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AFFIDAVIT BY LEGAL HEIRS

I/We K. Subramanyam Naidu, Aadhar Number: 7817-3267-9517 and K.


Eswaramma, Aadhar Number: 8979-7663-1897, parents of Late. Shri.
Sivaprasad Kamma (“Deceased”), resident of 49, Ragiamanipenta,
Chittoor – 517429, Andhra Pradesh, do solemnly swear and sincerely
state as under:

1. That the Deceased, who was working as Senior Manager bearing


employee identification number - 1578 at ArisGlobal Software Private
Limited (“Company”), died intestate on 24th day of April 2021.

2. That the amounts in the Provident Fund (PF) number


BG/BNG/26696/302 (UAN – 100357551386) and other benefits
(gratuity, salary, leave encashments, variable pay and special
compensation) (hereinafter referred to as “Benefits”) are in the name
of the Deceased.

3. That the Deceased, left behind him the following heirs;

Name Relation to deceased Age


a. K. Subramanyam Naidu Father 74
b. K. Eswaramma Mother 68
c. Divya T S Wife 37
d. Sunay C Son 10
e. Shravika C Daughter 04

4. That the above-mentioned Benefits were the separate and self-


acquired property of the Deceased.

5. That under the Indian Succession Act, 1925 / The Hindu Succession
Act, 1956, the persons mentioned at clause 3 is/are entitled to inherit
the aforesaid Benefits jointly and equally.

6. That the Deceased left no other heir/heirs than those mentioned in


clause 3 of this affidavit and that the persons mentioned in the said
clause 3 are his only heirs.
7. That I/We hereby declare, We have mutually agreed upon and
identified Divya T S, the wife of Deceased as the legal and 100%
nominee (“Nominee”) of the Deceased and hereby authorize the said
Nominee to receive the said Benefits in full.

8. That I/We hereby declare that I/We have mutually agreed upon and
have relinquished our rights, title and interest, in past or in future, in
the said Benefits and request the Company to pay the aforesaid
Benefit amounts that are in the name of the Deceased in favour of the
Nominee without production of legal heir certificate.

9. That I/We collectively give our, free and irrevocable consent to the
Company without any force or cohesion and declare that I/We have no
objection whatsoever in transmitting the said Benefits in the name of
the Nominee by the Company.

10.That I/We shall produce a legal heir certificate within six (06) months
from the date hereof for Company’s records.

Signature(s) of
Deponent
1. ____________________
2. ____________________

VERIFICATION
I/We the above-named person(s) verify that the statements contained in the
above paragraphs are true to the best of our knowledge and belief and that
nothing material has been concealed.
Signature(s) of Deponent
1. ____________________
2. ____________________

Place:
Witnesses:
1.

2.

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