(PROFORMA TO BE EXECUTED ON A RS. 100/- STAMP PAPER) INDEMNITY BOND FOR DUPLICATE BOND/SHARE CERTIFICATE To Bank of Baroda ‘Mumbai -400 051. We am/are Bond/share holder(s) of Bank of Baroda and hold the Bonds of the face. Value of Rs. OR shares of the face value of Rs.2/- each as per the details below Folio No. No. of Bonds/Shares Bond/Share Distinctive No(s) Held Certificate No (s) ‘The Bond / Share Certificate(s) in respect of the said Bonds / Shares has/have been lost/misplaced/not been received. The said Bonds/shares were not accompanied by any blank transfer deed signed by us and that we have not, nor has any person by our order in any manner disposed of, parted with or pledged the said allotment letter, or assigned our interest therein or any part thereof to any person. We are sole and absolute owners of the Bonds/shares covered by the said allotment or cause the same to be surrendered to the company, if and when the same are found. We therefore, request to issue of duplicate of the said Bonds/share certificates. In consideration of the Bank so doing, we do hereby indemnify the Bank and bind ourselves, our heirs, executors and administrators to pay all claims, charges, costs, damages, demands, expenses and losses, which the said Bank may sustain, incur or be liable for in consequence of having issued duplicate Share Certificate at my/our above said request. The Bank may realize the said claims, charges, costs, damages, demands, expenses and losses from me/us personally, or my/our heirs, executors or administrators or properties as the case may be. We, the undersigned, certify that the above facts are true and bind myself/ourselves to make good all claims, charges, costs, damages incur or be liable for in consequence of complying with the request contained aboye and the Bank will be entitled to realize all claims, charges, costs, damages, demands, expenses and losses from our persons or our heirs or my/our properties, as the case may be :~ IN WITNESS THEREOF WE SIGNED THIS THE TWO THOUSAND AND seDAY OF esssseees NAME & ADDRESS OF BOND/SHARE HOLDER(S) _ SIGNATURE OF BOND/SHAREHOLDER(S) NAME & ADDRESS OF SURETY SIGNATURE OF SURETY,PROFORMA TO BE EXECUTED ON RS.20/- STAMP PAPER) AFFIDAVIT FOR DUPLICATE SHARE/BOND CERTIFICATE We and/are Bond/Share-holder(s) of Bank of Baroda and hold bonds of the face value of Rs. each or shares of the face value of Rs. 2/- each as per the details given below : Folio No. No. of Shares/Bonds Share Certificate Held Bonds(s) We do solemnly and sincerely swear and state as under: 1. That the said bond/share certificate(s) covering the said Bonds/Shares has/Have been lost/misplaced/not received and it is/they are not in my/our possession: 2. That I/We have not transferred the said Bonds/Shares or any of them in favour of any other person and I/We have not executed an instrument of transfer for the said Bonds/Shares in favour of any person. 3. That I/We have filed a request to Bank of Baroda, to issue duplicate Bond/Share certificate for the said Bond/Shares. NAME(S) OF BOND/SHARE HOLDERS : SIGNATURE(S) OF BOND/SHAREHOLDER(S) VERIFICATION I/We solemnly verify that the facts stated above are true and that nothing material has been concealed. NAME(S) OF BOND/SHARE HOLDER(S) : SIGNATURE(S) OF BOND/SHAREHOLDER(S) NOTE : This affidavit should be verified in the presence of First Class Magistrate or a notary public. In the event of verification in the presence of a Notary Public, the Affidavit should contain the requisite Special Adhesive Stamps.SURETY FORM (Form to be signed by Surety proposed for Indemnity Agreement) Private & Confidential : Name of Surety : (in full) Permanent Residential Address Pin. AGE. Years Permanent Income Tax No. A person cannot stand as surety for Furnish documentary Spouse/Family member. evidence (Fill in any one or more of the following boxes, whichever is applicable). A. Details of employment 1) Name of the employer 2) Place of employment 3) Annual Salary 4) Other emoluments AND/OR B. Details of immovable property owned : (Absolutely in own name and not as a member of a joint & undivided Hindu family, specify whether consisting of houses of more lands) 1. Within Municipal Limits 2. _ Situation 3. Value 4, Annual rent realized AND/OR: C. Details of business owned : (absolutely in own name and not as a partner)1. Nature of business and location 2. Annual Turnover 3. Annual Profits Date : 20 ( Signature of Surety ) Witnessed by : Full Name and Address of Bank Manager/Notary Public Bank Manager / Notary Public Pin,