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Appendix-1.

XXV
(On stamp paper of applicable value)
INDEMNITY BOND FOR ISSUING DUPLICATE CERTIFICATE(s) _________________.
Type of Certificate(s)

In consideration of the National Savings Centre, (Centre name)______ issuing


duplicate __________________ Certificates in lieu of lost certificates
Type of Certificate(s)
No(s). _____________________ issued vide Regd.No. ______________ Dated _______
favouring ___________________________________________ for Rs. ______________
(Rupees __________________________________________________________), we the
undersigned (name of purchaser)_______________________________________ as principal and
(name of surety)_________________________ as surety hereby jointly and severally guarantee

and agree to hold the said National Savings Centre, their successors and assigns harmless
and indemnified, from and against all consequences that may arise from their so doing
and from payment of _________ Certificates and from and against losses, charges and
expenses in connection with the said _________ certificates or duplicate thereof and we
the said _________________ and __________________ further undertake to deliver to
(Name of Principal) (Name of surety)
National Savings Centre,__________________ the said original_________ Certificates
bearing registration No._____________________ and serial
number(s)________________________ if and when found.

Date______________
Principal’s Signature _________________ Surety’s Signature __________________
Name _____________________________ Name ____________________________
Address: __________________________ Address: __________________________
__________________________________ _________________________________
__________________________________ _________________________________
C.N.I.C No. _______________________ C.N.I.C No. _______________________
Principal’s Witnesses Surety’s Witnesses
1. Signature _________________ 1. Signature _________________
Name ____________________ Name ____________________
Address: _________________ Address: _________________
C.N.I.C No. ______________ C.N.I.C No. ________________
2. Signature _________________ 2. Signature _________________
Name ____________________ Name ____________________
Address: _________________ Address: _________________
C.N.I.C No. ________________ C.N.I.C No. ________________

Attested by: Oath Commissioner/Notary Public Counter singed by: Magistrate


1stClass

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