Dangisharan Rural Municipality

2 No. Ward Office

Saruwadanda, Dang
Lumbini Province, Nepal
2073
Ref. No.:- Date:- 2022 Dec, 2th
Dispatch No.:-

Subject: Relationship Certificate

To Whom It May Concern

This is to certify that Mr. Parbat Chaudhary, son of Mr. Hari Lal Chaudhary and Mrs. Khultoli
Chaudhary, a permanent resident of Dangisharan Rural Municipality Ward No. 2, Dang, Nepal.
Their relationship is as follows, which is issued only for abroad purpose. This certificate is issued
according to the Local Government Operation Act, 2074 B.S. (2017 A.D.), Chapter-3, Section-12,
Sub-Section-2, Clause
E (1).

The following photograph depicts their respective identities.

Father (Sponsor) Mother Son (Applicant)

Mr. Hari Lal Chaudhary Mrs. Khultoli Chaudhary Mr. Parbat Chaudhary

.................................
Dammar Khatri
Ward Chairman