APPENDIX IV

DRAFT OF INDEMNITY LETTER (To be stamped)

(In respect of lost/misplaced FDR with maturity period less than twelve months)
To,
BANK OF BARODA
Whereas Bank of Baroda _________________ branch on ________ issued Fixed Deposit
account No.______________ receipt No. ____________
for `.________ (Rupees ______________________________) only in favour of
____________________ for
_______ months.
And whereas the said Fixed Deposit Receipt has been lost or misplaced and whereas upon
my/our representation that the said Fixed Deposit Receipt
has been lost/misplaced and has not been mortgaged, pledged or assigned or dealt with in any
manner and undertaking that if the said Fixed Deposit
Receipt is found, it shall be returned to you for cancellation and at my/ our request, you have
agreed to renew the said Fixed Deposit Receipt for a
further period of ________ months from its due date and issue a fresh receipt in respect thereof.
Now, I/we (Name/s and address/es of depositor/s) ____________________ in consideration of
the premises for myself/ourselves and my/our
respective heirs, executors and administrators jointly and severally agree and undertake from
time to time and at all times hereafter to indemnify and
keep you indemnified from and against all losses, claims, demands, actions, liabilities and
expenses which may be made or taken against or incurred by
you by reason of the renewal of the said Fixed Deposit Receipt for further ______________
months or in respect of the said Fixed Deposit account
No. ______________________ Receipt No. ___________.
Dated at _____________ this __________ day of ________________ 20__.

Yours faithfully,

Signatures(s) of Depositor(s)
 APPENDIX V
DRAFT OF INDEMNITY LETTER (To be stamped)
(In respect of lost or misplaced FDR period exceeding twelve months with maturity)

Stamps as per the prevailing scale of stamp duty in the concerned State for an indemnity on ad-valorem basis
29/06/2013 Book of Instruction

BANK OF BARODA,
-------------------
Whereas Bank of Baroda _________________ Branch on ______________
issued Fixed Deposit account No. _______________ Receipt No._______________ for `.___________ only in
favour of ________________ for
_______ months.
And whereas the said Fixed Deposit Receipt has been lost or misplaced and whereas upon my/our representation
that the said Fixed Deposit Receipt
has been lost or misplaced and has not been mortgaged, pledged or assigned or dealt with in any manner and
undertaking that if the Fixed Deposit
Receipt is found, it shall be returned to you for cancellation and at my/ our request, you have agreed to issue a
duplicate fixed deposit receipt in lieu
of the said lost or misplaced Fixed Deposit Receipt.
Now I/we _______________________________________________(depositor/s)
(surety/ies) in consideration of the premises for ourselves and our respective heirs, executors, and administrators
jointly and severally agree and
undertake from time to time and at all times hereafter to indemnify and keep you indemnified from and against all
claims, demands, actions, liabilities,
and expenses which may be made or taken against or incurred by you by reason of the issue of such duplicate Fixed
Deposit Receipt or in respect of
the said Fixed Deposit account No. _____________ Receipt No.____________ dated ________.
Dated at _________________ this _____________ day of __________ 20__.
SURETIES :
1. Signature : __________________
Name : __________________
Occupation: __________________
Address : __________________ Yours faithfully,
2. Signature : __________________
Name : __________________
Occupation: __________________
Address : __________________ (Signatures of Depositor/s)
 APPENDIX-I

BANK OF BARODA

Forwarding Letter for Banker's Cheque

_______________ Branch

__________________

__________________

Dear Sir,

Re. : ___________________________

Enclosed please find our BANKER'S CHEQUE No.____________

dated ________ for `_________________ being

__________________________________.

Please acknowledge receipt.

Yours faithfully

BRANCH MANAGER
APPENDIX-II

DRAFT OF INDEMNITY LETTER

(To be stamped)

In respect of issue of a fresh draft in lieu of lost one

Bank of Baroda,

_________________

Whereas the Bank of Baroda, on_________________________

issued a Demand Draft no._______________ for `______________ (in figures
and in words)
payable by your office at __________________________ to
_________________of __________________________ and whereas the
said Demand Draft has been lost
or misplaced and whereas upon my/our representation that the said Demand
Draft has been lost or misplaced and has not been transferred or dealt with
in any manner
and undertaking that if the Demand Draft is found, it shall be returned to you
for cancellation and at my/our request you have agreed to issue a fresh Demand
Draft in
lieu of the said lost or misplaced Demand Draft.

