INDEMNITY BOND For Issue of Duplicate Share Certificate

INDEMNITY BOND FOR ISSUE OF DUPLICATE SHARE CERTIFICATE
Whereas
I/We (name of the shareholder) jointly with
(name of the first joint holder )&
(name of the second joint holder )
residing at
(address of the shareholder) for
last---- years, holding shares of face value of Rs each under folio no
in M/s-
(Name of the
Company) issuer Company having its registered office at
(Company's
registered office address). The original share certificate(s) in respect of shares as
detailed below has/have been lost/destroyed/misplaced and the same is/are not traceable:
Share Certificate No Distinctive No No of Shares

From To
Whereas
I/We have not delivered the said share certificate(s) with the intention of transferring the shares
or pledging them or parted with the said share certificate(s) in any other manner whatsoever.
I/We, therefore, hereby request the issuer Company to issue to me/us duplicate share
Certificate(s) in lieu of the original share Certificate(s).
In consideration of the issuer Company having agreed to issue duplicate share certificate(s) for
the aforesaid shares in my/our name, I/we am/are executing a Indemnity Bond in favour of the
issuer Company.
LIIPL/Duplicate/Indemnity/Version No. 1.0 18/11/2013 Page 1

of 4
Upon the issuer Company, having agreed to issue duplicate share certificates for the aforesaid
shares, I/we the undersigned applicant(s) hereunder for myself/ourselves, my/our heirs,
executors, administrators and assigns do hereby jointly and severally covenant with the issuer
Company, its successors and assigns and agree and undertake at all times, save, defend and to
indemnify and keep indemnified the issuer Company, its successors and assigns its estate and
effects, and its directors, manager, secretary and shareholders and their heirs, executors and
assigns from and again all actions, suits, proceedings, accounts, claims and demands, whatsoever
for or on account of the said shares or dividends or any part thereof or otherwise in connection
with the same, and from and against all losses,costs, claims, actions, demands, risks, charges,
expenses, damages and losses arising in any manner whatsoever.
Name(s) of shareholder(s) Signature(s) of

shareholder(s)
1. __________________ ___________
2. __________________ ___________
3. __________________ ____________
In presence of :
Name and address of Witnesses Signature of Witnesses
____________

of 4
Surety
We (name of the Surety No.1) aged
__ years,an Indian inhabitant presently residing at
(residential address of Surety
No.1) know the applicant(s) for last _______ years and having business address at
(official address of Surety
No.1), having PAN Card No.____________ with net assets worth of Rs. ___ and
(name of the Surety No.2)
aged __ years, an Indian inhabitant residing at
(residential address of Surety No.2) know the applicant(s) for last ______ years and having PAN
Card No.____________,business address at
(official address of Surety No.2)
and with the net assets worth of Rs. _______ .
We, the undersigned certify that the above facts are true to the best of our knowledge. We bind
ourselves as sureties to make good all claims, charges, costs, damages, demands, expenses and
losses which the issuer Company, its successors and assigns its estate and effects and its
directors, manager, secretary and shareholders may sustain, incur or be liable for in consequence
of complying with the request contained above and the issuer Company, its successors, assigns,
directors, manager, secretary and shareholders will be entitled to realise all claims, charges, cots,
damages, demands, expenses and losses from our persons and our properties, as the case may be.
SURETY 1 :
Name :
Annual Salary Income :
Name of Employer :
OR
Self owned Business Annual Income :
OR
Asset worth of self owned Immovable Property :
Signature of first Surety :

of 4
Name and Address of Witness :
Signature of Witness :
SURETY 2 :
Name :
Annual Salary Income :
Name of Employer :
OR
Self owned Business Annual Income :
OR
Asset worth of self owned Immovable Property :
Signature of Second Surety

:
Name and Address of Witness :
Signature of Witness :
Dated this _________ day of ______________ 20 .

of 4

INDEMNITY BOND For Issue of Duplicate Share Certificate

Uploaded by

Copyright:

Available Formats

INDEMNITY BOND For Issue of Duplicate Share Certificate

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

INDEMNITY BOND For Issue of Duplicate Share Certificate

Uploaded by

Copyright:

Available Formats

INDEMNITY BOND FOR ISSUE OF DUPLICATE SHARE CERTIFICATE

Share Certificate No Distinctive No No of Shares

LIIPL/Duplicate/Indemnity/Version No. 1.0 18/11/2013 Page 1

Name(s) of shareholder(s) Signature(s) of

LIIPL/Duplicate/Indemnity/Version No. 1.0 18/11/2013 Page 2

Annual Salary Income :

Signature of first Surety :

LIIPL/Duplicate/Indemnity/Version No. 1.0 18/11/2013 Page 3

Annual Salary Income :

Signature of Second Surety

Name and Address of Witness :

Dated this _ day of ______ 20 .

LIIPL/Duplicate/Indemnity/Version No. 1.0 18/11/2013 Page 4

You might also like

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.