AGREEMENT TO INDEMNIFY This Agreement made at Mumbai this 23 rd day of August 2011, executed by Ms.

Kavita Dasharath Kanojia D/o Dasharath Kanojia aged 32 years, residing at 5/50 Muktidham Society, New Ploce Colony, Mahim, Mumbai – 400016. hereinafter called the DEPOSIOR, __________________________________________________________________ and the parties 2 and 3 hereinafter collectively called the INDEMNIFIERS which expression shall whatever the context so admits or requires, mean and include their representative, successor and assigns in favour of Canara Bank, a body corporate, constituted under the Banking Companies acquisition and Transfer of Undertakings Act, 1970 with its head office at 112, J.C. Road, Bangalore-2 and among others a branch office at Goregaon (East) hereinafter called the bank which expression shall whatever the context so admits or acquires shall mean and include its successors and assigns.

the Depositor had deposited a sum of Rs. and Whereas. and Whereas. he will immediately inform the Bank and handover the same to the Bank.Whereas.000/. and . the Depositor has also assured the Bank and the Fixed Deposit Receipt/ Kamdhenu Deposit Receipt remains untraced and that in the case the receipt is found out or the Depositor comes into possession of the same at any time. 75.in Fixed Deposit/ Kamdhenu Deposit with the Bank at ___ % interest for a perod of 60 days/ weeks/ months for which the Bank issued the deposit receipt bearing Kamdhenu Deposit Receipt No. the Depositor has represented to the Bank that he has lost the said Fixed Deposit Receipt/ Kamdhenu Deposit Receipt and he may be issued a duplicate Fixed Deposit Receipt/ Kamdhenu Deposit Receipt. the Depositor has lost or misplaced the said fixed Deposit Receipt/ Kamdhenu Receipt and the same is not traceable.24024 dated 28/03/2007 and Whereas.

their successors and assigns harmless against all loss. claims. that may be caused to the Bank as a consequence issuing a duplicate Fixed Deposit Receipt/ Kamdhenu Deposit Receipt. Mr. costs. . the Depositor and the Indemnifiers hereby jointly and severally agree to indemnify and keep indemnified the Bank. _____ (Rupees ____________________) the original of which has been lost and has not been pledged. Anil Pardeshi 2. transferred or assigned to any other person. Depositor/s Indemnifier/s Witness: 1.Whereas._____ date _____ Rs. IN CONSIDERATION OF THE PREMISES. IN WITNESS WHEREOF THE Depositor and the indemnifiers have hereunto affixed their respective hands the day and year first above mentioned. the indemnifiers execute this indemnify and this Deed witnesseth as follows: 1) In consideration of the Bank issuing a duplicate Fixed Deposit Receipt/ Kamdhenu Deposit Receipt referred to above bearing No.. the said depositor and the Indemnifiers further undertake to deliver to the Bank the said original FDR/ KDR if and when found. charges expenses and consequences that may arise from their so issuing a duplicate Fixed Deposit Receipt/ Kamdhenu Deposit Receipt and from wrongful dealing or encashment of the original FDR/KDR in any manner whatsoever or any other consequences connected with the said FDR/ KDR or duplicate thereof and we. the Bank has agreed to issue a duplicate Fixed Deposit Receipt / Kamdhenu Deposit Receipt on condition that the depositor along with two other respectable and creditworthy persons shall indemnify the Bank against all dresses etc.

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