Form of bond of indemnity for drawing arrears of pay and allowance of pension of

deceased Government servants or Pensioners.

Now ALL MEN by these presents that I, (a) Urmila Chandrabahadur Yadav.
Resident Of Isaq Chawl No.1 Room No.9, Shri Krishana Nagar , K A Road , Near
Radhe Krishana Mandir, Sakinaka, Mumbai – 400 072 and (b) wife the widow
and I /we
(c) Name and Address of Surety Signatures
1. Pradeep Kumar Sohanlal Lodh
Room No. 3, Krishana Nagar,Gupta Chawl,
90 Feet Road, Near Radhe Krishana Mandir,
Kurla, Mumbai – 400 072
2. Mahendrapratap kuldeep Pal
Room No. 224, 759 Gully-4, Shri Krishana Nagar,
G.M. Link Road, Near Shiv Sena Shankha,
Santosh nagar, Goregaon East, Mumbai – 400 065

Sureties on her/his behalf are held and firmly bound to the Governor of
Maharashtra in the Sum of ___________( in Words Rupees) to be Paid to the said
Governor or his Successors or assigns for which payment to be well and truly
made, each of us severally bind (s) himself and his heirs, executors, administrators
and assigns and every two and all of us jointly bind ourselves and our heirs ,
execution administrators and assigns firmly by these presents.
As witness our hand this ________day of _______2013.
WHEREAS (d) Chandra bahadur Mata Prasad Yadav was at the time of his death
in the employment of the Government or was receiving a Pension of
_________( in Words Rupees) (for pay and allowance in respect of his/her said
office ) or ( in respect of his/her said pension ) and the claimant (a) (claims to be
entitled to the said sum as heir of the said (d) but has not obtained letters of
administration of or succession certificates to the Property and effect of the said (d)
AND WHEREAS the claimant has satisfied the (e) Assistant pay and Accounts
officer and he/she is entitled to the aforesaid sum and that it would cause under
delay and hardship if the claimant were required to produces letters of
administration of or a succession certificates to the property and effects of the said
(d):
AND WHEREAS the Government desires to pay the said sum to the claimant but
under Government rules and orders it is necessary that the claimant should first
execute a bond with two sureties to indemnity Government against all claims to the
amount so due as aforesaid to the said (d) before the said sum can be
paid the claimant.
NOW THE CONDITION of this bond is such that if after payment has been made
to the claimant, the claimant or the sureties shall in the event of claim, being made
by any other person against Government with respect of the aforesaid sum of
_____________________( in words Rupees) refund to Government the sum of
_________________ (in words Rupees) and shall otherwise indemnity and have
Government harmless from all liability in respect of the aforesaid sum and all cost
incurred in consequence of claim there to then the above written bond or obligation
shall be void but otherwise the same shall remain in full force and virtue.
In WITHNESS to the above written bond and the condition therefore
We

(f) Name and Address of Witness Signature

1. Sujeet Ramsumer Gupta

C/3 , Shambhu Nath, Bldg Sudama Nagar,
60 Feet Road Bhayandar West ,
Thane – 401 101

2. PradeepKumar Ramprasad Dhobi

Room No. 69 3/3, Shiv Shankar Nagar,
S.P Road , 90 Feet Road, Near Saibaba mandir
Walada (E) Mumbai – 400 037

And hereunto set our hands this day of April, 2023

Signature of Claimant