In the Court of the Learned Judicial Magistrate, 1st Class at Alipore

AFFIDAVIT

I, TAMAL BANERJEE son of Late Satya Sadhan Banerjee, by

faith Hindu, by occupation Consultant, residing at 316 H, Maha
Rani Indira Devi Road, Parnashree Pally, P.S. Behala, Kolkata-700
060 do hereby solemnly affirm and declare as follows :

1. That my Wife Bratati Banerjee died on 06/11/2022, her death

certificate registration no. D/2022/265003 is issued by department
of health and family welfare Government of West Bengal.

2. That we don’t have any child.

 : 2 :

3. That my wife Bratati Banerjee leaving behind her legal heir and
successor :

Sl. No. Name Relationship with deceased

(i) Tamal Banerjee Husband

Save and except the above named person there is no any other legal heirs
and successor of deceased.

4. That I am Indian citizen.

That the statements made above are true to the best of my knowledge and belief.

………………………
DEPONENT

Read over, explained and

Identified by me

Advocate