Now, I/we __________________________ in consideration of the

premises for myself / ourselves and my/our respective heirs, executors
and
administrators jointly and severally agree and undertake from time to time and
at all times hereafter to indemnify you and keep you indemnified from and
against all claims,
demands, actions, liabilities and expenses which may be made or taken against or
incurred by you by reason of the issue of such fresh Demand Draft in respect of
the said
Demand Draft no.________________.

Dated at ___________________ (place) this ______________

(date) day of_______________________________(month)
_______________________.(year)

Yours truly,
 1. Witness : __________________________

Occupation : __________________________ To be signed by :

Address : __________________________
1. Purchaser
2. Witness : __________________________
2. Payee
Occupation : __________________________
3. Surety
Address : __________________________
4. Surety
3. Witness : __________________________

Occupation : __________________________
Address : __________________________

4. Witness : __________________________
Occupation : __________________________
Address : __________________________
 APPENDIX-III

DRAFT OF INDEMNITY LETTER

(To be stamped)
In respect of refund of amount of lost draft
To

Bank of Baroda

WHEREAS the Bank of Baroda, on ___________________ issued a

Demand Draft No.___________________ for `___________________ (in
figures and in
words) only, payable by your office at
____________________________________of ___________________ and
whereas the said Demand Draft has been lost or misplaced
and whereas upon my/our representation that the said Demand Draft has been
lost or misplaced and has not been transferred or dealt with in any manner and
undertaking
that if the Demand Draft is found, it shall be returned to you for cancellation
and at my/our request you have agreed to refund the amount of the Demand
Draft so lost or
misplaced

NOW I/we ______________________________________ in

consideration of the premises for myself/ourselves and my/our respective
heirs, executors and
administrators jointly and severally agree and undertake from time to time and
at all times hereafter to indemnify you and keep you indemnified from and
against all claims,
demands, actions, liabilities and expenses which may be made or taken against or
incurred by you, by reason of refund of the amount in respect of the said
Demand Draft
no._______________.

Dated at ___________________ (Place) this

___________________ (Date) day of ___________________ (Month)
___________________ (Year).

Yours truly,
1. Witness : __________________________

Occupation : __________________________ To be signed by :

Address : __________________________ 1. Purchaser

2. Witness : _________________________ 2. Payee

Occupation : __________________________ 3. Surety

Address : __________________________ 4. Surety

 APPENDIX - VI

FORMAT FOR DAILY STATEMENT OF DDs ISSUED

NAME AND ADDRESS OF ISSUING BRANCH

Sr. No. of Statement Date of Statement

Name of Focal Branch

Name of Drawee Branch : Drawee Branch `A'

Date of Draft Draft No. Payee's Name Amount of Draft (`)

1.

2.

_____________________

Total for Drawee Branch `A'

Drawee Branch `B'

1.

2.

______________________

Total for Drawee Branch `B'

Drawee Branch `C'

1.

2.

______________________

Total for Drawee Branch `C'

 ______________________

Total for the day for all Drawee Branches

-------------------------------
Encls. : with the statements :

For cover Funds : Cheque No. Date Amount (`) on Bank name

For Exchange : Cheque No. Date Amount (`) on Bank name

REGISTER MAINTAINED BY FOCAL BRANCH APPENDIX -

VII
___________________________________________________________________
__________________________________
Date Cover funds received Demand Drafts Paid Refund
made on a/c Balance
of
stop payment/
Drawee DD No. Amt. Paying DD No. Amt. cancellation
of DD (`)
Branch (`) Branch (`)
(4-7-10)

__________________

Drawee DD Amt.

