Ishnath Municipality

ward No.2 Ofice

Auraiya, Rautahat

Madhesh Province

Ref no. 2080/081 Date:-16-10-2023

Dispatch No.
Relationship certificate
To Whom It My Concern
This is to certify that Mr. Amit kumar, Grandson of Mr. Badri sah Teli, Son of Mr. Gopal sah
and Mrs. sabita Devi, resident of Ishnath municipality, ward No. 2, Rautahat, Madhesh
Province, Nepal has th following relationship in accordance with the Local Government
Operation Act, 2074 B.S. (2017 A.D.), Chapter 3, Section-12, Subsection 2, ClauseE(1)

Mr. Amit kumar Mr.Badri sah Teli Mr. Gopal sah Mrs. sabita Devi

(Applicant) (Applicant’s GrandFather) (Applicant’s Father) (Applicant’s Mother)

...............................

Dharmender sah

Ward Chairman

+9779845606529