PROFORMA OF INDEMNITY BOND

(To be typed on non-judicial Stamp Paper worth Rs. 10/- and should be
attested by Notary Public or a First Class Magistrate)

I _________________________________s/o

/ d/o___________________ residing at

______________________________________________________________________

do

hereby solemnly affirm and declare:

That I was issued grade/mark sheet / of _____________ semester/trimester /

Degree

Certificate

(whichever

is

applicable)

of

name)

by

_______________________________________________(program
_____________________________________________________(Schools

name)

of

SVKMs Narsee Monjee Institute of Management Studies, Mumbai and the

same has been lost/misplaced by me and not traceable inspite of my diligent
search and if found in future, I shall not misuse it but shall return to the
University and for the same SVKMs Narsee Monjee Institute of Management
Studies (Deemed-to-be University) shall not be held responsible for any future
consequences, which I hereby indemnify to the university and its authorities.

I am making this indemnity bond to produce before the authorities of SVKMs

Narsee Monjee Institute of Management Studies (Deemed-to-be University),
Mumbai, to take the above facts on their records and do needful for issuing me
Duplicate grade/mark sheet of ___________________Semester /Trimester

Degree

of

Certificate

(whichever

is

applicable)

________________________________________(program name), on strength of this

indemnity bond.

What is stated hereinabove is true and correct.

Date: ________________

Signature of the student: __________________________