Branch No. (`)

___________________________________________________________________
__________________________________
1. 2. 3. 4. 5. 6. 7. 8.
9. 10. 11.
___________________________________________________________________
__________________________________

APPENDIX - VIII
REGISTER OF DRAFTS PAYABLE UNDER AGENCY ARRANGEMENT
(TO BE MAINTAINED BY DRAWEE BRANCH)
Arrangement with _______________ Bank
___________________________________________________________________
__________________________________
Sr. DD. Date of Name of Amount Date of
Date of
No. No. DD Beneficiary of DD
receipt Payment
(`)
of DD of DD

advice
___________________________________________________________________
__________________________________

1 26
2 A 27
3 28
4 29
5 30
6 31
7 32
8 33
9 34
10 35
11 36
12 37
13 38
14 39
15 40
16 41
17 42
18 43
19 44
2 45
0
21 46
2 47
2
 2 48
3
2 49
4
2
5

APPENDIX X

Revised Draft of Certificate regarding Security Forms

(DDs/MTs/FD/cheque Books/Bankers cheque etc.)

BANK OF BARODA
(Head Office: Mandvi, Baroda)

Branch:_________________ Date :____________

Telephone _______________
The Regional/Asstt./Dy.General Manager,
Bank of Baroda,
____________________Region,
____________________

Dear Sir,

Re : Management of Security Forms at our branch

– Confirmation about compliance of Systems & Procedures
– Certificate for the Quarter ended…………………_________

We submit our point wise confirmation in respect of compliance of Bank’s laid down
procedures as under :-

1. Upon receipt of stocks of Security forms from Central Stationery Department,

Baroda/ Regional office/ Printers/ Other branches, we are sending acknowledgement
to them immediately upon receipt of consignment.
2. Such consignments are being opened immediately upon receipt in the presence of
Branch Manger/Jt. Manager and the number of books and the leaves in each book is
being counted.

3. Any discrepancy in the above and/or with the delivery challan is being advised to the
Central Stationery Deptt. at Head Office, Baroda under advice to Regional Authority
and also to the printers if consignment is received from them directly.

4. Where the name of the branch is not printed on the Security forms, the name and
Alpha code of branch is affixed.

5. All Security forms have been invariably stored in steel almirahs /cabinets with dual
lock and are kept under joint custody.

6. All operations in the steel almirah containing security forms are done by the
custodians jointly.

7. All Security forms have been entered in Security Forms Register with prefix under
separate sections for each type of Security form.

8. Whenever Security forms are issued for daily use, it is first noted in Security Forms
Register under authentication of 2 Officers and an acknowledgement obtained from
the receiving officer.

9. Whenever any blank DD leaf/leaves/books/in the form of continuous stationery, MT

Pads and Bankers’ Cheques are lost/misplaced, details are being immediately advised by
us by the fastest mode of communication to Regional Office and Head Office.

10. The draft book in current use is being made available to the concerned Department at
the start of the day and it is being ensured that the serial numbers of the DDs are in
continuation with DD sold register.

11. Unused DD leaves, MT schedules, bankers cheques are being taken from the in-charge
of concerned Department at the end of the day, counted, tallied and kept under joint
custody overnight.

12. At the end of each month, physical verification of Security forms on hand is carried
out by an officer. During the quarter , the verification was carried out by (1) Mr/Ms
___________ on _____ (2) Mr/Ms ___________on _______ & (3) Mr/Ms
_________on _______ .
Yours faithfully,
 (Name) (Name)
Accountant/Sr.Manager Asstt.General/Chief/Sr.Br./Manager

APPENDIX XI

FROM: BANK OF BARODA BANK

OF BARODA TO:
(Address of the
________BRANCH TO: BANK OF BARODA
branch
sending
Vostro A/c Cell,
claim)
Mumbai Main Office
G/L CLAIM
STATEMENT Bombay Samachar Marg,

MUMBAI
‘M’ SCH NO___________
Date____________

Name of BOB Subsidiary &

Name______________________________________

SR. DOCUMENT DATE AMOUNT

NO. TYPE & NO.
The statement, in duplicate, is to be forwarded through courier service by the paying
branch to Vostro A/c Cell, Mumbai Main Office (on above address) duly signed by the
Accountant / Manager. Third copy will be retained at the paying branch.
The Vostro A/c Cell. Mumbai Main Office on receipt of the statement will debit the
subsidiary’s account and return the 2nd copy of this statement to the paying branch
alongwith the realisation advice.
Please note to invariably mention the PURPOSE OF REMITTANCE as the same is required
to be reported to R.B.I. as per Exchange Control Rules.

For BANK OF BARODA

(Name)

(Name)
ACCOUNTANT MANAGER