Department of Posts, INDIA
Affidavit /Bond of Indemnity (To Be executed on e.stamp/Non judicial stamp
paper worth Rs. 50)
We (A). wu (holder(s)) of Postal Life Insurance/ Rural Postal
Life insurance Policy No.. ._ is held and firmly bound unto the President of
India (hereinafter ealled The President) inthe sum of Rs. (Sum Assured of Policy)
plus accrued bonus together with all costs, charges, losses, damages and expenses as
hereinafter mentioned, to be paid to The President, his attorneys, successors or assigns for
which the payment will truly be made as we bind ourselves, our heirs, executors and
administrators and representatives and everyone firmly which is presented and sealed with
‘our respective seals dated. say of.
Whereas on around the day of .» purchased from
the Director General (Posts) (hereinafter called the Director General), Postal Life Insurance
(Puy/Rural Postal Lif loearing monthly/ quarterly/ half-yearly/ yearly*
premium of Rs... payable upto the death/ age of
‘And Whereas the said (A) hhas/ have represented to the
Postmaster/ Manager.. (name of CPC/HO) thatthe aforesaid PLY/ RPL Policy
Bond has been lost or misplaced or spoiled or mutilated while in the custody of the said
().
And Whereas the said (A)....... — Has/ have further represented to the
Postmaster/ Manager (name of CPC/HO) that the aforesaid PLI/RPL Policy
Bond has not been transferred, sold, pledged or deposited or otherwise parted with by way
of security or otherwise; and
‘Whereas the said (A)... declares that he/they is/are solely entitled
to receive the money due on the aforesaid PLI/ RPL policy and has/ have applied for the issue
‘of a Duplicate Policy Bond in respect of the aforesaid Policy Bond and
Whereas the Postmaster/Manager. (name of CPC/HO) on behalf of
The President acceded to the said application on condition of the said (A).
executing such bond as above written and agreed to execute the said bond with such
condition as is hereunder written.
Now, the condition of the above written bond is such that if said (A)
his/their heirs, executors, administrators and representatives do and shall pay to
The President, his successors or assigns the sum of Rs. (Sum Assured of Policy) plus
accrued bonus together with all costs between attorney and client and charges, losses,
damages and expenses shall or may have been incurred to the President, his successors or
assigns or any other government servent by any reasons by which the payment have been
made of the amount due under the policy on the strength of such duplicate Policy Bond of
aforesaid Policy Bond being issued and further if the said (A)
_. his/her heirs, executors, administrators save, defend, keep harmless and
indemnified The President, his successors and assigns and officers and servants of the
Government and each and every of them from and against all and in damages and expenses
whatsoever which shall or may at any time hereafter be against or happen or be occasioned
to The President, his successors or assigns or any of the officers or servants of the Government
for or on account in respect of the aforesaid duplicate Policy Bond being issued. THEN the
above written bond shall be void and of no effect otherwise the same shall be and remai
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Xx enacts INDI
{ull force and by virtue PROVIDED ALWAYS and it is hereby expressly declared and agreed by
said (A) with and to The President, his successors and assigns
that in defence ang prosecution of any action, suitor other legal proceedings referred to in
the foregoing clause for indemnity or maintained in virtue thereof The President, his
successor or assigns shall not be responsible or accountable to the Said (A) x innsssnnnnum OF
any or either of them, thelr or either of their heirs, executors, administrators and
representatives for any act, omission or mistake in the defence or prosecution of such action
suit or other legal proceedings and that in the defence of prosecution of such action, sut or
‘other legal proceedings the President, his successors, or assigns and his and their officers and
servants shall be required to do such acts and take such steps only as shall in that behalf be
approved and advised by the Law Officers of the Government of india,
PROVIDED FURTHER that the liability of insurant hereunder shall not be impaired or
discharged by reason of time being granted or any forbearance, act or omission of The
President or any person authorized by him (whether with or without the consent or
knowledge of the surety) nor shall it be necessary for The President to sue Shri/ Smt./ Ms.
for amounts due hereunder.
Deponent/ Signature of Policy holder
Address.
Attested
Notary/Oath Commissioner