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: ______