INDEMNITY BOND FOR DUPLICATE SHARE CERTIFICATE (1)

To be executed on Non-Judicial Stamp Paper of Rs. 100/- to be Notarised

To
Dear Sir,
I am the Registered Holder of equity shares of Rs.10/- each in the company. Details of which are given below:
Regd. Folio No: The Share certificate in respect of the said shares has been lost or destroyed. I have not
delivered the said certificate with the intention of transferring the shares or pledging them or parted with
the said certificate in any other manner whatsoever. I therefore hereby request the Company to issue to me
Duplicate Share certificate in lieu of the Original.
In Consideration of the Company issuing to me Duplicate share certificate, I hereby bind myself, my heirs,
executors and administrators and agree to undertake to Indemnify the Company against all claims, charges,
expenses, costs, damages and losses which the Company may incur or suffer by reason of or in consequence
of having issued Duplicate Certificate to me.
I further agree and undertake to deliver or cause to be delivered to the Company the Original share
certificate when it is found and also to take at my costs, any action or proceedings that may be necessary or
the Company may require me to take recovery thereof or that may be incidental thereto.
In witness whereof I signed this day of ______________________________________________
1st Holder’s Name:
Signature:
Address:
1. Name :
Signature :
Address :

Signed before me this the _______________________ day of ___________________ 2018