INDEMNITY BOND

Date:

Nearby Technologies Pvt. Ltd.

Mumbai

Dear Sir/ Madam,

I ______________________________ have been appointed as a Business Agent - SBP for the

purpose of provision of domestic remittance and other financial services to customers.

My primary mobile number ____________ which is used to register my terminal is inaccessible

because__________________.

Kindly change my terminal as per details mentioned below. MY KYC documents are attached
for your verification.

I hereby further agree and undertake to keep you safe and harmless and indemnified at all times
against any loss, damage, costs, charges and expenses that may be incurred or suffered by you
and against any claims, actions, suits or proceedings that may be instituted against you as a result
of this change or arising due to my negligence or willful default.

I hereby agree and undertake to pay all amounts as demanded by you pursuant to our indemnity
obligation as mentioned above without any demur, protest or contest.

This letter of Indemnity shall be governed by laws of India.

Yours faithfully,

Name Signature and Seal

 PAN:

Aadhaar Number:

Other ID proof ( If any):

Shop Address:

City:

PIN:

Business Agent – SBP Name:

Business Agent – SBP

Company Name:

Business Agent – SBP

Terminal Number

Existing Mobile Number:

New Mobile Number

Attached KYC Document 1

Attached KYC Document 2

For Official use only

Dated:

I _________________________________ is an employee of Nearby Technologies Pvt. Ltd., and

have physically verified the Business Agent – SBP _________________________ KYC
documents.

Name and Signature