of the electronic/digital record/s is ______________, obtained through the following algorithm:-

☐ SHA1:
☐ SHA256:
☐ MD5:
☐ Other_____________ (Legally acceptable standard)
(Hash report to be enclosed with the certificate)

(Name, designation and signature)

Date (DD/MM/YYYY): _______
Time (IST): ________hours (In 24 hours format)
Place: ____________

------------------

DIWAKAR SINGH,
Joint Secretary & Legislative Counsel to the Govt. of India.

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