DRAFT OF INDEMNITY TO BE EXECUTED FOR ISSUE OF DUPLICATE FDR/REPAYMENT WARRANT Rider, (To be executed on Non- Judicial Stamp Paper

of Rs.200/ent amount or affixed with Special Adhesive Stamps of Rs Stamp Paper must be purchased in the name of Applicant. f the Indemnity should be within six month from the date Judicial Stamp Paper) Dear Sirs, I/We ____________________________ have to inform you that I/We have lost or misp laced my/our Fixed Deposit Receipt (FDR)/ Repayment warrant ______________ dated _____________ for Rs._______________. I/We, therefore, request you to issue t o me/us a duplicate FDR / Warrant for the same. In consideration of the Company issuing a duplicate FDR / warrant for the afores aid amount of Rs. __________________ and at my/our request agreeing to pay to me /us the said sum, I/We, my/our respective heirs, executors and administrators do hereby jointly and severally covenant with the Company, its successors and assi gns that I/We and my/our heirs, executors and administrators respectively will a t all times and from time to time save, defend and keep harmless and indemnified the Company, its successors and assigns from and against all actions, cases, s uits, proceedings, accounts, claims and demands whatsoever on account of the sa id deposit and against all damages, costs, charges, expenses and sums of money i ncurred in respect thereof. I/We also undertake to deliver to you the abovementioned Fixed Deposit Receipt / warrant on the same being found hereafter. In witness whereof the parties hereto have set their hands in the presence of wi tnesses. Name of Depositor add) Signature 1) Signature Witness (their name &

or franked with equival 200/-. The Non-Judicial The date of execution o of purchase of the Non-

2)

3) Dated this _______ day of ______________