INDEMNITY BOND

TO ALL WHOM these presents shall come,

Kisan Chindhu Damame, A/p. Kanersar, Tal . Khed, Dist. Pune 410505,
inhabitants send greeting WHEREAS a Policy of Insurance Numbered
956376139,955204941 for Rs. 1,87,500/- & Rs. 50,000/- was granted
19/11/2009 & 21/03/2003 by the LIFE INSURANCE CORPORATION OF
INDIA (hereinafter referred to as the corporation), on the life of Kisan
Chindhu Damame
AND WHEREAS the said policy no. 956376139 & 955204941 which was
in the possession of Kisan Chindhu Damame has been lost or misplaced.
AND WHEREAS the said Corporation has on the said Kisan Chindhu
Damame undertaking to enter into with the said Corporation a Covenanat
of the nature hereinafter appearing agreed to issue to him the said Kisan
Chindhu Damame the duplicate of the said Policy no. 956376139 &
955204941 NOW KNOW WE AND THESE PRESENTS WITNESS that in
pursuance of the said agreement in consideration of the said corporation
having at or before the execution of these presents agreed to issue the
duplicate of the said Policy No. 956376139 & 955204941 to the said Kisan
Chindhu Damame

they the Said Kisan Chindhu Damame do hereby for themselves their
heirs, executors of administrators Covenant with the said Corporation its
successors and assigns that they the said Kisan Chindhu Damame

their heirs, executors or administrators will from time to time and at all
times save and keep harmless and indemnified the said Corporation its
successors and assign of and from all actions, suits costs, claims and
demands of whatever nature and kind so ever which may be instituted,
preferred, claimed or made against the said Corporation, its successors or
assigns by any person or persons by reasons of his, her or their
possession of or right to original policy no. 956376139 & 955204941 and by
reson of anything irelation to the premises.

IN WITNESS WHEREOF T\the said Kisan Chindhu Damame have

hereunto put their hands at Chakan this 08th Day of December 2020

Signed and Delivered by the said in presence of

1. ______________________

Name Of Policy Holder

2. ______________________

Name of Assignee

3. ______________________

Name of Surety

1. Full Signature
Of Witness : ______________________
Designation: ______________________
Address : ______________________
______________________
 1. Signature Of Policy Holder

2. Full Signature
Of Witness: ______________________
Designation: ______________________
Address : ______________________
______________________

2. Signature Of Assignee

3. Signature of Surety